Dental Identification Utilizing Implant-Supported Fixed Prostheses in a Nearly Skeletonized Individual: A Case Report

Forensic dental examination was performed on a nearly skeletonized decedent in whom both maxillary and mandibular complete dentures remained, an uncommon finding in deceased individuals. Careful manipulation of residual soft tissues permitted visualization of the underlying osseous and prosthetic components. Postmortem findings demonstrated extensive implant therapy in both arches, consisting of implant-supported fixed complete dentures retained by multiple endosseous implants. Antemortem dental records, including digital panoramic and periapical radiographs with treatment documentation, were reviewed for comparison. A discrepancy in the number of maxillary implants between antemortem and postmortem findings was identified and resolved through review of treatment notes, which documented a single implant failed and was removed prior to denture placement. Differences in implant numbering were due to listing the implants postmortem based on denture tooth positions rather than the originally replaced teeth. Additionally, a single antemortem periapical radiograph, initially considered of limited clinical significance, contributed to identification by demonstrating residual root structure following extraction. This case emphasizes the forensic importance of comprehensive evaluation of all available dental records and imaging.