1 SCOPE OF PRACTICE . GENERAL DENTAL COUNCIL. Effective from 30 September 2013. 2 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. Contents of this guidance Page Introduction 3. Dental nurses 4. Orthodontic therapists 6. Dental hygienists 7. Dental therapists 8. Dental technicians 9. Clinical dental technicians 10. Dentists 11. GENERAL DENTAL COUNCIL. SCOPE OF PRACTICE 3. 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.
2 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.
3 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. GENERAL DENTAL COUNCIL. 4 SCOPE OF PRACTICE . Dental nurses Dental nurses are registered dental professionals who provide clinical and other support to registrants and patients. As a dental nurse, you can undertake the following if you are trained, competent and indemnified: 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 DENTAL COUNCIL.
4 SCOPE OF PRACTICE 5. Additional skills dental nurses could Additional skills carried out on develop include: prescription from, or under the direction of, another registrant: further skills in oral health education and oral health promotion taking radiographs assisting in the treatment of patients who placing rubber dam are under conscious sedation measuring and recording plaque indices further skills in assisting in the treatment removing sutures after the wound has of patients with special needs been checked by a dentist further skills in assisting in the treatment constructing occlusal registration rims of orthodontic patients and special trays intra and extra-oral photography repairing the acrylic component of pouring, casting and trimming study removable appliances models applying topical anaesthetic to the shade taking prescription of a dentist tracing cephalographs constructing mouthguards and bleaching trays to the prescription of a dentist constructing vacuum formed retainers to the prescription of a dentist taking impressions to the prescription of a dentist or a CDT (where appropriate).
5 Dental nurses can apply fluoride varnish either on prescription from a dentist or direct as part of a structured dental health programme. Dental nurses do not diagnose disease or treatment plan. All other skills are reserved to one or more of the other registrant groups. GENERAL DENTAL. GENERAL COUNCIL. DENTAL COUNCIL. 6 SCOPE OF PRACTICE . 6 SCOPE OF PRACTICE SCOPE OF PRACTICE 5. Orthodontic therapists Orthodontic therapists are registered dental fit bonded retainers professionals who carry out certain parts of carry out Index of Orthodontic Treatment orthodontic treatment under prescription Need (IOTN) screening either under the from a dentist. direction of a dentist or direct to patients make appropriate referrals to other As an orthodontic therapist, you can healthcare professionals undertake the following if you are trained, keep full, accurate and contemporaneous competent and indemnified: patient records give appropriate patient advice clean and prepare tooth surfaces ready for orthodontic treatment Additional skills which orthodontic identify, select, use and maintain therapists could develop include.
6 Appropriate instruments insert passive removable orthodontic applying fluoride varnish to the appliances prescription of a dentist insert removable appliances activated or repairing the acrylic component part of adjusted by a dentist orthodontic appliances remove fixed appliances, orthodontic measuring and recording plaque indices adhesives and cement removing sutures after the wound has identify, select, prepare and place been checked by a dentist auxiliaries take impressions Orthodontic therapists do not pour, cast and trim study models make a patient's orthodontic appliance modify prescribed archwires safe in the absence of a dentist give local analgesia fit orthodontic headgear remove sub-gingival deposits fit orthodontic facebows which have been re-cement crowns adjusted by a dentist place temporary dressings take occlusal records including diagnose disease orthognathic facebow readings treatment plan take intra and extra-oral photographs place brackets and bands as these tasks are reserved to dental prepare, insert, adjust and remove hygienists, dental therapists or dentists.
7 Archwires previously prescribed or, where necessary, activated by a dentist Orthodontic therapists do not carry out give advice on appliance care and oral laboratory work other than that listed above health instruction as that is reserved to dental technicians and fit tooth separators clinical dental technicians. GENERAL. GENERALDENTAL COUNCIL. DENTAL COUNCIL. SCOPE OF PRACTICE 7. Dental hygienists give patients advice on how to stop smoking Dental hygienists are registered dental take intra and extra-oral photographs professionals who help patients maintain give infiltration and inferior dental block their oral health by preventing and treating analgesia periodontal disease and promoting good place temporary dressings and re-cement oral health PRACTICE . They carry out crowns with temporary cement treatment direct to patients or under place rubber dam prescription from a dentist.
8 Take impressions care of implants and treatment of As a dental hygienist, you can undertake peri-implant tissues the following if you are trained, competent identify anatomical features, recognise and indemnified: abnormalities and interpret common pathology provide dental hygiene care to a wide carry out oral cancer screening range of patients if necessary, refer patients to other obtain a detailed dental history from healthcare professionals patients and evaluate their medical history keep full, accurate and contemporaneous carry out a clinical examination within their patient records competence if working on prescription, vary the detail complete periodontal examination and but not the direction of the prescription charting and use indices to screen and according to patient needs monitor periodontal disease diagnose and treatment plan within their Additional skills which dental hygienists competence might develop include.
9 Prescribe radiographs take, process and interpret various film tooth whitening to the prescription of a views used in general dental PRACTICE dentist plan the delivery of care for patients administering inhalation sedation give appropriate patient advice removing sutures after the wound has provide preventive oral care to patients been checked by a dentist and liaise with dentists over the treatment of caries, periodontal disease and tooth Dental hygienists do not: wear undertake supragingival and subgingival restore teeth scaling and root surface debridement carry out pulp treatments using manual and powered instruments adjust unrestored surfaces use appropriate anti-microbial therapy to extract teeth manage plaque related diseases adjust restored surfaces in relation to Other skills are reserved to orthodontic periodontal treatment therapists, dental technicians, clinical dental apply topical treatments and fissure technicians or dentists.
10 Sealants GENERAL DENTAL COUNCIL GENERAL DENTAL COUNCIL. 8 SCOPE OF PRACTICE . Dental therapists take intra and extra-oral photographs give infiltration and inferior dental block Dental therapists are registered dental analgesia professionals who carry out certain items of place temporary dressings and re-cement dental treatment direct to patients or under crowns with temporary cement prescription from a dentist. place rubber dam take impressions As a dental therapist, you can undertake care of implants and treatment of the following if you are trained, competent peri-implant tissues and indemnified: carry out direct restorations on primary and secondary teeth obtain a detailed dental history from carry out pulpotomies on primary teeth patients and evaluate their medical extract primary teeth history place pre-formed crowns on primary teeth carry out a clinical examination within identify anatomical features, recognise their competence abnormalities and interpret common complete periodontal examination and pathology charting and use indices to screen and carry out oral cancer screening monitor periodontal disease if necessary, refer patients to other diagnose and treatment plan within their healthcare professionals competence keep full, accurate and contemporaneous prescribe radiographs patient records take, process and interpret various film if working on prescription.