Original scientific paper
https://doi.org/10.15644/asc59/3/7
Use of Lateral Teleradiography in Sex Estimation for Forensic Purposes: a Systematic Review
Isabela Dos Santos Moreira
; Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
*
Ana Elisa Martins Parreira Chaves
; Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
Paulo Henrique Viana Pinto
orcid.org/0000-0003-0945-9566
; Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
Ricardo Henrique Alves Da Silva
orcid.org/0000-0002-1532-1670
; Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil; Department of Stomatology, Public Health and Forensic Odontology, Ribeirão Preto School of Dentistry, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
* Corresponding author.
Abstract
Methods that use lateral teleradiography for sex estimation need to be discussed considering their feasibility and applicability in forensic cases. Purpose: The aim of this study was to conduct a systematic review about the use of lateral teleradiography for sex estimation in adults. Methods: A search was conducted on Embase, PubMed/MEDLINE, Scopus, Lilacs, Scielo, and Web of Science databases. The search results were exported to Rayyan https://www.rayyan.ai/). Subsequently, two independent reviewers applied eligibility criteria to select studies related to the topic, resulting in nine studies. Regarding the risk of bias, the checklist recommended by The Joanna Briggs Institute was applied. The risk of bias in all selected studies was considered low. Results: However, a meta–analysis could not be performed, as there was no standardization in the way the data were presented. Regarding the included studies, it was noted that the samples came from six countries and that the studies presented methodological discrepancies regarding the measurements used in the analyses. As a result, the accuracy rates varied from 56.3% to 99.0%. Conclusion: It is concluded that lateral cephalometric radiography can support sex estimation in adults, especially in settings with limited resources. However, due to variations in measurement methods and landmarks across studies, future research should adopt standardized and more rigorous methodologies to strengthen its scientific validity.
Keywords
Forensic Dentistry; Dental Radiography; Sex Determination by Skeleton; Forensic Odontology; Sex Determination; Cephalometry
Hrčak ID:
335367
URI
Publication date:
15.9.2025.
Visits: 908 *