Tier 2 NHS services in primary dental care - where are the risks?

NHS England and the Office of the Chief Dental Officer have set out plans for the accreditation of Tier 2 services in primary care, the first of which will be endodontics. This Opinion article examines the unintended consequences of the development of this service whose need has arisen for a number of reasons including the current UDA activity-based NHS dental contract, undergraduate training and the quality and quantity of endodontic services being delivered in primary dental care.