Mental health and wellbeing in dentistry: A rapid evidence assessment. Dental mythbuster 13: Lone working in a dental practice setting.
Ann Clin J Dent Health 2022 44-49.Ĭare Quality Commission. The perceived impact on performance and patient safety of work-related stress and mental health disorders experienced by dental hygienists and dental therapist members of the British Society of Dental Hygiene and Therapy. Use of anaesthetics and fluorides by dental hygienist. Preparing for practice: Dental team learning outcomes for registration. Available at: (accessed May 2022).īritish Society of Periodontology. Delivering better oral health: An evidence-based toolkit.
Available at: (accessed May 2022).ĭepartment of Health. HEE's Advancing Dental Care Review: Final report. In addition to local anaesthetic, high-concentration fluorides also require a similar detailed prescription or PGD in place. If a written prescription is required then this must include the name of the drug, the amount to be administered, the maximum number of cartridges that can be administered and the method of administration, as demonstrated in Table 2. 7 If providing a patient-specific written prescription, in order to meet legal requirements on prescribing, the dental registrant must have completed a recent clinical examination of the patient. The regulations also allow dental practices and clinics which are registered with the CQC (or the HIW in Wales or the RQIA in NI) for the treatment of disease, disorder or injury and/or diagnostic and screening procedures to authorise PGDs.
The Human Medicines Regulations 2012 allow independent hospitals, clinics and medical agencies to authorise their own PGDs. One of the consistent issues identified by patient engagement events was a lack of understanding among patients of the roles of the whole dental workforce, which has contributed to the situation.'įor local anaesthetics, either a Patient Group Direction (PGD) is required to be in place or a written prescription needs to be provided by the dental registrant for the anaesthetic. This opens opportunities for securing an adaptive workforce, particularly in rural and coastal areas, where dental access is a challenge. The potential for dentists - particularly in primary care - to share workload with DCPs in line with their Scope of Practice and experience is greatly under-utilised.
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They frequently find themselves unable to exploit their full Scope of Practice - often for historic or contractual reasons.
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The London Economics study found that potential net economic benefits and, consequently, service benefits would be associated with a greater flexibility in the use of skill mix by creating an environment where Dental Therapists could undertake more Band 1 and simple Band 2 treatments, which would free up dentists to undertake more complex treatments
'HEE wants to create opportunities across each of its regions to optimise the skills of Dental Therapists and facilitate the profession to undertake more simple dental treatments. The relatively recent publication of Health Education England's (HEE's) Advancing Dental Care Review highlighted the underutilisation of dental therapists in general dental practice: 1
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