Daily Mail

Good news: We don’t have to see dentist twice a year

- By Ben Spencer Medical Correspond­ent

patients are needlessly clogging up dental surgeries by going twice a year, the country’s top dentist warned yesterday.

sara Hurley urged patients to raise questions if they are invited for appointmen­ts every six months.

she said visiting every year or two would free up space for those who needed treatment for decay or gum problems.

and she added that many patients needed appointmen­ts only because they had ruined their teeth.

UK youngsters are the biggest consumers of soft drinks in europe – with teenagers getting almost a third of their sugar intake this way.

Dr Hurley, who is chief dental officer for england, said: ‘there is a misconcept­ion that you need to see a dentist every six months.

‘the public needs to appreciate that one size doesn’t fit all. if you go to have your car Mot, and the mechanic says “Come back in six months”, do you blindly adhere to that advice?’

around half of adults visit a den- tist twice a year, with almost 40 per cent going private. an nHs checkup costs £19.70, compared with up to £120 privately.

‘the worried well are the ones that always come every six months,’ Dr Hurley told the nHs innovation expo in Manchester yesterday.

‘if you could persuade them that they only need to come every 12 months then there are a group of patients who are desperate for access who could come in.

‘it’s responsibl­e use of the health service.’ the national institute for Health and Care excellence has advised since 2004 that adults should be seen at intervals varying between three and 24 months, and children between 12 and 24 months, depending on their teeth.

the guidelines stress that the appointmen­t interval should be reassessed at each visit.

Dr Hurley said improvemen­ts in oral hygiene – most significan­tly following the introducti­on of fluoride toothpaste in the 1970s – meant that for many patients sixmonth visits were unnecessar­y.

‘Most practition­ers adhere to the niCe guidance,’ she added. ‘But it’s down to patients to say “Why do i need to come back in six months”?’

On fizzy pop, Dr Hurley said: ‘We know that within england and the UK our consumptio­n is at the highest level. if you can get more people healthy then you can see more of the population who need care – 35 per cent of children in this country have active dental decay. You still need to have a pattern of seeing your dentist regularly. But that can be a dialogue, an interactio­n, of discussing how often you need to go back.’

Henrik Overgaard-nielsen, of the British Dental associatio­n, said his colleagues would willingly see as many patients as sought their help but their contracts capped the number. He added: ‘Funding exists to provide care for barely half the UK population, so it’s inevitable that more motivated patients can put that system under strain.

‘successive government­s have ensured there simply isn’t enough nHs dentistry to go around, and there is no strategy, and no ambition to ensure hard-to-reach patients get the care they need.’

Health policy analyst Roy Lilley, speaking at the same conference, said the only people who could afford to go to the dentist so often were the wealthy. ‘Dentistry has become a rich man’s hobby,’ he said. ‘it has gone off the high street into lavish surroundin­gs.’

seven per cent of the population struggles to book dental appointmen­ts.

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