A general dental practitioner's role in treating patients with a cleft lip and/or palate.,British Dental Journal

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A general dental practitioner's role in treating patients with a cleft lip and/or palate.
British Dental Journal ( IF 2.0 ) Pub Date : 2020-01-01 , DOI: 10.1038/s41415-019-1116-7
Nicola Gallagher ₁

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The publication of the Five Year Forward View promoted a drive within the NHS to improve access to care for all patients, across all specialties. This article describes what would be expected of a general dental practitioner (GDP) when treating patients with a cleft lip and/or palate in primary care and when it would be appropriate to refer and work alongside specialist services at the hospital. The inspiration for this article began after an audit investigating the complexity level of treatment need of patients with a cleft lip and/or palate referred into the Adult Restorative Clinic at Guy's Hospital. The results of the audit suggested that access to GDPs for this cohort of patients may be difficult and there may be a lack of confidence amongst GDPs with regards to what treatment they can or should provide. The article also discusses the potential of dentists with enhanced skills (DES) bridging the gap between primary and secondary care. The aim of the article is to increase the knowledge and understanding of GDPs with regards to treating patients with a cleft lip and/or palate and ultimately to improve the level of care these patients receive.

中文翻译：

普通牙科医生在治疗唇c裂和/或pa裂患者中的作用。

五年前瞻性观点的出版促进了NHS内部的推动，以改善所有专业的所有患者的就诊机会。本文介绍了在初级保健中治疗唇裂和/或pa裂患者时，普通牙科医生（GDP）的期望，以及在医院进行专科诊治并与之一起工作时的期望。这篇文章的灵感来自于一项审计，调查了唇裂和/或pa裂患者的治疗需求的复杂程度，该患者被转诊到盖伊医院的成人修复诊所。审计结果表明，这批患者很难获得GDP，并且GDP对他们可以提供或应该提供何种治疗的信心不足。本文还讨论了具有增强技能（DES）的牙医弥合初级保健和二级保健之间差距的潜力。本文的目的是在治疗唇裂和/或pa裂患者方面增加对GDP的了解和理解，并最终提高这些患者获得的护理水平。

更新日期：2020-01-10

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