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South Indian Medicolegal Association
Dr.Nafeeya
Department of Forensic
Medicine &Toxicology
March 2019 Vol- 11 No -1
A FORENSIC ODONTO-METALLURGICAL STUDY
DISASTER VICTIM IDENTIFICATION THROUGH DENTAL RESTORATIVE
MATERIALS WITH EXTREME TEMPERATURE INVOLVEMENT
Rupal Patle et al
Forensic Science Laboratory, Gujarat, India
OVERVIEW
• Introduction
• AIMOFTHESTUDY
• Materials& methods
• Results
• Discussion
• Medicolegalimportance
Introduction
• Disasters natural & man made
• Uncommon in India
• Victims identification- social
responsibility
• Tooth – vital role
• Identification – characteristic features
Aim Of The Study
Establishing identification of an individual using dental
restorative materials
Materials
•Total 26 brands of dental restorative materials
•16 composite, 7 glass ionomers,1 amalgam, 1 full
metal crown, 1 crown of Zirconia) have been
studied.
•Extreme temperature of 900°c for 30 min &
•Then analysis was done for their inorganic
composition by using EDXRF (energy dispersive x-
ray fluorescence) & SEM /EDS.
Methods
Disk prepared
Five separate areas
Control samples
Stored- 0.9% sodium
chloride aqueous solution
Changed -2 weeks -1
month
Crucibles-Muffle furnace Digital hand held microscope
Energy dispersive X –ray fluorescence spectrometer
Results
1. Retrieval of restorative material from burnt restored tooth debris
2. Detection of various classes of restorative materials through
EDXRF
3. Detection of various brands of restorative materials through
EDXRF
4. Detection of various brands of restorative materials through
SEM/EDS:
Burnt debris of a
tooth restored with
amalgam after
incinerating at 900°C
for 30 min
Burnt debris of a
tooth restored
with composite
resin after
incinerating at
900°C for 30 min
Burnt debris of a tooth
restored with glass
ionomer after
incinerating at 900°C for
30 min.
Burnt restored
tooth where
restoration has got
dislodged after
incineration at
900°C for 30 min
Victims of Asian Tsunami
M. Petju et al
• 5395 death
• 600 bodies fingerprint
• DNA – Buccal mucosa ,hair
• 5th day after disaster -550 dentist
• 46.2%- dental records
• Disaster Victim Identification (DVI) System
International Software to assist in the
identification process
Importance of
dental records for
victim identification
following the Indian
Ocean tsunami
disaster in Thailand
JournalOf Royal
Institute of Public
Health
Colgan Air Flight 3407
Mary bush DDD et al
The crash of Colgan
Air flight 3407:
Advanced techniques
in victim
identification
JournalOf American
DentalAssociation
•Identification of 3 victims
•Recovering dental
fragments
•Restorative material
adherent to it .
•Root canal methods
Discussion
•Dental identification not possible .
•EDXFS & SEM
EDXRF
 Elemental analysis applications.
.
Principle
A primary X-ray, typically
generated in an X-ray
tube, hits an inner shell
electron of the atom and
ejects the election from the
atom
Non-destructive analytical technique
used to determine the elemental
composition of materials.
XRF analyzers determine the
chemistry of a sample by measuring
the fluorescent (or)x-ray emitted
from a sample when it is excited by
a primary x-ray source.
Energy Dispersive X-ray Fluorescence Spectrometer
Dental restorative material
1. Composite resins
2. Glass Ionomers
3. Amalgam
4. Zirconia
5. Full metal crown
•To replace tooth structure
loss, usually due to dental
caries .
•Dental trauma.
•Cosmetic purposes
Polymer-based
materials
After incineration –with
high melting point
Trace elements were
excluded –complicate
the identification
Composite resins
Energy Dispersive X-ray Fluorescence
Spectrometer
Calcium aluminium silicate
After incineration 900 deg
-30 minutes
Silver reinforced glass
ionomers ,strontium
Glass Ionomers
Contain mercury alloys
liquid, a soft paste or a solid,
depending upon the
proportion of mercury
Only one class was collected
No comparison
Identification
Amalgam
Burnt Composite & Amalgam Restorative material
Fill cavities caused by tooth
decay
Oxides –identified
Only one class was collected
No comparison
Identification
Manufacture guide-DD Bio
ZX2 98
Zirconia
Full crown covering all axial
surfaces of the tooth as well
as the occlusal surface and
made of metal.
Identification
Manufacture guide-max
white Ruby
Full metal crown
Limitation of the study
1. Present study is limited to the materials available in Indian market .
2. More work in this restorative material will magnify the study
3. This is proved in each brand of restorative material that is under study.
4. Only one class of restorative material was collected. So no comparison and
identification will be difficult.
5. Existing dental records not found in India
Conclusion
• Most significant tool for the identification irrespective of the
temperature.
• The restorative material - reliable marker for the
identification.
Medicolegal importance
• Identification of dental specimens in crime scene
• Personal Identification – In severely burnt bodies , disaster
victim bodies.
Reference
• M. Petju et al-Journal Of Royal Institute of Public Health
• Marry A Buss – Journal of Forensic Science -Detection and Classification of
Composite Resins in Incinerated Teeth for Forensic Purpose
• Luz María Villegas Sánchez et al- Rev Mex Med Forense, 2019, 4 (3): 39-50
• Nandita Kottieth Pallam et al-Journal of forensic dental science -Indian Journal of
Dental Research, 22(3), 2011
• Saritha Maloth et al- Indian Journal of Dental Research
• Nima A.Osman et al-ARC Journal of Forensic Science
• Narayana reddy text book of forensic medicine and toxicology

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Forensic Odontology

  • 1. South Indian Medicolegal Association Dr.Nafeeya Department of Forensic Medicine &Toxicology March 2019 Vol- 11 No -1
  • 2. A FORENSIC ODONTO-METALLURGICAL STUDY DISASTER VICTIM IDENTIFICATION THROUGH DENTAL RESTORATIVE MATERIALS WITH EXTREME TEMPERATURE INVOLVEMENT Rupal Patle et al Forensic Science Laboratory, Gujarat, India
  • 3. OVERVIEW • Introduction • AIMOFTHESTUDY • Materials& methods • Results • Discussion • Medicolegalimportance
  • 4. Introduction • Disasters natural & man made • Uncommon in India • Victims identification- social responsibility • Tooth – vital role • Identification – characteristic features
  • 5. Aim Of The Study Establishing identification of an individual using dental restorative materials
  • 6. Materials •Total 26 brands of dental restorative materials •16 composite, 7 glass ionomers,1 amalgam, 1 full metal crown, 1 crown of Zirconia) have been studied. •Extreme temperature of 900°c for 30 min & •Then analysis was done for their inorganic composition by using EDXRF (energy dispersive x- ray fluorescence) & SEM /EDS.
  • 7. Methods Disk prepared Five separate areas Control samples Stored- 0.9% sodium chloride aqueous solution Changed -2 weeks -1 month
  • 8. Crucibles-Muffle furnace Digital hand held microscope
  • 9. Energy dispersive X –ray fluorescence spectrometer
  • 10. Results 1. Retrieval of restorative material from burnt restored tooth debris 2. Detection of various classes of restorative materials through EDXRF 3. Detection of various brands of restorative materials through EDXRF 4. Detection of various brands of restorative materials through SEM/EDS:
  • 11. Burnt debris of a tooth restored with amalgam after incinerating at 900°C for 30 min
  • 12. Burnt debris of a tooth restored with composite resin after incinerating at 900°C for 30 min
  • 13. Burnt debris of a tooth restored with glass ionomer after incinerating at 900°C for 30 min.
  • 14. Burnt restored tooth where restoration has got dislodged after incineration at 900°C for 30 min
  • 15. Victims of Asian Tsunami
  • 16. M. Petju et al • 5395 death • 600 bodies fingerprint • DNA – Buccal mucosa ,hair • 5th day after disaster -550 dentist • 46.2%- dental records • Disaster Victim Identification (DVI) System International Software to assist in the identification process Importance of dental records for victim identification following the Indian Ocean tsunami disaster in Thailand JournalOf Royal Institute of Public Health
  • 18. Mary bush DDD et al The crash of Colgan Air flight 3407: Advanced techniques in victim identification JournalOf American DentalAssociation •Identification of 3 victims •Recovering dental fragments •Restorative material adherent to it . •Root canal methods
  • 19. Discussion •Dental identification not possible . •EDXFS & SEM
  • 20. EDXRF  Elemental analysis applications. . Principle A primary X-ray, typically generated in an X-ray tube, hits an inner shell electron of the atom and ejects the election from the atom Non-destructive analytical technique used to determine the elemental composition of materials. XRF analyzers determine the chemistry of a sample by measuring the fluorescent (or)x-ray emitted from a sample when it is excited by a primary x-ray source.
  • 21. Energy Dispersive X-ray Fluorescence Spectrometer
  • 22. Dental restorative material 1. Composite resins 2. Glass Ionomers 3. Amalgam 4. Zirconia 5. Full metal crown •To replace tooth structure loss, usually due to dental caries . •Dental trauma. •Cosmetic purposes
  • 23. Polymer-based materials After incineration –with high melting point Trace elements were excluded –complicate the identification Composite resins
  • 24. Energy Dispersive X-ray Fluorescence Spectrometer
  • 25. Calcium aluminium silicate After incineration 900 deg -30 minutes Silver reinforced glass ionomers ,strontium Glass Ionomers
  • 26. Contain mercury alloys liquid, a soft paste or a solid, depending upon the proportion of mercury Only one class was collected No comparison Identification Amalgam
  • 27. Burnt Composite & Amalgam Restorative material
  • 28. Fill cavities caused by tooth decay Oxides –identified Only one class was collected No comparison Identification Manufacture guide-DD Bio ZX2 98 Zirconia
  • 29.
  • 30. Full crown covering all axial surfaces of the tooth as well as the occlusal surface and made of metal. Identification Manufacture guide-max white Ruby Full metal crown
  • 31. Limitation of the study 1. Present study is limited to the materials available in Indian market . 2. More work in this restorative material will magnify the study 3. This is proved in each brand of restorative material that is under study. 4. Only one class of restorative material was collected. So no comparison and identification will be difficult. 5. Existing dental records not found in India
  • 32. Conclusion • Most significant tool for the identification irrespective of the temperature. • The restorative material - reliable marker for the identification.
  • 33. Medicolegal importance • Identification of dental specimens in crime scene • Personal Identification – In severely burnt bodies , disaster victim bodies.
  • 34. Reference • M. Petju et al-Journal Of Royal Institute of Public Health • Marry A Buss – Journal of Forensic Science -Detection and Classification of Composite Resins in Incinerated Teeth for Forensic Purpose • Luz María Villegas Sánchez et al- Rev Mex Med Forense, 2019, 4 (3): 39-50 • Nandita Kottieth Pallam et al-Journal of forensic dental science -Indian Journal of Dental Research, 22(3), 2011 • Saritha Maloth et al- Indian Journal of Dental Research • Nima A.Osman et al-ARC Journal of Forensic Science • Narayana reddy text book of forensic medicine and toxicology

Editor's Notes

  1. the scientific study of the extraction, refining of metals and of their structure and properties
  2. Even when bodies become unrecognizable – few methods present in the tooth help to make the identification process easier. In certain instances high temperature also involved to damage the tissues.tooth is the most stable and highly resistant material material in the body.
  3. This involve the restorative materials those are found to be highly resistant to heat because of its elemental composition. These elements by virtue of its high melting point tend to resist higher temperatures, which makes its identity intact. Recently many categories of dental restorative materials have been presented in the market. However the custom types are still intact [1]and helped in identification in the past
  4. Several dental practitioners were contacted for the collection of different types of dental restorative materials used in the present study. Disks were prepared by manipulating each type of material according to the manufacturer’s instructions Five separate areas on each disk were analyzed and the average of elemental composition was taken with the help of ED-XRF. Control samples for analysis of elemental composition before incineration. Similar restorative material were filled in extracted teeth. The filled teeth were stored separately in 0.9 % sodium chloride aqueous solution, at room temperature in homeopathic food grade plastic containers. The solution was changed every 2 weeks 1 month to mimic oral cavity conditions before further tests. Then the filled teeth were kept in ceramic crucibles with lid inside the laboratory furnace
  5. a ceramic or metal container in which metals or other substances may be melted or subjected to very high temperatures.27 x morphological changes through hand held microscope.
  6. the burnt restorative material was elementally analyzed using ED-XRF and subsequently identified based on matching unique elemental composition before and after incineration. Elemental Analysis is a process where a sample of some material (e.g., soil, waste, minerals, chemical compounds) is analyzed for its elemental composition. The purpose of elemental analysis is to determine the quantity of a particular element within a molecule or material. ... Qualitative: determining what elements are present or the presence of a particular element. .
  7. the condition of each tooth, a specific description of any dental prosthesis, further findings of dental characteristics, X-rays, supplementary examination and age