Knowledge, attitude and practises of dentists towards oral health care during pregnancy: A cross sectional survey in New South Wales, Australia

George, Ajesh; Ajwani, Shilpi; Bhole, Sameer; Dahlen, HG; Reath, Jennifer; Korda, Andrew; Chok, Harrison Ng; Villarosa, Amy R.; Johnson, Maree

doi:10.1111/adj.12505

Cited by 43 publications

(52 citation statements)

References 34 publications

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“…Contributing to these barriers could be the practices of some private dental health professionals. For example, in a recent online survey of members of the Australian Dental Association (NSW), over half of the dentists sometimes advised pregnant women to delay dental visits until after the birth of their child . Lack of clear guidelines, insufficient knowledge about the safety of procedures during pregnancy and patients’ perceptions were reported to be the main barriers to the provision of care.…”

Section: Discussionmentioning

confidence: 99%

“…Unlike the concerns expressed by the members of the Australian Dental Association (NSW), dentists participating in the MIOH‐DS program felt quite confident to provide dental treatment to pregnant women. This is probably because the clinicians had adequate knowledge, training and support.…”

Section: Discussionmentioning

confidence: 99%

“…Secondly, there were a higher number of female participants in the study and so there may be some bias in how positive they felt in managing pregnant women. However, the fact that a large proportion of private dentists in the state including females (>50%) are sometimes hesitant to treat pregnant women suggests that the receptiveness of the participants towards the program was more due to the comprehensive training that was provided. Thirdly, all participants came from public dental services in NSW and Greater Western Sydney in particular so again their views may not be representative of other dentists or DAs in public and private dental settings in other parts of Australia or in other countries.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 A recent cross-sectional survey of dentists practising in NSW, Australia reported that although most dentists agreed that pregnant women should receive a dental check, there was a lack of consensus in the management of pregnant women. 9 The key barriers reported were insufficient knowledge about the safety of procedures during pregnancy and patients' perceptions. In addition, other studies have reported time constraints, economic factors, lack of preparation and skills, dental staff resistance and peer pressure as potential barriers to treat pregnant women.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Despite strong evidence and professional guidelines promoting good oral health during pregnancy, there is an inadequate referral from health care professionals and reluctance from dental clinicians to treat pregnant women . A recent cross‐sectional survey of dentists practising in NSW, Australia reported that although most dentists agreed that pregnant women should receive a dental check, there was a lack of consensus in the management of pregnant women . The key barriers reported were insufficient knowledge about the safety of procedures during pregnancy and patients’ perceptions.…”

Section: Introductionmentioning

confidence: 99%

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Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Ajwani

Sousa

Villarosa

et al. 2018

Health Prom J of Aust

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Issue addressed All pregnant women should have a comprehensive oral health evaluation. Unfortunately, many pregnant women seldom seek dental care and some dentists are hesitant to treat during pregnancy. To address these issues, the Midwifery Initiated Oral Health Dental Service (MIOH‐DS) program was developed in Australia. The aim of this study was to undertake a process evaluation and explore the perceptions of dental professionals involved in the program to determine the acceptability, feasibility and effectiveness of the program if it were to be upscaled. Methods A qualitative approach using content analysis was conducted on data from two focus groups involving 12 dental professionals. Results All participants were supportive of the MIOH‐DS program. They thought pregnant women were receptive to their care, and reported markedly improved oral health. The provision of free dental care and the involvement of midwives were cited as major factors that improved the uptake of the program. Some of the challenges encountered were the prevailing misconceptions about the safety of dental treatment and pregnancy‐related impairments. Conclusions Dental professionals found the MIOH‐DS to be acceptable, feasible and effective in improving oral health of pregnant women and their uptake of dental services. However, some challenges need to be addressed as the MIOH‐DS program is upscaled into a cost‐effective model. So what? Dental professionals are important stakeholders in the MIOH‐DS model. The process evaluation of the successful dental intervention is necessary to understand how and why such interventions work, and is an important step in scaling up to a population‐wide intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Ajwani

Sousa

Villarosa

et al. 2018

Health Prom J of Aust

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A Cross‐Sectional Survey of the Use of Clear Aligners by General Dentists in Australia

Meade,

Weir

2024

Clinical & Exp Dental Res

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ObjectivesThe primary aim of the investigation was to survey clear aligner therapy (CAT) use among general dentists in Australia. A secondary aim was to evaluate the factors that influenced general dentists in Australia not to provide CAT.Material and MethodsGeneral dentists registered with the Australian Health Practitioner Regulation Agency were invited to participate in a structured cross‐sectional electronic survey. The survey covered demographics, preferred CAT systems and practices, relevant treatment planning and retention protocols, patient‐reported CAT issues, pertinent respondent opinions, and reasons for not providing CAT. Descriptive statistics were computed via GraphPad Prism v10 (GraphPad Software Inc., La Jolla, CA, USA).ResultsMost of the 264 (n = 172; 65.2%) respondents indicated that they provided CAT. The majority (n = 82; 58.6%) reported that they treated between 1 and 20 patients with CAT annually. Invisalign was the most used system (n = 83; 61.2%), with 55 (41.7%), indicating that they used more than one system. Most (n = 124; 98.4%) were comfortable using CAT for mild crowding, whereas 73.4% (n = 94) were not comfortable in treating severe crowding with CAT. The median (IQR) number of patients per respondent treated with extraction of a permanent incisor or premolar was 0 (0). Issues regarding tooth positions were reportedly always or mostly in need of change in the initial treatment plan by 68.7%. Problems regarding patient compliance with CAT wear protocols (n = 67; 45.6%) and the predictability of treatment outcomes (n = 31; 21.1%) were the most identified themes of the free‐text comments. Over 80% of those who did not provide CAT indicated that they preferred to refer to an orthodontist for management.ConclusionAlmost two‐thirds of the respondents provided CAT. Invisalign was the most used system. The majority use CAT combined with nonextraction treatment. Most of those who did not provide CAT preferred to refer to an orthodontist for patient management.

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Oral health knowledge, attitudes and practices of dietitians in Australia: A national survey

Patterson‐Norrie,

Ramjan,

Sousa

et al. 2024

Health Prom J of Aust

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AimDietitians are a well‐placed profession to be providing pre‐emptive oral health promotion. Despite recommendations that oral health promotion should be routinely part of dietetic practice, there is limited data informing the current practices of clinical dietitians in this area across Australia. Hence, the aim of this study was to investigate the knowledge and practices of Australian dietitians and oral health promotion.MethodsA cross‐sectional survey was undertaken involving registered clinical dietitians in Australia using purposive and snowballing sampling (social media/dietetic organisations/public databases). Data were analysed using descriptive and inferential statistics.ResultsA total of 149 dietitians participated in the national survey. Overall, dietitians were knowledgeable about oral health risk factors and preventative measures across general health domains. Majority of dietitians agreed that oral health can affect nutrition interventions (95.5%) and dietitians should be discussing oral health (88.0%). However, nearly half were not confident in providing counselling or education and felt that undergraduate training for oral health promotion was inadequate (78.2%). A small proportion (6.0%) of dietitians were already providing oral health promotion regularly. Key barriers included a lack of clear guidelines for practice, limited training opportunities and indistinct referral pathways.ConclusionDietitians have acknowledged that oral health promotion should be incorporated into their practice. However, they are challenged by a lack of resources and training to support this in clinical practice.So What?Capacity building dietitians to promote oral health allows opportunity for improvement in the oral health, nutritional status and quality of life of priority population groups.

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Knowledge, attitude and practises of dentists towards oral health care during pregnancy: A cross sectional survey in New South Wales, Australia

Abstract: Findings suggest a need for continuing education for dentists and practise guidelines on perinatal oral health. Further research with a national sample is recommended to confirm these findings.

Cited by 43 publications

References 34 publications

Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

A Cross‐Sectional Survey of the Use of Clear Aligners by General Dentists in Australia

Oral health knowledge, attitudes and practices of dietitians in Australia: A national survey

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