Oral and Dental Aspects of Child Abuse and Neglect: Clinical Report

Author:

Tate Anupama Rao1,Fisher-Owens Susan A.2,Spiller Lora3,Muhlbauer Jillian4,Lukefahr James L.3, ,Karp Jeffrey M.,Beyer Eric L.,Brooks Chevon,Feldman Lauren M.,Kimball C. Eve,Sokal-Gutierrez Karen,Unkel John H.,Zaborowski Matt,Crespin Matt,Moursi Amr,Beskin Kera, ,Haney Suzanne Breen,Laskey Antoinette,Asnes Andrea,Brown Verena,Girardet Rebecca G.,Heavilin Nancy,Gilmartin Amanda Bird Hoffert,Kissoon Natalie,Mohr Bethany Anne,Morgan Patricia,Nienow Shalon Marie,Rosado Norell,Keefe Rachael,Keeshin Brooks,Matjasko Jennifer,Wagoner Serena,Stedt Elaine,Hurley Tammy Piazza,Hudson Jeff

Affiliation:

1. aDivision of Oral Health, Children’s National Hospital, and Department of Pediatrics, George Washington Medical School, Washington, District of Columbia

2. bDepartments of Pediatrics and Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California

3. cDivision of Child Abuse Pediatrics, Department of Pediatrics, University of Texas Health San Antonio, San Antonio, Texas

4. dPrivate practice, Arnold, Maryland

Abstract

In all 50 states, the District of Columbia, and the Commonwealth of Puerto Rico, pediatricians, dental professionals, and other physicians are mandated to report suspected cases of abuse and neglect to social service or law enforcement agencies. The purpose of this clinical report is to review the oral aspects of abuse and dental neglect in children and the role of pediatricians, dental professionals, and other physicians in evaluating such conditions. This clinical report addresses recommendations on the evaluation of bite marks, as well as perioral and intraoral injuries, infections, and diseases that may raise suspicion for child abuse or neglect. Some physicians may have received less education pertaining to oral health, dental injury, and oral disease. These physicians may not detect the mouth and gum findings possibly related to abuse or neglect as readily as abuse injuries involving other areas of the body. Therefore, pediatricians, dental professionals, and other physicians are encouraged to collaborate to increase the prevention, detection, and treatment of these conditions in children.

Publisher

American Academy of Pediatrics (AAP)

Reference85 articles.

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2. Substance Abuse and Mental Health Services Administration. Intimate partner violence and child abuse considerations during COVID-19. Available at: https://www.samhsa.gov/sites/default/files/social-distancing-domestic-violence.pdf. Accessed November 29, 2023

3. Racial differences in the evaluation of pediatric fractures for physical abuse;Lane;JAMA,2002

4. Maltreatment of children with disabilities;Legano;Pediatrics,2021

5. The Joint Commission; Quick Safety. Addressing intimate partner violence and helping to protect patients. Available at: https://www.jointcommission.org/-/media/tjc/newsletters/quick-safety-63-addressing-ipv-final3-1-10-22.pdf. Accessed November 29, 2023

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