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Scope of Practice For Dentists PDF
Scope of Practice For Dentists PDF
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SCOPE OF PRACTICE
The scope of your practice is a way of describing what you are trained
and competent to do. It describes the areas in which you have the
knowledge, skills and experience to practise safely and effectively in the
best interests of patients.
• Introduction 3
• Dental nurses 4
• Orthodontic therapists 6
• Dental hygienists 7
• Dental therapists 8
• Dental technicians 9
• Dentists 11
Introduction
To carry out the additional skills you will
This guidance sets out the skills and need to undertake further training. For more
abilities each registrant group should have. complex skills, you should undertake
It is not a list of tasks that someone can do. training delivered by an approved
Your scope of practice is likely to change educational provider and including some
over the course of your career, both form of assessment.
because of changes in the technology of
dentistry, and your further training and If you want to carry out the “reserved
development. The guidance also describes duties” listed, you will need to gain a
additional skills that you might develop after qualification which will allow you to register
registration to increase your scope of in a different registrant group.
practice. You may expand your scope by
developing additional skills, or you may
deepen your knowledge of a particular area
by choosing more specialised practice.
Medical Emergencies
You should only carry out a task or type of
treatment or make decisions about a A patient could collapse on any
patient’s care if you are sure that you have premises at any time, whether they have
the necessary skills and are appropriately received treatment or not.
trained, competent and indemnified. If a
task, type of treatment or decision is It is therefore essential that ALL
outside your scope of practice or you do registrants are trained in dealing with
not feel that you are trained and competent medical emergencies, including
to do it you must refer the patient to an resuscitation, and possess up to date
appropriately trained colleague. You must evidence of capability.
practise in accordance with the Council’s
standards document ‘Standards for the
Dental Team’ at all times.
Dental nurses
• prepare and maintain the clinical • keep full, accurate and contemporaneous
environment, including the equipment patient records
• carry out infection prevention and control • prepare equipment, materials and patients
procedures to prevent physical, chemical for dental radiography
and microbiological contamination in the • process dental radiographs
surgery or laboratory • monitor, support and reassure patients
• record dental charting and oral tissue • give appropriate patient advice
assessment carried out by other • support the patient and their colleagues if
registrants there is a medical emergency
• prepare, mix and handle dental • make appropriate referrals to other health
bio-materials professionals
• provide chairside support to the operator
during treatment
GENERAL
GENERAL
DENTAL
DENTAL
COUNCIL
COUNCIL
6 SCOPE OF PRACTICE
6 SCOPE OF PRACTICE SCOPE OF PRACTICE 5
Orthodontic therapists
GENERAL
GENERALDENTAL COUNCIL
DENTAL COUNCIL
SCOPE OF PRACTICE 7
Dental technicians
Dental technicians are registered dental Additional skills which dental technicians
professionals who make dental devices to a could develop include:
prescription from a dentist or clinical dental
technician. They also repair dentures direct • Working with a dentist in the clinic,
to members of the public. assisting with treatment by helping to fit
attachments at chairside.
As a dental technician, you can undertake • Working with a dentist or a clinical dental
the following if you are trained, competent technician in the clinic, assisting with
and indemnified: treatment by:
• taking impressions
• review cases coming into the laboratory to • recording facebows
decide how they should be progressed • carrying out intra-oral and extra-oral
• work with the dentist or clinical dental tracing
technician on treatment planning and • carrying out implant frame assessments
outline design • recording occlusal registrations
• give appropriate patient advice • tracing cephalographs
• design, plan and make a range of • carrying out intra-oral scanning for
custom-made dental devices according CAD/CAM
to a prescription • taking intra and extra-oral photographs.
• modify dental devices including dentures,
orthodontic appliances, crowns and Dental technicians do not work
bridges according to a prescription independently in the clinic to:
• carry out shade taking
• carry out infection prevention and control • perform clinical procedures related to
procedures to prevent physical, chemical providing removable dental appliances
and microbiological contamination in the • carry out independent clinical
laboratory examinations
• keep full and accurate laboratory records • identify abnormal oral mucosa and related
• verify and take responsibility for the underlying structures
quality and safety of devices leaving a • fit removable appliances
laboratory
• make appropriate referrals to other Dental technicians do not provide treatment
healthcare professionals for or give advice to patients in the ways
that are described under the sections for
Dental technicians can see patients direct dental hygienists, dental therapists,
to repair dentures. orthodontic therapists or dentists.
Clinical dental technology builds on dental Additional skills which CDTs could develop
technology. As a CDT, you can also include:
undertake the following if you are trained,
competent and indemnified: • oral health education
• re-cementing crowns with temporary
• prescribe and provide complete dentures cement
direct to patients • providing anti-snoring devices on
• provide and fit other dental devices on prescription of a dentist
prescription from a dentist • removing sutures after the wound has
• take detailed dental history and relevant been checked by a dentist
medical history • prescribing radiographs
• perform technical and clinical procedures • replacing implant abutments for
related to providing removable dental removable dental appliances on
appliances prescription from a dentist
• carry out clinical examinations within their • providing tooth whitening treatments on
scope of practice prescription from a dentist
• take and process radiographs and other
images related to providing removable All other skills are reserved to dental
dental appliances hygienists, dental therapists, orthodontic
• distinguish between normal and abnormal therapists or dentists.
consequences of ageing
Dentists
Dentists can carry out all of the treatments • extract permanent teeth
listed in this document. As a dentist, you • prescribe and provide crowns and bridges
can also undertake the following if you are • provide conscious sedation
trained, competent and indemnified: • carry out treatment on patients who are
under general anaesthesia
• diagnose disease • prescribe medicines as part of dental
• prepare comprehensive treatment plans treatment
• prescribe and provide endodontic • prescribe and interpret radiographs
treatment on adult teeth
• prescribe and provide fixed orthodontic Additional skills which a dentist could
treatment develop:
• prescribe and provide fixed and
removable prostheses • providing implants
• carry out oral surgery • providing non-surgical cosmetic
• carry out periodontal surgery injectables