Oral and Dental Aspects of Child Abuse and Neglect

Fisher-Owens, Susan A.; Lukefahr, James L.; Tate, Anupama Rao

doi:10.1542/9781610024334-part01-oral_and_dental

Cited by 14 publications

(28 citation statements)

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“…15 Therefore, dentists need to have a thorough understanding of the diagnosis and reporting of child abuse. 9 It is a well-known fact that education improves the diagnosis and management skills required in healthcare providers, and this study indicates that in some dental schools, education around child abuse is lacking. In this study, the majority of the students were aware of their legal responsibility towards reporting child abuse, as has been found in some previous studies.…”

Section: Discussionmentioning

confidence: 81%

“…9 In the case of suspected oral sexual assault, referral to a medical clinic or hospital for further evaluation is recommended. 9 Samples collected within 24 hours of an assault in pre-pubertal children and within 72 hours in adolescents improve the diagnostic accuracy in cases of sexually transmitted infections in the oral cavity. 10 Moreover, unexplained wounds or petechiae, especially those at the junction of the hard and soft palate, may result from forced sexual intercourse.…”

Section: Introductionmentioning

confidence: 99%

“…The evaluation of suspected child abuse should be conducted using a timely multidisciplinary approach to protect the child and family. 9 Child abuse training programmes were organized for healthcare workers in Turkey from 2002 to 2006, with a follow-up research study by Ağırtan et al 12 They showed that the rate of reported abuse cases was five times higher following the training, compared with the pre-education period. This dramatic rise proves the importance of education in order to increase the reporting of cases.…”

Section: Introductionmentioning

confidence: 99%

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Self‐reported knowledge, attitudes, and practice of final‐year dental students in relation to child abuse: A multi‐centre study

Duman

Al‐Batayneh

Ahmad

et al. 2021

Int J Paed Dentistry

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Background:The number of child abuse cases is increasing worldwide; therefore, it is important to educate individuals having contact with children about it. This includes dentists who play a pivotal role in detecting and reporting child abuse. Aim: To identify and compare the final-year dental student's knowledge, attitudes, and practice in relation to child abuse. Design: A 38-item and four-part online questionnaire was distributed to students of 11 dental schools in 10 countries. SPSS and GraphPad Prism were used for data analysis. The levels of statistical significance were determined using a chi-square test. P ≤ .05 was considered to be statistically significant. Results: A total of 660 students completed the survey. Fifty-six percent of the students received formal training on child abuse, and 86% wanted additional training.The knowledge of child abuse was significantly higher in Australia, the United States, and Jordan compared with other countries. Internet (60.3%) was commonly used as an information source for child abuse. Conclusions:The study showed that dental students lack knowledge and experience in recognizing and reporting child abuse. Most respondents indicated a desire for additional training; therefore, dental schools should review what they are currently teaching and make changes as appropriate.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Self‐reported knowledge, attitudes, and practice of final‐year dental students in relation to child abuse: A multi‐centre study

Duman

Al‐Batayneh

Ahmad

et al. 2021

Int J Paed Dentistry

View full text Add to dashboard Cite

show abstract

“…Some parents/ guardians may forego dental care due to mistrust of dental providers or out of fear of being reported for abuse or neglect. 38 While education/awareness related to good oral health is also a preliminary step towards practicing behavior change, the complex nature of CSHCN with ACEs requires options tailored to their unique circumstances. As telemedicine has become a significant option for many people with access issues, perhaps teledentistry has a role in providing access to needed care for CSHCN.…”

Section: Significance Of Study Findingsmentioning

confidence: 99%

“…CSNCN with or without ACEs often have healthcare and physical care needs that are time‐consuming to their parents/guardians and, as a result, there may be lower priority to oral health issues and dental visits. Some parents/guardians may forego dental care due to mistrust of dental providers or out of fear of being reported for abuse or neglect 38 . While education/awareness related to good oral health is also a preliminary step towards practicing behavior change, the complex nature of CSHCN with ACEs requires options tailored to their unique circumstances.…”

Section: Significance Of Study Findingsmentioning

confidence: 99%

Association between adverse childhood experiences among children with special healthcare needs and dental care utilization

Wiener

Bhandari

2021

J Public Health Dent

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Objectives: Adverse childhood experiences (ACEs) often have consequences beyond the immediacy of any specific event. The purpose of this study is to identify if ACEs in children with special healthcare needs (CSHCN) are associated with oral problems and dental care utilization. Methods: The data source for this cross-sectional, secondary data analysis study was the 2017-2018 National Survey of Children's Health. Children were categorized as CSHCN or children with no special healthcare needs (CNSHCN) who had no, 1, 2, or ≥3 ACEs. Rho-Scott Chi-Square tests and bivariate and multivariable logistic regression analyses were conducted. Results: CSHCN who have had 1, 2, or ≥3 ACEs were significantly more likely to have had an oral problem or dental caries within the previous year as compared with CNSHCN who did not have any ACE. For no dental visits for any reason and no preventive visits, CSHCN at all levels of ACE were not significantly different from CNSHCN and no ACE in adjusted analyses. However, CNSHCN who had ≥3 ACEs were significantly more likely to not have had a preventive dental or any dental visit within the previous year. Conclusions: In this nationally representative study of children and adolescents in the United States, CSHCN who have had ACE were more likely to have oral health problems within the previous year as compared with CNSHCN who did not have ACE.

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Tea or Thrush?: A Case of Nonaccidental Oral Injury in an Infant

Jan

Dully

Kostecki

et al. 2021

Journal of Child Science

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A 5-month-old girl child patient presented to the emergency department for oral thrush and poor feeding but instead demonstrated concern for abuse after physical exam, as findings were consistent with oral injury. Correct identification of the oral findings as traumatic necessitated navigating language and cultural issues before the mechanism of injury and abuse determination could be made. Exploring the involvement of other caregivers was a crucial piece for investigation of the clinical scenario. The incidence of child abuse and pediatric oral injuries concerning for abuse were reviewed in this case report.

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Oral and Dental Aspects of Child Abuse and Neglect

Cited by 14 publications

References 0 publications

Self‐reported knowledge, attitudes, and practice of final‐year dental students in relation to child abuse: A multi‐centre study

Self‐reported knowledge, attitudes, and practice of final‐year dental students in relation to child abuse: A multi‐centre study

Association between adverse childhood experiences among children with special healthcare needs and dental care utilization

Tea or Thrush?: A Case of Nonaccidental Oral Injury in an Infant

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