Becker D B, Needleman H L, Kotelchuck M
J Am Dent Assoc. 1978 Jul;97(1):24-8. doi: 10.14219/jada.archive.1978.0447.
Orofacial trauma was found in 49% of 260 documented cases of child abuse seen during of five-year period at the Children's Hospital Medical Center, Boston. An additional 16% of the cases involved head trauma; the total percentage of head and facial trauma was 65%. Head or facial trauma was the principal reason for admission to the hospital in 45% of the cases. A survey of 537 dentists in Massachusetts showed that the majority were unaware of their legal and social responsibilities to report suspected cases of child abuse. Eleven percent of all dentists surveyed saw orofacial trauma cases that were of a suspicious nature, by only 22 confirmed cases of child abuse were noted by the dentists. Of these, only four were reported to social agencies. In general, oral surgeons and pedodontists saw a higher percentage of these cases and were more aware of their responsibilities than were general practitioners.
在波士顿儿童医院医疗中心五年期间记录的260例虐待儿童案件中，49%的案件存在口腔面部创伤。另外16%的案件涉及头部创伤；头部和面部创伤的总比例为65%。在45%的案件中，头部或面部创伤是入院的主要原因。对马萨诸塞州537名牙医的一项调查显示，大多数人没有意识到他们有法律和社会责任报告疑似虐待儿童的案件。在所有接受调查的牙医中，11%的人见过具有可疑性质的口腔面部创伤病例，但牙医仅记录了22例经证实的虐待儿童案件。其中，只有4例报告给了社会机构。一般来说，口腔外科医生和儿童牙医见到这类病例的比例更高，并且比普通执业医生更清楚自己的责任。
