DT UK 2710

Action on mouth cancer / News / ‘A profession - not a job’ / Innovation - integration and education at Showcase 2010 / GDPUK Roundup / ‘If in doubt - get checked out’ / Disinfection and decontamination / Enough is enough / Journey into Space / Broadening horizons / Managing expectations / Lights - camera - action! / Options unlimited / A good investment? / Invest...don’t gamble / Kilimanjaro – the challenge awaits / BDTA Show Review / Private Practice / Events / Classified

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Table of contents

November 8-14, 2010

PUBLISHED IN LONDON
News in Brief
No change, no work
People who refuse to look
after their teeth by failing to
brush properly or limit sugary drinks should be refused
expensive dental treatment
on the NHS, a government
adviser has suggested. Prof
Jimmy Steele, Head of School
and Professor of Oral Health
Services Research at Newcastle University, said providing
expensive treatments when
patients will not improve
their own dental hygiene are
a ‘waste of personal and public money’. Crowns and root
canal work should not be offered to patients who persist
with bad habits after they
have been warned their dental health is suffering. However, proposals to extend this to
all ‘self-inflicted’ diseases and
injuries have not gained universal support and Prof Steele
is working on a review of the
dentistry contract.
Flouride
could
cause
emergency dentistry
A new study has suggested
that infants who are given
fluoridated water could be at
greater risk of needing emergency dentistry in the future.
The research, carried out by
Stephen Levy and published
in the Journal of the American
Dental Association, showed
that babies who were fed formula milk had a much greater chance of suffering from
dental problems compared to
infants who were fed only on
cow’s milk or breast milk.
Disposable dental drill hits
the US
According to reports, USbased manufacturing company Azenic, has started selling
its disposable, high-speed,
plastic dental drill after landing $961,000 in new investments. According to their
reports,
the
disposable
dental drill will “give a dentist
the option of a single-patientuse disposable high-speed
handpiece with optimum
performance.”
CQC Forum
GDPUK has launched a further new forum for dentists
to discuss issues related to
the CQC registration and ongoing process, on the website http://www.gdpuk.com.
The forum has been made
possible by the sponsorship
of Apolline Ltd, a company
specialising in aiding dental
practices with CQC registration and on-going compliance. The lead moderator of
the new forum is Keith Hayes,
well known on GDPUK, who
is Clinical Director of Apolline Ltd. Their website is at
http://www.apolline.uk.com/
www.dental-tribune.co.uk

News

Event Review

Help the homeless this
Christmas
Crisis sets up charity centres

page 3

VOL. 4 NO. 27
Practice Management

Working in Harmony

Dental Tribune reviews the success of Showcase 2010

page 8

Events

Kilimanjaro 2011

Enough is enough

Simon Hocken discusses how to
monitor your practice numbers

Bridge2Aid will
‘Climb Kili’

once

page 14

again

page 25

Action on mouth cancer

Lordly launch of annual oral cancer campaign encourages
practitioners and patients ‘if in doubt, get checked out’

ollowing the success of last
year’s campaign, Mouth
Cancer Action Month officially began 1st November at
the Houses of Parliament. Organised by the British Dental
Health Foundation (BDHF) in
association with partners such
as Denplan and Smile-on, the
event was a great success, with
many areas of the profession
and trade present to help generate awareness of the disease.

Dr Nigel Carter, Chief Executive of the BDHF, opened
the event. He stressed the importance of early detection and
warning signs. Dr Carter spoke
largely of the success of last
year’s campaign and his hopes
for this year’s Action Month.
Following him, BDHF president Daniel Davis welcomed
the assembled guests and gave
context as to why the campaign
is so important, with one person every five hours dying in the
UK from the condition. Subject
matter experts were led by Prof
Crispian Scully and the initiative was spearheaded by Prof
Stephen Lambert-Humble. Other
speakers at the event included
Denplan’s Henry Clover and
Smile-on’s Noam Tamir. Noam
officially launched a new educational resource, Oral Cancer:
Prevention, Examination, Referral, which has been developed
by Smile-on in conjunction with
KSS Deanery,BDHF and Dental
Protection as well as Deputy CDO
Sue Gregory.
Noam said: ‘‘If we save the life
of only two people per year in the
UK we would feel that all this effort was worth our while. I do believe that we can save the lives of
thoasands of people’’.

Finally, Dr David Conway
took centre stage to conclude the
formal part of the event with the
results of some significant research carried out by Glasgow
University. The research findings
were very sobering and struck a
chord with everyone in the room.
Covering the study of class, gender, diet and education, Dr Conway covered a range of mouth
cancer risk factors and his ending
quote from George Orwell’s The
Road to Wigan Pier on inequality
encapsulated his research.
The reason behind the campaign is a simple one: early detection saves lives. It is hoped
that throughout the month dental
practices across the country will
provide free screenings for patients and teach their staff to recognise the warning signs. Dentists play a vital role in detecting
mouth cancer in patients, and
although the thought of referring
a patient who has a consistent ulcer or red patches to hospital may
spark fear, it’s better to be safe
than sorry.
“Mouth cancer is easier to
treat if caught early on, and
survival rates also improve
massively with early detection.
Health professionals can play a
key part in this, by educating their
patients and performing regular oral examinations.” Dr Nigel
Carter said.
The call to action reflects the
importance of early detection. 9
in 10 people survive mouth cancers caught early on, however, the
five year survival rate remains as
low as 50 per cent.
The campaign will focus
on raising awareness of mouth
cancer among the public, and

will point out the significance
of self-examination. Educating
people on the early warning signs of the disease, the
common risk factors, self-examination, and the importance
regular screenings, will save lives.
You and your practice can
take part in Mouth Cancer
Action Month: with the Blue
Ribbon Badge Appeal, posters,
fundraising, and press releases
throughout the month, raising
awareness couldn’t be easier. See

the full story on pages 10 – 11
for more information. DT

Dr Nigel Carter of the BDHF

[2] =>

2 News

United Kingdom Edition November 8-14, 2010

Editorial comment
The issue of mouth
cancer is dominating the dental press,
with November being
Mouth Cancer Action
Month and the highprofile launch taking
place at the Houses
of Parliament, bringing together
all facets of the profession, trade,
academia, politics and press

in the common cause of raising awareness of the condition.
It’s not just the fact that it is a
form of cancer – mouth cancer
seems to rip at the very heart of
being human. Victims look so
different not only because of the
treatment required but areas
of the face often need to be cut
away; necessary functions such

as swallowing and eating become
a nightmare as salivary glands
are destroyed through radiotherapy; and the fear that comes with
the high mortality rate of oral
cancer due to it often being discovered too late take a terrible toll
on sufferers and their families.
If every dental practice engaged
in screening their patients and
saved the life of just one per prac-

tice through early detection or
reduced a person’s chances of
developing the disease through
patient awareness, wouldn’t it
be worth the time?
Send me your stories of getting involved
in the campaign –
lisa@dentaltribuneuk.
com.

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

Tunnel
Dentition

T

he news of the trapped
Chilean miners’ gripped
the hearts of nations
across the world as thousands
followed their ordeal; however, since their rescue, their
problems aren’t quite over.
Many of the rescued Chilean
minersarenowsufferingfromgum

‘ All 33 miners had
been unable
to brush their teeth’
disease due to a lack of toothbrushes. All 33 miners had been unable
to brush their teeth until rescuers
were able to get much needed
supplies down into the mine.
During the first 17 days underground none of the 33 trapped
miners were able to brush their
teeth and the absence of toothbrushes resulted in gum disease
for a number of the men.
“The world has been transfixed by the plight of the 33 Chilean
miners trapped nearly half a mile
underground since August 5th
and it was heartening to witness
their rescue,” a spokesperson for
oral healthcare products Eludril
and Elgydium told reporters.
“It is anticipated that all 33
will make a full recovery but
living in a tunnel for nearly 10
weeks has obviously taken its
toll on their physical and mental
health. One of the many health
problems they now face is that of
gum disease.”
Since the men were rescued,
one of the first priorities has
been full dental check-ups, including the removal of plaque
to help restore the health of
their gums.
Theissueofgumdiseasethatthe
miners now face will undoubtedly remind the public how quickly
gum disease can develop when
you don’t brush your teeth. Hopefully their story will demonstrate
the importance of proper dental
healthcare and the benefits of
regularly brushing your teeth. DT

[3] =>

News 3

United Kingdom Edition November 8-14, 2010

Help the homeless this Christmas
S
pecialist volunteers are
urgently needed to donate their services to help
homeless people in London over
the festive season as part of Crisis At Christmas, running from
Thursday 23 December – Thursday 30 December 2010.

As part of Crisis At Christmas, up to nine temporary
centres will be set up in London by Crisis, the national
charity for single homeless
people. The centres will provide vital companionship and
hot meals for homeless and
vulnerably housed people, as
well as essential services like

health checks, housing advice,
training and further education
opportunities.

To build on the success
of 2009, when more than
260 patients received dental treatment, Crisis is looking for qualified dentists,
dental nurses and hygienists
to help run the Dental Service at Crisis At Christmas this
year. Shifts run from 9am
to 5.30pm from Friday 24th
December through to Wednesday 29 December with a minimum of two shifts.
Mary first volunteered with

her husband Alan in 2008 and
the experience had a profound
effect on them both. She said;
“volunteering for the dental
service has been a great privilege, being probably the most
professionally and emotionally rewarding experience of
my entire year. Suddenly being
released from the normal box of
the dental surgery, the opportunity of being able to help people,
knowing that we are offering a
vital service to people who can
find access to dentistry difficult,
is immensely rewarding, emotionally if not financially. Losing
the normal time constraints of
the practice of dentistry allows

the opportunity to chat to the
guests and other volunteers, a
truly rich experience.”
Leslie Morphy, Chief Executive of Crisis, said; “Crisis
At Christmas would be impossible without the time and
dedication shown year in,
year out by our thousands of
volunteers. They provide invaluable companionship and

services to some of society’s
most vulnerable people, but also
gain much from the experience
in return.”
To find out more about volunteering at Crisis At Christmas
email:
ccvolunteering@crisis.
org.uk or apply online: www.
crisis.org.uk/volunteering.
If
you do not have internet access
call: 0844 892 8980. DT

Celebrity smiles not always perfect
C
elebrity styles have a
massive impact on what
is perceived as beautiful
and fashionable. In the past, cosmetic dental surgery was desired
to improve the aesthetic look
of patient’s teeth, making them
whiter and straighter, however,
recently these ideals have somewhat changed.

With regards to the ideal
look, in the past having a large
gap between your front teeth
was seen as an unattractive
trait; however models, such as
Jess Hart, Lara Stone and Georgia Jagger, who have a natural
gap in their teeth, have turned
their natural gap into the “must
have” look.
Because of this sudden
craze, cosmetic dental procedures have increased and models are having brackets inserted
between their front teeth to wid-

en the gap. Dentists in America
have even reported that veneers
with slight staining, grooves and
overlaps are also growing in
popularity.

However, the gappy smile
seems to have divided public
opinion; for many people a noticeable gap between their teeth
may not be seen as such a blessing and many result in opting
for treatment to correct their
gap.
The sort after look is now the
“character face”, and having a
gap between your teeth is said
to be the must-have orthodontic
trait du jour.
Celebrities such as Kanye
West have also made fashion
statements with regards to their
teeth. Recently, reports detailed
that Kanye asked his dentist to
pull his bottom row of teeth out

and replace them with diamond
ones.

According to reports, Kanye West said that he ‘thought
it would be cooler’ to have his
teeth pulled out and replaced
with diamond implants.
However, it is feared that
Kanye’s latest accessory will
send out the message that it is
ok to replace your natural teeth
with implants. In fact, dentists are continually trying to
encourage people to maintain
good oral health and keep hold
of their natural teeth.
Over the years, preserving
the patients’ natural teeth has
become a message that is widely stressed by many dentists and
cosmetic dentists alike, with the
notion of pulling a tooth completely out being the absolute
final option. DT

Georgia Jagger and Kanye West are not going for the perfect smile

Smiles all round at the BOC
O
rthodontist Dr Richard
Jones celebrated a double win at the British Orthodontic Conference in Brighton last month, winning both the
Special Service Award and the
prestigious President’s Cup.

Dr Jones, who is Chairman of
Total Orthodontics, was delighted to learn that he had picked
up not one but two awards at the
four-day conference which was
held at The Brighton Centre.
The Special Service Award
was awarded to Dr Jones by the
British Orthodontic Society in
recognition of the work he has
done for the society over the
past ten years. Most recently he
took on the role of Chairman for
the Orthodontic Practice Committee, which represents the
political interests of the society,
liaising with the Department of

Health and Primary Care Trusts
on orthodontic issues. Dr Jones
also played a pivotal role in representing the BOS in negotiations regarding the national NHS
contract in orthodontics.

It is for these reasons that
Dr Jones also picked up the
President’s Cup, which is
presented annually to an individual selected by the president of
the BOS for outstanding service.

tic nursing. To reach the final
Zoë, who is also the group nursing manager at Total Orthodontics, was asked to submit an
outline for a proposed presentation on a topic of her choice.
Five finalists were then selected
to present at the British Orthodontic Conference.
Zoë’s chosen topic was ‘An
Introduction to HTM 01-05 De-

Mrs Zoë Tickner, practice
manager at Total Orthodontics
Horsham, also had reason to
celebrate after taking first
place in a National Orthodontic
Nursing Competition at the
same conference.
The Orthodontic Nursing
Award, which is sponsored
by 3M Unitek, aims to recognise best practice in orthodon-

contamination Guidance in Orthodontic Practice’, where she
outlined the required standards
in decontamination for orthodontic practices and how to
achieve best practice.
Zoë’s prize, which included a
cheque for £300, was presented
to her by Des Creighton, the UK
Sales and Marketing Manager
for 3M Unitek. DT

Published by Dental Tribune UK Ltd
© 2010, Dental Tribune UK Ltd.
All rights reserved.

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

Editorial Assistant
Laura Hatton
Laura..hatton@dentaltribuneuk.com

Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.
com
Sales Executive
Sam Volk
Tel: 020 7400 8964
Sam@dentaltribuneuk.com
Design & Production
Ellen Sawle
Ellen@dentaltribuneuk.com

Dental Tribune UK Ltd
Dr Richard Jones recieves the President’s Cup

4th Floor, Treasure House, 19–21 Hatton
Garden, London, EC1N 8BA

[4] =>

4 News

United Kingdom Edition November 8-14, 2010

Dentists can avoid complaints escalating through clear communications

he Parliamentary and
Health Service Ombudsman’s review of complaint handling by the NHS
published this week serves as a
reminder for dental practices to
pay close attention to their com-

plaints procedures, says Dental Protection. It also highlights
the importance of good, clear
communications as a means of
avoiding complaints escalating,
and that local resolution is the
best approach.

Hugh Harvie, Head of Dental Services, said; “Patient complaints are a common issue
with which we frequently assist
members – last year we received
more than 4,000 enquiries about
complaints handling in general

practice.
“Our experience of complaints escalating due to poor
communication mirrors the
findings in the Ombudsman’s
report. We regularly see let-

D E N T S P LY A C A D E M Y W E B I N A R P R O G R A M M E

ters of response from clinicians
which are defensive in tone, or
simply fail to acknowledge the
patient’s concerns. Issues such
as poor explanations, incomplete responses, and factual errors are factors that can prompt
a patient to take the matter
higher, particularly if they feel
their complaint is not being taken seriously.
“We also know that an apology is often what the patient is
seeking, along with assurance
that what they have experienced
will not happen to anyone else.
This is evident from the Ombudsman’s report, where the
leading recommendation was
for the patient to receive an
apology, followed by action to
put things right.”
To coincide with the Ombudsman’s report, Dental Protection has revised its range of
advice booklets on handling
complaints. Members of the
dental team can download an
advice booklet specific to the
region of the UK in which they
practice (England, Wales, Scotland, and Northern Ireland).
They are free of charge to members and non-members alike
and available here www.tinyurl.
com/33eu2do

Morris and
Co expand
WEBINAR
PROGRAMMES
Endodontics
Dr Carol Tait

Book the best seat.
Your own.

Key concepts to aid
competent cleaning
and shaping of the root
canal system

19:30, 5th October 2010
Obturation of the
cleaned and shaped
root canal system

19:30, 2nd November 2010

Periodontics
The DENTSPLY Academy Webinars are the convenient and easy way for you
to stay ahead and learn about the latest developments in dentistry.
You can even interact ‘live’ with the speakers during the lectures.

Sarah Murray and
Baldeesh Chana
Root Surface Debridement

19:30, 27th September 2010
19:30, 8th November 2010

Plus you get to do it all from the comfort of your own home or practice,
you simply need a computer with internet access.

SDR

There are only 100 places available on each of our online seminars.
So hurry and book your place on these popular events.

19:30, 26 October 2010
19:30, 10 November 2010

Visit www.dentalwebinars.co.uk
to find out more and to book your place.

Dr Trevor Bigg
Smart Dentine Replacement

pecialist Dental Accountants Morris and Co are on
the move. Their Chester
home of 25 years has been exchanged for purpose-built offices next to the Cheshire Oaks
Designer Outlet Shopping Centre near Ellesmere Port. The
move has many advantages for
Morris and Co and their clients,
with the extra space to cater for
the firm’s ongoing expansion.
The Morris and Co dental
team consists of 21 people led by
Senior Partner Nick Ledingham
supported by three colleagues,
Bob Cummings, Sara Parrott and
Chris Shaw. Between them, they
work for many hundreds of dentists throughout the UK.
Nick
Ledingham,
who
is also Chairman of the National Association of Specialist Dental Accountants, said:
“Although we do most of our
work electronically, we still
have to keep meticulous paper
records on behalf of our clients.
The need for storage space to
house our paperwork and reference library combined with the
need for space for team members
makes the move imperative.” DT

[5] =>

The AOG and Smile-on in association with The Dental Directory bring you

THE

Clinical Innovations
CONFERENCE 2011

Friday 6th and Saturday 7th May 2011
The Royal College of Physicians, Regent’s Park, London
For early bird offers go to
www.clinicalinnovations.co.uk
or call 020 7400 8967

[6] =>

6 News

United Kingdom Edition November 8-14, 2010

Consultation expected to lead to piloting of new dental contracts in 2011

entists’ leaders in Northern Ireland have welcomed the launch of the
long-awaited consultation on
piloting new dental contract arrangements.

to lead to the piloting of general
dental services, orthodontic and
oral surgery pilots next year
with new contracts being developed for 2013 pending successful evaluation.

The Health and Social Care
Board’s consultation runs until
31 January, 2011. It is expected

While pleased that progress
is being made, the British Dental
Association in Northern Ireland

believes that much hard work
lies ahead before and during the
pilot phase.
Peter Crooks, Chair of the
BDA Northern Ireland Dental
Practice Committee, said:
“The BDA has long argued
that we need new arrangements

for dental care in Northern
Ireland.
“Practices need a sustainable future as businesses
with a working environment
for dentists and their teams
which deliver the modern,
preventive care our patients
seek.

“The HSCB’s consultation
signals, I hope, progress towards that goal. Continued engagement with BDA Northern
Ireland is the key to success.
The Government needs to listen
to the views of the profession and work with the BDA to
ensure the future success of
pilots.” DT

Countdown to new vocational
qualifications for the health sector
S
kills for Health is urging
healthcare employers to begin preparing for the introduction of new health and healthrelated vocational qualifications
for the sector from January 2011.

More than 25 new vocational qualifications – including ‘replacement’ NVQs – will
be launched in the New Year
on the Qualifications and Credit Framework (QCF), the new

framework for all vocational qualifications in England,
Wales and Northern Ireland.
With two months to go until
the new health vocational qualifi-

the prep course

cations go live, employers are being urged to update their training
and development plans, and to
explore how the new framework
can help them develop a more
productive and flexible workforce
delivering better patient care.

Skills for Health Director for
Qualifications Strategy, Anne
Eaton, said: “The QCF and these
new vocational qualifications
present a genuine opportunity
for employers to be smarter and
leaner in their training and development activities.
“Using the flexible unit-based
approach of the QCF, employers
will be able to get greater impact
from limited training budgets,
while also designing their workforce training and development
activities more closely around
patient need.
“It will also benefit staff, who
will be able to learn at a pace that
suits them and to transfer credit
between qualifications to avoid
having to repeat their learning.”

contact: 0845 6046448

website: www.advanceddentaleducation.com

the restorative course

Skills for Health has worked
with a range of partner organisations during the last year to ‘transition’ existing vocational qualifications to the new framework.
The new health and health-related qualifications to be published
to the QCF include Awards, Certificates and Diplomas at both

Level 2 (equivalent to GCSE at
grades A-C or BTEC First Certificate) and Level 3 (equivalent
to A Level or BTEC National
Certificate/Diploma). Subjects
range from Health Informatics
to Emergency Care Assistance,
Maternity and Paediatric Support
and Optical Retail Skills.
The
new
qualifications
are approved by the Qualifications Regulator for use in
England, Wales and Northern
Ireland and are recognised by
regulators and workforce development
organisations
as
the benchmark for the sector.
Within Scotland where the
QCF does not apply, qualifications will continue to be regulated by the Scottish Qualifications
Authority.
Skills for Health will continue to work with employers and
Awarding Organisations to develop new qualifications for the
framework in the future.
* Skills for Health is holding
workshops in England, Wales
and Northern Ireland during
November and December to
help healthcare employers explore the QCF and new vocational qualifications, and the
benefits they offer. For further
details, see www.skillsforhealth.
org.uk/events DT

GDC’s new CEO and
Registrar takes office

he UK’s dental regulator
the General Dental Council (GDC) has today welcomed its new Chief Executive
and Registrar Evlynne Gilvarry.
Evlynne is joining the GDC
from the General Osteopathic
Council (GOsC), the statutory
regulator of osteopathy in the
UK, where she’d worked as Chief
Executive and Registrar since

November 2007. Previously she
worked in various senior policy
and management roles at the
Law Society, the regulator and
professional body for solicitors
in England and Wales. She is a
qualified lawyer and mediator.
For media enquiries, please
contact Moira Alderson on 020
7009 2756 or email malderson@
gdc-uk.org DT

[7] =>

United Kingdom Edition November 8-14, 2010
Tribune_feb10:Precision

Interview 7
12/2/10

15:31

Page 1

‘A profession, not a job’
Dental Tribune Speaks to Chief Dental
Officer for Wales, Dr Paul Langmaid

A

Access
Dr Langmaid added: “In terms
of access, dentistry in Wales is
nothing like the problem that it
was in England – it never was
that bad. When John Redwood
was our secretary of state in
1997, he invested £3.5m in dentistry in Wales–and the schemes
we put up were the precursor
of the PDS Schemes in England
-that was a success story for
Wales. I was the Deputy Chief
Dental Officer then and it was
the Chief Dental Officer David
Heap… who was the father,
mother and midwife of it all.”

t the recent launch of
Smile-on’s new office in
Cardiff, Wales, I took the
opportunity to speak with Dr
Paul Langmaid (pictured), Chief
Dental Officer for Wales. Dr
Langmaid was appointed CDO
for Wales in November 1997. He
graduated from Cardiff Dental
School in 1975 and undertook
house officer posts in oral and
maxillofacial surgery at Cardiff
Royal Infirmary and University of Wales Hospitals, and in
paediatric dentistry at Cardiff
Dental Hospital, before going
into general practice in Cornwall in 1976.
He has worked in the three
main components of NHS dentistry (general dental services,
community dental services and
hospital dental services) and
also in Israel and Romania.
From 1986 to 1992 Dr Langmaid worked for the Overseas
Development
Administration
as a Technical Co-operation
Officer in the British West Indies. In July 2010 Dr Langmaid
was awarded a CBE in the
Queen’s Birthday Honours List
for
services
to
dentistry.
I asked Dr Langmaid about
the latest dental health initiatives which have been seeing
success and how dentistry has
been progressing through the
political agenda in Wales. He
replied: “Dentistry in Wales is
still regulated by legislation for
England and Wales unlike Scotland and Northern Ireland, so
we are closer to developments
which are going on in England.
Of course they are accelerating
at the moment with all sorts of
workstreams in the Department
of Health, guided by Dr Barry
Cockcroft (CDO England). Other
members of my team have been
closer to the details of the development there and we’ve also got a
political difference now between
the government in Westminster
and the government in Wales
and that’s hard to predict how
that will affect what we do.
In fact it’s almost impossible to
predict because it will be down
to Ministers to decide on what
they wish to follow from what hais
beeing developed in England.
Exciting
“Some of the most exciting work
we’ve done over the last few years
in Wales is a programme for
teaching children both in nursery school and primary school
up to the age of seven or eight,
on how to brush their teeth, using toothbrushes and fluoride
toothpaste. Wales is unlikely to
have water fluoridation any day

soon because it doesn’t have the
regulations that England passed
in order to permit a public consultation, but our Minister is
very supportive of helping children in school settings to look
after their teeth and value them.
After a trial of ‘Design to Smile’
in Wales (cf ‘Brushing for Life’
in England, Scotland Smiles in
Scotland), in some of the worst
areas of tooth decay in Wales or
in places where children don’t

‘What I champion
and what I want to
see is that dentists
put patients first’
have access to a toothbrush or
share one. As a result of these
trials, which were evaluated
by the Department of Dental
Public Health,Cardiff University Dental School, we secured
more than £3m to use across
Wales in 2009/10 and that’s going to be £3.4m in 2011/12 so
everybody will have the opportunity to use fluoride toothpaste
and toothbrushes – in junior
schools there will be brushing
buses there for children to keep
their toothbrushes in school and
they will get a toothbrushe to
take home. I went to the launch
in Gwent (Newport) on an estate
and I had to give a talk to about
100 children between the ages
five and eight.
“It was a fantastic experience. It was very impressive and
the Community Dental Service
(CDS) that delivers this on the
ground, right across Wales are
our partners, our agents and our
friends – we still have a Community Dental Service in Wales
and it’s still called that. I think
that the CDS is a most important
thing and in my view the best
thing for dentistry our Minister
[Edwina Hart], has supported in
the last couple of years.”

“I’ve been fortunate because
I’ve been able to see it grow; see
the benefit was that we could use
the funds that could be transferred by new arrangements into
the CDS so they could employ
people to do general dentistry.
That still runs but it’s now what
you would call a PDS because
that’s basically what it is.”
Putting patients first
Looking to the future, Dr Langmaid discussed what he would
like to see in dentistry in Wales:
“What I champion and what I
want to see is that dentists put
patients first, that they utilise
the funding that is made available for CPD, post graduate
courses that meet GDC requirements; that we continue to make
these available for all members
of the dental team, and that as
professionals they see it is important to continually improve
your knowledge through attendance at courses, through utilising opportunities with providers of healthcare education – I
mean that’s a no brainer - and
other verifiable and non-verifiable post graduate information.
Younger dentists have grown up
with access to the internet, online resources and the Minister
is still happy to fund post-graduate education which is done in
groups – not as a loner – because
I think the ability to chat to your
colleagues in a safe environment
and learn from their mistakes is
valuable .
“I still champion a profession that I was very pleased to
join in 1975 and I am a strong
believer that it is a profession
and not a job and the standards
that have allowed the public to
trust you have to be maintained
at all costs; education is a part of
that recognition and you have to
do the right things even if nobody is looking. You should be
self-starting and undertake selfexamination, the more modern terms is reflection and you
should be ‘doing’ that.” DT

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[8] =>

8 Event Review

United Kingdom Edition November 8-14, 2010

Innovation, integration and
education at Showcase 2010
T

his year’s BDTA Dental
Showcase proved to be a
successful and thoroughly
enjoyable event. The exhibition
attracted over 13,000 members of
the dental team to London’s Ex-

CeL centre and there were more
than 340 stands and there were
many opportunities for visitorsto
obtain valuable CPD hours.

The theme for this year’s event

was ‘Working in Harmony’ and
was symbolised by the impressive sounds of barbershop quartet
‘Rockaholix’ who welcomed visitors into the exhibition hall. The
Showcase pavilion was a further

demonstration of the Showcase
2010 theme, as dental associations
representing all members of the
dental team appeared together.

This year Showcase brought

Effective enamel defence.
Superior plaque control.*
Combined.

together a variety of new initiatives; the Live Theatre provided
demonstrations of the the latest
dental technologies and innovations and the Knowledge Hunt
saw that almost 500 visitors
searching for answers to questions as they walked around the
hall, gaining one hour of verifiable CPD in the process.
The BDTA also welcomed a
group of MPs from the All Party
Parliamentary Group for Dentistry on Thursday morning. Furthermore, feature lectures and seminars covering the core subjects
recommended by the GDC were
also offered at this year’s Showcase and were extremely popular.
For the first time, Dental Lab
Day at Showcase took place and
attracted well over 150 technicians/lab owners and trade representatives who had the opportunity to listen to specialist
lectures and representatives from
the industry. The initiative was a
joint collaboration between the
DLA, DTA and BDTA.

W
NE

The BSDHT also held their
AGAM and CPD event on the Saturday of Showcase and were delighted with the number of hygienists and therapists in attendance.
Stand award winners announced
The winners for this years Showcase 2010 stand awards took place
in collaboration with the UK’s
leading exhibition and events
magazine Exhibiting. The Editor
of Exhibiting magazine judged
stands on criteria, which included presentation, professionalism,
stand layout and appearance, and
judged the staffing and range of
products/information on display.

Choosing a mouthrinse has often meant

to formulations with twice the fluoride.1,2 Add

choosing between effective enamel

this to its ability to kill bacteria associated with

protection and effective plaque reduction.

dental caries3,4 and reduce plaque by up to

Until now. New Listerine Total Care Enamel

52% more than mechanical methods alone5

Guard contains 225 ppm fluoride with high

and you can see why you should consider

uptake and comparable re-hardening in vitro

adding it to certain patients’ oral care routines.

There were three winners in
total and each will receive a full
page advert in one of the leading
dental magazines. The winners
and highly commended stands in
each category were as follows:
Large stand category
The winner of the ‘larger
stand category’ was Denplan;
those that were highly commended were; Colgate, Molar, Kuraray, Practice Plan.
The winner of the ‘medium
stand’ category was Liquid Smile;
the highly commended stand was
Nichrominox.

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All-round protection for enamel

The winner of the ‘small
stand’ category was First for Medical Training and those that were
highly recommended were Wisdom Toothbrushes and Munroe
Sutton. DT

05849
*Superior to other daily-use mouthwashes
1. Study 103-0193. Data on file 1, McNEIL-PPC, Inc. 2. Study 103-0196. Data on file 2, McNEIL-PPC, Inc. 3. Tanzer JM et al. J Dent Ed 2004; 65(10): 1028-37.
4. Data on file A, McNEIL-PPC, Inc. 5. Sharma NC et al. J Am Dent Assoc 2004; 135: 496-504.

03024_ocdlis_Dent_Tribune_WP_A4_fa1b.indd 1

6/24/10 3:22 PM

[9] =>

Event Review 9

United Kingdom Edition November 8-14, 2010

GDPUK Roundup
ed to reach “essential requirements” but required to reach
“best practice”.

est wave of regulations, paperwork and interference were too
much, and retirement beckoned
- even though the dentist insisted he enjoys his daily work, and
finds helping patients daily to be
rewarding. I found it uncomfortable to read that so many agreed
with his sentiments.

In the same vein, a dentist
wrote (in a dental discussion in
another dental publication) that
after 35 years in practice the lat-

Creating new documents for
consent to various procedures
have been discussed, and will be
shared in the files section of GD-

Tony Jacobs discusses this month’s hot topics

DPUK is busier than ever
in the autumn, with over
9,000 different colleagues
visiting the site during the month.
Colleagues reading the forum
are also looking forward to the
upcoming GDPUK Conference
in Manchester see www.gdpuk.
com/Conference2010 . Concerns
about the CQC and HTM0105
continue to dominate discussions;
these are clearly the topics at the
top of the agenda for all dentists.
The
enhanced
Criminal
Record Bureau check for dentists
demanded by the CQC has raised
ire amongst forum members,
for many reasons. CQC speakers have always stressed that the
role of the registration was to
protect the public with regard to
the premises – are they safe for
the public and are processes and
procedures correct? - In other
words, regulating the provider.
The GDC remains responsible
for making sure the public is
treated and cared for by suitably
qualified professionals, the performers. So why the CQC needs
to make all dentists have a further
CRB check is questioned. All the
forms necessary for this must be
taken personally, by every single
dentist, together with passport,
photos and further proof of identity to a Crown Post Office. There
are only 27 of these Post Offices
in England, and many dentists
will have to spend time travelling and queuing at that office,
possibly a full day. For example,
for the whole of Yorkshire, about
two thousand dentists, there is
one such Crown Office, in Leeds.
Imagine the queues if all 2,000
visited on one day! As one senior,
notable colleague wrote in the forum “what sort of moron sits in
their glass palace in Westminster
and thinks up ideas like this?”

Back to the HTM 0105 document that continues to dog the
profession: One concern has
been that washer disinfectors, in
their final heat cycle, bake proteins onto stainless steel instruments. In letters to colleagues in
response to specific enquiries, the

About the author
Tony Jacobs, 52, is
a GDP in the suburbs of Manchester, in practice with
partner Steve Lazarus at 406Dental
(www.4 0 6dental.
com).
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.

DH are now rebutting this, having commissioned research at
the University of London. This
research will be published in
due course. Some GDPUK correspondents still believe that it is
best not to buy or use one of those
machines, and that it is not need-

PUK. Apparently, when questions
about this are put to lawyers,
these days, they insist that risk
of death is placed as the number
one risk at the start of all these
documents. Patients could have
a reaction to local anaesthetic,
and this reaction could ultimately
be fatal, so perhaps this warning
should be to all dental consent
documents? Would you be comfortable warning every patient of
this? That is a sobering thought
for us all. DT

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[10] =>

10 Feature
Kav Eagle strip 1 89x266mm:Layout 1

United Kingdom Edition November 8-14, 2010
8/10/08

13:40

KaVo – ESTETICA E80

Page 1

‘If in doubt, get
checked out’

Dental Tribune’s Laura Hatton sets the scene for
Mouth Cancer Action Month in November

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s the front page shows,
this November Mouth
Cancer Action Month
officially began at the Houses
of Parliament and was hosted
by the British Dental Health
Foundation (BDHF). Along with
the Mouth Cancer Foundation,
the campaign will be raising
awareness of mouth cancer.
The BDHF will be promoting
the campaign and tagline ‘If in
doubt, get checked out’ to raise
awareness of the disease.
Currently in the UK, mouth
cancer kills one person every
five hours, and less than half of
those diagnosed with the dis-

Awareness Walk and throughout
November wristbands, t-shirts
and posters will be available to
help promote Action Month, all
of which sport the blue logo.
Denplan are also taking part
in Mouth Cancer Action Month
and in a bid to ensure that the
campaign receives maximum
exposure they are distributing
approximately 30,000 MCAM
posters to dentists, doctors, hospitals, PCTs and many other
health professionals across the
UK. Encouraging people to visit
their dentist or GP to check any
areas of concern in the mouth,
the posters highlight the key

‘Many people have not heard of mouth
cancer, and do not realise how common
it is – latest figures show that over 5,300
cases are diagnosed in the UK in a year’
ease survive beyond five years of
diagnosis.

facts and risks associated with
mouth cancer.

Recent studies have shown
that drinking, smoking, and
unhealthy diets have doubled
mouth, throat and food pipe
cancer cases in young people.
Furthermore, links between oral
sex and mouth cancer have recently been discovered.

Awareness
Stepping into reality, the high
profile case of Michael Douglas
has recently brought oral cancer
out of the shadows and into the
news and health experts are
hoping that the public will
start opening their eyes to
the existence of mouth
cancer – too many people are simply convinced
it could never happen to
them.

These worrying figures show
that action needs to be taken.
So far the Mouth Cancer
Foundation
has
organised its annual sponsored
Mouth
Cancer
10KM

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Alcohol is a major risk factor for Mouth Cancer

“Many people have not
heard of mouth cancer, and
do not realise how common
it is – latest figures show
that over 5,300 cases are
diagnosed in the UK in
a year and that men
over the age of 40 are
twice as likely to develop the condition
as women.” Chief
Executive of the
British
Dental
Health Foundation Nigel Carter
said.
‘‘One
study
has recently revealed that the
majority of mouth
cancer sufferers
ignore the first
symptoms of the
disease and fail
to seek out advice
of a healthcare

professional. ‘‘
Another worrying fact that
came out of the study was that
40 per cent of the people who
took part in the study decided to
self-manage their symptoms.
Dr Carter said: “Public
awareness of oral cancer and the associated risk factors appears to be too low
here in the UK.
An awareness of
the risk factors
and
symptom
recognition by
the public is a
critical
issue
in determining
survival
rates,
as early detection
greatly improves
the chances of
survival.
To boost this information that

e a r l y
diagnosis
saves
lives, the BDHF is encouraging
people to take part in the Blue
Ribbon Badge Appeal to raise
both funds and awareness of
mouth cancer.
How your practice can help
Throughout Action Month dentists can play a vital role in saving lives by providing routine
screenings for mouth cancer
and to educate themselves on
the symptoms of mouth cancer
so they can inform their patients
and help save lives. Denplan
has provided a template which
practices can send to the press
so they can advertise that they
are offering free screenings. The
template is available at www.
denplan.co.uk
Dentists can also take part in
the Blue Ribbon Badge Appeal
to circulate awareness. Once
they have registered they will be
posted a kit which includes:
• One collection box
• 25 X enamel blue ribbon lapel

[11] =>

Feature 11

United Kingdom Edition November 8-14, 2010

badges.
• An official Mouth Cancer Action Month poster for your waiting room
• Full set of instructions.
The badges can either be sold
to raise money or they can be
given away to help raise awareness: Either way, the badges
play a central role in the campaign - sparking questions and
debates and most importantly,
awareness.
Dental practices can help
raise mouth cancer awareness
in so many ways! In Leeds, a ten
strong team from Optident cycled the Leeds-Liverpool Canal
in May to raise awareness
and funds for the
Mouth Cancer
Foundation.

Alongside
the
many fundraising events
and the Blue
Ribbon Badge Appeal, the public are
also being encouraged
to play their part through
self-examination; using the
case of Michael Douglas,
the BDHF are appealing to the public
to be aware of
early warning
signs
of
mouth
cancer.
Like
previous years, Action Month aims to
lay bare the reality of
mouth cancer and reinforce the knowledge
that early detection saves lives.

the Dental Protection Legion
(DPL) to coincide with MCAM

‘Alongside the many fundraising events and
the Blue Ribbon Badge Appeal, the public
are also being encouraged to play their
part through self-examination’
and promote the BDHFs tagline
‘If in doubt, get checked out.’ The
programme, ‘Oral Cancer – Prevention. Examination. Referral’,
aims to raise awareness of oral
cancer and to most importantly
increase screening.
In effect, it restores the component of reality and understanding and provides interactive learning and video diaries.
One video retells the story of
Ralph Goodson, who survived
oral cancer; the happy ending
is a definite mean to ensure that
early detection does save lives.
The 90 minute programme,
which was advised by Fiona
Clarke, the in-house advisor,
and Prof. Scully and Prof. Saman
Warnakulasuriya, is interactive with videos and animations
and aims to offer an extensive
oral cancer learning resource
for healthcare professionals.
The programme is divided
into 4 topics; The Facts, Team
Approach, Examination Procedure and Case Studies. There
are sections on communication
techniques – discussing cancer
prevention with patients, demonstrative videos to carrying out an
oral mucosa examination, clinical images and information on

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With the race to beat mouth cancer on, new technology is emerging onto the medical scene and
into the hands of healthcare professionals.
There is VELscope®, a
hand-held device, which was
developed in collaboration with
the British Columbia Cancer
Agency and MD Anderson Cancer Center. It is based on the
direct visualization of tissue
fluorescence and the changes
in fluorescence that occur when
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There is also ViziLite Plus
with TBlue, which is an oral lesion identification and marking
system that is used as an adjunct to the conventional head
and neck examination. It is
comprised of a chemiluminescent light source (ViziLite) to
improve the identification of lesions and a blue phenothiazine
dye to mark those lesions identified by ViziLite oral cancer. DT

Mouth Cancer Action Month
1-30 November

Regular professional checkups and self-examinations are
the best route to early detection of mouth cancer. If it’s diagnosed within the early stages,
survival chances improve to
more than 90 per cent. With this
statistic in mind, there has never
been a more important time for
practice teams to support Mouth
Cancer Action Month.
A reason to smile
Sometimes the facts and figures
of oral cancer can over shadow
the human element of cancer
and the reality of the disease
can be lost under numbers, percentages, medical terms and
possible outcomes, all of which
are far from an understandable
reality. In response to these issues, Smile-on has teamed up
with BDHF, KSS Deanery and

the signs of potential cancer,
animations on cancer develop-

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one death every five hours in the UK*
Early detection saves lives, drinkers, smokers
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*Source: CRUK.

CAM192 08-10

The Mouth Cancer Action Month poster will be put up in dental practices across the UK
CAM192 MCAW Poster 2010 FINAL POSTER 08-10.indd 1

9/8/10 14:37:03

[12] =>

12 Feature

United Kingdom Edition November 8-14, 2010

Disinfection and decontamination

Dental Tribune looks at the issue of decontamination and cross infection control

O

of products aimed at providing some form of disinfection
and decontamination available
is staggering. From the smallest detail of antibacterial plastic
covers for door handles to whole
room disinfectors designed to
run overnight and clean every

ne of the biggest topics for discussion at this
year’s Showcase was the
issue of decontamination and
cross infection control. A quick
look at the exhibitor’s list showed
the sheer scale of the sector in
market terms, and the number

surface within a surgery environment.
But what does a dental practice actually need to ensure patient and team safety? Gone are
the days when a quick dip in hot
water and a shake would do for

hand pieces between patients (it
is to be hoped I am exaggerating the point here, but you know
what I mean). As science delves
ever deeper into the study of the
earth and all its inhabitants, so
more is uncovered about the development of bacteria and blood-

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borne diseases, as well as the
development of diseases in the
oral cavity and their importance
in systemic disease. In addition
there is the development of Hospital Acquired Infections which
are of relevance in the surgical
setting of the dental practice.
Where must practices go for
guidance?
HTM 01-05
The main topic within the subject of disinfection and decontamination at the moment is
HTM 01-05 and the various arguments for and against. The
history of this now seems long
and bloody; in reality the Memorandum document was only released in November 2009.
The document is positioned
as aiming to ‘progressively raise

‘Gone are the days
when a quick dip
in hot water and a
shake would do for
handpieces between
patients (it is to be
hoped I am exaggerating the point
here, but you know
what I mean).’
the quality of decontamination
work in primary care dental services by covering the decontamination of reusable instruments
within dental facilities’.

TM

The Foreword from Chief
Dental Officer for England Dr
Barry Cockcroft gives the Department of Health’s viewpoint
as to why the Memorandum
document is important:

For crown and root indications
Helps the remineralisation of dentine
Preserves pulp vitality and promotes pulp healing
Replaces natural dentine with the same mechanical properties

Patients deserve to be treated
in a safe and clean environment
with consistent standards of care
every time they receive treatment.
It is essential that the risk of person-to-person transmission of infections be minimised as much as
possible.
This document has been produced after wide consultation
and reflects our commitment to
improving standards in dental
practices.

For more information contact your preferred dealer or
contact Septodont Head Office on 01622 695520

We believe that – by building
on existing good practice – this
guidance can help us to deliver
the standard of decontamination
that our patients have a right to
expect. The policy and guidance
provided in this Health Technical Memorandum are aimed at

[13] =>

Feature 13

United Kingdom Edition November 8-14, 2010

establishing a programme of
continuous improvement in decontamination performance at a
local level. The guidance suggests
options to dental practices within
which choices may be made and
a simple progressive improvement programme established. It
is expected that by the end of the
first year of the implementation
of this guidance, all primary care
dental practices will be working
at or above the essential quality requirements described in this
guidance.
This guidance is intended to
support and advance good practice throughout primary care
dentistry including that delivered
by general dental practices, salaried dental services and where
primary care is delivered in acute
settings.
Definition
The document discusses two levels of standards - essential quality requirements and best practice. Within HTM 01-05, the two
levels are defined as:
Compliance – Essential
quality requirements - This
terminology is used within this
Health Technical Memorandum
to define a level of compliance

‘This guidance is
intended to support
and advance good
practice throughout
primary care dentistry including that
delivered by general
dental practices, salaried dental services
and where primary
care is delivered in
acute settings.
expected as a result of its implementation. Guidance contained
within this document will assist
dental practices in maintain-

ing these requirements and developing towards higher levels
of achievement in this area over
time. The use of an audit tool will
assist dental practices in reaching
the necessary standards.
In order to demonstrate compliance with essential quality
requirements to external bodies
(for example the CQC, PCTs and
SHAs), practices will be expected
to provide a statement on plans
for future improvement.
Compliance – Best practice - Best practice refers to the
full level of compliance that may
be achieved immediately or via a
documented improvement from
essential quality requirements.
For the Department of Health,
dental practices should be maintaining the essential quality requirements by the end of this
year, with a view to incorporating
best practice wherever possible,
especially when refurbishing or
building a practice. Timescales
are unclear for adherence to any
higher standards as it seems to
depend on the framework being
used by the individual PCTs. The
HTM 01-05 document highlights
what the Department of Health
considers as progress towards
best practice:
Progress towards achieving
best practice should include the
following:
• Install a modern validated
washer-disinfector of adequate
capacity to remove the need for
manual washing.
• Improve separation of decontamination processes from
other activities and enhance the
distinction between clean and
dirty workflows.
•
Provide suitable storage
for instruments, which reduces
exposure to air and a possible risk
of pathogenic contamination.
Best practice will include the development of a local quality system focused on safe and orderly
storage of instruments. This will
ensure that instrument storage is
well protected in the appropriate
clean room against the possibility
of exposure of stored instruments

Use of a washer disinfector is recommended in the HTMo1-05 document

to contaminated aerosols. In addition the management approach
will ensure that commonly used
instruments are dealt with on a
first-in first-out principle and less
frequently used instruments are
stored for clear identification and
reprocessed if not used within the
designated storage periods.
Sufficient Evidence
So, with all the talk of prions,
MRSA, ultrasonics and washer/disinfectors, where does a
practitioner stand? It is a very
confusing environment where
there are claims and counter claims about the validity of
the evidence used as the
basis for the HTM 01-05 guidance. Recent announcements
by the British Dental Association as to the level of evidence in
the HTM 01-05 and the position of the Department of Health
having been that there is sufficient evidence for the recommendations show that there is
clear disparity between the government and the profession. DT

Example layout for two decontamination rooms

[14] =>

14 Practice Managment

United Kingdom Edition November 8-14, 2010

Enough is enough
Having too many patients on your books can be just as detrimental to your dental
practice as having too few, says Simon Hocken

lients often ask me
about key numbers they
should monitor in their
practices every month in order
to effectively manage and monitor the success of their practice.
One such critical number, and
one which is rarely mentioned,
is the size of their patient list
(and that of their associates).

treatment or for his time?
• How much discount was
given?
• Was he experiencing high ‘noshow’ rates?

Before we look at the solutions,
let’s model this situation some
more as it’s very common and
I’d like you to consider your own
situation.

All of these variables looked
fine, so we considered his patient-list size and what follows is
the source of his low profitability:

I believe that large patient
lists are counter-productive
and restrict practice profits, and
might lead to one or all of the
following situations:

This dentist works a four-day
week. He likes to take around
eight weeks’ holiday every year,
and he needs at least a couple
of weeks to fulfill his desire to
learn new clinical and business
skills. So, this leaves him 42
weeks to actually practice dentistry and run his business, (this
is made up of 168 days doing

If you work a little more often than my client, say, four
days a week, taking six weeks
holiday a year and a week to
do your CPD (and a week to
have Flu), you will be working 44 weeks/year, that is 176
days/year clinical. If your ‘check
ups’ take 15 minutes and you
see patients twice a year then:

• Patients are unable to make an
appointment for treatment
• New patients have to wait
weeks to get a new patient consultation
• The practice profits fall consistently year on year
• The dentist gets bored of having to carry out relentless check
ups
• A decision is made that means
some of the patients should
only receive a check-up every
12 months or, worse still, every
18 months.
Strangely, the full-appointment book scenarios above are
likely to make the dentists feel
more secure, which is ironic, as
they should really be sounding
the alarms! All of these situations will reduce the effectiveness of the practice and potentially reduce the profits.
How it goes wrong
I was working with a client recently who is a very capable and
ambitious restorative dentist.
We were looking at the average
daily production (gross) that
he earns for every day that he
works. Despite having a (private) practice focused on restorative work, he was shown
to be grossing around £1,000/
day. This is not enough gross to
allow his practice to create the
‘right’ profit for him so, together,
we analysed his situation. We
looked at factors such as:
• Were his fees high enough?
• Was he charging for items of

1. If you look after 1,000 adult
patients, you will spend 67 days
(leaving 109 days to do clinical dentistry/year or nine days/

‘Creating the right patient list size per
dentist in your practice and monitoring
this on a monthly basis, is essential to creating an effective practice that makes a
satisfying profit’
clinical dentistry and 42 days
running his practice).
He looks after 1,250 adult patients who he sees twice a year
for a ‘check-up’, which takes
20 minutes. His fee for this appointment is £39. He therefore
spends 833 hours a year doing
these ‘check ups’ on his patient
list which for a 7.5 hour clinical
day adds up to 111 days a year.
He is therefore spending the
equivalent of 111 days, or 66 per
cent of his clinical time doing
check ups, grossing the equivalent of £877 a day.
In his remaining 57 clinical days per year, he has to do
all the restorative dentistry and
push his gross high enough
every day to compensate for 111
days grossing too little! Unsurprisingly, he is finding this a
thankless and exhausting task.
Consider the situation

month)
2. If you look after 1,200 adult
patients, you will spend 80 days
a year doing check ups (leaving
96 days to do clinical dentistry/
year or eight days/month)
3. If you look after 1,500 adult patients, you will spend 100 days/
year doing check ups (Leaving
76 days to do clinical dentistry/
year or six days/month)
4. If you look after 2,000 adult
patients, you will spend 133 days
a year doing check ups (leaving
43 days to do clinical dentistry a
year or 3.5 days a month)
If you are doing 10-minute
check-ups, then you can rework the figures. But how do
you find enough time to sell any
significant treatment plans in a
10-minute check up?
Let’s look in more detail
at the dentist, who is, for example, looking after 1,200
adult patients. If his fee for a

You’ve got to know your patient numbers to get the best profit

‘check up’ is £30, he will spend
80 days a year earning £900/
day. In our client’s practices, we
find that the average surgery has a
ixed cost (outside of London)
of around £450 a day. This
therefore creates £450 a day
profit, the equivalent of an
annual taxable income of
£79, 200. However, if this
dentist is an associate on
a 50 per cent contract, then
when they are performing‘check
ups’, the associate and the owner
will receive £450 each: A good
day’s pay for the associate, but
a day with no profit for the
principal.
Too much responsibility
I apologise for all the ‘sums’, but
I think you can see now that attempting to look after too many
patients is bad for your profit. I
believe that private practitioners
should consider the following:
1. Maximise their patient list at
1,000 adult patients
2. Monitor this monthly, patients will be leaving the list
all the time and list size will
demonstrate how many new
patients they need in order to
replace the leavers
3. Zone their diaries so that they
do a maximum of 1.5 hours
‘check-ups’ per day
4. Zone their diaries so that
every clinical day has a ‘New
Patient Consultation’ included
5. Consider instigating ‘checkups’ lead by their hygienists for

their patients who are dentally
fit and stable
6. Decide that once their list
grows in excess of 1000 patients
either:
A. Employ an associate to see
the new patients
Or, my preferred option,
B. Allocate a substantial
number of their list of patients
to an associate for them to
maintain and for the principal
to see the new patients!
Creating the right patient
list size per dentist in your
practice and monitoring this
on a monthly basis, is essential
to creating an effective practice
that makes a satisfying profit.
Remember: too many patients
per dentist can actually become
just as big a problem as too
few. DT

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

[15] =>

United Kingdom Edition November 8-14, 2010

Practice Management 15

Journey into Space

Roger Gullidge, Joint Managing Director of Paradigm Design, explains how you may find that there is often more room in a practice than first meets the eye.

or a good number of
practices one of the most
pressing problems is finding the space to work to optimum efficiency. Ironically the
problem is often a symptom
of success, because it can directly relate to and be exacerbated by, growth in the business.
Of course, it is easy for us all
to be wise after the event, but, it
always pays to think ahead and
not simply cater to meet perceived immediate needs. In this
article, I would like to give you
some practical guidance on ‘finding space’ and demonstrate that
there is often more of it that you
may think! I would not claim to
have invented a dental Tardis, but
in my experience the majority
of practices do not use the space
available to best effect.
Starting from scratch
If you are at the stage of moving
premises or buying your first
practice, then I urge you to take
a number of considerations into
account, beyond simply the appeal of the building. Take a little
time to think seriously about the
following:
• area, location and environment
in which you want to work
• type of patients to treat
• type of dentistry you do now
and may want to do in the future
• staff recruitment and training
facilities
• number of associates, now and
in the future
• specialist treatments and equipment
• hygienist services
• retailing of oral health products
• referral considerations
• LDU requirements
• practice computerisation
• existing patients (if appropriate)
• existing staff (if appropriate)
• competition
• family and lifestyle
This list is not intended to be
comprehensive and a number of
the points may not be completely
relevant to your particular circumstances. The point I want to
make is that the type and size of
the building you ideally need is
governed by factors that are not
immediately obvious. It is not
simply down to the number of
surgeries you can fit in.
Finding the right premises
Once you are happy that your
planning is complete you should
share it with your advisers.
From a business point of view,
this will include your accountant

and any other management consultants you work with. In terms
of finding the right property you
need to utilise the services of an
architect and/or designer who
understands dentistry. The specialist nature of dental practice
makes this essential. Your architect/designer will need a sound
working knowledge of practice
work flow, dental procedures,
equipment siting and the various
legislation and regulations that
apply to dentistry.
At Paradigm, we always recommend undertaking a feasibility study. A small cost is involved,
but it will unquestionably help
avoid potentially costly errors being made. Our advice is also to
avoid the often well intentioned
guidance of estate agents and
builders in relation to the suitability and potential of a building.
They may be good at their jobs,
but this rarely, if ever, includes an
understanding of the myriad of
rules and regulations that require
a comprehensive degree of specialist knowledge and expertise.
Your feasibility study will take
account of a wide range of issues
that will include:
• type and age of property
• suitability for purpose
• potential for growth
• access
• transport and parking
• local demographics
• competition
• Planning and Building Permission and time scales
• outline budgets and funding
required
Principles into practice
I have recently been working with
Dr Ajiaz Syed, a dentist in Streatham and what we have achieved is
a good example of what I have
been talking about and clearly
demonstrates the value of setting
clear objectives and assessing the
true potential of a building.
Ajiaz has practised in Streatham since 1999, but his existing
premises were considered unsuitable for the development and
expansion he had in mind. In
2005 he started looking for new
premises and after a number of
false starts, focused on the type
and location for the high visibility
high street position he wanted.
Without labouring the point,
whilst the building ticked all the
boxes in relation to location, there
were problems that required creative thinking in order that they
could be resolved. One of the

practical problems (and one that
is often too easily dismissed early
on) was site clearance. In a busy,
high street location removal of
several hundred tonnes of rubble
could not simply be a matter of
parking lorries outside. By some
judicious planning we overcame
the difficulties with a minimum
of disruption to the local community. And maintaining a dentist’s
good relationship with the community must always be a priority.
As our first on-site meeting,
Ajiaz had a number of advisers
with him, including his builder.
A builder will assess the potential
of a building based on previous
experience. This experience will
rarely include understanding actual construction and structure.

Additionally, a builder’s assessment of what can and can’t be
done may be influenced by previous Local Authority Planning
rulings that went against him,
simply because they were incorrectly or inadequately submitted.
In these circumstances, builders will often tend to make decisions too early and, as was the
case in Streatham, fail to understand space planning potential.
However by utilising what
the builder considered unusable
space and correcting his lack of
knowledge about access, we have
worked with Ajiaz to create a
stunning two level practice.
A good architect will work
closely with Planning Authorities.

Nothing should be done without
pre-consultation and patience will
be the key, particularly in situations where an architect and designer will sense he or she doesn’t
have to take “no” as an answer.
Finally, a word on costs. This
can be a complex subject, particularly if, once the project is underway, you change your mind.
In short you then leave yourself
open to the infamous ‘EOT’s’ (extras on top) and these can be crippling. Once again, it pays to work
closely with your architect/designer and ensure that your contract with the builder does not include penalty clauses over which
you have little or no control.
The project for Ajiaz effectively realised 133sq m of usable
space, whereas 74sq m might
have been considered its limit!
We worked closely with Planning
Authorities, overcame problems
and brought the project in on
time and budget. Most importantly Ajiaz now has a practice with
high street presence, attracts new
patients and is a joy to work in. DT

[16] =>

16 Education

United Kingdom Edition November 8-14, 2010

Broadening horizons

Being able to meet the demands of adult patients
for orthodontic treatments means there is now a
significant potential market, says Andrew McCance

D

ental professionals in
the UK are experiencing more and more requests from their patients for
teeth-straightening treatment as
they begin to see the benefits of
it, from both an aesthetic and a
health point of view.

ciety suggests that anecdotal
evidence obtained from mem
bers indicates that peple are prepared to make financial sacrifices in order to have treatment;
they seeit as a valuable investment in their health and overall
appearance.

As many dentists are no doubt
fully aware, tighter restrictions
on national healthcare budgets
mean that access to free orthodontic treatment for patients is
becoming increasingly limited.
Recent policy changes mean that
patients’ treatment needs are
now assessed using the Index
of Orthodontic Treatment Need
(IOTN); the NHS usually only
funds treatment in cases classed
at grade four or five level, whilst
grade three treatments are considered on a case-by-case basis.
Although children under 18 are
currently treated free, in Ireland,
plans are underway to introduce
a charge for all except the most
severe cases of orthodontic treatment, including those of children.

However, with the Department of Health clear on its policy
to not fund treatment undertaken for work that is deemed
‘not clinically necessary,’ many
patients eager to have the treatment for cosmetic reasons are
left with little option but to
go private.

No funding
The situation for adults seeking state-sponsored orthodontic
treatment is even worse, with
NHS funding virtually nonexistent. The British Orthodontic
Society (BOS) has made it
clear to patients that; ‘in principle, adult orthodontic treatment
can be provided under the
terms of the NHS, provided the
need for treatment is sufficient.’
In practice:

Hurry!
Offer only available until 30th November

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01634 878787

‘‘NHS contracts held by
many orthodontists do not include adult patients. In some
areas there are no orthodontists at all with NHS contracts to
treat adults.’’
This trend within the public
dental care sector runs counter
to the increase in the number
of adults interested in undergoing orthodontic treatment, with
some reports currently putting
the figure of growth in this sector
as high as 36 per cent. According
to one magazine, an orthodontist
in Manchester reported a 560 per
cent growth in adult orthodontic
patient numbers between 200509, compared with the previous
five-year period.
Making sacrifices
This trend is borne out in an Ipsos Mori survey, which found
that one in five adults now believe that their teeth would benefit from straightening with
braces. Meanwhile, the British Lingual Orthodontic So-

Going private
Naturally, this is good news
for privately-owned practices, which are happy to fill the
widening gap in available
public sector care. However, this
market does not have to be the
sole preserve of Orthodontic
Specialists. In some cases,
patients wanting access to teeth
straightening procedures may
not live near one of the 1,200 orthodontists currently on the UK
specialist register. Many also
do not want to compromise their
lifestyles or appearance during
treatment if they don’t have to.
For example, the percentage of men seeking orthodontic work is increasing and, for
whatever reason, they are less
keen to use visible methods of
treatment. Here, systems utilising removable clear positioners
offer an alternative option that is
more discrete whilst still providing the improved smile aesthetic
that has become so desirable.
Systems
utilising
‘invisible braces’ or aligners, such as
Clearstep, offer GDPs a means
to provide their patients with a
wide range of treatments that
don’t require prolonged specialist training or expensive new
practice equipment. Instead, a
familiarisation with the system
and continued technical support
mean that patients can be retained in-house rather than being referred away.
Efficient treatment
In order to provide appropriate
support to general practitioners
without any previous orthodontic experience, Clearstep ensures
that every case undertaken by
a GDP is submitted to their diagnostic faculty. Using patient
records gathered by the treating
practitioner, each case is diagnosed and treatment is planned
by a specialist orthodontist.

The
reports
generated
provide a clinical presentation
along with treatment planning
that incorporates the patient’s
objectives, while providing the
most suitable treatment options
available. The treatment planning will review the needs of the
case and incorprate additional
appliances from the five elements
of the Clearstep System, should
they be required. By combining
treatment mechanics, the patient is offered the most efficient
treatment in terms of timescales
and cost.
Being able to meet the demands of adult patients for orthodontic treatments means
there is now a significant
potential market, and one that
can be accessed by clinicians
interested in broadening their
area of interest to include orthodontics. This can only be good
news, both in terms of patient
access, and of course, in terms
of the bottom line for dentists in
private practice. DT
References:
1 NHS to bring in charges for orthodontic treatment, Belfast Telegraph 15 Apr
2010, http://www.belfasttelegraph.co.uk/
news/health/nhs-to-bring-in-chargesfor-orthodontic-treatment-14767615.html
accessed on 29/04/10 2 ‘What is IOTN?’,
British Orthodontic Society at: http://
www.bos.org.uk/orthodonticsandyou/orthodonticsandthenhs/whatisiotn accessed
on 29/04/10 3 The invisible brace that can
transform a smile, Daily Mail 15 Oct 2002,
http://www.dailymail.co.uk/health/article-142768/The-invisible-brace-transformsmile.html accessed on 29/04/10 4 ‘Massive
leap in adult dental brace desire’ 22nd
Jan 2010, http://www.dentistry.co.uk/news/
news_detail.php?id=2500 accessed on
05/02/10 5 Research reveals positive attitude
to braces at: http://www.blos.co.uk/docs/
BLOS_release_02-02-10.pdf accessed on
29/04/10 6 ‘The Orthodontic appeals process,’ Eastern and Coastal Kent PCT policy
document, at:http://www.easternandcoastalkent.nhs.uk/EasySiteWeb/GatewayLink.aspx?alId=94199 7 ‘A few facts about
Orthodontics.’ The British Orthodontic
Society http://www.bos.org.uk/orthodonticsandyou/orthodonticsandthenhs/
Did+you+know accessed on 05/02/10

About the author
Since
qualifying
in dentistry from
Glasgow
University, Dr Andrew
McCance
has
gained a wealth
of experience in
multi-disciplinary
practices. He has
held several distinguished positions
including
senior
house dental surgeon at St George’s
Hospital, Tooting and senior lecturer
at Great Ormond Street, developing
his expertise through a PhD at University College London. In the mid 1990s,
Dr McCance began to develop the
Clearstep brace, based on the demands
of the 4,000 patients treated annually in
his specialist practices. He is currently
taking his Clearstep vision to a worldwide audience. For more information,
call the OPT Laboratory & Diagnostic
Facility on 01342 337910, email info@
clearstep.co.uk or visit www.clearstep.
co.uk.

[17] =>

[18] =>

18 Education

United Kingdom Edition November 8-14, 2010

Managing expectations
Patients are paying a lot for necessary treatment,
and will have high expectations, so it pays to
make sure you communicate clearly every step of
the way to avoid confusion, says Michael Sultan

Protecting you
throughout
your working
day

or many patients, dental
treatment is an expensive
necessity. This is especially true for those undergoing
endodontic procedures. Not only
will the patient have to pay for
the initial treatment, but they
must also be made aware that
there will be the additional costs
of subsequent restorative procedures. As a result, it can only
be expected that the patient will
have high expectations as to the
outcome of their treatment.
With this in mind, I find that
it is vitally important to discuss
treatment costs with the patient
and the prognosis of their treatment. We are biological systems, not machines; things don’t
always go according to plan, so
patients need to be made aware
that success rates are never
100 per cent. It is the dentist’s
duty to explain as clearly and
simply as possible that teeth
are complex systems, potentially
full of nooks and crannies harbouring bacteria that may be
inaccessible to treatment.

The industry standard in
Infection control product
solutions.

Risk of failure
Although endodontic treatment
does boast a very high success
rate – 95 per cent in a vital tooth
and around 80 per cent in a
retreated tooth – it is always
worth bearing in mind that this
means on average one in every five retreated teeth will fail.
No dentist really wants to talk
about failure from the outset but

Listen to your patients and provide them with all the information they need

patient’s treatment expectations.
Photographic evidence
Showing patients images of their
teeth can go a long way towards
helping them see how difficult
treatment can be. That said, in
most cases the ‘nitty gritty’ of
surgery, anatomy and tooth formation are irrelevant for most
patients. Before treatment, patients will usually want to know
whether or not the procedure
will be painful, how long it will
take and what it will cost.
Aside from these three factors, any more information tends
to make patients nervous and
often only serves to massage the
practitioner’s own ego rather
than put the patient at ease. In
our quest to appear intelligent
and credible, we could unwit-

‘Before treatment, patients will usually
want to know whether or not the procedure
will be painful, how long it will take and
what it will cost.’
patients should always be
made aware of this fact before
treatment is undertaken.

Quality. Security.
Schülke.
Schülke & Mayr UK Ltd.
Sheffield S9 1AT | United Kingdom
Phone +44-1142-54 35-00 | Fax -01
www.schuelke.com

As such, well-informed patients must decide for themselves
whether they should choose
implants, a bridge or endodontic
treatment as their best course
of action. Only then will they
be able to give their full consent
for whatever treatment they
choose. Consent is so vitally important that in some areas of the
United States, dentists actually
film their patients giving consent for treatment. In the United
Kingdom the dentists are
put under more and more pressure to take responsibility for the

tingly do more damage than
good by focusing on the minutiae
of each aspect of a patient’s potential treatment. Too much information can really be less than
helpful. Let’s face it, if you read
the warning leaflet that comes
in a box of aspirin, you’d never
want to take a painkiller again!
A good team
Having the right staff is also
fundamentally important. If the
practitioner has not explained a
procedure as effectively as possible to the patient, they will usually turn to other members of staff
for reassurance which could potentially lead to mixed messages
being given. Fortunately, I my-

self have never been let down by
a member of staff. It is vital that
you have the confidence in your
team (as they should in you) to
act in a professional and considerate manner with all patients
who set foot in the practice.
Practitioners should remember that the very best communicators possess the knack of making seemingly complex subjects
simple. In my opinion, this is a
skill all dentists should work
on if they are to get the best response from their patients both
before and after surgery has
taken place. Try to avoid the
urge to impress the patient in the
chair with your comprehensive
knowledge. A warm, empathetic
chairside manner is enough to
show you care. My motto has
always been: treat patients as
friends and friends as family.
This way, patients will be armed
with sufficient information to enter into treatment confidently but
realistically. DT

About the author
Dr Michael Sultan
BDS MSc DFO is
a specialist in Endodontics and the
Clinical Director of
EndoCare. Michael
qualified at Bristol University in
1986. He worked
as a general dental
practitioner for five
years before commencing specialist
studies at Guy’s hospital, London. He
completed his MSc and in Endodontics in 1993 and worked as an in-house
endodontist in various practices before
setting up in Harley St, London in 2000.
He was admitted onto the specialist
register in Endodontics in 1999 and
has lectured extensively to postgraduate dental groups as well as lecturing
on Endodontic courses at Eastman
CPD, University of London. He has
been involved with numerous dental
groups and has been chairman of the
Alpha Omega dental fraternity. In 2008
he became clinical director of Endocare a group of specialist practices. Dr
Michael Sultan can be contacted for
advice regarding patients or any issues
raised by the articles on michael@endopro.co.uk or call 020 7224 0999.

[19] =>

Education 19

United Kingdom Edition November 8-14, 2010

Lights, camera, action!
Let’s hope that the future of dentistry lies in cost-effective,
evidence-based changes, says Neel Kothari

A

s recent venturer into the
world of practice ownership, the burden of regulation upon our profession is absolutely clear to me and seems
disproportionately unfair. Of
course it is possible to implement
anything under the umbrella of
‘patient safety’; but without looking at a thorough cost-benefit
analysis we will always struggle
to deliver good value for money

had been implemented. In opposition, the Tories released ‘Transforming NHS Dentistry’ which
pledged to ‘slash bureaucracy’ to
improve access to NHS dentists.

The then Shadow Health Secretary Andrew Lansley said ‘I am
announcing that a Conservative
Government will immediately
cut waste and bureaucracy and

restore access to an NHS dentist
to the million who have lost one
under Labour.’
Not that I am impatient, but

“I need a

Spending cuts in action
Since we have inherited a Coalition Government, it seems the inevitable cuts have finally arrived.
An example of this can be seen
in Oxfordshire, where the local
council are following Swindon’s
example by switching off their
entire network of speed cameras
based on recent evidence that
has shown no increase in road
traffic accidents. Isn’t it peculiar
how the ‘evidence’ told us that
speed cameras save lives, but after the country realised that there
is no more money left to spend, it
is the ‘evidence’ that is now telling us that they are not needed.
If an independent body were to
look at this evidence, I wonder
whether they would have come
to the same conclusion?
Of course ‘safety’ is paramount, but in the dental world
does HTM 01-05 or the mandatory registration with the CQC
(with eventual cost to the profession) really improve patient care?
Well under the political umbrella
that is known as ‘patient safety’
the answer is arguably yes, but
what is seriously questionable
is whether the cost justifies the
risk, after all with both of these
measures the financial burden
is heavily heaped upon the profession, leaving many in the profession questioning why we are
bothering to fix something that is
not broken?
Contract criticism
For years, both of the main opposition parties actively criticised
the 2006 contract, not just in its
content, but also in the way it

About the author
Neel
Kothari works as
a
principal
dentist at High
Street
Dental Practice in
Sawston, Cambridgeshire
and provides both NHS and
private dentistry. Since his
graduation he has regularly
attended postgraduate courses
and is currently enrolled on
the Diploma of Implantology
course at the Eastman Dental
Institute.

under a Coalition Government
the current rhetoric is a little bit
more subdued, with Earl Howe,
saying that the government will
review the details of the ‘system
we have inherited’. After a raft
of hastily implemented changes
in the past few years, let’s hope
that the future of dentistry lies
in cost-effective, evidence-based
changes that take the profession
along with them, as opposed
to the turbulence we all felt back
in 2006. DT

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07.10.2010 8:45:22 Uhr

[20] =>

20 Money Matters

United Kingdom Edition November 8-14, 2010

Options unlimited
Michael Lansdell looks at the arguments against incorporation amd covers the dilemmas that could lay ahead

S

ince the GDC amended its
regulations to allow dentists to trade as limited
companies, a continuing debate,
much of it ill-informed, has

been taking place among dental
professionals who are unsure
how to proceed.
When it comes to mak-

ing radical change, inertia is
part of the human condition,
and undoubtedly some effort is
required to covert a sole trader
practice to a limited company.

Existing
business
arrangements, which may include
loans, leases, staff contracts,
hire-purchase
agreements
and service contracts, need to

be changed into the name of
the new company. The new company must also have its own bank
account, and practices working within the NHS will need to
inform their PCT of their
intentions. One natural side
effect of incorporating is the
opportunity to review existing contracts and update them
where necessary.
Fortunately, these formalities are a one-off and in most
cases the practice manager can

‘When it comes to
making radical
change, inertia is
part of the human
condition, and undoubtedly some
effort is required to
covert a sole trader
practice to a limited
company.’
carry out most of the administration: All changes can be carried out without major disruption in the practice, and without
compromising the continuity
of patient care. The immediate
incentive is added value – increasingly, limited company
practices offered for sale are
attracting a premium of up to
15 per cent, in particular those
with PCT contracts in the name
of the limited company with
no restrictions.
Capital Gains Tax
Selling the practice to a limited
company, as part of incorporating, will mean paying Capital Gains Tax (CGT), since the
value of the practice at the time
of incorporating, and that of the
goodwill in particular, is certain
to be greater than the original
purchase price.
Current CGT rates are 10 per
cent of the capital gain on the
first £1,000,000, and 18 per cent
thereafter. However, the CGT
paid can be recovered – and
profited upon – by tax savings
over the years following the incorporation.
For legal and tax purposes, a
business owned by a sole trader has no separate identity and
is deemed to form part of the
individual’s personal affairs.
Establishing a limited company
brings into being an additional

[21] =>

United Kingdom Edition November 8-14, 2010

legal entity and taxpayer with
its own legal obligations and
tax liabilities.
Although this
may have little day-to-day impact on the dentist, it does
require additional accounting procedures, which will be
reflected in increased professional fees.
These additional costs need
to be seen in the context of the
overall tax savings and other
benefits of incorporating. Before
committing to incorporation,
a detailed assessment should
be completed, comparing the
raised running costs of a limited
company with the projected tax
savings in order to inform the
final decision.
Tax allowances for motor
vehicles owned and driven by
sole traders are markedly different to those registered to a lim-

the shares in the company
that owns the practice, there is
very little difference from a tax
point of view for the vendor
between him/her being as a
sole trader, or him/her being
the owner of the shares in a
limited company.
However, the vendor’s tax
position will be less favourable
if the purchaser wishes to buy
the business (the practice) out
of the limited company but not
the company itself.
This is best illustrated by a
hypothetical example.
Bob is a dentist who established his practice from scratch
and after 10 years decides to
incorporate; his practice goodwill is valued at £400,000, and
this is the price paid by the
limited company.

chasing dentist in maintaining
the trading continuity afforded
by taking over the company’s
contracts and any other business arrangements which are
already in place, including any
PCT contract i.e. by purchasing the shares in the limited
company.
Potential purchasers are
sometimes wary that undisclosed company liabilities may
surface post transfer, but these
can be resolved by warranties in
the sale agreement supported by
the setting up of an escrow account with a proportion of the
purchase price held there for an
agreed period after sale.
There are various and varied facets to incorporation, and
it may not suit the circumstances of every principal or every
practice, so it’s vital to take in-

Several years later, Sue, another dentist, agrees to buy Bob’s
practice and pay £600,000 for
the goodwill.

Most practice managers can carry out admin

ited company, and depending
on the vehicle’s cost and CO2
emissions it may be preferable
for ownership to be retained by
the individual. Although this
is a relatively minor matter in
the overall financial and fiscal
context of incorporating, it
should still be taken into
account.
A complicated business
Many dentists are wary

In order for Bob to then pay
the 10% or 18% personal CGT
rate on the gain that he receives after the corporation tax
has been paid, the company
will need to be wound up.
However, this potential tax

‘Potential purchasers are sometimes wary
that undisclosed company liabilities may
surface post transfer, but these can be resolved by warranties in the sale agreement’
incorporating as they fear
complications or tax disadvantages should they ever wish
to sell their practice(s). There
is
one
transfer
scenario
where
such
complications
could occur.
If a purchaser takes over

downside should be considered
in light of likely tax savings
over the course of the working life of the dentist to give it a
proper context.
It should be stressed that this
situation is unusual, since there
are usually benefits to the pur-

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If Sue buys Bob’s shares in
the limited company, Bob becomes liable for Capital Gains
Tax on the £600,000 at the CGT
rates applicable at that time.
(Currently, 10% on the first
£1,000,000 per taxpayer per lifetime and 18% thereafter.)
However, if Sue buys the
goodwill out of the limited company but does not take over
Bob’s shares, it’s the company
that makes a capital gain of
£200,000 on the £400,000 price
it paid Bob when it bought the
practice. Limited companies
pay Corporation Tax on all their
profits, including capital gains,
and so the company must now
pay Corporation Tax on the
£200,000; depending on any
other profits it may have made,
it will be levied at between 21%
and 28% (2009/2010 rates).

Money Matters 21

Not all incorporation will suit every practice

formed, professional advice in
each case. It’s also important
not to be deterred at the outset
by minor difficulties that will
be vastly outweighed by tax and
other advantages in the medium
and longer term. DT
For more information please
visit
www.lansdellandrose.
co.uk or call 020 7376 9333

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

For more information please
contact your dental retailer
www.septodont.co.uk
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Prosthetic Dentistry • Disinfection & Hygiene

[22] =>

22 Money Matters

United Kingdom Edition Novemebr 8-14, 2010

A good investment?
Self Invested Personal Pensions (SIPPs) may be popular in the financial press, but
are they really suitable for all dentists? David Leaf finds out

S

ince “pension simplification legislation” took
effect in April 2006, the
interest in SIPPs has gathered

momentum as investors have
become increasingly interested
in the concept of managing their
own investment portfolio for

pension provision.
Taking investment control
is one issue – making a success

of it is another! Some entrepreneurial dentists who have taken an adventurous investment
strategy may now have cause for

regret following the economic
crisis.
However, for other dentists,
SIPPs do provide an excellent
investment opportunity, providing greater control of their
pension planning prior to retirement, and ultimately their
retirement income and death
benefits in retirement.
Investment opportunities
If your basic requirement is to
set up a pension with a modest
level of investment with a strong
financial institution, a stake-

‘If your basic requirement is to set
up a pension with
a modest level of
investment with a
strong financial
institution, a stakeholder or personal
pension does offer a cost-effective
solution’

relax...

...converting to private practice can
be easier than you think
If you’re thinking of opting out of the NHS please give us a call,
we have the plans and expertise to help you make it happen.

01691 684135
www.practiceplan.co.uk

holder or personal pension does
offer a cost-effective solution.
However, SIPPs offer wider
investment scope and are essential if you want to invest your
practice freehold into your pension portfolio.
Case study 1
Dr Jones runs his practice from
a commercial freehold property
with a value of £150,000. He has
no borrowings and wishes to
maximise his tax relief claim for
pension investments in the current tax year.
One option open to Dr Jones
is to invest his practice property
as a pension contribution into
a SIPP. The attraction to him is
that he will benefit from tax relief on the property invested to
his pension.
For example, in the current
tax year 2009/10 he can choose
to invest 50 per cent of the property value (ie £75,000) which he
can fully set against his taxable
profits of £140,000 and obtain
tax relief at his highest rates.
Tax relief at source to
£93,750 grosses the net investment of £75,000 of the property
to the SIPP up. This element of
the tax relief is paid directly to
the SIPP by HM Revenue & Cus-

[23] =>

United Kingdom Edition November 8-14, 2010

toms (a boost to the SIPP bank
account of £18,750).
As a high rate tax payer, Dr
Jones will also save a further
20 per cent tax against his balancing payment due to be paid
31 January 2011 – a further tax
saving of £18,750.
As Dr Jones has only used
half the value of the property in-

‘SIPPs provide extensive investment
choice far wider
than available from
any one fund manager or pension
provider. ’
vestment in 2009/10 he can repeat the exercise with a similar
investment in the subsequent
tax year 2010/11, investing the
remaining share of the property
to the SIPP.
Over the two tax years of
investment Dr Jones receives a
boost to his SIPP bank account
of £37,500 tax repaid by HMRC
and a further £37,500 in tax savings against his subsequent tax
bills. Clearly, this is extremely
attractive for tax relief benefits.
However, the other side of the
coin needs to be considered
in terms of the potential drawbacks of tying up the property
within the SIPP.
Dr Jones has to appreciate
that the property is now a part of
the pension fund assets and will
be administered as such by the
trustees. This effectively means
he will not be able to sell the
property as his personal asset –
ie it will be tied in with pension
rules and regulations for the
payment of benefits.
The tax-relief incentive
There are complex HMRC rules
relating to the level of contribution allowable. This has been
further complicated by the
Budget earlier this year. However, for those dentists who fit
the criteria and appreciate the
benefits and drawbacks, SIPP
property investment could be an

About the author
David Leaf is an independent financial adviser and a founding Director
of Practice Financial Management Ltd
(PFM) member of ASPD. David holds
Chartered Financial Planner Status,
the premier financial planning qualification, awarded only to a small percentage of UK financial advisers.
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.

attractive option.
Other reasons for investment
SIPPs provide extensive investment choice far wider than
available from any one fund
manager or pension provider.
The facility and ability to spread
investment amongst a wide
range of fund managers, deposit
takers and financial institutions
makes them even more desirable to investors as they consider
the impact of financial risk fol-

lowing the banking crisis. SIPPs
are at the forefront for many
investors pension planning and
are likely to grow in numbers
and funds under management
for pension investors in the future.
The importance of independent
financial advice (IFA) cannot be
over-emphasised with regard to
SIPP investment strategy. You
need an IFA that can provide
you with a full overview of the

Money Matters 23
market, as well as investment
strategy advice including asset
allocation, rebalancing of portfolios and fund reviews.
For those investors considering a property investment it
is important to have an adviser
with experience and knowledge
of SIPP Property Investment.
Only a limited number of SIPP
providers actually offer the full
range of investment options for
property investment, so it is im-

portant to work with those that
offer flexibility and expertise.
If you would like to receive
more information about SIPP
investment strategies including property investment, you
can request more information
and advice by contacting David
Leaf at Practice Financial
Management Limited. Please
telephone 01904 670820 or
email
david.leaf@pfmdental.
co.uk. DT

[24] =>

24 Money Matters

United Kingdom Edition November 8-14, 2010

Invest...don’t gamble
Thomas Dickson gives some financial advice

s I write this, a new coalition government, led by
David Cameron, has announced its intention to reform
income tax structures and consider cutting corporation tax.
Slightly further afield, the European Union is on tenterhooks
as it waits to see what effect the
recent rescue bid for Greece will
have on the value of the Euro.
The financial markets are always
quick to react to political flux and
no doubt, these political developments, both in UK and in Europe,
will be reflected economically.
While speculation is always
rife, nobody actually knows what
is going to happen, or indeed
how macro-economic trends
could impact on assets closer to
home, such as dental practice
valuations. The reality is that the
markets will always be volatile

and reactionary - one week going
up (“FTSE up 5.16 per cent due
to Euro Aid package for Greece”)
and the next, plummeting (“FTSE
loses £100bn in a week”.)
So, should we really worry
about short term trends and does
it matter to the average dental professional who might be considering investing in the stock market?
If you are a day trader or one
of those rare dentists who likes
to indulge in a spot of spread
betting or FOREX trading, then
financial speculation based on
guesses about future outcomes
is bound to excite you. However,
what you’d really be doing is
gambling. This can have its rewards but also clearly puts you
at a greater risk of experiencing
financial losses.

Investing in the stock market
does not have to be about gambling, though. Those interested
in reaping more modest but
steadier rewards need to be prepared to play the long game. For
the majority of people, this option
holds far more appeal..
Recent research conducted
by Morningstar looked at investments made in the UK stock
market over a series of 10 year
increments spanning the period
between 1984 and 2009. The
survey revealed that on average, during each decade, investors never lost their money. Put
another way, had you invested
during any one of the 181 possible 10 year time frames, you
would not have lost money.
My advice would therefore be
to ignore all the hype surround-

ing the latest ups or downs in
the market and consider those
investment returns that can be
made over the long term
However, the way you choose
to invest is largely down to preference. Which brings us to another matter: risk tolerance.
Risk Tolerance
People react differently to risk.
Some see it as an opportunity;
others, as a threat to their security. Still others are prepared to
take risks in one area of their
life, but not in others. Risk tolerance is the level of risk a person
will willingly accept and is best
thought of as a continuum ranging from risk-avoidance to riskseeking behaviour.
Earlier, I mentioned the day
traders and speculators who
enjoy trading in the short term.
Clearly, this type of investor has
a high risk tolerance. However,
research shows that the majority of people are more risk-averse
than risk-seeking. Faced with a
choice between a certain profit
and an uncertain but probably
larger profit, a sizeable majority
chooses the certain (but probably
smaller) profit.
Given the results of the Morningstar study, it would seem that
this caution is well-placed and a
more conservative approach involving lower risk investments,
over the long-term is much less
likely to lose you money.
However, the whole issue of
financial risk is a difficult one.
On the one hand, low risk tolerance prevents many people
from doing as well as they could
financially. On the other, some
of life’s most unpleasant financial surprises arise when people
expose themselves to a level of
risk beyond that of their comfort
zone, i.e. their risk tolerance. It
therefore depends very much
on your risk tolerance profile – a
psychological trait that can now
be measured using psychometric
profiling techniques.
Although psychological profiling has met with it’s share of
controversy, it is now widely
accepted as a useful tool for assessing people’s overall behaviourial tendencies. This includes
investment risk, which can now
be measured using Risk Profiling systems such as Finametrica.
If you are interested in learning
more about your risk profile, you
should contact your independent
financial adviser, who may well
have access to such tests.
Types of investment
Risk tolerance naturally determines the type of investment
people feel most comfortable in
making.
Investments usually take the
form of one of two types: unit

trusts and shares. In terms of
risk, the latter usually involves
more risk than the former.
Because investment shares
are a more direct form of investment – buying shares in a listed company, for example, their
market value can fluctuate fairly
substantially. This makes them
a slightly riskier form of investment than unit trusts, which
spread risk by buying shares in
a range of companies, which is
then managed through one fund.
As an investor, you would buy
units in that particular unit trust
fund and hope that the difference
between the performances of
high and low risk shares helped
to balance out the overall value
of each unit over time. However,
it is worth noting that the overall
degree of risk of the fund will depend on the investment strategy
of the trust: is it in established
companies or smaller, riskier
emerging markets?
Clearly those investors who
are risk-averse would be advised
to not only opt for longer-term
investments, but also considering investing in unit trusts, rather
than shares.
So, assuming that you are
able to invest in the stock market,
and hold on to that investment for
ten plus years, and are willing to
ignore those commentators who
think you should sell this tomorrow or buy that now, you’ll probably end up making some money.
At that stage, your main problem will be how to reduce the tax
on your capital gains – but that
is the subject of another article,
especially if the government decides to raise the thresholds in
this area.
The figures above are for
guidance only and reflect the
position at the time of writing.
The value of investments can go
down in value as well as up. It is
therefore important that you understand the risks and your commitments.
Essential Money Limited is
authorised and regulated by the
Financial Services Authority. DT

About the author
Thomas
Dickson
wasbrought
up in HongKong
and
studied
at
Aston
University
Birmingham and
in Tokyo. Thomas
started working as
a financial adviserin 1993, became
an independent financial adviser in
1996, and is now a
director of Essential Money Limited.
Essential Money provides independent
financial advice to dentists throughout
the UK. Thomas has been awarded the
Advanced Financial Planning Certificate by the Chartered Insurance Institute and is a Certified Financial Planner. For advice, call Essential Money
on 0121 685 5060, email Thomas@
essentialmoney.co.uk or visit www.e
sentialmoney.co.uk.

[25] =>

Events 25

United Kingdom Edition November 8-14, 2010

Kilimanjaro – the challenge awaits
This time next year an intrepid team of Bridge2Aid trekkers will have returned from
an epic trip climbing Africa’s highest mountain – and you could be one of them!

here are few moments
in life that will stay with
you through your years,
but reaching the top of Kilimanjaro is one of them. The
mountain is immense! Located
in Tanzania, it is 49 miles long
by 24 miles wide and soars
above the Rift Valley to a staggering 19,335 feet. Conquering it is a challenge that draws
trekkers from across the globe.

Tanzania is also the base
for Bridge2Aid, the UK dental
and community development
charity that operates the ‘Dental
Volunteer Programme’ which
takes volunteer dentists, hygienists and nurses to Tanzania four
times a year to train local health
workers in emergency dentistry.
Bridge2Aid’s Chief Executive Mark Topley said; ‘‘It has
been a privilege to hear the sto-

Book your place
To take part in ‘Climb Kili’
participants need to raise at least
£2,950 – sounds a big amount,
and it is, but very achievable and B2A will provide lots

of support to help you not only
reach the target but exceed it.
As well as a fundraising pack
and advice on the phone, there
are also training weekends
between now and the chal-

lenge when participants will
receive
fundraising
advice
and swap ideas with other climbers, many of whom
will have raised amounts like
this before.

To find out more, contact Naomi at the Bridge2Aid
UK office on 01243 780102,
email fundraising@bridge2aid.
org or visit www.bridge2aid.
org. DT

R4 Practice Management Software
GIVES YOU MORE

You could be aiming for new heights with
Bridge2Aid’s ‘Climb Kili’ expedition

ries told by the climbers from
our Climb Kili events over the
past three years. It is such an
amazing place and the sense of
achievement experienced by the
climbers is mirrored by the stories of what we have been able
to achieve through the funds
raised by Climb Kili.
‘‘Over the past four years
we have been able to expand
our training of Clinical Officers in Emergency Dentistry
from just 15 trainees in 2006
to almost 50 in 2010. We just
could not have done that, and
in turn treated so many thousands of people, without the
funds raised by our climbers.’
Simon Roland, a dentist
from London climbed Kili in
2007 and is now a trustee of
Bridge2Aid: ‘‘Climbing Kili was
a tough but wonderful experience. We met some great people and had a fantastic time
together as we all battled to
make it to the top of the mountain over five arduous but very
rewarding days. The end result
was a great sense of achievement whilst at the same time
raising money for a very worthy cause. I heartily recommend
everyone to take part in 2011’’

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automatically into the patient notes forming an important part of the clinical audit and provides proof of explanation. Includes
patient leaflets on over 120 subjects, with much of the text supplied by the BDHF, which can be customised to the practice
in seconds and given to the patient or emailed to them along with the animations. Sketching on the animations comes as
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[26] =>

26 BDTA Show Review
4Everlearning gets record sign ups
for its 8th Year! Now includes video
learning with CPD and still no tests!
4everlearning was one of the busiest
stands at the show this year with
people queuing to sign up for online
Verifiable, Unlimited CPD, which also
includes Core Subjects. They had to
dash out on Friday morning to buy
extra computers to cut down waiting
time in the queues to join this dynamic website.
New for 2010 included the introduction of vCPD for reading an online
interactive electronic Dental e-zine. This year they have also introduced clinical
videos which was very well received and caused a wave of sign ups from every
section of the profession. The most attractive offer by far, year after year and one
of the most popular is the Practice Membership, allowing up to 10 members
from one practice to join up together for an annual fee of only £799 (special
show offer £533). 4everlearning has a unique ‘patent applied for’ technology,
which logs both time and areas of study in 15 minute blocks, enabling dental
professionals to keep track of their CPD and list their core subjects, in their own
online log. 4everlearning have been reliable CPD providers for over 8 years
now and have gone from strength to strength. More exciting developments
are planned so watch this space for new announcements coming this spring.

United Kingdom Edition November 8-14, 2010

Hogies Eyewear success at BDTA 2010
Blackwell Supplies was pleased with the response from
delegates to its showcase of Hogies specialist dental
eyewear range during this year’s BDTA Dental Showcase
at London’s ExCel in October.
Delegates visiting Blackwell at the KentExpress stand
were impressed with the ergonomic design and superb
quality of Hogies MaximEyes loupes, not only because of
their excellent magnification capability but also because of their ergonomic,
light-weight design.
Created with precision and comfort in mind, Hogies MaximEyes eyewear
not only reduces the weight of loupes on the nose by 70%, resulting in less
neck strain and fatigue, but are also flexible enough to suit a range of clinical
settings, from general dentistry to endodontics or surgery.
Designed to offer unparalleled protection from fluids and other contaminated
fragments, the ophthalmic-quality lenses in Hogies dental eyewear ensure
that a clear view of the treatment site is maintained.
Blackwell Supplies was delighted with the response it received from many of
the 12,000 BDTA Showcase attendees who visited the stand and looks forward
to next year’s event being an even bigger success.

For further information visit www.4everlearning.com Or Call 08745 0179874

For more information please call John Jesshop of Blackwell Supplies on 020 7224
1457, fax 020 7224 1694 or email john.jesshop@blackwellsupplies.co.uk

UCL Eastman Dental Institute at 2010
BDTA
Many of the 12,000 delegates attending
the 2010 BDTA Dental Showcase at
London’s ExCel this October visited the
UCL Eastman Dental Institute stand,
where the friendly Eastman team was
delighted to offer expert advice on
postgraduate and continuing education opportunities within the field of
dentistry. With over 60 years of experience and an international reputation for
clinical teaching and research excellence, the Eastman is regarded as a premier
provider of CPD training and postgraduate dental education in the United
Kingdom. Given the theme of this year’s showcase, ‘Innovation, Integration
and Education,’ the Eastman was also able to provide relevant and up-todate information to attendees on new growth areas within dental education,
such as its online and e-learning courses. Here, UCL Eastman CPD now offers
mandatory core CPD for the whole team at www.corecpd.com and a range
of downloadable podcasts for DCPs at www.dcpbites.com, each providing an
hour of verifiable CPD which can be loaded onto an MP3 player and listened to
as and when convenient.

Still Small Yet Even Bigger!
At this years’ Dental Showcase, Evident attracted
delegates to the stand with their newly
launched ExamVision™ 5.0x Loupes, delivering
even greater magnification from a short barrel
loupe!
Evident’s dedicated and experienced team of
consultants, including dispensing opticians,
were kept busy demonstrating these beautifully
designed, high quality, custom-made loupes,
providing unbeatable magnification with
an ocular that is half the length of some
other manufacturers.
These oculars are
more attractive, lighter in weight and better balanced than any other high
magnification loupe on the market today.
Available in two styles, three frame colours, three frame sizes and five
magnifications, delegates were impressed at how each ExamVision loupe could
be individually crafted to their personal measurements and requirements, even
if they wore glasses!Evident also exhibited their highly desirable consumable
products from leading US dental company Danville, including Prelude; the
ONLY system you need for dentine and enamel bonding, Accolade SRO; a
super radiopaque, flowable composite and the Accolade PV veneer placement
system. All Danville products have been designed to enhance daily working
practice, helping to offer patients the very best in modern clinical dentistry.
For more information FreeCall 0500 321111, email enquiries@evident.co.uk or
visit www.evident.co.uk

For more information:
For taught or research programmes, please contact the Admissions Officer on
020 7915 1092 or academic@eastman.ucl.ac.uk or
For CPD programmes, please contact the Administration Team on 020 7905
1234 or cpd@eastman.ucl.ac.uk

Show success for Kemdent’s
Cross Infection Control Products!
Kemdent was pleased to welcome
many new and existing customers
to their stand E03 at the BDTA show,
who took advantage of the special
offers on Cross-Infection Control
products.
Customers can still benefit from
special offers on these products by getting a tub of PracticeSafe Economy
or Heavy Duty wipes plus a dry roll refill absolutely free when you buy a 5L
PracticeSafe refill!
ChairSafe and PracticeSafe, Kemdent’s Cross-Infection Control foams, liquids
and wipes, can be used with confidence to decontaminate sensitive and nonsensitive surfaces and equipment in treatment and decontamination areas.
The BDTA show has proved once again, that customers consider Kemdent
products to be vital equipment in their Dental Surgeries.
For further information on special offers or to place orders call Helen or Jackie
on 01793 770090 or visit our website www.kemdent.co.uk. Follow us on
Twitter: twitter.com/kemdent

Another Successful Showcase for
Nuview at 2010 BDTA
Nuview was delighted with the
response from delegates at this year’s
2010 BDTA Dental Showcase to its
state-of the-art range of optical and
illumination equipment, which was
showcased to the 12,000 exhibition
attendees over the course of the three day event. Visitors to the Nuview stand
expressed a great deal of interest in the range of high quality loupes available
from Nuview. The EyeMag Pro and EyeMag Smart both attracted attention,
thanks to a combination of superb image quality, broad range of magnification
levels care of Carl Zeiss optics, and lightweight design.
Dental professionals were also impressed with the quality of the bespoke
service offered by Nuview, both pre and post purchase, from in-depth
equipment assessment surveys right through to the comprehensive and
ongoing aftercare provided to help ensure optimum usage. Delegates were
also interested in the other cutting edge products on display at the Nuview
stand, including the new V2 illumination unit and the Continu range of alcoholfree antimicrobial cleaning products. The powerful biocidal formulation of the
Continu range helps many dental professionals to maintain high standards of
hygiene within their practice, and is effective on virtually all surfaces.
For more information please call Nuview on 01453 759659, email info@
nuview-ltd.com or visit www.voroscopes.co.uk

A reason to smile at the BDTA Dental
Showcase
Attendees with an interest in
preventative dentistry and good patient
Oral Health made sure they visited
TANDEX’s stand at the BDTA Dental
Showcase and Exhibition 2010.

Waterpik® Water Flosser impresses
delegates at the BDTA 2010
Delegates at this year’s BDTA Dental
Showcase flocked to the Water Pik stand
to witness the wonders of the NEW
Waterpik® Ultra Water Flosser (formally
known as the dental water jet).

TANDEX GEL proved to be a particular
talking point amongst dental professionals at the exhibition, with its effective
combination of sodium fluoride and chlorhexidine digluconate. Making it ideal
for use by patients with a predisposition towards plaque, and caries.

Attendees enjoyed demonstrations
from the Water Pik team who displayed the full potential of the Water Flosser
range, a clinically proven alternative to traditional interdental and subgingival
cleaning methods such as string floss. In today’s climate the promotion of
oral health is essential, and has resulted in the rapid increase in demand for
both the Cordless Plus and NEW Ultra Water Flosser thanks to its ability to
significantly reduce the causes of periodontal disease.

TANDEX GEL can simply be applied using an interdental brush to reach even
the most awkward of spaces in the mouth, and helps to halt the process of
demineralisation and strengthens tooth enamel as well as effectively fighting
bacteria.
Clinical trials readily available from TANDEX, have demonstrated how TANDEX
GEL is effective in helping to maintain excellent oral health.
TANDEX’s line of products for better oral health, include interdental brushes,
tooth brushes, dental floss and tooth picks, also proved of interest amongst
attendees.
For more information on TANDEX GEL or any other of TANDEX’s products
please visit www.tandex.dk

The Waterpik® Ultra Water Flosser was accompanied by the NEW Waterpik®
Plaque Seeker® Tip which aids plaque removal in hard to reach areas,
particularly around dental restorations.
For more information on any Waterpik® Water Flosser, speak to your dental
wholesaler for your professional courtesy discount. Waterpik® brand products
are now widely available in Boots stores, selected Lloyds Pharmacies and on
our website, www.waterpik.co.uk

DENTSPLY tailors its stand to reflect
delegates’ needs at the BDTA Dental
Showcase.
As part of the company’s ongoing efforts
to work hand-in-hand with the dental
profession, DENTSPLY tailored its stand
at the British Dental Trade Association
Showcase 2010 to try to accurately
reflect dental professionals’ needs.
Delegates explored DENTSPLY’s innovative new endodontic and restorative
products, including the revolutionary SDR ™ (Smart Dentine Replacement).
They also took advantage of an area dedicated to product promotions,
where popular products such as ProTaper and other endodontic equipment,
Cavitron units and inserts, and Ash instruments could be found at discounted
rates. Delegates also observed the company’s experienced team of dentists
demonstrate how best to use the items in each range.
The new DENTSPLY Academy also proved to be a talking point among
delegates, which comprises educational events, webinars, How to Guides and
online learning packages. DENTSPLY is dedicated to raising clinical standards
in dentistry and, as such, its Academy offers a range of CPD training and events
to inspire and educate dental practitioners at all stages of their careers.
For more information or to book an appointment with your local DENTSPLY
Product Specialist call 0800 072 3313, email enquiry-uk@dentsply.com or
visit www.dentsply.co.uk.

Intelligent design at the BDTA
Genus impressed delegates at this year’s
BDTA Dental Showcase with its state-ofthe-art Computer-Aided Design (CAD)
programmes and expert advice.
Genus Dental can create an accurate,
full-colour portrayal of how your finished
practice renovation or refurbishment will
look. Attendees learned how they could use the package to alter the layout of
each room and cleverly optimise the space available to them.
Genus offered advice to delegates on issues such as HTM 01-05 compliance
and how to create additional space and improve practice logistics. As well as
creating different styles with lighting, colour and furniture arrangements.
In today’s current competitive climate, it is imperative that dentists secure
patient loyalty whilst also increasing numbers. Creating an outstanding first
impression by making you practice both stylish and memorable, is a way to do
just that. This is where the expert advice from Genus becomes so invaluable
when creating your unique practice.
For further information call Genus on 01582 840484 or email chris.davies@
genusgroup.co.uk www.genusinteriors.co.uk

GDPs respond to Straight Talking at
2010 BDTA Dental Showcase
The Straight Talk team enjoyed a
positive response to their seminars from
GDPS attending this year’s BDTA Dental
Showcase, held at London’s ExCel in
October.
Straight Talk’s practical and dynamic
Inman Aligner seminars fitted right in
with this year’s showcase theme of ‘Innovation, Integration and Education,’
and proved a big hit with delegates keen to learn more about how this
revolutionary device could help them provide patients with a life-style friendly,
conservative way to straighten anterior teeth.
Delegates visiting the stand were also impressed with the Straight Talk team’s
passionate approach to minimally-invasive cosmetic dentistry, with many
wanting to learn more about how to sign up for their hands-on and online
accreditation courses.
Currently, Straight Talk seminars offer a comprehensive one-day intensive
course led by Dr Tif Qureshi and Dr James Russell.
Covering everything from arch evaluation and case type selection, to
fitting, adjustment and retention, both courses provide dentists with all the
knowledge and skills they need to become certified Inman Aligner providers
and begin handling simple to moderate cases straight away.
For more information, please contact Caroline on
0207 2552559 (UK) or visit www.straight-talks.com

schülke entertains delegates at the
BDTA
schülke’s stand at the British Dental Trade
Association Showcase 2010 Exhibition
was a hive of activity with delegates
flocking to join in the fun and show off
their moves alongside a professional
dance troupe to the sounds of MC
Hammer.
To celebrate the success of the company’s popular line of touch free
decontamination systems with the strap line, ‘You can’t touch this’, dancers
entertained visitors to MC’s famous dance routine plus giving the lucky few
a chance to learn the flamboyant dance techniques with prizes going to the
delegates who performed best.
The team at schülke also used the opportunity to raise awareness of their
recently launched comparison website www.comparethemikrozid.com where
their mascot Mike explained to delegates whether or not their practice’s
surface cleaner and disinfectant was suitable for their needs.
Mike became a familiar face at the event as he wandered around the exhibition
hall, encouraging visitors to keep their surgery surfaces clean.
schülke, industry leaders in cross infection control in the clinical environment,
produce a wide range of products for hand hygiene and instrument
decontamination to alcohol-free surface cleaners and disinfectants.
More information on infection control products is available from schülke by
calling 0114 254 3500 or by visiting www.s4dental.com

[27] =>

United Kingdom Edition November 8-14, 2010

The Art of EXACT™ leads to Showcase
Success
As suppliers of the UK’s leading practice
management software programme
Software of Excellence were determined
to make a big impact at this years Dental
Showcase and they didn’t dissappoint.
A series of “live” demonstrations of
EXACT™ Version 10 provided visitors
with a fantastic opportunity to see how they could attract, retain and treat
patients, through new and exciting features including improved document
management, email and text communications, CTI, 3D tooth charting and
multi-column appointment books.
Business Managers were available to discuss the new THRIVE Business Service
with many interested practitioners. THRIVE allows the powerful information in
EXACT™ to be extracted and analysed by THRIVE consultants, providing data
on FTAs, un-booked surgery time, recall effectiveness and treatment plan
uptake.
Software of Excellence were delighted with the success of this year’s Dental
Showcase where sales outsripped those of previous years and are looking
forward to working with the many new and existing customers they met at
this year’s Show.
For more information call Software of Excellence on 0845 345 5767 or visit
www.soeidental.com

Philips switches its
Sonicare branding and
turns on BDTA delegates
Philips has reported a
record breaking BDTA Showcase. For the first time the Company sold Sonicare
brushes from its stand and achieved over 2,000 sales during the exhibition.
The enthusiastic uptake was partly as a result of an exciting new brand
direction for Sonicare which was unveiled at the show. The new campaign has
been designed to encourage those who haven’t already done so, to make the
‘switch’ from a manual or low-end power toothbrush to a Sonicare toothbrush,
and to recommend that their patients do so as well. In order to encourage the
switch, Philips welcomed 1,105 delegates to brush their teeth in one of the
stand’s brushing booths, which represents 10% of the c12,000 show attendees.
The underlining message given at the BDTA was that by switching to Sonicare
patients will experience a much more positive brushing experience which they
can actually see and feel. They will notice healthier gums and cleaner teeth,
and at their next practice visit their dental professionals will too.
If you would like more information about switching to Sonicare please visit
www.sonicare.co.uk/dp or call 0800 0567 222.

Smile-on - Promoting Education
and Innovation at the BDTA Dental
Showcase
The British Dental Trade Association’s
Dental
Showcase
2010,
entitled
Innovation, Integration and Education
working in harmony, provided the
perfect opportunity for dental education
provider Smile-on to exhibit its range of
courses. Delegates at the event were please to find some new additions to the
company’s comprehensive selection of programmes.
Communication in Dentistry Modules 4, 5 and 6 – As an extension of the first
three popular modules, the new series of communication programmes will
teach dental professionals how to further develop their communication skills
with colleagues to reduce stress and create a positive environment in which
to learn and work.
DNNET II - designed to help training dental nurses studying for the National
Certificate or NVQ level 3 in Oral Health Care Dental Nursing and as an update
for established nurses.

In addition, QuickWhite launched their new ‘LowCost’ whitening for both insurgery Peroxide and home Carbamide whitening, selling from just £19.50
per patient certainly pulled in the crowds attracting both old and new
customers. The teeth whitening brand is well known for its effectiveness and
fast whitening. They are the most economical kits sold in the market and
supported by patients marketing in addition to the new Eco packaging option.
Call 01227 780009 for further offers or visit www.QuickLase.com

DECAPINOL® impresses delegates at BDTA 2010
Delegates at this year’s BDTA Dental Showcase
surrounded the DECAPINOL® stand to hear about
a completely new and effective solution for the
management of gingivitis and the prevention of
periodontitis.The DECAPINOL® team were on hand
to answer any questions that delegates had about the innovative triple action
formula which enables DECAPINOL® mouthwash and DECAPINOL® toothpaste
help to treat and prevent gingivitis and periodontitis.

Core CPD – this online platform allows individuals to plan and manage their
CPD in core topic areas against the GDC’s requirements. The platform also
provides e-learning content, where-by the majority of the CPD is delivered
directly from the platform.

Multiple clinical studies have shown that DECAPINOL® reduces gingivitis
significantly by up to 57%.1 Containing 0.2% Delmopinol Hydrochloride,
DECAPINOL® mouthwash and toothpaste help to:
• Significantly reduce plaque formation
• Destabilise existing plaque build-up, enabling easy removal when brushing
• Promote a healthy balance of oral flora
DECAPINOL® mouthwash and toothpaste, in a long term perspective, are
the ideal adjunct to traditional oral hygiene, such as brushing and flossing,
working in a gentle and safe way to create an invisible barrier that prevents
plaque bacteria from adhering to the tooth surface; therefore interfering with
the build-up of new plaque.
DECAPINOL® mouthwash and DECAPINOL® toothpaste provide patients
with an effective method of preventing periodontitis and fighting gingivitis,
without dark staining of the teeth or leaving an unpleasant taste in the mouth.

For more information call 020 7400 8989 or email info@smile-on.com

For more information call: 01483 410600 www.decapinol.com

Clark Dental impresses delegates
at BDTA 2010
Exhibiting their extensive array
of high-end dental equipment
and
stylish
surgery
design
solutions at the 2010 BDTA Dental
Showcase, was Clark Dental. On
display was Clark’s extensive
collection of digital imaging products, ranging from the latest innovations
from Schick, such as the CDRElite intraoral sensor with its one-step userreplacable cable; right through to the ergonomic Galileos Compact 3D
diagnostic system from Sirona, offering unsurpassed image quality.
Also on show were the latest dental chairs from A-Dec, Stern Weber and
Anthos, as well as the Apex and Edarredo cabinetry ranges offering a choice
of both traditional and modern practice storage alternatives to suit all tastes.
Clark’s innovative range of SkyInside virtual skylights and windows, also
proved popular, offering a fresh way to transform dental interiors whilst
calming patients and inspiring staff.
Other products on display included:
• The Dentaloscope 2D, combining outstanding ergonomics with superb
microscopic images delivered via the extra-oral Video Magnification System
• CarieScan PRO, a hand-held monitor capable of detecting carious teeth with
incredible accuracy.
For more information call Clark Dental on: 01268 733 146 (Essex) or: 01270 613
750 (Cheshire) Email: enquiries@clarkdental.co.uk or: sales@clarkdental.co.uk

What a show for Quicklase
Quickwhite!
QuickLase Quickwhite stand
was so busy to the point staff
could not break for lunch,
they had record sales for
their Special Limited Edition
3w laser with more than 31 lasers sold at £1780 plus vat. A great opportunity
for dentists to grab a bargain!

BDTA Show Review 27

Key Opinion Leaders Put Their
Weight Behind Septodont’s
Revolutionary New Product,
Biodentine
Some of the UK’s leading dental
experts have put their names
behind a revolutionary new
product that has been described
as ‘the ultimate dentine substitute’.
Septodont launched its breakthrough new product, Biodentine in September
and has already received rave reviews from some of the leading lights in
dentistry about the cutting edge technology, which, for the first time, offers a
bioactive substitute for dentine.
What makes Biodentine so unique is the fact that it is the first all-in-one,
biocompatible and bioactive material that can be used wherever dentine is
damaged, both in the crown and the root.
The benefits of the product include:
• Preservation of pulp vitality and promotion of pulp healing
• Ability to replace the natural dentine with the same mechanical properties
• Biocompatible and bioactive dentine substitute
Based on unique Active Biosilicate Technology™, Biodentine™ is designed
to treat damaged dentine both for restorative and endodontic indications
and can be used whenever dentine has been damaged, giving it multiple
applications. For more information on Biodentine please contact your dental
dealer directly. Alternatively contact Septodont on 01622 695 520, email
information@septodont.co.uk or visit www.septodont.co.uk

KaVo Gendex- Proud to offer the Profession
Dental Excellence
One of the most famous names in dentistry, and
a byword for excellence throughout the industry,
KaVo launched their new go to market strategy
at this years Showcase, dealing only through
their chosen dealer equipment partners, some
of whom exhibited, including Henry Schein,
Dental Directory, Plandent, Anglian, Qudent, DB
Dental amongst others.
2010 has seen the launch of amongst others the
new E50 dental unit, the PiezoLED Ultrasonic
Scaler and the GXS-700 digital sensor, the
SMARTdrive micromotor and the complete integrated KaVo prophylactic
concept; along with the Leica dental microscope range.
KaVo are determined to maintain their unrivalled reputation for expertise and
the highest quality products, unsurpassed reliability and service.
For more information on KaVo’s exciting and diverse range of: dental units with
choice of delivery systems to suit all needs and budgets, including the highly
economical Primus 1058 unit from only £10,700; top quality handpieces,
which are designed to meet all clinical and economic needs and a number
of innovations in digital technology contact KaVo on 01494 733 000 or email
sales@kavo.com or visit www.kavo.com.

Distinctive design.....flawless flexibility
Superior design has brought together the essential
components of advanced technology, excellent
ergonomics and total hygiene into the Cleo II range
of treatment centres by Takara Belmont.
Armed with an array of features the Cleo II allows the
operator the finest degree of precision and control.
Both the ‘A’ and the ‘E’ unit incorporate the latest
triple axis rotation light, whilst the ‘E’ additionally
has all the following features: LED digital display, preset micro motor, torque
control and first priority hand piece selection.
At the heart of the Cleo II treatment centre, sits the space conscious, armchair
style, Clair chair. Available to purchase separately this unique folding and
extending chair facilitates more personal consultations whilst allowing
operator flexibility to work from the front, side or behind the patient.
The Clair’s seamless one piece upholstery offers supreme comfort whilst being
easy to clean to the most rigorous of hygiene standards. The 055 offers a power
headrest, two preset positions, last position memory and auto-return and is
suitable for both right and left handed installation. The 050 features all the
above but with a twin articulating headrest.
Free extended warranties are available for all Takara Belmont equipment

Private Practice
DMG UK
NEW Luxatemp Star
Best just got better!
Luxatemp, DMG UK’s bisacryl
composite for temporary crowns and
bridges, has been the market leader
in the USA for many, many years.
It has received many International
Awards including “Top Provisional
Material 2010” from the American Dental Advisor*.
However, with the launch of NEW Luxatemp Star, DMG UK believe they have
now made the best even better!
NEW Luxatemp Star offers improved initial hardness and outstandingly high
values in flexural strength and fracture toughness, thereby delivering even
greater stability and longevity. In addition, the long-term colour stability
has been further optimised. Always striving for the best possible, DMG have
also designed Luxatemp Star to achieve its final hardness even faster than its
predecessor: in about 5 minutes.
Luxatemp Star is supplied in a choice of delivery systems including Smartmix,
which means it can be mixed and directly applied without the use of a mixing
gun. Its small tips helping ensure economical use by minimising waste.
For further information contact your local dental dealer or DMG Dental
Products (UK) Ltd on 01656 789401, fax 01656 360100, email info@dmgdental.co.uk or visit www.dmg-dental.com
*Rating by The Dental Advisor for Luxatemp-Fluorescence Vol. 27, No.1 Jan/
Feb 2010.

Your greatest asset
needs a carefully chosen
partner…
As a dentist, your eyes are
central to everything you
do and deserve the best
possible care. So when it
comes to choosing loupes,
it’s unwise to compromise
on the quality of product you select or the service you receive.
At Evident, we supply high quality custom-made ExamVision™ loupes,
supported by our special dental knowledge and optical experience.
Our newly launched ExamVision™ 5.0x Loupes, deliver even greater
magnification from a short barrel loupe. Available in two styles, three frame
colours, three frame sizes and five magnifications, each ExamVision™ loupe
is individually crafted to your personal measurements and requirements.
Whether you normally wear glasses or not, ExamVision’s™ lightweight,
high-definition loupes will vastly improve your detailed vision of the whole
treatment area, whilst also improving your comfort, making it easier to work
and reducing stress.
Evident are the UK’s No.1 supplier of loupes and lights and our vision is to
supply the very best precision products, combining exceptional quality and
service with outstanding design.

Sirona C8+: Affordable Star Quality
from Henry Schein Minerva
Starting from as little as £219 per
month*, you can integrate stunning
looks into your practice with the Sirona
C8+ Treatment Centre and Henry Schein
Minerva, with confidence that you’re
receiving first-class equipment for your
individual needs and budget.
As a leader in its field, the Sirona C8+ Treatment Centre is designed to provide
a good quality working environment whilst maintaining excellent value for
money, delivering fully integrated devices that make clinical procedures easier
to perform.
What’s more, the award winning ergonomic design of the Multi-motion
headrest means patients can retain a relaxed posture with the patient’s head
remaining in the same position at all times, giving you easy access to all four
quadrants.

To arrange a no-obligation consultation FreeCall 0500 321111 or visit
www.evident.co.uk.

To find out more, or to arrange a visit from your Local Equipment Specialist
please call 08700 10 20 41 or visit www.henryschein.co.uk

Ideal for two or four-handed treatment Sirona C8+ can also be easily converted
for left or right handed practitioners, a real advantage in practices where
several dentists share the same facilities. But hurry, VAT will be rising to 20%
in January 2011 so don’t miss out on the great VAT saving with Henry Schein
Minerva, ending December 31st 2010.

[28] =>

28 Private Practice

United Kingdom Edition November 8-14, 2010

NSK Unveil New LED Line Up
NSK are delighted to launch
an extension to their LED
range that now incorporates
options across a full range
of
leading
manufacturers.
Many practitioners are already
experiencing
the
powerful
benefits of LED using NSK LED couplings for NSK, KaVo® and Sirona®, now TiMax X Series turbines and S-Max turbines with integral LED are available from
NSK for both W&H® and Bien-Air®.
NSK’s premium Ti-Max X Series turbines are available in 3 head sizes and
feature a Dual Air Jet turbine that makes the X700L the most powerful turbine
on the market.
The S-Max range has the same ceramic bearings, clean head system and
cellular glass optics as the Ti-Max, but in a slim stainless steel body that is
comfortable to hold and use.
NLX nano and NLX Plus with endo feature are NSK’s new generation of
micromotors. Thanks to its revolutionary design, the NLX nano is smaller and
lighter than its predecessor making it feel as well balanced in the hand as a
turbine.

Quality Endodontic Distributors Ltd
New 9th Edition QED Catalogue
with even more exciting products
Quality Endodontic Distributors have recently
launched the Ninth Edition of their Endodontic
Specialist Catalogue with a new distinctive
cover. It contains many new product lines. It
is illustrated throughout, with a clear and easy
to read layout detailing their complete range
of Endodontic armamentaria. With every item
coded and priced QED believe it is the easiest
endodontic catalogue to use and that every
Practice should have one.
The Ninth Edition includes all QED’s
established products plus their extensive new
range of products from Cerkamed. The Cerkamed range helps to complete
arguably the most comprehensive endodontic catalogue available.

Turbines and Contra angles from the Ti-Max X Series are now available to rent
from NSK for only £24.32 + vat per month. Call Jane White on 0800 6341909 or
visit www.nsk-uk.com.

To obtain your copy telephone Quality Endodontic Distributors Ltd on 01733
404999, email sales@qedendo.co.uk, fax 01733 361243, visit www.qedendo.
co.uk or contact your local QED Salesperson.

The Ninth Edition also includes Protocols from such leading Endodontists as
Anthony Hoskinson, Pierre Machtou, John Whitworth, Julie Kilgariff and Nick
Adams.

ATTRACT, RETAIN, TREAT – The Art of
EXACT™
The UK’s leading practice management
software, EXACT™ from Software of
Excellence, can have a dramatic impact on
practice organisation and communication.
EXACT™ is the perfect tool for private practice,
making it easier to attract, retain and treat
patients through new and exciting features,
including improved document management,
email and text communications, 3D tooth
charting and multi-column appointment books.
Now, the powerful information and statistics stored within EXACT™ can be
extracted and analysed using THRIVE Business Services and used to drive your
private practice forward. Data on 10 Key Performance Indicators including
FTAs, un-booked surgery time, recall effectiveness and treatment plan uptake
is examined by THRIVE consultants who work with individual practices to
develop a range of strategies that have been shown to improve practice
efficiency and increase revenues.
EXACT™ can help change the way you manage your practice for the better,
enhancing patients’ experience, increasing treatment plan acceptance and
ensuring you achieve profitable results in an efficient and effective manner,
leaving you more time to concentrate on delivering excellent clinical care.
For more information call 0845 345 5767 or visit www.soeidental.com.

Industry News
Owandy Imax Touch Panoramic unit in Wimbledon
Wimbledon, SW19 in London is now on the map with
the latest installation of an Owandy Imax touch digital
panoramic unit. The unit has been installed at Dr
Suliemans at 134 Kingston Road. This ergonomically
designed unit comes complete with both Tomographic
slicing and TMJ applications as standard. It can also be
subsequently upgraded to both Cephalometic as well
as 3D imaging.
The unit has Ethernet connectivity to one or more
computers, or onto a network. Once connected, the main control panel of
the Imax Touch can be slaved onto the surgery pc screen for setting exposure
parameters. The Imax can also take a USB memory stick, for transferring data
outside of a network.
The twin laser positioning system helps the operator get excellent images
consistently. The resulting radiograph can be viewed, zoomed and diagnosed
on the Imax control panel, before detailed examination using the Owandy
Quickvision software on a surgery pc.
For more information, or a demonstration of the Quickvision imaging software,
please contact:
Mark Chapman
Director Sales & Marketing
Mobile: 07734 044877
E-mail: mark@velopex.com
Owandy supported by Velopex

Three new studies
show
increased
benefits
for
oral
healthThe
Philips is challenging
dental professionals with the question “Do your patients love their toothbrush?”
If they are using a manual brush, the answer is probably a resounding “no”.
If proof were needed that encouraging patients to switch from a manual
toothbrush to a Philips Sonicare power toothbrush can significantly improve
their oral health, a set of new clinical studies show even more reasons. The
data from the three studies reinforces the efficacy of using a Philips Sonicare
power toothbrush to clean teeth and reduce gingivitis.
The Philips Sonicare brand is a leader in oral health care, and is backed by
more than 175 publications and abstracts representing clinical and laboratory
studies conducted at more than 50 universities and research institutes
worldwide. Philips Sonicare power toothbrushes are proven to promote and
improve oral health, from reducing plaque to improving overall gum health.
They have also demonstrated the ability to increase patient compliance by
promoting a consistent oral health and hygiene regime between dental
appointments. As a result Philips Sonicare is the number one sonic toothbrush
brand recommended by dental professionals for adults worldwide.
For more information about these and other clinical studies, please visit
www.sonicare.co.uk/dp.

Join the Admor Buying Club and save time and
money
Thanks to the new Admor Buying Club, dental office
supply management just got easier and more cost
effective.
Dentists who join the Admor Buying Club not only
gain admission to the best deals around, including
an array of special offers and exclusive discounts,
but they also benefit from the convenience of online
access to a one-stop resource for all their practice essentials - saving both time
and money.
With a comprehensive range of office, janitorial and furniture products
available to order online for next day delivery, all designed to help you present,
run and update your practice stylishly and efficiently, together with credit
facilities and friendly, helpful service, Admor offers dentists a truly practical
solution that makes complete business sense.
Why not join the club? Whether you’re an NHS, private or mixed surgery, the
Admor Buying Club offers you a way to save.
With everything your practice needs under one roof and at the best possible
price, why would you go anywhere else? Join now by visiting www.admor.
co.uk and clicking on the Admor Buying Club button to sign up – it’s as easy
as ABC.
For more information or to register for your account, call 01903 858910 or visit
www.admor.co.uk

Grandio®SO - so tooth-like!
Grandio®SO, the new, universal nano-hybrid
restorative for all classes of cavity. It meets the
highest de-mands for restorations in anterior and
lateral regions. Grandio®SO is suitable for class I
to V restorations, reconstruction of traumatically
injured anterior teeth, interlocking and splinting
of loosened teeth, correc-tions of shape and
colour to enhance aesthetic appearance, core build-up for crowns, and the
fabrication of composite inlays.
Grandio®SO stands out due to its superb material properties and is the most
tooth-like material on the market, due to its physical parameters and their
interaction with each other.
Thanks to its smooth consistency, this material is readily packable and
possesses good plasticity without having the tendency to stick to the
instrument. In addition, Grandio®SO combines exceptionally long workability
under exposure to ambient light with very short setting times during
subsequent polymer-risation. It is possible to reliably cure the material in 10
seconds per 2mm increments. Grandio®SO is available in easy to use rotating
syringes as well as economical Caps.
VOCO GmbH, PO Box 767, 27457 Cuxhaven, Germany, www.voco.de
Sales Manager UK: Tim McCarthy, Mobile: 07500-769-613, t.mccarthy@voco.
comVOCO at the BDTA Dental Showcase in London: Booth L04

A third of parents
let their children
skip brushing
Worrying
new
research
shows
that many parents
are ignoring the warnings of dental professionals, as it finds that millions of
British parents are letting their children off brushing their teeth simply because
they’re too rushed or stressed.
The study found that nearly a third of parents let their children skip brushing if
they’re in too much of a rush, while one in five says they let their kids off part of
their morning brushing routine, simply to avoid the hassle.
The National survey of 1,002 parents of children aged between 4 and 10
showed that:
o 30% of parents say between 7am and 9am is the most stressful time of the
day.
o 25% of parents say their children don’t want to brush their teeth in the
morning.
o 29% of parents say they let their children off brushing their teeth when
they’re in too much of a rush.
o 19% of parents say they let their children off brushing their teeth to avoid
the hassle.
For more information about Sonicare For Kids and the ways in which it
encourages compliance by children aged 4 -10 years can be obtained on
www.sonicare.co.uk/dp or by calling 0800 0567 222.

Admor – For all your Marketing,
Printing and Direct Mailing needs
Need help attracting new patients and
promoting your practice’s specialist
services with a local direct mail campaign?
Contact Admor now!
Admor can provide you with a professional full service printing, design and
distribution solution tailored to meet all your specific needs.
Equipped with the latest software and an experienced design team, Admor
can produce an array of eye-catching printed practice marketing items, all
of which can be individually customised to reflect your particular company
‘brand’ and help to present your surgery in the best possible light.
Using the latest print technology, Admor can offer an efficient, cost effective
solution to suit any budget whilst providing a high standard of customer
service, whatever the size of your order.
Admor can also arrange the postal distribution of all your practice promotional
literature, taking the hassle out of direct mail shots and marketing campaigns.
Do not delay. Choose an organisation you can trust to deliver on time and
on budget. No matter what your printing or direct marketing requirements,
Admor has a solution for you.
Call 01903 858910 to speak to one of our customer service advisors.
www.admor.co.uk

The Dental Directory 28.8% cheaper
than Henry Schein Minerva!
The Dental Directory has again randomly
compared 199 of its branded products
with rival dealer Henry Schein Minerva; the
results revealed Henry Schein Minerva is
a staggering 28.8% more expensive than
The Dental Directory!
The price comparison compared 199 identical products from The Dental
Directory’s current product catalogue and Henry Schein Minerva’s Dental
Product Guide 2010/11.
Henry Schein’s high pricing strategy in the UK helped the American-owned
parent company Henry Schein Inc report worldwide sales of $6.5 billion* and
operating income of $468.7m* in 2009. These figures generated a healthy
$3.20 dividend per share to their corporate and stock market shareholders.
The Dental Directory continues to be a family-owned and managed business
and does not have private stock market shareholders who require a massive
return on their investment. This means that The Dental Directory can
continuously check prices, reduce margins and pass these savings on, ensuring
UK dental professionals receive the very best prices in the market.
To start working with The Dental Directory call 0800 585 586 or speak to your
local Dental Directory Business Consultant.
* Figures taken from financial reports on the Henry Schein Inc website – 18th
October 2010

Real Patients, Real
Practitioners, Real
Research
The
P&G
Healthy
Smile Trial Programme
has been running for three months in the UK. Participating professionals
were asked to select six patients to receive a free Oral-B oscillating-rotating
toothbrush. Participants had to be over 18 years of age, have at least 20 natural
teeth and have exhibited mild to moderate plaque build-up.
947 professionals participated in the scheme which involved 1,296 patients.
To date, results have shown that having once tried the technology the
overwhelming majority of patients don’t want to give it up. 83% of patients
believe the oscillating-rotating toothbrush helped them improve their
brushing technique.
Dental professionals saw an improvement in the gingival health of 89% of
their patients. Unsurprisingly, 92% of participating dental professionals
claimed that they would recommend the oscillating rotating toothbrush to
their patients. Clearly, having seen the improvements themselves in their own
patients, professionals are more inclined to recommend to others.
The value of this research is evident not only because the results are likely to
be shown to be consistent with other similar trials in reducing plaque and
gingivitis but also because the outcomes will be in real people engaging in
their ‘normal’ routines.

Topdental Launches Biggest
Christmas Offer Sheet Ever!
www.topdental.org
Topdental are a leading
specialist
provider
of
every day dental sundries
and dental products. This
November Topdental have
launched a 2 month Christmas
Special Offer Sheet. As well as being packed with great offers they are also
offering 2 major seasonal ‘give-aways’.
FREE Vouchers or latest iPod nano Offers
This year they are offering a choice of a FREE £10.00 High Street Voucher with
all orders over £150 AND a package deal which includes a FREE 8 GB iPod nano
(5th generation or the latest 6th generation available). See the offer sheet or
the website for details: www.topdental.org,
Special Offer Gifts in our Biggest
Christmas Offer Sheet Ever !!
See Offer Sheet for details

General christmas10.indd 1

18/10/10 11:34:18

If you would like to receive a copy of their catalogue and current offer sheet
please telephone 0800 132 373. You can also download the offer sheet and
order on-line at www.topdental.org, where you will receive a 3% discount on
all on-line orders.
Topdental
0800 132 373
www.topdental.org
sales@topdental.co.uk

[29] =>

Come
visit

ANSELL CARES FOR HANDS THAT CARE

us at
BDTA boo

All dental health
practitioners deserve
optimal protection

in Lon th T20
14 -16 don
Octobe
2010 r

As a dental professional you’re committed to giving your patients the most attentive care, while
protecting them and yourself from infection. Recent guidelines* highlight the serious risks of
infection during dental procedures and the need for better hand hygiene, including the correct
use of gloves. Ansell’s Micro-Touch® range of versatile and innovative products covers all dentistry
examination applications. With high levels of comfort, dexterity and breathability, Micro-Touch®
gloves are manufactured to strict speciﬁcations to meet EN 455 norms for exam gloves.
Ansell Micro-Touch®. Because all healthcare workers and their patients deserve optimal protection.
* WHO Guidelines on Hand Hygiene in Health Care (2009); Council of European Dentists: EU Manual of Dental Practice (2008).

Ansell UK Ltd 30-32 Mariner Lichﬁeld Road Industrial Estate Tamworth B79 7UL
United Kingdom Phone: +44 (0) 1564 711 802 Fax: +44 (0) 1564 711 344
http://www.ansell.eu E-mail infouk@eu.ansell.com
Ansell Healthcare Europe N.V. Riverside Business Park Block J Boulevard International 55
B-1070 Brussels, Belgium Tel.: +32 (0) 2 528 74 00 Fax: +32 (0) 2 528 74 01
Fax Customer Service +32 (0) 2 528 74 03 http://www.ansell.eu E-mail info@ansell.eu

[30] =>

30 Events

United Kingdom Edition November 8-14, 2010

Esthetics meets
Aesthetics
Suzy Roland looks at the changing face of cosmetic dentistry at the 2010 conference

osmetic
dentists
in
the US have traditionally been regarded as

pioneers in their field, with
their European counterparts
following in their footsteps.

Now, the balance has been readdressed and our peers across
the Atlantic are increasingly
looking towards Europe for
advice, education and inspi
ration.

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S
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FREE
Adrenaline FREE
Worry LESS
Latex

Availab
in 2.2ml c le
artridges

Citanest 3%
®

The conference, held in London, celebrated both the similarities and the differences between
the way the two continents prac-

‘clinicians honed
their skills at the
workshops’
tise cosmetic dentistry, whilst
offering delegates the chance
to share their knowledge of the
latest techniques and materials
on the market. The event also
enabled those present to attend
lectures from world-class dental
professionals and educators, to
network and make new friends.
Throughout the three-day
event clinicians honed their
skills at the workshops and
hands-on sessions taking place,
networking
with
suppliers
and exploring the latest equipment available in the trade exhibition hall.

with Octapressin DENTAL

prilocaine hydrochloride and octapressin
corresponding to felypressin
• Latex FREE and Adrenaline FREE, 40% less toxic
than lidocaine* yet still provides the depth and
duration demanded by routine dental procedures.

This year’s September meeting of the British Academy of
Cosmetic Dentistry was a testament to this recent shift and
unique in the fact that it brought
together some of cosmetic
dentistry’s premier organisations for the first time ever: the
American Academy of Cosmetic
Dentistry; the Dental University
of Paris Study Group; the European Society of Cosmetic Dentistry; and the German Academy
of Cosmetic Dentistry.

Available in Standard and
Self-Aspirating 2.2ml cartridges

UKP00269

*Handbook of Local Anaesthetic, Stanley F. Malamed

CITANEST® 3% WITH OCTAPRESSIN DENTAL: Prilocaine Hydrochloride, Octapressin (felypressin). PRESENTATION: Sterile clear aqueous solution containing prilocaine hydrochloride 30mg/ml and Octapressin
(felypressin) 0.03 i.u./ml. USES: Dental infiltration anaesthesia and all dental nerve block techniques. DOSAGE & ADMINISTRATION: Usual adult dose is 1–5ml. Children under 10 years 1–2ml. A dose of 10ml (6
cartridges) should not be exceeded. Elderly or debilitated patients require smaller doses. CONTRA-INDICATIONS, PRECAUTIONS, WARNINGS ETC: Contra-indications: Hypersensitivity to amide anaesthetics
or any other of the solution’s components. Anaemia, congenital or acquired methaemoglobinaemia. Precautions: Caution must be taken to avoid accidental i.v. injection as it may give rise to rapid onset of toxicity. Use
cautiously in the elderly, patients with epilepsy, severe or untreated hypertension, severe heart disease, impaired cardiac conduction or respiratory function, liver or kidney damage or poor health, if high blood levels are
anticipated. Avoid injection if site is inflamed. Facilities for resuscitation should be available. Side effects: Extremely rare in dental practice and usually the result of excessive blood concentrations. Nervousness, dizziness,
blurred vision, tremors, drowsiness, convulsions, unconsciousness, hypotension, myocardial depression, bradycardia and possibly respiratory or cardiac arrest. Allergic reactions. Methaemoglobinaemia; consider giving 1%
methylene blue i.v. 1mg/kg over 5 minutes. Pregnancy: Use with caution during early pregnancy. Prilocaine enters mothers milk with no general risk at recommended doses. Interactions: With sulphonamides e.g.
cotrimoxazole. Vasopressor properties of Octapressin should be considered. Observe caution when concomitant use with other amide-type local anaesthetics. PHARMACEUTICAL PRECAUTIONS: Store below 25ºC.
PACKAGE QUANTITIES: Box of 100 cartridges. LEGAL CATEGORY: POM. PRODUCT LICENCE NUMBER: 04690/0028. DATE OF PREPARATION: February 2007. FOR FURTHER INFORMATION CONTACT
THE PRODUCT LICENCE HOLDER: DENTSPLY Limited, Building 1, Aviator Park, Addlestone, Surrey KT15 2PG. Adverse events should be reported to DENTSPLY or the MHRA. More information can be found
at www.yellowcard.gov.uk. CITANEST® is a trademark of DENTSPLY International and / or its subsidiaries

Along with a full programme
of lectures and seminars, dental
professionals were also treated
to social events in outstanding surroundings. The historic
House of Commons played host
to the social highlight of the international meeting, the elaborate Welcome Reception, and
the glittering Gala Event closed
the conference with an incredible evening of five-star dining,
entertainment and dancing.
For more information about
membership entitlements, including access to next year’s
conference, please contact
Suzy Rowlands on 0208 241
8526 Or email suzy@bacd.com DT

[31] =>

Classified 31

United Kingdom Edition November 8-14, 2010

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

To advertise here please contact Sam Volk
on 0207 400 8964

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

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

CONTACT US NOW!
OPRO Ltd, A1(M) Business Centre, 151 Dixons Hill Road,
Welham Green, Hatfield, Herts. AL9 7JE

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

part of the oprogroup

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

7320_09_3

Untitled-4 1

19/10/09 17:03:31

mouthguard and tray
cleaning tablets

A ONE YEAR MODULAR COURSE IN

RestoRative DentistRy 2011

Now in its fourth successful year, this course has revolutionized the teaching of restorative
dentistry. The combination of an increase in knowledge and practical skills will bring high
quality dentistry into your ‘comfort zone’. There is one single feature that all delegates
who have completed this one-year course have acquired – confidence!

Fri 7th Jan
Sat 29th Jan
Sat 26th Feb
Sat 12th March
Sat 9th April
Sat 14th May
Sat 25th June
Sat 9th July
Sat 19th August
Sat 17th Sept
Sat 8th Oct
Sat 12th Nov
info@medicsfinancialservices.com
www.medicsfinancialservices.com
+44 (0) 1403 780 770
Very competitive fixed rates - House and Practice
Finance
Surgery Finance - Bank of England Base
(from) + 1.00%
100% Mortgage Finance - House and Practice
Extremely Enhanced Income Multiples

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

for Dentists

+44 (0) 1403 780 770

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

MPMS 95x50 Dentists.indd 1

11/12/2006 21:56:19

Fri 9th Dec

Intro: Occlusion 1
Occlusion 2
Anterior Direct Composite Restorations
Posterior Composites and Bonded Amalgams
Dentures; Full and Partial
Endodontics
Crown Preparations 1
Crown Preparations 2
Implants
Smile Design and Veneer Preparations
Bridgework
Periodontology
Posts, Treatment Planning and Practice Marketing

Set in central Leeds, the course utilizes the high spec phantom head room in The Leeds
Dental Institute for all its practical sessions.

0791 458 9692

claire@thenorthofenglanddentalacademy.com

one year modular course

£450

per course day,
inc VAT

To view the full dates for all available courses, please visit:

84.5

www.thenorthofenglanddentalacademy.com

hrs
CPD

[32] =>

80% extra protection

against future acid erosion1

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

* compared to brushing with Sensodyne Pronamel
daily toothpaste alone

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

RECOMMEND PRONAMEL PROTECTION FOR YOUR PATIENTS

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[cover] => DT UK 2710

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