Age Estimation by Dental Radiographs in Korean Adults

한국 성인에서 치과용 방사선사진에 의한 연령감정

  • Jeon, Hee-Sun (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Tea, Il-Ho (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Ko, Myung-Yun (Department of Oral Medicine, College of Dentistry, Pusan National University) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, College of Dentistry, Pusan National University)
  • 전희선 (부산대학교 치의학전문대학원 구강내과학 교실) ;
  • 태일호 (부산대학교 치의학전문대학원 구강내과학 교실) ;
  • 고명연 (부산대학교 치의학전문대학원 구강내과학 교실) ;
  • 안용우 (부산대학교 치의학전문대학원 구강내과학 교실)
  • Published : 2009.06.30

Abstract

Aim of this study is to examine correlation between size of the coronal pulp cavity and chronological age in adult. Total 716 teeth (218 mandibular canines, 230 first premolars, 268 second premolars) free from pathologies and dental restorations were selected from 276 patients (111 males, 165 females), ranging from 20-69 years. Using periapical X-ray, the height (mm) of the crown (CH=coronal height) and the height (mm) of the coronal pulp cavity (CPCH=coronal pulp cavity height) of the teeth were measured. The tooth-coronal index (TCI) after Ikeda et al (Jpn. J. For. Med. 1985;39:244-250) was computed for each tooth and regressed on real age. With increasing age, the TCI was relatively decreased, indicating the reduction of length of the pulp chamber. Even reduction of the TCI with aging was found in combined group rather than in each sex and type of tooth separately. The most definite reduction was in canine of combined group. The correlation coefficient was strongest when measurement from canines of females (r2=0.247).

References

  1. Drusini AG, Toso O, Ranzato C. The Coronal Pulp Cavity Index: A Biomarker for Age Determination in Human Adults. American J Physical Anthropology 1997;103:353-363 https://doi.org/10.1002/(SICI)1096-8644(199707)103:3<353::AID-AJPA5>3.0.CO;2-R
  2. Bodecker CF. A consideration of some of the change in the teeth from young to old age. Dental Cosmos 1925;67:543-549
  3. Philippas GG, Applebaum E. Age factor in secondary dentin formation. J Dent Res 1966;45:778-789 https://doi.org/10.1177/00220345660450034701
  4. 김영구, 고명연. 치과의료의 사례분석을 통한 진단서, 감정서 및 의료사고의 실례. 서울, 1996, 신흥인터내셔날 pp. 71-94
  5. 고명연, 정성창. 하악 영구구치 치근발육에 관한 방사선학적 연구. 대한구강내과학회지 1981;6:23-34
  6. 최중호, 고명연. 여성 하악 제2대구치 치근발육에 관한 방사선학적 연구. 대한구강내과학회지 1992;17:119-128
  7. 김영구, 임형순, 이승렬. Preliminary study on the age estimation through a new scoring system of tooth wear. 대한구강내과학회지 1992;17:31-39
  8. Yun JI, Lee JY, Chung JW, Kho HS, Kim YK. Age estimation of Korean adults by occlusal tooth wear. J Forensic Sci 2007;52(3):678-683 https://doi.org/10.1111/j.1556-4029.2007.00414.x
  9. 채희동, 고명연. 증령에 따른 성인구치의 교모에 관한 연구. 대한구간내과학회지 1991;16:95-104
  10. 김영구. 연령에 따른 상악전치 근관폭경에 대한 X-선학적 연구. 대한구강외과학회지 1976;2:7-12
  11. 김영구. 치관부 법랑질, 상아질 및 치수강의 증령적 변화에 관한 연구. 대한치과의사협회지 1980;18:1059-105
  12. Bang G, Ramm E. Determination of stage in humans from root dentin transparency. Acta Odontol Scan 1970;28:3-35 https://doi.org/10.3109/00016357009033130
  13. Solheim T. Amount of secondary dentin as an indicator of age. Scand J Dent Res 1992;100:193-199
  14. Morse DR. Age-related changes of the dental pulp complex and their relationship to systemic aging. Oral Surg Oral Med Oral Patho 1991;72:721-745 https://doi.org/10.1016/0030-4220(91)90019-9
  15. Gustafson G. Age determinations on teeth. J Am Dent Assoc 1950;41:45-54 https://doi.org/10.14219/jada.archive.1950.0132
  16. 대한구강해부학회 역. 구강조직학 제 6판, 서울, 2005, 대한나래출판사
  17. Kvaal SI, Kolltveit KM, Thomsen IO, Solheim T. Age estimation of adults from dental radiographs. Forensic Sci Int 1995;74:175-185 https://doi.org/10.1016/0379-0738(95)01760-G
  18. Philippas GG, Applebaum E. Age change in the permanent upper lateral incisor. J Dent Res 1967;46:1002-1009 https://doi.org/10.1177/00220345670460050101
  19. 김영구 신금백 고명연 외. 법치의학 제7개정판, 서울,2007, 신흥인터내셔날 pp. 162-182
  20. Cameriere R, Ferrante L, Belcastro MG, Bonfiglioli B, Rastelli E, Cingolani M. Age Estimation by Pulp/Tooth Ratio in Canines by Mesial and Vestibular Peri-apical X-rays. J Forensic Sci 2007;52:1151-1155 https://doi.org/10.1111/j.1556-4029.2007.00530.x
  21. Cameriere R, Brogi G, Ferrante L et al. Reliability in Age Determination by Pulp/Tooth Ratio in Upper Canines in Skeletal Remains. J Forensic Sci 2006;51:861-864 https://doi.org/10.1111/j.1556-4029.2006.00159.x
  22. 나홍찬, 김종열. 제1대구치의 맹출 연령에 관한 분석 연구. 대한구강내과학회지 1994:19:57-72
  23. 김능세. 증령에 따른 근관면적비에 관한 연구. 대한치과의사협회지 1979;17:147-150
  24. Huda TFJ, Bowman JE. Age determination from dental microstructure in juveniles. Am J Phys Anthropol 1995;97:135-150 https://doi.org/10.1002/ajpa.1330970206
  25. Kim YK, Kho HS, Lee KH. Age estimation by occlusal tooth wear. J Forensic Sci 2000;45:303-309
  26. 홍호철, 고명연. 하악연구구치 치수강의 증령적 변화. 대한구강내과학회지 1993;18:107-117
  27. 정태의. 치수강의 가령적 변화에 의한 연령추정. 대한구강내과학회지 1981;6:101-110
  28. Moss ML, Chase PS, Hower RI Jr. Comparative odontometry of the permanent post-canine dentition of American white and negroes. 1967;27:125-142 https://doi.org/10.1002/ajpa.1330270204
  29. 문제원. 한국인 영구치 맹출시기에 관한 통계학적 연구. 대한소아치과학회지 1984;11:25-37
  30. 차문호. 한국인 영구치 맹출시기에 대한 연구. 종합의학1963;8:97-107
  31. 고명연, 박준상. 성인남자의 구치교모를 이용한 연령추정에 관한 연구. 부산대병원학술지 1997;1:325-331
  32. 안휘준, 박준상. 중년기 및 노년기 성인 구치 교모에 관한 연구. 대한구강내과학회지 1995;20:399-406
  33. Philippas GG, Applebaum E. Age change in the permanent upper canine teeth. J Dent Res 1968;47:411-417 https://doi.org/10.1177/00220345680470031201
  34. 안휘준, 박준상, 고명연. 성인치아의 교모도를 이용한 연령추정에 관한 연구. 대한구강내과학회지1998;23:85-99
  35. Anderson DL, Thompson GW, Popovich F. Age of Attainment of mineralization stages of the permanent dentition. J Forensic Sci 1976;21:191-200
  36. 최종훈, 김종열. 제2대구치 및 제3대구치 발육에 따른 연령감정에 관한 연구. 대한구강내과학회지 1991;16:121-136
  37. Drusini AG. Age estimation from teeth using soft X-ray findings. Anthrop Anz 1993;51:41-46
  38. 이주장, 김종열. 제3대구치 발육의 연령감정에서의 응용에 관한 연구. 대한구강내과학회지 1985;10:53-62
  39. Valenzuela A, De las Heras SM, Mandojana JM, De Dios Luna J, Valenzuela M, Villanueva E. Multiple Regression Models for Age Estimation by Assessment of Morphologic Dental Changes According to Teeth Source. Am J Forensic Med Patho 2002;23:386-389 https://doi.org/10.1097/00000433-200212000-00018
  40. Ikeda N, Umetsu K, Kashimura S, Suzuki T, Oumi M. Estimation of age from teeth with their soft X-ray findings. Jpn J For Med 1985;39:244-250