Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Significance of Dental Archiving in Forensic Sciences: A Retrospective Study
Dental Arşivin Adli Bilimlerde Önemi: Retrospektif Bir Çalışma
Ceyda GÜRHANa, Elif ŞENERb, Esin ALPÖZb, Ender ŞENOLc, Nesrin DÜNDARb
aDepartment of Oral and Maxillofacial Radiology, Muğla Sıtkı Koçman University School of Dentistry, Muğla, Türkiye
bDepartment of Oral and Maxillofacial Radiology, Ege University School of Dentistry, İzmir, Türkiye
cDepartment of Forensic Medicine, Ege University Faculty of Medicine, İzmir, Türkiye
Turkiye Klinikleri J Dental Sci. 2022;28(4):800-7
doi: 10.5336/dentalsci.2022-89768
Article Language: EN
Full Text
ABSTRACT
 Objective: To retrospectively evaluate the forensic dental records of patients referred to our faculty and offer a standard dental record form. Material and Methods: All forensic odontology cases referred to the our faculty between 2011 and 2019 were evaluated. In addition to demographic findings such as age and gender, the reasons for referral (file types) and dental examination findings were recorded. Differences between the forensic file types according to years were obtained. Data were analyzed using descriptive statistics and frequency distributions. Results: Of 127 dental forensic files evaluated, 54% of the files were trauma, 33% were malpractice and 13% were determination of age. When referral reasons are examined according to gender, it was shown that the number of males was much higher than females in trauma cases while number of females is high in others file types. Analyzing the files according to years showed that the cases before the year 2011 were disorganized and forensic files in 2012-2014 were missing. The malpractice cases were increased while trauma cases were decreased over the years. Conclusion: Trauma cases were the most common reason for referral to forensic cases. However, it was observed that the forensic reports evaluated did not include parameters for the evaluation of injury crimes in terms of forensic medicine. Inadequate forensic dental records also prove the importance of archiving dental files in forensic cases. With the proposal of dental report form presented, it will be possible to standardize and improve the quality of the forensic records.

Keywords: Forensic dentistry; dental records; dental archieve; trauma; malpractice
ÖZET
 Amaç: Bu çalışmanın amacı, fakültemize sevk edilen hastaların adli dental olgu kayıtlarını geriye dönük olarak değerlendirmek ve standardize dental kayıt formu oluşturmaktır. Gereç ve Yöntemler: Çalışmamız kapsamında, 2011-2019 yılları arasında fakültemize sevk edilen tüm adli olgular değerlendirildi. Yaş, cinsiyet gibi demografik verilere ek olarak, başvuru sebebi (dosya türü) ve dental muayene bulguları kaydedilerek, adli dosya türlerinin yıllara göre değişimi değerlendirildi. Veriler tanımlayıcı istatistikler ve frekans dağılımları kullanılarak analiz edildi. Bulgular: Değerlendirilen 127 adli tıp dosyasının %54'ü travma, %33'ü malpraktis ve %13'ü yaş tayinine yönelik olduğu saptandı. Başvuru sebepleri cinsiyete göre değerlendirildiğinde; travma olgularında erkeklerin sayısı kadınların sayısından fazla iken, diğer adli olgu türlerinde kadınların sayısı fazlaydı. Adli dosyalar yıllara göre analiz edildiğinde; 2011 yılı öncesi adli dental kayıtların düzensiz olduğu, 2012-2014 yılları arasındaki dosyalara ise ulaşılamadığı saptandı. Ayrıca malpraktis olgularının yıllar içinde arttığı saptanırken, travma olgularının ise azalma gösterdiği görüldü. Sonuç: Çalışmamızın bulguları, en sık adli vaka başvuru nedeninin travma olguları olduğunu gösterdi. Ancak değerlendirilen adli raporların, yaralama suçlarının adli tıp açısından değerlendirilmesine yönelik parametreleri içermediği saptandı. İncelenen adli dental kayıtların düzensiz ve eksik olması, adli vakalarda dental dosyaların arşivlenmesinin önemini kanıtlamaktadır. Sunulan dental kayıt formu önerisi ile dental adli kayıtların standardize edilmesinin ve bu kayıtların kalitesinin artırılmasının mümkün olacağı düşünülmektedir.

Anahtar Kelimeler: Adli diş hekimliği; dental kayıt; dental arşiv; travma; malpraktis
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