A survey of various aspects of primary dental care

Key Points

• The majority of primary dental care continues to be provided under NHS arrangements by practitioners working in partnership/group practices.

• Hygienists' support is more likely to be found in insurance-based practices.

• Practitioners attend on average five or more postgraduate courses a year.

• Few practitioners are currently using on-line CPD.

• A minority of practitioners routinely use magnification.

Abstract

Objectives To investigate, by questionnaire, various aspects of primary dental care provision in the North West of England and Scotland.

Method A questionnaire containing 79 questions was sent to 1,000 practitioners, selected at random, in the North West of England and Scotland. Non-responders were sent another questionnaire after a period of 4 weeks had elapsed.

Results Overall a response rate of 70% was achieved. The majority of practitioners were practice principals (65%), working in a group NHS practice (80%) located in a city or town centre (49%). On average 10-20 patients were treated each session with fewer patients treated per session under private arrangements. Many practitioners were found to lack hygienist support (44%) and to employ unqualified dental nurses (82%). Younger practitioners were more likely than senior colleagues to have access to up-to-date computers whilst 37% and 74% of respondents never used CAL programmes or magnification respectively. Contemporary cross-infection control standards were used by the majority of practitioners, although 3% of practitioners reported only autoclaving their handpiece once a day.

Conclusions The majority of practitioners, involved in this study, worked under National Health Service (NHS) regulations as principals in a group practice where the workload was greater than the private/independent sector. Contemporary cross-infection procedures were used routinely. In contrast, computer-aided learning programmes and magnification were not used routinely. The practitioners in this study employed significant numbers of unqualified dental nurses.

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