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Training and scope of practice for orthodontic auxiliaries: where does the uk sit within europe?

From Volume 11, Issue 3, July 2018 | Pages 93-99

Authors

Sophy Barber

BDS, MJDF RSC(Eng), MSc, MOrth RCS(Ed), Post-CCST

Registrar in Orthodontics, Leeds Teaching Hospitals NHS Trust, St James's University Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK

Articles by Sophy Barber

Rishma Shah

PhD, MSc, BDS(Hons), PhD, FDS RCS, MOrth (RCS Eng), FDS RCS (Orth), FHEA

Assistant Professor, Department of Orthodontics, University of North Carolina, UK

Articles by Rishma Shah

Julian O'Neill

MOrth, BDS, FFD RCS RCS(Eng)

Department of Orthodontics, Kettering General Hospital, Kettering, UK

Articles by Julian O'Neill

Alison Murray

BDS, MSc, MOrth RCS(Eng), FDS RCPS(Glasg)

Consultant Orthodontist, Royal Derby Hospital, Derby

Articles by Alison Murray

Jonathan Sandler

BDS (Hons), MSc, PhD, MOrth RCS, FDS RCPS, BDS(Hons), MSc, PhD, FDSRCPS, MOrth RCS, Consultant Orthodontist, , DOrth RCS

Consultant Orthodontist, Chesterfield Royal Hospital, Chesterfield, UK

Articles by Jonathan Sandler

Email Jonathan Sandler

Abstract

Abstract: This article aims to outline the role and training of orthodontic auxiliaries in the UK, including the development of orthodontic therapists (OTs). The limitations and findings from a survey taken to understand the training and scope of orthodontic auxiliaries across Europe are provided and we reflect on the desirability and feasibility of standardized training for OTs, particularly in light of Brexit.

CPD/Clinical Relevance: Orthodontic auxiliaries are important members of the dental team. It is important that the training, role and scope of practice of all team members are understood to allow safe delegation and supervision.

Article

Dental auxiliaries are defined as people involved to a greater or lesser extent in the practice of dentistry, but are not qualified with a degree or diploma in Dentistry. Orthodontic auxiliaries are those specifically involved in assisting or providing orthodontic care (Table 1).

The advantages of auxiliaries in the orthodontic team were first reported in 1999 and include:

The training, qualification, registration and scope of practice for all orthodontic auxiliaries in the UK has been agreed between the General Dental Council (GDC) and the British Orthodontic Society (BOS). Auxiliaries must be registered with the GDC to practise and the roles of all dental registrants in the UK are laid out in the GDC Scope of Practice documentation.2 Standardized training and certification to denote competency are required for registration with the GDC for all dental auxiliaries (Table 2). Standardized training is advocated to improve patient safety, quality of care and promote understanding of competencies and subsequent appropriate use of skills.

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