To add to what was said: If you have a pile of 100 charred bodies and you know who the people in the plane/building were but would like to identify each individual body, it’s easy to get the records.
> And teeth look a lot alike on those X-rays
I would expect they’re looking for fillings, not the teeth themselves.
In Canada, if you go missing your family can consent to having your dental records turned over to the police, who will enter them in a national police database. The police don’t have access directly to dental records, only indirectly via family consent in cases of missing people, or via warrants in other cases.
When they find a corpse they can search the database for anyone with dental artifacts that match the body. They would then do more detailed comparisons between the body and records to try to make a positive ID.
> I don’t remember consenting to that!
Notably, your medical records are not barred from being turned over to law enforcement if there’s a warrant for them. HIPAA law says that “[t]he Privacy Rule permits use and disclosure of protected health information, without an individual’s authorization or permission, for 12 national priority purposes”, one of which reads (emphasis mine):
>Covered entities may disclose protected health information to law enforcement officials for law enforcement purposes under the following six circumstances, and subject to specified conditions: (1) as required by law (including court orders, court-ordered warrants, subpoenas) and administrative requests; **(2) to identify or locate a suspect, fugitive, material witness, or missing person**; **(3) in response to a law enforcement official’s request for information about a victim or suspected victim of a crime;** (4) to alert law enforcement of a person’s death, if the covered entity suspects that criminal activity caused the death; (5) when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and (6) by a covered health care provider in a medical emergency not occurring on its premises, when necessary to inform law enforcement about the commission and nature of a crime, the location of the crime or crime victims, and the perpetrator of the crime.
Source: https://www.hhs.gov/hipaa/for-professionals/privacy/laws-regulations/index.html
Dental records are used to confirm a hypothesis of identity. They find a body, think it’s John Smith from Missouri, subpoena Mr. Smiths Dental records, and confirm that, yes, indeed, it is him (or alternatively that it isn’t).
In the case of a completely unknown body with no hypothesis as to who it is, Dental records are useless, because no such database exists.
What everyone is saying about using records to confirm is true. Additionally, in some long term unidentified cases, local police will get the coroner to X ray the decedent’s teeth, and then send that info to a bunch local dentists to see if *they* can recognize the teeth and subsequently match them using actual records. I believe this is what happened in the Somerton Man case (he’s still unidentified, though they’re now trying DNA databases out).
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