Fillable NCIC Missing Person Dental Report (Montana Department of Justice)

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NCIC Missing Person Dental Report (Montana Department of Justice)

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N
CIC Missing Person File Agency Case #
Data Collection Entry Guide
30
Rev
2
/06
SECTION 1
Patient’s Name:
Age at Disappearance:
NCIC #:
Date Completed:
Completed by:
Address:
Telephone #:
Email Address:
X-Rays Available?
Yes
No
Dental Models Available?
Dental Photographs Available?
Yes
No
Yes
No
SECTION
2
DENTAL CHARACTERISTICS
01 (18)______________________
02 (17)______________________
03 (16)______________________
04 (15)______________________(A)
05 (14)______________________(B)
06 (13)______________________(C)
07 (12)______________________(D)
08 (11)______________________(E)
Upper Right
Upper Left
Lower Right
Lower Left
09 (21)______________________(F)
10 (22)______________________(G)
11 (23)______________________(H)
12 (24)______________________(I)
13 (25)______________________(J)
14 (26)______________________
15 (27)______________________
16 (28)______________________
32 (48)______________________
31 (47)______________________
30 (46)______________________
29 (45)______________________(T)
28 (44)______________________(S)
27 (43)______________________(R)
26 (42)______________________(Q)
25 (41)______________________(P)
24 (31)______________________(O)
23 (32)______________________(N)
22 (33)______________________(M)
21 (34)______________________(L)
20 (35)______________________(K)
19 (36)______________________
18 (37)______________________
17 (38)______________________
(Numbers in parentheses
represent FDI System.)
SECTION
3
DENTAL CODES
(*The codes V and / are used differently in the Missing Person Dental Report than in the Unidentifi ed Person Dental Report.)
SECTION 4
DENTAL REMARKS
ALL
(All 32 teeth are present and unrestored)
UNK
(No dental information available)
X
= Tooth has been removed or did not develop
V
= Tooth is unrestored or no information (Default Code)
F
= Facial or Buccal Surface Restored
L
= Lingual Surface Restored
M
= Mesial Surface Restored
C
= Lab Processed or Prefabricated Restoration
O
= Occlusal/Incisal Surface Restored
R
= Endodontic Treatment
D
= Distal Surface Restored
/
= Tooth present but clinical crown missing (i.e., fractured)*
(Letters in parentheses
represent deciduous
dentition.)
N
CIC Missing Person File Agency Case #
Data Collection Entry Guide
31
Rev
2
/06
General Procedures for Coding the Report
(to be completed by dentist)
Section 1:
Complete the Patient’s Name fi eld as refl ected in the dental records.
The Age at Disappearance and NCIC # fi elds should be completed by the investigating agency.
The Completed by, Date Completed, Address, Telephone #, Email Address, X-Rays Available, Dental
Models Available, and Dental Photographs Available fi elds should be completed by the individual
fi lling out the dental report.
Enter the appropriate code(s) next to the corresponding tooth number, 01–32, on the dental report.
Section 2:
If no dental information is available
,
go directly to Section 4 and check the UNK box.
Do not
enter any codes in the tooth fi elds.
If all 32 teeth are present with no restorations
,
go directly to Section 4 and check the ALL box.
Tooth numbers are based on the Universal System. The corresponding Federation Dentaire
Internationale (FDI)
System
numbering is depicted in parenthesis.
Use all available dental evidence to capture the most accurate dental profi le.
Each tooth must have one or more codes entered except when ALL or UNK is used in Section 4.
Section 3:
Dental Codes. A more detailed explanation of these codes and their use is provided on page 32.
Section 4:
U
sed for coding ALL or UNK.
If ALL is marked, NCIC will automatically code all teeth as V.
If UNK is marked, NCIC will automatically code all teeth as /. A dental comparison
will not be performed by NCIC when this box is marked.
U
sed for additional dental characteristics not captured in the dental codes listed in Section 3, for
example, dental implants, removable dentures, orthodontic appliances. Specifi c tooth numbers are
not always necessary, and key descriptive words are preferred.
Review pages 32–36 prior to completing the Dental Characteristics Section of the dental report.
N
CIC Missing Person File Agency Case #
Data Collection Entry Guide
32
Rev
2
/06
Dental Codes and Descriptions
Primary Dental Codes
-
One or more codes must be entered for each tooth.
Code
Description
V
Virgin. Default code for Missing Persons. Tooth is present or assumed to be present and unrestored.
This includes unerupted teeth, such as wisdom or deciduous teeth. If no information is available for a
particular tooth, this code should be used as it is assumed that all teeth are present (erupted or
unerupted) and unrestored when they develop. This code is also used when a tooth has been restored
but it is impossible to determine which surface has been restored (most common example of this is the
location of a pit type fi lling on molars when it is impossible to determine whether the fi lling is on the
facial or lingual surface).
Note: This code is used differently when coding dental
characteristics for Unidentifi ed Persons.
/
A portion of the tooth is remaining and treatment has probably been accomplished on the tooth but
it is impossible to determine which surfaces have been restored. This code is most frequently used
when a tooth has had an endodontic procedure accomplished and the clinical crown has fractured
off. This code is seldom used in coding missing persons dental information.
Note: This code is
used differently when coding dental characteristics for Unidentifi ed Persons.
X
M
O
Occlusal or Incisal surface of the tooth has been restored.
Mesial surface of the tooth has been restored.
Missing. Tooth has been extracted or is congenitally missing.
D
Distal surface of the tooth has been restored.
Facial or Buccal surface of the tooth has been restored.
Lingual surface of the tooth has been restored.
F
L
C
Secondary Dental Codes
-
Cannot be used independently. Must be used in conjunction with Primary codes.
Code
Description
Any laboratory processed restoration including crowns, inlays, onlays, and veneers. This code also
includes prefabricated restorations such as stainless steel crowns, metal and acrylic temporary crowns,
and porcelain processed veneers.
Root canal. Evidence is available to establish that an endodontic procedure has been started or
completed.
R
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NCIC Missing Person Dental Report (Montana Department of Justice)

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Completed 27 January 2021

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