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Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect?

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Harris, J. C. (Jenny C.), Elcock, C. (Claire), Sidebotham, Peter and Welbury, Richard. (2009) Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect? British Dental Journal, Vol.20 (No.9). pp. 465-470. ISSN 0007-0610

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Official URL: http://dx.doi.org/10.1038/sj.bdj.2009.356

Abstract

* Discusses dental neglect in relation to a contemporary UK understanding of good practice in safeguarding children. * Managing dental neglect is part of daily practice for many paediatric dentists. * Acknowledges that preventive dentistry and good communication with families already contribute to promoting child welfare. * Recommends that dentists should communicate more often with other health and social care professionals. Abstract In this second part of a two-part report, further findings of a postal questionnaire sent in March 2005 to dentists with an interest in paediatric dentistry working in varied UK settings are presented and discussed in the context of current multi-agency good practice in safeguarding and promoting the welfare of children. Using insights gained from a survey of self-reported management of children with neglected dentitions, this paper explores whether paediatric dentists neglect child dental neglect. The authors conclude that current practice already includes much that contributes to promoting children's oral health and wellbeing. However, in a society where children continue to suffer as a result of abuse and neglect, they warn that improvements are needed in communication between dentists and other health and social care professionals if children's welfare is to be safeguarded and promoted effectively and future tragedies avoided.

Item Type: Journal Article
Subjects: R Medicine > RK Dentistry
H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Medical personnel -- In-service training -- Great Britain, Teeth -- Care and hygiene, Dental health education, Child welfare -- Information services, Children -- Services for
Journal or Publication Title: British Dental Journal
Publisher: Nature Publishing Group
ISSN: 0007-0610
Date: May 2009
Volume: Vol.20
Number: No.9
Page Range: pp. 465-470
Identification Number: 10.1038/sj.bdj.2009.356
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Funder: Great Britain. Dept. of Health (DoH), British Association for the Study and Prevention of Child Abuse and Neglect (BASPCAN)
References: # HM Government. Working together to safeguard children. London: The Stationery Office, 2006. http://www.everychildmatters.gov.uk # Department for Children, Schools and Families. Referrals, assessments and children and young people who are the subject of a child protection plan, England - Year ending 31 March 2008. National Statistics, 2008. SFR24/2008. # Gaudin J M. Child neglect: short-term and long-term outcomes. In Dubovitz H (ed). Neglected children: research, practice and policy. pp 89–108. Thousand Oaks, California: Sage, 1999. # United Nations. United Nations Convention on the Rights of the Child. Geneva, Switzerland: Office of the High Commissioner for Human Rights, 1989. Article 24. www2.ohchr.org/english/law/crc.htm # Shepherd M A, Nadanovsky P, Sheiham A. The prevalence and impact of dental pain in 8-year-old school children in Harrow, England. Br Dent J 1999; 187: 38–41. # Nuttall N, Harker R. Impact of oral health. Children's dental health in the United Kingdom 2003. London: Office for National Statistics, 2004. # Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201: 625–626. # Sidebotham P, Heron J. Child maltreatment in the 'children of the nineties': A cohort study of risk factors. Child Abuse Negl 2006; 30: 497–522. # General Dental Council. Standards guidance. Standards for dental professionals. London: General Dental Council, 2005. # Harris J C, Elcock C, Sidebotham P D, Welbury R R. Safeguarding children in dentistry: 1. Child protection, training, experience and practice of dental professionals with an interest in paediatric dentistry. Br Dent J 2009; 206: 409–414. # South Yorkshire Area Child Protection Committee. Area Child Protection Committee Procedure Manual. Section 5.2. Sheffield: South Yorkshire ACPC, 2001. # American Academy of Pediatric Dentistry. Definition of Dental Neglect. Pediatr Dent Reference Manual 2005–2006; 11. # American Academy of Pediatrics, American Academy of Pediatric Dentistry. Guideline on oral and dental aspects of child abuse and neglect. Pediatr Dent Reference Manual 2005–2006; 64–67. # Cawson P, Wattam C, Brooker S, Kelly G. Child maltreatment in the United Kingdom: a study of the prevalence of child abuse and neglect. London: NSPCC, 2000. # Welbury R R, MacAskill S G, Murphy J M et al. General dental practitioners' perception of their role within child protection: a qualitative study. Eur J Paediatr Dent 2003; 4: 89–95. # Badger G R. Caries incidence in child abuse and neglect. Pediatr Dent 1986; 8: 101–102. # Greene P, Chisick M C. Child abuse/neglect and the oral health of children's primary dentition. Mil Med 1995; 160: 290–293. # Greene P E, Chisick M C, Aaron G R. A comparison of oral health status and need for dental care between abused/neglected children and nonabused/non-neglected children. Pediatr Dent 1994; 16: 41–45. # Olivan G. Untreated dental caries is common among 6 to 12-year-old physically abused/neglected children in Spain. Eur J Public Health 2003; 13: 91–92. # Valencia-Rojas N, Valencia-Rojas N, Lawrence H P, Goodman D. Prevalence of early childhood caries in a population of children with history of maltreatment. J Public Health Dent 2008; 68: 94–101. # The Victoria Climbié Inquiry. Report of an Inquiry by Lord Laming. London: The Stationery Office, 2003. www.victoria-climbie-inquiry.org.uk # Scottish Executive. 'It's everyone's job to make sure I'm alright': report of the Child Protection Audit and Review. Edinburgh: The Stationery Office, 2002. # The Carlile Review. The review of safeguards for children and young people treated and cared for by the NHS in Wales, 'Too Serious a Thing.' Cardiff: The National Assembly for Wales, 2002. # Department of Health. Lost in Care, Report of the tribunal of inquiry into the abuse of children in care in the former county council areas of Gwynedd and Clwyd since 1974. London: The Stationery Office, 2000. # Crawford P. Puzzling options. (Letter to the editor) Br Dent J 2006; 201: 133. # Harris J, Sidebotham P, Welbury R et al. Child protection and the dental team: an introduction to safeguarding children in dental practice. Sheffield: Committee of Postgraduate Dental Deans and Directors (COPDEND), 2006.
URI: http://wrap.warwick.ac.uk/id/eprint/1643

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