Written answers
Tuesday, 2 December 2025
Department of Health
Dental Services
Mattie McGrath (Tipperary South, Independent)
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583. To ask the Minister for Health if her Department recognises the severe consequences of maintaining the dental treatment services scheme at its current level which is clearly underfunded; the other area of healthcare that expects practitioners to deliver treatment at a loss; if she plans for dentists to continue participating under such conditions; and if she will make a statement on the matter. [67697/25]
Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
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The Dental Treatment Services Scheme (DTSS) provides oral healthcare, free of charge, to medical card holders aged 16 and over. Services available annually and on demand include an examination including preventative elements, two fillings, extractions, and a scale and polish. More complex care, such as dentures, additional fillings and a broader range of treatments for patients with additional needs and high-risk patients, are available subject to the approval of the local HSE Principal Dental Surgeon.
A package of measures was introduced in 2022 to expand the care available under the Scheme and significantly increase the fees paid to contractors . These measures are having an impact, with access to care continuing to increase each year since they were introduced. In 2024, over 227,000 additional treatments were provided under the DTSS, supporting over 44,000 extra patients compared with 2022. Access to care has continued to improve this year, an additional 5,802 patients have been treated, and a further 14,640 treatments provided in the January-October 2025 period compared to the same period in 2024.
Fees paid to dentists for DTSS care are now aligned with other European countries which provide comparable public dental care, noting that many European countries, especially in the southern and eastern regions, don’t have any scheme in place for adults, which is free at point of access.
In the longer term, the Government is committed to reforming oral healthcare services, including the DTSS, through the implementation of the service reforms set out in the National Oral Health Policy (NOHP), Smile Agus Sláinte. The Policy also contains a range of strategic workforce planning actions to increase national workforce capacity, in support of improving patient access to care. The Programme for Government contains commitments to implement the National Oral Health Policy, reform oral healthcare services for medical card holders and address workforce capacity.
The implementation plan for the first phase of the Policy is currently being finalised by my Department and the HSE. The plan includes reform of services for adult medical card holders among the initial priorities.
Mattie McGrath (Tipperary South, Independent)
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584. To ask the Minister for Health the reimbursement costs for all procedures under the dental treatment services scheme; the average actual costs of same treatments; if her Department has reviewed the average laboratory costs in relation to the payments made to dentists under the scheme; and if she will make a statement on the matter. [67698/25]
Jennifer Carroll MacNeill (Dún Laoghaire, Fine Gael)
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As this is a service matter, I have asked the Health Service Executive to respond to the Deputy directly.
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