Assessment Of Adult Maxillary Sinus Dimension in Panoramic Radiographs for Sex Determination

Main Article Content

V. Divyadharsini
T.N.Uma Maheswari

Keywords

Adult, Dimension, Maxillary sinus, Panoramic radiographs, Sex determination

Abstract

Aim: The purpose of this study was to analyze right and left maxillary sinus dimensions of adult subjects on panoramic radiographs and their possible application in sex determination.
Background: The human identification process is based on the statistical parameters associated with qualitative and quantitative features such as species, sex, age, height and racial group. The forensic dentistry is closely related to human identification in situations where other means are not indicated or are not applicable. Maxillary sinuses are cavities contained within the maxillary bone, delimited by the orbital floor, nasal wall and alveolar ridge with close proximity to the maxillary posterior teeth roots. Panoramic radiography is one of the most commonly used imaging techniques in forensic dentistry.
Materials And Methods: 100 male and 100 females, aged 18 years or older, were selected. Their panoramic radiographs were evaluated. OPGs with completely formed right & left maxillary sinus and acceptable definition with adequate contrast, density and clarity were included in this study. Radiographs bearing pathologies or malformation and images with positioning errors were excluded.
Results: For female subjects, the mean height and width of the left maxillary sinus were 25.32±3.39 mm and 42.4±4.26 mm, respectively. And the right maxillary sinus was 24.67±4.26mm for height and 43.25±2.83 mm for width. Male subjects were found to have the mean height and width of the left maxillary sinus 29.32±3.43 mm and 47.54±3.42 mm, respectively. And the right maxillary sinus was 28.68±4.38 mm for height and 45.37±4.24 mm for width. There was a statistically significant difference in the height and width of maxillary sinuses between males and females.
Conclusion: Maxillary sinuses dimensions in panoramic radiographic images, such as height and width, can be used for gender determination. Males have greater mean values of height and width, for both sinuses than females. There were no significant differences between right and left maxillary sinuses across genders.

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References

1. Krishan K, Kanchan T, Garg AK. Dental Evidence in Forensic Identification - An Overview, Methodology and Present Status. Open Dent J. 2015 Jul 31;9:250–6.
2. Sujatha G, Muruganandhan J, Vishnu Priya V, Srinivasan MR. Determination of reliability and practicality of saliva as a genetic source in forensic investigation by analyzing DNA yield and success rates: A systematic review. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology. 2019 May 1;31(3):218–27.
3. Silva RF, Franco A, Picoli FF, Nunes FG, Estrela C. Dental Identification Through Endodontic Radiographic Records: a Case
Report. Acta Stomatol Croat. 2014 Jun;48(2):147–50.
4. Staka G, Bimbashi V, Disha M, Dragidella F. Sexual dimorphism in the permanent mandibular canines: A study in Albanian population of Kosovo. Acta Stomatol Croat. 2013 Mar 15;47(1):39–44.
5. Scheuer L. Application of osteology to forensic medicine. Clin Anat. 2002 Jun;15(4):297–312.
6. Saini V, Srivastava R, Rai RK, Shamal SN, Singh TB, Tripathi SK. Mandibular ramus: an indicator for sex in fragmentary mandible. J Forensic Sci. 2011 Jan;56 Suppl 1:S13–6.
7. Parks ET. Cone beam computed tomography for the nasal cavity and paranasal sinuses. Dent Clin North Am. 2014 Jul;58(3):627–51.
8. Schulze R, Krummenauer F, Schalldach F, d’Hoedt B. Precision and accuracy of measurements in digital panoramic radiography. Dentomaxillofac Radiol. 2000 Jan;29(1):52–6.
9. Perella A, Rocha SDS, Cavalcanti M de GP. Quantitative analyses of maxillary sinus using computed tomography. J Appl Oral Sci. 2003 Sep;11(3):229–33.
10. Fernandes CL. Forensic Ethnic Identification of Crania: The Role of the Maxillary Sinus—A New Approach. Am J Forensic Med Pathol. 2004 Dec;25(4):302.
11. Xavier TA, Dias Terada ASS, da Silva RHA. Forensic application of the frontal and maxillary sinuses: A literature review. Journal of Forensic Radiology and Imaging. 2015 Jun 1;3(2):105–10.
12. Leao de Queiroz C, Terada ASSD, Dezem TU, Gomes de Araújo L, Galo R, Oliveira-Santos C, et al. Sex Determination of Adult Human Maxillary Sinuses on Panoramic Radiographs. Acta Stomatol Croat. 2016 Sep;50(3):215–21.
13. Yeo DKL. Distortions in Panoramic Radiographs. 2002. 100 p.
14. Oka H, Asao Y, Ohbayashi N, Nakao N, Ishiuchi N, Fukumoto W, et al. Age estimation using post-mortem computed tomography and fetal dental radiographic findings in an early to mid-pregnancy fetus: A case report. Leg Med . 2023 May;62:102232.
15. Suguna S, Ravindran V. Age and Gender Estimation Using Orthopantomogram In Chennai Population: A Retrospective Digital Study. Int J Dentistry Oral Sci. 2021;8(05):2548–53.
16. Adserias-Garriga J. Age Estimation: A Multidisciplinary Approach. Academic Press; 2019. 244 p.
17. Uthman AT, Al-Rawi NH, Al-Naaimi AS, Al-Timimi JF. Evaluation of maxillary sinus dimensions in gender determination using helical CT scanning. J Forensic Sci. 2011 Mar;56(2):403–8.
18. Teke HY, Duran S, Canturk N, Canturk G. Determination of gender by measuring the size of the maxillary sinuses in computerized tomography scans. Surg Radiol Anat. 2007 Feb;29(1):9–13.
19. Jasim HH, Al-Taei JA. Computed tomographic measurement of maxillary sinus volume and dimension in correlation to the age and gender: Comparative study among individuals with dentate and edentulous maxilla. Journal of Baghdad College of dentistry. 2013;325(2204):1–7.