scholarly journals The accuracy of age estimation from pulp chamber/crown volume ratio of canines obtained by cone beam computed tomography images: an Egyptian study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Fatma M. Elgazzar ◽  
Mohamed Omar Elboraey ◽  
Ghada N. El-Sarnagawy

Abstract Background Globally, the need for an accurate and valid method for age estimation in adults still exists. The aging process is associated with secondary dentine deposition that reduces the volume of teeth pulp. Therefore, dental age could be recognized from the volume of pulp cavity. The aim of this study was to assess the accuracy and validity of pulp chamber/crown volume ratio of maxillary and mandibular canines in estimating age using cone beam computed tomography (CBCT) images in a sample of the Egyptian population. Results There were significant strong negative correlations between age and each of the maxillary pulp chamber volume (PCV), mandibular PCV, maxillary pulp chamber/crown volume (PCV/CV) ratio, and mandibular PCV/CV ratio (p < 0.001). Furthermore, no significant differences were detected between both sexes regarding the mean maxillary and mandibular PCV and PCV/CV ratios (p > 0.05). The best fit regression model for age prediction was as follows: age (years) = 70.21 − 784.0x maxillary PCV/CV ratio − 1.66x maxillary PCV. The proposed model showed good power of prediction (R2 adjusted = 0.951). Additionally, the model was validated on an independent sample of 100 CBCT images with a root mean squared error (RMSE) of 2.86 years. Conclusion The obtained valid regression formula in this study can serve as a reliable tool for age estimation in Egyptians. This formula should be further validated on a larger sample size of the Egyptian population that considers more steady age distribution.

2020 ◽  
Vol 12 (1) ◽  
pp. 19-24
Author(s):  
Faezeh Yousefi ◽  
Sima Lari ◽  
Abbas Shokri ◽  
Soroush Hashemi ◽  
Mehdi Hosseini

Author(s):  
Esraa Ahmed Eid ◽  
Fatma Mostafa El-Badawy ◽  
Walaa Mohamed Hamed

Abstract Background The proximity of the maxillary sinus floor to the maxillary molar roots increases the probability of oroantral communication on conducting any surgical or endodontic procedure in the involved area. The aim of this study is to evaluate the relationship between each maxillary molar root and maxillary sinus floor using cone beam computed tomography. Predicting the probability of protrusion of each root into the sinus will consequently predict the probability of occurrence of the oroantral fistula in a sample of the Egyptian population. Results The total number of roots located outside the sinus was 121 (35.3%), while those contacting the sinus floor were 80 (23.3%) and those intruded the sinus were 141 (41.2%). The percentage of root intrusion into the sinus in males (56.9%) was significantly (p = 0.01) higher than females (42.9%). The probability of root intrusion in the left molars (54.2%) was non-significantly (p = 0.067) higher than that of the right side (44.3%). As for the type of tooth, the second molar showed the highest probability of root intrusion into the sinus (55.3%) followed by the third molars (52.6%) then the first molars (40.9). According to the type of root, the mesiobuccal root showed the highest probability of intrusion into the sinus (50.9%) followed by the palatal root (49.1%) then the distobuccal root (47.4%). However, the difference in both type of tooth and type of root was statistically non-significant (p = 0.051 and 0.869 respectively). As for the individual root with the highest probability of intrusion, the mesio-buccal root of the right third molar is the most frequent root to intrude the sinus (71.4%) and the mesio-buccal root of the right first molar is the least frequent (22.7%). Conclusions In a sample of the Egyptian population, males exhibit higher probability of root protrusion into the sinus than females. The side and type of tooth are of higher impact on the probability of its intrusion into the sinus compared to the type of root. Left second molars are at a higher risk of oroantral communications on surgical or endodontic procedures compared to other molars due to its highest probability of intrusion into the sinus.


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