This article has a correction. Please see:

Download PDFPDF
Diagnosing abuse: a systematic review of torn frenum and other intra-oral injuries
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • 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...

    Show More
    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...

    Show More
    Conflict of Interest:
    None declared.
  • 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...

    Show More
    Conflict of Interest:
    None declared.