Epidemiology, etiology, types and outcomes of dental neglect in children


  • Mohanad Abdulwahab Alsaadi MclinDent in Paediatric Dentistry, Khulais General Hospital, Khulais, Saudi Arabia
  • Mohammed Ali Assiri Ministry of Health, Abha, Saudi Arabia
  • Mohanad Abdullah Alhedbany College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
  • Fadiyah Falah Alanazi Ministry of Health, Riyadh, Saudi Arabia
  • Lujain Khalil AlShaikh General Dentist, Ministry of Health, Medina, Saudi Arabia
  • Afnan Suliman Alblewi Riyadh Elm University, Riyadh, Saudi Arabia
  • Malak Fahd Shaoush General Dentist, Ministry of Health, Medina, Saudi Arabia
  • Saba Mohammad Alshareef Ministry of Health, Tabuk, Saudi Arabia
  • Khadijah Mustafa Saidi Ministry of Health, Taif, Saudi Arabia
  • Sara Abdulmajeed Alkhars Ministry of Health, Dammam, Saudi Arabia
  • Ghufran Abdulmohsen Bukhamis Ministry of Health, Al Ahsaa, Saudi Arabia
  • Ghaidaa Mohammed Maarouf College of Dentistry, Al Farabi Colleges, Jeddah, Saudi Arabia




Dental neglect, Children, Epidemiology, Dental caries, Etiology


Dental neglect is a common condition among children and it can be associated with several adverse events as dental caries, dental pain and inflammation, infections, trauma, bleeding and other complications that might result from inadequate administration of adequate prevention and treatment modalities. However, many children and parents are not adequately aware of these events and the potential diseases that might be associated secondary to them. Dental neglect is a common condition that might affect children of different age groups and might also extend to adult groups and is affected by the demographics and socioeconomic characteristics of the affected populations. Furthermore, the etiology of dental neglect is variable and parenteral, child and clinical care should all be integrated to achieve better oral health. Many adverse events have been reported as dental caries and other periodontal diseases that might have a significant impact on the affected teeth and the succeeding permanent ones, which might impact the quality of life in the affected children. Accordingly, dental neglect should be given full care to enhance the outcomes of oral health in children.


Radford L, Corral S, Bradley C, Fisher HL, Basssett C, Howat M, et al. Child abuse and neglect in the UK Today. 2011.

Fisher-Owens SA, Lukefahr JL, Tate AR, American academy of pediatrics, section on oral health, committee on child abuse and neglect, American academy of pediatric dentistry, et al. Oral and dental aspects of child abuse and neglect. Pediatrics. 2017;140(2):20171487.

Schwartz S, Woolridge E, Stege D. Oral manifestations and legal aspects of child abuse. J Am Dent Assoc. 1977;95(3):586-91.

Clarke AM. The choice to refuse or withhold medical treatment: the emerging technology and medical-ethical consensus. Creighton Law Rev. 1980;13(3):795-841.

Oral health in America: a report of the Surgeon General. J California Dent Assoc. 2000;28(9):685-95.

Dye BA, Tan S, Smith V, Lewis BG, Barker LK, Thornton-Evans G, et al. Trends in oral health status: United States, 1988-1994 and 1999-2004. Vital Health Stat 11. 2007;248:1-92.

Lourenço CB, Saintrain MV, Vieira AP. Child, neglect and oral health. BMC Pediatr. 2013;13:188.

Chu CH, Ho PL, Lo EC. Oral health status and behaviours of preschool children in Hong Kong. BMC Pub Health. 2012;12(1):1-8.

Benzian H, Monse B, Heinrich-Weltzien R, Hobdell M, Mulder J, Helderman WVP. Untreated severe dental decay: a neglected determinant of low body mass index in 12-year-old Filipino children. BMC Pub Health. 2011;11:558.

Arora A, Scott JA, Bhole S, Do L, Schwarz E, Blinkhorn AS. Early childhood feeding practices and dental caries in preschool children: a multi-centre birth COHORT study. BMC Pub Health. 2011;11:28.

Begzati A, Berisha M, Meqa K. Early childhood caries in preschool children of Kosovo-a serious public health problem. BMC Pub Health. 2010;10:788.

Office of the Surgeon General. Reports of the Surgeon General. National Call To Action To Promote Oral Health. Rockville (MD): National Institute of Dental and Craniofacial Research (US); 2003.

Fisher-Owens SA, Lukefahr JL, Tate AR. Oral and dental aspects of child abuse and neglect. Pediatrics. 2017;140(2).

Valencia-Rojas N, Lawrence HP, Goodman D. Prevalence of early childhood caries in a population of children with history of maltreatment. J Pub Health Dentist. 2008;68(2):94-101.

Scorca A, Santoro V, DeDonno A, Grattagliano I, Tafuri S, Introna F. Early childhood caries (ECC) and neglect in child care: analysis of an Italian sample. La Clinica terapeutica. 2013;164(5):365-71.

Gurunathan D, Shanmugaavel AK. Dental neglect among children in Chennai. J Indian Soc Pedodont Prevent Dent. 2016;34(4):364-9.

Kvist T, Zedrén-Sunemo J, Graca E, Dahllöf G. Is treatment under general anaesthesia associated with dental neglect and dental disability among caries active preschool children? Eur Aca Paediatr Dent. 2014;15(5):327-32.

Thomson WM, Spencer AJ, Gaughwin A. Testing a child dental neglect scale in South Australia. Commun Dent Oral Epidemiol. 1996;24(5):351-6.

Acharya S, Pentapati KC, Bhat PV. Dental neglect and adverse birth outcomes: a validation and observational study. Int J Dent Hyg. 2013;11(2):91-8.

Jamieson LM, Thomson WM. The dental neglect and dental indifference scales compared. Commun Dent Oral Epidemiol. 2002;30(3):168-75.

21. McGrath C, Sham AS, Ho DK, Wong JH. The impact of dental neglect on oral health: a population based study in Hong Kong. International dental journal. 2007;57(1):3-8.

Jamieson LM, Thomson M. Dental health, dental neglect, and use of services in an adult Dunedin population sample. N Z Dent J. 2002;98(431):4-8.

Prabhakar D. Child abuse and neglect: diagnosis, treatment and evidence. JAMA. 2011;306(5):554-5.

Sarri G, Evans P, Stansfeld S, Marcenes W. A school-based epidemiological study of dental neglect among adolescents in a deprived area of the UK. Brit Dent J. 2012;213(10):17.

Katz RV, Smith BJ, Berkey DB, Guset A, O'Connor MP. Defining oral neglect in institutionalized elderly: a consensus definition for the protection of vulnerable elderly people. J Am Dent Assoc. 2010;141(4):433-40.

Skaret E, Astrøm AN, Haugejorden O, Klock KS, Trovik TA. Assessment of the reliability and validity of the dental neglect scale in Norwegian adults. Commun Dent Health. 2007;24(4):247-52.

Amin MS, Harrison RL. Understanding parents' oral health behaviors for their young children. Qualitative Health Res. 2009;19(1):116-27.

Freeman R. The role of the primary care dentist in safeguarding children. In: Taylor J, Themessl-Huber M, eds. Safeguarding children in primary dental care. Jessica Kingley Publishers; 2009: 60-75.

Goh EZ, Beech N, Johnson NR. Dental anxiety in adult patients treated by dental students: a systematic review. J Dent Educ. 2020;84(7):805-11.

Pretty IA, Sweet D. Anatomical location of bitemarks and associated findings in 101 cases from the United States. J Forens Sci. 2000;45(4):812-4.

Bradbury-Jones C, Innes N, Evans D, Ballantyne F, Taylor J. Dental neglect as a marker of broader neglect: a qualitative investigation of public health nurses' assessments of oral health in preschool children. BMC Pub Health. 2013;13:370.

Perez R, Berkowitz R, Mcllveen L, Forrester D. Dental trauma in children: a survey. Dent Traumatol. 1991;7(5):212-3.

Josell SD, Abrams RG. Managing common dental problems and emergencies. Pediatr Clinic North Am. 1991;38(5):1325-42.

Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatric Dent. 2008;30(7):40-3.

Loesche WJ. Role of Streptococcus mutans in human dental decay. Microbiol Rev. 1986;50(4):353-80.

Douglass JM, Li Y, Tinanoff N. Association of mutans streptococci between caregivers and their children. Pediatr Dent. 2008;30(5):375-87.

Loveren C, Buijs JF, Cate JM. Similarity of bacteriocin activity profiles of mutans streptococci within the family when the children acquire the strains after the age of 5. Caries Res. 2000;34(6):481-5.

Raphael S. Bottle caries and dental neglect. New South Wales Pub Health Bull. 1999;10(4):31-2.

Machado AW, MacGinnis M, Damis L, Moon W. Spontaneous improvement of gingival recession after correction of tooth positioning. Am Board Orthodont. 2014;145(6):828-35.

Fushima K, Inui M, Sato S. Dental asymmetry in temporomandibular disorders. J Oral Rehab. 1999;26(9):752-6.

Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet (London, England). 2019;394(10194):249-60.

Reisine ST. Dental health and public policy: the social impact of dental disease. Am J Pub Health. 1985;75(1):27-30.

Low W, Tan S, Schwartz S. The effect of severe caries on the quality of life in young children. Pediatr Dent. 1999;21(6):325-6.

Filstrup SL, Briskie D, Fonseca M, Lawrence L, Wandera A, Inglehart MR. Early childhood caries and quality of life: child and parent perspectives. Pediatr Dent. 2003;25(5):431-40.

Badran SA. The effect of malocclusion and self-perceived aesthetics on the self-esteem of a sample of Jordanian adolescents. Eur J Orthodont. 2010;32(6):638-44.

Kiekens RM, Maltha JC, van'tHof MA, Kuijpers-Jagtman AM. Objective measures as indicators for facial esthetics in white adolescents. Angle Orthodont. 2006;76(4):551-6.

Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Brit Dent J. 2006;201(10):625-6.

Broadbent JM, Thomson WM, Williams SM. Does caries in primary teeth predict enamel defects in permanent teeth? A longitudinal study. J Dent Res. 2005;84(3):260-4.

Harris JC, Elcock C, Sidebotham PD, Welbury RR. Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect? Brit Dent J. 2009;206(9):465-70.

Katner D, Brown C, Fournier S. Considerations in identifying pediatric dental neglect and the legal obligation to report. J Am Dent Assoc. 2016;147(10):812-6.




How to Cite

Alsaadi, M. A., Assiri, M. A., Alhedbany, M. A., Alanazi, F. F., AlShaikh, L. K., Alblewi, A. S., Shaoush, M. F., Alshareef, S. M., Saidi, K. M., Alkhars, S. A., Bukhamis, G. A., & Maarouf, G. M. (2021). Epidemiology, etiology, types and outcomes of dental neglect in children. International Journal Of Community Medicine And Public Health, 8(10), 5127–5132. https://doi.org/10.18203/2394-6040.ijcmph20213666



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