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Oral health inequities: using every opportunity for opportunistic oral healthcare

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Summary:

A study comparing data from groups of children requiring healthcare at Starship Children’s Hospital with the Auckland Regional Dental Service (ARDS) population has found that poor oral health pervades children in the Auckland region, with significant inequities. Data was extracted for Starship general medical inpatients, grommet surgery day stay patients and bronchiectasis specialist clinic outpatients in 2019. All Starship patient groups had significantly lower caries-free rates in Māori and Pacific compared with European children, and were less likely to have an oral health record than the ARDS population. The Starship specialist clinic outpatient group had a significantly lower caries-free rate than the ARDS population. The study authors concluded that structures and systems need to be developed urgently to improve access and uptake of the ARDS, including the opportunistic circumstance of hospital appointments and admissions.

Comment:
Taking this opportunity to link readers with the Hauora Māori dashboards found here: https://www.health.govt.nz/about-us/new-zealands-health-system/health-system-roles-and-organisations/health-committees-and-boards/hauora-maori-advisory-committee/population-priority-monitoring-reports. The committee had also identified oranga niho as an area of focus, noting the great work many communities were already doing and the need for further support.
Reference: J Paediatr Child Health. 2025;61(10):1612-1620.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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