下颌环厚度与年龄有关:尸检计算机断层扫描分析

IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Legal Medicine Pub Date : 2024-04-16 DOI:10.1016/j.legalmed.2024.102449
Satomi Mizuno , Sachiko Ono , Yohsuke Makino , Susumu Kobayashi , Suguru Torimitsu , Rutsuko Yamaguchi , Fumiko Chiba , Shigeki Tsuneya , Hirotaro Iwase
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引用次数: 0

摘要

年龄估计是鉴别人类尸体的重要步骤。由于衰老会导致形态变化,因此一些下颌骨地标被强调为估算年龄的骨骼部位。有报告表明,下颌环的大小可能与衰老有关;然而,由于测量困难,尚未进行彻底的调查。因此,本研究旨在利用日本尸体的死后计算机断层扫描数据,确定年龄与下颌环厚度之间的关联。这项研究包括 2,792 具尸体,平均(标准偏差)年龄为 58.0(22.4)岁(范围为 0-101 岁),男性占 67.6%。此外,2662 具(95.3%)、14 具(0.5%)、59 具(2.1%)和 57 具(2.0%)尸体分别处于恒牙期、混合牙期、初级牙期和前牙期。在对性别、身高、体重和咬合接触状况进行调整后,进行了多变量分析以量化年龄对下颌环厚度的影响。由于咬合可能会改变影响,该模型还包括年龄与咬合状态之间的交互项。多变量回归分析的结果显示,下颌环厚度随年龄的增长而增加(回归系数(95% 置信区间)分别为 0.6(0.2-1.0)、0.7(0.3-1.0)、1.30-39、40-49、50-59、60-69、70-79 和 80-89 岁年龄组的回归系数分别为 0.6 (0.2-1.0)、0.7 (0.3-1.0)、1.0 (0.6-1.4)、1.3 (0.9-1.7)、1.3 (0.8-1.8) 和 1.1 (0.4-1.7)),尤其是有咬合接触的男性。研究发现,下颌环厚度与年龄之间存在着明显的联系,并因咬合状态和性别而有所改变。因此,有关下颌环厚度和咬合状态的数据可能有助于估算人类尸体的年龄。
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Mandibular torus thickness associated with age: Postmortem computed tomographic analysis

Age estimation is an essential step in identifying human corpses. Several mandibular landmarks have been highlighted as skeletal sites for age estimation since aging causes morphological changes. Reports suggest that mandibular torus size may be associated with aging; however, thorough investigation has not been performed owing to the difficulty in measuring it. Therefore, this study aimed to determine the association between age and mandibular torus thickness using postmortem computed tomography data from Japanese corpses. This study included 2,792 corpses with mean (standard deviation) age of 58.0 (22.4) years (range, 0–101 years) and 67.6 % males. Further, 2,662 (95.3 %), 14 (0.5 %), 59 (2.1 %), and 57 (2.0 %) corpses were in the permanent, mixed, primary, and predental dentition periods, respectively. Multivariable analysis was performed to quantify the impact of age on mandibular torus thickness, adjusting for sex, height, weight, and occlusal contact status. The model also included an interaction term between age and occlusal status because of the potential effect modification by occlusion. Results of the multivariable regression analysis showed that mandibular torus thickness increased with age (the regression coefficients (95 % confidence interval) were 0.6 (0.2–1.0), 0.7 (0.3–1.0), 1.0 (0.6–1.4), 1.3 (0.9–1.7), 1.3 (0.8–1.8), and 1.1 (0.4–1.7) for age groups 30–39, 40–49, 50–59, 60–69, 70–79, and 80–89 years, respectively), especially in males with occlusal contact. A significant association between mandibular torus thickness and age, modified by occlusal status and sex, was identified. Therefore, data regarding the thickness of the mandibular torus and occlusal status may be useful for age estimation in human corpses.

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来源期刊
Legal Medicine
Legal Medicine Nursing-Issues, Ethics and Legal Aspects
CiteScore
2.80
自引率
6.70%
发文量
119
审稿时长
7.9 weeks
期刊介绍: Legal Medicine provides an international forum for the publication of original articles, reviews and correspondence on subjects that cover practical and theoretical areas of interest relating to the wide range of legal medicine. Subjects covered include forensic pathology, toxicology, odontology, anthropology, criminalistics, immunochemistry, hemogenetics and forensic aspects of biological science with emphasis on DNA analysis and molecular biology. Submissions dealing with medicolegal problems such as malpractice, insurance, child abuse or ethics in medical practice are also acceptable.
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