Integrating Dentistry into Interprofessional Healthcare: A Scoping Review on Advancing Collaborative Practice and Patient Outcomes
Abstract
1. Introduction
2. Methods
3. Results
3.1. Article Selection
3.2. Study Characteristics
3.3. Thematic Synthesis of Findings
4. Discussion
4.1. Implications
4.2. IPE and Training Models
4.3. Strengths and Limitations
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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| Criteria | Inclusion | Exclusion |
|---|---|---|
| Research Focus |
|
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| Study Design |
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| Language |
|
|
| Publication Year |
|
|
| Databases (Coverage Dates) | Search Strategies | Number of Articles Found |
|---|---|---|
| PubMed (January 2014–September 2024) | (“interdisciplinary” [Title/Abstract] OR “interprofessional” [Title/Abstract] OR “multiprofessional” [Title/Abstract] OR “multi-professional” [Title/Abstract] OR “inter-professional” [Title/Abstract]) AND (“healthcare” [Title/Abstract] OR “clinical outcomes” [Title/Abstract] OR “quality outcomes” [Title/Abstract] OR “quality of healthcare” [Title/Abstract] OR “patient care” [Title/Abstract] OR “healthcare quality improvement” [Title/Abstract]) AND (Dent * [tiab]) AND ((“Dentists” [Mesh]) OR (“Orthodontists” [Mesh])) | 20 |
| SCOPUS (January 2014–September 2024) | TITLE-ABS-KEY ((“interdisciplinary” OR “interprofessional” OR “multiprofessional” OR “multi-professional” OR “inter-professional”) AND (“healthcare” OR “clinical outcomes” OR “quality outcomes” OR “quality of healthcare” OR “patient care” OR “healthcare quality improvement”) AND (“Dent *”) AND (“Dentists” OR “Dentist” OR “Prosthodontists” OR “Dentists, Prosthetic” OR “Dentist, Prosthetic” OR “Prosthetic Dentist” OR “Prosthetic Dentists” OR “Dentists, Restorative” OR “Dentist, Restorative” OR “Restorative Dentist” OR “Restorative Dentists” OR “Dentists, Pediatric” OR “Dentist, Pediatric” OR “Pediatric Dentist” OR “Pediatric Dentists” OR “Periodontists” OR “Periodontist” OR “Orthodontist” OR “Orthodontists” OR “Dentofacial Orthopedists” OR “Dentofacial Orthopedist” OR “Orthopedist, Dentofacial” OR “Orthopedists, dentofacial”)) | 230 |
| Web of Science (January 2014–September 2024) | (TS = (“interdisciplinary” OR “interprofessional” OR “multiprofessional” OR “multi-professional” OR “inter-professional”)) AND (TS = (“healthcare” OR “clinical outcomes” OR “quality outcomes” OR “quality of healthcare” OR “patient care” OR “healthcare quality improvement”)) AND (TS = (Dent *)) AND (TS = (“Dentists” OR “Dentist” OR “Prosthodontists” OR “Dentists, Prosthetic” OR “Dentist, Prosthetic” OR “Prosthetic Dentist” OR “Prosthetic Dentists” OR “Dentists, Restorative” OR “Dentist, Restorative” OR “Restorative Dentist” OR “Restorative Dentists” OR “Dentists, Pediatric” OR “Dentist, Pediatric” OR “Pediatric Dentist” OR “Pediatric Dentists” OR “Periodontists” OR “Periodontist” OR “Orthodontist” OR “Orthodontists” OR “Dentofacial Orthopedists” OR “Dentofacial Orthopedist” OR “Orthopedist, Dentofacial” OR “Orthopedists, dentofacial”)) | 67 |
| Types of Interprofessional Collaboration | Number of Reviews | Author (Year) |
|---|---|---|
| PCP *–nurse–dentist | 1 | Dolce et al., 2020 [41] |
| PCP–pharmacist–dentist | 1 | Griffin et al., 2022 [42] |
| PCP–medical specialist–dentist | 1 | Alexander et al., 2019 [43] |
| Dentist–dental specialist | 1 | Gibson et al., 2015 [44] |
| Dentist–hygienist | 3 | Horowitz et al., 2017 [45] Shimpi et al., 2021 [46] Inglehart et al., 2022 [47] |
| PCP–dentist–hygienist | 1 | Inglehart et al., 2022 [47] |
| PCP–dentist | 1 | Long et al., 2014 [48] |
| PCP–physician assistant–dentist–hygienist | 1 | Wood et al., 2020 [49] |
| Barrier Category | Common Barriers | Number of Studies Reporting |
|---|---|---|
| System level | Financial constraints, lack of political support, inadequate training | 3 |
| Organizational | Lack of time/resources, no shared EHR systems, missing protocols | 6 |
| Inter-individual | Poor communication, unclear roles, lack of team cohesion | 6 |
| Individual level | Low follow-up, lack of motivation, limited understanding of interprofessional value | 2 |
| Facilitator Category | Facilitator | Description |
|---|---|---|
| System level | Supportive policies & funding | Policies and budgets enabling collaborative practices |
| Educational infrastructure | Curriculum or continuing education supporting interprofessional care | |
| Organizational | Integrated EHR systems | Tools that promote data sharing and continuity of care |
| Team-based care structures | Redesigned workflows to include collaborative checkpoints | |
| Inter-individual | Shared goals and mutual respect | Collaborative decision-making based on shared patient outcomes |
| Role clarity | Clear understanding of responsibilities within care teams | |
| Individual level | Positive provider attitude | Willingness to collaborate and appreciation of others’ expertise |
| Author (Publication Year) | Sample Size | Age Range (Year) | Study Aims |
|---|---|---|---|
| Alexander et al., 2019 [43] | 2 | 9 | Examine the interdisciplinary approach required to diagnose and treat severe pediatric obstructive sleep apnea |
| Dolce et al., 2020 [41] | 31 | 65–82 | Observe if the NPD model implementation led to improving patient health outcomes |
| Gibson et al., 2015 [44] | 1 | 26 | Observe the effect of interdisciplinary healthcare team on the desired result of patient’s treatment |
| Griffin et al., 2022 [42] | 1 | 64 | Discuss the importance of collaborating between patient’s medical and dental needs |
| Horowitz et al., 2017 [45] | 37 | - | Gain understanding of hygienists’ and dentists’ perspectives about children’s oral health |
| Inglehart et al., 2022 [47] | 1 | - | Observe how socioeconomic changes in the U.S. contribute to dentistry and oral health disparities |
| Long et al., 2014 [48] | 1000 | - | Determine general dentists’ attitudes towards AAP oral health guidelines |
| Shimpi et al., 2021 [46] | 854 | 18–80 | Integrate care delivery with diabetes or prediabetes that can impact oral conditions |
| Wood et al., 2020 [49] | 8 | 31–58 | Investigate the perceptions of interprofessional healthcare providers on how oral healthcare was integrated |
| Author (Year) | Country (State) | Health Condition/Focus | Study Design |
|---|---|---|---|
| Alexander et al., 2019 [43] | U.S. (South Carolina) | Pediatric sleep apnea | Case Report |
| Dolce et al., 2020 [41] | U.S. (Boston) | Hypertension and/or type 2 diabetes | Quasi-experimental |
| Gibson et al., 2015 [44] | U.S. (Boston) | Cleft palate/esthetic rehabilitation | Case report |
| Griffin et al., 2022 [42] | U.S. (Salt Lake City) | Medication-related osteonecrosis of the jaw (MRONJ) | Case Report |
| Horowitz et al., 2017 [45] | U.S. (Maryland) | Early childhood caries | Ethnography |
| Inglehart et al., 2022 [47] | U.S. (Michigan) | Oral health disparities and pregnancy | Case Report |
| Long et al., 2014 [48] | U.S. (North Carolina) | Pediatric oral health guidelines | Cross Sectional |
| Shimpi et al., 2021 [46] | U.S. (Wisconsin) | Diabetes–oral health link | Cross Sectional |
| Wood et al., 2020 [49] | U.S. (Iowa) | Integrated oral care models | Ethnography |
| Author (Year) | Study Participant | Benefits/Positive Effects | Challenges/Barriers | Strategies to Overcome Challenges | Dentist’s Challenges | Outcomes |
|---|---|---|---|---|---|---|
| Alexander et al., 2019 [43] | Pediatricians, Otolaryngologists, Sleep Physicians, Dentists, Speech Pathologists | Improved quality of life, enhanced cognitive function, better sleep study outcomes. | Initially dismissed symptoms; limited access to diagnostic tools; coordination and communication difficulties; treatment compliance; need for long-term follow-up. | Interdisciplinary collaboration leveraging diverse expertise; comprehensive sleep medicine training to improve medical diagnostic awareness; patient advocacy. | Recognition of Obstructive Sleep Apnea (OSA) symptoms; coordination with medical professionals; multidisciplinary treatment planning; patient education and compliance. | Demonstrated that interdisciplinary treatment involving dentists, otolaryngologists, and myofunctional therapists significantly improved sleep study findings and quality of life in pediatric OSA patients. |
| Dolce et al., 2020 [41] | Nurses and Dentists | Person-centered care model; “one stop” integrated health delivery. | Lack of integrated electronic health records between medical and dental providers. | Development of a shared electronic medical and dental record system | Limited preparedness among dentists for medical billing procedures. | The Nurse Practitioner–Dentist (NPD) model served as an early prototype for promoting interprofessional healthcare delivery. |
| Gibson et al., 2015 [44] | Orthodontics, Surgeons, Dentists | Optimized treatment outcomes through interdisciplinary collaboration. | Complex treatment objectives; potential for patient overwhelm. | Multi-provider treatment planning with shared visualization tools. | Managing esthetic challenges; addressing nocturnal bruxism. | Integration of Surgically Facilitated Orthodontic Therapy (SFOT) provided outcomes comparable to surgical interventions without surgery. |
| Griffin et al., 2022 [42] | Pharmacists, Physicians, Dentists | Reduced provider-patient conflict; improved communication. | Inconsistent communication among providers; lack of standardized protocols. | Enhanced communication pathways between pharmacists and dentists to avoid conflicting advice on Medication-Related Osteonecrosis of the Jaw (MRONJ). | Ensuring follow-through in patient management | Highlighted the importance of coordinated communication between dentists, pharmacists, and physicians regarding MRONJ. |
| Horowitz et al., 2017 [45] | Hygienists and Dentists | Addressing nationwide early childhood caries (ECC). | Low oral health literacy among parents; limited professional participation | Targeted communication strategies; early intervention programs; dentist training. | Professional disagreement on preventive topics (e.g., fluoridation). | Found traditional approaches insufficient for ECC prevention, emphasizing the need for broader collaborative efforts. |
| Inglehart et al., 2022 [47] | Dentists, Hygienists,. Medical professionals | Growing collaboration between dental, medical, and mental health providers. | Discomfort among non-dental providers in discussing oral health. | Improvement of shared electronic health record systems. | Limited interprofessional relationships (only 20% of dentists reported collaboration with OB-GYNs). | Reinforced recognition that oral health is directly related to mental and physical health. |
| Long et al., 2014 [48] | Pediatricians and Dentists | Improved coordination for children’s oral health. | Limited knowledge of American Academy of Pediatrics (AAP) oral health guidelines among dentists. | Increased exposure to infants during dental training. | Reluctance among dentists to accept medical referrals. | General dentists expressed positive views about pediatrician involvement in promoting children’s oral health. |
| Shimpi et al., 2021 [46] | Hygienists and Dentists | Increased understanding of oral-systemic links, especially diabetes. | High prevalence of dental-diabetes comorbidities; limited systemic screening. | Development of national frameworks and educational initiatives for integrated care | Lack of diabetes screening in dental practices despite regular hypertension screening. | Dental professionals demonstrated positive attitudes towards medical-dental integration. |
| Wood et al., 2020 [49] | Federally Qualified Health Center (FQHC) teams: Physicians, Physician Assistants; Dentists; Dental Hygienists | Improved patient outcomes; enhanced collaboration and shared expertise. | Role clarity not well-defined (though not a major barrier). | Provider confirmation of diagnosis through interdisciplinary coordination. | - | Provider perspectives indicated significant benefits of integrating oral healthcare professionals within FQHC care teams. |
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Hung, M.; Birmingham, W.C.; Tucker, M.; Schwartz, C.; Mohajeri, A. Integrating Dentistry into Interprofessional Healthcare: A Scoping Review on Advancing Collaborative Practice and Patient Outcomes. Healthcare 2025, 13, 2780. https://doi.org/10.3390/healthcare13212780
Hung M, Birmingham WC, Tucker M, Schwartz C, Mohajeri A. Integrating Dentistry into Interprofessional Healthcare: A Scoping Review on Advancing Collaborative Practice and Patient Outcomes. Healthcare. 2025; 13(21):2780. https://doi.org/10.3390/healthcare13212780
Chicago/Turabian StyleHung, Man, Wendy C. Birmingham, Madeleine Tucker, Connor Schwartz, and Amir Mohajeri. 2025. "Integrating Dentistry into Interprofessional Healthcare: A Scoping Review on Advancing Collaborative Practice and Patient Outcomes" Healthcare 13, no. 21: 2780. https://doi.org/10.3390/healthcare13212780
APA StyleHung, M., Birmingham, W. C., Tucker, M., Schwartz, C., & Mohajeri, A. (2025). Integrating Dentistry into Interprofessional Healthcare: A Scoping Review on Advancing Collaborative Practice and Patient Outcomes. Healthcare, 13(21), 2780. https://doi.org/10.3390/healthcare13212780

