References

Smith NJ. The education and training of personnel auxiliary to dentistry. A submission to the Nuffield Foundation. Br Dent J. 1993; 175:193-195 https://doi.org/10.1038/sj.bdj.4808269
Banerjee A. ‘Minimum intervention’ – MI inspiring future oral healthcare?. Br Dent J. 2017; 223:133-135 https://doi.org/10.1038/sj.bdj.2017.644
Banerjee A, Doméjean S. The contemporary approach to tooth preservation: minimum intervention (MI) caries management in general practice. Prim Dent J. 2013; 2:30-37 https://doi.org/10.1308/205016813807440119
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014; 90:149-154 https://doi.org/10.1136/postgradmedj-2012-131168
NHS England. How to ensure the right people, with the right skills, are in the right place at the right time. A guide to nursing, midwifery and care staffing capacity and capability. 2016. https://www.england.nhs.uk/wp-content/uploads/2013/11/nqb-how-to-guid.pdf (accessed April 2022)
Child dental health survey 2013. Report 2: dental disease and damage in children England, Wales and Northern Ireland. https://files.digital.nhs.uk/publicationimport/pub17xxx/pub17137/cdhs2013-report2-dental-disease.pdf (accessed April 2022)
Agustsdottir H, Gudmundsdottir H, Eggertsson H Caries prevalence of permanent teeth: a national survey of children in Iceland using ICDAS. Community Dent Oral Epidemiol. 2010; 38:299-309 https://doi.org/10.1111/j.1600-0528.2010.00538.x
Chestnutt IG, Schafer F, Jacobson AP, Stephen KW. Incremental susceptibility of individual tooth surfaces to dental caries in Scottish adolescents. Community Dent Oral Epidemiol. 1996; 24:11-16 https://doi.org/10.1111/j.1600-0528.1996.tb00804.x
Taylor GD, Pearce KF, Vernazza CR. Management of compromised first permanent molars in children: cross-Sectional analysis of attitudes of UK general dental practitioners and specialists in paediatric dentistry. Int J Paediatr Dent. 2019; 29:267-280 https://doi.org/10.1111/ipd.12469
Alkhalaf R, Neves AA, Banerjee A, Hosey MT. Minimally invasive judgement calls: managing compromised first permanent molars in children. Br Dent J. 2020; 229:459-465 https://doi.org/10.1038/s41415-020-2154-x
Elderton RJ. The prevalence of failure of restorations: a literature review. J Dent. 1976; 4:207-210 https://doi.org/10.1016/0300-5712(76)90049-x
Elderton RJ. Clinical studies concerning re-restoration of teeth. Adv Dent Res. 1990; 4:4-9 https://doi.org/10.1177/08959374900040010701
Featherstone JD, Doméjean S. Minimal intervention dentistry: part 1. From ‘compulsive’ restorative dentistry to rational therapeutic strategies. Br Dent J. 2012; 213:441-445 https://doi.org/10.1038/sj.bdj.2012.1007
FDI policy statement on minimal intervention dentistry (MID) for managing dental caries: adopted by the General Assembly: September 2016, Poznan, Poland. Int Dent J. 2017; 67:6-7 https://doi.org/10.1111/idj.12308
Walsh LJ, Brostek AM. Minimum intervention dentistry principles and objectives. Aust Dent J. 2013; 58:3-16 https://doi.org/10.1111/adj.12045
Banerjee A. Minimum intervention (MI) oral healthcare delivery implementation – overcoming the hurdles. Prim Dent J. 2017; 6:28-33 https://doi.org/10.1308/205016817821930944
Banerjee A. Minimum intervention oral healthcare delivery - is there consensus?. Br Dent J. 2020; 229:393-395 https://doi.org/10.1038/s41415-020-2235-x
Innes NP, Manton DJ. Minimum intervention children's dentistry – the starting point for a lifetime of oral health. Br Dent J. 2017; 223:205-213 https://doi.org/10.1038/sj.bdj.2017.671
Splieth CH, Banerjee A, Bottenberg P How to intervene in the caries process in children: a joint ORCA and EFCD expert Delphi consensus statement. Caries Res. 2020; 54:297-305 https://doi.org/10.1159/000507692
General Dental Practice. 2013. http://www.gdc-uk.org/standards-guidance/standards-and-guidance/scope-of-practice (aaccessed April 2022)
Belbin RM., 2nd edn. Oxford: Routledge; 2010
Tuckman BW. Developmental sequence in small groups. Psychol Bull. 1965; 63:384-399 https://doi.org/10.1037/h0022100
Barnes E, Bullock A, Cowpe J General dental practices with and without a dental therapist: a survey of appointment activities and patient satisfaction with their care. Br Dent J. 2018; 225:53-58 https://doi.org/10.1038/sj.bdj.2018.522
Nilchian F, Rodd HD, Robinson PG. Influences on dentists' decisions to refer paediatric patients to dental hygienists and therapists for fissure sealants: a qualitative approach. Br Dent J. 2009; 207 https://doi.org/10.1038/sj.bdj.2009.856
Dyer TA, Brocklehurst P, Glenny AM Dental auxiliaries for dental care traditionally provided by dentists. Cochrane Database Syst Rev. 2014; (8) https://doi.org/10.1002/14651858.CD010076.pub2
Arrow P, Klobas E. Child oral health-related quality of life and early childhood caries: a non-inferiority randomized control trial. Aust Dent J. 2016; 61:227-235 https://doi.org/10.1111/adj.12352
Brocklehurst P, Pemberton MN, Macey R Comparative accuracy of different members of the dental team in detecting malignant and non-malignant oral lesions. Br Dent J. 2015; 218:525-529 https://doi.org/10.1038/sj.bdj.2015.344
Macey R, Glenny A, Walsh T The efficacy of screening for common dental diseases by hygiene-therapists: a diagnostic test accuracy study. J Dent Res. 2015; 94:70S-78S https://doi.org/10.1177/0022034514567335
Chana P, Orlans MC, O'Toole S Restorative intervention thresholds and treatment decisions of general dental practitioners in London. Br Dent J. 2019; 227:727-732 https://doi.org/10.1038/s41415-019-0849-7
Doméjean S, Léger S, Simon A Knowledge, opinions and practices of French general practitioners in the assessment of caries risk: results of a national survey. Clin Oral Investig. 2017; 21:653-663 https://doi.org/10.1007/s00784-016-1932-y
Doméjean-Orliaguet S, Léger S, Auclair C Caries management decision: influence of dentist and patient factors in the provision of dental services. J Dent. 2009; 37:827-834 https://doi.org/10.1016/j.jdent.2009.06.012
Mirsiaghi F, Leung A, Fine P An investigation of general dental practitioners' understanding and perceptions of minimally invasive dentistry. Br Dent J. 2018; 225:420-424 https://doi.org/10.1038/sj.bdj.2018.744
Schwendicke F, Doméjean S, Ricketts D, Peters M. Managing caries: the need to close the gap between the evidence base and current practice. Br Dent J. 2015; 219:433-438 https://doi.org/10.1038/sj.bdj.2015.842
Pitts N. Preventive and minimal intervention dentistry in the undergraduate curriculum. J Dent. 2011; 39:S41-48 https://doi.org/10.1016/j.jdent.2011.10.013
Pink DH. Drive: The Surprising Truth about What Motivates Us.New York: Riverhead Books; 2009
Rosen MA, DiazGranados D, Dietz AS Teamwork in healthcare: key discoveries enabling safer, high-quality care. Am Psychol. 2018; 73:433-450 https://doi.org/10.1037/amp0000298
Dyer TA, Humphris G, Robinson PG. Public awareness and social acceptability of dental therapists. Br Dent J. 2010; 208 https://doi.org/10.1038/sj.bdj.2010.1
Dyer TA, Robinson PG. The acceptability of care provided by dental auxiliaries: a systematic review. J Am Dent Assoc. 2016; 147:244-254 https://doi.org/10.1016/j.adaj.2015.09.018
Marshman Z, Gibson BJ, Owens J Seen but not heard: a systematic review of the place of the child in 21st-century dental research. Int J Paediatr Dent. 2007; 17:320-327 https://doi.org/10.1111/j.1365-263X.2007.00845.x
General Dental Council. Scope of practice review: final report. 2020. https://www.gdc-uk.org/about-us/what-we-do/research/our-research-library/detail/report/scope-of-practice-review (accessed April 2022)
Kopycka-Kedzierawski DT, Bell CH, Billings RJ. Prevalence of dental caries in Early Head Start children as diagnosed using teledentistry. Pediatr Dent. 2008; 30:329-333
D´Cruz L, Swanton V. The role of the foundation dentist in the dental team and the legal liabilities for their employer during COVID-19. BDJ in Practice. 2020; 33:20-21
Calache H, Hopcraft MS, Martin JM. Minimum intervention dentistry – a new horizon in public oral health care. Aust Dent J. 2013; 58:17-25 https://doi.org/10.1111/adj.12046
Schwendicke F, Foster Page LA, Smith LA To fill or not to fill: a qualitative cross-country study on dentists' decisions in managing non-cavitated proximal caries lesions. Implement Sci. 2018; 13 https://doi.org/10.1186/s13012-018-0744-7

Minimum intervention oral care delivery for children: developing the oral healthcare team

From Volume 49, Issue 5, May 2022 | Pages 424-430

Authors

Sarah Young

BSc (Hons), BDS, MJDF RCS (Eng), GDP

Hafren House Dental Practice, Alfreton Derbyshire

Articles by Sarah Young

Email Sarah Young

Bhupinder Dawett

BDS MDPH

Doctoral Research Fellow, School of Clinical Dentistry, University of Sheffield

Articles by Bhupinder Dawett

Amanda Gallie

RDT, RDH, FAETC, MSc AMID

Dental Hygienist and Dental Therapist, Bupa Dental Care, Stamford

Articles by Amanda Gallie

Avijit Banerjee

BDS, MSc, PhD (Lond), LDS, FDS (Rest Dent), FDSRCS (Eng), FCGDent, FHEA, FICD

Professor of Cariology & Operative Dentistry, Hon Consultant in Restorative Dentistry, King's College London Dental Institute at Guy's Hospital, KCL, King's Health Partners, London, UK

Articles by Avijit Banerjee

Chris Deery

BDS, MSc, FDS RCS Ed, PhD, FDS (Paed Dent), RCS Ed, FDS RCS Eng, FHEA

Professor/Honorary Consultant in Paediatric Dentistry, School of Clinical Dentistry, University of Sheffield

Articles by Chris Deery

Abstract

This article discusses the potential use of the oral healthcare team in the delivery of minimum intervention oral care (MIOC) for caries management in children. It summarizes opportunities and difficulties, both evidenced and anticipated, in the context of general dental practice in the UK. Given the push to provide safe and effective care using wider members of the oral healthcare team, this article offers insight into potential barriers and facilitators that may present in general dental practice.

CPD/Clinical Relevance: There is a belief that the wider team within general dental practice will have an increasingly important role to play in the provision of oral and dental care.

Article

Teamworking enables organizations, large or small, to take advantage of the variety of skills, knowledge, experience available and the potential to make the most efficient use of available resources. There has been a shift in medicine from the solitary general practitioner working alone, to a team-based approach, with specialists, doctors with special interests, practice nurses with extended duties, all working collaboratively. Several papers have espoused the potential benefits of such an integrated team-based approach to the delivery of oral and dental care where clinical interventions are provided, not just solely by the dentist, but by other dental care professionals (DCPs). In general dental practice, workforce skill-mix has been encouraged for several years with many advocating greater use of DCPs.1,2,3 Using members of an oral healthcare team to work collaboratively is not without its challenges, however.4 Effective evidence-based healthcare can be expressed as the ‘right care being delivered by the right people to the right people in the right place at the right time’.5 This article focuses primarily on primary care dental practice in the United Kingdom.

Register now to continue reading

Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available