{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T22:05:53Z","timestamp":1778537153399,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prim Dent J"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> The utility and acceptability of preformed metal crowns (PMC) for management of carious primary molars has been established in the literature and published guidance. The role of dental hygienist and therapists (DHT) in the evolving team model in primary care has been recognised as requiring further investigation. The importance of patient and parental acceptance is acknowledged in recent healthcare research. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p> This study focuses on patient and parent acceptance of preformed metal crowns placed by DHTs. Prescription format is investigated and the availability of bitewing radiographs considered. Reflective assignments at the end of training gave an indication of DHTs views on increased professional autonomy and the issue of direct access. Patient and parent satisfaction following placement of PMCs by DHT vocational trainees (DHTVT) were evaluated. Data was collected in two audit rounds from 2013 to 2014 using a \u2018faces\u2019 scale for children and a Likert scale for parents following placement of PMCs on carious primary molars. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> 133 PMCs were placed (110 children) by 10 DHTVTs over an eight-month period. Overall, radiographs were available for 10.5% of cases. The data showed high levels of patient and parent acceptance of the use of PMCs. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Low availability of radiographs may represent a missed diagnostic opportunity. PMC placement by DHTVTs resulted in high patient and parent satisfaction, comparable to other studies. Although caries has been declining over the last decade in Scotland,<jats:sup>1<\/jats:sup> evidence shows that inequalities and a social gradient<jats:sup>2,3<\/jats:sup> in experience of caries in children remain. There is a need for tools and strategies for the prevention, recognition, risk assessment, diagnosis, and management of caries in the primary dentition. These must be accessible, acceptable to children and their parents\/carers, cost effective, affordable and applicable in the primary care general dental practice environment where most families are likely to be registered. The emerging theme of dentistry being provided in a team model with dental care professionals (DCPs) taking on an expanded role is under continuing review<jats:sup>4<\/jats:sup> following the General Dental Council (GDC) announcements<jats:sup>5,6<\/jats:sup> on \u2018direct access\u2019. The Scottish Dental Hygiene and Therapy Vocational Training (DHTVT) programme is a one-year, elective, post-qualification training programme for Dental Hygiene and Therapy graduates run by NHS Education for Scotland (NES). In 2013\u20132014, DHTVTs were employed across six Scottish health board areas in hospital, salaried and independent settings in urban and rural locations. The elements of the programme involve a blend of clinical mentoring, web-based learning, case presentations, critical reading, reflective assignments and face-to-face theoretical and practical teaching across a number of modules. The aim of this project was to collect data to indicate patient and parental response following the placement of PMCs, collect data on the use of radiographs in children having PMCs placed and to investigate the role of dental therapists in the dental team. The data, once collated, was presented to DHTVTs to inform reflection on the management of carious primary molars and to raise awareness of issues relating to cost effectiveness of providing treatment in a primary care environment and critically appraise perceived barriers to the use of PMCs in the treatment of carious primary molars. Collated data has been presented to trainers in future cohorts to inform discussion amongst the group of trainers at induction days around dental team working, effective detection, diagnosis, risk assessment and prescription to DHTs. <\/jats:p><\/jats:sec>","DOI":"10.1308\/205016815816682218","type":"journal-article","created":{"date-parts":[[2015,11,11]],"date-time":"2015-11-11T06:09:02Z","timestamp":1447222142000},"page":"46-51","source":"Crossref","is-referenced-by-count":6,"title":["Placement of Preformed Metal Crowns on Carious Primary Molars by Dental Hygiene\/Therapy Vocational Trainees in Scotland: A Service Evaluation Assessing Patient and Parent Satisfaction"],"prefix":"10.1177","volume":"4","author":[{"given":"Guy","family":"Jackson","sequence":"first","affiliation":[{"name":"PDS dentist, NHS Highland, Alness Dental Clinic, Robertson Health Centre, Alness."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"bibr1-205016815816682218","doi-asserted-by":"crossref","unstructured":"McMahonAD, BlairY, McCallDR, MacphersonLM. Reductions in Dental Decay in 3-Year Old Children in Greater Glasgow and Clyde: Repeated Population Inspection Studies Over Four Years. BMC Oral Health 2011;11(29). Available at: www.biomedcentral.com\/1472\u20136831\/11\/29.","DOI":"10.1186\/1472-6831-11-29"},{"key":"bibr2-205016815816682218","unstructured":"MacphersonLMD, BallG, ConwayDI, EdwardsM, GooldS, O'HaganP, McMahonAD, O'KeefeE, PittsNB. National Dental Inspection Programme of Scotland. Report of The 2012 Detailed National Dental Inspection Programme of Primary 1 Children and the Basic Inspection of Primary 1 and Primary 7 Children. Dundee: Scottish Dental Epidemiological Co-Coordinating Committee; 2012. Available at: www.isdscotland.org\/health-topics\/dental-care\/publications\/2012-11-27\/2012-11-27-dentalndip-report.pdf?41798037291."},{"key":"bibr3-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1177\/0022034511402079"},{"key":"bibr4-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12025"},{"key":"bibr5-205016815816682218","unstructured":"GDC (General Dental Council). Dental Care Professionals and Direct Access: Q&As. 2014. Available at: www.gdcuk.org\/dentalprofessionals\/standards\/pages\/directaccessqas.aspx."},{"key":"bibr6-205016815816682218","unstructured":"GDC (General Dental Council), Looking Ahead: Changes to Dental Provision in the UK and the Implications for the General Dental Council. A Policy Horizon Scanning Report. 2013. Available at: www.gdc-uk.org\/newsandpublications\/research\/documents\/horizon%20scanning%20report%20final.pdf."},{"key":"bibr7-205016815816682218","unstructured":"SDCEP (Scottish Dental Clinical Effectiveness Programme). Prevention and Management of Dental Caries in Children. 2010. Available at: www.sdcep.org.uk\/index.aspx?o=2866."},{"key":"bibr8-205016815816682218","unstructured":"University Of Dundee. The Hall Technique: A Minimal, Child Centred Approach to Managing the Carious Primary Molar. (3rd Edition). 2010. Available at: http:\/\/dentistry.dundee.ac.uk\/sites\/dentistry.dundee.ac.uk\/files\/3m_93c%20halltechguide2191110.pdf."},{"key":"bibr9-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2008.00935.x"},{"key":"bibr10-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2006.00282.x"},{"issue":"1","key":"bibr11-205016815816682218","first-page":"63","volume":"31","author":"Zimmerman JA","year":"2009","journal-title":"Pediatr Dent"},{"key":"bibr12-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262750"},{"issue":"1","key":"bibr13-205016815816682218","first-page":"12","volume":"110","author":"Foster Page LA","year":"2014","journal-title":"NZ Dent J"},{"issue":"2","key":"bibr14-205016815816682218","first-page":"44","volume":"23","author":"Spencer H","year":"2013","journal-title":"Int J Paediatr Dent: Clinical Effectiveness Bulletin"},{"issue":"2","key":"bibr15-205016815816682218","first-page":"25","volume":"23","author":"Whalley S","year":"2013","journal-title":"Int J Paediatr Dent"},{"issue":"1","key":"bibr16-205016815816682218","volume":"25","author":"Al-Yaseen W","year":"2015","journal-title":"Int J Paediatr Dent"},{"key":"bibr17-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1177\/2050168411os1800304"},{"key":"bibr18-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4811228"},{"key":"bibr19-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2012.00740.x"},{"key":"bibr20-205016815816682218","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ebd.6400926"},{"key":"bibr21-205016815816682218","unstructured":"TurnerS, TripatheeS., MacGillvrayS. Benefits and Risks of Direct Access to Treatment by Dental Care Professionals: A Rapid Evidence Review. Final Report to the General Dental Council. 2012. Available at: www.gdc-uk.org\/newsandpublications\/research\/documents\/final%20version%20of%20literature%20review%20on%20direct%20access.pdf."},{"key":"bibr22-205016815816682218","unstructured":"OFT (Office of Fair Trading). Dentistry \u2013 An OFT Market Study. 2012. Available at: www.oft.gov.uk\/shared_oft\/market-studies\/dentistry\/oft1414.pdf"},{"key":"bibr23-205016815816682218","first-page":"E16","volume":"210","author":"Turner S","year":"2011","journal-title":"How much do they want? Results from a UK Survey. Br Dent J"},{"key":"bibr24-205016815816682218","doi-asserted-by":"crossref","unstructured":"MarshmanZ, InnesNPT, DeeryC, HallMJ, SpeedC, DouglasGV, ClarksonJE, RoddH. 2012. The Management of Dental Caries in Primary Teeth \u2013 Involving Service Providers and Users in the Design of a Trial. 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