Age Determination in Children Using Camirere's Indian Specific Formula: A Radiographic Study Using Orthopantomographs
Maria Anthonet Sruthi, Vignesh Ravindran
Age determination, Cameriere's formula, Chronological age, Orthopantomogram
Citation Information :
Sruthi MA, Ravindran V. Age Determination in Children Using Camirere's Indian Specific Formula: A Radiographic Study Using Orthopantomographs. J Contemp Dent Pract 2022; 23 (7):739-742.
Aim: Determination of age is a pivotal part of forensic dentistry. Since many dental age determination methods are invasive, Cameriere introduced a radiographic method where age evaluation was carried out using an orthopantomogram (OPG). An adaptation of the same formula was later formulated by Rai et al. for the Indian population. The aim of the study was to assess the age and to dictate the efficiency of the Indian version of Cameriere's formula in the Chennai subpopulation.
Materials and methods: This study consisted of radiographs belonging to 50 individuals with an age range of 5–15 years. Radiographs were taken using the OPG and the soft copies obtained were analyzed. The variables such as seven left and right permanent mandibular teeth and the number of teeth with closed apical, and with open apical, ends of roots were examined and measured. The obtained data, after substituting in the formula was statistically analyzed using paired and unpaired t-test and Pearson's correlation coefficient test.
Results: On comparing dental age and chronological age, statistically significant results were obtained on both sides of the radiograph. Between genders, both sides of the radiograph showed non-significant results. On correlating the sides, the left side showed greater accuracy in age determination compared to the right side of the OPG.
Conclusion: Age estimation using Indian-specified formula provides a near good estimate and hence can be a reliable method to measure the chronological age of the participants.
Clinical significance: The Indian version of the Cameriere's formula can be used as a rational tool to assess the age of young children and adolescents.
Shetty P, Raviprakash A. Forensic odontology in India, an oral pathologist's perspective. J Forensic Dent Sci 2011;3(1):23–26. DOI: 10.4103/0975-1475.85291.
Glaister J. A Text-book of Medical Jurisprudence and Toxicology. Edinburgh: E. & S Livingstone, 1931.
De Luca S, De Giorgio S, Butti AC, et al. Age estimation in children by measurement of open apices in tooth roots: Study of a Mexican sample. Forensic Sci Int 2012;10;221(1–3):155.e1–7. DOI: 10.1016/j.forsciint.2012.04.026.
Cameriere R, Ferrante L, Cingolani M. Age estimation in children by measurement of open apices in teeth. Int J Legal Med 2006;120(1):49–52. DOI: 10.1007/s00414-005-0047-9.
Hurme VO. Standards of variation in the eruption of the first six permanent teeth. Child Development 1948;19(4):213–231. DOI: 10.2307/1125669.
Gleiser I, Hunt EE Jr. The permanent mandibular first molar: its calcification, eruption and decay. Am J Phys Anthropol 1955;13(2):253–283. DOI: 10.1002/ajpa.1330130206.
Shrestha A, Yadav RP, Shrtestha S, et al. Measurement of open apices in teeth for estimation of age in children. Health Renaissance 2014; 12(1):33–37. DOI: 10.3126/hren.v12i1.11983.
Shamim T. A new working classification proposed for forensic odontology. J Coll Physicians Surg Pak 2011;21(1):59. PMID: 21276392.
Demirjian A, Goldstein H. New systems for dental maturity based on seven and four teeth. Ann Hum Biol 1976;3(5):411–421. DOI: 10.1080/03014467600001671.
Rai B, Kaur J, Cingolani M, et al. Age estimation in children by measurement of open apices in teeth: An Indian formula. Int J Legal Med 2010;124(3):237–241. DOI: 10.1007/s00414-010-0427-7.
Vadla P, Surekha R, Rao GV, et al. Assessing the accuracy of Cameriere's Indian-specific formula for age estimation on right and left sides of orthopantomogram. Egypt J Forensic Sci 2020;(10)9. DOI: 10.1186/s41935-020-00183-6.
Rai B, Anand SC. Age estimation in children from dental radiograph: A regression equation. Int J Biol Anthropol 2008;1:1–5. DOI: 10.5580/bcf.
Jatti D, Kantaraj Y, Nagaraju R, et al. Age estimation by measuring open apices of lower erupted teeth in 12–16 years olds by radiographic evaluation. J Forensic Leg Med 2013;20(5):430–434. DOI: 10.1016/j.jflm.2012.10.002.
Shafer, Hine, Levy. Forensic Odontology: Textbook of Oral Pathology, 7th edition, New Delhi: Reed Elsevier India Pvt Ltd., 2012, pp. 890–894.
Pratyusha K, Prasad MG, Radhakrishna AN, et al. Applicability of Demirjian's method and modified Cameriere's methods for dental age assessment in children. J Clin Diagn Res 2017;11(2):ZC40. DOI: 10.7860/JCDR/2017/21474.9342.
Javadinejad S, Sekhavati H, Ghafari R. A comparison of the accuracy of four age estimation methods based on panoramic radiography of developing teeth. J Dent Res Dent Clin Dent Prospects 2015;9(2):72. DOI: 10.15171/joddd.2015.015.
Attiguppe PR, Yavagal C, Maganti R, et al. Age assessment in children: a novel Cameriere's stratagem. Int J Clin Pediatr Dent 2016;9(4):330. DOI: 10.5005/jp-journals-10005-1387.
Moorrees CF, Fanning EA, Hunt EE Jr. Age variation of formation stages for ten permanent teeth. J Dent Res 1963;42(6):1490–1502. DOI: 10.1177/00220345630420062701.
Melnik AK. A cephalometric study of mandibular asymmetry in a longitudinally followed sample of growing children. Am J Orthod Dentofacial Orthop 1992;101(4):355–366. DOI: 10.1016/S0889-5406(05)80329-4.
Paliwal A, Wanjari S, Parwani R. Palatal rugoscopy: Establishing identity. J Forensic Dent Sci 2010;2(1):27. DOI: 10.4103/0974-2948.71054.