Pelletier Joan R, Monkman Michelle, Limoges Jacqueline M
Clinical dental hygienist, Winnipeg, MB, Canada.
First Nations Registered Nurse,, Winnipeg, MB, Canada.
Can J Dent Hyg. 2025 Jun 1;59(2):107-115. eCollection 2025 Jun.
This narrative review explores current research on Indigenous oral health equity (OHE) and proposes a framework and strategies to guide registered dental hygienists in addressing OHE and health disparities experienced by Indigenous Peoples.
An electronic literature search was performed using PubMed and Google Scholar. Full-text, peer-reviewed articles, written in English, and published in Canada within the last 10 years were selected for the review. The relevant grey literature was also included to ensure Indigenous perspectives relating to oral health inequity in Canada were considered and to increase the utility of the proposed strategies. Included articles were analyzed for themes.
Ten articles and 6 publications from the grey literature met the inclusion criteria.
The framework has 4 elements: policy driven changes to dental hygiene regulation, relationship building and allyship, workforce development, and research and education. Strategies within the framework can assist dental hygienists in adapting their approaches to oral health care delivery with Indigenous Peoples and promote OHE by providing inclusive and culturally safer care.
Indigenous people throughout Canada have the right to safe oral health care, and dental hygienists can use this framework and these recommendations to promote Indigenous OHE.
本叙述性综述探讨了当前关于原住民口腔健康公平性（OHE）的研究，并提出了一个框架和策略，以指导注册牙科保健员解决原住民所经历的口腔健康公平性问题和健康差距。
使用PubMed和谷歌学术进行电子文献检索。选择过去10年内在加拿大发表的、以英文撰写的、经过同行评审的全文文章进行综述。还纳入了相关的灰色文献，以确保考虑到加拿大与口腔健康不平等相关的原住民观点，并提高所提出策略的实用性。对纳入的文章进行主题分析。
10篇文章和6篇灰色文献出版物符合纳入标准。
该框架有4个要素：政策驱动的牙科保健监管变革、关系建立与盟友关系、劳动力发展以及研究与教育。框架内的策略可以帮助牙科保健员调整他们为原住民提供口腔保健服务的方法，并通过提供包容性和文化上更安全的护理来促进口腔健康公平性。
加拿大各地的原住民有权获得安全的口腔保健服务，牙科保健员可以利用这个框架和这些建议来促进原住民的口腔健康公平性。
