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应用放射影像技术进行牙龄推断
引用本文:史格非,刘瑞珏,范利华,卞士中,朱广友.应用放射影像技术进行牙龄推断[J].法医学杂志,2008,24(6):448-452.
作者姓名:史格非  刘瑞珏  范利华  卞士中  朱广友
作者单位:1. 苏州大学法医学教研室,江苏苏州,215123;司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海,200063
2. 司法部司法鉴定科学技术研究所上海市法医学重点实验室,上海,200063
3. 苏州大学法医学教研室,江苏苏州,215123
摘    要:牙龄是年龄推断的重要方法之一,国外学者常将其与骨龄联合应用以提高年龄推断的准确性,但国内尚未普遍开展。大量研究表明,应用放射影像学这一无创的检查手段,可以准确观察牙齿的增龄性变化,如牙冠与牙根的发育程度、牙髓腔的变化等。目前应用放射影像学进行牙龄推断的主要方法有Gleiser和Hunt法、Demirjian法及牙髓腔测量法等。其中Demirjian法的准确性最高,但在推断法定敏感年龄时尚存在局限性。随着放射影像学的发展,尤其是CT的出现,依赖其高分辨率以及相匹配的测量软件,可提高牙龄推断的准确性与可靠性,有望成为今后推断活体年龄的重要手段。

关 键 词:法医牙科学  年龄测定  牙齿  综述  放射摄影术

Age Estimation by Dental Radiological Imaging
SHI Ge-fei,LIU Rui-jue,FAN Li-hua,BIAN Shi-zhong,ZHU Guang-you.Age Estimation by Dental Radiological Imaging[J].Journal of Forensic Medicine,2008,24(6):448-452.
Authors:SHI Ge-fei  LIU Rui-jue  FAN Li-hua  BIAN Shi-zhong  ZHU Guang-you
Institution:SHI Ge-fei, LIU Rui-jue, FAN Li-hua, BIAN Shi-zhong, ZHU Guang-you (1. Department of Forensic Medicine, Soochow University, Suzhou 215123, Chino; 2. Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Sciences, Ministry of Justice, P.R.Chino, Shanghai 200063, China)
Abstract:Dental age plays an important role in age estimation. It has often been used together with skeletal age to improve the accuracy of age estimation abroad, but seldom performed in China. As a noninvasive technology, dental radiological imaging has been widely used in age estimation. By observing the age-related changes such as the pulp cavity and development of crown and root on radiographs. Gleiser and Hunt, as well as Demirjian have developed different methods to determine the age of human. Demirjian's method has been proved to be more accurate but with limitation when used in persons of eighteen and above. The accuracy and reliability of the measurements on pulp cavity could be improved as the development of computed tomography with its high resolution and intelligent software. As a convenient and accurate method, age estimation from dental computed tomographs would be more promising in the future for forensic scientists and anthropologists.
Keywords:forensic dentistry  age determination by teeth  review  radiography
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