Detection of child abuse on computed tomography imaging due to presence of severe caries: a case report

We present a case in which child abuse was detected through computed tomography imaging findings of severe dental caries. This case was a 5-year-old girl who fell down the stairs and hit her head. The computed tomography of her head showed no abnormalities; however, severe dental caries was detected. The mother ’s incomplete history and inadequate explanation of injuries further made us suspect abuse. A whole-body computed tomography was conducted for child abuse screening, which showed an unnatural fracture in the left arm. Through these imaging findings, we were able to identify and help a victim of ch ild abuse. Physicians should be aware that severe dental caries may be a sign of child abuse.
Source: Oral Radiology - Category: Radiology Source Type: research