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Dentistry hits headlines early in election campaign / News / Advertorial / News & Opinions / Bukumbi Bound / Commentary on “Facing the judge and jury” / Help or hindrance? / Looking good / Countdown to CQC registration / INFECTION CONTROL TRIBUNE 1/2010 (part1) / INFECTION CONTROL TRIBUNE 1/2010 (part2) / Stormy seas for pension plans? / Horizontal bone augmentation / Waging war on dental nurse wages / Industry News / Commitment to education / Classified

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Table of contents

April 19-25, 2010

PUBLISHED IN LONDON
News in Brief
Dental practice investment
The chief dental officer has
highlighted in his CDO update that under the new system, “PCTs can make investments in NHS dental services
from their funding allocations
in return for an agreement
related to improving the quality and possibly the quantity
of NHS services.” Dr Cockcroft added: ‘A convenient
way to do this is through an
amortised loan, and we have
published a contract template agreement on the NHS
Primary Care Commissioning (PCC) website to make
it easier for both parties to do
this, where they have agreed
that it is desirable and there
are funds available.” See:
www.pcc.nhs.uk/ conditional-grant-agreements
DCP national survey
Dental care professionals are
being asked to take part in a
national survey being carried
out by the Dental Programme
Board of NHS Medical Education England. One of the
primary aims of the review
is to assess the contribution
that dental care professionals
(DCPs) can make to the efficient and effective delivery of
primary care services. Information submitted in response
to this survey will create a
profile of how the broad skill
mix of dentists and dental
care professionals is currently used, and will provide an
evidence base for the working
group’s report, to be published
later in 2010. Participation in
the survey is voluntary, and
the closing date is 30 April.
For more information and to
complete the survey, please
go to: www.surveymonkey.
com/s/skillmix
Election site
Campaigning charity The
King’s Fund has launched a
web micro site highlighting the
political parties and their policies concerning healthcare to
coincide with the recently
announced election. The King’s
Fund is a charity that seeks
to understand how the health
system in England can be improved. Using that insight, the
charity helps to shape policy,
transform services and bring
about behaviour change. To
help demonstrate the different
parties’ approach to healthcare, the charity has developed
the ‘Your election check up’
interactive game. The game
is a means of demonstrating
the different approaches to
health and social care from
the three main political parties and acts as a gateway to
the wider election coverage
on the micro site. To play, go
to
www.kingsfund.org.uk/
general_election_2010/
www.dental-tribune.co.uk

News

Lucky The Lion

Schools initiative in Oxfordshire
gets lion’s share of interest

page 2

VOL. 4 NO. 10

Infection Control Tribune

Infection Control Tribune

Eliminating risk

Implementing IC systems

Kathy Porter shares ideas for
Infection Control Best Practice

pages 14-15

Dave Gibson looks at creating
a completely decontaminated
environment in the surgery

DCPs

Survey shocks

BADN’s Pam Swain reveals the
latests salary survey figures for
dental nurses

pages 19-20

page 25

Dentistry hits headlines
early in election campaign
NHS dental services become an early key election topic as the
political parties draw battle lines in Reading West constituency
about tooth decay among
children in the Reading West
area rather than a lack of capacity. She commented: “When
I have put the question to the
authorities they say there are
enough dentists and places for
NHS patients.
“But they need to work much
more closely with the council to
advertise properly and help peo-

N

HS dentistry hit the
headlines early in the
official election campaign trail as NHS dental services are highlighted in a trip to
Reading West.
Conservative Shadow Health
Secretary Andrew Lansley (pictured) visited the constituency,
tipped to be one of the more
hotly contested seats in May’s
General Election, at the local
Castle Hill Dental Clinic. The
aim of the visit, in conjunction
with Tory local candidate Alok
Sharma, was to hear firsthand
the views of patients and practitioners about NHS dental provision in the area.
Speaking at Castle Hill,
Mr Lansley said: “It has been
made clear that access to
dentistry is one of the things
people in Reading West are
particularly concerned about.

We are very aware that if we get
the right kind of relationship
with a dentist where we focus
on good dental health and prevention... we can end up with
dentists being able to look after
more people.”
Labour candidate Naz Sarkar
commented that if he won
the seat in May he would
scrutinise dentistry in the
area to make sure no-one was
missing out, regardless of their
financial situation.
“The Labour Party must not
get complacent over the issue
of NHS Dentistry. I don’t think
dental services are that bad
here. Most people are catered
for well, but there are pockets
that we need to look at.”
The
Liberal
Democrat
Party candidate Daisy Benson
said she was more concerned

ple get to see these dentists.”
Adrian Windisch, candidate
for the Green Party, said: “The
idea of the NHS was that all dental health would be free, but that
is not the case.
“We would bring back
free dentists for all by saving
money on scrapping things like
nuclear weapons.” DT

[2] =>

2 News

United Kingdom Edition April 19-25, 2010

Open wide with Lucky

L

ucky the Lion launched a
major schools initiative by
The Midcounties Co-oper-

ative in Oxfordshire to encourage
children to look after their teeth.
The 6ft cuddly character joined in

the fun in a pilot scheme which
started at Pegasus Primary School
in Blackbird Leys, Oxford.

Some 130 pupils aged five
seven learned about the importance of brushing their teeth
regularly and the need to reduce
sugary snacks and to eat the
right foods.
Each child received a special
information pack which included a funky toothbrush, toothpaste and a wooden toothbrush
holder. The youngsters also decorated the holder, which has a
two minute timer, so they know
how long to brush their teeth
each time.
Lucky the Lion took part in
demonstrations, which also featured a giant toothbrush and
a huge pair of teeth, to get the
message across.
Barbara Dunne, community co-ordinator for The Midcounties Co-operative, said:
“We are a trusted retailer
which believes in giving back
to the communities we serve.
We have developed this project in partnership with the
Oxfordshire PCT to encourage children in a fun and

Lucky the Lion at Pegasus Primary School in Oxford

New GDC Council member

T

he
Appointments
Commission has confirmed that David
Murphy (pictured) has been
appointed to the Council of
the General Dental Council

(GDC) with immediate effect.
David is a returning
lay member of the Council, having previously been
on the Council between

2003 and 2009. He is one
of 24 members, 12 lay and
12 professional.
David is currently Deputy
Secretary of NILGOSC, the

Northern Ireland Local Government Pension Scheme and
previously
held
positions with Methodist College, Grant Thornton, and
Queen’s University Belfast.
He is a Fellow of the Institute
of Chartered Accountants
in Ireland.

effective way
their teeth.

to

look

after

“We hope parents will reinforce that message at home. The
information packs we provide
include a toothbrush chart for
the children to draw a smiley
face on a calendar each day if
they have brushed their teeth
once in the morning and last
thing before bed.”
Pegasus headteacher Jill
Hudson said: “The children really enjoyed the sessions and
meeting Lucky. The project
complemented what they learn
in school as part of the curriculum for personal, social and
health education.”
Nicky Wadely, lead for Dental Commissioning for Oxfordshire PCT, said: “We were happy
to give our support when Midcounties approached us with
this initiative. There are obvious
benefits if children understand
what they need to do to keep
their teeth healthy and strong,
including seeing a dentist for
check-ups.” DT

He has held a number
of public appointments and
is currently a member of
the General Chiropractic
Council, a Board member
of Helm Housing and a lay
Member of the Solicitors
Disciplinary Tribunal for
Northern Ireland. DT

Dental practice wins Small Enterprise of the Year

A

dental practice in Buckinghamshire has won
the Small Enterprise of
the Year award.
Smile Design Dental Practice won the Small Enterprise
of the Year category at this
year’s Buckinghamshire Ambassadors Awards.
Dr Komal Suri and her
team (pictured) were presented with the award at the event
by Formula One champion,
Damon Hill.

Dr Suri said: ‘We are delighted to have won this award,
particularly as it is a team award
and recognises the efforts we all
put in to make this a successful
practice from a patient, employee and business perspective.’
Smile Design Dental Practice is recognised as one of the
country’s leading practices for
cosmetic and restorative dental
care, but it is also very much a
local practice providing general
dental care for residents in south
Buckinghamshire.

Dr Suri bought the practice
in 2002 and over the past e i g h t
years she has updated
the building and
invested heavily in state of the
art equipment
and training to
enable them to
offer patients a
complete care
package.
She said: “The
key to our success
has been the strength

Keep your business records in order –
before the tax inspector does it for you

S

pecialist dental accountants
are warning dental practitioners to ensure their business records are in order.
The warning comes after an
announcement by HM Revenue
and Customs (HMRC) that it is
cracking down on dentists and
other medical practitioners,
tracking down those who have
not declared their full income.
The Association of Specialist Providers to Dentists (ASPD),

have set out some of the HMRC’s
basic record keeping guidelines
for dentists.
These are:
• Don’t throw away business
records - keep business records
for at least five years and ten
months after the end of the tax
year the records relate to. Failure to do so could result in a fine
of up to £3,000.
• Keep business and home life
separate - business records and
personal records are kept sepa-

rate, with the help of a separate
business bank account.
• Sorry, sir. The dog ate it… - if
your business records are lost
or destroyed, unfortunately they
will have to be recreated.
Practitioners looking to stay
in HMRC’s good books should enlist the help of a specialist accountant for dentists who
is well versed in the preparation
of tax returns and submitting
them to the Inland Revenue, said
the ASPD. DT

of our practice-patient relationships. We spend a great deal
of time with our patients to ensure they are educated
about their mouths
and have all
clinical findings explained
fully before embarking on any
treatments or
programmes.
“The level of
training for all our

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

team is extremely high with
most of our clinical team considered among the leaders in their
profession.”
The Bucks Enterprise Awards
were created by the Buckinghamshire Ambassadors who
formed just five years ago. The
awards event was organised by
Buckinghamshire Economic &
Learning Partnership (BELP)
which aims to promote the sustainable economic development
of Buckinghamshire. 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] =>

‘

United Kingdom Edition April 19-25, 2010

Editorial comment

‘

Election fever – there is no cure!

So, election fever has
finally gripped the
country as the ‘UK’s
worst kept secret’ of
a May 6th General
Election has been
announced by Prime
Minister Gordon Brown.
Surprisingly, NHS dentistry
has hit the headlines early in the

newsletter

E

ducation and training
provider, Smile-on, offers busy dental professionals an easy way to keep their
finger on the pulse through its
online newsletter.

process as Tory Shadow Health
Secretary Andrew Lansley visited
a dental practice in Reading West,
a hotly contested seat – and gave
the Tory view on dental provision.
WithProRelief
this campaign
being 1
A4 ad_Sept 09.pdf
one the most publicly fought

election in the UK, thanks to our
24/7 need-to-know-all society of
news channels and social media,
it’s going to be hard to get away
from all aspects of the election
(although I’ll be giving it a good
go
– I’m in 13:05
Tanzania with B2A
11/09/2009
for two weeks before the elec-

tion!). I’m sure that NHS dentistry will remain at the forefront
of the campaign trail, and I hope
that after its all over, nothing but
good will come out of it for practitioners and patients.
And at least it’ll
give us something
else to concentrate
on than a certain
striker’s ankle and
an upcoming football event... DT

NEW

News 3
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

Instant & lasting sensitivity relief
with Pro-Argin™ Technology

By signing up for the free
Smile-on newsletter, you will receive regular updates on training, healthcare news and also
any special offers that will help
build your Continuing Professional Development (CPD).
A spokeswoman for Smile-on
said: “The Smile-on newsletter
will also advise on upcoming
webinars. A breakthrough in
education, a webinar is an interactive online tutorial from some
of the most highly regarded
dental professionals in their
field. Utilising this technology,
you can learn from the very best
in your own time, anywhere in
the world.
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Pro-Argin™ Technology, comprised of arginine and an insoluble calcium compound in the form of calcium carbonate,
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Keep your finger on the pulse with the
Smile-on newsletter

“Registered users on the
Smile-on website can also track
their CPD and explore the vast
array of flexible training programmes from Smile-on.”
She added: “Smile-on is dedicated to the dental industry by
promoting excellent patient care
and career satisfaction through
education and training. The
expert team from Smile-on are
also on hand to offer guidance
on the learning material so busy
professionals can meet their industry obligations, build their
CPD and advance their skills
within dentistry.”
For more information or to
sign up for the Smile-on newsletter, email info@smile-on.com
or visit www.smile-on.com. DT

Colgate® Sensitive Pro-Relief ™ with Pro-Argin™ Technology is the first toothpaste that is clinically proven to provide instant & lasting sensitivity relief 1- 6 :
• Instant relief when applied directly to the sensitive tooth with the ﬁngertip
and gently massaged for one minute1
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• 1450 ppm ﬂuoride for caries prevention
• Contains the Pro-Argin™ Technology
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for the daily oral care of sensitive teeth
1 Nathoo S et al J Clin Dent 2009; 20 (Spec Iss): 123-130
2 Ayad F et al J Clin Dent 2009; 20 (Spec Iss): 115-122
3 Schiff T et al J Clin Dent 2009; 20 (Spec Iss): 131-136

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4 Docimo R et al J Clin Dent 2009; 20 (Spec Iss): 17-22
5 Ayad F et al J Clin Dent 2009; 20 (Spec Iss): 10-16
6 Docimo R et al J Clin Dent 2009; 20 (Spec Iss): 137-143

www.colgateprofessional.co.uk

[4] =>

4 News

United Kingdom Edition April 19-25, 2010

Cuts to dental school budgets

C

uts in dental school
budgets could affect
the training of dental students, impacting on the
skills and quality of new dentists, according to the British
Dental Association.
The British Dental Association’s (BDA’s) warning follows
the recent announcement by

the Higher Education Funding
Council for England (HEFCE)
that funding allocations for
universities and higher education colleges for 2010-11 will
be reduced.

est edition of the British Dental
Journal (BDJ), claimed that cuts
to posts in dental schools would
exacerbate the inadequate staff
resources that institutions are
already confronting.

Prof Paul Wright, chair of
the BDA’s Central Committee for Dental Academic Staff
(CCDAS), writing in the lat-

He argued that every extra student in a clinical session
without a concomitant increase
in supervision means risking a

reduction in the quality of care
for patients that can be assured.
Prof Wright also warned the
way dental academia is funded, with money coming from
both the HEFCE and the NHS,
means that schools are at risk
of a far greater cut to their finances than might be anticipated or intended.
Prof Wright said: “We recognise that the public purse faces

a challenging time. We also recognise that academics in many
disciplines will be making
their cases for the preservation of their particular subject
areas. Dentistry really is in a
unique position though; in the
way it is funded, the already
stretched position it is in, and
the value to society of the graduates it produces.”
He added: “Cuts to dental schools’ budgets threaten
the high quality of both the
dentists and the research that
UK institutions produce. We
urge extreme caution by universities as they absorb HEFCE’s
announcement.”
The BDA will be submitting
evidence to the Independent
Higher Education and Student Finance Review. The review
has been tasked with looking at
the higher education system in
its entirety. DT

New editor
for FGDP
journal

J

ohn Stanfield has been made
the new editor of Team in
Practice, the Faculty of General Dental Practice (UK)’s journal for dental care professionals.
Mr Stanfield, a dental hygienist, replaces Professor Ken Eaton
who has held the post of editor
since the journal was launched
in 2004.
Team in Practice is a continuing professional development journal, written by dental care professionals (DCPs),
with a focus on peer learning
and best practice.

REMIN PRO –
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r(KNNUUWRGTƂEKCNGPCOGNNGUKQPUYKVJJ[FTQZ[CRCVKVG

Mr Stanfield has served on
the editorial board of Team in
Practice for the last three years
and has represented dental hygienists on the FGDP (UK) Board
since 2006.
He is also an assessor in
key skills for DCPs and is vice
chair of the Faculty of General
Dental Practice (FGDP) (UK)’s
DCP Committee.

r5KPINGCRRNKECVKQPCHVGTEQPUGTXCVKXGFGPVCNVTGCVOGPV
GURGEKCNN[CHVGTYJKVGPKPICUYGNNCURTQHGUUKQPCNENGCPKPI
r#XCKNCDNGKPOKPVOGNQPCPFUVTCYDGTT[
r(QTWUGKPVJGUWTIGT[CPFCVJQOG
r%TGCVGUCRNGCUCPVHGGNKPIKPVJGOQWVJ

He called it a ‘great honour’
and said: “Team in Practice offers
readers a great opportunity to
learn from the practical experiences of colleagues and read the
latest evidence for best practice.
I hope to see the journal go from
strength to strength in supporting the dental team to achieve
excellence in their work.” DT

Please visit us at
British Dental Conference & Exhibition
Liverpool · 20.-24.05.2010 · Stand B71

81%1)OD*21$QZ%WZJCXGP)GTOCP[6GN   (CZ   YYYXQEQEQO

VOCO_DTI-UK_1010_ReminPro_210x297.indd 1

The journal aims to update all
members of the dental team on
issues affecting everyday working practice, including analyses
of how and why problems arise
and ways to improve outcomes.

09.04.2010 11:31:50 Uhr

[5] =>

United Kingdom Edition April 19-25, 2010

Advertorial 5

DIO Professional Implant Education
Following the success of the UK’s first public live theatre at the Dentistry Show,
DIO Implant continues to boldly progress with its mission to change the face of the UK
implant market for the better of everyone. DIO’s Managing Director explains, “For most
patients, dental implants are a necessity. At DIO, we aim to bring the benefits DIO provides
in overseas markets to the UK.”. He continues, “Dental implant treatment should be accessible
by any patient who needs it, without compromising on quality of treatment or jeopardising
the livelihoods of our valued UK implantologists ”.

he next stage of their roadmap is to introduce a dedicated educational programme, designed especially for dentists wishing to
provide the highest standard of care to their patients.

The format of the course addresses both the requirements of practitioners looking to start providing dental implants as well as those who
are already placing implants from other manufacturers.
For non-implant dentists, the introduction days lead on to a one-year,
hands-on and distance learning certificated course, equivalent to approximately 120 hours of verifiable CPD. The course, directed by Sam Mohamed of Smile Lincs, aims to impart everything a qualified dentist needs
to know in order to confidently provide dental implants to their patients.
Introductory two-day course
During an initial two-day course practitioners
are given an overview of the evolution of dental
implants and how they can be integrated into a
normal dentistry practice in the most cost-effective way. The course looks at the basics of dental
implantology, discussing osteointegration, treatment planning principles, radiographic techniques and restorative techniques. It also covers more practical aspects
of dental implantology such as practice setup and marketing and introduces patients to implantology to ensure a good return on investment.
Day 1 is aimed at providing non-implant dentists with an introduction to implant procedures. Practitioners will leave knowing whether
dental implants are both right for them as an individual and a feasible
business proposition for their practice. DIO is also welcoming existing
implant practitioners on the introduction day, which DIO claim exposes
them to a new perspective and allows for non-biased discussions and a
healthy propagation of expertise to all attending.
Day 2 focuses on the clinical and restorative aspects of DIO Implants
in more depth and is therefore applicable to both new an existing implantologists alike.
Once the introductory course is complete, practitioners can confidently decide whether to sign up for the year-long modular course to
expand their knowledge and become implantologists. Mr Forster states,
“Dr Mohamed and I struck a chord – we both have the interests of UK
dentists at heart. Sam has extensive expertise and relentless
enthusiasm. Combine these qualities with a genuine desire to help individuals achieve at the
highest level and you have the ingredients
for success.”
Modular Course
The year-long modular course aims to
provide dentists with everything they
need to know to become knowledgeable
and confident implantologists. The course
includes ten in-depth modules, both theoretical and practical, covering:
• Osteointegration
• Biomaterial in relation to bone orgmentation and
membranes
• How to select suitable dental implant patients

• Treatment planning
• Radiographic techniques in implant dentistry
• Surgical techniques
• Surgical kit orientation
• Possible surgical complications
• Restorative techniques
• CT scanning and computer guided surgery
• Marketing and promoting your new service
Dentists are mentored throughout the course by Dr. Sam Mohamed and his team. Dr. Mohamed is a highly trained dental implant surgeon. Having trained with some of the world leaders in implant dentistry, including Dr. Hilt Tatum Jr., the former president of the American
Academy of Implant Dentistry (AAID), and Prof. Manuel Chanavaz, the
Head of Oral and Maxillofacial Implantology Department at the University of Lille2, Dr Mohamed has been placing implants for over 13 years.
He is a member of both the Association of Dental Implantologists (U.K)
and the AAID.
Dr. Mohamed said, “Practitioners will attend our purpose built once
a month to perform implant surgery under close supervision. This will
give them real, hands-on experience and will quickly build their confidence in their own skills.” To supplement
the hands-on training, Dr Mohamed is providing distance-learning facilities via the
Internet.
Once the course has been completed
practitioners will be awarded a certificate
and logbook showing the number of patients they have treated and the individual details of each case. Most importantly
though, dentists completing the course will
have all of the skills they need to effectively
place implants and treat most patient cases. However, the professional
support doesn’t stop there. Successful implantolgists are supported by
Dr Mohamed’s “Continuing in Excellence” mentor program.
Marketing Assistance
DIO is very much aware that it’s all very well for dentists to learn new
skills and develop new products, but the effort is useless if their patients
are not made aware of the services that are on offer.
So, to help dentists promote their new techniques the
company is providing advice and guidance on marketing techniques that dentists can employ to spread
the word. These can include help with local PR,
website design, brochure and leaflet design and
production, Search Engine Optimisation, the use
of social networking, etc.
For more information on DIO implants and their
training programmes visit www.DIOUK.com or call
0845 123 3996.

[6] =>

6 News

United Kingdom Edition April 19-25, 2010

Specialist Care Dentistry deadline approaches

join the list on the basis of the
relevant specialist training, qualifications and experience they
have acquired to date.

There are now only six
months until the end of the transitional period for joining the
Special Care Dentistry list.

Special care dentistry is concerned with improving the oral
health of individuals and groups
in society who have a physical,
sensory, intellectual, mental,
medical, emotional or social impairment or disability, or a combination of these.

he deadline for joining
the Special Care Dentistry
List is fast approaching.
The General Dental Council’s
(GDC) Special Care Dentistry list
opened on 1 October 2008 and
the transitional period will close
on 30 September 2010

After this date, UK applicants
will need to hold a Certificate of
Completion in Specialist Training to join the list. Registered
dentists can currently apply to

The General Dental Council (GDC) website www.gdc-uk.org

In particular, this area of dentistry focuses on adults and adolescents requiring special care.
A spokeswoman for the GDC

said: “Since the list opened in
October 2008, 119 dentists have
joined it. But we would strongly
encourage other appropriately
trained, qualified and experienced dentists who wish to join
the list to submit their applications as soon as possible to avoid
unnecessary delays or missing
the deadline of the transitional
period on 30 September.”
Dentists wishing to join the
list can download an application pack from the GDC website
www.gdc-uk.org or contact the
GDC registration team by email
assessments@gdc-uk.org or by
phone on 020 7344 3741. DT

Eastman paediatric dentist wins prestigious award

he UCL Eastman Dental Institute
(EDI)would like to congratulate Purvi
Shah, an SpR in Paediatric Dentistry
at the Eastman Dental Hospital (EDH) on
winning the British Society of Paediatric
Dentistry (BSPD) Poster Prize at the National
meeting in September 2009.
The prize is awarded annually to a BSPD
member for the best poster presentation of the
conference. Entitled Double teeth: A review of
cases at the Eastman Dental Hospital, the poster was based on work she undertook as part
of her training.
The prize-winning project had been su-

pervised by Dr Paul Ashley of
UCL Eastman Dental Institute,
Mr Joe Noar and Mrs Prabhleen
Anand of EDH, who were all coauthors of the poster.
The Eastman Dental Hospital is part of University College
London Hospitals NHS Foundation Trust.
For more information on
taught or research programmes,
please contact the Admissions Officer on 020 7915 1092 or academic@eastman.ucl.ac.uk. DT

Image from left to right: Paul Ashley, Prabhleen Anand, Purvi Shah and Joe Noar.

New President for British Dental Health Foundation

aniel Davis has been
elected as the 19th President of the British Dental Health Foundation.
The news was announced at
the Foundation’s Annual General Meeting, held on March 24 at
the Royal Society for the Promotion of Health in London.

Daniel, Operations director at dental supplier Plandent

Limited, follows in his father’s
footsteps, John Davis, who was
instrumental in setting up the
Foundation back in 1971 and
became the first non-dentist
Chairman in 1989.
After the ceremony Daniel
began his two-year term by
thanking predecessor Chris Potts
and said he was looking forward to moving the Foundation
forward during his presidency.

He commented: “The coming years see an exciting challenge for the Foundation both
in the United Kingdom and internationally. The audience to
which we are promoting good
oral health messages to is growing all the time and with the
implementation of newer and
more efficient strategies I hope
this trend will continue.
As President, Daniel will

lead the trustee board and act
as a figurehead for the British
Dental Health Foundation.
The charity has been working hard to improve the public’s
oral health, raising awareness
and encouraging healthy lifestyles. Daniel added: “I would
like thank the board and Foundation’s members for electing
me and hope 2010 will prove a
great success.” DT

"We don't worry about
our NHS compliance
anymore".
Dental Air has one of the best customer service reputations in the
dental industry, and with our fast call out times, it is no surprise that
we are the leading supplier of oil-free compressed air packages.

19th BDHF President Daniel Davis

[7] =>

News & Opinions 7

United Kingdom Edition April 19-25, 2010

GDPUK round-up
The GDPUK online community is always keen
to air and share its views, and this month sees
the launch of its new exhibition review section,
says Tony Jacobs

T

his has been another busy
month on GDPUK, with
the launch of our Dental
Show Reviews site www.dentalshowreviews.co.uk. This new
part of the site is like ‘Trip Advisor’ for the present proliferation
of dental exhibitions. It allows
dentists, their teams and the
dental trade, the exhibitors who
pay for the shows, to rate events
themselves, and thus provide
mutual feedback. This in turn
will help colleagues, and perhaps
the trade, to decide which show is
best for them to visit.

from theA4radiograph,
suggesting
help. Therefore, in say 20 years,
lightbulb CIC advert-amended-text.pdf 1 12/04/2010 17:18:19
that a national register would
one could go there and see the

make and type of implant placed.
Especially amusing was the
story of a patient (aged 84!) who
took revenge on a dentist by leaving a home-made bomb outside
the practice.
As always, there are many
topics lifting the spirits of those
involved in the thread. One of
these is the story of concerning the consolidation of the
hundreds of thousands of messages on GDPUK. As part of this

On a more serious note, some
exclusive news has already been
published on the site concerning
a GDC meeting held in camera,
when it is usually open to the
public. As secrecy was maintained, rumours concerning what
was discussed began to circulate,
culminating in someone resigning from the GDC, and that there
was a financial problem and a potential rise in the ARF. The truth
in these matters is yet to be clarified, but as you can imagine this
provided grist to the GDPUK mill.
Surprisingly to me, the NHS
dentistry pay cut announced by
the Government in mid March
was met with little comment on
the forum. There was no rush to
man the barricades. How can this
be analysed?
C

M

Y

CM

MY

CY

CMY

Strange but true?
Of course GDPUK wouldn’t be
the same without its range of
little anecdotal snippets floating
around its cyberspaces. For example, one asked whether silicone impression material could
be removed from one’s clothing.
Another raised the topic concerning the difficulty in sometimes identifying an implant
K

About the author
Tony Jacobs, 52 is
a GDP in the suburbs of Manchester, in practice with
partner Steve Lazarus at 406Dental
(www.4 0 6dental.
com). He has had
roles in his LDC,
local BDA and with
the annual conference of LDCs, and
is a local dental
adviser for Dental
Protection. Nowadays, he concentrates on GDPUK, the
web group for UK dentists to discuss
their profession online, www.gdpuk.
com. Tony founded this group in 1997
which now has around 7,000 unique
visitors per month, who make 35,000
visits and generate more than a million pages on the site per month. Tony
is sure GDPUK.com is the liveliest and
most topical UK dental website.

The

Clinical Innovations

Conference 2010 | The state of the Nation
Friday 7th and Saturday 8th May

The Royal College of Physicians, Regent’s Park,
London
World Class Speakers: Julian Webber,
Kevin Lewis, Achim Schmidt, Eddie Lynch,
Basil Mizrahi, Wyman Chan, Trevor Bigg,
Jonothan Britto, Joe Omar, Seema Sharma,
Bruce Bernstein ...many more to come.
Go to www.clinicalinnovations.co.uk
or call 020 7400 8967

project, a colleague will collect
and collate the 100,000 messages
posted on Yahoo groups, so that
other colleagues can turn it into a
searchable database, which will
eventually be part of the present
GDPUK.com site. Hopefully, this
project will probably be complete by the time you read this.
One colleague is determined the
British Library shall be able to
access the data for future historians to consult on the way trends
in UK dentistry unfolded. DT

[8] =>

8 Feature

United Kingdom Edition April 19-25, 2010

Bukumbi Bound
With the trip to Tanzania only days away, Dental Tribune details
recent fundraising efforts and a growing sense of panic!

I

t’s one week to go before
the trip, and I’m getting in a
right flap about everything!
What to pack, what not to pack,
remembering any of the Swahili
phrases which might come in

handy, sourcing my malaria tablets... you name it, I’m flapping
about it!
Of course, all of this flapping
is covering up my anxiety about

the trip. Don’t get me wrong,
I’m extremely excited, but
you can’t help worrying about
whether or not you’re up to
the task or if you’ll cope in the
heat. However, I know that

when we get out there all the
worrying will be in vain as
I know that we will be a very
motivated and committed team
and will throw ourselves into
the experience.

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Speaking of committed, or
needing to be, four intrepid fundraisers stepped out very early into
the Kent countryside to complete
a marathon hike around Bewl
Water, the perimeter of which
is 17miles. Having endured all
the ‘jokes’ about walking around
Bluewater, which for those not
living in the Southeast is a shopping complex (and believe me
by the end of it I was wishing it
was Bluewater!!) it was time for
Schulke UK’s Andrew Thurston,
Anne Harris, Jacqui Entwistle
and myself to follow the picturesque Round Bewl Water walk.
This name is a bit of a misnomer,
as for long stretches of the walk
we couldn’t even see the water!
However, it was a beautiful place
to trek for miles, we were extremely lucky with the weather
as it was a lovely sunny Spring
day with just enough breeze to
stop us from overheating and we
were suitably exhausted at the
finish to regret any plans more
energetic than sitting in a warm
bath that we had made for the
rest of the weekend!

‘This easy way of
helping us raise
money for this
worthy cause goes
straight to the
charity, and allows
you to add Gift Aid
to your donation’
A big congratulations to the
team for completing the walk
and keeping their enthusiasm
and spirits up, even in the face
of Andrew’s terrible jokes (it’ll
be a long two weeks in Tanzania
if that was his best material...);
even bigger congrats to Jacqui
who did the majority of the walk
with an extremely painful blister
on her foot and who by the end
was barely able to hobble.

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

Contact your local KaVo or

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Another fundraising effort
from a member of the team going to Bukumbi was led recently
by Henry Schein Minerva’s Len
Camporeale, who with some
members of the HSM team
(Louie (Marketing) and Wayne
(Warehouse)) camped in the car
park of the company’s UK head
office and asked the TSMs to donate a day or a week’s commuting expense to the project. From
all accounts, it was more comfortable than some of the hotels
the team had stayed in!
To support these fundraising
efforts, go to www.justgiving.
com/bukumbibound and donate. This easy way of helping us
raise money for this cause goes
straight to the charity, and allows you to add gift Aid to your
donation if you are eligible so the
taxman has to help us too! DT

[9] =>

United Kingdom Edition April 19-25, 2010

Commentary on “Facing the judge and jury”
Chris Morris comments on DT’s article Facing the Judge
and Jury published in Volume 4, No. 5 of Dental Tribune

have spent nearly 20
years defending hundreds of dentists before
the various Committees of
the General Dental Council
(GDC) and so read Mr Goodwin’s article with interest.
Unfortunately, I fear that in
a number of respects I found
the article confusing and I
hope you will permit me to
offer some observations for
the benefit of readers of the
Dental Tribune.
Facing the Judge and Jury

Fitness to Practise
Procedures
The Fitness to Practise procedures at the GDC are fairly
labyrinthine but Mr Goodwin’s
article makes them appear more
impenetrable than needs be. Indeed, I am still not sure whether his article intends to refer to
the Interim Orders Committee
(“IOC”); the Professional Conduct Committee; or the Investigating Committee.

Put simply, all complaints
and convictions notified to the
Fitness to Practise Department
at the GDC (other than those
screened out at an early stage)
are referred to an Investigating
Committee for consideration.
That Committee can decide to
take no further action; issue an
advice or a warning; or refer the
case to one of the Practice Committees. The Practice Committees comprise the Professional
Conduct Committee, the Health
Committee and the Professional
Performance Committee. Their
titles are self-explanatory and
the Committees deal with conduct, health and performance issues respectively.
A practitioner receiving any
correspondence from the Fitness
to Practise Department of the
GDC would be well advised to
seek immediate assistance from
his defence organisation (or a
suitably experienced lawyer if he
does not have defence organisation membership).
The IOC
There is a further strand to the
GDC’s Fitness to Practise procedures which is also referred to
in Mr Goodwin’s article. This is
the IOC. This Committee has the
power to impose an Interim Order upon a practitioner’s registration for a period up to 18 months
(and thereafter the High Court
can extend the Order for longer)
if the Committee consider that it
is necessary to do so to protect

the safety of the public; or the
practitioner; or it is otherwise in
the public interest to do so. This
Committee decides whether it is
necessary to impose an Interim
Order usually until such time as
the case has been considered by
a Practice Committee. It does not
make any determination as to
whether a practitioner’s fitness
to practise is impaired, which is
a decision only a Practice Committee can make.
Cases may be referred to the
IOC at various stages of the Fitness to Practise procedures including at the outset (ie before
the case is even considered by an
Investigating Committee); or by
the Investigating Committee following its deliberations.
It is right to indicate that time
can be quite tight when preparing for an IOC hearing, although
this should never be a barrier to
a properly prepared case.
In the event that a case is referred to the IOC, the appropriate document to be considered
by the dentist and his defence
team is entitled Guidance for the
Interim Orders Committee – the
latest version of which was published by the GDC in October
2009 and available on their website at www.gdc-uk.org (and not
the document referred to in Mr
Goodwin’s article).
Mr Goodwin’s article indicates that a dentist will need to
take a number of steps to defend his position in the event of
an IOC referral. In reality those
steps will be taken on his behalf by his solicitor albeit with
very considerable input from
the practitioner. These are likely
to include the taking of detailed
instructions (not necessarily in
the form of a statement) - for the
eyes of the defence team only;
the obtaining of any expert evidence required; the obtaining of

references (if appropriate although they are not
frequently used at an IOC
hearing); the obtaining
of any documentary evidence which may assist
to present the dentist’s
defence; and a careful
consideration of any conditions which might be
proposed to the Committee on the dentist’s behalf.
It is highly likely that the
solicitors will also brief a
barrister on a dentist’s behalf who will present the
defence case before the Committee at the hearing.
It is important to emphasise
that the IOC is required to review
its Order every six months which
provides an opportunity for the
dentist (or the GDC) to apply
for amendments to the Order if
there has been a change of circumstances (either for the better
or worse).
Finally, Mr Goodwin, very
openly, accepts that he has not
dealt with what he describes as
the “appeal procedure” that is
available against Interim Orders.
It is not, in fact, an “appeal procedure” but an application to set
aside an Interim Order, which
is made to the High Court. My
firm obtained such an Order
against the GDC in 2008 in the
case of R (on the application of
Shiekh) –v- General Dental Council (2007) which is now referred
to as a benchmark by lawyers in
most GDC and GMC Interim Orders hearings. It should be noted
that an application of this nature
is unlikely to succeed except in
unusual circumstances and the
practitioner (or his defence organisation) is put to a considerable costs risk if it fails.
My firm has produced a
brochure headed “The General
Dental Council’s Fitness to Practise Procedures” which I would
be delighted to make available to
any readers if they would like to
contact me at c.morris@hempsons.co.uk (or call me on 020
7839 0278). DT

About the author
Chris Morris BDS LLM MBA is a partner at Hempsons Solicitors and Head
of the Dental Team. He first qualified
as a dentist and spent several years in
general dental practice before retraining as a solicitor with Hempsons. Chris
specialises in all aspects of dental law
acting for defence organisations, dental institutions and many individual
practitioners. He is the current President of the Dental Law & Ethics Forum.

Flexibility is our Strength

[10] =>

United Kingdom Edition April 19-25, 2010

Help or hindrance?
James Shedlow discusses the new Personal
Dental Services Plus Agreement and the array of
new practices and procedures dentists will need
to put in place as part of its implementation

F

rom October 2009, the new
Personal Dental Services
Plus Agreement was released ahead of schedule by several Primary Care Trusts (PCTs)
across the country as part of the
tendering process. This new form
of agreement is aimed at tackling
current access and inequality
problems surrounding the provision of NHS dental services.
The new proposals have already caused a furore within the
dental community, and dragged
the British Dental Association
(BDA) and the Department of
Health (DH) into a stand off. The
main concerns appear to include
the complexity surrounding the
calculation of the payments due
under the new regime, as well
as the significantly increased administrative burden facing dentists under the provisions of the
new agreement.
Payment issues
Under the revised provisions,
the payment system will be
overhauled with practices only
receiving half the agreed payments each month and the remainder being paid in quarterly
lump sums.
The reliance on UDAs as
the sole measure of performance will be a thing of the past.
Instead dentists will be obliged
to provide their services to
patients in accordance with
and subject to the key performance indicators (KPIs) set out in
the agreement.
The KPIs fall into five categories – Access, Effective Care,
Health Promotion, Value for Money and Patient Experience (all of
which are weighted differently
under the agreement in terms of
importance). Fur-thermore, there
are three bands of performance
level in respect of each category:
Band A (desired performance),
Band B (minimum acceptable
performance) and Band C (unacceptable performance).
For each KPI category and
relevant performance band (in
respect of which guidance is
given within the agreement as to
what level of performance would
equate to the appropriate band),
there is a corresponding payment band.
However, in this regard the
KPI payment calculations are
so intrinsically complex that it
is envisaged that the calculation

of the end figures ultimately payable will prove extremely problematic for dentists.
Administrative burden
There is considerable concern
that dentists will become embroiled in a mountain of paperwork and bureaucracy under the
provisions of the new agreement.
It is generally considered that at
least one very competent practice
manager will be essential to deal
with such administrative requirements, which will include the
implementation of the following
policies and procedures:
The contracting dentist will
be obliged to develop and implement a “continuous improvement
plan” in relation to the services,
utilising an evaluation process
and patient satisfaction surveys
agreed with the PCT, to ensure
that the quality of the service is
improved. In addition, there will
be a requirement to regularly review the KPIs in accordance with
the performance bands specified
under the agreement so as to ensure that the performance of the
services is improved.
Clearly, this is going to be a
very intensive and time-consuming process.
The dentist will be required
at all times to act with full regard
to the safety of all people at the
practice premises (this will involve the preparation of a suitable
Health and Safety Plan), to comply
with all Care Quality Commission requirements and “aspire” to
achieve a top performance rating
in respect of the KPIs (although
quite how such ‘aspiration’ is to
be measured remains a mystery).
A “quality assurance system”
must be put in place that is followed by anyone assisting in the
performance of the services under the agreement. This system
must reflect the KPI requirements
under the agreement.
The contracting dentist is required to ensure that there are in
place arrangements for all performers and staff at the relevant
practice to maintain and update
their level of competence, skills
and knowledge.
No further detail is provided
under the agreement, but the implication is that associates need time
allowed for career development
and that the practice needs to have
a firm training policy in place.

The revised Clinical Governance provisions in the agreement
require the dentist to go beyond
simply complying with the PCT’s
arrangements in this regard and
instead the putting in place of an
“effective system” of clinical governance (for example, a firm and
structured arrangement through
which the dentist endeavours to
continuously improve the services offered).
Aside from this, little guidance is provided as to the creation of an effective system of
clinical governance save that
there is a requirement to comply
with the PCT’s instructions in
this regard.
There is a formal requirement of strict compliance with
the Data Protection Act 1998
and for the contracting dentist
to have in place suitable systems
and policies to ensure information security.
In this regard, the BDA has
confirmed that it will shortly be
providing comprehensive advice
regarding the handling and management of patient information.
An unfortunate paradox
Such issues as highlighted in
this article only serve to illuminate the stark paradox beginning to progressively engulf
the Personal Dental Services
Plus Agreement. Namely, that
in its present form, it would
appear the agreement through its heightened bureaucracy and innate complexity
carries the danger of further reducing the accessibility of the
public to NHS dental services,
as well as the ability of dentists
to concentrate on the provision
of such services.
These are of course the
very same issues that it was
hoped this new form of NHS
agreement would tackle upon
its inception. DT

About the author
James
Shedlow
joined
Cohen
Cramer in 2008 and
is a key member
of the dental team
working on practice sale and acquisition transactions.
His particular area of expertise is in
the corporate field, specialising in the
preparation of expense share agreements and the incorporation of dental
practices. To contact Cohen Cramer solicitors, call 0113 2440597, email dental.team@cohencramer.co.uk or visit
www.cohencramer.co.uk.

[11] =>

United Kingdom Edition April 19-25, 2010

Looking good
Referrals in the facial aesthetics field are growing
says Dr Bob Khanna

eferrals are the lifeline
of many specialist dental
practices, with professionals relying on the confidence
of their peers to provide a steady
flow of patients.
This is a method that has
worked well in the industry for
many years, but doesn’t seem to
have taken off within the facial
aesthetics field with quite the
same gusto. However, I think this
is changing, and would suggest
that facial aesthetic referral practices are the next progression for
optimum aesthetic delivery.
A facial aesthetic referral
practice works in the same way
as any other referral practice. If
someone is not confident in carrying out a treatment, they contact a
peer who may be more proficient
in the treatment concerned. After all, not many GDPs would be
prepared to carry out full-mouth
implant restorations. Similarly,
someone who is proficient in
dealing with simple marionette
lines is hardly likely to want to
attempt a full facial rebuild with
dermal fillers.

implementation within a surgery
is very simple. Courses should
provide help and support to
newly qualified practitioners,
and offer advice as to how best
to market the practitioner’s

new found skills to patients.
However, setting up a referral practice is slightly different,
especially if a practitioner is
already well known for a different
modality.

Practice Management 11
mates. Hence the demand is clearly out there for patients wanting
such treatment, therefore driving
the process forward.

That said, I still believe that
setting up a facial aesthetic referral practice is easier than setting
up, for example, an endodontic
referral practice. If a patient needs
endodontic treatment, they need it,
regardless of whether they want it.
A ‘need’ is never as desirable as a
‘want’. People seek facial aesthetic
treatments because they ‘want’ to
look younger and better. It has also
been shown in numerous surveys
that people will spend on ‘wants’
regardless of poor economic cli-

A practitioner is in the unique
position of being able offer patients
effective and successful treatment.
The market is already there, and it
is booming. Not having to create a
market, instead having to tap into
an already existing one, makes
setting up a successful referral
practice simple and effective. DT

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on your iPhone
or Blackberry
with PEARL

Pain relief
I receive a lot of referrals, not only
from dentists but also from GPs
and plastic surgeons, whose patients have come to them seeking
help for genuine medical problems, as apposed to aesthetics.
Many people are unaware that
the mainstay of the utilisation of
Botox is still medical therapeutics
and not aesthetic at all. The therapeutic use of Botox and dermal
fillers is growing at a great pace.
Everyone knows about the anti-wrinkle effects of Botox, but it is
not widely known that it can also
act as a powerful muscle relaxant,
often easing pain and suffering in
areas such as the neck, shoulders
and jaw. It has also recently hit
the headlines with news of people having treatment for common medical complaints, such
as bruxism, persistent headaches
and other muscle spasms.
When someone has received
appropriate training in delivering facial aesthetic treatments, its

About the author
Dr Bob Khanna is
widely regarded as
one of the world’s
leading exemplars of
dentistry and facial
aesthetics. He is the
appointed
clinical
tutor in facial aesthetics at the Royal
College of Surgeons and has trained
thousands of dentists and doctors
through the Dr Bob Khanna Training
Institute. For information, call 0118
9606 930 or visit www.drbk.co.uk.

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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
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PracticeWorks

www.practiceworks.co.uk

[12] =>

12 Feature

United Kingdom Edition April 19-25, 2010

Countdown to CQC registration
Is your PCT ( preventive care team)
ready ? asks Seema Sharma

A

ll NHS and private dentists
have to register with The
Care Quality Commission in
2011, and CQC has developed a set
of outcomes around personalised
care, treatment and support.
How many times have you been
to a practice building seminar which
tells you that your hygienist is the
key to your practice’s success? Well,
here is an opportunity to tie this
success back to CQC requirements,
demonstrate how you provide personalised care for all patients and
free your time up for higher production dentistry – the dentistry you
trained to do. Practice management
gurus tell you time and time again
that most of your practice’s success
is sitting unclaimed in your filing
cabinet, and your hygienist can help
you unlock it. The key, however, is
elusive unless you develop systems
to monitor how you deliver care and
use your teams effectively.
The previous article explored
how patients can be risk assessed and
patient databases can be profiled according to need to develop clinically
driven practice management systems.
This provides a system to tailor care
to the patient’s needs...and fits
well with private practice profits,
the Care Quality Commission

Green
Low risk

and the care pathways outlined in the
Steele Review. And why wouldn’t it? After all it’s just “good dentistry” !
Green (low needs) patients do not
need to clog your diary up by coming
in for a chat and a check-up! Send
them away for a two-year ‘NICE recall’ but remember a recall is a “review of oral health”, not a scale and
polish, so that is not going to take care
of their dental and periodontal
maintenance requirements or your
risk of unwittingly providing supervised neglect. A lot can happen in two
years! Bring them back with your hygienist for their interim care at least
six-monthly for younger patients, and
12 monthly for older patients with no
disease and no risk factors.
Amber (moderate needs) patients
are at a higher risk of dental disease
because they have risk factors, but not
necessarily active disease. They are
often the patients you will need to provide the most high end treatment for
such as whitening, implants, cosmetic dentistry etc, because they do not
have active disease precluding treatment but they are not problem free.
Such patients should be on a fouror six-monthly regime with the pre-

Preventive Care Team

ventive care team who can play an
invaluable role by devoting TIME to
motivating and education patients,
just as a personal trainer can sometimes be the only motivator for weight
loss. Their work can be funded by a
payment plan, an innovative NHS
contract or the patient themselves...it
does not matter as long as your whole
team’s communication skills ensure that the patient understands the
BENEFIT of a preventive approach
for long term comfort, aesthetics and
avoidance of unexpected bills, and
signs up to your advice.
Red (high needs) patients have active disease which can preclude you
from undertaking any advanced work
until their oral environment is fit to
receive more complex treatment. The
preventive care team really comes
into it’s own here as they enable you
to keep your diary time reserved for
disease management and therapy.
Delegate personalised diet analysis,
quarterly fluoride varnish applications
on kids (yes, that’s in the evidence
base!), flossing demos and all the
other aspects of care that can be delivered by dental care professionals and
would otherwise require you to work
every night... and on Sundays.
Just pop the guide below on the
wall in your surgery and in your hygienist’s surgery, delegate effectively, get
your whole team delivering personalised care, treatment and support
and do the dentistry you enjoy. DT

Red
High risk

Amber
Medium risk

Maintenance Programme

Advice & Intervention

Intensive Advice &
Intervention

SELF CARE

4-6 MONTHLY PROFESSIONAL CARE
With hygienist/preventive care team

3 MONTHLY PROFESSIONAL CARE –
with hygienist/preventive care team

PERIO RISK (poor plaque control,
diabetes, smoker)
As for green plus
•
detailed OHI/TBI/IDC/signposting
•
Disclose plaque & bioﬁlm
•
Debridement

IF PERIODONTAL DISEASE
As for amber plus

Brush twice daily systematically, last
thing at night and one other time,
with ﬂuoridated toothpaste at least
1350 ppm ﬂuoride. Spit out after
brushing, do not rinse.
DIET
The frequency and quantity of sugary
food and drinks should be reduced(
no more than 4x a day) and, when
consumed, limited to mealtimes,
never in the last hour before bedtime.
CANCER RISKS
Do not smoke or chew tobacco/betel
Limit alcohol intake
6-12 MONTHLY PROFESSIONAL CARE
With hygienist/preventive care team
•
•

OHI/TBI/IDC
Scaling and polishing

CARIES RISK ( No caries but poor sugar
control or plaque control)
As for green plus•
Diet Recording & Analysis
•
Fissure sealants on eruption of
permanent molars
•
(55+) artif saliva if dry mouth
INCREASE FLUORIDE AVAILABILITY
•
(0-7) Fluoride supplements
•
(7+)Fluoride mouthrinse
FLUORIDE VARNISH
( Age 3-18) 3-4 x annum
( Age 18+) 2 x annum

•
•
•
•

Consider chlorhexidine
mouthrinse
Debridement
6ppc in aﬀected sextant, active
treatment , bioﬁlm control
Referral as necessary

IF CARIES
As for amber plus•
Referral to oral health educator
for caries control programme
FlUORIDE AVAILABILITY & VARNISH
As for amber plus
•
(10+) 2800 ppm F toothpaste
•
(16+) 5000 ppm F toothpaste

FLUORIDE VARNISH
( Age 3-18) 2 x annum

CANCER RISKS
•
Smoking/tobacco cessation
•
Alcohol consumption advice

CANCER RISKS
As for amber

Advice by the Dentist reinforced
practice team and literature

Advice/intervention by Dentist
reinforced by practice team, website
and literature

Advice/intervention initially by
Dentist reinforced by practice team,
website & literature

SKILL MIX
• Dental Nurse ( extended training
for F Varnish apps)
• Hygienist (maintenance)

SKILL MIX
•
Dental Nurse (F V apps)
•
OHE (Oral Health Advice)
•
Hygienist ( perio control)
•
Therapist (caries control)

SKILL MIX
•
Dental Nurse (F V apps)
•
OHE (Oral Health Advice )
•
Hygienist (perio control)
•
Therapist (caries control)

[13] =>

Infection Control Tribune
Infection Control Tribune

Infection Control Tribune

Infection Control Tribune

Are your disinfection
solutions HTM 01-05
compliant?
PROBLEM...
BDA Advice Sheet A12, “Infection Control in Dentistry”
states “ Alcohol… …binds to blood protein and
stainless steel; it should therefore be avoided”

Eliminating risk

Battle strategy

Implementing IC systems

Kathy Porter describes common cross infection
threats in a dental setting

Richard Musgrave discusses the importance of
minimising instances of cross infection

Dave Gibson looks at creating a completely decontaminated environment in the surgery

pages 14-15

pages 17-18

European view on
infection control
Dental Tribune looks at AESIC, a new
organisation focusing on infection control, and speaks to one of the founding
members about its aims and aspirations

I

nfection control in the dental setting is a fundamental topic in terms
of patient safety and regulatory
compliance. However in a European
context, it is very difficult to have a
consensus across the member states as
each country has their own directives.
This is where the Association for
European Safety & Infection Control in
Dentistry (AESIC) comes in. Recently
established, AESIC is a European organisation for information on infection
prevention, infection control and hygiene within dentistry. The AESIC mission statement is to be the leading European source of information on safety,
infection prevention and infection control for academia, corporations, policymakers and clinicians alike.
Even though the organisation is still
in its infancy, it is bringing together the
leading minds in the arena of infection
control to campaign for consistency in
infection control policy across the European member states. One such mind
is Mikael Zimmerman, one of the foremost academics behind quality assurance in Swedish dentistry. He is the
author of more than 50 papers on cross
infection control and has on several occasions been an advisor to the Swedish
Foreign Ministry on hygiene and infection control. Mikael has also worked as
advisor to the Swedish Armed Forces
in the development of the new Medical
Care System to be used by The Nordic
Battle Group.
Speaking to Dental Tribune about
the founding of AESIC, Mikael was
very pleased with how the organisation
was shaping up: “We have been talking
about the need for a European organisation to focus on infection control for
several years – we have been meeting
and talking to industrial companies
and academics about the idea for a

while. Infectious diseases are a very
big issue and healthcare associated
infections are a big issue. And maybe
the biggest issue of all is the development antibiotic resistance and we have
a lot of European norms giving us information about what infection control
ought to be in all 27 member countries.
And although we have many common
norms and directives, there are also 27
different national recommendations.
“It’s a bit strange that we can’t get
European countries to work together on
the issue of infection control and antibiotic resistance so we thought that
AESIC was a good idea to get some
common ground where can we start the
discussion – what do we agree about?”
Mikael calls AESIC an ‘interimistic’
association as although it now exists,
AESIC won’t be fully established until
its first meeting in Leeds on November
18th, where a board will be elected.
Mikael said: “So far it has been a lot of
practical issues such as founding the
association, getting bank accounts in
place and attracting members, trying
to figure out how to work with other
associations, setting up the website and
e-newsletter system... things like that.”
The plan for AESIC is that it will
be an all-inclusive community for dental professionals and manufacturers
across Europe to come together and
have a place to be able to discuss issues
surrounding infection control. “We
want to include everybody concerned
with infection control who works
within the dental team. At the moment
we are targeting mainly dental professionals, the unique thing is to get users,
producers, academics and those working in a regulatory capacity to come
together and work with each other to
contribute towards the best practice for
infection control.

pages 19-20

“It is a common issue for all of us
and at the centre of it is the patient. All
of us should be working together to get
everything as safe and as good as we
can for the patient.”
To get the association off the
ground, AESIC has eight founding
members from dental industry:
• Dürr Dental AG
• Henry Schein
• Hu-Friedy Manufacturing BV
• Nitram Dental a/s
• SciCan GmbH
• Schülke +
• Smile-On Ltd
• W&H Buerrmoos GmbH
With this in place, it has allowed
AESIC to find other partners as well
as being the recruitment process for
members. To help with this all of the
eight founding members will receive
a specific number of free membership places to distribute to customers,
partners and anyone who could both
benefit from and participate to the organisation.
Mikael told DT about the various
events and means of communication
AESIC is setting up for members: “We
have established our website – www.
aesic.eu. Our plan for that is that it will
be the number one resource for information and advice for infection control for everyone involved in dentistry
across Europe.
“We have also established an enewsletter - it’s still in its very early
stages, but we have had good feedback
from subscribers so we know we are
going in the right direction.”
Mikael added: “The most important thing though this year is the meeting in November: we are planning on
top of meeting to establish a board and
formulate a constitution that we will
run a one-day conference with a clinically-orientated topic for one half and
a more industrial aspect for the other
half of the day. Of course both of them
will focus on getting the very best for
the patient. We will try to bring in key
opinion leaders and discuss what is the
state of the art in infection control and
where do we need to go further.”
To find out more about AESIC
and to become a member, go to
www.aesic.eu. DT

...SOLUTION
Continu is an alcohol
free water based
disinfectant that
achieves a 99.998%
reduction in harmful
micro-organisms within
30 seconds and is
available as wipes or
spray

PROBLEM...
For Hand Washing, HTM 01-05 requires that “wall
mounted liquid hand wash dispensers with disposable
cartridges should be used... Refillable hand wash
containers should not be used”
...SOLUTION
Continu alcohol free hand
wash and sanitising foam
products are now available
in sealed disposable
cartridges and wall
mounted dispensers to
comply with HTM 01-05
but unlike alcohol based
alternatives they are very
kind to skin

PROBLEM...
HTM 01-05 states that, “no currently available
single method or device will completely eliminate
biocontamination of dental unit water lines or exclude
the risk of cross-infection”
...SOLUTION
Continu Disinfectant for Dental
Unit Water Lines is highly
effective at eliminating Biofilm
to achieve long term reduction
in microbial contamination yet,
being water based, it is very
gentle, making it harmless to
water lines and safe for patients.
It is also very economical
compared to existing solutions.

PROBLEM...
A12 asks, “what cleaning agents are recommended
– do they comply with COSHH and Health & Safety
requirements?”
BDA Advice Note 58 lists the hazardous substances &
risks to health of many products commonly used in
dental practices.
...SOLUTION
Continu alcohol free disinfectants have the same
hazard rating as distilled water. They are non flammable
and non irritant making them incredibly safe for staff
and patients.
Continu - the next generation of ultra-effective, ultrasafe and environmentally friendly HTM 01-05 compliant
anti-microbial disinfectants from Nuview

For further information contact
Mike Loftus.
Nuview Ltd, Vine House,
Selsley Road, North Woodchester,
Gloucestershire, GL5 5NN UK.
Tel: +44 (0) 1453 872266
Fax: +44 (0) 1453 872288
Email: continu@nuview-ltd.com
Web: www.voroscopes.co.uk

[14] =>

14 Infection Control Tribune

United Kingdom Edition April 19-25, 2010

Simple ideas for eliminating
the risk of cross-infection
Kathy Porter, Senior Dental Nurse (Decontamination) at Birmingham Dental
Hospital, describes the common cross infection threats faced by everyone in the
dental practice and “Best Practice” for eliminating them
threats from these potential hazards are frequently overlooked,
maybe even ignored, even
though they represent a significant risk to all concerned.

he
Department
Of
Health’s
Decontamination Health Technical
Memorandum 01-05 Decontamination in primary care dental
practices says – “Patients deserve
to be treated in a safe and clean
environment with consistent
standards of care every time they
receive treatment. It is essential
that the risk of person-to-person
transmission of infections be
minimised as much as possible”.
Unfortunately, everyday patients and all of a practice’s staff
members face the potential risk
of coming into contact with potentially harmful, even fatal,
hidden threats from various microorganisms which might be
covering the surfaces of every
piece of equipment they come
into contact with. The hidden

There cannot be a dental
practice in the country that is
unaware of the cross infection
risks posed by inadequate decontamination and subsequent sterilisation of their dental equipment. Therefore, the routine use
of ultrasonic cleaners, washer
disinfectors, various types of
autoclave or steam steriliser is
taken for granted. However there
may be many equally dangerous,
hidden, threats lying undiscovered and neglected on virtually
every hard surface within the
practice, certainly within the
clinical areas.
What are these risks?
Virtually every day, each individual is exposed to countless millions of microorganisms which are entirely safe
and present no threat to anyone. However, there are also a
multitude of pathogenic microorganisms, which can cause infections, also circulating in the
population. These microorganisms can be transferred from one
individual to another in a variety
of ways. The most likely routes
within the dental practice environment are :-

Hands - probably the most important vector for the transmission
of infection between patients and/
or the practice’s team members.
Indirect contact - via an intermediate carrier (eg crawling or
flying insects or an inanimate object) which has become contaminated with infected organisms.
Inhalation - whereby pathogenic microorganisms are exhaled or discharged into the atmosphere by an infected person
and then inhaled by another person (eg the common cold).
Direct contact - when one
person infects another person by
direct person-to-person contact
(eg chicken pox).
Ingestion - when microorganisms capable of infecting the
gastro-intestinal tract are ingested (eg “common” stomach bugs).
Many of the above can be
relatively easily prevented by
taking appropriate basic hygiene
precautions. These include washing hands between patients and
wearing appropriate protective
clothing (disposable gloves, face
masks, etc). Such precautions
protect the patient from the dentist and visa versa. However, not
all of them! Some of the above,
those involving intermediaries eg
inanimate objects, necessitate the
thorough implementation of appropriate and effective cleaning
regimes in between patients.
The Chain of Infection
The Chain of Infection was first described by Storr and Clayton-Kent
in 2004. It consists of the source
of the infection, the mode by
which it is spread, the person at
risk and any potential points of
entry. The easiest way to break
this chain is by interrupting the
mode by which it is spread.
Because hands represent
the most important vector for
the transmission of infection
between patients and members
of the practice team, the single
most effective way to prevent the
spread of pathogenic microorganisms within any clinical environment is effective hand washing. This should be performed
for at least two minutes when
entering and leaving the clinical area, between patients, after
visiting the toilet, when changing gloves and whenever one’s

hands are visibly soiled. Alcohol
gels can be used on visibly clean
hands, but if used regularly they
cause a build up. Therefore, they
should never be used solely, as
an alternative to effective hand
washing with soap and water,
and it is never acceptable to
wash or gel gloves
with a view to reusing them. Gloves
should always be
replaced in between patients.
Best Practice for
hard surfaces
Ideally, all basic decontamination
processes for small items of
equipment etc should
take place away from
any other activities, preferably
in two dedicated decontamination rooms with a clearly defined
route from dirty to clean. This is
not possible for larger items of
equipment, fixtures and furnishings however. Therefore, wherever possible, any work surfaces
and equipment should be impervious and easily cleanable. The
work surfaces and floor coverings should be continuous, nonslip and ideally seamless. Wherever possible, carpets should be
avoided within any clinical or
associated areas. Coving should
be used between the floors and
walls to prevent any dust and
dirt accumulating in corners and
crevices, with any unavoidable
joins welded or sealed shut.
A thorough and effective
cleaning protocol can be easily based upon utilising simple
techniques employing disposable cloths moistened with either
clean water or a suitable alcohol-based or alcohol-free disinfectant. Alcohol-free wipes are
particularly suitable for alcohol
susceptible surfaces eg the leather and synthetic upholstery of
dental chairs, plastics, vinyl’s etc.
Wherever possible, cleaning using dry cloths should be avoided
because this creates dust, which
can form another hazard.
Should any blood contamination occur, one per cent
sodium hypochlorite with a
yield of 1,000 ppm free chlorine is recommended (unless
the PCT policy advises something else). However an even
higher free chlorine yield of
10000 ppm is better still. Contact times should be reason-

ably prolonged and instigated as
quickly as possible. Care should
be taken to avoid corrosive damage to metal fittings etc. Use of
alcohol within the same cleaning process is not recommended because it binds blood and
protein to metal surfaces.

Even if they appear uncontaminated, all clinical areas
should be cleaned in between
patients using disposable cloths
or microfiber materials. The areas and equipment to be cleaned
in between patients include all
the work surfaces, chairs, curing lights, inspection lights,
keyboards and mice, hand controls, X-ray units, trolleys, spittoons and aspirators. Disposable
single-use protective covers are
available for use on many of
these items, but they should not
be considered or used in place
of implementing a thorough
and regular cleaning protocol.
Therefore, in between patients
they should still be removed and
the underlying surfaces cleaned.
The main areas and items
of equipment to be cleaned after each session include taps,
drainage points, splashbacks,
cupboard doors and sinks. While
items of furniture that need to be
cleaned regularly include window blinds, door handles, incidental chairs and furniture.
Hard surface disinfectants
Nowadays, more environmentally-friendly materials (eg Ammonium Chlorides and Ethanol)
are available compared with the
unpleasant smelling
and aggressive
chemicals (glu-

[15] =>

Infection Control Tribune 15

United Kingdom Edition April 19-25, 2010

Finally
To implement best practice for
infection control, dental surgeries must identify all the potential sources of infection and
transmission routes within their
practices, and adopt appropriate
protocols to break the chain. To

Extra Large
Microfibre & Economy Wipes
Powerful antibacterial action for all sensitive and
non-sensitive surfaces within treatment
and decontamination areas!

2
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oun
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t
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e
BD

M
NO Y

ECO

E CO

Con
A
fere
nce
!

N OM Y

Kathryn (Kathy)
Porter has been a
qualified and now
registered Dental
Nurse for nearly 40
years, mainly spent
in various guises at
Birmingham Dental Hospital. Her title now is – Senior
Dental Nurse (Decontamination). She is a member of
the editorial board of the “Dental Nursing” Journal and also writes articles
for them. She has had a book, entitled
“The Dental Nurses Guide to Infection
Control and Decontamination”, published in the spring of 2008. Kathy is a
trained Infection Prevention and Control Link Practitioner and co-ordinates
the group of Link Practitioners at Birmingham Dental Hospital. She is a Fellow of the BADN.

Quality and Reliability

About the author

kemdent

M
NO Y

0
60

kemdent

Quality and Reliability

Does not contain alcoh

Economy Wipes

Some disinfectant brands
are available in a nondrip foam presentation too,
which stays precisely where
it is applied. This eliminates

regularly, at least once a year,
and these reviews documented

Introducing our NEW versatile range of

Some disinfectant wipes
are made from non-woven material rather than paper. The nonwoven material type hold the
disinfectant on their surfaces,
enabling surgeries to clean contaminated surfaces effectively
and without the inconvenience
and mess often experienced with
paper wipes, which frequently
become soggy. However, they are
still to be used for single use only
and must be disposed of after
every patient.

too. Correct implementation of
these protocols should also be
monitored regularly to ensure
that standards are maintained
throughout the practice. This
should involve undertaking audits and assessments which
should be retained for inspection
if requested. All of these audits
should be carried out in compliance with appropriate local
PCT policies. DT

Disclaimer.
The pictures used to illustrate this article show examples of some of the many products available in this field. The author does not endorse these or any other product,
this must be a decision made by the user.

N OM Y

Ammonium Chlorides are
effective against HBV, HIV,
HCV, BVDV, vaccinia, bacteria
and fungicidal microorganisms
within one minute. Ethanol
is extremely effective against
pathogens (including HBV, HIV,
HCV, BVDV, vaccinia, bacteria
and fungicidal microorganisms)
which are all deactivated within
30 seconds. It also facilitates effective Tuberculocidal and Hospitalism prophylaxis within one
minute too. Both can be used in
either alcohol-based or alcoholfree solutions. Alcohol-based
disinfectants are suitable for
treating alcohol
resistant surfaces
and
handpieces etc.
Alcohol-free
disinfectants
are used on alcohol sensitive
surfaces
and
equipment, including leather
and synthetic
upholstery,
acrylic
glass,
inventory
and
medical products. Many different brands are available, with
many supplied either odourless
or with a choice of scents and in
either disinfectant spray, mousse
or wipe presentations.

ensure these protocols are actioned properly it is vitally important that all new staff members are thoroughly trained
in this essential component of
practice life. This training must
be accurately documented, along
with the practice infection control policy, and made available
for external audit upon request.
Both the policy and the training
must be updated and reviewed

the waste, mess and inconvenience associated with aerosol
spray disinfectants.

teraldehydes and phenols etc)
that practices used previously.
These newer materials are safer
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provide a 100 per cent reliable
cross infection control.

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[16] =>

United Kingdom Edition April 19-25, 2010

Cleaning up
One way of making sure
infection control procedures
are carried out properly is to
delegate the management of the
process to a company dedicated
to providing a guaranteed
decontamination service. Ken
Turley explains

nfection control is an essential element of any modern
dental practice. It is also part
of the duty of care: there is a legal
obligation to ensure that when a
patient consents to dental treatment they receive a standard of
care that puts them above any
reasonable risk of contamination.
As practice managers will be
aware, staff have a statutory duty
of care to ensure that all instruments and equipment are safe
for use, have undergone a thorough process of cleaning/disinfection, sterilisation and storage,
and that any instrument is free
from contamination from blood
or other body fluids.
The practice’s infection control policy, which all staff should
be familiarised with and guided
by at all times, forms the basis
of a training and reference guide
for staff, particularly during their
inductions. There should also
be a nominated lead member
of staff responsible for infection
control and decontamination. If
the practice has yet to draft their
Infection Control policy, it is advised to consult with an expert
provider of decontamination
services who can help formulate
the document correctly.
Follow the rules
Within the policy, the correct
procedure for decontamination
of instruments should be recorded. There is the need for a clearly
defined cycle that ensures reusable items are rendered safe for
further use and for staff to handle: this method of reprocessing is detailed in the HTM 0105 document. It is essential that
there is a systematic approach to
this process by having clear
‘dirty’ and ‘clean’ zones in the
surgery to avoid the cross contamination of used instruments
with clean ones.
HTM 01-05 states that, wherever possible, disposable items
should be used. Single use items
will be clearly marked as such,
and reusing such items can seriously affect their safety, performance and effectiveness. Instruments that are difficult to clean,
such as matrix bands, saliva
ejectors, aspirator tips and threein-one tips should be considered

‘The HTM 01-05
document states
that, wherever
possible, disposable
items should
be used’
for replacement by single-use
items if appropriate.
Where single-use items are
not practical, instruments and
appliances must be processed
using the correct procedure. This
is the only way of ensuring the
equipment is free of any possible
contamination and therefore safe
to use.
The decontamination process
Any instrument contaminated
with blood or saliva must be
completely clean before it can
be sterilised. Manual cleaning
is considered to be unsuitable,
primarily because of the lack of
reproducibility of the conditions.
There is, however, still the need
for manual inspection after the
decontamination process has
been completed, to ensure the
instruments have been successfully reprocessed.
Washer disinfectors are considered to be the best solution
to the cleaning process because
they offer a validated, controlled
and efficient process of cleaning instruments compared with
manual cleaning and most ultrasonic baths. These machines
are fully automated and provide
a reproducible and validated cycle of cleaning and disinfection.
Always consult with a reputable
manufacturer on type, requirement, installation etc to ensure
you have the right machine and
that you and your team fully understand how to gain the most
from their use.
Careful loading of the instrument is required, as incorrect
loading will inhibit the machine’s
ability to clean effectively:
• Do not overload instrument
carriers or overlap instruments.
Open instrument hinges and
joints fully. Attach instruments
that require irrigation to the ir-

rigation system correctly, ensuring filters are in place if required
• The sterilisation process can
only take place once the instruments have been successfully
disinfected. A record needs to
be kept of the temperature (optimally 134° 137°c) and pressure
achieved during the cycle and
modern machines will do so automatically; there is one solution
to storing data, with a wireless
data logger that can be connected directly to the practice’s computer system.
• For dentistry, the two standard
types of autoclaves are Type N
(non-vacuum) and Type B (vacuum). There is one UK manufacturer who has developed a
“hybrid” B and N steriliser, giving practices greater flexibility in
their decontamination options.
Safe storage
Once satisfied that the instrument has been successfully
cleaned, storing it safely is vital
in preventing the recontamination by pathogens. This is an area
of instrument decontamination
that must be rigorously controlled and a dedicated storage area,
separate from the clinical area, is
required to meet ‘best practice’
standards. There needs to be a
clear rotation system of ‘first-in
first-out’ so instruments are used
within the time limit stated in
HTM 01-05.
Using trays covered with lids
is a practical way for storing
and transporting instruments,
while pouches are useful for
instruments that are used less
frequently. By organising instruments into treatment bundles,
it is possible for the surgery to
identify the cost of decontamination for specific services. This
could become a useful method of
business cost diagnostics.
The reprocessing of instruments is an integral part of the
decontamination procedures of a
surgery. Naturally, the new regulations that apply to dentistry
will entail a greater burden of
administration upon an already
busy management team. One solution is to delegate the management of the process to a company
dedicated to providing a guaranteed decontamination service to
the dental profession that covers
all aspects, from supplies to surgery design. DT

About the author
Ken Turley is the
founding director
of the YoYo Dental
Group,
following
a 17-year military
career, Ken worked
globally in the mobile telecomms industry until 2003
when he became
the managing director of Salpharma, a 35-year old
hospital autoclave company providing
decontamination equipment which he
later acquired and re-branded as YoYo
in 2006.

[17] =>

United Kingdom Edition April 19-25, 2010

Infection Control Tribune 17

Preparing for a ceaseless attack
Richard Musgrave of Schülke talks about why it is essential to make sure you
minimise the risk of cross-infection in all areas of the practice

S

topping cross-infection is
a ceaseless war of attrition against an implacable,
unseen enemy whose storm
troopers are carried into every
healthcare facility worldwide on
the clothing, the skin, even the
breath of every person who enters the premises.
The most vital elements in
checking the enemy’s advance
are the training and the vigilance of the defenders, and every member of a dental practice
team has a role to play in blocking the transfer of pathogens
from patient to patient, clinician
to clinician, or even to the postman or delivery driver. From the
consultant implant surgeon to
the receptionist, rigid adherence
to established hygiene protocols
is a personal, professional and
social responsibility.
Aware of danger
While existing staff must guard
against complacency, new recruits must immediately be
made aware of the dangers and
receive comprehensive infection
control training before they are
permitted to start work. Even
those with previous experience
must be advised of the precise
hygiene schedules adopted by
their new practice, as anti-infection procedures and equipment
will naturally vary according to
the different physical characteristics and treatments offered by
each practice.

‘new recruits must
immediately be
made aware of the
dangers and receive comprehensive
infection control
training before they
are permitted to
start work’
Individual staff members
must always assume the responsibility for their own safety.
Inevitably, clinical staff present
during invasive treatments are
at greater risk and need to exercise increased vigilance over
their own health. They should
voice any concerns as they
arise, and seek prompt medical advice in cases of doubt.
They need to be fully trained in
the wearing and use of barrier
protection (aprons, gloves, goggles), and should take advantage
of the security offered by immunisation
from
common
infections such as measles,
mumps and rubella. For those

who come into contact with
blood or other bodily fluids, protection is also available against
hepatitis B.
Getting rid of waste
The battleground extends be-

yond the surgery into the
area of waste disposal. The
growing popularity of single
use instruments and sundries
with some practitioners highlights the need for care in handling contaminated materials.

There are also legal constraints on the disposal of many
chemicals and cleaning agents,
and obvious risks are attached
to handling contaminated sharps, whether for re-sterilisation
or disposal.

Training should always include the procedures to be
followed in the event of an
accident. If an elderly patient
should have a fall, for examà DT page 18

[18] =>

18 Infection Control Tribune
ß DT page 17

ple, or a sharps injury occurs to
a member of staff, hygiene
protocols must not be suspended in the urgency of rendering immediate assistance. If
clerical as well as clinical staff
have been instructed in the
dangers and combative procedures to be taken to ensure protection, there are many more
hands available to offer professional help at a time of extraordinary need.

As a reminder, a copy
of the practice’s own
cross-infection
policy
and the latest (2009) Department of Health (DH)
HTM 01-05 Decontamination Protocols may be
awarded to every member of staff at the completion of their training.
At the very least, the DH
publication should be
readily accessible for reference to anyone working in the practice.

United Kingdom Edition April 19-25, 2010

Constant fundamentals
Although the nature of the perceived threat may change – in
recent years from Asian flu to
bird flu to swine flu, for instance,
and now, following the MMR
inoculation controversy, perhaps measles will become a
higher risk factor – the fundamentals of cross infection control
are constant.

Guard against complacency in infection control

Fill your patients with
confidence

The intention is to remove to
the limit of possibility all pathogens from the surgery and practice environment, and since
most pathogens are killed by the
same products and procedures,
a rigidly observed hygiene routine becomes a ‘one size fits all’
solution, although there may
still be occasions when specific
action is required to combat a
specific potential risk; MRSA,
for example, has recently dominated the headlines in even the
mainstream media.
At the same time, research and new technology continually bring new products to
the market, along with innovative clinical equipment which
may have its own discrete
hygiene regimes, and regular
reviews of the practice’s crossinfection policy should take
these advances into account
in the quest for an ever safer
working environment. Whenever changes are introduced, it
is imperative that all staff are
fully informed.
Identify threats
Regular reviews of policy and
procedures guard against complacency and encourage staff
to monitor their own health.
They also present opportunities to identify local or particular threats, which not all
staff may have appreciated and
which demand increased attention – an epidemic at a local
school, for example.

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Regular access to professional training ensures that
standards are maintained for
both existing and new staff
members, and that practices are
always familiar with the latest
products, ideas and procedures
in this essential aspect of safely
delivering dental care within
the community. DT

About the author
Richard Musgrave has been in the
industry for 18 years, and brought his
knowledge and experience to Schülke
five years ago. Initially working to develop both the range of infection control products as well as the acclaimed
infection control training division,
Richard is now responsible for the
UK marketing team. He attributes the
success of Schülke to the quality of its
product and its dedication to providing
the best possible support to the dental
profession, both in the UK and beyond.
This commitment is demonstrated
through Schülke’s association with
leading companies such as Dental Protection, for example. More information
on infection control training is available from Schülke on 0114 254 3500 or
at www.s4dental.com.

[19] =>

United Kingdom Edition April 19-25, 2010

Getting cross infection control right
Dave Gibson, discusses the advances in cross
infection control and some of the ways you
can secure a completely decontaminated
environment in your dental practice
What does cross infection
control really mean?
here are various views
about the aforementioned
subject and although
most dentists will adhere to the
guidelines set out by the government, actually complying with
them is an entirely different matter. In order to continually meet
the needs of the directives, it is
important to gain the right support, knowledge and experience
to develop and advance the way
in which your practice operates.
Roughly interpreted - cross infection control, in its simplest
form, is the non decontamination of surgery instruments be-

tween patients. Although this
may be true, cross infection control is far more complicated and
broader based.
In the following article, I will
attempt to explain why it is important to maintain your cross
infection control equipment and
the differences between Washer
Disinfectors and autoclaves together with the overall running of
a safe and hygienic environment.

‘cross infection
control, in its
simplest form,
is the non
decontamination of
surgery instruments
between patients’

In order to secure a completely
decontaminated
environment,
make sure that your practice puts
in place ‘dirty to clean surgery areas.’ We now refer to this process
as Decon360 (Dental Decontamination Room) to meet the latest
HTM 01-05 directives.
Implementing in-surgery
cross infection control
To comply with this directive in
its entirety, make sure that you
start with a ‘Dirty Instrument Set
Down’ zone. This will always be
positioned near to the entrance/
exit to ensure that contaminated
instruments do not travel around
the surgery. Within the same
vicinity a builtin non-splash
back sink(s) for
instrument
washing/

rinsing can be integrated with a knee-operated bin and
optional waste chute underneath
each sink unit.
Moving to the next stage
of the process, a washer disinfector can be installed on or
again underneath the work
surface. (I will discuss options
regarding the types of systems
available). The fourth zone
that needs to be considered
in your Decon room is an ‘In
strument Inspection’ area. Normally the space above the washer disinfector can be used for
initial instrument inspection after washing and disinfection has
taken place.
Next door to this zone allocate space for your Autoclave(s)
followed by a ‘Final inspection
and packing area’ prior to storage or use of fully decontaminated instruments. Your seventh

and final zone will be set aside
for ‘Instrument Storage’. These
units can either be wall mounted
or positioned as cabinets underneath the final packing area.
Additional points to consider in this first phase include:
location of sink which needs to
be placed in a neutral zone between the clean and dirty areas.
A single basin can also be wall
mounted behind the entrance /
exit as a final precaution.
Delivering safe non-contaminated instruments
Applying strict cross infection
control conditions to your working environment is the best way
of ensuring that cross contamination cannot take place. A well
organised system can decrease the risk of decontamination
which is why it

is essential to design your
Decon room in stages. Always
make sure that you leave space
between equipment to allow for
ease of access when an engineer
attends to service and maintain
your products.
This important aspect of delivering non-contaminated instruments leads me to discuss how
you go about choosing the right
washer disinfector for your practice followed by the type of autoclave you should consider. Again,
planning is the key to success.
There are two primary elements to consider for washer
disinfectors:
• Free-standing
• Bench top
à DT page 20

[20] =>

United Kingdom Edition April 19-25, 2010

ß DT page 19

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On the other hand, a bench
top product is best utilised by
practices who possess only
one or two chairs maximum,
providing the optimum amount
of room for smaller sized cleaning quantities. In terms of
purchasing the correct level
model, you need to understand
the decontamination process
on offer. In this regard, there
are major differences between
manufacturers. For ease of reference, I have listed below some of
the unique features you should
have on your tick list prior
to choosing or upgrading a
washer disinfector.

Detergent Wipes

For general cleaning
of all surfaces prior to
disinfection
Large tub containing 225
wipes size 28cm x 25cm
Special Offer only £9.99
Save Over 30%

1. Make sure your equipment is
either EN15883, HTM2030 or
HTM 01-05 compliant

Alcohol Free
High level Disinfection

2. Has - ‘Unique Directional
Irrigation’

Infection Control
Offers include..

3. Ceramic micro filtration for
fully effective dental handpiece
lumens cleaning

Chlorispray™ Hard
Surface Disinfectant
Spray

10 Litre

Hard Surface
Disinfectant
Spray 10 Litre
Refill £32.50
Order the 10
Litre Economy
Refill and get
the 500ml
Spray FREE

2. Look out for an 11 or 22
Litre, six or 15 tray, HFiT 10
capacity autoclave
3. B Type model with rapid nonvacuum cycles

The surgery disinfection
system will actually sterilise
your surgery once you have
completed your day’s work. By
using this piece of equipment,
you and your patients will be
safeguarded from the high risks
of cross infection.
Again it is worth bearing in
mind the features that you must
look out for prior to purchase.
For a handpiece care system,
take into consideration the following tick boxes:

5. Self checking cycles
6. Advanced air detector (vacuum model only)

8. Direct drain options

5. Rack(s) for HFiT cassettes and
mesh instrument basket

9. Direct Data Download to PC
as standard

6. Compressed air drying system

10. HTM 01-05 validation and
service including warranty
aspects

8. Touch screen controls
9. ICPS/Neodisher detergent
starter kit
10. Integral detergent monitoring system to maintain product
to highest level possible

Impression
Disinfectant

11. Look out for low running
costs at under 50 pence
per cycle

Ready to use solution,
5 Litre refill £33.95
Free 500ml spray with
each 5L refill.
Concentrated powder
700g with scoop From
only £12.99 each

12. RO water ready systems
13. CarePlan service and
support options
14. HTM 01-05 validation and
annual service including warranty aspects

TO REQUEST AN OFFER SHEET
OR OPEN A NEW ACCOUNT, CALL

With regards to autoclaves,
there are again two main considerations:

OR VISIT

• Non-Vacuum
• Vacuum

0800 132 373

www.topdental.org
Dental tribune april10.indd 1

1. Make sure it is BS EN13060
compliant

4. Rapid Wash/Disinfect cycle in
under 40 / 45 minutes

7. Built-in water softener for
hard water areas (detailed maps
available upon request)

FREE 500 ml
special offers on

I have once again, for ease of
reference, listed below some key
pointers to place on your tick list
prior to purchase or upgrade.

These vital pieces of equipment
go one stage further than previous
cross infection recommendations.
A Handpiece Care System ensures
that you actually clean the insides
of your dental handpieces. Similar
to a washer disinfector and autoclave, this unique piece of equipment washes away debris left on
the inside of your handpieces to
keep them running smoothly and
more efficiently, while adding
years to their lifecycle.

1. A system that can automatically clean and lubricate up
to three separate handpieces in
45 seconds

7. Twin water reservoirs

Products to comply with HTM 01-05

NEW

number of patients. This type of
equipment will dry your instruments with increased sterilisation input. On the other hand,
if you run a practice where the
emphasis is mainly on private
work, you should consider nonvacuum as the instruments will
dry naturally while being sterilised by the remaining heat within the autoclave.

4. One touch operation

From only £1.40

special offer

Of course, this can only be
decided once you know exactly what room is available. If
you have a practice with two or
more surgeries, then the best
option will be a free-standing
washer disinfector as this will
provide the internal room required to clean the amount of instruments used.

‘Understanding the entire process of cross
infection control and how to maintain a
‘Decon-Free’ environment will help you save
time and unnecessary long-term costs’

Vacuum will be your best
choice if you have a high
12/4/10 11:28:33

11. Large chamber capacity is
ideally suited for use with a
washer disinfector
difference prior to purchase
Understanding the entire process of cross infection control
and how to maintain a ‘DeconFree’ environment will help
you save time and unnecessary
long-term costs in continually
servicing items that require repair. A high standard washer disinfector and autoclave will not
only perform regular high level
cleaning cycles, they will also
require less maintenance over a
longer period of time. Viewing
a product prior to purchase is
the fool proof way of establishing the differences between
manufacturers and where you
can gain most value for money
in honing your cross infection
control techniques.
In addition to the essential
washer disinfector and autoclave,
every practice should now look
at investing in further cross infection control equipment by acquiring a handpiece care system
and surgery disinfection system.

2. Precise dosing of the exact
amount of lubricating spray oil
with no mess, or over-oiling
3. Chuck care system
4. One handed operation
5. Self contained cleaning and
lubricating spray
6. suitability for high and low
speed instruments
7. Free lubricating spray and
absorption pads to care for more
than 1800 handpieces
8. Couplings for all major makes
of handpiece
Getting ready for compliance
Cross infection control is now
the ‘hot topic’ for anyone involved in dentistry. Because the
goalposts have changed so dramatically over the last few years,
it is essential to constantly review your own practice procedures. This can only be carried
out by talking with experts in
their field who understand the
many pitfalls involved with setting up a fully functional Decon
room for the purposes of becoming 100 per cent compliant in today’s clinical environment. DT

About the author
Dave Gibson is the Marketing Manager of Eschmann. For more information
contact Dave on 01903 875 787 or email
ic.sales@eschmann.co.uk

[21] =>

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[22] =>

22 Money Matters

United Kingdom Edition April 19-25, 2010

Stormy seas for pension plans?
Jon Drysdale asks whether your NHS pension is secure in the eye of the financial
storm of recently implemented changes

den to the NHS and ultimately a
drain on UK Treasury funding. It
remains to be seen if the changes
implemented in April 2008 will be
enough to prevent cost cutting further dilution of scheme benefits.

ith many a negative
story on mortgage
borrowing in the national press and savings rates
at a historically low level, many
dentists are wondering in which
direction their financial planning is heading. With a raft of
recent changes made to the NHS
pension scheme, here we discuss
its benefits and consider whether
the scheme remains one of the
best.
Retirement mainstay
Dental practitioners with predominantly NHS income should
continue to see the NHS Superannuation scheme as the mainstay
of their retirement planning. In
fact, other than GPs, dentists are
the only self-employed professional group, who benefit from
an employer’s pension scheme.
The benefits for dentists are
sometimes misunderstood and
should be differentiated from the
main NHS ‘final salary’ scheme.
In practice, many dentists will
have an NHS pension based on
a combination of two different
sources of income – practice
principal earnings and associate
earnings.
Pension benefits:
Initial career phase (associates):
Pensionable NHS earnings for
associate dentists should be
based on the amount of contract
allocated to them by their principal. A nominal 43.9 per cent is
used. For example, if an associate
is allocated a contract amount of
£182,232, they should have ‘NHS
earnings’ of £80,000. (Bear in
mind this is not necessarily the
amount of income they will be
paid – this will depend upon the
agreement they have with their
principal.)
Let us assume the associate
had 10 years of associate earnings before becoming a practice

A note of caution
For dentists with private fee income, it’s good to remember that
the NHS pension accrues only
from NHS income. Those practitioners with increasing privatefee income should take independent advice on mitigating the
resulting loss of NHS pension
benefits.

NHS pension plan in the eye of the financial hurricane

‘If you are in any doubt about the
pension arrangement that will be the best
one for you, you should seek independent
financial advice’
principal. On that basis, their total associate (NHS) earnings will
be £80,000 x 10 = £800,000. The
resulting pension will be 1.4 per
cent of total associate earnings
resulting in a pension of £11,200
per year, for life.
Secondary
career
phase
(principal dentists): The final
pension is based on 1.4 per cent
of total career average re-valued
earnings (CARE). For principals ‘NHS earnings’ are effectively their contract value less a
fixed percentage (56.1 per cent)
to allow for non-pensionable
‘expenses’ For example a principle with NHS ‘earnings’ of
£100,000 would have a contract
of £227,790.
Let us assume that the dentist in question enjoys a level
contract value of £227,790 and
therefore annual NHS earnings

of £100,000 for 25 years. CARE in
this situation would be £2.5 million. The resulting annual pension will be 1.4 per cent of this
figure – £35,000 per year, for life.
Total career pension using
the case study above gives a total pension of £46,200 per year
from 60, for life. The earnings
on which the pension is based
are ‘uprated’ to allow for inflation’ and the resulting pension
is index-linked to keep pace with
inflation after retirement.
There are many variables
that will come into play, not least
the size of the NHS contract and
the length of service.
Further NHS pension scheme benefits include an optional
tax-free lump sum, discretionary ill-health benefits, deathin-service benefits including

Dental business is their business
An ASPD member has:
■ An unprecedented track record working
with the dental profession throughout the UK
■ A true and expert understanding of all current
issues within NHS and Private Dentistry
■ All members enjoy an enviable reputation as being
some of the best Providers within their specialist areas

a lump sum and partner/dependents pensions.
What changes mean
For those who joined the scheme
before April 2008, the retirement
age remains at 60. For those joining after April 2008 the retirement age is 65. To compensate
for the later retirement age, the
accrual rate was increased from
1.4 per cent to 1.87 per cent. All
members now have increased
flexibility on retiring and returning to work, with options to increase the lump sum at the expense of pension.
On a less positive note contribution levels were increased in
April 2008 from the standard six
per cent. Dentists now contribute
from 6.5 per cent to 8.5 per cent
dependent upon NHS income
levels. Added years purchase has
been replaced by the less attractive additional pension purchase.
Despite recent changes, the
NHS pension scheme remains
one of the best available. However, with life expectancy steadily increasing, the cost of funding
the scheme is an increasing bur-

Further information on the
NHS pension scheme can be
found at www.nhsbsa.nhs.uk/
pensions. The NHS pension
scheme advises that: “If you are
in any doubt about the pension
arrangement that will be the best
one for you, you should seek independent financial advice”.
There are further related subjects that dentists should seek independent financial advice on.
These are: The ‘Lifetime limit’
on pension funds, annual allowance for pension contributions,
early retirement options and the
nomination of beneficiaries for
death in service benefits. DT

About the author
Jon Drysdale is a
qualified mortgage
adviser, an independent financial
adviser and a director of Practice
Financial Management Ltd (PFM),
an ASPD member.
ASPD members offer professional, objective and practical advice and services, based on experience within the industry, to dental
practices and other businesses within
the dental sector. ASPD members include solicitors, accountants, banks,
financial advisers, valuers and sales
agencies, insurance brokers and leasing and finance companies. For more
information on the ASPD, call 0800 458
6773 or visit www.aspd.co.uk. To contact PFM, visit www.pfmdental.co.uk.

[23] =>

United Kingdom Edition April 19-25, 2010

Education 23

Horizontal bone augmentation
Dr Riz Syed discusses the importance of general bone augmentation in the arena of
implantology and some treatment options

ental implants require
sufficient bone to be adequately stabilised. For
some patients, implant treatment would not be an option
without horizontal or vertical
bone augmentation. Therefore,
general bone augmentation is
an area of immense importance
in implantology.
A variety of materials and
surgical techniques are available for bone augmentation, depending on the case and patient
– after all, each case is different.
One option is a block graft,
a bone augmentation technique
ideally suited for simply building up bone matter. Firstly, the
area to be augmented is measured and then cortical blocks
are harvested from either the
chin or the ramus of the mandible. First the area to be augmented is measured. After raising a flap from the donor site,
a block is cut either by using
peizo-surgical instrument or
by drilling small holes to trace
the outline of the block. A fissure bur then links these and
the block is separated from the
underlying bone using chisels.

‘A variety of materials and surgical techniques are
available for bone
augmentation, depending on the case
and patient’
The donor site can be filled
with collagen sponges to aid
healing, before being sutured.
On the host site, the cortical
plate is perforated numerous
times to promote bleeding using small diamond burs. The
block is then shaped using large
burs to fill the void and follow
the curve of the dip. Small holes
are drilled through the block
and the cortical plate to allow
for a screw to secure the block
in place.
Particulate bone can be
used around the block and a
resorbable membrane draped
over the graft. This is left for
at least six months before implant placement.
Non-resorbable membranes
A more tricky technique is to
use non-resorbable membranes
to build up the bone mass. The
use of these membranes is technique sensitive and in inexperi-

One of which is titanium reinforced, while the other is not.
In areas of augmentation, xenografts alone with these membranes cannot be used. In my
Generally there are two types
msc_ad_source_uk.pdf
1
03/08/2009
15:21:59
experience, although the ridge
of commonly used membranes.

enced hands can easily lead to
failures, resulting in the removal of grafts.

will augment, the quality of bone
formed is very poor and unsuitable for implant placement.
It is therefore important to mix
autogenous bone and xenografts

together with an equal ratio to
achieve better results. The autogeous bone can be taken from the
tubrosity or ramus and crushed
à DT page 24

[24] =>

24 Education
ß DT page 23

A tension-free flap is then
sutured over the graft, and left
to heal for at least six months
before the membrane is removed – a vital stage in all augmentation cases. The periostium at the base of the flap can
be scored using a scalpel to allow for greater flexibility.

United Kingdom Edition April 19-25, 2010

atrophic posterior ridge. Once
the cortical plate is perforated,
a mixture of autogenous bone
and particulate bovine bone
can be mixed and placed onto
the atrophic ridge. A resorbable
membrane can then be secured
over the augmented area and
left for a period of six months.

using a bone mill. Safe scrapers can also be used to harvest a
large volume of autogenous bone.
The host site is prepared in the
same way as for the block graft by
perforating the cortical plate. The
bone is placed over the void and
over contoured. The membrane
Demineralised Bone Matrix
Alternatively, ridge augmenis then cut into the desired shape
Block grafting. Image courtesy of Robert Gougaloff
A relatively new concept to enter
tation can also be achieved usand tacked into position. This
the arena is the use of Deminerready used by some colleagues
been approved by the American
ing resorbable membranes. An
stage
is very important to prevent
4253 Clinical Excellence Course (DT):4253 Clinical Excellence Course (DT) 18/3/10 14:16 Page 1
alised Bone Matrix (DBM). Alin the US, this technique has
Food and Drug Association, but
example would be a severely
movement and exposure.
is still waiting to be approved in
the UK.

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.

Developing leadership and clinical excellence
within the NHS General Dental Services
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.
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.
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

DT/CE/MARCH

Supported by an experienced faculty of dynamic teachers
and clinicians invited by both the Eastman and the
Department of Health.

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

This is human cadaver bone
prepared in such a way that
growth factors are released to
aid augmentation. The bone
comes in a putty form and is
therefore very easy to use, simply mixed with autogenous
bone, usually taken with bone
scrapers or blocks, and crushed
in a bone mill. In large defects,
the cortical bed is further prepared by small perforations.
Tenting screws are then placed
to achieve the correct dimensions, before the putty bone is
moulded in position and covered with a resorbable membrane. The area is sutured over
using a tension free flap and
allowed to heal for at least six
months, after which the screws
are removed and implants
placed in this newly augmented
firm bone bed.
Ridge splitting is a technique that allows the surgeon to
open a thin ridge by cutting
into the coronal portion of the
cortical plate and gently widening the ridge using progressively larger sized instruments
into the slit ridge. Implants
are then placed, and the void
filled with a bone matrix. This
technique, although effective,
can also lead to varying degrees
of resorption.
A number of options are outlined in this column and all are
very effective depending on case
selection and surgical skills.
Training courses are available
on hard tissue augmentation. DT

About the author
Dr Riz Syed
qualified at the
Royal
London
Hospital in 1999
and runs referral
clinics in Islington and Waltonon-Thames. As
one of the first
surgeons in the
country to use
NobelGuide he
is a mentor for
Nobel Biocare,
helping to train
UK implant surgeons. Regularly
consulted for complex treatment planning cases, Dr Syed lectures internationally on guided implant surgery.
He is a member of the Association of
Dental Implantology, the International
Congress of Oral Implantologists and
Fellow of the Royal Society of Medicine, and has been awarded the Clinic
of Excellence in Implant Dentistry. To
contact Dr Syed, visit www.leadingdentalimplants.com.

[25] =>

DCPs 25

United Kingdom Edition April 19-25, 2010

Waging war on dental nurse wages
The majority of dental nurses are still earning less than £20,000 a year, according to
BADN’s recent salary survey
200
9S

A

ala
rie
s

(30
+h

ou

rs

pe
r
w

survey into the salaries
of dental nurses in the
UK, conducted by BADN
at the end of 2009, shows that
the majority of dental nurses
are earning less than £20,000
a year.

ee

k)

The majority of dental nurses who participated in the
survey had been working in dental nursing for
more than 10 years (60
per cent), worked more
than 35 hours a week
(55 per cent), in general
practice (63 per cent),
and earned between
£10,000 and £20,000 a
year (62 per cent).

key
£15K-£20K 42%
£10K-£15K 26%
£20K-£25K 19%
£25K-£30K 5%
£5K-£10K 4%
£30k-£35k 2%

Dental nurse salaries are
still calculated by the hour (53
per cent), rather than as an annual salary (32 per cent), and
are paid monthly (94 per cent)
into a bank account (87 per
cent), although one per cent are
still paid in cash. Nearly a fifth
(17 per cent) have second jobs,
and over a third (35 per cent)
are the sole or primary earners
in their household.

< £5K 1%
dental nurses
have no indemnity
cover at all!
“We
were
shocked, but not particularly surprised, at the
results of the survey,” said
BADN President Sue Bruckel.
“What is particularly disturbing is that the majority of the respondents were full time, fairly
senior, dental nurses with more
than 10 years experience – and
the salaries are still well below
the median pay for full time
employees in the UK of around
£25,500, according to ASHE
and less than half the median
pay for full time ‘health professionals’ of around £53,500.

Other findings
• 71 per cent of registered dental nurses pay their own GDC
registration fees
• 92 per cent of BADN members
pay their own BADN membership fees
• 34 per cent of student
dental nurses pay their own
training costs
• 45 per cent of employers
“We discovered that most
make no contribution
part-time dental nurses, or
towards CPD costs; only
those who are younger or in
15 per cent cover all costs
more junior posts, were relucassociated with CPD
tant to participate in the survey
• 92 per cent of employers do
because their salaries were so
not provide any additional benlow. Of course, had these denefits, such as health insurance,
tal nurses actually participated,
pensions, childcare vouchers
the results would have been
• 32 per cent of registered
even more damning, and shown
dental nurses do not have their
more fully the exploitation of a
own indemnity cover
Osteology
180mm
x
61mm_Layout
1 24/02/2010 15:41
predominantly female work• 18 per cent of registered

> £35K 1%

force, who are now registered

healthcare professionals with the attendant
additional costs.
Inadequate insurance
“What is particularly disturbing
is the number of dental nurses

‘had these dental
nurses actually participated, the results
would have been
even more damning, and shown
more fully the exploitation of a predominantly female
Page 1workforce’

working without adequate, or
in some cases any, indemnity
cover. BADN included indemnity cover in its Full Membership package so dental
nurses wouldn’t have the hassle of having to research the
subject themselves, and because economies of scale mean
we can obtain cover at a very
low premium. I appreciate that
the membership fee initially
seems a considerable sum of
money, but when you consider
that this includes £1m indemnity cover – as well as free verifiable CPD, legal advice and
a Journal, in addition to other
benefits – or the cost of NOT
having cover, it really is worth
every penny.

“BADN will be offering free money boxes to BADN
members who visit our stand
at the Dental Technology Show,
the BDA Conference, Dental
Showcase and our own National
Dental Nursing Conference to
encourage them to save £3.50
each week to cover the cost of
BADN membership and the
GDC registration fee.
“In the meantime, BADN will
continue to lobby for a reduction in the GDC registration fee
for dental nurses. BADN chief
executive Pam Swain and I shall
be meeting with the GDC’s new
Chair Alison Lockyer and new
chief executive Alison White to
present them with full details of
our survey and a firm request
that the matter of dental nurse
registration fees be put at the top
of the GDC agenda.” DT
www.badn.org.uk

National Osteology Congress www.osteology-uk.org

Osteology UK 21st–22nd May 2010
Tissue Regeneration: Current Concepts and Future Trends
Scientific Seminars and Practical Workshops

Scientific Chairmen Professor Nikos Donos, UK & Professor Myron Nevins, USA

Book NOW: +44 (0)8701 436 814
Geistlich Biomaterials C/O Apex, Exhibition House, London Road
Macclesfield, Cheshire SK11 7QX

Under the patronage of

[26] =>

26 Infection Control
Germs = Saniswiss biosanitizer = Water
Bambach are the suppliers of a revolutionary new Swiss
surface disinfectant, Saniswiss biosanitizer.
Without resorting to alcohol or aldehydes which are
proven health hazards, Saniswiss biosanitizer ‘digests’
viruses, bacteria and fungi. To put it simply Saniswiss
biosanitizer converts such germs to water utilising a
unique and patented super oxygenised solution.
When Saniswiss biosanitizer is applied to the germs
the electrically charged disinfectant enters the cells
causing an electrical exchange. Saniswiss biosanitizer
oxidizes the cells causing instant death to the virus,
bacteria or fungi, ensuring complete disinfection
without any of the inherent risks associated with
alcohol or aldehyde based products.
Being a true water based product, Saniswiss biosanitizer
is in contact with the surface for longer - it will not evaporate in seconds like
alcohol, meaning it is even more effective at killing germs. It smells pleasant
– you and your staff will not breathe in harmful alcohol or aldehyde fumes.
To find out more please call 0800 581108, e-mail info@saniswiss.co.uk or visit
www.saniswiss.co.uk

A new weapon in the battle
against bio-contamination of DUWLs
Nuview has launched a groundbreaking new
water based DUWL Disinfectant to deliver a safe,
effective and economic solution for inhibiting
bio-contamination of waterlines.
Some existing solutions are known to damage
equipment, many are expensive, and HTM 0105 states that, “No currently available single
method or device will completely eliminate biocontamination of DUWLs or exclude the risk of
cross infection.” (6.80)
The Continu alcohol free DUWL disinfectant
effectively strips away biofilm to achieve long term reductions in microbial
contamination so a weekly maintenance treatment is all that’s needed to
maintain high levels of disinfection, making it very cost effective.
With HTM 01-05 highlighting the limitations of alcohol based solutions,
Continu is rapidly becoming the alcohol free disinfectant of choice. The new
Dental Unit Water Line Disinfectant completes a highly successful range that
includes spray, wipes, liquid soap and hand cleansing foam, together with an
Anti Microbial Dental Impression Mix.
Visit Continu from Nuview and become a fan on Facebook!
For more information please call Nuview on 01453 872266,
email info@nuview-ltd.com or visit www.voroscopes.co.uk

Trust The Dental Directory
for Infection Control
Coming soon - New
Infection Prevention
Product Guide
The Dental Directory has
produced a new Infection
Prevention Product Guide in
response to the continuing
need to remain compliant
with HTM 01-05 guidelines.
Within the guide you
will find all the products
required for your practice
to fully comply with HTM
01-05. Each product has
been carefully selected to
meet these guidelines and,
at the same time, to ensure
that your practice receives
maximum value-for-money
without compromising on
performance.
To get your copy of the product guide speak to your Dental Directory
Representative, call 0800 585 586 or visit www.dental-directory.co.uk

Hu-Friedy: New lead and latex-free monitor tape
Good for the environment – safe for patients and
the practice team
Rotterdam, 13 April 2010. Hu-Friedy has developed
a new lead-free and latex-free monitor tape for
the labelling of wrapped instrument cassettes. In
so doing the company has extended its successful Instrument Management
System.
In the interests of efficient organization the user can note down additional
information (e.g. the sterilization date and cassette contents) on the tape. In
addition, the tape serves as a reliable process indicator. Black stripes appear on
the tape after the cassette has been autoclaved. This effectively rules out any
confusion with cassettes which have not been sterilized. As it contains neither
lead nor latex, the monitor tape is easily disposable after use.
The new Hu-Friedy monitor tape is the latest addition to the company’s
innovative Instrument Management System (IMS). Consisting of optimally
coordinated components, the IMS guarantees a controlled and closed hygiene
cycle for instrument deployment, sterilization and storage.
Contact details:
Hu-Friedy Mfg. BV European Headquarters
Customer Care Department
Tel: 00800 HUFRIEDY (00800 48 37 43 39)
Fax: 00800 48 37 43 40
E-mail: info@hufriedy.eu

United Kingdom Edition April 19-25, 2010

Meeting your obligations – With no
obligations!
The only way to really make sure that
your practice’s air compressor is living
up to the demanding expectations
of the HTM 2022/1 and HSE(COSHH
1994) directives, is to comprehensively
survey the entire compressor system. By
enlisting the help of a company that will
help you achieve the required standards,
you will be meeting your obligations as
a responsible practitioner.
Any supplier of air compressors should
be completely up-to-date with all new
and existing regulations. The leading
provider of compressed air services
will even enable dentists to exceed
minimum industry requirements and to carry out a scrupulous maintenance
regime that will ensure they are provided with clean, dry and safe compressed
air in their practice.
Any dentist who is in doubt about the safety or efficiency of their air
compressor should contact a specialist compressed air company immediately
and it only takes a quick telephone call or email to start the ball rolling.
Call Dental Air on FREEPHONE 0800 542 7575 and ask for a FREE Practice
Manager’s Guide, or visit www.dentalair.co.uk

Infection control:
the importance of surgery preparation
The proper preparation of a dental surgery
is paramount for the provision of effective
dental care.
Although it is impossible to work in
an entirely sterile environment, the
implementation of strategic infection
control procedures is the best way for
practices to become as close to perfect as possible!
There are a few basic steps that need to be undertaken religiously to ensure
that the surgery remains as pathogen-free as possible:

The DAC Universal combination autoclave,
cleans, lubricates and sterilises 6 instruments
in 12 minutes!
The DAC UNIVERSAL
supports the practice staff by automatically
cleaning, lubricating and sterilizing handpieces
intended for non-critical, semi-critical and critical
applications. The function of the NITRASEAL unit
is to wrap instruments prior to sterilization in the
DAC PROFESSIONAL. According to the hygiene
guidelines of the Robert Koch Institute, “non-critical” applications do not
involve any contact with the mucous membranes.

Tailor made solutions
for all practices
All practices in the UK now have
to adhere to the HTM 01-05
guidelines, released in April 2009.
Outlining the obligations for all
dentists and their practices, the
HTM 01-05 policy spells out in black
and white what is required of the
modern practice.
Those not meeting the criteria
could be more liable to legal
proceedings if your patients do suffer from infection as a result of treatment.
Protect yourself against both infection and litigation with YoYo. All YoYo’s
autoclaves, disinfector washers and cabinetry are compliant with HTM 0105 guidelines, guaranteeing the best level of decontamination for your
equipment.
The expert team at YoYo understand that dentists want to provide the best
possible care and protection against infection for their patients. Offering a
superlative range of solutions to meet any practice’s needs, all dentists can
have assurance that YoYo can assist them in not just complying with, but
exceeding the standards set for them.
For more information, or for a FREE compliance survey, please call Yoyo on
0845 241 5776 or email info@yoyodental.com
www.yoyodental.com

The Sirona DAC PROFESSIONAL autoclave handles large
sterilization loads quickly and with the utmost reliability.
The DAC PROFESSIONAL is the ideal complement to Sirona’s DAC UNIVERSAL
and NITRASEAL systems. With the introduction of the new DAC PROFESSIONAL
Sirona Dental Systems has closed a gap in the sterilizer market. Firstly, this
autoclave can accommodate up to six trays. Secondly, it can be preheated,
which significantly reduces cycle times. The rapid sterilization program can be
completed in as little as ten minutes. It is designed to process difficult materials
(for example, A+B category hollow objects, surgical cassettes and textiles) with
perfect results.
For further information please contact: Sirona Dental Systems 0845 071 5040
Info@sironadental.co.uk

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

Dento-Viractis Decontaminates and
Disinfects Effectively
Dento-Viractis 77 is a specially formulated
surface disinfectant with a fresh, tangy,
grapefruit smell. It is perfect for cleaning
and decontaminating all surfaces
including items of equipment and
medical devices. Dento-Viractis 77 does
not contain aldehyde so is suitable for
a wide range of materials such as the
upholstery of dental chairs and stools, without the risk of cracking delicate
surfaces, ensuring your equipment items last longer.
You have a choice of purchasing the ready to use solution in a 1 litre spray, 5
litre bottle or for extra convenience in handy, ready to use wipes. Competitively
priced Dento-Viractis 77 will disinfect your surfaces and equipment items in no
time at all.
Removing biofilms from aspiration systems is no longer a challenge with DentoViractis 99. This ready to use solution effectively deodorises and cleans aspirators,
spittoons and amalgam collectors quickly without foaming.
For further information or for advice on the range of Dento-Viractis cross
infection control products available from Dental Sky please call 0800 294 4700.

• Surfaces in the surgery area must be thoroughly cleaned with a liquid
detergent, before being disinfected with a specialised solution.
• All surfaces must be thoroughly cleaned before the start of surgery, between
each patient, and at the end of surgery.
• Floors and walls in the surgery must be thoroughly washed with designated
equipment daily.
Infection control industry leaders schülke have a comprehensive range of
products and training programmes that will help ensure that good infection
control procedures are maintained throughout your practice.
For more information on infection control training, visit www.s4dental.com
or contact schülke on 0114 2543 500

ROEKO HEADREST COVERS
From Coltene Whaledent
Roeko Headrest covers for a quick simple and hygienic solution for dental
chair cleanliness. Available on a 100 piece roll in 3 tear-off perforated sizes
to fit a wide range of chairs, Roeko Headrest covers are manufactured to
the highest standards of polyethylene with absorbent cellulose covering for
patient comfort. For further information call free phone 0500 295454 exts
223/224 or visit www.coltenewhaledent.com

Industry News
Decapinol®: helping to manage gum disease effectively
Dentists now have an innovative solution to manage gingivitis
and prevent periodontitis, which has been shown in multiple
clinical studies to reduce gingivitis by up to 57%.
Decapinol® Toothpaste Flouride contains 0.2% Delmopinol
Hydrochloride, which has the following benefits:
• Clinically effective in reducing plaque formation
• Prevents dental plaque adhering to the tooth pellicle
• Makes established plaque unstable
• Maintains a healthy balance of the oral microflora
• Avoids use of broad-acting antiseptics common in other mouthwashes
• Avoids side effects seen with some mouthwashes such as severe tooth staining
when used routinely
• Complements Decapinol® mouthwash for safe and gentle anti-plaque
management
The unique formulation creates an invisible barrier between invading bacteria
and the tooth’s surface. Decapinol® Toothpaste Flouride reduces the ability of
plaque bacteria to group together with little impact on the usual oral microflora
associated with healthy teeth and gingivitis.
The intelligent double action of mechanical cleaning (brushing) and biological
action helps to ensure plaque is removed effectively with Decapinol® Toothpaste
Flouride for a long-term oral hygiene programme and healthy plaque management.
For more information call 01480 862086 Or visit www.Decapinol.com

[27] =>

United Kingdom Edition April 19-25, 2010

Green shoots
Whether your practice could
simply do with a ‘spring clean’ or
a complete renovation, the end of
the long, cold recession marks the
perfect time to start afresh!
Now that the recession is coming
to an end, the future looks brighter.
Confidence in the markets will
start to grow, and practitioners
should consider the future of their
businesses and the possibility of undertaking practice improvements.
With a boost in consumer confidence, patients will slowly but surely start to
spend more money. Of course, this is great news for any practice principal, but
it also means that competition will start to pick up too!
By enlisting the help of an experienced design and build company with an
excellent knowledge of the dental industry, such as Genus, the practitioner will
be in safe hands.
Celebrate the green shoots of recovery by treating yourself and your patients
to a brand new practice this year!
For more information please call Genus on 01582 840484 or
email info@genusgroup.co.uk
www.genusinteriors.co.uk

Chris Barrow to expand role
within IDH and independent
sectors
As one of the UK’s leading Dental
Groups, Integrated Dental Holdings is working hard to provide clinical
excellence, increased opportunities for employees through outstanding
training and support.
For the past 18 months, dental business coach Chris Barrow has brought his
unique perspectives and expertise on the profession to IDH as Director of
Private Sector Development.
Over the course of the coming year, Chris will be helping IDH to build a secure
foundation for the next stage of the company’s evolution through a series of
development projects:
• Partnering the Dental Recruitment Team as they create a series of nationwide
Open Days
• Supporting the new IDH Training Academy
• Running practice development training sessions to coach new private and
specialist practice team members
• Facilitating Mastermind Groups with designated practice teams, Dentists and
Orthodontists to continue to develop their business plans
• Providing assistance in the evolution of the marketing plan for the Private
and Specialist Division

Can incorporation benefit you?
Healthcare professionals currently trading
as sole traders or partnerships could
benefit from incorporating their practices
and trading instead as a limited company.
Incorporation of dental practices is
Chartered Accountants, Business Advisors and Independent Financial Planners
Lansdell & Rose’s principal specialisation and they understand that every
practice has its own unique needs.
However, Lansdell & Rose are there to help Dental Professionals make the
decision about incorporation after a full exploration of the option.
Just one of the many services Lansdell & Rose offers, businesses can
undoubtedly benefit from their advice. Lansdell & Rose client and Endodontist
from London Dr Norman Gluckman said, “I like the fact that since I started
using Lansdell & Rose, my tax bills have halved.”
Dr and Mrs Alfred Dellow, Prosthodontists from Surrey who also use Lansdell
& Rose said, “We chose to use Lansdell & Rose because they are a firm of
specialists in the tax and accounting aspects of medical and dental practices,
and in the area of tax nondomiciled people like us.”
For more information please visit www.lansdellrose.co.uk call Lansdell &
Rose on 020 7376 9333

Listerine Total Care helps your patients to improve their oral health
Listerine Total Care mouthwash offers six proven oral health benefits. Not
only is it clinically proven to reduce plaque by up to 56 per cent compared to
brushing alone1, it helps maintain healthy gingivae, strengthens teeth against
decay, helps to reduce calculus, kills bacteria and freshens breath.
Listerine Total Care contains a fixed combination of four essential oils – thymol,
eucalyptol, methyl salicylate and menthol – which provide anti-microbial
action proven to reduce plaque development1. Listerine quickly penetrates
the plaque biofilm resulting in bactericidal activity helping to protect against
recolonisation of dental surfaces2.
As the average brushing time in adults is only 46 seconds3, and only 20
per cent of the population perform acceptable flossing4, it is increasingly
important for patients to use a mouthwash as part of their daily oral care
routine, to enhance the mechanical removal of plaque, especially in hard-toreach areas.
For more information on helping your patients with Listerine Total Care, for
samples and a copy of a Patient Information Leaflet, please contact Johnson &
Johnson on 0800 328 0750.

Industry News 27
Kent Implant Studio Referral
Evening a great success
Principle dentist Dr Shushil Dattani
welcomed practitioners and dental
nurses from all over Kent to the
Maidstone-based Kent Implant
Studio on Tuesday, March 2.
Delegates enjoyed a live implant
restoration demonstration on
a patient to see how the relevant components and procedures should be
correctly implemented. Visitors also had the opportunity to view several
patient case studies that illustrated how to take accurate impressions and how
to fit restorations.
As well as an opportunity to meet local colleagues, attendees were also
informed of the excellent referral opportunities provided by the Kent Implant
Studio.
The team understands that referrals can be complex, and reassured visitors
that everything is done to guarantee that the referral process is seamless for
all – from the initial treatment to continual support with attentive aftercare.
It is of the utmost importance to Dr Dattani and his team that they maintain a
close working relationship with referring practitioners in order to ensure that
patients receive consistent patient care from start to finish.
For further information on the Kent Implant Studio or to obtain a referral pack,
please contact 01622 671 265 or visit www.kentimplantstudio.com

Owandy Imax Touch Panoramic unit
Velopex are proud to announce the launch
of the Owandy, Imax touch digital panoramic
unit. This ergonomically designed unit comes
complete with both Tomographic slicing and
TMJ applications as standard. It can also be
subsequently upgraded to Cephalometic as
well as 3D imaging. The system comes with the
Owandy Quickvision software – which can be
mounted on as many pc’s as required for ease of
transferring the images between surgeries.
The unit has Ethernet connectivity to one or more computers, or onto a
network. Once connected, the main control panel of the Imax Touch can be
slaved onto the surgery pc screen for setting exposure perameters. The Imax
can also take a USB memory stick, for transferring data outside of a network.
The twin laser positioning system helps the operator get excellent images
consitantly. The resulting radiograph can be viewed, zoomed and diagnosed
on the Imax control panel, before detailed examination using the Owandy
Quickvision software on a surgery pc.
For more information, or a demonstration of the Quickvision imaging
software, please contact Velopex
Owandy supported by Velopex
Mark Chapman, Director Sales & Marketing
Mobile: 07734 044877 E-mail: mark@velopex.com

The NobelProcera™ system from Nobel Biocare
allows clinicians to offer their patients the very
latest in restorative treatment, with fast, effective
treatment procedures that perfectly cater to
their requirements.
An essential tool in the provision of
individualised aesthetic restorations, the
NobelProcera™ system uses cutting edge CAD/
CAM software to give practitioners the key to the
straightforward delivery of robust yet attractive
restorations.
Traditionally, restorations signified a large financial commitment, considered
by many patients to be beyond their means. Now, the NobelProcera™ system
offers a number of material options, including alumina, shaded zirconia and
titanium, which allow the practitioner to pass on more flexible pricing options,
opening the door to new patients.
For practices, being able to provide a larger number of patients with the
option of bespoke restorations means a significant expansion of the potential
client list, and the financial benefits that this brings are evident.
The dedicated team at Nobel Biocare are available for training and support
throughout, and are always on hand to offer advice and information on the
superlative NobelProcera® system.

Munroe Sutton at The Dental Showcase 2010
World-class dental care plan provider Munroe
Sutton enjoyed a great response from curious
delegates at The Dental Showcase at the NEC in
Birmingham this March.
Attendees were shown how to provide their
patients with cost-effective, high-quality
treatment they would otherwise be unable to afford. Munroe Sutton enables
the practitioner to fulfil their professional duties, without paying a penny.
Having been successfully exposing dentists to a reliable pool of patients for
over three decades in the US, market leader Munroe Sutton is bringing its
unique Healthy Discounts Plan over to the UK market. Developed by dentists,
for dentists, the plan offers outstanding solutions including:

Proud to sponsor The Dental Showcase 2010, Munroe Sutton showed delegates
how to keep their appointment diaries full, improve patient satisfaction, and
maintain the competitive edge in today’s difficult financial environment.

Now you no longer have to waste valuable time and capital on marketing your
services to the wrong audience. Munroe Sutton enables you to access a large
pool of patients, and allows them to search for you, ensuring you always have a
reassuringly full diary and a vastly improved cash flow – absolutely free!
With Munroe Sutton you will fulfil your professional duties, whilst providing
patients with the cost-effective oral health care they would otherwise not have
been able to afford.

For more information on the NobelProcera® system, contact Nobel Biocare on
01895 452 912, or visit www.nobelbiocare.com

For more information please call 0808 234 3558
or visit www.munroesutton.co.uk

For more information please call 0808 234 3558
or visit www.munroesutton.co.uk

Amazing image quality with Nuview
Nuview is proud to present its comprehensive
range of magnification solutions designed by
Carl Zeiss, the most reputable name in advanced
visualisation technologies. With their ergonomic
design and excellent image quality, Nuview’s
microscopes enhance the quality of your
diagnosis and treatment.
Dr Dermot McNulty of Bath Spa Dentistry uses
his microscope, camera and full projection
equipment on a daily basis. “The OPMI microscope is an amazing piece of
technology that I use for my work with dental implants. The high definition still
shots and videos are invaluable for training purposes.”
Integrated video cameras make it possible to effectively present a clinical
treatment – before, during or after the procedure. High-quality diagnostic
images and videos allow you to better demonstrate the recommended course
of action to your patients during treatment planning sessions.
Nuview offers its clients a wide selection of magnification and illumination
products, along with first class customer care including full installation and
training. It also boasts the Continu range of alcohol-free disinfectants.
For more information please call Nuview on 01453 759659
or email info@nuview-ltd.com

• Increased cashflow with payment at time of service
• FREE marketing solutions aimed at patients actively looking for treatment
• A seamless service with an efficient patient verification system
• …and MORE patients!

Improved performance with
Under Armour Performance
Mouthwear™
JR Reyes is a talented player looking
to make his breakthrough into
professional golf whose dentist
fitted him with an innovative
product:
“First of all...Wow, the Under
Armour Performance Mouthpiece™ is amazing!
Straightaway, I thought it felt really comfortable in my mouth, considering
that I have never used a mouthpiece before. And to be honest, I thought this
would be another golf gimmick.
However, I am happy to say that it made me feel stronger right off the bat. I felt
relaxed, free and loose, as if I had been warming up for 45 minutes.
I found that the piece made a huge difference in my alignment and posture
and made it easier to focus and concentrate. I felt less fatigued from hours of
hitting golf balls and had more energy after my practice session was over.
The Under Armour Performance Mouthpiece™ is amazing, and definitely well
worth the try! Thanks again for such a great product!”
For more information on how your patients can benefit from Under Armour
Performance Mouthwear™, call The Dental Directory free on 0800 585 586 or
visit www.dental-directory.co.uk
Or call Eric Solem on 07590 573 668

Sell your services directly to those
who need them!
As dentistry in the UK becomes
increasingly competitive, practitioners
are having to become more business savvy. As well as delivering treatment,
they need to understand law, accountancy, personnel management – to name
just a few skills involved in running a business. Today’s dentist really does have
to be a jack of all trades.
Leading dental care plan provider in the US, Munroe Sutton, will market your
practice in a variety of ways including:
• Online provider search • Daily database updates with agents and groups
• Printed directories • Multi-lingual assistance to help patients find the ideal
treatment provider

Septodont Ltd is proud to
announce the launch of their new
and improved website.
Septodont
collaborated
with
the marketing and design team
of Six and Co to provide a more
comprehensive source of company
information and services. The
new site features a fresh design,
focused on delivering information
pertaining to products and services
in an easy to navigate, aesthetically
pleasing approach. The fusion of
style and content provides customers with access to product information and
a more clear depiction of the many services that Septodont has incorporated
to better serve the dental profession.
The launch of the website represents the first phase of Septodont
redevelopment of its digital presence, with more developments on the way to
show that Septodont are the leaders when it comes to innovation.
We hope you will enjoy surfing the site. Your comments and suggestions are
most welcome, through the site’s “contact” facility. For more information about
Septodont and to see the new website please visit www.septodont.co.uk.

[28] =>

28 Industry News
Tax Provisions for Dentists
Alistair Darling’s third Budget Report cites taxation
provisions for dentists. What follows are the main
provisions and is by no means exhaustive.
• National Insurance Rates – 0.5% increase in the
rates of NIC applicable from April 2011. This is on
top of the 0.5% increase previously announced in
the PBR 2008.
• Income tax rates and allowances –2010-11:
addition of 50% rate, applying to income in excess of £150,000 (42% on
dividends in top band). Trust rate of tax increased to 50%.
• ISA – Limit raised to £10,200 from 2010. Over the course of the next
parliament, ISA limits will be increased in line with the RPI on an annual basis.
• Pensions – April 2010: Pension relief for the higher paid is restricted,
potentially affecting any dentists with annual income (including rental
income) over £130,000
• Business Rates – Cut for a year from October, meaning a tax reduction for
500,000 small firms in England.
The ASPD is a network of professionals who specialise in providing services to
the dental profession.
For more information on the ASPD please call 0800 458 6773
or visit www.aspd.co.uk

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

United Kingdom Edition April 19-25, 2010

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

Improve patient oral
healthcare with iTOP
Preventive oral healthcare is becoming
a key focus for the dental profession.
Help develop your team’s skills and
your practice’s revenues through an
innovative method of sustainable
prophylaxis.
iTOP is the innovative method for
teaching patients how to maintain
their oral healthcare that can also help generate regular patient attendance for
treatment. Patients with better oral health also tend to consider other cosmetic
treatments offered by a practice.
Individually Taught Oral Prophylaxis (iTOP) uses a focused, one-on-one
learning experience to provide the patient with the skills, knowledge and
confidence to maintain a sustainable routine of prophylaxis, allowing them to
enjoy improved oral wellbeing.
Developed by Dr Jiri Sedelmayer of Hamburg University, the individualised
approach to teaching oral healthcare has been adopted by dental professionals
around the world.
Curaprox is at the forefront of innovation and investment in both the dental
practice and its patients, with iTOP a great example of the range of products
available.
For free samples please email clare@curaprox.co.uk
For more information please call 01480 862084 www.curaprox.co.uk

Attack plaque with Decapinol®
Many dental care professionals find that the
thorough removal of severe plaque buildup takes time – often a luxury that they do
not have. Patients clearly need a method
to reduce plaque in between visits to their
dentist which is more than brushing alone.
Decapinol® contains 0.2% Delmopinol
Hydrochloride, a special key ingredient that
attacks dental plaque and bacteria on the
surface of the teeth and the gingiva, reducing the adherence of the bacteria
by building an invisible barrier between the surface of the tooth and the
surrounding bacteria.
Available as Decapinol® Mouthwash or Decapinol®Toothpaste Flouride,
Decapinol®’s intelligent technology disrupts the plaque matrix, loosening
its cohesive properties and making the bacteria simpler to remove.
Microbiologists today believe this new approach helps protect the gums from
colonisation and the damage caused by potentially pathogenic bacteria.
Decapinol® is easy to incorporate into a patient’s oral hygiene routine as there
is no interaction with Sodium Lauryl Sulphate (SLS), a common component
of toothpaste, making it ideal for a long-term daily hygiene programme and
healthy plaque management.
For more information call 01480 862086
Or visit www.Decapinol.com

www.dentalphobia.com
One-stop database for phobic patients
Dental Phobia Certified practitioners are
clinicians who have proven to be particularly
skilled in dealing with phobic patients, and
the individual problems that can arise from
this common complaint.
A database of such practitioners is available
on www.dentalphobia.co.uk, and details
hundreds of practices where dental staff
have demonstrated that they are able to offer
comprehensive services to phobic patients.
With over 2.5 million dental phobia sufferers in the UK, the demand for
experienced practitioners is evident. For any practitioner who feels that they
have the skills needed to become a Dental Phobia Certified practitioner, and
have provable experience in dealing with phobic patients, the guide can be an
invaluable tool to attracting new patients.
As well as attracting patients directly, the guide can also be used as a method
for attracting referral cases.
The Dental Phobia Certified database on www.dentalphobia.co.uk is not only
a marketing tool, but also could help make a real difference to a patient’s oral
health.
For more information about Dental Phobia Certification or to find out how to
qualify for placement on the dental phobia directory, visit www.dentalphobia.
co.uk

Lisa Durning describes her
involvement in this year’s
Awards:
“I found out just before Christmas
that I had been selected to
represent Manchester Dental
School, which was a great
honour. To be one of the fifteen
finalists also felt like a significant
achievement.

DMG UK
LuxaPost, LuxaCore Z-Dual and
LuxaBond-Total Etch
With the introduction of their
premium composite LuxaCore
Z-Dual, DMG UK now offer the
logical further development of
LuxaCore-Dual, their composite
for core build-ups, restorative
fillings and post cementations,
which has been an international success for ten years.
Thanks to its DMG-patented true nano-technology and the addition of
zirconium dioxide, LuxaCore Z-Dual’s mechanical properties match the natural
tooth more closely than any other material of its category.
With the new radiopaque and pre-silanized LuxaPost, DMG UK also offers a
glass-fibre reinforced composite post that is perfectly tailored to LuxaCore
Z-Dual. Furthermore, its flexural modulus is also very similar to that of the
natural dentine thus minimizing tension peaks in the post – cement – root
system and the risk of root fractures.
LuxaCore Z-Dual – LuxaPost – LuxaBond-Total Etch: Three specialty products
that make up a carefully coordinated system for professional post-endodontic
restorations, because a secure bond is the essential prerequisite for success.
For further information contact your local dental dealer or DMG Dental
Products (UK) Ltd on 01656 789401, fax 01656 360100, email info@dmgdental.co.uk or visit www.dmg-dental.com

I had been working on an investigation into how cancer spreads, and the role
of a particular molecule in the loss of cell adhesion, seen in the metastasis
process.
The BDA / DENTSPLY Student Clinician Awards in Edinburgh was a fantastic
event. I got to meet the finalists from the other dental schools and see the
research they had presented.
Being announced the winner came as a great shock as I hadn’t expected to
win. I am absolutely thrilled to win and I’m looking forward to October when
I fly to Orlando to take part in the International Student Clinician Conference.”
I definitely recommend taking part in clinical research and the Student
Clinician Programme. It’s raised my awareness of the opportunities I have
within dentistry.”
For more information about the BDA / DENTSPLY Student Clinician
Programme, contact DENTSPLY on 0800 072 3313 or visit www.dentsply.co.uk

Eastman Paediatric Dentist Wins
Prestigious Award
The UCL Eastman Dental Institute
(EDI) would like to congratulate
Purvi Shah, an SpR in Paediatric
Dentistry at the Eastman Dental
Hospital (EDH) on winning the
British Society of Paediatric
Dentistry (BSPD) Poster Prize at the National meeting in September 2009.
The prize is awarded annually to a BSPD member for the best poster
presentation of the conference. Entitled “Double teeth: A review of cases at
the Eastman Dental Hospital” the poster was based on work she undertook as
part of her training.
The prize-winning project had been supervised by Dr Paul Ashley of UCL EDI,
Mr Joe Noar and Mrs Prabhleen Anand of EDH, who were all co-authors of the
poster.
The Eastman Dental Hospital is part of University College London Hospitals
NHS Foundation Trust.
Image from left to right: Paul Ashley, Prabhleen Anand, Purvi Shah and Joe
Noar. For more information on taught or research programmes, please contact
the Admissions Officer on 020 7915 1092 or academic@eastman.ucl.ac.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. The module will be delivered through
the use of seminar and hands-on skills laboratory based teaching.
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.
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

EndoCare
Simplifying endodontic
referrals
EndoCare’s highly skilled team,
lead by clinical director Dr
Michael Sultan, comprises of some of the most skilled endodontic specialists
in the country.
Winners of the 2009 Private Dentistry award for Best Referral Practice, the
EndoCare team are recognised as experts in the field of endodontics, and
are passionate about providing the best care for both patients and referring
dentists.
The team make use of the latest dental technologies from their state-of-the-art
surgeries in Harley Street, Watford and Richmond, and regularly attend courses
to ensure that your patient is receiving the most appropriate treatment.
Online referrals make initial contact simple, and the referring dentist is kept
constantly updated throughout the treatment. Details of treatment plans and
procedures, as well as recommendations for restoration and follow-ups are
communicated promptly and comprehensively, and all patients are scheduled
a free after-care appointment six months after surgery, further supporting
your ongoing dental care.
Referrals can be complex, for dentist, patient and specialist, but the EndoCare
team ensure that the process is as painless as possible for all involved.
For more information about EndoCare please call 0844 8932020 or visit www.
endocare.co.uk

UCL Eastman Dental Institute
CPD Course in Sports
Dentistry
The UCL Eastman, in conjunction with the London Sports Institute of Middlesex
University, offer a course aimed at practitioners with an active interest in the
clinical needs of athletes, aimed to give participants the confidence to take an
active role in the health care of sports people.
Delivered through lectures, seminars and clinical sessions along with practical
and laboratory skills, the course will include:
• The recognition of neurological injury • Healing of hard and soft tissues to
include suturing • Stress and TMJ dysfunction • Tooth surface loss and the
relationship with sporting activity
In addition to the dental and maxillo-facial subjects there will be lectures and
demonstrations on the following topics:
• Sports physiology • Psychology of sports injury • Diet and nutrition
• Therapeutics and drugs in sport
The course may be taken as either an optional module of the Restorative Dental
Practice programme, or as a stand-alone course. For further information or to
register for September 2010, please contact the Programme Administrator on
020 7905 1281 or e-mail: r.banks@eastman.ucl.ac.uk or visit www.eastman.
ucl.ac.uk/cpd

[29] =>

[30] =>

30 Events

United Kingdom Edition April 19-25, 2010

Commitment to education
Dental Protection offers a range of risk-management programmes
and seminars around the country

A

of patients and the security of
s a committed indemnity
its members
provider with more than
117 years of experience,
Educational programmes
Dental Protection recognises the
In the UK, DPL provides a variimportance of effective risk manety
of educational
programmes, in
agement
in ad
ensuring
safety
2453 DPL
A4:Layoutthe
1 10/08/2009
09:18
Page 1

different parts of the country and
focusing on different areas of professional practice.
Premier Symposium
Now in its tenth year, the Premier

Symposium in association with
Schülke, is a clinical programme
which focuses on risk management and infection control. The
event, which attracts 400 dentists
each December in London, also

Don’t read this...

includes a series of Awards, offering prizes for risk management
projects which aim to reduce potential harm to patients.
Young Dentist Conference
Now in its fifth year, the Young
Dentist Conference is hosted in
association with the BDA and BDJ
and offers practical, non-clinical
advice for dentists at the start of
their career.
Horizons
Following on from the success of
these and other events DPL launched Horizons. The team-oriented Horizons roadshow visited
venues across England during
2008 and venues in Northern Ireland and Scotland during 2009.
Further to the success of the event
in Scotland, Dental Protection is
pleased to announce that further
Horizons roadshows will be presented in Glasgow, Edinburgh
and Dundee in May 2010. It will
later visit venues in England and
Wales in September.
The team-focused, Horizons
events feature two very wellknown speakers Kevin Lewis and
Hugh Harvie who will present a
programme of relevant and practical subjects that will be useful for
all members of the practice team.
Entitled, The Good, The Bad and
The Ugly, the programme will explore the management of difficult
people and difficult situations that
can arise throughout the practice from chairside to reception.
The evening events include
2.5 hours’ verifiable CPD for all
members of the dental team who
are GDC-registered. Tickets cost
£60 for members and £75 for nonmembers. Tickets for DPL Xtra
Practices and their staff are priced
at just £50 per person, and accompanying staff members can attend
free of charge.

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

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

 Free Indemnity for practice managers and receptionists

 Employment law helpline

 Dispute resolution assistance for disputes between
professional colleagues

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

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

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

[31] =>

Classified 31

United Kingdom Edition April 19-25, 2010

MK & COv2.pdf

C

M

Y

CM

MY

25/3/09

10:38:48

Specialist Dental Accountants
Established over 25 years (FCA, CFP)

Chartered Accountants

-

Tax saving strategies for both associates and principals
Advice on buying/setting up practices
Incorporation reviews - will you save tax?
Help on all financial aspects of running a practice - from increasing
your profits to financing equipment tax efficiently
- Advice to ensure a good deal for both principal and associate

CY

CMY

K

For a FREE, no obligation 1 hour consultation,
Call: 020 8346 0391
Email: mac.kotecha@virgin.net
www.specialistdentalaccountants.co.uk

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

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

Geoff Long
Incorporation
Specialists

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

office@dentax.biz

Call 01438 722224

To advertise here please contact Sam Volk
on

0207 400 8964

FCA

[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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