Oral Health and Dental Services for Children – Needs Assessment Report

This report was undertaken to assess the current service provision and to clarify the workforce required to sustain the service. It was undertaken against the background of improving child oral health attributed to preventive initiatives such as Childsmile. It also takes into account concerns that the age profile of paediatric- experienced dentists in Scotland indicates a significant number will be lost from the service and from the General Dental Council (GDC) specialist list over the next 5-10 years.

The report highlights a number of issues relating to the current service delivery model in general dental services (GDS), hospital dental services (HDS), the Public Dental Service (PDS) and Childsmile. It also confirms that inequalities still exist in relation to social and geographical factors such as deprivation, accessibility to services and spread of population in rural Scotland, and as such, these factors should be taken into consideration when planning services.

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Domiciliary Dental Care

The Domiciliary Dental Care Needs Assessment was undertaken to assess the current and predicted need for domiciliary care and to aid the planning of dental services for an ageing population. This was conducted against the background of a perceived decline in the provision of domiciliary dental care by General Dental Practitioners at a time of demographic change in the population.

The aims were:-

  • To describe the historical and current provision of domiciliary dental care in Scotland.
  • To identify probable gaps in service and to highlight difficulties experienced by individual patients, care homes and dental service providers.
  • To make recommendations for the future on the basis of best practice.

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Orthodontic Needs Assessment Report

The purpose of the Needs Assessment was to assess the current and desired level of orthodontic service provision and to identify key issues that are affecting the orthodontic service provision in Scotland. This was conducted against the background of the introduction of the Index of Orthodontic Treatment Need (IOTN) in October 2011 to qualify for NHS Orthodontic treatment and the changing demand for, and cost of orthodontic care. The recommendations within this Needs Assessment Report are aimed at reducing dental health inequalities.

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Scottish Dental Needs Assessment Programme (SDNAP).

—The Scottish Needs Assessment Programme (SNAP) was started in 1991 as a self-help group of public health medicine consultants to undertake the production of needs assessment, develop methodology and share their findings across Scotland.
The —SNAP programme did not include oral health until 1993 when
Ailsa Morrant established a SNAP Oral Health Group.
—
In 2008 the group was restructured with a formal link to the National Dental Advisory Group and renamed the Scottish Dental Needs Assessment Programme (SDNAP).

Endodontics

The report looks at the available information on endodontic need in Scotland, criteria for success and failure and endodontic strategies. It also addresses the issue of endodontic treatment costs. It is hoped that it will inform those who are interested in the subject of endodontics and help to guide in the development of endodontic services in Scotland.

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Restorative Dentistry

The aim of this  Scottish Dental Needs Assessment Programme (SDNAP) report was  to conduct a needs assessment of specialist restorative dentistry service provision in NHS boards across Scotland and to make future recommendations. Key findings and Recommendations are presented.

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Adult Oral Health

This report is intended to provide an overview of the main issues affecting adult oral health, to highlight particular areas of concern and to make recommendations for future research and service provision. The most prevalent dental diseases are addressed as are the requirements of certain population groups and factors influencing behaviour towards dental health.

There has been considerable change since this report was first published in 1996 .

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Oral Health Promotion

The aim of this report was to review current oral health promotion activities in Scotland to identify: content, methods and material, evaluation techniques and areas of good practice, with a view to making recommendations on the development of oral health promotion activities aimed at reducing inequalities in oral and dental health.

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Dental Implants

This report aims to review the current provision of dental implants in Scotland, to consider the respective merits of alternative treatment options and to make recommendations in the light of its conclusions.

The scope of this report concentrates on describing the various uses and indications for implants, identifying the need for them within the constraints of the available data. It  makes recommendations on the appropriateness of their use within the NHS in Scotland.

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Oral Health in Primary Care

This document addresses the issues of involvement of dental professionals in a partnership approach to improving oral health and access to oral health care services within  Local Health Care Cooperatives (LHCCs).  It looks at current practice since their introduction, reports on the problems that have arisen and why, and highlights important factors to be taken into account in the future. With the imminent formation of Community Health Partnerships, now is thought to be an opportune time to be reviewing past experience and, with this in mind, the report seeks to offer some guidance to the new Community Health Partnerships in involving the dental profession.

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An Action Plan for Improving Oral health and Modernising NHS Dental Services in Scotland

This document commonly known as the ‘Dental Action Plan’  was the then Scottish Executive’s response to  two consultation documents:-

  1. “Towards Better Oral Health in Children”
  2. “Modernising NHS Dental Services in Scotland”

The document  sets out an action plan to improve oral health in Scotland, with a particular focus on improving the oral health of our children, and presents our proposals for modernising NHS dental services in Scotland over the next 3 years but with implications for oral health and dental services to the end of the decade.

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Remote and Rural Dentistry

The aim of this Scottish Needs Assessment Programme (SNAP) report was to address the serious issues facing remote and rural communities in protecting their oral health and accessing NHS dental care.

The report covers provision of NHS dental services and the levels of oral disease in the population in remote and rural areas of Scotland. Training and Education issues have been addressed previously in the report by a Working Group on Education and Training for the Dental Team in Remote and Rural Regions (NES 2003).