Division of Oral Health, Children's National Hospital, and Department of Pediatrics, George Washington Medical School, Washington, District of Columbia.
Departments of Pediatrics and Preventive and Restorative Dental Sciences, University of California, San Francisco, San Francisco, California.
Pediatrics. 2024 Sep 1;154(3). doi: 10.1542/peds.2024-068024.
In all 50 states, the District of Columbia, and the Commonwealth of Puerto Rico, pediatricians, dental professionals, and other physicians are mandated to report suspected cases of abuse and neglect to social service or law enforcement agencies. The purpose of this clinical report is to review the oral aspects of abuse and dental neglect in children and the role of pediatricians, dental professionals, and other physicians in evaluating such conditions. This clinical report addresses recommendations on the evaluation of bite marks, as well as perioral and intraoral injuries, infections, and diseases that may raise suspicion for child abuse or neglect. Some physicians may have received less education pertaining to oral health, dental injury, and oral disease. These physicians may not detect the mouth and gum findings possibly related to abuse or neglect as readily as abuse injuries involving other areas of the body. Therefore, pediatricians, dental professionals, and other physicians are encouraged to collaborate to increase the prevention, detection, and treatment of these conditions in children.
在所有 50 个州、哥伦比亚特区和波多黎各自由邦,儿科医生、牙科专业人员和其他医生都被要求向社会服务或执法机构报告疑似虐待和忽视的案件。本临床报告的目的是回顾儿童虐待和忽视的口腔方面以及儿科医生、牙科专业人员和其他医生在评估这些情况中的作用。本临床报告涉及有关评估咬痕以及可能引起虐待或忽视怀疑的口周和口腔内损伤、感染和疾病的建议。一些医生可能接受的口腔健康、牙科损伤和口腔疾病方面的教育较少。这些医生可能不像涉及身体其他部位的虐待损伤那样容易发现可能与虐待或忽视有关的口腔和牙龈发现。因此,鼓励儿科医生、牙科专业人员和其他医生合作,以增加对这些儿童疾病的预防、发现和治疗。