Skip to main content

Advertisement

Log in

Chronology of mineralization of the permanent mandibular second molar teeth and forensic age estimation

  • Original Article
  • Published:
Forensic Science, Medicine and Pathology Aims and scope Submit manuscript

Abstract

Forensic age estimation frequently relies upon the chronology of mineralization of the third molar teeth. However, even when present, third molar teeth cannot always be used for estimating age in people who are classified as minors. Seconds molars develop earlier and in a more predictable way, and therefore are often more reliable for age estimation in this age group. This study aims to contribute to forensic age estimation using an age threshold of 14-years, studying the stages of development of permanent mandibular second molar teeth mineralization. 367 orthopantograms of a Portuguese population group, aged between 3 and 19 years, were studied. The stages of mineralization of mandibular permanent second molar teeth were studied following the classification stages proposed by Demirjian et al. Stage descriptive analysis was performed, and associations between age and stage were studied. A logistic regression to determine age over 14 years, using maturation stages and sex as a predictive variables, was made. A second sample was used for testing the model. The significance level was set at 5%. The model correctly classified 92.0% of cases overall. The equation was tested in the second sample, and the results showed that there were no statistical significant differences between the binary real age (i.e. age < 14 and age ≥ 14 years) and the estimated age (p = 0.109). The developed model is useful for age estimation using 14-years as a threshold. However, stage maturation analyses showed that stage F, in males, and stages G and H, in both sexes, lead to an estimated age with significant statistical differences from chronological age.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Chariot P, Caussinus H. Age estimation in undocumented migrant adolescents: medical response to judicial authorities. Presse Med. 2015;44(1):99–100.

    Article  PubMed  Google Scholar 

  2. Wittschieber D, Vieth V, Timme M, Dvorak J, Schmeling A. Magnetic resonance imaging of the iliac crest: age estimation in under-20 soccer players. Forensic Sci Med Pathol. 2014;10(2):198–202.

    Article  PubMed  Google Scholar 

  3. Timme M, Steinacker JM, Schmeling A. Age estimation in competitive sports. Int J Legal Med. 2017;131(1):225–33.

    Article  PubMed  Google Scholar 

  4. Ratnayake M, Obertova Z, Dose M, Gabriel P, Broker HM, Brauckmann M, et al. The juvenile face as a suitable age indicator in child pornography cases: a pilot study on the reliability of automated and visual estimation approaches. Int J Legal Med. 2014;128(5):803–8.

    Article  CAS  PubMed  Google Scholar 

  5. Olze A, Bilang D, Schmidt S, Wernecke KD, Geserick G, Schmeling A. Validation of common classification systems for assessing the mineralization of third molars. Int J Legal Med. 2005;119(1):22–6.

    Article  PubMed  Google Scholar 

  6. Olze A, van Niekerk P, Schmidt S, Wernecke KD, Rosing FW, Geserick G, et al. Studies on the progress of third-molar mineralisation in a black African population. Homo. 2006;57(3):209–17.

    Article  CAS  PubMed  Google Scholar 

  7. Schmeling A, Olze A, Reisinger W, Rosing FW, Geserick G. Forensic age diagnostics of living individuals in criminal proceedings. Homo. 2003;54(2):162–9.

    Article  CAS  PubMed  Google Scholar 

  8. Wedl JS, Schoder V, Blake FA, Schmelzle R, Friedrich RE. Eruption times of permanent teeth in teenage boys and girls in Izmir (Turkey). J Clin Forensic Med. 2004;11(6):299–302.

    Article  CAS  PubMed  Google Scholar 

  9. Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F, et al. Criteria for age estimation in living individuals. Int J Legal Med. 2008;122(6):457–60.

    Article  CAS  PubMed  Google Scholar 

  10. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211–27.

    CAS  PubMed  Google Scholar 

  11. Almeida MS, Pontual Ados A, Beltrao RT, Beltrao RV, Pontual ML. The chronology of second molar development in Brazilians and its application to forensic age estimation. Imaging Sci Dent. 2013;43(1):1–6.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Caldas IM, Julio P, Simoes RJ, Matos E, Afonso A, Magalhaes T. Chronological age estimation based on third molar development in a Portuguese population. Int J Legal Med. 2011;125(2):235–43.

    Article  PubMed  Google Scholar 

  13. Garamendi PM, Landa MI, Ballesteros J, Solano MA. Reliability of the methods applied to assess age minority in living subjects around 18 years old. A survey on a Moroccan origin population. Forensic Sci Int. 2005;154(1):3–12.

    Article  CAS  PubMed  Google Scholar 

  14. Nik-Hussein NN, Kee KM, Gan P. Validity of Demirjian and Willems methods for dental age estimation for Malaysian children aged 5–15 years old. Forensic Sci Int. 2011;204(1–3):208 e1–6.

    Google Scholar 

  15. Sisman Y, Uysal T, Yagmur F, Ramoglu SI. Third-molar development in relation to chronologic age in Turkish children and young adults. Angle Orthod. 2007;77(6):1040–5.

    Article  PubMed  Google Scholar 

  16. Lewis JM, Senn DR. Dental age estimation utilizing third molar development: a review of principles, methods, and population studies used in the United States. Forensic Sci Int. 2010;201(1–3):79–83.

    Article  PubMed  Google Scholar 

  17. Lopez TT, Arruda CP, Rocha M, Rosin AS, Michel-Crosato E, Biazevic MG. Estimating ages by third molars: stages of development in Brazilian young adults. J Forensic Legal Med. 2013;20(5):412–8.

    Article  Google Scholar 

  18. Rousset MM, Boualam N, Delfosse C, Roberts WE. Emergence of permanent teeth: secular trends and variance in a modern sample. J Dent Child (Chic). 2003;70(3):208–14.

    Google Scholar 

  19. Balaraj BM, Nithin MD. Determination of adolescent ages 14-16 years by radiological study of permanent mandibular second molars. J Forensic Legal Med. 2010;17(6):329–32.

    Article  CAS  Google Scholar 

  20. Lee SS, Byun YS, Park MJ, Choi JH, Yoon CL, Shin KJ. The chronology of second and third molar development in Koreans and its application to forensic age estimation. Int J Legal Med. 2010;124(6):659–65.

    Article  PubMed  Google Scholar 

  21. Olze A, Reisinger W, Geserick G, Schmeling A. Age estimation of unaccompanied minors. Part II. Dental aspects. Forensic Sci Int. 2006;159(Suppl 1):S65–7.

    Article  PubMed  Google Scholar 

  22. Schmeling A, Reisinger W, Geserick G, Olze A. Age estimation of unaccompanied minors. Part I. General considerations. Forensic Sci Int. 2006;159(Suppl 1):S61–4.

    Article  PubMed  Google Scholar 

  23. Thevissen PW, Kvaal SI, Willems G. Ethics in age estimation of unaccompanied minors. J Forensic Odontostomatol. 2012;30(Suppl 1):84–102.

    PubMed  Google Scholar 

  24. Duangto P, Iamaroon A, Prasitwattanaseree S, Mahakkanukrauh P, Janhom A. New models for age estimation and assessment of their accuracy using developing mandibular third molar teeth in a Thai population. Int J Legal Med. 2017;131:559–68.

    Article  CAS  PubMed  Google Scholar 

  25. Gulsahi A, De Luca S, Cehreli SB, Tirali RE, Cameriere R. Accuracy of the third molar index for assessing the legal majority of 18 years in Turkish population. Forensic Sci Int. 2016;266(584):e1–6.

    Google Scholar 

  26. Cavric J, Galic I, Vodanovic M, Brkic H, Gregov J, Viva S, et al. Third molar maturity index (I3M) for assessing age of majority in a black African population in Botswana. Int J Legal Med. 2016;130(4):1109–20.

    Article  PubMed  Google Scholar 

  27. Caldas IM, Carneiro JL, Teixeira A, Matos E, Afonso A, Magalhaes T. Chronological course of third molar eruption in a Portuguese population. Int J Legal Med. 2012;126(1):107–12.

    Article  PubMed  Google Scholar 

  28. Marques MR, Pereira MD, Caldas IM. Forensic age estimation using the eruption of the second permanent mandibular molar: determining age over 14 years-old. Aust J Forensic Sci. 2015;47(3):306–12.

    Article  Google Scholar 

  29. Pinchi V, Norelli GA, Pradella F, Vitale G, Rugo D, Nieri M. Comparison of the applicability of four odontological methods for age estimation of the 14 years legal threshold in a sample of Italian adolescents. J Forensic Odontostomatol. 2012;30(2):17–25.

    PubMed  Google Scholar 

  30. Karadayi B, Afsin H, Ozaslan A, Karadayi S. Development of dental charts according to tooth development and eruption for Turkish children and young adults. Imaging Sci Dent. 2014;44(2):103–13.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Cameriere R, Pacifici A, Pacifici L, Polimeni A, Federici F, Cingolani M, et al. Age estimation in children by measurement of open apices in teeth with Bayesian calibration approach. Forensic Sci Int. 2016;258:50–4.

    Article  CAS  PubMed  Google Scholar 

  32. Kumar NN, Panchaksharappa MG, Annigeri RG. Digitized morphometric analysis of dental pulp of permanent mandibular second molar for age estimation of Davangere population. J Forensic Legal Med. 2016;39:85–90.

    Article  CAS  Google Scholar 

  33. Carneiro JL, Caldas IM, Afonso A, Cardoso HF. Examining the socioeconomic effects on third molar maturation in a Portuguese sample of children, adolescents and young adults. Int J Legal Med. 2017;131:235–42.

    Article  CAS  PubMed  Google Scholar 

  34. Liversidge HM, Chaillet N, Mornstad H, Nystrom M, Rowlings K, Taylor J, et al. Timing of Demirjian's tooth formation stages. Ann Hum Biol. 2006;33(4):454–70.

    Article  CAS  PubMed  Google Scholar 

  35. Frucht S, Schnegelsberg C, Schulte-Monting J, Rose E, Jonas I. Dental age in southwest Germany. A radiographic study. J Orofac Orthop. 2000;61(5):318–29.

    Article  CAS  PubMed  Google Scholar 

  36. Prieto JL, Barberia E, Ortega R, Magana C. Evaluation of chronological age based on third molar development in the Spanish population. Int J Legal Med. 2005;119(6):349–54.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Inês Morais Caldas.

Ethics declarations

Funding

No funding to report.

Conflict of interest

All authors declare no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. No informed consent was obtained since this was a retrospective study based on anonymized clinical records.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fins, P., Pereira, M.L., Afonso, A. et al. Chronology of mineralization of the permanent mandibular second molar teeth and forensic age estimation. Forensic Sci Med Pathol 13, 272–277 (2017). https://doi.org/10.1007/s12024-017-9876-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12024-017-9876-3

Keywords

Navigation