Oral Health of Children and Adolescents Victims of Maltreatment Housed in Foster Care: A Case-Control Study

Lúcia de Fátima Almeida de Deus Moura, Heloísa Clara Santos Sousa, Cacilda Castelo Branco Lima, Marcoeli Silva de Moura, Teresinha Soares Pereira Lopes, Marina de Deus Moura de Lima

Abstract


Objective: To compare the oral health condition of children and adolescents victims of maltreatment housed in foster care with that of children and adolescents that have not been victims of maltreatment. Material and Methods: This is a case-control study with children and adolescents that have not been victims of maltreatment. In Group 1, the population was composed of 56 children victims of abuse housed in foster care. Group 2 was composed of an equal number of children and adolescents attending pediatric dentistry clinic at UFPI. Both groups were matched for sex and age. Data collection was divided into two phases: questionnaire application to children’s parents / guardians and clinical examination of the oral cavity. The questionnaire was composed of questions about socioeconomic variables, reasons for admission in the foster care and oral health-related habits. To assess the oral health condition, epidemiological indexes dmft, DMFT and Gingival Bleeding Index (GBI) were determined and soft tissues were inspected to evaluate possible maltreatment sequelae. Results: Neglect was reported as the major cause of entry into the foster care (84%). There were no statistically significant differences between the mean dmft (p=0.240), DMFT (p=0.862) and GBI (p=0.275) values between groups evaluated. No sequelae or lesions characteristic of physical aggression were found; however, all individuals have been institutionalized for more than four months. Conclusion: Child and adolescents victims of maltreatment showed oral health condition similar to that of individuals that have not been victims of maltreatment.


Keywords


Child abuse; oral manifestations; liability legal; oral health

Full Text:

PDF

References


Bhatia SK, Maguire SA, Chadwick BL, Hunter ML, Harris JC, Tempest V, et al. Characteristics of child dental neglect: A systematic review. J Dent 2014; 42(3):229-39.

Laud A, Gizani S, Maragkou S, Welbury R, Papagiannoulis L. Child protection training, experience, and personal views of dentists in the prefecture of Attica, Greece. Int J Paediatr Dent 2013; 23(1):64-71.

Afifi TO, Taillieu T, Cheung K, Katz LY, Tonmyr L, Sareen J. Substantiated reports of child maltreatment from the Canadian incidence study of reported child abuse and neglect 2008: Examining child and house hold characteristics and child functional impairment. Can J Psychiatry 2015; 60(7):315-23.

Horswell BB, Istfan S. Child maltreatment. Oral Maxillofac Surg Clin North Am 2012; 24(3):511-7.

Johnson CF. Child maltreatment: recognition, reporting and risk. Pediatr Int 2002; 44(5):554-60.

Dubowitz H, Bennett S. Physical abuse and neglect of children. Lancet 2007; 369(9576):1891-9.

Massoni ACLT, Ferreira AMB, Aragão AKR, Menezes VA, Colares V. Aspectos orofaciais dos maus-tratos infantis e da negligência odontológica. Cienc Saude Colet 2010; 15(2):403-10.

Azevedo MS, Goettems ML, Brito A, Possebon AP, Domingues J, Demarco FF, et al. Child maltreatment: a survey of dentists in southern Brazil. Braz Oral Res 2012; 26(1):5-11.

American Academy of Pediatrics Committee on Child Abuse and Neglect. American Academy of Pediatric Dentistry. American Academy of Pediatric Dentistry Council on Clinical Affairs. Guideline on oral and dental aspects of child abuse and neglect. Pediatr Dent 2008-2009; 30(7):86-9.

Sarri G, Marcenes W. Child dental neglect: is it a neglected area in the UK? Br Dent J 2012; 213(3):103-4.

Bailey S, Bullock A, Cowpe J, Barnes E, Thomas H, Thomas R, et al. Core continuing professional development (CPD) topics for the European dentist. Eur J Dent Educ 2013; 17(1):82-7.

Council on Foster Care; Adoption, and Kinship Care; Committee on Adolescence, and Council on Early Childhood. Pediatrics 2015; 136(4):e1131-40.

Melbye M, Huebner CE, Chi DL, Hinderberger H, Milgrom P. A first look: determinants of dental care for children in foster care. Spec Care Dentist 2013; 33(1):13-9.

Melbye ML, Chi DL, Milgrom P, Huebner CE, Grembowski D. Washington state foster care: dental utilization and expenditures. J Public Health Dent 2014; 74(2):93-101.

Cavalcanti AL. Prevalence and characteristics of injuries to the head and orofacial region in physically abused children and adolescents – a retrospective study in a city of the Northeast of Brazil. Dent Traumatol 2010; 26(2):149-53.

Cairns AM, Mok JY, Welbury RR. Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Paediatr Dent 2005; 15(5):310-8.

Katner DR, Brown CE. Mandatory reporting of oral injuries indicating possible child abuse. J Am Dent Assoc 2012; 143(10):1087-92.

Pietrantonio AM, Wright E, Gibson KN, Alldred T, Jacobson D, Niec A. Mandatory reporting of child abuse and neglect: Crafting a positive process for health professionals and caregivers. Child Abuse Negl 2013; 37(2-3):102-9.

Tardivo TA, Fernandes SC, Serra MC. Maus-tratos contra crianças e adolescentes: o papel do cirurgião-dentista. Rev Odontol UNESP 2007; 36:208.

Brasil. Ministério da Saúde Projeto SB Brasil 2010. Pesquisa Nacional de Saúde Bucal. Manual da Equipe de Campo. 2009. [Accessed on 18 Dec. 2015]. Available at: .

Moura LFAD, Moura MS, Lima MDM, Moura WL. Avaliação da saúde gengival em crianças que frequentaram o programa preventivo para gestantes e bebês na cidade de Teresina. RGO 2009; 57(1):47-53.

Brasil. Estatuto da criança e do adolescente (1990). 7.ed. Brasília: Câmara dos Deputados, Edições Câmara, 2010. 225 p.

Pires ALD, Miyzaki MCOS. Maus-tratos contra crianças e adolescentes: Revisão da literatura para profissionais da saúde. Arq Ciênc Saúde 2005; 12(1):42-9.

Mantonanaki M, Koletsi-Kounari H, Mamai-Homata E, Papaioannou W. Prevalence of dental caries in 5-year-old Greek children and the use of dental services: evaluation of socioeconomic, behavioral factors and living conditions. Int Dent J 2013; 63(2):72-9.

Valencia-Rojas N, Lawrence HP, Goodman D. Prevalence of early childhood caries in a population of children with history of maltreatment. J Public Health Dent 2008; 68(2):94-101.

Brasil. Ministério da Saúde Projeto SB Brasil 2010. Pesquisa Nacional de Saúde Bucal. Resultados Principais. 2011. [Accessed on 18 Dec. 2015]. Available at: .

Moura LFAD, Moura MS, Toledo OA. Conhecimentos e práticas em saúde bucal de mães que frequentaram um programa odontológico de atenção materno-infantil. Cienc Saude Colet 2007; 12(4):1079-86.




PBOCI IS A MEMBER OF CROSSREF AND ALL THE CONTENT OF ITS JOURNALS ARE LINKED BY DOIS THROUGH CROSSREF.