Advancing Oral Health Workforce Equity in Gender and Sexual Orientation

Abstract

Sex, gender, and sexual orientation are multidimensional constructs that influence representation, inclusion, and outcomes in the oral health workforce. Despite demographic shifts in dental education, persistent inequities related to these identities remain underexamined in academic, research, and clinical settings. Our goal was to evaluate how sex, gender, and sexual orientation affect equity in the oral health workforce and to propose evidence-based strategies for advancing inclusivity in education and policy. We conducted a narrative synthesis using US-based data sources and peer-reviewed literature to assess demographic trends, historical structures, and institutional barriers. Particular attention was given to leadership disparities, economic inequities, and discrimination faced by women and LGBTQIA+ professionals (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual +). Best practices and policy strategies were also reviewed. Although women now constitute >50% of dental school enrollees, they remain underrepresented in leadership and surgical specialties and experience persistent wage gaps. LGBTQIA+ professionals face limited visibility, compounded bias, and a lack of structural protections. These disparities are amplified by intersecting identities, such as race and caregiving roles. Institutional gaps in inclusive curricula, faculty mentorship, and data collection further constrain equity. However, there have been some national initiatives that demonstrate promise for addressing these challenges. A more inclusive oral health workforce requires systemic reforms in academic policies, leadership development, cultural competency training, and federal financial support. Data collection on gender identity and sexual orientation, bias mitigation, and mentorship programs are critical levers for transformation. Aligning workforce policy with contemporary family structures and demographic realities can help ensure an equitable, representative, and resilient profession.