Creating a welcoming environment can involve integrating Indigenous practices into dental care. For example, allowing patients to bring a family member or elder for support during appointments can help ease anxiety and foster a sense of community. “It’s about releasing the power in the relationship that we’re having during the dental interaction,” notes Dr. McKinstry. By valuing Indigenous perspectives and practices, dentists can enhance the overall patient experience and build stronger relationships with their Indigenous patients. Implementing Trauma-Informed Care Trauma-informed care is an essential component of cultural safety, particularly for Indigenous patients who may carry the effects of historical trauma. This approach requires health care providers to understand the impact of trauma on individuals and to recognize the symptoms that may manifest in a clinical setting. “For some patients, lying back in a dental chair can put them in a vulnerable position,” says Dr. McKinstry. “And for some patients, having somebody in close proximity can be triggering.” Understanding this vulnerability is critical for dentists seeking to create a culturally safe practice. Dr. McKinstry emphasizes the need for dentists to be trained in traumainformed care principles. “Understanding the root causes of historical trauma helps us recognize its symptoms in our patients,” she explains. “This knowledge should inform our policies, procedures, and practices.” By creating a safe and supportive environment, dental professionals can help mitigate anxiety and build rapport with their patients. For instance, implementing procedures such as providing clear explanations before treatments, allowing breaks during lengthy procedures, and respecting personal space can make a significant difference in how patients perceive their dental experience. Engaging in Continuous Education To effectively implement cultural safety in dental practice, continuous education is important. Dentists can try to remain informed about the historical and social contexts that shape the experiences of Indigenous Peoples. This may include understanding the ongoing impacts of colonialism, the significance of traditional practices, and the importance of community engagement. Dr. McKinstry stresses the value of education as a tool for change: “We need to learn who we are and what negative baggage we carry.” Participating in workshops, training programs, and community events can provide dentists with the knowledge and skills necessary to create culturally safe environments. Engaging with Indigenous leaders and organizations can also deepen understanding and facilitate trust-building efforts. Dental schools and other training organizations should prioritize integrating cultural safety training into their curricula. By equipping future dentists with the tools to understand and navigate cultural complexities, the dental community can foster a more inclusive and responsive health care system. Resources for Dental Professionals Several resources are available to support dental professionals in their journey toward cultural safety. The Indigenous Dental Association of Canada (IDAC) is one such organization dedicated to improving Indigenous oral health through community-building and capacity support. “As a healing and empowerment center for Indigenous oral health professionals and future oral health care providers in Canada, IDAC aspires to proportionately By equipping future dentists with the tools tounderstandand navigate cultural complexities, thedental community can foster a more inclusive and responsive health care system. 36 | 2024 | Issue 5 SupportingYour Practice
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