Redefine oral health: a call for inclusivity in the concept of oral health

Current, globally accepted definitions of oral health emphasize pain-free functionality, expressive capacity, and specific psychosocial dimensions that contribute to self-confidence, well-being, and societal participation. However, these definitions inadvertently exclude diverse lived experiences by...

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Main Authors: Moréniké Oluwátóyìn Foláyan, Nicaise Ndembi, Olunike Rebecca Abodunrin, Bridget Haire
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Oral Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/froh.2025.1543770/full
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author Moréniké Oluwátóyìn Foláyan
Moréniké Oluwátóyìn Foláyan
Nicaise Ndembi
Nicaise Ndembi
Olunike Rebecca Abodunrin
Bridget Haire
author_facet Moréniké Oluwátóyìn Foláyan
Moréniké Oluwátóyìn Foláyan
Nicaise Ndembi
Nicaise Ndembi
Olunike Rebecca Abodunrin
Bridget Haire
author_sort Moréniké Oluwátóyìn Foláyan
collection DOAJ
description Current, globally accepted definitions of oral health emphasize pain-free functionality, expressive capacity, and specific psychosocial dimensions that contribute to self-confidence, well-being, and societal participation. However, these definitions inadvertently exclude diverse lived experiences by framing oral health solely through a lens of “normal” functionality and absence of discomfort, failing to consider the ways in which oral health can be experienced uniquely by different individuals and communities. The narrow focus on “pain-free” oral health excludes valid aspects of sexual expression, which may involve consensual oral activities that some find pleasurable even if associated with discomfort. This manuscript examines the limitations of the WHO and FDI definitions of oral health, critiques their exclusion of minority perspectives, and advocates for a more inclusive, holistic approach. Such an approach recognizes the complex and varied ways oral health intersects with identity, intimacy, and societal norms. Normalizing discussions on oral sexual health are essential to advancing a comprehensive understanding of well-being and reducing stigma around sexual minority experiences. Expanding oral health definitions to accommodate broader conceptions of intimacy and pleasure can enhance public health policy, clinical practice, and education, fostering a comprehensive understanding of well-being that reduces stigma around sexual minority experiences and further marginalization of sexual minorities in accessing inclusive care.
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spelling doaj-art-c87861ba72ba4e68a2bdda0855ca1da12025-08-20T03:11:26ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422025-05-01610.3389/froh.2025.15437701543770Redefine oral health: a call for inclusivity in the concept of oral healthMoréniké Oluwátóyìn Foláyan0Moréniké Oluwátóyìn Foláyan1Nicaise Ndembi2Nicaise Ndembi3Olunike Rebecca Abodunrin4Bridget Haire5The Africa Oral Health Network (AFRONE), Alexandria University, Alexandria, EgyptDepartment of Child Dental Health, Obafemi Awolowo University, Ile Ife, NigeriaDirector General's Office, International Vaccine Institute (IVI), Africa Regional Office, Kigali, RwandaDivision of Epidemiology and Prevention, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, United StatesDepartment of Epidemiology and Biostatistics, Nanjing Medical University, Nanjing, Jiangsu, ChinaSchool of Population Health and Kirby Institute, University of New South Wales, Sydney, NSW, AustraliaCurrent, globally accepted definitions of oral health emphasize pain-free functionality, expressive capacity, and specific psychosocial dimensions that contribute to self-confidence, well-being, and societal participation. However, these definitions inadvertently exclude diverse lived experiences by framing oral health solely through a lens of “normal” functionality and absence of discomfort, failing to consider the ways in which oral health can be experienced uniquely by different individuals and communities. The narrow focus on “pain-free” oral health excludes valid aspects of sexual expression, which may involve consensual oral activities that some find pleasurable even if associated with discomfort. This manuscript examines the limitations of the WHO and FDI definitions of oral health, critiques their exclusion of minority perspectives, and advocates for a more inclusive, holistic approach. Such an approach recognizes the complex and varied ways oral health intersects with identity, intimacy, and societal norms. Normalizing discussions on oral sexual health are essential to advancing a comprehensive understanding of well-being and reducing stigma around sexual minority experiences. Expanding oral health definitions to accommodate broader conceptions of intimacy and pleasure can enhance public health policy, clinical practice, and education, fostering a comprehensive understanding of well-being that reduces stigma around sexual minority experiences and further marginalization of sexual minorities in accessing inclusive care.https://www.frontiersin.org/articles/10.3389/froh.2025.1543770/fullsexual behaviorpsychosocial factorsself-concepthealth equityhealth policyhealth disparities
spellingShingle Moréniké Oluwátóyìn Foláyan
Moréniké Oluwátóyìn Foláyan
Nicaise Ndembi
Nicaise Ndembi
Olunike Rebecca Abodunrin
Bridget Haire
Redefine oral health: a call for inclusivity in the concept of oral health
Frontiers in Oral Health
sexual behavior
psychosocial factors
self-concept
health equity
health policy
health disparities
title Redefine oral health: a call for inclusivity in the concept of oral health
title_full Redefine oral health: a call for inclusivity in the concept of oral health
title_fullStr Redefine oral health: a call for inclusivity in the concept of oral health
title_full_unstemmed Redefine oral health: a call for inclusivity in the concept of oral health
title_short Redefine oral health: a call for inclusivity in the concept of oral health
title_sort redefine oral health a call for inclusivity in the concept of oral health
topic sexual behavior
psychosocial factors
self-concept
health equity
health policy
health disparities
url https://www.frontiersin.org/articles/10.3389/froh.2025.1543770/full
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