Berliner Tageblatt - Decay in state dental care leaves UK patients down in the mouth

Increasing numbers of dentists are turning their backs on the National Health Service (NHS) in favour of more lucrative private practice.

The British Dental Association (BDA) said the number of active NHS dentists in England is at its lowest level in a decade.

"It's easier to get your hands on Taylor Swift tickets in 2024 than it is to get an NHS dental appointment," said Labour MP Ashley Dalton last week.

The NHS, funded through general taxation and national insurance contributions, was designed to allow free healthcare for all or, in the case of dentistry, at minimal cost.

But according to a YouGov poll in March last year, one in five Britons were unable to register with an NHS or private dentist.

- Nightmare -

Danny White has been struggling to find a dentist for himself, his wife, who suffers from recurring abscesses, and his two daughters.

One of his daughters has a tooth growing behind her baby teeth and needs an appointment while the other requires braces.

But all three dental practices where they live in Bury St Edmunds, eastern England, are no longer accepting NHS patients and only offer private care.

"It's an absolute nightmare," he told AFP. "We've been trying so hard to try and get her appointment. They took everyone off their NHS list"

White estimated it would cost £400 ($500) for the family just to have an initial consultation -- an unaffordable sum when they are already struggling to pay off a car loan.

The situation has seen tales of people travelling hundreds of miles (kilometres) to find a dentist, getting into debt to pay for treatment or even travelling overseas just to have a tooth out.

In Bridlington, in northern England, locals have been told that it will take around eight to nine years to get an appointment at the seaside town's only dentist.

Some have turned to self-dentistry kits and superglue bought off Amazon, while another told the Daily Mail he pulled out six teeth with pliers.

Others flew to Turkey for treatment, paying a fraction of what they would have paid privately in the UK.

"People have been admitted to hospital having overdosed on painkillers," said Mark Jones, founder of the "Toothless in England" campaign group.

"People have died from sepsis through abscesses in the mouth or from oral cancer because it's not been picked up by regular checkups.

"People are pulling out their own teeth."

According to OECD data, the UK has 49 dentists per 100,000 inhabitants -- the lowest rate among G7 countries.

"There's not a shortage of dentists," said Jones. "What there is a shortage of is dentists choosing to work in the NHS."

In a mid-December report on the issue, The Nuffield Trust health think-tank warned that NHS dental services were "nearly at a terminal stage".

A two-tier system is gradually taking its place: one for those who can afford to seek treatment and pay, and another for those who cannot and as a result see their oral health deteriorate.

The Oral Health Foundation charity said that has already had tragic consequences: in 2021 more than 3,000 people in England died from mouth cancer -- up 46 percent in a decade.

- Plan -

BDA president Eddie Crouch called the situation "quite shocking in a civilised country" and blamed under-investment for at least the last decade, forcing patients to pay more for NHS treatments.

Cancelled treatment during the coronavirus pandemic has also created a backlog, he said.

He also pinpoints a 2006 reform which changed remuneration for dental procedures, making them less attractive for dentists.

Currently, just over 70 percent of dentists offer NHS treatments -- and even then the service is limited -- a recent parliamentary report noted.

The Conservative government, in power since 2010, has promised to put in place a plan for publicly funded dental treatment, which has a £3 billion budget in England alone.

"What we're expecting in the recovery plan is possibly some incentives for dentists to take on new patients... an additional payment to actually fill in the void of how much money it actually costs to take on people who are presenting with high need."

But according to Jones, a plan for emergency dental care is also needed such as mobile clinics or hospital outpatient treatment.

O.Bulka--BTB