Adam J. Freeman, D.D.S., 22 Imperial Avenue Westport, Connecticut

Similar documents
1. All Diplomates of the American Board of Forensic Odontology are responsible for being familiar with and utilizing appropriate analytical methods.

Arrangement of the artificial teeth:

Attachment G. Orthodontic Criteria Index Form Comprehensive D8080. ABBREVIATIONS CRITERIA for Permanent Dentition YES NO

Concepts of occlusion Balanced occlusion. Monoplane occlusion. Lingualized occlusion. Figure (10-1)

Q: Human v. Animal? When the bite occurs postmortem. Typical bite has a double horseshoe pattern. The area bruises and swells

Morphology of an Anatomic Crown. By: Assistant Professor Dr. Baydaa Ali Al - Rawi

ORTHODONTIC INITIAL ASSESSMENT FORM (OIAF) w/ INSTRUCTIONS

Dental Anatomy and Occlusion

APPENDIX A. MEDICAID ORTHODONTIC INITIAL ASSESSMENT FORM (IAF) You will need this scoresheet and a disposable ruler (or a Boley Gauge)

MEDICAL ASSISTANCE BULLETIN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE

Central Incisor DR.Ahmed Al-Jobory B.D.S.,M.Sc. Conservative Department

PH-04A: Clinical Photography Production Checklist With A Small Camera

Fundamental & Preventive Curvatures of Teeth and Tooth Development. Lecture Three Chapter 15 Continued; Chapter 6 (parts) Dr. Margaret L.

Prosthetic Options in Implant Dentistry. Hakimeh Siadat, DDS, MSc Associate Professor

Key points for starting off

Arrangement of posterior artificial teeth Standardized parameters Curve of Wilson Curve of Spee

Lec. 3-4 Dr. Saif Alarab Clinical Technique for Class I Amalgam Restorations The outline form

NATIONAL EXAMINING BOARD FOR DENTAL NURSES

Dental Anatomy High Yield Notes. **Atleast 35 questions comes from these areas of old lectures**

Lecture 2 Maxillary central incisor

Archived SECTION 14 - SPECIAL DOCUMENTATION REQUIREMENTS

1. What is the highest and sharpest cusp on the lower first deciduous molar? 2. Which of the following is NOT the correct location of an embrasure?

6610 NE 181st Street, Suite #1, Kenmore, WA

ORTHODONTIC BANDING AND CEMENTATION. Materials

#45 Ortho-Tain, Inc PREVENTIVE ERUPTION GUIDANCE -- PREVENTIVE OCCLUSAL DEVELOPMENT

Dental Morphology and Vocabulary

Permanent 2 nd Maxillary Molars

ALTERNATE OCCLUSAL SCHEMES

Lingual correction of a complex Class III malocclusion: Esthetic treatment without sacrificing quality results.

Tooth and Surface Identification (TID and SID)

The Correlation of Dental Arch Width and Ethnicity

ORTHODONTICS Treatment of malocclusion Assist.Lec.Kasem A.Abeas University of Babylon Faculty of Dentistry 5 th stage

BOCL-01: Bonding Materials Checklist

Alveolar Growth in Japanese Infants: A Comparison between Now and 40 Years ago

Primary Teeth Chapter 18. Dental Anatomy 2016

Case Report: Long-Term Outcome of Class II Division 1 Malocclusion Treated with Rapid Palatal Expansion and Cervical Traction

PERMANENT MANDIBULAR INCISORS

Lecture. Permanent maxillary premolars

#39 Ortho-Tain, Inc

The following standards and procedures apply to the provision of orthodontic services for children in the Medicaid/NJ FamilyCare (NJFC) programs.

1B Getting Ready for Instrumentation: Mathematical Principles and Anatomic Descriptors

Arch dimensional changes following orthodontic treatment with extraction of four first premolars

Indications The selection of amalgam as a restorative material for class V cavity should involve the following considerations:

Volume 22 No. 14 September Dentists, Federally Qualified Health Centers and Health Maintenance Organizations For Action

Medical NBDE-II. Dental Board Exams Part I.

Kois Dento-Facial Analyzer System Instructions

Selection and arrangement of teeth in rpd

Mesial Step Class I or Class III Dependent upon extent of step seen clinically and patient s growth pattern Refer for early evaluation (by 8 years)

6. Timing for orthodontic force

Advanced Probing Techniques

S.H. Age: 15 Years 3 Months Diagnosis: Class I Nonextraction Severe crowding, very flat profile. Background:

Evaluation for Severe Physically Handicapping Malocclusion. August 23, 2012

Dzakovich Conclusions

SmartForce features and Attachments. Designed to help you treat with confidence.

How to provide intraoral scans to SomnoMed for the production of SomnoDent device.

Palatal Depth and Arch Parameter in Class I Open Bite, Deep Bite and Normal Occlusion

Cephalometric Analysis

Chapter 2. Material and methods

European Veterinary Dental College

Low-Force Mechanics Nonextraction. Estimated treatment time months (Actual 15 mos 1 week). Low-force mechanics.

Surveying. 3rd year / College of Dentistry/University of Baghdad ( ) Page 1

Dr.Adel F.Ibraheem Partial Veneer Crown(Three quarter crown) Three quarter (¾ )crown: Uses: Indications ---- For posterior teeth ;

#60 Ortho-Tain, Inc TIMING FOR CROWDING CORRECTIONS WITH THE OCCLUS-O-GUIDE AND NITE-GUIDE APPLIANCES

A Clinical and Cephalometric Study of the Influence of Mandibular Third Molars on Mandibular Anterior Teeth

< > INVISALIGN OUTCOME SIMULATOR QUICK REFERENCE GUIDE. Home Contents Overview Important Notes. STEP 1 Scan Patient s Teeth Submit Scan

fusion treatment is powered by suresmile technology to provide 3D models and fully-customized wires based on your scans of the patient.

FORENSIC ODONTOLOGY REPORT: CIL I-02

CASE REPORT. CBCT-Assisted Treatment of the Failing Long Span Bridge with Staged and Immediate Load Implant Restoration

Variation in arch shape and dynamics of shape change from infancy to early childhood

An Effectiv Rapid Molar Derotation: Keles K

PRE-FINISHER APPLIANCE AND BONDABLE LINGUAL RETAINERS. tportho.com cosmeticbraces.com. POD_TPOC_09_PreFinisher_Retainers_2015, Rev.

The Tip-Edge appliance and

Human Healed Trauma Skull

System Orthodontic Treatment Program By Dr. Richard McLaughlin, Dr. John Bennett and Dr. Hugo Trevisi

TOOTH SELECTION & ARRANGEMENT IN REMOVABLRE PARTIAL DENTURE

Principle of Occlusion

Development of occlusion

Contouring vs. Orthodontics. Contouring to Eliminate Fractures and Enhance Proportions

The Premolars. Chapter 17 Permanent Posterior Teeth (p )

Factors of Mandibular Movements related to occlusal Morphology

EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS

For many years, patients with

The Quantification of Tooth Displacement

1 Lecture hour per week; 3 credits. CUNY Certification in reading, writing and math.

Dr.Mikulás Krisztina. Fabrication of the trial denture, and the try in procedure

How to Design an Ideal Maxillary Plane of Occlusion For Fixed or Removeable Prosthetics

The Inman Aligner. The Inman Aligner,* a versatile removable

OCCLUSION. Principles & Treatment. José dos Santos, Jr, DDS, PhD. São Paulo, Brazil

Treatment of Angle Class III. Department of Paedodontics and Orthodontics Dr. habil. Melinda Madléna associate professor

Dental Services Referral Form- Orthodontic Clinic

With judicious treatment planning, the clinical

Occlusion in complete denture

Treatment planning of nonskeletal problems. in preadolescent children

PREDICTABILITY IN COMPREHENSIVE RECONSTRUCTION Bite registration and recovery process for comprehensive reconstructive cases.

Functional Appliances

Treatment of Long face / Open bite

Class II correction with Invisalign - Combo treatments. Carriere Distalizer.

DENT Advanced Topics in Removable Prosthodontics, Winter 2008

Dr Mohammed Alfarsi Page 1 9 December Principles of Occlusion

Transcription:

Adam J. Freeman, D.D.S., 22 Imperial Avenue Westport, Connecticut 06880 203 227-3709 Forensic Dental Report January 20, 2009 Introduction The information in this report details the examination and analysis of the materials received by me via FedEx on November 26, 2008. They were sent by for review and an opinion. Inventory of Evidence Received 1. One (1) FedEx medium box containing two compact disks, one titled and one titled Case Suspects. Also included was a two (2) page letter and three (3) sets of models, maxillary and mandibular marked on the base 1, 2, and 3, respectively. A CD entitled Case Suspects (10.9 MB) Containing four (4) folders labeled Evidence, No. 1, No. 2, and No. 3. I. Evidence (218 KB) 1. DSCN3955.jpg an image of the occlusal view of three sets of suspect models. 2. DSCN3956.jpg an image of the base of the models showing them marked 1, 2, and 3. II No. 1 (3.66 MB) 1. Suspect 1.jpg an image of a scanned maxillary and mandibular model with an ABFO No. 2 scale in place. III No. 2 (3.97 MB) 1. Suspect 2.jpg an image of a scanned maxillary and mandibular model with an ABFO No. 2 scale in place. IV No. 3 (3.05 MB) 1. Suspect 3.jpg an image of a scanned maxillary and mandibular model with an ABFO No. 2 scale in place. B CD entitled Victim (47.5 MB) Containing seven (7) jpeg images 1. autopsy head-neck.jpg an image of the head and neck of a female homicide victim. (8.14 MB) 2. med closeup L thigh.jpg an image of a patterned injury on the left thigh with a single leg scale in the photo labeled. (9.65 MB) Page 1 of 14

3. closeup injury.jpg a close-up image of a patterned injury with a portion of a single leg scale. (6.33 MB) 4. closeup injury.jpg a close-up image of a patterned injury with an ABFO No. 2 scale in place that is labeled. (6.37 MB) 5. stabilized skin.jpg an image of the stabilized resection of the patterned injury with no scale in place. (5.20 MB) 6. skin inner surf.jpg an image of the stabilized resection of the patterned injury from underside. (5.71 MB) 7. transillumination.jpg a transilluminated image of the stabilized resection of the patterned injury with no scale in place. 2. Bubble wrapped packages a. Containing three (3) sets of stone dental models consisting of a maxillary and mandibular model. Each pair is labeled in black on the base of the model with a 1, 2, and 3, respectively. Analysis of Injury Evidence All of the images listed have been analyzed for distortion and where possible corrected to life size using the techniques described in Digital Analysis of Bite Mark Evidence using Adobe Photoshop by Bowers and Johansen. 1. autopsy head-neck.jpg an image of the head and neck of a female homicide victim. This is a good quality image and interesting; however it provides no information in regard to the patterned injury. 2. med closeup L thigh.jpg an image of a patterned injury on the left thigh with a single leg scale in the photo labeled. This is a good quality image; however the scale is not in the same plane as the patterned injury (Type II distortion). Additionally, the camera angle is not perpendicular to the patterned injury (Type I distortion). 3. closeup injury.jpg a close-up image of a patterned injury with a portion of a single leg scale visible. This is a good quality image. However due to the single leg scale the image can only be rectified to life-size in one axis. 4. closeup injury.jpg a close-up image of a patterned injury with an ABFO No. 2 scale in place that is labeled. A good quality image of a patterned injury. There is some minor type I distortion. 5. stabilized skin.jpg an image of the stabilized resection of the patterned injury with no scale in place. This is a good quality image and is interesting. However due to the lack of a scale it provides little usefulness in the comparison of the patterned injury to the suspects dentition. 6. skin inner surf.jpg an image of the stabilized resection of the patterned injury from underside. There is hemorrhage noted in the adipose tissue suggesting that the patterned injury was made ante or peri mortem. 7. transillumination.jpg a transilluminated image of the stabilized resection of the patterned injury with no scale in place. This is a good quality image, however due to Page 2 of 14

the lack of a scale there is little value in relation to metric analysis or the comparison of the patterned injury to the suspect s dentition. All of the images listed were examined, analyzed and considered; however, the following images were determined to be the best evidence for further evaluation and analysis. 3.closeup injury.jpg 2. 4.closeup injury.jpg Each of these images was analyzed and adjusted to life size to be used for comparison with the suspect dentitions labeled 1, 2, and 3. Analysis of Injury Throughout this report, the universal tooth numbering system is used. The patterned injury on the ventral side of the left thigh of the victim has class and individual characteristics that are consistent with a human bite mark. The color of the patterned injury is red to reddish brown. Adequate detail exists to compare the bite mark to individual dentitions to either include or exclude individual suspects. The biter exerts enough force for the mandibular teeth to make six (6) individual marks and the maxillary teeth make five (5) individual marks.. med closeup L thigh.jpg Page 3 of 14

Analysis of Bite Mark The patterned injury has opposing semicircular contusions. There are eleven (11) individual contusions within the semicircular arched areas that can be attributed to individual teeth. There are both class and individual characteristics that are consistent with having been made by human teeth. A detailed discussion of the injury follows using 4.closeup injury.jpg to indicate each contusion and corresponding individual tooth number. The size of each contusion is expressed by width x height in millimeters. Bite Mark Tooth #6 mark 6.2 x 6.6 millimeter round to diamond shape contusion and abrasion compatible with a mark made by a maxillary canine. Tooth #7 mark 7.3 x 3.7 millimeter rectangular contusion and abrasion compatible with a mark made by a maxillary lateral incisor. Tooth #8 mark 7.4 x 2.8 millimeter rectangular contusion and abrasion red in color, compatible with a central incisor, but a less distinct shape then tooth #9. Tooth #9 mark 9.4 x 4.4 millimeter rectangular red contusion and abrasion compatible with a central incisor. Tooth #10 mark No mark present. Tooth #11 mark 9.5 x 8.2 millimeter diamond shape contusion and abrasion with a red central area compatible with a maxillary canine. Tooth #22 mark 7.9 x 5.5 millimeter rounded red contusion and abrasion with a dark round central area compatible with a mandibular canine. Tooth #23 mark 5.1 x 2.3 millimeter rectangular contusion and abrasion. The mark is compatible with a mandibular incisor. Tooth #24 mark 5.3 x 2.4 millimeter rectangular red contusion and abrasion with a lighter rectangular central area, compatible with a mandibular incisor. Tooth #25 mark 5.7 x 2.6 millimeter rectangular red contusion and abrasion with a lighter rectangular central area. This mark seems to be slightly mesially rotated. The mark is compatible with a mandibular incisor that is slightly rotated. Tooth #26 mark 6.3 x 3.1 millimeter oval red contusion and abrasion compatible with a mandibular incisor. The ark suggests that the tooth is rotated to the mesial and that the mesial edge is behind the distal edge of tooth #25. Page 4 of 14

Tooth #27 mark 6.1 x 6.0 mm round red contusion with a dark round center consistent with a pointed cusp tip and compatible with a mandibular canine. The maxillary intercanine distance (cusp tip to cusp tip) is 38.1 millimeters. The mandibular intercanine distance is 25.7 millimeters. Summary of Analysis of Injury Evidence and Opinion The patterned injury was examined and contains class characteristics and individual characteristics of a human bite mark. There are marks from eleven (11) individual teeth, five (5) maxillary and six (6) mandibular. The injury is considered to be a cutaneous human bite mark with reasonable medical/dental certainty. Mechanism of Bite Page 5 of 14

Suspect Line Up Occlusal View Anterior View Suspect 1 Suspect 2 Suspect 3 Page 6 of 14

Analysis of Suspects Dentition The only materials available as evidence from the suspects in this case are three sets of stone dental models, as described in the introduction. All the models show the anterior and posterior teeth well, although some air bubbles are present on the incisal/occlusal surfaces. Suspect 1 Maxilla: Fourteen (14) maxillary teeth are present. The arch form is v-shaped and a crossbite exists from tooth number 2 through 7. Tooth number 1 is not present on the cast provided. Tooth number 2 is fully erupted and is appears to be decayed and only the mesial marginal ridge is in the occlusal plane. Tooth number 3 is fully erupted. Tooth number 4 is fully erupted. Tooth number 5 is fully erupted. Tooth number 6 is fully erupted. Tooth number 7 is fully erupted and has a small chip on the mesial portion of the insisal edge. Tooth number 8 has a chip on the mesial portion of the incisal edge that extends to the facial. Tooth number 9 is fully erupted and has a small chip on the mesio-insisal edge. Tooth number 10 is fully erupted. Tooth number 11 is fully erupted and has a worn insisal edge that presents flattened. Tooth number 12 is fully erupted and rotated distally. Tooth number 13 is fully erupted and appears to be missing part of the mesiooclussal portion of the tooth, Tooth number 14 is fully erupted. Page 7 of 14

Tooth number 15 is fully erupted and appears to be missing all but the mesial portion of the tooth. Tooth number 16 is appears to be present although partially trimmed away. Mandible: Fifteen (15) mandibular teeth are present. Tooth number 17 is tilted to the mesial. Tooth number 18 is missing. Tooth number 19 is fully erupted. Tooth number 20 is fully erupted. Tooth number 21 is fully erupted. Tooth number 22 is fully erupted and has a worn insisal edge presenting flattened. Tooth number 23 is fully erupted. Tooth number 24 is fully erupted. Tooth number 25 is fully erupted and the tooth is slightly rotated mesially. Tooth number 26 is fully erupted. Tooth number 27 is fully erupted and rotated distally. Tooth number 28 is fully erupted. Tooth number 29 is fully erupted. Tooth number 30 is fully erupted. Tooth number 31 is fully erupted. Tooth number 32 is super-erupted. Page 8 of 14

Suspect 2 Maxilla: The model has fourteen (14) teeth present. The arch form is U shaped. Tooth number 1 is not present. Tooth number 2 is fully erupted. Tooth number 3 is fully erupted. Tooth number 4 is fully erupted. Tooth number 5 is fully erupted and there is a space between it and tooth number 6. Tooth number 6 is fully erupted with a flat insisal edge. Tooth number 7 is fully erupted. Tooth number 8 is fully erupted. Tooth number 9 is fully erupted. Tooth number 10 is fully erupted. Tooth number 11 is fully erupted. It is in crossbite and has a flattened cusp tip Tooth number 12 is fully erupted and there is a space between it and tooth number 11. Tooth number 13 is fully erupted. Tooth number 14 is fully erupted. Tooth number 15 is fully erupted. Mandible: The model has fifteen (15) teeth present. The arch is U shaped. The anterior teeth from #23 - #27 are above the posterior occlusal plane. Tooth number 17 is fully erupted. Page 9 of 14

Tooth number 18 is fully erupted. Tooth number 19 is fully erupted. Tooth number 20 is fully erupted. Tooth number 21 is fully erupted and has a chip on the mesial portion of the insisal edge. Tooth number 22 is fully erupted and short of the occlusal plane. Tooth number 23 is fully erupted. Tooth number 24 is fully erupted. Tooth number 25 is fully erupted. Tooth number 26 is fully erupted. Tooth number 27 is fully erupted. Tooth number 28 is fully erupted and rotated mesially. Tooth number 29 is fully erupted. Tooth number 30 is fully erupted. Tooth number 31 is fully erupted. Tooth number 32 is not present. Suspect 3 Maxilla: The model has fourteen (14) teeth present. Although due to the way the model was trimmed teeth numbers 1 and 16 may be present. The arch form is U shaped. Tooth number 1 may be present, however due to the trimming of the model little information exists. Tooth number 2 is fully erupted. Tooth number 3 is fully erupted. Tooth number 4 is fully erupted. Page 10 of 14

Mandible: Tooth number 5 is fully erupted. Tooth number 6 is fully erupted and rotated to the distal slightly. Tooth number 7 is fully erupted. Tooth number 8 is fully erupted. Tooth number 9 is fully erupted and is rotated to the distal slightly. Tooth number 10 is fractured down to the gingival and no tooth is present in the occlusal plane. Tooth number 11 is fully erupted. Tooth number 12 is fully erupted. Tooth number 13 is fully erupted. Tooth number 14 is fully erupted. Tooth number 15 is fully erupted. Tooth number 16 is appears to be present on the model, although partially trimmed off the cast. The model has fourteen (14) teeth present. The arch is U shaped and the molars on the left side are tilted lingually Tooth number 17 is not present on the model.. Tooth number 18 is fully erupted. Tooth number 19 is fully erupted. Tooth number 20 is fully erupted. Tooth number 21 is fully erupted. Tooth number 22 is fully erupted. Tooth number 23 is fully erupted. Page 11 of 14

Tooth number 24 is fully erupted. Tooth number 25 is fully erupted. Tooth number 26 is fully erupted. Tooth number 27 is fully erupted. Tooth number 28 is fully erupted. Tooth number 29 is fully erupted. Tooth number 30 is fully erupted. Tooth number 31 is fully erupted. Tooth number 32 is not present on the model. Table 1 graphically details the measurements of the patterned injury on the victim compared to the measurements of the teeth on the casts. All teeth were measured across the incisal surface and are expressed in millimeters. The measurements that most closely resemble the patterned injury on the victim are highlighted. The measurements indicate that Suspect 3 is the probable biter. Table 1 Bite Mark Suspect 1 Suspect 2 Suspect 3 Max 6-11 34.1 28.5 31.8 34.6 Tooth #6 6.2 6.2 6.6 7.4 Tooth #7 7.3 5.6 5.5 5.9 Tooth #8 7.4 7.3 7.2 8.5 Tooth #9 9.5 8.0 7.8 8.3 Tooth #10 --- 5.4 5.1 --- Tooth #11 9.5 7.2 5.7 7.9 Mand 22-27 26.3 24.0 25.2 25.4 Tooth #22 7.9 6.2 5.8 6.6 Betty Louise Simpson (DOB: Mar 15, 1986) Murder of Page 12 of 14

Tooth #23 5.1 4.9 5.3 6.1 Tooth #24 5.3 4.8 4.9 5.3 Tooth #25 5.7 4.8 5.0 5.8 Tooth #26 6.3 4.8 5.5 5.9 Tooth #27 6.1 6.5 5.1 6.2 Based on the above analysis the following conclusions can be made: 1. Suspect 1 cannot be excluded as a biter most closely matching 3 out of 14 measurements. 2. Suspect 2 cannot be excluded as a biter most closely matching 1 out of 14 measurements. 3. Suspect 3 is the probable biter most closely matching 10 out of 14 measurements. Wax Exemplars Page 13 of 14

Comparisons of the wax exemplars with the bite mark by overlaying the wax exemplar over the bite mark using Adobe Photoshop version 7.01. The wax exemplar s opacity was varied so that the exemplar became transparent allowing for the ability to see through it to the underlying bite mark. Comparison of the maxillary exemplars and the bite mark allow for the following conclusions: 1. Suspect 1 can be excluded as a possible biter. 2. Suspect 2 can be excluded as a possible biter. 3. Suspect 3 is the probable biter. Comparison of the mandibular exemplars and the bite mark allow for the following conclusions: 1. Suspect 1 cannot be excluded as a possible biter. 2. Suspect 2 can be excluded as the biter. 3. Suspect 3 is the probable biter. Hollow Volume Overlays Comparison of the maxillary hollow volume overlays and the bite mark allow for the following conclusions: 1. Suspect 1 can be excluded as the biter. 2. Suspect 2 cannot be excluded as a possible biter. 3. Suspect 3 is the probable biter. Comparison of the mandibular hollow volume overlays and bite mark allow for the following conclusions: 1. Suspect 1 can be excluded as the biter. 2. Suspect 2 can be excluded as the biter. 3. Suspect 3 is the probable biter. Opinion Considering the totality of the evidence examined and comparisons made, assuming the models are true and accurate representations of the suspects, I conclude that suspect numbers 1 and 2 can be excluded as biters in this case. I further conclude that suspect number 3 is the probable biter. If the population of suspects is limited to the three that I received, I would opine that suspect number 3 is the biter beyond a reasonable degree of medical/dental certainty. If additional evidence becomes available I reserve the right to amend my opinions in this case. Respectfully submitted, Adam J. Freeman, D.D.S. Page 14 of 14