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Han H, Koziol-McLain J, Morse Z, Lees AB. Current approaches addressing oral health practitioners' responsiveness to child abuse and neglect: A scoping review protocol. PLoS One 2024; 19:e0296650. [PMID: 38330062 PMCID: PMC10852231 DOI: 10.1371/journal.pone.0296650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 12/18/2023] [Indexed: 02/10/2024] Open
Abstract
INTRODUCTION Child abuse and neglect (CAN) poses significant risks, causing severe and long-lasting effects on a child's well-being, including physical and mental health and learning and socializing capabilities. Oral health practitioners (OHPs) uniquely position themselves to identify signs of maltreatment in the orofacial area, offer appropriate support, and collaborate with a multidisciplinary team. The literature has shown that OHPs under-report child protection concerns to a statutory child protection agency. Responding to CAN is often hindered by various factors, such as the fear of making false accusations and insufficient knowledge to detect and report potential cases. However, the literature lacks a comprehensive understanding of the strategies and interventions that can address the responsiveness of OHPs and other professionals to child protection issues. This scoping review aims to provide a broad overview and map the literature on the existing approaches to enhance the responsiveness of OHPs in child protection. MATERIALS AND METHODS The proposed scoping review will be conducted following the JBI methodology for scoping reviews guideline and reported using the PRISMA-ScR guideline. The first exploratory search is conducted to refine the search strategy and inclusion and exclusion criteria. The second search will include MEDLINE (EBSCO), CINAHL (EBSCO), Dentistry & Oral Science Source (EBSCO), Cochrane Library, and Scopus, with a date range from January 2000 to March 2023. The third search will involve reference list searching and gray literature searching in Google and Google Scholar. Government and international health organizations' websites will be searched for policies and guidelines. The review will consider studies that report the current approaches to address OHPs' responsiveness to CAN in any setting. Two reviewers will independently select sources and extract data. Any disagreements will be resolved by consensus of the research team. The extracted data will be presented in a tabulated chart with a narrative summary.
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Affiliation(s)
- Heuiwon Han
- Department of Oral Health, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Jane Koziol-McLain
- Centre for Interdisciplinary Trauma Research, Auckland University of Technology, Auckland, New Zealand
| | - Zac Morse
- Department of Oral Health, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Amanda B. Lees
- School of Public Health and Interdisciplinary Studies, Auckland University of Technology, Auckland, New Zealand
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El Tantawi M, Nabil N, Mahmoud SH, Elhendawy F. Capability, Opportunity, Motivation, and Behaviour (COM-B) model association with Egyptian dentists' reporting of suspected abuse. BMC Oral Health 2022; 22:55. [PMID: 35246088 PMCID: PMC8895832 DOI: 10.1186/s12903-022-02094-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2022] [Accepted: 02/24/2022] [Indexed: 12/02/2022] Open
Abstract
Background and objectives This study assessed the frequency of reporting suspected abuse by Egyptian dentists who have examined patients with manifestations of abuse and factors associated with this reporting within the framework of the Capability, Opportunity, Motivation, and Behaviour (COM-B) model. Methods A cross-sectional study included dentists practicing in Egypt in 2019. A questionnaire collected information about personal and professional background, and whether: participants received training to manage abuse, reported suspected abuse, were aware of the presence of hotlines for reporting and agencies supporting abuse victims, and eight items assessing attitude towards reporting suspected abuse. Principal Component Analysis (PCA) was used to assess the structure of attitude items. Logistic regression assessed the relationship between the dependent variable (reporting suspected abuse) and independent factors: receiving training (capability), attitude components (motivation), and awareness of the presence of hotlines and support agencies (opportunity). Results The response rate was 68.2% (821/ 1203), mean age (SD) = 29.7 (10.0) years, 43.1% had examined patients with suspected abuse last year and 4.3% reported their suspicions. PCA identified two attitude components scored out of 10: professional attitude towards reporting (mean (SD) = 6.7 (2.2)) and negative perception of workplace commitment to reporting (mean (SD) = 7.2 (2.1)). Higher odds of reporting suspected abuse were associated with better professional attitude towards reporting (AOR = 1.87, P = 0.003) and less negative perception of workplace commitment to reporting (AOR = 0.77, P = 0.04), but not with previous training (P = 0.74), awareness of the presence of victims’ support agencies (P = 0.68) or a hotline (P = 0.88). Conclusions Only a minority of dentists reported suspected abuse. Dentists who reported their suspicions had better professional attitude towards reporting and better perception of their workplace commitment to reporting. Thus, the motivation component of the COM-B framework was significantly associated with reporting suspected abuse. The present training methods to manage abuse, and dentists’ unawareness of national efforts to manage the problem do not seem to encourage reporting.
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Affiliation(s)
- Maha El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St., Azarita, 21521, Alexandria, Egypt.
| | - Nouran Nabil
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St., Azarita, 21521, Alexandria, Egypt
| | - Sawsan H Mahmoud
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Champolion St., Azarita, 21521, Alexandria, Egypt
| | - Fatma Elhendawy
- Department of Pediatric, Oral Health and Preventive Dentistry, Faculty of Dentistry, Tanta University, Tanta, Egypt
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de Jesus Santos Nascimento CT, de Oliveira MN, Vidigal MTC, Inocêncio GSG, de Andrade Vieira W, Franco A, Ferreira MC, Paranhos LR. Domestic Violence against Women Detected and Managed in Dental Practice: a Systematic Review. JOURNAL OF FAMILY VIOLENCE 2022; 38:149-160. [PMID: 35013643 PMCID: PMC8732966 DOI: 10.1007/s10896-021-00351-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
This study aimed to investigate the knowledge of dental care professionals to identify and manage clinical situations that indicate violence against women. PRISMA guidelines were followed and a systematic review protocol was registered in PROSPERO. The systematic search was designed based on the PICo strategy. Six databases were used as primary research sources (PubMed, Scopus, LILACS, SciELO, Web of Science, and Embase). Three databases (OpenGrey, OpenThesis, and OATD) were used to detect the "grey literature". Observational studies (cross-sectional, cohort, or case-control) were included, and there were no restrictions of year or language of publication. Two authors selected and extracted the data from the eligible studies. The risk of bias was assessed with the JBI Critical Appraisal Checklist. The search resulted in 10,115 studies. Eleven met the eligibility criteria and were included in the qualitative synthesis. The studies were published from 1994 to 2018. All studies presented low risk of bias. Among the dental care professionals, only 1-7.1% of the dentists included injury search and examination of their patients for signs of violence. Less than 47% of the professionals had knowledge to identify violence injuries. When it comes to knowledge to identify signs of domestic violence, positive answers were below 24%. Considering all the variables assessed in this study, dental care professionals presented deficiencies regarding the knowledge and management of situations of domestic violence against women. Educational strategies are necessary to prepare dental care professional to identify and report suspicious cases.
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Affiliation(s)
| | - Murilo Navarro de Oliveira
- Postgraduate Program in Dentistry, School of Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais Brazil
| | | | | | - Walbert de Andrade Vieira
- Department of Restorative Dentistry, Endodontics Division, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo Brazil
| | - Ademir Franco
- Centre of Forensic and Legal Medicine, University of Dundee, Scotland, UK
- Division of Forensic Dentistry, Faculty São Leopoldo Mandic, Campinas, Brazil
- Department of Therapeutic Stomatology, Institute of Dentistry, Sechenov University, Moscow, Russia
| | | | - Luiz Renato Paranhos
- Division of Preventive and Community Dentistry, School of Dentistry, Federal University of Uberlândia, Campus Umuarama, Av. Pará, 1720, Bloco 2G, sala 1, Uberlândia, MG ZIP code: 38405-320 Brazil
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BULDUR B, BÜYÜKKÖK Ç, CAVALCANTI AL. Knowledge, attitudes, and perceptions regarding child abuse and neglect among dentists in Turkey. Braz Oral Res 2022; 36:e001. [PMID: 35081219 DOI: 10.1590/1807-3107bor-2022.vol36.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 04/05/2021] [Indexed: 11/22/2022] Open
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de Aquino Goulart M, Vendrame É, de Aquino Goulart JT, Celeste RK. Parenting practices and oral impact on daily performance in southern Brazil. J Public Health Dent 2021; 82:204-210. [PMID: 33748965 DOI: 10.1111/jphd.12451] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 02/04/2021] [Accepted: 02/25/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To explore the relationship between parents' practices and the oral health-related quality of life of children according to the child's point of view. METHODS It is a cross-sectional study with all children (response rate 75.6 percent, n = 329) from fourth grade of Elementary School to the third grade of High School in 2016 in a small city of southern Brazil. Oral health related quality of life was measured using the oral impact on daily performances (OIDP) using the prevalence of any impact as outcome (OIDP score > 0). Seven parenting practices were evaluated by the inventory of parenting Styles for both father and mother. Logistic regression models were fitted to estimate the association of each parenting practice with OIDP score > 0, and adjusted by sex, age, family equivalent income, mother and father's educational level. RESULTS About 55.3 percent of the children had at least one impact on daily performances. Respectively, the parenting practices with the highest and lowest percentage for both parents' risk behavior was physical abuse (28.8 percent) and negative monitoring (7.8 percent), while families in which both parents' risk behavior for negligence was 14.7 percent. In the adjusted models, families in which both parents' risk behavior on negligence [odds ratio (OR) = 2.74, 95% confidence intervals (95%CI): 11.27-6.23] and physical abuse (OR = 2.16, 95%CI: 1.13-4.19) and (lack of) positive monitoring (OR = 2.99, 95%CI: 1.32-7.40) had a greater impact on daily life compared to those in which no parents' had risk behavior. CONCLUSIONS Having any impact on OIDP was associated with negligence, physical abuse, and lack of monitoring among children and adolescents.
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Affiliation(s)
- Mariél de Aquino Goulart
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Édina Vendrame
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Roger Keller Celeste
- Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Özgür N, Ballıkaya E, Güngör HC, Ataç AS. Turkish paediatric dentists’ knowledge, experiences and attitudes regarding child physical abuse. Int Dent J 2020; 70:145-151. [DOI: 10.1111/idj.12532] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Ford K, Brocklehurst P, Hughes K, Sharp CA, Bellis MA. Understanding the association between self-reported poor oral health and exposure to adverse childhood experiences: a retrospective study. BMC Oral Health 2020; 20:51. [PMID: 32059720 PMCID: PMC7020341 DOI: 10.1186/s12903-020-1028-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Accepted: 01/29/2020] [Indexed: 11/10/2022] Open
Abstract
Background Adverse childhood experiences, including physical, sexual or emotional abuse, can have detrimental impacts on child and adult health. However, little research has explored the impact that such early life experiences have on oral health. This study examines whether experiencing adverse childhood experiences before the age of 18 years is associated with self-reported poor dental health in later life. Methods Using stratified random probability sampling, a household survey (N = 5307; age range 18–69 years) was conducted in the South of England (Hertfordshire, Luton and Northamptonshire). Data were collected at participants’ homes using face-to-face interviews. Measures included exposure to nine adverse childhood experiences, and two dental outcomes: tooth loss (> 8 teeth lost due to dental caries or damage) and missing or filled teeth (direct or indirect restorations; > 12 missing or filled teeth). Results Strong associations were found between exposure to childhood adversity and poor dental health. The prevalence of tooth loss was significantly higher (8.3%) in those with 4+ adverse childhood experiences compared to those who had experienced none (5.0%; p < 0.05). A similar relationship was found for levels of missing or filled teeth (13.4%, 4+ adverse childhood experiences; 8.1%, none; p < 0.001). Exposure to 4+ adverse childhood experiences was associated with a higher level of tooth loss and restorations at any age, compared to individuals who had not experienced adversity. Demographically adjusted means for tooth loss increased with adverse childhood experience count in all age groups, rising from 1.0% (18–29 years) and 13.0% (60–69 years) in those with none, to 3.0% and 26.0%, respectively in those reporting 4+. Conclusions Exposure to childhood adversity could be an important predictive factor for poor dental health. As oral health is an important part of a child’s overall health status, approaches that seek to improve dental health across the life-course should start with safe and nurturing childhoods free from abuse and neglect. Given the growing role that dental professionals have in identifying violence and abuse, it seems appropriate to raise awareness in the field of dentistry of the potential for individuals to have suffered adverse childhood experiences, and the mechanisms linking childhood adversity to poor dental health.
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Affiliation(s)
- Kat Ford
- Public Health Collaborating Unit, School of Health Sciences, College of Human Sciences, Bangor University, Wrexham, LL13 7YP, Wales.
| | - Paul Brocklehurst
- NWORTH, School of Health Sciences, College of Human Sciences, Bangor University, Gwynedd, LL57 2UW, Wales
| | - Karen Hughes
- Public Health Collaborating Unit, School of Health Sciences, College of Human Sciences, Bangor University, Wrexham, LL13 7YP, Wales.,Policy and International Health Directorate, World Health Organization Collaborating Centre on Investment for Health and Wellbeing, Public Health Wales, Wrexham, LL13 7YP, Wales
| | - Catherine A Sharp
- Public Health Collaborating Unit, School of Health Sciences, College of Human Sciences, Bangor University, Wrexham, LL13 7YP, Wales
| | - Mark A Bellis
- Public Health Collaborating Unit, School of Health Sciences, College of Human Sciences, Bangor University, Wrexham, LL13 7YP, Wales.,Policy and International Health Directorate, World Health Organization Collaborating Centre on Investment for Health and Wellbeing, Public Health Wales, Wrexham, LL13 7YP, Wales
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Cagetti MG, Marcoli PA, Berengo M, Cascone P, Cordone L, Defabianis P, De Giglio O, Esposito N, Federici A, Laino A, Majorana A, Nardone M, Pinchi V, Pizzi S, Polimeni A, Privitera MG, Talarico V, Zampogna S. Italian guidelines for the prevention and management of dental trauma in children. Ital J Pediatr 2019; 45:157. [PMID: 31801589 PMCID: PMC6894327 DOI: 10.1186/s13052-019-0734-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 10/14/2019] [Indexed: 11/10/2022] Open
Abstract
Dental trauma is a frequent occurrence in children and adolescent and a correct diagnosis and treatment are essential for a favourable long-term prognosis. The present Guidelines aim to formulate evidence-based recommendations to assist dentists, paediatricians, surgeons, teachers, school and sport staff, parents in the prevention and first aid of dental trauma in children and to provide a careful assessment of the medico-legal implications, reviewing the first draft of the guidelines published in 2012. A multidisciplinary panel on the behalf of the Italian Ministry of Health and in collaboration with the WHO Collaborating Centre for Epidemiology and Community Dentistry of Milan, developed this document. The following four queries were postulated: 1) Which kind of precautions the health personnel, parents, sports and educational personnel must activate in order to prevent the dental trauma damage? 2) How an orofacial trauma in paediatric patients should be managed either in the Emergency Care Unit and/or in private dental office? 3) What criteria should be adopted by a dentist private practitioner to fill in a certificate in cases of dental and/or tempomandibular joint trauma occurring in children and adolescents? 4) What are the elements that should lead clinicians to suspect a non-accidental dental trauma? A systematic review and analysis of the scientific literature published in English, Italian and French from 2007 to 2017 regarding dental trauma in children and adolescents aged 0-18 years was performed, and about 100 papers were analysed and included. The following four domains were analysed and discussed: Dental Trauma Prevention Strategies and Health Education, First aid in orofacial and dental trauma, Certificate of the dental trauma, Oral and dental signs of child abuse and neglect. Twenty-eight recommendations were draw up and codified by the panel according to the Methodological handbook, produced by the Istituto Superiore di Sanità, in order to guide physicians in the prevention and first aid of dental trauma in children and adolescents. In addition, a careful assessment of the medico-legal implications is reported in this document.
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Affiliation(s)
- Maria Grazia Cagetti
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via Beldiletto 1, Milan, IT-20142, Italy
| | | | - Mario Berengo
- Department of Neurosciences, University of Padova, Via Giustiniani 2, 35128, Padova, Italy
| | - Piero Cascone
- Department of Oral and Maxillo Facial Science, "Sapienza" University of Rome, Via Caserta 6, 00161, Rome, Italy
| | - Livio Cordone
- ASST Spedali Civili, Piazzale Spedali Civili 1, 25123, Brescia, Italy
| | - Patrizia Defabianis
- Department of Surgical Sciences, University of Turin, Via Nizza 230, 10126, Turin, Italy
| | - Osvalda De Giglio
- Department of Biomedical Sciences and Human Oncology, University of Bari, Piazza G. Cesare 11, 70124, Bari, Italy
| | - Nicola Esposito
- Associazione Nazionale Dentisti Italiani, Lungotevere Raffaello Sanzio, 9, 00153, Rome, Italy
| | - Antonio Federici
- Unit 2, General Secretariat, Ministry of Health, Lungotevere Ripa, 1, 00153, Rome, Italy
| | - Alberto Laino
- Department of Neuroscience and Reproductive and Odontostomatological Sciences, "Federico II" University, Via Giosuè Carducci, 42, Naples, Italy
| | - Alessandra Majorana
- Department of Pediatric Dentistry, University of Brescia, P. le Spedali Civili 1, 25123, Brescia, Italy
| | - Michele Nardone
- Unit 2, General Secretariat, Ministry of Health, Lungotevere Ripa, 1, 00153, Rome, Italy
| | - Vilma Pinchi
- Department of Health Sciences, University of Florence, Largo Brambilla, 3, 50134, Florence, Italy
| | - Silvia Pizzi
- Department of Medicine and Surgery, University of Parma, Via Gramsci 14, 43126, Parma, Italy.
| | - Antonella Polimeni
- Department Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161, Rome, Italy
| | - Maria Grazia Privitera
- Health prevention, Italian Ministry of Health, Viale Giorgio Ribotta, 5 -, 00144, Rome, Italy
| | - Valentina Talarico
- Department of Pediatrics, Pugliese-Ciaccio Hospital of Catanzaro, Viale Papa Pio X, 83, 88100, Catanzaro, Italy
| | - Stefania Zampogna
- Department of Pediatrics, Pugliese-Ciaccio Hospital of Catanzaro, Viale Papa Pio X, 83, 88100, Catanzaro, Italy
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Magrin JV, Franco A, Makeeva I, Paranhos LR, Rigo L. Emotional, physical and sexual violence against female students undergoing medical, dental and psychology courses in South Brazil. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2019; 23:455-460. [PMID: 31274215 DOI: 10.1111/eje.12452] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 06/30/2019] [Indexed: 06/09/2023]
Abstract
Violence against women is a hot topic in the spotlight of contemporary science. In the academy, most of the courses are structured in a hierarchical system, in which students-especially female-become potentially vulnerable to emotional, physical and even sexual harm. This study aimed to describe the prevalence and the study-associated factors of emotional, physical and sexual violence against female students in medical, dental and psychological courses in South Brazil. A questionnaire-based survey was performed combining two previously validated tools for the investigation of workplace violence. The questionnaires were digitally provided to women undergoing medicine, dentistry and psychology courses in South Brazil. The study was conducted between April and July, 2018. The final sample consisted of 241 students (57 medical students; 91 dental students and 93 psychology students). Reports of general violence reached a prevalence rate of 45.2%. In particular, emotional violence reached 78.9% of the cases, whilst physical and sexual violence reached 4.6% and 8.3%, respectively. Amongst the identified offenders, professors figured as the most prevalent (18.4%). Alarming rates of violence against women were detected in this study. Institutional preventive strategies must be designed to protect female students in their study/workplace and enable a safe routine of academic activities.
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Affiliation(s)
- Juliana V Magrin
- Department of Dentistry, Faculty of Dentistry, Meridional Faculty (IMED), Passo Fundo, Brazil
| | - Ademir Franco
- Department of Therapeutic Dentistry, Institute of dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - Irina Makeeva
- Department of Therapeutic Dentistry, Institute of dentistry, I. M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - Luiz Renato Paranhos
- Department of Preventive and Community Dentistry, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
| | - Lilian Rigo
- Department of Dentistry, Faculty of Dentistry, Meridional Faculty (IMED), Passo Fundo, Brazil
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Melo M, Ata-Ali F, Cobo T, Diago J, Chofré-Lorente MT, Bagán L, Sanchez-Recio C, Ata-Ali J. Role of a Dentist in the Diagnosis of Child Abuse and Neglect: A Literature and Narrative Review. Open Dent J 2019. [DOI: 10.2174/1874210601913010301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Child Abuse (CA) is defined as any physical or psychological harm inflicted upon children. The most commonly affected anatomical region in these cases is the orofacial complex, thereby placing dentists in a dominant position for detecting CA. The statistical figures referred to CA are high, and many cases go unreported.
Objective:
To determine the level of knowledge, the aptitudes and capacity of dentists in reporting cases of CA; the barriers facing the reporting of cases; and the key clinical characteristics for the detection of CA.
Methodology:
A search was made of the PubMed (MEDLINE), ScienceDirect, LILACS and SciELO databases for articles published up until March 2019, involving analytical observational and descriptive studies relevant to the objectives of our study. All articles were independently reviewed by two authors.
Results:
Injuries caused by CA are largely located in the orofacial region – the most prevalent being caries, burns and fractures. The most frequently identified risk factor is behavioral alterations on the part of the parents or caregivers. The reviewed studies reflect a discrepancy between suspected and reported cases of CA.
Conclusion:
Although dentists are able to detect injuries, there is a great lack of knowledge about how to report cases of CA to the authorities. It is interesting to establish guidelines for the detection and reporting of suspicious cases. Improved training in forensic and legal dentistry is needed, together with the establishment of detection and reporting protocols. The clinical signs detected in the case of CA and neglect include untreated caries, poor oral hygiene, traumatisms, burns, lacerations and biting. The recognition of such signs and correct case history compilation are essential for the detection of CA.
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Almutairi AF, Alkhtheri BA, Aleidan HN, Alhabib AA, Alotaibi EA, Salam M. Examining the perceived versus the actual knowledge about forensic odontology: A cross-sectional survey among dentists. Clin Exp Dent Res 2018; 4:297-304. [PMID: 30603113 PMCID: PMC6305920 DOI: 10.1002/cre2.148] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 10/17/2018] [Accepted: 10/19/2018] [Indexed: 11/10/2022] Open
Abstract
Dentists should have the basic essential skills and knowledge about forensic odontology, to better collaborate with law enforcement and investigations. The objective of this survey was to assess the perceived and actual knowledge toward forensic odontology among dentists and to question their willingness to attend training courses on this specialty. A cross-sectional survey based on a self-administered questionnaire was conducted in various districts of Saudi Arabia. Four hundred dentists responded to a questionnaire that tested their actual knowledge of forensic odontology based on answering 15 statements using the alternatives correct, incorrect, do not know. The perceived knowledge was registered as strongly agree, agree, neutral, disagree, and strongly disagree, then assigned scores respectively from four to zero. A willingness to attend a training course in the future was recorded by (yes/no). Scores were summated then subjected to descriptive statistics and regression analyses. Responses were received from 360 study participants (89% response rate). The percentage of correct answers, that is, the actual knowledge, was 67.9 (standard deviation [SD] ± 18.4). About two thirds of the responders (n = 251, 69.7%) indicated a willingness to attend a forensic odontology course in the future. Differences in both actual and perceived knowledge were identified on the basis of gender, work experience, education level, attended a course in forensic odontology, and having previously provided a past bite-mark examination. The perceived knowledge on forensic odontology among dentists was moderate to low. The gap between perceived and actual knowledge signifies low self-confidence. Dentists with higher education levels and experience tend to have better knowledge.
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Affiliation(s)
- Adel F. Almutairi
- Science and Technology Unit ‐ Ministry of National Guard ‐ Health AffairsKing Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health SciencesRiyadhSaudi Arabia
| | | | - Hattan N. Aleidan
- College of dentistry—Ministry of National Guard—Health AffairsKing Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health SciencesSaudi Arabia
| | | | - Eid A. Alotaibi
- College of DentistryAl Qassim UniversityAl QassimSaudi Arabia
| | - Mahmoud Salam
- Science and Technology Unit ‐ Ministry of National Guard ‐ Health AffairsKing Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health SciencesRiyadhSaudi Arabia
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El Tantawi M, Gaffar B, Arheiam A, AbdelAziz W, Al-Batayneh OB, Alhoti MF, Al-Maweri S, Dama MA, Zaghez M, Hassan KS, Al-Sane M, AbdelSalam M, Sabbah W, Owais AI, Abdelgawad F, Aldhelai TA, El Meligy OAES, AlHumaid J, Al-Harbi F. Dentists' intention to report suspected violence: a cross-sectional study in eight Arab countries. BMJ Open 2018; 8:e019786. [PMID: 29602845 PMCID: PMC5884375 DOI: 10.1136/bmjopen-2017-019786] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVES This study assessed dentists' intention in eight Arab countries to report suspected exposure to violence among patients and factors associated with this intention based on the theory of planned behaviour. METHODS A cross-sectional study was conducted in 2016 including a convenience sample of dentists practising in public, private and academic sectors in Algeria, Egypt, Jordan, Kuwait, Libya, Palestine, Saudi Arabia and Yemen. Respondents answered a self-administered questionnaire collecting information about personal and professional background and perceived ability to identify victims of violence. The questionnaire assessed (on a scale from 1 to 10 using six negative statements) dentists' perception of healthcare system mandated reporting of suspected violence. Six statements were used to assess professional attitude towards reporting suspected violence. Logistic regression was used to assess the association between intention to report suspected violence and perceived ability, perception and attitude adjusting for confounders. RESULTS The response rate was 65.2% (n=2936/4506) from general practitioners (70.9%) of mean age=31 years with 56.7% women. Of those, 68.8% intended to report and 52.2% considered themselves able to identify violence victims. The mean (SD) negative perception score=5.3/10 (2.1) and the mean (SD) professional attitude score=7.5/10 (1.9). In multivariate regression, intention to report was associated with professional attitude (OR 1.08, 95% CI 1.03 to 1.14), ability to identify violence victims (OR 1.76, 95% CI 1.45 to 2.12) and negative perception that reporting is not mandated (OR 0.89, 95% CI 0.85 to 0.94). Significant differences existed among countries in intention to report. CONCLUSION Most dentists intended to report suspected violence and their intention could be explained by the theory of planned behaviour which offers a framework for professional development to support violence victims. Sharing of training resources, policies and guidelines is needed to ensure that practices similar to international guidelines are consistently adopted by dentists across Arab countries.
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Affiliation(s)
- Maha El Tantawi
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Balgis Gaffar
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Arheiam Arheiam
- Department of Community and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya
| | - Wafaa AbdelAziz
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Ola B Al-Batayneh
- Department of Preventive Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | | | | | - Mai A Dama
- Department of Paedodontics and Orthodontics, College of Dentistry, Arab American University of Jenin, Jenin, Palestine
| | - Mounir Zaghez
- Department of Oral Medicine, Faculty of Medicine, Annaba University (BADJI Mokhtar), Annaba, Algeria
| | - Khalid Saddiq Hassan
- Department of Oral Medicine and Periodontology, Faculty of Dentistry, AlAzhar University, Assiut, Egypt
| | - Mona Al-Sane
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Kuwait City, Kuwait
| | - Maha AbdelSalam
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Wael Sabbah
- Department of Population and Patient Health, King’s College Hospital, London, UK
| | - Arwa I Owais
- Department of Pediatric Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA
| | - Fatma Abdelgawad
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
| | | | - Omar Abd El Sadek El Meligy
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
- Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Jehan AlHumaid
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Fahad Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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