Entoconulid or Cusp 6 on Indonesian Male Body : A Forensic Odontology Case Report
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Abstract
Dental morphological variations, such as the entoconulid or cusp 6, hold significant value in forensic identification and anthropological studies. These traits often vary across populations and provide insights into genetic and evolutionary patterns. The entoconulid is an uncommon dental trait observed primarily in Mongoloid and African populations. It reflects complex genetic, epigenetic, and environmental interactions during tooth development. In forensic contexts, the presence of such morphological features can aid in population-specific identification and provide additional evidence in cases lacking ante-mortem data.The entoconulid, though rare, is a significant morphological characteristic with applications in forensic identification and anthropological research. Dentists should recognize and document such traits to support the identification of human remains, especially in the absence of other identifiers. This article will disscuss about a 21-year-old deceased male that was involved in a gang fight and was referred to Said Sukanto Bhayangkara Police Hospital in Jakarta for postmortem examination. Extraoral findings included multiple abrasions and fractures on the body, while intraoral examination revealed dental caries, unerupted teeth, and the presence of entoconulid on tooth 46.
Keywords
forensic science, entoconulid, sixth cusp, case report, forensic odontology
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Yamunadevi A, Basandi PS, Madhushankari GS, Donoghue M, Manjunath A, Selvamani M, et al. Morphological alterations in the dentition of type i diabetes mellitus patients. J Pharm Bioallied Sci. 2014;6(SUPPL. 1).
Madhushankari GS, Basavanna RS, Dahiya D, Sonika. Emphasizing a new developmental variation of the mandibular molars-A mermaid in dentstry. Vol. 5, Journal of Clinical and Diagnostic Research. 2011. Available from: www.jcdr.net
Mavrodisz K, Rózsa N, Budai M, Soós A, Pap I, Tarján I. Prevalence of accessory tooth cusps in a contemporary and ancestral Hungarian population. Eur J Orthod. 2007 Apr;29(2):166–9.
Nagaveni N, Umashankara K, Radhika N, Reddy PB. Maxillary paramolar: Report of a case and literature review [Internet]. Vol. 5, Archives of Orofacial Sciences. 2010. Available from: https://www.researchgate.net/publication/267834197
Nb N, Kv U. Series of Clinical and Medical Case Reports and Reviews Letter to the Editor Citation: Nagaveni NB, Umashankar KV. Report of a rare odonto-stomatologic anomaly-maxillary paramolar Report of a Rare Odonto-Stomatologic Anomaly-Maxillary Paramolar. Vol. 1, Series Clin Med Case Rep Rev. 2023.
Khraisat A, Alsoleihat F, Sawair FA, Shaweesh AI. Entoconulid (cusp 6), metaconulid (cusp 7), post-metaconulid and pre-entoconulid expression on permanent mandibular first molar in the living Jordanian population and inter-trait interactions. 2011.
John S, Devi P, Chundawat P, Sankar R, Gupta S. Analysis of non-metric dental traits for ethnicity identification in a mixed population of Uttar Pradesh. J Forensic Leg Med. 2024 Oct 1;107.
Kurniawan A, Chusida A, Satigi LV, Romadhoni AD, Liandro MR, Margaretha MS, et al. Dentist’s Role and Responsible in Identification and Investigation. Indonesian Journal of Dental Medicine. 2021 Nov 28;4(2):36.
Krishan K, Kanchan T, Garg AK. Send Orders for Reprints to reprints@benthamscience.ae Dental Evidence in Forensic Identification-An Overview, Methodology and Present Status. Vol. 9, The Open Dentistry Journal. 2015.
Blau S, Roberts J, Cunha E, Delabarde T, Mundorff AZ, de Boer HH. Re-examining so-called ‘secondary identifiers’ in Disaster Victim Identification (DVI): Why and how are they used? Vol. 345, Forensic Science International. Elsevier Ireland Ltd; 2023.
Nagaveni NB, Umashankara K V. Radix entomolaris and paramolaris in children: A review of the literature. Vol. 30, Journal of Indian Society of Pedodontics and Preventive Dentistry. 2012. p. 94–102.
Kaur H. Unusual occlusal morphology of permanent maxillary second molar and mandibular first molar: A case report. IP Indian Journal of Conservative and Endodontics. 2024 Sep 28;9(3):139–41.
Jernvall J, Thesleff I. Reiterative signaling and patterning during mammalian tooth morphogenesis. Mech Dev. 2000:92;19-29. Available from: http://honeybee.helsinki.
Townsend G, Yamada H, Smith P. Expression of the Entoconulid (Sixth Cusp) on Mandibular Molar Teeth of an Australian Aboriginal Population. Vol. 82, AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY. 1990.
Richard Scott G, Turner CG. The anthropology of modern human teeth: Dental morphology and its variation in recent human populations. The Anthropology of Modern Human Teeth: Dental Morphology and its Variation in Recent Human Populations. Cambridge University Press; 2015. 337–370 p.
Pa¨ P, Kettunen P, Laurikkala J, Ita¨ranta P, Ita¨ranta I, Vainio S, et al. Associations of FGF-3 And FGF-10 With Signaling Networks Regulating Tooth Morphogenesis. 2000; Available from: https://anatomypubs.onlinelibrary.wiley.com/doi/10.1002/1097-0177
Gupta S, Nagaveni NB, Chandranee NJ. Three-rooted mandibular first primary molar: Report of three cases. Contemp Clin Dent. 2012 Apr 1;3(5):S134–6.
SARUHANOĞLU A, ALTIN N, ERGUN S, TANYERİ H. A CASE SERIES STUDY OF MESIODENS AMONG CHILDREN-İstanbul Üniversitesi Diş Hekimliği Fakültesine Başvuran Mesiodensi Olan Çocukların Vaka Serisi. J Istanb Univ Fac Dent. 2014 Nov 18;48(3):1.
Venkataraghavan K, Praveen P, Anantharaj A, Prathibha Rani S, Krishnan MB. Bilateral Six Cusped and Three Rooted Mandibular First Molars. World Journal of Dentistry. 2011 Sep;2(3):255–8.
(2023). Huge Double Tuberculum Dentale (Lingual Tubercle) in maxillary central incisor – Report of a rarest dental morphological trait. 3, 13-15. https://doi.org/10.5281/zenodo.10019595
Bürklein S, Breuer D, Schäfer E. Prevalence of taurodont and pyramidal molars in a German population. J Endod. 2011 Feb;37(2):158–62.
Poornima P, Shilpa S, Roshan NM, Reddy VVS. Variation in Morphology of Permanent Mandibular First Molars - A Rare Case Report. Indian Journal of Contemporary Dentistry. 2013;1(2):84.
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