What Is an Odontologist and What Do They Do?

An odontologist is a dental professional who applies the principles of dental science to assist the legal system. This specialization, often called forensic odontology, involves the handling, examination, and evaluation of dental evidence in the interest of justice. Odontologists work closely with law enforcement and medical examiners to provide information that can resolve criminal and civil cases. Their primary function is to use unique dental features for identification when other methods, like fingerprints or visual recognition, are unavailable.

The Specialized Scope of Odontology

An odontologist begins their career as a licensed dentist, having earned a Doctor of Dental Surgery (DDS) or Doctor of Dental Medicine (DMD) degree. Unlike general dentists, however, their practice shifts away from routine patient care, focusing instead on forensic applications after receiving specialized training. This expertise allows them to analyze dental structures to determine identity, assess oral trauma, and estimate age. They use their advanced knowledge of tooth morphology, restorations, and dental anomalies to create a detailed profile of an individual.

Odontologists function as consultants or expert advisors to agencies responsible for investigations and legal proceedings. They must document their findings meticulously and justify their conclusions in a courtroom setting. This work requires precision and attention to detail, often involving complex equipment.

Forensic Applications and Settings

The presence of an odontologist is often required in large-scale incidents where conventional identification methods fail, such as in Disaster Victim Identification (DVI) operations. Teeth are the most durable parts of the human body and frequently survive conditions like fire, decomposition, or severe trauma. In these mass casualty events, odontologists are deployed to match post-mortem dental features with records of missing persons. They also assist in criminal investigations involving physical assault or abuse, where patterns left by teeth may be found on victims or objects.

Identification of unknown or skeletal remains is a regular task for odontologists. They determine characteristics like the approximate age and habits of the deceased based on the condition and wear of the teeth. In the legal system, they serve as expert witnesses, explaining the science behind dental evidence to judges and juries. Their expertise is also applied in civil matters, such as cases concerning dental malpractice or insurance fraud.

Key Methods of Dental Identification

The most reliable technique for identification involves comparing ante-mortem (before death) dental records with post-mortem findings. Every individual’s dentition is unique due to variations in tooth shape, alignment, and the history of dental work. Restorations like fillings, crowns, and root canals create distinctive identifiers resistant to environmental damage. Odontologists compare radiographs, dental charts, and models from the person’s history to the evidence collected from the remains.

Age estimation is another technique, particularly important when identifying juvenile or skeletal remains without prior dental records. For younger individuals, age is estimated by analyzing the developmental stages and calcification of the teeth seen on X-rays. In adults, estimation relies on regressive changes, such as the amount of dental wear, gum recession, and the transparency of the tooth root.

Odontologists also analyze patterned injuries left by teeth, a process known as bite mark analysis. This involves documenting the injury with photographs and impressions, then comparing it to a suspect’s dentition to determine inclusion or exclusion as the source. However, this method is subject to scientific debate due to concerns over the reliability of skin as a medium for recording dental patterns, leading to increased scrutiny in legal settings.