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Dentists plan to ease fear of root canal therapy

9th Mar 2011

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Leading dental professionals in the UK are launching the Saving Teeth Awareness Campaign – www.savingteeth.co.uk – to provide information to patients who have a tooth infection that could result in tooth loss.

The campaign was prompted by the widespread lack of awareness amongst patients that many teeth can be saved by endodontics (root canal therapy).

Recent figures for the NHS show that two million teeth were removed last year but only approximately half a million root treatments were undertaken.

The campaign's key messages are:
• Saving a tooth is, where possible, better for the health of your mouth
• A well root-treated tooth covered with a crown can survive for many years if not for the rest of your life
• If a tooth becomes infected and left untreated bone loss can occur.

Backing for the Saving Teeth Awareness Campaign is growing.

It's spearheaded by endodontist experts Julian Webber and Trevor Lamb.

Supporters include recognised authorities in areas such as restorative dentistry, oral surgery, and the psychology of dentistry along with patients and high profile supporters Michael Winner and Peter Snow.

The campaign would like to see the NHS recognising and remunerating the additional skills and costly equipment used by specialists and dentists with additional training.

With new dental payment systems about to be piloted next month (April), and widespread agreement that the NHS should be rewarding quality, it is an ideal time to introduce commissioning of specialist treatment in general practice.

Julian Webber says: ‘While an extraction is sometimes inevitable, it should not be regarded as the easy option. It's true that it can be carried out quickly but afterwards, many patients will not want a gap in their mouth and will seek some form of replacement, whether it's an implant, bridge or denture and these take time. Keeping your natural teeth is often more economical in the long-term as well as being better for health.'

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The recent Adult Dental Health Survey shows that 30% of all adults are extremely anxious about having a tooth drilled.

However, modern local anaesthetics can ensure that all dental procedures that involve drilling, including root canal treatment, are painless.

Professor Tim Newton, Professor of Psychology as applied to dentistry, says: ‘When you feel anxious, it's not easy to make choices. Fear of dental treatment remains a significant barrier to dental care for many people.

'People who are anxious will often avoid dental treatment, and when they do attend often make decisions which they might not make if they were less anxious – for example to have teeth extracted rather than have to attend for more appointments for treatment to restore their teeth.'

'In the US, Root Canal Awareness Week starts at the end of this month with the aim of teaching the public that root canal treatment shouldn't be feared, and that endodontists can provide a virtually pain-free experience.

In support of their Root Canal Awareness Week, the American Association of Endodontists carried out a survey that reveals that 70% of Americans fear losing a natural tooth although that same percentage also fears root canal treatment, the exact procedure that can save their teeth.

Nigel Carter, chief executive of the British Dental Health Foundation, described root canal therapy as ‘a vital tool' in the battle to maintain improvements in oral health, and said: ‘The Foundation thoroughly supports the aims of the Saving Teeth Awareness Campaign in raising public awareness of the value of root canal therapy as one of the means available to today's modern dentist to help ensure all of the public achieve healthy teeth for life.'

Jeff Foulser, a patient who has had root canal treatment, says: ‘I remember both my parents taking their teeth out and putting them in a glass beside their bed. It's certainly not what I want. I think it's a great idea to have a campaign to remind us all of the value of root treatment and seeing your dentist.'

Campaign supporter, Peter Snow, concludes: ‘It may surprise you that it is well known within the medical profession that those with a healthy mouth live longer. The Saving Teeth Awareness Campaign aims to encourage patients to keep their teeth for life.'

For more information, visit www.savingteeth.co.uk.

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Comments

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Ha just 2 millions!! and only half a million RCT's in the NHS ! I wonder why? Could it be the 3 UDA (on average £66 - £75) remuneration that "happens to be exactly the same as for an Extaction" ?? RCT = 2-3 hrs treatment (Cost of the instruments and material to the Dentist on average £60 £100 ) You don't have to be a matematichian, only the CDO in England or a politician to miss the point. (Wonder how they calculated their Expenses? ! )
I know Julian Webber, He is an excellent Clinician, but he charges £900 - £1000 for his molar endos. (last time I ref. a pat. to him) Needless to say his treatments are perfect. The Endodontists are right, but only if they could inform the patients in their campaign why GDP's are not doing them under this farcial Contract.
Posted by Frasse 9/3/11 at 14:41
absolutely right-the question is-who should be putting the message across to the general public? It won't be politicians or their puppet CDO,so it has to come from the BDA and dental press which in turn will get through to the general press and then back to politicians. They keep us divided to conquer!
Posted by gordie 10/3/11 at 08:14
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To provide information to patients?? The patients then need to find a dentist that will do RCT on the NHS. If a does need pulling out it is normally loose and will almost come out by itself. Probably worth 1 UDA and RCT should be worth 10 UDAs.
If they did it this way the treatment would more reflect the cost and the overall price would be roughly the same:
(2,000,000 * 3 UDA) + (500,000 * 3 UDA) = 7,500,000 UDA
(2,000,000 * 1 UDA) + (500,000 * 10 UDA) = 7,000,000 UDA
So the overall cost would be less which would allow dentists to increase the number of root canals they did and still stay within the current NHS budget.
Posted by caparn 10/3/11 at 18:10
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caparn
I think you need to think a little about your reasoning and also take some math lessons!
First of all it is not that "if a tooth needs pulling out it is normally loose and will almost come out by itself" If that was the case patients or maybe "you" could do it in lets say in your garage with a plier and make some UDA's ! The one I did today took me 40 minutes (Surgical one)
Secondly you need to read the article and think about your way of counting the UDA's
The article says that the Dentists are already doing ca 500.000 RCT's
By giving them 10 UDA's/ RCT you have not increased the amount of the RCT's as you can see on both sides of the equation ! It is still 500.000 RCT's You have just presumed that the 2 000.000 extractions are so easy (as you think they will just come out by theselves) that they are only worth 1 UDA ! The amount of extractions still remains 2 millions !!
Without being disrespectful to you I think most of the so called Senior managers in the PCT's (primary care trusts) with responsibility for Dentistry probably have the same level of knowledge about Dentistry and maths as you! Hence the mess we (Dentists are in) I hope I have not offended you. That was not my intention.
Posted by Frasse 11/3/11 at 17:24
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frasse
Come on try pulling the other one! (no pun intended).
"By giving them 10 UDA's/ RCT you have not increased the amount of the RCT's"
perhaps then you could explain why extractions have increased by 17% since they came to be worth the same UDAs as RCT?
And why is this article about patients being more aware of RCT and saying not enough of them are performed when it is generally the dentist who chooses the treatment for the patient?
Also, there is nothing wrong with my mathematics skills, they are probably better than yours, I have a degree in mathematics, and I'm not offended, it would take more than a lively discussion to do that. As for not knowing enough about dentistry, I have first hand experience of an NHS dentist recommending RCT but saying that if I wanted it I would have to go private.
It seems very clear that RCT and extraction are not equal in either effort and skill needed or cost of materials. You can get any tooth extracted from a Moroccan street market by a man with a mat and a pair of pliers, though I don't think their RCT treatments are recommended.
Do you think if Extractions were worth less UDAs and RCT more UDAs at the end of the year the ratios of treatment would change?
Posted by caparn 11/3/11 at 18:07
fuck uda's we are talking about people on both side of the drill-patients want the treatment appropriate and done to the best standards-dentists want paid the appropriate international rates so they can do said work -uda's are a govt. invented scheme to control the amount they pay-nothing to do with quality or skills required- the nhs in this country takes skilled dentists ,de-skills them by financially forcing them to carry out either the wrong treament or cutting corners. You get what you pay for -its the same in all walks of life.If the fucking nhs is so good why does no other country in the world copy us!!!!!
Posted by gordie 11/3/11 at 18:53
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Agree with every word Gordie.
caparn,
I assume that quality of your degree ns maths equals the level of the skills and standards of your "Moroccan market man with a mat and a pair of pliers" as everyone can cleary see by studying your equation. X +Y =Z (Where did you get that degree? Using abacus in a market in Morocco?)
If you are the "average NHS patient" in this country, (and this is your perception about Dentistry and Dentists in this Country) then the "Moroccan market man with his mat and pliers" is what you deserve (working on your teeth) !
Posted by Frasse 11/3/11 at 19:49
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Frasse,
Thanks, I'll take your comments with the humour they deserve. I'll also take it from your total failure to answer my question that you can't. It may surprise you but I am actually on your side and like gordie I try to see the problem from both sides, the patients and the dentists. When I went I didn't opt for the extraction but the £650 private RCT.
If you would like an insult back, I think the all mercury compounds you are mixing up on the NHS are making you fit to be a hatter in Fez. So maybe I'll see you there with my abacus.
Posted by caparn 11/3/11 at 20:57
£650? The PhD endodontist I refer to is only a gnats whisker short of a £1k for molars. He's damn good, though.

--This post was last edited on 11/3/11 at 21:32--
Posted by docholliday 11/3/11 at 21:29
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Caparn,
You are welcome. Stupid remarks about tooth extractions by a "Marrocan market man" deserves a response like the one I gave you.
Thank you for being on our side.
I am not doing any NHS work (Emigrating soon) and not using any "mercury" although I think it has its place, contrary to what all "Hypochondriacs and so called experts" believe.
You did the right thing paying £650 for the RCT. I hope it is a good one.
Don't think for a minute that the NHS one day will cover a cost like this.

Posted by Frasse 11/3/11 at 21:59
Frasse, yes. At least Caparn has appreciated that proper dentistry is expensive. That, it seems to me, is the 'great leap'. Once a patient can see that what we are doing is really rather skilled and tricky, and they trust you not to treat them as the guy trying to flog them a used car does - then you have a patient who will stay with you until you retire. This actually takes a patient with well above the average degree of intelligence, and these are the patients you want. The 'I'm exempt from patient charges and I know my rights as I'm on the NHS' patients? Do I miss them? Will you miss them in Canada? Yeah, right......
Posted by docholliday 11/3/11 at 22:25
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:) Spot on Doc. You said it "well above average degree of intelligence" Haven't looked back for a second since I left the NHS. I know I will be following the debate on this website though. Enjoy your wine.
Posted by Frasse 11/3/11 at 22:37
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Absolutely agree with dochilliday.
The time is our source, and patient have to understand that 1 hour of "skilled" oral surgery or "skilled" implantology must have the same value of 1 hour of "skilled" endodontics!
Proper dentistry is expensive and the NHS should invest in prevention... but we all know that there is little business around prevention and tons of money around implants... so let's say it , and stop lying to doctors and to patients!
Posted by Claudio.farna 24/4/12 at 17:32
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