Figueiredo Cristina, Coelho Joana, Pedrosa Diana, Caetano Catarina, Corte-Real Francisco, Vieira Duarte Nuno, Corte-Real Ana
Portuguese Catholic University, Portugal.
Faculty of Medicine, University of Coimbra, Portugal; Forensic Dentistry Laboratory, University of Coimbra, Portugal.
J Forensic Leg Med. 2019 Nov;68:101861. doi: 10.1016/j.jflm.2019.101861. Epub 2019 Aug 27.
The evaluation of medico-legal post-traumatic events has been increasing over the last decades. This study analysed the input of dental evaluation in orofacial damage assessment, highlighting the individual's biopsychosocial model, by a serial case study. It is aimed to analyse the physical as well as the psychological repercussions of traumatic events. It also aimed to relate the type of trauma impact with the individual's sequelae.
An observational and retrospective study was carried out of Portuguese medico-legal database. A serial case study was distinguished by the direction of the impact: frontal striking, lateral striking and clashing with a bidirectional (frontal-lateral).
7 cases fulfilled the inclusion criteria, as a pilot study. They have in common the involvement of the 2 lower thirds of the face, including the temporomandibular joint. The consolidation of the maxillary bone fractures does not always correspond to restituto ad integrum.
The impact direction may guide clinical examination in detecting permanent impairment, emphasizing temporomandibular joint disorders, as well as their association with psychosocial repercussions. The medical-dental examination is differentiating and relevant to the accomplishment of the general objective of damage assessment.
在过去几十年中，对创伤后法医学事件的评估一直在增加。本研究通过系列病例研究分析了牙科评估在口腔颌面损伤评估中的作用，突出了个体的生物心理社会模型。其目的是分析创伤事件的身体和心理影响。它还旨在将创伤影响的类型与个体的后遗症联系起来。
对葡萄牙法医学数据库进行了一项观察性回顾性研究。系列病例研究根据撞击方向进行区分：正面撞击、侧面撞击和双向（正面 - 侧面）碰撞。
作为一项试点研究，7例符合纳入标准。它们的共同之处在于面部下三分之二包括颞下颌关节均受累。上颌骨骨折的愈合并不总是能完全恢复原状。
撞击方向可指导临床检查以发现永久性损伤，强调颞下颌关节紊乱及其与心理社会影响的关联。医学 - 牙科检查具有区分性，对实现损伤评估的总体目标具有重要意义。
