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Dental services

Introduction

The Health Service Executive (HSE) provides some free dental treatment to certain citizens through the public health service. Services are provided by dentists employed by Local Health Offices in your area and by private dentists who have contracts with the HSE to provide certain services.

If you do not qualify for HSE services, then you may be treated by a private dental practitioner. From 1 June 2011 all dentists must display private fees in a place where patients can view them before consultation. A single fee must apply for some procedures while the fees for others may be shown as a range, with a minimum and maximum clearly stated. Where a range of fees applies, it is not permitted to set a minimum price only.

The Dental Council has produced a Code of Practice relating to: Display of Private Fees in Dental Practices (pdf).

Treatment Benefit Scheme

You may get free dental examinations under the Treatment Benefit scheme operated by the Department of Social Protection.

Medical card holders

The Dental Treatment Services Scheme (DTSS) provides access to dental treatment for adult medical card holders (over 16 years of age). A free oral examination every calendar year and free emergency dental treatment for relief of pain and sepsis are available to all eligible patients. This includes 2 fillings per annum and all extractions.

Most other treatments require prior approval and patients with special needs, high risk patients and those who have greater clinical needs receive priority. The National Oral Health Office issued Standard Operating Procedures to dentists in November 2011 to provide clearer guidance on the application of DTSS prior approval requests (for example, for dentures).

The DTSS provides treatment for periodontal/gum disease in cases where care is especially warranted. This includes clients who are pregnant, have diabetes or immuno-compromising conditions, or require relevant surgical procedures such as cardiac surgery and joint replacements. Approval for periodontal treatment may be given by the local Principal Dental Surgeon for these and other high risk or special needs groups.

Clinical Dental Technicians

Clinical Dental Technicians are dental healthcare professionals, registered with the Dental Council, who provide complete dentures and partial dentures directly to adult patients when the patient’s oral health is established through a recent visit to a dentist. They do not carry out work on natural teeth or on living tissue.

Clinical Dental Technicians who have a contract with the HSE can treat medical card holders under the Dental Treatment Services Scheme, providing approved dentures and relines as well as denture repairs and additions.

Orthodontic treatment

The HSE provides free orthodontic treatment for those patients with the most severe orthodontic problems. The criteria used to decide whether a child qualifies for treatment in the HSE is determined by eligibility guidelines based on an international grading system called the Index of Orthodontic Treatment Need.

HSE dental surgeons are trained in the guidelines for eligibility and so can advise and refer you to the local HSE orthodontic unit for assessment if the problem is sufficiently severe. The types of orthodontic problems that qualify under the guidelines include front teeth that are buried and fail to emerge, multiple missing teeth, very prominent front teeth or severe problems with the bite or jaw development.

Taxation and dental expenses

If you do not have a medical card and have to pay for dental services from a private practitioner, you may claim tax relief for certain specialised dental treatments. (Routine treatments such as extractions, scaling and filling of teeth and provision and repairing of artificial teeth and dentures are excluded from tax relief). Further information on how to claim tax relief for specific dental costs incurred by you whether for yourself, your spouse, your dependent child or a dependent relative are available in our document on taxation and medical expenses.

Rules

The HSE is obliged to provide dental services free of charge to:

  • Medical card holders and their dependants, but only under certain circumstances
  • People who have contracted Hepatitis C directly or indirectly from the use of Human Immunoglobulin-Anti-D or from the receipt within Ireland of any blood product or a blood transfusion and who have a Health Amendment Act Card
  • Preschool children and school children attending State primary schools referred from child health service and school health service examinations

Priority is usually given to children referred from child and school health services.

Dental services for children under 16 years of age who attend state primary schools, and are referred from child and school health services, are provided in HSE clinics and in primary schools.

Services for others who are entitled to dental treatment are provided in HSE clinics or by private practitioners who have agreements with the HSE. The HSE decides whether you will be treated by one of its dentists or by a private practitioner. If you are to be treated by a private practitioner, you can choose from the list of dentists who have agreements with the HSE to provide services.

How to apply

Apply to your local health centre for further information.

The Dental Health Foundation of Ireland have produced a number of useful publications on dental health.

The Irish Dental Association is the main representative body for general dental practitioners, dental specialists and HSE dental surgeons.

The Dental Council has a list of registered Clinical Dental Technicians (pdf).

Page updated: 16 December 2014

Language

Gaeilge

Related Documents

  • Taxation and medical expenses
    Tax relief is available for private health and long term care insurance. It is also available for certain medical expenses.
  • Aural services
    Aural services that are provided by your Health Service Executive (HSE) Area include hearing tests and hearing aids. Find out who qualifies for free services and how you can obtain a hearing aid at a reduced rate.
  • Optometric and ophthalmic services
    Optometric and opthalmic health services provided through the public health service are free for certain people.

Contact Us

If you have a question relating to this topic you can contact the Citizens Information Phone Service on 0761 07 4000 (Monday to Friday, 9am to 8pm) or you can visit your local Citizens Information Centre.