Mother of a 5 year old female child is extremely concerned about the discoloration on her daughter’s teeth. The mother gives a history of the patient suffering from recurrent and multiple illnesses and various food allergies. The patient is on multiple medications for recurrent fever, diarrhea and infections. The intraoral finding reveals proximal caries between the maxillary incisors and mandibular canines. Mother is insisting on taking an X-ray with these teeth. What type of abuse is this patient most likely suffering from?

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