Comparison of the third molar maturity index (I3M) between left and right lower third molars to assess the age of majority: a multi-ethnic study sample

dc.authoridPandey, Hemlata/0000-0002-7554-1595
dc.authoridMarinkovic, Nemanja/0009-0007-8165-8857
dc.authoridZelic, Ksenija/0000-0002-3582-2878
dc.authoridVelezmoro Montes, Ymelda Wendy/0000-0002-6269-682X
dc.authoridHettiarachchi, Pilana Vithanage Kalani Shihanika/0000-0003-2618-5050
dc.authoridSantos, Ines/0000-0002-6732-4347
dc.authoridMohd Yusof, Mohd Yusmiaidil Putera/0000-0002-5676-3571
dc.contributor.authorAngelakopoulos, N.
dc.contributor.authorGalic, I
dc.contributor.authorBalla, S. B.
dc.contributor.authorKis, H. C.
dc.contributor.authorJimenez, L. Gomez
dc.contributor.authorZolotenkova, G.
dc.contributor.authorYusof, M. Y. P. Mohd
dc.date.accessioned2025-02-24T17:18:45Z
dc.date.available2025-02-24T17:18:45Z
dc.date.issued2021
dc.departmentFakülteler, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Radyolojisi Ana Bilim Dalı
dc.description.abstractThe diagnostic accuracy of the I-3M to assess the legal age of 18 years has already been tested in several specific-population samples. The left lower third molar has been extensively used for discriminating between minors and adults. This research aimed to compare the usefulness of lower third molar maturity indexes, from both left and right side (I3ML and I3MR), in samples originating from four distinct continents in order to examine possible differences in their accuracy values. For this purpose, a sample of 10,181 orthopantomograms (OPGs), from Europe, Africa, Asia and America, was analysed and previously scored in other studies. The samples included healthy subjects with no systemic disorders with both third molars and clear depicted root apices. Wilcoxon Signed Rank test for left and right asymmetry did not show any significant differences. Data about sensitivity, specificity, predictive values, likelihood ratio and accuracy were pooled together and showed similar results for I3ML and I3MR, respectively. In addition, all these quantities were high when only the I3MR was considered to discriminate between adults and minors. The present referable database was the first to pool third molar measurements using panoramic radiographs of subjects coming from different continents. The results highlighted that both I3ML and I3MR are reliable indicators for assessing the legal age of 18 years old in those jurisdictions where this legal threshold has been set as the age of majority.
dc.description.sponsorship[UIDB/00006/2020]; Fundação para a Ciência e a Tecnologia [UIDB/00006/2020] Funding Source: FCT
dc.description.sponsorshipThe authors would like to thank Adriana Santos, Ana Rodrigues and Rui Santos, researchers from the Portuguese Institution CEAUL, under FCT - FundacAo para a Ciencia e a Tecnologia and the project UIDB/00006/2020, and the Clinic of Dentistry at the Universidad Cientifica del Sur (Peru).
dc.identifier.doi10.1007/s00414-021-02656-2
dc.identifier.endpage2436
dc.identifier.issn0937-9827
dc.identifier.issn1437-1596
dc.identifier.issue6
dc.identifier.pmid34228192
dc.identifier.scopus2-s2.0-85109720019
dc.identifier.scopusqualityQ1
dc.identifier.startpage2423
dc.identifier.urihttps://doi.org/10.1007/s00414-021-02656-2
dc.identifier.urihttps://hdl.handle.net/20.500.14440/840
dc.identifier.volume135
dc.identifier.wosWOS:000670192300001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofInternational Journal of Legal Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250201
dc.subjectForensic sciences
dc.subjectDental age estimation
dc.subjectAge of majority
dc.subjectThird molar maturity index (I-3M)
dc.subjectAsymmetry
dc.subjectPopulation data
dc.titleComparison of the third molar maturity index (I3M) between left and right lower third molars to assess the age of majority: a multi-ethnic study sample
dc.typeArticle

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