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Avaliação de conhecimentos no diagnóstico de maus tratos de crianças e adolescentes em medicina dentária
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Abstract(s)
Foi objetivo do presente trabalho aferir o conhecimento do Médico Dentista sobre como deve e pode atuar perante a suspeita de maus tratos em crianças e adolescentes em consulta de medicina dentária.
Para tal, foi elaborado um questionário on-line sobre a temática de abuso e negligência infantil, aplicado a 185 médicos-dentistas, 163 mulheres e 22 homens.
O acesso ao grupo de participantes foi efetuado mediante e-mail direcionado a clínicas com atendimento de medicina dentária e divulgação em plataformas e grupos de medicina dentária, bem como, diversas redes sociais (Instagram, Facebook, WhatsApp, Telegram). Para a pesquisa bibliográfica, foi efetuada uma procura nas bases de dados “Pubmed”, “B-On” e no Repositório Institucional da Universidade Fernando Pessoa.
Relativamente aos sinais de abuso físico em crianças e adolescentes, os mais sinalizadores foram as lesões traumáticas nos locais de prominência óssea facial (70,3%) e a escoriação com forma identificável (66,5%). No que diz respeito ao diagnóstico de negligência infantil, baixo peso (64,9%) e fraco desenvolvimento da criança (66,5%), foram os sinais mais identificados pelos médicos dentistas.
No que concerne às responsabilidades médico-legais, a maioria dos médicos dentistas tem conhecimento (65,9%). Cerca de 34,1% dos inquiridos, afirmou não conhecer as suas responsabilidades médico-legais.
Os conhecimentos dos profissionais nesta área são diminutos, tornando-se necessária uma aposta na formação para uma maior sensibilização, deteção e encaminhamento de casos de suspeita de maus tratos em crianças e adolescentes.
The objective of this work is to assess the Dentist's knowledge about how should and can act in case of suspicion in the face of suspected maltreatment in children and adolescents in dental consultations. To this end, an online questionnaire was developed on the theme of child abuse and neglect, delivered to 185 dentists, 163 women and 22 men. Access to the group of participants was made via email directed to clinics with dental care and dissemination on dental platforms and groups, as well as on various social networks (Instagram, Facebook, WhatsApp and Telegram). For the bibliographical research, a search was carried out in the “Pubmed”, “B-On” databases and in the Institutional Repository of the Fernando Pessoa University. Regarding the signs of physical abuse in children and adolescents, the most common were traumatic injuries in areas of facial bone prominence (70.3%) and excoriation with an identifiable form (66.5%). With regard to the diagnosis of child neglect, low weight (64.9%) and poor child development (66.5%) were the most identified signs by dentists. With regard to medico-legal responsibilities, most dentists are aware (65.9%). And 34% of respondents said they didn`t know their medico-legal responsibilities. The knowledge of professionals in this area is insufficient, making it necessary to invest in training for consciousness, detection and forwarding of cases of suspected abuse in children and teenagers.
The objective of this work is to assess the Dentist's knowledge about how should and can act in case of suspicion in the face of suspected maltreatment in children and adolescents in dental consultations. To this end, an online questionnaire was developed on the theme of child abuse and neglect, delivered to 185 dentists, 163 women and 22 men. Access to the group of participants was made via email directed to clinics with dental care and dissemination on dental platforms and groups, as well as on various social networks (Instagram, Facebook, WhatsApp and Telegram). For the bibliographical research, a search was carried out in the “Pubmed”, “B-On” databases and in the Institutional Repository of the Fernando Pessoa University. Regarding the signs of physical abuse in children and adolescents, the most common were traumatic injuries in areas of facial bone prominence (70.3%) and excoriation with an identifiable form (66.5%). With regard to the diagnosis of child neglect, low weight (64.9%) and poor child development (66.5%) were the most identified signs by dentists. With regard to medico-legal responsibilities, most dentists are aware (65.9%). And 34% of respondents said they didn`t know their medico-legal responsibilities. The knowledge of professionals in this area is insufficient, making it necessary to invest in training for consciousness, detection and forwarding of cases of suspected abuse in children and teenagers.
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Keywords
Abuso infantil Negligência infantil Maus tratos Odontopediatria Odontopediatria forense Conhecimento do médico dentista Child abuse Child neglect Mistreatment Paediatric dentistry Forensic paediatric dentistry Dentist knowledge