Direct Access to a Hygienist in Mill Hill


Rachel Lister Dental Hygienist

Rachel Lister provides direct access hygiene services at Portner Pittack

Your first appointment at our welcoming and modern Mill Hill clinic will be booked for 40 minutes and you will need to fill in a medical history form before seeing Rachel. Further appointments may also be required in order to complete the treatment which will depend on your current oral health.

If this is the case, Rachel will always explain the reasons why and advise how many appointments you will need as well as the costs.

With over 25 years experience, Rachel Lister (GDC No: 4639) 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.

5 star Google review for our dental hygiene service

"I visited the hygienist, Rachel Lister, yesterday, and I received very professional treatment. She is not only an excellent hygienist, but also a very caring, supportive and reassuring practitioner."
- Philip Brodie, via Google reviews

Direct access hygienist: how is it working?

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

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.

Rachel cannot proceed with treatment that is requested without a dentist’s prescription. She will have to 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. If this were to happen, 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.

If Rachel feels that you do need to see a dentist or if she needs a prescription to treat you, then you can make a separate appointment at Portner Pittack to see one of our experienced dental practitioners.

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

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