Advancing dental care access for patients with disabilities: A global scoping review of predoctoral training

Author:

Nanji Natasha1,Nanji Alisha1,Chamut Steffany2ORCID,Chandel Tejasvita3ORCID

Affiliation:

1. Harvard School of Dental Medicine Boston Massachusetts USA

2. Oral Health Policy and Epidemiology Harvard School of Dental Medicine Boston Massachusetts USA

3. Department of Restorative Dentistry and Biomaterial Sciences Harvard School of Dental Medicine Boston Massachusetts USA

Abstract

AbstractObjectiveTo examine predoctoral training programs that address the unique needs of patients with special healthcare needs (SHCN) and provide an overview of current global training initiatives, while exploring innovative approaches to enhance dental students' preparation in managing SHCN patients.MethodsA scoping review (SR) was conducted focusing on three key concepts: dental education, pre‐doctoral training, and intellectual disability/developmental disability. The search encompassed five databases including Medline, Embase, Dentistry and Oral Sciences Source (EBSCO), Global Health (EBSCO), and WHO Global Index Medicus, following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. EndNote and Covidence were utilized to prevent duplication and facilitate title/abstract screening.ResultsAfter screening abstracts, a total of 2309 articles were initially identified with 28 articles meeting eligibility criteria for data extraction relevant to the research question. Two major categories characterized the key findings included in the review: 12 interventional studies and 16 perception‐based studies.ConclusionThis SR revealed that dental students are not adequately trained to treat special needs populations; consequentially, dental students lack confidence in providing high‐quality care to this demographic. The absence of standardized training poses a global challenge, exacerbating care disparities. Addressing this issue is crucial to better prepare dental students and advance equitable access and quality care for underserved populations.

Publisher

Wiley

Reference30 articles.

1. Oral Health: The Silent Epidemic

2. World Health Organization.Disability and health.2023. Available from:https://www.who.int/news‐room/fact‐sheets/detail/disability‐and‐health

3. Centers for Disease Control and Prevention.1 in 4 US adults live with a disability.2018. Available from:https://www.cdc.gov/media/releases/2018/p0816‐disability.html

4. U.S. Department of Health and Human Services.The surgeon general's call to action to improve the health and wellness of persons with disabilities: calling you to action.U.S. Department of Health and Human Services Office of the Surgeon General.2005. Available from:https://www.ncbi.nlm.nih.gov/books/NBK44671/

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