Oral health status in victims of child abuse: a case–control study

Duda, João Gilberto; Biss, Stephanye Pinto; Bertoli, Fernanda Mara de Paiva; Bruzamolin, Carolina Dea; Pizzatto, Eduardo; Souza, Juliana Feltrin de; Losso, Estela Maris

doi:10.1111/ipd.12254

Cited by 25 publications

(45 citation statements)

References 18 publications

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“…Four studies were multi-disciplinary and the remaining four papers were from nursing (n=2), psychology (n=1) and counselling (n=1). Although one study did not identify this association (Badger, 1986), Duda et al (2017), for example, found that maltreated children had a higher incidence of dental caries, missing primary teeth and untreated permanent decay. Drawing on social service data, Kvist et al (2012) identified that children in contact with social services (because of maltreatment concerns) had higher rates of dental caries, fillings in permanent teeth and missed dental appointments.…”

Section: The Study Teammentioning

confidence: 99%

The “Neglected” Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research

Bradbury‐Jones

Isham

Morris

et al. 2019

Trauma, Violence, & Abuse

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Globally, the oral health needs of children who have, or are suspected of having, experienced abuse or neglect has become a focus of concern. It is thus valuable and timely to map the contemporary nature of the research landscape in this expanding field. This review reports the findings of a scoping review of the international empirical literature. The aim was to explore the relationship between child maltreatment and oral health and how this complex issue is addressed in contemporary dental, health and social care practice. The review identified 68 papers, analysis of which identified three themes: 1) There is a relationship between poor oral health and child maltreatment that is well-evidenced but conceptually underdeveloped 2) There are discrepancies between the knowledge of members of the dental team about child maltreatment and their confidence and aptitude to identify and report child protection concerns 3) There are areas of local-level policy and practice development that seek to improve working relationships between dentists and health and social care practitioners; however, there is widespread evidence that this group of vulnerable children continue to 'slip through' the gaps of different professional communication systems and policy areas. To orientate critical discussion and planning for future research and practice, we present the Patterns, Advances, Gaps, Evidence for practice and Research Recommendations framework (PAGER). The review's findings are likely to be of interest and relevance to researchers, practitioners and policy makers working across dentistry, health and social work.

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Section: The Study Teammentioning

confidence: 99%

The “Neglected” Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research

Bradbury‐Jones

Isham

Morris

et al. 2019

Trauma, Violence, & Abuse

View full text Add to dashboard Cite

show abstract

“…The mean number of untreated decayed teeth among six‐year‐old children in the UK who were under protection plans was 3.2, or 2.7 times more than that of the nonabused control group 11 . Moreover, a study in Brazil reported that the odds of dental caries among maltreated children aged 3‐15 years are 6.5 times higher, 12 leading to poorer oral health‐related quality of life 13 . While these studies emphasized immediate action to protect the oral health of maltreated children, they did not distinguish two aspects of child maltreatment (child abuse and neglect).…”

Section: Introductionmentioning

confidence: 99%

Poor parenting behaviours and dental caries experience in 6‐ To 7‐year‐old children

Matsuyama

Isumi

Doi

et al. 2020

Comm Dent Oral Epid

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Objectives The association between poor parenting and dental caries in children remains unclear. We investigated the association of poor parenting with dental caries and oral health behaviour among children aged 6‐7 years in Japan. Methods Two waves of repeated cross‐sectional surveys on children and their caregivers in Adachi City, Tokyo, were analysed. Questionnaires on parenting behaviour and the child's oral health behaviour were distributed through schools and completed by 8499 caregivers (response rate = 80.8%). The number of decayed or filled primary teeth (dft) at school dental health check‐ups was linked to the survey data (N for complete case analysis = 6309). Factor analysis was performed to identify types of poor parenting: poor involvement, child abuse and lack of supervision of a child's health behaviours. The association between factor scores (z‐score), the number of dft and oral health behaviour (not brushing teeth twice a day, not controlling snack eating habits and drinking juice every day) was evaluated by Poisson's regressions adjusted for covariates, including caregiver's socioeconomic status. Results Poor involvement and lack of supervision of a child's health behaviours were positively associated with dft (mean ratio, MR [95% confidence interval, CI] =1.05 [1.03, 1.07] and 1.18 [1.16, 1.21], respectively) and unhealthy oral health behaviours. Child abuse was not associated with dft (MR = 0.99 [0.96, 1.01]) but was associated with all three unhealthy oral health behaviours (prevalence ratio, PR [95% CI] were 1.11 [1.06, 1.16], 1.11 [1.06, 1.16] and 1.06 [1.00, 1.11] for not brushing teeth, not controlling snack eating and drinking juice, respectively). Conclusions Poor involvement and lack of supervision of a child's health behaviours were associated with dental caries, and any type of poor parenting was associated with poor oral health behaviour among children.

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“…Early intervention is crucial, and over the past years, dental teams have received considerable attention regarding safeguarding children. Studies worldwide from the UK, Sweden, Denmark, the Netherlands, Brazil, Croatia, Greece, the United Arab Emirates, and Norway have contributed to knowledge on the report rates and factors influencing reporting suspicion, but still we lack knowledge regarding mutual collaboration and communication between CWS and general dental professionals.…”

Section: Introductionmentioning

confidence: 99%

Barriers and factors influencing communication between dental professionals and Child Welfare Services in their everyday work

Rønneberg

Nordgarden

Skaare

et al. 2019

Int J Paed Dentistry

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Background Among various health professionals, general dental professionals (GDPs) screen children frequently, giving them a unique opportunity to act upon suspicion of child maltreatment. The dental team has received considerable attention regarding safeguarding children. Aim The aims of this study were to explore whether GDPs have mutual collaboration and communication with the Child Welfare Services (CWS), and potential barriers for reporting child maltreatment. Design An electronically pre‐coded questionnaire was sent to all GDPs (n = 131) in the Public Dental Health Service (PDHS) in Oslo. Frequency distributions and statistical analysis were carried out by chi‐squared statistics and multivariate logistic regression analysis. Results The response rate was 75%. Ninety per cent of GDPs had received requests from CWS to provide a child's dental chart. General dental professionals reported child maltreatment frequently (71%), but CWS only gave feedback in 55% of the cases. Uncertainty was the most common reason for not reporting and 33% of the GDPs had chosen not to send a report despite suspicion. Using guidelines increased frequency of reporting (OR 3.6). Conclusions Mutual collaboration and communication should be improved in the task of safeguarding children. Uncertainty and lack of guidelines may act as barriers for not reporting to the CWS.

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Oral health status in victims of child abuse: a case–control study

Abstract: Victims of child abuse had a worse oral health status, demonstrating the need to establish special policies for oral healthcare for this population.

Cited by 25 publications

References 18 publications

The “Neglected” Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research

The “Neglected” Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research

Poor parenting behaviours and dental caries experience in 6‐ To 7‐year‐old children

Barriers and factors influencing communication between dental professionals and Child Welfare Services in their everyday work

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