Murali Preethi, Prabhakar Manoj
Department of Oral Pathology and Microbiology, Meenakshi Academy of Higher Education and Research, Faculty of Dentistry, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India.
J Forensic Dent Sci. 2018 May-Aug;10(2):71-74. doi: 10.4103/jfo.jfds_17_18.
Child sexual abuse (CSA) is defined as inappropriate adolescent or adult sexual behavior or contact with a child. Sexual abuse may be committed by any person including those under the age of 18 years when that person is either significantly older than the victim or is in a position of power or control over the child. Detecting CSA requires a high incidence of suspicion and familiarity with physical, behavioral, and verbal indications of abuse. Shame and guilt often may have discussion difficult. Studies have shown that approximately 60% of abused children have injuries to head, face, and mouth. Some of the oral and dental features that may be commonly noted in CSA are bruised lips, lacerated mucosa, nonexplainable missing teeth, tongue or frenal injuries, bone fractures in maxillofacial complex, and tooth trauma. It is important to us as dentists to remain vigilant as children depend on adults for protection. Hence, this review will culminate the investigations required by us not only as dentists but also as socially responsible adults.
儿童性虐待(CSA)被定义为青少年或成年人对儿童的不当性行为或接触。任何人均可能实施性虐待,包括18岁以下但明显年长于受害者或对儿童具有权力或控制权的人。发现儿童性虐待需要高度的怀疑意识以及对虐待的身体、行为和言语迹象的熟悉程度。羞耻和内疚感常常会使讨论变得困难。研究表明,约60%受虐待儿童的头部、面部和口腔有损伤。儿童性虐待中常见的一些口腔和牙齿特征包括嘴唇瘀伤、黏膜撕裂、无法解释的牙齿缺失、舌头或系带损伤、颌面复合体骨折以及牙齿外伤。作为牙医,我们保持警惕很重要,因为儿童依赖成年人来保护。因此,本综述将总结我们作为牙医以及有社会责任感的成年人所需要进行的调查。