Clinicians anticipated difficulties in explaining to patients the change in clinical practice necessitated by adherence to the NICE guidance, most notably for patients with a history of infective endocarditis or where the patient's cardiologist did not agree with the NICE guidance. They placed particular emphasis on the provision of accurate information in order to reassure patients.

Patients generally felt that they would be most reassured by information provided by a clinician who they felt they could trust and who was qualified to comment on the issue by respecting their autonomy. The implications of the findings for the development of patient information are discussed.

Background:Since child abuse and neglect are serious conditions which can potentially lead to inappropriate dental health, we conducted this qualitative study to define the factors influencing child abuse and neglect, which lead to oro-facial lesions.Materials and Methods:Qualitative semi-structured interviews were conducted by social services employees. Purposive sampling was used to recruit participants to capture a range of experiences such as the physical abuse, sexual abuse, role of family in child abuse, age, and gender.Results:Participants demonstrated a range of perceptions which lead to child abuse including hitting on the head and slapping. Often subsidiary to this view, several factors were mentioned that occasionally influenced child abuse. These factors appeared to be idiosyncratic but could be drawn together into three categories: Cultural lacks which includes poverty, cruelty of parents and addiction, psychological disorders, and separation in the family which was seen in most of the children.Conclusion:This study has identified a variety of factors influencing the incidence of child abuse. Therefore, dentists should meticulously pay attention to children who have these risk factors in order to discover child abuse events. Quantitative research would reveal the extent of these factors. Dentists’ knowledge of their roles in managing cases suffering from abuse might need to be assessed to see if dentists need further education in this important area.

No abstract

No abstract