Perbandingan Keakuratan Penentuan Usia Antara Metode Demirjian, Cameriere, dan Blenkin-Taylor

Banyaknya korban meninggal yang disebabkan oleh bencana massal atau kejadian lainnya perlu dilakukan proses identifikasi untuk mengetahui identitas para korban. Proses identifikasi salah satunya dapat dilakukan menggunakan teknik dental records dalam menentukan identitas individu. Metode penentuan usia menggunakan dental records yang paling sering digunakan adalah metode Demirjian, serta terdapat metode baru dalam penentuan usia yaitu metode Cameriere dan metode Blenkin-Taylor. Penelitian ini bertujuan untuk membandingkan keakuratan penentuan usia antara metode Demirjian, Cameriere, dan Blenkin-Taylor pada pasien di RSGM UMY. Metode pada penelitian ini adalah observasional analitik dengan jumlah sampel adalah 95 foto radiograf dari pasien berusia 4-15 tahun yang berkunjung ke Rumah Sakit Gigi dan Mulut Universitas Muhammadiyah Yogyakarta (RSGM UMY) pada bulan januari hingga desember 2017. Analisis data pada penelitian ini menggunakan uji statistik Chi-Square Test dan crosstabulation menggunakan software spss. Hasil menunjukkan bahwa metode Demirjian memiliki keakuratan sebesar 66.31% (63 sampel), metode Cameriere memiliki keakuratan sebesar 51.57% (49 sampel) dan metode Blenkin-Taylor sebesar 54.74% (52 sampel). Analisis statistik ketiga metode tersebut tidak memiliki perbedaan yang bermakna dalam keakuratan penentuan usia pasien. Kesimpulan dalam penelitian ini adalah metode Demirjian, Cameriere, dan Blenkin-Taylor tidak memiliki perbedaan keakuratan dalam penentuan usia.

Factors That Influence the Judgment of Oral Management Necessity in Preoperative Oral Screening

Oral management during the perioperative period is important to prevent the development of postoperative complications. However, there are no unified systems to examine the oral status of patients and very few studies have focused on preoperative oral screening. In this study, we examined the oral status of patients who underwent oral screening at a University Hospital. A total of 1173 patients who underwent oral screening for perioperative management from April 2020 to July 2021 were enrolled. The subjects’ medical data were retrospectively extracted from the dental records, and finally, the data of 1081 patients aged ≥20 years were analyzed. Oral screening based on seven categories was performed by dentists or dental hygienists. Our cumulative results determined whether patients required oral management during the perioperative period. “Poor oral hygiene” was the most frequent category (24%) of all oral categories examined. Logistic analysis revealed that tooth mobility had the highest odds ratio (21.476; 95% confidence interval: 11.462–40.239; p < 0.001) for oral management necessity during the perioperative period. Our study suggests that poor oral hygiene is most frequently observed in preoperative oral screening. Moreover, tooth mobility in preoperative oral screening may influence the judgment of oral management necessity during the perioperative period.

Digitalised exercise material in forensic odontology

Introduction This paper presents digital educational material in forensic odontology, including dental identification after multiple fatalities and dental age estimation from different age groups. Material and method Electronic patient records consisting of intraoral scans of the dentition, digital radiographs, photographs and written dental records were collected. Exercises in age estimations contained digital radiographs and photographs of ground tooth sections, with digital measuring tools and tables according to age groups. The teaching material was organised as a module in an electronic Learning Management System with external links to all relevant teaching material. Results For the identification exercises, intraoral scans and the latest digital radiographs simulated the postmortem examination of the deceased. For comparison, all other radiographs, photographs and dental records were available as antemortem material. The exercise was to match postmortem findings with the antemortem records using the Interpol standard and reconciliation. Age assessment of children used designated tables to grade tooth development on digital radiographs. For adults, non-destructive methods, digital radiographs, photographs and measuring tools were used. Discussion The teaching concept was hybrid, but it can easily be adapted as a fully digital exercise. The instructions and written material can be translated into different languages. The level of difficulty in the exercises can be adjusted according to the participant’s level of knowledge. Conclusion The educational material embraces the new possibilities for digitalisation and intraoral scanning. This might be a valuable tool for motivating and engaging the students in their participation and understanding of the subject.

Tooth Elongation of Maxillary Second Premolars and Mandibular Third Molars and Associated Periodontal Disease in Horses: A Retrospective Study

Periodontal disease has been identified in horses and donkeys through the millennia at a prevalence of up to 75% and is a leading cause of tooth loss in horses. We hypothesize that there is a correlation between tooth elongations and periodontal disease. Dental records of all client owned horses examined by a single AVDC/equine board certified practitioner in 2016-2018 were analyzed. Inclusion criteria consisted of the examination finding of tooth elongation of one of the following teeth pairs 106/107, 206/207, 310/311, or 410-411. The included cases were then examined for the finding of periodontal disease in Stages 1-4 (PD 1-4). Bayesian correlation analysis revealed significant positive correlations of elongations and periodontal disease existed between PD1 and proximal tooth pairs 106-107 and 206-207, PD2 and PD4 with all four tooth pairs, and PD3 with 106-107. Clinically, early diagnosis and treatment of newly formed elongations, or prevention of their formation altogether through diligent dental prophylaxis could prove key in preservation of teeth through prevention of the associated development of periodontal disease in the horse.

Awareness Regarding Dental Charting and Dental Records in Human Identification Amongst Dental Practitioners: A Questionnaire Survey

Forensic odontology plays a significant role in victim identification among the disasters of multiple fatalities or various murders or burns. It requires adequate teeth remains after the accident and dental records availability to succeed. Purpose: To evaluate the Awareness level of the role of dental charting and dental records in human identification amongst Saudi dental practitioners. Study Design: Descriptive Cross sectional study. Methodology: Present study enrolled 200 participants involving both genders. A self-administered questionnaire related to role of charting dental anomalies in human identification was uploaded online. Informed written consent was taken. Unwilling participants were excluded. Tatistical Analysis: The responses were carried out using the “pivot tables” option in Microsoft Excel (2016). Results: A total of 200 participants completed the survey male participants 74 (37%) were less than female participants 126 (63%). Almost 70% of respondents think that maintaining dental records/files can be forensically or medico-legally important. Low of knowledge was evident in different aspects of forensic dentistry.54%think teeth can be used as a primary source of identification of an individual (like DNA or fingerprints) while 46% considered it not. Conclusion: This study concluded that there was poor awareness among the dental practitioners and the poor of awareness can lead to improper human identification. Key Words: Forensic Odontology, Awearness, Attitude and Dental Practices.

Receptiveness of Maintaining Dental Records for Forensic and Other Matters

Background: Dental records assume a significant part as these might be utilized in identification of dead or missing humans, as proof in court and in criminological dentistry as discoveries of posthumous assessments are contrasted with antemortem dental evidence that have been well-maintained. Aim: To evaluate the awareness regarding significance of dental records and receptiveness of the practitioner toward maintenance in proper pattern. Method: This cross sectional descriptive was carried out between September and December, 2019 at established dental institution of Lahore. A questionnaire containing 16 close ended question was formulated and distributed to all the participants. We seek approval from ethical committee of Lahore Medical & Dental College. Statistics was investigated through SPSS version 20; Pearson correlation coefficient was utilized. Results: A total of 350 dental practitioners took part in this study, statistics revealed that 68.3 % were familiar with importance of maintaining records. Though 96 % dental professionals record the full name, age and gender of patients, 94% explore medical history, 78% record various developmental dental anomalies and 39 % notice decayed, missed or filled teeth; but in general 55.4% percent maintain the patient-related correspondence. Amongst them 33.5% of dental professionals preserve the dental file, 40% percent conserve the radiographs, 29% photographs of the patients, and just 10% of the dentists preserve the casts. Duration of conserving dental records found inconstant; 40% sustain all the patient-related correspondence for a month or less, 21.20 % for a half year, 18.4 % for a year, 6.4% as long as 5 years and just 1 % for around 10 years. Conclusion: Information and receptiveness of maintaining records among the dental professionals of Lahore is inadequate, improvement can be accomplished by education and training. Keywords: dental records, identification, forensic dentistry, patient chart

Determine the Applicability of Moyers Analysis in the Contemporary Western Australian Adolescent Population

Background: Moyers probability tables have been widely used to determine the mesiodistal dimensions of unerupted canines and premolars for mixed dentition space analysis. Secular, racial, and sexual dimorphism have been reported in the literature and applicability of Moyer analysis has been doubted in many other populations. Objective: The present study was conducted to determine the applicability of Moyers probability tables and develop a more accurate prediction method in a contemporary Western Australian adolescent population if needed. Methods: A retrospective study including 500 participants [323 females, 177 males] between 13-18 years old attending the orthodontic private practice was conducted. Mesiodistal dimensions of selected participants were obtained from pre-orthodontic treatment digital dental records using Invisalign® technology [ Invisalign®, Align Tech¬nology, Santa Clara, CA, USA] Data were analysed using SPSS. New regression equations were derived based on the sum of permanent mandibular incisors, and probability tables were proposed for more accurate prediction. Results: Significant differences were found between the measured sum of permanent canine-premolar segments and those predicted with the Moyers probability table, at all percentile levels, except the 50th percentile, where no significant difference was observed. Conclusion: Moyers probability table can be applied at the 50th percentile for estimation of sum of mesiodistal dimensions of canine-premolars segments. Newly developed regression equations and tables could be considered to provide more accurate mixed dentition space analysis.

Swedish quality registry for caries and periodontal diseases (SKaPa): validation of data on dental caries in 6- and 12-year-old children

Background The Swedish Quality Registry for caries and periodontal disease (SKaPa) automatically collects data on caries and periodontitis from patients’ electronic dental records. Provided the data entries are reliable and accurate, the registry has potential value as a data source for registry-based research. The aim of this study was to evaluate the reliability and accuracy of the SKaPa registry information on dental caries in 6- and 12-year-old children. Method This diagnostic accuracy study compared dental caries data registered at an examination with dental health status registered in the patient’s electronic dental records, and with corresponding data retrieved from the SKaPa registry. Clinical examinations of 170 6- and 12-year-old children were undertaken by one of the researchers in conjunction with the children’s regular annual dental examinations where the number of teeth were registered, and dental caries was diagnosed using ICDAS II. Teeth with fillings were defined as filled and were added to the ICDAS II score and subsequently dft/DFT was calculated for each individual. Cohen’s Kappa, the intraclass correlation coefficient (ICC), and sensitivity and specificity were calculated to test the agreement of the ‘decayed and filled teeth’ in deciduous and permanent teeth (dft/DFT) from the three sources. Results Cohen’s Kappa of the dft/DFT-values was calculated to 0.79 between the researcher and the patient record, to 0.95 between patient dental record and SKaPa, and to 0.76 between the researcher and SKaPa. Intraclass correlation coefficient (ICC) was calculated to 0.96 between the researcher and the patient journal, to 0.99 between the patient dental record vs. SKaPa, and to 0.95 between the researcher and SKaPa. Conclusion The SKaPa registry information demonstrated satisfactory reliability and accuracy on dental caries in 6- and 12-year-old children and is a reliable source for registry-based research. Trial registration The study was registered in Clinical Trials (www.ClinicalTrials.gov, NCT03039010)

Knowledge and practices of recording and maintaining patients ‘dental records among private dental practitioners of Delhi, India

Proper recording and keeping dental records are an important part of any dental practice. It helps in improving patient care, has medico-legal importance and play significant role in human identification during mass disasters or criminal offences. Aim: To assess the knowledge and practices of recording and maintaining patients ‘records among private dental practitioners of Delhi, India. Methods: Data for this cross-sectional study was collected from 160 dentists of Delhi using a self-administered questionnaire. The face and content validity as well as reliability of questionnaire was tested before the final data collection. A single trained examiner collected all the necessary information via personal visits or google forms. Chi-square test was applied to check the statistically significant difference between the dichotomous independent variables with respect to study participants’ responses to the questionnaire. Results: The mean age of the study participants was 34.5 (SD 7.2) years.Digital method of recording patient’s data and x-ray storage was more prevalent than manual method among the study participants. Slightly more than 40% of the dentists were keeping patient’s records safe for a period of 6 to 10 years. Younger dentists with lesser years of practice were more explicit in recording and correcting patient records. Conclusion: Results of this study shows that private dental practitioners of Delhi are aware of medico-legal importance of dental records. Most of them were recording important findings and history of their patients. Dentists must be educated in two aspects namely correct method of recording and the ideal duration of storing their patients’ dental records.

Maintenance of Dental Records and Forensic Odontology Awareness: A Survey of Croatian Dentists with Implications for Dental Education

Forensic odontology is the application of dentistry within the criminal justice system. Forensic expertise, including dental identification, mostly relies on dental records. We explored the practice of maintaining dental records among Croatian dentists, as well as their knowledge of legal regulations and the application of dental records in forensic odontology. In all, 145 dentists participated in an online survey. Questions covered general information on dentists, maintenance of dental records, and knowledge of legal requirements and forensic odontology. Overall, 70% of dentists obtain and archive written informed consents, while 87% record dental status. Generally, non-carious dental lesions and developmental dental anomalies were not recorded. About 72% of dentists record filling material and surfaces. Only 32% of dentists know the legal requirements for keeping records, whereas 21% have no knowledge of forensic odontology and its purpose. The survey revealed different practices in the maintenance of dental records, including significant flaws and lack of awareness of its forensic importance. This obvious need for additional education on proper maintenance of dental records could be met by including forensic odontology in compulsory undergraduate courses and postgraduate dental education. Establishing national and international standards in dental charting would comply with contemporary trends in health care and the requirements of forensic expertise.