アブストラクト（50巻suppl号：神奈川歯学）

神奈川歯学

Japanese

Title　： 東日本大震災における身元判明に至らない死体に関する検討
Subtitle　： 特別事例報告
Authors　： 熊谷章子
Authors（kana）　：
Organization　： 岩手医科大学歯学部口腔顎顔面再建学講座口腔外科学分野, 神奈川歯科大学大学院横須賀・湘南地域災害医療歯科学研究センター招聘講師
Journal　： 神奈川歯学
Volume　： 50
Number　： suppl
Page　： 96-102
Year/Month　： 2015 /
Article　： 報告
Publisher　： 神奈川歯科大学学会
Abstract　： 「緒言」2011年3月11日に発生した東日本大震災による死者, 行方不明者は, 全国で18,000人以上に及んだ. 岩手県では搬入された4,672体のうち, 4,605体(98.6%)の身元が判明している(2014年6月末時点)が, 未だ身元不明死体もあり, 岩手県警察による懸命な追跡捜査が続いている. このような身元判明に至らない死体についてわれわれは, 個人識別を困難にする要因を, 歯科所見採取状況を中心に検討した. 「方法」2011年12月8日, 2012年12月8日, 2014年3月11日時点に岩手県警察が発表した東日本大震災による岩手県の身元不明死体について, デンタルチャートの記載状況, 口腔内写真とエックス線写真の有無を, 死体搬入時期と死体発見場所, 死体の状態と合わせて調査した. 「結果」「1. 死体搬入時期と身元不明死体数」岩手県の身元不明死体のうち, 死体搬入時期が津波発生からまだ間もなく, 死後変化が進行していなかった2011年3月中旬である死体が多数含まれていた.
Practice　： 歯科学
Keywords　： 東日本大震災, 歯科的個人識別, 大規模災害, 災害歯科学

English

Title　： Factors Associated with the Difficulty of Identifying Some Victims of the Great East Japan Earthquake
Subtitle　：
Authors　： Akiko KUMAGAI
Authors（kana）　：
Organization　： Department of Reconstructive Oral and Maxillofacial Surgery, Division of Oral and Maxillofacial Surgery, Iwate Medical University
Journal　： Kanagawa Shigaku
Volume　： 50
Number　： suppl
Page　： 96-102
Year/Month　： 2015 /
Article　： Report
Publisher　： Kanagawa Odontological Society
Abstract　： [Abstract] This study examined factors associated with the difficulty of identifying some victims of the Great East Japan Earthquake from the standpoint of dentists, mainly focusing on the availability of dental findings. The availability of entered dental charts, radiographs, and oral cavity images belonging to 68 unidentified bodies as victims of the Great East Japan Earthquake reported by the Iwate Prefecture Police Department on March 11, 2014 was examined. The dental charts of 44 (64.7%) out of the 68 bodies were not entered or unretrievable, among which 34 were damaged by fire. Furthermore, radiographs were unavailable or partially available in 63 (92.7%), oral cavity images were unavailable in 57 (83.8%), and dental information was completely unavailable in 54 (79.4%). More than half of the 68 bodies, 39 (57.4%), had remained unidentified, although they were found within March immediately after the disaster. Among such bodies, 36 (52.9%) were fire-damaged; in such cases, oral cavity examination was not conducted in fear of further damage, as well as due to the chaos immediately after the disaster, resulting in the unavailability of not only entered dental charts, but also oral cavity images or radiographs. This led to difficulty in collating with antemortem records, explaining the difficulty of identifying fire-damaged bodies. On the other hand, some bodies had also remained unidentified despite the presence of remaining teeth with a history of treatment, presumably due to the deaths of all other family members who might have requested the police to search for missing persons, unavailability of valid antemortem records, or a lack of key information in postmortem records. These results highlight the necessity of establishing systems to ensure the availability of sufficient postmortem records, including dental findings, despite post-disaster confusion.
Practice　： Dentistry
Keywords　：