Skip to main content

Biological vs Legal Age of Living Individuals

  • Chapter
Forensic Anthropology and Medicine

Abstract

The demand of forensic age determination in living individuals deals mostly with juvenile or subadults because in most European countries, the legally relevant age limit ranges between the 14th and 21st year of life. Among the variety of scientific procedures available in age assessment, there is wide agreement that methods based on sexual, skeletal, and dental maturity are suitable. Unfortunately, there are obviously problems with using “age” in a system measuring maturity and therefore, biological age (sexual, dental, or skeletal) does not always correspond to chronological age (legal). None of the modern techniques is both easy to use and practical, as most of them result in a slight over- or underestimation, depending on the applied method, the range of human variation between sex and population, and discrepancies between biological and legal age. The margin of error can be substantial in living individuals, sometimes by as much 2–3 yr either side, or at best, 12 mo, even by combined methods. The physician should use all the available evidence, including multiple maturity indicators, and must approach each case with caution, because the poor correlation between maturity and chronological age represents a fundamental limitation to age-determination practices in forensic settings.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Schmeling, A., Olze, A., Reisinger, W., Geserick, G. Age estimation of living people undergoing criminal proceedings. Lancet 358:89–90, 2001.

    Article  PubMed  CAS  Google Scholar 

  2. United Nations High Commissioner for Refugees. Guidelines on policies and procedures in dealing with unaccompanied children seeking asylum. United Nations High Commissioner for Refugees, Geneva, February 1997.

    Google Scholar 

  3. Schmeling, A., Olze, A., Reisinger, W., Geserick, G. Forensic age estimation of living people undergoing criminal proceedings. Forensic Sci. Int. 144:243–245, 2004.

    Article  PubMed  CAS  Google Scholar 

  4. Vaughan III, C., Litt, I. F. Developmental pediatrics: assessment of growth and development. In: Behrman, R. E., Vaughan III, C., eds., Nelson Textbook of Pediatrics, 13th Ed., WB Saunders, Philadelphia, PA, pp. 24–33, 1987.

    Google Scholar 

  5. Pietrobelli, A., Faith, M. S., Allison, D. B., Gallagher, D., Chiumello, G., Heymsfield, S. B. Body mass index as a measure of adiposity among children and adolescents: a validation study. J. Pediatr. 132:204–210, 1998.

    Article  PubMed  CAS  Google Scholar 

  6. Marshall, W. A., Tanner, J. M. Variations in pattern of pubertal changes in girls. Arch. Dis. Child. 44:291–303, 1969.

    PubMed  CAS  Google Scholar 

  7. Marshall, W. A., Tanner, J. M. Variations in pattern of pubertal changes in boys. Arch. Dis. Child. 45:13–23, 1970.

    Article  PubMed  CAS  Google Scholar 

  8. Feik, S. A., Glover, J. E. Growth of children’s faces. In: Clement, J. G., Ranson, D. L., Ranson, D., eds., Craniofacial Identification in Forensic Medicine. Arnold, London, pp. 203–224, 1998.

    Google Scholar 

  9. Iscan, M. Y., Kennedy, K. A. R. Reconstruction of life from the skeleton. Liss, New York, pp. 109–127; 191-200, 201-222, 1989.

    Google Scholar 

  10. Tanner, J. M., Whitehouse, R. H. Clinical longitudinal standards for height, weight, height velocity and weight velocity and stages of puberty. Arch. Dis. Child. 51:170–179, 1976.

    PubMed  CAS  Google Scholar 

  11. Hammer, L. D., Kraemer, H. C., Wilson, D. M., Ritter, P. L., Dornbusch, S. M. Standardized percentile curves of body-mass index for children and adolescents. Am. J. Dis. Child. 145:259–263, 1991.

    PubMed  CAS  Google Scholar 

  12. Valadian, I., Porter D. Physical Growth and Development from Conception to Maturity. Little Brown, Boston, MA, 1977.

    Google Scholar 

  13. Wright, C. M., Booth, I. W., Buckler, J. M. H., et al. Growth reference charts for use in the United Kingdom. Arch. Dis. Child. 86:11–14, 2002.

    Article  PubMed  CAS  Google Scholar 

  14. Krogman, W. M., Iscan, M. Y. The Human Skeleton in Forensic Medicine. Charles C. Thomas Publisher, Springfield, IL, pp. 50–102, 1986.

    Google Scholar 

  15. Hagg, U., Matsson, L. Dental maturity as an indicator of chronologic age. The accuracy and precision of three methods. Eur. J. Orthod. 7:25–34, 1985.

    PubMed  CAS  Google Scholar 

  16. Mincer, H. H., Harris, E. F., Berryman, H. E. Molar development as an estimator of chronologic age. In: Bowers, C. M., Bell, G. L., eds., Manual of Forensic Odontology, 3rd Ed. American Society of Forensic Odontology, Saratoga Springs, NY, 86–89, 1997.

    Google Scholar 

  17. Mincer, H. H., Harris, E. F., Berryman, H. E. The ABFO study of third molar development and the use as an estimator of chronological age. J. Forensic Sci. 38:379–390, 1993.

    PubMed  CAS  Google Scholar 

  18. Kullman, L., Johanson, G., Akesson, L. Root development of the lower third molar and its relation to chronological age. Swed. Dent. J. 16:161–167, 1992.

    PubMed  CAS  Google Scholar 

  19. Levesque, G.-Y., Demirjian, A., Tanguay, R. Sexual dimorphism in the development, emergence and agenesis of the mandibular third molar. J. Dent. Res. 60:1735–1741, 1981.

    PubMed  CAS  Google Scholar 

  20. Gleiser, I., Hunt, Jr., E. E. The permanent mandibular first molar: its calcification, eruption and decay. Am. J. Phys. Anth. 13:253–281, 1955.

    Article  CAS  Google Scholar 

  21. Demirjian, A., Goldstein, H., Tanner, J. M. A new system of dental age assessment. Hum. Biol. 45:211–227, 1973.

    PubMed  CAS  Google Scholar 

  22. Mesotten, K., Gunst, K., Carbonez, A., Willems, G. Dental age estimation and third molars: a preliminary study. Forensic Sci. Int. 129:110–115, 2002.

    Article  PubMed  CAS  Google Scholar 

  23. Solari, A., Abramovitch, K. The accuracy and precision of third molar development as an indicator of chronological age in Hispanics. J. Forensic Sci. 47:531–535, 2002.

    PubMed  Google Scholar 

  24. Gunst, K., Mesotten, K., Carbonez, A., Willems, G. Third molar root development in relation to chronological age: a large sample sized retrospective study. Forensic Sci. Int. 136:52–57, 2003.

    Article  PubMed  CAS  Google Scholar 

  25. Foti, B., Layls, L, Adalian, P., et al. New forensic approach to age determination in children based on tooth eruption. Forensic Sci. Int. 132:49–56, 2003.

    Article  PubMed  Google Scholar 

  26. Thorson. J., Hagg, U. The accuracy and precision of the mandibular molar as an indicator of chronological age. Swed. Dent. J. 15:15–22, 1991.

    PubMed  CAS  Google Scholar 

  27. Kullman, L. Accuracy of two dental and one skeletal age estimation method in Swedish adolescents. Forensic Sci. Int. 75:225–236, 1995.

    Article  PubMed  CAS  Google Scholar 

  28. Tanner, J. M. Physical growth and development. In: Forfar, J. O., Arnell, C. C. eds., Textbook of Pediatrics, 2nd Ed. Churchill Livingstone, Edinburgh, pp. 249–303, 1978.

    Google Scholar 

  29. Liversidge, H. M., Herdeg, B., Rosing, F. W. Dental age estimation of non-adults: a review of methods and principals. In: Alt, K. W., Rosing, F. W., Teschler-Nicola, M., eds., Dental Anthropology. Fundamentals, Limits and Prospects. Springer, Vienna, pp. 420–422, 1998.

    Google Scholar 

  30. Ubelaker, D. H. The estimation of age at death from immature human bone. In: Iscan, M. Y. Ed., Age Markers in the Human Skeleton. Charles C. Thomas, Springfield, IL, pp. 55–70, 1989.

    Google Scholar 

  31. Lovejoy, C. O., Meindl, R. S., Mensforth, R. P., Barton, T. J. Multifactorial determination of skeletal age at death: a method and blind tests of its accuracy. Am. J. Phys. Anthropol., 68:1–14, 1985.

    Article  PubMed  CAS  Google Scholar 

  32. Rősing, F. W., Kvaal, S. I. Dental age in adults: a review of estimation methods. In: Alt, K. W., Rosing, F. W., Teschler-Nicola, M. eds., Dental Anthropology. Fundamentals, Limits and Prospects. Springer, Vienna, pp. 443–468, 1998.

    Google Scholar 

  33. Helm, S. Relationship between dental and skeletal maturation in Danish schoolchildren. Scand. J. Dent. Res. 98:313–317, 1990.

    PubMed  CAS  Google Scholar 

  34. Cox, L. A. The biology of bone maturation and ageing. Acta Paediatr. 423:S107–S108, 1997.

    Google Scholar 

  35. Zerin, J. M., Hernandez RJ. Approach to skeletal maturation. Hand Clin. 7:53–62, 1991.

    PubMed  CAS  Google Scholar 

  36. Greulich, W. W., Pyle, S. I. Radiographic Atlas of Skeletal Development of the Hand and Wrist, 2nd Ed. Stanford University Press, Stanford, CA, pp. 9–13, 1959.

    Google Scholar 

  37. Ubelaker, D. H. Estimating age at death from immature human skeletons: an overview. J. Forensic Sci. 32:1254–1263, 1987.

    PubMed  CAS  Google Scholar 

  38. Loder, R. T., Estle, D. T., Morrison, K., et al. Applicability of the Greulich and Pyle skeletal age standards to black and white children of today. Am. J. Dis. Child. 147:1329–1333, 1993.

    PubMed  CAS  Google Scholar 

  39. Ontell, F. K., Ivanovic, M., Ablin, D. S., Barlow, T. W. Bone age in children of diverse ethnicity. Am. J. Roentgenol. 167:1395–1398, 1996.

    CAS  Google Scholar 

  40. Mora, S., Boechat, M. I., Pietka, E., Huang, H. K., Gilsanz, V. Skeletal age determinations in children of European and African descent: applicability of the Greulich and Pyle standards. Pediatr. Res. 50:624–628, 2001.

    Article  PubMed  CAS  Google Scholar 

  41. Tanner, J. M., Whitehouse, R. H., Marshall, W. A., Healy, M. J. R., Goldstein, H. Assessment of skeletal maturity and prediction of adult height (TW2 method). Academic, London, 1975.

    Google Scholar 

  42. Acheson, R. M. A method of assessing skeletal maturity from radiographs. A report from Oxford Child Health Survey. J. Anat. 88:498–515, 1954.

    PubMed  CAS  Google Scholar 

  43. Roche, A. F., Johnson, J. M. A comparison between methods of calculating skeletal age (Greulich-Pyle). Am. J. Phys. Anthropol. 30:221–230, 1969.

    Article  PubMed  CAS  Google Scholar 

  44. Roche, A. F., Davila, G. H. The reliability of assessments of the maturity of individual hand-wrist bones. Hum. Biol. 48:585–590, 1976.

    PubMed  CAS  Google Scholar 

  45. Bull, R. K., Edwards, P. D., Kemp, P. M., Fry, S., Hughes, I. A. Bone age assessment: a large scale comparison of the Greulich and Pyle, and Tanner and Whitehouse (TW2) methods. Arch. Dis. Child. 81:172–173, 1999.

    PubMed  CAS  Google Scholar 

  46. King, D. G., Stevenson, D. M., O’Sullivan, M. P., et al. Reproducibility of bone ages when performed by radiology registrars: an audit of Tanner and Whitehouse II versus Greulich and Pyle methods. Br. J. Radiol. 67:848–851, 1994.

    PubMed  CAS  Google Scholar 

  47. Cox, L. A. Tanner-Whitehouse method of assessing skeletal maturity: problems and common errors. Horm. Res, 45:53–55, 1996.

    PubMed  CAS  Google Scholar 

  48. Sorg, M. H., Andrews, R. P., Iscan, M. Y. Radiographic aging of the adult. In: Iscan, M. Y., ed., Age Markers in the Human Skeleton. Charles C. Thomas, Springfield, IL, pp. 169–193, 1989.

    Google Scholar 

  49. Drennen, M. R., Keen, J. A. Identity. In: Gordon, I., Turner, R., Price, T. W., eds., Medical Jurisprudence. Livingston, Edinburgh, pp. 336–372, 1953.

    Google Scholar 

  50. Krogman, W. M., Iscan, M. Y. The human skeleton in forensic medicine. Charles C. Thomas Publisher, Springfield, IL, 458–479, 1986.

    Google Scholar 

  51. Tanner, J. M., Gibbons, R. D. Automatic bone age measurement using computerized image analysis. J Pedriatr. Endocrinol. 7:141–145, 1994.

    CAS  Google Scholar 

  52. Tanner, J. M., Gibbons, R. D. A computerized image analysis system for estimating Tanner-Whitehouse 2 bone age. Horm. Res. 42:282–287, 1994.

    PubMed  CAS  Google Scholar 

  53. Frisch, H., Riedl, S., Waldhor, T. Computer-aided estimation of skeletal age and comparison with bone age evaluations by the method of Greulich-Pyle and Tanner-Whitehouse. Pediatr. Radiol. 26:226–231, 1996.

    Article  PubMed  CAS  Google Scholar 

  54. Niemeijer, M., van Ginneken, B., Maas, C., Beek, F. J. A., Viergever, M. A. Assessing the skeletal age from a hand radiograph: automating the Tanner-Whitehouse method. In: Sonka, M., Fitzpatrick, J. M. eds., Medical Imaging 2003: Image Processing. SPIE, pp. 1197–1205, 2003.

    Google Scholar 

  55. Roche, A. F., Chumlea, W. C., Thissen, D. Assessing the skeletal maturity of the hand-wrist: FELS method. Springfield, IL,: Charles C. Thomas Publisher, 1988.

    Google Scholar 

  56. Gilli, G. The assessment of skeletal maturation. Horm. Res. 45:45–52, 1996.

    Google Scholar 

  57. Tanner, J. M., Healy, M. J. R., Goldstein, H., Cameron, N. Assessment of skeletal maturity and prediction of adult height (TW3 method). Saunders, 2001.

    Google Scholar 

  58. Ferraro, N. F. Comment to the Immigration and Naturalization Service (INS) regarding determination of chronological age using bone age and dental age standards. Public comment on proposed Rule at 64 FR 39759 (INS No. 1906-98) In: From Persecution to Prison: The Health Consequences of Detention for Asylum Seekers. Physicians for Human Rights (PHR), June 2003. Also available on the PHR website at http://www.phrusa.org/campaigns/asylum_network/detention_execSummary/ detention_pdf.pdf. Last accessed on Feb. 15, 2006.

  59. Van Lenthe, F. J., Kemper, H. C., van Mechelen, W. Skeletal maturation in adolescence: a comparison between the Tanner-Whitehouse II and the Fels method. Eur. J. Pediatr. 157:798–801, 1998.

    Article  PubMed  Google Scholar 

  60. Baer, M. J. Growth and maturation. An introduction to physical development. Doyle, Cambridge, MA, 1977.

    Google Scholar 

  61. Schmitt, A., Murail, P., Cunha, E., Rougé, D. Variability of the pattern of aging on the human skeleton: evidence from bone indicators and implications on age at death estimation. J. Forensic Sci. 47:1203–1209, 2002.

    PubMed  Google Scholar 

  62. Johnston, F. E., Zimmer, L. O. Assessment of growth and age in the immature skeleton. In: Iscan, M. Y., Kennedy, K. A. R., eds., Reconstruction of Life from the Skeleton. Liss, New York, NY, pp. 11–40, 1989.

    Google Scholar 

  63. Rona, R., Chinn, S. The national study of health and growth. Oxford University Press, Oxford, 1999.

    Google Scholar 

  64. Kuczmarski, R. J., Ogden, C. L., Guo, S. S., et al. CDC growth charts for the United States: methods and development. Vital Health Stat. 11:1–190, 2002.

    Google Scholar 

  65. Cameron, N. British growth charts for height and weight with recommendations concerning their use in auxological assessment. Ann. Hum. Biol. 29:1–10, 2002.

    Article  PubMed  CAS  Google Scholar 

  66. Ubelaker, D. H. Methodological consideration in the forensic applications of human skeletal biology. In: Katzenberg, M. A., Saunders, S. R. eds., Biological Anthropology of the Human Skeleton. Wiley-Liss, New York, NY, pp. 41–67, 2000.

    Google Scholar 

  67. Himes, J. H. Bone growth and development in protein-calorie malnutrition. World Rev. Nutr. Diet. 28:143–187, 1978.

    PubMed  CAS  Google Scholar 

  68. Schmeling, A., Reisinger, W., Loreck, D., Vendura, K., Markus, W., Geserick, G. Effects of ethnicity on skeletal maturation: consequences for forensic age estimations. Int. J. Legal Med. 113:253–58, 2000.

    Article  PubMed  CAS  Google Scholar 

  69. Olze, A., Schmeling, A., Taniguchi, M., et al. Forensic age estimation in living subjects: the ethnic factor in wisdom tooth mineralization. Int. J. Legal Med. 118:170–173, 2004.

    Article  PubMed  Google Scholar 

  70. Meindl, R. S., Lovejoy, C. O. Ectocranial suture closure: a revised method for the determination of skeletal age at death based on the lateral-anterior sutures. Am. J. Phys. Anthropol. 68:57–66, 1985.

    Article  PubMed  CAS  Google Scholar 

  71. Bedford, M. E., Russel, K. F., Lovejoy, C. O., et al. Test of the multifactorial aging method using skeleton with known age-at-death from the Grant collection. Am. J. Phys. Anthropol. 91:287–297, 1993.

    Article  PubMed  CAS  Google Scholar 

  72. Pfau, R. O., Sciulli, P. W. A method for establishing the age of subadults. J. Forensic Sci. 39:165–176, 1994.

    PubMed  CAS  Google Scholar 

  73. Baccino, E., Ubelaker, D. H., Hayek, L.-A., Zerilli, A. Evaluation of seven methods of estimating age at death from mature human skeletal remains. J. Forensic Sci. 44:931–936, 1999.

    PubMed  CAS  Google Scholar 

  74. Reichs, K. J., Demirjian, A. A multimedia tool for the assessment of age in immature remains: the electronic encyclopedia for maxillo-facial, dental and skeletal development. In: Reichs, K. J., Ed., Forensic Osteology. Advances in the Identification of Human Remains. Charles C. Thomas Publisher, Springfield, IL, pp. 253–267, 1998.

    Google Scholar 

  75. Ritz-Timme, S., Cattaneo, C., Collins, M. J., et al. Age estimation: the state of the art in relation to the specific demands of forensic practise. Int. J. Legal Med. 113:129–136, 2000.

    Article  PubMed  CAS  Google Scholar 

  76. Schmeling, A., Olze, A., Reisinger, W., Konig, M., Geserick, G. Statistical analysis and verification of forensic age estimation of living persons in the Institute of Legal Medicine of the Berlin University Hospital Charité. Legal Med. 5:S367–S371, 2003.

    Article  PubMed  Google Scholar 

  77. Soomer, H., Ranta, H., Lincoln, M. J., Penttila, A., Leibur, E. Reliability and validity of eight dental age. Estimation methods for adults. J. Forensic Sci. 48:149–152, 2003.

    PubMed  Google Scholar 

  78. Pludowski, P., Lebiedowski, M., Lorenc, R. S. Evaluation of the possibility to assess bone age on the basis of DXA derived hand scans preliminary results. Osteoporos Int. 15:317–322, 2004.

    Article  PubMed  Google Scholar 

  79. Watt, I., Faculty of Clinical radiology. Letter ref. BFCR 9 to all Home Clinical radiology Fellows and Members, 1996.

    Google Scholar 

  80. Ritz, S., Stock, R., Schutz, H. W., Kaatsch, H.-J. Age estimation in biopsy specimens of dentin. Int. J. Legal Med. 108:135–139, 1995.

    Article  PubMed  CAS  Google Scholar 

  81. Letter from American Leaders in Dentistry, Medicine, and Psychology Expressing Concern Over Irresponsible Age Determination Practices Affecting the Lives of Young Immigrants, Including Asylum Seekers to the Department of Homeland Security. Available on the Physicians for Human Rights website at http://www.phrusa.org/campaigns/asylum_network/pdf/age-testingletter.pdf. Last accessedv on Feb. 15, 2006.

  82. Maples, W. R. The practical application of age-estimation techniques. In: Iscan, M. Y., Ed., Age Markers in the Human Skeleton. Charles C. Thomas Publishers, Springfield, IL, pp. 319–324, 1989.

    Google Scholar 

  83. Levenson, R., Sharma, A. The health of refugee children. Guidelines for Paediatricians. Royal College of Paediatrics and Child Health, London, 1999.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Humana Press Inc., Totowa, NJ

About this chapter

Cite this chapter

Introna, F., Campobasso, C.P. (2006). Biological vs Legal Age of Living Individuals. In: Schmitt, A., Cunha, E., Pinheiro, J. (eds) Forensic Anthropology and Medicine. Humana Press. https://doi.org/10.1007/978-1-59745-099-7_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-099-7_4

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-824-9

  • Online ISBN: 978-1-59745-099-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics