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    Bite Mark

    Uploaded by

    Dwi Sri Lestari
    The document discusses bite marks, including their definition, types, characteristics, descriptions, classifications, causes, and analysis methods. Some key points: - Bite marks are unique and can be found on humans and inanimate objects. They can be partial or faded over time. - Descriptions note circular/oval patterns with abrasions, bruising, and indentations but no skin breaking initially. Deeper marks penetrate the skin. - Bite marks are classified based on injury degree from Class I (shallowest) to Class VI (deepest and most severe). - Causes of bite marks include human bites during aggression or sexual contact, and animal bites like from dogs. Analysis compares marks

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Bite Mark

    Uploaded by

    Dwi Sri Lestari
    299 views43 pages
    The document discusses bite marks, including their definition, types, characteristics, descriptions, classifications, causes, and analysis methods. Some key points: - Bite marks are unique and can be found on humans and inanimate objects. They can be partial or faded over time. - Descriptions note circular/oval patterns with abrasions, bruising, and indentations but no skin breaking initially. Deeper marks penetrate the skin. - Bite marks are classified based on injury degree from Class I (shallowest) to Class VI (deepest and most severe). - Causes of bite marks include human bites during aggression or sexual contact, and animal bites like from dogs. Analysis compares marks

    Original Description:

    BITE MARK

    Original Title

    BITE MARK

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    The document discusses bite marks, including their definition, types, characteristics, descriptions, classifications, causes, and analysis methods. Some key points: - Bite marks are unique and can be found on humans and inanimate objects. They can be partial or faded over time. - Descriptions note circular/oval patterns with abrasions, bruising, and indentations but no skin breaking initially. Deeper marks penetrate the skin. - Bite marks are classified based on injury degree from Class I (shallowest) to Class VI (deepest and most severe). - Causes of bite marks include human bites during aggression or sexual contact, and animal bites like from dogs. Analysis compares marks

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    299 views43 pages

    Bite Mark

    Uploaded by

    Dwi Sri Lestari
    The document discusses bite marks, including their definition, types, characteristics, descriptions, classifications, causes, and analysis methods. Some key points: - Bite marks are unique and can be found on humans and inanimate objects. They can be partial or faded over time. - Descriptions note circular/oval patterns with abrasions, bruising, and indentations but no skin breaking initially. Deeper marks penetrate the skin. - Bite marks are classified based on injury degree from Class I (shallowest) to Class VI (deepest and most severe). - Causes of bite marks include human bites during aggression or sexual contact, and animal bites like from dogs. Analysis compares marks

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 43

    bitemark

    Erawati Wulandari, drg, M.Kes

    BITEMARK
    DEFINISI
    MACAM-MACAM BITE MARK
    - CUTANEOUS HUMAN BITEMARK
    - PARTIAL BITEMARK
    - BITEMARK YG MEMUDAR :
    a. fused arches
    b. solid-ring pattern
    c. closed-arches
    - SUPERIMPOSED / MULTIPLE BITES

    SIFAT BITEMARK : Unique,


    Distinctive
    Ditemukan pd manusia, benda
    mati

    DESKRIPSI BITEMARK
    Pola injuri sirkuler / oval, 2 perm
    berlawanan yg simetris
    Bentuk lengkung U
    Tepi lengkung : abrasi, contusio, laserasi
    Tdk menembus epidermis
    Indentasi yg dalam dg memar
    disekitarnya
    Menembus epidermis dg luka kecil
    Luka besar

    KLASIFIKASI POLA GIGITAN


    Derajat perlukaan sesuai dgn kerasnya gigitan.
    - Klas I : terdpt jarak dari gigi Insisif & kaninus
    - Klas II : spt klas I, tampak pola gigitan cusp bukal &
    palatal,
    cusp bukal & lingual dg derajat yg msh
    sedikit

    klas I

    klas II

    - Klas III : derajat luka lbh parah dp klas II, permk insisif
    menyatu,
    dalamny luka gigitan lbh parah dp klas II
    - Klas IV : terdpt luka pd kulit & otot dibwh kulit yg sedikit
    terlepas
    pola gigitan ireguler

    klas III
    permk kulit dg luka sesuai dg grs gigitan
    derajat
    I & C , pola luka P lbh dalam
    (RA &RB),

    klas IV
    ketidakteraturan dr keparahan
    pola gigitan I & C yg sangat dalam
    kedua cusp P hampir menyatu

    - Klas V : luka yg menyatu pola gigitan I,C,P pd RA & RB


    - Klas VI : luka dr seluruh gigitan gigi RA & RB, jar. kulit, jar.
    otot
    terlepas sesuai dg kekerasan oklusi & pembukaan
    mulut

    klas V
    pola gigitan sangat lebar, ketidakteraturan
    & Jar. Ikat
    dari semua gigi anterior & P

    klas VI
    luka sangat dalam & luas, jar. Kulit
    terlepas seluruhnya

    INJURI PD BITEMARK
    abrasion, contusio/bruises, laserasi/tears,
    ecchymosis, petechial, avulsion, indentasi,
    eritema

    VARIASI BENTUK BITEMARK


    a. central ecchymosis / central contusio
    b. linear abrasions, contusio, striae
    c. gigitan ganda
    d. peripheral ecchymosis

    PENYEBAB BITEMARK
    Bite mark
    oleh gigitan manusia

    - Agresivitas
    - Kontak
    seksual

    Multiple
    bites

    Bite
    Bite mark
    mark
    oleh
    oleh
    gigitan
    gigitan
    hewan
    hewan

    Gigitan anjing pd tangan & kaki

    In the attack, Rodney's


    abdomen was fully
    exposed and all ribs were
    broken on his left side.
    His diaphragm was
    punctured, lung ripped open
    scapula was pierced,
    spleen was uncovered, the
    main artery from his heart
    was exposed.
    The tendons, fingers and
    thumb in his right hand
    were all cut, and to this day
    he still has part of a
    Great White tooth embedded
    in his wrist. He was
    minutes away from his veins
    collapsing due to
    the loss of large amounts of
    blood. Over 360
    stitches were required to
    sew him up.

    BITE MARK PD MAKANAN

    Tanggung jawab ahli patologi


    1. Pola luka cocok dg bitemark
    2. Pemberitahuan ke konsultan gigi
    3. Kemungkinan ditemukan zat yg
    melapisi jaringan yg tergigit
    4. Prosedur yg tepat pd jaringan / bahan
    yg tergigit
    Pemeriksaan bitemark secepat mungkin
    perubahan

    Preserva
    Preserva
    si
    si
    Bite
    Bite
    mark
    mark

    Perbandingan bite mark


    tersangka

    apakah

    pelakunya ?

    pemeriksaan bite mark


    - korban
    - tersangka

    Obyek pemeriksaan :

    1.
    2.
    3.
    4.
    5.

    Korban hidup
    Korban mati
    Pelaku
    Benda mati di sekitar TKP
    Benda mati
    barang bukti

    Pemeriksaan pd
    korban hidup
    a. persetujuan unt pemeriksaan
    b. pencatatan lengkap
    c. pemeriksaan pd bag yg tergigit :
    1. saliva swab
    2. foto
    3. pencetakan
    d. pencatatan gigi korban

    1. Saliva swab

    Deteksi sekretori antigen


    Sblm daerah tergigit dibersihkan
    Bahan : - kertas rokok (bentuk
    )
    - lidi kapas + PZ
    Adanya kesulitan
    Bila bhn sekretori (-) :
    1. bhn sekretori (-) pd PM
    2. pelaku non sekretor

    2. Pembuatan foto
    Film hitam putih & berwarna
    Metode :
    a. Konvensional :
    - skala
    - letak film
    - posisi
    b. video/digital imaging

    3. Pencetakan
    Bila pd perm kulit timbul lekukan
    Bila tdpt gb.an gigi korban
    gigi korban
    dicetak
    Secepat mungkin
    Bhn : rubber base; L.C fissure sealant;
    polyvinyl
    siloxane

    Pemeriksaan pd korban meninggal

    a. Pengawetan jaringan :
    - ahli patologi
    - fiksasi dg formalin 10%; lar
    Keiserling
    b. Pemeriksaan mikroskopik :
    - wkt injuri ~ wkt kematian
    - bag histologi

    Pemeriksaan bitemark pd makanan

    pengawetan

    segera

    u/ mengawetkan : alkohol + formalin


    u/ mencetak : plaster of paris; rubber
    base
    hsl cetakan direndam formalin 10%

    Metode
    Metode pencetakan
    pencetakan pd
    pd makanan
    makanan

    PENCETAKAN BUAH APEL

    Apel dicetak dg dental silicon


    (cetakan negatif)

    Permukaan apel dicetak

    Hasil cetakan apel & pola


    lengkung rahang
    setelah dicor dg dental stone
    (cetakan positif)

    PERMEN
    KARET

    Permen karet dg bentukan gigi manusia (cetakan


    negatif)

    a. Replika (cetakan positif dari bentukan gigi pd


    permen karet
    b. Cetakan gigi posterior RA dari orang yg dicurigai

    Analisis bite mark

    Metode menggunakan komputer

    Metode menggunakan model studi


    pd teraan bite mark

    Bite mark printing

    Metode menggunakan model cetakan positif

    IMPRESSION OF BITE MARK


    STUDY CAST OF SUSPECT

    Pembuatan foto berwarna

    foto awal

    10 hari kemudian

    Pengukuran menggunakan penggaris

    Mengawetkan bite mark pada


    malam

    Kasus
    Bite
    mark

    Case 2

    Case 3

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