Bridging the evidence-to-practice gap: exploring dental professionals' perspectives on managing oral health during pregnancy in Tasmania, Australia.

Dental professional antenatal oral health pregnancy qualitative research

Journal

Australian dental journal
ISSN: 1834-7819
Titre abrégé: Aust Dent J
Pays: Australia
ID NLM: 0370612

Informations de publication

Date de publication:
15 May 2024
Historique:
accepted: 03 04 2024
medline: 15 5 2024
pubmed: 15 5 2024
entrez: 15 5 2024
Statut: aheadofprint

Résumé

Poor oral health is associated with adverse health, social and economic consequences for pregnant women. While dental professionals promote good oral health within the dental practice context, more broadly, women in the antenatal period face poor oral health outcomes. Therefore, this study explored dental professionals' perceptions of their role in managing the oral health of pregnant women and identified the barriers and facilitators to improving maternal oral health. This study employed a descriptive qualitative method utilizing semi-structured interviews. Convenience and snowball sampling were used to recruit 13 dental professionals from Tasmania, Australia, comprising dentists (n = 10), oral health therapists (n = 2) and dental therapist (n = 1). Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis. Three major themes were constructed from the interviews: (1) dental professionals' oral health care of women during pregnancy; (2) perceived challenges to maternal oral health; and (3) proposed strategies to improve maternal oral health. Findings suggest dental professionals' competence in maternal oral health, but that several barriers, such as dental care access and maternal factors, hinder oral health outcomes. To address these barriers, oral health policies that support interprofessional collaboration, professional training and evaluation of existing community oral health programmes are needed. © 2024 Australian Dental Association.

Sections du résumé

BACKGROUND BACKGROUND
Poor oral health is associated with adverse health, social and economic consequences for pregnant women. While dental professionals promote good oral health within the dental practice context, more broadly, women in the antenatal period face poor oral health outcomes. Therefore, this study explored dental professionals' perceptions of their role in managing the oral health of pregnant women and identified the barriers and facilitators to improving maternal oral health.
METHODS METHODS
This study employed a descriptive qualitative method utilizing semi-structured interviews. Convenience and snowball sampling were used to recruit 13 dental professionals from Tasmania, Australia, comprising dentists (n = 10), oral health therapists (n = 2) and dental therapist (n = 1). Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis.
RESULTS RESULTS
Three major themes were constructed from the interviews: (1) dental professionals' oral health care of women during pregnancy; (2) perceived challenges to maternal oral health; and (3) proposed strategies to improve maternal oral health.
CONCLUSIONS CONCLUSIONS
Findings suggest dental professionals' competence in maternal oral health, but that several barriers, such as dental care access and maternal factors, hinder oral health outcomes. To address these barriers, oral health policies that support interprofessional collaboration, professional training and evaluation of existing community oral health programmes are needed. © 2024 Australian Dental Association.

Identifiants

pubmed: 38747487
doi: 10.1111/adj.13019
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Authors. Australian Dental Journal published by John Wiley & Sons Australia, Ltd on behalf of Australian Dental Association.

Références

Vos T, Abajobir AA, Abate KH, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017;390(10100):1211–1259.
Australian Institute of Health and Welfare. Oral health and dental care in Australia. Canberra: AIHW, 2023. URL: https://www.aihw.gov.au/reports/dental‐oral‐health/oral‐health‐and‐dental‐care‐in‐australia/contents/introduction. Accessed May 2023.
Australian Dental Association. Consumer survey. St Leonards: ADA, 2021.
Council of Australian Governments Health Council. Healthy mouths, healthy lives: Australia's National Oral Health Plan 2015–2024. Adelaide: South Australian Dental Service, 2015.
Daalderop LA, Wieland BV, Tomsin K, et al. Periodontal disease and pregnancy outcomes: overview of systematic reviews. JDR Clin Trans Res 2017;3(1):10–27.
Corbella S, Taschieri S, Del Fabbro M, Francetti L, Weinstein R, Ferrazzi E. Adverse pregnancy outcomes and periodontitis: a systematic review and meta‐analysis exploring potential association. Quintessence Int 2016;47(3):193–204.
Haber J, Dolce MC, Hartnett E, Altman S, Silk H. Improving oral health during pregnancy: a call to action. J Midwifery Womens Health 2022;67(2):166–169.
Finlayson TL, Gupta A, Ramos‐Gomez FJ. Prenatal maternal factors, intergenerational transmission of disease, and child oral health outcomes. Dent Clin N Am 2017;61(3):483–518.
Lee H, Tranby E, Shi L. Dental visits during pregnancy: pregnancy risk assessment monitoring system analysis 2012–2015. JDR Clin Trans Res 2021;7(4):379–388.
Australian Dental Association. Australian women's oral health survey: conducted by pure profile. St Leonards: ADA, 2015.
Hoerler SB, Jenkins S, Assad D. Evaluating oral health in pregnant women: knowledge, attitudes and practices of health professionals. J Dent Hyg 2019;93(1):16–22.
Wilson A, Hoang H, Crocombe L, Bridgman H, Bettiol S. Exploring the experiences and perspectives of women on oral health during pregnancy: a qualitative study in Tasmania, Australia. Community Dent Oral Epidemiol 2024;52(1):47–58.
The Senate Commonwealth of Australia. Select committee into the provision of and access to dental services in Australia: interim report. Canberra: Commonwealth of Australia, 2023.
Glick M, Williams DM. FDI Vision 2030: delivering optimal oral health for all. Int Dent J 2021;71(1):3–4.
World Health Organisation. Draft global oral health strategy. Geneva: WHO, 2022 URL: https://apps.who.int/gb/ebwha/pdf_files/WHA75/A75_10Add1‐en.pdf. Accessed May 2023.
Bahramian H, Mohebbi SZ, Khami MR, Quinonez RB. Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: a triangulation approach. BMC Pregnancy Childbirth 2018;18(1):153.
López‐Jornet P, Camacho‐Alonso F, Sanchez‐Siles M, Molina‐Miñano F. Oral and dental health in pregnant women: attitudes among dentists in southeastern Spain. NY State Dent J 2014;80(1):38–41.
Razban M, Giannopoulou C. Knowledge and practices of oral health care during pregnancy: a survey among Swiss dentists. Oral Health Prev Dent 2020;18:447–454.
George A, Ajwani S, Bhole S, et al. Knowledge, attitude and practises of dentists towards oral health care during pregnancy: a cross sectional survey in New South Wales, Australia. Aust Dent J 2017;62(3):301–310.
George A, Shamim S, Johnson M, et al. How do dental and prenatal care practitioners perceive dental care during pregnancy? Current evidence and implications. Birth 2012;39(3):238–247.
Lee RS, Milgrom P, Huebner CE, Conrad DA. Dentists' perceptions of barriers to providing dental care to pregnant women. Womens Health Issues 2010;20(5):359–365.
Wilson A, Hoang H, Bridgman H, Bettiol S, Crocombe L. Factors influencing the provision of oral health care practices by antenatal care providers: a systematic review. J Womens Health (Larchmt) 2022;31(2):231–241.
Adeniyi A, Donnelly L, Janssen P, Jevitt C, von Bergman H, Brondani M. A qualitative study of health care providers' views on integrating oral health into prenatal care. JDR Clin Trans Res 2021;6(4):409–419.
Bradshaw C, Atkinson S, Doody O. Employing a qualitative description approach in health care research. Glob Qual Nurs Res 2017;4:1–8.
Australian Government Department of Health. Clinical practice guidelines: pregnancy care. Canberra: Australian Government, 2020.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32‐item checklist for interviews and focus groups. Int J Qual Health Care 2007;19(6):349–357.
Dental Board of Australia. Guidelines for scope of practice. Defining the dentistry profession and its practitioner divisions. Melbourne: Dental Board of Australia, 2020:5.
Dental Board of Australia. Registrant data – reporting period: 01 April 2023 to 30 June 2023. Melbourne: Dental Board of Australia, 2023. URL: https://www.dentalboard.gov.au/about‐the‐board/statistics.aspx. Accessed July 2023.
Given LM. Convenience sample. SAGE encyclopedia of qualitative research methods. Thousand Oaks, CA: Sage, 2008.
Vasileiou K, Barnett J, Thorpe S, Young T. Characterising and justifying sample size sufficiency in interview‐based studies: systematic analysis of qualitative health research over a 15‐year period. BMC Med Res Methodol 2018;18(1):148.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3(2):77–101.
Tobin GA, Begley CM. Methodological rigour within a qualitative framework. J Adv Nurs 2004;48(4):388–396.
Sheiham A, Watt RG. The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol 2000;28(6):399–406.
Tasmanian Government Department of Health. Report on the Tasmanian population health survey 2019. Hobart: Department of Health, 2020.
Barnett T, Hoang H, Stuart J, Crocombe L. The relationship of primary care providers to dental practitioners in rural and remote Australia. BMC Health Serv Res 2017;17(1):515.
Parry S, Jeffcoat M, Reddy MS, et al. Evaluation of an advanced oral hygiene regimen on maternity outcomes in a randomized multicenter clinical trial (Oral Hygiene and Maternity Outcomes Multicenter Study). Am J Obstet Gynecol MFM 2023;5(8):100995.
Valentine GC, Perez K, Tsegaye AT, et al. Nonsurgical periodontal treatment during pregnancy and rates of preterm birth. AJOG Glob Rep 2023;3(1):100167.
Oral Health Care During Pregnancy Expert Workgroup. Oral health care during pregnancy: a national consensus statement. Washington, DC: National Maternal and Childhood Oral Health Resource Center, 2012.
Prasad M, Manjunath C, Murthy AK, Sampath A, Jaiswal S, Mohapatra A. Integration of oral health into primary health care: a systematic review. J Family Med Prim Care 2019;8(6):1838–1845.
Oral Health Services Tasmania. Healthy smiles for two: pregnancy and dental health. Hobart: Tasmanian Government Department of Health, 2021. URL: https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/2071.0~2016~Main%20Features~In%20this%20Issue~1. Accessed June 2023.
Oral Health Services Tasmania. Lift the lip – preventing childhood tooth decay. Hobart: Tasmanian Government Department of Health, 2021. URL: https://www.health.tas.gov.au/health‐topics/dental‐health/dental‐health‐programs‐and‐initiatives/lift‐lip‐preventing‐childhood‐tooth‐decay. Accessed June 2023.
Brocklehurst PR, Baker SR, Langley J. Context and the evidence‐based paradigm: the potential for participatory research and systems thinking in oral health. Community Dent Oral Epidemiol 2021;49(1):1–9.
Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of dental care attendance during pregnancy: a systematic review. Caries Res 2018;52(1‐2):139–152.
Rocha JS, Arima L, Chibinski AC, Werneck RI, Moyses SJ, Baldani MH. Barriers and facilitators to dental care during pregnancy: a systematic review and meta‐synthesis of qualitative studies. Cad Saude Publica 2018;34(8):e00130817.
Vamos CA, Thompson EL, Avendano M, Daley EM, Quinonez RB, Boggess K. Oral health promotion interventions during pregnancy: a systematic review. Community Dent Oral Epidemiol 2015;43(5):385–396.
Mayberry ME, Gonik B, Trombly RM. Perinatal oral health: a novel collaborative initiative to improve access, attitudes, comfort level, and knowledge of pregnant women and dental providers. AJP Rep 2020;10(1):e54–e61.
Tasmanian Government. Tasmania's child and youth wellbeing strategy: it takes a Tasmanian village. Hobart, Tasmania: Tasmanian Government, 2021.
Australian Government Department of Health. Modified Monash model. Canberra: Australian Government Department of Health, 2020. URL: https://www.health.gov.au/topics/rural‐health‐workforce/classifications/mmm?language=und#what‐is‐the‐mmm‐used‐for. Accessed May 2023.

Auteurs

A Wilson (A)

Centre for Rural Health, University of Tasmania, Launceston, Tasmania, Australia.

H Bridgman (H)

Centre for Rural Health, University of Tasmania, Launceston, Tasmania, Australia.

S Bettiol (S)

Tasmanian School of Medicine, University of Tasmania, Hobart, Tasmania, Australia.

L Crocombe (L)

Violet Vines Marshman Centre for Rural Health Research, La Trobe University, Bendigo, Victoria, Australia.

H Hoang (H)

Centre for Rural Health, University of Tasmania, Launceston, Tasmania, Australia.

Classifications MeSH