DT UK 1909
Southampton resident fights fluoridation
/ News & Opinions
/ Advertorial
/ News & Opinions
/ “Whatever you need... whenever you want it.”
/ Dancing with your patient
/ The case for… and against anger
/ When is the right time to take a risk?
/ Bonus points for style
/ The law of attraction
/ Tax-planning checklist
/ Calculating financial realities
/ Four tenets for tough times
/ Cyberspace and endodontics
/ Lower third molar rotations: influence on surgery and a radiographic audit to assess incidence
/ A global community
/ Sharpen your skills
/ Brush up your skills
/ Industry News
/ Adventure to China
/ Classifieds
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[1] =>
DTUK1909_01_Title
DENTAL TRIBUNE
The World’s Dental Newspaper · United Kingdom Edition
PUBLISHED IN LONDON
News in brief
JULY 27–AUGUST 2, 2009
News & Opinions
Practice Management
VOL. 3 NO. 19
Money Matters
Clinical
Pushing fluoridation
The new Health Secretary has
urged health service managers to ‘press ahead with water fluoridation’. Andy Burnham, the new Health Secretary, speaking at the NHS
Confederation annual conference, said: ‘I feel we’ve been
too timid at times on the public health agenda. So let’s
press ahead with water fluoridation, given the clear evidence that it can improve children’s dental health.’ Mr
Burnham is a keen advocate of
fluoridation and recently resigned as honorary vice-president of the British Fluoridation Society, claiming a conflict of interest.
Professor Michael Lennon, of
the School of Clinical Dentistry at the University of
Sheffield and chairman of the
British Fluoridation Society,
welcomed Mr Burnham’s support for more fluoridation and
said that an estimated 30,000
children needing dental care
under general anaesthetic
every year, at a cost of £1,000
each, showed there is a need
for strong action. However the
National Pure Water Association claims that there is no
strong evidence to support the
safety or efficacy of fluoridation.
Queuing patients
More than one hundred people
queued up to register at a new
NHS dentist that has just
opened in west Wiltshire.
The practice, at Westbury
Community Hospital, started
signing up patients at first
thing on Monday morning
and just over an hour later all
350 places had gone. Another
150 were made available for
people phoning up to register.
A second practice is due to
open in the town in August.
The second practice is expected to be able to provide
2,500 places.
Stolen teeth
Thieves stole a plastic bag of
old gold tooth crowns and a
charity box containing money
from a dental surgery in
Swansea.
A defibrillator and a black
medical holdall containing
medication were also taken
from Mark Harries dental surgery in Sketty.
The holdall had 10x2ml adrenalin sachets, 15ml Midazalan
anti-epileptic medication and
hypodermic needles.
Police are urging anybody who
has taken the medicine to seek
urgent medical help.
www.dental-tribune.co.uk
Tennis screens
Feeling sexy?
Tax savings
Cyber tuition
A Scottish dentist had five television screens installed in his surgery so his patients could watch
Andy Murray in action at Wimbledon.
If you have recently bought your
practice do you know what your
patients really want? If you want
to be successful you need to find
out why.
You’ve got 52 weeks before the
end of the tax year to arrange
your finances and maximise tax
relief. It could just save you
money.
The current thinking is that the
root canal treatment begins at
the canal orifice and ends at the
apex. This is just the beginning
says Jan Skrybant.
page 2
page 14
page 15
page 18
Southampton resident fights fluoridation
A
judicial review has been
lodged by a woman in
Southampton against the
decision to add fluoride to tap water in Southampton and parts of
Hampshire.
Leigh Day & Co solicitors revealed that it has begun the legal
challenge on behalf of Geraldine
Milner against South Central
Strategic Health Authority (SCSHA). A statement from Leigh Day
& Co said: ‘Ms Milner is opposed to
the proposals to fluoridate the water supply on account of the continuing uncertainties with regard
to the long term health risks associated with fluoridation, as well as
concerns with regard to the possible adverse environmental effects. She also considers that more
targeted and less intrusive measures should be used to deal with
problems of tooth decay in the
Southampton area.’
The legal challenge argues
that the SCSHA failed to have regard to the government’s policy
that mass fluoridation of drinking
water should only go ahead in any
particular area if a majority of the
local people are in favour of it.
Leigh Day & Co claim in part of
the Water Bill that became the
Water Act in 2003. Lord Warner,
the Junior Health Minister, stated
in Parliament that it was government policy that ‘no new fluoridation scheme would go ahead without the support of the majority of
the local populations determined
by local consultations conducted
by strategic health authorities.’
shire Against Fluoridation was
never properly considered by the
SCSHA Board. The SCSHA said in
a statement that the board is ‘satisfied that, based on existing research, water fluoridation is a safe
and effective way to tackle tooth
decay and that the health benefits
outweigh all other arguments
against water fluoridation’.
‘They are in
favour of
fluoridation but
don’t appear to
be in favour of
democracy. I am
just filled with
despair’
Fluoridation campaigners last
month to Downing Street to hand
in the petition, have called the decision ‘bizarre’.
Ms Gidley said: ‘They may be
in favour of fluoridation but it’s
up to them to make the case to the
public, which they have clearly
failed to do. They are in favour of
fluoridation but don’t appear to
be in favour of local democracy. I
am just filled with despair.’
Mr Huhne said: ‘First of all
they gave powers to the Strategic
Health Authority to over-ride the
local community. I am afraid this
is consistent with the past arrogance that has seen local opinion
ignored.’
Health chiefs want to add fluoride to the water supplies of
200,000 households covering
parts of Southampton, Eastleigh,
Totton, Netley and Rownhams.
The law was changed in 2002
to allow SHAs, rather than water
companies, to decide on fluoridation. DT
Endodontic vCPD at the
‘Theatre of Dreams’ & the ‘Bridge’.
If the SCSHA gets its way,
Southampton will be the first
place in England to introduce
fluoridation since Health Minister Alan Johnson’s ‘fluoridation
for all’ proposal in February 2008.
Campaigners against the decision recently handed in a petition of over 15,000 signatures to
the government.
However it seems that the
government has decided to ignore the petition and is still determined to press ahead with fluoridating the water in Southampton and parts of Hampshire.
The South Central Strategic
Health
Authority
(SCSHA)
board's decision was made in
February despite 72 per cent of
10,000 respondents in a public
consultation opposing the move.
Ann Keen, the Parliamentary
Under-Secretary of State for
Health Services, said the government is firmly in favour of fluoridation ‘because of the potential it
offers for reducing inequalities
in oral health’.
It also claims that much of the
information on fluoridation submitted by bodies such as Hampshire County Council and Hamp-
The two Hampshire MPs,
Romsey MP Sandra Gidley and
Eastleigh MP Chris Huhne, who
accompanied Hampshire Against
GOAL: How to score in Endodontics
Dr Rich Mounce will lecture at Old Trafford, Manchester on the
5th November & Stamford Bridge, Chelsea on the 6th November 2009.
This full day vCPD lecture costing £150 will include refreshments,
lunch & a complimentary tour of the stadium & museum.
Book today so not to miss this amazing learning experience …
Kindly make cheques payable to
Ormco BV (SybronEndo Division) & send to:
Keith Morgan c/o Kavo Dental Ltd., Raans Road, Amersham HP6 6JL
Contact keith.morgan@sybrondental.com
for full vCPD overview & key learning objectives.
[2] =>
DTUK1909_01_Title
2
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
News & Opinions
Dentine hypersensitivity solution
C
olgate has come up with a
solution for dentine hypersensitivity relief – a
condition which affects nearly 60
per cent of people.
Colgate presented its Pro-Argin technology at the 2009 British
Dental Association conference
held in Glasgow.
Pro-Argin technology uses a
combination of an amino acid,
arginine and an insoluble calcium compound, calcium carbonate, to seal open dentine
tubules and help block the transmission of heat, cold, air and
pressure stimuli to pain receptors within teeth. Colgate has
added the technology to a new
International Imprint
Executive Vice President
Marketing & Sales
Peter Witteczek
p.witteczek@dental-tribune.com
DENTAL TRIBUNE
The World’s Dental Newspaper · United Kingdom Edition
Published by Dental Tribune UK Ltd
© 2009, Dental Tribune UK Ltd. All rights reserved.
Dental Tribune UK Ltd makes every effort to report clinical
information and manufacturer’s product news accurately, but
cannot assume responsibility for the validity of product claims,
or for typographical errors. The publishers also do not assume
responsibility for product names or claims, or statements made
by advertisers. Opinions expressed by authors are their own and
may not reflect those of Dental Tribune International.
Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Managing Director
Mash Seriki
Mash@dentaltribuneuk.com
Editor
Penny Palmer
Tel.: 0207 4008979
penny@dentaltribuneuk.com
Director
Noam Tamir
Noam@dentaltribuneuk.com
Not just the
patient in
pain?
Advertising Director
Joe Aspis
Tel.: 020 7400 8969
Joe@dentaltribuneuk.com
Marketing Manager
Laura McKenzie
Lauram@dentaltribuneuk.com
Dental Tribune UK Ltd
4th Floor, Treasure House
19–21 Hatton Garden
London, EC1N 8BA
6
Verifiable
CPD hours
Let’s face it, after a day in surgery,
who wants an aching back, neck
and shoulders. It doesn’t stop
there either. Pain can stop you
working. It is also the most
common cause of premature
retirement amongst practising
dental professionals.
4 Handed Dentistry
• 1 day practical workshops
for the dental team
• Taught by qualified medical
and dental professional
• Based on up-to-date research
• Help self manage and prevent
future reoccurance
• Over 2,000 attended
Dr. Pilkington’s courses
Ease the pain of
dentistry in just
one day
Go to www.happybacks.co.uk
or call 01672 541 293 or email
richpilkington@hotmail.com
Back care courses for Dental Professionals
product, Colgate Sensitive ProRelief, an in-surgery desensitising polishing paste with Pro-Argin technology.
Dentine hypersensitivity is
thought to affect up to 57 per cent
of patients worldwide. Current
treatment methods include the
use of high concentration fluoride or potassium salts. Although
with these, patients generally
continue to experience dentine
hypersensitivity.
Dr. Mark Wolff, chair of the
department of cariology and
comprehensive care and associate dean for pre-doctoral clinical education at New York University College of Dentistry,
said: ‘Correct diagnosis and effective treatment are critical to
relieving this condition, which
can seriously impact a patient’s
quality of life. There is still a
need for fast, lasting relief in the
dental office.’
He added: ‘Pro-Argin technology will make dentine hypersensitivity a patient complaint
that can be easily addressed and
managed as part of an overall
treatment plan.’
Arginine is an amino acid
naturally found in saliva that
provides naturally protective
oral health benefits. Research
has shown that the positively
charged arginine in the Pro-Argin technology binds to the neg-
atively charged dentine surface
and helps attract a calcium-rich
layer into the dentine tubules to
effectively plug and seal them.
Arginine triggers occlusion of
the dentine tubules, which remains intact even after exposure
to acids, helping to prevent
transmission of pain-producing
stimuli.
Professor Roger Ellwood, director of clinical research (Europe) at Colgate-Palmolive said:
‘Our Pro-Argin technology not
only reinforces Colgate’s commitment to R&D but revolutionizes the way dentine hypersensitivity will be treated and prevented.’
The new Colgate Sensitive
Pro-Relief desensitising paste
with Pro-Argin technology is
clinically proven to provide immediate sensitivity relief that
lasts for four weeks after a single
application. It can be used before
or after dental procedures, such
as prophylaxis and scaling.
When applied prior to a professional dental cleaning, the desensitising paste will provide a
significant reduction in dentine
hypersensitivity measured immediately following the dental
cleaning as compared to a control prophylaxis paste.
For further information call the
Colgate Customer Care Team on
01483 401 901 or visit www.colgateprofessional.co.uk DT
Wimbledon in surgery
A
Scottish dentist had five
television screens installed in his surgery so
people could watch Andy Murray
in action at Wimbledon while
having their teeth out.
Cosmetic dentists Lubiju in
Leith in Edinburgh had £3,000
worth of 26” flatscreen Samsung
TV’s installed in five suites in the
surgery for the start of Wimbledon.
The television screens were
installed above the dentist’s chair
so the patient could watch the TV
while being treated.
Cosmetic dentist Dr Biju Krishnan, who co-founded Lubiju
with dental partner Dr Lubino do
Rego said: ‘Even in this day and
age, there are people who still
have nerves over the dentist, so
watching the TV can help take
their mind off of things – it’s
about distracting them from the
work at hand and watching TV is
great for that.
‘Everyone was asking to
watch Wimbledon though as
they wanted to follow the
progress of Andy Murray or see
how his competitors are doing.
‘Fortunately no one got too
carried away yet cheering in the
chair or raising their arms in celebration while I was in their
mouth or anything like that.’ DT
[3] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
News & Opinions
3
Colgate launches oral health month
C
olgate launched its oral
health month at the recent
British Dental Association
conference. This year the campaign is being run by the manufacturer Colgate, in partnership with
the British Dental Association.
The theme for this campaign
is ‘A thumbs up for your oral
health’. The Department of
Health’s evidence-based toolkit
for prevention: Delivering Better
Oral Health will form the basis of
the Colgate Oral Health Month
Gaining the
best skills
2009 Continuing Professional
Development programme, and
offers the entire dental team the
opportunity to participate.
Colgate Oral Health Month
2009 practice packs contain educational materials, motivational
stickers, patient samples and
materials, which will enable
dental teams to create their own
display to drive awareness of oral
health within their practices.
Participating practices are invited to share their displays by
submitting photographs for a
chance to win an exclusive teambuilding day.
Colgate Oral Health Month
2009 will run throughout the
whole month of September. Dur-
ing this time, a dental road show
will travel around the major cities
in the UK with hygienists giving
tips on oral health and demonstrating appropriate brushing
techniques.
Colgate is once again looking
to partner with dental professionals in delivering prevention
in practice. If you have not been
Relief from the daily grind
Discussing the virtues of S4S’s treatment options and introducing the new Grindcare concept
which aims to advance the prospects of successful treatment for bruxism
E
ducational
resources
provider, Smile-on, is now
giving dental professionals the chance to gain excellent
clinical photography skills.
Its Clinical Photography
Course by Chris Orr, is accessible
on-line or as a CD-ROM, and is designed to be easily incorporated
into and around the working day. It
introduces the role of clinical photography in effective risk management and explores straightforward solutions to treatment monitoring and how to benefit from robust medico-legal protection.
Marketing manager for Smileon, Laura Mckenzie said: ‘Digital
cameras are now in common use
and with the right approach, dental practices can unlock the astonishing opportunities of this technology. Working with Chris Orr,
Smile-on is enabling dental professionals to get to grips with their
digital cameras.’
Providing two hours of CPD,
the course lets participants discover how to keep patients fully
informed using high quality images, and how to support comprehensive clinical audits.
The course looks at how to get
great image results, focusing on
eight key clinical areas, and participants will receive non-obligatory advice on available cameras
and the latest in digital imaging.
With excellent clinical photography skills, participants will
be able to accurately record treatment progress and development,
create ‘baseline’ records of presenting conditions, enjoy a higher
standard of referral correspondence and use the images to support professional development.
For more information call 020
7400 8989 or email info@smileon.com DT
involved in Colgate Oral Health
Month before and would like to
register to receive a Colgate Oral
Health Month pack for your practice, please call Colgate on 0845
257 3468. Please note that one
pack per practice will be delivered at the end of August, subject
to availability. DT
patients sleeping hours thus
enabling therapy throughout
periods of nocturnal bruxing. A
charger unit, and holder, safety
cord and gel pads complete the
Grindcare package, and unlike
many earlier electronic pulse
treatment units, Grindcare is
very compact, and easy to operate.
Treatment centres
DCP led clinics
The S4S stand at the BDA Conference and Exhibition in
Glasgow last month
Introduction to S4S
It is not often that a commercial
dental laboratory can offer a
truly comprehensive service to
those clinicians that are actively
involved in the treatment of
TMJ problems.
However, S4S are just
such a laboratory, and they were
one of several commercial laboratories that exhibited their services at the recent BDA Conference in Glasgow.
What makes S4S different is the fact that it can cater
for virtually all the needs of
those practitioners who are actively involved in the treatment
of patients that suffer from with
TMJ related problems such as
bruxism, TMJ pain, snoring and
occlusal dysfunction.
Sheffield-based S4S was
established in 2005 by coowners, Matt Everatt and Neil
Bullement, and their appearance
at the BDA Conference represented one of their first forays
into the retail dental market
arena, and this has proved extremely successful for them.
The laboratory has built
an envious reputation as a provider of custom-made laboratory fabricated appliances, such
as Michigan and Tanner splints,
orthodontic appliances and
highly effective Anti-Snoring
devices.
This has also been further enhanced by their appointment as sole UK distributors for
the very successful NTI-tss appliance range.
This product has been
around for some time, and is
GrindcareͲbiofeedback technology for effective treatment of
Bruxism
well known worldwide. The
NTI-tss appliance allows dental practitioners to provide
patients with a simple and
quickly fabricated splint-like
appliance that can be fitted at
the chairside, and is very useful in fulfilling the practitioners requirement for an immediate temporary splint or deprogramming device.
NTIͲtss Free CPD
Practical Class
Matt Everatt, Technical Director, is currently conducting
CPD sessions for Dentists who
wish to use NTI-tss or learn
more about treatment with the
device.
GDPs can arrange a visit
to their own practice and the
whole team can benefit from
the presentation on how NTItss can effectively treat bruxism. (contact S4S for your
Free CPD session)
New treatment
modality
The BDA Conference provided
S4S with a launch pad for a
completely new concept in
Bruxism and TMJ treatment
options – Grindcare is a groundbreaking treatment modality
that can provide both a highly
accurate assessment of TMJ
muscle dysfunctions, and can
also be used to treat TMJ dysfunction by way of its biofeedback mechanism. S4S have now
been appointed as the UK distributors for this product, and it
is their intention to establish
Grindcare Centres throughout
the UK that will be able to make
this device available for patients
to use in their own home environment.
Grindcare is a medical
device that uses EMG measurements and biofeedback that will
help the practitioner in the over
all treatment of Bruxism and
related TMJ problems. The
compact and stylish Grindcare
unit was developed in Denmark,
and uses state-of-the-art technology. Grindcare is diagnostically valuable, as well as offering treatment, it can record 30
nights consecutively taking data
on the patients bruxing habits,
such as frequency and intensity
of clench and grinds
Electrodes are attached to
the stimulator and these are then
attached using small pads to the
area of the patients temporalis
muscle. Electrical EMG signals
are measured when the muscle
moves and an electrical impulse
is then emitted which causes
the muscle to relax. The Grindcare unit can be used during the
It is the intention of S4S to
establish Grindcare centres
throughout the UK, and the
laboratory will provide all the
required training, education
and back-up that will be necessary for clinicians to operate
these centres effectively. This
is an ideal opportunity to get
DCPs actively involved in the
treatment of Bruxism, Grindcare can easily be fitted and
operated by DCPs, freeing up
the Dentists time and surgery
time, making for more cost
effective treatment options.
The introduction of the
Grindcare concept will advance
the prospects of successful
TMJ therapy, and will also
offer considerable opportunities for lucrative practice marketing.
The incorporation of
Grindcare therapy in conjunction with other treatment modalities such as splint therapy
should therefore allow fully
comprehensive treatment programmes to be offered to patients, even in the most extreme
cases.
As a result of their appearance at the BDA Conference in Glasgow, S4S have
received an extremely positive response from dental professionals to their
innovative laboratory services and the Grindcare concept,and welcome all
enquiries regarding Grindcare, and requests for detailed information of their
occlusion/TMJ educational courses programme, the NTI-tss range and their
comprehensive laboratory appliance service.All enquiries can be directed to
Matt Everatt, S4S (UK) Ltd, Norton House, 752A, Chesterfield Road,
SHEFFIELD, S8 0SE. Ring 0114 250 0176, fax 0114 258 6670 or visit
www.s4sdental.com
[4] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Advertorial
4
Ultimate in Infection Control: The Autoclave
T
he subject of infection
control has never been
more under the spotlight
after the declaration of Swine Flu
as a global pandemic.1 As highlighted by the Department of
Health’s HTM 01-05 decontamination and infection control protocols, regulations for dental
practices are becoming increasingly refined, and as such the
need for advanced reliable technology grows.
A validated washer disinfector
and autoclave is the ideal instrument decontamination solution
and will ensure the highest standard of sterilisation and safety
whilst rendering them suitable
for re-use. The next generation of
autoclave enables rapid, effective
sterilisation after the decontamination process, featuring:
Independent cycle
validation system
Redundancy engineered, the
latest in HTM 01-05 compliant
sterilisation system has a dual independent temperature and
pressure sensors configured
through optically isolated independent dual processors to give
superior cycle reliability, accuracy and performance.
toclaves, the market leader has
the B vacuum mode for hollow instruments, and the N non-vacuum
mode for solid instruments only.
Different operating modes
Safety and sensing systems
Saving you space and cost, the
latest autoclave has differing operational modes dependent on requirement. Unlike alternative au-
State of the art autoclaves offer
a superior system array that helps
to quickly and clearly report areas
requiring user attention, notifying dental team members of any
problems, as well as an automatic
resetting over temperature and
pressure cut out systems. Sensors
are fitted to accurately measure
the fill of reservoir and wastewater tank levels, with an automatic waste tank overflow shutoff
and proximity sensing systems.
Experts in A Turnkey Solution
Audit
Design
Build
Equip
Maintain
Service
Support
Removable Waste Tank
Leaders in
Infection Control
Technologies
Easy to use, the large onboard
tank is fully removable in order to
empty; the tank is removed from
the steriliser, emptied and then
pushed back into place. Its wastewater cooling systems ensure
waste is cooled to a safe temperature before removal can take place.
Power Failure Chamber
Access System
An essential element of the
autoclave’s design, a battery back
up system allows safe access to all
instruments within the chamber
in the event of a power failure.
Unique chamber and
stacking design
2000 S Steriliser
A22 B Autoclave
M1 Table Top WD
M2 underbench
washer disinfector
Dentel Spray System
“i did not realise the process was so
complicated and what was involved”
Dr MJ Fern,Lancs.
Our Customers
Our Responsibility
Our Risk
Contact us, quoting reference DH6, to recieve your free compliancy survey
Our Business is to make your business compliant.
Tel: 0845 241 5776
info@yoyodental.com
www.yoyodental.com
Yoyo Dental
8 Harworth
Enterprise
Park,
Brunel
Harworth, Doncaster,
Doncaster, SSYorkshire
Yorkshire DN11
DN118SG
8SG
Yoyo
DentalSupplies
SuppliesLLP,
LLP,
8 Harworth
Enterprise
Park,
BlythClose
Road,, Harworth,
The market leader in autoclaves include a unique volumetric water dosing system that
gives fast, repeatable and economic chamber filling, whilst its
stackable design enables machines two machines to be placed
on top of each other.
Attaining ‘best practice’ is utterly achievable with the new
generation of HTM 01-05 compliant washer disinfectors and autoclaves as part of a surgery’s infection control arsenal. To make the
most out of a practice’s sterilisers,
it is essential to receive maintenance and service programmes
that are also fully compliant. A
flexible portfolio of services
should be provided each designed to meet individual requirements, such as a smaller
practice, or practices with multiple units. Maintenance packages
should also be fully compliant to
European Health Standards HTM
01/EN13060, HTM 01/EN15883
to ensure the practice is meeting
its legal obligations.
The weapon of choice for superior sterilisation, YoYo Dental’s SpectruM 6 Autoclave boasts
rapid, reliable cycles validated by
sentinel processors for optimal
infection control.
For more information on infection control, or for FREE advice
on decontamination, call YoYo
Dental on 0845 241 5776 or visit
www.yoyodental.com DT
1
http://news.bbc.co.uk/1/hi/
health/8094655.stm
[5] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Draft guidance extension
T
he consultation on draft
guidance on students’ fitness to practice has been
extended by the General Dental
Council.
A spokesman for the General Dental Council (GDC)
said: ‘We don’t regulate students. But it is important that
student dentists and dental
care professionals understand
and are committed to the standards required to register with
us. These include putting patients’ interests first and acting
to protect them, respecting patients’ dignity and choices and
being trustworthy.
We want to introduce guidance so teachers, tutors, trainers
and lecturers know what to do
when they have concerns that a
student may not meet the standards required for professional
registration.’
Simply
the best
T
he British Academy of Cosmetic Dentistry’s conference looks set to be ‘the
best yet’.
This year’s conference, ‘The
Future Of Dentistry’, will be held
at the Edinburgh International
Conference Centre from 1921November and has been structured to ensure that delegates
should be able to attend every
lecture, seminar or workshop
that appeals to them.
A spokeswoman for the
British Academy of Cosmetic
Dentistry (BACD) said: ‘The perfect combination of informative
lectures and rewarding seminars will enable delegates to discover the latest innovations, including new advances in materials, LASERs and CAD/CAM technology.’
She added: ‘The response to
last year’s event was very positive, with comments including:
‘Best conference yet…’ ‘Excellent atmosphere, great speakers…’ ‘I am leaving the conference feeling re-energised, remotivated and full of enthusiasm…’.
Delegates are advised to
book early for this year’s conference, as many of the workshops
have a restricted number of
spaces.
Bookings must be made at
www.bacd.com, where a special discounted rate is currently available.
For more information contact
Suzy Rowlands on 0207 612 4166
or email info@bacd.com DT
The GDC’s proposed expectations of students to show they’re
fit to practice include being
aware of their own limitations in
providing care and knowing
when to seek advice or help,
making sure they’re supervised
appropriately for any clinical
tasks they perform, not misleading anyone by misrepresenting
their position or abilities and behaving with courtesy.
Frances Garratt, head of
Quality Assurance, said: ‘We’ve
decided to extend the consultation to make sure as many student dentists, dental care professionals and organisations providing dental education and
News & Opinions
training give us their views on
this important guidance document. We want to make sure our
guidance is easy to follow and
that putting it in place will be as
straightforward as possible.’
The GDC’s Student Fitness to
Practise guidance aims to ensure
that students have a full understanding and commitment to the
standards they will need to follow
as dental professionals. The GDC
and the other healthcare regulators have developed the guid-
5
ance in response to the government’s White Paper ‘Trust, Assurance and Safety’.
Student dentists and dental
care professional now have until
5 pm on Friday 21 August to give
their opinions on the guidance.
The original closing date for the
consultation was 26 May.
To read the draft guidance
and find out how you can respond to the consultation, go
to: www.gdc-uk.org DT
[6] =>
DTUK1909_01_Title
6
News & Opinions
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
GDPUK round-up
Tony Jacobs shares the most recent snippets of conversation from his ever-growing GDPUK online community
W
ide-ranging topics interested GDPUK members recently, ranging
from well-illustrated clinical
cases with calls for advice, and
the changes arriving with the ad-
vent of the Care Quality Commission, to end-of-season football
discussions.
The popular conception is
that the changes in professional
self regulation are all Shipman
related, but the New Labour concept of giving power to the people
means that GDC [and medical]
decisions of disciplinary hearings, even whilst their panels are
now dominated by lay people, are
still reviewed to ensure they are
not too lenient. These can be
seen as worrying times, and certainly ‘interesting’. Despite the
public perception of the power of
the professions, my view is that
whatever the leaders of the profession may want regarding regulation, this is another area
where our political masters will
do exactly as they wish.
Despite the massive national
interest in MPs’ expenses claims,
Freedom to stand out
from the crowd
this has had little discussion on
GDPUK. Sir Paul Beresford, an
MP and a dental practitioner did
get a mention in the Daily Telegraph, where they alleged he
had been claiming second-home
parliamentary expenses on his
west London flat, which also
contains his dental practice.
Even this did not raise much
comment, support or derision.
During May, all the Steele
roadshows were reviewed as
they travelled around the country, and although the report may
be published quite quickly, dentists do not feel they can trust
politicians to act upon the report,
or not to use the report to support
the present unloved system.
HTM01-05 was again dissected, and a poll showed that almost 90 per cent of those voting
saw it as an unnecessary edict,
flawed, especially when new research was published in May
showing very low rates of transmission of prion-based disease,
and that there are expected to be
many fewer cases in future.
A colleague posted a view of a
radiograph of an ‘ancient’ failing
implant, and it was identified on
the forum as a blade implant,
probably placed in the 1960s, as
taught by a dentist named
Ronald Cullen. There are not
thought to be many of these
around.
Do you have many, or any patients who cannot abide mint
flavour? I suspect we all have,
and suggesting a suitable fluoride containing toothpaste for
them is difficult. There are a few
natural type products but they
tend to not contain fluoride,
there are children’s pastes in
varying flavours, and the simpler older Sensodyne pastes, often bland. DT
About the author
Tony Jacobs,
Take control of your future.
Building your brand has never been more important. In these challenging times you need to differentiate to ensure
success. Whether you are planning for a future in private practice or already practise privately, we understand you
need strong advice, strong support and, most importantly, a strong brand to survive.
This is why our custom-branded dental plans are tailored to run alongside your practice ethos, image and goals.
Our team of regional support managers, marketers, expert consultants and business partners will be with you step
by step, helping you to build your own unique brand, develop your business and take control of your future.
We’ll provide the level of support that’s right for you. When it’s right for you.
To find out more call 01691 684135 or visit www.practiceplan.co.uk
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. Tony founded
this group in 1997 which now has
around 7,000 unique visitors per
month, who make 35,000 visits and
generate more than a million pages
on the site per month. Tony is sure
GDPUK.com is the liveliest and
most topical UK dental website.
[7] =>
DTUK1909_01_Title
News & Opinions
Scotland ‘hits a high’
T
he number of NHS dentists in Scotland has hit a
record high, according to
new figures.
Statistic show that at the end
of March this year, there were
2,739 dentists working in the
General Dental Service (GDS) in
Scotland - a rise of 6.3 per cent on
the previous year and 10.7 per
cent since 2007.
age rises being in the mainland
boards with Forth Valley at 15.8
per cent, Fife at 11.2 per cent and
Tayside at 9.4 per cent, while the
biggest increases in numbers
were in Greater Glasgow and
Clyde with 30, Lothian with 26
and Tayside and Forth Valley
both with 21.
Minister for Public Health,
Shona Robison, said: ‘This significant rise of 163 dentists in
just a year means Scotland
now has a record number
of NHS dentists.
The Scottish Government is determined to reverse the years of neglect
in NHS dentistry.
Every NHS board in Scotland
has seen a rise in the number of
dentists with the largest percent-
Since taking office in
May 2007, we have worked
hard to increase the numbers of
adults and children registered
with a dentist.’
Excellent Quality
Excellent Value
She added: ‘We have seen the
first students begin their studies at
the new Aberdeen Dental School,
with their state-of-the-art, £21m
building due to open soon on NHS
Grampian’s Foresterhill site.
... Why compromise
And earlier this year, we announced £82m for new primary
care facilities across Scotland,
which will see 13 new standalone
dental centres built across the
country, with two more as part of
multi-function health centres.’
A-Silicone Fast Set Putty
The percentage of the Scottish
population registered with an
NHS GDS dentist at December 31,
2008, was 78.7 per cent for children and 59.3 per cent for adults.
There has been a 10 per cent
and 18 per cent increase in the
number of registrations for children and adults respectively
from December 2007 to December 2008. DT
Hydrophilic Impression Material
from £25.50 per pack (base + catalyst)
•
•
•
•
Double murder
charge continues
P
olice have been searching
the land and private lake of
a Northern Ireland dentist
who has been charged with a
double murder.
Dr Colin Howell is in custody
charged with the murders, 18
years ago, of his wife Lesley and
the husband of his former lover.
Their bodies were found in a car
filled with exhaust fumes and it
was thought they had died in a
suicide pact.
However police launched a
murder investigation earlier this
year after interviewing the dentist.
Divers have been searching a
lake close to the luxury home of
Dr Colin Howell near Castlerock,
Co Londonderry. Dr Howell’s former lover Hazel Stewart, who
later remarried, is also charged
with the double murder. Her then
husband was Constable Trevor
Buchanan.
A police spokesman said:
‘Searches are being carried out
as part of an ongoing police investigation into serious crime.
These searches using specialist
resources are concentrated on
land and a lake in the grounds of
a private house at Castlerock.’
Howell is also being investigated over a series of alleged sex
crimes on former patients whom
he is said to have drugged and assaulted.
•
•
•
•
Dr Howell’s second wife Kyle,
an American, left Northern Ireland to start a new life in the
United States with their 10 children, after Dr Howell’s arrest.
Dr Howell was one of Ireland’s leading implant providers
for complex cases and full mouth
rehabilitation.
He lectured at Implant conferences in Jordan and tutored final year dental students at
Queens University Belfast for
Dental Implants. DT
Welsh dentist goes remote
A
dentist from North Wales,
has travelled by boat to the
most remote inhabited island in the world, to treat the people living there.
Angus Gordon, of Drumhead
House, Finzean in Deeside, has
travelled to St Helena in the south
Atlantic, to cover for another dentist who is going
on holiday. Dr Gordon flew
RAF Brize Norton Oxford
to Ascension Island,
where he spent four days
until his ship arrived.
From there, he took the
Royal Mail Ship St Helena
to the island itself.
There is no airport on
the island and ship is the
only means of getting
there. RMS St Helena is almost the
sole source of supply of all goods
to the island.
Everything has to be carried
by ship to the island, from wind
turbines to automotive parts,
sheep, goats, and Christmas
turkeys to furniture, food and
paint. Dr Gordon has visited the
island, which is a UK territory,
before, twice in 2007 doing similar work - the first time for
Super hydrophilic, thixotropic – NO SLUMPING
Convenient handling and easy to mix
Exceptional dimensional stability
Ample working time yet reduced
setting time
Superior Quality
Soft on insertion in the mouth
impressions
for greater patient comfort
Easily removed from the mouth
with optimum elastic recovery
Excellent storage stability
For best results use with
Uposil Wash material
Flouride-releasing Light-cure
Universal Microhybrid Composite
only £12.50 per 4g syringe
This time he will stay there
for two months before returning
to the UK in September. He will
work at the island’s 50-bed hospital, under a health scheme financed by the UK’s Department
of International Development
and managed by the St Helena
Government.
He is covering for a
South African dentist who is
on holiday for two months.
The island has a big diabetes problem that produces a lot of dental health
problems and many of the
children have major problems as there is a lack of
dental hygiene.
nearly three months and the second time for two-and-a-half
months.
‘I am looking forward to
going back but I wouldn’t want to
stay there permanently,’ said Dr
Gordon. DT
SAVE £££s!
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Tel: 020 8236 0606 5 020 8236 0070
All trade marks acknowledged. Offers subject to availability. Not valid with any other offers, price
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Terms and conditions apply. E. & O.E.
[8] =>
DTUK1909_01_Title
8
Company Promotion
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
“Whatever you need...
whenever you want it.”
Every Dentist tries to forward plan for their patients needs but on occasion’s unexpected or uncommon treatments and products are required, and when items need
replacing, you require an accurate and prompt service. No matter how unusual or
specialised the item, The Dental Directory’s customer service team will simply ask
“How many do you need?” and “How about tomorrow for free delivery?”
he Dental Directory
is the industry’s
premier one-stopshop, a true dental hypermarket
carrying
an
immense range of products
for GDPs. During a typical
working
day
nearly
150,000 items, from state of
the art x-ray imaging
equipment to routine reorders for gloves or disinfectant, leave the warehouse for free next day
delivery
to
practices
nationwide.
T
The Dental Directory is
unmatched in its commitment to personalised customer service, which has
made it the automatic, nofuss first choice supplier
for so many practices
today. With a dedicated
and highly trained sales
team responding to an estimated 1500 calls a day,
whenever a dental professional calls The Dental
Directory they reach an
experienced customer service team member, wellversed in the ways and
means of front line dentistry.
The Dental Directory also
has a nationwide team of
dedicated field based representatives that are industry trained and understand
the demands of dentistry.
Unlike many other companies whose sales teams are
paid commission and therefore tempted to overstock
practices, The Dental
Directory operates a territorially based, salaried
sales team who constantly
liaise with practices within
their areas to ascertain
their needs. This ensures
that
an
independent
approach is taken, alternative products are offered
that will save the practice
money. Steve Brown, The
Dental Directory Sales
Manager comments, “We
form very close relationships with the practices
and people we work with
and trust is important in
the current economic climate,”
Steve continues “We are
non-commissioned
and
work really hard to ensure
that practices have minimum stock and the lowest
possible expenditure on
their dental products. We
are always on hand to help
with product audits, to
revise what products are
being utilised by your dental team. We make sure that
our customers have all the
information about new or
alternative products so
they can choose the best for
their practice and budgets
without compromising on
quality”.
The field based team is
supported by a strong team
of experienced professionals many of whom have
been with the The Dental
Directory for over 20
years. This ensures you
receive an unrivalled service and an excellent understanding of dentistry and
dental products. Sally
Slater,
The
Dental
Directory’s Retail Sales
Manager says ‘Many of my
team come from a dental
background
and
this
knowledge is invaluable to
our customers, often saving
them time as there is no
[9] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Company Promotion
9
The Dental Directory
knows that customer confidence is the key to its
resounding success, and
stringently monitors performance,
regularly
achieving a 99.8% success
rate in completed orders
delivered accurately and
on time. It is little wonder
with statistics like this that
The Dental Directory is the
trusted UK dental dealer of
choice.
The Dental Directory has
earned the trust of dental
professionals and achieved
the leading position in the
dental
supply
sector
through its four-decade
need for frustrating explanations or for us to identify
the required product. We
will know what product
they need first time’
On the rare occasions when
a requested product is out
of stock, unavailable or discontinued, a representative
will offer a range of alternatives in a choice of
brands, sizes, or even different colours. The Dental
Directory prides itself on
always having a solution on
the shelf, whatever the
problem may be.
Providing excellent value
and an efficient ordering
process are vital factors in
the success of The Dental
Directory. With retail dentistry remaining a competitive market even in the current economic climate, The
Dental Directory customers are assured cost
effective solutions with
around 2,000 product promotions each month, information on several brand
alternatives and an outstanding loyalty system.
In many practices, storage
space is at a premium and
regular re-ordering is a
fact of life. The Dental
Directory computer system
retains
account
data
including the customer’s
order history for the previous year. This is a reliable
prompt for busy clinicians
focusing on patient care,
and provides complete
peace of mind when ordering is delegated to support
staff, new team members or
locums who may be unfamiliar with the practice’s
regular requirements.
The Dental Directory
delivery system is equally
impressive and professional. All orders received
before 5pm are picked,
packed and made ready for
free next day delivery. A
bespoke delivery system is
also offered enabling the
practice to specify convenient dates and times
(between 8am through to
6pm) to receive their
goods.This service attracts
no additional charge and
there is no minimum order
requirement. Your telephoned request is transferred to the warehouse for
collation and dispatch even
as you are hanging up the
phone.
The Dental Directory has a
well-earned reputation for
reliability and individually
tailored customer service;
with over almost 40 years
of supplying and supporting dental practices across
the UK, the team is exceptionally proud of the company’s position as the market leader.
The Dental Directory’s
speed of delivery is ideal
for resolving clinical emergencies within the practice,
commitment to customer
service. Under today’s vigorous management team
this policy is set to continue
as the company expands.
The Dental Directory is
determined to keep pace
and remains committed to
supplying the needs of
every type of dental practice both today and into the
future.
and its vast inventory of
products ensures that it
has the answer to every
supply
problem.
Medication and drugs for
every
contingency
is
stocked, and the warehouse
includes cold storage facilities to safeguard temperature-sensitive
products
from temporal decay.
For more information
speak to your
Dental Directory
Representative or call
0800 585 586 or visit
us online at
dental-directory.co.uk
[10] =>
DTUK1909_01_Title
Practice Management
The 10th Dimension… the power of 10
Dancing with your patient
Part two: developing the right focus
I
n our last article we discussed the notion of the patient as customer, and of delivering excellent customer
service in practice. Creating superior patient/customer service has to start with the right approach from the top. The focus
which you, as practice leader
need to develop is that the intention of every employee
should be to have every patient/customer eager to entrust
their dental care business to
your practice. If the practice's
employees are going to say and
do the right things and to behave in the proper manner towards all patients and colleagues, management needs to
be equipped to provide them
with correct guidance.
Practice owners must lead
by example, because employees need to know that their
leader fully practices and supports what everyone else is being asked to do. Failure to do so
will serve only to diminish and
eventually nullify the motivation and effort made by employees to create a level of service
far superior to that which the
competition is willing or able to
provide.
Establishing market
supremacy
Although only one of us can
be the best, every one of us can
strive to be the best. The road to
service and market supremacy
(and why would you want to settle for less?) starts with pleasing
one patient/customer at a time.
This approach is what defines
Starbucks whose stated strategy is literally to delight its customers one cup of coffee at a
time, and then to repeat this
with each successive customer
experience. Starbucks strives
for excellence – however, it's
important to understand that.
Although excellence is a necessary condition, it is insufficient.
It does not in itself guarantee
superiority over one’s competition. Superiority, and by extension, supremacy, has to be built
one moment at a time, one experience at a time. Each interaction with a patient has to
better than that offered by your
colleagues in the area, and this
requires never-ending improvement so that each successive customer experience is
better than the last one they enjoyed at your practice. Enjoyment at a dental practice is possible if you and your staff have
the correct focus and in order to
continuously reset the benchmark to which you aspire you
need to have a holistic approach
to service.
that the level of service offered
to that patient is the culmination of all the actions made by
all the people at your practice
and that this service is only as
good as its weakest link. Then
think what Anne Robinson
would do with the weakest link,
and take action – retrain, or replace.
Your mission
The level of service you offer
will be defined by how you see
yourself, and by redefining your
purpose in society. If you see
yourself as a skillful dentist able
to excellent restorations and
you see your purpose as alleviating pain and preventing disease, that's a very fine start, but
is in itself not sufficient. If you
understand that your ability to
deliver those excellent restorations is not dependent on technique alone but is a function of a
much bigger picture, only then
will your mission be fulfilled. DT
A holistic approach
To achieve supremacy one
has to appreciate the interconnectivity of the fundamental
concept of service – every employee, every department,
every system, every action has
to be interconnected. Think
what happens when your marketing approach has brought in
a new patient who requires extensive periodontal treatment.
Think how this patient is
sweetly welcomed by your receptionist, seduced by your
modern surroundings, charmingly made to feel at home by
your nurse, brilliantly diagnosed by yourself, treated with
skill by your hygienist, and then
made to wait four weeks for a
treatment plan by your visiting
periodontist. Then remember
About the author
Ed Bonner
has owned many practices, and
now consults with and coaches
dentists and their staff to achieve
their potential. 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.
For an expanded version of this article, or to subscribe to The Power
of 10 e-zine, contact Ed Bonner
at bonner.edwin@gmail.com or
phone 07766 601338. If you would
like to discuss anything about this
article, feel free to phone or drop
an email to Ed or Adrianne
(alplifecoach@yahoo.com).
[11] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Ed Bonner considers
The case for… and against
Anger
C
an anger actually be beneficial to anyone? Surely not.
Think about the way angry
people behave: they are impatient; they get frustrated in queues
or when being held on the phone;
they are intolerant of others' opinions; they mutter to themselves, or
they raise their voices, often to the
level of shouting; they are easily
wound up; they take a swipe at or
throw an inanimate object; they
slam doors and drawers, phones
and steering wheels; they drink
tea, coffee and probably alcohol to
excess. Angry people over-react
and tend to catastrophise by being
over- or melodramatic: ‘We'll
never get that patient back.’ Angry
people tend to blame others for
their problems before turning
their anger in on themselves.
home), the individual who is completely emotionally repressed and
suppressed is often more difficult
to deal with than its volcanic counterpart. When one consistently
tries to cool down hot emotion and
leave it unstated and unresolved,
the emotion can get lost, leaving
behind a cold-blooded “heartless
automaton”. Emotions are neither good not bad – what matters is
how – and when – we deal with
them. Better to deal with a relatively minor irritant properly by
venting it at an early stage rather
than store it and magnify it and let
it loose later when you finally explode. A one-minute loosing of
feelings will tend to be forgotten
quite quickly, whereas a 30-
Practice Management 11
minute tirade may take days to be
forgiven and is rarely forgotten.
The European way
Think about the way we think
of continental Europeans: hotblooded ultra-passionistas who
shout at rather than talk to each
other. Yet they are less likely to
get into a fight or get drunk than
we reserved British.
Anger should be seen as a justified response to wrong-doing,
but it should be proportionate. It
should also be focused on the issue rather than on the person. It
cannot be stated that uncontrolled anger is beneficial, but
controlled low-level anger can
be a useful and proper way to
vent one’s feelings before they
collect up and finally explode.
Are you for or against the argument that anger can be beneficial? Email jury@dentaltribuneuk.com and share your
thoughts DT
Instant Gratification
for Denture Patients
The consequences
Can the consequences of such
behaviour be beneficial? Again
surely not. High blood pressure,
stress headaches and stomach
disorders (some even believe
anger is a potent cause of cancer);
conflict with one's friends, colleagues and family; lack of concentration; the possibility of causing injury or even death. Ultimately, this leads to loss of respect
from others and certainly from
oneself; feelings of inability to
cope, depression; alcoholism;
loss of jobs or businesses – none of
these can be desirable.
What are the signs of uncontrolled or undissipated anger?
Making first small then big mistakes; dropping the ball; being excessively argumentative; burning food while cooking; forgetfulness; change in eating patterns
(eating too much or too little);
tiredness; inability to complete
tasks; yelling at people who keep
you waiting when on the phone or
in line; having a “blame figure” –
one particular person who seems
to be responsible whenever
something goes wrong.
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The up-side
Yet, believe it or not, anger can
have a positive side. Scientists at
Harvard University even believe it
can have a beneficial effect on
your career. They found that people who vented their feelings
rather than suppressing them
were less likely to feel trapped under a glass ceiling. According to an
article in the Guardian quoting
Professor George Vaillant, lead
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anger while avoiding the explosive and self-destructive consequences of unbridled fury have
achieved something incredibly
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Venting the pressure-cooker
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[12] =>
DTUK1909_01_Title
Practice Management
When is the right
time to take a risk?
Introduction
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Every dentist’s career is
marked by choices. Some decisions are not only career-defining, they could make or break the
doctor financially. These decisions include opening a practice,
buying a practice, expanding an
office, purchasing expensive
equipment, or joining insurance
plans, to name a few. The doctor
rightfully asks him or herself,
‘Should I take the risk or pass? Do
the benefits justify the risks?’
The fact is, success always involves risk. As the old saying
goes, nothing ventured, nothing
gained. For dentists who want to
increase profitability and reach
their potential, mastering the art
of timing and weighing risks is
critical.
To gamble or not – risk
takers versus averse to risk
Most dentists are by definition entrepreneurs because they
open or purchase dental practices. The question of which risks
should be taken is one that every
entrepreneur faces. Whether a
practice develops modestly or
grows into the doctor’s vision
hinges more on the level of risk a
doctor is willing to take, rather
than luck or experience. Without
question, dentists have varying
comfort levels – ranging from
those who avoid all risks to those
who are risk takers by nature.
Taking risks often sounds
glamorous when we watch television interviews of billionaires –
individuals who may have bankrupted one or two companies and
then hit it big. However, this is a
dangerous strategy for a dentist.
Engaging in extremely high risks
can create a practice with spiraling costs and no way to capitalise
on the investment. One example
would be a doctor with a patient
group which is more than 50 per
cent insurance-based, who
makes the decision to become a
purely cosmetic dentist. While
some dentists have done this successfully, usually it’s an ill-advised, impulsive move.
Conversely, being riskaverse can be extremely limiting. In my 23 years as CEO of
Levin Group, I have frequently
found that dentists who are riskaverse have practices performing below their expectations. Being risk-averse may sound like a
smart, conservative move until
one realises that it keeps the
practice from reaching its potential. Too many doctors operate
day-to-day on a risk-averse basis, without investment or
growth. This tendency can significantly lower the doctor’s satisfaction, along with his or her
lifetime financial potential.
The risk assessment scale
To help dentists make the
right decisions, I recommend
dentists use a risk assessment
scale – similar to one we devel-
oped for Levin Group’s Life Plan
course. The scale demonstrates
how at different life stages, in
various situations, your level of
risk varies. These major risk factors are highlighted:
• Age
• Financial position
• Health
• Family
• Social status
As these factors change over
the course of your lifetime – so
will your level of acceptable risk.
What many doctors fail to realise
is that, as they age their position
relative to risk changes, precisely because of how the major
risk factors change over time.
For example, imagine a 26yearold single dentist with moderate debt is making a decision
about purchasing a practice. At
this stage, the dentist can afford a
higher level of risk given that he
has very little to lose. Imagine five
years later when this dentist is
married, has two children, and a
mortgage. This dentist is contemplating spending $700,000 to purchase a practice in a somewhat declining neighborhood – a problem
which he believes he can overcome. Now this dentist is in a position of having much more to lose
by making the wrong decision.
Levin Group has found it
helpful when evaluating the wisdom of particular decisions, to
analyze the level of risk:
• No risk means that you have virtually no chance of a failure.
One example is leasing an
apartment versus purchasing a
condominium or home. By
leasing there is virtually no risk
as long as rent is paid. Conversely, owning a home could
be perilous if the mortgage payment balloons at a certain
point, making it very difficult to
maintain mortgage payments.
• Low risk comes with situations
that will most likely work out
well. For example, buying a
partnership in a successful practice where you know the doctor,
team and patients generally has
low risk. The odds are definitely
on your side in this scenario.
• Medium risk raises the level of
uncertainty about the decision’s final result. This could include decisions to purchase expensive technology for the
practice, move to a larger home
with a higher mortgage, build a
new office, or invest in a more
aggressive stock portfolio.
• High risk comes with decisions
where winning could bring significant gain, but losing brings
with it a high price. High-risk
investing in the futures or commodities market falls in this category, along with being involved in an activity that could
damage your reputation in the
community.
• Extreme risk means that the odds
of success are minimal. No dentist should ever take this sort of
gamble, although I have seen
some do it. For some, it’s amazing
how difficult it can be to resist the
lure of a possible windfall profit.
Evaluating your level of risk
Levin Group consultants recommend that doctors examine
each life event relative to the risk
levels and evaluate which level is
acceptable at this stage of their
lives. We encourage dentists to
begin their careers operating in
the no risk and low risk zones.
The main focus should be on acquiring a practice or partnership,
building income, security and
net worth. Other parts of the dentist’s life including family, community and friends, will also be
developing at this time.
Timing and calculated risks
At the point when dentists begin to accumulate increased financial resources, draw on the
advice of trusted advisors and
have built family stability, the
picture changes as to what level
of risk is prudent. Once these elements are in place, then using
some part of your accumulated
wealth in medium or higher risk
endeavors can be done more
safely. The idea is to evaluate
how much of a cushion your current life situation provides.
Conclusion
Every dentist would benefit
from using the risk assessment
scale to evaluate decisions. By
analysing where a potential move
falls on the scale and factoring in
financial position, age, family,
health and social status, a larger
perspective view will emerge.
Too many dentists miss opportunities due to a failure to take
risks during their careers. Doctors
who manage their practices by remaining strictly in the no-risk or
low-risk zones often fail to reach
their true potential. The risk assessment scale can be an extremely useful tool in determining
the proper timing for a major decision. By using this scale, doctors
can more accurately analyse even
medium to high level risks and
have a better chance of making intelligent decisions. DT
About the author
Dr Roger P Levin
is founder and chief executive officer of Levin Group, Inc., a leading
dental practice management consulting firm that provides a comprehensive suite of lifetime services to
its clients and partners. Since 1985,
Levin Group has embraced one single mission — to improve the lives of
dentists. For more than 20 years,
Levin Group has helped thousands
of general dentists and specialists
increase their satisfaction with practicing dentistry. Levin Group may be
reached at (888) 973-0000 and customerservice@levingroup.com.
[13] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Bonus points for style
Using a Design and Build package when revamping your
practice ensures that you don’t just follow fashion, but
express your own individuality too. Chris Davies explains
‘F
ashion is general. Style is
individual,’ as Edna
Woolman Chase (editor
in chief of Vogue from 1914-1952)
once said. Today’s patients have
high expectations, and if they
don’t experience that ‘wow’ factor at their local practice, are
willing to look elsewhere. What
sets the leading practices apart,
in terms of environment, is an expression of a unique and impressive aesthetic.
The best practices do not follow trends; they set them. Rather
than recreate the same tried and
tired look, they explore other avenues, presenting patients with
truly remarkable designs. There
is a real synergy between a dedication to clinical excellence and
a commitment to immaculate
presentation; patients pick up on
this, as does the dental team.
Beware limitations
Many dentists carry out refurbishments to give their practices
a new look. However, this approach has severe limitations. A
new colour scheme and some
quirky new furniture pieces
might liven up the space, but it
will always be a case of compromising on the aesthetic vision.
Rooms will not change their size
and shape; corridors will not become wider; the decontamination area will not make meeting
the demands of new guidelines
from the Department of Health
any easier to accomplish. Refurbishment will only deal with the
superficial problems.
corporation of new guidelines
yet to be introduced; and it lets
the dentists express their individual style.
Whereas refurbishment is
skin deep, Design and Build lets
the dentist create a unique practice from the ground up – sup-
Practice Management 13
ported at each and every stage by
experts to ensure that the design
is fit for purpose and makes the
grade. Using 3D designs and
powerful CAD software, the most
established company’s experts
work with the dentist to develop
the perfect blend of form, function and style.
Design and Build ensures
that the dentist does not just follow the fashion, but expresses individuality and professionalism –
sending a clear message to pa-
Chris Davies
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, contact Genus on 01582 840484, email
info@genusgroup.co.uk or visit
www.genusinteriors.co.uk.
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• HTM 01-05
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Space and light
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Making patients and visitors
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and light. The reception area
should be a welcoming environment that puts them at ease. If
they have to push past one another to get to the seats, which are
already all taken, they will not be
particularly relaxed when it
comes to their appointment.
Also, the dental team needs an
environment that promotes easy
execution of protocols.
Complete Clinical Governance Framework file containing all the
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Available to order over the phone or online via our secure
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Design and Build appeals to
forward-thinking dentists for
many reasons: it lets them enjoy
the benefits of an environment
that is absolutely suited to their
needs; it satisfies all industry
guidelines and facilitates the in-
About the author
Health & Safety
and Employment Law
Every dentist wants greater
success, but this will bring with it
certain logistical issues. As many
UK practices are still set up in
structures that were originally
designed for the average 2.4 children family, it is easy to see how,
with a slight increase in the number of patients per day, problems
can occur.
Forward-thinking dentists
tients that they have made the
right choice. DT
Full Safety Audit, Fire Risk Assessment, Cross Infection Policies, COSHH, DDA Risk
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[14] =>
DTUK1909_01_Title
14 Practice Management
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
The law of attraction
area is like and see if this fits in
with your chosen path.
Ian Stead asks whether you really know what your
patients want, and if you don’t, you need to find
out so your practice can reach its full potential
Y
ou think that you’ve found
the practice for you, or
maybe you’ve already
bought the practice and are wondering what to do next in terms of
marketing yourself. If you have
bought an existing practice then
you will have inherited a number
of patients, but they may not be
the type of patient that you are
planning to reach out to, as you
move forward. If you have a
squat, then everything is in your
hands!
Many of the steps that you need to
take are actually straightforward
and just involve a little common
sense. An easy comparison to
make is with a journey. You
wouldn’t start a journey without
knowing where you were going,
would you? You would be quite
likely to buy a map (or program
your satnav!) and consider costs,
routes, for example. You should
take the same approach when
considering
your
market.
For the practice to reach its
full potential you should have a
really good understanding of
who your potential patients
are, and what will interest them. The way to do
this is through researching your market. Market research is defined
as, ‘the gathering
and studying of
data relating to
consumer preferences, purchasing power,
etc., especially
prior to introducing a product
on the market’.
What do you offer?
The first thing that you must
be clear on is the type of patients
that you would like. Would you
like to carry out predominantly
cosmetic work? Perhaps you enjoy treating children? You
should really be clear on this before you buy the practice. At the
risk of resorting to stereotypes,
you might want to
avoid a practice in
Eastbourne if
you want to
treat young
families
and
children. When
buying a practice,
don’t just consider the
four walls of the surgery.
Find out what the surrounding
This may conjure up images of
people with clipboards or spin-doctors, but don’t be put off.
If you have friends or colleagues based in the area, speak
to them to find out about their experiences. What type of patients
are they seeing, and was that
their plan or has it just turned out
that way? What hurdles did they
have to overcome? If you don’t
know a colleague in the area, ask
the owner of the practice that you
are looking to buy. If they show
you the patient list, certain things
will become clear quite quickly –
if there are a lot of families, for instance.
Read the local newspaper
This can very often give a
feel for an area and the types of
subjects that interest local residents. It may also contain advertisements for other practices in
the area. What market do the
ads suggest they are aiming at?
Will there be room for your
practice to offer the same kind of
care? If you can, try and visit the
other dental practices in the locale. Not to spy, of course, but
just to get a feel for the
type of patients they want
to attract.
Where is the practice that
you have or are looking to purchase situated? High-street
practices will obviously attract a
lot more ‘footfall’ – the number
of people who regularly walk
past, and hopefully, in! This is a
huge positive if you wish to target families or offer a more general across-the-board type service. However, it is not a pre-requisite of a cosmetic practice.
Many of which are situated
away from town centres. If you
are a looking at running a cosmetic practice then footfall can
be a double-edged sword.
Whilst you may receive a lot of
enquiries, it is likely that a lot
will be from ‘price-shoppers’
who will not proceed with treatment. As long as the property is
right, being away from retail
shops can add an air of exclusivity to a cosmetically orientated
practice.
Survey potential patients
If you have bought the practice and are still unsure of which
direction to take then you may
consider carrying out a survey of
potential patients. Ideally, design and print a communication
that offers some reward for filling in and returning – for example, a free treatment, dinner for
two, or vouchers. If you have a
website, patients could fill in the
survey online. If you have an existing database then you could
pick 100 or 200 addresses at random and send messages to
these. If not, there are marketing
and mailing companies who can
make suggestions on who and
where to target. In your survey, it
is important that you ask questions in an open manner to gain
reliable information. While it
may be tempting to ask leading
questions this will be of no benefit to the practice in the long
term. Find out what patients and
local people really think and
then tailor your practice accordingly.
If you can spend a little time
finding out what your patients
want then you will be in a strong
position to meet that need. Every
business should be listening to
what its customers want and a
dental practice is no different. DT
About the author
Everybody’s talking about
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Fax: 01527 839799 Email: info@cattaniesam.co.uk Web: www.cattaniesam.co.uk
Ian Staed
After graduating from Imperial
College London in 1980, with a degree in Zoology, Ian Stead joined
Rentokil PLC Pest Control Division under a graduate recruitment
scheme and soon progressed to
sales manager of its West London
branch. In 1993, Ian established
an independent pest control company in London, which was sold in
2004. As the son of a dentist, Ian
possessed some empathy with
dentists and dentistry. It was with
this understanding and his excellent knowledge of running a successful business that Ian joined
Frank Taylor & Associates in April
2006 as managing director.
To contact Frank Taylor & Associates, call 08456 123434, email
team@ft-associates.com or visit
www.ft-associates.com.
[15] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Money Matters 15
Tax-planning checklist
Now that we’ve passed the April 5 deadline, it is time to consider
what tax-planning ideas and opportunities are available for the
2009/2010 tax year. Thomas Dickson explains
T
here’s quite often a rush at
the end of the tax year to
make sure you’ve maximised on all the tax savings you
can. As always, we had pension
cheques arriving right up to the
end of the tax year and we were
submitting ISAs right up until the
last working day. However,
you’ve actually got 52 weeks before then to arrange your finances and maximise the tax relief available. Some of the following ideas could save you a considerable amount of money.
Investments
Make sure you make the most
of tax allowances every year. Invest in tax-exempt investments –
such as ISAs (max investment
£7,200 or £10,200 from 6 October
for those over aged 50) and
friendly society plans, such as
Dentists’ Provident.
If you’ve used up your ISA allowance you can invest additional capital in unit trusts where
the dividend or yield is zero per
cent. If there’s no dividend income there’s no income tax
payable. The only tax you then
need to worry about is capital
gains tax (CGT – see Part 2 for
ways to minimise that tax).
If you’re married, it can sometime be worth spreading incomeproducing assets such as savings
or investment properties, between spouses to make the most
of their personal allowance and
basic rate of tax.
Consider investing in Enterprise Investment Schemes &
Venture Capital Trusts to reduce
your income tax liability by 20 per
cent and thirty per cent respectively of the amount invested
(max investment allowable for
this purpose is £500,000 EIS;
£200,000 VCT), but ensure that
the investment is suitable to your attitude to
risk.
half of non-working
spouses, or for grandchildren and you can
claim a further £720 pa
(twenty per cent of
£3,600).
Gifts for children
It is possible to
make use of children’s
and grandchildren’s
income tax personal allowances by establishing suitable trusts to
hold investments. In
particular, provided
the donor is happy that
the child/grandchild
will be absolutely entitled, a bare trust could
be considered.
Remember, however that where a parent creates a trust for a
minor
unmarried
child, under which that
child is entitled to the
income, and the income exceeds
£100 gross in a tax year, it will be
assessed on the parent, regardless of whether it is distributed or
accumulated.
The Capital Gains Tax upside
of a bare trust is the ability to offset the child’s annual CGT exemption against capital gains. An
alternative would be a discretionary trust, which gives more
control over the assets gifted and
secures an income tax benefit.
Income tax
Make use of your personal allowance of £6,475. For example,
consider employing a spouse in
the practice to maximise unused
allowances – a bonus could also
be paid to use a spouse’s personal
allowance. Note, however, that
salary should be justifiable and
paid. Also consider distributing
income to minors from a nonparental (to avoid above £100
rule) discretionary settlement.
If you’re over 65 you will start
to lose your additional age related personal allowance once
your income is higher than over
£22,900, so plan your investments and pension withdrawals
carefully.
Pension planning
Since April 6th 2006 the contribution limit for pensions has
increased. You can now contribute up to your net relevant
earnings every year subject to a
maximum of £245,000 in
2009/2010. For a higher rate taxpayer earning less than £150,000
(see below) this will reduce your
effective income tax liability by
forty per cent of the contribution
made.
You can contribute up to
£3,600 a year into a pension with
no evidence of earnings, which
means you can claim relief on tax
you’ve not even paid. This is an
ideal option for investing on be-
For those earning
under £150,000 a year,
tax relief for pension
contributions is obtained at your highest
rate. So for a higher
rate taxpayer the effective net cost is only £60
for every £100 contribution to a pension. For
those with incomes
over £150,000 or more
this year (or in either of
the last two years)
then, from now on, you
will only be able to
claim higher rate relief
on the first £20,000 you
contribute. There are
however a couple of exceptions
to this.
Regular pension contributions that were in place prior to 22
April 2009 are ignored, and importantly this includes dentists
contributing to the NHS Pension
Scheme. So even if your existing
regular payments into the main
NHSPS, added years, additional
voluntary contributions, personal pensions, stakeholder
schemes and so on add up to
more than £20,000 of ‘relevant
income’ they will be protected.
The other exception applies to
those who have income between
£150,000 and £169,999 this year,
but who have not had income of
£150,000 or more in the previous
two tax years. The rules would actually allow you to make a pension
contribution of up to £20,000 now,
which has the effect of reducing
your income to less than £150,000
and therefore you can still claim
the 40 per cent tax relief.
You also need to watch out
you don’t exceed the lifetime allowance (LTA) of £1.75 million –
this is the total amount that can
be accumulated within all your
pensions. To calculate your LTA,
multiply your NHS retirement income by 23 and add any private
income. So if you’re expecting an
NHS pension income of £45,000 a
year and you have private pension assets of over £700,000, you
will need to take action.
For those who need to increase their NHS pension, provided you are still a member of
the NHS pension scheme you can
now (since April 2008) buy an increased retirement pension of up
to £5,000 pa by simply contacting
NHS Pensions at Hesketh House
and arranging to increase your
superannuation contributions.
Those with private or NHS income can also make contributions to a personal pension plan.
In Part 2 of this article, I will be
examining further potential savings to be made, covering Capital
gains Tax, Estate Planning and
Charity Gifts. DT
About the author
Thomas Dickson,
director of Essential Money Limited,
formerly a partner of Money4Dentists, has a wealth of experience in
advising the dental industry. Beginning as a financial adviser, Thomas
has recently launched Essential
Money to provide expert independent financial advice that dentists
throughout the UK can rely on. 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.
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[16] =>
DTUK1909_01_Title
16 Money Matters
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Calculating financial realities
Richard Lishman, principal of money4dentists explores the options of raising
money if you want to buy a practice, bearing in mind the current economic climate
T
here are as many financial
challenges for dentists
looking to go private as
there are opportunities. These
are often compounded by the reality that whilst the majority of
dentists are excellent physicians,
they may have limited financial
experience.
Any dentist who wants to buy
a practice or who wishes to join
an existing practice as an associate or buy in as a partner, should
study the historic performance
carefully.
Although the acquisition price
of a practice can vary significantly,
it’s not unusual for the purchase
price to be upwards of £400,000 to
£500,000. In appropriate cases,
this can be addressed either
through a 100 per cent bank loan
or a combination of bank loan and
other financial sources.
Your business plan
To confirm viability, it is important that the acquiring dentist
consolidates their understanding
in a suitable business plan. Core
elements in this plan include:
1. The sales particulars of the
business in question –
a. What the practice is costing
to buy and/or refurbish
b. What are the reasons behind the sale
2. Three years’ historic accounts
for the business in question
3. Forecasts and narrative for the
next few years
4. Some background on the acquiring dentist’s own personal
accounts:
a. Are they a high earner?
b. How long has the dentist
been practicing?
Your personal account perspective can be easily identified as
part of the ‘Asset Liability’ or Income and Expenditure analysis,
which helps clients review where
they are financially. This ‘snapshot’ can demonstrate the sound
platform off which the dentist
seeks to build. Dentists can either
prepare this statement themselves
or their Independent Financial Adviser (IFA) can help facilitate this
with appropriate forms, which can
be completed with ease.
Generally speaking a bank
will lend to a practice against a
combination of the freehold property value, the practice’s ‘goodwill’ and its fixtures and fittings, so
personal investment is not always
necessary. It’s vital that their IFA
negotiates the best terms with all
the specialist lenders.
Other key elements to feature
in the business plan would include:
• What do you want to achieve
with the practice? What steps
do you need, to take things forward over the next few years?
• How are you going to achieve
these goals? What will you need
to set-up, refurbish, upgrade or
purchase in order to realise this
and how much will this cost?
This then needs to be supported
with financials including cash
flow, profits and loss and balance sheet forecasts. How do
these fit into your forecasts?
• Where are your future patients
going to come from? Can you
acquire more commitment
from the PCT? Will you be looking to convert them from the
NHS to private plans or are
there planned ‘local marketing
initiatives’?
• How are you going to differentiate your practice? Will you be
offering cosmetic surgery such
as Botox or Implantology in addition to your day-to-day dental
services?
• Who will be working with you?
Other associates? What specialities do they offer? Will you employ a specialist to attract different types of work to compliment
the practice and receive referrals?
• How will your practice be different from the competition?
What will set you apart?
• Last but not least, proof that you
are a registered dentist. This
can be easily achieved by citing
your registration number
within the business plan.
Developing a robust business
plan will often throw up new challenges and opportunities that you
had not considered before. However, you can work many of these
through with your professional
advisers to find a bespoke financial solution to each one.
Calculating financial realities
Once you have developed a
business plan, you will need to
consider whether your funding
request is financially viable.
Typically a bank will lend
money against both the practice’s
freehold – often up to 100 per cent
of the value – as well as up to 70
per cent (or possibly more in London and the South East) of the
practice’s existing turnover.
You need to ensure that you
build into your calculations not
only the interest costs, but also
other key factors like your own
salary and capital costs.
An example
• Assuming 100 per cent finance
on a purchase of £500,000
• Twenty-year period
• Capital and interest payable
from day one
• Monthly payments of approximately £3,038.81 per month or
£36,465.72 per annum
• Interest only in year one would
be around £19,500.
Add to the monthly payment a
sum equal to the generic income
for a current associate of say
£75,000.00 gross, then from year
one the practice needs some
£115,000 (excluding tax implications) on the bottom line to cover
its commitments without discomfort.
As such, dentists should look
realistically at the value of the
practice balanced by the return
on the investment it offers.
Management of income generation together with cost control
through great teamwork and un-
derstanding within the practice
will be vital to making the success the dentist seeks.
able to share their vast experience and knowledge in this area,
which in turn will save you time
and money.
Let’s look at the structure
Work with specialist independent valuers to evaluate freeholds as they have their finger on
the pulse of the dental marketplace and can accurately assess
goodwill, equipment, fixtures
and fittings. They will also ensure you are not paying over the
odds.
The structure of the facilities
the banks will provide to meet a
successful funding application
will depend entirely upon your individual circumstances. Typically,
such dentists will come to us with a
global sum that they need to raise.
We will analyse the case to see if
the banks can provide this funding
with a capital loan for a prescriptive period. A small overdraft may
also be provided to help cover any
emergencies in the practice’s cash
flow, and banks readily work with
specialist-equipment providers
when required.
One of the unknowns in any
business is future interest-rate
movements. To mitigate against
possible rises, you should consider the options around variable
rate and fixed rate at the outset.
For the more financially sophisticated practices, you can consider
tailor-made packages to suit individual needs.
An increasing number of
clients are setting up their own
bespoke payment schemes that
compliment their practices, and
a number are introducing these
schemes, which are essentially a
hybrid they are developing inhouse on the basis of cost savings.
This approach does require the
upfront purchase of specialist
billing software as well as bank
approval to underwrite the direct
debit patient payments.
A professional team
We recommend you work
with specialist advisers including accountants and solicitors
that are members of particular
associations such as NASDA (National Association of Specialist
Dental Accountants) or ASPD
(Association
of
Specialist
Providers to Dentists) as they
have a detailed day-to-day
knowledge of the intricacies of
the dental world. They will be
In order to secure the best
possible funding targeted to your
specific requirements, you
should also ensure that you look
to establish a solid partnership
with a bank that has its own specialist healthcare managers who
can provide a creative and effective response to your requirements.
You should look at what the
banks offer regarding flexibility in
its financial structures, allowing
you to fix rates to create some security around initial repayments.
You can do this yourself, but whilst
the majority of dentists may have
modest financial expertise, it will
be a relief to learn that there are
specialist independent financial
advisers available to do all the
work for you, whilst guaranteeing
to provide you with the best overall deal available. DT
About the author
Richard Lishman
is a partner in Money For Dentists,
a member of the The Association
of Specialist Providers to Dentists
(ASPD). ASPD members offer professional, objective and practical
advice and services, based on experience within the industry, to
dental practices and other businesses within the dental sector.
ASPD members include solicitors,
accountants, banks, financial advisers, valuers and sales agencies,
insurance brokers and leasing
and finance companies. For more
information on the ASPD please
call 0800 458 6773 or visit
www.aspd.co.uk.
[17] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
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Four tenets for tough times
T
oday’s retailers certainly
will confirm that when the
economy takes a turn for
the worse, consumer focus shifts
from luxury to necessity. Moreover, many dentists would concur that they find similar behaviors in their practices. The focus
of care moves from elective to
need-based. It’s tougher to sell
those high dollar cosmetic cases.
In addition, patients are less inclined to stay with your practice if
you are not on their company’s
insurance plan.
tients, your office is going to hold
the line on fees this year, even
though costs have increased for
everyone, including your practice.
Next, make it easy for patients to pursue treatment. You
may not be providing as much
elective dentistry, but patients
ing, but there are times, such as
now, when you simply have to
get real in order to get paid.
Tenet No. 3:
Marketing is a must
The No. 1 mistake dentists
make during difficult financial
times is they shut down their
You are likely feeling the pain
of more no-shows and cancellations. Everyone is walking on financial eggshells, causing many
to pause before they dare ask, ‘So
how’s business these days?’
Debbie needs to be a rock
star. It needs to come across
clearly that she enjoys people,
from chatting it up with the
grandmas to expertly handling
the demanding executives.
Don’t fool yourself into thinking
patients see past a not-sofriendly front line. They don’t.
If you do begin to accept assignment of benefits, send a letter to all your patients – including
those that have left your practice.
You’ll likely find that the defectors never really wanted to abandon your office in the first place
and would be glad to return.
Your practice must scream
superior service. It is the most
cost-effective marketing strategy you can implement at any
time, and especially during
tough times. Involve the entire
team in developing serviceminded strategies.
Look at your schedule and
adjust for down times. If the office is a tomb from 2–4 p.m., this
is a drain on the dollars. Consider condensing your schedule, working a longer morning
shift and a shorter afternoon
shift, such as from 8 a.m.–1:30
p.m. and 3:30–5 p.m. This will
make it easier for working patients to see you during their
lunch hours, and staff won’t be
sitting around. Or, if you can
keep three days full but the
fourth is riddled with holes, cut
back to three days.
Tenet No. 2:
Get real and get paid
Look at your fees. Are yours
higher than your competition?
You may feel your practice is
worth the extra money, but unless patients are buying into
your high dollar philosophy,
you’ll have a tough time maintaining patient flow. It’s simply
the realities of the current marketplace.
Consider foregoing an increase in fees this year. Send a
letter to your patients thanking
them for their loyalty to your
practice. Take the opportunity to
tell them that you are sensitive to
the fact that many patients are
experiencing difficulties as a result of the current economy.
Note that, in an effort to be responsive to the needs of your pa-
Remember, everyone on
staff is responsible for marketing. If your front line on the
phones is Debbie, and she’s cold,
rude or simply indifferent when
she’s talking to patients, you’re
dancing with disaster. Many patients don’t want to spend the
money on dental care at this
point anyway, and going to the
dentist isn’t something they’re
clamoring to do even in the best
of times. You don’t need staff giving them any excuses to take a
pass on your practice.
still have dental needs. Continue to diagnose based on what
the patient needs to ensure the
greatest level of oral health.
Don’t fall into the trap of diagnosing just what you believe the
patient can afford. The recession will be temporary, but dental needs and wants will remain.
The patient may not pursue an
entire treatment plan at this
point, but as the economy improves, so too will the opportunities to provide both necessary
and elective care.
That said, you do have an obligation to make it as easy as possible for patients to pursue treatment immediately. Provide
treatment financing options,
such as CareCredit, that will
help the patient afford recommended care. A cash-based
practice is a worthy goal to pursue when the economy is thriv-
marketing efforts. Don’t. You
may change your strategy
somewhat, but you still need to
get your name out there. The
key is smart, cost-effective
marketing. Keep the Web site
running and up to date. This is
just as important as your telephone.
Continue to regularly reach
out to patients with a periodic
practice newsletter – preferably
sent via e-mail to avoid postage
costs – that highlights a new or
existing service, piece of equipment, staff member profiles,
etc. Perhaps you want to reconsider that great billboard deal
or the expensive radio campaign, but this is definitely not
the time to disappear from the
landscape. It is the opportunity,
however, to make the most of
internal marketing in every interaction.
Examine the total patient experience from the first phone
call to the doctor’s after-treatment follow-up call. And if
you’re not making those aftercare calls, there’s no better time
to start than now. The waiting
room should be clean, uncluttered and comfortable. The
bathrooms must be spotless.
The patient should feel he/she is
the only person in your practice
today; after all, tomorrow
she/he might be.
Reach out to your community. If the schedule no longer
has you running from dawn till
dusk, use the opportunity to become involved in a local school
oral health education program,
join the rotary, offer to be the
team dentist for a couple of local
soccer or baseball teams. Encourage your staff to be involved
as well and get the name of your
practice out there on a regular
basis.
Tenet No. 4:
Make the most of your team
During thriving economic
times, dentists argue they are too
busy to train staff. Take advantage of slower periods to invest in
team education. It will pay dividends down the road. Send a couple of employees to area dental
meetings and ask them to present what they’ve learned to the
rest of the team during staff
meetings. Ask each employee to
give a mini-workshop to the
group on their specific responsibilities. Educate the business
team about dental procedures
performed so they can better answer patient questions.
Build on excellence. Take
extra care in your hiring decisions. With a slower economy
and layoffs, you’ll likely have
higher quality applicants to
choose from. Carefully evaluate
what you want in your next employee. And make the most of applicant testing tools available
through McKenzie Management and other companies to
ensure that your next team
member will be a perfect fit for
your practice long after this current economic situation is a
vague and distant memory.
Finally, along with your
team, use this slower period to
examine practice systems and
carefully look at what could be
improved. Now’s the perfect
time to implement necessary
changes and shore up strategies
on everything from patient recall to treatment presentations,
scheduling, collections, pursuing unscheduled treatment
plans, telephone communication and so forth.
Invest in those management
experts that have a proven track
record of success to guide you
through the improvements in
practice systems so that you are
prepared for rapid growth when
the downturn is over. DT
About the author
Sally McKenzie
is CEO of The McKenzie Company,
Inc. a nationwide dental management, practice development and
educational consulting firm.
McKenzie Management provides
knowledge, guidance and personalised systems. E-mail: sally@
thedentistsnetwork.net.
[18] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
18 Clinical
Cyberspace and endodontics
As I write this article, Google has just posted its profits, and behavioural advertising
is in vogue. But what has all this to do with endodontics? Read on urges Jan Skrybant
E
ndodontics: the definition
is derived from the Greek
endo (inside) and odons
(tooth). The current thinking is
that the root canal treatment begins at the canal orifice and ends
at the apex. This is just the beginning, the correct diagnosis and
appropriate treatment plan is essential for the treatment to succeed optimally.
Optimising the treatment is
compromised of various modalities. But where do we as general
practitioners source our information to enable us to make the
correct diagnosis and effect the
correct treatment? What are the
options open to us?
• Current teaching
• Text books
• Personal tuition
• Professional development
courses
• Manufacturers’ instructions.
All these aids help us to formulate our approach to the art of
practising endodontics. One very
recent concept is utilising cyberspace and ongoing peer review of
our work. Cyber tuition is here to
stay. In many cases it’s free and
there is a plethora of top endodontists out there ready and
willing to offer help to the junior
operator; a second opinion for
the more experienced practitioner and perhaps more importantly help with the differential
diagnosis. Very few concepts of
endodontic pathology are absolute. There is usually an endoperio algorithm to consider. Only
the final solution of forceps to
tooth is absolute, all previous
treatment modalities are transitional.
So where do we start?
cussing the options the operator
will arrive at the most accurate
attempt to what is in effect evidence-based treatment.
• Is the usage of mineral tri-oxide
aggregate advisable?
What does it entail?
Early diagnosis: The mechanical considerations of treatment: can the root treated tooth
take the loading. Did excessive
loading cause pulpal death? Will
the tooth be functional?
• Fever
• Malaise
• Lymphadenopathy
• Trismus
• Increased swelling/cellulitis.
Below is a case that appeared
hopeless. The lower right central
appears to have very little bone
and is mobile grade three. The
first x-ray is dated 8.10.2005 and
the second is dated 10.05.2006.
Mobility is now grade one and the
bone support appears much
more stable.
Lower right
central, showing
severe bone loss
So, now the treatment modalities move onto gaining access
and preparing the canal. Orifice
openers are utilised, glide paths
prepared and the decision to proceed further is taken.
Rotary, reciprocation or hand
files are taken. Apical size is determined and this is critical to allow for the effective irrigation to
proceed. The taper is chosen. It is
often the case that the operator
has to take what the canal will
give; nevertheless some subjective decisions will have to be
made.
Same lower
central after
root treatment
• Can the tooth to be root treated
be restored?
• How do we restore? Post crown,
gold or fibre, ferrule or no ferrule. Is full coronal coverage an
aid in the retention of the root
filled tooth?
• Re treatments, will they be successful? If not why not?
• The following three x-rays
show the lower right six being
retreated and the lower right
seven and five root treated. The
final apical size was iso 45 allowing for adequate canal irrigation.
As dentists wishing to educate our patients, it is possible if
using a microscope with a video
feed to record ‘on video’ the diagnostic tests, for example: gingival pocketing, sinus probing, gingival bleeding, and open margins
on restorations. The list can be
exhaustive; the video can then be
suitably edited for size and
‘posted’ on a cyber medium such
as YouTube. This will enable the
patient to view the video at their
leisure. In this way, patient education will be optimised.
Three x-rays showing the removal of
silver points from the upper second
premolar and mta root fill.
The above are all concepts
and need up-to-date answers.
Only current ideology can answer these questions.
Using new tools
What does this all mean for
the average dentist wishing to
provide the ‘best’ Endodontic algorithm for the patient? By sharing the clinical case and dis-
Two lower molars and a premolar
with apices prepared to iso 45
The role of intra canal irrigation is now of primary focus. It is
generally accepted that sodium
hypochlorite and chlorhexidine
are two of the most common and
effective irrigating agents available. The irrigation sequence is
critical as these two agents are
known to interact. Our internet
colleagues will advise and fine
tune rotary and irrigation protocol if asked to do so.
Dressing the canal
The above x-rays show the
difficulty of removing a silverpoint root filling. The previous
operator sealed the two silver
points in with composite resin.
They were removed by ultrasonic filing and the apical fill is
mta followed by a gutta percha
seal and a gold post together with
ferrule.
• Is a calcium sulphate extra
radicular matrix advisable?
Secondly, we can join a newsgroup. One prominent newsgroup available easily via the internet is ‘Roots’. On this newsgroup, esteemed clinicians all
post on a regular basis and are
only too happy to share their expertise with the less experienced
operator.
canal-dressing agent. Leaving
the tooth on open drainage is no
longer an option. Should antibiotics be prescribed as a
chemotherapeutic
adjunct?
The answer is only if certain criteria re present; as a broad
guide these are:
The internet has by default
has given operators a technology to assist them in the utilisation of new tools and concepts
in the treatment of peri-radicular disease. In some cases this
peri-radicular disease needs
anti-biotic intervention. The
resultant root canal infection is
usually polymicrobic. Previously there was a very large
choice of canal medicaments
that could be applied but studies have shown that calcium hydroxide is the most infective
Having prepared the canal
the operation now moves onto either dressing or filling the canal.
As mentioned previously, the
most effective canal dressing is
calcium hydroxide. How long
does the canal need to be dressed
for? This is another good point for
group discussion.
Below are two x-rays taken
six months apart. The patient had
the misfortune to suffer a coronary between the first visit and
the second. The canal was
dressed with calcium hydroxide
after the first visit with an IRM
seal. As can be seen the six-
Lower premolar showing healing
after dressing with calcium
hydroxide.
month period allowed for healing to progress.
Lower premolar showing
healing after dressing with calcium hydroxide.
Having decided to fill the
canal, what method does one
use?
• Single cone gutta percha?
• Multiple cone gutta percha,
• Hot or cold vertical or lateral
condensation?
• Perhaps the gutta percha alternative “Real Seal” is to be used.
• Perhaps coneless obturation is
to be used?
• So many variables. A plethora of
choices.
• Once filled how is the tooth to be
restored?
• Post and core?
• Core alone?
• Full veneer coverage or filling
alone?
There are many questions
that need addressing. Can we
honestly say we have all the answers ourselves? I would suggest
not. That’s why the multitude of
fellow endodontists out there in
cyberspace is so valuable. They
will give us the answer to the difficult questions we cannot answer ourselves.
As Dr Joyce Brothers said: ‘In
each of us are places where we
have never gone. Only by pressing the limits do you ever find
them’.
Cyberspace is here and the
question that has to be asked is it
being utilised to enhance the
skills needed for today’s dental
demands? DT
About the author
Jan Skrybant
graduated in November 1972 and
has worked in general practice
ever since. He has a particular
interest in endodontics, but is not a
specialist.
You can contact him by emailing
jan@skrybant.co.uk.
[19] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Clinical 19
Lower third molar rotations: influence on surgery
and a radiographic audit to assess incidence
By Stephanie Sammut
Clinical relevance statement
Concerning lower third molars with a rotation, care must be
taken when determining line of
section during surgical removal
to minimise surgical trauma.
Objectives statement
The reader should understand the radiographic features
which suggest rotation of the
lower third molar in the long axis
and the implications such rotations may have on the surgical
management/removal.
Introduction
The most commonly performed procedure in oral and
maxillofacial surgery is the surgical extraction of impacted wisdom teeth. It is customary to classify teeth according to radiographic and clinical findings to
predict the difficulty of surgical
removal.
During the pre-operative radiographic assessment of lower
third molars, contemporary
textbooks have generally placed
only little significance on the rotation of the tooth around its
long axis. Geoffrey Howe does
consider the rotation of third
molars in his book1 but generally it is the angulation of the
tooth in the sagittal plane, i.e.
whether it is distoangular,
mesioangular, vertical or horizontal and its depth within the
jaw which are given pre-eminence.
The OPG is the most frequently used image in the diagnosis and treatment planning of
impacted mandibular third molars. Three-dimensional CT
images are not routinely available or required, but can be particularly useful in demonstrating the nature of an intimate relationship between the tooth
and the inferior dental canal. In
considering the buccolingual
Two radiographic features
were considered to give an indication of the rotation of a tooth
around its long axis. These fea-
tures were 1) the image of the
outline of the cusps and 2) the
image of the root anatomy. Both
of these may be demonstrated in
DT page 20
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To motivate behavioural change, it helps if patients understand the benefits
of brushing for at least 2 minutes twice a day with fluoride toothpaste,
compared to an average brushing time of around 46 seconds.1
New research results from Aquafresh show that increasing brushing time:
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The use of 3-D CT imaging
may be justifiable in some
cases, but will often not significantly add to the information
available from plain films. It is
suggested that an appreciation
of torsion rotations of third molars can influence the surgical
technique to minimise surgical
trauma and postoperative sequelae and that this information
can be gleaned from routine
preoperative films.
inclinations, the use of a further
plain radiograph has also been
described, for example, the occlusal view.2
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lain and tomographic radiographs are often used
to classify ectopic third
molars usually focusing on the
depth and angulation of the
teeth in the para-sagittal plane.
Assessment of rotations of the
third molar in its long axis and
degree of tilting in the coronal
plane tend to receive less
attention.
Surface microhardness
(SMH) increased in a linear
fashion over the period
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1. Beals D, Ngo T, Feng Y, et al. Development and laboratory evaluation of a new toothbrush with a novel brush head design. Am J Dent 2000; 13: SpIss 5A–13A.
2. Gallagher A, Sowinski J et al. The effect of brushing time and dentifrice on dental plaque removal in vivo. [Accepted for publication in J Dent Hyg]
3. Zero DT, Creeth JE et al. The effect of brushing time and dentifrice dose on fluoride delivery in vivo and enamel surface microhardness in situ. [Manuscript submitted]
AQUAFRESH is a registered trade mark of the GlaxoSmithKline group of companies.
[20] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
20 Clinical
Fig. 1: Radiographic images of an extracted lower third molar as it is rotated from a) a normal buccolingual
alignment, b) 45 degrees, and c) 90 degrees.
DT page 19
panoramic as well as intra-oral
plain radiography and when
considered together can give a
strong indication of the presence and degree of a tooth rotation.
Figure 1 demonstrates the
differing radiographic images of
an extracted lower third molar as
it is rotated through 45 degrees
and 90 degrees.
Cuspal image:
The superimposition of the
cusps, into two well defined
peaks, implies that there is no rotation along the long axis of the
tooth (Fig. 1a) or that there is a
90-degree rotation (Fig. 1c). The
latter is suspected by the differing convexity of the buccal and
lingual surfaces of the crown. A
cuspal image with three or more
poorly defined cusps indicates a
rotation of nearer 45 degrees
(Fig. 1b).
Root Image:
The image of two clearly defined roots with separate
canals implies that there is no
rotation (Fig. 1a). An octopuslike image caused by superimposition of the root and pulp
chambers (Fig. 2) indicates a
degree of rotation along the
long axis of the tooth of nearer
45 degrees (see also Fig. 1b).
The root form image of a 90-degree rotated tooth (see Fig. 1c),
may give the impression that
the tooth will be easily elevated
but this may not necessarily be
the case.
Once any or both of these
features are identified on a preoperative radiograph, a modification to the surgical approach
Fig. 2: The radiograph of the lower third
molar demonstrates an indistinct multiple
cuspal image of the crown with almost an
octopus like root structure. A 45-degree rotation is suspected.
Fig. 3: Preoperative OPG of a 37-year-old
female. Indistinct crown and root image
suggestive of a 45-degree rotation.
should be considered, with
regard to which plane the
tooth may optimally be sectioned if root division is indicated.
Incidence of third molar
rotations
A consecutive prospective study of radiographs of
patients awaiting surgical
removal of lower third molars was carried out at the
Edinburgh Dental Institute.
One hundred orthopantomographs were assessed
paying particular attention
to the two radiographic features suggestive of rotation
of the lower third molars
Fig. 4: The tooth in Fig. 3 as seen at operation. A 45-degree rotated tooth will
Fig. 5: Radiographic image of 48 suggests a
around the long axis. Five need to be assessed for clockwise or anti-clockwise rotation. This tooth having
90-degree rotation.The smaller cuspal image
mesially in association with what appears to
per cent of these patients rotated clockwise will most effectively be sectioned along the Green line which
represents
a
buccolingual
section
of
the
tooth
be a conical root suggests the buccal aspect
were seen to have radiof the tooth is distally positioned.A paraographic features indicating
sagittal section is indicated in the event of a
failure to easily elevate. Note the ID canal.
were not rotated, sectioning in a
a degree of torsion rotation of the
Conclusion
conventional buccolingual ditooth in the long axis.
The incidence of rotations
rection would separate the
around the long axis of lower third
mesial and distal roots and famolars requiring removal may be
About the author
cilitate extraction. Such root dias high as five per cent. The diagCase 1
vision would not occur if the
nosis of such rotations can be preThe radiograph shown in
same plane of section were
dicted from observations of the
Figure 3 is of a 37-year-old feused in a rotated tooth.
preoperative radiograph and may
male who was referred for the
influence the surgical technique.
extraction of her lower right wisIf difficulty is encountered
This can save time and minimise
dom tooth following recurrent
whilst attempting to elevate a
surgical trauma and post- operaepisodes of pericoronitis. The
tooth with a ninety degree rotative sequelae.
cuspal image had three peaks
tion (Fig. 5), it should be secand the root image was ill-detioned along the para-sagittal
fined and therefore a 45-degree
plane. This will be most effecrotation was suspected. This diAcknowledgements
tive as a blind root division proagnosis only really has signifiThe authors would like to
cedure. Whether the 90-degree
cance if a longitudinal section to
thank Mr Victor Lopes for perrotation is in a clockwise or andivide roots is indicated.
mission to publish information
ticlockwise is of no significoncerning his patients. DT
cance. If the sectioning of the
At operation the tooth was
tooth then alludes to the exisfound to be rotated and thereStephanie Sammut BChD
tence of two roots, the buccal
fore prior to sectioning it would
References
is senior house officer at the De1. Howe G L. Minor Oral Surgery. 2nd
most root can be removed first
be necessary to assess the department of Oral and Maxillofacial
ed. Bristol: John Wright & Sons,
followed by the lingually posigree and direction (clockwise
Surgery and Oral Medicine at the
1971.
tioned root. It is the lesser deor anticlockwise) of rotation of
Edinburgh Dental Institute in Ed2. Pedlar, J. Frame J W. Oral and Maxinburgh. To get in touch, call 0131
gree of rotation, for example,
the tooth around the long axis to
illofacial Surgery An objective536 4923.
based textbook. 2nd ed. London:
45-degree rotation that reestablish the correct line of secChurchill
Livingstone,
2007.
quires more attention.
tioning (see Fig. 4). If the tooth
[21] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Interview 21
A global community
Dental Tribune talks to Dentalghar founder Raman Bedi about his new
online forum for dentists originating from the Indian sub-continent, and
collaboration with Smile-On
tum for starting dentalghar. It is if
you will, a response to a need.
Let me also say at this stage
that everyone is welcome to join
this virtual community irrespective of race, ethnic background,
religion or gender – In fact we
would welcome a multifaceted
community. The focus is on the
Indian sub-continent (Pakistan,
India, Nepal, Bangladesh and Sri
Lanka), but also the diverse
“Asian” dental communities
which have sprung up in countries as far apart as US, Canada,
UK, South Africa, Singapore,
Middle East, Australia, and the
DT page 22
KaVo – Dental Excellence
Dentalghar is a new worldwide community for dentists of Indian origin
Prof Bedi, could you please tell
our readers a little bit about
your background and how you
got involved in dentistry?
My parents were part of the
large migration from India to the
UK that occurred in the late 50s
and 60s. They had little experience of higher education and so
my brothers and I entered university life with very little background information or guidance
as to what subjects we should
chose. It was also at a time when
professional career advice was
hard to obtain. Thus, I drifted into
dentistry with very little understanding about what to expect.
Despite this somewhat disadvantaged position, I loved my time at
Bristol Dental School and have
never regretted the choice I
made to study dentistry.
You were Chief Dental Officer
(CDO) for the UK from 2002 to
2005. What are you doing at the
moment?
I consider my time spent as
CDO a real privilege and loved
the job, but have also never
looked back. I knew that I would
be a paediatric dentist from my
second undergraduate year. At
the time, Reg Andlaw was head of
the children’s department and
was to me, in his quiet way, very
inspiring. I also remember writing to David Barmes, then head of
the oral health unit at WHO
(Geneva), asking him for a job. He
was kind enough to take the time
to respond and pointed out that if
this was a career option then I
should gain postgraduate qualifications and about 20 years experience before applying to WHO!
This was quite daunting feedback
for a 21-year-old dental student.
And so, 25 years or so later
when asked to be CDO (Eng-
land), I was thrilled and keen to
meet the challenge, but in 2006
when the opportunity came for
me to lead the Global Child Dental Health Taskforce, whose mission is supported by the WHO, the
choice was simple. I am now living out the dream I had at the start
of my career and this is a very satisfying and fulfilling.
The current CDO, Barry Cockcroft, recently said in an interview with Dental Tribune UK
that public dentistry has significantly improved in Britain. Do
you agree with him?
It is not easy to be a public figure and a spokesperson for Government policy. There are deeprooted constraints and few in the
profession understand the extent
of these, Barry is doing a good job.
‘I consider
my time spent
as CDO a real
privilege and
loved the job,
but have also
never looked
back’
It is certainly true that dental
caries levels in all, but not in the
under five year olds, have improved in the past few decades.
More individuals are retaining
their teeth. So yes in general
terms oral health has improved.
But still about 50 per cent of our
children have cavities and the
long list of children waiting for a
general anaesthetic to have decayed teeth extracted is more
than a concern, it is blight on the
public policy landscape. It is also
fair to point out that this is not just
true of England but for nearly
every developed country.
So yes oral health has improved but the gap in inequalities
remains and to the question are
we doing enough for children the
answer has to be no. If the question is about dentistry as a whole,
then yes this has improved but to
the same level as it has done in
other countries? In truth, this requires a complex answer which
is not easy to give here in a short
interview, I will simply say that
dentistry (dental care) is also
very much influenced by the
market in which it is provided, so
how dentists are remunerated is
critical.
You are also the founder of
Dentalghar, a new worldwide
community for dentists of Indian origin. What is the purpose behind this organisation?
It is simply responding to a
global movement that is occurring within the Indian Diaspora. I
was born in India but my parents
migrated when I was two. Like
myself, there is a large community whose physical links with
the subcontinent were severed
but not the emotional ones.
There is a saying in India: “You
can take someone out of India but
you can never take India out of
them”. I noticed that our medical
colleagues were organising
themselves and linking up with
their counterparts in India. They
have established joint ventures,
conferences and collaborative
training opportunities. In dentistry, proportionately speaking,
we have more (worldwide) dentists of Indian origin than our
medical colleagues and so this
factor gave rise to the momen-
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[22] =>
DTUK1909_01_Title
Clinical
India is an attractive place to live and work with increasingly more potential.
DT page 21
list goes on wherever peoples of
Indian origin have settled.
We are creating a platform on
which to bring together many
groups into one global community. There is no set agenda
which one has got to buy into. It is
simply an arena to meet and discuss issues, but also to create opportunities whereby many of us
outside India can think about
how we can give something back
to our country of origin. I don’t
know where this will take us – but
it is full of exciting prospects and
an opportunity to engage.
Your partner in this project is
Smile-on, a UK-based provider
of dental education. What is
their part in this?
I can just about navigate
around my PC by myself but after
that I am out of my depth. This is
a virtual community engaging on
the internet. I needed to have
partners who had IT expertise
but also understood the dental
market and publishing. Smile-on
has this combination and I had
worked with the company before
so it was an obvious choice for me
to team up with them.
Is the organisation helping
dentists from India with work
permits, visas, etc?
The organisation is not a
campaigning one. We are simply
bringing people together and if
certain issues come up then
members might want to respond
as individuals. As I mentioned
earlier, there is no fixed agenda.
Work permits are not being
discussed by members. What I
notice is that many dentists are
asking how they can help or volunteer in India. Others are reconnecting with their roots, that
is towns where their families
originated from, and asking what
dentistry is like there. So in fact,
the interest is reversed and directed towards India.
How many dentists of Indian
origin are currently working
abroad and in which countries?
This is very difficult to know
as there has not been a global
census. We do know that India
has over 25 per cent of all dental
schools in the world (I believe it
was just over 280). And we also
know that in the UK, US and Australia a sizable proportion of
dental students have their ancestral roots in the sub-continent. The Ministry of Indian Affairs estimates over one million
healthcare professionals worldwide have Indian origins and a
proportion of these are dentists.
At Dentalghar, we conservatively estimate that 20 per cent of
dentists worldwide have Indian
origins.
Are dentists from India sufficiently trained for service in
countries such as the UK? (How
is the level of dental education
in India compared to Western
countries?)
There are many dental
schools in India which are excellent, whilst others require modernisation. One thing is certain;
the dentists who sit entry exams
in countries such as the US or the
UK do very well. From my personal experience, the postgraduates I have supervised who
trained in India have been outstanding.
The Times of India recently
reported that many dental graduates in India have to leave dentistry to work in more lucrative
jobs, such as in the Business
Process Outsourcing sector.
With more than 250 dental institutions is there an overflow of
dental professionals in India
right now?
Last year, the House of Lords
abandoned
discriminating
guidelines against overseas
medical graduates. Did this
also concern dentistry and, if
so, has this decision improved
working conditions for Indian
dentists in the UK?
The House of Lords’ ruling
was on a very specific case taken
up by the British Association of
Physicians of Indian Origin (BAPIO). It had more of an impact on
those who are medically trained
rather than those seeking dental
training. BAPIO were courageous in making this appeal and
over time it will be seen as a landmark event in race relations
within the NHS. For a minority
ethnic organisation to challenge
government in the High Court is
remarkable and even more so for
them to then have their case upheld – well unbelievable. But it
was the right thing to do. I am
proud to have been asked to be
the Chairman of BAPIO.
I was in India in April 2009
and met 50 deans of dental
schools who came to engage
with the GCDHT project. They
shared their concerns about
dental employment for their future graduates. But then the outsourcing sector is attracting professionals from all sectors, dentistry is just one of them. What is
happening for many new graduates is that they work in dental
practice but supplement their
income by working at BPO centres for a few hours each week.
What is needed in India is a national workforce strategy to be
carefully devised and implemented.
What are the main reasons for
dentists to leave the country?
In the past it was for employment and training. Now, for
many, India is an attractive place
to live and work with more and
more potentials. Overseas postgraduate education is still a
strong pull for dentists. But, the
situation over the next 10 to 15
years will change dramatically.
With higher demands for quality
dentistry by local people, dental
tourism, postgraduate training
opportunities etc many dentists
will stay in India and some may
even return.
Countries such as the UK heavily rely on dentists from abroad
to be able to sustain their services. What impact do and will
foreign doctors have on dentistry in the country?
Historically we have relied on
overseas-trained doctors and
dentists. In 2004, England published a dental workforce strategy, which is on the internet. The
strategy was to build a homegrown workforce, which is why
in 2006 our dental schools increased their undergraduate
numbers by 25 per cent. If in 20
years time we got the numbers
wrong, then we know who to
blame. I chaired the review! DT
[23] =>
DTUK1909_01_Title
[24] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
24 Education
Sharpen your skills
Dr Dominique Kanaan and Dr Zaki Kanaan shed
light on the new rules, which allow hygienists
and therapists to carry out whitening
D
entistry in the UK is
changing and the profession is in a very dynamic
phase. These changes are affecting the entire dental team and in
particular dental care professionals (DCPs). The skill set of
DCPs is increasing and they are
now able to become practice
owners. A few years ago this
would not even have been a
viable option.
The easing of the rules
by the General Dental
Council now also allows
whitening to be part of the
armamentarium of hygienists and therapists, as long
as they have a prescription
from a dentist. But what
constitutes a prescription?
Although there is no set format for the wording of a
whitening prescription as
such, according to Dental
Protection, a prescription
should contain enough information for the DCP to understand precisely what
treatment is being proposed and allow them to
satisfy themselves that the
treatment is in the patients’
best interest. Broadly, this
should include:
1. A brief description of the proposed treatment.
2. The cause of the discoloration.
(Tetracycline, age related, etc.)
3. What warnings have been
given or any specific issues related to the case (areas of recession, fluoritic white patches,
difficult canines, existing
restorations, etc.)
4. Concentration of active ingredient to be used (10 per cent CP,
16 per cent CP etc.)
5. The technique to be used
(power, home or combination)
6. What follow-up or maintenance is needed?
What, when and how
According to a Mintel Survey
conducted by the British Academy of Cosmetic Dentistry in
2006, 30 per cent of all cosmetic
dental procedures carried out involve whitening. Although
whitening is often considered the
entry level treatment for cosmetic dentistry, with the confusion that surrounds this treatment modality in the UK, it is of
utmost importance that you can
show that you are fully trained in
carrying out these techniques
and that you are acting in the patients best interest.
The most difficult aspect for a
DCP is the ability to demonstrate
that they have received appropriate training to carry out whiten-
ing. Although the GDC has not offered any specific guidance on
this, it is highly recommended
that a DCP should attend a recognised training course before un-
‘It is
recommended
that a DCP
should attend
a recognised
training course
before undertaking whitening
treatments’
dertaking whitening treatments.
Training can come in many
guises; lecture only, live demonstrations and full hands-on training. There is no doubt that handson training is the best format for
learning whitening techniques,
what is clear though, is that having
a rep come round from a whitening company to show you ‘how to
do it’, would not be considered as
appropriate training, especially
for DCPs carrying out whitening
for the first time. This is also true
for a dental colleague or your principle who say they can show you
‘how it’s done’ in a lunch break.
After an appropriate training
course, it is also suggested that
initial treatments are carried out
under the supervision of a dentist, followed by a dentist merely
checking and assessing the outcome in the form of a logbook. It
may also be advisable to demonstrate that the process and outcome had also been audited from
time to time.
Keep a record
As with any form of dental
treatment, there is no doubt that
maintaining contemporaneous
records, by both the prescribing
dentist and DCP, is a prerequisite
for successful whitening. It
demonstrates the conversations
and discussions that may have
taken place and therefore confirms the consent process. Since
more than one person is involved
in the same treatment modality,
the more information that is in
these records, the easier it will be
for your defence organisation to
defend you, if the need arises.
Both the Dental Protection Society and Dental Defence Union
provide cover for hygienists and
therapists to carry out whitening,
as long as they have undergone
appropriate training. There is no
additional fee for this cover from
both organisations but DDU state
that you should inform them in
writing if you are undertaking
whitening procedures and indemnity will be provided on a
case-by-case basis, depending on
the level of training received. DPS
does not need written confirmation that a member is carrying out
whitening but they emphasise
that you will need to demonstrate
that you have an appropriate
level of training, in the event a
complaint is made.
Although ultimate responsibility lies with the dentist, as they
will be writing the prescription,
the DCP carrying out that
prescription also has to
demonstrate a duty of care
and must therefore satisfy
themselves that the treatment being undertaken is
appropriate and is in patients’ best interest, when
balanced against other
treatments that may be
possible (including no
treatment at all).
Dental hygienists and
therapists are now registered professionals. With
that status comes professional responsibility... to
the patient, other team
members and of course...
themselves. Along with
this comes the duty of
keeping yourself up to
date with relevant courses
for new skills such as
whitening.
Value for money
In the current climate of
doom and gloom, people are
more discerning with what and
who they spend their hard
earned cash with. It is quite likely
that people will shun more expensive cosmetic treatment options, such as veneers, and opt for
the simpler and more reasonable
options of whitening for any improvement they can get for the
money.
We as a profession need to
take note of this and what better
way than embracing the new
skills that our hygienists and
therapists have been empowered to do and encourage them to
take a hands-on whitening
course. Not only will it add a new
skill to their bow, but also it will
give them a shot of enthusiasm.
The side effect is that it will free
up the dentists time, allowing
them to focus on the art of dentistry and running the business.
Dr Zaki and Dr Dominique
Kanaan set up K2DentalSeminars.com specifically to help
train hygienists and therapists in
the art and science of power and
home whitening. Their course is
one of the few hands-on courses
available and is carried out in
small groups. Teaming up with
BACD, Dr Zaki and Dr Dominique Kanaan will be at the
sixth annual conference, ‘The
Future of Dentistry’ at the EICC
in Edinburgh from 19–21 November 2009, where their next
White Talks course take place.
Bookings can be made on line at:
www.bacd.com. DT
The authors would like to
acknowledge that this article
is written with information
provided from both the General
Dental Council and the Dental
Protection Society’s position
statements on tooth whitening.
About the author
Dr Zaki Kannan
qualified from Guy’s Hospital in 1996. His main interests lie in all aspects of
cosmetic dentistry with a special interest in dental implant treatment, where
he has achieved a Masters Degree from the GKT Dental Institute in 2001. He
strongly believes in Continuing Professional Development and lectures on
all aspects of implant and cosmetic dentistry. He sits on the Board of Directors of the British Academy of Cosmetic Dentistry as Chairman of the Study
Clubs Committee and is a member of the American Academy of Cosmetic
Dentistry. He is also an editorial consultant for Dental Implant Summaries,
and is a member of the Association of Dental Implantology in the UK. He has
embarked upon a career pathway leading to him gaining a diploma in sedation, a diploma in hypnosis, and most recently he has become a Licenciate
of the Faculty of Homeopathy.
Dr Domique Kanaan,
shortly after qualifying from Guy’s Hospital in 1996, achieved a diploma in
hypnosis and most recently she has become a Licenciate of the Faculty of
Homeopathy. She enjoys all aspects of dentistry, but has focused her interests in the field of cosmetic dentistry, and is well known in the cosmetic dental arena. Dominique attends cosmetic courses both nationally and internationally and is a member of both the British and American Academies of Cosmetic Dentistry. She currently works exclusively in private practice in London and was one of the main clinicians in Dentics’ flagship cosmetic studio
in Selfridges, carrying out up to 10 whitening procedures per day.
[25] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
DCPs 25
Brush up your skills
Glenys Bridges from the Dental Resource
Company talks about its new practice
management qualification, which will equip
managers with skills to reap rich rewards
in the dental business
I
n response to requests from
practice managers, the Dental Resource Company recently launched a new Level 5
Practice Management Qualification, which is now in full swing.
On the new two-year Level 5
BTEC Professional Diploma in
Dental Practice Management,
applicants will study:
• The dental market and customers
• Quality systems
• Financial management
• Continuous professional development
• Employment law
• Health and safety law in the
dental environment
Managing time
Studying for a management
qualification requires a huge investment of money and time on
behalf of the student and their
sponsoring business, so it is vital
to choose a qualification at the
right level. The National Qualifications and Curriculum Authority issues descriptions of the intellectual skills, processes and
accountability each level of qualification is intended to characterise. At Level 5, qualifications
allow students to develop skills
that will enable them to:
PracticeWorks
Practice Management Software
and Digital Imaging Systems
Our team at PracticeWorks are recognised for their expertise in dental technology, from
installation through to support and maintenance, whether it’s the most advanced practice
management software or the most innovative digital imaging systems.
We have over 70,000 software installations worldwide to prove it. We also developed the first
intraoral sensor, “RVG”, which started the digital radiography revolution.
And when you buy a PracticeWorks product you also buy great support. Our trainers,
engineers and help desk staff are always on hand to ensure you get the most from our
products and services
So not only do you get the very best service at all times, you also get peace of mind from
knowing that your satisfaction is our top priority.
• Generate ideas through the
analysis of information and concepts
• Command a wide range of conceptual skills to formulate policy
• Analyse, reformat and evaluate
a wide range of information
These senior management
qualifications focus on diagnostic
and creative skills. They aim to
develop the ability to exercise appropriate judgement for planning
and design processes. Level 5
managers are usually responsible
for supervising the work of junior
managers and accept responsibility for personal and group decisions. They supervise the work of
junior managers and have overall
accountability for their designated area of management.
We are moving into an era
where the combination of the
knowledge and understanding
acquired by formal education
and training, together with practical application the workplace
experience is the key to management success. Those managers
equipped with such skills will be
at the forefront of management
and reap rich rewards in the dental business environment.
For more information on the
course, visit www.dental-resource.com, call 08700 664 398
or email admin@dental-resource.com. DT
R4 Version III
Practice
Management
Software
Back Office
Business
Management
Software
Managed
Service
Web Based
Practice
Management
Kodak 9000 3D
Extraoral Imaging
Dental
Photography
Kodak CR7400
Phosphor Plate
Digital X-Ray
Kodak STV
Digital Intraoral
Camera
Kodak
RVG6100 and
5100
Digital X-Ray
The very best products, expertise, support and service
brought to you on a plate
For more information or to place an order please call 0800 169 9692
or visit www.practiceworks.co.uk
PracticeWorks
© PracticeWorks Limited 2009
[26] =>
DTUK1909_01_Title
26 Industry News
The specialist
in the cementation of implants
Multilink Implant –
The adhesive luting
composite for implantretained restorations
Ivoclar Vivadent is launching Multilink Implant – an adhesive luting composite especially designed for fixed, implant-retained restorations
Multilink Implant is a self-/
dual-curing, two-component
luting composite which permanently and adhesively bonds
restorations to implant abutments. The material’s very low
solubility in water and its high
mechanical strength enable it
to establish a durable bond between the restoration and the
abutment.
Strong partners
When used in combination
with the new universal primer
Monobond Plus, Multilink Implant produces a strong bond –
independent of the material
from which the restoration or
the implant abutment are made.
Easy handling, high resistance
to penetration by bacteria
Multilink Implant not only
stands out due to its excellent
bonding properties. Easy cleanup of excess cement as well as
direct dispensing from the automix syringe facilitate the application of the material. Moreover, since an adhesive luting
protocol is used, bacteria are
prevented from penetrating the
cement joint between the abutment and the restoration.
For further information contact:
Ivoclar Vivadent Ltd
Ground Floor,
Compass Building
Feldspar Close
Enderby
LE19 4SD
TEL:0116 284 7880
Preparation
with Mrs. Hi-Di®
Diamond Burs
Mrs. Hi-Di ® is well-respected – with her years of experience, she is a key asset to
the team. Her multiple layers of
diamond grit mean that she is
reliable & durable and always
runs true. She ensures most
clinical situations are met with
her various patterns and she’s
always kind to your handpieces. Why buy other brands,
when Mrs Hi-Di can offer you
assurance with high quality –
Diamonds are a Bur’s best
friend!
DENTSPLY’s Indirect Restorative Team understand that
crown & bridge restorations are
amongst the most demanding
procedures carried out by a dentist, with high expectations from
their patients. DENTSPLY’s
quality, branded products, such
as Hi-Di Diamond Burs, fit each
step of this procedure, making it
quicker and easier to ensure an
accurate, long lasting restoration and help you to “get it right
first time”.
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
For more information or a
booking form please contact
Suzy
Rowlands
on
02082418526
or
email
suzy@bacd.com.
Rid you practice of the highpitched whine associated with
hand pieces by using Castellini’s
Silent Power. Utilising cutting
edge ball bearing technology,
the noise emissions from the
turbine have been cut by 50%.
“Diamonds are a
Bur’s Best Friend –
Make Mrs.Hi-Di yours!”
The Future
of Cosmetic
Dentistry
The British Academy of Cosmetic Dentistry is holding its
6th annual conference at the
EICC in Edinburgh from the
19th to 21st of November. The
leading source of innovative education, the BACD promotes a
dynamic attitude to developing
techniques, materials and skills
in all areas of Cosmetic Dentistry.
Recognising a shift in preference from traditional orthodontic methods to less invasive dental treatment, the BACD presents ‘Simple Orthodontics For
You and Your Patients – Panel
Presentation’. Demonstrating
the latest techniques available
for GDP’s, each speaker is a pioneer in their field of alternative
orthodontic treatment.
Attendees will gain confidence from demonstrated implementation techniques and
explore a wide range of simple
orthodontic systems to address
both the patient’s aesthetic and
functional needs.
Cosmetic Dentistry is moving away from aggressive tooth
preparations and toward less
invasive pre-alignment and
alignment techniques. Ensure
you are at the forefront of Cosmetic Dentistry in the UK and
secure your place at the 2009
BACD!
T: 01202 677277
E: contact@dentaldesign.co.uk
W: www.dental-design.co.uk
“Silence is a
source of great
strength.”,
Lao Tzu
Preparation with Mrs. Hi-Di®
Diamond Burs
For more information, please
contact your local DENTSPLY
Product Specialist on: +44
(0)800 072 3313 or visit our website: www.dentsply.co.uk
So, if it’s a targeted, fully managed pay-per-click campaign
you’re after, get in touch with
a Google certified professional at Dental Design today.
These lightweight hand
pieces use high precision rotation with high torque level and
fluid dynamic analysis of airflow to reduce the level down to
an almost imperceptible frequency in normal ambient
noise conditions. The amount
of acoustic disturbance suffered by dentists has been
greatly reduced by the decrease
of medium-high frequencies.
All Silent Power hand pieces,
except the Silver 2 Model, have
an incorporated Fibre Optics
system for illumination of the
operating field. To assure optimal cooling and maximum visibility, all models within the
range operate with between
two and four spray irrigators for
all working conditions.
All items within the range
are available with the full expert support of Castellini, from
purchase and throughout the
product’s life.
For further information about
the Silent Power from
Castellini, please call 0870 756
0219 or visit:
www.castellini.com
Laser class
European
championships
Jack Kilburn, 18-year-old
eldest son of Erica Kilburn of
the Kent-based dental PR and
media company E K Communications Ltd. (EKC), is representing Britain in the forthcoming Laser class European championships in Sweden in August,
Europe including European
Olympic sailors in his class from
China.
His goal is to simply complete all the races in the week
long event with out any breakages and to gain as much experience as possible putting him
in good stead for future events.
No-rust cleaning solution –
New Omnisan
Forte from
Panadent
Jack’s Long-term goal remains the Olympics in 2016; out
of a UK class of nearly 200 only
one sailor gets to represent the
UK in Olympics his work is cut
out, however the eighteen-year
has the dedication and determination to succeed.
Google
AdWords
success!
There’s a lot of ‘buzz’ surrounding Google AdWords at
the moment and it’s no wonder
– vouching for its success is
Dental Design, the leading website design agency for the dental
profession, currently enjoying a
reduction of 80% in the cost of
acquisition per client! Not surprisingly,
Dental
Design
wanted its clients to enjoy the
same benefits and is delighted
to announce that it has recently
become the first dental-specific
design agency to boast a universally recognised ‘AdWords
Qualified Individual’.
After much hard work, dedication and a final examination, Mary Young has achieved
the highly regarded qualification – one which represents a
synonymous
commitment
from Dental Design towards
the continuing professional development of its dedicated
team and improving service
standards to its loyal customer
base. Mary said of her new
qualification “It’s a fantastic
achievement both personally
and professionally – at Dental
Design we are always looking
to add value to our services and
this is a perfect example.
Ideal for cleaning and storing all dental equipment, the
new Omnisan Forte cleaning
solution with benzethonium
kills 99.9% of micro organisms
with 30 seconds (undiluted) and
5 minutes at 1:2 dilution (British
Standard tests). More concentrated than most leading brands
and with up to 10 days lasting
action, Omnisan Forte represents outstanding value for
money as an every day cleaning
solution in the surgery. RRP:
£19.50 plus VAT and carriage
Special introductory offer:
Buy 2 Get one Free
Call Panadent: 01689 88 17 88
or Henry Schein: 08700
102043
Astra Tech are
proud sponsors
of new world
class London
Dental Education Academy in
Central London
This is his first senior overseas event and Jack is delighted
to be taking part as he had his
appendix removed 7 weeks ago
and has just be allowed to sail
again.
The new £2 million London
Dental Education Centre (LonDEC) was officially opened by
Professor Ann Keen MP, Parliamentary Under Secretary of
State for Health Services in the
presence of Dr Barry Cockcroft,
Chief Dental Officer for England, on 30 June. The Centre is
Sponsored by EKC Jack will
be competing against the best in
DT page 27
[27] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
DT page 26
module for those who have
successfully completed the
Diploma.
For further information, please
contact the CPD Administration Team on 020 7905 1272,
email cpd@eastman.ucl.ac.uk
or visit www.eastman.ucl.
ac.uk/cpd
based in the Franklin-Wilkins
building, Waterloo Campus,
King’s College London.
“Astra Tech are proud to be a
main sponsor of this new, state
of the art, world class facility
and look forward to working
with LonDEC to help further the
advance of dental education.
This facility will enable us to
hold some of our dental education programmes here, and
have “live links” with our own
worldwide educational facility
in Sweden. We are very excited
at this collaboration”, says
George Black, Head of Dental
Business, Astra Tech UK.
For more information on Astra
Tech’s products and services
please call 0845 450 0586 or visit
www.astratechuk.com
Eastman CPD
Programmes in
Restorative
Dental Practice
Summer saving
with Snappy
The key for Dental Professionals treating children this
summer is to find that happy
medium where the patient can
be given valuable chair time but
without causing unnecessary
delays in the waiting room.
Diamond Snappy GIC is easy
to pack and place, genuinely releases fluoride, leaves no bitter
after taste and sets in less than 3
minutes from a starting mix of
23∞ C. It offers resistance to
saliva as soon as the cavity is
filled, targeting large cavities in
deciduous teeth. It comes in a
natural white shade with
translucency continuing to improve with time.
Some of the topics will include:
• Treatment planning
• Current practice of periodontology
• Replacement of missing teeth
• Participants’ nurses and hygienists courses
The UCL Diploma in
Restorative Dental Practice follows the satisfactory completion of the Certificate Programme allowing professionals
to progress. Compulsory modules are complemented by a
number of selective modules
which may be directed toward
and accommodate participants’
individual needs.
The UCL MSc in Restorative
Dental Practice is an additional
practice-based
dissertation
Interested participants can
sign up for the challenge at
www.gumsmart.co.uk. They
will then receive a £1 coupon to
redeem against a purchase of
the toothpaste. Participants can
view other people’s experiences of using the product for 21
days on the website and will also
receive supportive advice from
a panel of experts over the three
weeks of the challenge.
Introducing 1shot:
The perfect solution for
lively children visiting the dentist this summer.
Special offer: Buy 2 Snappy
packs and receive 1 box free.
Quote ref SS1
Offer valid until
31st July 2009.
For further information or to
place orders call Jackie or Helen
on 01793 770090 or visit our website www.kemdent.co.uk.
The quick,
accurate, and
cost-effective
answer to
x-raying
The revolution in dental
x-raying has officially arrived.
The innovation of kiwi general
practice dentist, Dr. Bede
McElwee, the 1shot® dental xray holder is designed for accurate and confident placement
when taking bitewing anterior
and posterior periapicals and
endodontic radiographs.
Join the
Corsodyl 21 day
challenge for a
healthy mouth
With 90% of people suffering from gum disease at some
point in their lives1, it’s important to maintain healthy gums
and teeth everyday. That’s why
GlaxoSmithKline (GSK) Consumer Healthcare has launched
new Corsodyl Daily Gum &
Tooth Paste.
To coincide with the launch
GSK is inviting people wanting
to maintain healthy gums to take
the ‘Corsodyl 21-day challenge’.
Mark Chapman
Medivance Instruments Ltd
Barretts Green Road
London
NW10 7AP
Mobile 07734 044877
1shot®, distributed by Prestige Dental, simplifies the x-ray
process and eliminates any
guesswork in aligning the x-ray
tube to the film or sensor. Its ergonomic design consists of a
one piece holder with no other
protruding components and a
line showing the anterior edge
of the film/sensor when teeth
have closed to grip holder.
Already fitting in the operating trays of many dentists
throughout the US, the 1shot® is
quickly becoming a highly endorsed product. 1shot is colour
coded and particularly suited to
DEXIS and Schick sensors but
Universal models accommodate a wide range of sensors.
Snappy restorative GIC from
Kemdent can save significantly
on treatment times, meaning
the patient can enjoy shorter
dental visits whilst retaining
quality dentistry.
The UCL Eastman Dental
Institute offers dental professionals progressive, modular,
part-time training in Restorative Dental Practice.
The UCL Certificate in
Restorative Dental Practice is a
28 day course running fortnightly over 12 months and next
commences in January 2010.
Seminars, lectures and practical sessions will take place in
the high-tech skills laboratories providing an extremely
supportive learning experience.
Participants to the Corsodyl
21-day challenge will be encouraged to use new Corsodyl
Daily Gum & Tooth Paste in
place of their regular toothpaste
for 21 days. Corsodyl Daily Gum
& Tooth Paste contains a special
combination of plant extracts
and mineral salt which means
that it has a unique taste which
may take a couple of weeks to
get used to.
Industry News 27
Born out of frustration over
holders that were too big or too
small, had too many parts, were
too flimsy, were not reusable,
and didn’t fit on an operating
tray, McElwee developed a robust, one piece, reusable x-ray
holder made from polysulphone plastic (autoclavable
x100+).
Experience
The Future At
The BACD
Sixth Annual
Meeting
The British Academy of Cosmetic Dentistry was delighted
with the feedback from the last
Annual Meeting and has responded to comments in order
to make the 2009 Conference,
‘The Future Of Dentistry’, the
best yet.
Aseptico Transport II Mobile
Surgery unit in
Afghanistan
Velopex are delighted to
support the British Forces in
Camp
Bastion,
Helmand
Province in Afghanistan with
the latest version of the Aseptico Transport II Mobile
Surgery Unit which is on trial at
the base.
This unit provides:
• Electric autoclaveable, brushless micromotor driving E
type handpieces (not included) with internal cooling
(can run up to 30,000 rpm,
which with a 5:1 adaptor to
give Turbine like speeds) this
is foot contol operated with adjustable cooling spray – with 1
litre, easy access, water reservoir.
• Optional Fibre Optic illumination
• Built in oil free compressor
• Low Volume suction (saliva
ejector) with safety shutoff
• High Volume suction (can be
used with an optional spittoon) with safety shutoff
• 3-in-1 Syringe
• Optional Piezo Ultrasonic
Scaler with foot control
• Complete units fits into roll
along suitcase
The unit is available either direct or through our UK Dental
Partners. For further information please contact either
your normal supplier or
Velopex Direct:
This year’s Conference, to
be held at the impressive and
modern EICC (Edinburgh International Conference Centre)
from the 19th to the 21st of November 2009, has been carefully structured to ensure that
delegates should be able to attend every lecture, seminar or
workshop that appeals to them.
The response to last year’s
event was very positive, with
comments including: “Best conference yet…” “Excellent atmosphere, great speakers…” “I
am leaving the conference feeling re-energised, re-motivated
and full of enthusiasm…” Delegates are advised to book early
for this year’s Conference, as
many of the workshops have a
restricted number of spaces.
Bookings must be made at
www.bacd.com, where a special discounted rate is currently
available.
For more information contact
Suzy Rowlands on 0207 612
4166 or email info@bacd.com
www.bacd.com
Save time and
money!
Wouldn’t it be good if your
dental practice could save
money on equipment and supplies? One place where you
could buy and sell soon to ex-
DT page 28
[28] =>
DTUK1909_01_Title
28 Industry News
DT page 27
wards accountant or investigation specialist fees.
pire supplies? Buy and sell refurbished equipment?
Contact PFP today and find
out how its range of policies can
help you. The team will also be
able to provide comprehensive
Human Resources guidance
with the HR Plus service.
1st July sees the launch of
www.inventorycircle.com. The
website has been designed to
connect dentists and dental
suppliers across the globe who
wish to buy and sell:
• Time sensitive (soon to expire) supplies
• Returned equipment and supplies
• Used equipment
• Refurbished equipment
• End of line supplies
For more information call
Professional Fee Protection
on 0845 307 1177 or email
info@pfp.uk.com
www.pfponline.com
Ledermix:
The Number
One Choice For
Pain Relief
Ledermix not only provides
effective pain relief in the emergency management of irreversible pulpitis, but also forms
an excellent sublining for both
temporary and more permanent restorations.
No need to spend hours fruitlessy searching online – everything will be in one place.
And, unlike advertising, you
pay nothing to list equipment
and supplies on Inventory Circle – you pay a small commission once the items are sold. You
only pay on results!
Including the antibiotic Demeclocycline and the anti-inflammatory Triamcinolone, Ledermix lets you ease the discomfort of patients awaiting definitive root canal treatment.
Available as a cost-effective kit,
Ledermix includes the easily
mixed Dental Cement, which is
a great choice for any dressing
due to its effectiveness in reducing inflammation and attacking
bacteria.
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
outstanding dental education and
training in the UK for 25 years.
The team approach has always been at the centre of the
practice and education curriculum of the Charles Clifford Dental Hospital and School of Clinical Dentistry institute, the success of which is evident.
Upcoming Jubilee celebrations include:
• Workshops
– Implants the last and the next
25 years - Professor Ian Brook
– The Vision of Digital Dentistry
– Vanessa Brukman
– Co- Course - Full Day Advanced
Nurse Course
• Demonstrations
– NobelGuide
– NobelProcera
– Grafting/Distraction
• There is also the opportunity
to participate in the reunion
gala dinner.
Nobel Biocare is proud to
support this institution and continues its commitment to the UK
dental industry through providing excellent ongoing care to
professionals and an outstanding portfolio of state-of-the-art,
science-based solutions.
It is absolutely free to register
on www.inventorycircle.com.
So, what have you got to
lose?
For more information on the
25 Years of Smiles celebrations contact Mrs Julie Parkin
on 0114 2717849 or visit
www.sheffield-dental-implant.group.shef.ac.uk
Take No Risks
When It
Comes To Tax
Investigations
Cementation
with composites
– direct and
timesaving
However, if you are one of
those dentists without Tax Investigation Cost Protection, you
could be risking a huge slice of
your savings.
HM Revenue & Customs
does not just single out those
people whose self-assessment
tax returns contain obvious errors. They may also raise a
query if there is a big difference
between entries on subsequent
returns, and even select cases at
random.
Professional Fee Protection Ltd (PFP) provides dentists
with a solution. With a range of
Tax Investigation Cost Protection policies, for Aspect Enquiries into one or more areas of
the self-assessment tax return,
or Full Enquiries, PFP gives you
insurance of up to £75,000 to-
The Dental Paste has a
higher steroid strength, making
it ideal for application in cases
of pulp exposure. Preventing
pulp inflammation is vital and
Ledermix is highly effective in
controlling inflammation after
tooth preparation. Its pain relieving properties also reduce
the need for patients to rely on
analgesics.
Perfect for use in endodontic
therapy and between appointments, Ledermix is water soluble and is easily rinsed out in order for obturation to be carried
out.
For a copy of the Summary
of Product Characteristics
(SPC) please call John
Jesshop of Blackwell Supplies
on 07971 128077 or email
john.jesshop@blackwellsupplies.co.uk
25 Years Of
Excellence!
Nobel Biocare would like to
congratulate The Charles Clifford Dental Hospital and School of
Clinical Dentistry on providing
SpeedCEM sets new
standards in cementation
SpeedCEM from Ivoclar Vivadent is the new self-adhesive resin cement for the quick
and easy cementation of indirect restorations.
SpeedCEM is dual-curing
and achieves shear bond values
of 11.0 MPa to dentin and 17.80
MPa to enamel. This versatile
resin cement can be used for
metal, metal-ceramic, all-ceramic and reinforced composite restorations.
Quick application
The self-adhesive material
is applied directly from the dou-
ble-push syringe. In contrast to
products supplied in mixing
capsules, preparation with activation and mixing devices is not
required. In addition, separate
etching and bonding procedures are eliminated.
Products from one
manufacturer
The family of luting materials from Ivoclar Vivadent is now
complete. The proven Variolink
product range stands for maximum aesthetics, while the Multilink range is known for maximum bonding values and universal suitability. The new selfadhesive
SpeedCEM
is
particularly suitable for quick
conventional cementation.
SpeedCEM is available in
three shades from specialised
dental dealers.
than with other burs I have
used. I would highly recommend Hi-Di Diamond burs to all
my colleagues.’’
For more information please
call +44 01932 853 422 or visit
www.dentsply.co.uk
Combat Caries
With Enzycal
With 17% of the population
suffering from aphthous ulcers,
recommending the right products makes all the difference.
With Enzycal from CURAPROX®
you can provide patients with a
toothpaste that can be combined with products containing
the
potent
anti-microbial
Chlorhexidine.
For further information contact:
Ivoclar Vivadent Ltd
Ground Floor,
Compass Building
Feldspar Close
Enderby
LE19 4SD
TEL:0116 284 7880
“After trying
other burs,
I soon went
back to Hi-Di.’’
Dr Dipak Patel of Edgware
Dental Practice, Middlesex has
long relied on DENTSPLY’s
well-respected Hi-Di Diamond
burs. ‘’I have used Hi-Di® Diamond burs since I qualified in
1994. I have always found them
very efficient so have never
needed to change to an alternative. After trying other burs, I
soon went back to Hi-Di.’’
A name synonymous with
quality, DENTSPLY Hi-Di Diamond burs can be relied upon
for their longevity and cost-effectiveness. Unlike alternative
burs, DENTSPLY Hi-Di Diamond burs are precision engineered, with multi-layering of
natural diamonds, ideal for a
variety of treatment preparations and procedures.
Dr Patel commented, ‘’the
shapes of the burs are great.
The 556 and 557 crown cutters
are excellent for crown preparation, and the 554 is perfect
when you have a problem with
access, as it is thinner and more
comfortable to use. The taper of
the burs is excellent for this procedure, and I have found that
the margins are more refined
This is because Enzycal is
free from Sodium Lauryl Sulphate, known to nullify the effects of Chlorhexidine. Instead,
it contains Steareth-30, which
has the added benefit of not
causing irritation to the oral
mucosa. Patients who use this
type of toothpaste can experience a 45% reduction of aphthous ulcers.
Enzycal can balance or even
reverse the lack of minerals in
early stage caries. Through a
completely natural method of
remineralisation, Enzycal’s fluorides take mineral nutrients
out of the saliva and put them
back into the tooth enamel.
What’s more, Enzycal boosts
the anti-bacterial action of
saliva thanks to the enzymes
amyloglucosidase, glucoseoxidase and lactoperoxidase.
For more information please
call 01480 862084, email
clare@curaprox.co.uk or visit
www.curaprox.co.uk
Unique
Advice For
Your Practice!
The one-size fits all theory
does not apply to your patients,
so why should it relate to your
business plans? Lansdell & Rose
recognise the importance of
treating you as an individual
and offer their clients the latest
facts and correct, relevant financial advice.
Lansdell & Rose also offer
multiple services for dental
practice owners, specialising in
• Incorporation advice for those
wishing to move from Sole
Trader to a Limited Company
DT page 29
[29] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
DT page 28
Works Management Software,
which is now available on a
rental basis.
For more information call
PracticeWorks
on
0800
1699692 or visit www.practiceworks.co.uk
• Expert, practical solutions on
tax planning
• Accountancy
• Wealth management
The ethos of Lansdell & Rose
is to provide outstanding customer care and expert, bespoke
solutions for every dental practice. Having firmly established
themselves as a reliable partner
for dentists, Lansdell & Rose
venture beyond the ordinary
role of chartered accountants
and can provide you with a tailor made service that offers outstanding long term benefits for
your practice.
For more information on how
the team at Lansdell & Rose
can assist your practice,
please call 020 7376 9333
Training
Resources with
an edge from
PracticeWorks
A training innovation for dental practices comes in the form of
www.practiceworks.co.uk. Offering a cost-effective convenient resource for all of those in
the practice team, the website
does not require any additional
software installation or updates.
This simple to use, effective
training facility provides users
with multiple benefits: Recorded
online classes and training
videos, live online training, and
the online resource centre.
For
further
information
please contact: CarieScan Ltd
+44 (0) 138 2560 910, Gerry
Hunter, Head of UK Sales and
Marketing
Dentalghar
The Home Of
CarieScan signs
Dentistry!
UK distribution
agreement with
Clark Dental
CarieScan Limited (“CarieScan”), the wholly owned subsidiary of PLUS-quoted holding
company 3D (PLUS: 3D.P), and
leading producer of CarieScan
PROtm, the innovative handheld dental device that enables
the early detection and monitoring of tooth decay, is pleased
to announce that it has entered
into an exclusive distribution
agreement with Clark Dental,
the specialist in marketing and
distribution of dental equipment within the UK.
Under the terms of the
agreement announced today,
Clark Dental will have exclusive distribution rights within
the UK market for the CarieScan PROtm. For CarieScan, the
deal is potentially worth up to 4
million pounds in revenue over
the next 3 years.
This is a key milestone for
CarieScan within the UK, with
further distribution agreements
currently at discussion stage
overseas, where the products are
currently in the process of being
granted regulatory approval.
The CarieScan PROtm measures the presence of tooth decay
earlier and more accurately than
any other device on the market
and is more than 90% accurate
in detecting both sound and carious teeth, well ahead of current
methods. It detects “hidden” decay, providing dental practitioners with the opportunity to arrest
or even reverse decay, driving
the trend towards preventative
dental care.
With recorded online classes
and training videos produced
using the MasterWorks Learning Centre Software, viewers
can repeat scenes from the substance rich classes. Live online
training enables a real-time
sharing of information within a
virtual meeting room environment that can be easily scheduled. The Online Resource Centre is a collection of advertising
and training solutions, including
software update information.
The lightweight caries detection monitor not only offers bestin-class performance for decay
detection but also allows easy
monitoring of the effect of treatment regimes to show decay advancement or regression, thus
enabling dentists to tailor treatment to the needs of the patient
at a low cost. The CarieScan
PROtm consists of a handpiece
and a disposable sensor which is
held against the tooth being examined in a process which takes
approximately 4 seconds per
tooth with the result displayed
on the CarieScan PROtm .
PracticeWorks
website,
www.practiceworks.co.uk
represents excellent value for
money, as there will be no need
to take time off from the practice
to attend training seminars. All
the latest technology can be at
your fingertips, including the
new version of R4 Practice-
Commenting on this agreement, Graham Lay, Chief Executive Officer of 3D Diagnostic
Imaging, stated: “CarieScan
Limited is very pleased to work
with Clark Dental to exclusively
distribute its innovative decay
detection and monitoring device, the CarieScan PROtm.
Industry News 29
order with Biterite were entered into a draw to win a selection of fabulous prizes.
Congratulations to:
• Kate Gilchrist from The Dental Practice (Pollards &
Gilchrist) Portsmith who was
the first prize winner, grabbing a brand new Dell lap top
worth over (£500)
• The Second prize winner Vijay
Gohil from the dental practice
Street Farm Dental Studio will
enjoy his case of (Moet) champagne
• Lambros Stavrinoudis from
the dental practice Crouch
Hall and Highpoint Dental was
the third prize winner, claiming £150 of quality work from
the expert team at Biterite
Dentalghar is proud to announce the launch of Dentalghar, the latest innovation in
dentistry.
Created by visionary Professor Raman Bedi who joined
forces with Smile-on and Henry
Schein Minerva, Dentalghar
aims to unite dentists of Indian
origin from all over the world,
offering a destination and online community as never before
experienced in dentistry.
Thousands of dentists of all
heritages can contribute to
polls, surveys and articles and
have 24 hour access to new perspectives, fascinating insights
and the chance to discuss their
experiences and receive advice.
Dentalghar offers an invaluable opportunity for professionals who share the same common values to join a global network and explore the latest
news, case studies, interviews,
special offers and charitable
events.
Professionals looking to
study abroad will also find outstanding and relevant information and there is also an excellent opportunity to win bursaries and to contribute to volunteering in the UK and all
around the world.
Dedicated to pioneering advancements in education and
inspiring better care, Smile-on
are pleased to be part of this
global platform for all dental
professionals.
Combining the standards
and values of the traditional
dental laboratory with the contemporary work ethics of today’s dentist, Biterite offers:
• Guarantees on all their work
for 3 years
• All work turned round within
10 working days
• A consistent supply of crown
and bridgework solutions of
outstanding quality
• A bespoke service tailored to
your specific needs
• AND 30% off your first order!
A New Standard
In Service From
Dental Air
Compressors need regular
maintenance if they are to continue providing the practice
with clean, dry and infectionfree compressed air. Unfortunately, through a combination
of poor maintenance and overuse, the compressors in many
UK practices could well be a
threat to patient health.
Biterite Dental Laboratory
Biterite would like to congratulate all the winners from
their recent prize draw. The
first 100 delegates from WAC
who took advantage of the massive 30% discount for their first
Call Dental Air on FREEPHONE 0800 542 7575 and ask
for a FREE Practice Manager’s
Guide, or visit www.dentalair.co.uk
The British Dental
Bleaching Society
WAC 2009!
The meeting of the British
Dental Bleaching Society (BDBS)
at this years World Aesthetic congress (WAC) on the 12th – 13th of
June in London was a chance for
delegates to catch up on the latest
news and legal standpoints of
governing bodies from the UK
and main land Europe.
Call the dedicated team at
Biterite on 0208 455 5321 to get
your free information pack or
go to www.bite-rite.co.uk to
see the biterite difference for
yourself.
For more information on
Dentalghar visit www.dentalghar.com
WAC Winners
With Biterite!
Enter a new relationship
with Dental Air and ensure safe
and reliable compressed air
provision. Renowned for putting the customer first, the expert Dental Air team can carry
out on-site surveys of compressor equipment in any UK mainland practice, and will offer
non-obligation advice that
takes into account all new and
existing industry requirements.
Contact Dental Air today and
find out how your practice can
benefit from the latest oil-free
piston and scroll compressors.
A large number of practices
still employ old compressor
models that rely on mineral oil
in order to function. As compressors go without expert
maintenance,
or
practice
growth places increased demand on the equipment, the
mineral oil can combine with
the heat and the moisture to create the perfect breeding ground
for potentially lethal bacteria.
Carbon particulates and moisture produced by ill-maintained
compressors can also damage
expensive handpieces.
The BDBS has been extremely active in addressing the
UK government in regard to unqualified, non-dental professionals
performing
tooth
whitening within the UK and
the training and qualifications
needed to do so. The efforts of
the BDBS have caught the attention of the health minister and
lobbying for ratification continues with a UK vote being held in
September.
The meeting also celebrated
the work, research and success
of Professor Van Haywood. A
professor in the Department of
Oral Rehabilitation, School of
Dentistry, Medical College of
Georgia and Director of Continuing Education, Professor Van
Haywood has authored several
books and materials on the subject of tooth whitening throughout his long career. He was honoured with a lifetime achievement award and lifetime membership to the BDBS and hailed
as a “trendsetter, outstanding
professional and a gentleman”
by Dr Linda Greenwall, Chair of
the BDBS.
Professor Haywood said he
was “truly honoured” to be bestowed with such an award and
was touched that his life’s work
had been recognised and also
appreciated.
For more information about the
BDBS visit www.bdbs.co.uk
[30] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
30 Events
Adventure to China
Trek the Great Wall with Dentaid in 2009
O
ral health charity Dentaid
is planning to walk the
Great Wall of China for its
next fundraising trek from 19-28
September 2009. The 10-day trip,
which will be a joint promotion
with Denplan, will be diverse,
following steep country tracks,
passing through woodland and
small settlements and visiting
different parts of the Wall, boasting many watchtowers en route
and wall sections dating back to
the Ming Dynasty. At the end of
The Clearstep System
Comprehensive invisible orthodontics made easy
The Clearstep System is a fully comprehensive, invisible
orthodontic system, able to treat patients as young as 7.
It is based around 5 key elements, including
expansion,space closure/creation, alignment, final
detailing and extra treatment options such as functional
jaw correction.
GDP friendly, with our with our Diagnostic Faculty
providing full specialist diagnostic input and treatment
planning, no orthodontic experience is necessary. As
your complete orthodontic toolbox, Clearstep empowers
the General Practitioner to step into the world of
orthodontics and benefit not only their patients, but
their practice too.
Accreditation Seminar
This accreditation seminar is aimed at General
Practitioners, providing you with all the knowledge and
skills required to begin using The Clearstep System
right away.
Accreditation Seminar dates 2009
14th July
London
8th October
London
Personal Accreditation
Receive a visit from a Clearstep Account Manager,
providing a personal accreditation in your practice at a
time convenient to you.
Further Courses
Once accredited, further your orthodontic expertise with
our Hands On Course, where you will learn sectional
fixed skills and other methods to reduce your costs and
treatment times.
Clearstep Advanced Techniques
Hands On Course dates for 2009
1st - 3rd December
London
To find out what Clearstep can do for you contact
us today.
01342 337910
info@clearstep.co.uk
www.clearstep.co.uk
the trek the group will have time
to explore the sights and sounds
of Beijing.
A physical challenge
The trek will be physically demanding and will follow sections
of the wall offering amazing
scenery and will surround participants in history, mythology and
ancient traditions. Highlights of
the trip also include the Black
Dragon Paw Park, Tiananmen
Square and the Forbidden City.
This trek is all about beauty,
culture, people and above all a
real physical and mental challenge, which will earn every
penny of sponsorship raised. To
take part in trekking the Great
Wall of China we are asking participants to raise sponsorship of
£2500 (plus a deposit of £150 and
airport taxes).
Denplan, one of Dentaid’s key
corporate partners, is championing the trek by publicising it to
its members and any trekkers recruited by Denplan will go towards its commitment of raising
money for Dentaid over the next
five years.
Dentaid’s communications
and fundraising manager Jenni
Phillips said, ‘We have decided to
offer our supporters just one trek
for 2009 and we think it’s going to
be a popular one. I recently took
a group on the Inca Trail for Dentaid and I can highly recommend
these treks as the experience of a
lifetime. It’s hard work but well
worth the effort, it exceeded all
my expectations.’
Vital work
Overseas challenge events
play a big part in Dentaid’s
fundraising. They allow the
charity to continue its vital work
throughout the world. Dentaid’s
vision is a world in which everyone has the opportunity to enjoy
good oral health and has access
to safe, effective and affordable
health care and by taking part in
this trek supporters can help
Dentaid to achieve this.
If you would like more information on the Great Wall of
China trek, please contact
Felicity for an application pack
on 01794 324249 or email felicity@dentaid.org.
For further information about
Dentaid and the work we
are involved in, please visit
www.dentaid.org. DT
[31] =>
DTUK1909_01_Title
DENTAL TRIBUNE United Kingdom Edition · July 27–August 2, 2009
Classified 31
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s &INANCING
s 0RACTICE !GREEMENTS
Ñ('Zfcflij(jk:_f`Z\iXe^\
,OOKING TO BUY OR SELL 'IVE US A CLICK
#ONTACT -IKE (UGHES
Tel: 0161 652 3304
&AX
Ñ)'Zfcflij:_\ifb\\iXe^\
MIKE DENTALCONSULTANCYCOUK
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Ñ:ffcXe[Zfd]fikXYc\
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ÑJ`q\jOJkfOOOC
ÑJl`kjfij\gXiXk\j
SPECIALIST DENTAL ACCOUNTANTS
- Assistance with Buying & Setting Up Practices
- New PDS/GDS Contract Advice
- Tax Saving Advice for Associates and Principals
- National Coverage
Ñ8mX`cXYc\`e)+_flij
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- Incorporation Advice
- Particular Help for New Associates
- Help for Dentists from Overseas
- We act for more than 550 Dentists
Ñ=lccpcXle[\iXYc\Xe[
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Please contact:
Nick Ledingham BSc, FCA
Tel: 01244 328301
Email: mail@moco.co.uk
Website: www.moco.co.uk/dentists
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[32] =>
DTUK1909_01_Title
C
SODY
L
OR
O
PE
RTISE
YEARS
F
GU
MCARE
EX
Dual care for
gums and teeth
Corsodyl Daily Gum & Tooth Paste is different from regular dentifrices
The only formulation to contain sodium bicarbonate,
1400 ppm fluoride and six natural plant extracts
Over 67% of the ingredients are for the care of gingiva and
teeth – compared to 25% in many other regular dentifrices
Backed with 30 years of dedicated
gum health expertise
Free from sodium lauryl sulfate – suitable for patients using
0.2% chlorhexidine digluconate mouthwash
Corsodyl Daily Gum & Tooth Paste is a clinically proven dentifrice,
which can kill bacteria that can cause gum disease1.
With regular brushing, it helps maintain firm and tight gums and a low gingival index2.
Recommend Corsodyl Daily Gum & Tooth Paste – because teeth need gum care too
References: 1. Arweiler N, Auschill T, Reich E , Netuschil L. Substantivity of toothpaste slurries and their effect on re-establishment of the dental biofilm.
J Clin Perio 2002, 29, 615-621. 2. Yankell SL, Emling RC. Two month evaluation of Parodontax dentifrice. J Clin Dent 1988 Suppl A, A41-3.
CORSODYL is a registered trade mark of the GlaxoSmithKline group of companies.
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/ News & Opinions
/ Advertorial
/ News & Opinions
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/ Dancing with your patient
/ The case for… and against anger
/ When is the right time to take a risk?
/ Bonus points for style
/ The law of attraction
/ Tax-planning checklist
/ Calculating financial realities
/ Four tenets for tough times
/ Cyberspace and endodontics
/ Lower third molar rotations: influence on surgery and a radiographic audit to assess incidence
/ A global community
/ Sharpen your skills
/ Brush up your skills
/ Industry News
/ Adventure to China
/ Classifieds
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