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JOURNAL READING
Determination of Sex Dierence from Fingerprint Ridge Density in
Northeastern Thai Teenagers
Dental Age Assessment of 416 Year Old Western Saudi Children and
Adolescents Using Demirjians Method for Forensic Dentistry

Oleh:

Fadhil (201610401011029)

Pembimbing:
dr. Liauw Djai Yen

SMF ILMU KEDOKTERAN FORENSIK


FAKULTAS KEDOKTERAN UNIVERSITAS MUHAMMADIYAH MALANG
RUMAH SAKIT BHAYANGKARA PORONG
2016

1
DAFTAR ISI

Sampul .. 1
Daftar Isi 2
Determination of Sex Dierence from Fingerprint Ridge Density in
Northeastern Thai Teenagers......3
Terjemahan Determination of Sex Dierence from Fingerprint Ridge
Density in Northeastern Thai Teenagers ......12
Dental Age Assessment of 416 Year Old Western Saudi Children and
Adolescents Using Demirjians Method for Forensic Dentistry ..17
Terjemahan Dental Age Assessment of 416 Year Old Western Saudi
Children and Adolescents Using Demirjians Method for
Forensic Dentistry.22

2
Egyptian Journal of Forensic Sciences (2016) 6, 185193

HOSTED BY Contents lists available at ScienceDirect

Egyptian Journal of Forensic Sciences

journal homepage: http://www.journals.elsevier.com/egyptian-journal-of-forensic-sciences

ORIGINAL ARTICLE

Determination of sex dierence from fingerprint


ridge density in northeastern Thai teenagers

Pattanawit Soanboon a, Somsong Nanakorn b, Wibhu Kutanan b,*


a
Forensic Science Program, Faculty of Science, Khon Kaen University, Khon Kaen, Thailand
b Department of Biology, Faculty of Science, Khon Kaen University, Khon Kaen, Thailand

Received 11 May 2015; revised 30 July 2015; accepted 18 August 2015


Available online 5 September 2015

KEYWORDS
Abstract: Although, there has already been much research on the differences between sexes in fin-
Fingerprint; gerprint ridge density and its variability in the Thai population, such studies have not included native
Ridge density (RD); northeastern Thais aged between 14 and 24 who are descended from northeastern Thai ancestry. This
Northeastern Thai teenagers; study intends to determine the topological, age-grouping and sexual differences in fingerprint ridge
Sex determination density (RD) in such populations. Fingerprints were collected from 353 unrelated volunteers (191 males
and 162 females) and classified into three groups, that is, group A (total sub-jects), group B (1418 years
old) and group C (1824 years old). RD was assessed for two topolog-ical areas, radial and ulnar.
Significant differences between genders and age groups were obtained in both counting areas. Females
exhibit higher RD i.e. narrower ridges, than males. A decrease in RD values with increasing age was
also detected. The RD threshold for discrimination of sexes, com-puted based on Bayes theorem, was
achieved in all groups and counting areas, enabling its use in forensic investigation.

2015 The International Association of Law and Forensic Sciences (IALFS). Production and hosting by Elsevier
B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-
nc-nd/4.0/).

1. Introduction Although the ridge number in a fingerprint is not age-dependent,


the ridges grow further apart with an increasing age as the body
36
Fingerprints, composed of ridges and furrows, are one of the size increases. Generally speaking, the study of
dermatoglyphic traits that can be used for identification of an dermatoglyphics is either qualitative or quantitative. Quali-tative
individual. The formation of the ridges is governed by a multitude dermatoglyphics focuses on, among other things, pat-terns of
of genes and the environment of the embryo during its first month fingerprints and types of minutiae; while, ridge count and finger
of development, in other words the content of the amniotic ridge density (RD) are examples of the finger-prints quantitative
1,2 study.
fluid. Once created, the ridges do not transform anymore
throughout the lifetime except in cases of injury. Fingerprints are unique in each individual even in identical
7
twins they are not identical. Thus, fingerprint pattern types and
* various specific characteristics have been utilized world-wide for
Corresponding author. Tel.: +66 43 202531; fax: +66 43 202530. E-mail personal identification. Latent fingerprints are a pri-mary
address: wibhu@kku.ac.th (W. Kutanan).
evidence that investigating officers need to collect at the crime
Peer review under responsibility of The International Association of Law scene.
and Forensic Sciences (IALFS).

3
186 P. Soanboon et al.

The study of RD has been incessantly reported in multiple 21


were obtained, using an ink pad and rolled ink print technique.
816
populations for forensic applications. One study reported RD
17
evaluation in the northeast of Thailand ; however, teens were not Generally, fingerprint ridge density is acquired from a num-
2
among its subject groups. Based on reports in 2013 by the ber of ridges over an area of 5 5 mm based on the method of
8 8
Department of Juvenile Observation and Protection, as they have Acree. Our study slightly modified this method and that of the
been involved in a large number of cases in Thailand (36,763 6
counting portion described by Gutierrez-Redomero et al. We
cases), there is an urgent need for RD evaluations among the 2
teenagers. The term teenager is one that, the World Health constructed two squares of 5 5 mm each and placed them on the
Organization defines as those who are aged between 15 and 24, second ridge above the central core in both the radial and ulnar
while the Thai Royal Act and the Thai Royal Institute Dictionary areas (Fig. 1). In each square ridges were counted from one
defines as those whose ages range from 15 to 18 and 14 to 18, corner to the diagonally opposite corner. Dots were not counted,
18 while forks and lakes were counted as two ridges. To count the
respectively. Combining all three definitions, we set the age 22
group of the teenagers in this study as between 14 and 24 years. ridges , each fingerprint on a col-lected fingerprint card was
scanned to an image format file. The image was then
2
Our main objectives in this study are to compare the RD superimposed on the two squares of 5 5 mm , each with one
difference between male and female teenagers and within the diagonal line, which were con-structed on a spreadsheet using the
same sex if RD differs between the younger group of 14 18 Microsoft Word program. The superimposed images were
years old and the older one of over 18 up to 24 years of age. We enlarged five times for more precise ridge counting.
also compared our RD results to the existing database of other In the statistical analyses, the RD values for the radial and
17
populations. Although ridge formation was deter-mined by ulnar areas of all 10 fingers were calculated means in each sub-
genes and the content of the amniotic fluid, ridge ject were used to compute the mean for each area and each hand
number has been proven to be highly genetically inherited, with in both sexes. The mean RD for each area for all 10 fin-gers was
19,20 also computed. The comparison of means for the radial and ulnar
as much as 9095% contribution by the genes. Con-
sequently, if populations are genetically distinct, RD is likely areas in each hand and means for all 10 fin-gers among genders
different between then. was executed using independent t-test as embedded in SPSS
23
version 17.0.
2. Materials and methods The probability density in male (C) and female (C0) in each
given RD density was calculated by observed RD and then these
two values in each given RD density were used to com-pute the
Since the present study involved underaged individuals, on top of likelihood ratio (LR). Let RD be the ridge density, C the male
the informed consent, those under 18 years of age must have
donor, and C0 the female donor:

LR probability of the observing a given ridge density that belongs to male contributor C or PRD=C
probability of the observing a given ridge density that belongs to female contributor C0 or PRD=C0

their participation approved by their parents. To qualify as a The strength of support for one of the hypotheses: C or C0 was
Northeasterner for our study, unrelated individuals (by at least indicated by LR value. Posterior probabilities i.e. P(C/ RD) and
two generations) must be descended from the northeastern Thai P(C0/RD) were computed using Bayes theorem as expressed in
ancestry and they must come from a family where all members the following equation.
are able to speak the northeastern Thai dialect. This research PC PRD=C
protocol was approved by the Khon Kaen University Ethics
Committee for Human Research. In total, fingerprints from all
Posterior probability
PC PRD=C PC0
fingers of 353 subjects (191 males and 162 females)
PRD=C0

Figure 1 Two squares of 5 5 mm2 each were placed just above the core of a fingerprint image. For each square, a diagonal line was constructed.
Ridges passing through the line were counted for the calculation of ridge density.

4
Finger ridge density in northeastern Thai population 187

Let P(C) and P(C0) are prior probability of male and female, and 4.89 in group A, B and C, respectively). Distribution of RD in
respectively. This study employed two sets of P(C) and P(C 0) to both areas from 3 groups is in Fig. 2.
calculate the posterior probability. Assuming equal likelihood for Finger to finger, the mean RD in each area and each group is
both sexes to commit a crime, the prior probabilities for males shown in Fig. 3 is higher in females than in males. Our results
26
and females are equal at 0.5. However, based on the crimes were concordant with the existing literature. The
committed by teenagers in Thailand in 2013, males were found to higher RD in female than in male is attributed to the fact that
24 27,28
be involved in about 90 percent of the cases. As a result, the males have larger epidermal ridge breadth than females.
second set of the prior probabil-ities were 0.9 for P(C) and 0.1 for Approximately 10% of the difference in ridge breadth was
P(C0). observed between males and females and the increment of ridge
29
In addition, due to epidermal RD change during pubertal density is related to the number of X-chromosome. In addition,
25 the presence of the Y-chromosome is associated with the increase
growth , all analyses mentioned above were done in total RD
data as well as in each categorizing groups based on age (less than of distance between ridges. The narrowest ridge breadth was
and over 18 years old). Briefly, three groups were statistically observed in the patients with Turners syn-
analyzed for RD: group A (total 1424 years old), group B (14 drome (X), while the subjects of XYY males had the widest ridge
18 years old) and group C (1824 years). 5,30,31
breadth. Therefore, not only the number of ridges
among females is higher than males but also ridges in females are
3. Results and discussion 26
packed more densely in a given area than males. In addi-tion,
6
Gutierrez-Redomero et al. stated that epidermal ridge breadth
3.1. Differences in RD by counting area and gender varies considerably among different dermatoglyphic topological
regions and between the sexes, and that there is a relationship
Table 1 shows sex wise distribution of fingerprint RD from all between ridge breadth and hand size. Since males have larger
groups in radial and ulnar areas. The similar pattern of distri- body size than females, the equal number of ridges on a larger
bution of RD in both areas was observed in all groups. In group surface area means males have a lower fingerprint ridge
32
A, the RD in radial and ulnar areas ranges from 12 to 18 ridges/25 density.
2 2 Earlier studies reported that there was no significant differ-
mm and 12 to 20 ridges/25 mm among males and 14 to 20
2 2 ence in the mean of ridge breadth in the second interdigital area
ridges/25 mm and 13 to 21 ridges/25 mm among females,
between males and females up to the age of 12 years, whereas in
respectively. In group B, the RD distribution ranges from 13 to 18
2 2 older children, the difference between the two sexes was
ridges/25 mm (radial) and 14 to 20 ridges/25 mm (ulnar) of 4,6
2 significant. In agreement with those reports, since our studied
males and 15 to 20 ridges/25 mm (radial) and 15 to 21 ridges/25
2 samples are aged between 14 and 24 years old, it is not surprising
mm (ulnar) of female, while in group C the ranges were from 12 that we observed the difference between sexes. Surprisingly, this
2 2
to 17 ridges/25 mm (radial) and 12 to 18 ridges/25 mm (ulnar) study divided sampled groups based on age 18 years old,
2
in male and from 14 to 19 ridges/25 mm (radial) and 13 to 20 therefore, when mean RD value was compared among age-related
2 grouping, group B (1418 years old) has higher mean RD than
ridges/25 mm (ulnar) in female.
group C (1924 years old) in both counting areas with statistical
Descriptive statistics for RD in all fingers together in each
significance (t = 2.930 and t = 6.650 in radial and ulnar areas,
designated area of three groups is shown in Table 2. It is apparent
respectively, P < 0.01), and group A has intermediated value. A
that the difference of RD values between male and female is
reduction in RD val-ues from both radial and ulnar areas with
statistically significant in both counting areas and in all groups (p
increasing age is clearly visible (Fig. 3). It might be explained by
< 0.001). The radial area (t = 10.078, 9.36 and 8.06 in group A, B
biological factors involved in body growth and development.
and C, respectively) exhibited a larger sex difference than the
Teenagers
ulnar area (t = 4.438, 5.54

Table 1 Group wise and sex wise distribution of fingerprint ridge density in radial and ulnar areas.
RD Radial area Ulnar area
A B C A B C
M F M F M F M F M F M F
12 0.3 0.0 0.0 0.0 0.64 0.0 0.6 0.0 0.0 0.0 1.27 0.0
13 0.3 0.0 1.5 0.0 3.18 0.0 3.6 0.9 0.0 0.0 7.64 1.91
14 7.1 0.6 7.1 0.0 7.01 1.27 6.5 3.5 4.6 0.0 8.92 7.64
15 17.6 6.2 18.4 1.02 16.56 12.74 13.5 9.3 16.8 1.53 10.19 19.11
16 17.8 13.6 25 7.14 7.64 21.66 13.3 11.8 20.4 9.7 4.46 14.65
17 7.4 12.7 11.2 9.2 2.55 17.2 8.3 7.2 12.2 7.14 3.82 7.01
18 2.3 9.3 4.1 10.2 0.0 8.28 5.7 7.3 9.2 7.7 1.27 6.37
19 0.0 2.5 0.0 3.6 0.0 1.27 2.1 3.4 3.6 4.6 0.0 1.91
20 0.0 0.8 0.0 1.5 0.0 0.0 0.3 2.6 0.51 1.5 0.0 3.82
21 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.5 0.0 0.0
RD = finger ridge density; A = age group 1424 years old; B = age group 1418 years old; C = age group 1824 years old.

5
188 P. Soanboon et al.

Table 2 Descriptive statistics and sex differences of fingerprint ridge density on radial and ulnar areas in all analyzed age groups.
Sex Statistics Radial area Ulnar area
A B C A B C
Male n 191 132 59 191 132 59
Mean 15.98 16.21 15.46 16.23 16.7 15.17
S.D 1.16 1.12 1.07 1.54 1.33 1.49
Range 1218 1318 1217 1220 1420 1218
Median 15 18 15 15 16 15
Female n 162 64 98 162 64 98
Mean 17.23 17.81 16.85 16.99 17.81 16.44
S.D 1.17 1.12 1.071 1.64 1.29 1.63
Range 1420 1520 1419 1321 1521 1320
Median 16 18 16 16 16 15

t-test 10.08 9.36 8.06 4.42 5.54 4.89


p-value 0.001 0.001 0.001 0.001 0.001 0.001
A = age group 1424 years old; B = age group 1418 years old; C = age group 1824 years old.

Figure 2 Frequency distribution of fingerprint ridge density in the radial and ulnar areas of a fingerprint.

whose age was lower than 18 might have pubertal growth less RD than males in all populations, indicating sexual dimor-phism
18,33
than the other group. in this trait of various human populations. In addition, a universal
RD heterogeneity was observed. The northeastern Thai
population exhibited a higher RD than Indian and sub-Saharan
3.2. RD comparison among population populations, whereas the RD from northeastern Thailand was
lower than populations from Argentina and Spain. Actual
Since RD has been reported as one of the genetically quantita-tive population variations sourced from genetically diverse origins
26 might cause these differences. In addition methodological
traits in human populations , this RD difference might reflect
population variation. Fingerprint ridge density in this study was differences in fingerprint collection and posi-tion of the counting
compared to different studies for radial and ulnar areas in males area might also play a role in RD differ-ence among populations.
and females (Table 3). Females have a higher

6
Finger ridge density in northeastern Thai population 189

Figure 3 Mean ridge density in each area for the ten fingers according to sex and age groups. Group A (total data), group B (1418 years old) and
group C (1824 years old), R: radial, U: ulnar, 1, 2, 3, 4, 5: thumb, index, medium, ring, and little of right hand and 6, 7, 8, 9, 10: thumb, index,
medium, ring, and little of left hand.

Table 3 Fingerprint ridge density by radial and ulnar areas among males and females in various studies.
Sample Age (years) RD mean (standard deviation)
Radial Ulnar
Male Female Male Female
Afro-American (USA)8 1867 10.90 (1.15) 12.61 (1.43)
Caucasian-American (USA)8 1867 11.14 (1.31) 13.32 (1.24)
Malaysian12 1825 11.44 (0.98) 13.63 (0.90)
Chinese12 1825 11.73 (1.06) 14.15 (1.03)
Southern Indian9 1860 12.80 (0.90) 14.60 (0.08)
Southern Indian11 1825 11.05 (1.11) 14.20 (0.63)
Southern Indian13 1865 12.57 (1.49) 14.15 (1.68)
Northern Indian26 1825 15.84 (1.23) 17.94 (1.23) 15.51 (1.08) 17.11 (1.207)
Sub-Saharan16 1848 14.33 (1.22) 14.51 (1.29)
Argentina (Mataco-Mataguayo)6 625 16.62 (2.71) 17.82 (2.87) 16.54 (2.80) 17.29 (1.76)
Argentina (Puna-Quebrada)15 16.67 (1.78) 18.47 (1.56) 16.39 (1.75) 17.62 (1.62)
Argentina (Ramal)15 17.04 (1.68) 19.08 (1.84) 16.10 (1.61) 17.75 (1.69)
Spanish33 1834 16.85 (1.76) 19.11 (1.79) 15.38 (1.49) 16.84 (1.58)
Central Thais34 2060 15.81 (1.28) 16.58 (1.35)
Northeastern Thais17 2030 14.72 (1.21) 16.53 (1.18) 14.77 (1.24) 16.36 (1.17)
Northeastern Thais22 1012 15.89 (1.90) 16.19 (1.48) 15.84 (1.96) 16.00 (1.44)
Northeastern Thais* 1424 15.97 (1.16) 17.23 (1.17) 16.23 (1.54) 16.98 (1.64)
* Present study.

2
3.3. A threshold of sex differentiation 18 ridges/25 mm or more is most likely to be of female origin.
2
The RD ranging from 16 to 17 ridges/25 mm failed to deter-mine
The distribution of the ridge density frequency used for calcu- sex owing to equal posterior probability in both sexes. Presuming
lation of the likelihood ratio and posterior probabilities are shown men are 9 times more likely to commit a crime than females (P(C)
in Tables 4 and 5. In ulnar area (Table 4), the results of group A = 0.9, P(C0) = 0.1), the threshold of sex deter-mination changed
2
when assuming equal prior probability (P(C) = P(C0) = 0.5) to 1920 ridges/25 mm by which a count of fewer than 20 is
2 2
showed that a fingerprint possessing up to 15 ridges/25 mm has a most likely to be of male origin, and greater (P20 ridges/25 mm )
probability of being from male while of female.

7
190
Table 4 Data of probability densities, likelihood ratios, and posterior probabilities derived from observed ridge densities in ulnar area. Values in parentheses represent posterior probabilities.

Group A (1424 years old) Group B (1418 years old) Group C (1824 years old)
RD Probability LM LF Posterior probabilities RD Probability LM LF Posterior probabilities RD Probability LM LF Posterior probabilities
densities densities densities
M F a b M F a b M F a b
612 0.01 0 NA 0 M (1) > F M (1) > F 612 612 0.03 0 NA 0 M (1) > F M (1) > F
(0) (0) (0) (0)
13 0.06 0.02 3.00 0.33 M (0.77) M (0.97) 13 13 0.20 0.03 6.67 0.15 M (0.87) M (0.98)
> F (0.23) > F (0.03) > F (0.13) > F (0.02)
14 0.12 0.07 1.71 0.58 M (0.62) M (0.94) 14 0.07 0 NA 0 M (1) > F M (1) > F 14 0.24 0.12 2.00 0.50 M (0.66) M (0.95)
> F (0.38) > F (0.06) (0) (0.01) > F (0.34) > F (0.05)
15 0.26 0.2 1.30 0.77 M (0.56) M (0.92) 15 0.25 0.05 5.00 0.20 M (0.84) M (0.98) 15 0.27 0.31 0.87 1.15 M (0.47) M (0.89)
> F (0.44) > F (0.08) > F (0.16) > F (0.02) < F (0.53) > F (0.11)
16 0.25 0.26 0.96 1.04 M (0.49) M (0.90) 16 0.30 0.30 1.00 1.00 M (0.51) M (0.90) 16 0.12 0.23 0.52 1.92 M (0.34) M (0.82)
< F (0.51) > F (0.10) > F (0.49) > F (0.10) < F (0.66) > F (0.18)
17 0.16 0.15 1.06 0.94 M (0.50) M (0.90) 17 0.18 0.22 0.82 1.22 M (0.45) M (0.88) 17 0.10 0.11 0.90 1.10 M (0.48) M (0.89)
= F (0.50) > F (0.10) < F (0.55) > F (0.12) < F (0.52) > F 0.11)
18 0.1 0.15 0.66 1.5 M (0.40) M (0.86) 18 0.14 0.23 0.60 1.64 M (0.37) M (0.84) 18 0.03 0.10 0.30 0.33 M (0.25) M (0.75)
< F (0.60) > F (0.14) < F (0.63) > F (0.16) < F (0.75) > F (0.25)
19 0.04 0.07 0.57 1.75 M (0.33) M (0.82) 19 0.05 0.14 0.36 2.80 M (0.27) M (0.77) 19 0.00 0.03 0.00 NA M (0) < F M (0) < F
< F (0.67) > F (0.18) < F (0.73) > F (0.23) (1) (1)
20 0.01 0.06 0.17 6 M (0.09) M (0.46) 20 0.01 0.05 0.20 5.00 M (0.14) M (0.41) 20 0.00 0.06 0.00 NA M (0) < F M (0) < F
< F (0.91) < F (0.54) < F (0.86) < F (0.59) (1) (1)
21 0 0.01 0 NA M (0) < F M (0) < F P21 0.00 0.02 0 NA M (0) < F M (0) < F
(1) (1) (1) (1)
M is Probability densities of Male P(RD/C); F is Probability densities of female = P(RD/C 0);
LM is Likelihood ratio for male P(RD/C)/ P(RD/C0); LF is Likelihood ratio for female P(RD/C0)/P(RD/C);
a is prior probability of male (P(C)) and female ((P(C0)) at 0.50; b is prior probability of male (P(C)) at 0.9 and female ((P(C 0)) at 0.10.
P. Soanboon et al.

8
Finger ridge density in northeastern Thai population
Table 5 Data of probability densities, likelihood ratios, and posterior probabilities derived from observed ridge densities in radial area. Values in parentheses represent posterior probabilities.

RD Group A (1424 years old) Group B (1418 years old) Group C (1824 years old)
Probability LM LF Posterior probabilities RD Probability LM LF Posterior probabilities RD Probability LM LF Posterior probabilities
densities densities densities
M F a b M F a b M F a b
612 0.01 0 NA 0 M (1) > F M (1) > F 612 612 0.02 0 NA 0 M (1) > F M (1) > F
(0) (0) (0) (0)
13 0.04 0 NA 0 M (1) > F M (1) > F 13 0.02 0 NA 0 M (1) > F M (1) > F 13 0.08 0 NA 0 M (1) > F M (1) > F
(0) (0) (0) (0) (0) (0)
14 0.13 0.01 13.00 0.08 M (0.91) M (0.99) 14 0.11 0 NA 0 M (1) > F M (1) > F 14 0.19 0.02 9.50 0.11 M (0.90) M (0.99)
> F (0.09) > F(0.01) (0) (0) > F (0.10) > F (0.01)
15 0.32 0.14 2.29 0.44 M (0.71) M (0.96) 15 0.27 0.03 9.00 0.11 M (0.90) M (0.99) 15 0.44 0.20 2.20 0.45 M (0.68) M (0.95)>F
> F (0.29) > F(0.08) > F (0.10) > F (0.01) > F (0.32) (0.05)
16 0.32 0.30 1.06 0.94 M (0.52) M (0.91) 16 0.37 0.22 1.68 0.59 M (0.63) M (0.94) 16 0.20 0.35 0.57 1.75 M (0.37) M (0.84)
> F (0.48) > F(0.09) > F (0.37) > F (0.06) < F (0.63) > F (0.16)
17 0.14 0.28 0.50 2.00 M (0.33) M (0.82) 17 0.17 0.28 0.61 1.65 M (0.37) M (0.84) 17 0.07 0.28 0.25 4.00 M (0.20) M (0.69)
< F (0.67) > F(0.18) < F (0.63) > F (0.16) < F (0.80) > F (0.31)
18 0.04 0.20 0.20 5.00 M (0.17) M (0.65) 18 0.06 0.31 0.19 5.17 M (0.16) M (0.64) 18 0.00 0.13 0.00 NA M (0) < F M (0) < F
< F (0.83) > F(0.35) < F (0.84) > F (0.36) (1) (1)
19 0 0.06 0 NA M (0) < F M (0) < F 19 0.00 0.11 0.00 NA M (0) < F M (0) < F 19 0.00 0.02 0.00 NA M (0) < F M (0) < F
(1) (1) (1) (1) (1) (1)
20 0 0.02 0 NA M (0) < F M (0) < F P20 0.00 0.05 0.00 NA M (0) < F M (0) < F
(1) (1) (1) (1)
M is Probability densities of Male P(RD/C); F is Probability densities of female = P(RD/C0);
LM is Likelihood ratio for male P(RD/C)/P(RD/C0); LF is Likelihood ratio for female P(RD/C0)/P(RD/C);
a is prior probability of male (P(C)) and female ((P(C0)) at 0.50; b is prior probability of male (P(C)) at 0.9 and female ((P(C 0)) at 0.10.

191
9
192 P. Soanboon et al.

In groups B and C, with equal prior probability, the thresh-old crime committed by teenagers in Thailand on the latest year of
2 2 which 90 percentage of the cases were male teenagers in the year
of 1617 ridges/25 mm and 1415 ridges/25 mm was obtained,
respectively. Furthermore, if the prior probabilities were changed 2013. We recommend the radial RD cutoff point at the prior
probability of 0.9:0.1 for determination of the most likely sex
to P(C) = 0.9 and P(C0) = 0.1, the thresholds increased (1920
2 2 from examined latent fingerprints collected at the crime scene.
ridges/25 mm in group B and 18 19 ridges/25 mm in group C). For example, the latent fingerprints collected at the crime scene
2
Likewise, in the radial area (Table 5), with equal prior had an average RD of 15 ridges/25 mm it could differentiate as
2 most likely from male origin aged less than 18 years. And if the
probability in both genders, a count of 1617 ridges/25 mm was
2
determined as the threshold for group A and B while a threshold RD is 14 ridges/25 mm , male could be differentiated as the most
2 likely sex aged over 18 years. However, the size of latent
of 1516 ridges/25 mm was achieved in group C. When prior
probabilities to commit crime of male and female are 0.9 and 0.1, fingerprint and breadth of epider-mal ridge should be considered
2 with the radial RD cutoff point. As this is not only the report of
respectively, the thresholds moved to 18 19 ridges/25 mm in
2 sex differentiation by fingerprint ridge density but also comparing
group A and B and 1718 ridges/25 mm in group C. among young and old Thai teenagers, a future research on an
accuracy of using the recommended radial RD at 0.9:0.1 prior
3.4. Implications
probability for sex and age differentiation is essential.

More details are considered in young and old teenagers (group B


and C) from the greater posterior probabilities coupled with the 4. Conclusions
greater likelihood ratios (LM and LF) to select the appro-priate
cutoff point RD for most likely being sex origin. In the ulnar area,
2 Concordant with previous studies, we found that females have
group B maintains 15 ridges/25 mm to be most likely being male
significantly higher fingerprint RD, i.e. finer ridge, than males for
at either equal or 0.9:0.1 prior probabilities (posterior
both radial and ulnar areas. Group of subjects with ages less than
probabilities = 0.84 and 0.98, respectively; LM = 5.0), while 20 18 years old has higher fingerprint RD than the older group aged
2
ridges/25 mm for female at each prior probability (LF = 5.0). 1824 years old. Comparing fingerprint RD of the studied
2
Group C obtains 13 ridges/25 mm to be likely male at either population to other populations worldwide, ethnic variation
equal or 0.9:0.1 prior probability (posterior probabilities = 0.87 exists. A threshold of sex differentiation calculated from RD was
2 observed in both counting areas and all analyzed groups. This
and 0.98, respectively; LM = 6.67), while 16 ridges/25 mm for
female at equal prior probability (posterior probability = 0.66; LF finding suggests that the fingerprint RD might be relevant and
2 useful for inferring the donors sex from latent fingerprints of
= 1.92) and 19 ridges/25 mm at 0.9:0.1 prior probability with 1.0
unknown origin. However, to improve sex iden-tification, RD
posterior probability.
2 counting from other topological areas, for example the proximal
In the radial area, group B shows 15 ridges/25 mm to be most region, as well as from fingerprints which are collected by plain
likely male at each prior probability, (posterior probabil-ities = print method needs to be evalu-ated in the future study.
2
0.90 and 0.99, respectively; LM = 9.0) while 18 ridges/25 mm to
be most likely female (posterior probabil-ities = 0.84; LF = 5.17),
2
then increased to 19 ridges/25 mm at equal and 0.9:0.1 prior Funding
probabilities, respectively. Group C also shows a pattern similar
2
to that of group B that the RD 14 ridges/25 mm to be most likely None.
male at equal and 0.9:0.1 prior probabilities (posterior
probabilities = 0.90 and 0.99, respectively; LM = 9.5), and Conflict of interest
2
increasing RD from 18 to 19 ridges/25 mm for being most likely
female at equal and 0.9:0.1 prior probabilities, respectively. None declared.
Regarding RD mean differences between male and female in
both of group B and C as seen in Table 2, it shows that the radial Informed consent
2
RD of group B obtained 1.60 ridges/25 mm com-pared to 1.11 in
ulnar RD. Similarly in group C its RD differ-ence in the ulnar
2 Informed consent was obtained from the participants of the study.
area is only 1.33 ridges/25 mm while 1.39 ridges in radial RD.
The higher mean RD differences of the radial area than those of
the ulnar area are in accordance with results from a previous
10 2 Ethical approval
study which showed 1.67 and 1.07 ridges/25 mm in the radial
and ulnar areas, respectively among subjects aged 2030 years
old. It implies that the radial RD exhibited a greater RD than that Necessary ethical approval was obtained from the institute ethics
of ulnar area. For the reason, the radial RD should be applied in committee.
forensic task for helping a fingerprint examiner to investigate the
most likely sex of criminals. As it is known results based on Acknowledgments
posterior probabilities and on likelihood ratios calculated using
Bayes theorem are inferences according to an assumption of We would like to thank all volunteers for donating their finger-
prior probabilities that occurred in the studied subjects. Thus an print. This research was supported by Khon Kaen Universitys
application in forensics should be based on the statistics on Graduated Research Fund Academic Year 2014 and Khon Kaen
University under the Incubation Researcher Project.

10
Finger ridge density in northeastern Thai population 193

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11
Terjemahan Sementara itu, penghitungan kerutan dan
kepadatan kerutan jari (RD) adalah contoh
Abstrak: Meskipun, sudah ada banyak studi kuantitatif sidik jari.
penelitian tentang perbedaan antara kedua Sidik jari unik dalam setiap individu bahkan
jenis kelamin dari sidik jari kepadatan dan di kembar identik mereka tidak identical.
variabilitas di populasi Thailand, studi Dengan demikian, jenis pola sidik jari dan
tersebut tidak termasuk asli Thailand Timur berbagai karakteristik tertentu telah
Laut bagi individu berusia antara 14 dan 24 dimanfaatkan di seluruh dunia untuk
yang merupakan keturunan dari Timur Laut identifikasi pribadi. Sidik jari tersembunyi
Thailand. Studi ini bermaksud untuk adalah bukti pri-Maria yang perlu
menentukan topologi, Umur- menyelidiki petugas untuk mengumpulkan
pengelompokan dan perbedaan seksual di TKP.
dalam sidik jari (RD) dalam populasi Studi RD telah terus-menerus dilaporkan
tersebut. Sidik jari dikumpulkan dari 353 dalam beberapa populasi untuk melaporkan
relawan yang tidak terkait (191 jantan dan pengaplikasian forensic. Satu studi evaluasi
betina 162) dan diklasifikasikan ke dalam RD di timur laut Thailand namun, remaja
tiga kelompok, yaitu grup (total sub-proyek bukanlah antara yang kelompok yang
turnkey), Grup B (14 18 tahun) dan grup diteliti. Berdasarkan laporan pada tahun
C (18-24 tahun). RD dinilai untuk dua 2013 oleh Departemen Juvenile observasi
daerah topolog-ical, radial dan ulnar. dan perlindungan, seperti mereka telah
Perbedaan yang signifikan antara jenis terlibat dalam sejumlah besar kasus-kasus
kelamin dan kelompok umur yang diperoleh di Thailand (36,763 kasus), ada kebutuhan
di kedua daerah perhitungan. Perempuan mendesak untuk evaluasi RD kalangan
menunjukkan lebih tinggi nilai RD, remaja. Remaja adalah salah satu bahwa,
daripada laki-laki. Penurunan nilai-nilai RD organisasi kesehatan dunia mendefinisikan
seiring dengan bertambahnya usia juga sebagai orang-orang yang berusia antara 15
terdeteksi. RD ambang batas untuk dan 24, sementara UU Royal Thai dan
diskriminasi jenis kelamin, com-puted Royal Thai Institute Kamus mendefinisikan
berdasarkan Bayes' teorema, dicapai di sebagai orang-orang yang usia berkisar 15-
semua kelompok dan menghitung area, 18 dan 14 hingga 18, respectively.18
memungkinkan penggunaannya dalam menggabungkan semua tiga definisi, kita
penyelidikan forensik. mengatur kelompok usia remaja dalam studi
ini antara 14 dan 24 tahun.
1. Pendahuluan
Tujuan utama studi ini adalah untuk
Sidik jari, terdiri dari kerutan dan alur, membandingkan RD perbedaan antara
adalah salah satu ciri-ciri dermatoglyphic remaja laki-laki dan perempuan dan dalam
yang dapat digunakan untuk identifikasi berjenis kelamin sama jika RD berbeda
individu. Pembentukan kerutan diatur oleh antara kelompok muda 14 18 tahun dan
banyak gen dan lingkungan embrio selama lebih tua salah satu dari 18 hingga usia 24
bulan pertama dari pertumbuhan janin, tahun. Kami juga membandingkan hasil RD
dengan kata lain isi cairan ketuban yang kami ke database yang ada pada populasi.
pernah diciptakan, kerutan tidak mengubah Lain meskipun pembentukan kerutan
lagi sepanjang hidup kecuali dalam kasus- dihalangi oleh gen dan isi dari cairan
kasus cedera. ketuban, nomor kerutan telah terbukti
Meskipun nomor kerutan di sidik jari tidak secara genetik diwariskan, dengan sebanyak
tergantung pada usia, kerutan tumbuh lebih 90-95% kontribusi oleh genes. Akibatnya
lanjut terpisah dengan bertambahnya usia jika populasi berbeda secara genetik, RD
sebagai pemacu ukuran tubuh secara umum, mungkin berbeda antara kemudian.
studi tentang dermatoglyphics baik
kualitatif atau kuantitatif. Quali-tative 2. Bahan dan Metode
dermatoglyphics berfokus pada, antara lain, Karena sekarang belajar individu
pat-camar sidik jari dan jenis hal-hal kecil; bawah umur yang terlibat, orang-
12
orang di bawah usia 18 tahun harus di daerah radial dan ulnar. Pola serupa
memperoleh persetujuan, gtcem-bution dari RD di kedua bidang
Umumnya, kepadatan kerutan sidik diamati pada semua kelompok. Di grup A,
jari didapat dari area seluas 5 5 mm2 RD di daerah radial dan ulnar berkisar dari
berdasarkan metode Acree. 12-18 kerutan/25 mm2 dan 12-20
penelitian kami sedikit diubah, kerutan/25 mm2 antara laki-laki dan 14-
method ini menghitung yang kerutan/25 mm2 dan 13 sampai 21
dijelaskan oleh Gutierrez-Redomero kerutan/25 mm2 pada perempuan, masing-
et al. Kami menggunakan dua kotak masing. Dalam Grup B, distribusi RD
5 5 mm2 setiap sisi dan berkisar dari 13 sampai 18 mm2 kerutan/25
meletakkannya di kerutan kedua di mm2 (radial) dan 14 sampai 20 kerutan/25
atas inti pusat di kedua radial dan mm2 (ulnar) laki-laki dan 15-20 kerutan/25
ulnar daerah (Fig. 1). Dalam setiap mm2 (radial) dan 15 sampai 21 kerutan/25
persegi kerutan dihitung dari salah mm2 (ulnar) dari laki-laki, sementara Grup
satu sudut ke sudut lain secara C rentang dari 12-17 kerutan/25 mm2
diagonal berlawanan. Titik-titik (radial) dan 12-18 kerutan/25 mm2 (ulnar)
tidak dihitung, sedangkan pada laki-laki dan dari 14 Sampai 19
cabangnya dihitung sebagai dua kerutan/25 mm2 (radial) dan 13 sampai 20
kerutan. Untuk menghitung kerutan, kerutan/25 mm2 (ulnar) pada wanita.
sidik jari setiap kartu sidik jari
dikumpulkan lalu dipindai pada Statistik deskriptif untuk RD di jari-jari
format file gambar. Gambar yang semua bersama-sama dalam setiap
kemudian melapisi pada kotak dua 5 area dari tiga kelompok ditunjukkan dalam
5 mm2, masing-masing dengan satu tabel 2. Itu jelas bahwa perbedaan nilai RD
baris diagonal, yang langsung antara laki-laki dan perempuan signifikan
dikonstruksi pada spreadsheet secara statistik di kedua daerah menghitung
menggunakan program Microsoft dan di semua kelompok (p < 0.001). Daerah
Word. Gambar dilapiskan diperbesar radial (t = 10.078, 9,36 dan 8.06 di grup A,
lima kali lebih tepat ridge B dan C, masing-masing) menunjukkan
penghitungan. perbedaan jenis kelamin yang lebih besar
Dalam analisis statistik, nilai RD daripada daerah ulnar (t = 4.438, 5.54 dan
daerah radial dan ulnar Semua 10 4.89 di grup A, B dan C, masing-masing).
jari dihitung berarti di setiap sub- Distribusi RD di kedua bidang dari
yang digunakan untuk menghitung kelompok-kelompok 3 adalah dalam
rata-rata untuk setiap daerah dan gambar 2.
setiap tangan di kedua jenis kelamin.
Berarti RD untuk setiap area untuk Jari jari, berarti RD di daerah masing-
semua 10 sirip-gers juga dihitung. masing dan setiap grup akan ditampilkan
Perbandingan berarti untuk daerah dalam gambar 3 lebih tinggi pada wanita
radial dan ulnar di setiap sisi dan dibanding pada laki-laki. Hasilnya kami
sarana untuk semua 10 sirip-gers setuju dengan literature yang sudah ada RD
antara jenis kelamin tekan lebih tinggi pada wanita dari pada laki-laki
menggunakan t-tes independen adalah disebabkan oleh kenyataan bahwa
dengan menggunakan SPSS versi laki-laki memiliki luas ridge epidermis
17,0. lebih besar daripada wanita.
Sekitar 10% dari perbedaan dalam luasnya
3. hasil dan diskusi kerutan diamati antara lelaki dan
perempuan dan peningkatan kepadatan
3.1. perbedaan RD dengan menghitung area kerutan adalah terkait dengan jumlah X-
dan jenis kelamin chromosome. Selain itu, kehadiran
kromosom y dikaitkan dengan peningkatan
Tabel 1 menunjukkan seks distribusi jarak antara kerutan. Luasnya ridge
dengan sidik jari RD dari semua kelompok tersempit diamati pada pasien dengan
13
Turner syndrome (X), sementara menjadi Distribusi frekuensi kepadatan kerutan sidik
subyek dari laki-laki XYY memiliki breadth jari yang digunakan untuk kalkulasi hal
kerutan terluas karena itu, tidak hanya yang sanggat menarik kemungkinan rasio
jumlah lekukan di antara perempuan lebih dan posterior probabilitas yang ditampilkan
tinggi daripada laki-laki tetapi juga lekukan dalam tabel 4 dan 5. Di daerah ulnar (Tabel
pada wanita yang dikemas lebih padat di 4), hasil grup A ketika asumsi sama
daerah tertentu daripada laki-laki. Dalam probabilitas sebelumnya (P(C) = P(C0) =
PA-tion, Gutierrez-Redomero et al. 0.5) menunjukkan bahwa sidik jari memiliki
menyatakan bahwa kerutan epidermal hingga 15 keutan/25 mm2 memiliki
lebarnya bervariasi antara daerah topologi probabilitas pada laki-laki sedangan pada
berbeda dermatoglyphic dan di antara kedua wanita 18 kerutan/25 mm2 atau lebih
jenis kelamin, dan bahwa ada adalah banyak dari laki-laki. RD yang berkisar 16-
hubungan antara ukuran lebarnya dan 17 keutan/25 mm2 gagal mencegah ambang
tangan ridge. Karena laki-laki memiliki seks karena probabilitas posterior yang
ukuran tubuh yang lebih besar dari pada sama pada kedua jenis kelamin.
betina, jumlah sama pegunungan di area Menganggap laki-laki 9 kali lebih mungkin
permukaan yang lebih besar berarti laki-laki untuk melakukan tindak kejahatan daripada
memiliki sidik jari densitas kerutan lebih perempuan (P(C) = 0,9, P(C0) = 0,1),
rendah. ambang seks menghalangi-mination
berubah menjadi 19 20 kerutan/25 mm2
Studi sebelumnya dilaporkan bahwa tidak mana jumlah kurang dari 20 paling
signifikan berbeda di mean dari mungkin untuk menjadi asal laki-laki, dan
punggungan luasnya di kedua daerah lebih besar (P20 kerutan/25 mm2) wanita.
tersebut interdigital antara lelaki dan
perempuan berusia 12 tahun, sedangkan
pada anak-anak, perbedaan antara dua jenis 3.2. RD perbandingan antara penduduk
kelamin adalah significant.Setuju dengan
laporan tersebut, karena sampel studi kami Karena RD telah dilaporkan sebagai salah
berusia antara 14 dan 24 tahun , hal ini tidak satu genetik ciri-ciri quantita-tive di
mengherankan bahwa kita diamati populasi manusia, perbedaan RD ini
perbedaan antara kedua jenis kelamin. mungkin mencerminkan penduduk
Anehnya, studi ini dibagi sampel kelompok- bervariasi. Kepadatan kerutan sidik jari
kelompok yang didasarkan pada usia 18 dalam studi ini dibandingkan dengan studi
tahun, oleh karena itu, ketika nilai RD rata yang berbeda untuk area radial dan ulnar
dibandingkan antara kelompok usia-terkait, pada pria dan wanita (Tabel 3). Perempuan
Grup B (14-18 tahun lama) telah lebih memiliki yang lebih tinggi RD daripada
tinggi berarti RD daripada Grup C (19-24 laki-laki dalam semua populasi,
tahun) di kedua daerah menghitung menunjukkan dimor-phism seksual di sini
signifikansi Statistik (t = 2.930 dan t = sifat dari berbagai populasi manusia. Selain
6.650 di radial dan ulnar, masing-masing, P itu, heterogenitas RD universal diamati.
< 0.01), dan grup A telah intermediated Timur Laut Thailand populasi menunjukkan
nilai. Pengurangan RD val-ues dari RD lebih tinggi daripada populasi India dan
keduanya radial dan ulnar daerah dengan sub-Sahara, sedangkan RD dari
bertambahnya usia adalah jelas terlihat (Fig. northeastern Thailand adalah lebih rendah
3). Itu mungkin dapat dijelaskan oleh daripada populasi dari Argentina dan
faktor-faktor biologis yang terlibat dalam Spanyol. Sebenarnya penduduk variasi
pertumbuhan dan perkembangan. Remaja bersumber dari asal-usul genetik beragam
yang sudah berusia lebih rendah dari 18 mungkin menyebabkan perbedaan-
mungkin memiliki pubertas pertumbuhan perbedaan ini. Selain metodologis
kurang dari group. perbedaan dalam koleksi sidik jari dan
3.3. ambang diferensiasi seks loterei-tion daerah menghitung mungkin
juga memainkan peran dalam RD.

14
Pada kelompok B dan C, dengan Di daerah radial, Grup B menunjukkan
probabilitas sebelumnya yang sama, yakni mm2 pegunungan 25 15 menjadi laki-laki
permulaan 16-17 kerutan /25 mm2 dan 14- paling mungkin pada setiap probabilitas
15 kerutan/25 mm2 diperoleh, masing- sebelumnya, (posterior probabil-
masing. Selain itu, jika probabilitas menyelidiki kejahatan = 0,90 dan 0,99,
sebelumnya diganti dengan P(C) = 0,9 dan masing-masing; LM = 9.0) sementara 18
P(C0) = 0,1, ambang batas yang meningkat pegunungan 25 mm2 menjadi laki-laki yang
(19-20 kerutan /25 mm2 di Grup B dan 18- paling mungkin (posterior probabil-
19 kerutan/25 mm2 dalam grup C). menyelidiki kejahatan = 0,84; LF = 5.17),
kemudian meningkat menjadi mm2
Demikian juga, di daerah radial (Tabel 5), pegunungan/25 19 di probabilitas
dengan probabilitas sebelumnya yang sama sebelumnya sama dan 0.9:0.1, masing-
pada kedua jenis kelamin, jumlah 16-17 masing. Grup C juga menunjukkan pola
kerutan /25 mm2 ditentukan sebagai yang mirip dengan Grup B yang mm2
ambang batas untuk grup A dan B pegunungan 25 RD 14 menjadi laki-laki
sementara ambang 15 16 kerutan /25 paling mungkin pada probabilitas
mm2 dicapai dalam kelompok C. Bila sebelumnya yang sama dan 0.9:0.1
sebelumnya probabilitas untuk melakukan (posterior probabilitas = 0,90 dan 0,99,
kejahatan pria dan wanita adalah 0,9 dan masing-masing; LM = 9,5), dan
0.1, masing-masing, batas dipindahkan ke meningkatkan RD dari 18 mm2
18-19 kerutan/25 mm2 di grup A dan B dan pegunungan/25 19 untuk kemungkinan
17-18 kerutan/25 mm2 dalam kelompok C. perempuan di probabilitas sebelumnya sama
dan 0.9:0.1, masing-masing.
3.4. implikasi
Mengenai RD berarti perbedaan antara laki-
Rincian lebih lanjut dianggap dalam usia laki dan perempuan dalam kedua Grup B
muda dan tua (kelompok B dan C) dari dan C seperti yang terlihat di tabel 2, hal itu
probabilitas posterior lebih besar ditambah menunjukkan bahwa RD radial Grup B
dengan rasio kemungkinan yang lebih besar diperoleh 1.60 pegunungan 25 mm2 com-
(LM dan LF) untuk memilih appro-priate dikupas ke 1.11 di ulnar RD. Demikian pula
titik cutoff RD karena kemungkinan seks di Grup C yang RD berbeda-masa
asal. Di daerah ulnar, Grup B kemerdekaan di daerah ulnar adalah hanya
mempertahankan 15 kerutan/25 mm2 1.33 sementara 1.39 pegunungan di radial
kemungkinan yang laki-laki di probabilitas RD. Perbedaan berarti RD tinggi daerah
sebelumnya yang sama atau 0.9:0.1 radial daripada daerah ulnar yang sesuai
(posterior probabilitas = 0,84 dan 0,98, dengan hasil dari study sebelumnya yang
masing-masing; LM = 5.0), sementara 20 menunjukkan 1,67 dan 1,07 radial dan ulnar
kerutan/25 mm2 untuk laki-laki di setiap area, masing-masing studi berusia 20-30
probabilitas sebelumnya (LF = 5.0). Grup C tahun. Ini menyiratkan bahwa radial RD
memperoleh 13 kerutan/25 mm2 menjadi dipamerkan RD lebih besar daripada ulnar
laki-laki mungkin pada probabilitas daerah. Karenanya, radial RD harus
sebelumnya yang sama atau 0.9:0.1 diterapkan dalam tugas forensik untuk
(posterior probabilitas = 0,87 dan 0,98, membantu pemeriksa sidik jari untuk
masing-masing; LM = 6.67), sementara 16 menyelidiki kemungkinan jenis kelamin
kerutan/25 mm2 untuk laki-laki di penjahat. Seperti diketahui hasil
probabilitas sebelumnya yang sama berdasarkan probabilitas posterior dan pada
(posterior probabilitas = 0.66; LF = 1.92) rasio kemungkinan dihitung menggunakan
dan 19 kerutan/25 mm2 di 0.9:0.1 teorema Bayes' adalah kesimpulan
sebelumnya probabilitas dengan berdasarkan asumsi sebelumnya
probabilitas posterior 1.0. probabilitas yang terjadi dalam mata
pelajaran yang dipelajari. Dengan demikian
aplikasi dalam forensik harus didasarkan
pada statistik pada kejahatan yang
15
dilakukan oleh remaja di Thailand pada depan penelitian mengenai akurasi
tahun terbaru yang 90 persentase dari kasus menggunakan RD radial direkomendasikan
yang laki-laki remaja pada tahun 2013. di 0.9:0.1 sebelumnya probabilitas untuk
Kami merekomendasikan RD radial cutoff diferensiasi seks dan umur sangat penting.
menunjuk pada kemungkinan sebelumnya
0.9:0.1 untuk penentuan kemungkinan seks 4. kesimpulan
dari memeriksa sidik jari tersembunyi yang
dikumpulkan di TKP. Sebagai contoh, sidik Yang setuju dengan studi sebelumnya, kami
jari tersembunyi yang dikumpulkan di TKP menemukan bahwa perempuan memiliki
memiliki rata-rata RD 15 itu bisa sidik jari secara signifikan lebih tinggi RD,
membedakan sebagai kemungkinan dari yaitu kerutan halus, daripada laki-laki untuk
asal laki-laki berusia kurang dari 18 tahun. keduanya area radial dan ulnar. Kelompok
Dan jika RD 14, laki-laki bisa dibedakan studi dengan usia kurang dari 18 tahun
sebagai seks kemungkinan yang berusia memiliki tinggi sidik jari RD daripada
lebih dari 18 tahun. Namun, ukuran laten kelompok remaja berusia 18-24 tahun.
sidik jari dan luasnya epider-mal Ridge Membandingkan sidik jari RD mempelajari
harus dipertimbangkan dengan titik cutoff populasi penduduk lainnya di seluruh dunia,
RD radial. Karena hal ini tidak hanya ada variasi etnis. Ambang batas diferensiasi
laporan diferensiasi seks dengan sidik jari seks yang dihitung dari RD diamati pada
ridge kepadatan tetapi juga membandingkan kedua menghitung area dan semua
antara tua dan muda remaja Thailand, masa kelompok dianalisis.

16
Amin M. Alshihri, Estie Kruger *, Marc Tennant

The International Research Collaborative Oral Health and Equity, School of Anatomy, Physiology and Human Biology, The
University of Western Australia, Australia

Received 29 October 2014; accepted 1 March 2015


Available online 29 March 2015

KEYWORDS Abstract Aim: Developing teeth are used to assess maturity and estimate age in several disciplines such
Forensic odontology; as pediodontic, orthodontic, pediatric endocrinology and forensic odontology. The aim was to determine
Dental maturity; Dental the statistical adjustment needed when dental age is estimated using Demirjians method for Western
age estimation; Saudi children and adolescents between ages 4 and 16 years of age. Also, to compare a Western Saudi
Demirjians method; population sample with the original French-Canadian.
Panoramic radiographs Methods and materials: The most common standard for forensic age estimation or analysis of chil-dren
and sub-adults of Demirjian et al. (1973) was used, with a total of 198 individuals (boys = 88 and girls =
110). The panoramic radiographs were used to score the seven left mandibular teeth. Results: The mean
difference was 1.44 to 0.64 in girls and from 0.66 to 0.77 in boys. Among girls there was a statistically
significant difference for 7, 11, and 15 years (P < 0.05). There was a statis-tically significant difference
(P < 0.05), in boys for age groups 8 and 13 only. On average for all ages, Western Saudi Arabia girls
were 0.059 (sd = 1.26) years and the boys 0.66 (sd = 1.14) years ahead of the French-Canadian children.

Conclusion: New tables were developed in order to convert dental maturity calculation according to
Demirjians method into estimated age of contemporary Western Saudi population (significant
overestimation). For future research, increase in the sample size for all age ranges to establish new
maturity scores and logistic curves for the studied population group and comparison with other Saudi
children in rural communities found in other regions in Saudi Arabia would be ideal.
2015 The International Association of Law and Forensic Sciences (IALFS). Production and hosting by
Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/
licenses/by-nc-nd/4.0/).

* 1. Introduction
Corresponding author at: School of Anatomy, Physiology and Human
Biology, The University of Western Australia, 35 Stirling Highway,
Crawley, Western Australia 6009, Australia. Tel.: +61 8 6488 5810. Estimation of dental age is usually based on the maturation of
E-mail address: estie.kruger@uwa.edu.au (E. Kruger). dentition. The process of dental maturation (the degree of cal-
Peer review under responsibility of The International Association of Law cification) is correlated to different mineralization morpholog-ical
and Forensic Sciences (IALFS). stages that can be observed radiographically. The process
http://dx.doi.org/10.1016/j.ejfs.2015.03.003
2090-536X 2015 The International Association of Law and Forensic Sciences (IALFS). Production and hosting by Elsevier B.V. This is an
open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

17
Dental Age Assessment Using Demirjians Method for Forensic Dentistry 153

of maturation is much more uniform, progressive, sequenced, and 2.2. Methods


continuous than tooth eruption, and is less affected by endocrine
1,2
disease, dietary deficiency states, and environmental changes. The assessment of dental age was performed according to
For these reasons, a series of age estimation tech-niques have 5
Demirjians method. This method is e based on eight stages of
been developed based on the mineralization stage of tooth germs.
tooth mineralization, from calcification of the cusp to clo-sure of
the apex, on the seven left mandibular teeth and each tooth is
Forensic odontology takes advantage of the techniques to aid given a score based on its phase of calcification. All panoramic
in the process of identifying unknown individuals. More-over, radiographs were scored by the author using the criteria set by
dental aging is also a very important measure in the man-agement 5
of immigration to assist in determination of the chronological age Demirjian et al. without the knowledge of patients
in the absence of proper documents. These techniques have also chronological age. The mandibular seven left teeth were scored
been employed to decide when a child can start schooling, the excluding the third molar. Each tooth was rated on an 8-stage
3 scale ranging from A to H depending on the stage of calcification.
earliest age a person can marry, or even go to prison. Each stage of the seven teeth was then allocated a score, and the
sum of the scores gave a calculation of subjects dental maturity.
All age evaluation methods based on dental maturation follow Demirjians developmental stages and self-weighted scores were
the same systematic approach in which estimating age merely used to allocate a tooth stage to the seven left mandibular teeth
implies having oral radiographies, which can be used in live and the maturity scores calcu-lated; then conversion tables were
4
subjects, cadavers, and skeletal remains. Currently, the most used to convert the matura-tion score to a dental age.
5
studied method is the method of Demirjian et al. for forensic age
estimation of children and sub-adults. In addi-tion, many authors The chronological age was determined by subtracting the date
have reported different standards of dental maturation, using
of birth from the date the panoramic radiograph was taken.
Demirjians standard for age estimation (e.g. Australian Peiris
6 7 Chronological ages were sorted according to age groups which
et al. Brazilian Lucio et al. Chinese assisted with classification. Each age group was assigned the same
8 9
Zhao et al. Pakistani Rashna et al. and South Africa range, for example; age group 4 corresponded to an age range of
10 3.54.5 years of age. Age group of 16 years old was not analyzed
Phillips et al. ) In the majority of studies the comparisons have
been made between determined values of the studied pop-ulation because all the children in the group reached a dental score of 100
and French-Canadian standards as reported by Demir-jians. It and the dental age could not be computed.
was recommended that adaptations would be necessary in order to All data analyses including calculation ratios, were com-pleted
5
use this technique in other population groups. using the Excel (Version: 2003, Microsoft, Redmont, USA). The
detailed statistical analysis was completed using the IBM SPSS
In Saudi Arabia, a study has been conducted on a sample of (Version 19).
11
individuals from the city of Riyadh (Middle Region). How-
ever, no studies have been conducted to establish dental devel- 2.3. Reliability inter-examiner
opment studies for forensic age estimation and forensic
application in Western Saudi Arabia. The purpose of this study is
to assess the use of Demirjians method for age estima-tion in Paired t-tests were used to determine the significance of differ-
Western Saudi children (416 years old) and to assess its ences between chronological and estimated ages, for all age
applicability. groups. Statistical significance was set at P < 0.05. Statistical
significance using Wilcoxon Matched Pairs Test for examiner
reliability was calculated and found to be 0.740368. This value is
2. Materials and methods not significant and operator calibration was considered reliable.

2.1. Materials
3. Results
In this study, panoramic radiographs and clinical records of 198
Western Saudi children of known chronological age and gender The panoramic radiographs of 198 children were included in the
were obtained, which included a total of 88 boys and 110 girls, study, and analysis was completed according to age cate-gory and
with age ranging from 4 to 16 years. Digital panora-mic gender. Each age category included a 12-month range of ages. A
radiographs were used. The panoramic radiographs were collected paired t-test was used to assess the significance of the difference
from patients attending dental clinics (from the den-tal center of between chronological age [the real age] and the dental age [the
5
King Fahd Hospital, Jeddah-Western of Saudi Arabia) and all estimation age] according to the method of Demirjian et al.
radiographs formed a part of the patients rou-tine dental (Table 1). The mean difference between the chronological age
treatment (from the clinic of Paedodontics-Orthodontics of health found in Western Saudi Arabian chil-dren, compared to the dental
Saudi individuals). No panoramic radiographs were taken age found in French-Canadian children, ranged from 1.44 to 0.64
primarily for this research project. According to Demirjian the in girls and from 0.66 to 0.77 in boys (Table 1).
presence of pathology, anatomical obstructions and potential
radiographic distortion can be of potential concern when doing In girls, differences were either negative or positive, depend-
age estimation. Therefore all radiographs were checked to ensure ing on age group. The negative values demonstrate age groups 5
these factors were not present. 8 and 1112 were advanced in growth when compared to the
French-Canadian children. Among girls there was a statisti-

18
154 A.M. Alshihri et al.

Table 1 t-Test demonstrating the mean difference between chronological age and estimated age for Western Saudi Arabia boys and girls and
French-Canadian children according to Demirjians. The P-value in the last column was determined using the comparison of mean dental age
of boys and girls in different age groups.
Age group* (n) CA (sd) EA (sd) CAEA dierence (sd) CAEA 95% CI P-value
Girls Mean (SD)
4 3 4.30(0.12) 4.13 (0.66) 0.172 1.24 to 1.58 0.652
5 3 5.38(0.19) 6.83(1.19) 1.44 4.14 to 1.25 0.148
6 6 6.12(0.25) 6.21(1.33) 0.09 1.30 to 1.26 0.854
7 5 7.06(0.31) 7.92(0.25) 0.85 1.29 to 0.41 0.006<
8 13 8.08(0.34) 8.43(0.82) 0.34 0.89 to 0.20 0.192
9 14 9.11(0.31) 9.10(1.37) 0.01 0.89 to 0.92 0.978
10 5 10.15(0.3) 9.34(1.38) 0.81 0.85 to 2.47 0.249
11 13 10.99(0.30) 11.48(0.74) 0.49 0.93 to 0.04 0.033<
12 8 12.05(0.32) 12.16(1.27) 0.11 1.32 to 1.10 0.836
13 3 13.16(0.14) 13.00(0.70) 0.16 1.27 to 1.60 0.668
14 17 14.02(0.26) 13.48(1.57) 0.54 0.29 to 1.37 0.187
15 15 14.96(0.32) 14.32(1.31) 0.64 0.02 to 1.30 0.059<
16 5 16.05(0.29) 15.44(0.76) 0.61 0.08 to 1.30 0.071
Boys Mean (SD)
4 4 4.06(0.21) 4.52(0.69) 0.46 1.24 to 0.31 0.156
5 4 5.02(0.22) 5.47(0.89) 0.45 1.56 to 0.65 0.284
6 9 5.97(0.27) 6.32(1.81) 0.35 1.62 to 0.92 0.545
7 8 7.15(0.24) 7.65(0.59) 0.49 1.04 to 0.05 0.072
8 7 8.25(0.17) 8.19(0.34) 0.66 1.03 to 0.29 0.004<
9 11 9.07(0.28) 8.95(0.60) 0.01 0.30 to 0.54 0.539
10 11 10.03(0.33) 10.10(1.07) 0.07 0.72 to 0.58 0.813
11 7 11.06(0.33) 11.41(0.88) 0.35 1.05 to 0.34 0.263
12 5 12.5(0.33) 11.56(2.86) 0.49 2.85 to 3.83 0.705
13 6 13.19(0.26) 12.41(0.66) 0.77 0.02 to 1.28 0.011<
14 5 14.10(0.35) 13.66(0.71) 0.44 0.65 to 1.53 0.325
15 9 15.07(0.27) 14.78(1.47) 0.28 0.93 to 1.50 0.605
16 2 15.70(0.05) 15.90(0.14) 0.19 0.93 to 0.54 0.188
* An age group of 4.0 would represent individual who are 3.54.5 years of age.
< P value was statistically significant (P < 0.05); Age difference = Chronological Age (CA) minus Estimated Age (EA); CI, Confidence Interval; SD,
Standard Deviation; SE, Standard Error.

cally significant difference (P < 0.05) between the chronologi-cal However, dental age can be estimated based on the level of tooth
age and the estimated age compared to Demirjians results for age mineralization during development process and tooth eruption
13
groups 7, 11, and 15 (Table 1). The greatest accelerated through tooth count. But, tooth eruption and gingi-val
development is observed for the 5 year olds, and the greatest emergence dates vary widely among children of the same
delayed development is for age group 15 years. ethnic background, making it an unreliable method for esti-
1416
In boys, differences were either negative or positive, mating age. Tooth eruption is heavily influenced by envi-
depending on age group. Age groups 48, 1011, and 16 showed ronmental factors such as available space in the dental arch,
a negative mean difference, indicating advance in growth when extraction of deciduous predecessors, tipping, or impaction of
4,15,16
compared to the French-Canadian children. Age groups 9, 1215 teeth. In addition, using tooth eruption and emergence
showed a positive difference, indicating a delayed dental age. only observes a single event in time for each tooth.
There was a statistically significant differ-ence (P < 0.05) The radiographical examination of tooth development stages,
between the chronological age and the dental age compared to including crown and root size, height and length might be
Demirjians results in boys for age groups 8 and 13 only. The considered as a valuable indicator of chronological age for
highest advance is observed for age groups 8 and the greatest Western Saudi populations, given the scarcity of other avail-able
delayed development is for age group 13 years (Table 1). On and reliable age indicators. Examining crown and root growth and
average, for all ages, Western Saudi Arabian girls were 0.059 (sd maturation radio-graphically can be varying due to different
= 1.26) years and the boys 0.66 (sd = 1.14) years ahead of the reasons such as; poor resolution of the radio-graphic images,
French-Canadian children. This result confirmed Demirjians different statistical treatments of the results, and biological
17
standards are at a slight variance when used for Western Saudi variation among various populations studied. In addition to
Arabian children (Table 1). dental age estimation; forensic and clinical inter-pretations
indicate if a child is dentally advanced, average or delayed
18
compared to the reference.
4. Discussion The aim of this study was to present the dental maturity in
Western Saudi children. We compared Demirjians method using
The physiology of human age estimation can be evaluated by the French-Canadian children, and Western Saudi children based on
7,12 their weighted scores. In addition to dental age
degree of maturation of the different tissue systems.

19
Dental Age Assessment Using Demirjians Method for Forensic Dentistry 155

estimation; forensic and clinical interpretations of this indi-cated development assessment based on ethnicity to improve the
if each child was dentally advanced, average or delayed compared 11
accuracy of dental age estimation. This study is in agreement
18
to the reference. Also, it was found to be suitable without with the authors of from numerous studies who demonstrated that
correction factors in our samples (n = 198, Table 1); conducted correction factors be used on different population
18
with Liversidge et al. This study showed that Demirjians on groups.15,16,22
Western Saudi children revealed (in both gen-ders, and either As expected from the literature, this study confirmed over-
negative or positive, depending on the age group) a more estimation of the dental age in Western Saudi children, using the
advanced dental age when compared to French-Canadian children 5
original methods developed by Demirjian and coworkers. This is
from Demirjians study. The mean difference between basically due to different rates of dental development in different
chronological age and estimated age was populations. Numerous studies on children from dif-ferent regions
0.059 (sd = 1.26) years in girls and 0.66 (sd = 1.14) years in boys. have documented a significant difference between average
10,11,15,16,19,20
As expected from the literature, an overes- estimated and average real age for groups of children. This has
timation of chronological age when using the method reported by resulted in some researchers (myself included) suggesting that
Demirjian was mostly found. population specific tooth data are required and questioning the
Three recent studies from Saudi Arabia, two from Riyadh validity of using Demirjians den-tal maturity method to assess
11,20 dental age in other world groups. This has been followed by
region (Al-Emran and Baghdadi) and one from Kuwait
13 numerous modifications of the method by changing the weighted
(Qudeimat and Behbehani) indicate the same results of over-
scores or providing equa-tions to either calculate age from score
estimation when compared with the current study. The child 18
populations in these studies are from the same ancestry, geo- or score from age. However, Demirjians method is widely
graphically close to each other, and exposed to similar dietary and accepted, but there are several limitations and difficulties
2 20 23,24
behavior patterns. Results from Al Emrans study in Saudi associated with the application of this standard.
Arabian children aged from 8.5 to 17 years (N = 490) found that
Saudi childrens ages were overestimated by 0.3 years for boys There are several limitations such as missing teeth or bilat-eral
11
and 0.4 years for girls. The Baghdadi, study results showed that missing teeth (value of zero), leading to inability to calcu-late the
24
for children aged from 4 to 14 years (N = 422) the mean age maturity score. Also, age cannot be precisely evaluated after 16
difference was 0.77 (SD 0.85) for boys and 0.85 (SD 0.79) for years of age; the appreciation of develop-mental stages is difficult
girls. The mean chronological age was 8.89 and the mean dental because the choice of the tooth devel-opmental stage is quite
age was 9.69, indicating an over-aging of the sample by about 10 subjective; and it proved to be applicable in Canadians but not
25
months, which held equally true for both sexes. The mean reliable if applied to other populations. Forensic age estimation
difference found between dental age and chronological age was is only applicable to individuals with healthy normal dental
0.121.21 years for Saudi boys, 0.421.26 years for Saudi girls; walkway. However, this is not always the case in forensic
the differences in the means were statistically significant for all situations (fractures, remains). In the forensic context, the age of a
age groups and genders, except in 8-year-old, 11-year-old, and 25
child or missing individuals must still be determined.
13-year-old boys. Saudi children from the middle region appear to
be significantly more dentally mature than their French-Canadian
11
peers. The study on Kuwaiti children (N = 509); aged from 3 to
5. Conclusion
14 years, also indicated overestimations, and were 0.71 years (SD
13
1.18) for boys and 0.67 years (SD 1.30) for girls. Our results,
show a statistically significant difference (P < 0.05) between the The results demonstrated that Demirjians method produced
chronological age and the estimated age compared to Demirjians significant differences between estimated age and chronologi-cal
results for girls at age groups 7, 11, and 15. The girls were age in the studied group. On average for all ages, Western Saudi
advanced for age groups 58 and 1112. In boys sta-tistically Arabia girls were 0.059 (sd = 1.26) years and the boys 0.66 (sd =
significant difference for age groups 8 and 13 years old, at the 1.14) years ahead of the French-Canadian children. New tables
level of P < 0.05. All these ages indicate that girls and boys were developed in order to convert dental maturity calculation
reached dental age maturity earlier. In the rest of age groups no according to Demirjians method into estimated age of
statistically significant difference was found. A possible contemporary Western Saudi population (significant
explanation for the differences between French-Canadian and overestimation). This result confirmed Demirjians standards are
Western Saudi can be that the sample size was much smaller for at a slight variance when used for Western Saudi Arabian
the Western Saudi study. In addition, it might be attributed to the children. However, the accuracy of Demirjians method is high
different ethnic group and/or effect of the considerable time gap when evaluating young children, because the individuals are still
11
between the two studies on the dental development of these growing, but less so with older children. It is necessary to adapt
20 specific weighted score of studied populations for more efficient
children.
24
age estimation. The results from this study have shown that
The results here confirm the necessity of developing specific Demirjians method has some limitations when used to determine
scores or curves for specific populations, as agreed by most the estimated dental age of Western Saudi Arabian children. For
21 future research, increase in the sample size for all the age ranges
authors. However, the influence of geographic location and
nutritional status in different population groups does necessi-tate to establish new maturity scores and logistic curves for the studied
the evaluation of each individual population group so as to population group and comparison with other Saudi children in
determine the correction factor required for accurate rural communities found in other regions in Saudi Arabia would
chronological age estimation. What is more, age estimation be ideal.
methods try to have different population standards for dental

20
156 A.M. Alshihri et al.

Funding c Zhao J, Ding L, Li R. Study of dental maturity in children aged 3 16


years in Chengdu. Hua Xi Yi Ke Da Xue Xue Bao
1990;21(3):242.
None. d Rashna-Sukhia RH, Fida M. Dental maturity amongst various vertical
and sagittal facial patterns. J Coll Physicians Surg Pak
2010;20(4):225.
Conflict of interest
e Phillips VM, Van Wyk Kotze TJ. Testing standard methods of dental
age estimation by Moorrees, Fanning and Hunt and Demirjian,
The authors declare that there is no conflict regarding this article. Goldstein and Tanner on three South African children samples. J
Forensic Odontostomatol 2009;27(2):208.
f Baghdadi ZD. Dental maturity in Saudi children using the Demirjian
method: a comparative study and new prediction models. Int
Ethical approval Scholarly Res Notices 2013;2013:9.
g Ogodescu AE, Bratu E, Tudor A, Ogodescu A. Estimation of childs
biological age based on tooth development. Romanian J Legal Med
Ethical approval from the Dental Centre of King Fahd Hospi-tal,
2011;19(2):11524.
Ministry of Health, Jeddah, Saudi Arabia (H-02-J-002) and The
h Qudeimat MA, Behbehani F. Dental age assessment for Kuwaiti
University of Western Australia Human Research Ethics children using Demirjians method. Ann Hum Biol 2009;36(6):695
Committee was obtained prior (RA/4/1/4875) to com-mencing 704.
this study. i Nystrom M, Peck L, Kleemola-Kujala E, Evalahti M, Kataja M.
Age estimation in small children: Reference values based on counts of
deciduous teeth in Finns. Forensic Sci Int 2000;110:17988.
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j Willems G. A review of the most commonly used dental age
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Research Center and Committee; Ministry of Health; Jeddah, k Willems G, Van Olmen A, Spiessens B, Carels C. Dental age
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21
Terjemahan
Abstrak Tujuan: Mengembangkan riset tentang pematangan jauh lebih seragam, progresif,
gigi yang digunakan untuk menilai kematangan sequencing, dan terus-menerus daripada letusan
dan usia estimasi di beberapa disiplin seperti gigi, dan kurang dipengaruhi oleh penyakit
pediodontic, ortodontik, endokrinologi pediatrik endokrin, Serikat kekurangan makanan dan
dan odontologi forensik. Tujuannya adalah untuk perubahan lingkungan.Untuk alasan ini,
menentukan penyesuaian statistik diperlukan saat serangkaian teknik estimasi umur telah
usia gigi, menggunakan metode Demirjian untuk dikembangkan berdasarkan tahap mineralisasi
anak-anak Saudi Barat dan remaja antara usia 4 gigi kuman.
dan 16 tahun. Juga, untuk membandingkan
Western sampel populasi Saudi dengan yang asli Odontology forensik mengambil keuntungan dari
Perancis-Kanada. teknik untuk membantu dalam proses
Metode dan bahan: Standar yang paling mengidentifikasi individu-individu yang tidak
umum untuk estimasi usia forensik atau analisis- diketahui. Lebih-lebih, penuaan gigi juga adalah
anak dan sub-orang dewasaadalah dari ukuran yang sangat penting dalam membantu
pengukuran Demirjian et al. (1973), dengan total penentuan usia kronologis dalam kematian yang
198 orang (laki-laki = 88 dan perempuan = tepat. Teknik ini juga telah digunakan untuk
110). Radiografi panoramic digunakan untuk memutuskan kapan seorang anak bisa mulai
mencetak tujuh gigi rahang bawah kiri. sekolah, usia awal seseorang dapat menikah, atau
hasil: Perbedaan rata-rata adalah 1,44- bahkan pergi ke penjara.
0,64 pada anak perempuan dan 0,66-0,77 anak
laki-laki. Di antara gadis-gadis ada perbedaan Semua usia, evaluasi metode yang didasarkan
yang signifikan secara statistik untuk 7, 11, dan pada pematangan gigi mengikuti pendekatan
15 tahun (P <0,05). Ada statistik yang mengalami sistematis yang sama dalam usia yang
perbedaan yang signifikan (P <0,05), anak laki- memperkirakan hanya berarti memiliki lisan
laki untuk kelompok usia 8 dan 13 saja. Rata-rata radiographies, yang dapat digunakan dalam mata
untuk semua usia, dengan hasil gadis Arab Saudi pelajaran hidup, dan mayat Kerangka saat ini,
0.059 (sd = 1,26) tahun dan anak laki-laki 0,66 metode yang paling banyak dipelajari adalah
(sd = 1,14) tahun adalah anak Perancis-Kanada. metode Demirjian et al.Untuk estimasi forensik
usia anak-anak dan orang dewasa. Di PA, banyak
Kesimpulan: tabel baru dikembangkan penulis telah melaporkan standar yang berbeda
untuk mengkonversi jatuh tempo gigi. dari pematangan gigi, menggunakan Demirjian's
perhitungan menurut metode Demirjian ke dalam standar untuk estimasi umur (misalnya Australia
perkiraan umur penduduk Saudi Barat Peiris et al. Brasil-Lucio et al. Cina -Zhao et al.
kontemporer (signifikan harga yg terlalu Pakistan Rashna et al.9 dan Afrika Selatan
tinggi). Untuk penelitian selanjutnya, Phillips et al.10) di sebagian besar studi
peningkatan ukuran sampel untuk semua usia perbandingan telah dibuat antara nilai-nilai yang
rentang untuk mendapat skor kematangan baru ditentukan dari studi populasi dan berhubungan
dan kurva logistik untuk kelompok populasi yang standar seperti yang dilaporkan oleh Demir-jian.
diteliti dan dibandingkan dengan lainnya. Anak- Dianjurkan bahwa adaptasi akan perlu untuk
anak Arab di masyarakat pedesaan yang menggunakan teknik ini di lain kelompok
ditemukan di daerah lain di Arab Saudi akan penduduk.
lebih ideal menjadi responden.
Di Arab Saudi, sebuah penelitian telah dilakukan
Perkiraan umur gigi biasanya didasarkan pada pada sampel individu dari kota Riyadh (wilayah
pematangan gigi. Proses pematangan gigi (gelar tengah). Bagaimana-pernah, ada penelitian yang
cal-cification) berkorelasi berbeda mineralisasi telah dilakukan untuk membangun gigi devel-
tahap morpholog-ical yang dapat diamati opment studi untuk estimasi umur forensik dan
radiographically. Proses forensik aplikasi di Barat Arab Saudi. Tujuan

22
dari penelitian ini adalah untuk menilai perkembangan dan nilai diri tertimbang
menggunakan metode Demirjian's untuk usia digunakan untuk mengalokasikan tahap gigi
estimasi Barat Saudi anak-anak (4 16 tahun) untuk gigi mandibula kiri tujuh dan kedewasaan
dan menilai penerapannya. nilai calcu-laranangan dan saksi; kemudian tabel
konversi yang digunakan untuk mengkonversi
nilai matura-tion usia gigi.
2. bahan dan metode
Usia kronologis ditentukan oleh mengurangi
2.1. bahan tanggal lahir dari tanggal radiograf panorama
diambil. Usia kronologis diurutkan menurut
Dalam studi ini, radiograph panorama dan catatan kelompok umur yang dibantu dengan klasifikasi.
klinis 198 Western Saudi anak usia kronologis Setiap kelompok usia ditugaskan kisaran yang
dikenal dan gender yang diperoleh, yang sama, misalnya; kelompok usia 4 berpadanan
termasuk total 88 anak laki-laki dan perempuan dengan rentang usia 3.5-4.5 tahun. Kelompok
110, dengan usia mulai dari 4 sampai 16 tahun. usia 16 tahun tidak dianalisis karena semua anak-
Digital panora-mic radiograph digunakan. anak dalam kelompok mencapai Skor gigi 100
Radiograph panorama dikumpulkan dari pasien dan usia gigi tidak akan dihitung.
yang menghadiri klinik gigi (dari den-tal pusat
King Fahd rumah sakit, Jeddah-Barat Arab Semua analisis data termasuk perhitungan rasio,
Saudi) dan radiograph semua membentuk bagian yang menggunakan Excel com-pleted (versi:
dari perawatan gigi rou-tine pasien (dari klinik 2003, Microsoft, Redmont, USA). Analisis
Paedodontics-orthodonsi kesehatan individu statistik rinci selesai menggunakan IBM SPSS
Saudi). Radiograph panorama tidak dibawa (versi 19).
terutama untuk proyek penelitian ini. Menurut
Demirjian kehadiran Patologi, anatomi 2.3. Reliabilitas-antar pemeriksa
penghalang dan distorsi radiografi potensial dapat
potensi perhatian ketika melakukan estimasi T-tes pasangan digunakan untuk menentukan
umur. Oleh karena itu semua radiograph pentingnya berbeda-ences antara usia kronologis
diperiksa untuk memastikan faktor-faktor yang dan perkiraan, untuk semua kelompok umur.
tidak hadir. Signifikansi Statistik didirikan di P < 0,05. Statis
Cally perbedaan yang signifikan (P < 0,05) antara
usia chronologi-cal dan estimasi umur
2.2. metode dibandingkan dengan hasil Demirjian's untuk
kelompok umur 7, 11, dan 15 (Tabel 1).
Penilaian umur gigi dilakukan menurut Percepatan pembangunan terbesar diamati untuk
Demirjian's method.5 metode ini adalah e 5 usia tahun, dan perkembangan tertunda terbesar
berdasarkan delapan tahapan gigi mineralisasi, adalah untuk kelompok usia 15 tahun.
dari pengapuran titik puncak untuk clo yakin
puncak, gigi mandibula kiri tujuh dan tiap gigi Anak laki-laki, perbedaan itu negatif atau positif,
diberikan Skor berdasarkan fase pengapuran. tergantung pada kelompok usia. Kelompok usia
Semua panorama radiograph yang dicetak oleh 4-8, 10-11, dan 16 menunjukkan perbedaan
penulis menggunakan kriteria yang ditetapkan berarti negatif, menunjukkan kemajuan dalam
oleh Demirjian et al.5 tanpa pengetahuan tentang pertumbuhan bila dibandingkan dengan anak-
usia kronologis pasien. Gigi kiri tujuh mandibula anak berhubungan. Kelompok umur 9, 12-15
yang mencetak termasuk molar ketiga. Tiap gigi menunjukkan perbedaan positif, menunjukkan
dinilai pada skala 8-tahap mulai dari A hingga H usia gigi yang tertunda. Ada signifikan secara
tergantung pada tahap pengapuran. Setiap tahap statistik berbeda-masa kemerdekaan (P < 0,05)
gigi tujuh kemudian dialokasikan Skor, dan antara usia kronologis dan usia gigi dibandingkan
jumlah dari nilai memberikan perhitungan subjek dengan hasil Demirjian's anak laki-laki untuk
gigi kedewasaan. Demirjian's tahapan

23
kelompok umur 8 dan 13 hanya. Kemajuan forensik dan klinis inter-pretations menunjukkan
tertinggi diamati untuk kelompok umur 8 dan jika seorang anak adalah bentuk giginya maju,
perkembangan tertunda terbesar untuk kelompok rata-rata atau tertunda dibandingkan dengan
usia 13 tahun (Tabel 1). Rata-rata, untuk segala reference.
usia, gadis-gadis Arab Saudi Barat itu 0,059 (sd =
1.26) tahun dan anak laki-laki 0.66 (sd = 1,14) Tujuan dari penelitian ini adalah untuk
tahun ke depan anak-anak berhubungan. Hasil ini menyajikan kematangan gigi pada anak-anak
menegaskan Demirjian's standar di varians Saudi Barat. Kami membandingkan Demirjian's
sedikit ketika digunakan untuk anak-anak Arab metode menggunakan anak-anak berhubungan,
Saudi Barat (Tabel 1). dan anak-anak Saudi Barat didasarkan pada
prestasi tertimbang. Selain gigi umur
4. Diskusi
Umur gigi penilaian menggunakan metode
Fisiologi manusia umur estimasi dapat dievaluasi Demirjian's untuk forensik gigi 155 estimasi;
oleh derajat pematangan berbeda jaringan forensik dan klinis interpretasi ini indi-cated jika
systems. setiap anak adalah bentuk giginya lanjutan, rata-
rata atau tertunda dibandingkan dengan
reference. Juga ternyata cocok tanpa koreksi
Umur gigi dapat diperkirakan berdasarkan pada faktor dalam sampel kami (n = 198, tabel 1);
tingkat gigi mineralisasi selama pengembangan dilakukan dengan Liversidge et al.18 studi ini
proses dan gigi letusan melalui gigi count.13 menunjukkan bahwa Demirjian pada anak-anak
Namun, tanggal munculnya letusan dan gingi-val Saudi Barat terungkap (dalam kedua gen-ders,
gigi bervariasi antara anak-anak yang sama dan negatif atau positif, tergantung pada
kelompok usia) gigi lebih lanjut usia bila
latar belakang etnis, membuat metode yang dapat dibandingkan dengan anak-anak berhubungan
diandalkan untuk kawin esti age.1416 letusan dari Demirjian's studi. Ini berarti perbedaan usia
gigi sangat dipengaruhi oleh tentang konsep kronologis dan perkiraan umur
didaktik matematika
faktor-faktor ronmental seperti ruang yang 0,059 (sd = 1.26) tahun gadis 0.66 (sd = 1,14)
tersedia di arch gigi, tahun anak laki-laki. Seperti yang diharapkan
dari literatur, 10, 11, 15, 16, 19, 20 suatu overes -
ekstraksi gugur pendahulunya, tip atau impaksi
teeth.4,15,16 Selain itu, menggunakan letusan timation dari usia kronologis ketika
gigi dan munculnya menggunakan metode dilaporkan oleh Demirjian
hanya mengamati peristiwa pada waktunya untuk kebanyakan ditemukan.
tiap gigi.
Tiga hari studi dari Saudi, dua dari wilayah
Pemeriksaan radiographical tahap-tahap Riyadh (Al-Emran dan Baghdadi) 11,20 dan satu
pengembangan gigi, termasuk ukuran mahkota dari Kuwait
dan akar, tinggi dan panjang mungkin dianggap (Qudeimat dan Behbehani) 13 menunjukkan hasil
sebagai indikator yang berharga dari usia yang sama over estimasi bila dibandingkan
kronologis untuk populasi Saudi Barat, diberikan dengan penelitian ini. Populasi anak dalam studi
kelangkaan usia dapat berhasil dan dapat ini adalah dari keturunan yang sama, geo-grafis
diandalkan indikator lainnya. Memeriksa dekat satu sama lain, dan terkena serupa Diet dan
mahkota dan akar pertumbuhan dan pematangan perilaku patterns.2 hasil dari Al Emran's20 studi
radio-grafis dapat bervariasi karena alasan yang di Arab Saudi anak berusia 8.5-17 tahun (N =
berbeda seperti; miskin resolusi gambar radio- 490) menemukan bahwa usia anak Saudi yang
grafis, perawatan statistik yang berbeda dari berlebihan oleh 0.3 tahun untuk anak laki-laki
hasil, dan biologis variasi antara berbagai dan 0.4 tahun untuk anak perempuan. Baghdadi,
populasi studied. selain estimasi umur gigi;

24
11 hasil studi menunjukkan bahwa anak-anak
usia 4 hingga 14 tahun (N = 422) perbedaan usia
rata-rata adalah 0.77 (SD 0.85 untuk anak laki-
laki) dan 0.85 (SD 0.79) untuk anak perempuan.
Usia kronologis berarti 8.89 dan gigi usia rata-
rata 9.69, menunjukkan aging over sampel oleh
sekitar 10 bulan, yang diselenggarakan sama
berlaku untuk kedua jenis kelamin. Satu-berarti
perbedaan yang ditemukan antara usia gigi dan
usia kronologis adalah 0,12 1,21 tahun untuk
laki-laki Arab Saudi, 0,42 1.26 tahun untuk
gadis-gadis Arab Saudi; perbedaan dalam cara
yang signifikan secara statistik untuk semua
kelompok umur dan jenis kelamin, kecuali dalam
8 tahun, berusia 11 tahun, dan 13-tahun anak
laki-laki. Saudi anak dari

25

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