牙槽骨在法医牙科年龄估计中的相关性

IF 1.3 4区 医学 Q3 MEDICINE, LEGAL Legal Medicine Pub Date : 2024-05-27 DOI:10.1016/j.legalmed.2024.102462
Maximilian Timme , Chané Smit , Liam Robinson , Herman Bernitz , Yu-Cheng Guo , Andreas Schmeling
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引用次数: 0

摘要

牙髓腔扩大症是一种牙齿形态异常,其特点是牙髓腔扩大,位置向牙根尖方向移动,同时牙根结构缩短。这种改变通常影响到磨牙。在某些人群中,这种牙齿畸形的发生率高达 48%,突出了其在牙龄估计(DAE)中的重要性。在牙龄推算领域,个人的法定年龄是通过特定的牙齿特征推断出来的,在法医鉴定中经常使用。牙槽骨发育不全对下颌第三磨牙的萌出、矿化、根管的影像学可见度和牙周韧带间隙的影像学可见度的影响--这些都是DAE的既定标准--目前尚未得到系统的研究。值得注意的是,牙槽骨可能是影响骨骼发育的综合征的指标,这进一步强调了牙槽骨在法医年龄评估中的相关性。牙槽骨被纳入参考数据在一定程度上可能是由于其在过去的部分高流行率,即牙槽骨的影响已在统计上被吸收到特征的整体分布中。今后的研究应比较受影响牙齿和未受影响牙齿的这些牙齿特征的时间进程。随后的举措应侧重于提高法医牙科医生对牙槽骨的认识,这就需要对该主题进行深入探讨。
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The relevance of taurodontism in forensic dental age estimation

Taurodontism is a dental morphological anomaly characterized by enlarged pulp cavities repositioned towards the apical region of the tooth, coupled with shortened root structures. Molars are commonly affected by this alteration. Certain populations exhibit up to 48% prevalences for this dental alteration, underscoring its significance in dental age estimation (DAE). In the field of DAE, an individual’s chronological age is inferred from specific dental features, frequently employed within the forensic context.

The effect of taurodontism on the features of DAE is an unanswered issue. The influence of taurodontism on eruption, mineralization, radiographic visibility of root canals, and radiographic visibility of the periodontal ligament space in mandibular third molars- some of the established criteria for DAE as examples-is currently not systematically examined.

Some common staging scales for the dental features of DAE cannot technically be applied to taurodontic teeth.

Additionally, given the association of taurodontism with syndromes affecting tooth development, caution is warranted in age assessment procedures.

Notably, taurodontic teeth may serve as indicators of syndromes influencing skeletal development, further emphasizing the relevance of taurodontism in forensic age assessment.

Presumably taurodontic teeth were included in reference data to some extent due to their partially high prevalence in the past, whereby the influence of taurodontism has been statistically absorbed within the overall spread of the features. Future studies should compare the temporal course of these tooth characteristics in affected and unaffected teeth.

Subsequent initiatives should focus on raising awareness among forensic dentists regarding taurodontism, necessitating in-depth exploration of the subject.

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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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