Role of Forensic Odontology in Identification of Persons: A Review Article.

Forensic dentistry plays a pivotal role in identifying deceased individuals when visual or other means of identification are not possible, particularly in the aftermath of mass disasters or criminal activities. Accurate and timely identification of the deceased and injured becomes crucial following events like earthquakes, fires, transport accidents, gunshot incidents, floods, tsunamis, bomb blasts, and terrorist attacks. The process of creating a person's identity is a formidable task, often relying on prevalent methods such as dental, DNA, and fingerprint analyses. Forensic odontology, a specialized field within dentistry, assumes a significant role in identifying individuals in accidents, civil unrest, natural and mass disasters, and crimes related to genocide. In cases where natural teeth are absent, the marking or labeling of dentures becomes essential for personal identification. Teeth's resilience to destruction and decomposition makes dental identification feasible even under extreme conditions. The fundamental principle of forensic dentistry rests on the uniqueness of each individual's oral structure, emphasizing that no two mouths are identical, not even in the case of twins. The purpose of this review is to explore the role of forensic dentistry in identifying individuals through various methods such as denture labeling, cheiloscopy, radiographs, bite mark analysis, rugoscopy, salivary signature, age and sex estimation, dental DNA identification, individual characteristics, and denture marking. Based on detailed ante-mortem records from dental specialists, which are compared to postmortem data during investigations, forensic dentistry is a trustworthy technique for identifying deceased individuals and criminals.

Lip print evidence: Poland as the Last Bastion of Practical Cheiloscopy.

Cheiloscopic examinations have long been conducted, and many scientists have reported the usefulness of cheiloscopy for personal identification with a characteristic and individual pattern of furrows on the vermilion lip. For almost 40 years, research conducted in Poland has determined the patterns of these furrows and the separation and development of their individual features. This was the basis for forming expert opinions and presenting them in court as evidence. In Poland, cheiloscopic expertise is performed and the results of precise procedures that are accredited and assessed serve as evidence. Although the legal system in Poland (continental system) is completely different from the American system, cheiloscopic expertise was also assessed in detail according to the American standards of evidence. This narrative review presents the problem of cheiloscopic expertise as a scientific and practical issue and provides a brief historical overview of this field and the foundations of the Polish cheiloscopic identification method. We conclude that Poland has sufficient historical background and a robust development of cheiloscopy in the field on a scientific and legal basis; however, due to its reports being in the Polish language, its absence from the most relevant specialized literature, or simply a lack of cooperation between countries and experts, the country has unfairly been left out of the discussion. We believe that a new look at the Polish contribution to lip print identification is necessary to reinsert this topic into the current discussion of a new identification paradigm.

Cheiloscopy: A crucial technique in forensics for personal identification and its admissibility in the Court of Justice.

In every criminal inquiry, identification is of utmost importance. Cheiloscopy is a technique used in forensic investigation that focuses on identifying people from their lip prints. Just like fingerprints, each person's lip crease pattern is unique. Moreover, Lip prints are seen to remain consistent throughout an individual's life. Lip prints can therefore be used to confirm if a person was at the crime scene or not. Cheiloscopy is used to examine the sulci labiorum, or "lip prints," which are the wrinkling and furrows on the labial mucosa that produce a distinctive pattern. The current review article focuses on the potential of cheiloscopy as a vital role player in the process of criminal investigation by detecting and identifying individual(s).

Comparative analysis of cheiloscopy, pulpal tissue and fingerprint for gender identification.

Background: The most important step in identifying an unknown person is determining one's gender and as a dentist, the oral tissues are potential sources of information in this aspect. A study was carried out to assess and evaluate the accuracy of cheiloscopy, pulp tissue, and fingerprints in determining gender. Material and Methods: A study comprising of 160 individuals (80 males and 80 females) was conducted. After obtaining informed written consent and recording their bio-data; lip prints, and fingerprints were recorded. The patients' extracted tooth was collected, their pulp extirpated, for assessment of the Barr body. Results: We found that every lip pattern was unique and hence can be used to identify an unknown individual. The occurrence of the Barr body was determined, and all female samples were found to be positive for the existence of the Barr body. In fingerprint patterns, a significant difference was noted between both sexes with ulnar loops and whorl patterns only. A highly significant difference was observed in the fingerprint ridge density between genders. Conclusions: We conclude that the Barr body in pulpal tissue can be considered as the best possible technique for gender determination within the dental tissues. Lip prints did not show any differences in genders and had no role to play in gender determination. Fingerprint ridge density can also be used to determine gender.

Populational Variations of Cheiloscopy Patterns: A cross-sectional observation pilot study.

Purpose Lip prints are unique and have potential for use as a human identifier. The purpose of this study was to observe possible cheiloscopy differences of individuals with and without parafunctional oral habits such as smoking, vaping, playing a wind instrument or using an asthma inhaler.Methods This IRB approved blinded cross-sectional observation pilot study collected lip prints from sixty-six individuals, three of which were excluded. Participants cleansed their lips, then lipstick was applied to the vermillion zones of the upper and lower lips. Adhesive tape was applied to the lips and prints were transferred to white bond paper for viewing purposes. Each set of included lip prints was divided into quadrants and dichotomized into a group of those with an oral parafunctional habit or with no such habits. Each quadrant sample was then manually analyzed and classed according to the gold standard Suzuki and Tsuchihashi system.Results A total of 252 dichotomized lip print quadrants (with habits n=76, 30.2%, and without habits n=176, 69.8%) were analyzed. Type II patterns were the most common for examined quadrant samples; however, no statistically significant differences (Pearson's chi-squared test, p=0.366) were observed between pattern classifications of samples with and without parafunctional oral habits.Conclusion There is no statistically significant difference of lip print patterns between individuals with and without parafunctional oral habits. Further research on populational variations is needed for cheiloscopy to aid in human identifications.

Cheiloscopy patterns in individuals with and without parafunctional oral habits: A cross-sectional observation pilot study.

PURPOSE: Lip prints are unique and have potential for use as a human identifier. The purpose of this study was to observe possible cheiloscopy differences of individuals with and without parafunctional oral habits such as smoking, vaping, playing a wind instrument or using an asthma inhaler. METHODS: This IRB approved blinded cross-sectional observation pilot study collected lip prints from 66 individuals, three of which were excluded. Participants cleansed their lips, then lipstick was applied to the vermillion zones of the upper and lower lips. Adhesive tape was applied to the lips and prints were transferred to white bond paper for viewing purposes. Each set of included lip prints was divided into quadrants and dichotomized into a group of those with an oral parafunctional habit or with no such habits. Each quadrant sample was then manually analysed and classed according to the gold standard Suzuki and Tsuchihashi system. RESULTS: A total of 252 dichotomized lip print quadrants (with habits n = 76, 30.2%, and without habits n = 176, 69.8%) were analysed. Type II patterns were the most common for examined quadrant samples; however, no statistically significant differences (Pearson's chi-squared test, p = 0.366) were observed between pattern classifications of samples with and without parafunctional oral habits. CONCLUSIONS: There is no statistically significant difference of lip print patterns between individuals with and without parafunctional oral habits. Further research on populational variations is needed for cheiloscopy to aid in human identifications.

Triad of Cheiloscopy, Dactyloscopy, and Blood Groups: Does it Signify Anything?

Background: The knowledge and importance of blood groups emerged from transfusion medicine and its relation with certain malignancies has been proven. Its importance in forensic medicine was brought to light when its association was found with the distribution of finger patterns. Thus, few studies exist proving the relationship between dactyloscopy and blood groups. Cheiloscopy on other hand is the study of the irregularities present on the lips forming a unique arrangement called the prints of the lip. Aim: Our paper aims at elucidating any unique combination if any that exists between prints on lips, prints of fingers, and blood grouping in a specific population, which might help in the identification of an individual. Materials and Methods: A total of 100 subjects of age varying from 15 to 40 years were included in the study. Subjects comprised of 50 males and 50 females. All the subjects were examined and their prints of lips along with prints of their fingers were taken. Blood groups were determined for each patient using the ABO system. Results: Type I was found to be the predominant pattern of lips and whorl arrangement was the most recorded type of fingerprint in males whereas Type II arrangement along with loop prints of fingers was most observed in the case of females. The most common blood group in males was B+ and in females was O+ . Correlation between three parameters was obtained by Pearson correlation statistical analysis. Conclusion: The prints of the lips and fingers of an individual have never been similar and they tend to remain the same from a person's birth until his death. An association between the three things of an individual that is prints of lips, fingers, and his blood group has been tried to be elucidated through the present research to aid in forensic identification.

Cheiloscopy in sex estimation: a systematic review.

This study aimed to conduct a systematic review to gather evidence to clarify if cheiloscopy can be used in sex estimation and identify the reasons behind the lack of consensus in the scientific community. The systematic review was performed following the PRISMA guidelines. A bibliographic survey was conducted in PubMed, Scopus, and Web of Science databases, restricted to articles published between 2010 and 2020. Studies were selected according to eligibility criteria, and then the study data were collected. The risk of bias in each study was assessed and applied as additional inclusion or exclusion criteria. The results of the articles eligible for analysis were synthesized using a descriptive approach. In the 41 included studies, several methodological flaws and variations between studies that contribute to the discrepancy in results were identified. The data gathered allowed us to conclude that there is no strong scientific evidence to support the use of cheiloscopy in sex estimation, as there is no specific pattern for each sex, which reduces the criminalistic interest of cheiloscopy in estimating this parameter.

Are lip prints hereditary? A systematic review.

Hereditary lip prints have been studied by several researchers. However, the literature shows no consensus among the scientific community regarding this topic. Therefore, the aim of this study was to conduct a systematic review to gather evidence to clarify whether the surface structure of lip prints is hereditary and, consequently, if a familial relationship between individuals can be established through the analysis of lip prints. The systematic review was performed following the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. A bibliographic survey was conducted in PubMed, Scopus, and Web of Science databases, restricted to articles published between 2010 and 2020. Studies were selected according to eligibility criteria, and then the study data were collected. The risk of bias of each study was assessed and applied as additional inclusion or exclusion criteria. The results of the articles eligible for analysis were synthesized by a descriptive approach. In the seven included studies, methodological variations, including the definition of similarity, that contribute to the heterogeneity of results were identified. The data gathered allowed to conclude that there is no strong scientific evidence to support the hypothesis of the existence of heredity in the surface structure of lip prints, since it was not proven that similarities between parents and children occur systematically in all families.

Unclonable fluorescence of MgO-ZrO2 :Tb3+ nanocomposite for versatile applications in data security, dermatoglyphics.

Latent fingerprints (LFPs) are one among the most important types of evidences at crime scenes because of the distinctiveness and tenacity of the friction ridges in fingerprints (FPs). Therefore, it is essential in forensic science to develop a reliable method to detect LFPs. Traditional detection methods still face a number of difficulties, such as limited sensitivity, low contrast, strong background, and complex processing stages. In this study, MgO-ZrO2 :Tb3+ (1-5 mol%) (MZ:Tb) nanocomposites (NCs) were prepared via a simple solution combustion (SC) method at low temperature. The photoluminescence (PL) investigation demonstrates that when excited at 379 nm, the produced NCs emits distinctive emission peaks of terbium ions (Tb3+ ). According to the photometric results, the NCs can be employed as warm light NCs and emit light in the green portion of the colour spectrum. The estimated optical band gap from diffuse reflectance spectra is found to be in the range 4.84-4.97 eV. Regardless of the type of surface being used, the optimized MgO-ZrO2 :Tb3+ (4 mol%) (MZ:4Tb) NCs has a strong ability to minimize background fluorescence interference. With high contrast LFP and I-V type of cheiloscopy, these NCs present a flexible fluorescent mark for the identification of levels 1-3 details in forensic investigation.

Sex Determination Using Direct Photography Technique: a Mobile-phone Camera: A Digital Approach for Lip Prints Analysis in Malaysian Malay Population (Klang Valley) (Penentuan Jantina Menggunakan Teknik Fotografi Terus: Kamera telefon bimbit: Pendekatan Digital untuk Analisis Cetakan Bibir dalam Penduduk Melayu Malaysia (Lembah Klang) / Jurnal Sains Kesihatan Malaysia

@#Cheiloscopy may not be as well-known as other techniques of identification, such as fingerprint or DNA analysis, but it has its own impact in the appropriate circumstances. Cheiloscopy has been recognized as an important tool for human identification. A manual approach of studying lip prints was utilised by many researchers (magnifying glasses). Nonetheless, the current study relied solely on a mobile phone camera to visually capture lip prints for sex determination. 377 samples of lip prints were analysed with Adobe Photoshop software and classified into six different types of lip print patterns, according to Suzuki and Tsuchihashi classifications. Lip prints were divided into six sections including upper left, upper middle, upper right, lower left, lower middle and lower right. Pearson's Chi-square test revealed significant differences between male and female lip prints (p < 0.05) among the Malaysian Malay population of the Klang Valley, with Type V (irregular pattern) lip prints being the most prevalent. In comparison to magnifying glasses, our studies proved the ability to record and examine lip prints utilising a digital approach.

A Questionnaire-Based Study to Assess Knowledge and Awareness Regarding Cheiloscopy as a Forensic Odontology Diagnostic Tool Among Dental Professionals.

Background: The lips are covered with grooves and wrinkles, which form a characteristic pattern called a "lip print. The study of lip prints is called cheiloscopy. Searching for lip prints in the crime scene investigation helps in personnel identification and establishment of the true nature of the crime. Objective: This study aimed to assess the knowledge and awareness of cheiloscopy among dental undergraduates, postgraduate students, and general dental practitioners. Materials and methods : This cross-sectional observational, descriptive, survey-based study was conducted among 320 dental professionals, which included undergraduates, graduates, postgraduate dental students, and general dental practitioners aged between 18 and 32 years. A self-administered structured questionnaire written in English and Arabic was distributed to all willing participants. The questionnaire included knowledge and awareness-based questions along with demographic details of the participants. The Chi-square and Fisher's exact tests were applied to find out the association between the characteristics of the study participants and their knowledge and awareness of forensic odontology. A p-value of 0.05 was considered significant for all the statistical tests using IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp. Results: A total of 320 dental professionals completed the survey. The majority of participants (55.3%) were males (and 14.4% were females) between the ages of 23 and 27. Most of the participants were general dental practitioners (36.9%), followed by undergraduates (26.3%), graduates (8.8%), and postgraduates (18.1%). Cheiloscopy, the study of lip prints, was known to 36.6% of the participants. Whereas the majority of the participants (63.4%) were not aware of it. Postgraduate (46.7%) students had more knowledge as compared to undergraduates, graduates, and general dental practitioners. About 81.6% of the participants were not aware of the classification of lip prints by Tsuchihashi and Suzuki. Conclusion:Overall, there was a lack of knowledge and awareness of cheiloscopy among all study participants, although they had good knowledge of forensic odontology. Compared to undergraduates and graduates, postgraduate dentistry students showed a greater level of cheiloscopy knowledge and awareness. Comparatively to students, general dentists, however, lacked understanding and awareness of cheiloscopy. This condition, however, can be improved if necessary steps are taken to make forensic odontology a part of the dental curriculum in Saudi Arabia.

A Cheiloscopy Study among Students of Different Regional States in Eastern India: An Institutional Study.

Introduction: India is one of the largest countries which is inhabited by diverse populations of different tribes, castes, religious, and migrant groups. In forensic investigation, personal identification plays the greatest importance. Lip prints are considered as one such tool for personal identification. Study of lip prints is referred to as cheiloscopy and they are considered as unique in every individual just like fingerprints. Materials and Methods: Three hundred randomly selected specimens were taken in our study comprising of both the genders and of various regions from Odisha, West Bengal (WB) and Bihar was considered in the study. The age selected in our study ranged from 18 to 25 years comprising of 151 males and 149 females. Lip impression was made and viewed for different lip prints pattern under a magnifying glass of 10X. Results: There was a total of six lip print type identified in the present study. The type of lip print pattern found more in males was Type 2 and in females was Type 1. The type of lip print pattern found more in Bihar and WB was Type 2 and Odisha was Type 1. Conclusion: As the lip print is unique for every individual, Cheiloscopy is considered as a useful method of identification in forensic odontology. The study showed statistically significant difference in gender with a variation in geographical location.

Lip print patterns: Similarities among the parents and their children.

Background: The wrinkles and grooves visible on the lips form the characteristic pattern of an individual and imprints produced is termed as "lip print." The study of these prints is known as "cheiloscopy." Variations in patterns among males and females could help in sex determination. Lip prints, therefore, can constitute material evidence left at a crime spot, equivalent to fingerprints. These patterns are heritable and are believed to be unique and permanent. The lip prints of parents and children and those of siblings have been shown to have some similarities. The influence of inherited lip print patterns among family members is still a new concept and studies are scanty in literature. Objectives: The objectives are to determine the most common patterns and gender-wise distribution among the study population and to analyze the inherited lip print patterns from parents to their offspring. Materials and Methods: Lip prints of 30 families were obtained using lipstick and cellophane tape. Based on criteria given by Suzuki and Tsuchihashi, patterns were recorded and analyzed from four quadrants of the lips using a magnifying lens. Results: The positive resemblance of lip print patterns from parents to their offsprings showed statistically significant resemblance in one quadrant and rest of the three quadrants showed no significant association between parents and offspring. Conclusion: Positive resemblance among the family members can be attributed to the genetics and inheritance. Lip print can be considered as an auxiliary method of identification.

Lip print enhancement: review.

Lip print (LP) evidence can be an essential tool for human forensics. LPs have conventionally been developed using substances such as lysochrome dyes, fluorescent dyes, indigo dye, aluminium powder, and silver metallic powder. However, techniques for LP enhancement from various substrates are currently inconsistent and lack standardisation in practice. This review summarises current knowledge on the physical and chemical techniques of LP enhancement, identifies limitations, and provides suggestions for future research on practical applications of cheiloscopy as a forensic tool in criminal justice.Key pointsThe grooves and wrinkles of the human lip establish unique patterns that persist throughout life.Cheiloscopic patterns exhibit discriminatory individual characteristics that may constitute circumstantial forensic evidence.Enhancement techniques for latent lip prints on porous and nonporous substrates can be classified as physical or chemical.Unlike fingerprint, there is a current lack of consistency and/or standardisation on latent lip print enhancement methods in frontline forensic practice.

Forensic Odontological Parameters as Biometric Tool: A Review.

Human identification by virtue of dental identification is on the increase in the past few years and has served as a major adjunct in the identification process. The science associated with the dealing of evidences from dental, oral, and paraoral structures-Forensic Odontology, is a boon in itself. It has been seen that the role of forensic odontology has increased as most of the times teeth and other orally associated structures remain the only means of identification in the worst of scenarios where the conventional biometrics such as fingerprint, iris scan, palm print, etc., may be lost and are therefore not reliable enough to resolve the purpose of identification. There are various important aspects in forensic odontology which are associated with the study of tooth prints, i.e., ameloglyphics, radiographs, the study of palatal rugae patterns, i.e., rugoscopy, cheiloscopy, i.e., the study of lip patterns, tongue prints which can serve as an important biometric tool to aid in the human identification process. Dental biometrics helps to determine several parameters that serve in the interest of forensics such as type of specimen, population affinity, sex, age, stature, race, and various other individualization factors. So, comparative dental identifications with the help of a biometric recognition system will play a major role in identifying deceased individuals in disasters, crimes, or any other mass tragedies. How to cite this article: Kaul B, Vaid V, Gupta S, et al. Forensic Odontological Parameters as Biometric Tool: A Review. Int J Clin Pediatr Dent 2021;14(3):416-419.

Analysis of Lip Print in University Students from Vale do Jequitinhonha / Análise da Impressão dos Lábios em Universitários do Vale do Jequitinhonha

Cheiloscopy is the analysis of the lip prints, grooves, thicknesses, angles, and other structures of the lips that differentiate each individual in a similar way to biometrics. This study aimed to observe these lips characteristics and to verify if there is a labial pattern among the students of the UFVJM Dentistry course of that distinguishes them in genders. Fifty students were selected, photographed, and had their samples collected by printing their lips on transparent tape with wine 01 lipstick, evenly distributed with the aid of a flexible rod and attached on white paperboard and later classified for obtaining the data required for statistical analysis. When analyzing lip thickness, it was found that most of the students had thick lips - 78%, whereas regarding the position of the labial commissure, 50% of the students presented horizontal disposition. Through the classification system of Suzuki and Tsuchihashi the types of furrows were classified, type II being the most common in this research. Despite the evidence that, among the volunteering students , female lips are thinner than male lips, there were no statistically significant differences between men and women. However, there is a need for more studies that seek to validate and disseminate this technique in a standardized way so that it is a complementary tool in Forensic Dentistry. (AU)

Queiloscopia é a análise das impressões labiais, sulcos, espessuras, ângulos e demais estruturas dos lábios, que diferenciam cada indivíduo de forma similar à biometria. Este estudo teve como objetivo observar as características labiais e verificar se existe um padrão labial entre os estudantes matriculados no curso de Odontologia da UFVJM que os distingue em gênero. Para isto, cinquenta alunos foram selecionados, fotografados e tiveram deus dados coletados por meio da impressão labial em fita adesiva transparente com batom vinho 01, distribuído uniformemente com o auxílio de uma haste flexível e anexada em cartolina branca e, posteriormente, classificadas para obtenção dos dados necessários à análise estatística. Ao analisar a espessura labial, constatou-se que a maioria dos estudantes possuíam lábios grossos - 78%, já em relação a posição da comissura labial 50% dos alunos apresentaram disposição horizontal. Através do sistema de classificação de Suzuki e Tsuchihashi foram classificados os tipos de sulcos, sendo o tipo II o mais comum entre os sujeitos da pesquisa. Apesar da comprovação de que, entre os estudantes voluntários, os lábios femininos possuem menor espessura que os masculinos, não existindo diferenças estatisticamente significantes entre homens e mulheres. Contudo, existe a necessidade de mais estudos que busquem validar e difundir esta técnica de forma padronizada para que seja uma ferramenta complementar na Odontologia Forense. (AU)

Cheiloscopy and dermatoglyphics in normal and obese individuals: A study in Indian subpopulation.

BACKGROUND: The prevalence of obesity has been steadily increasing worldwide. Reliable and noninvasive tools that can be used to diagnose such conditions may help us in mass screening and prevention. Finger prints and lip prints have been used as the genetic markers in some diseases such as diabetes mellitus. Studies to correlate a possible association of such markers among obese individuals have not been reported in India to date. The present study was conducted to determine and compare the lip print and finger print patterns in normal and obese individuals and also to evaluate any possible correlation between the lip prints and finger prints in both the study groups. METHODOLOGY: Lip and finger print patterns of 100 obese and equal number of age- and sex-matched healthy individuals were analyzed. Right thumb, right index, left thumb and left index finger prints were evaluated. Gender-wise comparison was also made. RESULTS: Lip prints revealed no significant difference between obese and nonobese individuals. Predominant Type I lip print was observed in both the study groups. Comparison of finger prints between obese and nonobese individuals revealed a highly significant results for all the fingers. Predominant finger print patterns in the right thumb, right index, left thumb and left index among obese individuals were whorl (51%), loop (83%), whorl (79%) and arch (74%), respectively. No correlation between the lip prints and finger prints was noted. CONCLUSION: Finger prints in the obese individuals showed significant differences when compared to the normal controls while lip prints failed to reveal any significant difference. Lip prints did not correlate with the finger prints. Right thumb revealed a significant gender difference among obese individuals.

Correlation of lip print with blood group in forensic science.

BACKGROUND: Cheiloscopy is the study of furrows and grooves present on the red part, or the vermilion border of the human lips. The type of groves is unique for an individual and can be used for person identification. AIM: The aim of this study is to ascertain whether the uniqueness of lip print (LP) can help in identifying a person. In addition to evaluate the comparison of LP types and blood groups was taken up to see if there is any correlation between the two. MATERIALS AND METHODS: A cross-sectional study was conducted on 200 participants (77 males and 123 females), aged between 25 to 45 years, to determine any correlation between LP types and blood groups. These lip patterns were analyzed and interpreted using Tsuchihashi's classification and later associated blood group matching was performed to determine the predominant LP type with the ABO and Rh blood grouping system. RESULTS: The present study showed a positive correlation between LP pattern and blood group among males and females. Thus, distribution of LP patterns, and ABO blood groups might help in the identification of an individual. CONCLUSION: Since LP and blood group are unique for a person. Hence, cheiloscopy along with blood group can play a vital role in person identification.

Cheiloscopy and Dactyloscopy as Behavior Assessment Tool in Dental Settings: A Cross-sectional Study.

PURPOSE: Assessment of children's behavior in the dental setting and its correlation with thumb print and lip print. MATERIALS AND METHODS: The behavior pattern, lip print pattern, and thumb print pattern of 518 children aged 5-12 years were recorded in their first dental visit. The behavior pattern, lip print pattern, and thumb print pattern were determined using Frankl's Behavior Rating Scale, Tsuchihashi's classification, and Cummin's classification, respectively. The data were tabulated according to the classified criteria and statistically analyzed. RESULTS: It was observed that positive and definitely positive Frankl Behavior was associated with the children bearing an arch pattern of thumb print, whereas their lip pattern had no association with their behavior pattern, particularly in dental sittings. CONCLUSION: Thumb print pattern can aid as a behavior marker before a child's first dental appointment and this can prove beneficial for both the child and the clinician in providing a high quality of dental care and modify behavior for future dental appointments. HOW TO CITE THIS ARTICLE: Navit S, Pramanik S, Khan SA, et al. Cheiloscopy and Dactyloscopy as Behavior Assessment Tool in Dental Settings: A Cross-sectional Study. Int J Clin Pediatr Dent 2021;14(2):238-242.