ORAL HEALTH DISPARITIES: A CRITICAL REVIEW OF ACCESS TO DENTAL CARE

Main Article Content

AL Ghofaily, Sakhar Mohammed
AL Harbi, Abdullah Awadh
AL Duhayan, Sulaiman Helal
AL Oraymah, Mohammed Fahad
AL Harbi, Yasser Ghallab
AL Aloula, Ali Suliman
AL Azmiy, Barakat Shumilan

Keywords

Oral Health Disparities, Access to Dental Care, Socioeconomic Factors, Geographic Accessibility, Dental Insurance, Health Equity, Community Health Programs, Policy Interventions

Abstract

This article presents a critical review of oral health disparities, with a particular focus on the access to dental care across different populations. Despite advancements in dental medicine, significant gaps persist in oral health outcomes and access to services, influenced by a complex interplay of socioeconomic, geographic, and systemic factors. This review synthesizes current research on the barriers to dental care, including financial constraints, lack of insurance coverage, geographic inaccessibility, and cultural and linguistic challenges. It also examines the broader impacts of these disparities on physical and psychological health, as well as their economic implications. Through an analysis of various strategies and interventions aimed at improving access to dental care, this article highlights the need for comprehensive policy reforms, community engagement, and technological innovations to address these disparities. The discussion emphasizes the importance of a multidisciplinary approach in bridging the oral health gap and calls for concerted efforts from healthcare providers, policymakers, and community leaders.


 

Abstract 116 | PDF Downloads 26

References

1. World Health Organization (WHO). (2012). Oral health: Fact sheet N°318. [URL: https://www.who.int/news-room/fact-sheets/detail/oral-health ]
2. Mertz, E., & O'Neil, E. (2012). The growing challenge of providing oral health care services to all Americans. Health Affairs, 31(11), 2277-2285.
3. Dye, B. A., Li, X., & Thornton-Evans, G. (2012). Oral health disparities as determined by selected healthy people 2020 oral health objectives for the United States, 2009-2010. NCHS Data Brief, (104), 1-8.
4. Petersen, P. E., & Baehni, P. C. (2012). Periodontal health and global public health. Periodontology 2000, 60(1), 7-14.
5. Listl, S., Galloway, J., Mossey, P. A., & Marcenes, W. (2015). Global economic impact of dental diseases. Journal of Dental Research, 94(10), 1355-1361.
6. Allukian, M., & Horowitz, A. M. (2014). Effective community prevention programs for oral diseases. In Public Health Issues in Infant and Child Oral Health (pp. 191-208). Springer, New York, NY.
7. Marmot, M., & Bell, R. (2012). Fair society, healthy lives. Public Health, 126, S4-S10.
8. Vujicic, M., Buchmueller, T., & Klein, R. (2014). Dental care presents the highest level of financial barriers, compared to other types of health care services. Health Affairs, 33(12), 2176-2182.
9. Wallace, B. B., MacEntee, M. I., & Harrison, R. (2012). The influence of income and education on the oral health of Canadians. Journal of Dental Research, 91(6), 588-593.
10. Guarnizo-Herreño, C. C., & Wehby, G. L. (2012). Explaining racial/ethnic disparities in children's dental health: A decomposition analysis. American Journal of Public Health, 102(5), 859-866.
11. Peres, M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M. R., Listl, S., Celeste, R. K., Guarnizo-Herreño, C. C., & Kearns, C. (2019). Oral diseases: A global public health challenge. The Lancet, 394(10194), 249-260.
12. Locker, D. (2009). Disparities in oral health-related quality of life in a population of Canadian children. Community Dentistry and Oral Epidemiology, 37(6), 501-506.
13. Listl, S., Galloway, J., Mossey, P. A., & Marcenes, W. (2015). Global economic impact of dental diseases. Journal of Dental Research, 94(10), 1355-1361.
14. Vujicic, M., & Nasseh, K. (2016). A decade of dental care utilization in adults and children (2001-2010). Health Services Research, 51(2), 584-601.
15. Skillman, S. M., Doescher, M. P., Mouradian, W. E., & Brunson, D. K. (2010). The challenge to delivering oral health services in rural America. Journal of Public Health Dentistry, 70(Suppl 1), S49-S57.
16. Butani, Y., Weintraub, J. A., & Barker, J. C. (2008). Oral health-related cultural beliefs for four racial/ethnic groups: Assessment of the literature. BMC Oral Health, 8, 26.
17. Andersen, R. M., Davidson, P. L., & Baumeister, S. E. (2007). Improving access to care in America: Individual and contextual indicators. In R. M. Andersen, T. H. Rice, & G. F. Kominski (Eds.), Changing the U.S. health care system: Key issues in health services policy and management (3rd ed., pp. 3-31). Jossey-Bass.
18. Edelstein, B. L. (2010). Barriers to Medicaid participation by private dentists. Pediatric Dentistry, 32(4), 29-35.
19. Mouradian, W. E., Wehr, E., & Crall, J. J. (2000). Disparities in children's oral health and access to dental care. JAMA, 284(20), 2625-2631.
20. Daniel, S. J., & Kumar, S. (2014). Teledentistry: A key component in access to care. The Journal of Evidence-Based Dental Practice, 14, 201-208.
21. Nash, D. A., Friedman, J. W., & Mathu-Muju, K. R. (2008). A review of the global literature on dental therapists. Community Dentistry and Oral Epidemiology, 36(1), 1-10.
22. Glick, M., Williams, D. M., Kleinman, D. V., Vujicic, M., Watt, R. G., & Weyant, R. J. (2016). A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Journal of the American Dental Association, 147(12), 915-917.
23. Cohen, L. A., Manski, R. J., Magder, L. S., & Mullins, C. D. (2015). The fiscal impact of a school-based dental program on a Medicaid budget. American Journal of Public Health, 105(9), e6-e11.
24. Gooch, B. F., Griffin, S. O., Gray, S. K., Kohn, W. G., Janssen, J. A., & Serbanescu, F. (2016). Preventing dental caries through school-based sealant programs: Updated recommendations and reviews of evidence. Journal of the American Dental Association, 147(11), 882-890.
25. Estai, M., Kanagasingam, Y., Tennant, M., & Bunt, S. (2016). A systematic review of the research evidence for the benefits of teledentistry. Journal of Telemedicine and Telecare, 24(3), 147-156.