Citation

Peručić J, Tarle M, Đanić P, Čvrljević I, Salarić I. Acta Stomatol. Croat 2022; 56(3): 311-317.

Copyright

(Copyright © 2022, Drustvo Zubozdravstvenih Radnika Hrvatske)

DOI

10.15644/asc56/3/9

PMID

36382211

PMCID

PMC9635499

Abstract

Diagnosing child abuse still poses a challenge for healthcare professionals. We will present a case in which a physically and emotionally abused four-year-old boy had an undiagnosed lower jaw fracture for almost eight months. The child first presented with a peri-mandibular swelling and was treated with antibiotics prescribed by his doctor of dental medicine. After not having responded to antibiotic treatment, the boy was referred to the Department of Oral and Maxillofacial Surgery, accompanied by his birth mother. The deciduous mandibular molars with deep cavities were extracted since we thought that they were the reason for swelling. After several visits with his foster mother, the child was finally diagnosed with a lower jaw fracture and a psychosomatic disorder. Physical abuse by his birth parents was later on confirmed, and the consequences were insufficient growth, non-perception of pain and reduced speech development. After having been with his foster mother for almost a year, the child learned to complain when he was in pain. This report emphasizes the importance of taking a detailed medical history along with a thorough clinical examination.

Language: en

Keywords

Child Abuse; Emotional Abuse; Mandibular Fractures; MeSH Terms: Physical Abuse