Are you embarrassed by your smile?

We make snap judgements about people based solely on their appearance, and draw negative assumptions about people with visibly poor oral health, contributing to shame, stigma and even bullying.The face is the window to the soul. Our physical appearance,particularly that of our smile, often dictates people’s first impressions of us. And first impressions flow through to behaviours – to how people treat us. And as we know, first impressions are hard to shake. That is why the dentalprofession has been shifting over time from one that has been solely focused on disease and function to one where appearance and aesthetics are key, both responding to and driving patient demand. But what of the people who sufferfrom poor oral health, and who struggle to access dental care?Two recent research papers piqued my interest, one looking at the issue of bullying related to tooth loss in Australian children, and the other an exploration of the issue of dental shame. They get to the heart of this idea that good oral health is fundamental to our appearance and to our self-esteem.We know this is important, because it is almost impossible to hide your dental condition from others during any form of social interaction. It’s why poor oral health is probably one of the most obvious and visible signs of poverty and disadvantage.In this episode of the Dental As Anything podcastI talk about the social and psychological impact of poor oral health and the importance of thinking more broadly about the impacts for people who cannot access dental care.References:Does Tooth Loss Lead to School Bullying? Evidence from the Longitudinal Study of Australian ChildrenDental Shame: A Call for Understanding and Addressing the Role of Shame in Oral Health

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