ADLİ OLGU OLARAK DEĞERLENDİRİLEN TRAVMATİK DİŞ YARALANMALARI

Giriş ve Amaç: Çalışmada travma nedeni ile başvuran diş kırıklıolgulara ait lezyon özelliklerinin irdelenmesi, travmatik diş kırıklarınınadli vaka kapsamında değerlendirilmesi gerektiğinin vurgulanmasıamaçlanmıştır.Gereç ve Yöntem: Eskişehir Adli Tıp Şube Müdürlüğü’nce 1 Ocak 2014ile 31 Aralık 2014 tarihleri arasında adli raporları düzenlenen travmatikdiş yaralanmalı olgular retrospektif olarak değerlendirilmiştir. Olgularyaş, cinsiyet, olay türü ve yaralanma niteliğine göre sınıflandırılmıştır.Bulgular: Olguların yaş ortalamasının 17±12,3 ve 267’sinin (% 85,6)erkek olduğu, 157 olgunun (% 50,3) darp nedeniyle dişinin kırıldığı, ensık üst santral dişlerin kırıldığı belirlenmiştir. Mevcut uygulamadaolguların tümünde yaralanmanın “basit tıbbi müdahale ilegiderilemeyeceği” yönünde rapor düzenlenmiştir. Ancak 2013 Haziranöncesindeki uygulamada diş kırıkları dışındaki lezyonlar göz ardıedildiğinde kron kırığı olan 179 (% 57,4) olguda lezyonun basit tıbbimüdahale ile giderilebileceği, kök kırığı olan 133 (% 42,6) olguda isebasit tıbbi müdahale ile giderilemeyeceği saptanmıştır. Erkek olgularındaha küçük yaşlarda yaralandığı, kadın olguların daha büyük yaşlardayaralandığı tespit edilmiştir. Erkek olgularda daha sık etkili eylem, kadınolgularda ise daha sık trafik kazası nedeniyle diş kırığı olduğubelirlenmiştirSonuç: Kılavuzda yapılan güncellemenin, diş yaralanmaları açısındanoldukça önemli olduğu görülmektedir. Orijin dışında olgularındemografik verileri literatürle uyumlu bulunmuştur. Ancak kaza sonucuoluştuğu iddia edilen diş travmalarının adli vaka yapılmadığıdüşünülmektedir. Özellikle acil hizmeti veren diş hekimlerine adli tıbbiyaklaşım ile ilgili hizmet içi eğitimin yararlı olacağı düşünülmektedir.

Anahtar Kelimeler:

Diş yaralanmaları, adli rapor, travma

Traumatic Tooth Injuries Evaluated as Forensic Cases

Introduction and Aim: In the study, it was aimed to emphasize that thelesion characteristics of patients with tooth fractures who applied tohospital due to trauma should be examined and the traumatic toothfractures should be evaluated within the scope of judicial case.Material and Method: The cases with traumatic tooth injuries, thejudicial reports of which were prepared, were retrospectively evaluatedby Eskişehir Forensic Medicine Branch Office between January 1, 2014and December 31, 2014. The cases were classified according to age,sex, event type and injury type.Findings: It was determined that the average age of the cases was17±12.3, 267 of them (85.6%) were male, the teeth of 157 cases(50.3%) were broken due to battery, and the upper incisor teeth weremost frequently broken teeth. A report was drawn up on the fact thatthe injury "could not be removed with a simple medical intervention" inall cases in the existing application. However, in the application beforeJune 2013, it was determined that the lesion could be removed by asimple medical intervention in 179 (57.4%) cases with crown fracturewhen lesions outside tooth fractures were ignored, and it could not beremoved by a simple medical intervention in 133 (42.6%) cases withroot fracture. The men wounded at a young age, it was found thatwomen injured in older age. The most frequent reasons of toothfracture which has been occurred in men and women are separated.Men’s cases are the most frequent reason is fight and also women’scases the most frequent is traffic accident.Conclusion: It is shown that the update made in the guide is quiteimportant for tooth injuries. The demographic data of cases were foundto be consistent with the literature outside of the origin. However, it isthought that the teeth traumas alleged to have occurred accidentallyare not treated as judicial case. The in-service training regardingforensic medicine approach is thought to be useful especially fordentists offering emergency services.

Keywords:

Tooth injuries, forensic report, trauma,

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