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5至16岁受虐待和忽视儿童的口面部特征评估

Evaluation of the Orofacial Features in the Victims of Abuse and Neglect of 5-16-Year-old Age Children.

作者信息

Barbi Wagisha, Sonawane Ravindra S, Singh Pinky, Kumar Saurav, Kumar Boddupally Ravi, Arora Aafreen

机构信息

Department of Dentistry, AIIMS, Patna, Bihar, India.

Department of Pediatrics, Vasantrao Pawar Medical College, Hospital and Research Center, Nashik, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1705-S1708. doi: 10.4103/jpbs.jpbs_230_21. Epub 2021 Nov 10.

DOI:10.4103/jpbs.jpbs_230_21
PMID:35018059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8686918/
Abstract

BACKGROUND

Oral cavity may be considered a pivotal focal point in physical assault or abuse because of its implication in communication and nutrition. Dentists trained in a child abuse curriculum can provide valuable information and assistance to physicians about oral and dental aspects of child abuse and neglect. The present study was conducted to evaluate the orofacial features of children between the age group of 5-16 years suspected to be victims of child abuse/neglect.

MATERIALS AND METHODS

This study was conducted on 250 children ranging between 5 and 16 years were enrolled in the study. All the participants were suspected to be victims of child abuse/neglect. The orofacial features were carefully examined by a well-trained dentist.

RESULTS

Two hundred and fifty children were enrolled in the study. Seventy-two children (30%) presented with laceration of various sites including lip ( = 13), frenum ( = 8), buccal mucosa ( = 26), palate ( = 16), and floor of the mouth ( = 9). Twenty-nine participants exhibited the features of avulsion (11.6%). Eighteen children revealed dento-alveolar fractures, 104 presented with dental caries (41.6%), 19 presented with missing teeth (7.6%), all the candidates presented with deposits (100%).

CONCLUSION

Careful intraoral and perioral examination of the participants victimized to abuse and/neglect is necessary as the oral cavity is a central focus for physical abuse, which may be allied to its importance in communication and nutrition. Physicians and dentists should work together to increase the prevention, detection, and treatment of these conditions.

摘要

背景

由于口腔在沟通和营养方面的作用,它可能被视为身体攻击或虐待中的一个关键焦点。接受过虐待儿童课程培训的牙医可以就虐待和忽视儿童的口腔和牙齿方面向医生提供有价值的信息和帮助。本研究旨在评估5至16岁疑似遭受虐待/忽视儿童的口面部特征。

材料与方法

本研究纳入了250名年龄在5至16岁之间的儿童。所有参与者均疑似为虐待/忽视的受害者。由一名训练有素的牙医仔细检查口面部特征。

结果

250名儿童参与了本研究。72名儿童(30%)出现了不同部位的撕裂伤,包括嘴唇(13例)、系带(8例)、颊黏膜(26例)、腭部(16例)和口底(9例)。29名参与者表现出撕脱特征(11.6%)。18名儿童出现牙槽骨折,104名有龋齿(41.6%),19名有牙齿缺失(7.6%),所有参与者均有牙菌斑(100%)。

结论

对遭受虐待和/或忽视的参与者进行仔细的口腔内和口腔周围检查是必要的,因为口腔是身体虐待的核心焦点,这可能与其在沟通和营养方面的重要性有关。医生和牙医应共同努力,加强对这些情况的预防、检测和治疗。

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