Characterization of personal injuries in the stomatognathic system assessed at the Instituto Nacional de Medina Legal y Ciencias Forenses- Regional Suroccidente between 2015 and 2020
Abstract
Introduction: Personal injury forensic reports diagnose and define the damage to the body and health of a person including the stomatognathic system by injuries produced as the consequence of other people’s actions.
Objective: To characterize the personal injuries affecting the stomatognathic system as a result of violent actions in 266 cases evaluated at the Instituto Nacional de Medina legal y Ciencias Forenses-Regional Suroccidente (Cali, Colombia) between 2015 and 2020.
Materials and methods: We conducted a descriptive cross-sectional study to characterize the personal injuries affecting the stomatognathic system. The information was taken from the personal injuries forensic reports registered on the Colombian forensic registration system (Sistema de Información Forense de Clínica de Colombia, SICLICO) platform and associated with the nature of the injury including its consequences and the medico-legal incapacity issued.
Results: We observed a higher frequency of male aggressors (94.4%) and male victims (64.3%), especially in the age group between 21 and 30 years (32.6%). The most frequent contexts were interpersonal violence (76.3%) and intimate partner violence (19.9%). The main aggression mechanism was blunt trauma (88.0%). The lesions reported in soft tissues (83.5%) affected periodontal tissues (48.9%) and lips (28.6%) due to edema (32.7%) and wounds (22.9%) while in hard tissues (55.1%), they affected the teeth (41.4%) due to complicated fractures in the cervical third (19.2%) and avulsion (18%). Definitive disability predominated (64.7%) followed by 20-day disability (28.6%) and functional sequelae (24.1%).
Conclusions: Periodontal tissues and teeth were the most affected structures causing considerable disabilities, as well as functional and aesthetic sequelae that mainly affected men in productive age.
Downloads
References
Marín L, Moreno F. Odontología forense. En: Enciclopedia Criminalística, criminología e investigación. Segunda edición. Bogotá, D.C.: Sigma Editores; 2015. p.1249-93.
Orjuela CE, Sánchez EC, Sierra RA, Guacaneme JA, Llamas RE, Cifuentes N, et al. Guía práctica para el examen odontológico forense. Tercera versión. Bogotá, D.C.: Instituto Nacional de Medicina Legal y Ciencias forenses; 2011.
Guerra AS. Odontoestomatología forense. Bogotá, D.C.: ECOE ediciones; 2002.
Berenguer AM, Monroy CM, Constatín AE, Garzón CD. Reglamento técnico para el abordaje integral de lesiones en clínica forense. Primera versión. Bogotá, D.C.: Instituto Nacional de Medicina Legal y Ciencias Forenses; 2010.
Téllez NR. Medicina forense: Manual integrado. Bogotá, D.C.: Universidad Nacional de Colombia; 2002. p.419-20.
Herschaft EE, Alder ME, Ord DK, Rawson RD, Smith ES. Manual of forensic odontology. Fourth edition. New York: American Society of Forensic Odontology; 2007.
Doria AM, Navarro M, Ruiz JA. Traumatismos bucodentales ante, peri y postmortem. En: Sanabria-Medina C, editor. Odontología forense: identificación humana y alteraciones del sistema estomatognático en el contexto forense. Bogotá, D.C.: Fondo Editorial Universidad Antonio Nariño e Instituto Nacional de Medicina Legal y Ciencias Forenses; 2018. p. 245-316.
Oficina de Análisis de Información y Estudios Estratégicos de la Secretaría de Seguridad, Convivencia y Acceso a la Justicia. Patrones de lesiones personales y recomendaciones de política pública: evidencia para Bogotá. Bogotá: Alcaldía Mayor; 2017.
Roa A. Lesiones personales: Colombia 2008. Bogotá, D.C.: Instituto Nacional de Medicina legal y Ciencias Forenses; 2009.
Cortés Z, Jiménez L, Vargas A, Pérez T. Lesiones que afectan la cavidad oral en el delito de lesiones personales atendidas en el Instituto Nacional de Medicina Legal y Ciencias Forenses. Journal Odontológico Colegial. 2010;5:58-63.
Támara-Patiño LM, Fontanilla-Duque GA. Revisión normativa y conceptual relacionada con la incapacidad medicolegal en Colombia. Colomb Forense. 2018;5:7-20. https://doi.org/10.16925/cf.v5i2.2458
McDowell JD. Diagnosing and treating victims of domestic violence. N Y State Dent J. 1996;62:36-42.
Centro de Referencia Nacional sobre Violencia. Lesiones Personales. Instituto Nacional de Medicina Legal y Ciencias Forenses. Fecha de consulta: 20 de noviembre de 2020. Disponible en: https://www.medicinalegal.gov.co/cifras-estadisticas/forensis
Zapata-Bedoya YS, Grisales-Romero H, González EM. Caracterización de las lesiones personales no fatales en la Regional Noroccidente (Antioquia) 1996-2002 y Medellín, 2003-2006. Rev Salud Pública. 2011;13:572-84.
Lloréns J. Etnicidad y censos: los conceptos básicos y sus aplicaciones. Bulletin de l’Institut Français D’études Andines. 2002;31:655-80.
Wade P. Defining blackness in Colombia. Journal de la Société des Américanistes. 2009;95:165-84. https://doi.org/10.4000/jsa.10783
Goldstein PJ. The drugs/violence nexus: A tripartite conceptual framework. Journal of Drug Issues. 1985;15:493-506.
Machado-Mosquera M, Ocoro-Luango A. Exploración de las percepciones de jóvenes, familias y agentes institucionales y comunitarios sobre la violencia en dinámicas locales de conflicto urbano en Cali, Comunas 13 y 15. Programa de Apoyo a la Convivencia y Seguridad Ciudadana de la Secretaría de Gobierno, Seguridad y Convivencia Ciudadana. Fecha de consulta: 11 de enero de 2021. Disponible en: https://www.cali.gov.co/publico2/documentos/gobierno/travesia/Caracterizacion_de_violencias_locales.pdf
Lagos TD, Bravo RL. Elaboración del informe médicolegal de lesiones odontológico: recomendaciones para el odontólogo. Int J Odontostomat. 2019;13: 350-6. https://doi.org/10.4067/S0718-381X2019000300350
Adserias-Garriga J. A review of forensic analysis of dental and maxillofacial skeletal trauma. Forensic Sci Int. 2019;299:80-8. https://doi.org/10.1016/j.forsciint.2019.03.027
Some similar items:
- Daniel Eduardo Henao, Fabián Alberto Jaimes, Evidence-based medicine: an epistemological approach , Biomedica: Vol. 29 No. 1 (2009)
- Doris Cardona, Ángela María Segura, Adriana Espinosa, Alejandra Segura, Homicide and suicide in 15 to 24 year-old people in Colombia, 1998-2008 , Biomedica: Vol. 33 No. 4 (2013)
- Etienne G. Krug, James A. Mercy, Linda L. Dahlberg, Anthony B. Zwi, World report on violence and health. , Biomedica: Vol. 22 (2002): Suplemento 2
- Alberto Concha, Social and economic impact of violence in the Americas. , Biomedica: Vol. 22 (2002): Suplemento 2
- Eduardo Aristizábal, Violence metastasis or questioned health. , Biomedica: Vol. 22 (2002): Suplemento 2
- S Liliana Escobar-Chaves, Steve Kelder, Pamela Orpinas, The relationship between violent video games, acculturation, and aggression among Latino adolescents. , Biomedica: Vol. 22 (2002): Suplemento 2
- Guillermo Castaño, Gloria Sierra, Daniela Sánchez, Yolanda Torres, Carolina Salas, Carolina Buitrago, Mental disorders and drug use in victims of the armed conflict in three cities in Colombia , Biomedica: Vol. 38 No. Sup.1 (2018): Suplemento 1, Enfermedades crónicas
- Sandra Piñeros-Ortiz, Jaime Moreno-Chaparro, Nathaly Garzón-Orjuela, Zulma Urrego-Mendoza, Daniel Samacá-Samacá, Javier Eslava-Schmalbach, Mental health consequences of armed conflicts in children and adolescents: An overview of literature reviews , Biomedica: Vol. 41 No. 3 (2021)
- Sandra Elizabeth Piñeros , Nathaly Garzón , Zulma Consuelo Urrego , Nikki Coghill , Daniel Samacá , Javier Hernando Eslava , Forced displacement due to internal armed conflict, mental health and sources of support in the municipality of Soacha, Colombia , Biomedica: Vol. 45 No. 1 (2025): Publicación anticipada
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
