ABSTRACT
A 28-year-old patient with severe haemophilia A presented to the emergency department with significant and painful swelling of the left cheek, an extensive haematoma extending from the left ear to the anterior thoracic region, an intraoral haematoma over the soft palate with deviation of the uvula to the right, and complaints of shortness of breath when lying down. Three days prior, his dentist had performed a restoration of the 36 molar under local anaesthesia. Due to pain, the general practitioner had administered an intramuscular injection of a non-steroidal anti-inflammatory drug (NSAID) two days post-procedure. The patient was admitted for treatment with coagulation factors and pain management. Dental procedures and local anaesthesia in patients with a severe coagulation disorder require specific preparatory measures, such as administration of coagulation factors. Collaboration and consultation with a patient's haematologist or haemophilia treatment centre are essential requirements for safe dental care.
Subject(s)
Hemophilia A , Humans , Hemophilia A/complications , Hemophilia A/drug therapy , Male , Adult , Hematoma/etiology , Dental Care for Chronically IllABSTRACT
The identification of cadavers of unknown persons is important from a humanitarian point of view but also for legal reasons and in connection with insurance. Various identification techniques are available today, such as fingerprinting, DNA profiling and the comparison of dental structures. Not all methods of identification are equally useful in practice and the ultimate identification is often made possible only by a combination of several techniques. Sometimes, the identification procedure cannot be completed successfully because one has no idea whatsoever who it might be and there is therefore no material available for comparison. In the Netherlands, identification is in principle a task of the police. In case of a mass disaster in the Netherlands, or abroad when Dutch citizens are involved, a special Disaster Identification Team is activated, consisting mainly of police officers supplemented by external experts. Major disasters in which such a team has been involved in the past are the air crash in Faro (Portugal) in 1992 (56 victims), the air crash in Eindhoven in 1996 (32 victims) and the explosion of the fireworks plant in Enschede in 2000 (21 victims).
Subject(s)
Forensic Dentistry , Forensic Medicine , Cadaver , DNA Fingerprinting , Dental Records , Denture Identification Marking , Disasters , Humans , NetherlandsABSTRACT
Human teeth and dental restorations have proven to remain stable during a long time as well as in extreme situations such as fire. Therefore, forensic odontology can play an important part in the identification of severe mutilated bodies of unknown persons. The essence of the identification procedure is comparing the post mortem remains with the ante mortem records. In this issue several authors describe the importance of forensic odontology by means of the use of dental records in mass disasters. Another aspect of forensic odontology is the examination of bite marks, which can be seen in some criminal cases.
