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Diagnosing abuse: a systematic review of torn frenum and other intra-oral injuries
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  • Published on:
    Torn labial frenum -pathognomonic in some circumstances?

    It would be churlish to write expressing criticism of the recent study by the Welsh Child Protection Systematic Review Group (1) without first acknowledging the important contribution they have made to bringing an evidence base to the practice of child protection. However, I was surprised that the study group should make the statement that a torn frenum is widely regarded as pathognomonic and note there is only one art...

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    Conflict of Interest:
    None declared.
  • Published on:
    Torn labial frenum - always abusive?
    • Leena Menon, GP Registrar, Cardiff University
    • Other Contributors:
      • S Maguire, B Hunter, J Sibert, A Kemp

    We read with interest the systematic review on torn labial frenum and intraoral injuries by Maguire et al. Systematic review of the world literature1 found no studies comparing accidental versus non-accidental torn frenum. Diagnosing child abuse is challenging to both Paediatricians and Dentists2.A torn labial frenum is a trivial dental injury, rarely presenting to dental or A/E departments.

    To illustrate the...

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    Conflict of Interest:
    None declared.
  • Published on:
    Is a torn frenum diagnostic of child abuse?
    • Sandra S Mascarenhas, Specialist Registrar,Paediatrics
    • Other Contributors:
      • Dr.Aszkenasy M,Consultant Community Paediatrician

    We read with interest the article by Maguire et al 1, reporting the results of a systematic review of torn frenum and other intraoral injuries in diagnosing abuse. We do accept that in the absence of case control studies, the most appropriate study design to answer a diagnostic clinical question, the authors had to settle for case series or case studies. However, when none of the included case series were specifically desi...

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    Conflict of Interest:
    None declared.