DT UK 1610

Scientists warn dental x-rays increase cancer risk / News / GDPUK round-up / News / A fitting tribute / Cut to the chase learning / Advertorial / Erosion comes to the fore / Growing your practice / Dr Ed Bonner and Adrianne Morris discuss the importance of authenticity in leadership / The importance of the USP / Reducing your tax bill / Scientific Symposium on Micro-invasive caries management / Your perfect space / Helping busy hands keep healthy / Passion for dentistry / Asking for support / A significant milestone in my career / Industry News / ITI Education Week comes to the Eastman / Classified

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Table of contents

June 14-20, 2010

PUBLISHED IN LONDON
News in Brief
Recession prevents
check-ups
People have stopped visiting the
dentist for regular check-ups
due to the recession, according
to a new survey. The survey,
conducted by the British Dental Health Foundation as part
of National Smile Month, highlighted a number of reasons as
to why people do not have regular check-ups. Half of people in
the survey blamed it on money
troubles above dental phobias
and not having an NHS dentist.
Chief executive of the Foundation, Dr Nigel Carter said: “This
really highlights how the recession has impacted people over
the last few years. Members of
the public have had to sacrifice
good oral healthcare to get by
financially, and that is not right.
People need to have access to a
dentist.” The survey found that
11 per cent do not have regular
check-ups because they do not
have an NHS dentist.

Sonicare for Kids
During National Smile Month,
£1 for every Sonicare for Kids
sold is being donated to the
British Dental Health Foundation to support the campaign.
This year the BDHF is urging
parents to help their children
realise the importance of learning a good oral health routine
at a young age so they can keep
their mouths healthy for life.
The Sonicare for toothbrush
has been specifically designed
to help kids build healthy brushing habits for life. The Smile
Month promotion was launched at the BDA Conference
in Liverpool on 20 May and as
a result of sales of Sonicare For
Kids during the show a cheque
for £217 was presented to Dr
Nigel Carter – however this was
only the start and Philips aims
to send a further cheque to the
BDHF after the closing date as
a result of sales they achieve
during the month.
Walk for cancer
1000 places are up for grabs in
the 5th annual FREE Mouth
Cancer Foundation 10K Awareness Walk, which is launched
today. The walk is designed to
increase awareness of mouth
cancer, celebrate survivorship
and remember lost dear ones
while having a fun day out with
family and friends. The Mouth
Cancer Foundation organises
the event which takes place at
13:00 on Saturday 18th September 2010, in Kensington Gardens, London and this year they
are challenging 1000 people to
walk the 15,000 steps it takes to
complete a 10K course in order
to raise much needed funds and
awareness to combat mouth
cancer. To take part in the
FREE Mouth Cancer Foundation 10K Awareness Walk visit
www.mouthcancerwalk.org
www.dental-tribune.co.uk

News

Practice Management

Feature

Ortho on TV

Orthodontic charity filmed by
BBC in Africa

page 4

VOL. 4 NO. 16

Vetting & Barring

Are you up to speed with the
new regulations?

Milestone

USP ABC

It’s time to find your practice’s
USP, says Dr Solanki

page 8

Special feature

page 18

A look behind the scenes of UCL
Eastman CPD’s latest facilities

pages 26-27

Scientists warn dental
x-rays increase cancer risk
Dental x-rays can increase the risk of thyroid cancer, according to
scientists in a new study

fined risk-benefit assessment criteria to make their decisions and
ensure that unnecessary x-rays
are not taken. Dentists are fully
trained in radiography and undergo regular training to ensure
their skills remain up to date.”

research
team
from
Brighton and Cambridge
and Kuwait studied 313
thyroid cancer patients in Kuwait where the numbers of thyroid cancer are relatively high
compared with Britain.

The researchers asked the cancer patients and a similar number
of healthy volunteers how many
dental x-rays they had had. After
factoring in hospital x-rays, they
found that men and women who
had had up to four dental x-rays
were more than twice as likely to
have developed the disease than
those who had never had any.
Between five and nine x-rays and
their risk rose more than four-fold.
However, the researchers
warned that the results of their
study ‘should be treated with caution’ because the data was based
on self-reporting by the participants as comprehensive historical dental x-ray records were not
available from the clinics. The
researchers are now calling for
further investigation as currently
guidelines state that low-dose radiation exposure through dental
radiography is safe.
Dr Anjum Memon, senior
lecturer and consultant in public health medicine at Brighton
and Sussex Medical School, who
led the study, said: “The public
health and clinical implications
of these findings are particularly
relevant in the light of increases
in the incidence of thyroid cancer in many countries over the
past 30 years. It is important that
our study is repeated with information from dental records in-

Dental radiography use may have to be reconsidered

cluding frequency of x-rays, age
and dose at exposure.
“If the results are confirmed
then the use of x-rays as a necessary part of evaluation for new
patients, and routine periodic dental radiography (at six-12 months
interval), particularly for children
and adolescents, will need to be
reconsidered, as will a greater use
of lead collar protection.”
He added: “Our study highlights the concern that like chest
(or other upper-body) x-rays,
dental x-rays should be prescribed when the patient has a
specific clinical need, and not as
part of routine check-up or when
registering with a dentist.
The notion that low-dose radiation exposure through dental radiography is absolutely safe needs
to be investigated further, as although the individual risk, particularly with modern equipment is
likely to be very low, the proportion
of the population exposed is high.’
Dr Memon claimed the findings were consistent with previous reports of increased risk of
thyroid cancer in dentists, dental
assistants and x-ray workers, suggesting multiple low-dose exposures in adults may be important.

Professor Damien Walmsley,
Scientific Adviser to the BDA,
called it an ‘interesting study’ but
said: “As the authors acknowledge, this is an area that requires
further research.
“That work should be based
on larger studies of subjects for
whom better historical dental
x-ray records are available if
firmer conclusions are to be
drawn from it.
“Dentists here consider the
necessity of x-raying patients on a
case-by-case basis, employing de-

The incidence rates of
thyroid cancer have doubled
from 1.4 per 100,000 in 1975
to 2.9 per 100,000 in 2006 in the
UK. The team has linked this to
more and more patients having
dental x-rays.
However, the researchers
say that many other factors
can also be causing the increase
in thyroid cancer cases. The
sensitive diagnostic techniques
cannot solely be blamed. To
confirm the exact effect of such
techniques on cancer, further
research is required. The study
was published in the medical
journal Acta Oncologica. DT

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Page 1

United Kingdom Edition

June 14-20, 2010

Dentist charged with £1m fraud
Getting IT right for
the future

dentist has been suspended after she was charged
with stealing £1m from
the NHS.
Dr Joyce Trail, who has run
a dental practice in Handsworth
for the last 12 years, has been accused of submitting up to 5,000
bogus patient invoices between
2006 and 2009 and has been suspended from her practice in the
West Midlands.

She is charged with one
count of obtaining a false money
transfer by deception and three
counts of fraud. Dr Trail has denied any wrongdoing.

NHS Counter Fraud Team and
West Midlands Police, which led
to her arrest. DT

In 2008, she opened the city’s
first medical spa next door to
her practice, offering everything
from Botox to ‘smile makeovers’.
She was suspended following a lengthy investigation by the

Events staged for NSM

ental surgeries, schools
and even zoos have been
taking part in this year’s
National Smile Month.
The campaign, which is run by
the British Dental Health Foundation, has the slogan ‘Teeth4Life’,
highlighting the importance of
looking after teeth and maintaining them for life.

DENTAL
ELECTRONICS
IT systems
Networking
Digital Imaging
Support & Maintenance
Facial Rejuvenation Technology
Audio Visual Equipment
Telephony

0845 094 1090
www.microminder.com

UNITED KINGDOM &
THE REPUBLIC OF IRELAND

In Devon, hygienist Corinne
McElligott from the Spicer Road
Dental Practice, has been visiting
schools with her cuddly puppet,
Roo the Kangaroo. She uses Roo
to teach children how to look after their teeth.
Ms McElligott organised
brushathons at two schools and
had 300 children brushing their
teeth for two minutes.

Dr Nigel Carter, chief executive
of the Foundation, said: “A good
oral healthcare routine can help
guard against all sorts of oral and
general health conditions from
bad breath and decay to gum disease, which has been linked to a
number of more serious health
conditions such as diabetes, heart
disease and strokes.

She said: “It’s all about getting
young children to participate and
introduce them to dentistry in a
friendly way. The brushathons
were a great chance for the children to have fun with brushing
while learning some important
lessons. Hopefully it will get
them talking about their teeth.”

“By promoting good oral
healthcare in a fun and imaginative way we hope to persuade
more people of the importance of
taking care of their teeth.”

Another original event took
place in Manchester, where Tipton Training Dental School created a competition on Facebook
to find the best smile.

Even zoos have been taking
part. Animals at Dudley Zoo receiving check ups as part of National Smile Month included reindeer, tapir, babirusa, alpaca and
chimps, lemurs, orangutans and
crocodiles.

Similarly, a London clinic
has been running a competition
with a prize of a makeover for
the winner’s teeth. Contestants
had to send in a picture of their
smile to make the judges laugh.

In Leicester, Smile Essential
put on a series of events including
special treats for children with free
giveaways and balloons while all
adults were invited to enter its fundraising prize draw to win a home
tooth whitening package worth
£399 for £1.
Patients were also given the
opportunity to sample some of the
latest oral health products completely free of charge. Outside
of the practice, the team hosted
events at local schools to help promote the importance of healthy
teeth and healthy eating.
Practice principal, Lina Kotecha said: “We were delighted
to get involved in National Smile
Month and to give a little bit back
to the residents of Leicester. Good
oral health is very important and
we are always looking for ways to
help improve the dental health of
our patients.”

Odiham Dental Care in Hook
in Hampshire offered a ‘New for
Old’ trade in on your toothbrush.
Patients were asked to take
along their old toothbush to the
surgery and pick up a brand

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

new Oral-B CrossAction toothbrush or receive 25 per cent off
a new Oral-B Professional Care
550 electric toothbrush. Alongside this they also held a ‘Name
the Celebrity Smile Competition’,
The surgery is offering a brand
new IPod Nano for the first correct entry to be drawn after the
closing date on 16 June.
Meanwhile over in Redditch,
YMCA and Sure Start Children’s
Centres have been getting involved. Staff have been showing
youngsters how to clean their
teeth properly and have put on
fun activities to emphasise the
importance of good oral hygiene.
Anne Parker, children’s support worker at Maple Trees Children’s Centre said: “The children
have really enjoyed learning how
to use a toothbrush properly as
they have practised on a set of
large teeth. We have also had a
larger range of healthy snacks
at break times to introduce the
children to more foods which are
less harmful to their teeth.”
In Bolton, Cahill Dental
Care had a stand at Bolton’s
Market Hall offering people free
dental advice.
As well as offering the people
of Bolton an opportunity to discuss dental procedures such as
implants and invisalign, there
was also a competition to win a
free course of tooth whitening. DT

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

Features Editor
Ellie Pratt
Ellie.pratt@
dentaltribuneuk.com
Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com

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

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

[3] =>

News 3

United Kingdom Edition June 14-20, 2010

‘

Indecent exposure
There has been a few
talking points in dentistry this week, with
the new research
into the risk of thyroid cancer from
dental radiographs
and the profession
being high in the headlines for
different reasons.

that more research was needed
to fully validate the results, for
me opens up an interesting conundrum for dental professionals. The technology used in radiographic equipment has brought
down the exposure dose dramatically, and with an increased

Dentistry seems to be hitting the
news again recently, with fraud
charges totalling £1m levelled
at a dentist and a dental techni-

‘

Editorial comment

need for recording a patient’s
condition in case of litigation, it’s
no wonder that the use of radiographs is on the rise. Then when
research such as this surfaces,
questions are asked about the
use or overuse of radiographs!
Does the phrase ‘rock and a hard
place’ sound familiar?

cian before the GDC for harassing one of his employees with
invites to swinger parties. There
have been some good news too,
with lots of positive National
Smile Month messages finding
their way into local and national
press. Nice to see that oral health
has a plus side in non-dental
media! Now all we
need is a link between
dentistry and England
winning the World Cup
this year... 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

The research into radiographs,
although published with a caveat

Dental nurse
scholarship
established

Clinically proven 12-hour antibacterial protection

he British Dental Association Education has set up
the Ann Felton Scholarship for dental nurses.
The dental nurse who is
awarded this prize will be given
a free place on the British Dental
Association (BDA) Education’s
online Oral Health Education
(OHE) course and free entry to
the exam, worth £755, which
leads to the NEBDN Certificate
in OHE.

Immediately after brushing, billions of bacteria
come back and start multiplying1

This scholarship has been
developed in recognition of the
outstanding contribution made
by Ann Felton to the dental profession and to careers of dental
nurses across the county.
In order to be eligible for this
prize, any dental nurse applying
needs to explain, using a maximum of 250 words, how they
would use the OHE Scholarship
to advance their career.
A spokeswoman for the BDA
said: “Perhaps you would like to
gain confidence and develop a
greater understanding of a wide
range of oral health conditions
and diseases. Maybe you aspire
to set up a preventive dental unit
in your practice. Or perhaps you
harbour ambitions to become a
practice manager or a leader in
the field of oral health education.
Take this opportunity to take one
step further towards achieving
your goals. BDA Education would
be delighted to hear from you if
you are interested in applying for
the Ann Felton Scholarship. We
will be looking for a proven commitment to oral health education
as well as an indication that you
have the potential and the ability
to progress in your chosen career.”
To apply, complete the downloadable application form on
the BDA website and send it to
BDA Education, 64 Wimpole
Street, London, W1G 8YS by 30
June 2010. DT

Graphical representation; for illustration only

• Unique triclosan and copolymer formulation retains triclosan on soft

and hard tissues to hinder plaque recolonisation
• Clinically proven to significantly reduce

bacteria for 12 hours2,3

Evidence-Based toothpaste
Recommend it to your patients
1 Loesche WJ. Dental Caries: A Treatable Infection. Springfield, Illinois: Charles Thomas; 1982:64-66. 2 Amornchat C, Kraivaphan P, Triratana T. Mahidol Dent J. 2004;24:103-111.
3 Kruger IJ, Murphy CM, Sullivan RJ. Demonstration of the sustained effect of Colgate Total by confocal microscopy. Poster presented at: American Association for Dental
Research; March 7-10, 2001; Chicago, IL. Abstract 1031.
Trade name of medicinal product: Colgate Total Toothpaste. Active ingredients: Triclosan 0.3% w/w, Sodium Fluoride 0.32% w/w (1450ppm F) Indications: To reduce dental caries, improve gingival health and
reduce the progression of periodontitis. Dosage and administration: Brush the teeth for one minute twice daily. Children under 7, use a pea-sized amount. If using fluoride supplements, consult your Dentist.
Contraindications: None Known. Individuals with known sensitivities should consult with their dentist before using. Special warnings and special precautions for use: Children under 7, use a pea-sized amount.
If using fluoride supplements, consult your Dentist. Interactions with other medicines: None known. It is important to note that as for any fluoride containing toothpaste in children under systemic fluoride therapy,
it is important to evaluate the total exposure to fluoride (fluorosis). Undesirable effects: None known. Legal classification: GSL. Product licence number: PL0049/0036. Product licence holder:
Colgate-Palmolive (U.K.) Ltd, Guildford Business Park, Middleton Road, Guildford, Surrey GU2 8JZ. Recommended retail price: £1.29 (50ml tube), £2.29 (100ml tube). Date of revision of text: August 2009.

Colgate Customer Care Team: 01483 401 901

www.colgateprofessional.co.uk

[4] =>

4 News

United Kingdom Edition

June 14-20, 2010

Orthodontic charity filmed by BBC in Africa

dent of the British
Orthodontic Society, helped set up
the organisation.

BC presenter Ben Fogle has been out in
Africa following the
work of the orthodontic charity, Facing Africa.
The television programme
Make Me a New Face: Hope for
Africa’s Hidden Children was
shown on BBC Two.
In 2008, Ben Fogle caught a
flesh-eating disease called Leishmaniasis which, if untreated,
would have destroyed his face.
In the TV programme, Ben
investigates a sickness that’s
far worse but virtually unheard
of - Noma, which eats away the
faces of thousands of Africa’s
poorest children.

Up to 90
per cent of Noma victims die,
while survivors are left terribly
disfigured.
Every year, British charity
Facing Africa sends top cosmetic
surgeons to Africa to treat those
who are affected.
Consultant orthodontist, Allan Thom, who is a past presi-

The TV crew
filmed
three
children whose
lives have been
blighted by this
disease - teenager Rashid, who
is forced to hide his face in public; Asnake, aged 11, whose misshapen mouth makes him dribble constantly; and 10-year-old
Mestikma, abandoned by her
family because of her deformity.
These children join other
Noma victims in Addis Ababa
for
the
radical
transformative surgery.

Mr Thom was part of the
advance team carrying out full
medical, dental and social assessments, putting the patients
on a high protein feeding regime
and a deworming programme as
well as clerking, photographing
and assessing the degree of loss
of jaw movement.
A spokeswoman for the charity said: “It was considered essential to establish a healthy
dental environment for surgery
and extractions were performed
where as necessary as well as
plaque removal and oral hygiene.
“Each patient was given their
own hygiene pack and tooth
brushing was supervised daily.
Some had never seen a tooth-

Treating gum disease can help diabetics

reating serious gum
disease in people with
diabetes mellitus can
help to reduce high blood
sugar levels, according to a
new study.
The study carried out by
an inter-university research
team including the UCL Eastman Dental Institute and Peninsula Dental School, looked at
previous research into the link
between diabetes and serious
gum disease.

The results showed that
there is a small but potentially highly important benefit to
treating periodontal disease in
diabetic patients.
However, further research
needs to be conducted in order to
fully establish the link between
the two conditions.
Currently, it is thought that
dental inflammation, caused by
bacteria infecting the mouth, results in chemical changes that

£3k for illegal practice

magistrate’s court has
fined a man £3,000
for practising dentistry
illegally.

Robin Baldwin was found
guilty at King’s Lynn Magistrates Court of practising dentistry illegally.
He was found guilty of being prepared to practice dentistry at Greyfriars Surgery,
5 Tower Place, King’s Lynn,
Norfolk.

reduce the overall effectiveness
of insulin, thus leading to raised
blood sugar levels.
Dental treatment to reduce
oral inflammation may therefore
help to lower blood sugar levels.
This means a decrease in the
overall risk of contracting serious health complications associated with the condition, including
heart disease and eye problems.
Prof Ian Needleman from
the UCL Eastman Dental InHe was also found guilty of
unlawfully using the title of dental surgeon on a business card.
Mr Baldwin was fined £3,000
and ordered to pay £3,195.40 towards the General Dental Council (GDC’s) costs.
The GDC has now successfully prosecuted six cases of
illegal practice in the last three
months.

stitute called the research
‘particularly timely’ because
‘periodontal disease now affects
at least 40 per cent of the UK
population, and for people with
diabetes the disease levels will be
significantly higher’.
He added: “Furthermore,
levels of diabetes in the UK are
rising rapidly and with higher
prevalence amongst disadvantaged groups, periodontal
health is an important priority
both for prevention and treatThis includes Neville Forman
of Beechwood Barn, North Moor
Lane, Lincoln, who pleaded
guilty to the offence of holding
himself out as being prepared
to practise dentistry – in that he
was prepared to give treatment
in connection with the fitting, inserting and fixing of dentures.
Mr Forman was conditionally
discharged for six months and
ordered to pay £700 in costs.

brush and were used to using, on
occasions, a soft twig.”
Two weeks later the surgical
team arrived and they took over
the operating theatres of one of
the main hospitals in Addis Abba.
The surgical team were international with surgeons, anaesthetists and nurses from the UK,
France, Holland and Norway.
The team carried out more
than 50 facial reconstructions.
Anklosed jaws were released,
facial defects repaired, tumours removed and cleft palates repaired.
For more information on the
work of Facing Africa, visit www.
facingafrica.org. DT
ment. Periodontal disease is also
very treatable.
“Whilst the most important
aspect of insulin control in diabetes management is the use
of drugs and diet, maintaining
good dental health is something
patients and healthcare professionals should also recognise,
particularly because it is so easy
to treat.”
The findings, which have
been published as part of the international ‘Cochrane Collaboration’, highlight the need for doctors and dentists to work together
in the treatment of diabetes. DT
In a separate case, Mr Anthony Woodland, of West Quay,
Bridgwater, Somerset, pleaded
guilty at Bridgwater Magistrates
Court on 28 May to the offence of
holding himself out as being prepared to practise dentistry.
In addition he also pleaded
guilty to unlawfully using a specified title, namely that of ‘dental
technician’. Mr Woodland was
fined £100 for each offence. DT

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[6] =>

6 GDPUK

United Kingdom Edition June 14-20, 2010

GDPUK round-up
The GDPUK online community has been
dominated by political topics says Tony Jacobs

he General Election, the
formation of a new government and all the speeches
and appointments that followed this has lately kept the GDPUK forum bubbling away. Col-

leagues discussed the prospectuses of the contesting parties,
they argued over who they would
vote for and why, and when the
prospect of a hung Parliament
loomed, they talked about who

should join to form a government and the effect of the new
policies on dentistry.
Early after the election, two
major speeches could be extrapo-

lated to make dentists and dentistry feel more positive about the future. Nick Clegg announced new
ideas to tear up many of the laws
brought in by Labour, and asked
for people to tell him which ones
should go. The new Home Secretary, Theresa May, spoke to the
Police Federation and said that her
predecessors had tied the Police
up in red tape and undermined
their professional responsibility.
Now things would be different.
She was not going to tell them how

to do their job, any more than she
would tell a surgeon how to perform an operation or an engineer
how to build a bridge.
Feelings continue to run
very high regarding the imposition of HTM 0105 and people cooperate to protest about it. Groups
coalesce to write letters to their
MPs, to the new health ministers,
to Norman Lamb (formerly LibDem shadow Health Secretary,
well briefed and sympathetic towards dentistry, and now chief
political adviser to Nick Clegg). If
the politicians are to be taken at
their word, and the words they use
are to be believed (am I naïve?),
then there could be a better future
for UK dentistry, with less interference from Government-based
edicts and agencies.
I would also ask though, does
dentistry need a further layer of
costly regulation in the form of the
Care Quality Commission?
I urge those reading this
to write to their MP and Nick
Clegg, plus Norman Lamb, and
encourage their practice colleagues to do so, as well as LDCs
and BDA sections, to mobilise
the UK dentistry to remind the
new Government what we need
them to change – HTM 0105 and
the CQC.
As well as political topics, GDPUK forum writers and readers
have been discussing aspects of
practice management, ideas from
the US of having a large, multisurgery practice with one dentist
“running” from room to room and
treating many patients with less
downtime. The plight of snooker
star Alex Higgins, who lost his
teeth following radiotherapy for
throat cancer and had friends
helping to raise funds for him to
have implant based dental restorations was also debated.
One colleague raised the issue of a patient with addiction to
Lucozade! What would you do?
Another had a patient (who had
been previously interested in
tooth whitening) appearing with
grey teeth. This was not from
tetracycline. One writer suggested that she might have had
treatment in a beauty salon using chlorine dioxide, which can
apparently have this side effect.
Treatment options to help this
lady were not discussed. Visit
www.gdpuk.com. DT

About the author
Tony Jacobs, 52 is a
GDP in the suburbs of
Manchester, in practice with partner Steve
Lazarus at 406Dental (www.406dental.
com). He has had
roles in his LDC, local BDA and with the
annual conference of
LDCs, and is a local dental adviser for
Dental Protection. Nowadays, he concentrates on GDPUK, the web group
for UK dentists to discuss their profession online, www.gdpuk.com.

[7] =>

News 7

United Kingdom Edition June 14-20, 2010

Brush teeth to ward off heart attacks

eople who don’t brush
their teeth twice a day are
more likely to suffer from
heart disease, according to a recent study.
The study published in the
British Medical Journal found
that people who never or rarely
brush their teeth are 70 per cent
more likely to suffer from heart
disease than those who brush
their teeth twice a day. The study
looked at the habits of 11,000
adults and found those with
poor oral hygiene had a higher
risk of getting heart disease,
compared with those who
brushed twice a day.

It is known that inflammation in the body, including in
the mouth and gums, has an
important role in the build up of
clogged arteries, which can lead
to a heart attack.
However, this is the first
time that researchers have examined the frequency of teeth
brushing to see whether it has an

impact on the risk of developing
heart disease.
In the study, six out of 10 people said they visited the dentist
every six months and seven out 10
reported brushing their teeth twice
a day.
During the eight-year study
there were 555 ‘cardiovascular

events’ such as heart attacks, 170 of
which were fatal. Those with poor
oral hygiene also tested positive in
blood samples for proteins which
are suggestive of inflammation.
Study leader Prof Richard
Watt, from University College
London, said: “Our results confirmed and further strengthened
the suggested association be-

tween oral hygiene and the risk
of cardiovascular disease. Furthermore, inflammatory markers were significantly associated
with a very simple measure of
poor oral health behaviour.
“Future experimental studies will be needed to confirm whether the observed association between oral health behaviour and cardiovascular disease is in fact causal or merely a
risk marker.” DT

The study backs up previous
research linking gum disease
with heart disease.

Honorary
doctorate

he vice dean of the
King’s College London
Dental Institute has been
awarded an honorary doctorate
from the University of Athens.
Prof Stephen Challacombe
was given the award for his contributions to oral medicine and
dental research.
During his tenure with
Guy’s Hospital Medical and
Dental Schools, United Medical
and Dental Schools (UMDS)
and then the Dental Institute
of King’s College London, Prof
Challacombe has maintained
his research into mucosal immunity and clinical activity.
Prof Challacombe said:
“I am very humbled that my
work, and that of my colleagues who have made such
important contributions to
the field, has been recognised
by the University of Athens in
this way. It really is a great
honour both for myself and the
Dental Institute.”

In addition to his publications on both clinical (oral
medicine) and basic (mucosal
immunology) research, he has
published a number of books
including three in Greek with
Yannis Kayavis of the University
of Thessaloniki.
His work has been recognised by his election to the
presidencies of the British Society for Dental Research, the
British Society for Oral Medicine, the European Association of Oral Medicine and the
International Association of
Dental Research and by election
to the prestigious Academy of
Medical Sciences. DT

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So you want your own practice –
how to do it:
The Dentistry Business
Lester Ellman and Sim Goldblum
15th June 2010
Planning for the future:
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Endodontics
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Carol Tait
5th August 2010

[8] =>

United Kingdom Edition June 14-20, 2010

Is your practice
manager up with
the new vetting and
barring regulations?
Asks Seema Sharma
Are you aware that…
• Under the Safeguarding
Vulnerable Groups Act 2006,
the Independent Safeguarding
Authority (ISA) takes decisions
on who should be barred from
working with children or
vulnerable adults?
• Existing lists were replaced,
in October 2009 by two
new barred lists (one for
working with children;
for working with
vulnerable adults)?
• From October 12th 2009 the
NHS came under the scheme?
Do you...
• Follow national safeguarding
guidance within your own
activities and in your dealings
with other organisations?
• Undertake all appropriate
employment checks?
• Require CRB checks from all
new recruits before they start?
• Ensure that all team members
are aware of the local referral
procedures via training
and induction?
Have you…
• Ensured that all team members
know what to do if they suspect
abuse or neglect?
• Made local contact names and
details available for the team
(including temporary staff
and locums)?
• Made local referral procedures
available for the team (including
temporary staff and locums)?
Whilst a dental team does
not have to diagnose child
abuse or neglect, we are in a
position where we may witness
signs of child abuse or neglect, and we have a responsibility to find out about and follow local procedures for child
protection, so we can share
concerns appropriately.
Legislative Framework
The Safeguarding Vulnerable
Groups Act 2006 provides the
legislative framework for the
new Vetting and Barring Scheme
and envisages the creation of
three ISA (Independent Safeguarding Authority) lists – ISA
registered individuals, people
barred from working with children and those barred (or also
barred) from working with vul-

Regulated activities can only be undertaken by an ISA -registered person

nerable adults.
Individual responsibility - It
is up to an individual to register.
An unregistered person has either not registered, or is on an ISA
Barred List. Registration will be
phased in over five years:
• Year 1 (July 2010) – new
workforce entrants, job movers
• Year 2 – those who have never
had a Criminal Records Bureau
(CRB) check before
• Year 3 – those with CRB checks
over three years old
• Year 4 – those with more recent
CRB checks
• Year 5 – the remainder of
those who have had a CRB disclosure and those who work in
controlled activity
Employer responsibilities From July 2010, ISA registration
status of NEW paid or volunteer
applicants must be checked. The
service is free and you will be updated on changes to the person’s
registration. This does not obviate the requirement for a Criminal Records Bureau (CRB) check.
There will also be a new offence – punishable by a fine –
for employers who fail to inform
the ISA about an employee posing a threat to children or vulnerable adults. The GDC has a
similar obligation.
Regulated activities (clinical
team members in direct contact
with patients) can only be undertaken by an ISA -registered person. It is illegal to engage an unregistered person and can result
in imprisonment or a fine of up
to £5,000.
Controlled activities are those
undertaken by support staff eg
receptionists, cleaners. It is still
mandatory to check the ISA status

of an applicant, but barred people
can be engaged provided certain
safeguards are in place.
Train your team
Child protection is a key element
of the induction programme for
new members of staff. All team
members are required to undertake documented training to recognise signs of neglect or physical, emotional and sexual abuse,
and know how to access and liaise
with local protection services.
Within the practice, safeguarding includes listening to
vulnerable patients, providing information, ensuring a safe chaperoned environment and having
other relevant policies and procedures in place eg complaints.
Although it is uncommon to see
patients with signs of child abuse,
where it is suspected and there is
no satisfactory explanation, the
team should be able to act quickly
and responsibly.
Your local PCT should be able
to provide information on the local protection team and pathway,
and possibly even organise training for NHS practices. DT

About the author
Seema
Sharma
qualified as a dentist but gave up
clinical work after
10 years in practice
to go into full time
practice management. Today she
runs three practices, including one
which is one of 30
national Steele Pilots. Seema established Dentabyte Ltd to provide affordable ‘real-world’ practice management
programmes to help practice managers
and practice owners keep pace with
the changing clinical and commercial
environment facing them today.
Visit www.Dentabyte.co.uk to register
for updates on practice management or
email Seema at seema.sharma@dentabyte.co.uk to find out more.

[9] =>

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Web: www.shofu.co.uk

United Kingdom Edition June 14-20, 2010

A fitting tribute
Dental Tribune reports from the
John McLean Symposium

SuperBuff
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ore than 275 people came
together at the Royal Society of Medicine to celebrate the life of John McLean, who
passed away in June 2009. In a symposium arranged in his honour by
David Winkler, 23 speakers from
around the world came together to
share stories and research into dental materials.

Oswald Gasser - In Every Cloud
there is a Ketac-Silver Lining: Developing Dental Cermets with John
McLean. He reported on his personal experience of innovative, inventive and inspiring collaboration with
McLean – in the creation of a selfadhesive, monomer-free dental material overcoming drawbacks of the
then existing self-adhesive solutions.

It was not a sad event, rather a
celebratory time. All the speakers
were clearly proud of their association with McLean, reverential of his
contribution to dentistry but amused
by his foibles. A striking fact was that
every one of the speakers paid their
own travel and accommodation expenses for the event and received no
honorarium for speaking.

Rainer Guggenberger - Glass
Ionomers: Leading the Way to SelfAdhesive Materials. He argued that
without glass ionomers – pioneered
by McLean and Alan Wilson – selfadhesive composites would never
have been developed.

The delegates were greeted by a
filmed oration by Graham Mount
from Adelaide, Australia, who outlined some of the honours conferred
on McLean during his lifetime.

Dura-Green &
Dura-White
Speedy, chip-free
contouring and
finishing of porcelain,
composites and other
materials

Following this was a packed
line-up of speakers, each being allotted a 15-minute slot for their
presentation. The line-up included:
Edwina Kidd - Caries and John.
Eponymous lectures on caries
mark the beginning and end of
Edwina’s 35-year friendship with
McLean and in her talk she looked
at how the caries process can
be controlled.
Dr Avijit Banerjee - Modern
Caries Management. He talked
about the benefits of Minimal Intervention Dentistry – appropriate
control measures to prevent new
lesions and the operative management of cavitated lesions, minimal
caries excavation and restoration.

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Ivar Mjor - Practice-based Dental
Research. This was a brief overview
of practice-based research related to
restorative dentistry, because about
two thirds of general dental practice
involves diagnosis and prevention
of caries, and the restoration of
carious defects.
Alan Wilson - The Early Days
with John McLean. Dr Wilson’s
principal research interests were
the dental silicate cement and other
dental cements, the invention and
development of the Glass Ionomer,
the devising of test methods for
dental materials and sustained
delivery devices.
Denis Smith - The Genesis of
Adhesives for Enamel and Dentin.
He gave an overview of the research and development of a
number of pioneering individuals – including McLean
– over 60 years who contributed to the composite systems
of today.

Dr Raymond L Bertolotti The Quest for the Perfect Bond. He
showed that judging bonds by shear
bond strength tests on flat, 600 grit
ground surfaces could be considered
“shear nonsense”.
Harold Preiskel - Clinical Science Meets Practice: Interface or
Interference. He gave a synthesis
of McLean’s contribution to clinical dental science viewed through
the eyes of an observer whose relationship matured from student to
colleague and close friend.
Dr Richard Simonsen - Commerce vs. Care: The Ethics of Esthetic
and Restorative Dentistry. In his
talk he discussed the recent trend
towards creating the perfect ‘smile’
and looked at the ethical responsibility of the profession towards
patient treatment.
Galip Gurel - Interdisciplinary
Team Approach for Minimum Invasive Aesthetic Prepless Veneer. He
stressed that clinicians must be
ethical in patient care ensuring
treatment is minimally invasive.
Ken Malament - Integration
of Esthetic Dentistry in Routine
and Complex Prosthodontics. His
talk gave a look at failure modes
and effects in bilayer all-ceramic
crown-cement-tooth systems.

tions. This presentation outlined
his clinical-laboratory research,
evaluating the different approaches in designing CAD/CAM frameworks for fixed partial dentures
as to their efficacy in providing
adequate support to the veneer
porcelain.
Dr Tidu Mankoo - Anterior
Implant Aesthetics: The Key to Success. He outlined the contemporary
surgical and prosthetic concepts in
the management of implants in the
aesthetic zone with a view to achieving optimum long-term aesthetics
and stability.
John Hubbard - A Window of
Opportunity – Strength and Beauty.
The talk was a personal account of
Mr Hubbard’s working relationship
with McLean, discussing the lab
techniques used during this period
to develop Alumina reinforced porcelain, in order to optimise strength
and beauty in definitive restorations.
Andrew Dawood - Digital
Fabrication Processes. This discussed the use of computer guided
surgery for precise and minimally invasive implant placement
and examined some of the factors
which may introduce error into
the workflow.
Dr Balwin Marchack - Eight
Years of Zirconia: A Clinician’s
Retrospective Perspective. The presentation discussed the clinical
performance of CAD/CAM zirconia
restorations for natural teeth and
implants in one private practice over
an eight-year period and looked at
current trends and future perspectives of this technology.
Naoki Aiba - Dentscape: Dental
Photography for Dentist-Laboratory
Communication. He presented the
three major aesthetic challenges
faced by the dental technician when
using dental photography – shade
matching, midline orientation and
incisal edge position.
Dr Stefan Paul - Tissue Integration of Implants: Biodynamics
of External vs. Internal Designs. He
explored the latest literature and
clinical cases to test the hypothesis
if delayed implant placement can
still be considered the standard of
care in the maxillary anterior zone.

Dr Stefano Gracis - Metal-Ceramics: A standard on the road to
extinction?. He looked at the advent
of new metal-free prosthesis, which
challenges metal-ceramics, up to
now the standard for fabricating
fixed prosthesis.

Nicolas Pietrobon - Team
Approach Between Prosthodontics
and Dental Technology. He looked at
the rapidly changing face of restorative dentistry in relation to dental
laboratories.

Dr Carlo Marinello - Ceramics in Fixed and Removable Prosthodontics. He showed the step-bystep clinical and technical fabrication of zirconia bar on implants and
of a corresponding zirconia complete denture.

Following the speakers there was
a chance to relax and network with
colleagues during a champagne reception at which the John McLean
Fellowship Fund was formally
launched, aimed at nurturing future
student research in dental materials.

Dr Aris Tripodakis - Evaluation of Two Alternative Approaches
in Designing CAD/CAM Frameworks for Fixed Veneered Restora-

For me this symposium was an
excellent event, a fitting tribute to a
dental pioneer and I wish the Fellowship Fund every success. DT

[11] =>

MSc Blog 11

United Kingdom Edition June 14-20, 2010

Cut to the chase learning
In this issue of her blog, Elaine Halley discusses the latest
developments in being an online MSc student

am delighted to announce
that I am up to date with my
course work – all lectures
so far have been listened to and
the critical reading has been
printed out and read – well,
skimmed anyway!
We have left Unit 1 behind,
except for the end of unit assessment which is due in a week’s
time – five short answer questions on topics ranging from the
characteristics I would seek in a
new caries diagnostic device, to
how I would choose between a
conformative or reorganised approach to the occlusal scheme
in a patient requiring multiple
posterior restorations replaced.
Sounds like a day in the life of a
general practitioner...Still, putting
my thoughts down in a succinct
yet organised manner will require some effort! I haven’t received the results from the first
assessment where I really did
struggle to answer the questions
within the word allocation which
makes me slightly nervous...
Unit 1 covered the Foundations of Clinical Practice, leading
us into Unit 2 entitled Aesthetic
Foundations. This is much more
familiar territory for me, having spent the last eight years of
my professional career involved
in the British Academy of Cosmetic Dentistry. I would classify my learning style as ‘highly
impatient’ or ‘cut to the chase’
– I can’t abide waffle, and I was
concerned that as I have spent
many years learning about smile
design, aesthetic evaluation etc,
I may become frustrated with
having to revisit these areas. All
credit goes to Chris Orr – not
only was his presentation a work
of art (must be a Mac thing) –
but he did keep my attention
and pulled the information together in a very logical and scientific method. His excellent use
of actual cases served as reallife examples to describe smile
evaluation, which can often be a
tedious subject to teach as it so
often turns into a long list covering lip line, embrasures, contact
points, connector lengths, golden
proportion etc. Included in the
lectures was an e-learning unit

About the author
Elaine Halley BDS
DGDP (UK) is the
BACD Immediate
Past President and
the principal of
Cherrybank Dental
Spa, a private practice in Perth. She is
an active member
of the AACD and
her main interest is cosmetic and advanced restorative dentistry and she
has studied extensively in the United
States, Europe and the UK.

on photography which was excellent. Even as a regular user
of digital photography, I gained
some useful insights into how I
could further utilise photography on a daily basis.

As I write this, the next thing
is our first residential learning course in London. More on
hands-on photography – yippee!
I have spent years teaching my
team how to take excellent pho-

tographs (which they do!) so that
I don’t have to and now I have to
turn up with my camera! What
goes around comes around. My
team are looking forward to me
showing myself up in a subject I

Visit mscinfo.smile-on.com for details

used to teach in the early days of
BACD! We’ll see – I am looking
forward to meeting my fellow students who have so far just been a
list of names and comments beside the webinars. DT

[12] =>

12 Advertorial

United Kingdom Edition June 14-20, 2010

[13] =>

United Kingdom Edition June 14-20, 2010

Advertorial 13

[14] =>

14 Event Review

United Kingdom Edition June 14-20, 2010

Erosion comes to the fore
Dental Tribune reports from a high-class symposium dedicated to
enamel erosion in children and adolescents

ooth wear due to factors such as acid erosion has become one of
the hot topics of dentistry in
recent years. With the recent
appearance of products such

as
toothpastes,
mouthrinses
and mousses in the consumer
market, the profile of enamel erosion has risen in both
the public consciousness and clinical spheres.

The pre-congress symposium
of the 10th Congress of the European Academy of Paediatric Dentistry, held jointly with the British
Society of Paediatric Dentistry, focused entirely on the issue of tooth

surface loss in children and adolescents. The event was well attended for a pre-congress event,
with almost 300 people ignoring
the pull of beautiful sunshine in the
Yorkshire moors and attending.

80% extra protection

against future acid erosion1

Prof Duggal looked at the aetiology of the condition, citing
that one of the main difficulties in
dealing with surface loss is that it
is multi-factorial; a combination
of acid erosion, attrition, abrasion
and abfraction. One interesting
point he made is that clinicians
are not necessarily ‘programmed’
to look for toothwear, being more
‘addicted to caries’. So, in terms of
diagnosis, how good are clinicians
at looking for and recording instances of surface loss?

Studies show that the combination of Sensodyne Pronamel
daily toothpaste and Sensodyne Pronamel Daily Mouthwash
can provide up to 80% extra protection against future acid
erosion.*1 Sensodyne Pronamel Daily Mouthwash is an
alcohol free 450 ppm fluoride mouthwash with tri-hydra™
polymers, which help build more protection against acid
erosion than standard fluoride mouthwashes.2-4

* compared to brushing with Sensodyne Pronamel
daily toothpaste alone

In terms of research, Prof Duggal detailed a study he has been
undertaking looking at a combination of products aimed at treating the condition to see what was
more efficacious and in what combinations. Prof Duggal is very clear
in his thoughts that the use of a
combination of products and advice in a patient-tailored regimen
is the most beneficial to patients.
From the study, he found that one
of the best combinations was a mix
of GSK’s Pronamel toothpaste and
GC’s Tooth Mousse for helping to
manage surface loss.
Next to the stage was Dr Martha Ann Keels. Dr Keels is currently the Division Chief of Paediatric
Dentistry at Duke Children’s Hospital, located in North Carolina.
Her presentation, Solving the Mystery of Tooth Surface Loss, Role of
Non-dietary Factors such as GORD
and its Management, was very specific in its look at Gastro-Oesophageal Reflux Disease (GORD or
GERD as the US spelling variant)
as a major causal factor of tooth
surface loss.

For patient samples visit
www.gsk-dentalprofessionals.co.uk
References:
1. GlaxoSmithKline data on file Guibert et al 2010.
2. Fowler C et al. J Den Res 88 (Spec Iss A): 3377, 2009.
3. Gracia L et al. J Den Res 88 (Spec Iss A), 3376, 2009.
4. GlaxoSmithKline data on file Young and Willson 2008.
SENSODYNE and PRONAMEL are registered trade marks of the GlaxoSmithKline group of companies.

Dr Keels treats the oral damage
caused by GORD in children and
sees the various levels of tooth wear
that it can cause. She detailed some
of the risk factors, including eating
habits, emotional stress (school,

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Sponsored by GSK, the precongress symposium was split into
four lectures dealing with a different topic around tooth wear in
children. A first for paediatric dentistry and chaired by Sven Poulsen
and Jack Toumba, the afternoon
started off with a look at the general issues surrounding tooth wear
and some of the different products
on offer that clinicians can recommend to patients presented by
Prof Monty Duggal. Prof Duggal
is currently Professor and Head
of Paediatric Dentistry at Leeds
Dental Institute and spoke about
The Science of Erosion and Challenges for Children, discussing the
significance of the introduction of
consumer products aimed at combating tooth erosion. These products have caused massive interest
research-wise about the efficacy
of the products and many discussions of the importance of tooth
surface loss as a condition. Prof
Duggal discussed how it is becoming a significant problem globally
and the size of the challenge faced
by clinicians both in prevention
and management of surface loss.

4/6/10 10:44:37

[15] =>

Event Review 15

United Kingdom Edition June 14-20, 2010

family issues etc), asthma sufferers and special needs patients.
It has been noted that the condition is more prevalent in boys.
Using case studies, Dr Keels
highlighted some of the treatment
options available for sufferers
and explained the indices used to
monitor the progress of tooth surface loss. While her preference is
dietary change over medication
or surgery, the list of treatments
available is fairly broad. The 5, 4, 3,
2, 1, almost none lifestyle mantra
is used at Duke Hospital:

scans taken at regular intervals
gave the researchers reference
points to examine the surface
loss over a distinct period of time
– in this case three years.
Prof Bartlett’s final message to
delegates was clear – clinicians
can have an effect on preventing
tooth erosion with a combination
of treatment and advice.
The final speaker of the afternoon caused much excite-

ment with the handing out of
3D glasses for his presentation,
Adhesion to Dentine in Primary
and Permanent Teeth. Prof Dr
Roland Frankenberger is Professor and Chairman of Operative
Dentistry at the University of
Marburg in Germany and began his presentation with the
acknowledgement that restorative
therapy in children is not an easy
task. Much of his talk centred on
the relative merits of the different
etch and bonding systems on both

primary and permanent dentition.
Prof Frankenberger stated that
self etch adhesives are very successful for primary teeth, but that
the three step systems were better
for permanent teeth. ‘Use more
bottles for permanent teeth’ was
his mantra. He also used many
images to illustrate the bonding
strengths under different conditions, some in 3D to fully demonstrate the processes taking place
between tooth and adhesive.

This pre-congress symposium was a fascinating look
into the topic of tooth wear in
children, and raised many discussion points amongst the
delegates. As a topic that is
becoming more relevant in
paediatric dentistry, the four
presentations gave a very thorough grounding in what clinicians should be looking for as
well as a guiding hand in finding
the evidence base needed to do
the best for patients. DT

5 – Portions of fruit/veg
4 – Glasses of water
3 – Structured meals
2 – Hours or less of screen time
1 – Hour of activity
Almost none – Sugar
In addition, trying to treat
child stress using easy breathing techniques or relaxing before
bedtime is used to help alleviate
any condition.
Dr Keels looked at various
medications which have been
prescribed to help reduce the acid
production in the patient’s stomach, including acid reducers and
acid blockers. In some patient
cases, surgery is necessary in the
form of a Nissen Fundoplication.

Prof Bartlett looked at the
need for the dietary advice given
to patients, emphasising the need
for the advice to not conflict with
medical advice for healthy eating.
His opinion was that it’s not what
is consumed, it is the frequency
and how it is consumed. Using
photos of tooth wear, he illustrated
his points with anecdotes of patients, including one who would
take all day toeat an orange segment by segment!
He then discussed the research into tooth erosion he had
been involved in over the years
and discussed the difficulties
that clinical studies have in validating their research. The use of
superimposition of impression

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After a short break for coffee,
the delegates were treated to a presentation from Prof David Bartlett,
Head of Prosthodontics at Kings
College London Dental Institute as
well as a consultant in Restorative
Dentistry and specialist in Prosthodontics. His presentation focused
on A Risky Situation: Aetiology and
Prevention of Dental Erosion. He
discussed the different causes of
erosion and what actually happens
to a tooth as the enamel is eroded,
using a series of images from a
scanning electron microscope.

*Chemically compatible with methacrylate based adhesives and composites. **Limited samples available

When managing the dental effects of GORD, Dr Keels described
her simplified index which can be
utilised by team members to chart
the progression of surface loss, be
verified by the clinician and then
used as a patient and parent visual
aid to describe what’s going on.

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[16] =>

16 Practice Management

United Kingdom Edition June 14-20, 2010

Growing your practice
Simon Hocken highlights some of the things to avoid if you really want to grow
your practice and entice new patients though the surgery doors

R

ecently, I chaired a seminar entitled How to grow
your practice in challenging times for the British Dental
Association (BDA). Throughout
the seminar, speakers presented their comments and ideas
on growing practices. Included
were some thought-provoking
sessions on a number of different areas including business
strategies, practice profile, value
added service, motivating and
retaining staff, financial management, saving tax and reviewing your prices to maximise your
profits. All of these issues are of
course vital considerations, and
time spent discussing them was
both interesting and valuable.
I visit many practices in the
course of a year and it is fair
to say that most, sadly, are not

growing.
From my experience
while visiting practices
or being invited to speak to
groups of dentists, it would seem
that most principals are presiding over shrinking practices.

three quarters of the principals
saw their practice turnover fall
in 2009 compared with 2008.
Now, although there has been
a recession, which has obviously been taken into account,
the straw poll shows inverse results for the practices that we
work with; where more that 75
per cent of practice principals
saw an increase in their turnover
last year.

at least evolution, but this is not
growth when considering it in
pure business terms.
What is growth?
To me, growth is apparent when
a practice has marketing that
creates in excess of 30 new clients a month, 360 additional
clients a year and therefore
1,020 additional clients every three years.

What is going on?
Although many practices have
improved their physical facilities
and many have changed or perhaps improved the services they
offer, there are still many
aspects that remain
the same and hinder
a

practice’s growth. For example, many still occupy the
same buildings that they have
done for many years, with the
same number of surgeries and
the same number of clinicians.
Adding to this, there are essentially the same number of new
patients entering the surgery and
also the same number of existing
patients leaving each month.

At the recent Alpha Omega
International Dental Fraternity
It is certainly evident to me
(and also at BDA HQ in Lonthat this ‘managed status quo’
don) I was invited to speak at, a
is alarmingly common and canstraw poll of the 50 or so dentists
not be seen, in my opinion, as
in the auditorium took place.
D6 ad
- Swissflex
offer
8/6/10‘growth’.
09:50 Some
Page may
1
say that it is
The
results
revealed that
around

Let us return now to the
BDA’s How to grow your practice
in challenging times seminar as
previously mentioned. The type
of growth that I describe is essentially down to acquiring more
new patients every month than
the number that leave
the
practice!
However, what
is equally important is having a team that
can deliver the
following:
• Effective consultations
• Effective treatment plan presentations
• Effective techniques for overcoming objections
• Effective closing
strategies; that is,
ask for the business

Growth is evident
when practices have effective
systems in place that retain all of
these clients, both new and old.
This level of growth means that
every three years, the practice
equips a new surgery for a new
dentist, hires a hygienist for an
additional three days a week and
by extension provides an additional £350,000 to its turnover.
It is clear then that for practices to truly grow, it is vital that
they regularly expand their facilities or even move into new
premises to keep up with growth
as they experience a steady rise
in both the profit and asset value of the practice. Surely this is
what REAL growth is?

Ultimately, this is
what makes a practice
grow. Your marketing
strategies, as important
as they are, bring people
to your door or onto the end of
your phone line; it is the selling
skills and sales systems that really grow practices.
While you consider the issues
above, here are 20 sales prevention strategies:
• A website that doesn’t bring in
new patients
• Patients who have no idea
what you offer
• No sales support materials
• Nowhere to talk to patients
other than in the surgery or at
the front desk
• No data on your enquirers,
what they want, how they came
to you etc…

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• No effective patientretention systems
• No seasonal offers
• Clinical and reception team
lack self confidence and/or
product knowledge
• Lack of payment/
credit facilities
• Team members lacking
selling skills
• Dentists and team members
with ‘dodgy’ smiles
• Dirty premises
• Closing doors/phone lines
at lunchtime
• Only having one phone
line into the practice and no
answering service
• Clinicians going home early
because there wasn’t a
patient booked
• Eager patients can’t get
an appointment
• Chatting to colleagues or
eating while taking the call
• Having mobile phones on in
surgery or at the front desk
• Dentists loitering around
the front desk
• Inefficient software systems
Perhaps it’s time to get
some advice on growing your
practice. DT

About the author
Dr Simon Hocken,
founding partner
of Breathe Business, has a wealth
of experience as a
successful private
dentist and business coach, helping
clients recognise
developing trends,
increase turnover
and find the perfect balance between
their personal and professional lives.
Breathe Business is a unique leading
coaching and consultancy company
which specialises in working with
dental principals and their teams in
order to develop and grow their practices. For more information, contact Dr
Simon Hocken and the Breathe team
by calling 0845 299 7209 or emailing
info@nowbreathe.co.uk.

W
IN

Ze 2
rm n
at ig
t/S h
wi ts
tze
rla
nd

[17] =>

Money Matters 17

The 10th dimension… the
power of ten
Dr Ed Bonner and Adrianne Morris discuss the importance of
authenticity in leadership

executives reach a place
where they burn out, or
become increasingly dissatisfied by their day-to-day
routines. As a result, their
teams suffer and are not as
productive, or effective, as
they could be.

ife coach Cindy Loughran* raises an interesting
question? What is authenticity and why is it important
to leadership?
Leadership comes from within: it is an ongoing and consistent
expression of who we are. Authentic leaders know themselves
and their purpose; they use that
knowledge as their internal compass. When we align our actions
with our sense of purpose, we act
authentically; we take a stand,
living centred, calm and powerful lives that inspire others to
action. We are in control of our
feelings and emotions, rather
than letting them control us.
Authenticity is about having
personal integrity, being genuine, and acting in a way that is
true to you and your beliefs, no
matter what. It’s about NOT
putting up a facade, NOT being aloof or inaccessible. When
making decisions or engaged in
discussions, ask yourself ‘What
does my authentic self tell me to
do?’ Even if it is a difficult decision, check in with yourself and
ask, ‘How can I make and communicate it in a way that is an
expression of my purpose and in
integrity with my values?’
As one begins to use newly
learned behaviours, one learns to
be generous and forgiving with
oneself. The leader who can forgive him/herself can forgive others. Our sense of another’s authenticity has an enormous impact on
whether or not we trust them, how
comfortable we are with them,

The best leaders are
guided by a deeper purpose – to create a product
or service, for example,
that delights their customers, or leaves a mark on the
world in some way that is
meaningful to them. When
authentic leaders do this
well, they can sustain success and the seven-figure
income, along with a genuine feeling of accomplishment, of having made a significant contribution.

Standing out as an authentic leader

‘Authenticity is about having personal
integrity, being genuine, and acting in
a way that is true to you and your
beliefs, no matter what’
and how willing we are to follow
them. Authenticity, then, is critical
to effective leadership.
Reaching burnout
Some corporate executives are
motivated primarily by money,

earning six- and seven-figure
incomes. Others are motivated
by ‘the game’, by winning, and
besting others who may be competing for limited corporate resources needed to implement
their plans. Typically, these

Finding meaning
When we clarify our true
purpose, we come to understand what gives meaning to the things we do. Our
purpose gives us guidance
on how to do things. Our
purpose guides how we do what
we’ve chosen to do. It is our internal compass.

1. Know the leader you want
to be.
2. Clarify your purpose.
3. Create a vision for yourself as
an authentic leader.
4. Identify your deepest values.
5. Think about leaders you admire. What is it about them you
want to emulate?
6. What is the legacy you want to
leave? Picture how it looks and
feels to be being the best, most
authentic leader you can be.
7. Know your strengths and
weaknesses. Especially in this
fast paced, global, technological world, we can’t be experts in
everything. Nor do we necessarily want or have time to be.
8. Be honest about what you can
do well and enjoy doing and
what is best left to others.
9. Identify the gaps between
your vision and current reality. Determine which gaps you
want to close by learning and
growing your own expertise and
which ones you want to fill with
the talents of others. Identify
sources and opportunities for
development. Pursue them with
a beginner’s mind. Enjoy the
learning process.
10. Create visual cues (Post-It
notes, special screen savers,
mantras) to remind yourself to
be your newly-discovered real
self when self-doubt begins to
creep in. DT

Of course, living on purpose
means that you may not ‘fit’ or
be successful or happy in every
setting. But that’s OK. You will
be most successful and make the
greatest contribution in the place
where you can be your fully genuine, purposeful, authentic self.
So, how do you become an
authentic leader?

*Reference: Cindy Loughran http://www.newleaftouchstone is a certified professional coach. Much like Adrianne Morris, her products and services help people break out of their habitual
patterns and make desired changes in order to turn over a new leaf and create a fulfilling and satisfying life.

8/6/10

09:50

Test both
Synergy D6
and Swissflex
for just
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*The offer is valid up to 31.07.2010.
All prices are recommended promotional
prices / sales prices. The price charged
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All prices are subject to the statutory
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charges. The current price charged may
be higher or lower.

Page 1

Trial kit of tips

Adrianne Morris is a highly trained
success coach whose aim is to get people from where they are now to where
they want to be, in clear measured
steps.
Ed Bonner has owned many practices,
and now consults with and coaches
dentists and their staff to achieve their
potential. For a free consultation, or a
complementary copy of The Power of
Ten e-zine, email Adrianne at alplifecoach@yahoo.com or Ed on bonner.
edwin@gmail.com, or visit www.thepoweroften.co.uk.

Trial kit of syringes

£49.50*

20 tips, 0.25g each (Dentin: A1/B1, A2/B2, A3/D3, Enamel Universal)
1 × One Coat 7.0 (5ml) + 50 × Microbrushes
1 × SwissFlex (1 Mandrel + 11 Discs)

£49.50*

3 syringes, 4g each (Dentin: A1/B1, A2/B2, A3/D3)
1 × One Coat 7.0 (5ml) + 50 × Microbrushes
1 × SwissFlex (1 Mandrel + 11 Discs)

Art. 3243

D6 ad - Swissflex offer 2

About the author

To place an order, or for an “in-surgery” demonstration,
FREEPHONE 0500 295454 ext 223 Julie or 224 Adrian

Art. 3244

United Kingdom Edition June 14-20, 2010

[18] =>

18 Practice Management

United Kingdom Edition June 14-20, 2010

The importance of the USP
With more and more practices offering a huge variety of treatments, it is vital your
practice can offer potential patients something a little bit different. You need to find
your practice’s USP, urges Dr Solanki

unique selling point (USP)
is a marketing concept
that defines a product’s
competitive advantage, and can
often sway a potential patient into
choosing one practice over another. A simple, attractive USP is one
way to make your practice shine
through, and its goal is to create
an undeniable reason for the patient to choose you.
No two practices are the same.
Even if you have identical equipment, techniques, and even identical chairs in the waiting room,
there will be elements that differ
between you, and the surgery down the road. The key is to track down what makes your practice different and maintain it – this is your
USP. It may be new technology
that is not available anywhere else,
a fantastic team who are able to
put even the most nervous patient
at ease, even down to the choice
of beverages available in the waiting room - all could mark your

practice stand out as different, and
attractive to potential patients.
Analyse your patient list
Before deciding on your USP, it is
important to look at the patients
you already have. Are they making use of all the services your
practice has to offer? Can you offer something to maintain their
loyalty? Increase their interest in
your services?
When considering a USP for
your practice, it is vital not to alienate existing patients, so make
sure you ask your current patients
what they find positive about the
surgery. Ask customers to sign a
visitor book and comment about
their experience or even gather
customer testimonials. The wordof-mouth approach to marketing
is incredibly effective and you will
get an excellent insight into what
patients find to be the best features, and services, of your practice. After all, if you provide

something specific that they find
attractive, it stands to reason that
other patients may be looking for
the same service!
That said, you are marketing with a view to encourage interest from new patients, in the
areas that you want to be doing
more work in, so you will need
to research these markets thoroughly as well. Find out what is
important to your target audience.
It may be your ability to offer tailored treatment plans for nervous
patients, for others it may be the
use of the most cutting edge technologies, and for some it may be
as simple as being able to enjoy a
decent cup of coffee and an up-todate magazine whilst in the waiting room.
Market yourself well
Once you have decided upon
your USP, it is important to market it correctly. You know the
client
base
you

are aiming for, so some simple
research into how they would
search for a practice is needed.
Many people choose to utilise
the internet when seeking a
dentist, so advertising your services on an appropriate website
may be the way forward. However, if you are targeting the older generation, publicising your
services in the local press may be
more profitable.
Promote your USP
Organising events to publicise
your USP is a useful tool as well.
If you are going to focus on your
facial aesthetics options, it may be
beneficial to host an event inviting potential patients to the surgery for a glass of champagne and
an opportunity to meet the team
and ask any questions they may
have. You could also follow the
event with a free consultation for
the attendees. Whilst this may not
result in any immediate appointments, potential patients will be
aware that it is a service that you
offer, and the dentist’s surgery is
not an environment merely for
fillings and lectures on flossing
any more!
It is important to find out
what your competitors are offering. After all, a USP is not
unique if it is the same as the
practice two doors down. Research what other local surgeries
are offering, even pay them a visit
them to see what they have done
to their practices – and then do
something completely different.
People are expecting a bespoke
service from you, a completely
original smile; they do not want to
achieve it in an identical surgery.

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

The final key thing to remember is that it is vital to maintain
your marketing plan; patients
chose to have their procedure
carried out at your surgery for a
reason after all. Flash-in-the-pan
marketing can work in the short
term, but in order to sustain any
longevity it is important to focus on a USP that is not going to
change regularly.
Your patients may be excited
to hear that your receptionist
made it through to boot camp
on The X Factor, but this is not a
USP that will withstand the test
of time. Patients want to be confident that they will find a familiar
and welcoming environment on
consultation, treatment, aftercare and even their yearly checkups. Madonna may be able to
reinvent herself every year with
impunity, but your USP needs to
remain stable. DT

About the author
Dr Solanki studied medicine at the
University of Oxford followed by a
PhD, having come
from a businessorientated family
he followed his passion of starting up
a dental marketing
company with its
strengths in online search marketing in early 2007.
Since then, he has undertaken extensive search engine optimisation (SEO)
training from some of the world’s leading experts in this field and continues
to do so. He offers advice on SEO, business consultancy and strategic marketing campaigns for his clients. He is also
the founder of the world’s most visited
dedicated cosmetic dentistry website
www.cosmeticdentistryguide.co.uk. Dr
Solanki now offers dedicated marketing strategies for dental practices on a
referral only basis.

[19] =>

United Kingdom Edition June 14-20, 2010

Reducing your tax bill

With expert advice, dental professionals can ensure
their tax burden is efficiently managed, says Thomas Dickson in part one of this two-part article

s a significant number of
dentists earn more than
£130,000 a year, or aspire
to, which means they fall into
the 50 per cent tax bracket, and
so need as much information as
possible to reduce their tax bills.
In this article we’ll cover
Venture Capital Trusts and Enterprise Investment Schemes as
ways to save money.
Venture Capital Trusts
Venture Capital Trusts (VCTs)
are similar to investment trusts
and are often used as a way of
reducing tax liabilities. They’re
listed on the London Stock Exchange, but invest in small,
higher-risk trading companies
who are not listed on a recognised stock exchange. VCTs
employ less than 50 people and
have no more than £7 million in
assets; they can only receive £2
million in funding per annum.
There are four varieties of trust:
• AIM trusts invest only in
companies whose shares are
listed on the Alternative
Investment Market
• Specialist trusts focus on firms
in specific industries, such as
the technology sector or the
music business
• Private equity trusts take
stakes only in unlisted
companies
• Generalist VCTs are free to
invest in any type of qualifying
company
The risk aspect of companies
in their early stages of development might not appeal, so a popular alternative is VCTs. These
focus on relatively large asset
backing and so have potentially
less risk.
HM Revenue and Customs
has a list of approved VCTs that
may entitle you to various tax
reliefs, but it is important to remember that their approval is
not a guarantee of the safety or
success of the investments made.
However, despite the risks, none
of the VCTs launched since
1995 have gone under, although
some launched around 2001 to
buy into technology companies
haven’t fared so well.
An investor can get income
tax relief at the rate of 30 per
cent for a year if shares in VCTs
subscribed to (up to a maximum
of £200,000) be issued to you in
the year, giving a maximum rebate of £60,000. It is important to
remember that this is a tax rebate. If you sell within five years
of buying, you must pay all the

tax back. It’s also worth remembering that you are protected
from capital gains tax whenever
you sell; dividends and distributions are tax-free.

Enterprise Investment
Scheme (EIS)
Similar to VCTs, investors can
gain attractive tax breaks from
an EIS, as long as you’re pre-

Money Matters 19
pared to make a long-term commitment and are aware there
is still an element of risk
involved. Even though there
might be relief from income,
capital gains and inheritance tax
now, it is worth remembering
that tax rules can and do change.
There are a number of new
schemes that take advantage of
the 18 per cent rate of capital
gains tax and those which invest
in lower-risk companies than the
usual EIS schemes. DT

About the author
Thomas Dickson, director of
Essential Money
Limited,
formerly a partner
of Money4Dentists. For more
information,
and to receive a
free copy of The
Little Book of
Money, packed
full of practical
hints and tips, contact Essential Money
on 0121 685 5060 or email thomas@essentialmoney.co.uk.

[20] =>

United Kingdom Edition June 14-20, 2010

Flexibility is our Strength

Scientific Symposium
on Micro-invasive
caries management
Susanne Effenberger and Philipp Lilburn look
back at a two-day event in Germany

Hamburg - Rathaus

‘Over the last 10 years the caries infiltration approach was developed
and researched at the Charité University of Berlin and the University
of Kiel by Dr Hendrik Meyer-Lückel and Dr Sebastian Paris’

D

MG (Dental Material
Gesellschaft mbH), from
Hamburg in Germany
organised an international scientific symposium on microinvasive caries management.
The event took place in Hamburg, April 15-16, 2010. A group
of 20 researchers and key opinion leaders from all over the
world were invited to take part,
share their opinions and discuss
further projects.
Presentations about clinical studies and in-vitro projects
were given by: PD Dr Hendrik
Meyer-Lückel and Dr Sebastian Paris (Kiel, Germany), Dr
Marcio Garcia dos Santos (São
Paulo, Brazil), Dr David Manton
and Dr Joseph Palamara (Melbourne, Australia), Dr Hervé
Tassery (Marseille, France),
Dr Suchit Poolthong (Bangkok,
Thailand, Dr Ferranti Wong
(London, UK), Dr Chris Deery
(Sheffield, UK), Dr Lyndie Foster-Page (Dunedin, New Zealand) and Dr Oksana Denga
(Odessa, Ukraine). Based on the
current paradigms and scientific knowledge, new develop-

ments in caries management
on all intervention levels were
discussed, with a particular
focus on micro-invasive caries
management.
Over the last 10 years the
caries infiltration approach was
developed and researched at the
Charité University of Berlin and
the University of Kiel by Dr Hendrik Meyer-Lückel and Dr Sebastian Paris. Upon having clinical evidence of the efficacy and
reaching clinical applicability
of the new technique, a product
for daily practice was launched
in 2009 in cooperation with
DMG, Hamburg, Germany as
their industrial partner. Caries
infiltration with Icon® (DMG,
Hamburg, Germany) is a novel
micro-invasive treatment procedure closing the gap between
non-invasive and minimally invasive treatment options, aiming to preserve as much healthy
tooth structure as possible and
thus offering a possibility to
treat early non-cavitated lesions
without drilling. It is an easy to
follow three-step-clinical procedure to treat lesions on proximal

and vestibular surfaces in both,
the primary and permanent dentition. The basic principle is to
seal early caries with a specially
designed low viscous resin material that penetrates into the
porous structure of the lesion by
means of capillary forces using
the remaining structures in the
lesion as a scaffold. The pore
volume of the lesion is made accessible removing the pseudointact surface layer using a 15
per cent HCl etching gel (Icon®
Etch) for two minutes. After this
period, the remaining water in
the lesion is removed using 99
per cent ethanol (Icon® Dry).
Subsequently, within a three
minutes application time, the infiltrating resin (Icon® Infiltrant)
penetrates the caries up to several hundred micrometers. The
ability to penetrate into the pore
system of the lesion is driven by
capillary forces and determined
by the physical and chemical
properties of the infiltrant. DT

About the author
Dr. Susanne Effenberger and Philipp
Lilburn, DMG, Hamburg, Germany

[21] =>

United Kingdom Edition June 14-20, 2010

Special Feature 21

Your perfect space

large sum of their own money),
everything is at stake. Dentists
will have to be sure that the various skilled tradespeople they
choose to employ will deliver
high standards of service, worthy
of the capital, time and effort the
principal has put into securing
the loan.

To celebrate economic recovery, perhaps it’s time
to treat yourself and your patients to a brand new
dental practice this year, says Chris Davies

s the UK emerges from
the recession, the future
is starting to look a little
brighter. Although there is still
a long road ahead, confidence
in the markets will start to grow
again, jobs will be created rather
than lost, and practitioners may
begin to consider the future of
their businesses, which could include the possibility of spending
on practice improvements.

Take care of the smallest details

‘There is no
reason any dentist
shouldn’t be able to
make the practice of
their dreams
a reality’
though, dentists are in this business for the long term. With
rigorous planning and realistic goals, there is no reason any
dentist shouldn’t be able to make
the practice of their dreams a
reality. Lenders are aware that
dedicated practitioners are able
to run functional, and more importantly, profitable businesses
that provide quality care. Present
your case well and you will reap
the rewards.

With a boost in consumer confidence, patients will slowly, but
surely, start to spend their money again. For some people, this
may mean finally paying a visit
to the hygienist, while for others,
it could mean splashing out on
a course of facial aesthetics. No
matter what services the practitioner has to offer, they should
soon start to hear their telephone
ring just that little bit more.
Healthy competition
While this is great news for any
practice principal, it also means
that competition will start to
pick up. All dentists will have to
raise their game yet again if they
want to stay ahead of their rivals.
Whether your practice could
simply do with a ‘spring clean’ or
a complete renovation, the end
of the long, cold recession marks
the perfect time to start afresh.
Although the banks are likely
to remain cautious as the country’s economic cogs slowly start
to turn, lenders will become
more willing to offer loans and
credit to help with important
business ventures, including
practice renovations. Nevertheless, the process is still lengthier
than it was in years gone by, and
banks continue to demand assurances at every step of the way.
However, this should not deter the entrepreneurial practi-

Are you looking for a ‘make-up’ or ‘moakeover’?

tioner – steps taken now should
be viewed as a long-term investment, and if done properly,
should last years into the future.

It is worth remembering, that
by its very nature, any invested
money in a business will never
produce quick gains. As always

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

Generating finance
Securing a substantial loan can
be hinged on the strength of a
water-tight business plan, so
rather than risk disappointment,
it might be wise to enlist the help
of experts. There are sectors of
the dental market dedicated to
helping principals secure the
necessary funding for practices. By taking advantage of their
knowledge and expertise, dentists will undoubtedly save themselves a great deal of worry and
stress. Always remember that
most lenders will know each
other and if you exhaust all your
potential borrowing options with
a badly presented business plan,
it may be very difficult to reestablish a facility with a lender after
you have sort professional advice
on your borrowing strategy.
Once the practitioner has
successfully secured a loan (often with the backing of a very

Everything at stake
At this stage, it is highly recommended that the practitioner
gets the assistance of an experienced design and build company
with an excellent knowledge of
the dental industry. They will
be able to project manage the
transformation from start to finish, outsourcing work to the
craftspeople they know they can
rely upon to work to a pre-set
schedule and take into consideration budgetary constraints.
This is particularly important
for those dentists who are looking to continue treating their
existing patients throughout the
renovations. A designated design
and build company will take the
strain off the practitioner, leaving them to do what they do best
– treating patients.
Solid reputation
Companies involved in designand-build project will normally
refer clients on to financial experts they know and trust who
have a solid, professional reputation. An experienced team can
assist practitioners overcome all
the potential hurdles of practice
renovation, whilst helping them
to achieve the thriving, stylish
practices that they have always
wanted. So, celebrate the green
shoots of economic recovery and
treat yourself and your patients
to a brand new dental practice
this year. DT

About the author
Appointed in 2006,
rugby
enthusiast
and family man
Chris Davies has
led Genus’ new
dental division to
secure a significant share of the
market. For more
information
on
refurbishment, design and new build projects, contact
Genus on 01582 840484, email info@
genusgroup.co.uk or visit www.genusinteriors.co.uk.

[22] =>

XG family 390x90 ad

29/1/10

14:15

Page 1

United Kingdom Edition June 14-20, 2010
CAD/CAM SYSTEMS | INSTRUMENTS | HYGIENE SYSTEMS |
TREATMENT CENTRES | IMAGING SYSTEMS

ORTHOPHOS XG

Helping busy hands
keep healthy
Health and hygiene go hand in hand, according
to Richard Musgrave of Schülke, who offers
advice on preventing the spread of infection

he most important tool a
dental practitioner possesses is his hands. Ultimately, all the technology and
equipment in the world are useless if the hands operating it are
not in prime condition.

Tomorrow’s
digital
technology
today

As well as acting as a tool,
your hands can also be a lethal weapon, especially when
it comes to infection transmission in a surgical environment.
The skin on the hands is the
body’s first defence against infection from pathogens, as any
cuts or lesions on the skin are
easy sources of entry for bacteria and viruses, so good hygiene
practises are crucial to reducing
the risk of infection. Thoroughly washing hands, along with
the use of gloves and alcohol
rubs are the primary means
employed by dental practitioners to maintain effective hand
hygiene and prevent the spread
of infection, however this can
have a detrimental effect on
the condition of the skin on the
hands and arms.
A fine balance
Skin protection is an occupational hazard for dental practitioners and as special care must be
taken to protect others from infection, so professionals are not
leaving themselves open to longterm suffering and discomfort.
A delicate balance is required to
ensure that hands not only remain hygienic, but also that the
dental professional does not suffer any ill effects.

Enjoy every day. With Sirona.

Sirona Dental Systems Ltd., 7 Devonhurst Place,
Heathfield Terrace, Chiswick, London W4 4JD
Telephone: 0845 0715040
e-mail: info@sironadental.co.uk
www.sironadental.co.uk

The Dental Company

Eczema is the highest ranked
occupational skin disease and
the reported cases of it in the
medical profession are on the
increase. Symptoms include
itchy, rough skin, which is prone
to flaking and cracking and although the disease is not infectious, it is unpleasant and uncomfortable for the sufferer.
Additionally, many people
suffer from allergies associated
with perfumes, colours and materials such as latex – all of which
can play a large part in the implementation of many practice’s
infection-control procedures.
Very often, the hand creams
and soaps used in dental practices include the value range
from the local supermarket and
because of this they are likely
to contain colours and fra-

The skin on the hands is the body’s first defence against infection from pathogens

grances that can cause reactions in people who suffer from
allergies. On occasion the reactive ingredients are not identifiable on the label, being described
simply as ‘perfume’, so sufferers
can find themselves using products that are going to cause an
allergic reaction without even
knowing it. Allergic reactions to
colour are also a common problem, and severe cases can have
horrific effects. Not only attacking the skin on the hands and the
arms, but also sometimes causing the onset of asthma and even
anaphylactic shock, which can
prove fatal.
Latex allergy
Allergic reactions to natural rubber latex (NRL), the material
used in the manufacture of medical gloves, have increased significantly over the last 10 years
particularly within healthcare
occupations. The proteins naturally present in NRL cause irritation either through direct contact
with the skin or by inhalation
of powder from powdered latex
gloves. The reaction manifests
itself in a red itchy scaly rash,
which may spread to other areas.
Needless to say, it is of the utmost importance that suffering
is kept to a minimum and that
steps are taken to ensure that the
dental professional’s health is
not compromised.
Wearing gloves to keep skin
free of any pathogens is a necessity in the dental industry,
however, for a practitioner suffering from a latex allergy,
this can further exacerbate the
problem. Many suppliers now
also produce latex-free surgical gloves, which can be worn
without discomfort while still
upholding rigourous infection
control policies.

Skin cleansing
The use of alcohol hand rubs
has proven very effective in reducing the spread of potentially
lethal bacteria such as MRSA on
the hands of medical staff , however regular usage can severely
compromise the condition of the
skin, as can excessive exposure
to skin-cleansing products. It is
important to take restorative action to help minimise dryness
and irritation, as weaker skin is
more prone to skin complaints
and cracking. In order to maintain healthy skin on hands and
arms, regular use of a waterbased moisturising cream or lotion is essential.
It is important to remember,
however, that staff responsible
for sterilisation should not use
hand creams while handling
equipment, and that instruments
can become contaminated during handling and thus compromise the sterilisation procedure.
The maintenance of an effective infection control procedure
is of the utmost importance within a dental practice to maintain
the health and wellbeing of both
practice staff and patients. DT

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

[23] =>

Passion for dentistry
A simple message highlighting a strong
commitment to the dental profession

… the NEW
Blueprint
for Sirona

Sales

Surgery Design
Equipment Supply
Project Management
continuous innovation to develop dental solutions clinicians need

assion for Dentistry brings
Sirona’s mission statement
to life. A strong commitment to continuous innovation
and the diligent design of hightech products allow Sirona to
provide the world’s most futureoriented dental solutions.
Passion for Dentistry stands
for enthusiastic employees, innovative products and customer oriented service. These vital elements
make Sirona one of the most reliable partners for achieving continued success. Sirona serves dental
practices, clinics and laboratories
with the tools they need to take on
the future.
Sirona profile
Sirona is a dental technology
leader and has served dealers
and dentists worldwide for more
than 130 years. Their leading global position rests on our commitment to technological innovation,
manufacturing excellence and international sales expertise. This,
combined with a highly skilled
workforce, enables them to deliver and distribute products and
services that give their customers the advantages necessary for
today’s and tomorrow’s demands.
All Sirona products represent
the cutting-edge of modern dental
treatment, research and development. An example of this can be
seen in our introduction of the inLab system, which instantly made
Sirona the leader in CAD/CAM
Systems in the laboratory market.
The company was founded in
1997 as a result of a private equity buyout of the former dental
division of Siemens AG. In 1998,
following the sale of its trading
sector, Sirona was restructured
to concentrate solely on manufacturing activities.

‘Constantly investing in research and
development ensures that they remain an
industry leader in dental innovation and
quality applications’
In June 2006, Schick Technologies, Inc., the US intraoral radiographic imaging specialist, was
successfully taken over as part of
a reverse merger. Since then, Sirona Dental Systems, Inc., has been
listed on the NASDAQ, the US exchange for technology stocks, and
has opened a new chapter in the
history of the company. Sirona
currently has a staff of around
2,298 employees.
Constantly investing in research and development ensures
that they remain an industry
leader in dental innovation and
quality applications. Their unique
expertise in integrated dental systems, dedication and insight is
helping to shape the future of dental technology around the world.
Innovative new dealer
With long standing presence in
the dental market, Blueprint Dental has been serving the industry
with a keen focus on innovation.
Developed for the discerning
dentist, Blueprint Dental is an innovative organisation providing
cutting edge dental supply and
service solutions.
Innovation in the dental
world has yet to be defined with
a benchmark, our presence is

designed to ensure that for those
that wish to lead their practice to
clinical and commercial excellence – there is a partner prepared for the challenge to facilitate these goals.
Our range of services encompass full detailed and integrated
knowledge of dental surgery and
practice design, equipment sales
and service, with expert knowledge in treatment centres, dental furniture design including
HTM0105 compliancy and sterility assurance, digital imaging solutions, hygiene and plant
equipment, lasers, CBCT as well
as a developing range of table top
equipment and handpieces .
Our objective is to service our
clients as trusted partners ensuring they have all they require
to run their businesses both efficiently and as reliably as possible, both in service, support
and product lines. This lies at the
very heart of everything we do.
Blueprint Dental are looking
forward to offering the Sirona
product line to dental market,
and are passionate about developing an outstanding Sirona
sales and service dealership
that will enrich Sirona’s place in
the market. DT

Service

Installation
Technical Support
Maintenance

t: 0845 003 6274
e: info@blueprintdental.co.uk
w: blueprintdental.co.uk

the new experienced dealer for

[24] =>

24 DCPs

United Kingdom Edition June 14-20, 2010

Asking for support
Whether you’re dealing with difficult patients or need specific
information, contacting your PCT helps to build a good
relationship. Sharon Holmes explains

A

UDAs, or at least to fall within the
s you know, we have just
four per cent of our contractual
completed another contragreement to avoid clawback, alwact year with the NHS. The
ays gets 15:21:59
the adrenaline pumping.
race to complete
all our allocated
msc_ad_source_uk.pdf
1
03/08/2009

Due to previous bad experiences, we decided to be proactive
and forward thinking. We monitor our UDA performance weekly,

but what we usually fail to do is to
check that associates are processing claims and payments correctly.
This year, however, we ran an

audit and discovered to that there
were some errors. There was nothing too destructive, but it involved
a loss of finance and as a result, we
now check our schedules monthly.
There isn’t much that can be
done when it comes to certain
claims. The loss of income simply
has had to be written off as a bad
debt, albeit it minimal, but a loss is
a loss. But because of these situations, we did some research into
how claims were being made on
the NHS and under what criteria
depending on the patient. Some of
the errors were down to poor communication between the dentist
and patient, as well as the dentist
and receptionist.
Some errors were purely due
to lack of knowledge and understanding of the NHS contracts,
which are full of red tape and don’t
read easily.
Emergency patients
Booking emergency patients
seems to be an area which causes
the most confusion. It is also one of
the main types of claims monitored
carefully by all PCTs. Unfortunately, the higher your emergency
claims, the higher your practice is
flagged on their data records. This
leads to the PCT keeping a very
close eye on you, which, to some
of us, is an unfair disadvantage.
However, we are all issued with
contracts full of clauses, which are
our duty and responsibility to read
and understand.
Once we had established what
the actual causes of the errors were, with rightful claim, we did
some thorough research, making
use of our local PCT, as well as the
BDA. We compiled all the information and handed a copy to each
member of staff. We then held a
training session to discuss each
process when making a claim. To
facilitate this, we are lucky enough to have an associate who is
also a PCT adviser, who led an
educational workshop. It was very
informative and we all learned
from the toolbox discussion.
Complex claims
The first complex claim is one involving taking note of whether a
new patient should pay, or whether they are entitled to discount or
support if they fall into certain categories, such as if they are on state
benefits, are a student over 18 and
in full-time study or an expectant
mother – mothers are entitled to
free NHS care up until the toddler
is one year old.
All patients eligible for support
should be able to provide evidence
to support their situation. Of course
on many occasions, patients do
not bring in their certificates despite being asked several times. If
this happens, we have to indicate
this on our administration system,
and see the patient, as we are not
allowed to turn patients away from
receiving NHS treatment.

[25] =>

DCPs 25

United Kingdom Edition June 14-20, 2010

Patients must sign a PR form,
containing all the necessary information, which serves as a receipt to let the PCT know what
our patients have told us. These
forms must be kept for a period
of two years, and are also used to
track payment claims as well as
fraud by patients.
Next, prior to claiming their
UDAs, the dentist must check
with the patients what their employment status is, and record
this information on the computer or on the FP17DC forms. If
a patient receives benefits, this
also entitles their partner to free
NHS dentistry.
Defining an emergency
Defining emergency dental care
has been debated regularly with
our dentists. Let us make it very
clear. Emergency dental care
is when a patient calls or walks
in on the day to book an appointment because they are in acute
pain and discomfort. Patients
are entitled to emergency treatment to address severe pain and
prevent significant deterioration
in or he-alth. Emergency treatment is not restricted to oneday treatment, and if it is required within the next day or two,
it can be regarded as a course of
urgent treatment.

same or a lower charging band,
no patient charge is payable.
The FP17/FP17W continuation
box in part six should be crossed
so that the UDAs will be credited
for the treatment but the patient
charge element will not be deducted from the monthly contract value payment. The patient’s record
should make clear the clinical circumstances requiring a second course of treatment to be provided as
well as the original treatment plan.

If the patient requires treatment under a higher band, we
can claim the UDAs for that band,
however, dentists are advised to
be careful because the PCT feel
that ideally the patient should
have been treated according to the
higher band in the first instance.
Only in exceptional circumstances
should the patient’s treatment have
to be moved into the higher band.
Patients will be charged the full fee
for treatment in the higher band
and not the difference.

If the patient returns within
the two-month period and requires further band one treatment, we can claim another
UDA. Where a course of treatment (other than urgent) has
been completed, but within
two months of the date of completion a patient needs further treatment from the same
contactor that falls within the

About the author
Originally from South
Africa, Sharon Holmes
has worked in the field of
dental practice management since 1992. In 2003,
she moved to London City
Dental Practice where
after 18 months, was responsible for
managing four practices in the group.
The London City Dental Practice is now
part of a mini co-operative group called
the Dental Arts Studio, of which she
has been instrumental in its creation.
She holds the position of operations director and manages every aspect of the
group along side her principal dentists.

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

Patients who have been
booked in two weeks prior for
a regular exam, but turn up on
the day in pain, cannot be processed as emergency treatment.
Your team need to be trained in
accordance with the patient’s
needs. As indeed emergency care
had to be carried out, but on statistics recorded by our PCTs it can
look suspicious as IT forensics
has it booked as an exam. Much
administration is explainable and
it is accepted and validated by the
PCT but it is always worth the
extra effort to train our staff effectively so that on recording of data
our records remain clean.
Treatment expiry
The last issue I will address is
treatment expiry and claiming
UDAs. If the patient does not
return for treatment within the
two-month period to have treatment completed then they will
incur the NHS fee again. As long
as the practice has behaved reasonably with regards to enquiring why the patient failed to complete their treatment and that the
practice had been reasonably
flexible with understanding the
exceptional circumstances.

Achieving the best
The obvious is to continually
strive to achieve a better understanding of our PCT contracts.
You should always contact the
PCT when you are not sure of
any particular required procedure. I have always found our
PCTs to be helpful when going
through some difficult issues.
The more you ask, the more help
you receive, and in doing so, you
build a trusting relationship with
your PCT. DT

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

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

PracticeWorks

www.practiceworks.co.uk

[26] =>

26 Special Feature

United Kingdom Edition June 14-20, 2010

A significant milestone in my career
As a project manager for University College London (UCL) Estates
and Facilities Division, Richard Braybrook has been involved with M
the development programme that includes the latest clinical skills
facilities at UCL Eastman CPD. Here he describes his role in the
recent scheme

Proven.

y involvement with UCL
Eastman CPD began
in the autumn of 2007
when I was asked to project manage expansion of the existing clinical skills laboratories on the third
floor of 123 Gray’s Inn Road.
During these extensive improvements (which saw the installation of additional bench space
with new phantom heads as well
as a modern compressed air service) the Director of Eastman CPD,
Prof Andrew Eder, had mentioned
his intention to expand into the
forth floor, occupied at the time by
a specialist Department of the Institute of Child Health (also part of
UCL).
The expansion and modernisation of the child health facilities
at Guildford Street and at Chandler
House meant that the fourth floor
was soon to become available.
This was when I was called in.
Having successfully overseen the
earlier third floor improvements,
Prof Eder kindly invited me back
to manage the creation of the new
clinical skills facility.

Unrivalled innovation, thoughtful design, lasting integrity.
A-dec 500® is based on decades of collaboration with dentists worldwide.
Such co-operation has led to pressure-mapped patient comfort, enhanced

In the beginning…
In June 2008 an initial briefing was
scheduled to formulate the plan of
action for the project. I was not,
however, expecting to be ushered
into a seminar room filled with
dozens of dentists, all of whom
had ideas about what should and
shouldn’t be included in the new
clinical skills facility: I wasn’t prepared for such an intense deluge of
ideas and questions!

integration of handpieces and technology to minimize reach, and a touchpad
that provides single-point system control.

In a world that demands dependability, A-dec delivers
a proven solution without a single compromise.

It soon became apparent that
a smaller core group was needed.
Chaired by either Prof Eder or Dr
Chris Louca, its role was to be
the decision-making representative group that would act as the
intermediary between the dentists
and the project managers.
As I am not a clinician, it was
important to complete the final architectural and finishing designs
based on the consultations with
the staff at UCL Eastman CPD,
along with the scheme layout plan
from the company that would be
installing the dental equipment. It
was vital to give the staff and graduates the best possible facilities
that would allow them to develop
their clinical skills.

Chairs
Delivery Systems
Lights
Monitor Mounts
Cabinets
Maintenance
Infection Control

To learn more, contact A-dec at 0800 233 285 or call your local authorised A-dec Dealer. Visit our website: www.a-dec.co.uk
A-dec Dental UK Ltd
Austin House, 11 Liberty Way, Nuneaton, Warks, CV11 6RZ. Tel: 024 7635 0901 Fax: 024 7634 5106 Email: info@a-dec.co.uk

Before the project could begin, Planning and Building Regulation approval was needed
from the local authority. As the
rear of the building is adjacent
to a residential Mews, there are
strict rules governing noise from
external plant (the machinery
that serves the air-conditioning
system). A noise survey had to be
submitted to show the minimal
impact the new plant equipment

[27] =>

United Kingdom Edition June 14-20, 2010

To minimise disruption, most
of the demolition and construction work had to be conducted
early in the morning as well as
during evenings and weekends.
However, for the project to move
forward, construction during normal working hours was unavoidable. I have to say the co-operation
we received from the UCL Eastman CPD staff on the fifth floor,
along with the skills lab nursing
staff (led by Anita Graham) on
the third floor was fantastic. Everyone was extremely helpful and
patient with the building work
taking place.

Matrix

Bringing it together
Despite the limitations imposed
on the project by the site, it was
completed in a relatively short
time, with building work finishing
at the end of October 2009. The
principal contractor, Russell Cawberry Ltd did a great job in controlling the contract, supported
by sub contractors W Portsmouth
Ltd (electrical) and EMS Ltd (mechanical). The site team worked
harmoniously together and maintained a very good working relationship with the occupants of
the building.

Inserts like a
wedge

Form Contact
Point

Tight cervical marginal
adaptation prevents
overhangs

Flexible wing exerts
pressure for maintained
separation and cervical
adaption

Having won the tender, A-Dec
arranged, supplied and installed
all the dental equipment, such
as benching, phantom heads and
dental units, with Dentalstyle Ltd
supplying the cabinetry.

to the basement of the building,
without causing major disruption
to the CPD courses taking place on
the third floor, or the private dental
practice located on the ground and
first floors.

Getting started
Gavin Chapman, a colleague of
mine from the Estates and Facilities
Department, oversaw the task of
designing and managing the electrical installation. Ivan Martin of
Fowler Martin Associates handled
the complex design and installation
of the mechanical services, which
included the challenge of designing
and installing the vacuum system
as well as extending the ventilation,
air-conditioning and compression
systems to serve the fourth floor.
All the services had to be run down

Another major hurdle was
finding the space for all the ventilation duct and electrical services needed, as well as running
the necessary services to the
specific laboratory bench positions and dental units. The solution was found through a slightly
raised floor and lowered ceiling.
There were some initial concerns
about the finished room height
being too low, but it became
apparent when the partitions
were installed that these worries
were unfounded.

Companies used in the project
Russell Cawberry Ltd
020 8643 9521
www.russellcawberry.com

A-Dec Dental U.K. Ltd
024 7635 0901
www.a-dec.co.uk

EMS Ltd
020 7837 4707
www.ems-maintenance.
co.uk/contact.htm

Dentalstyle Ltd
01278 789119
www.dentalstyle.co.uk/index.
php?mn=225

W Portsmouth & Co Ltd
020 7328 0111
www.wportsmouth.co.uk

PracticeWorks Limited
01438 245000
www.practiceworks.co.uk/
en-GB/about-us.aspx

Fowler Martin Associates Ltd
020 8524 8848
www.fowlermartin.com

Nuview Ltd
+44 (0) 1453 872266
www.voroscopes.co.uk/

World’s Fastest
Composite Matrix?

As far as possible, the installation is environmentally friendly,
with energy saving automatic
lighting and ventilation systems.
Wherever possible, sustainable
products have been used. I am
proud of the fact that not only
was the project completed fairly
quickly, but also that the finished
product is bright, modern and fit
for purpose.
On a personal note, the memorable highlight of the project was
being able to invite members of
the construction team to the official
opening, and being presented to
HRH The Princess Royal.
I am grateful to Prof Eder,
Dr Louca and the UCL Eastman
CPD team for the support provided and, now that the project has
been completed, can reflect upon
the achievements with a great
deal of personal satisfaction and
pleasure as I consider this project
to be a significant milestone in
my professional career. DT

FenderMate tryKit

would have on the surrounding
environment. The application
was a tense process; permission
was finally granted just a few
days before work was due to commence on site.

The finished result is a suite
of clinical skills training facilities
that boasts a Skills Laboratory
with benching to host 18 graduates plus a teacher’s station and a
Seminar Room seating 18 people.
There are also five clinical surgeries, a sterilisation suite conforming to the latest HTM-01-05
guidelines, a radiography room
equipped with a state-of-the-art
3D CT scanner, as well as other
auxiliary rooms and areas.

(value £ 26.00)
*Redeemable against your next purchase of FenderMate.
Promotion code DP02 to be mentioned on order.

More Designs by Dentists
www.directadental.com
Distributed in the UK by Trycare, Tel. 01274-88 10 44
FenderMate® is a trademark registered by Directa AB. Registered Design and Patent pending.

[28] =>

28 Imaging/Surgery Design

United Kingdom Edition June 14-20, 2010

Trust The Dental Directory for
Surgery Planning
Whether you are planning a whole
new surgery or looking to refit your
exsisting practice, make The Dental
Directory Equipment Department
your first port of call.
Our technical sales representatives
are available to visit your surgery
and discuss your needs, including
space-saving layouts, equipment
requirements and compliance with the latest HTM 01-05 decontamination
guidelines. Following these discussions, we will then submit detailed plans,
equipment recommendations and quotations. This service is both free and
without obligation so you have every reason to call us first!
Not only that, but our independent position means we are not tied to any
one particular equipment supplier. The Dental Directory offers the most
comprehensive range of equipment from the world’s leading manufacturers
and it’s this choice that ensures that we can find the right equipment for your
new surgery.
We use our own team of skilled engineers to fit-out your surgery – where ever
possible working around your appointment schedule to minimise disruption
to your practice and have your surgery up and running in no time. To find out
more on how The Dental Directory can help you plan and refit your surgery call
0800 585 585 or visit www.dental-directory.co.uk

Sident Dental Systems
Looking for Sirona Equipment, get it from Sident!
If you are looking for any Sirona equipment, get it
from Sident Dental Systems, the UK’s only Specialist
Supplier of Siemens /Sirona equipment. Only Sident
Dental Systems can offer you:• Comprehensive bespoke Project Management Service for Surgery
refurbishments • Factory Trained Engineers • Product Specialists to advise
on design, installation and on-site training • Low cost finance packages for all
products • Established 28 years

Highline
Bespoke Storage Solutions
Highline bespoke storage units, from
Support Chairs, are the ultimate answer in
mobile storage systems.

Designing a dental surgery is not
simply a question of allocating
where cabinets are positioned.
What may look good on paper may
not necessarily work in practice.

Available in a choice of nine formats they
are extremely versatile and cost effective. Probably why they are becoming so
widely used in clinics, surgeries and laboratories etc.
Composed of modules, containing sets of 4 different drawer sizes, they can be
combined in one of nine models to create units of the required height, width
and mixture of drawer sizes. Some models feature an open space for storing
equipment etc or a glass fronted lockable cupboard with a height adjustable
shelf. The two high module units are ideal for people working sitting down,
while the three high module units are ideal when taller storage is required.

This is certainly the experience
of Paradigm Design, a company
with years of experience working
exclusively with and for the profession. Good design, in Paradigm’s view, can
be achieved only if it takes into account the way a dentist and his or her team
actually work.

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

Sirona Specialists, Sident Dental Systems offer the choice from the complete
range of Sirona Treatment Centres, 2D and 3D digital and film based x-ray
apparatus – including the very latest Galileos 3D digital cone-beam equipment,
their extensive range of Sirona handpieces, and auxiliary items including
SiroLaser, SIROEndo and the DAC Universal sterilisation unit.
Wherever possible potential clients are invited to visit The Courtyard, Sident’s
state-of-the-art training and showroom facility, where they will be able see the
complete product range in action.
Finally Sident will undertake a complete Project Management Service,
including installation and post installation service support, to enable these
dreams to become reality.

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 Sident Dental Systems on 01932 582900 or email
j.colville@sident.co.uk

For further information call Tavom UK on 0870 752 1121
Or visit www.tavom.com

Highline offers a very economical alternative to traditional fixed cabinetry.

If you are considering installing a new surgery, or you are upgrading, the
best advice is to assure yourself that you are talking to people who really
understand the subject. Irrespective of your choice of designer, It is sensible to
ask for references and, if you have the time, check out their work.

Designed to meet your needs
Henry Schein Minerva’s Equipment division has
expertise in every aspect of surgery layout and
installation.
A very wide range of surgery equipment from
the world’s leading manufacturers allows you
to choose the best possible solution of Dental
Equipment for you.
Featuring Treatment Centres from leading
manufacturers allows Henry Schein Minerva’s
team of planners and engineers to create a
surgery that meets exactly your specifications; be
that the ultimate in high quality luxury or excellent value for money.
The full range of Treatment Centres available from Henry Schein Minerva
incorporates the Sirona TENEO - the ultimate chair in terms of style, innovation,
craftsmanship and quality. Pelton & Crane’s chair creates a pleasant and
comfortable patient experience whilst the range of other Treatment Centres
(Belmont, Fedesa, KaVo) allows for versatile and bespoke options that fulfil
every specific requirement you might need.
Henry Schein Minerva’s ‘Platinum’, ‘Gold’ and ‘Silver’ category groups help you
compare every piece of equipment in its category based on characteristics and
features.

For further information telephone Support Chairs on 01296 581764, fax 01296
586583, email sales@supportstool.co.uk or visit www.supportstool.co.uk

For more information visit www.paradigm-group.co.uk, email: info@
paradigm-group.co.uk or call 01278 792333.

For more information on the range of Capital Equipment available from Henry
Schein Minerva simply call 08700 10 20 41 or visit www.henryschein.co.uk.

Stylish and efficient, Highline bespoke storage solutions are constructed from
aluminium, steel and high quality plastics, which are resistant to most stains
including blood. Drawer fronts are available in either simulated aluminium or
navy metallic finish.

Trust The Dental Directory for
Digital Imaging
At The Dental Directory we won’t
just sell you a box and walk away.
We can help you plan, deliver and
install your new imaging system
with the minimum disruption to
your surgery.
Not only that, but our independent
position means we are not tied to
offer you any particular system.
The Dental Directory offers the most comprehensive range of Digital Imaging
systems available from the world’s leading manufacturers such as Schick,
Gendex, Satelec, E-Woo and Durr. The range of choice ensures that we can find
the system that’s right for you.
Also with a experienced equipment team and our dedicated Digital Imaging
Business Manager, Mohammed Latif, who has more than fifteen years
experience in all aspects of digital imaging - you can be sure you are in Safe
hands.
Attractive finance packages are also available from leading institutions, so
whatever your requirements are for a new or upgrade system - we can help
you.

What frequently causes clutter (with a corresponding impact on efficiency) is
when a surgery is designed so that everything a dentist needs is stored around
the chair. Ideally a practice should be designed from the patient’s mouth
outwards, taking into account whether the dentist is right or left handed.

General
Oak Mount Dentist passes air safety course
with flying colours
Dr Rajit Lall, BDS receives her CPD certificate
from DentalAir’s Practice Advisor, Steven Kettle
New standards have raised the bar in
compressed air standards. It is imperative
that dental professionals understand the
implications of NHS HTM2022/1, HSE (COSSH
1994) and the European Pharmacopia Directive
N737-3 to ensure that their practice is fulfilling its legal obligations.
Oak Mount Dental Surgery in Didsbury near Manchester takes the quality
of its air quality and the safety of its patients seriously. That’s why practice
principal, Dr Ranjit Lall, decided to obtain her CPD certificate on air safety
standards from DENTALAIR.
DENTALAIR prides itself on creating awareness of the dangers and risks
associated with poor air quality and badly-maintained air compressors, and will
work with practice principles and managers to review current air compression
systems, assess air quality and make suggestions and recommendations to
ensure compliance and best practice.

Call The Dental Directory today on 0800 585 585 to find out more about the
Digital Imaging systems available.

Please call Dental Air on FREEPHONE 0800 542 7575
Or visit www.dentalair.co.uk

UCL Eastman Diploma in Implant
Dentistry Next Commences in
October 2010
The UCL Eastman Dental Institute offers a challenging part-time modular
Diploma programme in Implant Dentistry, delivered two days a month over
three years.
This Diploma is ideal for any practitioner wishing to develop their knowledge
and skills of implants, whilst working towards a postgraduate university
qualification.
Teaching will be conducted through interactive lectures, live surgery and
hands-on procedures, delivered by an experienced multidisciplinary team of
GDC registered specialists, supported by invited international speakers.

Effective decontamination of instruments with
Blackwell Supplies
Successful instrument decontamination with a validated
washer – disinfector relies upon effective cleaning products.
Nusonic MED is a new thermo-disinfection cleaning
product from Blackwell Supplies that offers consistently
superior decontamination of hand instruments.
Specifically designed for use in washer – disinfectors,
Nusonic MED offers several distinct advantages:

The course will provide supervised clinical treatment and mentoring and will
also covers aspects of immediate placement, GBR techniques, immediate
loading as well as rather more complex procedures such as bone grafting and
sinus lifts.
This is a limited attendance course and acceptance will be through competitive
entry.
For more information or to register, please contact
Charlie Waldren, Programme Administrator, on 020 7905 1272
or email c.waldren@eastman.ucl.ac.uk
or visit www.eastman.ucl.ac.uk/cpd

• Effective decontamination is achieved thanks to the triple enzyme,
bacteriostatic action of Nusonic MED.
• Its non-corrosive, non-foaming and pH neutral formulation will help to
maintain the integrity and preserve longevity of the hand pieces being
reprocessed, whilst also leaving instruments free from residue.
• Available in a four-litre bottle that will allow for 120 reprocessing cycles,
Nusonic MED is an economical and effective thermo-disinfection product.
• Nusonic MED is also biodegradable.
Nusonic MED is just one of the wide range of products offered by Blackwell
Supplies to the dental profession.
For more information please call John Jesshop of Blackwell Supplies
On 020 7224 1457, fax 020 7224 1694 or
email john.jesshop@blackwellsupplies.co.uk

Nobel Biocare congratulates winners at the Smile
Awards 2010
Dr Linda Greenwall and Dr Zaki Kanaan
Nobel Biocare would like to offer its congratulations
to all of the winners and runners up at the 2010 Smile
Awards held in London this March!
The evening began with a champagne reception before a warm welcome by
FMC Director Emily Cameron. After dinner, the awards ceremony commenced
and later attendees danced the night away at the after party until the early
hours.
Particular congratulations are called for to celebrate the efforts of Nobel
Biocare user Dr. Zaki Kanaan who won the Multiple Implant Smile category
and whose work was highly commended in the Single Implant Smile group.
Nobel Biocare users Dr. Mark Emms and Dr. James Main also deserve a
mention for narrowly missing out on a prize in the Single Implant category and
Paul Sherrard in the Multiple Implant Smile category.
The event celebrated the outstanding work of all the short listed finalists
who submitted their work anonymously for the scrutiny of the panel of expert
judges, which included the likes of Dr. Christopher Orr, Dr. Linda Greenwall and
Dr. Andrew Moore.
For further information on Nobel Biocare’s range of products please call:
01895 430 650 or visit www.nobelbiocare.com

New study suggests treating gum
disease may help people with
diabetes mellitus
A new study, conducted by an inter-university research team including the
UCL Eastman Dental Institute, has revealed that treating serious gum disease
in people with diabetes mellitus can help to reduce high blood sugar levels.
The team behind the study, led by Dr Terry Simpson, University of Edinburgh
and including UCL Eastman Dental Institute, Peninsula Dental School and the
University of Ottawa, reviewed the findings of previous research into the link
between diabetes and serious gum disease.
Whilst the most important aspect of insulin control in diabetes management
is the use of drugs and diet, maintaining good dental health is something
patients and healthcare professionals should also recognise, particularly
because it is so easy to treat.
UCL context
The Unit of Periodontology at the UCL Eastman Dental Institute focuses on
clinical research programmes that investigate oral healthcare to improve
general health and quality of life.
For more details about the UCL Eastman Dental Institute, please visit www.
eastman.ucl.ac.uk or telephone 020 7915 1038

[29] =>

United Kingdom Edition June 14-20, 2010

UCL Eastman Certificate in
Paediatric Dentistry
next commences in October 2010
Designed for dentists wishing to provide a higher standard of care for children
and adolescents, the UCL Eastman Certificate in Paediatric Dentistry is a 26-day
course spread over 12 months, commencing in October 2010.
Delivered through seminars, lectures and practical sessions in state of the art
facilities, the programme will allow dentists to develop practical skills needed
for effective treatment of children and adolescents.
The certificate comprises of modules covering:
• Oral disease – a review of common dental diseases and their diagnosis,
prevention and management • Restorative management – restoration of the
primary dentition and aesthetic restoration of fractured incisor teeth • Trauma
– how to manage dental trauma in children • Behaviour management – nonpharmacological techniques and inhalation sedation • Planning treatment
in the developing child – an overview of treatment planning and the role of
orthodontics
As well as introducing the latest techniques, participants are also supported
with their own patients through regular discussions and case presentations.
For further information or to register for this programme, please contact Dawn
Mifsud or Karen Rhatigan, Programme Administrators, on 020 7905 1261 or
email d.mifsud@eastman.ucl.ac.uk or k.rhatigan@eastman.ucl.ac.uk or visit
www.eastman.ucl.ac.uk/cpd.

Revolutionary new approach
to posterior restorations with
DENTSPLY
Dr Michael Fleming is enjoying
using the latest innovation from
DENTSPLY, designed for the simple
and efficient placement of posterior restorations.
SDR™ is the first and only posterior composite that offers flowable, bulk-filling
of up to 4mm.
Dr Fleming says, “I am most impressed with the ease of use, as the specially
designed cannula tips mean that the composite material can be easily directed
into the cavity. There is no longer the need for a conventional flowable liner,
which is useful.”
“The SDR filling technique provides a speed of setting that is excellent,
especially being able to bulk-fill rather than employing time-consuming
multiple layering and curing of composites. It also means there is less chance
of contamination during the process.”
“Overall, SDR makes for a much more pleasant material to use.”
By introducing SDR, which offers exceptional ease of use and efficiency,
DENTSPLY is demonstrating their continued commitment to investing in
better dentistry.
To find out how SDR can support your practice, call +44 (0)800 072 3313 or visit
www.dentsply.co.uk

KaVo offers the most exciting
LED handpiece option to date
KaVo is offering LED Handpiece
Technology from only £55, by
means of a single LED which can
be inserted into existing KaVo
MULTIFlex couplings in exchange
for existing bulbs, making this
the most economical way to change your handpieces to LED. This retrofit
option reduces the cost of the LED while you continue to use existing KaVo
couplings and motors. Don’t be persuaded by other manufacturers offering
KaVo look-a-likes, this is the real thing!
The real KaVo LED offers maximum flexibility as the bulb exchange is easy
and quick to perform and can be carried out by the customer. When used in
conjunction with some KaVo Units, this new LED technology offers the option
of regulating the light intensity as well.
Why choose KaVo? Customers wishing to switch to LED will no-longer need
to purchase new couplings or instruments. KaVo LED offers a light focussing
system by means of integrated optics for superior light quality and an optimal
view.

Tax Bills - How do you fund yours?
Take the heat out of your July tax bill!
• As a direct funder and part of Close
Brothers Group Plc, Braemar are
offering their popular tax funding
facility to ease the impact on your practice cash flow.
• Tax falls due in July for many professionals. Conserve your cash and arrange a
tax loan from Braemar Finance.
Braemar Finance can assist with their popular Tax Funding Facility, the benefits
can be summarised as follows:• Simple to arrange • Fixed monthly repayments • Free CHAPS transfer to
your bank account on completion • Flexible repayment terms • Leave your
investments untouched • Fast turnaround
Please contact Braemar Finance on 01563 852100 to discuss their tax funding
facility, or any product from the range of finance solutions they provide, details
of which can be found on their website www.braemarfinance.co.uk.
Finance approval is subject to status
Braemar Finance, Braemar House, Olympic Business Park, Dundonald, KA2 9BE
Phone : 01563 852100 Fax: 01563 852111
www.braemarfinance.co.uk info@braemarfinance.co.uk

Working with you
to deliver the very best in patient care
The team at EndoCare are as dedicated to your
patients as you are, and will work as an extension
of your team to ensure the best patient care is always received.
Recent winners of the 2009 Private Dentistry award for Best Referral Practice,
EndoCare’s state-of-the-art practices in Harley Street, Watford and Richmond
allow the team to provide cutting edge technologies to ensure that your
patient is returned to your practice ready for you to commence work as soon
as possible.
Nervous patients are encouraged to have a pre-treatment consultation, where
a number of relaxation and sedation techniques can be discussed. Patients
are given a comprehensive briefing on treatment, so they, and the referring
professional, know exactly what to expect.
EndoCare’s customer service does not finish when your patient leaves the
surgery. All patients are scheduled a free after-care appointment six months
after surgery, allowing the team to check on the treatment, and discuss the
recovery with the patient.

To arrange for s free demonstration of SDR call +44 (0)800 072 3313 or visit
www.dentsply.co.uk

EndoCare Richmond enjoys an
evening of sushi and salsa!
Dental professionals from London
and the South East danced the
night away at EndoCare’s Richmond
branch this April, at an informal
event held by Clinical Director Dr.
Michael Sultan and his team.
Attendees took the opportunity to meet Dr. Sultan himself over a glass of wine
and freshly prepared sushi, along with the other highly skilled endodontists
and dental nurses who work at the brand new practice. EndoCare’s business
managers and support staff were also on hand to show their guests around
the surgeries and answer questions. Later, Cuban-born salsa teacher, Homero
González, led the partygoers in a salsa lesson on the balcony, with several
mojitos thrown in for good measure too.
The recently opened practice in Richmond is the latest addition to EndoCare’s
chain of endodontic practices, which also boasts sites in Harley Street and
Watford. Winner of the 2009 Private Dentistry award for Best Referral Practice,
EndoCare’s state-of-the-art practices allow the team to provide cutting edge
technologies to ensure that every patient is returned to their usual practice
ready for further treatment.
For more information about EndoCare please call 0844 8932020 or visit www.
endocare.co.uk

New Picasso laser launched by Velopex
With a growing reputation as the ‘font of
knowledge’ in Dental Laser Technology,
the team at Velopex have launched a super
compact bench top Dental Laser. The unit
features: Colour touch screen operation and
includes a carry handle as well as fibre tidy.
The Picasso laser contains two lasers: a 7 Watt
(user power) Gallium Aluminium Arsenate
(GaAlAs) diode laser and a small laser pointer.
The GaAlAs laser is ideal for soft tissue (gum)
work – as it does not interact with teeth or bone (810nm). It is particularly
indicated for both periodontal work – where it can sterilise the pocket killing
the bacteria – also for endodontic work where it can sterilise the root canal.
The GaAlAs laser has a wavelength that makes it an ideal way to do minor oral
surgery. Using this laser, an area can be cut with localised haemostasis. Not
only does the laser cut but it also sterilises the tissues as well making for good
post-operative results.
The Picasso Laser can also be used for Tooth Whitening, although the Tooth
whitening fibre and handpiece are optional extras.

HTM 01-05 compliant Alcohol Free disinfection
with Continu
HTM 01-05 suggests caution in using alcohol on
surfaces and highlights problems of eliminating
biofilm from Dental Unit Water Lines whilst BDA
Advice Note 58 documents COSHH risks of alcohol
based products.
Continu alcohol free disinfectants offer a complete infection control solution
from a product range that includes:
• Wall mounted touch free dispensers, with HTM 01-05 compliant sealed,
disposable pouches containing alcohol free sanitising foam or hand wash that
will not cause skin irritations or dryness
• 2 in 1 surface cleaners that remove dirt and grease whilst disinfecting the
treated areas to keep surfaces clean as well as de-contaminated
• A Dental Unit Water Line Disinfectant that effectively eliminates biofilm to
achieve long term reduction in microbial contamination without damaging
equipment

For more information, or to arrange a demonstration, please contact:
Mark Chapman
Tel 07734 044877

SMARTSEAL IS NOW MORE RADIO-OPAQUE!
Smartseal, the creator of innovative endodontic
systems, is delighted to reveal its new radio-opaque
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.”

The cost is too high – let’s do something about it
Dental products, including small equipment should
cost us about 6% of turnover, but I fear that this
percentage has increased dramatically over the past
year. I know that the dental manufacturers have put
up prices by about 20% over the last 12 months and
the effect of the more expensive euro has added to
this price inflation, as many manufacturers are based
outside of Britain.
So where does this leave the practice owner?
Patients are visiting less often and not opting for the
more advanced treatment plans, due the psychological or real effects of the
recession, and this means that some practices are finding it hard to survive, let
alone make a profit.
That’s why I have launched the CODE Buying Group. I estimate that members
spend £20m per year on dental products, and more on equipment and services.
If we club together we have tremendous buying power. The CODE Buying
Group is going to bring down prices and claim rebates for members as well
as free product and free or subsided training. It is time that the manufacturers
started to put something back into dentistry.
Fortunately Dental Directory have agreed to support our initiative and already
offered a rebate on Unodent products plus a special discount structure.
Please sign up to the CODE buying group on-line now, as members and
CODEplan practices must opt-in for the group to have the mandate to
negotiate on their behalf. Paul Mendlesohn, CODE Chief Executive.

For press information please contact Sue Adams on 01452 886367

“SDR, What a pleasant surprise”
Dr Hemini Desai of the Orchard House Dental
Practice in Beckenham has been trialing the
latest innovation from DENTSPLY. SDR™ is
the revolutionary new posterior composite
base with excellent cavity adaptation due
to its flowable viscosity, as Dr. Desai has
discovered, “I really like the ‘flowability’
of the product. The viscosity allows it to
effectively reach every little corner of
the cavity, better than other flowable
composites I’ve used in the past.” “It’s a good
material to work with in terms of its ease of
use, such as being able to cure quickly in up
to 4mm increments. Another good feature is
the self-leveling quality of SDR™, something
that other flowable composites don’t have.“
“A further advantage is that its shade is
similar to that of dentine, making for a better aesthetic finish and of course
the capping composite helps to determine the Aesthetics of the restoration.
“ Investing in better dentistry is a key part of DENTPSLY’s commitment to the
profession, through the development of innovative products, such as SDR.

For more information about EndoCare or to receive your free referral pack
please call 0844 8932020, email info@endocare.co.uk or visit www.endocare.
co.uk

For information on the full range of KaVo products please contact your KaVo
supplier or call KaVo for details of Rental Options on 0800 281020.

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.

Industry News 29

Though Continu is extremely powerful in killing 99.999% of harmful microorganisms within 30 seconds, it has the same hazard rating as distilled water
making it safe to use on multiple surfaces without causing damage.
Continu is the next generation of ultra-effective, ultra-safe, HTM 01-05
compliant alcohol-free disinfection solutions.
For more information please call Nuview on 01453 759659, email info@
nuview-ltd.com or visit www.voroscopes.co.uk

BACD Birmingham Study
Club to present Cosmetic
Orthodontics lecture for GDPs
This September, Dr Anoop Maini
BDS(Lond) DGDP(UK), one of
the first UK GDPs to become
a Six-Month Smile provider, will be giving a presentation on Short Term
Orthodontics (STO) for GDPs to BACD Study Club members in Birmingham.
In line with the current trend for conservative cosmetic dentistry, Dr Maini
will be explaining how GDPs can realistically utilise STO within their practice,
outlining its strengths and limitations, as well as how it differs from the
objectives of Comprehensive Orthodontics.
Dr Maini BDS (Lond) DGDP (UK), a graduate of Kings College, has been in
private dental practice in the London area since 1993 and is a member of the
BACD Board of Directors. His special interest in cosmetic and implant dentistry
began after studying extensively in the USA and UK. He now focuses on using
Six Month Smiles in conjunction with other cosmetic dental procedures, such
as porcelain veneers and composite bonding, to help patients achieve their
best looks.
For more information, or to reserve your place, please contact Suzy Rowlands
on 020 8241 8526
or email suzy@bacd.com

[30] =>

30 Events

United Kingdom Edition June 14-20, 2010

ITI Education Week comes to the Eastman

T

ganisation’s aim to enhance imseven locations in the world to
he Eastman Dental Instiplant education worldwide, the
play host to the prestigious Intertute at University College
ITI Education week offers pracnational Team for Implantology
London stands proudly
titioners the opportunity to ad(ITI) Education Week, to be held
at the forefront of postgraduvance their knowledge and skills
22-27 November 2010.
ate education and research in
in implant-related treatment.
the oral healthcare sciences.
ITI is a network that unites
As a testament to the establishProf Nikolaos Donos is the
professionals from around the
ment’s ongoing dedication to
Head and Chair in Periodontolworld who work in the field of imraising standards in the proviDirector
dentistry and
related
sion
dental
care, theWeek
Eastman
4681ofITI
Education
Ad:4681 plant
ITI Education
Week
Ad tissue
21/5/10 ogy,
16:41
Page of
1 Research and
Team Leader at the Eastman’s
regeneration. As a part of the orhas been chosen as one of only

Clinical Investigation Centre. He
is also the Director of the ITI Scholarship Centre at the UCL Eastman Dental Institute. As well as
leading the upcoming course,
Professor Donos will also be teaching in several of the workshops.
“The aim of the event is to offer
delegates the opportunity to gain
a real understanding of implantology, from the basics right up to

ITI Education Week, London.
Current Treatment Principles and Concepts in Implant Dentistry

the most advanced levels in a very
short period of time, whilst at the
same time accruing verifiable
CPD,” says Prof Donos. “The course will involve a number of workshops, clinical case studies and
two sessions of live surgery to enable attendees to gain valuable experiences they can apply in their
own surgeries. It’s a very condensed course, spanning just one
week, which at the least will make
delegates aware of the different
clinical options related to implant
dentistry and will also serve as a
refresher for more experienced
clinicians to help extend their
knowledge. Practitioners at any
stage in their career paths are
very welcome to attend.”
What makes the ITI Education
Week so unique is its intensity,
its long, full days and rotating
faculty of renowned internal and
external speakers both from the
Eastman and abroad. “The event
will see a combination of clinical
academics and experienced practitioners combining forces and
sharing their knowledge with delegates,” Prof Donos adds.

Date

November 22 – 27, 2010

Difficulty level

Straightforward, Advanced and Complex

Language

English

Course director

Professor Nikos Donos, Head and Chair of
Periodontology, UCL Eastman Dental Institute

Course fee

£2,750
(incl. day-time catering, handouts and
course material)

Discounts

ITI Fellows/Members: 10%
Current ITI Scholars: on request

No. of participants

Max. 20

CPD hours

39

Accommodation

Hotel information will be provided after
registration

To register contact:
ITI Team for Implantology
ITI Education International
Peter Merian-Weg 10
CH-4052 Basel, Switzerland
education@iticenter.ch
www.iti.org/educationweek
Tel: +41 61 270 83 97
Fax: +41 61 270 83 84

The ITI University Programme
The ITI – International Team for Implantology – is an
independent academic organisation dedicated to advancing
knowledge in the field of implant dentistry. The ITI University
Programme aims to enhance implant education worldwide by
offering coordinated, high quality, commercially independent,
continuing education in implant dentistry around the globe.

UCL Eastman Dental Institute
The UCL Eastman Dental Institute is a major centre of excellence
at the forefront of evidence-based clinical service, research and
education in the oral health care sciences.

www.eastman.ucl.ac.uk

Course details
This six-day ITI Education Week has been designed for clinicians
who wish to acquire further knowledge in basic and advanced
treatment techniques in implant dentistry through an evidencebased approach. The course will be delivered through lectures,
surgical and prosthodontic hands-on workshops, exposure to live
procedures and interactive treatment planning sessions.

Topics
 Current principles of bone and soft tissue integration around
dental implants
 Patient risk assessment (surgical and prosthodontic aspects)
 Smile design and treatment planning considerations for
patients with demanding aesthetic needs
 Advanced treatment planning using radiographs and 3D imaging
(lecture and workshops on radiographs and 3D images)
 Prosthodontic principles and loading protocols in implant
dentistry
 Basic surgical and prosthodontic workshop (tissue level & bone
level implants)
 Guided bone regeneration
 Alveolar ridge preservation vs. immediate implants
 Piezoelectric bone surgery for intra-oral bone grafting and
implant site preparation
 Advanced soft tissue management by means of periodontal
plastic surgery
 Provisional restoration and final prosthesis in the
aesthetic zone
 Implants in periodontal and systemically compromised patients
 Management of peri-implantitis and supportive/maintenance
therapy
 Case presentations with interactive treatment planning
exercises and case discussions

www.iti.org

The first day of the six day
educational session will focus on
the principles of bone and soft tissue integration, risk assessment,
and smile design and associated
treatment considerations. The
second day will reveal the benefits of 3D imaging software and
its uses in advanced treatment
planning, along with a surgical implant workshop. From the
third day onwards, delegates will
be presented with a case each day
for which they will have to plan
treatment in advance. This will
be complemented by interactive
planning sessions and live surgery of an advanced case along
with other lectures and workshops on implants. The fourth day
will pick up the pace, covering
socket preservation, guided bone
regeneration, lectures and workshops on provisional restorations
in the aesthetic zone. Prof Vercellotti will take to the stage on day
five and delegates will be treated
to a second session of live surgery.
On the sixth day, the week will
draw to a close with lectures and
workshops on soft tissue and biological complications associated
with implants.
The week of learning is the
only event of its kind to be held
in the UK this year, with similar
events planned at dental education centres in Bern, Stuttgart,
Melbourne, Hong Kong, Toronto
and Boston. Along with lectures
and workshops led by some of the
world’s leading thinkers in implant dentistry, delegates will enjoy the brand new fourth floor facilities at the Eastman, a number
of which were funded by ITI. Says
Prof Donos; “It should prove to be
a truly interactive experience!” DT

[31] =>

Classified 31

United Kingdom Edition June 14-20, 2010

Geoff Long

FCA

Incorporation
Specialists
office@dentax.biz

Call 01438 722224

Midi Premium

£7,990

RRP £2,210
Cominox autoclaves
SterilClave 18 S

great value 18l
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£2,640
RRP £3,150
SterilClave 24 B

SterilClave 6 B

£4,690

£3,820

large 24l, B-type
autoclave for
busy practices,
integrated printer

RRP £5,600

Simple and reliable unit
with generous specification.
• EMS-type piezo scaler as standard
• 2 fibre optic handpiece outlets as standard
• pneumatic unit based on quality DCI parts
• comfortable, seamless, artificial leather upholstery
• 4 basic movements and 4 programmable settings
• made in Europe, only 7% VAT

info@medicsfinancialservices.com
www.medicsfinancialservices.com
+44 (0) 1403 780 770
Very competitive fixed rates - House and Practice
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Your home may be repossessed if you do not keep up repayments on your mortgage. Medics Professional Mortgage Services is a trading style of Global Mortgages Ltd.,
which is an Appointed Representative of Home of Choice Ltd., which is authorised and regulated by the Financial Services Authority.

MPMS 95x50 Dentists.indd 1

11/12/2006 21:56:19

6l autoclave with
fast 10-min B-type
cycle, perfect for
implantology, printer

RRP £4,550

27 Woodcock Close
Birmingham, B31 5EH
07981075157
mobile
voicemail 08450044388
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CORSODYL MOUTHWASH
SODY
R
O

YEARS O

RTISE

NEW

ALCOHOL FREE

M CARE

COMPARABLE TO CORSODYL
MINT MOUTHWASH IN –
• INHIBITING PLAQUE REGROWTH1
• REDUCING ORAL BACTERIA2
• SUBSTANTIVITY3
chlorhexidine digluconate

Now when you wish to recommend an alcohol free chlorhexidine mouthwash
recommend NEW alcohol free Corsodyl Mouthwash with confidence.

Product Information: Corsodyl Mint Mouthwash (clear, chlorhexidine digluconate 0.2%), Corsodyl 0.2% Mouthwash (alcohol free) (clear, chlorhexidine digluconate 0.2%) Indications: Plaque inhibition;
gingivitis; maintenance of oral hygiene; post periodontal surgery or treatment; aphthous ulceration; oral candida. Dosage & Administration: Adults and children 12 years and over: 10ml rinse for 1 minute twice
daily or pre-surgery. Soak dentures for 15 minutes twice daily. Treatment length: gingivitis 1 month; ulcers, oral candida 48 hours after clinical resolution. Children under 12 on healthcare professional advice only.
Contraindications: Hypersensitivity to chlorhexidine or excipients. Precautions: Keep out of eyes and ears, do not swallow, separate use from conventional dentifrices (e.g. rinse mouth between applications). In
case of soreness, swelling or irritation of the mouth cease use of the product. Side effects: Superficial discolouration of tongue, teeth and tooth-coloured restorations, usually reversible; transient taste disturbances
and burning sensation of tongue on initial use; oral desquamation; parotid swelling; irritative skin reactions; extremely rare, generalised allergic reactions, hypersensitivity and anaphylaxis. Legal category: GSL. PL
Numbers and RSP excl. VAT: Mint Mouthwash: PL 00079/0312 300ml £3.99, 600ml £7.82. Alcohol-free PL 00079/0608 300ml £4.08. Licence Holder: GlaxoSmithKline Consumer Healthcare, Brentford, TW8
9GS, U.K. Date of preparation: May 2010.
References: 1. Veihelmann S, Mangold S, Beck P, Lemkamp V, Schmid F-G, Schlagenhauf U. Hemmung des Plaquewiederbewuchses auf Zähnen durch die Chlorhexamed alkoholfrei Mundspüllösung [Inhibition
of plaque-regrowth on teeth by Chlorhexamed alkoholfrei mouthrinse]. Parodontologie 2008; 19 (3): 326. 2. GlaxoSmithKline data on file, Bacteria Kill Test, In Vitro, SGS 2007. 3. GlaxoSmithKline data on file,
substantivity report, Hill 2007.

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

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