The Centre of Research Excellence in Primary Oral Health Care

Description

Contacts

Chief Investigator:  Associate Professor David Brennan, email: david.brennan@adelaide.edu.au

CRE Manager / co-ordinator: Annalisa Agresta, email: annalisa.agresta@adelaide.edu.au

Policy context

The impact of oral disease on people’s everyday lives is subtle and pervasive. The prevalence and recurrence of these impacts constitutes a silent epidemic, as acknowledged in the National Oral Health Plan 2004-2013. Over 90 per cent of Australians born before 1970 have experienced tooth decay and a quarter of adults have untreated coronal decay. Additionally, 6.7 per cent of Australian adults have untreated decay on tooth rot surfaces and one in five have moderate or severe gum disease. Expenditure on dental health is large: $7.69 billion in 2009-2010, representing 7.5 per cent of total health funding. The ravages of oral disease are felt more by certain demographics than others. People who miss out on gaining access to primary oral health care include frail and older people, rural residents, Indigenous Australians, and physically and intellectually disabled Australians.

Synopsis

This Centre of Research Excellence will conduct a program of research to improve primary oral health care for disadvantaged Australians, comprising four major themes.

  1. Successful aging and oral health

    Problems of tooth wear, tooth fracture, root caries and pulpal necrosis are associated with the aging population. The Centre will undertake two projects involving: assessing the long-term success rate of screening questions used by physicians and nurses linked to priority dental care, and investigating better options for oral care in residential aged care.

  2. Rural oral health

    Non-capital-city residents are more likely to suffer complete tooth less, have less than 21 teeth, wear dentures, have missing, have a higher proportion of untreated coronal dental caries, have great dental caries experience than capital city residents, and are more to avoid certain foods due to dental problems. The Centre will conduct research projects to investigate the attitudes, barriers and enablers for Australian dental practitioners toward living and working in rural areas, demonstrate that more collaborative, interprofessional systems of care can have a positive impact on oral health, and identify gaps in policy approaches to oral health in rural and remote areas.

  3. Indigenous oral health

    Compared to the overall Australian population, Indigenous children generally have more than twice the caries experience and a greater proportion of untreated caries, while adults have more missing teeth and worse periodontal health. Research into the oral health of Indigenous Australians was listed as a priority area in the National Oral Health Plan. This Centre will undertake two research projects to discover why Aboriginal adults who are referred for priority dental care do not take up or complete a course of dental care, and to investigate the perceptions and beliefs of Aboriginal adults regarding oral health care.

  4. The oral health of people with physical and intellectual disabilities

    People with special needs, such as those with physical and intellectual disabilities, experience substantially higher levels of oral disease, with considerably less access to treatment. This project will consult stakeholders and develop and test an intervention model for carers of adults with disabilities.

Citations

  1. Bell E, Crocombe LA, Campbell S, Goldberg LR and Seidel BM. Dental practitioner rural work movements: A systematic review. Health Care Policy. 10(2); 64-78.
  2. Crocombe LA, Bell E and Barnett T. (2014). Grazing – Is it time for an advanced rural dentist? Aust. J. Rural Health. 22, 86.
  3. Crocombe LA, Kraatz J, Hoang H, Qin D and Godwin D. Costly chronic diseases: a retrospective analysis of Chronic Disease Dental Scheme expenditure. Australian Health Review: CSIRO publishing. http://dx.doi.org/10.1071/AH14191 Corresponding author email: Thi.Hoang@utas.edu.au
  4. Kraatz J, Qin D, Hoang H, Godwin D and Crocombe LA. Regional use of the Australian Chronic Disease Dental Scheme. Aust. J. Rural Health. In Press. (2014). doi: 10.1111/ajr.12121
  5. Pradhan A, Keuskamp D, Brennan D, Roberts-Thomson KF. Pre- and post-training evaluation of dental efficacy and activation measures in carers of adults with disabilities in South Australia – a pilot study. Health & Social Care in the Community. http://onlinelibrary.wiley.com/doi/10.1111/hsc.12254/full
  6. Slack-Smith LM, Hearn L, Wilson DF, Wright FAC. Geriatric dentistry, teaching and future directions, Australian Dental Journal, 60: (1 Suppl) 1-6.
  7. Hearn L, Slack-Smith LM. “Oral health care in residential aged care services: barriers to engaging health care providers. Australian Journal of Primary Health, 21: 148-156.
  8. Patel J, Hearn L, Slack-Smith LM. (2015.) Oral health care in remote Kimberley Aboriginal communities: The characteristics and perceptions of dental volunteers. Australian Dental Journal, doi:10.1111adj.12240
  9. Hearn L, Slack-Smith LM. (2015). Engaging dental professionals in residential aged care facilities: staff perspectives regarding access to oral care, Australian Journal of Primary Health.
  10. Britton F, Durey A and Slack-Smith LM. (2015) Dental professionals’ perceptions of oral health in residential aged care and their engagement in the aged care team. Gerodontology.
  11. Crocombe LA, Mahoney MD. Does optimal access to dental care counteract the oral health-related quality of life social gradient? Journal of Dental Education. 2016; 80(5): 569-577.
  12. Isham A, Bettiol S, Hoang H, Crocombe LA. A systematic literature review of the clinical information seeking behaviour of dentists in developed countries. Journal of Dental Education. Accepted 16 November 2015.
  13. Barnett T, Hoang H, Stuart J, Crocombe LA. Non-dental primary care providers’ views on challenges in providing oral health services and strategies to improve oral health in Australian rural and remote communities: a qualitative study. BMJ Open. Accepted 13 October 2015.
  14. Barnett T, Hoang H, Stuart J, Crocombe LA. “I start off …sorry, I’m not a dentist”: Perspectives of rural GPs on oral health in the bush Medical Journal of Australia. 204(1):26.
  15. Crocombe LA. Closing the dental divide. Medical Journal of Australia. 2015; 202(9), pp.475-7.
  16. Crocombe LA, Brennan DS, Slade GD. Does low lifetime fluoridation exposure explain why people outside capital cities have poor oral health? Australian Dental Journal. 2016; 61(3):93-101. DOI: 10.1111/adj.12315
  17. Crocombe LA, Kraatz J, Hoang H, Qin D, Godwin D. Costly chronic diseases – a retrospective analysis of Chronic Disease Dental Scheme expenditure. Australian Health Review 2015; 39(4): 448-452.
  18. Adebayo B, Durey A and Slack-Smith LM. Culturally and Linguistically Diverse (CALD) Carers’ Perceptions of Oral Care in Residential Aged Care Settings in Perth, Western Australia. Gerodontology (2016) doi: 10.1111/ger.12219.
  19. Book chapter: Durey, A. (2015). Gramsci and Bourdieu: Whiteness in Indigenous health care. In F. Collyer (Ed) Handbook of Social Theory for the Sociology of Health and Medicine. Basingstoke UK: Palgrave Macmillan. Pp191-206. ISBN 13: 9781137355614
  20. Godwin D, Hoang H, Crocombe LA. Views of Australian dental practitioners towards rural recruitment and retention: a descriptive study, BMC Oral Health. Accepted for publication.
  21. Durey A, McAullay D, Gibson B and Slack-Smith LM. Aboriginal Health Worker perceptions of oral health: a qualitative study in Perth, Western Australia. International Journal for Equity in Health. 2016; 15(1), 4.
  22. Durey A, Bessarab D, Slack-Smith LM. The mouth as a site of structural inequalities: the experience of Aboriginal Australians. Community Dental Journal. 2016; 33:79-81(Online - Special Issue) DOI: 10.1922/CDH_3717Durey03. Accessed from http://www.cdhjournal.org/journals/
  23. Durey A, McEvoy S, Swift-Otero V, Taylor K, Katzenellenbogen J, Bessarab D. Improving healthcare for Aboriginal Australians through effective engagement between community and health services. BMC Health Services Research 16:224.​
  24. Slack-Smith LM, Hearn L, Scrine C, Durey A. Barriers and enablers for oral health care for people affected by mental health disorders. Australian Dental Journal Accepted for publication.

 

Reports and Submissions

  1. Australian Dental Association Tasmania Branch and the APHCRI CRE in Primary Oral Health Care (Tasmania) submission on the consultation draft to Healthy Tasmania (PDF 366.5 KB)
  2. Walters H, Barnsley K, Stanton H, Crocombe LA, Nelson M, Beggs  S, Walters  J, Youl L, Cooling  N, Markos  J, Peters M, Reynolds A, Chia  C, Towle  N, Towle  M, Ferguson S, Weston S. (June 2015). Submission to the Legislative Council Tasmania Inquiry into the Public Health Amendment (Tobacco Free Generation) Bill 2014. SmokeFree Tasmania.
  3. Crocombe LA, Rushton J, Barnett T. (May 2015). Submission to the Legislative Council Tasmania Inquiry into the Public Health Amendment (Tobacco Free Generation) Bill 2014. Australian Dental Association Tasmanian Branch and the Centre for Rural Health at the University of Tasmania.
  4. Crocombe LA. (Jan 2015). Preventive oral health. Submission to the Parliament of Tasmania Joint Select Committee Inquiry into Preventive Health Care.
  5. ARCPOH. (August 2015). Aboriginal Liaison Program evaluation, Final report. Adelaide: ARCPOH, University of Adelaide. Submission to South Australian Dental Service
  6. Crocombe LA, Rushton J. (February 2016). Submission on the Consultation Draft Healthy Tasmania - Five Year Strategic Plan.

 

Conference—full written paper—refereed proceedings

  1. Slack-Smith LM, Kilpatrick N, Colvin L, Leonard H and Brearley Messer L. Population data-linkage of dental admissions for children with intellectual disability. International Association for Dental Research Congress Boston March 2015
  2. Durey A, Gibson B, McAullay D, Fatnowna M and Slack-Smith LM. Paper on ‘Aboriginal Health Worker perspectives on Aboriginal oral health care’ presented at International Association of Dental Research 11-14 March, 2015, Hynes Convention Centre, Boston Mass., USA.
  3. Hearn L and Slack-Smith LM. Promoting Oral Health in residential aged care facilities: Current barriers and potential enablers. Alzheimer’s Australia/DBMAS Symposium on Tides of Change: Empowering, Inspiring and Connecting, Scarborough, Western Australia, June 18-19, 2015.
  4. Durey A, Slack-Smith LM, Fatnowna M, McAullay D and Gibson B. Improving oral health for Aboriginal Australians: Responding to a ‘wicked’ problem. Poster presentation at 2015 Primary Health Care Research Conference, Adelaide Convention Centre, 29-31 July,2015.
  5. Durey A, Fatnowna M, McAullay D and Slack-Smith LM. Improving Aboriginal oral health: A qualitative study on Aboriginal health workers’ perspectives.  IADR 55th Scientific Meeting ANZ, University of Otago, Dunedin, New Zealand. August 23-26, 2015.
  6. Durey A, Slack-Smith LM, Fatnowna M, McAullay D and Gibson B. Aboriginal parents' perceptions of oral health: Challenges to accessing services. Population Health Congress 2015, Hobart, Tasmania. 6-9th September, 2015.
  7. Britton KF, Durey A and Slack-Smith LM. How dental professionals’ perceptions of oral health in residential aged care inform their engagement in the aged care team. Oral presentation at 2015 Primary Health Care Research Conference, Adelaide Convention Centre, 29-31 July, 2015.
  8. Stuart J. Dental Emergencies in Pharmacy Practice. Event: Rural Pharmacy Liaison with the Pharmaceutical Society of Australia. Launceston and Hobart, 26-27 May 2015.
  9. Brennan DS, Keuskamp D and Roberts-Thomson KF. Oral health impacts on quality of life in older patients. Primary Health Care Research Conference 2015. July 2015, Adelaide, SA.
  10. Keuskamp D, Brennan DS and Roberts-Thomson KF. Common factors predicting oral health and general health in patients aged 75 years and older. Primary Health Care Research Conference 2015. July 2015, Adelaide, SA.
  11. Keuskamp D, Brennan DS and Roberts-Thomson KF. Prioritising public dental care improves self-rated health outcomes. 55th Annual Scientific Meeting of the International Association for Dental Research Australian & New Zealand Division, Dunedin, 23–26 August 2015.
  12. Crocombe LA. Overview to rural dentistry. (November 2015). Rural Health Workforce Australia Dental Research Exchange, Melbourne, Victoria.
  13. Stuart  J, Hoang H, Crocombe LA and Barnett T. Does the relationship between the primary medical care networks and dental practitioners affect patient care in rural and remote Queensland? (November 2015). Rural Health Workforce Australia Dental Research Exchange, Melbourne, Victoria.
  14. Crocombe LA. Ag(NH3)2F (November 2015). Southern Dental Industries. Bayswater, Victoria.
  15. Crocombe LA. Should we have more collaboration, communication and integration between oral and other health sectors? (October 2015). Tasmanian Health Conference 2015, Hobart, Tasmania.
  16. Crocombe LA. Changing the Practice of Dentistry (October 2015). Oral Health Therapist team day, Launceston Tasmania.
  17. Godwin D, Hoang H and Crocombe LA. Recruitment and retention of dental practitioners in rural Australia: views of dental practitioners, Population Health Congress 2015, 6-9 September, 2015, Hobart, Tasmania (2015)
  18. Isham A, Bettiol SS, Hoang H and Crocombe LA. Information-seeking behaviours of dentists: a systematic review, Population Health Congress, 6-9 September, 2015, Hobart, Tasmania (2015)
  19. Natasha N, Isham A, Crocombe LA and Bettiol SS, 'Mercury Exposure and Health of Dental Personnel', Population Health Congress 2015, 6-9 September, 2015, Hobart, Tasmania (2015)
  20. Barnett T, Hoang H and Furlan A. (2015). Readability characteristics of oral health information literature available to the Tasmanian public. Allied Health Professionals Symposium, 20 November 2015, Launceston, Australia.
  21. Hoang H, Barnett T, Stuart J and Crocombe LA. (2015). Primary care providers' strategies on how to fix the oral health crisis in the bush. Population Health Congress 2015, 6 - 9 Sep 2015, Hobart, Australia.
  22. Crocombe LA. Key Note Speaker. Options for dental care and dentist representation in PNG Parts 1 & 2 (August 2015). PNG Dental Symposium. Port Moresby, Papua New Guinea
  23. Stuart J, Hoang H, Crocombe LA and Barnett T. Dental care in small remote towns in Queensland (August 2015). Annual Scientific Meeting. International Association for Dental Research, Australia & New Zealand Division. Dunedin, New Zealand.
  24. Crocombe LA. Guest presenter. (July 2015) Oral Health Services Tasmania North West Region. Arresting dental caries. Devonport.
  25. Crocombe LA. Guest presenter. Dental Hygienist Association Australia Tasmanian Branch (June 2015). Silver Diamine Fluoride. Bahai Centre, Hobart.
  26. Crocombe LA. The Parliament of Tasmania Joint Select Committee Inquiry into Preventive Health Care (May 2015). Preventive oral health care. Parliament of Tasmania, Hobart.
  27. Crocombe LA. Guest presenter. Oral health of people from a culturally and linguistically diverse background in Australia. Aged Care Service Improvement and Healthy Aging: CALG Project Forum (May 2015). Campbell Town, Tasmania.
  28. Crocombe LA. Guest presenter. Evidence-based practice. Voluntary Dental Graduate Year Program and Oral Health Therapy Graduate Year Programs Orientation Workshops (Feb 2015). Adelaide, South Australia.
  29. Crocombe LA. The worsening crisis in aged care oral health. ANMF/HERC Aged Care Conference; 2016 May, Hobart, Tasmania; 2016.
  30. Crocombe LA. Changing the dental treatment paradigm. Centre for Rural Health Symposium; 2016 April, Burnie Tasmania; 2016.
  31. Hoang H. Oral health in the bush – the primary care networks study. Centre for Rural Health Symposium; 2016 April, Burnie, Tasmania; 2016.
  32. Hoang H. Better Oral Health in Residential Care Training: Experience from Tasmania. Centre for Rural Health Symposium; 2016 April, Burnie, Tasmania; 2016.
  33. Hoang H. Open-wide: a look inside the work of Centre of Research Excellence in Primary Oral Health Care. Friday Forum Seminar Series; 2016 April, The School of Health Sciences, UTAS, Launceston, Tasmania; 2016.
  34. Slack-Smith LM, Scrine C and Durey A (2016). Dental professional perspectives of dental care for people with mental health disorders; why the primary health care team is important. Poster presentation at Primary Health Care Research Conference; 2016 June 8-9, Canberra; 2016.
  35. Durey A, Slack-Smith LM and Bessarab D, ‘The mouth as a site of structural inequalities; an example of Aboriginal Australians’. Symposium proposal ‘A sociological/anthropological perspective on oral health inequalities: The mouth as a site of structural inequalities (panel presentation). International Association of Dental Research Annual Conference; 2016 June 22-25, Seoul, South Korea; 2016.
  36. Slack-Smith LM, Hearn L, O’Grady M and Durey A, ‘Oral care for Aboriginal children in Western Australia: Dental professionals’ perspectives.’ International Association of Dental Research Annual Conference; 2016 June 22-25, Seoul, South Korea; 2016.
  37. Durey A, Fatnowna M, McAullay D and Slack-Smith LM. 'I’ve always covered my teeth when I smile' – Aboriginal teenagers’ perspectives of oral health (oral presentation). International Association of Dental Research Annual Conference; 2016 June 22-25, Seoul, South Korea; 2016.
  38. Slack-Smith LM. ‘Oral Health in Older People: What Data and Data Linkage Would Assist Research?’ International Association of Dental Research Annual Conference; 2016 June 22-25, Seoul, South Korea; 2016.Invited Lunch and Learning Session (Sold Out)

 

Website

http://www.adelaide.edu.au/arcpoh/about/hsru/cre-primary-oral-health-car...

Updated:  24 April 2017/Responsible Officer:  Director, APHCRI/Page Contact:  Web Admin, APHCRI