Factors affecting oral health care for asylum seekers and refugees in England: a qualitative study of key stakeholders' perspectives and experiences

Paisi, Martha; Baines, Rebecca; Wheat, Hannah; Doughty, Janine; Kaddour, Sarah; Radford, P.J.; Stylianou, Eleftheria; Shawe, Jill; Witton, Robert

doi:10.1038/s41415-022-4340-5

Cited by 10 publications

(14 citation statements)

References 24 publications

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“…13 Furthermore, refugee and asylee patients can have anxiety and fear of health care treatment. 3,11 Combined with these evidence-based conclusions and our observations at the VPC, we recommend that oral health providers utilize fear reduction and desensitization strategies to more effectively manage dental care to refugee and asylee patients.…”

Section: Management Strategies For Dental Providersmentioning

confidence: 81%

“…We have also noticed that the population tends to be reliant on appointments and adapts to recommendations well 16 . In patients and parents who may have limited language skills, oral health providers can print out translated product information sheets from the internet containing pictures and descriptions of products that they are encouraging to incorporate for care 3,11,16 …”

Section: Management Strategies For Dental Providersmentioning

confidence: 99%

“…Many patients may not have ever been placed in recumbent positions, so providers should first demonstrate and explain to patients the importance of this position. Lying on the back in a submissive posture, with a person looming over personal space and with a bright light shining toward the face can be a challenge for patients 11 . Shining a light in the patient's face may evoke unexplained fear responses 11 .…”

Section: Management Strategies For Dental Providersmentioning

confidence: 99%

“…In the dental chair, they may be afraid of bright lights or of having someone, such as a oral health provider, touch them. 11 Mental health status not only affects patients' own health but can affect their tendency to seek care for their children. Parents missing these important dental and primary care appointments for their children can lead to delays in diagnosis and treatment and the further development of possible oral and medical conditions.…”

Section: Key Factors Leading To Dental Health Issues Faced By Refugee...mentioning

confidence: 99%

“…16 In patients and parents who may have limited language skills, oral health providers can print out translated product information sheets from the internet containing pictures and descriptions of products that they are encouraging to incorporate for care. 3,11,16 Another strategy for teaching fear reduction is when educating patients during their visit, oral health providers should use simplistic language and avoid complex dental terminology to not overwhelm patients. 3 Providers are encouraged to use the "tell, show, do" model to reduce uncertainty during dental care.…”

Section: Management Strategies For Dental Providersmentioning

confidence: 99%

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Strategies for managing dental care for refugee patients

Nadella

Asi

Sheridan

et al. 2022

Special Care in Dentistry

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AimsTo outline key factors that contribute to oral health issues of refugees and asylum seekers and provide management strategies for dental providers to teach desensitization and fear reduction for this special population.Methods and ResultsWe researched published literature in the PubMed database and incorporated lessons gained from treating refugee and asylee patients at a Vulnerable Populations Clinic (VPC) at an urban academic dental school. Refugees and asylees are at high risk for oral conditions due to a tendency to not seek routine dental treatment, psychological stressors, and various systemic factors. Oral health providers can teach patients desensitization and fear reduction by working to gain patients’ trust by having effective communication and prioritizing comfort in the dental operatory. Providers should also utilize translation, psychological, and/or multicultural support services during their management of care.ConclusionBy having a stronger understanding of the key causes of oral health issues among refugees and asylees in the United States, dental providers can better approach managing care for this vulnerable patient population. The concepts of teaching desensitization and fear reduction utilized for this special population can be applied to managing care for the wider special needs patient community.

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Section: Management Strategies For Dental Providersmentioning

confidence: 81%

Section: Management Strategies For Dental Providersmentioning

confidence: 99%