The opinions of GDPs on the challenges of managing tooth wear in primary dental care

Abstract

As patients access most of their dental care within the primary care setting, it is relevant to consider how the experience and opinions of general dental practitioners (GDPs) influence the diagnosis, monitoring and treatment of their patients with tooth wear. This paper records the agreed outcomes of semi-structured discussions with three experienced GDPs. The aim is to continue the broader debate about how patients with tooth wear currently are and ideally could be managed within the primary care settings in England. The outcomes are also likely to be applicable to other countries, regardless of the local funding models for routine patient care.

Key points

• Tooth wear is recognised as a common clinical condition by experienced general dental practitioners and their colleagues.

• A number of challenges exist, in relation to funding models, clinical training and prioritisation of other dental conditions, that limit the management of tooth wear patients in general dental practice.

• A significant gap exists between the academic recommendation for how tooth wear should be managed and how it is actually managed in the primary care setting, and controversially, whether tooth wear should be prioritised alongside other dental conditions and in competition for public finances.