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Updated: Mar 30, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Learning from a Special Care Dentistry Needs Assessment.
1Applied Clinical Research and Public Health, School of Dentistry, Cardiff University, UK.
Special care dentistry (SCD) needs assessment in Wales revealed older adults with health conditions are less likely to see a dentist. Improving data and general dental practice skills are crucial for better patient care and safety.
Area of Science:
- Oral health
- Public health
- Healthcare services research
Background:
- Special care dentistry (SCD) was recognized as a specialty in 2008.
- Local reviews and a 2010 review in Wales aimed to develop SCD services.
- A needs assessment was conducted to guide the implementation of recommendations for SCD in Wales.
Purpose of the Study:
- To outline the process, findings, and learning from a needs assessment for special care dentistry (SCD) in Wales.
- To discuss the implications of the needs assessment for the development of SCD services.
Main Methods:
- A focused needs assessment approach was employed.
- Stakeholder consultations were used to establish a working definition for the assessment.
- Data were gathered from existing health and social care sources and analyzed using descriptive statistics and Geographic Information System (GIS) mapping.
Main Results:
- Data sources for the needs assessment were limited.
- Health conditions were prevalent in the population and increased with age.
- Older individuals with health conditions were less likely to access dental care, and patients often traveled for specialist services.
Conclusions:
- General dental practice teams play a vital role in caring for patients requiring special care dentistry.
- Strategic planning of specialist care, collaborative efforts, and enhanced general dental practice skills are essential for reducing care burdens and improving patient safety.
- Enhanced data collection and assessment methods are necessary for accurately evaluating SCD needs.
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