Abstract
Digital photogrammetric methods were employed to assess the level of sexual dimorphism present in permanent maxillary molar cusp areas of black South Africans (130 males, 105 females). Odontometric standards were then developed for diagnosing sex, based on the cusp area data derived for these teeth. Results demonstrated that all cusp area measurements of both the first and second maxillary molars were significantly dimorphic (P < 0.0001) in this group. Univariate and multivariate discriminant function analyses yielded overall sex prediction accuracy rates between 59.6 and 74.5%. Comparable allocation results were also obtained for binary logistic regression analyses, but with larger classification sex biases. The highest classification accuracies were observed for different combinations of just two cusp areas for the first molar. Allocation rates of formulae derived for second molar dimensions were on average 4.3% lower than those obtained for the first molar. Analyses incorporating cusp areas of both maxillary molars did not improve classification accuracies achieved when only using first molar measurements. The classification rates are below the suggested minimum accuracy of 75–80% for reliable forensic application of a method; however, the derived formulae may provide a useful statistical indication as to the sex of fragmentary remains in which complete or even partial tooth crowns are the only materials available for examination. Furthermore, the formulae can be applied not only to adults but also to subadults (above the age of 3 years) in which the more accurate sex discriminating features of the pelvis and skull are yet to develop.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs12024-010-9204-7/MediaObjects/12024_2010_9204_Fig1_HTML.jpg)
Similar content being viewed by others
References
Rösing FW, Graw M, Marré B, et al. Recommendations for the forensic diagnosis of sex and age from skeletons. HOMO-J Comp Hum Biol. 2007;58:75–89.
Ditch LE, Rose JC. A multivariate dental sexing technique. Am J Phys Anthropol. 1972;37:61–4.
Garn SM, Cole PE, Wainwright RL, Guire KE. Sex discrimination effectiveness using combinations of permanent teeth. J Dent Res. 1977;56:697.
Rösing FW, Paul G, Schnutenhaus S. Sexing skeletons by tooth size. In: Radlanski RJ, Renz H, editors. Proceedings of the 10th international symposium on dental morphology. Berlin: M Marketing; 1995. p. 373–6.
Íşcan MY, Kedici PS. Sexual variation in bucco-lingual dimensions in Turkish dentition. Forensic Sci Int. 2003;137:160–4.
Prabhu S, Acharya AB. Odontometric sex assessment in Indians. Forensic Sci Int. 2009;192:129.e1–5.
Lund H, Mörnstad H. Gender determination by odontometrics in a Swedish population. J Forensic Odontostomat. 1999;17:30–4.
Karaman F. Use of diagonal teeth measurements in predicting gender in a Turkish population. J Forensic Sci. 2006;51:630–5.
Pereira C, Bernardo M, Pestana D, Santos JC, de Mendonça MC. Contribution of teeth in human forensic identification—discriminant function sexing odontometrical techniques in Portuguese population. J Forensic Leg Med. 2009;. doi:10.1016/j.jflm.2009.09.001.
Garn SM, Cole PE, Van Alstine WL. Sex discriminatory effectiveness using combinations of root lengths and crown diameters. Am J Phys Anthropol. 1979;50:115–8.
Duncan C. Sex determination using tooth measurements. In: Anderson S, editor. Current and recent research in osteoarchaeology. Proceedings of the 3rd meeting of the osteoarchaeological research group. Oxford: Oxbow; 1998. p. 51–62.
Harris EF, Couch WM. The relative sexual dimorphism of human incisor crown and root dimensions. Dent Anthropol. 2006;19:87–94.
Biggerstaff RH. The basal area of posterior tooth crown components: the assessment of within tooth variations of premolars and molars. Am J Phys Anthropol. 1969;31:163–70.
Wood BA, Abbott SA, Graham SH. Analysis of the dental morphology of Plio-Pleistocene hominids II. Mandibular molars-study of cusp areas, fissure pattern and cross sectional shape of the crown. J Anat. 1983;137:287–314.
Yamada H, Brown T. Contours of maxillary molars studied in Australian Aborigines. Am J Phys Anthropol. 1988;76:399–407.
Mayhall JT, Alvesalo L. Sexual dimorphism in the three-dimensional determinations of the maxillary first molar: cusp height, area, volume and position. In: Smith P, Tchernov E, editors. Structure, function, and evolution of teeth. London: Freund Publishing House; 1991. p. 425–36.
Townsend GC, Richards L, Hughes T. Molar intercuspal dimensions: genetic input to phenotypic variation. J Dent Res. 2003;82:350–5.
Kondo S, Townsend GC, Yamada H. Sexual dimorphism of cusp dimensions in human maxillary molars. Am J Phys Anthropol. 2005;128:870–7.
Harris EF, Dinh DP. Intercusp relationships of the permanent maxillary first and second molars in American whites. Am J Phys Anthropol. 2006;130:514–28.
Takahashi M, Kondo S, Townsend GC, Kanazawa E. Variability in cusp size of human maxillary molars, with particular reference to the hypocone. Arch Oral Biol. 2007;52:1146–54.
Kondo S, Townsend GC. Associations between Carabelli trait and cusp areas in human permanent maxillary first molars. Am J Phys Anthropol. 2006;129:196–203.
L’Abbe EN, Loots M, Meiring JH. The pretoria bone collection: a modern South African skeletal sample. HOMO-J Comp Hum Biol. 2005;56:197–205.
Dayal MR, Kegley ADT, Štrkalj G, Bidmos MA, Kuykendall KL. The history, composition of the Raymond A. Dart Collection of Human Skeletons at the University of the Witwatersrand, Johannesburg, South Africa. Am J Phys Anthropol. 2009;140:324–35.
De Villiers H. The skull of the South African Negro. Johannesburg: Witwatersrand University Press; 1968.
Jacobson A. The dentition of the South African Negro. Anniston: Higginbotham; 1982.
Franklin D, Higgins PO, Oxnard CE, Dadour I. Discriminant function sexing of the mandible of Indigenous South Africans. Forensic Sci Int. 2008;179:84.e1–5.
Brekhus PJ, Oliver CP, Montelius G. A study of the pattern and combinations of congenitally missing teeth in man. J Dent Res. 1944;23:117–31.
Garn SM, Lewis ME, Vicinus JH. Third molar polymorphism and its significance to dental genetics. J Dent Res. 1963;42:1344–63.
Lavelle CLB, Moore WJ. The incidence of agenesis and polygenesis in the primate dentition. Am J Phys Anthropol. 1973;38:671–80.
Hillson S. Dental anthropology. Cambridge: Cambridge University Press; 1996.
Scott GR, Turner CG. The anthropology of modern human teeth. Cambridge: Cambridge University Press; 1997.
Scott GR. Dental Morphology. In: Katzenberg MA, Saunders SR, editors. Biological anthropology of the human skeleton. 2nd ed. Hoboken: Wiley; 2008. p. 265–98.
Turner CG, Nichol CR, Scott GR. Scoring procedures for key morphological traits of the permanent dentition: the Arizona State University Dental Anthropology System. In: Kelley MA, Larson CS, editors. Advances in dental anthropology. New York: Wiley-Liss; 1991. p. 13–31.
Bollini GA, Rodríguez-Flórez CD, Colantonio SE. Bilateral asymmetry in permanent dentition of 13 pre-conquest samples from Argentina (South America). HOMO-J Comp Hum Biol. 2008;60:127–37.
Cardoso HFV. Sample-specific (universal) metric approaches for determining the sex of immature human skeletal remains using permanent tooth dimensions. J Archaeol Sci. 2008;35:158–68.
Benazzi S, Fantini M, de Crescenzio F, Persiani F, Gruppioni G. Improving the spatial orientation of human teeth using a virtual 3D approach. J Hum Evol. 2008;56:286–93.
Bailey SE, Pilbrow VC, Wood BA. Interobserver error involved in independent attempts to measure cusp base areas of Pan M1s. J Anat. 2004;205:323–31.
Wood BA, Engleman CA. Analysis of the dental morphology of Plio-Pleistocene hominids V. Maxillary postcanine tooth morphology. J Anat. 1988;161:1–35.
Mayhall JT. Dental morphology: techniques and strategies. In: Katzenberg MA, Saunders SR, editors. Biological anthropology of the human skeleton. Hoboken: Wiley-Liss; 2000. p. 103–34.
Pilbrow V. Population systematics of chimpanzees using molar morphometrics. J Hum Evol. 2006;51:646–62.
Bernal V. Size and shape analysis of human molars: comparing traditional and geometric morphometric techniques. HOMO-J Comp Hum Biol. 2007;58:279–96.
Harris EF, Smith RN. Accounting for measurement error: a critical but often overlooked process. Arch Oral Biol. 2009;54:S107–17.
Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston: Allyn & Bacon; 2007.
Saunders SR, Hoppa RD. Sex allocation from long bone measurements using logistic regression. Can Soc Forensic Sci. 1997;30:49–60.
Torwalt CRMM, Hoppa RD. A test of sex determination from measurements of chest radiographs. J Forensic Sci. 2005;50:785–90.
Walker PL. Sexing skulls using discriminant function analysis of visually assessed traits. Am J Phys Anthropol. 2008;136:39–50.
Albanese J, Eklics G, Tuck A. A metric method for sex determination using the proximal femur and fragmentary hipbone. J Forensic Sci. 2008;53:1283–8.
Gapert R, Black S, Last J. Sex determination from the occipital condyle; discriminant function analysis in an eighteenth and nineteenth century British sample. Am J Phys Anthropol. 2009;138:384–94.
Acharya AB, Prabhu S, Muddapur MV. Odontometric sex assessment from logistic regression analysis. Int J Leg Med. 2010;. doi:10.1007/s00414-010-0417-9.
Kieser JA, Groeneveld HT. The unreliability of sex allocation based on human odontometric data. J Forensic Odontostomat. 1989;7:1–12.
Macaluso PJ. Sex discrimination potential of permanent maxillary molar cusp diameters. J Forensic Odontostomat. 2010;28, in press.
Franklin D, Freedman L, Milne N. Sexual dimorphism and discriminant function sexing in indigenous South African crania. HOMO-J Comp Hum Biol. 2005;55:213–28.
Dayal MR, Spocter MA, Bidmos MA. An assessment of sex using the skull of black South Africans by discriminant function analysis. HOMO-J Comp Hum Biol. 2008;59:209–21.
Franklin D, O’Higgins P, Oxnard CE. Sexual dimorphism in the mandible of indigenous South Africans: a geometric morphometric approach. S Afr J Sci. 2008;104:101–6.
Patriquin ML, Steyn M, Loth SR. Metric analysis of sex differences in South African black and white pelves. Forensic Sci Int. 2005;147:119–27.
Steyn M, Íşcan MY. Osteometric variation in the humerus: sexual dimorphism in South Africans. Forensic Sci Int. 1999;106:77–85.
Barrier ILO, L’Abbé EN. Sex determination from the radius and ulna in a modern South African sample. Forensic Sci Int. 2008;179:85.e1–7.
Asala SA. Sex determination from the head of the femur of South African whites and blacks. Forensic Sci Int. 2001;117:15–22.
Asala SA, Bidmos MA, Dayal MR. Discriminant function sexing of fragmentary femur of South African blacks. Forensic Sci Int. 2004;145:25–9.
Dayal MR, Bidmos MA. Discriminating sex in South African blacks using patella dimensions. J Forensic Sci. 2005;50:1294–7.
Bidmos MA, Dayal MR. Further evidence to show population specificity of discriminant function equations for sex determination using the talus of South African blacks. J Forensic Sci. 2004;49:1165–70.
Bidmos MA, Asala SA. Sexual dimorphism of the calcaneus of South African blacks. J Forensic Sci. 2004;49:446–50.
De Vito C, Saunders SR. A discriminant function analysis of deciduous teeth to determine sex. J Forensic Sci. 1990;35:845–58.
Rogers TL. A visual method of determining the sex of skeletal remains using the distal humerus. J Forensic Sci. 1999;44:57–60.
du Jardin P, Ponsaillé J, Alunni-Perret V, Quatrehomme G. A comparison between neural network and other metric methods to determine sex from the upper femur in a modern French population. Forensic Sci Int. 2009;192:127.e1–6.
Kemkes A, Göbel T. Metric assessment of the ‘‘mastoid triangle’’ for sex determination: a validation study. J Forensic Sci. 2006;51:985–9.
Rao NG, Rao NN, Pai ML, Kotian MS. Mandibular canine index: a clue for establishing sex identity. Forensic Sci Int. 1989;42:249–54.
Pettenati-Soubayroux I, Signoli M, Dutour O. Sexual dimorphism in teeth: discriminatory effectiveness of permanent lower canine size observed in a XVIIIth century osteological series. Forensic Sci Int. 2002;126:227–32.
Ateş M, Karaman F, Işcan MY, Erdem TL. Sexual differences in Turkish dentition. Leg Med. 2006;8:288–92.
Acharya AB, Mainali S. Univariate sex dimorphism in the Nepalese dentition and the use of discriminant functions in gender assessment. Forensic Sci Int. 2007;173:47–56.
Schimdt CW. Forensic dental anthropology: issues and guidelines. In: Irish JD, Nelson GC, editors. Technique and application in dental anthropology. Cambridge: Cambridge University Press; 2008. p. 266–92.
Acknowledgments
The author would like to thank the Department of Anatomical Sciences, University of the Witwatersrand for permission to study the Raymond A. Dart Collection of Human Skeletons, and Mr. Brendon Billings for his generosity and help during data collection. The author also wishes to express his gratitude to Professor Maryna Steyn for granting access to the Pretoria Bone Collection, housed in the Department of Anatomy, School of Medicine, Faculty of Health Sciences, University of Pretoria and Mr. Marius Loots and Dr. Ericka L’Abbe of the same department for their hospitality and assistance with the skeletal material in their care.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Macaluso, P.J. Investigation on the utility of permanent maxillary molar cusp areas for sex estimation. Forensic Sci Med Pathol 7, 233–247 (2011). https://doi.org/10.1007/s12024-010-9204-7
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12024-010-9204-7