Frontiers in Oral Health (Oct 2023)

Child dental neglect and legal protections: a compendium of briefs from policy reviews in 26 countries and a special administrative region of China

  • Moréniké Oluwátóyìn Foláyan,
  • Moréniké Oluwátóyìn Foláyan,
  • Francisco Ramos-Gomez,
  • Olawunmi Adedoyin Fatusi,
  • Nouran Nabil,
  • Germana V. Lyimo,
  • Irene Kida Minja,
  • Ray M. Masumo,
  • Nadia Mohamed,
  • Nicoline Potgieter,
  • Cleopatra Matanhire,
  • Pamela Maposa,
  • Chiedza Runyararo Akino,
  • Abiola Adeniyi,
  • Simin Z. Mohebbi,
  • Passent Ellakany,
  • Jieyi Chen,
  • Rosa Amalia,
  • Alfredo Iandolo,
  • Faizal C. Peedikayil,
  • Athira Aravind,
  • Ola B. Al-Batayneh,
  • Ola B. Al-Batayneh,
  • Yousef S. Khader,
  • Sadeq Ali Al-Maweri,
  • Wael Sabbah,
  • Roberto Ariel Abeldaño Zuñiga,
  • Roberto Ariel Abeldaño Zuñiga,
  • Ana Vukovic,
  • Julijana Jovanovic,
  • Ro’aa Mohammed Jafar,
  • Ilze Maldupa,
  • Arheiam Arheiam,
  • Fausto M. Mendes,
  • Sergio E. Uribe,
  • Sergio E. Uribe,
  • Sergio E. Uribe,
  • María del Carmen López Jordi,
  • Rita S. Villena,
  • Duangporn Duangthip,
  • Nadia A. Sam-Agudu,
  • Nadia A. Sam-Agudu,
  • Nadia A. Sam-Agudu,
  • Maha El Tantawi,
  • Maha El Tantawi

DOI
https://doi.org/10.3389/froh.2023.1211242
Journal volume & issue
Vol. 4

Abstract

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BackgroundChild neglect is a public health, human rights, and social problem, with potentially devastating and costly consequences. The aim of this study was to: (1) summarize the oral health profile of children across the globe; (2) provide a brief overview of legal instruments that can offer children protection from dental neglect; and (3) discuss the effectiveness of these legal instruments.MethodsWe summarized and highlighted the caries profile and status of implementation of legislation on child dental neglect for 26 countries representing the World Health Organization regions: five countries in Africa (Nigeria, South Africa, Sudan, Tanzania, Zimbabwe), eight in the Americas (Argentina, Brazil, Canada, Chile, Mexico, Peru, Unites States of America, Uruguay), six in the Eastern Mediterranean (Egypt, Iran, Libya, Jordan, Qatar, Saudi Arabia), four in Europe (Italy, Latvia, Serbia, United Kingdom), two in South-East Asia (India and Indonesia) and one country (China) with its special administrative region (Hong Kong) in the Western Pacific.ResultsTwenty-five of the 26 countries have legal instruments to address child neglect. Only two (8.0%) of these 25 countries had specific legal instruments on child dental neglect. Although child neglect laws can be interpreted to establish a case of child dental neglect, the latter may be difficult to establish in countries where governments have not addressed barriers that limit children's access to oral healthcare. Where there are specific legal instruments to address child dental neglect, a supportive social ecosystem has also been built to facilitate children's access to oral healthcare. A supportive legal environment, however, does not seem to confer extra protection against risks for untreated dental caries.ConclusionsThe institution of specific country-level legislation on child dental neglect may not significantly reduce the national prevalence of untreated caries in children. It, however, increases the prospect for building a social ecosystem that may reduce the risk of untreated caries at the individual level. Social ecosystems to mitigate child dental neglect can be built when there is specific legislation against child dental neglect. It may be more effective to combine public health and human rights-based approaches, inclusive of an efficient criminal justice system to deal with child dental neglect.

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