Radiographic Dental Treatment Patterns On Panoramic Radiographs as Supportive Markers for Forensic Human Identification

Yessy Andriani Fauziah, Eveline Yulia Darmadi, Dwi Setianingtyas, Emy Khoironi, Fuad Al-Sabri, Farouk Al-Ghazaly, Cindy Hendrawan, Wahyuni Dyah Parmasari

Abstract


Background: Panoramic radiographs provide comprehensive visualization of dental structures and treatment findings that may support forensic human identification through antemortem and postmortem comparisons.Purpose: This study aimed to evaluate radiographic dental treatment patterns on panoramic radiographs and their potential role as supportive markers for forensic human identification. Methods: This retrospective observational study evaluated 100 digital panoramic radiographs of subjects aged 21–40 years obtained from a dental radiology database. Radiographic variables including missing teeth, dental caries, dental restorations, impacted teeth, endodontic treatment, residual roots, and periapical lesions were assessed using standardized radiographic interpretation procedures. Descriptive statistics and Chi-square analysis were performed to evaluate associations between radiographic dental treatment patterns, age group, and sex. Results:Impacted teeth represented the most frequent radiographic finding (84.0%), followed by missing teeth (60.0%) and dental caries (52.0%). Significant associations were identified between age group and dental caries (p=0.048), dental restorations (p=0.036), and impacted teeth (p=0.006). Subjects aged 31–40 years demonstrated higher frequencies of dental caries and dental restorations, whereas impacted teeth were more prevalent among subjects aged 21–30 years. No statistically significant association was identified between sex and radiographic dental treatment patterns (p>0.05). Frequency combination analysis demonstrated considerable variation in radiographic dental treatment combinations among individuals. Conclusion: Panoramic radiographic dental treatment patterns may provide supportive forensic information in human identification because combinations of radiographic findings and previous dental treatment history may demonstrate considerable individual variation.


Keywords


Dental treatment patterns; forensic odontology; forensic radiology; human identification; panoramic radiography

Full Text:

PDF

References


Bianchi I, Focardi M, Grifoni R, Rizzo A, Defraia B, Pinchi V. Dental Identification of Unknown Bodies Through antemortem data taken by Non-Dental X-rays Case reports. Journal of Forensic Odonto-Stomatology. Published online 2021.

Kim J, Evans N, Jiang H, Milne N, Soon A. Utilisation of non-dental radiographs in forensic dental identification of unknown human remains: a Queensland case series. J Forensic Odontostomatol. 2025;43(3). doi:10.5281/zenodo.17776370

Matsuda S, Yoshida H, Ebata K, Shimada I, Yoshimura H. Forensic odontology with digital technologies: A systematic review. J Forensic Leg Med. 2020;74:102004. doi:10.1016/J.JFLM.2020.102004

Ortiz AG, Soares GH, da Rosa GC, Biazevic MGH, Michel-Crosato E. A Pilot Study of an Automated Personal Identification Process: Applying Machine Learning to Panoramic Radiographs. Imaging Sci Dent. 2021;51:1-7. doi:10.5624/isd.20200324

Radu CC, Hogea T, Carașca C, Radu CM. Forensic Odontology in the Digital Era: A Narrative Review of Current Methods and Emerging Trends. Diagnostics. 2025;15(20):2550. doi:10.3390/diagnostics15202550

Fauziah YA, Darmadi EY, Tjandra RR. Integrating Digital Imaging and AI in Forensic Odontology: Enhancing Identification Accuracy and Efficiency. RSF Conference Series: Business, Management and Social Sciences. 2024;4(1):213-219. doi:10.31098/bmss.v4i1.882

Kamburoğlu K. Role of dentomaxillofacial radiology in forensic dentistry. World J Radiol. 2026;18(1). doi:10.4329/wjr.v18.i1.114957

Fauziah YA, Darmadi EY, Budiharjo A, Wahjuningrum DA. Forensic Identification Using Dental Restorations: A Radiographic and Material-Based Perspective. Conservative Dentistry Journal. 2025;15(1). doi:10.20473/cdj.v15i1.2025.1-4

Choi HR, Siadari TS, Kim JE, et al. Automatic detection of teeth and dental treatment patterns on dental panoramic radiographs using deep neural networks. Forensic Sci Res. 2022;7(3):456-466. doi:10.1080/20961790.2022.2034714

Kim YH, Ha EG, Jeon KJ, Lee C, Han SS. A fully automated method of human identification based on dental panoramic radiographs using a convolutional neural network. Dentomaxillofacial Radiology. 2022;51(4). doi:10.1259/dmfr.20210383

Fauziah YA, Bagus Narmada I, Darmadi EY, et al. Integration of Advanced Technology in Forensic Odontology: Revolutionizing Identification and Forensic Analysis. Research J Pharmacy and Technology. 2025;18(7):3250-3257. doi:10.52711/0974-360X.2025.00468

Esfehani M, Ghasemi M, Katiraee A, et al. Forensic Gender Determination by Using Mandibular Morphometric Indices an Iranian Population: A Panoramic Radiographic Cross-Sectional Study. J Imaging. 2023;9(2). doi:10.3390/jimaging9020040

Shumar A. Prevalence of impacted third molars and its associated pathologies among population in Sanaa city – Yemen. International Arab Journal of Dentistry. 2020;11(2). doi:10.65314/2218-0885.1169

Naraynsingh CN, Henry K, Hunte R, Ramlogan N, Bissoon A. Prevalence and Pattern of Tooth Impaction: A Radiographic Study in a Trinidadian Population. Niger J Clin Pract. 2024;27(7):837-843. doi:10.4103/njcp.njcp_779_23

Girijan P, Boedi R, Mânica S, Franco A. The radiographic diversity of dental patterns for human identification — Systematic review and meta-analysis. J Forensic Leg Med. 2023;95. doi:10.1016/j.jflm.2023.102507

Al Subaie A, Alruwili R, Alkhuadher B, Alzawwad S, Alzamil W, Al-Khalifa KS. Assessing the Management and Evaluation of Impacted Wisdom Teeth in a Dental Teaching Hospital. Dent J (Basel). 2025;13(2). doi:10.3390/dj13020069

Santos MJMC, Zare E, McDermott P, Santos Junior GC. Multifactorial Contributors to the Longevity of Dental Restorations: An Integrated Review of Related Factors. Dent J (Basel). 2024;12(9). doi:10.3390/dj12090291

Alamoudi RA. The Role of an Endodontist in Victim Identification: A Narrative Review on Forensic Endodontics. Cureus. Published online 2024. doi:10.7759/cureus.53391

Rauf S, Ali W, Tariq Q, Chaudhry R, Kazmi SS, Imtiaz M. Pattern of mandibular third molar impaction: a radiographic study. Pakistan Oral & Dental Journal. 2019;39(3).

Adetolu A, Ibukun U, Olayinka E, Ikponmwosa E, Samson A, Ojombo A. Prevalence and pattern of mandibular third molar impaction: A 4-year retrospective study of cases seen at a tertiary hospital in Nigeria. Majmaah Journal of Health Sciences. 2026;14(1). doi:10.5455/mjhs.2026.01.012

Salam S, Bary A, Sayed A. Prevalence of impacted teeth and pattern of third molar impaction among Kerala population a cross sectional study. J Pharm Bioallied Sci. 2023;15(5). doi:10.4103/jpbs.jpbs_618_22

Lee HJ, Lee HJ. Sex/Gender Differences in Dental Diseases. In: Sex/Gender-Specific Medicine in Clinical Areas. 2024. doi:10.1007/978-981-97-0130-8_34

Ayyad H, Ghaith H. Oral Hygiene Status and Caries Experiences Among Smoker Male in Associated with Their Knowledge in Benghazi City, Libya. AlQalam Journal of Medical and Applied Sciences. Published online March 31, 2025:380-386. doi:10.54361/ajmas.258155

Siraj SE, George B, Paul SSN. The Relationship Between Socioeconomic Status and Dental Caries Among Adults in India: A Scoping Review. Journal of Research and Health. 2024;14(3). doi:10.32598/JRH.14.3.2338.1

Fauziah YA, Alhadad H, Utama YP. Etika dan Tantangan Penggunaan Kecerdasan Buatan Dalam Kedokteran Gigi. Jurnal Hukum dan Etika Kesehatan. 2024;4(2).




DOI: http://dx.doi.org/10.20527/dentino.v11i2.26268

DOI (PDF): http://dx.doi.org/10.20527/dentino.v11i2.26268.g12535

Article Metrics

Abstract view : 0 times
PDF - 33 times

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Contact Us:
Faculty of Dentistry
Lambung Mangkurat University
Jalan Veteran No. 128 B Banjarmasin, Indonesia

E-mail. [email protected]
Website. fkg.ulm.ac.id

 


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.