Ortho on NHS

Question 1

How assess pt need for ortho in UK?

Answer 1

IOTN

Question 2

What are two main components for IOTN

Answer 2

AC/ DHC

Question 3

Is age a factor in orthodontic tx?

Answer 3

Pt > 18 years w/ severe malocclusion may be eligible in hospital service

Question 4

What is IOTN eligibility on NHS

Answer 4

DHC > 4
or DHC of 3 and AC of 6

Question 5

What are risks of orthodontic tx?

Answer 5

Decalcification
Root resoprtion
Relapse

Question 6

How much root resorption is common in oath?

Answer 6

1-2mm over course of fixed appliance
Increased risks if nail-biting habit, previous trauma or spindly or blunt roots

Question 7

How to break news to pt that would not be eligible for tx on NHS?

Answer 7

Recognise it can be source of disappointment
Describe criteria provides a fair who of determining who will be eligible for limited resource
Explain possible if appearance of occlusion was to deteriorate possible to reassess
Does not limit private options

Question 8

Are pt entitled to second opinion

Answer 8

Yes - another colleague can offer to re-assess or external referral can be made