Dr Jackie Stuart graduated from Dentistry at the University of Queensland in 1986. She has 28 years of clinical experience in general dental practice and has recently retired from clinical practice to become a volunteer adjunct lecturer for both the University of Tasmania and for James Cook University.
Jackie is currently completing her PhD studies on the topic “The relationship between the rural primary care network and dental practitioners in Queensland and the applications for dental technologies”. She volunteered as part of a research team from the Centre of Research Excellence in Primary Oral Health Care from 2013-2015, to discover the impact that interprofessional communication between dental practitioners and the primary care networks have on patient outcomes. This study was funded by the Australian Primary Health Care Research Institute (APHCRI). She subsequently co-authored several journal articles which have appeared in both the Medical Journal of Australia and the British Medical Journal.
As a result of the research findings, Jackie has developed a series of lectures on “Emergency dental presentations to the Primary Health Care Providers and their management options”. She has lectured in a volunteer capacity for; James Cook University sixth year medical students since 2015, the “Rural Medical Rounds” through Northern Queensland in 2016, the Northern Queensland Primary Health Network in 2017, and more recently for the General Medical Training programs in Cairns, Toowoomba and Brisbane.
Connecting oral health and overall medical health: The team approach to oral health care provision in rural and remote communities
Sunday 2 September | View program for more details
Patients with oral health problems often present to private general medical practices, hospital emergency departments, pharmacists, or other allied health care providers in the absence of a dental practitioner. However, the non-dental primary care network generally lacks substantive training in the management of dental problems. Presentations to an ED may result in admission for treatment, especially where there is concern that the patients’ condition may deteriorate. In 2016, dental conditions accounted for 67,266 avoidable hospital admissions, the third highest reason for acute preventable hospital admissions in Australia. One in ten potentially preventable hospitalisations are for conditions of dental origin. These admission rates were higher in non-metropolitan areas and highest for very remote areas. Antibiotics are often over-prescribed and should not be used for dental pain, pulpitis or infection localised to the teeth, or to delay providing dental treatment.
This presentation will offer the members of this primary care network some practical emergency dental management advice. Topics covered will include dental pain management, dental abscess management options, management of the dry socket and pericoronitis, and dental trauma management including reimplantation of the avulsed tooth, management of the fractured tooth, and basic jaw immobilisation techniques.
Tooth decay is the most common chronic disease in Australia. Dental problems, left untreated, may develop into major medical issues and consequently, the timely referral to a dental practitioner is essential for definitive treatment. Poor oral health has many implications towards overall medical health. Effective interprofessional communication between the non-dental primary care providers and dental practitioners will result in better overall medical outcomes for patients presenting with dental problems.