Community dentistry and oral epidemiology最新文献

{"title":"Caregiver Perspectives on the Use of Silver Diamine Fluoride as a Caries Treatment in Children in Chile: A Qualitative Phenomenological Exploration.","authors":"Horacio Alarcón Venegas, Marco Cornejo Ovalle, Miguel Grandón Yañez","doi":"10.1111/cdoe.70097","DOIUrl":"https://doi.org/10.1111/cdoe.70097","url":null,"abstract":"<p><strong>Objectives: </strong>To explore, from a phenomenological qualitative perspective, the perceptions and experiences of caregivers of children treated with silver diamine fluoride (SDF) in Chile.</p><p><strong>Methods: </strong>An exploratory qualitative study with a phenomenological approach was conducted between August and October 2025. Twelve caregivers of children who had received SDF treatment at least 6 months prior to the interview were included, selected through purposive sampling until thematic saturation was achieved. Semi-structured interviews were carried out either in person or online, recorded, and transcribed verbatim. Data were analysed inductively using thematic analysis with Atlas.ti, ensuring analytical triangulation and team reflexivity. The study was approved by the RedSalud Scientific Ethics Committee (Project P-26.2025).</p><p><strong>Results: </strong>Caregivers described an acceptance process influenced by initial feelings of fear, the trust fostered by clear professional communication, and the prioritisation of the wellbeing of their children over aesthetic concerns. The black staining caused by SDF was interpreted in varied ways, ranging from a negative effect to a symbol of protection or even a \"superpower\" that reinforced the value of dental care. The clinical experience was perceived positively due to the absence of pain, the simplicity of the procedure, and the calmness of the children-particularly in cases involving neurodiversity.</p><p><strong>Conclusions: </strong>Caregivers perceived SDF as an effective, safe, and non-invasive treatment that prioritised the wellbeing of the children over aesthetics. Clear information, professional trust, and empathetic communication were key factors in its acceptance. The findings highlighted the need to incorporate cultural, emotional, and communicative dimensions into paediatric dental practice, strengthening shared decision-making and promoting a humanised approach to child oral health.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148429971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Best of Times at the Worst of Times: How Adults Respond to a Brief Intervention (RETURN) to Increase Planned Dental Visiting.","authors":"R V Harris, M Van Der Zande, J Hennessy, R Maitland, C Exley, V Lowers","doi":"10.1111/cdoe.70095","DOIUrl":"10.1111/cdoe.70095","url":null,"abstract":"<p><p>Although acute health crises can disrupt routines and open a window for behaviour change, these teachable moments are rarely harnessed by intervention designs. The RETURN intervention (comprising a dental nurse-led conversation, short peer videos and booklets supporting knowledge, skills and action-planning) aimed to change planned dental visiting behaviour among adults previously reliant on urgent care. The RETURN trial recruited 1179 predominantly socio-economically disadvantaged urgent dental care users.</p><p><strong>Objectives: </strong>This qualitative study explored how RETURN impacted meaning, motivations, and practices related to routine dental visiting.</p><p><strong>Methods: </strong>In-depth interviews were conducted with 55 participants (39 intervention) at 6, 12 and 18-months post-intervention and analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Urgent dental problems provide a liminal (transitional) space where routines and dental visiting identities are destabilised. RETURN enabled a reflective pause where participants could distance themselves from previous patterns of behaviour, re-evaluate their oral health trajectory and priorities, reduce shame and self-blame, and rework aspects of their self-identity. Intervention components operated synergistically while enabling individually patterned engagement. Four themes generated were: 1. pausing and labelling the problem; 2. reducing ambivalence and energising motivation; 3. normalising struggle, cultivating hope and grit; 4. developing knowledge and skills to enact change. Booklets functioned as a material artefact extending engagement for over 12 months beyond the brief intervention delivery. For some, capabilities developed transferred to other domains of life.</p><p><strong>Conclusions: </strong>Findings position urgent care as an under-utilised site for identity work and sustained behaviour change, with the potential to support disadvantaged groups in service use, thus narrowing health inequalities.</p><p><strong>Trial registration: </strong>The RETURN trial was registered at isrctn.com (ISRCTN84666712).</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148429982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Culturally Safe Oral Health Services for a Regional Aboriginal Community in Victoria.","authors":"Eliza Collins, Shawana Andrews, Julie Satur","doi":"10.1111/cdoe.70096","DOIUrl":"https://doi.org/10.1111/cdoe.70096","url":null,"abstract":"<p><strong>Objectives: </strong>National policies have been introduced to promote the delivery of Culturally Safe dental care for Aboriginal and Torres Strait Islander Australians. However, the understanding of what constitutes Culturally Safe dental care and how it can be effectively implemented into clinical practice, remains limited. This study aimed to gain a deeper understanding of Culturally Safe oral health care through collaboration with Aboriginal people residing in regional Victoria.</p><p><strong>Methods: </strong>A Community-Based Participatory Research (CBPR) approach was utilised between the study team and a Victorian Aboriginal Community Controlled Health Service to design the study and develop yarning prompts. Following engagement, 40 individuals from the Victorian Aboriginal community participated in yarning groups that were audio recorded. Discussions were guided by a researcher who, through clinical work, had community familiarity. Following transcription and de-identification, the data were thematically analysed utilising a constructivist grounded theory approach.</p><p><strong>Results: </strong>The data analysis revealed 13 themes that were categorised according to Ramsden's foundational work with Cultural Safety domains: Holistic care (physical, mental, social, spiritual), power (clinical interactions, agency, overseas-trained practitioners, vulnerable space and sense of belonging), access to services (cost and time) and trust (trust building and historical distrust). These themes discuss significant barriers to achieving Culturally Safe oral health care for Aboriginal Australians in regional Victoria. These are influenced by structural issues like limited oral health funding, deficit narratives and a limited Aboriginal dental workforce.</p><p><strong>Conclusion: </strong>Culturally Safe oral health care is a dynamic, relational practice that is embedded in Aboriginal worldviews. Achieving it requires structural reform, trust-based relationships and communication that empowers to ensure oral health is addressed holistically. These findings will help inform future policy, education and service delivery initiatives grounded in Aboriginal knowledge systems.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Health and Well-Being: Insights From Personal Narratives of Losing Teeth and Living With Dentures.","authors":"Heba Ramadan Salama, Jennifer Burr, Claire Elcock, Barry John Gibson","doi":"10.1111/cdoe.70094","DOIUrl":"https://doi.org/10.1111/cdoe.70094","url":null,"abstract":"<p><strong>Objectives: </strong>To explore how individuals who have lost or have missing teeth and subsequently received dentures make sense of the factors influencing their oral health and well-being.</p><p><strong>Methods: </strong>Thematic and structural narrative analysis was used to evaluate 19 semi-structured interview transcripts from a secondary dataset of United Kingdom adults (10 males and 9 females, aged 22-86 years) living with dentures.</p><p><strong>Results: </strong>When participants shared their denture experiences, they integrated their oral health challenges into the broader context of their daily lives. Four themes emerged: socioeconomic inequality, masking oral functioning, accepting vulnerability, and fear of social judgement. Analysing these themes demonstrated cyclical and complex links between oral health and sense of well-being (both hedonic and eudaimonic), with socioeconomic position and limited resources moderating these links. Structural inequality, emotional mediators, social and cultural context, plus personal background shaped how individuals perceive and respond to their oral health challenges.</p><p><strong>Conclusion: </strong>The study reveals the multifaceted and dynamic links between oral health and well-being by employing a case-centred narrative analysis of the underlying mechanisms. The narratives confirm the Oral Health Related Quality of Life (OHRQoL) framework and add depth by demonstrating how the impacts extend to eudaimonic domains such as autonomy, personal growth and self-acceptance. This highlights the individualised meaning of oral health conditions within one's life narrative. These findings suggest the integration of eudaimonic well-being domains into existing OHRQoL frameworks for a comprehensive understanding of oral health experience.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Prematurity on the Occurrence of Caries at Four Years of Age: A Prospective Cohort Study.","authors":"Marina C Rocha, Leticia R M Sartori, Miguel K Mascarenhas, Marlos R Domingues, Andréa D Bertoldi, Mariângela F Silveira, Flávio F Demarco","doi":"10.1111/cdoe.70086","DOIUrl":"https://doi.org/10.1111/cdoe.70086","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the association between prematurity and dental caries occurrence at four years of age and to assess whether variables related to dental development, tooth eruption, and oral healthcare mediate this association.</p><p><strong>Methods: </strong>A longitudinal study was conducted using data from the 2015 Pelotas (RS) Birth Cohort. The outcome was dental caries at four years, classified using ICDAS. Gestational age at birth was estimated by ultrasonography examination in 3 407 (79.7%) cases, with 3 242 (75.8%) performed during the 1st or 2nd trimester. Mediating variables included enamel defects, number of teeth at 12 months, oral hygiene practices, sugar consumption, and maternal guidance. The variables were selected using a directed acyclic graph (DAG). Associations were estimated using Poisson regression models, and mediation was assessed through structural equation modelling (SEM). Analyses were performed using STATA 18.0.</p><p><strong>Results: </strong>Children born before 34 weeks had a 40% lower incidence of caries at four years compared to those born after 39 weeks, and those born between 37 and 38 weeks had a 20% lower incidence. The number of teeth mediated this relationship, indicating that lower gestational age was associated with fewer teeth at 12 months and a lower occurrence of caries.</p><p><strong>Conclusion: </strong>The findings highlight the importance of early dental monitoring and suggest preventive programs starting with the eruption of the first tooth, given its relevance in the occurrence of caries.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Child Healthy Weight Guidelines in the Dental Setting: A Pilot Study.","authors":"Amy R Villarosa, Della Maneze, Lucie Ramjan, Tiffany Patterson-Norrie, Ravi Srinivas, Albert Yaacoub, Tanya Kumar, Ajesh George","doi":"10.1111/cdoe.70088","DOIUrl":"https://doi.org/10.1111/cdoe.70088","url":null,"abstract":"<p><strong>Background: </strong>There has been an increasing prevalence of childhood overweight and obesity worldwide and locally, with a quarter of Australian children now considered overweight. To address this, the New South Wales government in Australia released guidelines calling for all public dental services to identify children above a healthy weight and refer them to appropriate services. This study was part of a larger study that aimed to codesign and pilot implementation strategies to facilitate the translation of these guidelines into dental staff's practice.</p><p><strong>Methods: </strong>A pre-post-test design was used to evaluate the strategies across two health districts in NSW. Strategies were codesigned by dental staff and parents of patients and included linguistically appropriate resources; discharge summaries from referral pathways; refresher training; involvement of dental assistants; templates for longitudinal BMI measures and growth assessment flyers for patients. A validated questionnaire measuring intention to engage in the guidelines and self-reported practice was distributed to interested staff before and after the delivery of strategies (2019-2022). Data describing dental staff's' actual practices over this time were also retrieved from patient information management systems. Descriptive and inferential statistics were used to assess the study outcomes and any differences across districts (n = 16).</p><p><strong>Results: </strong>There was no improvement in behavioural determinants of providing a growth assessment as indicated by the overall intention to engage in Children's Healthy Weight guideline (iCHEW) scale scores, however attitude scores had the largest observed improvement (from 30.1 to 35.2) and this was most pronounced in District 2 (27.2-34.3). A significant improvement in adherence to children's healthy weight guidelines was also seen in District 2 (increase of 20.54%, 95% CI 14.09-27.44). In District 1, children had 1.5 times the odds of receiving a growth assessment if they were treated by a dental officer (OR = 1.54; 95% CI 1.00-1.72). Conversely, children in District 2 had significantly lower odds of receiving a growth assessment if they were treated by a dental officer (OR = 0.203; 95% CI 0.12-0.35) or if they were treated at a satellite clinic (OR = 0.572; 95% CI 0.45-0.73).</p><p><strong>Conclusion: </strong>Dental staff can play a key role in addressing childhood overweight and obesity, although this can be challenging. The findings suggested some improvements in behavioural determinants and self-reported behaviours following supportive strategies. Further research to confirm these findings using larger sample sizes is recommended.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behaviour Support in Dentistry Core Outcomes (BeSiDe-CO): A Core Outcome Set Development Study.","authors":"Caoimhin Mac Giolla Phadraig, Isabel C Olegário, Shaelynn Hsu, Maryam Al Zayer, Aisyah Binti Ahmad Fisal, Alison Dougall, Gareth B Kitchen, Henry F Duncan, Sarah Baker, Sharat Pani, Sreekanth Kumar Mallineni, Mandy Daly, Andrew Geddis-Regan","doi":"10.1111/cdoe.70083","DOIUrl":"10.1111/cdoe.70083","url":null,"abstract":"<p><strong>Objectives: </strong>To develop a Core Outcome Set suitable for adults and children for use in studies of Dental Behaviour Support (DBS) techniques, including non-pharmacological DBS, sedation and General Anaesthesia research.</p><p><strong>Methods: </strong>Two systematic reviews generated a preliminary list of candidate outcomes that were shared with Key Stakeholders (KSG) and Public Patient Involvement (PPI) groups, who shortlisted outcomes for further exploration. Patients, carers, clinicians, and researchers were invited to participate in a Delphi panel. A modified e-Delphi was used to generate prioritisation and consensus across outcomes. A subsequent series of consensus meetings with panellists, patient groups and professional stakeholder groups determined the final outcomes within the COS.</p><p><strong>Results: </strong>Twenty-three candidate outcomes were rated by 88 panellists in Round 1. The attrition rate between Rounds 1 and 3 was 21.6%. Thirty-four to 32 panellists attended the consensus meetings. The BeSiDe core outcome set for Dental Behaviour Support consisted of nine outcomes: acceptability, adverse effect, anxiety, behavioural response, cost, pain, therapeutic alliance, time and treatment completion. An additional subset of three core outcomes for use in pharmacological DBS studies was agreed upon: recovery, sedation effect and physiological monitoring. Each outcome was presented with a plain-language label and description to support consistent interpretation across stakeholders.</p><p><strong>Conclusions: </strong>A core outcome set to be used across all DBS studies was produced covering both adults and children, with supplementary additional outcomes available to use in studies exploring only pharmacological DBS approaches. The list is for use in research, though there is obvious transferability to clinical practice.</p><p><strong>Trial registration: </strong>COMET Initiative database (Study ID: 2101), registered September 2022.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic Evaluation of the RETURN Intervention to Increase Routine Dental Attendance Among Disadvantaged Adults: Net Health Benefit (QALYs) and Patient Cost Outcomes From a Randomised Controlled Trial.","authors":"Tayamika Zabula, Victoria Lowers, Dan Howdon, Rebecca Harris","doi":"10.1111/cdoe.70085","DOIUrl":"https://doi.org/10.1111/cdoe.70085","url":null,"abstract":"<p><strong>Objectives: </strong>Routine dental attendance is associated with better health outcomes, yet those from disadvantaged backgrounds are more likely to seek problem-driven, episodic care. The RETURN intervention, a brief behavioural intervention delivered by dental nurses in urgent care, was designed to support urgent care users to take up planned dental care. This study evaluates the cost-effectiveness of the RETURN intervention.</p><p><strong>Methods: </strong>A cost-utility analysis was conducted alongside a randomised controlled trial. Resource use and health outcomes, measured in Quality-Adjusted Life Years (QALYs) derived from the EQ-5D-5L questionnaire, were evaluated at 12 and 18 months. The primary analysis used a cost-effectiveness threshold of £20 000 per QALY. Multiple imputation was used to account for missing data. Objectives also included providing an estimated incremental cost per improved Oral health impact profile (OHIP-14) point.</p><p><strong>Results: </strong>The intervention was found to be cost-effective with high confidence. At 12 months, intervention incremental cost was £18.83 with incremental Quality-Adjusted Life Year (QALY) gain of 0.014, and an incremental net health benefit (NHB) of 0.013 QALYs. The probability of cost-effectiveness was 90.5%. At 18 months, the incremental cost was £15.11 for a QALY gain of 0.009, and incremental NHB of 0.008 (probability of cost-effectiveness 70.9%). The findings were supported by complete case analysis, which showed probabilities of cost-effectiveness of 99.7% at 12 months and 98.5% at 18 months. Sub-group analysis gave the strongest evidence of cost-effectiveness in the most deprived populations.</p><p><strong>Conclusions: </strong>The RETURN intervention is highly likely to be a cost-effective use of National Health Service resources. Its impact appears particularly strong among those living in the most deprived areas, suggesting the potential to reduce inequalities in access to routine dental care.</p><p><strong>Trial registration: </strong>The RETURN trial was registered at isrctn.com (ISRCTN84666712).</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Rheumatoid Arthritis-Oral Health Perceptions Around Diagnosis and the Early Disease Course: A Phenomenological Approach.","authors":"Nadine Isabel Bhagwandas, Lotte Arwen van de Stadt, Johanna Margaretha Kroese","doi":"10.1111/cdoe.70082","DOIUrl":"https://doi.org/10.1111/cdoe.70082","url":null,"abstract":"<p><strong>Objectives: </strong>To explore how Dutch adults with rheumatoid arthritis (RA) perceive their oral health around the diagnostic process and the early disease course. The primary objective was to describe these perceptions in depth, and a secondary objective was to identify areas for future patient-centred research.</p><p><strong>Methods: </strong>A phenomenological qualitative study was conducted at Reade, a specialized rheumatology clinic in Amsterdam, The Netherlands. Adults (≥ 18 years) diagnosed with RA within 5 years prior to the start of recruitment, without multimorbidity and irrespective of oral complaints, were eligible. After completing brief sociodemographic/RA and oral-care questionnaires, semi-structured interviews in Dutch (face-to-face or virtual) were conducted with a trained interviewer with lived RA experience. Data were coded inductively in ATLAS.ti using thematic analysis.</p><p><strong>Results: </strong>Eleven adults (7 women, 4 men; median age 68 years) were interviewed. Five themes were identified: (1) fluctuating symptoms demanded continual lifestyle adjustments and, for some, financial losses from reduced work hours; (2) the diagnosis carried a wide emotional burden-humour and symptom-downplaying helped, yet most still camped with accepting the disease, its medication and side-effects; (3) relationships with healthcare professionals varied-participants adhered to rheumatologists' recommendations but followed dental advice less consistently, and they viewed dentists and hygienists as having distinct roles; (4) oral hygiene ability varied-hand- or wrist-flare ups briefly hindered routines for some, and awareness of RA-related oral health risks (e.g., temporomandibular-joint involvement) was low; and (5) tailored information linking RA and oral health was scarce, and participants preferred clear guidance from clinicians while firmly rejecting oral hygiene guidance from friends and family.</p><p><strong>Conclusions: </strong>This exploratory study of Dutch adults with RA showed that perceptions of oral health, particularly around the diagnostic process and early disease course, highlighted five patient-centred research areas: determining the optimal timing and provider of RA-oral health information, mapping educational gaps among dental and rheumatology professionals and students, refining ergonomic toothbrush design, addressing socioeconomic barriers to dental care and validating routine TMJ screening tools. These findings may also serve as a foundation for the development of dental guidelines that reflect the patient perspective.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148223595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Global Oral Health Research Through Community and Academic Partnerships: An Overview of the CORE Programme.","authors":"Carol C Guarnizo-Herreño, Michelle Stennett, Regina Mutave, Paulo Sávio Angeiras de Goes, Mirai Chatterjee, Manu Mathur, Abhishek Mehta, Alastair Ross, David I Conway, Richard G Watt","doi":"10.1111/cdoe.70081","DOIUrl":"https://doi.org/10.1111/cdoe.70081","url":null,"abstract":"<p><strong>Background: </strong>The increasing burden of oral diseases in low- and middle-income countries (LMICs) and limited access to and affordability of oral care disproportionately impact disadvantaged groups. Oral health research has been dominated by professional academic perspectives with limited contribution from the communities involved. The aim of this commentary is to provide a broad overview of the aims and objectives, principles, values, and study design of the CORE programme.</p><p><strong>Programme aims: </strong>The CORE (Community focused Oral health Research for Equity) programme is a multinational research initiative which aims to reduce oral health inequalities and improve access to dental services through collaborations between disadvantaged communities and academic and community partners in Brazil, Colombia, India and Kenya. Public health research interventions will be co-created and tested with local communities through a participatory action research approach and active community engagement and involvement. In addition, the programme aims to strengthen local oral health research capacity and advocacy.</p><p><strong>General programme design: </strong>The CORE programme is comprised of three elements: (1) Programme management and governance; (2) Research components focused on oral health inequalities, commercial determinants and oral health system reform; (3) Overarching components including (i) community engagement and involvement, (ii) training and capacity building, (iii) monitoring, evaluation and learning. Through a collaborative community-based approach, the CORE programme will undertake high-quality research in LMICs to inform future pro-equity and health system reform policies.</p>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}