陕西省6～15岁汉族未成年人牙龄的研究

目的运用全口曲面断层影像技术,研究陕西省6-15岁汉族未成年人牙齿钙化规律,建立利用牙齿钙化程度推断陕西汉族6-15岁未成年人年龄的方法。方法按照中国汉族儿童及青少年牙齿钙化分级标准,对1997名（男934名,女1063名）陕西省6-15岁汉族未成年人的全口曲面断层影像中下颌恒牙钙化程度进行分级评分;将所得评分值及对应的年龄输入SPSS软件并进行统计分析,最终建立年龄推断的方程。结果下颌同名牙钙化评分值侧别间非参数检验结果 P〉0.05,而性别间非参数独立样本检验结果 P〈0.05;下颌左侧各颗恒牙钙化程度与年龄相关分析结果 r〉0.59;方程拟合优度检验所得校正决定系数均大于0.76,估计值标准误男性在0.85-1.05岁之间、女性在0.83-0.97岁之间。结论本研究建立的方法合理可靠,可用于陕西省汉族6-15岁未成年人年龄的推断。     

杭州市汉族未成年人牙龄推断的研究

目的采用全口曲面断层影像,研究杭州市未成年人牙齿钙化的规律,从而建立根据牙齿推断杭州市未成年人年龄的方法。方法对杭州市1189例年龄在6~15周岁之间的未成年人全口曲面断层影像进行观测,根据牙齿钙化规律建立分级标准,依据牙齿钙化分级与年龄的相关性建立相应方程。结果牙齿钙化规律无侧别差异但有性别差异,分性别建立相应的回归方程,方程拟合优度高且标准差低。结论所建立的方程可用于杭州地区未成年人年龄的推断。     

数字全口牙位曲面体层片的法医学同一认定指标

目的采用颌面全口牙位曲面体层片,针对牙齿无病变者筛选简洁实用的法医学同一认定识别指标并进行编码、统计分析及评估。方法随机选取170例牙齿无病变者的颌面数字全口牙位曲面体层片进行观测．根据牙齿的生理变异特征和牙齿的排列特征分别筛选全口牙型和牙列型识别指标。按设计的编码标准对全口牙型、牙列型逐一编码,统计分析编码的多样性,以评估两类识别指标的应用价值。结果170例中共有74种全口牙型编码,多样性为43．53％：170例中共有129种牙列型编码,多样性为75．88％;170例同时进行全口牙型和牙列型编码．则共有150种全口牙型／牙列型编码,多样性为88．24％。结论全口牙型编码多样性较低,单独使用尚不能满足法医学同一认定的要求。牙列型编码的多样性比较高,具有一定的法医学同一认定价值。如果同时进行全口牙型和牙列型编码,多样性明显提高,有较高的法医学同一认定价值。     

On the applicability of secondary dentin formation to radiological age estimation in young adults

The literature provides linear regression formulas for dental age estimation that is based on radiological two-dimensional measurements of the pulp size. The aim of the present study was to explore whether the previously presented regression formulas could lead to statistically sound results and to appropriate repeatability when applied to young individuals. Orthopantomograms (OPGs) of 44 Austrian individuals, aged between 13 and 24 years, were selected at random. In accordance with the reported method, six teeth on each OPG were chosen to carry out the measurements. Statistical analysis was performed in order to assess the difference between the estimated and the true chronological age. The regression formulas reported by Kvaal et al. (1995) led to a consistent underestimation; the regression formulas reported by Paewinsky et al. (2005) resulted in a constant overestimation of age. The statistical analysis of intraobserver and interobserver variation revealed a variation width below 2%, respectively.     

Postmortem dental radiography

Comparison of postmortem and antemortem dental radiographic films or digital images is a common procedure for establishing identity of human remains. This article describes some problems with producing postmortem dental radiographs in a medical examiner setting and gives methods for circumventing these difficulties. Resection of the jaws, when permitted, significantly simplifies the postmortem radiographic technique. When producing an actual postmortem panoramic dental radiograph (orthopantomogram) from a dry skull, stabilization of the specimen for exposure by the moving beam source may be accomplished simply by placing the specimen upside down on an anthropologist's skull ring. Image "burnout" in the anterior segment, which results from absence of the tissues of the neck, may be avoided by appropriate placement of radiodense objects such as "zippered" plastic bags filled with water or other fluid material, freezer gel packs, or a block of self-polymerizing acrylic. These methods may increase future postmortem dental radiography efficiency.     

牙齿异常者颌面数字全景片同一认定指标及其编码

目的系统筛选颌面影像法医学同一认定的识别指标，制定全口牙型识别指标编码。方法随机选取620例有牙齿治疗史者、150例牙齿有病变无治疗史者的数字全口牙位曲面体层片进行观测，根据牙齿的生理变异、病理改变和治疗特征筛选全口牙型识别指标，并按设计的编码标准和原则对其全口牙型逐一编码，最后分别统计两组全口牙型的多样性以评估其价值。结果620例牙齿有治疗史者中共有619种全口牙型编码，全口牙型多样性为99．84％；150例牙齿有病变无治疗史者中共有146种全口牙型编码，全口牙型多样性为97．33％。结论选出的全口牙型识别指标对牙齿异常者进行法医学同一认定具有实际应用价值。