SynthesisInternational journal of legal medicine2024
Age estimation in adults by canine teeth: a systematic review of the Cameriere method with meta-analysis on the reliability of the pulp/tooth area ratio.
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Who cites it
6 citing papers in PubMed.
- Dental age assessment: orthopantomogram-based comparison of traditional methods and artificial intelligence in the adult population.International journal of legal medicine · 2026Article
- Multi-task learning for forensic age and sex estimation using large foundation models on pelvic radiographs: a multi-center study.International journal of legal medicine · 2026Article
- A fully automated deep learning framework for age estimation in adults using periapical radiographs of canine teeth.International journal of legal medicine · 2025Article
- Development and validation of an age estimation model based on dental characteristics using panoramic radiographs.Scientific reports · 2025Article
- Third molar eruption in dental panoramic radiographs as a feature for forensic age assessment - new reference data from a German population.Head & face medicine · 2024Article
- Reliability of a forensic odontology method for age-at-death estimation in adults: A Mexican case study.Forensic science international. Synergy · 2024Article
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3 authors.
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Abstract
The age estimation of an adult using methods accessible to the forensic routine is a goal pursued by forensic experts. Cameriere, Ferrante and Cingolani (2004) proposed the use of the pulp/tooth area ratio of canine teeth as a promising variable, but its reliability has shown conflicting results in the scientific literature. This article aimed to carry out a systematic review with meta-analysis to verify whether the pulp/tooth area ratio of canine teeth includes a variable that can be used alone to estimate dental age in adults. A systematic search was carried out in six databases using keywords related to the theme in Portuguese, English, and Spanish. The study selection process followed pre-established eligibility criteria. Assessments were carried out regarding risk of bias and publication bias of selected studies, and meta-analysis was carried out considering Pearson's correlation coefficient between pulp/tooth area ratio and chronological age as effect measure. Most selected studies showed low risk of bias; no publication bias was found when all studies were considered, and potential publication bias was found when outliers were removed. Despite the high heterogeneity among studies and the need for more research, it could be observed that the pulp/tooth area ratio has strong negative correlation with chronological age, and the pulp/tooth area ratio could be derived from both periapical radiographs and orthopantomographs. Therefore, it is suggested that there is scientific evidence that the pulp/tooth area ratio obtained from canine teeth is reliable for dental age estimation in adults.
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