Professional Documents
Culture Documents
consolidate and house their Head Office staff in single education and the provision of regular fluoride mouth-
units. Their employees therefore travelled long dis- rinses in their washrooms. All these preventive mea-
tances to their family dentist and the so-called green sures can be varied to take account of any particular
field sites developed for new factories were by defini- firm's special needs. Although most treatment is car-
tion remote from existing dental practices. All of these ried out under the N.H.S., there are occasions when
factors combined to interest a new type of employer in certain treatment not available (such as posterior com-
industrial dentistry. Funding was available from N.H.S. posite restorations and certain cosmetic treatments)
sources and employees were concentrated in units large can be provided at a modest charge to the patient.
enough to justify the employment of a Company dentist One further important aspect of an occupational
who could save valuable time otherwise spent by work- dental practice is the screening service which it can
ers travelling to a dentist near their homes. Companies offer to staff who may not otherwise visit a dentist. One
providing a dental service were seen to be caring em- particular category comprises the edentulous who, in
ployers and a dental service became part of the remun- good health and with satisfactory dentures, may have
eration and welfare package (Wege, 1985). little cause to seek medical or dental advice. Although
A number of large companies have for many years the most common tumour-like swellings of the mouth
provided such dental treatment facilities for staff at are inflammatory overgrowths such as denture granulo-
work and a significant proportion of the adult working ma, the most important are carcinoma. The incidence
population is currently served in this way and, although of oral carcinoma is low at around 2 per cent of all
conditions encountered in everyday practice as well as membership and recent years in particular have seen a
in the broader discussions with personnel managers. growing interest from overseas. Indeed the Association
For the staff who work in an occupational health de- can now claim members in every continent and the
partment, there is the added enjoyment of being part of employing companies concerned are as equally
a team fulfilling a vital role which is valued by the diversefrom Marks and Spencer to the Bank of Eng-
Company it serves. land in London, and from the Heineken Brewery in
In uncertain economic times, hard-pressed em- Holland to Jos E. Seagram and Sons in New York.
ployers may question the necessity for dental facilities The Association of Industrial Dental Surgeons will
at the workplace and, in the past, industrial dentistry continue to provide information for companies con-
does seem to have been largely at the mercy of external sidering on-site dental schemes and will remain a focal
forces. Its protection must be in the service offered to point of interest, expertise and information for its
both management and patient. Most dentists recognise members and will continue to hold scientific meetings
the need for a preventatively orientated practice. Poss- specifically designed to interest and educate them in all
ibly the dentist in industry is better placed to effect this matters relating to occupational dentistry. It will also
mode of delivering dental care and, in most occupa- continue to believe in the value of the high quality
tional practices, use of ancillaries with the emphasis on dental care which its members provide at the workplace
prevention is already well-established. In a highly com- for many thousands of employees throughout British
petitive world, overhead costs are subjected to closer industry.
Requests for reprints should be addressed to: G. P. Fcaver, Honorary Secretary, Association of Industrial Dental Surgeons, Marks & Spencer
p.l.c, 47 Baker Street, London W1A 1DN.