Oral surgical aspects of child abuse and neglect

Oral trauma is a frequent manifestation of child abuse. Injuries to the oral hard and soft tissues are common in active children, but any oral injury in a young preambulatory infant should raise concern for abuse. Oral-facial trauma may be the primary presenting injury, or may accompany other severe inflicted injuries such as head injury, fractures, or abdominal trauma. Some congenital or acquired medical disorders may be mistaken for abuse or neglect. The oral surgeon is a critical participant in the collaborative management of child abuse cases.