care home access

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I think it's very important to have a feedback loop, where you're constantly thinking about what you've done and how you could be doing it better. I think that's the single best piece of advice: constantly think about how you could be doing things better and questioning yourself.
Elon Musk

But what has he achieved?
I made this for my FDs and yours, please support them through Peer review groups. Some blogs may be a starting point for discussion. We can improve their working environment, reduce their stress, and enjoy their dentistry as I have, long enough to look after my teeth.

12/4/2023

care home access

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Access to care homes is a problem. The resources in NHS dentistry have been failing for years, especially if mobile care. Perhaps if we can change the delivery system, we can improve it. Improved oral health will reduce death rates from the well-documented historic pneumonia and the more recent Covid.
How can it be financially viable for a dentist? Does he need to be in the care home?
Why not continue with Asynchronous Teledentistry?

Many practices have scanners for those within to straighten teeth but could earn more money by scanning dentures. The dentist often delegates the scanning to a trained or sometimes untrained assistant, and they scan inside the mouth.
Losing dentures is a problem. Around 14,000 get lost every year in care homes and hospitals. If we scan the denture before it's lost, the patient can have a replacement the following day.

Ideally, a hygienist and an assistant could go to a care home and work together to thoroughly clean the teeth before scanning the remaining teeth, if there are any. The assistant can scan the denture and then the mouth. A BPE can be taken, and OHI to the patient and the Oral Health Ambassador.
There can be a charge for the scan alone or the provision of a denture. The potential is there for a trained hygienist to take a reline impression, a new reline copy denture made, and the original denture retained. Many residents in care homes have the silver pound, which may help supplement those who can't access current NHS care.
More recent scanners are portable and so can be used when not required in practice, with the extra advantage of leaving surgery free for routine patients.

The dentist can review the scan at a different time and review the notes from the hygienist. Similar to bleaching trays, we could make reservoirs for silver diamine fluoride for suspicious lesions and monitor them. Ultimately, regular scans will be automated, similar to radiographs, and we will have valuable data in the future for everyone's benefit.
With direct access, it could be a viable business.

https://vimeo.com/502258441
https://healier.com/what-is-asynchronous-teledentistry/

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After a while, when using an ultrasonic scaler, my mind drifts off. Sometimes I even wonder what I am doing, and why? In March 2016 Mrs Collins isolated premolar supporting her CoCr -/p was M2 and bleeding. Desperate measures were required, so I sent her a YouTube video form the excellent group Perio Courses. In July 2020 she still has no bleeding, no mobility, and a lower denture she likes-even more unusual. She was the tipping point for my teeth4life APP.
The blog is not Peer-reviewed; it's observational. I hope my blogs and my "friends" blogs will help. I did not enjoy dentistry until I got interested and made it a hobby. As the saying goes, "if you make work your hobby, you will never work again".
I retire October 1st 2020 and will continue with my hobby. Write something yourself. No photos of what you have done this week, but something you did years ago. email me.

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