So previously, what, what would have happened then?
Would it have been the case that you just wouldn't have seen those patients because the
dentist would have done it? Was it simpler or you would have had to come so
it, it, it depends on the practise, um, you know, so.
With, with the advent of computers, it's become a little bit easier because dentists only need
to just pass over a template.
So there's been, but it's still an administration burden and it's still a
responsibility for the dentist.
So if you don't have that prescription.
Um, either you do the treatment without local anaesthetic, and then,
you know, that's not always in the patient's best interest because,
you know, it's uncomfortable. If you're, if you're doing periodontal
treatment, it can be uncomfortable. But if you're doing fillings or extractions,
you know, that's, that's just not pleasant.
Um, so if you've got a dentist on the premises, you'd have to go and ask them to.
Have a little look at either the patient or if they're happy,
you know, to prescribe the anaesthetic, um, but you know that has safety implications as well
and one of the things that we found in the whole process is that,
Um, it, it, there's an increase of risk whenever you're disturbed from doing something.
So, as a therapist, my thought process would have been disturbed by having to go and get the
prescription. Obviously it's not pleasant for the patient,
it makes the appointment longer, it makes you run late,
so that gives you extra stress.
So that's not, not great for your sort of welfare.
But also, if the dentists in the middle of something, you're then disturbing them as well.
Which then disturbs their train of thought as well, and you know,
mistakes can happen more often when, when, when that happens.
So it had a patient safety implication as well. But yeah,
so you, you'd just disturb or if there wasn't anyone to write you a prescription,
you'd have to send the patient away.
So, you know, the, the impact financially.
You know, it will have a massive saving, um, in terms of administration time and wasted
appointments.

Fiona Sandom: The situation pre-exemptions

16 June 2025

Dental therapist, dental educator and past president of the BADT, Fiona Sandom, discusses the process for dental therapists prescribing medications before the introduction of exemptions.

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