Teeth

Struggling as I have been with my own mental health for most of my life, I haven’t always been able to prioritise dental health.

In voluntary and paid roles supporting others with mental health difficulties, I’ve noticed that poor dental health care is a common problem. Published research supports this observation, for example ‘Oral health interventions for people living with mental disorders: protocol for a realist systemic review’, Kenny Dickson-Swift, Gussy et al, International Journal of Mental Health Systems 14, Article number: 24 (2020) https://doi.org/10.1186/s13033-020-00357-8.

After a major breakdown in my late thirties, I was able to regain and maintain sufficient mental health stability to work and function within society (with various blips and crises along the way) and have since retired. As part of the process of recovery that I went through, I managed to reconnect with regular dental check-ups and treatment.

Recently, though, I struck a stumbling block while going through a really tough patch mentally.

I hadn’t been able to get a check-up at the surgery I’m registered with for over 18 months. While many dentists are still struggling to catch up after Covid, the dentist that I’ve been going to have had an additional burden of backlog due to a fire on their premises. Though they’ve been able to set up satellite surgeries around the city I was advised that, if I wanted a check-up on the NHS, I should seek it elsewhere.

As I have moved out of the city to a neighbouring village, this made sense anyway, so I started ringing around. It was only then that I discovered there was little or no chance of being able to see an NHS dentist as a new patient within the next 2-3 years.

Apparently this is due to government funding, although I don’t know the details of how it works.

What I do know is that government mental health strategy is due to be updated (https://www.bacp.co.uk/news/news-from-bacp/2023/24-january-government-mental-health-strategy-update-announced/) with a claim that mental health will be included in an overall ‘major conditions’ strategy that will focus on ‘whole-person care’.

If that strategy is to be worth more than words on paper then it would do well to ensure prioritisation of funding that enables people who have recognised mental health disabilities to access NHS dental care. It would be one less enormous obstacle to climb for those who deserve a medal just for getting out of bed on a morning. And let’s face it, if you can’t even look forward to a cup of tea because it’s too painful to eat or drink anything, then what’s the point?

It’s taken me several months to be able to concentrate enough to work out how to tackle the presenting problem and then follow up and get myself booked in for an appointment. I’m fortunate in that I’ve been able to pay privately for a check-up (£59.00) and have been presented with a range of options to address my dental treatment needs that I can prioritise on – for me – an affordable basis (approximately £250.00). Basically I’m going to book in for a hygienist appointment to address some gum issues and also get an old crown taken off so that the dentist can explore what’s going on underneath and put a semi-permanent top dressing on. This should keep me going for another year or so at least and I’ve got myself down on a 3-year waiting list at a surgery closer to home.

Others who are less fortunate than me financially shouldn’t have to suffer and wait, compounding mental agony with dental agony.

For my part, when I do eventually emerge from my current ‘downer’, I’d like to be able to smile without worrying about the fact that I have gaps in my teeth.