Community dental visits as a catalyst for understanding oral health disparities in undergraduate dental students
DOI:
https://doi.org/10.53685/jshmdc.v6i1.151Keywords:
Community Dentistry, Oral Health, Awareness, Students DentalAbstract
Background: Oral health disparities remain a critical public health issue, highlighting the need for experiential learning in dental education
Objective: To evaluate the impact of community dental visits on undergraduate dental students’ awareness, understanding, and attitudes toward oral health disparities in underserved populations.
Methods: A descriptive cross-sectional study was conducted on 150 dental students (2nd to 4th year at Rehman College of Dentistry, Peshawar, Pakistan, from 1st March to 30th June 2023. Purposive sampling was done, and students participating in community dental visits were included. A newly developed questionnaire based on 04 major themes: awareness of students on oral health inequalities, role of community visits in raising awareness, socioeconomic factors underlying oral health disparities, and recommendations by students for dental curriculum modifications was used. SPSS version 22 was used for data analysis. Chi-square test and t-test were applied to compare responses.
Results: A response rate of 49% (73/150) was obtained with a female-to-male ratio of 45:28. Most of the dental students in 2nd, 3rd, and 4th year (82.6%, 83.3% & 95%, respectively) agreed on the lack of oral health prioritization in primary healthcare Undergraduate dental students of the 2nd year (78-95.6%), 3rd year (76.7-93.3%) & 4th year (85-95%) recommended to increase the integration of community-based dental education in BDS. Across all years, 82–90% of the participants reported heightened motivation to address dental health disparities following community visits. There was a significant difference between responses of dental students of different years regarding awareness of oral health disparities concerning socioeconomic status (p<0.05). A greater proportion of fourth-year students (80%) agreed on the relevance of socio-economic status compared to third-year (40%) and second-year (43.4%) dental students.
Conclusion: Community dental visits are an effective educational strategy for enhancing undergraduate dental students’ awareness and understanding of oral health disparities. Increasing their frequency may further strengthen students’ attitudes toward addressing these disparities in underserved communities.
References
World Health Organization. Global Burden of Diseases, Oral Health. 2024. https://www.who.int/news-room/fact-sheets/ detail/oral-health Accessed 1st January 2024
Rahat A. From chisels to lasers: a narrative of history of dentistry in the Indo-Pak subcontinent. BioMedica. 2024; 40(2): 69-77. DOI: https://doi.org/10.24911/BioMedica/5-1145
Mariño R, Satur J, Tuncer E, Tran M, Milford E, Tran VMTH, et al. Cultural competence of Australian dental students. BMC Med Educ. 2021; 21(1): 1–10. DOI: https://doi.org/10.1186/s12909-021-02589-9
Khan YA, Ahmad S, Muhammad G, Ahmed M, Saif I, Waqar Z, et al. Cultural competency training in dental and medical education: Enhancing communication and patient-centered care: cultural competency in healthcare education. Pak J Health Sci. 2024; 5(12): 372-379. DOI: https://doi.org/10.54393/pjhs.v5i12.2644
Panthi S, Bhandari A, Acharya R, Khatiwada P, Khanal N, Bhattarai B, et al. Medical students’ attitude towards cultural diversity: A cross-sectional study at a health sciences university in eastern Nepal. BMJ Open. 2022; 12(5): 3–8. DOI: https://doi.org/10.1136/bmjopen-2021-057062
Fischer DJ, O’Hayre M, Kusiak JW, Somerman MJ, Hill C V. Oral health disparities: A perspective from the national institute of dental and craniofacial research. Am J Public Health. 2017; 107: 36–38. DOI: https://doi.org/10.2105/AJPH.2016.303622
Marcus K, Balasubramanian M, Short S, Sohn W. Barriers and facilitators to dental care among culturally and linguistically diverse carers: A mixed‐methods systematic review. Community Dent Oral Epidemiol. 2023; 51(2): 327-344. DOI: https://doi.org/10.1111/cdoe.12745
Eke PI, Dye BA, Wei L, Slade GD, Thornton‐Evans GO, Borgnakke WS, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol.2015; 86(5): 611–622. DOI: https://doi.org/10.1902/jop.2015.140520
Godínez-López MJ, Mendoza-Rodríguez M, Márquez-Corona MD, Jiménez-Gayosso SI, Escoffié-Ramírez M, Patiño-Marín N, et al. Prevalence of dental pain in schoolchildren aged 6 to 12 years and clinical, sociodemographic, and socioeconomic risk indicators: A multicenter study of four Mexican cities. Pediatric Rep. 2024; 16(4): 1042-1053. DOI: https://doi.org/10.3390/pediatric16040089
Khalid T, Mahdi SS, Khawaja M, Allana R, Amenta F. Relationship between socioeconomic inequalities and oral hygiene indicators in private and public schools in Karachi: An observational study. Int J Environ Res Public Health. 2020; 17(23): 1–10. DOI: https://doi.org/10.3390/ijerph17238893
Calcagnile F, Pietrunti D, Pranno N, Di Giorgio G, Ottolenghi L, Vozza I, et al. Oral health knowledge in pre-school children: A survey among parents in central Italy. J Clin Exp Dent. 2019; 11(4): e327–33. DOI: https://doi.org/10.4317/jced.55378
Elshel J, Patrick A, Stokes C. Community‐based education programmes in the context of dental education: A scoping review. Eur J Dent Educ. 2024; 28: 576–590. DOI: https://doi.org/10.1111/eje.12986
Naidoo M, Brijlal P. Final year oral hygiene students’ perceptions and reflections on experiential learning in a special needs oral health care program. BMC Oral Health. 2024; 24(1): 1415. DOI: https://doi.org/10.1186/s12903-024-04699-4
Basharat S, Shaikh BT. Primary oral health care: A missing link in public health in Pakistan. East Mediterr Health J. 2016; 22(9): 703–6. DOI: https://doi.org/10.26719/2016.22.9.703
Susarla SM, Trimble M, Sokal-Gutierrez K. Cross-sectional analysis of oral healthcare vs. general healthcare utilization in five low-and middle-income countries. Front Oral Health. 2022; 3: 911110. DOI: https://doi.org/10.3389/froh.2022.911110
Shaikh GM, Baseer S, Shahzad MA, Ali A, Piracha MU, Nazir A, et al. Cultural competency in dental practice: navigating the experiences and perspectives of dentists in South Punjab, Pakistan. Cureus. 2024; 16(10): e71322.
Ali K, Suni S, Gupta N, Glanville R, Vanishree T, Al-Maweri SA, et al. Bridging classrooms and communities: The transformative impact of dental education on the learning experiences of undergraduate students. Eur J Dent Educ. 2025; 29(2): 367-376. DOI: https://doi.org/10.1111/eje.13076
Ali K, Zahra D, Bashir U, Raja HZ, Alkhtib A, Younas MA, et al. From clinics to communities: Understanding public perceptions of dental services in Pakistan. Health Expect. 2025; 28(1): e70177. DOI: https://doi.org/10.1111/hex.70177
Bandehagh A, Khami MR, Farshad F, Hessari H. Community-based dental education in Iranian dental schools. BMC Oral Health. 2024; 24: 526. DOI: https://doi.org/10.1186/s12903-024-04290-x
Ayibuofu-Uwandi V, Dyer TA. What are the public health benefits of community-based education in dentistry? A scoping review. Br Dent J. 2024; 1–7. DOI: https://doi.org/10.1038/s41415-024-7908-4
He J, Yuan B, Zhou S, Peng S, Xu Y, Cai H, et al. Socio-demographic factors, dental status, oral health knowledge and attitude, and health-related behaviors in dental visits among 12-year-old Shenzhen adolescents: A multilevel analysis. BMC Oral Health. 2022; 22(1):102. DOI: https://doi.org/10.1186/s12903-022-02110-8
Chuenjitwongsa S, Bullock A, Oliver RG. Culture and its influences on dental education. Eur J Dent Educ. 2018; 22(1): DOI: https://doi.org/10.1111/eje.12244
–66.
Forsyth CJ, Irving MJ, Tennant M, Short SD, Gilroy JA. Teaching Cultural Competence in Dental Education: A systematic review and exploration of implications for indigenous populations in Australia. J Dent Educ. 2017; 81(8): 956–968. DOI: https://doi.org/10.21815/JDE.017.049
Khayat WF, Almalki MA, Alqahtani MS, Taher SW. Evaluation of the level of integration of the dental curriculum in Umm Al-Qura University. J Taibah Uni Med Sci. 2023; 18(6): 1449-1458. DOI: https://doi.org/10.1016/j.jtumed.2023.05.019
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