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MACROSTRUCTURE OF TEETH RESTORED WITH DIFFERENT DENTAL MATERIALS ANALYZED AFTER THERMAL INVERSION 热反转后不同牙体材料修复牙体的宏观结构分析
Pub Date : 2019-04-13 DOI: 10.21117/RBOL.V6I1.210
Alexandre Conde, Paula da Costa Taddeucci, André Alex Baldissera, A. Franco, Mário Marques Fernandes
Objective: This study aimed to investigate the macrostructure of teeth restored with different dental materials after thermal inversion. Material and methods: The sample consisted of 16 bovine mandibular incisors. Half of the teeth underwent class V restorations with amalgam (Amalgam GS 80, SDI Dental Ltd., Dublin, Ireland), while the other half was restored with composite (Charisma, Kulzer GmbH, Hanau, Germany). During 30 minutes the teeth were exposed to heating at 100 o C, 200 o C, 300 o C and 400 o C. Next, cooling was performed in half of the sample using a fan (slowly) and in the other half using water (quickly). Qualitative analysis was performed to detect eventual macroscopic alterations in the teeth, especially considering: I) the color of the restoration; II) the structure of the restoration; III) fitting of the restoration in the cavity; IV) main alteration of the restoration from the original form; V) main alteration of the tooth from the original form. Results: Different macroscopic alterations were observed after slow and quick cooling of the amalgam after heating at 200 o C, 300 o C and 400 o C, while for the composite the alterations were detected only after heating at 400 o C. Conclusion: Optimal human identification performances and forensic reports must consider the eventual macroscopic alterations in dental restorations and teeth detected in charred bodies retrieved from the water.
目的:研究不同牙体材料热反转修复牙体的宏观结构。材料和方法:样品由16个牛下颚门牙组成。一半的牙齿用汞合金修复(amalgam GS 80, SDI Dental Ltd, Dublin, Ireland),另一半用复合材料修复(Charisma, Kulzer GmbH, Hanau, Germany)。在30分钟内,将牙齿暴露在100℃、200℃、300℃和400℃的温度下加热。然后,用风扇(缓慢地)冷却一半的样品,用水(快速地)冷却另一半样品。进行定性分析以检测牙齿最终的宏观变化,特别是考虑到:1)修复体的颜色;II)修复的结构;III)修复体在腔内的拟合;(四)恢复原状后发生重大变更的;(五)牙齿与原来的形状有重大的改变。结果:汞合金在200℃、300℃和400℃加热后缓慢冷却和快速冷却后,观察到不同的宏观变化,而复合材料仅在400℃加热后才检测到变化。结论:最佳的人类鉴定性能和法医报告必须考虑牙齿修复体和从水中提取的烧焦尸体中检测到的牙齿最终的宏观变化。
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引用次数: 0
CAN DENTAL ANESTHESIA LEAD TO DEATH? CRIME INVESTIGATION REPORT 牙科麻醉会导致死亡吗?罪案调查报告
Pub Date : 2019-04-13 DOI: 10.21117/RBOL.V6I1.227
P. Gonzales, Mário Marques Fernandes, Mara Rosângeles de Oliveira, L. Wolffenbuttel, E. Michel-Crosato, R. N. Oliveira
Emergency situations that may lead to the death of an individual, even when there is no cause directly related to the treatment, occur with certain frequency in dental offices. The purpose of this study was to report a case that involved an inquiry and police investigation related to the death of a female patient after the injection of two ampoules of 2% lidocaine anesthetic for dental treatment. The patient died despite assistance given by the professional and by SAMU (Urgent Mobile Medical Service). The legal authorities inquired into the possibility that the amount of anesthetic may have caused the patient’s death. However, it was proven that the amount of anesthesia was adequate, and the recommendation of the Public Prosecutor's Office was for closure of the case because of lack of evidence justifying occurrence of the crime
即使没有与治疗直接相关的原因,也可能导致个人死亡的紧急情况在牙科诊所时有发生。本研究的目的是报告一个涉及调查和警方调查的案件,该案件与一名女性患者在注射两安瓿2%利多卡因麻醉剂用于牙科治疗后死亡有关。尽管有专业人员和紧急流动医疗服务(SAMU)的帮助,病人还是死亡了。法律当局调查了麻醉剂量是否可能导致了病人的死亡。然而,事实证明麻醉的剂量是足够的,检察官办公室的建议是结案,因为缺乏证据证明犯罪的发生是正当的
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引用次数: 0
PARADOXOS DA RESOLUÇÃO CFO N. 196/2019: “EU TÔ TE EXPLICANDO, PRÁ TE CONFUNDIR” CFO第196/2019号决议的悖论:“我向你解释,让你困惑”
Pub Date : 2019-04-13 DOI: 10.21117/RBOL.V6I1.252
Leandro Brambilla Martorell, Mauro Machado do Prado, Mirelle Finkler
Em janeiro de 2019, o CFO publicou a Resolucao n. 196/2019 que autoriza a divulgacao de selfie e de imagens relativas ao diagnostico e ao resultado final de tratamentos odontologicos. Este artigo visa analisar o conteudo desta resolucao a partir de referenciais do Direito, da Deontologia Odontologica e da Bioetica, a fim de fomentar uma reflexao critica na categoria e, por conseguinte, um posicionamento moralmente autonomo de cada profissional frente as decisoes do orgao de classe. A analise realizada identificou maior vulnerabilizacao do paciente em relacao a sua exposicao; evidenciou a desvalorizacao do dialogo e deliberacao entre os pares por parte do CFO; aumentou a confusao entre os profissionais da categoria sobre assunto candente; bem como a atencao e a intervencao de outras categorias profissionais; e ainda, dificultou o trabalho de fiscalizacao dos Conselhos Regionais ao permitir dispares interpretacoes da norma. Entende-se prudente a revogacao imediata da resolucao e a convocacao de uma nova CONEO, onde as discussoes se pautem, fundamentalmente, nos valores que a profissao deve proteger em relacao a todos os envolvidos em sua pratica (pacientes – profissionais – sociedade – corporacao/profissao), para somente entao deliberar pelas normas deontologicas que devem promover e resguardar tais valores.
2019年1月,首席财务官发布了第196/2019号决议,授权披露与牙科治疗诊断和最终结果相关的自拍和图像。本文旨在从法律、牙科义务论和生物伦理学的角度分析这一决议的内容,以促进对这一范畴的批判性反思,从而使每个专业人员在面对阶级机构的决定时在道德上独立。所进行的分析确定了患者在暴露方面的更大脆弱性;显示首席财务官贬低了同行之间的对话和审议;增加了专业人士对热门话题的困惑;以及其他专业类别的关注和干预;此外,它允许对规则的不同解释,从而阻碍了地区委员会的监督工作。秉持谨慎的直接revogacao resolucao convocacao的新CONEO的discussoes基于价值观,从根本上说,企业应当对所有参与保护你的练习(病人—专业—社会—corporacao /企业),才决定deontologicas应该促进和保护标准不置一词。
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引用次数: 3
ALARMING RATES OF BITE INJURIES IN THE BRAZILIAN JURISPRUDENCE 在巴西法律界,咬伤的惊人比率
Pub Date : 2019-04-13 DOI: 10.21117/RBOL.V6I1.192
Fernanda Silveira Vallim, L. G. Rodrigues, M. Araújo, É. Torres, A. Franco, R. F. Silva
Introduction: Physical violence became an important global problem in the last decades. This scenario is reflected in the increasing jurisprudence. In specific situations, perpetrators and victims of physical violence may inflict an especial patterned injury named bitemark. Knowing the case characteristics in lawsuits involving human bites and bitemarks is important to understand and encourage the role of Forensic Dentists as expert witness for bitemark analysis in Court. Objectives: The present study aimed to assess the jurisprudence to screen lawsuits that involve human bites and bitemarks in order to extract characteristics that could support research and practice of bitemark analysis. Material and methods: A systematic search was conducted in an open access jurisprudence system with the keywords “bite” and “bitemark”. Full-texts of lawsuits were selected and underwent data extraction.  Results: A total of 2488 lawsuits were detected, from which 1125 were eligible in the present study. The lawsuits dated between 1997 (n=13, 1.15%) and 2015 (n=202, 17.95%). Forensic expertises were performed in 641 (56.97%) lawsuits, but the identity of suspects was investigated only in 3 (0.26%) cases.  Conclusions: An increasing trend of lawsuits involving human bites and bitemarks was observed. Forensic Dentists must be aware of the current bitemark scenario as well the limitations inherent to bitemark analysis to face casework in the field. The present study provides evidence to encourage major education in bitemark analysis.
在过去的几十年里,身体暴力成为一个重要的全球性问题。这种情况反映在越来越多的判例中。在特定情况下,施暴者和身体暴力的受害者可能会造成一种称为咬痕的特殊图案伤害。了解人类咬伤和咬痕案件的特点,对于理解和鼓励法医牙医在法庭上作为咬痕分析专家证人的作用是非常重要的。目的:本研究旨在评估涉及人类咬伤和咬痕的诉讼筛选的法理学,以提取可以支持咬痕分析研究和实践的特征。材料与方法:以“咬伤”和“咬痕”为关键词,在开放获取法理学系统中进行系统检索。选取诉讼全文,进行数据提取。结果:共检出案件2488起,其中符合本研究条件的案件1125起。诉讼时间为1997年(n=13, 1.15%)至2015年(n=202, 17.95%)。司法鉴定案件641件(56.97%),犯罪嫌疑人身份鉴定案件3件(0.26%)。结论:涉及人咬伤和咬痕的诉讼呈上升趋势。法医牙医必须意识到当前的咬痕情况,以及咬痕分析固有的局限性,以面对现场的案件工作。本研究为鼓励咬痕分析的专业教育提供了证据。
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引用次数: 1
APLICABILIDADE DO VOLUME DA CÂMARA PULPAR PARA A ESTIMATIVA DE IDADE EM ADULTOS A PARTIR DE TOMOGRAFIAS COMPUTADORIZADAS DE FEIXE CÔNICO: UM ESTUDO PILOTO 锥形束计算机断层扫描牙髓腔体积在成人年龄估计中的适用性:一项初步研究
Pub Date : 2019-04-13 DOI: 10.21117/RBOL.V6I1.240
Milena Norões Viana Gadelha, Julius Cézar Alves de Lima, Isabella Lima Arrais Ribeiro, B. Santiago
Introducao: A demanda forense de estimativa de idade em individuos vivos repercutiu no desenvolvimento de metodologias fundamentadas em recursos imaginologicos, notadamente, a Tomografia Computadorizada de Feixe Conico (TCFC). Objetivo: Avaliar a aplicabilidade do volume da câmara pulpar para estimar a idade em individuos adultos atraves de imagens de TCFC. Material e Metodo: Estudo cego e transversal com 26 TCFC, que apresentaram incisivos central e lateral superiores (ICS; ILS), 2o pre-molar superior (2PMS), incisivo lateral (ILI), canino (CI) e 1o pre-molar inferior (1PMI) higidos. Em cada dente, mediu-se o comprimento dental, pulpar e radicular, e a largura radicular e pulpar em tres niveis (juncao amelo-cementaria (A), meio da raiz (C) e entre as duas anteriores (B)), no plano sagital e coronal. Calculou-se razoes entre as medidas pulpares e dentais, procedendo-se a analise de regressao linear (α=5%). Resultados: Das 108 medicoes, duas demonstraram maior correlacao com a idade: comprimento pulpar do ILI, no corte sagital (R2=0,273), e largura pulpar no nivel C do 1PMI, no corte coronal (R2=0,289). Obteve-se maior poder de estimativa com a media das razoes entre a largura pulpar e dental do ICS e ILS nos tres niveis no sentido sagital (R2=0,374), seguido da razao do comprimento polpa/dente do ILI (R2=0,368). Conclusao: As medidas da câmara pulpar em TCFC apresentam aplicabilidade moderada para estimar a idade. O calculo de razoes melhora o poder de estimativa, devendo-se privilegiar os incisivos superiores e o incisivo lateral inferior. Pretende-se aumentar a amostra para realizar validacao cruzada das equacoes geradas.
简介:法医对活体年龄估计的需求反映在基于成像资源的方法的发展中,特别是锥形束计算机断层扫描(cbct)。目的:评估牙髓腔体积在cbct图像中估计成人年龄的适用性。材料和方法:对26例上颌中切牙和外侧切牙进行盲横断面研究。上颌第二前磨牙(2PMS)、侧切牙(ILI)、犬齿(CI)和下颌第一前磨牙(1PMI)。在每颗牙齿中,在矢状面和冠状面测量牙髓和根的长度,以及根和根的宽度在三个水平(牙髓连接(a),根的中间(C)和前两个水平之间(B))。计算牙髓和牙齿测量之间的比率,进行线性回归分析(α=5%)。结果:108种药物中有两种与年龄相关:矢状切牙时ILI的牙髓长度(R2= 0.273)和冠状切牙时1PMI C水平的牙髓宽度(R2= 0.289)。在矢状方向的三个水平上,ICS和ILS的牙髓和牙宽比的平均值(R2= 0.374),其次是ILI的牙髓/牙长比(R2= 0.368),获得了更大的估计能力。结论:cbct髓腔测量在估计年龄方面具有中等的适用性。原因的计算提高了估计能力,应优先考虑上切牙和下侧切牙。它的目的是增加样本,以便对生成的方程进行交叉验证。
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引用次数: 1
RECONHECIMENTO FACIAL NA PRÁTICA FORENSE: UMA ANÁLISE DOS DOCUMENTOS DISPONIBILIZADOS PELO FISWG 法医实践中的人脸识别:FISWG提供的文件分析
Pub Date : 1900-01-01 DOI: 10.21117/rbol-v9n12022-419
Maria Olivia Matos Oliveira, Janaina Paiva Curi, Rosane Pérez Baldasso, T. L. Beaini
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引用次数: 1
GUIA ÉTICO PARA PUBLICIDADE ODONTOLÓGICA NAS MÍDIAS SOCIAIS 牙科社交媒体广告道德指南
Pub Date : 1900-01-01 DOI: 10.21117/rbol-v8n32021-376
J. Lima, L. Nascimento
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引用次数: 0
A CAREER IN FORENSIC ODONTOLOGY: IT IS NOT ONLY ABOUT TEETH 法医牙科学的职业:它不仅仅是关于牙齿的
Pub Date : 1900-01-01 DOI: 10.21117/rbol-v10n12023-482
S. Mânica, Giselle Mânica
__
__
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引用次数: 0
EXIGÊNCIA DO CÓDIGO DA CID EM ATESTADO: EMBASAMENTO LEGAL E ANÁLISE DA JURISPRUDÊNCIA ATUAL 《国际刑事法院法典》认证要求:法律依据和现行判例法分析
Pub Date : 1900-01-01 DOI: 10.21117/rbol-v10n12023-488
Carla Reis Machado, Janaina Paiva Curi, Akeme Areda Souza, Carolina Melo Carvalho, Dayane Batista Santana, T. L. Beaini
{"title":"EXIGÊNCIA DO CÓDIGO DA CID EM ATESTADO: EMBASAMENTO LEGAL E ANÁLISE DA JURISPRUDÊNCIA ATUAL","authors":"Carla Reis Machado, Janaina Paiva Curi, Akeme Areda Souza, Carolina Melo Carvalho, Dayane Batista Santana, T. L. Beaini","doi":"10.21117/rbol-v10n12023-488","DOIUrl":"https://doi.org/10.21117/rbol-v10n12023-488","url":null,"abstract":"","PeriodicalId":187893,"journal":{"name":"Revista Brasileira de Odontologia Legal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128294384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
UTILIZAÇÃO DE ESCÂNERES INTRAORAIS NA ODONTOLOGIA LEGAL: UMA REVISÃO DE LITERATURA 口腔内扫描仪在牙科法医学中的应用:文献综述
Pub Date : 1900-01-01 DOI: 10.21117/rbol-v9n12022-421
Pedro Carlos Mollo Filho, R. F. H. Melani
{"title":"UTILIZAÇÃO DE ESCÂNERES INTRAORAIS NA ODONTOLOGIA LEGAL: UMA REVISÃO DE LITERATURA","authors":"Pedro Carlos Mollo Filho, R. F. H. Melani","doi":"10.21117/rbol-v9n12022-421","DOIUrl":"https://doi.org/10.21117/rbol-v9n12022-421","url":null,"abstract":"","PeriodicalId":187893,"journal":{"name":"Revista Brasileira de Odontologia Legal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114792292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Revista Brasileira de Odontologia Legal
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