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Note : The following work above (video) is created for those who are interested in crime drama television series such as CSI and is a parody of the series' opening credits with the purpose of showcasing MTI's artistic talent. Make sure your speakers are connected and the volume is turned on once the video starts to play. Thank you !


Friday, October 26, 2012

When A Criminal Bites, The Forensic Dentist Bites Back !


Heyyy, you're back ! ;)

Do let me remind you again that you're still at Question 1. 




Today, let's take a look at bitemarks on victims. What are bitemarks?


“It can be defined as a pattern produced by human or animal dentitions and associated structures in any substance capable of being marked by these means (Clark 1992)."


So what about “love bite” or “hickey”???? Well, that falls under the same category too! It is said to be diagnostic of a human bite (Clark 1992) and are also known as suction marks.



Besides that, there are also reverse bites! These marks are imprinted on the skin by the teeth during punching. Not only that, there are also self-inflicted bitemarks that could be caused by a fall onto the face or during an epileptic fit. 

Now, let’s visualize this.

Have you ever imagined yourself in a perilous situation whereby you have to fight off an attacker? You are all by yourself, equipped with no weapons and in most of situations, I bet you would be in total shock or frightened to even do anything!  So tell me, what will you do to fend off the attacker? In a life or death situation, the human teeth are frequently used as a weapon! Indeed, it is fascinating to use one of God’s creations in situations like these that could end up saving our lives. Inflicting injury on an attacker using our teeth at times may be the quickest and only available self defence technique, other than running away as fast as lightning!

Now, let us look into bites caused by humans. We will discuss about animal bites later.


HUMAN BITES



Figure 1 : Prototypical human bitemark
Picture adapted from :
http://www.nature.com/bdj/journal/v190/n8/pdf/4800990a.pdf
Assailants in sexual attacks which include sexual homicide, rape and child sexual abuse are cases whereby the attackers would often bite their victims to show that they are stronger or more dominating, to vent out their anger and to express animalistic behaviour.  On the other hand, victims bite their attackers naturally to defend themselves. Children also bite each other! In most cases, it is quite natural as they do this mostly to express anger or frustration.
At the moment, the forensic dentists or forensic odontologists have not come to an agreement on the individuality of the dentition or behaviour of human skin during biting as these issues have never been proven scientifically. Fortunately, there are researches which are currently being carried out to prove the existence of the fact. As you should know, the sizes, shapes and patterns of the biting edges of the front (anterior) teeth on the upper and lower jaws are said to be different and unique for each person. This is primarily due to the emergence or eruption sequence of the teeth. For this reason, we are able to identify the attacker through bitemarks using proper scientific techniques and also find more evidences to give us a clearer picture on what had actually happened or taken place.

 
TYPICAL PRESENTATION OF BITEMARKS

Bitemarks can be found on almost every part of the body. For females, the breasts and legs are the common sites where you can locate bitemarks . These usually happened during sexual attacks. Males differ from females where the bitemarks are commonly found on arms and shoulders.


BITEMARK MORPHOLOGY


“ According to Knight 1996 and Clark 1992, bitemarks can be considered to be a spectrum of injuries ranging from a suction mark, through marks indicating increasing violence ranging from bruising with no indentations to deep lacerations made by penetrating teeth."


A human bitemark is generally circular, elliptical or oval in shape bruise. Under that shape, they may have a doughnut-like shape with characteristics record around the perimeter of the mark or it can be two U-shaped arches with an open space at the bases of the arches. The diameter of the injury is usually from a range of 25 to 40mm.  You can also find a central bruising within the marks in most cases and this is due to the extravascular bleeding when the teeth applies pressure which compresses the tissue inward from the perimeter of the mark.  Furthermore, you can identify specific types of teeth based on the marks. For instance, canines produce triangular injuries whereas incisors produce rectangular injuries.



Figure 2 : Range of bitemark severity
Picture adapted from :

 
ANIMAL BITES



Figure 3 : Dog bite. Notice the pattern is different from a human bite.
Picture adapted from :
Now, you’re almost a step closer to becoming an expert in analysing bitemarks. We shall go through quickly on animal bites. Who knows, the killer could be a dog!
Animal bites such as dog bites or wild animals’ bites (bears, lions) are different from each other and of course, very different from a human’s. Hence, it is good to know about animals’ dentitions and the shape of their arches.
In dog bites, the front (anterior) segment of their dental arch is narrower compared to a human’s and displays a U-shaped appearance. Human’s dental arch is rounded. The dog’s canine is more conical, curved and of course larger. These small and fined details can definitely help you to find out which animal bit the victim.

Why do they bite? Mostly, it is due to territory reasons and the nature of the animal’s behaviour.



EVIDENCE COLLECTION

Now, it’s time for you to place yourself in a laboratory or clinical setting. What are your actions when you have a victim with a bitemark injury before you? What steps are important? Let’s find out!
Firstly, remember either one of the mnemonics below:

Diablo Play Station Is Fun or Dental Private School Is Fun (DPSIF)

1. Documentation
Conduct a history taking session first. Then, document the injury and make important notes of the physical appearance, colour, size and orientation of the injury. Ask necessary questions to find out more about the bitemark.

2. Photographs
Take photographs of the injury using an intra-oral camera with a macro lens and both colour and black-white film. Use a ruler as reference scale and make sure that the long axis of the lens are placed perpendicular to the injury.

3. Saliva swabs
Double swab tecnnique. First, use a moistened cotton swab containing distilled water to wash the surface contacted using light and circular motions, then a second swab to dry the remaining moisture on the skin. These swabs will be collected and more tests will be conducted to find out more about the saliva whereby you can find DNA evidence.

4. Impressions
Precise impressions are needed to study the casts of the teeth. Dental impression materials such as vinyl polysiloxane or polyether are used. 


Figure 4 : Computer reconstruction of bitemark, 2003. Click the link below to find out more about this real life case!
Picture adapted from :
5. First aid
Attend to the victim immediately after that to prevent infections. Human bites have higher risk of infections compared to animal bites.


FORENSIC PHYSICAL COMPARISON OF EXHIBITS

At the moment, the computer is the most accurate tool to produce transparent overlays. The comparisons of the exhibits can be performed by comparing photographs of the bitemarks using transparent overlays. Moreover, you can also directly compare the actual bitemark with the suspect's bitemark through test bites. Radiographic imaging and scanning electron microscopy are also other methods which are reliable in helping to compare the suspect’s teeth with the actual bitemark. 


FORENSIC BIOLOGICAL EVIDENCE

The saliva samples collected by the forensic dentist is very useful in finding out the DNA profile of the depositor of the saliva. The beneficial thing about saliva is it has sufficient quantity and quality to allow PCR-based typing of the DNA that is exists in saliva from white blood cells (leucocytes) and also shedded epithelial cells. 

What is PCR? 

 "The polymerase chain reaction (PCR) is a biochemical technology in molecular biology to amplify a single or a few copies of a piece of DNA across several orders of magnitude, generating thousands to millions of copies of a particular DNA sequence."



Figure 5 : PCR
Picture adapted from :

After analyzing the salivary DNA and setting up the depositor's DNA profile, compare the results of the DNA profile of the suspects which will be obtained from buccal swabs containing whole blood or saliva using a lancet.


CONCLUSION

In a nutshell, a simple bitemark is something that cannot be taken lightly and is crucial because it helps in the investigation of the case. Don’t you also think it is fascinating to know that a forensic dentist or forensic odontologist is able to contribute so much in solving a crime? With the rapid advancement of technology, our future forensic dentists will be able to uncover more evidences and analyze findings more accurately. You must also take note that a dentist should also be able to recognize bitemarks easily during regular dental visits and be familiarized with it. With that, you can report the injury to specific authorities if you suspect something is amiss.  

Nevertheless, it is significant to acknowledge the fact that forensic dentists play an important role in helping to solve the crime by working hand in hand with other forensic scientists.
If you are interested in this field, you may conduct more research about it. 

The following below are references or links you may visit if you are in thirst for more knowledge!


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