Direct Access to a Hygienist


Rachel Lister Dental Hygienist

Rachel Lister will be providing direct access hygiene services at Portner Pittack.

Your first appointment will be booked for 40 minutes and you will need to fill in a medical history form before seeing Rachel. You may need further appointments to complete treatment depending on your oral health. If so Rachel will explain why and advise you how many appointments you will need and the costs.

Rachel is legally only allowed to undertake treatment which is within the General Dental Council’s Scope of Practice. She cannot diagnose or give the prognosis (the likely outcome) of diseases such as decaying and broken teeth. She is not able to prescribe antibiotics, pain killers or any other drugs to alleviate symptoms.

Under direct access, Rachel can remove staining, tartar, plaque, bacterial deposits and other debris and provide you with oral hygiene advice. She can advise you on the progression of gum disease, however, more advanced conditions would need to be assessed by your dentist. Once you have seen your dentist she would then continue your treatment under your dentist’s prescription.

Should you present with treatment that Rachel cannot provide without a dentist’s prescription, she will ask you to see a dentist, although she may be able to carry out a routine scale and polish and provide you with oral health advice.

There can be clinical circumstances when Rachel would not able to treat you at all and she would ask you to see a dentist for an assessment and a written letter from the dentist before she could treat you. These circumstances could be related to your medical history and general health or the condition of your mouth.

You are able to see a dentist at the practice here if Rachel feels that you do need to see a dentist or if she needs a prescription to treat you.

Additional fees will apply if you need to see a dentist.

Visits to a hygienist are not a substitute for a full dental examination.

Rachel Lister is qualified to provide the following treatments:

  • Routine scale and polish
  • Airflow Polish
  • Instruction on brushing, flossing and interdental cleaning
  • Advice on how food and drink affect your teeth and gums
  • Help to counter bad breath
  • Periodontal charting
  • Topical anaesthetic placement (under the prescription of a dentist)
  • Deep scaling under local anaesthetic, infiltration and inferior nerve block (under the prescription of a dentist)
  • Placement of topical fluoride gel (under the prescription of a dentist)
  • Application of fissure sealants (under the prescription of a dentist)
  • Placement of temporary dressings
  • Taking of dental impressions although for whitening teeth this will have to be under the direction of a dentist.