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一项关于婴儿乳牙中新生儿线的存在与活产发生情况相关性的比较研究。

A comparative study to associate the presence of neonatal line in deciduous teeth of infants with the occurrence of live birth.

作者信息

Srinivasan Shruti, Murthy Prashanth Sadashiva, Deshmukh Seema, Shamsundar N M

机构信息

Department of Pedodontics and Preventive Dentistry, JSS Dental College and Hospital, JSS University, Mysore, Karnataka, India.

Department of Anatomy, JSS Medical College, JSS University, Mysore, Karnataka, India.

出版信息

J Indian Soc Pedod Prev Dent. 2017 Jul-Sep;35(3):249-253. doi: 10.4103/JISPPD.JISPPD_112_17.

DOI:10.4103/JISPPD.JISPPD_112_17
PMID:28762352
Abstract

CONTEXT

The prominent striae of retzius corresponding to the occurrence of live birth is known as the neonatal line (NNL). The very presence of this line indicates the exposure of the infant to the stressful event of birth.

AIMS

The study was aimed at locating the NNL in the developing primary teeth of the neonate and associating the presence of NNL to the occurrence of live birth.

MATERIALS AND METHODS

The donated bodies of the neonates were taken, and a surgical incision was made along the crest of the alveolar ridge in the maxillary anterior region, enabling the careful removal of the tooth germs from within the jaw segment. The maxillary central incisor tooth germs were embedded in acrylic and viewed under the stereomicroscope, polarized microscope, and scanning electron microscope (SEM).

STATISTICAL ANALYSIS

This being a pilot observational study, no statistical analysis methods were employed.

RESULTS

The NNL was best visualized under polarized microscopy and was clearly appreciated in the control samples and faintly seen in the 10-day-old neonate. No evidence of the line was present in the tooth germ of the stillborn child.

CONCLUSION

The very presence of the NNL indicates that the infant was alive during the stressful process of birth. This can be used as substantial evidence in infanticide cases brought before the law.

摘要

背景

与活产发生相对应的芮氏线显著条纹被称为新生儿线(NNL)。这条线的存在表明婴儿经历了分娩这一应激事件。

目的

本研究旨在确定新生儿发育中的乳牙中的新生儿线位置,并将新生儿线的存在与活产的发生联系起来。

材料与方法

获取新生儿的捐赠尸体,在上颌前部牙槽嵴顶沿其做外科切口,以便从颌骨段内小心取出牙胚。将上颌中切牙牙胚嵌入丙烯酸树脂中,在体视显微镜、偏光显微镜和扫描电子显微镜(SEM)下观察。

统计分析

由于这是一项初步观察性研究,未采用统计分析方法。

结果

在偏光显微镜下,新生儿线最清晰可见,在对照样本中清晰可辨,在10日龄新生儿中隐约可见。死产儿的牙胚中未发现该线的迹象。

结论

新生儿线的存在表明婴儿在分娩这一应激过程中是存活的。这可作为提交法庭的杀婴案件的重要证据。

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J Indian Soc Pedod Prev Dent. 2017 Jul-Sep;35(3):249-253. doi: 10.4103/JISPPD.JISPPD_112_17.
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引用本文的文献

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Insufficient evidence for the applicability of the neonatal line as evidence for live birth in forensic odontology: a systematic review.新生儿齿痕作为法医牙科学中活产证据适用性的证据不足:一项系统评价。
Int J Legal Med. 2025 Aug 29. doi: 10.1007/s00414-025-03596-x.
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Oral Pathology in Forensic Investigation.法医调查中的口腔病理学
J Int Soc Prev Community Dent. 2018 Jan-Feb;8(1):1-5. doi: 10.4103/jispcd.JISPCD_435_17. Epub 2018 Feb 22.