Dental Therapists Research Articles

Teamworking in Dentistry: The Importance for Dentists, Dental Hygienists and Dental Therapists to Work Effectively Together-A Narrative Review.

To consider teamworking in dentistry, focusing especially on the role of dental hygienists (DHs) and dental therapists (DTs) as part of the dental team. A narrative review of studies that have investigated teamworking in periodontology and dentistry in general together with consideration of examples of relevant regulatory and governmental policy documents. The inclusion of DHs and DTs as key members of the dental team yields significant patient benefits in terms of access to care (particularly among under-served populations), efficient and effective treatment and improved healthcare outcomes for patients. However, barriers can exist to full implementation of effective working in dental teams, including both systemic and regulatory barriers, as well as attitudinal barriers. Furthermore, DHs and DTs are not always working to their full scope of practice, thereby limiting the care that these team members can provide. Mutual respect between dental team members, high-quality communication and a common ethos and shared clinical standards are all essential for effective teamworking. DHs and DTs have a clear role to play in achieving sustainable improvements in oral and dental health for patient populations globally. Full and effective integration of DHs and DTs into healthcare teams will benefit not only the dental team, but also healthcare systems and patient populations, via more effective teamworking, improved access to care and enhanced treatment outcomes.

Education of Dental Hygienists and Dental Therapists Working With Head and Neck Cancer Patients in Oral and Maxillofacial Surgery Departments in the United Kingdom-A Quantitative Study.

To investigate Dental Hygienists' (DHs) and Dental Therapists' (DTs) current undergraduate and postgraduate education with regard to the treatment of head and neck cancer (HANC) in Oral & Maxillofacial Surgery (OMFS) departments in the United Kingdom. A purposive sample of DHs and DTs, who were employed, or had been previously employed, in OMFS departments in the United Kingdom were asked to complete an online questionnaire about their education in the care and management of patients with HANC. The questionnaire was sent to members of the British Society of Dental Hygiene and Therapy (BSDHT), and the British Association of Dental Therapy (BADT) and was also posted via online forums. The questionnaire received 55 responses (response rate 83%): 54 female respondents and 1 male. Thirty-one (56%) respondents had not undertaken any HANC training. However, on starting work in an OMFS department, nine (16%) respondents reported being provided with HANC training. The results suggest that the UK review and standardise the provision of HANC training in the DH and DT educational curricula. Furthermore, it is recommended that the DH and DT curricula, at both undergraduate and postgraduate level, should include psychology training.

An unmissable event for dental hygienists and dental therapists.

An unmissable event for dental hygienists and dental therapists.

A Cross-Sectional Study of the Current and Future Dental Hygiene and Dental Therapy Student Workforce in the UK and Ireland During 2022-2025: Considering Facilitators and Barriers to the Growth of This Workforce.

With evidence suggesting that dental hygienists (DH) and dental therapists (DThs) can undertake a significant proportion of routine clinical work, this paper explores the number of recent graduates and students currently in training in the UK and Ireland and considers whether there are sufficient DH and DTh registrants to positively impact on population needs. An online questionnaire survey was distributed by the Directors of Dental Hygiene and Therapy Group to all programme leads of dental hygiene and dental therapy programmes during December 2023. There was a 100% response rate. The majority of programmes award a Bachelor's degree, with a minority offering a Diploma or Foundation degree; one programme awards an MSc level qualification. The number of graduates in the 2022-2023 academic year was 429, registered with both the General Dental Council (GDC) and Dental Council of Ireland (DCI). The numbers of DH students expected to graduate in 2023-2024 academic year is likely to increase by 44% and in 2024-2025 this will increase by a further 12% compared to the previous year. The anticipated numbers of DTh graduates registering across the UK in 2023-2024 academic year is 312, representing in a slight decrease of 3% from the previous year; in 2024-2025 this figure is expected to remain static at 313. The results of this study demonstrate the numbers of students recently graduated and in training in the UK and Ireland, during 2022-2025. The numbers of registrants is slightly increasing, but there is a need for detailed information regarding working practices to inform future workforce planning; this will inform the need for increasing training numbers.

An unmissable event for dental hygienists and dental therapists

An unmissable event for dental hygienists and dental therapists

Ensuring competency in dental radiography: A structured proforma for dental therapists and hygienists to demonstrate prior learning and experience.

Ensuring competency in dental radiography: A structured proforma for dental therapists and hygienists to demonstrate prior learning and experience.

DEVELOPMENT OF ORAL HEALTH CARE FOR COMPLETE DENTURES TREATMENT

Based on data from the Basic Health Research 2018, indicate a correlation between age and tooth loss, yet denture utilization remains comparatively low. Dental therapists are primarily responsible for enhancing oral health by preventing, treating, and managing dental problems. While authorized to collaborate with dental specialists in providing medical dental procedures. However, in many clinical settings, dental therapists are often relegated to the role of dental assistants. This limitation can be attributed to the lack of integrated dental care models for complete denture cases within specialized prosthodontic services. This study aimed to evaluate the effect of developed dental and oral health care model on patients with complete denture care on changes in the behavior of dental therapists in implementing the model. This study employs a quasi-experimental research design with a pretest-posttest design (non-equivalent control group). The research was conducted the entire population of 12 dental therapists at the prosthodontic clinic of the dental and oral hospital were randomly assigned to two groups. The intervention group received socialization on an oral health care model. Knowledge, attitude, and skills were assessed through questionnaires and observational methods both before and after the intervention. Data were analyzed statistically using paired t-test, and independent t-test. Its model is effective in behavior changes: improving knowledge (p-value 0.025; ? 7.50), attitudes (p-value 0.012; ? 7.33), skills (p-value 0.002; ? 26.67). Development of a dental and oral health care model in patients with complete denture care is effective in changing the behavior of dental therapists.

Exploring the role of postgraduate foundation training in advancing dental therapist careers.

Exploring the role of postgraduate foundation training in advancing dental therapist careers.

Utilisation of the dental workforce: a service evaluation in one dental institute.

Objective This study examines the skill set and utilisation of dental care professionals (DCPs) in secondary and tertiary dental care roles.Methods DCPs were surveyed across various specialities using the General Dental Council's Scope of practice as a reference.Results Dental nurses employ 23 out of 30 identified skills, dental therapists use 28 out of 32, and dental hygienists perform 27 out of 29 of their skills. Dental technicians use 17 out of 20 skills within their scope; however, clinical dental technicians only employ 3 out of 20 skills regularly. The majority of participants expressed a desire for further training and skill utilisation.Discussion DCPs possess diverse skill sets and a commitment to ongoing development. However, challenges, including educational priorities, patient referrals and treatment constraints, limit their scope in secondary and tertiary care.Conclusion Enhancing DCPs' contributions to patient care requires collaboration with dentists and addressing systemic barriers in secondary and tertiary dental care. Promoting additional training and full skill set utilisation can improve the dental care workforce to meet evolving patient and population needs.

Dental Therapy Foundation Training; A dental therapist's view

Dental Therapy Foundation Training; A dental therapist's view

Creating a safe space

Claire Frisby discusses the current calls for a DCP wellbeing community with dental therapist Victoria Wilson.

The hygienist's role in the management of the implant patient in primary care.

The scope of practice for dental hygienists includes the care of implants and peri-implant tissues. Hygienists in primary care settings must therefore be competent and confident in assessing, managing, and treating implant restorations and their peri-implant health. Dental hygienists also play a key role in the education of patients on oral health as part of their daily practice, a recognised and valued aspect of their clinical care responsibilities. Dental hygienists and therapists therefore have a pivotal role as adjunct support in a patient's implant journey where they can offer essential support throughout their treatment period and can provide guidance and education at regular intervals.Using current guidelines, dental hygienists and therapists can create and implement practice protocols to help deliver the necessary clinical care during pre-implant, peri-implant, and post-implant phases of care. This article discusses the processes required to achieve a healthy implant patient, how the dental team can support the patient, and how clinicians can work together to achieve the best possible clinical outcome. This article will explore current evidence-based guidance and how to implement guidance in a practice setting, with protocols for all members of the dental team, with the final goal of a dentally healthy, motivated patient.

Pertanggungjawaban Pidana Terhadap Terapis Gigi dan Mulut Atas Dugaan Malpraktik Medik di Praktik Mandiri

Dental and oral health service can be provided by Dental Therapists who have practice license in independent practice. The professional attitude of dental and oral therapists is applied to avoid medical malpractice which is an action or practice that is wrong or deviates from the correct provision or procedures. The formulation of the problem in this research is what criminal liability is for dental and oral therapists who commit medical malpractice in independent practice. The aim of this research is to determine criminal liability is for Dental Therapists who commit medical malpractice in independent practice. The research method used is problem approach used is the applicable law approach and the conceptual approach. The result of the research found that in carrying out independent practice, Dental Therapists found of violation of obligation which lead to criminal act, so Dental Therapists must be held criminal responsible and criminal sanctions are regulated in article 359 and 360 of the Criminal Code explains that the dental and oral therapist made a mistake (negligence) causing patients to be seriously injured or die, is threatened with a maximum prison sentence of five years or a maximum prison sentence of one year. The criminal liability of dental and oral therapists for violating obligations or committing negligence in independent practice must of course be proven in accordance with criminal law theory.The conclusion of this research, that in conduting personal practice, Dental Therapists must meet the applicable requirements, and if there ia a violation that causes harm to the patients, they must be held and face criminal sanctions.

Improving the Managerial Ability of Dental and Oral Therapists in Adolescent Health Services through the Posyandu Management Information System (SIMYANDU)

Dental and oral therapists provide health services to adolescents in the Soppeng Regency area in the implementation of planning management, especially in posyandu, which is still manual and has not been implemented properly. The Posyandu Management Information System (SIMYANDU) is an information system that can overcome problems and improve the managerial skills of dental and oral therapists. This study uses the Research and Development (R&D) method, model testing using the pre-experimental design method. The data from the model test results were tested using Aiken's V and Intraclass Correlation Coefficient (ICC). The results of the expert validation test on SIMYANDU obtained an average feasibility score of 100% which means it is feasible as a posyandu management information system based on expert validation (v=0.68), ICC value (p=0.940). Assessment of the managerial ability of dental and oral therapists after treatment is meaningful. The results of the effect size test on the aspects of problem identification (p=0.001), problem priority (p=0.001), cause of problem (p=0.003), alternative solution to the problem (p=0.001), planning (p=0.001) means that the web-based SIMYANDU model to improve the managerial ability of dental and oral therapists is very effective in adolescent health services in the Soppeng Regency area. This study shows that the application of the web-based SIMYANDU model is feasible and its application is effective in improving the managerial ability of dental and oral therapists in health services for adolescents in the Soppeng Regency area.

Evaluation of postgraduate foundation training for dental therapists: does participation enhance career prospects?

Objectives This study explored the value of dental therapy foundation training (DTFT) in the UK and how participation influenced career prospects.Aims To examine the efficacy of postgraduate foundation training for dental therapists (DTs) and evaluate whether participation increased clinical confidence. To investigate whether participation in the scheme enhanced career prospects and to determine barriers encountered by DTs in securing suitable positions, inclusive of COVID-19 restrictions.Methods The study used a survey incorporating open, closed, Likert-scale and multiple-choice questions. Quantitative data were analysed with IBM SPSS Statistics v26. Analysis of qualitative data was undertaken by two researchers. Final themes and subthemes were confirmed following round table discussions.Results A total of 94 survey responses were received: 61 from DTs who had not undertaken DTFT (Group A) and 33 who had undertaken DTFT (Group B). Most respondents were female (95%) with a mean age of 33.8 and 32.9 years, respectively. In total, 58.3% of Group A respondents did not believe that completing DTFT would have enhanced their career prospects, whereas 63.6% of Group B said that they gained a position as a result of completing DTFT. Participation in DTFT increased perceived clinical confidence in Group B and 81.8% were likely to recommend DTFT to their peers. A total of 12 major themes and 13 subthemes were identified.Conclusions DTFT schemes were considered a valuable educational experience which increased clinical confidence. Participation may have enhanced career prospects. Barriers were encountered by DTs when seeking work, regardless of participation in DTFT.

An integrated curriculum for dentists and dental therapists in Liverpool.

The role of the dental therapist has evolved over the course of the past 70 years, both in the UK and across the globe. The General Dental Council's Scope of practice guidance sets out the skills and abilities of each of the professional roles within the dental team, including the dental therapist. Scope of practice of the multidisciplinary team remains poorly understood, to the detriment of teamworking. The dental profession is under pressure and the development of a flexible and appropriately trained skill mix might help us adapt to meet the oral health needs of the population, while leveraging a sustainable workforce. In 2019, the School of Dentistry at the University of Liverpool introduced a novel 'centennial curriculum', designed to fully integrate the interprofessional training requirements of dentists and dental therapists, following application via two distinct routes of entry. Challenges have arisen and addressing these has required a culture of openness and honesty regarding the complexities of shared care and scope of practice.

The exemption mechanism for dental hygienists and therapists

The exemption mechanism for dental hygienists and therapists

Scoping an interdisciplinary model of student dental therapists in maxillofacial trauma.

Introduction This paper outlines a short pilot programme to assess the feasibility of an interdisciplinary model of involving student dental therapists in the management of maxillofacial trauma patients. It involved dental therapy students attending an oral and maxillofacial surgery trauma review clinic at a major trauma hospital in London, UK.Approach The small cohort of 15 second-year dental hygiene and therapy (BSc in Oral Health) students attended the trauma clinic once a week in pairs, over a period of six weeks, after which they completed a survey questionnaire.Findings No students had previous experience of dealing with trauma patients. The majority (81.8%) had learnt something by attending the clinic. Almost all (91.7%) had not thought previously about the importance of oral hygiene in maxillofacial trauma patients. By the end of the pilot programme, ten students (83.3%) felt that they had a role to play in the care of these trauma patients and they felt valued as members of the wider team.Conclusion These initial findings suggest that the scheme has potential for incorporation of maxillofacial trauma experience within the formal dental therapy curriculum. This would prepare them for future involvement in the management of maxillofacial trauma patients to promote oral health benefits and more widely, to work as a team member in interprofessional health care.

Clinical skills competition expanded to include dental therapists

Clinical skills competition expanded to include dental therapists

Integration of dental therapists in safety net practice increases access to oral health care in Minnesota.

This study evaluates the impact of introducing dental therapists (DTs) into Children's Dental Services (CDS), a large non-profit organization in Minnesota. The aim is to assess the effect of DTs in improving access and reducing dental care costs in Minnesota by analyzing the trends in dental care delivery and procedures performed by CDS dentists and therapists. Using 2009 to 2021 data from CDS, the study compares trends in patient volume, types of procedures, salary data and payments by dentists, DTs, and registered dental hygienists (RDH). Return on investment (ROI) trends are calculated using salary and revenues for each provider type. After introducing DTs at CDS and implementing mobile clinics, the number of patients served and volume increased steadily, demonstrating increased access. DTs provided an increasing proportion of fluorides, sealants, and extractions through 2020. Interestingly 2021, there was a decrease for DTs, possibly due to Covid related workforce shortages. ROI analysis showed that DTs' ROI dramatically rose, eventually surpassing dentists, while RDHs maintained a constant ROI. Dentists' ROI also initially increased after adopting DTs in the practice. Integrating DTs at CDS improved access by expanding mobile clinics, increasing patient volume, and redistributing procedures, while demonstrating a positive return on investment. Results suggest that adopting the DT model may be a promising practice for other organizations seeking to improve access to dental care, increase operational efficiency, and boost the dental care team's ROI.