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Article

An Effective Model for Estimating Age in Unaccompanied Minors under the Italian Legal System

1
Department of Medicine and Health Sciences, agEstimation Project, University of Molise, via Cesare Gazzani, 86100 Campobasso, Italy
2
Department of Law, Institute of Legal Medicine, agEstimation Project, University of Macerata, via Don Minzoni 9, 62100 Macerata, Italy
3
Department of Biomedical Sciences and Public Health, Marche Polytechnic University, via Tronto 10/A, 60020 Ancona, Italy
4
Radiology Unit, Hospital of Macerata, via Santa Lucia 2, 62100 Macerata, Italy
*
Author to whom correspondence should be addressed.
These authors contributed equally to the work.
Healthcare 2023, 11(2), 224; https://doi.org/10.3390/healthcare11020224
Submission received: 9 December 2022 / Revised: 8 January 2023 / Accepted: 9 January 2023 / Published: 11 January 2023
(This article belongs to the Special Issue Old Issues and New Challenges in Forensic and Legal Medicine)

Abstract

This article presents an effective model for estimating the age of subjects without identification documents, in accordance with Italian legislation covering unaccompanied minors, using instrumental methods recognized by the scientific community for age estimation. A decision-making tree has been developed, in which the first step is a physical examination. If secondary sexual characteristics are fully developed and there are no obvious signs of abnormal growth, dental X-rays are the next step. If the roots of the seven left mandibular teeth between the central incisor and the second molar are completely developed, the focus then moves to the third molar. If the index of the third molar (I3M) value is less than 0.08, or if third molars are not assessable, the following step is to study the clavicle which, if fully formed, indicates that the subject is an adult with 99.9% probability; otherwise, the probability is 96%. In all other cases (where the I3M is over 0.08), the probability that the subject has reached 18 years is less than 60%. The research, carried out initially on x-rays of the wrist, teeth and clavicle, highlighted the uselessness of the x-ray of the wrist for determining the age of majority, because in our sample, all subjects with incomplete maturity of hand/wrist bones were under 16 years of age; thus, OPT was necessary anyway. What we propose is a practical, easily feasible, fast, economical, and extremely reliable method, which can be used on Caucasian populations and beyond for multiple forensic purposes.
Keywords: forensic age estimation; hand/wrist X-rays; clavicle X-rays; orthopantomography; open apices; unaccompanied minors forensic age estimation; hand/wrist X-rays; clavicle X-rays; orthopantomography; open apices; unaccompanied minors

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MDPI and ACS Style

Cameriere, R.; Scendoni, R.; Ferrante, L.; Mirtella, D.; Oncini, L.; Cingolani, M. An Effective Model for Estimating Age in Unaccompanied Minors under the Italian Legal System. Healthcare 2023, 11, 224. https://doi.org/10.3390/healthcare11020224

AMA Style

Cameriere R, Scendoni R, Ferrante L, Mirtella D, Oncini L, Cingolani M. An Effective Model for Estimating Age in Unaccompanied Minors under the Italian Legal System. Healthcare. 2023; 11(2):224. https://doi.org/10.3390/healthcare11020224

Chicago/Turabian Style

Cameriere, Roberto, Roberto Scendoni, Luigi Ferrante, Dora Mirtella, Luigi Oncini, and Mariano Cingolani. 2023. "An Effective Model for Estimating Age in Unaccompanied Minors under the Italian Legal System" Healthcare 11, no. 2: 224. https://doi.org/10.3390/healthcare11020224

APA Style

Cameriere, R., Scendoni, R., Ferrante, L., Mirtella, D., Oncini, L., & Cingolani, M. (2023). An Effective Model for Estimating Age in Unaccompanied Minors under the Italian Legal System. Healthcare, 11(2), 224. https://doi.org/10.3390/healthcare11020224

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