How can a child's dental examination assist in identifying potential abuse cases?

A Presence of fractured teeth or oral injuries inconsistent with the given history

B Delayed tooth eruption due to nutritional deficiencies

C Caries affecting multiple teeth in poor oral hygiene

D Enamel hypoplasia indicating systemic illness

Solution

Correct Answer: Option A

- A child's dental examination can reveal fractured teeth or oral injuries that do not match the caregiver’s explanation, which is a critical indicator of potential abuse.
- These inconsistencies suggest intentional harm rather than accidental injury.
- Unlike conditions such as delayed eruption, caries, or enamel hypoplasia, which have medical or nutritional causes, unexplained trauma in the oral cavity is a key red flag for abuse.
- Early detection through dental exams is vital for safeguarding the child's wellbeing.

Reference: Pinkham's Handbook of Pediatric Dentistry, 5th Edition, Chapter 10: Pediatric Oral Pathology, Page 221-223

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