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Found 89 results
  1. News Article
    A school has brought in a dental charity to treat pupils with such bad toothache they have missed lessons. Staff at Trinity Academy Grammar in West Yorkshire have had to take pupils to hospital as they were in agony but unable to access an NHS dentist. The Department for Health said an extra £50m funding had been given to NHS dental services for more appointments. Charlie Johnson, headteacher of the school in Sowerby Bridge, near Halifax, said as well as being forced to take days off, some students had been left in tears during lessons due to toothache. After becoming concerned, Mr Johnson said he had contacted public health officials who said there was a shortage of local NHS dentists taking on patients. The school was put in touch with Dentaid, a UK charity which normally provided dental treatment to people in developing countries who cannot access it, or to vulnerable people such as the homeless. As a result, a mobile clinic was brought to the school and volunteer dentists found around one in 10 of its 900 pupils needed treatment for conditions such as decay, cracked teeth and abscesses. The school said it was "frustrating" it had been forced to step in to provide dental treatment, but added that parents often found it "impossible" to access help. The British Dental Association said the fact that Trinity Academy had been forced to call on a charity for help illustrated that NHS dentistry was on its "last legs". Chairman Eddie Crouch said: "We salute these volunteers, but this isn't the Victorian era. "A wealthy 21st Century nation shouldn't be relying on charities to provide basic healthcare to our children." Read full story Source: BBC News, 28 April 2022
  2. Content Article
    Keren Levy was fit and healthy when she first felt pain in a molar. After numerous dentists and doctors left it untreated, there were knock-on effects throughout her body. Today she is in constant pain and look almost unrecognisable She went to the dentist a number of times but X-rays showed nothing untoward. However, Karen started to develop a horribly rotting taste and knew the tooth was necrotic. She begged her dentist to give her root canal treatment or extract it, but without a visible sign this was needed she was refused. Instead she was referred to her GP, implying her distress was bereavement due to her mother recently dying. Many months later, Keren was referred to a different dentist who gave her a 3D scan that showed the original tooth to be necrotic, as she had said five months before. Evidence of the infection was clear in the surrounding bone. Her dentist records that the delay in treating the original dental infection appears to have triggered a systemic response in my body’s autonomic or endocrine system. Having had perfect health, eventually I had to have 12 root canals; all those teeth were necrotic.  Confronted by the facts, the first dentist Keren saw said that, had he been in his Athens surgery, he would have carried out a root canal on the original tooth. But here, in the UK, he had been concerned he could be held to account by General Dental Council (GDC) regulations, given the X-ray image had not been “definitive”.  An editorial in the British Dental Journal (BDJ) as long ago as 2014 described a climate of “fear and distrust” that had led to defensive dentistry because of the prospect of legal action or disciplinary procedures if anything goes wrong.  Karen's case is a horrific example of excessive diagnostic testing delay, instead of treatment. Months of referrals to neurologists, maxillo-facial specialists, psychologists, GPs, oral medicine departments and other dentists went against common sense and ensured responsibility could never be laid at a particular dentist’s door. Invariably, the first question was: “What did the last dentist say?”
  3. News Article
    A Wisconsin dentist was found guilty of healthcare fraud and other charges after he intentionally damaged his patients’ teeth to boost profits, raking in millions from his scheme. Scott Charmoli, 61, was convicted of five counts of healthcare fraud and two counts of making false claims about his clients’ treatment last Thursday, according to the Milwaukee Journal Sentinel. With his sentencing scheduled for June, Charmoli faces up to 10 years for each healthcare fraud charge and a maximum of five years for each of the two other charges. Prosecutors say that Charmoli had routinely drilled or broken his clients’ teeth on purpose, charging them for additional treatment services to fix the damage he had just done. As a result, Charmoli’s profits ballooned, with the dentist going from making $1.4m and installing 434 crowns in 2014 to $2.5m in 2015, installing over 1,000 crowns, reported the Washington Post. According to prosecutors, in 2015, Charmoli began pressuring his clients into getting unnecessary crowns, a dental procedure where a tooth-shaped cap is placed on a damaged tooth. Charmoli would drill or break his client’s teeth and send X-rays of the intentional damage to insurance as “before” photos to justify the crown procedures. One client, Todd Tedeschi, testified that Charmoli pressured him into getting two crowns in one appointment, despite Tedeschi believing that his teeth were fine. “It seemed excessive, but I didn’t know any better,” said Tedeschi. “He was the professional. I just trusted him.” Some of the patients that Charmoli badgered into unnecessary procedures were also vulnerable, said prosecutors. Read full story Source: The Guardian, 16 March 2022
  4. News Article
    Scotland's dental leaders say the backlog for patients getting NHS treatment is "enormous". Official data shows people in more affluent areas of Scotland were much more likely to be seen by a dentist in the last two years compared to poorer communities. Meanwhile, patients on long waiting lists are resorting to costly private treatment in order to be seen sooner. The Scottish government said it was committed to tackling the pandemic-related backlog in routine dental care. The shutdown of dental services in the early days of Covid, and then severe restrictions on working practices meant emergency care was prioritised in Scotland. Denise Hesketh is one of thousands of Scots who couldn't see a dentist during the start of the pandemic. The 58-year-old from Edinburgh has battled dental problems for years, but being unable to see a dentist during Covid meant her oral health has taken a turn for the worse. She told BBC Scotland: "It was over a year before I was able to see a dentist and by then it just got too bad. Everything was unstable. It needn't have happened - it could have been repaired." She now faces a bill of £20,000 for private care, with her NHS dentist unable to offer any help. Some patients have raised fears that those who pay for private dental treatment are being prioritised. BBC Scotland has seen an email to patients from one practice in Lanarkshire. It states "Due to NHS restrictions and waiting lists on routine care… there are other options for check-ups for adults and children to pay privately". Read full story Source: BBC News, 16 February 2022
  5. News Article
    Hundreds of thousands of dental patients in England are to be offered weekend and evening appointments under NHS plans to tackle the backlog exacerbated by the pandemic. More than 350,000 extra dental appointments are to be made available in February and March, NHS England said, with a new £50m funding pot aimed at fuelling a dentistry “treatment blitz”. However, senior dentistry sources said the cash was a “drop in the ocean”, with tens of millions of NHS appointments cancelled as a result of Covid-19 and the resulting backlog set to take years to clear. Some also expressed doubts about whether there would be enough staff to offer the additional appointments, since hundreds of dentists have quit the profession in the last year amid warnings that NHS dentistry is increasingly “hanging by a thread”. Millions of patients have struggled to access dental care since 2019. Some have spent weeks or months in pain as a result, and others believed they had no option but to conduct “DIY dentistry” while waiting for treatment, or felt coerced into “going private”. Under the new plans to tackle the backlog, NHS England said dentists involved in the scheme would “be paid more than a third on top of their normal sessional fee” for delivering care outside their core hours. Read full story Source: The Guardian, 25 January 2022
  6. News Article
    NHS dentistry is "hanging by a thread" with some patients facing two-year waits for check-ups, the British Dental Association has said. Department of Health data analysed by the BBC shows almost 1,000 dentists working in 2,500 roles across England and Wales left the NHS last year. One woman told how she had been in pain for more than a year while waiting to have root canal surgery. NHS England said patients who most needed care should be prioritised. Pamela Carr, 58, from Carlisle, has been looking for an NHS dentist to fix her root canal since November 2020. "I've become used to the pain," she said. "I can't afford the private care, and I've tried every practice within 30 miles. I phoned NHS England too." "They said there's nothing they can do because there are no NHS dentists. That was the end of the conversation." Clinical Commissioning Group North Cumbria, which covers the area, lost 4% of its dentists in the last year. The worst-affected area was NHS Portsmouth CCG, which lost 26% of its NHS dentists over 12 months. At least 10% of NHS dentists were lost in 28 other English CCGs. Read full story Source: BBC News, 19 January 2022
  7. News Article
    Dentists may never catch up with the backlog of patients waiting for check-ups, a leading dentist has warned. Dr Russell Gidney said around 6,000 of his patients had not been given a routine check-up in the past year because of Covid restrictions. NHS Wales figures show courses of dental treatment dropped by over three quarters in 2020-21. The Welsh government said dental services would get an extra £3m this year to support pandemic recovery. Dr Gidney said fatigue among colleagues and recruitment problems threatened the return of regular appointments. At his practice in Chepstow, Monmouthshire, he said check-ups have not been going ahead because patients who need urgent treatment were prioritised. Dentists are limited in number of patients they treat because of increased safety measures - such as wearing more PPE and cleaning between patients. New operating procedures were announced last week, relaxing the safety measures for patients who show no signs of respiratory illness, such as colds and flu. But Dr Gidney said although new guidelines may increase patient volumes, they will "barely make a dent" into the "unprecedented backlogs". Wales' Health Minister Eluned Morgan said there have been "long-standing issues" with access to dentistry, due to practices experiencing difficulties with recruitment and retention of dentists. She said these issues were "impacting on the provision of NHS dental services". Read full story Source: BBC News, 2 December 2021
  8. News Article
    A patients' group says it is concerned over a lack of access to NHS dentists in South Gloucestershire after two surgeries turned private. Frampton and Flaxpits surgeries say NHS targets can not be reached without putting patients and staff at risk. and they must go private to survive. Vicky Marriott, of Healthwatch, an independent statutory body representing patients, said not having an option to have NHS care was a "real concern". In a letter to patients, Dr Dimitri Haddjeri, dentist at Framptom and Flaxpits surgeries, said "target-driven, high-volume dentistry" was "not fit for purpose" and did not put the patient first. He said NHS targets could not be reached without putting patients and staff at risk. Ms Marriott said there were "enormous problems" for people trying to find NHS care across South Gloucestershire, Bristol and North Somerset. "Between July and September this year, in Bristol alone, we've had 73 people contact us saying that they've been emailing or phoning every single dental practice to see if they can get treatment and haven't been able to," she said. Read full story Source: BBC News, 13 October 2021
  9. Content Article
    In February 2021, the list of never events was updated to exclude wrong tooth extraction, as the systemic barriers to prevent these incidents were not considered ‘strong enough.’ In this article, published in the British Journal of Oral and Maxillofacial Surgery, authors discuss the matter, and provide some recommendations to minimise the risk of wrong tooth extraction.
  10. Content Article
    A timeout is an immediate pause by the entire surgical team to confirm the correct patient, procedure and site. This article discusses the use of timeout policy within a dental team prior to invasive or irreversible treatment as a means to improve patient safety, by creating a safe space for team members to express any concerns about procedure verification.
  11. Content Article
    The Covid-19 pandemic has resulted in dental treatments having to be planned and carried out with extreme caution, with dental facilities and staff adapting to put in place appropriate infection control measures and safety precautions. This article, published in Patient safety in surgery, provides a summary of precautionary and prophylactic measures in preventing the cross-infection and the nosocomial spread of the infection in a dental setting.
  12. News Article
    New data indicates the dental crisis shows no signs of slowing, with four in five people (80%) struggling to access timely care during the last COVID-19 lockdown. Access to NHS dental care continues to be a problem for people across England, with Healthwatch recording a 22% rise in calls and complaints about dentistry between January and March 2021.   A review of 1,375 people’s experiences shared with Healthwatch found a lack of consistency across the country when it comes to accessing a dental appointment. Whilst some people were asked to wait an unreasonable time of up to three years for an NHS appointment, those able to afford private care could get an appointment within a week. Healthwatch are calling for greater ambition and urgency from NHS dental reform plans to create more equitable and affordable dental care. Imelda Redmond CBE, National Director of Healthwatch England, said: “The twin crisis of access and affordability hitting NHS dentistry means many people are not able to access timely care – and the poorest are hardest hit. Those human stories show that oral health is a social justice and equity issue." Read full story Source: Healthwatch, 24 May 2021
  13. News Article
    People are being told to wait until 2024 for dentist appointments while others are being removed from their practice lists for not making appointments sooner, according to a damning report into the state of dentistry. Dental surgeries have reported that they have thousands of people on their waiting lists, while patients are unable to access care after ringing round numerous dental surgeries, a watchdog has warned. Delays have resulted in the worsening of painful symptoms and in one instance even led to a patient needing hospital treatment after overdosing on painkillers, it said. But Healthwatch England said that some people are being offered swift private care as an alternative at the same dental practice, with some patients reporting that they felt pressured to pay for their treatment. Some practices appeared to be prioritising private care, it added. Read full story Source: The Guardian, 24 May 2021
  14. Content Article
    This Healthcare Safety Investigation Branch (HSIB) report highlights a gap between the NHS and other safety-critical industries in identifying and managing barriers to reduce the risk of serious incidents occurring.
  15. News Article
    Some NHS dental patients have been asked to pay for private care "if they want any treatment", according to a watchdog. Others are facing waits of up to two years for an NHS appointment, Healthwatch England has warned. One patient was in so much pain he decided to extract his own teeth, said its chairman Sir Robert Francis QC. The NHS said over 650 urgent dental hubs have been set up so patients can access a dentist. Hundreds of people contacted Healthwatch England between October and December last year complaining about dentistry issues. A briefing document from the watchdog said that "a lack of NHS dentist appointments" remains the most common issue - with people asked to wait for up to two years. Read full story Source: BBC News, 8 February 2021
  16. News Article
    Patients needing complex dental work might have to wait longer under new NHS targets, dentists warn. The British Dental Association (BDA) fears NHS England will impose penalties on practices that fail to reach 45% of their normal activity level, after negotiations broke down. And practices may have to prioritise routine check-ups over more time-consuming treatments. An NHS official said: "The NHS and the government are working to determine a safe and reasonable contractual arrangement with dentists, which recognises the constraints on practices and the need to maximise access for patients to see their dentist." The waiting list for NHS dentistry could reach eight million by New Year's Eve, according to the Association of Dental Groups. Dave Cottam, who chairs the BDA's General Dental Practice Committee, said: "This move will actively undermine patient care. "Ministers are instructing dentists to churn through routine appointments against the clock, rather than deal with a huge backlog of urgent cases. Dentists wanting to do the right thing by their patients will now be punished for it." Read full story Source: BBC News, 16 December 2020
  17. News Article
    Dentists are warning of a looming dental and mouth cancer crisis after months of delays and patients being unable to get check-ups and repair work. It comes as surgeries begin to reopen more widely but dentists are still facing significant restrictions on how they can operate, with rooms having to be vacated for an hour after any treatment is done using a drill. For Maezama Malik, who is the principal dentist of her surgery in Croydon, south London, this has caused a big backlog of patients. She said the biggest worry is that a patient might have "something minor that could progress in a few months" without them seeing a dentist. Read full story Source: Sky News, 18 July 2020
  18. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insight during the coronavirus pandemic. Here Martin interviews an oral surgeon who has been in the post for a year in a trust that covers two sites in the West Country. 
  19. Content Article
    'Implications of COVID-19 for the safe management of general dental practice: a practical guide' supports dental professionals to take a risk-based and evidence-based approach to providing safe general dental care, whatever the national threat level. 
  20. Content Article
    The Government has given the green light for dental practices to reopen in England from 8 June 2020. For a dental practice to treat you, they will need fully compliant Personal Protective Equipment, to exercise social distancing measures and apply appropriate cross-infection control. This means there may be a delay before your dental practice can fully reopen and the range of treatments on offer might be limited.
  21. News Article
    Dental practices in England have been told they can reopen from Monday 8 June, if they put in place appropriate safety measures. All routine dental care in England has been suspended since 25 March. The British Dental Association (BDA) has welcomed the announcement but says key questions remain. Currently, any patient with an emergency dental problem is supposed to be referred to an Urgent Dental Care (UDC) hub for treatment. In a letter to all practices, NHS England's chief dental officer, Sara Hurley, said: "Today, we are asking that all dental practices commence opening from Monday, 8 June for all face-to-face care, where practices assess that they have the necessary IPC and PPE requirements in place." The BDA said that while dentists would be relieved by the announcement, the ability of practices to reopen would depend on the availability of personal protective equipment (PPE). "It is right to allow practices to decide themselves when they are ready to open. Dentists will be keen to start providing care as soon as is safely possible, but we will need everyone to be patient as practices get up and running," said BDA chairman Mick Armstrong. Read full story Source: BBC News, 28 May 2020
  22. Content Article
    This guidance from the British Dental Association provides information to help support dental practitioners and the wider dental team in the safe use of conscious sedation techniques.
  23. Content Article
    The report defines the standards for the provision of conscious sedation in the delivery of dental care.
  24. Content Article
    Conscious sedation can help a patient undergo dental treatment. There are several reasons why they may need sedation – anxiety, medical needs or complex treatment. The Care Quality Commission (CQC) outlines the regulations and standards of conscious sedation.
  25. News Article
    The British Dental Association (BDA) has criticised NHS England for “dragging its feet” in setting up an urgent care system for dental patients, putting further strain on already overstretched GPs. At the end of March, dental practices were ordered to suspend all routine treatment, as part of plans to prevent the spread of coronavirus. NHS regions were instructed to set up local urgent dental care centres. However, GPs have told HSJ they have been experiencing a rise in calls from patients with dental problems, but when they direct them to the urgent care centres, appointments appear to be limited. The BDA has said, in some regions, there is “nowhere” to send patients in need of urgent dental care. Sources working in primary care and tech said GPs were dealing with a spike in demand from dental patients who did not know where to go. Read full story Source: HSJ, 17 April 2020
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