Professional Dental Guidance

Professional Dental Guidance issued by DoH

December 2016

The UK Chief Dental Officers wrote to dentists in April this year advising them that they had asked the Scottish Dental Clinical Effectiveness Programme (SDCEP) to consider the Intercollegiate Advisory Committee for Sedation in Dentistry Report ‘Standards for Conscious Sedation in the Provision of Dental Care’ (please see April 2016 section below).

SDCEP will shortly make a draft of its updated Conscious Sedation in Dentistry guidance available for a four-week open consultation. During this anyone with an interest in sedation for dental care in the UK may view the draft guidance and comment.  The consultation draft and instructions for providing feedback will be provided via the SDCEP website.

This is to give you advance notice that the four-week consultation will run from Friday 6 January 2017 to Friday 3 February 2017.

During the consultation, short telephone interviews with individuals across the UK involved in the provision of dental sedation will be carried out to inform future implementation of the guidance.  If you are interested in being interviewed, please email triads@nes.scot.nhs.uk  providing your name, dental sedation role, location and phone number.

Simon Reid, our Chief Dental Officer, would commend you to take the opportunity to reply to the consultation and to also pass on this information about the forthcoming consultation with others who you think might be interested.

April 2016

For the attention of dental team members who provide treatment under dental sedation.

In April 2015 the Intercollegiate Advisory Committee for Sedation in Dentistry (IACSD) published a report entitled ‘Standards for Conscious Sedation in the Provision of Dental Care’.

There has been some confusion in the profession, amongst some of those who provide dental treatment under conscious sedation, because the report asserted that “This publication creates a national standard for conscious sedation in dentistry and replaces the previous documents...”

As health is a devolved matter for the UK regions it is a matter for those Governments to decide what guidance to issue, or standards to set. The UK CDOs have been considering the matter of the IACSD report and have now jointly issued the attached letter to the profession in all four regions.

For the avoidance of any doubt the extant guidance for those who provide dental treatment under conscious sedation in Northern Ireland remains as has been previously issued, that is:

‘Minimum Standards Dental Care and Treatment’ (NI), 2011. Especially relevant are Standards 8.6 & 12.1-4.

‘Conscious Sedation in the provision of dental care’, Standing Dental Advisory Committee report, Department of Health, 2003.

[As has previously been endorsed by the GDC, along with support for ‘A Conscious Decision – a review of the use of general anaesthesia and conscious sedation in primary dental care’ (DH England, July 2000) and associated letters of advice from Chief Dental Officers in England, Northern Ireland, Scotland and Wales.]

The requirement to report Adverse Incidents re equipment/medicines to the Northern Ireland Adverse Incidents Centre.
That dentists practice in line with the information and action points contained in the NPSA RRR of 2008 when using Midazolam for intravenous sedation.

The above guidance remains applicable to dental teams in Northern Ireland and will continue to do so unless you are advised otherwise on the authority of the Chief Dental Officer for the Department of Health, Social Services and Public Safety Northern Ireland.

April 2016

DoH has now endorsed the Scottish Dental Clinical Effectiveness Programme (SDCEP) guidance ‘Drug Prescribing For Dentistry – Dental Clinical Guidance 3rd Edition’.

The attached letter to the dental profession provides more detailed information on the background to the guidance, the endorsement process, the importance of good Antimicrobial Stewardship, and how to access the guidance document and the associated App.

The intention is that this guidance should be used in conjunction with the British National Formulary, the British National Formulary for Children, and our own regional Northern Ireland Formulary.

March 2013

Review of Community Dental Services 

August 2012

Quality issues in record keeping: Recommendation from the Dental Hospital Inquiry

The team who carried out the independent inquiry into the Dental Hospital produced a report which included 45 recommendations.

March 2011

Minimum Standards for Dental Care and Treatment

July 2009

Guidance on Osteonecrosis associated with Bisphosphonate usage

May 2009 

Evaluation of Evidence Based Caries Reduction Programmes

February 2009

June 2008

February 2008

June 2007 

December 2006

December 2005

Survey of Dental Services to People with Learning Disabilities in Northern Ireland

May 2005 

April 2005 

The Future of Dentistry in Northern Ireland 

 

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