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A importância dos dentes cor-de-rosa na determinação da causa da morte na medicina legal: revisão de escopo
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Introdução: A presença de dentes cor-de-rosa post-mortem é um fenómeno ocasionalmente observado durante autópsias forenses, tipicamente associado a mortes envolvendo afogamento, asfixia, trauma ou eletrocussão. Apesar de ser reconhecido na literatura forense há décadas, a sua fisiopatologia, prevalência e relevância forense permanecem controversas. As provas existentes são dispersas e baseadas principalmente em relatos de casos, revisões narrativas ou observações isoladas. Esta revisão tem como objetivo fazer um levantamento sistemático das provas científicas disponíveis sobre o fenómeno dos dentes cor-de-rosa post-mortem e o seu potencial papel na determinação da causa de morte no contexto da medicina legal.
Métodos: A revisão foi efetuada de acordo com a metodologia do Joanna Briggs Institute (JBI) para revisões de escopo e relatada de acordo com as diretrizes PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Foi efetuada uma pesquisa exaustiva em várias bases de dados para identificar estudos que abordem a ocorrência, mecanismos e interpretação forense de dentes cor-de-rosa em exames post-mortem.
Conclusão: O levantamento das provas atuais sobre os dentes cor-de-rosa contribui para uma melhor compreensão deste fenómeno e do seu potencial significado forense, promovendo uma tomada de decisão mais informada nas avaliações post-mortem.
Introduction: The presence of postmortem pink teeth is a phenomenon occasionally observed during forensic autopsies, typically associated with deaths involving drowning, asphyxiation, trauma, or electrocution. Despite being recognized in forensic literature for decades, its pathophysiology, prevalence, and forensic relevance remain controversial. The existing evidence is scattered and primarily based on case reports, narrative reviews, or isolated observations. This scoping review aims to systematically map the available scientific evidence on the phenomenon of postmortem pink teeth and its potential role in determining the cause of death within the context of forensic medicine. Methods: The review was conducted following the Joanna Briggs Institute (JBI) methodology for scoping reviews and reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A comprehensive search was carried out across multiple databases to identify studies addressing the occurrence, mechanisms, and forensic interpretation of pink teeth in postmortem examinations. Conclusion: Mapping the current evidence on pink teeth will contribute to a better understanding of this phenomenon and its potential forensic significance, promoting more informed decision- making in postmortem assessments.
Introduction: The presence of postmortem pink teeth is a phenomenon occasionally observed during forensic autopsies, typically associated with deaths involving drowning, asphyxiation, trauma, or electrocution. Despite being recognized in forensic literature for decades, its pathophysiology, prevalence, and forensic relevance remain controversial. The existing evidence is scattered and primarily based on case reports, narrative reviews, or isolated observations. This scoping review aims to systematically map the available scientific evidence on the phenomenon of postmortem pink teeth and its potential role in determining the cause of death within the context of forensic medicine. Methods: The review was conducted following the Joanna Briggs Institute (JBI) methodology for scoping reviews and reported according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A comprehensive search was carried out across multiple databases to identify studies addressing the occurrence, mechanisms, and forensic interpretation of pink teeth in postmortem examinations. Conclusion: Mapping the current evidence on pink teeth will contribute to a better understanding of this phenomenon and its potential forensic significance, promoting more informed decision- making in postmortem assessments.
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Humano Descoloração dos dentes Alterações post-mortem Human Tooth discoloration Postmortem changes