Forensic bitemark identification: weak foundations, exaggerated claims.

Several forensic sciences, especially of the pattern-matching kind, are increasingly seen to lack the scientific foundation needed to justify continuing admission as trial evidence. Indeed, several have been abolished in the recent past. A likely next candidate for elimination is bitemark identification. A number of DNA exonerations have occurred in recent years for individuals convicted based on erroneous bitemark identifications. Intense scientific and legal scrutiny has resulted. An important National Academies review found little scientific support for the field. The Texas Forensic Science Commission recently recommended a moratorium on the admission of bitemark expert testimony. The California Supreme Court has a case before it that could start a national dismantling of forensic odontology. This article describes the (legal) basis for the rise of bitemark identification and the (scientific) basis for its impending fall. The article explains the general logic of forensic identification, the claims of bitemark identification, and reviews relevant empirical research on bitemark identification-highlighting both the lack of research and the lack of support provided by what research does exist. The rise and possible fall of bitemark identification evidence has broader implications-highlighting the weak scientific culture of forensic science and the law's difficulty in evaluating and responding to unreliable and unscientific evidence.

Complex layered dental restorations: Are they recognizable and do they survive extreme conditions?

Recent research has shown that restorative dental materials can be recognized by microscopy and elemental analysis (scanning electron microscopy/energy dispersive X-ray spectroscopy and X-ray fluorescence; SEM/EDS and XRF) and that this is possible even in extreme conditions, such as cremation. These analytical methods and databases of dental materials properties have proven useful in DVI (disaster victim identification) of a commercial plane crash in 2009, and in a number of other victim identification cases. Dental materials appear on the market with ever expanding frequency. With their advent, newer methods of restoration have been proposed and adopted in the dental office. Methods might include placing multiple layers of dental materials, where they have different properties including adhesion, viscosity, or working time. These different dental materials include filled adhesives, flowable resins, glass ionomer cements, composite resins, liners and sealants. With possible combinations of different materials in these restorations, the forensic odontologist is now confronted with a new difficulty; how to recognize each individual material. The question might be posed if it is even possible to perform this task. Furthermore, an odontologist might be called upon to identify a victim under difficult circumstances, such as when presented with fragmented or incinerated remains. In these circumstances the ability to identify specific dental materials could assist in the identification of the deceased. Key to use of this information is whether these new materials and methods are detailed in the dental chart. Visual or radiographic inspection may not reveal the presence of a restoration, let alone the possible complex nature of that restoration. This study demonstrates another scientific method in forensic dental identification.

Distortion in fingerprints: a statistical investigation using shape measurement tools.

Friction ridge impression appearance can be affected due to the type of surface touched and pressure exerted during deposition. Understanding the magnitude of alterations, regions affected, and systematic/detectable changes occurring would provide useful information. Geometric morphometric techniques were used to statistically characterize these changes. One hundred and fourteen prints were obtained from a single volunteer and impressed with heavy, normal, and light pressure on computer paper, soft gloss paper, 10-print card stock, and retabs. Six hundred prints from 10 volunteers were rolled with heavy, normal, and light pressure on soft gloss paper and 10-print card stock. Results indicate that while different substrates/pressure levels produced small systematic changes in fingerprints, the changes were small in magnitude: roughly the width of one ridge. There were no detectable changes in the degree of random variability of prints associated with either pressure or substrate. In conclusion, the prints transferred reliably regardless of pressure or substrate.

Shape measurement tools in footwear analysis: a statistical investigation of accidental characteristics over time.

Presence of accidental characteristics on footwear strengthens the linkage of a given piece of footwear to a footwear impression left at a crime-scene. Thus an understanding of rate of appearance and disappearance of these characteristics is of importance. Artificial cut-marks, 1-3mm in depth, were cut into outsoles of 11 pairs of athletic shoes. Loss of these cut-marks and acquisition of new accidental characteristics/wear patterns were monitored over a seven-week time-span. Feature-vector methods were used to acquire multivariate data on wear/acquisition rates. A repeatability study indicated the feature vector method could detect small differences among shoes relative to measurement uncertainty. The shoes displayed a strong retention of artificial cut-marks over the study interval. Net rate of wear was 0.1% of the textured area of the shoe per week, predominantly in the heel and ball area. Results indicate accidental characteristics can reasonably be expected to persist over time.

Effect of systematic dental shape modification in bitemarks.

Studies on human cadaver models have reported significant levels of distortion of bitemarks in skin, indicating that tooth characteristics are not reliably transferred and recorded in the bitten subject. Moreover, matches among the anterior biting dentition in open population studies have been found. This prompts the question as to what degree of difference in shape will distinguish one dentition from another as reflected in a bitemark. In order to understand how these variables appear on skin, 10 dental casts with systematic variations in tooth positions were produced. The height of the lateral incisors was systematically altered in 1mm increments up to 3mm and lateral incisor/canines were altered in facial/lingual displacement in 1mm increments up to 5mm. Each of the models was used to produce a series of 10 repeated bites, distributed over arms and legs of un-embalmed cadavers. Landmark-based geometric morphometrics were used for analysis of digital images of the bitemarks. Results indicate that alterations of height and displacement of particular teeth affected the position of impressions created by the adjacent teeth. Displacement of one lateral incisor/canine led to a relative shift in impressions of the central incisors and unaltered canines, while height alteration of the lateral incisors led to a shift in relative position of central incisors as recorded in the bitemark. The prominence of displacements was more pronounced in the bitemarks than in images of the dentition used to make the bites, thus the bitemarks tended to exaggerate the differences. It was found that a displacement of 5mm between teeth allowed for reliable distinction between bitemarks. No such threshold of distinction could be established for differences in height of teeth under these experimental conditions. The effect of distortion was more significant in the mandibular than maxillary arch, suggesting that the mandible exhibits higher variation than the maxilla, as impressed in skin. Numerous bitemarks also exhibited arch flattening, consistent with recent studies showing arch width as the principal variable in a bitemark.

Patterns of variation and match rates of the anterior biting dentition: characteristics of a database of 3D-scanned dentitions.

An understanding of the variability of the anterior human dentition is essential in bitemark analysis. A collection of 1099 3D laser scans of paired maxillary and mandibular arches were studied using geometric morphometric methods. Analyses were performed without scale (shape only) and with scale (shape and size). Specimens differing by no more than experimentally obtained measurement error were counted as matches, or as indistinguishable. A total of 487 maxillary (396 size preserved), 131 mandibular (83 size preserved), and one paired dentition (two size preserved) matches were found. Principal component analysis and partial least squares revealed interpretable patterns of variation and covariation in dental shape, principally dominated by variation in dental arch width. The sensitivity of match rate to assumed degree of measurement error was also determined showing rapid increases in match rate as measurement error increased. In conclusion, the concept of dental uniqueness with regard to bitemark analysis should be approached with caution.

Bitemarks: distortion and covariation of the maxillary and mandibular dentition as impressed in human skin.

In bitemark analysis the extent of distortion of both maxillary and mandibular arches and how one affects the other has not been studied. A single dentition was used to create 49 bites on unembalmed cadavers. Landmarks were placed on digital images of the bitemarks and scanned images of the biting dentition. A sample of 297 randomly acquired dental models was used for comparison purposes. Geometric morphometric techniques were utilized to statistically describe size and shape change, as well as the correlation between the two arches. Results indicate that the predominant distortion seen was in arch width, at 7-28 times as large as measurement error in the biting dentition and roughly 50% of the variation seen in the random population of dentitions. The correlation of arch width distortion between arches was very low (∼0.03). However, the principal patterns of all shape variation did co-vary in the bitemarks produced by the maxillary and mandibular dentition, an effect indicating independence of size and shape distortion. In conclusion, bitemark analysis should be approached with caution when the principal difference between suspects is arch width.

A study of multiple bitemarks inflicted in human skin by a single dentition using geometric morphometric analysis.

Criticisms of the forensic discipline of bitemark analysis state that the range of distortion in the shape of bitemark impressions in skin has not been scientifically established. No systematic statistical studies exist that explore this problem. As a preliminary investigation of this issue, a single dentition was mounted in a mechanical apparatus and used to create 89 bitemarks in human cadaver skin, both parallel and perpendicular to tension lines. Impressions of the same dentition were also created in wax. 2D scanned images of the biting dentition were obtained. Locations of incisal edges of all 6 anterior teeth as well as the midpoint of the canine were captured as landmarks in all specimens. This set of landmark data was then studied using established geometric morphometric methods. All specimen shapes were compared using Procrustes superimposition methods, and by a variation of Procrustes superimposition which preserves scale information. Match criteria were established by examining the range of variation produced by repeated measurements of the dentition for each class of specimen. The bitemarks were also compared to a population of 411 digitally scanned dentitions, again using the match criteria. Results showed that bitemarks in wax had lower measurement error than scanned images of the dentition, and both were substantially lower than measurement error as recorded in skin. None of the 89 bitemarks matched the measured shape of the biting dentition or bitemarks in wax, within the repeated measurements error level, despite the fact that all bitemarks were produced by this dentition. Comparison of the bitemarks to the collection of 411 dentitions showed that the closest match to the bitemarks was not always the same dentition that produced the bitemarks. Examination of Procrustes plots of matched shapes showed non-overlapping distributions of measurements of bitemarks in skin, wax, and the dentition. All had statistically significant differences in mean shape. Principal component analysis (PCA) and canonical variates analysis (CVA) both showed clear segregation of the three types of data. The patterns of variance revealed by PCA showed several distinct patterns produced by skin distortion; alteration of relative arch width, and varying displacement of non-aligned teeth in the dentition. These initial results indicate that when multiple suspects possess similar dentitions, bitemark analysis should be approached with caution.

Dental shape match rates in selected and orthodontically treated populations in New York State: a two-dimensional study.

Forensically identifying a suspect's dentition from a bitemark in an open population requires the supposition that every person's dental alignment is different. There have been few studies that have tested this claim. Four hundred and ten lower anterior dentitions from a selected population and 110 lower anterior dentitions from one that was orthodontically treated were measured using geometric morphometric analysis, allowing comparison of arch shape. Dental match rates of 1.46% and 42.7% of individuals were found in the respective populations, given an established measurement error. Orthodontic treatment had a strong effect on match rate suggesting that treated or naturally well-aligned dentitions may be indistinguishable. Sexual dimorphism was found to be only slightly significant. Principal shape variation in both populations was degree of arch curvature. Results of studying these populations show that dental matches can occur, and that statements of certainty concerning individualization in such populations should be approached with caution.

Mathematical matching of a dentition to bitemarks: use and evaluation of affine methods.

Skin is a less than ideal medium for recording bitemark impressions, and assessing the causes and magnitude of distortion has long been a question in forensic odontology. Affine methods have been suggested as a mathematical means to attempt to quantify the deformation typically seen with a bitemark. Thirty-six bites were created on unembalmed human cadavers with a single dentition. Three mathematical affine methods were evaluated to determine if the distortion could be described mathematically and effectively removed. A measure of mismatch of a dentition to a bitemark was developed based on landmark measurements establishing a numerical basis for comparisons of dentitions to bitemarks. Results indicate high levels of distortion in the bitemarks not attributable to affine deformations or measurement error, suggesting that non-uniform anisotropic properties of skin mostly contribute to the distortion seen, thus concluding that bitemark distortion cannot be corrected by using affine transformations.

Similarity and match rates of the human dentition in three dimensions: relevance to bitemark analysis.

Uniqueness of the human dentition is a fundamental premise in bitemark analysis. Despite the importance of this key aspect of bitemark methodology, systematic studies of large populations have been limited. Furthermore, there have been no investigations of the significance of the third dimension with regard to dental uniqueness. One hundred digitally scanned mandibular models were analyzed in both 2D and three dimension (3D) using Landmark software. Additionally, 500 3D maxillary and mandibular sets were investigated for determining dental match rate. Statistical analysis was performed with geometric morphometric methods. Results show that measurements in 3D preserve more information about the dentition, reducing but not eliminating random matches in a sample population of 100 mandibular dentitions. Examination of pairs of maxillary and mandibular dentitions showed a substantial number of random matches (197 maxillary, 51 mandibular, one of both maxillary and mandibular). Conclusions indicate that a zero match rate cannot be claimed for the population studied.

Statistical evidence for the similarity of the human dentition.

Recent scrutiny of forensic science has focused on unreliability of expert witness testimony when based on statements of individuality. In bitemark analysis, assumptions regarding uniqueness of the dentition have been based on use of the product rule while ignoring correlation and nonuniformity of dental arrangement. To examine the effect of these factors, two separate sets of scanned dental models (n=172 and n=344) were measured and statistically tested to determine match rates. Results were compared to those of a prior study. Seven and 16 matches of the six anterior lower teeth were found in the respective data sets. Correlations and nonuniform distributions of tooth positions were observed. Simulation tests were performed to verify results. Results indicate that given experimental measurement parameters, statements of dental uniqueness with respect to bitemark analysis in an open population are unsupportable and that use of the product rule is inappropriate.

The use of ultraviolet LED illumination for composite resin removal: an in vitro study.

It may be difficult to recognize composite resin restorations that are correctly shade-matched and well-placed by visual and tactile inspection alone--which can make the replacement of an existing resin restoration challenging. Many composite resins fluoresce under UV light, which can help dentists to detect resin material. This article explores a technique that utilizes a UV LED to cause composite resin to fluoresce. A UV/visible light spectrofluorometer was used to measure fluorescence excitation and emission maxima of 14 composite resin brands. Control samples of dentin and enamel were measured in a similar manner. Subsequently, each brand of composite resin was placed in extracted teeth and relative fluorescence was assessed. The composite resins were then removed and each tooth was inspected using UV light to detect remaining resin. Results from this study indicated that the optimal excitation wavelength was 385-395 nm, while 460 nm was determined to be the mean emission maxima. This study revealed three types of resin: highly fluorescent, moderately fluorescent, and weakly fluorescent. In each instance, the UV light revealed the presence of resin after all resin was believed to have been removed. Based on the results of this study, the use of UV illumination can be a useful technique for determining if composite resin has been removed completely.

Photoactivated disinfection of Streptococcus intermedius through dentin disc at clinically relevant intervals: an in vitro study.

In this present study we have tested the impact of porfimer sodium (Photofrin, AXCAN PHARMA Inc., Quebec, Canada) photoactivated disinfection (PD) on cells of Streptococcus intermedius in suspension. In order to provide basic data to support future clinical studies of PD in dentistry the study used exposure to Quartz-tungsten-halogen (QTH) dental curing light for clinically relevant time periods to activate Photofrin and measured its effectiveness under a variety of conditions including activation through dentin hard tissue. S. intermedius was grown in planktonic suspension for 48h. Nine groups were formed: three control groups (1-3) and six experimental groups (4-9). Groups 4-6 tested the use of Photofrin treatment combined with QTH light at various intervals of irradiation (5, 15 and 60s). Groups 7-9 were similar to groups 4-6 with the exception that irradiation commenced through a dentin disc. Following treatment, bacteria were plated. Colony counts were measured following 72h incubation at 37 degrees C. Statistical analysis was carried out by one-way ANOVA at a 95% confidence level. A significant reduction in S. intermedius colony counts was observed for all experimental groups and one control group. The reduction in numbers of colonies in the experimental groups varied from 79.28 to 99.40% with an average of 94.61%. Reduction in viable bacterial cells indicated a strong relationship between power density and irradiation interval. When curing light energy density was lower due to the irradiation through the 1mm dentin disc, prolonged irradiation interval enhanced bacterial kill. In conclusion, where direct irradiation is not possible for PD treatment, irradiation through dentin may still be done successfully within a clinically relevant interval.

Inquiry into the scientific basis for bitemark profiling and arbitrary distortion compensation.

Prediction of dental characteristics from a bitemark (bitemark profiling) and arbitrary photographic distortion compensation are two practices proposed in bitemark analysis. Recent research on the effect of inherent skin tension properties in bitemark analysis suggests that these practices are subject to review. A biting apparatus was used to create 66 bitemarks in human cadaver skin. The bitemarks were photographed, sized 1:1, and evaluated with Adobe Photoshop. Metric/angular measurements and hollow volume dental overlays were employed. Distortion produced was calculated and assessed. Results showed distortional ranges were nonuniform both between bites, as well as within each bite. Thus, enlarging/decreasing the photograph uniformly would not correct the distortion that resulted. With regard to bitemark profiling, 38% of the bites created patterns that could be misleading if profiled. Features were present/absent that were inconsistent with the biter's dentition. Conclusions indicate bitemark profiling and arbitrary distortion compensation may be inadvisable.

The response of skin to applied stress: investigation of bitemark distortion in a cadaver model.

Knowledge of distortional properties of skin is important in bitemark analysis. Thus, the response of skin to stress from bites was investigated. Four sets of models were created from the dentition of one individual. Anterior teeth were systematically removed to vary contact surface area. A biting apparatus was constructed with an integrated load cell. Forty-six bites were created perpendicular to Langer lines on six cadavers. Rate of force application and bite pressure were controlled. Metric/angular measurement and hollow volume overlays were employed. Distortion produced by each dentition was calculated and assessed. Results showed that as teeth impressed loose tissue, mesial/distal distance increased, angles of rotation flattened, and inter-canine distance lengthened. An opposite effect was seen in tight tissue. When the surface area of the dentition was reduced, a mixture of these effects was observed. Conclusions indicated that stiffness of the tissue was the most important variable in bitemark distortion.

Uniqueness of the dentition as impressed in human skin: a cadaver model.

Bitemark interpretation assumes that the human dentition is unique and that its attributes can be accurately transferred to skin. A cadaver model was used to investigate whether the correct biter could be determined from similarly aligned dentitions once the dentitions were impressed in human skin. One-hundred dental stone models, which were measured and determined to be unique, were divided into 10 groups based upon similarities of mal-alignment patterns. One model was randomly selected from each group and bites were produced on unembalmed human cadavers. Metric/angular measurements and hollow volume overlays of the models were compared with the bites made. The percentage of dentitions from each group as well as the 100 dental model population that could not be excluded as the biter was determined. Results showed difficulty distinguishing the biter from individuals with similarly aligned dentitions and in some cases, an incorrect biter appeared better correlated to the bite.

Fluorescence and structural degradation in composite resins as a function of temperature.

Detecting composite resin upon postmortem examination can be difficult. Ultraviolet illumination has been suggested to ease location of this material; however, this may not be advisable in incineration situations. Understanding of the chemical and physical properties of resin as a function of temperature is an important parameter in identification of this material in incineration circumstances. Twenty-seven discs of resin, Quixx (Dentsply), Filtek Supreme (3 M), and Tetric Ceram (Ivoclar) were prepared and exposed to increasing heating conditions of 200 degrees C-900 degrees C in 100 degrees C increments for 30 min. Analysis was performed with Fourier transform infrared spectroscopy, ultraviolet-visible light spectrophotometry, scanning electron microscopy/energy dispersive X-ray spectroscopy, optical microscopy, and UV illumination. Characterization of the material occurred at each temperature range. The organic components and the fluorescence properties were lost at temperatures above 300 degrees C. The inorganic component remained through 900 degrees C. This information can aid in detection of resin in high temperature circumstances.

Biomechanical factors in human dermal bitemarks in a cadaver model.

In bitemark analysis, the forensic odontologist must consider how the biomechanical properties of the skin contribute to distortion of the bitemark. In addition, one must consider how the bitemark can be distorted by postural movement of the victim after the bite has occurred. A fundamental review of the architecture and biomechanical properties of the dermis is described and evaluated through bites made on cadavers. In order to assess distortion, 23 bites from a single characterized dentition were made on un-embalmed cadaver skin. Bite indentations were photographed. Following various body manipulations they were re-photographed in different positions. Hollow volume overlays of the biting dentition were constructed, and metric analysis of the dentition and all bitemarks was completed. The overall intercanine, mesial to distal, and angle of rotation distortion was calculated. Of the 23 bites made, none were measurably identical, and in some cases, dramatic distortion was noted.