Utilização de documentação ortodôntica na identificação humana

Abstract

OBJETIVO: o objetivo deste trabalho é relatar um caso pericial onde um indivíduo encontrado carbonizado foi identificado utilizando-se as informações presentes na sua documentação ortodôntica. MÉTODOS: um indivíduo do sexo masculino foi encontrado carbonizado no interior de um automóvel. Após a realização dos exames periciais no local, exames necroscópicos e radiográficos no Instituto Médico-Legal, identificou-se que a vítima utilizava aparelho ortodôntico fixo, possuía dentes supranumerários nas quatro hemiarcadas, terceiros molares semi-inclusos e restaurações de amálgama em determinadas faces de diversos dentes. Como os tecidos moles do indivíduo apresentavam-se bastante destruídos, uma identificação pela análise das impressões digitais tornou-se inviável. Após a entrega da documentação ortodôntica pela família, foi feita a análise do prontuário clínico, radiografias, fotografias intra e extrabucais e modelos de gesso - confrontando-se essas informações com as obtidas anteriormente. RESULTADOS E CONCLUSÕES: o confronto odontolegal revelou 20 pontos concordantes do exame necroscópico e da documentação ortodôntica, permitindo a determinação de uma correlação positiva entre o cadáver examinado e a identidade da pessoa desaparecida, tornando-se desnecessária a realização de outros exames para a identificação da vítima (exame de DNA).

Forensic importance of intraoral photographs for human identification in dental autopsies – a case report

“…According to the scientific literature, the victims referred for identification by dental means come from different types of incidents, such as natural disasters, flight accidents, terrorist attacks and urban violence (MIRANDA et al, 2016;SILVA et al, 2011;SILVA et al, 2015a;SILVA et al 2015b). The advantage of teeth as source of identifiers relies also in their capacity to resist environmental influences.…”

“…The AM data from dental records includes the registration of therapeutic procedures, intra-and extra-oral radiographs and dental casts (SILVA et al, 2011;SILVA et al, 2015c). These data are usually used for dental human identification based on their high prevalence in the clinical routine of Dentistry -especially for planning oral rehabilitations, restorations and surgeries (SILVA et al, 2011;SILVA et al 2015a).…”

“…These data are usually used for dental human identification based on their high prevalence in the clinical routine of Dentistry -especially for planning oral rehabilitations, restorations and surgeries (SILVA et al, 2011;SILVA et al 2015a).…”

“…Despite used frequently in the routine of Orthodontics, these photographs are scarce in the human identification cases reported in the scientific literature (PARANHOS et al, 2008). In comparison with other AM data, intraoral photographs have the advantage of registering morphological, therapeutic and pathological identifiers used for dental human identification without exposing the patient to radiation and the need for expensive imaging devices and facilities (SILVA et al, 2011).…”

The importance of radiological documentation in civil lawsuits involving dentists: case report

“…In the aforementioned settlement, it is clear that the defendant did not present the requested radiological documentation. Given the understanding that not requesting the dental radiographs in cases in which these are recommended or are essential to the diagnosis or treatment constitutes negligence 13 ; that in the field of orthodontics the complexity of the treatments implies the need to produce a large number of documents, which become essential both in the planning and execution of the treatment; and that, in Brazil, the dental professional has the ethical obligation to safeguard this documentation 14 , the court ruled that this professional acted in a negligent manner and that a causal link had been established between the treatment practiced by the dentist and the injury caused to the patient.…”