Abstract:
:Objectives To explore the level and nature of dental care provided by dental hygienists and therapists to older adults (65 and over) and to identify barriers to such care.Methods An online survey of all GDC-registered hygienists and therapists in Scotland.Results Thirty-two percent (196 of 609) responded. Seventy-five percent worked in general dental practice. Nearly two-thirds of the workload of those in general dental practice was with older patients. Most reported that numbers of such patients were increasing. Fifty-seven percent worked to inflexible appointment slots of 15 or 30 minutes. Time pressure, consent to treatment and power of attorney were the worst administrative problems in the workplace.Only one in four, mainly Public Dental Service (PDS) employees, provided domiciliary care or treated patients in care homes. Common problems in these settings were: poor hygiene, communicating with patients, capacity to consent, power of attorney, insufficient training and time, poor staff liaison, lack of support staff, space and equipment, poor denture storage/maintenance, co-morbidity and NHS charges exemption.Hygienist-therapists, who have a much wider clinical remit than hygienists, often felt their work with older people did not fully utilise their training. There was considerable demand for further training related to the care of older people, with dementia-related training being the most often specified. There was also support for greater professional autonomy through working on a direct access basis and having an NHS list number.Conclusion Respondents working in general practice saw a large proportion of older patients in the practice, while domiciliary and care home visits were largely undertaken by PDS workers. Findings support the conclusion that hygienist-therapists in particular, given their increasing numbers in the UK dental workforce, may be currently under-used in meeting the demand for prevention and treatment of older patients. The combination of demographic and clinical pressure may be met more effectively and economically by developing such 'mid-level' clinical roles in new models of dental care.
journal_name
Br Dent Jjournal_title
British dental journalauthors
Turner S,Symeonoglou P,Ross MKdoi
10.1038/s41415-020-1790-5subject
Has Abstractpub_date
2020-08-14 00:00:00eissn
0007-0610issn
1476-5373pii
10.1038/s41415-020-1790-5pub_type
杂志文章abstract::Background Different skill-mix models have changed the face of the dental workforce. This study aimed to assess how this skill-mix translates into different practice models of care and the employer-dentists' perception of the dental team.Methods Twenty-two oral health therapists (OHTs) and 12 employer-dentists from bo...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1529-3
更新日期:2020-05-01 00:00:00
abstract:AIMS:To investigate the working patterns and patient base of registered clinical dental technicians (CDTs); their relationships with dentists and other professionals in the dental team; their willingness to work within the NHS and their expectations for the future as a new professional group. METHODS:Face-to-face qual...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.55
更新日期:2013-01-01 00:00:00
abstract::The intended outcome of dental education is to produce dental clinicians who have the knowledge, technical skills, personal attributes, values and professional outlook to deliver the highest level of patient care. Due to the development and improvement of dental materials and clinical techniques, combined with a stead...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0317-4
更新日期:2019-05-01 00:00:00
abstract::A brief review of the literature of digit sucking is followed by the report of a study of 68 treated Class II division 1 malocclusions, designed to attempt to clarify the significance of digit sucking in their aetiology. Case histories of two of the patients from the study are briefly discussed to illustrate the range...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4807724
更新日期:1991-12-07 00:00:00
abstract::Chemomechanical caries removal involves the chemical softening of carious dentine followed by its removal by gentle excavation. The reagent involved is generated by mixing amino acids with sodium hypochlorite; N-monochloroamino acids are formed which selectively degrade demineralised collagen in carious dentine. The p...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4800501
更新日期:2000-04-22 00:00:00
abstract::In December 2014, Public Health Wales introduced a proof-of-concept incentive scheme, aiming to encourage National Health Service (NHS) dental practitioners in Wales to provide brief intervention for smoking cessation and increase referrals to Stop Smoking Wales (SSW). The scheme ran for 11 weeks. Practitioners were a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2016.916
更新日期:2016-12-09 00:00:00
abstract::On 6 July 2005, the EU Physical Agents (Vibration) Directive (2002) came into force across all member states. This will mean that legally enforceable limits on hand-arm vibration exposures will be introduced and that risk management must be set in place at work. This article briefly describes the content of the Direct...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812902
更新日期:2005-11-12 00:00:00
abstract::If you have a great idea for an innovative project or scheme that has an impact on patient care, or even if you've already completed one, then the inaugural Dental and Oral Health Innovation Awards could be your big opportunity to take it further. In this article, Danny Pine calls for entries to the Awards and looks a...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2008.413
更新日期:2008-05-24 00:00:00
abstract::Coronectomy involves removal of a crown from roots of a healthy tooth in healthy patients indicated to prevent inferior alveolar nerve injury in a high risk case. Since the original paper in 2005 ( 2005; 43: 7-12) describing a prospective randomised study on coronectomy, there has been a lot of interest in this proced...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2012.265
更新日期:2012-04-13 00:00:00
abstract::The attendance pattern of dental practitioners who resided in the West Midlands and attended postgraduate courses at Birmingham University Dental School was studied. Data were collected from the participants as to their name, the location of their practice and the type of course that they attended. Other information s...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807274
更新日期:1990-07-21 00:00:00
abstract:Objective:To evaluate the quality of the care pathway for adult patients being referred to the East Lancashire Blackburn with Darwen Oral Surgery Service using the referral management system between 2013 and 2014. Results:In the 2013–14 financial year, of the 5,285 referrals that were made to the Oral Surgery Service,...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2019.96
更新日期:2019-02-08 00:00:00
abstract:OBJECTIVE:To evaluate published reviews of the appropriateness of prophylactic removal of impacted third molars. DESIGN:Systematic review and critical appraisal of relevant reviews. METHODS:Computerised databases (Medline and Embase), the Index to Dental Literature, and the references of articles were searched to ide...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.4809378
更新日期:1997-05-10 00:00:00
abstract:OBJECTIVE:The optimum management of dual anti-platelet therapy (DAPT) in patients undergoing dentoalveolar surgery is controversial. The lack of guidelines has meant clinicians have been left to manage these cases from specialist advice or past experience. In view of this the British Association of Oral Surgeons (BAOS)...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2014.1055
更新日期:2014-12-05 00:00:00
abstract::Oral health promotion in the community pharmacy: an evaluation of a pilot oral health promotion intervention. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.860
更新日期:2017-10-13 00:00:00
abstract::There has been growing interest in the use of virtual learning environments (VLEs) by universities over the past decade to supplement traditional teaching methods. In this study a tutorial providing information about the temporomandibular joint (TMJ), temporomandibular disorders and teaching of a thorough TMJ examinat...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2010.1085
更新日期:2010-12-11 00:00:00
abstract::Displacement of an impacted maxillary third molar into the infratemporal fossa is frequently mentioned but rarely reported. Imaging and retrieval of such a displaced tooth is difficult and requires urgent referral and hospitalisation for removal under general anaesthetic. The use of image intensification equipment in ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808507
更新日期:1994-07-23 00:00:00
abstract::This is the first of two articles that provide a guide for the clinical management for people with dementia who present with periodontal disease in dental practice. Conditions that cause dementia and their increasing prevalence are described. Advice is given to aid the dental team in recognising patients with dementia...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-019-0726-4
更新日期:2019-10-01 00:00:00
abstract::Primary health care is more than a luxury for many of the world's poorest countries. The charity, Action Health 2000, is attempting to develop dental services in, among other places, the northern provinces of India. Linda Hillman answered their advertisement and found herself among the people of the 'God King'. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4807146
更新日期:1990-03-10 00:00:00
abstract::Psychosis is an uncommon but well-recognised complication of short-term corticosteroid administration. We report a case of steroid-induced psychosis subsequent to a bimaxillary osteotomy. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4812929
更新日期:2005-11-26 00:00:00
abstract::While local anaesthetic agents are usually safe and are used ubiquitously, inadvertent overdoses may have potentially fatal consequences. Errors in the dosing of local anaesthetics frequently occur due to inherent difficulties in remembering the toxic dosage limits, difficulties in performing the appropriate calculati...
journal_title:British dental journal
pub_type: 杂志文章,随机对照试验
doi:10.1038/sj.bdj.2015.297
更新日期:2015-04-24 00:00:00
abstract::Dens invaginatus is a developmental malformation, in which there is an infolding of enamel into dentine. These infolds represent stagnation sites for bacteria and can predispose to dental caries. The carious infection can spread via enamel and dentine to contaminate the pulp and cause soft tissue necrosis. The altered...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2016.724
更新日期:2016-10-07 00:00:00
abstract::Diagnostic imaging techniques have evolved with technological advancements - but how far? The objective of this article was to explore the electromagnetic spectrum to find imaging techniques which may deliver diagnostic information of equal, or improved, standing to conventional radiographs and to explore any developm...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2013.994
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:The aim of the two-year controlled trial was to evaluate the effectiveness of the 'Boosting Better Breaks' (BBB) break-time policy to reduce obvious decay experience and sugar snacking in a cohort of nine-year-old children attending intervention and control primary schools. STUDY DESIGN:A matched controlled ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2009.518
更新日期:2009-06-27 00:00:00
abstract::This review article presents an overview of craniofacial malformations and the role of the orthodontist in their management. The first part of this article focuses on cleft lip and palate, followed by more complex deformities including craniosynostosis and craniofacial microsomia. The main features of these anomalies ...
journal_title:British dental journal
pub_type: 杂志文章,评审
doi:10.1038/sj.bdj.2015.48
更新日期:2015-02-16 00:00:00
abstract::Of note, the symptom load was still high five years after removal of the amalgam restorations. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2017.450
更新日期:2017-05-26 00:00:00
abstract::Even dentures exhibiting superb aesthetics are of no use if they visibly move during speech and social intercourse. In this, the second paper of three on removable denture aesthetics, we describe impression making and shaping the wax occlusal record rims. Not only are the impressions important for producing dentures w...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.2018.76
更新日期:2018-02-09 00:00:00
abstract::Introduction Despite improvements in oral health outcomes in New Zealand over the last number of decades, there are still high levels of preventable tooth decay in adults and children. We investigate the prevalence and spatial variation of non-fluoride toothpaste use in a nationally representative sample of adults and...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/s41415-020-1304-5
更新日期:2020-02-01 00:00:00
abstract:AIM:To determine in detail the complications associated with the use of mandibular repositioning splints (MRS) to treat sleep-related breathing disorders. METHOD:This prospective cross-sectional cohort study audits the management with mandibular repositioning splints of 121 patients suffering from sleep-related breath...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4813149
更新日期:2006-01-28 00:00:00
abstract::It is widely accepted that the practice support staff, and particularly the dental nurse, have a major role to play in ensuring patient satisfaction and reassurance. Despite this, findings from recent research by Maria Mindak show that dental nurses do not as a rule receive praise, encouragement or feedback from their...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4809036
更新日期:1996-04-06 00:00:00
abstract::The talking parrot can be given information by voice and then reproduce that information verbatim, without necessarily understanding it. I submit that the teaching, assessment and examination of dental students requires little more of them than the skills of the parrot. ...
journal_title:British dental journal
pub_type: 杂志文章
doi:10.1038/sj.bdj.4808857
更新日期:1995-08-19 00:00:00