References

BSDH guidelines for the delivery of a domiciliary oral healthcare service. 2009. http://www.bsdh.org/documents/BSDH_Domiciliary_Guidelines_August_2009.pdf (accessed July 2021)
Lewis D, Fiske J. Domiciliary oral healthcare. Dent Update. 2011; 38:231-244
Office for National Statistics. National population projections: 2018-based. 2019. http://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationprojections/bulletins/nationalpopulationprojections/2018based (accessed July 2021)
Geddis-Regan AR, O'Connor RC. The impact of age and deprivation on NHS payment claims for domiciliary dental care in England. Community Dent Health. 2018; 35:223-227 https://doi.org/10.1922/CDH_4355Geddis-Regan05
Geddis-Regan A, Walton G. A guide to treatment planning in complex older adults. Br Dent J. 2018; 225:395-399 https://doi.org/10.1038/sj.bdj.2018.742
Morgan MZ, Johnson IG, Hitchings E Dentist skill and setting to address dental treatment needs of care home residents in Wales. Gerodontology. 2016; 33:461-469 https://doi.org/10.1111/ger.12185
Monaghan NP, Morgan MZ. What proportion of dental care in care homes could be met by direct access to dental therapists or dental hygienists?. Br Dent J. 2015; 219:531-534 https://doi.org/10.1038/sj.bdj.2015.919
Information Commissioner's Office. Guide to the UK general data protection regulation. https://ico.org.uk/for-organisations/guide-to-data-protection/guide-to-the-general-data-protection-regulation-gdpr/ (accessed July 2021)
Borreani E, Wright D, Scambler S, Gallagher JE. Minimising barriers to dental care in older people. BMC Oral Health. 2008; 8 https://doi.org/10.1186/1472-6831-8-7
El-Yousfi S, Jones K, White S, Marshman Z. A rapid review of barriers to oral healthcare for vulnerable people. Br Dent J. 2019; 227:143-151 https://doi.org/10.1038/s41415-019-0529-7
Sweeney MP, Manton S, Kennedy C Provision of domiciliary dental care by Scottish dentists: a national survey. Br Dent J. 2007; 202 https://doi.org/10.1038/bdj.2007.79
General Dental Council. Standards for the dental team. 2013. http://www.gdc-uk.org/information-standards-guidance/standards-and-guidance/standards-for-the-dental-team (accessed July 2021)
Care Quality Commission. The five key questions we ask. http://www.cqc.org.uk/what-we-do/how-we-do-our-job/five-key-questions-we-ask (accessed July 2021)
Care Quality Commission. Dental mythbuster 24: medical resuscitation equipment for domiciliary dental care. https://www.cqc.org.uk/guidance-providers/dentists/dental-mythbuster-24-medical-resuscitation-equipment-domiciliary-dental (accessed July 2021)
Harrogate and District NHS Foundation Trust. Aseptic technique procedure audit tool for dental practice. 2017. http://www.infectionpreventioncontrol.co.uk/content/uploads/2018/12/Audit-Tool-Aseptic-Technique-Procedure-for-Dental-Practice.pdf (accessed July 2021)
Public Health England. Dental health among adults in contact with domiciliary care dental services in England. 2017. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773637/Adult_users_of_domiciliary_care_dental_summary.pdf (accessed July 2021)
Wales Government. Improving oral health for older people living in care homes in Wales. 2015. https://gov.wales/sites/default/files/publications/2019-07/improving-oral-health-for-older-people-living-in-care-homes-in-wales.pdf (accessed July 2021)
NHS Health Scotland. Caring for smiles. 2013. http://www.knowledge.scot.nhs.uk/media/7460397/caringforsmilescarehomes2013.pdf (accessed July 2021)
NICE. Oral Health for adults in care homes. NICE guideline [NG48]. 2016. http://www.nice.org.uk/guidance/ng48 (accessed July 2021)
National Institute for Health and Care Excellence. Oral Health in care homes. Quality Standard (QS151). http://www.nice.org.uk/guidance/qs151/ (accessed July 2021)
Care Quality Commission. Smiling matters: oral health care in care homes. 2019. http://www.cqc.org.uk/sites/default/files/20190624_smiling_matters_full_report.pdf (accessed July 2021)
NHS Providers. Briefing: complying with the Health and Social Care act 2008 (Regulated Activities) Regulations 2014. 2015. https://nhsproviders.org/media/1058/complying-with-the-health-and-social-care-act-2008-regulated-activities-regulations-2014.pdf (accessed July 2021)

Domiciliary dental care: considerations and challenges

From Volume 48, Issue 9, October 2021 | Pages 783-790

Authors

Anjan David Pal

BDS, DPDS, MSc, DSCD RCS(Edin)

Senior Dental Officer, Powys Teaching Health Board, Park Street Clinic, Newtown, Powys, Wales

Articles by Anjan David Pal

Email Anjan David Pal

Abigale Farrar

RDN

Dental Nurse, Powys Teaching Health Board, Park Street Clinic, Newtown, Powys, Wales

Articles by Abigale Farrar

Abstract

This article examines the planning that goes into successfully providing domiciliary dental care. It includes a comment on patient demand for this type of service, what dental treatment is appropriate to offer, and the impact of relevant legislation introduced over the past 15 years.

CPD/Clinical Relevance: This article highlights some of the considerations that should be taken into account when providing dental care for patients outside the clinic environment when the need arises.

Article

Provision of dental care outside a dental practice can take place in many settings, including a patient's own home, care and nursing homes, hospital wards and schools, and for a number of reasons, including patient frailty. Domiciliary dental care is defined as provision of dental care outside the clinic setting, reaching out to those who cannot attend a clinic-based service, and this differs from dental screenings or epidemiological programmes that may take place in similar settings.1,2 Lewis and Fiske's review2 remains an accurate representation of domiciliary oral healthcare and this article provides an update in the areas most useful for clinicians.

In 2019, the Office for National Statistics reported that the number of people aged 85 and over in the UK is projected to double by 2043.3 As the population continues to age, and older people living with frailty make up a larger proportion of the population, the demand for domiciliary dental care is likely to rise. Geddis-Regan and O'Connor reported that there were 68,063 NHS payment claims for domiciliary dental care for adults in England in 2015. They also noted that service availability may be influenced by provider availability, there was a limited association between levels of deprivation and number of domiciliary claims made, and that access to a service may not always be based on need.4

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