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Sentinel injuries may appear trivial and do not require medical attention, but are unlikely caused by accidental mechanisms and, if not properly identified, often precede more severe abusive injuries. Concerning orofacial findings can manifest as bruising, eye injuries, intraoral injuries, pharyngeal perforations, facial bone fractures, and sexually transmitted infections. Abusive caregivers are likely to give inadequate explanations or no history at all to explain concerning findings. Medical providers' failure to make mandated reports about their concerns to the appropriate agencies can have significant long\u2010term impacts on the physical and psychological well\u2010being of children.<\/jats:p>","DOI":"10.1111\/edt.12852","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T07:44:22Z","timestamp":1685000662000},"page":"10-17","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Orofacial manifestations of child maltreatment: A review"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6954-6982","authenticated-orcid":false,"given":"Lora R.","family":"Spiller","sequence":"first","affiliation":[{"name":"Division of Child Abuse Department of Pediatrics University of Texas Health San Antonio San Antonio Texas USA"},{"name":"Children's Hospital of San Antonio San Antonio Texas 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