Identifying Risk Factors for Dental Neglect in Children Who Failed to Complete Their Dental Surgery Appointments in Northeast Ohio
A Retrospective Study
Bibliographic Data
| ID | 15712413 |
|---|---|
| Authors | Ying An (0000-0003-0890-5712, Case Western Reserve University), Margaret Ferretti (Case Western Reserve University), Lindsey Jones (0000-0002-5568-2200, Rainbow Babies & Children's Hospital), Elizabeth Welsh (Rainbow Babies & Children's Hospital), Eilish Welsh (Case Western Reserve University), Justin McCray (Case Western Reserve University), Seungchan Kim (0000-0003-4183-4338, Case Western Reserve University), M M Thompson (Case Western Reserve University), Maya Thompson (Case Western Reserve University), Gerald A Ferretti (Rainbow Babies & Children's Hospital, corresponding author), Gerald Ferretti (Case Western Reserve University) |
| Year | 2025 |
| Volume | 12 |
| Issue | 6 |
| Pages | 670-670 |
| Publication date | 2025-05-23 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children12060670 |
| PMID | 40564628 |
| OpenAlex | W4410639911 |
| Language | EN |
| References cited | 12 |
Background/Objectives: For dental providers, it can be difficult to distinguish dental neglect from legitimate barriers to care, preventing the completion of dental treatment for pediatric patients. The aim of this study was to utilize caretakers' self-reported reasons for missing their child's appointments to identify barriers to treatment completion versus dental neglect. Methods: The treatment setting was oral rehabilitation under deep or intravenous sedation (IV) or general anesthesia (GA). After the responses were examined, patients were categorized into one of four groups: Low-Risk, Treatment Completed; Low-Risk, Treatment Not Completed; High-Risk, Treatment Completed; High-Risk, Treatment Not Completed. Low- or high-risk classifications were determined based on whether the reported rationale was a temporary hindrance that could be overcome through additional effort or assistance, or whether it was because the parent or guardian did not follow through with the recommended instructions and treatment. A chi-square test was completed. Results: A total of 602 IV charts and 1, 296 GA charts were reviewed for this study. For both IV and GA settings, the proposed low- and high-risk factors for dental neglect were statistically significant (IV: p = 0.000442; GA: p Conclusions: The patients whose appointments were not completed for reasons deemed high risk for dental neglect had a higher risk of having uncompleted treatment. These patients should be closely followed due to a higher risk of dental neglect
Dental surgery · Family medicine · Neglect · Psychiatry · Retrospective cohort study · Child Abuse and Trauma · Dental Education, Practice, Research · Dentistry · Medical Malpractice and Liability Issues · Medicine · Surgery
| Citation velocity | historical |
|---|---|
| Highly cited | No |