Considerations in identifying pediatric dental neglect and the legal obligation to report.

ABSTRACT

BACKGROUND: Dental health care professionals play an important role as mandated advocates when health care neglect is suspected in children; however, there is some confusion around what constitutes child neglect. METHODS: The authors reviewed the dental literature for descriptors and definitions of neglect. They studied the individual state statutes to learn the protection afforded for both victims of neglect and for health care providers acting on behalf of such children. They also reviewed methods of action to address suspected neglect. RESULTS: The authors found confusion around what is or is not child neglect. Yet, dental professionals are tasked by the law, and by a moral code, to protect children from neglect. The authors offer a definition of neglect and suggested practice guidelines to assist the practitioner acting as a child's advocate. CONCLUSIONS: Clinicians can use strategies to address the problem of child neglect. A digital data treatment registry may provide additional views of a child's health status. PRACTICAL IMPLICATIONS With a better understanding of the definition of neglect, strategies can be implemented for use by the dental team to address this problem of neglect and reduce its incidence.