scholarly journals Evaluation of chronological age based on third-molar development in the Serbian population

2020 ◽  
Vol 77 (10) ◽  
pp. 1054-1059
Author(s):  
Gordana Filipovic ◽  
Nadica Djordjevic ◽  
Nikola Stojanovic ◽  
Zlata Brkic ◽  
Marija Igic ◽  
...  

Background/Aim. Persons identification and their age assessment is necessary in vast number of cases and there are different methods used for such purposes. Numerous studies indicate that the third molar development could play a crucial role in identifying an individual`s age. The aim of this study was to determine the possibility for estimating the chronological age based on the third molar development stages in children and young adults in the Serbian population. Methods. A total of 570 Serbian patients aged 6?27 years were included in this study. Out of the total number of subjects, there were 248 males with an average age of 12.21 ? 3.91 years, and 332 females with an average age of 12.88 ? 4.06 years. Stages of dental formation were determined on orthopantomograms by comparing with standard Demirjian radiographic appearances. Results. Third molars mineralization occured more rapidly in males than in females. Most of the persons with third molar (the stage H development according to the Demirjian method) were older than 18 years. Conclusion. ?hird molar mineralization stages determination on orthopantomograms is useful additional method for determination of chronological age in living individuals. This finding might be important for forensic studies, focusing on the determination of the legally important ages. Variability among different ethnic groups has to be taken into consideration when applying this method. It is necessary to carry out extensive surveys on a larger sample in order to determine the norms for assessing the dental and chronological age of Serbian population.

2021 ◽  
Vol 34 (2) ◽  
Author(s):  
Devyn Caldwell

Third molar agenesis is a dental anomaly that occurs in approximately 25% of people worldwide and results in the complete absence of one or more of the third molars in the dentition. A rise in the prevalence of congenitally absent third molars has been noted in modern populations, and it has been proposed as the final evolutionary step in the dental reduction of the human dentition.   Whilst much research has been conducted in modern cohorts, relatively little has been published on third molar agenesis in archaeological assemblages. A post-medieval assemblage from Chichester was visually and radiographically analysed to determine the prevalence of this anomaly. Third molars were measured to determine if there was an association between agenesis and size reduction. Prevalence of agenesis was found to be relatively high at 42.7% and 2 of 8 measurements were found to produce significant differences. Consequently, it can be said that high rates of third molar agenesis are not solely a modern phenomenon, as many prevalence rates in recent populations are lower. However, if we are to assess the significance of size differences in third molars of those with agenesis and those without, and to detect patterns within and between these groups, assemblages with larger sample sizes are needed. In order to better understand the trajectory and evolution of this anomaly, more archaeological assemblages must be examined.


2021 ◽  
Vol 15 (1) ◽  
pp. 591-594
Author(s):  
Weeraya Tantanapornkul ◽  
Ruchadaporn Kaomongkolgit ◽  
Sirilawan Tohnak ◽  
Chutamas Deepho ◽  
Ronnayut Chansamat

Background: Radiographic visibility of the root pulp in lower third molars is one of the reliable methodologies for chronological age estimation. Objective: To evaluate the radiographic visibility of the lower third molar root pulp using digital panoramic radiographs of the Thai population, and determine the appropriation of this technique in age assessment, especially at the age of 18 years. Methods: A total of 746 digital panoramic radiographs of the Thai population aged from 16 to 26 years were recruited for the present study. The visibility of root pulp of lower third molars with completed root formation was recorded in the four stages. Descriptive statistics were performed for each stage in both males and females. Results: The first appearance of stage 0 is 16.71 years in males and 17.00 years in females. The minimum age of stage 1 was found at 17.08 years in males and 17.18 years in females. The beginning of stage 2 was 18.33 years in males and 18.17 years in females. For stage 3, the earliest presence was started at 18.58 years in males and 18.83 years in females. Conclusion: The occurrence of stages 2 or 3 in both males and females indicated that the subject is over 18 years of age. Further study on the Thai population should be conducted to confirm the results of the present study.


2020 ◽  
Vol 32 (1) ◽  
pp. 57-64
Author(s):  
Zainab M Kadhom

Background: The evaluation of the chronological age is a practical method in crime investigation field that assists in identifying individuals to treat them as underage or adult. This study aimed to assess the stages of third molars mineralization in relation to chronological age of Iraqi individuals, determine the gender differences and arches (maxillary/mandibular) differences. Materials and Methods: A total of 300 orthopantomograms of orthodontic patients were collected according to specific criteria and evaluated visually. The developmental stages of maxillary and mandibular third molars were determined according to Demirjian method. The chronological age was recorded according to the particular mineralization stages at which it reached considering genders, sides and jaws. Comparisons were done using paired sample and independent sample t-tests. Results: Results showed that there was no statistically significant difference (P>0.05) between maxillary and mandibular third molars. The maxillary third molars reached earlier than mandibular one in stages F and G. There was no significant difference between the mean ages of males and females at each given developmental stage in the maxillary and mandibular third molars except for the stage D in the maxilla and stages D and E in the mandible. The development of third molar teeth on the right and left sides was similar except for the maxillary arch in males when there was a significant difference in stage C and D and stage E in the mandibular arch. Conclusion: The Demirjian method is an excellent approach for age assessment using Orthopantomogram. All of the differences between the current study and other studies could be because of the difference in the populations who were chosen from different geographical areas. Keywords: Age estimation, Demirjian method, third molar, Orthopantomogram, chronological age.


Author(s):  
Josefine Cederhag ◽  
Nina Lundegren ◽  
Per Alstergren ◽  
Xie-Qi Shi ◽  
Kristina Hellén-Halme

Abstract Objectives The aim was to evaluate the characteristics of the mandibular third molars, especially in relation to the inferior alveolar nerve. Further aims were to investigate incidental findings in panoramic radiographs in an adult population, and to investigate image quality related to patient positioning. Materials and Methods From a previous study with 451 randomly selected adult participants who lived in Sweden, 442 panoramic radiographs from four dental public health clinics were used. The third molars’ characteristics and relation to inferior alveolar nerve were evaluated. Incidental findings and patient positioning were recorded. Statistical Analysis Frequency analysis was used to investigate the occurrence of all findings and their possible interconnections. Whether the patients’ age or gender had an impact or not was also analyzed. Results The third molars were erupted in vertical position among 73% regardless of age. When retained or semi-retained, they were most commonly in mesioangular positions. The inferior alveolar nerve was located inferior to the roots in 52%, whereas an overlapped position was most common if the third molar was retained (90%), semi-retained (83%) or the age was less than 30 years (66%). Common incidental findings were apical radiolucencies, idiopathic osteosclerosis, and tooth fragments. Suboptimal patient positioning was found in one-third of the radiographs. Conclusions Panoramic radiography is a useful method to evaluate third molar prior to surgical removal and may be the only image required. Most incidental findings on panoramic radiographs does not seem to require any further odontological management.


Author(s):  
Sanaa Aljamani ◽  
Callum Youngson ◽  
Fadi Jarad ◽  
Francis O’Neill

Abstract Purpose Recently we described mapping of the lingual nerve clinically in patients using electrical nerve stimulation. This paper reports results of a larger study with inter- and intra-observer reliability and comparison with positional measurements from magnetic resonance imaging (MRI). Methods In 50 healthy participants, measurements were taken when subjects felt a tingling sensation in the tongue induced by a stimulation probe over the lingual nerve. Three positions were measured in relation to the third molar. Measurement reliability was tested for both inter-observer and intra-observer agreement and positional data of the lingual nerve measured clinically was also compared with nerve position as measured from MRI scans. Results Out of 50 participants, 96 nerves (49 = left/47 = right) were included in the study. The lingual nerve was identified in 90% (87) of this sample. The mean of height of the nerve in points A, B and C were 9.64 mm, 10.77 mm and 12.34 respectively. Inter-and intra-observer agreement was considered to be good to excellent (ICC = 0.8–0.96). Agreement between nerve mapping measured values and MRI measured values was good (ICC < 0.6). Conclusion This technique may prove useful for the clinical determination of lingual nerve position prior to procedures in the third molar region.


Author(s):  
А. . Atyakshev ◽  
N. . Tekoutieva

Extraction of the third molars from the upper jaw can cause somatic dysfunctions and changes in cerebral hemodynamics in patients. Rehabilitation measures aimed to correct somatic dysfunctions and restore cerebral hemodynamics are necessary for these patients.


2016 ◽  
Vol 10 (04) ◽  
pp. 454-458 ◽  
Author(s):  
Roberto Pippi ◽  
Marcello Santoro ◽  
Ferdinando D'Ambrosio

ABSTRACT Objective: Cone-beam computed tomography (CBCT) has been proposed in surgical planning of lower third molar extraction. The aim of the present study was to assess the reliability of CBCT in defining third molar root morphology and its spatial relationships with the inferior alveolar nerve (IAN). Materials and Methods: Intraoperative and radiographic variables of 74 lower third molars were retrospectively analyzed. Intraoperative variables included IAN exposure, number of roots, root morphology of extracted third molars, and presence/absence of IAN impression on the root surface. Radiographic variables included presence/absence of the cortex separating IAN from the third molar roots on CBCT examination, number of roots and root morphology on both orthopantomography (OPG) and CBCT. The statistical association between variables was evaluated using the Fisher's exact test. Results: In all cases of intraoperative IAN exposure, the cortex appeared discontinuous on CBCT images. All cases, in which the cortical bone was continuous on CBCT images, showed no association with nerve exposure. In all cases in which nerve impression was identified on the root surface, the IAN cortex showed interruptions on CBCT images. No nerve impression was identified in any of the cases, in which the cortex appeared continuous on CBCT images. CBCT also highlighted accessory roots and apical anomalies/curvatures, not visible on the OPG. Conclusions: CBCT seems to provide reliable and accurate information about the third molar root morphology and its relationship with the IAN.


1974 ◽  
Vol 1 (4) ◽  
pp. 139-142
Author(s):  
C. P. Adams

The Oblique Lateral Jaw Radiograph has been used as a routine diagnostic x-ray view for many years as an aid to orthodontic diagnosis and for the assessment of the positions of unerupted third molar teeth. Many methods for obtaining clear undistorted views of the teeth have been suggested from a freehand setting up of film, patient and x-ray tube, to the use of simple orientated devices. The present article describes a method of standardizing the relationship of film and x-ray tube to one another so that it is only necessary for the radiographer thereafter to place the patient on the film area in a manner depending on whether a view. is required of the third molars only or of the complete upper and lower buccal segments.


2008 ◽  
Vol 9 (3) ◽  
pp. 64-71 ◽  
Author(s):  
Suiaiman Al-Emran

Abstract Aim The aim of this study was to assess the dental age in Saudi children aged 8.5 to 17 years using the Demirjian method. Methods and Materials Four hundred ninety panoramic radiographs of boys and girls were reviewed retrospectively. All children were placed in the age group closest to their chronological age. The dental age was scored on all seven left mandibular teeth by one examiner. Results Both boys and girls in age groups nine to 14 years showed advanced dental age compared to their chronological age which was found to be statistically significant except in age groups nine and 13 years. Saudi boys were 0.3 years and Saudi girls 0.4 years ahead, on average, of French-Canadian children as analyzed by the Demirjian method. Conclusion The standard values for French-Canadian children provided by Demirjian vary slightly for application to Saudi children. As a result, new graphs and tables were produced to convert these maturity scores, calculated by the Demirjian method, to the dental age for Saudi children. Citation Al-Emran S. Dental Age Assessment of 8.5 to 17 Year-old Saudi Children Using Demirjian's Method. J Contemp Dent Pract 2008 March; (9)3:064-071.


2016 ◽  
Vol 4 (1) ◽  
pp. 11-16
Author(s):  
Winnie Zhang

Third molars are highly variable in their presence and form. This report focuses on a horizontally impacted third molar and analyzes the potential etiology of this situation. Upon a clinical and radiographic examination, it was noted that the patient had four third molars present. The patient’s third molars began erupting around the age of 19. Currently, they are asymptomatic with incipient caries on the occlusal surfaces. While three of the third molars erupted in a normal orientation, one of the third molars (mandibular left) erupted in an orientation that would be classified as horizontal and/or mesio-angular. No treatment has been undertaken at the moment, however surgical extraction can be recommended with the prognosis being very good. For the clinician that has to treat dental complications that arise from abnormal tooth eruption, as seen in numerous genetic and acquired disorders, knowledge about the basic molecular mechanisms involved may become extremely important.


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