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Oral Health Care and Services for Patients
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Oral Health Care and Services for Patients

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 8952

Special Issue Editor

Dr. Somy Azimi

E-Mail Website
Guest Editor
School of Human Sciences, The University of Western Australia, Perth 6009, Australia
Interests: telemedicine; people with disability; child dental health; public health; health care delivery; geriatric dentistry

Special Issue Information

Dear Colleagues,

I am pleased to extend an invitation to you to contribute to our upcoming Special Issue entitled “Oral Health Care and Services for Patients”.

Oral health is an essential component of overall health and well-being. However, many people face various challenges and barriers in accessing oral health care and services, such as a lack of affordability, availability, accessibility, acceptability, and awareness. These challenges can result in oral health disparities and inequalities among diverse population groups, such as the elderly, children, people with disabilities, individuals living in rural or remote areas, and those from low-income or culturally and linguistically diverse backgrounds.

The objective of this Special Issue is to provide a platform for practitioners, researchers, policymakers, and stakeholders to share their latest findings, experiences, and perspectives on oral health care and services for patients. We invite diverse contributions focusing on key areas in oral health. Submissions may explore oral health status and determinants among different patient groups, alongside advancements in diagnostic tools and treatment. We are interested in discussions around oral health care delivery models, systems, and policies, emphasizing quality, safety, and outcomes. We also encourage insights into the dynamics of oral health care access and utilization, and the evolving landscape of innovation, technology, and digitalization in oral health care.

We look forward to receiving your valuable contributions to this Special Issue, highlighting challenges, opportunities, and future directions in the multifaceted field of oral health.

Dr. Somy Azimi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • patient-centric care
  • preventive dentistry
  • technology and telehealth in dentistry
  • patient education
  • public health dentistry
  • interdisciplinary approaches

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (8 papers)

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Research

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17 pages, 220 KiB  
Article
Oral Care Experiences of Children with Down Syndrome: Caregiver and Dentist Perspectives
by Marinthea Richter, Elizabeth Isralowitz, José C. Polido, Sharon A. Cermak and Leah I. Stein Duker
Healthcare 2025, 13(9), 999; https://doi.org/10.3390/healthcare13090999 (registering DOI) - 26 Apr 2025
Abstract
Background/Objectives: Children with Down syndrome (DS) have distinct oral care needs and challenges, yet research on their care experiences, exploring caregiver and provider perspectives, is limited. Therefore, this study aimed to describe the barriers and facilitators to oral care for children with [...] Read more.
Background/Objectives: Children with Down syndrome (DS) have distinct oral care needs and challenges, yet research on their care experiences, exploring caregiver and provider perspectives, is limited. Therefore, this study aimed to describe the barriers and facilitators to oral care for children with DS, as reported by caregivers and dental professionals. Methods: In this qualitative inquiry, semi-structured questions were used to elicit narratives describing oral care experiences from one caregiver focus group (n = 5), individual caregiver interviews (n = 9), and individual dentist interviews (n = 8). The transcripts were coded and thematically analyzed. Results: Three themes emerged in both groups. The first theme, Access, described the challenges in locating a dentist willing and knowledgeable about how to treat children with DS, and the variability in experiences between different contexts (i.e., community-based vs. specialty clinics). The second theme, Pre-visit Preparation, noted the potential impact of dental trauma on dental visits and recommended the use of preparation strategies, such as desensitization appointments, strategic scheduling, and visual or verbal scripts or social stories, to introduce dental encounters. The final theme, Dental Encounters, dealt with the importance of communication and interpersonal connection, as well as concerns about and support for active/passive immobilization techniques and pharmacological intervention. Sensory strategies for auditory, tactile, and vestibular input were discussed, in addition to distraction techniques, the timing and pacing of dental encounters, and parental presence/absence. Conclusions: Tailoring dental care around the unique sensory and behavioral needs of children with DS and building effective partnerships between children, parents, and dentists were emphasized for optimizing the dental care experiences of children with DS. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
9 pages, 602 KiB  
Article
COVID-19 Lockdowns and Hospitalisations for Oro-Facial Trauma Among Adults in Australia and the United Kingdom
by Parmis Aminian, Marc Tennant and Estie Kruger
Healthcare 2025, 13(7), 789; https://doi.org/10.3390/healthcare13070789 - 1 Apr 2025
Viewed by 214
Abstract
Objectives: Oro-facial trauma affects physical, psychological, and social well-being. This study assesses changes in oro-facial trauma hospitalisation rates among adults during the pre-lockdown period, ‘lockdown year’, and post-lockdown period in Australia and the United Kingdom (UK). The findings provide insights into healthcare delivery [...] Read more.
Objectives: Oro-facial trauma affects physical, psychological, and social well-being. This study assesses changes in oro-facial trauma hospitalisation rates among adults during the pre-lockdown period, ‘lockdown year’, and post-lockdown period in Australia and the United Kingdom (UK). The findings provide insights into healthcare delivery and resource allocation during public health emergencies to inform future preventive strategies. Methods: Hospitalisation data for adults (aged 20+) with oro-facial trauma, classified using ICD-10 codes, were collected. Age-standardised rates (ASRs) per 100,000 population were calculated for each period. Comparative analyses evaluated hospitalisation rates during the ‘lockdown year’ relative to three years before and after. The 11 oro-facial trauma ICD codes were grouped into major and minor trauma to evaluate differential impacts. Results: This study highlighted a statistically significant reduction in oro-facial trauma hospitalisation rates during the ‘lockdown year’ in both Australia (38.8%) and the UK (35.7%) compared to the pre-lockdown period. Although rates increased post-lockdown, they remained lower than pre-lockdown levels, with a 35.5% reduction in Australia and a 25.1% reduction in the UK. Additionally, while the ASR significantly increased for major trauma in the post-lockdown years compared to the lockdown year, the increase for minor trauma was not statistically significant in both countries. Conclusions: COVID-19 lockdowns led to a significant reduction in oro-facial trauma hospitalisations. Post-lockdown rates increased as activities resumed but did not return to pre-lockdown levels, suggesting lasting behavioural shifts. These findings highlight the role of external factors (e.g., mobility and social behaviour) in oro-facial trauma rates and can inform targeted preventive strategies for high-risk periods. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
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15 pages, 765 KiB  
Article
Patient Centricity—An Empirical Research on Titanium Dental Implants and Their Adverse Effects on Health Condition
by Mădălin Dorel Țap, Florentina Cornelia Bîcleşanu, Octavia-Sorina Honțaru and Anamaria-Cătălina Radu
Healthcare 2024, 12(22), 2207; https://doi.org/10.3390/healthcare12222207 - 5 Nov 2024
Cited by 2 | Viewed by 1223
Abstract
Background/Objectives: Titanium dental implants are considered to be the most modern and effective solution for replacing lost teeth. These medical devices not only restore the chewing and aesthetic functionality of the smile but also provide a stable support for crowns, bridges or dentures. [...] Read more.
Background/Objectives: Titanium dental implants are considered to be the most modern and effective solution for replacing lost teeth. These medical devices not only restore the chewing and aesthetic functionality of the smile but also provide a stable support for crowns, bridges or dentures. The aim of this study was to identify the perceptions of patients about titanium dental implants and their effects on the human body. Methods: A structural equation model (SEM) was conducted to study how a series of independent variables have the ability to influence the perception and intention of the patients regarding these medical devices. A data analysis was performed using WarpPLS 8.0 software. This research was conducted on a sample of 162 respondents. Results: The results illustrated that patients’ perception of titanium dental implants is explained by 71% of the independent variables analysed, and their intention to have a new implant in the next period is explained by 61%. The proposed econometric model was validated, with seven hypotheses accepted out of nine. Conclusions: Although titanium has long been used in implant dentistry, in recent years, experts have identified a number of adverse effects that can arise from its use. This study has added value both at the practical and theoretical level. Perception is influenced by respondents’ perceived advantages, by the problems perceived by the respondents regarding titanium dental implants, by the degree of awareness of the risks of titanium dental implants, and by the adverse effects experienced by respondents regarding titanium dental implants. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
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11 pages, 239 KiB  
Article
Association of Urine (pH < 5.5) with Community Periodontal Index (CPI) and the Number of Remaining Teeth in Korean Adults: A Cross-Sectional Study Using Data from Korea National Health and Nutrition Examination Survey 2016–2018
by Su-Yeon Hwang and Jung-Eun Park
Healthcare 2024, 12(7), 740; https://doi.org/10.3390/healthcare12070740 - 29 Mar 2024
Viewed by 1097
Abstract
This study aims to determine the association between UpH (<5.5), Community Periodontal Index (CPI), and the number of remaining teeth—cumulative indicators of oral health—using data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES, 2016–2018), which represents the Korean population. [...] Read more.
This study aims to determine the association between UpH (<5.5), Community Periodontal Index (CPI), and the number of remaining teeth—cumulative indicators of oral health—using data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES, 2016–2018), which represents the Korean population. Data from 12,689 adults aged 19 years and older who had periodontal examinations were analyzed. Logistic regression analysis was performed after adjusting for demographic, health, and health-related behavioral factors as covariates to determine the association between UpH, CPI, and the number of remaining teeth. This study found that UpH (<5.5) was associated with CPI and the number of remaining teeth. For UpH (<5.5), the odds ratio for CPI (≥4 mm) was 1.19 times (95% CI: 1.06–1.33). The risk of tooth loss was 1.25 times (95% CI: 1.06–1.48) for those with 0–19 remaining teeth and 1.20 times (95% CI: 1.07–1.34) for those with 20–27 teeth. The results revealed an association between UpH, CPI, and the number of remaining teeth. However, further longitudinal research on UpH and oral status is necessary. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
12 pages, 241 KiB  
Article
Evaluation of the Effectiveness of Children’s Dental Care Programs: A Retrospective Study
by Soo-Auk Park, Ji-Na Lim and Jae-Young Lee
Healthcare 2024, 12(7), 721; https://doi.org/10.3390/healthcare12070721 - 26 Mar 2024
Viewed by 2153
Abstract
This study aimed to evaluate the long-term impact of children’s dental care programs on children and adolescents to reduce oral health inequalities. It measured and assessed the improvement effects of children’s dental care programs on the oral health of children and adolescents as [...] Read more.
This study aimed to evaluate the long-term impact of children’s dental care programs on children and adolescents to reduce oral health inequalities. It measured and assessed the improvement effects of children’s dental care programs on the oral health of children and adolescents as part of the efforts to decrease oral health disparities in this age group. It included 406 individuals who participated in student and children’s dental care program between 2013 and 2019 at screening facilities in Gwangjin-gu, Seoul. A frequency analysis was conducted for demographic characteristics, and a binary logistic regression analysis was performed to identify factors influencing the prevalence of dental caries as the dependent variable. The data were analyzed using PASW Statistics with the statistical significance level set at α = 0.05. Regarding oral health status based on the frequency of participation in children’s dental care program for children and adolescents, participants with seven or more sessions had lower prevalence rates of dental caries, malocclusion, and periodontal disease than those with only one session. Second, when comparing oral health status in children’s dental care program between primary and adolescent age groups, individuals under continuous oral health care showed a decrease in permanent teeth affected by dental caries, dental caries prevalence, and malocclusion prevalence (excluding primary school age). Third, a binary logistic regression analysis revealed significant influences (p < 0.05) of the developmental stage and frequency of program participation on dental caries prevalence. Children’s dental care programs are essential for alleviating oral health inequalities among children and adolescents and preventing oral diseases. Furthermore, the developmental stage of children and the frequency of program participation are crucial factors in preventing oral conditions, such as dental caries. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
15 pages, 768 KiB  
Article
A STEPwise Approach for Oral Hygiene Behavior of Schoolchildren in Romania
by Anca-Cristina Perpelea, Ruxandra Sfeatcu, Mihaela Tănase, Marina Meleșcanu Imre, Alexandra Ripszky Totan, Ana Cernega, Cristian Funieru and Silviu-Mirel Pițuru
Healthcare 2024, 12(2), 198; https://doi.org/10.3390/healthcare12020198 - 14 Jan 2024
Cited by 5 | Viewed by 2075
Abstract
This research analyzes the dental hygiene habits of schoolchildren from parents’ perspectives, using the STEPS approach recommended by the World Health Organization. The key points of oral health care in children include the role of the family in encouraging and maintaining proper oral [...] Read more.
This research analyzes the dental hygiene habits of schoolchildren from parents’ perspectives, using the STEPS approach recommended by the World Health Organization. The key points of oral health care in children include the role of the family in encouraging and maintaining proper oral hygiene practices. This study aimed to assess the oral hygiene practices of schoolchildren with on-site dentists in Romania. Additionally, it sought to establish correlations between these behaviors and the educational levels of the adults with whom they live with. The participants were selected from the zero grade to the eighth grade, totaling 3843students. Statistical analysis involved the application of Fisher’s Exact Test and Z-tests with Bonferroni correction. Multinominal and binominal logistic regression models were employed to predict the impact of parents’ education on children’s oral health status and behavior. The oral health status of children evaluated by parents as poor was more frequent in children whose parents had a primary or gymnasium education (p < 0.001). Female adults with a university education evaluated the gum health of their children as very good to a much greater extent (41.7%, p < 0.001). Regarding the use of auxiliary means, the majority of parents with a university education mentioned that their children use dental floss (26.4% females/27.4% males) (p < 0.001), compared to those with primary education, where the percentage was only (1.2% males/3.5% females) (p < 0.001). The results of this study highlight that the education level of the adults with whom the children live with influences the perception of the teeth and gums health status, the frequency of oral hygiene, the use of fluoride toothpaste, and auxiliary brushing aids. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
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Review

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12 pages, 281 KiB  
Review
Accessibility of Special Care Dentistry Across Countries: A Scoping Review
by Amin Vahdati, Gita Khadivi, Zahra Ghorbani, Ehsan Vahdati Helan, Anahita Ranjbar and Somayyeh Azimi
Healthcare 2024, 12(23), 2376; https://doi.org/10.3390/healthcare12232376 - 26 Nov 2024
Cited by 1 | Viewed by 1068
Abstract
Introduction: People with special care needs often face significant barriers in accessing dental care due to physical and cognitive limitations, leading to high rates of dental issues like caries. Despite the growing recognition of these challenges, unmet dental care needs remain prevalent. This [...] Read more.
Introduction: People with special care needs often face significant barriers in accessing dental care due to physical and cognitive limitations, leading to high rates of dental issues like caries. Despite the growing recognition of these challenges, unmet dental care needs remain prevalent. This review aims to explore the global landscape of special care dentistry to identify gaps and opportunities for improving dental services for this population. Methodology: A systematic search was conducted across three online databases—PubMed, Embase, and Scopus—to identify relevant articles from their inception through May 2024. Reference lists of the selected studies were also screened for additional sources. A thematic synthesis approach was applied to derive both descriptive and analytical themes. The scoping review was guided by the Arksey and O’Malley framework to examine the scope and nature of studies and documents related to dental care for individuals with special care needs. Furthermore, a Google search was performed to include accessible theses and official government documents from various countries. Results: A total of 49 studies from 11 countries were reviewed, all centered on providing dental care for people with special needs. The analysis revealed three main themes: Human resources, care delivery model, and management. Within these, nine subthemes emerged: Mid-level oral care providers, dentists, special care dentistry as a specialty, tele-dentistry, mobile dentistry, hospital care, levels of healthcare provision, financial support, and education. These themes and subthemes highlight essential areas for enhancing services for those people. Conclusions: A holistic approach is essential to enhance dental care for people with special needs. Critical strategies, including the involvement of mid-level oral care providers, the adoption of tele-dentistry and mobile units, and the availability of hospital-based services for complex cases, are crucial. To truly transform care for those people, each country must adapt these strategies to its specific context, aligning resources and policies to create an inclusive, accessible, and effective system. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)

Other

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11 pages, 5119 KiB  
Case Report
Full-Mouth Digital Dental Rehabilitation Under General Anesthesia in a Post-Treatment Intraoral Squamous Cell Carcinoma Patient: A Case Report
by Cindy Batisse, Nada El Osta and Pierre-Yves Cousson
Healthcare 2025, 13(8), 940; https://doi.org/10.3390/healthcare13080940 - 19 Apr 2025
Viewed by 97
Abstract
Background: The treatment of head and neck cancer primarily involves surgical tumor removal combined with radiotherapy and/or chemotherapy. It often leads to significant side effects, impacting the anatomical structures of the oral cavity and resulting in major functional, esthetic, and socio-relational alterations. Case [...] Read more.
Background: The treatment of head and neck cancer primarily involves surgical tumor removal combined with radiotherapy and/or chemotherapy. It often leads to significant side effects, impacting the anatomical structures of the oral cavity and resulting in major functional, esthetic, and socio-relational alterations. Case presentation: This clinical report aims to demonstrate the effectiveness of a hospital-based approach incorporating general anesthesia (GA) and computer-aided design and manufacturing (CAD/CAM) technology in the oral rehabilitation of a 58-year-old woman in remission from intraoral squamous cell carcinoma of the mandibular symphysis. The patient presented with oral pain, radiation-induced caries, reduced occlusal vertical dimension, and severely compromised teeth. Treatment Approach: The treatment plan included the removal of two non-restorable teeth, root canal treatment for the remaining teeth, and the placement of ceramic crowns and a partial removable prosthesis. Due to the complexity of the case and the patient’s limitations, the treatment was performed under GA, allowing for a staged approach. Digital technologies, including intraoral scanning and CAD-CAM, enhanced precision and patient comfort. This approach facilitated tooth preservation and minimized the number of extractions while achieving satisfactory functional and esthetic outcomes. Conclusion: The case highlights the value of GA and digital techniques in managing special-needs patients with a history of irradiated head and neck cancer. Full article
(This article belongs to the Special Issue Oral Health Care and Services for Patients)
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