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Age Estimation by Kvaal's Method Using Digital Panoramic Radiographs in the Saudi Population
Hosam S Alharbi1, Ahmad M Alharbi1, Abdulmajeed O Alenazi2
1Dentistry, Qassim University, Buraidah, SAU.
Cureus
|May 5, 2022
Summary
Kvaal's method accurately estimates chronological age in the Saudi population using digital panoramic radiographs. The study found no significant age discrepancies, with combined mandibular teeth showing the highest accuracy for age assessment.
Area of Science:
- Forensic Anthropology
- Dental Radiology
Background:
- Estimating an individual's age is crucial in forensic science.
- Dental pulp cavity size decreases with age due to secondary dentin deposition, offering a potential aging marker.
- Radiological methods can analyze this age-related pulp regression.
Purpose of the Study:
- To apply Kvaal's method for chronological age estimation using digital panoramic radiographs in the Saudi population.
- To validate Kvaal et al.'s regression equations within this demographic.
Main Methods:
- Analysis of 74 digital orthopantomograms from Saudi patients aged 18-64.
- Application of Kvaal's method, assessing age-pulp size relationships on periapical dental radiographs.
- Radiographs were taken between 2018 and 2021, adhering to specific inclusion/exclusion criteria.
Main Results:
- No statistically significant difference was observed between estimated and chronological ages when Kvaal's method was applied to the Saudi cohort.
- The highest coefficient of determination (R2 = 0.752) was achieved by evaluating three mandibular teeth collectively.
- The "M" (mean worth) and "W L" (width-length contrast) were identified as the most precise indicators for age assessment.
Conclusions:
- Kvaal's method is a valid and reliable technique for estimating chronological age in the Saudi population using digital panoramic radiographs.
- Combined analysis of multiple mandibular teeth enhances the accuracy of age estimation.
- Specific indicators like "M" and "W L" offer the most precise results for age determination in this population.

