Dentistry Students’ Knowledge of Pediatric Patients Who Suffered Violence: A Systematic Review

Authors

  • Isadora Augusta da Silveira
  • Larissa Moreira Pinto
  • Luciana Domingues Conceição
  • Marina Sousa Avezedo
  • Rafael Guerra Lund

Keywords:

Child Abuse, Students, Dental, Violence, Education, Dental

Abstract

Objective: To review the literature unprecedentedly to identify the dentistry students' knowledge of pediatric patients who suffered violence. Material and Methods: A systematic review was conducted using PubMed, Web of Science, LILACS, SciELO, Google Scholar, and OpenGrey electronic databases up to November 2021. The "Grey Literature" was verified through Google Scholar and Open Grey searches to avoid any selection bias. There was no restriction on the date of publication or language. Results: The systematic search yielded 2.756 studies in the first selection phase, but only twenty-two articles were included. All selected articles were published between 1998 and 2021 and used a questionnaire to evaluate the dentistry students' knowledge regarding child maltreatment cases. Brazil was the country that had the most studies included (10 articles). Despite the majority of the students presenting insufficient knowledge about child maltreatment, evidence from this research showed that every form of approach by professionals toward child maltreatment should be considered important. Conclusion: Therefore, there are deficiencies regarding the teaching-learning methodology, reinforcing the need for improvements in Dentistry undergraduate curricula.

References

World Health Organization. Global status report on preventing violence against children. Geneva: World Health Organization; 2020.

Naidoo S. A profile of the orofacial injuries in child physical abuse at a children's hospital. Child Abuse Negl 2000; 24(4):521-534. https://doi.org/10.1016/S0145-2134(00)00114-9

Cairns AM, Mok JYQ, 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):310-318. https://doi.org/10.1111/j.1365-263X.2005.00661.x

Gibson‐Howell JC, Gladwin MA, Hicks MJ, Tudor JF, Rashid RG. Instruction in dental curricula to identify and assist domestic violence victims. J Dent Educ 2008; 72(11):1277-1289. https://doi.org/10.1002/j.0022-0337.2008.72.11.tb04610.x

Norman RE, Byambaa MDR, Butchart A, Scott J, Vos T. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med 2012; 9(11):e1001349. https://doi.org/10.1371/journal.pmed.1001349

Bunston W, Franich-Ray C, Tatlow S. A diagnosis of denial: How mental health classification systems have struggled to recognise family violence as a serious risk factor in the development of mental health issues for infants, children, adolescents and adults. Brain Sci 2017; 7(10):133. https://doi.org/10.3390/brainsci7100133

Basu S, Banerjee B. Impact of environmental factors on mental health of children and adolescents: A systematic review. Child Youth Serv Rev 2020; 119:105515. https://doi.org/10.1016/j.childyouth.2020.105515

Butchart A, Harvey AP, Kahane T, Mian M, Furniss T. Preventing child maltreatment: A guide to action and generating evidence. Geneva: World Health Organization and International Society for Prevention of Child Abuse and Neglect; 2006.

Kellog ND; American Academy of Pediatrics Committee on Child Abuse and Neglect. Evaluation of suspected child physical abuse. Pediatrics 2007; 119(6):1232-1241. https://doi.org/10.1542/peds.2007-0883

Hinchliffe J. Forensic odontology, part 5. Child abuse issues. Br Dent J 2011; 210(9):423-428. https://doi.org/10.1038/sj.bdj.2011.332

Kemoli AM, Mavindu M. Child abuse: A classic case report with literature review. Contemp Clin Dent 2014; 5(2):256-259. https://doi.org/10.4103/0976-237X.132380

United Nations Children’s Fund. Child abuse: A painful reality behind closed doors. Challenges 2009; 9:1-12.

Hibbard R, Sanders B. Child abuse and neglect. In: McDonald RE, Avery DR, Dean JA. Mcdonald and Avery dentistry for the child and adolescent. 9th. Maryland Heights, MO: Mosby/Elsevier; 2010.

Mathur S, Chopra R. Combating child abuse: The role of a dentist. Oral Health Prev Dent 2013; 11(3):243-250. https://doi.org/10.3290/j.ohpd.a29357

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Linha de cuidado para a atenção integral à saúde de crianças, adolescentes e suas famílias em situação de violências: orientação para gestores e profissionais de saúde. Brasília: Ministério da Saúde; 2010. [In Portuguese].

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021; 372:71. https://doi.org/10.1136/bmj.n71

Sterne JA, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: A tool for assessing risk of bias in non-randomized studies of interventions. BMJ 2016; 355:i4919. https://doi.org/10.1136/bmj.i4919

Schmid KM, Kugler R, Nalabothu P, Bosch C, Verna C. The effect of pacifier sucking on orofacial structures: A systematic literature review. Prog Orthod 2018; 19(1):8. https://doi.org/10.1186/s40510-018-0206-4

Wolf TM, Scurria PL, Bruno AB, Butler JA. Perceived mistreatment of graduating dental students: a retrospective study. J Dent Educ 1992; 56(5):312-316. https://doi.org/10.1002/j.0022-0337.1992.56.5.tb02639.x

Rosa R, Boing AF, Schraiber LB Coelho EBS. Violência: Conceito e vivência entre acadêmicos da área da saúde. Interface 2010; 14(32):81-90. https://doi.org/10.1590/S1414-32832010000100007 [In Portuguese].

Ivanoff CS, Hottel TL. Comprehensive training in suspected child abuse and neglect for dental students: a hybrid curriculum. J Dent Educ 2013; 77(6):695-705. https://doi.org/10.1002/j.0022-0337.2013.77.6.tb05521.x

Al-Ali NM, Lazenbatt A. A cross-cultural comparative study of undergraduate health care professional students’ knowledge, definitions, education, and training experience of domestic violence in Northern Ireland and Jordan. SAGE Open 2012; 2(4):1-11. https://doi.org/10.1177/2158244012464974

Biss SP, Duda JG, Tomazinho PH, Pizzatto E, Losso EM. Maus tratos infantis: Avaliação do currículo dos cursos em Odontologia. Rev ABENO 2015; 15(1):55-62. https://doi.org/10.30979/rev.abeno.v15i1.155 [In Portuguese].

Malcez RE. Child abuse, its relationship to pedodontics: A survey. ASDC J Dent Child 1979; 46(3):193-194.

Mogaddam M, Kamal I, Merdad L, Alamoudi N. Knowledge, attitudes, and behaviors of dentists regarding child physical abuse in Jeddah, Saudi Arabia. Child Abuse Negl 2016; 54:43-56. https://doi.org/10.1016/j.chiabu.2016.02.004

Deshpande A, Macwan C, Poonacha KS, Bargale S, Dhillon S, Porwal P. Knowledge and attitude in regards to physical child abuse amongst medical and dental residents of central Gujarat: a cross-sectional survey. J Indian Soc Pedod Prev Dent 2015; 33(3):177-182. https://doi.org/10.4103/0970-4388.160344

Kiran K, Kamala BK. Child abuse and the role of a dental professional - the Indian scenario. Child Abuse Negl 2011; 35(3):157-158. https://doi.org/10.1016/j.chiabu.2010.11.007

Rodrigues JLSA, Lima APB, Nagata JY, Rigo L, Cericato GO, Franco A, et al. Domestic violence against children detected and managed in the routine of dentistry – A systematic review. J Forensic Leg Med 2016; 43:34-41. https://doi.org/10.1016/j.jflm.2016.07.006

Duley SI, Fitzpatrick PG, Zornosa X, Lambert CA, Mitchell A. Dental hygiene students' attitudes toward ethical dilemmas in practice. J Dent Educ 2009; 73(3):345-357. https://doi.org/10.1002/j.0022-0337.2009.73.3.tb04707.x

Jesse SA, Martin RE. Child abuse and neglect: Assessment of dental students' attitudes and knowledge. ASDC J Dent Child 1998; 65(1):21-24.

Thomas JE, Straffon L, Inglehart, M. Child abuse and neglect: Dental and dental hygiene students' educational experiences and knowledge. J Dent Educ 2006; 70(5):558-565. https://doi.org/10.1002/j.0022-0337.2006.70.5.tb04111.x

Carvalho FM, Araújo LN, Azevedo ML, Colares V, Caraciolo G. O conhecimento de estudantes de graduação em odontologia em relação ao abuso infantil. Odontol Clin Cient 2006; 5(3):207-210. [In Portuguese].

Josgrilberg EB, Carvalho FG, Guimarães MS, Pansani CA. Maus-tratos em crianças: A percepção do aluno de Odontologia. Odontol Clin Cient 2008; 7(1):35-38. [In Portuguese].

Al-Jundi SH, Zawaideh FI, Al-Rawi MH. Jordanian dental students' knowledge and attitudes in regard to child physical abuse. J Dent Educ 2010; 74(10):1159-1165. https://doi.org/10.1002/j.0022-0337.2010.74.10.tb04972.x

Gomes LS, Pinto TCA, Costa EMMB, Ferreira JMS, Cavalcanti SDLB, Granville-Garcia AF. Percepção de acadêmicos de odontologia sobre maus-tratos na infância. Odontol Clin Cient 2011; 10(1):73-78. [In Portuguese].

Serpa EBM, Santos AA. Percepção dos maus tratos infantis pelos estudantes de Odontologia da UFPB. Int J Dent 2011; 10(4):234-241. [In Portuguese].

Sousa GFP, De Carvalho MMP, Granville-Garcia AF, Gomes MNC, Ferreira JMS. Conhecimento de acadêmicos em odontologia sobre maus-tratos infantis. Odonto 2012; 20(40):101-108. https://doi.org/10.15603/2176-1000/odonto.v20n40p109-117 [In Portuguese].

Jordan A, Welbury RR, Tiljak MK, Cukovic-Bagic I. Croatian dental students' educational experiences and knowledge in regard to child abuse and neglect. J Dent Educ 2012; 76(11):1512-1519. https://doi.org/10.1002/j.0022-0337.2012.76.11.tb05413.x

Wacheski A, Lopes MGK, Paola APB, Valença P, Losso EM. O conhecimento do aluno de Odontologia sobre maus tratos na infância antes e após o recebimento de uma cartilha informativa. Odonto 2012; 20(39):7-15. https://doi.org/10.15603/2176-1000/odonto.v1n1p7-15 [In Portuguese].

Matos FZ, Borges AH, Mamede Neto I, Rezende CD, Silva KL, Pedro FLM, et al. Avaliação do conhecimento dos alunos de graduação em odontologia x cirurgião-dentista no diagnóstico de maus-tratos a crianças. Rev Odontol Bras Central 2013; 22(63):153-157. https://doi.org/10.36065/robrac.v22i63.795 [In Portuguese].

Hashim R, Al-Ani A. Child physical abuse: assessment of dental students' attitudes and knowledge in the United Arab Emirates. Eur Arch Paediatr Dent 2013; 14(5):301-305. https://doi.org/10.1007/s40368-013-0063-2

Vergara KMA, Cárdenas SD, Martínez FG. Maltrato infantil: conocimientos, actitudes y prácticas de estudiantes de Odontología de Cartagena, Colombia. Rev Clin Med Fam 2014; 7(2):103-111. https://doi.org/10.4321/S1699-695X201400020000 [In Spanish].

Moura AR, Amorim A, Proenc L, Milagre V. Dentists and undergraduate dental students require more information relating to child abuse. MedicalExpress 2015; 2(2):M150203. https://doi.org/10.5935/MedicalExpress.2015.02.03

Silva Junior MF, Pagel MD, Campos DMKS, Miotto MHMB. Conhecimento de acadêmicos de Odontologia sobre maus-tratos infantis. Arq Odontol 2015; 51(3):138-144. https://doi.org/10.7308/aodontol/2015.51.3.03 [In Portuguese].

Bodrumlu EH, Avsar A, Arslan S. Assessment of knowledge and attitudes of dental students in regard to child abuse in Turkey. Eur J Dent Educ 2016; 22(1):40-46. https://doi.org/10.1111/eje.12242

Abreu PTR, Souza CIF, Galvão A, Souza ACP, Zocratto KBF, Oliveira CAS, et al. Abuso físico infantil: vivências e atitudes de estudantes de Odontologia. Rev ABENO 2017; 17(2):107-119. https://doi.org/10.30979/rev.abeno.v17i2.384 [In Portuguese].

Busato AC, Pereira TCR, Guaré RO. Maus-tratos infantis na perspectiva de acadêmicos de Odontologia. Rev ABENO 2018; 18(1):84-92. https://doi.org/10.30979/rev.abeno.v18i1.394 [In Portuguese].

Al-Dabaan R, Allam R. Training experience and attitudes towards safeguarding children. EDJ 2018; 64(1):77-81. https://doi.org/10.21608/EDJ.2018.76371

Aziz ASS, Rabun MN, Khan ANF. Understanding the language of silence: awareness on reporting child maltreatment cases among UiTM Sungai Buloh Dental Students. CPLT 2020; 8(2):50-68.

Duman C, Al‐Batayneh OB, Ahmad S, Durward CS, Kobylińska A, Vieira AR, et al. Self‐reported knowledge, attitudes, and practice of final‐year dental students in relation to child abuse: A multi‐centre study. Int J Paediatr Dent 2021; 31(6):801-809. https://doi.org/10.1111/ipd.12781

Al-Ani A, Hashim R, Schifner U, Splieth CH. Child physical abuse: knowledge of dental students in Hamburg, Germany. Eur Arch Paediatr Dent 2021; 22(6):1057-1065. https://doi.org/10.1007/s40368-021-00651-0

Ullah R, Siddiqui F, Zafar MS, Iqbal K. Bullying experiences of dental interns working at four dental institutions of a developing country: a cross-sectional study. Work 2018; 61(1):91-100. https://doi.org/10.3233/WOR-182784

Baker AJL, LeBlanc S, Adebayo T, Mathews B. Training for mandated reporters of child abuse and neglect: Content analysis of state-sponsored curricula. Child Abuse Negl 2021; 113:104932. https://doi.org/10.1016/j.chiabu.2021.104932

Kim J, Cicchetti D. Longitudinal trajectories of self‐system processes and depressive symptoms among maltreated and non maltreated children. Child Dev 2006; 77(3):624-639. https://doi.org/10.1111/j.1467-8624.2006.00894.x

Straus MA. Cultural norms and violence: The domestic corporal punishment of children in Sweden. In: Durrant JE, Smith AB. Global pathways to abolishing physical punishment: Realizing children’s rights. Routledge; 2011.

Ting-Toomey S, Kurogi A. Facework competence in intercultural conflict: An updated face-negotiation theory. Int J Intercult Relat 1998; 22(2):187-225. https://doi.org/10.1016/S0147-1767(98)00004-2

Kim BS, Li LC. Communication and cross-cultural adaptation: An integrative theory. Routledge; 2012.

Huang CL, Wu JR. Trust, distrust, and social capital in Taiwan. Int J Public Adm 2012; 35(8):551-561.

Tyler TR. Legitimacy and the exercise of legal authority: Framing the problem. In: Legitimacy and criminal justice: An international exploration. Routledge; 2017.

Rizo CF, Macy RJ. Help-seeking and receiving for intimate partner violence: A cross-sectional study. Int J Nurs Stud 2011; 48(3):324-335.

Lansford JE, Dodge KA, Pettit GS, Bates JE, Crozier J. Socialization of emotion regulation in contexts of social adversity. In: Gross JJ. Handbook of Emotion Regulation. 2nd.The Guilford Press; 2016.

Gilmour AS, Harrison RL, Aspinwall EJ. Dentists' attitudes and behaviors regarding child physical abuse. J Am Dent Assoc 2014; 145(9):958-965.

Graham R, Bitting H, Doherty J. The role of dental hygienists in recognizing and reporting suspected child abuse and neglect. J Dent Hyg 2014; 88(4):199-206.

Ford M, Messner-Zidell S, Howard M. An evaluation of a dental clinic-based child abuse and neglect education program. J Dent Educ 2019; 83(8):899-907.

Kahl EA, Calley KH, Grubbs V. Knowledge, attitudes, and behaviors of dental professionals regarding child maltreatment: An integrative review. J Dent Hyg 2019; 93(4):46-54.

Loo JT, Krishnan B, Rodriguez HP. Dental students' perceptions and attitudes toward domestic violence screening and treatment. J Dental Educ 2019; 83(10):1131-1137.

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Published

2024-01-09

How to Cite

da Silveira, I. A., Pinto, L. M., Conceição, L. D., Avezedo, M. S., & Lund, R. G. (2024). Dentistry Students’ Knowledge of Pediatric Patients Who Suffered Violence: A Systematic Review. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 24, e230011. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/3109

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Section

Systematic Reviews (and Meta-Analysis)