000127596 001__ 127596 000127596 005__ 20230911114511.0 000127596 0247_ $$2doi$$a10.5281/zenodo.3739084 000127596 0248_ $$2sideral$$a134565 000127596 037__ $$aART-2020-134565 000127596 041__ $$aeng 000127596 100__ $$0(orcid)0000-0002-4040-7732$$aDe la Parte Serna, Alejandro Carlos$$uUniversidad de Zaragoza 000127596 245__ $$aThe dark side of pediatric dentistry: child abuse 000127596 260__ $$c2020 000127596 5060_ $$aAccess copy available to the general public$$fUnrestricted 000127596 5203_ $$aBackground: Children who have been abused could exhibit lesions and diseases in their oral cavity and develop psychological consequences towards the dentist-patient relationship. Objectives: Analyse the oral lesions and diseases, the psychological consequences and understand the role of the dentist in the detection and notification of child abuse. Methods: Systematic review, according to PRISMA statement, with two search strategies in the MEDLINE/PubMed database. 19 publications were included after the application of selection and eligibility criteria. Results: Physical-abuse-related lesions and Münchausen syndrome are not pathognomonic; this requires the detection of indicators of suspicion. Physical-neglect diseases usually have associated other chronic health problems. Specifically, diseases related to sexual abuse are the oral infection caused by Treponema pallidum and Neisseria gonorrhoeae; while other lesions and diseases might only suggest abuse. The most frequent psychological sign of child abuse in the dentist-patient relationship is dental phobia. Typically, when detecting and notifying, dentist face the following barriers: insufficient information; fear of wrong suspicion; impact in the professional practice; fear of consequences on the minor; fear of violence against the dentist; lack of knowledge of necessary documents/procedures; fear of judicial statement. Conclusions: Child-abuse-related lesions and diseases often appear in the oral region. Dentists play a fundamental role in the detection and notification of those. It is essential to establish training and action protocols as well as reliance strategies in the patient-dentist relationship. 000127596 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000127596 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000127596 700__ $$aFratila, Cosmina Raluca 000127596 700__ $$aHermoso-Vallespí, Mariona 000127596 700__ $$aPeiró-Aubalat, Andrea 000127596 700__ $$aOrtega-Soria, Ricardo 000127596 7102_ $$11013$$2275$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Estomatología 000127596 773__ $$g3 (2020), 194-200$$pIberoam. j. med.$$tIberoamerican Journal of Medicine$$x2695-5075 000127596 8564_ $$s734527$$uhttps://zaguan.unizar.es/record/127596/files/texto_completo.pdf$$yVersión publicada 000127596 8564_ $$s2164288$$uhttps://zaguan.unizar.es/record/127596/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000127596 909CO $$ooai:zaguan.unizar.es:127596$$particulos$$pdriver 000127596 951__ $$a2023-09-11-11:00:33 000127596 980__ $$aARTICLE