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HAPPY MORNING !
52.3 % - 2011
466 – 2003
1884 - 2013
CHILD ABUSE !
In an average 7200/ Year
(Journal of Family medicine & Primary Care 2014 Oct-Dec 3 (4) : 430-
435)
Forensic Pedodontics
Presented by S.S.Harish I year-M.D.S.,
Department of Pediatric & Preventive Dentistry
What comes to your mind ?
 A topic that is often self-learned
 A topic that is omitted in UG
 Gustaffson’s index & Age estimation
 Lip prints (Cheiloscopy)
 Bite marks
But What is its significance
?
What else can we do with this
knowledge?
Before all that, few basic
words.,
 Offender/Prepetrator
 Victim
 Crime/Act
 Evidence
What do we do ?
 Identifying the deceased based on
remains
 Collection of evidences against the
offender
 Proper handling and examination of
dental evidence
To define what it is,
 Forensic odontology is a branch of
odontology,which deals with the proper
handling & examination of dental
evidence and with the proper evaluation
a presentation of dental findings in the
interest of justice (Pederson, 1969)
You are entering a crime scene
 Forensic officials would’ve sealed the area
 Started with collection of Biological
evidences
 But, bite marks are the first thing to
disappear from the scene.
Significance of bite marks
 It can be human/animal
 Tooth presure/ tongue pressure / tooth
scrape
 Multifactorial
 Inherent skin factor
 Age
 Sex
 Time
 Vascularity
WHAT TO LOOK FOR ?
(Key features of a human bite)
What to do after you find it ?
 Decribe it (Demographic,location,shape,colour ,type of injury )
 Collection from vicitim : check for contamination
 Record it (Photo, Salivary swabbing,Impression,Tissue sample)
 Collection from suspect :
 Make sure you have a court order/legal consent
 (make a copy of it as part of the record)
Teeth doesn’t bite alone !
Lip prints (cheiloscopy)
 Look for lip prints in the crime scene or on the victim’s body
iodine, cyanoacrylate, silver nitrate and ninhydrin
If the body is intact
 Facial identification
 Birth marks
 Recent dental records
(under ortho treatment, fixed appliances, pulpectomy/RCT & Crown, etc.,)
 Local documents (License, Id card etc.,)
Rule of Thumb
 The victim is possibly dead or close to death
 Body/bodies can be whole or dispersed
 The offender runs from the crime scene mid-way
 Offender tries to hide the crime scene
○ Burns
○ Slaughters
○ Burries
○ Dumps
○ Uses other means
What if the body is not intact ?
What if there are no signs of
previous dental treatment ?
Handy for Age estimation
Most common
To identify an individual
 P.S. -Dental anomalies
eg., supernumerary makes it more simple
When a body is burnt.,
 670 and 810 degrees C (Max attained by non-crematory incineration)
 The complete incineration of a human body took about 2-3 hours
- (The degree of destruction of human bodies inrelation to the duration of the fire*Michael Bohnert ,
Thomas Rost, Stefan Pollak Institute of Forensic Medicine,University of Freiburg,Albertstrasse 9,D-
79104 Freiburg,Germany Received 12 December 1997; accepted 14 April 1998)
 Bones were charred, teeth were spared
- The Analysis of Burned Human Remains (Second Edition)
2015, Pages 61-81Chapter 3 - Burned Human Teeth
Author links open overlay panelChristopher W.SchmidtPh.D.
The skeletal pattern and dental characteristics suggested the following profile:
Caucasian, male, aged 25–35 years at death, moderate adult periodontitis, nicotine
stains, lack of recent dental treatment and previous treatment to Canadian standards.
Using this information, a forensic artist produced a facial reproduction.
What if you were given this
case?
 The body depicted in the images is that of a sixteen-year-old
female. She was found encased in a waterbed frame after
being reported missing for over a year.
 A victim of homicide, she became mummified in the dry, cool
conditions under the bed.
 The bed, used frequently, was removed when a lodger left the
apartment and the body was discovered.
 Despite the condition of the soft tissues the teeth remain
in perfect condition.
Antemortem v Postmortem
 A positive identification, this case
illustrates a non-restorative case.
 Note the mesiodens
Newer methods ?
 Xeroradiography
 Transillumination
 Video tape analysis
 Superimposition technique
 Scanning microscopy
 DNA fingerprinting
Xeroradiography
 More precise detailing
when compared to
conventional X-rays
 Uses Selenium instead
of Bromide
 1080p version of regular
X-rays
 Efficient to co-relate AM
vs PM
Transillumination
 To enhance low light images produced
by an intra-dental injection of chemically
luminescent liquids eg., Luminol
Videotape analysis
 Pre-recorded evidence : CCTV, Camera recordings
 First Videograph of the crime scene : Certain clues maybe
missed at first sight which can be later recalled while
re-watching the crime scene
(Color discrimination , enhancement)
Superimposition
 Bitemark images on the victim is
superimposed with that obtained from
the suspect
Scanning microscopy
 To analyse the 3-D characters of a
bitemark
DNA Fingerprinting
 Alec Jeffreys provided the first
molecular genetic tools to
genetically differentiate between
humans, which initiated the
replacement of protein-based
methods in forensic testing
 99.99% DNA of any 2 random
individuals are same.
 So we find the differences &
similarities in the 0.1%
 Short tandem repeats (STRs /
satellites)
 Collection of sample
 PCR
 Identification of STR (4-6bp)
 Splicing (restriction endonucleases)
 Gel electrophoresis
 DNA FP obtained (Unique sequence)
 Compare / Cross check the
odds/similarities
 Interpretation
How is it done ?
Under research
 Pereira’s PopAffiliator Software17 autosomal STR
profile to 1 of the 3 major population groups, Eurasian, East Asian and sub-
Saharan African, with an accuracy of 86%. , Improved version 5 major sub-
continental populations (Africa, Europe, East Asia, Native America and
Oceania) using 128 markers
 Externally visible Characteristics (EVCs)
 Estimation of the chronological age of a
sample donor using DNA.
- Age Estimation with DNA: From Forensic DNA Fingerprinting to Forensic
(Epi)Genomics: A Mini-Review by Parson Journal of Gerontology2018, Vol.64, No.
4,June 2018
UV photography
 Use of UV light source and
Camera to capture the crime
scene & evidences
 Restored teeth are detected
without radiation
 As a tool for age
estimation(UV reflection
decreases with age.)
-Possible applications of reflected UV
photography in forensic odontology: Food for
thought
by DaniloDe Angelis Legal Medicine Volume
42, February 2020, 101641
Role of a Pedodontist/general dentist
?
If the child is ALIVE
 Observe & examine
 Record the evidences
 Donot judge , be objective
 Treat dental injuries & document it
 Maintain the professional therapeutic
relationship with the family
 Hold & transfer the child to proper care
systems if the child’s life is supposedly in
danger
Role of a Pedodontist in
forensics
 Incase of a deceased child
 Make use of the dental records in identification
 Age estimation using dentition & eruption seq
 Gather supporting evidences to declare the
criminal
 Work hand in hand with Forensic medicine
crew to establish justice
Why not ?
A DNA database for the entire nation ?
 Reduces a lot of time in short-listing the suspects
 Justice might be given before the suspect dies
Just a thought
Incase of doubt Images Brief history
& contact details
Scrutiny App database App
(Board)
Yes Confirm & Secure
No End Counseling
IMMEDIATE INFO ANALYSING
Conclusion
 5% of offenders are Necrophiliacs – The
Quint
 94% of offenders - known to the victim
Every 4th victim is a minor - India Today
Must Reads
Virendra vs State of UP
Section 302 IPC
Section 375 IPC
Section 376 IPC
Section 376 IPC subsection C, subsection
D
POCSO Act, 2012
Juvenile Justice Act, 20115 (CPC)
2 children are sexually abused
every hour in India
(Journal of Family medicine & Primary Care 2014 Oct-Dec 3 (4) : 430-
435)

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Forensic pedodontics - How to find a Predator

  • 2. 52.3 % - 2011
  • 5. In an average 7200/ Year (Journal of Family medicine & Primary Care 2014 Oct-Dec 3 (4) : 430- 435)
  • 6. Forensic Pedodontics Presented by S.S.Harish I year-M.D.S., Department of Pediatric & Preventive Dentistry
  • 7. What comes to your mind ?  A topic that is often self-learned  A topic that is omitted in UG  Gustaffson’s index & Age estimation  Lip prints (Cheiloscopy)  Bite marks
  • 8. But What is its significance ?
  • 9. What else can we do with this knowledge?
  • 10. Before all that, few basic words.,  Offender/Prepetrator  Victim  Crime/Act  Evidence
  • 11. What do we do ?  Identifying the deceased based on remains  Collection of evidences against the offender  Proper handling and examination of dental evidence
  • 12. To define what it is,  Forensic odontology is a branch of odontology,which deals with the proper handling & examination of dental evidence and with the proper evaluation a presentation of dental findings in the interest of justice (Pederson, 1969)
  • 13. You are entering a crime scene  Forensic officials would’ve sealed the area  Started with collection of Biological evidences  But, bite marks are the first thing to disappear from the scene.
  • 14. Significance of bite marks  It can be human/animal  Tooth presure/ tongue pressure / tooth scrape  Multifactorial  Inherent skin factor  Age  Sex  Time  Vascularity
  • 15. WHAT TO LOOK FOR ? (Key features of a human bite)
  • 16. What to do after you find it ?  Decribe it (Demographic,location,shape,colour ,type of injury )  Collection from vicitim : check for contamination  Record it (Photo, Salivary swabbing,Impression,Tissue sample)  Collection from suspect :  Make sure you have a court order/legal consent  (make a copy of it as part of the record)
  • 17. Teeth doesn’t bite alone ! Lip prints (cheiloscopy)  Look for lip prints in the crime scene or on the victim’s body iodine, cyanoacrylate, silver nitrate and ninhydrin
  • 18.
  • 19. If the body is intact  Facial identification  Birth marks  Recent dental records (under ortho treatment, fixed appliances, pulpectomy/RCT & Crown, etc.,)  Local documents (License, Id card etc.,)
  • 20. Rule of Thumb  The victim is possibly dead or close to death  Body/bodies can be whole or dispersed  The offender runs from the crime scene mid-way  Offender tries to hide the crime scene ○ Burns ○ Slaughters ○ Burries ○ Dumps ○ Uses other means
  • 21. What if the body is not intact ? What if there are no signs of previous dental treatment ?
  • 22. Handy for Age estimation
  • 23.
  • 25. To identify an individual  P.S. -Dental anomalies eg., supernumerary makes it more simple
  • 26. When a body is burnt.,  670 and 810 degrees C (Max attained by non-crematory incineration)  The complete incineration of a human body took about 2-3 hours - (The degree of destruction of human bodies inrelation to the duration of the fire*Michael Bohnert , Thomas Rost, Stefan Pollak Institute of Forensic Medicine,University of Freiburg,Albertstrasse 9,D- 79104 Freiburg,Germany Received 12 December 1997; accepted 14 April 1998)  Bones were charred, teeth were spared - The Analysis of Burned Human Remains (Second Edition) 2015, Pages 61-81Chapter 3 - Burned Human Teeth Author links open overlay panelChristopher W.SchmidtPh.D.
  • 27. The skeletal pattern and dental characteristics suggested the following profile: Caucasian, male, aged 25–35 years at death, moderate adult periodontitis, nicotine stains, lack of recent dental treatment and previous treatment to Canadian standards. Using this information, a forensic artist produced a facial reproduction.
  • 28. What if you were given this case?  The body depicted in the images is that of a sixteen-year-old female. She was found encased in a waterbed frame after being reported missing for over a year.  A victim of homicide, she became mummified in the dry, cool conditions under the bed.  The bed, used frequently, was removed when a lodger left the apartment and the body was discovered.  Despite the condition of the soft tissues the teeth remain in perfect condition.
  • 29. Antemortem v Postmortem  A positive identification, this case illustrates a non-restorative case.  Note the mesiodens
  • 30. Newer methods ?  Xeroradiography  Transillumination  Video tape analysis  Superimposition technique  Scanning microscopy  DNA fingerprinting
  • 31. Xeroradiography  More precise detailing when compared to conventional X-rays  Uses Selenium instead of Bromide  1080p version of regular X-rays  Efficient to co-relate AM vs PM
  • 32. Transillumination  To enhance low light images produced by an intra-dental injection of chemically luminescent liquids eg., Luminol
  • 33. Videotape analysis  Pre-recorded evidence : CCTV, Camera recordings  First Videograph of the crime scene : Certain clues maybe missed at first sight which can be later recalled while re-watching the crime scene (Color discrimination , enhancement)
  • 34. Superimposition  Bitemark images on the victim is superimposed with that obtained from the suspect Scanning microscopy  To analyse the 3-D characters of a bitemark
  • 35. DNA Fingerprinting  Alec Jeffreys provided the first molecular genetic tools to genetically differentiate between humans, which initiated the replacement of protein-based methods in forensic testing  99.99% DNA of any 2 random individuals are same.  So we find the differences & similarities in the 0.1%  Short tandem repeats (STRs / satellites)
  • 36.  Collection of sample  PCR  Identification of STR (4-6bp)  Splicing (restriction endonucleases)  Gel electrophoresis  DNA FP obtained (Unique sequence)  Compare / Cross check the odds/similarities  Interpretation How is it done ?
  • 37. Under research  Pereira’s PopAffiliator Software17 autosomal STR profile to 1 of the 3 major population groups, Eurasian, East Asian and sub- Saharan African, with an accuracy of 86%. , Improved version 5 major sub- continental populations (Africa, Europe, East Asia, Native America and Oceania) using 128 markers  Externally visible Characteristics (EVCs)  Estimation of the chronological age of a sample donor using DNA. - Age Estimation with DNA: From Forensic DNA Fingerprinting to Forensic (Epi)Genomics: A Mini-Review by Parson Journal of Gerontology2018, Vol.64, No. 4,June 2018
  • 38. UV photography  Use of UV light source and Camera to capture the crime scene & evidences  Restored teeth are detected without radiation  As a tool for age estimation(UV reflection decreases with age.) -Possible applications of reflected UV photography in forensic odontology: Food for thought by DaniloDe Angelis Legal Medicine Volume 42, February 2020, 101641
  • 39. Role of a Pedodontist/general dentist ? If the child is ALIVE  Observe & examine  Record the evidences  Donot judge , be objective  Treat dental injuries & document it  Maintain the professional therapeutic relationship with the family  Hold & transfer the child to proper care systems if the child’s life is supposedly in danger
  • 40. Role of a Pedodontist in forensics  Incase of a deceased child  Make use of the dental records in identification  Age estimation using dentition & eruption seq  Gather supporting evidences to declare the criminal  Work hand in hand with Forensic medicine crew to establish justice
  • 41. Why not ? A DNA database for the entire nation ?  Reduces a lot of time in short-listing the suspects  Justice might be given before the suspect dies
  • 42. Just a thought Incase of doubt Images Brief history & contact details Scrutiny App database App (Board) Yes Confirm & Secure No End Counseling IMMEDIATE INFO ANALYSING
  • 43. Conclusion  5% of offenders are Necrophiliacs – The Quint  94% of offenders - known to the victim Every 4th victim is a minor - India Today
  • 44. Must Reads Virendra vs State of UP Section 302 IPC Section 375 IPC Section 376 IPC Section 376 IPC subsection C, subsection D POCSO Act, 2012 Juvenile Justice Act, 20115 (CPC)
  • 45. 2 children are sexually abused every hour in India (Journal of Family medicine & Primary Care 2014 Oct-Dec 3 (4) : 430- 435)