community health nursing, oral health promotion, / dental caries prevention, restorative dental care, primary healthcare
AuthorsAbstractDental problems continue to be common despite being highly preventable, as disadvantaged groups face the greatest obstacles in accessing timely prevention and treatment services. This review examines the contribution of community health nurses to oral health promotion, dental caries prevention, and restorative treatment outcomes across community settings. A narrative synthesis of relevant nursing, dental, public health, and interdisciplinary literature was undertaken, with attention to nurse-led education, risk assessment, preventive counselling, referral, care coordination, follow-up, and service delivery for vulnerable groups. The evidence indicates that community health nurses can extend oral healthcare beyond dental clinics by reinforcing oral hygiene and dietary behaviours, supporting fluoride and school-based programs, identifying individuals at elevated caries risk, and facilitating earlier referral. Their involvement also supports restorative care through improved communication, treatment adherence, post-treatment monitoring, and patient-centred follow-up. However, implementation is constrained by limited oral health training, workforce pressure, fragmented referral systems, geographic inequities, and uneven organizational readiness. Stronger competency frameworks, interprofessional collaboration, culturally responsive practice, and appropriate use of teledentistry and decision-support technologies are required to strengthen impact. Community health nurses represent an underused component of the oral health workforce and could contribute substantially to prevention, continuity of care, and reduction of persistent oral health inequalities. Further longitudinal, implementation, and cost-effectiveness research is needed to guide scalable models of practice.
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