Accuracy of the London Atlas to estimate the age of legal majority in a sample of the Amazon Regio

• Flávia Afonso ^[2] ; Debora Moreira ^[3] ; Rizky Boedi ^[1] ; Izabella Goetten ^[2] ; Ernesto Lourenço-Junior ^[4] ; Vanessa Sartori ^[5] ; João-Paulo de Carli ^[5] ; Ademir Franco ^[6]
  1. [1] Diponegoro University

     Diponegoro University

     Indonesia

     
  2. [2] Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Brazil
  3. [3] Division of Oral Radiology, Faculdade São Leopoldo Mandic, Brazil
  4. [4] Medical and Odontological Imaging Clinic (CIMO), Amazonas, Brazil
  5. [5] Department of Dentistry, Federal University of Passo Fundo, Brazil
  6. [6] Division of Forensic Dentistry, Faculdade São Leopoldo Mandic, Brazil; Department of Therapeutic Dentistry, Institute of Dentistry, Sechenov University, Moscow, Russia

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• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 16, Nº. 4 (April), 2024, págs. 472-479
• Idioma: inglés
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• Resumen

  • Estimating the age of majority is a challenging task in forensic odontology, especially because the third molars are usually the only developing teeth between the ages of 16 and 21 years. The London Atlas emerged as an alternative to estimate age using dental development, eruption and deciduous root resorption as parameters. The method has performed well in young age categories, while its performance for age estimation via third molars has been disputed. The present study tested the performance of the London Atlas to estimate the age of legal majority in a sample of individuals from the Amazon Region.

    The sample consisted of 1.256 panoramic radiographs of women (n = 694) and men (n = 562) between 16 and 22.9 years. The method was applied to the maxillary (#28) and mandibular (#38) left third molars. For comparative purposes, the sample was divided into seven age groups: 16├ 16.99; 17├ 17.99; 18├ 18.99; 19├ 19.99; 20├ 20.99; 21├ 21.99; and 22├ 22.99 years. Chronological and estimated ages were compared descriptively by means of mean absolute errors (MAE) and root mean squared errors (RMSE), as well as through Receiver Operating Characteristic (ROC) curves and their area under the curve (AUC).

    The MAE of the age estimates using tooth #28 was 1.76 years for females and 1.52 years for males. When the tooth #38 was used, the MAE for the females and males were 1.68 and 1.51 years, respectively. The MAE and RMSE increased in ascending order between age categories. Tooth #28 led to 74% of correct classifications around the age of legal majority, while tooth #38 reached 77%. The area under the curve was 0.75 for tooth #28 and 0.73 for tooth #38.

    The London Atlas should be used carefully to estimate the age of legal majority and not as a single method when the age threshold is 18 years.