Ethics & Law · single question

A caregiver brings a child with Down syndrome to your clinic. The child has extensive untreated caries, heavy calculus, and appears malnourished. What is the most appropriate action?

  1. Treat all dental needs and reschedule for follow-up
  2. Report immediately to child protective services for suspected neglect
  3. Contact the caregiver's social worker
  4. Provide oral hygiene instructions to the caregiver
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Correct answer: B. Report immediately to child protective services for suspected neglect

B) Report immediately for suspected neglect — CORRECT.
Dental neglect is a form of child abuse/neglect. Signs in this case: extensive untreated caries, heavy calculus, possible malnutrition in a vulnerable child with Down syndrome whose caregiver has brought them to care. Dentists are mandated reporters and are legally and ethically obligated to report suspected child neglect or abuse to child protective services immediately.
A) Treating and rescheduling without reporting neglects the mandatory reporting obligation.
C) Contacting a social worker may be part of the process but does not replace the mandatory report to CPS.
D) Oral hygiene instruction alone fails to address the safety and welfare concern for the child.

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