Radiomorphometric indices for sex estimation in edentulous individuals: A receiver operating characteristic curve and discriminant function analysis-based study

Forensic Sci Int. 2022 Dec:341:111513. doi: 10.1016/j.forsciint.2022.111513. Epub 2022 Nov 4.

Abstract

This study aimed to evaluate sexual dimorphism in Brazilian edentulous individuals using a formula based on mandible-related linear radiomorphometric measurements. A cross-sectional observational study was conducted with 390 panoramic radiographs (PRs) distributed into three age groups (51-60, 61-70, and 71-80 years). PRs were used to obtain linear measurements of the mandible and derived indices (superior and inferior panoramic mandibular indices [s-PMI and i-PMI, respectively], alveolar bone resorption [ABR] index), and the mandibular cortical index (MCI). Sex-related differences (and sex classifications) increased in the oldest cohort. Both s-PMI and i-PMI were shown to be significant in predicting sex in the age group from 71 to 80 years (p = 0.001 and p = 0.003, respectively) and, when considering the mean of the sides, only the s-PMI was significant (p = 0.037). The ABR index was significantly associated with sex (p = 0.004) and not influenced by MCI, and was used to construct a formula for sex estimation, which demonstrated 69.0% accuracy in the age group of 71-80 years. Sexual dimorphism was evidenced by the formula based on the s-PMI, i-PMI, and ABR indices.

Keywords: Alveolar bone resorption index; Forensic anthropology; Panoramic mandibular indices; Panoramic radiography; Sex estimation.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bone Density*
  • Cephalometry
  • Cross-Sectional Studies
  • Humans
  • Mandible* / diagnostic imaging
  • Middle Aged
  • ROC Curve
  • Radiography, Panoramic