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and
Neglect
BY: TARA THOMPSON, ALISSA CASTELLON, MAEGAN EDGERLY
Domestic Violence
General attitudes
Disinterest or denial in relationship to child: critical, scolding,
and belittling
Lack of interest or unavailability in treatment plan: only want
pain relief, may not be the same for the other children of the
family, doesn’t show up for appointments- may send sibling
instead
Inconsistent information regarding signs of abuse
Reasons and Contributing Factors
Intraoral signs:
Fractured, displaced or avulsed teeth
Bruising of the edentulous ridge (may indicate forced oral sex)
Sexually transmitted disease lesions such as condyloma acuminatum and primary herpetic
gingivostomatitis
Lesions or sore areas in the mouth from ill-fitting dentures
Fractured dentures
Poor oral hygiene
Rampant dental caries
Untreated periodontal disease
Intimate Partner Abuse & Violence
Many of the same injuries listed for the elder person are also evident
with partner abuse. They involved most frequently the face, eyes
and neck
Battered partner may be very reluctant to admit abuse because of
threats of more serious harm
Abused may deny the abuse, defend the abuser or provide excuses
Battering is a choice in order to gain power and control over
another individual
Types of abuse are physical, sexual, emotional, psychological and
economic deprivation
Dental Hygienist’s Approach
Discuss findings:
The decision is made by the dental team
Never directly accuse anyone
Refrain from being judgmental
Legal obligation to report a suspected case of abuse
Proper Training:
The dental team should have training
Abusers may avoid the same physician but return to the same dentist
Many states require CE courses on abuse and neglect before licensure
and re-licensure
PANDA
Elder
Where help can be obtained: emergency assistance including phone
numbers and referrals
Maltreatment to increase in severity and frequency over time
Battering is a choice. Used to gain power and control over another
individual
Questions
Which of the following are reasons for Abuse and Neglect?
A. Oral care low priority/Lack of education of
B. Limited finances
C. Religious beliefs
D. All the above