Citation

Brown D, Hussain I, Cochrane V, Barker N. BMJ Lead. 2022; 6(4): 312-315.

Copyright

(Copyright © 2022, BMJ Publishing Group)

DOI

10.1136/leader-2021-000567

PMID

36794605

Abstract

BACKGROUND: Current evidence suggests traumatic dental injuries can be difficult to manage in primary care due to uncommon occurrence and challenging patient presentations. Such factors may contribute to general dental practitioners lacking experience and confidence in the assessment, treatment and management of traumatic dental injuries. Furthermore, there are anecdotal accounts of patients presenting to accident and emergency (A&E) services with a traumatic dental injury, which could be placing avoidable strain on secondary care services. For these reasons, a novel primary care-led dental trauma service has been established in the East of England.

METHODS: This brief report shares our experiences of establishing this dental trauma service, titled 'Think T's'. It aims to provide effective trauma care across an entire region by a dedicated team of experienced clinicians from primary care settings to reduce inappropriate attendance to secondary care services and upskill colleagues in dental traumatology.

FINDINGS AND CONCLUSIONS: Since its inception, the dental trauma service has been public-facing and has managed referrals from a range of sources which include general medical practitioners, A&E clinicians and ambulance services. The service has been well received and has been seeking to integrate with the Directory of Services as well as NHS 111.

Language: en

Keywords

Humans; management; Ambulances; primary care; *Dentists; *Tooth Injuries/diagnosis; clinical leadership; dentist; England/epidemiology; Professional Role; strategy