Pediatr Dent. 2018 Oct 15;40(6):243-249.
In all 50 states, health care providers (including dentists) are mandated to report suspected cases of abuse and neglect to social service or law enforcement agencies. The purpose of this report is to review the oral and dental aspects of physical and sexual abuse and dental neglect in children and the role of pediatric care providers and dental providers in evaluating such conditions. This report addresses the evaluation of bite marks as well as perioral and intraoral injuries, infections, and diseases that may raise suspicion for child abuse or neglect. Oral health issues can also be associated with bullying and are commonly seen in human trafficking victims. Some medical providers may receive less education pertaining to oral health and dental injury and disease and may not detect the mouth and gum findings that are related to abuse or neglect as readily as they detect those involving other areas of the body. Therefore, pediatric care providers and dental providers are encouraged to collaborate to increase the prevention, detection, and treatment of these conditions in children.
在所有50个州，医疗保健提供者（包括牙医）都被要求向社会服务或执法机构报告疑似虐待和忽视儿童的案件。本报告的目的是回顾儿童身体虐待和性虐待以及牙齿忽视的口腔和牙科方面，以及儿科护理提供者和牙科提供者在评估此类情况中的作用。本报告涉及咬痕以及口周和口腔内损伤、感染和疾病的评估，这些情况可能引发对虐待或忽视儿童的怀疑。口腔健康问题也可能与欺凌行为有关，并且在人口贩运受害者中很常见。一些医疗提供者接受的有关口腔健康、牙齿损伤和疾病的教育较少，可能不像发现身体其他部位的问题那样容易发现与虐待或忽视有关的口腔和牙龈问题。因此，鼓励儿科护理提供者和牙科提供者合作，以加强对儿童这些情况的预防、发现和治疗。
