BMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39177.430208.BD1 (Published 12 April 2007) Cite this as: BMJ 2007;334:806

Referral for NHS dental implant treatment is reserved for people who have lost teeth through trauma or were born with too few. It's expensive, and demand vastly outweighs resources. An audit of referral and selection in six months in one London hospital found that only 80% of referrals were in the approved categories (Annals of the Royal College of England 2007;89:247-51, doi: 10.1308/003588407X155464). As many as a quarter of patients had untreated caries or periodontitis, which are both contraindications for NHS implant treatment. The proportion of patients with caries was more than double among patients referred by general dental practitioners than among patients referred from hospitals.

In the aftermath of the Modernising Medical Careers debacle, a letter writer in the Journal of the Royal Society of Medicine (2007;100:164, www.jrsm.org/cgi/content/full/100/4/164-a) points out that there's value in holding interviews for both employers and future employees. Junior doctors should regard the process as much for them to have the opportunity to find out more about their …

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