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May 3-9, 2010

PUBLISHED IN LONDON
News in Brief
Meet the GDC
Dental professionals will
have the chance to speak
directly to General Dental
Council staff at this year’s
British Dental Conference.
The British Dental Association’s British Dental Conference and Exhibition is being
held at the Arena and Convention Centre in Liverpool
from Thursday 20 May to Saturday 22 May 2010. Delegates
will be able to speak directly
to GDC staff throughout the
three days by visiting Stand
A54 in the exhibition hall. In
a seminar session on Friday
21 May entitled ‘Update from
the GDC’, registrants can find
out more about the role of the
regulator, how it is funded
and how registrant activity
impacts on the costs of regulation. There will also be
updates on the latest thinking on revalidation and other
policy developments.
Professional development
A total of 36 dentists have still
not complied with their Continuing Professional Development (CPD) requirements.
At the end of March, 1,353
dentists were sent an end-ofcycle declaration by the General Dental Council (GDC)
asking them to add or amend
their declared CPD hours for
the years 2005 to 2008 and to
advise the GDC of the hours
they have completed for 2009.
The deadline for the response
was 30 March. Following the
expiry of the deadline, 36
dentists have not complied
with their CPD requirements.
The GDC will now write to
the dentists to advise them
that within 28 day’s they need
to respond to it’s letter and either request a grace period or
provide compliant CPD evidence. Those who do not respond within 28 days will be
written to again and advised
that they will be removed
from the register in a further
28 days time unless they want
to appeal.
GDC registered dentists
The total number of registered dentists stands at 36,413
and the total number of dental
care professionals (DCPs) is
58,386. Approximately 1,000
dentists are likely to join the
register before the end of
July. The transitional period
for applications to join the
Special Care Dentistry list on
the basis of demonstrating
relevant specialist training,
qualifications and experience
closes on 30 September 2010.
To date, 120 applicants have
beenadded to the list since the
start of transitional arrangements in October 2008.
www.dental-tribune.co.uk

News

Breaking the habit

More smokers are managing to
give up smoking, according to a
new national survey

page 2

Safety first

Dental Protection has recently
published its 2010 Annual
Review ‘In Safe Hands’

page 6

VOL. 4 NO. 12
Lab Tribune

Education

Ahead of the game

Endo vs implants

To meet patient demand, it’s essential that you keep up with new
trends and technology urge

Dr Michael Sultan weighs up
the pros and cons of endodontic
treatment versus implants

pages 18-20

page 24

Eye-opening dental
venture across Yorkshire
Dental chain to open surgeries in opticians across Yorkshire in
innovative joint venture, which is first of its kind
develop his business model and saw dentistry as the
perfect partner for his opticians.
“Ideal Dental Care were the
first people I came across that
were serious about joint venture
partnerships and had a welldeveloped and robust franchising model,” said Mr Keough,
a former operations director
with Specsavers.

Map of Yorkshire showing where new dental chain will open it’s surgeries in opticians

dental chain is to open
a string of surgeries in
optician practices across
Yorkshire, in what is thought to
be one of the first partnerships of
its kind.
Ideal Dental Care has signed
an agreement with Premier Vision Opticians to open four new
joint venture dental surgeries in
opticians in Castleford, Huddersfield, Bradford and Wakefield.
The first is expected to open
in Huddersfield in July, and the
remaining three are scheduled to
open by the end of the year.
The practices will be branded
Ideal Dental Care and will operate on a joint venture partnership
basis within the opticians.
Both Ideal Dental Care and
Premier Vision Opticians see a
synergy between dentistry and
optometry and want to create a
one-stop shop on the high street
for patients.

It is a new venture for both
parties, according to Ideal
Dental Care’s managing partner, Peter Thompson, and one
which is centred on delivering
a value for money, patientorientated experience.
“This can only be a good thing
for consumers because they can
access care for their eyes and
teeth under one roof. Both companies have a remarkably similar
outlook on business and the way
we want to deliver service and
treatment,” said Mr Thompson.
He added: “We are committed to delivering the very highest
standards of care which represent
excellent value for money and
having this proposition on prominent high-street locations makes it very accessible for customers
to choose to seek a range of treatment under one roof.”
Premier
Vision
managing director, Steve Keough,
said he had been looking to

el in great detail and this goes a
long way in explaining how he
has created a business model
which resonates with the way I
run my business,” he added.
Both Mr Thompson and Mr
Keough said they are delighted to
have reached an agreement and
are excited about rolling out the
dental-optical proposition and
developing a niche in the market.

Ideal Dental Care already has
“I know that in the conception
J333-05-10KE.psd
practices in Lancashire, London
of Ideal Dental Care, Peter Thomand South Yorkshire. DT
pson studied the Specsavers mod-

[2] =>

2 News

United Kingdom Edition May 3-9, 2010

Oral health set to improve as more smokers quit
bad for our health. It can cause
many different medical problems
and in some cases fatal diseases.
However, many people do not realise the damage that smoking does
to their mouth, gums and teeth.”
“Smoking can lead to tooth staining, gum disease and tooth loss.
“When people think of the
dangers of smoking they instantly think of lung and throat cancer, but many are still unaware
that it is one of the main causes of
mouth cancer too.”

More smokers are stubbing out and kicking the habit

he oral health of the nation looks set to improve
as more smokers kick
the habit.
Almost 250,000 people in
England stopped smoking between 1 April and 31 December
2009, a rise of 10 per cent compared to the same period in 2008

– according to the results of a
new national survey.
Results from the NHS
Stop Smoking Services survey
also showed that more than
another 375,000 of the country’s smokers have decided to
kick the habit for good and set a
quit date.

Chief executive of the British
Dental
Health
Foundation, Dr Nigel Carter, has welcomed the results but insists
that more needs to be done to
educate people on the hazards
of smoking.
Dr Carter said: “Most people
arenow aware that smoking is

He added: “Mouth cancer can
appear in different forms and
can affect all parts of the mouth,
tongue and lips. It can appear
as a painless mouth ulcer that
does not heal normally. A white
or red patch in the mouth can
also develop into a cancer. It is
important to visit your dentist if

these areas do not heal within
three weeks.”
Tobacco remains the leading cause of mouth cancer in the
UK, with cigarette, cigar and pipe
smoking the main forms of use.
However, the traditional ethnic
habits of chewing tobacco, betel
quid, gutkha and paan are particularly dangerous.
Mouth cancer has become
one of the UK’s fastest growing
cancers, diagnosing more than
5,000 people every year.
Without early diagnosis chances of survival can plummet
down to 50 per cent.
The Foundation encourages
members of the public with any
concerns about their oral health
to contact the National Dental
Helpline on 0845 063 1188. DT

Scottish NHS boards make ‘good progress’

HS boards in Scotland are
meeting the national standards to provide out-of-hours
emergency dental services, according
to a new report.
NHS Quality Improvement Scotland (NHS QIS) reviewed individual
NHS boards and found that all boards
had the correct measures in place to
treat patients with dental problems
outside normal working hours.
NHS Fife showed evidence of socalled ‘optimised’ services, meaning
they showed exceptional performance.

The boards were assessed against
three key standards: accessibility and
availability at first point of contact;
safe and effective care; audit, monitoring and reporting.
Jan Warner, director of patient
safety and performance assessment
for NHS QIS, said: “Good dental care
is critical to our quality of life.”
She added: “It is clear that
NHS boards have put a lot of work
into establishing emergency services and these are now in place
across Scotland.”

While public health minister
Shona Robison said: “It is excellent
news that this service has made such
good progress.”
The oral health of the population of Scotland is generally poor,
with 35 per cent of adults and 17
per cent of children not registered
with a dentist. However, members of
the public who have an emergency
dental problem can access out-ofhours emergency dental care. This
service is provided by NHS 24 in
partnership with NHS boards on
0845 242424. DT

‘unfairly dismissed’ after affair

dentist receptionist was
‘unfairly dismissed’ from
her job, after she began an affair with a married
colleague, a tribunal in Reading found.

2010

Tanya Henderson, 21, began
having a secret affair with her
married colleague, Alamain Salim, at Riverside Dental Practice
in Caversham, Berkshire.
Salim did not see his wife very
often because she lived abroad.
However, when his wife
moved to the UK, Mr Salim allegedly told Ms Henderson
that he wanted to rebuild his
marriage and wanted their affair to stop.

£2250

Ms Henderson claims that
when their colleagues suspected the two were having an affair, she became the victim of
practical jokes.
She claimed that a colleague
uploaded pornography onto her
computer and when it appeared,

the practice owner Changiz Fahami told Ms Henderson she
was too young to be looking at
the images and gave her a slap
on the head.
Mr Fahami claims the affair caused a lot of problems at
the surgery and said he told Mr
Salim that either he or Ms Henderson must leave the practice.

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

Ms Henderson finally left
her job last February following a
row with the practice manager,
Fay Allingham.
The tribunal decided that Ms
Henderson had been unfairly
dismissed. She has agreed a private settlement with Riverside
Dental Practice. DT

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

Managing Director
Mash Seriki
Mash@dentaltribuneuk.com

Features Editor
Ellie Pratt
Ellie@dentaltribuneuk.com

Director
Noam Tamir
Noam@dentaltribuneuk.com

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

Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com

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

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

[3] =>

News 3

United Kingdom Edition May 3-9, 2010

Karibuni Tanzania

‘

A big hello from Tanzania! (or as my new
Swahili goes ‘Karibuni
Tanzania!’)

As I write this, it has
been our first full day in Mwanza,
the city where we are based for
the next two weeks on our trip to
the Bukumbi Care Centre to renovate a community centre in the
village there.
Today has been a day of complete contrast, where we began
the day at one of the nicer hotels
in the area to have an orientation
meeting, and then got a taste of
the poorer side of life for resident
Tanzanians. In the meeting, we
discussed the history of the centre, which has been in existence

since the seventies, but has seen
a resurgence since Bridge2Aid
began to build relationships there.
The orientation meeting really
served to fire our already high enthusiasm, and you can feel in the
ProRelief A4 ad_Sept 09.pdf
group that we just want to get go-

‘

Editorial comment

ing in our project here. This was
not lessened by the afternoon’s
visit to Bukumbi, where we got
to see just what we will be doing
in the next two weeks (we will be
extremely busy!). It also gave us a
chance to see firsthand the life the
people of Bukumbi lead, and practise our swiftly learnt Swahili with
the locals! Our arrival sparked
much excitement amongst the
children, who were fighting over
who got to hold hands with a par1
11/09/2009
13:05
ticular team member!

The visit really hit home
how little this community
had, which in turn was much
more than many other communities here. Walking around
and meeting people who were
genuinely pleased to see us
and were grateful for what we
had come out to do
was very moving, and
a little saddening too,
but it’ll take more than
this comment to explain that... DT

NEW

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

BDA Conference

A

general dental practitioner from Lichtenstein will
be exploring the limits of
material and techniques at this
year’s British Dental Conference.
Gary Unterbrink, who has
more than 15 years’ experience
in research and product development, will be arguing that there
are quite often striking conflicts
between practitioners’ clinical
experiences and the conclusions
of evidence-based dentistry, and
that there are many areas of dentistry where additional knowledge is still required.

C

M

Y

CM

MY

CY

Dr Unterbrink headlines two
sessions on the first day of the
2010 British Dental Conference
and Exhibition, which takes
place at Liverpool’s Arena and
Convention Centre between 2022 May.

Pro-Argin™ Technology, comprised of arginine and an insoluble calcium compound in the form of calcium carbonate,
is based on a natural process of tubule occlusion. It plugs open tubules to help block the pain sensations.

CMY

K

The first, Direct composites
– exploring the limits of materials and techniques, will help
attendees develop their knowledge of the ideal preparations for
composite restorations, the selection of adhesives and composites and application techniques
that combine efficiency, function
and aesthetics.
His second session, Effective
indirect adhesive restorations,
will consider diagnosis and treatment planning, the critical role
of preparation technique for success with instant adhesive restorations and the co-ordination of
practice and laboratory factors.
For more information on the
2010 British Dental Conference
and Exhibition, or to register,
visit
www.bda.org/conference
or call 0870 166 6625. 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
• Clinical studies demonstrated signiﬁcantly greater sensitivity reduction
with twice daily brushing compared to control toothpaste with potassium ions4
• 1450 ppm ﬂuoride for caries prevention
• Contains the Pro-Argin™ Technology
as in the Colgate® Sensitive Pro-Relief™
Desensitising Polishing Paste
Colgate® Sensitive Pro-Relief™ Toothpaste
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

Colgate Customer Care Team: 01483 401 901

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 May 3-9, 2010

Britain to host International Symposium
change in infectious diseases: a
global issue’.

International Symposium on Dental Hygiene held in Glasgow website

ritain will be hosting the
International Symposium
on Dental Hygiene this
year. The forthcoming international dental industry conference will take place in Glasgow
in July.

The 18th International Symposium on Dental Hygiene
is entitled ‘Oral Health - New
Concepts for the New Millennium: New technology for
preventing and treating oral
diseases, including alternative
treatments’.

A spokeswoman for the International Federation of Dental Hygienists said: ‘This symposium is
likely to witness the greatest ever
gathering of oral health professionals from around the world.
It’s not surprising, therefore,
that the Scientific Programme is
packed with eminent speakers
and topics of equal gravitas.’
Professor Jeremy Bagg, head
of School, University of Glasgow, Glasgow Dental Hospital
and School will be making the
keynote address ‘Challenge and

Periodontitis will be explored
by Prof Francis Hughes, a recognised expert in all aspects of
periodontal disease and regeneration working at the Institute
of Dentistry (School of Medicine
and Dentistry), Queen Mary University London.
Tracey Lenneman will address the subject ‘The dental hygienist in the new millennium’.
Ms Lenneman has been a practicing clinical periodontal dental
hygienist since 1986, and has experienced many facets of dental
hygiene in the USA and in Europe.
Warren Greshes, an internationally acclaimed speaker,
author and broadcaster, will be
discussing broader issues under the title ‘Adding value to the
dental practice’.

Prof Kimberly Krust Bray,
who is widely published and
an acknowledged expert in her
field, will present ‘Managing
the systemic oral health connection: a new model for changing
health behaviours’.
She will be followed by Dr
Christoph Andreas Ramseier,
MAS, assistant professor, Department of Periodontology, University of Berne, Switzerland.
He will be talking about ‘The
benefits of motivational interviewing in tobacco use cessation
provided by dental hygienists’.
Another highlight in the
programme will be Prof Mike
Lewis, professor of Oral Medicine at the School of Dentistry, Cardiff University and Dental Dean of the Royal College of
Physicians and Surgeons of Glasgow, presenting ‘An essential
guide to Xerostomia’.

There will be a number of
abstracts and research sessions
interspersed in the programme,
providing delegates with opportunities to meet the authors
of papers, on important topics and to discuss their research
and conclusions.
In addition, there will be
workshops at which delegates
can gain hands-on experience of
products, tools or materials relevant to oral healthcare.
The British Dental Trade Association (BDTA) is one of the
main sponsors of the event being
held 1-3 July.
BDTA executive director
Tony Reed said: “The fact that
the UK has been chosen to host
the International Symposium is
an accolade for the BSDHT and
we are proud to be playing a part
in making 2010 a conference
to remember.” DT

Expert advice for non-invasive aesthetic treatment

renowned expert in the
area of aesthetic dental care will be chairing
a presentation at this year’s
British Dental Conference (BDC)
and Exhibition.
Aimed at general dental practitioners and young dentists,

the lecture has been designed to
give clinicians a practical treatment approach that allows for
the predictable enhancement of
the smile.
Dr Irfan Ahmad will be introducing Dinos Kounturas, a general dental practitioner at The

Dental Implant Clinic in Thessalonki, Greece, as the speaker for
the session.
His presentation, ‘Customised aesthetic treatment using
minimal or non-invasive feldspathic porcelain veneers’, will
explore the rationale behind the

use of such veneers as an alternative to composite resins.
The session will provide a
step-by-step guide using clinical case studies to demonstrate the processes involved
in order to create an enhanced
smile for patients.

Check your registered address is up to date

he General Dental Council is calling on all dental
professionals to check
that their registered address is
up to date.
This is a requirement of registration and helps ensure that
registrants don’t miss out on important General Dental Council

(GDC) information, according to
the GDC.
Registration projects manager, Sarah Arnold said: “When
registrants move from their registered address, whether home
or work, the GDC should be on
the check-list of organisations
they need to contact.

“We regularly send things
out by post – such as Annual
Retention Fee information, Annual Practising Certificates and
the Gazette. If these haven’t been
arriving, it’s worth making sure
we have the right contact details.
The registered address can be
of a home, a practice or even a
Post Office Box number as long

as it is somewhere we can get
in touch, but remember, the address you give will be published
on our website.”
Dental professionals can
check their details are right by
logging on to www.GDC-uk.org
and searching the registers using
their registration number.

"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.

The 2010 BDC and Exhibition takes pla-ce at the Liverpool
Arena and Convention Centre
between 20-22 May.
For more information on the
conference and exhibition, register at www.bda.org/conference
or call 0870 166 6625. DT
By law, dental professionals’
registered details (full name,
registered address, qualifications and date of first registration) are all public information.
Members of the public can
check any registrant’s details
by contacting the GDC or by
checking the Dentists Register or Dental Care Professional
Register online at www.eGDCuk.org. DT

[5] =>

United
19-25,
2010
United Kingdom
Kingdom Edition
Edition April
May 3-9,
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 May 3-9, 2010

University of Warwick welcomes
‘most influential’ academic

he most influential person in UK dentistry joins
University of Warwick

fessor of Restorative Dentistry
and Gerodontology for the past
ten years.

Edward Lynch has joined
the University of Warwick as
Head of Dental Education and
Research for Warwick Dentistry.

During his career, Edward
Lynch has been awarded 94
research grants totalling aro
und £5 million and has more
than 500 publications including chapters in books and
refereed abstracts.

Edward Lynch, voted by his
peers as this year’s most influential person in UK Dentistry, has joined Warwick Medical School from Queen’s University, Belfast, where he was Pro-

He is a specialist in three
disciplines: Endodontics, Prosthodontics
and
Restorative

In Safe Hands

n essential part of Dental Protection’s mutual
ethos is reflected in
the work done with members,
through education, to prevent
avoidable harm to patients. This
concept provides the rationale
for Dental Protection’s Annual
Review for 2010 which is called
‘In Safe Hands’.
Over the next few weeks,
60,000 copies of the publication
will be distributed to members
in 70 countries and territories
worldwide. Dental Protection
has used its wide international
experience to create a volume of
stimulating articles contributed
by some of the most popular
dental writers in the UK. Alongside the case studies drawn from
real-life episodes there are practical tools that can be adopted by

dentists and dental care professionals everywhere to improve
all aspects of the care and treatment that they provide.
Dental Protection is very
much in the ‘safety and security’
business and has been for almost 120 years. ‘In Safe Hands’
now joins the growing library of

The review offers practical advice on
improving care

Dentistry, as well as being a
BUPA consultant in Oral Surgery. Edward is a Consultant to
the American Dental Association, a spokesperson for
the British Dental Association, and a scientific board
member of the International
Health Care Foundation.
Edward Lynch is also the
Chairman of the European Experts group on Tooth Whitening and he is actively seeking to
change EU legislation to legalise
risk management content that is
available to members in a variety of media formats. As an additional benefit, readers of ‘In Safe
Hands’ can also obtain three
hours verifiable CPD online at
www.dentalprotection.org
Kevin Lewis, Director of
Dental Protection said, “No
health professional gets out of
bed in the morning with the
intention of harming a patient
under their care. But sometimes
the unthinkable happens, whether through an act or omission on the part of the clinical
team, and despite their best efforts. If and when that situation arises, Dental Protection is
there to help and support the
member(s) involved, keeping
them safe and providing security, so that they can continue
their professional career without financial loss or undue damage from the stress associated
with a legal challenge”. DT

Home Bleaching. He has presented to the EU parliament two
occasions on tooth whitening.
Edward Lynch said: “I am
delighted to join the excellent
team at Warwick Dentistry as
the Head of Dental Education
and Research. Warwick Dentistry aims to be a world-leading
postgraduate unit, internationally renowned for the high quality and relevance of its education programmes and for the
excellence and significance of

its research. The University of
Warwick is already one of the
top 10 universities in the UK
and I am very proud to be joining their team.”
Prof Jeremy Dale, Head of
Warwick Dentistry at Warwick
Medical School said he was delighted that Dr Lynch had accepted the position.
He said: “Warwick Dentistry is building a team of
world-class academics to become a centre of excellence in
dental education and research.
Edward Lynch has an outstanding international reputation,
and we are delighted and honoured that he has chosen to
move to Warwick.” DT

BACD Belfast Study Club

he British Academy of
Cosmetic Dentistry (BACD) is holding a Belfast
Study Club in June.

bers how to successfully realise
optimal dentistry from an aesthetic, functional, biological and
structural perspective.

Dr Ian Buckle will be presenting a lecture on ‘3D Treatment
Planning: 10 Steps to Predictable
Aesthetics and Function’ giving
attendees a structured method
for effective diagnosis and treatment planning.

Special emphasis will be placed on the four options of treatment (reshaping, repositioning,
restoring and surgical correction), so that the correct options
are chosen for each patient.

While photographs and radiographs provide information
to visualise the position of the
teeth in two dimensions, determining how the teeth fit in
relation to each other and the
patient’s face is a challenge for
the practitioner.
With 20 years of experience,
Dr Buckle will be showing mem-

The event will be held on
Thursday 17 June.
The lecture will also demonstrate how to segment large
treatment plans to help patients
with financial problems.
For more information or a booking form, please contact Suzy
Rowlands on 020 8241 8526 or
email suzy@bacd.com. DT

GDC announces new Chief Executive and Registrar

vlynne Gilvarry has been
named as the new Chief
Executive and Registrar
of the General Dental Council
(GDC). She will take up the position later in the year.

General Dental Council website

Alison Lockyer, Chair of the
Council of the GDC said: “I’m delighted that Evlynne will be joining us. I know that she shares
my vision of making the General
Dental Council best in class as a
healthcare regulator. We will be
working closely together as we
develop the strategy for the council and improve our performance
in Fitness to Practise.”

Evlynne will join the GDC
from the General Osteopathic
Council (GOsC), the statutory
regulator of osteopathy in the
UK, where she is currently Chief
Executive and Registrar. She has
held this post since November
2007. Previously she worked in
various senior policy and management roles at the Law Society, the regulator and professional
body for solicitors in England
and Wales. She is qualified as a
lawyer and mediator.
Evlynne Gilvarry said: “I am
very pleased to take up this appointment and look forward to

working with the staff and the
Council of the GDC to deliver an
excellent performance.”
Interim
Chief
Executive
and Registrar Alison White will
complete her contract at the end
of June.
Alison Lockyer said: “Alison
has led the organisation through
a complex and difficult rebudgeting process, and built the
framework which will underpin
future planned improvements
in our regulatory processes. I
would like to thank her for her
commitment and hard work.” DT

[7] =>

United Kingdom Edition May 3-9, 2010

News & Opinions 7

Cardiff student wins Grand Ideas Award

young entrepreneur based in Cardiff has scooped a national award after setting up his own company
selling loupes to fellow dentistry
students in an aim to improve
their physical wellbeing.
Around 70 per cent of dental
students report chronic musculoskeletal pain by their third year
of training, but are unable to buy
magnification loupes - a magnification tool that helps dentists
improve their posture and decrease their operating time - due
to their extortionate price tag.
UKloupes was set up to counteract this and enable students to
buy high quality loupes at a fraction of their retail price.

Dave Stone aged 27, impressed the panel of judges in
the Shell LiveWIRE Grand Ideas
Awards with his business idea
and has been awarded £1,000 to
develop UKloupes.
As a final year dental student,
Dave was determined for loupes
to be made available to all oral
healthcare students. Concerned
about the high prices of loupes
on the market, he looked into
selling the device directly to his
peers and found by cutting out
the middle man, he could sell
them at a more affordable price.
UKloupes was originally set up
and run by students, for students
but now also sells loupes to postgraduate trainees, SHOs and
surgical practitioners.
The Shell LiveWIRE Grand
Idea Awards, launched in 2009
against the backdrop of the recession, are designed to give
aspiring entrepreneurs a nostrings-attached financial boost
of £1,000 to help them get their
business ideas off the ground.
The awards are held monthly
and entrepreneurs from all over
the UK can submit their entries
through the LiveWIRE website.
Dave Stone, founder of UKloupes, comments: “In such a
tough economic climate, it’s
easy to be disheartened about
setting up on your own, but
for all the young entrepreneurs
out there, I urge you to give
it a go. Initiatives, like Shell
LiveWIRE, are often key to turning your business ideas into a reality. The financial boost of winning a Grand Ideas Award has
been a huge help and will allow
me to attend many important
trade fairs, but in the long run,
it’s the credibility of winning an
award like this that really makes
a difference.”
Dave hopes to expand his
business and help other dental
students by training a representative at every dental school

in the country to teach other
students about the benefits of
loupes and UKLoupes products.
James Smith, Chairman
of Shell UK, said: “There is a
wealth of entrepreneurial talent in the UK and I hope other
young entrepreneurs will be inspired by Dave to capitalise on

their own ideas. We wish UKloupes every success and hope
the Shell LiveWIRE Grand Ideas
Award will help Dave to take the
business all the way.”
To find out more or enter the Shell LiveWIRE Grand
Ideas Aw-ards visit www.shelllivewire. DT

Dental Webinars
Be Wherever You Want
Let the Seminar Come to You...

2 Hou
rs

Revolutionise your practice
Take the stress out of impressioning
Brought to you by 3M ESPE & Smile-on, two forward thinking companies
come together for a ground breaking, interactive learning experience.
Engage with a leading expert, ask questions, get solutions.
Relax in the comfort of your own home and keep up to date through
interacting with the world's leading thinkers.

To find out more go to
www.dentalwebinars.co.uk
or call
020 7400 8989
or email
info@smile-on.com

[8] =>

8 News & Opinions

United Kingdom Edition May 3-9, 2010

£200,000 offered for research
into primary care concerns

he Shirley Glasstone Hughes (SGH) Trust Fund
recently announced that
a £200,000 research budget has
been made available to fund research into primary dental care.

The SGH Trust Fund invites applications from research teams
that include practitioners currently working in a primary care
setting to conduct research in
answer to the following question:

Do people living in deprived
areas define oral health differently from people who live in
less deprived areas, and what
influences their oral healthrelated behaviours?

Commenting on the topic,
Peter Ward, Trustee of the SGH
Trust Fund said:
“Much-needed evidence centres around the attitudes of peo-

ple from different socio-economic groups towards oral health. No
substantive evidence currently
exists and the Trust is now looking to commission primary research in this important area.”
The closing date for applications is 31 July 2010.
The topic for research was selected by dentists and dental care
practitioners who were offered
an opportunity to vote for their
preferred area of research via
the Trust’s website, the Primary
Care Dentistry Research Forum.
Meanwhile, voting on the website is ongoing to select questions
for consideration for the next call
for funding applications.
In 1990, Shirley Glasstone
Hughes, a dentist, researcher
and BDA member, left her legacy
to a charitable trust. This trust
was established as The British
Dental Association Shirley Glasstone Hughes Memorial Prize for
Dental Research.
For further information, please contact Beth Caines at b.caines@bda.org, by phone at 02920 436 184, or log-on to www.
dentistryresearch.org. DT

Free tax advice

entists, who are members
of the Dental Defence Union, can now get free expert advice on tax and VAT.
The Dental Defence Union
has joined forces with Taxwise,
one of the UK’s leading providers
of advice on tax and VAT, to give
members the opportunity to consult a team of professionals.
The Taxwise telephone helpline is available in office hours
until 30 June 2010, when the
deadline to declare undisclosed
tax liabilities, under the HMRC’s
tax Health Plan, expires.
Rupert Hoppenbrouwers, head of the DDU, said: “We know
that HMRC is now carrying out
targeted investigations aimed at
medical and dental professionals
who they believe have not made
a full declaration.
“We anticipate that this will
be a concern for dentists, even if
they have nothing to declare, and
they may need to seek advice on
how to respond to an approach
from an HMRC inspector.
At the same time, those who
have already notified HMRC
that they plan to make a declaration may need advice about how
to do this.”
DDU members who wish
to use the service should call
Taxwise on 01455 852 589 and
quote the reference TXDDU1,
as well as their DDU membership number.

[9] =>

Tribune_apr10:Precision

16/4/10

15:12

Page 1

United Kingdom Edition May 3-9, 2010

Just say no to drugs

Excellent Quality
Excellent Value

With Britain described as a drug-taking society,
it’s essential that we become more competent at
diagnosing and managing drug-related problems,
says Alison Lowe

rugs have featured in
the press a lot recently.
This is mainly due to the
tragic deaths of two teenagers
who had taken Methadrone (not to
be confused with Methadone) – a
weed killer otherwise known as ‘Miaow Miaow’.
Britain is a drug-taking society;
we drink alcohol and take prescription and pharmaceutical drugs for
all sorts of reasons. Many drugs,
both illegal and those prescribed can
be harmful to our mouths. Indeed, it
is estimated that about 40 per cent of
people take at least one type of medicine that can damage the teeth.
Health damage
While it is easy to judge, it is important to remember that far more
health problems and drug-related
deaths occur as a result of taking legal drugs such as prescribed medicines, alcohol and tobacco, than
from illegal substances. Nonetheless, regular use of illegal drugs can
cause significant health damage.
As a society, we tend to either
dismiss concerns about drugs or
sensationalise the danger, but
neither approach is very helpful.
The most important thing is to be
well informed – that way you
can provide accurate information
about drugs because so often our
patients receive inaccurate information from their friends. Here is the
lowdown on some of the most commonly used drugs:
Cocaine. Often referred to as
coke, charlie, blow or nose candy.
While cocaine is often snorted,
many users prefer to rub the cocaine
over their gums, which can lead to
inflammation, bleeding and ulceration (particularly labially in the upper anterior region). When mixed
with saliva, the drug creates an extremely acidic solution, which leads
to erosion and over time, exposure
of dentine, which obviously results
in sensitivity.
Crack cocaine. Also called freebase or rock. This is usually smoked
through a pipe. The smoke directly
contacts the inside of the mouth and
can be carcinogenic.
Heroin. Also called ‘H’ or smack,
heroin users tend to have a relentless
sweet tooth, which can increase the
risk of tooth decay if dental hygiene
is neglected. Decay most commonly
occurs along the gingival margins.
Methamphetamine. Also called
speed, ice or meth. This drug was
developed by a Japanese chemist in

1919, and was used during World
War II to help soldiers stay alert.
After the war, a massive supply of
meth formerly used by the Japanese military, became available,
skyrocketing addiction. Meth causes severe tooth decay in a very short
time and it has been noted that users lose their teeth abnormally fast
due to a combination of side effects.
Indeed the term ‘meth mouth’ has
been used to describe the extensive damage typically caused by
this drug. It is reported to attack
the immune system, so users are
often more prone to infections such
as AUG. It is also highly acidic and
causes erosion. Other side effects
include dry mouth, bruxism and
jaw clenching.
Ecstasy. Also called ‘E’, the love
drug and eckies. Ravers and antidrug activists have long debated
whether ecstasy causes brain damage, but both ignored a more serious and immediate problem few
can deny – damaged teeth. This is
as a result of the jaw clenching and
tooth grinding that usually accompanies partaking of this club drug.
Ecstasy users often carry a dummy
and if one isn’t handy a lollipop will
suffice, although recently orthodontic retainers have replaced these as
the ‘en-vogue’ look at clubs. Such
mouthwear is not only fashionable, it also helps ease the discomfort caused by bruxism. Research
has shown that friction involved in
bruxism combined with an abrasive dry mouth leads to extreme
tooth wear which is often worsened
by the consumption of carbonated
acidic beverages needed to cool off
ecstasy users raised temperatures.
It goes without saying that users
who experience nausea and vomiting after taking E are also more
prone to erosion.
Others to consider
This list is by no means exhaustive; indeed there are many new
substances on the pharmaceutical block including ketamine and
GHD. Also, the scale of poly-drug
use is escalating; 15 years ago users
would have made do with one ecstasy tablet, these days they’re taking a whole cocktail of drugs without being aware of their impact.
Any drug dependence or drug
use that causes the person to neglect their personal hygiene, diet
and dental care can significantly
increase the risk of dental (and
many other) problems. Forget the
image of the dropout on the park
bench though – most people who
use drugs are ordinary people who
lead perfectly normal lives. This

... Why compromise

was highlighted by a paper published in the British Dental Journal last month relating to drug use
among dental undergraduates and
vocational trainees. Not only that,
but a recent study indicates that,
thousands of apparently successful, healthy and affluent people in
their 20s, 30s and 40s choose to be
heavy recreational drug users at the
weekend. Indeed, in many areas,
the main clubbing night has moved
from Saturday to Friday to allow
people to recover in time for work
or lectures on a Monday morning.
Looking for signs
As dental professionals we have
a major role to play in helping
patients with their addictive behaviour and we need to look out
for any signs and symptoms present
in their mouths. Questions regarding drug use must be handled in
a sensitive, non-judgemental and
confidential manner. If drugs are
causing problems, it may be necessary to discuss adjusting the method of delivery.

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Prevention is certainly better
than cure especially as restorative
dental treatment can be expensive
and time consuming. If patients are
open about drug use, we can help
them to manage the situation. Professional treatment depends on the
particular drug and its effect on the
teeth and gums but may include:
• Referral to an appropriate
cessation service
• Application of topical fluoride and
use of fluoride mouthwash to reduce sensitivity and prevent decay
• Recommending products aimed
at limiting the damage caused by
erosion, such as Pronamel toothpaste and mouthwash
• Diet advice, for example, sugarfree lollies and diet drinks
(preferably non carbonated) for
ecstasy users
• Wearing a night guard to ease the
symptoms of bruxism.
It seems that we need to become
more competent at diagnosing and
managing drug-related problems
because it’s possible that for many
of our patients, gone are the days of
getting high naturally. DT

Light-cured Universal
Microhybrid Composite

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Proud to be assosiated with

About the author
Alison Lowe is a dental hygienist based
in Cardiff at The Orthodontic Centre, a
private practice (specialising in implants,
cosmetic work and perio) and Cardiff Dental School. She has won several awards
including Hygienist of the Year 2008 and
is a columnist for the Western Mail. She
thoroughly enjoys what she does and is
delighted to be contributing to Dental Tribune UK.

www.precisiondental.co.uk
Tel: 020 8236 0606 5 020 8236 0070
All trade marks acknowledged. Offers subject to availability not valid with any other offers, price
match or special pricing arrangements. All prices exclude VAT. Offer valid until 30th June 2010.
Terms and conditions apply. E. & O.E.

[10] =>

[11] =>

Lab Tribune
Lab Tribune

Lab Tribune

Advanced scanning technology
Dr James Hooper highlights the advantages digital dentistry can bring to your
practice and in turn patients

Lab Tribune

Introducing Invisalign

The simple orthodontic system can be
easily implemented into any existing
orthodontic practice, says Dr Schwartz

page 11-12

Lab Tribune

Digital dimension

To meet patient demand, it’s essential that you keep up with new trends and technology, say Neil Photay & David Hands
of Costech

page 13-14

Avoiding clasps

Ulrich Heker discusses techniques in
precision dental prosthetics with highly
engineered connections

page 16-17

The Lava Chairside Oral
Scanner (C.O.S) at work
Dr James Hooper from The Dental Practice in Hove sets out to
highlight the advantages of using the Lava C.O.S through a new
series of detailed clinical case studies

A

t the end of last year, I
welcomed the new Lava
Chairside Oral Scanner
(C.O.S) from 3M ESPE into my
practice. The scanner handles
like an overgrown intra oral
camera and offers brand new
video capture technology that
creates a 3D image simultaneously live on screen as you scan
the patient’s teeth.
I have a somewhat old fashioned arrangement, by having
a dental laboratory within my
practice. As a result, I decided to
install the Lava Scan ST scanner
and software in the laboratory to
back up the clinical Lava C.O.S
scanner. Together with my technician, Frank Warburton, we had
a very intense week of training
to come to grips with all the new

features that CAD/
CAM can bring
to dentistry. We
have made a
considerable
leap forward
in the complete digital workflow as
envisaged by 3M ESPE.
I hope to share with
you my journey into this
brave new world of advanced technology, and
highlight the considerable
advantages that I see digital dentistry bringing
to my workplace, and
of course the benefits
to my patients.

One of my first
cases is a gentleman who was just
coming to the end of
a complete rehabilitation having presented
in his early forties
with a considerable
amount of wear. Conventional impressions using
3M ESPE’s Impregum
polyether material had
been used for his
restorations but two
final upper restorations were required
on the first premolars and this
seemed
a
suitable beginning for
my intra oral
scanning.

Following processing, the
electronic image is transmitted
back to my laboratory for margin marking and selection of
the model holder using the Lava

page 18-20

C.O.S laboratory software. On
completion, the files are transmitted to a model-making facility where a SLA (Stereolithography) model is produced. This
process in my opinion is very
high tech and results in a highquality resin model, which is
then shipped back to me in just
three days.
The flexibility of this system now allows me to choose
whichever type of restoration is
appropriate. For the upper right
premolar, a Lava zirconia core
was ordered and a pressable ceà DT page 12

Upper left premolar before treatment

Non-precious crowns
only:

£23.99

Call your local Account Manager on 0800 652 6878 for more information and a FREE user guide

www.e-teeth.co.uk

www.e-teeth.co.uk

[12] =>

12 Lab Tribune

Looking at the upper left premolar this was lightly prepared for a porcelain veneer.

United Kingdom Edition May 3-9, 2010

The scanned image on the Lava C.O.S monitor

High-quality resin model (this picture and below)

Dental Webinars
Be Wherever You Want
Let the Seminar Come to You...

2 Hou

Revolutionise your practice
Take the stress out of impressioning

Upper right premolar – Lava Zirconia Core

ß DT page 11

Brought to you by 3M ESPE & Smile-on, two forward thinking companies
come together for a ground breaking, interactive learning experience.

ramic veneer was fabricated for
the upper left.

Engage with a leading expert, ask questions, get solutions.

Could this be made with
conventional impressions? Of
course, but the digital image is
free of any distortion and the
resin model is cleaner and more
resilient than a conventional
die stone.

Relax in the comfort of your own home and keep up to date through
interacting with the world's leading thinkers.

In my next article I shall
show how incredibly accurate
the occlusal record can be. This
just knocks spots off any other
digital image taking system and
puts 3M ESPE firmly at the forefront of this exciting new technology. For more information,
visit www.3mespe.co.uk. DT

About the author
To find out more go to
www.dentalwebinars.co.uk
or call
020 7400 8989
or email
info@smile-on.com

Dr James Hooper
owns The Dental
Practice in Hove.
He graduated from
Guy’s Hospital in
1981 and worked
in a large practice
for four years, before opening his
practice in 1985.
Dr Hooper achieved the Member of the
Faculty of General Dental Practitioners
in 1990. In 1994 he commenced training for using dental implants, which is
now an important part of the practice.
He has been working with the Lava
C.O.S since the beginning of this year.

[13] =>

Lab Tribune 13

United Kingdom Edition May 3-9, 2010

Implementing Invisalign
Many practitioners are not aware of the wide range of cases the
Invisalign system can treat, insists Dr Benjamin Schwartz, who
offers some examples of its flexibility

he objective of this article
is to show how Invisalign
treatment can easily be
implemented into any existing
dental office. Being able to recognise which patients are potential candidates will be the first
step in achieving a successful
outcome. After reading this article, you should be familiar with
the Invisalign criteria and be
ready to implement this versatile
treatment adjunctive into your
practice.
Do you have any patients
whose teeth look similar
to those?
These cases are typical of patients that frequently come into
a dental office. Many patients do
have some sort of misalignment,
overlapping, or spacing present
in their teeth. The objective of
this article is to demonstrate how
these types of cases (and many
others), can be readily treated
using the Invisalign system.
Align Technology manufactures Invisalign; a custom-made
series of clear aligners used to
orthodontically rotate, move, and
align teeth. The Invisalign process is straightforward, and allows
the practitioner to have full control over the course of treatment.

been designed and approved,
aligners are made in sequence
based upon the projected ClinEstetica
A4 SELECTED:Layout 1
Check
models.

In certain cases, interproximal reduction (IPR) may be necessary. IPR allows the practition25/2/09
Page
1
er to create13:42
room in
an otherwise

constricted area, so that there is
adequate space for the necessary
tooth rotations or repositioning.
IPR is achieved with the use of

diamond strips and/or rotary
disks, and is prepared before the
actual tooth movements occur.
The patient wears each set of
aligners for a two-week period.
Aligners are worn full time, except when eating, drinking, and
performing oral hygiene. During
this phase, the patient is typically seen every month to monitor treatment progression and
à DT page 14

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Invisalign is indicated for patients with up to five millimeters
of crowding and/or spacing per
dental arch. Rotations can be corrected within a range from five
to forty degrees. Approximately
between two to four millimeters
of overjet or overbite can be remedied using Invisalign.
Once a suitable candidate
has been selected, and no caries
or periodontal issues are noted,
detailed polyvinysiloxane (PVS)
impressions are to be taken for
both arches. In addition, a bite
registration is taken along with
a series of extra-oral and intraoral photographs. The photographic requirements are a full
face photo, smile shot, profile,
anterior teeth, right lateral, left
lateral, maxillary and mandibular arches. These are then sent to
Invisalign for the patient’s customized ClinCheck to be created.
ClinCheck (Fig. 2) is a 3D
virtual movie of the teeth based
upon the impressions sent to Invisalign. Treatment progression
can be played out to mimic the
natural movements of the teeth.
This allows the practitioner to
visualise the final phase of treatment, and make any adjustments
as needed. Once the layout has

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[14] =>

United Kingdom Edition May 3-9, 2010

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

WWW.PROFI-DENTAL.CO.UK

Fig11b:

along with a bite
registration (Genie Bite, Sultan
Healthcare) and
all
necessary
photographs
using a digital
camera (Canon
Rebel XT).

Fig10b:

The
ClinCheck was developed and can
be seen in Fig.
Fig7a & b: Patient with diastemas in anterior segments. Fig8a & b:
ClinCheck model showing spaces present in the anterior. Fig9 table:
4. The maxillary
Invisalign Express criteria. Fig10a & b: Intra-oral photographs show diarch
exhibits
astemas are resolved. Fig11a & b: ClinCheck showing all spaces closed.
4mm of overlapping, with the
left lateral incisor being positioned
ß DT page 13
slightly palatally. The left central
incisor partially covers the lateral
to perform any necessary IPR.
incisor, with the left canine protrudAt the completion of treatment,
ing bucally. The mandibular arch
retainers are fabricated and givhas approximately 3mm of crowden to the patient to stabilise and
ing present; the right lateral incisor
maintain this new position.
is being pushed lingually and slight
crowding is present in the rest of the
One of the nice things about
anterior region.
Invisalign is that hardly any new
armamentarium is required to
Treatment objectives were to robegin treating patients with this
tate the canines and anterior teeth,
system. Every general dentist has
creating more space for the lateral inimpression material already in
cisors to properly come into the arch.
their office. Every dentist should
Once aligned, the anterior teeth would
have a digital camera to assist
return back into position, allowing for
with treatment planning. The only
a uniform, symmetrical arch form.
new equipment needed is a few
IPR disks and strips, which can be
The patient’s treatment lasted apacquired for a trifle amount.
proximately nine months, and required minor IPR on both the maxCase 1
illary and mandibular arches. At the
This 35-year-old male patient preend of treatment all teeth were aligned
sented to our office seeking to corproperly, with no overlapping present
rect his minor crowding (Fig. 3).
between them (Fig. 5). Notice how the
His chief complaint was that his
ClinCheck matches exactly with the
teeth were overlapped, causing
actual end of case photos (Fig. 6). Refood to become impacted. In adtainers were fabricated and instrucdition, he was concerned with the
tions were given to the patient how to
esthetic appearance of his smile.
properly maintain his new smile.
This patient was familiar
This patient was glad to finally
with the Invisalign brand name,
have this minor issue resolved after so
and specifically asked if he womany years. He never wanted to have
uld be a candidate for this treattraditional fixed orthodontics, and
ment modality.
was happy to have his teeth aligned
properly in less than one year’s time
A complete dental and mediwith clear, removable appliances.
cal work up was performed. No
carious lesions were noted, and
Case 2
his periodontal health was in
This 28-year-old female patient
order. Alternative treatment opwished to close the spaces present
tions were given, along with the
between her front teeth. Intra-oral
risks and benefits of each choice.
examination revealed that diastemas
After a thorough discussion, the
were present between most anterior
patient decided to proceed with
teeth, in both dental arches (Fig. 7).
Invisalign.
Detailed PVS impressions
were taken (Genie Heavy and
light Body, Sultan Healthcare)

A full workup was performed and
no contraindications were noted. Alternative treatment options discussed,

and the patient elected to continue
with Invisalign treatment.
PVS impressions, a bite registration, and photos were taken. The ClinCheck setup was constructed, and can
be viewed in Figure 8. The maxillary
arch exhibits 2mm of spacing present,
most noticeably between the two central incisors. The mandibular arch
has 3mm of spacing, and slight misalignment of the central incisors.
The goal of treatment was to retrude the anterior teeth slightly, while
rotating the canines to help close
all diastemas. In addition, the teeth
would be aligned properly with even
contact points present between them.
Since this case required only minor movements to achieve its desired
goal, it qualified as an Invisalign Express case. An Express case is one
where approximately 2mm of spacing
or crowding is present, and less than
twenty degrees of rotation is necessary (Fig. 9). Only ten aligners are fabricated for an Express case, and treatment time is six months or less. The
advantage of this over a full Invisalign
case is that the cost to the practitioner
is significantly reduced.
The treatment time for this patient
was six months. At the completion of
treatment, all diastemas were resolved,
and the teeth were in proper alignment (Fig. 10). Again, take note how
the ClinCheck and end of treatment
photographs are identical (Fig. 11).
Using just Invisalign, we were
able to correct this patient’s concerns, allowing her to enjoy her new
smile. Once treatment was finished,
she was thrilled with her new smile
and has become a spokesperson for
our practice, and for Invisalign.
Invisalign is a resourceful treatment tool, that will help boost patient
satisfaction and lead for a bright future for your practice. DT

About the author
Dr Schwartz graduated
from Touro College
with a Bachelor of Arts
degree in Biology. He
received his Doctor
of
Dental
Surgery
degree from New York
University College of
Dentistry. Dr Schwartz
practices general and
cosmetic dentistry in Midtown Manhattan.
He is a member of the American Dental
Association, the Academy of General
Dentistry and the New York State Dental
Society. He currently resides on Long
Island with his wife and family. He is an
avid magician and enjoys bike riding.

[15] =>

Lab Tribune 15

United Kingdom Edition May 3-9, 2010

CAD/CAM set to rise
Analysis shows digital impression technology
taking a popular choice in dental care

D

igital
impression-taking technology is set to
see double digit growth
rates as laboratory technicians
and dentists adopt this highly
flexible, quick, and accurate solution to manufacturing and fitting dental restorations.
According to DentalProductsReport.com, the US market for
digital impression-taking systems is estimated to reach $83.5
million by 2015, with the UK
braced to follow suit.
In 2008, the US market for
digital impression-taking systems increased by 73 per cent
over 2007, following new technology as well as continued investment by laboratory technicians and dentists.

uninterrupted ‘digital workflow
process’ meaning time-consuming steps such as plaster pouring,
base and pin, die cutting, trimming, articulation and scanning
are eliminated.

This process also eliminates
the risk associated with a traditional physical impression
changing size or shape during
transportation, which can lead to
an inaccurate final restoration.

According to the report, early
clinical studies are encouraging
as they have shown high levels of
success, and are paving the way
for more practitioners to adopt
the technology.

According to a US market
report for Dental Prosthetic Devices 2009, clinical studies have
shown restoration remakes have
been reduced from an average
of five per cent using traditional
methods, to less than 1 per cent
with digital impression-taking
systems. Following a typical
life cycle of an emerging market, digital impression-taking
systems are still in their embryonic stage, where the market is
still developing.

More than 25,000 cases have
now been produced with the
Lava C.O.S, for further information on this device and the 3M
ESPE digital workflow process,
please visit www.3mespe.co.uk/
lavacos or call 0845 602 5094. DT

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

Commenting on the report,
Julian Dorey, laboratory technician at the Kingsbridge dental
laboratory, who uses the Lava
chairside oral scanner (C.O.S)
laboratory software from 3M
ESPE said: ‘The Lava C.O.S is
the only software that comes
through to the laboratory and
takes both the impression and
makes a model - it’s definitely
the way forward.’
He continued: “It has increased accuracy and the fit is
considerably better now, and
it certainly has the potential
to improve the working relationship between dentists and
laboratory technicians.”
The primary advantages of
using a digital impression system over traditional processes
is the elimination of many manual steps involved in creating
a restoration.
The technology produces a
more accurate restoration because the three-dimensional
image is produced instantly, allowing the dentist to make any
adjustments necessary to the
prep site in real time.
Digital
impression-taking
technology offers many procedural enhancements for manufacturing and fitting dental
restorations.
The Lava C.O.S is able to take
an accurate digital impression
of the teeth, instantly uploading the image and allowing the
dentist to make any corrections or changes to the patient’s
prepped dentition.
The benefits for the laboratory are impressive. For example,
with the Lava C.O.S, there is an

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

For more information or to place an order please call 0800 169 9692
or visit www2.practiceworks.co.uk/links/pearl.asp

PracticeWorks

www.practiceworks.co.uk

© PracticeWorks Limited 2010

[16] =>

16 Lab Tribune

United Kingdom Edition May 3-9, 2010

Embracing change
It’s all too easy to stick to what you know when it comes to the treatments you offer
and technology you use, but to meet patient demand, you have to keep up with
new trends. Neil Photay and David Hands of Costech explain

T

With this in mind, it is imcontinues to grow, science conhe field of dental techportant that all practitioners
tinues to respond – producing
nology is constantly
ensure they keep up with the
products designed to meet cusevolving, and while the
OPT_DentalTribune_210x297_JAN_PressAd:Layout 1 25/1/10 16:31 Page 1
latest treatment options, and
tomer demands.
market for cosmetic dentistry

are able to offer patients the
most-up-to-date products and
procedures. Most professionals
are open to trying new things,

but it can be scary putting your
faith, and finances, into an unknown. Nevertheless, there are
laboratories that work hard to

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It is based around 5 key elements, including
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full specialist diagnostic input and treatment planning, no
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www.clearstep.co.uk

Embracing change in dental treatment

ensure the products they offer
provide the best in aesthetics
and durability. With this along
with several education programmes designed to explain
and demystify, there is very little for the dentist to fear.
Stuck in a rut?
It is very simple to get stuck
in a routine. Many practitioners understand that whilst
their favoured lab may provide
the most up-to-date products
possible, the older products
have always done the job just
fine, and argue that this is a
perfect case of, ‘if it ain’t broke,
don’t fix it’.
In 700 BC, it was common
practice when repairing or replacing missing or broken teeth
to simply remove the tooth, and
replace it with a ‘substitute’
tooth, commonly taken from
another human or even an animal. The substitutes were fastened to the existing teeth with
gold bands and wires, and evidently filled the gap nicely. The
procedure obviously worked,
however it is hard to imagine
that a modern patient would
be very happy with this form of
treatment now!
With this in mind, it is important to remember that just because something works, doesn’t
mean it cannot be developed

[17] =>

United Kingdom Edition May 3-9, 2010

‘It is under standable to be concerned
about the reaction from patients when you
suggest a radical new treatment option’
in order to help it to work
better. It may be consoling to
know exactly what to expect,
but staying too long in your
comfort zone can have detrimental effects on both patient, and pro in dental science
mean that we have been able to

put their faith in the technicians and explore new treatment techniques.
Suggesting new treatment
It is understandable to be concerned about the reaction from
patients when you suggest a

radical new treatment option.
It is likely that your patient
may have carried out some
prior research into various options, maybe even spoken to
someone who has had similar treatment, and has an idea
of what to expect. However,
patients are primarily led by
two aspects when considering
treatment: the advice of their
dentist, and the cost involved.
Patients inherently trust their
dentist’s advice, and if you are

Lab Tribune 17
able to suggest a treatment plan
that offers them aesthetic appeal, durability and simplicity,
the reaction is likely to be a
positive one.
Securing best results
It is undeniable that some of
the newer technologies may be
slightly more expensive than the
more out-dated options. However, many patients are willing
to spend that little bit extra to
secure the very best end result.

In terms of cost-effectiveness,
a treatment plan that offers
added durability and minimal after-care is usually a better option than the more traditional options, which can be
prone to breakages, discoloration, and may not offer the very
best biocompatibility.
To make the most of the advances in dental science, you
cannot be shy when it comes to
embracing change. DT

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move on from the stage of just
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an animal denture in their
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due to the willingness of the
practitioner and the patient to

About the author
Neil Photay carries on his family tradition of
working in the
dental industry
and creating and
manufacturing
dental
innovations and technologies. Working at both the CosTech Laboratory
and family dental surgeries from
the age of 16, Neil completed a BSc
in computer science, specialising in
project and team management at
Brunel University before returning to
the CosTech Elite laboratory in 2003.
David
Hands
studied
dental
technology
at
Lambeth College
in 1999 achieving a BTECH National Diploma
in science and
dental technology, and an advanced HNC/HND in dental technology. He then went on to study advanced
aesthetics and smile design with Master Technicians in the US, gaining the
Master Technician status. David joined
CosTech in 2004 and quickly became
head ceramist.
Together, Neil and David began jointly
managing CosTech Elite in 2006, developing the advanced team structure
and skills and forging strong relationships with all the CosTech customers.

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Panadent .indd 1

19/01/2010 08:20:20

[18] =>

United Kingdom Edition May 3-9, 2010

No clasps, please!
Matrix

Inserts like a
wedge

Form Contact
Point

Ulrich Heker discusses techniques in precision
dental prosthetics with highly engineered
connections

recision connecting elements including telescopic crowns and attachments are favoured solutions
in many European countries,
where patients are increasingly
conscious of their aesthetic potential, practicality and cost effectiveness. The methods are
within the reach of UK dental
practitioners with recourse to
quality dental technicians. This
article gives an illustrated overview of the fundamental principles of these techniques.
No clasps please!
“Please do not force me to have
those ugly clasps with my new
teeth!” you, as a practitioner,
will all too often have heard
patients exclaim. After all, who
wants ancient teeth smiling
from between young lips since
it’s commonly suggested that ‘a
smile is the mirror of the soul’?

thesis is firmly linked to the
rest of the natural teeth via the
attachment; however, it can be
removed by the patient for the
usual cleaning regime.
The methods mentioned
here are not particularly ‘cool’,
new applications; rather they
have their origin in America in
the 20th century. The anchoring
of partial or hybrid prostheses
with individually manufactured
double crowns was first described by Peeso (1916) and Goslee (1923). Precision connecting
elements come in a variety of
forms, of which two will be considered here; a) treatments using
double crowns and b) treatments
using attachments.

Armed with Ayuvela, aromatherapy and Botox, today’s
patient puts an increasing value
on their health and a cultivated
appearance in the pursuit of
beauty. This of course includes
dental treatment and consequently, interest in unobtrusive
and invisible dental replacements without clasps is continuously rising.

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In Germany, this need is met
using precision connecting elements and a combination of
permanent and removable replacements. These combination
prosthetics provide a very comfortable and aesthetic solution,
particularly where the remaining natural teeth still provide a
stable foundation.
Combined dental replacement is generally applied
when a completely fixed replacement is not feasible anymore. This can also be in part
for cost reasons, when a pure
bridge construction becomes
too expensive.
Precision connecting
elements
In order to obtain a secure fit
of the prosthesis, several or all
of the remaining natural teeth
are capped with a permanent
crown. Precision connecting
elements are then incorporated
as part of, or attached to, the
crown using an attachment that
can be interlocking or pressstud anchors. Alternatively, the
whole crowned tooth acts as a
stable attachment – as with all
double crown work. The pros-

Fig.2 Individual Attachments seen from above

Double or
“telescopic” crowns
A telescopic crown always
comprises two parts; the primary crown, or coping, which
is permanently fixed in the
mouth and preferably made
from a suitable gold alloy and
the mounted, removable telescopic crown or secondary
crown, attached to the prosthesis and made of the same material. Telescopic crowns are
parallel-faced double crowns
with a perfect fit. Ideal adhesion is achieved when the inner and outer crowns are perfectly cylindrical.
As this is not feasible for a
variety of reasons, at least two

[19] =>

United Kingdom Edition May 3-9, 2010

under pressure. The “resilience
gap” is only removed with pressure of chewing and there is
a particularly gentle load or
strain on the remaining natural
teeth. This form of telescope is
the foundation for the so called
“cover denture” prosthesis. Externally, it is indistinguishable
from a full prosthesis.

Working with attachments
Like telescopes, attachments
are invisible, firm anchoring,
which can be released by the
patient themselves. The male
attachment elements (in this
instance: Precivertix extracoronal) are attached to the crown
blocks or bridges, while the
relevant complementary element is attached to the removable dentures.

Fig.4 Telescoping crowns during Insertion

Attachments are prefabricated (off-the-shelf attachments) and are then joined
to the bespoke denture in the
lab (creating bespoke attachments). Attachments are also
classified according to their fitting; either fitting into the anchor tooth (intracoronal attachments) or those with fittings
external to the tooth (extracoronal attachments).

Fig.5 Front teeth bridge with Rod attachments

‘The methods mentioned here are not particularly ‘cool’, new applications; rather
they have their origin in America in the
20th century. The anchoring of partial or
hybrid prostheses with individually manufactured double crowns was first described
by Peeso (1916) and Goslee (1923)’

Using the resilience telescope is a frequently used solu-

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The secondary crown is
worked into the prosthesis (soldered, glued or embedded with
retention within the synthetic
matrix of the prosthesis. Only
after the final fitting is the primary crown cemented firmly
onto the prepared tooth stump.
Telescopes are, next to attachments, seen as standard in Germany, Switzerland and Scandinavia for the treatment of larger
dental gaps using a removable
prosthesis. The construction of
telescopic prosthetics requires
a high standard of preparation
and processing by the dentist
and their dental laboratory.

Fig. 3 Copies

opposing surfaces (often the
distal and mesial dental surface) are made parallel to one
another. This needs to be considered during preparation.

See what you
are missing...

tion, where there are only a few
(one to three) existing teeth.
Here, there is a 0.3mm to 0.5mm
space between the primary and
secondary crown on the occlusal face of the telescope. This
means that the prosthesis rests
on the mucosa – when it is not

An attachment always comprises two parts; the receptive
(or the female) part, and the
insertion (or male) part. Which
part sits on the crown and which
on the removable denture depends on the manufacturer
and the practitioner’s judgement on a given situation. Particularly popular versions are
Precivertix and Rod Attachments and similar forms.
You can distinguish attachments according to the attachment mechanism: a) friction
attachments (female and male
components are joined by their
precise fit – similar to telescopic attachments). b) Retentive attachments (the hold is
achieved by using elastic elements which rest in grooves or
indentations). c) The attachment can also be fitted with a
bolt for optimal fastening.

à DT page 20

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Web: www.voroscopes.co.uk

[20] =>

20 Lab Tribune

United Kingdom Edition May 3-9, 2010

comfort for the wearer,
more confidence and a
very appealing aesthetic.
Which combined dental
replacement and which
connecting
elements
form the best solution is
determined by the professional with each individual patient.

Fig.7 Telescopic crowns with metal frame

Fig.6 Complete work ready for cementing

ß DT page 19

Getting started
Taking on combination methods
into your own treatment palette
is certainly possible without attending dozens of seminars and
reading numerous text books
that are in any case frequently
unavailable in English.
Viewed objectively, an attachment project is nothing

more than a larger bridge for
the practitioner or a pair of integral crowns to which something
is added in the lab. The parallel features are created, so to
speak, by the technician.
With telescope work, this is
perhaps a bit more challenging. Here you need to follow a
particular workflow in order to
prepare the relevant teeth, so
that they can be considered as a

“anchor group” and display the
optimal parallelism. This leads
to slender inner telescopes and
thus to an unobtrusive total
view with the completed work.

and the dental technician really
comes into play here. Taking all
things together and with good
planning in place, this not a difficult process at all.

The most frequently prepared telescopic prosthesis is
in the lower jaw with two telescopes on the still existing
canines; this is effectively the
“entry level” model. The collaboration between the dentist

Conclusion
Combined dental replacement
is the best method to meet the
demands of the patent and practitioner without compromise.
Combined dental replacement
without clasps offers a high

References
Goslee, H., Principles and Practice of Crown and Bridgework, 5th Edition. New York: Dental Item of Interest Publishing Company, 1923. Peeso, F. A., Crown and bridge-work: for
students and practitioners, Philadelphia: Lea & Febiger, 1916.

The methods and techni-ques shown here do not
represent a stand alone
solution for partial dental replacement. Far from
it! Combination methods can really come into
their own when used together with implants.
They give the practitioner
the opportunity to find
optimal solutions for the
patient, who might otherwise only be treated with difficulty or not at all. DT

About the author
Ulrich Heker is the owner-manager
of Ulrich Heker Dental Laboratory,
founded in 1996 with the strap line
‘TEETH ‘R’ US’. As aqualified master
craftsman (German Master Dental
Technician) since 1991, he has over
26 years’ experience both at the bench
and in running a successful business.
Ulrich lives in Mülheim on the river
Ruhr and is an accomplished ‘westernstyle’ rider in his spare time. Ulrich
is fluent in English and can easily
be contacted by calling +49 201 797
955, visiting www.german-smile.info,
or emailing Ulrich@Teethrus.de.

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[22] =>

22 Money Matters

United Kingdom Edition

A tax bonanza
This month, Geoff Long looks at the tax breaks
open to dentists starting their own practice

ith
ever
increasing tax rates squeezing dentists all the
time, one way to spectacularly slash your income tax

bill is to start your own practice. There are many more
tax breaks open to practice
owners compared associates.
The reason being that ever

since the Magna Carta written
in 1215, the rich in this country
have made the tax laws. So what
exactly are the tax breaks open
to dentists?

Goodwill issues
Any young dentist buying a three
or four-chair practice at the moment is going to pay a king’s ransom for the goodwill. Wouldn’t it
be nice if the taxman could be
persuaded to help out a little?
Well actually, he can. Goodwill
is tax-deductible if you are a limited company. This means the
Government subsidy of as much
as 28 per cent is made via the tax
system. Given the colossal prices
being commanded by goodwill

FGDP(UK) guidance books –
the gold standard
Standards in Dentistry
The bestselling Standards in Dentistry is an ambitious package, bringing
together all previous guidelines in oral healthcare, including guidance from
the FGDP(UK), BDA, GDC, ISO, and the Department of Health, among
others. The innovative format combines a printed manual with an online
publication, allowing for frequent updates.

Now in its second edition, Clinical Examination and Record-Keeping
has been updated in line with the latest guidance, and now covers
electronic records and data protection, with updated guidance on patient
consent and mental health. The book also includes example scenarios, and
template forms for use in practice.

Goodwill and equipment
The purchase price will need
to be apportioned between
goodwill and equipment. Equipment can attract a 100 per cent
tax deduction at the moment so
a useful tax planning point
arises here.
Annual investment allowance
Often a new practice needs some
refurbishment or re-equipment.
The first £50,000 of expenditure in any one tax year is 100
per cent allowable. Yes, it is all
written-off your tax immediately. Any balance of expenditure is
written-off at 20 per cent or 40
per cent, depending on the year.
So it makes sense to phase your
practice refurbishment over a
number of years.
Incorporation
Incorporation is a big step for
any dentist, and one that is often
difficult to reverse. Depending
on your earnings level and family circumstances incorporation
can give you some, albeit modest tax savings. Consideration
will need to be given to your loss
of flexibility when you incorporate, likely future tax hikes from
the Government, and inherent
difficulties in selling an incorporated practice.

Tax refund – offset losses on
a squat
By carefully timing refurbishment costs of a new squat practice, you can often engineer a
start-up loss for your first accounting period. Generous tax
rules allow you to set this loss
against any other earnings for
the current year, or indeed any
of the previous three tax years.
This can provide a valuable tax
shelter for your associate earnings or generate a tax refund. DT

Selection Criteria for Dental
Radiography
Selection Criteria for Dental Radiography continues to be one of the
leading texts on radiographic investigation, including clinical indications
for a range of patients, along with advice on IR(ME)R2000 and good
practice dos and don’ts, to help practitioners to form a sound basis for
clinical decisions.
Also available from the FGDP(UK):
• Adult Antimicrobial Prescribing in Primary Dental Care for General Dental Practitioners
• Guidance for the Management of Natural Rubber Latex Allergy in Dental Patients
and Dental Healthcare Workers

About the author

Purchase all five FGDP(UK) standards documents together for only £125 (over 10% off)
Join the FGDP(UK) now and recieve a further 20% discount!
Email fgdp-comms@rcseng.ac.uk or call 020 7869 6776 to find out more, quoting reference SID10DT1.

Promoting excellence in dentistry

at the moment, this is not to be
sneezed at.

Freehold purchase from
a SIPP
If you are buying the freehold
of your practice, a tax-efficient
way of structuring the deal is via
your SIPP pension fund. This
means future growth in freehold
value is free of capital gains tax
and practice profits are slashed
with SIPP rental changes. Ultimately, the SIPP can be used to
fund your retirement, including
a 25 per cent tax-free lump sum
on retirement.

Clinical Examination and
Record-Keeping

www.fgdp.org.uk

May 3-9, 2010

Registered charity no. 212808

Geoffrey
Long
FCA is a specialist
dental accountant
based in Hertfordshire. Geoff advises
on a wide range
of dental tax issues and regularly
writes for the dental press. Geoff has
more than 15 years experience with
dentists’ accounts and is recognised for
his proactive approach to dental taxation and business problems. He can
be contacted on 01438 722224 or by
emailing office@dentax.biz.

[23] =>

Money Matters 23

United Kingdom Edition May 3-9, 2010

Are you getting the right advice?
Jon Drysdale explains how dentists can benefit from fee-based financial planning

rom 2012, new rules
from the Financial Services
Authority
(FSA)
mean financial advisers will
be required to provide their
clients with clearer guidelines on the cost of their advice and how charges affect
pension and investment products. The FSA will implement
a wide range of changes intended to remove ‘commission
bias’ to ensure recommendations are not influenced by product providers and to raise the
bar on adviser qualifications.
Independent financial advice
is available from firms who offer fee-based advice comparing
financial products from the entire financial market. Firms who
offer products from a limited
range of products without feebased options, can’t call themselves independent.
A preferred route
The distinction between different types of financial adviser
already exists. Good-quality
firms already promote fee-based
advice and their experience is
that fee-based planning is fast
becoming the preferred route
for dentists. While fee-based advice will have you to reaching
for your chequebook, investment charges are usually reduced making this potentially
cost-effective over the medium
to long-term.
Our example compares feebased and commission-based
advice for a dentist making a
pension contribution of £500
per month. The figures speak
for themselves.

perhaps experienced in advising dentists. This may deny you

access to fee-based advice and
specialist knowledge on areas

Fee vs commission based advice*
Contribution

Final fund value

Pension income

Fee based route

£500 per month net

£408,000

£23,900

Commission route

£500 per month net

£381,000

£22,300

* 35-year-old male, £625 gross contribution, growth of seven per cent pa, retirement at age 60

such as the NHS Pension. Even
some national firms which
offer dental-specific financial
advice, do not offer independent
financial advice. If you are currently taking advice from one of
these firms, make sure you ask
hard questions of the adviser

LittleSister
Enjoy
Complete
Confidence
With an unsurpassed range
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including our new Decon360
LDU cabinetry, Little Sister lets
you comply with HTM 01-05
with complete confidence.
And, when you buy your new
Little Sister autoclave or washer
disinfector direct from Eschmann,
CarePlan warranty and service
cover, including HTM 01-05
validation and testing, is
included in the price.
Little Sister, why take a chance
with anyone else?
Call Eschmann Direct on:

01903 875787

If your adviser is not independent, they may not offer
you this saving. They may
also impose limitations on fund
and pension provider choice,
so the case for non-independent advice is difficult to understand. This is especially true for
dentists who often make larger
than average personal pension
contributions while requiring
specialist advice.
If you have received advice
from a bank or building society, it is possible that your adviser was not independent, or

About the author
Jon Drysdale is an independent financial adviser and director of Practice
Financial Management Ltd (PFM), a
leading provider of financial and business services to the dental profession.
PFM is regulated by the Financial
Services Authority. PFM offers individual financial review meetings with
dentists and professional fee-based financial planning options. Visit www.
pfmdental.co.uk to arrange this or call
us on 01904 670820.

DECON
360

Eschmann’s one-stop-shop for a fully
compliant decontamination room.
• Advice & information
• Design & planning
• Manufacturing & installation
• Turnkey solutions
To reserve your copy of the new
Decon360 guide, call: 01903 875787

relating to investment charges,
commission and their very limited product range.
Dentists should settle for
nothing less than independent
financial advice from a firm specialising in financial planning. DT

[24] =>

24 Education

United Kingdom Edition May 3-9, 2010

Endov implants
Dr Michael Sultan weighs up the pros and cons
of endodontic treatment over implants

or most patients, the best
implant is a natural tooth,
so maintaining a patient’s
natural teeth is one of the main
benefits of endodontic treatment
over implant surgery.

Endodontic success is currently defined in the terms of
the retention of a symptom-free
tooth, which should require no
further immediate treatment.
The typical success rate of an en-

dodontic procedure now ranges
from 65 per cent to 95 per cent,
depending on whether the procedure is carried out on a previously treated tooth or a vital,
non-infected tooth.

Implant success, however, is
determined in terms of survival,
a potentially misleading phrase –
the mere presence of a tooth or
implant should not be perceived
as a triumph. After all, if a patient
requires time-consuming and
potentially uncomfortable postsurgery treatment, the initial
procedure can hardly be deemed
a success.
It was commonly believed
that for patients who have chosen

an implant over and above endodontic treatment, the completion
of the surgery was the end of the
story. However, implant specialists are now seeing examples of
late failures, as well as patients
suffering from problems with the
implant’s prosthetic component.
Priority: patient care
It is difficult to determine which
procedure is the most successful. As healthcare professionals,
our priority must be the patient,
and working towards providing
the best patient care possible
should be the main objective.
Bearing this in mind, I am aware
that the most favourable option
for the patient is usually to have
the quickest treatment, minimising the hours spent in the dentist’s chair. The time involved in
placement of an implant, as well
as the potential subsequent appointments increases the treatment time for the patient. Implants are not just “popped in”,
but are instead a very complicated, time-consuming and expensive treatment modality.
Recent indications from periodontists reveal that non-surgical periodontal treatment, even
if further endodontic treatment
is required, is preferable to implants as it helps save the original tooth, without the need for
invasive procedures.
We all endeavour to offer total patient care, and for most
patients, maintaining their own
teeth is of the highest priority.
However, we do have to be aware
that there is not always the option to save the tooth, and in this
situation there is an undeniable
argument for the provision of
implants. However, a full-case assessment needs to be undertaken
before any treatment is planned,
and I would recommend a comprehensive discussion of the merits of a bridge vs an implant is a
good idea. Also, the patient must
of course be made aware and understand the full treatment process, and give full consent.
Effective communication
Maintaining a good professional dialogue with referral practices is key to providing patients
with optimum patient care and
honest advice. Building and
maintaining relationships with
periodontal, restorative, orthodontic and endodonic specialists
enables referring dentists to become involved in both the planning and treatment stages of a
patients’ procedure. DT

About the author
Dr Michael Sultan BDS
MSc DFO is a specialist in Endodontics and
the clinical director of
EndoCare. To talk to a
member of the Endocare
team call 020 7224 0999
or email reception@endocare.co.uk or for more information
please visit www.endocare.co.uk.

[25] =>

United Kingdom Edition May 3-9, 2010

Managing small businesses
with BIG requirements is
not easy
Seema Sharma reflects on the skills sets required

ll NHS and private dentists
have to register with The
Care Quality Commission
(CQC) in 2011, and will be expected
to comply with 30 regulations which can be grouped into six sections:
1. Involvement and information
2. Personalised care, treatment
and support
3. Safeguarding and safety
4. Suitability of staffing
5. Quality and management
6. Suitability of management.
This article explores how Dentabyte can assist your practice achieve the key outcomes and performance indicators expected by the
CQC for section six: Suitability of
Management.
Suitability of Management
A recent study associated with Investors in People showed that management has an important role to
play in delivering company performance in terms of the improvements in quality, service and customer satisfaction. The good news
is that it also showed that sound
management structures lead to
higher levels of profitability.
The more a dental practice embraces a management structure,
the better its performance will be.
This is because a good practice
leader:
• Allows managers greater
freedom and discretion
to perform
• Supports the development
of a learning culture for
team members
• Enhances the effectiveness
of the management processes
being implemented
• Creates an environment
where there is more focus
on performance
• Ensures employees better
understand their goals and their
contribution to the practice.
Unfortunately, dental practices
are often not big enough to accommodate a leader and a manager,
so the practice owner/practice
manager needs to have characteristics of both to have the ideal
set of strengths for building a
winning team.
So who’s going to do it?
And so the challenge begins – getting the whole team on the same
bus is a manager’s biggest headache. You’re right, it’s not easy!
There are four basic styles of
interaction:

The Director - driven and focused;
can be impatient
The Socialiser – Friendly; thrives
on compliments
The Thinker – Analytical, enjoys
problem solving
Relater – Approachable,
warm, loyal.
Inherent styles never really
change, so my tip is to start by selecting the right personality style as
well as the appropriately qualified
person for the job during recruitment. Relaters make great nurses,
socialisers are good on reception
and thinkers and directors have
management and leadership skills
respectively.
With an existing team, get the
whole team to try out a personality test when you are all in a staff
meeting, to help team members
understand that they will all see
things differently. It’s a lot of fun
and it breaks the ice!
The 80/20 rule
If all this sounds daunting, remember that;
• 80 per cent of our practice successes come from 20 per cent of
our efforts.
• 80 per cent of our practice headaches certainly come from 20 per
cent of our patients or staff!
By concentrating on leadership, and delegating 80 per cent of
the day-day routine management
of your practice, you can lead your
practice to uncharted success!
Leadership – can we do it?
A leader provides strategic vision,
engages, motivates, inspires and
aligns the practice team with the
owner’s core vision. By defining
the practice’s vision and setting
out aims and objectives clearly, he
or she empowers the team to work
together towards end goals... and
then he does not actually have to be
there all the time!
The worst thing a practice owner can do is try to be all things to
all people – it’s time to learn how
to delegate. More than ever before,
leadership skills are required in the
new world of dental practice management - there are a lot of goals to
be achieved for CQC, and the vision
needs to be developed now to get
the whole team doing their bit!
Leadership styles can be
• Dictatorial
• Authoritative
• Consultative
• Participative

A good leader applies the right
style to the right situation – there
is no right or wrong style. Not sure
what your style is? The good news
is that leadership traits can be acquired with the right mentoring
and coaching.
Management – yes we can!
A manager on the other hand implements the strategy outlined by
the leader by building teams, setting up systems, organising workflow and solving problems.
A great practice manager will
get to know the individual strengths
and weaknesses of each team
member then know how to harness their strengths and reduce the
impact of their weaknesses with
support, training and sometimes
firm action.
Delegation (not abdication) is a
key tool in a manager’s armamentarium too. The manager’s role is
to translate vision into action by
empowering individuals to take
on roles and generate results, but
to stay at a close enough distance
to provide assistance or guidance
when required.
Relevant CQC Regulations
The following regulations are relevant to this section:
Regulation 3:
Fitness of service provider
• Do all your team members have
the necessary qualifications, skills
and experience to fulfill their
roles?
Regulation 5:
Fitness of registered manager
• Does your leader or organisation
have the skills to supervise management of your service?
Regulation 6:
Registered person: general requirements and training
• Can you demonstrate that each
team member carries out the
service with appropriate training,
competence and skill?
Regulation 26:
Notice of absence
• Can patients and the CQC be confident that if the person in charge
of the service is absent it will continue to be properly managed and
be able to meet their needs?
Regulation 27:
Notice of Changes
• Can patients and the CQC be confident that if there are changes to
the service, it’s quality and safety
will not be affected? DT

DCPs 25

[26] =>

26 Industry News
It’s good to talk
David Winkler, of the
British
Academy
of
Aesthetic Dentistry will
be exploring ‘Adhesive
aesthetic restorations: facts
and fiction’ at the World
Aesthetics Congress in a lecture supported by Philips Sonicare.
The company is also supporting the entire dedicated Hygienist programme
which includes two talks by Jo-Anne Jones “Just because they need it doesn’t
mean they’ll want it: strategies for oral health and client compliance” and
“Teenagers – what their mouths are telling you but they’re not: practical
information on teen health issues”.
Philips will be also be exhibiting its newest Sonicare brush on Stand B13b. The
FlexCare+ provides dental professionals with latest motivational tool for the
mouth. The new toothbrush has been enriched with new features specifically
designed to motivate patients to brush the way they need to if they are to
address their periodontal disease.
The FlexCare+ comes with a high tech illuminated panel which is easy to read,
and gives the model a sleek and streamlined look. It is also designed to be
slimmer and smaller and its advanced vibration canceling system provides a
comfort-enhanced brushing experience with 80% less vibration than previous
Sonicare models.
For more information visit stand B13b or www.sonicare.co.uk/dp.

United Kingdom Edition May 3-9, 2010

The Xtensor® for Wrist Pain - Elbow
Pain - Hand Stiffness and for
“Xtending the Life of Your Hands”
Now available in the UK – exclusive to
Topdental.
The muscles that close the hands are
constantly under stress as every activity
requires forceful gripping. Recipient
of the prestigious ‘Medical Design
Excellence Award’ in 2007, the Xtensor
makes it easy to strengthen the muscles that open the hands, improving blood
flow to strengthen the wrists, forearms and elbows thereby helping prevent
and repair repetitive stress injuries.
The Xtensor with varying levels of tension, specific to each finger, fits on both
hands and replicates the natural movement of the fingers in the exact opposite
direction of how we use our hands every day. Already used in the world of
Premiership football and cricket, the Xtensor is a great gift for sports people,
musicians, dentists, surgeons, gamers, hairdressers and anyone whose activity
requires repetitive use of the hands.
What is The Xtensor and why does it work?
Introductory Price just £39.95
For more information contact :
Topdental (Products) Ltd 01535 652750 www.topdental.org
sales@topdental.co.uk

Oral cancer- Routine tests save lives
New ViziLite® Plus helps the dental practitioner see what eyes alone may
not. Available in simple, easy to use, disposable kits, the system utilises
chemiluminescent technology to help identify early epithelial changes that
could be precancerous. By identifying oral abnormalities, the patient can be
referred immediately and confidently for further treatment. Using a unique
‘TBlue’ marker system, precision is guaranteed in marking and documenting
lesions. ViziLite® Plus has quickly become a critical element of the dental
surgeon’s preventative practice, contributing to the accepted fact that better
screening really does save lives. ViziLite® Plus is available in a 40-unit pack
£622.78 plus VAT or in 20-unit pack £311.40 plus VAT. Call Panadent 01689 88
17 88 to ask about special offers or to order your pack.

Spring offer on advanced GIC manufactured in the UK.
Buy 2 boxes of Diamond Carve or 90 before the end of June and receive a 25%
discount. Diamond Carve is manufactured in Swindon by Kemdent. This Glass
Ionomer is unique because it is based on a distinct ingredient, a specialist glass
polyphosphonate cement.
This ingredient contributes to the many advantages of Diamond Carve,
including versatility and strength, saliva resistance, excellent finishing qualities
and wear resistance properties. There is no need to worry about dimensional
change or post-operative sensitivity when you use Diamond Carve.
Diamond Carve is designed for Class 1 and Class 2 restorations together with
class V abrasion cavities. It is also used for restorations in deciduous teeth, core
build up, amalgam repair and the cementing of posts in root canal treatments.
It is available in 7 shades.
Diamond Carve has a packable consisitency which is chemically cured and
rapid snap set into position. The restoration is waterproof once the chemical
snap set is complete. The consistency of the mix of Diamond Carve, its
durability and ease of use will help a dentist perform restorations accurately
and quickly.
For further information on special offers or to place orders call Helen or Jackie
on 01793 770090 or visit our website www.kemdent.co.uk.
Issued by Belinda Mayoh –Kemdent email belinda@kemdent.co.uk
Tel: 01793 770256, Fax: 01793 772256
Date:15032010 Ref: Carve BJMS15032010
Associated Dental Products Ltd, Kemdent Works, Purton, Swindon
Wiltshire SN5 4HT, ENGLAND

The Start of a Dental Revolution
SDR™ is a revolutionary, new bulk-fill, composite base
material for posterior Class I and II restorations.
SDR’s unique formula enables 4mm fill without layering,
thus minimising the risk of post-operative sensitivity,
microleakage and recurrent decay. In fact, more than
90% of practitioners who sampled SDR stated that they
would definitely use it to replace or use alongside their
existing composite!
To help spread the news, DENTSPLY has organised
special evening events across the country throughout
June 2010:
• 8th June: Cheltenham and Leeds • 9th June: Manchester and Gatwick • 10th
June: Belfast • 15th June: London, Dublin and Glasgow • 16th June: Cardiff •
17th June: Portsmouth

New Picasso laser launched by Velopex
The Picasso laser contains two lasers: a
7 Watt (user power) Gallium Aluminium
Arsenate (GaAlAs) diode laser and a small
laser pointer. The GaAlAs laser is ideal for soft
tissue (gum) work – as it does not interact
with teeth or bone (810nm). It is particularly
indicated for both periodontal work – where
it can sterilise the pocket killing the bacteria
– also for endodontic work where it can
sterilise the root canal. The laser energy is
fibre delivered - the smallest available fibre being 300 microns.
The Velopex Diode Laser is very easy to operate with a user friendly, menu
based‘touch screen’ control system that is easy to navigate – with 8 presets.
The unit itself can fit neatly onto or into standard dental cabinets. The Laser
fibre delivery system allows complete and free movement of the hand-piece
in the clinicians hand.
Velopex are very proud of their laser training and product support – which
keeps customers coming back for repeat purchases.
With a price of just £4,995 + VAT for the complete package including case, 3
pairs of glasses as well as a 2 year warranty - this is set to become a big seller.
Not only that, but this price includes an Aquacut Quattro single chamber unit
– giving a hard and soft tissue combination – amazing value!
For more information, or to arrange a demonstration, please contact:
Mark Chapman, Tel 07734 044877

Grown up science for kids
- Paediatric dentists offered a chance to evaluate Sonicare For Kids
Between 3-6 June 2010 Philips is showcasing its new Sonicare For Kids toothbrush
at the 10th Congress of the European Academy for Paediatric Dentistry. This
respect organisation is teaming up with the British Society of Paediatric Dentistry,
to draw together world renowned opinion leaders with a special interest in the
oral health of children and bring them to the UK. Philips is supporting the Keynote
Scientific Lecture on 5 June which is being given by Dr Dorte Haubek from Aarhus
in Denmark who will be presenting ‘Aggressive periodontitis in children and
adolescents: the old, the new and the future’. A visit to stand 15 at the Harrogate
International Centre will enable Congress delegates to find out more about
Sonicare For Kids which is aimed at children aged 4 to 10 years of age. The new
brush is based on the core Sonicare technology which has already made it the
most often recommended power toothbrush brand by dental professionals but
incorporates a number of innovative new elements. Clinical studies have shown
Sonicare for Kids removes more plaque than a children’s manual toothbrush - up
to 75% more in hard-to-reach areas - and provides significantly better brushing
performance than a children’s battery toothbrush in children aged 7-10. Whilst
studies conducted by experts in child ergonomics with kids and parents have
ensured that the way the brush is used, held and interacted with, is as effective
and enticing as possible for a child to use so aiding compliance.
During the EAPD conference Philips will be offering paediatric dentists the
opportunity to trial and evaluate the Sonicare for Kids. For those unable to visit
the Congress more information can also be obtained by visiting www.sonicare.
co.uk/dp or calling 0800 0567 222.

UCL Eastman CPD launches challenging new programme
“Developing Leadership and Clinical Excellence within the NHS”

Philips supports Oral Healthcare for People Living with Cancer
Philips Sonicare is supporting a Conference aimed at presenting the European
perspectives on oral cancer in parallel sessions for two distinct audiences;
Dentists, and Specialists mainly in maxillofacial surgery, oral medicine, oral
surgery, special care dentistry, and otorhinolaryngology and Dental Care
Professionals [DCPs] and the cancer support team.
The Oral Healthcare for People Living with Cancer Conference which brings
together some of the worlds leading experts in the field of oral cancer,
takes place on 11 June 2010. It aims to enhance awareness throughout the
healthcare team of the importance of early detection of orofacial signs and
symptoms, and of the prevention of cancers. In addition it is hoped that
healthcare professionals will learn ways to help reduce mortality rates through
early detection and early treatment and reduce complications from cancers
and their treatment
Philips is working with Professor Crispian Scully of the Eastman Dental
Institute to organise the event which takes place in London at The De Vere
Conference Centre in the Docklands area of the City.
For patients with oral cancer, many of whom are immunologically
compromised, the addition of a Philips UV Sanitiser with its FlexCare+ brush
enables them to eliminate 99% of selected germs from their toothbrush heads,
so that they do not risk potentially risky infections.
More information about the Conference is available via www.eventassociates.
co.uk/oral-healthcare-2010-programme.html.

Convenient Professional Development
In order to give patients the best possible
treatment and care, all registered dental
professionals have a duty to refresh their knowledge and develop their skills
on a regular basis.
Now Smile-on has teamed up with UCL Eastman CPD and KSS Deanery to
develop a convenient CORE CPD platform that provides dental professionals
with a wealth of resources designed to help them fulfil their requirements. The
wide range of subjects includes:
• Radiography • Cross infection control • Medical Emergencies
• Legal and ethical issues • Handling complaints

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

More information about Sonicare is available on www.sonicare.co.uk/dp.

Key opinion leaders will speak at these events, sharing how the simple and
efficient SDR filling technique eliminates the need for complex layering, saving
you time in your practice.
Celebrate the launch of the first flowable bulk-fill base with DENTSPLY and
SDR™ and join the start of a dental revolution!
To book a place at one of these free events and earn one hour of CPD email
enquiry.uk@dentsply.com using ‘SDR party’ as the subject including your
name, practice address, contact telephone number and GDC number, stating
your preferred city to attend or call 01932 837 243

The online resources perfectly compliment other learning situations such as
informative seminars, webinars and ‘in-practice’ training sessions to provide
clinicians with a truly integrated and inspiring learning experience.
Smile-on’s CORE CPD platform contains all the resources the dentist requires
to meet their educational requirements in one place. With the bulk of learning
online, practitioners are able to study when and where they please without
having to pay for expensive face-to-face conferences, time away from the
practice and travel.
CORE CPD is a flexible, distance-learning programme but the Smile-on team is
always on hand should you need guidance, advice, or reassurance that you’re
on the right track.
For more information call 020 7400 8989, visit www.corecpd.com or email
info@smile-on.com

BDA / DENTSPLY Student Clinician
Programme:“A fantastic opportunity.”
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.
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 Student Clinician Programme was a great opportunity to share
with a wider audience a topic that I have found fascinating since being
introduced to it during my third year studies.
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

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. This
programme is ideally suited to general dental practitioners who are seeking to develop new
practices or reinvigorate existing practices. Practitioners will be exposed to the most current
principles and approaches to leadership, clinical management and team development
within the primary care setting. The implementation of many of these aspects will benefit
the day-to day running of an efficient and successful practice. This part-time programme will
run once every 3 weeks for 15 months. It will be delivered by teachers and clinicians from
the UCL Eastman Dental Institute, the University of Warwick Institute of Clinical Leadership
and the Department of Health. 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. All will be
considered as part of the team approach to improving oral health.
For further information or to register for the programme, please contact the Course
Administrator Tel: 020 7905 1234 or 1261 E-mail: m.kelly@eastman.ucl.ac.uk

www.voroscopes.co.uk

[27] =>

[28] =>

28 Events

United Kingdom Edition May 3-9, 2010

Pedal power
A team of dental professionals combine cycling,
rugby and adventure to raise much-needed funds
for children’s charity Wooden Spoon

ast year, Ian Mills, a
partner at Torrington
Implant Clinic and Academic Clinical Fellow at Peninsula Dental School, along
with Simon Hill, the owner of
Wyndham House Dental Practice in Llantwit Major, Cardiff,
organised a dental implant
conference in Cardiff to coincide with the Wales vs. England
Rugby International at the Millennium Stadium.
It was the second year a
conference had been organised
with all profits donated to the
Wooden Spoon Charity, which
helps disadvantaged children.
This year however, they decided
to have a break from conference
organising and do something
completely different.
A new plan
‘Ian came up with an idea that
we could go and watch Scotland
play England at Murrayfield and
then cycle from Edinburgh to
Cardiff in time to watch Wales
play Italy,’ explained Simon. As
an ex-international rugby player, he was fairly undaunted by
such a sporting challenge, but
was mightily impressed with
Ian’s enthusiasm for such an

idea. ‘I was amazed that Ian had
suggested this, as the last bike
he’d been on was a Chopper,’
said Simon rather ungraciously.
By the time Ian realised what
he had let himself in for, it was
too late to back out. He obviously wasn’t prepared to suffer
alone, so quickly recruited Martin Docking a dental technician
from Cornwall, Adrian Watts a
consultant in Restorative Dentistry in Cardiff and a couple of
other unsuspecting friends. So
on the 14 March 2010, a group of
nine cyclists, three support vehicles and an orthopaedic surgeon, set off from Murrayfield to
pedal the 450 miles to Cardiff.
An idyllic adventure
The trip took them over snowcovered mountains in the Borders, up hills and dales in the
Lake District and through the
beautiful Brecon Beacons.
‘The first few days were fairly hard, but day four was certainly the most difficult. We cycled 94 miles from Warrington
to Church Stretton in Shropshire
which included an unplanned
detour with some hideous hills,’
explained Adrian.

As if that wasn’t challenging
enough, Adrian cycled the whole
way on a single-speed bike,
earning him the coveted yellow
jersey, which was presented at
the end of the tour. ‘I’m still not
sure whether the award was for
recognition of my courage or my
stupidity,” said Dr Watts, ‘but
I have a suspicion it may have
been the latter.’
The group covered the distance in six days and arrived
at the Millennium Stadium in
time for kick off. ‘To arrive in
Cardiff on match day and be
greeted by family, friends and
rugby fans was fantastic. To then
cycle into the Millennium Stadium before the game was incredible, and really quite emotional,’
said Martin.

hard work after all, and Ian and
Simon are already planning the
2011 Conference to coincide with
the Wales vs. England game. We
have it on good authority that Ian
will not be arriving by bike.
About the charity
Wooden Spoon is a children’s
charity that improves the quality
and prospect of life for children
and young people who are disadvantaged physically, mentally
or socially. Strongly supported
by the rugby community, it was
formed in 1983, when the England rugby team received the
‘Wooden Spoon’.
Since then, Spoon has
spent £15 million helping over
500,000 children and young people across the UK and Ireland.
Spoon delivers rugby projects
to help children and young peo-

With hindsight, organising a
conference might not seem such

From left to right: Martin Docking, Ian Mills, Simon Hill and Adrian Watts.

Two willing dentists take part in London’s 30th Marathon to raise
money for Tanazanian charity, Bridge2Aid

Dr Katherine Opie-Smith and
Dr Chris Waith completed the
30th London Marathon on Sunday 25 April with over 35,000
other runners and together,
raised over £5800. Both have
previously worked in Tanzania
as part of Bridge2Aid’s Dental
Volunteer Programme (DVP).

into it a tad under-prepared,’ reported Chris who works at Cahill
Dental Care Practice in Bolton,
Greater Manchester. ‘I had shin
splints and a sprained ankle in
the lead up to the Marathon and

The charity’s patrons are
HRH The Princess Royal, the
governing bodies of Rugby Union in England, Ireland, Scotland
and Wales and the Rugby Football League. It has the support of
a host of rugby legends and other high profile celebrities from
the worlds of music, sport and
the media. To learn more about
Wooden Spoon and its projects,
visit www.woodenspoon.com. DT

The group managed to raise
over £9,000 for Wooden Spoon,
which will be spent on local
groups in Wales and Devon. ‘It
was a marvellous experience,
although I’ve had to do all my
dentistry standing up since I got
back,’ quipped Ian who is based
in Devon.

Keep on running
wo dentists managed
to raise over their target sponsorship amount
when they ran the Flora London
Marathon in aid of dental charity, Bridge2Aid.

ple combat bullying, violence,
crime, obesity and discrimination. It also makes grants to special projects that meet its aims,
which have included hydrotherapy pools, young people’s lifeskills centres and sensory rooms.
Wooden Spoon now raises over
£1.5 million a year through national events such as the Spoon
Challenges and through regional
volunteer fundraising.

I was just praying that sheer
willpower will get me through!
The last six miles or so were
my hardest but the crowds were
amazing and kept me going with
constant encouragement and
cheering or the occasional crafty
penny chew!
‘All in all, it left me extremely tired and emotional but the
thought of my gorgeous family
Michelle and baby Dylan, who
have supported me throughout,
as well as those amazing people
I met in Tanzania last year kept
me going until the end.’

‘It was definitely a good day,’
said Katherine, who is also a
Bridge2Aid Trustee and works
at the Dulwich Village Dental Practice in London. ‘My time
was 4:35:55. I was 64 seconds
slower than when I did it in 2008
but ultimately I had fun. Need
some time to recover though –
lots of blisters!’

Chris completed the Marathon in 4:15:34 and is continuing
his support of Bridge2Aid by entering the BUPA Great Manchester Run on 16 May and the BUPA
Great North Run on 19 September. To donate, please visit his
Just Giving page, www.justgiving.com/chriswaith.

Pre-race nerves
‘At first I thought I was going

The funds that Katherine and
Chris have raised will go dire-

ctly towards Bridge2Aid’s work of helping Tanzanians who
live in rural, remote locations
to have access to safe, emergency dentistry.
Stop press!
Bridge2Aid would like to ask for
some support for our BUPA London 10K runners who are taking
part in the challenge on 31 May.
To find out more, please visit
www.bridge2aid.org or email
fundraising@bridge2aid.org.
About the charity
Bridge2Aid (B2A) is a dental and
community development charity
working in the Mwanza region of
North West Tanzania. We started
full scale operations in 2004 and
work closely with the Tanzanian
Government to deliver aspects of
their dental strategy. We operate
a not-for-profit dental clinic in
the city of Mwanza (Hope Dental
Centre), and have a community
development programme for the
disabled community based at
Bukumbi Care Centre.

Our focus is sustainability – empowering local people
to improve their own lives over
the long-term. We have Trustees
and administration in the United Kingdom and we are a UK
registered charity no. 1092481.
Bridge2Aid is a registered NonGovernmental Organisation (NGO) in Tanzania with additional
Tanzania-based Advisors.
The four key aspects
Bridge2Aid’s vision are:

• To provide primary dental care
and oral health education to
communities in Tanzania
• To equip and further train local health personnel to provide
emergency dentistry to rural
communities
• To care for and empower the
poor and marginalised in Tanzanian society
• To provide opportunities for
UK dental professionals and
others to use their skills to serve
Tanzania, as locums or participants on the Dental Volunteer
Programme (DVP).
Further information, contact Lucy Jenkins by emailing
lucy@bridge2aid.org or Mark
Topley by emailing mark@
bridge2aid.org. DT

[29] =>

[30] =>

30 Events

United Kingdom Edition

Support for Dentaid
From providing instruments to make up vitally needed dental kits,
to raising funds for a project in Cambodia, there are so many ways
you can help Dentaid make a difference

for surgery) to make up kits that
entaid is in the process
will equip health workers to proof gathering together any
vide dental
care in remote rural
unwanted dental instrumsc_ad_source_uk.pdf
1
03/08/2009
15:21:59
communities worldwide.
ments (both for conservation and

Following extensive feedback
on this project, Dentaid has produced a Full Instrument Kit available for purchase or short-term

hire, to trained dental professionals working in areas without access to clinic facilities or electricity to use to offer treatment.

May 3-9, 2010

Although principally an extensive extraction kit, it also
includes instruments and materials for carrying out oral surgery. Many dental personnel
have taken these kits on many
a short-term visit to countries
as diverse as Peru, Kenya, Nicaragua, Vietnam and Bosnia. Intended for use in remote rural
areas, the kits are fully portable
and supplied in a rucksack or a
plastic toolbox.
To support hiring of the kits,
the Dentaid workshop staff have
created a new module system
whereby each user can tailor an
instrument kit to their specific
needs. It consists of 11 modules,
including those for examinations, ART, extractions, and oral
health education, can be bought
or hired individually or in any
combination. Further details of
these kits may be found at www.
dentaid.org, by clicking on the
‘What We do’ button, then the
‘Physical Resources’ button.

‘Dentaid has produced a Full Instrument Kit available
for purchase’
New Cambodia project
About 1,200 families actually
live in or around a toxic landfill
site in Phnom Penh, driven by
desperation to survive by selling scraps of plastic and metal
scavenged from this, the largest
dumpsite in Southeast Asia.
The Cambodian Children’s
Fund (CCF) serves this needy
community with four residential care centres and a school
providing education for 450
children, and has just opened
a medical centre with two fulltime doctors offering free treatment. Now they have recruited a
dentist who is ready to supervise
a dental surgery with the help of
volunteer surgeons and therapists – but only once equipment
is found for it.
This is where Dentaid comes
in! A fully refurbished surgery,
(designed to meet the detailed
local requirements outlined in
Dentaid’s end-user questionnaire which every project applicant has to complete) can be
crated and shipped to Cambodia
for £3,750 – but first the funding
has to be found. If you are interested in helping this project,
please call 01794 324249 or
email info@dentaid.org. DT

Contact information
If you would be interested in taking
part in a Dentaid golf day in the north
of England or attending a Christmas
Ball, please email Diane on diane@
dentaid.org to let her know where you
are based.
For further details of Dentaid’s work
and to get involved, please visit www.
dentaid.org.

[31] =>

Classified 31

United Kingdom Edition May 3-9, 2010

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

Custom-fitting Mouthguards* – the best protection for teeth
against sporting oro-facial injuries and concussion.
OPROshield – a self-fit guard enabling patients
to play sport whilst awaiting their custom–fit guard.
NightGuards – the most comfortable and effective way
to protect teeth from bruxism.
Bleaching Trays – the simplest and best method for
whitening teeth.
Snoreguards – snugly fitting appliances to
reduce or eradicate snoring.
OPROrefresh – mouthguard and tray
cleaning tablets.
A4

- Pdf Ripper.qxd 2/10/07 10:14 Page 1
In 2007, OPRO was granted the UK's most prestigious business award,
the Queen's Award in recognition of outstanding innovation.

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

part of the oprogroup

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

7320_09_3

mouthguard and tray
cleaning tablets

Every dental surgery should be equipped to enable the dentist or trained
DSA to administer resuscitation. The Tricodent Emergency
Resuscitation Kit is easy to identify and put into immediate use.
Patients in the surgery or waiting room who suffer cardiac arrest,
cardiovascular collapse, respiratory arrest or an acute allergy condition
may be given oxygen or an oxygen-enriched air supply to revive them
using the self-reinflating bag.
The kit is supplied complete and ready to use with a fully charged
340 litre oxygen cylinder with multi-flow regulator, resuscitator bag
and guedel airways.
All components can be purchased separately & the Kit/Cylinder can be rented
Untitled-4 1

19/10/09 17:03:31

Tricodent also provides a full servicing and re-filling package to ensure
that your practice always has an appropriate level of emergency cover.
For further details, please contact:

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

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

for Dentists

+44 (0) 1403 780 770

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

MPMS 95x50 Dentists.indd 1

11/12/2006 21:56:19

To advertise here please contact Sam Volk
on

0207 400 8964

[32] =>

36

1.1
Enamel SMH recovery (%)

Plaque removed (Turesky)

NEW EVIDENCE FOR THE BENEFITS
OF INCREASING BRUSHING TIME
1.0
0.9
0.8
0.7
0.6

35
34
33
32
31
30

0.5
29
To motivate
behavioural
change,
it
helps
if
patients
understand
the
benefi
ts
0
30
60
90 120 150 180 210
0
50
100
150
200
of brushingBrushing
for attime
least
2 minutes twice a day with fluoride
(seconds)
Brushingtoothpaste,
time (seconds)
compared to an average brushing time of around 46 seconds.1

New research results from Aquafresh show that increasing brushing time:
36

Recommend a great
tasting fluoride dentifrice
to encourage your
patients to brush for
longer, for increased
fluoride protection and
plaque removal

• 26% more plaque removal
was observed with brushing
for 120 seconds36
compared
with 45 seconds*2

34
In vivo brushing clinical study 2
33
1.1
32
1.0
31
0.9
30
0.8
29
50
100
150
0.7 0
Brushing time (seconds)
0.6
0.5

0

30

60

90

120

150

200

180

210

Brushing time (seconds)

Enamel SMH recovery (%)

Plaque removed Enamel
(Turesky)SMH recovery (%)

35 cantly increases plaque removal
Signiﬁ

35
34
33
32
31
30
29

0

50

100

150

200

Brushing time (seconds)

Signiﬁcantly increases ﬂuoride uptake and enamel strengthening
In situ enamel remineralisation clinical study

3

Enamel SMH recovery (%)

36
35

• Surface microhardness
(SMH) increased in a linear
fashion over the period
30–180 seconds*3

34
33
32
31
30
29

0

50

100

150

200

Brushing time (seconds)

* p<0.05

References
1. Beals D, Ngo T, Feng Y, et al. Development and laboratory evaluation of a new toothbrush with a novel brush head design. Am J Dent 2000; 13: SpIss 5A–13A.
2. Gallagher A, Sowinski J et al. The effect of brushing time and dentifrice on dental plaque removal in vivo. [Accepted for publication in J Dent Hyg]
3. Zero DT, Creeth JE et al. The effect of brushing time and dentifrice dose on fluoride delivery in vivo and enamel surface microhardness in situ. [Manuscript submitted]
AQUAFRESH is a registered trade mark of the GlaxoSmithKline group of companies.

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