Clinical management of child abuse and neglect

Clinical management of child abuse and neglect

DEPARTMENT Edited by T. M. Graber, Krrzilworth. All OF REVIEWS AND ABSTRACTS irquiries to the D.M.D., Ph.D. III. regrtrding respective addres...

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DEPARTMENT Edited

by

T. M. Graber, Krrzilworth. All

OF REVIEWS AND ABSTRACTS

irquiries

to the

D.M.D., Ph.D.

III. regrtrding

respective

addressed

to Dr.

cluthors. T. M.

Clinical Management and Neglect Roger Chicago, illustrated,

G. Sanger

information Articles Graber,

reviehss

450

Green

for

and

&tracts

revie,\a

Bay

Road,

of Child Abuse

and Donald

1984, Quintessence in&.x

on

or books

Publishing

This multi-authored paperback volume fills an important void in child-neglect and child-abuse literature. It is a sign of the times that the problem has become important enough to stimulate the writing of a book. An interesting but little known fact is that traumatic oral and facial injuries are often the first presented finding. The dentist may be the first health provider to recognize and have to cope with the problem. The nature of dental therapy allows more time to think and follow the patient in a longer time frame, exploring the psychological problems of the patients, as well as the circumstances initiating the traumatic experiences. Successive chapters on professional responsibility in child abuse and neglect, types, epidemiology and characteristics, clinical diagnosis and oral facial injuries in physical and sexual abuse, bite rnarks, documentation and collection of physical evidence, interviewing the child, child-protection teams, legal aspects, and expert testimony by dentists elucidate the broad base of child-abuse considerations. Other chapters on violence in adult family members, cultural health practices suspected in child abuse, an illustrated atlas of physical child abuse, the dentist as child abuser, and a case report of child abuse maintain a high level of reader interest. It is hard to dodge the conclusion of an increasingly violent or frustrated society. The production details of the handbook-sized volume are good, although some of the illustrations are not up to the usual superior quality we see and expect from Quintessence. This does not detract from the subject matter, however. Since both pedodontists and orthodontists see child patients early, the reviewer recommends this book for both specialties. It will sharpen our social conscience and ability to recognize and intercept an all too frequently ignored problem in our kaleidoscopic world. 440

Kenilworth.

John

168 pages,

T.

M.

be directed

department Illinois

Practical Practice

C. Bross Co.

should

in this

Gruber

should

be

60043.

Dental Management:

H. Manhold

St. Louis, 1984, Ishiyaku index. Price, $19.50

and Cecelia EuroAwerica,

Patients

and

Black Inc..

I83 page.y.

With the great number of dentists being trained and the apparent excess of well-trained professionals (Forbes, August, 1984), patient management and public relations assume even greater importance for the dentist who wishes to build a practice or the clinician who wishes to maintain a full practice. This paperback volume points out that the best prognostications are that solo practice will be obsolete by the end of the decade. Problems involved in the change are multiple. The book is dedicated to solving them during the transition. Part I, “Theoretical Considerations,” has chapters on personality and the basis, determinants, and behavioral patterns of neurosis as they apply to recognition of a variety of dental situations. Part II, “Practical Patient Management,” has live chapters on general factors of importance in patient management, specific suggestions for adult patients, handling characteristic problems for adults, recognition and management of the overtly neurotic patient (especially important for TMJ problems), and specific suggestions for handling children and adolescents. Part III completes the book with three chapters on practice establishment, employer-employee relations, and practice maintenance. The practical, clinically oriented approach of the book is refreshing. Enough controversy exists in the field to ensure that not all “experts” will agree with the advice of the authors; some will feel that the psychological aspect is overly stressed. However, the reviewer was stimulated by the discussions and recommends the book for reading by all orthodontists. As more and more adult and TMJ patients are absorbed into orthodontic practices, patient-management techniques that are based on current concepts and techniques must be developed. T.

M.

Gruber