Acute dento-facial/ cervico-facial infection in children may be an indicator of wider neglect.
40.7% of children presenting dento-facial / cervico-facial infection were already know to social services.
More than 50% of children presenting with dento-facial infection were between 5-8 years old, suggesting this group is at greater risk of dental neglect
Subscribe to Journal
Get full journal access for 1 year
only $20.79 per issue
All prices are NET prices.
VAT will be added later in the checkout.
Tax calculation will be finalised during checkout.
Rent or Buy article
Get time limited or full article access on ReadCube.
All prices are NET prices.
Department for Education. Characteristics of children in need: 2015 to 2016. 2016. Available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/564620/SFR52-2016_Main_Text.pdf (accessed April 2018).
Department for Education and Skills. Working together to Safeguard Children: a guide to inter-agency working to safeguard and promote the welfare of children. London DfES, 2006.
American Academy of Pediatrics Committee on Child Abuse and Neglect, American Academy of Pediatric Dentistry, American Academy of Pediatric Dentistry Council on Clinical Affairs. Guideline on oral and dental aspects of child abuse and neglect. Pediatr Dent 2008; 30 (7 Suppl): 86–89.
Harris J C, Balmer R C, Sidebotham P D . British Society of Paediatric Dentistry: a policy document on dental neglect in children. Int J Paediatr Dent 2009; 10.1111/j.1365-263X.2009.00996.x.
Valencia-Rojas N, Lawrence H P, Goodman D . Prevalence of early childhood caries in a population of children with history of maltreatment. J Public Health Dent 2008; 68: 94–101.
Shepherd M A, Nadanovsky P, Sheiham A . The prevalence and impact of dental pain in 8-year-old school children in Harrow, England. Br Dent J 1999; 187: 38–41.
Sheiham A . Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006; 201: 625–626.
Broadbent J M, Thomson W M, Williams S M . Does caries in primary teeth predict enamel defects in permanent teeth? A longitudinal study. J Dent Res 2005; 84: 260–264.
Ryan P, McMahon G . Severe dental infections in the emergency department. Eur J Emerg Med 2012; 19: 208–213.
Potter J K, Herford A S, Ellis E, 3rd . Tracheotomy versus endotracheal intubation for airway management in deep neck space infections. J Oral Maxillofac Surg 2002; 60: 349–354; discussion 54–55.
Branstetter BFt, Weissman J L . Infection of the facial area, oral cavity, oropharynx, and retropharynx. Neuroimaging Clin N Am 2003; 13: 393–410, ix.
Bali R K, Sharma P, Gaba S, Kaur A, Ghanghas P . A review of complications of odontogenic infections. Natl J Maxillofac Surg 2015; 6: 136–143.
Holmberg P, Hellmich T, Homme J . Pediatric Sepsis Secondary to an Occult Dental Abscess: A Case Report. J Emerg Med 2017; 52: 744–748.
Sakamoto H, Aoki T, Kise Y, Watanabe D, Sasaki J . Descending necrotizing mediastinitis due to odontogenic infections. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89: 412–419.
Zeitoun I M, Dhanarajani P J . Cervical cellulitis and mediastinitis caused by odontogenic infections: report of two cases and review of literature. J Oral Maxillofac Surg 1995; 53: 203–208.
Colmenero Ruiz C, Labajo A D, Yanez Vilas I, Paniagua J . Thoracic complications of deeply situated serous neck infections. J Craniomaxillofac Surg 1993; 21: 76–81.
Tung-Yiu W, Jehn-Shyun H, Ching-Hung C, Hung-An C . Cervical necrotizing fasciitis of odontogenic origin: a report of 11 cases. J Oral Maxillofac Surg 2000; 58: 1347–1352; discussion 53.
Kiddee W, Preechawai P, Hirunpat S . Bilateral septic cavernous sinus thrombosis following the masticator and parapharyngeal space infection from the odontogenic origin: a case report. J Med Assoc Thai 2010; 93: 1107–1111.
Li X, Tronstad L, Olsen I . Brain abscesses caused by oral infection. Endod Dent Traumatol 1999; 15: 95–101.
Wong T Y . A nationwide survey of deaths from oral and maxillofacial infections: the Taiwanese experience. J Oral Maxillofac Surg 1999; 57: 1297–1299; discussion 300.
Sethi D S, Stanley R E . Deep neck abscesses-changing trends. J Laryngol Otol 1994; 108: 138–143.
Britt J C, Josephson G D, Gross C W . Ludwig's angina in the pediatric population: report of a case and review of the literature. Int J Pediatr Otorhinolaryngol 2000; 52: 79–87.
Han X, An J, Zhang Y, Gong X, He Y . Risk Factors for Life-Threatening Complications of Maxillofacial Space Infection. J Craniofac Surg 2016; 27: 385–390.
Pine C M, Harris R V, Burnside G, Merrett M C . An investigation of the relationship between untreated decayed teeth and dental sepsis in 5-year-old children. Br Dent J 2006; 200: 45–47; discussion 29.
Department for Education. Working together to safeguard children: a guide to inter-agency working to safeguard and promote the welfare of children. 2015.
Harris J C, Elcock C, Sidebotham P D, Welbury R R . Safeguarding children in dentistry: 1. Child protection training, experience and practice of dental professionals with an interest in paediatric dentistry. Br Dent J 2009; 206: 409–414.
Greater London Authority: London Borough Profiles and Atlas. 2017. Available at https://data.london.gov.uk/dataset/london-borough-profiles (accessed April 2018).
Tinson A, Ayrton C, Barker K, Born T B, Long O . Trust for London: London's Poverty Profile. 2017. Available at https://www.trustforlondon.org.uk/data/boroughs/overview-of-london-boroughs/ (accessed April 2018).
Finucane D . Rationale for restoration of carious primary teeth: a review. Eur Arch Paediatr Dent 2012; 13: 281–292.
Thikkurissy S, Rawlins J T, Kumar A, Evans E, Casamassimo P S . Rapid treatment reduces hospitalization for pediatric patients with odontogenic-based cellulitis. Am J Emerg Med 2010; 28: 668–672.
Gilbert R, Widom C S, Browne K, Fergusson D, Webb E, Janson S . Burden and consequences of child maltreatment in high-income countries. Lancet 2009; 373: 68–81.
Kessler R C, McLaughlin K A, Green J G et al. Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. Br J Psychiatry 2010; 197: 378–385.
Brent D A, Silverstein M . Shedding light on the long shadow of childhood adversity. JAMA 2013; 309: 1777–1778.
Newbury J B, Arseneault L, Moffitt T E et al. Measuring childhood maltreatment to predict early-adult psychopathology: Comparison of prospective informant-reports and retrospective self-reports. J Psychiatr Res 2018; 96: 57–64.
Norman R E, Byambaa M, De R, Butchart A, Scott J, Vos T . The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med 2012; 9: e1001349.
Azogui-Levy S, Lombrail P, Riordan P J et al. Evaluation of a dental care program for school beginners in a Paris suburb. Community Dent Oral Epidemiol 2003; 31: 285–291.
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 Public Health 2013; 13: 370.
Bhatia S K, Maguire S A, Chadwick B L et al. Characteristics of child dental neglect: a systematic review. J Dent 2014; 42: 229–239.
Noble F, Dickie J, Conway D I . Systematic review highlights difficulty in clearly identifying dental neglect in children. Evid Based Dent 2014; 15: 3–4.
NICE. Child maltreatment: when to suspect maltreatment in under 18s. National Institute for Health and Clinical Excellence. 2009. Available at https://www.nice.org.uk/guidance/CG89/chapter/1-Guidance#physical-features (accessed: April 2018).
Harris J C, Elcock C, Sidebotham P D, Welbury R R . Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect? Br Dent J 2009; 206: 465–470.
Balmer R, Gibson E, Harris J . Understanding child neglect. Current perspectives in dentistry. Prim Dent Care 2010; 17: 105–109.
Souster G, Innes N . Some clarification of trigger signs for dental neglect. Evid Based Dent 2014; 15: 2–3.
Public Health England. Delivering better oral health: an evidence-based toolkit for prevention. 2014. Available at https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention (accessed April 2018).
The authors thank the child safeguarding team at King's College Hospital for their support and contribution to this work and Juli Davis for her help with the figures.
About this article
Cite this article
Schlabe, J., Kabban, M., Chapireau, D. et al. Paediatric dento-facial infections – a potential tool for identifying children at risk of neglect?. Br Dent J 225, 757–761 (2018). https://doi.org/10.1038/sj.bdj.2018.862
The Surgeon (2021)
The “Neglected” Relationship Between Child Maltreatment and Oral Health? An International Scoping Review of Research
Trauma, Violence, & Abuse (2021)
Primary Dental Journal (2020)
British Dental Journal (2018)