Dental Radiographs for Age Estimation in US Asylum Seekers: Methodological, Ethical, and Health Issues

Am J Public Health. 2020 Dec;110(12):1786-1789. doi: 10.2105/AJPH.2020.305918. Epub 2020 Oct 15.

Abstract

Unaccompanied migrant children seeking asylum status in the United States are often forced to undergo dental radiographs, or x-rays, to verify that they are younger than 18 years.The application of third molar dental radiographs is methodologically flawed and should not be employed as a determinant of chronological age. Furthermore, the use of such tests without obtaining informed consent from either the youth or an objective advocate is unethical.Finally, the legal and health consequences of these inappropriately applied tests are severe and jeopardize the safety and security of these vulnerable minors.

MeSH terms

  • Adolescent
  • Age Determination by Teeth / methods*
  • Child
  • Humans
  • Molar, Third / diagnostic imaging
  • Radiography, Dental / adverse effects
  • Radiography, Dental / ethics*
  • Radiography, Dental / methods
  • Refugees*
  • Third-Party Consent / ethics