Dados epidemiológicos de 7 anos de lesões traumáticas dentárias e alveolares numa população do Centro Hospitalar Lisboa Norte, Hospital Santa Maria

Introdução: O dano corporal significa a diminuição somato-psíquica do lesado. É crucial a prova pericial de forma a determinar os défices funcionais permanentes que dele resultam em sede de Direito Civil e do Trabalho, através da Tabela das Incapacidades, ou em sede de Direito Penal, através do período de doença. Objetivos: Caracterização epidemiológica das lesões dentoalveolares numa população do Centro Hospitalar Lisboa Norte. Materiais e Métodos: Neste estudo clínico, observacional e retrospetivo foram analisados 28064 processos de doentes que recorreram ao Serviço de Estomatologia, em episódio de urgência, ocorrido entre 2016-2022. O critério de inclusão dos processos na amostra foi a presença de traumatismos dentoalveolares. A recolha dos dados foi de acordo com o protocolo 385/21 submetido à Comissão de Ética do Centro Académico de Medicina de Lisboa e foi realizada por um observador pelo programa Microsoft Excel ®, versão 16.74. Foram analisados intervalos de confiança em IBM SPSS®, versão 29.0. Resultados e Discussão: A amostra consistiu em 1678 doentes, 1042 do sexo masculino e 636 do sexo feminino. O sexo masculino e indivíduos menores de 10 anos foram os mais afetados. O ano de 2017 registou um maior número de casos, sendo a queda a principal etiologia, apresentando diferenças estatisticamente significativas relativamente às restantes. Verifica-se uma relação estatisticamente significativa entre as variáveis etiologia/sexo e etiologia/idade. A fratura foi a lesão mais comum, afetando principalmente os dentes anteriores e ocorrendo diferenças estatisticamente significativas entre o dentes ântero-superiores e os restantes. As localizações mais afetadas foram o bordo incisal e esmalte+dentina, revelando diferenças estatisticamente significativas relativamente às restantes localizações. O tratamento mais aplicado foi a imobilização, analgésicos foram frequentemente prescritos e dieta mole e fria foi o cuidado pós-operatório mais indicado. Conclusões: O sexo masculino e crianças em idade escolar apresentam maior incidência de traumatismos dentoalveolares. A fratura de esmalte é a lesão mais frequente acontecendo, maioritariamente, nos dentes anteriores.Introduction: Body damage means the somato-psychic decrease of the injured person. Expert evidence is crucial in order to determine the permanent functional deficits that result from it in terms of Civil and Labor Law, through the Table of Disabilities, or in terms of Criminal Law, through the period of illness. Objectives: Epidemiological characterization of dentoalveolar lesions in a population at Centro Hospitalar Lisboa Norte. Materials and Methods: In this clinical, observational and retrospective study, 28064 files of patients who resorted to the Stomatology Service, in an episode of urgency, that occurred between 2016-2022 were analyzed. The criterion for inclusion of processes in the sample was the presence of dentoalveolar trauma. Data collection was in accordance with protocol 385/21 submitted to the Ethics Committee of the Centro Académico de Medicina de Lisboa and was carried out by an observer using the Microsoft Excel ® program, version 16.74. Confidence intervals were analyzed using IBM SPSS®, version 29.0. Results and Discussion: The sample consisted of 1678 patients, 1042 male and 636 female. Males and individuals younger than 10 years were the most affected. The year 2017 registered a greater number of cases, with falls being the main etiology, with statistically significant differences in relation to the rest. There is a statistically significant relationship between the variables etiology/sex and etiology/age. Fracture was the most common injury, affecting mainly the anterior teeth, with statistically significant differences occurring between the maxillary anterior teeth and the remaining teeth. The most affected locations were the incisal edge and enamel+dentin, revealing statistically significant differences in relation to the remaining locations. The most applied treatment was immobilization, analgesics were frequently prescribed and soft and cold diet was the most indicated postoperative care. Conclusions: Males and school-aged children have a higher incidence of dentoalveolar trauma. Enamel fracture is the most frequent injury occurring, mostly, in the anterior teeth

Commingled and Disarticulated Human Remains related to 1755 Lisbon Earthquake: Height Estimation from incomplete and complete femoral bones

Introduction: In Forensic Medicine, the estimation of the stature often has a crucial role in the reconstructive phase of disjointed populations. The femur, being the longest bone in the human body, is usually the most reliable source in height estimation. However, in these populations, intact femurs are hardly ever found, making it necessary to use femur fragments for the same purpose. Aim: This investigation aims to estimate the stature of the catastrophic population concerning the earthquake that occurred in Lisbon, in 1755. Materials and Methods: The study was conducted on 8 whole femurs and 21 fragments, which were measured and weighted. These measurements were applied in a regression formula, obtained from the gathered research, in order to estimate the stature of the population. Results: The results showed that, for the whole femur, the correspondent height varies between 147.96 cm and 168.82 cm. For the fragments, the obtained estimates vary between 151,96 cm and 174.96 cm. Conclusions: The methods used proved to be reliable in estimating the length of the femur, as well as in deducting the height of individuals through this bone, allowing the study of these parameter’s evolution in generations.</p

Osteometric and Osteomorphological Sex Estimation from the Os Coxa in an Archaelogical Population Related to the 1755 Earthquake of Lisbon

Introduction: The ability to determine sex from unknown skeletal remains vital, and methods to do it on various bones of the human skeleton have been researched extensively. The present work consists in the analysis of coxal bones belonging to the victims of the 1755 Lisbon’s Earthquake. Aims: This project aims the characterization of the population whose skeletal remains were found in the Cloister’s South Wing of Academia das Ciências de Lisboa in 2004. Materials and Methods: In order to achieve the final objective, six measurements were taken, in anatomic position, and seven indices were calculated. Furthermore, morphological characteristics were observed through four different methods. These procedures were applied to a total number of 129 coxal bones. Results: From measurements and indices, the best results found were 16 females and 5 males, but the overall results were not reliable, since there was no consensus between the different measurements and so the majority of the coxal bone were classified as ambiguous. However, the Phenice’s Method in the study of the coxal morphology showed to be very specific – through this procedure 18 females and 9 males were estimated. Conclusions: It was noticed that the measurements and the calculation of indices are less reliable than the morphological observations. Moreover, Phenice’s Method seemed to be the most precise, once it evaluates three parameters simultaneously, instead of just one, allowing to obtain more accurate results for sexual discrimination.</p

Osteometric and Osteomorphological Sex Estimation from the Os Coxa in an Archaelogical Population Related to the 1755 Earthquake of Lisbon

Introduction: The ability to determine sex from unknown skeletal remains vital, and methods to do it on various bones of the human skeleton have been researched extensively. The present work consists in the analysis of coxal bones belonging to the victims of the 1755 Lisbon’s Earthquake. Aims: This project aims the characterization of the population whose skeletal remains were found in the Cloister’s South Wing of Academia das Ciências de Lisboa in 2004. Materials and Methods: In order to achieve the final objective, six measurements were taken, in anatomic position, and seven indices were calculated. Furthermore, morphological characteristics were observed through four different methods. These procedures were applied to a total number of 129 coxal bones. Results: From measurements and indices, the best results found were 16 females and 5 males, but the overall results were not reliable, since there was no consensus between the different measurements and so the majority of the coxal bone were classified as ambiguous. However, the Phenice’s Method in the study of the coxal morphology showed to be very specific – through this procedure 18 females and 9 males were estimated. Conclusions: It was noticed that the measurements and the calculation of indices are less reliable than the morphological observations. Moreover, Phenice’s Method seemed to be the most precise, once it evaluates three parameters simultaneously, instead of just one, allowing to obtain more accurate results for sexual discrimination.</p