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Dentalna identifikacija endodontskim radiogramima: prikaz slučaja

Rhonan Ferreira Silva   ORCID icon orcid.org/0000-0002-3680-7020 ; Državno sveučilište Goias, Brazil; Policijski forenzički ekspert, State of Goias, Brazil
Ademir Franco   ORCID icon orcid.org/0000-0002-1417-2781 ; Katoličko sveučilište Paraná, Brazil
Fernando Fortes Picoli   ORCID icon orcid.org/0000-0002-7599-085X ; Brazilsko stomatološko društvo State of Goias, Brazil; Policijski forenzički ekspert, State of Goias, Brazil
Fernando Gomes Nunes ; Paulista Sveučilište, State of Goias, Brazil.
Carlos Estrela ; Državno sveučilište Goias, Brazil.

Puni tekst: hrvatski, pdf (162 KB) str. 147-150 preuzimanja: 355* citiraj
APA 6th Edition
Silva, R.F., Franco, A., Picoli, F.F., Nunes, F.G. i Estrela, C. (2014). Dentalna identifikacija endodontskim radiogramima: prikaz slučaja. Acta stomatologica Croatica, 48 (2), 147-150. Preuzeto s https://hrcak.srce.hr/124293
MLA 8th Edition
Silva, Rhonan Ferreira, et al. "Dentalna identifikacija endodontskim radiogramima: prikaz slučaja." Acta stomatologica Croatica, vol. 48, br. 2, 2014, str. 147-150. https://hrcak.srce.hr/124293. Citirano 06.03.2021.
Chicago 17th Edition
Silva, Rhonan Ferreira, Ademir Franco, Fernando Fortes Picoli, Fernando Gomes Nunes i Carlos Estrela. "Dentalna identifikacija endodontskim radiogramima: prikaz slučaja." Acta stomatologica Croatica 48, br. 2 (2014): 147-150. https://hrcak.srce.hr/124293
Harvard
Silva, R.F., et al. (2014). 'Dentalna identifikacija endodontskim radiogramima: prikaz slučaja', Acta stomatologica Croatica, 48(2), str. 147-150. Preuzeto s: https://hrcak.srce.hr/124293 (Datum pristupa: 06.03.2021.)
Vancouver
Silva RF, Franco A, Picoli FF, Nunes FG, Estrela C. Dentalna identifikacija endodontskim radiogramima: prikaz slučaja. Acta stomatologica Croatica [Internet]. 2014 [pristupljeno 06.03.2021.];48(2):147-150. Dostupno na: https://hrcak.srce.hr/124293
IEEE
R.F. Silva, A. Franco, F.F. Picoli, F.G. Nunes i C. Estrela, "Dentalna identifikacija endodontskim radiogramima: prikaz slučaja", Acta stomatologica Croatica, vol.48, br. 2, str. 147-150, 2014. [Online]. Dostupno na: https://hrcak.srce.hr/124293. [Citirano: 06.03.2021.]
Puni tekst: engleski, pdf (162 KB) str. 147-150 preuzimanja: 377* citiraj
APA 6th Edition
Silva, R.F., Franco, A., Picoli, F.F., Nunes, F.G. i Estrela, C. (2014). Dental Identification Through Endodontic Radiographic Records: a Case Report. Acta stomatologica Croatica, 48 (2), 147-150. Preuzeto s https://hrcak.srce.hr/124293
MLA 8th Edition
Silva, Rhonan Ferreira, et al. "Dental Identification Through Endodontic Radiographic Records: a Case Report." Acta stomatologica Croatica, vol. 48, br. 2, 2014, str. 147-150. https://hrcak.srce.hr/124293. Citirano 06.03.2021.
Chicago 17th Edition
Silva, Rhonan Ferreira, Ademir Franco, Fernando Fortes Picoli, Fernando Gomes Nunes i Carlos Estrela. "Dental Identification Through Endodontic Radiographic Records: a Case Report." Acta stomatologica Croatica 48, br. 2 (2014): 147-150. https://hrcak.srce.hr/124293
Harvard
Silva, R.F., et al. (2014). 'Dental Identification Through Endodontic Radiographic Records: a Case Report', Acta stomatologica Croatica, 48(2), str. 147-150. Preuzeto s: https://hrcak.srce.hr/124293 (Datum pristupa: 06.03.2021.)
Vancouver
Silva RF, Franco A, Picoli FF, Nunes FG, Estrela C. Dental Identification Through Endodontic Radiographic Records: a Case Report. Acta stomatologica Croatica [Internet]. 2014 [pristupljeno 06.03.2021.];48(2):147-150. Dostupno na: https://hrcak.srce.hr/124293
IEEE
R.F. Silva, A. Franco, F.F. Picoli, F.G. Nunes i C. Estrela, "Dental Identification Through Endodontic Radiographic Records: a Case Report", Acta stomatologica Croatica, vol.48, br. 2, str. 147-150, 2014. [Online]. Dostupno na: https://hrcak.srce.hr/124293. [Citirano: 06.03.2021.]

Rad u XML formatu

Sažetak
Svrha rada: Željelo se izvijestiti o uspješnoj identifikaciji humanih ostataka na osnovi usporedbe arhivskih, dakle prijesmrtnih (AM) podataka i poslijesmrtnih (PM) endodontskih radiograma. Zbog toga je u tekstu istaknuto koliko je važno spremiti i čuvati dokumente u kliničkim arhivima. Prikaz slučaja: Nakon prometne nesreće dovezeno je neidentificirano tijelo. Odmah je obavljeno forenzično ispitivanje kako bi se ustanovio identitet stradale osobe. Kako u nacionalnoj bazi podataka nije bilo otisaka prstiju, u potrazi za prijesmrtnom (AM) dokumentacijom korišteni su radiogrami privatnih klinika dentalne medicine. Na kraju je poginula osoba identificirana na temelju analize obavljenih endodontskih terapija. Zaključak: Zubni radiogrami važni su kao pravno sredstvo koje podupire zahtjeve forenzičara u svakodnevnoj forenzičnoj praksi. U endodonciji su pak periapikalni radiogrami nezamjenjivi pri odgovarajućoj terapiji. U forenzici su ti radiogrami solidan izvor prijesmrtnih (antemortem – AM) podataka potrebnih za identifikaciju.

Ključne riječi
forenzična stomatologija; forenzična antropologija; stomatološka radiografija; autopsija; zubni karton

Hrčak ID: 124293

URI
https://hrcak.srce.hr/124293

▼ Article Information



Introduction

Currently, an increased trend of lawsuits is observed worldwide. Consequently, the correct registration of clinical procedures becomes more important over time (1). In odontology a detailed description of the treatment plan, practical steps and post-treatment outcomes is essential to support the dentist against potential legal and ethical complaints (2). Moreover, the registration of dental treatment also allows for further comparative techniques in human identification cases (3, 4). To sum up, the registered clinical data play an important part both in the civil and criminal areas of the forensic environment.

In this context, endodontics is a specific branch of odontology, which essentially depends on imaging exams (5). Dental radiographs are the most common source of ante-mortem (AM) evidence for human identification (6). Once the AM data is obtained, the comparison with post-mortem (PM) data is enabled (7, 8). The comparative human identification is usually based on forensic evidence, such as dental treatments and unique morphology (5).

Based on that, the present study reports a case of human identification through the comparison between AM and PM endodontic findings, highlighting the relevance of endodontics as an essential adjuvant to the forensic sciences.

Case report

In 2005, an unknown body, recovered from a traffic accident site, was referred to the Medico-Legal Institute of Goiania, Brazil. The body awaited in the institute for 30 days allowing the relatives to claim it. The relatives did not come forward, and the body was buried as an unknown person. Nevertheless, the PM data of the victim was properly registered for possible human identification needs.

In 2006, six months after the burial, potential relatives of the victim claimed the body, and the exhumation and human identification were performed. The fingerprint identification was not feasible due to the absence of AM fingerprint data, making necessary the search for personal data from previous medical and dental treatments of the victim. The relatives provided dental AM data collected from a private dental clinic. The data consisted of periapical radiographs, dated from 2001 and 2004, related to the endodontic treatment of the maxillary right second pre-molar (#15) (Figure 1); and the maxillary left lateral incisor (#22) (Figure 2). Moreover, the periapical radiographs revealed bilateral pneumatization of the maxillary sinuses in the molar region, and the absence of the maxillary right first molar (#16). Based on that, the PM data was obtained performing periapical radiographs of teeth highlighted AM. The same forensic evidence was detected both AM and PM, resulting in a positive dental identification.

Figure 1 – Comparison of ante-mortem (A: 2001, B: 2004 and C: 2004) and post-mortem (D: 2006) periapical radiographs, highlighting the endodontic treatment of the maxillary right second pre-molar (#15); the pneumatization of the right maxillary sinus in the molar region; and the missing maxillary right first molar (#16).
ASC_48(2)_147-150-f1
Figure 2 – Comparison of ante-mortem (A: 2001 and B: 2004) and post-mortem (C: 2006) periapical radiographs, highlighting the endodontic treatment of the maxillary left lateral incisor (#22).
ASC_48(2)_147-150-f2

Discussion

Dental radiographs are considered the most reliable source of AM data in the human identification field (6). Specifically, dental radiographs allow for a close PM duplication of AM evidence, consequently enabling an optimal comparative procedure. Additionally, root canal treatments are less modified in the clinical routine if compared to dental interventions performed on the dental crown. Thus, endodontic identifiers are maintained for a longer period as forensic tools (6).

In special situations, such as major fire disasters, the dental structures become fragile (9). However, endodontic filling materials remain preserved up to 1100° Celsius, allowing for human identification processes (10). Accordingly, Bonavilla et al (11), 2008, confirmed the preservation of microscopic structural patterns of root sealers and gutta percha exposed to high temperatures.

The practical usefulness of endodontic evidence for human identification was already described by Spyropoulos and Liakakoy (12) in 1990. The authors achieved a positive dental identification based on the endodontic treatment and morphologic outline of a single maxillary right second premolar. In 1996, Weisman (13) corroborated the reliability of AM endodontic records as a forensic tool performing a successful dental human identification. Nowadays, the present study highlights the legal importance of storing and updating clinical records which allow for a positive dental identification based on endodontic treatment. Endodontists must be aware of the proper techniques for optimal radiographic dental assessment, making feasible a PM radiographic duplication for the comparative human identification process.

Conclusion

Despite the constant enhancement of dental techniques, materials and facilities, the conventional radiographs, routinely performed in the clinical practice, are still the most common source of forensic AM data for the human identification process. In this context, endodontics becomes a valuable specialty in the forensic scope, once periapical radiographs are often performed. The present case report illustrates the relevance of properly recording clinical interventions, through dental radiographs, providing a successful case of positive dental human identification based on endodontic findings.

References

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Silva RF, Franco A, Dias PEM, Gonçalves AS, Paranhos LR. Interrelationship between forensic radiology and forensic odontology – a case report of identified skeletal remains. J Forensic Radiol Imag. 2013;1(4):201–6. DOI: http://dx.doi.org/10.1016/j.jofri.2013.06.005

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Hill AJ, Lain R, Hewson I. Preservation of dental evidence following exposure to high temperatures. Forensic Sci Int. 2011 Feb 25;205(1-3):40–3. DOI: http://dx.doi.org/10.1016/j.forsciint.2010.08.011 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/20851540

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Savio C, Merlati G, Danesino P, Fassina G, Menghini P. Radiographic evaluation of teeth subjected to high temperatures: experimental study to aid identification processes. Forensic Sci Int. 2006 May 10;158(2-3):108–16. DOI: http://dx.doi.org/10.1016/j.forsciint.2005.05.003 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/15993019

11 

Bonavilla JD, Bush MA, Bush PJ, Pantera EA. Identification of incinerated root canal filling materials after exposure to high heat incineration. J Forensic Sci. 2008 Mar;53(2):412–8. DOI: http://dx.doi.org/10.1111/j.1556-4029.2007.00653.x PubMed: http://www.ncbi.nlm.nih.gov/pubmed/18298492

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Spyropoulos ND, Liakakoy P. The use of periapical x-rays in the identification of a corpse. Hell Stomatol Chron. 1990 Apr-Jun;34(2):151–6. PubMed: http://www.ncbi.nlm.nih.gov/pubmed/2130043

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Weisman MI. Endodontics – a key to identification in forensic dentistry: report of a case. Aust Endod J. 1996;22(3):9–12.


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