Case-specific characteristics of pink teeth in dental autopsies - A systematic review.

Autor: Franco A; Division of Oral Radiology, Faculdade São Leopoldo Mandic, Instituto de Pesquisas São Leopoldo Mandic, Campinas, Brazil; Department of Therapeutic Stomatology, Institute of Dentistry, Sechenov University, Russia. Electronic address: franco.gat@gmail.com., de Oliveira MN; Postgraduate Program in Clinical Dentistry, Federal University of Uberlândia, Brazil., Gomes-Lima LK; School of Dentistry, Federal University of Uberlândia, Brazil., Pereira-de-Oliveira VHF; School of Dentistry, Federal University of Uberlândia, Brazil., Franco RPAV; Postgraduate Program in Pathology and Legal Medicine, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil., Blumenberg C; Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil., Silva RF; Department of Forensic Dentistry, Federal University of Goiás, Brazil., da Silva RHA; Forensic Odontology, USP - School of Dentistry of Ribeirão Preto, Brazil., Makeeva I; Department of Therapeutic Stomatology, Institute of Dentistry, Sechenov University, Russia., Santos-Filho PCF; Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Brazil., Paranhos LR; Department of Preventive and Community Dentistry, School of Dentistry, Federal University of Uberlândia, Brazil.
Jazyk: angličtina
Zdroj: Journal of forensic and legal medicine [J Forensic Leg Med] 2019 Nov; Vol. 68, pp. 101869. Date of Electronic Publication: 2019 Sep 17.
DOI: 10.1016/j.jflm.2019.101869
Abstrakt: The cadaveric alterations that derive from the decomposition of the human body are often investigated and examined in medical autopsies together with any other evidence of thanatological interest. This study aimed to systematically review case-specific characteristics of dental autopsies that reported the pink tooth phenomenon (PTP). The review was performed in October/2018 and followed PRISMA and Cochrane guidelines. Seven databases were searched as primary study sources (PubMed, Scopus, LILACS, SciELO, Web of Science, Science Direct and Embase) and three (OATD, Open Grey and Open Thesis) were searched for "grey literature". Only descriptive studies were collected, namely case reports and case series. The risk of bias among the studies was assessed with The Joanna Briggs Institute Critical Appraisal tool. From each case, the sex and age of the victims were registered, together with the place of body recovery, time of death, cadaveric status, cause of death, and number and position of pink teeth. Additionally, a supplemental quantitative analysis was conducted within a sampled subgroup. Poisson regression with robust variance was used to analyze relative risks of presenting pink teeth according to age and tooth position. Eleven studies out of 1004 were eligible. In total 71 cases of cadavers with pink teeth were reported. Two (2.81%) victims had unknown sex, while 17 (23.95%) were females and 52 (73.24%) were males. The victims were aged between 4 and 85 years (mean age 31.13 ± 13.32). Dental autopsies registered 331 pink teeth (163 anterior, 87 premolars and 81 molars). The age did not influence on presenting an additional pink tooth, regardless of tooth position (p > 0.05). Forensic dentists must be aware of pink teeth in dental autopsies. This is an unspecific phenomenon and must not be misinterpreted in medico-legal investigations.
(Copyright © 2019 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.)
Databáze: MEDLINE
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