Awareness of forensic odontology among dental practitioners in Chennai: A knowledge, attitude, practice study

Association of child abuse and neglect training with filing reports of concern to child welfare services: a cross-sectional study

BACKGROUND

The aptitude, knowledge, and competence of dental health personnel on child abuse and neglect (CAN) is not optimal for deciding when to file a report of concern to child welfare services (CWS).

OBJECTIVES

The aim of this study was, firstly, to assess the association of the public dental health personnel 's (PDHP) training on CAN received in the last three work years, i.e., in 2016 through 2018 with filing reports to the CWS in the same period and secondly to assess the association of expressed need of training on CAN with filing reports to the CWS.

METHODS

This cross-sectional study uses data from an electronic survey census of PDHP from Norway (n = 1791) conducted in 2019. The Pearson chi-square test, non-parametric tests, logistic, and negative binomial regression were used for unadjusted and adjusted analysis. Data was reported with proportions, odds ratios (OR), incidence rate ratios and 95% confidence intervals (CIs).

RESULTS

From 2016 to 2018, the prevalence estimate of filing reports to CWS was 50%, with a mean (standard deviation) of 1.39 (2.11) reports sent. The logistic regression analysis showed an association between filing reports of concern and CAN training in the last three years. Compared to those that had not received CAN training during the three previous years, the ORs (95% CI) for filing reports to the CWS during the same period was 2.5 (1.6-4.0) for one day CAN work training, 3.2 (2.0-5.1) for 2-4 days CAN training and 4.9 (2.6-9.4) for five or more days CAN training. Compared to workers who did not need training in reporting (routines of CAN), those who expressed the need for a little more and more training were less likely to file a report. The corresponding OR were 0.6 (0.4-0.9) and 0.6 (0.3-0.9), respectively.

CONCLUSION

CAN training during the last three years is associated with filing reports of concern to CWS in the same period among PDHP in Norway. The likelihood of filing CAN reports increased with the number of days of CAN training received. Secondly, the PDHP with an expressed need for training on CAN routines were less likely to report suspicions to CWS.

Awareness of forensic dentistry among dental professionals in western Saudi Arabia: A knowledge, attitude, and practice-based cross-sectional study

The aim of the study is to assess the knowledge, attitude, practice, and self-reported record for a list of items that are useful to forensic dentistry (FD) among dental professionals from the western region of Saudi Arabia. This cross-sectional survey was conducted among 406 dental health professionals. A pre-validated questionnaire written in Google Forms was used as a study tool. The questionnaire contained 4 parts: 1 - demographics; 2 - knowledge about FD; 3 - the attitudes; 4 - assessing dental record maintenance. Statistical data were analyzed using Pearson chi-square (χ2). The degree distribution amongst 406 respondents was: 64 bachelors; 162 masters; 180 Doctor of Philosophy (PhDs). 52% of respondents agreed that dentists should have enough knowledge about FD. Yet, 90.4% did not receive any training. All qualifications were aware of FD with no significant difference between groups (P = .06). According to degree, a significant difference between the 3 groups (P = .004), where a bachelor degree showed the least desire in testimony in court for FD evidence (50%) compared to master and PhD degrees (80%, 75%, respectively). Almost 56% of consultants reported that it is not primarily for the dentist to have a good knowledge of FD, while all other qualifications agreed to the opposite (66%). 55.4% of general dentists, 73% of residents, and 94% of consultants believed that FD is an accurate, sensitive, and reliable method in the identification of unknown victims or criminals. Our study revealed that there is a lack of knowledge, attitude, and practice among undergraduates and general dental practitioners. However, this scenario can be upgraded by the inclusion of FD in the dental curriculum in Saudi Arabia.

Dental professional's perspective regarding knowledge, awareness, and attitude towards the importance of charting dental anomalies: a cross-sectional study

OBJECTIVES

The presence of dental anomalies could play a significant role in the identification of individuals by comparing antemortem and postmortem data. This cross-sectional study aimed to assess the level of knowledge, attitude, and awareness among dental professionals regarding the importance of charting dental anomalies and maintaining dental records.

METHODOLOGY

A self-structured questionnaire was e-mailed to dental professionals practicing in India. The responses were recorded, data tabulated, and one-way ANOVA and post hoc tests were applied for analysis. The criterion for significance was p < .05.

RESULTS

A total of 406 dental professionals responded to the survey. A significant difference was observed in the mean attitude score of participants towards the importance of charting dental anomalies and maintaining dental records with regard to place of work (p=.001), gender (p=.044) and educational qualification (p=.039). In addition, a statistically significant difference was observed in the mean awareness score of participants with respect to place of work (p=.033) and gender (p=.001). The major barriers in maintaining dental records were lack of time, adequate knowledge, infrastructure, and financial constraints.

CONCLUSION

81.3% and 69.26% study participants had very good awareness and attitude, whereas 71.2% had good knowledge regarding the importance of charting dental anomalies and maintenance of dental records; however, their inaccurate responses in anomaly identification hinted towards the need for proper dental charting and their maintenance to be taught en masse and made part of the BDS curriculum.

Awareness of Forensic Odontology among Dental Students and Faculty in Cyprus: A Survey-Based Study

This study aimed to evaluate the awareness, comprehension, and practices concerning forensic odontology among dental students and faculty at a Dental School in Cyprus. An online, cross-sectional, descriptive survey, employing an adapted, self-administered questionnaire, was disseminated to all dental students and faculty at the School of Dentistry, European University Cyprus, in November 2022. The survey assessed participants' demographic information and explored their awareness with questions alluding to knowledge, attitudes and practices in forensic dentistry. Of those surveyed, 47 faculty members and 304 students responded, yielding response rates of 66.2% and 80%, respectively. Statistical analysis, including Kendall's tau test and χ2 test were employed to examine correlations and associations, with Cramer's V used to measure the strength of significant associations. The predetermined significance level was α = 0.05. Awareness levels were assessed through participants' responses to specific questions in the survey. It was revealed that 87% of faculty and 65% of students were familiar with forensic odontology. A noteworthy 94% of faculty and 85% of students recognized teeth as DNA repositories. A high percentage, 98% of faculty and 89% of students, acknowledged the role of forensic odontology in the identification of criminals and deceased individuals. Awareness of age estimation through dental eruption patterns was evident in 85% of faculty and 81.6% of students. A substantial proportion (80% of faculty) maintained dental records, while 78% of students recognized the importance of dental record-keeping in ensuring quality care. Interestingly, 57% of students and 64% of faculty were aware of the possibility of dentists testifying as expert witnesses. The majority, 95.7% of faculty and 85% of students, concurred that physical harm, scars, and behavioral alterations predominantly indicate child abuse. The findings, revealing robust awareness among respondents, underscore the importance of enhancing faculty engagement in relevant seminars to further strengthen their knowledge. Additionally, emphasizing improved record-keeping practices for potential forensic applications emerges as a crucial aspect. These insights have implications for refining dental education in Cyprus and enhancing forensic practices by promoting ongoing professional development and emphasizing meticulous record-keeping within the dental community.

Maintenance of dental records and awareness of forensic odontology among pakistani dentists: a mixed-method study with implications for dental data repository

OBJECTIVE

Dental records and forensic odontology play an important role in both healthcare and the legal system, aiding in personalized patient care, human identification, and legal proceedings. This study aims to investigate dental record-keeping practices and assess the awareness of forensic odontology among Pakistani dentists over 12 months. This study aims to collect data from 500 dentists, identify areas for enhancement, and develop a strategic action plan to improve record-keeping quality and forensic odontology application, culminating in a comprehensive dental data repository to support legal and criminal investigations in Pakistan.

METHODOLOGY

This study employed a mixed-method approach conducted at Hamdard Dental College from January to March 2023. The quantitative phase involved distributing questionnaires to 463 dentists, chosen through stratified random sampling. Out of these, 413 responded, yielding an 86% response rate. These questionnaires focused on dental record-keeping practices and dentists' awareness of forensic odontology. Subsequently, based on the questionnaire results, face-to-face interviews were conducted with 20 purposively selected dentists to gain deeper insight into the challenges and potential solutions. Data from both phases were integrated and analyzed accordingly.

RESULTS

The study included 413 participants, mainly females (79%), with ages ranging from 27 to 65 years and an average age of 46.4 years. Most dentists had 5-20 years of work experience (53%), and most (87.4%) were practicing in private clinical settings. All the dentists generated medical and dental records, but the duration of their record-keeping varied, with some maintaining them for up to a year and others for two years or longer. Five themes were generated from the qualitative content analysis. These themes were dentists' perceptions, barriers and challenges, knowledge and awareness, and improvement strategies.

CONCLUSION

Our study revealed that local practitioners in Pakistan exhibit subpar practices in dental record-keeping and maintenance of patient history, irrespective of whether they use a digital or traditional file-based system. Even though dentists are cognizant of the importance of record-keeping, they do not actively maintain comprehensive records. This suggests the need for improved training and system improvements to address the gaps in record-keeping practices.

Knowledge, Awareness, and Interest in Forensic Odontology Among the Dental Teaching Staffs in the Dental Colleges of Jharkhand

BACKGROUND

Forensic dentistry is a subspecialty of forensic science that handles, examines, and presents evidence from teeth in the most ethical manner possible. In addition to doing research, forensic odontology (FO) entails managing, examining, assessing, and presenting evidence from dentistry in civil or criminal investigations. In these circumstances, the forensic odontologist aids the court system by reviewing the dental findings.

AIM

The present investigation was carried out to assess the dental faculty member's awareness, interest, and knowledge of FO at dental educational institutions in Jharkhand, India.

METHODS AND MATERIALS

The sample size calculation assumes a simple random sampling technique and a large population size using the formula E=sqrt((Z^2*p*(1-p))/n). A total of 102 dental teaching faculty members from diverse dental specialties participated in the survey. Utilizing a validated questionnaire that was sent directly after receiving approval from the institutional ethics committee in January 2023, data were gathered in a tailored manner. The questionnaire included 12 questions to gauge the dental teaching faculty members' awareness, knowledge, and interest in FO. Closed-ended questions were included. The outcomes were computed using a percentage system.

RESULTS

In this study, 95% of study participants agreed with the fact that teeth are a possible source of DNA, while 5% were unaware of this fact. 68% of study participants said that visual examination constitutes the initial stage in the identification process for unidentified bodies while 8% of study participants said that DNA fingerprinting constitutes the initial stage in the identification process for unidentified bodies. However, 8% of study participants didn't know anything about this aspect. 72% of dental teaching faculty members agreed to the fact that Barr bodies should be used to determine sex. 89% of study participants responded positively to the question "Can teeth or enamel serve as a tool for determining age?" 11% of study participants did not know that teeth or enamel can serve as a tool for determining age. 41% of study participants had the correct information that FO instruction for bachelor of dental surgery (BDS) students takes place and, as per Dental Council of India (DCI) standards, should be given in both BDS second and third years.

CONCLUSION

The results of the current survey provided information on FO practices among Jharkhand dental institutes' dental faculty. The poll revealed that they have the necessary information, which they must have learned either while studying, participating in continuing dental education, or teaching.

Knowledge and awareness of forensic dentistry course among undergraduates

Forensic odontology is an expanding field within the domain of forensic sciences, where dental knowledge is applied in identification of individuals through analysis of the dental-related records. The study goal was to determine if undergraduate students were aware of the forensic dentistry course. A cross-sectional survey was initiated about the need for forensic courses in UG program. Nearly 100 students participated in this survey, data have been collected, and graph has been plotted. Data have been collected with the help of SPSS software; data have been analyzed and plotted as graph. One hundred students responded the survey; only limited people's opinions have been collected. The result varies among the students; 58% knows about the importance of forensic odontology in dentistry using Chi-square value, P = 0.09. The majority of students, who replied to this poll, had some understanding and awareness of forensic odontology in dentistry, but they need to learn more about how it is practiced.

Awareness of Forensic Odontology among Dental Students, Academicians, and Dental Practitioners in Gujarat: A Questionnaire Based, Cross Sectional Study

Aim: This survey aimed to evaluate the awareness of forensic odontology (FO) subject among dental students, dental academicians (DAs), and dental practitioners (DPs) in Gujarat state. Materials and Methods: A questionnaire sheet containing 14 questions was answered by 607 participants consisting of dental students, DAs, and DPs in Gujarat. Descriptive statistics were used to summarize the responses, and the results were presented as frequencies and percentages. The Chi‑square test was used to compare the responses among the groups, and the level of significance was set at P < 0.05. Results: A total of 607 participants answered the questionnaire form. Out of 212 UG students, 175 (82.5%) were aware of the FO branch and 181 (85.4%) agreed to FO as a promising field in dentistry. The majority of the undergraduate (UG) students agreed that FO should be taught as a separate subject at UG and postgraduate level. The majority of the participants (95.7%) agreed that dental evidence plays an important role in forensic cases. Nearly 80% of the respondents agreed for a separate PG course in FO and around 37% of them opted for MDS course in FO. Bitemark analysis and dental age estimations were considered the promising domains in FO by >80% of the participants. Conclusion: This questionnaire study was performed to analyze the awareness of FO among dental students, DPs, and DAs. The majority of the study participants were aware of FO. A thorough review of the literature on a similar topic was also done.

The "Neglected" Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research

Globally, the oral health needs of children who have, or are suspected of having, experienced abuse or neglect has become a focus of concern. It is thus valuable and timely to map the contemporary nature of the research landscape in this expanding field. This review reports the findings of a scoping review of the international empirical literature. The aim was to explore the relationship between child maltreatment and oral health and how this complex issue is addressed in contemporary dental, health, and social work practice. The review identified 68 papers, analysis of which identified three themes: (1) There is a relationship between poor oral health and child maltreatment that is well evidenced but conceptually underdeveloped. (2) There are discrepancies between the knowledge of members of the dental team about child maltreatment and their confidence and aptitude to identify and report child protection concerns. (3) There are areas of local-level policy and practice development that seek to improve working relationships between dentists and health and social work practitioners; however, there is widespread evidence that the oral health needs of this group of vulnerable children are not consistently met. To orientate critical discussion and planning for future research and practice, we present the Patterns, Advances, Gaps, Evidence for practice and Research recommendations (PAGER) framework. The review's findings are likely to be of interest to researchers, practitioners, and policy makers working across dentistry, health and social work.

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.

Forensic Odontology: Knowledge and Attitude of Dental Students in Ajman University, United Arab Emirates

Aims:

The aims of this study were to assess dental students’ knowledge and attitude with regard to forensic odontology and to determine students’ opinions in the current dental curriculum.

Methods:

This cross-sectional study was conducted among dental students at one of the main dental colleges in the United Arab Emirates; only dental students on their final year and internship were invited to participate. An online self-administrated questionnaire was used, which consisted of a set of 15 questions. All the data were entered into Microsoft Excel and then transferred into SPSS.

Results:

A total of 276 dental students contributed to this study. The highest percentage of correct responses stated by the students was related to the estimation of individuals’ age and estimation of dental age based on radiograph and eruption status. However, there were clear deficiencies in students’ knowledge in relation to other aspects such as gender identification and lip-print, palatal rugae as an indicator in forensic identification. A high percentage (84.8%) had no formal education in the field of forensic odontology. Moreover, 93.1% of the students agreed that their present knowledge about forensic odontology is inadequate. Most of the participants (95.0%) agreed upon the necessity of adding a module on forensic odontology to the current curriculum.

Conclusion:

Our study revealed inadequate knowledge among dental students in relation to forensic odontology. This lack of knowledge among them attributed to the lack of formal training, and lack of forensic odontology as a part of dental curriculum. Forensic odontology must be added to the undergraduate curriculum as a separate subject to enrich students’ knowledge and awareness toward medico-legal cases in their future careers.

Emulating Odontolegal Practice: A Paradigm Shift in the Dental Practice Laying More Emphasis on Dental Records-A Perspective and Contemporary Study with a Reality Check

Aim

This study was conducted to evaluate the knowledge and the awareness on odontolegal practice with more emphasis on significance of maintaining dental records by the oral health professionals.

Materials and methods

A cross-sectional study was carried out among 120 dental practitioners of Jammu and Kashmir, Himachal Pradesh, Delhi, Punjab, Gujarat, and Odisha. A questionnaire was designed to assess their practice and knowledge regarding the importance of maintenance of dental records and the knowledge about dental jurisprudence. Total 120 questionnaire samples were distributed among dental health professionals, and the data obtained were studied and formulated for significance of dental records.

Results

Feedback obtained was then analyzed. Seventy percentage of the dentists are not maintaining clinical records of their patients and 20% of the dentists acknowledged that they are not keeping or maintaining dental records like X-rays and cast models of their patients. Eighty percentage of dentists were not known to the ethical importance of dental record, i.e., for how long they have to maintain records of their patients and other details.

Conclusion

This study concludes that the oral health professionals lacked the knowledge and awareness about odontolegal aspects and the significance of maintaining dental records. It was observed that there was insufficient knowledge about medicolegal systems and there is a need to bring awareness and knowledge of the same in the dental fraternity.

Clinical significance

With the increasing use of medical insurance and subsequently mediclaims, negligence suits, scientific evaluation, and research purposes, and health planning, etc., the “dental records itself have evolved as a separate science and therefore needs to be considered in the curriculum for dental students as this would introduce the concept for application in their future practice, thus avoiding legal complications in the future.”

How to cite this article

Kaul B, Gupta S, Vaid V, et al. Emulating Odontolegal Practice: A Paradigm Shift in the Dental Practice Laying More Emphasis on Dental Records—A Perspective and Contemporary Study with a Reality Check. Int J Clin Pediatr Dent 2020;13(3):217–220.

Awareness of forensic odontology among undergraduate, graduate, and postgraduate dental students in Riyadh, Saudi Arabia: A knowledge-, attitude-, and practice-based study

Aims and Objectives:

The aim of the study is to assess the knowledge, attitude, and practice (KAP) of forensic odontology among undergraduate, graduate, and postgraduate dental students at Riyadh Elm University, Riyadh, Saudi Arabia.

Material and Methods:

This is a cross-sectional, institution-based survey study conducted among 400 dental students, which included 220 undergraduates, eighty interns, sixty graduates, and forty postgraduates aged, between 18 and 28 years. A self-administered structured questionnaire written in English and Arabic language was given to all willing student participants. Questionnaire included KAP criteria based along with demographic data. Statistical data were analyzed using Chi-square test.

Results:

Seventy-five percent of postgraduates, 42% of graduates, and 40.9% of the undergraduates were aware that teeth serve as a source of DNA. Ninety-five percent of the participants were aware that forensic dentistry helps to investigate criminals and dead persons. About 72% of the undergraduates and 77.5% of postgraduates were aware that forensic odontology helps in identification of deceased person's age and gender in mass disasters using dental records. About 62.73% of the undergraduates were unaware of the job opportunities in forensic dentistry in Saudi Arabia and 97.5% of the participants revealed that forensic dentistry was not included as part of the curriculum in undergraduate and postgraduate dental courses. About 93.2% of the undergraduate and 83.4% of graduate dental students agreed that they lack knowledge about forensic dentistry.

Conclusion:

Our study revealed inadequate knowledge, poor attitude, and lack of practice of forensic odontology among undergraduate and graduate dental students than the postgraduates.

Determinants of knowledge and practice of forensic dentistry amongst dental practitioners

OBJECTIVE

To evaluate the determinants of knowledge and practice of forensic dentistry (FD) amongst dental practitioners.

METHODS

This cross-sectional study was conducted on dental practitioners working in private and public sectors in the Eastern province of Saudi Arabia. A pilot tested self-administered questionnaire was distributed amongst an estimated sample of 323 dentists. Bivariate and multivariable logistic regression analyses were performed.

RESULTS

In the study, 72.4% of the estimated sample returned completed questionnaires. There were 142 male (60.7%) and 92 female dentists (39.3%) in the study. There were 59 (25.2%) dentists who had the knowledge of FD and 27 (11.5%) handled the cases related to FD. Multivariable logistic regression showed that receiving FD training in undergraduate program (Adjusted odd ratio [AOR] = 10.31, 95% CI = 4.67-22.76), and updating the information of FD (AOR = 6.68, 95% CI = 2.81-15.86) were significantly associated with increased odds of having the knowledge of FD. Similarly, updating the information of FD (AOR = 7.56, 95% CI = 2.54-22.51) and having ≥5 years of clinical experience (AOR = 4.64, 95% CI = 1.00-21.40) were significant determinants of handling the cases of FD. The adjusted odds ratio for the maintenance of dental records was 4.16 times higher for specialists and consultants than general dentists.

CONCLUSION

The study found that the dentists who received FD training had greater chances of having FD knowledge. Updating information about FD was associated with improved knowledge and practice of FD. Dental curricula should provide knowledge and skills of FD to students in undergraduate programs and the dentists should learn about FD through different educational sources.

Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey

INTRODUCTION

Child abuse is a serious public problem. Signs of abuse are often present in the oro-facial region and dentists are in a strategic position to recognise and report suspected cases. The aim of this study was to investigate dental students' knowledge about and attitudes towards child abuse.

MATERIAL AND METHODS

This study was performed at the Faculty of Dentistry of the Ondokuz Mayis University. The data were collected through a self-report questionnaire administered to dental students (137 female/111 male) in three different dental classes (third, fourth and fifth study years) and grouped by considering those students who have been training in the school year of 2013. The definition of physical and social indicators of abuse, awareness regarding legal and ethical responsibilities, students' experience and requests made by students were evaluated by the students' response to questions put in the questionnaire. Descriptive statistics and chi-square tests were performed to analyse the questionnaire data.

RESULTS

The questionnaire completion rate was 100%. About 67.74% of the third year, 40.71% of the fourth year and 16.67% of the fifth year believed that they could detect child abuse cases. However, results indicated a major lack of knowledge of social indicators, signs of physical abuse and reporting procedure amongst all respondents. The assessment of the total correct answers exhibited significant differences amongst third-, fourth- and fifth-year students' answers. Fifth-year students had the highest rate of correct responses (P < 0.05). Most students wanted to receive more knowledge about this topic.

CONCLUSION

Dental students in Turkey are not sufficiently prepared for their role in diagnosing suspected cases of child abuse.

Antemortem dental records versus individual identification

Background

Forensic odontology plays a pivotal role in the identification of victims in mass disasters utilizing "preserved dental records" or "ante-mortem records" available with the general dental practitioners. Identification of a deceased individual by comparing antemortem and postmortem records is more reliable and easier as compared to other methods. However, in India, the practice of maintaining dental case record requires additional emphasis.

Aim

The aim of the present study is to assess the knowledge, attitude, and practices of dental practitioners in South India regarding awareness and importance of maintaining patient's dental records.

Settings and Design

A descriptive questionnaire study was conducted among the alumni of the dental institution over a period of 3 months. The alumni who passed out from 2000 to 2015 were included in the study.

Materials and Methods

A structured questionnaire containing 24 questions regarding the knowledge, attitude, and practice of maintaining clinical case records was prepared and validated. Data were collected from 543 dental practitioners from various parts of South India who were the alumni of the dental institution.

Statistical Analysis

The data were summarized and analyzed using the statistical software Statistical Package for the Social Sciences. The descriptive analysis was done in percentages, and the results were tabulated.

Results

Overall, 58.39% of dentists were found to be maintaining records promptly, and 84.6% dentists have knowledge about forensic odontology, but only 8.4% of dentists have helped the government agencies during mass disasters.

Conclusion

This study reveals that the need of the hour is to change the attitude and to cultivate interest among practicing dentists regarding dental record maintenance which can tremendously help in the deceased individual identification process.

Role of forensic dentistry for dental practitioners: A comprehensive study

Objectives

The aim of present study is to analyze assess the awareness about forensic odontology among dental practitioners in center part of India.

Subjects and Methods

A cross-sectional study was conducted in a sample of 100 dental practitioners in Bhilai-Durg and data was collected by means of a questionnaire.

Results

About 30% of dental practitioners not maintain dental records in their clinic, 70% maintained dental records. Nearly, 60% dental practitioners use the appropriate method for diagnosis, while rest are not. Sixty-five percent dental practitioners know the accurate and sensitive way of identify individuals. Thirty percent dental practitioner did not know the significance of bite-mark patterns of the teeth, about 75% dental practitioners did not aware that they could testify as an expert witness in the court of law. Only 15% dental practitioners have formal training in collecting, evaluating, and presenting dental evidence. Seventy-five percent dental practitioners not confident to deal with forensic cases.

Conclusions

Our study revealed inadequate knowledge, lack of awareness about forensic odontology, among dental practitioners in Chhattisgarh.

The relationship of forensic odontology with various dental specialties in the articles published in a National and an International Forensic Odontology Journal: A 5-year content analysis

Aims:

The aim of this study is to assess the quantum of articles published by various dental specialties in a National and an International Forensic Odontology Journal from January 1, 2010, to December 31, 2014.

Settings and Design:

The present study is a 5-year retrospective content analysis study.

Subjects and Methods:

Data were collected from two forensic odontology journals (Journal of Forensic Odonto Stomatology [JOFS] and Journal of Forensic Dental Sciences [JFDS]) which are subscribed by institutional library. The article contents were scrutinized by one investigator and categorized into nine individual dental specialties based on the new working classification proposed for forensic odontology.

Statistical Analysis Used:

The quantum of articles published by various dental specialties and the various focus areas in each specialty were assessed using Chi-square test.

Results:

Among all the published articles, a maximum number of articles were related to the Department of Oral Medicine and Radiology (32.6%) in JFDS with Cheiloscopy (46.7%) being more focused area and to the Department of Prosthodontics (25.7%) in JFOS with Bite mark analysis (66.7%) being more focused area.

Conclusions:

There was a scarcity of information about the relationship of forensic odontology with various dental specialties in the articles published in JFDS and JFOS. The editorial board of journals should expand and elaborate their scope of journals to various focus areas of forensic odontology. This will encourage the researchers to explore in the different focus areas which are most neglected as of now.

Maintenance of antemortem dental records in private dental clinics: Knowledge, attitude, and practice among the practitioners of Mangalore and surrounding areas

Introduction

With time, an increase in the number of crimes, mass disasters, and wars, has led to the identification of the deceased or assailant critical. In such circumstances, antemortem dental records play a crucial role.

Materials and Methods

A cross-sectional survey involved 95 dentists practicing in and around Mangalore. The structured questionnaire comprised 24 questions regarding the practice of maintenance of dental records. The questionnaire was given either personally or sent by post. The data obtained was subjected to descriptive analysis.

Results

With 87% of the dentists maintaining records, only 31% of them recorded all the details required to be present in a dental record. Of these 18% of them maintained the records for >5 years.

Conclusion

The results suggest that most of the practicing dentists in this area either do not maintain or maintain inadequate records, which is alarming. Thus, there is a need to set protocols to increase the awareness for maintaining good dental records.

A questionnaire survey on forensic odontology: Are we really aware?

Introduction:

The role of a dentist is not only to examine and treat the oral diseases but also to assist the legal authorities by means of its branch—forensic odontology. Through forensic odontology, a dentist plays a very important role in crime investigation of any type.

Objective:

To analyze the knowledge, awareness, and interest of forensic odontology among the dental teaching staff who are working in the dental colleges within the Delhi NCR.

Materials and Methods:

A questionnaire of 12 questions (both open-ended and close-ended) was prepared and the survey was conducted with 200 dental teaching staff.

Results:

A sufficient knowledge but poor awareness and interest among the dental teaching staff was observed.

Conclusion:

The study highlighted that although dental teaching staff themselves have sound knowledge regarding forensic odontology, their awareness and interest need to be upgraded on a regular basis. The success of acquiring such extensive knowledge would be valid if better job opportunities in these fields would be increased.

Awareness of forensic odontology among police personnel: A new ray of hope in forensic odontology

Background:

Police personnel play an important role in collecting and producing evidence. Knowledge about the various aspects of forensic as well as dental sciences and related evidence in them provide a golden opportunity to forensic odontologists to actively participate in the identification of the accused or victim. They can also act as an expert witness in court to produce forensic dental evidence.

Aim:

To evaluate the awareness and knowledge about the utilization of forensic odontology during evidence collection by the crime scene investigation (CSI) officers.

Materials and Methods:

Four hundred police officers were included in this survey. A questionnaire was designed to assess the awareness and knowledge about forensic odontology and application of the known knowledge in identifying and considering the dental evidences. Data were analyzed using the software Statistical Package for Social Sciences (SPSS, Chicago, Il, USA) version 17.0 by comparing the overall awareness of forensic odontology among the trained SI officers and trainee police personnel.

Results:

The collected results showed that there is a requirement for changes in the current practice of evidence collection and highlighted the need for better communication between the police personnel and forensic odontologists. A significantly higher number of police officers in both the trained and trainee groups reported knowledge about the subject (P < 0.001) through newspapers and mass media as the sources of knowledge.

Conclusion:

Even though the respondents have knowledge about forensic odontology, there is a lack of communication and facilities in their system; hence, steps must be taken to educate the police personnel about the application of forensic odontology.

Knowledge and awareness of forensic odontology among dentists in India: A systematic review

Forensic dentistry involves the processing, review, evaluation, and presentation of dental evidence with the purpose of contributing scientific and objective data to legal processes. The present, systematic review was conducted to assess knowledge and awareness of forensic odontology among dentists in India. A systematic review of relevant cross-sectional studies was conducted regarding the level of knowledge, awareness, and practical application of forensic odontology among dentists in India. Four out of 129 studies were finally included in the present review after conducting a search of both electronic and manual scientific databases. Potential biases were addressed and the relevant data were extracted by the concerned investigators. Almost all the subjects were familiar with the subject of forensic odontology in one of the study reports. Only 12% of dentists were maintaining complete dental records in the findings of another study. Only 4% of dentists reported to have contributed to the identification of victims in a mass disaster in yet another study. The findings of another study revealed that 40% of dental practitioners did not have the expertise to identify child abuse. The results of the present review showed that the knowledge and awareness level of subjects was inadequate and that there is considerable variation in the practice of forensic odontology among dentists. It is necessary to expose dentists to the basic principles and techniques of the subject.

Awareness of forensic odontology among dentists in Australia: are they keeping forensically valuable dental records?

BACKGROUND

Forensic odontologists provide an important service to the community by identifying unknown deceased people, allowing both legal outcomes and family closure. Non-visual identification may be achieved by comparison of post-mortem data with ante-mortem dental records provided by oral health practitioners. Success is dependent largely on the accuracy and adequacy of data in the dental records.

METHODS

An online self-administered questionnaire evaluated Australian dentists' knowledge and behaviours relevant to forensic odontology. Reported record keeping practices were assessed for detail, legibility, accessibility and retention. Behaviours were classified according to the frequency of response.

RESULTS

Dentists reported overall reasonable awareness of the major applications of forensic odontology. Personal information and details of restorative treatment were recorded at high levels, while tooth anomalies, photography, additional patient details and denture marking were recorded inadequately. Legible tooth coding was reported at a high level, while other key legibility practices were recorded inadequately. Few of the behaviours related to retention or to maximize accessibility were recorded at a high level.

CONCLUSIONS

Australian dentists have high expectations of the forensic value of their dental records; however, many processes that would enhance the diagnostic, medico-legal and forensic value of dental records are not routinely applied.

Proposing national identification number on dental prostheses as universal personal identification code - A revolution in forensic odontology

The proper identification of a decedent is not only important for humanitarian and emotional reasons, but also for legal and administrative purposes. During the reconstructive identification process, all necessary information is gathered from the unknown body of the victim and hence that an objective reconstructed profile can be established. Denture marking systems are being used in various situations, and a number of direct and indirect methods are reported. We propose that national identification numbers be incorporated in all removable and fixed prostheses, so as to adopt a single and definitive universal personal identification code with the aim of achieving a uniform, standardized, easy, and fast identification method worldwide for forensic identification.

Awareness of Forensic Odontology among Legal Professionals, Chennai, India

Background:

The forensic discipline of law is a multidisciplinary team comprising of specialists in forensic medicine, forensic odontology, security and law.

Aim:

The study was to find the awareness level of scope and utility of forensic odontology among lawyers in Chennai, South India.

Materials and Methods:

A cross-sectional study using a self administered structured questionnaire was conducted in 200 lawyers between August and September of 2013. The data was analyzed depending on age, gender, type and years of practice.

Results:

Lawyers above 40 years of experience were more aware of palatal rugae analysis (P = 0.02), and those with more than 20 years were aware of lip print (P = 0.001) and bite mark analysis (P = 0.001). Males were more aware of forensic odontology with respect to criminal identification (P = 0.001). The knowledge of bite mark analysis was higher among male lawyers (P = 0.001), civil and criminal practicing lawyers (P = 0.004). All participants were aware that loss or fracture of tooth constitutes a grievous injury under Indian Penal Code (IPC) 320 clause 7(5).

Conclusion:

This study highlighted the knowledge of forensic odontology among legal professionals and also identified the areas in which they need further appraisal.

Exploring trends in forensic odontology

BACKGROUND

Forensic odontology nowadays has become a developing science and is of great importance to society. It is important that dental practitioners should have a proper knowledge of forensics as the need has increased greatly over the last decades due to the unprecedented demand from the criminal justice including terrorism in Kashmir valley (J&K India).

MATERIALS AND METHODS

Data was collected based on questionnaire survey among qualified dental practitioners related to their awareness of forensic odontology.

RESULTS

A total number of 235 dental practitioners responded to the questionnaire. RESULTS showed that there was a low confidence, in handling of forensic odontology related cases among dental practitioners and majority of dental practitioners were not having any formal training in forensic odontology.

CONCLUSION

Each dental practitioner has a responsibility to understand the forensic implications associated with the practice of his profession and thus he should work sincerely enough so to ensure his contribution in the field of forensic odontology.

A call for a new speciality: Forensic odontology as a subject

Background:

Forensic science is defined as a discipline concerned with the application of science and technology to the detection and investigation of crime and administration of justice, requiring the coordinated efforts of a multidisciplinary team. Dental identification remains one of the most reliable and frequently applied methods of identification. Hence, it can be defined as the science that deals with evidence from the dental and oral structures and is a specialty in itself.

Objectives:

To analyze the level of awareness of Forensic Odontology amongst the individuals from the field of dentistry with the help of a survey.

Materials and Methods:

A questionnaire was prepared and a survey was conducted with a sample size of 200 divided in four groups.

Results:

Revealed inadequate knowledge, poor attitude, and lack of practice of forensic odontology prevailing among the dentists.

Conclusion:

Our study reflects the current situation of our country in the field of forensic odontology, which could be improved by introducing forensic odontology as a subject in the dental curriculum at both the undergraduate and the post-graduate levels.

What's the deal with dental records for practicing dentists? Importance in general and forensic dentistry

Dental records are essential for dentist and patient protection, and its maintenance is considered an ethical and legal obligation of the dentist: Ethical, because it satisfies the duty of care that the dentist has toward his patient and legal, as it is an investment for future protection against medico-legal complications. In addition to its legal and ethical role, the dental fraternity in India is slowly waking up to its importance in forensic dentistry. Dentists could play a vital role in assisting forensic investigators in providing information that would help in the identification of perpetrators or victims of crime and natural or manmade disaster situations. This information would be easily available and accessible through well-maintained patient records under dental care.