DT UK 1510

Earl Howe takes on role as minister for dentistry / News / News / A busy year ahead / Event focuses on legal issues of new contract (part1) / Tomorrows’ Practice Manager – Dentistry is changing - are you? / Event focuses on legal issues of new contract (part2) / Pulling together to reach your goals / Planning a referral event / Learning to lead / Income Protection – Keeping it specific / Incorporating change / Sedation: management of risk / Practice makes perfect / Image is everything / Piloting through uncertainty / Making a difference / Industry News / Get ‘Up To Date’ with P&G / Classified

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Table of contents

June 7-13, 2010

PUBLISHED IN LONDON
News in Brief
DCP ARF
The General Dental Council
(GDC) is reminding all dental care professionals not to
miss the 31 July deadline to
pay their annual retention fee
(ARF) to remain on the register. All dental care professionals must be registered with the
GDC to work in the UK. The fee
is £96 for dental nurses, dental
technicians, dental therapists,
dental hygienists, clinical dental technicians and orthodontic
therapists. It’s important to remember that if they don’t pay,
they will be putting their registration at risk. The GDC will
not be able to accept any payments received after 31 July.

Military healthcare awards
The Welsh Assembly Government is asking people to nominate individuals or teams
who provide care and support
to service personnel for the
Military and Civilian Health
Partnership Awards (MCHPA). The UK-wide awards
celebrate the partnership between Britain’s military and
heath care workers, and are
open to civilian health staff
and military medics working
within the Defence Medical
Services, the NHS, and private
or voluntary sectors. They
honour the people, projects
and initiatives that provide
serving military personnel
(including Reserves), their
families and Service veterans
with the very best in healthcare and social care. Welsh
Health Minister Edwina Hart
said: “I am pleased that in the
third year of these awards we
have the opportunity again
to celebrate the hard work,
commitment and dedication
shown by health professionals
from across the public, private
and voluntary sector in caring for the men and women
of the Armed Forces. I would
encourage people to consider
nominating either themselves
or others for these awards, as
it is important that we recognise their contribution to improving the lives of service
personnel and veterans.” Details on the awards, including
how to apply or nominate, are
available at: www.militarycivilianhealthawards.org. The
closing date for nominations
is 9 July 2010.
A fairy good movie
Denplan, the payment plan
provider, will be helping to
promote the new children’s
blockbuster Tooth Fairy. It has
signed a deal with Twentieth
Century Fox and will be highlighting the benefits of good
oral health for children and
publicising the Denplan brand
and the film through the advertising campaign. See page
four for more details.
www.dental-tribune.co.uk

News

Course Review

Rock hard tooth

Payment plan provider teams up
with Hollywood family film to
promote oral health

page 4

Legal event

Chris Baker looks back on Manchester event focusing on legal
issue in dentistry

pages 8&10

VOL. 4 NO. 15
Practice Management

Education

Sedation stories

Referrals

Organise a referral evening at
your practice and highlight your
services, says Dr Dattani

Dental Protection discusses various ways to minimise risk when
using sedation on patients

page 14

pages 18-21

Earl Howe takes on role as
minister for dentistry
Minsterial portfolios finalised; Earl Howe takes on dentistry with
exception of fluoridation; new government releases coalition plans

rederick Howe has been
appointed as the new dentistry minster by the coalition government.
As the new Parliamentary
Under Secretary of State for
Quality, he will also be responsible for NHS Constitution, NHS
Commissioning Reform, Primary Care, Medicines, Pharmacy
& Industry, NICE, Research and
Development, Innovation and
Finance and Review of Arm’s
Length Bodies.
Earl Howe has been opposition spokesman for Health and
Social Services in the House
of Lords since 1997. In 1995,
he was appointed Parliamentary Under-Secretary of State
at the Ministry of Defence, a post
he relinquished at the 1997 General Election.
Following the General Election of 1992, he was Parliamentary Secretary (Lords) at the
Ministry of Agriculture, Fisheries
and Food.
The other members of the
new ministerial health team are
Simon Burns, Paul Burstow and
Anne Milton. Ms Milton will
have the responsibility for issues
regarding fluoridation.
Health Secretary, Andrew
Lansley said: “We have a very
strong ministerial team with a
wealth of experience in the field
of health. Simon Burns previously served as a Health Minister as well as, more recently,
working on the shadow health
team. Since 1999, Paul Burstow

has worked on the older people’s
brief and has a special interest in
social care and disability issues.
“Anne Milton, who worked
for the NHS for 25 years, has a
wide range of hands-on experience, including nursing in hospitals, as a district nurse, and supporting GPs and nurses working
in palliative care. And Earl Howe
was opposition spokesman for
Health and Social Services in
the House of Lords from 1997.”
He added: “Together,
we will build an NHS in
which the patient shares
in
making
decisions;
where quality standards
are evidence-based and
form the basis of the design of services and their
management; and where
the objective is consistent improvement in the
outcomes we achieve, so
that they are amongst the
best in the world. We will
create a more integrated
public health service at the
heart of healthcare policy
and we will offer support,
security and services to
those in need of personal
and social care.”
The Conservative and
Liberal Democrat coalition government have revealed their full agreement
in a document entitled The
Coalition: Our Programme
for Government. The 30page document summarises government policy aims
across all departments, including the NHS:

It says The government believes that the NHS is an important expression of our national
values. We are committed to an
NHS that is free at the point
of use and available to everyone based on need, not the ability
to pay.
We want to free NHS staff
from political micromanagement, increase democratic participation in the NHS and make
the NHS more accountable to the

patients that it serves. That way
we will drive up standards, support professional responsibility,
deliver better value for money
and create a healthier nation.
In terms of dentistry it
states that: We will introduce a
new dentistry contract that will
focus on achieving good dental
health and increasing access to
NHS dentistry, with additional focus on the oral health of
schoolchildren. DT

[2] =>

2 News

United Kingdom Edition

Dentist wins fight for PCT payment

Merseyside dentist is
to receive more than
£500,000 following his
victory in court against his PCT.
David Tomkins, a dental
practitioner from Prescot House
Dental Practice in Prescot, Merseyside, took Knowsley Primary
Care Trust to the High Court for
non-payment of money earned
under his NHS contract since
April 2006.
In the third such case to be
taken to the High Court, the claim
centred on two aspects; one was
over the earnings value of a new
associate who started in the baseline period for the new contract in
2005, the other was over an additional contract given to the practice following closure of a nearby
practice with a NHS contract.
In his Judgement, Mr Justice
Hickinbottom, who presided over
the case, stated: “On the evidence
- which, in substance, was uncontentious - on 28 March 2006, the
Trust and Mr Tomkins came to a

legally binding and effective
agreement, agreeing all terms
except those that were dependent
upon the issue of Mr Zein’s atypical
earnings for the baseline period
used in the calculation of the annual contract value under the
transitional provisions I have described. They agreed a mechanism for determining that issue,
ultimately by reference to the
Appeal Unit. That reference was
duly made, and the issue determined. That determination was
binding upon the Trust. Of course, one has sympathy with a public body such as the Trust, who
are required to work within tight
financial constraints. However,
despite the best efforts of their
legal team, the Trust has been
unable to persuade me that it has
any ground for failing to comply
with its contractual obligations
to Mr Tomkins. It agreed to pay
him £100,000 additional contract value in respect of the Cross
Lane Practice work. That was a
contractual term agreed between
them. In failing to pay him, the
Trust is in breach of contract.”

Commenting on the result,
David said: “First may I say I am
very pleased with the verdict.
It is what was expected since
the trial ended. The campaign
for justice has followed a long
and sometimes tortuous path
with many stops along the way.
It has had a negative effect on
my health and there have been
several dark moments but my
resolve was never diminished.
I never doubted that I would
eventually prevail. I am not triumphant in my victory as the
damages are only the fees that
should have been paid under the
terms of the NHS contract.
“It is also a victory for common sense and justice. The way
that the PCT abused its executive
power has been patently exposed
for all to see. They refused all requests to make good the contract
and the decision makers refused
to see me in person. Due to their
intransigent attitude the dispute
inevitably drifted to court. Their
interpretation of the NHS litigation authority’s decision was as

ludicrous as it was indefensible.
They should hang their heads
in shame at this unprofessional
and disgraceful behaviour.
“I should mention at this point
all the support I have had from
friends, local dentists and those
further afield whose words of
encouragement have been a comfort to me. I would like to thank all
my hard working and dedicated
surgery staff that made it possible
to achieve all targets while being a dentist short. They never
lost faith in the NHS providing good quality care for all our
patients. Their support was invaluable at critical times. My
partner Uszama Zein through
his extra late nights and weekend surgeries without certain
knowledge of reward was crucial to all the patients receiving
their treatment.
He added: “Finally to my wife
Gillian whose implacable support throughout the campaign
was crucial both financially and
emotionally. It was her moral

June 7-13, 2010

compass that guided me during times of doubt and crisis
through to eventual justice and
the landmark victory.
“I hope that other dentists
who have had arbitrally unfair
treatment under the 2006 contract will be empowered by this
verdict to seek legal advice and
receive the justice they deserve.”
A spokesperson for the PCT
commented: “NHS Knowsley
followed the regulations and
guidance during the negotiation
of the new General Dental Services Contracts and felt this had
been performed in an appropriate manner. Having discussed
this with Mr Tomkins the Trust
tried via mediation to negotiate a settlement. Unfortunately
this case, after much delay, had
to be determined by a judge in
the High Court. NHS Knowsley
is satisfied it acted in good faith
and will abide by the judgment
of the Court.”
The full judgement of the
case can be read at http://www.
b a i l i i . o r g / ew / c a s e s / EW H C /
QB/2010/1194.html. DT

Rise in number of clinical academics in dental schools

here has been a rise
in the number of clinical academics in British
dental schools, according to the
Dental Schools Council.
The data published by the
Council revealed a two per cent
increase during the 2008-09 academic year.

turers between 2008 and 2009,
and the evidence that younger
clinical academics are being
drawn from a more diverse population in terms of gender, age
and ethnicity.

This takes the total to 478
Full Time Equivalents (FTE),
the highest number since 2000.

On the downside, there
has been a 21 per cent decline
(101 FTE) in the number of
research-active clinical academics - professors, senior lecturers and lecturers - in the
same time period.

The Council especially welcomed the 12 per cent (15 FTE)
increase in the number of lec-

Women continue to be under
represented at senior clinical
academic grades, with just 10 of

the 17 dental schools employing
a female professor.

specialties renders them especially vulnerable to change.

Fifty-five per cent of clinical academics are aged over
46, compared with 51 per cent
in 2004.

Prof William P Saunders, chair
of the Dental Schools Council,
said: “Dentistry is unique amongst
the health professions, with funding from both Higher Education
Funding Councils and the NHS,
and teaching of dental students as
a primary role of Higher Education Institutions.

The Dental Schools Council is concerned that the recent
increase in lecturers alone may
be insufficient to replace the
expertise and leadership in
clinical academia lost through retirement.
It also claims that the small
staffing levels in many dental

“Clinical academic dentistry
is one of the most stimulating and
rewarding careers involving patient care, education and innovative research.”

He added: “We are delighted
by the recent increase in staffing
levels in UK dental schools.
“However, we do anticipate
the added pressures to the public purse over the coming years,
and, as a community of dental
schools, we look to work closely
to protect and support the quality of teaching and research, as
well as the contributions of clinical academics to the NHS and of
clinicians to academia.”
This is the eighth data update
to be published by the Dental
Schools Council since 2000. DT

Smile-on celebrates its 10th anniversary

mile-on treated dental professionals attending this
year’s British Dental Association Conference to a
drinks reception to celebrate its 10th anniversary.

For the last ten years, the dental training and
resources provider has continued to help dental professionals meet their CPD obligations,
providing courses that are flexible, involving
and inspirational.
At the event, Smile-on representatives talked
to delegates interested in the MSc in Restorative and Aesthetic Dentistry, run in conjunction
with the University of Manchester, CORE CPD
- the latest learning platform that looks after all
your core subject needs and DNNET II, which
is designed to help dental nurses studying
for the National Certificate or the NVQ level 3
in Oral Health Care Dental Nursing, but also
serves as a great refresher course for more experienced nurses.
A spokeswoman said: “The company’s key
values of partnership, imagination, innovation, creativity and potential have helped evolve

the products from simple training courses into the
multi-media learning platforms of today and helped
Smile-on become the source for cutting edge software and
training resources.” DT

Published by Dental Tribune UK Ltd

Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Managing Director
Mash Seriki
Mash@dentaltribuneuk.com
Director
Noam Tamir
Noam@dentaltribuneuk.com
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com

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.

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Ellie.pratt@
dentaltribuneuk.com
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Dental Tribune UK Ltd
4th Floor, Treasure House, 19–21 Hatton Garden, London, EC1N 8BA

[3] =>

News 3

United Kingdom Edition June 7-13, 2010

‘

Something to smile about?
Well, anyone who
reads my missives
at all will know how
rubbish I am at predicting things! Last
time I confidently
predicted that Paul
Burstow would be
the minister responsible for
dentistry, and no sooner had
the ink dried on the pages, then
Earl Howe was named minister!
Of course, there had had to be
a modification to this responsibility, with Ann Milton being
tasked with fluoridation issues.
DT hopes to speak to Earl Howe
soon and find out his views on
the issues facing dentistry, so
watch this space.

As I write this, dentists up
and down the country will be digesting the article in this morning’s Times, claiming that a rising number of dentists in the UK

Business
benefits

T

housands of dental businesses could benefit from
many of the measures in
the coalition agreement between
the Conservative and Liberal
Democrat parties, according to
the Forum of Private Business.
The Forum believes moves
to cut red tape, impose ‘sunset
clauses’ on regulations and review employment law will all be
welcomed by small to mediumsized dental enterprises (SMEs).
Forum head of policy, Matthew Goodman said: “I’m sure
this document will come as a
breath of fresh air to many small
business owners. In many ways,
it reads like a ‘wish list’ of things
the Forum has been demanding
for several years.
We’re also encouraged by the
coalition’s pledge to evaluate the
fairness of employment legislation, and its impact on Britain’s
competitiveness. Many small
business owners believe employment law is grossly skewed in favour of the employee – the need
for a more fair and balanced approach is something the Forum
has repeatedly highlighted.’
However, he added, “The
challenge now is for the Government to translate these intentions into real, practical changes
to the business environment,
without simply creating more
state bureaucracy and unnecessary compliance costs at a time
when many small businesses are
still struggling.” DT

endodontist Dr Julian Webber. According to the article,
Dr Webber states that “Good
old-fashioned dentistry standards seem to be disappearing,
with some dentists removing
Shame on that reporter, I hear
teeth that could be root treated
you cry, but the claims are bemsc_ad_source_uk.pdf
1
03/08/2009
15:21:59
and rebuilt. Preserving a tooth
ing made by fellow clinician and
are more interested in extraction
and artificial restoration than
using techniques such as endodontics to save natural dentition.

‘

Editorial comment

is technical and demanding.
The alternatives, such as putting in an implant, can also
be tricky, but some dentists
prefer them because they are
more lucrative.”
If you get the chance, read the
article (http://www.
timesonline.co.uk/tol/
life_and_style/health/
article714 12 27.ece)
and let me know your
thoughts on it. DT

Do you have an opinion or something to say on any Dental Tribune
UK article? Or would you like to
write your own opinion for our
guest comment page?
If so don’t hesitate to write to:
The Editor,
Dental Tribune UK Ltd,
4th Floor, Treasure House,
19-21 Hatton Garden,
London, EC1 8BA
Or email:
lisa@dentaltribuneuk.com

[4] =>

4 News

United Kingdom Edition

June 7-13, 2010

New strategy is required for dental research

research summit for oral
and dental researchers
has called for changes in
the way dental research is carried out.
Delegates from institutions
across the United Kingdom
highlighted a number of steps
that must be taken to build on
current successes, including

closer collaboration with other
researchers such as chemists
and materials scientists, better
engagement with funding bodies and the public, and refocusing research activity on quality
rather than quantity.
The research summit, which
was organised by Prof Paul
Speight, president of the British

Society for Oral and Dental Research (BSODR), was held at
Sheffield University.
It attracted 60 leading figures from dental research
across the United Kingdom including representatives of every
United Kingdom dental school,
the Faculty of General Dental Practice, the Cochrane Oral

GDC seeking Fitness to
Practise panel members

The GDC is hoping to
attract applications from dentists, dental care professionals
and lay people.

consider cases where a registrant’s fitness to practise
may be impaired due to their
health, conduct or performance,
as well as applications for restoration to the registers and appeals against registration decisions. Most hearings take place
in London.

Fitness to Practise panel
members play a vital role in the
GDC’s work to protect patients.

The recruitment process is
being led by the GDC’s Appointments Committee.

The GDC has the power to
take action by either removing or
restricting a dental professional’s
registration if they fall short of
the high standards expected.

Chair Bronwen Curtis called
it an ‘exciting opportunity’ and
said: “We want to give people as
much time as possible to think
about whether this is the right
role for them. All applicants
will be considered on their individual skills and experience.

he General Dental Council
(GDC) is looking for fifty
new Fitness to Practise
panel members.

The panel members will
sit in public hearings and can

We especially hope to hear from
dental care professionals who
traditionally have been less likely to apply for this kind of role
with the GDC.”
The Fitness to Practise Committee is currently made up of
75 panel members: 38 dentists,
22 lay people and 15 Dental
Care Professionals (DCPs). It is
a part-time role, with members
sitting for around 20 days a year.
They are paid £353 a day and
are reimbursed their expenses.

Prof Jimmy Steele from Newcastle University.

The speakers were Prof
Stephen Holgate from the
Medical
Research
Council,
Prof David Williams, president of the International Associa-tion of Dental Research,
Prof Mike Curtis, immediate
past president of BSODR, and

The event was sponsored by
the British Dental Association
(BDA), BSDOR and the National
Institute for Health Research.

V presenter Kelly Osbourne has revealed her
dental phobia on her Twitter page.

The daughter of Ozzy and Sharon Osbourne tweeted: ‘I have to go get my filling today and the fear is really really kicking in. I need to get over this fear of the
dentist but I can’t!’
Kelly is not alone in her phobia, as other celebrities
such as Robert De Niro are known to be frightened of
the dentist chair.
A recent survey conducted by the British Dental
Health Foundation discovered that one in four people
do not visit a dentist due to dental phobia.
Chief Executive of the Foundation, Dr Nigel Carter, said: “Dentists recognise that many patients have
this phobia, and therefore try to cater to that person’s
needs. Our aim is to make regular dental check-ups
an acceptable part of everyday life for everyone.” DT

A full strategy with detailed
proposals for next steps will now
be developed by the BSDOR. DT

Tooth Fairy boosts
oral health message

n case you haven’t heard, the
Tooth Fairy has had a Hollywood makeover! Denplan
is delighted to be a promotional
partner of the latest children’s
blockbuster starring Dwayne
Johnson (formerly known as The
Rock) and Julie Andrews. The
movie launched in cinemas on 28
May and you can see a preview at
www.toothfairymovie.co.uk

Interest can be registered by
emailing
csecretary@gdc-uk.
org. Information will also be
published on www.gdc-uk.org
once the recruitment period officially opens in June. DT

Celebrities with
dental phobia

Kelly Osbourne: “Fear is really kicking in”

Health Group and the Department of Health.

Poster advertising the new film

“As a national consumer facing brand with a network of
around 6,500 member dentists
treating approximately 1.8 million
patients, Twentieth Century Fox
recognised the benefit of Denplan
being a promotional partner to
the movie,” said Sarah Bradbury,
Denplan’s Marketing Communications and Brand Manager.
“Our nationwide campaign
has been designed to support the
launch of the movie and to highlight the benefits of good oral
health for children in a fun and
engaging way, as well as supporting dentists and private dentistry and the Denplan brand.”
Family competitions in association with Twentieth Cen-

tury Fox are currently featuring
across key regional press. Prizes
include a weekend break for four
with tickets to see an Elite Ice
Hockey League game plus family movie tickets, private movie
screenings and movie-themed
goodie bags.
“We’ve also teamed up with
Philips and Colgate to create
free and valuable dental kits as
reader offers that will appear in
selected regional press nationwide. The aim is to raise awareness of good oral healthcare, as
well as creating opportunities for
practice teams to promote their
products and services by driving
patients directly into their practices,” added Sarah.
At a regional level, this consumer campaign also provides
Denplan members with an exclusive opportunity to promote
their practices and their Tooth
Fairy events in the local press.
The media love an excuse to
feature Hollywood news and
celebrity imagery, making any
release relating to the movie extremely appealing.
“To ensure our member dentists and their teams get the most
from this campaign, we’ve prepared a host of themed materials
exclusively for Denplan members. These include our Tooth
Fairy Movie PR Toolkit, complete with dual branded posters,
stickers and activity sheets plus
sample press releases. By participating, our members can
highlight to patients the added
value of being associated with
their practice as well as educating younger patients and their
parents on the benefits of looking
after their teeth.” DT

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30th July 2010, is subject to availability and may not be used in conjunction with any
other offers or promotional prices. Offers must be mentioned at the time of ordering. ©
2010 B.A. International, Unit 9, Kingsthorpe Business Centre, Studland Road, Kingsthorpe,
Northampton NN2 6NE, England. E & O E.

[6] =>

6 News

United Kingdom Edition June 7-13, 2010

Learn about the biomimetic approach

r Pascal Magne will be
making his only appearance in the UK in June
and will be discussing biomimetic restorations in the posterior dentition.

©Nobel Biocare Services AG, 2010. All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare.

He will be lecturing at the
Great Hall, BMA House in Tavistock Square, London on 10 June
and will be defining the biomi-

metic principle in restorative
dentistry, discussing direct composite resin restorations - myths
and facts, semi-direct and CAD/
CAM techniques - immediate
dentin sealing and step by step
adhesive delivery procedures.
Apart from their cosmetic
advantage, the new posterior ‘tooth-coloured’ adhesive

restorative techniques offer
many other benefits such as
tissue conservation and natural strengthening of remaining
tooth substance.
These emerging concepts,
which are following the socalled ‘biomimetic approach’,
provide the ability to restore not
only the aesthetic but also the

biomechanical and structural
integrity of teeth.
Dr Magne’s presentation will
show that dental composites
and ceramics constitute striking elements of this nascent approach to tooth restoration.
Indications for bonded restorations in the posterior dentition

The event costs £395 and this
includes attendance at selected
or all lectures and demonstrations, conference documents,
refreshments and lunch.
For more details or to book
your place, email Catherine
domanski@positivecomm.com. DT

Report on
dentofacial
appearance
wins Schottlander prize

All-on-4™

arshani Anandanesan, a
dentist from London, is
the winner of this year’s
Bristol University Open Learning for Dentists (BUOLD) Schottlander prize. The prize is awarded to the student completing
the BUOLD Prosthetic Course,
whose case study has been given
the highest mark by tutors.

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will be presented, including the
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Ms Anandanesan’s winning
case study concerned a 34-year
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teeth extracted, and who was
then unhappy with the complete
dentures provided for her in
the Philippines.

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NB All-on-four A4 UK.indd 1

10-05-05 15.25.54

Miss Darshani Anandanesan receiving the
Schottlander prize from Dr Robin Wilding

In constructing new dentures for the patient, Miss Anandanesan took account of both
the patient’s dentofacial appearance and the functional design
of the denture. In this way she
produced a set of dentures with
which the patient was extremely happy. An examination
was also made by Ms Anandesan of the body of literature on
dentofacial appearance and its
effect on self-image and emotional wellbeing. DT

[7] =>

Tribune_apr10:Precision

16/4/10

15:12

Page 1

United Kingdom Edition June 7-13, 2010

A busy year ahead

Excellent Quality
Excellent Value

124th BDA President Amarjit Gill speaks to Dental
Tribune about his role and the coming 12 months

he
BDA
Conference
and Exhibition saw the
handover of the BDA
Presidency from John Drummond to Amarjit Gill.
Amarjit qualified in 1981
from the Royal Dental Hospital,
London. After working as an associate in eight different practices, he became a principal in
1985, designing and building his
own practice as part of a medical centre. In 1992 he became
a Partner, relocating to a newly
designed practice in the Wollaton area of Nottingham where
he practises today.
Amarjit has significant experience of representing the
dental profession. Locally, he
has served as Chair of the BDA’s
East Midlands Branch and the
Nottingham Independent Practitioner Group, and as the development team leader of his
Local Dental Committee. On
the national stage he has chaired the BDA’s Private Practice and Equality and Diversity
committees and served as Deputy Chair of the organisation’s
Executive Board. He is also
an invited member of the International Academy for Dental
Facial Aesthetics.
‘Absolutely fantastic’
Speaking to Dental Tribune about
the Conference and the year
ahead, Amarjit’s enthusiasm for
promoting the best in dentistry
shines through: “Taking over as
BDA President at the Conference
in Liverpool has been absolutely
fantastic. I’ve really enjoyed the
conference for me it has had
everything but time for me to attend all of the lectures and presentations I would have liked to!
Of course with having become
President at the event I have had
a lot of meeting and greeting
to do, thank yous to make and
loads of presentations to attend.
For me this has all been great
and I’ve had a fabulous time at
the conference, but the reasons I
love this event is the various post
graduate lectures and this year
I’ve missed out.
“A big part of the role of being BDA President is ambassadorial – I’m going to be extremely busy going places at
home and abroad representing
the BDA and UK dentists. Let me
give you an example: I’m shortly
off to Las Vegas for a conference,
then I have a meeting in Sydney
Australia with the Australian
Dental Association, following
that I am lecturing in Beijing. As
you can see I’m not going to be
around much!”

... Why compromise

‘Being involved in an association such as
the BDA lets you develop parts of yourself
that you just can’t working as a general
dental practitioner. It allows you to get out
of your comfort zone’
Impact on oral health
As well as being involved with the
BDA and practising in Nottingham, Amarjit is involved in other
entrepreneurial activities, including acting as the spokesman for
Dental Xpress (the mobile dental unit currently deployed in the
Leicestershire area) and more
recently as Clinical Dental Director for Philips Oral Healthcare.
“What really impressed me was
that Philips want to make an impact on the nation’s oral health
and as our knowledge about the
links between oral and systemic
health grow, so the company has
the potential to impact on the nation’s overall health too.”
Amarjit clearly relishes the
wider challenges that participating in more than just life in the

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from colleagues in Nottinghamshire and across the profession.
If I had to a single out any one
local colleague it’d be Dr Ralph
Davies. He pushed me into local
BDA involvement and even collected me from home, to ensure
my attendance. Today that seems
a world away from this position
of honour as BDA President.
I believe that change will be a
constant during the next decade.
Harold Wilson said, “He who rejects change is the architect of decay. The only human institution
which rejects progress is the cemetery”. The challenge for the Association and the profession for
the next ten years is to respond
effectively to these changes. The
next 10 years, however, do offer
a real opportunity to shape the

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‘He who rejects change is the architect of
decay. The only human institution which
rejects progress is the cemetery’
practice brings. “Being involved
in an association such as the BDA
lets you develop parts of yourself
that you just can’t working as a
general dental practitioner. It allows you to get out of your comfort zone.
“I am a firm believer in the
team approach. I have always
found that we are able to do
things better together for the good
of both patients and the practice.
Teamworking is one of the ideals
I will be pushing very hard in my
role as President this year.”
He added: “Huge thanks to
my family and my practice team
as without their support and
understanding I would not
have been able to take on this
massive task!”
Excerpts from Amarjit’s inaugural Presidential speech
at the 2010 BDA Conference,
Liverpool Arena:
The Presidency is the highest
honour the Association can bestow and I am honoured to have
been chosen to take on this role.
I want to thank the East Midlands Branch for nominating me
and for the support I have had

delivery of dentistry in the UK
if and only if we positively embrace change and stop creating
up reasons why there is no need
to do so.
We are training more dentists than ever before, but we will
need to look at opportunities for
career advancement and Continuing Professional Development.
Now that Dental Care Professionals are registered, how do they
fit into the delivery of care by
the whole dental team? A recent
BDJ article found that patients
attending a dental therapist
had significantly higher levels of
satisfaction compared to those
who attended a dentist. The
authors were from the Dental
School in this very city. We in the
UK have been the trailblazers of
this change and where we have
gone the rest of the world will
surely follow.
Let me say that whilst we
have a right to expect the BDA
to help change things for the better for us, it does not absolve us
of our responsibilities. The world
famous Indian sage, Mahatma
Gandhi, encapsulated this with
“Be the change you want to see
in the world.” DT

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[8] =>

United Kingdom Edition

June 7-13, 2010

Event focuses on legal
issues of new contract
Chris Baker of Corona Design & Communication
reports on a very informative day at the Lowry
Hotel in Manchester…

Delegates took the chance to network at the event

ime was when most dentists would only require
the services of a solicitor
when they either bought or sold
a practice. Times they are achanging! The law firm Pannone
recently organised an excellent
conference which discussed the
way that the new dental contracts
have had a significant impact on
practitioners and the legal issues
that can arise.
Dr Colin Hancock, Chairman
of Denticare – kicked the day off
with a discussion on 2 really big
issues, Clawback and Goodwill.
He began with a Samuel Goldwyn quote, “A verbal contract
is not worth the paper it is written on”. This was to be a theme
of the whole day – if you don’t
record it, it didn’t happen. On
the issue of clawback his message was clear: challenge the
underperformance demand and
detail the issues that were out
of your (the practitioner) control and launch a counterclaim.
Items such as FTAs and failure
to recruit can be considered to
be beyond your control and not
part of ‘reasonable underperformance’. Also, ongoing costs
such as heat, light etc. will be
incurred anyway and should
be offset against the demand. A
member of the audience questioned Colin on the amount of
clawback paid by his organisation in the last four years and the
answer was simple; “none”. Colin also spoke on the subject of
goodwill and stated that it is neither reasonable for a healthcare
authority to ‘pirate’ a Provider’s
goodwill. Goodwill is in effect a
relationship between two parties
NOT three!

Former BDA Chairman, John
Renshaw then took us through
the process (and hoops?) that
need to be negotiated to gain a
new NHS contract. He said to
delegates who are considering
applying to tender, there can be a
large resentment in the NHS towards the private dentist and this
shouldn’t be underestimated. He
pointed out that the new PDS+
contracts need to be viewed with
caution as many can involve huge
commitments including 8am to
8pm service, 357 days a year!
After coffee and refreshments, James Lister a partner at
Pannone LLP, discussed employment issues and in particular redundancy and flexible working.
He began by dispelling the myth
that redundancy only comes into
play in ‘bad times’ and when
there is a shortage of work. In
reality, redundancy is related to
you, as a business owner, having the right mix of skills and
costs to make a profit ie. right
people, right job at the right cost.
Redundancy is overwhelmingly
in favour of the employer and
he illustrated this with examples that showed even an inept
redundancy program will save
money. There is however, a right
and proper way of doing things
and he took us through selection
criteria for redundancy.
Flexible working will become
a greater part of all our lives and
all full-time employees who have
the responsibility of care of a
child up to the age 18 or care of
an adult spouse, cohabitee or relative, have a right to request flexible hours. This request should
be made in writing but informal
requests should not be ignored.

Again, a paper trail and correct
procedure are vital. He concluded by notifying the audience that
most employment tribunals’ default position is that employers
can offer flexible working in the
majority of cases.
The afternoon session got
going with Simon Butler of
Ely Place Chambers talking us
through dental agreements between PCTs and practitioners
and the ‘fair and sensible’ test.
Simon was the barrister who
represented Eddie Crouch in his
case against South Birmingham
PCT and the clause in the NHS
Dental Contract that allowed
bosses to terminate dental contracts without cause or notice.
The principle of Promissory
estoppel means that when two
people enter into a contract, if one
leads the other to believe that a
certain state of affairs exists, they
cannot go back on it when it is
unjust or inequitable to do so. For
instance, if a PCT should have
clawed back funds in Year 1 or 2,
don’t, and then try and do so in
Year 4, this could be considered inequitable. As you would expect, Simon also spoke about the process
of termination and used the case of
Dr Crouch vs South Birmingham
Primary Care Trust to illustrate
that is unfair for a retrospective
clause to be enforced. It is retrospective because as a practitioner,
you will have made decisions eg
investment, premises, staffing etc.,
upon the initial agreement. He told
us that it is “a fundamental rule of
English law that no statute shall be
construed to have a retrospective
à DT page 10

[9] =>

United Kingdom Edition June 7-13, 2010

Tomorrows’ Practice
Manager – Dentistry is
changing, are you?
Asks Seema Sharma
what will happen in
the NHS. Your ultimate
task is to ensure the
practice is profitable,
runs smoothly and
grows or stays steady
at a size that the boss is
happy with...but each
new challenge seems
to drop revenue or add
cost these days. Just
look at the new infection control guidance
and the time that washer disinfector takes!
Develop yourself
Every hour of your
working day is taken.
Connecting all aspects of running the practice takes time
You can’t work any
harder, but you can
‘No two days are the same, but a little less fire fighting certainly work smartand a little more time to plan would be a godsend... a er. You understand
dentistry, you’ve risen
little more money would not go amiss either!’
through the ranks in
the practice and you
have learnt on the job
pliant? After all we did buy a disc
his is the first in a series
– that makes you an “industry
when I went on that course a few
of articles on dental pracexpert”. However, unless you’ve
weeks ago...”
tice management in the
had formal management trainchanging clinical and commering, experience is a good tutor
Should you
cial environment dentistry operbut it can be hit and miss and
1. Pull your hair out?
ates in today.
therefore expensive in terms of
2. Smile sweetly and say “no
the mistakes that can be made.
problem” for the next hour?
So you’ve done the rotas,
3. Put your headphones on and
checked the lab work is in,
“Core CPD” may be good
escape for a coffee?
booked a temp because the nurse
enough for nurses, but a prac4. Decide that something’s got
in Room 1 called in sick again
tice manager (a practice owner
to change?
(third time this month? Roll on
for that matter) needs more of
her next appraisal!). The dentist
the right training to keep pace
Action Plan
in Room 2 is stressing because
with the changing world of
Changing the boss is not an ophis 9am patient is in the chair
dentistry. Email the author at
tion. All bosses go on courses and
and he has no idea how to switch
seema.sharma@dentabyte.co.uk
come back with millions of idethe PC on let alone find the BPE
for a job description for the
as, then hope their practice manprobe – that’s because the hygipractice manager of the future,
agers can wave a wand to make
enist was in yesterday and they
then set about developing your
them happen. Changing your
all seem to end up in her room...,
skill set so that you are tommorjob is not an option. You actually
you had to send his nurse down
rows’ practice manager. There
love your job and thrive on the
to sort out the stock that has just
is plenty of time and as your
day to day twisting and turning
arrived, otherwise she would
knowledge will translate into
that goes on in practice managehave found them by now.
an increased bottom line and a
ment. No two days are the same,
stress-free practice, your boss
but a little less fire fighting and a
The phones are ringing off the
will be happy! DT
little more time to plan would be
hook – that’s good, phones bring
a godsend... a little more money
in revenue you think fleetingly,
would not go amiss either! You
and you’ve got two big treatment
About the author
know you would make it back for
plans that you are hoping will go
the practice.
ahead soon, thanks to the fanSeema Sharma qualified as a dentist but
tastic presentations you made to
gave up clinical work
Alarmingly, your job descripthe patients last week. You make
after 10 years in praction will grow next year with
a mental note to call them today
tice to go into full time
practice management.
Care Quality Commission regisand just as you settle down to
Today she runs three
tration. It’s all very well that boss
open all the mail, the boss comes
practices, including one
which is one of 30 nabought a disc, but wouldn’t it be
in bright as a pin with yet anothtional Steele Pilots. Seema established
great if someone could help you
er new light bulb idea.
Dentabyte Ltd to provide affordable
“real-world” practice management
go through it?
programmes to help practice manag“Could you research websites
ers and practice owners keep pace with
Revenue generation will also
today, because everyone says
the changing clinical and commercial
environment facing them today.
get harder with the economic sitwe ought to have one... and by
uation. Less people seemed to be
the way did you look at that
Visit www.Dentabyte.co.uk to register
for updates on practice management or
buying expensive plans recentCQC article, and have you sortemail Seema at seema.sharma@dentaly... now with the announced cuts
ed out our clinical governance
byte.co.uk to find out more.
in public spending who knows
stuff to check if we will be com-

[10] =>

10 Feature

United Kingdom Edition

operation unless such a construction appears very clearly in the
terms of the Act, or arises by necessary and distinct implication.”¹

themselves bound by the 1890
Partnership Act which is very
rigid in its guidelines. She then
went on to look at what needs
to be considered when drawing
one up such as:

Nicola Marchant, a partner at
Pannone LLP, informed of us of
the huge importance of having
partnership agreements (illustrated by pictures of Ashley and
Cheryl Cole!). Without a formal
agreement, practitioners can find

• Defining entitlements/
obligations
• Performance issues
• Expenses
• Profit
• Holiday, sick leave,
locum provision

ß DT page 8

A good agreement won’t prevent disputes but it does mean
that there is a clear process to
follow, should one arise! Nicola
then spoke about other business
structures and how these can
be utilised to avoid disrupting a
PCT contract (which many PCTs
view as between an individual
and a ‘personal contract’). For
instance, it is perfectly possible to leave a PCT contract
in a partnership or name and
then set up a company that will

deal with any private work carried out by the practice. Hopefully in time, this can then take
over the contract.
Roger Matthews; Chief Dental Officer of Denplan presentation was entitled, “Parallel Paths
or Collision Course?” Roger
made the point that the public
and private sectors should work
better together for the sake of
patients but that this isn’t necessarily happening. It is hu-

June 7-13, 2010

man nature that everyone acts
in their own self interest. He
went on to illustrate how since
2006, NHS dentistry has seen
inconsistencies of both care and
contract enforcement across the
UK. One very telling set of figures showed that since the 1st
April 2006, the NHS is seeing
129,000 more adults and 111,000
fewer children. This means a
net increase of 18,000 patients by
30th September 2009 at a investment of an extra £1.2 billion.²
He was concerned that PCTs are
deciding to enforce guidelines
when they like and that this is
bad news for the small practice.
Finally, Eddie Crouch guided the audience through the
Steele pilots and what these
could lead to in the way of a potential new contract. The Steele
Review principally identified in
current provision:
• Poor communication and lack
of information
• PCTs experience of rushed
and poorly supported implementation
• The profession’s frustration
with the new contract
• Need for new contractual arrangements to support
• The delivery of new pathways
of care
• Better IT infrastructure
The Review’s principal recommendations were:
• Clearer incentives for improving health, access and quality
• Incentives passed to performers ie. not just practice owners
• An annual per person registration payment to dentists
• Quality of service to be recognised in the reward system
The pioneer Steele pilots
commenced last month, with
a further rollout likely to be in
2011. Eddie has been a member
of the Contracts Group within
the Steele implementation board
looking at producing a list of
contract options with a view to
the new system being complete
around April 2015.
Ample question and answer
sessions were provided throughout the day for those needing
more clarification or to elaborate
on matters further. Legal issues
can sometimes be a little dry but I
would like to commend Pannone
and all of the speakers on making
the entire day interesting, engaging and relevant. I look forward to
more in the future. DT
References
¹Interpretation of Statutes (12th edition,
1969, Sweet & Maxwell)
²Source: ICNHS

[11] =>

Feature 11

United Kingdom Edition June 7-13, 2010

Pulling together to reach your goals
Lil Niddrie discusses how improving your coaching skills can help to increase
both business performance and team motivation at your practice

challenge is to break out of unhelpful habits and negative thinking and believe that change is
possible. Instead of righting
things off because they are
too much effort or you think
they will be too difficult to
achieve, why not give things
a try before you make your
mind up. You might just
surprise yourself and the
sense of fulfilment when you
reach your goals is worth the
time and effort.

ife coaching and business coaching have increased steadily in popularity over the last decade, but
for many smaller businesses,
such as dental practices, professional business coaching is
simply too costly. However, by
understanding the basic principles you can not only help your
business, but also help yourself and other members of your
team achieve their goals.
Coaching can play an important part in improving your
team’s performance and motivation. By setting goals and
supporting your colleagues as
they work to achieve them, your
practice will move forward and
function much better. The idea
is that ultimately, team members can learn to support each
other, as they can all make the
most of their individual skills.
If you have ever wondered
how to really fulfil your potential, not just at work, but in
all areas of your life, then
coaching could be the answer.
You may even be a natural
coach already. Do you often find
yourself listening to other people’s problems and giving advice? Or do you enjoy training
others in new knowledge and
skills? You may be implementing coaching principles in your
day-to-day life without even realising it.
Even if the thought of coaching and teamwork makes your
blood run cold, the tips below
can help you learn how to improve your skills and make
them an integral part of your
practice’s development.
Steps to success
A useful place to start is by
looking at how happy you are
with the different areas of your

Don’t give up, Edison took 10,000 attempts before inventing the light bulb!

‘A useful place to start is by looking at how
happy you are with the different areas of
your life, such as work, finance, career,
relationships and so on’
life, such as work, finance, career, relationships and so on.
Once you have given each area
a mark out of ten you can see
which areas of your life you
may like to develop.
The next step is to identify
your values. These can be values
such as honesty and caring or
they can be work specific, for example, teamwork and attention
to detail. Once you are aware of
people’s values, you have the key
to their motivation. Recognising
different values within your practice can also give you an insight
into any potential conflict. For
example, one person’s strongest value might be patient care
while another’s is the financial
stability of the practice. Knowing

this can help you assess whether
practice decisions are based on a
fair balance of the two.
Once you have identified
values, the next step is to set
goals. If you are helping one of
your team to set their goals, ask
simple, open, purposeful questions such as: ‘What do you
want to achieve?’ and ‘How do
you plan to achieve this?’ It is
also important to make sure that
their values are well matched
to their goals. For example, if
someone has put “socialising
with friends” as a value in their
personal life, but they spend so
much time working that they
never see their friends, then they
are going to struggle to achieve
their goal.

Skills and limitations
The main obstacles to achieving
goals are the limits of our skills
and resources and the limitations of our minds. The issue of
skills and resources can often
be addressed by appropriate
training or by asking for advice
and support.
Some companies offer tailor-made training days, which
are specific to your practice’s
needs and can even incorporate a module focused on
the Principles of Coaching. Some
of these courses can also count
towards verifiable Continuing
Professional Development (CPD)
when undertaken in accordance
with GDC requirements. This
type of event provides an ideal
opportunity for staff in similar
roles to meet and learn together,
and will benefit both your employees and your practice.
Limitations of the mind
can be a little bit trickier! The

Never give up
All goals should be accompanied by a practical and realistic
timeframe, and progress needs
to be monitored. Set backs are
inevitable, but it is important
to see these as temporary. Take
inspiration from inventor Thomas Edison who, when asked
if he was discouraged after
failing 10,000 times in his attempt to create the light bulb,
replied: ‘Failed 10,000 times? I
didn’t fail 10,000 times. I simply learned 10,000 ways not to
make a light bulb.’
So why not give coaching
a go? Learning how to identify
your own and your teams’ values and goals will not only improve communication and productivity at your practice, but
will also give you a clear idea of
where your practice is heading
and the best ways of achieving
your ambitions. DT

About the author
Lil Niddrie joined Denplan in 1993
and has worked in many areas of the
company to support dental practices,
and now her knowledge and experience is combined to deliver a wide
range of training resources. Lil is a
qualified practitioner of hypnotherapy,
Emotional Freedom Technique and
Neuro Linguistic Programming. She
also has a specialist interest in advanced communication skills and personal development.

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[12] =>

[13] =>

[14] =>

Vo – ESTETICA E80
United Kingdom Edition June 7-13, 2010

Planning a referral event

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Holding a well-planned referral evening is a perfect way to introduce your team and your services to other dentists in your local area, says Dr
Dattani who offers some advice

W

hen referring patients on to another
practice,
any professional practitioner
has to be sure that the high
standards of service they
provide their patients will
be maintained and that the
whole process will be seamless and as uneventful as
possible. This is especially
important if the patient in
question has built up a relationship with their regular
Invite local practitioners to view your practice
dentist, as they may be unGiving something back
willing to receive treatment from
No dentist will want to waste an
an unfamiliar clinician they do
evening of their free time withnot know or trust.
out feeling that they (and by extension, their patients) will gain
With this in mind, it is the
something from it. Although some
responsibility of dentists on
practitioners in your area may be
the receiving end of the referactively seeking a dentist for paral to reassure the practitioner
tient referrals, chances are most
that their patients will always
clinicians will already have sysbe in safe hands and returned
tems in place to deal with cases
to the surgery ready for any
that lie outside of their own abilifurther treatment they may reties. So, referral practices looking
quire. Referral dentists need to
to cast their net a little wider will
find a way of proving to fellow
need to provide an incentive for
practitioners their abilities and
clinicians to attend their event.
dedication to excellent patient
care, rather than simply relyOne possibility is to offer pracing on word of mouth or costly
titioners an educational evening
advertising campaigns.
that counts towards their verifiable CPD hours. And why limit the
Offering reassurance
evening to dentists alone? ConsidHolding a well-organised referer inviting dental nurses along to
ral evening is an excellent way of
the event and offer them training
conveying this message in person
too. After all, dental nurses play
to potential referring dentists. Not
an important role in the team,
only does it give you the opporso keeping them up to date with
tunity to showcase your skills, it
new techniques and procedures
also highlights your dedication to
will make communication during
fostering relationships between
procedures much clearer.
fellow practitioners. By meeting
potential referring dentists in
Building relationships
person, solid foundations will be
All referral practitioners should
laid onto which good working reaim to work as an extension of
lationships may be built.
their referral patients’ practice. In
order for this to happen, excellent
In order to arrange a succommunication between practicessful referral evening, clinitioner, patient and referral dentist
cians will need to plan the event
is key. If the referring dentist has
down to the last detail. A poorly
an understanding of the kind of
arranged or half-hearted attempt
treatments you provide, they will
will reflect badly on your probe armed with the necessary infessional abilities and will only
formation to inform their patients
serve to drive practitioners away
of their options and to describe
rather than recommend your
the outcomes they should expect.
services to their precious paFor example, an implantologist
tients. Of course, time will have
holding a referral evening could
to be set aside to delegate roles to
organise a session outlining their
other members of staff and keep
work with implants, and then go
them well informed, as you will
on to talk about impression takbe relying greatly on their assisting and fitting the completed resance too. Nevertheless, the more
toration. Many referring dentists
effort the team can put in before
will want to take control of one
the event, the greater the rewards
or perhaps more of these stages,
will be afterwards. Even if just
but by involving the GDP in varione impressed GDP sends their
ous stages of treatment, all parties
patients on to you for treatment
involved will be reading from the
as a result of the evening, all of
same page and will benefit from
the planning and preparation
mutual understanding.
will have been worth it!

Demonstrating your skills
Of course, no amount of refreshments and well-presented slideshows will be
able to convince attendees
of your practical skills as
a clinician. A great way to
showcase your abilities is to
enlist the help of a real patient (with their permission
of course!) and to perform a
live demonstration. This certainly requires some nerve,
but it will prove to delegates
that you are confident in your
abilities and will do wonders
for your credibility as a professional. Even in a worst case
scenario if something does go
wrong during the demonstration, by keeping a clear head and
following the usual procedure,
delegates will leave with the
knowledge that you know how to
overcome tricky situations – further cementing your reliability.
Involving the whole team
Another aspect to consider during a referral evening is that of
any outside help you may require
when treating referred patients.
If, for example, you specialise in
aesthetic dentistry and enlist the
services of a laboratory for your
prosthetics, invite a technician
along to the evening to guide
delegates through the range of
products and materials that they
offer. This not only serves to better inform practitioners, but also
demonstrates, yet again, your
dedication to close teamwork and
communication throughout the
entire patient journey.
Holding a well-planned referral evening is a perfect way
to introduce your team and your
services to other dentists in your
local area, and to show them how
you can work closely together to
achieve the very best outcome for
the patient. DT

About the author
Dr Shushil Dattani
qualified
from the Royal
London Hospital
in 2000, completed a two-year
programme and
membership to
the Faculty of
General Dental
Practice at the
Royal College of
Surgeons, then became accredited with
a Diploma in Implant Dentistry at the
Royal College of Surgeons of England.
He is a member of the Association of
Dental Implantologists, the American
Academy of Cosmetic Dentists, regularly trains and attends courses around
the world and is principal dentist and
owner of the Kent Implant Studio. For
more information or to obtain a referral pack please call 01622 671 265, or
visit www.kentimplantstudio.com.

[15] =>

Practice Management 15

United Kingdom Edition June 7-13, 2010

Learning to lead
The way you treat people will have a great effect
on your management skills, says Jane Armitage

was first asked to write an
article on leadership when I
was taking my practice managers’ qualification, and at the
time I thought: ‘Why?’ I remember learning the unit, and out of
everything I was taught, one thing
that has stuck in my mind.
How you treat people can
have a major impact on your life
and your ability to lead. What the
course did teach me was to define
this management style, which is
so important when you find yourself in a leadership position.

Leadership is an achievement, gained from hard work and
dedication. Leaders are developed, each individual leader will
have their own views on leading
a team, each leading in a different
manner. Each style of leadership
will have an effect on team morale and your business. So which
type of leader are you?

praise accordingly. It never hurts
to say a simple thank-you at the
end of a session.
This approach will enable the
leader to produce feedback without

receiving any form of resentment.
Staff will have a huge amount of
information and often by listening to their ideas, contribute to the
smooth running of the practice.
Involvement is an important as-

Democratic
Leading in this way will produce
the best results. The democratic
leader will include the team, staff
will be motivated as the leader will
recognise their achievements and

About the author
Jane Armitage is currently a practice manager for Thompson &
Thomas, and holds a
Vocational Assessors
award. She is also a
BDA Good Practice
Assessor, BDA Good
Practice Regional Consultant, and has
a BDA Certificate of Merit for services
to the profession. She has her own
company, JA Team Training, offering
a practice management consultancy
service.

would be given. Leading a team in
this manner would have an impact
on the practice as staff would be
demoralised, no motivation and
the workmanship would be poor.

Non - interventionist
This type of leader would have
no relationship with staff. They
would lead in an aggressive manner, but actually achieve very little.
Staff morale would be low. No help
would be openly offered unless a
request was made. No feedback

The best solution
Democracy is hard work, to
lead in this style means finding a suitable pathway that is
agreed by the majority. Good
management is a blend of democratic, autocratic and non interventionist leadership. DT

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

Autocratic
The first aspect that seems to go
wrong in dental practices is the
flow of information. Some individuals give the impression that
they are working for MI5 rather
than running and leading a dental
practice. Information is given to
staff on a ‘need to know basis’ only.
No feedback is given, no praise for
good work; however this type of
leadership is quick to blame.
Autocratic leadership creates a
vacuum. Not only do staff become
confused about their duties because they may lack vital data, but
a feeling of insecurity could occur
because they fear that something
negative is happening. The vacuum is filled in two ways. Staff invent their own methods to ensure
completion of tasks, or they may
prioritise the wrong things out of
ignorance. Staff may behave in an
aggressive manner with dislike for
their leader. Leading a team in this
way will encourage staff to be demotivated and uninterested.

pect in motivating and developing
staff. Staff turnover will be reduced
as individuals feel respected and
valued. This all provides a better
working environment.

Another breakthrough from PracticeWorks
PEARL is the new iPhone or Blackberry application for R4.
No longer are you restricted to viewing your appointments, patient records and images on a computer
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For more information or to place an order please call 0800 169 9692
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PracticeWorks

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[16] =>

16 Money Matters

United Kingdom Edition June 7-13, 2010

Income Protection – Keeping it specific
Jon Drysdale says double check what is covered in your income protection policy...

entistry is widely acknowledged within the
profession as a physically and mentally demanding
career. Perhaps for this reason taking out an income protection policy is often high priority
for dentists.

Claims - Based on recent
claims statistics, insuring your
income in the event that illhealth prevents you from practicing dentistry may be a wise
decision. Leading income protection provider Dentists’ Provident paid claims totaling £3.2

million in 2009 with an average
of 131 claims per month. Musculoskeletal claims rank the highest with psychiatric disorders
following a close second. One
of PFM’s clients felt strongly
enough to endorse the benefits of
income protection:

“I took an income protection policy out, I slipped a disc
in my neck and was unable to
perform my dental duties and
so had to claim unexpectedly.
The insurer paid the claim for the
full period I was off from work,
eventually (approximately seven

months on) when I planned my
return to work they were very
flexible and aided in a phased return to work.”
Male dentist aged 26,
North West.
Age demographics - The
largest group claimants are female and aged between 36 and
45, with the highest proportion of male claimants between
age 46 and 55. This ‘age demographic’ points to the benefits of
taking out a policy early in your
career. This argument is further
strengthened when you accept
that monthly premiums tend to
be age-related.
Cover levels - Many dentists sign up to a policy on qualification, or even as a final year
dental student. Whilst this is
advisable, the level of cover can
soon be outstripped by earnings. Dentists who have not reviewed their cover since this
time are unlikely to be adequately insured. With claims
limited to 60 per cent of income (with no tax payable) it
is recommended that dentists
take out the maximum level of
cover available.
Policy options - An independent financial adviser will
advise you on the most suitable policy options, guiding you
through decisions on ‘deferred’
periods, index-linked cover and
guaranteed/reviewable premiums. Occupation specific cover
is strongly advised given the
relatively minor ailments that
could prevent you from practicing dentistry.
Advice options - A specialist dental independent financial
adviser will be able to select the
most appropriate policy from
a number of suitable insurers.
A common misconception is
that premiums will be cheaper
if you go direct to the insurer.
In the case of Dentists’ Provident and the other occupation specific insurers this is not
the case. However please check
that your adviser is independent
and is suitably experienced in
advising dentists before taking
their advice. DT

About the author
Jon Drysdale BA
(Hons) Cert PFS is a
qualified independent financial adviser and director of
Practice Financial
Management
Ltd
(PFM). PFM offers
specialist
independent financial
advice for dentists in England Scotland
and Wales. For further information
contact Jon Drysdale at PFM on 01904
670820, jon.drysdale@pfmdental.co.uk
or visit www.pfmdental.co.uk

[17] =>

United Kingdom Edition June 7-13, 2010

Incorporating change
Michael Lansdell explains how your tax affairs will
change if you decide to incorporate your practice

lot of the confusion and
ill-informed
comment
surrounding the issue of
incorporation is centred on the
question of tax – how much you
may have to pay to incorporate
and whether your overall tax liabilities will be higher or lower
after your practice becomes a
limited company.
In this article, which sometimes refers to matters already
considered in previous articles,
analyses in more detail the differences between your liabilities
as a sole trader or partnership
and your practice’s liabilities as a
company after incorporation.
Types of tax
There are four principal categories of tax to consider when
comparing the fiscal liabilities
of a sole trader to those of a limited company. Practice partnerships, although they may be
legal entities, are not subject to
tax; for tax purposes each partner is effectively a sole trader,
whose tax liabilities are assessed
via his or her personal tax return
according to their share of the
practice’s profits.
The taxes we need to consider are:
• Income Tax (and
National Insurance)
• Corporation Tax
• Capital Gains Tax
• Inheritance Tax
Our figures will assume that
the dentist(s) has no other taxable income, and are based on
the Inland Revenue’s tax tables
for 2009/2010. We’ll look first at
the situation of the sole trader,
the dentist who is running their
practice as a self-employed person with their own business.
A sole trader pays Income
Tax and National Insurance (NI)
on all of the business’s profit,
which is seen as his/her income
in any given year, whether or
not the profits are withdrawn
from the business. The rate of
taxation varies according to the
amount of profit, with no tax
or NI paid on roughly the first
£6,000, a total of 28 per cent being paid on roughly the next
£37,000 and about 41 per cent
thereafter, so the threshold for
the top band of 41 per cent is a
profit of around £43,000.
Sole traders do not pay corporation tax
If the sole trader sells their
practice to a limited company in which he/she has an

‘Although incorporation very often brings
significant benefits, it is not a ‘one
size fits all’ solution and expert advice
should always be sought before any
decision is taken’
interest, or to any one else, Capital Gains Tax is payable on the
profit on the sale. The rate of
Capital Gains Tax is 10 per cent
on the first £1,000,000 per taxpayer, per lifetime, and 18 per
cent thereafter.
A dental practice owned by a
sole trader qualifies for Business
Property Relief, and no Inheritance Tax is payable on the value
of the practice on death.
Limited companies pay Corporation Tax instead of Income
Tax on any profits or capital
gains. Provided the dentist controls only one limited company,
the rate of Corporation Tax is 21
per cent on the first £300,000,
29.75 per cent on the next
£1,200,000 and 28 per cent on
profits above £1,500,000.
With a few exceptions (for example, private motor vehicle expenses), the company’s profit subject to tax is calculated in the
same way as for a sole trader. A
salary paid to the dentist as a company director or as an employee
is a tax-deductible expense.
Dividends, being the distribution of after-tax profits to
the shareholder(s), are not tax
deductible.
Any salary drawn from the
limited company by the dentist as a director is subject to
personal Income Tax and NI
as described above, except that
the middle band rate (between
about £6,000 and about £37,000)
is 31 per cent. If the dentist
is paid more than £5,175pa by
way of salary, the company also
has to pay NI, at 12.8 per cent on
the excess.
Dividends paid to the dentist
as a shareholder may be subject to Income Tax but not to
NI. If the dentist’s total income
including dividends is less than
£43,875, the dividend tax rate
is zero per cent. If total income
exceeds this figure, excess dividends above this level are taxed
at 25 per cent. Any salary paid
to the dentist would therefore
reduce the amount of dividend,
which qualified for the zero per
cent rate of tax.

Tax liabilities
Dentists should not forget that,
although the practice may be
the company’s sole asset, the
company and the individual
are separate entities, and any
Capital Gain that results from
the company ultimately selling the practice or any part of it
to a third party will be included
in the company’s profits and liable to Corporation Tax. However, it is usually more beneficial
for the individual to ultimately
sell their shares in a limited
company to a third party, as the
gain here will be taxed at the
personal Capital Gains Tax rate
of 10 per cent or 18 per cent,
rather than the higher Corporation Tax rates.
The shares in a ‘close company’, such as a family owned
dental practice, qualify for Business Property Relief, and no Inheritance Tax is payable on the
death of an active shareholder.
Many dentists operating as
sole traders will have broadly
similar financial circumstances,
but there will always be factors
peculiar to individual situations.
Although incorporation very often brings significant benefits, it
is not a ‘one size fits all’ solution
and expert advice should always
be sought before any decision
is taken.
To receive hard copies of earlier articles in our series, please
email your name and address to
rae@lansdellrose.co.uk. DT

About the author
Michael Lansdell
was brought up
in South Africa,
receiving his honours degree there
in 1991. He completed his training
with international
accounting
firm
Deloitte in 1994,
and went on to become a founding partner at Lansdell
& Rose Chartered Accountants (SA) a
year later. Based in Kensington, London, Lansdell & Rose deal only on a
long-term retained basis, exclusively
with owner-managed clients, generally
dentists and doctors, and specialising
in the incorporation of dental practices. As a client-focused team, they look
for sustainable long-term solutions
for their clients that maximise profits,
minimise tax and build wealth. For
more information, visit www.lansdellrose.co.uk or call 020 7376 9333.

[18] =>

18 Education

United Kingdom Edition

June 7-13, 2010

Sedation: management of risk

Dental sedation is a safe and effective method of anxiety control for patients
undergoing dental treatment but you need to have the proper procedures
in place, says Dental Protection

S

merits and risks. Sedation is
edation can be provided
considered to lie within the skill
by using drugs in several
of a general practitioner who
ways such as oral, inhahas received appropriate postlation or intravenous delivgraduate
ery,
each has
its own 09:18
2453although
DPL ad A4:Layout
1 10/08/2009
Page 1training.

Nervous patients
Some patients find it difficult
and distressing to accept even
the most routine of dental procedures when fully conscious

and aware. Other patients,
who will normally have no difficult in accepting routine procedures, might feel the need for sedation when undertaking more

complex or lengthy procedures.
Certain surgical procedures, complex prosthodontics or endodontics might fall into this category.
Sedation has been linked
in the past to dental anaesthesia. However, the move in most
countries is away from the provision of general anaesthesia
for most primary dental care procedures and, where it is deemed
appropriate to provide it, to do
so in specialist centres staffed by
experienced medically qualified
specialist anaesthetists with appropriate postgraduate training,
and supported by experienced
nursing and recovery teams who
have received specific training in
the field of dental sedation.

Don’t read this...

Many drugs used in sedation have the potential to induce
anaesthesia. It is therefore important that dentists practising
sedation should ensure that the
drugs and techniques used carry
a margin of safety sufficient to
render the loss of consciousness highly unlikely. There are
very strict requirements relating to the provision of general
anaesthesia in many countries
and dentists have had difficulties in the past when a patient
undergoing sedation has lapsed
into inadvertent anaesthesia. In
general, a dentist should be able
to maintain verbal contact with a
sedated patient at all times.
One precaution which has
been adopted in many countries,
is the stipulation that only a single sedative drug should be used,

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Make sure you follow best practice procedures for the sedat

[19] =>

tion of patients

United Kingdom Edition June 7-13, 2010

thereby avoiding the possibility
of a potentiation (exaggerated)
effect that could occur when
more than one drug is used. With
this in mind, the need for an
up to date written medical history, with all current medications recorded, is essential in order to avoid any interaction with,
or potentiation of the patient’s
normal medication.
In most jurisdictions, dentists
who provide sedation are required to undertake postgraduate training and to maintain a
contemporary level of knowledge. Regular refresher courses
in cardio-pulmonary resuscitation techniques should involve
all members of the dental team,
and training of the whole dental
team under simulated conditions, in preparation for a possible real emergency, is an excellent risk management strategy. A
log should ideally be kept of all
such training for each member
of the team.
Consent
Practitioners should take adequate steps to ensure appropriate consent for the sedation
procedure itself, in addition to
the treatment to be provided.
Problems have arisen where patients have had additional treatment carried out under sedation
without their prior knowledge
and agreement.
The more accurate the diagnosis and the fuller the discussions prior to treatment, the less

potential there is for additional
treatment to become immediately necessary while the patient
is still sedated; consequently, the
less likely the patient will be to
complain about a lack of consent.
In some parts of the world,
the decision to provide additional treatment in such situations
may not be accepted as appropriate, even if taken with the best
interests of the patient in mind.
Patients have the right of
autonomy, which they do not
forego simply because they happen to be sedated when their
treatment is carried out. Such a
situation is more easily accepted
in an emergency or where a
patient would quite clearly be
worse off, if left in pain for example. It is not always possible
to establish the precise treatment
plan in advance of the patient
being sedated. Because of this,
a full discussion should take
place with the patient, indicating that this might be the case
and the patient’s views should be
sought in advance – particularly
in respect of any treatment options that they specifically wish
to avoid.
The obvious difficulty in obtaining a valid consent from
a sedated patient, makes it a
sensible precaution (and a formal requirement in some countries) that the patient’s consent
to both the sedation itself, and to
the specific treatment to be carried out under sedation, is con-

‘The dento-legal risk that results from the
above is self-evident; allegations of sexual
impropriety can have devastating consequences for a healthcare professional, and
the media interest is always very high’

firmed in writing in advance of
the procedure.
Side effects
Clinicians sometimes overlook
the mood modification that occurs when sedative drugs are
used in dentistry. The pharmacological effect leaves the
patient with a state of mind
that is not entirely normal. Although the patient can still respond to their environment,
and to the commands of others
following the administration of
conscious sedation, the higher
level neurological functions are
markedly altered.
Most sedative drugs cause
a loss of inhibition and some
are hallucinogenic. That is the
nature of their action. The scientific literature contains no
authoritative evidence, including randomised control trials, to
establish the frequency of sexual
fantasies. Such evidence that
does exist suggests that about
one in two hundred patients may
experience erotic dreams. The
benzodiazepines are the drugs
most commonly implicated in
this phenomenon, but they are
by no means the only ones.
The dento-legal risk that
results from the above is selfevident; allegations of sexual
impropriety can have devastating consequences for a healthcare professional, and the
media interest is always very
high. There have been many
such cases around the world
which have been associated
with dental treatment provided
under sedation.
Whilst sexual hallucination
can be disturbing, it is not a
common side effect. A balanced
judgement has to be made for
à DT page 20

[20] =>

20 Education
ß DT page 19

each patient as to whether or
not this possibility has the potential to be significant, and if
so, whether it is prudent to treat
the patient under sedation, or
indeed at all.
It is particularly useful to
provide the patient with an information sheet. Not only should
this explain what to do and what
not to do before and after con-

scious sedation, but it should
also explain the nature of the
procedure and the processes
involved, as well as the benefits
and risks. A further section of
the text can explore frequently
asked questions.
This is also a good opportunity to explain that the effects of
conscious sedation are similar to
the effects of alcohol. Following
from this it is useful and entirely
appropriate to explain to the pa-

United Kingdom Edition

tient that they may dream, that
some dreams can be vivid and
intense, and that very occasionally, the dreams can be of a sexual nature.
Chaperonage
The presence of an appropriate third party goes a long
way to protect the practitioner
from allegations of indecent
assault. Whenever this sort of
procedure is being carried out
there should be a strict rule that

no practitioner is ever left alone
with the patient:
• Not even for a short time
• Not during administration of
the sedative drug
• Not during the patient discharge following recovery
• Not at any time in between
There should be no deviation
from this rule and only careful
staff training can ensure that this
is the case on every occasion.

Healthy plaque
management

Recovery
Once the operative procedure
has been completed, the patient
will on most occasions still display a residual level of sedation
and will need time for further
recovery before discharge or
transfer to nursing care. Again
the patient must be fully chaperoned throughout this stage.
The dental nurse/assistant must
not leave the dentist alone with
the patient at any time. When
moving the patient to dedicated
recovery facilities, the patient
should be transferred either by
trolley or should be able to walk
themselves with the minimum of
supervision. It is inappropriate
for the patient to require support
from both the dentist and the
dental nurse in the transfer process. Not only is the patient inadequately recovered to be transferred by this method, but this
method of transfer produces an
unacceptable level of close body
contact, which has the potential
to be misinterpreted.

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Once in the recovery area,
the patient should be monitored and accompanied by a responsible adult at all times. The
patient should not be left alone
with the dentist just ‘popping in’ to monitor the patient.
The recovery period is one of the
most frequently cited times of an
alleged sexual assault, and a patient should be continuously and
closely monitored by an appropriately trained person, taking account of any chaperonage issues.

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For example, once the sedative has been administered it is
inappropriate for the chaperoning dental nurse to leave the
surgery or to move out of sight
of the patient and dentist within
the surgery. This applies even for
the briefest period of time and
for any reason that might cause
the nurse to be temporarily out
of view (retrieving instruments
or materials and any other duties
away from the chair). Systems
need to be developed such that if
the situation should arise that extra equipment and materials are
required from a site beyond the
immediate surgery, then a third
person should be summoned to
obtain these.
Drugs must be used with
care and consideration. There is
evidence to suggest that higher
doses of sedative drugs tend to
increase the incidence of sexual
hallucination. Frequent use of
high dose sedative regimes is
likely to increase the risk of alleged sexual assault.

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June 7-13, 2010

12/3/10 11:57:10

Supervision
A patient who has been sedated,
even after allowing sufficient
time in a supervised recovery
environment under the care of
suitably trained and experienced
personnel, should be accompanied from the practice by a responsible adult.

[21] =>

United Kingdom Edition June 7-13, 2010

Giving patients advice sheets on sedation should help allay any concerns the patients may have

‘Under no circumstances should such
patients be allowed to drive a motor
vehicle, or operate any machinery or
appliances unsupervised for an extended
period (of several hours at least) after the
administration of the sedation’
Under no circumstances
should such patients be allowed
to drive a motor vehicle, or operate any machinery or appliances unsupervised for an extended period (of several hours
at least) after the administration
of the sedation.
Such arrangements should
be agreed with the patient in
advance of the sedation appointment, supplemented by written preoperative instructions to
this effect.
It is certainly unwise to proceed with any treatment under
sedation, unless and until the
relevant accompanying person
is physically on the practice
premises and intending to remain so. Situations have arisen
in the past when such accompanying adults have never
materialised at all, leaving the
practice team in the invidious
position of having to arrange for
the same transit of the patient to
their home, as well as for their
subsequent supervision.
The record
The clinical records should include an up to date medical history, any referral correspondence, details of the consent
process, and any pre-operative
and post-operative instructions
given to the patient. A carefully
completed record of the sedation procedure itself is not only
an essential component of good
patient care, but it can prove
invaluable in defending any allegation of improper conduct.
Along with patient identification
details, there should be a note
of the patient’s weight and their
risk grouping - as defined by the
American Society of Anethesiologists, for example. The identity

of every member of the operating team should be clearly stated
in the notes, as should any drugs
that were used (together with a
record of their batch numbers).
It is important not only to
record how much drug has been
given but also when it was given
and how quickly. This information can be used to justify the
dose of drug used in a particular
patient. Whilst sedative drugs
are given in dosages loosely
based on body weight, conscious sedation drugs used in
dentistry are often titrated to the
patient’s individual needs. The
clinical notes should also contain an indication of the quality
of sedation, the level of sedation
and patient’s response to the
procedure. Any subjective signs
such as restlessness or a distinct
change in the patient’s demeanour should also be noted, particularly where the loss of inhibition is marked.
The records should include the name of the person
into whose care the patient is
entrusted on leaving the dental
surgery premises.
Supporting staff
In the past, it was not unusual
for a single dentist to act as both
operator and sedationist/ anaesthetist. It is now widely accepted
that such a practise does not allow an appropriate degree of focus and attention, to allow each
of the two roles to be carried out
to a necessary high standard of
care. In some countries, and particularly where it is commonplace for health commissions to
operate in rural or remote settings, inhalation sedation techniques such as relative analgesia
(nitrous oxide/oxygen) are still

considered appropriate for use
by a single operator.
In all cases, however, sedation procedures become safer
and more predictable when the
dentist is assisted by nursing
staff who have received specific
training in dental sedation and
in recovery procedures.
Amnesia
Many of the drugs used for dental sedation have the potential
to create an amnesiac effect. Although this is often a significant
advantage, it can also create a
threefold problem. The patient
may not remember discussions
or explanations given to them
during the treatment. The patient may recall some events
or conversations that occurred
during the treatment, but not
others. The fact that they can
sometimes recall certain events
very clearly, can leave the patient to believe that other events
did not take place at all – even
when they clearly did.
The patient may not remember any postoperative instructions given to them at the time
of treatment. For this reason,
it is important to provide both
preoperative and postoperative
instructions in written form.
Where appropriate, these instructions should be reinforced
verbally with the accompanying
person whose role it is to supervise the patient on their return
home from the surgery. DT

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

[22] =>

United Kingdom Edition

June 7-13, 2010

Practice makes perfect
Dentists are by far the easiest healthcare professionals to train in the area of facial aesthetics,
but as with all medical procedures, further training and education in the field is a must, insists
Dr Bob Khanna
have an initial conversation with the
reception team before speaking with
the practitioner, and
some patients prefer
to air any concerns
they have with them.
If the whole team
are able to answer
questions confidently, and allay fears,
the patient is likely
to feel more comfortable and relaxed
about the procedure, and indeed the
whole experience.

Further training is a must when considering offering facial aesthetics at your practice

O

ne of the fundamental
concepts in dental undergraduate training is being able to understand the anatomy of the face, head and neck – a
skill that is directly transferable
to the facial aesthetics industry.
Understanding the muscles of
facial expression and the distribution of nerves and blood vessels, and being able to relate
this to treatments is key to being
able to correctly deliver treatment, and carry out procedures
in a reproducible, effective and
painless manner.
Improving skills
As with all new skills, confidence in this field is only acquired with practice. These are
not skills that can be learnt from
a textbook, and hands-on experience is the best way to learn. My
training ethos is “tell-show-do”,
and in the courses that I run, I
encourage students to first learn
the basics of a procedure, before
watching me carry out a series
of live procedures they can interact with, and ask questions
about. I then encourage them to
get as hands-on as possible as
soon as they feel ready.
There is no substitution to
hands-on training, but it is vital
it is supervised by an experienced professional. I am keen to
offer “beginner” and “advanced”
modules as I believe this is the
best route to take, as the learning
experience cannot be rushed, no
matter how skilled a practitioner
you are. It would be foolhardy to
expect to be able to inject deli-

‘There is no
substitution to
hands-on training,
but it is vital it
is supervised by
an experienced
professional’
cate and complicated areas of
the face after just one day’s training – after all, not many dentists would have been able to
perform a complicated root canal procedure after just one day
at dental school!
Making progress
Advances in medical science are
helping to keep moving the facial aesthetic industry forward,
with new products, techniques
and methods becoming available all the time, therefore, once
qualified it is important not to
become complacent. It is vital
to maintain an active interest in
the industry, and ensure that all
practitioners attend regular refresher courses. It is crucial to
keep on top of the ever-changing
trends within this fast-paced industry, as well as being confident
with new, updated techniques.
As well as ensuring that
medical employees are kept
updated, it is essential to also
make sure that all practice staff
are well versed in the aesthetic
procedures and fully understand
the options available. Many potential patients are first likely to

As with every
medical procedure,
it is unlikely that
every case will be
the same. Learning
how to deal with any
complications that
arise, or difficult cases, is key to
gaining confidence – however
this is a skill that is ultimately
learnt through experience. I offer a mentoring system for my
students, so if they ever experience any doubt, or feel that they
would benefit from a little extra
advice when planning a treatment, I am on hand to answer
any questions.
Confidence and competence
The most important thing to
consider before getting started
in the facial aesthetics industry,
however, is the enthusiasm required to be able to offer the best
treatment. Although all treatments are entered into voluntarily, remember that the patient is putting their face in the
hands of the practitioner, and
therefore requires that person
to be completely confident and
competent, in order to ensure
that they walk out of the surgery
with a smile. DT

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

[23] =>

Education 23

United Kingdom Edition June 7-13, 2010

Image is everything
Armed with intra-oral pictures, diagnosticians are able to draw
up treatment plans. The dentist can then decide with the patient,
which plan is the most suitable. Andrew McCance explains

f a picture paints a thousand
words, a radiograph would
give you the whole library.
Thanks to the imaging solutions
available to today’s dentists, it is
possible for effective treatment
planning that will give dentists,
and patients, a range of options
when it comes to cutting edge orthodontic treatment.

Orthopantomograms (OPT)
are treasure troves of vital data.
Covering the upper and lower
jaw, they provide the diagnostician with an overview of the
patient’s dentition, including:
root length, impaction, supernumerary teeth, positioning of
teeth, root resorption, root fracture, unerupted and missing
teeth. Other information provided by an OPT includes any
previous orthodontic or restorative treatment, which can impact on planning.
In order to identify skeletal
discrepancies and abnormalities, or note whether anteroposterior movement of the incisors
is necessary, the diagnostic team
will request a lateral skull radiograph of the patient in the standard intercuspal position.
Image appraisal
Since orthodontic treatment
takes into account more than
just the aesthetics of the teeth,
it is important that treatment
planning includes an appraisal
of extra-oral patient images. For
instance, an image of the patient
face-on, smiling with teeth in
maximum interdigitation, gives
a good idea of how the smile can
be improved in relation to the
patient’s face. Essentially, the diagnostic team has to know what
influence the soft tissue has on
the case.
Profile pictures are very useful, because they enable an easy
appraisal of the maxilla’s position relative to the mandible. The
leading system’s diagnostic team
will also want to see a full face
photograph, and a three quarter
profile, as this is the most common way that the patient would
be seen in public.

Assessing malocclusions
With the skilful use of cheek retractors and mirrors (warmed in
hot water first to reduce conden-

sation), you can capture excellent intra-oral images. These are
vital to accurately assess the severity of malocclusions. In order

to achieve the right lighting of the
area, the diagnostic team recommends the use of a ring-flash. The
mirror is used to achieve high-

quality diagnostic images of the
lower occlusal and upper arch
regions, while the cheek retractors are ideal to enable great images of the anterior, left and right
buccal regions.
Armed with these images, diagnosticians are able to draw up
treatment plans. The dentist and
patient can then decide which
plan is the most suitable, and move
forward to create a healthy and
aesthetically pleasing smile. DT

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

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

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

About the author
In the mid 1990s, Dr
McCance began to develop the Clearstep
brace, based on the demands of the 4,000 patients treated annually
in his specialist practices. He is currently taking his Clearstep
vision to a worldwide audience. For
more information, call the OPT Laboratory & Diagnostic Facility on 01342
337910, email info@clearstep.co.uk or
visit www.clearstep.co.uk.

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

www.fgdp.org.uk

Promoting excellence in dentistry

Registered charity no. 212808

[24] =>

See what you
are missing...

United Kingdom Edition

June 7-13, 2010

Piloting through
uncertainty

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Neel Kothari questions what piloting actually
involves and what changes the Department of
Health is hoping to assess and implement

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he current buzzword within
NHS dentistry
is piloting. Back in
2006, a lack of adequate piloting led to
a flood of criticism for
the turbulent installation of an untried
and untested system.
Despite reassurances
from the Department
of Health (DH) that the
new system was fine
and working, there
has been a constant
call for change from
both within and outside our profession. It
seems that while the
previous system had
been around for a few
decades, this current
one looks destined to
be around for only a
few years.

substantiated
financially. In its evidence
to the DDRB (Doctors
and Dentists Review
Body) this year relating to GDPs, the BDA
had asked for an award
of 3.8 per cent on contract values, fee scales
and other appropriate allowances. This
included a retrospective increase for last
year’s award, which
the BDA considered to
be based on flawed assumptions. The DDRB
did not accept the
BDA’s argument that
the award should be
changed and as such
the current uplift in
pay remains at 0.9 per
cent. Both the Department of Health in England and the Scottish
Government
Health
Directorates have chosen not to adopt the full
DDRB
recommendations due to the current
public sector spending
constraints, given the
state of the nation’s finances.

While scavenging The Steele review covers many aspects of NHS dental provision
through the dental
press, I find that many
‘Whenever I have friends round for
different groups and
dinner I always try and buy the very
organisations
have
best ingredients to cook with,
praised the DH’s newfound enthusiasm for
but that doesn’t mean I always
piloting, but nowhere
get the right result’
can I find details of
Although I am not
actually what this pisurprised at this pay freeze, one
Whenever I have friends
loting involves and what changhas to question the efficacy of
round for dinner I always try
es the DH is hoping to assess
piloting changes that may never
and buy the very best ingreand implement.
have the finances or political will
dients to cook with, but that
to see the light of day. In my
doesn’t mean I always get the
The Steele review provided
opinion, I do hope that some
right result. If it’s a particularly
a broad range of recommendagood can be learnt from the
important meal, I try and cook
tions based on evidence gathcurrent batch of pilots, but
something that’s worked before.
ered to help implement real
when it comes to implementaSometimes when you’ve cooked
change, but with Government
tion, let us hope that next time,
a dish once, you realise what
coffers in deficit, it’s still not
the Government carries the
works and what doesn’t, regardclear just how likely we are to
profession along with it and ulless of how many times you’ve
actually implement change.
timately treats working profeschecked to see you have the
sionals as professionals. DT
right ingredients.
Wider options
The first wave of pilots is lookLook at the conclusions set
ing individual aspects of the
About the author
by the review, I was glad to see
Steele recommendations. The
Neel Kothari qualirecommendations for improvnext wave will aim to trial a
fied as a dentist
from Bristol Univering ‘quality’ as well as addresswider range of options to cover
sity Dental School
ing issues with access. But the
more areas of the Steele review,
in 2005, and curreal debate on how we manage
including increasing access
rently
works
in
Cambridge as an
to make this work in practice
to NHS dentists, introducing
associate within the
still needs to be addressed. Denpatient registration, measurNHS. He has completed a year-long
tistry in the teens (2010-2019)
ing quality as well as quantity
postgraduate certifiis far more than what can be
of treatment, and encouraging
cate in implantology at UCL’s Eastman
squeezed into three bands and
dentists to carry out more preDental Institute, and regularly attends
postgraduate courses to keep up-toas such there is still a mismatch
ventive work. As yet, we do not
date with current best practice. Imbetween what our patients exknow whether the new Governmediately post graduation, he was able
to work in the older NHS system and
pect and what the NHS can dement will pilot just individual
see the changes brought about through
livery.
facets of a proposed ‘new’ new
the introduction of the new NHS syscontract, or is willing to pilot the
tem. Like many other dentists, he has
concerns for what the future holds
The extra mile
full working model before takwithin the NHS and as an NHS dentist,
Rhetoric on improving quality,
ing it nationwide; if so, when
appreciates some of the difficulties in
providing dental healthcare within this
however, needs more than just
they envisage to realistically do
widely criticised system.
piloting; it actually needs to be
so, is also in question.

[25] =>

DCPs 25

United Kingdom Edition June 7-13, 2010

Making a difference
In the age of being ‘green’, it’s important that
you are seen to be operating an environmentally
friendly practice, says Glenys Bridges

hen it comes to projecting your image to
patients, in view of the
serious environmental issues that
face humanity, it’s important that
your practice can demonstrate
green credentials. Here are some
measures based on saving energy
and on reducing, re-using and recycling waste that you could embrace to make a difference.

bile phones to Actionaid, one of
the UK’s largest international
development organisations. Better still, start a collection in your

workplace – Actionaid will collect
for free. An estimated 90 million
mobile phones are lying in drawers and cupboards around the UK.

Recycling is all about ‘closing the loop’ – not just recycling
things you don’t need, but also
buying back products made
from recycled materials. There
are now lots of recycled products available for the workplace,
from pens and mouse mats to
note pads and printer/toner cartridges. There is a range of recycled products available from the
Ethical One Stop Shop website.
Recycling and buying recycled
products reduces carbon dioxide

emissions compared with other
ways of getting rid of waste. It
also saves resources as the material is used to make a new product as well as the energy and
water used during the manufacturing process. DT

About the author
Glenys Bridges is managing director
of the Dental Resource Company, and
has provided training for dental teams
since 1992. For more information, visit
www.dental-resource.com or call 0121
241 6693

Turn lights off whenever
– and wherever – they aren’t
needed. The Carbon Trust website offers stickers and posters to
remind people to ‘switch it off’.
Adjust the thermostat. The recommended temperature in offices
is 19 to 20˚C, so by turning the
heating down by just 1˚C you can
reduce your energy use by around
10 per cent. Around 30 per cent
of the energy used in the UK is
wasted.
Turn off all electrical equipment when not in use. Printers,
photocopiers and computers etc,
should be turned off when they
are not being used, especially at
the end of the day. Even when left
on standby, appliances use energy.
A PC monitor left on overnight can
waste enough electricity to laser
print more than 500 pages.

Organise a book swap/sale
Not only will you be encouraging
your colleagues and patients to
use an environmentally friendly
way of finding a home for all those
books they have been meaning to
get rid of for ages – it’s also a great
way to learn and discover new
interests. If everyone in the world
was as wasteful as we are in the
UK, we would need eight worlds.
The average person in the UK
throws out their body weight in
waste every three months.
Reuse ink cartridges and
phones. You can send your used
ink and toner cartridges and mo-

www.dentsply.co.uk/
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Don’t throw away paper.
Avoid using more paper than you
need and re-use paper that you no
longer need. Here are some ideas
to help:
• Re-use paper that that has already been printed on one side in
your printers/fax machines
• Don’t print out anything unless
absolutely necessary
• Re-use envelopes
• Turn scrap paper into notepads
• Photocopy/print double-sided

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[26] =>

26 Instruments
DENTSPLY
Flexichange®: Get your hands on the
most successful instruments
It is not difficult to understand why
DENTSPLY’s Flexichange® range is such
a successful brand within the UK Hand
Instrument Market.
Ergonomically designed with softgrip silicone handles, Flexichange®
hand instruments fit perfectly in your
hand. With a wide grip at the working
end and a narrow centre, the dimpled design helps stop hand fatigue and
prevent ‘pinching’ of the handle, thus improving grip and rotational control.
The range includes a selection of scalers, curettes and hoes, including a
number of instruments also available with slimmer tips – allowing for finer
work.
Flexichange® tips are replaceable, so should one break or be over sharpened,
they can be easily replaced. Similarly, the handles can be bought separately,
allowing you to fully colour-code your surgery.
For a limited time DENTSPLY is offering a promotion on Flexichange® hand
instruments; buy 5 and get 1 free (copy invoice to DENTSPLY, please see web
site for address)
The whole range is available to view online at www.dentsply.co.uk, or for
more information, book an appointment with your local DENTSPLY Product
Specialist by calling 0800 072 3313.

United Kingdom Edition

SIROLaser Advance sets new standards
of user-friendliness and flexibility
Today the SIROLaser Advance offers a fast
and effective way of treating your patients.
With a wide variety of treatments such
as Periodontics, Endodontics as well as
Surgery applications the new diode laser,
due to its precise power setting offers even
greater flexibility than ever before. The
SIROLaser Advance also allows you to store
information about individual users as well
as individual treatment sessions. Patient
data can be easily transferred to patient
records via a convenient USB flash drive.
The SIROLaser Advance comes ready-to-use, with several preset programs
for common laser applications and an intuitive user interface that allows you
to start taking advantage of its convenient features and small footprint right
away.
For further information please contact:
Sirona Dental Systems 0845 071 5040
Info@sironadental.co.uk

Quality Endodontic Distributors Ltd
QED Individually packed sterile endodontic
instruments
It has been scientifically proven that it is
impossible to adequately clean and sterilise
Endodontic Instruments after use. The
time wasted and risk of stick injuries makes
even attempting this folly. Consequently
Quality Endodontic Distributors Ltd have introduced triniti® Nickel Titanium
Instruments and SteriFiles®. Both are supplied sterile and individually blister
packed.
triniti® Nickel Titanium Instruments were developed to meet the demands of
GDPs who want the benefits of Rotary Instrumentation, within NHS constraints.
They have an innovative cross section which allows more free space for debris
removal. Whilst retaining its core strength, it also allows excellent flexibility
and maintains a perfect cutting edge. The non-cutting tip reduces the risk of
perforations.
SteriFiles® are designed for conventional endodontic instrumentation.
Supplied in K and H Type presentations they are manufactured from highgrade stainless steel, which maximises both flexibility and strength. The K Type
file features an enhanced non-cutting tip, it is the first choice for preparing
curved and narrow canals.
For further information telephone Quality Endodontic Distributors Ltd on
01733 404999, email sales@qedendo.co.uk, fax 01733 361243 visit www.
qedendo.co.uk or contact your local QED Salesperson.

The UnoDent Range has your
Instrument Answers!
UnoDent is the high quality, great
value range exclusively available
from The Dental Directory. The
range covers dental sundries, dental
materials and dental equipment
products and is always expanding
to include the latest products to
comply with HTM 01-05 guidelines.
The UnoDent Instrument range is
no exception to this and has some
great alternatives to traditional branded equivalents.
For example, the new UnoDent Extraction Forceps are removable joint
forceps that can be taken apart for easy cleaning, meeting all decontamination
procedures. Priced at just £24.65 each, they are stainless steel and available in
three versions for upper and lower roots (DF0510), upper and lower centrals
(DFO520) and Upper and lower molars (DFO530).
With greater emphasis on sterilisation and decontamination than ever before
there has never been a better time to switch to single-use instruments. The
UnoDent single-use instruments are available in a wide variety of types and
with prices starting from as little as £2.40 per pack of 6, these instruments offer
a very cost effective single-use solution.
For further details on the entire UnoDent Instrument Range please call 0800
585 586 or visit www.dental-directory.co.uk.

Castellini – Quality and Reliability
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Boasting a unique design and manufactured
to the highest standards of micro-mechanics,
Castellini Goldspeed instruments become
indispensable after the first use.
Goldspeed is a series of handpieces designed
by Castellini that provide invaluable comfort to
the practitioner, even during the most delicate of procedures.
Goldspeed instruments were designed in order to satisfy the stringent
requirements within all fields of dentistry including: restoration, implant
surgery, endodontics and general practice.

Unbeatable Top quality
Handpieces from KaVo
KaVo, the leading manufacturers of proven
high quality handpieces, offers an extremely
flexible range of precision turbines and slow
speed handpieces to meet all your needs
and budgetary requirements.

The features of Goldspeed include:
• Light weight • Extremely low noise • Exceptional working precision • Steam
autoclavable at 135˚ C • Optimal balancing on the wrist • Strength of titanium
• Clear visibility of the operating field • Can be used on all micromotors with a
standard ISO 3964 coupling.
This range of instruments combines extraordinary manoeuvrability and
lightness with quality and performance.
Synonymous with safety and reliability, Castellini products have gained the
trust and esteem of the most qualified professionals throughout the world.
For further information about the comprehensive range of Castellini products
call 0870 756 0219 or visit www.castellini.com

“Nuview’s Zeiss microscope has been a
revelation!”
For unrivalled optical clarity and state-of-theart ergonomic design, dentists who demand
only the best for their patients should look no
further than Nuview’s range of microscopes.
Designed by leader in visualization Carl Zeiss,
the microscopes allow you to scrutinize the
most minute detail and finest structures,
enhancing the quality of your diagnosis and
treatment.
Dr Shahab Mirjafari BDS (Lond), Principal
Dentist at Excel Dental Care in London was
bowled over by the service he received from
Nuview. “Nuview were great! They quoted a fantastic price for the product they
supplied and I found their representative very thorough and helpful.”
“The microscope has been a revelation and has totally changed the way I
work. The video attachment allows my nurse to see exactly what is being
done and I can take photos of the procedure, allowing my patients to get an
understanding of the complexity of the treatment.”
Nuview offers a comprehensive service including a survey of the practitioner’s
equipment needs, full installation, training and prompt aftercare. Nuview also
offers the revolutionary alcohol-free Continu range of disinfectants.
For more information please call Nuview on 01453 759659
or email info@nuview-ltd.com www.voroscopes.co.uk

KaVo’s extensive range includes the exceptional quality GENTLEpower Lux
Slow Speed range and the GENTLEsilence 8000 series, the ultimate turbine
offering power and quietness. Designed with improved ergonomics and
ideal geometry these handpieces create more working space in the mouth,
improving access and visibility. The compact 13mm head height enhances its
effectiveness without compromising cutting performance. The GENTLEmini
turbine offers the ideal head size for restricted spaces.
To look after your investments, ask for information about the KaVo
QUATTROcare automated maintenance system for the cleaning and care of
handpieces. Designed for trouble free cleaning, purging and lubrication of up
to four handpieces simultaneously within 1 minute
For further information on the full range of KaVo products please contact your
preferred KaVo supplier. For information about details of the KaVo Handpiece
Rental Option, which saves you time and money, call KaVo direct on Freephone
0800 281020.

Straight Talk Inman Aligner online
courses – widening access to busy GDPs
keen to expand their practice
The Inman Aligner is currently the fastest,
most affordable way for patients to achieve
their dream smiles. In line with current
trends towards conservative dentistry,
the Inman system allows general dental
practitioners to offer the simple, easy and
effective treatment of crooked anterior
teeth using a single device.
Becoming a certified provider does not
entail lengthy postgraduate training – a
one day intensive Straight Talk training course is all that is required to begin
practising on simple to moderate cases.
Busy professionals can also benefit from signing up for the Inman Aligner
Online Certification Course, consisting of three hours of certified e-training
divided into three modules followed by quizzes and a final exam. E-learners
also benefit from membership to an online community forum where cases can
be discussed with like-minded colleagues in a supportive manner.
GDPs looking for an ethical, safe and simple way to offer patients short term
orthodontics within their practice should consider registering for one of the
Inman Aligner seminars from Straight Talk.
For more information, please contact Caroline on 0207 2552559 (UK) or visit
www.straight-talks.com

June 7-13, 2010

Quality Endodontic Distributors Ltd
Obtura Max
Enhancing endodontic success
Quality Endodontic Distributors Ltd
are the UK distributors of the Obtura
Max heated gutta percha system, the
proven answer to enhance endodontic
success.
Supported by emphatic clinical history, the Obtura Max heated gutta percha
system rapidly fills and obturates even the most difficult root canals more
completely, in less time, and with less patient discomfort than any other
method.
Used by key opinion leaders worldwide, the Obtura system has been an
integral part of the armamentarium of successful endodontists for over 20
years. It delivers controlled and predictable results, ensuring the most effective
and efficient “backfilling” technique possible. With a choice of different size
needles, condensable thermosoftened gutta percha can be used to “backfill”
any root canal system without leaving voids.
The sleek modern design of the Obtura Max unit includes five pre-set
programmes, soft touch controls and easy clean surfaces. While the lightweight,
ergonomically designed handpiece helps reduce operator fatigue.
For further information telephone Quality Endodontic Distributors Ltd on
01733 404999, email sales@qedendo.co.uk, fax 01733 361243 visit www.
qedendo.co.uk or contact your local QED Salesperson.

Hu-Friedy Introduces the SWERV3™
Magnetostricitve Ultrasonic Scaler
Rotterdam, 31 May 2010. Hu-Friedy, a global
leader in the manufacture of dental instruments,
announced the launch of its sophisticated,
user-friendly magnetostrictive ultrasonic scaler,
SWERV3. The SWERV3 is an effective, versatile
scaler designed for the comfort of dental professionals and their patients.
Hu-Friedy’s SWERV3 features finely-tuned electronics, which improve control
and scaling effectiveness in all clinical indications, helping dental professionals
provide optimal care. A full range of power settings provide procedural
versatility and optimize clinical efficacy, and like all Hu-Friedy periodontal
instruments, SWERV3 combines sophisticated technology with quality
craftsmanship.
Recognizing the importance of proper infection control, Hu-Friedy designed
the SWERV3 with a smooth touch pad control panel for ease of asepsis. The
ultrasonic scaler also features color-coded lighted displays, including a visual
queue for identification of current settings. An auto-purge function helps
facilitate proper waterline maintenance. The modular plug & play design can
be customized and allows for portability among multiple operatories.
The SWERV3 ultrasonic scaler complements Hu-Friedy’s extensive catalog of
hand and power instruments that help dental professionals perform at their
best.
For more information about SWERV3 and the complete line of Hu-Friedy
ultrasonic scaling solutions, or to place an order, please call 00800-HU-FRIEDY.

General
Class II’s are easier with
Composi-Tight 3D - product
solutions from Garrison
Garrison
Dental
Solutions,
established in 1996, is a privately
held company specializing in
the design, development and
manufacturing
of
product
solutions to improve the quality
and efficiency of the dental
profession.
Over 25 years of experience have been spent specializing in posterior
composite restorations. Garrison also has key personnel in product design,
engineering, manufacturing and marketing to provide on-going restorative
product solutions to the dental profession. The latest products from Garrison
Dental Solutions are the popular Composi-Tight® 3D™ Sectional Matrix
System, the first and only non-stick matrices Slick bands™ and the wooden
Soft Wedges™. Enclosed you will find the product catalogue with detailed
information. For any further requests please contact Garrison by email at info@
garrisondental.net or by free call at 0800 011 2738.

DENTSPLY launches new SDR™ at BDA
Conference
Delegates visiting DENTSPLY’s stand at this year’s
BDA Conference in Liverpool were treated to a
very special product launch, SDR – the smart
dentine replacement that simplifies posterior
direct restorations, saving time.
Dr. Louis Mckenzie presented a popular seminar
titled ‘A practical guide to posterior direct
restorations’ which included SDR, and dentists from all disciplines were eager
to see how the newly patented posterior bulk-fill flowable composite could
improve the treatments they provide.
SDR™ has a flowable viscosity that enables a simple and efficient filling
technique unlike any other, excellent for all class I and II restorations.
Conventional procedures require complex and time-consuming layering, but
SDR makes the entire process up to 40% quicker as it does not require layering
or a liner.
Compatible with most other composites and adhesives, SDR™ minimises
shrinkage stress by 60%, significantly reducing the incidence of microleakage,
sensitivity and decay.
SDR perfectly complements other products in DENTSPLY’s comprehensive
range of restorative materials and equipment to simplify posterior direct
restorations.
For more information, or to book an appointment with your local DENTSPLY
Product Specialist, call 0800 072 3313 or visit www.dentsply.co.uk

[27] =>

United Kingdom Edition June 7-13, 2010

ASPD members on hand at the 2010 BDA
Annual Conference and Exhibition
Lloyds
TSB,
financial
advisers
from
money4dentists and Essential Money, and legal
experts from Maxwell Hodge Solicitors and
Lockharts Solicitors were representing their
respective companies at the British Dental
Association’s Annual Conference and Exhibition
in Liverpool this year.
These trusted names in the dental world were on hand to impart their advice
to delegates at the event and are well versed in the issues that face dental
professionals in the industry today.
All four companies are members of the Association of Specialist Providers to
Dentists (ASPD), their objective being to provide the highest level of service
and expert advice, reliable advice and support every time.
Other ASPD service providers throughout the UK all into one of the following
categories including:
• Solicitors • Accountants • Banks • Financial Advisors • Valuers and Sales
Agents • Insurance brokers
Dentists are able to find the right advice tailored to suit their individual needs
at the ASPD, as all of its service providers must be approved by at least five
independent dental professionals and must be supported by two current
ASPD members before their application is considered.
For more information on the ASPD please call 0800 4586773 or visit www.
aspd.co.uk

Goodman Legal, Lawyers for Dentists
provide delegates with expert advice on
how to purchase a practice.
Delegates who attended the British Dental
Association’s Career Day this February learnt
how to successfully navigate the legal
minefield of practice purchases during a
presentation by Goodman Legal, Lawyers for
Dentists.
Senior Partner Ray Goodman spoke in
great detail about the important aspects any
dentist should consider when buying a new practice. He gave a comprehensive
market overview followed by valuable tips on how to speed the process along
with specific advice for private, NHS and mixed practices.
The advantages and disadvantages of practice incorporation were discussed,
along with a detailed breakdown of the stages of practice purchase transaction,
including contracts, warranties, disclosures, and partnership agreements.
Dentists learnt what costs they could expect to incur, with special
consideration given to accountants’, agents’ and legal fees, together with
disbursements and valuations.
Goodman Legal, Lawyers for Dentists are experts in dealing with the sale and
purchase of all kinds of dental practice and operate nationally.
For more information please contact Ray Goodman, Goodman Legal, Lawyers
for Dentists on 0151 707 0090, email rng@goodmanlegal.co.uk or visit www.
goodmanlegal.co.uk

2010 Smile Awards – Celebrating beautiful smiles!
Dr Zaki Kanaan and Dr Christopher Orr
Delegates at the 2010 Smile Awards were treated to an
evening of food, drink and dance in celebration of all
that is good and great about creating beautiful smiles
through dental and facial aesthetics.
Cases were submitted to a variety of different
categories including: Orthdondontic Smile, Restorative
Smile, Conservative Ceramic Smile, Conservative Composite Smile, Single
Implant Smile, Interdisciplinary Smile, Multiple Implant Smile, Non-surgical
Facial Aesthetics, Aesthetic Restorative Technician, Generosity of a Smile,
Aesthetic Implant Technician, Patient’s Smile and Facial Reconstruction.
Each case was examined closely by an expert panel of judges led by the
respected Dr. Christopher Orr. All short listed candidates who nominated their
work were given credit for their commendable effort and skills, with awards
given to a highly commended runner up and the category winner in each
section.
Leader in restorative technology, Nobel Biocare was proud to see several of its
users short listed at the prestigious event, some of them highly commended
or even winning their category.
Congratulations to everyone who took part and here’s to next year’s event, to
be held on Friday 25th March 2011!

Only 1.5% left to go…
A recent customer satisfaction
survey revealed that Practice Plan,
the leading custom branded dental
plan provider, has an incredible
98.5% overall satisfaction rate.
The annual survey, and fourth of its kind for the company, showed that one in
three of their customers believe they have improved upon their services from
the previous year and that there has been a significant improvement in their
customers enthusiasm to recommend them to others.
The credible results are a fantastic achievement for the company, especially
in the testing economic climate, John Hughes, Managing Director at Customer
Service Network, who carried out the survey explained: “In the current climate
it is difficult for any service organisation to improve and grow. For Practice
Plan to have developed and achieved overall satisfaction ratings of 98.5% is
an excellent result. In addition, one in three customers believe that the service
and relationships with Practice Plan have improved in the last twelve months,
which is a result to be proud of.”

Practice Plan Ltd, Kempthorne House, Park Avenue, Oswestry,
Shropshire SY11 1AY

Future dentists given the full treatment
“Everyone wants a beautiful smile and brushing is the simplest way to start
motivating patients” was the straightforward advice Dr Mani Bhardwaj BDS Principal Dentist for The Smile Studios Dental Spa in Richmond - recommended
his audience pass on to their future patients. Dr Bhardwaj was at Barts and
The London School of Dentistry and Medicine speaking to final year dental
undergraduates about how to educate patients about their dental hygiene
and care.

Healthy Discounts by Munroe Sutton at the
BDA Annual Conference 2010
The Munroe Sutton team enjoyed a lively event
this year at the BDA Annual Conference in
Liverpool. The team received a very positive
response from delegates who wanted to know
more about the Healthy Discounts Plan by
Munroe Sutton and how it could help benefit their practice.
Free to join, the scheme offers registered practitioners the opportunity
to expand their patient list by potentially hundreds of new cash-paying
individuals.
Carefully designed discounts offer patients, both corporate and individual,
great incentives to visit a Munroe Sutton registered practitioner. However,
despite discounted treatment rates, a practitioner’s profitability is not
impacted, and more cash-paying patients are highly beneficial to a practice’s
cash flow.
As well as attracting more patients, Munroe Sutton’s Healthy Discounts
Plan also offers free marketing and promotion of registered practices, with
promotions in dental directories, daily database updates and website searches.
Speciality practitioners can be located using Munroe Sutton’s online dental
directory, and patients can enjoy incentives on everything from endodontic
treatments to facial aesthetics, so whatever your speciality, Munroe Sutton will
find the perfect patient for you.
For more information please call 0808 234 3558 or visit www.munroesutton.
co.uk

More information about The Smile Studios Dental Spa in Richmond can be
viewed at www.thesmilestudios.co.uk. The practice also launched a quarterly
on line magazine which can be viewed at www.smilemagazine.co.uk.
More information about Sonicare is available on www.sonicare.co.uk/dp or by
calling 0800 0567 222.

SMARTSEAL IS NOW MORE RADIO-OPAQUE!
Smartseal, the creator of innovative endodontic
systems, is delighted to reveal its new radioopaque smartpoints.
After considerable effort, the team at smartseal
has created a fully radio-opaque hydrophilic
polymer called propoint. This product has
been developed following feedback from
practitioners who said they found smartpoints
easier and quicker to use but requested the
point be more radio-opaque so as to be more consistent with other products.
Propoint is likely to be met with great excitement by leading dental
professionals at the BDA’s British Dental Conference and Exhibition in Liverpool
on May 20 - 22.
Jerry Watson, Chief Executive of smartseal, says, “We have been working very
hard to meet dental professionals’ expectations regarding radio-opacity and
are thrilled to launch propoint, as this is exactly what they have been asking
us for.”
Propoint matches s5, ProTaper and constant taper .04 and .06 file systems
and is the latest product to be launched by smartseal, which revealed its
biocompatible root canal sealer, smartpaste bio, to thousands of clinicians at
the BDTA’s Dental Showcase in Birmingham in 2007.
For press information please contact Sue Adams on 01452 886367

Snappy Half Price Special Offer
Buy two 10g/7ml packs during
June 2009 at half price. Each pack
is available at only £15.45 .
Diamond Snappy Glass Ionomer
Cement was designed to help
Dentists treat nervous patients,
particularly children. Certain
characteristics contained within
the product’s properties enable the Dentist to carry out a successful restoration
quickly and still give patients the tender care they need. It is quick, easy to use
and is resistant to saliva as soon as the cavity is filled.
Snappy is very easy to pack and place because it is not sticky. It has a quick
snap set with no bitter after taste and is resistant to saliva as soon as the cavity
is filled. No primer or bonding agent is required.
Diamond Snappy’s high speed setting is due to a more reactive acid-base
reaction. Diamond Snappy also maintains a superior compressive strength for
a long time making it amazingly wear resisitant and durable.
For further information or to place orders call Jackie or Helen on 01793 770256
or visit our website www.kemdent.co.uk.

Philips appoints Amarjit Gill as Chief Clinical Dental
Advisor
It has been announced today that Dr Amarjit Gill, BDS MFGDP,
been appointed as its Chief Clinical Dental Advisor by Philips
Oral Healthcare. Earlier this year he was voted one of the top
five most influential dentists in the UK and has just taken on
the mantle of the BDA’s Presidency.
Dr Gill has developed a thriving private practice in Nottingham which offers
cosmetic procedures as well as focusing on and advocating preventive
dentistry. He also works as a business consultant advising on the launch of
new products and ensuring their sustainability. Another of his recent roles
is Non-Executive Director of DentalXpress, the UK’s first social enterprise to
address the problems of acute access to NHS dentistry and oral surgery and
soon to make inroads into private practice.
For more information about Philips Oral Healthcare and its Sonicare brand
please visit www.sonicare.co.uk/dp or call 0800 0567 222.

Contact Details:
T: 01691 684135 F: 01691 684149 E: info@practiceplan.co.uk
W: www.practiceplan.co.uk

For further information please call: 01895 430 650 or visit www.nobelbiocare.
com

Dr Bhardwaj’s series of talks supported by Philips here and for the BDA are
designed to give future dentists essential career advice; introducing them to
the commercial realities of dentistry and the importance of practice retailing
as a way of offering the best possible service to patients, ensuring that
they sustain their oral hygiene at home. The speaker shows that promoting
dental products does not mean that the dentist has to feel or act like a sales
representative.

Industry News 27

Picasso laser on CCADS course
On the recent California Centre for
Advanced Dental studies (CCADS)
course in Bourne End, delegates were
instructed on the use of the Velopex
super compact Picasso Diode Laser.
CCADS trains local clinicians on
smile design with mentor instructors
working closely with ‘pupils’.
The Picasso laser contains two lasers:
a 7 Watt (user power) Gallium Aluminium Arsenate (GaAlAs) diode laser and
a small laser pointer. The GaAlAs laser is ideal for soft tissue (gum) work – as
it does not interact with teeth or bone (810nm). It is particularly indicated for
both periodontal work – where it can sterilise the pocket killing the bacteria –
also for endodontic work where it can sterilise the root canal.
With a price of just £4,995 + VAT for the complete package including case, 3
pairs of glasses as well as a 2 year warranty - this is set to become a big seller.
Not only that, but this price includes an Aquacut Quattro single chamber unit
– giving a hard and soft tissue combination – amazing value!
For more information on CCADS or the Picasso Laser, or to arrange a
demonstration, please contact:
Mark Chapman
Tel 07734 044877
Picasso laser on CCADs course

Septodont Ltd is proud to
announce the launch of their new
and improved website.
The new site features a fresh design,
focused on delivering information
pertaining to products and services
in an easy to navigate, aesthetically
pleasing approach. The fusion of
style and content provides customers
with access to product information
and a more clear depiction of the
many services that Septodont has
incorporated to better serve the
dental profession.
Septodont General Manager Mike Cann has led the online development
and believes that the new site better reflects the company’s ethos and key
messages:
“This represents a significant advance for Septodont in the UK, coming at
a time when we are bringing many new products to market and continuing
investment into the development of others. It is vital that our website
effectively communicates who we are and our capabilities in working with
dentist around the UK”.
We hope you will enjoy surfing the site. Your comments and suggestions are
most welcome, through the site’s “contact” facility. For more information about
Septodont and to see the new website please visit www.septodont.co.uk.

Tavom – Top Quality Guaranteed
Looking to transform your practice into
a modern, comfortable environment
for both staff and patients? If so, then
look no further than Tavom.
Tavom uses quality materials in a
creative way allowing practitioners to
present a surgery that reflects a highly
modern and professional approach to
patient care.
The new Mitto Range is a fine example of Tavom’s innovative design of
cabinets, illustrating how practicality and style are combined to create storage
that always maximises even the most limited space. Combined with the stylish
Y Glass work surfaces, the surgery becomes an ultra-modern space to work in.
With over thirty years of design and build experience, Tavom uses the latest in
Computer Aided Design to eliminate the stress of refurbishment. Fully up to
date in all of the latest decontamination protocols, Tavom will ensure that your
surgery is compliant with all regulations.
Being a market leader in the provision of durable, high quality, hygienic and
aesthetically appealing dental furniture and cabinetry, Tavom can assist you
in creating a professional and functional practice to suit the demands of any
client.
For further information call Tavom UK on 0870 752 1121
Or visit www.tavom.com

[28] =>

28 Industry News
Working with you to increase your
Patient base!
General and specialist UK dentists in
every field are discovering the benefits
of the Munroe Sutton Patient Referral Plan and are providing patients with
the cost-effective oral health care they would otherwise not have been able
to afford.
The team from Munroe Sutton has been helping dentists grow their patient
base and increase profitability for over 30 years.
• Munroe Sutton knows how to advertise dental services, with over 8,000,000
patients on its US dental plan.
• Participating dentists enjoy free marketing, also promoted through dental
directories, daily database updates and an up-to-date website search.
• A 24/7 automated system ensures easy patient verification for an efficient
process and smooth patient journey.
• Offers outstanding benefits including exceptional laboratory rates and even
multi-lingual assistance to help patients find the ideal treatment provider

United Kingdom Edition

Dealing with dental phobia in children
It is imperative that children receive regular
dental check-ups as they grow up in order to
ensure a strong, healthy smile into adulthood.
However, how do you deal with a situation when
dental care causes a child severe distress?
Ten percent of the population suffer from
dental phobia, and fear dentists and dental work.
Although rare in children, the condition is very
real – and can make visits to the dentist a real
ordeal for the patient, parent and practioner.
Dental phobia is not easy to treat in children. Often the cause of the fear
is unjustified, making it very hard to offer a solution. However, by working
together, the parent and practitioner can help ease the situation.
Information on how best to deal with nervous younger patients can be found
on www.dentalphobia.co.uk. The site is full of comprehensive information for
both parents and professionals, and includes details of treatment options, case
studies and patient articles.

June 7-13, 2010

Bristol Study Club: The £1m
Dental Practice
Committed to excellence, the
British Academy of Cosmetic
Dentistry’s Study Club events are
great opportunities to benefit from
the experience and knowledge of speakers who are leaders in their field.
The BACD Bristol Study Club on Tuesday 19th October 2010 is entitled ‘The
Million Pound Dental Practice’ and will show examples of practices that are
able to:
• Provide a healthy work / life balance for the principal
• Generate £1m in sales and £300,000 in pre-tax profit
• Create a positive working environment
• Offer great earnings and a career pathway to the team
• Develop first class customer service
• Give patients the best dentistry available

For more information, visit www.dentalphobia.co.uk

With his wealth of experience in coaching and mentoring dental practices, Mr
Chris Barrow will show how to develop a business model that is sure to inspire
and motivate.
Committed to helping people succeed in their lives and businesses, Chris
is a consummate speaker whose presentations are accessible and engaging.
Availability for this event is limited so booking early is recommended.
For more information or a booking form please contact Suzy Rowlands on
0208 241 8526 or email suzy@bacd.com.

High quality magnification and
eye protection with Hogies
Dental professionals have come
to associate Hogies with high
quality eye protection, illumination
and magnification. The stylish
long lasting Hogies frames fix
to loupes, auxiliary illumination
and prescription lenses with
straightforward and effective magnetic connectors.
Hogies MiniScope Loupes are available with 2.5x or 3x magnification and
provide the wearer with an uninterrupted field of vision, depth of field and
a working distance of 420mm to promote the most comfortable posture. The
MiniScope is lightweight, easily adjustable and reduces strain for the wearer
during treatment.
With Hogies Visors, the wearer enjoys full-face protection from the debris and
bio-aerosols that can result from clinical procedures. The Visors are adjustable
and cater for most eyeglass prescriptions. Each Visor comes complete with
10 disposable shields, with replacement shields available in packs of 10. The
Visors come in seven fresh and vibrant colours to integrate perfectly with your
practice colour scheme.
The Hogies range is designed to precise specifications, providing the dental
professional with the highest standard of equipment.
For more information please call John Jesshop on 07971 128077
or email john.jesshop@blackwellsupplies.co.uk

Tailored financial services for dental
professionals
As an owner-managed business, Lansdell
& Rose fully appreciate the unique
circumstances faced by dental practice
owners. With greater pressure upon the
finances of dentistry professionals, now
is the time to take advantage of expert guidance to ensure greater financial
success in the future.
Lansdell & Rose understand a practitioner’s unique needs and goals, and offer
a package of tailor made services including;
• Investment – risk analysis, regular savings, investment strategy for targeting
income or growth, regular savings and tax considerations
• Full mortgage service on residential or commercial/industrial properties,
owner occupied and buy-to-let
• Protection - income protection, mortgage and family security from critical
illness, disability or death
• Pensions – planning for retirement, self-invested pensions (SIPP), small selfadministered pension schemes (SSAS) and review of existing arrangements
• Inheritance tax
Providing a tailored package of business advice, financial and tax planning,
Lansdell & Rose can assist in realising the full potential from the financial
organisation of the business.
For more information please visit www.lansdellrose.co.uk or call Lansdell &
Rose on 020 7376 9333

Genus takes ideas and turns them
into reality
If you have a vision of your perfect
practice, Genus can make it a reality.
The Design and Build programme
from Genus develops the dentist’s
idea into a state of the art, striking
interior, inspiring confidence in both
the patients and staff.
A committed specialist works with
the dentist, developing and overseeing the project whilst keeping the design
within all new and existing industry guidelines. Using the latest in CAD and 3D
software, Genus’ designers provide accurate previews of the finished project,
creating a greater understanding between dentist and specialist.
By not being bound to a particular manufacturer, Genus is able to source from
different locations, obtaining the perfect furniture, fixtures and fittings for the
practice. Genus delivers independent advice and goes the extra mile to listen
to the customer’s concerns.
Everybody knows designing a practice from scratch is not easy. This
is why Genus holds a partnership-driven approach, designed to foster
better communication and problem solving, identifying risk factors and
implementing improvements. This has already produced project savings in
excess of 15%.
For more information please call Genus on 01582 840484 or email chris.
davies@genusgroup.co.uk www.genusinteriors.co.uk.

Kent Implant Studio builds
ongoing relationships with
referring dentists
Dentists looking for the very best in
implant provision and care should
look no further than Kent Implant
Studio based in Northumberland
Road, Maidstone. The team, led by
Implantologist Dr Shushil Dattani BDS, MFGDP(UK), DipImpDent RCS (Eng),
provides a professional service that cannot be beaten.
You only have to look at Dr Dattani’s extensive range of qualifications and
experience to know that your patients are in safe hands at Kent Implant
Studio. Dr Dattani is a member of the Faculty of General Dental Practice and
the Association of Dental Implantologists. He is accredited with a Diploma
in Implant Dentistry and an Advanced Certificate in Implant Dentistry (Bone
Grafting) at the Royal College of Surgeons of England.
Dr Dattani and his team strive to build strong, ongoing relationships with
referring dentists and are able to work on complicated cases such as sinus
grafts, bone grafts and ridge extensions.
The team at Kent Implant Studio look forward to welcoming your patients to
their new, state-of-the-art practice where they can expect to receive a highly
informative and flexible service.

Smile-on celebrates at the BDA’s
Annual Conference 2010
Corks flew at Smile-on’s stand at
the British Dental Conference in
Liverpool this year, with delegates
treated to a drinks reception in
celebration of the company’s 10th
anniversary!
For the last ten years, Smileon has continued to help dental
professionals meet their CPD
obligations, providing courses
that are flexible, involving and inspirational. Busy practitioners can log on to
the company’s website which is specially focused on users’ core CPD. Smileon is dedicated to advancing skills within the dental industry and also offers
innovative live and interactive webinars that registered users can access in
their own free time.
Smile-on talked to delegates interested in the MSc in Restorative and
Aesthetic Dentistry which is in conjunction with the University of Manchester,
CORE CPD - the latest learning platform that looks after all your core subject
needs and DNNET II which is designed to help dental nurses studying for the
National Certificate or the NVQ level 3 in Oral Health Care Dental Nursing, but
also serves as a great refresher course for more experienced nurses.

Effective solutions for every procedure
Nobel Biocare knows that every patient and
every procedure is different. Accordingly,
they have developed a wide range of
revolutionary products designed to
facilitate all kinds of procedures. These
include:
The Nobel Active™ represents a breakthrough in implant design with an
expanding tapered body and built in Platform Shifting. Users will benefit from
its back tapered design on the coronal portion and drilling blades on the apex
for excellent initial stability.
For a more cost-effective implant option, look no further than the All-on-4™
technique that allows practitioners to fit a fixed bridge on the same day as
extraction. Patients will benefit from shortened treatment time and greater
comfort.
NobelReplace™ for GDPs is the fastest growing product on the market. Its
colour coded parts allow for fast identification of components and include a
step-by-step drilling protocol for predictable surgical procedures. Its unique
root shape provides reliable initial root stability.
NobelProcera™ allows practitioners to deliver the highest quality esthetics
simply, affordably and quickly by combining industrialized production
processes with versatile and individualized esthetics. All-ceramics enhance
clinical results and boost the dentist’s business.
For more information contact Nobel Biocare on 01895 452 912, or visit www.
nobelbiocare.com

Superior strength
interdental brushes
Interdental cleaning is
an important part of
an effective daily oral
healthcare routine.
With Curaprox, dental
care professionals can
now offer their patients an interdental brush that is firm, flexible and very
strong.
Using an exclusive, patented surgical wire called CURAL©, Curaprox
interdental brushes are now even stronger, lasting up to 5 times longer than
other brushes.
With extra long and ultra fine filaments, Curaprox interdental brushes
completely fill the interproximal space, making them perfect for removing
plaque from the interdental sulcus and concave crevices, without causing
damage to the gingival tissue.
A quality interdental brush needs a quality holder, and Curaprox provides a
range of specially developed holders to help achieve more effective interdental
cleaning.
Thirty years of experience has helped Curaprox develop an impressive range
of products to support patients maintain their oral health.
For free samples please email clare@curaprox.co.uk
For more information please call 01480 862084, email info@curaprox.co.uk or
visit www.curaprox.co.uk

Committed to excellence, Munroe Sutton works with dentists at the top of their
profession helping them reach out to millions of potential extra patients. For a
proven, world-class solution to increased revenue at no charge to the dentist,
contact Munroe Sutton and discuss how you, and your patients, can benefit.
For more information please call 0808 234 3558
or visit www.munroesutton.co.uk

BACD Membership
Become a member of the British Academy of Cosmetic
Dentistry and become part of a rapidly growing
organisation, dedicated to developing the skills and
knowledge of dental professionals.
Cosmetic dentistry is an area where there are constant
developments in techniques and materials being used.
By becoming an associate member of the BACD, dental
professionals can ensure they are kept up-to-date.
There are plenty of good reasons to become a member:
• Be part of the UK’s largest and fastest growing cosmetic dental organisation
• Join a community of innovative, positive, like-minded professionals
• Gain access to the best international speakers as well as local training and
education
• Develop skills and embark on a career in cosmetic dentistry
• Gain recognition of skills through the Accreditation Programme
Associate membership is open to any members of the dental team including
hygienists, practice managers and assistants, to help develop the overall
aesthetic experience for patients.
Join hundreds of the world’s most successful cosmetic dental professionals by
becoming a member of the BACD.
For more information contact the BACD on 0207 612 4166
Or email info@bacd.com

‘Ask an expert’ is also very useful for professionals who may have experienced
having a nervous child in their surgery, and may be unsure how best to treat
them.

For further information on the Kent Implant Studio or to obtain a referral pack
please 01622 671 265

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

Simply the best – R4 Practice Management Software
PracticeWorks R4 practice management software is the
only program created by dental practice management
experts, designed with intuitive features to enhance
daily organisation and efficiency. PracticeWorks R4
software includes:
• Patient Central – All patient’s clinical notes and previous treatments can be
stored electronically and viewed on one screen
• Appointments – Enables easy appointment management, reschedule
cancelled and missed sessions with a few clicks
• Business reports – Create customised, individual reports on all financial
aspects of the practice
• Patient education module – Digital images aid patients to visualise
forthcoming treatment and results
• Digital images – Digital imagery is stored on patient charts and can be
accessed from any workstation in practice
PracticeWorks R4 software also includes features such as secure online patient
appointment booking for those who cannot telephone during work hours, and
an instant messenger service with pop-up reminders for important tasks.
PracticeWorks provides an advanced range of digital imaging software and
units as well as innovative X-ray technology. PracticeWorks offer dentists
outstanding aftercare, training and support.
For more information please call 0800 169 9692 or visit www.practiceworks.
co.uk

[29] =>

[30] =>

30 Events

United Kingdom Edition

Get ‘Up To Date’ with P&G
Enjoy a complimentary dinner while gaining two verifiable hours
of CPD at P&G Oral Health’s latest seminar sessions

&G Oral Health (OralB) has launched its new
‘Up To Date’ scientific exchange seminars and are inviting dental professionals to attend a complimentary CPD ac-

credited evening event at one of
three locations: London (Royal
College of Physicians, 10 June),
Manchester (Cranage Hall, 24
June) and Bristol (the Aztec Hotel, 29 June).

The guest speakers are Prof
Trevor Burke and Dr Julian Satterthwaite, while the evening
will be hosted by Dr Stephen
Hancocks. Prof Burke’s lecture is
provocatively entitled ‘Does Size

The ‘How
to

Matter?’, while Dr Satterthwaite
will be exploring ‘The Management of Failing Dentitions’.
Food for thought
Prof Burke discusses how the

make a

SUCCES
S
CONVER FUL
S
to private
ION
prac
tice’ Event

CHOOSE
Y
DIRECTI OUR
ON

June 7-13, 2010

successful long-term restoration
of teeth is dependent on many
factors and demonstrates how
minimally invasive treatments
have been shown to present
fewer adverse pulpal events
than techniques which require
heavier preparations. His talk
will look at the incidence of failure of restorations and suggests
a minimally invasive method
of treating anterior tooth wear.
He will also explore whether
minimally invasive crowns and
bridges are possible and will
examine ways to prevent cusp
fracture (and how to treat it) as
well as presenting a philosophy
for minimally-invasive planning
of treatment.
Dr Satterthwaite will address
a common issue faced by dentists today; having to maintain
dentitions that have been extensively restored either through
the cumulative effect of multiple
interventions or the provision of
advanced dentistry. Those patients who manage to avoid the
restorative cycle may suffer with
‘failing teeth’ due to tooth wear.
His talk will provide helpful
tools and tips for management,
restoration and prevention of
such cases.

If you’re considering converting to private practice
but are unsure about how to proceed, come and join
Practice Plan and our special guest, Chris Barrow
for a two hour evening seminar dedicated to giving
you practical and simple advice on how to make a
seamless and successful conversion.
Practice Plan has helped hundreds of NHS practices across
the UK to successfully convert to private practice and we’ll
have experts on hand to answer all your questions and
support you in any way we can.
Each event is FREE, just choose the venue that’s right for you...

Tuesday 15th June 6.00 pm : Birmingham
Tuesday 22nd June 6.00 pm : Manchester
Tuesday 29th June 6.00 pm : Windsor
To reserve your FREE place please call Jen Smith on...

01691 684141
or email jen.smith@practiceplan.co.uk

www.practiceplan.co.uk

Special Guest:

Chris Barrow
If you’ve never heard Chris
Barrow speak...then you’re in
for a treat. If you have, then you
know you can expect the kind
of straight talking, no-nonsense
practical advice that has helped
countless dental practices to
succeed and grow.

As an added bonus,
the event will deliver

2 hours CPD!
“ The whole process is
made easy for you with
Practice Plan”
Gayna Horridge

Cahill Dental Care Centre

Complimentary dinner and CPD

CPD and dinner
As well as two verifiable hours
of CPD, every delegate is invited
to enjoy a complimentary meal
at the beginning of the evening.
Registration and buffet is from
6pm with the first lecture starting at 7pm. The evening will finish at 9.30.
Spaces at these events are
limited and are allocated on a
first come, first served basis. If
you would like to attend, please
email the following information
to the event organiser Michelle
Hurd (michelle@ab-communications.com) – your name and
position held within the practice, your postal address (home
or practice), a contact telephone
number, confirmation of which
of the three events you want
to attend and the name(s) and
position(s) of any other colleagues who would also like to
come. You will receive a confirmation by email within five
working days. If you don’t, please
call 020 8399 5079 or 07920
178179, as your email might not
have been received. DT

[31] =>

Classified 31

United Kingdom Edition June 7-13, 2010

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

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

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

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

part of the oprogroup

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

7320_09_3

mouthguard and tray
cleaning tablets

Good ice-cream
Great lawyers
The Specialist Dental Team at
Cohen Cramer Solicitors would like
to thank everyone who visited us at our stand
at the Birmingham NEC Dentistry Show.

See you again next year with
more ice-cream…and legal advice!

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

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

Extremely Enhanced Income Multiples

19/10/09 17:03:31

for Dentists

+44 (0) 1403 780 770

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

MPMS 95x50 Dentists.indd 1

Untitled-4 1

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

11/12/2006 21:56:19

[32] =>

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[cover] => DT UK 1510

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