Chapter 4 The orthodontic team Sameer Patel, Orthodontic Specialist, London
The healthcare team has undergone significant changes over the 20th century from a hierarchical model where the Consultant and Senior Matron ruled over junior doctors and nurses with limited roles for those without a medical degree to a healthcare system that recognises the value that each member of the team can provide to patient care. It is often the case that the most junior, fresh pair of eyes can identify areas of practice that may be improved. The General Dental Council have released documentation in relation to teamwork that feeds into the core standard “co-operating with other member of the dental team and other healthcare colleagues in the interests of patients”. However, in order to ensure a well-functioning dental team, it is important that there are clearly defined roles for each member, with knowledge of each person’s training and competency. Much has been discussed in relation to the role of dental hygienists and therapists, particularly because of the recent changes to allow direct access but this article aims to explain and clarify the roles within the orthodontic team, where there may be subtle differences compared to the wider dental team.
Team members The orthodontic nurse is a dental nurse who has undertaken further training in orthodontic nursing. Following successful completion of appropriate dental nurse training, the dental nurse is eligible for enrolment onto appropriate training programmes such as the NEBDN Certificate in Orthodontic Nursing. These courses are often similar to dental nurse training on a ‘day release’ type programme where classroom based learning is augmented by chair side experience. These qualifications may also include impression taking and photography providing increased support to the orthodontist during the examination and record taking phase of treatment. Orthodontic nurses are qualified to provide oral hygiene instruction to patients with orthodontic appliances but, similar to their dental counterparts, are not considered competent to undertake any form of orthodontic treatment independently. Many orthodontic nurses and other dental care professionals who wish to become more involved in orthodontic care choose to pursue a diploma in Orthodontic
32