Dental Anomalies as Identification Strategies for Unknown Human Remains: Literature Review and Applications

The unique hard and resilient nature of human teeth makes them useful for various forensic odontological examinations. Structural alterations, cultural modifications, pathological variations, and restorative material make them excellent forensic indicators about biological identity of the unknown deceased or living individuals. Variations in the anatomical details of teeth may be imprinted by defective dental development, traumatic damages, pathologies, and nonmasticatory or weaponry use of teeth during an individual's lifetime. Such imprints can be used for comparisons and identification in forensic anthropology. Deliberate dental alterations/modifications and mutilations practiced due to cultural or esthetic purposes have been reported from some contemporary human population groups as well as from some ancient documented skeletal collections. Willful dental modifications have been most commonly done by filling, drilling, grooving, grinding, staining, and chipping. These dental features may be useful only for differentiation of varied anthropological populations, but their forensic utility cannot be ignored, particularly when antemortem dental records are available for comparisons. Various dental developmental anomalies and defects, restorations, pathological signatures, and occupational markers definitely corroborate other methods of forensic identifications, but cannot be used as sole criteria for individualization of unknown human remains retrieved in medicolegal scenarios. This review article attempts to glean information about various characteristic features of teeth and their forensic significance to aid identification of unknown human dental remains found in forensic contexts; its concluding emphasis focuses on the role of such dental individualities in identification strategies for human remains excavated from an abandoned ancient well situated underneath a religious structure at Ajnala (Amritsar), India. The unique dental features, extrinsic staining of anterior teeth, low frequency of dental pathologies, and notched incisors of those excavated remains were suggestive of them belonging to slain sepoy from an historic military regiment.