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International Poster Journal of Dentistry and Oral Medicine
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Int Poster J Dent Oral Med 3 (2001), No. 3     15. Sep. 2001

Int Poster J Dent Oral Med 2001, Vol 3 No 3, Poster 85

AM - PM - Documentation of Dental Findings. Anatomic or Geometric Dental Charting.

Language: English

Authors: Dr. med. Dr. med. dent. Klaus Rötzscher, Dr. med. dent. Sven Benthaus (Westfälische Wilhelms-Universität Münster, Institut für Rechtsmedizin), Dr.med.dent. Benedikt Höhmann (Westfälische Wilhelms-Universität Münster, Zentrum für Zahn-, Mund- und Kieferheilkunde), Dr.med. Dr.med.dent. Claus Grundmann (Gesundheitsamt Duisburg)

Date/Event/Venue: 
August 23 - 26, 2000
European IOFOS Millenium Meeting Leuven
Leuven


Introduction

There exists a lack in the number of international forensic dental experts, in the unique tooth designation worldwide and the exact dental charting by dentists. But there seems to exist also a lack in the ante-mortem and post-mortem documentation of dental findings in Disaster-Victim-Identification (DVI)-cases.
The use of the FDI-Two-Digit-System as accepted tooth designation in most countries enables the identification of unknown bodies in single and DVI-cases (Endris 1982; Rötzscher, Solheim 1998). Adaequate records will not only protect the dentist in cases of malpractice suits but may also proof invaluable if required as means of identification of a patient (Sognnaes 1978).


Material and Method

The Identification Commission (IDCO) in Germany exists since 1972, including dental experts, belonging to the Federal Crime Investigation Bureau - BKA (Bundeskriminalamt) in Wiesbaden (Engel 1995, Endris 1982, Heidemann 1988). In DVI-cases, including not only German citizens, the INTERPOL A-M (yellow) / P-M (pink) form are in use, with a semi-anatomic respective geometric dental part on Interpol form F2 - without any description of dental roots (see Fig. 1,2).
In so far it is impossible to compare an exact and correct A-M information received from the dentist of a missing person, regarding restorations in the root and/or jaws area of the teeth, i.e. root-fillings (see Fig. 3), hemisections, apical ostitis, tumours (see Fig. 4,5), rests of roots in "edentulous" cases and oral implants (see Fig. 6) (Rötzscher, Solheim 1998).


Objectives

Incomplete A-M / P-M dental records make identification more difficult. It is not necessary to use a specific dental chart, though it must be clear, legible and understandable - hieroglyphs may lead to long-distance-telephone, e-mail, fax or longtime-discussions between the dentist and the dental expert (Engel 1995).


(Fig. 1) A-M (yellow) Interpol form F2 in use with a semi-anatomic respective geometric dental part - without any description of dental roots (Fig. 2) P-M (pink) Interpol form F2 in use with a semi-anatomic respective geometric dental part - without any description of dental roots

(Fig. 3) A-M information received from the dentist of a missing person, regarding restorations in the root and/or jaws area of the teeth, i.e. root-fillings and apical ostitis

REQUESTS the Secretary General to: (a) Publish the Disaster Victim Identification and Guide in the established Interpol languages and circulate them to member countries.

(Fig. 4) A-M information received from the dentist of a missing person, regarding restorations in the root and/or jaws area of the teeth, i.e. root-fillings, apical ostitis

(Fig. 5) A-M information received from the dentist of a missing person, regarding restorations in jaws area of the teeth, i.e. bridges after operated tumours

(Fig. 6) A-M information received from the dentist of a missing person, regarding restorations in the root and/or jaws area of the teeth, i.e. oral implants

See RESOLUTION No. AGN/65/RES/13 (INTERPOL) HEADING: IDENTIFICATION OF PERSONS AND DEAD BODIES.
SUB-HEADING: IDENTIFICATION OF DISASTER VICTIMS.
TEXT OF RESOLUTION: DECIDES that the Interpol Standing Committee on Disaster Victim Identification shall: (c) Ensure that the Disaster Victim Identification and Guide are periodically reviewed so as to provide the best possible practical assistance and advice to member countries;


Results and Conclusions

The German Association of Forensic Odonto-Stomatology (AKFOS) therefore designed and recommends an AM / P-M form (F2), including dental roots (see Fig.7) as important parts of teeth for comparison with the A-M description in dental records (i.e. A-M dental x-ray-documentation) (see Fig. 6) (Rötzscher et al. 1999).


(Fig.7) AKFOS designed and recommends an P-M form (F2), including dental roots as important parts of teeth for comparison with the A-M form (F2), the description in dental records, i.e. A-M dental x-ray-documentation

Bibliographic Data

  • Endris R: Schematische Befunddokumentation. In: Forensische Katastrophenmedizin. Kriminalistik, Heidelberg. 1982, pp. 59-63
  • Endris R: Identifizierungskommissionen. In: Endris R (ed)Forensische Katastrophenmedizin. Kriminalistik, Heidelberg 1982, pp. 214ff
  • Engel H: Organisation der Personenidentifikation in der IDKO des BKA. AKFOS Newsl 1995, pp. 81-82
  • Heidemann D: Identifizierungsarbeiten in Ramstein. Zahnärztl Mitt 1988, 19, pp. 2116-2123
  • Rötzscher K, Solheim T: Organisation der Identifizierung. In: Leopold D. Identifikation unbekannter Toter. Schmidt-Römhild, Lübeck 1998, pp.408-413
  • Rötzscher K, Solheim T: Vergleich AM-PM Interpol-Formblatt. In: D Leopold. Identifikation unbekannter Toter. Schmidt-Römhild, Lübeck 1998, pp. 419-421
  • Rötzscher K, Benthaus S, Höhmann B, Grundmann C: Zur Dokumentation zahnärztlicher Befunde. Kriminalistik, 1999,53, 6, pp. 411-413
  • Sognnaes RF: Forensic Science and Oral Biology. WB Saunders Comp Philadelphia London Toronto, 1978, pp. 1155ff

Abbreviations

AKFOS - German Association of Forensic Odonto-Stomatology; A-M / P-M - Ante-mortem/Post-mortem; BKA - Bundeskriminalamt Wiesbaden; DVI - Disaster-Victim-Identification; FDI - Fédération Dentaire International


This Poster was submitted by Dr. med. Dr. med. dent. Klaus Rötzscher.

Correspondence address:
Dr.med.Dr.med.dent. Klaus Rötzscher
Wimphelingstraße 7
67346 Speyer