DT UK

Positive review of HIV health staff ban / News / How do we pay for NHS dentistry? / Averting a tax disaster / Taking a holiday? / Property update / What worries patients about dentistry / Are you up to speed on equality? / Change is coming... / The Inman Aligner - Part 1 / The Importance of Documentation in Micro Dentistry / The beauty of modern materials / Industry News United Kingdom / Invisible - ingenious and speedy / Classified

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February 7-13, 2011

PUBLISHED IN LONDON
News in Brief
Dental Divas launches
Dental Divas, an American
organisation designed to
support the needs of women
dentists, has announced the
official launch of Dental Divas Online. The interactive
website allows members to
connect with other dentists,
providing women dentists
a place to share their ideas
and network themselves. According to an ADA study, the
dental industry is comprised
of 40 per cent women dentists, and yet until recently,
there were very few options
in the form of resources,
networking, and support for
the challenges that women
dentists face. The interactive
website provides informative articles and a variety of
discussions on hot topics of
interest, such as running a
practice, peer advice, job opportunities and even help
finding maternity leave fillin. DentalDivasOnline.com.
Octoberdent
A dentist and her nurses in
Germany have reportedly
changed their uniforms to
cleavage-maximising ‘Alpine
lounge’-themed outfits in a
supposed bid to ease patients’
fears. According to Metro, Dr
Marie-Catherine Klarkowski
came up with the idea for
herself and her ten assistants after visiting an Oktoberfest event featuring barmaids in revealing ‘dirndls’.
Klarkowski said: “The most
important thing is to take
away patients’ fear. The sight
of cleavages gets patients
narcotised and distracted
from the pain rather quickly.
“Some patients’ mouths are
already wide open on entering the practice.” The Relax &
Smile practice in Munich has
reportedly seen a rise of a
third in its number of clients
- all men - since the change.
‘Meet the Dentist’
Davidson
County
dentists and Davidson County
School Readiness and Smart
Start programs in America
will hold “Meet the Dentist” activities at Davidson
County libraries in February for preschool children and their parents.
Like the UK’s own version
of oral health month activities, these annual celebrations raise awareness about
the importance of maintaining good oral health.
Developing good habits at an
early age helps children gain
a good start on a lifetime of
healthy teeth and gums so
dentists and their staff will
provide dental education
for children and parents,
dental screening and referral, and free toothbrushes.
www.dental-tribune.co.uk

News

Clinical

News

Smile!!!

The new LED smile takes Japan
by storm

page 4

VOL. 1 NO. 3

Take a holiday

Richard Lishman discusses
furnished holiday lettings

page 10

The Inman Aligner

Dr Tif Qureshi presents part 1

pages 15-19

Feature

The beauty of materials
Dr Ian Cline discusses how to
achieve clincial success

pages 24-26

Positive review of HIV
health staff ban
The Department of Health confirms review of ‘outdated’ HIV policy

he Department of Health
has confirmed that the
policy which currently
prevents HIV-positive surgeons
and dentists from working in the
UK is being reviewed.
Under Department of Health
rules, HIV-positive health workers working in surgery, dentistry and specialist nursing,
plus obstetrics and gynaecology
are not allowed to carry out invasive surgery or ‘exposure prone
procedures’ that could risk blood
contamination.
The announcement has been
welcomed by campaigners and
Aids charities, who say advancements in HIV therapy drugs
makes it easier for people to undertake such clinical roles.
British policy is stricter than
in many European countries
plus the US and Australia, where
dentists with HIV can work.
According
to
reports,
there have been no reported
healthcare worker to patient
HIV
transmissions
in
the
UK, and only four such cases
recorded worldwide and furthermore, dentists with HIV
are permitted to work in the US
and Australia.
According to reports, a DH
spokesperson said: “There is a
very low risk of transmission
of HIV from an infected healthcare worker to patient during certain exposure prone
procedures.
Department
of
Health guidance recommends

that healthcare workers infected with HIV do not undertake
these procedures.”
One dental professional said:
“I think that this review hopefully leading to a change in stance
by the DH, has been a long-time
coming.
“However
the
chance
of an accidental injury with a
contaminated instrument to a
healthcare professional is very
real. Despite that, healthcare
professionals never differentiate
between patients.”
“I feel it is about time that the
discrimination stops against us
as well.”
Another dentist replied to
this response saying: “Following the legislation associated
with the CQC I cannot see why
a HIV dental professional cannot
work normally assuming they
are under the care of a medical
practitioner, suitable medication
regime and an undetectable viral
load.”
One angry dentist said: “It
would appear that it is is wrong
and unprofessional to regard
HIV/ HBV +ve patients as being
any sort of risk but, if dedicated
professional should become so
afflicted they become pariahs,
unable to work and subject to
draconian restrictions.
“Typical DOH, constantly
bleating about evidence based
practice, yet ten years behind
the times.

“I wouldn’t expect anything
less of them. Action through
the courts at named individuals would sort them out PDQ.
About time the BDA actually
took a stance as well and actively
harassed the clowns who make
the decisions.”
The guidance on the policy is
currently being reviewed by the
UK Advisory Panel for Healthcare

Workers Infected with Bloodborne Viruses (UKAP), the Advisory Group on Hepatitis and the
Expert Advisory Group on Aids.
The DH has reportedly said
that the review is expected to
be completed within the next
few months, and that it would
consider
any
recommendations received from the three
advisory panels. DT

[2] =>

2 News

United Kingdom Edition

February 7-13, 2011

Dental Protection voices concern
regarding Fitness to Practise procedures

n the front cover of the
latest issue of Riskwise
you will find an article
that takes a close look at the
GDC’s Fitness to Practise procedures which are currently
operating at a level never before seen in the UK.
On a purely statistical basis,
UK registrants are at least twice
as likely as their colleagues in
the USA and Australia (for example) to find themselves un-

der some kind of challenge
from their professional regulator, and they are several times
more likely to do so than their
colleagues in many other parts
of the developed world, including Europe.
The article details aspects
of the current GDC procedure
which give rise to concern as
well as offering support for the
Council’s intention to review
some of their procedures.

Speaking from their Edinburgh offices, Kevin Lewis
Director of Dental Protection
said: “DPL has always taken
an active role by working at the
heart of the profession on behalf of the 70 per cent of dental
registrants who are also DPL
members. In addition to highlighting our concerns about excessive regulation of the dental
profession, we look forward to
contributing to the GDC’s recently announced review of

Fluoride debate
R

esident Geraldine Milner is
taking legal action to challenge the decision made in
2009 by the South Central Strategic Health Authority (SCSHA) to
illegally force the fluoridation of

ride has been added”. As opponents of fluoridation demonstrated
outside the Royal Courts of Justice
in London, Mr Wolfe said approximately 195,000 people in Southampton and parts of south-west

with fluoridation in February
2009 to improve dental health,
even though 72 per cent of the
public who responded to the public consultation opposed the idea.
However, the High Court
also heard that an opinion
poll commissioned by the SCSHA showed that 38 per cent
were
against
the
scheme,
32 per cent were in favour
and the remaining 29 per
cent were “don’t knows”, the
court heard.

The SCSHA has illegally forced the flouridation of Southampton’s water

Southampton’s water, the High
Court has heard.
The SCSHA, which believes
the move will improve dental
health, gave the go-ahead despite
a public consultation showing 72
per cent opposed the idea.
According to reports, Ms Milner’s counsel David Wolfe told
a judge that, if the scheme goes
ahead, the mother of three teenagers would be left “with no choice
but to drink water to which fluo-

Hampshire “would have fluoride
added to their water whether they
liked it or not”.
He told Mr Justice Holman
this was contrary to government
policy that no new fluoridation
schemes should be introduced
unless it could be shown that the
local population was in favour.
The
SCSHA
reportedly
used statutory powers to instruct the local water supplier
Southern Water to go ahead

Reports said that Mr Wolfe
accused the SCSHA of failing
in its legal obligation to properly assess the cogency of
the arguments for and against
mass fluoridation. He added
that the application for judicial review was not about the
actual
merits
and
health
arguments over fluoridation.
It was about the legality of the
compulsory scheme, the first
of its kind in the UK for 20 years.
Mr Wolfe said: “Four out of
five local authorities and three out
of four local MPs expressed their
opposition within the consultation
process”
The hearing continues. DT

its existing guidance documents, with a view to producing new guidance in early 2012,
in the hope that the concerns
we raised in Riskwise will be
addressed.”

this is precisely what we
are doing. However our members have a right to know what
our position is on these important matters and the reasons
for it.’’

“It would be very easy
for Dental Protection to criticise from the side-lines, but we
feel that it is more constructive
and in the interests of our
members
to
maintain
a
dialogue with the GDC and

Members of Dental Protection can read the full article
in Riskwise UK and Riskwise
Scotland. Non-members can
find the article here http://
www.dentalprotection.org/uk/
proportionality DT

Maximising quality
through competition

ealth Secretary Andrew
Lansley has outlined
how the NHS must embrace value-based competition
if it is to meet the future needs of
the public it serves.
Speaking at the Maximising
Quality, Minimising Cost conference, hosted by Monitor, the
future economic regulator, and
UCL Partners, the Health Secretary outlined how competition
must be based on the quality
of results for patients and not
cost alone. Under the plans to
modernise the Health Service,
providers that deliver excellence will benefit from more
patients choosing their service. Those that do not will have
a strong incentive to change
and improve.
A recent report from the European Association for Cardiothoracic Surgery showed that
survival rates of heart surgery
in England had improved as a
result of the publication of outcome data by cardiac surgeons
themselves. This drove competition and cooperation and forced
up standards dramatically, delivering benefits for patients.
This is an example of value-

based competition.
Health Secretary Andrew
Lansley said: “Our plans to
modernise the NHS will finally
bring the power of competition
to healthcare. Not a free-for-all
race to the bottom, but a race
for quality, for excellence and
for efficiency.
“We will change the default
in the health service decisionmaking, so that it is GPs –
the people who see patients
every day – and their clinical
colleagues across the NHS,
social care and local government, who decide what and how
services are provides. This is
about giving patients and commissioners real choice for the
first time.”
Responding to concerns
that competition leads to variation and divergence across the
country, the Health Secretary
said: “Despite the best efforts
of the centre, variation already
exists. The difference will be
that future variation will be because local communities have
chosen that variation. It will
be the very opposite of the postcode lottery.” DT

Carlyle Group acquires dental service
Published by Dental Tribune UK Ltd
© 2011, Dental Tribune UK Ltd.
All rights reserved.

Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com

the validity of product claims, or for
typographical errors. The publishers also
do not assume responsibility for product
names or claims, or statements made by
advertisers. Opinions expressed by authors
are their own and may not reflect those of
Dental Tribune International.

Sales Executive
Sam Volk
Tel: 020 7400 8964
Sam.volk@
dentaltribuneuk.com

Design & Production
Ellen Sawle
ellen@dentaltribuneuk.com

Editorial Assistant
Laura Hatton
Laura.hatton@dentaltribuneuk.com

Dental Tribune UK Ltd
4th Floor, Treasure House, 19–21 Hatton Garden, London, EC1N 8BA

lobal alternative asset
manager The Carlyle
Group (Carlyle) has announced that it has signed a binding agreement to acquire Integrated Dental Holdings (IDH), from
Bank of America Merrill Lynch
Capital Partners (BAMLCP), and
simultaneously merge it with Associated Dental Practices (ADP)
in partnership with private equity
firm Palamon Capital Partners
(Palamon). Carlyle will hold a
majority of the newly combined
entity and Palamon will share
joint governance. BAMLCP is fully
exiting its stake in IDH. The proposed merger of IDH and ADP is

subject to relevant regulatory approval. Financial details were not
disclosed.
IDH and ADP are two leading
providers of dental care in the UK,
primarily focused on NHS dentistry, with close to 450 practices
treating more than 3.5 million patients per year. Carlyle and Palamon will invest to enhance the quality of patient care and grow dental
services.
Furthermore, this investment
will facilitate the company’s diversification into other primary care services and cosmetic

treatments. New equity for this
transaction comes from Carlyle
Europe Partners III (CEP III), a 5.4
billion euro buyout fund focused
on
investment
opportunities
in Europe.
Palamon Capital Partners
had invested in ADP through its
second fund, Palamon European
Equity II, a mid-market pan-European fund focused on growth services businesses. In 2010 Palamon’s
portfolio company profits grew by
an average of 38 per cent; at the
same time the Firm concluded six
realisations generating almost 450
million euros of proceeds. DT

[3] =>

News 3

United Kingdom Edition February 7-13, 2011

Editorial comment

Online training – the future

n
interesting piece of
research has
been published by the
British Dental Trade
Association (BDTA),
looking at how dental
practices are adopting new technologies within their surgeries.
The topics looked at included
the adoption of computers and
their use within the practice, imaging software and the move to digital and the influencing factors for
product choices (good to see that
editorial review is holding steady
or I could be out of a job!).
The main topic of interest
for me however, is the increasing acceptance of online education for dental professionals looking for options for CPD. Sixty per
cent of respondents to the sur-

‘I am a big believer
in online training’
vey said that they were planning
to participate in online training
in 2011. Forty-three per cent state
that they are looking to increase
their online training provision;
a further 45 per cent will maintain
their online training at its current
level.
These are by no means figures to be sneezed at. With the
emphasis on quality and value
for money these days, the convenience of webinars, online courses
varying from short courses to full
MSc degree programs, the ability
to complete and store your core
CPD remotely and securely and
the ability to train not just yourself
but the whole of your team using
the power of the practice computer
is a big advantage for hard-pressed
principals and practice managers.
This is also good news for providers of online educations such as
Smile-on Ltd.
Subjects for this type of
training also provided some

Online training is the future

interesting
reading.
Restorative topped the charts by a long
way,
with
aesthetics/cosmetics second and endo third.
I am a big believer in online
training; having watched webinars

from both sides of the fence and
seen the interactivity and knowledge used and gained by both
lecturers and delegates. Distance
learning is not new, but the level
of interactivity and connectivity
that online education can now give

Do you have an opinion or something to say on any Dental Tribune
UK article? Or would you like to
write your own opinion for our
guest comment page?

to students of all levels
cannot be underestimated.

If so don’t hesitate to write to:
The Editor,
Dental Tribune UK Ltd,
4th Floor, Treasure House,
19-21 Hatton Garden,
London, EC1 8BA

Online learning –
it’s the future, and it’s
here. DT

Or email:
lisa@dentaltribuneuk.com

[4] =>

4 News

United Kingdom Edition

BDTA Donates to Bridge2Aid
T
47 member surveys were filled
in and submitted which represented an exceptionally high
response rate.

he BDTA is pleased to
announce the donation of nearly £1,000 to
Bridge2Aid following the submission of completed membership questionnaires and
technology surveys sent out
last year.

The BDTA also conducted
research amongst dentists to
investigate their attitudes towards new technologies and
training courses.
Again, an
excellent response rate was
received and £2.50 was donated to Bridge2Aid for each of
the 285 surveys completed and
returned.

In order to assess how well
the Association is meeting the
needs of its members, questionnaires were sent out to
each member company, and
the BDTA offered to donate £5
to the Bridge2Aid charity for
every questionnaire returned.

Executive Director of the

The LED smile

F

limelight, these “fronts” contain
bright multi-coloured glowing
LED lights that simply fit in your
mouth – minus the tooth loss.

orget Kanye West and his
diamond teeth, Japanese
schoolgirls could be the
driving force behind a new era
of fashionable teeth accessories.
Instead of diamonds taking the

Japanese

schoolgirls

have

BDTA, Tony Reed, stated: “It is
important for us to understand
the needs of our members
in order to continue to serve
them effectively and introduce
new benefits. It is vital for our
members to understand how
members of the dental team
respond to new technologies and the mix of training preferred. We were extremely pleased with the
response achieved from the
questionnaires and to be
able to donate funds to
Bridge2Aid made the research
worthwhile on a number of

£5995+vat

The LED smile is taking Japan by storm

be a variety of different colours,
which can be changed wirelessly on a PC, and secondly they
can be activated when you smile!
You can even get a wireless
hand-held computer by which to
control the contraption, making
your teeth change colour - from
a lurid green to demonic-looking
red - or even blink. Of course
they work best in the dark!

 The only course designed exclusively to

prepare for the new diploma in implant
dentistry from RCS Edinburgh, taught by one
of the first 6 in the UK to receive this diploma
 Complimentary ipod touch with more than 25
hrs of clinical video and lectures embedded
(worth £2000.00 RRP)

London May 2011 & Manchester October 2012

theRESTORATIVEcourse - advanced training & mentoring
Master and Develop new skills helping you to expand your Treatment planning and hands on skills. The
format for each 3 day module includes small group seminars and one to one hands-on practical
training. You will receive mentoring to build the confidence you need to complete larger restorative cases.
 Occlusion and Treatment Planning
 Minimal Intervention to Full Coverage

Restorations

The new fashion accessories,
which are quickly becoming a
sort after accessory, were originally created as an experiment
by two Japanese designers; however they are now being used in
a commercial advertising a winter sale at a Japanese clothing

 Smile Design Aesthetic Masterclass
 Advanced Treatment Planning, Implants and

Cosmetic Perio Surgery

4 x 3 day modules @£325 +vat per day

Starts: April 2011 GROUP SIZES LIMITED TO 12

thePREPcourse - hands on restorative training
 Direct and Indirect Composites
 Posts - direct cast and new all ceramic
 Bonded Amalgam and Nayyar Cores
 Full Coverage Crowns
 Minimal Intervention and Bonding

 Veneer Preparation/Prototypes/Gingival

store, Laforet Harajuku.
Reports have said that Motoi Ishibashi, one of the designers involved in the project, explained in a blog post that the
original idea for the LED smiles
came after he saw a video last
year of LED Throwies, which are
little lights that can be affixed
to a magnet and thrown on
metal surfaces. They are like
lighted graffiti.
Mr. Ishibashi and Daito
Manabe, the other designer and
technologist on the project, are
reportedly offering workshops
in Japan showing people how to
build their own LED smiles. DT

Dental property firm
acquires first assets

Control/Impressions and Fit

 Conventional and Maryland Bridge

Preparation

 Lab Communication and critique

8 day course £325+vat per day

Starts: MARCH 2011 GROUP SIZES LIMITED TO 12

D

Hands-on UPDATE FOR DENTAL THERAPISTS Course
A two day hands on Restorative update for dental therapists, the format of the day will start with an
interactive seminar to get everyone up to speed with all the new developments, both with materials and
techniques in the field of cosmetic and restorative dentistry.
 Predictable Dental Bonding
 Anterior Aesthetics and Composites
 Minimal intervention and caries management
 Whitening Update

For further information on
the BDTA visit www.bdta.org.
uk DT

This latest craze that is
spreading across Japan works in
two ways: firstly, the lights can

The Implant Course is a structured programme of didactic study delivered through a series of
interactive lectures, seminars, hands-on training, live surgery and mentored clinical treatment.
needed
 Hands-on training and live surgery
 Mentored clinical treatment as per GDC
recommendations

Mark Topley, Chief Executive at Bridge2Aid, commented:
“The BDTA has been a great
support to us over the past 6
years and helped us to achieve
so much – restoring tens of
thousands of smiles and changing many lives in Tanzania.
This donation will go a long
way to helping us relieve the
pain of thousands more people
in the coming year and extend
our work to new areas desperate for basic dental services and

training. Our thanks go to the
BDTA for thinking of us in this
way, and to all the members of
the dental industry for completing their questionnaires”.

pounced on the product - which
is being advertised as a ‘party in
your mouth’ - and demand has
gone through the roof.

theIMPLANTcourse - advanced training & mentoring
 Little or no experience in implant dentistry

levels. Thank you to all those
who participated.”

February 7-13, 2011

 Minimal Intervention and Bonding
 Dental photography - integrating clinical

photography into daily practice

£195+vat per day

March 21st & MARCH 22nd 2011

Early bird
Booking
Discounts

Visit www.advanceddentaleducation.co.uk
tel: 0845 604 6448 for further details

ental Property Holdings (DPH), a new niche
commercial
property
investment firm, has completed
£1.2m in property acquisitions
from one of the UK’s leading dental operators. The five sites, purchased on a sale and leaseback
basis, are located in Chelmsford, Wigan, Leicester, Milnthorpe (Cumbria) and Llanelli,
and represent the initial assets
purchased by DPH in an ambitious programme of investment
which aims to acquire £10m
of new properties in 2011. This
follows recent changes in UK
legislation allowing dental practices to be incorporated, leading
to corporate dental groups undertaking aggressive acquisition
strategies resulting in rapid consolidation, increased revenues
and higher margins.

Co-founder of DPH, Patrick
Ryan, explains: “Dental practices now provide attractive
investment opportunities for
large, private equity-backed
dental groups. However, their
aim is to operate and profit from
dental businesses, not from
property and property management and so our offering allows
for simultaneous acquisition
of the operating business by
the dental group and the purchase of the property asset by
DPH. This saves dental groups
between five per cent and 10
per cent of acquisition and onward disposal costs as well as
significant management time.
DPH source, appraise and manage the properties which, due
to our portfolio approach,
benefit fromcost and management efficiencies.” DT

[5] =>

Internationally Renowned Titles
now coming to the UK
Each of the three titles will be published quarterly and priced at £30 for the year.
As a special offer if you take all three titles they are just £45.

implants
Vol. 11 • Issue 4/2010

issn 1868-3207

international magazine of

oral implantology

4

2010

What’s missing?

implants

the ultimate solution for gaps in your knowledge
| research
In vitro wear of human enamel opposing
YTZP zirconia

Keep up to date with the world of international implantology with this
essential read

| user report
3-D alveolar ridge reconstruction in a case with
severe bone loss

| meetings
After 40 years, DGZI is in its prime

cosmetic
dentistry

CDE0310_01_Titel 29.10.10 12:53 Seite 1

issn 1616-7390

Vol. 4 • Issue 3/2010

_ beauty & science

3

2010

You got the look...

cosmetic dentistry
Beauty & Science

Something for everyone as Cosmetic Dentistry presents the most significant
international developments and experiences in an easy-to-read format

| special

Case acceptance in complex-care dentistry

| opinion

Impression materials—
Are there any REALLY new ones?

| industry report

Radiant, beautiful anterior teeth

roots
issn 1616-6345

international magazine of

Vol. 6 • Issue 4/2010

endodontology

4

2010

Enjoy Endodontics?

roots

is right down your canal!
| case report
Open-apex retreatment
under the operating microscope

| special
Endodontic success:
The pursuit of our potential

| feature
An interview with MICRO-MEGA

Stay informed about the latest concepts in root canal treatment and advances
in techniques and instrumentation to help you keep pace with the rapid
changes in this field

For more information or to subscribe please call
Joe Aspis on 020 7400 8969 or email joe@dentaltribuneuk.com

[6] =>

6 News

United Kingdom Edition February 7-13, 2011

Missed dental appointments costs patient care

equivalent of almost two weeks
atients failing to attend
a year because patients fail
NHS dental appointments
to turn up for appointments.
in England could be deThe BDA believes that the
nying significant numbers of
research highlights a problem
other people the chance to acof a significant scale and that
cess care, according to a surthe option to charge a fee for
vey by the British Dental Asmissed appointments, abolsociation (BDA). The survey
ished as13:42
part of
the1 widelysuggests A4
thatSELECTED:Layout
committed NHS
Estetica
1 25/2/09
Page
criticised 2006 reforms to dendentists in England each lose the

tistry, should be reinstated.
If the experiences of the dentists surveyed by the BDA reflect
those of predominantly NHS
dental practices across England,
the research would indicate
more than three-and-a-half million dental appointments were
missed last year. Responses to

the BDA research suggest that
the problem is more prevalent
among new patients than those
who have been visiting a practice for many years. They also
suggest that the problem has
become more acute since dental
practices’ ability to charge patients for missed appointments
was abolished in 2006.

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Patients are missing out on care

John Milne, Chair of the BDA’s
General Dental Practice Committee, said: “Sometimes there
are genuine reasons why it’s
just not possible for a patient to
keep an appointment with their
dentist and everybody understands that, but the results of this
research suggest that the scale
of this problem is significant.
“Dental surgeries use letters, telephone calls and even
text messages to remind patients
of forthcoming appointments,
so it’s really disappointing to
see that so many people appear
prepared to deny others access
to care by failing to show up.
This not only wastes dentists’
time, but also taxpayers’ money.
With many people still failing
to secure the dental appointments they want, and the public purse under pressure, that’s
simply
unacceptable.
This
problem needs to be tackled
and the BDA believes that the
Government should consider
reintroducing a fee for patients
who miss appointments to deter
them from doing so.” DT

GDC event in
Birmingham
proves popular

egistrants are being urged
to book early for the General Dental Council’s events
in Edinburgh and Cardiff after all
the available spaces were quickly snapped up in Birmingham.

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As the UK’s dental regulator,
the GDC wants to meets its registrants face to face in a bid to help
dental professionals learn more
about how its work affects them,
help shape its review of its Standards guidance, take the role of a
GDC Investigating Committee
and get the answers to questions
they want to ask.
The GDC has arranged
four free events across the UK
that can count as two hours
of verifiable CPD. The Birmingham event on 17 February 2011 has been fully booked
well in advance of the event.
Booking is now open for two
further events in Edinburgh on 23
March and in Cardiff on 25 May at
www.gdc-uk.org. DT

[7] =>

United Kingdom Edition February 7-13, 2011

How do we pay for
NHS dentistry?
Neel Kothari discusses piloting and the new contract

T

he seemingly endless
cycle of re-organisation,
uprooting and change
has now culminated in a new
set of dental pilots due to be
unravelled by the coalition government in April. These pilots
are aimed at testing a range
of different models to gradually move away from the UDAbased system towards a system
based on capitation and a quality and outcomes framework.
Much of the rhetoric surrounding this change sounds similar
to that proposed when the 2006
dental contract was first suggested with once again an emphasis of movement away from
a treatment based system to a
more preventative based one.
Essentially these pilots will be
based on a capitation system
where dentists will be paid on
how many patients they look
after and the healthcare outcomes they achieve, rather than
just the amount of treatment
they provide. However with
the country in economic strife
and goodwill with the profession virtually extinct, one must
question whether this new set
of pilots will work with the profession to bring change or once
again impose reform without
the informed consent or will of
its members.
Of course, until the pilots
reach their more conclusive
stages, I certainly cannot say
that I am against the prospect of
piloting and, just like the 2006
contract, many of the aims proposed by the government resonate strongly with the profession, none more so than one of
the Department of Health’s (DH)
overall priorities for the NHS,
which is to cut bureaucracy and
improve efficiency. With many
practitioners, including myself,
currently dealing with the rigmarole of the CQC and compliance with HTM01-05 I certainly
welcome any plans to lessen
bureaucracy, but more importantly if we are to learn from
the mistakes of 2006 surely the
profession needs a greater say in
how best to move forwards.
An example of how the coalition government in my opinion
can do better is by looking at
the issues surrounding HTM 0105. On behalf of the profession,
the British Dental Association
(BDA) has repeatedly requested
an evidence based evaluation
of the HTM 01-05 proposals via
NICE prior to their bureaucratic
implementation and as yet it

does not seem that this is likely
to happen. If the DH wishes to
restore goodwill with the profession and is serious about reducing bureaucracy, why not start
by asking whether all aspects of
HTM01-05 are really necessary
and based on sound evidence?
The initial set of pilots look
at testing three simultaneous
models, where, unlike the current system, dentists do not have
to carry out a specified number
of UDA’s but are instead paid
based on the number of patients
they see. The type 1 pilots aim
to establish a fair baseline capitation value by looking at the
way dentists carry out treatment
without the financial incentives
of providing UDAs. The type 2
pilots aim to test the implications of a national weighted
capitation model based on age,
gender and social deprivation,
where dentists will also be eligible for payment against the QOF.
In the final type 3 pilots the dental budget will be split, the capitation payment covering only
basic care and a separate budget
catering for complex care that
involves dental laboratory work.
Currently the Department of
Health intends to run between
50 and 60 pilot sites which will
be assessed after an initial period of one year, with scope to
extend them until the new contract is ready in its final form
where they are successful. The
Department says that changes
to the patient charge system required by the new contract will
require changes to legislation,
a process which will take time
and is subject to Parliamentary
approval. It is anticipated by
the DH that a new contract will
be ready by April 2014. Clearly
dentistry differs from other aspects of the NHS by having a
patient charge. Whilst many patients are used to paying a fee for
NHS dentistry, the government
still adds more than £2bn a
year in England to support NHS
dentistry, so even though the
service continues on under the
umbrella of the ‘NHS’, for most
people it cannot be said that it
is free at the point of delivery.
Whether we like to admit it
or not, operating under a fixed
budget clearly involves a level of
rationing and, with due respect
to the taxpayer, this is not an unreasonable expectation. Under
the current system, whilst the
payments to dentists are roughly based on pre-2006 values, the

burden of responsibility for high
risk patients requiring advanced
dentistry seems to be unfairly
distributed, introducing what
the coalition government calls
‘perverse incentives’. Whilst we
can have various discussions on
essentially how dentists should
get paid, the elephant in the
room is an open discussion on
what NHS dentistry should really provide, how much they
should provide and to whom?
After all, advanced treatment
in dentistry is not just a highly
complex, skilled activity, but an
expensive one too.
In an article for the BBC, Professor Jimmy Steele makes the
point that if taxpayers are contributing to the NHS to provide
costly and difficult treatment,
asking the patient to provide a
healthy mouth first seems a reasonable deal, doesn’t it? Professor Steele accepts that this does
sound like a form of rationing,
however unlike restricting liver
transplants to those on the wagon or by-passes to nicotine quitters which involve chemically
addictive processes, he draws
a clear contrast that cleaning
teeth properly usually requires
little more than a few short and
sensible conversations with a
professional, a toothbrush and
some toothpaste.
It appears that any changes
to the current system are still far
away, at the earliest April 2014.
The widespread criticism of the
lack of piloting prior to the introduction of the 2006 contract
seems to be being addressed by
the coalition government, but after the farce of 2006 it is difficult
to know whether the profession
will welcome these changes
with open arms or merely see
this as another upheaval too
far. It is unlikely that many of
the 2000 or so dentists who left
the NHS in 2006 will come back
and it is even harder to envisage
how the profession would cope
if the new new dental contract
resulted in a further cull of dentists away from the NHS. DT

About the author
Neel
Kothari
qualified as a dentist from Bristol
University Dental
School in 2005, and
currently works in
Cambridge as an
associate within the
NHS. He has completed a year-long
postgraduate certificate in implantology at UCL’s Eastman
Dental Institute, and regularly attends
postgraduate courses to keep up-to-date
with current best practice.

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[8] =>

8 Tax Feature

United Kingdom Edition February 7-13, 2011

Averting a tax disaster

Nick Ledingham has advice for dentists running late on their tax bill

I

f someone doesn’t have
enough money to pay their
tax bill, then it’s not the end
of the world. We sometimes
get calls in February from clients who, for one reason or
another, have not been able to

meet the January 31st deadline.
We thought it might be useful
to let readers of Dental Tribune
have an update on what happens when tax isn’t paid.
First of all, the rate of inter-

est charged by H M Revenue
& Customs when tax is not
paid by the due date (in this
instance 31 January) is currently three per cent per annum, (which is less than most
people’s overdraft rate).

If however the tax remains
unpaid by the end of February,
then a surcharge will be made
which amounts to five per cent
of the actual tax owed at that
date (not just five per cent per
annum!). There will be a further

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five per cent surcharge on
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If profits have fallen since
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may be possible to apply to reduce the payments on account
and this can help reduce the
amount due at the end of January, even if an application to
reduce the payments on account is made after the end
of January. Some tax payers
however are tempted to apply
for reductions in payments on
account even when they know
that their profits have not fallen.
When this happens, then interest still runs on the underpaid/
postponed amounts at a rate
of three per cent from the due
date of payment (31 January) to
the day before the actual payment is made (which would
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[9] =>

United Kingdom Edition February 7-13, 2011

to ask HM Revenue & Customs
for time to pay.

Another
option
borrow the tax due.

HM Revenue & Customs’
Business Payments Support

There are a number of finance companies such as
Braemar and LDF Professions who specialise in making loans to dentists over
six or 12 months to allow them
to spread their tax bills.

‘ Depending on the
tax payer’s circumstances, H M Revenue & Customs may
agree time to pay
where it believes
that somebody
is genuinely unable
to pay’

is

to

The interest charged usually
approximates to bank over-

draft rates although it is usually much easier to borrow
from one of these specialist
companies.
A Rainy day
Although it is easy to say,
the best answer is always
to put some money aside
each month in order to have
sufficient
money
to
pay
tax bills. We are always happy
to give clients an estimate of

Tax Feature 9
how much they should be saving each month, tailored to their
own personal circumstances.
It can also help to have a
“flexible” or “offset” mortgage
whereby you effectively receive the same rate of interest
on your tax savings as you are
paying on your mortgage, and
you are allowed to drawn down
on the savings/mortgage each
January and July.

If any readers who have
not yet paid their January tax
bill are having difficulties then
they should contact their
specialist dental accountant
straightaway DT

About the author
Nick Ledingham is a partner in
specialist dental accountants Morris
and Co and Chairman of the National
Association of Specialist Dental Accountants.

Service was set up to meet the
needs of businesses and individuals who are experiencing
difficulties in paying their tax,
originally in response to the
“credit crunch”. Depending on
the tax payer’s circumstances,
H M Revenue & Customs may
agree time to pay where it believes that somebody is genuinely unable to pay in full
and on time. H M Revenue &
Customs will still charge interest on any unpaid tax.
The five per cent surcharge
on
tax
unpaid
for more than 28 days
will usually be waived, but
only if the Business Payments
Support Service is contacted
prior to the date that the tax
was originally due (usually 31
January). H M Revenue & Customs’ Business Payments Support Service can be contacted
on 0845 302 1435.

DM Indesign.indd 1

29/10/09 13:35:27

[10] =>

10 Money Matters

United Kingdom Edition February 7-13, 2011

Taking a holiday?
Richard Lishman of money4dentists discusses the current issues
concerning furnished holiday lettings for businesses
• Certain capital gains reliefs.

statutory provisions that are in
place. In addition, in the context
of FHL, inheritance tax business property relief does not
rely on a business satisfying the
statutory definition within section 323(2) ITTOIA 2005. However, the FHL must be a business that is not an investment
business, ie: it should not deal
in or hold investments, in this
case land.

These include:
• Business asset roll-over relief
• Entrepreneurs’ relief
• Relief for gifts of business
assets
• Relief for loans to traders and
exemptions
• Disposals of shares by companies with a substantial shareholding
• Relevant UK earnings when
calculating the maximum relief
due for an individual’s pension
contributions.

Businesses have to meet both commercial conditions and letting conditions

T

hough the letting of
property in itself does
not constitute a trade,
the Furnished Holiday Letting (FHL) rules mean that
landlords of furnished holiday
properties are entitled to some
of the tax treatments available
to traders.
In the past, to qualify as
a furnished holiday letting, a
property must be let on a commercial basis, with the tenant
making use of the furniture,
and must be publicly available
to let for at least 140 days and
actually let for at least 70 days,
in a twelve month period.
However, in the April 2009
Budget, changes were made to
the rules for Furnished Holiday
Lettings. In order to qualify as
an FHL, a business would have
to meet both the commercial
condition and the letting condi-

tion. This means the property
must be let on a commercial
basis in order to acquire profits and obtain tax reliefs. This
is an important consideration
when taking loss relief into account because, for example, if
losses arise over three years, it
may prove challenging to validate that the property is being
let commercially.
In addition to this, the Budget 2009 announced that the
previous tax reliefs would be
discontinued from 6 April 2010
(1 April 2010 for companies)
and in order to benefit from the
previous tax reliefs, businesses
operating as FHLs will need to
prove that they are functioning
trades. Ironically, this was the
situation that existed before Finance Act 1984.
Conversely, the new coalition government has an-

nounced that the Budget 2009
will not now take place. Instead, the previous FHL rules
will apply during 2010/11.
The government plans to consult over the summer on the
change of the tax treatment of
furnished holiday lettings from
6 April 2011.
The government has declared that the FHL rules need
to be changed to comply with
EU law. They are seeking to
change the rules in a way that
is consistent with deficit reduction and without compromising
UK businesses.
The FHL rules granted the
following tax conditions to lettings that qualify as a trade:
• Loss relief
• Capital allowances
• Landlords Energy Saving Allowance (LESA)

It is worth noting that, as
a trade, any income received
from the property will be taxed
as earned income. But what
defines a trade? There appears
to be little in the way of a legal
definition, aside from section
989 ITA 2007 which defines
trade as including any venture
in the nature of trade. This is
rather limited as definition and
although judgements in various
court cases can provide some
guidance, the crux of the matter
will be whether a person’s income is being obtained through
trading or if they are a mere
landowner who is exploiting
the property for income.
For example, a hotel would
amount to a trade due to
the services that are provided, whereas a person letting
a self-catering apartment without providing any services,
would most likely be regarded
as undertaking an investment
business.
With regards to National
insurance, FHL has been regarded as land and property income for NIC purposes. There
has been no need to justify that
an FHL is a trade due to the

As they did previously, these
FHL rules will continue to apply to holiday lettings situated
in the UK during the tax year
2010-11. Furthermore, HMRC
will continue to apply the
FHL rules to properties situated elsewhere in the European
Economic Area (EEA) during
the tax year 2010-11. However,
holiday lettings located outside
the EEA do not qualify under
the FHL rules and are instead
taxed under the normal property income laws.
The Government is looking
to reintroduce the FHL rules
from 6 April 2011 (1 April 2011
for companies) for effect from
tax year 2011/12. These will
not only ensure the FHL rules
apply equally to properties in
the EEA but will also change
the way in which FHL loss relief is given. Furthermore, it
will increase the number of
days FHL businesses have to be
available to let as commercial
holiday letting.
Full details about the proposed changes will be discussed over the summer, and
the legislation will be drafted
in the autumn. With the finer
details unclear at this point,
property owners should seek
out professional tax advice in
advance of 6 April 2011 to make
sure that their business profile
gives them maximum scope for
tax reliefs. DT

About the author
Richard T Lishman of money4dentists,
which
are a specialist
firm of Independent Financial Advisers who help
dentists across the
UK manage their
money and achieve
their financial and
lifestyle goals. For
more information
call 0845 345 5060 or email info@
money4dentists.com

[11] =>

Money Matters 11

United Kingdom Edition February 7-13, 2011

Property update
Ray Goodman discusses the current legal issues
regarding the sale of a leasehold practice

s many clinicians will
have realised, banks are
becoming increasingly
discerning when it comes to
lending for the purchase of dental practices, tightening their
requirements as well as their
belts.

gation to deal with your request
with haste and their solicitors’
fees may be substantial.
If you are thinking of selling your practice in the next

Whereas before the credit crunch banks were falling
over each other to lend for the
purchase of practices (often
at low margins over the base
rate and with little security other than a charge over
freehold property and in most
cases they would take a view if
there was no freehold), nowadays
the terms on which they will
lend are increasingly strict.
Fortunately though, the window of opportunity has not
entirely closed, and dental practices seem to be one of the few
remaining sectors to which the
banks are still lending, albeit
somewhat more frugally.

year or so it is possibly worth
starting the procedure to extend
your lease as soon as possible
so that the practice is saleable
when you need it to be. Dentists

choosing to go down this road
are reminded of the importance of having the work carried out by specialist solicitors.
They will be familiar with the
individual requirements the
various banks lay out regarding the lease of dental practices.
This is because in addition to
the minimum unexpired term of
the lease, different lenders have
different requirements when
it comes to the other provisions

they may wish to include in
the lease. Experienced solicitors
working within the dental sector will be able to navigate the
legal minefield on your behalf
to ensure you get the most value
out of your dental practice. DT
The views expressed in this article are
general and not intended as advice
in any particular scenario. You
should seek specific advice before
taking any steps in relation to your
property or practice.

Everything
you need.

What we are seeing now,
however, is that the banks are
still prepared to lend but are
seeking greater security; for
example where the practice
premises are leasehold, they are
insisting on taking a mortgage
over the lease and are looking
for a minimum term of 10, 15 or
20 years left to run on that lease.
In cases with a shorter
period before the lease expires, before the deal can go
ahead it is necessary to negotiate a new, longer lease
with the landlord. There is no
obligation for a landlord to renegotiate the terms of an existing lease, so it is a matter of
negotiation as to which terms
he or she may wish to impose.
Fortunately, it often benefits the
landlord to have a tenant tied
in for a longer period of time,
so they will usually cooperate
as long as you agree to pay the
legal costs involved. The process can take some time as the
landlord is not under any obli-

Nothing you don’t.

About the author
Senior
Partner
Ray Goodman is
a Member of the
Association of Specialist Providers for
Dentists
(ASPD),
legal member of
NASDA (National
Association of Dental
Accountants)
and included on the
BDA list of recommended dental solicitors. He has a comprehensive understanding of the commercial and professional objectives of Dental Practices,
along with l the relevant legal requirements. For more information contact
Ray Goodman on 0151 707 0090, email:
rng@goodmanlegal.co.uk

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So if you’re looking for an efficient and reliable team who can
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with unnecessary marketing fluff and costly extras, contact DPAS
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01747 870910
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68 EYN3 0111

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16/12/10 09:58:47

[12] =>

12 Practice Management

United Kingdom Edition February 7-13, 2011

What worries patients about dentistry
Ernestine Wright, managing director of Breathe Business, draws on her years of experience to provide the questions behind the eyes of the patient
client is much more likely to
accept the treatment they are
recommending because they
see the dental staff as trusted
advisers. Furthermore, this
confidence will mean the client will return to that practice
and recommend it to others.

‘If the dentists and
the reception team
are consistently
warm, caring, confident and knowledgeable, and the
client has developed
a rapport and trust
with them, then the
client is much more
likely to accept the
treatment’

Over time, our clients have built a comprehensive, detailed list of what worries
patients about dentistry and here is a summary of that list, in order of popularity:
• Will it hurt at the time?
• Will it hurt afterwards?
• Finding the practice for the first time
• Parking
• Being reprimanded
• Meeting the dentist
• The equipment
• The instructions
• The drill
• Having injections
• What will be done?
• Why is the treatment needed?

There are a variety of reasons why patients worry about dentistry

A

s dentists and members
of the practice support
team, we tend to naturally believe that cost is the primary reason that patients don’t
choose to see us or to take up
our treatment plans. This assumption is wrong. The three
top factors consistently cited in
not visiting the dentist are, in
order of popularity:

ents and look at strategies for
overcoming the objections from
patients.
The purpose of being aware
of what worries patients about
dentistry is to develop a client experience that overcomes
their fears and provides them
with the reassurance and information they require, ideally before they even need to ask.

1. Fear
2. Time
3. Money

If the dentists and the reception team are consistently
warm, caring, confident and
knowledgeable, and the client has developed a rapport
and trust with them, then the

We frequently discuss this
situation with Breathe cli-

An important distinction to
make is between the issue of
cost and the issue of money.
Many patients are less concerned about the overall cost
of the treatment, than how they
can pay for the treatment and
when. Everyone on the team
should be confident about what
the practice offers (including
the fees) as this makes a considerable difference to how
your patients perceive you and
trust you. DT

About the author
Ernestine Wright is a founding partner and managing director of Breathe
Business, She draws on her years of
experience in the corporate world
as a senior director for Reuters. She
helped Reuters set up a joint venture
with Dow Jones, running their UK
business. With a background in marketing and sales, she has set up and
led successful business teams across
three continents. Ernie specialises
in coaching dentists and their teams
on leadership, sales and marketing
as well as building high performing
teams. If you would like to know more
about how Breathe can help you develop the right client experience for
your practice so you can get more patients saying yes to new patient consultations and treatment plans, then
please contact us at: Breathe Business
0845 299 7209; email: info@nowbreathe.co.uk

• Appointment times
• Will I have to wait?
• How the practice is organised
• Will I be at work afterwards?
• Lying down in front of unfamiliar people
• Fingers and instruments in the mouth
• Being unable to speak clearly
• Having to spit in front of someone else
• Will I be embarrassed?
• How long will it take?
• When do I pay?
• How do I pay?
• How much will it be in total?
• Will I look odd afterwards?
• Will I be able to chew?

Have you ordered your free Patient Referral Leaflets?
Call 0844 335 6354 or visit www.waterpik.co.uk

[13] =>

DCPs 13

United Kingdom Edition February 7-13, 2011

Are you up to speed on equality?

In house training options are an
ideal way to set-up what will become a self-perpetuating training and development culture. At
present in certain circumstances
a £,1000 training grant can be accessed for this purpose. DT

Glenys Bridges provides some advice on the code of equality

longside the professional
requirements set out by
the General Dental Council, dental professionals must
make sure their day-to-day activities meet generic legal requirements. There has always been
a considerable overlap between
the professional legal requirements, now Care Quality Commission’s mandate is to blend
these factors into a joined-up
code of practice for providers of
health and social care. To fulfill
this role they must ensure timely
integration of new legal requirements into practices working
procedures. Therefore, practices
cannot afford to overlook new
legislation or fail to make any required changes.
Some new legal codes will
have a minimal impact of dental teams. Others will be more
significant.
One
significant
change was introduced the new
Equality Act which was introduced on October 1 2010. Under this Act all employers and
providers of goods or services
to the public need to be aware
of some significant changes.
The Act was introduced to
streamline and combine previous legislation and make things
easier for businesses. Its objective is to help protect minority
groups and those who are discriminated against, which is unarguably good society as a whole,
but reality places increased pressures on care service providers.
Key changes
The Act specifies ‘Protected
Characteristics’ and types of discrimination:
Protected Characteristics
Age; disability; race; religion or
belief’s; sexual orientation; gender reassignment; marriage and
civil partnership; pregnancy and
maternity.
Different types of discrimination:
Direct discrimination; Associative discrimination; indirect
discrimination;
Harassment;
Harassment by a third party;
Victimisation; Discrimination by
perception.
The response to these changes must be to actively promote
equality, diversity and human
rights at your practice. Managers need to consider the design
of their services and place fair
and accessible care at the core of
practice philosophy.

ity, diversity and human rights.
On this basis you can plan actions to cater for patients with
specific needs, including those
with disabilities.
You will need to Introduce
practice processes to receive

patient feedback and act on it,
so that patient wants and needs
are accounted for when shaping
your services.
Practice managers need to
determine practical ways to introduce and monitor both exist-

ing and updated measures into
their practices. The most effective way to roll out the practices
best intentions is to involve all
staff in setting and measuring the
observation of standards. In most
cases this requires some training
and development for the team.

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[14] =>

United Kingdom Edition February 7-13, 2011

Change is coming...
Dental Tribune’s Maria Anguita takes a closer look
at the recently published Health and Social Care Bill

L

ocal councils are to
have a say in how
NHS
dental
services are commissioned and
run.
Whilst
primary
and
secondary dental services are
to be commissioned by the
NHS Commissioning Board,
local authority councils will
have the power to agree local strategies to bring the NHS,
public health and social care
together, and will have a lead
role in integrating the commissioning of services to meet
the needs of the local population.
Under the NHS Health and
Social Care bill’s sweeping reforms, announced by Health
Secretary Andrew Lansley, local authority councils will share
commissioning duties with GP
consortia and the NHS Commissioning Board through the
establishment of health and
wellbeing boards at every upper tier authority from 2013,
(although they could be operating in shadow form as early as
from 2012).
Until now, local councils
have only been involved in the
provision of social care. A separate new body, called Public
Health England, will be created
to improve public health and
reduce health inequalities between the richest and poorest.
At the same time, the number
of health Arm’s Length Bodies
(ALBs) is to be reduced from
18 to between eight and 10. Organisations which are no longer
needed will be removed from
the sector, with essential work
moved to other bodies. ALBs facing the chop include the Health
Protection Agency, and the National Patient Safety Agency.
The proposed reform of the
NHS and the abolishment of
Primary Care Trusts has been
met with skepticism and mixed
reactions in a wide range of
stakeholder groups. There is
widespread concern that there
will not be enough dental expertise amongst board members
involved in the commissioning
of dental services, and a lack
of thorough knowledge of how
dental practices are run. In the
proposed structure, the channels of responsibility are opaque
and confusing, and there are
question marks of where accountability will lie.
Dr Susie Sanderson, the British Dental Association’s Executive Board Chair, has said that:
“There will clearly need to be
an involvement of experts such

as consultants in dental public
health, dental practice advisers and local dental committees
to ensure that patients’ needs
are addressed as services are
commissioned.”
According to Paul Burstow,
Minister of State for Care Services, local authorities will have
the power to require information and attendance at scrutiny
meetings of any provider that

However, the Department of
Health has not revealed what
extra funding, if any, Councils
are to receive in order to be able
to meet their new obligations
under the new bill. It is also
unclear how much budget has
been allocated for the commissioning of dental services.
The NHS reforms come at
the same time that a new general dental practitioner contract

‘The proposed reform of the NHS and the
abolishment of Primary Care Trusts
has been met with skepticism and
mixed reactions in a wide range of stakeholder groups.’
is funded by the NHS. This includes the scrutiny of GP practices, dentists, pharmacies, and
independent and voluntary sector providers.
An NHS dentist from South
East London, who does not
wish to be named, has said that
Councils “will not be perceived
as having enough knowledge or
expertise in the dentistry arena
to be able to pass judgment on
healthcare professionals. High
street general dentistry is still
mainly delivered by independent practices, run by principal
dentists as small businesses, and
it is likely that they will not be
happy having pen pushers from
the Council calling the shots.”
The BDA has also pointed
out that until now the coalition
government has failed to address a number of important
issues for dentists and their
patients, leaving many questions unanswered. Importantly,
these include the Government’s
intentions for how dental public health fits into the envisaged
arrangements and arrangements for care for vulnerable
patient groups.
Dr Sanderson has said that:
“This Bill must answer those
questions.”
While the exact details of
the relationships between the
NHS Commissioning Board,
GP consortia and local council
authorities are still to be clarified, a spokesperson for the
Department of Health has said
that: “The NHS Commissioning Board will commission both
hospital and primary dental care
services to ensure integrated
dental services.”

is being drafted. Last December
the Department of Health announced that pilots will begin
this April and will test new contract models that focus on providing continuing care for registered patients and improving
access. They will also explore
ways of moving away from the
target-driven basis of the current dental contract and instead
focus on prevention and quality of care. The new contract
is due to be published in 2014;
however, dental groups have expressed concern over the timing
of the NHS reform and are worried that energies will be diverted into implementing the new
commissioning process rather
than on securing a good deal for
dentists and patients.
Lord Colwyn, Vice-Chair of
the All-Party Group for Dentistry, has highlighted that in
2005 a new dental contract was
introduced at the same time
as PCTs were reorganised and
that during the restructuring
many dental leads and commissioners were not in post to oversee the implementation of the
new contract.
The NHS reforms pose questions such as what criteria will
the local authority council be
measuring, and to what level
will they be able to scrutinise?
What happens if a council
deems a practice not performing adequately? Who will monitor practices, and will they be
qualified? Such issues will remain unanswered for some time
while the new structures set out
in the new bill are hammered
out. One thing is clear, and that
is that change is coming and
that practices are going to have
to adapt quickly. DT

[15] =>

Clinical 15

United Kingdom Edition February 7-13, 2011

The Inman Aligner - Part 1
An effective tool for minimally invasive cosmetic surgery by Dr Tif Qureshi

In cases in which patients
choose to have crowded upper
and lower anterior teeth treated
with veneers, it is extremely
challenging to prepare teeth
conservatively, owing to their
anatomy and the minimum
thickness of porcelain required.

treat slight rotations. Previous
spring aligners were useful, but
several problems always limited
the amount of tooth movement
achievable. Their active components were made from stainless-steel wire, which is relatively inflexible and lacks any

innate springiness.
As a result, traditional removable appliances required
periodic reactivation, leading
to short-lived force application
that limited the speed of tooth
movement, owing to the need

to allow the bone around the
roots of the teeth being moved to
‘rest’ between successive activations. In addition, the direction
of force application with traditional springs was less easy to
control, leading to a mousetraplike force that tended to unseat

the appliance. These factors limited the degree of correction that
could be accomplished. For larger movements, single appliances
were insufficient to complete the
movement.
à DT page 17

The AOG and Smile-on in association with The Dental Directory bring you

Clinical Innovations
CONFERENCE 2011

THE

raditionally,
cosmetic
dentistry has always been
faced with the challenge
of treating poorly aligned teeth.
Treatment options available for
mildly and moderately crowded
teeth include orthodontics and
restorative dentistry. Many patients have chosen the restorative approach, for example porcelain veneers, over orthodontic
techniques because of longer
treatment times combined with
either unsightly labial wires
and brackets or the expense of
‘invisible’ braces.

A difficult balance has to be
found between over preparing
the teeth and placing over-contoured restorations. However,
owing to the excitement and
emotion created by the effect of
popular large smile makeovers,
aggressive tooth preparations,
in which teeth are prepared to
stumps, seem to have been accepted as normal practice, simply because there has been no
alternative that could achieve
the patient’s objectives in a sufficiently short period.
Inman Aligners are now offering a minimally invasive alternative to patients in the UK.
With only one appliance, most
Aligner cases can be completed
in six to 16 weeks. In anterior
crowding cases, Inman Aligners have proven to be much
more time and cost effective
than invisible braces or conventional fixed and short-term
orthodontics. To date, I have
treated about 1,000 cases and
have found that case acceptance
has been close to 100 per cent,
simply because many patients
much prefer a removable solution that fits their lifestyle more
easily. Treatment can also easily
be combined with simultaneous
bleaching and final edge-bonding for quick and non-invasive,
dramatic results. From this, a
new procedure has arisen in
cosmetic dentistry—alignment,
bleaching, bonding—which will
be covered in the second part of
this series. The cases presented
in this article will outline some
case types that can be treated.
The Inman Aligner
For over 30 years, spring aligners were used to correct minor
tooth movements. Early designs were developed for minor tooth movements and to

Friday 6th and Saturday 7th May 2011
The Royal College of Physicians,
Regent’s Park, London
Confirmed Speakers are:
Nasser Barghi, Eddie Lynch, Julian Webber, Wyman Chan, Tif Qureshi, Julian Satterthwaite,
Trevor Burke, Bob McLelland, Peet Van Der Vyver, Wolfgang Richter, Liviu Steier,
James Russell, Jason Smithson, Eddie Scher

[16] =>

[17] =>

Clincial 17

United Kingdom Edition February 7-13, 2011

ß DT page 15

In developing the Inman
Aligner, Donal Inman CDT created a patented design that takes
advantage of the gentle, steady
and consistent forces generated
by NiTi. The design relies on
piston-like components driven
by NiTi coil springs. Inman designed lingual and labial components to function or move in
parallel to the occlusal plane,
eliminating the mousetrap-like
unseating forces and allowing
actual physiological movement
of teeth. Inman Aligners are ideally worn for 16 to 20 hours a
day. Studies have demonstrated
that the removal of orthodontic
forces for four hours a day massively reduces the risk of root
resorption1 and that risk of root
resorption is lower in removable
versus fixed appliances.2
A standard Inman Aligner as
described in the following cases
consists of both lingual and labial components.
The forces have the effect of
squeezing the teeth into alignment. The components can
be used in isolation to retract
teeth with a more steady force,
requiring less adjustment than
a standard labial bow retractor. In Case III, a unique approach that incorporates an
expander on the Inman Aligner
is described.
Patient selection
Case selection for the Inman
Aligner is critical.
The following criteria should
be met before treatment proceeds:

Fig. 1 Side smile view before treatment

1. Cases should require movement of incisor and/or canine
teeth only.
2. Root formation of the teeth to
be moved must be complete.
3. Crowding or spacing should
be less than or equal to three
mm. Arch evaluation must be

ysis with Spacewize Arch analysis should be performed before
any Aligner case is attempted in
order to ensure that the case is
suitable and, if not, what additional space creation techniques
will be needed to allow the Inman Aligner to work. The extent

‘The forces have the effect of squeezing the
teeth into alignment. The components can
be used in isolation to retract teeth with a
more steady force, requiring less adjustment
than a standard labial bow retractor’
performed to determine the
amount of space required. Cases
with over three mm of crowding
require additional space creation techniques, as pioneered
in the UK, which should only
be attempted with training. It
is quite possible to treat cases
with 5.5mm crowding easily and predictably in less than
16 weeks.
4. Cases should have fully erupted posterior teeth to facilitate retentive clasps, with a reasonably
well-aligned arch form to facilitate the path of insertion of the
appliance.
5. Cases should be stable and
preferably free from periodontal
disease.
6. Patients must agree to wear
the Aligner for about 20 hours
a day and be responsible
for good appliance and oral
hygiene. Should the patient
wear the Aligner for 14 hours
a day only, treatment will still
be successful.
Model evaluation/arch anal-

of crowding present is calculated3 by measuring the sum of the
mesial-distal widths of the teeth
to be moved. This distance is
called the required space or the
teeth. If canines and incisors are
to be moved, this distance will
be measured from the distal surface of one canine to the distal
surface of the other canine.
Using an orthodontic retaining or jeweller’s chain or a polishing strip, the ideal arch form
is then measured from the distal
of each canine in alignment with
the ideal arch form following ortho dontic correction.
Critically, the arch needs to
pass through the suggested position of the contact points and
not the incisal edges. This is described as the available space or
the curve.
It is possible to perform this
task more quickly and just as accurately with software such as
Spacewize. Just one simple oc-

clusal photograph is required,
which can be taken chairside.
One tooth needs to be measured for calibration. A curve can
be digitally established and this
is normally easier when observing the patient’s aesthetic
requirements and occlusion directly. The extent of crowding
is immediately calculated using
such software.
Laboratory requirements
Accurate upper and lower impressions are taken, preferably
two of the arch being treated.
Simple alginate can be used
if cast quickly. A bite registration and prescription should be
completed and sent to a certified Inman Aligner Laboratory.
The technician should be informed of the amount of crowding calculated. The teeth to be
repositioned should be noted
clearly. The prescription should
provide full details to the technician regarding the teeth to be
moved, the area they are to be
moved to and the distance they
are to be moved. A Spacewize
trace of the ideal curve can also
be submitted.
Interproximal reduction
Interproximal reduction (IPR) is
begun at the fitting appointment
using abrasive strips or discs.
The model analysis will have
already calculated the extent of
IPR required.
Many
authors
acknowledge that the reduction of half
of the interproximal enamel on
the mesial and distal of each
incisor
tooth
is
a
safe
technique.4–7
This equates to 0.5mm per

Fig. 2 Side smile view after nine weeks with an Inman Aligner

contact point, creating 2.5mm
of space between the canines.
In some cases, the distal of
the canine and mesial of the
premolar can be reproximated allowing for a total of 3.5 to
4.5mm. These cases will require more experience in using
the system but offer a number
of possibilities for clinicians
once trained to use the system
correctly.
Meticulous records of the
amount of stripping performed
should be kept. An in-surgery
fluoride rinse or application
of topical fluoride is recommended after any enamel reduction procedure.
El-Mangoury et al.8 and Radlanski9 have demonstrated that
there is no increased risk of caries after IPR, provided surfaces
are smoothed correctly. Heins
et al.10 and Tal11 have demonstrated that there is no increased
risk of periodontal disease,
despite the decreased interproximal space.
Critically,
Inman
Aligner treatment uses progressive, anatomically respectful
IPR. While the extent of IPR
required is already known, it is
never carried out in one treatment. In order to ensure minimal risk, IPR (0.13mm per visit
per contact point) is carried out
only in small increments. The
patient is sent away with the
Aligner. Owing to the Aligner
forces, the gaps will be closed
after two weeks. Interproximal
reduction is performed at each
appointment only as needed,
using strips or discs, which
ensures
the
stripping
is
far more anatomically conservative than would be the case using
burs. This significantly reduces the risk of excess space
ormation, gouging or poor contact anatomy.
Lingual/labial anchors
Composite resin just incisal
placed either incisal or gingival
to where the bows contact will
help them to function more efficiently. This can also be used
for the labial surface, especially
in cases in which teeth are being
retracted. Strategic placement is
vital for success and can be very
helpful in the treatment of rotated teeth and the extrusion of
teeth.
Appliance adjustment
The forces can be varied by adjusting the spring components
or replacing springs for larger, longer springs. Generally,
adjustments are not necessary, except in more complex
cases, for which training is required to understand the correct
spring types and compression
rates to use.

Fig. 3 Occlusal view before treatment

Fig. 4 Occlusal view after treatment

à DT page 18

[18] =>

United Kingdom Edition February 7-13, 2011

ß DT page 17

”

Implantology
starts
at the time of
extraction

Case I
The 25-year-old female patient
complained about the appearance of her lower anterior teeth.
She gave a history of orthodontic
treatment in her teenage years,
having a fixed appliance fitted
for a period of two years. She
had been given a retainer at the
time but was told to wear it at
night for three months only. She
had noticed her lower four incisors starting to become crowded
again. Treatment options discussed were invisible braces,
conventional fixed brackets or
an Inman Aligner.

Easier for the
dentist and
dramatically
less traumatic
for patients and
their dentition

Fig. 5 Occlusal view before treatment

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Innovative dual purpose tip for probing and luxating

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Case II
A female patient presented complaining mainly about her rotated upper right central tooth.
She was considering veneers to

‘Simultaneous bleaching is a significant
advantage in removable systems and helps
patient motivation’

The amount of space required for reduction was calculated as 3.5mm. Interproximal
reduction was performed using diamond strips (Brasseler).
A reduction of 0.13mm at each
contact point was achieved at
the fitting appointment. This
was verified with a thickness gauge. The patient was
seen three weeks later and a
further 0.13mm reduced at each
contact point. The teeth were
aligned in just over nine weeks.
The Aligner was left in for one

”

month to stabilise the tooth
positions.
Tooth
whitening
was undertaken for two weeks
during the last two weeks of
treatment. Simultaneous bleaching is a significant advantage
in removable systems and helps
patient
motivation.
Finally,
an orthodontic retention wire
was bonded in place on the lingual surfaces, ensuring the patient could still use super floss
for hygiene.

Elevator with traditional ergonomic Luxator handle
providing extra strength and maintained tactility

Luxator is a registered trademark owned by Directa AB.

Fig. 7 Smile view before treatment

redistribute the space over the
four front teeth. This would have
meant that she would undergo
three aggressive preparations
and one invasive preparation
with endodontic treatment of the
upper right central tooth.
Space
calculation
with
model analysis indicated that
treatment would be possible
with an Inman Aligner. Because of the relatively low cost,
the patient selected this option,
understanding
that
we

would not be able to achieve
Golden Proportion, owing to
the width and length of her
lateral teeth.
A midline screw was incorporated to allow for a small
amount of operator-controlled
expansion to provide a little more space. (Incorporated
expanders can be used to release extra space in cases with
very constrained space.) Up to 2
mm of space can be created by
expansion, which has the effect
of pushing the cuspid away from
the lateral. After alignment, this
expansion will just relapse. It is
a temporary technique to create
sufficient space to align the anterior teeth. After alignment, the
expander can even be unwound
if required.
Treatment took 13 weeks
with three sessions of IPR. A total of three mm was stripped and
one mm was gained with the expander. The teeth were retained
using orthodontic gold chain
bonded from canine to canine.
An upper Essix Retainer was
also worn nightly as back-up for
retention.
Case III
The patient in this case
originally presented for porcelain veneers on her upper anterior teeth.
The preparations would have
required root-canal treatment
of two of her incisors in order

Fig. 6 Occlusal view after 13 weeks with an Inman Aligner

[19] =>

Clinical 19

United Kingdom Edition February 7-13, 2011

to achieve adequate emergence
profiles.
After case options had been
discussed in detail, the patient
decided upon an Inman Aligner
to align the teeth with veneers
following this treatment. The patient was aware that after alignment, retention would be mandatory. Spacewize arch analysis
calculated only 0.8 mm crowding in deviation from the ideal
curve.
An upper Inman Aligner
with combined expander was
fabricated and fitted. Minimal
IPR was carried out with a 0.1
mm reproximation strip to separate the teeth. The patient turned
the screw every five days for six
weeks, which created nearly
2mm of space. This allowed
space for the centrals to advance
and de-rotate. At this point, the
expander was unwound to ensure that any mild residual spacing had closed. The teeth were
aligned within nine weeks.
An Essix Retainer was used
to retain the teeth passively
for a further four weeks, after
which a bonded wire retainer
was placed. The patient was
very pleased with the alignment
and decided that she would not
need veneers. Veneers could
always be used at a later stage
if necessary, after more enam-

el has eroded with age and
when veneers can be placed additively, for example.
The result was not a perfect
smile with regard to the criteria
defined by Smile Design theory.
Yet, that she no longer wanted veneers arguably provides
us with a far better and more
ethical outcome long term.
Retention
Retention for anterior alignment
is essential.12–14 Recommended
retainer types are bonded canineto- canine fixed retainers commonly fabricated from
.0195” or .0175” multi-strand
stainless-steel wire. An indirect
method can be used to adapt the
wire to a working model. This
can then be transferred to the
teeth, using a specially made
jig and bonded with flowable
composite resin to the backs of
the aligned teeth. The occlusion
must be clear when placing a retainer on the maxillary arch.
Advantages of this method
are that the flexibility of the arch
wire allows for physiological
tooth movement and prevents
bond fracture through occlusal forces. Periodontal ligament
stability is also achieved with
this technique.15
Essix Retainer
This retainer is

thermo-

formed, clear, thin appliance
that is easily made and very comfortable for patients. The recommended post-operative regimen
for Inman Aligner treatment is

The Inman Aligner allows
for a rapid and aesthetic alignment at low risk and cost to our
patients. The patient is able to
preview the staged changes of

‘Many of these patients were those who
would have opted for aggressive preparation of their teeth for veneers, before the
Inman Aligner’
to wear the retainer at night for
18 months and after that for two
nights a week indefinitely.
Conclusion
With the Inman Aligner, patients previously put off by the
treatment time and fixed brackets of traditional orthodontic
techniques or the expense of
more recent invisible braces,
could, if their case is suitable,
achieve anterior tooth alignment far more quickly with a
simpler, single appliance. Inman Aligners are suitable for
alignment of incisors and canines with up to 3mm of crowding — 5.5mm once the treating
clinician is trained in using the
system — and represent a very
conservative and potentially
revolutionary alternative to
radical tooth preparation for
achieving tooth alignment using
porcelain restorations.

Fig. 8 Smile view after treatment

Fig. 9 Close side view before treatment

Fig. 11 Occlusal view before treatment

Fig. 12 Occlusal view after nine weeks with an Inman Aligner

Fig. 13 Side smile view before treatment

Fig. 14 Side smile view after treatment

alignment, perhaps followed by
bleaching and bonding.
As a result, the Inman Aligner is profoundly changing the
approach to cosmetic dentistry
by those using it with the advanced techniques of domino
effect, combined expansion and
strategic anchor placement in
the UK and Europe.
This new approach to cosmetic dentistry in the UK has
been confirmed by figures from
the British Academy of Cosmetic Dentistry (BACD). The 2008
study of data from 200 BACD
members demonstrated a massive 345 per cent increase in
orthodontics used in cosmetic
cases but no increase in the use
of veneers.
Of this increase, 230 per
cent was solely due the use

of the Inman Aligner in cases in which patients would
not otherwise have had their
teeth treated, owing to the time
cost of fixed braces and no desire to have appliances adhered
to their teeth.
Many of these patients were
those who would have opted for
aggressive preparation of their
teeth for veneers, before the
Inman Aligner.
Acknowledgements
I would like to thank Donal Inman CDT (Inman Orthodontic
Laboratory),
NimroDENTAL
Orthodontic
Laboratory—the
only Straight Talks Seminarscer ti fied Inman Aligner laboratories—and Dr James Russell for
Case III. DT
A complete list of references
is available from the publisher.

About the author
Dr Tif Qureshi is
Vice-President
of
the British Academy of Cosmetic
Dentistry.
He
presents hands-on
courses and lectures on the Inman
Aligner worldwide.
For information on
course dates and
training, please go
to
www.straighttalks.com
or
www.inmanaligner.
com. Alternatively, contact. Caroline
Cross on +44 207 255 2559 or at info@
straight-talks.com.

Fig. 10 Close side view after treatment

Fig. 15 Spacewize calculation

[20] =>

20 Clinical

United Kingdom Edition February 7-13, 2011

The Importance of Documentation
in Micro Dentistry
Nicholas Gibb discusses the benefits of the dental operating microscope in
recording treatment plans

W

ith the wide acceptance of the dental operating microscope

in endodontics and other dental
specialities the use of routine
documentation is now possible

and desirable.
What is Documentation?

Documentation is the recording
of images and data in different
formats.

Professor Giovanni Zucchelli DDS PhD
19th 20th 21st May 2011 9am - 5pm
Of interest to Periodontists and those with a special interest in Periodontology
Soft tissue plastic surgery in the aesthetic area of the mouth: from the management of gingival recession to the treatment of
vertical bony defect. [17 hour verifiable CPD]
Cost: £2,050 exc VAT for access to the 3 day course

Places for these courses are limited to 30 attendees, so early booking is recommended
Book tickets via our website: www.seminarsthirtyeight.com, by telephone on 07738 287764
or by email to catherine@seminarsthirtyeight.com

Why incorporate Documentation/Imaging?
This is important for many
reasons:• Accurate recording of patient
data, anatomy, conditions and
results
• Documentation provides material for analysis, review of
cases and resultant improvement of techniques
• Documentation provides images for education and presentation.
• Medical/legal requirements
• To provide information for
nursing staff and patient education
Types of Documentation
Documentation can be provided through the micro-

Dr Benjamin Watkins DDS & Dr Pirooz Zia BDS, MScD
12th March 2011 9am - 1.30pm
Of interest to the whole Team
1/ Key Prosthetic Considerations For Restoring Anterior Single Tooth
Implants: A Prosthodontist’s Perspective suita whole team
● Historical advancements in anterior implant aesthetics
● The 5 most important keys to successful implant aesthetics
● The effect the emergence profile has on soft tissue aesthetics
● The key criteria for the selection of prefabricated vs. custom implant abutments
● Advanced concepts to improve the appearance of malpositioned implants
2/ A Practical Review of Modern Endodontic Diagnosis: All the practical clinical steps necessary to gather the information required
to make an accurate pulpal and periapical diagnosis will be reviewed. [4 hour verifiable CPD]
Cost: £275 (Dentist) £185 (DCP) exc VAT

Dr Massimiliano Di Giosia DDS Cert Orofacial Pain (USA)
19th March 2011 9am - 1.30pm
Of interest to Dentists and DCPs
Introduction to dental sleep medicine, the role of the dentist in the management of snoring and obstructive sleep apnoea
[4 hour verifiable CPD]
Cost: £250 (Dentist) £175 (DCP) exc VAT

Dr Jason Smithson BDS (Lond), DipRestDent RCS(Eng)
2nd April 2011 9am - 5pm
Of interest to Dentists
Direct resin artistry: anterior and posterior including a live demonstration of the techniques used. Microscope with video feed
[6 hour verifiable CPD]
Cost: £350 exc VAT

Dr Marc Cooper DDS
12th May (evening) 13th May 2011 9am – 4.30pm
Of interest to Dentists
The power of ownership and leadership. The course aims to enable dentists to become and operate as powerful leaders of their
practices [8.5 hour verifiable CPD]
Cost: £495 exc VAT

Ad Scope 3897

scope or externally. Without the dental microscope
Intraoral Cameras provide
excellent images, as does
photography, and now it is possible to have continuous hands
free Intraoral Video documentation via a light mounted Micro Video Camera.
With the Dental Operating
Microscope the choice of documentation types is even wider;
multiple types of digital photography, digital SLR photography, video documentation,
combined video and digital
stills photography and assistant
microscopes.
Which types of combinations to use
Determine your criteria (patient records, presentations,
education, staff participation,
referral information, legal).

Book tickets via our website: www.seminarsthirtyeight.com

How to achieve quality
images
Through the dental microscope
a beamsplitter is required. With
Global, different beamsplitter
configurations are available depending on imaging required.
A camera mount is required
to suit camera of choice (dig-

[21] =>

Clincial 21

United Kingdom Edition February 7-13, 2011

ital, SLR or video).
A camera is required, multiple types, makes and specifications are available with widely
varying prices. One should
choose a system that meets all
criteria, resolution, ease of use
features, compatibility and cost.
Once chosen Global can provide adapters for most cameras.
What do you want to achieve?
1. Routine continuous video/
images for nursing staff and patients:- Use a 95/5 beamsplitter,
this provides increased camera
depth of focus.
A conventional C-Mount
video adapter tube and CMount camera will provide the
required results.
Continuous video images
enable the dental nurse to participate in and anticipate the
operators requirements, the
monitor must be positioned in
the nurses line of sight.

‘Many operators use the same camera as
they are comfortable with unit and results and do not see the need to upgrade.
This demonstrates that documentation
should follow the operator’s requirements
and skills’
2. A binocular assistant scope
also enables full participation
by the nurse. If this option is
chosen a 50/50 beamsplitter
should be used.
3. Capture of specific still images. For convenience use a
digital stills camera of choice.
A 50/50 beamsplitter is required plus a digital camera
mount, (X-Mount) with adapter
to suit camera model. These
cameras can be adjusted (eg
zoom) independently of microscope: high quality low cost
cameras are available.
4. Combination (Video & Dig-

ital stills) provides very flexible
documentation. Use a 50/50
beamsplitter, X-Mount adapter
andthe appropriate camera
mount.
5. Digital SLR with a 50/50
beamsplitter
and
camera
mount.
All these options can be added to the Global Dental Microscope with ease, this upgrade
facility is important as operators requirements may vary
with time. These instant microscope upgrades are an important Global facility not found
on all microscopes. Camera
specifications are continuously
improving hence the need for
upgrade compatibility.
Many operators use the
same camera as they are comfortable with unit and results
and do not see the need to upgrade. This demonstrates that
documentation should follow
the operator’s requirements
and skills.
The global perspective on
documentation
Digital Documentation
SLR X-Mount & Digital XMount Adapters
Automatic Framing – Capture the exact replica of what
you see.
“Framing” is automatic. Images are recorded with virtually no interruption to the treatment.
Easy Upgrade– Modular design allows for upgrading your

XMnt-VideoCameraSetUp

camera
at
little or no cost to
change the adapter.
Efficient Archiving – Entire
procedures can be electronically documented; allowing
for efficient archiving in patient
records.
No Blurring – The wide
optical path of the
X-Mount
and
SLR Mount allow for faster
shutter speeds,
thus
reducing
blurring.
Video Documentation
Communication/Archive
– Record the
procedure,
Wall-Mount_3125
let the patient
watch the procedure, communicate
video image far superior to
clearly what treatment is needtraditional Intraoral cameras.
ed and why.
Also, unlike Intraoral cameras,
the microscope/video camera
Capture the entire proceallows you to document the acdure for communicating to
tual procedure.
colleagues, referring dentists,
the patient’s parent, your study
More Light – The patented Virclub, and insurance companies.
tual Beamsplitter provides a
clear image to the video camera
Educate and persuade your
while removing less than five
patient
per cent of the light from the
The greatest benefit: gain pauser. Other beamsplitters rob
tient acceptance of treatment.
the user of 20 per cent or more
Those cracks that cannot be
of the light.
seen with the naked eye can
easily be seen through the miGreater Depth of Field – The
croscope and then shown to the
Virtual Beamsplitter also propatient via the camera image.
vides incredible depth of field
for the video image.
Superior to Intraoral Cameras – Images are magnified optiFlexibility - Camera can be
cally, not electronically; making
placed on either side of the
the resolution of the microscope’s
microscope for user conveience. DT

About the author

Ralph Klink 3-31-06 216

Ralph Klink 3-31-06 002

Carr-Binocular-Extender

Adjustable-Eyecups

Ralph Klink 3-31-06 012

Two-Power-Supplies

Ralph Klink 3-31-06 229

Ralph Klink 3-31-06 011

Since 1997 Nicholas James Robert
Gibb has been the
owner and Practice
Principal of a large
modern
practice
in Leamington Spa
which
provides
general dental care
to the local community. Since entering a “joint venture” with Poggo Group
Ltd in 1996 he has developed a special
interest in treating patients with Sedation which includes both restorative
work and oral surgery. In 2002, he was
awarded a Diploma with distinction in
Conscious Sedation for Dentistry from
Guy’s Dental Hospital, and followed
this up in 2003 with a Diploma in Post
Graduate Dental Studies from Bristol
University. He has been a vocational
trainer for the past seven years and
have lectured to the trainees each year
on subjects such as treatment planning,
anxiety management, sedation and oral
surgery procedures as well as mentoring my own VDP on a day to day basis.
He is am employed as a Practice Adviser
for Solihull CT, NHS Warwickshire, and
am an elected member of Warwickshire
Local Dental Committee.

[22] =>

This is a company promotion

The Dental Directory:
Experts on Digital
Imaging Equipment
D

igital Imaging is an
extremely fast
growing area
within today’s dentistry
field, and one that may
require a dentist to make a
substantial investment in
terms of equipment. Due
to the complex nature of
Digital Imaging, the
necessary equipment
currently available is often
highly advanced and
relatively new to the

market. With this in mind,
it is vital that suppliers
keep up to speed with
industry developments;
and one that has is The
Dental Directory.

Dr Boota S Ubhi is the
Specialist Periodontist and
Implant Surgeon at the
Birmingham Periodontal
and Implant Centre. He
works alongside Dr Tuss
Tambra who is an
American trained Specialist
Prosthodontist. The
practice is a large specialist
centre based in Harborne,
Birmingham and has a
wide referral base covering
most of the Midlands. He
has been a client of The

Dental Directory for the
last thirteen years,

‘ I have been using the
services of The Dental
Directory since 1997 and
have had only positive
experiences in all of my
dealings with them.
Initially The Dental
Directory offered me a
very good deal on a
particular product, the

service was excellent, and
as a result I’ve been a
client ever since. I decided
that I would seek the
assistance of The Dental
Directory when it came to
choosing and installing new
Digital Imaging equipment
in my practice, and it
paid off.’

Dr Ubhi’s multidisciplinary
practice specialises in
treating patients with
advanced periodontal
problems, fixed and
removable prosthodontics
and Implant therapy. Dr
Ubhi was entered onto the
General Dental Council’s
Specialist Register in
Periodontics in 2000 and

has been accepting
referrals for advanced
dental care since 1996. Dr
Tambra is a registered
specialist Prosthodontist in
Canada, UK and USA.

In addition to this, the
practice facilities which
include a large lecture
room and dedicated
surgical suite allow them to
provide training to

and after treatment.
Five years ago, Dr Ubhi
changed to using both the
intra-oral and extra-oral
digital imaging supplied by
The Dental Directory. He
was extremely pleased with
how this worked out and
investigated the CT
scanner options.

Having read research
produced by the University

‘The equipment arrived
promptly and was exactly
to spec; I was delighted.
The whole experience was
thoroughly well-planned,
low stress and professional;
qualities that I’ve come to
expect from The Dental
Directory.’
referring dentists and their
staff to enable them to gain
the understanding and
confidence to deal with
advanced dental care. The
Surgical and Prosthodontic
10 day modular implant
course is now in its 5th
year. This course covers
surgical implant therapy,
sinus and bone grafting,
bone augmentation and the
Prosthodontic aspect of
Implant therapy. Nurse’s
courses are also run and
cover a range of topics
including basic implant
techniques, care of
instruments, sterile
techniques, implant kits
and care of patients before

of Manchester, Dr Ubhi
learned that the i-CAT
scanner provided the best
quality images, and most
importantly, the lowest
dose of radiation available
on the current market.
After intensive
consultation, The Dental
Directory supplied Dr
Ubhi with a Gendex
GXCB-500 CBCT System.

‘After considering the
necessary specifications, I
approached several
different suppliers, one of
which was The Dental
Directory. I discussed my
requirements with them

and they were extremely
knowledgeable. They have
a dedicated Digital Imaging
Manager, Mohammed Latif
who is on hand to offer
advice and explanation.
Their expertise was
invaluable and made me
feel confident that my
choice of equipment and
supplier was the right one.’

The Gendex GXCB-500
provides powerful,
instantaneous diagnostic
and treatment planning
tools; giving distortion-free
images to reveal critical
anatomical details. This
scanner is one of many
pieces of Digital Imaging
equipment available from
The Dental Directory, and
Dr Ubhi is extremely
happy with his purchase.
He feels that the addition
of 3D imaging to his
practice means that he is
providing a much higher
standard of care for his
Implant cases. The
planning and execution of
his treatment is much
quicker and safer due to
the on site CT scanner.
He explains,

‘The i-CAT scanner is
fantastic. The installation
was arranged efficiently by
The Dental Directory and
needed very little input
from me. The engineers
arrived at 8am to set up the
i-CAT, and by late
afternoon I had taken my
first scan! The equipment
arrived promptly and was
exactly to spec; I was
delighted. The whole
experience was thoroughly

[23] =>

This is a company promotion

[24] =>

24 Clinical

United Kingdom Edition February 7-13, 2011

The beauty of modern materials
Dr Ian Cline discusses how to achieve clinical success with posterior composites

omposite and ceramic
tooth-like restorations are
without doubt favoured by
most patients. These restorations
are also, increasingly, the choice
of the clinician and a significant
number of practices have now

become amalgam-free. Posterior
composite restorations offer a
number of advantages over amalgam, such as excellent aesthetics,
minimal preparation of tooth tissue, and the potential reinforcement of tooth tissue.

Amalgam has served the dental profession well for more than
a century and is a fairly forgiving
material in terms of placement
and shaping. Composite on the
other hand presents a number of
difficulties in isolation, dentine

bonding and material placement.
In particular, when restoring interproximal lesions, technique
and operator ability become of the
utmost importance. Otherwise,
numerous complications may result. These include post-operative

sensitivity, premature failure of
the restoration due to microleakage and recurrent caries. Of particular difficultly are the production of good contact areas/points
and the reproduction of good interproximal form.
Clinical case to illustrate key
aspects required for success (Figures 1-6).

R4 Practice Management Software
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to back up, never spend hours over the weekend working out how to get your software back up and running if it
crashes, never suffer from a malicious virus attack and never have to buy the most up-to-date computers just so that
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that Carestream Dental are managing everything for you.
If you’re already using R4 or thinking of changing to it, don’t forget this
software does a whole lot more than simply record your patient’s details.

For more information or to place an order
please call 0800 169 9692
or visit www.carestreamdental.co.uk

Fe at uRe S oF R 4
R4 Mobile
Direct link to PIN pad
Patient Check-in Kiosk
Care Pathways
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Clinical Notes
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Digital X-Ray

Managed Service
Practice Accounts

When providing a posterior composite, there are several
phases. At each phase, things can
and do go wrong and each phase
requires attention to detail. Of
particular importance are:
1. Isolation
2. Tooth preparation
3. Bonding protocol
4. Matrix application
1. Isolation
Whilst rubber dam use is taught
and practiced routinely at dental
school, many dentists quickly fall
into a habit of only using such isolation for endodontic treatment.
Lack of familiarity with rubber
dam can lead to reluctance to
use it for posterior composites.
However, the reluctant clinician
should practice the use of a “oneshot” technique where the barrier
is stretched over the frame and a
winged clamp is used. This technique can be very fast and simple,
often taking less than a minute
to isolate one or two teeth and a
couple of minutes for a quadrant.
The advantages of rubber dam
use outweigh the negatives of
blood and saliva contamination
which ruin bonding. The use of
rubber dam should be practiced
for the vast majority of cases.
2. Tooth preparation
Tooth preparation should be
limited to access and removal of
any failed restoration and caries.
The cavity preparation should be
rounded in form with no sharp
internal angles so as to prevent
potential stress concentration
and to make it easier to adapt the
composite material to the cavity.
Placement of bevels on the vertical walls of the box of a Class II
restoration has been shown to
improve adaptation and reduce
microleakage. Bevels on the occlusal surface only seek to disguise margins and may have a
detrimental effect in terms of thin
sections of composite on the biting surface, which may fracture
with time.
3. Matrix application
The use of conventional “passive” type matrix bands, such as
Toffelmire and Siqveland types
(which are suited to amalgam
restorations), are often found to
be inadequate for posterior comà DT page 26

[25] =>

The 1st flowable
bulk-fill base

*Limited stock available. Please allow up to 28 days for delivery by your Sales Specialist.

ConTaCT
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• Bulk-fill in increments of 4mm without layering
• Excellent cavity adaptation reducing post-operative sensitivity
• Provides excellent self-levelling properties

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• Already thousands of users

[26] =>

26 Clinical
ß DT page 24

a great deal of burnishing and
wedging apart of the teeth to produce adequate contact points, and
the anatomical interproximal
contour is often not accurately
reproduced. The best way around
this problem is with the use of a
sectional “active” matrix system
such as the V3 Ring System or the
Palodent system. This comprises
of a very thin sectional metal
band which is wedged and then
held in place with a ring, not dis-

United Kingdom Edition February 7-13, 2011

similar to a rubber dam clamp.
This ring, as well as holding the
band in place, will push apart the
teeth sufficiently so that when
ring and matrix are removed;
there will be a good tight contact
point/area.
4. Bonding protocol
Understanding proper dentine
bonding technique is essential.
Enamel bonding is well understood and relatively simple and
reliable. Dentine bonding, how-

of the bond leading to microleakage and secondary caries.
The most important thing is
to read the instructions; it is
amazing the number of people
who don’t!
Each generation of bonding system has
particular
peculiarities
to
it, such as having to shake
the bottle before use, or to having
to keep the product refrigerated,
it is therefore essential to read the
instructions and to follow the protocol correctly for optimal results.

ever, has undergone numerous
changes over the past 15 years
with several generations now
available. The range of systems
can be a little bewildering; however the use of high quality dentine bonding systems, such as
Optibond Solo or Prime & Bond
NT, if used correctly, will lead to
good results.
Poor
bonding
technique
can lead to post-operative sensitivity and premature failure

Fig 1 Failed restoration requires replacement

Fig 2 Rubber Dam placed and restoration
removed

Fig 3 Placement of Sectional “Active” matrix
system

Figu 4 SDR™ Flowable Restorative Composite Base placed

Fig 5 Manipulation of Hybrid Composite

Featuring, precision control
枠付 ( 印刷用

Fig 6 Finished restoration

)
標準 ( 印刷用

)

As one of the world leaders in handpiece technology, NSK can help clinicians perform safer, more
accurate root canal procedures with their range of endodontic handpieces, micromotors, Ultrasonic
scaler and apex locator.
patient comfort whilst reducing hand fatigue. ENDO-MATE DT can

operation and a lightweight, cordless handpiece ensuring it is easy

be connected directly to a wall outlet or used with a rechargeable

to use even during the most delicate endodontic procedures. The

battery. A large LCD display offers higher visibility for instantaneous

Auto Reverse & Alarm Function sounds an audible alert when the

recognition of the micromotor’s status.

preset torque level has been reached, allowing the operator to

NSK’s apex locator, iPex which accurately measures the length of

Endo-Mate TC2 also features 5 programmes for different file
systems whilst supporting most major brands of Ni-Ti files.

any root canal, including dry, wet and bloody canals, helps clinicians
NSK’s Varios 970 Ultrasonic scaler incorporates the brand new
NSK iPiezo control board with the very latest, and most advanced,

the ENDO-MATE DT endodontic micromotor delivers complete

standards in auto feedback technology, making the performance

versatility with an advanced memory able to store up to 9 speed

smoother and more efficient when used for endodontic shaping.

and torque settings. The ultra-slim, lightweight handpiece is the

The Varios is also available as a built-in unit - Varios 170, which can

ideal alternative to hand-held root canal instruments, delivering an

be used in conjunction with NSK’s new Multipad to easily control

extremely low level of noise and vibration that effectively promotes

all it’s functions.

To perform with confidence call NSK on 0800 6341909 or visit www.nsk-uk.com

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perform safer, more accurate root canal treatment.

Specifically designed for use with Ni-Ti files from all major suppliers,

NSK United Kingdom Ltd
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光グラデーシ

ョン付

NSK’s Endo-Mate TC2 has a large LCD screen, simple 5-key

unload the file even before the Auto Reverse function engages.

MultiPad

PANTONE 432C

レーザーマーキング
用

iPex
Endo-Mate TC2

Endo-Mate DT

Summary
Due to the extra demands of
placing posterior composites,
some dentists might be reluctant
to provide this type of restoration. However, given a good understanding of modern materials and the application of sound
clinical
technique,
posterior
composites can be beautiful longlasting restorations that please
clinician and patient alike. DT

About the author
Dr
Ian
Cline
B D S ( L o n d )
DGDP(UK) Ian is
in Private Practice
in London’s West
End and is the Cofounder and Course
Director of Cosmetic Dental Seminars
www.cosmeticdentalseminars.org,
the
organisation
devoted to providing state-of-the-art
courses in aesthetic dentistry.

[27] =>

This is a company promotion
United Kingdom Edition February 7-13, 2011

Innovative Scandinavian design is best for
dental ergonomics

ong working hours and
bad ergonomics often
lead to a number of sitting –originated ailments in dentistry work. Bad working posture
results in huge financial costs:
reduced working hours, necessitating early retirement and an
overall, poorer quality of life.
Alarming numbers of European
dentists -over 60%- have to retire earlier because of so called
sitting disorders. Most people
working in dentistry are affected
by these disorders, whether they
are aware of them or not.
As new thinking has been
needed to make working postures healthier and more comfortable in dental work, a new
ergonomic design has emerged
from Scandinavia:
a saddle
chair with a two-part width
adjustable seat. The ridinglike position with adjustable
width saddle seat offers the
user the possibility to tailor
adjust the width to create the
best possible sitting comfort
for themselves.
Most dentists and assistants
are exposed to a large physical
workload every day. In particular, the back, neck and shoulders are strained as a result of
static working posture and
bad sitting.
When sitting on a traditional
chair with a back rest or on a
dental stool, it is not possible or
at least it is very difficult to maintain straight posture for longer
than a few minutes. The reason
behind this is simple: when the
angle between the upper body
and thighs is only approximately 90º, it is quite impossible to
maintain upright posture as it
requires keeping the pelvis tilted
slightly forward. On the contrary, many dentists and assistants tend to sit with the pelvis
tilted backwards, “relaxed” and
round-backed position, which
in the long run causes back pain
and tension.

Sit Yourself Fit!
Posture. Comfort. Health.

Spine evaluation with Spinal Mouse-medical device

Salli Saddle Chair
Standing
Traditional Chair

Benefits of Salli Saddlechair:
• shoulders and back
are rehabilitated
• moving and reaching
become easier
• sitting fatigue is reduced
• visibility to the patient’s
mouth improves

What is healthy sitting?
The ideal sitting position is
achieved when the spine is in an
upright position and at the same
time the natural lower back
curve (lordose) is maintained.
For the spine this is the natural
and unloaded position where
the spine has optimal circulation and no nerves are pressing
the discs, and at the same time
shoulders and arms are relaxed.
Nonetheless, sitting straight
is only possible if the design of
the seat allows the pelvis to tilt
forward. A saddle chair is a good
solution since the riding position
creates upright posture, however, on a traditional one-part saddle chair pressure is focused on
the pelvic area, which is not only
uncomfortable but can be harmful as well.
Benefits of Adjustable twopart saddle seat in practical
dental work
The two-part saddle seat has

many favorable effects on the
daily work of dental professionals. In addition to diminishing
shoulder and neck tension, the
blood and fluid circulation in
the lower limbs is activated,
which, in turn, prevents swelling and numbness. As the angle
of the knee joint is wider, the
knees are also less stressed.
Breathing deepens and one can
feel energetic even after a long
working day.

The Dentistry Show
Birmingham
Stand C32

When sitting on a saddle
chair, one can place the feet
partly underneath the patient’s
chair, thus allowing the distance to the working area to be
shorter. When one sits upright
with the arms free and relaxed
near the sides, many of the work
positions that earlier felt difficult become easier, because the
muscles in the neck and shoulders no longer get strained. This
work position is also very good
when performing operations
that require precision and care,
because the visibility of the patient’s mouth is better. Moving
during the operation is effortless, because the chair rolls with
you and your feet are never in
the way.
The Finnish company Salli
Systems pays special attention
to sitting health and comfort in
its research and development.
Divided Salli saddle chairs are
showcased at NEC, Birmingham
from the 4th to 5th of March.

www.salli.com

Salli Systems Finland
Tel. +358 10 270 1210

www.salli.com

info@salli.com

[28] =>

28 Industry News
The Building Blocks of
Cosmetic Dentistry
Are you uncertain about
which materials represent
the best choice when it
comes
to
restorations,
or when and where to
recommend the use of
ceramics? Can’t understand
why you should change the way you do things when you ‘don’t have a
problem’? Through an interactive hands-on workshop and seminar entitled
‘State of the Art ceramics in 2011’ to be held on 14 March 2011, Dr Christopher
Orr leads participants through every aspect of the use of ceramics in restorative
dentistry today.
Dr Orr is a past President and an Accredited Member of the British Academy
of Cosmetic Dentistry, Chair of the BACD Accreditation Committee, a certified
Member of the European Society of Cosmetic Dentistry and past President of
the Odontological Section of the Royal Society of Medicine. As an experienced
speaker at dental conferences, author of clinical and other articles, media
consultant and instigator of a hugely successful cosmetic dentistry course, Dr
Orr is ideally placed to assist practitioners with their continued education in
the field of ceramic restoration.
The course will take place in Letchworth Garden City on 14th March 2011.
Places are limited to 35 participants, so book early to avoid disappointment!
For more information or to register, visit www.bacd.com

United Kingdom Edition February 7-13, 2011

Kemdent’s New Diamond
Micro Luting Cement
Capsules
Introductory 25 per cent
discount offer!
Kemdent are pleased to
announce the launch of their
new Diamond Micro Luting
Cement Capsules, the latest
addition to the popular Diamond range of GIC restoratives. Kemdent customers
can benefit from a special introductory offer of 25 per cent discount on this
product if they buy a 20 capsule pack during January - March 2011!
Diamond Micro is a resin-reinforced, chemically-curing, glass ionomer cement
for permanent cementation of orthodontic appliances, crowns manufactured
from alumina-only or Zirconia-only cores, posts, metal inlays, onlays, crowns,
bridges, porcelain-fused to metal crowns, bridges on hard dental tissue and
cores rebuilt with amalgam, composite or glass ionomer cements.
With a working time of two - four minutes at room temperature and a sets-inthe-mouth time of three - five minutes, these capsules are easy to handle, have
a low solubility in the mouth and high adhesion. They also have an excellent
potential for luting Zirconium Oxide Crowns.
They are available in boxes of 20 x 0.25g capsules and value packs of 60 x 0.25g
capsules.
For more information and to request a free sample, call Helen or Jackie on 01793
770090 or visit www.kemdent.co.uk and follow us on twitter @Kemdent.

Orascoptic Loupes and
Lights tick all the right
boxes with Superior
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Orascoptic
UK
offers
Dentists
‘Superior
Visualisation’ with a range
of loupes and illumination
that consistently meets the
criteria of busy working general dentists, other specialist disciplines, hygienists
and therapists.
The main requirements for most include high resolution and image definition,
a wide viewing area or field, more depth of focus, and suitable magnification.
Frame style and functionality, carrier lens material and size, angle of declination,
adjustable nose pad and adjustable temple arms are other important factors.
Orascoptic Loupes combine all these to add to the intrinsic comfort and
lightness of a unit. Hi Res, Dimension 3 and Gem offer something for everyone
with additional choices of frame style and colours.
The other important component of any magnification system is the lighting.
It should preferably be lightweight, unobtrusive and provide illumination
exactly where it is needed. Zeon Discovery and Zeon Apollo offer both
outstanding power and economy. Now with Freedom Orascoptic UK can also
offer a cordless LED alternative.
This comes as no surprise to the thousands of satisfied customers here in the
UK and around the world. Contact Orascoptic UK on 01733 315203 or email
info@orascopticuk.com

Ditch the manual - Philips
introduces entry level
sonic brush
There is a new lower
priced addition to the
Sonicare portfolio of power
toothbrushes – making
the switch from a manual
toothbrush to a power
toothbrush that much easier. EasyClean epitomises the Philips ‘Sense &
Simplicity’ ethos whilst continuing to offer all the benefits of sonic cleaning
technology. EasyClean has been designed with a simple on/off button and
easy start mechanism to gently introduce the user to the sensation of sonic
brushing. It also provides failsafe timed brushing thanks to an on-board
‘smart timer’ which automatically measures brushing in four equally phased
periods to ensure consistent and thorough cleaning for the dental professional
recommended two minutes. The EasyClean brush also includes the innovative
ProResults brush head with its dynamic bristle motion designed to push fluid
into interproximal spaces. The new brush sits perfectly as part of the widening
Sonicare portfolio alongside the flagship ‘FlexCare+ brush’, and is designed
to appeal to those who are currently manual toothbrush users but whom
dental professionals consider would benefit from improved cleaning. The
Company believes that once they have switched to a Sonicare toothbrush they
will experience a new level of clean and ditch their manual toothbrush once
and for all.
For more information visit www.sonicare.co.uk/dp or call 0800 0567 222

Philips sends its love on
Valentine’s Day
Philips is sending a heartwarming Valentine’s gift to
dental professionals with
a topical message to ‘Love
Their
Toothbrush….and
Switch to Sonicare’.
The three dimensional
card features a heart shaped cut out on the front cover which reveals a heart
shaped, blue foil-covered chocolate heart nestled within. On the reverse the
message advises dental professionals that if they make the switch to Sonicare
and experience the difference, they will have a fresh, confident smile for
Valentine’s Day.
Not only will the box card be mailed out, but the Philips’ team will be delivering
copies to their favourite practices in the days leading up to Valentine’s Day to
share the love as widely as possible.
This is part of a new campaign developed by Philips to encourage users of
manual toothbrushes (or other powered toothbrush brands) to make the
switch to Sonicare in order to fully appreciate the benefits using a Sonicare
sonic toothbrush. This is because it is only when people use it that they can
really appreciate the new level of oral cleanliness it achieves, after which it
makes it unpalatable to brush with anything else.

‘Topdental in Germany’
The UK’s leading producer
of Infection control chemical
based products and wet wipes
will be exhibiting at the largest
Dental show in the world during
March 2011, the IDS.
Topdental are the first UK
Company to have the majority
of its product tested to
strict DGHM guidelines and
standards. Topdental export to more than 17 countries throughout the world
and recently were awarded a £1.5m contract over 3 years to supply hospitals
in The Middle East. The Company in charge of the Middle East contract who
are based in Saudi Arabia decided to choose the Topdental manufacturing
over a major German competitor ‘...samples of the UK Company products were
preferred to that of the previous German producer’.
Topdental will be showing the new range of alcohol free chemicals and wipes
and also the new patented ‘flexi-pouch’ spray.
The IDS details are: 22-26 March 2011, Cologne, Germany.
Stand Numbe: Hall 10.2, Stand U-064.

For more information about switching to Sonicare visit www.sonicare.co.uk/
dp or call 0800 0567

www.topdental.co.uk

Dependable solutions
designed for you
Whether you’re looking
to upgrade your delivery
system or remodel your
entire practice, there’s an
A-dec solution designed to
meet your current needs
with the ability to easily
upgrade as your needs change. Comfort-engineered chairs. Delivery systems
with true integration. Cabinetry that streamlines workflow. Discover proven
solutions that expand your possibilities.

Admor officially open new warehouse in West
Sussex
Admor, the dental practice stationery and office
supply specialists, were delighted to welcome the
press to their new office and warehouse facilities
in Rustington, Littlehampton West Sussex in
January, to introduce their new product range.
Having successfully supplied dentists with
professional stationery such as dental
administration forms, record cards, patient cards
and PILs for over 40 years, Admor is delighted
to now be extending this to include over 20,000
new office products. At the launch, Admor also
demonstrated their exceptionally versatile printing and design facilities.
They can assist practices to produce high quality and cost effective material
for marketing their businesses, including posters, flyers and business cards
as well as personalised practice stationery in any volume. Admor’s interiors
range has also gone from strength to strength in recent years. In addition to
effective and creative signage, the range also extends to stylish reception and
office furniture as well as practice art, posters and storage facilities. They can
also offer a full interior design service for those needing advice and that extra
special professional touch.
Now Admor really can offer everything today’s dental practice needs to run
their business efficiently- saving them time and money!

BioHorizons introduce
short implants to LaserLok® range
BioHorizons is pleased
to introduce a new short
implant to their growing
range of Laser-Lok implants. Offering the perfect solution for limited vertical
spaces, the short implant incorporates Laser-Lok technology to create a
biologic seal and maintain crestal bone on the implant collar.
Developed with a power thread design to provide a maximum surface area
and a wide array of restorative options, this implant is ideal for anatomically
challenging conditions.
The launch of the short Laser–Lok implant follows that of the 3.0mm LaserLok implant in 2010 and of the first Laser-Lok implant by BioHorizons in 2008.
Laser-Lok is a proprietary laser- machined surface treatment with over 15 years
of in vitro, animal and human studies. Laser-Lok microchannels are a series of
precision-engineered micron grooves and is the only surface treatment shown
to attach connective tissue and retain both hard and soft tissue.
BioHorizons has a proud history of introducing products based on science and
evidence-based research.

When it comes to optimizing operator access and patient comfort, the A dec
500 dental chair makes no compromises. A slim-profile headrest and ultra-thin
backrest provide more leg room, so operators can work in a more comfortable
position. Meanwhile, the anatomically formed backrest and seat cushion cradle
patients by reducing pressure points and providing exceptional support. The
result is a chair that offers streamlined access for the dental team and, at the
same time, comfortable seating for patients.
Discover the integrated capabilities and outstanding ergonomics of the A
dec 500 dental chair as it is designed to deliver a higher level of functionality,
reliability, and customer support than any other dental chair available today.
For more information, please call your authorised dealer or contact us on; 024
7635 0901.

Arizona plays host to the
2011 Global Symposium
for BioHorizons
Held at the prestigious
Arizona Biltmore Hotel
in Phoenix, Arizona on
28th April- 1st May 2011,
BioHorizons Global Symposium will address a wide range of implant dentistry
challenges. Providing the perfect opportunity to stay current on the latest
treatment options and the techniques and products supported by peerreviewed research, the 4 day programme includes pre-and post-symposium
courses as well as dedicated educational tracks for auxiliary staff. Lectures from
world leading clinicians, including Marius Steigmann,DDS, Carl Misch, DDS,
MDS, PhD and Jay Malmquist, DMD and a welcome from R. Steven Boggan,
President and CEO, BioHorizons, the symposium will include the latest implant
innovations and feature clinician-moderated panel discussions and audience
participation. This Global Symposium will provide invaluable insight into
existing and future implant techniques for UK Dentists placing BioHorizons
implants or for those looking to use BioHorizons’ products in the future. Tuition
for the Symposium includes daily lectures, continental breakfast, lunch and
coffee breaks for the attendee as well as admission to the highly anticipated
Saturday Gala for the attendee and one guest.
As always, attendance will be limited to maintain an environment conducive
to learning so please visit www.biohorizons.com now for more information
or contact the UK office on 01344 752560 or infouk@biohorizons.com to
register.

Topdental: telephone: 01535 652 750 sales@topdental.co.uk

For more information on the short implant and the rest of the Laser-Lok range
or to arrange a meeting with your BioHorizons product specialist please call
01344 752560 NOW, email: infouk@biohorizons.com or visit our website at
www.biohorizons.com.¹ Clinical papers available.

For more information, call 01903 858910 or visit www.admor.co.uk

Find the right candidate
for your needs at Dental
Gateway.com
In the dental sector, using
a recruitment consultant
to source candidates for
your vacancy is often an
unnecessary expense. With recruitment agencies’ high fees and your lack
of control in the selection process, sometimes the disadvantages can vastly
outweigh the positives.
At Dental Gateway, however, dental employees maintain full control over the
selection of prospective employees by cutting out the middleman altogether
and saving on extortionate recruitment fees. After logging on to the website
and quickly registering their details, practice owners and managers can post
vacancies online for free which are viewed by a constantly growing stream of
job hunters. Employers can also search through hundreds of online profiles
created by the candidates and view each CV as many times as they like to build
up a shortlist of the most appropriate candidates for their needs. For a small
monthly fee, employers can then contact the skilled professionals who catch
their attention and arrange an interview themselves.
You know the right candidate when you see them - Dental Gateway.com makes
finding the perfect person for your vacancy easier and more cost effective than
ever before.

KaVo ESTETICA E80 T/C: Outstanding
ergonomics in its most attractive form
The ESTETICA E80 from KaVo allows for
a flexible adaptation to the individual
requirements of the dentist and patient,
making ergonomic working a reality.
The innovative suspended chair concept
offers an incomparable increase in freedom
of body and leg movement during treatment
whilst the horizontal adjustability of the unit ensures patient positioning
remains consistent.
Both the dentist’s and the assistant’s elements of the ESTETICA E80 are provided
with a future-proof configuration and an ergonomically perfect instrument
layout. Included is the brush-less, steriliseable KL 702 Motor with optional
endodontic function and the possibility to integrate the surgery motor SL550
into the dentist’s element, making expensive additional instrumentation for
endodontics or implantology superfluous. USB interfaces integrated into
the dentist’s and assistant’s elements enable USB-suitable equipment to be
connected to the treatment unit and linked with ERGOcom 4. The ESTETICA
E80 is provided with automated, standardised hygiene functions, which
enables simple, time-saving hygiene and prevents maintenance failures.
KaVo continues to produce exceptional products based on the needs of their
customers making sure they receive complete satisfaction.

For more information visit www.dentalgateway.com or call us on 0845 094
4031

For further information call 01494 733 000, email: sales@kavo.com or visit
www.kavo.com

[29] =>

United Kingdom Edition February 7-13, 2011

Take One – The Breath Excellence System!
Today’s active consumers demand long-lasting
oral freshness from a range of products that give
them confidence. Take One Breath Excellence
System offers them a refreshing new take on life.
The Breath Excellence System delivers three
key products that ensures consumers have
confidence throughout the day:
• Triple Action Tongue Cleaner – Swiss designed
with unique honeycomb disruptors and durable
bristles. Any tongue will be refreshed and
renewed.
• Revitalising Formula Tongue Gel – Specially formulated to remove sticky
plaque from the crevices of the tongue. Will leave your mouth feeling ultrafresh.
• Plaque Removing Pocket Floss – Individual, single-use sachets that make
flossing on the go easy and convenient. Mint waxed for an extra clean feeling.
The Take One Breath Excellence System is available direct from Brands That
Build on 0845 505 5515 or through leading oral health suppliers. Order
today or visit www.takeonepersonal.com to find out more about the Breath
Excellence System.

So you want to sell your
practice?
When the time comes to sell
your dental practice, you’ll
want to ensure the entire
process goes as smoothly as possible. Recent changes in the law mean that
the buyer no longer has to be a dentist; therapists, practice managers or a
consortium of all of these are eligible purchasers.
It is vital that you are able to respond to commercial property enquiries and
dental due diligence. Documentation required may include details of the
practice’s rateable value and rates payable, planning and building regulations
and energy performance certificates. You may also have to provide details
of asbestos audits, the length of a lease and Disability Discrimination Act
compliance along with pressure vessel test certificates, insurance certificates,
and hepatitis inoculation records.
Typically, the process takes around three to four months from the agreement
of terms to the completion of the sale, but this can vary enormously.
To ensure this new phase of your life gets off to the best possible start, contact
Goodman Legal, Lawyers for Dentists as soon as you start thinking of selling so
that they can help you through the maze.
For more information contact Ray Goodman on 0151 707 0090 or email
rng@goodmanlegal.co.uk
www.goodmanlegal.co.uk

The UCL Eastman
Dental Institute gives
practitioners the chance
to incorporate Aesthetic Dentistry into their existing practice
The UCL Certificate in Aesthetic Dentistry is a one-year course, taught over
24 full teaching days, covering both clinical applications and scientific
documentation. The course is taught by leading international experts and
examines all aspects of specialist level biological and practical work.
Delivered by a variety of methods in seminar settings and hands on training,
the course allows practitioners to develop a guided clinical case in their own
practice and present it to a panel of their peers. Providing the theoretical
background and clinical skills needed to incorporate aesthetic dentistry into
daily patient care, completion of the UCL Certificate in Aesthetic Dentistry
allows the practitioner to apply for Mentored Aesthetic Clinical Treatment, a
one to one patient treatment plan in conjunction with the Eastman faculty.
The Eastman is also offering Hands-On Courses in Aesthetic Dentistry, which
are intensive courses of lectures and hands-on work spanning five full days. On
these courses, clinicians take three modules covering all aspects of aesthetic
restorations as well as interdisciplinary aesthetics for complex aesthetic problems.
For further information or to register for any of these limited attendance
courses, please contact the Programme Administrator on 020 7905 1281; email
r.banks@eastman.ucl.ac.uk or visit www.eastman.ucl.ac.uk/cpd

Save time and money on 20,000 new office essentials
care of Admor
Now dental professionals can rely upon Admor to
save them time and money on a whole host of office
essentials, from stationery to office machinery, catering,
storage and furniture.
Having successfully worked with dentists for over 40
years, Admor has developed unmatched insight into
what dentists require to run their practices better. As
a result, Admor has carefully sourced an extensive
range of over 20,000 stationery and office products
to help dentists do just that, with the click of a mouse.
Registration is free and once you’ve set up an account
you can benefit immediately from exclusive offers,
discounts and convenient monthly billing. Simply log
on to www.admor.co.uk and start ordering. With each
product available to view online, there’s no need to page
through endless printed catalogues!
What’s
more,
Admor’s
next
day
courier
delivery service is available on all items to practices based
anywhere within the UK- so you’ll never run low on supplies again.
Admor’s longstanding relationship with suppliers ensures that you benefit
from the most competitive prices possible.
Save money and time - why not sign up today?
For more information or to register for your account, call 01903 858910 or visit
www.admor.co.uk

Industry News 29

Calling all healthcare
professionals involved in sports
Do you work with local or national
sports teams, or treat any athletic
personalities? If so, you could help
your patients to improve their
performance by offering them
the latest advancement in mouth
wear technology – Under Armour
Performance Mouthwear™. Currently taking the world of sport by storm,
Under Armour Performance Mouthwear™ is now worn by over 200 European
professional athletes and teams, including the Welsh rugby union, golfer
Ross Fisher and even Olympic tri-athletes. Under Armour Performance™
mouthpieces and mouth guards offer a range of benefits to sportsmen and
women: • Improved athletic performance • Reduced Athletic Stress • Weightless,
comfortable fit • Superior mouth protection (mouth guard)
Powered by the patented ArmourBite™ reverse wedge technology, each
and every Under Armour Performance mouthpiece and mouthguard helps
athletes and sportspeople benefit from greater focus, stamina and strength.
Custom-fitted by dentists and suitable for adults and children over eight,
Under Armour Performance mouthwear stands to benefit active patients who
participate in all walks of sport, whether it be contact or non-contact.
Don’t miss out on this exciting new product that all your patients will soon
be talking about. Become an Under Armour provider and take your practice
performance to the next level. For more information call Nuview on 01453
872266 or email armourbite@nuview-ltd.com www.bitetech.com

Emergency Care at
EndoCare
EndoCare, located in Harley
Street,
Richmond
and
Watford, has launched an
out-of-hours
emergency
care service. The team of specialists are available on weekends, evenings and
on bank holidays to treat patients regardless of their complaint. Afterwards,
each patient is returned to their regular dentist to continue their treatment.
Clinicians are assured that patients undergoing emergency treatment
at EndoCare will receive the same high standards of care as they do for
endodontic procedures. Clinical Director Dr Michael Sultan and his friendly
team are committed to making the experience as stress free as possible, and
are experienced in treating anxious patients.
Even the busiest professionals can refer their patients simply and quickly
using EndoCare’s useful online referral service. To further support the referring
dentist and their patient’s on-going oral health, all patients are scheduled a
free after-care appointment six months after treatment.
Patients in need of treatment are invited to call the practice directly on 0844
893 2020.

Nuview Extends Continu Alcohol Free Disinfection
Range
Following customer feedback, Nuview is delighted to
launch the Continu Dental Impression Disinfectant,
offering numerous benefits:
• Easy to use as a spray or dip • Safe on all types of
impression material, including alginate and silicone •
No distortion to impressions • Long lasting efficacy,
up to 21 days Following Nuview’s appointment as
exclusive partner to Bite Tech in distributing Under
Armour Performance Mouthwear to UK Dentists,
Continu is now available as a mint flavoured disinfectant to enable patients to
sanitise their removable mouthpieces.
The Continu Mouthwear Disinfectant offers many benefits including: •
Revenue generator for Dentists who supply removable mouth wear to
patients • Mint Flavour leaves pleasant taste when mouthwear is replaced
following disinfection • No distortion or degradation of mouthwear • Safe
to use with same hazard rating as water Finally the ever popular Continu 2
in 1 surface cleaning and disinfectant wipes are now available in refill packs
to reduce disposal costs and free up storage space. We are delighted to add
these products to the Continu range of ultra-effective, ultra-safe, HTM 01-05
compliant, alcohol-free disinfection solutions.

Care Quality Commission Compliance
Made Simple
Dental practice owners’ relationships with
the Care Quality Commission (CQC) will be
on-going. To ensure the relationship gets
off to a good start, CODE offer a range of
services:
• Self-setup for compliance – CODE
membership and Clinical Governance
Made Simple give all practices owners the
tools they need to set up policies, audits
and risk assessments.
• Assure Level 1 ‘Health Check for Compliance’ – A one-day site visit from a
CODE Assure consultant. The consultant will provide an action plan to help
you achieve compliance in each area. The service also includes an additional
half a day of support by telephone, fax and email.
• Assure Level 2 ‘Total Support with Handholding’ – A CODE consultant will
spend 2.5 days in the practice to help set up the procedures, risk assessments,
policies and action plans you need to achieve compliance. Clinicians will have
an additional day of support by telephone, fax and email.
• Assure Level 3 ‘CODE Accreditation’ - This award will demonstrate practice’s
adherence to essential regulations along with additional patient care standards
from CODE. The service includes on-going ‘health checks’ and support.

For more information please call Nuview on 01453 872 266, email
info@nuview-ltd.com or visit www.voroscopes.co.uk

Please visit www.CODEuk.com, email info@CODEuk.com or call 01409 254 354
for more information. Follow CODE on Twitter at twitter.com/paulcode

Take your career to the
next level with the UCL
Eastman Diploma in

Implant Dentistry
Are you a practitioner hoping to expand your clinical skills and earn new
qualifications?

Curasept Mouthrinse
Patient care or clinical excellence: why
compromise?
Whilst undoubtedly efficient in bacterial control,
the use of Chlorhexidine (CHX) can promote
unpleasant side effects.
Curasept Mouthrinse, available from Curaprox,
gives the same optimum bacterial control,
whilst avoiding the usual side effects. Available
in two strengths (0.2 per cent or 0.05 per cent),
Curasept’s unique anti-staining technology
ensures that patients do not experience the
brown staining of teeth that is commonly related to the use of CHX.
Patients will also not experience any change in taste perception, and the
burning sensation usually attributed to the use of a CHX-based mouthwash is
also no longer a concern.
Additionally, the mouthrinse is alcohol-free as well as sodium lauryl sulphatefree. Clinical studies have shown there are no additional antiplaque benefits
produced from the inclusion of alcohol in the formula, and removing it actually
maximises the efficiency of the CHX.
As leading suppliers of quality products to the dental profession, patient
care remains Curaprox’s priority. Curasept Mouthrinse helps ensure patients
experience the highest standards in healthcare.

The UCL Eastman Dental Institute is offering the chance to work towards a
postgraduate university qualification and develop advanced competencies in
implant dentistry.
The newly revised course takes place two days a month over three years,
allowing you to fit learning around your existing commitments. Year one
focuses on patient selection, diagnoses, planning and basic surgery with the
option to undertake supervised patient treatment. Year two allows participants
to develop skills and knowledge on restorative aspects of implant dentistry as
well as immediate loading and grafting. Finally, in year three, participants will
consolidate your knowledge and integration of skills and receive advice on
patient care and practice management.
The programme is taught through a combination of interactive lectures,
live surgery and hands on procedures brought to you by an experienced
multidisciplinary team of GDC registered specialists and guest speakers.
Places are limited and selection is by competitive entry, so please contact us
immediately for more information on the next course intake.
For more information or to register, please contact: Nisha Gosai, Registry
Officer, on 020 7915 1092 or email academic@eastman.ucl.ac.uk; visit
www.eastman.ucl.ac.uk/cpd

Decapinol®: A Modern Approach To The Control
Of Gingivitis And Prevention Of Periodontitis
The Decapinol® system successfully manages the
effects of gingivitis and assists in the prevention of
periodontitis.
Decapinol® Toothpaste has clinically demonstrated
its ability prevent periodontal diseases and has
shown that it can reduce gingivitis by up to 57
per cent. Extensive supporting data comprising
12 major clinical studies in over 1,500 patients confirm that using Decapinol®
Toothpaste and Mouthwash every day is an ideal way of helping to prevent
periodontitis.
The act of regular brushing and flossing, combined with the innovative antiplaque formula of Decapinol® guarantees:
• Effective prevention of new plaque build-up
• Easy removal of plaque deposits
• No unpleasant taste or aftertaste
• No semi-permanent staining of the teeth
Decapinol® achieves this due its triple action against gingivitis:
• Forming an invisible anti-plaque barrier over teeth and gums to reduce the
attachment of plaque bacteria
• Interacts with the polysaccharides in the plaque to make it easier to remove
• Keeps the mouth flora in balance to protect from pathogenic invaders
A breakthrough in modern dental technology, Decapinol® is the helpful
solution for both the long and short-term management of gingivitis.
For more information call 01483 410 600 or visit www.decapinol.com

Referring clinicians who would like more information regarding this service
can call 0844 893 2020 or email info@endocare.co.uk
For more information about EndoCare please call 020 7224 0999 or visit
www.endocare.co.uk

For more information please call 01480 862084, email info@curaprox.co.uk or
visit www.curaprox.co.uk

Straight Talk Inman Aligner e-courses
The Inman Aligner offers clinicians a whole new way
of practicing cosmetic dentistry. This revolutionary
appliance provides practitioners with a non-invasive
means of treating patients with anterior malocclusions.
Non UK-based practitioners looking for a convenient
way to acquire accreditation should consider the
comprehensive Straight Talk Inman e-course.
After hearing about this revolutionary device from
an English colleague, Dr Vaira Berzina, a GDP at Pērle
dental clinic in Latvia, decided to sign up: “I was really
very happy to learn of a distance learning option, as no
equivalent exists in my country. As a busy person, it also made sense to learn
in this way.
Overall, I did not think the course had any unclear points at all - the clinical
explanations and practical demonstrations were excellent.
The re-playable video lectures also provided an excellent way of clearing
up any points I missed the first time round, whilst the quizzes helped me to
identify areas that needed revision.
The opportunity to consult the Straight Talk team and fellow colleagues on
difficult cases via the online community forum is wonderful.”
For more information, or to book your place, please contact Caroline on 0207
2552559 (UK) or visit www.straight-talks.com

[30] =>

30 Events

United Kingdom Edition February 7-13, 2011

Invisible, ingenious and speedy
Angela Auluck reports on the BLOS annual meeting

Programme. Robbie’s enthueach with vast experience in
ingual Ingenuity was the
siasm for lingual appliances
their field.
title of the annual meetwas demonstrated by his
ing of the British Linvast experience.
The morning session was
gual Orthodontic Society. The
opened by Robbie Lawson, a
aim was to give members a
Asif Chatoo, the founder of
Specialist Practitioner in Edvaried day of clinical and nonthe London Lingual Orthodoninburgh and a member of the
clinical information, provided
tic Clinic, is one of a number
Incognito Key Opinion Leader
by
a highly impressive team,
9361 DBG ClinicalGov The probe 338x244.qxd:Layout 1 1/7/10 13:39 Page 1

Clinical Governance including
Patient Quality Measures Is your practice compliant?

of leading Orthodontists who
is trialing the Acceledent oscillating device. Asif introduced
the theory behind this cutting
edge appliance which produces cyclical forces and thus
accelerates bone remodelling at
a histological level before

Your compliance with Clinical Governance
and Patient Outcomes will be questioned
with the introduction of the Care Quality
Commission*, HTM 01-05 and the increase
in PCT practice inspections.
Would you like to know how you would fare when your
practice is inspected and have the opportunity to take
corrective action?
The DBG Clinical Governance Assessment is the all
important experience of a practice audit visit rather than
the reliance on a self audit which can lead to a false sense
of compliance. The assessment is designed to give you
reassurance that you have fulfilled your obligations and
highlight any potential problems. We will provide help
and advice on the latest guidance throughout the visit.

Among those who shared
the tricks of the trade with their
clinical pearls were Rob Slater,
Megan Hatfield, Paul Ward,
Ian Hutchinson and Virginia
Rootkin-Gray.
But the day was also important for the contribution from
non-orthodontists – dental
nurse Emma Boca who presented the results of an audit in
her practice and Dan Fielder,
from the e-consultancy Sticky
Content and an authority on
website content.

The areas the DBG assesses are:

premises including access, facilities, security, fire
• Your
precautions, third parties and business continuity plans.
governance including Freedom of Information Act,
• Information
manual and computerised records, Data Protection and security.
• Training, documentation and certificates.
• Radiography including IRR99 and IR(ME)R2000 compliance.
infection and decontamination including HTM 01-05
• Cross
compliance and surgery audits.
emergencies including resuscitation, drugs,
• Medical
equipments and protocols.
• Training, documentation and certificates.
• Waste disposal and documentation and storage.
• Practice policies and written procedures.
• Clinical audit and patient outcomes including quality measures.

The assessment will take approximately four hours of your Practice Manager’s time depending on the number of surgeries and we
will require access to all areas of your practice. A report will be despatched to you confirming the results of our assessment. If you have
an inspection imminent then we suggest that you arrange your DBG assessment at least one month before the inspection to allow you time
to carry out any recommendations if required. Following the assessment you may wish to have access to the DBG Clinical Governance
Package with on-line compliance manuals.

For more information and a quote contact the DBG on 0845 00 66 112

20
YEARS

www.thedbg.co.uk
Please Note: Errors and omissions excluded. Any prices quoted are subject to VAT. The DBG reserves the right to alter
or withdraw any of their services at any time without prior notice.

Consultant
Maxillofacial
Surgeon, Keith Altman shared
his experience of developing a
unique fixation system for patients with lingual appliances
undergoing orthognathic surgery. Keith described the pitfalls
of previous techniques such as
switching to labial appliances
prior to surgery and presented
his method of the use of Vector
TAS miniscrews.
The President of BLOS, Didier Filion, shared his ingenuity of Class II mechanics. He
took the audience back in time
and showed how he treated
Class II div 2 cases using the
Stb 17th generation system.
Didier then described and
contrasted his management of
a similar case using the Orapix
system of customised bracket positioning and a straight
wire technique.

Are you waiting to find out when
the Care Quality Commission*
inspect your practice?
Have you addressed all 28 CQC
outcomes?

demonstrating to us the success of the appliance in his
clinical cases.

*England only.

Emma described the audit of patients who were given
three different types of wax
to try out in the week following placement of their braces.
While the response rate was
disappointing, the results were
clear – the most popular type of
wax is: Gishy Goo.
Dan Fielder provided all the
essential considerations for any
orthodontist embarking on a
new website. Content creators
should ask themselves the following questions:

1. Is my title/ headline searchable?
2. Are my links effective?
3. Is my copy original and engaging?
4. Have I used the right keywords – search words
5. Does my description text tell
people what to expect?
6. Have I written for people
first?
The audience was also given an overview of the findings
of the Ipsos MORI survey commissioned by BLOS, the brainchild of our media advisor,
Caroline Holland. For further
information please visit the
BLOS website. DT

[31] =>

Classified 31

United Kingdom Edition February 7-13, 2011

Midi Pro

Simple and reliable unit
with generous specification.
only 8% VAT - buy directly
from the manufacturer
• reliable, pneumatic unit
based on DCI parts (USA)
• piezo scaler and fibre optic
handpiece outlet as standard
• services hidden in chair’s base
• wide range of optional equipment
• continental, international
and cart systems available

£7,990

mobile
07981075157
27 Woodcock Close
voicemail 08450044388
Birmingham, B31 5EH
fax
08719442257
e-mail office@profi-dental.co.uk

2580ODS_adverts_A5-v8.qxd

29/10/10

12:02

Page 1

6th to 8th of May 2011

London

symposium

2011
PRESENTERS

The International Foundation for Oral Design

Dr Stephen Chu (USA)
Dr Daniel Abbondanza (AUS)
Dr Douglas Terry (USA)
Dr Giuseppe Allais (ITA)
Dr Luca Dalloca (ITA)
Dr Martijn Moolenaar (NL)
Eric Van der Winden (NL)
Jason Kim (USA)
Joachim Maier (DE)
Juergen Mehrhof (DE)
Michel Magne (USA)
Olivier Tric (USA)
Pinhas Adar (USA)
Roberto Iafrate (ITA)
Sascha Hein (AUS)
Willi Geller (CH)

will be hosting the “2011 Symposium” in London, over three days from
Friday 6th to Sunday 8th of May 2011. The symposium will comprise of
lectures on the Friday and Saturday and will be aimed jointly at both
technicians and dentists, with the majority of presentations being copresented by dentist-technician teams. The meeting will be held at
Central Hall Westminster, by the Houses of Parliament, and there will be
a hands-on program for Dental technicians and Dentists at
Guy's Dental Hospital on the Saturday and Sunday. There will be an
extensive trade show during the conference and, during breaks, Oral
Design members will be sited between some of the stands doing mini
master classes to attract the delegates to the trade show.

HANDS-ON COURSES
7-8 May 2011

Sponsors

6 CPD POINTS FOR EACH DAY ATTENDED

Zirconia 3 Unit Bridge
lectured by Mr Willi Geller
08 May 2011

Composite Build-ups
for Dentists
lectured by Dr Douglas Terry

Biomet 3i, Bredent, Camlog, GC-dental, Ivoclar Vivadent, Southern Implants

www.oraldesignsymposium.com
t +44 (0)84 5873 6299

e sales@conferenceshop.com

To advertise here please contact Sam Volk
on 0207 400 8964

WWW.PROFI-DENTAL.CO.UK

[32] =>

Finally you can achieve
a twofold long-lasting
high-strength bond
in

one step to tooth

structure AND to aesthetic
restorations, especially zirconium.

Resin luting
re-defined: new

G-CEM Automix
from GC.
Use G-CEM Automix and enjoy:
- one step mixing – the work is done for you
- one step application – direct delivery,
even in the root canal
- one step cleanup – precise removal of all excess
With an ideal setting time and the reliable results
you’ve come to expect from GC.

GC EUROPE N.V.
Head Office
Tel. +32.16.74.10.00
info@gceurope.com
www.gceurope.com
GC UNITED KINGDOM Ltd.
Tel. +44.1908.218.999
info@uk.gceurope.com
www.uk.gceurope.com

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[cover] => DT UK

[toc] => Array ( [0] => Array ( [title] => Positive review of HIV health staff ban [page] => 01 ) [1] => Array ( [title] => News [page] => 02 ) [2] => Array ( [title] => How do we pay for NHS dentistry? [page] => 07 ) [3] => Array ( [title] => Averting a tax disaster [page] => 08 ) [4] => Array ( [title] => Taking a holiday? [page] => 10 ) [5] => Array ( [title] => Property update [page] => 11 ) [6] => Array ( [title] => What worries patients about dentistry [page] => 12 ) [7] => Array ( [title] => Are you up to speed on equality? [page] => 13 ) [8] => Array ( [title] => Change is coming... [page] => 14 ) [9] => Array ( [title] => The Inman Aligner - Part 1 [page] => 15 ) [10] => Array ( [title] => The Importance of Documentation in Micro Dentistry [page] => 20 ) [11] => Array ( [title] => The beauty of modern materials [page] => 24 ) [12] => Array ( [title] => Industry News United Kingdom [page] => 28 ) [13] => Array ( [title] => Invisible - ingenious and speedy [page] => 30 ) [14] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

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