{"id":11520,"date":"2018-02-19T12:38:12","date_gmt":"2018-02-19T01:38:12","guid":{"rendered":"https:\/\/www.bitemagazine.com.au\/?p=11520"},"modified":"2018-03-29T13:52:28","modified_gmt":"2018-03-29T02:52:28","slug":"oral-health-therapists","status":"publish","type":"post","link":"https:\/\/www.bitemagazine.com.au\/oral-health-therapists\/","title":{"rendered":"Oral health therapists"},"content":{"rendered":"<h2><img decoding=\"async\" class=\"aligncenter wp-image-11521 size-full lazyload\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist.jpg\" alt=\"oral health therapists\" width=\"1024\" height=\"627\" data-srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-300x184.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-768x470.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-696x426.jpg 696w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-686x420.jpg 686w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-245x150.jpg 245w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-122x75.jpg 122w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-310x190.jpg 310w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-150x92.jpg 150w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><noscript><img decoding=\"async\" class=\"aligncenter wp-image-11521 size-full lazyload\" src=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist.jpg\" alt=\"oral health therapists\" width=\"1024\" height=\"627\" srcset=\"https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist.jpg 1024w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-300x184.jpg 300w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-768x470.jpg 768w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-696x426.jpg 696w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-686x420.jpg 686w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-245x150.jpg 245w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-122x75.jpg 122w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-310x190.jpg 310w, https:\/\/www.bitemagazine.com.au\/wp-content\/uploads\/2018\/02\/oral_health_therapist-150x92.jpg 150w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/noscript><\/h2>\n<h2>Oral health therapists have much to offer a practice yet many dentists remain confused about what they can and can\u2019t do. By Kerry Faulkner<\/h2>\n<p>While the path to becoming qualified as a dentist has been relatively straightforward over the decades, not so the oral health therapist (OHT) whose qualification evolution has been a \u2018bit of a dog\u2019s breakfast\u2019 in comparison, according to\u00a0those teaching in the field.<\/p>\n<p>OHT is a relatively new profession, with the first Bachelor of Oral Health Program created in Queensland jointly by the University of Queensland and Queensland University of Technology in 1998.<\/p>\n<p>OHT courses are now available nationally as three-year courses, combining two previous dental training courses\u2014dental therapist and dental hygienist. The result is that in dental practices across the nation, employees hold at least one of these three different types of qualifications and that\u2019s causing problems according to those working in the field.<\/p><div class=\"bitem-article-desktop-720x300-in-text\" id=\"bitem-451239716\"><!-- Bite 720x300 [async] -->\r\n<script type=\"text\/javascript\">if (!window.AdButler){(function(){var s = document.createElement(\"script\"); s.async = true; s.type = \"text\/javascript\";s.src = 'https:\/\/servedby.engagemedia.com.au\/app.js';var n = document.getElementsByTagName(\"script\")[0]; n.parentNode.insertBefore(s, n);}());}<\/script>\r\n<script type=\"text\/javascript\">\r\nvar AdButler = AdButler || {}; AdButler.ads = AdButler.ads || [];\r\nvar abkw = window.abkw || '';\r\nvar plc705185 = window.plc705185 || 0;\r\ndocument.write('<'+'div id=\"placement_705185_'+plc705185+'\"><\\\/'+'div>');\r\nAdButler.ads.push({handler: function(opt){ AdButler.register(165450, 705185, [720,300], 'placement_705185_'+opt.place, opt); }, opt: { place: plc705185++, keywords: abkw, domain: 'servedby.engagemedia.com.au', click:'CLICK_MACRO_PLACEHOLDER' }});\r\n<\/script><\/div>\n<p>The first issue is that qualified OHTs are often under-utilised and are becoming frustrated at not using their full skill set. Secondly, dental practices are running well below optimum efficiency because dentists aren\u2019t delegating work to OHTs that they are\u00a0perfectly qualified to do.<\/p>\n<p>So how did the mishmash of qualifications come about?<\/p>\n<p>Historically, the dental therapist\u2019s role grew from school dentistry. Today they provide oral health assessment, diagnosis, treatment, management and preventive services from children to adults. The scope of work includes restorative and fillings treatment, tooth\u00a0removal, additional oral care and\u00a0oral health promotion.<\/p>\n<p>Dental hygienists\u00a0provide oral health assessment, diagnosis, treatment, management and education for the prevention of oral disease. Their scope may include periodontal treatment and preventive services.<\/p>\n<p>OHT has evolved to combine the two\u2014dental therapy\u2019s oral health care including restorative treatment and extractions, with dental hygienists\u2019 preventive oral care for all ages, in a degree course that includes additional research and theoretical components.<\/p>\n<p>Very few courses now exist offering\u00a0just dental therapy or dental\u00a0hygienist training.<\/p>\n<p>West Australian dental therapist Roseanne Toutountzis has more than 30 years\u2019 experience in the field and says there are so many levels of credentials, dentists themselves are confused.<\/p>\n<p>\u201cDentists need to sit down and talk to each other and figure out who they want to employ and why. If they want just a hygienist to do scaling and cleaning, then employ one but if you want someone in the practice to do more involved work, then employ someone who can do it and pay them accordingly,\u201d she says.<\/p>\n<p>\u201cAs it stands now, new graduates who have all these skills and knowledge are going into practices where they are scaling and cleaning for eight hours. So, there are a lot of\u00a0frustrated women out there.\u201d<\/p>\n<p>Australian Dental Association president Dr Hugo Sachs agrees that while the role of the dental hygienist is clear-cut, that\u2019s not necessarily the case with therapists.<\/p>\n<p>\u201cBefore national registration, many of the state boards defined what a dental therapist could do so there was some form of baseline that everyone could refer to,\u201d he says.<\/p>\n<p>\u201cOf course, they were limited to working with children at that stage. Because there is no defined scope of practice for either a dental therapist and an oral health therapist, coupled with the fact that they are not a homogenous group\u2014some have done a\u00a0bachelor degree while older therapists were prepared to an advanced diploma level\u2014it leaves the dentist not knowing what should be part of their role and what isn\u2019t.<\/p>\n<blockquote>\n<h5>\u201cOnce dentists work in a\u00a0practice,\u00a0they know the\u00a0scope\u00a0and realise OHTs are\u00a0actually well trained and\u00a0then they start to utilise\u00a0them but it\u2019s a\u00a0slow\u00a0process.\u201d\u2014Carol Nevin, lecturer and tutor,\u00a0Curtin University<\/h5>\n<\/blockquote>\n<p>\u201cThe Dental Board could easily address this by providing clearer advice on what their education and training permits them to do and what they can\u2019t do.\u201d<\/p>\n<p>Curtin University dental therapy lecturer and clinical tutor Carol Nevin explains the confusion is impacting on practice efficiency. Many dentists, she says, are filling their appointment books with work that can easily and efficiently be done by their OHTs.<\/p>\n<p>\u201cOral health therapists do all the hygiene, periodontal and maintenance. We need to see patients every six, 12 or\u00a018 months and that doesn\u2019t make a lot of money in the practice, but it needs to be done.<\/p>\n<p>\u201cBut if a dentist is filling their book making appointments for this and treating children\u2014which takes a lot of time\u2014it\u2019s not cost-effective. So, by not employing a dental therapist, they are limiting themselves and not seeing the broad range of patients that they could.<\/p>\n<p>\u201cOral therapists are trained in prevention and public health and can spend time with patients talking about hygiene and looking at diets. They can isolate why decay is happening and that\u2019s great but dentists don\u2019t have the\u00a0time to do that. So, they allow for\u00a0a\u00a0more holistic approach to\u00a0dentistry,\u201d says Nevin.<\/p>\n<p>Nevertheless, research published in\u00a0the Australian Dental Journal in 2015\u00a0aimed at exploring which dentists were most likely to utilise OHTs showed an estimated 62.2 per cent of dentists surveyed did not employ OHTs, hygienists or therapists.<\/p>\n<p>It showed 31.5 per cent of dentists employed either an OHT, hygienist or therapist. Just 12.1 per cent employed an OHT, compared to 18.3 hygienist and\u00a07.4 a dental therapist.<\/p>\n<p>The researchers, from the University of Adelaide, said the study was prompted by an increase in the availability of OHTs in the workforce over the past decade.<\/p>\n<p>They randomly surveyed more than 1100 dentists Australia-wide and\u00a0found\u00a0those least likely to employ an OHT were those aged over 50, working solely in the public sector, located in Tasmania, Western Australia,\u00a0New South Wales or Victoria, and who had\u00a0a\u00a0single surgery.<\/p>\n<p>Those more likely to employ OHTs were rural dentists, dentists in multiple surgery practices, and those considering practice expansion. It found dentists in the 20-29-year age group were more likely to employ OHTs, suggesting they adopted more of\u00a0a team approach to service delivery.<\/p>\n<p>Nevin says a team approach to health care, fostered by utilising OHT, is the way forward, pointing to Canada and the United States where she says it\u2019s not uncommon to have three OHTs per dentist. She says it allows them to use the full range of skills in which they have been trained, to stay fresh and have a variety of tasks to make the\u00a0work more fulfilling.<\/p>\n<p>\u201cWorking as a team like this brings about best practice, and the new scope of practice guidelines in Australia talk about \u2018structured professional relationships\u2019 which promotes a more collaborative approach,\u201d she says.<\/p>\n<p>Nevin works at Western Australia\u2019s only dental training facility, where courses for both OHTs and dentists are run by separate universities. She believes some existing dentists don\u2019t realise that the OHT training has evolved to the extent that it has, while newly graduating dentists aren\u2019t given a thorough understanding of exactly the scope of what OHTs can do.<\/p>\n<p>\u201cThe dental graduates are quite unaware of what the oral health therapist can do. It\u2019s a lack of awareness of their scope of practice,\u201d she says. \u201cIt would be good for them to do some integrated treatment planning of a patient as part of their training, using all the dental disciplines.<\/p>\n<p>\u201cOnce dentists work in a practice, they know the scope and realise OHTs\u00a0are actually well trained and then\u00a0they start to utilise them but it\u2019s\u00a0a\u00a0slow process.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Oral health therapists have much to offer a practice yet many dentists remain confused about what they can and can\u2019t do. By Kerry Faulkner While the path to becoming qualified as a dentist has been relatively straightforward over the decades, not so the oral health therapist (OHT) whose qualification evolution has been a \u2018bit of [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":11521,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[688],"tags":[2489,3325,141],"class_list":{"0":"post-11520","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-your-world","8":"tag-dental-hygienist","9":"tag-dental-therapist","10":"tag-oral-health-therapists"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Oral health therapists - Bite Magazine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bitemagazine.com.au\/oral-health-therapists\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Oral health therapists\" \/>\n<meta property=\"og:description\" content=\"Oral health therapists have much to offer a practice yet many dentists remain confused about what they can and can\u2019t do. 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