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Orthodontic Services Waiting Lists

Dáil Éireann Debate, Wednesday - 13 November 2013

Wednesday, 13 November 2013

Questions (179, 180, 189)

Seán Fleming

Question:

179. Deputy Sean Fleming asked the Minister for Health if he will provide information regarding the categories of persons based on clinical assessment with the orthodontist on the orthodontic treatment waiting list; the basis for the different categories such as 4d, 5i, 4f, 4c, and all other categories; and if he will make a statement on the matter. [48517/13]

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Seán Fleming

Question:

180. Deputy Sean Fleming asked the Minister for Health the number of persons on the orthodontic treatment waiting list, on a county basis; the number of these persons that applied for treatment in 2008, 2009, 2010, 2011, 2012, 2013 and earlier years; and if he will make a statement on the matter. [48518/13]

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Bernard Durkan

Question:

189. Deputy Bernard J. Durkan asked the Minister for Health the degree to which orthodontic treatment requirements identified in the course of school medical examinations has been provided by way of follow-up; the waiting lists for such treatment; and if he will make a statement on the matter. [48547/13]

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Written answers

I propose to take Questions Nos. 179, 180 and 189 together.

The HSE provides orthodontic treatment to those who have been assessed and referred for treatment before their 16th birthday. Orthodontic referrals are generally received via the Public Dental Service school screening programme. An individual's access to orthodontic treatment is determined in accordance with the Modified Index of Treatment Need. The dental health component has five categories ranging from 1 (no need for treatment) to 5 (great need). Further sub-divisions of these categories are substantially based in accordance with the causes of malocclusion, e.g. misalignment of teeth. Patients with the greatest level of need are provided with treatment.

At the time of assessment those with urgent clinical need are prioritised. It should be noted that the nature of orthodontic care means that immediate treatment is not always desirable. It is estimated that in up to 5% of cases it is necessary to wait for further growth to take place before treatment commences. Information on waiting times is collated by the HSE by region and for the intervals as shown in the table only. The most recent information relates to the third quarter of 2013.

Waiting time from assessment to commencement of treatment

1 - 6 months

7 - 12 months

13 - 24 months

2 - 3 years

Over 4 years

TOTAL

HSE Dublin Mid-Leinster

862

746

959

724

16

3,307

HSE West

566

1135

1165

1200

61

4,127

HSE South

326

963

495

1190

191

3,165

HSE Dublin North East

341

631

864

1235

194

3,265

TOTAL

2,095

3,475

3,483

4,349

462

13,864

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