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Defining Consensus-Based Components for Integrating Dietitians Into Primary Dental Care for Paediatric Populations: A
Lauren Hallewell1, Raul Bescos1, Zoe Brookes2
1School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
Summary
Integrating dietitians into dental care can improve children's oral and overall health. This study outlines key components for successful collaboration between dental professionals and dietitians to address shared risk factors.
Area of Science:
- Paediatric Health
- Public Health Nutrition
- Oral Health Research
Background:
- Diet significantly impacts children's oral health (dental caries) and weight-related outcomes (underweight, overweight, obesity).
- Current dietary advice in primary dental care is often limited to sugar, missing opportunities to address common risk factors.
- Integrating dietitians into primary dental settings can enhance preventative care for children.
Purpose of the Study:
- To establish expert consensus on essential components for integrating dietitians into primary dental care.
- To address diet as a shared risk factor for paediatric oral health and weight outcomes.
Main Methods:
- A three-round online Delphi study involving dietitians and dental professionals.
- Patient and Public Involvement (PPI) consultation with caregivers and children/young people.
- Consensus defined by ≥70% agreement and <15% disagreement on 158 synthesized statements.
Main Results:
- 90 out of 158 statements achieved full consensus among experts by Round 3.
- Consensus was reached on sensitive discussion of weight outcomes, referral criteria, training, collaboration structures, communication, and role clarity.
- No single method for identifying weight-related outcomes achieved consensus.
Conclusions:
- Identified consensus-based components provide a foundation for integrating dietitians into primary dental care.
- This integration can inform the design and piloting of new care models.
- Potential exists to improve both oral health and broader child health outcomes through combined dental and dietetic care.
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