Zusammenfassung der Ressource
Orthodontics Week 1 - Dentistry intro
- DENTAL TEAM ROLES
- Dental Nurse: Provides
clinical support to operator
- Preparing materials,
maintaining environment and
equipment, reasurring
patient, process dental
radiographs, take
impressions,
- Infection prevention
procedures
- Record clinical info
from dentist
- Dental Hygienist: helps
prevent and treat
periodontal disease
- Direct treatment under own autonomy (if
within area of competence) or under
prescription from dentist
- Does scaling and polishing
teeth, and applying topical
fluoride and fissure sealants
- Dental Therapist
- Direct treatment or under prescription from dentist
- can do SLIGHTLY MORE THAN HYGENIST, including
restorations and crowns
- Oral assessment, scaling and polishing, applying
materials to teeth such as fluoride and fissure sealants,
taking dental radiographs, providing dental health
education
- Can perform extractions
- Valuable member for
patients with ongoing
treatment, e.g. lots of
decay
- Orthodontic Therapist :
Ltd range orthodontic
procedures
- Taking impressions/ clinical
photographs, The placement of
brackets and changing of orthodontic
archwires
- DOES NOT diagnose and
devise treatment plan -
supervising orthodontist
does this
- Dental Technician: Makes dental
devices under prescription of dentist /
dent. technician
- Makes: Dentures, crowns,
bridges and dental braces
- Can also fix broken
dentures
- Clinical Dental Technician:
Qualified dental technician
with extra training
- Can provide complete dentures or
can work with natural teeth /
implants under prescription from
dentist
- Refer to dentist if
concerned about oral
health or if patient needs
treatment plan.
- All have to be registered with the GDC
to work in the UK
- Anything relating to the care / hygene
of oral cavity, including dentition and
oral mucosa, but also maxillofacial (jaw
and facial) area.
- Dentist is qualified to treat
conditions that affect the teeth
and gums, especially the repair
and extraction of teeth and the
insertion of artificial ones
- Dentists can also be 'specialists'
with post grad training
- Don't have to be on the list
to practice a speciality
- Orthodontics: Correction, prevention
and development of irregularities of
the teeth, bite and jaw
- Dentist can undertake
orthodontic treatment, but
can't call selves orthodotist.
- Irregularities of the jaw
and mouth may require
surgical intevention
- SPECIAL care dentistry: Those with
LD, social impairment, sensory issue,
physical disability etc...
- Useful for patients who
take longer to treat or
need calm environment
- Adolescents and adults
- Paediatric dentistry: Birth -
adolescence - including those
with ID etc...
- Work in schools but
some in community
- Endodontics: diagnosis, prevention
and treatment of disease / injury to
tooth root, dental pulp and
surrounding tissue
- Periodontics: diagnosis,
prevention and treatment of
disease / injury to gums and
structures around teeth
- Bone is lost as inflammation
dissolves away at it, plaque
develops etc….
- Prosthodontics: replace ment of
missing teeth, soft / hard tissue by
prosthesis crowns, bridges,
dentures etc...
- Tooth in and out
- tooth screw in
- Tooth latch on to other tooth
- RESTORATIVE
DENTISTRY:
Endo,
perio
or
prsthodontics
- DENTAL PUBLIC HEALTH
- Make sure services
are meeting needs
of local population
- Focus on educating people
- Non-clinical speciality
- Oral medicine: Oral health care of
patients with chronic recurrent
and medically related disorders
of the mouth
- e.g. management of
‘lichen planus’ (2% of
which can become
malignant)
- Oral
microbiology:
diagnosis and
assessment of
bacterial and
fungal infections
affecting face
- Laboratory-based
personnel who
provide reports and
advice
- Oral and Maxillofacial Pathology:
Assessment and diagnosis of tissue
changes - indicative of disease oral
cavity, saliva glands & jaws
- Laboratory based personell
- Dental and Maxillofacial
Radiology: Medical imaging to
provide info about anatomy,
function and diseased state of
teeth and jaw
- NHS: PRIMARY
- General dental services:
Range of treatments
necessary
- Dentures, root canal
treatment, crowns and
bridges, fillings
Preventative
treatment – scale and
polish - No cosmetic
- Commission services from
NHS England to provide
care - contract w. local area team
- Run as independent business -
not direct employees of NHS
- Refer via
NHS
choices site
- NHS: SECONDARY
- Consultant led, hospital based -
additional specialities
- Treatment of
complex
problems,
multidisciplinary
care
- Second opinions
- Surgery for
malocclusion which
orthodontics can't
correct
- Obstructive Sleep
Apnoea treatment
- Tertiary: All dental
specialities also training
and teaching