127596 20230911114511.0 doi 10.5281/zenodo.3739084 sideral 134565 ART-2020-134565 eng De la Parte Serna, Alejandro Carlos Universidad de Zaragoza (orcid)0000-0002-4040-7732 The dark side of pediatric dentistry: child abuse 2020 Background: 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. Access copy available to the general public Unrestricted info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Fratila, Cosmina Raluca Hermoso-Vallespí, Mariona Peiró-Aubalat, Andrea Ortega-Soria, Ricardo 1013 275 Universidad de Zaragoza Dpto. Cirugía Área Estomatología 3 (2020), 194-200 Iberoam. j. med. Iberoamerican Journal of Medicine 2695-5075 734527 http://zaguan.unizar.es/record/127596/files/texto_completo.pdf Versión publicada 2164288 http://zaguan.unizar.es/record/127596/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:127596 articulos driver 2023-09-11-11:00:33 ARTICLE