Kvaal S I
Rev Belge Med Dent (1984). 1993;48(1):49-53.
Child abuse is more common than previously supposed, and non-accidental injuries may also present in the oral cavity. Results of physical abuse are most commonly diagnosed as such, but injuries from sexual abuse and results of neglect may be observed in the mouth. Bruises are the most common types of non-accidental injuries, the lips and frena being specially exposed, through burns may be cause by over-hot food or caustic liquids. The teeth may fracture, be avulsed, displaced or discoloured as a result of non-accidental injury. Sexually transmitted diseases in children's mouths are strong indications of sexual abuse. Children exposed to oral sexual activities over a considerable period of time may develop higher caries rates and erosion on the palatal surface of the maxillary teeth. Dental neglect may be part of general neglect. The dentist's role is to treat the oral injuries and take appropriate action to prevent continued abuse.
虐待儿童的情况比之前认为的更为普遍,非意外伤害也可能出现在口腔。身体虐待的结果最常被如此诊断,但性虐待造成的伤害以及忽视的后果也可能在口腔中被观察到。瘀伤是最常见的非意外伤害类型,嘴唇和系带特别容易受伤,不过烧伤可能是由过热食物或腐蚀性液体导致的。牙齿可能因非意外伤害而折断、脱落、移位或变色。儿童口腔中的性传播疾病是性虐待的有力指征。长时间遭受口交行为的儿童可能会有更高的龋齿率以及上颌牙齿腭面的侵蚀。牙齿忽视可能是整体忽视的一部分。牙医的职责是治疗口腔损伤并采取适当行动以防止虐待行为继续。