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牙齿修复体在烧伤受害者个体识别中的辅助作用。

Adjunctive role of dental restorations in personal identification of burnt victims.

作者信息

Vandrangi Sameer Kumar, Radhika M B, Paremala K, Reshma V, Sudhakara M, Hosthor Sreelatha S

机构信息

Department of Oral and Maxillofacial Pathology, Krishnadevaraya College of Dental Sciences, Bengaluru, Karnataka, India.

出版信息

J Oral Maxillofac Pathol. 2016 Jan-Apr;20(1):154-61. doi: 10.4103/0973-029X.180981.

Abstract

BACKGROUND

Fire remains one of the major causes of morbidity and mortality throughout the world and identification of a body from the fatal fire remains a daunting task. Several forensic cases involve interpretation of burnt human bodies from airline and automobile accidents, bombings and unlawful cremation. Fire is also involved in homicides, suicides, accidental death, arson and in attempts to destroy forensic evidence in criminal cases. Soft tissue destruction from fire can be so extensive that conventional methods of identification may be impossible. However, teeth survive even high temperatures due to their resistant composition and so, obviously, the restorative material housed in the teeth are even more secure and can yield valuable information in personal identification.

AIM

To assess the usefulness of most common restorations in personal identification in burnt cases.

MATERIALS AND METHODS

The study was conducted on 40 extracted teeth which were divided into four groups (Group 1 - Unrestored teeth, Group 2 - Amalgam restored, Group 3 - Glass ionomer restored and Group 4 - Composite resin restored teeth. The effect of incineration at 200°C, 400°C, 600°C, 800°C, 1000°C for 15 min at each target temperature followed by subsequent cooling was studied.

RESULTS

Amalgam restoration was resistant and intact even at 1000°C, whereas GIC and composite restoration are identifiable till 600°C, the residual cavity preparation leaves a clue for narrowing down the spectrum of identification.

摘要

背景

火灾仍然是全球发病和死亡的主要原因之一,从致命火灾中辨认尸体仍然是一项艰巨的任务。一些法医案件涉及对航空和汽车事故、爆炸及非法火葬中烧焦尸体的解读。火灾还与凶杀、自杀、意外死亡、纵火以及刑事案件中试图销毁法医证据等情况有关。火灾造成的软组织破坏可能非常严重,以至于传统的身份识别方法可能无法进行。然而,牙齿因其抗高温的成分即使在高温下也能留存,所以,显然,牙齿中的修复材料更加安全,并且在个人身份识别中能提供有价值的信息。

目的

评估在烧焦案件中最常见修复体在个人身份识别中的有用性。

材料与方法

对40颗拔除的牙齿进行研究,将其分为四组(第1组 - 未修复的牙齿,第2组 - 汞合金修复的牙齿,第3组 - 玻璃离子修复的牙齿,第4组 - 复合树脂修复的牙齿)。研究了在每个目标温度下于200°C、400°C、600°C、800°C、1000°C焚烧15分钟,随后冷却的效果。

结果

即使在1000°C时汞合金修复体仍具抗性且完好无损,而玻璃离子修复体和复合树脂修复体在600°C时仍可识别,残留的窝洞预备为缩小身份识别范围留下了线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3ed/4860920/fc6734a5e088/JOMFP-20-154-g001.jpg

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