TOK NHS dental treatment Flashcards
A non-registrant can deliver tooth whitening under which of the following circumstances?
Never
Capitation payments for 0-2 yrs covers a basic fee for care,
treatment and preventive advice including
Bite wing radiographs Toothbrushing instruction and dietary advice Dietary advice
Tooth 22 has fractured and requires a new post crown.
Under what circumstances can you claim for a temporary
post crown under item 1743?
If the patient attends as an emergency for the fractured tooth, prior to the preparation appointment
Prior approval regulations apply to?
All NHS patients
An ‘HC1’ form is used…
To apply for help under the NHS Low Income Scheme
Which of these dental procedures is/are at low-risk of
post-operative bleeding complications?
Direct restorations with subgingival margins Simple extractions (1-3 teeth with restricted wound size) Root surface instrumentation and subgingival scaling
Which of the following are within dental therapist’s scope
of practice
Inferior dental block anaesthesia Prescribing radiographs Oral cancer screening Placing preformed crowns on deciduous teeth
Under prescription, which of the following treatments can
be carried out by therapists?
Root surface debridement Pulpotomies on primary teeth Extraction of primary teeth Single surface fillings in any tooth
What information must you record to qualify for payments
using SIMD information?
Patient postcode
Patient attends for a routine exam on 30th January. What
is the earliest date the patient can next attend for a
routine exam?
1st July
What does SIMD stand for?
cottish Index of Multiple Deprivation
Your patient is a deep sea fisherman. You are allowed to
proceed immediately with treatment which normally
requires confirmation of prior approval if this patient is
leaving the country for a minimum period of?
4 weeks.
For a General Dental Practice to be deemend NHS
committed and receive the maximum payment in relation
to the General Dental Prpactice allowance they have to
fulfil the following criteria
Have retained no fewer than 80% of their registered NHS patients compared to their 1st July 2022 baseline Have been satisfactorily inspected by the health board within the last 3 years All dentists within the practice meet, and continue to meet their NHS terms of service
Under the NHS repairs to dentures are…?
Free
According to SDCEP guidance, which details should you
include in a letter when making a formal referral to a
specialist practitioner or secondary care for further
periodontal care?
Medical history. Referrer details, including address and telephone number of the practice. Social history. Patient details including date of birth and CHI number if known. Any existing relevant radiographs.
When you prepare a tooth for a permanent crown you
should usually claim a fee for the temporary crown under
item 1742 or 1743 if post-retained.
False
A patient books in for a 10(a) scale and polish. When is the
longest period of time within which the most recent exam
must have taken place?
11 complete calendar months previously.
Under which circumstances can the additional fee for ‘same arch’, code 1700, be claimed?
For the first or only crown in the same arch.
SIMD codes are grouped into categories for payment for
additional fees in the SDR. How are they grouped?
1-3, 4-5
Under the NHS GDS regulations what completion date
should be used in the situation where a patient has failed
to attend an appointment to complete their treatment?
The date of the last appointment the patient failed.
When carrying out periodontal treatment for a patient in
your care, which of the below should you record in the
patient’s notes?
The suggested treatnent plan and details of cost Details of referrals Self-reported oral hygiene habits The details of any treatment Specific periodontal complaints eg: bleeding gums Lifestyle factors Results of the BPE
Which of the following statement are true? Medical
histories need to be recorded in order to…
Determine any special risks Identify possible patient emergencies Assess fitness to undergo examination and treatment Determine any necessary modifications to patient management
With the introduction of Direct Access in May 2013, dental
hygienists and therapists can diagnose and treat patients
within their scope of practice, without a prescription from
a dentist.
True
In relation to local anaesthesia what is a ‘PGD’?
Patient Group Direction
SDCEP provides user friendly evidence based guidance to
support Dental teams in Clinical and Organisational
decision making. Current guidance includes:
Drug Prescribing for Dentistry Practice Support Manual Prevention of, and Management of Dental Caries in Children
From a medico-legal aspect, for a periodontal assessment
it is important to record in the notes a thorough
assessment of any radiographs, from a periodontal
perspective what would you not include?
Location of the sinuses
If a patient does not attend the dentist with whom they
are registered, after a period of three years which of the
following will occur?
Payment to the dentist for capitation/continuing care will fall by 80%.
Patient attends for a routine 10 (a) on 30th January. What
is the earliest date the patient can normally next attend
for the same?
1st July (can be claimed every 3 complete calendar months, earliest would be 1st May, but not an answer option!)
Childsmile is a national programme operating in all Health
Boards across Scotland, which of the below is NOT a
component of the programme?
Childsmile Home
When administering local anaesthetic in the practice, it is
considered good practice to record which of the following?
Batch number Dosage Drug name
According to the SDR, what would ‘’normally’’ be the
maximum number of teeth that can be root treated in the
same course of treatment?
Three
Which of the following statements is/are true? In the NHS
General Dental Services, a dentist …
Which of the following statements is/are true? In the NHS
General dental services where an NHS patient is registered
with a dentist, that dentist or other dentist in the same
practice …
Must provide written details of any private treatment proposed to a registered NHS patient
Continuing care payments are increased in adults from what age? Capitation payments are increased in adults from what age?
65 years
You add a clasp to an existing denture (8 months old) to
aid retention. Which of the following are correct?
You can claim an NHS fee for the clasp
SIMD category is based on…?
Patient postcode
Which of the following is ‘Enhanced Prevention’ for 13
y/o?
Use of diet diaries BWS, if not taken in previous 6-12 months
The following fee is payable for ortho extractions of non-
diseased teeth in children in addition to the normal
extraction fee?
No additional fee
Your patient, for whom you are providing a denture, fails
to return for his bite registration. What is the fee may be
claimed from the work undertaken?
25% of gross fee
With what frequency is it good practice to check medical
histories (by verbal questioning)?
Every appt
A patient attends for the provision of F/F dentures but
does not return after the try-in stage. What is the
minimum time you should wait before claiming your fee?
2 months
How long after extraction are you normally required to
wait before providing a metal based denture under the
NHS?
3 months
An accurate and up to date medical history should be
recorded and signed by the patient for which of the
following reasons?
To find out if there has been any change in the patient’s health since last treatment. To highlight any allergies or patient medications. To help ensure that the patient’s dental treatment takes their general health into account.
Minimum amount of time between extraction and NHS
metal denture in the same arch
3 months
If an amalgam restoration fails within which period of time
are you obliged to replace it free of charge and without
claiming payment?
11 complete calendar months
Under NHS regulations, a permanent fixed bridge would not normally be provided until which of the following post-extraction periods has elapsed?
6 months
10(a) on 30th January. What is the earliest date the patient
can normally next attend for the same?
1st April
After what period of time, after a tooth has been root
treated in your Practice, would you normally be able to
claim for a re-root treatment?
11 complete calendar months
Which of the below is NOT an indication to carry out pulp
therapy on a primary molar?
Tooth close to exfoliation
For routine crown preparation, what is the fee for a
temporary crown?
No fee
An eDental payment claim must be submitted within what
time frame from completion of the treatment?
3 months
From the date of completion of treatment what is the
maximum amount of time a dentist normally has to submit
an NHS claim before the claim will be rejected by
Practitioner Services?
3 months
What is a 1(d) Exam?
Care and treatment summary for a patient
Under NHS capitation arrangements a dentist is entitled to
claim an item of service fee for which of the following?:
Endodontic treatment Permanent cons in permanent teeth Provision of crowns Provision of dentures Extraction of deciduous teeth
In which of the following situations may an examination
fee be claimed for a child?
When providing treatment relating to trauma
When administering a local anaesthetic in dental practice,
which of the following must be recorded in the patient’s
notes?
The generic name of the solution The dose administered The presence of another agent in the solution The concentration
Patients who are exempt from payment of NHS Charges
include patients who:
Are aged 18 and in full time education Are under 26 years old Have certified exemption from payment because of income
Which of the following items can be carried out under the NHS GDS terms of service without having to seek prior approval?
Provision of a laboratory fabricated heat-cured acrylic splint in connection with external trauma. Provision of lab processed hard occlusal appliance in connection with parafunctional clenching/ grinding of teeth and/or TMJ disorder.
A patient (who has no special medical needs) attends your
practice and is 15 years of age at the examination. She
requires an occlusal restoration on a lower first molar, has
turned 16 by the time the restoration is placed. It would
be appropriate to place an amalgam restoration under the
NHS regulations: True of false?
True
A patient (who has no special medical needs) attends your
practice and is 14 years of age at the examination. She
requires an occlusal restoration on a lower first molar.
However, by the time the restoration is placed she has
turned 15, so it would be appropriate to place amalgam
restoration under NHS regulations
False
A 13 year old patient attends for examination. They
require an MOD restoration in a permanent molar, a DO in
a permanent premolar, and an MO in a deciduous molar.
After restoring all three with composite resin, how many
different treatment codes from the SDR is it appropriate to
claim payment for:
2
Under NHS regulations which of the following are correct
regarding simple excision of soft tissue to lengthen
crowns?
It attracts a separate fee in the SDR
Under NHS regulations when can dentine pins be claimed?
With 2 or more surfaces in amalgam With anterior composites
Under NHS regulations, if a dentist has to replace or repair
a defective filling, root filling, inlay, pinlay or crown
completed within their practice during which period of
time are you obliged to replace it free of charge without
claiming payment?
Up to 12 months
In what circumstances can item 4701 (occasional
treatment) advice and assessment fee be claimed?
All unregistered patients Registered patients of another dental practice with dental emergencies Unregistered patients with dental emergencies
A 16 year old patient has a heavily restored upper central
incisor which is causing pain. You elect to root treat and
crown the tooth. For which of the following can you
normally claim a fee?:
The final crown A root filling
A patient wants a bridge to replace an upper central
incisor that has yet to be extracted. What is the minimum time that the SDR states you should normally wait between the extraction and the construction of the permanent bridge?
6 months
You have a patient who requires provision of a porcelain
veneer for a lower incisor. No other treatment is needed.
NHS regulation require you to?
This cannot be provided under NHS arrangements
Which of the statements below apply when carrying out a
periodontal screening on children and adolescents <18
years?
Immediately refer any child with evidence of periodontitis Record the highest score in the appropriate box chart Consider plaque scores for patients with poor oral hygiene Explain to the patient the reason for the examination Examine UR6, UL6, LL6, LL1 and LR6 using a WHO BPE probe
Under current NHS regulations, what percentage of the
fross NHS fee (below the maximum patient charge) do
non-exempt adult patients have to pay for a simple
extraction?
80%
Capitation payments cease at…?
18 years
Where you have provided care and treatment for a patient
under continuing care or capitation, what is the maximum
length of time after completion of treatment you have to
send the electronic claim form for payment?
3 months
For which of the following items may an NHS fee be
claimed on a 16 year old patient registered at your
practice?
A crown Arrest of haemorrhage A molar root treatment Scaling Treatment of an infected socket Exam required as a result of trauma An amalgam filling
For which of the following can an examination fee be
claimed?
1b extensive clinical examination, for a patient ages 17 years 11 months. Following dental trauma, for a patient aged 17 years 6 months. Routine exam, for a patient aged 18 years 0 months.
Which of the following NHS GDS treatments require study casts to be included in the treatment plan to allow successful processing of the claim by PSD?
Cases involving provision of a hard heat-cured acrylic occlusal appliance. Cases involving bridgework. Pre and post treatment in cases of orthodontic treatment.
Which of the following are required to satisfy the
regulations when claiming extensive periodontal
treatment under Item 10c?
Full case assessment under Item 1(c) within the previous 23 complete calendar month Full periodontal charting Appropriate radiographs
Which of the following fees may be claimed without prior
approval when treating an unregistered adult patient who
requires urgent emergency treatment?
Assessment and advice Appropriate radiographs
Which of the following is/are true of GDS Enhanced Skills
Allowances
Enhanced skills allowance is only payable in connection with the provision of domiciliary care
You have agreed to provide a RCT for an NHS registered
patient for their lower left second molar tooth. This tooth
will require a crown as a final restoration. The patient has
requested that a metal shell crown should not be placed
on this tooth following RCT and has requested a tooth
coloured crown.
You should explain to the patient that the treatment for this tooth should be provided entirely under NHS arrangements or entirely privately, mixing is not an option
Which of the following NHS GDS treatments require study
models to be included in the treatment plan to allow
successful processing of the claim by PSD
Pre and Post treatment in cases of orthodontic treatment Cases involving bridgework Cases involving provision of a hard heat-cured acrylic occlusal appliance
Which of the following is/are true about fissure sealants
Fissure sealants should be maintained to ensure their integrity A claim may be made for replacement of a failed fissure sealant if 23 months have elapsed since the last claim and the patient has special care needs
Under GDS 2010 Regulations you are required to replace a
restoration that has failed within 12 months of being
placed? Which of the following is/are true
This period of free replacement ends should the patient cease to be registered to you
This period of free replacement ends should the patient cease to be registered to you
Have been included on a dental list for at least 2 years Transfer registration of their patients to another dentist Complete a GP203 form
