Accuracy of Cameriere's third molar maturity index in assessing legal adulthood on Serbian population

Zelić, Ksenija; Galić, Ivan; Nedeljković, Nenad; Jakovljević, Aleksandar; Milosevic, Olga; Djurić, Marija; Cameriere, Roberto

doi:10.1016/j.forsciint.2015.12.032

Cited by 44 publications

(30 citation statements)

References 30 publications

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“…Later the specific cut-off value of I3M <0.08 has been tested for different populations [22][23][24][25][26][27][28] , which further confirmed its applicability and reliability.…”

Section: Discussionmentioning

confidence: 85%

“…Cameriere et al 21 presented a method to assess the age of majority, which is based on the relation between real age and the proportions of widths of open apices and the tooth length of third molars. Later the specific cut-off value of I3M <0.08 has been tested for different populations [22][23][24][25][26][27][28] , which further confirmed its applicability and reliability.…”

Section: Discussionmentioning

confidence: 85%

“…In our study, first type error occurred in 9 out of 54 females and 4 out of 41 females, while 1 of the 60 females and 3 of 61 male non-adults had shown second type error. This slightly increased number of incorrectly classified adult females corresponds to the delayed development of the third molars when compared to males 28 . When it comes to an assessment of age in preadolescents, utmost importance must be given not to classify juveniles as adults, since it may lead to unfair treatment of these children in society or institutions and also to many violations such as legal rights, the right to asylum etc.…”

Section: Discussionmentioning

confidence: 99%

“…Cameriere et al 21 have demonstrated the better performance of I3M <0.08 in discriminating adults or juveniles when compared to Demirjian staging (DS) system. The latter was successfully applied in various populations and proven to be a successful method in predicting the age of majority [22][23][24][25][26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

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Validation of third molar maturity index (I 3M ) for discrimination of juvenile/adult status in South Indian population

Balla

Galić

Karunakar

et al. 2017

Journal of Forensic and Legal Medicine

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Abstract:Deliberate falsification of age was considered to be one of the main reasons for forensic age estimation of the living individuals. This posed to be a challenging task during criminal and legal proceedings, and ultimate care must be taken not to classify juveniles as adults. Third molars are the only developing teeth during late adolescence and early adulthood. Our study was designed to analyze the usefulness of the third molar maturity index (I3M) specific cut-off value (I3M <0.08) to discriminate adults (≥ 18 years) and juveniles (<18 years) in South Indian children.216 panoramic radiographs (114 females and 102 males) of living subjects aged between 14 and 21 years were analyzed. Our results demonstrated high sensitivity (83.3% and 90.2%) and specificity (98.3 % and 95.1%) for females and males respectively. The positive likelihood ratios of being adult were 50.00 and 18.35 while the negative likelihood ratios were 0.17 and 0.10 in females and males respectively. The estimated posttest probability was 98.0% in females and 94.8% in males. The obtained results showed that the specific cut-off value of I3M <0.08 may be a useful additional tool in discrimination of individuals who are around 18 years of age.

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“…Later the specific cut-off value of I3M <0.08 has been tested for different populations [22][23][24][25][26][27][28] , which further confirmed its applicability and reliability.…”

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Validation of third molar maturity index (I 3M ) for discrimination of juvenile/adult status in South Indian population

Balla

Galić

Karunakar

et al. 2017

Journal of Forensic and Legal Medicine

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“…Among the numerous legal investigations that can be carried out by the forensic dentist, surveys to estimate age stand out for being of great value in the national and international legal practice, as demonstrated in studies conducted in Canada [2], Colombia [3], Mexico [3], India [4], Serbia [5] and European countries of the Middle East [6].…”

Section: Introductionmentioning

confidence: 99%

Use of the Chronological Dental Mineralization Table of Nicodemo, Moraes and MediciFilho (1974) to Estimate Age by Undergraduate Dentistry Students

Costa¹,

Nóbrega²,

Dantas³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the agreement and applicability of the Chronological Dental Mineralization Table of Nicodemo, Moraes and Medici Filho (1974) to estimate age held by undergraduate Dentistry students at the Federal University of Paraíba. Material and Methods: Field research applied with a sample of 50 students according to inclusion and exclusion criteria. Sequentially, 3 panoramic radiographs were exposed (actual age known only by teachers), and students were instructed to interpret them from the selection of 2-4 teeth under formation. Data were analyzed using SPSS software (Statistical Package for Social Sciences), version 20.0, adopting significance level of 5%. Results: Most students chose 3 teeth, with percentages of 56.0% (n = 28); 38.0% (n = 19) and 58.0% (n = 29) for radiographs 1, 2 and 3, respectively. Teeth selected with greater frequency were: 47 (20.1%, n = 33) and 45 (19.5%, n = 32) -radiography 1; 38 (22.7%, n = 32) and 18 (13.4%, n = 19) -radiography 2; and 47 (17.9%; n = 26) and 36 (13.7%; n = 20) -radiography 3. The agreement between estimated and actual ages was 60.0% for radiography 1, 12.0% for radiography 2 and 32.0% for radiography 3. Age was underestimated in 40.0% (n = 20) and 88.0% (n = 44) in radiographs 1 and 2, respectively. Overestimation of the actual age occurred only in radiography 3 (68.0%; n = 34). The linear regression analysis revealed that it is possible to estimate the actual age from the maximum age stipulated by training students with 88.1% success rate. Conclusion: The method is applicable; however, the correlation between estimated and actual ages varied considerably among radiographs, and maximum estimated values were closer to the actual age than minimum values.

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Accuracy of scoring of the epiphyses at the knee joint (SKJ) for assessing legal adult age of 18 years

et al. 2016

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Important aspects of forensic practice are age estimation and discrimination of individuals of unknown age as adults and minors. The developing knee joint was recognized as a potential site for age examination in late adolescence. We analyzed a sample of anteroposterior x-rays of the knee joints from 446 living individuals from Umbria, Italy (234 males and 212 females), aged between 12 and 26 years. We evaluated the ossification of the distal femoral (DF), proximal tibial (PT), and proximal fibular (PF) epiphyses. We took into account possible persistence of the epiphyseal scars in the ossified epiphyses by the adopted stages of those previously introduced by Cameriere et al. (2012). We also used measurements from all three epiphyses to calculate the total score of maturation for the knee joint (SKJ). Cohen Kappa coefficients of intrarater agreement for staging the DF, PT, and PF epiphyses were 0.839, 0.894, and 0.907, while interrater agreement was 0.919, 0.791, and 0.907, respectively. The resulting receiver operating characteristic (ROC) curves of SKJ show better discriminatory power than those for DF, PT, and PF epiphyses in predicting that the participant, either male or female, was an adult or a minor. The areas under the curves for SKJ were 0.991 and 0.968 vs. 0.944, 0.962, 0.974 and 0.891, 0.910, 0.918 for males and females, respectively. The results of the 2 by 2 contingency tables showed that SKJ score of 4 in males and SKJ score of 5 in females were the most suitable cut-off value in discriminating between adults and minors. Principally, the sensitivity test for males was 0.94, with 95 % confidence interval (95 % CI) 0.90 to 0.97 and specificity was 0.96 (95 % CI 0.91 to 0.98). The proportion of correctly classified individuals was 0.95 (95 % CI 0.91 to 0.97). For females, the sensitivity test was 0.89 (95 % CI 0.84 to 0.92) and specificity was 0.92 (95 % CI 0.87 to 0.96), the proportion of correctly classified individuals was 0.90 (95 % CI 0.85 to 0.94). These results indicate that the SKJ method may give valuable supporting information in forensic procedures for discriminating individuals of legal adult age of 18 years. Further studies should address the usefulness of the SKJ method in different populations.

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Accuracy of Cameriere's third molar maturity index in assessing legal adulthood on Serbian population

Cited by 44 publications

References 30 publications

Validation of third molar maturity index (I 3M ) for discrimination of juvenile/adult status in South Indian population

Validation of third molar maturity index (I 3M ) for discrimination of juvenile/adult status in South Indian population

Use of the Chronological Dental Mineralization Table of Nicodemo, Moraes and MediciFilho (1974) to Estimate Age by Undergraduate Dentistry Students

Accuracy of scoring of the epiphyses at the knee joint (SKJ) for assessing legal adult age of 18 years

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