Authors : C. Stavrianos, L. Vasiliadis, J. Emmanouil, C. Papadopoulos, P. Kafas and P. Diamantopoulou
Abstract: Elder abuse is commonly defined as a single or repeated act or lack of appropriate action occurring within any relationship where there is an expectation of trust which causes harm or distress to an older person. A lady 81 years old presented to the hospital with dento-alveolar fracture of the left maxilla. The associated bruising of the left facial region was of great importance. The home care provider gave confused details about the fall injury. The patient had affected communication skills due to dementia disease. The suspicion of fall associated to abuse generated from the different views between the two persons. The mental status of the patient occasionally may seriously complicate obtaining an accurate history of the trauma. Therefore, the identification of such a pathological condition is complicated having as a consequence many cases to remain with incorrect diagnosis. The proper management of a patient of this type of injury will be discussed. Abusive behaviour by family carers towards people with dementia is common with a third reporting important levels of abuse and half some abusive behaviour. The role of dentist by contacting the responsible authorities such as forensic (medical, dental and psychiatric or psychological), social and other implicated local societies by law should be emphasized. The dentists should be aware of this abnormal behaviour in order to prevent and assess properly any suspected abuse in elder women or men.
C. Stavrianos, L. Vasiliadis, J. Emmanouil, C. Papadopoulos, P. Kafas and P. Diamantopoulou, 2011. A Case of Unilateral Maxillary Fracture Caused by Domestic Elder Abuse: The Role of Dentist. Research Journal of Medical Sciences, 5: 38-42.