{"title":"Why We Must Prioritise Periodontal Disease in National Healthcare Policy.","authors":"Neesha Patel","doi":"10.1177/20501684261470514","DOIUrl":"https://doi.org/10.1177/20501684261470514","url":null,"abstract":"<p><strong>Background: </strong>Periodontal disease is a prevalent chronic inflammatory condition with consequences that extend beyond oral health. Despite strong evidence linking it to systemic diseases, mental health outcomes, and economic burden, it remains under-prioritised in public health policy.</p><p><strong>Aim: </strong>This opinion piece aims to highlight the broader health and economic implications of periodontal disease and to highlight the need to prioritise it within healthcare policy and integrated care frameworks.</p><p><strong>Discussion: </strong>Emerging evidence highlights significant associations between periodontal disease and systemic conditions, including diabetes, cardiovascular disease, and adverse pregnancy outcomes. Beyond physical health, periodontal disease also contributes to psychosocial challenges such as reduced self-esteem, with potential links to cognitive decline. From an economic perspective, untreated periodontal disease imposes substantial direct and indirect costs on healthcare systems, particularly the NHS, due to increased demand for emergency care, need for advanced dental treatments, and complex care management needs. Preventative care and early intervention are cost-effective strategies to reduce health inequalities that also address the links between oral and systemic health.</p><p><strong>Conclusion: </strong>Periodontal disease represents an important yet overlooked public health issue. Prioritising prevention, integrating oral health into general health care, and increasing public awareness are essential to improve population health outcomes. This article calls for urgent policy action to recognise periodontal health as integral to overall health and healthcare delivery.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"20501684261470514"},"PeriodicalIF":0.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Trainee Dental Nurse to Dental Therapist and Practice Owner: My Journey Through Dentistry.","authors":"Eleanor L Cowlam","doi":"10.1177/20501684261465059","DOIUrl":"https://doi.org/10.1177/20501684261465059","url":null,"abstract":"<p><p>Career pathways within dentistry are increasingly diverse, offering opportunities for progression beyond traditional clinical roles. This opinion piece reflects on the author's personal journey from joining the profession as a trainee dental nurse at the age of 16 to qualifying as a dental therapist and ultimately becoming a practice owner. Along the way, a range of professional and personal challenges have been encountered, including adapting to higher education, overcoming self-doubt, balancing clinical practice with motherhood, and navigating the disruption caused by the Covid-19 pandemic. These experiences strengthened the author's resilience, reinforced the value of lifelong learning, and shaped their approach to patient centred care. The establishment of a practice represented the culmination of years of determination, ambition and professional development. In sharing this journey, the author demonstrates the opportunities available within dentistry and encourages other dental care professionals to pursue their aspirations, regardless of the obstacles they may encounter.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"20501684261465059"},"PeriodicalIF":0.0,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-30DOI: 10.1177/20501684261492419
Matthew Collins
{"title":"The Credentialling Scheme and Register of Certified Dental Practitioners: Recognising Skills Between Generalist and Specialist Practice.","authors":"Matthew Collins","doi":"10.1177/20501684261492419","DOIUrl":"10.1177/20501684261492419","url":null,"abstract":"<p><p>Since the General Dental Council ceased registering additional qualifications awarded after December 2007, dentistry in the UK has lacked a formal, national mechanism for recognising practitioners whose capabilities sit between those of the general registrant and the specialist. While NHS commissioning frameworks describe this middle tier as Level 2 complexity care, its application has remained local and inconsistent, potentially leaving patients and referring practitioners reliant on unverified claims of enhanced skills, often shaped by marketing. This article describes the College of General Dentistry's response. The Certified Practitioner scheme is a national credentialling programme that independently assesses a practitioner's knowledge, skills and clinical experience against standards agreed with the relevant professional bodies. The article sets out the rationale for credentialling as well as its relationship to the College's Career Pathways framework and to the specialist lists. The staged assessment process, which encompasses evidence of training, a verified logbook of cases and a peer-reviewed portfolio discussion, leads to five years of certification and entry on a published national register. Written from the author's perspective as a facilitator of the credentialling workstreams, it reflects on the scheme's development, the launch of the first credential in endodontics, and the fields of practice that will follow.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"92-95"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-16DOI: 10.1177/20501684261477847
Stuart M Ellis
{"title":"Mentoring in Dentistry.","authors":"Stuart M Ellis","doi":"10.1177/20501684261477847","DOIUrl":"10.1177/20501684261477847","url":null,"abstract":"<p><p>Dental practitioners face the daunting task of mastering the many fields of knowledge necessary for the practice of dentistry. The complexity and scope of this knowledge continue to expand, as does the difficulty of converting the knowledge into understanding. Based on the author's work in dental education, and the work of others, this article explores the potential benefits of mentoring in dentistry. It discusses the conceptual role of a mentor and compares this to the roles of coach and supervisor. Possible reasons for the low utilisation of mentoring in dentistry are explored, which include misunderstandings related to the nature of a mentor-mentee relationship, a lack of training in mentoring and poor access to mentors for potential mentees. Suggestions are made for regional and national organisations to facilitate the formation of structured mentoring frameworks in dentistry and for academic bodies to provide training in mentorship.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-30DOI: 10.1177/20501684261491432
Igor R Blum
{"title":"Aligning Undergraduate Dental Education with Primary Dental Care: Responding to Technological Change and Contemporary Practice.","authors":"Igor R Blum","doi":"10.1177/20501684261491432","DOIUrl":"10.1177/20501684261491432","url":null,"abstract":"<p><p>Undergraduate dental education must prepare graduates to manage not only clinical procedures, but also the complexity, uncertainty and competing demands of contemporary primary dental care. This article argues for closer alignment between dental schools and primary care in the design, delivery and assessment of undergraduate education. It considers the value of authentic primary care and outreach learning, greater integration of dental and dental care professional students, and assessment approaches that emphasise longitudinal capability and management of patients. It also examines how digital dentistry, artificial intelligence and simulation should be incorporated into curricula, with emphasis on critical judgement, adaptability and appropriate use of technology. As undergraduate dental training expands in the UK, primary dental care should be regarded not simply as the eventual destination of graduates, but as an active partner in shaping curricula that prepare future dental professionals for safe, person-centred, evidence-informed and adaptable practice.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"76-80"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-10DOI: 10.1177/20501684261479802
Shamir B Mehta
{"title":"The Role of Early Remediation Evidence in GDC Fitness to Practise: Potential, Pitfalls, and Practicalities.","authors":"Shamir B Mehta","doi":"10.1177/20501684261479802","DOIUrl":"10.1177/20501684261479802","url":null,"abstract":"<p><p>Fitness to Practise (FtP) investigations by the General Dental Council (GDC) can be stressful for dental professionals, sometimes involving significant delays and costs. Although the GDC has taken steps toward a more proportionate and balanced regulatory approach, the need for further improvements has been acknowledged. The current FtP system remains inflexible, bound by existing legislation, with forms of information gathered at various stages of an FtP investigation, and a limited scope for early resolution. A key consideration is whether a dental professional's fitness to practise is currently impaired. Introducing opportunities for presenting effective evidence of insight, reflection, and targeted action relating to the issues raised to prevent further repetition - evidence of remediation considered at an early stage of an FtP investigation - could reflect a more compassionate and learning-focused approach to help demonstrate the absence of present impairment and ensuring that patient safety is maintained. This aligns with the practices of some of the other UK healthcare regulators and may help to reduce the number of cases that progress unnecessarily, particularly the small number of cases which are closed later in the process with no further action. This article explores the potential for integrating early remediation into dental regulation to enhance fairness and efficiency.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-19DOI: 10.1177/20501684261480575
Stuart M Ellis
{"title":"Navigating Postgraduate Dental Qualifications and Awards in General Dental Practice.","authors":"Stuart M Ellis","doi":"10.1177/20501684261480575","DOIUrl":"10.1177/20501684261480575","url":null,"abstract":"<p><p>The UK general dental practitioner is faced with a plethora of postgraduate training options, ranging from short Continuing Professional Development (CPD) courses to extended degree level qualifications. This article explores the regulatory factors that a dentist needs to be aware of when choosing a postgraduate qualification or award, including the General Dental Council's regulations on the use of postnominals. The mechanism by which the postgraduate qualifications credit system facilitates educational pathway progression within the UK and across Europe is explained.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"96-99"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-30DOI: 10.1177/20501684261492413
Thomas J O'Connor
{"title":"Entrustable Professional Activities in UK postgraduate Dental Education: A Narrative Review.","authors":"Thomas J O'Connor","doi":"10.1177/20501684261492413","DOIUrl":"10.1177/20501684261492413","url":null,"abstract":"<p><p>Entrustable Professional Activities have recently been incorporated into the Early Years Dental Training Curriculum (EYDTC) in England and Wales for the Foundation Dentist (FD), Foundation Dental Therapist (FDT), Dental Core Training (DCT), and Joint Dental Foundation and Core Training (JDFCT) programmes. They have also been adopted by Getting it Right First Time (GIRFT) and the British Society of Paediatric Dentistry (BSPD) to support the assessment of dentists and dental nurses working in general anaesthetic settings. This article outlines the development and implementation of EPAs, reviews the supporting evidence, and presents the EPAs that have been developed for the EYDTC in the UK.</p>","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"62-69"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Primary dental journalPub Date : 2026-06-01Epub Date: 2026-09-22DOI: 10.1177/20501684261488936
Igor R Blum
{"title":"Dental education at an inflection point: emerging technologies, changing expectations and future directions in the UK.","authors":"Igor R Blum","doi":"10.1177/20501684261488936","DOIUrl":"10.1177/20501684261488936","url":null,"abstract":"","PeriodicalId":519951,"journal":{"name":"Primary dental journal","volume":" ","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}