Application of third molar maturity index for Indonesia minimum legal age of marriage: a pilot study.

Abstract

IBackground: Child marriage is recognised as a harmful practice. Recently, Indonesia enacted a new law to raise the minimum age of marriage from 16 to 19 years old for women, creating no minimum age difference between males and females. However, this improvement may be detrimental for individuals in remote areas with no legal documentation and the common practices of age falsification to reach the minimum age of marriage. Therefore, implementing an age estimation technique for juveniles is mandatory to reduce the risk of child marriage.

Methods: this study used the third molar maturity index (I3M) to distinguish an individual under or over 19 years old. I3M values from 222 digital OPGs aged between 15 to 23.99 years were calculated. The sample was randomly assigned as a training dataset (n = 156) and testing dataset (n = 66). The logistic regression model was created using a 5-fold cross-validation method, and the Youden's Index Value was used to establish the I3M cut-off value.

Results: the logistic regression model showed significance in both sex and I3M value for predicting the probability of minimum age of marriage. I3M cut-off values of 0.08 and 0.09 for males and females, respectively, were taken. The accuracy of this test was 80% for both sexes in the testing dataset.

Conclusions: the outcome of this pilot study showed a promising result of using I3M as a dental age estimation method to determine whether an individual is over or under 19 years old to comply with the newly enacted legal age of marriage in Indonesia. Future research should be carried out using a balanced age cohort for each sex and a more extensive training sample size to investigate the influence of sex in the cut-off value calculation.