Smitha T, Vaswani Vina, Deepak V, Sheethal H S, Hema K N, Jain Vijay Kumar
Department of Oral and Maxillofacial Pathology and Microbiology, V S Dental College and Research Centre, Bengaluru, Karnataka, India.
Department of Forensic Medicine and Toxicology, Yenepoya Medical College, Yenepoya University, Mangalore, Karnataka, India.
J Oral Maxillofac Pathol. 2021 Sep-Dec;25(3):555. doi: 10.4103/jomfp.jomfp_269_21. Epub 2022 Jan 11.
Dental identification plays a major role in mass disaster identification of human remains. Palatal rugae can be used as a substitute for a comparative method of identification.
The present cross-sectional study was done with 137 pre- and post-orthodontically treated casts of patients, which were divided into 50 cases each of extraction and nonextraction and 37 cases of palatal expansion involving both extraction and nonextraction. Hydrocolloid (alginate) impression of the upper jaw of the patient was taken and then cast in the dental plaster of Paris material. Palatal rugae pattern was classified according to Lysellm, and Thomas and Kotze classification. Two Observers recorded the data, mean of two were taken for analysis.
On the right side, there was no significant difference between the extraction and nonextraction groups; however, there was a rise in length in the nonextraction and palatal expansion groups. On the left side, there was little change between the nonextraction and palatal expansion groups, but the extraction group had a modest increase in length. Mean lengths compared within three groups revealed insignificant difference.
Palatal rugae pattern can be used in establishing identity in forensic medicine provided antemortem data are available. Orthodontic treatment has an impact on stability of palatal rugae. Most reliable and stable points being third rugae, they could be used as reference points to evaluate tooth movements.
牙齿识别在大规模灾难中人类遗骸的身份鉴定中起着重要作用。腭皱襞可作为一种替代的比较鉴定方法。
本横断面研究对137例正畸治疗前后患者的模型进行,分为拔牙组和非拔牙组各50例,以及涉及拔牙和非拔牙的腭扩展组37例。采用水胶体(藻酸盐)对上颌进行印模,然后用巴黎石膏材料灌模。腭皱襞模式根据Lysellm、Thomas和Kotze分类法进行分类。两名观察者记录数据,取两人记录的平均值进行分析。
右侧,拔牙组和非拔牙组之间无显著差异;然而,非拔牙组和腭扩展组的长度有所增加。左侧,非拔牙组和腭扩展组之间变化不大,但拔牙组的长度有适度增加。三组之间的平均长度比较显示差异不显著。
如果有生前数据,腭皱襞模式可用于法医学中的身份鉴定。正畸治疗对腭皱襞的稳定性有影响。最可靠和稳定的点是第三皱襞,可作为评估牙齿移动的参考点。