Sundika Ishwarkumar

Dr. Sundika Ishwarkumar

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Research Focus & Metrics

Academic Career Length

12Years (2015-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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3 March 2017 in Folia Morphologica
Verified
Journal Article
Open access
SISundika Ishwarkumar
Sundika Ishwarkumar
PPPamela Pillay
Pamela Pillay
MHM. R. Haffajee
M. R. Haffajee
KSK. S. Satyapal
K. S. Satyapal
The identification of an individual from skeletal remains plays a vital role in forensic investigation as it is essential for the identification of the individual's age, sex, and/or race and further analysis. Skeletal characteristics differ from one population group to another since population-specific osteometric standards exist for sex determination. Since the mandible is the largest, strongest and most durable compact facial bone, it is the best preserved after death. While sexual dimorphism of the mandible is indicated by its shape and size, morphometric analysis is more accurate in the determination of sex from the skull. The aim of this study was to evaluate the morphometric parameters of the mandible in the Durban Metropolitan population. Various morphometric parameters of the mandible were measured and assessed in 265 digital panoramic radiographs aged between 16 and 30 years (n = 530). Each parameter recorded was statistically analysed using SPSS to determine if a relationship existed between the parameter, and sex and age. In this study the morphometric parameters of the male mandibles were greater than that of the females. This concurred with the findings of previous studies. The length of the mandibular ramus on the right and left sides was statistically significant with sex. This correlated with previous studies, indicating that the length of the mandibular ramus generally has higher sexual dimorphism than any other morphometric mandibular parameter (p = 0.000). However, only the length of the right mandibular body was statistically significant when compared with sex (p = 0.040). The findings of this study may assist forensic investigators, anatomists, anthropologists and maxillo-facial surgeons.

9 September 2022 in Dentistry Journal
Verified
Journal Article
Open access
PDF file
SISundika Ishwarkumar
Sundika Ishwarkumar
PPPamela Pillay
Pamela Pillay
MCManogari Chetty
Manogari Chetty
KSKapil Sewsaran Satyapal
Kapil Sewsaran Satyapal
Dental age estimation in the living and deceased is a fundamental aspect of forensic sciences, civil cases, medico-legal proceedings and clinical dentistry. Accordingly, this study aimed to validate the accuracy and reproducibility of the London Atlas in a select South African sample of KwaZulu-Natal. In this cross-sectional study, 760 digital panoramic radiographs (n = 760) aged between 5.00 and 23.99 years were retrospectively reviewed through consecutive sampling. Each radiograph was assessed and assigned a dental age in accordance with the London Atlas of Human Tooth Development and Eruption by AlQahtani et al. (2010). The London Atlas overestimated age with a mean difference of −0.85 to −1.26 years in the selected South African sample of KwaZulu-Natal. A statistically significant difference between the chronological and estimated dental ages was recorded. Furthermore, the South African Black and Indian males had a higher overestimation of age than their female counterparts, with a mean difference of 0.13 and 0.07 years, respectively. This overestimation was less in the South African Indian population in comparison to the SA Black population. This outcome resulted in the creation of the KZN population- and sex-specific charts and atlases for the two selected cohorts of KwaZulu-Natal. The KZN Atlases were found to be more accurate in the selected sample, with a mean absolute error of 0.57 years and no statistically significant differences between the chronological and estimated dental ages.

1 March 2016 in International Journal of Morphology
Verified
Journal Article
Open access
PDF file
SISundika Ishwarkumar
Sundika Ishwarkumar
PPPamela Pillay
Pamela Pillay
MHM. R Haffajee
M. R Haffajee
CRC Rennie
C Rennie
Sex determination plays an essential role in forensic anthropology in the identification of an individual from skeletal remains. The aim of the study was to determine sex of an individual using the clavicle in a KwaZulu-Natal population. Various morphometric and morphological parameters were measured using 100 clavicles of known sex (66 male and 34 female) and age (range 25-95 years). The mean maximum length, mid-shaft circumference and maximum breadth of the sternal and acromial ends of the male clavicles were greater in females. However, the mean medial curve of the clavicle was greater in females than in males on both sides, and on the right side the female clavicles also had a greater mean lateral curve than the males. The maximum length and mid-shaft circumference alone could be used to predict sex with an accuracy of 89 %. Therefore, the provision of morphometric data pertaining to the clavicle may assist forensic investigators, anthropologists and anatomists to sex the clavicle.

1 June 2017 in International Journal of Morphology
Verified
Journal Article
Open access
PDF file
SPS Pillay
S Pillay
SISundika Ishwarkumar
Sundika Ishwarkumar
BGB.Z De Gama
B.Z De Gama
PPPamela Pillay
Pamela Pillay
The angle of mandible is formed by the tangent line joining the posterior margin of the ramus and the base of the mandible. The angle of mandible has population-specific characteristics therefore; it is imperative to the field of forensic anthropology for age and sex determination. Literary reports regarding the use of the angle of mandible for age and sex determination vary, as some studies support it, while other studies have documented inefficiencies. Therefore, the aim of this investigation was to document the morphometry of the angle of mandible and to determine if a correlation between the angle of mandible, age and sex exists. Sixty four digital panoramic radiographs (n=128) of individuals between 16-30 years were morphometrically analysed using the Dicom Digital Imaging Software. The data was captured and analysed using the Statistical Package for Social Science (SPSS version 23.0). Despite females having a greater angle of mandible than males, no statistically significant correlation was found between the size of the angle of mandible and sex (p=0.088). The angle of mandible was observed to decrease with advancement of age, however only the 16-19 year age cohort displayed a statistically significant correlation with the size of the angle of mandible (p=0.006). Therefore, this study concluded that the angle of mandible may not be a useful indicator of sex, but may be a reliable indicator of age for individuals between 16-19 years in the eThekwini Metropolitan region.

20 July 2023 in Translational Research in Anatomy
Verified
Journal Article
Open access
SMSherelle Moodley
Sherelle Moodley
SISundika Ishwarkumar
Sundika Ishwarkumar
PPPamela Pillay
Pamela Pillay

8 July 2022 in Dentistry Journal
Verified
Journal Article
Open access
PDF file
SISundika Ishwarkumar
Sundika Ishwarkumar
PPPamela Pillay
Pamela Pillay
MCManogari Chetty
Manogari Chetty
KSKapil Sewsaran Satyapal
Kapil Sewsaran Satyapal
Background: The estimation of an individual’s age is a fundamental component of forensic odontology. Literary reports found that the efficiency of Cameriere methodology for age estimation varied among many population groups. Therefore, this study aimed to determine the applicability of the Cameriere methods to a select South African population of the KwaZulu-Natal (KZN) province. Materials and Methods: This cross-sectional retrospective study was conducted on 840 digital panoramic radiographs that met the inclusion criteria. Dental maturity was determined through the morphometric analysis of the seven left permanent mandibular and maxillary teeth in accordance with Cameriere et al. (2006). Moreover, the dental age was also calculated using the South African Black Bayesian formulae of the Cameriere method by Angelakopoulos et al. (2019). The paired sample t-test or Wilcoxon’s signed rank test assessed the significant difference between the chronological age and estimated dental age for the various formulae. A p-value < 0.05 was considered to be statistically significant. Results: The Cameriere et al. (2006) Italian formula and the South African Black Bayesian formulae of the Cameriere method by Angelakopoulos et al. (2019) underestimated and overestimated age in the South African Black and Indian population groups of the KZN province, respectively. Therefore, the authors generated a novel population-specific regression formulae (including and excluding third molars) using “step-wise regression analysis” and a “best-fit model” for the South African Black and Indian population groups of KZN. Conclusion: This study recommends that the population-specific formulae generated in this study be utilized in the KZN population to improve the accuracy of dental age estimation within this region.