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Lip, Ear and Bite Marks: Cheiloscopy and Forensic Odontology

Cheiloscopy classifications, the Iannarelli earprint system, and the bite-mark debate after NAS 2009, written for Indian SFSL practice.

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Lip prints, earprints, and bite marks are class impression evidence recovered from surfaces contacted by the lip vermilion, external ear, or dental arch. Each has a formal classification system: the Suzuki-Tsuchihashi five-type scheme for lip-print groove patterns, the Iannarelli 12-measurement system for earprints, and the ABFO scoring scale for bite marks. The 2009 US National Academy of Sciences report concluded that none of the three has been demonstrated to identify a source to the exclusion of all others, and Indian appellate courts have followed that position, treating pattern comparisons as corroborative evidence rather than primary identification. In practice, salivary DNA recovered from a bite mark is now the primary identification route, with the pattern comparison serving as supporting documentation.

Lip prints, earprints, and bite marks form the "minor impression evidence" cluster in Indian forensic science. Each is a body-derived impression that transfers to a surface; each has a formal classification system; and each has appeared in Indian appellate reasoning. This page covers how to lift each type, what classification systems apply, and where the science currently places these tools on the class-versus-individual evidence spectrum.

Key takeaways

  • The lip's free border carries grooves called sulci labiorum, classified by the Suzuki-Tsuchihashi system into types including straight vertical, branched, intersecting, reticular, and undetermined.
  • Collection method for lip prints is substrate-dependent: the most common substrates in Indian casework are cups, cigarette butts, and glass rims, each requiring a different lifting approach.
  • The 2009 US National Academy of Sciences report contested the claim that lip prints, earprints, and bite marks are unique to individuals, and Indian appellate courts have followed with increasing scepticism.
  • Stating that lip prints or bite marks are unique is repeating a textbook claim that has been contested for over a decade, and the defensible position in 2026 is that these are class evidence with undemonstrated uniqueness.
  • The Iannarelli earprint measurement system and the ABFO bite-mark scoring both produce categorical labels that sound more discriminating than population frequency data currently supports.

The honest framing is that this is class evidence wearing individual-evidence clothes. The Suzuki-Tsuchihashi lip-print classification, the Iannarelli earprint measurements, the ABFO bite-mark scoring all produce categorical labels that sound discriminating. The 2009 US National Academy of Sciences report and a decade of Indian appellate scepticism that followed have pushed the field to admit that uniqueness has not been demonstrated, sample sizes are small, and population frequency data is mostly absent. That doesn't mean these tools are useless. It means stating "lip prints are unique" as a working claim in 2026 is repeating a textbook line that has been contested for over a decade.

By the end of this topic you will be able to:

  • Classify a lip print sample using the Suzuki-Tsuchihashi five-type system and explain why quadrant distribution matters more than any single groove type.
  • Describe the substrate-dependent collection sequence for lip prints, including the correct development method for porous versus non-porous surfaces.
  • Explain the Iannarelli 12-measurement earprint system, its population-sample limitations, and the inter-examiner agreement findings from the FearID project.
  • Execute the bite-mark collection sequence in correct order: scaled photography at 90°, double-swab for salivary DNA, silicone cast if substrate permits, and reference dentition from the suspect.
  • State the current scientific consensus on uniqueness for all three impression types, citing NAS 2009, PCAST 2016, and the standard Indian appellate citation (Mohd. Aman v State of Rajasthan, 1997).
Key terms
Cheiloscopy
Study of lip prints (Greek cheilos, lip; skopein, to examine). The furrow system on human lips was first described by anthropologist R. Fischer in 1902; Locard recommended lip prints for forensic identification in 1932; LeMoyne Snyder formalised the method in his 1950 textbook Homicide Investigation; the Suzuki-Tsuchihashi 1970 classification is the working scheme.
Suzuki-Tsuchihashi classification
Five types of lip-print groove patterns: Type I straight vertical, Type II branched, Type III intersected, Type IV reticular (net-like), Type V irregular. A single lip usually shows mixed types across its quadrants.
Otoscopy (earprint)
Identification using the imprint of the external ear (helix, antihelix, tragus, antitragus, lobe). Iannarelli's 12-measurement system is the historical baseline; modern courts treat earprints as class, not individual, evidence.
Forensic odontology
Application of dental science to legal investigation. Covers dental identification of remains, age estimation from dentition, and bite-mark analysis.
ABFO No. 2 scale
The L-shaped reference scale published by the American Board of Forensic Odontology, used in bite-mark photography. Placed at 90° to the camera axis on the same plane as the bite.
Class vs individual evidence
Class evidence narrows the population (group of possible sources); individual evidence identifies a single source. Lip, ear and bite-mark evidence now sit on the class side in mainstream forensic science.

Cheiloscopy: the lip-print fundamentals

The lip's free border (the vermilion zone) carries a pattern of grooves called sulci labiorum. LeMoyne Snyder's 1950 textbook Homicide Investigation was the first English-language work to argue these grooves could be used for identification, building on Locard's 1932 recommendation that lip prints be used in personal identification. By the 1970s the Japanese researchers Suzuki and Tsuchihashi had surveyed enough lip-print samples to propose the five-type classification still used today.

A few facts worth holding clearly. Lip prints are stable across adult life unless trauma or disease (cheilitis, herpes labialis scarring) alters the surface. The pattern is laid down during the third intrauterine month. Identical twins show similar but not identical patterns, which is the strongest argument the field has for some discriminating power. Population studies from Indian samples (a much-cited 2014 Chandigarh study; AIIMS Delhi work in 2019) report Type II and Type III dominate among north Indians, with regional variation that has been used to argue for population-specific reference databases.

The Indian SFSL practical reality is more modest. Lip-print evidence appears in casework as one circumstantial strand alongside DNA, fingerprints and CCTV. No published Indian conviction rests on cheiloscopy alone, and the cases that get cited (Karnataka glass-marked-with-lipstick robberies; a few Mumbai sexual-assault matters) all had corroborating physical evidence. Cross-link to Forensic Photography for the documentation grade that lip-print photographs need.

Lifting and developing lip prints at the scene

The collection workflow is substrate-dependent. Most lip prints recovered in Indian casework come from drinking glasses, tea cups, cigarette butts, bottle rims, envelope seals and the occasional kissed letter. Each surface needs a different development method.

  1. Recognition and on-scene photography
    Scan glassware and cup rims under oblique light or a 365 nm UV torch; lipstick-bearing prints often fluoresce weakly. Photograph in situ with the ABFO scale before any chemical step. The on-scene photograph is the only record of the print's original substrate orientation.
  2. Direct visible prints (with lipstick)
    If pigment is already visible, the print is photographed with overview, mid-range and close-up shots (three-shot rule), then the substrate is packaged whole. No development is needed. Glass is wrapped in tissue and boxed; cigarette butts go into paper envelopes, never plastic.
  3. Latent prints (no visible lipstick)
    On non-porous surfaces (glass, ceramic, polished metal), apply magnetic powder with a magnetic wand, working from the outer edge inward. Aluminium powder is the second-choice option. Both raise the lip print as a dustable image that is then photographed and lifted with adhesive tape on a contrasting card.
  4. Dark or smudged lipstick on dark substrates
    Use aluminium powder for high contrast, or switch to small-particle reagent for damp surfaces. Lysochromes (Sudan III, Oil Red O) selectively stain the fatty component of lipstick and are sometimes used in lab development, not at the scene.
  5. Lifting and packaging the lift
    Adhesive tape lift onto a backing card of contrasting colour (black card for white powder, white card for black powder). Label with scene exhibit number, location of recovery, lifter's name and date. The lift is then re-photographed under controlled lab conditions before any comparison work begins.
  6. Reference lip prints from the suspect
    Apply unflavoured lipstick or lip cosmetic to the suspect's vermilion, blot once on filter paper, then take three full-lip impressions on glass or photo paper. Repeat for upper and lower lips separately. The reference set goes to the lab with the lifted print for comparison.

The Indian SFSL anchor here is the standard kit issued to state SOCO teams: magnetic powder, aluminium powder, ABFO scale, an envelope set for cigarette butts and a small lip-print reference pad. State FSLs in Gandhinagar (NFSU campus), Hyderabad and Madhuban have all published kit lists that include these items as routine.

Otoscopy: earprints in Indian practice

The earprint is the rarest of the three. The external ear is anatomically complex (helix, antihelix, scapha, triangular fossa, tragus, antitragus, lobe) and the cartilage is firm enough that when a person presses an ear against a door or window during eavesdropping or forced entry, an oily latent print transfers in a way that captures most of those features.

The external ear with the seven anatomical landmarks Iannarelli measured. The 12 measurements are taken between these landmar
The external ear with the seven anatomical landmarks Iannarelli measured. The 12 measurements are taken between these landmarks (e.g. helix-top to lobe-bottom, tragus to antitragus). The system is still taught in NFSU classes but is now treated as class evidence by mainstream forensic science.

Alfred Iannarelli proposed a 12-measurement system in 1989 based on a sample of around 10,000 ears. The measurements are pair-wise distances between the seven anatomical landmarks shown above. He argued the combined measurement set could discriminate at near-individual level. The trouble is that the sample was self-selected, the measurement protocol depended on operator skill, and reproducibility studies in the 2000s (the European FearID project, finished 2006) found inter-examiner agreement of only around 90% on the most discriminating measurements.

Indian SFSL casework with earprints is rare. The scenarios where it has been attempted include burglary cases where the suspect pressed an ear to a glass door, and one widely-cited Maharashtra case where a kidnapping suspect's ear had imprinted on a bound victim's clothing. In both, the earprint was offered alongside fingerprint and DNA evidence and was not the deciding strand. Otoscopy is retained as a teaching unit in Indian forensic-science courses, but the working level of mastery expected is landmark recognition rather than full identification math.

Comparison plate of three impression types: bite mark on skin showing arch radius and individual tooth marks; lip print showi
Comparison plate of three impression types: bite mark on skin showing arch radius and individual tooth marks; lip print showing groove patterns; ear print showing helix and antihelix outline. One distinguishing identification feature is called out for each type.

Bite marks: collection and the three injury patterns

Bite marks are the most common of the three impression types in violent-crime casework, especially in sexual assault, child abuse and homicide. A bite mark is a patterned injury where the dental arch indents skin, food, chewing gum, a cigarette filter or similar deformable substrate. The forensic odontologist works from the photographed pattern back to a possible source dentition.

The on-scene collection workflow has been stable for two decades.

  • Photograph first, in colour and with the ABFO No. 2 scale placed at 90° to the long axis of the camera lens, on the same plane as the bite. Take overview, mid-range and close-up exposures. Repeat under UV (365 nm) and IR if the bite is on light skin where bruising may be subdermal. Time-series photographs over 48 to 72 hours capture the bruise's progression, which can reveal pattern detail invisible at first.
  • Swab the bite for salivary DNA before any other step that might wash it. Use the double-swab technique: first swab moistened with sterile saline to lift cellular material, second dry swab to absorb residual moisture. Package each swab separately in a paper envelope, air-dry, refrigerate, and forward to the DNA division. This is now the highest-value piece of evidence the bite produces, and almost every reported Indian SFSL bite-mark case has rested on the salivary DNA hit, not on the pattern comparison.
  • Cast the bite if the surface is firm enough. Polyvinyl siloxane impression material (the same dental impression silicone used in clinical odontology) is layered over the bite once the swab is taken and the photographs are made. The set cast is a permanent three-dimensional record of the indentation. Skin is rarely firm enough for a usable cast; bite marks on chewing gum, fruit, cheese and chocolate cast well and are the cases where the cast is the primary exhibit.
  • Reference dentition from the suspect. A clinical dentist takes upper and lower alginate impressions of the suspect's dental arches, plus a wax bite registration that captures occlusion. The casts are forwarded to the FSL odontology division for comparison.

A practical distinction worth holding cleanly: a bite on the victim is the suspect's dentition (offensive bite, often during an attack); a bite on the perpetrator is the victim's dentition (defensive bite, often during resistance). Both are documented identically. The investigative significance differs.

ABFO scoring, NAS 2009 and the Indian appellate response

The American Board of Forensic Odontology published a scoring scale in 1995, updated several times since, that asks the examiner to grade the degree of similarity between the bite pattern and the suspect's dentition on a graduated scale (from "exclusion" through "inconclusive" to "the biter").

EraMainstream odontology claimWhat changedIndian appellate reception
1970s to 1990sBite marks can identify an individual to the exclusion of all othersCasework conviction based on bite-mark testimony alone (US: Bundy 1979; UK: various)Limited Indian casework; bite marks treated as corroborating evidence only
2000sBite marks discriminate among a small group of suspectsPopulation-frequency studies failed to demonstrate uniqueness; several US exonerations on DNA reviewMohammad Aman v State of Rajasthan (2017) admitted bite-mark evidence but stressed corroboration
2009 to 2016Bite marks are class evidence; identification claims are not scientifically supportedNAS 2009 report; PCAST 2016 report; multiple US state courts limit bite-mark testimonyIndian SFSLs adopt the conservative ABFO scoring; cross-examination routinely challenges uniqueness claims
2017 to 2026Bite marks help include or exclude classes of dentition; DNA from saliva is the primary identification routeSalivary DNA recovery becomes the standard first step on every bite markIndian appellate practice treats pattern-only bite-mark testimony as inadequate; DNA corroboration is now expected

The 2009 National Academy of Sciences report Strengthening Forensic Science in the United States was the inflection point. Its bite-mark chapter concluded that "the scientific basis is insufficient to conclude that bite-mark comparisons can result in a conclusive match." The 2016 PCAST report repeated the finding more bluntly. Several US convictions that had rested on bite-mark testimony alone were vacated on DNA review, and a working group of US odontologists publicly walked back the uniqueness claim in 2018.

The Indian appellate response has tracked the international shift without ever fully embracing it. In Mohd. Aman v State of Rajasthan (1997), the Supreme Court of India addressed the reliability of forensic impression evidence and stressed that such testimony is corroborative, not the primary identification. The judgment is cited when forensic pattern-evidence admissibility is in dispute. The SFSL practice that has emerged in Gujarat, Maharashtra and Tamil Nadu is conservative: photograph, swab for DNA, document, report patterns as "consistent with" or "inconsistent with" the suspect's dentition, and never claim individual-source identification on pattern alone. Cross-link to Chain of Custody because every bite-mark swab fails in court the same way every other DNA swab fails, on a broken custody chain.

Six anchor questions on minor impression evidence

The following questions cover the three impression types, standard development and lifting methods, and the current scientific position on uniqueness.

  • Name the five Suzuki-Tsuchihashi types and draw a representative pattern for each. Straightforward recall; the patterns are simple to sketch.
  • Walk through the bite-mark collection sequence in order. Photograph (with ABFO scale at 90°), swab for DNA (double-swab), cast if substrate allows, reference dentition from suspect. The order is the answer.
  • Why is the swab taken before the cast? Because the cast material (silicone) contaminates the bite surface and destroys the salivary DNA recovery window. Swab first, always.
  • What is the current scientific status of bite-mark uniqueness? Class evidence, not individual. NAS 2009, PCAST 2016, ABFO walked back the claim. Indian SFSL practice reports "consistent with" or "inconsistent with" and lets DNA carry the identification.
  • Which Indian case is the standard citation on bite-mark admissibility? Mohammad Aman v State of Rajasthan (2017). The point of the citation: admissible as corroboration, not as primary identification.
  • What is the Iannarelli system and what is its current status? Twelve pair-wise ear measurements proposed in 1989; FearID and other reproducibility studies found inter-examiner agreement around 90% on the most discriminating measurements; treated as class evidence in mainstream forensic science; retained in Indian teaching as a class-evidence example.
Practice
Question 1 of 5· 0 answered

In the Suzuki-Tsuchihashi lip-print classification, which type is characterised by a net-like (reticular) pattern of grooves?

Frequently asked questions

Are lip prints unique like fingerprints?
Mainstream forensic science treats lip prints as class evidence with discriminating power, not as individually identifying like fingerprints. Sample studies including Indian work from Chandigarh and AIIMS Delhi show pattern stability across adult life and population-level variation, but no large-scale study has demonstrated uniqueness in the way fingerprint and DNA evidence has. Cheiloscopy is best used as corroboration alongside DNA or fingerprints.
What is the Suzuki-Tsuchihashi classification, and how is it remembered?
Five types of lip-print groove patterns: Type I straight vertical, Type II branched, Type III intersected (crossing), Type IV reticular (net-like), Type V irregular. Some texts add Type I' as a sub-type for partial straight grooves. The discriminator is the mix of types across the lip's four quadrants, not any single type.
Why is the salivary swab taken before the silicone cast in a bite-mark workup?
Silicone impression material (polyvinyl siloxane) contaminates the bite surface and destroys the salivary DNA recovery window. The standard sequence is photograph first (with ABFO No. 2 scale at 90°), then double-swab for DNA, then cast if the substrate allows. Reference dentition from the suspect is taken later at a dental hospital. Salivary DNA is now the primary identification route in almost every reported Indian SFSL bite-mark case.
What did the 2009 NAS report say about bite marks?
The US National Academy of Sciences report Strengthening Forensic Science in the United States concluded that the scientific basis is insufficient to conclude bite-mark comparisons can produce a conclusive match. The 2016 PCAST report repeated the finding. Both reports pushed mainstream forensic odontology to treat bite marks as class evidence and to walk back uniqueness claims; Indian SFSL practice has tracked the same shift.
Is earprint evidence ever used in Indian courts?
Rarely, and never as the primary identification. Recorded Indian uses include burglary cases with an ear pressed against a glass door, and one Maharashtra kidnapping case where the suspect's ear had imprinted on a bound victim's clothing. In both, the earprint was offered alongside fingerprint or DNA evidence. Earprint identification is retained in Indian forensic-science teaching as a class-evidence example, with the working expectation being landmark recognition rather than identification calculations.
What is the ABFO No. 2 scale and why is it placed at 90° to the bite?
The ABFO No. 2 is an L-shaped reference scale published by the American Board of Forensic Odontology. Placed on the same plane as the bite and at 90° to the camera's optical axis, it gives the lab a true-to-scale reference for measuring the bite pattern from the photograph. A scale on a different plane, or at an angle to the camera, introduces distortion that defeats the measurement.
How is a bite on the victim distinguished from a bite on the perpetrator?
A bite on the victim is the suspect's dentition, often inflicted during an attack (offensive bite). A bite on the perpetrator is the victim's dentition, often inflicted during resistance (defensive bite). Both are documented identically: scaled photographs, double-swab for salivary DNA, cast if substrate allows, reference dentition from the relevant party. The investigative significance differs, but the SOCO workflow does not.

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