Age Estimation through Molar Attrition in Korean Population

Abstract

Methods available for estimating the age of a living body are somewhat limited when there is shortage of teeth. This study aimed to determine whether the average stage of attrition (ASA) method published in 1995 by Li and Ji is practical among Koreans in their 50s and 60s. A total of 173 cases using 265 molars from 92 patients in their 50s and 60s who underwent age assessment at the Department of Oral Medicine at Pusan National University Dental Hospital from 2012 to 2022 were analyzed through clinical photographs and diagnostic casts. ASA method was used to determine the average attrition of cusps and calculate the estimated age. There was a moderate correlation between the average attrition of molars and the patients’ actual age. In patients in their 50s and 60s, the error range between the estimated age and the actual age was less than 10 years in 139 of 173 cases (74.56%), and age was underestimated in 147 cases (84.98%). The tendency for age to be underestimated was higher in women than in men. Regression analysis using both the first and second molars showed that the influence of the first molar was greater than that of the second molar. Although the correlation is not very high, considering the limitations of age estimation in the living body, this method may be useful if coupled with another method such as dental radiograph analysis when there is an absolute shortage of available teeth.