Dear Sir,

I refer to the article in the October/November 2013 edition of your journal (252: Volume 59 (5)): Audit of the Health Service Executive orthodontic referral pathway between 2009 and 2011 in the Dublin Mid-Leinster Region (Wolstencroft, S., Khosa, A.D.).

I would like to clarify that this audit, and the data considered in the article, refer to the St James’s HSE Orthodontic Unit only. While that department is referred to by name once under materials and methods, the reader might mistakenly presume that the data and conclusions reported were from the entire Dublin Mid-Leinster HSE Orthodontic Service, rather than from only one (St James’s HSE Orthodontic Unit) of its three constituent hubs.

This article is not a reflection, and I am sure is not intended to be by the authors despite the title of the article, of the activity and performance in the orthodontic unit in St Columcille’s Hospital, Loughlinstown from where I write, or its referring dentists in primary care, and I wish this clarification to be noted.

Yours faithfully,
Mr Brian Bourke
Consultant Orthodontist
HSE South Dublin Mid-Leinster,
St Columcille’s Hospital,
Loughlinstown,
Co. Dublin

Response from the author:

Dear Sir,

Thank you for your response to the article. I think your comments are reasonable. The article does make it clear in the main body of the text that the audit was conducted in St James’s Hospital, which falls within the Dublin Mid-Leinster HSE region. However, I accept that the title could be interpreted as being a reflection of the whole of the Dublin Mid-Leinster region, and this was not the intention.

Regards,
Simon Wolstencroft
BDS FDSRCS MScD MOrth FOrth
Consultant Orthodontist
HSE Orthodontic Department
St James’s Hospital
Dublin 8