DT UK

Dentists join campaign against fluoridation in Southampton / News / Live dental implant surgery at NEC Birmingham 19-20 March / News & Opinions / Putting something back / Ed Bonner and Adrianne Morris discuss the etiquette of email communication / PRACTICE MANAGEMENT TRIBUNE 1/2010 (part1) / PRACTICE MANAGEMENT TRIBUNE 1/2010 (part2) / PRACTICE MANAGEMENT TRIBUNE 1/2010 (part3) / Filling in the cracks / A reflex action / Saddle stool in dentistry / Dentistry Show / Industry News / Time for a transition? / Classified

Open PDF View E-paper Edit Epaper Edit Epaper ads save

Table of contents

March 15-21, 2010

PUBLISHED IN LONDON
News in Brief
Speed flossing
A 36-year-old woman was
fined after she was caught by
police flossing her teeth while
driving 70mph on the motorway. A police spokeswoman
said: “We’ve caught women
applying make-up in the mirror. But this is the first time
we’ve seen someone flossing
their teeth. It is very dangerous
as you need both hands, which
should be on the wheel.” The
unnamed woman, who was
caught on the M4 at Newport,
Gwent, had to pay a £60 fine.
GDC facts
At present the total number of
registered dentists stands at
36,215 and the total number
of dental care professionals is
57,656. In January, the General Dental Council’s customer
advice and information team
dealt with nearly 7,300 phone
calls and 617 emails. A large
number of the phone calls
were from registrants requesting an Annual Practicing Certificate for 2010 and the team
issued 409 duplicates. There
were more than 530 enquiries
asking for guidance on how to
apply for dental care professional registration.
Infant oral mutilation
A dental hygienist is travelling to Uganda to help educate
people about the dangers of
‘Ebiino’ or infant oral mutilation. Lindsay Webb, from
Warrington, is going out with
the charity Christian Relief
Uganda, and will also be giving much needed dental treatment. She is raising funds
for her trip by running in the
Stanley Park 10km race.
East End doctor
A doctor claims he has witnessed widespread malnutrition in children at his surgery in Bromley by Bow.
Dr Sam Everington has found
that dental care is also worsening in the under-fives. Dr
Everington, who has worked
in the area for 20 years, said:
“It’s utterly shocking — we
see children with their teeth
pulled out by the time they are
seven. Fluoridation is the only
way forward.”
Hampshire tooth fairies
Patients at the Trafalgar dental clinics in Hampshire this
month have been greeted by
the Tooth Fairy. Dental nurses, receptionists and dentists
dressed up and held a ‘name
the teddy bear’ competition to
raise money for new equipment for people with dementia. They raised £431, which
will go towards activity and
sports equipment for dementia
patients visiting the Fenwick2
Health and Well-being Centre
in Lyndhurst.
www.dental-tribune.co.uk

News

Clinical Innovations

Magic Number

Putting something back

Practice Plan begins the year
with three stars and a top fifty
placing for 2010

DT profiles Seema Sharma; dentist, entrepreneur and speaker at
Clinical Innovations

page 4

page 8

VOL. 4 NO. 7
Practice Management
Tribune

Education

Gift of the gag

Being equal

A detailed look at how the soon
to be introduced Equality Act
will affect employers

Justin Stewart gives hints and
tips for dealing with a patient’s
gag reflex

pages 11-20

page 22

Dentists join campaign against
fluoridation in Southampton
Open letter of opposition published, marking one year anniversary of
South Central Strategic Health Authority landmark decision

host of signatories, including dental professionals, have signed an
open letter of opposition against
the deci-sion to fluoridate drinking water in Southampton.
It is a year since the South
Central Strategic Health Authority (SCSHA) took the decision to
add fluoride to water in Southampton and parts of Hampshire.
Much of the antipathy to the
scheme is because the people
in the area feel their views have
been ignored as the SCSHA is
going ahead despite 72 per cent
of public consultation respondents rejecting the proposal.
Local opposition
The letter states that during
the past year, local opposition
to the scheme has grown, a
15,300-signature petition has
been handed in to Downing Street
and every local MP has since
written to the Strategic Health
Authority to express concern at
your continuing determination
to impose fluoridation on an
unwilling community.
The letter adds: We urge you
to ensure that the local NHS
places greater emphasis on the
implementation of targeted community-based oral health strategies as an alternative to water
fluoridation.
It points to a peer-reviewed
study published in the Journal
of the American Dental Association that confirms previous research showing that babies fed

formula milk in areas where the
water is fluoridated at 1.0ppm
may receive excess fluoride,
putting them at risk of fluorosis.
Exceed the limit
The authors conclude that
when powdered or liquid concentrate infant formulas are
the primary source of nutrition,
some babies are likely to exceed the recommended fluoride
upper limit if the formula is reconstituted with water containing 1.0ppm fluoride.
The plan for fluoridation
is currently on hold as the
SHA is facing a legal challenge
to its decision.
The High Court has confirmed that the earliest the judicial review can be heard
by a senior judge is
July or August
The SHA has
set aside £400,000
for the legal fight.
The legal challenge
has been lodged by
Leigh Day & Co on
behalf of Geraldine
Milner, a life long
resident of Southampton.
In a statement,
Leigh Day & Co
said: “Ms Milner
is opposed to the
proposals to fluoridate the water
supply on account
of the continuing

uncertainties with regard to
the long term health risks
associated with fluoridation, as
well as concerns with regard to
the possible adverse environmental effects. She also considers that more targeted and
less intrusive measures should
be used to deal with problems
of tooth decay in the Southampton area.”
Majority favour
The legal challenge argues
that the SCSHA failed to have
regard to the British Government’s policy that mass fluoridation of drinking water
should only go ahead in any
particular area if a majority
of the local people are in favour
of it.

The open letter, which
was submitted by the campaign group Hampshire Against
Fluoridation said: Given the financial constraints currently
faced by the NHS, we are concerned that precious NHS funds
are being used to force through
a scheme that the local community does not want. These funds
could be better used to develop
alternative, more effective oral
health schemes.
‘Waste of money’
The SHA’s decision to continue
with water fluoridation and to
fight a legal challenge is seen as
a waste of Health Service money
and we are concerned that this
will damage the reputation of
the local NHS. DT

[2] =>

2 News

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
Or email:
lisa@dentaltribuneuk.com

March 15-21, 2010

Editorial comment

‘

Water water everywhere...
Fluoridation...
a topic which is
always
destined
to polarise public
opinion. The ongoing saga which
has
developed
over the decision

to fluoridate the water in the
Southampton area shows no
signs of slowing as an open
letter of opposition is released.
The surprising thing is that
more than a dozen dentists
have signed the letter. As Neel
Kothari said in the last is-

sue (I hope you were all paying attention, there will be a
test!), his main concern was
not about the issue of fluoride
in the water, but rather the
way in which despite the overwhelming opposition of the local population to the plans, the

SHA decided in favour of fluoridation. It may be interesting
to find out the reasons these
dental professionals chose to
sign the letter.
If you have a particular opinion on the issue of fluoridation,
please get in touch: Lisa@dentaltribuneuk.com.

‘

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?

United Kingdom Edition

This week sees the first
of the big conference and
events for the year: the Dentistry
Show.
Dental
Tribune will be at the event,
finding
out
what’s
hot
and what’s not for 2010 for all
the gadget lovers out there.
Please take a look at back of
this issue to find out who
is going to be there.
If you see me, come
and say hello and let
me know what you
think of DT; I would
genuinely love to
hear from you. DT

The daily
grind - ing

ore people are grinding
their teeth due to job insecurities caused by the
recession, according to dentists.
Edinburgh dentist, Dr Yann
Maidment, said he had seen
the number of patients showing
symptoms of tooth grinding rise
by 10 to 20 per cent over the last
18 months.
He believes that people who
work in banks or travel a lot for
their jobs are among the worst
affected due to having more
stress in their lives.
Dentists are finding that
more patients are needing treatment because a piece has fallen
off their tooth due to bruxism, or
a molar or incisor has cracked
completely and is beyond repair.
Others are suffering from headaches or pain in their mouth.
Dr Sharif Khan, a cosmetic
and implant dentist, claims that
ambitious people who work in
competitive industries are more
likely to suffer from bruxism.
“People who are worst affected by grinding are Type A
personalities: ambitious people
and perfectionists, who usually
work in business,” said Dr Khan.
The British Dental Health
Foundation revealed that its helpline has also seen a rise in calls
about the problem. DT

[3] =>

News 3

United Kingdom Edition March 15-21, 2010

Brace yourself for gene research
C
hildren whose teeth develop later are more likely
to need orthodontic treatment, according to new research.

Several genes affect tooth development in the first year of a
child’s life.
The study, carried out by researchers from Imperial College
London, the University of Bristol
and the University of Oulu in Finland, found that the teeth of babies with particular genetic variants appear later and that these
children have a lower number of
teeth by the age of one.
The study scanned the entire genetic code of 6,000 in-

div-iduals and the participants
were tracked from the mother’s early pregnancy right up
until adulthood.

Scientists have discovered
gene variants that can detect the
timing of the appearance of the
first tooth in infants and also foretell the number of teeth the baby
will have by age one.
Dr Marjo-Riita Jarvelin and
her contemporaries hope the
research will help to carry out
timely treatment and prevent innate dental problems.
One of the genes identified
in the research is reportedly
linked with a 1.35 greater risk of

getting an expensive orthodontic
treatment done during 30 years
of age.

Dr Jarvelin said: “Our findings should provide a strong
foundation for the study of
the genetic architecture of tooth
development, which as well as its
relevance to medicine and dentistry may have implications in
evolutionary biology since teeth
represent important markers of
evolution.
“We hope also that these
discoveries will increase knowledge about why fetal growth
seems to be such an important
factor in the development of
many chronic diseases.”

The study results also established an association between
the time the first tooth takes to
appear and the dental problems
that will be caused to the infant
in later life due to it.

The study found that babies with lesser milk teeth by
age one are at a greater risk of
undergoing dental treatments
later on in life than those who
develop more teeth by the same
age, and this depends entirely
on their genes.
The researchers found that
some of the genes associated
with development of teeth in
toddlers were also linked with
development of the skull, jaws,

ears, fingers, toes, and heart by
previous studies.

This led the study authors
to conclude that teeth and
many other organs have familiar
development passageway during
infancy.
“The discoveries of genetic
and environmental determinants of human development
will help us to understand the
development of many disorders
which appear later in life,” said
Dr Jarvelin.
The study and its findings
have been published in the Feb.
26 issue of Public Library of Science or PLoS. DT

Green Party: free basic dental care for all

veryone in the UK should
be able to access free, basic dental care, according
to the Green Party’s new dental
health policy.
In the policy, the party claims
that only half the UK population is provided with free dental
healthcare and calls NHS dentistry charges a ‘regressive tax’.
A spokesman for the party
said: “Greens think it’s unfair
that many poorer people including children are going with-

out proper dental healthcare,
while NHS money is wasted on
botched privatisation schemes.
Green MPs will fight for a dental
health service for the UK that’s
fair, free and effective.”
As for fluoridating the water
to improve dental health, the
Greens said this is not a viable
solution and called it more like a
‘sticking plaster with side effects’.
“It’s unfair that less affluent
populations are having mass
medication foisted upon them as

a cheap ‘sticking plaster solution’
instead of being provided with a
proper dental health strategy,
while health services are treated like profit-driven businesses
rather than public services,” said
a spokesman.
They claim that “mass
medication of doubtful efficacy
and potential side-effects is no
substitute for a proper dental
healthcare strategy. We need to
be teaching new parents how to
look after their toddlers’ teeth,
and teaching young children

from nursery onwards all about
how to look after their own teeth
properly. And in addition, we
need everyone to have access to
the right professional support,
which means guaranteeing free
access to an NHS dentist for everyone who wants it.”

It is also concerned that
less than half of the UK adult
population and only around two
thirds of children are visiting
NHS dentists. DT

The Green Party also states
that getting access to an NHS
dentist is difficult and there is
wide variation across the country with between 55 per cent and
60 per cent of NHS practices not
taking any new NHS patients.

NHS Newham launches dental campaign

HS Newham in East
London has launched a
dental campaign to raise
awareness of the number of NHS
dentists in Newham.
The campaign is being supported by Dr Grish Malhotra, who
has an NHS surgery in Newham.
He said: “Nationally, there’s
a perception that people can’t
find an NHS dentist. Locally,
with
significant
investment
there’s now more than you
may think. Last year, Newham’s 30 NHS dentists saw
98,194 patients.”

The campaign tells people
about the availability of local
NHS dentists, the range of treatments available and explains the
NHS charging system.
Dr Malhotra has been working as a dentist for 27 years and
claims to have seen ‘great improvements in dentistry’.
He said: “My surgery at The
Lift in Manor Park has the latest equipment and dedicated
staff. In fact, the surgery looks so
good I’ve added a window
sign to tell people we’re not a private practice.”

He added: “Working in Newham is great. When I came to
the UK, I lived across the road
from where my surgery is now,
so I love the area. It’s ethnically
diverse, the people are fantastic
and there’s always something
going on. Being a dentist is really rewarding; building relationships with patients, relieving
pain and helping improve people’s oral health.”
Dr Malhotra’s surgery is surrounded by schools so he sees a
lot of children and parents and
says that children ‘should visit the
dentist as soon as they get their

first teeth, so they get used us’ so
they can see ‘we’re not scary’.
Robert Moore, director of Primary and Community Services
Commissioning, NHS Newham
and said: “There are a number
of misconceptions people have
about NHS dental services in
Newham. These include that it is
hard to get an appointment, we
don’t offer quality treatments,
and that treatment is expensive.
In fact there are many NHS dentists that you can go to in Newham. Costs for their services are
set by the NHS and for many
NHS dental services are free.”

He added: “We are investing
in NHS dentistry. So it’s never
been easier to see an NHS dentist locally.”
The campaign details NHS
charges and explain how visiting the dentist should be part of
everyone’s health routine pushing the message that it is prevention, not just cure.
There are new dental adverts
and posters as well as information leaflets in dentist and GP
surgeries, libraries and children’s centres in Newham as
part of the campaign. DT

Managing Director
Mash Seriki
Mash@dentaltribuneuk.com

Published by Dental Tribune UK Ltd
© 2010, 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 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.

Director
Noam Tamir
Noam@dentaltribuneuk.com
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
Features Editor
Ellie Pratt
Ellie@dentaltribuneuk.com

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

Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com
Sales Executive
Sam Volk
Tel: 020 7400 8964
Sam@dentaltribuneuk.com
Marketing Manager
Laura McKenzie
Laura@dentaltribuneuk.com
Design & Production
Keem Chung
Keem@dentaltribuneuk.com

[4] =>

4 News

United Kingdom Edition

34 is the magic number!

I

t’s been a fantastic start to
2010 for leading custombranded dental plan provider
Practice Plan. Not only have they
recently achieved a 3 -star status
from Best Companies, making
them an “extraordinary company
to work for”, but they have now
been ranked position 34 in the

prestigious Sunday Times Top
100 Best Companies to Work For!
This year, The Sunday Times
Best Companies lists were derived from entries of 964 companies and in total they surveyed
more than 230,000 employee
opinions, as well as evaluating

each organisation’s key statistics,
processes and policies. Practice
Plan made a significant impression by gaining an enviable top
50 position, particularly being
a brand new entry, and sailing
straight into position 34 to beat
off stiff competition.
Managing
director
Nick
Dilworth explained: “Ranking
34th place in our first entry into
The Sunday Times Top 100 is
fantastic. It gives recognition
for the way in which we have
all pulled together as a team in
what has otherwise been a challenging year. I am privileged
to be part of such a formidable
team who are not only fun to be
around, but whose continued
enthusiasm and commitment is
beyond question.”
The company gained amazing results from the employee
questionnaires,
which

The team at Practice Plan receive their awards

March 15-21, 2010

evaluated the staff’s opinions
on factors such as leadership,
their manager, pay and benefits,
wellbeing, the firm’s willingness to give something back,
people’s personal development
and overall sense of affiliation
with their employers.
This year’s annual awards
ceremony, held at the Battersea
Evolution, was a particularly
special event as Best Companies
themselves were celebrating
their tenth anniversary, and so
the glamorous black tie evening
was bigger and better than ever.
In usual Practice Plan style
though, it wasn’t the list of directors who attended the celebrations, Managing Director Nick
Dilworth invited nine guests,
picked at random from all areas
of the business to attend the ceremony with him.
Dan Griffiths senior graphic
designer who was at the awards
said; “I love working at Practice Plan. My colleagues are all
fun to work with and know

what they’re doing. Also, we
benefit from flexitime, a weekly fresh fruit basket, loads of
tea and coffee, as well as bosses that respect us and make us
feel worthwhile.” DT

One in five say they would benefit from braces

O

ne in five people believe
their teeth would benefit
from having a brace, according to a new report.

The survey, commissioned by British
Lingual
Orthodontic Society (BLOS),
found six per cent
– equating to 3.1m
of the population –
would consider giving orthodontic treatment to a friend as a
present, while 15-17
year olds were shown
as the most favourable to treatment, with
one in four saying
they would definitely
benefit from teeth
straightening.

their teeth would benefit from
orthodontics compared to seven
per cent of those living in the
South West.

The survey revealed that people living in the South East
are more likely to believe they need braces.

The survey also flagged
up poor awareness of less
visible lingual braces, with 72
per cent of people unaware of
the treatment.

Of those living in the South
East of England, 30 per cent felt

Rob Slater, chairman of
BLOS, welcomed the positive

Gender does not make
much of a difference, with 18
per cent of men responding
positively compared to 19 per
cent of women.
The age group least interested in orthodontic treatment
appeared to be the 45-54s, with
only five per-cent believing they
would benefit from treatment,
while the over-70s were next
with six per cent.

attitude to orthodontic braces
among the British and said:
“The fact that so many young
people today have conventional
braces, thanks to the National
Health Service, might explain
the lack of awareness of invisible
lingual braces.
“Another factor is that in the
past, the UK has been influenced
by American trends. Lingual
braces are not so widely adopted
in the USA where people tend to
be happy to talk about the work
they are having done. In countries like Italy and France, lingual braces are more popular,
since Europeans appreciate the
discretion of invisible braces.”
He added: “Already we are
finding that a fair proportion of
teenagers would rather, where
possible, pay privately to have
lingual braces because it makes
them feel less self-conscious,

joining forces with those in their
30s and 40s who, for professional reasons, prefer not to have visible braces.” DT

Dentist
immortalised
in song

P

op singer, Owl City, has
immortalised his dentist
by writing about him in
one of his songs. His song ‘Dental Care’ details his terror of visiting his dentist. Adam Young revealed in a BBC interview that he
has had the same guy for years
now and said: “We’re friends and
I don’t know if he’s heard that
track. But if he did, I’m sure he
would be very amused and not
be offended.” DT

Digital impression-taking technology market set to grow

T

he digital impressiontaking technology market
will see rapid growth as
dentists adopt this quick and accurate solution to manufacturing
and fitting dental restorations,
according to a recent report.
The US market for digital
impression-taking systems is
estimated to reach $83.5 million by 2015, and the UK is set
to follow suit, according to an
online report by DentalProductsReport.com.

Dr James Hooper from
The Dental Practice, Hove, who
uses the Lava chairside oral
scanner COS from 3M ESPE
said: “I’m not surprised by this
news as I recognised this was a
big move forward as soon as it
came out.
“I’m amazed by the accuracy and storage of the information and being able to
store it for so long – something a plaster model just
can’t do.”

He believes that ‘every dental practice and laboratory will
be looking to use digital impressioning’ in the near future.’
The primary advantages of
using a digital impression system over traditional processes
is the elimination of many manual steps involved in creating a
restoration.
The technology produces a
very accurate restoration because the three-dimensional

image is produced instantly, allowing the dentist to make any

adjustments necessary to the
prep site in real time.

‘I’m amazed by the
accuracy and storage of the information and being able
to store it for so
long – something a
plaster model just
can’t do.’

Taking impressions can also
be an unpleasant experience for
the patients as it can induce a
‘gag’ reflex, making the procedure distressing for both patient
and dentist.
A spokeswoman for 3M
ESPE which produces Lava COS
said: “Digital technology has
truly found its place in the
dental industry.” DT

[5] =>

United Kingdom Edition March 15-21, 2010

Advertorial 5

Live dental implant surgery at
NEC Birmingham 19-20 March
DIO UK demonstrates how its new implant technology is changing the face of implant surgery in the UK

any UK dentists choose not to provide dental implant surgery either
because they are not familiar with
the technique or because they perceive the
costs to be too high for their patients. However
DIO UK is quickly demonstrating that the cost
is rapidly becoming less of a problem and, by
using the company’s range of high-quality, lowcost implants, even dentists that are relatively
inexperienced in implant surgery can quickly
learn to perform the procedure successfully.
The new Department of Health guidelines
require NHS dentists to install the latest decontamination equipment, leading to the potential for more practices to provide surgical
and implant services. DIO UK is helping these
practices through marketing assistance and by
increasing their profitability as the lowest-cost
option to enter the dental implant market.
To prove how easy the new DIO implants
are to use, DIO will be presenting its immediate loading implants at The Dentistry Show
19-20 March at the NEC, explaining the pros
and cons of immediate loading and the advantages of DIO’s impl-ants in these cases. Dr.
Arrif Lalani, dental advisor for the Kingston
vocational training scheme at Kingston Hospital and principal at Smile Dental Implants

of Surbiton in Surrey, will be inviting a dentist relatively new to implants to perform live
surgery under his supervision. This will be the
first time live implant surgery will have been
shown in public in the UK.
Although Dr. Lalani is comparatively
new to implant surgery he says that working
with the DIO implants makes the process relatively easy. “Working with DIO’s implants is
so simple and straightforward. They have no
quirks,” he said. “They are the perfect way to
start for those dentists considering offering implants as an extra service to their patients or
freeing themselves from the financial ties of
another manufacturer.”
The simplicity of the process is largely attributed to the innovative design of the implants themselves, which DIO have boldly
called “The best implants in the world?”.
Their unique tapered design features a double
thread to increase primary stability, even with
low bone density. The design also prevents
cortical bone loss, significantly reduces stress
and increases the opportunity for immediate
loading. The self tapping cutting edge allows
easy insertion and automatically removes cut
bone. The design also promotes fast healing
and gingival recovery.

Also presenting at the show will be Dr.
John Ballentyne who will demonstrate his
unique and innovative immediate loading
technique using DIO’s dental implants to provide a temporary full arch bridge in a simple
way. Dr. Ballentyne has been practicing for
over 40 years and established Chelmer Village Dental, Essex in 1990. He has a wealth of
experience in both traditional and cosmetic
dentistry. Having fitted more than one thousand implants, he has helped many patients
achieve the perfect smile.
Dr. Ballentyne said he originally began using DIO implants following a visit to
DIO headquarters and factory in South
Korea. “When I visited the factory in Korea
I was very impressed with the quality and
attention to detail of the implants. They
work beautifully for this immediate loading
procedure.”
Iain Forster, Managing Director of DIO UK
said that Dr. Lalani and Dr. Ballentyne are
both perfect fi ts for DIO. He said, “Arrif and
John are those refreshing breeds of implant
surgeons who aren’t blinkered by convention
and are happy to do whatever is best for their
patients and businesses. I think that’s why
they chose to use DIO implant systems.”

[6] =>

United Kingdom Edition

March 15-21, 2010

Become a Fellow of the BACD

Matrix

Inserts like a
wedge

Form Contact
Point

he deadline is approaching for accredited members wanting to become
Fellows of the British Academy
of Cosmetic Dentistry (BACD).

cosmetic dentistry in a peer-reviewed publication, or have given
a postgraduate lecture at a BACD
meeting or another national or
international conference.

The highest and final stage of
the BACD’s Career Path in Cosmetic Dentistry, Fellowship is
aimed at those working at an advanced level who are also sharing their knowledge with the rest
of the profession.

A spokeswoman for the
BACD said: “The BACD is committed to promoting clinical excellence through education and
professional development.

The Fellowship is open to accredited members who have either published a scientific article
on a clinical subject related to

“For accredited members,
achieving BACD Fellowship indicates excellence in interdisciplinary treatment planning and the
execution of complex treatments
to consistently high standards.

“The benefits of Fellowship status include use of the
title ‘Fellow of the British Academy of Cosmetic Dentistry’;
a plaque acknowledging Fellowship status, which will be
superior to the Accreditation
plaque; and use of the approved
Fellow logo.”
For those considering submitting cases for examination,
the deadline is 16 April.
For more information contact the BACD on telephone
number 020 7612 4166 or email
info@bacd.com. DT

Tougher action to support medicines supply

package of tough new
actions to ensure that
NHS patients can get the
medicines they need was agreed
at a summit to discuss concerns
about current difficulties with
the supply of medicines, hosted
by Health Secretary Andy Burnham and Health Minister Mike
O’Brien yesterday.
The actions that were jointly
agreed between the delegates include:
• A more explicit duty for manufacturers and wholesalers to
ensure that sufficient stocks of
medicines are available to NHS
patients;
• A series of targeted inspections
by the Medicines and Healthcare
Products Regulatory Authority;

Tight cervical marginal
adaptation prevents
overhangs

Flexible wing exerts
pressure for maintained
separation and cervical
adaption

World’s Fastest
Composite Matrix?
FenderMate tryKit

3108-1001 © Directa AB

for only
£ 9.00*

(value £ 26.00)
*Redeemable against your next purchase of FenderMate.
Promotion code DP02 to be mentioned on order.

More Designs by Dentists
www.directadental.com
Distributed in the UK by Trycare, Tel. 01274-88 10 44
FenderMate is a trademark registered by Directa AB. Registered Design and Patent pending.
®

• Tougher standards for the issue
of licences for medical wholesalers; and
• Development of best practice
guidance on how supply difficulties should be dealt with
by healthcare professionals,
pharmacists, manufacturers and
wholesalers.
The targeted inspections
mean that manufacturers and
wholesalers will risk losing
their licences and face prosecution if they breach legal duties
on supply of medicines. Pharmacists and doctors risk being
called to account by their professional bodies for breaching
their ethical obligation to put
patients first.
Ministers met with a number
of pharmaceutical supply chain
stakeholders from across the
UK - including the Association
of the British Pharmaceutical
Industry, the British Association
of Pharmaceutical Wholesalers, the National Pharmacy Association, the Pharmaceutical
Services Negotiating Committee

and the Medicines and Healthcare products Reg-ulatory Agency - to discuss the nature and
scale of medicines supply problems and how the issues can be
tackled collaboratively.
The issue of medicine shortages was raised publicly last year
when some pharmacists and patients found it difficult to get hold
of certain drugs, as a result of a
number of unscrupulous traders
exporting medicines meant for
NHS patients to Europe for profit, because of the cheaper pound.
Health
Minister
Mike
O’Brien said: “We have reached
agr-eement on a way to help
NHS patients get the medicines
they need. Manufacturers, wholesalers, pharmacy bodies, regulators and Government all

agreed to work together to resolve the issue.
“The lower value of Sterling
has resulted in some medicines
destined for NHS pati-ents being
sold abroad for extra profit by a
small number of unscrupulous
speculators. Some pharmacists
have had trouble getting hold of
certain drugs because of this. For
months, I have been seriously concerned about the potential impact
of this on patients. It is unacceptable that some people have already
had to wait longer than they should
have to get their medication. Patients must come before profits.
“This new package of measures will help to ensure that
NHS patients do not suffer and
get the care they need when they
need it.” DT

[7] =>

United Kingdom Edition March 15-21, 2010

GDPUK round-up
The GDPUK online community is always keen to
air and share its views, but this month members
reveal an anarchic side, says Tony Jacobs

he spector of HTM 01-05
has really made a difference. Colleagues are making all sorts of plans, some with
their tongue in cheek, and sometimes wishing for a revolution.
One discussion started with
the concept of practising “underground” – could this be done in
modern Britain? Only treat a limited number of people you know,
ask them to maintain secrecy, deregister from the GDC, the PCT
and all the paraphernalia of dental
governance, hide from business
rates, the taxman, banks, CQC.
Cut governance costs, maintain
standards, how much would fees
reduce? Is it possible, would the
snoopers find the dentist and what
would happen? Intriguing? Jail?

HIV. The dentist would then not be
allowed to work until the results
were in. When a discussion fol-

lowed, the nurse warned him he
could not leave until he had given
blood for this purpose. In addition,

News & Opinions 7
he had to produce photoID, but
was not allowed to leave until this
was produced, so his wife had to
leave work, and bring a passport
from home to the hospital.
Many
intelligent
readers
could not count how many human rights had been trashed in
this incident. The dentist has now
complained to the chair of the
Trust, and no doubt there will be
more information to follow. This
seems to be a warning as to how

occupational health deals with
dentists. One the best pieces of advice was to anyone faced with this
situation – produce your mobile
phone with voice recorder, even
if you don’t know how to make
this work, remind the threatening
nurse that she does not have your
consent, and you are recording
the conversation.
To find out what happens
next… join and read at http://
www.gdpuk.com. DT

We are now accepting
applications for 2011

Thoughts of civil disobedience with regard to the dreaded HTM document are rising.
Will dentists march on Parliament? The British Dental Journal
editor called for colleagues to create a quiet revolution by telling
every patient what this political
plan would cost each patient, without spoon-feeding his readers on
how to go about this. How much
patients’ money will be wasted?
Plus the environmental cost is
huge, the thought of which alarms
a further group of patients.

‘Many intelligent
readers could not
count how many
human rights had
been trashed in
this incident.’
A NICE topic
One GDPUK reader reminded us
all that it is possible for anyone to
suggest topics to NICE for their
consideration, using a form on
the NICE website. A number of
GDPUKers have now done this,
and more will be sought to do so.
It is simple – there are many reasons why this document is political, and does not lead to a health
gain for the patient.
Linked to the odorous HTM,
an alarming tale was told by a
dentist trying to conform with
its regulations. He went to occupational health to have a blood
test for Hepatitis B antibody, titre.
The nurse explained a number
of things, checked for BCG scar,
tried to administer MMR vaccine,
was rebuffed, then announced she
would test for HepB, HepC and

Two of the UK’s most respected education and academic organisations have joined forces to provide an
innovative, technology driven MSc in Restorative and Aesthetic Dentistry. Smile-on, the UK’s pre-eminent
healthcare education provider and the University of Manchester, one of the top twenty-five universities in
the world, have had the prescience to collaborate in providing students with the best of everything –
lecturers, online technology, live sessions and support.

Convenience

Ownership

Community

Opportunity

The majority of the
learning resources on
this programme will
be online.
The masters will
combine interactive
distance learning,
webinars, live learning and print.

The programme is
designed to encourage the student to
take responsibility for
his/her own learning.
The emphasis is on a
self-directed learning
approach.

Students will be able
to communicate with
a diverse multi-ethnic
global community of
peers, with who they
will also share residential get-togethers in
fantastic settings
around the world.

This innovative programme establishes
the academic and
clinical parameters and
standards for restorative and aesthetic
dentistry. Students
will leave with a world
recognised MSc.

Online

Face to Face

Call Smile-on to find out more:
tel: 020 7400 8989 email: info@smile-on.com
web: www.smile-on.com/msc

Hands-on

Together

[8] =>

8 Clinical Innovations

United Kingdom Edition

Putting something back
Dental Tribune profiles Seema Sharma, her career
in dentistry, her love of business management and
her journey from Millionaire to Mumbai

eema Sharma is the owner
of a few successful dental
practices in London, where
she also runs a training business and management consultancy, Dentabyte Limited, looks
after a property portfolio and has
recently set up her own charitable foundation. All this she
combines with bringing up two
daughters with her cardiologist
husband Sanjay.
It is not a bad list of achievements for someone who describes herself as a ‘bit of a dabbler’.

Last year she added a new
title when she became Channel
4’s Slumdog Secret Millionaire,
distributing much needed support for the street kids and slum
dwellers of Mumbai. It is not a
description she enjoys, but Seema says she has no regrets about
taking part in the television series and raising awareness.
“I believe that if a bus of opportunity comes past you should
get on it. This was a one-off opportunity, a chance of a lifetime. I had also become much

more interested recently in my
own cultural background, and
thought this might be a way to
give something back.”
Seema qualified as a dentist
18 years ago. She chose this path
because she felt it was a job she
could combine with having a
family. Although she enjoyed the
clinical work and was able to set
up her own practice at the age
of 24, she found it was the actual running of the business that
gave her the most pleasure. Inefficiencies in the practice frustrat-

ed her and she discovered she
was good at finding solutions. So
under her guidance the business
began to flourish.
Soon she was spending more
time as a practice lead than as a
dentist, and even though she had
become the mother of two daughters she still found the time and
energy to pursue her other enthusiasm - property. In 1999 she
saw the opportunity to buy a run
down period house in London
and renovate it. It doubled in value, and she enjoyed the process
so much that in 2004 she decided
to buy and renovate another one.
At the same time she took a
chance and bought her Docklands dental premises when
it came up for auction. It was
a commercial investment that
paid off in 2006 when she sold
it on to a property developer
and became a millionaire on the
proceeds. These property gains
have enabled her to further expand the core dental business.
With a new business partner she
put in a successful bid for a practice in Surrey.
Shortly afterwards they bid
for another in East London,
where Seema has spent all her
working life, and won a fiercely
competitive blended NHS contract tender for a new type of
holistic practice in Bow, catering for underprivileged communities in East London. By this
time the original practice had
morphed into a small group,
and Seema no longer had time
to practise clinical dentistry. Instead she devoted her energies
to running the business, and on
management training.

Seema Sharma at the Doorstep school

www.speakmans.co.uk

Changing the buildings use

For empty or occupied buildings

X-Ray rooms

Interior design service

– e.g. Victorian Property to Dental
Practice

Minor works to large FAST
track projects

Chair installation

Extending building to meet new
demands

External face-lifts

Cabinetry installation

– 1,2 or 3 floor extensions
– Loft conversions

Minimum disruption

Local Authority approval
Building Regulations
Bespoke designed products

Internal alterations and redesign
Reduced downtime

Bespoke reception counters
Specialist wall & floor coverings

Plus many other specialist services.

...Project Management throughout the whole of the UK.

0845 500 5003

The process of building the
business was not, she insists,
the result of a thought-out plan.
“I just followed my inclination
to sort things out, to improve
things, and gradually evolved
into being a leader. There was
never an expansion plan. It was
more of an organic development,
of investing in people who could
free me up so I could develop
new activities.”
By delegating day-to-day
management to her team, Seema
was able to turn her attention to
new business opportunities. For
years she has managed a medical teaching course for junior
doctors, designed and run by
her cardiologist husband, Prof
Sanjay Sharma, and from this
she built a practice management
consultancy supporting dentists
preparing for NHS blended contracting and Care Quality Commission registration.
The
capital
gains
she
made from her well-timed forays
into the property market have
now enabled Seema to safeguard
the financial fut-ure for her family
as well as expand her dental business. This year she has bought
a new building to relocate the
Docklands practice into state of
the art space, and plans to devote
25 per cent of her time to her
charitable activities.
Seema says that donations are
beginning to roll into the Sharma
Foundation, as she builds on the
publicity from the TV programme. Her intention is to turn the
charity into the kind of organisation that can make a difference to the lives of poor children
in India. That is an ambitious
project, but her track record suggests that Seema will not be satisfied with half measures. She is
considering commissioning a
double decker bus for a challenge team of London bus drivers
to drive from Marble Arch to
Mumbai to donate to Doorstep
School – the school on wheels
she met during the making of the
programme - although she has
not decided if she will get on this
particular bus....watch this space.
Seema will be speaking at the
Clinical Innovations Conference
about her journey to success,
and the satisfaction of putting
something back. DT

Speakmans Construction:
the dental building specialists, your ‘one-stop shop’ for
Design
Conversion
Refurbishment Fit-out and...
Full architectural & design service

March 15-21, 2010

Speakmans Construction, Peakway House, Quest Park, Moss Hall Road, Heywood, Manchester, BL9 7JZ
F 0845 366 9666 E speakmans@speakmans.co.uk

37051

The Clinical Innovations Conference
(CIC) will be held
7-8 May at the Royal
College of Physicians in Regent’s
Park, London. For
more information
call 020 7400 8989 or
email info@smileon.com

[9] =>

United Kingdom Edition March 15-21, 2010

The 10th dimension…
the power of ten
Ed Bonner and Adrianne Morris discuss the
etiquette of email communication

Regarding copying and forwarding of a email, there is
an unfortunate tendency to overdo this, and the technique should
be reserved for essential reading
only. If you keep getting information you don’t really need, drop
a note to the perpetrator expressing gratitude for keeping you in
the loop but requesting that only
essential information be sent.

Should you bother with the
use of capital letters? This is a
personal choice, and personally
I have no issue with no capitals,
but if it annoys you to receive a
message in lower case only, do
as you would be done unto.

Should you do a spell
check? In my book, definitely; I find spelling errors profoundly irritating.

n days gone by we used to
write letters, and this was
generally considered an art
form along with poetry and prose.
By the same token, in bygone
days, people used to prepare food
for cooking and used telephones
that were plugged into wall sockets. Those days are gone and today we are into instant mobile
phones, pre-prepared food and
instant communication systems.
In respect of the latter, communication doesn’t come much
more instantly than an email.
The corollary to ‘instant’ is ‘brevity’. With this in mind, let’s look
at some things that we should or
should not be doing;

Where possible, delegate to a
secretary the task of screening, opening and responding to
your emails. This implies that
you should have a separate email
address for personal emails.

Do something with each
email you receive – either
open, or delete. Don’t just leave
it sitting unopened. Nothing is
more irritating than seeing the
same heading crop up in bold
each time we access our inbox.
The number of emails in your
inbox should always read zero
when you close.

The quickest way to deal with
an email is to delete it, and
this should be the fate of every
email that appears non-essential
reading. There is an unfortunate tendency in our brave new
world for friends to wish to share
anything from a funny story to a
dramatic picture. Most of us are

busy, and cannot afford to spend
important time reading spam
or even low-grade ham, which
can take up 80 per cent of your
time to deal with, leaving 20 per
cent for what is important. Kill
it quickly and without regret.
You could send a response saying: “Your forwarded stories are
amusing but my inbox is becoming overcrowded, so please don’t
send any more”.

If it looks important, open,
read and respond instantly
and succinctly. In all cases, keep
your replies brief and to the point
– wordiness is not virtuous in the
ethereal world of email communication. The subject line should
be very succinct, for example,
“meeting”, and the main message should be short, for example, “Let’s meet at 12 – best wishes, Ed”. What you do not want to
do is to be repetitive.

Never write anything that
may come back to bite you
later, especially when the email
you have just received evokes
emotional or angry feelings.
You should not reply immediately, but think through your
response carefully, write it, read
it and think again without sending. Rather acknowledge receipt,
and say your written response
will follow. Your response should
not be angry or critical, but
conciliatory and when necessary appeasing. Be careful with
direct apologies, although you
can say something like: “I am
sorry you had an uncomfortable
experience”. Build bridges, not
court cases.

‘Your forwarded
stories are amusing
but my inbox is becoming overcrowded, so please don’t
send any more.’

Rather than bunching a
whole batch of information
on different subjects into one
email, send multiple shorter
messages with succinct titles.

Avoid printing copies of
every email you receive or
send, unless it is essential to do
so. Filing paper can soon become
a nightmare. Be kind to trees.
If on the one hand emails
can be a brilliant way of communicating, on the other it can
be distracting and a gross waste
of time, so be parsimonious with
how much you throw away on
non-essential communication.
You could be earning money in
that time. DT

About the author
Adrianne Morris is a highly trained success coach whose aim is to get
people from where they are now to
where they want to be, in clear measured steps.
Ed Bonner has owned many practices,
and now consults with and coaches
dentists and their staff to achieve their
potential. For a free consultation, or a
complementary copy of The Power of
Ten e-zine, email Adrianne at alplifecoach@yahoo.com or Ed on bonner.
edwin@gmail.com, or visit www.thepoweroften.co.uk.

[10] =>

[11] =>

Practice Management Tribune
Practice Management
Tribune

Practice Management
Tribune

Paper free practice

Going off-site

On the record

All being equal

Lorne lavine details six managable
steps to digital replacements of paper
based systems

One dentist discusses his experience
with implementing a managed service
solutions for his practices

Dental protection highlights the necessity of keeping full and clear patient
records

The equality Act will have a major impact on employers. Here we take a look
at what it will mean for dental employers

pages 12-14

pages 14-15

pages 16-18

page 19

Revisit your values
To survive ongoing financial turbulence, make
sure your priorities are in check, says Sheila Scott

n times of recession, consumer behaviour changes and nowhere has it been more evident than in the dental health
sector. Initially, many practices
hardly seemed to be affected by
the economic downturn; some
continued to grow while others breathed a sigh of relief as
the pressure lifted from the appointment book. But as the bite
continued, practices have found
numbers of patients are staying
away or leaving. More recently
the ‘staying away’ behaviour
seems to be becoming a little
more widespread, even creeping
into the best-loved practices.
Those practices with excellent
patient relationships, good communications and monthly plans
in place do best. Fully private practices are more vulnerable with
a definite lengthening in the interval between exams and more
treatments being left untaken. So
how is your practice faring and
what are you doing about it?
Rewarding health
In my experience of visiting
practices around the UK, I’m

finding that some dentists are
tempted to respond to the adverse conditions by focusing on
‘selling’ restorative and cosmetic
treatments, and investing in new
courses and promotions to this
effect. But there’s lots of research
available that shows that what
most patients really want, is not
treatment, not even cosmetic
treatment, but health. Every time
patients walk into your surgery
they are hoping you ‘don’t find
anything wrong’ and that they
will get a clean bill of health.
The trouble is, when patients
do get a clean bill of health, too
many dentists are disappointed.
Dentists get excited about treatments, troubles, concerns and
problems. These are exciting because dentists are consummate
‘fixers’ – they can correct problems and their technical skills
can be tested! So dentists tend
not to reward healthy patients
and most don’t do enough to encourage patients to help themselves at home.
Health really matters
Historically, some practices al-

lowed their patients to believe
that they should only visit them
‘when there’s a problem’ and
that, in the face of tightened
belts, might explain why ‘staying away’ behaviour is suddenly
more common.
I want to bring back the excitement to prevention and dental health, and build practices on
what really matters to patients. I
want patients to be in no doubt
that their dental health depends
on constant vigilance at home,
regular screening by their dentist and the advice of their hygienist. Restorative treatment is
usually needed because patients
and practices have failed to preserve health. Cosmetic dentistry
is something that is best offered
carefully, within a philosophy of
health first, looks second.
Understanding patients
According to my research within
practices, the two aspects most
important to patients when
choosing and using a dental
practice are:
1. Trusting the dentist

2. Care and treatment to ensure
teeth and gums stay healthy
What do you do to give your
patients reassurance in these
terms? Is your whole team always legal, decent, honest and
truthful with patients? Does everyone treat every patient with
empathy and respect? Does the
team treat each other with empathy and respect? Do you all
welcome patient interaction
with the practice or do you simply tolerate their fears and their
questions? Is your customer care
perfect and are your premises
kept pristine?
Are you absolutely transparent about the costs of your care
and treatment and do you tell
patients the costs of any recommended appointments or treatments even before the written
estimate is produced? Do you
estimate accurately and do you
always discuss any changes of
treatment plan or ‘extras’ with
patients before they are presented with the bill at reception?
Are your communications
focused on the health message?
Do you do exams to find treatment or to check that patients
are healthy, and do patients notice this focus? Do you offer treatment because you love finding
problems or because you wish
to return patients’ mouths to
health? Do you inform patients

of a necessary treatment with
concern for why dental health
has failed or with obvious glee
for the fun of the technical challenge in your voice and manner?
Are you exceptional at explaining why your patients need to see
your hygienist or return for more
prevention and plaque control
advice from yourself or your oral
health educator, or do you let
them think they get a ‘scale and
polish’ – which, for too many
patients, means a quick polish
(cosmetic value only) or a vague
money earner by the dentist
that has no value to their dental
health. And specifically, what do
you do to help parents keep their
children dentally healthy?
It’s what patients believe you
are doing for them and why that
will determine whether they attend the practice regularly or
not. And your new patients need
reassurance of what you are doing for them too. If you are noticing a downward trend in your
appointment book then maybe
it’s time to sit down and revisit
your values and your messages
to patients. DT

About the author
Sheila Scott has
dedicated the last
20 years to helping dentists and
their teams grow
and prosper. See
her website www.
sheila-scott.co.uk for more details, or
contact her on 01343 862930.

It´s about you and your vision...

Loupes • FLIp Loupes • prIsm spectacLes • Frames • LeD LIght • ergonomIcs

Ad_UK_100301_A.indd 1

www.optergo.co.uk

10-03-01 11.05.09

[12] =>

12 Practice Management Tribune

United Kingdom Edition

The paper-free practice
When it comes to replacing the systems in your practice with
their digital counterparts, it’s best to focus on one at a time. Lorne
Lavine shows how it’s done in six manageable steps

ost dental practices
have come to realise
how quickly technol-

ogy has become part of everyday life in the practice. Dentistry
has undergone a paradigm shift

over the past 20 years where systems that were once analogue
(paper, film) and now being re-

placed by digital counterparts.
Nowhere is this more evident
than with practices that are try-

SOE NATIONAL
USER DAYS

The Emirates Stadium
- London
Thursday March 25th 2010

The Lowry

- Manchester
Thursday June 24th 2010

March 15-21, 2010

ing to become completely paperless. While I don’t agree that any
practice can be truly paperless,
eliminating the need for a physical paper chart is something that
any practice can achieve. The
goal of this article is to discuss
the sequence necessary to accomplish this goal.
The challenge for most practice is to develop the best plan
on how to evaluate their current
and future purchases to ensure
that all the systems will integrate properly together. While
many dentists are visually oriented and thus tend to focus on
the criteria that they can actually see and touch, some of the
most important decisions are
related to more abstract standards. I have therefore developed
a six-point checklist that I feel is
mandatory for any dentist who is
adding new technologies to their
practice, and I recommend that
each step be completed in order:

Practice management software. It all starts with the administrative software that is running the practice. To develop a
chartless practice, this software
must be capable of some very
basic functions.
For practice that want to
eliminate the paper, you’ll need
to consider every paper component of the dental chart and
try to find a digital alternative.
For example, entering charting,
treatment plans, handling insurance estimation and processing
with e-claims, ongoing patient
retention and recall activation,
scheduling, and about dozens
of other functions that are used
on a daily basis. Many older programs do not have these features
and if a practice wants to move
forward, they will have to look at
more modern practice software.
It’s also important to understand that as much as we would
all prefer that our practice management software programs can

Day includes

• New product launches - see them here ﬁrst
• Training - including managing regulatory change,
attracting and retaining patients and
marketing your practice
• Industry leading speakers - Chris Barrow and
Ashley Latter
PLUS support cyber café and 7 hours CPD!

Bring the team Prices are £99 per person or £250 for three*

Book today - spaces are limited

m
o
c
.
l
a
t
n
e
d
i
e
o
s
.
w
w
w
t
i
s
i
v
r
o
7
6
7
5
5
4
3
5
4
Call 08
*Excluding VAT

Today’s PMS options include many facets of clinical chartin

[13] =>

United Kingdom Edition March 15-21, 2010

handle all of these functions,
most fall short of this. Fortunately, there are a number of thirdparty programs that can provide
functionality where the practice
management programs cannot.
Some of the systems that
I’ve recommended in the past
include Dentforms (www.medictalk.com) to handle patient
signatures and online forms, DemandForce (www.demandforce.
com) for patient confirmations
and surveys, Uappoint (www.
uappoint.com) for confirmations
and online scheduling, and Paperless Technologies (www.gopaperlessnow.com) for patient
demographic forms.

Image management software. This is probably the
most challenging decision for
any practice. Most of the practice
management programs will offer
an image management module:
These modules are tightly integrated with the practice management software and will tend
to work best with digital systems
sold by the company.

The Dental Chair Potato
ciding whether you prefer the
(http://www.dentalchairpotato.
patient to see the monitor
com/) is the best example of
when they are completely rea system that makes life easier
clined in the chair. If this is
for the doctor and staff as well as
the case, then the options
the patient.
are a bit more limited for
monitor placement. There are
some very high-tech monComputer hardware. After
itor systems that not only
the software has been chosen
allow the patient to see the
and the operatories designed,
screen, but create a more
it’s time to add the computers.
relaxing environment for paMost offices will require a deditients who are considering long
Another important decision
cated server in order to protect
procedures.
for
the office will
involve- Document-PDF
detheir
dental_imaging_dc
copy.qxd:A4
rippers.qxd 09/03/2010 17:17 Page
1 data as well as having the

you to control exactly what appears on each screen. There are
numerous ergonomic issues that
must be addressed when placing the monitors, keyboards, and
mice. For example, a keyboard
that is placed in a position that
requires the dentist to twist his
or her back around will cause
problems, as will a monitor that
is improperly positioned.

ng. Image courtesy of Software of Excellence

The workstations must be
configured to handle the higher
graphical needs of the pracà DT page 14

Digora Optime
Deluxe

Dürr VistaScan Mini
New Image plate scanner
from Durr, making
diagnostics even
quicker for dentists.

Small, fast and easy
to operate due to
innovative design and
functionality.

Kodak
RVG 6500

Brand New Generation
of Wireless Digital
Sensor Radiography
with highest image
resolution available.

Windows and other software
have built-in abilities to allow

necessary horsepower to run the
network. The server is the lifeblood of any network, and it’s
important to design a server that
is both bulletproof, has redundancy built-in for the rare times
that a hard drive might crash,
and can easily be restored.

Digital X-ray Systems

There are also many thirdparty image programs that
will bridge very easily to the
practice management software
and offer more flexibility and
choices, although with slightly
less integration.
Operatory design. The days
of a single intraoral camera
and a TV in the upper corner are
being replaced by more modern
systems. The majority of offices
are placing two monitors in the
operatories, one for the patient to
view images or patient education
or entertainment, and one for the
dentist and staff to use for charting and treatment planning and
any HIPAA-sensitive information, such as the daily schedule
or other information you would
prefer that the patient not see.

Practice Management Tribune 13

For further details and other offers - please call us or
see our full range of products on our website & online shop

www.thedentalimagingcompany.co.uk or call 0845 602 4944

High Resolution Diagnostics
Kodak 9000

A new way of looking at
dental structures and
pathologies, giving you
3-dimensional
reconstruction for
confident diagnoses.
Upgradable
to 9000
3D.

Kodak 1500

New intraoral
Camera from Kodak,
enabling quick and
easy visualisation
of the patient’s
mouth.
Featuring
Autofocus
liquid
lens
technology.

Morita VeraviewEpocs 3D

•Unbeatable image
quality
•Lowest x-ray dose and
a 9.4 second scan time
•Single sensor for
panoramic and CT
images
•Ideal for Endo, Perio,
Full Arch and single
implants, ENT, TMJ,
Oral & Maxillo-facial
surgery.

Please call us or see our full range of products on: 0845 602 4944

[14] =>

14 Practice Management Tribune
à DT page 13

tice, especially if the practice is
considering digital imaging.
The computers placed in the
operatories are often different
from the front desk computers
in many ways: they’ll have dual
display capabilities, better video
cards to handle digital imaging,
smaller cases to fit inside the
cabinets, and wireless keyboards
and mice.
An often-overlooked consideration is that the smaller the
computer, the more heat it generates. Heat is the number one
enemy of computers, and since
many dentists will place their
computers inside a cabinet at

‘Dentistry has undergone a paradigm shift over the
past 20 years.’
the 12 o’clock position, having
proper ventilation is absolutely
critical. Dell has a line of Small
Form Factor computers that are
ideal for dental operatories.

Digital systems. The choice
of image software will dictate
which systems are compatible.
Digital radiography is the hot
technology at this time, due to
many factors. For those that can

United Kingdom Edition

afford it, cone beam 3D systems
are all the rage. The dentists
who have digital radiography
report more efficiency by having the ability to view take and
view images more rapidly, better
diagnostics, cost savings by the
elimination of film and chemicals, and higher case acceptance
through patient co-diagnosis of
their dental needs.

Data protection. With a
chartless practice, protecting
the data is absolutely crucial to
prevent data loss due to malware
or user errors. Every office, at a
minimum, should be using antivirus software to protect against
the multitude of known viruses
and worms, a firewall to protect

against hackers who try to infiltrate the network, and have an
easy-to-verify backup protocol in
place to be able to recover from
any disaster. Online backup is
now a reality and a very viable
option for many practices that
want a true set-it-and-forget-it
system for their daily backup.
A systematic approach
For offices that wish to be chartless or paperless, it’s crucial to
evaluate all the systems that
need to be replaced with a digital counterpart, and to take a
systematic approach to adding
these new systems to the practice. Most offices would be well
advised to replace one system at
a time, and get comfortable with

March 15-21, 2010

this new system before adding
new technologies to the practice.
The typical practice will take six
to 18 months to transition from
paper-based to chartless, but the
journey will be well worth the
reward at the end. DT

About the author
Dr Lorne Lavine is founder and president of Dental Technology Consultants,
focusing on the specialised technological needs of the dental community. A
consultant and integrator with extensive hands-on experience with software and technology vital to dentistry,
he writes for many well-known industry publications, lectures widely and
has served as the Indian Health Service’s former technology consultant. Dr
Lavine is a regular speaker at various
BACD conferences. Check the website
to find out when he’s speaking next:
www.bacd.com.

A managed service solution
Dr Ian Gordon discusses how implementing an off-site managed system has been
essential to the success of the Alpha Group’s practices

aving been a practising dentist for a quarter of a century, Dr Ian
Gordon has seen his fair share
of transition within the profession: change that has also had a
direct impact upon his own way
of working.
Graduating from Newcastle University in 1984, the same
area of the north-east of England
where he was born, was also
where he began his professional
career. Over a period of 20 years,
Dr Gordon has witnessed the development of the programmes
used in the dental setting, from
the early days of ‘System 90’
to the more advanced practice
management software (PMS)
now available.
“Practice management software is now an integral part of
today’s dental practice; being
without it isn’t a consideration.
Compared to the early versions,
the capabilities of PMS are now
far more advanced.
“The main difference is the
way all aspects of the clinical and
administrative functions have
been brought together into one
package. The advantage of this
is that the whole picture of the
patient’s experience is recorded.
Being able to view prior medical history, attendance, previous
interventions and other clinical
and financial information within
moments is a great advantage to
the successful management of
the practice and business.”
One versus many
Having built up a cluster of NHS
practices in the area over the
course of the years, the decision
came to sell up and start afresh

Alpha Group’s team has benefitted from the implementation of an off-site managed system

‘Practice management software is now an
integral part of today’s dental practice;
being without it isn’t a consideration. Compared to the early versions, the capabilities
of PMS are now far more advanced.’
and, in September 2008, opened
a private practice in Stokesley in
partnership with his wife Jayne,
also a dentist.
However, it wasn’t long before Dr Gordon was involved in
setting up a new group of practices offering both NHS and
private dentistry. Initially beginning with three, the Alpha

Dental Group now comprises of
eight practices located across the
north-east region.
“At first, there was a disparate collection of software systems inherited from the previous
practice owners. Over the course
of the year, we refurbished and
then installed the same system to
give consistency to the group.”

While the group was being
developed from its beginnings in
October 2008, each practice remained as a ‘stand-alone’. It soon
became apparent that to manage
the group effectively, there was
a need to employ a system that
could unify the eight locations.

tem being left unable to function
effectively, while the thorny issue of backing-up (or failing to
back up) data could be leaving
the business in a potentially disastrous situation.

This required investment in
the latest management systems:
an offsite managed service.

The alternative that Dr Gordon found was to take the option of R4’s off-site hosting solution, which provided an answer
to his requirements.

Traditionally, each practice
retained the software necessary
for the system on the hardware
located on-site. This in itself
presents significant issues. Failing to install essential updates
to the system might cause some
difficulty for the administrative
task, posing the risk of the sys-

The managed service
“Over the course of a weekend,
the Group was transferred to the
hosted system and by Monday
morning we were able to log on
as normal. Now each site still
retains individual access to its
essential information, but there
is multi-site access for those

[15] =>

United Kingdom Edition March 15-21, 2010

ioned, include online training
options that utilise either live
or recorded training packages that can be accessed at
whatever time is convenient for
the staff.

who need it; we’ve engaged one
person to take overall responsibility for the eight practices and
they are able to manage all eight
sites from one location: it’s incredibly useful.”
The Alpha Group also
benefits in other ways. Now,
all essential updates to the system are handled automatically, so there is no risk of a site
being left outdated. All the software is no longer on each individual site, but on the host’s
powerful servers. This means
in the event of a technical fault,
technicians can quickly resolve
the issue.
There is the further benefit that the amount of computing power required to run the
software isn’t dependent on the
hardware in the practice, so no
expensive upgrades of equipment is required.

‘The issue of backing-up is no longer
a concern as all
the data is stored
securely and automatically.’

“From a clinical perspective,
there is still direct access to all
the patient’s information, but
now that information, including digital X-ray images, can be
easily transferred between practices if required and there isn’t a
paper file that can be mislaid or
incorrectly filed.
“The issue of backing-up is
no longer a concern as all the
data is stored securely and automatically. In the event of any
disaster, none of the practices’
information will be lost, preventing any downtime that would
have a significant impact on patients and business alike.”

computer hardware. The benefits, beyond those already ment-

Other advantages include
an online resource centre,
where members of the practice
administration team can gain
access to information about
the system as well as other
useful advice.

Practice Management Tribune 15

The latest upgrades
For Dr Gordon, having invested
in one of the most advanced
software packages available,
there is the option to take advantage of the latest upgrades to
the programme, which provides
a Care Pathway function and
key performance indicators,
an essential part of the latest
PCT contracts.

‘I’ve enjoyed excellent support over the past 20 years
from my software provider
and it’s been that continuity of quality service that
made choosing the R4 Hosted
Service from PracticeWorks the
obvious choice.’ DT

With
all
products,
the
standard of support and service

IDT launches its
NEW Low Cost Online service

SimPlant
Reformatting
From

£40

Upload an i-CAT Vision, DICOM CT or CBCT dataset to

www.ctscan.co.uk

Book and pay online and have the results returned to you
in SimPlant View format (or SimPlant Planner for £10 more)
electronically within 3 working days.
Enjoy all of the great services you have experienced from
IDT in the past but now at a more cost effective price.

 NEW Easy to Use Online Booking
 NEW Faster Turnaround
 NEW Online Payments
 NEW Free Viewer (SimPlant View)
 NEW Radiologist Report Available
 NEW Planning Service Available
To log in or register, go to www.ctscan.co.uk
Contact IDT today if you need any help with this online service
bookings@ctscan.co.uk or call +44 (0)20 8600 3540

The Managed Service is
available to any practice that
has a suitable broadband internet connection and sufficient

Contact details
For more information, contact PracticeWorks on 0800 169 9692 or visit
www.practiceworks.co.uk.

that is part of the customer care
is an integral element when
making a decision.

www.ctscan.co.uk

[16] =>

16 Practice Management Tribune

United Kingdom Edition

Clinical records
Keeping proper records of the care and treatment
we provide for our patients is an essential aspect
of an overall duty of care, says Dental Protection

Recording the warnings and
explanations given prior to the
removal of an impacted third
molar is an example of this;
keeping records which monitor
the progress of a patient’s periodontal health is another. Noting
that the dentist has checked or
updated a patient’s medical history is a self-evident requirement
– but noting the clinician’s specific recommendation that the
patient should return if symptoms do not improve, may be less
obvious. Either could prove pivotal in determining the outcome
of a case.
A dental nurse/assistant is
ideally placed to provide an additional level of backup, ensuring that all key conversations
between dentist and patient, all
discussions, warnings, explanations and advice are recorded in
the notes. On a busy day, when
the dental team is under pressure, the crucial details can so
easily be overlooked.

Clinical module 20.3. Financial data that is kept separate from clinical details avoids confidentiality issues when shared with others

ecord keeping is one of
the basic principles that
we are all taught at dental
school, and this message is continually reinforced throughout
our practising careers through
lectures, publications and personal clinical experience.
Dentists often protest that
they have been trained to treat
patients, not to spend their professional lives writing endless
notes for every patient that they
see. This reaction may be understandable, but there are many
reasons why it is important to
keep clear, full and contemporaneous notes of the care and
treatment provided. The irony of
record keeping and paperwork
generally is that it is the part
of dentistry that most dentists
actively dislike. Consequently,
many dentists spend as little
time as possible on it, perhaps
because it is often seen as a distraction from (and less important
than) the main task - the clinical
work itself. This can leave the
dentist exposed and vulnerable
to problems on all fronts.
Every member of the dental team can play a valuable
part in ensuring that the practice’s record keeping is of a high
standard. Poor record keeping
can make it difficult or impossible to defend allegations of clinical negligence, or professional
misconduct. It can also lead to
disputes over money, can cause
mistrust and confusion, and can
lead directly to complaints. Endless hours of “fire-fighting” can
be wasted in trying to resolve
problems caused by poor record
keeping, and it can even lead to
the most serious (and fatal) con-

‘Serious difficulties
can arise when a
dentist feels the need
to re-write or
embellish his or her
records.’
sequences; on some occasions,
the records we make can change
the entire course of our professional career.
Why keep records?
It is a common misconception
that records are simply an aide
memoire for the personal use of
the dentist, In many parts of the
world, patients have a legal right
of access to their records, and to
obtain copies of them upon request. If and when any problems
arise, other bodies such as investigatory bodies and statutory
authorities, Dental Councils/
Boards, and experts and forensic
odontologists or coroners acting
on behalf of the courts will often
examine records. In health funds
and similar payment systems,
they may be inspected by officers
of these agencies, or by insurance
companies. If there is intended
litigation or disciplinary action
being contemplated against a
dentist, then the records could
be disclosed to patients’ legal or
other representatives.
Many parts of the world are
becoming increasingly litigious
and good record keeping can
provide vital evidence of the
proper level of skill, care and
attention that a patient has received. Sometimes there will be a
conflict of evidence between the

versions of events given by the
patient and the dentist respectively. In such situations, the patient’s version is often preferred
unless the records can provide
clear evidence to support the
dentist’s account of events. It
is often argued that the patient
is much more likely to recall
the events of a single dental appointment, with a given dentist
on a specific occasion, than the
dentist for whom this will have
been one of many patients seen
on that particular day, and with
many more patients having been
seen since the time in question.
Adequate records will allow
a clinician to reconstruct the
details of a patient’s dental care,
without having to rely upon
memory alone. Excellent records
go further than this, because they
provide evidence of the thought
processes, which lie behind the
decisions that were made. They
will also provide a lot more useful detail and because of this,
they can anticipate and answer
all the key questions that might
surface in the future, arising
from the treatment provided (or
sometimes, not provided).
A logical approach
Knowing what details are likely
to be relevant, or irrelevant, from
a dento-legal perspective, comes
either from bitter first-hand experience, or from developing a
better awareness of risk management through publications,
lectures and other sources. It is
important to understand the particular risk management issues
that tend to arise in relation to
each of the procedures that you
carry out, especially those which
are carried out frequently.

Think records, not
record cards
Many dentists fall into the trap of
believing that the clinical records
only consist of the written (or
computerised) notes of a patient’s
treatment history, detailing what
treatment was carried out, when
it was performed, and occasionally including financial records
of what fees were charged and
when they were paid. Nothing
could be further from the truth.
The totality of the record of a
patient’s dental care could include many (or all) of the following:
• The treatment notes
• The current and historical
medical history
• Radiographs (and any associated tracings), prints from MRI
and other imaging
• Results of other investigations
(pathology or radiology reports,
pulse oximeter printouts etc)
• Study models/casts
• Diagnostic records (bite
registrations, stents, diagnostic
wax-ups etc)
• Photographs (including intraoral camera images)
• Correspondence
• Practice documentation of various kinds
• Other sources of information
which might refer to the patient:
a) Laboratory tickets and
invoices
b) Other invoices (eg for
implant fixtures)
c) Financial records
d) Appointment books/daylists
Many of these records may be
held on paper, others in compu-

March 15-21, 2010

terised/digital form. Either way,
the records are only helpful if
they have been preserved and
remain available at the time they
are subsequently required.
What should a dental
record contain?
• The patient’s name, and contact details (address, preferred
telephone/fax/e-mail or other
contact details). It is important to
keep this information up to date,
as it may be needed in an emergency situation
• An up to date medical history.
A full medical history (including a note of any prescribed or
self-administered
medication)
should be taken at the initial
examination and updated and
checked for any changes at each
subsequent visit. It is also helpful to have a note of the patient’s
medical practitioner. Everybody
realises the importance of taking
a full, written medical history
at the time of the first examination of a new patient. The problem often arises, however, that at
subsequent recall examinations
(check-ups) the medical history
is not formally updated, and no
written entry is made on the
notes to the effect that the clinician has confirmed that the medical history is unchanged
• Treatment information. The
date, diagnosis and treatment
notes every time a patient is seen,
with full details of the treatment
carried out. This should specify
the teeth treated, materials used,
and clinical findings as the treatment proceeds. An accurate
record of positive findings and
signs (what you can discover for
yourself) and symptoms (what
the patient tells you about the
problem) are important, so also
is the absence of them (tooth
not tender to percussion, lymph
nodes not enlarged, no swelling, not painful, no change in
medical history etc). These notes
should include a summary of
any particular incidents, episodes or discussions (for example, if a patient declines a referral
or other treatment recommended for them)
• Missed appointments. The
date and details of any appointment offered to a patient but declined, or which a patient fails to
attend, or cancels, or when the
patient arrives late and/or needs
to be re-booked
• Phone contacts. Dates and details of any telephone conversations with the patient, whether
this involves the dentist or other
dental team members. Similarly,
any fax or e-mail contact should
be retained within the records
• Investigations. A summary of
each investigation carried out
with a note of both positive and
negative findings. This should
include monitoring information

[17] =>

United Kingdom Edition March 15-21, 2010

such as BPE scores, periodontal
probing depths and other indices, tracking of oral pathology
and other conditions
• Financial records. Although it
is sensible to keep these separate
from the clinical notes themselves, a record should be kept
of all fees quoted and charged
and payments made by the patient Tax authorities may request
financial data from the dentist
and issues of confidentiality can
be avoided if the financial transactions are kept as a separate
element within the record. Processes in which any unpaid fees
are pursued should also be meticulously recorded

Practice Management Tribune 17

teeth are missing, confusion can
easily arise over which teeth are
being described.

of the records kept, that some
dentists take the foolish step of
altering or forging their records.

A detailed charting showing
Contemporaneous records
the size and extent of existing
Serious difficulties can arise
fillings, provides so much more
when a dentist feels the need to
information than a minimal
re-write or embellish his or her
charting which perhaps only inrecords after becoming aware
dicates missing teeth and teeth
that a challenge or investigation
needing immediate treatment.
is likely. Few, if any, records are
Sometimes the records are found
perfect in every respect and yet
to contain no indication at all of
it can sometimes be due to emwhich teeth are present or abbarrassment
at the inadequacy
sent,DPL
andad
when
several
posterior 09:18
2453
A4:Layout
1 10/08/2009
Page 1

“Contemporaneous” means
“recorded at the time”, and it is
easier than one might think, to
identify entries made after the
event, or to recognise record
cards which have been rewritten or altered. The importance of an audit trail for computerised records is covered separately below.

the actual situation as it appears
in the patient’s mouth.

Records should be in diary
sequence with other dated entries, and no attempt should
ever be made to “cover one’s
tracks” by altering or “improving” an original record card
entry, or by substituting a modified record card for the original.
Such efforts can easily transform a small problem into a major one, or even into a criminal
matter. Courts of law, and the
à DT page 18

• Correspondence. All correspondence to and from the
patient or any third party (including specialists, medical
practitioners, other dentists etc)
• Consents obtained, and specific warnings given of possible
adverse outcomes
• Advice. Notes of advice (including oral hygiene, dietary and/or
general health advice such as
the discontinuation of smoking
or attention to other risk factors)

Don’t read this...

• Instructions given pre- and
postoperatively to the patient (or
parents)
• Drugs given, including route,
dosages, frequency and quantity
ordered. Any adverse reaction
to any such medication should
be recorded
• Anything else that you consider relevant. Here, the patient’s dental history can be particularly relevant. For example, a
record should contain the reason
why the patient has requested a
consultation or examination,
and (unless a regular patient)
a note of when the patient last
received dental care. This is extremely important, especially in
the case of a new patient since it
is always helpful to be able to refer back to notes made at the initial examination to recall what
signs and symptoms the patient
was actually exhibiting when he
or she was first seen. It is obviously equally important to have
a record of what treatment the
patient requested or required.
Baseline charting
A traditional, basic skill which
is emphasised at dental school,
but which is sometimes lost as
a clinician passes through his or
her career, is that of a baseline
charting. The computerisation
of records has played a part in
the demise of accurate baseline
chartings, since most brands of
commercially-available software
insert a stylised representation
of a specific type of cavity or restoration, in a standard shape and
format rather than attempting to
create an accurate reflection of

...unless you are interested in:
 Lower professional indemnity subscriptions
 Free personal indemnity for every dental nurse and/or
dental technician you employ for both clinical negligence
and professional matters

 Free annual subscriptions to a comprehensive online
information resource including a wide range of business
and healthcare legislation and regulatory requirements
 CPD for the whole dental team

 Free Indemnity for practice managers and receptionists

 Employment law helpline

 Dispute resolution assistance for disputes between
professional colleagues

 Practice management and clinical audit tools to make your
practice safer, more easily managed and more successful

An Xtraordinary Indemnity Programme for the Whole Practice
For more information go to www.dentalprotection.org/uk/dplxtra or call our Membership Helpline on 0845 718 7187

[18] =>

18 Practice Management Tribune
ß DT page 17

dental registration bodies take
an extremely serious view of
non-contemporaneous records
being presented and stated, dishonestly, to be the originals.
Computerised records
Many practices now keep some
(or all) patient data on computer, and this either duplicates or replaces handwritten
information. Even if you keep
some or most of your records
on computer, you may still
need some manual records eg
for non-digital x-rays, correspondence etc.

to ensure that the patient’s details
are regularly checked for accuracy and updated, and stress the
confidentiality of clinical records.

United Kingdom Edition

5) Review the space available for the storage of old
records. Rather than destroying
records when a storage prob-

Contact Information
We are the world’s largest specialist provider of dental professional indemnity and
risk management for the whole dental team. The articles in this series are based upon
Dental Protection’s 100 years of experience, currently handling more than 8,000 cases
for over 48,000 members in 70 Countries.
33 Cavendish Square, London W1G 0PS, UK
E-mail: General enquiries, querydent@mps.org.uk
The complete set of 36 risk management modules can be ordered from lynne.
moorcroft@mps.org.uk
www.detalprotection.org

lem arises, consider scanning
records and x-rays and retaining them on CD-ROM or DVD in
digital form, together with digital photographs of study models (which may be particularly
helpful for orthodontists who
face special storage difficulties).

March 15-21, 2010

the country where you practice, regarding how long records need to be kept and
any requirements for disclosure of records, or a patient’s
sta-tutory right of access to
their record. DT

6) Check the specific legal
situation which applies in

It is no defence in law that
your computer broke down or
you lost data, for whatever reasons. It is up to you to ensure that
you can always produce, whether
directly or indirectly (created
from computer records), all the
same information that has been
discussed above in respect of paper records. Being computerised
is no justification for cutting corners in record keeping – indeed,
quite the reverse.
There appears to be a tendency for records kept in computerised form to be less detailed, perhaps using more abbreviations
and codes that are specific to
the chosen software. It is worth
spending time before a problem
arises, evaluating the quality and
quantity of the records you are
keeping and the safeguards and
controls (eg computer back-up)
you are operating in order to
protect them.
Many clinicians fail to appreciate that changes to computerised records may still be captured
on, and retrievable from, the hard
disk, even when the original entry
is deleted or modified. Computerised records need to have a robust
and secure audit trail, showing
who made each entry or amendment, at what time, on what day
etc. The same details should be
available for each historical entry,
so that the whole evolution of the
final version of the records can be
tracked with certainty.

be individual
Your practice belongs to you, that’s why we make it our priority to help
you develop a plan that fits into your own unique brand and personality.
So, if you’d like your identity back, please get in touch.

Without this safeguard, the
value of the records may be seriously reduced.
Checklist
1) Carry out a random audit on a
selection of your patient records
and ask a colleague to check that
they are legible and comprehensible. Involve your dental team in
this process.
2) Ensure that the notes you write,
or type, include the kind of detail
described in the text.
3) Try to avoid using ‘shorthand’
or abbreviations that others are
unlikely to understand.

01691 684135 www.practiceplan.co.uk

4) Remind your staff of the need
G11060 PP Switch Ad.indd 1

19/2/10 14:51:32

[19] =>

United Kingdom Edition March 15-21, 2010

Practice Management Tribune 19

Avoiding workplace discrimination
With the introduction of the Equality Act discrimination legislation is to have its biggest overhaul for many years. To make sure dental employers comply with the law,
Sunil Abeyewickreme and Sarah Leyland discuss how the new developments apply

he Equality Act will be
the most significant piece
of legislation to be introduced this year. It is due to
receive Royal Assent in April,
although the provisions are unlikely to come into force before
October this year. Once Royal
Assent has been received, even if
there is a change in government
following a general election, it
will become law.

employers to take legal advice on
their employment practices as
soon as the Bill is finalised and
receives Royal Assent, (probably
April 2010).

The main purpose of the
Equality Act is to harmonise
the existing equality legislation.
This has required the legislators
to review, simplify and modernise discrimination law, which
was introduced over 40 years, often in a piecemeal fashion. Most
of the Act simply restates the law
in a more logical and accessible
form. There are a number of significant reforms as well.

Paternity leave
Fathers will be able to take
more time off while their baby’s
mother returns to work, making
childcare easier to share for babies due on or after 4 April 2011.
Currently, the law allows for a
father to take two weeks paternity leave following the birth of
a child and during this period of
leave they will receive Statutory
Paternity Pay which is currently
set at £123.06 per week.

Currently, if someone is discriminated upon because of a
combination of characteristics,
for example an Asian woman,
it is necessary to bring separate
discrimination claims for each
separate characteristic. This can
cause difficulties and it often
quite complicated. The Act introduces dual discrimination which
allows a claim to be brought if a
person is discriminated upon
because of two combined characteristics where there may not
be enough evidence to prove discrimination based on one characteristic alone.
Another important provision
is the measure to make equal
pay more transparent. This is
aimed at prohibiting employers
from using secrecy clauses to
prevent employees from discussing their pay. At one point it was
thought that compulsory equal
pay audits would be introduced
for all employers but this has
been dropped. The Act currently
stipulates that only employers
with more than 250 employees
will be required to publish information about pay and gender
differences. It is believed that the
Government are going to further
amend this to require employers
of more than 500 employees to
provide details.
As a consequence of its
passage through the House of
Lords, the Equality Bill has recently been amended to prevent
employers asking candidates
questions about their health that
are unrelated to the job role.
There are further amendments
expected, so it is important for

The Equality Act is expected
to be in force by October 2010,
so employers will have to ensure their employment contracts,
recruitment and HR policies
are updated.

From 4 April 2011, fathers
will be able to take up to 26
weeks’ paternity leave while
their child’s mother returns to
work. A father will have a legal right to take the place of the
mother at home during the second six months of the child’s life.
Up to three months’ paternity
leave will be paid at the same
rate as statutory maternity pay
if the leave is taken during the
mother’s 39-week maternity pay
period. The remainder will be
unpaid. Employers will need to
ensure that maternity and paternity leave policies are changed
in due course.
If the Conservative party
wins the next general election it
has expressed a commitment to
extending paternity provisions,
and it is currently proposing to
extend the provisions further to
allow both parents to take paid
time off simultaneously.
Sick note /fit note
As long-term sickness is often
frustrating and costly for em-

‘The Equality Act
is expected to be in
force by October
2010, so employers
will have to ensure
their employment
contracts, recruitment and HR policies are updated.’

ployers (estimated to be costing
the economy £100 billion annually) the Government is introducing a new electronic ‘fit
note’ in April. This will replace
the current medical certificates,
which states whether the employee is fit to work or is not. The
new “fit note” will provide information about when the employee should return to work and
what they are able to do when
they return.
General Practitioners (GPs)
will be required to indicate
whether the individual “may
be fit for some work now”. The
GP will be required to describe
the functional effects of the employee’s condition with the option of setting out suggested arrangements which could help
them back to work. This could
include a phased return, altered
hours, amended duties or workplace adaptations.
Unfortunately one of the
criticisms of the Government’s
implementation of this ‘fit note’
is that GPs have not been sufficiently trained in occupational
health to make an informed
assessment of the employee’s
work-related capabilities.
It remains essential for employers to have in place a sickness policy which clearly sets
out what is expected of an employee in this situation and any
action that may be required.
Time off for training
The Government introduced
a new right to request time off
work for training in legislation,
which will come in force from
6 April 2010. It will apply to organisations with 250 or more
employees, being extended to all
employees on 6 April 2011. It is
modelled on the right to request
flexible working and is introduced for employees who have
been continuously employed for
a period of more than 26 weeks.
Employers will be obliged to
carefully consider requests that
they receive, and will be able
to refuse a request where there
is a good business reason for
doing so. Employers will not
be obliged to pay the salary or
training costs.
The regulations set out the
procedure to be followed when
a request for time off to study
or train has been made. If employers fail to comply, the maximum amount of compensation
that may be awarded at the

The electronic ‘fit note’ will replace the current medical certification system

Employment Tribunal is eight
weeks’ pay.
Registration with ISA
The Vetting and Barring scheme
will have a huge impact on
dental practices. It will mean
that anyone in regular contact
with children or vulnerable
adults in England, Wales and
Northern Ireland will have to
register with the Independent
Safeguarding Authority (ISA).
From 1 November 2010 it will
be an offence to employ or engage someone to perform services on a self-employed basis in
a role, which involves contact with vulnerable adults or
children, if that person is not
registered. You are required to
check all your employees even
those who are not directly connected with vulnerable adults and
children. It is a criminal offence
not to check and carries a sentence of imprisonment of up to
six months.
Anyone unregistered with
the ISA (because they started
employment before 1 November 2010), will be able to apply
for registration from 1April

2011. All employees who have
regular contact with children
or vulnerable adults must
be registered with the ISA
by 31 July 2015. This means
that all employees of a dental practice will have to
be registered.
Keep up with change
Dental employers should keep
abreast of the changes and ensure that they are up to speed
with recent developments that
will affect the dental industry.
Practices will need to ensure that
they have the necessary policies
and practices in place to address
the changes.
The penalties for failing to
adhere to employment legislation can be severe, therefore
dental employers should take
legal advice at an early stage. DT

About the author
Sarah Leyland is an Employment Solicitor who works with Sunil Abeyewickreme, a Barrister who heads
the Employment Law Team at Cohen
Cramer. Sunil will be giving a presentation on the changes in Employment Law at The Dentistry Show on 20
March 2010 at the Birmingham NEC.

[20] =>

20 Practice Management Tribune

United Kingdom Edition

Telephone tactics
Julia Dawson discusses the importance of great
telephone communication, and how getting it
right can help your practice thrive

think it’s fair to say that the
telephone is the unparalleled
communication tool of our
time. In fact, 40 million people
own a mobile phone in the UK,
which is twice as many as read a
newspaper every day. In business
too, more and more service sectors are giving people the opportunity to conduct their business
by phone. But, good telephone
communication is not as easy as
simply picking up a phone and
talking...it’s a learned skill.
Remember, patients don’t have
to do business with you, they
choose to, and many things affect
their choice. Good telephone tactics can not only give your practice the chance to be efficient and
helpful, but also to enhance the
image of your business. Minor
changes when speaking on the
phone can make a huge impact
and these tips are designed to
show you how and why telephone
tactics are so important.
a good first impression
How often have you met someone you’ve only spoken to on the
phone and thought ‘they’re nothing like I expected’? By making
sure that you always answer the
telephone and greet your patients
in a bright, friendly manner you
can ensure that that’s what your

patients will expect when they
come into the practice. Also, smiling when you answer the phone
may sound a bit daft, but when
you smile, the small muscles that
raise the corners of the mouth lift
the pitch of your voice and add a
brighter, more welcoming tone.
Great service will also help
you attract new patients, as existing patients will tell their friends
and colleagues how good you are.
A word of mouth recommendation is far more powerful than any
advert and is a real indication of
how effective your customer care
is. Some companies offer tailormade training days, specific to your
practice’s needs and can even
incorporate a modules focused
on customer care and telephone
tactics. Some of these courses
can also count towards verifiable
CPD when undertaken in accordance with GDC requirements.
Avoid time wasting
It may seem obvious but answering the phone promptly can
really increase your customer
service levels as it shows that
caller how professional you
are. It’s good business practice to
answer a telephone call within
three to five rings. Answering too
early can startle a caller while
leaving a phone to ring inces-

santly gives the caller an image
of inefficiency.
One of the things that often
comes up when discussing poor
call-centre experiences is being
kept on hold for long periods of
time. If you’re unable to deal with
a call straight away, let the caller
know you will deal with their query
and call them back. This not only
makes the patient feel valued, but
also allows you to look into more
complex queries at a quieter time
of day.
For practices lucky enough to
have lots of patients, there are often periods of the day that have
particularly high call volumes.
By monitoring the calls throughout the day you can identify these
times and ensure you have sufficient cover to attend to them.
Automated answering services
are also great outside of working
hours, but try not to use them during the working day. They may
be more convenient for your team,
but are often a waste of time for
your patients, as they prefer to
speak to a real person and explain
their queries in their own words.
Talking on the phone
When a person loses one of their
senses their remaining senses become heightened. The same goes

for telephone communication as
speech and hearing is all you can
rely on. As a result, things that
interfere with speech such as typing on a computer, shuffling files
and eating become more audible
to the caller and can make them
feel ignored and less important
than your other tasks. It’s vital
that you really concentrate on
your conversation, giving your
caller your undivided attention.
It’s also a good idea to hold the
telephone properly – holding it
under the chin will give a muffled sound to the caller and will
hinder good communication.
Whenever you speak to a patient on the telephone you should
always aim to be calm, clear and
concise and avoid dental jargon.
It’s also really important to listen
to the whole conversation, even
if you think you know what their
query or point of view is. By selectively listening you may miss
important points.
Acknowledging their points
and statements will confirm that
you’re actively listening to them
and taking notes will help you
deal with the call later.
Dealing with complaints
In my experience, the majority
of complaint cases are caused by
some form of breakdown in communication. It might be that a
patient has not fully understood
the implications of a particular
form of treatment, or has chosen
to disregard, or not take responsibility for, some aspects of their
oral health. However, it’s crucial
that you listen carefully and show
you’re prepared to listen; even if

March 15-21, 2010

you feel you’ve heard it all before people generally need to feel they
can get things off their chests.
Onceyoufullyunderstandwhat
the complaint is about - genuinely
sympathise with the caller and to
show concern about the issues they
are raising. All too often people can
slip into the slow, monotone speech-patterns we associate with
complaints departments, but this
does not instil the impression you
care about the person’s problem.
Instead, summarise the complaint
back to them to show that you have
really listened. If you need to check
anything, give the caller your
name and a firm commitment of
when you will get back to them.
Taking Messages
We have all been guilty at some
time or another of hastily writing a message on a scrap of paper
and when questioned about it, being unsure of the detail. Even if a
phone call is for somebody else
the way you deal with that call is a
demonstration of your business’s
efficiency. For example, if a message is from a ‘Mr Jones’, there
may be hundreds of people with
the surname Jones in the practice
and we cannot assume that the
message recipient will automatically know which one it is.
Time is wasted and business lost when messages are not
taken correctly or calls returned
promptly so it’s a good idea to
create a specific message form
to remind you of all the details
you need to note down. Many
stationery companies supply preprinted pads for this purpose or
you can easily create your own,
but remember that if you’re using
e-mail to send messages within
your practice they should include
the same information as the message forms.
It’s clear that customer service
is vital both in the practice and on
the telephone and it’s the constant
desire to make each customer feel
individual and welcome which
will set you apart from your competition. By following this advice,
you can not only ensure that your
existing patients stay loyal to you,
but that you attract new patients
through word of mouth and great
customer care. DT

About the author
Julia
Dawson
joined Denplan in
1990, running the
Ad m i n i s t r a t i o n
department
and
in 1992 moved to
manage the Practice Support and
Customer
Advisor teams. During
1994, Julia transferred to the Professional Services
area, and in 1997 became Head of Operational Development before becoming Head of Denplan’s Customer Service division in 1999. Now as Director
of Customer Services, Julia has overall
responsibility for the Practice Support
Advisors, Customer Advisors, Registration and Administration Services,
Insurance and Helpline and Corporate
Customer Services.

[21] =>

United Kingdom Edition March 15-21, 2010

Education 21
Kav Eagle strip 1 89x266mm:Layout 1

Filling in the cracks

8/10/08

13:40

KaVo – ESTETICA E80

It’s now commonplace for a visit to the dentist to
include a little smoothing, plumping and tightening, as well as filling, says Dr Bob Khanna

osmetic procedures are
no longer taboo. People
are no longer embarrassed to admit that they are
turning to the professionals to
help them slow down the ageing process. As such, more and
more people are visiting facial
aesthetic practitioners for a
helping hand. Popping for a shot
of Botox or a little dermal filler
is just as commonplace as a visit
to the hairdresser.
Traditionally, a dental surgery would only be able to assist with teeth, but now it is
possible to treat patients with a
wide range of products designed
to help smooth, plump and
tighten problem areas on the
face as well.
Bread and butter treatments
The most common, and most
requested procedures are quick
and simple to perform, with
minimum patient discomfort.
These ‘bread and butter’ treatments involve Botox (botulinum
toxin), chemical skin peels and
facial dermal fillers. More complex and in-depth procedures
are available, but from my experience, these are the key procedures that patients are most
interested in.
As the UK’s most popular cosmetic procedure, more
than 80 per cent of Botox treatments (Botox(R), Dysport(R),
Azzalure(R), Xeomin(R)) are
administered in the upper
facial regions. The treatment
is aimed at targeting problem
areas such as the frown lines
directly above the nose which
are made more evident when a
patient is angry, tense or anxious, the horizontal lines on
the forehead which are made
more evident when the patient
is surprised and of course the
laughter lines at the side of the
eyes. Because these expression
lines seem to get more apparent
as a patient ages, a softening
or elimination of these lines in
certain cases can therefore

Dr Bob Khanna: “With additional training, dentists can gain knowledge on how
to utilise Botox in the oral facial region.”

result in a rejuvenated and more
youthful face.
Skin rejuventation
While Botox treatments are
common in the upper region
of the face, dermal fillers are
used in over 80 per cent of
procedures involving the mid
and lower face. As people age,
volume is lost as collagen and
the fat pads in the face atrophy and people develop deeper
folds or wrinkles in their face.
Dermal fillers are particularly
effective when treating these
areas, such as the perioral lines
and wrinkles, as well as nose to
mouth lines.
General dental practitioners
already work in these areas on
a regular basis when carrying
out dental procedures, so are so
are already very familiar with
the anatomy of the lips and surrounding areas. Additionally, as
this is the region of the face that
frames the teeth, dermal filler
treatments can make a huge
difference to the overall appearance of the face, and because of
the proximity to the teeth, can be
the perfect compliment to many
cosmetic dental procedures.
As well as combating fine
lines and wrinkles, if a patient
feels that their skin is looking
dull and lifeless, there are procedures available to help reju-

As people age, they develop deeper folds or wrinkles in their face

venate it. Chemical skin peels,
which can be administered by
both dentists and hygienists,
are simple procedures that
offer a safe and comfortable
method to effectively treat facial skin complaints. Peels can
help combat problems such as
aging skin, acne and blocked
pores, while at the same time
helping to reduce the effects
of sun damage and hyper
pigmentation. A chemical skin
peel will help skin to appear
smoother, healthier, plumper
and tighter, and doesn’t even involve any needles.
Most patients who receive
facial aesthetics return for retreatment. On average, the results of a Botox treatment lasts
around four months, meaning
patients would need to return
for re-treatment three times a
year. The results of dermal filler
procedures last a little longer,
up to ten months depending on
the products used.
Additional training
It is true some practitioners may
not wish to offer such treatments
in a purely cosmetic capacity.
Hence, in addition to the cosmetic benefits, there are also many
ways in which Botox can be
used in general dental practise.
With additional training,
dentists can gain knowledge
on how to utilise Botox in the
oral facial region to help combat common problems such
as gummy smiles, bruxism
(grinding/clenching) and temporomandibular joint disorders. Problems like these are
often only rectifiable by invasive means and sometimes
surgery, (not a pleasant thought
for many patients), however
practices can now offer to treat
such conditions with a course
of relatively simple injections
after appropriate training (ie.
Oral facial course). DT

About the author
Dr Bob Khanna is
widely regarded as
one of the world’s
leading
exemplars of dentistry
and facial aesthetics. President and
founder of nonprofit
organisation The International Academy for
Advanced Facial Aesthetics (IAAFA),
Dr Khanna heads the only UK organisation to combine medical and dental professionals. He is the appointed
clinical tutor in facial aesthetics at
the Royal College of Surgeons and has
trained thousands of dentists and doctors through the Dr Bob Khanna Training Institute.

ESTETICA E80
Rise above the rest with
outstanding ergonomics
and an attractive, highly
functional design
• Innovative suspended chair gives
improved ergonomic working
• Unit includes the option of
an integrated Endo function
• Future-proof
• Unit allows for the integration
of additional instruments
• More comfortable
positioning for patient
• Integrated technology
offers a perfectly
harmonised system
• Includes free
COMFORTdrive speed
increasing handpiece

CALL US ON FREEPHONE
0800 281 020

KaVo Dental Limited
Raans Road, Amersham, Bucks HP6 6JL
Tel. 01494 733000 · Fax 01494 431168
mail: sales@kavo.com · www.kavo.com

[22] =>

22 Education

United Kingdom Edition March 15-21, 2010

A reflex action
Making dentures for a patient
with a severe gagging reflex

see quite a few referrals from
general dentists for patients
who have a mild-to-severe
gagging reflex. I will briefly review a number of techniques
that can be used to help the pa-

tient when having an impression taken. Yet perhaps the most
important aspect is often overlooked, that is simply putting the
patient at ease, being supportive
and encouraging. If I ever try to

anesthetics in the form of lollipops that a patient can suck prior
to impression taking
3) Asking patients to hold a cold
pack which acts as a thermal distraction
4) Physical distractions; have patients lift both feet up off the dental chair, and also rub thumb and
index finger together
5) Use a light dose of a sedative
6) Utilise hypnotic techniques
7) Use acupuncture to reduce the
gagging reflex

rush treatment on a patient who
gags, I am in trouble. But if I
am able to go at the patient’s
pace, the whole procedure is
much simpler.
Easing the discomfort
Here are recognised ways of reducing the gagging reflex:
1) Placing salt on the tip of the
patient’s tongue
2) Using topical anesthetic in the
mouth, for example, you can get

PracticeWorks
KODAK R4 Practice Management Software
Access your practice data
on your iPhone
or Blackberry
with PEARL

8) Using a technique described
by Berkal Technique practitioners: ask the patient to hold either
thumb with the opposite hand;
this also appears to help
As a dentist running a referral
denture clinic, I sometimes have
to think a little bit outside the box.
I saw a patient – we’ll call her Mrs
Smith, as she wishes to remain
anonymous. She presented with
a very severe gagging reflex. Her
general dentist had referred her
to me. She would gag when she
was brushing her teeth and was
very worried about having impressions taken.
Like many patients with a
gag reflex, Mrs Smith felt that
she was the only person to have
this problem to this extent. Prior
to treatment, we discussed going
for a denture design that would
keep the framework of the denture as minimal as possible.
Luckily, she still had three upper teeth that could be used for
retention, but we still decided on
a reduced arch length.
By using a much-reduced upper special tray, we were able to get
a reasonable upper impression.
However, I simply couldn’t get an
impression tray in at the bottom
for an opposing arch impression.
As I have the dental technician onsite for try-ins, we probably could
have worked around this, but I
wanted to see if there was another
way. In the end we used some putty, which I was able to get on the
buccal surfaces of the lower teeth
and slowly advance this over the
occlusal surfaces and even down
onto the lingual aspects of the
teeth. We managed to get a good
lower impression using this technique, and it is worth keeping this
concept up your sleeve if you are
faced with a similar situation.
A happy customer
I am happy to report that Mrs
Smith is delighted with her new
dentures, and is not only wearing her dentures during the day,
but is even talking about sleeping in them.

Another breakthrough from PracticeWorks
PEARL is the new iPhone or Blackberry application for R4.
No longer are you restricted to viewing your appointments, patient records and images on a computer
screen. Now you can view them wherever you want, whenever it’s most convenient for you.

In conclusion, it is useful to
have a list of options as presented
above when trying to treat patients
with a gag reflex. As I said at the
start of this column, I would argue
that the most important factor is
not to make a patient feel rushed
and to spend time gaining their total confidence. DT

About the author

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

PracticeWorks

Justin Stewart was
the first qualified Biofunctional Prosthetic
System (BPS) dentist
in the UK. He is a
member of the American
Prosthodontic
Society and the British Society for the Study of Prosthetic
Dentistry. An experienced lecturer, Dr
Stewart is dedicated to resolving denture-related problems through teaching and training. For further information, please email Justin Stewart at
enquiries@thedentureclinic.co.uk.

[23] =>

DENTAL

Make the most of your surgery

Contact:

Tel: 02087 884400
Fax: 02087 886688
info@parsdental.com
Putney, London

[24] =>

24 Product Spotlight

United Kingdom Edition March 15-21, 2010

Saddle stool in dentistry
Veli-Jussi Jalkanen, specialist in sitting ergonomics discusses a
healthy and comfortable way to sit

hile some dental professionals have insufficient knowledge to
be able to recognise or manage
sitting disorders, others realise
that back pain and shoulder
tension have a lot to do with
sitting. Poor circulation in the
lower extremities; shortage of
oxygen; hip, knee and shoulder
joint problems; sitting fatigue,
and genital health problems are
some examples of the ailments
that belong to the large group
of SDs (Sitting Disorders). All
people working in dentistry
are affected by these disorders whether they are aware of
them or not. Many of those who
are aware of SDs would usually
like to improve the situation
and look for a more healthy,
productive and comfortable
way to work.
Healthy posture for long
term sitting:
1. Good, relaxed posture, balanced and without harmful
supports
2. Thighs 90° apart and pointing down enough to keep the
upper body in balance
3. Close to 135° angles in hips
and knees
4. Weight on the sitting bones,
not the muscles
5. No pressure on the genitals
and under the hip (especially
for men)

makes picking materials fast
and effortless

This ideal position can be obtained with a saddle stool.
Sitting on a saddle stool
is based…
…on the sitting bones that are
located under the hip. They
keep the buttocks and thighs
from being pressed against the
seat if they have a firm support.
Thighs point down at a 45 degree angle, tilting the pelvis to a
near neutral position, as when
standing. This allows the lower
back and upper body to find a
relaxed, natural posture without the need for a backrest. Feet
rest on the floor on both sides
of the body as if you were riding
a horse. This way it is easy to
operate pedals with your feet they must be placed on the side.
General benefits from a saddle stool in dentistry
• Good, natural and relaxed

posture which also keeps improving for years
• Less shoulder area tension by
allowing lower positioning of
the patient
• Relieving or eliminating lower
back pain (oftentimes it disappears in a week)
• Preventing fatigue and improving productivity through
deeper breathing
• Preventing shoulder, hip and
knee joint problems, angles are
more natural
• Easier movements and good
working positions
• Improved circulation in lower
extremities prevents varicose
veins + cellulite built up
• Easy visibility into the mouth
by leaning forward with a
straight back
• Working at a close distance
(also the assistant) with legs
under the hoisted chair
• Easy rolling and turning

A divided seat is helpful…
… because the free space allows proper pelvis/hip position
without pressure or discomfort
in the soft tissues on the pubic bone. For men (who have
the pubic bone much further
back than women) a divided
seat is a safer solution in the
long run. Pressure on the pudendal nerve and tissues on the
pubic bone can lead to erectile
dysfunctions. Loose, light and
stretching trousers are highly
recommended for men when
sitting on any seats. With women, an additional advantage is
the decreased growth of bacteria as a result of better ventilation, lower humidity and temperature in the genital area.
This has a positive effect on the
infection rate.
Difficult positions…
…such as working on posterior teeth, looking at X-rays,
surgery, large-chested patients,
patients who cannot tolerate supine position, etc. become easier because of the more natural,
relaxed and free sitting.
In surgery and other long
lasting operations…
…benefits of good sitting become more obvious. Foot-

Comfortable Dental Work

Salli Saddle Chair
•Superior two-part seat:
- better posture
- more comfortable sitting
- better genital health (for all)
•Be less tired at work
•Get rid of back problems

Salli will be at
Dentistry Show
19-20 March 2010,
NEC Birmingham,
Hall 2, Stand E1.
Welcome to test!

•See easily into the mouth
•Roll and reach without effort

Foot height control
Salli Systems

www.salli.com

Salli Elbow Rest
Tel. +358 10 270 1210
info@salli.com

Salli Swing
Rocking seat follows your
movements. Even more
comfortable, super back
healer, fun.

operated height control (accessory) keeps the gloves clean
and is very helpful in maintaining the welfare of your body
and accuracy of your work
while you change positions and
sitting height in the middle of a
long procedure.
Shoulder joint problems…
…often come from elevated
shoulder positions, which stress
the joints. A riding-like sitting
position allows lower positioning of the patient, which allows
you to relax your shoulders.
Sitting down & standing up…
…is easy because on a saddle
stool you are half way up already. Sitting down could not be
any more fluent since the backrest is never in the way. You just
lift your leg over the seat from
the back and sit down. This kind
of mounting puts you instantly
into the right kind of relaxed sitting position with good posture.
Data entering…
…is more fluent and time-saving when you can roll back and
forth fast and easily with your
saddle chair. The movements
you do while using the chair
keep your muscles active and
improve your metabolism.
The Scandinavian working
concept…
…is shown in the pictures.
Oftentimes, both the dentist
and the assistant utilise a
saddle stool. Good posture, easy
visibility into the patient’s mouth, efficient and free movement can all become reality.
The saddle stool allows close
proximity to the patient, leaving
more room for the legs under the
patient. This method of working
dramatically
decreases
problems for both the dentist and the assistant, and is
becoming the most common
way to sit and work for dentist
in Scandinavia.
Adapting to a saddle chair
takes some effort…
…because almost everything
changes. The body needs time
to adjust. Learning to use the
saddle chair takes a few days
and the “saddle soreness” in
the buttocks and inner thighs as
well as fatigue of the back muscles last two-14 days.
It is worth it, but…
…nothing comes for free. Financially, the change is cheap.
But most importantly, you
need to learn about sitting physiology to be motivated to make
the change, alter your working movements and positions and tolerate temporary discomfort. As a return you may
achieve a healthier body, better posture, higher productivity
(more patients with the same
energy), improved quality of
work and more satisfying years
at work. DT

[25] =>

Only £149

.99

+VAT

New DNNET II
Training Programme
for Dental Nurses
As part of our commitment to support
the dental profession, The Dental
Directory is pleased to exclusively offer
the new DNNET II training programme
for dental nurses.
It is now compulsory for all Dental Nurses to be registered
with the GDC before they are able to work in the UK.
To do this, they must gain a GDC recognised qualication.
DNNET offers all the learning and underpinning knowledge
for both the National Certicate and the NVQ Level 3 in
Oral Health Care Dental Nursing.
The DNNET II programme is ideal for trainee dental nurses,
those returning to dental nursing, and those just starting
out in another role within dentistry. DNNET II will support
them through their studies to help them achieve the
National Certicate in Dental Nursing or the NVQ/VRQ in
Dental Nursing.

II
Exclusive to
The Dental Directory

DNNET II builds on the successes of earlier versions and is
now updated with input from leading experts to provide
quality training reflecting the syllabus of the National
Examining Board for Dental Nurses.
• Prepares you for examination and registration
• Gives you all the knowledge you need for a fulfilling
career as a Dental nurse
• Helps you fit your studies around your working life using
technology that suits you
• Puts the best curriculum developed by leading experts at
your finger tips
• Uses real life scenarios to ensure retention and
engagement
All this is available for just £149.99 plus VAT.
To order your copy call The Dental Directory FREE on

0800 585 586

If already a qualified dental nurse, then DNNET II offers
30 CPD hours of updates on relevant topics.

The Dental Directory, 6 Perry Way, Witham, Essex CM8 3SX. Tel: 01376 391100 Fax: 01376 500581 www.dental-directory.co.uk

[26] =>

26 Dentistry Show

United Kingdom Edition March 15-21, 2010

1st Dental Laboratories
1st Dental is the leading dental laboratory network
within the UK and our aim is to provide your practice with
innovative growth and support. We are located strategically
throughout the UK to provide your practice and patients
with a service that is both countrywide and local.

A-dec Solutions
At A dec, we offer the industry’s
most innovative technologies
and solutions which have
been created to improve
the performance, safety and
comfort for both the dental
team and patients. Examine the
difference A dec can make for
your practice. Our chairs, lights,
cabinets, delivery systems,
and
sterilization
systems
are engineered to be fully
integrated and perform beyond
expectations.

1st Dental represents an ideal balance between researched innovative
technology and traditional craftsmanship. To maintain this balance 1st Dental
has invested in the latest proven technologies to place your practice at the
forefront of dependable innovation that you can trust.
Our network of laboratories has the means to deliver the services you need so
that you can provide the smiles your patients demand.

A-dec will be attending and
exhibiting at The Dentistry
Show from 19th-20th March on

Bicon Company Profile
Dental Tribune
Bicon is a unique dental
implant system, offering
the dental community a
comprehensive worldwide
solution
to
implant
dentistry.
Bicon’s unique plateau
design
follows
sound
bioengineering principles,
allowing the use of short
implants,
incorporating
Bicon’s bacterially sealed
locking taper.
Bicon provides for 360 degree universal abutment positioning – offering
restorative flexibility unmatched by other implant systems.
Bicon’s unique design and its revolutionary clinical techniques continue to
lead implant dentistry.

stand E28 at the NEC.
Visit the Bicon team on stand number H28.
The A-dec team look forward to welcoming you to our stand. For more
information about A-dec products and services, contact us on freefone 0800
233285 or 02476 350901. The full A-dec range can be viewed on our web pages
at www.a-dec.co.uk.

Dentistry Show - Stand D20
Increase Your Expectations with Bien-Air
Bien-Air has not lost momentum over the
past 50 with their range of high quality, Swiss
products.
The implant motor system, Chiropro L with
LED micromotor and 20:1 handpiece features
integral irrigation and the world’s smallest
handpiece head for absolute precision.
New to the range is the Bora Blackline turbine.
Thanks to the carbon fibre handle these
incredibly light handpieces offer improved
resistance to wear, friction, torsion and
impacts.
With an easy to use, intuitive display the Optima MX INT converts your airdriven system to an upgraded electric operation; allowing, for example NiTi
endodontics to be covered with a standard 1:1 contra-angled handpiece.
Bien-Air offer a variety of triple or quadruple pack options. You can now enjoy
using superior, Swiss quality turbines and contra-angled handpieces at even
lower prices. Choose from CA 1:1, 1:5 or 10:1 with or without light, fitted with
a large push button quick bur release, they are both thermowasher safe and
autoclavable.
These products are simply an overview of what Bien-Air has to offer. For
further information please contact Bien-Air on 01306 711 303 or visit www.
bienair.com

Inspire and re-invigorate
the team with Curaprox
Dental professionals looking
for innovative ways to
improve patients’ preventive healthcare regimens, as well as their business
revenues, can visit the Curaprox stand J41 at the Dentistry Show 2010 to learn
more about iTOP.
iTOP is an innovative oral hygiene programme taught individually to patients
at regular one-to-one sessions, giving them the knowledge, skills and tools to
manage their oral health. As a result, practices will see patients more frequently.
The team from Curaprox will be on hand to show delegates the comprehensive
support pack and offer advice on the right business model to use when
promoting the iTOP programme to customers, who are often more interested
in cosmetic treatments as a result of their improved oral wellbeing.
iTOP offers practice owners a chance to invest in their team as well as develop
a preventive approach to patient oral healthcare, improving patient motivation
to achieve sustainable prophylaxis.
Learn how Curaprox can help to inspire and re-invigorate your team and your
business with the innovative ‘Touch to Teach’ programme designed to improve
oral health: iTOP.
For more information please call 01480 862084
www.curaprox.co.uk

HOYA ConBio® designs, manufactures
and markets laser systems to the global
medical and dental communities.
Designed for use in hard, soft, and osseous
tissue procedures the VersaWave® lasers
are highly innovative and surprisingly
affordable. As the industry’s most
versatile and best-engineered Erbium
YAG, VersaWave® lasers feature higher
repetition rates, higher power output,
and exceptional delivery ergonomics.
As a result, patients experience fast,
comfortable,
and
highly
effective
treatments. VersaWave® lasers represent
a natural choice for dentists who wish to
grow their practices.
The compact DioDent Micro 980® dental
diode laser provides an outstanding
option in soft-tissue procedures for any
dental professional seeking an effective and affordable way to successfully
start in laser dentistry.
Fremont, California-based HOYA ConBio is a fully owned subsidiary of HOYA
Corporation, a $2.5 billion leader in optical solutions, vision care, and medical
devices. Learn more at www.conbio.co.uk
and www.redefiningdentistry.com

Visit BioHorizons on stand J24
to see the latest Biologics and
Implants range
BioHorizons are looking forward to
exhibiting at the NEC at this year’s
Dentistry Show on 19th-20th
March. Having had an exciting 12 months with the expansion of their Biologics
range, new Virtual Implant Planning (VIP) software and the introduction of
some brand new implant courses, the team will be on hand to discuss their
product range with the whole of the dental team.
BioHorizons will be showcasing the full Biologics range, demonstrating the
benefits of using AlloDerm, Alloderm GBR, Grafton, MinerOss, Mem-Lok and
Laddec as well as their growing range of speciality implants. BioHorizons
offers a greater choice of speciality implants, body shape, connection type,
surface treatment and restoration paths than any other company.
2010 is set to be even bigger for BioHorizons and will see a number of new
product developments and launches on which information will soon be
released in the UK. To find out more visit BioHorizons at stand J24 at the show
or contact the UK office directly on 01344 752560, email: infouk@biohorizons.
com or visit our website at www.biohorizons.com.

Bicon Marketing Limited 8 Hadleigh Business Park Pond Hall Road Hadleigh
Suffolk IP7 5PW. Tel: 01473 829299 Fax: 01473 828314
E-mail: noscrews@bicon.co.uk Web: www.bicon.co.uk

Clearstep to Exhibit Innovative
System at The Dentistry Show
Clearstep will be exhibiting at
The Dentistry Show, the leading
conference for dental professionals.
Taking place at the Birmingham NEC from 19th to 20th March 2010, Clearstep
will be using the opportunity to showcase its innovative orthodontic system
that allows GDPs to offer treatment for a wide range of malocclusions for all
ages.
Also on display will be the latest addition to the Clearstep Marketing support
offered by the expert team: Clearview
Clearview is a computer-generated visualisation of the patient’s actual teeth
and shows how the predicted results will be achieved, once treatment is
successfully completed. The Clearview is obtained from accurate 3D scanning
of the patient’s study models and provides five different views of the expected
movement.
Delegates attending will be able to see how Clearview offers a great way to
convert patient interest into treatment acceptance and the tool represents a
step towards perfecting the already effective Clearstep system.
For more information call the OPT Laboratory & Diagnostic Facility
on 01342 337910 or email info@clearstep.co.uk
www.clearstep.co.uk

Stand No. D24
Dental Sky Wholesaler Ltd
Tel: 0800 294 4700
Email: sales@dentalsky.com
Web: www.dentalsky.com
Come along to Stand D24, enjoy a tea or coffee with the Dental Sky team
and take a look at the wide range of equipment including the latest washer
disinfectors, autoclaves and handpieces. Also on display is our exclusive range
of top quality R&S small equipment including the great value new ultrasonic
Tri-Scalers.
And don’t leave without picking up the latest issues of our popular monthly
offers brochure and the Cherokee Authentic workwear and Toffeln footwear
flyers.

DENTSPLY Exhibiting Quality
Products at The Dentistry Show
DENTSPLY will be exhibiting items
from the extensive range of high
quality products at the 2010
Dentistry Show, with a focus on the
Endodontic and Preventive product range.
Some of the most established and well-known DENTSPLY brands will be
showcased at stand C20 at the 2010 Dentistry Show, with the spotlight on the
endodontic and preventative product ranges.
DENTSPLY is proud to have been of service to dentistry for over a century,
and is now one of the world’s largest suppliers of dental products in not only
the endodontic and preventative sectors, but also many other aspects of the
industry.
DENTSPLY’s continuing support for the industry, not only in the innovative
new products developed in partnership with leading research facilities, but
also in the rigorous quality assurance that ensures today’s dental professionals
get the best equipment to provide excellent patient care.
Delegates attending The Dentistry Show on the 19th and 20th March 2010
have the opportunity to discuss with highly trained sales specialists how their
professional needs can be supported by DENTSPLY.
For more information please contact your local representative,
Freephone +44 0800 072 3313
Or visit www.dentsply.co.uk

New revolutionary composite
Kerr announces an unprecedented
breakthrough in Vertise™ Flow, the selfetch, self-adhering flowable composite.
IMTEC UK Mini Dental Implant Training Programme – New for 2010.
IMTEC UK has introduced a Mini Implant Training programme for dentists
who wish to learn to place Mini Implants for Denture stabilisation. The course
consists of 1 Day of theory, 1 Day in the clinic seeing cases and hands-on
placement followed by a mentoring day (by arrangement) in your practice to
mentor your first case. Led by Dr Rob Dunn, courses are located in Cheshire
and included in the course fee is a Mini Implant Surgical Placement Kit (value
£600.00), a demonstration Jaw model and other marketing items.
For experienced implantologists who wish to add MDIs to their practice IMTEC
will continue to run the one-day Mini Implant seminars at Heathrow.
Course dates 2010:
Training Programme, Cheshire: 26/27 March, 25/26 June, 24/25 Sept and 26/27
Nov.
One-day Seminars, Heathrow: 20 March, 10 April, 15 May, 10 July, 4 Sept, 9 Oct.
For details and to register call 0844 8008983

This new revolutionary composite
technology eliminates the need for
a separate bonding application step.
Powered by Kerr’s renowned OptiBond
adhesive technology, this product will
greatly simplify the direct restorative
procedure for today’s time-challenged dentist. Over the years, Kerr has
become a leader in resin restorative dentistry due to decades of advancements
in composites and expertise in adhesives-both of which come together in
Vertise Flow.
In recent 2 years Kerr has worked with leading European and US universities
to validate the in-vivo and in-vitro clinical performance of Vertise Flow. Kerr is
looking forward to provide the dental world which such an innovative product.
Come visit stand E10 for a unique demonstration.

[27] =>

Dentistry Show 27

United Kingdom Edition March 15-21, 2010

Munroe Sutton at The Dental Showcase
2010
World-class dental care plan provider
Munroe Sutton will be showcasing their
successful Patient Referral Plan at the NEC in Birmingham from the 19th-20th
March on stand G4. The team at Munroe Sutton will help you vastly increase
your patient base and dramatically improve case acceptances.
Having been successfully exposing dentists to a reliable pool of patients for
over three decades in the US, market leaders Munroe Sutton are bringing their
unique Healthy Discounts Plan over to the UK market. Developed by dentists,
for dentists, the plan offers outstanding solutions including:
• Increased cashflow with payment at time of service • FREE marketing
solutions aimed at patients actively looking for treatment • A seamless service
with an efficient patient verification system • …and MORE patients!
Providing patients with cost-effective, high-quality treatment they would
otherwise be unable to afford, Munroe Sutton enables the practitioner to fulfil
their professional duties, without paying a penny.
Proud to sponsor The Dental Showcase 2010, Munroe Sutton will be showing
delegates how to keep their appointment diaries full, improve patient
satisfaction, and maintain the competitive edge in today’s difficult financial
environment.
For more information please call 0808 234 3558
or visit www.munroesutton.co.uk

2010 Dentistry Show, Birmingham
19-20 March
QuickLase QuickWhite
Lasers and Whitening Specialists
Since 1992
If you only have time for ‘one stop’ –
make yours Stand F12: Prestige Medical

Visit us at Dentistry Show at NEC 19th-20 Match 2010 stand K12 and get your
£250 laser voucher.

Prestige Medical say that they will be using The Dentistry Show to demonstrate
how they can provide dental practices with a ‘one stop shop’ for Integrated
Decontamination Solutions.

QuickLase is the leaders in soft tissue management lasers for many procedures
like crown lengthening, veneer re-contouring, impressions troughing and
many more.

The display will feature the UltraClean II washer disinfector dryer - a fully
compliant machine which can be validated to HTM 2030. Also on display will
be the C3 Advance Vacuum Autoclave – featuring a bigger capacity than many
of its competitors yet with one of the smallest footprints on the market. Both
products have recently been accepted for inclusion on the NHS Framework
Agreement.

QuickWhite have launched the new Eco kits, for in-surgery and home
whitening, the teeth whitening brand is well known for its effectiveness, fast
whitening and home top-ups using both hydrogen and carbamide peroxide.
It’s the most economical kits sold in the market and supported by patients
marketing.
Visit our stand K12 to see our presentations and see the show special offers.

More information is available from Prestige Medical direct by calling 01254 844
103 or email to sales@prestigemedical.co.uk

So come and meet us at the Septodont stand to see how Septodont products
can help meet your essential dental needs.

Dentistry Show 2010
Stand G10
CEREC AC Bluecam ~ Seen
in a new light
Sirona Dental Systems are
pleased to announce the
benefits which the new CEREC AC Bluecam CAD/CAM system offers to the
dental practice.
Over the past 6 years Sirona UK, a specialist division of Sirona Dental Systems
GmbH, has seen the CEREC System provide dentists with better precision and
aesthetics than ever before whilst making it even easier to use. Supplied and
supported here in the UK by Sirona Dental Systems Ltd the CEREC AC unit
can be used for all-ceramic inlays, onlays, veneers, crowns and anatomical
temporary bridges.
CEREC has significantly improved the quality of treatment for patients, as well
as enhancing the efficiency of the dental practice. CEREC not only saves time
for you and your patients, but also drastically reduces your laboratory bills
which normally are a costly monthly expense.
A variety of courses are run on a regular basis; be it for those contemplating
CEREC for the first time or for those looking how to create more advanced
prosthesis.
For further information please contact Sirona Dental Systems on 0845 071
5040 or e-mail info@sironadental.co.uk

Dr. Ihde Dental has been
producing implant systems
since 1996, turning into
a true implant.company,
an international player in
this market. “Our success rests primarily on two ideas: our implant systems
build on program designs, and they are characterized by their impressive
ease of handling,”. All implant lines are continuously expanded, improved,
and updated to incorporate and accommodate the most current scientific
findings in oral implantology. In addition, Ihde Dental closely cooperates with
well-renowned oral implantologist of many years’ standing to ensure that its
implants meet all the requirements of everyday clinical practice. All implants
are produced in Europe, meeting the most stringent German and Swiss quality
standards. This concept has been so successful that Ihde Dental is now present
in more than 20 countries through its network of qualified resellers, who are
characterized by their high level of personal commitment and the excellent
service they offer.
See also www.implant.com

VOCO: High-quality products “Made
in Germany”
Several innovative high-quality products
for different indications will be presented
by VOCO on The Dentistry Show in
Birmingham. Such as the non-running,
non-dripping syringe based on the
innovative non-dripping technology
(NDT®) especially for highly flowable
materials. The new NDT® syringe permits the products to be applied in exactly
the desired amount without material waste. This means procedure that is not
only safe and hygienic, but also economical. And there will be further useful
and efficient innovations for the dental practice like Rebilda Post System. This
endodontic post complete set increa-ses the clinical safety, since all of the
components are coordinated and at hand when a post-endodontic treatment
is required. Both dentists and patients profit equally by eliminating timeconsuming etching and bonding with savings in time and increased comfort.
Bifix SE completely cures in the mouth within four minutes and is ph-neutral.

Dr. Ihde Dental GmbH Munich
Visit us at stand D 26

Manufacturer: VOCO GmbH, PO Box 767, 27457 Cuxhaven, Germany, www.
voco.com
Sales Manager UK: Tim McCarthy, Mobile: 07500-769-613, t.mccarthy@voco.
com

Whether you are already acquainted
with Septodont’s wide range of
dental essentials or want to know
more about new products you are
warmly welcome to the Septodont
stand at this year’s Dentistry show.
At the stand you can see the
various anaesthetics range such as
Lignospan Special, Septanest and
Scandonest, as well as several ranges
of needle including the unique
needle stick prevention injection
system, Ultra Safety Plus® now available as a completely disposable syringe
system with the introduction of the USP Single Use White Handle.
Also come to see our unique, low shrinkage N’Durance® composite which
has won great review throughout the dentistry world. The revolutionary new
dimer acid resin matrix technology is exclusive to Septodont and exhibits
many outstanding advantages over materials currently in use.

www.QuickLase.com OR www.QuickWhite.info OR Tel 01227 780009

Dentistry Show March
2010 Zhermack Stand
no. B23
Zhermack will be exhibiting
its range of impression
materials for the surgery and laboratory that are designed to make your life
easier and achieve superior results. They include a 5 day stability alginate
(Hydrogum5), a new hyper-hydrophilic impression system (Hydrorise), a
new product for reducing impression voids by 50% (Hydrosystem), a clear
silicone (Elite Glass) which enables the light-curing of temporary veneers
in the mouth and its bite registration materials (Occlufast & Colorbite). For
laboratories products on display will include a clear silicone (Elite Transparent)
which enables the light-curing of composite work, gingival masks on models
(Gingifast) die stones & basing stones (Elite Rock & Elite Base). Details on their
equipment range including burnout furnaces and mixing machines will also
be at hand.
UK Mobile 07870 690811
uk@zhermack.com
www.zhermack.com
Contact - Graham Brown

Stand F32
Astra Tech is a pioneering company in the
field of dental implants. The Astra Tech
implant system is developed with a biological
and biomechanical approach. It is based on
years of intensive research and both pre-clinical and clinical studies. Extensive
scientific documentation from clinical studies confirms that the Astra Tech
Implant System enables excellent aesthetic results, both short and long term.
Recent acquisitions have included CrescoTM, FacilitateTM and most recently
AtlantisTM, a CAD/CAM company which digitally produces abutments. The
end result being more attractive and extremely reliable. To support you, we
offer comprehensive training and education, including hands-on, practical
and theoretical training. Our mission is to help you open up new horizons
while building confidence and security. See us at the Dentistry show stand
number F32
Astra Tech, Brunel Way, Stonehouse, Glos. GL10 3SX
0845 4500586 E-mail Implants.uk@astratech.com

VOCO at The Dentistry Show 2010 in Birmingham: Booth B42

Inspiring Better Care
DMG based in Hamburg is a manufacturer of high quality dental materials such
as Honigum, Luxatemp, O Bite and Vitique. These products are highly rated
in Reality and The Dental Advisor. They are particularly user friendly. This year
DMG is launching Icon, aimed at intercepting early caries to prevent the need
for more invasive treatment.

Smile-on at stand H3 at Dentistry
Show 2010
Smile-on has spent the last decade
providing education and training
solutions that are flexible, involving and
inspirational for everyone in the dental
profession. Visit stand H3 to discover how
these specially designed programmes
can help busy professionals meet their
industry obligations.

They have recently launched a
learning and management platform in
conjunction with UCL Eastman Dental
Institute and KSS Deanery. The platform www.corecpd.com provides you with all the resources you need under one roof to fulfil the new core subject requirements
as stated by the GDC.

Come visit us on stand B48
Smile-on will also be showcasing their course on Dental Nursing Education to delegates at the conference. DNNET II is designed to help training dental nurses studying
for the National Certificate or NVQ level 3 in Oral Health Care Dental Nursing and as an update for established nurses.
The company’s key values of partnership, imagination, innovation, creativity and potential have helped evolve the products from simple training courses into the
multi-media learning platforms of today and helped Smile-on become the source for cutting edge software and training resources.

For more information call 020 7400 8989 or visit www.smile-on.com

[28] =>

28 Industry News
Professional services that the dentist can trust
Have you ever felt overwhelmed by the sheer
quantity of companies offering up their financial,
business and legal advice? It’s hard to know who will
provide the most suitable service.
The Association of Specialist Providers to Dentists
(ASPD) puts practitioners in touch with a range of
trusted professional service providers throughout
the UK from across the board, including:
• Solicitors • Accountants • Banks • Financial
Advisors • Valuers and Sales Agents • Insurance brokers • Leasing and Finance
Specialists
Each ASPD member’s objective is to provide the highest level of service and
expert advice, ensuring reliable guidance and outstanding support to dental
professionals every time.
ASPD’s comprehensive list of providers and free articles are the perfect
resources for the well-informed dental professional.
For more information on the ASPD please call 0800 4586773 or visit www.
aspd.co.uk
All service providers must be approved by at least five independent dental
professionals and must be supported by two current ASPD members before
their application to join ASPD can be considered.

BioHorizons announce exciting new
launch with Biomain and their I-Bridge
Leading
dental
implant
company
BioHorizons will soon announce the
exciting launch of I-Bridge and I-Bridge 2.
Brought to the UK by BioHorizons through
an exclusive arrangement with Biomain
Sweden, I-Bridge is a screw-retained
implant bridge milled from a single piece of
titanium metal or fabricated in cobalt chrome.
A perfect fit without any tension in the framework, I-Bridge is compatible with
most major implant systems and available in three variations: I-Bridge, I-Bridge
2 and I-Bridge evolution, dependent on the case.
On receiving the impression from the dentist, the dental technician produces
a model, designs the framework and sends to Biomain in Sweden via a pick-up
service, where it is scanned digitally and converted to a data file. Based on
this scanned file, a high end CAD/CAM milling machine produces the I-Bridge,
reproducing the bridge framework with optimum precision.
I-Bridge is available exclusively in the UK through BioHorizons. For further
information and news of soon to be announced I-Bridge roadshows, please
contact BioHorizons directly on 01344 752560 or infouk@biohorizons.com or
visit www.biohorizons.com.

Curasept: All the benefits of
chlorohexidine without the side effects
The Curasept range from Curaprox features
the anti-microbial qualities of chlorhexidine,
without the conventional side effects:
altered taste perception as well as staining
teeth.
The Curasept range is specially formulated
and clinically proven to leave teeth free
from stains. Other benefits include added fluoride, making Curasept ideal for
ongoing use as part of a daily oral hygiene routine.
The Curasept range comes as a mouthwash in two strengths: 0.05%
chlorhexidine for daily use, or 0.2% chlorhexidine, suitable for daily use for up
to two-week periods. Both are alcohol-free so there is no concern about the
potential link with mouth cancer and alcohol.
There is also Curasept toothpaste, containing 0.05% chlorhexidine and 0.05%
fluoride, ideally used in conjunction with the mouthwash for optimum benefit.
Curasept Gel is for topical application directly to the gums for an effective way
to tackle the bacteria in the mouth.
Curasept is just part of the range of oral healthcare products available from
Curaprox.
For free samples please email clare@curaprox.co.uk
For more information please call 01480 862084, email info@curaprox.co.uk or
visit www.curaprox.co.uk

UCL Eastman Certificate in Endodontics
commences in October 2010
Designed for dentists wishing to enhance their endodontic knowledge and
clinical skills whilst continuing to work in practice, the UCL Eastman Certificate
in Endodontics will run fortnightly for 12 months, from October 2010.
This part-time modular programme will be delivered by respected clinicians
and teachers both from the Eastman as well as invited international experts.
As well as seminars and lectures, there will be practical sessions in the state
of the art laboratory, using the latest instrumentation. Participants will also
experience current endodontic armamentarium and discussion of clinical
cases.
Topics to be covered will include:
• Pulpal and periapical pathology • Endodontic diagnosis • Treatment
planning • Endodontic pain management • Modern instrumentation and
obturation • Endodontic re-treatment • Apical microsurgery • Success and
failure • Traumatic injuries to teeth • Innovations in endodontics • Non-vital
bleaching
The course leads to the award of a UCL Eastman Certificate in Endodontics
through examination.
For further information or to register, please contact the Endodontic Courses
Administrator on 020 7905 1281
or email r.banks@eastman.ucl.ac.uk
www.eastman.ucl.ac.uk/cpd

United Kingdom Edition March 15-21, 2010

Inaugural Study Club Event
The British Academy of Cosmetic Dentistry is pleased and
excited to announce the inaugural Liverpool Study Club
Event.
Taking place on Wednesday 21st April 2010 at the New
Orchid Garden Restaurant, West Derby, this represents the
commitment the BACD has towards promoting excellence
in the field of cosmetic dentistry in the UK.
The lecture, entitled ‘3D Treatment Planning: 10 Steps to Predictable
Aesthetics and Function’ aims to provide attendees with a structured method
for effective diagnosis and treatment planning.
Dr Ian Buckle, a world-renowned expert in the field of aesthetic dentistry,
will be showing members how to realise optimal dentistry from an aesthetic,
functional, biological and structural perspective.
Special interest will be placed on the four options of treatment: reshaping,
repositioning, restoring and surgical correction. The lecture will also provide
guidance on subdividing large treatment plans, to help patients receive the
best treatment over time.
A popular speaker, Dr Buckle’s lecture will be sure to leave members feeling
inspired and confident to offer the best treatment to patients.
For more information or a booking form please contact Suzy Rowlands on
0208 241 8526 or email suzy@bacd.com.

Become a Fellow of the BACD
The British Academy of Cosmetic Dentistry (BACD) is committed to promoting
clinical excellence through education and professional development.
For accredited members, achieving BACD Fellowship indicates excellence in
interdisciplinary treatment planning and the execution of complex treatments
to consistently high standards.
The highest and final stage of the BACD’s Career Path in Cosmetic Dentistry,
Fellowship is aimed at those working at an advanced level who are also sharing
their knowledge with the rest of the profession.
For those considering submitting cases for examination, the deadline is ? 2010.
The Fellowship is open to accredited members who have either published a
scientific article on a clinical subject related to cosmetic dentistry in a peerreviewed publication, or have given a postgraduate lecture at a BACD meeting
or other national / international conference.
Benefits of Fellowship status include use of the title “Fellow of the British
Academy of Cosmetic Dentistry”; a plaque acknowledging Fellowship status,
which will be superior to the Accreditation plaque; and use of the approved
Fellow logo.
For more information contact the BACD on 0207 612 4166
Or email info@bacd.com

Dentomycin: An Effective Adjunctive
Treatment for Periodontal Disease
Dentomycin Periodontal Gel from Blackwell
Supplies is an effective treatment of moderate
to severe chronic adult periodontal disease,
when used in conjunction with scaling and
root planing.
Supplied in easy to use, pre-filled applicators
that allow the delivery of the gel directly into
the periodontal pocket for immediate effect,
Dentomycin binds to the tooth’s surface and is released slowly to attack the
bacteria causing periodontal disease.
The combination of SRP and Dentomycin can reduce pocket depth by an
average of 42% in just 12 weeks , whilst the anti-inflammatory effect and
the inhibition of destructive collagenases helps promote connective tissue
attachment.
Dentomycin Periodontal Gel from Blackwell provides a cost effective and
proven method of enhancing periodontal treatment.
Since keeping gums healthy is vital to the patient’s overall health, Blackwell
has created a leaflet offering advice and guidance about preventing and
treating gum disease. ‘How healthy are my gums? - Help and advice on your
oral care’ is available free to all practices and patients.
For more information please call John Jesshop of Blackwell Supplies
On 020 7224 1457 or fax 020 7224 1694

Use Ledermix for Successful Periodontal
Therapy
Ledermix contains an active compound
that is a highly effective anti-inflammatory
corticosteroid
Triamcinolone acetonide,
combined with a broad-range antibiotic,
Demeclocycline hydrochloride .
Simple to use, versatile and cost-effective, Ledermix Dental Paste is an ideal
way to give rapid relief of pain associated with acute pulpal and periodontal
inflammations.
Therapeutic indications:
Ledermix Dental Paste is particularly useful in the emergency management of
patients with irreversible pulpitis. Pain is reliably relieved until definitive root
canal treatment can be performed. Ledermix Dental Paste contains one third
more steroid than Ledermix Dental Cement. Consequently the paste is usually
preferred in pulp exposure cases.
Available in a combination kit that includes the Dental Paste, Dental Cement
and Hardeners for fast or slow setting, Ledermix is excellent as an agent for
capping pulps, and can even be used as a temporary sub-lining for deep
cavities where no exposure has occurred.
For more information please call John Jesshop of Blackwell Supplies
On 020 7224 1457, fax 020 7224 1694
Or email john.jesshop@blackwellsupplies.co.uk

Helping patients and professionals deal
with dental phobia
www.dentalphobia.co.uk is a specialist
website dedicated to helping nervous patients
overcome their fear of the dentist.
The website offers information to patients and
professionals about Dental Phobia and how
to manage anxiety about treatment. Currently
rated number one on Google for the key
phrase ‘Dental Phobia’, the website offers many
outstanding features including patient articles
and stories, and the availability to ‘Ask an expert’.
Dentalphobia.co.uk also offers patients a directory of dental phobia certified
dentists. Dental Phobia certification and placement on the database is only
given to professionals who meet minimum criteria to ensure an excellent
standard of care to anxious patients.
Understanding and offering a service to patients who suffer with dental
phobia will enable patient’s access to better oral health treatments, and
another reason to come to your practice. Promoting the fact that a practice
is understanding, and offers a tailored service for nervous patients will not
only improve all patient-practice relationships, but also encourage nervous
patients to face up to their oral health, and help them conquer their fears.

Another new ultrasonic insert
innovation from the UK’s leading
manufacturer
DENTSPLY, with its Cavitron™ ultrasonic
scaling brand, continues to lead the way
in technology innovation. The THINsert
was launched at the BSDHT 2009 and
joins the already extensive choice of
magnetostrictive inserts available to
practitioners, allowing them to provide
the best care for their patients:
The Slimline® range allows maximum success when subgingival scaling
because of its right, left and straight angled tips.
The THINsert™ insert is 40% slimmer than the Slimline inserts. It is able to
remove biofilms and debris from surfaces concavities and locations with tight
tissue attachments without losing any tactile sensation.
The Cavitron™ SoftTip™ insert allows comprehensive scaling around titanium
implants – meaning you no longer have to switch to hand instruments when
faced with an implant.
DENTSPLY is currently offering a promotion on Cavitron inserts; buy any 4 and
get 1 free (send a copy invoice to DENTSPLY - please see web site for address).
Why not try the new THINsert?

For more information about Dental Phobia Certification or for placement on
the dental phobia directory, visit www.dentalphobia.co.uk

For more information, or to book an appointment with your local DENTSPLY
Product Specialist, call +44 (0)800 072 3313 or visit www.dentsply.co.uk

Genus turns great expectations into
outstanding results
State of the art, striking interiors create a
positive impression and inspire confidence
in your patients. Genus’ acclaimed Design
and Build programme captures the
dentist’s unique vision for their practice
and makes it a reality by transforming it into a stylish, functional environment.
Genus prides itself on its flexibility. Without being bound to a particular
manufacturer it offers knowledgeable, independent advice to all its clients and
always goes the extra mile to listen to its customers’ thoughts and concerns.
Worried about budgetary constraints? Genus fosters a partnership-driven
approach through its new Best Practice Workshops, designed to foster
better communication and problem-solving, identifying risk factors and
implementing improvements. This has already produced project savings in the
excess of 15%.
Using the very latest in computer-aided design and 3D software,
accurate previews of the finished project improve clarity and avoid any
misunderstanding.
For a stunning, ergonomic work place with a top-quality, bespoke service to
suit the dentist’s individual needs Genus should be your first point of call.
For more information please call Genus on 01582 840484 or email chris.
davies@genusgroup.co.uk Mobile 07738 987999

Kemdent revive the 3 Rs- Recycle,
Refill, Reuse.
PracticeSafe and ChairSafe Heavy Duty
and Economy wipes are now even better
value for money. Dental Practices can
save up to 25% by recycling, refilling and
reusing their tubs.
The new versatile range of Kemdent
wipes should be used with confidence
to clean sensitive and non-sensitive
surfaces within the treatment area and
the decontamination area of a Dental Practice.
PracticeSafe heavy duty and economy wipes, which contain alcohol, are
suitable for non-sensitive surfaces.
Chairsafe heavy duty and economy wipes, which do not contain alcohol, are
specially formulated to clean sensitive surfaces and equipment, the leather
and synthetic facings of dental chairs. The recent DOH report Decontamination
health technical memorandum 01-05 Decontamination in primary care dental
practices recommends that dental chairs are cleaned between each patient.
The ChairSafe economy wipe is ideal for this.
Kemdent wipes are low odour, non-drip and durable. They are gentle on the
hands but above all, very effective against harmful bacteria.
Phone Jackie or Helen on 01793 770090 to take advantage of the special
offers on this new wide range of Kemdent wipes or visit our website www.
kemdent.co.uk.

www.genusinteriors.co.uk

[29] =>

United Kingdom Edition March 15-21, 2010

Dentists targeted by HM Revenue & Customs
Getting the practice and personal financial affairs
in order is a priority for dental professionals.
Lansdell & Rose’s team of experts can assist.

The comprehensive package of services is tailored to the specific needs and
aspirations of each professional who wishes to build a profitable business that
delivers value to its owners.

NobelGuide: the key to increasing
patient comfort
Dental surgery is all about the patient and what
is best for them. All practitioners aim to make
surgery as non-invasive and painless as possible.
Nobel Biocare is the world leader in innovative
restorative and aesthetic dental solutions, and are
passionate about your practice and your patients.
Revolutionary technologies such as NobelGuide™
help practices provide patients with the treatment
they need, in the way they want.
NobelGuide™ allows practitioners to precisely
place minimally invasive single or multiple implants, abutments and restorative
crowns or bridges, as well as providing unrivalled precision in 3D planning.
This technology offers huge benefits to the patient, allowing professionals
to place an implant in just one visit, thus reducing treatment time and aiding
patient recovery. Treatment plans can be designed according to the highly
complex anatomy of each individual patient - especially useful when treating
patients with challenging conditions.
Nobel Biocare’s dedicated team is on hand to offer support and advice, and
the rapidly growing sales team is ready to discuss solutions for all practice
budgets.

For more information please visit www.lansdellrose.co.uk or call Lansdell &
Rose on 020 7376 9333

For more information on NobelGuide™, contact Nobel Biocare on 01895 452
912, or visit www.nobelbiocare.com

Bonding regardless of the light conditions
The light- and dual-curing adhesive system
from Ivoclar Vivadent
ExciTE F and ExciTE F DSC are fluoridereleasing total etch adhesives from Ivoclar
Vivadent. The choice of the product to use
depends on whether or not the curing light
will be able to cure the adhesive.
In addition to being supplied in bottles and single-dose vessels, ExciTE F is
now also available in the new VivaPen delivery form. The amount of adhesive
contained in a VivaPen is sufficient for approximately 120 applications.
Impeded accessibility of the cavity
If the cavity is not accessible with the curing light or if chemically curing
composites are used, the dual-curing ExciTE F DSC (Dual cure Single
Component) material is indicated.
ExciTE F DSC is available in hygienic single-dose vessels in two sizes: “Regular”
for normal preparations and “Small” for micro-cavities and endodontic
applications.
Call 0116 284 7880 now, or speak to your local Ivoclar Vivadent Product
Specialist for more information.

bluephase (G2) “Top Light-Curing
Unit 2010”
bluephase has been named top
curing light of the year 2010 by the
independent US testing institute
“The Dental Advisor”. This is the
second time in a row that bluephase
has been awarded the “Top LightCuring Unit” title. The cordless high-performance LED light with polywave®
LED has outperformed all competitors – many of them newly launched
products – also in the second year.
The testing institute describes bluephase as follows:
• “This is a great light!” • “It’s great to have one light that cures everything!”
• “The sleek design and power are great!”

Contact
Ivoclar Vivadent Ltd, Ground Floor, Compass Building,
Feldspar Close, Enderby LE19 4SE
TEL: 0116 284 7880

Contact
Ivoclar Vivadent Ltd, Ground Floor, Compass Building,
Feldspar Close, Enderby LE19 4SE
TEL:0116 284 7880

With the country’s finances in disarray, Her
Majesty’s Revenue and Customs are focusing their attention on professionals
who are evading taxes, as a way of raising funds.
Thought to cost the economy £3bn per annum, doctors and dentists earning
more than £100,000 p.a. have been identified as the first group to be targeted.
Anyone refusing to declare any unpaid tax faces criminal prosecution, as well
as being ‘named and shamed’ on the revenue’s website.
Lansdell & Rose offer a variety of tax, accounting and consulting services to
dental professionals with the aim of minimising business and personal tax
liabilities whilst enhancing personal wealth.

‘New’ Sensitive Hand
Disinfection
Klin-Up-Ultra
Alcohol free Foaming Hand
Sanitiser
New rapid acting formula allows
for frequent application even on
the most sensitive of skin types
‘Clinical
hand
disinfection
within 30 seconds’
Choice of both 500ml (Desk-top) and 50ml (personal size) dispensers
Klin-Up-Ultra professional sensitive hand sanitiser is now available from all
good dental wholesalers.
For further information on new Klin-Up-Ultra visit www.alkapharm.co.uk

An award we are proud of
The award by “The Dental Advisor” can be specifically used as a unique selling
proposition for the bluephase marketing activities. For one thing, only one
product per category receives the award, and for another, it is remarkable that
an American testing institute has awarded a European manufacturer.

Quality Care For
Compressed Air
Many
dental
practices
committed to providing
a safe service to patients
have embarked upon a new
relationship with Dental Air.
These practices benefit from
regular maintenance and
support with the latest equipment.
Despite the wide range of innovative oil-free compressors on the market,
several UK practices still continue to use compressors that rely on mineral oil.
Without regular maintenance, these systems can also produce carbon
particulates that can damage the intricate workings of expensive air-powered
instruments.
Dental Air is committed to offering a caring and dedicated service. The team
will carry out on-site surveys at any UK mainland practice, looking at pipework,
dryers, filtration and compressors, before offering honest no-obligation advice.
With the very best in customer service, Dental Air supplies the latest oilfree Piston and Scroll compressors. Nationwide engineers certificated and
experienced in HTM 2022/1, HSE (COSSH 1994) and the European Pharmacopia
Directive carry out prompt and reliable care for your continued peace of mind.
Call Dental Air on FREEPHONE 0800 542 7575 and ask about the FREE Practice
Manager’s Guide and the Clean Air Package, or visit www.dentalair.co.uk

DENTSPLYs Endodontic Procedural Team – Raising
the success of root canal treatment
Since the fundamental goal of endodontic treatment is
the elimination of bacteria from the tooth and treating
the disease process, starting with the placement of
Ash® Rubber Dam prevents re contamination from
saliva during the procedure.
Adequate preparation of the access cavity is a critical
step in the procedure, the objective being straight
line access to the orifice and the underlying root
canal system. Poor access can lead to missed canals,
broken instruments and failure. Start-X™ is a new
range of ultrasonic tips that will allow you to eliminate
interferences for direct access into the canals.
The Ray-Pex® 5 apex locator is indispensable for length control where
radiographs are often misleading.
Since the advent of Nickel Titanium files, instrumentation has become quicker
and easier. DENTSPLY’s ProTaper® Universal rotary and hand files, chosen by
most dental professionals, permit the rapid and safe shaping of root canals.
To give your patients the best possible endodontic treatment from isolation to
obturation, choose DENTSPLY quality at every step.

Superior access with
Cavitron™ THINsert™
DENTSPLY prides itself on
developing products that
help Dental Care Professionals
provide the highest standards
of patient care.
Kerry-Ann Booth has been a
dental hygienist since qualifying in 2007. Based at the Carrwood House Dental
Practice in Bradford, she describes why she uses the Cavitron™ THINsert™.
“I find the Cavitron™ THINsert™ has made a real difference. It’s noticeably
thinner than other scaling tips, which means the access I get is very good.
I now use the THINsert™ everyday to treat patients with moderate to severe
periodontal disease. It is excellent for accessing tight pockets as well as areas
that are difficult to reach. I also find it is great for removing interproximal
staining.
The Cavitron™ THINsert™ really does the job and I would recommend it to all
my colleagues.”
Designed to reach interproximal surfaces and locations with tight tissue
attachment, the THINsert™ is 47% thinner than the Slimline insert. For excellent
quality, rely on DENTSPLY to provide the best in dental products.

For more information please contact your local representative,
Freephone +44 0800 072 3313
Or visit www.dentsply.co.uk

Industry News 29
“Nuview’s loupes offer excellent visual clarity”
Practitioners who demand only the best in image quality
should look no further than Nuview’s wide range of loupes
for excellent depth orientation and sophisticated design.
The EyeMag Pro, the EyeMag Smart and the Carl Zeiss
GTX loupes all provide affordable magnification solutions
without compromising reliability.
Dr Dermot McNulty, an experienced implantologist at Bath
Spa Dentistry is delighted with the results offered by his EyeMag Pro loupes.
“I have found that the EyeMag Pro loupes provide excellent visual clarity
and have used them for several years. I am pleased with the service Nuview
provided me, and I also use a number of their other products in the Carl Zeiss
range.”
The EyeMag Pro has an expansive and stereoscopic visualisation extending
right to the peripheral zones, and promotes comfortable working and good
posture. A choice of eight different degrees of magnification from x3.2 to x5
is offered.
Nuview offers a comprehensive service including a survey of the client’s
equipment needs, full installation, training and prompt aftercare, and also
offers the environmentally friendly alcohol-free Continu range of disinfectants.
For more information please call Nuview on 01453 759659
or email info@nuview-ltd.com
www.voroscopes.co.uk

Upgrade to the healthier
side of whitening and stop
Gingivitis before it starts.
The best recommendation
for bright white teeth is
the everyday use of Beverly
Hills Formula from Purity
Laboratories,
because
the range offers a unique
combination
of
antibacterial agents, low abrasion and anti-stain polishers to protect and whiten
teeth and aims to provide innovative, high quality, niche products in the oral
hygiene market. Tests conducted by the BBC Watchdog programme revealed
that Beverly Hills Formula toothpaste removed over 90% of staining. The Total
Protection is a dual action anti-bacterial formula to help fight plaque, tooth
decay and bad breath. The Sensitive formulation is designed for people who
suffer from sensitive teeth, whilst the Breath Confidence fights bad breath
for hours. In its bid to prevent gum disease by controlling the amount of
plaque that builds up on your teeth, Beverly Hills Formula has formulated a
Gum + Enamel Care toothpaste. A healthy mouth means a healthy body. The
result: teeth that appear whiter; feel smoother and remain cleaner. For further
information please visit our website: www.beverlyhillsformula.com

Protaper – Cutting edge technology, perfect
for daily practice
ProTaper® Universal NiTi files combine speed,
quality, simplicity and safety for shaping of root
canals with both rotary and hand files.
Each ProTaper® Universal file exhibits a unique
multi- tapered shape along its cutting portions,
which gives rise to the number of benefits that
the system has over other systems.
• Economic- (fewer files compared with other
systems) In the majority of cases, only 3 files
are required to effectively shape a root canal, increasing speed of procedure,
therefore reducing chair time and cost • Efficient- Increased debris removal
due to multi-tapered shape & increased apical taper. • Safe- Multi-tapered
shape minimises file stress so there is less risk of file separation. Guiding tip
with rounded ends minimises deviations from the canal • Simple & Easy-toUse – Colour-coded and easy to follow protocol whether using rotary or hand
ProTaper.
The ease of use and safety of the ProTaper range help to simplify even the most
complex endodontic procedure.
For more information please contact your local representative,
Freephone +44 0800 072 3313
Or visit www.dentsply.co.uk

Quality Protective Eyewear from
Hogies and Blackwell Supplies
Hogies are one of the leading
developers of protective eyewear
for dental professionals, proudly
distributed in the UK by Blackwell
Supplies.
The high performance protective
eyewear range is designed to meet
the requirements of dental professionals, providing uncompromised safety
combined with superior style and comfort.
Hogies Eyeguards are made with polycarbonate lenses that have a water
repellent coating on both sides, as well as enhanced scratch and solvent
resistance, making them impervious to the infection control products being
used.
Designed with improved airflow to prevent fogging, the fully adjustable
nosepiece allows for optimum positioning for the wearer’s comfort, ensuring a
clear view of the treatment site is constantly maintained.
The Hogies range of high performance eyewear is the lightweight and stylish
solution for dental professionals’ need for Personal Protection Equipment.
Blackwell Supplies is proud to provide these cost-effective products to the
UK dental market.
For more information please call John Jesshop of Blackwell Supplies
On 020 7224 1457 or fax 020 7224 1694

[30] =>

30 Events

United Kingdom Edition March 8-14, 2010

Time for a transition?
Dental Protection launches a new event aimed
at Scottish dental professionals

D

ental
Protection
is
pleased to announce a
brand new event Transitions, which will be staged in
Scotland this April.

The full-day event is scheduled for Saturday April 17 in
Cumbernauld near Glasgow.
The programme is suitable for
dentists at all stages of their career and will provide keynote

lectures on the recommended
CPD topics, complaint handling
and ethics.
What to expect
The programme will feature

three renowned speakers, Hugh
Harvie, Kevin Lewis and James
Foster who will explore complaints and ethical dilemmas
based on actual cases drawn
from Dental Protection’s extensive archive.
The day will also include an
interactive workshop session,
which will demonstrate problems the average dentist may
come across throughout their career, and will examine the issues

that impact on the way a dentist
handles the situation. Sessions
on law and ethics and complaint
handling will explore the role of
communication skills in effective
complaint handling.
Describing the event, Hugh
Harvie, Head of Dental Services
Scotland said: “DPL are pleased
to launch an exciting new event
for the benefit of our members
in Scotland. The programme will
address the recommended CPD
needs of all dentists, and will
serve as a useful introduction, or
a reminder, to dentists regardless of what stage they may have
reached in their career.”
Tickets for the full-day event
cost between £10 and £75 and
authorisation for 5.5 hours verifiable CPD has been applied for.
Delegates are advised to
register their interest in the
programme early to avoid disappointment.

Sponsoring education nationwide
In addition to the wide range of
educational events that Dental
Protection provides, we are proud
to support a number of other educational events throughout the
UK. Here you will find members
of the DPL team are on-hand to
answer queries you may have relating to your membership, the
benefits available to members
or more specific advice from a
dento-legal adviser.
Meet DPL at the following
events in 2010:
• Dentistry Show
19-20 March, NEC Birmingham
• BDA Conference
20-22 May, Liverpool
• International Symposium on
Dental Hygiene
1-3 July, Glasgow.
For more information about
any of the educational events
that DPL supports, please contact Sarah Garry, Dental Events
Manager on sarah.garry@mps.
org.uk or telephone 020 7399
1339. DT

[31] =>

United Kingdom Edition March 8-14, 2010

All you need to know is
we are the
dental legal experts
Sunil will be giving a presentation on recent changes in
Employment Law at The Dentistry Show
on 19th and 20th March 2010 at the Birmingham NEC
Come and meet the rest of the
Dental Team at Stand G32

Sunil Abeyewickreme

Barrister
Specialist Dental Team

For a FIXED FEE quotation please call FREEPHONE 0800 542 9408
alternatively email dental.team@cohencramer.co.uk
or visit www.cohencramer.co.uk/services-to-dentists-services.html

info@medicsfinancialservices.com
www.medicsfinancialservices.com
+44 (0) 1403 780 770
Very competitive fixed rates - House and Practice
Finance
Surgery Finance - Bank of England Base
(from) + 1.00%
100% Mortgage Finance - House and Practice
Extremely Enhanced Income Multiples

Enhanced income
multiples, market
leading rates & highly
competitive
mortgage solutions

for Dentists

+44 (0) 1403 780 770

Your home may be repossessed if you do not keep up repayments on your mortgage. Medics Professional Mortgage Services is a trading style of Global Mortgages Ltd.,
which is an Appointed Representative of Home of Choice Ltd., which is authorised and regulated by the Financial Services Authority.

MPMS 95x50 Dentists.indd 1

11/12/2006 21:56:19

Classified 31

[32] =>

“I thought it was a cavity…
I didn’t want to deal with it.”
Asher Burrell, dental patient, Battersea, UK.

Approximately 1 in 3 adult patients suffer or have
suffered from dentine hypersensitivity, and over
50% of sufferers don’t mention it to their dental
professional.1 This may be because they fear it
requires major dental work, the pain may be
variable so they don’t report it or because they
may be using techniques to try and avoid the pain.
These findings highlight the important role that
dental professionals play in actively diagnosing
dentine hypersensitivity.
Recommending daily brushing with Sensodyne
Total Care F is a simple, effective solution which
is clinically proven to reduce the pain of dentine
hypersensitivity.
“There are no issues anymore, no barriers.
I can do what I want and eat what I want.”

Potassium nitrate, Sodium fluoride

Advice that’s appreciated

SPECIALLY FORMULATED FOR
PEOPLE WITH SENSITIVE TEETH
1. Addy M. Int Dental J 2002; 52: 367-75

Product Information
Sensodyne Total Care F Toothpaste. Presentation: Potassium nitrate 5.0% w/w, Sodium fluoride
0.306% w/w. Uses: Relief from the pain of dentinal sensitivity, an aid for the prevention of dental
caries. Dosage and administration: To be used 2-4 times a day, in place of ordinary toothpaste.
Contraindications: Sensitivity to any of the active ingredients or excipients. Precautions: For children
under 6, use a pea-sized amount and supervise brushing to minimise swallowing. Side effects: Very
rarely, isolated cases of hypersensitivity type reactions such as angioedema, oral and facial swelling have

been reported in patients using potassium nitrate containing toothpastes, particularly in patients who
are predisposed to hypersensitivity type reactions. Legal category: GSL. Product licence number: PL
00036/0103. Product licence holder: GlaxoSmithKline Consumer Healthcare, Brentford, TW8 9GS, U.K.
Package quantity and RSP (excl. VAT): 45 ml tubes £2.09, 75 ml tubes £3.11, 100 ml tubes £3.65 and
100 ml pumps £3.65. Date of preparation: August 2009. Sensodyne is a registered trade mark of the
GlaxoSmithKline group of companies.

) [page_count] => 32 [pdf_ping_data] => Array ( [page_count] => 32 [format] => PDF [width] => 842 [height] => 1191 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT UK

[toc] => Array ( [0] => Array ( [title] => Dentists join campaign against fluoridation in Southampton [page] => 01 ) [1] => Array ( [title] => News [page] => 02 ) [2] => Array ( [title] => Live dental implant surgery at NEC Birmingham 19-20 March [page] => 05 ) [3] => Array ( [title] => News & Opinions [page] => 06 ) [4] => Array ( [title] => Putting something back [page] => 08 ) [5] => Array ( [title] => Ed Bonner and Adrianne Morris discuss the etiquette of email communication [page] => 09 ) [6] => Array ( [title] => PRACTICE MANAGEMENT TRIBUNE 1/2010 (part1) [page] => 11 ) [7] => Array ( [title] => PRACTICE MANAGEMENT TRIBUNE 1/2010 (part2) [page] => 15 ) [8] => Array ( [title] => PRACTICE MANAGEMENT TRIBUNE 1/2010 (part3) [page] => 19 ) [9] => Array ( [title] => Filling in the cracks [page] => 21 ) [10] => Array ( [title] => A reflex action [page] => 22 ) [11] => Array ( [title] => Saddle stool in dentistry [page] => 24 ) [12] => Array ( [title] => Dentistry Show [page] => 26 ) [13] => Array ( [title] => Industry News [page] => 28 ) [14] => Array ( [title] => Time for a transition? [page] => 30 ) [15] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

[cached] => true )