A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Marshall, Amy; Loescher, Alison R.; Marshman, Zoe

doi:10.1038/sj.bdj.2016.644

Cited by 14 publications

(21 citation statements)

References 30 publications

(53 reference statements)

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“…Focus groups were employed to collect data to gather patient‐centred insights and explore barriers and enablers to accessing dental services. The focus groups facilitated elaboration of unique barriers facing PwCSO, as this was previously identified as a gap in the literature 10,14 . Focus groups were used in order to allow participants to synergistically build on individual insights shared within each group collective.…”

Section: Methodsmentioning

confidence: 99%

“…The impact of socio‐cultural factors on PwCSO in Australia regarding their access to dental services has been minimally explored to date. This qualitative data, obtained from the patient perspective, aims to address this current gap in the literature 10,11 . To the authors' knowledge, the only other qualitative study to explore the perceptions and experiences of adult patients with obesity highlighted barriers to optimal dental care provision in the UK 12 .…”

Section: Introductionmentioning

confidence: 99%

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A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

et al. 2020

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Summary This qualitative study aimed to explore psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity (PwCSO). Eight focus groups were conducted by one researcher with 40 adult participants at the Adult Healthy Weight Clinic within a hospital‐based obesity service. Thematic analysis of focus group transcripts was performed to reveal insights relating to how PwCSO experience dental care and view oral health. A total of 11 participants were male, 29 female, all between the ages of 23 to 74 (mean age of 50). The body mass index of participants ranged from 31.6 to 84.6 kg/m2. The results highlighted four key themes, including “disempowerment to act to improve oral health”, “weight‐related stigma and discrimination”, “unpredictability of the dental environment” and a “lack of tailored services for PwCSO”. A number of subthemes were identified, which reflect the six categories of barriers to access from the disability literature: availability, affordability, acceptability, accommodation, accessibility and appropriateness. These were explored to further appreciate the unique psychosocial considerations for this group. This study concluded that PwCSO face significant barriers to accessing dental services across all six categories highlighted in the disability literature. The study findings provide valuable patient‐based information regarding the psychosocial barriers to accessing dental services, which are relevant for all healthcare professionals. The study reflected an increased need for promotion of the dentist's role in obesity management and obesity‐related dental training, including familiarization with the biopsychosocial domains of obesity to reduce weight related stigma and discrimination, as an area for further study. The findings also guide the design of Specialized Bariatric Dental Services in the future, with a focus on enablers to access.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A disability‐based exploration of psychosocial barriers and enablers to accessing dental services for people with clinically severe obesity: A qualitative study

et al. 2020

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“…Currently, there are no dental related guidelines available in Australia specific to obesity and minimal awareness of the clinical implications on dental practice. There is also a sparsity of locally available literature relating to adult obesity and oral health, with the existing literature predominantly arising from overseas where there are more established bariatric dental services and pathways 3 …”

Section: State/territory Number Of Chairs In Use Location Of Bariatrimentioning

confidence: 99%

“…There needs to be differentiation in medical emergency training with regards to pertinent considerations for the patient with Class III obesity. Adequate knowledge and training in clinically managing this population should ideally commence from dental school 3 . However, obesity is largely incorporated in the dental curriculum as a byproduct of learning about periodontal disease or growing links between oral and general health.…”

Section: State/territory Number Of Chairs In Use Location Of Bariatrimentioning

confidence: 99%

“…There is also a sparsity of locally available literature relating to adult obesity and oral health, with the existing literature predominantly arising from overseas where there are more established bariatric dental services and pathways. 3 The current evidence base reports poor oral health in people with obesity, however, it makes little distinction on associations with oral health depending on the level of obesity. 4 Specifically, Class III obesity defined as a BMI of ≥40 kg/m 2 , is associated with a severe risk of comorbidities.…”

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confidence: 99%

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The state of bariatric dental care in Australia: a silent disability crisis?

Malik

2020

Australian Dental Journal

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In the absence of dental related guidelines available in Australia specific to obesity and minimal awareness of the clinical implications on local dental practice, bariatric dental care can be perceived as a 'silent disability crisis'. This opinion piece and brief clinical note aims to question and raise awareness amongst dental professionals surrounding the current limited availability of bariatric dental chairs, difficulties in access, the safety of dental care delivery and ethical considerations for the dental management of people with obesity.

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