Health professionals delivering oral health interventions in early childhood: A scoping review of Australian and New Zealand literature

Health Promot J Austr. 2023 Apr;34(2):303-315. doi: 10.1002/hpja.678. Epub 2022 Dec 12.

Abstract

Issue addressed: Dental caries is highly prevalent in very young Australian and New Zealand children. Health professionals other than registered dental professionals can help prevent early childhood caries, promoting oral health to assist families establish preventative oral health habits at a child's early age. This review identifies oral health promotion (OHP) delivered by nondental health professionals in Australia and New Zealand involving very young children.

Methods: Databases (MEDLINE, CINAHL, Embase, Emcare, Web of Science, Scopus, ProQuest, Google Scholar, TROVE) and digital libraries were searched between 2001 and 2021 for eligible studies and grey literature. Studies with a focus on preventative oral health strategies in a primary health care context were included.

Results: The review identified 76 studies. Seven met the inclusion criteria, and were conducted in Australia across metropolitan, rural, and remote settings. Studies that successfully engaged nondental health professionals to promote oral health to families reported a positive change in oral health practices among very young children. Delivering OHP during a child's early life stage positively influenced their oral health outcomes.

Conclusions: Integration of dental and primary health care increased access to oral health care and advanced positive oral health outcomes for children. With adequate training, resources, and support mechanisms, nondental health professionals can deliver oral health strategies that facilitate behaviour change in parents to improve children's oral health. So What? Health promotion generates enabling conditions that support and empower families to improve and maintain their oral health. Nondental health professionals can play a crucial role promoting oral health for very young children and improving equitable access to preventative oral health care.

Keywords: child, preschool; dental caries; early intervention; primary health care.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Australia
  • Child
  • Child, Preschool
  • Dental Caries* / prevention & control
  • Humans
  • New Zealand
  • Oral Health*

Supplementary concepts

  • Australians