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Validation of the Third Molar Maturation Index to estimate the age of criminal responsibility in Northeastern Brazil.
Nóbrega, Johnys Berton Medeiros da; Protasio, Ane Polline Lacerda; Ribeiro, Isabella Lima Arrais; Valença, Ana Maria Gondim; Santiago, Bianca Marques; Cameriere, Roberto.
Afiliação
  • Nóbrega JBMD; Federal University of Paraíba, Campus I, University City, João Pessoa, Paraíba, 58051-900, Brazil. Electronic address: johnysberton@gmail.com.
  • Protasio APL; Federal University of Paraíba, Campus I, University City, João Pessoa, Paraíba, 58033-455, Brazil. Electronic address: anepolline@hotmail.com.
  • Ribeiro ILA; Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, 14049-900, Brazil. Electronic address: isabella_arrais@yahoo.com.
  • Valença AMG; Federal University of Paraíba, Campus I, University City, João Pessoa, Paraíba, 58051-900, Brazil. Electronic address: anamvalenca@gmail.com.
  • Santiago BM; Federal University of Paraíba, Campus I, University City, João Pessoa, Paraíba, 58051-900, Brazil. Electronic address: bianca.santiago@yahoo.com.br.
  • Cameriere R; Agestimation Project, Macerata, 62100, Italy. Electronic address: agestimationproject@gmail.com.
Forensic Sci Int ; 304: 109917, 2019 Nov.
Article em En | MEDLINE | ID: mdl-31421921
The estimation of the age of majority is crucial to determine the legal accountability of an individual. With this purpose, the analysis of the dental development process has proven to be an effective, elucidatory method. This study investigated the applicability of the Third Molar Maturation Index (I3M), proposed by Cameriere et al. (2008), to estimate the age of majority in a sample of Northeastern Brazilians using panoramic radiographs. Adobe® Photoshop® CS4 (Adobe Systems Incorporated, San Jose, California, USA) software was used to obtain the I3M index measurements in a sample of radiographs from a dental radiology clinic located in Northeastern Brazil. Radiographs of individuals aged between 14 and 23 years were included in the sample, except if showing absence, distortions, pathological alterations or suspected pulp impairment of the tooth #38 (third lower left molar), as the method applies exclusively to this element. Of the total sample of radiographs previously obtained for diagnostic and/or orthodontic purposes (n=394), 185 were from males and 209 from females, of which 217 corresponded to 18 year-olds or older and 177 were from minors. Logistic regression and predictive values of sensitivity, specificity and Receiver Operating Characteristic (ROC) curve (α=0.05) were used. The cutoff point originally proposed for the I3M index (0.08) presented a sensitivity of 88.4% and a specificity of 73.2%, with accuracy (area under the ROC curve) of 80.8% (95%CI: 76.4-85.3%) for the Northeastern Brazilian population, as well as a correct age classification in 80.2% of the sample. The method estimated accurately 73.7% of the cases corresponding to "18 years or older" and 88.1% of the cases "under 18years" (p=0.000). Among the sexes, the correct age classification rate of the method was 84.3% for males and 76.6% for females, with no statistically significant difference between the match and error rates and between the sexes (p≥0.05). In conclusion, the Third Molar Maturation Index could accurately distinguish the age of adolescents and young adults of both sexes aged 18 years or under/older in a Brazilian population.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Determinação da Idade pelos Dentes / Ápice Dentário / Dente Serotino Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Forensic Sci Int Ano de publicação: 2019 Tipo de documento: Article País de publicação: Irlanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Determinação da Idade pelos Dentes / Ápice Dentário / Dente Serotino Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Forensic Sci Int Ano de publicação: 2019 Tipo de documento: Article País de publicação: Irlanda