Background: Non-dental health practitioners in Australia, including general practitioners, nurses, pharmacists, and allied health professionals, encounter patients with oral health concerns. While well-positioned to provide early intervention, their capacity is affected by knowledge gaps, confidence, and systemic limitations. Objective: To map Australian non-dental health practitioners’ oral health knowledge, attitudes, and practices and identify barriers and enablers to integrating oral health into general healthcare. Methods: Following Joanna Briggs Institute methodology, five databases (MEDLINE, PubMed, CINAHL, Embase, Web of Science) were searched for original studies published between 1 January 2014 and 16 July 2024. Results: Of 3225 records, 20 studies were included: nurses (n = 8), midwives (n = 5), pharmacists (n = 5), and general practitioners (n = 2). Data were synthesised using deductive thematic analysis and descriptive counts of oral health attitudes, knowledge, and practices. Attitudes towards oral health were generally positive, but engagement varied. Midwives and pharmacists demonstrated greater involvement following structured training, whereas general practitioners, aged care staff, and cystic fibrosis clinicians reported limited engagement due to insufficient education, time constraints, and unclear roles. Additional barriers included a lack of referral pathways and clinical guidelines. Enablers included interprofessional collaboration and oral health training. Conclusions: Non-dental health practitioners are well placed to promote oral health; however, integration remains inconsistent. Addressing educational and systemic barriers through targeted training, clear referral systems, and the inclusion of oral health in general and chronic disease guidelines could strengthen oral health integration and reduce inequalities in preventive care across Australian healthcare.
BangeeMMartinez-GardunoCMBradyMC, et al. (2021) Oral care practices in stroke: findings from the UK and Australia. BMC Nursing20(1): 169.
5.
BarnettTHoangHStuartJ, et al. (2014) Utilisation of oral health services provided by non-dental health practitioners in developed countries: a review of the literature. Community Dental Health31(4): 224–233.
6.
BraunVClarkeV (2006) Using thematic analysis in psychology. Qualitative Research in Psychology3(2): 77–101.
7.
ChandioNMichealSTadakmadlaSK, et al. (2022) Barriers and enablers in the implementation and sustainability of toothbrushing programs in early childhood settings and primary schools: a systematic review. BMC Oral Health22(1): 242.
8.
ChinDRamalingamLHarrisonJ, et al. (2023) Oral health and cystic fibrosis in pediatrics: a survey of health professionals. Pediatric Pulmonology58(6): 1746–1752.
9.
ChristianBGeorgeAVeginaduP, et al. (2023) Strategies to integrate oral health into primary care: a systematic review. BMJ Open13(7): e070622.
10.
DahlenHGJohnsonMHoolsemaJ, et al. (2019) Process evaluation of the midwifery initiated oral health-dental service program: perceptions of midwives in Greater Western Sydney, Australia. Women and Birth: Journal of the Australian College of Midwives32(2): e159–e165.
11.
FreemanCRAbdullahNFordPJ, et al. (2017) A national survey exploring oral healthcare service provision across Australian community pharmacies. BMJ Open7(9): e017940.
12.
FrickerALewisA (2009) Better oral health in residential care. Australasian Journal on Ageing28: A56.
13.
GeorgeADuffMJohnsonM, et al. (2014) Piloting of an oral health education programme and knowledge test for midwives. Contemporary Nurse46(2): 180–186.
14.
GeorgeALangGJohnsonM, et al. (2016) The evaluation of an oral health education program for midwives in Australia. Women and Birth: Journal of the Australian College of Midwives29(3): 208–213.
15.
Grattan Institute (2019) Filling the Gap: A Universal Dental Scheme for Australia, 10.
16.
HappellBPlatania-PhungCScottD, et al. (2015) Access to dental care and dental ill-health of people with serious mental illness: views of nurses working in mental health settings in Australia. Australian Journal of Primary Health21(1): 32–37.
17.
HarnageaHCouturierYShrivastavaR, et al. (2017) Barriers and facilitators in the integration of oral health into primary care: a scoping review. BMJ Open7(9): e016078.
18.
Heilbrunn-LangAYde SilvaAMLangG, et al. (2015) Midwives’ perspectives of their ability to promote the oral health of pregnant women in Victoria, Australia. BMC Pregnancy and Childbirth15: 110.
19.
HoAVLLauIDavidsonM, et al. (2024) The role of community pharmacists as oral health advisors in the management of oral effects of asthma medications: an exploratory survey. International Journal of Pharmacy Practice32(4): 280–286.
20.
HoangHBarnettTKirschbaumM, et al. (2019) The public rely on me a lot’: rural pharmacists’ perspectives on their roles in oral health care. Australian Journal of Rural Health27(1): 57–63.
21.
KranzAMPreisserJSRozierRG (2015) Effects of physician-based preventive oral health services on dental caries. Pediatrics136(1): 107–114.
22.
LevacD.ColquhounH.O’BrienK. K., et al. (2010) Scoping studies: advancing the methodology. Implementation Science5(69). Available at: https://doi.org/10.1186/1748-5908-5-69
23.
MadhuvuAEndacottRPlummerV, et al. (2020) Nurses’ knowledge, experience and self-reported adherence to evidence-based guidelines for prevention of ventilator-associated events: a national online survey. Intensive and Critical Care Nursing59: 102827.
24.
PetersMDJGodfreyCMcInerneyP, et al. (2020) Scoping reviews. In: AromatarisELockwoodCPorrittK, et al. (eds). JBI Manual for Evidence Synthesis. JBI, Vol. 2024.
25.
PetersenPE (2008) World Health Organization global policy for improvement of oral health-World Health Assembly 2007. International Dental Journal58(3): 115–121.
26.
PoudelPGriffithsRWongVW, et al. (2018) Perceptions and practices of diabetes educators in providing oral health care: a qualitative study. The Diabetes Educator44(5): 454–464.
27.
PoudelPGriffithsRWongVW, et al. (2020) Perceptions and practices of general practitioners on providing oral health care to people with diabetes - a qualitative study. BMC Primary Care21(1): 34.
28.
PreshawPMBissettSM (2019) Periodontitis and diabetes. British Dental Journal227(7): 577–584.
29.
SanchezPEverettBSalamonsonY, et al. (2018) Perceptions of cardiac care providers towards oral health promotion in Australia. Collegian25(5): 471–478.
30.
TaingMWFordPJGartnerCE, et al. (2016) Describing the role of Australian community pharmacists in oral healthcare. International Journal of Pharmacy Practice24(4): 237–246.
31.
TehanPEBrowneKMattersonG, et al. (2024) Oral care practices and hospital-acquired pneumonia prevention: a national survey of Australian nurses. Infection, Disease & Health29(4): 212–217.
32.
ThomasSLWakermanJHumphreysJS (2014) What core primary health care services should be available to Australians living in rural and remote communities?BMC Family Practice15: 143.
33.
TonettiMSJepsenSJinL, et al. (2017) Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: a call for global action. Journal of Clinical Periodontology44(5): 456–462.
34.
TriccoACLillieEZarinW, et al. (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of Internal Medicine169(7): 467–473.
35.
VandenbulckePAIde Almeida MelloJPiccartFMP, et al. (2025) Implementation of the OHS-interRAI for regular oral health assessments by non-dental caregivers: focus group study using a SWOT analysis. BMC Public Health25(1): 2552.
36.
VealeMAjwaniSJohnsonM, et al. (2016) The early childhood oral health program: a qualitative study of the perceptions of child and family health nurses in South Western Sydney, Australia. BMC Oral Health16(1): 56.
37.
VeginaduPHaddockR (2024) Integrating oral health into primary healthcare for improved access to oral health care for rural and remote populations. Deeble Institute for Health Policy Research. https://doi.org/10.60836/65wc-yt49.
