According to international regulations, unaccompanied minor status determination implies a different set of rights, needs and entitlements than migrant adults. In forensic scenarios, the age assessment of refugee and asylum seekers who do not have reliable documentation is based on the application of different medical and non-medical methods. A multidisciplinary and holistic approach based on a gradual implementation of these methods is recommended worldwide. Many healthcare professionals consider medical age assessment, especially when performed through radiology, highly intrusive and ethically questionable because it is conducted without medical or therapeutic benefits. About dental examination, the evaluation of the third molar development can provide very useful information on the crucial age limit of 18 years. Demirjian’s scoring system and the third molar maturity index (I3 M) developed by Cameriere et al. (2008) are the two most common quantitative methods for dental age estimation. An ethical evaluation of the dental age estimation performed by these radiological methods through the four principles of biomedical ethics (autonomy, beneficence, non-maleficence and justice) is discussed here.

Ethical issues in age assessment by the third molar development

De Micco F.;
2020-01-01

Abstract

According to international regulations, unaccompanied minor status determination implies a different set of rights, needs and entitlements than migrant adults. In forensic scenarios, the age assessment of refugee and asylum seekers who do not have reliable documentation is based on the application of different medical and non-medical methods. A multidisciplinary and holistic approach based on a gradual implementation of these methods is recommended worldwide. Many healthcare professionals consider medical age assessment, especially when performed through radiology, highly intrusive and ethically questionable because it is conducted without medical or therapeutic benefits. About dental examination, the evaluation of the third molar development can provide very useful information on the crucial age limit of 18 years. Demirjian’s scoring system and the third molar maturity index (I3 M) developed by Cameriere et al. (2008) are the two most common quantitative methods for dental age estimation. An ethical evaluation of the dental age estimation performed by these radiological methods through the four principles of biomedical ethics (autonomy, beneficence, non-maleficence and justice) is discussed here.
Medical ethics; age estimation; Cameriere’s method; Demirjian’s system; children’s rights; forensic odontology
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12610/67976
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 7
  • ???jsp.display-item.citation.isi??? ND
social impact