I now have all the information needed. Let me construct the complete medico-legal age estimation report with the modified FDI chart.
MEDICO-LEGAL AGE ESTIMATION REPORT
(Dental Examination - In Reply to Requisition)
To,
The Medical Officer,
Casualty, SJMCH, Puri
Ref: Sea Beach P.S. Case No. 19 Dt. 02/01/2024 U/S 326A IPC
DENTAL EXAMINATION REPORT
Patient: Hadu Suna S/O Bhakta Suna of Court Chakka
Examined by: (Name & Designation of Dental Surgeon)
Place of Examination: SJMCH, Puri
Date of Examination: (imaginary date for assessment)
Referred by: I.I.C. Sea Beach P.S., Puri
STEP 1 - ANALYSIS OF CLUES PROVIDED
The clues state:
- Total number of teeth: 6 in each of all four quadrants (total = 24 teeth present)
- 3rd and 5th tooth in each quadrant are of the temporary (deciduous) set
- Rest are permanent
- No empty sockets in between
STEP 2 - FDI NOTATION SYSTEM (Modified)
In the FDI (Federation Dentaire Internationale) two-digit notation system:
- First digit = Quadrant number (1 = Upper Right, 2 = Upper Left, 3 = Lower Left, 4 = Lower Right)
- Second digit = Tooth position (1 through 8 from midline)
For temporary/deciduous teeth, the FDI notation uses:
- Quadrants 5, 6, 7, 8 (or denoted with a "d" suffix / lowercase)
- In the modified FDI chart, deciduous teeth in mixed dentition are often shown within the same quadrant numbering but distinguished by marking them as "T" (temporary) or encircling them.
STEP 3 - MODIFIED FDI CHART
The examination reveals 6 teeth per quadrant. In FDI terms, positions 1-6 are present in each quadrant (no 7th or 8th/wisdom teeth visible yet). The 3rd and 5th positions in each quadrant are temporary; the 1st, 2nd, 4th, and 6th positions are permanent.
MODIFIED FDI DENTAL CHART
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
UPPER JAW (Maxilla)
UPPER RIGHT (Q1) UPPER LEFT (Q2)
← from midline → ← from midline →
Pos: 6 5 4 3 2 1 | 1 2 3 4 5 6
Tooth: P [T] P [T] P P | P P [T] P [T] P
FDI: 16 (55) 14 (53) 12 11 | 21 22 (63) 24 (65) 26
──────────────────────
MIDLINE
──────────────────────
LOWER RIGHT (Q4) LOWER LEFT (Q3)
Pos: 6 5 4 3 2 1 | 1 2 3 4 5 6
Tooth: P [T] P [T] P P | P P [T] P [T] P
FDI: 46 (85) 44 (83) 42 41 | 31 32 (73) 34 (75) 36
LOWER JAW (Mandible)
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
KEY: P = Permanent tooth
[T] = Temporary / Deciduous tooth (shown in brackets)
( ) = FDI codes for deciduous teeth use 5x, 6x, 7x, 8x series
Tooth-type identification per FDI position:
| Quadrant | Position 1 | Position 2 | Position 3 | Position 4 | Position 5 | Position 6 |
|---|
| UR (Q1) | 11 - Perm. Central Inc. | 12 - Perm. Lateral Inc. | 53 - Temp. Canine | 14 - Perm. 1st Premolar | 55 - Temp. 2nd Molar | 16 - Perm. 1st Molar |
| UL (Q2) | 21 - Perm. Central Inc. | 22 - Perm. Lateral Inc. | 63 - Temp. Canine | 24 - Perm. 1st Premolar | 65 - Temp. 2nd Molar | 26 - Perm. 1st Molar |
| LL (Q3) | 31 - Perm. Central Inc. | 32 - Perm. Lateral Inc. | 73 - Temp. Canine | 34 - Perm. 1st Premolar | 75 - Temp. 2nd Molar | 36 - Perm. 1st Molar |
| LR (Q4) | 41 - Perm. Central Inc. | 42 - Perm. Lateral Inc. | 83 - Temp. Canine | 44 - Perm. 1st Premolar | 85 - Temp. 2nd Molar | 46 - Perm. 1st Molar |
(Highlighted positions 3 and 5 in each quadrant = deciduous/temporary teeth)
STEP 4 - INTERPRETATION & AGE ESTIMATION
Pattern observed: This is a mixed dentition pattern - a stage where both temporary (deciduous) and permanent teeth co-exist.
Reasoning from eruption tables (Parikh's Forensic Medicine; Essentials of Forensic Medicine & Toxicology, 36th ed.):
| Tooth | Eruption (Permanent) | Implication |
|---|
| Position 1 (Central Incisor) - Permanent | 6-8 years | Already erupted → age > 6 yrs |
| Position 2 (Lateral Incisor) - Permanent | 7-9 years | Already erupted → age > 7 yrs |
| Position 3 (Canine) - Still temporary | Permanent canine: 11-12 yrs | Has NOT erupted yet → age < 11 yrs |
| Position 4 (1st Premolar) - Permanent | 9-11 years | Already erupted → age > 9 yrs |
| Position 5 (2nd Premolar) - Still temporary (2nd deciduous molar present) | Permanent 2nd premolar: 10-12 yrs | Has NOT erupted yet → age < 10 yrs |
| Position 6 (1st Molar) - Permanent | 6-7 years | Already erupted → age > 6 yrs |
| Positions 7, 8 absent | 2nd molar: 12-14 yrs; 3rd molar: 17-25 yrs | Has not erupted yet → age < 12 yrs |
Key deductions:
- Permanent 1st premolars (pos. 4) have erupted → age is at least 9-10 years
- Deciduous canines (pos. 3) still present, permanent canine not yet erupted → age is below 11 years
- Deciduous 2nd molars (pos. 5) still present → age is below 10-12 years
- No 2nd or 3rd permanent molars → age is below 12 years
- No empty sockets confirms teeth are still in situ, not shed
STEP 5 - OPINION ON AGE
Estimated Age: Between 9 to 11 years
Based on the dental examination findings - specifically the mixed dentition pattern with permanent incisors (positions 1, 2), 1st premolars (position 4), and 1st molars (position 6) having erupted, while deciduous canines and second molars (positions 3 and 5) are still retained, and the absence of 2nd permanent molars - the subject Hadu Suna is estimated to be between 9 and 11 years of age, most likely approximately 10 years old at the time of examination.
The above estimation carries a margin of error of ±1 year due to individual biological variation, nutritional, and environmental factors.
STEP 6 - MEDICO-LEGAL SIGNIFICANCE
- The subject is a minor (below 18 years)
- This is relevant under the Protection of Children from Sexual Offences Act (POCSO) and for proceedings under the Juvenile Justice Act
- Age estimation from dental development is considered the most reliable method in children up to ~14-16 years (more reliable than skeletal age)
- Under Section 326A IPC (the referred section), establishing minority of the victim is a significant legal consideration
Signature: ___________________________
Name & Designation: (Dental Surgeon / Forensic Medicine Expert)
Registration No.: ___________________
Institution: SJMCH, Puri
Date: ___________________
Stamp/Seal: ___________________
Sources:
- Parikh's Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology - Tables on eruption timings of temporary and permanent teeth
- The Essentials of Forensic Medicine and Toxicology, 36th ed. (2026) - Table 4.9: Calcification and eruption of permanent teeth; APSRTC method for adults