Study Highlights the Impact of Dental Shame on Oral Health and Help-Seeking Behavior

A recent study emphasizes how feelings of shame related to dental health can discourage individuals from seeking necessary oral care, potentially worsening health inequalities. Dental shame may arise from issues such as visible oral health problems, concerns over dental aesthetics, or associated habits like smoking and drinking. This emotional barrier often affects vulnerable populations, including those experiencing deprivation, trauma, or abuse, and can lead to lower self-esteem, social isolation, and poor oral health practices.

Research indicates that healthcare professionals may unintentionally contribute to dental shame through their practices or communication, which can reinforce negative feelings and impede treatment engagement. Understanding the root causes and dynamics of dental shame is crucial for fostering empathetic and inclusive dental care environments.

The study, published in Community Dentistry and Oral Epidemiology, was conducted by researchers from the University of Copenhagen, University of Exeter, University of Plymouth, and dental practitioners. Led by Professor Luna Dolezal, the project highlights that dental shame is both a consequence and a barrier to oral health issues.

Professor Dolezal explains that because teeth are highly visible and linked to overall appearance, shame surrounding oral health can influence self-esteem and social interactions, impacting access to employment and social services. Addressing systemic inequities and fee structures in dental care, along with training practitioners in shame competence — understanding, managing, and reducing shame — can help break this cycle.

Efforts to create non-judgmental, trustworthy, and empowering environments in dental and social care are vital. Recognizing and tackling systemic barriers and fostering compassionate care can reduce the negative impact of dental shame, encouraging more individuals to seek help and improve their oral health outcomes.