Estimation of missing mandible from the skull using postmortem CT images.

Skeletal remains often have missing mandibles owing to the environment in which the corpse was placed or damage caused by an animal. Loss of the mandible reduces the accuracy of skull identification. Although several studies have validated methods for estimating mandibular morphology from conventional anthropological measurements using skull specimens, there are no reports using three-dimensional computed tomography (3DCT) images. Here, we examined methods for establishing the mandibular morphology from the remaining skulls using postmortem computed tomography (PMCT) images. We used PMCT images from 200 Japanese subjects as samples. After verifying the morphological correlation between the cranium and mandible, we created and validated estimation models using multiple regression analysis (stepwise method) for seven sites that were necessary for understanding the morphology of the mandible. Among the regression models, the estimated model for bicondylar breadth had the highest coefficient of determination (adjR2 = 0.53). We verified the accuracy of the model on a sample independent from the specimen used to create the estimation model and found that the formulated model of bicondylar breadth had good estimation accuracy, with a high correlation coefficient between the measured and predicted values of 0.82 and a mean absolute error of 3.582 mm, indicating that the model had good estimation accuracy. Here, we established a novel method for estimating the missing mandibular morphology based on PMCT data from the Japanese population. Our estimation model can help determine the missing mandibular morphology in a cranium remnant.