{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:52:48Z","timestamp":1777485168686,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Non-dental health practitioners in Australia, including general practitioners, nurses, pharmacists, and allied health professionals, encounter patients with oral health concerns. While well-positioned to provide early intervention, their capacity is affected by knowledge gaps, confidence, and systemic limitations.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To map Australian non-dental health practitioners\u2019 oral health knowledge, attitudes, and practices and identify barriers and enablers to integrating oral health into general healthcare.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Following Joanna Briggs Institute methodology, five databases (MEDLINE, PubMed, CINAHL, Embase, Web of Science) were searched for original studies published between 1 January 2014 and 16 July 2024.\n                    <jats:bold>Results:<\/jats:bold>\n                    Of 3225 records, 20 studies were included: nurses (n = 8), midwives (n = 5), pharmacists (n = 5), and general practitioners (n = 2). Data were synthesised using deductive thematic analysis and descriptive counts of oral health attitudes, knowledge, and practices. Attitudes towards oral health were generally positive, but engagement varied. Midwives and pharmacists demonstrated greater involvement following structured training, whereas general practitioners, aged care staff, and cystic fibrosis clinicians reported limited engagement due to insufficient education, time constraints, and unclear roles. Additional barriers included a lack of referral pathways and clinical guidelines. Enablers included interprofessional collaboration and oral health training.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Non-dental health practitioners are well placed to promote oral health; however, integration remains inconsistent. Addressing educational and systemic barriers through targeted training, clear referral systems, and the inclusion of oral health in general and chronic disease guidelines could strengthen oral health integration and reduce inequalities in preventive care across Australian healthcare.\n                  <\/jats:p>","DOI":"10.1177\/0265539x251413842","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T04:09:43Z","timestamp":1768363783000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Non-dental practitioners and oral health in Australia: A scoping review of knowledge, attitudes, and barriers to integration"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0604-229X","authenticated-orcid":false,"given":"Zainab","family":"Al-Khafaji","sequence":"first","affiliation":[{"name":"University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Aley","sequence":"additional","affiliation":[{"name":"University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy B.","family":"Davies","sequence":"additional","affiliation":[{"name":"University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0884-9282","authenticated-orcid":false,"given":"William","family":"Carlson-Jones","sequence":"additional","affiliation":[{"name":"University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_3_4_3_1","volume-title":"Australia\u2019s National Oral Health Plan 2015\u20132024: Performance Monitoring Report","author":"Australian Institute of Health and Welfare (AIHW)","year":"2024","unstructured":"Australian Institute of Health and Welfare (AIHW) (2024a) Australia\u2019s National Oral Health Plan 2015\u20132024: Performance Monitoring Report. https:\/\/www.aihw.gov.au\/reports\/dental-oral-health\/national-oral-health-plan-2015-2024\/contents\/summary"},{"key":"e_1_3_4_4_1","volume-title":"Oral Health and Dental Care in Australia","author":"Australian Institute of Health and Welfare (AIHW)","year":"2024","unstructured":"Australian Institute of Health and Welfare (AIHW) (2024b) Oral Health and Dental Care in Australia. https:\/\/www.aihw.gov.au\/reports\/dental-oral-health\/oral-health-and-dental-care-in-australia\/contents\/costs"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-021-00642-y"},{"issue":"4","key":"e_1_3_4_6_1","first-page":"224","article-title":"Utilisation of oral health services provided by non-dental health practitioners in developed countries: a review of the literature","volume":"31","author":"Barnett T","year":"2014","unstructured":"Barnett T, Hoang H, Stuart J, et al. (2014) Utilisation of oral health services provided by non-dental health practitioners in developed countries: a review of the literature. Community Dental Health 31(4): 224\u2013233.","journal-title":"Community Dental Health"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02270-7"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.26395"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-070622"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2018.06.021"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017940"},{"key":"e_1_3_4_13_1","first-page":"A56","article-title":"Better oral health in residential care","volume":"28","author":"Fricker A","year":"2009","unstructured":"Fricker A, Lewis A (2009) Better oral health in residential care. Australasian Journal on Ageing 28: A56.","journal-title":"Australasian Journal on Ageing"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2014.46.2.180"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2015.10.004"},{"key":"e_1_3_4_16_1","first-page":"10","volume-title":"Filling the Gap: A Universal Dental Scheme for Australia","author":"Grattan Institute","year":"2019","unstructured":"Grattan Institute (2019) Filling the Gap: A Universal Dental Scheme for Australia, 10."},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY13044"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016078"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0536-x"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ijpp\/riae022"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12460"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2775"},{"issue":"69","key":"e_1_3_4_23_1","article-title":"Scoping studies: advancing the methodology","volume":"5","author":"Levac D.","year":"2010","unstructured":"Levac D., Colquhoun H., O\u2019Brien K. K., et al. (2010) Scoping studies: advancing the methodology. Implementation Science 5(69). Available at: https:\/\/doi.org\/10.1186\/1748-5908-5-69","journal-title":"Implementation Science"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2020.102827"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-12"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1875-595X.2008.tb00185.x"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145721718796055"},{"issue":"1","key":"e_1_3_4_28_1","first-page":"34","article-title":"Perceptions and practices of general practitioners on providing oral health care to people with diabetes - a qualitative study","volume":"21","author":"Poudel P","year":"2020","unstructured":"Poudel P, Griffiths R, Wong VW, et al. (2020) Perceptions and practices of general practitioners on providing oral health care to people with diabetes - a qualitative study. BMC Primary Care 21(1): 34.","journal-title":"BMC Primary Care"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-019-0794-5"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2017.11.006"},{"key":"e_1_3_4_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpp.12241"},{"key":"e_1_3_4_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idh.2024.04.006"},{"key":"e_1_3_4_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-15-143"},{"key":"e_1_3_4_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12732"},{"key":"e_1_3_4_35_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_4_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22938-3"},{"key":"e_1_3_4_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0213-0"},{"key":"e_1_3_4_38_1","article-title":"Integrating oral health into primary healthcare for improved access to oral health care for rural and remote populations","author":"Veginadu P","year":"2024","unstructured":"Veginadu P, Haddock R (2024) Integrating oral health into primary healthcare for improved access to oral health care for rural and remote populations. Deeble Institute for Health Policy Research. https:\/\/doi.org\/10.60836\/65wc-yt49.","journal-title":"Deeble Institute for Health Policy Research"},{"key":"e_1_3_4_39_1","volume-title":"Global Status Report on Oral Health 2022","author":"World Health Organisation","year":"2025","unstructured":"World Health Organisation (2025) Global Status Report on Oral Health 2022. https:\/\/www.who.int\/team\/noncommunicable-diseases\/global-status-report-on-oral-health-2022"}],"container-title":["Community Dental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251413842","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0265539X251413842","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251413842","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:25:30Z","timestamp":1777386330000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0265539X251413842"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":38,"alternative-id":["10.1177\/0265539X251413842"],"URL":"https:\/\/doi.org\/10.1177\/0265539x251413842","relation":{},"ISSN":["0265-539X","2515-1746"],"issn-type":[{"value":"0265-539X","type":"print"},{"value":"2515-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]},"article-number":"0265539X251413842"}}