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Table 1 Characteristics and workflow of dental services at designated HNC centres in Ontario, Canada (n = 7)

From: A scoping assessment of dental services at designated head and neck cancer centres in Ontario, Canada

 

Frequency (%) or Median (IQR)

Characteristics of dental services

 

Dental experience treating HNC patientsa (years)

7 (5–21)

Completion of specialized training prior to treating HNC patientsb (yes)

4/7 (57%)

Access to continuous education opportunities for treating HNC patients (yes)

3/7 (43%)

Number of dentists involved in treating HNC patients

2 (1–7)

FTE allotment of dentists for HNC patients

0 (0–1.3)

Presence of OHIP-billing dental clinic on site (yes)

5/7 (71%)

Provision of ADP- and OMRP-funded dental prosthesesc (yes)

5/7 (71%)

Percentage of care provided in-person (%)

99 (80–100)

Workflow of dental services

 

Automatic assessment of HNC patients by a dentist (yes)

2/7 (29%)

Average wait time for pre-cancer dental assessment (days)d

6 (3–8)

Average time until discharge to community (months)e

12 (4–60)

Maximum number of HNC patients which a single dentist can see per dayf

8 (6–15)

Patients provided with ongoing dentistry care/follow-up post-radiation (yes)

5/7 (71%)

Ability to deliver post-radiation dental care in the event of osteoradionecrosis or post-radiation cavities (yes)

6/7 (86%)

  1. ADP: Assistive Devices Program; FTE: full-time equivalent; HNC: head and neck cancer; IQR: interquartile range; OHIP: Ontario Health Insurance Plan; OMRP: Oral and Maxillofacial Rehabilitation Program
  2. aResponse from dentist-in-chief (or equivalent)
  3. bSpecialized training may encompass a dentistry fellowship, hospital residency, and/or mentorship by dentists experienced in treating patients with HNC
  4. cRefers to intra-oral dental prostheses; only a single centre within Ontario provides extra-oral prostheses
  5. dFrom patient referral to first visit
  6. eExcludes one designated centre at which patients are only seen in the community
  7. fFor the purpose of assessment, education/review, and/or treatment