Editorial: The Disgraceful Neglect of Children’s Dental Care by Dentists

Parliament’s health and social care committee has released a new report, highlighting the worsening state of NHS dentistry. They have raised concerns over the increasing number of areas where it is impossible to register with an NHS dental practice, commonly known as dental deserts. Since the beginning of the pandemic, approximately 3,000 dentists have left the NHS, causing shortages in various regions. The east of England, particularly Lincolnshire, is one of the most affected areas, where individuals have to travel long distances to find a dentist.

A study discovered that 90% of practices nationwide are not accepting new NHS patients. This issue affects pregnant women and children, who should receive free dental care. It has also impacted care homes, with a significant decline in access to dental care for residents. In 2019, 67% of care providers had access to dentists, but this number dropped to 35% in the previous year. Shockingly, 8% of people surveyed admitted to not seeing a dentist in over 10 years.

Disturbing reports have emerged concerning DIY tooth extractions using pliers, while data from school nurses and dentists show an increase in tooth decay or damage among children. Poor oral health extends beyond teeth, as it also relates to mouth cancers and malnutrition in older individuals.

Recognizing the dire situation, Rishi Sunak recently announced that the government and NHS leaders would consider implementing a “tie-in” period for new dentists. This arrangement would require dentists to work for the NHS for a specific period to acknowledge the investment made in their training. Additionally, plans to expand the roles of nurses, pharmacists, hygienists, and therapists in primary care are being considered.

Despite the existing issues, little has been done to address the dental contract established in 2006. The health and care committee has criticized the contract for its lack of incentives for preventive care and flawed payment system. Concerningly, the contract was not mentioned in the recently published NHS workforce plan, and the expansion of training places will take time. Furthermore, dentists’ underrepresentation on the new integrated care boards, responsible for regional care commissioning, raises concerns among MPs.

It is crucial to remedy these issues and conduct urgent research on the dental workforce. Privatization of dentistry to such a significant extent is not acceptable, and it is unjust that numerous individuals are unable to access the necessary dental care. The lack of services for children during the transition from baby teeth to adult teeth is particularly disgraceful. Teeth, like the rest of the body, require care from trained professionals.

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