Evidence map›Paper›PMID 42852475›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2026

Integrating Dietitians Into Primary Dental Care for Paediatric Populations: Developing a Conceptual Service Pathway Through a Professional Stakeholder Workshop.

Lauren Hallewell, Raul Bescos, Zoe Brookes, Robert Witton, Patricia Casas-Agustench

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Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lauren HallewellSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0009-0004-6039-1274
Raul BescosSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0002-3939-4743
Zoe BrookesPeninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0002-8096-6256
Robert WittonPeninsula Dental School, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0002-6424-4376
Patricia Casas-AgustenchSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0003-4424-1087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiet is a common risk factor influencing both oral and systemic health, yet dietary support within dental care is often limited to brief advice focused on sugar intake. Integrating dietitians into primary dental care for the paediatric population may support earlier identification of dietary concerns and provide the opportunity for dietetic care. However, no established integrated dietetic-dental service pathway for paediatric populations has been identified within primary dental care settings in the United Kingdom.

objectiveTo explore how selected full-consensus agreement statements could be configured into a conceptual dietetic-dental service pathway for paediatric populations attending primary dental care services and to identify the organisational and contextual factors that may influence its future delivery in practice.

methodsA single 70-min online workshop was conducted via video conferencing in April 2026 and facilitated using a structured discussion guide. Workshop activities focused on collaborative service pathway mapping informed by previous Delphi consensus findings. Data sources included a workshop transcript, digital sticky-note outputs, pathway mapping artefacts, facilitator notes and analysed using framework analysis. Subsequent member checking was undertaken to verify the accuracy and completeness of the developed care pathway.

resultsEight professional participants (four dietitians and four dental professionals) contributed to the development of a conceptual service pathway. The pathway centred on dietitian-led triage as a central coordinating mechanism, supporting referral management, communication and continuity across services. Workshop outputs highlighted a range of contextual factors that may influence future delivery, including patient engagement, professional roles and system readiness. Key uncertainties related to workforce configuration, escalation pathways and the capacity of external services to accommodate potential referrals generated through preventive dietary care.

conclusionThe findings represent an early stage conceptual dietetic-dental service pathway for paediatric populations, requiring future piloting and evaluation. Contextual factors suggest that delivering the care pathway may require adaptive approaches that are responsive to local workforce organisational and population contexts.

Indexed as

Dental CareDental Care for ChildrenDieteticsNutritionistsPrimary Health CareChildConsensusHumansStakeholder ParticipationUnited Kingdom

Identifiers

PMID42852475

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.