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IntroductionFollowing the World Health Organisation declaration of COVID-19 as a global pandemic, routine dental care in the UK ceased, and Urgent Dental Care centres (UDCs) were established to offer remote and face-to-face urgent dental treatment for those in need.

IntroductionMental health and wellbeing of the dental team has been brought into sharp focus during the COVID-19 pandemic. Despite this renewed interest, there has been longstanding issues with poor mental health and wellbeing in the dental profession for some time. While there is some evidence that documents poor mental wellbeing amongst dentists, there appears to be a lack of evidence concerning dental care professionals.

Introduction The main specialties involved with the treatment of children in the UK are paediatric dentistry and orthodontics. In December 2019, these accounted for approximately 38% of all specialists listed by the General Dental Council (GDC). Recent evidence of difficulties filling specialist NHS job posts and the absence of specialists in some UK postal areas suggests a demographic analysis of these specialties is timely.

Introduction There is currently reduced access to NHS dental services in the UK, particularly in England, with rural and coastal areas significantly affected. Recruitment and retention in dentistry has been highlighted as an issue contributing to the problem.

IntroductionDevon and Cornwall have been identified as 'dental deserts' with limited NHS dental access and high levels of oral health inequality. Challenges around recruitment and retention of the dental workforce have been acknowledged as an important contributory factor.

IntroductionWhile routine dentistry was suspended during the COVID-19 pandemic, Urgent Dental Care centres (UDCs) were established to support patients with urgent dental needs.

Aim Recently, more and more dentists have found themselves engaging in the delivery of non-surgical facial aesthetics (NSFA) as part of their regular practice routine. NSFA is a growing field in aesthetic medicine that is practised by a range of clinicians including doctors, dentists and registered prescriber nurses and is an industry estimated to be worth over £3 billion in the UK alone. In the past few years, several public scandals in aesthetic medicine have prompted reactions by several bodies including the Government and Royal Colleges. With Health Education England (HEE) having recently released standards in education, it is clear that a shift in attitude towards training is imminent. With a large volume of dentists making up this NSFA workforce it is reasonable to consider the stance of undergraduate training and the relevance of the existing knowledge within dentistry in the context of the HEE standards.Method All dental schools in the UK were contacted to establish the range of subjects taught within the curriculum, with particular reference to those relevant to NSFA. The two largest aesthetic pharmacies were contacted regarding numbers of registered dentists they serve.Results Twelve out of 16 dental schools responded. Two-thirds of responding dental schools do not cover NSFA in their curricula. However, many dental schools cover related subjects including: facial anatomy/material science/neuromuscular junction physiology (100%), anatomy of the aging face (66%), pharmacology of botulinum toxin (25%) and ethical-legal implications of aesthetic dentistry/NSFA (50%/42% respectively).Conclusion Dentists are well placed to deliver NSFA given their background in relevant subjects and surgical training. With the emergence and growth of such a large multi-disciplinary field it is crucial that dentistry is not left behind. Just as most dental schools have embraced the evolution of cosmetic dentistry and implantology, it would be prudent to consider that training standards around NSFA are reflected in both undergraduate curricula and appropriate post-graduate clinical training for dentistry.

Objective To understand the attitudes and behaviour of staff in dental practice towards adopting a reduce, reuse, recycle approach to resource management.Design A qualitative interview study.Setting The site for the study was a mixed NHS/private dental practice in North Devon.Subjects All disciplines from one dental practice.Methods (1) A practice scoping exercise – provided context and identified an interview sample. (2) Qualitative interviews with practice staff – explored knowledge and attitudes about sustainability and identified opportunities and limitations for the sustainable management of resources.Results The main issue raised by staff was the amount of waste generated. There was a strong desire to implement changes, but deep concerns were expressed about the impact of challenging current guidance on infection control.Conclusions Primary care dentistry provides both surgical and non-surgical care to more than half the UK population. Therefore, lessons learned from general dental practice can encourage positive change. More research is needed across dental practice in order to generalise these findings.

Background Dental practices have a unique position as dental staff use a high number of dental materials and instruments on a daily basis. It is unclear how dentists' and dental care professionals' choices and behaviours around selecting and using materials impact on the amount of unnecessary waste production. Although there are a number of articles exploring the quality and quantity of waste in dental practices, there are no studies on organisational strategies to decrease unnecessary waste. There is no clear economic analysis of the impact on associated cost to dental practices which consequently can affect the access of dental care for disadvantaged groups.Methods This study used an audit approach to explore the potential for sustainability in dental practice by measuring the nature and quantity of dental clinical waste, and assessing the feasibility of measuring the financial costs and potential carbon savings in the management of dental clinical waste.Conclusions The data from our study would appear to support the view that it is possible to reduce carbon emissions and increase profitability. Successful implementation of an environmentally sustainable approach to waste management will be dependent on the practicalities involved and the financial incentives for adopting such practices.

This opinion paper highlights the value which patients place on the delivery of a person-centred approach within dentistry. Excerpts from a qualitative interview are used to illustrate the level of importance afforded to the soft skills, as viewed through the eyes of a patient with experience of oral cancer. The role of the general dental practitioner in supporting patients with oral cancer is highlighted. Attention is drawn to the importance of the dentist-patient relationship and how this can support identification of risk; delivery of preventative advice; early detection and onward referral; and the provision of ongoing pastoral support. Continuity of care is identified as a key factor in delivering high quality person-centred care where the focus should be on the individual and not the disease.