The advantages and disadvantages of providing minor oral surgery in primary care

Patel, Jayendra

doi:10.1308/204268513x13626856629348

Cited by 2 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The difficulties in accessing hospital endodontic services were highlighted by the findings of this study, together with the potential to reduce referrals and address the gap in service provision by a number of routes within a contemporary care pathway lending support for an established service, ideally in a phased manner with close monitoring and evaluation to ensure that patients are seen in the most appropriate setting. The cost-effectiveness of such schemes, has been suggested in previous studies which evaluated specialist services for Minor Oral Surgery provided in primary care, and reported the potential to reduce the secondary care costs [ 40 – 42 ]; however, moving any endodontic services to primary care DwSIs is unlikely to result in major savings as hospital services are provided on an outpatient tariff, usually within block contracts and dental monies are difficult to extract from ‘block’ contractual arrangements. Second, because there is limited hospital capacity [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Dentists with enhanced skills (Special Interest) in Endodontics: gatekeepers views in London

Ghotane

Al-Haboubi

Kendall³

et al. 2015

BMC Oral Health

View full text Add to dashboard Cite

BackgroundDentists with a special interest hold enhanced skills enabling them to treat cases of intermediate complexity. The aim of this study was to explore primary dental care practitioners’ views of dentists with a special interest (DwSIs) in Endodontics in London, with reference to an educational and service initiative established by (the former) London Deanery in conjunction with the NHS.MethodsA cross-sectional postal survey of primary care dentists working across different models of care within London was conducted, with a target to achieve views of at least 5 % of London’s dentists. The questionnaire instrument was informed by qualitative research and the dental literature and piloted prior to distribution; data were analysed using SPSS v19 and STATA v12.0.ResultsSix per cent of London’s primary care dentists (n = 243) responded to the survey; 53 % were male. Just over one third (37 %; n = 90) were aware of the DwSI service being provided. Most practitioners reported that having access to a DwSI in Endodontics would support the care of their patients (89 %; n = 215), would carry out more endodontic treatment in the NHS primary dental care if adequately reimbursed (93 %; n = 220), and had more time (76 %; n = 180). Female respondents appeared to be less confident in doing endodontic treatment (p = 0.001). More recently qualified respondents reported greater need for training/support for performing more endodontic treatment in the NHS primary dental care (p = 0.001), were more dissatisfied with access to endodontic service in the NHS primary dental care (p = 0.007) and more interested to train as a DwSI in endodontics (p = 0.001) compared with respondents having a greater number of years of clinical experience since qualification.ConclusionThe findings lend support to the concept of developing dentists with enhanced skills as well as ensuring additional funding, time and support to facilitate more routine endodontics through the NHS primary care to meet patient needs. More recently qualified dentists working in London were more concerned regarding endodontic service access, expressed need for training/support for undertaking more endodontic treatment in the NHS primary dental care and a desire to train as a DwSI in endodontics.

show abstract

Section: Discussionmentioning

confidence: 99%

Dentists with enhanced skills (Special Interest) in Endodontics: gatekeepers views in London

Ghotane

Al-Haboubi

Kendall³

et al. 2015

BMC Oral Health

View full text Add to dashboard Cite

show abstract

“…This has an impact on the confidence of GDPs regarding oral surgery. The 2006 contract for NHS GDS dentistry has also led to an increase in referrals for MOS procedures to Secondary care causing further deskilling among referrers . We have sought to create a training programme to upskill GDPs.…”

Section: Introductionmentioning

confidence: 99%

Delivering oral surgery training in a primary care clinic

Nair¹,

Ross-Russell²

2015

Oral Surgery

View full text Add to dashboard Cite

Aim: To describe the Cambridgeshire Community Services NHS Trust Dental Service's experience of the oral surgery training of two general dental practitioners (GDPs). Materials and methods: Cambridgeshire Community Services NHS Trust Dental Service has previously presented the results of a 12-month clinical attachment to develop the skills of a referring general dental practitioner in oral surgery. We now describe our experience of further oral surgery training of two general dental practitioners who benefitted from a 6-month programme. This included one half day per week of "hands on" oral surgery experience and the development of a portfolio of evidence to demonstrate competence. Results: Our results led us to conclude that a 6-month training programme in a primary care clinic can develop trainees with appropriate skills to safely provide the full range of oral surgical treatment that is appropriate to deliver in a primary care setting. Conclusion: GDPs can be taken from low confidence and over referral to high confidence, low referral rate and the ability to take a lead in this area of clinical dentistry within their own practices. We would like Health Education England/LETBs to consider training in primary care when planning oral surgical training at all levels. Clinical relevance Scientific rationaleThis article describes how we are developing training in a primary care environment and evaluates the critical aspects of this training. Principal findingsPrimary care can be an acceptable location for training in oral surgery. Practical implicationsThroughout the UK and Scotland, provision of oral surgical services is increasingly occurring in primary care settings. Despite this innovation, the majority of training in oral surgery still takes place in teaching hospitals and secondary care oral and maxillofacial surgery departments. Consideration needs to be given to expanding training opportunities in a primary care setting.

show abstract

The advantages and disadvantages of providing minor oral surgery in primary care

Cited by 2 publications

References 12 publications

Dentists with enhanced skills (Special Interest) in Endodontics: gatekeepers views in London

Dentists with enhanced skills (Special Interest) in Endodontics: gatekeepers views in London

Delivering oral surgery training in a primary care clinic

Contact Info

Product

Resources

About