Full Text (PDF)
Review Article

Forensic Identification Through CBCT Evaluation of Secondary Dentin, Root Canal Anatomy and Endodontic Treatment Characteristics

Neelam Mittal, Deepti Singh, Shelly Sharma

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Indian Journal of Forensic Odontology 19(1):p 21-26, Jan - June 2026. | DOI: 10.21088/ijfo.0974.505X.19126.3

How Cite This Article:

Neelam Mittal, Deepti Singh, Shelly Sharma. Forensic Identification Through CBCT Evaluation of Secondary Dentin, Root Canal Anatomy and Endodontic Treatment Characteristics. Ind J Forensic Odontol 2026; 19(1): 21-26.

Timeline

Received : May 02, 2026         Accepted : June 01, 2026          Published : June 30, 2026

Abstract

Forensic odontology plays an important role in human identification, especially in cases involving decomposed, burned, or mutilated bodies where conventional methods such as fingerprinting are not possible. Teeth are highly durable and resist physical, chemical, and thermal damage, making them reliable forensic tools. Endodontics contributes significantly through the evaluation of secondary dentin deposition, root canal morphology, pulp chamber dimensions, and endodontic treatment characteristics, which are unique to each individual. Cone Beam Computed Tomography (CBCT) has improved forensic dental analysis by providing accurate three-dimensional imaging of dental structures. It allows detailed assessment of pulp chamber size, root canal anatomy, calcifications, restorations, obturation patterns, missed canals, and separated instruments that serve as forensic identifiers. Secondary dentin deposition is valuable for age estimation due to the reduction in pulp chamber volume with age, while variations incanalmorphologyandtreatmentpatternsassistinpersonalidentificationthrough radiographic comparison. This review highlights the forensic importance of CBCT in evaluating secondary dentin, root canal anatomy, and endodontic treatment characteristics, emphasizing its growing role in modern forensic odontology.


References

  • 1.   Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics – a review. Int Endod J. 2015;48(1):3-15.
  • 2.   Khanna AB. Applications of cone beam computed tomography in endodontics. Evid Based Endod. 2020;5(1):1.
  • 3.   Krishan K, Kanchan T, Garg AK. Dental evidence in forensic identification – an overview, methodology and present status. Open Dent J. 2015;9:250-256.
  • 4.   Shah P, Velani PR, Lakade L, Dukle S. Teeth in forensics: A review. Indian J Dent Res. 2019;30(2):291-299.
  • 5.   Bansode SC, Kulkarni MM. Importance of dental records in forensic identification. J Forensic Dent Sci. 2009;1(2):75-77.
  • 6.   Pinchi V, Pradella F, Buti J, Baldinotti C, Focardi M, Norelli GA. A new age estimation procedure based on the 3D CBCT study of the pulp cavity and hard tissues of the teeth for forensic purposes. Sci Rep. 2015;5:14298.
  • 7.   Jagannathan N, Neelakantan P, Thiruvengadam C, Ramani P, Premkumar P, Natesan A, et al. Age estimation in an Indian population using pulp/tooth volume ratio of mandibular canines obtained from cone beam computed tomography. J Forensic Odontostomatol. 2011;29(1):1-6.
  • 8.   Verma M, Verma N, Sharma R, Sharma A. Dental age estimation methods in adult dentitions: An overview. J Forensic Dent Sci. 2019;11(2):57-63.
  • 9.   Nanci A. Ten Cate’s Oral Histology: Development, Structure, and Function. 9th ed. St. Louis: Elsevier; 2017.
  • 10.   de Pablo OV, Estevez R, Peix Sánchez M, Heilborn C, Cohenca N. Root anatomy and canal configuration of the permanent mandibular first molar: A systematic review. J Endod. 2010;36(12):1919-1931.
  • 11.   Forrest AS, Wu HY. Endodontic imaging as an aid to forensic personal identification. Aust Endod J. 2010 Aug;36(2):87-94. doi: 10.1111/j.1747-4477.2010.00242.x.
  • 12.   Matherne RP, Angelopoulos C, Kulild JC, Tira D. Use of cone-beam computed tomography to identify root canal systems in vitro. J Endod. 2008;34(1): 87-89.
  • 13.   Jayasenthil A, Sathish ES, Divyambika CV, Karthik K, Maheswaran T, Nivethitha S. Neelam Mittal, Deepti Singh, Shelly Sharma. Forensic Identification Through CBCT Evaluation of Secondary Dentin, Root Canal Anatomy and Endodontic Treatment Characteristics26 Indian Journal of Forensic Odontology IJFO / Volume 19 Number 1 / January – June 2026 Forensic identification of endodontically treated teeth after heat-induced alterations: An in vitro study. J Forensic Dent Sci. 2021; 13(1):1-7.
  • 14.   Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: A literature review. J Endod. 2004;30(5): 289-301.
  • 15.   Scarfe WC, Levin MD, Gane D, Farman AG. Use of cone beam computed tomography in endodontics. Int J Dent. 2009;2009:634567.
  • 16.   Venskutonis T, Plotino G, Juodzbalys G, Mickevičienė L. The importance of cone-beam computed tomography in the management of endodontic problems: A review of the literature. J Endod. 2014;40(12):1895-1901.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest


About this article


Cite this article

Neelam Mittal, Deepti Singh, Shelly Sharma. Forensic Identification Through CBCT Evaluation of Secondary Dentin, Root Canal Anatomy and Endodontic Treatment Characteristics. Ind J Forensic Odontol 2026; 19(1): 21-26.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
May 02, 2026 June 01, 2026 June 30, 2026

DOI: 10.21088/ijfo.0974.505X.19126.3

Keywords

CBCTForensic OdontologyHuman IdentificationRoot Canal AnatomySecondary Dentin

Article Level Metrics

Last Updated

Sunday 21 June 2026, 19:32:26 (IST)


567

Accesses

6
188
00

Citations


NA
NA
NA

Download citation


Article Keywords


Keyword Highlighting

Highlight selected keywords in the article text.


Timeline


Received May 02, 2026
Accepted June 01, 2026
Published June 30, 2026

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article



Share