The role of the forensic odontologist in disaster victim identification: lessons for management.

Forensic odontologists are involved in all phases of disaster victim identification (DVI). The failure of DVI management to embed odontology teams within all phases of the investigation and to include them in management decisions throughout the operation may lead to delays in the reconciliation process and could possibly compromise the integrity of the DVI investigation. In the case study presented, trained and experienced teams of forensic odontologists were not utilised to full capacity in all phases of the investigation. The complexity of the initial scene investigation was not identified resulting in the incomplete recovery of all remains. The scene had to be re-examined on three subsequent occasions. The post-mortem examination of the remains had to be deferred until all subsequent material had been collected. The collection of all ante-mortem dental records was not undertaken, resulting in transcription information that was incomplete and compromised. As a result, the reconciliation (formal identification) of the deceased became problematic because of the compounded errors in all phases of this DVI investigation and the resulting odontological report of identification could have jeopardized the integrity of the entire DVI process. Following a review of this case and the recognition of possible areas of omission in the management of the investigation a strategy to address these problems is proposed.