Abstract:
:Introduction People from vulnerable groups have higher levels of untreated dental disease compared to the general population, yet often experience barriers to accessing care. Difficulties accessing oral healthcare services have been suggested as one of the pathways that contribute to oral health inequalities.Aim To conduct a rapid review of current literature related to barriers to oral healthcare for people from vulnerable groups.Methods Electronic searching u sing MEDLINE via Ovid, covering articles from 2007 to 2017, and limited to the English language. Publication types included primary and secondary evidence from peer-reviewed journals and reports.Results From a total of 536 records, 308 full-text articles were included in the final review. Barriers were summarised at the individual, organisational and policy levels. Common barriers across all vulnerable groups included lack of affordability, difficulties accessing care, lack of availability of appropriate care, and lack of public funding for specialised services. In addition, specific barriers were identified for certain groups. Potential solutions included the provision of training and information to patients and carers about oral health and accessing dental services, training dental professionals in caring for vulnerable groups, and better use of skill mix and guidance to ensure publicly-funded dental services are commissioned to meet the needs of vulnerable groups.Conclusion This rapid review identified barriers to dental care for vulnerable groups at individual, organisational and policy levels to inform policymakers and commissioners.
journal_name
Br Dent Jjournal_title
British dental journalauthors
El-Yousfi S,Jones K,White S,Marshman Zdoi
10.1038/s41415-019-0529-7subject
Has Abstractpub_date
2019-07-01 00:00:00pages
143-151issue
2eissn
0007-0610issn
1476-5373pii
10.1038/s41415-019-0529-7journal_volume
227pub_type
杂志文章,评审abstract:AIM:To consider the extent to which the validity and reliability of the Denplan Excel Patient Survey (DEPS) has been confirmed during its development and by its use in general dental practice and to explore methods by which any survey instrument used in general dental practice might be validated and tested for reliabil...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2015.749
更新日期:2015-10-09 00:00:00
abstract::The use of problem-based learning as part of a vocational training scheme for vocational dental practitioners is described and evaluated. Problem-based learning is currently viewed as an effective means of delivering medical education and has been adopted as a principal style of education by many undergraduate medical...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800213
更新日期:1999-07-24 00:00:00
abstract::Debate based on an opinion article published in the British Dental Journal entitled 'Truth or consequences: the potential implications of short-term cosmetic orthodontics for general dental practitioners' by R. A. C. Chate ( 2013; 215: 551-553; www.nature.com/bdj/journal/v215/n11/full/sj.bdj.2013.1140.html). ...
journal_title:British dental journal
pub_type: 评论,杂志文章
doi:10.1038/sj.bdj.2014.258
更新日期:2014-04-01 00:00:00
abstract::The current debate on our pay system sparked off by the elegant dissertation by David Watson-James (BDJ, October 24 1992) has been welcomed by those of us in the profession who try to see past the size of our next monthly schedule. Having spent the last eight years as a member of the Representative Board of the BDA an...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808081
更新日期:1993-01-23 00:00:00
abstract::The floor of the mouth is a very vascular area. Should perforation of the lingual cortex of the mandible occur during the placement of an osseo-integrated implant, significant haemorrhage may result. We present the case of a patient who attended our unit with acute airway obstruction. Although life threatening haemato...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.2
更新日期:2009-01-24 00:00:00
abstract::The dental attendance of a sample of dentate adults (n = 702) within the National Health Service in Scotland was monitored longitudinally between 1978 and 1988. The attendance pattern of the sample appeared to be no different between 1983-88 than in the preceding 5 years, which suggests that the attendance behaviour o...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807646
更新日期:1991-09-21 00:00:00
abstract:OBJECTIVE:To describe the variety of arrangements for providing out-of-hours dental care in the UK. DESIGN:A telephone interview survey of health authorities and health boards. SETTING:United Kingdom. SUBJECTS:104 health authority contacts, usually consultants in dental public health, dental advisers or others in a ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800452
更新日期:2000-03-11 00:00:00
abstract:OBJECTIVES:To test the hypothesis that a blue light emitting diode (LED) light curing unit (LCU) can produce an equal dental composite depth of cure to a halogen LCU adjusted to give an irradiance of 300 mWcm-2 and to characterise the LCU's light outputs. MATERIALS AND METHODS:Depth of cure for three popular composite...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800120
更新日期:1999-04-24 00:00:00
abstract::Background Different skill-mix models have changed the face of the dental workforce. This study aimed to assess how this skill-mix translates into different practice models of care and the employer-dentists' perception of the dental team.Methods Twenty-two oral health therapists (OHTs) and 12 employer-dentists from bo...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1529-3
更新日期:2020-05-01 00:00:00
abstract::The soon to be published White Paper Our Healthier Nation will set out the Government's new public health agenda for the NHS. To improve oral health and reduce inequalities it is vitally important that the dental profession becomes an active player in the implementation of this policy. Each member of the dental team h...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4800003
更新日期:1999-01-09 00:00:00
abstract::Decontamination of dental instruments has recently been the subject of considerable debate. However, little information is available on the potential bacterial colonisation of dental appliances returning from dental laboratories and their need for decontamination. This study investigated the extent and nature of micro...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2011.675
更新日期:2011-08-26 00:00:00
abstract::This review article presents an overview of craniofacial malformations and the role of the orthodontist in their management. The first part of this article focuses on cleft lip and palate, followed by more complex deformities including craniosynostosis and craniofacial microsomia. The main features of these anomalies ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.48
更新日期:2015-02-16 00:00:00
abstract:OBJECTIVE:To report on the dental health of three-year-old children in Greater Glasgow, and to examine the amount of dental caries associated with deprivation in this young age group. DESIGN:Dental inspections in nursery schools. SUBJECTS AND METHODS:The national inspection programme using BASCD criteria was extended...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2010.723
更新日期:2010-08-28 00:00:00
abstract::Treatment planning for compromised first permanent molars (FPM) can be difficult. In this paper, we present a clinical protocol to support decision-making. Interceptive loss of an FPM should be considered: where the restoration required to repair the compromised FPM is likely to be large; if the FPM is compromised bec...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0561-7
更新日期:2019-08-01 00:00:00
abstract::Since the introduction of nightguard vital bleaching (tray bleaching) in 1989, dentistry has witnessed an astronomical rise in the interest in tooth whitening.(1) As a result, the most frequently asked question is, 'what bleaching technique works best?' Virtually all of today's whitening approaches work, because bleac...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812298
更新日期:2005-04-23 00:00:00
abstract::Although this study heralded that over half the implants gained bone, this was between 1 and 5 years after placement, the amounts were trivial, and this has to be balanced with loss of bone during the first year. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.410
更新日期:2016-06-10 00:00:00
abstract::Over 19,000 patients treated by 57 HIV-infected health care workers (HCWs) have been tested for HIV. Apart from the notorious Florida dental case, no patient has been shown to be infected by treatment given by an HIV-infected HCW. Cases of 10 HIV-infected HCWs have been examined in some depth. The evidence indicates t...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808330
更新日期:1993-11-20 00:00:00
abstract:AIM:This paper, the second in a series of two (see 2013; 215: 177-181), investigates the opinions of a cohort of dental foundation year 1 (DF1) practitioners regarding their skills and competence in relation to their educational background in complete dentures. MATERIALS AND METHODS:With the permission of the Dean of ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.833
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVES:To investigate if dental nurses perceive gender differences in the communication and interaction style used by their dentist in general practice. METHODS:Data were collected from 64 Northern Irish dental nurses (70% response), and from 549 Dutch nurses (41% response). Respondents completed the Communication...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813848
更新日期:2006-08-12 00:00:00
abstract::Dental consultations of 30 general practitioners with 132 patients aged 10-17 years were recorded. The dental consultation was found to have a consistent structure composed of a sequence of stages, although not all were present in each consultation. Criteria by which verbal communication in a dental consultation can b...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808519
更新日期:1994-08-06 00:00:00
abstract:OBJECTIVES:To evaluate experience, practice and beliefs regarding occupational exposures to blood and oral fluids among a random sample of 300 dentists working in Scotland's NHS primary dental services. METHOD:A cross-sectional postal survey assessed occupational exposure policies and procedures, recent occupational e...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.734
更新日期:2014-08-01 00:00:00
abstract::Aim The objective of this study was to determine dental patients' uptake of two preliminary screening tools for risk of diabetes (the Finnish Diabetes Risk Score -FINDRISC- and HbA1c finger-prick testing) in general dental practice, and to determine the number of patients at risk of type 2 diabetes (T2D) based on the ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.174
更新日期:2017-02-24 00:00:00
abstract::Paraformaldehyde is used both as a disinfectant and to devitalise inflamed pulps when local anaesthesia is ineffective. Despite the clinical benefits, paraformaldehyde is not confined to the pulp, but penetrates the dentine and is gradually released as formaldehyde. This case series describes the effects on periodonta...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2007.995
更新日期:2007-11-10 00:00:00
abstract::Alcohol abuse is an important problem in Britain and is imposing increasing burdens both in general practice and in the hospital service. In the absence of previous investigations of the prevalence of intoxication and dependence in dental patients, 225 consecutive patients who attended the University of Bristol Dental...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807364
更新日期:1990-11-24 00:00:00
abstract:AIM:To develop a reliable, machine-readable coding system for dental appliances. METHODS:Incorporation of two-dimensional bar codes and matrix codes into a range of dental appliances using printed thermal substrates and laser-etched ceramic discs. RESULTS:Problems including reaction of thermal substrates with methyl ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809336
更新日期:1997-03-08 00:00:00
abstract:BACKGROUND:The aim of this study was to describe New England dental professionals' attitudes and behaviours regarding domestic violence (DV) and to identify barriers faced in intervening to help suspected victims. METHODS:A cross-sectional survey using a convenience sample of dentists (n = 169) and hygienists (n = 190...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.7
更新日期:2009-02-14 00:00:00
abstract::Stomatitis glandularis is an unusual chronic inflammatory condition of the minor salivary glands, mainly affecting the lower lip. Two cases are reported, one of which was progressive and affected the glands of both the cheeks as well as the lips. After confirmation of the clinical diagnosis by histopathological appear...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809351
更新日期:1997-03-22 00:00:00
abstract::Reduced oral aperture and mandibular mobility/trismus are relatively common conditions that can be encountered in patients attending general dental practice, community dental practice and district general or dental teaching hospitals. All dental specialties may see patients with these conditions, and regardless of whi...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/bdj.2008.47
更新日期:2008-02-09 00:00:00
abstract::A theoretical model was proposed and tested to evaluate some of the factors involved in patients' decisions to undergo extensive restorative dental treatment. This model incorporates aspects of the environment within which the decision occurred (the patient/provider relationship, social influence and the role of cues ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808807
更新日期:1995-07-08 00:00:00
abstract:OBJECTIVE:To assess recruitment and participation within seven school/pre-school-based programmes for fluoride varnish applications. METHOD:Year-long pilots were undertaken in six primary schools (ages four to seven years) and one pre-school (ages three to four years). Three applications of fluoride varnish were carri...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.834
更新日期:2013-09-01 00:00:00