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. 2025 Jul;47(6):e70061.
doi: 10.1111/1467-9566.70061.

Dental Disgust-An Ethnography of Abjection in Elderly Care

Louise Folker  1   2
Affiliations

Dental Disgust-An Ethnography of Abjection in Elderly Care

Louise Folker. Sociol Health Illn. 2025 Jul.

Abstract

This study identifies dental disgust as a widespread experience among carers while caring for decayed and ill mouths, hindering vital daily dental care among care-dependent older people. It is based on an ethnographic study conducted in nursing homes, home-care units and a rehabilitation centre in Danish elderly care, and it suggests that dental disgust plays a profound role in the impairment of oral health in elderly care settings. The study demonstrates that dental disgust remains unacknowledged in care systems and care studies, leaving carers inappropriate/d, shameful and solely responsible for handling it. It explores dental disgust through Julia Kristeva's notion of abjection (1982) to illuminate some of its care-hindering dynamics. It further draws on Donna Haraway's thoughts on articulation as a means of imagining better futures for people who have been depreciated as inappropriate (1992). Thereby, it suggests that the carers' articulations of dental disgust must be acknowledged and handled collectively. The study states that supporting carers institutionally and in research can help eliminate the inappropriateness of dental disgust, enabling future dental care. The study offers an analytical framework that transfers the theoretical terms 'abjection' and 'articulation' to socio-materially situated settings and into practice-relevant usage when disgust interferes with care.

Keywords: abjection; articulation; care; dental disgust; dirty work; disgust; elderly care; oral health.

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Conflict of interest statement

The author declares no conflicts of interest.

References

    1. Adagide, S. , Canlı S., and Aksoy M.. 2024. “The Identification of the Relationship Between Nursing Students’ Disgust Sensitivity and Willingness to Care for the Elderly: The Case of a University.” Geriatric Nursing 59: 453–457. 10.1016/j.gerinurse.2024.07.043. - DOI - PubMed
    1. Burr, J. 2009. “Fear, Fascination and the Sperm Donor as ‘Abjection’ in Interviews With Heterosexual Recipients of Donor Insemination.” Sociology of Health & Illness 31, no. 5: 705–718. 10.1111/j.1467-9566.2009.01171.x. - DOI - PubMed
    1. Doughty, J. , Macdonald M. E., Muirhead V., and Freeman R.. 2023. “Oral Health‐Related Stigma: Describing and Defining a Ubiquitous Phenomenon, Community Dentistry and Oral Epidemiology.” Community Dentistry and Oral Epidemiology 51, no. 6: 1078–1083. 10.1111/cdoe.12893. - DOI - PubMed
    1. Douglas, M. 2002. Purity and Danger: An Analysis of Concepts of Pollution and Taboo. Taylor & Francis Group.
    1. Eadie, D. R. , and Schou L.. 1992. “An Exploratory Study of Barriers to Promoting Oral Hygiene Through Carers of Elderly People.” Community Dental Health 9, no. 4: 343–348. - PubMed