{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T09:43:44Z","timestamp":1793094224721,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,1,11]],"date-time":"2010-01-11T00:00:00Z","timestamp":1263168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:p><jats:bold>Abstract\u2002\u2013\u2002<\/jats:bold> The aim of this study was to evaluate the prevalence and characteristics of injuries to the head and orofacial region in physically abused children and adolescents from a city of the Northeast of Brazil, based on the review of forensic medical reports. This retrospective study was undertaken by the analysis of expert medical reports derived from medical forensic exams performed at the Department of Forensic Medicine of the city of Campina Grande, PB, Brazil, between January 2003 and December 2006. From a universe of 11\u2003624 reports issued in this time span, the study sample consisted of 1070 reports referring to children and adolescents aged 0\u201317\u2003years that were confirmedly victims of physical abuse. Male children (52.8%) in the 13\u2010 to 17\u2010year\u2010old range (72.4%) were the most frequent victims, with an association between gender and age group (<jats:italic>P<\/jats:italic>\u2003=\u20030.039). Most children (58.2%) presented a single type of injury, with a statistically significant association between number of injuries and gender (<jats:italic>P<\/jats:italic>\u2003=\u20030.040), but no significant association between number of injuries and age (<jats:italic>P<\/jats:italic>\u2003=\u20030.163). The percentage of victims injured in the head and face corresponded to 56.3%, with a statistically significant association between the presence of injury in the head and face and gender (<jats:italic>P<\/jats:italic>\u2003=\u20030.046). As much as 12.4% of the children and adolescents presented intraoral injuries, with no significant difference between genders (<jats:italic>P<\/jats:italic>\u2003=\u20030.543). However, a statistically significant association was observed between the number of existing injuries and the presence of oral injuries (<jats:italic>P<\/jats:italic>\u2003=\u20030.005). The maxilla was predominantly affected (55.6%), most injuries (94.8%) being soft\u2010tissue lacerations located mainly in the upper lip (46.4%). The findings of this survey revealed a high prevalence of injuries to the head and orofacial region of physically abused children and adolescents.<\/jats:p>","DOI":"10.1111\/j.1600-9657.2009.00859.x","type":"journal-article","created":{"date-parts":[[2010,1,12]],"date-time":"2010-01-12T02:15:22Z","timestamp":1263262522000},"page":"149-153","source":"Crossref","is-referenced-by-count":43,"title":["Prevalence and characteristics of injuries to the head and orofacial region in physically abused children and adolescents \u2013 a retrospective study in a city of the Northeast of Brazil"],"prefix":"10.1111","volume":"26","author":[{"given":"Alessandro Leite","family":"Cavalcanti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,3,12]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"145","volume-title":"Rudolph\u2019s pediatrics","author":"Leventhal JM","year":"1996"},{"key":"e_1_2_6_3_2","first-page":"348","article-title":"Neglect and abuse of children: historical aspects, identification and management","volume":"42","author":"Ten Bensel RW","year":"1975","journal-title":"ASDC J Dent Child"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1978.0447"},{"key":"e_1_2_6_5_2","first-page":"152","article-title":"Dental aspects of 1248 cases of child maltreatment on file at a major county hospital","volume":"14","author":"Da Fonseca MA","year":"1992","journal-title":"Ped Dent"},{"key":"e_1_2_6_6_2","first-page":"245","article-title":"Physical manifestations of child abuse to the head, face and mouth","volume":"62","author":"Jessee SA","year":"1995","journal-title":"J Dent Child"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(00)00114-9"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2005.00661.x"},{"key":"e_1_2_6_9_2","volume-title":"Prevalence, characteristics and oral manifestations of physical maltreatment in children and adolescents in the metropolitan region of Joao Pessoa, PB, Brazil","author":"Cavalcanti AL","year":"2002"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00414-005-0006-5"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70015-8"},{"key":"e_1_2_6_12_2","first-page":"21","article-title":"The dual responsibility of dentistry in child abuse","volume":"19","author":"Sperber ND","year":"1981","journal-title":"Int J Orthod"},{"key":"e_1_2_6_13_2","first-page":"71","article-title":"Orofacial trauma in child abuse: types, prevalence, management, and the dental profession\u2019s involvement","volume":"8","author":"Needleman HL","year":"1986","journal-title":"Ped Dent"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196106292642606"},{"key":"e_1_2_6_15_2","first-page":"911","article-title":"Nature and severity of physical harm caused by child abuse and neglect: results from the Canadian Incidence Study","volume":"169","author":"Trocm\u00e9 N","year":"2003","journal-title":"Can Med Assoc J"},{"key":"e_1_2_6_16_2","first-page":"16","article-title":"Child abuse and unintentional injuries: a 10\u2010year retrospective","volume":"154","author":"DiScala C","year":"2000","journal-title":"Arch Pediatr Adolesc Med"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442-200X.2003.01694.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0379-0738(00)00324-8"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpem.2006.06.007"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1600-9657.2009.00859.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1600-9657.2009.00859.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,31]],"date-time":"2023-10-31T00:56:30Z","timestamp":1698713790000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1600-9657.2009.00859.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,3,12]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2010,4]]}},"alternative-id":["10.1111\/j.1600-9657.2009.00859.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1600-9657.2009.00859.x","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,3,12]]}}}