American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Medical Case Reports. 2022, 10(5), 131-137
DOI: 10.12691/ajmcr-10-5-4
Open AccessCase Study

Parental Neglect in Early Childhood Emerging to Adulthood Self-neglect

Khurshid A Mattoo1, , Iti Gupta2, Areej Darraj3 and Muneera Gohal RA3

1Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Saudi Arabia

2Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Saudi Arabia

3Comprehensive Care Clinics, College of Dentistry, Jazan University, Saudi Arabia

Pub. Date: May 12, 2022

Cite this paper:
Khurshid A Mattoo, Iti Gupta, Areej Darraj and Muneera Gohal RA. Parental Neglect in Early Childhood Emerging to Adulthood Self-neglect. American Journal of Medical Case Reports. 2022; 10(5):131-137. doi: 10.12691/ajmcr-10-5-4


Child neglect is the outcome of poor parenting practices, which can be readily identified by the child’s dental status. Unhealthy eating practices by parents during one’s childhood has been found to be continued by the child when he attains adulthood. Self-regulation and self-care skills in adults, develop proficiencies when guided properly during childhood. Dental caries progression is slow and may not cause any warnings, unless damage is irreparable. We present three cases of adult patients who revealed three different themes of dental neglect during their childhood, namely dental care being sought only in case of emergency, multiple missing appointments after initiating dental care and patient presenting with the extensive untreated dental disease. All three cases, were comprehensively treated with full mouth rehabilitation using a multidisciplinary approach. While, the parental neglect may apply till an individual gains adulthood, what influences one to continue same behavior amounts to self-neglect. The relation between the two is unexplored. All patients received intensive dental rehabilitation that took months of planning. All patients were indifferent towards follow up and continued to disregard the protocol.

parenting style full mouth rehabilitation self-care parental neglect endodontics

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


Figure of 3


[1]  Dubowitz H, Black M, Starr R, Zuravin S. A conceptual definition of child neglect. Criminal Justice Behav. 1993; 20(1): 8-26.
[2]  Gaeta ML, Cavazos J, Cabrera MD, Rosário P. Fostering oral hygiene habits and self-regulation skills. Family and Community Health. 2018; 41(1): 47-54.
[3]  Dubowitz H, Giardino A, Gustavson E. Child neglect: guidance for pediatricians. Pediatrics in Review. 2000; 21(4): 111-6.
[4]  Jenny C. Committee on Child Abuse and Neglect. Recognizing and responding to medical neglect. Pediatrics. 2007; 120(6): 1385-9.
[5]  HM Government. Working Together to Safeguard Children: A Guide to Inter-Agency Working to Safeguard and Promote the Welfare of Children. London: The Stationery Office; 2006.
[6]  Dubowitz H, Black MM, Kerr M, Starr RH, Harrington D. Fathers and child neglect. Arch Pediatr Adolesc Med. 2000; 154(2): 135-141.
[7]  American Academy of Pediatric Dentistry. Definition of dental neglect. Available at:
[8]  Scorca A, Santoro V, De Donno A, Grattagliano I, Tafuri S, Introna F. Early childhood caries (ECC) and neglect in child care: analysis of an Italian sample. Clin Ter. 2013 Jan 1; 164(5): e365-71.
[9]  Bhatia SK, Maguire SA, Chadwick BL, et al. Characteristics of child dental neglect: a systematic review. J Dent. 2014; 42(3): 229-239.
[10]  General Dental Council. Standards guidance. Standards for dental professionals. London: General Dental Council, 2005.
[11]  Harris JC, Elcock C, Sidebotham PD, Welbury RR. Safeguarding children in dentistry: 2. Do paediatric dentists neglect child dental neglect? British dental journal. 2009; 206(9): 465-70.
[12]  Mattoo KA, Moaleem M, Shubayr M. An analytical survey to define the dimensions of a scaled questionnaire that would determine the existence of parental neglect in environmentally modulated obese subjects - A pre - pilot and pilot study. International Journal of Medical Research and Pharmaceutical Sciences 2018; 5(3): 1-10.
[13]  Mattoo KA, Shubayr M. Association between parental negligence in feeding and social activity of obese adults among jazan population. Niger J Clin Pract 2020; 23:1356-67.
[14]  Al-Eissa MA, Saleheen HN, AlMadani S, AlBuhairan FS, Weber A, Fluke JD, et al. Determining prevalence of maltreatment among children in the Kingdom of Saudi Arabia. Child Care Health Dev 2016; 42:565-71.
[15]  Health Ministry. The National Family Safety Registry Report, 2011.
[16]  Shubayr MA, Mattoo KA. Parental neglect of feeding in obese individuals: A review of scientific evidence and its application among Saudi population. Saudi Med J 2020; 41 (5): 451-458.
[17]  Gong X, Fletcher KL, Bolin JH. Dimensions of perfectionism mediate the relationship between parenting styles and coping. Journal of Counseling & Development. 2015; 93(3): 259-68.
[18]  Zhang L. Education Expenditure and Parenting Styles: Evidence from Cognitive Development in China. Journal of Family and Economic Issues. 2021; 42(4): 729-44.
[19]  Whitaker RC, Dietz WH. Role of the Prenatal Environment in the Development of Obesity. Journal of Pediatrics 1998; 132(5): 768-76.
[20]  Hood MY, Moore LL, Sundarajan-Ramamurti A, Singer M, Cupples LA, Ellison RC. Parental eating attitudes and the development of obesity in children. The Framingham Children's Study. International journal of obesity. 2000; 24(10): 1319-25.
[21]  Story M, Neumark-Sztainer D, French S. Individual and environmental influences on adolescent eating behaviors. J Am Diet Assoc. 2002;102 (3 suppl): S40-S51
[22]  Thompson G. International consumer demand for organic foods. Hort Technology. 2000; 10(4): 663-74.
[23]  Mattoo KA, Shalabh K, Khan A. Prevelance of elder abuse among completely edentulous patients seeking complete denture prosthesis - A survey. J Ind Acad Geriat 2009; 5(4): 177-180
[24]  Reportin R. US Department of Health & Human Services Administration for Children and Families Administration on Children, Youth and Families Children’s Bureau.
[25]  Harris J. Dental neglect in children. Paediatrics and Child Health. 2012; 22(11): 476-82.
[26]  Mattoo KA, Moaleem M, Shubayr M. Assessing the validity and reliability of a questionnaire to identify existence of parental neglect in terms of developing feeding style and social activity in obese adult saudi population. Journal of Medical Science and Clinical Research 2018; 6(4): 377-83.
[27]  Aldosari AM, Wyne AH, Akpata ES, Khan NB. Caries prevalence and its relation to water fluoride levels among schoolchildren in Central Province of Saudi Arabia. International Dental Journal. 2004; 54(6): 424-8.
[28]  Pavlou MP, Lachs MS. Self-neglect in older adults: a primer for clinicians. Journal of General Internal Medicine. 2008; 23(11): 1841-6.
[29]  Nagaraj K, Mattoo KA, Brar A. Self-Neglect associated with a patient having oral cancer. Journal of Medical Science and Clinical Research 2014; 2(10): 2543-46.
[30]  Rathi N, Mattoo K, Bhatnagar S. Extending the use of a diagnostic occlusal splint to overcome existing lacunae of vertical dimension transfer in full mouth rehabilitation cases. American Journal of Medical Case Reports 2014; 2(12): 291-297.
[31]  Darraj A, Mattoo KA. Full Mouth Rehabilitation Involving Occlusal Plane Correction-Case Report. Journal of Medical Science and Clinical Research 2017; 5(9): 28204-208.
[32]  Gohal MRA, Mattoo KA, Nazish A, Youseef AM. Corrective Prosthodontics - Curating Semi Functional Anterior Guidance in Full Mouth Rehabilitation: Case Report. Journal of Medical Science and Clinical Research. 2017; 5(08): 26777-781.
[33]  Darraj A, Mattoo KA, Gupta I. Full mouth rehabilitation of a rheumatoid arthritis patient - The Muzyanas Challenge. Annals of International Medical and Dental Research 2017; 3(6): DE09-DE13.
[34]  Darraj A, Mattoo KA, Nazish M. Scheduling multiple surgical procedures in immunocompromised rheumatoid patient on immune suppressant regimen. Journal of Medical Science and Clinical Research 2017; 5 (08): 26828-833.
[35]  Muneera RAG, Mattoo KA, Youseef AM. A Novel Approach to Determine the Aesthetic Inclination of Cast Post Core - Case Report. Annals of International Medical and Dental Research 2017; 3(6): DE14-DE17.
[36]  Mattoo KA, Darraj A, Gupta I. Determining the cast core inclination in absence of guidance from natural teeth - a distinctive clinical technique. Journal of Medical Science and Clinical Research, 2019; 7(3): 232-236.