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Updated: Mar 3, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Identifying Potential Child Abuse through Oral Examination
Jillian N Printz1, Aaron Baker2, Michele Carr2
1College of Medicine, The Pennsylvania State University, Hershey, PA, USA.
Insights
Oropharyngeal trauma is common in children, but diagnosis and management tools for abuse cases are lacking. This case report highlights a soft palate laceration as a sign of potential child abuse, emphasizing early detection.
Area of Science:
- Pediatric medicine
- Forensic dentistry
- Child abuse recognition
Background:
- Oropharyngeal trauma is frequently observed in pediatric populations, yet underreported in medical literature.
- A lack of standardized diagnostic and management protocols for orofacial trauma in child abuse cases complicates clinical practice.
- This underscores the critical need for detailed case reporting to advance understanding and clinical guidelines.
Observation:
- A case report details a soft palate laceration in a child, initially unrecognized as a sign of potential abuse.
- The injury, though seemingly minor, served as an indicator of underlying non-accidental trauma.
- This observation highlights the importance of thorough oral examinations in pediatric patients.
Findings:
- Soft palate lacerations can be subtle indicators of orofacial trauma resulting from child abuse.
- Early recognition of oral signs of child abuse is crucial for timely intervention and appropriate care.
- The case emphasizes the diagnostic challenges and the necessity of considering abuse in unexplained orofacial injuries.
Implications:
- Improved recognition of oral manifestations of child abuse can lead to earlier detection and reporting.
- Developing standardized diagnostic and management tools for oropharyngeal trauma in abuse cases is essential.
- This case contributes to the literature, advocating for heightened awareness among healthcare providers regarding non-accidental oral injuries in children.
Abstract:
Limited reports of oropharyngeal trauma exist in the literature even though this type of injury is extremely common in pediatric populations. There are no widely agreed upon diagnostic and management tools for such injuries in abuse cases, emphasizing the importance of reporting rare cases of orofacial trauma. This case report of a soft palate laceration demonstrates an instance of initially unrecognized potential child abuse. We aim to clarify understanding of such injuries. Furthermore, the report highlights the need for recognition of oral signs of child abuse in order to promote early detection, reporting, and appropriate management.
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