References. Some people who have a lot of wear in their teeth may not realize it could be caused from an acid reflux condition, or just an acid heavy diet. "When I see a patient with symptoms like frequent gum abscesses, swelling, a lot of bone loss in a short amount of time, and gum disease that doesn't respond to normal treatment, those can be signs that they have diabetes," says Sally Cram, DDS, a periodontist in Washington, D.C., and spokeswoman for the American Dental Association. "It can range from physical bruising to petechiaelittle burst blood vessels from suction," Mark Wolff, DDS, dean of the University of Pennsylvania School of Dental Medicine, told Health. doi:10.1542/peds.2017-1487. ", "Alcoholic patients are cavity-prone because alcohol tends to dry the mouth out," says David Tarica, DMD, of 34th Street Dental in New York City. Also, be sure to tell your dentist if you've noticed symptoms like a sore in your mouth that doesn't heal, a lump, or pain or numbness anywhere in your mouth or on your lips. Diabetes reduces the body's resistance to infection putting the gums at risk. Why? Fri: 9:00am - 6:00pm Also, the appearance of palatal petechiae may not raise any concerns for dentists or other healthcare providers. Early detection is key to increasing the survival rate for these cancers. "The first signs of oral cancer can be seen from the following: unexplained bleeding in the mouth, white, red, or speckled patches in the mouth, a change in the way your teeth fit together, swellings, thickenings, lumps or bumps or eroded areas on the lips, gums, or other areas inside the mouth," explains Michael Apa, DDS, of Rosenthal Apa Group in New York City. Sometimes it can even get to the point where they develop a pregnancy tumor. It can occur through oral sex or with the presence of an illness, but in some cases, its appearance may be a sign of abuse. Centers for Disease Control and Prevention. This grinding -- also known as bruxism -- can eventually cause bone loss that your dentist may detect on your X-rays. For instance, we want to know if a medication may cause side effects such as dry mouth, which can lead to other complications. Some common oral health concerns include canker sores, dry mouth, or cavities. Swollen and receding gums can be an early sign of diabetes, and sores in your mouth that don't heal can sometimes indicate oral cancer. Lingen MW, et al. However, symptoms of mild infection may include: CMV infections can be more severe for individuals with weaker immune systems and for babies born with the virus, leading to serious symptoms or problems. It is how we breathe and nourish our bodies. https://www.nhs.uk/conditions/mouth-ulcers/, https://www.nhs.uk/conditions/mouth-cancer/symptoms/, https://www.cancerresearchuk.org/about-cancer/mouth-cancer/symptoms, https://my.clevelandclinic.org/health/diseases/11184-oral-cancer, https://www.mouthhealthy.org/en/az-topics/h/hpv-and-oral-cancer, https://www.hopkinsmedicine.org/health/conditions-and-diseases/oral-cancer, https://www.cancerresearchuk.org/about-cancer/mouth-cancer/living-with/changes-speech, https://www.mayoclinic.org/diseases-conditions/mouth-cancer/symptoms-causes/syc-20350997, https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/mouth-cancer, https://www.aaoms.org/docs/media/oral_cancer/oral_cancer_self_exam.pdf, https://www.nhs.uk/conditions/mouth-cancer/diagnosis/, https://www.who.int/health-topics/cancer#tab=tab_3, https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=34&contentid=17740-1, https://www.cancer.org/cancer/esophagus-cancer/causes-risks-prevention/risk-factors.html, , . Patients with gastroesophageal reflux disease will typically come in with enamel erosion. Due to the unfortunate nature of dentistry, there isn't really any true home remedies that will get rid of dental problems. The difference this time is that the eroded enamel is on the cheek side or the facial side as we call it. 1. When youre dehydrated, you lack saliva and your teeth are more vulnerable to acid attacks. You may be wondering if your dentist can tell if you're vaping or smoking. Teeth that are flattened, fractured, chipped or loose. This article has been viewed 97,128 times. Mouth cancer (also known as oral cancer) can occur anywhere inside your mouth in your lips, gums, tongue, under your tongue, on the roof of your mouth, inside your cheeks and around your wisdom teeth. This means that if you have any type of oral surgery procedure like a tooth removal, the time it would take for your gums and your bone to heal would be slower than normal. Your teeth may be worn down or chipped if you've been unconsciously grinding or clenching them. HIV will have oral manifestations. But no studies have proved that oral cancer screening saves lives, so not all organizations agree about the benefits of an oral exam for oral cancer screening. During a routine dental examination, your dentist may alert you about the following conditions: Cardiovascular Disease. Without intervention, these conditions could get much worse over time. Other symptoms to look out for include swelling on the side of your face or neck, loose teeth, and numbness. HIV will have oral manifestations. Sun: By Appointment Only, SiteMap | Privacy Policy | Services | Ad Disclosure|afterva, 1311 Jackson Ave, Long Island City, NY 11101, 16 Things Your Dentist Can Tell From Just Looking At Your Mouth, We can tell if you're stressed even while asleep. You are pregnant. With that in mind, palatal petechiae can show up for different reasons. For these situations, we would refer you to your primary care physician for genetic testing. The reason, he explains, is because the roots of the top teeth are positioned in the same area as the floor of the sinuses. Emergency dental care. While there are many symptoms a woman might exhibit if she's expecting, apparently, there's also a telltale sign in her mouth that a dentist can easily spot. Founded in 2015 by Dr. Aditi Gupta and Arunav Chakravarty (AC), ACE Dental has been providing exceptional general and emergency dental services to patients in Central TX. MORE:5 Surprising Ways You're Seriously Hurting Your Teeth, "A deficiency of vitamins and minerals can cause many oral conditions, like burning tongue syndrome, tissue sloughing off, increased infections, delayed healing, bone infections, and easy-to-bleed gums," explains John P. Dougherty, DDS, MAGD, of Artistic Dental at the Biltmore in Phoenix, AZ. Ladies need to be a little bit more diligent with their oral hygiene during this stressful period. We can tell if you're stressed even while asleep. "Alcoholic patients are cavity-prone because alcohol tends to dry the mouth out," says David Tarica, D.M.D., of 34th Street Dental in New York City. The dentist may also examine your throat and neck for lumps. The purpose of all of this oral health information is to encourage you to see your dentist and to inform you of what you may expect during your visit. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Dentists can detect clues about your overall health. Here's what we're seeing when we look in your mouth: As with all types of cancer, early detection is key in successful treatment. Tooth decay (cavities) are an infectious disease. "I tell my patients: If you have a family history of heart disease or stroke, you should keep your gums as healthy as possible so you don't add to your other risk factors," Cram says. Your mouth is home to millions of bacteria most of them harmless but some cause our teeth to decay, and can spread to other parts of the body through the bloodstream. ", 5. Your oral health includes your teeth, gums, and other body parts involved in your oral-facial system. The first sign of oral cancer is often a small red or white spot or sore in the mouth. Do you get canker sores a lot all around your mouth? Oct. 13, 2019. Some women will develop a deep red lump on their gums called a pregnancy tumor or pyogenic granuloma." They will come in with dry mouth a lot as well. Preventing high risk behaviors, that include cigarette, cigar or pipe smoking, use of smokeless tobacco, and excessive use of alcohol are critical in preventing oral cancers. Helwany M, Rathee M. Anatomy, head and neck, palate. Cost can vary by your location, whether the tooth is impacted, and if you need additional teeth removed . Diabetes weaken the overall immune system and in turn the mouth becomes prone to other infections such as . The soft palate is the back top part of the mouth connected to the hard palate. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2019.html. Excessive sun exposure with tanning habits. "Signs include chips and cracking of the teeth, plus wear and tear on the teeth from the constant . Moyer VA. Your dental health can impact your heart. These chemicals can induce early labor and impair fetal growth. These signs include: Dry mouth. So, visiting the dentist regularly is not only good for your dental health, but your overall health too. 99 views, 1 likes, 1 loves, 4 comments, 0 shares, Facebook Watch Videos from The Salvation Army of Nash, Edgecombe, Wilson Counties: Holiness Meeting April 30,2023 In: Gzler S, ed. Regular exams allow our dentists to keep your mouth in good shape and monitor conditions that may get worse or lead to problems elsewhere in your body. Here's more of what you need to know about palatal petechiae. Mayo Clinic. These color changes may be red, white, grey or dark in color. Look for mouth ulcers which have not healed in over two or three weeks. This one is similar to GERD because you will show up with enamel erosion as well. You can have spontaneously bleeding gums. If you feel pressure or pain, it is probably your sinus. All rights reserved. Thurs: 9:00am - 6:00pm It can give some patients severe sores in the corners of their mouth while others have changes in their tongues. They will have a toothache that is somewhere on the back upper teeth but they won't be able to pinpoint where the teeth sensitivity is coming from. Your dentist can see signs in your mouth that you've been smoking or vaping without you telling them. The answer is "yes.". "Most children that suck their thumbs or a finger have no long-term effects from the habit," says Stephenson. "Many times, imbalances in sugar will show a rapid change in the health of your gums, including increased swelling, bleeding, and sensitivity," says Handschuh. Clinics in Dermatology. ", Mayo Clinic: "Diabetes and dental care: Guide to a healthy mouth.". ", American Diabetes Association: "Diabetes and Oral Health Problems. People with type 1 and type 2 diabetes are more likely to develop gum disease. Your bad breath may mean something. This form of gum disease is similar to gingivitis but it just occurs during pregnancy. Hearst Magazine Media, Inc. All Rights Reserved. You'd be more prone to gum disease and your healing will usually be delayed. Sorry, but you can't fool your dentist into thinking you floss daily by doing so the night before or morning of your visit. Additionally, beyond the Epstein-Barr virus (EBV), which can cause mono, other viruses can be a culprit, too. Dental implant surgery can offer a welcome alternative to dentures or bridgework that doesn't fit well and can offer an option when a lack . It mostly affects the softest top part of your mouth. A Quick Review. IntechOpen; 2019. Wisdom teeth removal surgery, also called a wisdom tooth extraction, is a dental procedure used to remove a tooth from the third set of molars , commonly called your "wisdom teeth." The surgery is typically used when the tooth becomes impacted. What does a dentist do? Anemia. You Have a Drinking Problem. American Dental Association: "Pregnancy.". Having high blood pressure can cause excessive bleeding in the gums even during brushing, as well as during treatment. To create this article, volunteer authors worked to edit and improve it over time. Bone loss often involves root exposure. You may also notice velvety white and red patches inside your mouth. Since then I've developed a fondness for writing, which is how this all got started! Once we start the dental cleaning, your gums will snitch on you. They also don't bleed easily. Signs and symptoms of bruxism may include: Teeth grinding or clenching, which may be loud enough to wake up your sleep partner. Child protective services, law enforcement agencies, or both will use the report as part of the case's investigation. Patient evaluation and assessment. As a happily married couple who are passionate about dentistry, our founders are committed to helping . Additionally, smoking can lower the chances for successful treatment. Commonly you can find mouth sores. And it's not just diseasesdentists can discover everything from your bad habits to your favorite beverages simply by asking you to say, "Ahh! Because saliva washes away food and neutralizes acids produced by bacteria in the mouth. We recommend using the latest version of IE11, Edge, Chrome, Firefox or Safari. UIC dentists will also work with primary and specialty care providers who wish to refer their patients for our oral care services. The reason they do this is two fold: To check if you are nervous because if you are, you would most likely be fidgeting your hands or white knuckling. Symptoms. This is why it is important to get a, Author: This article was written by Dr David Chen, a. , NY. ", Cleveland Clinic: "Oral Health Problems and Diabetes. Conduct the self-examination in a well-lit room. If you end up with palatal petechiae, you won't have it forever. Bruxism is usually caused by stress but can also occur because the top and bottom teeth aren't aligned properly. Oral Cancer. These changes can, in turn, increase the risk of heart disease and stroke. And it is more common than you might think. "Spending 5 minutes a day to remove plaque and bacteria by brushing and flossing is worth it if it will help prevent serious heart problems or stroke.". Without looking at your hands, a dentist may be able to detect this habit. Child abuse and neglect refer to the mistreatment of children and adolescents younger than 18 years old by people who have children in their care (e.g., parents, caregivers, coaches, or teachers). To create this article, volunteer authors worked to edit and improve it over time. The more tooth fillings you need, the more sweets you've probably consuming. WebMD does not provide medical advice, diagnosis or treatment. As soon as your dentist sees blood from just touching your gums, the verdict has already been decided. Oral health conditions. In order to keep them healing, you need to be consistent with keeping them clean and it takes more than just one day. Overview. The goal of oral cancer screening is to identify mouth cancer early, when there is a greater chance for a cure. Some people like to punch holes in the wall to take out their stress and others like to take it out on their teeth. ", 9. We refer to this as the tongue side or lingual side of your teeth. Timothy Chase, DMD, of SmilesNY in New York City, adds, "The first thing the dentist should do is rule out the odor coming from the teeth and gums. 2005 - 2023 WebMD LLC, an Internet Brands company. Drago F, Ciccarese G, Merlo G, et al. 2. Avoiding or limiting alcohol, caffeine, and tobacco products. Some of these things you may be aware of but others you may not have been. Have you heard of scurvy? That is why we take a comprehensive approach at UIC. 3. They offer treatments in: Preventive dentistry. 2016;8(2-3):68-73. doi:10.11138/orl/2015.8.2.068. Factors that can increase the risk of oral cancer include: The number of people diagnosed with mouth and throat cancers has been rising over the last several years, though it isn't clear why. You love eating sweet foods and drinking carbonated beverages. "Over the years, I've had at least a dozen patients who I identified as diabetic and they didn't know it.". 7. Alcohol is one of the causes of dry mouth, reducing saliva production and increasing your chance of halitosis and tooth decay. You may also feel a non-stop pain/tenderness in a particular area of your mouth. The mistreatment may occur as: More than half of child abuse cases include injuries related to the head, neck, and face. "This is caused by increased progesterone, which facilitates the growth of bacteria, causing gingivitis. Without looking at your hands, a dentist may be able to detect this habit. Do the same for the upper lip. If any of these symptoms are accompanied by a high fever and facial or neck swelling, you should . Offenbacher, S. Obstetrics and Gynecology, September 2010. Oral cancer screening is typically performed during a routine dental appointment. Roughly 99.99% of them require in-person intervention by a healthcare professional. They release acids that eat away at a tooth's enamel, eventually weakening it and forming cavities. It can appear on your lips, gums, tongue, cheek lining, or in other parts of your mouth. They won't be able to feel one side of their face as if they just had an injection with novocaine even though they didn't get any dental treatment done. https://www.cancer.gov/types/head-and-neck/hp/oral-screening-pdq. 718-358-3307, Hours: Mon: 9:00am - 6:00pm Doctors may recommend tooth extraction if you have tooth decay, infection, or crowding. People with diabetes are at higher risk for developing infections for many diseases. MORE: 9 Things Your Hands Say About Your Health, 4. Will typically look like a sore but one that doesn't go away. "An oral surgeon should be consulted for a biopsy of any suspicious tissue. He says other possibilities include acid reflux and the use of antidepressants or mood-elevating drugs, both of which reduce the amount of saliva in the mouth, thereby upping the odds of acid damage. You've either gingivitis or periodontitis, one of the two forms of gum disease. Cancer Facts & Figures 2019. Periodontal (gum) disease in particular is associated with several, often serious, health problems. A common example is the association between periodontal diseases and diabetes. To prevent or treat dry mouth, your dental professional may recommend: Increasing water consumption to prevent dehydration, especially before bed. Whether you're stressed out while you sleep. 2021;34(6):1141-1156. doi:10.3122/jabfm.2021.06.210217. In some cases, they'll work closely with your primary care doctor to help manage your follow-up care. There are 15 references cited in this article, which can be found at the bottom of the page. Some dentists promise that their office procedures will make your teeth four shades whiter. Researchers have yet to determine, for example, the best treatment to use and whether the treatment should ideally begin before women with gum disease get pregnant. ", American Academy of Periodontology: "Gum Disease and Diabetes. When you have xerostomia, dry mouth, it will increase your chances for tooth decay because saliva acts as a pH buffer that brings it back up. It turns out that your facial nerve is quite close to your ear canal so if you have an ear infection, the inflammation and swelling could be pressing on your nerve. More specifically it would be the back part of the tooth that is affected. Drugs used to treat osteoporosis carry a small risk of damage to the bones of the jaw. In addition, serious gum disease can make it more difficult for people with diabetes to control their blood sugar. Edmund Khoo, DDS, is an orthodontist and clinical associate professor at the New York University College of Dentistry. .css-1pm21f6{display:block;font-family:AvantGarde,Helvetica,Arial,sans-serif;font-weight:normal;margin-bottom:0.3125rem;margin-top:0;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-1pm21f6:hover{color:link-hover;}}@media(max-width: 48rem){.css-1pm21f6{font-size:1rem;line-height:1.3;}}@media(min-width: 40.625rem){.css-1pm21f6{font-size:1rem;line-height:1.3;}}@media(min-width: 64rem){.css-1pm21f6{font-size:1.125rem;line-height:1.3;}}Eric Braeden Reveals Cancer Diagnosis, Sam Neill on His Health Amid Cancer Diagnosis. In:StatPearls. Restorative dentistry. To prevent damage to your teeth and keep them apart so your jaw muscles can relax, your dentist can fit you with a custom mouth guard to wear while you sleep. Annals of Internal Medicine. Another way to tell is to bend your head over and start shaking it like a L'Oreal commercial. Dental Exams Can Detect Signs of Disease Elsewhere in the Body. Centers for Disease Control and Prevention. Stephenson notes that, "This erosion happens almost exclusively on the tongue-side of the front teeth and can contribute to increased cavities." He explains that teeth can be softened by sodas and other sugary beverages over time, which may make a tooth more susceptible to chipping. Because cavities come in a number of different colors from yellow to black, these should be easy to spot just from looking at pictures of your teeth. The spread of bacteria from mouth to mouth, is part of the reason why tooth decay (cavities) are the single most common chronic childhood disease. The muscles of the soft palate help with: When the condition appears, it doesn't always look the same for every person. Diplomate, American Board of Periodontology. Additionally, Wolff said that dentists see palatal petechiae "periodically," although it's not overly common. Pediatrics. While cavities and plaque build-up may be what's on your mind before a teeth cleaning, your dentist is looking for a whole lot more. "This can cause your teeth to become uneven and lead to jaw pain and discomfort." Clinical Assistant Professor You bite your nails. In the process you will snore. I drink too much soda or sports drinks. Getting more iron will solve these problems. Still, you and your dentist may decide that an oral exam or a special test is right for you based on your risk factors. We may also take digital X-rays, or perform additional diagnostic procedures to develop a comprehensive treatment plan, which will be reviewed with you at the completion of the exam. Last Updated: January 6, 2023 Since gum disease may increase the risk of heart attacks and strokes, you should tell your dentist if you have cardiovascular disease or have a family history of these conditions. Oral and dental aspects of child abuse and neglect. Erosion can drastically change the color, size and shape of your teeth. They may be the first to notice the symptoms and will refer you to a primary care doctor for follow-up. UIC's seven health sciences colleges and health care delivery enterprise. You could also use a small, hand-held torch to illuminate the inside of your mouth. This usually indicates that the cancer has spread and become more advanced. Some dentists use special tests in addition to the oral exam to screen for oral cancer. Kyle Stanley, DDS, of Helm, Nejad, Stanley in Beverly Hills adds, "Patients that bite their nails using their front teeth usually have leveled off, flat front teeth. If you are a victim of child abuse or know someone who might be, call or text theChildhelp National Child Abuse Hotlineat 1-800-422-4453 to speak with a professional crisis counselor. Periodontitis is a serious gum disease that causes inflammation and damages the bone and soft tissues supporting the teeth. It may also show up with mononucleosis (also known as mono)a viral infection that leads to symptoms such as fever and swollen lymph nodes in the neck. All signs that your dentist is trained to recognize as side effects of bulimia. You have diabetes. Acids do the most damage when you are very thirsty or have a dry mouth. Last but not least, if you do bite your nails you most likely have damaged enamel and chipped teeth here and there all over your mouth. Blood flows to and from our mouth and the rest of the body. If you get them frequently, you could be deficient in one of the B vitamins. Rven Smalls Widener is a former behavioral health professional with 3 years of experience educating and supporting patients dealing with chronic pain. Other symptoms include patches that change color on your tongue, lips, or mouth. You have dental caries. "General bad breath can be categorized as halitosis," says Arbeitman. Dry mouth, also known as xerostomia, is a common condition, particularly among older adults. What Can a Dentist Tell About Your Cardiovascular Health by Taking a Look in Your Mouth, at Your Teeth, and at Your Gums? 2. We may also modify treatment, medications and local anesthetics to prevent adverse effects situations during dental treatment.. Acute dental infections can be truly life threatening if left un-treated, and the risk becomes even worse when there are other chronic conditions present, such as diabetes, says William G. Flick DDS, MPH, Clinical Professor, Oral Maxillofacial Surgery at UIC. The goal of oral cancer screening is to detect mouth cancer or precancerous lesions that may lead to mouth cancer at an early stage when cancer or lesions are easiest to remove and most likely to be cured. A dentist or periodontist may be the first to notice these symptoms and can tell you which additional tests or treatments you may need. Several common medications including decongestants, antihistamines, painkillers, diuretics and antidepressants can reduce saliva flow. Researchers are investigating the links between gum disease and cardiovascular disease. Oral and dental signs of child abuse and neglect, Fast facts: preventing child abuse & neglect, Oral and dental aspects of child abuse and neglect. Our LIC dentists diagnose sinus infections all that time. Typically, palatal petechiae goes away on its own, and it shouldn't prevent you from seeing a dentist for routine dental care or a healthcare provider for treatment if an infection is the cause. It can occur through oral sex or with the presence of an illness, but in some cases, its appearance may be a sign of abuse. Each situation in your mouth is unique and complex. If certain conditions are detected during a dental exam, UIC dentists may coordinate prescription of medications, or share medical records and x-rays with a patients primary care physician as requested. Likewise, people who have severe periodontal disease find it harder to control blood sugar levels., Aniruddh Narvekar, BDS Excessive tooth erosion is one way your dentist could tell if a patient may be bulimic. Level up your tech skills and stay ahead of the curve. If you don't get enough vitamin C, you can get scurvy. The condition of your teeth and gums might have an effect on your heart. We may be able to catch some things that you don't even know about! Without adequate saliva, the tongue cannot glide over the teeth, gums, and cheeks, making eating, speaking, or swallowing difficult. You've a metabolic disease like diabetes. 'Fruity' breath could indicate uncontrolled diabetes or a dietary fast that has gone too far, while 'fishy' breath could be a sign of kidney or liver failure," he explains. Look for mouth ulcers that recur in the same areas of the mouth over and over again. Tooth decay, also known as dental caries or cavities, is a breakdown of your teeth due to acids made by bacteria. What can a dentist tell from just your mouth examination The only time you flossed since your last check up was right . This is an easy one because your dentist actually looks at more than just your mouth. (Still, that shouldn't stop you from attending routine dental appointments.). Your dentist, dental hygienist, or periodontist will typically screen for oral cancer as part of a routine dental exam. But Silverstrom is quick to point out that acid erosion on the back of a patient's teeth does not always indicate an eating disorder. Since then I've developed a fondness for writing, which is how this all got started! Difficulty in fitting the dentures inside your mouth is a good indication that your teeth have moved. Stephenson adds, "Surprisingly, iron deficiencies show up in many ways in your mouth. For instance, Endocarditis, an infection of the inner lining of your heart, typically occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart. The best thing to do is to go in person to see your dentist for an examination and consultation so that you can receive the best care possible. Mouth cancer can affect almost any part of your mouth, including your lips, gums, and tongue, and it can be treated if you detect it early. HIV/AIDS:Oral problems, such as painful mucosal lesions, are common in people who have HIV/AIDS. It will manifest as either, It is never too late to see an orthodontist for some braces or even, Wow, dentists can diagnosis autoimmune diseases?! Evidence-based clinical practice guideline for the evaluation of potentially malignant disorders in the oral cavity. If you suffer from gastro-esophageal reflex disease, then your chance of developing esophageal cancer is slightly higher. While there are differences between vaping and smoking, some similarities between them can give you away to your dentist . More research is needed to determine the best way to manage gum problems to lower the risk of preterm delivery. Their face is just numb and they have no explanation. A good dentist will always tell you if you have periodontal disease and the best way to manage this disease. But, in particular, palatal petechiae or other unexplained palatal injuries may be due to sexual abuse in the form of forced oral sex.
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