More dentists to offer ‘preventative care’ to reduce tooth decay


More dentists are joining to a trial scheme to reduce tooth decay and improve people’s dental care by adopting a more prevention-focused approach.

The new system incentivises dentists to offer full oral health assessments and self-care plans on top of traditional treatments.

In the first year of piloting the new approach, dentists reported that:

• 90% of patients had reduced or maintained levels of tooth decay
• 80% of patients had reduced or maintained levels of gum disease
• 97% of patients said they were satisfied with the dental care they received


The recently published evaluation report from the first year of testing recommended that a further group of dental practices should be recruited into the programme.

The 50 new practices are currently being selected and will join from October 2018 and January 2019.

The existing 73 practices are continuing to test the new approach, with a new remuneration system added which supports dentists carrying out preventative work.

The scheme could be rolled out nationally from April 2020 if it can be shown to benefit patients, the NHS and dental practice following a thorough evaluation.

Health Minister Steve Brine said: “Our new proposed NHS dental contract focuses on prevention and quality of care and will be thoroughly tested to ensure it is financially sustainable for the NHS, patients and dentists.”

Chief Dental Officer Sarah Hurley said: “The announcement of up to 50 more prototype practices is an important step in developing the NHS dental service in this its 70th year.

“I welcome it and hope that further refinement and testing with the profession will lead us to a model that enables dentists and their teams to play their full part in the delivery of integrated care and further improvement of oral and general health.”

Useful links

Who is entitled to free dental care in the UK
Resources for dentists