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Substance-induced dental damage.

Archana Vijayakumar1, Hemlata Pandey1, Caroline Erolin2

  • 1Centre for Forensic and Legal Medicine and Dentistry, University of Dundee, 2,Park Pl, Dundee DD1 4HR, Dundee, Scotland, United Kingdom.

Morphologie : Bulletin De L'Association Des Anatomistes
|April 29, 2026
PubMed
Summary
This summary is machine-generated.

Forensic dental analysis can detect substances, but professionals lack training. New 3D models aim to improve recognition of drug-related dental changes for casework.

Keywords:
3D modelsChemicalsDental hard tissuesDrug detectionForensic odontologyHuman identificationSubstance exposure

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Area of Science:

  • Forensic Science
  • Dental Forensics
  • Toxicology

Background:

  • Dental hard tissues offer durable traces for forensic investigation due to resistance to degradation.
  • Analyzing dental tissues for substances and trace elements is a developing area in forensic science.

Purpose of the Study:

  • To explore the potential of dental tissue analysis for detecting substances and trace elements.
  • To assess professional knowledge and training regarding substance-related dental alterations.
  • To develop educational resources, specifically 3D models, to aid in identifying these changes.

Main Methods:

  • A scoping review of scientific literature on PubMed, Scopus, and Web of Science.
  • A global e-survey distributed to forensic and dental professionals.
  • Development of 3D digital models of substance-induced dental changes using specialized software.

Main Results:

  • Scientific literature predominantly features experimental studies on drug detection in molars and premolars using chromatography and mass spectrometry.
  • Survey results indicate limited formal education (35.6%) and confidence (14.4%) among professionals in identifying substance-related dental changes, with low accuracy (8.1%) in image-based assessments.
  • 3D models of licit drugs, illicit drugs, and chemicals/elements were created and made accessible online.

Conclusions:

  • There is a significant gap in professional training and awareness regarding the recognition of substance-induced dental alterations, particularly for illicit drugs.
  • Existing educational and visual resources are insufficient for forensic practitioners.
  • The developed 3D digital models serve as a crucial educational tool to enhance awareness and support casework involving dental evidence of substance use.