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Power, Dentistry, and Oral Health Inequities

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2022 IADR/APR General Session

The 100 th General Session & Exhibition of the IADR was held in conjunction with the 5th Meeting of the Asia Pacific Region. The virtual meeting was attended by individuals from around the world. Those attending the meeting could choose from among 207 Interactive Talk sessions, seven Focused Learning Sessions, three Hands-on Workshops, five satellite symposia, 52 Symposia, one Distinguished Lecture Series and a plenary. 

The recordings in this library from the meeting are a selection of the science that was to be presented as part of the General Session. These recordings give you the opportunity to participate in the meeting and hear from leading researchers. The recordings include the IADR Distinguished Lecture Series speaker and symposia from a collection of scientific groups and networks.

This session can be purchased as part of the full meeting recordings within the product bundles


Description
Oral health inequities at a global level persist. This is despite marked advancements in technology, service delivery, training, research and population-level initiatives such as water fluoridation. Although the social determinants of health are frequently cited in the framing, analysis and description of oral health inequities, the explicit role of power is usually omitted. Lukes described power as the capacity of actors to make change, as well as to receive and resist change. An analysis of power thus provides a better understanding of how diverse and conflicting interests of multiple actors can lead to differential oral health norms within communities. An analysis of power also demonstrates the intersectional forms of oral inequities experienced among the socially marginalised; it is not rooted in economic deprivation alone. The training and practice of dentistry itself creates intersectional forms of inequalities through race, gender, and class. Dental academic spaces are overwhelmingly White, with the knowledge created thus embedded with Eurocentric values. This needs to be challenged. We aim, in this symposium, to provide an overview of the pluralist and diverse nature of contemporary global society, and to show how attempting to impose singular forms of behaviours, values and knowledge that suppress the cultures of socially marginalised communities enhances oral health inequities. Specifically, this symposium will: (1) present an overview of how power operates generally, using implicit bias examples, with a strong underpinning from the literature; (2) describe what this means for power in dentistry, drawing upon sociological literature with a specific lens on dental organisations; (3) expand understanding of post-colonial theory and how this reinforces power structures in dentistry that further enable the privileged; (4) draw upon lived experience in the Pacific, with history of colonisation, strong sugar industry engagement and a unique oral health curriculum and; (5) examine the power relationship between dentists and patients, using theoretical underpinnings and elaborating on different power paradigms in the Australian vs Asian/Korean context.

We have speakers from the United States, United Kingdom, Fiji and Korea who will provide an engaging forum in both elucidating the far-reaching influence of power in global oral health inequities, from sociological, epidemiological and political perspectives, and the multi-faceted impacts on oral health policy this might have.
A special issue of the Community Dental Health journal will feature the five papers from this symposium. Electronic copies will also be available upon request.

Learning Objectives
  • This session will bring together experts in power, population oral health, health policy and psychology from the United States, the United Kingdom, Korea and Fiji, and provide a forum for:1. Informing researchers on the intractable role of power relationships in population oral health inequities over the past century; how to minimise, identify and articulate;
  • Demonstrating the increasingly sophisticated techniques for identifying, measuring and modelling how power impacts on population oral health research
  • Discussing implications of addressing (or not addressing) power dynamics in population oral health at an international level, including the role of advocacy and engaging with health policymakers to both identify and to increase comprehension of the far reaching impacts, and many guises, of power in dentistry that may lead to misinformed policy.

Presentation Date

June 23, 2022

Presenters
Benjamin Reese Jr. - An Overview of Power Dynamics, With a Lens on Implicit Bias
Cristin Kearns - Power in Dentistry; Specific Lens on Dental Organisations
Rizwana Lala - Post-Colonial Theory, Power Structures and What This Means for Dentistry
Youngha Song - Power Relationships Between Dentists and Patients; Differences Across Cultures

Sponsoring Groups/Networks
Behavioral, Epidemiologic, and Health Services Research, Global Oral Health Inequalities Research Network

CE Credits
Not Eligible

Financial Interest Disclosure:
None


Not eligible for individual purchase must purchase as part of a meeting bundle.