An internet-mediated investigation into the reported clinical use of rubber dam isolation by GDPs in the UK - part 2: clinical applications

Factors affecting the quality of endodontic treatment in general dental practice in Scotland: a qualitative focus group study

Introduction The quality of endodontic treatment worldwide is variable despite clear clinical guidelines being available.

Aims Identify the factors that affect the quality of endodontic treatment in general dental practice in Scotland and how to overcome the barriers identified.

Methods Four online focus group interview sessions were conducted in which a total of 16 participants were recruited, including general dental practitioners, endodontic specialists and educationalists. Topics for facilitated discussion were based on healthcare system theory and included education/training, patient factors, resources and equipment factors; themes were identified via template analysis.

Results A number of themes and subthemes affecting the quality of care are reported, including aspects to do with remuneration, time, education, training, support from secondary care and the impact of COVID-19.

Conclusion Findings support: increase practical experience for undergraduates; access to postgraduate mentoring and training; development of a managed clinical network to facilitate access to appropriately trained specialists; and increased remuneration to allow sufficient time and adequate equipment to achieve clinical standards.

Despite available clinical guidelines, the quality of root canal treatment in NHS general dental practices is suboptimal.

A variety of factors influence the quality of treatment in general dental practices, such as cost of treatment and equipment, a lack of training or education, inadequate support from secondary care and the impact of COVID-19.

Adequate funding and support for clinicians could allow them to invest appropriately in treatment and equipment to improve the quality of care in NHS.

Continuing professional education is frequently seen as a tool to improve the quality of care.