What would happen if it were decided that patients on the NHS could only have occlusal amalgams?
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The United Kingdom currently holds the Presidency of the European Union. The Department of Health for England has taken the opportunity to support a history of the development of dental services in the UK, focusing in particular on the role played by its chief dental officers. Emeritus professor Stanley Gelbier was asked to undertake the project. Until December 2002 he was professor of dental public health at the Guy's, King's and St Thomas' Dental Institute of King's College London. For many years Professor Gelbier has been interested in the history of dentistry. He has served as deputy and then curator of the Museum of the British Dental Association since 1983 and has researched and written widely on dental history especially in relation to the development of community and public health services.
The structure, organisation and administration of the National Health Services in the UK including the General Dental Service, the Community Dental Service and the Hospital Service is being described, while emphasising that effective oral health promotion cannot be obtained within the limitations of current organised health services. It demands multidisciplinary and multidepartmental co-work which appears to be beyond traditionally based health services. Dental health education, preventive programmes, epidemiological surveys and dental screening are going to be the main working tasks within the Community Dental Service whereas most dental treatment should be carried out in General Dental Practice. The latter will, in the future, operate as a capitation system rather than fee-per-item system with respect to children. Dental health education, water fluoridation as well as the recommendation of fluoride supplements and attempts to reduce sugar intake are key factors in dental prevention in the UK. Some details are given.
The Italian dental panorama is largely changing. In addition to the major increase of professionals, there is also an increase of the population sensibility and of the political and administrative authorities with respect to the health of the oral cavity. In the short and medium term it is foreseen a variation of the dental sanitary interventions from the mere therapeutic-rehabilitative approach to a global action which is educative and preventive.
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