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NBDE-I - Dental Board Exam Part II - Dump Information

Vendor : Medical
Exam Code : NBDE-I
Exam Name : Dental Board Exam Part II
Questions and Answers : 154 Q & A
Updated On : October 18, 2018
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NBDE-I Questions and Answers

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NBDE-I Dental Board Exam Part II

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Killexams.com NBDE-I Dumps and Real Questions

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NBDE-I exam Dumps Source : Dental Board Exam Part II

Test Code : NBDE-I
Test Name : Dental Board Exam Part II
Vendor Name : Medical
Q&A : 154 Real Questions

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Medical Medical Dental Board Exam

State medical board suspends Dr. Michael Dick’s license | killexams.com Real Questions and Pass4sure dumps

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DECATUR, Ala. - facts show the Alabama State Board of clinical Examiners  has issued a abstract suspension of Decatur health care professional Dr. Michael Dick's medical license.

A board's spokesman tested Dr. Dick became served nowadays. Dr. Dick is suspended from training until as a minimum his next hearing set for January 23, 2019. he's ordered to head earlier than the board, in accordance with the order.

The board's website offers right here description of a summary suspension:

"If there's habits that the Board believes is dangerous to public safety, it might file public, formal allegations with the commission and request restrictions, revocation or other motion in opposition t the medical professional’s license. depending upon the urgency of the situation, the Board can request from the fee a abstract suspension of the healthcare professional’s license unless the case can be heard with the aid of the commission."

The board's motion curiously follows an emergency assembly nowadays. The brief license suspension appears to suggest Dr. Dick are usually not allowed to see patients nor write prescriptions.

The board's action follows a listening to Wednesday the place investigators reviewed the case towards Dick, who turned into found guilty of harassment and pleaded guilty to two other harassment counts involving alleged incidents in his office.

In a unlock from the board, the participants noted the prices filed via the BME previous this week contained allegations of sexual misconduct, including inappropriate physical contact with sufferers without a authentic medical goal. these charges have been posed alongside the three convictions of criminal offenses.

"we're thankful the commission identified the seriousness of the costs and the should prohibit Dr. Dick’s abilityto apply unless an administrative listening to can be held,” Wilson Hunter, BME regular suggestions spoke of

in keeping with a Tuesday press release from the BME, the board has been investigating the allegations against Dr. Dick seeing that February. The participants noted they labored intently with legislations enforcement to assist within the connected crook investigation. on the request of law enforcement, the BME delayed any professional motion towards Dr. Dick until the resolution of the criminal case. That took place on September twenty eighth and resulted in his conviction on three separate costs of harassment involving feminine sufferers.

“The closing aspect the BME desires to do is compromise a criminal investigation by way of one of our legislations enforcement partners,” Hunter referred to within the news unlock. “With that difficulty settled, it has cleared the manner for the BME to movement ahead with submitting expenses and immediately suspending Dr. Dick’s scientific license."

Dick's observe is Alabama medicine and Rheumatology.

Dick has denied all accusations of inappropriate behavior.

The BME encourages patients who believe their doctor has crossed a line to reach out to the board. patients are included from retaliation below Alabama legislation.“definitely, we will’t be in each examination room with every affected person, but when a health care provider takes advantage of the doctor-patient relationship we are looking to find out about it,” Hunter pointed out.

In Thursday's news unlock, the board included some counsel for patients:

My doctor has misplaced his license. where do I get medical care?

Your medical professional nevertheless has an obligation to give to your care. in case your doctor can not apply medication, your doctor has an responsibility to aid you obtain care in different places.

My new medical professional didn’t supply me the identical medication my old medical professional did. What should still I do?

every doctor has the accountability to take care of you to the best of his or her capability. That capacity the health care professional need to make a judgment about what is needed to deal with your condition.

diverse physicians may additionally deal with the equal medical conditions differently. Ask your new health practitioner to explain why his or her medication determination differs out of your previous healthcare professional’s and to clarify its execs and cons.

be aware: your surgeon is all the time trying to do what's most useful for you, but you all the time have the appropriate to are looking for a second opinion or are searching for care in different places.

i will be able to’t get my medical records from my historic medical professional. What should still I do?

you have got a right to your clinical records. Your historical medical professional should still prepare to provide them to you or transfer themto the new healthcare professional of your choice. he or she may additionally give these for free of charge or may additionally charge a small processing fee.Your health care provider’s responsibility to you continues even after he or she is disciplined or in any other case prohibited from practising. Ifyour health practitioner will no longer transfer your scientific statistics, please contact the Board of scientific Examiners at 334-242-4116.


medical manufacturer relocating North American headquarters to Forsyth County, bringing 100 jobs | killexams.com Real Questions and Pass4sure dumps

The headquarters and manufacturing core for a huge clinical business is coming to Forsyth County and bringing greater than one hundred jobs.

On Wednesday, the Cumming-Forsyth County Chamber of Commerce introduced Gant medical, a manufacturer of clinical products, is relocating its North American headquarters to a forty two,000-rectangular-foot building on Shiloh street.

“Gant medical is a pretty good fit for Forsyth County,” mentioned Robert long, vice chairman of financial construction with the chamber, in a news liberate. “we've in a similar way centered groups regional, so there's a skill pool of qualified candidates for key positions so that you can be sure this product’s success.”

Gant clinical is expected to beginning production in January 2019 and plans to create more than 100 jobs in the neighborhood inside five years.

“The CEO of Gant scientific has been a part of the group for rather a while, so he knows what a great decision Forsyth County is for this new project,” stated Forsyth County District 2 Commissioner Dennis Brown. “Their items are in reality resourceful, and that i’m delighted they chose Forsyth County for his or her headquarters and first U.S. manufacturing facility.”

The enterprise produces products for scientific, dental, assisted living, lengthy-time period and residential care markets, and items from the power might be offered across North america.

Gant clinical is the U.S. accomplice of Gant innovations, a corporation based mostly within the united kingdom.

At a piece session on Tuesday, commissioners unanimously accredited an inducement resolution linked to the challenge that might present a 10-12 months phased-in tax abatement which would not consist of school or bond millage taxes and an $11,477 credit score for construction makes it possible for, influence costs, utility prices and different charges from the county.

lengthy spoke of right through the meeting the enterprise “may additionally or may additionally no longer” movement ahead with the tax abatement.

“The enterprise has no longer made a decision on whether or not they’re going to take us up on that present, but that nevertheless is beneath consideration,” he noted.

He noted the venture had additionally looked at places in north Fulton and Gwinnett counties.

Commissioners additionally authorized discussing a conditional-use enable to enable the business to function 24 hours a day at their Oct. 18 assembly.

before publicly revealing Gant medical as the enterprise searching at the property and searching for the inducements, the project become called “project Orion.”

County supervisor Eric Johnson spoke of the company become the first inducement offered beneath a brand new financial development ordinance accepted prior this yr.

based on information from the chamber, the undertaking can have not less than $10.three million in new capital funding, 124 new jobs can be created over five years with an average wage of $18.55 per hour and an further 23 p.c of the bottom salary in merits, and pay over $886,979 in property taxes over the next 20 years.

Tamil Nadu Dr MGR clinical college to revert to new examination rules | killexams.com Real Questions and Pass4sure dumps

CHENNAI: The Tamil Nadu Dr MGR scientific university will from August 2012 once once more make it mandatory for scientific and dental students to get at least 50% in each and every paper to clear the examination, vice-chancellor Dr Mayil Vahanan Natarajan mentioned right here on Monday.The school bought a verbal exchange from Dental Council of India secretary Dr SK Ojha asserting the DCI’s executive committee in its meeting determined that the eligibility standards and examination guidelines framed via the council have been the naked minimum and that a state government or affiliating tuition become free to prescribe better requisites.

The college officials mentioned the clinical Council of India had already conveyed an identical message even though an affidavit filed within the Madras excessive courtroom.

The college first introduced the new examination rules in August 2011 when greater than 40% of first 12 months medical students didn't clear their examination.

There became a furore on campuses and scholar staged protests. After they moved courtroom and petitioned chief minister J Jayalalithaa, the institution was pressured to revise its choice. The court ordered the tuition to comply with MCI guidelines. The variety of first year students who passed the exam rose to eighty four%, however tuition officials weren’t satisfied with the exam and evaluation patterns. "Communications from DCI and MCI establishes the supremacy of the university in establishing better requisites in syllabus, curriculum, teaching, practicing and examination. here's a victory for the scientific institution. all of the college and college students have to abide by using our new rules," he mentioned. The tuition has promised to have two lecturers evaluate every paper. The optimum ranking may be considered as the ultimate mark. If there is an immense change between the two evaluations, a third school should be called in, he mentioned.

The tuition officials said the medical Council of India had already conveyed the same message though an affidavit filed in the Madras high court.


NBDE-I Dental Board Exam Part II

Study Guide Prepared by Killexams.com Medical Dumps Experts


Killexams.com NBDE-I Dumps and Real Questions

100% Real Questions - Exam Pass Guarantee with High Marks - Just Memorize the Answers



NBDE-I exam Dumps Source : Dental Board Exam Part II

Test Code : NBDE-I
Test Name : Dental Board Exam Part II
Vendor Name : Medical
Q&A : 154 Real Questions

start making ready those NBDE-I questions answers and chillout.
After trying several books, I was quite disappointed not getting the right materials. I was looking for a guideline for exam NBDE-I with simple language and well-organized content. killexams.com Q&A fulfilled my need, as it explained the complex topics in the simplest way. In the real exam I got 89%, which was beyond my expectation. Thank you killexams.com, for your great guide-line!


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Overall influence was superb but i failed in one mission but succeeded in NBDE-I second venture with killexams.Com group very speedy. Exam simulator is good.


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I never concept I ought to pass the NBDE-I examination. however im 100% sure that with out killexams.com ive no longer achieved it thoroughly. The magnificent Q&a material provides me the specified capability to take the exam. Being acquainted with the supplied fabric I handed my examination with ninety two%. I by no means scored this an awful lot mark in any exam. its far nicely thought out, powerful and dependable to apply. thank you for offering a dynamic material for the getting to know.


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To get success in NBDE-I examination. Humans agree with that a student have to possess sharp mind. Although its miles genuine but it isnt entirely true on account that in conjunction with the pupil, the instruct or the teacher need to also be properly certified and knowledgeable. I experience blessed that I was acquainted with this Killexams.Com in which I met such awesome educators who taught me a way to clean my NBDE-I test and were given me through them with a breeze. I thank them with the lowest of my coronary heart.


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Dental Board Exam Part II

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Dentist on way to getting license reinstated | killexams.com real questions and Pass4sure dumps

DES MOINES - A former Waterloo dentist is on track to get his license to practice dentistry reinstated.

State regulators had pulled Larry Hanus's license indefinitely in 1994, and he said the action was because he warned patients about health hazards connected to filings that contain mercury.

In the 13 years in between, Hanus has tried to get his license reinstated, a process that has been delayed because of mental health concerns and a matter involving a vehicle theft charge.

Now the Iowa Dental Board issued an order recognizing Hanus's progress and outlining education and testing he must complete before his license is returned.

"I'm grateful the board has made the decision it has made," said Hanus, who now lives in Des Moines and is looking forward to getting back into dentistry.

He said there has been progress on the front of mercury-free dentistry since his license was suspended.

The Iowa Dental Board's 1994 order said Hanus failed to maintain a standard of competency in treating five patients, and made misleading statements to three patients about mercury amalgam fillings.

It required he reimburse the patients for the work and complete a course on diagnosis, treatment and restoration at an accredited dental school before his license would be reinstated.

Hanus paid back his clients and applied to reinstate his license in 2000, but he hadn't completed the educational requirements.

In the flap that followed, the board took issue with a felony vehicle theft charge pending against him in Wisconsin, and required he receive a mental health evaluation because of the correspondence he sent to board members that included documents espousing antigovernment theories similar to those held by the Posse Comitatus group.

Hanus later apologized for the correspondence.

The theft charge was reduced to a misdemeanor. The dental board recently accepted a mental health evaluation that was prepared as part of the Wisconsin charge. It found he was competent and didn't have any psychiatric diagnosis or exhibit any mental illness.

Hanus has completed 76.5 hours of dental education since April but hasn't completed a full course of study, the board's recent ruling noted.

The board said Hanus's license will be reinstated after he completes an evaluation at the University of Illinois Dental School and finishes any remedial education the school recommends. He will also have to pass an examination by the Central Regional Dental Testing Service or the Western Regional Examining Board and reimburse the Iowa Dental Board for costs of the disciplinary hearing.

After his license is returned, Hanus will be subject to random reviews and will have to submit quarterly reports to the board.


City schools eye flat budget, room for capital expenditures | killexams.com real questions and Pass4sure dumps

The Cullman City School Board held the first of two public hearings for its Fiscal Year 2019 budget Tuesday evening, and the outlook does not include many changes from last year’s budget.

Cullman City Schools Chief School Finance Officer Russell Raney presented the proposed annual budget to the board, noting the revenues and expenditures are not projected to be much different from last year.

“When you compare ‘18 to ‘19, it’s a fairly flat budget,” he said.

The projected revenue for the system is up by around 3.1 percent from last year, but 2.5 percent of that comes from the state employee pay raise that was passed for this year, and the same can be said for the small increase in expenditures, Raney said.

The system will have 215 certified personnel units, which includes teachers, principals, librarians and counselors, and 206.95 of those will be funded by state, federal or another sources.

The system will also be getting more funding from the state as school enrollment grows, and that will let schools save money on personnel, Raney said.

Because the system has made an effort to keep its number of teacher units stable, that additional funding will mean there will be fewer locally funded teacher units that the system has to finance.

“As we’ve earned state units, it’s reduced our local units,” he said. 

There will be around eight locally funded teacher units, compared to around 20 from 10 years ago, and that means more of the system’s money can go toward capital improvements, technology or other projects, Raney said.

The budget may not have many changes from recent years, but things continue to look brighter for the city school system compared to the proration that schools were seeing around 10 years ago, Raney said.

“It’s a lot better than it was several years ago,” he said.

In other business, the board: 

Awarded bid #06-21-18-01 to Encore Rehabilitation, Inc. for consultant services in physical and occupational therapy.

Gave permission to contract with Goodwyn, Mills & Cawood, Inc. for a facility assessment of all schools and a systemwide campus master plan per proposal dated July 9.

Gave permission to contract with Parker Electric to update the electrical at West Elementary School per code requirements.

Gave permission to remove carpet, refinish hardwood floors and install new tile flooring at East Elementary and West Elementary Schools.

Gave permission to contract with architect/engineer for development of preliminary drawings for baseball field renovation.

Gave permission to contract with architect/engineer for development of preliminary drawings for A/C in the Cullman High School Gym.

Gave permission to enter into an agreement with the Alabama High School Athletic Association and the City of Cullman for the State Track Meet for Classes 1A, 2A and 3A for a period of two years commencing on May 3, 2019 and May 2, 2020.

Gave permission for Cullman Middle School and Cullman High School to change exam dates on the 2018-19 CCS Calendar. Final exams for grades 7-11 moved to May 21, 22 and 23; senior exams on May 15-16.

Gave permission for Cullman High School to adopt the entire state approved textbook list for world languages.

Approved the Cullman City Primary School ACIP (Continuous Improvement Plan) 2018-19.

Approved the Community Partnership Agreement for Cullman City Head Start and Signature Smiles of Cullman for dental services for the 2018-19 school year.

Gave permission to contract with Tammy Sargent to provide special education psychometrist evaluations beginning Oct. 8 through Sept. 30, 2019.

Gave permission to contract with Erica Veal, Head Start Disabilities Manager, for maximum of five days during the 2018-19 school year to complete additional duties and requirements.

Gave permission to contract with Kalysha Whittle, Head Start Nurse, for maximum of five days during the 2018-19 school year to complete additional duties and requirements for health, nutrition and safety.

Gave permission to contract with Jonathan Peyton on a part-time as-needed basis to assist the Technology Department during the 2018-19 school year.

Approved the following personnel considerations:

Leaves of absence

Stephanie Conner, math teacher at CHS, FMLA tentatively from Feb. 14, 2019 to May 24, 2019.

Sara Beth Norrell, first grade teacher at CCPS, leave of absence from Jan. 1, 2019 to May 24, 2019.

Amber Campbell, PE teacher at East Elementary, FMLA from Aug. 29 to Sept. 26.

Employments

Chloe Harbison, temporary kindergarten teacher at CCPS (to fill a leave of absence) tentatively from Jan. 3, 2019 to May 24, 2019.

Reeta Morrow, half day special education instructional assistant, half day LPN at West Elementary School, effective Aug. 17.

Deanna Little, extended day program teacher aide at West Elementary School, effective Aug. 17.

David Chris Kennedy, computer technician II at Central Office, effective Sept. 10.

Modification of employment

Debra Ball, CNP worker at West Elementary, requesting reduction in hours from a 6.5-hour employee to a four-hour employee, effective Aug. 2.

Paul Ross, modification of employment from Computer Technician I to Computer Technician II at the current experience level.

Supplement resignation

Priscilla Henshaw, resignation of CCPS Webmaster, effective July 26.

Supplements

Hayden Faulk, support services coordinator- administrative supplement for extended hours on weekends and evenings, effective Aug. 1.

Michael Fowlkes, technology coordinator- administrative supplement to coordinate the Lean Stream Program, which includes additional hours on weekends and evenings, effective Sept. 1.

The Cullman City School Board will hold its second FY2019 budget hearing on Thursday, Sept. 13 at 4 p.m. in the Central Office Board Room, with its regular meeting following at 5 p.m.

 

Tyler Hanes can be reached at 256-734-2131 ext. 138.


From the start, a faulty science | killexams.com real questions and Pass4sure dumps

The nation's leading forensic experts held their annual meeting in 1970 at Chicago's Drake Hotel, and all of the old guard was there. Fingerprint experts. Document examiners. Pathologists.

Mingling among them on that late-winter day was a cluster of dentists who shared an interest in a budding discipline. They called it forensic odontology, a decidedly novel application of dentistry--identifying violent criminals based on the bite marks they leave on the bodies of their victims.But to create their own division within the American Academy of Forensic Sciences and gain the credibility this would bestow, 10 of these forensic odontologists were needed. Only eight were in the room.

The solution: They trolled the meeting rooms of the Drake and recruited a couple of pathologists who also held dental degrees.

With that, a new discipline was born, joining other more commonly known investigative tools such as toxicology and bullet matching.

Since that day in Chicago 34 years ago, bite-mark comparison has become a regular weapon in the forensic arsenal, with odontologists testifying in courtrooms hundreds of times.

They're usually brought in for cases of child abuse, rape and sex murders, where bite marks sometimes are found on victims. But concerns about forensic dentists center less on how often they testify than on how easily judges and jurors accept their opinions as scientific proof.

Courts frequently do so even though there is no accurate way to measure the reliability of bite-mark comparisons, and the method has gained acceptance without benefit of broadly reviewed research and scientific validation, elements that separate true science from guesswork.

The consequences of such subjective testimony are becoming clear. In recent years, new evidence, including DNA, has proved that even a number of the discipline's pioneers have contributed to wrongful arrests and put innocent people behind bars.

In some instances, odontologists can't even agree on the most basic issue--whether a wound is a bite mark at all.

Forensic odontology has come to represent a case study in how easily forensic science's false aura of infallibility can distort the adversarial system of American justice.

In that system, judges and juries are responsible for sifting through often-contradictory evidence. But when experts are allowed to overstate their findings and an unvalidated technique is equated with science, then the system can fail.

"I think bite marks probably ought to be the poster child for bad forensic science," said David Faigman, a professor at the University of California Hastings College of the Law and co-editor of "Modern Scientific Evidence."

It's not simply outsiders or defense attorneys asking fundamental questions. Inside the tight fraternity of odontologists, skeptics are raising concerns about bite-mark comparisons.

"Those comparisons are flawed and based on wishful thinking, as far as being conclusive scientifically," said Dr. Michael Bowers, an odontologist and lawyer who served on the examination and credentialing committee of the American Board of Forensic Odontology, the discipline's leading professional organization.

Bowers angered many of his peers when he co-wrote a controversial study in 2002 that estimated the performance of board-certified odontologists in a workshop exercise. Bowers figured that on average, they falsely identified an innocent person as the biter nearly two-thirds of the time.

Though that figure is hotly debated, even founders of the discipline express deep reservations about bite-mark comparisons.

"They have their place," said Dr. Edward Woolridge, a forensic odontologist from North Carolina. "But I know there's innocent people in jail because of bite-mark testimony."

In one notorious case, such evidence helped send Ray Krone to Death Row for the 1991 murder of a Phoenix cocktail waitress. The former postal worker spent more than three years on Death Row and seven years under a life sentence before DNA testing connected another man to the crime and exonerated Krone.

In many other cases, doubts about such testimony don't necessarily mean a defendant is innocent. But they go to an equally fundamental concern: the courts' ability to interpret and weigh forensic evidence accurately when a person's liberty is at stake.

Defenders of odontology contend that it can be valuable. In a case of child abuse, for instance, there usually are a limited number of people with access to the child. If bite-mark evidence can eliminate all but one of the people under suspicion, it can provide circumstantial evidence against the remaining suspect.

The chief goal of odontologists is "to testify as to the truth represented by the evidence, wherever the evidence leads," said Dr. Robert Barsley, an LSU dental professor and the odontology representative on the American Academy of Forensic Sciences board. "... It can be a useful forensic tool."

Still, too many forensic dentists are willing to testify beyond the limits of the evidence at hand, according to their own colleagues.

"Oftentimes these are horrific cases. So you get a lot of pressure by the [authorities] who employ odontologists to come down on one side of the fence--`Yes, it is this guy' or `No, it isn't,'" said Dr. Iain Pretty, a British odontologist who has challenged Bowers' findings but shares some of his concerns.

"There's a lot of pressure, and conclusions are overstated."

Such concerns have been borne out in a host of examples where DNA later exonerated people imprisoned based on bite-mark testimony, or raised questions about their convictions.

In the case of Kennedy Brewer, a Mississippi dentist testified for the prosecution that 19 marks found on the body of his girlfriend's 3-year-old daughter were human bites made by Brewer.

A defense expert, though, concluded they weren't human bite marks at all. The expert testified the marks actually were insect bites and the result of the girl's tiny body being left undiscovered in a creek for two days in May 1992.

Brewer was convicted and sent to Death Row. Years later, though, DNA evidence from semen found inside the girl excluded him and identified two unknown genetic profiles, prompting a new trial.

Brewer remains behind bars. And prosecutor Forrest Allgood said he would "absolutely" use the bite-mark testimony again, though it was given by Dr. Michael West, a controversial odontologist who once was suspended by the odontology board.

West is ready to repeat his testimony. "I don't know who killed this girl, but Kennedy Brewer's teeth were on her body...," he said. "It's not rocket science."

Birth of a discipline

In the early years of odontology, meetings were so small that conferences amounted to a few colleagues lecturing to one another. "We'd applaud each other like we were a big audience," Woolridge said. "It sounds kind of corny now."

But these informal sessions had a distinct purpose. By creating their own section within the forensic sciences academy, the odontologists helped establish the credentials they needed to go into court and testify as experts.

To this day, most of their forensic work involves identifying the remains of unknown people by matching teeth to dental records. Comparing bite-marks was a natural extension of this kind of work and allowed dentists who spend their workdays, as some say, "drilling, filling and billing" to pursue their interest in helping solve crimes.

It also can be lucrative. Forensic dentists' fees can range from $100 to $350 an hour, and a typical bite-mark case that goes to trial can earn them anywhere from thousands to tens of thousands of dollars. But those cases are rare, Barsley said.

One of the field's most prominent members is Dr. Richard Souviron, the chief forensic odontologist for the Miami-Dade County medical examiner's office. With his black cowboy boots and lightheartedly ghoulish sense of humor, Souviron is a favorite on the seminar circuit for cops learning to be homicide investigators.

He made his reputation--and, in the public mind-set, the reputation of bite-mark evidence--in a 1979 trial for the murder of two Florida State University students.

Theodore "Ted" Bundy was the accused. Investigators had found a pantyhose mask with hairs that state experts said were "consistent with Bundy's hair." But prosecutor Larry Simpson said the primary piece of physical evidence tying him to the slayings of Chi Omega sorority sisters Margaret Bowman and Lisa Levy was a bite mark on the buttocks of Levy.

Prosecutors wanted to introduce the evidence but were concerned about using the nascent technique in such a high-profile case. They knew it would be challenged.

To boost the discipline's credibility at the trial--and to meet the judicial test that such a novel technique was generally accepted in the scientific community--Simpson told Souviron they needed an expert from the West and the North to corroborate him.

So Souviron called two of his colleagues who had helped form the discipline nine years earlier: Dr. Lowell Levine, from New York, and Dr. Norman Sperber, who worked in San Diego.

The state put Souviron on the stand. "Can you tell me within a reasonable degree of dental certainty if those teeth made the marks?" Simpson asked, referring to molds of Bundy's teeth.

"Yes, sir," Souviron replied. "They made the marks."

The defense brought in a Maryland orthodontist who disputed the prosecution's contention that Bundy's teeth alignment was unique. He testified that "the dental pattern is one I'd expect to find in 20 percent of the population of male Caucasians."

Bundy was convicted, thus adding legitimacy to the upstart discipline.

Twenty-five years later, Souviron acknowledges that the Bundy trial left a problematic legacy: "It catapulted bite-mark evidence to the point where [many] were saying, `A bite mark is as good as a fingerprint.'"

In recent years, Souviron has preached caution, not certainty, when it comes to such evidence. At least in theory, so does the American Board of Forensic Odontology.

Board guidelines adopted in 1995 discourage members from using the term "match" because it "will likely be interpreted by juries as tantamount to specific perpetrator identification."

But the more nuanced phrases the board endorses for the clearest cases, such as "reasonable medical certainty," are defined as essentially the same thing--"no reasonable or practical possibility that someone else did it." Leading odontologists concede that such distinctions are lost on many jurors.

This spring, Souviron stood before a room full of police officers in the Miami-Dade medical examiner's office. They were taking a weeklong death investigation workshop, and Souviron had a couple of hours to introduce them to his specialty.

"Have you ever heard that bite marks are as good as a fingerprint?" he asked the group. A dozen or so hands shot up in the room of three dozen officers.

"You've heard it, right?" Souviron said. "Well, don't use it, because it's wrong."

The reasons are fairly simple. No research has been done to confirm that people's bite marks are unique. The alignment of people's teeth changes over time. And human skin shifts when it's bitten, and often just leaves bruising.

"You've got to be real careful with this kind of evidence," Souviron told the officers before leading them down a hall to the morgue to demonstrate his techniques on two corpses. It's "one more little nail in the coffin, and that's what you guys need to think of with bite marks."

On witness stands across the country, however, caution is often absent. The nation's certified forensic dentists, who number about 100, have played a key role in convicting hundreds of defendants.

In February, Souviron testified in the trial of Ronnie Keith Williams, who had just finished a sentence for rape and murder when he was charged in the 1993 murder of a pregnant teen.

Using the careful phrasing approved by the forensic odontologists' board, Souviron said, "In my opinion, within reasonable dental certainty, the teeth of Ronnie Williams left that bite mark."

But after he was challenged by the defense over his methodology, Souviron gave the kind of definitive testimony that he often cautions against.

"That bite mark was left by Mr. Williams," he said, "period."

Souviron, interviewed later, acknowledged that he had stepped over the line at Williams' trial, which ended with a guilty verdict and death sentence. "Had I been challenged on it, I would have said I misspoke. I should have said again, to a reasonable degree of dental certainty, period."

A "science-based art"

The tools of bite-mark analysis are strikingly basic. There's a putty-like material to preserve impressions of the mark; molds to reproduce the teeth of suspects; photographs and plastic transparencies to compare the molds with the wound.

One of the discipline's significant advances, introduced in the early 1990s, is an L-shaped ruler, meant to assist analysts in photographing and comparing the marks.

A few years ago, image-enhancing software--purporting to make the features of a bite mark more visible--was introduced in several crime labs.

But neither computer technology nor low-tech tools address the more fundamental question: whether bite-mark comparisons are scientifically sound.

"This is truly an opinion," said Barsley, the odontology representative on the forensics academy board. "It's unlike DNA, where there's a mathematically predictable science behind that."

Barsley calls odontology a "science-based art" and notes that while a comparison of a bite mark and a wound can tell you they are "very similar, it can't tell you they're identical."

Most courts still allow forensic dentists to practice their work with few boundaries. But, in a rare move this year, a judge in Michigan strictly limited what the odontologists could assert, citing a ruling from that state's Supreme Court.

"You will not be discussing probabilities ... or degrees of certainty," the judge said, restricting them to saying whether they could exclude or not exclude certain suspects.

In many cases, superior evidence such as DNA has shown that bite-mark testimony may be wrong.

Dr. John Kenney, a Park Ridge pediatric dentist and odontologist, conducted a bite-mark analysis that proved crucial in the case against Harold Hill and Dan Young, who were convicted of the 1990 murder and sexual assault of a Chicago woman.

Police initially said Hill, Young and a third man all confessed to committing the crime together. But investigators later learned the third suspect's confession was false; he couldn't have done it because he was in jail at the time of the attack, suggesting Hill and Young's confessions may have been false as well.

Prosecutors then argued that Kenney's testimony corroborated the confessions by linking a purported bite mark on the victim to Young and a hickey on her to Hill.

But a recent reanalysis of the bite-mark evidence commissioned by the defense casts doubt on Kenney's testimony. Two other odontologists, including Bowers, examined his work and came to a different conclusion--that there was no match.

More important, perhaps, new DNA tests on scrapings from beneath the victim's fingernails excluded Hill and Young. Cook County prosecutors have been reinvestigating the case for more than a year and hope to complete the inquiry soon.

Kenney said he remains confident in his analysis of the Hill and Young case but expressed concern that he might have played a role in a wrongful conviction. "No one's going to be more upset than me if guys spent time in jail based in part on what I did...," he said. "I want to see justice served."

The inherent subjectivity in odontology, he said, leaves room for misleading testimony. "You get pushed a little bit by prosecutors, and sometimes you say OK to get them to shut up," Kenney said, acknowledging that he now wishes he had tempered his testimony in the Hill and Young case. "I allowed myself to be pushed."

A spokesman for the Cook County state's attorney's office said "prosecutors did not coerce this man into testifying to anything but the truth."

In another case involving DNA, Dale Morris Jr. of Florida was arrested in 1997 based on a bite mark that two forensic dentists used to connect him to the rape, torture and murder of a 9-year-old girl.

Morris was jailed for four months until DNA tests cleared him and authorities set him free. Two other men, including an uncle of the girl, are scheduled to go on trial in her murder next year.

The odontologist who gave investigators a second opinion that led police to arrest Morris? Souviron.

Key expert takes a hit

One of the few full-time forensic odontologists in the nation, Lowell Levine has a resume that reads like a sampling of the 20th Century's iconic events.

He helped investigate the assassinations of President John Kennedy and Martin Luther King Jr. He traveled with a team to Russia to examine the remains of Czar Nicholas II and his family. He was among the experts who identified the remains of Josef Mengele, the Nazi doctor who selected incoming Jews for labor or extermination at Auschwitz.

When the Sam Sheppard case, which inspired the TV program "The Fugitive," was reopened, he was called in on that too.

Working from his home office in Albany, N.Y., Levine divides his time between work for the New York State Police and consulting for both defense attorneys and law enforcement. His colleagues say they hold him in high regard as one of the field's top practitioners.

So it was no surprise in December 1998 when a team of Massachusetts State Police officers turned to Levine in hopes of solving the gruesome murder of Irene Kennedy.

The 75-year-old grandmother had been beaten and stabbed two dozen times while on a morning stroll with her husband in a park outside Boston. The killer, who attacked Kennedy when she and her husband briefly took separate paths, left a bite mark on her breast.

The investigators drove from Boston to Levine's office. Explaining the circumstances of the murder, they asked him to compare photos of the bite mark on Kennedy's body with a copy of a mold made from the teeth of a suspect, Edmund Burke.

Then in his mid-40s, Burke was a reclusive handyman who lived with his mother and dozens of stray cats in a small, ramshackle home about a quarter-mile from the park where Kennedy was killed. He became a suspect when police dogs led officers to his home.

Levine declined to discuss the case, citing a lawsuit Burke has filed naming him.

But in a sworn deposition taken in the lawsuit, Levine testified that after studying the materials in his office, he told the waiting officers he could not exclude Burke but would need additional information for a more definite opinion.

Three days later, Levine went to Boston to examine more evidence, asking police to provide him with enhanced photos of the bite wound. They did, and that, Levine said, was enough.

In his deposition, Levine said he concluded "to a reasonable scientific certainty" that Burke had left the bite on Kennedy's breast.

Police searched Burke's home, and arrested and jailed him. The county prosecutors called the bite mark the "most compelling evidence" in the case.

Less than six weeks later, though, officials had to admit they were wrong. DNA taken from saliva recovered on the bite mark was analyzed. A genetic profile was obtained, and prosecutors said it was not Burke's. He was set free.

Levine insisted in the January 2003 deposition that he had been correct when he linked the bite mark to Burke, although he also hedged a bit, saying he had never made a definitive "match."

Under questioning by a lawyer for Burke, who sued the police and Levine after he was cleared, Levine stood by his bite-mark analysis.

"Do you think he bit her breasts?" attorney Robert Sinsheimer, who represents Burke, asked Levine in the deposition.

"I think with a high degree of probability he did," Levine said. He offered possible explanations for why the DNA did not match Burke, including that police who had handled the crime scene contaminated the DNA.

He also noted that another prominent forensic odontologist, Dr. Ira Titunik of New York, had examined the evidence and concurred in his opinion. Titunik confirmed that he had informally examined the evidence and agreed with Levine.

But then Levine's analysis took another hit. In June 2003, some five months after Levine testified under oath and held fast to his bite-mark analysis, police announced they had made another arrest in Irene Kennedy's murder.

The genetic profile derived from the bite mark, the police said, had been entered into a database. It hit on a convicted murderer.

William Keating, the district attorney where the crime occurred, said there was "no question" in his mind that Burke was innocent of Kennedy's murder.

Roadblocks to reform

In the face of so many embarrassing mistakes, a small number of self-styled reformers inside the world of odontology have sought in recent years to determine just how accurate their discipline is.

But they've faced fierce resistance. Bowers, the California odontologist, was roundly criticized when he analyzed something innocuously called Workshop No. 4 at the 1999 meeting of the American Academy of Forensic Sciences.

Bowers said the results showed that on average, the examiners falsely identified an innocent person as the biter 63.5 percent of the time. "It's standing on a foundation of assumption," he said of the field.

His peers questioned his statistical analysis and noted that the workshop was never intended to be a proficiency test. But the furor underscored that odontologists have never agreed on any exam that would gauge the accuracy of bite-mark comparison.

Exacerbating the problem are often-weak standards. In Britain, where there are relatively few odontologists, a dentist must have examined 20 bite-mark cases before being certified as a forensic odontologist. In the U.S., the American Board of Forensic Odontology requirements for certification include two bite-mark cases.

This month, as part of its annual meeting, the executive committee of the ABFO discussed changes in its recertification process to meet new standards imposed by the Forensic Specialties Accreditation Board. The committee agreed to recommend adding a written exam every five years that will cover all aspects of forensic odontology, from dental identification to bite-mark evidence.

"Like any organization, this is evolving," said Dr. John Lewis Jr., president of the ABFO. "And we saw it as a very good step, further strengthening our position as a certification body."

The exam will not, however, involve actual bite-mark comparisons.

A Tribune examination of criminal cases in which bite marks played a key role illustrates why credibility is a concern. The survey involved 154 cases, mostly murders and rapes, that reached appeals courts in state and federal jurisdictions around the country--just a sampling of the hundreds of times odontologists have testified.

Though not comprehensive, the survey found a disturbing pattern. In more than a quarter of those cases, the prosecution and defense offered forensic dentists who gave diametrically opposed opinions.

These were not simply another example of the competing experts common to many courtroom faceoffs. In some cases, the difference was so great that an odontologist said what one colleague considered human bite marks were not bite marks at all.

Such divergent opinions were at the center of the murder trial of Carol Ege.

In the years since someone murdered Cindy Thompson--stabbing and disemboweling a woman who was seven months pregnant--no one had been charged in the 1984 slaying. Then authorities took a fresh look at an old autopsy photograph of her body, which was found inside a wood-frame house in the gritty Detroit suburb of Pontiac.

To the original medical examiner, the mark on Thompson's left cheek was simply a pooling of blood left as she lay dying. But in Ege's 1993 trial, jurors heard the bold proclamations of Dr. Allan Warnick, then the chief forensic odontologist for Wayne County, Mich.

Thompson's attacker had bitten her, Warnick told them. Not only that, he said, the bite mark on her cheek was so unique that he could pinpoint who made it: Ege.

"Let's say you have the Detroit metropolitan area--three, three-and-a-half million people," prosecutor Gregory Townsend asked Warnick. "Would anybody else within that kind of number match like she did?"

"No," Warnick replied. "In my expert opinion, nobody else would match up."

But after Ege's conviction, Warnick's ability as an expert came under serious doubt. In two murder cases, authorities relied on his opinion to arrest suspects, only to dismiss the cases after other forensic dentists disputed his comparisons.

"Therefore the office of the Wayne County prosecuting attorney will not approve warrants where the main evidence as to the identity of a potential defendant is the opinion of Dr. Warnick that he/she is the source of the bite marks," wrote Richard Padzieski, the office's chief of operations at the time.

Warnick directed requests for an interview to his attorney, Bruce Leitman, who said his client declined to comment. "Dr. Warnick's done nothing wrong," Leitman said.

In the Ege case, her defense presented a pathologist and a forensic dentist, both of whom testified that the mark on Thompson's cheek was pooled blood.

The dentist, Dr. Irvin Sopher, said that even if it were a bite mark, the pattern did not match Ege's teeth alignment.

Prosecutors offered a host of witnesses who testified to Ege's threats against Thompson, her rival for the affections of a mutual boyfriend. They say the bite mark was not a pivotal piece of evidence.

"It was just a drop in the bucket," said Kathryn Barnes, an assistant prosecutor for Oakland County who argued the state's case during Ege's second appeal of her conviction. "There was a mountain of evidence against Carol Ege."

But that wasn't how some of the jurors saw it. They noted that authorities knew of the threats against Thompson and other evidence nearly a decade before, yet chose not to charge Ege.

They were more impressed by Warnick's certitude and the evidence they were allowed to bring into the jury room, comparing photographs of Thompson's cheek with transparencies of the suspects' bite marks. They were convinced that only Ege's matched.

"The bite mark was the most convincing evidence because really it was the only thing that placed her at the crime...," one juror recalled in an interview. "That was the clincher."

"I remember thinking," said another juror, Nichelle Williams, "they got her now."

A Michigan appeals court called the case "troubling." It noted that while "the crime is horrific," there were "others who are logical suspects" and that "no physical evidence links defendant to the crime except" the bite-mark testimony.

The appellate court, though, upheld her conviction. Her case is now before a federal judge.

Serving a life sentence, Ege spends most of her days working in the prison library. If she isn't there, she is sitting in her cell watching her 12-inch TV. Her favorite show: "CSI: Crime Scene Investigation."

Her attorney, Carole Stanyar, is not a fan. She has a problem with the genre--namely, as with all crime dramas, the tidy separation of the guilty from the innocent at the conclusion of each episode.

"It's this false sense of certainty," Stanyar said. "That's what Warnick did. He gave [jurors] a false sense of certainty: You can feel comfortable convicting this woman."



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Medical NBDE-I Exam (Dental Board Exam Part II) Detailed Information



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