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Identification and management of elder physical abuse in the routine of dentistry – a systematic review
perform a systematic search in the literature in order to verify
whether the dentists are able to identify and manage cases elder
may play an important legal role contributing to the management of
abused patients through the identification of injuries in their face,
head and neck.
Materials and methods
present systematic review was performed following the PRISMA Statement
and was registered in the PROSPERO database. A search was conducted in
the following electronic databases: PubMed, LILACS, SciELO, Embase, Web
of Science, OpenGrey, Google Scholar. Specifically, the last two
databases were used to search the ‘grey literature’. The research
question was based on the PVO strategy for systematic exploratory
review. Two examiners determined the eligibility criteria for selecting
the studies and performed all the research steps.
initial search resulted in 842 studies, from which eight were
considered eligible. Six studies used questionnaires to assess the
perception, knowledge and attitudes of dentists towards the
identification and management of cases of elder abuse, while two studies
assessed this information through personal interviews. Two studies were
rated as high quality, while six studies reached moderate quality. Male
and female dentists were assessed separately in six studies. Only three
studies specified the aggressor.
dentists revealed insufficient knowledge on elder abuse. Most of the
dentists are not able to identify and manage these cases in the clinical