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Updated: Dec 23, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
General dental practice and improved oral health: is there a win-win for both the professional establishment and
Wayne Richards1, Teresa Filipponi2, Anne-Marie Coll2
1Professor, Community General Dental Practice, University of South Wales, Faculty of Life Sciences and Education, Glyntaff, Pontypridd, CF37 4BD, UK. wayne.richards@southwales.ac.uk.
Abstract:
General dental practice in the United Kingdom has been in a state of unrest for over two decades, with practitioners having been confronted by two contract changes. The latest contract change of 2006 resulted in much disquiet, and services continue to be piloted in order to develop a contract that satisfies the needs of both government and the profession. Within this context, this paper explores the issues surrounding the present situation. To date, the profession has expanded service provision into the private market which has resulted in an exaggerated inverse care provision. This could be perceived as a move towards a retail philosophy and away from healthcare. In order to restore an equitable balance of care provision, the authors present possible solutions that could satisfy both parties.
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