Forensic Dentistry Course Outline
Module 1:
Foundational Skills
Human Dental Comparison
Human Dental Identification
Report Writing
Week 1
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Introduction to Forensic Dentistry
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Principles of a Medico-Legal Autopsy
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Principles of Human Dental Comparison
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Principles of Human Dental Identification
Week 2
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Race and Gender Determination
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Cranial, Mandibular, Dental and Arch Morphology
Week 3
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Forensic Dental Photography
Week 4
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Forensic Dental Radiography
Week 5
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Categories and Terminology in Body Dental Comparison and Identification
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Overview
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Report Writing
* WEEKLY PRACTICAL ASSIGNMENTS
* WEEKLY ZOOM WEBINAr / chat WITH THE COURSE DIRECTOR
Module 2:
Mass Disaster Management
Circumstances in Disaster Situations
Oral and Facial Conditions
WinID
Week 1
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Medico-legal Work in Major Disasters
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Guidelines and Problems in Disasters
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Burned, Incinerated and Carbonized
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Extreme Heat on Teeth, Root Canal Filling, Resins, Ceramics
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Trauma and Heat Related Fractures
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UV and Dental Restorations, SEM
Week 2
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Problems in Mass-Disaster Dental Identification
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Implants
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The Edentulous
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Trabecular Bone in Identification
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Fractal Analysis
Week 3
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Role of the Dental Disaster Team in Mass Fatality Incidents
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Maintaining Proper Identification
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Suicidal Terrorism
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The Pathology of Terrorism: Biological, Infectious and Chemical Terrorism
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X-Ray Screening
Week 4
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Design and Assessment of Mock Mass Disaster
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Aviation Pathology
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Mutilation
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Trauma
Week 5
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Guidelines for Explosion Fatalities
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War and Genocide Graves
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Exhumation
Week 6
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Emerging Infectious Diseases
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Adipocere
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Luminol
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Radiocarbon and Strontium Dating
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Thermography
Week 7
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Rap-Up
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Emotional and Psychological Impact
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Lessons Learned in Disaster Situations
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Forensic Dental Career
* WEEKLY PRACTICAL ASSIGNMENTS
* WEEKLY ZOOM WEBINAR / chat WITH THE COURSE DIRECTOR
Module 3:
Human Dental Age Assessment
Human Dental Age Assessment Report Writing
Week 1
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Forensic Human Dental Age Assessment:
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Pre-natal, Child
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Ageing Techniques:
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AlQahtani
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Moorees, Fanning, Hunt
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Week 2
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Forensic Human Dental Age Assessment:
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Child, Adolescent
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Ageing Techniques:
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AlQahtani
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Demirjian
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Harris
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Willems
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Week 3
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Forensic Human Dental Age Assessment:
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Adult dentition versus legal age
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Ageing Techniques:
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Cameriere 2004 and 2007
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Kvaal 1995
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Mincer
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Nortje, etc.
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Week 4
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Forensic Human Dental Age Assessment:
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Ageing Techniques:
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Bang, Ramm
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Johanson
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Lamendin
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Week 5
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Forensic Human Dental Age Assessment and Dental Body Identification Reports
* WEEKLY PRACTICAL ASSIGNMENTS
* WEEKLY ZOOM WEBINAR / chat WITH THE COURSE DIRECTOR
Module 4:
Pattern Injury Characteristics
Pattern Injury Made by Teeth
Bitemark Report Writing
Bitemark Comparison
Bitemark Comparison Report Writing
Week 1
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History of Bitemark Evidence
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Human Abuse Recognition:
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Medical Examiner, Coroner, Pathologist, Dentist, Nurse, Caretaker, Teacher, Family Member
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Forms of Abuse:
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Child, Intimate and non-intimate Partner, Elder Abuse
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Types of Abuse:
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Physical, Emotional/Psychological, Sexual, Financial, Medical Assessment, Collection, and Documentation of Evidence for Oral and Peri-Oral Manifestations of Human Abuse
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Week 2
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Animal and Carnivore Bitemarks
Week 3
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Recognition of Suspected Pattern of Human Dental Origin Terminology
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Anatomical Location
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Cutaneous Injuries:
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Central Contusions, Linear Abrasions and Contusions, Lingual Markings, Tongue Thrusting, Acute Inflammatory Reaction, Tooth Indentation
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Pattern Injury Characteristics:
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Abrasion, Bruise, Contusion, Laceration, Petechial Hemorrhage, Avulsion, Incision, Indentation, Drag Marks, Unkown
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Tissue Characteristics:
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Fixed Substrate, Mobile Substrate, Substrate Elasticity
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Substrate Characteristics:
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Physical Characteristics, Pattern Colour, Surface, Surface Contour
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Week 4
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Nature of Bitemarks and Tissue Specimens
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Transillumination & Histology
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Histology and Timing of Injury
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Bitemark Distortion
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Static vs Non-Static Bitemarks
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Patterns, Lesions and Trauma Mimicking Bitemarks
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Postmortem Bitemarks
Week 5
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ABFO Standards and Guidelines for Evaluating Bitemarks
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Class Characteristics of the Human Bitemark
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Pattern Landmark, Pattern Shape, Pattern Metrics, Circumferential Distance, Linear Distance, Cuspidal Eminence, Intercuspal
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Distance, Intercanine Distance
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Dental Arch, Arch Size, Maximum Inter-Arch Distance, Dental Midline, Arch Midline, Consistent with the Size and Shape of the Human
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Dentition, Primary, Mixed, Permanent Dentition
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Individual Characteristics of the Human Bitemark:
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Individual Arch and Dental Characteristics
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Diastema, Incisal Edge, Incisal Edge Shape, Incisal Edge Metrics, Incisal Edge Angulation
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Orientation of the Bite Mark
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Less Than Ideal Human Bitemark
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Evidentiary Value
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Terms indicating a pattern or patterned injury is or is not a bitemark - ABFO
Week 6
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Photographic Documentation of Suspected Pattern of Dental Origin
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Terms and Definitions:
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Aperture, Bracketing, Camera Sensor, Composition, Depth of Field, File Compression, Flash, Focus, Light Source, Compression, Macro Photography, Magnification, Photographic Scale
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Equipment and Materials:
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Camera, Lens, Flash or Light Source, Photographic Scale, Retractors and Mirrors
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Guidelines for Evidentiary Quality Photographs:
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Orientation Images, Minimizing Distortion, Non-Metric Close-UP Images, Metric Close-Up Images, Photographing Non-Flat Substrates
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Types of Photography:
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Colour, B&W, ALI, UV, IR
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Metadata, Lens Correction and Other Prerequisites to Pattern Analysis
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Best Practices
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Practical Tips in Bitemark Photography
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Image Processing, Analysis, Security, Storage, Archiving of Images
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Cybersecurity Protocols and Secure Messaging Techniques
Week 7
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Photographic Documentation of Suspected Pattern of Dental Origin
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Other Evidence Collection
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Pattern Injury DNA Recovery
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Salivary DNA
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Microscopy
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Skin Scanners vs Bitemark Impressions
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Chain of custody
Week 8
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Documentation of Suspected Pattern of Dental Origin
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Case Information, Examination, Pattern Location, Features, Description, Measurements
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Pattern Analysis
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Digital Analysis
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Evidentiary Value:
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Photographs Need to be Focused, Illuminated, Properly Exposed, Lens Correct, with a Known Plane of Image, and with Image Angular Correction. The Size and Shape of EAch Dental Arch with Its Midline Must Be Identified, as are Individual Teeth
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Week 9
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Pattern Injury Report Content:
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Pattern Location, Measurements and Orientation
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Type of Dentition:
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Animal, Human:
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Primary, Mixed, Permanent Dentition
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Antemortem vs Postmortem Bitemarks
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Self-inflicted Bitemarks
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Evidentiary Value
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Terms Indicating a Pattern Injury is or is not a Bitemark
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Week 10
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Blinding
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Dental Line-Up: Person(s) of Interest and Individuals as Foils
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Evidence Collection of the Dentitions:
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Written Consent, Search Warrant, Subpoena, or Court Order
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Medical and Dental History
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Facial, Oral, Other Exam
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Photography
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Intraoral Scanner - Virtual 3D Digital Dental Models (Orthopix, etc) vs Dental Casts
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Methods of Comparison, Overlays
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Bitemark Comparison Report Writing Content:
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Preliminary, Interim or Final Report
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Introduction, Inventory of Evidence Received, Inventory of Evidence Collected, Findings Regarding the Pattern, Analysis, Overlays, Test Bites, Other Results, Conclusions, Disclaimer
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Linkage Terminology Betweek the Bitemard and the Dentitions
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Independent Verification in the form of a Second Opinion
Week 11
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Quantification, Uniqueness, Individualization, Probability, Reliability of Bitemark Evidence
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Match and Error Rates in Forensic Science
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Randomness in Forensic Science
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Resolving Issues in Bitemark Analysis
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Contextual Information, Observer, Cognitive, Confirmation Bias
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Artificial Intelligence (AI) in Forensic Odontology
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Ethics and Ethical Issues in Forensic Odontology
Week 12
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Science and the Law
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Case Law
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Dental Expert Witness
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Contracting with an Expert Witness.
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Expert Witness Guidelines & Testimony
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Courtroom Aids
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Expert Disagreement
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Legal Liability of an Expert Witness
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Rule 702 of the Federal Rules of Evidence
Week 13
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NAS, PCAST, TFSC NIST Reports
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Peer Review in Forensic Science
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A Historic Perspective of Bitemark Analysis and Bitemark Comparison
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Forensic Misdiagnosis
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Wrongful Convictions and Erroneous Bitemark Opinions
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Contextual Contamination of Forensic Evidence by Post-Conviction Litigators
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In Defense of Forensic Pattern Identification
* WEEKLY PRACTICAL ASSIGNMENTS
* WEEKLY ZOOM WEBINAR / chat WITH THE COURSE DIRECTOR