The Utilization of Radiology in Forensic Odontology

Öz

Forensic dentistry is an important branch of forensic sciences. Radiology and radiological records are utilized in numerous subjects like identification determination, fact finding, determination of age and gender not in the field of forensic medicine, but also in the field of forensic dentistry. As radiological records light the way for either determination of current status or comparison of the past and current status, they constitute one of the most important assesment criteria of both forensic medicine and forensic dentistry. As dental radiograms utilized for the assesment of current status or for comparison of past and current or as evidence in court, it is important to obtain them in good radiographical quality circumstances and store them in appropriate condition. While previously intraoral and extraoral radiograms were used in the field of forensic dentistry, in recent years computerized tomography (CT) also comes into use. Radiology in forensic dentistry is not only used in the field of determination of identification, but also in determination of age- gender and in the field of disaster victim identification, and not only interests with dead people, but also with living individuals. The aim of this review is to give information about the role of radiology in forensic dentistry which is an incipient branch of forensic sciences in Turkey.

Anahtar Kelimeler

• Forensic sciences, Dentistry, Radiology, Identification.

Adli Diş Hekimliğinde Radyolojinin Kullanımı

Öz

Adli diş hekimliği adli bilimlerin önemli dallarından biridir. Adli tıp alanında olduğu gibi adli diş hekimliğinde de kimlik belirleme ilgili birçok paramatrede (yaş ve cinsiyet) röntgen kayıtlarından yararlanılmakta ve radyoloji bilimi kullanılmaktadır. Röntgen kayıtları, hem bu günkü durumu tespitte hem de geçmişle yapılacak karşılaştırmalarda birçok konuya ışık tutmakta olduğundan, adli tıbbın ve adli diş hekimliğinin başvurduğu önemli değerlendirme ölçütlerindendir. Bu güne ait değerlendirmelerde, geçmişe ait kıyaslamalarda ve gerektiğinde mahkemelerde kanıt olarak sunuldukları durumlarda, radyogramlar ve bunların iyi şartlarda saklanılması oldukça önemlidir. Adli diş hekimliği alanında önceleri intraoral ve ekstraoral radyografiler kullanılırken son yıllarda bilgisayarlı tomografiler de kullanım alanı bulmaya başlamıştır. Adli diş hekimliğinde radyolojinin kullanımı kimlik tespiti gerektiren durumlar dışında, afet durumlarındaki toplu ölüm vakalarında, yaş tayininde de devreye girer ve yalnızca ölülerle değil, canlılarla da ilgilidir. Bu derlemenin amacı Türkiye’de uygulamaları yeni yeni başlayan adli diş hekimliğinde radyolojinin kullanımı konusu ile ilgili bilgi vermektir.

Anahtar Kelimeler

• Adli bilimler, Diş hekimliği, Radyoloji, Kimlik belirleme

Kaynakça

1. Koç S, Biçer Ü. Adli Tıbbın Tarihsel Gelişimi, Türkiye’deki Yapılanması ve Sorunları. Klinik Gelişim 2009; 22: 1-5.
2. Harorlı A. Adli Dişhekimliği.1.baskı. Erzurum; Atatürk Üniversitesi Yayınları: 2006. p. 5, 25-6, 53
3. Lee SS, Choi JH, Yoon CL, Kim CY, Shin KJ. The diversity of dental patterns in the orthopantomography and its significance in human identification. J Forensic Sci 2004 Jul;49:784-6.
4. Eckert WG, Garland N. The history of forensic applications in radiology. Am J Forensic Med Pathol 1984; 5: 53-6.
5. Wood RE. Forensic aspects of dentomaxillofacial radiology. Forensic Sci Int 2006; 159: S47-55.
6. Wood RE, Kogon SL. Dental radiology considerations in DVI incidents: A review. Forensic Sci Int 2010;201:27-32.
7. Pittayapat P, Thevissen P, Fieuws S, Jacobs R, Willems G. Forensic oral imaging quality of handheld dental X-ray devices: comparison of two image receptors and two devices. Forensic Sci Int 2010; 194: 20-7.
8. Forrest AS. Collection and recording of radiological information for forensic purposes. Aust Dent J 2012; 57: 24-32.

9. Bush MA, Miller RG, Prutsman-Pfeiffer J, Bush PJ. Identification through X-ray fluorescence analysis of dental restorative resin materials: a comprehensive study of noncremated, cremated, and processed-cremated individuals. J Forensic Sci 2007; 52: 157-65.
10. Goldstein M, Sweet DJ, Wood RE. A specimen positioning device for dental radiographic identification--image geometry considerations. J Forensic Sci 1998; 43: 185-9.
11. Benthaus S, DuChesne A, Brinkmann B. A new technique for the post-mortem detection of tooth coloured dental restorations. Int J Leg Med 1998; 111:157–9.
12. Wood RE, Kirk NJ, Sweet DJ. Digital dental radiographic identification in the pediatric, mixed and permanent dentitions. J Forensic Sci 1999; 44: 910Yaşar F, Afşin H, Hancı H. Adli diş hekimliği. TBB Dergisi 2004; 54: 351-4.
13. Besana JL, Rogers Tracy L. Personal identification using the frontal sinus. J Forensic Sci 2010; 55: 584Fernandes CL. Forensic ethnic identification of crania: the role of the maxillary sinus--a new approach. Am J Forensic Med Pathol. 2004; 25: 302Kirk NJ, Wood RE, Goldstein M. Skeletal identification using the frontal sinus region: a retrospective study of 39 cases. J Forensic Sci 2002; 47:318-23.
14. Kogon SL, McKay AE, MacLean DF. The validity of bitewing radiographs for the dental identification of children. J Forensic Sci 1995; 40: 1055-7.
15. Bruce-Chwatt RM. A brief history of forensic odontology since 1775. J Forensic Leg Med 2010; 17: 127-30.
16. Quatrehomme G, Fronty P, Sapanet M, Grevinc G, et al. Identification by frontal sinus pattern in forensic anthropology. Forensic Sci Int 1996; 83: 147–53.
17. Shaham D, Sella T, Makori A, Appelbum L, Rivkind AI, Bar-Ziv J. The role of radiology in terror injuries. Isr Med Assoc J 2002; 4:564-7
18. Zeyfeoğlu Y, Hancı H. İnsanlarda kimlik tespiti. STED 2001; 10: 375-7.
19. Valenzuela A, Martin-de las Heras S, Marques T, Exposito N, Bohoyo JM. The application of dental methods of identification to human burn victims in a mass disaster. Int J Legal Med 2000;113:236-9.
20. MacLean DF, Kogon SL, Stitt LW. Validation of dental radiographs for human identification. J Forensic Sc. 1994; 39: 1195-200.
21. Pretty IA, Sweet D. A look at forensic dentistry-Part 1: The role of teeth in the determination of human identity. Br Dent J 2001; 190: 359-366.
22. Schwartz S, Woolridge ED. The use of panoramic radiographs for comparison in cases of identification. J Forensic Sci 1977; 22: 145-6. İçinde: Alexander CJ, Foote GA. Radiology in forensic identification: the Mt Erebus disaster. Australas Radiol 1998; 42: 321-6.
23. Kahana T, Hiss J. Forensic radiology. Br J Radiol 1999; 72: 129-33.
24. Du Chesne A, Benthaus S, Teige K, Brinkmann B. Post-mortem orthopantomography--an aid in screening for identification purposes. Int J Legal Med 2000; 113: 63-9.
25. Tohnak S, Mehnert AJ, Mahoney M, Crozier S. Synthesizing dental radiographs for human identification. J Dent Res 2007; 86: 1057-62.
26. Bolliger SA, Thali MJ, Ross S, Buck U, Naether S, Vock P. Virtual autopsy using imaging: bridging radiologic and forensic sciences. A review of the Virtopsy and similar projects. Eur Radiol 2008;18: 273MacDonald JC, Reid JA, Berthoty D. Drywall construction as a dental radiation barrier. Oral Surg Oral Med Oral Pathol 1983; 55: 319–26.
27. Bourgeois M, Wood RE, Phaorah MJ, Reducing transmitted radiation in dental radiography, Health Phys 1992; 62: 546–53.
28. Kim EK. Effect of the amount of battery charge on tube voltage in different hand-held dental x-ray systems. Imaging Sci Dent 2012; 42: 1–4. 1
29. Salo S, Salo H, Liisanantti A, Reponen J. Data transmission in dental identification of mass disaster victims, J. Forensic Odontostomatol 2007; 25: 17–22.
30. Schuller-Götzburg P, Suchanek J. Forensic odontologists successfully identify tsunami victims in Phuket, Thailand.. Forensic Sci Int 2007; 171: 204Isır AB. Adli hekimlikte yaş tayini. Klinik Gelişim 2009; 22: 114-21.
31. Jackowski C, Aghayev E, Sonnenschein M, Dirnhofer R, Thali MJ. Maximum intensity projection of cranial computed tomography data for dental identification. Int J Legal Med 2006; 120: 165-7.
32. Rutty GN, Robinson CE, BouHaidar R, Jeffery AJ, Morgan B. The role of mobile computed tomography in mass fatality incidents. J Forensic Sci 2007; 52: 1343-9.
33. Rocha Sdos S, Ramos DL, Cavalcanti Mde G. Applicability of 3D-CT facial reconstruction for forensic individual identification. Pesqui Odontol Bras 2003; 17: 24-8.
34. Farrell WL, Rawson RD, Steffens RS, Stephens D. Computerized axial tomography as an aid in bite mark analysis: a case report. J Forensic Sci 1987; 32: 266-72.
35. Kirchhoff S, Fischer F, Lindemaier G, Herzog P, Kirchhoff C, Becker C, Bark J, Reiser MF, Eisenmenger W. Is post-mortem CT of the dentition adequate for correct forensic identification?: comparison of dental computed tomograpy and visual dental record ? Int J Legal Med 2008; 122: 471-9. RESİM KAYNAKLARI
36. RESİM 1,2: Wood RE. Forensic aspects of dentomaxillofacial radiology. Forensic Sci Int 2006; 159: S47-55.
37. RESİM 3,4,5,6: Wood RE, Kogon SL. Dental radiology considerations in DVI incidents: A review. Forensic Sci Int 2010;201:27-32. Yazışma Adresi: Yrd. Doç. Dr. Emin Murat CANGER
38. Erciyes Üniversitesi Diş Hekimliği Fakültesi Ağız , Diş ve Çene Radyolojisi AD Melikgazi-38059- KAYSERİ Telefon: [phone] - 29225 Faks: 0352 438 06 57
39. Email: [e-mail]