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Practices ride first pilot wave / News / News & Opinions / Picture perfect for NOW launch / CPD for CQC / Going back to basics / The 10th dimension… the power of ten / Motivate and inspire / What’s yours to claim? / Cashing in your assets / Safety guaranteed / Getting what you pay for / Internal whitening of UL1 / Numbing the pain / Avoiding exam meltdown / A satisfying rinse? / Rise above the crowd / Satisfying the hunger for knowledge / Certificate comes to Edinburgh / Education / Industry News / Sponsor Kitongo Hospital / Classified

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PUBLISHED IN LONDONSmiles all roundMarch 29 - April 4, 2010
News in Brief
Dentist treats orang-utan
A dentist carried out an operation on an orang-utan at
Colchester Zoo – removing
three of his teeth. West End
dentist Peter Kertesz treated
Rajang the orang-utan, who
is 41-years-old. Dr Kertesz
treats animals at zoos all over
the world, but also treats human patients at his London
clinic. Rajang was very sleepy
after the operation but made a
full recovery.

a manifesto for better
oral health in England

News

BDA www.bda.org/manifesto
Manifesto

The Britsh Dental Association has
launched its manifesto for lobbying parlimentary candidates

News

Birmingham student wins
A PhD student from Birmingham University School of Dentistry has won the Midlands
heat of the Young Persons’
Lecture Competition. Anqi
Wang won the Midlands heat
of the competition which is organised by the Institute of Materials, Minerals and Mining.
She will go on to represent the
Midlands in the UK national
final in London on 28 April.
The winner of that will then go
on to represent the UK in the
world competition.
Graffiti artist dentist
A dentist in Surrey has been
adding ‘light graffiti’ to the
countryside by drawing ‘light
paintings’ with torches. Ben
Matthews said: “Last year,
frustrated by getting home
from work after dark and having nothing to photograph,
I decided to construct my
own images.” So far he has
created 400 ‘light paintings’.
By wearing dark clothing and
using long exposures, Dr Matthews makes himself invisible
in the images.
MHRA warning
The Medicines and Healthcare
products Regulatory Agency
(MHRA) has issued an immediate action alert for users of
Powerheart AED G3 automatic
external defibrillators (AEDs)
manufactured by Cardiac Science Corporation (Specific
serial numbers). The affected
AEDs may fail to deliver a
shock due to an internal shortcircuit, said the MHRA.
GSK Poligrip warning
GlaxoSmithKline (GSK) has
informed the British Dental
Association that it has issued
advice warning consumers
about a potential health risk
associated with long-term,
excessive use of GSK’s zinccontaining denture adhesives
Poligrip Ultra and Poligrip Total Care. As a precautionary
measure GSK has voluntarily
stopped the manufacture, distribution and advertising of
these products.
www.dental-tribune.co.uk

Money Matters

Tick-tock

Pensioner leaves fake bomb on
dental practice’s doorstep in revenge attack

page 4

VOL. 4 NO. 8

page 6

Education

Meltdown?

Safety net

Thomas Dickson details the benefits of income protection for
dentist and their families

Sarah Armstrong offers calming
advice for those preparing for
final exams

pages 16-17

page 22

Practices ride first pilot wave
Steele review pilots to commence in thirty UK practices in April
2010, will trial new ways to improve services for patients

quality are two of the most important principles of today’s NHS
and the sites piloting Professor
Steele’s recommendations will
be at the forefront of delivering high quality services built
around patients’ needs.”

he Department of Health
is trialling a blended contract which will see dentists’ pay linked to the number of
patients they see. It is one of the
recommendations being piloted
from the Steele report into NHS
dentistry carried out last year.
The pilots, which are expected to take place over a twoyear period, will be carried out
at least 30 NHS dental practices.
They will be trialling new ways
to improve services for patients
with improved access and new
ways of measuring quality.
The NHS responded well to
last month’s call for pilot sites
by
the
Steele
implementation board, and nearly 30 sites
around the country will now pilot new ways of improving services for patients and the NHS
from April.
One of the successful sites is
City and Hackney, where the new
blended contract is being trialled,
which sees dentists being directly rewarded for the number of
patients seen, the level of treatment each patient receives and
the quality of that care.
Prof Jimmy Steele, who led
the Independent Review of NHS
Dental Services, made more than
30 recommendations to help improve oral health, increase access and ensure high quality dental care for patients in his final
report published in June 2009.
Different methods of delivering these recommendations will
be piloted thoroughly over the
next two years to ensure they
meet the needs of the NHS and
patients, but the flexibility of the

The Steele implementation
board, which includes Prof Steele
and Dr Cockcroft, are still inviting
expressions of interest for sites
to be part of the next wave of pilots
which will start in September.
Surfing the first wave of practice pilots of the Steele review recommendations

current dental contract means
that if the local NHS wants to
adopt changes sooner they are
able to.
Health Minister Ann Keen
said: “We know that access to
NHS dentists is improving more people visited a dentist in
the last two years than at any period in the last decade. This is great
news for patients
who are now seeing the benefits of
more than £2bn of
investment in improving NHS dental services.
She added: “As
well as continuing to build on this
success and drive
access even higher,
we need to look at
the quality as well
of quantity of treatment being carried
out by the NHS.
“Prof
Steele
made a number of
recommendations
for how we can do

this and it’s fantastic that the local NHS is so keen to try out new
ways of improving the dental
care it delivers. I look forward to
seeing the results of these pilots
and extending them with wider
piloting later this year.”
Chief Dental Officer Barry
Cockcroft said: “Prevention and

Informed by the pioneer
wave of pilots, the next wave will
trial a wider range of options to
cover all the areas of the Steele
review including: increasing access to NHS dentists, introducing patient registration, measuring quality as well as quantity of
treatment; and encouraging dentists to carry out more preventative work. DT

[2] =>

2 News

United Kingdom Edition

NHS charges in Wales frozen

D

Band 2 – Treatment: £39
Band 3 – Provision of
appliances: £177
Urgent treatment: £12

The current level of patient
charges in Wales has remained
the same since April 2006 and
is set to stay at the 2006 level for
2010/11. The charges are:
Band 1 – Diagnosis, treatment
planning and maintenance: £12

Health Minister Edwina Hart
said: “Thanks to significant extra investment from the Welsh
Assembly Government, access
to general dental services continues to improve although I
appreciate that there may be
particular areas where access is
still difficult.

ental patient charges in
Wales have been frozen
for the fourth year running, so more people can afford to
access NHS dentists, according to
the Welsh Assembly Government.

ing to research by BBC Wales.

“The latest figures show that
more work is being done for
the National Health Service by more dentists in Wales.
Areas where access has proved difficult in the past have
seen some of the greatest improvements.”

“By freezing dental charges
again we are maintaining access to NHS dentistry for Welsh
citizens and helping to tackle oral
health inequalities. In addition to
increasing access to dentists, we
are also investing in raising awareness of people’s responsibility
in taking care of their own oral
health as they should for their
general health and well-being.”

She added: “In the Hywel Dda
LHB area for example, there are
now more than 40,000 more people accessing NHS dental care
than in March 2006.

On the flip side of this, the
seven new health boards that run
the NHS in Wales and control all
dentist funding, are set to go more
than £43m over budget, accord-

A Welsh Assembly Government spokesman claimed that
the forecast “represents a point in
time, and is less than one per cent
of the total NHS budget.” DT

“Failure to accept it, ignores
what we know about increasing
expenses in dentistry and the
real cost of providing care to patients,” she said.

commented: “The Government
do not accept that there is a
compelling case for the recommended award of 1.5 per cent for
foundation house officers and
their equivalents and in line with
its evidence believe that all salaried doctors and dentists below
consultant level should receive
an award of one per cent. The
remainder of the DDRB’s pay
recommendations for salaried
doctors and dentists have been
accepted in full by the Government.

‘Disappointment’ at pay increase

T

he British Dental Association (BDA’s) has expressed its ‘disappointment’
over the one per cent pay rise that
has been awarded to dentists in
the next financial year.
Salaried dentists have been
awarded a one per cent increase,
while general dental practitioners have been awarded an increase that, after efficiency sav-

ings have been taken account of,
will produce a 0.9 per cent uplift
on contract values.
Susie Sanderson, chair of the
BDA’s Executive Board, said:
“Dentists appreciate the challenging financial climate the nation finds itself in and accept that
restraint in public spending is inevitable. But what we also know
is that the cost of providing dental

March 29 - April 4, 2010

care has soared in recent years.”
Ms Sanderson added that high
street dentists will be particularly
disappointed that “the Government has chosen to disregard
the Review Body’s advice that
efficiency savings should only
be considered retrospectively, allowing the scale of these savings
to become apparent in earnings
and expenses data.”

Peter Bateman, chair of the
BDA’s Salaried Dentists Committee, said: “Salaried primary care
dental services treat some of the
most vulnerable patients in the
community.
“Two thirds of services already face significant difficulties
filling vacancies. Where these
difficulties exist, they threaten
the ability of the dental professionals working in them to provide the care for patients such as
those with severe learning difficulties, mental health problems
and vulnerable children.
“Salaried dentists appreciate
the necessary constraints on the
public purse, but they are also
aware of the challenges facing
salaried dental services and the
urgent need to address the problems of recruiting to the service.”
Hospital dentists, except consultants, have been awarded a
salary increase of one per cent.
In line with the recommendation of the Doctors’ and Dentists’ Review Body (DDRB), consultants have been awarded zero
per cent.
In a Ministerial statement,
Andy Burnham (Secretary of
State, Department of Health)

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 research shows the seven boards have a running deficit
of around £67m, which they
forecast being able to bring down
to £43m.
The boards control all dentist
funding, hospitals and community services and GP funding.

“In making these recommendations the DDRB has indicated that it considers efficiency
savings made by GP and dental
practices should only be taken
into account retrospectively,
after the scale of these savings
becomes apparent in data showing trends in earnings and expenses. The Government do not
consider this approach sustainable at a time when most areas
of the public sector are having
to achieve efficiency savings in
order to sustain jobs and income
levels. In view of this, and in line
with its evidence to the pay review body, the Government have
decided to abate the DDRB’s
recommendations for GMPs
and GDPs by applying a prospective efficiency assumption of one
per cent of contractors’ operational costs. This will have the
effect of reducing the proposed
uplift in the value of contract
pay-ments to 0.8 per cent. for
GP practices and 0.9 per cent for
dental practices.” DT

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.

Managing Director
Mash Seriki
Mash@dentaltribuneuk.com

Features Editor
Ellie Pratt
Ellie@dentaltribuneuk.com

Director
Noam Tamir
Noam@dentaltribuneuk.com

Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com

Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@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

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

[3] =>

News 3

United Kingdom Edition March 29 - April 4, 2010

‘

The GDC gets tough
Congratulations
to
the General Dental
Council on the two
recent prosecutions of
people illegally practising dentistry.

Those you know me well
may think I am being my rather
sarcastic self when I say that,
but I am not – it is not only

good for patients who can be
safe in the knowledge that the
regulatory body that protects
their mouths is catching people
who will only do more harm
than good; but it is also good
news for practitioners whose
reputation gets tarnished when

‘

Editorial comment

and sometimes that makes it an
easy target. Remember though,
the police don’t just nick criminals, they support victims.

rogue traders like these end up
hurting patients.
The GDC comes in for a lot of
criticism, usually when the Annual Retention Fee goes up, but
it sits in the rather awkward position of being the dentist ‘police’

I hope those of you who went
to the Dentistry Show had as good
an experience as I did. Look out
in the next issue when I’ll be talking about some innovations and reliving a UK
first in implant surgery
– and yes, I did make it
through the whole thing!

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?
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

Celebrations

ducation and training
provider, Smile-on, will
be treating delegates at
the British Dental Conference to
a drinks reception to celebrate
the company’s 10th anniversary.
Smile-on will be at stand A012
at the British Dental Conference
2010, which is being held on 2022 May at the Arena and Convention Centre in Liverpool.
A spokeswoman for the company said: “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 A012
to discover how these specially
designed programmes can help
busy professionals meet their industry obligations.”
The team has recently
launched a learning and management platform in conjunction
with UCL Eastman Dental Institute and KSS Deanery.

Brushing and flossing are
vital, but don’t always get the
attention they deserve.

The platform, www.corecpd.
com provides dental professionals
with all the resources they need
under one roof to fulfil the new
core subject requirements as stated by the General Dental Council.
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.

If life is getting in the way
of good oral hygiene, why
not recommend adding
Listerine? It kills bacteria
deep in the plaquebiofilm.1 And, added to
brushing and flossing,
provides up to 52%
extra plaque reduction.2

The spokeswoman added:
“Smile-on’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. DT

For a deeper clean
recommend Listerine
05414

02782_ocdlis_mum_A4_ad_fa2.indd 1

References: 1. Data on file, McNeil-PPC Inc. 2. Sharma NC et al. J Am Dent Assoc 2004; 135: 496-504.

8/3/10 15:57:45

[4] =>

4 News

United Kingdom Edition

March 29 - April 4, 2010

Course accreditation Illegal dentistry clampdown
by Chester University

he Partners at The Dentistry Business have been
celebrating earlier after
six months of hard work resulted in their Level 4 and Level 7
Courses in Dental Practice Management gaining accreditation
from the University of Chester;
dentists will also be delighted
to learn that the Postgraduate Certificate has been accredited by The Faculty of General
Dental Practitioners.
With
limited
University
accredited training available
in the specific area of Dental
Practice Management, these
unique courses, which will
be offered nationally, provide an
opportunity to gain formal recognition through a Professional
or Postgraduate Certificate – a
move that has been welcomed by
the profession.
The Professional Certificate,
scheduled to start in May 2010, is
designed for dental practice staff
who are either already Practice
Managers or who aspire to such
a position. It will provide the
theoretical and practical tools required to support a Practice owner, in the operation of a single or
multi-site practice and provide

an in-depth understanding of the
mechanics of running a business
and the techniques required to
address the many problems that
occur at both strategic and tactical levels.
The course comprises three
modules which will run over
10 full-day sessions. A successful pass will attract 60 credits that are transferable to
any University or College for
future studies, if desired. The
modules include:
Module 1 - Planning and controlling a dental practice
Module 2 - Managing people
and developing teamwork in
dental practice
Module 3 - Creating a serviceled dental practice
The Postgraduate course will
be available from October 2010.
For more information on this
Certificate in Dental Practice
Management, Level 4 for Practice
Managers or Level 7 for Dentists,
contact Sim Goldblum on 0161
928 5995 or visit www.thedentistrybusiness.com. DT

he General Dental Council has seen two successful prosecutions for the
practice of illegal dentistry.
In the past week, the GDC has
prosecuted Bristol man Samuel
Harnarayan and Bexley-based
Justin Seeley.
Mr
Harnarayan
pleaded
guilty to three offences at Bristol
Magistrates Court.

The case was brought after
he unlawfully held himself out as
being prepared to practise den-

Suzanne Cosgrave was a lay
member of the Council from
April 2003 and also chaired the

Finance and Human Resources
Committee.
Ms Cosgrave was also chief
executive of Worthing Priority
Care NHS Trust from 1993-1998,
chambers director at Wilberforce
Chambers until 2001 and then
operations director for Corporate

Mr Seeley was fined £100
and has been ordered to pay
£90 towards the GDC’s costs.
He has also been asked to
make a £15 contribution to the
general victims’ fund.

Mr Harnarayan was given
a conditional discharge for six
months on each count and has
been ordered to pay £500 towards the GDC’s costs.

Commenting on the court
rulings, Interim Chief Executive
and Registrar of the General Dental Council, Alison White said:
“The General Dental Council’s
priority is to protect the public. One of the tools that we use
to do this is by taking action
against individuals who practise illegally.” DT

In the case of Mr Seeley,
he pleaded guilty to the same
offence at Bexley Magistrates
Court in Kent.

Finalists announced for dental awards

he Dental Awards is
pleased to announce the
finalists for this year’s annual awards ceremony, which
takes place on April 23rd in London and will showcase the best
in the dental profession.
The judging panel, which
was made up of members from
various dental professional associations and practitioners
have selected the finalists. These
professionals, dental teams and
practices across the UK have
been notified and are now gearing up to celebrate at a black-tie
awards ceremony taking place

GDC’s finance chair resigns
he chair of the Finance
and Human Resources
Committee has resigned
from the Council of the General
Dental Council (GDC).

tistry. He also used a description
on a signage implying that he is a
registered dentist. Since he is not
registered with the GDC these
are criminal offences under the
Dentists Act.

Tax at Ernst and Young.
In 2005, she joined the firm
of city lawyers, Berwin Leighton Paisner, where she is senior
business manager - Real Estate.
Suzanne was vice-chair of
the Council for Professions Sup-

at the Royal Lancaster Hotel in
London’s West End.
Commenting on the list, chair
of the judging panel, Sophie-Marie
Odum said: “We are pleased to
announce the dental practices,
professionals and dental teams
that have been shortlisted as finalists by judges in this year’s Dental Awards. This is an immense
achievement, especially given
the high quality of entries that we
have seen this year. It is fantastic
to know that there are so many
dental professionals providing
the best clinical care and patient
service possible. So many entries

plementary to Medicine in the
years immediately before its replacement by the Health Professions Council.
From July 1999 to April 2001
she was secretary of the Legal Practice Management Association.
Chair of the GDC Alison
Lockyer said: “On behalf of
the General Dental Council, I

have reflected the high quality of
the UK dental profession. I would
like to take this opportunity to
congratulate the finalists and
wish them all the best of luck on
the night.”
This year, the national event
received entries from across
the country, including Devon,
Sheffield, London, Liverpool
and Glasgow. In its 12th year,
the Dental Awards will host a
glitzy event, which will include
a cocktail reception, four-course
meal and awards ceremony,
fronted by celebrity compere,
Fred MacAulay. DT

would like to express our gratitude for all of Suzanne’s work
during her years as a Council
member. We all wish her well in
the future.”
The process for appointing a new Council Member
and for appointing a replacement chair for the Finance and
Human Resources Committee
will begin shortly. DT

‘Major challenges’ says BDA manifesto

he new government will inherit a
‘flawed dental contract and an unacceptable and growing chasm in oral
health inequalities,’ according to the British Dental Association’s (BDA) manifesto.
The manifesto, Smiles all round - a
manifesto for better oral health in England, has been published by the (BDA)
for the forthcoming General Election.
The BDA warns that the next government must get to grips with the process
of developing new contractual arrangements based on the recommendations of
the Steele Review, and do so while at the
same time increasing access to NHS dental care and contending with an already
stretched public purse.
BDA Executive Board chair, Dr Susie
Sanderson, said: “Whoever is elected this
year will inherit major challenges.

“In England we still have a deeply
flawed dental contract, patients who are
not seeing a dentist, and significant variations in the commissioning skills of
primary care trusts. We are also confronted by unacceptable and growing oral
health inequalities.”
However it was not all doom and
gloom as she added: “But they will also
inherit the beginnings of a new contract
and a profession that cares deeply for its
patients and that desperately wants a better future for them.

didates. It is urging members to talk
to candidates where they practise about
local issues.
The manifesto identifies priorities
in six key areas of dental policy:
the completion of the reform process arising from the Steele Review, the
need to properly support primary care
trusts, increased access for patients,
the eradication of oral health inequalities, harnessing fluoride as a preventive
measure, and safeguarding the future of
the hospital and salaried services and
dental academia.

“The new government must work
closely with dentists on the priorities
identified in the BDA’s manifesto to overcome these challenges.”

The BDA will produce manifestos for
the elections in Northern Ireland, Scotland and Wales next year.

The BDA has produced the document to help members to lobby
their prospective parliamentary can-

The BDA’s manifesto and advice on
local lobbying are available on their
website: www.bda.org/manifesto. DT

Smiles all round
a manifesto for better
oral health in England

www.bda.org/manifesto
The manifesto from the BDA

[5] =>

Fresh
Ideas
Bringing you the world’s leading thinkers
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the heart of the capital.

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

The

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Friday 7th and Saturday 8th May
The Royal College of Physicians, Regent’s Park,
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World Class Speakers: Julian Webber, Kevin
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Mizrahi, Wyman Chan, Trevor Bigg, Luca
Giachetti, Jonothan Britto, Joe Omar, Seema
Sharma, Bruce Bernstein ...many more to come.

Go to www.clinicalinovations.co.uk for
an early booking discount.

[6] =>

6 News & Opinions

United Kingdom Edition March 29 - April 4, 2010

Revenge with a bang
A
n eighty-four year-old
pensioner left a bogus
bomb on the steps of a
dental surgery in
revenge because
he believed he had
been overcharged, a
court heard.
Peter McShane
of Pembroke Dock,
west Wales, left a
large, oblong box
with a ticking alarm

clock and twisted wire wrapped
up in a bin bag on the steps of
Bush Street dental surgery in
Pembroke Dock.

It led to a major police operation, the hoax bomb was in
a controlled explosion and
houses surrounding the surgery were evacuated.
Haverfordwest
Magistrates Court heard how McShane admitted making the bo-

gus bomb and leaving it on the
surgery steps.
He also admitted seven other
charges including criminal damage against the premises of dentist Michael Williams and
a handful of neighbours.
The revenge attacks
began after McShane
was charged £183 after
visiting the dentist in October 2007, accor-ding to the

NOW Foundation launched

he Orthodontic Therapy
Charity Foundation has
been launched at National Orthodontic Week.
The Foundation has been
conceived by a group of orthodontic therapists, which aims

to raise funds for worthwhile
causes, and all orthodontic
therapists in the UK will be
encouraged to take part in the
fundraising.
The Foundation was launched at the National Portrait

the typical practice has actually
increased in the year from 66.9
per cent in 2008 to 67.3 per cent
in 2009.

The gross profit of the typical dental practice (NHS, private
and mixed practices) fell from
£257,189 in 2007/8 to £255,085
in 2008/9. However as private
and mixed practices were able to
reduce their costs the gross profit
as a percentage of the income of

In addition to examining the
income and expenses of typical
practices, NASDA statistics offer
a breakdown of the average fee
income and profits of dentists.
These figures show that in 08/09,
a private dentist’s total fee income was less than in 06/07 and

Meanwhile. NHS practices
saw increases in their direct
costs and as a result their gross
profit percentage fell from 67.8
per cent in 2008 to 67.4 per cent
in 2009. Private practices saw
a 4.3 per cent fall in net profits
while mixed practices profits fell
by 1.4 per cent.

en tubes of super glue and a
double glue gun to apply it. Police identified McShane through
CCTV footage.

Despite McShane being reimbursed, he continued his attacks,
which included wrecking door
locks at the practice by
putting super glue inside and taking a plaque
from a wall. He also
used super glue in disputes with neighbours and
at the premises of a newsagent.

The defence called his attempt to frighten the dentist
‘extremely amateurish’ and referred to it as ‘a juvenile prank
which has completely got out
of control’.

When police searched his
home they discovered sev-

This charity is a wide voluntary organisation specifically
helping those with or affected
by cleft lip and palate.

Gallery in London on 22 March.
Each year, a charity will be
chosen, and for the first year,
CLAPA (Cleft Lip and Palate Association) will be the first charity to benefit from the Foundation’s fundraising efforts.

Private practice suffers in 08/09
he upward curve in private practice profits suffered a setback in the
financial year 08/09 when the
average net profit dropped by
4.3 per cent below the profits
achieved in 07/08. This is one of
the key findings from the annual
dental practice statistics benchmarking exercise carried out by
the National Association of Specialist Dental Accountants (NASDA) and announced at a press
conference.

prosecution. McShane was apparently upset because he felt that
he was an NHS patient not a private one.

07/08. This trend was reversed
for principals in NHS practices
whose net profit rose by 8.9 per
cent. The reasons for this are
probably the onset of the recession combined with increased
spending on the NHS. This was
£1,997 million in 08/09 compared to £1,740 million the year
before and an increase in patient
charge revenue from £472m in
07/08 to £571m in 08/09*. Additionally, the trend is for NHS
practices to be larger and they
are more likely to utilise performers, resulting in the profit
per principal increasing. Also,
larger NHS practices tend to be
better at negotiating for additional UDAs.
The additional work being
carried out by associates is re-

One in every 700 children
in the UK is born with a cleft
lip and/or palate. At the end
of the year, all the funds
raised will be tallied and a
single sum donated to this
good cause.

flected by the 4.0 per cent increase in 2009 of their average
gross earnings. The average
gross earnings were £86,651
per associate after deducting
the payment to principal; this
figure was £83,302 per associate
in 2008.
As a result the average net
profit per associate has increased
this year to £72,988 from £70,299
in 2008. This is the first increase in their earnings in the
last three years. While associate costs have risen in NHS and
mixed practices, they have fallen in private practices.
Ian Simpson, who is responsible for the benchmarking exercise and who is a a Partner
in Specialist Dental Accountants Humphrey and Co, said
at the annual press conference
that the statistics reflect the onset of the recession combined

Magistrates have referred
him to the crown court due to
the seriousness of the offence. He
has been released on conditional
bail and will appear at Swansea
Crown Court on 9 April. DT

Anyone can donate to the
Orthodontic Therapy Foundation either by fundraising themselves or via a new website
which has been set up by the Orthodontic Therapy Charity Foundation www.otcf.org.uk.
To find out more information about National Orthodontic Week, go to page eight of
this issue. DT

with the Department of Health’s
commitment to improved access
to NHS dentistry.
Nick Ledingham, chairman
of NASDA and senior partner in
Specialist Dental Accountants
Morris and Co, predicted that
there may well be a continued
downward turn in 09/10. He observed that while gross profits
declined, current dental practice
values remain steady.
Alan Suggett, a member of
NASDA’s technical committee and
a partner in unw LLP, presented
the latest results of his quarterly
dental practice goodwill survey.
This showed that the average
de-al value in the last quarter,
culminating January 31 2010,
was 86 per cent of turnover, an
increase of one per cent on the
previous quarter while valuations were at 92.3 per cent, a decrease of two per cent. DT

[7] =>

Tribune_feb10:Precision

12/2/10

15:31

Page 1

United Kingdom Edition March 29 - April 4, 2010

British Dental Conference
Facebook group launch

new Facebook group
called British Dental Conference and Exhibition
has been launched.

Dr Phil Hammond will be
opening this year’s conference.
Phil Hammond is a GP, writer
and award winning broadcaster
and comedian, and will present
an uplifting session which will
serve as a very warm welcome

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to the event. What developments will have stemmed from
the Steele Report, one year on?
Jimmy Steele will be just one
of a panel of speakers giving
thought to how these changes
will impact on you. We will
also bring you the best speakers, on the hottest topics, in all

areas of clinical dentistry and
plenty of updates from those
leading the way for dental care
professionals.”
You can register for the conference at www.bda.org/conference or by calling the booking
hotline 0870 166 6625. DT

New NHS surgery for Winchester

ealth chiefs in Hampshire hope to open a new
NHS dental surgery in
Winchester offering dental care
for up to 9,500 patients.

Hampshire Primary Care
Trust, which is currently holding talks with bidders who want
to run the new practice, also
wants the surgery to offer an outreach service to cater for some
patients in Stockbridge and the
Meon Valley.
Winchester is seen as having
a shortage of NHS dentists, with
Government figures revealing
that in some parts of the city, less
than half the people have NHS
dental care.
The trust has not yet revealed
when the new Winchester surgery will open, or where it will be.
Natalie Jones, NHS Hampshire lead commissioning manager of primary care dental services, said: “We are really pleased

A former general dental
practitioner, Henry converted

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“The
mobile
Winchester
service that is included in this contract will help us
bring these services closer to peo- Hope of a new NHS dental surgery in Winchester
The trust wants to avoid paple’s homes which we
tients queuing for the places so
know can be an issue for people
will not be releasing them all at
living in rural communities.
once but will be allocating them
in weekly or monthly batches.
“Once the contract is awarded, we will be in a position
The trust will take applicato make more information
tions by phone or e-mail until the
available, and then we will
spaces for each period are gone.
start to take the details of peoThose who miss out will have
ple who want to register. In the
to wait until the next batch of
meantime we would enco-urage
places comes up.
anyone seeking an NHS dentist to check Hampshire Dental
Once the new surgery opHelpline on a regular basis as
ens, Hampshire PCT hopes it
details of availability across the
will be open to the public seven
whole of Hampshire are fredays a week. DT
quently updated.”

his own practice to private practice in 1993. With his experience
as a Denplan member dentist,
he joined Denplan’s Professional Services department on a
part-time basis in 1998 and fulltime in 1999, with responsibility for professional support and
member services.
Commenting on his promotion, Henry said: “I am delight-

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to be working on
providing
further
NHS dental services
in Winchester and
the
surrounding
area.

New deputy CDO for denplan
enplan has announced
that
Henry
Clover
(BDS) has been promoted to Deputy Chief Dental
Officer. Henry will also join
the Denplan Executive Leadership Team (Denplan’s Board),
representing
Professional
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The Facebook group already
has nearly 200 members networking and chatting online
about the 2010 British Dental
Conference and Exhibition in
Liverpool on 20-22 May.
Amarjit Gill, president elect
of the British Dental Association (BDA), said: “The main
reason to attend this flagship
event is to access inspirational
leaders from both inside and outside the profession.

Excellent Quality
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ed to take on this new role and
look forward to the challenges
that leading the Professional
Services Team will most certainly bring. Here at Denplan we
always strive to listen to our
members and offer services,
solutions and training designed to meet their individual
needs, particularly at a time
of increasing regulation and
change within the profession. I
will do everything I can to help
my team achieve this goal.” DT

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[8] =>

8 Feature

United Kingdom Edition March 29 - April 4, 2010

Picture perfect for NOW launch
The British Orthodontic Society launched the first ever National Orthodontic
Week last week in London Dental Tribune was there
isfied with what they do. Every
dentist would like to be a doctor
and inside every photographer is
a painter trying to get out.’

I

t’s not the worst start to the
week when you get to spend
it in the calm surroundings
of the National Portait Gallery in
London’s Trafalgar Square, looking at some of the most famous
faces in the 20th Century photographed by Irving Penn. This
is where I found myself at the
launch of National Orthodontic
Week, the brainchild of the British Orthodontic Society.

This event, newly launched
for 2010, is aiming to raise the
awareness of the benefits of orthodontics to the public and
highlight the options available
to patients.
NOW was launched in a
presentation given by BOS chair
Nigel Harradine, where he likened the importance of the face
in portraits to the fascination of
orthodontists in aspects of the
face. One of Penn’s most famous
photos was of Picasso, and Dr
Harradine used a famous quote
of Picasso’s, where he said ‘Photographers, along with dentists,
are the two professions never sat-

Nigel took the quote very
tongue in cheek – as he said
he was very proud to be a dentist and an orthodontist and
wouldn’t want to be anything
else – and his lively style kept
the audience amused as he detailed what NOW had been established to achieve. He showed
some case presentations of how
orthodontics had been able to
change not just the dentition and
the facial shape of his patients,
but their self-esteem and quality of life. This, he said, was one
of the most fundamental aspects
of orthodontic treatment – it was
not only about the physical benefits, rather the effect of treatment
on the psychology of patients
that mattered.
One of the main focus points
of the NOW campaign is the
website
(www.nowsmile.org).
Nigel gave a quick tour of the site
and recommended the use of it
for both patients and practitioners. Its bright colours and easy
to follow menu is very engaging,
whilst still focusing attention on
the ways the look and function
of teeth can be improved; and
providing clear and impartial
information about orthodontic

treatment to encourage patients
to find out more.
To highlight the need for
orthodontic treatment in the
UK, BOS had commissioned a
YouGov survey to highlight people’s impressions about their
teeth. The survey canvassed the
opinions of 2,050 people split into
eight categories according to sex,
age, social status, geographical
location, working status, marital
status and number of children
in the household. The findings
reveal that:
• 45 per cent of UK adults are
unhappy with the appearance of
their teeth
• 2O per cent of UK adults
would consider having some
form of orthodontic treatment
to improve the alignment and
appearance of their teeth
• Of the adults who felt orthodontic treatment would be
of benefit:
• 56 per cent would contemplate treatment for an improvement in appearance
• 25 per cent for an improvement in self esteem
• 18 per cent for an improvement in oral health and
function.
Commenting on the survey,
Nigel said: “We already had
evidence from several studies

Top: NOW poster; Bottom left: Guest attend the launch; Bottom right: Dr Nigel Harradine

which indicates that one third of
all children assessed at the age
of 12 have a significant need for
orthodontic treatment, and now
this survey shows that 20 per

Hands-On Restorative Training
This comprehensive hands on and theory based modular course
which is completed over 12 days, aims to enhance and develop
the knowledge and skills of each clinician, above and beyond
their current practicing techniques.
Topics include:

Nigel mentioned that many
orthodontic practices had wholeheartedly taken up the mantle of NOW, with fundraising
and awareness campaigns in
their practices as well as purchasing some of the merchandising and apparel available to
promote the event.

l Functional occlusion and general practice
l Minimal intervention, adhesion,
anterior/posterior direct and indirect composites.
l Smile design – fundamentals of aesthetics
l Advanced treatment planning, plastic
periodontal surgery and implant dentistry

Fee £325 + vat per day
Manchester June 2010 - March 2011
Course fees payable by instalments. A 5% discount will be provided
if full payment is made one instalment. A deposit of £500 + VAT will
secure your place on the course. Cheques should be made payable to:
‘The Centre for Advanced Dental Education Ltd’

cent of adults are unhappy with
the alignment and appearance
of their teeth and would consider having orthodontic treatment. Such findings corroborate
anecdotal evidence from orthodontists who are experiencing a
significant increase in enquiries
from adults who may not have
had an opportunity to correct
their bite and their smile earlier
in life. This reflects both a change
in attitude towards orthodontic
treatment and recent advances
in treatment techniques”.

Confidence
Restored
www.therestorativecoursemanchester.com
tel: 0845 604 6448

National Orthodontic Week
ran from 22-28 March and to find
out more visit www.nowsmile.
org or www.bos.org.uk. DT

[9] =>

Feature 9

United Kingdom Edition March 29 - April 4, 2010

CPD for CQC
“Tie this year’s CPD to your CQC requirements
and make life easier,” says dentist and practice
management consultant, Seema Sharma

ll NHS and private practices have to register with
The Care Quality Commission (CQC) in 2011 and all
GDC professionals have to undertake verifiable Continuing Professional Development (CPD).
For CQC, practices will be expected to DEMONSTRATE HOW
they have translated learning into
team action, so at Dentabyte we
have launched innovative core
CPD courses to help you do that.
CPD for CQC requirements
The Care Quality Commission
expects practices to have established written and operational
systems for Infection Control,
Dental Radiography, Medical
Emergencies, and Complaints
Handling, including:
• Written policies and
procedures
• Leadership and team
member roles
• Risk and hazard assessments
• Induction, training & review
• Regular audit, continuous
learning and monitoring
Our aim is to help you implement simple systems which can
be used to demonstrate to the
Care Quality Commission that
your team have put their knowledge into action. Individual practice support is also available from
Dentaybyte for those who need it.
The most consistent method
to maintain compliance with
health and safety regulations is
to conduct a comprehensive annual risk assessment and audit.
For assistance with achieving
these standards, sample health
and safety, infection control and
radiation risk assessments/audits are available at our CPD for
CQC courses.
Key considerations for your
practice team
CPD for CQC topic 1 Infection Control
HTM_01-05 (2009) is the latest
guidance, available from the Department of Health. Infection Control Advisor, Sandra Smith, will be
outlining the key requirements for
compliance with seven standards
for infection control in dentistry:
1. Prevention of blood-borne
virus exposure
2. Decontamination
3. Environmental design
and cleaning
4. Hand hygiene
5. Management of dental medi-

cal devices – equipment and
dental instruments
6. Personal protective equipment
7. Waste control
Aspects of HTM_01-05 that are
particularly challenging include
the requirement for separate dedicated decontamination facilities
and the increased volume, and
resultant cost, of infection control
consumables.
CPD for CQC topic 2 Radiation Protection
The Health and Safety Executive
(HSE) must be notified 28 days before work commences with Xrays, and all practices must be compliant with two sets of regulations:
Ionising Radiations Regulations 1999 (IRR99) is aimed at
employers. Under IRR99 the employer is required to comply with
the HSE’s Approved Code of Practice (ACoP) and demonstrate a
structured approach to radiation
protection to ensure dose is kept
as low as reasonably practicable
(ALARP), including:
1. Formal (prior) radiation
risk assessment.
2. Establishment of Local Rules.
3. Restriction of exposure.
4. Designation of areas (Controlled or Supervised).
5. Training in radiation protection for all staff.
6. Radiation monitoring, record
keeping and review.
7. A Quality Assurance
Programme
Ionising Radiation (Medical Exposure) Regulations 2001
(IRMER) addresses patient safety
and describes the personnel involved in the use of radiation, the
referrer, the operator and the Medical Physics Expert (MPE).
Jimmy Makdessi will outline
how to meet the responsibility
that IRMER also places on the
employer to:
• maintain an equipment log
• set out a framework
for procedures
• conduct radiographic
audits and
• record certified training for
team members
• rate all radiographs in
patient notes
• monitor quality
CPD for CQC topic 3 –
Medical Emergencies
Practice teams must be fully
equipped to appropriately manage the medical emergencies that

might occur in the practice.
Professor Sharma is a consultant cardiologist at St George’s
Hospital, and has implemented,
organised and supervised the
medical emergency systems for
the London Marathon for several
years, by coordinating and training
more than 100 doctors.
A renowned speaker at medical and cardiology events, he will
provide a lively insight into medical emergency management in
dental practices.
CPD for CQC topic 4 –
Complaints
CQC states: “For the purposes of
preventing or reducing the incidence of unsafe or inappropriate
care or treatment, the registered
person must have an effective
system in place for receiving,
handling and responding appropriately to complaints and comments made by service users, or
persons acting on their behalf, in
relation to the carrying on of the
regulated activity”
Complaints should be dealt
with swiftly in line with GDC
guidelines. Attitude is one of the
main factors influencing complaint resolution and Raj Rattan
will be sharing his tips for how
you can meet the CQC regulation as well as use compliments
and complaints management as a
tool for practice growth by training the most empathetic communicator in your practice to listen,
respon, act and improve.
CPD for CQC topic 5 –
Legal and Ethical Issues
Raj Rattan of Dental Protection will
outline how to successfully manage the common issues encountered in dental practice, including
consent, confidentiality and challenges in the NHS. DT

About the author
An
impassioned
advocate of mixed
practices,
Seema
is
a
successful
dentist who owns
four practices, including a six-chair
multi-disciplinary
centre in the heart
of Docklands, and a practice management consultancy, Dentabyte Ltd. Attributing her success to sound management and investment strategies, she
recently visited the slums of Mumbai
to give away £50, 000 to underpriviledged communities living in absolute
poverty, and established a philanthropic charity, The Sharma Foundation.
If you would like to know more about
her humanitarian efforts, email info@
seemasharma.co.uk.
For practice management and CQC
support email info@dentabyte.co.uk
Website: Dentabyte.co.uk

CPD 4 CQC
KILL TWO BIRDS WITH ONE STONE!
Dentabyte’s CPD 4 CQC courses meet
both your CPD & CQC requirements!
In registering for Care Quality Commission, practices
will have to clearly DEMONSTRATE how they have
translated learning into team action.

FORTHCOMING COURSE DATES
CORE CPD
Veriﬁable
CPD for
• 30 APRIL 2010 - Watford
• 14 MAY 2010 - Gatwick

£95

CPD4CQC
• 19 JUNE 2010 - Docklands

SPEAKERS

RAJ RATTAN: (1.5 hour)
Dental Protection
Legal & Ethical Challenges
& Solutions

SANJAY SHARMA: (2 hours)

Medical Director, London Marathon
Medical Emergencies

JIMMY MAKDISSI: (1 hour)
Dental Radiologist
Radiography Essentials

SANDRA SMITH: (2.5 hours)

Infection Control Adviser
Decontamination & HTM 01-05 made easy

RELEVANT CQC REGULATIONS
• Regulation 13 - Premises
• Regulation 14 - Equipment
• Regulation 16 - Consent to Care
• Regulation 17 - Complaints
• Regulation 19 - Staﬀ
DEMONSTRABLE REQUIREMENTS
• Policies & Procedures
• Leadership & Team Roles
• Risk & Hazard Assessment
• Induction, Training & Review
• Regular Audits, learning & monitoring

www.dentabyte.co.uk
info@dentabyte.co.uk
0208 297 9100

[10] =>

10 Feature

United Kingdom Edition March 29 - April 4, 2010

Going back to basics
Dental Tribune speaks to Lisa Roche, marketing director
UK & Ireland for Nobel Biocare, about her return to Nobel
to head up the Back to Basics campaign and the innovations in the implant industry
Dental Tribune: So, how did
you get involved in the dental industry?
Lisa Roche: I started in
dentistry straight after school.
I decided to rebel against my
mother, not go to university
and thought I’d be able to relax
for a year. However, she literally took me by the hand and
said ‘I know a great job for you’.
She then took me to the local
dentist and practically sat the
interview for me! So I started as
a dental nurse and have been
in dentistry ever since. I have
been lucky enough to work for
some very good people, which
have given me my opportunities to progress. For example,
when I worked for Andrew Dawood in Wimpole St, the Nobel
Territory Manager for London
was leaving and said to me ‘I
think you’d be really good at
this’. So I left Andrew’s practice
and started working for Nobel.
I was at Nobel for nine years
and then an opportunity arose
for me to be involved in the
foundation of Discus Dental in
the UK working alongside Linda Greenwall and The British
Dental Bleaching Society. I was
at Discus Dental for five years
then another opportunity pres-

ented itself in the form of Nobel
again under a new director to
help really kick-start the back
to basics concept.
DT: It is often said you should ‘never go back’ – so why
did you?
LR: There is a change in the
air at Nobel, and a focus on
a new direction. I think is
very refreshing when a company can stand up and say ‘we
need to do things differently,
we’ve let many of the relationships we had built go’ and being asked to return and to help
restructure was something I
couldn’t resist.
It is now so different. David
Thoni (Regional Director, UK,
Ireland and South Africa) is
very dynamic and is very much
one of the reasons I came back.
There is a whole new buzz
about the company now – David
is really making inroads in getting the best from both the new
staff he is putting place and the
staff already established at Nobel. It’s a huge challenge ahead
of me but I love it.
DT: So, Back to Basics, what
is it about?

‘There is a change
in the air at Nobel,
and a focus on a
new direction.’
LR: It is about going back to
what we did originally – to the
training, education and evidence-based approach Nobel
had started from. In the recent
past the focus had changed to
a more sales-oriented approach and now we are trying
to ensure we are concentrating on innovation, training and
education these are the most
important facets of what we
do. We want to be more science
and evidence-based, producing total solutions for dentists
to empower their patients. Volume isn’t important, its quality
that’s important.
DT: What
planned?

you

have

LR: We do have some events
coming up which encapsulate
the kind of things we want to
achieve. In May we are offering a course given by Ophir
Fromovich, inventor of the No-

belActiveTM implant. We are
looking to send people to Israel
for a two-day course and a twoday tour of Jerusalem. People
will get to spend time with the
inventor, which is great and so
different from sitting in front
of a marketing person telling
you how wonderful NobelActiveTM is and what it does.
Ophir can tell you why it
does it, how it does it and where
he changed it from to make it
the most anticipated implant in
the profession.
One very important event
I am currently organising
is the Scientific Symposium
3-4 September at the King’s
Fund London. It’s a really
exciting project, and the biggest thing I am doing this
year. Chairing the event is Prof
Ian Brook from Sheffield University and co-chairing is Prof
Howard Preiskel from Guy’s.
It isn’t just about Nobel either
– we are inviting speakers in
from other implant system
companies too.
DT: What is Nobel focussing
on at the moment?
LR: Nobel is concentrating on
the All-on-4 concept, which is

Professional Implantology Training and Mentoring
Taught by a dedicated, highly respected, multidisciplinary team of
professionals, the course provides implant training that meets and
exceeds the new GDC training guidelines for Implantology.
Training is carried out on 12 study days over 12 months and is
ideally suited for General Dental Practitioners wishing to develop
their knowledge and application of implant dentistry.

Is there a gap in
your education?

l little or no experience in implant dentistry needed
l hands-on training and live surgery

bringing a cheaper option to
patients. So, where previously
dentists might have put in eight
implants, now the concept is
four. There is a lot of history
and academia behind it, a lot
of clinical research behind it
and we know it works. Eight
implants is obviously more
expensive than four - looking at the edentulous population, those people who don’t
have dentists already or those
who basically carry a bag of
dentures around from practice to practice trying to get
dentures that fit - instead of
saying to these people we can
give you eight implants and a
fixed bridge, why not try angulating the two distal implants
of four and cover a much
wider load.
DT: What is the biggest development in implant technology so far in your opinion?
LR: Easily it is the CAD-CAM
(Computer-Aided Design and
Computer-Aided Manufacturing) innovations. You can design components so easily and
it also brings in a real team effort to the process. It’s not just
the dentists; it is also the dental
technician and the lab working
together with CAD-CAM for the
benefit of patients.
DT: What about the future?
LR: For me the main focus for
the future is acceptance – not
by patients but by practitioners.
I think that patients have accepted this for a long time. This
isn’t quite the same for dentists
– for many I think that more
education about the potential
benefits to patients is needed.
Everybody now agrees that
implants work - it’s still getting the right people not necessarily putting the implants in
themselves but referring to the
right people. Nobel has stopped
concentrating on short courses
and are concentrating on longer learning activities and our
mentoring program.
For me, implants are very
much like basic carpentry except with real people and soft
tissue. It is in essence a screw, it
just doesn’t go through a piece
of wood. But you wouldn’t ask
a carpenter to come to your
house and put in a staircase
after just a two-day course;
however we were expecting
dentists to go out after a twoday course and put implants
into real live people!

l mentored clinical treatment as per GDC recommendations
l the only course designed exclusively to prepare for the
new diploma in implant dentistry from RCS Edinburgh,
taught by one of the first 6 in the UK to receive this diploma
l complimentary iPod touch with more than 25 hours
of clinical video and lectures embedded (worth £2000.00 RRP)

The Implant Course £5995+vat
London April 2010 - 2011
Manchester course commencing June 2010
Course fees payable by instalments. A 5% discount will be provided if full
payment is made one instalment. A deposit of £500 + VAT will secure
your place on the course. Cheques should be made payable to:
‘The Centre for Advanced Dental Education Ltd’

www.theimplantcourselondon.com
tel: 0845 604 6448

I think the industry is
now looking at different ways
to help patients rather than
trying to market implants as
something that works. We
know they work, so now it is
a case at seeing how to use
them best. DT

[11] =>

[12] =>

12 Practice Management

United Kingdom Edition March 29 - April 4, 2010

The 10th dimension… the power of ten
Dr Ed Bonner and Adrianne Morris discuss what it means to be resilient

recently published book
by Jane Clarke and Dr
John Nicholson called Resilience, Bounce Back From Whatever Life Throws At You, considers the personality characteristics
that allow individuals to triumph
in difficult circumstances. In the

current economic climate, which
unfortunately fosters a litigious
mentality, we observe many traumatised people – yet some seem
to weather the storm far more
easily than others. What sets
these people apart? Using psychometric testing, Clarke and Nichol-

Barack Obama, Nelson Mandela,
Terry Waite and John McCarthy.
These individuals were not born
with silver spoons in their oral
cavities; they have all endured
hardship, poverty and/or incarceration – yet each has emerged
with head held high and spirit in-

son have measured individuals’
resilience levels and have coined
a new term called RQ – Resilience
Quotient – to sit alongside IQ &
EQ.
Who is resilient?
Think of individuals such as

PracticeWorks

tact to achieve the highest levels
of respect.
The 10 skills
Not all of us have this as inborn,
but it is possible for any and all of
us to develop the skills required
to deal more positively and effectively with trying circumstances
and emerge sunny side up. What
are these skills?
Clarke and Nicholson have
isolated some key factors: optimism; freedom from anxiety;
taking personal responsibility;
openness; adaptability; a positive
and active approach to problem
solving, a can-do attitude.

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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.

To this list I would add: a sense
of humour; a lack of self-deprecation; a lack of envy – not focusing
on what you do not have; taking
credit for what you have achieved
rather than focusing on what you
have not done well or at all.
The power of positive doing
Norman Vincent Peale may
have summed this up years
ago by the phrase, “The Power
of Positive Thinking”, but in
truth, thinking is not in itself
sufficient – we also need to do
positive things, which include:
1. Taking care of our health by
regular exercise and controlled
diet
2. Dealing with issues as they
arise (avoiding procrastination)
3. Living in the present rather
than the past or future
4. Developing interests other
than work: staying busy, and being prepared to learn new skills
5. Breaking down indigestible big
problems into bite-sized smaller
ones
6. Being willing to apologise – we
are not always right
7. “Reframing” – turning illconsidered confrontation into
reasoned negotiation
8. Avoiding sticking to untenable or unreasonable positions,
for example, being prepared to
move on
9. Replacing aggression with assertiveness
10. Developing an internal “locus
of control”: creating solutions
rather than waiting for others to
bring them to you. DT

About the author

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

PracticeWorks

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.

[13] =>

United Kingdom Edition March 29 - April 4, 2010

Motivate and inspire
If you nurture your staff, it’s likely they’ll feel
a lot more satisfied in their roles, which means
better team spirit and higher productivity, says
Jane Armitage

uring a typical morning
at our practice, to boost
team spirit and motivate
staff for the day, we’ll put the kettle on, look at the daily to-do list
and together we will see what
the day has in store for us. But
hey, this is dentistry and every
day is different, so we prepare for
a perhaps uncertain day ahead.
Encouraging staff to perform
effectively and achieve objectives is an important part of
good management practice. Although motivation is crucial to
this process, it can also be effective to reward your staff directly
for promoting the practice by
maybe having a bonus incentive or doing something which
makes them feel appreciated.
Team spirit can be heavily
influenced by other team members’ motives and attitudes. To
ensure a happy, well-motivated
team, you need the right people
with the right attitudes working
towards the same goal. They will
only know that goal if you share
that information with them to
enable you all to work together.
Room to grow
Good team spirit can only occur
when people are satisfied and
nurtured with room to grow.
To ensure team spirit is maintained, it is essential to ensure
that a happy team is a well-motivated one. With this in mind, I
would apply the following management tactics.

Inform all staff of any changes that are happening to affect their role. Have regular staff
meetings with open discussions
and seek the team’s views. During these team meetings, ask for
their ideas on how to improve the
service we are already giving. It
is often surprising when you collect information on an open basis like this, as it can encourage
each member to give his or her
opinion. Some of our best ideas
have occurred from holding open
meetings like this.

Make staff aware of what innovations are being introduced to the practice. Ask for their
suggestions on how to improve
existing procedures and systems.
Be open to new ideas and accept
different opinions. Encourage a
climate of openness and co-operation. To ensure individual ideas
are followed through, staff have
to take ownership of their ideas

‘Team spirit can be
heavily influenced
by other team members’ motives and attitudes. To ensure a
happy, well-motivated team, you need
the right people with
the right attitudes
working towards the
same goal.’
knowing the management team
is supporting them.

Have regular discussions
with staff to encourage a
two-way flow of information, so
that staff feel safe in the knowledge that no idea would be considered foolish and that sometimes these are often the best
ideas. However, the practice culture of openness has to be well
established prior to that.

Carry out regular appraisals. Individual appraisals are
the perfect opportunity to create
a personal development plan,
which is bespoke to both the
member of staff and the needs
of the practice. During appraisal,
assess how far their performance
has met the standards of their job
description. See it as a chance to
be open, to look at what they are
doing and together draft a plan
giving targets to aim for. Give
feedback using your own management style and ask if there
are other ways you can manage
them more effectively.

Ask probing questions, even
if an individual shows no
ambition for promotion, they
may still wish to develop skills to
make their day more interesting.
Encourage further training; allow the study days as in the end
this is a win-win situation.
Financial incentives
So what incentives can you offer to increase productivity and
increase motivation? Examples I
have used are:
• Link pay increases to individual performance using the results
of appraisals
• Offer private medical cover,
or membership to a local
health club

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• Offer a practice pension
scheme
• Introduce a Christmas bonus
and or mid-year bonus scheme
based on performance, attendance and time keeping. I must
admit that when the mid-year
review bonus idea was suggested in our practice, I worried
about the expense. However,
since it has been introduced, we
have had fewer sick days and a
better team spirit
Another way of dealing
with this would be to divide the
monetary amount throughout
the year, and pay it in two lots:
one in June and one in December. Whatever the amount, the
team appreciates it as it is given when needed the most, for
example, around holiday and
Christmas time.

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To summarise
• Ensure you follow the code of
equal opportunities
• These are purely suggestions:
what works for one won’t for
another. Introducing a bonus
scheme will add to the practice costs; therefore you need to
choose wisely

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• By maintaining at least some
of the suggestions set out in this
article should increase team
motivation, however you have to
maintain it
• By delivering fairness and
opportunity to each and every
one should maintain stability
between staff
• Show appreciation: it takes
nothing to say thank you at
the end of the session and it
goes a long way. It’s the name of
the game. DT

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About the author
Jane Armitage is an
award-winning practice manager and
has almost 40 years
industry experience.
She is currently a
practice manager for
Thompson & Thomas, and holds a Vocational Assessors
award. She is also a BDA Good Practice
Assessor, BDA Good Practice Regional
Consultant, and has a BDA Certificate
of Merit for services to the profession.
She has her own company, JA Team
Training, offering a practice management consultancy service, which includes on-site assistance covering all
aspects of practice management with
a pathway if required for managers to
take their qualification in dental practice management. To get in touch, contact 01142 343346.

For details of Carl Zeiss and our wide range of other
dental products contact:
Nuview Ltd, Vine House, Selsley Road,
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Tel: 01453 872266 Fax: 01453 872288
E-mail: info@nuview-ltd.com
Web: www.voroscopes.co.uk

[14] =>

14 Money Matters

United Kingdom Edition March 29 - April 4, 2010

What’s yours to claim?
It’s vital you know exactly what you can claim as a business
expense, to keep your tax bill to its minimum, urges Geoff Long

ranted: dentistry is stressful. This stress is the result of a number of factors:

• Might it go wrong?
• Will it work?

• Running late, keeping
patients waiting
• Clinical risk – where will this
action lead?
• Will it look right?
• And of course money!

This one became even more
stressful recently with The
Chancellor introducing the 50
pence tax bracket and even an
unpublished 60 per cent tax rate
for those earning more than

£100,000, so it is now doubly
important for dentists to claim
all the expenses they are entitled
to. With that in mind I have put
together some expenses often
raised for dentists.

Motor expenses
Dentists should record petrol,
insurance, spares, servicing, AA,
RAC, and MOT costs. Your accountant will then negotiate a suitable business use proportion with
Inland Revenue. It would help
your accountant in his negotiations if you keep a mileage log for
one month. Remember home to
the surgery is a private trip.
Bank interest
This is allowable, providing it is
used for commercial purposes.
Your wife’s wages
Dentists can pay a non-working
spouse an annual salary typically £5,000 per annum. This will
reduce profits and help wash
away the tax bill. However, this
is an area the Revenue is scrutinising at the moment. To obtain
a deduction wages must be:
• Actually paid
• Paid via a payroll system
• Be justified in terms
of work done
Staff meals & entertaining
Each practice has an annual
budget of £150 per member of
staff for Christmas lunch and
seminar events. On top of this,
reasonable food at a staff meeting is allowable.
Professional promotion
Advertising, leaflets and mail
shots are allowable. So too is
the cost of PR (Public Relations).
PR can get you on television, in
the Sunday Mirror or Evening
Standard. It is very effective.
Cost is £4,000 a month plus dining expenses. Be careful because
you can get taken for a ride, it is
best to go by recommendation.
Educational toys
If you treat children, then do not
forget to buy children’s toys for
the waiting room to keep the
children occupied.
Medicinal brandy
Brandy is very handy in a surgical setting, particularly to
bring the patients round after a
lengthy treatment session. Fully
allowable – providing the practice accountant is offered some!
Laundry and cleaning
With the new regulations, clinical garments and Health and
Safety Regulation these days,
your accountant should be able
to work on an effective claim in
this area. DT

About the author
Geoffrey Long FCA
is a specialist dental
accountant based in
Hertfordshire.
Geoff advises on a wide
range of dental tax
issues and regularly
writes for the dental press. Geoff has
more than 15 year’s experience managing dentists’ accounts and is recognised for his proactive approach to
dental taxation and business problems.
Call him on 01438 722224 or email office@dentax.biz.

[15] =>

United Kingdom Edition March 29 - April 4, 2010

Cashing in your assets
Andy Acton aims to take the anxiety out of
practice sales with some sound advice

ooner or later, most of us
will enjoy the privilege of
retirement. Whether you
cannot wait to put your drill
down for the last time, or you feel
slightly anxious thought of having nothing to do once you have
– all of us hope that when the
time to retire finally does come,
the process will go as smoothly
as possible.
Retirement is one of the
many reasons dentists put their
practice up for sale, and it’s only
natural to hope to maximise
its value with the minimum of
stress. The practice will, in all
probability, represent a lifetime
of hard work and dedication.
However, its sale encompasses
much more than simply finding
a willing purchaser with access
to sufficient financial backing.
The list of parties involved in
the sale of a practice is extensive
and includes business partners,
landlords, the local PCT, potential lenders to the purchaser, solicitors and accountants on both
sides. The local authorities and
the GDC will also have an interest. Even the Inland Revenue will
need to be informed should they
require cessation accounts. It is
the agent’s role to act as a mediator and to liaise with all of the
concerned parties in order to resolve any conflicts of interest that
may arise.
Finding an agent
At the start of the process, the
agent should supply the vendor
with a comprehensive information pack detailing the agent’s
procedures, fee structure and
terms of business. In order to
effectively promote the practice
to the correct buyers, it will be
necessary to collate as much
data as possible about the practice. A reputable agent will already have a register of dentists
actively seeking to purchase a
new practice, and the agent will
convey the collected information
to the buyer if their requirements
match the details of the surgery.
Discretion is a critical factor
at this stage. Good agents should
engage the interest of potential
buyers without compromising
the vendor’s trading position
pending a sale.
Filter out the timewasters
If the premises to be sold are
not freehold, then all new draft
business details will have to
be agreed with the site owner
as well as the practice tenant.
It is only now, once everyone
is in agreement, that viewings
may start taking place. This

Cashing in your assets

‘Retirement is one
of the many reasons
dentists put their
practice up for sale.’
stage no doubt takes a great
deal of time and effort on the
part of the vendor, and they may
find it useful to pencil in a specific ‘open day’ into their diary
so that they can dedicate themselves fully to meeting potential
buyers in person. After all, who
better to sell the practice than
the person who works there
themselves? Unfortunately the
practitioner may well find that
they come across a timewaster,
and it is down to the agent to
root those ‘buyers’ out and restrict any viewings to applicants
with genuine interest and sufficient funds.
And the winner is…
At this highly uncertain stage, it
is vital to foster clear communication between vendor and
agent. Regular discussions need
to be held in order to inform the
vendor of the levels of interest
prospective buyers have shown,
and what they should expect if
the sale moves forward. Now is
the time when the accuracy of
the practice’s original valuation
will be revealed, as preliminary
offers will start to be made.
This is when the agent’s experience of the prevailing market and previous practice sales
really comes into play. They
should be able to identify which
offers are the most promising
and from this present the vendor with a list of buyers, suggesting those that merit serious
consideration. If after a number
of viewings the interest demonstrated has been disappointing, the practice’s valuation will
need to be reconsidered.

Maximising offers
It’s the agent’s responsibility to
maximise each offer placed before presenting them to the vendor. Right now, the popularity of
purchasing a practice is still high
given the opportunities the profession currently offers, and with
this in mind it is highly likely
you’ll receive more than one offer. In this situation, the vendor
will have to make an informed
decision, taking into consideration not only the price offered,
but also the time scale the buyers
are working to. Vendors should
keep in mind that the agent is
acting on their behalf, but will
also be privy to certain information regarding the purchaser’s
circumstances that is unavailable to the vendor, and should
therefore proceed with caution.
Once the best bid is accepted,
a Heads of agreement is compiled
to satisfy both parties. A reliable
agent will be able to facilitate negotiations for a smooth transaction
and a straightforward handover.
Underbidders’ details should be
kept on file as a backup in the
event of an unforeseen complication during the sale.
The best valuers and sales
agents will have good relationships with other specialist
providers to dentists, including financial advisors and solicitors. This will enable both
vendor and purchaser to have
access to a range of experts
who understand the specific difficulties associated with dental
practice sales. DT

About the author
Andy Acton is director of Frank Taylor
& Associates, independent valuers and
consultants to the dental profession.
Andy has helped a number of dental
specialist banks develop their services
to the dental profession, including NatWest and Bank of Ireland. For more
information, call 08456 123434, email
team@ft-associates.com or visit www.
ft-associates.com.

[16] =>

16 Money Matters

United Kingdom Edition March 29 - April 4, 2010

Safety guaranteed
Seen by many as an invaluable safety net, income protection can
provide financial security for yourself, your family and your business if you are forced to stop working. Thomas Dickson explains

f you were faced with illness,
accident or injury for an indefinite period of time, an incomeprotection policy would support

you and your family until you returned to work, allowing you time
to fully recover without the stress
of coping with your finances.

Without this comprehensive cover
in place, or worse, no cover at all
– how would you cope? A self-employed dentist without substantial

savings, who cannot rely on an
employer or anyone else, should
view comprehensive income protection as a priority.

KaVo – Dental Excellence

ESTETICA E80
Rise above the rest with KaVo.

So what should you consider
when choosing or reviewing
an income protection policy,
and how do you get cover? The
three most important things to
consider when choosing the
correct income protection plan
are; Plan Type, Premiums, and
Policy Exclusions.
Plan Type
All insurance companies base
their claims on how ill you
have to be prior to any benefit
being paid out, and currently
offer three plan types to consider; ‘Own occupation’, ‘Suited occupation’ and ‘Any occupation’.

‘A self-employed
dentist without substantial savings,
who cannot rely
on an employer or
anyone else, should
view comprehensive
income protection as
a priority’

• Outstanding ergonomics and attractive,

highly functional designs.
• Innovation at its best.
• State of the art technology reliability and
functionality at amazingly low prices.
From as little as £286* per month excl VAT

These plans differ vastly and
having a firm understanding of
which plan type you feel would
be more relevant to you will be
of great benefit when investing
in income protection.
An ‘Own occupation’ definition of disability means that if
you are ill, you will receive your
claim based on your inability to
perform your duties as a dentist.
‘Own occupation’ will provide
you with the most comprehensive cover, and an increased
likelihood that you will receive a
benefit payout if you do become
unable to work.
The majority of plans carry a
‘Suited’ by training, education or
experience definition, in which
case benefits would be paid only
if you were unable to perform
an alternative role, such as research or working for a pharmaceutical company.

*Finance is subject to status and for business purposes only.

‘Any’ occupation plans should be avoided at all costs – as
the wording of the plan suggests,
you will have to be very ill/injured, and not to be able to do
any work whatsoever before you
receive benefit.
Paying premiums
Income protection cover is usually payable on a monthly basis,
and is either on guaranteed rates
or reviewable rates (which actually tends to be guaranteed for
the first five years).

Contact your local KaVo or

Gendex supplier for more details!
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Reviewable rates effectively
put the insurance company in
charge of future premiums, with
review of rates normally taking
place every five years, although

[17] =>

United Kingdom Edition March 29 - April 4, 2010

comprehensive policy features
may include:

Having a safety net in place can give piece of mind

they can be conducted annually.
Reviewable rate products tend
to be cheaper at first and may
be suitable for those looking to
move abroad at some point in
the near future, or for those who
don’t foresee a long-term future
in dentistry.
However, it is important not
wait too long to consider ‘reviewing’ your premium after five
years has expired, because after this, the insurance company
can increase (or theoretically
decrease) your premium based
on their overall claims experience. This figure is derived from
the number of claims they have
paid out and their predicted
future claims.
Choosing a guaranteed rate
means you will pay a set amount
for your cover over the duration
of your plan (usually to age 60).
This rate never changes, regardless of how many claims you
make or the company receives
in general. Considering this,
you should consider guaranteed
premiums if you plan to remain
a UK dentist in the medium to
long term.
What’s excluded
By checking policy exclusions, you can reduce the risk of
being tied into a plan that may
not provide you with comprehensive cover. Some plans on
the market have as many as
15 exclusion policies, with common ones including: excessive
alcohol, failure to seek medical
advice, and dangerous activities such as mountaineering or
scuba diving.
What inclusions should you
expect from your policy? Basic

About the author
Thomas
was
brought up in Hong
Kong and studied
at Aston University
Birmingham and
in Tokyo. Thomas
started working as
a financial adviser
in 1993, became
an independent financial adviser in 1996, and is now a
director of Essential Money Limited.
Essential Money provides independent
financial advice to dentists throughout
the UK. Thomas has been awarded the
Advanced Financial Planning Certificate by the Chartered Insurance Institute and is a Certified Financial Planner. For advice, call Essential Money
on 0121 685 5060, email Thomas@
essentialmoney.co.uk or visit www.essentialmoney.co.uk.

• Worldwide cover – ideal for
non-domicile dentists
• HIV cover – included to cover
needle-stick injuries, some
plans include cover regardless
of how infection occurs
• Inflation protection – if you are
in your 20s, 30s or early 40s, you
may want to ensure your standard of living against inflation.
This is called Index Linking

Money Matters 17
• Insuring to age 60 – or tie in
with your NHS retirement date
aged 60 or 65 depending if you
joined pre or post April 2008
• Deferred period – most dentists
select to have immediate cover
from day one.
Once you have considered
your options, how do you ensure you find the correct policy
that will provide comprehensive cover? The most reliable
way to guarantee you are in-

sured on a policy best suited to
your needs is by employing the
services of a specialist Independent Financial Adviser. Simply put, an IFA’s role is to make
choosing the right income protection cover as painless as possible and help you get the best
value for money. They can also
assist from the beginning of an
application to after approval,
including policy research, negotiating with insurers, and removal of exclusions. DT

[18] =>

18 Money Matters

United Kingdom Edition March 29 - April 4, 2010

Getting what you pay for
Specialist fee-based financial advice for dentists by Martyn Bradshaw

Fee vs commission based advice*
products. The Financial Servrom 2012 new rules from
ices Authority (FSA) will implethe Financial Services
ment a wide range of changes
Authority (FSA) mean fiContribution
Final fund value
Pension income
intended to remove ‘commission
nancial advisers will be required
Fee based route
£500 per month net
£408,000
£23,900
bias’ to ensure recommendato provide their clients with
tions are not influenced by prodclearer guidelines on the cost of
£500 per month net
£381,000
£22,300
Commission route
uct
providers
and
to
raise
the
bar
their
advice
and
how
charges
OPT_DentalTribune_210x297_JAN_PressAd:Layout 1 25/1/10 16:31 Page 1
* 35 year old male, £625 gross contribution, growth of 7% pa, retirement at age 60
on adviser qualifications.
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Independent Financial Advice (IFA) is available from
firms who offer financial
products from the ‘whole of
the market’ and offer a feebased option. Firms who offer
products from a limited range
of products and without feebased options can’t call themselves independent.
The distinction between different types of financial adviser
already exists. Good quality
IFA firms already promote feebased advice and our experience is that fee-based planning
is fast becoming the preferred
route for dentists. Whilst feebased advice will have you
reaching for your cheque book,
investment charges are usually
reduced making this potentially
cost-effective over the medium
to long-term.
Our example compares feebased and commission-based
advice for a dentist making a
pension contribution of £500
per month. The figures speak
for themselves.
If your adviser is not independent they may not offer
you this saving. Combine this
with the fact that they impose
limitations on fund and pension provider choice and the
case for non-independent advice is difficult to understand.
This is especially so for dentists, who often make larger
than average personal pension
contributions whilst requiring
specialist advice.
If you have received advice
from a bank or building society it is possible that your adviser was not independent, let
alone experienced in advising dentists. This may deny
you access to fee-based advice and specialist knowledge on areas such as the NHS
pension. Even some national
firms who offer dental specific
financial advice, don’t offer independent financial advice. If
you are currently taking advice
from one of these firms make
sure you ask hard questions
of the adviser relating to investment
charges,
commission and their very limited
product range.
Dentists should settle for
nothing less than independent
financial advice from a firm
specialising in financial planning for dentists. DT

About the author
Martyn Bradshaw
BA (Hons) Dip
PFS, is a director of
Practice Financial
Management Ltd
(PFM, one of the
UK’s leading dental practice sales
agents. Further information about PFM’s practice valuations and sales services can be found at
www.pfmdental.co.uk.

[19] =>

United Kingdom Edition March 29 - April 4, 2010

Internal whitening of UL1
Jacob Krikor shares his experience of teeth
whitening when it comes to incisors
Challenges faced
I
have
to
admit
that
I
tried
the internal whitening a few times in
the past with varied
results where some
teeth did not respond
at all. I relate this to
blocked dentine tubuli or discolourations
that are very tough to
remove with whitening agents. Some of
the successfully whitened teeth discoloured
again over time albeit
not to the same extent
as they were before
the treatment.

Fig1 Discoloured UL1

Fig2 Successful whitening of UL1

n my previous article, we discussed the classic clinical situation we face when we need
to match a broken or discoloured
single incisor in the front with
the neighbouring teeth. In this
article I want to share my experience regarding internal whitening and I am keen to hear your
tips and advice about this topic.
In this case (Fig 1), I was
asked by the patient in the picture whether I could do something to improve the look of the
upper-left central incisor. I offered him two options:
1. Internal whitening
2. A veneer to cover the tooth.

The patient opted for the
internal whitening. It is very
important to inform the patient
that the treatment outcome is
unpredictable and that the tooth
may need veneering in the future
after all.
The procedure explained
I removed the palatinal filling
and cleaned the pulp chamber properly and even removed
some of the root-filling material, up to one mm apical of the
gingival margin. Glass Ionomer
was used to seal the canal and

‘It is very
important to inform the patient
that the treatment
outcome is unpredictable and that
the tooth may need
veneering in the
future after all.’
the cavity was filled with a cotton pellet saturated with Opalescence 10 per cent Carbamide
Peroxide gel. A temporary filling
sealed the cavity. The patient was
scheduled to come back after a
week for evaluation.
A week later, the result was
very satisfactory (Fig 2). The
temporary filling was removed
and the cavity was cleaned
properly with water to remove
any whitening gel remnants. It
was then filled with the lightest
shade composite I had after etching and bonding the inner walls
of the chamber. And the patient
was very pleased about the quick
transformation of the discoloured tooth.

The long-term success of internal whitening can be disappointing even when
using a stronger 30
per cent hydrogen
peroxide to whiten the
teeth. In this study,
the short-term results
proved very successful aesthetically, but
in the long-term the
success rate falls below 50 per cent. It also
demonstrated how the
procedure is associated with a risk of external root resorption.
The use of sodium
perborate mixed with water
was recommended so the aesthetic outcome is still acceptable and the potential for resorption may be minimised.
You can also read more
about internal whitening in
one of my favourite books,
Bonded Porcelain Restorations in the Anterior Dentition, A Biomimetic Approach,
by Dr Pascal Magne and Prof
Urs Belser.
If you want to share
your tips and tricks with
your colleagues, just go to the
knowledge bank on www.
odonti.com and leave your
comments on this case or publish your own cases. DT

About the author
Jacob Krikor graduated from dental
school (Odontologen) in Gothenburg,
Sweden in 1998. After working in general practice in Sweden for two years,
he moved to the UK and now has his
own practice in Bexhill-on-Sea. He is
especially interested in cosmetic dentistry and has been in general practice
since graduating. Jacob is also the
founder of two websites: www.askyourdentist.com for patient information and www.odonti.com, which was
created to make life easier for dental
professionals. To contact him, email
drjacobkrikor@odonti.com.

[20] =>

20 Clinical

United Kingdom Edition March 29 - April 4, 2010

Numbing the pain
Dr Michael Sultan looks at how treating inflamed teeth with
intra-osseous anaesthesia can help relax a nervous patient

ne of the most
challenging tasks
in endodontics is
successfully treating a patient who is anxious and

has been in pain from a severe
pulpitis. But the key to making
sure it goes smoothly is a fantastic anaesthesia.

When faced with “Hot Pulps”
(usually mandibular molars
that have caused severe pain
and seem impossible to anaesthetise), the normal injection

Stabident

intraosseous anesthesia delivery system
ADVANTAGES

The technique of intraosseous anesthesia is one whereby teeth are anesthetized by injecting local anesthetic solution
directly into the cancellous bone spaces around the tooth. In order to reach the cancellous bone from the outside
it is necessary to pass through four tissue layers; epithelium, connective tissue, periosteum and cortical bone.
The outer three layers, which comprise the attached gingiva, contain sensory innervation but can easily be
anesthetized with a small injection of local anesthetic solution. The fourth layer, cortical bone, does NOT have
sensory innervation and can be perforated painlessly using a rotary instrument.
The technique of Intraosseous Anesthesia therefore consists
of three essential steps:

1. Anesthetizing the
attached gingiva

2. Perforating the
cortical plate of bone

3. Injecting anesthetic
into the cancellous
bone space around
the tooth

ADVANTAGES FOR THE CLINICIAN
• When anesthetic solution is delivered into cancellous bone, excellent pulpal anesthesia
is obtained, even in patients with irreversible pulpitis or hypersensitive teeth.
• Intraosseous Anesthesia saves valuable time because there is no delay between injection and effect.
Work on the tooth can commence in less than 30 seconds after the injection.
• The Clinician will find patients to be very appreciative of the absence of pain and numbness.

ADVANTAGES FOR THE PATIENT
• The patient experiences minimal pain during the dental procedure itself, and on leaving the
dental office there will be no balooning of soft tissues and a much lessened feeling of numbness.
• If an extraction is required, the patient is often spared the need for an unpleasant palatal injection.
• Postoperative pain is rare.

Fairfax Dental Ltd, Hill Place House, 55a High Street, London SW19 5BA
Tel: 020-8947-6464 Fax:020-8947-2727 Email: fairuk@stabident.com

of choice is the inferior dental
block. The cortical plate of the
posterior mandible is quite thick
and the easier infiltration injections are rarely found successful
in this situation.
A practice lifesaver
The intra-osseous injection is
more often than not the lifesaver
in the practice. We often get patients referred in due to anaesthetic failure and this injection
technique has prevented procedures from being abandoned.
The intra-osseous injection is
where the buccal mucosa adjacent to the tooth is anaesthetised
and a perforator is used to drill
through the cortical plate into
the cancellous bone, allowing direct placement of the anaesthetic
into the bone. Success rate of this
injection, if coupled with an inferior dental block, is high at approximately 80 per cent and rises to 98 per cent for repeat LA.
Intra-osseous injections
can be used as a stand-alone
procedure and as an alternative to local infiltrations.
When used as a standalone injection, a study
has shown that in the
upper incisor region,
intra-osseous injections
had a quicker onset,
but shorter duration
than an infiltration
injection. It has been
suggested that the
advantages of injecting into the
upper incisor is
to obtain singletooth anaesthesia and avoid
uncomfortable
labial or lingual
numbness. But
generally for the
hot pulps, it is
recommended
that the
intra-osseous
injection
can be used as
a supplementary injection.
To make sure you find the
optimal injection site for anaesthesia, ideally it should be distal
to the tooth; although with mandibular second molars, it should
be mesial. Ideally, the injection
should be through the attached gingivae to allow injection
through a minimal thickness
of cortical bone. This should be
perpendicular to the gingivae
and between two-four mm apical
to crestal bone. Placement
may need to be varied according to proximity of adjacent teeth so that roots
are not damaged.
In addition, if there
is deep pocketing, the
injection
needs
to
be more apical and
may be in the alveolar mucosa. This
would not present
a problem with the

[21] =>

Clinical 21

United Kingdom Edition March 29 - April 4, 2010

X-tip
system
where
the
sleeve stays in
situ, but may
with the Stabident
system,
where the perforation site has
to be located.
Sites such as
between
the
maxillary
or
mandibular central incisors where there is
minimal cancellous bone
should be avoided and caution should be used in mixeddentition cases to avoid trauma
to an under-developed tooth.
The injection does not need to
be in the apical area of the root
as there is rapid spr-ead of anaesthetic through the cancellous
space.
Avoiding problems
There are many other considerations that must be factored
into the treatment, including
the choice of anaesthetics and
technique but even so, you may
encounter a problem if just one
aspect is not right. The problems
that may arise include:

About the author

‘Anaesthesia for an inflamed tooth can be
difficult and time consuming but without it
optimal patient care and ideal endodontic
treatment cannot take place’
Poor anaesthesia. If there is
back flow of anaesthetic solution, the anaesthetic will be ineffective. A rubber stop may help
in improving the seal between
the needle and the sleeve, however sometimes the problem is
that the cortical bone hasn’t been
fully perforated and a second site
may need to be chosen.

Pain. There can be some pain
on perforation (0-10 per cent)
and some on injection (0-30 per
cent), but while uncomfortable,
this is generally not a problem.
Perforator breakage. With
some systems, the metal perforator may detach from the
plastic shank. This usually oc-

Dr Michael Sultan BDS MSc DFO is a specialist in endodontics and the clinical director of Endocare, a body representing a specialist group of practices. Michael qualified at
Bristol University in 1986 and worked as a general dental
practitioner for five years before commencing specialist
studies at Guy’s hospital, London. He completed his MSc
in endodontics in 1993 and worked as an in-house endodontist in various practices before setting up in London’s
Harley Street in 2000. He was admitted onto the specialist
register in endodontics in 1999 and has lectured extensively to postgraduate dental groups as well as lecturing
on endodontic courses at the Eastman University in London. He has been involved with numerous dental groups
and has been chairman of the Alpha Omega dental fraternity. To talk to a member of the Endocare team, call 020 7224 0999, email reception@endocare.co.uk or visit www.endocare.co.uk.

curs with the heat generation on
perforating the dense cortical
plate and normally the metal
part can easily be retrieved with
haemostasts.
Systemic effects. Patients
may have an increase in heart
rate when using adrenalinecontaining anaesthetics. However, studies show a return to
baseline within four minutes
is common in most patients. A
slower injection was shown to
offer a lower level of increase.
There was however no cardiac effect when using three per
cent Mepivacaine in Intra-osseous anaesthesia.

Post-operative problems.
Pain and swelling may occur
around the perforator sites with
Stabident (five per cent) and
slightly higher with the X-tip.
This may be present for a few
weeks but is self-limiting.
Anaesthesia for an inflamed tooth can be difficult and
time consuming but without
it, optimal patient care and
ideal
endodontic
treatment
cannot take place. The intraosseous techniques are easy
to learn and can prevent
procedures
being
completely abandoned due to poor
anaesthesia. DT

[22] =>

United Kingdom Edition March 29 - April 4, 2010

Avoiding exam meltdown
Sarah Armstrong urges you not to panic if you’re
preparing for your final exams. If you’re organised and stay focused on what you need to do,
you’ll cope with the pressure

inals exams are drawing
close for final year students across the UK and
by now revision will be in full
swing. For those of you about to
sit your exams the most important piece of advice is, try not
to panic! As easy as that may
sound, students can often worry
themselves to a standstill, getting
caught up by everything they
don’t know. Remember, you are
not expected to be experts in every dental discipline, these are not
specialist exams – try and focus
on what you do know, and build
on these foundations.
Unfortunately, there isn’t
a finite amount of information
you need to know, which can be
frustrating when tackling your
revision, but try and work on the
premise that “common things
are common” rather than getting
caught up in the complexities of
weird and wonderful rare conditions. Examiners just want to
see that you are safe, competent
practitioners who are aware of
their limitations.
Organisation is a key factor
to exam success. Make sure you
have all your notes in order, and
if in doubt compare with your
colleagues and get copies of what
is missing. Dental schools often
have set criteria which must be
met prior to sitting your exams
for example completing quotas of treatment, or undertaking
clinical assessments etc. Make
sure you are aware of these and
have completed these by the
deadlines set. Be aware of when/
where your exams are to be held,
and what each entails to enable
you to plan your revision according. Find out how each exam is
weighted and distribute your revision time accordingly.
Practice exam questions
Usually mock exam papers
are hard to come by. This is
because exam questions are
very difficult to set and tend to
be from a limited bank of questions available. This can be
frustrating,
however,
there
are plenty of textbooks available containing practice questions, and although these may
not be in the same format as
your dental school exams,
they are ideal for identifying
gaps in your knowledge. If
you had mock exams, try and
think back to what and how
the questions were asked. Although you are unlikely to get
the same questions, mock ex-

Do not panic if you’re preparing for your final exams

‘If you find you are struggling – ask for
help, your dental school is full of specialists,
if you don’t understand something, there’s
bound to be someone who will be more
than happy to help’
ams can give you an idea of how
questions are set and the depth
of knowledge required.
When it comes to revision,
do what works for you. There
will always be several people
in your year who, come exam
time, take up residency in the
library. Although the very sight
of them is enough to strike fear
in the rest of us, it doesn’t work
for everyone. Choose your own
location to work in, only you
know where you can concentrate. Some students irritatingly
seem to have the knack of sitting
in front of the television to revise
and still seem to absorb everything – from cranial nerves to
Coronation Street, but for most
of us, this isn’t going to work!
Focus on yourself
As I’ve mentioned in previous articles, by final year most
of your friends and often your
flatmates are dental students.
Although this may have seemed
liked like a good idea at the time
– come exam time it can make
the situation an awful lot more
stressful. Tempers are fraught,
conversation seldom veers from
dentistry; the slightest query
about a radiolucency on a periapical can erupt into a fullblown panic across the dinner
table. By this stage of the course
you will have found out what
style of revision works best for
you, so try not to get sidetracked

by what everyone else is doing
and focus on yourself.
Taking time off is essential.
Make sure you schedule regular breaks into your revision –
even if it’s just to pop out for a
coffee for an hour – there’s only
so much revision a brain can
take in one go. Make sure you
are getting enough sleep, staying up working until 2am every
morning is unlikely to help in
the long run and cramming can
frequently have the opposite of
its intended effect.
Seek advice
If you find you are struggling –
ask for help, your dental school
is full of specialists, if you don’t
understand something, there’s
bound to be someone who will be
more than happy to help. If you
are feeling under pressure, - you
won’t be the only one. Don’t suffer in silence, discuss things with
your tutor or senior colleagues,
no-one can help you if they don’t
know there is a problem.
Remember, if you’ve put the
work in, keep calm and you’ll be
fine. Good luck! DT

About the author
Sarah Armstrong qualified from Newcastle
University in 2008 and
is currently working as
a vocational dental practitioner in Brampton,
Cumbria.

[23] =>

United Kingdom Edition March 29 - April 4, 2010

A satisfying rinse?
Deborah Lyle discusses the benefits and limitations of mouth rinses as an adjunctive treatment to conventional home-based cleaning, and
whether using a water jet proves a better option

hen it comes to preventative oral healthcare,
or
tackling
periodontal disease, dental professionals are in some ways restricted by what can be achieved
in the appointments they have
with the patient. Educating patients on efficient strategies for
home-based oral healthcare can
ensure greater success in not only
treating gingival or periodontal
disease, but also in preventing the
disease from occurring.
The use of mouth rinses as a
means of controlling supragingival plaque and gingivitis, as an
adjunct to conventional mechanical cleaning, has been in existence for approximately 40 years,
and numerous clinical studies
have sought to establish the effectiveness of anti-plaque agents
such as chlorhexidine (CHX),
cetylpyridinium chloride (CPC)
and essential oils.
Gold standard?
Mouth rinses containing CHX
have been shown to be most
efficacious in reducing supragingival plaque and gingivitis
when compared with other antimicrobial agents1,2,3,4,5. Although
it is considered the “gold standard” of chemical anti-plaque
agents6, there are some limitations and drawbacks.
For instance, CHX was found
not to be as effective with preexisting plaque and gingivitis
and where no oral hygiene instruction or professional cleaning was undertaken7. The other
main disadvantages for CHX
are the established side effects,

including discolouration of the
pellicle, especially in the interproximal areas, caused by a
precipitation reaction between
tooth-bound CHX and chromogens from food or beverages.
In an attempt to rectify this,
studies have examined the effectiveness of various formulations
of agents alongside CHX (such as
sodium fluoride and cetylpyridinium chloride) as well as examining whether removing the alcohol content has an adverse effect
on inhibiting plaque re-growth
and gingivitis.
One long-term study8 sought
to examine the antibacterial capacity and side effects of an ethanol-free lower concentration of
CHX (0.05 per cent), combined
with 0.05 per cent CPC, and
found it had an anti-plaque effect comparable with that of a 0.2
per cent CHX + alcohol solution,
but with reduced subjective side
effects: slightly less staining and
better taste.
Alcohol presence
The presence of alcohol in mouth
rinses has become somewhat of a
contentious issue. Besides known
side effects such as a burning sensation and irritation of soft tissue
(unpleasant especially for patients with mucositis or recurrent
oral ulcerations), there has been
debate about wider health and
social concerns. Some of the ‘cosmetic’ over-the-counter brands
can contain anywhere between 18
per cent and 26 per cent alcohol.
While there have been sug-

gestions of a link between the al-

cohol content and oral cancer, a
critical analysis of literature9 concluded that establishing a direct
casual link is problematic and so
far unsubstantiated. Interestingly,
the same study also concluded
that there is no evidence that alcohol increases the effects of the
anti-plaque agents. The demand
for effective non-alcohol mouthwashes has increased and products containing different active
ingredients, such as CPC, need to
be studied further for efficacy.
Another chemical plaquecontrol agent studied is essential
oils. In a six-month randomised
controlled clinical trial10, a commercially available mouth rinse
containing essential oils (Listerine) was compared with an
experimental mouth rinse containing 0.07 per cent CPC (Crest
Pro-Health) and found both to
be effective in reducing gingivitis and the proportions of periodontal pathogens. Furthermore,
a meta-analysis of six-month
studies11 found six studies
that showed essential oils to be
effective as both an anti-plaque
and anti-gingivitis agent, comparable with the results achieved by
0.12 per cent CHX. Essential oils
have the disadvantage of poor
substantivity and, in some cases,
an unpleasant bitter taste and
burning sensation.
Main drawbacks
Regardless of the active ingredients of the mouth rinses, there
are always two fundamental
drawbacks to the efficacy of its
delivery interdentally and to the
sub-gingival areas. One way in
which delivery can be improved

References
1. Siegrist AE, Gusberti FA, Brecx ML, Weber HP, Lang NP. Efficacy of supervised rinsing with chlorhexidine digluconate in comparison to phenolic and plant alkoloid compounds. J Periodont Res Suppl 60, 1986
2. Gusberti FA, Sampathkumar P, Siegrist BE, Lang NP. Microbiological and clinical effects of chlorhexidine gluconate and hydrogen peroxide mouthrinses on developing plaque and gingivitis. J Periodontol 15: 60, 1988
3. Svantun B, Gjermo P, Eriksen HM, Rolla G. A comparison of the plaque-inhibiting effect of stannous fluoride and
chlorhexidine. Acta Odont Scand: 35:247, 1977.
4. Hefti AG, Huber B. The effect on early plaque formation, gingivitis and salivary bacterial counts of mouthwashes
containing hexitidine/zinc, aminfluoride/tin or chlorhexidine. J Clin Periodontol 1987; 14:515
5. Fazi MI. Photographic assessment of the antiplaque properties of sanguinarine and chlorhexidine. J Clin Periodontal 1988; 15:106
6. Jones CG. Chlorhexidine: is it still the gold standard? Periodontal 2000 1997: 15: 55-62
7. Eley BM. Antibacterial agents in the control of supragingival plaque – a review. Br Dent J 1999: 186: 286 - 296
8. Quirynen M, Soers C, Desnyder M, Dekeyser C, Pauwels M, van Steenberghe D. A 0.05% cetyl pyridinium chloride/0.05% chlorhexidine mouth rinse during maintenance phase after initial periodontal therapy. J Clin Periodon-

Education 23
is through using a dental water
jet and several studies have examined the efficacy.
For instance, one study12 concluded that using a subgingival
irrigation tip (Pik Pocket Tip) was
effective in delivering a solution
to 90 per cent of a six mm pocket,
whilst rinsing only achieved 21
per cent. This is supported by an
earlier study13 that penetration of
the periodontal pocket by supragingival irrigation tip with a powered device ranged from 44 per
cent to 71 per cent.
Having the ability to penetrate
subgingivally helps to reduce
plaque biofilm and the pathogens that can cause gingivitis,
calculus and bleeding. Using
mouth rinses in conjunction with
a dental water jet has been shown
to be more beneficial than rinsing alone, as the irrigation device
provides better interdental and
subgingival penetration.
A six-month clinical observation of 222 patients14 sought to assess the efficacy of supragingival
irrigation with 0.06 per cent CHX
when compared against water irrigation and CHX rinsing. After
six months, researchers found
that all treatment groups:
• Had a significant reduction
in the Gingival Index and the
greatest reduction (42.5 per cent)
occurred in the CHX irrigation
group
• Demonstrated significant reductions in the per cent of marginal gingival bleeding sites, with
the greatest reduction in the CHX
irrigation group (46.5 per cent)
• Significantly reduced the
percent of Bleeding on Probing
(BOP) with the CHX irrigation
group reducing by 35.4 per cent
The study concludes that a
low concentration of CHX irrigation with the a dental water jet
was the most effective regimen
for reducing the Plaque Index,
Gingival Index, BOP, and marginal gingival bleeding. Significantly,
the report also noted that water

irrigation was equally effective as
CHX rinsing in reducing gingivitis and was 37.5 per cent better in
reducing gingival bleeding.
The best option?
While it is clear that mouth rinses provide an effective adjunct
to mechanical cleaning, there
are significant disadvantages
with the chemical agents being
used. Although CHX is the “gold
standard”
in
antimicrobial
rinses, it isn’t considered appropriate for long-term use and the
documented side effects, such as
staining and altered taste sensations, are likely to make patient
compliance problematic.
Alternatives such as essential oils and CPC also have their
drawbacks in terms of efficacy
and all mouth rinses suffer the
same disadvantage of being unable to reach subgingival and
interdental areas. It is also worth
considering the long-term cost
implication of having to use
mouth rinses as a daily adjunct to
mechanical cleaning.
Although it has been shown
that irrigation with a CHX
solution of a lower dosage
can still have a significant
impact on plaque and gingivitis,
it has been demonstrated that
irrigation with water alone is
highly effective in removing
plaque biofilm and reducing gingival inflammation.13,14,�. DT

About the author
Deborah M Lyle received her BSc in Dental
Hygiene and Psychology from the University
of Bridgeport and her
MSC degree from the
University of Missouri Kansas City. She has 18
year’s clinical experience in dental hygiene in the US and Saudi Arabia with
an emphasis in periodontal therapy.
She has written numerous evidencebased articles on the incorporation of
pharmacotherapeutics into practice,
risk factors, diabetes, systemic disease
and therapeutic devices. Deborah is an
editorial board member for the Journal
of Dental Hygiene, Modern Hygienist,
RDH, and Journal of Practical Hygiene.
Currently, Deborah is the director of
Professional and Clinical Affairs for
Water Pik, Inc.

tol 2005; 32: 390-400. © Blackwell Munksgaard, 2005.
9. Carretero Pelaez MA, Esparza Gomez GC, Figuero Ruiz E, Cerero Lapiedra R. Alcohol-containing mouthwashes
and oral cancer. Critical analysis of literature. Med Oral 2004: 9: 120-123, 116-120.
10. Albert-Kiszely A, Pjetursson BE, Salvi GE, Witt J, Hamilton A, Persson GR, Lang NP. Comparison fo the effects
of cetylpyridinium chloride with an essential oil mouth rinse on dental plaque and gingivitis – a six-month randomized controlled clinical trial. J Clin Periodontol 2007; 34: 658-667.
11. Gunsolley, JC. A meta-analysis of six-month studies of anti-plaque and anti-gingivitis agents. JADA 2006, Vol 137:
1649-1657.
12. Braun RE, Ciancio SG. Subgingival Delivery by an Oral Irrigation Device. J Periodontal 1992; 63: 469-472
13. Eakle WS, Ford C, Boyd RL. Depth of penetration in periodontal pockets with oral irrigation. J Clin Periodontal
1986; 13: 39-44
14. Flemmig TF, Newman MG, Doherty FM, Grossman E, Meckel AH, Bashar Bakdash M (1990). Supragingival
Irrigation with 0.06% Chlorhexidine in Naturally Occurring Gingivitis. J Periodontol 1990; 61:112-117
15. Gorur A, Lyle DM, Schaudinn C, Costerton W. Biofilm removal with a dental water jet. Compend Contin Ed
Dent 2009; 30 (suppl 1): 1-6.

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

[24] =>

24 DCPs

United Kingdom Edition March 29 - April 4, 2010

Rise above the crowd
Boost your self esteem and the practice image by
positively engaging with callers, says Glenys Bridges

hether it’s in person
or over the telephone,
the receptionist is
usually the first person patients
and suppliers encounter when
they contact a dental practice.

And it’s likely that their opinion
of a practice is based on their impression of the receptionist.
As well as working on the
front desk and greeting patients,

telephone skills are an important aspect of working on a
reception. When you work on the
phone all day in a customer-service role, the telephone is a work
tool for which you need to develop

a high level of skill. Learning and
honing telephone and listening
skills should feature in each receptionist’s on-going professional
development plan (PDP).
Great telephone skills do
many things to maintain an excellent relationship with patients,
which in turn benefit every person involved in the practice.
Some people will have a knack
for these skills, and will find it
easy to learn them. Others may

have to work a little harder. However, even if you are one of the
lucky ones with a knack for these
skills, it is a good idea to reflect
from time to time on what good
telephone skills actually are.
Why are skills important?
Let’s say a patient calls to query
an RCT estimate, because she
doesn’t understand why there
are so many visits and X-rays. If
the receptionist adopts a ‘take it,
or leave it’ attitude, rather than
outlining what’s involved in the
treatment, a breakdown in communication happens, which
could lead to dissatisfaction, or
even a complaint.
However, if the receptionist were to acknowledge the
customer’s concerns, look into
the query and explain why the
charges are valid, they will settle the matter. However, to do
this, receptionists need a good
understanding of treatment procedures, so care co-ordination
training would be ideal for this
type of query.
Some of the most important
aspects of great customer service
are in the telephone skills. Even
if a receptionist has a great service attitude, without these basic
skills, he or she doesn’t stand a
chance of being more than mediocre. However, if you implement the following skills in your
daily reception work, you will
rise above the crowd:
• Smiling: Smiles and gestures
can easily be heard over the
phone, so keeping that smile on
your face helps to create a positive engagement with a caller
every time you talk to them.
• Empathy: If you can’t put
yourself in a caller’s shoes especially when you know they are
wrong, how can you understand
why they have the feelings they
do about the issues they have
called in about?
• Problem-solving skills: No
question about it, you will get
problem calls that require some
solving. Ask the practice manager or owner for information
and guidance, tools to solve any
problem a customer may have,
then it is your job to learn how
to use them effectively.
Achieving excellence goes
beyond simply knowing what
these skills are and what they
can do to help build trusting
relationships between the dental team and patients. Practice
makes perfect is what many
people say, and this saying fits
perfectly into this equation.
When telephone queries are
handled well, you should reflect on why things went so well,
identify good practice and share
it with colleagues.
For more information on receptionist skills, visit www.dental-resource.com. DT

[25] =>

United Kingdom Edition March 29 - April 4, 2010

Special Feature 25

Satisfying the hunger for knowledge
Dental Tribune savours the choice of continuing professional development
options available to dentists and their teams

S

ir Winston Churchill is
quoted as having said “The
most important thing about
education is appetite.”
This analogy is prevalent
in many areas when discussing education – a thirst for
knowledge, the hunger to learn
– and describes the drive which
is contained in the desire to provide the best care for patients
and the most satisfying career
for dental professionals.

So, there really is no excuse
cal events, part-time courses,
tional resources depending on
You can also choose from
these days to go hungry when
there is even the opportunity for
your preferences.
a variety of takeaway options
it comes to CPD and furthering
a home delivery option with an
in the form of CD-ROM proyour knowledge in your choonline MSc (available in RestoraFor those wanting to take the
grammes covering the whole
sen profession – eat, drink and
tive and Aesthetic dentistry from
gourmet post-graduate option,
spectrum of topics in dent4253 or
Clinical
Excellence
Courseconvenience
(DT):4253 Clinical
(DT) 18/3/10
14:16 Pagebe1merry! DT
the University
of Manchester).
is still theExcellence
key. Lo- Course
istry
paper-based
educa-

UCL EASTMAN DENTAL INSTITUTE
THIS UNIQUE AND CHALLENGING
PROGRAMME BRINGS TOGETHER CLINICAL
EXCELLENCE AND LEADERSHIP SKILLS TO
ACHIEVE IMPROVED LEVELS OF ORAL
HEALTH THROUGH ACTIVE PREVENTION
AND THE DELIVERY OF QUALITY CARE.

Everyone, whether they are aware of it or not, have ambition. It may
be in the form of someone who just
wants to make a difference to their
working environment to someone
who is aiming to be the leader in
their field. And it is this hunger to
improve that is the cornerstone to
continuing education.

Developing leadership and clinical excellence
within the NHS General Dental Services

Now, I am not going to bore
you with the fundamentals of
Continuing Professional Development and what you need to
do to keep the General Dental
Council from deeming you unfit
to practice – we all know the requirements! It is the how that I
want to talk about; a quick look
at some of the many ways in
which you can feed your hunger to learn and develop in your
chosen career.

This innovative programme is offered by the UCL Eastman Dental Institute with the support of the Chief Dental
Officer and the Department of Health in order to encourage and support the whole dental team in their desire to
deliver effective leadership and clinical excellence within the NHS whilst improving oral health through the delivery
of effective preventive dentistry.
WHO IS THE COURSE FOR?
This programme is designed for NHS general dental practitioners
who wish to embrace the delivery of clinical excellence through
a commissioning framework and introduce new concepts and
approaches to leadership, clinical management and team
development within the primary care setting. DCPs working
with course participants will be invited to attend selected
training sessions.

Since the introduction of
CPD, a veritable feast of ways
to make up your hours and fill
in your personal development
plan has been released. In addition, for those whose palate
craves something a little more
refined, the menu of post-graduate qualifications is ever increasing. This is not just for dentists
either; there are opportunities
for MScs in subjects such as
Primary Dental Care. There is
the facility to digest your CPD
in bite-sized chunks (for example DCPBites available from
UCL Eastman CPD), course by
course, or go the whole hog and
sample the all you can eat style
of conferences and events (ie
Clinical Innovations Conference,
British Dental Conference, International Symposium on Dental
Hygiene...) – or you can even get
it to go!

FACULTY
Programme Director
Professor Andrew Eder
Programme Coordinator
Dr Rishi Patel
Module & Teaching Leads
Dr Janine Brooks MBE
Mr Robert Cragg
Mrs Helen Falcon
Dr Sue Gregory OBE
Dr Shazad Saleem
Professor Peter Spurgeon
Dr Vivian Ward
Professor Richard Watt
Supported by an experienced faculty of dynamic teachers
and clinicians invited by both the Eastman and the
Department of Health.

DT/CE/MARCH

The traditional ways to get
your fill include: reading journals, attending conferences, participating in study days, going on
courses. Technology has made
this even easier, allowing for virtual attendance to events such as
webinars and live streaming of
presentations, or the collection
and storage of education online
(Core CPD).

COURSE DELIVERY
This challenging and thought provoking blended-learning
programme will offer verifiable CPD and be delivered through
28 days of didactic and skills laboratory training over 15 months
(approximately one day every three weeks) supported by
work-based distance learning and assignments to include a
service improvement project. Elements of Core CPD will also
be made available to course participants and DCP colleagues.

In association with

Module 1 Clinical Leadership and Service Delivery
This module will cover the five leadership domains outlined in the
Medical Leadership Competency Framework (2009); namely
demonstrating personal qualities, working with others, managing
services, improving services and setting direction.
Module 2 Achieving Clinical Excellence
Through an evidence-based understanding of the dental literature,
this largely hands-on skills laboratory based module will provide
a comprehensive review of the diagnosis, treatment planning and
management of patients within the scope of NHS general dental
practice. The challenges presented by both young and old
patients, as well as those who may require special care in the
community, will also be considered.
Module 3 Improving Oral Health
Current concepts in the aetiology and management of caries
and periodontal disease, as well as behaviour management and
an understanding of patient psychology, will all be considered
as part of the team approach to improving oral health.
COURSE OUTCOMES
This programme is designed to support dental professionals:
• to lead the delivery of dental health services
• to manage the dental team
• to deliver effective prevention
• to improve oral health
• to deliver quality dental care
Course fees: £8,960 (to be confirmed by fees committee).
Individual modules may be taken by those who have a specific
training need.
Closing date for applications: 31st August 2010
For further information or to register, please contact:
Marjorie Kelly, Programme Administrator,
UCL Eastman CPD, 123 Gray’s Inn Road, London WC1X 8WD
tel: +44 (0)20 7905 1234 or +44 (0)20 7905 1261
e-mail: m.kelly@eastman.ucl.ac.uk
web: www.eastman.ucl.ac.uk/cpd

[26] =>

26 Special Feature

United Kingdom Edition March 29 - April 4, 2010

Certificate comes to Edinburgh
Melanie Venables from the Faculty of General Dental Practice
(UK) details the launch of a new course in Scotland

hen the first textbook
about dentistry written
in English, Operator for
the Teeth by Charles Allen, was
published in 1685, it was a step
away from the charlatans in the

A
in

marketplace of the time, and can
be seen as an initial move towards
quality assurance. Today, there
is much legislation on the subject of ‘Tooth-Ake’, and with the
advent of the Care Quality Com-

mission and the GDC’s revalidation scheme, quality assurance
in dentistry is set to receive ever
more attention. The Faculty of
General Dental Practice (UK)
introduced the Certificate in Ap-

praisal of Dental Practices in 2004
to offer a universal educational
approach to quality assurance in
primary dental care. In a move
that broadens access to this
course to the North of England

new standard

training & education
at GC.

www.campus.gceurope.com

The new GC meeting &
education centre offers different
modules in hands-on courses,
presentations and demonstrations
for all of GC’s major technologies and
products. These courses offer
verifiable CPD points and all dental care
professionals are welcome to attend.
The meeting & education centre
also strongly supports GC Corporation’s
commitment to research and further
development of innovative products.
As GC’s central platform it offers an excellent
exchange centre between “dental science”
and the “dental world” – trends and product
requirement can be recognised at
a very early stage.

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

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10.06.2009 22:30:04 Uhr

and Scotland, this Spring will see
the programme offered for the first
time in Scotland, at The Royal
College of Surgeons of Edinburgh.
Encouraging team solutions
A broad range of skills are needed
to enable practice appraisals to
be carried out in a helpful, sensitive and professional manner,
and assessors should be trained
in how best to use these skills to
effect and manage change. The
FGDP(UK) practice appraisal
programme trains all members
of the dental team to appraise the
quality of clinical and non-clinical care delivered in the primary
dental care setting. The teaching
is outcome-focused and participants undertake three practice
appraisals between the initial
two contact study days and the
third, nine months later. As well
as knowledge of current legislation and the skills needed to work
with others to evaluate and bring
about change, participants learn
to identify the issues underlying
health care quality, and part of the
assessment is based upon reflection on one of these appraisals.
Keith Hayes, a current course
participant, says that “each practice visit is unique and offers an
opportunity to both parties to benefit from a new experience. Part of
the value of a successful appraisal
visit is to open the channels of
communication in order to focus
on these specific opportunities
and develop a favourable environment for team solutions.”
The FGDP(UK) Certificate
in Appraisal of Dental Practices
is available to all dental professionals, and is delivered by two
experienced clinicians and appraisers, Patricia Langley and
Jerry Watson. As clinical director
for Oasis Healthcare, Pat has overall responsibility for quality assurance and clinical governance
compliance across the Oasis estate of more than 13 dental practices. Jerry is passionate about the
importance of communication
skills, teamwork and excellent
customer care in general practice,
and founded the first dental practice to be accredited with ‘Investors in People.’ Both have spent the
last 20 years delivering a range of
postgraduate programmes.
Applications are invited from
all members of the dental team
with an interest in quality assurance, either in their own practice
or for those tasked with assessing
the practices of others. Applications should be received by the
23 April 2010 to avoid disappointment. The course dates are the
7 and 8 May 2010, with a third
day to follow on the 4 February
2011, and successful completion
of the programme gives 20 ‘management credits’ towards the
FGDP(UK) Career Pathway. For
more information please contact
fgdp-education@rcseng.ac.uk or
call 020 7869 6760. DT

[27] =>

United Kingdom Edition March 29 - April 4, 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.
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.

BACD Belfast Study Club Announced
Dr Ian Buckle will be sharing his expertise with
members of the British Academy of Cosmetic Dentistry
in a BACD Belfast Study Club on Thursday 17th June
2010.
The lecture, entitled ‘3D Treatment Planning: 10
Steps to Predictable Aesthetics and Function’ will give
attendees a structured method for effective diagnosis
and treatment planning.
Whilst photographs and radiographs provide
information to visualise the position of the teeth in two
dimensions, determining how the teeth fit in relation
to each other and the patient’s face is a challenge for the practitioner.
With twenty years of experience, Dr Buckle will be showing members how to
successfully realise optimal dentistry from an aesthetic, functional, biological
and structural perspective.
Special emphasis will be placed on the four options of treatment (reshaping,
repositioning, restoring and surgical correction), so that the correct option(s)
are chosen for each patient.
The lecture will also demonstrate how to segment large treatment plans, so
that patients with financial issues can receive optimum case over time.
For more information or a booking form please contact Suzy Rowlands on
0208 241 8526 or email suzy@bacd.com.

Experience a new kind of
training at DARE
DARE (Dental Advancement Refinement
Education), an exciting new training facility
in Manchester, has just released dates for its
wide variety of courses on offer in 2010.
Courses beginning in June through to November are as follows:
• Ten Day Restorative courses start in May and June.
• Implant Restorative, Composite, and Denture Stabilisation courses begin in
June.
• Botox and Fillers courses begin in November.
DARE should be the first port of call for practitioners looking to develop their
skills in a friendly, relaxed environment. The centre’s experienced tutors include
the likes of Phil Broughton, Andy McLean, José Zurdo, Mike Booth and Gary
Zolty, all of whom are dedicated to providing high quality, practical training.
DARE’s mission is to provide all delegates with a positive learning experience
and to bring likeminded practitioners together to share their expertise.
What’s more, practitioners on every course are more than welcome to come
and watch procedures taking place in The Mall Dental Practice after their
training!
FOR MORE INFORMATION please contact Suzanne Towers on 0161 830 7300 ,
or by email on suzanne@daretobedental.com

Dr. Carl E. Misch
brings Implant Course
to London with
BioHorizons
This October will see
the first of a four session
implant programme in
London with Dr. Carl E. Misch. Held at the Hilton London Metropole, this hugely
popular twelve-day hands-on surgical programme (including laboratory
participation) will start 8th October 2010 and finish 20th March 2011 and has
to date been attended by an impressive 35,000 doctors worldwide.
Completion of the twelve day course includes a Certificate of completion from
the Misch International Implant Institute®, and a copy of Dr. Carl Misch’s book
‘Contemporary Implant Dentistry, 3rd Edition’.
As Director of the Misch International Implant InstituteTM (MIII) as well as
Clinical Professor and Director of Oral Implantology at Temple University,
Philadelphia, Dr. Carl Misch is currently Co-Chairman of the Board of Directors
of International Congress of Oral Implantologists, which, with more than 75
countries represented, is the world’s largest implant organization.
This highly anticipated course will sell out quickly so to register your interest
or to book now please contact BioHorizons, the courses sponsor, on Tel: +44
(0)1344 780380 or email Cindy Matejic at cmatejic@biohorizons.com.

BACD & AACD
bring world-class practitioners to London
As an organisation committed to excellence
in cosmetic dentistry, the BACD is pleased to
announce a unique opportunity for UK dentists.
From the 23rd – 25th of September 2010, the BACD
will be holding its Annual Conference in conjunction
with the American Academy of Cosmetic Dentistry’s
International Meeting at the Hilton London
Metropole. This is a fantastic opportunity to share
in the expertise of some of the world’s leading
proponents of aesthetic and restorative dentistry.
UK dental professionals can add to their knowledge and gain confidence to
offer the latest treatments and advanced techniques to their patients, through
a series of lectures and interactive sessions from such luminaries as Dr Frank
Spear.
As well as the AACD, the International Meeting will also see practitioners from
across Europe attending, with members from the Dental University of Paris
Study Group; the European Society of Cosmetic Dentistry; the German Society
of Cosmetic Dentistry and the Swedish Academy of Cosmetic Dentistry taking
part.
For more information contact Suzy Rowlands on 0207 612 4166
Or email info@bacd.com
www.bacd.com

High quality customer service
Dr Brian Franks, Clinical Director of Dentistry for Bupa,
describes why he is working with Clark Dental.
“Bupa is synonymous with high quality healthcare and we
look to our partners to help us deliver the high standards
our customers have come to expect from us. A colleague
who used Clark Dental to equip his surgery suggested I contact them.
“Bupa is introducing a new concept in wellness centres bringing together the
latest technology in surroundings that meet the highest specifications in order
to provide customers with exceptional standards in healthcare.
“For the first centre, Clark Dental has provided us with a fully equipped dental
surgery, complete with separate sterilisation room that fits in perfectly with the
ethos of our wellness centre of the future.
“The high quality of the equipment, cabinetry and installation was matched
by the service we received from the team: helpful, courteous and a pleasure
to deal with.

Education 27
A Dental Implant Course That Pays for Itself!
Sounds Too Good To Be True
Live Training on Real Patients
In order to develop the best skills, it is necessary
to access the best courses and teachers. The
Basic Dental Implant Course provides GDPs
with the opportunity to learn with PerioImplant Europe Ltd founder, Nadeem Zafar.
To attend this course, no implant experience is
required as it is taught at beginners level.
The main aims of the course are for delegates:
• To be able to treatment plan and place dental implants confidently and safely
in your own patients
• To understand how to construct prostheses to fit onto your implants
• To have a broad knowledge of complex treatments and new trends in
implantology.
Main lectures and ‘Hands On’ models will take place from Wednesday 30th June
through to Sunday 4th July 2010 (inclusive) in London, UK. This is followed
by a week’s residency in Brazil taking place between Monday 2nd August and
Friday 6th August.
Most dentists who complete this course have paid for their course fees within
just one year!
For more information call 01276 469 600 or email info@implantsuccess.com

Create Beautiful Restorations with GC’s Gradia Direct
Learn how to create probably the most beautiful
composite restoration in the historic city of Leuven,
Belgium with GC.
GC Gradia is a unique light cured composite that allows you
to fabricate natural looking, aesthetic direct restorations.
The hands-on Gradia course shows how to craft functional
composite restorations; even monochromatic restorations become beautiful
due to the unique chameleon effect of GC Gradia.
Gradia’s more natural appearance has been achieved by creating a final
restoration of optimum hue, chroma and brightness, whilst minimising the
paleness inherent with composites. The result is a restoration with opalescence
comparable to porcelains and close to natural teeth, which would previously
have been impossible to attain using traditional composite materials.
Seeing is believing with GC Gradia.
The GC Gradia hands-on course includes flights from London Heathrow,
transfers to the hotel and training centre, 1 night hotel accommodation, all
meals; together with all materials, models and equipment.

I look forward to working with Clark Dental on further projects in the future.”
For more information contact Clark Dental on 01268 733146
Email enquiries@clarkdental.co.uk or sales@clarkdental.co.uk

UCL Eastman CPD launches challenging
new programme
“Developing Leadership and Clinical Excellence within the NHS”
The UCL Eastman Dental Institute, with the support of the Chief Dental Officer
and the Department of Health, is excited to announce the Autumn 2010
launch of a unique new programme bringing together leadership and clinical
excellence within the NHS.
The programme will incorporate the following modules:
Clinical Leadership and Service Delivery: This module will cover the
five leadership domains outlined in the Medical Leadership Competency
Framework (2009); namely demonstrating personal qualities, working with
others, managing services, improving services and setting direction.
Clinical Excellence: This module will provide a comprehensive overview of
the diagnosis, management and treatment planning of patients within the
scope of NHS general dental practice.
Improving Oral Health: This module covers current concepts in the aetiology
and management of caries and periodontal disease, as well as behaviour
management and an understanding of patient psychology. All will be
considered as part of the team approach to improving oral health.
For further information or to register for the programme,
please contact the Course Administrator
Tel: 020 7905 1234 or 1261
E-mail: m.kelly@eastman.ucl.ac.uk

Important date for the diary
The British Academy of Cosmetic
Dentistry (BACD) is pleased to
announce another of its informative
London Study Club evenings, to take
place on Thursday 16th September 2010 at the British Dental Association.
3D Treatment Planning: 10 Steps to Predictable Aesthetics and Function aims
to give attendees a structured approach to diagnosis and treatment planning.
A world-renowned expert in the field of aesthetic dentistry, Dr Ian Buckle will
be showing members how to visualise optimum 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 discuss
how to subdivide 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.
The BACD is committed to promoting excellence in cosmetic dentistry and its
Study Clubs are excellent opportunities to share knowledge and experience
with its members.
For more information or a booking form please contact Suzy Rowlands on
0208 241 8526 or email suzy@bacd.com.

For full details of the Gradia courses, which are contained within GC’s Training
Calendar Booklet or for further information please contact GC UK on 01908
218 999.

Protocols for patient treatment
The British Academy of Cosmetic
Dentistry is committed to promoting
excellence in the provision of cosmetic
dental treatment.
To help members achieve the highest levels of patient satisfaction with their
treatment, The BACD provides a series of protocols and consent forms, to
ensure a methodological approach to treatment planning.
By using the BACD consent forms, tailored to each individual case, clinicians
can make sure the patient is fully informed of all the options. In order for a
patient’s consent to be valid, they must understand in advance:
• The purpose of the treatment • The nature of the treatment
• The likely effects and consequences • Risks, limitations and possible side
effects • Alternatives • Costs
Additional consent forms will need to be used or incorporated for areas such as
Sedation, Tooth Whitening and Periodontal Surgery.
By fully documenting the treatment process, any patient complaint becomes
much less likely.
The BACD: committed to excellence in cosmetic dentistry.
For more information contact the BACD on 0207 612 4166
Or email info@bacd.com

Experience the benefits of
Nobel Biocare’s All-on-4™
Concept for yourself!
Practitioners
seeking
alternative solutions for the
treatment of endentulous
patients attended Nobel Biocare’s course on the benefits of the innovative Allon-4™ Concept .
Most dentists are unaware that completely endentulous jaws are a widespread
handicap. Perceived complexity and high treatment costs all too often stand in
the way of solving this problem.
The All-on-4™ Concept system enables the practitioner to avoid sinus grafting
and facilitates immediate loading to the final prosthesis. Lower costs and
shortened treatment time inevitably translate to higher patient acceptance
rates and the system is widely used for patients in need of extractions.
Delegates to the courses in Cardiff and Cambridge were treated to a
presentation by Dr. Ken Parrish, previously primary surgeon at the Centre for
Implant Excellence at the Cleveland Clinic Foundation, and who now runs a
private practice for periodontics and implant surgery.
The All-on-4™ Concept is a proven, yet cost effective immediate loading
technique, unique to Nobel Biocare.
For more information contact Nobel Biocare on 01895 452 912, or visit www.
nobelbiocare.com

[28] =>

28 Industry News
Practices benefit from unique business partnership
Dr Jane Lelean, Owner of Healthy & Wealthy, an established
business, executive health coach and dentist, has just been
awarded one of the highest accreditations possible in the
coaching profession – Professional Certified Coach (PCC)
awarded by the International Coach Federation.
Jane, who ran her own highly successful dental practice for
over 10 years in Buckinghamshire, is passionate about helping other dentists
evolve their practices from good to great; coaching Practice Owners and their
teams to continued success.
The ICF Professional Certified Coach credential is for the proven coach. Some of
the requirements include the completion of a set amount of approved coachspecific training, a minimum of 750 coaching experience hours and for the
coach to have at least 25 clients.
To see the full benefit of partnering with a highly accredited coach that
understands both business and practice needs, contact Jane at Healthy &
Wealthy.
Healthy & Wealthy specialises in offering business coaching to individuals and
groups, especially in the dental profession. To find out more, contact Dr Jane
Lelean on 01296 770462, email jane@healthyandwealthy.co.uk or visit the
website www.healthyandwealthy.co.uk.

Oraqix®: Non-injectable anaesthetic from DENTSPLY
With the Steele Report placing a renewed focus upon
preventive treatment, the ability to provide patients
with a more comfortable experience, without the use
of injectable anaesthetic, is distinctly advantageous and
can give your practice a competitive edge.
Oraqix (25/25mg/g periodontal gel,lidocaine,
prilocaine) from DENTSPLY is a patient-friendly,
non-injectable dental local anaesthetic, which has
been specially designed for scaling and root planing
procedures.
The anaesthetic effects of Oraqix last for approximately 20 minutes, with safe
usage of up to five cartridges per patient. This allows clinicians time to conduct
full mouth scaling and root planing in just one visit, whilst the patient enjoys a
more comfortable and positive treatment experience.
Oraqix periodontal gel can encourage patients to make regular visits by
providing an improved perception of receiving periodontal therapy.
The benefits of using Oraqix have also been supported by a clinical study
that confirmed the favourable anaesthetic efficacy of Oraqix over placebo in
pain sensitive patients, suggesting the gel may be a valuable alternative to
conventional injection anaesthesia.
For information call +44 (0)800 072 3313 or visit www.dentsply.co.uk

Reduce instrumental time by over 35% with
DENTSPLY
Making procedures simpler and quicker for the
practitioner and more comfortable for the patient is
integral for the effective provision of preventive care.
DENTSPLY supplies a range of products that are
specifically designed to provide the best clinical
outcomes for all stages of the preventive care
treatment process. With the renewed focus on
preventive care following the Steele Report,
clinicians can rely on DENTSPLY to ensure that a patient’s oral health is catered
for effectively and efficiently.
Time is a precious resource for practitioners and patients alike. Research
shows that ultrasonic scaling reduces instrumentation time by 36.6%, when
compared to hand scaling alone.
For hygienists who prefer to conclude treatment by hand, the extensive
range of Flexichange® hand instruments is a popular choice. Ergonomically
designed, the dimpled, soft-grip silicone material gives unprecedented grip
and rotational control, whilst preventing hand fatigue.
An excellent adjunct to prophylaxis is DENTSPLY’s Nupro paste: a low-splatter
polishing paste available in three grit sizes and flavours to provide effective
cleaning.
For information call +44 (0)800 072 3313 or visit www.dentsply.co.uk

The Market Leader: Cavitron™ Inserts Special
Promotion (4 + 1)
A name synonymous with quality, the Cavitron™
range of inserts from DENTSPLY offers practitioners
exceptional usage, along with improved patient
comfort.
For a limited period, when you purchase four Cavitron
inserts, you receive one insert free - giving you the
ideal opportunity to trial the new Cavitron THINsert™,
DENTSPLY’s recently launched scaling insert.
Working with any 30K Cavitron Ultrasonic scaler, the
THINsert is 47% thinner than the existing Slimline
insert, giving easy access to difficult to reach areas and maximising patient
comfort.
As the market leader in UK dental surgeries, Cavitron Inserts already provide
dental professionals with the highest quality instrumentation for periodontal
debridement, calculus removal and scaling requirements.
The Cavitron THINsert aids subgingival biofilm removal more effectively than
manual scaling and, as such, is one of the single most important instruments
for improving the periodontal health of patients.
With the DENTSPLY “buy four inserts, get one free” promotion, choose a
Cavitron THINsert and add the latest edition to your collection of quality
equipment.
For information call +44 (0)800 072 3313 or visit www.dentsply.co.uk

United Kingdom Edition

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 websitewww.kemdent.
co.uk.

Topdental Expands Alcohol Free
Disinfectant Range
Topdental (Products Ltd) have now
expanded their best selling alcohol
free range, the A.F. hard surface
disinfectants to include large size
wipes.
The A.F. high level surface disinfectant
range now comprises the spray,
available in a 500ml trigger spray and a
5 Litre refill bottle size, standard tubs of 100 wipes (size 185 x 135mm) and the
newly introduced large tubs of 200 wipes (size 200 x 200 mm).
The range is effective against: MRSA, E-Coli, HIV, TB, Pseudomonas aeruginosa,
Enterococcus hirae, Clostridium Difficile (C-Diff ) vegetative cell formation
(growing cells) of gram positive organisms, Staphylococcus aureus, Aspergillus
niger, Candida albicans and is tested to standards: BS EN14476, BS EN13727, BS
EN14204, BS EN13704, BS EN13624 and according to DGHM guidelines.
Topdental manufacture a wide range of infection control chemicals, which
cover all requirements in a typical dental surgery environment. Topdental are
also a leading specialist provider of every day dental sundries and disposable
dental products. The current offer sheet features our new A.F. range and can
be requested FREE by phoning 0800 132 373 or downloaded from our website
www.topdental.org

March 29 - April 4, 2010

Tasty Tooth Protection
GC UK’s extended Minimal Intervention
range of products includes GC Tooth
Mousse.
GC Tooth Mousse is water based sugar free
topical cream that contains Recaldent®
CPP-ACP (Caesin Phosphopeptide – Amorphous Calcium Phosphate). This
topical paste will provide extra protection for the patients’ teeth.
When CPP-ACP is applied to the tooth surfaces, it binds to biofilms, plaque,
bacteria, hydroxyapatite and surrounding soft tissue localising bio-available
calcium and phosphate. Saliva also enhances the effectiveness of CPP-ACP and
the flavour of the tooth mousse helps to stimulate saliva flow.
There is a wide range of benefits for GC Tooth Mousse. It can be used to
provide protection for teeth and to help neutralise an acidic oral environment.
Additional professional applications of the mousse will be immediately
following bleaching, after ultrasonic, hand scaling or root planing, after
removal of orthodontic brackets, following professional tooth cleaning, after
application of topical fluoride and also to provide a topical coating for patients
suffering from erosion, caries and conditions arising from xerostomia.
For further information please contact GC UK on (0044) 1908 218999 or e-mail
info@uk.gceurope.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.
Contact
Ivoclar Vivadent Ltd, Ground Floor, Compass Building,
Feldspar Close, Enderby LE19 4SE
TEL: 0116 284 7880

200th Velopex Diode Laser
Harley Street in London is now well
and truly on the map! Their first
Velopex Picasso Laser has been
installed at the Dental Practice at
number 52 which can now offer
all patients the availability of laser
treatments as well as the high quality
dentistry previously offered.
The Velopex Diode Laser contains two
lasers: a 10 Watt Gallium Aluminium
Arsenate (GaAlAs) diode laser and a small laser pointer. The GaAlAs laser is ideal
for soft tissue (gum) work – as it does not interact with teeth or bone.
The GaAlAs laser has a wavelength that makes it an ideal way to do minor oral
surgery. Using this laser, an area can be cut with localised haemostasis. Not
only does the laser cut but it also sterilises the tissues as well making for good
post-operative results.
The Velopex Diode Laser can also be used for Tooth Whitening. This allows
superb results to be obtained in surgery, in relatively short times.

Just Dental Supplies is a young and vibrant company new to the dental supplies
market. Our vision is a simple one, to deliver Quality, Value and Service.
Although a new company, Just Dental Supplies’ staff and advisors have a
wealth of experience in the dental suppliers market. We know what dental
professionals demand and understand how to deliver it.
Our online sales outlet www.JustDentalSupplies.com provides a streamlined
and secure online purchasing environment. All your financial details are
encrypted and our site has been designed to ensure your purchasing
experience is problem free. Our easy to use website gives you the functionality
to check your order status, compare products and save money. Just Dental
Supplies is an online business but always just a phone call away.

Patient feedback continues to be very positive with many patients commenting
positively on the laser.

Visit our website www.JustDentalSupplies.com.

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!”

Leading the way in infection control training
Every professional is aware of the importance
of continual education - Standing still in such a
fast-paced industry is a big mistake.
Industry leaders in infection control techniques schülke understand the need
to develop new skills and information, and as such have devised a selection of
training programmes perfect for even the busiest dental professional.

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

The interactive programmes have been designed in order to be able to link
up with the newest government guidelines on infection control, and are fast
becoming the key source of advice for all dental staff.
One of the programmes offered is the s4dental in-practice sessions, which
have been developed in conjunction with the British Dental Association,
Department of Health and COPDEND.
Everyone understands the importance of ensuring that infection control
training is kept up-to-date and relevant, and the dedicated team at schülke
can hep ensure that your team are as knowledgeable as possible.
For more information on the training visit www.s4dental.com or contact
Schülke on 0114 2543 500 or visit www.schulke-mayr.co.uk

[29] =>

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

[30] =>

30 Events

United Kingdom Edition

Sponsor Kitongo Hospital
With the help of Dentaid, you can help provide vital new
equipment for Kitongo Hospital’s dental school in Uganda

A

s part of an ongoing
project, dental health
charity Dentaid is aiming to raise enough money
to help provide Kitongo Hos-

pital in Uganda with a fully
equipped refurbished dental
surgery. This will allow for a
significant expansion of the
school and community outreach

services they can offer by providing a referral centre within
the hospital to which more serious and complicated cases can
be sent.

Kitongo Hospital was originally a community health centre,
however in January 2007 it was
upgraded to hospital status when
new departments, including a

!"+1) 02&00"
0") *6  &  &  

March 29 - April 4, 2010

new dental department were introduced. The renovation of the
centre has not yet been complete
and plans to put in a theatre and
increase the number of buildings are underway. The reasons
for this change of status came
about due to the high population and poverty level of the area;
people could not afford to travel
long instances to the next hospital and sometimes emergency
cases were not reaching hospital
in time.
Uncomfortable surroundings
Dental services were introduced
to the hospital in January 2007,
but due to lack of equipment
extraction is the only service offered. Dental procedures
are carried out in an office
chair, which makes the work
extremely uncomfortable for
both dentist and patients. The
instruments are sterilised using
a boiler as there is no proper
sterilisation equipment.
There is currently one fulltime dentist and a dental nurse
who are supported by volunteer students from the community who help out at chairside
and with the community outreach programmes. Treatment is
carried out for free as the hospital is supported by the Government, while wages and
con-sumables are provided by
Government funding.

www.dental2010.ch

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O at 2 years intervals
O the most important Swiss dental fair, displaying over 5‘000 m2 exhibition space
O Basel: more visitors from neighbouring countries

Filling the gaps
There is no national provision
for dental health care; it is up to
these kinds of dental centres to
fill this gap until a national strategy comes becomes reality. Dentaid is also involved in attempting to make changes at a higher
level through its advocacy strategic priority. However, changes
won’t happen in the near future
and oral health problems at the
grass roots need to be addressed
now. The project has significant
support from both the community and the government.

O easy access from all directions
O registration on-line for exhibitors; log-in at www.dental2010.ch
O in collaboration with the most important Swiss dental associations
patronage:
Swiss Employers Association
of Dental Branch

partner:
Swiss Association of
Dental Assistants

media partners:

dental_suisse_A4_e.indd 1

partner:
Swiss Dental Association

The Government, however,
does not give oral health high
priority and there is no funding
put aside for any kind of promotion of oral health care services in the district communities.
Dr Angel, the full-time dentist
for the Kitongo Hospital dental department has instigated
outreach clinics which take
place in schools and local community centres once a month.
Volunteers are also used for
these clinics. The school outreaches are undertaken for children aged between six and 13
and priority is given to the most
rural schools where the population would struggle the most to
receive dental care.

partner:
Swiss Federation of Dental
Laboratories

partner:
Swiss Dental Hygienist

If you are interested in sponsoring this project, contact Dentaid to find out more about the
costs on 01794 324249 or by
emailing info@dentaid.org. DT

REVUE DENTAIRE
ROMANDE

30.7.2009 9:29:40 Uhr

[31] =>

Classified 31

United Kingdom Edition March 29 - April 4, 2010

Something to
Smile about!...
SmileGuard is part of the OPRO Group, internationally renowned for revolutionising the
world of custom-fitting mouthguards. Our task is to support the dental professional with
the very latest and best oral protection and thermoformed products available today.

Custom-fitting Mouthguards* – the best protection for teeth
against sporting oro-facial injuries and concussion.
OPROshield – a self-fit guard enabling patients
to play sport whilst awaiting their custom–fit guard.
NightGuards – the most comfortable and effective way
to protect teeth from bruxism.
Bleaching Trays – the simplest and best method for
whitening teeth.
Snoreguards – snugly fitting appliances to
reduce or eradicate snoring.
OPROrefresh – mouthguard and tray
cleaning tablets.

In 2007, OPRO was granted the UK's most prestigious business award,
the Queen's Award in recognition of outstanding innovation.

www.smileguard.co.uk
email info@smileguard.co.uk or call 01707 251252

part of the oprogroup

* SmileGuard - the first to provide independent certification relating to
EC Directive 89/686/EEC and CE marking for mouthguards.

7320_09_3

mouthguard and tray
cleaning tablets

Geoff Long

FCA

Incorporation
Specialists
office@dentax.biz

Call 01438 7222242

Geoff_long_advert_2010v.indd 1

info@medicsfinancialservices.com
www.medicsfinancialservices.com
10/03/2010 16:19:08
+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

[32] =>

PE

F

GU

E

X

YEARS O

RTISE

C

SODY

L

OR

M CARE

DUAL CARE FOR
GUMS AND TEETH

CORSODYL DAILY GUM & TOOTH PASTE IS DIFFERENT
FROM REGULAR DENTIFRICES
The only formulation to contain
sodium bicarbonate, 1400 ppm
fluoride and six natural plant
extracts

Over 67% of the ingredients are
for the care of gingiva and teeth
– compared to 25% in many
other regular dentifrices

Free from sodium lauryl
sulfate – suitable for patients
using 0.2% chlorhexidine
digluconate mouthwash

Corsodyl Daily Gum & Tooth Paste is a clinically proven dentifrice,
which can kill bacteria that can cause gum disease1.
With regular brushing, it helps maintain firm and tight gums and a low gingival index2.

Recommend Corsodyl Daily Gum & Tooth Paste
because teeth need gum care too
References: 1. Arweiler N, Auschill T, Reich E , Netuschil L. Substantivity of toothpaste slurries and their effect on re-establishment of the dental
biofilm. J Clin Perio 2002, 29, 615-621. 2. Yankell SL, Emling RC. Two month evaluation of Parodontax dentifrice. J Clin Dent 1988 Suppl A, A41-3.

CORSODYL is a registered trade mark of the GlaxoSmithKline group of companies.

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[cover] => DT UK

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