主管：中华人民共和国司法部
主办：司法鉴定科学研究院
ISSN 1671-2072  CN 31-1863/N
中国司法鉴定

中国司法鉴定 ›› 2021 ›› Issue (4): 48-54.DOI: 10.3969/j.issn.1671-2072.2021.04.006

• 鉴定科学 • 上一篇    下一篇

22例外伤后牙缺失的伤病关系分析

 

彭 钊1，占梦军2，范 飞2，鲁 婷2，平措桑珠3，张 奎2，邓振华2   

  1. 1.四川大学 华西医院 放射科，四川 成都 610041； 2.四川大学 华西基础医学与法医学院，四川 成都 610041；

    3.昌都市职业技术学校，西藏 昌都 854000

  • 收稿日期:2021-01-07 出版日期:2021-07-15 发布日期:2021-07-25
  • 通讯作者: 邓振华（1963-），男，教授，主要从事法医临床学与法医影像学研究。E-mail:fydzh63@163.com
  • 作者简介:彭钊（1987-），男，技师，主要从事法医影像学研究。E-mail:64365948@qq.com

Analysis of the Relationship Between Injury and Disease from 22 Tooth Loss Cases

PENG Zhao1, ZHAN Mengjun2, FAN Fei2, LU Ting2, PINGCUO Sangzhu3, ZHANG Kui2, DENG Zhenhua2   

  1. 1. Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

    2. West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China;

    3. Changdu Vocational and Technical School, Changdu 854000, China

  • Received:2021-01-07 Published:2021-07-15 Online:2021-07-25

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摘要：

目的 探讨外伤后牙缺失的损伤特点，提出伤病关系分析的原则与思路，为法医临床鉴定提供参考。方法 对2016年2月—2020年1月由四川华西法医学鉴定中心受理并出具明确鉴定意见的22例外伤后牙缺失案件，按照基本情况、伤后首诊时间、口腔其他附加损伤、既往牙病史、牙科影像检查情况、委托鉴定事项、鉴定意见等信息进行描述性统计分析。结果 在全部案例中，外伤后牙缺失最容易发生的部位是上颌，最容易缺失的牙齿类型是切牙。在伤后早期就诊的案件中，除了牙齿缺失外，均有不同程度的口腔颌面部损伤。口腔影像学检查在口腔病变程度判断中有较高价值，有近一半案例涉及到伤病关系分析。结论 依据明确的外伤史、伤后治疗记录，特别是结合口腔影像学检查，能够较好地把握此类案件伤病关系分析的要点。

关键词:

法医学, 牙缺失, 伤病关系, 口腔影像学检查

Abstract:

Objective To explore the injury characteristics of post-traumatic tooth loss, put forward the analysis principles of the relationship between injury and disease, and provide reference for forensic clinical identification. Methods The 22 cases of post-traumatic tooth loss were collected from Sichuan West China forensic medicine identification center between February 2016 and January 2020. Descriptive statistical analysis was used in all case studies according to the basic information, the first diagnosis time after injury, other additional oral injuries,previous dental history, dental imaging examination, entrusted items, expert opinion, and other information. Results In all cases, the most likely sites and types of teeth missing after trauma were maxillary and incisor, respectively. In the early cases after injury, except for the loss of teeth, there were different degrees of oral and maxillofacial injuries. Oral imaging examination has a high value in the evaluation of the degree of oral lesions. Nearly half of the cases involve the analysis of the relationship between injuries and diseases. Conclusion The analysis points of such cases can be better grasped, according to the clear history of trauma, post-traumatic treatment record, especially combined with oral imaging examination, and using the analysis principle of the relationship between injury and disease proposed in this study.

Key words:

forensic medicine, tooth loss, relationship between injury and disease, oral imaging examination

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