Dental Abscess in Pediatric Patients: A Marker of Neglect. Issue 11 (November 2018)

• Record Type: Journal Article
• Authors: Jenkins, Glyndwr W.; Bresnen, Darren; Jenkins, Elizabeth; Mullen, Niall
• Is Part Of: Pediatric emergency care. Volume 34:Issue 11(2018)
• Publication Date: 2018-11
• Subjects: neglect -- child maltreatment -- dental caries -- dental abscess; Pediatric emergencies -- Periodicals; 618.92002505
• DOI: 10.1097/PEC.0000000000001611
• Languages: English
• ISSNs: 0749-5161

Abstract

Abstract : Objectives: Neglect is defined as the persistent failure to meet a child or young person's basic physical or psychological needs. Dental caries is explicitly mentioned in guidance on child maltreatment. We discuss the link between dental caries and child abuse in patients presenting to the emergency department. Methods: A review of patient medical records was undertaken within the Paediatric Emergency Department at Sunderland Royal Hospital, with the aim to determine whether neglect was considered as a possible contributory factor when a child or young person presented at triage with an "oral cavity" problem. Results: Of the applicable cases with inferences of possible safeguarding concerns, 13% had these concerns documented. Conclusions: Child abuse recognition has become a prominent issue in recent years due to high profile cases. It is clear from this work, which resonates with the reported literature, that there is a lack of recognition of dental neglect being a possible indicator of more systemic abuse. There is likely underreporting of these cases to the relevant authorities.