{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T03:07:45Z","timestamp":1783566465302,"version":"3.55.0"},"reference-count":88,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T00:00:00Z","timestamp":1518048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p>Elder neglect (<jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content>) is the failure of a designated caregiver to meet the needs of a dependent older person. World <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content> prevalence, meta\u2010analyzed in this study, is 1.0% or 1.8% according to different statistical methods. Referring alleged <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content> cases to Adult Protective Services (<jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>s) by healthcare workers (<jats:styled-content style=\"fixed-case\">HCW<\/jats:styled-content>s) is mandatory in many countries. However, only few claims are substantiated, as <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content> could be confused with Self\u2010Neglect, and neglect could be unintentional or due to caregiver unawareness. Screening tools are inaccurate, and their use is discouraged by public health organizations, because they lead to too many false positives, which engulf the already overwhelmed <jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content>s. <jats:styled-content style=\"fixed-case\">HCW<\/jats:styled-content>s need effective tools with objective judgments, which do not hamper the <jats:styled-content style=\"fixed-case\">HCW<\/jats:styled-content>\u2013caregiver\u2013patient rapport and prevent lawsuits when allegations are unfounded. Orofacial <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content> manifestations (poor oral\/denture hygiene, lack of needed\/improper dentures, dry mouth, skin\/mucosal rashes) are essential Forensic Markers of <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content>. I classified <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content>\u2010associated oral diseases according to the unmet needs into four groups: (1) traumatic injuries due to lack of caregiver vigilance (e.g., maxillofacial fractures); (2) diseases due to oral hygiene deficiency (e.g., root caries); (3) diseases typical of the elderly with late\/no diagnosis (e.g., oral cancer); and (4) diseases typical of the elderly exacerbated by psychological distress (e.g., oral lichen planus).<\/jats:p>","DOI":"10.1111\/odi.12797","type":"journal-article","created":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T17:16:39Z","timestamp":1507914999000},"page":"891-899","source":"Crossref","is-referenced-by-count":16,"title":["Elder neglect\u2014Oral diseases and injuries"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9996-8860","authenticated-orcid":false,"given":"S","family":"Petti","sequence":"first","affiliation":[{"name":"Department of Public Health and Infectious Diseases Sapienza University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.49.6489"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1344-6223(02)00057-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1466-7657.2007.00505.x"},{"issue":"9","key":"e_1_2_7_5_1","first-page":"CD010535","article-title":"Oral health educational interventions for nursing home staff and residents","author":"Albrecht M.","year":"2016","journal-title":"The Cochrane Database of Systematic Reviews"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-016-2839-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000475791.31361.9a"},{"key":"e_1_2_7_8_1","volume-title":"Comprehensive Geriatric Oncology","author":"Balducci L.","year":"2012"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345900690051901"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2013.12.007"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318182f77f"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.3.5983.592-a"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873-016-0084-3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12061"},{"key":"e_1_2_7_15_1","volume-title":"Percentage of persons unable to get or delayed in getting needed medical care, dental care, or prescription medicines: United States 2007","author":"Chevarley F. 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