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Special care dentistry: overcoming future challenges
Natalie Bradley1, Kiren Kauser2
1Consultant in Special Care Dentistry, King´s College Hospital, United Kingdom. natalie.bradley@nhs.net.
British Dental Journal
|December 19, 2025
Summary
Special care dentistry, formalized in 2008, addresses diverse patient needs. Challenges include increasing demand and a shortage of specialists in the UK.
Area of Science:
- Dentistry
- Public Health
Background:
- Special care dentistry was formalized as a dental specialty in 2008.
- Prior to formalization, services for patients with additional needs were fragmented.
- Diverse patient groups require specialized environments and treatment modalities.
Purpose of the Study:
- To outline the current landscape of special care dentistry in the UK.
- To discuss the challenges and future directions of the specialty.
- To highlight the importance of tailored care for patients with additional needs.
Main Methods:
- Review of the historical development and current state of special care dentistry.
- Analysis of NHS Commissioning Standards for patient management.
- Discussion of workforce and service provision challenges.
Main Results:
- Special care dentistry integrates diverse patient needs across various settings.
- NHS standards emphasize appropriate environments and clinician expertise.
- Key challenges include rising patient demand and a specialist workforce shortage.
Conclusions:
- Special care dentistry is a vital specialty addressing complex patient needs.
- Addressing workforce planning and service demand is crucial for future provision.
- The specialty requires ongoing development to meet evolving patient requirements.
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