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what are four major types of family maltreatment?
- physical violence
- physical neglect
- sexual violence
- emotional abuse
what type of vamily maltreatment is nonaccidental injuires on family members by parents, caregivers, spouses or siblings
what type of family maltreatment is willful or unwillful failure of the caregiver or parents to provide the basic necessities to individuals in their care; abandonment; medical, dental and deprivation neglect
what type of family maltreatment is nonconsensual or exploitive sexual contact, including sexual intercourse, oral sex, fondling or pornographic activites on one family member by another
what type of family maltreatment is metal anguish and despair caused by ridicule, intimidation, humiliation, name calling, harassment, threats and controlling behavior; isolation
who is the most at risk for maltreatment? 4
- people with disabilities
_____ violence is the abuse by one individual of another in an intimate relationship
t/f special nedds children are more likely to be vitims of abuse and neglect
as much as ____% to _____% of child physical abuse involves injuries to the head, neck or mouth
____ is the nonaccidental phsical, emotional or sexual acts against a child under the age of 18 by a person who is responsible for the childs welfare
_____ is the intentional or unintentional failure to provide what is necessary for physical, intellectual, and emotional development of a child by a person who is responsible for the child's welfare
____ _____ is the willful failure of a parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate funcion and freedom from pain and infection
what are four signs of abuse seen through the overall appearance
- clothing (long sleeves and pants in summer)
- falure to thrive
- infestation of lice
t/f injuries at multiple stages of healing are a sure sign a child has had an accidental injury such as a fall
FALSE multiple stages of healing is a sign of physical abuse
speech disorders, lags in physical development and failure to thrive are physical indicators of what type of abuse?
a child being phsically abused with show behavioral indicators such as: wary of ____ contact, apprehensive when others ____, behavioral extremes ____ or _____, frightned of ______, afraid to go _____ and reports infury by _____.
t/f deliberate or inflicted injuries usually occur unilaterally
false! occur on both sides of face
______ injuires occur on one side of the face
forhead, elbows, knees and shins are exapmes of what kind of childrens injurys?
upper back, upper arm, genitals, thigh, and calves are what kind of sites for childrens injuries
inficted or deliberate injuries
lip bruises and lacerations; angular brusing, lichenification or scarring are signs of what?
gags applied to mouth
what are three conditions that can mimic abuse?
- bruising (accidental injuries, idopathic thrombocytopenia purpura, hemophilia)
- burns/red lesions (port wine stain, accidental burns)
- skin lesions (bullous impetigo, birthmarks)
t/f many injuries of the mouth in children can balso be caused by accidental means
intraoral signs of abuse are things such as: lacerations of the _____, ____ ____ or ______, lingual and labial _____ tears, teeth that are ______, ______, _____ or _____ and radiographic evidence of _____ in different degrees of healing
- tongue, buccal mucosa or palate
- frenal tears
- fractured, displaced, avulsed or nonvital
bruising or petechiae of the palate indicate what?
forced oral sex
what are two examples of sexually transmitted genital lesions found intraorally as signs of sexual abuse?
- condyloma acuminatum
- herpetic gingivostomatitis
when does neglect become intentional?
when the caregiver is negligent in following through with the recommeneded treatment
what are three responsibilities of dental professionals with neglect
- provide education to caregivers and children in oral health care and diseases prevention
- inform caregiver of total treatment to control oral diseases
- provide info about access to care, financial aid and trasnportation when needed
what are some reasons for dental neglact as parental factors? 5
- low priority
- lack of education
- limited finances
- family isolation
- religious beliefs
what are four contributing factors to abusive parents?
- immature and unprepared for parenthood
- may have been abused by their parents
- unable to handle daily stresses
- drug use and alcoholism