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Orofacial Injuries in Children and Adolescents (2009-2013): A 5-Year Study In Porto, Portugal
Humberto Gomes Vidal1,2, Inês Morais Caldas3,4,5, Luiz Gutenberg Toledo de Miranda Coelho Júnior6
1Department of Legal Medicine and Forensic Sciences, Faculty of Medicine, UP - Universidade do Porto, Porto, Portugal.
Brazilian Dental Journal
|July 5, 2018
Summary
Physical violence against children and adolescents often involves head, face, and neck injuries. Adolescents aged 15-17 are more vulnerable, with facial injuries being most common.
Area of Science:
- Forensic Medicine
- Pediatrics
- Public Health
Background:
- Physical Violence against Children and Adolescents (PVCA) is a significant public health concern.
- Head, face, and neck injuries are common manifestations of PVCA.
- Early identification of PVCA is crucial for intervention and prevention.
Purpose of the Study:
- To determine the prevalence of head, face, and neck aggression in child and adolescent victims of PVCA.
- To analyze demographic factors associated with these injuries.
- To highlight the role of healthcare professionals in identifying PVCA.
Main Methods:
- Retrospective analysis of 2,148 complaints of physical aggression against individuals aged 0-17 years.
- Data collected from the National Institute of Legal Medicine and Forensic Sciences Delegation North (INMLCF-DN) in Porto, Portugal (2009-2013).
- Statistical analysis using Chi-square or Fischer's Exact tests.
Main Results:
- 1,380 cases with clinical relevance to physical aggression were identified.
- The face was the most frequently injured region (747 injuries, 24.7%).
- A statistically significant association was found between sex and head/face injuries. Victims aged 15-17 were more susceptible than those aged 0-14.
Conclusions:
- PVCA frequently involves the head, face, and neck, particularly in older adolescents.
- Dentists are well-positioned to detect signs of PVCA due to routine examination of the head, face, and neck.
- Further research and interdisciplinary collaboration are needed to address PVCA effectively.
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