Dental team barriers and enablers for the dental management of adults with severe obesity: a qualitative analysis.

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE BDJ Open Pub Date : 2024-11-02 DOI:10.1038/s41405-024-00264-x
Zanab Malik, Kate A McBride, Kathryn Williams, Deborah Cockrell, Clare E Collins
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Abstract

Background: Broad challenges regarding the dental management of people with severe obesity experienced by general dentists have been minimally explored. The perspectives of the dental team regarding these multifaceted issues are currently unknown and they potentially impede the delivery of optimal dental care to this population and contribute to poor oral and general health.

Aims: Our qualitative study aimed to identify and explore barriers and enablers in the dental management of adults with severe obesity among dental professionals and support staff in Australia.

Methods: Focus groups and semi-structured interviews (n = 34 participants) were conducted with dental professionals (n = 23) and support staff (n = 11). Recordings were transcribed verbatim and synthesised using thematic, inductive analysis.

Results: Multiple barriers to adequate provision of dental care for people living with severe obesity in both general and specialist dental settings were identified. Key themes emerged related to the clinical challenges reported by participants in providing dental management for people living with severe obesity, appropriateness of existing bariatric dental service provision and safety of care. Enablers to access were identified, including increased availability of bariatric dental chairs, environmental modifications, education of both patients and the entire dental team and for guideline development.

Conclusion: The current study explored multiple barriers to optimal dental management of people living with severe obesity in both general and specialist dental settings. Enablers should be used to inform future practice. The optimisation of existing bariatric dental service provision requires urgent review with solutions guided by systemic change. Study findings suggest a review of current health systems, economics, access barriers, policies and procedures and education and training beyond the individual level are needed. Future directions to improve the dental management of people living with severe obesity are proposed.

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牙科团队对严重肥胖成人进行牙科管理的障碍和促进因素:定性分析。
背景:普通牙科医生在对严重肥胖症患者进行牙科治疗时所面临的广泛挑战很少得到探讨。目的:我们的定性研究旨在确定和探讨澳大利亚牙科专业人员和辅助人员在对严重肥胖成人进行牙科管理时遇到的障碍和遇到的有利因素:对牙科专业人员(23 人)和辅助人员(11 人)进行了焦点小组和半结构化访谈(34 人参加)。对记录进行逐字誊写,并采用主题归纳分析法进行综合:结果:在普通牙科和专科牙科环境中,为严重肥胖症患者提供适当的牙科保健服务面临着多重障碍。在为重度肥胖症患者提供牙科治疗的过程中,参与者提出了一些临床挑战、现有肥胖症牙科服务的适宜性以及治疗的安全性等方面的关键主题。研究还发现了获得服务的促进因素,包括增加肥胖牙科椅的供应、环境改造、对患者和整个牙科团队的教育以及指南的制定:当前的研究探讨了在普通和专科牙科环境中对重度肥胖患者进行最佳牙科管理的多重障碍。未来的实践中应借鉴这些有利因素。优化现有的肥胖症牙科服务需要进行紧急审查,并以系统性变革为指导制定解决方案。研究结果表明,需要对当前的医疗系统、经济学、就医障碍、政策和程序以及教育和培训进行审查,而不仅仅局限于个人层面。研究提出了改善严重肥胖症患者牙科管理的未来方向。
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来源期刊
BDJ Open
BDJ Open Dentistry-Dentistry (all)
CiteScore
3.70
自引率
3.30%
发文量
34
审稿时长
30 weeks
期刊最新文献
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