Comparison in the estimation of the age of majority according to the demirjian indices and the third molar of cameriere using cone beam tomography in a peruvian population
Abstract
Objetive: To compare majority age estimation according to Demirjian's method and Cameriere's third molar maturity index using cone-beam computed tomography in patients who attended the Maxillofacial Diagnostic Institute during 2014-2018, Lima- Peru.
Material and Methods: A cross-sectional and analytical analysis was performed evaluating 492 lower third molars corresponding to 38 and 48 teeth. Patients included were between 12 and 23 years-old and were of both sexes. Data obtained were analyzed with a double entry frequencies distribution table. Sensitivity, specificity tests, and plotting on a ROC curve were selected to assess the methods capacity to estimate the majority age.
Results: Sensitivity values for Demirjian's and Cameriere's indexes were 0.80 and 0.70. Specificity values were 0.87 and 0.93, respectively. The AUC for Demirjian's and Cameriere's indexes were 0.84 (0.79-0.88) and 0.81 (0.77-0.86) respectively and the Delong test p-value was > 0.05.
Conclusions: There was no difference on majority age estimation accuracy according to Demirjian's method and Cameriere's third molar maturity index using cone-beam computed tomography.
References
Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G. Forensic Age Estimation. Dtsch Arztebl Int. 2016;113(4):44-50. https://doi.org/10.3238 arztebl.2016.0044. PMID: 26883413; PMCID: PMC 4760148.
Schmeling A, Geserick G, Reisinger W, Olze A. Age estimation. Forensic Sci Int. 2007;165(2-3):178-81. https://doi.org/10.1016/j.forsciint.2006.05.016. PMID: 167 82291.
Orhan K, Ozer L, Orhan AI, Dogan S, Paksoy CS. Radiographic evaluation of third molar development in relation to chronological age among Turkish children and youth. Forensic Sci Int. 2007 Jan 5;165(1):46-51. https://doi.org/10.1016/j.forsciint.2006.02.046. Epub 2006 Mar 27. PMID: 16564659.
Zandi M, Shokri A, Malekzadeh H, Amini P, Shafiey P. Evaluation of third molar deve-lopment and its relation to chronological age: a panoramic radiographic study. Oral Maxillofac Surg. 2015 Jun;19(2):183-9. https://doi.org/10.1007/s10006-014-0475-0. Epub 2014 Nov 21. PMID: 25409631.
Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin North Am. 2008 Oct;52(4):707-30. https://doi.org/10.1016/j.cden.2008.05.005. PMID: 18805225.
Cantekin K, Sekerci AE, Buyuk SK. Dental computed tomographic imaging as age esti-mation: morphological analysis of the third molar of a group of Turkish population. Am J Forensic Med Pathol. 2013;34(4):357-62. https://doi.org/10.1097/PAF.0000000000000054. PMID: 24189 628.
Panchbhai AS. Dental radiographic indicators, a key to age estimation. Dentomaxillofac Radiol. 2011;40(4):199-212. https://doi.org/10.1259/dmfr/19 478385. PMID: 21493876; PMCID: PMC35 20308.
Deitos AR, Costa C, Michel-Crosato E, Galić I, Cameriere R, Biazevic MG. Age estimation among Brazilians: Younger or older than 18? J Forensic Leg Med. 2015;33:111-5. https://doi.org/10.1016/j.jflm.2015.04.016. PMID: 26048509.
Cameriere R, Ferrante L, De Angelis D, Scarpino F, Galli F. The comparison between measurement of open apices of third molars and Demirjian stages to test chronological age of over 18 year olds in living subjects. Int J Legal Med. 2008 Nov;122(6):493-7. https://doi.org/10.1007/s00414-008-0279-6. Epub 2008 Aug 28. PMID: 18751992.
Schmeling A, Reisinger W, Geserick G, Olze A. Age estimation of unaccompanied minors. Part I. General considerations. Forensic Sci Int. 2006 May 15;159 Suppl 1:S61-4. https://doi.org/10.1016/j.forsciint.2006.02.017. Epub 2006 Mar 9. PMID: 16529895.
Quispe Lizarbe RJ, Solís Adrianzén C, Quezada-Márquez MM, Galić I, Cameriere R. Demirjian's stages and Cameriere's third molar maturity index to estimate legal adult age in Peruvian population. Leg Med (Tokyo). 2017 Mar;25:59-65. https://doi.org/10.1016/j.legalmed.2017.01.003. Epub 2017 Jan 16. PMID: 28457511.
Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973 May;45(2):211-27. PMID: 4714564.
Cameriere R, Ferrante L, De Angelis D, Scarpino F, Galli F. The comparison between measurement of open apices of third molars and Demirjian stages to test chronological age of over 18 year olds in living subjects. Int J Legal Med. 2008 Nov;122(6):493-7. https://doi.org/10.1007/s00414-008-0279-6. Epub 2008 Aug 28. PMID: 18751992.
Chu G, Wang YH, Li MJ, Han MQ, Zhang ZY, Chen T, Zhou H, Guo YC. Third molar maturity index (I3M) for assessing age of majority in northern Chinese population. Int J Legal Med. 2018 Nov;132(6):1759-1768. https://doi.org/10.1007/s00414-018-1907-4. Epub 2018 Aug 7. PMID: 30088090.
De Luca S, Aguilar L, Rivera M, Palacio LA, Riccomi G, Bestetti F, Cameriere R. Accuracy of cut-off value by measurement of third molar index: Study of a Colombian sample. Forensic Sci Int. 2016 Apr;261:160.e1-5. https://doi.org/10.1016/j.forsciint.2016.01.026. Epub 2016 Feb 1. PMID: 26898677.
Quispe Lizarbe RJ, Solís Adrianzén C, Quezada-Márquez MM, Galić I, Cameriere R. Demirjian's stages and Cameriere's third molar maturity index to estimate legal adult age in Peruvian population. Leg Med (Tokyo). 2017 Mar;25:59-65. https://doi.org/10.1016/j.legalmed.2017.01.003. PMID: 28457511.
Quispe Lizarbe RJ, Solís Adrianzén C, Quezada-Márquez MM, Galić I, Cameriere R. Demirjian's stages and Cameriere's third molar maturity index to estimate legal adult age in Peruvian population. Leg Med (Tokyo). 2017 Mar;25:59-65. https://doi.org/10.1016/j.legalmed.2017.01.003. Epub 2017 Jan 16. PMID: 28457511.
Balla SB, Galic I, P K, Vanin S, De Luca S, Cameriere R. Validation of third molar maturity index (I3M) for discrimination of juvenile/adult status in South Indian population. J Forensic Leg Med. 2017 Jul;49:2-7. https://doi.org/10.1016/j.jflm.2017.05.003. Epub 2017 May 3. PMID: 28482246.
Kumagai A, Takahashi N, Palacio LAV, Giampieri A, Ferrante L, Cameriere R. Accuracy of the third molar index cut-off value for estimating 18 years of age: Validation in a Japanese samples. Leg Med (Tokyo). 2019;38:5-9. https://doi.org/10.1016/j.legalmed.2019.03.001. Epub 2019 Mar 4. PMID: 30878703.
Tafrount C, Galić I, Franchi A, Fanton L, Cameriere R. Third molar maturity index for indicating the legal adult age in southeastern France. Forensic Sci Int. 2019;294:218.e1-218.e6. https://doi.org/ 10.1016/j.forsciint.2018.10.013. Epub 2018 Oct 28. PMID: 30446324.
Sharma P, Wadhwan V, Sharma N. Reliability of determining the age of majority: a comparison between measurement of open apices of third molars and Demirjian stages. J Forensic Odontostomatol. 2018;36(2):2-9. PMID: 307120 26; PMCID: PMC6626538.
Kelmendi J, Cameriere R, Koçani F, Galić I, Mehmeti B, Vodanović M. The third molar maturity index in indicating the legal adult age in Kosovar population. Int J Legal Med. 2018 Jul;132(4):1151-1159. https://doi.org/10.1007/s00414-017-1761 -9. Epub 2017 Dec 16. PMID: 29248959.
Cavrić J, Galić I, Vodanović M, Brkić H, Gregov J, Viva S, Rey L, Cameriere R. Third molar maturity index (I3M) for assessing age of majority in a black African population in Botswana. Int J Legal Med. 2016 Jul;130(4):1109-1120. https://doi.org/10.1007/s00414-016-1344-1. Epub 2016 Mar 14. PMID: 26972694.
Galić I, Lauc T, Brkić H, Vodanović M, Galić E, Biazevic MG, Brakus I, Badrov J, Cameriere R. Cameriere's third molar maturity index in assessing age of majority. Forensic Sci Int. 2015;252:191.e1-5. https://doi.org/10.1016/j.forsciint. 2015.04.030. PMID: 26013667.
De Luca S, Biagi R, Begnoni G, Farronato G, Cingolani M, Merelli V, Ferrante L, Cameriere R. Accuracy of Cameriere's cut-off value for third molar in assessing 18 years of age. Forensic Sci Int. 2014 Feb;235:102.e1-6. https://doi.org/10.1016/j.forsciint.2013.10.036. Epub 2013 Nov 25. PMID: 24365729.
Cameriere R, Santoro V, Roca R, Lozito P, Introna F, Cingolani M, Galić I, Ferrante L. Assessment of legal adult age of 18 by measurement of open apices of the third molars: Study on the Albanian sample. Forensic Sci Int. 2014 Dec;245:205.e1-5. https://doi.org/10.1016/j.forsciint.2014.10.013. Epub 2014 Oct 13. PMID: 25459273.
Balla SB, Galic I, P K, Vanin S, De Luca S, Cameriere R. Validation of third molar maturity index (I3M) for discrimination of juvenile/adult status in South Indian population. J Forensic Leg Med. 2017 Jul;49:2-7. https://doi.org/10.1016/j.jflm.2017.05.003. Epub 2017 May 3. PMID: 28482246.
Różyło-Kalinowska I, Kalinowski P, Kozek M, Galić I, Cameriere R. Validity of the third molar maturity index I3M for indicating the adult age in the Polish population. Forensic Sci Int. 2018 Sep;290:352.e1-352.e6. https://doi.org/10.1016/j.forsciint.2018.06.034. Epub 2018 Jul 3. PMID: 30072042.
Thevissen PW, Kvaal SI, Willems G. Ethics in age estimation of unaccompanied minors. J Forensic Odontostomatol. 2012 Nov 30;30 Suppl 1:84-102. PMID: 23221269.
Ribier L, Saint-Martin P, Seignier M, Paré A, Brunereau L, Rérolle C. Cameriere's third molar maturity index in assessing age of majority: a study of a French sample. Int J Legal Med. 2020 Mar;134(2):783-792. https://doi.org/10.1007/s00414-019-02123-z. Epub 2019 Aug 10. PMID: 31401681.
Różyło-Kalinowska I, Kalinowski P, Kozek M, Galić I, Cameriere R. Validity of the third molar maturity index I3M for indicating the adult age in the Polish population. Forensic Sci Int. 2018 Sep;290:352.e1-352.e6. https://doi.org/10.1016/j.forsciint.2018.06.034. Epub 2018 Jul 3. PMID: 30072042.
Antunovic M, Galic I, Zelic K, Nedeljkovic N, Lazic E, Djuric M, Cameriere R. The third molars for indicating legal adult age in Montenegro. Leg Med (Tokyo). 2018 May 28;33:55-61. https://doi.org/10.1016/j.legalmed.2018.05.006. Epub ahead of print. PMID: 29859353.
Angelakopoulos N, De Luca S, Velandia Palacio LA, Coccia E, Ferrante L, Cameriere R. Third molar maturity index (I3M) for assessing age of majority: study of a black South African sample. Int J Legal Med. 2018 Sep;132(5):1457-1464. https://doi.org/10.1007/s00414-018-1818-4. Epub 2018 Mar 8. PMID: 29520486.
Khosronejad A, Navabi M, Sakhdari S, Rakhshan V. Correlation between chronological age and third molar developmental stages in an Iranian population (Demirjian method). Dent Res J (Isfahan). 2017 Mar-Apr;14(2):143-149. PMID: 28584539; PMCID: PMC5443010.
Maled V, Vishwanath SB. The chronology of third molar mineralization by digital orthopantomography. J Forensic Leg Med. 2016;43:70-75. https://doi.org/10.1016/j.jflm.2016.07.010. Epub 2016 Jul 27. PMID: 27485643.
Quezada M, Beltrán J, Bernal J, Evangelista A, del Castillo C. Relación entre la edad cronológica y la mineralización del tercer molar inferior según método de Demirjian. Rev Estomatol Herediana. 2014; 24(2):63-72.
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. © 2024.
