Country Report 2019

Name of Member organization

Orthodontic Society of Ireland

When established + short historic overview

The OSI was formed to promote orthodontics through education and research and to aid the establishment of a Specialist Register. Its members at the initial stage were largely drawn from the Orthodontic Group of the Irish Dental Asssociation, which was a non-specialist group but rather a group of dentists who had a special interest in Orthodontics. The Society campaigned successfully for the establishment of an Irish Specialist register in Orthodontics. This was established by the Dental Council in 2000. The Orthodontic Society of Ireland encompasses the entire island of Ireland, with members from the Republic of Ireland and Northern Ireland (which is, of course, part of the United Kingdom)

Number of active members JAN 1st,2019

There are 144 registered specialists in OSI. Of the 143 Orthodontists, 8 are from Northern Ireland
  Updated February 2019

President 2018-2020

  • Dr. Ronan Perry

Secretary 2018-2020

  • Dr. Darius Sagheri

Treasurer 2018-2020

  • Dr. Claire  Higgins

When was orthodontics recognized as a dental specialty


What is the competent authority for specialists registration

Dental Council of Ireland

What is the outline of the national specialists training program (as required by the competent authority)

The Irish Committee for Specialist Training in Dentistry (ICSTD) was established in 2001 and provides accreditation for recognised specialist training training. The ICSTD provides CCST certificates to the Dental Council for those candidates completing training to go onto the Specialist List. There are currently 2 approved specialist training programmes in orthodontics, based in the University Dental Schools in Dublin and Cork. Candidates participate as a full time postgraduate student for 3 years, completing a taught clinical doctorate at the university. Clinical training is provided at the university and in HSE Specialist units under supervision of consultants and specialists. Students will also be eligible to sit the membership examination in orthodontics (M.Orth) of one of the Royal Colleges of Surgeons of the UK and/or the Fellowship of the Faculty of Dentistry (FFD) in Ireland. There is currently no support for specialist training in orthodontics from the HSE (public health organisation) so candidates self fund this training and pay university fees. There is currently no established pathway for Higher/Consultant training in Ireland for future clinical leads or academic leaders.

Is continuous education (CE) mandatory; If so, how organized

No, it is not mandatory at present but the Dental Council will approve verified CPD (continued professional development) points for courses and conferences and professional activity. A new Dental Act is in the process of being confirmed and passed in to legislation and it is expected that continuous education will become mandatory.

What is the organization of the delivery of orthodontic care

The HSE is responsible for provision of public health care. The HSE provides orthodontic treatment for children with the highest orthodontic need in a Consultant led service in regional clinics. HSE Dental clinics can refer potentially eligible patients for assessment. Eligibility is decided using the IOTN and is limited to IOTN 5 and some IOTN4 cases. All other patients must self-fund private orthodontic treatment in private practice. Specialist Orthodontists providing private treatment, do not get any support from the HSE. In many areas, demand outstrips capacity for public orthodontic treatment and there are long waiting lists. There have been several initiatives to manage this. The HSE are funding the training of some orthodontic therapists in some regions in an effort to increase capacity. There has also been some funding for those patients waiting longest to be offered treatment in private practice and private orthodontists can tender to treat a specific number of public patients over a specific period of time. Patients on a public waiting lists can also access some funding for treatment outside the state through the cross border directive. There have also been some local initiatives to implement protocols to manage the timing of referral and treatment for IOTN5a patients to improve access to treatment at the right time and improve treatment efficiency.

Any further information regarding the position of orthodontics in the country

One issue of concern has been the increase in treat yourself orthodontics. One Dublin based company “Your Smile Direct” has been marketing actively not only in Ireland, but in the UK and Germany. The OSI president and some individual members have expressed concern about this to the Dental Council and to the Health Regulation Authority (HPRA). A technician manufacturing or providing medical devices should be registered with HPRA to provide appliances under EU directive 93/42/EC. In March, the Dental Council issued a statement on this type of treatment issue for patients and practitioners. The HPRA have confirmed the company “Your smile direct” is not registered to provide medical devices with them. Individual dentists or technicians working for the company may be registered.