A test to study the influence of impaction on mandibular third molar development and forensic age estimation in a sample of south Indian children and young adults.

Meghana, R V; Mallempalli, Prathima; Kondakamalli, Subhashini; Boringi, Mamatha; Vaddeswarapu, Rahul Marshal; Kairamkonda, Charan Raj; Gurram, Amulya; Balla, Sudheer B; Angelakopoulos, Nikolaos (2022). A test to study the influence of impaction on mandibular third molar development and forensic age estimation in a sample of south Indian children and young adults. Legal medicine, 54, p. 101998. Elsevier 10.1016/j.legalmed.2021.101998

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It has been argued that the impaction of the third molars could result in delayed maturation, which, in turn, could affect age estimations in criminal proceedings. In view of this, the present study was undertaken to determine whether the impaction status could delay the chronological process of third molar mineralization in a sample of south Indian children and young adults. The orthopantomograms (OPGs) of 915 children and young adults of south Indian origin aged between 15 and 22 years were evaluated. Mineralisation stage and impaction status were determined for all lower third molars. Descriptive statistics were performed at stages D to H of Demirjian staging system. The results of independent t-test show that the impaction resulted in statistically significant slower mineralization in impacted lower third molars at stages D to F in both sexes. It was ascertained that the mean ages with the impacted lower third molars at stage G were 0.98-1.38 years higher in males and 0.50-0.80 years higher in females than those with non-impacted lower third molars. For stage H, the mean ages were 0.14-0.21 years higher in males and 0.25-0.44 years higher in females. The probabilities of being 18 years and above is higher for non-impacted lower third molars at stages G and H than those with impacted ones. It is concluded that the impaction could result in delayed maturation in the lower third molars of the studied sample. Further studies are warranted in a more diverse sample.

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