Dentists with enhanced skills

Dentists with Enhanced Skills (DES), previously known as dentists with special interest (DwSI), provide treatment of a higher level of complexity than a General Dental Practitioner. This is due to their extra skills and experience in a chosen specialty, often referred to as ‘Level 2’, ‘Tier 2’, or ‘Intermediate Tier’ treatment, which requires a contract with a local health board. 

This nationally recognised accreditation process ensures health boards can be confident that DESs have the required experience level and skills to work safely. This process is still in development for many specialities, but  applications for those with demonstrable skills in both oral surgery and paediatric dentistry are being accepted. 

The benefits of becoming a DES 

Level 2 primary care services provides an alternative career pathway if you want to gain enhanced skills without undertaking lengthy specialist training or leaving the general practice environment. It is awarded based on accumulated knowledge and experience which allows flexibility in your career pathway and is supportive of non-linear career trajectories. DES accreditation is also transferrable anywhere in Wales. 

Once accredited, a DES can provide Level 2 care to patients under an appropriate contract with their local health board. We recommend discussing your intentions of applying with your health board’s Dental Commissioning Team before applying. 

 
 

 

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