Oral health in children investigated by Social services on suspicion of child abuse and neglect |
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| Institution: | 1. Department of Dental Medicine, Division of Orthodontics and Pediatric Dentistry, Karolinska Institutet, Huddinge, Sweden;2. Child and Adolescent Psychiatry, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden;3. Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden;1. Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Avenue, New Haven, CT, 06510, USA;2. Yale Center for Medical Informatics, 300 George Street, Suite 501, New Haven, CT, 06511, USA;3. Department of Surgery, Greenville Health System,701 Grove Road, Greenville, SC, 29605, USA;4. Department of Pediatrics, Connecticut Children’s Medical Center, 282 Washington Street, Hartford, CT, 06106, USA;5. Department of Radiology and Biomedical Imaging, Yale University School of Medicine, P.O. Box 208042, 333 Cedar Street, New Haven, CT, 06520-8042, USA;6. Department of Pediatrics, Yale University School of Medicine, P.O. Box 208064, 333 Cedar Street, New Haven, CT, 06520-8064, USA;1. Course of Oral Health and Welfare, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;2. Division of Pediatric Dentistry, Graduate School of Medical and Dental Sciences, Niigata University, 2-5274 Gakkoucho-Dori, Chuo-ku, Niigata 951-8514, Japan;3. Division of Welfare, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;4. Division of Oral Science for Health Promotion, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan;5. Asahito Orthodontic Pediatric Dental Clinic, Niigata, Japan;1. Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA;2. Program in Oncology, University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD, USA;3. Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD, USA;4. College of Osteopathic Medicine, New York Institute of Technology, USA;5. Boston Medical Center, USA;1. Department of Psychological and Brain Sciences, University of Delaware, 108 Wolf Hall Newark, DE 19716, United States;2. Department of Psychology, West Virginia University, 1124 Life Sciences Building − P.O. Box 6040 Morgantown, WV 26506, United States;3. Kennedy Krieger Institute,Johns Hopkins University, 707 North Broadway, Baltimore, MD 21205, United States |
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| Abstract: | Child abuse and neglect (CAN) are likely to have negative consequences on health; however, for oral health, studies on associated outcomes are sparse. The purpose of this study was to assess oral health and oral health behaviors in relation to suspected CAN among children being investigated by the Swedish Social Services. The material comprised data from the Social Services and dental records; the sample, 86 children and 172 matched controls. The children in the study group had a higher prevalence of dental caries than the control group; in addition, levels of non-attendance and dental avoidance were high, as was parental failure to promote good oral health. We found four factors that, taken together, indicated a high probability of being investigated because of suspected CAN: prevalence of dental caries in primary teeth, fillings in permanent teeth, dental health service avoidance, and referral to specialist pediatric dentistry clinics. If all four factors were present, the cumulative probability of being investigated was 0.918. In conclusion, there is a high prevalence of dental caries, irregular attendance, and a need for referral a pediatric dental clinic among Swedish children under investigation due to suspected CAN. Social context is an important factor in assessing the risk of developing dental caries, the inclination to follow treatment plans, and the prerequisites for cooperation during treatment. Routinely requesting dental records during an investigation would provide important information for social workers on parental skills and abilities to fulfill the basic needs of children. |
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| Keywords: | Dental caries Dental health service Child abuse Child neglect Pediatric dentistry Social services |
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