Trauma to the teeth and the oral cavity is a common reason for a patient to seek dental assistance. Apart from accidental damage, a doctor may come across injuries resulting from an intentional action. To diagnose the so-called non-accidental injuries is not easy and requires careful examination with special attention paid to a detailed history directed at the circumstances in which the injury was sustained. Such data should be collected both from a child and their caregivers. Moreover, a careful physical examination is necessary and -very often -accessory investigations. Risk factors and social data should also be considered.The term "child abuse" comprises four categories: physical abuse, sexual abuse, emotional abuse, and neglect, i.e. abandonment of the child's care. These types of child abuse are usually concurrent. Victims of sexual abuse may also be small children who cannot defend themselves due to physical weakness, fear, difficulty to communicate and lack of awareness. Although sexual abuse occurs commonly in the oral cavity, the signs are not always visible or easy to observe. The role of a dentist in diagnosing the effects of abuse is not a simple one and involves great professional and social responsibility. A doctor's reaction should not only involve implementing treatment but also reporting the case to specific institutions in order for them to take action in the situation a child experiences and to prevent recurrence
AbstractThe paper highlights the dentist's role in detecting child abuse, as well as the necessity to create a system of medical and legal support in such situations. On the basis of the presented case of sexual abuse, showing itself in the oral cavity, we want to emphasize the duty of the dentist team to take action in the situation a child experiences, and to prevent a recurrence. A patient aged 5 years old reported to the Department of Pediatric Dentistry, University of Medical Sciences to have her teeth treated. During the physical examination performed on the day the patient reported to the clinic, bruising was noted around the upper lip. The girl confessed she was kissed by a drunk neighbor, which resulted in the lip discoloration. Following an appropriate conduct procedure, the dentist informed the police who initiated explanatory proceedings. Identification of sexual abuse victims and providing help is a duty of the dentist, apart from treating oral diseases. It is important to develop standard procedures for medical professionals of various specialties as well as programs and procedures for administrative units and the national legal system (Dent. Med. Probl. 2016, 53, 2, 296-298).