Special Care Guidelines and Standards

Please note that some of the  guidance is  now being reviewed  for 2024.
Once updated  the  new versions  will be published here.
Disclaimer :
Health science  is an continually changing  area, with new research and  clinical experience broadening our knowledge .
Please use appropriate caution  and judgement when accessing the guidance, especially with older material. These material is  for reference  in SCD , and in itself does not constitute  a standalone national standard document.

Domiciliary Dental Care (SIG Updated 2012)

Dysphagia Guidelines and resources  (SIG 2014)

Oral Nutritional Supplementation Guidelines ( SIG 2009)

Mouth Care for people with Parkinson’ s Disease (SIG 2017)


The Special Care Dentistry Managed Clinical Networks also produce  referral and clinical pathway documentation relating to  special care patients .

View the separate ( SE Wales, SW Wales, and  N Wales & Powys ) pages




The British Society of Gerodontology has developed a comprehensive resource pack which pulls together

multiple guideline, fact sheets, and protocols relating to oral care and disability.

This is a recommended resource : Click on image/text below :

British Soc. Gerodontology -Resource Pack     

Master Pack SCD Resources







Other guidelines of relevance to special dental care


New guidance (2015) Dental patients taking anticoagulants or antiplatelet drugs



Guidelines for dental treatment of patients with inherited bleeding disorders( SE Wales MCN in SCD 2017)

Infective endocarditis

NICE Guidance (Updated 2016)

and associated documentation :

SDCEP  Implementation advice   (2018)

Medication Related Osteonecrosis of the Jaw

Updated 2017 – Scottish Dental Clinical Effectiveness Programme

Saliva/dry Mouth

Guidance saliva substitutes (2013)

Sedation  in dentistry

Welsh Government  -Service Standards for Conscious Sedation in a dental setting

Conscious Sedation in Dentistry -SDCEP 2017 Guidance

Standards – Intercollegiate Advisory Committee for Sedation in Dentistry (2015)


Guidance-  Adrenal Insufficiency 

Protocol – Children withAdrenal Insuffiency ( NHS Scotland)