
pmid: 41452804
pmc: PMC12906363
Abstract Objectives This study evaluates the performance of a curvature-based 3D dental comparison method - the keypoint pipeline - for forensic identification, assessing the effects of standardised blunt force trauma on human dentitions. Methods The dental arches in ten human jaw specimens (five maxillae, five mandibulae) were scanned using two intraoral 3D scanners before and after exposure to controlled blunt trauma delivered via a drop tower mechanism applying approximately 3154 Newton of force. Trauma outcomes were documented through high-speed video, digital photography, and 3D scanning. Post-trauma scans were processed using the keypoint pipeline, which quantifies dental surface similarity by comparing curvature signatures. An all-vs-all comparison was conducted between pre- and post-trauma scans, including cross-scanner evaluations. Results Despite consistent trauma application, fracture patterns varied by jaw type, with mandibular fractures typically occurring in the frontal plane in the side segments and maxillary fractures in the sagittal plane in the midline suture. The keypoint pipeline successfully scored 92.5% of the true matches to be the best matching comparison, even in the presence of significant structural damage and tooth displacement. Matching pairs yielded lower dissimilarity scores (mean: 0.55) compared to mismatches (mean: 0.78), indicating that curvature features were sufficiently preserved post-trauma. Conclusions These findings support the integration of curvature-based 3D dental surface analysis into forensic odontology workflows, particularly in disaster victim identification scenarios involving blunt force trauma. Clinical Significance This study demonstrates that comparison of position invariant curvature keypoints might aid in post mortem identification cases where dentitions have been subjected to severe blunt force trauma. Highlights Blunt force trauma significantly alters the dentition surface Identification of blunt force trauma victims is difficult Comparison of placement-independent curvature keypoints might aid in trauma scenarios Curvature keypoints are resilient towards trauma conditions Surface keypoint comparison might help in the identification process after blunt force trauma
Imaging, Three-Dimensional, Photography, Dental, Mandibular Fractures, Tooth Extraction, Malpractice, Humans, Molar, Third, Original Articles, Wounds, Nonpenetrating, Forensic Dentistry
Imaging, Three-Dimensional, Photography, Dental, Mandibular Fractures, Tooth Extraction, Malpractice, Humans, Molar, Third, Original Articles, Wounds, Nonpenetrating, Forensic Dentistry
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