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Modern Adli Bilimlerde Adli Diş Hekimliğinin Rolü: Uygulamalar, Sorumluluklar ve Ortaya Çıkan Eğilimler

Yıl 2025, Cilt: 39 Sayı: 2, 242 - 255, 25.08.2025
https://doi.org/10.61970/adlitip.1744389

Öz

Adli diş hekimliği, diş hekimliği bilimini hukuk sistemiyle birleştiren uzmanlaşmış bir alandır ve insan kimliğinin tespiti, yaş tayini, ısırık izi analizi ile istismar ve ihmal vakalarındaki ağız bulgularının değerlendirilmesinde hayati bir rol oynar. Dişler, dayanıklılıkları ve bozulmaya karşı dirençli yapıları sayesinde, özellikle diğer biyolojik materyallerin bulunamadığı durumlarda, adli soruşturmalarda kritik delil olarak sıkça kullanılır. Bu derleme, adli diş hekimliğinin uygulamaları, yöntemleri, yasal yükümlülükleri ve etik sorumluluklarını kapsamlı bir şekilde ele almaktadır. Dental kayıt karşılaştırması, radyografik değerlendirme ve diş dokularından DNA elde edilmesi gibi temel tekniklerin yanı sıra, hem yaşayan hem de ölmüş bireylerdeki ağız yaralanmalarının yorumlanması konularına da değinilmektedir. İncelemenin önemli bir bölümü, bu alanın yasal ve etik boyutlarına ayrılmıştır. Adli diş hekimleri çoğu zaman bilirkişi olarak görev yapmakta ve birçok ülkede çocuk istismarı ya da ihmali şüphesi içeren durumları bildirmekle yasal olarak yükümlüdür. Bu sorumluluk, özellikle hassas ve korunmasız gruplarda görülen travma veya kötü muameleye işaret eden klinik bulguların tanımlanmasını da kapsamaktadır. Ayrıca, derlemede ısırık izi analizi gibi bazı uygulamaların bilimsel güvenilirliğine ilişkin endişelere ve nesnel standartlar, şeffaf yöntemler ve temkinli yorumlara duyulan gereksinime dikkat çekilmektedir. Adli diş hekimliği adli bilimler açısından kritik öneme sahip olmasına rağmen, Türkiye dahil birçok ülkede hâlâ yeterince gelişmemiş bir alandır ve bağımsız bir uzmanlık dalı olarak resmi olarak tanınmamaktadır. Yapılandırılmış eğitim programlarının, akreditasyon yollarının ve kurumsal entegrasyonun eksikliği, bu alanda tutarlı ve güvenilir uygulamaların önünde önemli bir engel oluşturmaktadır. Gelecekte, bu disiplinin bilimsel geçerlilik, eğitim reformu ve yapay zeka ile dijital görüntüleme gibi yeni teknolojilerin entegrasyonunu öncelik haline getirmesi gerekmektedir. Disiplinler arası iş birliği ve etik temelli yaklaşımlar sayesinde, adli diş hekimliği modern adli bilimlere olan katkısını genişletme potansiyeline sahiptir.

Kaynakça

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The Role of Forensic Odontology in Modern Forensic Science: Applications, Responsibilities and Emerging Trends

Yıl 2025, Cilt: 39 Sayı: 2, 242 - 255, 25.08.2025
https://doi.org/10.61970/adlitip.1744389

Öz

Forensic odontology is a specialized field that integrates dental science with the legal system. It plays a vital role in human identification, age estimation, bite mark analysis, and the assessment of oral findings in cases of abuse and neglect. Teeth often serve as critical evidence in forensic investigations, especially when other biological materials are unavailable. This review provides a comprehensive overview of the applications, methodologies, legal obligations, and ethical responsibilities associated with forensic odontology. It addresses core techniques such as dental record comparison, radiographic evaluation, and DNA extraction from dental tissues, as well as the interpretation of oral injuries in both living and deceased individuals. A significant portion of the review is devoted to the legal and ethical dimensions of the field. Forensic odontologists frequently serve as expert witnesses and are legally mandated to report suspected cases of child abuse or neglect in many jurisdictions. This responsibility extends to the identification of clinical findings suggestive of trauma or mistreatment, particularly in vulnerable populations. The review also highlights concerns regarding the scientific reliability of certain practices, such as bite mark analysis, and the need for objective standards, transparent methodologies, and cautious interpretation. Despite its critical forensic value, forensic odontology remains underdeveloped in many countries, including Türkiye, where it is not formally recognized as a distinct specialty. The lack of structured training programs, accreditation pathways, and institutional integration poses a barrier to consistent and reliable practice. Moving forward, the discipline must prioritize scientific validation, educational reform, and the incorporation of emerging technologies such as artificial intelligence and digital imaging. Ultimately, strengthening scientific standards, establishing formal specialization pathways, and fostering interdisciplinary collaboration will enable forensic odontology to maximize its contribution to modern forensic science.

Kaynakça

  • 1. Prajapati G, Sarode SC, Sarode GS, Shelke P, Awan KH, Patil S. Role of forensic odontology in the identification of victims of major mass disasters across the world: A systematic review. PLoS One 2018;13(6):e0199791.
  • 2. Reesu GV, Augustine J, Urs AB. Forensic considerations when dealing with incinerated human dental remains. J Forensic Leg Med 2015;29:13–7.
  • 3. Avon SL. Forensic odontology: the roles and responsibilities of the dentist. J Can Dent Assoc 2004;70(7):453–8.
  • 4. Stoeckel DC, Merkley PJ, McGivney J. Forensic dental training in the dental school curriculum. J Forensic Sci 2007;52(3):684–6.
  • 5. Miller RG. Forensic odontology in disaster victim identification. J Forensic Sci 2024;69(5):1630–6.
  • 6. Ata-Ali J, Ata-Ali F. Forensic dentistry in human identification: A review of the literature. J Clin Exp Dent 2014;6(2):e162–7.
  • 7. Jayakrishnan JM, Reddy J, Vinod Kumar RB. Role of forensic odontology and anthropology in the identification of human remains. J Oral Maxillofac Pathol 2021;25(3):543–7.
  • 8. Smitha T, Sheethal HS, Hema KN, Franklin R. Forensic odontology as a humanitarian tool. J Oral Maxillofac Pathol 2019;23(1):164.
  • 9. Pradella F, Pinchi V, Focardi M, Grifoni R, Palandri M, Norelli GA. The age estimation practice related to illegal unaccompanied minors immigration in Italy. J Forensic Odontostomatol 2017;35(2):141–8.
  • 10. Manjunatha BS, Soni NK. Estimation of age from development and eruption of teeth. J Forensic Dent Sci 2014;6(2):73–6.
  • 11. Dama N, Forgie A, Mânica S, Revie G. Exploring the degrees of distortion in simulated human bite marks. Int J Legal Med 2020;134(3):1043–9.
  • 12. Al-Amad SH, Awad MA, Al-Farsi LH, Elkhaled RH. Reporting child abuse cases by dentists working in the United Arab Emirates (UAE). J Forensic Leg Med 2016;40:12–5.
  • 13. Sarode GS, Sarode SC, Choudhary S, Patil S, Anand R, Vyas H. Dental records of forensic odontological importance: Maintenance pattern among dental practitioners of Pune city. J Forensic Dent Sci 2017;9(1):48.
  • 14. Forrest A. Forensic odontology in DVI: current practice and recent advances. Forensic Sci Res 2019;4(4):316–30.
  • 15. Khalid K, Yousif S, Satti A. Discrimination potential of root canal treated tooth in forensic dentistry. J Forensic Odontostomatol 2016;34(1):19–26.
  • 16. Forrest AS, Wu HY. Endodontic imaging as an aid to forensic personal identification. Aust Endod J 2010;36(2):87–94.
  • 17. Silva RF, Franco A, Picoli FF, Nunes FG, Estrela C. Dental Identification Through Endodontic Radiographic Records: a Case Report. Acta Stomatol Croat 2014;48(2):147–50.
  • 18. Conceição LD, Ouriques CS, Busnello AF, Lund RG. Importance of dental records and panoramic radiograph in human identification: a case report. Rev Bras Odontol Leg 2018;5(1):68– 75.
  • 19. Emam ِNM. Role of Forensic Odontology in Identification of Persons: A Review Article. Cureus 2024;16(3):e56570. 20. Higgins D, Austin JJ. Teeth as a source of DNA for forensic identification of human remains: a review. Sci Justice 2013;53(4):433–41.
  • 21. Chiam SL, Page M, Higgins D, Taylor J. Validity of forensic odontology identification by comparison of conventional dental radiographs: A scoping review. Sci Justice 2019;59(1):93–101.
  • 22. Bhullar KK, Bhullar RS, Balagopal S, Ganesh A, Rajan M. Evaluation of dental expertise with intra-oral peri-apical view radiographs for forensic identification. J Forensic Dent Sci 2014;6(3):171–6.
  • 23. 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 Forens Radiol Imaging 2013;1(4):201–6.
  • 24. de Souza Gomes MG, Andrade VM, de Medeiros AS, de Souza ACB, Visconti MA. Dental radiographic anatomy analysis for identification of a carbonized body: case report. Rev Cient CRO-RJ Dent J 2020;5(3):54–60.
  • 25. Issrani R, Prabhu N, Sghaireen MG, Ganji KK, Alqahtani AMA, ALJamaan TS, Alanazi AM, Alanazi SH, Alam MK, Munisekhar MS. Cone-beam computed tomography: A new tool on the horizon for forensic dentistry. Int J Environ Res Public Health 2022;19(9):5352.
  • 26. Murphy M, Drage N, Carabott R, Adams C. Accuracy and reliability of cone beam computed tomography of the jaws for comparative forensic identification: a preliminary study. J Forensic Sci 2012;57(4):964–8.
  • 27. Clarkson ME, Marsden PH. The Application of Radiographic Imaging in Forensic Odontology. In: Rutty GN eds. Essentials of Autopsy Practice. Springer, Cham.
  • 28. Manjunath BC, Chandrashekar BR, Mahesh M, Vatchala Rani R. DNA profiling and forensic dentistry--a review of the recent concepts and trends. J Forensic Leg Med 2011;18(5):191–7.
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  • 43. Gümüşboğa ZŞ, Duruk G, Özdemir E, Aydan T, Kırgın AŞ. An investigation of the validity of the Bedek models and Cameriere-European formula used in dental age prediction in Turkish children. BMC Oral Health 2024;24(1):1396.
  • 44. Blenkin MR, Evans W. Age estimation from the teeth using a modified Demirjian system. J Forensic Sci 2010;55(6):1504–8.
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  • 46. Kvaal S, Solheim T. A non-destructive dental method for age estimation. J Forensic Odontostomatol 1994;12(1):6–11.
  • 47. Colard T, Bertrand B, Naji S, Delannoy Y, Bécart A. Toward the adoption of cementochronology in forensic context. Int J Legal Med 2018;132(4):1117–24.
  • 48. Balla SB, Venkat Baghirath P, Hari Vinay B, Vijay Kumar J, Babu DBG. Accuracy of methods of age estimation in predicting dental age of preadolescents in South Indian children. J Forensic Leg Med 2016;43:21–5.
  • 49. Shen S, Liu Z, Wang J, Fan L, Ji F, Tao J. Machine learning assisted Cameriere method for dental age estimation. BMC Oral Health 2021;21(1):641.
  • 50. Franco A, de Oliveira MN, Campos Vidigal MT, Blumenberg C, Pinheiro AA, Paranhos LR. Assessment of dental age estimation methods applied to Brazilian children: a systematic review and meta-analysis. Dentomaxillofac Radiol 2021;50(2):20200128.
  • 51. Yavuz BS, Ekmekcioglu O, Ankarali H. Comparison of different dental age estimation methods with deep learning: Willems, Cameriere-European, London Atlas. Int J Legal Med 2025;139(4):1661–72.
  • 52. Golden GS. Bite-Mark and Pattern Injury Analysis: A Brief Status Overview. J Calif Dent Assoc 2015;43(6):309–14.
  • 53. Hinchliffe J. Forensic odontology, part 4. Human bite marks. Br Dent J 2011;210(8):363–8.
  • 54. Thali MJ, Braun M, Markwalder TH, Brueschweiler W, Zollinger U, Malik NJ, Yen K, Dirnhofer R. Bite mark documentation and analysis: the forensic 3D/CAD supported photogrammetry approach. Forensic Sci Int 2003;135(2):115–21.
  • 55. Christoloukas N, Mitsea A, Rontogianni A, Papadakis E, Angelopoulos C. Evaluation of bitemark analysis’s potential application in forensic identification: A systematic review. Diagnostics (Basel) 2024;14(11):1180.
  • 56. Araújo LG, Recalde TSF, Jacometti V, Costa PB, Silva RHAD. Stability analysis of bitemarks in different conditions of time and temperature and its reliability as evidence in criminal investigations. Braz Dent J 2019;30(3):295–302.
  • 57. Bowers CM. Review of a forensic pseudoscience: Identification of criminals from bitemark patterns. J Forensic Leg Med 2019;61:34–9.
  • 58. Saks MJ, Albright T, Bohan TL, Bierer BE, Bowers CM, Bush MA, Bush PJ, Casadevall A, Cole SA, Denton MB, Diamond SS, Dioso-Villa R, Epstein J, Faigman D, Faigman L, Fienberg SE, Garrett BL, Giannelli PC, Greely HT, Imwinkelried E, Jamieson A, Kafadar K, Kassirer JP, Koehler J’, Korn D, Mnookin J, Morrison AB, Murphy E, Peerwani N, Peterson JL, Risinger DM, Sensabaugh GF, Spiegelman C, Stern H, Thompson WC, Wayman JL, Zabell S, Zumwalt RE. Forensic bitemark identification: weak foundations, exaggerated claims. J Law Biosci 2016;3(3):538–75.
  • 59. Rivera-Mendoza F, Martín-de-Las-Heras S, Navarro-Cáceres P, Fonseca GM. Bite Mark Analysis in Foodstuffs and Inanimate Objects and the Underlying Proofs for Validity and Judicial Acceptance. J Forensic Sci 2018;63(2):449–59.
  • 60. Martin-de las Heras S, Valenzuela A, Ogayar C, Valverde AJ, Torres JC. Computer-based production of comparison overlays from 3D-scanned dental casts for bite mark analysis. J Forensic Sci 2005;50(1):127–33.
  • 61. Domínguez-Rodrigo M, Baquedano E. Distinguishing butchery cut marks from crocodile bite marks through machine learning methods. Sci Rep 2018;8(1):5786.
  • 62. Ferreira MC, Batista AM, Ferreira Fde O, Ramos-Jorge ML, Marques LS. Pattern of oral-maxillofacial trauma stemming from interpersonal physical violence and determinant factors. Dent Traumatol 2014;30(1):15–21.
  • 63. Sarkar R, Ozanne-Smith J, Bassed R. Systematic review of the patterns of orofacial injuries in physically abused children and adolescents. Trauma Violence Abuse 2021;22(1):136–46.
  • 64. Aydin B, Akbas S, Turla A, Dundar C, Yuce M, Karabekiroglu K. Child sexual abuse in Turkey: an analysis of 1002 cases. J Forensic Sci 2015;60(1):61–5.
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  • 66. Naik-Mathuria B, Johnson BL, Todd HF, Donaruma-Kwoh M, Bachim A, Rubalcava D, Vogel AM, Chen L, Escobar MA. Development of the red flag scorecard screening tool for identification of child physical abuse in the emergency department. J Pediatr Surg 2023;58(9):1789–95.
  • 67. American Academy of Pediatric Dentistry. Oral and Dental Aspects of Child Abuse and Neglect. Pediatr Dent 2018;40(6):243–9.
  • 68. Vollú AL, Almeida MLP, Maria de Fátima CV, Gomes CM, Vianna RBDC, Barja-Fidalgo F, Fonseca-Gonçalves A. The dentist as a child abuse informer: a case report. Rev Cient CRO- RJ Dent J 2018;3(1):77–81.
  • 69. Garrocho-Rangel A, Márquez-Preciado R, Olguín-Vivar AI, Ruiz-Rodríguez S, Pozos-Guillén A. Dentist attitudes and responsibilities concerning child sexual abuse. A review and a case report. J Clin Exp Dent 2015;7(3):e428–34.
  • 70. Stoltenborgh M, van Ijzendoorn MH, Euser EM, Bakermans- Kranenburg MJ. A global perspective on child sexual abuse: meta-analysis of prevalence around the world. Child Maltreat 2011;16(2):79–101.
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  • 74. Verma AK, Kumar S, Rathore S, Pandey A. Role of dental expert in forensic odontology. Natl J Maxillofac Surg
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  • 76. AlQahtani S, Bagić IČ, Manica S, Untoro E, Rosie J, Nuzzolese E. Under the lens: Dental expert witnesses in Brazil, Croatia, Indonesia, Italy, Saudi Arabia, and the United Kingdom. J Forensic Dent Sci 2018;10(1):8–17.
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  • 78. Sonbol HN, Abu-Ghazaleh S, Rajab LD, Baqain ZH, Saman R, Al-Bitar ZB. Knowledge, educational experiences and attitudes towards child abuse amongst Jordanian dentists. Eur J Dent Educ 2012;16(1):e158–65.
  • 79. Cheng FC, Wang YL, Chiang CP. Dentists’ responsibility for reporting the abuse of children and adolescents in Taiwan. J Dent Sci 2024;19(2):1301–4.
  • 80. Sarkar R, Ozanne-Smith J, Bassed R. Mandatory reporting of child physical abuse and dental neglect by Australian dentists. Forensic Sci Med Pathol 2020;16(1):134–42.
  • 81. Scendoni R, Mirtella D, Cameriere R, Tomassini L, De Micco F, Baralla F, Cingolani M. Liability and medico-legal implications in estimating the likelihood of having attained 14 years of age in pediatric clinical practice: A pilot study. Healthcare (Basel) 2023;11(23):3047.
  • 82. Bernitz H. The challenges and effects of globalisation on forensic dentistry. Int Dent J 2009;59(4):222–4. 83. Wilson-Wilde L. The international development of forensic science standards - A review. Forensic Sci Int 2018;288:1–9.
  • 84. Espinoza-Silva PV, López-Lázaro S, Fonseca GM. Forensic odontology and dental age estimation research: a scoping review a decade after the NAS report on strengthening forensic science. Forensic Sci Med Pathol 2023;19(2):224–35.
  • 85. Kocaelli H, Kocaelli H, Karaduman F, Karaman F. İstanbul üniversitesi diş hekimliği fakültesi adli dosya arşivi inceleme raporu: adli dental rapor formu önerisi. J Istanbul Univ Fac Dent 2012;43(3-4):75–80.
  • 86. Khanagar SB, Vishwanathaiah S, Naik S, A Al-Kheraif A, Devang Divakar D, Sarode SC, Bhandi S, Patil S. Application and performance of artificial intelligence technology in forensic odontology - A systematic review. Leg Med (Tokyo) 2021;48:101826.
  • 87. Matsuda S, Yoshida H, Ebata K, Shimada I, Yoshimura H. Forensic odontology with digital technologies: A systematic review. J Forensic Leg Med 2020;74:102004.
Toplam 85 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Adli Diş Hekimliği
Bölüm Derleme
Yazarlar

Berkant Sezer 0000-0001-9731-6156

Yayımlanma Tarihi 25 Ağustos 2025
Gönderilme Tarihi 17 Temmuz 2025
Kabul Tarihi 18 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 39 Sayı: 2

Kaynak Göster

Vancouver Sezer B. The Role of Forensic Odontology in Modern Forensic Science: Applications, Responsibilities and Emerging Trends. ATD. 2025;39(2):242-55.

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