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Covid 19: what dental treatments are possible in the UK?

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Louie1

Member
Joined
Mar 10, 2015
Messages
32
Location
Skegness
Hi I’m in the uk does anyone one what treatments are still possible now our dentists have reopened during covid ? I’m thinking i need a tooth either root canalled or extracted thanks
 
T

tazey

Well-known member
Joined
Feb 2, 2018
Messages
618
Location
Hampshire U.k
I think extractions aren't a problem it's everything else.
🙁
 
L

Louie1

Member
Joined
Mar 10, 2015
Messages
32
Location
Skegness
so if its a front tooth that needs a root canal or a filling it will have to be extracted instead ?
 
C

Cariad

Junior member
Joined
Jul 9, 2020
Messages
2
Location
Kent
Some dentists are open but I think limited on what they are doing. Mine is still closed and only offering a referral to hubs. My dentist made it clear When I called due to pain it would only be for extraction and nothing else.
 
Gordon

Gordon

Administrator
Staff member
Verified dentist
Joined
Oct 25, 2005
Messages
6,245
Since Scotland and England are separate for health issues, it would be helpful to specify which one you're in, although last I checked Skegness was in England :)

Anyway, the guidance in England is that dental practices are not allowed to do anything which can cause an aerosol to be generated. So no root canals. They can have a look, take x-rays and prescribe some antibiotics to buy some time until they can do root canals again.

It's a little different in Scotland where the government have set up emergency treatment centres with appropriate PPE and trained staff who can do a bigger range of treatment. There may be some of those down south but it's been left to local NHS Trusts to do and most of them seem not to have bothered.
 
drhirst

drhirst

Super Moderator
Verified dentist
Joined
Dec 7, 2008
Messages
672
Location
Welwyn Garden City, UK
The situation in England currently depends on whether you are being treated privately or on the NHS.
Private dentists who have obtained the correct protective equipment and have worked out their safety protocols are now offering all types of treatment. They may or may not be charging higher fees to cover the significant additional costs of keeping the surgery open.
As far as I can fathom, and the situation is confused and changing daily, most NHS dentists are not offering any aerosol generating procedures (which is most things in dentistry) and are referring these patients to the so called urgent treatment centers. They are also doing as little other treatment as possible as they are not being paid the additional fees to cover the increased costs of working. They may have 20% of their fees deducted for laboratory based work that is not being done, so they cannot really do any until they are told what the situation is and the NHS has not yet told them. Absolute shambolic situation.
So, if you need any dental work done, either see a private dentist or wait until the NHS has sorted itself out.
 
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tazey

Well-known member
Joined
Feb 2, 2018
Messages
618
Location
Hampshire U.k
The situation in England currently depends on whether you are being treated privately or on the NHS.
Private dentists who have obtained the correct protective equipment and have worked out their safety protocols are now offering all types of treatment. They may or may not be charging higher fees to cover the significant additional costs of keeping the surgery open.
As far as I can fathom, and the situation is confused and changing daily, most NHS dentists are not offering any aerosol generating procedures (which is most things in dentistry) and are referring these patients to the so called urgent treatment centers. They are also doing as little other treatment as possible as they are not being paid the additional fees to cover the increased costs of working. They may have 20% of their fees deducted for laboratory based work that is not being done, so they cannot really do any until they are told what the situation is and the NHS has not yet told them. Absolute shambolic situation.
So, if you need any dental work done, either see a private dentist or wait until the NHS has sorted itself out.
How does that work for me then? Because I'm nhs but I go to a hospital,they said I can have an appointment in 2wks but are they allowed to do aerosols? Agree it's a mess (esp for those of us in the middle of treatment) but id say a lot of people just can't afford to whisk themselves off to a private clinic+waiting prob isn't an option either.
 
K

Katie7730

Junior member
Joined
Mar 2, 2018
Messages
3
I had to have 2 fillings done last week in England, but I’m with a private dentist and they had some new extra protective equipment. My daughter is with NHS dentist in the same area and can’t get a check up as yet
 
drhirst

drhirst

Super Moderator
Verified dentist
Joined
Dec 7, 2008
Messages
672
Location
Welwyn Garden City, UK
How does that work for me then? Because I'm nhs but I go to a hospital,they said I can have an appointment in 2wks but are they allowed to do aerosols? Agree it's a mess (esp for those of us in the middle of treatment) but id say a lot of people just can't afford to whisk themselves off to a private clinic+waiting prob isn't an option either.
Hi,
If your treatment is being done in hospital it should be unaffected. The restrictions are only of general dental practices, as far as I can make out.
 
drhirst

drhirst

Super Moderator
Verified dentist
Joined
Dec 7, 2008
Messages
672
Location
Welwyn Garden City, UK
I had to have 2 fillings done last week in England, but I’m with a private dentist and they had some new extra protective equipment. My daughter is with NHS dentist in the same area and can’t get a check up as yet
Hi katie7730,
This is exactly what I was talking about. It is all about NHS dentists being bound up by bureaucracy and not having the flexibility that private dentists have to be able to get back to helping their patients. As @tazey pointed out, it is not very helpful for the many patients who need treatment now but cannot afford to see a private dentist.
 
S

SallyUK

Well-known member
Joined
Apr 3, 2011
Messages
294
Very difficult situation for NHS dentists and patients - I have a private dentist and had an appointment for a lost crown last week. I noticed there was no water involved, no rinsing, no water spray with the suction and no water with the drill. There was another suction devise that the nurse was using. The doors were wide open to the garden and various other measures in place. I guess this situation is making us risk assess, because nothing is 100% 'safe' and weighing up the risks v benefits seems to be a daily thing right now.... I was nervous to go, but it felt well managed.

I was told they vacate the room for an hour after any aerosol generating treatments as the particles take time to settle and then the whole room is cleaned. I was charged an extra £7 to take account of PPE and cleaning.
 
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