Shame surrounding dental health can prevent individuals from seeking necessary treatment, exacerbating oral health disparities, according to a recent study. Researchers emphasize that a deeper understanding of dental shame could motivate more individuals to pursue dental care, potentially mitigating the severe health consequences associated with untreated oral health issues.
Experts from the University of Copenhagen and other institutions warn that healthcare practitioners may inadvertently or deliberately induce shame in patients. While some may use shaming as a tactic to encourage healthier behaviors, the study suggests this approach does not guarantee positive outcomes. Instead, it could deter individuals from seeking the care they need.
The Impact of Dental Shame
Dental shame often arises from the condition or appearance of one’s teeth and is prevalent among individuals facing deprivation, trauma, or abuse. Additionally, habits such as smoking, drinking, or poor dietary choices can contribute to feelings of shame. This emotional burden can lead to diminished self-esteem, social isolation, and neglect of oral health care.
The study, conducted by Louise Folker, Esben Boeskov Øzhayat, and Astrid Pernille Jespersen from the University of Copenhagen, along with other international experts, highlights the significance of dental shame in elderly care settings. Their research is part of the Lifelong Oral Health project, which aims to identify barriers to oral health among Danish seniors.
Expert Insights
Professor Luna Dolezal from the University of Exeter, who leads the Shame and Medicine research project, explains the dual role of dental shame as both a consequence and a determinant of oral health issues. She states,
“Shame can help explain why some people don’t like to expose their teeth to dentists or tell them they smoke or have a poor diet. This can turn dental shame into a self-reinforcing spiral, where shame about oral health can lead to unfortunate oral health behaviors, which can potentially intensify oral health issues and inequities, leading to more shame.”
Professor Dolezal further notes that dental shame affects not only oral health but also broader aspects of life, including self-esteem, social interactions, and access to employment and care services. She advocates for non-judgmental environments where patients feel empowered to prioritize their oral health.
Addressing Systemic Barriers
The study identifies systemic inequities in dental care as significant contributors to dental shame. Healthcare fee structures, in particular, can exacerbate feelings of shame and deter individuals from seeking treatment. The researchers call for training in “shame competence” for practitioners in dental and social care settings. This training would enable professionals to recognize and manage shame dynamics, identify shaming practices in policies, and mitigate the negative effects of shame.
By addressing these systemic barriers and fostering empathetic care environments, the study suggests that dental professionals can play a crucial role in reducing dental shame and improving oral health outcomes.
Looking Forward
The findings of this study underscore the need for a paradigm shift in how dental care is delivered and perceived. By prioritizing empathy and inclusivity, healthcare systems can better support individuals in overcoming dental shame and accessing the care they need. As the research continues, it is hoped that these insights will inform policy changes and lead to more equitable health outcomes for all.
As the conversation around dental shame evolves, the importance of creating supportive and non-judgmental care environments becomes increasingly clear. With continued research and advocacy, there is potential for significant improvements in both individual and public oral health.
