Assessment of personal injuries in dentistry and discussion of DPVAT insurance ­ case report

Dentists are due to evaluate, in cases of traffic accidents, the sequelae left based on Personal Injury Caused by Motor Vehicle Terrestrial Insurance ­ DPVAT. This case report discusses the DPVAT table invalidity provided by law 6,194/74 and the lack of prediction of, total or partial, personal injuries related to phonetic, masticatory and aesthetic function due to dental losses and bone fractures. A 30-year-old victim of a traffic accident, suffered several bone injuries in face, skull and dental elements, claiming for total insurance payment. It was verified a scar in the right frontal region and in the left malar region. He lost centrals and laterals incisors and canine on the right in maxilla, important mandible deviation in step in canine region on the left, root rot of the first lower molars, septum deviation due to face fractures, but he does not mention pain. In the evaluation of the percentage, according to DPVAT table, it took into account the losses of anterior teeth and mandible fracture, which caused a functional, aesthetic and phonetic sequel. Severe dental losses and fracture sequelae justify a partial payment of insurance, but DPVAT table does not consider the loss of phonetic, aesthetic and masticatory functions that should be better discussed to be included in the table.

Importance of dental records and panoramic radiograph in human identification: a case report / Importância dos registros odontológicos e de radiografia panorâmica na identificação humana: um relato de caso

Forensic dentistry is important in human identification because it analyses individual characteristics present in the teeth of each individual based on comparison. The aim of this work is to highlight the importance of the correct documentation made by the dentist and to present a case solution using panoramic x-ray. To carry out the report, dental charts and panoramic radiography were used for comparison with dental examination of a female body remains. The wrong notation of charts, made by the dentist, almost leaded to an exclusion identification. Due to panoramic x-ray made nine years before the death, a positive identification could be made. That fact emphasized the importance of attention when charts are being filled out.

A odontologia forense é importante na identificação humana porque analisa características individuais presentes nos dentes de cada indivíduo com base na comparação. O objetivo deste trabalho é destacar a importância da documentação correta feita pelo dentista e apresentar uma solução de caso usando radiografia panorâmica. Para realizar o relatório, foram utilizados gráficos dentais e radiografia panorâmica para comparação com o exame dental nos restos de um corpo feminino. A notação errada do prontuário, feita pelo dentista, quase levou a uma identificação de exclusão. Devido à radiografia panorâmica feita nove anos antes da morte, uma identificação positiva pode ser feita. Esse fato enfatizou a importância da atenção quando o prontuário está sendo preenchido.