The Evaluation of Forensic Cases Consulted by ondokuz Mayıs University Faculty of Dentistry 1994-2006

Authors

  • Ahmet Turla Ondokuz Mayıs Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı
  • Emine Şirin Karaarslan Ondokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi Diş Hastalıkları ve Tedavisi Anabilim Dalı
  • Bekir Karaarslan Ondokuz Mayıs Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı

DOI:

https://doi.org/10.17986/blm.2006113617

Keywords:

dentofacial injuries, forensic case, fracture

Abstract

Although dentofacial injuries are rare in routine forensic practice, they are important in terms of medical and forensic consequences. In this descriptive study, we aim to determine the features of the forensic cases admitted to Ondokuz Mayıs University (OMU) faculty of dentistry between January 1994 and February 2006 (sociodemographic features, type of the incident, location of the fracture, radiologic examination, clinical diagnosis, treatment, extra injuries, sequels, loss of teeth and surgical intervention) and compare the results with those of similar studies. The mean age of 53 patients included in the study is 32,8 + 16,08 (7-76). Forty-six patients are male (86,8%), 7 are female (13,2%). Of 53 patients who experienced dentofacial trauma, 11 are self employed (%20,8), 10 are students (18,9%), 8 are farmers (15,1%), 12 deal with various jobs (22,6%) and the occupation of 12 patients have not been reported (22,6%). Thirty-four them are hospitalized due to an attack (64,2%) and 11 of them are admitted due to traffic accident (20,8%). Panorex radiography is the most widely used procedure and was used in 48 cases (90,6%). In 51 of the cases (96,2%) fracture was detected in the facial bones and mandibles. Fracture was observed in 33 (97,1%) out of 34 Among patients hospitalized due to assault and in 10 (90,9%) out of 11 hospitalized due to traffic accident. When the cases were examined with respect to alveolar fracture and loss of teeth, alveolar fracture was observed in 13 of the cases (24,5%) and at least one tooth loss was observed in 23 of the cases (43,4%). Dentofacial trauma cases that have been handled by some departments of the medical faculties up to now are likely to be handled by the dentistry thanks to the increase in the number of the qualified surgeons and the staff. Hence it would be useful to arrange postgraduate courses about forensic odontology for the dentists in order to prevent mistakes in forensic evaluations and legal sanctions.

Key words: Dentofacial injuries, forensic case, fracture

Downloads

Download data is not yet available.

References

Yavuz MF, Baştürk P, Yavuz MS, Yorulmaz C. Cerrahpaşa Tıp Fakültesi acil servisine başvuran adli olguların özellikleri. Adli Bilimler Dergisi 2002;l(2):21-6.

Kök AN, Öztürk S, Tunalı I. Yatarak tedavi gören 959 vakanın retrospektif değerlendirilmesi. Adli Tıp Dergisi 1992; 8(1-4): 93-8.

Ahun G, Azmak D, Yılmaz A, Yılmaz G. Trakya Üniversitesi Tıp Fakültesi acil servisine başvuran adli olguların özellikleri. Adli Tıp Bülteni 1997;2(2):62-6.

Çekin N, Kanat N, Bilgin N, Salim S. Çukurova Üniversitesi Tıp Fakültesi İlk Yardım ve Acil Ana- bilim Dalı’nın 1999 yılı adli olgularının retrospektif olarak değerlendirilmesi. IV Adli Bilimler Kongresi Özet Kitabı, İstanbul, 2000:35.

Vanderas AP, Papagiannoulis L. Incidence of dento- facial injuries in children. Endod Dent Traumatol 1999;15:235-8. DOI: https://doi.org/10.1111/j.1600-9657.1999.tb00779.x

Yamada T, Sawaki Y, Tomida S. Oral injury and mouthguard usage by atletes in Japan. Endond Dent Traumatol 1998;14:84-7. DOI: https://doi.org/10.1111/j.1600-9657.1998.tb00816.x

Kahabuka FK, Willemsen W, Hof M. Initial treat- mant of traumatic dental injuries by dental practitioners. Endod Dent Traumatol 1998;14:206-9. DOI: https://doi.org/10.1111/j.1600-9657.1998.tb00839.x

Afşin H. (ed) Adli Diş Hekimliği Kitabı, Adli Tıp Kurumu Yayınları 10, İstanbul, 2004:325 -7.

Bayırlı G. (ed) Endodontik Tedavi. Dental Travmalar, İstanbul Üniversitesi Basımevi, 1999:467-560.

Alaçam T. (ed) Endodonti. Dental Travmatoloji, Barış yayınları,1990;691-720.

Tstori T, Badino M. Vertical Root Fracture in En- dodontically Treated Teeth J Endod 1993;19:87-90. DOI: https://doi.org/10.1016/S0099-2399(06)81202-1

Simon JHS, Lies J. Silent trauma Endod Dent Tra- umatol 1999;15:145-8. DOI: https://doi.org/10.1111/j.1600-9657.1999.tb00792.x

Gutmann JL, Gutmann MSE. Cause, incidence and prevention of trauma to teeth. Dent Clin North Am 1995;39(1):1-13. DOI: https://doi.org/10.1016/S0011-8532(22)01795-5

Marcenes W, Al Beiruti N, Tayfour D, Issa S. Epidemiology of traumatic injuries to the permanent incisors of 9-12-year old school children in Damascus, Syria. Endod Dent Traumatol 1999;15:117-23. DOI: https://doi.org/10.1111/j.1600-9657.1999.tb00767.x

Traebert J, Peres MA, Blank V, Bo ell RS, Pietruza JA. Prevalence of traumatic dental injury and associated factors among 12-year-old school children in Florianopolis, Brazil. Dent Traumatol 2003;19:15-8. DOI: https://doi.org/10.1034/j.1600-9657.2003.00138.x

Rajab LD. Traumatic dental injuries in children presenting for treatment at the Department of Pediatric Dentistry, University of Jordan, 1997-2000. Dent Traumatol 2003;19:6-11. DOI: https://doi.org/10.1034/j.1600-9657.2003.00131.x

Garcia-Godoy F. Reasons for traumatic injuries to teeth in Swedish children living in an urban area. Swed Dent J 1990;14:115-22.

Marcenes W, Alessi ON, Traebert J. Causes and prevalence of traumatic injuries to the permanent incisors of school children aged 12 years in Jaragua do Sul, Brazil. Int Dent J 2000;50:87-92. DOI: https://doi.org/10.1002/j.1875-595X.2000.tb00804.x

Viada S, Rivera N, Nava S, Hernandez N, Moron A, Contreras J. Temporary and permanent restorations for fractured permanent teeth with immature apices: a clinical study. J Dent Child 1997:114-6.

Fried I, Erickson P, Schwartz S, Keenan K. Subluxation injuries of maxillary primary anterior teeth: epidemiology and prognosis of 207 traumatized teeth. Pediatr Dent 1996;18:145-51.

Osuji OO. Traumatized primary teeth in Nigerian children attending university hospital: the consequences of delays in seeking treatment. Int Dent J 1996;46:165-70.

Andreasen FM, Dungaard JJ. Treatment of traumatic dental injuries in children. Tandlaegernes Tidsskr 1992:76-89.

Lombardi SS, Sheller B, Williams BJ. Diagnosis and treatment of dental trauma in a children’s hospital. Pediatr Dent 1998;20:112-20.

Altay N, Güngör HC. A retrospective study of den- toalveolar injuries of children in Ankara, Turkey. Dent Traumatol 2001;17:201-4. DOI: https://doi.org/10.1034/j.1600-9657.2001.170502.x

Şaroğlu I, Sönmez H. The prevalence of traumatic injuries treated in the pedodontic clinic of Ankara University, Turkey, during 18 months. Dent Traumatol 2002;18: 299-303. DOI: https://doi.org/10.1034/j.1600-9657.2002.00093.x

Kargül B, Çağlar E, Tanboğa I. Dental trauma in Turkish children, Istanbul. Dent Traumatol 2003;19:72-5. DOI: https://doi.org/10.1034/j.1600-9657.2003.00091.x

Feiglin B. Dental Pulp Response to traumatic Injuries- a retrospective analysis with case reports. Endod Dent Traumatol 1996;12:1-8. DOI: https://doi.org/10.1111/j.1600-9657.1996.tb00087.x

Wilson S, Smith GA, Preisch J, Casamassimo PS. Epidemiology of dental trauma treated in an urban emergency department. Pediatr Emerg Care 1997;3:12-5. DOI: https://doi.org/10.1097/00006565-199702000-00004

Sea-lim V, Hon T, Wing HYK. Traumatic dental injuries at the accident and emergency department of Singapore general hospital. Endod Dent Trauma- tol 1995;11:32-6. DOI: https://doi.org/10.1111/j.1600-9657.1995.tb00676.x

Schatz JP, Joho JP. A retrospective study of dento- alveolar injuries. Endod Dent Traumatol 1994;10:11-4. DOI: https://doi.org/10.1111/j.1600-9657.1994.tb00591.x

Borssen E, Holm AK. Traumatic dental injuries in a cohort of 16-year-olds in Northern Sweden. Endod Dent Traumatol 1997;13:12-5. DOI: https://doi.org/10.1111/j.1600-9657.1997.tb00055.x

Lalloo R. Risk factors for major injuries to the face and teeth. Dent Traumatol 2003;19:12-4. DOI: https://doi.org/10.1034/j.1600-9657.2003.00139.x

Zerman N, Cavalieri G. Traumatic injuries to permanent incisors. Endod Dent Traumatol 1993;9:61-4. DOI: https://doi.org/10.1111/j.1600-9657.1993.tb00661.x

Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002;18:287-98. DOI: https://doi.org/10.1034/j.1600-9657.2002.00153.x

Cünha RF, Pugliesi DM, Mello Vieira AE. Oral trauma in Brazilian patients aged 0-3 years. Dent Traumatol 2001;17:210-2. DOI: https://doi.org/10.1034/j.1600-9657.2001.170504.x

Hargreaves JA, Cleaton-Jones PE, Roberts GJ, Williams S, Matejka JM. Trauma to primary teeth of South African preschool children. Endod DentTra- umatol 1999;15:73-6.

Bastone EB, Freer TJ, Me Namara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000;45:2-9. DOI: https://doi.org/10.1111/j.1834-7819.2000.tb00234.x

Skaare AB, Jacobsen I. Dental injuries in Norwegians aged 7-18. Dent Traumatol 2003;19:67-71. DOI: https://doi.org/10.1034/j.1600-9657.2003.00133.x

Macko DJ, Gfrasso JE, Powell EA, Doherty NJ. A study of fractures teeth in a school population. J Dent Child 1979;46:130-3.

Çanakçı V, Akgül E1M, Akgül N, Çanakçı CF. Prevalence and handedness correlates of traumatic injuries to the permanent incisors in 13-17 year-old adolescents in Erzurum, Turkey. Dent Traumatol 2003;19:248-54. DOI: https://doi.org/10.1034/j.1600-9657.2003.00199.x

Zuhal K, Semra OEM, Hüseyin K. Traumatic injuries of the permanent incisors in children in southern Turkey: a retrospective study. Dent Traumatol 2005;21:20-5. DOI: https://doi.org/10.1111/j.1600-9657.2004.00265.x

Brown CJ. The management of traumatically intruded permanent incisors in children. Pediatr Dent 2002;39:38-44. DOI: https://doi.org/10.12968/denu.2002.29.1.38

Llarena del Rosario ME, Acosta Alfaro VM, Garcia- Godoy F. Traumatic injuries to primary teeth in Mexico City children. Endod Dent Traumatol 1992;8:213-4. DOI: https://doi.org/10.1111/j.1600-9657.1992.tb00245.x

Ataç A, Ölmez S, Altay N. 0-13 Yaş grubu çocuklarda ön diş yaralanmaları ile ilgili değişik faktörlerin incelenmesi: Klinik ve radyolojik bir çalışma. DÜ Diş Hek Fak Der 1993;4:30-3.

Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1:234-9.

Ferguson FS, Ripa LW. Prevalence and type of traumatic injuries to the anterior teeth of preschool children. J Pedod 1979;4:3-8.

Cortes MIS, Marcenes W, Sheiham A. Prevalence and correlates of traumatic injuries to the permanent teeth of school-children aged 9-14 years in Be- lo Horizonte, Brazil. Dent Traumatol 2001;17:22-6. DOI: https://doi.org/10.1034/j.1600-9657.2001.170105.x

Perez R, Berkowitz R, Mcllveen L, Forrester D. Dental trauma in childremA survey. Endod Dent Traumatol 1991;7:212-3. DOI: https://doi.org/10.1111/j.1600-9657.1991.tb00438.x

Dewhurst SN, Mason C, Roberts GJ. Emergency treatment of orodental injuries: A review. Br J Oral Maxillofac Surg 1998;36:165-75. DOI: https://doi.org/10.1016/S0266-4356(98)90491-0

Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. Part.I Complications in the primary dentition. Endod Dent Traumatol 1998;14:31-44. DOI: https://doi.org/10.1111/j.1600-9657.1998.tb00806.x

Downloads

Published

2006-12-01

Issue

Section

Research Article

How to Cite

1.
Turla A, Karaarslan E Şirin, Karaarslan B. The Evaluation of Forensic Cases Consulted by ondokuz Mayıs University Faculty of Dentistry 1994-2006. Bull Leg Med. 2006;11(3):104-109. https://doi.org/10.17986/blm.2006113617