Cultura

The Impact of Interprofessional Integration Between Dentistry, Nursing, and Social Care on Oral Health Quality for Older Adults and People With Disabilities

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Abdullah Oqab Muslih Althubyani, Ahmed Talal Saleh Ojemiy, Mohammad Omar Al-Asiri, Ruwayda Ahmed Hamed Alharbi, Narjes Abu Talib Darwish Almgadi

Abstract

The global expansion of the elderly population and the increasing prevalence of long-term disabilities have exposed fundamental limitations in traditional, siloed dental care models. These models often fail to address the complex bio-psychosocial needs of vulnerable populations, particularly older adults and individuals with disabilities. This study examines the impact of interprofessional integration among dentists, dental assistants, nursing professionals, and social service providers on the quality, accessibility, continuity, and equity of oral healthcare.

Drawing on contemporary academic literature, international guidelines from the World Health Organization (WHO) and the FDI World Dental Federation, and comparative care models from Japan, Sweden, Brazil, and the United Kingdom, the analysis demonstrates that integrated, team-based approaches significantly reduce unmet oral healthcare needs. Within this framework, nursing professionals play a pivotal role in linking oral health services with broader medical and long-term care systems through early detection of oral health deterioration, daily oral hygiene support, pain assessment, and coordination of care across settings.

The findings underscore the complementary contributions of social workers in addressing social determinants of health, dental assistants in providing essential clinical and psychosocial support, and dentists in leading diagnosis and management of complex oral-systemic conditions. Notably, the absence of structured nursing involvement is identified as a critical gap in existing oral healthcare delivery models, particularly in community and long-term care contexts.

Despite clear benefits, interprofessional integration remains constrained by systemic barriers, including fragmented financing, professional silos, and insufficient interprofessional education. The study concludes that embedding oral health within the broader medical, nursing, and social care continuum is not merely a matter of service optimization, but a human rights imperative essential to achieving health equity for ageing and disabled populations..

Keywords : Dentistry, dental assistant, nursing, and social work Geriatric and Special Care Dentistry, Nursing Integration, Interprofessional Collaboration, Social Determinants of Health, Integrated Oral Healthcare, Oral Health Equity, Disability Care..
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty