head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue4
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2021274.4113
Published online: 25 November 2021

Original article

J of IMAB. 2021 Oct-Dec;27(4):4113-4119
A SURVEY OF THE EXPERIENCE, KNOWLEDGE AND ATTITUDE OF DENTAL PRACTITIONERS IN BULGARIA ABOUT CHILD ABUSE AND NEGLECT
Mariana M. DimitrovaORCID logo, Veselina K. KondevaORCID logo, Sevda I. RimalovskaORCID logo Corresponding Autoremail,
Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, Bulgaria.

ABSTRACT:
Aim: To study the experience, knowledge and attitude of dental practitioners in Bulgaria about child abuse and neglect.
Material and methods: An anonymous questionnaire was conducted on 265 dental practitioners from several regions of Bulgaria. The questionnaire consists of 15 questions, including demographic characteristics and questions about their attitude, knowledge and actions in suspected cases of child abuse and neglect.
Results: Only 1/4 of the respondents, n=60 (22.3%), reported having suspected cases of Child Abuse and Neglect, and only 5.7% of them were reported to the authorities. The notification to the relevant institutions increases with the professional experience up to 30% to 40%. The most common reason for not reporting was lack of knowledge of the way or procedures of reporting (40.4%), fear of subsequent violence against the child - 23.4% and fear of consequences for the child when the relevant institutions interfere - 12.8%. Irregular dental visits were considered the most significant indicator of neglect of children's oral health. Need for additional education and training on recognizing the signs of child abuse and neglect were reported from 72.5% of the participants.
Conclusions: The present study showed uncertainty in recognizing and reporting suspected cases of child abuse and neglect, especially for the younger dentists and for those without a certain specialty. There is a clear need for additional education of dental practitioners, as well as certain legal guidelines on the procedures of reporting and recording suspected cases, along with reliable support from the relevant institutions.

Keywords: child abuse, dental neglect, irregular dental visits,

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Please cite this article as: Dimitrova MM, Kondeva VK, Rimalovska SI. A survey of the experience, knowledge and attitude of dental practitioners in Bulgaria about child abuse and neglect. J of IMAB. 2021 Oct-Dec;27(4):4113-4119. DOI: 10.5272/jimab.2021274.4113

Corresponding AutorCorrespondence to: Sevda Rimalovska, Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv; 3, Hristo Botev Blvd., 4000 Plovdiv, Bulgaria; E-mail: dr.rimalovska@hotmail.com

REFERENCES:
1. Report of the Consultation on Child Abuse Prevention, 29-31 March 1999, WHO, Geneva. World Health Organization. [Internet]
2. Harris JC, Elcock C, Sidebotham PD, Welbury RR. Safeguarding children in dentistry: 1. Child protection training, experience and practice of dental professionals with an interest in paediatric dentistry. BrDent J. 2009 Apr 25;206(8):409-14. [PubMed]
3. Harris JC, Elcock C, Sidebotham PD, Welbury RR. Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect? Br Dent J. 2009 May 9;206(9):465-70. [PubMed]
4. Cairns AM, Mok JY, Welbury RR. The dental practitioner and child protection in Scotland. Br Dent J. 2005Oct 22;199(8):517-20. [PubMed]
5. Welbury RR, MacAskill SG, Murphy JM, Evans DJ, Weightman KE, Jackson MC, et al. General dental practitioners' perception of their role within child protection: a qualitative study. Eur J PaediatrDent. 2003 Jun;4(2):89-95. [PubMed]
6. Harris JC, Balmer RC, Sidebotham PD. British Society of Paediatric Dentistry: a policy document on dental neglect in children. Int J Paed Dent. 2009May 14. [PubMed]
7.Fisher-Owens SA, Lukefahr JL, Tate AR. Oral and Dental Aspects of Child Abuse and Neglect. PediatrDent.2017 Jul 15;39(4):278-283. [PubMed]
8. Thomas JE, Straffon L, Inglehart MR, Habil P. Knowledge and professional experiences concerning child abuse: An analysis of provider and student responses. Pediatric Dentistry. 2006 Sep-Oct;28(5):438-44.[PubMed]
9. Cawson P, Wattam C, Brooker S, Kelly G. Childmal treatment in the United Kingdom: a study of the prevalence of child abuse and neglect. NSPCC. November 1, 2000. [Internet]
10. Soumya Mohanan TV, Sankeshwari RM, Ankola AV. Perspectives towards child abuse and neglect among dental practitioners in Belagavicity: A cross-sectional study. J Edu Health Promot . 2020 Nov 26;9:295.[PubMed]
11. Chadwick BL, Davies J, Bhatia SK, Rooney C, McCusker N. Child protection: Training and experiences of dental therapists. Br Dent J . 2009 Aug 8;207(3):E6. [PubMed]
12. Sonbol HN, Abu-Ghazaleh S, Rajab LD, Baqain ZH, Saman R, Al-Bitar ZB. Knowledge, educational experiences and attitudes towards child abuse amongst Jordanian dentists. Eur J DentEduc. 2012 Feb;16(1):e158-65. [PubMed]
13. Al-Dabaan R, Newton JT, Asimakopoulou K. Knowledge, attitudes, and experience of dentists living in Saudi Arabia towards child abuse and neglect. Saudi Dent J. 2014 Jul;26(3):79-87. [PubMed]
14. 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 Jan;23(1):64-71. [PubMed]
15. Katner DR, Brown CE. Mandatory reporting of oral injuries in dictating possible child abuse. J Am Dent Assoc. 2012 Oct;143(10):1087-92. [PubMed]
16. Souster G, Innes N.  Some clarification of trigger signs for dental neglect. Evid Based Dent. 2014 Mar;15(1):2-3. [PubMed]
17. 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 Mar;42(3):229-39. [PubMed]
18. Bradbury-Jones C, Innes N, Evans D, Ballantyne F, Taylor J. Dentalneglectas a marker of broader neglect: a qualitative investigation of public health nurses' assessments of oral health in preschool children. BMC Public Health. 2013Apr 19;13:370. [PubMed]
19. Tilvawala D, Murray C, Farah R, Broadbent JM. New Zealand dental the rapists' beliefs regarding child maltreatment. Aust N Z J Public Health. 2014Oct;38(5):480-4. [PubMed]
20. American Academy of Pediatric Dentistry. Definition of dental neglect. The Reference Manual of Pediatric Dentistry. Chicago, III.: AAPD. 2020:16. [Internet]
21. Vadiakas G, Roberts MW, Dilley DC. Child abuse and neglect: ethical and legal issues for dentistry. J Mass Dent Soc. 1991 Winter;40(1):13-5. [PubMed].

Received: 10 May 2021
Published online: 25 November 2021

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