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The latest DRA Journal issue showcases Asia's dental innovation, featuring Thailand's pioneering stem cell research, advanced clinical techniques like 3D-printed dentures for senior patients and digital workflows for implant restorations, a review of top Asian dental startups, and strategies for improving dental practice culture.

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Alarming Surge in Oral Cancer Linked to NHS Dental Crisis

UK: A concerning 12% surge in mouth cancer cases has been reported in the UK, claiming over 3,000 lives in 2021. This uptick is correlated with a decline in regular dental check-ups, affecting half of the population. Deadly mouth infections, leading to sepsis, are emerging in areas with restricted access to NHS dentists, an unprecedented situation that some doctors describe as resembling a battlefield.

Antibiotic Overuse and Antibiotic Resistance Concerns

Healthcare professionals reveal that patients are being prescribed antibiotics not to cure toothache but to mitigate the risk of deadly infections, contributing to antibiotic resistance. Dentists express worries about the consequences of delayed dental care, with patients now presenting in emergency rooms with severe dental sepsis and life-threatening dental issues.

Quoting an anonymous dentist from the north of England, “We’re now seeing patients dying from toothache. We’ve never witnessed this before, and there have been multiple cases.”

Read: Alarming Rise in Oral Cancer Deaths Linked to Dentist Waiting Times

Oral Cancer Statistics and Impact of Delayed Diagnosis

Data from the previous year indicated 9,860 cases of mouth cancer in the UK in 2020/21, marking a 12% increase from the comparable year. Oral cancers, often flagged during dental check-ups, have a 90% survival rate with early detection, dropping to 50% with delayed diagnosis. The Chair of the British Dental Association, Eddie Crouch, underscores the gravity of the situation, stating, “Official indifference to NHS dentistry has a body count. What more will it take for this Government to wake up?”

The ongoing NHS access problems are emphasized as a critical factor in the disparity between life and death for some patients. Oral sepsis cases, a consequence of delayed dental care, are challenging to track due to NHS coding practices, which categorize cases based on bacteria type rather than location.

Quoting Paul Woodhouse, a dentist in Stockton-on-Tees, “I’ve been doing this for 23 years and I’ve never seen anything like this. Patients are delaying seeing us – for some it’s cost of living pressures, for many others it’s simply because our diary is rammed.”

Read: Comprehensive Guide: Head and Neck Cancer Screening for Dental Professionals

Systemic Issues and Impact on Children

The British Dental Association attributes the crisis to a flawed NHS dental contract, leading to caps on patient numbers based on arbitrary targets rather than actual need. Real terms government funding for NHS dentistry has decreased over the last decade, while the number of dentists has declined despite increased patient demand. Last year, data revealed that 40% of children in the UK did not have their recommended annual dental check-ups.

NHS England acknowledges the backlogs in dental care due to the pandemic and emphasizes efforts to address the issue. The Mirror’s campaign highlights three demands: universal access to NHS dentistry, restoration of funding and recruitment of more NHS dentists, and a necessary overhaul of the current NHS dental contracts.

A spokesperson for NHS England reassures the public, stating, “The NHS is working hard to tackle the inevitable backlogs that built up during the pandemic with dental activity up by more than a fifth last year compared to the year before.” However, concerns persist about the adequacy of the current system and the need for comprehensive reforms in NHS dentistry.

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