著者

Norio Kasahara Satoru Matsunaga Masashi Yamada Yasutaka Nakamura Munetsugu Tashiro Masatsugu Hashimoto

出版者

Tokyo Dental College, Japan

雑誌

The Bulletin of Tokyo Dental College (ISSN:00408891)

巻号頁・発行日

pp.2019-0015, (Released:2020-06-10)

参考文献数

14

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The purpose of this study was to elucidate the characteristics of dental malpractice trials undertaken by medical malpractice divisions and ordinary divisions in district courts. Dentistry disputes in a total of 84 trials held between 1977 and 2014 were investigated. A total of 45 were conducted by medical malpractice divisions, resulting in 18 approvals and 27 dismissals, while 39 were undertaken by ordinary divisions, leading to 24 approvals and 15 dismissals. The parameters analyzed comprised category of dental treatment, judgment, amount claimed, and amount accepted. The results revealed that the mean amount claimed in trials held by medical malpractice divisions (¥12,563,324) was lower than that sought in trials conducted by ordinary divisions. The amount accepted was also found to exceed 50% of the amount claimed in 6 trials held by ordinary divisions (maximum 75.2%), but in only 2 trials conducted by medical malpractice divisions (maximum 54.8%); the mean amount accepted in trials held by medical malpractice divisions was 24.2%. These results indicate that judgments in trials conducted by medical malpractice divisions place a stronger emphasis on resolution of dental malpractice dispute than on pursuing truth or carrying out proper legal procedures.

著者

Yasutaka Nakamura Norio Kasahara Masatsugu Hashimoto

出版者

Tokyo Dental College, Japan

雑誌

The Bulletin of Tokyo Dental College (ISSN:00408891)

巻号頁・発行日

pp.2021-0035, (Released:2022-05-25)

参考文献数

15

被引用文献数

2

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Dentistry plays an important role in the identification of victims in large-scale disasters. The current poor status of and problems with victim identification work were highlighted in the aftermath of the Great East Japan Earthquake of March 11, 2011, in which some 10,000 people lost their lives. The techniques of dental identification therefore need to be improved if they are to cope with the problems associated with identification that will accompany the predicted Tokai earthquake and other unexpected large-scale disasters in the future. The purpose of this study was to determine the effectiveness of applying a digital impression-taking device employed in regular dental care to dental personal identification. The Trophy 3DI pro (Yoshida Dental) was applied to a total of 150 dental models. The diagnosis was accurate in 2,096 teeth from a sample of 2,100 comprising 1,240 non-treated teeth, 670 treated teeth, and 190 missing teeth, yielding a 99.8% level of statistical precision. These results suggest that the level of accuracy offered by this impression-taking device indicates that it would be a useful tool in establishing personal identification in disaster victims.

著者

Yasutaka Nakamura Mikayo Nakamura Norio Kasahara Masatsugu Hashimoto

出版者

Tokyo Dental College, Japan

雑誌

The Bulletin of Tokyo Dental College (ISSN:00408891)

巻号頁・発行日

vol.61, no.3, pp.169-178, 2020 (Released:2020-09-04)

参考文献数

8

被引用文献数

1

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Victim identification following disasters is an important task for the dentist. Use of records of previous dental treatment proved effective in victim identification after the crash of Japan Airlines Flight 123 in 1985. This dental identification procedure can be problematic, however. In exceptional cases, the victim may have had very little or no prior treatment, making identification by this means impossible. The purpose of this study was to establish a new method of dental identification based on morphological comparison of the oral cavity, rather than on evidence of prior dental treatment. This new method involves superimposing 3-dimensional (3-D) models created by digital impression-taking devices, use of which is becoming increasingly widespread in present-day dental treatment. A total of 75 dental models were used to obtain 3-D models. These were then used in a total of 77 superimposition tests. The results demonstrated that the degree of similarity was 98.03-41.30%, and the degree of difference 0.17-29.69%. This indicated that differences among the dental models could be identified with 100% precision. Personal identification by superimposition of such 3-D models offers a useful tool that could compensate for the shortcomings of standard dental identification.

著者

Noboru Ishikawa Yuzo Hirayama Yasuo Miake Kei Kitamura Norio Kasahara Shinichi Abe Hitoshi Yamamoto

出版者

THE SOCIETY FOR HARD TISSUE REGENERATIVE BIOLOGY

雑誌

Journal of Hard Tissue Biology (ISSN:13417649)

巻号頁・発行日

vol.28, no.3, pp.289-296, 2019 (Released:2019-07-31)

参考文献数

29

被引用文献数

2

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In the field of forensic odontology, not only personal identification using oral conditions, including dental treatment marks and DNA typing, but also species identification, age or sex estimation using cranial or partial bones, and time after death may also be applicable as estimation methods. Among these many tasks, one of the most difficult is species identification of fragmented calvarium. This is because the calvarium has poor morphological features, except that it is a flat bone, and few reports have described how to differentiate it. In this study, a simple identification method for turtle shell (carapace and plastron) whose morphological characteristics closely resembled those of the calvarium was applied. As a result, in an enlarged image obtained using a stereoscopic microscope, the characteristics of each suture pattern could be confirmed. In the decalcified and non-decalcified bone specimens, the difference in the inner/outer laminar structure and the specific structural difference of the cancellous bone-equivalent part were confirmed. Furthermore, most of the features could be obtained in the destructive inspection when it was examined using micro CT imaging to determine whether discrimination by nondestructive inspection was possible or not. No significant difference in ingredients was found using the Electron Probe X-ray Micro Analyzer. The calvarium was more calcified than the carapace but less calcified than the plastron. From these results, we suggest that micro CT imaging is effective for discriminating between the calvarium and turtle shell in a short time.