Discriminatory ability of cervical vertebral maturation stages in predicting attainment of the legal age threshold of 14 years: A pilot study using lateral cephalograms
Banda Thirupathi Reddy, Komuravelli Anil Kumar, Balla Sudheer B., Korrai Bala Raju, Alluri Kavya, Kondapaneni Jayasurya, Abhyankar Sourab,
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( Banda Thirupathi Reddy ) - Penang International Dental College Department of Prosthodontics
( Komuravelli Anil Kumar ) - Saraswati Dhanwantari Dental College Department of Prosthodontics
( Balla Sudheer B. ) - Panineeya Mahavidyalaya Institute of Dental Sciences Department of Forensic Odontology
( Korrai Bala Raju ) - Anil Neerukonda Institute of Dental Sciences Department of Conservative Dentistry and Endodontics
( Alluri Kavya ) - Panineeya Mahavidyalaya Institute of Dental Sciences Department of Oral Medicine
( Kondapaneni Jayasurya ) - Panineeya Mahavidyalaya Institute of Dental Sciences Department of Oral Medicine
( Abhyankar Sourab ) - Panineeya Mahavidyalaya Institute of Dental Sciences Department of Oral Medicine
Abstract
Purpose: In India, the age of 14 years is the legal age threshold for child labour. Therefore, in suspected instances of child labour, age assessment plays a crucial role in determining whether a violation of the law on the employment of children has occurred. The aim of this retrospective cross-sectional study was to assess the discriminatory ability of stages of cervical vertebral maturation (CVM) in predicting the legal age threshold of 14 years.
Materials and Methods: Routinely taken lateral cephalograms from 408 subjects aged 10 to 18 years were evaluated retrospectively using the CVM stages described by Baccetti et al. Descriptive statistics, accuracy, sensitivity, specificity, positive and negative predictive values, and likelihood ratios were calculated for stages 2, 3, and 4 of CVM.
Results: Real age increased as the CVM stage gradually increased. The results of 2×2 contingency tables showed that CVM stage 4 produced an accuracy of 71% and 73%, a false positive rate of 7% and 18%, and a post-test probability of 59% and 68% for boys and girls, respectively.
Conclusion: Based on these findings, it can be concluded that the stages of CVM are of limited use for predicting the attainment of the legal age threshold of 14 years. Future studies should investigate whether combinations of skeletal and dental methods could achieve better accuracy and post-test probability.
키워드
Cervical Vertebrae; Growth and Development; Age Determination by Skeleton; Child; India
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