Oral & Dental

The National Institute for Health Research (NIHR), is funded by the Department of Health and Social Care with the aim of improving the health and wealth of the nation.

The NIHR Clinical Research Network East Midlands supports the delivery of high-quality research in the NHS and social care across the East Midlands region. We are committed to providing the infrastructure that allows research to take place so that patients, carers and the public can benefit from new and better care and treatments.  

Benefits for dental practices participating in research

Highlights from Oral & Dental Research Studies in the East Midlands

Views of the public about dental teams delivering weight intervention

Dental Practices have recruited 3,593 participants

The study involves a questionnaire which will seek public opinion on the acceptability of dental teams measuring patients’ height, weight and checking people’s body mass index. 

The CALM trial: the clinical and cost-effectiveness of a guided self-help cognitive behavioural therapy intervention to reduce dental anxiety in children

Dental practices have so far recruited 280 from 26 Dental practices

Each site, two dental professionals will take part, one randomly assigned to receive the Cognitive Behavioural Therapy (CBT) training and deliver the intervention and the other will deliver usual care. Children with dental anxiety (DA) attending these sites, in need of treatment, will be randomly allocated to be treated by the CBT dental professional or the control dental professional. 

Minimal Intervention Dentistry for Children with Tooth Decay

125 participants recruited from 10 Dental practices

This feasibility study will involve practices implementing the MID approach to children aged 6 to 16 years with decay in their permanent teeth. Data will be collected using questionnaires and interviews with dental professionals and children. These will highlight any issues such as recruitment, acceptability and implementation that may affect the running of a decisive larger trial. 

Selective Caries Removal in Permanent Teeth (SCRIPT)

Dental Practices have recruited 366 participants

The main objective of SCRIPT is to compare the clinical and cost-effectiveness of selective caries removal (SCR) compared to complete caries removal (CCR) in permanent teeth in NHS dental attenders aged 12 years and over who have deep caries in an adult pre-molar or molar tooth.

PROGRESS 

137 participants recruited from 2 dental practices

The objective of PROGRESS is to describe the natural history of the oral HPV infection in terms of its prevalence in general population, at overall level and by genotype.

Orthodontic Longitudinal cohort

89 participants took part from two Dental Practices

The objective is to see how orthodontic treatment affects OHQoL (poor Oral Health-related Quality of Life). Data on OHQoL, clinical changes, self-esteem and socio-economic status (based on home postcode) will be collected, using validated questionnaires, at the start of treatment and at the first retainer review, 6 weeks to 15 weeks after the brace has been removed.  

ENHANCE-D

17 participants took part from four Dental Practices

The objective is to compare the clinical- and cost-effectiveness,and safety of enhanced smoking cessation interventions to usual care,and each other. 

How to fix holes in babay teeth?

45 participants took part from three Dental Practices

The objective is to  determine whether a randomised clinical trial can be conducted in dental practice to compare SDF (Silver diamine fluoride) to usual care, there are several important considerations/uncertainties requiring investigation. The proposed research seeks to investigate these uncertainties through a study to assess the feasibility of the definitive trial. 

Pulpotomy or Root Canal Treatment for Irreversible Pulpitis -PIP Study

Sites within the East Midlands are currently in set up

The PIP Study compares pulpotomy with root canal treatment in adult patients. 

For further information and how to get involved in Oral & Dental research please contact supportmystudyeastmidlands@nihr.ac.uk

Oral & Dental Research Highlights 2023/24

16 Dental practices in the East Midlands recruited participants into research studies during 2023/24.

Dental Practices across our region were able to support the delivery of 5 different studies.

This enabled 413 Dental Practice patients to take part in a research study.

Studies delivered included interventional and observational studies.

Oral & Dental Newsletter

July 2023

Novemeber 2023

Early Years Dentist Research Group

Dr Sarah Young, Dr Jessica Lau and Dr George Andrew are developing a young dentists (less than 10 years after qualifying) research group within the East Midlands.

The mission of the East Midlands Young Dentist Research Network is to increase engagement among young dental professionals in oral and dental research through career development, education and networking opportunities. 


Terms of Reference for Group: 

1. To develop a strategic approach in engaging dentists within 10 years of qualification and dental trainees in research activity.

2. To act as a mechanism whereby young dentists can feed in to the development of research policy. 

3. To communicate NIHR research objectives and strategies and provide support for their implementation.

4. To develop as appropriate proposals in relation to research matters for consideration by the LCRN. 

5. To identify resourcing issues relating to research and 'dental teams'. 

6. To refer as appropriate issues for discussion across the group to the East Midlands LCRN and Derbyshire LDC. 

7. To share good practice in supporting oral and dental research performance. 

8. To share good practice in the development, delivery and tracking of impact.

Founding Members

Dr Sarah Young

Sarah completed undergraduate dental training in 2016 from King’s College, London and has worked in NHS dental practice ever since. Sarah is actively involved in oral health research. She also teaches on the distance-learning master’s in advanced Minimum Intervention Dentistry at the Faculty of Dentistry, Oral and Craniofacial sciences at Kings College, London, UK. Sarah is an associate dentist at Hafren House Dental Practice; a multi-surgery practice which focuses on Minimum Intervention Dentistry and practice-based research.

If you would like further information please contact Dr Sarah Young

Dr Jessica Lau 

Jessica gained her Bachelor of Dental Surgery (BDS) qualification at UCLAN in 2020. During her Foundation year, Jessica was 50/50 split between general and community/ special care practice. Jessica is now an associate working between two mixed NHS/private practices in Sheffield and Chesterfield. She really enjoys the generalist style of practising. Jessica has a passion for dental public health- as has always enjoyed leadership (from being president at dental school, to leading volunteering projects abroad) and believes the real power in making a difference in dental health lies higher in the ladder. This passion blossomed when she  undertook her Masters in Dental Public Health (MPDH) at the University of Sheffield (2016), prior to her BDS. Jessica's first degree- BSc (Hons) in Medical Genetics was obtained at Queen Mary, University of London. Through the mix of her Bsc and MPDH, Jessica has gained a variety of skills for research. She has actively participated in research since being a dentist- from the MILD, to CALM study, to community paediatric clinics at general practice.  In her spare time, Jessica enjoys partaking in fitness activities such as: long distance running, squash, swimming, and countryside walks. She also enjoys travelling to expose herself to new cultures, dining and drinking. 

Primary Care Dental Practice scheme 2024/25

The Primary Care Dental Practice scheme will support the delivery of NIHR portfolio research studies and associated activities at Dental Practice sites across Nottinghamshire, Derbyshire and Lincolnshire in the East Midlands region. The Dental Practice will nominate two members of research active members of staff who will be based at the site's premises and responsible for overseeing research activity.

Dental Practices will deliver research studies as a Patient Identification Centre (PIC) or a recruiting site.  A PIC is where the Dental Practice identifies potential research participants by processing personal data (e.g. through carrying out a database search to identify individuals that meet a studies eligibility criteria and then inviting the participants to the research study).  A Recruiting Site is where participants are identified and consented at the Practice. 

The practice will be allocated funding and is eligible to receive NHS Service Support Costs of NIHR Clinical Research Network funding where applicable. 

The scheme offers a great opportunity for Dental Practices that are passionate about contributing towards improved patient care pathways, treatments and processes to become research active to drive forward these advancements and offer increased opportunities to both their patients and staff. 

Resources

Good Clinical Practice (GCP) is the international ethical, scientific and practical standard to which all clinical research is conducted.

It is important that everyone involved in research is trained or appropriately experienced to perform the specific tasks they are being asked to undertake. GCP training is a requirement set out in the UK Policy Framework for Health and Social Care Research developed by the Health Research Authority for researchers conducting clinical trials of investigational medicinal products (CTIMPs). 

Different types of research may require different training, and some researchers are already well trained and competent in their area of expertise. Some researchers doing other types of clinical trials may also benefit from undertaking GCP training but other training may be more relevant.

The NIHR offers range of Good Clinical Practice (GCP) courses and training aids for the clinical research delivery workforce. Our GCP courses are designed for individuals involved in the delivery of studies at research sites.

Dentist Compliance & Governance Guidance v1.1 July 2023.docx

If unable to access the research training please contact supportmystudyeastmidlands@nihr.ac.uk.

Service Support Costs

(Primary Care Dental Practices only, excluding Private Dental Practice)

NHS Service Support Costs are the additional patient care costs associated with the research, which would end once the R&D study in question had stopped, even if the patient care involved continued to be provided.  These costs are met by the Clinical Research Network. Non commerical studies Service Support Costs for NHS registered patients only (excluding private dental practices) are claimed through the submission of the online form.

The form can be submitted as many times as you require and we encourage you to complete this on a regular basis or as required as per your sites completed activities. 

Please Note: You can only submit a claim for one study at a time.

If the activity you are claiming for is taking informed consent a request form does not need to be submitted. 

Please ensure you have claimed all SSC by the end of the current financial year.

If your practice name & ODS code is missing please contact supportmystudyeastmidlands@nihr.ac.uk.

How do Dental Practices Submit Claims for Service Support Costs?

Patient Engagement Resources

To find a range of downloadable resources for use on patient waiting room digital screens and practice websites, please click here.