Par 2 - Oral & Dental Aspect of Child Abuse

Question 1

T/F? More women are injured by abuse than by injuries from: rape, muggings, motor vehicle accidents combined.

Answer 1

TRUE.

Question 2

What is the #1 cause of abuse?

Answer 2

drug & alcohol abuse

Question 3

Who is the most common perpetrator/abuser? Who is the 2nd most common perpetrator?

Answer 3

most common: mothers (77%)

2nd most common: mother’s male “friend”

Question 4

Most common victim age range?

Answer 4

5-11 yrs old

Question 5

What are the 3 most common types of abuse in order from greatest to least?

Answer 5

neglect/nutritional deficit, physical, sexual

Question 6

What is the most common anatomical location of signs of child abuse? 2nd most?

Answer 6

most common: head & neck region (60%)

2nd most common: extremities

Question 7

What are the symptoms of “Battered Child Syndrome”?

Answer 7

Fracture of any bone
Subdural Hematoma
Failure to thrive
Swellings, Bruises,
Sudden unexplained death
Injuries at variance from history given

Question 8

Why is lanugo a possible sign of child abuse/neglect?

Answer 8

It is pre-natal hair that can also be a sign of starvation/neglect or anorexic teens.

Question 9

Tears of the labial or lingual frena result from _____.

Answer 9

Blunt force trauma

- for ex., when hand or blungt object forcibly applied to upper lip to silence child OR forced feeding

Question 10

Trauma to the palate or palatal contusions can result from…?

Answer 10

sexual abuse (forced fellatio)

Question 11

What are the best 2 red flags?

Answer 11

1. injuries at diff stages of healing

2. injuries not consistent w/ history given

Question 12

What do you do if you see injuries indicating domestic violence or abuse?

Answer 12

1. contact local law enforcement immediately.
2. contact your local dept of human services if child <18yo
3. visit TN Coalition to End Domestic & Sexual Violence or call TN Domestic Hotline

Question 13

T/F? Document personal opinions.

Answer 13

FALSE. Do not document personal opinions bc they may elicit emotional responses.

Question 14

What do you do with a child with rampant decay or abscesses that doesn’t come back?

Answer 14

• Document the event and document the information you gave parents
• Give the parent a document about returning for necessary care
• Child will only be removed if in eminent danger
• Make every effort to contact and treat
• Call if child fails next appointment. If further no shows or lack of contact – report.