RESUMEN
This study aimed to assess the reliability of predictive models for sex estimation based on permanent canine size. A systematic literature review was performed by following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). Six electronic databases were searched as the primary source of information. As a secondary source of information, a manual search was performed to identify additional relevant studies not captured in the initial search. After assessing the methodological quality and risk of bias with the Joanna Briggs Institute Critical Appraisal Tools for Systematic Reviews, the data were subjected to statistical tests for a meta-analysis of diagnostic test accuracy and Higgin's I2 statistic to evaluate the heterogeneity between the eligible studies. The systematic search resulted in 21 studies for qualitative synthesis, and 13 of them were selected for quantitative analysis. The analysis of 25 univariate predictive models showed an estimated sensitivity of 77.2â¯% and specificity of 67.1â¯%. Meta-regression analyses were performed for dental arch, the type of diameter and dental region outcomes for these univariate predictive models. Dental arch (p = 0.029) and the dental region of measurement (p = 0.001) were significant modifiers. The analysis of 25 multivariate predictive models showed an estimated sensitivity of 82.6â¯% and specificity of 70.1â¯%. There were significant methodological limitations and substantial heterogeneity among the included studies. Based on the results, there is insufficient high-quality scientific evidence to support the safe use of predictive models based on permanent canine measurements as the exclusive method for sex estimation in forensic settings.
Asunto(s)
Diente Canino , Odontología Forense , Humanos , Diente Canino/anatomía & histología , Reproducibilidad de los Resultados , Odontología Forense/métodos , Dentición Permanente , Sensibilidad y Especificidad , Odontometría/métodos , Caracteres SexualesRESUMEN
BACKGROUND/PURPOSE: The permanent canine is the most widely used tooth for sex estimation because it is the tooth with the highest degree of sexual dimorphism; however, there are several factors that can limit the analysis (e.g., pathologies, postmortem loss). The aim of this work was to analyse the correlation between the dimensions of the canines and those of the premolars and molars, and evaluate the correspondence of real and predicted canine dimensions by applying the equations developed. MATERIALS AND METHODS: The sample was composed of digital models of 80 adult individuals from Temuco, Chile. The buccolingual and mesiodistal diameters of the canine, premolar and molar dental crowns were measured and Pearson's linear regression analysis was performed in order to determine the correlation between the diameters. The equations obtained from the reference subsample were applied to a validation subsample to predict canine dimensions from the dimensions of the postcanine teeth. RESULTS: Four regression equations were obtained, all for prediction of the size of the lower canines, whose correlation coefficient ranged from 0.701 to 0.738. The regression equations developed with the reference sample were tested on the validation sample using a Student's t-test for paired samples and the intraclass correlation coefficient. The differences between actual dental size and that predicted by the equations were not significantly different, and concordance analysis showed a moderate degree (0.485-0.585). CONCLUSION: There is a limited correlation of canine dimensions with respect to premolars and molars. The correspondence between the actual and predicted canines dimensions is moderate.
RESUMEN
ABSTRACT: We present an integrative review of the literature conducted to find and analyse specific measures for disinfection and/or sterilization of intraoral complex instruments, applicable to intraoral scanners. We performed a two-stage search in the PubMed/MEDLINE, SciELO, REDALYCS, and LILACS databases, and the Google Scholar website, which included full articles in Spanish, Portuguese, and English. The strategy associated the terms 'disinfection', 'biosecurity', 'decontamination', and (a) 'intraoral scanners', and (b) other 'semi-critical' intraoral complex instruments, according to the American Dental Association definition (e.g., 'turbine', etc). Strategy (a) produced just one outcome, whereas (b) produced nine articles, which only suggested low-level disinfectants.The lack of empirically based protocols that allow effective microbiological control makes it necessary to create a new categorization for these instruments when trying to comply with American Dental Association recommendations for dental practice.
RESUMEN: Presentamos una revisión integradora de la literatura realizada para encontrar y analizar medidas específicas de desinfección y / o esterilización de instrumentos complejos intraorales, aplicables a los escáneres intraorales. Realizamos una búsqueda en dos etapas en las bases de datos PubMed / MEDLINE, SciELO, REDALYCS y LILACS, y en el sitio web Google Scholar, que incluía artículos completos en español, portugués e inglés. La estrategia asoció los términos 'desinfección', 'bioseguridad', 'descontaminación' y (a) 'escáneres intraorales', y (b) otros instrumentos complejos intraorales 'semicríticos', según la definición de la Asociación Dental Ameri- cana (p. Ej., 'turbina', etc.). La estrategia (a) produjo un solo resultado, mientras que (b) produjo nueve artículos, que solo sugirieron desinfectantes de bajo nivel. La falta de protocolos de base empírica que permitan un control microbiológico efectivo hace necesario crear una nueva categorización para estos instrumentos, cuando se trata de cumplir con las recomendaciones de la Asociación Dental Americana para la práctica dental.
Asunto(s)
Humanos , Esterilización/métodos , Técnica de Impresión Dental/instrumentación , Control de Infecciones/métodos , Pautas de la Práctica en Odontología/normas , Sociedades Odontológicas , Esterilización/normas , Desinfección/métodos , Centers for Disease Control and Prevention, U.S. , Equipo DentalRESUMEN
El conocimiento de las relaciones anatómicas entre el piso del seno maxilar y los ápices de dientes maxilares posteriores, es muy importante al planificar una terapia endodóntica o cirugías en molares maxilares. Este estudio tiene por objetivo, establecer la distancia existente entre el ápice de la raíz palatina del primer molar superior y el piso del seno maxilar, obtenida de una muestra de 61 tomografías volumétricas Cone beam. Se realizó un estudio observacional transversal, donde se procedió a medir la distancia entre el ápice de la raíz palatina del primer molar superior y el piso del seno maxilar en 61 tomografías volumétricas Cone Beam, obteniendo medidas de un total de 107 raíces palatinas de molares maxilares. Las imágenes fueron almacenadas en formato DICOM y analizadas con el software Sky View Dental Plan en un computador HP Compaq LA1951g Z600 y en su análisis estadístico se utilizó el Programa Stata 11.0. El promedio de distancia registrado entre el ápice de la raíz palatina del primer molar superior y el piso del seno maxilar fue de 1,2 mm. La mayor distancia fue de 12,5 mm y la menor de 0 mm. La medida de 0 mm se presentó en 48 casos y alcanzó al 44,9 % de la muestra. Es frecuente que los ápices radiculares se encuentren dentro del seno maxilar, condición que debe ser de conocimiento clínico, con el objetivo de prevenir al máximo accidentes y complicaciones en las terapias endodónticas.
The knowledge of the anatomical relationships between the floor of the maxillary sinus and the apices of the posterior maxillary teeth is very important when planning an endodontic therapy or surgeries in the area. The objective of this study is to establish the distance between the apex of the palatal root of the first maxillary molar and the floor of the maxillary sinus, in a sample of 61 cone-beam computed tomography. A crosssectional observational study was carried out. We proceeded to measure the distance between the apex of the palatal root of the first upper molar and the floor of the maxillary sinus in 61 conebeam computed tomography, obtaining measurements of a total of 107 first maxillary molar palatal roots. The images were stored in DICOM format and analyzed with the Sky View software and the Stata 11.0. for statistical analysis. The average distance recorded between the apex of the palatal root of the first upper molar and the floor of the maxillary sinus was 1.2 mm. The greatest distance was 12.5 mm and the smallest was 0 mm. The measurement of 0 mm was presented in 48 cases and reached 44.9 % of the sample. It is common for radicular apices to be located within the maxillary sinus. The clinician must know this condition to prevent accidents and complications in the endodontic therapies as much as possible.
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Raíz del Diente/diagnóstico por imagen , Tomografía Computarizada de Haz Cónico , Seno Maxilar/diagnóstico por imagen , Diente Molar/diagnóstico por imagen , Raíz del Diente/anatomía & histología , Factores Sexuales , Estudios Transversales , Factores de Edad , Seno Maxilar/anatomía & histología , Diente Molar/anatomía & histologíaRESUMEN
En las poblaciones humanas recientes existe una patrón de variación geográfico asociado a la morfología del diente. En las últimas décadas se ha generado una notable producción científica en torno al estudio de los rasgos dentales no métricos con el fin de definir los patrones geográficos de los grupos, su historia, origen o estructura, entre otros. Entre las aplicaciones propuestas está la posibilidad del uso de la frecuencia de los diferentes rasgos de expresión en un contexto forense. Se presenta una revisión de la literatura en las bases MEDLINE, SciELO, REDALYC y LILACS. Se incluyeron artículos completos, en español, portugués e inglés, que realicen análisis de rasgos morfológicos dentales en poblaciones sudamericanas actuales (siglos XX y XXI). Los artículos seleccionados fueron evaluados por dos investigadores de manera independiente. Las estrategias de búsqueda permitieron pesquisar 36 estudios con una importante participación de Colombia (tanto en autores como en muestreos), seguida por Chile y Brasil. Si bien estos resultados demuestran una robusta actividad en el ámbito de la antropología dentaria Sudamericana estudiando poblaciones actuales, se sugiere una reevaluación de las metodologías empleadas si se pretende asignar un valor forense a los rasgos dentales morfológicos.
In recent human populations there is a pattern of geographic variation associated to the tooth morphology. In the last decades there has been a remarkable scientific production around the study of non-metric dental traits in order to define the geographic patterns of groups, their history, origin or structure, among others. Between the proposed scopes is the possibility of using the frequency of different traits of expression in a forensic context. We present a review of the literature in MEDLINE, SciELO, and LILACS and REDALYC databases. Full articles in Spanish, Portuguese and English conducting analyzes of dental morphological traits in present South American populations (XX and XXI centuries) were included. Two researchers evaluated the selected articles independently. The search strategies allowed identified 36 studies with a significant participation of Colombia (both authors and samples), followed by Chile and Brazil. While these results demonstrate a robust activity in the field of dental anthropology studying South-American present populations, a reevaluation of the methodologies is suggested if it is to assign a forensic value to dental morphological traits.