The dark side of Paediatric dentistry: Child abuse

Background: Children who have been abused could exhibit lesions and diseases in their oral cavity and develop psychological consequences towards the dentist-patient relationship. Objectives: Analyse the oral lesions and diseases, the psychological consequences and understand the role of the dentist...

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Autores principales:	Alejandro Carlos de la Parte-Serna, Gonzalo Oliván-Gonzalvo, Cosmina Raluca Fratila, Mariona Hermoso-Vallespí, Andrea Peiró-Aubalat, Ricardo Ortega-Soria
Formato:	article
Lenguaje:	EN
Publicado:	Emergency Department of Hospital San Pedro (Logroño, Spain) 2020
Materias:	child abuse oral and dental lesions paediatric dentistry primary care dentistry legal dentistry Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6187fe9e487e471ca8cda0f334e2381e
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spelling	oai:doaj.org-article:6187fe9e487e471ca8cda0f334e2381e2021-12-02T19:15:00ZThe dark side of Paediatric dentistry: Child abuse10.5281/zenodo.37390842695-5075https://doaj.org/article/6187fe9e487e471ca8cda0f334e2381e2020-04-01T00:00:00Zhttps://doi.org/10.5281/zenodo.3739084https://doaj.org/toc/2695-5075Background: Children who have been abused could exhibit lesions and diseases in their oral cavity and develop psychological consequences towards the dentist-patient relationship. Objectives: Analyse the oral lesions and diseases, the psychological consequences and understand the role of the dentist in the detection and notification of child abuse. Methods: Systematic review, according to PRISMA statement, with two search strategies in the MEDLINE/PubMed database. 19 publications were included after the application of selection and eligibility criteria. Results: Physical-abuse-related lesions and Münchausen syndrome are not pathognomonic; this requires the detection of indicators of suspicion. Physical-neglect diseases usually have associated other chronic health problems. Specifically, diseases related to sexual abuse are the oral infection caused by Treponema pallidum and Neisseria gonorrhoeae; while other lesions and diseases might only suggest abuse. The most frequent psychological sign of child abuse in the dentist-patient relationship is dental phobia. Typically, when detecting and notifying, dentist face the following barriers: insufficient information; fear of wrong suspicion; impact in the professional practice; fear of consequences on the minor; fear of violence against the dentist; lack of knowledge of necessary documents/procedures; fear of judicial statement. Conclusions: Child-abuse-related lesions and diseases often appear in the oral region. Dentists play a fundamental role in the detection and notification of those. It is essential to establish training and action protocols as well as reliance strategies in the patient-dentist relationship.Alejandro Carlos de la Parte-SernaGonzalo Oliván-GonzalvoCosmina Raluca FratilaMariona Hermoso-VallespíAndrea Peiró-AubalatRicardo Ortega-SoriaEmergency Department of Hospital San Pedro (Logroño, Spain)articlechild abuseoral and dental lesionspaediatric dentistryprimary care dentistrylegal dentistryMedicine (General)R5-920ENIberoamerican Journal of Medicine, Vol 2, Iss 3, Pp 194-200 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	child abuse oral and dental lesions paediatric dentistry primary care dentistry legal dentistry Medicine (General) R5-920
spellingShingle	child abuse oral and dental lesions paediatric dentistry primary care dentistry legal dentistry Medicine (General) R5-920 Alejandro Carlos de la Parte-Serna Gonzalo Oliván-Gonzalvo Cosmina Raluca Fratila Mariona Hermoso-Vallespí Andrea Peiró-Aubalat Ricardo Ortega-Soria The dark side of Paediatric dentistry: Child abuse
description	Background: Children who have been abused could exhibit lesions and diseases in their oral cavity and develop psychological consequences towards the dentist-patient relationship. Objectives: Analyse the oral lesions and diseases, the psychological consequences and understand the role of the dentist in the detection and notification of child abuse. Methods: Systematic review, according to PRISMA statement, with two search strategies in the MEDLINE/PubMed database. 19 publications were included after the application of selection and eligibility criteria. Results: Physical-abuse-related lesions and Münchausen syndrome are not pathognomonic; this requires the detection of indicators of suspicion. Physical-neglect diseases usually have associated other chronic health problems. Specifically, diseases related to sexual abuse are the oral infection caused by Treponema pallidum and Neisseria gonorrhoeae; while other lesions and diseases might only suggest abuse. The most frequent psychological sign of child abuse in the dentist-patient relationship is dental phobia. Typically, when detecting and notifying, dentist face the following barriers: insufficient information; fear of wrong suspicion; impact in the professional practice; fear of consequences on the minor; fear of violence against the dentist; lack of knowledge of necessary documents/procedures; fear of judicial statement. Conclusions: Child-abuse-related lesions and diseases often appear in the oral region. Dentists play a fundamental role in the detection and notification of those. It is essential to establish training and action protocols as well as reliance strategies in the patient-dentist relationship.
format	article
author	Alejandro Carlos de la Parte-Serna Gonzalo Oliván-Gonzalvo Cosmina Raluca Fratila Mariona Hermoso-Vallespí Andrea Peiró-Aubalat Ricardo Ortega-Soria
author_facet	Alejandro Carlos de la Parte-Serna Gonzalo Oliván-Gonzalvo Cosmina Raluca Fratila Mariona Hermoso-Vallespí Andrea Peiró-Aubalat Ricardo Ortega-Soria
author_sort	Alejandro Carlos de la Parte-Serna
title	The dark side of Paediatric dentistry: Child abuse
title_short	The dark side of Paediatric dentistry: Child abuse
title_full	The dark side of Paediatric dentistry: Child abuse
title_fullStr	The dark side of Paediatric dentistry: Child abuse
title_full_unstemmed	The dark side of Paediatric dentistry: Child abuse
title_sort	dark side of paediatric dentistry: child abuse
publisher	Emergency Department of Hospital San Pedro (Logroño, Spain)
publishDate	2020
url	https://doaj.org/article/6187fe9e487e471ca8cda0f334e2381e
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The dark side of Paediatric dentistry: Child abuse

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