2013
DOI: 10.1186/1471-2458-13-370
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Dental neglect as a marker of broader neglect: a qualitative investigation of public health nurses’ assessments of oral health in preschool children

Abstract: BackgroundChild neglect is a pernicious child protection issue with adverse consequences that extend to adulthood. Simultaneously, though it remains prevalent, childhood dental caries is a preventable disease. Public health nurses play a pivotal role in assessing oral health in children as part of general health surveillance. However, little is known about how they assess dental neglect or what their thresholds are for initiating targeted support or instigating child protection measures. Understanding these fa… Show more

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Cited by 50 publications
(73 citation statements)
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“…Alternatively, dentists may have planned to communicate with other professionals but faced barriers to doing so, such as undeveloped communication pathways. Communication gaps have also been identified from public health nurses' perspective, hindering their access to information about dental disease or attendance, required for assessment and decision‐making regarding a child's need for targeted support (Bradbury‐Jones et al ., ). It has long been recognised that one of the barriers to dentists' full involvement with child protection is the isolation from other health disciplines in both location and systems (Welbury et al ., ).…”
Section: Discussionmentioning
confidence: 97%
“…Alternatively, dentists may have planned to communicate with other professionals but faced barriers to doing so, such as undeveloped communication pathways. Communication gaps have also been identified from public health nurses' perspective, hindering their access to information about dental disease or attendance, required for assessment and decision‐making regarding a child's need for targeted support (Bradbury‐Jones et al ., ). It has long been recognised that one of the barriers to dentists' full involvement with child protection is the isolation from other health disciplines in both location and systems (Welbury et al ., ).…”
Section: Discussionmentioning
confidence: 97%
“…Çocukların dental ihmaline ilişkin kesin göstergeleri belirlemek mümkün olmamasına rağmen, bu kötü muameleden şüphelenilmesine yardımcı olan birçok uyarı bulgusu bulunmaktadır. Çocuğun dental ihmalinin belirtileri; sözlü bilgilendirme ve geçmiş hikaye, sosyal belirleyiciler, ebeveynlerin veya bakıcıların özellikleri gibi üç farklı durum göz önüne alınarak değerlendirilmektedir 13 . Çocukların dental ihmaline işaret eden oral belirtiler arasında; herhangi bir birey veya diş hekimliği ile ilgisi olmayan bir sağlık uzmanı tarafından görsel olarak kolaylıkla tespit edilebilen tedavi edilmemiş çürükler, ağız içi veya ekstraoral bölgeleri kapsayan tedavi edilmemiş ülserler, çocuğun genel sağlığını etkileyen dental hastalıklar, patolojik koşulların varlığında bakım eksikliği bulunmaktadır 13 .…”
Section: Dental İhmalin Teşhisiunclassified
“…Üstelik, diş çürüğünün tanısının ihmal ihtimalini yansıtabileceği unutulmamalı, ancak mutlaka bir ihmalci tutumun da olması gerekmediği bilinmelidir 30 . Doğrudan gözlemin yanı sıra, yanlış beslenme alışkanlıkları ve kötü dental hijyen uygulamaları da tanıyı kolaylaştırabilir 13 . Çocukların dental ihmalleri herhangi bir ailede meydana gelebilirken, yoksulluk, işsizlik, evsizlik, hastalık, aşırı kalabalık konut gibi tipik sosyal belirleyiciler bu tür bir kötü muameleyi arttırabilmektedir [31][32][33] .…”
Section: Dental İhmalin Teşhisiunclassified
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“…Dental neglect may occur alone and act, when recognised, as a potentially valuable indicator prompting referral of a family to receive early help23 or it may be one indicator of broader or more serious neglect requiring assessment and intervention 24. Dentists, whether working in hospital, community or general practice settings, recognise dental neglect as a common problem25 26 that affects children of all ages 27 28…”
Section: Oral Signs Of Child Maltreatmentmentioning
confidence: 99%