Dwindling patients access NHS dentistry / News / News & Opinions / GDPUK round-up / Information on tap / If recession proofing is that easy… / Don’t get caught / Who inherits your estate? / A stroll through the digital landscape / Evidence-based caries reversal using ozone / What makes a successful implant practice? / Spring forward / National Dental Nursing Conference 2009 / Time to listen / Industry News / Climb Mount Kilimanjaro
Dwindling patients access NHS dentistry
01 - 01 viewNews
02 - 03 viewNews & Opinions
04 - 06 viewGDPUK round-up
08 - 08 viewInformation on tap
10 - 10 viewIf recession proofing is that easy…
11 - 12 viewDon’t get caught
14 - 14 viewWho inherits your estate?
15 - 15 viewA stroll through the digital landscape
16 - 18 viewEvidence-based caries reversal using ozone
19 - 20 viewWhat makes a successful implant practice?
21 - 21 viewSpring forward
22 - 22 viewNational Dental Nursing Conference 2009
23 - 23 viewTime to listen
24 - 25 viewIndustry News
26 - 28 viewClimb Mount Kilimanjaro
30 - 30 viewArray
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[1] =>
DTUK1509_01_Title
DENTAL TRIBUNE
The World’s Dental Newspaper · United Kingdom Edition
PUBLISHED IN LONDON
News in brief
JUNE 8–14, 2009
Money matters
VOL. 3 NO. 15
Clinical
Education
DCP’s
Brighter smiles
Psychiatric assessment
The General Dental Council
has adjourned a tribunal looking into allegations that a dentist refused to treat a number of
Muslim women unless they
wore Islamic headscarves.
Omer Butt, put up signs at the
Unsworth Smile Clinic in Parr
Lane, Bury requesting Muslim
women cover their hair. Last
week, a General Dental Council disciplinary committee in
London heard complaints from
two people who said Butt refused to treat some of their relatives unless they wore headscarves. Butt faces a charge of
misconduct for his treatment of
two patients. If he is found
guilty, he faces being removed
from the dental register.
Chairman Gill Brown adjourned the tribunal until July 1.
www.dental-tribune.co.uk
Implant success
Vulnerable times
There is no escaping the fact
that we are now in recession
but that doesn’t mean your
business has to suffer.
There has never been a more interesting time to be working in
dentomaxillofacial imaging and
3D technology.
With a greater sense of teamwork
between restorative and surgical
practices, doctors can build successful implant practices.
In times of personal crisis, our
normal routines can be altered
drastically, leaving us vulnerable
to all sorts of things.
page11
page16
page21
page24
Dwindling patients access NHS dentistry
F
ewer people are now seeing
an NHS dentist than they
were before the new dental
contract was introduced in 2006,
according to official figures.
More than 27m people visited
their dentist in England in the
two-year period ending December 2008, representing 53.4 per
cent of the population.
But the figure was 900,000
less than the number seeing dentists before the new dental contracts were introduced in April
2006.
Findings from the NHS Information Centre revealed that
27.3m people saw a dentist in the
two-year period ending in December 2008, a rise of 300,000
from the figure three months
earlier in September 2008.
But the number of patients
seen was still 3.1 per cent less
than the figure in the two-year
period ending 31 March 2006
when 28.1m patients were seen,
immediately before the new dental contracts were introduced.
The report; NHS Dental Statistics for England: Quarter 3
shows that in England, NHS dentists saw 49 per cent (19.7 million) of the adult population in
the two-year period ending 31
December 2008.
This represented a 1.1 per
cent increase on the previous period ending in September 2008
but a 3.4 per cent decrease on the
numbers of adults seeing a dentist in the two-year period before
the introduction of the new dental contract.
‘Today’s data shows that over the
last two quarters of 2008, the
number of patients accessing an
NHS dentist in a two year period
increased by nearly 340,000’
General Dental Practice Committee, praised the improvement in access during 2008 and
said: ‘Although these figures
mean that there are still many
people who wish to access a dentist but cannot do so, the increased number of people who
can is good news.’
ices for patients, an increase of
800,000 (3.1 per cent) courses
of treatment in 2008/09 from
the same period last year.
DENTSPLY Procedures
We want to ensure that every
person who wants to access an
NHS dentist is able to do so and
have invested a record £2bn in
dentistry and set up a national access programme to help the NHS
deliver this. The tide is turning and
we are now seeing access to NHS
dentistry starting to increase.’
He added that in 2007/08
there were 655 more NHS dentists than the year before, and
with 25 per cent more students
each year since 2005, there will
be more to come in the future. DT
W
Indirect Restorations
fi
Tribunal adjourned
High standards
S
Y
D
PL
TS CE N uk
N TI OU .co.
DE AC P tsply
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E R
N P N .de
O NE LIO ww
O IL a t w
M ore
E
N ut m
O nd o
A dentist in Northern Ireland
accused of murdering his wife
and his ex-lover’s husband 18
years ago is to be assessed by a
psychiatrist. The expert will
decide if Dr Colin Howell is fit to
face further questioning by police. Mr Howell had been due
back in court but his appearance was cancelled after he
was admitted to hospital at
Maghaberry prison. He is said
to be suffering from severe
stress and depression, and to be
under close medical supervision. At the time of their deaths
in May 1991, it was thought Mrs
Lesley Howell and Constable
Trevor Buchanan had died in
an apparent suicide pact. Mr
Howell, who has been in custody since January, is also
charged with drugging and indecently assaulting women.
Big business
Cross Infection Control
Rotary Endodontics
Anterior Restorations
He added however ‘as well
as maintaining this improvement, it is also important that
the Department of Health gets
to grips with the problems facing dentists as they seek to provide care and work with them
to embrace Lord Darzi’s vision
and help them to deliver high
quality care.
Posterior Restorations
Periodontal Treatment
The conclusions of the current inquiry into dental services being led by Professor
Jimmy Steele, which are expected in the summer, will
need to be the subject of consultation with the profession
and any reforms arising from
them will need to be properly
piloted before they are implemented.’
The amount of children visiting dentists was also down by
200,000 (2.4 per cent) on the precontract figures.
Chief Dental Officer, Barry
Cockcroft expressed his confidence that the NHS will continue to build upon this improvement and said: ‘Today's
data shows that over the last
two quarters of 2008, the number of patients accessing an
NHS dentist in a two year period
increased by nearly 340,000.
John Milne, chair of the
British Dental Association’s
It also shows that NHS dentists are providing more serv-
Gain
verifiable
DENTSPLY Rotary Endodontic Team
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Mrs ProTaper Universal lies at the centre of most successful
Endodontic procedures in the UK*.
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hasn’t used her before or an endodontist, she’s high quality and easy to
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For more information, please call our freephone number or email us:
+44 (0)800 072 3313
UKP00203
Young patients of a dentist in
Bradford will be taking part in a
Brighter Smile Day as part of the
British Dental Health Foundation’s (BDHF) annual National
Smile Month. Dentist Roger
Holdsworth and his team at
Roger Holdsworth Dental Care
have organised a day of activities to drive the health message
home to their young patients.
There will be competitions for
the cleanest teeth, a drawing
competition, friendly dietary
advice and an educational
DVD. Experienced dental staff
will be on hand to offer advice.
The BHDF campaign aims to increase public awareness of the
benefits of good oral healthcare
and runs from May 17 to June
16. This year’s campaign message is Look After Yourself,
Brush for Healthto highlight the
link between good oral health
and overall health.
enquiry.uk@dentsply.com
w
y co.uk www
ww.dentsply.co
y m
www.dentsply.
[2] =>
DTUK1509_01_Title
2
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
News
Swine flu dentistry link
B
ad dental hygiene could
increase the risk of swine
flu, according to the
British Dental Health Foundation.
The National Dental Survey
carried out by the British Dental
Health Foundation as part of National Smile Month found that
dreadful dental habits are helping spread germs as 40 per cent
of the UK population admit to
picking their teeth with their
fingernails.
The survey found that people are also picking their teeth
with everyday items such as
earrings, credit cards, paperclips, paper and even screwdrivers.
Foundation chief executive
Dr Nigel Carter said: ‘Hygiene
warnings have been made
clear ever since the swine flu
outbreak, and it is worrying
that these habits have been revealed as the numbers affected
by flu steadily rises. Personal
hygiene should be a top priority
for all.’
Results highlighted the UK’s
lack of awareness of the importance of oral health, with
research linking gum disease
to heart disease, diabetes,
strokes, premature births, low
birth–weight babies and, in recent early studies, infertility.
Yet awareness of these important overall health links is
low.
Two–thirds remain unaware
of possible links to heart disease, four in five knew nothing
of the links to strokes or diabetes, while 94 per cent of re-
Tories unveil new
dentistry reforms
by giving dentists the power to
charge them for failing to turn up.
Shadow health secretary Andrew Lansley said: ‘Dentists are
fed up with the flawed system of
perverse incentives that Labour
have introduced.
We will make preventative
treatment a real priority because
we urgently need to improve our
nation's dental health.’
The Conservatives have
pledged to properly pilot any reforms they bring in.
Dentists will be required to work for
the NHS for at least five years.
T
he Tories’ plan to reform
NHS dental care in England
includes school check-ups,
missed appointment fees, NHS
work quotas and scrapping the
unit of dental activity.
Under the plans, which are
outlined in a document titled
Transforming NHS dentistry, the
Conservatives said they would
make changes to the contract to
bring back registration so dentists were paid to provide treatment to a set number of patients
with incentives in place to encourage good care similar to the
current GP contract.
Their proposals also include
a return to school screening for
five-year-olds.
Dentists trained at taxpayers’
expense will also be required to
work for the NHS for at least five
years, instead of the current
three year minimum.
They also want to see a tough
stance taken against people who
consistently miss appointments
John Milne, chair of the British
Dental Association’s (BDA’s) General Dental Practice Committee,
said: ‘The dental contract that was
introduced in 2006 has created
significant problems for dentists
and patients alike.
Those problems have been
well documented, by the BDA,
patient groups and the Health Select Committee.
In seeking to address those
problems it will be important to
afford access to dentists to all and
ensure that dentists can provide
modern, preventive care.
Also vital is engagement with
the profession in developing the detail of these proposals and properly
testing new arrangements before
they are implemented. The BDA
looks forward to seeing those details and discussing them further.’
Lib Dem health spokesman,
Norman Lamb, agreed that the
government's new dental contract is not working, but said: ‘I
am not sure what the Tories are
suggesting will work. It could
create turmoil in the health service. We are looking into this issue
as we feel it is a priority.’ DT
the swine flu outbreak turns
into a pandemic.
The DH is warning
dentists that fewer patients will attend a
dental practice for
treatment during a
pandemic as illness
and anxiety will encourage patients to
cancel or delay appointments.
spondents had no clue
of potential risks
posed to pregnant
women.
’The public could
be put at risk by poor
dental hygiene habits
yet awareness of these
risks is very low,’ said Dr
Carter.
Gum disease in particular has been linked to
serious health issues. It affects
most people at some point in
their lives, so there is no excuse
for ignoring good dental hygiene.
People should take care of
their gums by brushing teeth
twice a day with fluoride toothpaste, cleaning between teeth
with floss or an interdental
brush, cutting down on how often they take sugary snacks and
drinks and visiting the dentist
regularly,’ he added.
The Foundation’s National
Dental Helpline is available
However some
patients both well
and infected will
need
dental
treatment.
with expert advice for the public
advice on 0845 063 1188.
All patients should
be screened for symptoms of flu
before attending the practice by
telephone and again on arrival
at the practice, said the DH.
National Smile Month promotes good oral healthcare under the tagline ‘Look After Yourself, Brush for Health’ and is supported by Oral B, Wrigley’s ORBIT Complete sugarfree gum
and Tesco Dental Insurance.
Treatment of infected patients should be limited to pain
relief and should avoid aerosolgenerating procedures where
possible and infected patients
should be segregated from well
patients.
The Department of Health
(DH) has issued guidance to
dental practices on what to do if
The full guidance can be found
on the Department of Health
website at www.dh.gov.uk DT
Dreadful dental habits are helping to
spread germs
Preventing back pain
A
n e-learning solution giving practical help on how
to prevent occupational
back pain has been launched.
The CD-Rom Perfect Posture
for the Dental Team, was produced by Smile-on in conjunction with Ellis Paul, who has
more than 30 years of experience
in teaching perfect posture and
four-handed dentistry in the UK
and overseas.
Studies have shown that 80
per cent of dental professionals
suffer from back or neck pain
caused entirely by working in
distorted postures.
This is a symptom of an underlying condition which can
vary from merely an unpleasant
pain to a permanent musculoskeletal lesion.
At best it makes life miserable
- at worst it causes absence from
work (with often considerable
loss of income) and frequent visits to physios and osteopath.
In some cases it has forced dentists into premature retirement.
This e-learning programme,
which is also available online,
aims to prevent pain, disability
and depression of work standards
due to musculoskeletal problems.
Just a few of the techniques
shown include using the five
variables, better access and vision, direct and mirror vision,
soft tissue control, aspiration and
instrument handling, plus correct stools and seated posture.
A spokesperson for Smile-on
said: ‘Back and neck pain is preventable and amazingly most
dentists either do not seem to
know this or, if they do, don’t
bother to take appropriate steps
to do something.
Surely it is far more sensible
to take relatively simple measures to prevent it occurring in
the first place rather than waiting till they are in pain and rushing off for treatment.
The CD-Rom produced by
Smile-On provides the complete solution to the problem. It
comprises the whole of Ellis
Paul's One-day Hand’s-On
Course but with additional techniques such as rubber dam, and
a whole section on exercises.
Recognising that it is not
only dentists but dental nurses,
therapists and hygienists also
suffer occupational back pain, it
shows how the same preventative techniques apply to them as
well. Thus it is for the whole
team.’
For more information please call
Laura McKenzie on 020 7400 8989
or email info@smile-on.com DT
International Imprint
Executive Vice President
Marketing & Sales
Peter Witteczek
p.witteczek@dental-tribune.com
DENTAL TRIBUNE
The World’s Dental Newspaper · United Kingdom Edition
Published by Dental Tribune UK Ltd
© 2009, Dental Tribune UK Ltd. All rights reserved.
Dental Tribune UK Ltd makes every effort to report clinical
information and manufacturer’s product news accurately, but
cannot assume responsibility for the validity of product claims,
or for typographical errors. The publishers also do not assume
responsibility for product names or claims, or statements made
by advertisers. Opinions expressed by authors are their own and
may not reflect those of Dental Tribune International.
Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Managing Director
Mash Seriki
Mash@dentaltribuneuk.com
Editor
Penny Palmer
Tel.: 0207 4008979
penny@dentaltribuneuk.com
Director
Noam Tamir
Noam@dentaltribuneuk.com
Advertising Director
Joe Aspis
Tel.: 020 7400 8969
Joe@dentaltribuneuk.com
Marketing Manager
Laura McKenzie
Lauram@dentaltribuneuk.com
Dental Tribune UK Ltd
4th Floor, Treasure House
19–21 Hatton Garden
London, EC1N 8BA
[3] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Guest comment
‘
lingers on: is the NHS providing
a service based on cost, quality
or value? Of course the answer is
probably a little bit of each, but
as the cost of dentistry rises
within the confines of a rigid,
target driven contract what
should we expect to give? And do
the general public really expect
cross infection controls
(suitable more for complex brain surgery than
general dentistry) at any
cost? DT
’
Neel Kothari
qualified as a dentist from Bristol
University Dental School in 2005,
and currently works in Cambridge as
an associate within the NHS. He has
completed a year-long postgraduate
certificate in implantology at UCL’s
Eastman Dental Institute, and regularly attends postgraduate courses to
keep up-to-date with current best
practice.
Introducing Pro-Argin™ Technology –
a breakthrough in dentine hypersensitivity relief
The HSC found that the number of complex treatments such as
crowns, bridges and dentures had
fallen by 57 per cent since 2006
whilst at the same time extractions were rising. The initial
promise of dentists having more
time for preventative care seems
to be superceded by the reality that
for some this new system offers little more than unrealistic targets,
with every complaint raised by the
profession answered with the ambivalent term ‘swings and roundabouts’. The rising cost of labwork, materials and cross infection procedures illustrates the inflexibility of this approach and
acts to further undermine confidence in the future of the NHS.
Whilst the retail price index
stands at 3.2 per cent recommendations from the review body on
doctors and dentists pay have set
dentists pay rise at just over a fifth
of one percent, which in real
terms means a pay cut. Clearly
prudence by central government
needs to be exercised especially
in our current economic climate
but why should individual practices be left to pick up the tab
when providing a national service? Perhaps it is here where government needs to rethink the
sensitive balance between cost,
quality and value when deciding
on future commissioning.
The tightening of cross infection regulations in dental practices is surely a good thing. As
times change, so does our understanding of how we face the challenges of modern day dentistry.
Unlike hospitals, dentists face a
delicate balancing act between
providing healthcare and running
a business. Hospital doctors in this
respect do not have any direct financial burden if choosing a treatment option which is not cost effective, whilst dentists still do. So
when a change in regulations
such as the introduction of single
use endodontic files or washerdisinfectors is introduced, GDP’s
directly feel the pinch. In a hospital setting this may not be such a
problem, but in general practice
making large investments such as
these can have a bigger impact.
Regardless of which side of
the fence you sit on, the question
3
About the author
The laboratory experiment
My technician told me that
the current climate is not
easy for dental labs, which
have to cope with a 20-30
per cent increase in materials purchased from abroad. With
a decline in output since 2006,
many laboratories are struggling
to find money for future investment and are forced to constantly
evaluate the service they provide in
terms of cost, quality and value.
With the decline in the pound forcing the cost of materials up and rising competition from overseas laboratories, it is clear that something
has to give, but it is also clear that
neither dentists nor patients benefit from these changes.
News
Pro-Argin™ Technology plugs dentine tubules to help block pain stimuli
Colgate offers a safe and effective new in surgery treatment for dentine
hypersensitivity patients with innovative Pro-Argin™ T h l
Based on a natural process of tubule oc
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[4] =>
DTUK1509_01_Title
4
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
News & Opinions
Dr Nigel Carter and Steve Tidman
Lava goes large in London
C
months, is capable of delivering
an uninterrupted ‘digital workflow process’ to dentists and
technicians.
The tried and tested product,
which has already been rolled
out in the USA for the past 12
Designed with breakthrough
technology that allows for quick,
real-time 3D video capture of
the tooth anatomy, it allows precise-fitting restorations, and offers patients the convenience
hampagne and canopies
were flowing in style for
leading industry figures
earlier this month to celebrate
the launch of the Lava chairside
oral scanner (Lava C.O.S) for the
first time in the UK.
and comfort of digital impressions.
Practices and authorised laboratories can now work in partnership and control the entire
process of impression taking - by
replacing traditional methods
with digitally enhanced technology, and producing accurate results through the advanced software
More than 140 million impressions are carried out
worldwide each year, yet many
dental laboratories still receive ‘inadequate models’ before even commencing lab procedures. 3M ESPE has recognised that even the most experienced of practitioners, using
the very best materials, can encounter difficulties with impressions. This is why 3M ESPE
has provided this revolutionary solution.
With the Lava C.O.S, the
dentist can capture a high data
density digital impression of the
patient’s mouth, scanning up to
two million different data points
using a revolutionary 3D-InMotion digital wand. Weighing
less than a pound, it is easy to
manoeuvre around the mouth
providing a more pleasant experience for both users and patients. To sum up, the Lava
C.O.S provides a cleaner,
quicker and less obtrusive
treatment, making it easy to
gather scanning data as well as
assessing whether the prep is
good to continue.
The authorised laboratory
which has access to the data manipulation software, can confidently mark margins and ditch
dies using the exact video images
that the dentist captures in the
mouth.
The data files are then transmitted to the model manufacturer which create and return the
resin model to the laboratory.
Should the laboratory wish to use
a Lava framework for the
restoration the file is simultaneously sent to the Lava scan ST to
design the framework which can
be milled and returned to match
the timeframe of the returning
resin model.
3M ESPE’s technology has
been hailed as a major breakthrough by patients and dental
professionals, with the company’s new ‘digital workflow
process’ providing a more comfortable method for taking an accurate impression, while streamlining the entire procedure for indirect restorations. DT
For further information about
the Lava chairside oral scanner
and the 3M ESPE digital workflow process please visit
www.3mespe.co.uk/lavacos or
call us today on 0845 602 5094.
[5] =>
DTUK1509_01_Title
News & Opinions
Free check-ups on the cards?
E
very five-year-old would
get a free dental check-up
at school under a Conservative government.
The £17m scheme would
mean children would be shown
how to brush their teeth properly
Secretary, described Labour’s
‘neglect’ of preventative dentistry as ‘shameful’.
‘Not only has the Government’s new dental contract worsened outcomes and access for patients, but Ministers have quietly
abolished a longstanding programme
that helps to protect
children’s oral health.’
He revealed that
under a Tory government: ‘Every child at
the age of five when
they go to school will
have dental screening.’
Around 680,000 children would benefit from the
scheme.
and told about the dangers of eating too many sweets and drinking sugary drinks.
Around 680,000 would benefit from the scheme.
Figures obtained by the Tories reveal that on average, children have at least one filling, extraction, or episode of tooth decay by the time they are five.
Check-ups were first introduced in schools back in 1918.
However Department of
Health guidelines published in
2007 removed the obligation on
primary care trusts to give dental
screening to schoolchildren.
New figures show that 64 per
cent of Primary Care Trusts (PCTs)
are no longer screening children
following Labour’s dental reforms
– and only 23 per cent have a
screening programme that is
widely available to schoolchildren.
Shadow health secretary Andrew Lansley, the Shadow Health
On the BBC’s Politics Show, he said: ‘We’ll
find £17m from within
the planned dentistry
budget, in order to do
that - that's 680,000
children and then, from
that, we will also be a
position to be able to
look at where tooth decay is in those children
and we want to change
the contract so that dentists have a greater incentive for preventative work, including
contracts to look after
children, whether or
not their parents are
having NHS dentistry.
We have to make sure that we
put the investment where it's
needed, which is in prevention,
rather than cure. The evidence
internationally, it's absolutely
clear, if we can have children
whose teeth are good when they
are younger, we are likely to have
adults who have good teeth for
the rest of their lives.’
However the Government
has disputed the Tories' figures
and claims the UK has the lowest
rate of tooth decay among 12year-olds in Europe.
The Chief Dental Officer,
Barry Cockcroft, said: ‘PCTs can
still decide to carry out the
screening if they wish but most
PCTs have decided to target their
resources at the significant inequalities that exist rather than
carry out blanket screening
which is considered ineffective.
When we removed the
mandatory requirement, the decision was supported by the
British Dental Association.
Currently around 70 per cent
of children see a dentist in each
two year period so to introduce
further screening at school
would create a huge degree of
duplication.
PCTs are now developing locally targeted initiatives in their
own areas to meet their own particular circumstances, surely a
better way to target inequalities.’
The British Dental Health
Foundation cast doubt on the
scheme claiming the Tories’
planned £17m spend would be
better spent on effective preventative measures.
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Compulsory screenings became optional for Primary Care
Trusts in 2007 after the National
Screening Committee heard evidence highlighting a lack of impact on future oral health with
isolated screenings failing to
solve dental problems.
Foundation chief executive
Dr Nigel Carter said: ‘While we
wholeheartedly support Mr
Lansley’s commitment to increase the focus on preventative
dentistry, compulsory school
screenings are simply a waste of
money when there are far more
effective measures available.
We live in an age of evidencebased medicine and dentistry
and the evidence is overwhelming that school dental check-ups
are not effective. Indeed, far
from improving pupils’ oral
health they have been shown to
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Screenings are not a preventative measure since they diagnose existing decay. Instead the
proposed additional budget
would be best spent on real preventative measures from water
fluoridation to targeted programmes in schools with the application of fluoride varnishes
and supervised brushing.
He added: ‘These measures
have proved extremely successful at reducing child decay levels when implemented in the
Scandinavian countries. We
particularly need to target highneed areas with dental resources. The Foundation would
welcome an opportunity to
work with the Shadow Health
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Oasis scoops new contract
O
asis Healthcare has been
awarded another NHS
contract and is to open a
new dental surgery in Carlisle to
ease waiting lists in the town of
Workington. Oasis Healthcare
Ltd has received permission
from Allerdale Council to
change the first floor of an
empty unit in Workington into a
surgery.
The surgery will create 11
jobs and provide NHS dental care
to more than 11,000 people.
NHS Cumbria, the primary
care trust, is to manage the appointments in partnership with
Oasis. The site has been chosen
as it is accessible by public transport to people living outside the
town centre.
The Workington surgery is
part of a £1.75m scheme to create
30,000 NHS dental places in west
Cumbria.
Manchester company, Oasis
Dental Care Ltd, which has more
than 140 practices in the UK, is
also planning to open surgeries
in Maryport, Whitehaven and
Egremont. DT
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DTUK1509_01_Title
News & Opinions
Teddy bear dental programme
D
ental students from Barts
and the London School of
Medicine and Dentistry
have developed an oral health
programme, which uses teddy
bears to help reduce the fear and
anxiety children have, when they
visit the dentist.
Teddy bears help to reduce the fear
and anxiety children experience at
the dentist.
The student led programme,
dubbed Teddy Bear Hospital
(TBH), has been running in the
London borough of Tower Hamlets for children aged from three
to seven.
The dental students have
been visiting schools in Tower
Hamlets and children have been
bringing in their teddy bears to be
treated by the dental students.
Avan Mohammed, who helps
run the programme, said: ‘It has
proved to be an exciting opportunity for both the children and
teddy dentists. The children have
learnt about oral health in an interactive way, working in small
groups as well as on a one to one
basis. The key has been organisation and the use of child
friendly language such as ‘sleeping juice’, ‘tooth shower’ and
‘tickling stick’.
and because oral health still remains a significant problem in
Tower Hamlets, developed a series of dental related workshops
with the goal of reducing dental
fear, promoting oral health and
ultimately preventing and reducing dental disease in this group of
children.’
The dental workshops offered include tooth brushing,
visiting the dentist and healthy
eating.
The students also run a Teddy
Bear Hospital ‘Safety Day’ once a
year for more than 180 children.
The programme is recognised as a valuable learning tool
for both children and students.
The aim is to increase awareness
on the importance of oral health
as well as stimulate collaboration among the dental students to
promote oral health care in the
community.’
The children, teddies, and
teddy dentists take part in interactive activities based on health
and safety in the home.
She added: ‘The experiences
have benefited everyone, to the
extent that the dentists recognised the value of being involved
At the end of each clinic, the
children go home with a ‘goodie
bag’ including a toothbrush,
tooth paste and timer. DT
The campaign has attracted
various sponsors, such as GSK
and Oral B, who have been major
contributors to campaign.
Practice Plan challenge
T
he dental plan provider,
Practice Plan, is competing with thousands of
other companies from around
the world, to walk 10,000 steps a
day for 125 days.
The team of seven from Practice Plan, are taking part in the office fitness programme, the Global
Corporate Challenge (GCC).
The scheme is designed to increase staff fitness, promote
teamwork, foster a positive, competitive spirit, and support the
workforce to be active, healthy,
and more productive.
Managing director of Practice
Plan, Nick Dilworth called it a
‘fantastic opportunity not only for
the group of seven who are officially competing in the challenge, but for the whole company
to get fit and healthy’.
He added: ‘We are encouraging everyone to join in with the
daily walks, as the wellbeing of
our staff is hugely important. A
healthy body is a healthy mind.’
The walking challenge begins on 21 May and runs up until
22 September, and will see 50,000
individuals globally competing
to walk the furthest distance over
the course of 125 days, with
10,000 steps being the daily minimum.
The average person walks
around 3,500 steps a day, but the
recommendation from the World
Health Organisation is 10,000.
Therefore, the Practice Plan
team members are in a bid to walk
a combined total of 8,750,000
steps over the course of the competition, meaning 351,338 calories burned, 3,480 miles travelled
and 1,167 hours of completed
stepping time.
Every morning, team members will pop on their pedometers
in order to track the number of
steps that they take and will com-
Expenses saga continues
A
n MP, who works three
days a week as a dentist,
has been accused of claiming on expenses for repairs to his
dental surgery in Putney, southwest London.
The MP for Mole Valley in Surrey, Sir Paul Beresford, has been
dragged into the expenses row by
the Daily Telegraph, over his
leasehold property in Putney,
which incorporates a dental
practice and a flat.
The newspaper has alleged
that he used taxpayers’ money to
subsidise his dental surgery.
In 1992, when he was elected
as Conservative MP, Sir Paul
worked out a deal with the House
of Commons fees office where he
charged three quarters of the
running costs of the property to
the taxpayer, claiming threequarters were used for parliamentary duties.
He said the flat was used as a
second home and the patient
waiting room doubled as his private lounge in the evenings.
In 2007, Sir Paul increased his
practice and took over a larger
share of the running costs, reduc-
PR & communications assistant Holly
Venning and marketing coordinator
Anna Gronnow get ready for walking.
pete in various walking events to
notch up their running total.
The results will be fed into a
website that shows teams and organisations how they measure
up against each other.
The company is organising a
number of challenging walks for
the team of seven, and are encouraging all of their staff to get
involved, in order keep fit and
healthy.
The money that the GCC generates from registration fees is
spent on research into conditions
such as heart disease and diabetes. DT
ing his claim to 50 per cent of the
expenses at the property. He said
none of it was used to subsidise
the dental surgery.
He said he claimed £3,521 for
2007 to 2008, which includes
claims for gutter cleaning, roof
repairs and council tax.
He said he has claimed nothing for 2008 to 2009, as he didn’t
use the flat and went home instead.
Chairman of the Mole Valley
Conservative Association, Colin
Crispin, has given Sir Paul his total support and said he will still
be their candidate at the next
election. DT
[7] =>
DTUK1509_01_Title
C:L:K>9:C8:;DGI=:7:C:;>IH
D;>C8G:6H>C<7GJH=>C<I>B:
To motivate behavioural change, it helps if patients understand the benefits
of brushing for at least 2 minutes twice a day with fluoride toothpaste,
compared to an average brushing time of around 46 seconds.1
New research results from Aquafresh show that increasing brushing time:
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26% more plaque removal
was observed with brushing
for 120 seconds compared
with 45 seconds*2
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Recommend a great
tasting fluoride dentifrice
to encourage your
patients to brush for
longer, for increased
fluoride protection and
plaque removal
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fashion over the period
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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.
[8] =>
DTUK1509_01_Title
8
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
News & Opinions
GDPUK round-up
Tony Jacobs picks out the most recent best snippets of conversation
from his ever-growing GDPUK online community
G
DPUK members have
been following the developments of the Jimmy
Steele review of NHS Dentistry
with interest, and have been able
to view reports of his group’s
travelling roadshow across the
country. As well as gathering evidence and forming opinions, it
seems that the ideas Professor
Steele is describing are being
modified as he and his group
travels, meeting dentists and
stakeholders.
One piece of evidence though
might be disconcerting – at his
event in London, only about 30 interested people turned up. Maybe
too many false dawns? Colleagues
are hoping that this report will be
published before the LDC Conference in June, but perhaps its publication the week after is more realistic. Ann Keen, Minister with responsibility for dentistry, has said
in Parliament that the Department
of Health will consider this report
very carefully. Time will tell.
In the meantime, on GDPUK,
literally hundreds of other topics
have been discussed. Here is an
idea of some of them: waterline
cleaning, publication of the final
version of HTM 01-05, the passing of former GDPA and BDA
president Alan Fearn, incorporation of a dental practice, the
bankruptcy of a well known dentist, using operating microscopes, and buying a netbook.
Clinical cases have also
been discussed, good pictures
and good advice dispensed.
Sometimes the poster knows
the answer, and is looking for
reassurance or almost setting a
quiz.
A number of the group have
much to say about orthodontics
and some of the latest techniques
have been discussed, including
Damon and Six Month Smile.
Sub forums continue to discuss
differing computer systems and
act as self help groups regarding
their software installations.
Postgraduate
Dental Education
The Postgraduate Dental Education Unit (PGDEU)
is one of the UK’s leading dental education centres
offering an established portfolio of courses for qualified
dentists who wish to develop their knowledge of
the latest methods, equipment and techniques in
implant dentistry and orthodontics. The wide range
of programmes on offer are delivered by leading
professionals, academics and researchers using a
wide variety of educational tools.
The subject of what a practice
should do if a course of treatment
has been completed [often a substantial one] and sadly the patient
dies having been satisfied with
the completed treatment, in receipt of the invoice but before set-
tling the invoice. This subject has
been tackled on GDPUK in the
past and there are always two
sides to the discussion. One idea
is to uphold the lofty aims of the
profession and void the invoice.
The other side of the coin is to be
aware that a care home, telephone company, credit card company and so on will continue to
address their bills to the executor
of the deceased. It is, of course,
one of the duties of an executor to
settle bills such as this. What
would you do? Come and tell us at
http://www.gdpuk.com DT
About the author
Dr Anthony V Jacobs
started the GDPUK emailing list in
1997, and the group membership is
now just under 2,000. The list is read
in all corners of the UK dental profession as well as by laboratories, and
the trade and dental industry. Qualifying in London in 1979, Dr Jacobs is
now in partnership with Dr Stephen
Lazarus, practicing at 406 Dental in
Manchester. He enjoys his profession, and takes pride in providing
both simple and complex gentle
dentistry, as well as caring for families in a relaxed atmosphere. Dr Ja-
MSc in Orthodontic Dentistry
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This course is aimed at Dental Care
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cobs has a long-term commitment to
continuing professional development, both for himself, and for the
profession in general through his
mailing list. He has been a member
of the British Dental Association
(BDA) since 1975, and is presently
chairman of the Bury and Rochdale
Oral Health Advisory Group, as well
as vice chair of the Bury and
Rochdale Local Dental Committee
(LDC). Dr Jacobs also sits on the
committee and helps to organise the
annual conference of Local Dental
Committees.
MSc in Implant Dentistry
The implant dentistry programme at
The University of Warwick is designed
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+44 (0)24 7657 4633
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To find out more about our portfolio
of high quality courses visit
www.warwick.ac.uk/go/dentistry
[9] =>
DTUK1509_01_Title
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DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
10 Practice Management
Information on tap
patients are no different. They want
to be able to visit their local practice
and get the service they desire,
whichever the field of treatment.
Keeping your staff up to date with new treatments on offer in your
practice is easy with a touch-screen system. Amy Rose explains
Know your market
I
n the modern dental arena,
the word ‘multidisciplinary’
seems to be on everyone’s
lips. Indeed, the idea of flexibility
and offering a wide range of services has permeated our entire
culture. We can now visit superstores where we can buy insurance, TVs, fresh fruit, mobile
phones and magazines under the
one roof. The era of the niche
service is, perhaps, behind us.
As far as the dental industry is
concerned, in order to retain a competitive edge it is important to be
able to meet all of the needs of patients. Everyone in the UK wants an
efficient, convenient service, and
Dentists now tend to have
much longer lists of available
treatments. Having recognised the
need for particular services such
as whitening, many practices have
invested in the training and equipment necessary to do this, taking
advantage of the market.
These practices also invest in
advertising these new services.
They invest in new website designs that incorporate HD (High
Definition) animations of their
treatments, accompanied by professionally written text. They
also produce leaflets, to further
communicate new services.
Revolutionary new touchscreen systems, available as
kiosks or desktop models, give
practices an easy to use, stylish
and effective way of educating
patients. However, it is not just
patients that need to be educated
about new services. It is staff, too.
Stay informed
These new systems are ideal
vehicles for in-depth information
about new treatments. Reception
staff, and of course members of
the dental team, can access the
systems and find out as much as
they need to about the new services. With several ‘tiers’ of information, ranging from basic to
more technical content, the reception staff can acquire sufficient knowledge to answer any
patient queries about the new
treatments – saving a great deal of
time for dentists, who really need
to be focusing on treatments
rather than answering emailed
questions about procedures.
Hydrim and Statim your perfect partners
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Staff can access the information at any time, just by tapping
their fingers on the screen, refreshing their knowledge and enriching their understanding.
Imagine the benefit to patients,
who discover that the front desk
team know all about the new
treatments.
As the systems are updatable
nightly, whenever the treatment
list grows, new information can
be added, and since the best system has information that is reviewed by expert specialists, you
can be sure that the information is
accurate and ethical.
Hydrim C51wd:
With an educated front desk
team, you won’t only answer all
patient queries effectively and
confidently, but also put nervous
patients at ease. Also, you will be
able to market those new treatments to patients with greater
efficiency and success. DT
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[11] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Money Matters 11
If recession proofing
is that easy…
Andy McDougall, Spot On Business Planning
insists you can still deliver great business
results against all odds
T
here is no escaping the fact
that we are now in recession. Even if we try to ignore the dire economic climate,
the constant badgering by the
media ensures the recession
stays at the forefront of our
minds. And while it can certainly
be depressing, I don’t think it is
such a bad thing because as business owners, our one priority is to
remain aware and vigilant about
what is going on around us. How
else can we take the necessary
steps to remain profitable and
stay in business!
A healthy business
I have seen claims in the industry that people will help you to
recession-proof your business.
Wow, what a boast! If only George
Bush and Gordon Brown had followed that advice, we wouldn’t
be in this mess. So yes, a rather
dubious claim. There is no such
thing as recession-proofing your
business, but there are well
proven ways to sandbag it; that is,
to take appropriate and calculated steps to manage it in a way
that gives you the best chance of
surviving the recession and coming out with a healthy, robust
business that is ready to take advantage of better times.
Time to talk about dry mouth?
Approximately 20% of people suffer symptoms
of dry mouth1, primarily related to disease and
medication use. More than 400 medicines
including tricyclic antidepressants and
antihistamines can cause dry mouth2 and the
prevalence is directly related to the total
number of drugs taken.3
The Biotène patented salivary LP3 enzyme system
The Biotène formulation supplements natural saliva, providing some of
the missing salivary enzymes and proteins in patients with xerostomia
and hyposalivation to replenish dry mouths.
The Biotène system allows patients to choose appropriate products
to fit in with their lifestyles:
Ask your patients
Products specially formulated for dry mouth:
Some patients develop advanced coping strategies for
dealing with dry mouth, unaware that there are products
available that can help to provide protection against dry
mouth, like the Biotène system.
UÊ ÌmiÊ"À>Ê >>ViÊ->Û>Ê,i«>ViiÌÊi
UÊ ÌmiÊ"À>Ê >>ViÊ µÕ`°
Diagnosis may also be complicated by the fact physical
symptoms of dry mouth may not occur until salivary flow
has been reduced by 50%.4,5,6
Diagnosing dry mouth
Four key questions have been validated to help determine
the subjective evaluation of a patient’s dry mouth:7
1
2
3
4
Do you have any difficulty swallowing?
Does your mouth feel dry when eating a meal?
Do you sip liquids to aid in swallowing dry food?
Does the amount of saliva in your mouth seem to be
too little, too much or you do not notice?
Hygiene Products:
UÊ ÌmiÊ ÀÞÊ ÕÌ Ê/Ì «>ÃÌiÊÊÊ UÊ ÌmiÊ ÀÞÊ ÕÌ Ê ÕÌ Ü>Ã °
The range is appropriately formulated for the sensitive mucosa
of the dry mouth patient:
UÊ V ÊvÀiiÊÊ
UÊ `Êv>ÛÕÀÊ
UÊ -`ÕÊ >ÕÀÞÊ-Õv>Ìi
- -®ÊvÀii°
The Biotène formulation:
UÊ i«ÃÊ>Ì>ÊÌ iÊÀ>ÊiÛÀiÌÊ>`Ê«ÀÛ`iÊ«ÀÌiVÌ
against dry mouth
UÊ i«ÃÊÃÕ««iiÌÊÃ>Û>½ÃÊ>ÌÕÀ>Ê`iviViÃ
UÊ i«ÃÊÃÕ««iiÌÊÃ>Û>½ÃÊ>ÌÕÀ>Ê
>ÌL>VÌiÀ>ÊÃÞÃÌiÊÊÜi>ii`ÊÊ>Ê`ÀÞÊÕÌ °
GSK welcomes
Biotène to its oral
care family
Clinical evaluations can also help to pick up on the
condition, in particular:
Managing risk
There are two ways to analyse
your business using traditional
commercial techniques: you
look internally and externally.
What’s the big difference? Internal factors are things you have
much more control over while
you can exert little or no influence on external ones. External
factors usually generate opportunities on which we should capitalise and threats that we must
factor into our business plans.
Just because we have little influence over external factors doesn’t mean they can be ignored. In
fact quite the opposite. We must
determine the opportunities and
threats and make decisions on
how to tackle them. Threats
bring risk. Risk cannot be eliminated, it is outside our control,
but we can ascertain risk, we can
be acutely aware of its impact,
and when we follow this line of
thinking, while we cannot eliminate it, we can manage it.
UÊ 1ÃiÊvÊÌ iÊÀÀÀʼÃÌV½ÊÌiÃÌÊÊ«>ViÊÌ iÊÀÀÀÊ>}>ÃÌÊ
the buccal mucosa and tongue. If it adheres to the
tissues, then salivary secretion may be reduced
UÊ
iV}ÊvÀÊÃ>Û>Ê«}ÊÊÃÊÌ iÀiÊÃ>Û>Ê«}
in the floor of the mouth? If no, salivary rates may
be abnormal
UÊ iÌiÀ}ÊV >}iÃÊÊV>ÀiÃÊÀ>ÌiÃÊ>`Ê«ÀiÃiÌ>Ì]Ê
looking for unusual sites, e.g. incisal, cuspal and
cervical caries.
Consequences of unmanaged dry mouth include
caries, halitosis and oral infections.
Samples available from
www.gsk-dentalprofessionals.co.uk
for dry mouth
1. }ÃÊ,°Ê-ÌÕ`iÃÊÊÌ iÊ«ÀiÛ>iViÊvÊÝiÀÃÌ>°Ê*Ài>ÀÞÊÀiÃÕÌÃ°Ê >ÀiÃÊ,iðÊÓÎ\LÃÌÀ>VÌÊ£Ó{]ÊÎxÌ Ê", Ê }ÀiÃÃÊ£nÊÊ2.Ê ÛiÃÊ7°Ê¼8iÀÃÌ>½°Ê*iÀ`Ì}ÞÊÓäää°Ê{n\Ênx£
3.Ê-ÀiiLÞÊ ]Ê-V Ü>ÀÌâÊ--°Ê¼ÊÀiviÀiViÊ}Õ`iÊÌÊ`ÀÕ}ÃÊ>`Ê`ÀÞÊÕÌ ÊqÊÓ`Êi`̽°ÊiÀ`Ì}Þʣǰʣ{\Ê£ÆÊÎÎ{ÇÊÊ4.ÊÊ >ÜiÃÊ °Ê¼ÜÊÕV Ê->Û>ÊÃÊ Õ} ÊvÀÊÛ`>ViÊvÊ8iÀÃÌ>¶½°
>ÀiÃÊ,iÃÊÓää{°ÊÎn\ÊÓÎÈÓ{äÊÊ5.Ê >ÜiÃÊ \Ê* ÞÃ}V>Êv>VÌÀÃÊ>vviVÌ}ÊÃ>Û>ÀÞÊvÜÊÀ>Ìi]ÊÀ>ÊÃÕ}>ÀÊVi>À>Vi]Ê>`ÊÌ iÊÃiÃ>ÌÊvÊ`ÀÞÊÕÌ ÊÊ>°ÊÊÊ iÌÊ,iÃÊ£nÇÆÊÈÈÊëiV>ÊÃÃÕi®\ÊÈ{nÈxÎ
6°Ê7vvÊ -]Ê iLiÀ}Ê\Ê/ iÊivviVÌÊvÊ>ÕÊ}ÞV«ÞÀÀ>ÌiÊ,LÕ®`ÕVi`ÊÝiÀÃÌ>ÊÊÀ>ÊÕVÃ>ÊÜiÌiÃÃÊ>`ÊvÜÊvÊ}}Û>ÊVÀiÛVÕ>ÀÊvÕ`ÊÊ Õ>ðÊÊÀV Ê"À>Ê Ê£ÆÊ{{ÆÇ£äÓ°
7.ÊÝÊ* ]Ê ÕÃV Ê ]Ê >ÕÊ °Ê¼-ÕLiVÌÛiÊÀi«ÀÌÃÊvÊÝiÀÃÌ>Ê>`ÊLiVÌÛiÊi>ÃÕÀiÃÊvÊÃ>Û>ÀÞÊ}>`Ê«iÀvÀ>Vi½°Ê Ê£nÇ°Ê££x\xn£xn{
Business planning
In traditional business thinking we use techniques such as
SWOT (Strengths; Weaknesses;
Opportunities; Threats) and
DT page 12
"/ ÊÃÊ>ÊÀi}ÃÌiÀi`ÊÌÀ>`iÊ>ÀÊvÊÌ iÊ
>Ý-Ì iÊ}ÀÕ«ÊvÊV«>ið
[12] =>
DTUK1509_01_Title
12 Money Matters
DT page 11
PESTLE (Political, Economic,
Sociological, Technological,
Legislative, Environmental) to
help us ascertain the threats
present in our business environment and to analyse how our future may face very different
market conditions to that of previous years. Welcome to business planning! So many graveyard dental businesses have
fallen victim to the last year plus
10 per cent approach to “planning”. They have done OK for
years and suddenly the markets
harden and they find their businesses in decline and they don’t
know how to respond because
their training has equipped
them for all things dental and
nothing commercial. There has
never been a more crucial time
to learn more about business
and more about your own business, and business planning is
one of the best ways to get a grip
of both.
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Sandbagging your business
We are all victims of the recession but what can we do if it’s
outside our control? There are
three types of people in business:
those who watch what happens;
those who wonder what happened and those who make it
happen. Which category do you
fall in? There is a recession,
there will be winners and losers,
and what camp you fall into depends on your business philosophy. We can’t recession-proof
our businesses but a more realis-
tic expression for dealing with
our current economic climate is
“sandbagging” – not a guarantee
but a means of taking all the
measures within your control to
ensure you have a greater
chance of survival.
How do you approach the
problem? It is called business
planning. Business Planning is
not a budget (a budget is a financial representation of everything
that happens in your business); it
is not last year plus 10 per cent; it
is not a 200 page manual that
lacks focus and it is not a vision
that you came up with on a funfilled team away day that got you
feeling great for a brief moment
before reality dawned once
again. Business planning is a
tangible means of delivering
your goals. It will transform your
results, even with businesses
where sales are flat year on year.
I can demonstrate businesses
that have followed a business
planning methodology and
achieved 25 per cent more profit
year on year – how better to beat
a recession!
Planning and control
In a previous article I talked
about quarters and halves,
which all make a radical difference to the bottom line. You
don’t have to find huge savings
in one place; lots of small savings here and there add up.
Whether it’s associate’s pay, the
cost of your accounting or the
way you control the gp per cent,
it all contributes to a radically
improved bottom line. Good
business managers plan the
things to do and then ensure
these chosen things are done
correctly: planning and control
or the two Es, effectiveness and
efficiency. Effectiveness means
planning to do the right things,
and efficiency means doing
these chosen things well – to the
best of our ability.
Therefore, can you be recession proof – I doubt it, but with
professional business planning
and performance management
to keep your results on track,
you can deliver a great result
against all odds and market
trends.
There are three types of people in business: those who watch
what happens; those who wonder what happened and those
who make it happen. Which category do you fall into? DT
About the author
Andy McDougall
has over 25 years experience of
business planning and brings
techniques and expertise from a
wide range of commercial and
competitive business sectors.
Andy now delivers business-planning services to help members of
the dental community to respond
to the dynamics of an increasingly
commercial and competitive environment. He helps businesses to
reach the next level and to turn
around poor performance. To find
out more about his business planning services, contact info@
spoton-businessplanning.co.uk
or call 07710 382559.
[13] =>
DTUK1509_01_Title
For better dentistry
To find out more about the DENTSPLY team of products visit our website, call our free phone number or emails us:
+44 (0)800 072 3313
enquiry@dentsply-gb.com
www.dentsply.co.uk www.dentsply.com
[14] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
14 Money Matters
Don’t get caught
The right protection policy will help you save up to £75,000
in the event of a tax investigation. Frank Pons explains
W
ith the tax authorities becoming more and more
pro-active in dealing
with investigations, and with sole
traders, partnerships and limited
companies under greater risk of
being scrutinised, there has never
been a better time to protect yourself and your business.
There are several different
enquiries to which your busi-
ness might be subjected, and
the tax authorities do not need
to give you a reason as to why
they have chosen you out of all
those other honest and diligent
dentists.
Enquiries can consider all aspects of the self-assessment tax return with a comprehensive review
of all books and records underlying the entries. Or, they will feature a dispute over the operation of
VAT and VAT due. Other enquiries
can feature a disagreement over
the correct PAYE operation, and
the PAYE/NIC amount due.
Dentists might also find themselves faced with the very real possibility of an Aspect Enquiry. This
is an enquiry by HM Revenue &
IDT launches its
NEW Low Cost Online service
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Upload an i-CAT Vision, DICOM CT or CBCT dataset to
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Enjoy all of the great services you have experienced from
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Customs into one or several aspects of the self-assessment tax return. The tax authorities may require a clarification of certain entries or a comprehensive examination of whether those entries
have been executed correctly.
Use a specialist
An Aspect Enquiry can be
over in a few days, or it can drag
on for weeks. You will probably
need to supply documentation to
support entries made on the tax
return, focusing on one area such
as interest from a building society
account, and you can be fined for
withholding the necessary paperwork. It is unlikely that you
have the expertise required to
deal with the tax authorities as
they closely examine and pick
over the most minute details, and
it is always best to turn to an accountant or investigation specialist who is well-versed in dealing
with HM Revenue & Customs and
understands every subtle nuance
of the tax return.
Although the Aspect Enquiry
can be comparatively straightforward to deal with, providing you
have both the means to prove the
accuracy of the tax return entry or
entries and the expertise to present your case effectively, failure
to do either may result in the tax
authorities opting for a full enquiry. This could take months.
Even with the support of an
experienced accountant or investigation specialist, you can still
end up with an enormous bill.
Fortunately, tax investigation insurance is available, giving you
peace of mind in case you end up
having to prove your innocence.
The leading provider of tax investigation insurance policies
provides a TaxMaster policy that
can be extended to include Aspect
Enquiries. One of the many benefits of such a policy is not only that
it gives you peace of mind, but
also that it also covers Full Enquiries in the event that the tax
authorities might extend the investigation to cover the whole tax
return, and VAT disputes. Other
policies include the PAYeMaster
that covers all approved professional fees incurred in dealing
with PAYE and NIC disputes. DT
About the author
To log in or register, go to www.ctscan.co.uk
Contact IDT today if you need any help with this online service
bookings@ctscan.co.uk or call +44 (0)20 8600 3540
Frank Pons
www.ctscan.co.uk
A qualified chartered accountant
and tax expert, Frank Pons
founded PFP in 1984, the first company to recognise the need for and
provide dentists with tax investigation insurance. For more information, contact PFP on 0845 307 1177,
email info@pfp.uk.com or visit
www.pfponline.com.
[15] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Money Matters 15
Who inherits your estate?
We all know we should, but many of us don’t. Have you made a will? If you
haven’t, do you know what will happen to what you leave when you die?
Claire Borsoi explains
What about children?
T
he law is clear, and has
recently been changed
in England and Wales. If
you die intestate (without leaving a valid Will), there are new
statutory provisions for surviving spouses and registered
civil partners and the state will
distribute your assets according to strict rules.
If both parents were to die
what would happen to the children on your death? Have provisions been made for the appointment of guardians, and
how would the guardians manage financially?
Do you feel your children
will be ready to assume the responsibility of managing a potentially substantial sum of
money at the age of 18? They
will receive it regardless of
your wishes unless you specify
otherwise.
If you die leaving a surviving spouse/civil partner and
children
your
surviving
spouse/civil partner will inherit the first £250,000 of your
estate as a statutory legacy, together with your personal possessions. The remainder is divided equally between your
surviving spouse/civil partner
(50 per cent entitlement) and
your children (50 per cent entitlement), with your surviving
spouse/civil partner receiving
only an income entitlement
(life interest) from their half
share and the children inheriting absolutely their share at the
age of 18 or when they marry,
whichever is the earlier. On the
Food for thought?
It should be. The circumstances of life change over time,
and accidents happen everyday. Making a will, and keeping
it up to date, is the very best
form of family insurance. DT
Some examples
‘Would you want
your partner to
be left with just
£250,000 and only
a life interest in
half the balance
of your estate?’
death of your partner their life
interest will be divided equally
among the children, but their
interest will be an absolute interest i.e. they will be entitled
to the capital.
Suppose you were a husband who died without making
a valid will, leaving a wife, two
young children and an estate of
£900,000. The estate would be
divided as follows:
Your widow would receive
the statutory £250,000, your
personal possessions and the
income for life from £325,000
(half of the £650,000 remaining). The children would each
receive £162,500, held in trust
until they reach 18 (the other
half of the £650,000 remaining).
When your widow dies, her
life interest in her £325,000 will
be shared equally between the
two children, but they will receive absolute entitlement to
this money.
About the author
If you died leaving the same
sum but had no children, your
widow would receive the first
£450,000 of the estate (half of
the total value) as a statutory
legacy, together with your personal possessions, and also
half of the remainder. The
other half of the remainder, in
this case £225,000, would pass
first to any surviving parents; if
there were no surviving parents, it would pass to your
brothers and sisters or their
children and then remoter
family.
Assessing your options
If you haven’t made a will,
you need to ask yourself urgently if these statutory provisions are right for you and your
family. For example, if you have
a partner and children, and
something happened to you,
would you want your partner to
be left with just £250,000 and
only a life interest in half the
balance of your estate?
If you have a partner but no
children, are you happy that
they may not inherit all of your
estate?
If you’re in a long-term relationship which is not legally
recognised, are you happy that
your partner will not inherit
any of your estate on your
death? You may wish to remember nephews, nieces, godchildren or friends, and the state
makes no provision for individual legacies. What will happen
to family heirlooms on your
death?
Claire Borsoi
is a member of the IPW (Institute of
Professional Will Writers) and is
also a chartered accountant with
Humphrey & Co, a member of the
ASPD. You can contact her on
01323 730631.
[16] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
16 Clinical
A stroll through the
digital landscape
Fig. 1: High-resolution image of the anterior mandible. Bony trabeculae are
clearly visualised, and the crossectional image shows perforating vascular
canals in the midline (arrows)
Andrew Dawood says there has never been a more
interesting time to be working in dentomaxillofacial
imaging and 3D technology
I
n a rapidly unfolding and ever
evolving digital dental landscape, we have seen tremendous advances in 3D imaging,
modelling, and manufacturing
which have transformed the
fields of restorative dentistry and
implant surgery. There has never
been a more interesting time to be
working in dentomaxillofacial
imaging and 3D technology.
NobelGuide™
1 day live learning course
predictable computer-based guided surgery
NobelGuide™ for Clinicians –
Live Learning Day:
Live Learning Day: There will be
an overview of treatment/planning
options, features and benefits
of model-based planning and
computer-based planning, temporary
solutions and Teeth-in-an-Hour™.
This day includes live surgery.
You will learn how guided surgery
can assist your business, reduce
patient chair time and increase
your patient treatment options.
Cone beam computed
tomography
Those working in implant
dentistry were perhaps the first to
appreciate the benefits of threedimensional imaging, which then
took the form of Computed Tomography (CT) scanning as provided by hospital CT scanners.
When I started out in implant dentistry, I reserved the use of CT
scanning for only my most challenging surgical cases, perhaps
scanning just one in 30 to 50 of my
patients. At this time, x-ray doses
were high and “flap” surgery was
the norm. Back then, I often found
it hard to justify the x-ray dose,
which of course was considerably
higher, even compared to the hospital scanners nowadays, but perhaps what really prevented me
from more frequent use of this
powerful imaging modality, was
that it was hard to see how access
to the image data would actually
alter treatment, or substantially
benefit my patient.
What’s in for you
Presented with a folder of
murky printouts, which often told
me little more then I already knew
from my two-dimensional radiographic and clinical exam, I felt
that there was only marginal benefit. (I still believe that “seeing”
with your fingertips has a lot to offer, as does examination under local anaesthesia at the same time
as close-by procedures such as
extractions.)
You will be able to understand how
to design and plan your own case,
selecting the modules that best
match your objective. Gain sufficient
knowledge and get started with
NobelGuide™, including detailed
knowledge of the NobelProcera™
software for the computer-based
NobelGuide.
Full day course by
Dr Andrew Dawood
6 hrs verifiable CPD with live learning
MRD RCS (Eng), MSc, BDS (Lon)
Friday 11th Sep 2.009,
London
Duration: 09.00 – 17.00
including lunch & refreshments
Venue Wimpole Street London
To register Please contact
Tanya Wade 01895 452 912
Years ago it was so exciting to
carry out second-stage surgery
and find that my first implants had
osseointegrated. Our patients
were thrilled to be rid of their dentures, and had few, and low expectations. Now a fine nuance of positioning makes all the difference to
the results we achieve for our
much more cosmetically aware
patients, who expect so much
more from us.
Transforming the practice
environment
Nobel Biocare UK Ltd, Unit 4, Union Park, Packet Boat Lane, Uxbridge, Middlesex, UB8 2GH
Phone: +44 (0) 1895 430 650. Fax: +44 (0) 1895 430 636
© Nobel Biocare 2009
Embracing recent developments in imaging, particularly the
use of Cone Beam Computed Tomography (CBCT), has transformed my own implant and
restorative practice. Firstly let’s
[17] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
look at x-ray dose. Dentomaxillofacial CBCT scanners have been
designed specifically for hard tissue imaging. There can be little or
no justification at all for using hospital CT scanners for this purpose,
as studies have shown that CBCT
can offer at least as good, if not better imaging than a hospital CT
scanner, but at a considerably
lower X-ray dose. As it happens,
the dose is actually rather similar
to that of conventional tomography, which also makes conventional tomography obsolete as 3D
imaging has so much more to offer.
Because, if we can transfer our
computer planning back to the patient, then what we are doing onscreen really represents an interaction with our patient. To put it another way, it represents an interaction between machine and human.
Rapid manufacture
As a keen potter, (I am sure all
dentists are potters, or sculptors,
or should be), when I see an object I want to gauge its size, walk
around it, hold it in my hand,
have a sense of its texture, caresses it… interact with it.
Simply viewing on-screen,
even in a simulated virtual environment, just does not do enough
for me.
I now see the scan as a portal. A
portal to a virtual environment in
which I can immerse myself: intellectually, if I am working on screen.
But also tangibly. We can become
intimate with our surgical planning, because on-screen planning
Clinical 17
need no longer be just an intellectual exercise; not an end-point of its
self, but just a beginning.
Just a beginning, because the
abstract on-screen data can actually be realised. We can interact
and then we can fabricate.
What we see in our minds eye,
and what we design on our two-dimensional monitor can actually be
fabricated. We can move from real
to virtual, and virtual to real, at the
touch of a button. We do this using
Dose can be still further reduced by carefully selecting a scan
volume which captures the region
of interest only, and this has the
further benefit of allowing for the
resolution of the imaging in this
smaller volume to be increased
(Figure 1), without raising doses
to an unacceptable level. This
means that CBCT is also becoming important in endodontics and
periodontics, revealing the 3D intricacies of convoluted rootcanals and infra bony lesions. So
images are clearer, and x-ray dose
is lower, particularly with newer
generations of CBCT scanners,
which are faster and are equipped
with higher resolution sensors.
Fig. 2: Implant planning with NobelGuide
Computer Aided Design
With recent developments in
computer aided design (CAD)
software, our imaged volume of
three-dimensional data will act
as an interface between the patient and our computer systems.
We are able to construct an onscreen virtual environment, with
which we can interact.
SimPlant and NobelGuide
(Figure 2) are examples of implant planning software packages that allow you to “design”
your surgical treatment. This is
all very well, but of limited benefit if you are not able to make your
design reality, though slightly
more useful as a diagnostic tool
than simply viewing the data.
Here too, recent developments
have transformed our capabilities.
We can use the CAD data to directly fabricate a drill guide , for
minimally invasive implant surgery (Figure 3).
And most exciting of all we
can prefabricate (Figure 4).
Veraviewepocs 2D/3D
Viewing and studying 3D image data on screen helps to familiarise the surgeon with the actual
clinical situation, reducing intraoperative uncertainty, improving
accuracy and speed. To be able to
achieve this with a substantially
lower x-ray dose makes me that
much happier to refer for imaging.
But what has really changed
the landscape for me, is that we can
now do so much more with the image data than simply hold a film up
to the light or ‘left click’ to make an
on-screen measurement; we have
the ability and the tools to allow us
to interface with our patients.
our scanners as a mechanism to input data to our CAD software; we
alter this data and then use Rapid
Manufacturing (RM) to fabricate
the result of our interaction.
The Number One in Every Class
Whether your interest is digital panoramic, cephalometric or 3D imaging – at
J. Morita you always get the best device for the most precise diagnoses. As
a pioneer in volume tomography we are familiar with the high requirements
of diagnosticians. Our wide variety of devices and choice of combinations
provide you with the sharpest imaging of details down to 80 μm.
From the first step, upgradable 2D devices, to the basic version Veraviewepocs 3De and the high-quality X-Ray CT unit 3D Accuitomo 170, one thing
always remains unchanged: You obtain the highest imaging quality from the
lowest effective radiation dose and the shortest scan times. Nothing is more
elementary than the correct diagnosis.
Trust the number one in the class!
We would be happy to advise you.
Phone 0845 602 4944
info@thedentalimagingcompany.co.uk
www.thedentalimagingcompany.co.uk
Thinking ahead. Focused on life.
Nine Volume Sizes
ø 170 × H 120 mm
ø 170 × H 50 mm
ø 140 × H 100 mm
ø 140 × H 50 mm
ø 100 × H 100 mm
ø 100 × H 50 mm
ø 80 × H 80 mm
ø 60 × H 60 mm
ø 40 × H 40 mm
DT page 18
[18] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
18 Clinical
Fig. 3: A drill guide built from CAD data, using a rapid manufacturing process
Fig. 4: A milled titanium bridge superstructure prefabricated according to the CAD planning
Fig. 5: A CBCT derived Rapid Prototype Anatomical Model of the
maxilla, used to help plan surgery with Zygomatic implants
DT page 17
KODAK 9000 3D Extraoral Imaging System
Innovation, in reach.
We can make a model of our
patient’s jaw, and study that, and
practice the surgery on this before
we carry out the procedure (Figure 5). I am prone to keeping models of my more complex patients’
jaws in my pocket, for contemplative moments. Or we can use the
model to make a drill guide that
can be fitted in a patient’s mouth,
to allow us to interact with our patient more directly.
Further examples of CAD
Elsewhere in our brave new
digital dental world, there are
many examples of the use of CAD in
the dental Laboratory. NobelProcera and Lava software are examples of CAD systems, which allow
prostheses to be designed for teeth
or implants, and then manufactured using various RM techniques.
It is only a matter of time before
these types of parallel CAD systems
are ‘merged’; plan your implant
placement, design the bridge; implement!
With the right level of care and
attention to detail, we will be able
to move from an on-screen surgical plan to finished implant prosthesis without impressions, without flaps and with total accuracy.
In the course of a series of short articles, I look forward to exploring
some of the current and future possibilities offered by developments
in our digital world. DT
About the author
Now available with cephalometric imaging
Andrew Dawood
Automatic tracings
Multiple image formats
Carestream Health
© Carestream Health, Inc., 2008.
The Kodak trademark and trade dress are used under license from Kodak.
“One shot”
cephalometric imaging
Visit www.my90003d.com
or call 00800 4567 7654
is a registered specialist in Periodontology and Prosthodontics, clinical
director of cavendishimaging.com in
London, and has honorary attachments to the Department of Maxillofacial Surgery, St Bartholomew’s and
The Royal London Hospital Trust and
University College Hospital, London.
Andrew Lectures extensively in the
UK and abroad on topics related to
imaging, dental Implants, and
restorative dentistry. He also operates a centre for postgraduate education, and hosts regular meetings and
seminars from the cavendishimaging.com premises in London, Oxford, and Birmingham. To contact
him call 020 7935 2777 or email
info@cavendishimaging.com.
[19] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Clinical 19
Evidence-based caries reversal using ozone
Guest Expert: Edward Lynch, MA, BDentSc, TCD, PhD Lond, FDSRCSEd, FDSRCSLond*, Associate Editor: Edward J. Swift Jr., DMD, MS
Question: I read the recent ‘Ask
the Experts’ article on ozone (J Esthet Restor Dent 2007;19:303– 5).
Can you provide more information
and clarify the question about
whether ozone is a useful means of
caries treatment?
Answer: Thank you for the opportunity to comment briefly on the recent report published in the journal
on research with the HealOzone
(KaVo, Biberach, Germany). Ozone
cannot do everything and certainly
should not be a treatment isolated
from our individualised preventive
oral health care. To be effective,
ozone must be prescribed in sufficient concentration for an adequate time and must be delivered
into the lesions.
ing the HealOzone.15,16 However,
ozone would not be effective to
manage, for example, a cavitated 3mmdeep root caries lesion adjacent to the gingival margin. The
outer caries would need to be removed, leaving about 1 mm of
caries over the pulpal floor prior to
ozone treatment and restoration.
I am puzzled as to the concern about the ‘lack of response
of the control lesions despite the
use of 1,100-ppm fluoride toothpaste by the subjects’ in the root
caries studies. Most of these subjects would have been using a
1,100- ppm fluoride toothpaste
while they were developing the
root caries, so it should not be
expected to achieve more reversal of these lesions. Some had in
fact been using toothpastes containing at least 1,450-ppm fluoride while their teeth were developing these root caries lesions, prior to enrolling in the
study.
It was stated incorrectly that
the large antimicrobial reduction in root caries after HealOzone treatment was because of
the control samples of caries being ‘consistently larger than the
posttreatment sample,’ which
DT page 20
KaVo – Dental Excellence
Antimicrobial effectiveness
of ozone
Ozone is one of the most powerful antimicrobial agents we could
use in dentistry1 and clearly, there
are enormous advantages to kill
pathogens. The recent piece in the
Journal of Esthetic and Restorative
Dentistry (JERD) correctly mentioned a few of the papers2–4 that
have proven the antimicrobial effectiveness of ozone5–9 but does not
discuss the limitations of the
biofilm studies.
Less than one log reduction of
bacteria was measured after using
ozone gas above biofilms in the
culture media, which was a similar
reduction to that achieved by using
0.2% chlorhexidine or photoactivated disinfection.10 However,
ozone will react immediately with
the reductants in the culture media, and the authors did not bubble
the ozone into the biofilm. It is recommended that ozone be delivered under pressure into a lesion
by pressing the delivery tube onto
the carious surface so that it can
penetrate the lesion. In vivo lesions (unlike artificial biofilms)
contain many molecules (such as
iron) that increase the antimicrobial effectiveness of ozone in
caries.
ESTETICA E80
Rise above the rest with KaVo.
• Outstanding ergonomics and attractive,
highly functional designs.
• Innovation at its best.
• State of the art technology reliability and
functionality at amazingly low prices.
From as little as £286* per month excl VAT
Ozone, even at a very low dose
and a short time of application,
achieved a 57% reduction in
biofilm and a 65% reduction in viable bacteria in model dental unit
water lines.11 Also, a high level of
biocompatibility of aqueous ozone
on human oral epithelial cells, gingival fibroblast cells, and periodontal cells has been found.12,13
Management of root caries
*Finance is subject to status and for business purposes only.
Ozone reverses shallow noncavitated root caries lesions as part
of a full preventive care regimen,
which includes reducing the frequency of consumption of fermentable carbohydrates, increased
use of fluoride-containing products, and improved oral hygiene.
The recent JERD piece described one study14 that successfully treated root caries with the
Heal- Ozone. Other studies also
have proven the successful reversal and arresting of root caries us-
Contact your local KaVo or
Gendex supplier for more details!
KaVo Dental Limited · Raans Road, Amersham, Bucks HP6 6JL Tel. 01494 733000 · Fax 01494 431168 · mail: sales@kavo.com · www.kavo.com
[20] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
20 Clinical
DT page 19
had been treated with ozone.
This study assessed ‘the total cultivable microbiota by counts of
the colony-forming units (CFUs)
recovered. The CFUs were divided by the sample weights.
There was a statistically significant difference between the control and test samples for either 10
or 20 seconds in log10 (CFU + 1)
shown per milligram.’14
treatable and 93% lost their dental
anxiety. The hardness values improved significantly in the ozonetreated test lesions after 4, 6, and 8
months compared with the baseline, whereas the control lesions
had no significant change in hardness at any recall interval.24 The
hardness of dental caries is our best
clinical tool to reflect the activity of
dentine caries.25–28
Ozone is a potent oxidizer
Management of pit
and fissure caries
The JERD piece mentioned a
study17 in which the fissures were
not fully cleaned out (i.e., the manufacturer’s recommendation was
not followed). In addition, that study
used only ozone to treat noncavitated caries involving the middle
third of dentine, which is also a procedure that is neither recommended by the manufacturer nor
attempted by dentists. Dentists in
practice would open these lesions
and remove caries and would only
leave up to 1 mm of caries on the pulpal floor prior to ozone treatment
and restoration.
Pyruvic acid (Ka = 3.20 mmol)
contributes substantially to the decreased pH values associated with
active caries lesions.29 Pyruvic acid
is oxidatively decarboxylated to acetate and carbon dioxide on reaction with ozone30 as in the following
equation:
CH3COCO2-+O3 CH3CO2+CO2+O2
Remineralization of incipient
carious lesions can be encouraged
by buffering plaque fluid by the production of acetate or other high pKa
acids found in resting plaque.31
Conclusion
The piece also mentioned a
prospective published article18 that
showed no overall significant differences for the treatment of noncavitated fissure caries with ozone.
However, it did not mention the conclusion of this study, which stated
‘from the data, it can be concluded
that ozone application significantly
improved noncavitated initial fissure caries in patients at high caries
risk over a 3-month period.’18
If fissure sealing or restorating, then ozone treat first
There is good evidence for in
vitro application of ozone as a useful
prophylactic antimicrobial treatment prior to etching and the placement of dental sealants and restorations with no negative interaction
with the physical property of
enamel and adhesive restorations.19–23
Ozone rversal of
deciduous caries
The previous piece correctly
mentioned a study24 in which open
carious lesions were treated with
ozone in anxious children. Ninetyfour percent of the children were
The earlier JERD piece stated
that some of the ozone studies are
promising but indicated that
‘ozone has not been proven to be
superior to other clinical approaches.’ All dentists using ozone
use it in conjunction with plaque
and diet control, chemotherapeutic approaches such as fluoride or
chlorhexidine, sealants, and stepwise excavation, and therefore,
use it with other clinical approaches, not as an alternative. Of
course, we all want more research
on ozone. Cochrane and The National Institute for Clinical Excellence (NICE) would not pass the
majority of treatments carried out
in dental practices. Cochrane correctly sets very high standards, reflected in the fact that Cochrane
classifies up to 95% of all the research studies it assesses as being
flawed, biased, or not fulfilling
their criteria. Cochrane32 only assessed Ozone as an alternative,
rather than an addition, to current
methods for the management and
treatment of dental caries. This
misses the point; ozone should not
be used in isolation.
NICE33 set a hypothesis, asking if ozone is more effective than
existing treatments for decay.
This again missed the point.
Ozone should be used in conjunction with our methods of managing caries. In addition, this ozone
technique is much easier,
cheaper, and faster than existing
treatments and should not have to
prove that it is more effective.
Ozone as an easier, cheaper,
and faster treatment should be
compared with comparable antimicrobial and oxidant treatments for caries rather than being compared with conventional
drilling and filling approaches as
reported by NICE and Cochrane.
The ‘caries balance’ concept
from John Featherstone34 is excellent. I believe that the balance
between pathologic and preventive factors can be swung in the
direction of caries intervention
and prevention by the active role
of the dentist and his/her auxiliary staff and that ozone has a key
part to play in this process.
Ozone’s place is for us to use
its proven powerful antimicrobial efficacy and undoubted potent oxidant ability, to reduce cariogenic microorganisms, and
provide beneficial effects against
organic acids30 in lesions, in conjunction with our existing management strategies for dental
caries to tip the ‘caries
balance.’ DT
This article was first published in
the Journal of Esthetic and Restorative Dentistry. To subscribe, visit
www.astheticacademy.com/jer
d.html.
*Professor of Restorative Dentistry &
Gerodontology; consultant to the
Royal Hospitals, specialist in Endodontics; specialist in Prosthodontics; specialist in Restorative Dentistry; BUPA specialist in Oral
Surgery, Queens University Belfast,
Royal Victoria Hospital, Belfast,
Northern Ireland, United Kingdom
References
1. Bocci VA. Scientific and medical aspects of ozone therapy. State of the art.
Arch Med Res 2006;37:425–35.
2. Baysan A, Whiley R, Lynch E. Antimicrobial effects of a novel ozonegenerating device on micro-organisms associated with primary root carious lesions in vitro. Caries Res 2000;34:498–
501.
3. Nagayoshi M, Fukuizumi T, Kitamura
C, et al. Efficacy of ozone on survival
and permeability of oral microorganisms. Oral Microbiol Immunol
2004;19:240–6.
4. Polydorou O, Pelz K, Hahn P. Antibacterial effect of an ozone device and its
comparison with two dentin-bonding
systems.
Eur
J
Oral
Sci
2006;114:349–53.
5. Nagayoshi M, Kitamura C, Fukuizumi
T, et al. Antimicrobial effect of
ozonated water on bacteria invading
dentinal tubules. J Endod 2004;
30:778–81.
6. Arita M, Nagayoshi M, Fukuizumi T, et
al. Microbicidal efficacy of ozonated
water against Candida albicans adhering to acrylic denture plates. Oral
Microbiol Immunol 2005;20:206–10.
7. Murakami H, Mizuguchi M, Hattori M,
et al. Effect of denture cleaner using
ozone against methicillin-resistant
Staphylococcus aureus and E. coli T1
phage. Dent Mater J 2002;21:53–60.
8. Estrela C, Estrela CR, Decurcio Dde A,
et al. Antimicrobial potential of ozone
in an ultrasonic cleaning system
against Staphylococcus aureus. Br
Dent J 2006;17:134–8.
9. Oizumi M, Suzuki T, Uchida M, et al. In
vitro testing of a denture cleaning
method using ozone. J Med Dent Sci
1998;45:135–9.
10. Muller P, Guggenheim B, Schmidlin
PR. Efficacy of gasiform ozone and
photodynamic therapy on a multispecies oral biofilm in vitro. Eur J
Oral Sci 2007;115:77–80.
11. Walker JT, Bradshaw DJ, Fulford
MR, et al. Microbiological evaluation
of a range of disinfectant products to
control mixed-species biofilm contamination in a laboratory model of a
dental unit water system. Appl Environ Microbiol 2003;69:3327–32.
12. Ebensberger U, Pohl Y, Filippi A. PCNAexpression of cementoblasts and
fibroblasts on the root surface after
extraoral rinsing for decontamination. Dent Traumatol 2002;18:262–6.
13. Huth KC, Jakob FM, Saugel B, et al.
Effect of ozone on oral cells compared with established antimicrobials. Eur J Oral Sci 2006;114:435–40.
14. Baysan A, Lynch E. Effect of ozone on
the oral microbiota and clinical
severity of primary root caries. Am J
Dent 2004;17:56–60.
15. Holmes J. Clinical reversal of root
caries using ozone, double-blind,
randomised, controlled 18-month
trial. Gerodontology 2003;20:106–14.
16. Baysan A, Lynch E. Clinical reversal
of root caries using ozone: 6-month
results. Am J Dent 2007;20:203–8.
17. Baysan A, Beighton D. Assessment of
the ozone-mediated killing of bacteria in infected dentine associated
with noncavitated occlusal carious
lesions. Caries Res 2007;41:337–41.
18. Huth KC, Paschos E, Brand K, Hickel
R. Effect of ozone on non-cavitated
fissure carious lesions in permanent
molars—a controlled prospective
clinical study. Am J Dent
2005;18:223–8.
19. Azarpazhooh A, Limeback H. The
application of ozone in dentistry: a
systematic review of literature. J
Dent 2008;36: 104–16.
20. Celiberti P, Pazera P, Lussi A. The impact of ozone treatment on enamel
physical properties. Am J Dent
2006;19:67–72.
21. Polydorou OPK, Hahn P. Antibacterial effect of an ozone device and its
comparison with two dentin-bonding systems. Eur J Oral Sci
2006;114:349–53.
22. Schmidlin PR, Zimmermann J, Bindl
A. Effect of ozone on enamel and
dentin bond strength. J Adhes Dent
2005;7: 29–32.
23. Al Shamsi AH, Cunningham JL,
Lamey PJ, et al. The effects of
ozone gas application on shear
bond strength of orthodontic
brackets to enamel. Am J Dent
2008;21:35–8.
24. Dahnhardt JE, Jaeggi T, Lussi A.
Treating open carious lesions in
anxious children with ozone. A
prospective controlled clinical
study. Am J Dent 2006;19: 267–70.
25. Beighton D, Lynch E, Heath MR. A
microbiological study of primary
root-caries lesions with different
treatment needs. J Dent Res
1993;72:623–9.
26. Lynch E, Beighton D. A comparison
of primary root caries lesions classified according to colour. Caries Res
1994;28:233–9.
27. Lynch E, Beighton D. Relationships
between mutans streptococci and
perceived treatment need of primary
root-caries lesions. Gerodontology
1993;10:98–104.
28. Beighton D, Lynch E. Relationships
between yeasts and primary rootcaries lesions. Gerodontology
1993;10: 105–8.
29. Silwood CJ, Lynch EJ, Seddon S, et al.
1H-NMR analysis of microbial-derived organic acids in primary root
carious lesions and saliva. NMR Biomed 1999;12:345–56.
30. Grootveld M, Silwood CJ, Lynch
E. High resolution 1H NMR investigations of the oxidative consumption of salivary biomolecules by ozone: relevance to the
therapeutic applications of this
agent in clinical dentistry. Biofactors 2006;27:5–18.
31. Margolis HC, Moreno EC. Importance of high pKA acids in cariogenic
potential of plaque. J Dent Res
1985;64: 786–92.
32. Rickard GD, Richardson R, Johnson
T, et al. Ozone therapy for the treatment of dental caries. Cochrane
Database Syst Rev 2004;(3):
CD004153.
33. NICE. TA92 Tooth Decay—HealOzone: Guidance. Available at:
http://www. nice.org.uk/page.aspx?
o=TA092guidance (accessed March
16, 2008).
34. Featherstone JD. Caries prevention and reversal based on the
caries balance. Pediatr Dent
2006;28:128–32.
[21] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Education 21
What makes a successful implant practice?
Through motivational case presentations and a greater sense of teamwork between
restorative and surgical practices, doctors can build successful implant practices.
Dr Roger P Levin explains
I
mplants represent an untapped source of growth for
many practices. According to
market research firm Kalorama
Information, dental implants are
poised to reach US$4.5 billion in
global sales by 2012. Unfortunately, many restorative and surgical practices are operating far
below their potential when it
comes to implants.
What is hindering the growth
of dental implants? In most instances, insufficient patient education is the culprit. When implants are presented to every
candidate as an exceptional
value that can last over a lifetime,
many patients will agree to implant treatment.
Patients need to think of implants as a standard quality of
care option, not as an expensive
luxury. It is important for you to
present the many benefits that
implants offer while emphasising that no other service provides
the functionality, fit and feel of
natural teeth. Practices that improve their implant case presentations will see a significant increase in implant production.
Based on more than 24 years
experience consulting to implant
practices, Levin Group recommends the following Greenlight
Case Presentation strategies for
implants:
1. Make your implant presentation exciting. Fee-for-service
procedures like implants have
to be presented with a higher
level of enthusiasm to motivate
patients. Doctor and staff enthusiasm, effective visuals,
clear explanations, compelling comparative stories
and a strong recommendation
to have implant procedures
performed are vital to a feefor-service case presentation.
This approach is different than
simply telling patients that
they need a crown on a broken
tooth and that insurance could
probably cover approximately
50 per cent of it. The key is to
recognise patients need a
higher level of motivation to
accept a recommendation for
implants.
2. Focus on benefits, not the
technical details. After a brief
clinical explanation, you
should make powerful benefit
statements such as:
• ‘When you get your implant,
you’ll have a fuller smile and
improved confidence.’
• ‘Implants will give you a better
quality of life.’
• ‘Say goodbye to food restrictions! You can bite into a
crunchy apple, chew your foods
easier and avoid uncomfortable digestive problems.’
• ‘Future bone loss will no longer
occur when you have implants.’
• ‘There is no extra work involved for you to care for your
implants. Regular brushing and
flossing along with routine dental examinations are all you
need.’
3. Don’t perform a ‘wallet
biopsy.’ Offer the ideal treatment to every patient. Making
assumptions about treatment
affordability or patients’ ability
to pay can derail a case presentation right from the start. In
this age of casual dress, CEO’s
wear jeans and retail clerks
dress in suits. Don’t try to guess
a patient’s wealth or desire for
treatment by how they dress.
4. Offer flexible payment options. Cost is always the final
obstacle during case presentation, especially for services
not fully covered by dental insurance. Levin Group clients
incorporate The Four Financial Options into their practices to achieve case acceptance for implants and other
services. The four options include:
• Five per cent courtesy for full
payment upfront
• Half of the fee upfront and half
before completion of treatment
• Credit cards
• Third-party financing
people who are familiar with
dental implants do not necessarily request implant treatment. Instead, they tend to rely
on the recommendations of
their dentist.
Not many people can pay for
implants out-of-pocket. By offer-
3. These practices have a mindset that patients will want
dental implants. In successful
implant practices, team members are delighted to talk to patients about dental implants
and feel confident that patients
will accept implant treatment
barring any contraindication
or financial considerations.
‘By offering
flexible payment options,
practices make
implants affordable for more
patients’
ing flexible payment options,
practices make implants affordable for more patients. Some
practices are hesitant to offer
third-party financing because
they’re afraid of losing a few percentage points of their total fee.
Four habits of highly
successful implant practices
In the course of consulting to
thousands of dental practices,
Levin Group has noted four characteristics common to highly
successful implant practices:
4. A strong sense of teamwork
exists between the surgical
practice and the referring
doctor. This pertains to education and close communication
for implant case planning and
treatment. Highly successful
restorative practices not only
work to continually educate
themselves, but they also follow implant cases throughout
the entire treatment process.
These restorative practices
take a pro-active approach,
communicating with both the
patient and the surgical practice from the initial referral to
the restoration and follow-up.
Of course, surgical practices
should also provide updates on
the patient’s progress during
the placement phase of treatment. Strong communication
throughout the treatment
process ensures greater case
acceptance, more patient referrals and increased implant
production.
1. Their philosophy is, ‘Dental
implants are the treatment of
choice for any patients missing teeth.’ They challenge
themselves clinically to make
dental implants work for any
patient with missing teeth.
Conclusion
2. Doctors and teams understand that patient education
is critical. They never assume
that the patient knows about or
has ever heard of dental implants. Analysis indicates that
With millions of potential
candidates in Europe, implants
are a massive untapped source of
revenue that has thus far evaded
most dental practices. Given the
numerous benefits that implants
provide to edentulous patients,
practices should regard implant
treatment as a standard of care
for every patient missing teeth.
Through motivational case
presentations and a greater sense
of teamwork between restorative
and surgical practices, doctors
can build successful implant
practices. Implant dentistry enhances not only patient lifestyles,
but also practice productivity –
truly a win-win situation for the
patient and the practice.
Dr Roger P Levin will be presenting his seminar, Achieve Explosive Implant Growth: Triple
Your Implant Practice (Despite
the Economy), on June 26 2009 in
London. Don't miss this chance
to learn how to increase case acceptance and achieve greater
productivity.
For more information, please
call Perio-Implant Europe Ltd
on 01276 469 600, email info@
implantsuccess.com or visit
www.implantsuccess. com. DT
About the author
Dr. Roger P. Levin, DDS,
is founder and chief executive officer of Levin Group, Inc., a leading
dental practice management consulting firm. For more than 20
years, Levin Group has helped
thousands of general dentists and
specialists increase their satisfaction with practicing dentistry.
[22] =>
DTUK1509_01_Title
22 Education
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Spring forward
BOS members Fiona Ryan and
Zahra Sheriteh report on the
recent British Orthodontic Society’s spring Meeting in Dublin
T
he British Orthodontic Society’s Spring Meeting was
the first joint meeting between the BOS and the Orthodontic Society of Ireland, was a resounding success with over 300
delegates attending the two-day
meeting, which was held in the
capital city of Ireland – Dublin.
The theme of the conference was
‘Contemporary Orthodontics’
with the emphasis on aesthetic
techniques and evaluation.
Friday April 24 2009
The conference was held in
the Royal College of Surgeons of
Ireland’s original building,
which is over 200 years old, on
the corner of St Stephen’s Green
in the heart of Dublin. Following
lunch, BOS Chairman Peter McCallum, opened the proceedings
with the hope that this would signal the start of many joint ventures between the two societies.
Michael Ryan, Chairman of the
OSI, chaired the afternoon session, which was a fascinating insight into the relative strengths
and weaknesses of the Invisalign
and Incognito appliances.
‘Lingual had arrived’ with
Dirk Wiechmann, who made an
excellent start to the Friday afternoon session, presenting ‘Lingual
Orthodontics: the latest history’.
The most recent advancement in
laboratory manufacturing of
Incognito, developed by the
speaker, has resulted in a custommade appliance which is not only
more comfortable for the patient
but also boasts accurate torque
expression and finishing. This results from individualised archwires as well as cast gold brackets
with precise slot dimensions.
A reference was made to a recent as yet unpublished multicentre randomised controlled
trial, which concluded that there
was a reduced rate of decalcification in patients following treatment with Incognito compared to
labial appliances.
Invisalign –
a detailed overview
This was followed by a detailed overview of Invisalign by
Peter Huntley. It was interesting
to note that this appliance, introduced in the United Kingdom in
2001, is predominantly used by
General Dental Practitioners.
With adult orthodontics on the
increase, Invisalign is an extremely popular appliance, with
approximately one million cases
being treated worldwide. Peter
Huntley outlined its strengths,
including comfort, aesthetics
and good anchorage control, as
well as its weaknesses, with particular emphasis on the impor-
tance of case selection when using Invisalign, as well as cases
where Invisalign should be
avoided, such as deep bite cases.
Following tea and cookies,
Dirk Wiechmann and Peter
Huntley returned with a display
of clinical cases treated with
Incognito and Invisalign respectively. Dr Wiechmann commenced with an impressive presentation of 26 consecutively
debonded cases from September
to December 2008 to illustrate
the use of Incognito. This included non-extraction Herbstfixed appliance cases as well as
four premolar extraction cases in
growing individuals.
Peter Huntley presented
cases to highlight the indications
for the use of Invisalign, including mild to moderate crowding
with class I buccal segments, expansion and distal movement
and post-treatment relapse. He
outlined its benefits including
aesthetics, gentle forces and facilitating oral hygiene. However,
he advised that care must be
taken to eliminate undercuts
during manufacture as well as
understanding its limitations in
terms of the tooth movements
that can be achieved. We were
very lucky indeed to receive most
useful clinical tips from a very experienced clinician.
Saturday April 25 2009
With no sign of any ill effects
from the night before, the next
day’s proceedings started promptly
to a full house with the BOS President, David Bowden, presenting
the Geoffrey Fletcher Award to
Lorna Dobbyn from Dundee Dental School . This award is presented
annually to enable an orthodontic
trainee to pursue an elective in orthodontics, to further their knowledge and experience.
The first session was then
launched by BOS Chairman,
Nigel Harradine. The guest
speaker, David Sarver, needed little introduction as most of us will
be familiar with his name as one of
the co-authors of the most widely
read orthodontic textbook in the
world Contemporary Orthodontics by Proffit, Fields, and Sarver.
Dr Sarver lectures widely on the
‘art and diagnosis of the smile’ and
is well known for his dynamic
multimedia presentations.
Part 1 – The Aesthetic evaluation didn’t disappoint as Dr
Sarver sought to expand the diagnostic regime of the audience
and to unravel the soft tissue paradigm. The importance of appreciating the macro- , mini- and micro-aesthetics of a smile was discussed in growing, non-growing,
The two-day meeting was held in Dublin
and ageing faces. Dr Sarver
urged us all as orthodontists to
look more at the cosmetics of a
patient and less at the cephalometrics and to appreciate the ‘art
in its entirety’. Dr Sarver presented a systematic method of assessing the face, smile, and dentition in three dimensions. The
emphasis was placed on proportions and not linear measurements and resisting the temptation to apply a ‘Procrustean’ approach of ‘one size fits all’.
Following the break, the session was chaired by Cath Crocker
of the OSI, who introduced the
next speaker, selling coach, Ashley Latter. Ashley was quick to
dispel the negative stereotype of
a ‘salesman’ with his engaging
and interactive session on ‘Helping patients to say YES’. He
started by reminding the audience that an investment in
knowledge always pays the best
interest and continued over the
next hour to promote positive
selling. Ashley views selling in
orthodontics as a combination of
building relationships with the
right types of patients, finding out
their problems, and then solving
them.
He reminded the listeners
that the reasons patients say no to
private treatment is usually nothing to do with technical ability,
and that price may be AN issue,
but is rarely THE issue. The initially sceptical audience was won
over by the participative Attitude
Test, which required the audience to remember 20 items in
perfect order. A task the majority
managed with success despite
initial cynicism. Ashley finished
his animated and entertaining
presentation by reminding the
audience that successful selling
is about positive attitude and being pro-active.
Dr Sarver’s mini-aesthetic
evaluation
The final presentation before
lunch was again by David Sarver.
This time the focus was on the
mini-aesthetic evaluation. Dr
Sarver exhibited great rapport
with the audience as he introduced recent concepts in the
quantification of the characteristics of smile aesthetics. As well as
showing many examples of the
comprehensive three-dimensional analysis that Dr Sarver
teaches and practises, he reminded us of the importance of
considering the fourth dimension – time – and discussed the influence of aging on the smile.
Again, the value of tailoring each
treatment plan to the individual
was stressed as ‘your smile is
your signature’. Dr Sarver spoke
about both the shape and proportionality of anterior teeth and
gingival characteristics, and
urged the audience to consider
these aspects when striving to
deliver the optimal result for
every patient.
Returning refreshed after
lunch, delegates were welcomed
back by session chair Peter McCallum, BOS Chairman, who reintroduced David Sarver for a
discussion of ‘Orthognathic and
adjunctive cosmetic surgery.’
The excellent atmosphere in the
auditorium continued and Dr
Sarver showed no signs of tiring
as he presented an impressive
case selection of orthognathic
patients before and after orthognathic and adjunctive surgery.
These additional procedures included rhinoplasty, genioplasty,
platysmal plication, liposuction,
V-Y closure, and other soft tissue
procedures.
The presentation started with
an honest account of ‘surgical
failures’ and early lessons
learned, where Dr Sarver admitted that the occlusal goals had
been met but the aesthetic goals
had not. The importance of adjunctive procedures to counter
the sometimes unwanted side effects of hard tissue orthognathic
surgery and to enhance the outcome was emphasised. The audience was captivated by the series
of cases presented next where Dr
Sarver used digital technology to
present “morph movies” of patients with severe malocclusions
throughout treatment. The results were exceptional and Dr
Sarver accentuated the importance of a multi-specialty approach in offering patients the
best outcome.
Complex cases
Dirk Wiechmann returned to
present a selection of complex
cases treated with Incognito.
This was truly impressive! Dr
Wiechmann described the use of
custom-made
Extra-Torque
(ET) wires in complex Class II
division two malocclusions as
well as the use of ribbonwise
archwires to manage open and
deep bite cases. The use of both
lingual and buccal auxiliaries
allowed excellent control of
tooth movement during space
closure.
After a welcome tea-break,
David Sarver once again took to
the stage, introduced by David
Bowden, BOS President. The final topic for discussion was new
technologies – soft tissue lasers
and CAD-CAM braces. Continuing on the mini- aesthetic theme,
Dr Sarver introduced the concept of using soft tissue diode
lasers as part of adjunctive orthodontic treatment. Uses for
this technique include aesthetic
enhancement, such as improving gingival topography, idealising crown proportions, crown
lengthening, and resolving
crown height asymmetries, in
addition to treatment management, for example, eliminating
pseudopockets. The benefits of
using diode laser to ablate soft
tissue; including precision,
haemostasis, and the need for
topical anaesthetic only, were illustrated.
Finally, Dr Sarver concluded
his presentation with an introduction to custom-made Computer Aided Design/Computer
Aided Manufacture (CAD/CAM)
fixed appliances. The Insignia
system uses 3D imaging and
software which produces customised brackets and wires
which theoretically yield optimal finishing. The possibility of
using this software together
with digital images of the patient’s smile has been explored
by Dr Sarver in his quest to provide the perfect smile to suit
every patient.
If you would like more information about the BOS, visit
www.bos.org.uk. DT
[23] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
DCPs 23
National Dental Nursing Conference 2009
Before the full programme is finalised, BADN chairman Pam Swain offers some information
on the conference venue and how to book your ticket
T
he upcoming 2009 National
Dental Nursing Conference
will be held at the Cheltenham Chase Hotel, near Cheltenham, on October 23 and 24 2009.
Although the programme is still to
be finalised, we can tell you that it
will include talks on forensics, chiropractics, cross infection, professional indemnity, dental technology, change management and possibly implants. If you attend, each
delegate will be eligible for up to
eight hours verifiable CPD.
What it costs
The conference fee of £120 for
current BADN members (£190 for
non-members) includes full lecture programme (including attendance at both opening and closing
ceremonies), conference handbook, verifiable CPD certificate,
online registration, lunch on both
days, a place at the presidential reception and dinner, breakfast
canapés, refreshments (tea/coffee,
biscuits, Danish pastries and cake),
a business folder, as well as cheese
samples courtesy of the English
Cheese Board. Other sponsors include the British Dental Trade Association, Colgate and Schulke.
Beautiful surroundings
Situated in 15 acres of grounds
at the foot of the Cotswold hills, the
Cheltenham Chase Hotel has 122
spacious bedrooms and free parking for more than 200 cars and is
situated just a mile from Junction
11a of the M5, under five miles
from Cheltenham and Gloucester
and under an hour (approximately
55 miles) from both Birmingham
and Bristol. All bedrooms have airconditioning, in-house movies, tea
and coffee-making facilities and
wireless high-speed internet technology. BADN has negotiated a
special rate of £90 per night for a
double or twin room (£45 per person per night) or £80 per night for
a single room. However, there are
also a number of other hotels in the
immediate area.
Feeling fit?
For those who want to arrive
the day before Conference, the
hotel’s health, fitness and spa Reflections has a 14-metre swimming pool, sauna, steam room,
Jacuzzi, gym, aerobics studio and
beauty treatment rooms. Use of
the leisure facilities is included
in your stay, but BADN have negotiated special rates for delegates arriving early – just £20 for
an express back, neck and shoulder massage and £15 for an express facial, bronze manicure or
bronze pedicure. (These rates
are only valid for pre-booked
treatments on October 22, 2009.
How to register
Conference registration will
be available online through the
conference page of the BADN
website – www.badn.org.uk. Or
you can send your email details to
conference@badn.org.uk with
“2009 Conference” in the subject
line. Delegates to the 2008 conference will receive an invitation
by email shortly.
Don’t worry if you’re coming
to the conference on your own –
we’ll look after you. If you
would like to share a twin
room with another delegate,
just email us to let us know
(conference@badn.org.uk)
and we’ll try to match you up
with another delegate. If you
would like to travel to Cheltenham with other delegates,
email your details and let us
know if you are offering or seeking a lift, or travelling by train.
We’ll put your details on the
conference page of the website
so other delegates from your
area can contact you. DT
[24] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
24 DCPs
Time to listen
Y
ou may have noticed that
our country is in a bit of a
pickle financially just
now. I don’t mean to sound glib
about this, I am just not sure
how to describe the situation.
This global crisis will filter
down and affect everyone in
some way. I am grateful that,
working in a service industry,
as of yet, my book remains full
of regular patients and there is
still a steady stream of new
clients on our day lists. My pension is looking hellish but
In unsteady times, patients might feel
more vulnerable, so it’s wise to make sure
you’re dealing with your patients in the
right way to make them feel comfortable,
says Mhari Coxon
PracticeWorks
Practice Management Software
thankfully I am a long way off
retiring yet. How many patients will be interested in forking out thousands for cosmetic
work over the next year or so
remains to be seen.
The stress that those not experiencing good fortune in
their career must feel is hard to
comprehend. Redundancy is
on the increase, a four-day
week is being bandied around
as a solution in a lot of firms,
and I am finding more and
more people coming in not sure
if they will have a job when I see
them next. It is not surprising
then that clients are apologising for their mouth before they
even hit the chair. They know
they have not cared for their
mouths well since their last
session as there have been
other things on their mind.
Stress in relation to health
In times of personal crisis,
our normal routines can be altered drastically, leaving us vulnerable to all sorts of things. Our
eating habits can be less than
ideal; we can skip meals and eat
convenience food more often.
Our alcohol consumption/cigarette use can go up. Our workload increases and we find a
new set of priorities which don’t
include yoga and flossing. We
do not sleep well or exercise
enough because we are tired.
Illness seems to sneak up easily
and linger for longer than it
should. When stressed our
saliva flow can be significantly
reduced, creating a higher risk
of caries and periodontal
pathogen growth.
and Digital Imaging Systems
Our team at PracticeWorks are recognised for their expertise in dental technology, from
installation through to support and maintenance, whether it’s the most advanced practice
management software or the most innovative digital imaging systems.
We have over 70,000 software installations worldwide to prove it. We also developed the first
intraoral sensor, “RVG”, which started the digital radiography revolution.
And when you buy a PracticeWorks product you also buy great support. Our trainers,
engineers and help desk staff are always on hand to ensure you get the most from our
products and services
So not only do you get the very best service at all times, you also get peace of mind from
knowing that your satisfaction is our top priority.
Relapse phase
R4 Version III
Practice
Management
Software
Back Office
Business
Management
Software
Managed
Service
Web Based
Practice
Management
Kodak 9000 3D
Extraoral Imaging
Dental
Photography
Kodak CR7400
Phosphor Plate
Digital X-Ray
Kodak STV
Digital Intraoral
Camera
Kodak
RVG6100 and
5100
Digital X-Ray
A combination of even a few
of these things can tip the balance back in the favour of disease. This often puts our clients
into a relapse phase with their
maintenance care and we need
to support them well to allow
them to find some motivation to
keep caring for their oral health.
We can’t fix the economic downturn, but we can help them survive it without new dental disease.
Using communication skills
And so it is important to remember the communication
skills we have. Bearing in mind
the ‘Four Es’ is helpful when relating to our patients. These are:
engagement, empathy, education and enlistment.
The very best products, expertise, support and service
brought to you on a plate
For more information or to place an order please call 0800 169 9692
or visit www.practiceworks.co.uk
PracticeWorks
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We need to make sure we are
engaging with our patient as
they feel now. A person who has
been made redundant is a different one to the person we
knew in a secure job a few
months ago. Reassess the
clients’ personal situation in the
most empathetic way you can.
Make sure you re-engage
with your clients and spend time
listening to what they have to
say. Empathising with their situation rather than sympathising can help them to feel understood. Giving them some time to
tell you how their life has
[25] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
DCPs 25
Keep disclosing
And so we come back to disclosing each patient. Sometimes
it can be a good motivator to
kick-start their routine. If the patient is not ready to take up the
routine of care again, we are better to leave motivational change,
and use the disclosing to create a
road map for a good disinfection
of the mouth. This will help the
patient and perhaps they will
feel more able to cope by the next
maintenance session.
tinued care and how it is an investment in the long term.
Have a look at www.perionutrition.com for some good
advice for patients and great
information about general
health in relation to periodontal health. DT
About the author
Support through
maintenance
changed can be valuable, but
also must not dominate the entire appointment.
This communication phase
can help to reduce the patients
need to be defensive when discussing their oral hygiene with
a professional. No one likes to
be told off anyway, but even less
so when life is pressured. Wagging your finger and saying:
‘You should be brushing in the
evening you know’, is not going
to curry favour with the average
client just now.
help us to assess the quality of
the clients’ biofilm growth.
We then have to re-enlist
them as supporters of the treatment plan, to ensure their health
parameters do not fluctuate out
of the boundaries of health. This
can best be achieved by using indices to show how things are.
Science telling you are in trouble is less offensive than your hygienist telling you off. We have
microscopes in surgery, which
Clinically there can often be a
reactivation of stable sites at
times of stress in clients. This is
when regular screening of
bleeding, plaque and pocket
depths will make it easy to see
how the body is coping. I sometimes pop those with a previous
history of caries back on high fluoride toothpaste during times of
stress as a prevention measure.
The other way we can support our patients is by reducing
the time in between their
maintenance sessions to help
keep them in that healthy zone.
If finances are an issue, perhaps shorter sessions, closer
together, over the next year
would be a good way to support
health. Obviously we need to
consider the patients financial
situation in this too. But, in my
clinic at least, you can have
eleven hygiene sessions for the
same price as one crown so it
really is a simple case of insurance. When you put it to patients like that it can help them
to understand the need for con-
Mhari Coxon
is a dental hygienist practising in
Central London. She is chairman of
the London British Society of Dental Hygiene and Therapy (BSDHT)
regional group and is on the publications committee of its journal,
Dental Health. She is also clinical
director of CPDforDCP, which
provides CPD courses for all DCPs.
To contact her, email mhari.
coxon@cpdfordcp.co.uk.
90 Career Pathway
credits available
FGDP(UK) Diploma in Implant Dentistry
This successful and highly regarded programme offers
dentists the ultimate training in implant dentistry from an
established teaching faculty that includes experts in the field.
•
•
•
•
Hands-on practical sessions at every contact unit
Expert guidance from a local course tutor
and support from a peer mentor
Accredited towards the FGDP(UK) Career Pathway
and some MSc courses
Minimal time away from practice
We would like to thank the following companies for
their continued support of this programme
Cost:
£18,500 FGDP(UK) members;
£19,500 non-members
Duration:
Two years part-time
Course dates:
February 2010 – December 2011
Location:
The Royal College of Surgeons of England, London
Course structure:
13 two-day units at the local course centre,
3 further two/three-day units in Germany
Delegates could qualify for approximately 180 hours of verifiable CPD on completion.
Email fgdp-education@rcseng.ac.uk or call 020 7869 6757 to find out more, quoting reference DI09DT1.
www.fgdp.org.uk
Promoting excellence in dentistry
Registered charity no. 212808
[26] =>
DTUK1509_01_Title
26 Instruments
Mr Artio™
“Tools for a
True Artist”
Mr. Artio™ – he is so light
and agile with an ergonomic
grip and super strong tips, the
DENTSPLY team often wonder
how they would cope without
him. He simply loves creating
works of art with his DENTSPLY
restorative friends!
wear after more than 30,000 friction cycles meaning that your instruments will last longer ultimately keeping costs down.
These contra-angle handpieces offer you maximum
power at both high and low
speeds, particularly when combined with the MX motor from
Bien-Air. With 3 contra-angle
handpieces and a straight handpiece in the range of DIAMLINE
instruments you will find that
these instruments cover the full
range of clinical applications.
For further information please
contact Bien-Air on 01306 711
303 or visit www.bienair.com
A single use
instrument at
an affordable
price
DENTSPLY’s Indirect Restorative Team understand that
crown & bridge restorations are
amongst the most demanding
procedures carried out by a
dentist, with high expectations
from their patients. DENTSPLY’s
quality, branded products fit
each step of this procedure,
making it quicker and easier to
ensure an accurate, long lasting
restoration and help you to “get
it right first time”.
Decontamination of instruments is a complex process that
involves several stages, including cleaning, disinfection, inspection and sterilisation, as
outlined in the Government decontamination guidelines HTM
01-05.
Restorative Hand
Instruments with Mr Artio™
“Tools for a True Artist”
For more information, please
contact your local DENTSPLY
Product Specialist on: +44
(0)800 072 3313 or visit our website: www.dentsply.co.uk
Perfect Grip
from Bien-Air
Bien-Air’s DIAMLINE instruments offer you excellent
hand grip due to the patented,
high tech diamond powder surface treatment.
DIAMLINE handpieces allow for precision treatments
with reduced effort and tension
on your part combined with less
hand fatigue, allowing you to
work more efficiently. Clinical
tests have proved that the high
tech coating increases the life of
your instrument’s surface by 5
times more than the coatings
currently used. These investigations have shown that DIAMLINE instruments showed no
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
With the ever increasing
concerns from patients over
cross infection and contamination, The Classic single-use
range from UnoDent offers high
quality, single-use plastic handled products designed and
manufactured to offer today’s
modern dental practice, a cost
effective way to offer patients
complete peace-of-mind.
Renowned industry magazine The Dental Advisor has selected six Ivoclar Vivadent
products as Top Product 2009 in
various categories.
Tetric EvoCeram, the stateof-the-art universal composite
which is the first of its kind to
combine 3 types of nano-particles, won Best Composite 2009.
Additionally the Blue Phase Led
Curing Light also won top honours. The stylish light cures
materials quickly in just five
seconds and offers a unique
‘click and cure’ power feature.
The final accolade for Top
Resin Cement was given to the
Ivoclar Vivadent Multilink Automix. The high, immediate
bond offers many benefits, as it
bonds fast and is easy to apply
creating a strong link to all types
of restorative materials.
Darryl Muff, General Manager, Ivoclar Vivadent UK comments, “It is so rewarding for
the entire team to receive such
prestigious recognition and
these awards reflect the quality
incorporated into the design
and innovation across our product portfolio.”
A Complete
Polishing and
Finishing
Range from
Shofu
As an alternative why not try
the metal handled instruments,
manufactured from stainless
steel to high standards, and intended solely for single-use.
Supplied in bulk packs of 10
each instrument equates to as
little as 49p each, which allows
the dental practitioner to dispose of the instrument after use
at minimal cost, and without
compromising on quality.
For further information on the
full Instrument range available at The Dental Directory,
please call our Team on 0800
585 586 or visit us at www.dental-directory.co.uk
‘Top Products’
recognition for
Ivoclar Vivadent
Leading ceramic specialists
Ivoclar Vivadent has gained
prestigious recognition regarding a number of products in the
range.
lain; Brownie, Greenie and Supergreenie silicone polishers
for fast, brilliant polishing on
precious metals and amalgam;
and the Super-Snap finishing
and polishing disc system for all
microfilled and hybrid composite fillings. One Gloss unique
one-step finisher and polisher
can be used to finish and polish
all composites restorations simply by altering the contact pressure on the restoration, without
having to change instrument.
To see what you can accomplish with Shofu’s polishers
and to claim your free trial
pack of One Gloss please call
Shofu on 01892 870800. Hurry
trial pack stocks are limited!
Preparation
with Mrs. Hi-Di®
Diamond Burs
Mrs. Hi-Di® is well-respected – with her years of experience, she is a key asset to the
team. Her multiple layers of diamond grit mean that she is reliable & durable and always
runs true. She ensures most
clinical situations are met with
her various patterns and she’s
always kind to your handpieces.
Why buy other brands, when
Mrs Hi-Di can offer you assurance with high quality – Diamonds are a Bur’s best friend!
with its fantastic International
Conference Centre as well as
streets steeped in history and a
thriving cultural scene to explore.
As if these were not attractions enough, Professor Birte
Melsen has agreed to present
the keynote Northcroft Lecture,
posing the question “How has
the spectrum of orthodontics
changed over the past decade?”
For the first time there will
also be two day-long programmes for orthodontic nurses
and technicians run in parallel
to the main Conference.
Navigating the social events
promises to be equally challenging with a gala drinks reception, a banquet, a sports programme including golf, tennis
and football as well as a siteseeing progarmme for accompanying guests because all
work and no play …
The Conference takes place
between 13-15 September 2009
and the pre-conference course
is held on 12 September. Canny
orthodontists, dentists with a
special interest in orthodontics, nurses and technicians
will want to register early to ensure their places by visiting
www.bos.org.uk
The new high performance
LED polymerisation device
from VOCO
DENTSPLY’s Indirect Restorative Team understand that
crown & bridge restorations are
amongst the most demanding
procedures carried out by a dentist, with high expectations from
their patients. DENTSPLY’s quality, branded products, such as HiDi Diamond Burs, fit each step of
this procedure, making it quicker
and easier to ensure an accurate,
long lasting restoration and help
you to “get it right first time”.
Design and
Functionality:
Celalux 2
The Celalux 2 is a high performance, light-curing device
of the latest generation. It offers
an especially high intensity of
blue light. With an average light
output of 1000 mW/cm2, the
Celalux 2 is ideally suited for
use on restorations with all
composite materials, bonds and
light-curing cements.
Preparation with Mrs. Hi-Di®
Diamond Burs
“Diamonds are a
Bur’s Best Friend –
Make Mrs. Hi-Di yours!”
Shofu manufacture an extensive range of abrasives, to
suit your every need be it contouring, polishing or finishing
your restorations. The company
have produced a very useful catalogue on the range, which allows you to see at a glance the
most appropriate rotary instrument for the job in hand.
Within the range are DuraGreen stones. These are made
from silicon carbide grit for fast
contouring and finishing of
porcelain, composite precious
alloys and amalgam; DuraWhite stones for finishing
enamel, glass ionomer cements, composite and porce-
For more information, please
contact your local DENTSPLY
Product Specialist on: +44
(0)800 072 3313 or visit our website: www.dentsply.co.uk
Industry News
A canny move
This year the British Orthodontic Society’s Conference returns to Scotland’s elegant and
historic capital city, Edinburgh,
Design and functionality
Functionality and design
have been perfectly united with
the configuration of the Celalux
2. The hand piece is ergonomically shaped and constructed
from anodised aluminum. With
its rounded-off surface and extremely light weight of only 160
grams, the Celalux 2 feels good
in the hand and provides excellent handling. The adherence
and breeding of microorganisms on the hand piece are significantly impeded by lack of
DT page 27
[27] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
BioHorizons are the exclusive
UK distributors of Mem-Lok.
For more information on
Mem-Lok and the BioHorizons product range and
courses please contact the office on 01344 752560, email: infouk@biohorizons.com
or
visit our website at www.biohorizons.com.
DT page 26
openings and recesses. In
combi-nation with disinfection
that is quick and thorough, use
of the Celalux 2 leads to safe, hygienic protection from contamination for the staff and patients.
Manufacturer: VOCO GmbH,
PO Box 767, 27457 Cuxhaven,
Germany, www.voco.com
cal tools, which distil the new
guidance and break it down into
sections to make compliance
with all aspects of cross infection control, sterilisation and
decontamination manageable.
The kit is provide free to
CODE members and is available to non-members as a
stand-alone product for £150
(incl. VAT). Those who purchase the kit have the opportunity to discover the benefits of
CODE membership at a reduced price by paying a further
£195 to access all the other130
CODE modules without having
to find the usual joining fee.
Sponsored by the Dental Directory, the CODE Infection
Prevention Kit contains a companion catalogue with a useful
range of equipment and products.
You can read more about the
kit and watch videos at
www.CODEuk.com/prevention
Mem-Lok Resorbable
Collagen Membrane:
Patient feedback continues
to be very positive with many
patients commenting on the
unit. The Aquacut had one lady
patient saying: "It's wonderful
not having the dental version of
a road drill in your mouth when
you need a filling!". Another delighted patient stated: "With
this you don't feel much except
a splash of water on your tooth.
It's a pleasure having treatment".
Mark Chapman
Medivance Instruments Ltd
Barretts Green Road
LONDON
NW10 7AP Tel 07734 044877
Infected with
common sense
CODE, the Association for
Dental Practice has just
launched an Infection Prevention Kit to make it as easy as possible for all dentists to comply
with the new decontamination
guidance HTM 01- 05 from the
Department of Health.
The CODE Infection Prevention Kit is a collection of practi-
ing power toothbrush technology and look towards a more
service-oriented
approach.
Consequently, practices will
have to change emphasis to look
to not only at retaining patients
but also recruiting new ones.
Asking questions such as what
can our practice offer that a
neighbouring one does not?
Extra Revenue
Stream
750th Aquacut
Quattro
Installed
Bexleyheath, in Kent, is now
firmly on the map as far as Fluid
Abrasion is concerned! The
750th Velopex Aquacut Quattro
has been installed at Dr H.
Shaffie’s busy practice, in The
Broadway, Bexleyheath. This
light and airy building provides
a superb backdrop for this busy
dental practice - which now offers all patients the availability
of fluid abrasion: Cleaning and
Treating, in a calm soothing environment. Dr Shaffie commented: “I’ve got the Velopex
Colour Laser as well as the
Aquacut Quattro it’s great! It’s
an essential part of modern
technology in a modern practice!”.
Industry News 27
Easy Handling,
Long Lasting
BioHorizons are pleased to
introduce Mem-Lok, a new resorbable collagen membrane,
to the UK Dental market. MemLok is a Type I collagen matrix
that hinders epithelium down
growth and prevents connective tissue cell migration. Derived from bovine achilles tendon, this permeable membrane
offers
high
mechanical
strength. Mem-Lok has an optimized balance of flexibility and
rigidity and a macromolecular
pore size that allows nutrient
transfer into the wound site.
Mem-Lok is easy to use and
adaptable to various deficiencies, and it also demonstrates a
predictable resorption rate of
26-28 weeks*. This illustrates a
market leading resorbable collagen membrane, producing
great results for dentist and patient.
Ever thought how you might
expand the range of services
you offer in the practice? What
about considering facial aesthetics? After all, your knowledge of head and neck anatomy
is second to none and even in
the current economic climate
this market is expect to grow 2030% in 2009. Historically, this
industry is not well regulated
and patients find great comfort
in such treatments being offered by a dentist or doctor.
Getting started is easy. All
you need to do is undertake specialist training by a recognised
provider in order to gain the appropriate insurance. Med-fx
Training is one such supplier
who offers courses in one of five
locations – London, Manchester, Newcastle, Birmingham
and Glasgow. Their courses are
conducted by experienced
trainers all of whom routinely
practice facial aesthetics alongside either dentistry or medicine. All Med-fx Training
courses are certificated, supported and recognised by the
manufacturers of the treatments offered.
If you wish to register for a
course, or to find out more about
the treatments, please visit
www.medfxtraining.co.uk.
Oral-B help
promote the
patient-centred
practice
Oral-B aims to help dental
practices plan ahead as we
move into changing times in
oral care.
Oral-B believes that patients
will increasingly look to dentists to advise on, and provide,
oral health and prevention
rather than treatment and repair. Spending on dentistry is
likely to become more discretionary as a result because it
will be competing with other
health and leisure choices.
The result will be patients
who expect evidence-based
care, such as the proven benefits of Oral-B’s oscillating-rotat-
stable resin colour. With a
choice of over 175 patterns to
choose from, ranging from
probes to excavators to scalers,
there is no choice but Nova
Resin Handle Instruments!
For
further
information
please contact Dentafix on
(0044) 1276 691 821 or visit
nova-instruments.com.
Epicrem:
Breaking down
the barriers to
softer hands
Building on a foundation of
patient loyalty by providing reliable and demonstrable advice
helps to develop good trusting
relationships which are paramount to patients’ oral health.
Committed to finding the evidence-based solutions for both
dental professionals and their
patients, Oral-B will continue to
support the best in dental practice development.
Epicrem is designed specifically to meet the hand care
needs of dentists, hygienists
and nurses in day to day dental
practice. Its non-greasy formulation replenishes moisture lost
from frequent hand washing
and provides a barrier to lock in
moisture;
also
protecting
against the irritation that may
be caused by surgical gloves.
Hypoallergenic
Epicrem
leaves hands feeling soft and
fresh and delicately perfumed.
It can be economically supplied
in a pack of 6 x 100g tubes for
easy distribution into each surgery.
For further information ask
your local Minerva Representative or telephone 029 20
442800.
The Instrument
of Choice for You
Dentafix are proud to announce the addition of a new instrument range to their ever expanding portfolio. The Nova
Resin Handle instruments are
made and finished in the UK by
skilled craftsmen to exceptionally high standards at economical prices.
These instruments are manufactured using a colour stable,
autoclaveable resin material,
available in 7 pastel colours,
which are combined with working ends manufactured from either T303, 440a or 440c grade
stainless steel depending on the
type of instrument. Manufactured from high quality stainless steel these instruments are
incredibly strong and resistant
to wear meaning they will remain sharper for longer saving
you time and money.
This
broad
range
of
coloured handles allows you to
easily identify the instrument
you need. The instruments are
completely scratch resistant
and will look good even after repeated sterilisation due to the
For more information on Epicrem and to order your FREE
SAMPLE
please
contact
Septodont on 0800 435 155 or log
onto www.septodont.co.uk
Friadent puts
fizz into implant
dentistry
Many of Britain’s most successful implant dentists joined
DENTSPLY Friadent and DJ
Frankie for a sparkling climax
to this year’s Congress of the Association of Dental Implantology UK. Delegates were keen to
get involved with the new dentists4implants referral campaign and the acclaimed Dental
Implantology Skills Development Programme. Product innovations which attracted a
great deal of interest included
ANKYLOS C/X, with the unique
indexing option and XiVE 3.0,
one of the world’s narrowest implants.
ANKYLOS® C/X
TissueCare Connection plus the
option of indexing
XiVE®
Extending the boundaries of
implant dentistry
DT page 28
[28] =>
DTUK1509_01_Title
28 Industry News
DT page 27
dentists4implants.com
Implant case referral partners
Dental Implantology Skills
Development Programme
Training for every level of previous experience and the whole
implant team
Many of Britain’s most successful
implant dentists joined DENTSPLY
Friadent for a sparkling celebration
during this year’s ADI Congress
Reader enquiries and further
information:
DENTSPLY Friadent UK &
Ireland,
Case
Referrals:
www.dentists4implants.com
Education Freephone: 0800
077 8650, Email: courses@friadent.net
Orders Freephone: 0800 085
1540, General Enquiries:
01293 867788
Email: info@friadent.net
www.dentsply-friadent.com
Spring Forward
Céad míle fáilte go mBaile
Átha Cliath!
Literally ‘a hundred thousand welcomes to Dublin’ for an
historic event in an historic city.
The British Orthodontic Society’s Spring Meeting was the
first joint meeting between the
BOS and the Orthodontic Society of Ireland. It was a resounding success with over 300 delegates attending the two day
meeting, which was held in the
capital city of Ireland - Dublin.
EAPD Agree
on updated
Fluoride
Guidelines
The European Academy of
Paediatric Dentistry (EAPD)
convened in Athens in November 2008 to agree guidelines on
the use of fluoride in children.
Paediatric experts from 25 European countries attended the
workshop that was generously
sponsored by P&G.
The proposed guidelines
were approved unanimously by
the EAPD Board and Council
during their annual meeting in
Helsinki on May 14-16th, following a 6 months discussion in
order to achieve the highest
level of consensus. The updated
guidelines will appear shortly at
the Academy’s site (eapd.gr)
and will be published in the
Academy’s official journal, European Archives of Paediatric
Dentistry
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
ately rough surface of TiUnite®
enhances the speed at which implants osseointegrate and as a result, the time at risk for implant
failure is dramatically reduced
during the critical first three
months of healing.
At the 2009 Academy of Osseointegration Annual Meeting
in San Diego, Dr. Roland Glauser
presented long-term clinical
data confirming the success of
TiUnite®.
Manufactured from commercially pure (CP) titanium,
TiUnite®. In spite of evidence
that new titanium-zirconium alloys offer greater tensile
strength than other CP4 titanium
implants, Nobel Biocare’s cold
worked products remain the
strongest option and preclude
the need to add potentially toxic
materials
The 24th Annual DDS Annual Tri-Service Golf Match Brüggen took place on April
17th at the West Rhine Golf
Club, Javelin Barracks.
Teams comprising of dentists from the Royal Naval Dental Service (RNDS), the Royal
Army Dental Corps (RADC), the
Royal Air Force Dental Branch
(RAF DB), and Civilian Dental
Practitioners (CDPs) made the
journey from the UK, Germany
and the Netherlands, with the
common intent, to play in and
win the competition.
TiUnite®
Unfortunately, the weather
was not as welcoming as the
people, with grey skies and rain
predominating. However, this
wasn’t enough to dampen the
spirits of the avid golfers who
arrived a day early to play the famous K Club – one of the finest
Championship courses in Europe.
A drinks reception sponsored by the BOS in the Royal
College of Surgeons concluded
the first joint Spring Meeting of
the British Orthodontic Society
and the Orthodontic Society of
Ireland. All agreed that the historic meeting was a resounding
success and hoped that would
be the first of many to come.
If you would like more information about the BOS it is available from www.bos.org.uk.
The market leader for dental
innovations based on clinical research, Nobel Biocare is celebrating the success of TiUnite®,
now in it’s tenth year. The moder-
Ionolux is a light-curing,
glass ionomer restorative that
combines the advantages of
glass ionomer cement and composite. Ionolux is available in
the natural VITA© shades of A1,
A2 and A3. Ionulux is characterised by a long working time,
which can be individually controlled with the use of a polymerisation lamp. Ionulux permits quick application, has excellent modeling properties,
does not stick to the instrument
and allows outstanding adapta-
Golf Match 2009
Proven Long-Term
Clinical Efficacy!
Nobel Biocare’s proprietary
titanium oxide implant surface
TiUnite® is the best-documented
moderately rough implant surface on the market and is supported by long-term clinical data.
Ionolux –
Simply twice
as good
For more information visit
www.nobelbiocare.com
or call: +44 (0) 1895 452 921
DDS Golf
Champs Annual
Brüggen
Tri-Service
The EAPD also advocated the
following recommendations to
prevent the onset of Early Childhood Caries (ECC) as seen at
www.eapd.gr/Guidelines/index.htm. Firstly, an oral health
assessment should take place in
the first year of a child’s life. Secondly, an infant’s teeth should be
brushed daily with a smear of
fluoride toothpaste from the moment they erupt. Thirdly, professional application of fluoride
varnish is recommended on primary dentition for those at high
risk of Early Childhood Caries
(ECC).
The advantages of composite
and glass ionomer in one
product
Whilst effortlessly and naturally maintaining your spine's
ideal shape the Bambach Saddle Seat significantly helps to
reduce the risk of occupational
back pain. In fact, it provides
such a natural seating position
that your spine thinks it's comfortably standing up.
2010 DDS Golf Champs will
be marking a special event as it
will be the 25th competition. The
organizers are already working
on plans to ensure that those
Dental Officers’ who founded
the event make an appearance.
To find out further information including details of Bambach’s 30-day trial, call 0800
581108 or visit www.bambach.co.uk
tion to the cavity walls. Conditioning the tooth substance before placing a filling with
Ionolux is just as little necessary as the use of a varnish. The
polymerisation time of 20 seconds per layer is short and practice-oriented. Ionolux is simple
to finish, biocompatible and it
releases fluo-rides. The combined advantages of GIC and
com-posite are simple to use
with Ionolux: Fill, polymerise,
polish, finished!
Manufacturer: VOCO GmbH,
PO Box 767, 27457 Cuxhaven,
Germany, www.voco.com
Outstanding alternative to
Interdental Products
‘Its quick, easy
and effective to
use’
The vast benefits of using
Waterpik™ Dental Water Jet
have been clinically documented, especially with who
are receiving orthodontic treatment or suffering from Periodontitis.
Hygienist Alison Mackenzie
of Nessbank Dental Surgery, Inverness has seen herself the advantages that come from using
the Waterpik™, ‘’It is quick,
easy and effective to use, it increases patient compliance and
is reasonably priced.’’ Whereas
dental floss can only reach into
2-3mm of the gingival margin,
the Waterpik™ Dental Water Jet
can reach pockets of up to 6mm.
Using the appliance also highlights the importance of cleaning all areas of the mouth, focusing not only on the teeth and
gums but the tongue as well.
Waterpik™ provides unparalleled cleaning with clinical
studies revealing 93% reduc-
tion in plaque in comparison to
flossing alone. Accessible to all
patients, it is easy to use for children and those with dexterity
problems.
For your professional courtesy discount on the Waterpik® Dental Water Jets speak
to your wholesaler or visit
www.waterpik.co.uk.
The
product is also widely available in Boots stores.
The NEW
Answer to
Superior
Sterilisation
Yoyo, the leading provider of
superior infection control
equipment, is proud to launch
the NEW generation of autoclave: SpectruM6.
Designed by experts who
understand what it takes to satisfy the requirements of HTM
01-05, this autoclave is fitted
with a cycle validation system to
ensure reliable and accurate
processes that achieve a consistent standard of performance.
Full reports can be sent directly
to PC with the option of a wireless connection.
Features include:
• Independent cycle validation
• Sensors identify areas requiring user attention
• Automatic resetting over temperature and pressure cut-out
systems
• Reservoir and waste water
level sensors
• Automatic waste tank overflow shut-off and sensor
• Easily removable waste tank
for effective emptying
• Waste water cooling system
for safe handling
• Battery back-up for safe access in event of a power failure
• Innovative chamber-filling
system for economic chamber
filling
• Space saving stackable design
Trusted by dentists to deliver
a superior standard of reliable
technology, Yoyo creates outstanding decontamination areas.
For more information, or for a
FREE compliance survey,
please call Yoyo on 0845 241
5776 or email info@yoyodental.com
www.yoyodental.com
[29] =>
DTUK1509_01_Title
[30] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
30 Events
Climb Mount Kilimanjaro
If you are in need of a challenge, why not attempt
to climb Mount Kilimanjaro? Not only will you be
raising money for Bridge2Aid, it might just change
your life
C
limbing Kilimanjaro is one
of life’s true achievements. Soaring above the
vast plains below, the ‘Roof of
Africa’ rises to a giddy 5,895m
(19,335ft).
The Clearstep System
The climb at altitude, as well
as the lunar landscape and stunning views makes it one of the
mountains every trekker and
mountaineer in the world wants
to conquer.
From August 20 to 30 2009,
Bridge2Aid is running a bespoke
trip for up to 20 intrepid supporters. Half these places have already been filled by individuals
wanting to undertake the challenge of a lifetime. Will you be
joining them, and watching
dawn break over the Rift Valley?
As you conquer Mount Kilimanjaro, the highest mountain
in Africa, you will marvel at the
diverse ecosystem – from cultivated farmlands on the lower levels, through lush rainforest and
alpine meadow to a barren lunar
landscape at the top. Catching
the sunrise from the summit is a
breath-taking moment. Intrepid
individuals only need apply – this
is our most challenging event
and is not for the faint hearted.
The trip comprises
Comprehensive invisible orthodontics made easy
The Clearstep System is a fully comprehensive, invisible
orthodontic system, able to treat patients as young as 7.
Based around 5 key elements. Including expansion,
space closure/creation, alignment, final detailing and
extra treatment options such as function jaw correction.
The Clearstep System is designed to treat any malocclusion
efficiently and invisibly, no matter how severe.
Personal Accreditation
Receive a visit from a Clearstep Account Manager,
providing a personal accreditation in your practice at a
time convenient to you.
Further Courses
Once accredited, further your orthodontic expertise with
our hands on course, where you will learn sectional
GDP friendly, with our specialist orthodontic faculty
providing full diagnostic input and treatment planning,
no orthodontic experience is necessary. As your
complete orthodontic toolbox, Clearstep empowers the
General Practitioner to step into the world of
orthodontics and benefit not only their patients, but
their practice too.
Accreditation Seminar
This accreditation seminar is aimed at General
Practitioners, providing you with all the knowledge and
skills required to begin using The Clearstep System
right away.
Introductory Course dates for 2009
14th July
8th October
London
London
fixed skills and other methods to reduce your costs and
treatment times.
Clearstep Advanced Techniques
Hands On Course dates for 2009
29th June - 1st July
London
1st - 3rd December
London
To find out what Clearstep can do for you
contact us today.
01342 337910
info@clearstep.co.uk
www.clearstep.co.uk
DAY 1: Fly London – Nairobi.
DAY 2: Fly Nairobi – Kilimanjaro.
DAY 3: Start ascent from Marangu Gate to Mandara
Hut. 4.5 hrs
DAY 4: Long trek uphill through
the cloud level to Horombo Hut. 7-8 hrs
DAY 5: Acclimatisation day. Trek
to Mawenzi Pass and
back. 5 hrs
DAY 6: Follow lower route to
Kibo Hut through spectacular flora and fauna.
7-8 hrs
DAY 7: Trek halfway to summit
to acclimatise. 5 hrs
DAY 8: Trek to the summit for
sunrise. Return to Horombo Hut. 15-17 hrs
DAY 9: Descend to Marangu Park
Gate. Celebratory meal.
DAY 10: Fly Kilimanjaro – Nairobi
– London (option to extend trip in Tanzania is
available).
DAY 11: Arrive London…
Why do supporters climb
Mount Kilimanjaro for Bridge2Aid?
• Because we rely on the generosity and commitment of our supporters to carry on our work.
• Because with every step you
take on Kili, the funds you raise
will be changing lives in Tanzania.
• Who knows? Tanzania may
even repay the compliment,
and change your life too...
To be a part of this amazing challenge, you will need to register
and send a deposit for £250. Participants agree to fundraise
£2,950. Please contact kerry@
bridge2aid.org, call her on
07881 912060 or visit our website
www.bridge2aid.org. DT
[31] =>
DTUK1509_01_Title
DENTAL TRIBUNE United Kingdom Edition · June 8–14, 2009
Classified 31
Dental Education Ltd
PRESENTS
Implantology Mini Residency
ESSENTIAL KNOWLEDGE
Dr. Howard Stean
One year Surgical & Restorative Implantology Course
with Dr Mark Hamburger, Specialist Prosthodontist
Clinician, author and tutor
Course in Aesthetic Restorative Dentistry
September 2009– 2010
5 months one Wednesday per month
An implant course to provide you with the necessary knowledge
and skills to start a successful career in implants.
The course is aimed at general dental practitioners looking to
integrate implant dentistry into their patient care.
The course provides:
s Suitable for newly qualified and experienced dentists
s Fully updated syllabus with state of the art illustrations
s Practical exercises and assisted study
The Course venue in Kew, West London is
conveniently located and timed to be accessible
from most parts of the UK
O All necessary education to comply with the GDC guidelines as
setout by the Faculty of General Dental Practitioners, UK and
the Royal Collage of Surgeons, England,
in the document entitled: Training Standards in Implant
Dentistry for GDP’s 2008 (download at GDC.gov.uk)
O Compliant with GDC guidelines for 185 verifiable CPD points.
O Benefit from over 20 years of clinical knowledge & experience.
The course:
The Course is eligible for 30 hours Verifiable CPD
& a Certificate will be issued
Fee of £2250 (plus vat) that includes Course material and buffet
CALL 0208 876 4542 or Email: howardstean@ukteeth.com
103 MORTLAKE ROAD, KEW LONDON TW9 4AA
O 18 full days spread over a 14 month period, located in Harley
Street, London.
O Maximum of eight candidates per course.
O Each candidate will place and restore at least two implant
cases under the direct supervision of Dr Mark Hamburger. In
addition: treatment planning, surgical and restorative
observation of all course patients.
O Guest speakers:
Dr Henri Thuau, Consultant Maxillo Facial & Oral Surgeon
Dr Jo Omar, Medical Emergencies and CPR
O For further information and to request a
brochure/registration form, please contact:
Implant Courses
SPECIALIST DENTAL ACCOUNTANTS
with Dr Mark Hamburger
- Assistance with Buying & Setting Up Practices
- New PDS/GDS Contract Advice
- Tax Saving Advice for Associates and Principals
- National Coverage
- Incorporation Advice
- Particular Help for New Associates
- Help for Dentists from Overseas
- We act for more than 550 Dentists
42 Harley Street
London W1G 9PR
Tel: 020 7631 1488
Fax: 020 7631 1646
Mobile: 07944 970 140
marian-harley@hotmail.co.uk
AYUB
ENDODONTICS
Please contact:
Nick Ledingham BSc, FCA
Tel: 01244 328301
Email: mail@moco.co.uk
Website: www.moco.co.uk/dentists
www.ayub-endo.com
WIMBLEDON
“Beating the Recession
- how to create a successful
& profitable practice”
By Dr. Rahul Doshi & Dr. Ashish B Parrmar
Distinguish yourself
Featured in many cases of “The Extreme Makeover”TV Series
“ Our goal is to create beautiful and healthy smiles. This occurs when there is
excellence in assessment, diagnosis, treatment planning and actually doing the
dentistry. Using the whole range of cosmetic treatment options including
orthodontics, teeth whitening, cosmetic contouring, composites and porcelain
restorations, we can provide the ideal care for our clients. Patients value a clinician
with integrity and skill”
We invite you to an evening course by Dr. Doshi & Dr. Parmar, two of the UK’s best
cosmetic dentists.
.
Topics: 6WHSVWRD6XFFHVVIXO 3URÀWDEOH3UDFWLFH Hot Tips
in Cosmetic Dentistry & Occlusion Practice Development
.
Evening Course
8th July, 2009
£45.00 +VAT
Cedar Court Hotel
off M606, Bradford
18.30 - 22.30
(Food Provided)
4 Day Follow Up
The Ultimate & Comprehensive
Hands-On Course in Smile
Design Dentistry
10/11th September, 2009
8/9th October, 2009
Tel: 01274 881044
DENTAL INSTITUTE Distance Learning
A unique education experience with access to world-leading experts
\hecoekh^ec["eøY[ehfhWYj_Y[$
MClinDent Fixed & Removable Prosthodontics
MSc Advanced General Dental Practice
MSc Aesthetic Dentistry
MSc Dental & Maxillofacial Radiology
MSc Dental Public Health
MSc Maxillofacial Prosthetic Rehabilitation
www.kcl.ac.uk/distancedentistry
[32] =>
DTUK1509_01_Title
Acid Erosion.
A way forward.
Sensodyne Pronamel helps reharden enamel.
/[XV \N ]`RLN J MJb
N_N[b MJb
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-
Dwindling patients access NHS dentistry
01 - 01
view
-
News
02 - 03
view
-
News & Opinions
04 - 06
view
-
GDPUK round-up
08 - 08
view
-
Information on tap
10 - 10
view
-
If recession proofing is that easy…
11 - 12
view
-
Don’t get caught
14 - 14
view
-
Who inherits your estate?
15 - 15
view
-
A stroll through the digital landscape
16 - 18
view
-
Evidence-based caries reversal using ozone
19 - 20
view
-
What makes a successful implant practice?
21 - 21
view
-
Spring forward
22 - 22
view
-
National Dental Nursing Conference 2009
23 - 23
view
-
Time to listen
24 - 25
view
-
Industry News
26 - 28
view
-
Climb Mount Kilimanjaro
30 - 30
view
[toc_titles] => Dwindling patients access NHS dentistry
/ News
/ News & Opinions
/ GDPUK round-up
/ Information on tap
/ If recession proofing is that easy…
/ Don’t get caught
/ Who inherits your estate?
/ A stroll through the digital landscape
/ Evidence-based caries reversal using ozone
/ What makes a successful implant practice?
/ Spring forward
/ National Dental Nursing Conference 2009
/ Time to listen
/ Industry News
/ Climb Mount Kilimanjaro
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