Improving oral health outcomes through community nursing

Oral health is a vital aspect of patients’ overall health and physical and mental wellbeing. Community nurses play a key role in promoting, maintaining and improving oral health.

One of the primary reasons oral health is crucial in community nursing is the direct connection between oral health and general health. Poor oral health is linked to a range of serious health issues, including cardiovascular disease, diabetes, respiratory infections and even adverse pregnancy outcomes (Stark et al, 2022). For example, untreated periodontal disease can contribute to systemic inflammation, which may increase the risk of heart disease and stroke. Community nurses are in an ideal position to identify early signs of poor oral health, educate individuals about proper oral hygiene practices and refer patients to dental professionals, when necessary.

Furthermore, community nurses often work with vulnerable populations, such as the elderly, people with disabilities and people from deprived socioeconomic groups, who may face barriers to accessing dental care. These populations are at a higher risk of oral health problems, including tooth decay, gum disease and oral cancers (Stark et al, 2022). Nurses can provide education on the importance of regular brushing, flossing and dental check ups, while also advocating for improved access to dental services and preventive care. In some cases, nurses can assist with basic oral health assessments, such as checking for signs of infection or cavities, and provide advice on managing conditions such as xerostomia (dry mouth) (Figure 1) or denture care. Through health promotion initiatives, nurses can also help to raise awareness about the importance of oral hygiene, dietary choices, and the risks of tobacco and alcohol use, all of which significantly impact oral health.