A Quantitative Study of General Dental Practitioner Orthodontic Care in Scottish Health Board Areas (1966–1975)

1979 ◽  
Vol 6 (4) ◽  
pp. 171-176 ◽  
Author(s):  
Sydney Haynes
Keyword(s):  
National Health Service ◽  
Orthodontic Treatment ◽  
Quantitative Assessment ◽  
Dental Service ◽  
Health Board ◽  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
The Mean ◽  
Area Health

A quantitative assessment of the true dental practitioner contribution to orthodontic care in Scottish Health Board areas during the period 1966–1975, shows that the amount of orthodontic treatment given by general dental practitioners in Scotland has diminished in the 10 year period studied. A wide variation was observed in respect of the mean number of orthodontic treatments per year per practitioner, and there was also a lack of uniformity in the proportion of practitioners providing an orthodontic service relative to the different area health boards. The findings have also shown that between 1966–1975, a considerable reduction has occurred in the mean number of practitioner orthodontic treatments commenced each year in the Greater Glasgow and Lothian Health Board areas. The evidence of this study also suggests that orthodontics should become recognized as a postgraduate dental specialty and that it would be appropriate to introduce specialist registration as a means of improving the quality and quantity of orthodontic care within the National Health Service. This should also be accompanied by certain administrative changes, as the present anomalous situation whereby specialist practitioners are permitted to practise within the general dental service should be discontinued.

PATIENTS' PERCEPTIONS OF GENERAL DENTAL PRACTITIONERS: THE INFLUENCE OF ETHNICITY AND SEX OF DENTIST

2001 ◽  
Vol 29 (6) ◽  
pp. 601-606 ◽  
Author(s):  
J. Timothy Newton ◽  
Lucy Davenport-Jones ◽  
Matthew Idle ◽  
Mina Patel ◽  
Alex Setchell ◽  
...  
Keyword(s):  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
Other Information

A total of 126 participants were asked to select, from a series of photographs, the dentist which they perceived as: most caring, most competent, and which they would wish to have as their own dentist. White European male dentists were most likely to be chosen as the respondents' general dental practitioner. Men were generally perceived as more competent than women. Women were more likely to be chosen as the most caring dentists. It is concluded that, in the absence of other information, sex and ethnicity of the dentist exert an influence on patients' perceptions of general dental practitioners.

Role of the general dental practitioner in managing the risks of orthodontic treatment

BDJ ◽  
2021 ◽  
Vol 231 (11) ◽  
pp. 682-688
Author(s):  
Prashanth Narayanan ◽  
Badri Thiruvenkatachari ◽  
Andrew T. DiBiase
Keyword(s):  
Orthodontic Treatment ◽  
Dental Practitioner ◽  
General Dental Practitioner

Orthodontic Treatment in the General Dental Service Assessed by the Occlusal Index

1983 ◽  
Vol 10 (4) ◽  
pp. 178-186 ◽  
Author(s):  
R. J. Elderton ◽  
J. D. Clark
Keyword(s):  
Health Care ◽  
Measurement Errors ◽  
Orthodontic Treatment ◽  
Dental Service ◽  
Index Score ◽  
End Of Treatment ◽  
Before And After ◽  
The Mean

As with all other aspects of health care, orthodontic treatment should be evaluated in as objective a manner as possible. In this study, the models of a sample of 256 patients treated by appliance therapy in the General Dental Service were examined. The Occlusal Index was first refined and variability in its use due to articulation and measurement errors was assessed. It was then used to quantify occlusal status both before and after treatment, and thereby monitor changes brought about by treatment. The mean Occlusal Index score at the beginning of treatment was 9·9. At the end of treatment, the mean score had dropped to 5·5. There was wide variation among individual cases, but some reduction was found in 88 per cent of instances. In 56 per cent of cases the reduction ranged up to 6 units, while in 29 per cent of cases the reduction was 6–12 units. However, in cases which started with a marked malocclusion, only about one-third showed a sizeable improvement. In about one-third of all cases there was little improvement in the malocclusion. While there is room for further refinement of the Occlusal Index to increase its usefulness in quantifying occlusal status brought about during orthodontic treatment, the present findings provide a basis for future comparisons.

Regional Variation in the Provision and Cost of General Dental Service Orthodontic Treatment in England and Wales

1989 ◽  
Vol 16 (2) ◽  
pp. 67-74 ◽  
Author(s):  
K. D. O'Brien ◽  
W. C. Shaw ◽  
C. T. Roberts ◽  
C. D. Stephens
Keyword(s):  
Regional Variation ◽  
Orthodontic Treatment ◽  
Regional Distribution ◽  
Dental Service ◽  
Treatment Rate ◽  
Significant Relationships ◽  
General Dental Practitioner ◽  
Treatment Provision ◽  
Capita Spending ◽  
Per Capita

The regional distribution of orthodontic treatment provision through the General Dental Service was examined, with reference to, per capita spending, cost per case and treatment rate; a marked regional variation in these variables was detected. The regional distributions of the specialist orthodontic practitioner and the General Dental Practitioner were calculated; and also exhibited a marked regional variation. The relationships between the regional distributions of manpower, treatment rate, and spending on orthodontic treatment were calculated. It was found that there were significant relationships between the regional distribution of manpower and treatment rate and per capita spending, but not cost per case. Possible explanations are discussed.

A Comparison of the Frequency of General Practitioner Orthodontic Treatments in Scotland 1966 and 1975. Should the Present System be Reviewed?

1980 ◽  
Vol 7 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Sydney Haynes
Keyword(s):  
Orthodontic Treatment ◽  
Postgraduate Training ◽  
Dental Service ◽  
Present System ◽  
Positive Role ◽  
The United Kingdom ◽  
Comprehensive Service ◽  
Dental Practitioners ◽  
Satisfactory Method

In both 1966 and 1975, a relatively high proportion of general dental practitioners in Scotland failed to provide orthodontic treatment in the General Dental Service (35 and 38 per cent respectively), and the majority of those practitioners providing an orthodontic service commenced treatment for no more than ten patients in each of these years, i.e. 56 per cent (1966) and 61 per cent (1975). These findings indicate that an urgent review of the present system is required if the quantity and quality of orthodontic treatment provided by the British National Health Service is to be improved. The present system has remained virtually unchanged since 1947, and it can now be seen to be both inefficient and uneconomic. The anomaly of specialist orthodontists acting as ‘general dental practitioners’ in practices ‘limited to orthodontics’ in the General Dental Service is also discussed. It is suggested that those dental specialties requiring prolonged postgraduate training should receive formal specialist recognition and status in the United Kingdom, and that the most satisfactory method of providing a more comprehensive service is by the recognition of orthodontics as a true specialty and by the simultaneous expansion of the hospital service to play a more positive role in the provision of treatment.

Discontinued Orthodontic Treatment in the General Dental Service and Community Dental Service in England and Wales during the Summer of 1991

1996 ◽  
Vol 23 (2) ◽  
pp. 125-128 ◽  
Author(s):  
K. A. Eaton ◽  
C. D. Stephens ◽  
R. A. Heesterman
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Orthodontic Treatment ◽  
Dental Service ◽  
England And Wales

This paper reports on two studies which investigated levels of discontinued orthodontic treatment amongst patients under IS years, who had been treated in the General Dental Service (GDS) and Community Dental Service (CDS) of the National Health Service during June and July 1991. These complement the study of discontinued Hospital Dented Service treatment already reported. The studies indicated that, at the time, the levels were 13·1 per cent in the GDS and 12·5 per cent in the CDS. The figure for the GDS was much lower than that of 20 per cent reported in the Sehansehieff Report. There was little difference in the levels of discontinued treatment between those working in the GDS with an orthodontic qualification (12·1 per cent) and those without (13·5 per cent). The results suggest that the levels for discontinued orthodontic treatment in those aged under 18 years of age may be lower than previously reported.

Mouth Cancer: the Maxillofacial Surgeon's perspective

Dental Update ◽  
2020 ◽  
Vol 47 (10) ◽  
pp. 831-838
Author(s):  
Alexander MC Goodson ◽  
Satyesh Parmar ◽  
Prav Praveen ◽  
Matthew Idle ◽  
Timothy Martin
Keyword(s):  
Oral Cancer ◽  
Maxillofacial Surgery ◽  
Treatment Phase ◽  
Oral And Maxillofacial Surgery ◽  
Early Management ◽  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
Oral And Maxillofacial Surgeon ◽  
Surgical Treatments

This article summarizes current practice according to UK guidelines for the management of oral cancer from the perspective of the oral and maxillofacial surgeon. The article discusses the patient pathway, starting with recognition of sinister features by the general dental practitioner in primary care and referral to specialist oral and maxillofacial surgery services, followed by the multidisciplinary approach to tumour staging, cancer treatment planning and delivery, and finally key issues in the ‘post-treatment’ phase of cancer care. Additional focus is provided for some of the surgical treatments and anatomical and physiological changes, of which the general dental practitioner should have some understanding. CPD/Clinical Relevance: General dental practitioners play a key role in the detection and early management of oral cancer, referring approximately 40% of all cases to secondary care. It is therefore important to understand key milestones and technical elements of the patient's journey.

An Investigation into some of the Factors Influencing the Desire for Orthodontic Treatment

1986 ◽  
Vol 13 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Mary B. E. Gosney
Keyword(s):  
Orthodontic Treatment ◽  
Patient Acceptance ◽  
Dental Practitioner ◽  
Factors Influencing ◽  
General Dental Practitioner

A sample of 207 patients and their respective parents were surveyed to assess the influence various occlusal anomalies and other factors had had in stimulating a desire for orthodontic treatment. From the results obtained it is thought that more attention should be given to the particular occlusal and aesthetic deviations which are causing concern to the patient: assumptions based purely upon the presenting occlusal condition should be avoided. It was shown that for the majority of patients the provision of orthodontic care was dictated largely by aesthetics but that the general dental practitioner exerted an appreciable influence on patient acceptance of treatment.

Mandibular lateral incisor-canine transposition: A case series

2021 ◽  
pp. 146531252199636
Author(s):  
Othman Hameed ◽  
Aneesh Kalra ◽  
Gursharan Minhas
Keyword(s):  
Early Diagnosis ◽  
Orthodontic Treatment ◽  
Case Series ◽  
Lateral Incisor ◽  
Canine Tooth ◽  
Dental Practitioner ◽  
Complete Transposition ◽  
General Dental Practitioner

Dental transpositions are rare anomalies, which may present to the general dental practitioner or orthodontist. Transpositions occur less frequently in the mandible compared with the maxilla, with the most common mandibular transposition involving the mandibular lateral incisor and canine. The degree of displacement can vary from a relatively minor deviation to complete transposition of the mandibular lateral incisor with the adjacent canine tooth. Due to their highly visible position at the front of the mouth, treatment, ideally involving alignment of these teeth, is important for aesthetic, social and functional purposes. This case series reports six cases with mandibular lateral incisor-canine transposition. They demonstrate the variety in presentation and subsequent management of the ectopic teeth. The importance of early diagnosis in combination with interceptive treatment is discussed, to reduce the burden of potentially lengthy orthodontic treatment at a later date.

Temporomandibular Disorder for the General Dental Practitioner

2018 ◽  
Vol 7 (4) ◽  
pp. 62-70
Author(s):  
Emma Beecroft ◽  
Chris Penlington ◽  
Hannah Desai ◽  
Justin Durham
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
General Population ◽  
Temporomandibular Disorder ◽  
Common Cause ◽  
Dental Practitioner ◽  
General Dental Practitioner ◽  
Dental Practitioners ◽  
Orofacial Region ◽  
Management Challenge

Temporomandibular disorder (TMD) is the most common cause of chronic pain in the orofacial region. With prevalence in the general population reported at 10% to 15%, patients will regularly present to general dental practitioners (GDPs) with symptoms relating to TMD. Despite its relative commonality, TMD continues to pose both a diagnostic and management challenge for the general dental practitioner. This article aims to guide clinicians with regards to clinical examination, diagnosis and biopsychosocial management of TMD within primary care.

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