Adverse childhood experiences and dental health in children and adolescents

Bright, Melissa; Alford, Shannon; Hinojosa, Melanie Sberna; Knapp, Caprice; Fernandez-Baca, Daniel

doi:10.1111/cdoe.12137

Cited by 89 publications

(100 citation statements)

References 29 publications

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“…[34,35]. Abuse and maltreatment can, in fact, impact all aspects of health [36], including oral health [37], as illustrated by the following case.…”

Section: The Hypothesismentioning

confidence: 96%

“…These include, among others, chronic obstructive pulmonary diseases (COPD), depression and auto-immune diseases. In addition, each of these, both singly and in their interrelationship, has now been discovered to be associated potentially with complex traumatic experience [12,13,24,[26][27][28]31,36,37,52,54,[78][79][80][81]. There is an increasing amount of solid evidence that experiencing complex trauma affects the body's physiology measurably.…”

Section: Complex Trauma -Complex Disordersmentioning

confidence: 99%

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Exploring the relationship between childhood adversity and oral health: An anecdotal approach and integrative view

Kirkengen

Lygre

2015

Medical Hypotheses

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“…[34,35]. Abuse and maltreatment can, in fact, impact all aspects of health [36], including oral health [37], as illustrated by the following case.…”

Section: The Hypothesismentioning

confidence: 96%

Section: Complex Trauma -Complex Disordersmentioning

confidence: 99%

Exploring the relationship between childhood adversity and oral health: An anecdotal approach and integrative view

Kirkengen

Lygre

2015

Medical Hypotheses

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“…Additionally, having multiple adverse childhood events had a cumulative negative effect on the condition of teeth and the presence of dental caries [11]. Risk increases more with each additional adverse childhood event.…”

Section: The Possible Role Of Allostasis In Eccmentioning

confidence: 99%

“…Sustaining socio-behavioral and biological stressors plays a causal role in triggering and/or exacerbating ECC perpetuation [11,21,22]. In predisposed children, SES-related social stressors such as food insecurity, exposure to domestic or neighborhood violence, inadequate day care, transportation, and maternal education level and associated dental health literacy all play a role in ECC exacerbation [11,21,22].…”

Section: Social Stressorsmentioning

confidence: 99%

“…In predisposed children, SES-related social stressors such as food insecurity, exposure to domestic or neighborhood violence, inadequate day care, transportation, and maternal education level and associated dental health literacy all play a role in ECC exacerbation [11,21,22]. For example, findings have shown that food-insecure children are more likely to have inadequate nutritional outcomes and thus poorer general health [22].…”

Section: Social Stressorsmentioning

confidence: 99%

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A Sociobiological Model of Early Childhood Caries: The Role of Allostatic Load

FitzGerald¹,

Gulvartian²,

Ramos‐Gomez³

et al. 2017

Pediatr Dent Care

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Objective: Even though many factors have been linked to increased ECC risk, few studies have specifically presented this information as a single comprehensive model. The purpose of this paper is to review the scope and usefulness of the proposed conceptual model in guiding future research of ECC risk as it relates to allostatic load. Methods:The various social, behavioural, and biological risk factors that emerge from the cumulative effects of chronic stress, defined as allostatic load, are discussed separately before being incorporated into a single sociobiological model of ECC.Results: In addition to biological realities, children experience profound impacts from their environments and family circumstances. The risk of developing ECC is especially pronounced in socially disadvantaged contexts. This information, as it is presented in the proposed conceptual model, reveals unique allostatic factors that work to increase risk at the level of the individual child, family, community, and society. Giving clinicians an idea of these realities has the capacity to more effectively screen and risk stratify children on the basis of dental health in the hopes of ultimately increasing their overall health as well. Conclusion:The proposed model provides a conceptual framework that relates factors of allostatic load to increased ECC risk. It demonstrates that a population-based, interprofessional collaboration strategy is essential to delivering effective prevention and treatment modalities to at-risk children. Future research regarding translational strategies has the capacity to reduce the prevalence of the biological, developmental, and psychosocial risk factors and thus ECC as a whole.

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Mental health screening and referral to treatment in dental practices: A scoping review

Culmer,

Smith,

Berryhill

et al. 2024

Journal of Dental Education

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ObjectiveThe purpose of this study was to conduct a scoping review to examine and summarize the characteristics of research related to mental health (MH) screenings and/or referrals to treatment in dental practices.MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines for Scoping Reviews and searched multiple databases for terms connected with dental care, MH concerns, screening, and referral. Included articles: (1) described care provided in a dental practice, (2) described a situation where the patient is experiencing the potential MH problem, (3) did not involve dental anxiety exclusively, and (4) involved some form of MH screening and/or referral to treatment. Article analysis included a summary of key study characteristics, types of evidence, study design, and central concepts and definitions.ResultsThe search generated 2050 records, with 26 ultimately included. Most studies involved only adults (22, 85%), but only three (12%) reported on rurality (two urban; one mixed) and only two each (8%) reported race or ethnicity. Fifteen (58%) articles were prospective and 11 (42%) were retrospective. The studies varied widely in study designs, from 11 (42%) cross‐sectional methodologies to only one (4%) randomized controlled trial. Thirty‐four screening tools were used to screen for symptoms of 43 MH conditions, with depression and anxiety screened for most frequently. Few articles discussed making referrals, practice workflows, or follow‐up outcomes.ConclusionsIncluded studies provide evidence of viable options for dental practitioners regarding MH screening, referring, and conducting follow‐up, but lack specificity regarding these processes. Overall, more research is needed to clarify what workflows are most efficient for dental practitioners and efficacious in identifying patients with MH concerns.

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Adverse childhood experiences and dental health in children and adolescents

Cited by 89 publications

References 29 publications

Exploring the relationship between childhood adversity and oral health: An anecdotal approach and integrative view

Exploring the relationship between childhood adversity and oral health: An anecdotal approach and integrative view

A Sociobiological Model of Early Childhood Caries: The Role of Allostatic Load

Mental health screening and referral to treatment in dental practices: A scoping review

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