Chronological age estimation based on dental mineralization for Syrian population

• Published in: International journal of legal medicine Vol. 138; no. 6; pp. 2481 - 2490
• Main Authors: Alissa, Ahed, Pinnschmidt, Hans O., Mansour, Hussam, Püschel, Klaus
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.11.2024; Springer Nature B.V
• Subjects: Adolescent; Adult; Age; Age Determination by Teeth - methods; Child; Chronology; Dental materials; Estimation; Evaluation; Female; Forensic Dentistry - methods; Forensic Medicine; Forensic odontology; Humans; Male; Medical Law; Medicine; Medicine & Public Health; Mineralization; Molar - diagnostic imaging; Molar - growth & development; Molar, Third - diagnostic imaging; Molar, Third - growth & development; Original Article; Population (statistical); Radiography, Panoramic; Statistical analysis; Syria; Teeth; Tooth Calcification; Young Adult; Syria; Legal age thresholds of 14 and 18; Second molar; Third molar; Syrian population; Dental mineralization
• DOI: 10.1007/s00414-024-03295-z
• ISSN: 0937-9827; 1437-1596

Dental age assessment based on evaluating dental mineralization status is one of the most common methods used in forensic practice. The aim of this study is to enhance the accuracy of age diagnostics and provide reference data from the Syrian population for forensic application. After several selection steps, a total of 280 orthopantomograms (OPGs) from 140 males and 140 females from the Syrian population divided into 14 age groups between 12 and 25 years were analysed. Based on Demirjian’s classification system, the mineralization stages of third molars (18, 28, 38 and 48) as well as lower second molars (37 and 47) were evaluated. Statistical investigations and evaluations were carried out to estimate the marginal probabilities of the subjects having attained ages 14 and 18 by generalized estimating equation models. Our results show that no significant differences can be revealed in the mineralization status with respect to jaw side and sex. In the Syrian population, third molars showing mineralization stage G provide evidence of reaching the age of 14 years with the highest standard of proof (“beyond reasonable doubt”). A completed mineralization in lower second molars (stage H) provides very high marginal probabilities (more than 90%) of the subjects having attained age 14 years. Nevertheless, this cannot exclude an age under 14 years. For the age threshold of 18 years, third molars showing incomplete root development (G dental stage or lower) are associated with a low probability (less than 40%) of the subject having reached 18 years of age. A person’s probability of having attained 18 years of age is very high (82– 95%) when the roots of third molars are fully developed (stage H). Nevertheless, third molars at stage H do not conclusively exclude an age under 18 years.