Forensic Odontology services in Queensland have undergone rapid evolution in the last two decades with major changes occurring since CT facilities became available at Queensland Health Forensic & Scientific Services (QHFSS) in 2009. This has been driven partly by the changing environment in which we have operated. These include growing awareness of the need to reduce unnecessary invasive procedures during post-mortem examination, universal and consistent peer-review processes, and improved evidence reporting in written reports. Further, the role of Forensic Odontology has changed over time to encompass more than simply identification of deceased persons. Collectively, these changes have resulted in a constant improvement in standards and protocols. We report a statistical breakdown of all cases seen by Forensic Odontology at QHFSS between 1994 and August 2012 and interpret the data in respect of these changes. Observed trends in these data demonstrate a steady increase in demand for Forensic Odontology consultations, and may influence possible directions for future development and funding.