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Age Estimation Using the Pulp-to-Tooth Area Ratio in an Indian Population Using Cone-Beam Computerised Tomography
Pratiksha Zambare1, Nupura Vibhute1, Uzma Belgaumi1
1Department of Oral Pathology and Microbiology, School of Dental Sciences, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, IND.
Cureus
|August 26, 2024
Summary
Forensic age estimation using the pulp-to-tooth area ratio shows varying reliability across teeth. Maxillary right central incisors and canines are most accurate for age prediction in adults.
Area of Science:
- Forensic Odontology
- Dental Age Estimation
Background:
- Age estimation is vital in forensic science for both living and deceased individuals.
- The pulp-to-tooth area ratio from periapical radiographs is a traditional non-invasive age estimation method.
- Cone-beam computed tomography (CBCT) offers advanced 3D imaging for dental age assessment.
Purpose of the Study:
- To estimate age using the pulp-to-tooth area ratio of four specific permanent maxillary teeth.
- Investigate the reliability of different tooth types for age estimation.
Main Methods:
- Ninety subjects aged 18–70 years were included in the study.
- Pulp-to-tooth area ratio was analyzed from periapical radiographs or CBCT scans.
- Linear regression analysis was used to assess correlations between age and the ratio, stratified by sex and tooth type.
Main Results:
- Correlation between actual and estimated age differed among tooth types.
- Strong positive correlation observed for maxillary right central incisor and maxillary right canine.
- Maxillary left canine showed a weaker positive correlation.
Conclusions:
- Maxillary right central incisor and maxillary right canine are the most reliable teeth for age estimation.
- Linear regression models demonstrated strong associations between age and pulp-to-tooth ratio for specific teeth in males and females.

