Diagnosing abuse: a systematic review of torn frenum and other intra-oral injuries

Maguire, Sabine; Hunter, Bruce; Hunter, Lindsay; Sibert, Jonathan Richard; Mann, Mala; Kemp, Alison

doi:10.1136/adc.2006.113001

Cited by 88 publications

(78 citation statements)

References 30 publications

(52 reference statements)

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“…Neither injuries reported by negligence or sexual abuse nor racial characteristics and socio-economic context of the abused children were analysed or described. Two systematic reviews were included [20,21]. Seventy one clinical cases were reported in twenty six papers; thirty five met the inclusion criteria having thirty six been excluded .…”

Section: Resultsmentioning

confidence: 99%

“…Intraoral lesions occur in a significant number of abused children, being widely distributed (lips, mucosa, tongue and palate) [21]. Frenulum laceration is mainly described in children of preschool age target of grievous abuse [21]. As the literature mentions accidental frenulum laceration a laceration isolated cannot be described as pathognomonic of child maltreatment [21].…”

Section: Systematic Reviews Analysismentioning

confidence: 99%

“…Frenulum laceration is mainly described in children of preschool age target of grievous abuse [21]. As the literature mentions accidental frenulum laceration a laceration isolated cannot be described as pathognomonic of child maltreatment [21].…”

Section: Systematic Reviews Analysismentioning

confidence: 99%

“…Frequently associated with lesions that may be older and may contain the pattern of the weapon used [20]. Intraoral lesions occur in a significant number of abused children, being widely distributed (lips, mucosa, tongue and palate) [21]. Frenulum laceration is mainly described in children of preschool age target of grievous abuse [21].…”

Section: Systematic Reviews Analysismentioning

confidence: 99%

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Injuries of Non-Lethal Child Physical Abuse to the Crania and Orofacial Regions: A Scientific Review

Banheiro¹,

C²,

C³

2015

J Forensic

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The literature states that maltreatment in childhood and youth make up a problem on a global scale that exceeds ethnicities, religions, cultures, social and economic classes. It is also said that more than half of the injuries from maltreatment occur in the head and face. Assuming the particular relevance of orofacial structures, the dentist must know how to observe and recognize the indicators and properly diagnose the injury by maltreatment. This scientific review aimed to understand what types of intraoral lesions, signs or external lesions of the head or neck can be associated with child maltreatment. One primary database was searched so that systematic review articles and meta-analysis, case reports or case series of intraoral lesions, signs or external lesions of the head or neck by child maltreatment could be acquired. The references in the works acquired by electronic search were manually researched and the authors of all possibly relevant papers were contacted. In all searches inclusion and exclusion criteria were applied. Of the twenty two papers included two were systematic reviews and twenty were case reports or case series. The twenty articles of case reports or case series exposed information from thirty-five clinical cases included. Despite the limitations of scientific evidence it can be concluded that oral cavity, head and neck regions are home to multiple and diverse injuries by maltreatment of children and youngsters.

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Section: Resultsmentioning

confidence: 99%

Section: Systematic Reviews Analysismentioning

confidence: 99%

Section: Systematic Reviews Analysismentioning

confidence: 99%

Section: Systematic Reviews Analysismentioning

confidence: 99%

See 2 more Smart Citations

Injuries of Non-Lethal Child Physical Abuse to the Crania and Orofacial Regions: A Scientific Review

Banheiro¹,

C²,

C³

2015

J Forensic

View full text Add to dashboard Cite

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“…The graphic shows two brushes, overloaded with copious amounts of paste, a not uncommon finding in illustrations and photographs used in health education material aimed at young children and their parents. Since the early 1990s 1 it has been agreed that the amount of toothpaste used by children should be restricted letters to a smear (under three years) or peasize amount (3-6-years-old) -a message endorsed on tubes of fluoride containing toothpaste sold in the UK and recognised in national 2,3 and international 4 clinical guidelines. Whilst recognising the freedom that abstract art enjoys and the professional nature of the intended audience on this occasion, your cover provides an opportune reminder to those involved in producing health education material, of the importance of reinforcing in pictures and graphics, the message about appropriate dispensing of toothpaste for young children.…”

Section: Four Handed Wisdommentioning

confidence: 99%