Surveillance decision

Surveillance decision

This 2018 surveillance review has taken into account 4 NICE guidelines on the theme of oral health:

This report details the surveillance decision for one of these guidelines, NICE guideline NG48. Details of the review decisions for the other 3 oral health guidelines, PH55, NG30 and CG19, can be found on the respective NICE webpages.

We will not update the guideline on oral health for adults in care homes at this time.

During surveillance, editorial or factual corrections were identified. Details are included in appendix A: summary of evidence from surveillance.

Reason for the decision

The evidence

We found 16 studies through surveillance of this guideline.

This included evidence on oral health assessments with a dental professional, electric versus manual toothbrushes, ultrasonic cleaning of prostheses and education for staff and residents. This new evidence was considered to support current recommendations.

We did not find any evidence related to availability of local services, oral health promotion or general dental practices and community dental services.


During stakeholder consultation, it was raised that social and economic factors play a significant role in determining oral health outcomes. Inequalities in oral health were considered by the committee during guideline development, and where appropriate the current recommendations take these into account.

Overall decision

After considering all the evidence and views of topic experts and stakeholders, we decided that no update is necessary for this guideline.

See how we made the decision for further information.

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