Promoting regular dental attendance in problem‐orientated dental attenders: A systematic review of potential interventions
Open accessAbstract
BACKGROUND: Problem-orientated dental attenders account for around one-third of the UK population, these being patients who do not seek regular dental care, instead only attending with dental pain. In order to develop intervention(s) to encourage regular dental attendance in these patients, any previous intervention development should be identified to aid idea generation or retrofitting of interventions. OBJECTIVE: To identify previous interventions which have been developed targeted at problem-orientated dental attenders to facilitate the development and co-design of a new intervention. METHODS: Eight electronic databases were searched for studies which included an intervention targeted at adult problem-orientated or irregular dental attenders to encourage regular dental attendance. Data on the intervention design mapped to the theoretical domains framework were extracted, alongside effectiveness and patient views where available. RESULTS: Three studies fitted the inclusion criteria for the review. Interventions identified were attendance at a dental anxiety clinic, and a large advertising campaign promoting a free dental update where members of the public could visit local dental practices to look around and meet the dentists. One study looked at the effect of policy change by introducing free dental check-ups in Scotland. Interventions were poorly reported, with significant omissions in their description and a lack of clear identification of what composed the intervention. CONCLUSION: There are very few interventions developed targeted at problem-orientated dental attendance, but important areas to consider in future intervention development include the following: dentist communication; dentist-patient relationship; increasing the awareness of need; the effect of free dental check-ups.
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Evidence on interventions to reduce attendance inequalities in adults remains limited.
“Although barriers to dental attendance are well documented [6], evidence on interventions to reduce attendance inequalities in adults remains limited [7].”
From Layering perspectives: a structured approach to meaningful patient and public involvement and engagement in the RETURN dental trial (2026) · cites this paper as [7]
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- Authors
- Currie, C. C., Araujo‐Soares, V., Stone, S. J., Beyer, F., & Durham, J.
- Affiliations
- Newcastle University (GB)
- Faculty of Behavioural, Management and Social Sciences University of Twente Enschede The Netherlands
- Corresponding author
- Currie, Charlotte C.
- Venue
- Journal of Oral Rehabilitation
- Publisher
- Wiley
- Published
- 2021-08-23
- Volume
- 48
- Issue
- 10
- Pages
- 1183-1191
- ISSN
- 0305-182X (ISSN-L)
- 1365-2842
- PMC
- PMC9292277
- OpenAlex
- W3193429159
- Cited by
- 24
- References
- 25
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 4 · 2021: 1
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Oral Rehabilitation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Twente Research Information (publishedVersion, cc-by)
- University of Twente Research Information (submittedVersion, cc-by)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- National Institute for Health Research
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- dental care utilization, intervention development, co-design, Theoretical Domains Framework, advertising campaigns, dentist-patient communication, intervention reporting quality
- MeSH terms
- Adult, Anxiety, Humans
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