Child Abuse and Neglect Do We know enough.pdf (original) (raw)
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The journal of contemporary dental practice, 2017
Child abuse and neglect (CAN) is a significant global problem with a serious impact on the victims throughout their lives. Dentists have the unique opportunity to address this problem. However, reporting such cases has become a sensitive issue due to the uncertainty of the diagnosis. The authors are testing the knowledge of the dentists toward CAN and also trying to question the efforts of the educational institutions to improve this knowledge for the better future of the younger generation. Questionnaire data were distributed to 1,106 members regarding their knowledge, professional responsibilities, and behavior concerning child abuse. There were 762 responses to the questionnaire, yielding a response rate of 68.9%. Although dentists consider themselves able to identify suspicious cases, only a small percentage of the participants correctly identified all signs of abuse and 76.8% knew the indicators of child abuse. Most of them were willing to get involved in detecting a case and a...
https://www.ijrrjournal.com/IJRR\_Vol.10\_Issue.2\_Feb2023/IJRR-Abstract103.html, 2023
INTRODUCTION: Child abuse is engaging in an action or not engaging in an action by the parents or child’s guardian(s) that violates the child’s rights and puts his/her favorable life, development and dignity at risk. Children who have been abused or who experience dental neglect may/may not present to a dental professional for evaluation. It is an ethical and legal responsibility of dental practioners to have knowledge, awareness, and to participate actively in diagnosis, and report the cases of child abuse. AIM: To evaluate the knowledge, awareness and attitude regarding child abuse and neglect (CAN) amongst dental practioners of Delhi- NCR region. MATERIALS AND METHOD: Present study was designed as a cross sectional observational study using a pretested, prevalidated close-ended questionnaire. Questionnaire was distributed among the 500 dental professionals in Delhi-NCR region. Filled questionnaires were collected on the same day. The response formats were tabulated and subjected to descriptive and analytical statistics in SPSS 19.0. R RESULTS: Majority of the respondents were aware about child abuse and neglect, gender predominance and associated role of socioeconomic status. Knowledge regarding presenting symptoms, referral and treatment options was found to be inadequate and the respondents wanted to enhance their knowledge regarding the same. About 92.7% - Age group of 20-30 yrs. feel CAN is matter of concern. Females had more awareness and positive attitude towards attending programs regarding CAN. Age group above 50yrs age – 54.5% professionals referred the cases of CAN for care. 89.9% of dental Professionals of Age group 20-30 yrs. willing to attend programs for increasing their awareness CONCLUSION: Knowledge and Awareness of dentists about the indicators of child abuse was found to be inadequate. However, the respondents showed positive attitude towards improving their professional knowledge.
Acknowledgement and Awareness of Child Abuse and Neglect in Dentist Perspective
2020
Child abuse or neglect comprises all forms of physical abuse, sexual abuse, emotional abuse, bullying, and cyberbullying, exploitation, child labour, trafficking, and other digital forms of exploitation which is potentially harmful to child development and health. In case of abuse injuries in the orofacial region can be easily diagnosed by the dentists. Therefore, its dentist’s duty to suspect, recognize, and later report the case. Including dental treatment behavior psychological management is necessary to achieve the urgent adoption of protective measures for the victim as well as adequate follow up to avoid the abuse in the future.
Child abuse and neglect (CAN) is a significant global problem with a serious impact on the victims throughout their lives. Dentists have the unique opportunity to address this problem. However, reporting such cases has become a sensitive issue due to the uncertainty of the diagnosis, especial among dental students. The authors are testing the knowledge of the dentists toward CAN and efficiency of the current education system in providing the required exposure to the issue. Materials and methods: A survey questionnaire was distributed to 1,106 dentists/ dental students in various dental schools in Pune, India. Results: 762 participants responded, yielding a response rate of 68.9%. only a small percentage of the participants correctly identified all signs of abuse and 76.8% demonstrated sufficient knowledge of the indicators of child abuse. 90% participants believed that it is their ethical duty to report child abuse. Only 7.2% reported haveing come across a suspected abuse case in the past. No differences were observed between gender, year of graduation, type of license and formal training already received. Conclusion: A large proportion of child physical abuse cases go undocumented and unreported. The data showed that a very small population of dental care providers and students were prepared to fulfill their legal and professional responsibilities to manage a case of child abuse and neglect Clinical significance: There should be modifications in the dental school curriculum focusing on educational exposure around the child abuse in order to better prepare the dental community to detect and manage cases of CAN.
Journal of South Asian Association of Pediatric Dentistry
In a study done by da Fonseca et al., the children who had been physically abused showed >75% lesions on the head, neck, and face. Bite marks are good indicators of abuse as they are rarely accidental. 4 It is a known fact that medical professionals are the first ones to come in contact with children affected by abuse and neglect. Dental professionals especially are the ones who would first notice any signs of CAN, since in maximum cases, the lesions are seen in the head, neck, mouth, and face region. Aim The aim was to assess dental students' perception and knowledge of CAN in a pediatric dental setup. introduction Child abuse and neglect (CAN) is a grave issue our society faces. The physical, psychological, as well as social well-being of a child is of utmost importance. However, it is often overlooked by their primary caregiver. It could be in the form of negligence or even emotional, physical, or sexual abuse. Child abuse and neglect (CAN) is defined by the Child Abuse Prevention and Treatment Act as "any recent act or failure to act on the part of a parent or caregiver that results in death, serious physical or emotional harm, sexual abuse, or exploitation, or an act or failure to act that presents an imminent risk of serious harm." 1 There are five subtypes of CAN-(1) physical abuse: in which a child potentially is physically harmed, such incidents may be single or multiple; (2) child sexual abuse: in which there is some sort of sexual activity where the child isn't aware or cannot comprehend and is unable to give consent; (3) emotional abuse: where in the primary caregiver fails to provide an emotionally supportive environment for the child; (4) neglect: where the caregiver fails to pay attention to or omits the basic emotional, physical, health, and educational needs of the child; and (5) exploitation: where the child is exploited for work or other activities which benefits others such as child trafficking. 2 Child abuse and neglect (CAN) have several short-and long-term effects on the child. These effects include post-traumatic stress disorder, aggression, emotional disturbances, and mental health concerns like anxiety, depression, etc. These effects also affect the child in their adulthood. According to the adverse childhood experiences study, an American research project established a strong relationship between bad experiences in childhood and adulthood physical and mental well-being. 3
EVALUATION OF THE KNOWLEDGE OF GRADUATE DENTISTRY STUDENTS IN THE DIAGNOSIS OF CHILD ABUSE (Atena Editora), 2023
INTRODUCTION: To assess the knowledge of undergraduate Dentistry students in diagnosing child abuse is extremely important, as these professionals play a fundamental role in the early identification and notification of cases of child abuse. From this assessment, we can better understand the gaps that exist and the need for more comprehensive training to ensure that these future professionals are prepared to act in accordance with child protection laws, thus contributing to a safer and more compassionate environment for children. children. GOAL: assess dentistry students’ knowledge about diagnosing child abuse and related regulations. METHODOLOGY: A literature review was carried out using the LILACS, PubMed and Scielo databases, with the descriptors "students," "child abuse" and "dentistry" combined by the Boolean operator AND. The sample included complete articles published from 2013 to 2023. Initially, we found 60 studies: 14 in LILACS, 44 in PubMed and 02 in Scielo. We selected 07 articles that met the inclusion and exclusion criteria, distributed among 02 from LILACS, 04 from PubMed and 01 from Scielo. The main reason for exclusion was the lack of relevance to the scope of this review, as many addressed surgical techniques and the use of the buccal fat pad. RESULTS: Research highlights dental students' lack of familiarity with child maltreatment regulations. Furthermore, a lack of knowledge was demonstrated, both by students and professionals, regarding the diagnosis of these cases. Uncertainty in the diagnosis and fear in reporting these cases were also observed, emphasizing the need for additional training. CONCLUSION: Significant deficiencies in dental students' and dentists' knowledge of legislation and practices related to the diagnosis of child abuse are evident. This highlights the urgency of more comprehensive education and specialized training in identifying, reporting and preventing these cases.
Nigerian Postgraduate Medical Journal | Published by Wolters Kluwer - Medknow, 2018
Background: Child abuse and neglect (CAN) is a significant public health problem. Dentists are in good position to identify and report cases of CAN. Aim: The aim of this study was to determine the experience and knowledge of CAN among a group of Nigerian dental residents. Materials and Methods: This was a cross‑sectional study carried out among dentists attending a postgraduate update course. Data were collected to assess the knowledge of respondents on the forms of CAN, indicators and risk factors. Respondents’ professional experiences were also assessed as well as actions taken and possible barriers to reporting suspected cases. Results: Data were collected from 179 respondents, with a mean age of 33.1 ± 5.2 years. The respondents demonstrated good knowledge of the forms of child abuse, with an average score of 95.2%. The risk factors for CAN were correctly identified by 153 (85.5%) respondents as children with physical/mental disabilities, 151 (84.4%) as products of unwanted pregnancies, 128 (71.5%) as children from polygamous families and 122 (68.2%) as children from low socioeconomic families. Physical, sexual and emotional abuse and neglect were majorly identified as bruises behind the ears, 162 (90.5%); oral warts, 114 (63.7%); poor self‑esteem, 158 (88.3%) and untreated rampant caries, 137 (76.5%), respectively. Seventy‑four (46.5%) of the respondents did not evaluate children for CAN and only 12 (14.1%) of those who observed suspected cases of CAN reported to the social service. Lack of knowledge of referral procedures and concerns about confidentiality were the major barriers to reporting cases of CAN. Conclusion: The dentists had good theoretical knowledge of the indicators, risk factors and signs of CAN but lagged in clinical detection and reporting of such suspected cases. There is a need for continuing education and advancement of the postgraduate dental curriculum to improve the educational experiences with regard to CAN. Keywords: Abuse, child, dentists, knowledge, neglect
2014
Background: There is evidence that dental professionals have an important role in safeguarding children in the dental practice. Dentists have the ability to recognize child abuse and neglect and report suspected abuse to relevant agencies. However, several barriers that prevent dentists from taking action and reporting child maltreatment were reported by others. That is why training dentists in child protection is so essential; training increases awareness and knowledge about signs and symptoms that are related to child abuse and neglect, eliminates misconceptions that might be perceived as barriers preventing reporting child maltreatment, as well as acquiring knowledge about current local pathways regarding referral of child maltreatment. No reported research was found related to knowledge, experience, attitudes and training in child protection for dentists working in Saudi Arabia. Objectives: To cast light on this topic, two studies were undertaken, Firstly, a survey was carried out on LIST OF ABBREVIATIONS AAPD American Academy of Pediatric Dentistry BSPD British Society of Paediatric Dentistry CAN Child Abuse and Neglect CPD Continued professional development GDC General Dental Council
KNOWLEDGE AND ATTITUDES REGARDING CHILD ABUSE AND NEGLECT
Purpose: The aim of this study was to assess knowledge and attitude of dentists in Bosnia and Herzegovina (BH) regarding signs and symptoms of child abuse and neglect (CAN), reporting procedure and level of education. Methods: Data were collected through a self-administrated structured questionnaire adopted and modified from previous studies. It was administrated to 300 dentists out of which a total number of 210 subjects were in final sample for statistical analyses. Response rate was seventy percent. Descriptive statistics, Chi-square and Kruskal-Wallis H test were used to analyze statistical differences in responses. The level of significance was set at p<0.05. Results: Dentists in BH are very rarely provided (80%) with training related to recognition and reporting of CAN. Sixty six percent of dentists had never suspected CAN in their practice. Only nine percent of dentists would report suspicious of CAN. Prevailing reasons for not reporting suspected case of CAN was lack of knowledge of the reporting procedure (43%), and combination of indicated answers that never had a case and lack of knowledge about the procedure (31%). Conclusion: Results of this study suggest that dentists need an effective education to increase their knowledge and awareness of all aspects of CAN.
Child abuse and dental neglect: the dental team’s role in identification and prevention
International Journal of Dental Hygiene, 2009
Abstract: Health, education and social services are placing increasing emphasis on preventing abuse and neglect by early intervention to support families where children and young people may be at risk. Dental hygienist and dental assistants, like all other health professionals, can have a part in recognizing and preventing children from those who would cause them harm. They should be aware of the warning signs, recognizing what to consider as abuse or dental neglect and know how to deal with these young patients, and to fulfil their legal and ethical obligation to report suspected cases.The purpose of this report is to review the oral and dental aspects of child abuse and dental neglect thus helping the dental team in detecting such conditions. In particular, this report addresses the evaluation of bite marks as well as perioral and intraoral injuries, infections, early childhood caries and diseases that may be indicative of child abuse or neglect.Emphasis is placed on an appropriate protocol to follow in the dental practice to best treat and protect children who may have suffered abuse, helping the team in the diagnosis and documentation.