DT UK 2809

Is Improved Access Really Necessary? / News / News & Opinions / The 10th Dimension… the power of 10 - part 1 of 2 (part1) / What’s in a name? Quite a bit actually... / The 10th Dimension… the power of 10 - part 1 of 2 (part2) / Have you gotten the message yet? / The future starts today / Save yourself from indecent disclosure! / A super-personal service / 10 Top tips on achieving great aesthetics / Treating children in practice / One visit is all it takes / Implementation - implementation - implementation / Stockport-based implant maestro wows colleagues from across the globe / Industry News / Endodontics: a field of its own / Volunteer programme success

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Table of contents

November 23-29 2009

PUBLISHED IN LONDON
News in Brief

New NASDA Media Officer
Paul Kendall has been appointed media spokesman
for the, National Association of Specialist Dental Accountants. (NASDA). He was
the founder of the association more than 11 years ago
and served as its first chairman. Mr Kendall, who is a
partner in Dodd and Co, in
Cumbria, has 110 dentist clients. He is a member of NASDA’s technical committee and
has just written his second
book on dental accounting.
Teeth Grinding Solution
Dental patients who grind
their teeth while asleep are
being given mild electric
shock treatment to ease the
condition. A chain of private dental practices in Hull
is trialling a device which
delivers a very small electrical impulse when grinding. The new device, called
Grindcare, which was developed in Denmark, incorporates a small electrode which
is placed on the temple and
then monitors the movement
of facial muscles. When it detects increasing facial tension,
it delivers a tiny electrical
impulse called biofeedback.
This is not consciously felt by
the sleeper but still relaxes
the facial muscles. The technology is reputed to be able to
reduce teeth-grinding by up
to 80 per cent within a twomonth period.

www.dental-tribune.co.uk

News

Richmond Reception

Champagne flowed as Endocare
opens its new surgery in SW
London

page 4

Money matters

Research Funding

The University of Manchester
receives £1.7m to research preventative cost-effectiveness

Love Work!

Peter Dunn discusses why we
should start liking what we do
for a living

page 6

Education

Treating Children

Dental Protection looks at
medico-legal issues surrounding
the treatment of children

page 14-15

page 20-21

Is Improved Access Really Necessary?
The NHS Constitution: a Consultation on New Patients’ Rights, was
published on November 10, with a Government pledge that everyone
wanting NHS dental access should have it by spring 2011

he document states: “There
have been problems with
NHS dentistry access since
the early 1990s. Our 2006 dental
reforms have given PCTs the power
to contract dental services to meet
local needs. In order to expand services wherever they are needed, we
have set up a national dental access
programme, headed by Dr Mike
Warburton, to support the NHS in
further improving access.

We have also accepted recommendations from the independent
review led by Professor Jimmy
Steele published in June 09, to improve long-term access and quality.”
Recommendations also include linking some of dentists’
income to registered NHS patients and encouraging preventive care advice. The right to
private treatment is proposed,
if a patient cannot access an
NHS specialist within 18 weeks,
after referral.
But Eddie Crouch, Birmingham LDC secretary, has hit out
at what he regards as the Department of Health’s (DH) ‘blanket
policy’ to improve country-wide
NHS dental access. He says registration in the early 90s was never
cross-referenced, hence figures are
likely to be inaccurate and inflated.
He thinks Government money
would be better targeted towards
an area’s particular needs, as access isn’t a nationwide problem.
He explains: “In South Birmingham everyone who wants NHS
dentistry access already has it, so
the money would be better
spent differently.”
He claims the previous responsibility given to PCTs to choose

how to spend their money has
been removed, replaced by a onesize-fits-all central Government
directive, which does not always
answer local dental needs.
He adds: “Just making a huge
investment of over £150 million
doesn’t mean there will be a massive flood-in of NHS dental patients.
It means new practices will open,
but the same amount of patients
will access care. So other surgeries
may well see numbers drop.

Ros Hamburger, HOBTPCT
dental public health consultant,
said: “We are committed to providing the right kind of dental
care and want to ensure everyone has a say in how that service
functions in the future.”
DH figures released in August showed that 720,000 more
NHS dental patients accessed
services in the four quarters ending June 09. Courses of treatment
in 2008/09 increased by four per

cent (1.4 million) from the previous year and UDAs were up 5.7
per cent.
Chief Dental Officer for England, Dr Barry Cockcroft says
access is not only about procurements, but also covers improved
contracting and better communication. He says: “How needs are
tackled is also about social and
cultural education, not just more
services. It is important to get the
right message through.” DT

“In South Birmingham PCT, it’s
been decided we need 23,000 new
NHS dentistry patients. But there
are simply not that amount of people waiting for an NHS dentist.

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“However, many patients complain that orthodontic, periodontal and endodontic treatments are
hard to access and home-visits for
housebound patients and nursing
home residents are inadequately
funded. Surely money would be
better spent on real problems.”
Mr Crouch also thinks the
time-span for PCTs to make comprehensive needs’ assessments is
too short. But he adds: “I have sympathy with the pressure PCTs are
under, they are unlikely to want to
object to pressure from central Government, even if they agree with
local dentists.”
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He is awaiting a response from
a letter, drafted to Ann Keen, minister responsible for dentists and
LibDem MP, John Hemming, has
taken up the matter.
Heart of Birmingham PCT
(HOBTPCT) is currently doing
a consultation on NHS dental
service provision.

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[2] =>

2 News

United Kingdom Edition November 23-29, 2009

Leicester in NHS dentist drive

HS Leicester City is on a
drive to encourage people to visit NHS dentists
in the area. Dentists in Leicester
are aiming to brush away myths
about the lack of NHS dental
provision, in a bid to inspire
thousands of local people to access dental services.
A campaign was recently
launched to raise awareness
as to which dental surgeries in
Leicester are offering NHS treatment, as well as to challenge the
notion that it is hard to find an

NHS dentist in Leicester. There
are currently 60 NHS general
dental providers in the city, of
which more than half - 33 in total - are accepting new patients.

appointment. There are dozens
of dentists across the city waiting
to see NHS patients and we want
people to take full advantage
of this.

Staff from NHS Leicester
City’s patient advice and liaison
service (PALS) are signposting
people to those dentists accepting new patients via a new dedicated dental helpline.

Dentist Philip Martin, who is
chairman of Leicestershire and
Rutland local dental committee and has a dental practice in
Leicester, said: “There are many
high quality NHS dentists available to people in Leicester and
as local dentists we are all keen
to support good oral health. We
are sure that this campaign will
encourage people to make an
appointment now and to continue to see a dentist regularly in
the future.

The campaign is also aiming
to make dental charges clearer,
so that patients who pay for NHS
treatment can easily understand
charge bandings.
Toby Sanders, NHS Leicester
City’s director of primary and
community care, said: “There is
a belief that it is difficult to find
an NHS dentist, but in Leicester
this is no longer true.

L-R - Philip Martin, chair of Leicestershire and Rutland LDC; Toby Sanders,
NHS Leicester City’s director of Primary
and Community Care; Jit Hindocha, local
dentist and NHS Leicester City’s dental
clinical adviser

“We have invested in dental
services to make it easier than
ever before for people to get an

“We particularly want to see
people back in our practices,
who have not been to see an
NHS dentist for some time. Visiting the dentist before problems
develop is the best way to avoid
costly bills and potentially painful problems in the future.” DT

International Imprint
Executive Vice President
Marketing & Sales

Peter Witteczek
Dental Tribune UK Ltd
p.witteczek@dental-tribune.com 4th Floor, Treasure House, 19–21 Hatton Garden, London, EC1N 8BA
Chairman
Torsten Oemus
t.oemus@dental-tribune.com

Published by Dental Tribune UK Ltd
© 2009, Dental Tribune UK Ltd. All rights reserved.
Dental Tribune UK Ltd makes every effort to report clinical
information and manufacturer’s product news accurately, but
cannot assume responsibility for the validity of product claims,
or for typographical errors. The publishers also do not assume
responsibility for product names or claims, or statements made
by advertisers. Opinions expressed by authors are their own and
may not reflect those of Dental Tribune International.

Managing Director
Mash Seriki
Mash@dentaltribuneuk.com
Editor
Lisa Townshend
Tel.: 020 7400 8979
Lisa@dentaltribuneuk.com
Director
Noam Tamir
Noam@dentaltribuneuk.com

Advertising Director
Joe Aspis
Tel.: 020 7400 8969
Joe@dentaltribuneuk.com
Sales Executive
Sam Volk
Tel.: 020 7400 8694
Sam@dentaltribuneuk.com
Marketing Manager
Laura McKenzie
Laura@dentaltribuneuk.com
Design & Production
Keem Chung
Keem@dentaltribuneuk.com

Left-Right: Duncan Rudkin, Angie McBain, Martin Fallowfield, Sue Bruckel, Tony Reed,
Sally Naish, Martin Brace (Photo: Sally Burford)

National Dental Nursing
Conference Success

his year’s National Dental Nursing Conference
held at the Cheltenham
Chase Hotel was the biggest and
most successful to date. A record
number of delegates attended
the conference in October, which
was sponsored by the BDTA,
NHS Direct and Philips Sonicare.
Participants saw outgoing
president, Angie McBain hand
over the chain of office to Sue
Bruckel who became BADN’s
2009-2011 president at the opening ceremony, where the keynote speaker was GDC president, Hew Mathewson.
The conference’s extensive
lecture programme offered up
to seven hours of verifiable CPD.
Lectures covered cross infection
control, introducing preventive
practice, law and ethics, back
care for dental nurses, risk assessment, prosthetics, oral and
maxillofacial surgery, implants,
medical emergencies and resuscitation, the new BSc for dental
care professionals, forensic dentistry and accessibility for people

Outgoing President Angie McBain hands
over the Chain of Office to 2009-2011
BADN President Sue Bruckel (Photo:
Sally Burford)

with learning disabilities. Delegates could choose in advance
which presentations they wanted
to attend, through BADN’s new
CVENT on line registration facility. A wide variety of speakers
attended the event, from organisations including Schuelke, Colgate, the British Chiropractic Association, Nobel Biocare, Philips
Sonicare, the University of Kent,
Gloucestershire PCT and the
2gether NHS Foundation Trust.
Outside the lecture theatre,
delegates talked to representatives of NHS Direct, the GDC
and Parliament Hill, providers
of the BADN benefits’ scheme. At
lunch, they were treated to a selection of British cheeses, courtesy of the British Cheese Board.

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Peterborough general dental
practitioner, Martin Fallowfield,
was master of ceremonies at
the black tie presidential dinner.
Entertainment was provided by
swing tribute act Swing Thru
a Lens, whose repertoire of rat
pack classics and modern swing
favourites proved to be a big hit
with delegates.
At the closing ceremony, the
new president presented four
new BADN fellows with their
certificates, introduced new
members and first-time delegates, congratulated delegates
on recent qualifications and
achievements and presented a
wedding present from the BADN
to newly-married chairman of
the BADN’s national education
group, Samantha Ball.
Next year’s national dental nursing conference is at the
Blackpool Hilton in November. DT

[3] =>

News 3

United Kingdom Edition November 23-29, 2009

‘

The top story this week
looks at the necessity of
improving access over addressing need. Some areas of the UK are seeing
‘access saturation’, where there
are no more people wishing to access an NHS dentist, and plenty of
spaces left.

Champagne
reception

atients and staff at EndoCare Richmond celebrated
its recent opening with a
champagne reception.
EndoCare Richmond combines the latest endodontic specialist treatment techniques with
the best quality patient care. The
new branch, which is based in
south west London is an opportunity for dental professionals to
make use of this service, which
is provided by clinical director,
Michael Sultan and his team of
specialists.
Mr Sultan said that dentists
referring patients to the Richmond centre could be assured
of the same outstanding care
and high calibre endodontic solutions for their patients, which
have already given Endocare its
outstanding reputation.
He said: “It is a very exciting time for Endocare and now
we can continue to take great
care of your patients and treat
them at either Harley Street or
our new Richmond practice.
We understand the trust that is
placed on us by referring dentists and we want to work as an
extension of your team, so you
can continue to proceed with the
next part of the treatment. We
will make ourselves available
to you and are always happy to
give advice and support, aiming
to see your urgent referrals as
quickly as possible.”
For more information, log
onto: www.endocare.co.uk. DT

So, is access the best target?
If there are areas where money is being spent on surgeries
which aren’t, where do we look?
Local need is a vital area to look
at. The needs of the population
can vary from county to county, town to town, postcode to
postcode. Dental professionals

working in the NHS system
know their patient base and
know the needs that they have.
Why not pass this information
to the PCT or SHA? If every dentist in the same area did this, the
strategic planners would be able
to see the vital areas of need existing in their region.

‘

Editorial comment
Access v need – a utopia

I understand that in a perfect
world this would be the case and
I have no doubt that some readers
are shouting ‘I do that already!’,
maybe with little success. Those in
the profession know that the levels
of engagement are variable across
the country, and if your views are
not being heard, with the new
wave of commitment by the NHS
to the dental profession,
perhaps now is a time to
try again and let your PCT
know what your patients’
needs are. DT

Do you have an opinion or something to say on any Dental Tribune
UK article? Or would you like to
write your own opinion for our
guest comment page?

If so don’t hesitate to write to:
The Editor,
Dental Tribune UK Ltd,
4th Floor, Treasure House,
19-21 Hatton Garden,
London, EC1 8BA
Or email:
lisa@dentaltribuneuk.com

A Fixture of Success
Dr. Anoup Nandra explains why DIO
Implants are perfect for the UK

DIO

Implants have an effective cutting
edge for ease of insertion, with
double threading for better primary stability and
excellent torque values. The tapered shape improves bone healing and density, whilst the internal torx design helps to reduces stress during
insertion by up to 30% compared to hex-type fixtures. The availability of eight platform options
makes for the best abutment performance.
A successful practice based in Birmingham,
the ,Edgbaston Dental Centre offers a full range
of dentistry and related services. A key part of
their business is dental implants, with this aspect of the centre led by practice partner Dr.
Anoup Nandra, the principal dental surgeon &
implantologist.
Having trained at the Eastman Dental Hospital in London and currently studying for an
MSc in restorative dentistry at the Royal College
of Surgeons, Dr. Nandra is familiar with the demands of delivering a consistently high quality
implant service to patients.
Given that there is a wide selection of implant products on the market, one challenge for
Dr. Nandra and his colleagues at Edgbaston is
to make the right decision in selecting components that meet strict requirements in terms of
durability and performance. As he explains, this
is one of the main reasons why he chooses to
rely on DIO:

pered shape improves bone healing and density,
whilst the internal torx design helps to reduces
stress during insertion by up to 30% compared
to hex-type fixtures. The availability of eight
platform options makes for the best abutment
performance.
However, given the current economic climate Dr. Nandra is finding that quality is not the
only critical factor. Instead, the balance between
product performance and cost, as well as the
subsequent impact on the end user, are becoming increasingly important considerations.
“Alongside usability, price is of key importance. All implant surgeons will appreciate the
handling and ease of use of all the DIO range,
but we have found that the competitive price
means everyone - from patient to surgeon - benefits.”
Historically, high prices of implants here in
the UK have meant that many people are choosing to travel abroad where costs are much lower.
Many practices are discovering that the pricing of DIO products mean they can offer a high
quality and financially attractive service, growing their customer base as people realise they
do not have to go through the hassle of travelling abroad to afford the treatment they want. Dr.
Nandra continues:

“I use the full range of DIO products. I surgically place DIO implants and then restore them
with DIO components, and I also have the implant surgical kit, osteotomes and sinus lift
instruments. I have found them all to be of extremely high quality.”

“The credit crunch has meant more and
more people are carefully considering the financial implications of dental treatment. I am able
to offer my patients an excellent product at a
significant saving to them. This does not harm
my business as I can maintain the same level of
profitability and pass the cost saving on to my
patients. It is a win-win situation.”

DIO has been manufacturing implants for
over twenty five years, which means users are
assured of a highly developed and reliable product that meets all key requirements. Their most
popular implant range is based around the SM
Submerged Fixture, which boasts a range of
important features to improve durability, surgeon usability and patient comfort.

The Edgbaston Dental Centre is representative of many practices across the UK that are
finding the comprehensive range, cost effective
pricing and high quality of DIO products appealing for their own technical demands and
customer satisfaction. All fixtures are approved
to relevant CE, ISO and FDA standards across
Europe, the USA and Asia.

It has an effective cutting edge for ease of insertion, with double threading for better primary stability and excellent torque values. The ta-

Dr. Anoup Nandra BDS (U.Birm) MFGDP
RCS

[4] =>

4 News

United Kingdom Edition November 23-29, 2009

BDA attacks Widening Gap in Oral Health Inequalities

stresses the close association between low socio-economic status
and poor oral health, calling for
more focus on preventive care.
It also emphasises that there
should be a more integrated approach to oral health from health
The association’s recently
and social care providers. In
published oral health inequaliaddition, the paper argues that
ties policy document highlights
greater priority should be given
the growing gap between satisto specific
groups, such as
factory
unacceptable 15:01
oral Uhr
EMS DIN and
A4 12.11.2009
Seite patient
1
those with disabilities, older peohealth in the UK. The document

here is an “unacceptable
and growing chasm” between those with good
and poor oral health, according
to the British Dental Association.

The effect of alcohol and tobacco on oral health inequalities
is stressed in the paper, especially with regard to their role as
risk factors for oral cancer.

overall oral health over the last
30 years, but in spite of that, we
still see a huge disparity which is
all too often related to social deprivation. It is completely unacceptable that in Britain, in 2009,
such a wide gap should exist.

Professor Damien Walmsley,
scientific adviser to the BDA,
said: “There has been a significant improvement in the nation’s

“Much good work to address
this problem has begun and this
report commends a number of
schemes such as Brushing for

ple and the prison population.

‘it is vital that dentists are supported’
Life and Sure Start which are
starting to make a difference.
However, a great deal of work
still remains to be done and it is
vital that dentists are supported
in carrying it out.”
The BDA’s Oral Health Inequalities policy sets out measures
designed to tackle the unacceptable and growing inequalities in
the nation’s oral health. It shows
that those living in the most deprived areas of the UK suffer the
highest levels of oral disease.

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It identifies the dental team
as ideally placed to inform and
advise patients about matters
affecting their oral and general
health, including nutrition, tobacco and alcohol. Strategies
are set out to address the special
requirements of vulnerable sections of society, including children, older people, prisoners and
those with disabilities.
The paper also highlights
the need for resources and remuneration to enable the dental
team to spend time with patients
and carry out their central role
effectively. It is calling for an
evidence-based, integrated approach between all healthcare
and social services, because
many causes of poor oral health
are also risk factors for systemic
diseases. Oral health prevention and education programmes
should be part of overall Government health programmes. DT

Fellows in honour
ceremony

our new fellows of the British Association for Dental
Nurses (BADN) were honoured at the closing ceremony of
the 2009 National Dental Nursing Conference.

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BADN president, Sue Bruckel
presented new fellows Val Davis,
Jackie Gazzard, Anne Hewitt and
Wendy McCormack with their
certificates at the recent conference in Cheltenham.
In order to become a fellow, dental nurses must have
been a BADN member for 10 or
more years, be registered with
the General Dental Council and
hold the City & Guilds Licentiate in Dental Nursing. In order
to be awarded the Licentiate, a
dental nurse must hold a preliminary qualification in dental
nursing, such as the National
Certificate or the S/NVQ 3, have
further qualifications or evidence of five years in a supervisory position, and have evidence
of further CPD. DT

[5] =>

Time to talk about dry mouth?
Approximately 20% of people suffer symptoms
of dry mouth1, primarily related to disease and
medication use. More than 400 medicines
including tricyclic antidepressants and
antihistamines can cause dry mouth2 and the
prevalence is directly related to the total
number of drugs taken.3

The Biotène patented salivary LP3 enzyme system
The Biotène formulation supplements natural saliva, providing some of
the missing salivary enzymes and proteins in patients with xerostomia
and hyposalivation to replenish dry mouths.
The Biotène system allows patients to choose appropriate products
to fit in with their lifestyles:

Ask your patients

Products specially formulated for dry mouth:

Some patients develop advanced coping strategies for
dealing with dry mouth, unaware that there are products
available that can help to provide protection against dry
mouth, like the Biotène system.

• Biotène Oral Balance Saliva Replacement Gel
• Biotène Oral Balance Liquid.

Diagnosis may also be complicated by the fact physical
symptoms of dry mouth may not occur until salivary flow
has been reduced by 50%.4,5,6

Diagnosing dry mouth
Four key questions have been validated to help determine
the subjective evaluation of a patient’s dry mouth:7
1
2
3
4

Do you have any difficulty swallowing?
Does your mouth feel dry when eating a meal?
Do you sip liquids to aid in swallowing dry food?
Does the amount of saliva in your mouth seem to be
too little, too much or you do not notice?

Hygiene Products:
• Biotène Dry Mouth Toothpaste

• Biotène Dry Mouth Mouthwash.

The range is appropriately formulated for the sensitive mucosa
of the dry mouth patient:
• Alcohol free
• Mild flavour

• Sodium Lauryl Sulfate
(SLS) free.

The Biotène formulation:
• Helps maintain the oral environment and provide protection
against dry mouth
• Helps supplement saliva’s natural defences
• Helps supplement saliva’s natural
antibacterial system - weakened in a dry mouth.
GSK welcomes
Biotène to its oral
care family

Clinical evaluations can also help to pick up on the
condition, in particular:
• Use of the mirror ‘stick’ test - place the mirror against
the buccal mucosa and tongue. If it adheres to the
tissues, then salivary secretion may be reduced
• Checking for saliva pooling - is there saliva pooling
in the floor of the mouth? If no, salivary rates may
be abnormal
• Determining changes in caries rates and presentation,
looking for unusual sites, e.g. incisal, cuspal and
cervical caries.

Consequences of unmanaged dry mouth include
caries, halitosis and oral infections.

Samples available from
www.gsk-dentalprofessionals.co.uk

for dry mouth
1. Billings RJ. Studies on the prevalence of xerostomia. Preliminary results. Caries Res. 23:Abstract 124, 35th ORCA Congress 1989 2. Eveson JW. ‘Xerostomia’. Periodontology 2000. 48: 85-91
3. Sreebny LM, Schwartz SS. ‘A reference guide to drugs and dry mouth – 2nd edition’. Gerodontology 1997. 14: 1; 33-47 4. Dawes C. ‘How much Saliva Is Enough for Avoidance of Xerostomia?’.
Caries Res 2004. 38: 236-240 5. Dawes C: Physiological factors affecting salivary flow rate, oral sugar clearance, and the sensation of dry mouth in man. J Dent Res 1987; 66 (special issue): 648-653
6. Wolff MS, Kleinberg I: The effect of ammonium glycopyrrolate (Robinul)-induced xerostomia on oral mucosal wetness and flow of gingival crevicular fluid in humans. Arch Oral Biol 1999; 44;97-102.
7. Fox PC, Busch KA, Baum BJ. ‘Subjective reports of xerostomia and objective measures of salivary gland performance’. JADA 1987. 115:581-584

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

[6] =>

6 News & Opinions

United Kingdom Edition

November 23-29, 2009

New Oral Cancer Test

A

new non-invasive technique of oral cancer diagnosis is in the process of
development, which could mean
screening is more accessible for
those at risk.
A recent discussion on oral
cancer in the House of Lords
revealed increasing evidence
suggesting that the condition
is becoming more common in
females and young adults than
previously recorded.
Although this type of cancer
has a relatively low profile in
the public consciousness, and is
less widespread than some other
forms of the disease, it is still
responsible for more deaths
than testicular and cervical cancer combined.
Prof Stephen Porter, director of the UCL Eastman Dental
Institute, said there remained
a need for effective methods of
early diagnosis once a clinician’s
suspicions had been aroused.
He pointed out that there was a
growing case for the screening of
those sections of the population
with the highest potential risk of
developing this form of cancer.
He said: “The analysis of a biopsy of the suspect lesion is currently the universally accepted
best practice to achieve a definitive diagnosis of oral cancer, but
this procedure is both invasive
and time-consuming. Research
carried out by the UCL Eastman
Dental Institute, one of the UK’s
leading centres for oral medicine, has also shown that some
methods of non-invasive diagnosis may have limitations.

“However, researchers from
the UCL Eastman Dental Institute
and the University of Surrey are
pursuing a study, funded by the
National Institute for Health Research (NIHR), on the potential
benefits and efficacy of a new, noninvasive method of diagnosing oral
cancer and other potentially malignant diseases involving abnormal
cellular development.”
The new technique, known as
dielectrophoresis, detects electrophysiological changes within
the cell structure. Although only
in the early stages of development, it is hoped that this new
analytical method will prove to
be an effective diagnostic tool

‘it is hoped that
this new analytical
method will prove
to be an effective
diagnostic tool in
the early identification of oral cancer’
in the early identification of oral
cancer prior to the creation of a
tumour, or before the cancer itself actually develops.
Prof Porter said: “The sampling method is non-invasive
and merely requires brushing
the surface of the lesion; if the
accuracy of dielectrophoresis
is proven to deliver an accurate
diagnosis, then the screening
of large at risk populations
will become both practical and
cost effective, potentially saving
many lives.” DT

£1.7m in funding has been invested in the research project, aimed at investigating the cost-effectiveness of prevention programmes

Dental Prevention Study Funded

T

he University of Manchester’s
oral
health
unit (OHU) has been
awarded funding to lead a study
focusing on prevention rather
than treatment.
The £1.7 million research
project will investigate as to
whether a prevention package
- delivered by dentists in their
practices - can actually prevent
the development of tooth decay
in children.
The OHU, which was selected to run the trial following a call
for applicants, has a good track
record of delivering high-profile
dental research. Its outcomes
could be useful in informing the
development of NHS dental services and interventions in the UK.
Although the three-year collaborative trial involves a team

of dental experts led by Professor Martin Tickle of the OHU
at Manchester University, it actually takes place in Northern
Ireland. The region has a particularly significant oral health
problem, in that approximately
45 per cent of five-year-olds have
tooth decay.
Professor Tickle said: “This
trial is hugely significant for dentistry, because we were competing with all other areas of dental,
health and health care research.
It demonstrates our research
reputation, in being selected to
deliver a study with such important potential outcomes.”
Recent studies have shown
that prevention of decay in
children’s primary teeth in NHS
general dental practice is not as
effective as it could be. Studies
have shown that over a three-

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per cent of two-to-three-yearolds registered with a dentist develop tooth decay.
Although all NHS general
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have been sent Delivering Better
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toolkit for prevention, which
identifies the best evidence for
preventive care, research has

‘This trial is hugely
significant for dentistry, because we
were competing
with all other areas
of dental, health
and health care
research’
yet to demonstrate as to whether these interventions are costeffective when used in everyday
NHS practice.
Therefore the trial will test
the cost-effectiveness of fluoride varnish and family-strength
fluoride toothpaste, which are
provided in general practice
two times a year to help prevent
tooth decay.

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Professor Tickle added: “The
aim of the trial is to see if we
can keep a larger proportion of
children free of decay by using a
fluoride varnish and toothpaste.
Hopefully, the findings will help
to inform future policy on children’s dental health and focus
on proactively preventing tooth
decay, rather than treating the
disease once it has started.”
The trial, which is backed by
the Department of Health, will
be managed by a partnership of
general dental practitioners and
community dental service dentists, as well as academics from
the University of Manchester and
Queen’s University. DT

[7] =>

Tribune_adnov6:Precision

9/11/09

10:32

Page 1

United Kingdom Edition November 9-28, 2009

Eight ways to significantly
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those you treat
The experiences that your patients/clients/
customers have can vary between forgettable and memorable. The ideas which follow
will ensure that what they take away from
you will be positive, says Adrianne Morris…

Promise less, deliver more
- experience has shown
that it really pays to undersell what you are giving and then
overdeliver: the end result, a
client who is thrilled to have
gained a truly valuable product/
result which vastly exceeded
their expectations. At the same
time you will have more than
fulfilled your brief and hopefully have an extremely satisfied
client who will be happy to
recommend you and use your
services again and again. Whatever you have gained profit-wise,
you will have vastly exceeded as
far as your reputation for performance, delivery and reliability is concerned.

Play full out - you know this
isn’t a dress rehearsal! Treat
each and every opportunity as if
it’s the most important in your life
and give it everything you’ve got.
You never know who is watching you from the sidelines to see
how you’re performing and even
if they don’t sign up this time, it
may take just one more occasion
for them to see you or the results
of your work in action to convince them that you’ve got what
they want. Don’t be disappointed
if they don’t give you an order or
booking at the first meeting or
the next - you have to build up
trust and confidence and hopefully if you’re always giving of
your best, that will be enhanced
each time they meet you or hear
about you.

Pay attention to detail don’t be sloppy - attend to
even the smallest detail because
all those minute details add up
to a great professional finish
and that’s always going to make
a good impression. Check spellings of names, check titles and
how people like to be addressed.

Know your subjects - If
you’re trying to reach someone, get names of the ‘gatekeepers’ i.e. secretaries, personal assistants, receptionists – establish
a rapport with them - they’re
the ones who might just get you
through the door when they’re
rejecting everyone else (Peter
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tionists as ‘rejectionists’ with
good reason!).

Follow up good contacts always follow-up when you
meet someone new with whom
you feel you have really connected - drop them an email and
remind them of what it was you
had in common or had chatted
about, remind them what it is
you do, and for whom you have
done it. If you have to write a
thank-you, a hand-written note
will always leave a good lasting
impression, as long as it’s legible!
Mention that if you meet someone who could be a potential
client for them in whatever they

‘Success is the
result of good
judgement. Good
judgment is the result of experience.
experience is often
the result of bad
judgment’ - Tony
Robbins
do,you will definitely put them in
touch - and do so! Hopefully in
time they will reciprocate.

Be positive and put on a
happy face - sure it’s hard
to remain positive when you’re
feeling overwhelmed but wingeing isn’t an attractive quality. The
Tony Robbins mantra “attitude
of gratitude” really does have
power. Whenever you’re facing
a setback, do a mental checklist
of what IS working in your life
right now, what you DO have going for you, who IS in your corner cheering you on, and give
thanks for your good health, for
a roof over your head, for your
friends and family, the strength
and courage you have to be striving to do better. Lift up your
head, put your shoulders back
and smile - you should feel better straight away!

Focus on solutions, not
problems - you have to
switch your focus to solving the
issues preventing you from get-

Walk the walk - spend time with the peer
group you want to be in

ting to where you want to be.
During the process every step
will be a learning exercise and
it is this learning that is going
to help you grow and in itself be
life-changing. This, as well as
the end result, is going to make
a significant difference to you
in the long run. Facing a seemingly daunting task but breaking
it down into manageable chunks
and dealing with each of these,
one step at a time, will make it
seem much more approachable.
The learning you will get from
your setbacks will be invaluable
and make you stronger. Focusing
on the solutions rather than the
problems is a much more positive approach.

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listening carefully - remember
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mouth - use them in that proportion! By just listening carefully
you will pick up so much from
them. Don’t be nervous about
asking for advice - you must
have noticed how people love to
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asked for any! Copy their behaviour, their style, dress the part,
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[8] =>

8 News & Opinions

United Kingdom Edition

GDPUK round-up
Tony Jacobs shares the most
recent snippets of conversation
from his ever-growing GDPUK
online community

ignorance, when of course, we
are better informed. When this
type of article is highlighted on
GDPUK, it can often be seen
that our members are wading in
and righting the wrong impressions and negative PR put about
by the doomsters.

One of the GDPUK stalwarts
has spent years patrolling the forums of moneysavingexpert.com
there are articles in the mainne of the things coland correcting errors and misstream media, the public is enleagues on GDPUK like
conceptions
about dentists, dencouraged to comment
on 20:33
the
to discuss is their input
OPT_DentalTribune_210x297_NOV_PressAd:Layout
1 24/9/09
Page 1
tistry and how the system works.
story, which is often done so in
to other forums. Often, when

Recently there was a call for colleagues to help out in the same way
on another more obscure forum, to
repel those ill-conceived ideas and
spread positive PR on dentistry. A
worthwhile occupation.
Will a pay freeze in dentistry help dentists find further
efficiency savings? Or has the
owner operator system in UK
dentistry made dental practices
lean and efficient already, and
indeed increasingly so for the
last 50 years? The Department

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November 23-29, 2009

of Health evidence to the Review
Body calls for a freeze in dentists’
pay. It will be some time before
any freeze or change in pay will
be announced, which usually
happens in the new year. Dentists also have to factor in that
VAT will rise in January, and
thus expenses next year will rise,
as well as inflationary pressures.
Something has to give – where
do you think the fracture lines
will appear?
What would you do in this situation? A patient, two years ago
had a crown prep. They paid in
full, and you make an excellent
temporary crown. The patient is
phobic however, and before the
crown can be fitted, he gets in
touch with the practice and decides to live with the interim situation, meaning the crown and
models remain in the cupboard.
Now, 27 months down the line,
the patient calls and asks for the
crown to be sent, and for another dentist to fit it – she has paid
for this service, but has decided
to ask for this elsewhere. Do
you send it without question, or
refuse? Contact the other dentist?
Warn the patient of the risks?
Contact your defence society?
Here is another thread, which
has not been fully discussed at
the time of writing. Suppose Key
Performance Indicators are contracted, and dental income is
partly based on patient responses following treatment. What do
patients really know about their
treatment? In other countries,
it is illegal to publish a website
where patients can compare
services from medical and dental
providers, including hospitals. It
is considered that patient’s opinions are not appropriate to judge
professional services. Does this
hold in the UK? Should dentists
be revolting against this? Or will
there be some colleagues who
will accept and sign the new access contracts with these clauses
and provisions?
These short summaries of
topics are just a small sample
of the complex and interesting
ideas and concepts discussed –
there are hundreds more online
at GDPUK.com. DT

About the author
Tony Jacobs, 52, is
a GDP in the suburbs of Manchester, in practice with
partner Steve Lazarus at 406Dental
(www.4 0 6dental.
com). He has had
roles in his LDC,
local BDA and with
the annual conference of LDCs, and
is a local dental
adviser for Dental
Protection. Nowadays, he concentrates on GDPUK, the
web group for UK dentists to discuss
their profession online, www.gdpuk.
com. Tony founded this group in 1997
which now has around 7,000 unique
visitors per month, who make 35,000
visits and generate more than a million pages on the site per month. Tony
is sure GDPUK.com is the liveliest and
most topical UK dental website.

[9] =>

United Kingdom Edition November 23-29, 2009

Practice Management

9

The 10th Dimension… the power of 10
In part one of this two-part series, Ed Bonner and Adrianne Morris discuss the
important art of effective problem solving
What’s the problem?
hen we started writing this article, we encountered a problem
– we could not agree on what the
word ‘problem’ actually meant.
Is a problem, as one dictionary
suggests, “a source of perplexity”? Well, indeed it is, if you are
talking about say Sudoku or a
crossword, but there is nothing
in that definition to suggest the
emotional component that very
often accompanies a problem.

W

If you can’t work out a correct sequence of letters or numbers, that’s one kind of problem
- there’s always a solution: a dictionary, going online, checking
your newspaper the next day. But
if you have that problem and also
torment yourself that you are stupid, cannot do anything properly,
or are getting Alzheimer’s, that’s
another problem altogether. A
much bigger problem occurs
when there doesn’t appear to be
a solution: for example, you are
getting bad headaches or your
overdraft is getting bigger and
bigger despite increasing effort
to prevent either of these occurrences.
Whatever kind of problem
you might be having, there are
some things that you can contemplate that will make dealing
with it a great deal easier, so here
is a list of things to consider:

1

Origins: To deal with a
problem appropriately, you
need to think about when you
first became aware of the problem. What happened? When did
it happen? How did it make you
feel?
Background history: Are
the issues that have arisen
consequences of events that happened in your infancy, childhood
or youth? Is the work problem a
consequence of something happening at home, or vice versa?

2

‘A much bigger
problem occurs
when there doesn’t
appear to be a
solution: for example, you are getting
bad headaches
or your overdraft
is getting bigger
and bigger despite
increasing effort
to prevent either of
these occurrences.’

‘It’s my mother/father, husband/wife, manager/nurse, associate/partner.’

3

Attempt at resolution:
What did you do about it?
How effective was what you did

in terms of offering a solution? If
not effective, what was blocking
its resolution?

4

Secondary problems: What
has happened since you first
encountered the problem? Has

the problem got worse? Why?
Has the initial problem created
one or more secondary problems? For example, not earning
enough can cause relationship
stress and loss of respect. Is there
a relationship between the first

event and the way you feel about
it at present?

5

Effects: What is this problem
causing you to do? Perhaps
à DT page 11

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[10] =>

10 Practice Management

United Kingdom Edition November 23-29, 2009

What’s in a name? Quite a bit actually...
ASPD member Amanda Maskery talks about the importance of choosing a name
for your brand and making sure you protect it once it’s yours

istered. You can out the ® symbol next to your mark; this warns
others that your mark has been
registered.

hen launching a new
dental practice, one
of the first things
you will need to deal with is
your name. Your name is your
“brand”. It is the most powerful
marketing tool you have. For this
reason, it is imperative to check
that the name is free to use and
once you have, to protect your
brand as much as possible.

Some examples of dental
practices that have registered
trademarks include James Hull
& Associates and ADP Dental
Company Limited.
Having a website
These days, most businesses
have a website which has been
put together by a web developer.
The web developer will often register your domain name for you.

Checking your name
Before you settle on a name, you
must check to see if anyone else
is using it. You must check the
registers at Companies House
and the Intellectual Property Office (IPO) and you should also
check other directories such as
Yell to ensure that no other practice is trading under that name.

You must ensure that the web
developer registers the domain
name in your name. If the developer registers the site in his
name, he will be the registered
legal owner of the domain name
and will be able to deal with it
as he wishes. This may lead to
problems in the future when you
come to sell or transfer the domain name.

You must do these checks
before you decide on a name. If
you do not, you may find that you
spend large amounts of money
on designing your logo and producing new brochures/signs/letterhead, only to find that someone else is already using that
name and you have to re-brand.
If you do use someone else’s
name or logo (or something
that looks or sounds similar to
that name/logo), they may take
action against you for infringement. If successful, the claimant
can ask the court for an injunction, damages, delivery up of
all the infringing materials and
even an account of the profits
you have made by trading under
that name.

trader from those of
another. It may consist
of words, designs, shapes, colours and sounds.

Protecting your brand
Once you have done your checks,
the next step is to protect your
brand. One of the strongest
forms of protection is to register
your brand as a trademark.

In order to register your
trademark, you must apply to the
IPO. In order for you to register
it, a trademark must be distinctive for the goods and services
you will be providing. It must not
describe your goods and services
or any characteristics of them,
for example, a dental practice
would not be able register its
name as “The Dentist”, as this
just describes the service offered
by the practice.

A trademark is a sign capable of being represented graphically and which distinguishes
the goods and/or services of one

The Trademarks examiner
will check your mark to make
sure that it is registerable. He
will then check the Trademarks

Register to see if
there are any earlier trademark registrations that look or sound
the same or similar to the one
that you wish to apply for. The
examiner will write to the owners of those marks, notifying them
of your application. You mark is
then published in the Trademarks
Journal and there is a period of
two months during which third
parties may object to the registration of your mark. If no objections are made, the mark will be
registered and it will be protected
for 10 years from the filing date.
It can then be renewed for further
periods of 10 years on payment of
renewal fees.
It is a common myth that registering a company or limited liability partnership at Companies
House automatically means that
you have a registered trademark.

Dental business is their business
An ASPD member has:
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This is not true. In order
to register a trademark you
must separately apply to the IPO.
Do I need to register?
No, but if you do not register your
trademark, you will only be covered by the law of “passing off”.
To succeed in a passing off action
you would have to show that your
business has substantial goodwill
attached to it. You would also need
to prove that you have suffered
damage. In practice, this is difficult to show, particularly if you
are a new or small business. Pursuing a passing off action can be
time consuming and expensive.
Registering your trademark
is an easier (and often cheaper)
way of protecting your mark. If
your trademark application is
successful, you will have a monopoly right in the UK to use
your trade mark on the goods
and/services for which it is reg-

As clients, we don’t tend to
think about the importance of
branding. However, in business,
an effective brand strategy will
give you the edge over competitors. Your brand may be the single most important asset that
your practice owns. It is well
worth protecting. DT

About the author
Amanda Maskery is
an associate at ASPD
member Sintons LLP.
ASPD members offer
professional, objective
and practical advice
and services, based
on experience within
the industry, to dental
practices and other
businesses within the
dental sector. ASPD
members include solicitors, accountants,
banks, financial advisers, valuers and sales
agencies, insurance brokers and leasing and
finance companies. For further information
on the ASPD, its members and services, call
0800 458 6773 or visit www.aspd.co.uk.

[11] =>

United Kingdom Edition November 23-29, 2009

ß DT page 9

you have become depressed or
angry or despondent or are losing confidence. You may spend a
lot of time seeking sympathy. But
when push comes to shove, it is
all about “I.” As Elinor Roosevelt
once said, ‘No-one can make you
feel inferior without your permission.’

6

Responsibility: To what extent are you taking personal
responsibility for what has happened? Perhaps you are blaming
another or others. To what extent
are you blaming someone else?

7

What it is preventing: What
is the problem preventing
you from doing? An increasing
overdraft might cause you to
work harder or not to take a vacation. ‘Poor us!’

8

What it is allowing: What
is the problem allowing you
to do, which would have to stop
once the problem disappeared?
For example, having an illness
might allow you to seek greater emotional support from a
partner, or blame them if they
weren’t sympathetic. ‘Poor me!’
Sub-conscious purpose: Is
the real rather than the apparent problem something going on in your subconscious or
unconscious mind? Is there a
subconscious purpose in creating a problem or holding onto

9

‘As Elinor Roosevelt once said,
‘No-one can make
you feel inferior
without your
permission.’
it even if you did not create it?
Even though there is a primary
cost, there might be secondary
gain: you get sympathy. Would
you actually feel better off if the
problem disappeared? You might
prefer to live with the problem
because it brings you unexpected benefits, such as love and care
and sympathy – ‘poor you!’

10

Possible
resolution:
Think about how you
might be able to resolve the
problem. For example, you might
be in a difficult marital relationship – one way of dealing with it
would be to go for counselling;
another would be to live apart
for a while; having an affair is

About the authors
Adrianne Morris is a highly trained
success coach whose aim is to get
people from where they are now to
where they want to be, in clear measured steps. Ed Bonner has owned
many practices and now consults with
and coaches dentists and their staff to
achieve their potential. If you would
like a free consultation, or to subscribe
to The Power of 10 e-zine, feel free to
contact Ed at bonner.edwin@gmail.
com, call 07776 660 1338 or email Adrianne at alplifecoach@yahoo.com.

msc_ad_source_uk.pdf

1

03/08/2009

15:21:59

Practice Management 11
the most usual attempt at dealing
with it, but divorce
is one more option.
If you had a work
issue, you could
hire someone, fire
someone, change
your job, or speak
to your employer.
How would each
of these actions
make you feel?
What are the benefits of each of

these courses of action? What are
the costs (emotional and physical)? What emotional or physical
things might you have to let go of
to find a real solution? Are you
prepared to let go of them?
There is an old piece of received wisdom which states that
for every problem there is a solution. However, the solution will
come only if you want to seek it.
The bottom line is: the problem
is not the problem, it is how you
deal with it. DT

[12] =>

12 Practice Management

United Kingdom Edition November 23-29, 2009

Have you gotten the message yet?
How you communicate is just as important as what you communicate. BDPMA
membership co-ordinator Nikki Berryman offers some advice

s managers or business
owners I’m sure we all
think we communicate
really wel. But how many times
have you come across a breakdown in communication, albeit

minor, and stopped to think about
how your message was conveyed?
The art of effective communication is getting the right message across in the right way. Ef-

fective communication is a vital
part of practice management,
in terms of both managing our
team and patients; good communicators make much better managers and leaders.

However, many of us fail to
deliver our messages as effectively as we could – why? We are
usually ‘in a rush’ or ‘busy’ and
want to get the message across
as quickly as possible. This is

almost certainly the case when
communicating with our team.
So where do we start?
Communication with your team
needs to be positive, clear and
confident. Understanding your
team and how each individual
learns is key; one team member
may interpret a message differently from another. Asking your
team to complete learning styles
questionnaires will be an eye
opener and will certainly help
you to understand how to adapt
your methods of communication
to suit each team member. It will
also ensure that each team member is given every opportunity
to receive and understand your
message clearly.
communication with the
team and patients, at all times,
should be:
■ Confident. Be confident in
your communication; don’t shy
away from saying what you really need to say, no matter how
difficult or awkward the situation may be. Be aware of your
body language and your tone of
voice so that confidence is not
confused with arrogance or aggressiveness. It can sometimes
be difficult to show confidence
when communicating in a difficult situation but remember, being confident does not stop you
from also being kind, approachable or empathetic.
■ Genuine. Be honest in your
communication – again, in a difficult situation this does not mean
that you can’t also be tactful.
■ Natural. Be yourself. The way
in which you communicate may
sometimes need to be adapted to
suit certain individuals, but you
are you, insincerity or ‘falseness‘
when communicating will generate a lack of respect.
■ Open. Sharing information
with team members is vital. Be
open with your communication,
share and ask for ideas, thoughts, views and opinions about
your practice.
Communication at work does
not have to be about work. It is
extremely important for managers and leaders to be in touch
with their teams on a personal
or social level. Show an interest
in what they do outside of work;
what are their hobbies? What do
they do at weekends? Who are
their families? Communication
will become easier with individuals as you get to know them better, as you may share common
beliefs or goals.

DM Indesign.indd 1

29/10/09 13:35:27

[13] =>

United Kingdom Edition November 23-29, 2009

Think about it – it is much
more difficult to communicate
effectively with a stranger than
with someone you know fairly
well isn’t it? Take time to talk to
your team on a regular basis, it
will build trust and respect, as
well as improving communication within the team as a whole.
Know your patients
Getting to know your patients is
also extremely important, certainly if they are embarking on a
lengthy course of treatment. How
often have you considered a patient to be ‘grumpy’ or ‘bad-mannered’? Have you considered?
■ They may be nervous or anxious about their treatment – we
all take our surroundings for
granted but would you be nervous when visiting a hospital
or your GP? I would be a little.
Talk to the patient, communicate with them, spend some time
with them, try and alleviate their
fears.
■ A patient may have difficulty
taking time off work for lengthy
appointments – offer early or late
appointments, talk to the patient
about their work commitments,
show an interest, try and help
to schedule convenient appointments wherever possible.
■ Childcare – a single parent
may find it difficult to arrange
childcare for treatment sessions,
or may need to bring a child
along; be helpful and thoughtful.
■ Finance – a patient may desperately want or need treatment
but may be concerned or embar-

rassed about money/affordability
– discuss alternatives, do you offer zero per cent finance? Can the
treatment be spread over a few
months?
Take time to think about a situation from the other person’s point
of view; don’t make assumptions
about how other people may respond to your communication.
Effective communication is
also about:
■ Listening
■ Understanding
■ Empathy
We automatically think of
communication as verbal, but
there are many other methods of
communication that we can use
in dental practice.
Handouts – questionnaires,
memos, notices, reports, photos,
information leaflets.
A handout, usually in the
form of a memo, is an ideal form
of communication when there
are a number of small issues that
need to be communicated, e.g.
dates of forthcoming meetings or
an outline agenda.
Publications – glossy magazines, newsletters, books, journals.
Publications can be used for
CPD and for on-going learning and development. A good
practice should aim to have a
range of current magazines and
journals available for all team
members to read and refer to
when necessary.

How you communicate is as important as what you communicate

Meetings – team meetings, individual feedback sessions, inductions and appraisal.
Meetings are an essential
part of team communication;
they ensure good teamwork, motivate and allow all team members to communicate with each
other. Meetings also allow the
practice manager to assess team
communication. Every practice,
without exception, should have
the following in place:
■ Induction policy/meeting
■ End of first month review
■ Six-monthly ‘one to one’
reviews
■ Annual appraisals
■ 15-minute morning ‘team
huddles’ to assess and plan the
day ahead
■ Monthly team meetings
■ Quarterly strategic planning
meetings
■ A team ‘day out’
Seminars – presentations,
seminars, workshops. Seminars
and presentations by professionals/training companies are an
excellent form of communication as they are usually prepared
and performed by people who do

Practice Management 13
this for a living and the quality of
information is usually excellent.
Barriers to effective communication
There are many barriers and
pitfalls to effective communication, many of which we may not
even realise we are doing.
Tone of voice – shouting and
sarcasm will obviously be interpreted as aggression and will
most likely lead to poor performance and demotivation. Your vocal tone must be clear and level
pitched.
Body language – hand gestures, crossing of arms and legs
and any kind of rapid movements can be interpreted as aggressive, disinterest or apathy.
Facial expressions – smile
when communicating (unless
conveying bad news) – do not
roll your eyes or frown. Ensure
you make eye contact.
Inappropriate tone of voice,
body language and facial expressions can have a very negative
effect on communication and will
almost certainly provide a barrier

with regards to further communication with that individual as it
can break down trust and respect.
Remember that how you
communicate is just as important as what you communicate.
Effective
communication
is not difficult but it takes time,
consideration and practice; the
huge benefits to your team will
far outweigh the small efforts
you will need to make.
The BDPMA is the essential forum for dental practice
managers and organises seminars on all aspects of practice
management. For more information telephone the BDPMA
at 01452 886364 or visit www.
bdpma.org.uk. DT

About the author
Nikki Berryman is BDPMA membership co-ordinator and practice manager for past 10 years of Pure Dental
Health and Wellbeing Centre in Truro,
Cornwall. She is also a qualified dental
nurse, has a diploma in dental practice
management and a diploma in management. She has been married to Paul
for 14 years and she enjoys running,
hiking, cricket (watching, not playing), cooking and spending time with
friends on the beach.

[14] =>

14 Money Matters

United Kingdom Edition

November 23-29, 2009

The future starts today
We spend most of our life at work, so it pays to
start liking the work we do. Peter Dunn explains

ow often have you
heard people say they
live for the weekend,
holidays or time away from
work? We learn from an early
age that work is bad, negative, a

Don’t get tied into the non-clinical activities of the practice

chore: time off work, on the other hand, is good, life affirming
and pleasurable. But why is this?
What if work and play seamlessly interacted so that you enjoyed
all of the week equally instead of

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just the two days at the end of it?
The work thing
On average we spend some 40
hours a week working – until
we are around 60 years old. We
often spend more time with our
work colleagues than we do our
families. But instead of considering it the daily grind we should
concentrate on what it is about
our career that makes us happy.
Think back to what made you
choose this path in the first place.
What aspects of your profession
do you enjoy the most? And how
much time do you actually spend
doing them?
Some time ago, during a
regular business meeting, my
colleague Suzanne and l were
discussing those aspects of our
roles that gave us the most and
the least pleasure. We independently concluded that we most
enjoyed the interaction with clients, the creative planning process and the satisfaction that resulted from our clients’ financial
security. From this realisation,
we began to remodel our business to focus on what we were
best at and derived the most
pleasure from.
It is all too easy to become
bogged down with aspects of
the business that are emotionally draining, not financially
rewarding and that make us
miserable. As dentists it is your
clinical work that brings financial rewards and it is practicing
dentistry that made you want to
go into the profession in the first
place. Yet many dental professionals spend a considerable
amount of time involved in nonclinical activities such as running the day-to-day business,
despite the fact that a manager is
employed to do so.

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PracticeWorks

Time to de-compartmentalise
From earliest childhood we are
taught boundaries, rules and
limitations. We enter adulthood
believing that our life is made
up of three separate parts; work,
rest and play. We talk about the
work/life balance, prioritising
our careers and ambitions with
our families and personal lives.
At the end of the week, you lock
the practice doors and go home,
leaving work behind. You take
holidays to give yourself a break
from work and return invigorated - for a day, if you’re lucky.
You are that hamster perpetually
running in the wheel.
By compartmentalising our
lives, we are drawing down the
shutters between different aspects of our existence. Yet how

[15] =>

United Kingdom Edition November 23-29, 2009

Money Matters 8/10/08
15 13:40

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We have to teach ourselves that work does not always equal drudgery

destructive can it be if, for example, we are out cycling with
the family at the weekend and
suddenly next week’s negotiations with the PCT come into
our head? Or at a dinner party,
a friend asks in all innocence,
how’s your new associate working out? Immediately you are
back at the practice. The shutters
into the next compartment have
been opened and for a moment
you are resentful that you have
been unable to successfully put
work out of your head in your
valuable free time.
But what if there were no
compartments? Imagine life as
the ‘bigger picture’ hanging on
the wall in front of you? Does the
life facing you look like a Monet?
A Picasso? A Constable, perhaps?
What makes it a great painting?
A great painting draws together many different facets,
which are worked in seamlessly to create a beautiful, complete image. The whole is much
greater than the sum of the parts.
Likewise, in removing the barriers between work, rest and play,
life can become extraordinarily
liberating.
Financial planning today
We have to teach ourselves that
work does not always equal
drudgery and learn afresh that it
can be pleasurable to spend time
with like-minded colleagues
who share a common goal,
spend time meeting new people,
educating them and improving
their wellbeing. By accepting the
many happy emotions we can
experience, we come to realise
that work is an important part of

our lives and not a compartmentalised aspect of our existence.
Financial planning is vital in
ensuring you get the most from
your newly united life. Instead of
only considering what you will
do once you cease working, you
can seize the day and start living
for the moment. Life is flexible
and we all learn to adapt to our
changing circumstances. But at
our core we are the same person, we have the same hopes and
dreams, it’s just that they sometimes get buried and forgotten.
Financial planning should marry
seamlessly with life planning –
and by that we mean considering
what it is we want to achieve, the
aspirations we have, what makes
us happy.
The realisation that we actually enjoy our profession may
lead to questions about retiring. Does a painter stop creating
works of art just because they
have reached 60, or a writer put
down his pen, never to pick it up
again? The idea that someone
who loves their work should give
it up because they have reached
a certain age sounds ludicrous
in these circumstances but it can
be applied to anyone who is passionate about what they do. In
this case holding off doing all the
things you dream of until you retire – and planning your finances
around this notion - needs readdressing.
Instead of developing a clear
image of what you want to do
when you retire, consider what
can be done to make your life
more enjoyable right now – and
plan your finances accordingly.

Planning decisions must not be
based on work, rest and play as
separate entities but on your life
as a whole.
It’s only work
Since our meeting, Suzanne and
I have implemented changes
to our business that have set a
new set of wheels in motion. It
won’t happen immediately but
our business strategy clearly sets
out a methodology that means
we can do more of the activities
we enjoy and hand over the rest
to carefully chosen colleagues
equipped to undertaken them.
With our chosen business plan
in place, I can honestly say that
since I’ve stopped thinking of
work as a separate part of my
life, it has ceased to become such
a chore. Life is more fun; my
work more enjoyable.
Financial
planning
can
also be a much more enjoyable
experience if we don’t just think
of it in terms of our life once
work ceases. Armed with this
liberating information learning
to juggle life, work and the bigger picture becomes more like
playing catch with a single ball
– simple. DT

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Peter Dunn is director and senior consultant for Heritage Financial Advisers; a team of independent, fee-based
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than 20 years experience of working
within the dental industry in financial
services companies allied to Dental
Business Solutions and Practice Plan.
In 2001, he relocated to Newbury with
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company in 2006. To contact him, call
01635 48727 or email info@hfadvisers.
co.uk.

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[16] =>

16 Money Matters

United Kingdom Edition

November 23-29, 2009

Save yourself from indecent disclosure!
In light of the upcoming deadline, accountant Geoff Long and tax specialist Tony
Borman explain why HMRC’s Disclosure Opportunity should be taken by dentists

M

nationalisation exchange conany
dentists
who
trol and even persecution were
have lived abroad will
order of the day (Iran, Uganhave an offshore bank
da, the Middle East and even
account. That is quite legal
RSA etc). So it is not surprising
and
understandable.
Many
that they seek to have money
overseas dentists will have
OrthophosXG_Ad_ACT 1/6/09 08:59 Page 2
invested in safe havens such as
originated from areas where

Jersey or Gibraltar. However,
a small percentage may have
made bad decisions with their
practice income, diverting money to an off-shore bank account
and not declaring it to the Inland Revenue.

HMRC’s New Disclosure Opportunity (NDO) is an opportunity to come clean, pay the tax,
clean up your act and pay a very
modest 10 per cent penalty and
probably avoid a potentially horrendous tax investigation.

ORTHOPHOS XG

So, what is the answer?
You need to get a tax specialist to check your affairs, and
if there is a problem, make a
disclosure to HMRC. You must
register your intention to disclose by 30 November 2009, or
the chance is gone.

Tomorrow’s

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today

Treatment centres
Handpieces
Hygiene systems
X-ray systems
CEREC

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to your individual
requirements

Some dentists have recently
received letters from their bank
saying they have disclosed their
off-shore account to the tax authorities. If the amount has not
been declared on your tax return, the taxman is going to start
asking why. Next they will want
to know where the money came
from, and if you cannot provide
an answer, it could trigger a tax
investigation.

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M a d e

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G e r m a n y

The prospect in store for
those who are subsequently
found out by HMRC is not good;
penalties of up to 100 per cent of
the tax, a long drawn out investigation possibly lasting years
and costing a fortune in accountants’ fees, a tax inspector
who is likely to disbelieve everything you say, possible naming and shaming under the new
proposals in the last Budget,
and even criminal prosecution.
So, from the tax point of view,
it is a no-brainer – take the opportunity and move on.
Where funds are held in
Lich-tenstein, there is a special
alternative facility called the Lichtenstein Disclosure Facility
(LDF), which has even more advantages. DT
POINTS TO BEAR IN MIND:
■ The net is closing – 308 banks
are now starting to send information to HMRC
■ The deadline is looming –
30 November 2009
■ Funds in Lichtenstein get-special treatment
■ People who get caught later
will face afull-scale investigation of all aspects, plus far higher
penalties
■ Lots of scope for innocent mistakes on offshore arrangements
■ Lots of scope for savings with
proper advice

About the authors
Geoffery Long FCA is a specialist dental accountant based in Hertfordshire.
Geoff advises on a range of dental tax
issues and regularly writes for the
dental press. Geoff more than over 15
years’ experience managing dentists’
accounts and is recognised for his
proactive approach. Call him on 01438
722224 or email office@dentax.biz.
Tony Borman is co-owner of Covertax
Chartered Tax Advisors. Tony specialises in helping clients to resolve
tax problems, complex or serious tax
investigations, and appeals to the Tax
Tribunal. Tony has over 25 years experience gained both as a tax inspector
and as a senior adviser in the accountancy profession. Call him on 0845 643
5450 or email Tony.Borman@covertax.
co.uk.

[17] =>

DCPs 17

United Kingdom Edition November 23-29, 2009

A super-personal service
A great receptionist will thrive on a busy front desk, always
remembering names and faces, and be in their element interacting with new people, says Glenys Bridges

long with the ability to
complete routine reception
duties, there are a further
range of innate traits, which make
a good receptionist, a great receptionist. Most of the people who
enjoy the busy bustle of a reception role are “people- people”, who
thrive on the rich mixture of people
they interact with day to day. However, most of the best receptionists
have one notable aptitude in common; the ability to remember the
names and faces of the huge numbers of people they meet.

not to recognise someone they
met in passing, so as to avoid appearing to attribute undue importance to a fleeting encounter. At
times, they were able to recognise

a person who was shopping in the
same shop with them two months
ago, even if they didn’t speak to
the person. It doesn’t have to be a
significant interaction; they really

Never forget a face
Psychologists at Harvard University in Boston have looked into this
further to find out why some people more than others will remember faces. The research I’m talking
about is published in Psychonomic
Bulletin and Review, and was led
by Richard Russell, a postdoctoral
researcher in the Department of
Psychology at Harvard, with coauthors Ken Nakayama, Edgar
Pierce Professor of Psychology at
Harvard, and Brad Duchene of the
University College London. The
research that produced these findings involved conducting standardised face recognition tests. The
research results show that rather
than people being “good” or “bad”
at remembering faces; the range of
skills are much greater and span
from “super recognition” to “face
blindness”.
In the group named as “superrecognisers”, people could easily
remember the face of someone
they met in passing, even many
years later. Their research findings acknowledge a vast range in
people’s ability to recognise others by their face. At the extremes,
they confirmed previous research
which found that around two per
cent fall into posessing what they
called “face-blindness”, because
they have great difficulty in recognising faces. For the first time,
this new research shows at the
other end of the scale that others
excel in face recognition, indicating that the trait could be on a
spectrum, with face blindness on
the low end and super-recognition
at the high end, opening new and
different ways to think about facerecognition ability, and possibly
even other aspects of perception,
in terms of a spectrum of abilities,
rather than there being normal
and disordered ability.

stand out in terms of their ability
to remember the people who were
actually less significant.
Irrespective of whether you

have been fortunate enough to be
born with super people-recognition skills, taking an active in interest in people and making them
feel important is something every
receptionist should aim to do. As
practice makes perfect with all
types of skills, maybe it is possible
with some effort to elevate yourself
to super-recogniser status. Who
knows? It’s worth a try.
For more information on receptionist skills, visit www.dentalresource.com. DT

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Hiding their talent
Super-recognisers report that they
recognise other people far more
often than they are recognised.
For this reason, some of these
people told researchers that they
often compensate by pretending
Version 2 UK paprika 300 with delivery.indd 1

22/07/2009 16:19:47

[18] =>

18 Education

United Kingdom Edition

November 23-29, 2009

10 Top tips on achieving great aesthetics
Drs David Bloom and Jay Padayachy discuss some practical advice on
getting great aesthetic results for your restorative cases
Fig1. Lab prescription

Photography. When it comes
to any form of restorative
treatment, digital photography is
an essential tool and will aid in
treatment planning, discussion
of the proposed treatment with
the patient as well as a medicolegal record. In addition to preops, take pictures of your provisional (if an aesthetic case) and
don’t forget the post-op pictures
as well. Intra-oral cameras are
excellent for showing the tooth
preparation especially if doing
any posterior work as it will show
up recurrent caries and any fracture lines present so that you can
show the patient and warn them
about any possible root treatment
in the future being required for
the tooth.This is especially valid if
the tooth does become non-vital a
few years later and they try and
blame you for it. In this increasingly litigious age, meticulous
record keeping is a must.

Fig2. Under-developed buccal corridor

Wax ups for provisional restorations and visual diagnostic try-ins. Before embarking on
any form of aesthetic work it is
important to know where your
end point is. Diagnostic wax-ups
will help considerably with this
in helping to visualise what you
are trying to achieve and also
gain acceptance from the patient before you actually start by
enabling a visual diagnostic tryin. Wax-ups can range from full
arches to single teeth to enable
correct contouring for a fractured incisal edge, and for ideal
implant placement via stents.

Lab communication. Any
form of laboratory based restoration must be accurately communicated. Thus the appropriate
lab slip needs to be fully completed and signed off by the dentist. This ensures that the prescription is carried out correctly

Fig6. Incisors and under-developed buccal corridor

Fig3. Post-op composite veneers and bonding ur2

by the technician. This includes
information for both the wax-up
and the final restorations. For
aesthetic work, photography, as
already discussed, is a given; the
technician needs to see all the
pre-op pictures, the pictures of
the provisional restorations and
it is also nice to send them a copy
of the post-ops so they can see
how beautiful their work looks
in the mouth, a luxury they don’t
usually experience. (fig 1)

Whitening. As part of your
treatment planning for any
restorative work, always ask the
patient if they would like to have
their teeth whitened first, particularly if doing anything anteriorly. Once the restorations are
placed it will be too late unless
you want to replace the work you
have just fitted. We prefer not to
whiten teeth we will be preparing for veneers so that their true

Fig7. Bonding for composite veneers and repair

Fig4. Pre-op occlusal view

Fig5. Postop occlusal view

foundation shade can be assessed. If they have been whitened first they will darken with
time which may compromise the
aesthetic outcome. Don’t forget
to make new whitening home
trays once the new restorations
are fitted and build this into your
treatment fees.

will have covered it (and make
a note of this in their records).
Fortunately now we are going
away from the mass produced
standard American-style smile
(unless you are using an American lab for some reason) to a
more natural European beautiful
form whereby the teeth do not all
look the same but have a hint of
individuality.

Bonding. In this porcelain
veneer dominated world remember that conventional bonding with composite resin can
give a great result. It is non-invasive of tooth tissue ensuring that
the enamel is not violated. This
works very well when building
out buccal corridors in an otherwise intact dentition. (figs 2-7)

smile design. An understanding of the principles of smile
design is crucial in your treatment planning. Even if the case
is not an aesthetic one, you need
to be able to communicate what
can be achieved by looking at the
bigger picture rather than just
necessarily the one tooth they
are concerned about. They may
not be interested but at least you
Fig8. Lower incisors removed due to cyst-cyst enucleated

Fig9. Two pontics ovated and two not yet done

Ovate pontic site. This enables the pontic to look as
though it is emerging from the
gingiva similar to a natural tooth
rather than just sitting on the
ridge. Upon extraction of a tooth
and the making of the provisional bridge ensure that the pontic
is actually sitting down in the
socket by at least three mm. if it
is not doing this then it is easy to
add flowable composite onto the
temporary restoration to achieve
this. If the ridge has healed and
no site has been created then it
is very easy to create it with a
laser, electrosurgically, or large
round bur; your impression can
then be taken but ensure that
your provisional restoration is

[19] =>

United Kingdom Edition November 23-29, 2009

Fig10. Finished bridge

Fig12. concave margins

Fig13. Soft tissue seven weeks after placement of
immediate abutment

Fig11. Immediate loading
with temporary crown

filling the newly created site.
Communicate with your technician the depth of the ovated site,
and ask them to scrape away a
further mm on the master model
so when the final bridge is seated there is some blanching of
the soft tissue which will help
remodel the tissue further. (figs
8-10)

8

Multi-disciplinary approach.
A dentist should no longer
regard himself as an island but
should utilise their specialist colleagues to aid in the restorative
treatment plan. This can range
from orthodontic pre-alignment
with Inman aligners to minimise
the degree of tooth preparation
required by getting the teeth in
the ball park, to surgical crown
lengthening based on the diagnostic wax up and appropriate
stents or re root treating teeth to
be restored if there are signs of
apical pathology.

9

Tissue training for implants.
Historically implants were
regarded as successful if they
integrated fully. Patients were
happy to have their space filled
with something fixed and were
less concerned by the aesthetics.
Nowadays if the implant crown
doesn’t look beautiful and the
emergence profile and tissue
height and contour doesn’t look
natural, it would be regarded as
a failure albeit aesthetically. The
use of temporary crowns to train
the tissue to correct contour cannot be underestimated. Time
and care spent at this phase of
treatment which can take anything from three to 12 months
is of paramount importance in
creating this effect. These temporary crowns should be under
contoured as this can allow ‘gingival growth’. (Figs 11-13)

10

Occlusion. An understanding of the basics of
occlusion is essential to ensure
the longevity of your restorations.
Ideally the occlusal form should
include equal intensity contacts
on all posterior teeth in a cusp
tip to fossa relationship with a
canine protected occlusion in lat-

eral excursions. Fig 14 DT

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Education 19
Fig14. Ideal occlusal markings

[20] =>

20 Education

United Kingdom Edition

November 23-29, 2009

Treating children in practice
Complaints of litigation involving dental treatment provided for children occur less frequently than in many
other areas of dentistry, say Dental Protection

W

2453 DPL ad A4:Layout 1 10/08/2009 09:18 Page 1

hen complaints involving dentistry for
children do arise, their
management is complicated by
a number of factors, over which
the clinician has little or no con-

trol. Dentists, hygienists and
therapists can all be involved in
the provision of dentistry for children, and many of the problems
they face are the same. It is easy
to overlook the fact that the treat-

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ment of children – particularly, of
young and/or nervous children –
can be clinically very challenging
and highly demanding in terms
of time, concentration, and personal skills. Juggling the clinical
and personal needs of the child
with the sometimes irrational
and disproportionate demands
of the parent(s) can also be very
stressful. Another factor which
can arise in private practice, or
any clinical setting where fees
are charged for the treatment of
children, is the imbalance which
can arise between the expectations and demands associated
with the treatment of children,
and the reality of the fees that
tend to be charged and/or that
the parents find acceptable.
Undercurrents
Cases involving children tend to
be affected, to a greater or lesser
extent, by factors that can easily
be overlooked. Firstly, patients
in this group are vulnerable and
sometimes apprehensive, and
emotional pressures can often
influence the progress and outcome of a case, as well as the
perception of those involved in
it. Secondly, treatment is generally being provided in an everchanging environment as the
child continues to grow and develop; as a result, clinical decisions tend to have immediate
short-term consequences and
also some broader and longerterm implications. Sometimes,
this impacts upon a case in the
sense that it is asked how things
might have developed if a specific event had not happened, or
if a certain treatment which was
not provided, had been provided.
Thirdly, these cases can often be
fraught with conflicts and hidden agendas. Parents are invariably involved in the situation and
not uncommonly, responses are
clouded by feelings of guilt, or
natural parental protectiveness
(or over-protectiveness on occasions) of anger and sometimes a
single-minded determination to
see a dentist “punished” for some
actual or perceived act or omission towards the child. One of the
classic situations arises when attempting to treat widespread caries in a very young child who is
only brought to a dental surgery
when the child is in pain (perhaps from an abscess) and acutely distressed. If problems arise
during or following the treatment, some parents will be unable (or unwilling) to consider,
let alone accept, that the child’s
problems might have been avoided altogether, if they had acted
differently, or more quickly in
the child’s best interests. This can
sometimes produce a reaction

[21] =>

Education 21

United Kingdom Edition November 23-29, 2009

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the clinician is blamed for the
lack of progress.

can create some very difficult
situations. This is particularly
likely when the child and the
parents do not agree as to what
treatment should be provided.
If in doubt, it is always wiser to
postpone treatment than to proceed against the wishes of either
the child, or the parent(s).
Caries
A failure to treat caries (and particularly, rampant caries in the
very young child) and/or to institute appropriate preventive treatment or advice (oral hygiene,
diet etc). Sometimes, a decision
is taken to keep caries under review, or temporary restorations
are used where young and nervous children find it difficult to accept treatment. Such approaches
can later be misinterpreted as
supervised neglect. Meticulous
record keeping is important in
these cases, and careful communication with parents is essential.
In primary teeth, it can be a short
step from caries to an acute alveolar abscess, with all the associated pain, suffering and distress.
It is sometimes forgotten on these
occasions that the dentist did not
actually cause the caries which
led to the abscess.

whereby the parent’s wrath is directed at the clinician, perhaps as
a means of deflecting any suggestion of blame or responsibility on
their own part.
Key issues
Eight recurring factors tend to
arise in cases involving children,
often with a single case embracing two or more of them.
Consent
While this is generally obtained
from a parent, the legal situation
varies from one country to another. A useful general principle

to bear in mind is that while the
needs and best interests of the
child should always be the paramount consideration, the child’s
wishes must also be taken into
account. This can lead to difficult
judgements on the part of a clinician, who must assess the child’s
capacity to understand the nature and purpose of the treatment being proposed for them.
In older children who may not
yet have reached the legal age of
adulthood/majority, but who are
perfectly capable of understanding the issues surrounding a
proposed dental procedure, this

Trauma
Cases tend to relate either to the
actual management of an acute
traumatic episode where anterior teeth have been damaged,
or to the absence of emergency
arrangements outside surgery
hours, or to the delay in accommodating a child presenting
with an acute traumatic problem. Dentists have been accused
of negligence on the grounds
that they should have suggested/
provided a sports mouthguard
for a child who was known to be
involved in contact sports carrying a high risk of injury to the
front teeth.
Growth and development
Practitioners have a duty to
monitor the child’s dental and
oral development, and the need
for orthodontic intervention
should be considered either personally, or by referral to a spe-

cialist. Many cases relate to the
delay, or failure, in recognising
and acting upon incipient orthodontic problems.
Behaviour
Not all children are as cooperative as one might wish, and parents tend to have their own views
on how their child is best managed. Treatment should never be
imposed forcibly upon a child,
and the child’s best interests
must always be paramount.
Local anaesthetic
All the well-recognised problems
associated with local anaesthetic
administration and with extractions are exaggerated in the case
of children, who may not always
follow postoperative instructions. Lips and tongues bitten
while anaesthetised are not uncommon and warnings given to
prevent this occurrence should
be recorded in the notes. A further problem is a breakdown
in communication somewhere
between an orthodontist, a referring dentist, and an oral surgeon, resulting in the extraction
of incorrect teeth. Referrals for
extractions should always be
made in writing, and the details
checked both by the referring,
and accepting dentist. A failure
to check for permanent successors before removing deciduous
teeth is another common cause
of litigation.
Orthodontics
The main problems arise in diagnosis and treatment planning
(including the presence of supernumerary, or congenitally absent teeth), in root resorption or
the loss of vitality of teeth during
orthodontic movement, and in
dissatisfaction with the final outcome – usually, but by no means
always, from an aesthetic viewpoint. Very often, problems arise
when treatment does not proceed
as quickly, or a successfully as
originally hoped. It is important
to act upon any lack of compliance or co-operation on the part
of the patient, and to keep parents
fully informed and involved. This
helps to avoid a situation where

GA/sedation
General anaesthesia (GA) and
sedation should be avoided in
children wherever possible, although relative analgesia carries
fewer complications and can be
used to good effect in trained and
experienced hands. Tragically,
deaths and other serious consequences still occur under GA and
where children are involved, the
predictable media interest introduces a further threat to the
dentist’s reputation and integrity
at an already stressful and emotional time.
Dento-legal complications
When negligence claims do
arise, the first problem is the
extended limitation period in
which legal proceedings can be
brought. In many countries, legal proceedings in child cases
can be brought at any time up
to (and for a short period after)
the time when the child reaches
the age of adulthood. Throughout this extended period, legal
costs can continue to accrue.
Because of this, lawyers acting
for the child patient are under
no pressure to act quickly; this,
coupled with the natural wish
to make a measured assessment
of the eventual consequences in
the context of the child’s subsequent development, means that
progress can be painfully slow.
This can be an added burden
for clinicians who may have a
case hanging over their head
for many years. In cases with
long-term consequences (brain
damage, for example, or cases
involving restorative dentistry
which would need successive
replacement over a lifetime)
the long life expectancy of children can have a huge impact
upon quantum ie the amount of
damages payable. Finally, once
again, emotions can get in the
way of a reasoned and balanced
resolution of cases involving
children. On the one hand is the
ever-present parents’ pespective,
and on the other, the emotions
and sesitivities to which reference has already been made, and
which can pervade particlarly
unfortunate or tragic cases.
Summary
Treatment of children carries all
the dento-legal risk of treating
adults, but is further complicated by a number of other factors.
An awareness of these factors
should prompt a suitably prudent approach to the treatment
of child patients. DT

[22] =>

22 Education

United Kingdom Edition

One visit is all it takes
There’s a new system for taking impressions, which
means patients need not come back for a second visit,
saving both time and money. Justin Stewart explains

dentist and patient. And if the bite
ondary impression on a second
raditionally, at dental schregistration is taken on the second
visit. However, with patients havool we are taught to take
visit, the bite rims will be made on
ing to come back a second time
basic primary impressions
the primary impressions and will
for more impressions, this method
and then have special trays made
DH19351 DS Cherokee-Toffeln Ad-A4:Layout 1 10/8/09 15:19 Page 1
tend to be less stable.
can be time consuming for both
on a patient’s first visit, and a sec-

To generalise, dentists tend
not to take as much care and
attention over primary impressions which can result in suboptimal special trays leading to
a less than perfect secondary impression.
No more problems
A new technique has come to my
attention, which is achieving excellent results and is overcoming
the above disadvantages. This
system involves choosing a tray
that can be heat moulded. There

November 23-29, 2009

are a number of sizes of trays,
for example, five for full uppers,
and five for full lowers, which
can then be easily adapted so the
extensions of the trays end in the
mid-vestibule of the sulci. Once
the tray has been selected, and
heat modified where necessary,
impressions are taken using
several viscosities of polyvinylsiloxane materials. In essence,
the impression is taken several
times, building it up in layers.
To give an example of the
benefit of this technique, we can
examine the common example
of an upper ridge, where the gingivae of the pre- maxilla is loose
and flabby but the posterior ridge
is fibrous and firmly attached.
While doing the impression, the
anterior portion of the tray can
have a very light/light body viscosity wash placed whereas the
posterior section of the tray may
have a medium body wash.
More flexibility
For the above scenario, I remember being told at dental school
to leave a window in the upper
tray and take a plaster impression of the pre maxilla. In reality, it was a very rare dentist who
would use that technique, partly
because it was so time consuming. This new technique does not
require a lot of time, but gives the
dentist much more flexibility, as
one simply loads the tray with a
viscosity to match the underlying gingivae character and mobility and ridge height.

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You can also change the viscosity in relation to a patient’s
muscular function. During final
impressions, we need to activate
all of the facial musculature to
capture an accurate peripheral
border thereby obtaining the optimal retention of the final prosthesis. For patients with a strong
muscular action, we can choose
a heavier body material. This
overcomes a disadvantage with
using alginate, where strong
muscular action can create an
overly thin impression flange.

Prices
range from

I would strongly recommend
that dentists try using the Massad
tray system with different viscosity polyvinylsiloxanes, and compare the results of this system to
the one you are using now. DT

up to

About the author

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Justin
Stewart
was the first qualified Biofunctional
Prosthetic System
(BPS) dentist in
the UK. He is a
member of the
American
Prosthodontic Society
and the British Society for the Study
of Prosthetic Dentistry. Dr Stewart
has recently been appointed to Dr Joe
Massad’s International Advisory Board.
An experienced lecturer, Dr Stewart is
dedicated to resolving denture-related
problems through teaching and training. For further information, please
email Justin Stewart at enquiries@thedentureclinic.co.uk.

[23] =>

Feature 23

United Kingdom Edition November 23-29, 2009

Implementation, implementation, implementation
With no new reports, reviews or quango bodies planned, Neel Kothari thinks about where
NHS dentistry can and will go from here

W

e have now arrived
at a point where we
have numerous reports fr-om patient groups,
widespread media criticism, the
Health Select Committee (HSE)
report, the Steele review and
of course around 10 per cent
of dentists leaving the NHS,
but the UDA system still grows
older. When the Steele review
was announced, this initially
kicked the debate over NHS
dentistry out of the political spotlight and into the long
grass, but now (at the time of
writing) with no new government reports, reviews or quango bodies planned, the question
‘where does NHS dentistry go
from here?’ must be asked.
Cash boost needed
The Steele review has received
both favourable press and acceptance since its release. Now,
without entering into a debate
regarding its content and recommendations, it seems to me
that any change that may arise
out of this needs money; money
which the DH has already spent.
The Steele review recommends
a shift in the way dentists are
paid from a fee-per-item system, towards a part-capitation
and part-fee per item system.
While this would probably help
resolve issues regarding access
to NHS dentistry by encouraging dentists to take on new patients, what it does not do is address issues regarding quality
within the NHS.
It is clear that among many
GDPs working within the NHS,
there is a genuine feeling they
don’t feel able to provide goodquality treatment under this
contract. Irrespective of where
you may sit on this particular
fence, the statistics are clear:
the number of teeth being saved
is down, while the number of
dentures being made is up.
Whether this phenomenon is
down to the need for complex
treatment decreasing as the often seems to suggest, or a genuine failure of the new contract,
one thing is clear – the current
contract is certainly not based
around quality.

a few patients with high dental needs to take up much of a
dentist’s time, leaving a great
deal of uncertainty within this
system. The funding which is
derived from the UDA system
is also relatively static and does
not take into account the ever-

take place is exactly what level
of care NHS dentistry is willing to fund. To clarify, I accept
that under this current contract
dentists are now paid more for
many items of treatment compared with before, however
at the same time, it only takes

Neel Kothari qualified
as a dentist from Bristol
University Dental School
in 2005, and currently
works in Cambridge as
an associate within the
NHS. He has completed
a year-long postgraduate certificate in
implantology at UCL’s Eastman Dental
Institute, and regularly attends postgraduate courses to keep up-to-date
with current best practice.

system, but because of the unpiloted ‘swings and roundabouts’
approach to funding dentistry,
it’s hard to tell exactly which
procedures are affected and
how this may affect the quality
of treatment provided by individual dentists. DT

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About the author

growing costs of cross infection,
laboratory and staff costs, as
well as material costs such as
single-use endodontic files. All
things being equal, some things
were poorly funded in the old
system and some things are
still poorly funded in this new

sc
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[24] =>

24 Clinical

United Kingdom Edition November 23-29, 2009

Stockport-based implant maestro wows
colleagues from across the globe
Busy worldwide schedule for Dr Nigel Saynor in 2010

M

ore of the world’s accomplished oral surgeons and implant
dentists will have the opportunity
to be inspired by the clinical and

presentational prowess of a dentist from a quiet corner of Cheshire during 2010. Dr Nigel Saynor’s
level of expertise has gained him
a worldwide reputation as one of

the leaders in the field of implantology. Based at Bramcote Dental
Implant Centre in Bramhall near
Stockport, Dr Saynor is due to address colleagues at prestigious

dental meetings in Europe and the
US during the next twelve months.
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3-5 Mar 15-17 Sept

Advanced Implantology Programme
Dr Dermot McNulty, Bath Spa Dentistry
Surgical Skills 5 Mar Soft Tissue Management 7 May
Bone Grafting 24 Sep Sinus Augmentation 12 Nov

Sinus Lifting / Bone Grafting
Dr Mitesh Badiani
Devon Dental Centre of Excellence, Ashburton
Sinus Lifting 26 Mar Bone Grafting 17 Sept

Advanced Course for Experienced Implantologists
Dr Nigel Saynor
Bramcote Dental Implant Centre, Bramhall, Cheshire
19 Feb 17 Sep 19 Nov

Hard and Soft Tissue Grafting
Dr Mark Diamond and Dr Dan McKenna
Fortwilliam & Whiterose Clinics, Belfast & Londonderry
22 Jan 26 Feb

Sinus Augmentation and Bone Grafting Course
Dr Nadir Khan and Dr Tushar Patel
Colchester Dental Referral Centre
22-23 Apr 7-8 Oct

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the American Academy of Osseointegration was Dr Nigel
Saynor. In Seattle in 2006 his session was voted the best lecture,
with the highest rating by delegates of any speaker that year. Dr
Saynor’s presentation to the 2009
gathering in San Diego was described by one delegate as ‘The
best speaker at the conference
in the last ten years’. At the AO’s
25th anniversary meeting in Orlando, Florida in March 2010, Dr
Saynor’s address will examine
‘the limits and set parameters
which influence where implants
can be placed side-by-side with
successful aesthetic outcomes’.
During a counterpoint discussion, he will argue that, ‘utilising
an implant which can demonstrate a tissue care concept, platform offset, rigid connections,
and etching to the top of the implant, can have a positive impact
on the outcome’.
The 2010 AO meeting is preceded by a speaking tour of the
US during which Dr Saynor will
address study clubs in Chicago,
St Louis and Minneapolis. Later
that month he will be in Barcelona with colleagues from Britain
and around the globe for the 14th
DENTSPLY Friadent World Symposium (www.dentsply-friadent.
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scientific programme featuring
expert speakers from Europe and
beyond. Dr Saynor’s session describes intelligent ways for successful decision-making when
treatment planning implant cases.
Dr Saynor explains: “The presentation will provide a comprehensive overview of the key indicators of treatment planning. These
include timing, patient-specific
or indication-specific factors and
surgical and restorative concepts”.
‘Most enlightening and entertaining speaker’
In June 2009, more than 300 dedicated dentists, specialists and presenters from around the world
converged on the Ritz-Carlton
Key Biscayne, Florida. Hosted by
DENTSPLY Tulsa Dental Specialties, the North American ‘Summit by the Sea’ focused on tissue
wellness in implant dentistry. Dr
Saynor’s presentation covered the
aesthetics of dental implants and
biological harmony of the ANKYLOS implant system. Dr Saynor
presented a series of cases together with analysis of systematic reviews of the Cochrane Library of
Implant Cases and scientific evidence to compare various treatment modalities. The exceptional

[25] =>

Clinical 25

United Kingdom Edition November 23-29, 2009

Dr Nigel Saynor

Close-up view of clinical techniques

Dr Saynor in presentation mode

feedback from attendees included:
‘Literally the best, most enlightening and entertaining speaker’,
‘Awesome’ and ‘An amazing lecture’.

includes details of the clinical
course content which covers sinus elevation, bone grafting and

treatment planning for complex
cases.
If you can’t make it to Orlando

Somehow, speaking engagements in London, Birmingham and
Copenhagen were also squeezed
into Dr Saynor’s busy international
programme this year. In September he addressed the International
Academy of Advanced Facial Aesthetics IAAFA Conference at the
Royal Society of Medicine, Wimpole Street, London. Dr Saynor’s
presentation highlighted the role
of the patient’s teeth in determining soft tissue contours of the lower
facial third. He explained to delegates that ‘Tooth position within
the prosthetic envelope can have a
significant impact on lip support. It
can also unduly affect the patient’s
phonetic capabilities. Optimum
tooth position can be achieved,
restoratively or with surgical intervention through hard and soft
tissue grafting’.

or Barcelona next year, the Advanced Course for Experienced
Implantologists takes place at
Dr Saynor’s Bramcote practice
(www.smiledoc.co.uk).
Bramcote is a premier provider of
cosmetic, aesthetic and implant
dentistry in Manchester and the
North West. At the practice Dr
Saynor treats implant case referrals from colleagues around the
UK, particularly complex and/or
problematic cases. The practice
offers state-of-the-art technology
and the very latest equipment, to

assure consistency and quality of
care. The course is very popular,
so early booking is advised. DT
Advanced Course for Experienced Implantologists
2010 dates: 19 February, 17 September, 19 November
Fees: £450 + VAT per person
Further information and bookings:
www.courses4implants.com
Freephone: 0800 077 8650
Email: courses@friadent.net

Alcohol Free high level disinfection

Complex case referrals and advanced implantology training
It is clear that Dr Saynor is passionate about the aesthetic aspects
of dental implantology and how to
optimise the outcomes of treatment
modalities and protocols. He is also
actively involved with the development of implant product and the
promotion of implantology in the
UK and internationally. He has
placed and/or restored over 4,000
dental implants, frequently for
other dentists and their families.
Dr Saynor is an honorary clinical
tutor on the MSc programme in
Implantology at Manchester Dental Hospital and with the support of
DENTSPLY Friadent he presents a
high level course for experienced
implantologists who aspire to
achieve superior aesthetic results
and long-term predictability in implant treatments.
After attending Dr Saynor’s
advanced implantology course,
Dr Rob Burgess of Rocky Lane
Dental Practice, Wirrall, said
that it increased his knowledge
of the range of options for patient
rehabilitation with implants and
gave him the stimulus to undertake more education and training. He added: ‘Nigel’s presentations are excellent. His style
is very open, honest and highly
entertaining. There was plenty
of time for discussion during the
day and I appreciated the way
he showed us problems as well
as successes’. The postgraduate
implantology education website
www.courses4implants.com

Alkapharm UK Limited, Pillaton Hall, Pillaton, Staffordshire ST19 5RZ Tel: +44 (0) 1785 714919 www.alkapharm.co.uk

[26] =>

26 Aesthetic PR
Predictable Diagnosis and Treatment Planning
The most recent Study Club event organised by The British
Academy of Cosmetic Dentistry took place at the Cresta Court Hotel on Friday 11th
September, and saw one of the leading authorities in cosmetic dentistry give a
presentation on ‘Records for Predictable Diagnosis and Treatment Planning’.
With over 20 years’ experience in both private and public health sectors, Dr. Buckle
is an accomplished practitioner, recognised through his membership to both the
British and American Cosmetic Dentistry Academies.
During the course of the evening, attendees were given invaluable advice on
organising an in-depth examination: from the best way to take impressions and
accurate bite records to how digital photography can be a useful tool in visualising
the finished results.
Attendees were also taken through issues concerning the use of articulators and
the way to decide which type to use as well as the arguments in favour of utilising
a facebow as an aid to planning treatment.
The British Academy of Cosmetic Dentistry would like to extend its thanks to Dr.
Buckle for a most informative evening.
For information on future Study Events, please contact:
Suzy Rowlands on 0208 241 8526 or email suzy@bacd.com.

United Kingdom Edition November 23-29, 2009

CEREC® 3D Systems
Why buy CEREC®
from Ceramic Systems?
Looking to improve your profitability, then you need CEREC®
from Ceramic Systems the UK CEREC® Specialists! Only
Ceramic Systems can offer you:• Dedicated Service and Support Engineers
• Countrywide Product Specialists for pre and after sales support
• Low cost finance arranged for you
• User meetings
• Dedicated training facility
• Gold Club for software upgrades, service and support
• Courses by Dr Simon Smyth – the UK’s Number 1 CEREC® Trainer
CEREC® enables Dentists to create high quality and durable chairside allceramic restorations in the most cost effective and efficient way. It is a
computer-aided method for creating precision fitting all-ceramic restorations;
saving Laboratory costs it enables Dentists to design and create all-ceramic
inlays, onlays, partial crowns, veneers and crowns for the anterior, premolar
and molar regions in one visit.
Combined with adhesive bonding techniques, CEREC® creates biocompatible,
non-metallic, natural-looking restorations from durable high-quality ceramic
materials in a single treatment session - without the need for provisional
restorations. For further information, contact Ceramic Systems Limited
on 01932 582930, e-mail j.colville@ceramicsystems.co.uk or visit www.
ceramicsystems.co.uk

SYNERGY® D6

Leading the way with flowable innovations
Accolade PV Veneer Placement System is a
fantastic innovation from leading US company
Danville and is available in the UK from leading
supplier Evident.

The aesthetic nano
composite for simplified
filling therapy
Coltène/Whaledent presents
something
new
and
innovative, SYNERGY® D6
composite. The idea for the
development of SYNERGY® D6
came from experience with
MIRIS™, the natural shade system with its uncompromising aesthetics, and
also from the years of experience with the SYNERGY® Duo Shade System with
low shrinkage, optimum processing properties, fast polish ability and high
resistance to exposure to operating lights. The Duo Shade System uses one
shade component for two Vita™* shades to simplify selection. SYNERGY® D6
provides the user with a simple, safe and highly aesthetic filling procedure with
easily blended shades. Simple selection of shades is a special feature; the result
is a selection with only 6 dentin and 2 enamel shades. The shade is selected
with the unique anatomically shaped shade guide, which is manufactured
from composite. The two components, dentin and enamel, can be nested
together and the dentist can select the matching shade combinations easily.
It’s so simple! For further information contact your preferred dealer or call free
phone 0500 295454 exts 223/224 www.coltenewhaledent.com

The Direct Approach from GC UK
You are not unusual if you find that you sometimes compromise
your composite aesthetic results by using a single shade of
composite for the majority of patients.
Help is now at hand with GC Gradia Direct. Due to the remarkable shade adaptation
of Gradia Direct to the surrounding tooth structure, you will be astounded by the
brilliant aesthetics of your restoration, even when you use only one shade. This
material will provide you with fantastic aesthetic results due to the unique particle
structure and light reflectiveness of Gradia Direct.
Radiopaque GC Gradia Direct Posterior combines aesthetics with excellent
mechanical properties by means of high fracture toughness to resist occlusal
stress, high wear resistance and low wear on opposing dentition.
GC have developed a clever new shade guide that takes in to account the chroma,
hue and value of each composite shade whether you have opted for a singleshade or if you are extensively restoring a tooth and require multiple shades.
Dentists across the globe have been delighted with the ‘one-shade simplicity and
aesthetic invisibility without compromise’.
For further information please contact GC UK on (0044) 1908 218999 or visit
gc.europe.com

New Picasso laser launched by Velopex
With a growing reputation as the ‘font of
knowledge’ in Dental Laser Technology,
the team at Velopex have launched a super
compact bench top Dental Laser. The unit
features: Colour touch screen operation and
includes a carry handle as well as fibre tidy.

Accolade PV includes a unique try-in paste,
which is placed directly on the silane, allowing the veneer to be simultaneously
tried-in for fit and colour. Accolade PV’s try-in paste and bonding composite
are the same material, however the try-in paste has no light sensitive initiators,
allowing accurate colour evaluation with nearly unlimited try-in time. Using a
composite rather than a glycerine based try-in material not only speeds-up the
procedure but also eliminates the possibility of contamination by the try-in
material.
Two of the best selling flowable composites in the US are Danville’s StarFlow
and Accolade SRO. StarFlow had the highest compressive strength in CRA
testing and was found to be stronger than some “packable” composites.
These innovative flowable composite materials deliver reliable, practiceenhancing results with ease.
Accolade PV, Starflow and Accolade SRO are available exclusively from Evident.
For more information please contact Evident on FreeCall 0500 321111 or visit
www.evident.co.uk

Sinus Grafting and Bone Augmentation With Hands-on Cadaver Surgery
Advanced Certificate Course
Dr Koray Feran BDS MSc FDSRCS and Professor Cemal Ucer BDS MSc PhD are
delighted with the response to the 3 day advanced course held in conjunction
with the Regeneration Support Team at the Royal College of Surgeons in
London.
Offering delegates excellent insights on sinus grafting and bone augmentation
and an opportunity to perform and observe Cadaver Surgery delegates agreed
the course was incredibly informative. Also incorporated into the course:

■ Hands-on dissection and live surgery
Aetiology of bone loss
■ Surgical anatomy of the maxillary sinus
■ Indications for sinus augmentation and grafting
■ Evidence base for maxillary sinus grafting procedures
■ Closed and open sinus lift procedures
■ Regenerative materials, science, handling, equipment and instrumentation
For further information or to ensure your place on the next advanced course
for professionals, contact Dr Koray Feran at the London Centre for Implant and
Aesthetic Dentistry on 020 7224 1488 or email koray@korayferan.co.uk or
ucer@oral-implants.com

Velopex Aquacut Quattro Single
With a growing reputation as the ‘font of
knowledge’ in High Technology Dentistry, the
team at Velopex have launched a single chamber
Aquacut Quattro – which is sold in a package with
a super compact bench top Dental Laser. The Laser
unit features: Colour touch screen operation and
includes a carry handle as well as fibre tidy spool.

The Velopex Diode Laser is very easy to
operate with a user friendly, menu based,
‘touch screen’ control system that is easy to
navigate – with 8 presets. The unit itself can
fit neatly onto or into standard dental cabinets.

The Aquacut Quattro Single provides all the benefits of its bigger brother – the
ability to provide excellent (best in the market) stain removal as well as cavity
preparation and composite repair. Use this before any bonding for fantastic
results.

Velopex are very proud of their laser training and product support – which
keeps customers coming back for repeat purchases.

Velopex are very proud of their laser training and product support – which
keeps customers coming back for repeat purchases.

With a price of just £4,995 + VAT for the complete package including case, 3
pairs of glasses as well as a 2 year warranty - this is set to become a big seller.
Not only that, but this price includes an Aquacut Quattro single chamber unit
– giving a hard and soft tissue combination – amazing value!
For more information, or to arrange a demonstration, please contact:

With a price of just £4,995 + VAT for the complete package including case, 3
pairs of glasses as well as a 2 year warranty - this is set to become a big seller.
Not only that, but this price includes an Aquacut Quattro single chamber unit
– giving a hard and soft tissue combination – amazing value!
For more information, or to arrange a demonstration, please contact:

Mark Chapman
Tel 07734 044877

Mark Chapman
Tel 07734 044877

Lava chairside oral scanner takes aesthetic perfection
to new heights
Pioneers of 3M ESPE’s revolutionary digital device the Lava
chairside oral scanner (C.O.S) are reaching new levels of
perfection in aesthetic dentistry.
Using interactive imaging technology the Lava C.O.S
collects 3D data directly from the patient’s mouth using a
narrow oral wand measuring just 13.2mm wide at its tip.
This hottest new device in dentistry is more accurate than traditional
impression taking processes, helping dentists to produce perfect aesthetics
and restoratives from the patient’s first appointment.
This unique level of accuracy is enabled by the Lava C.O.S technology, which
allows every part of the impression to be viewed precisely by rotating and
enlarging the 3D images.
If you feel your dental practice is ready to take aesthetic perfection to the next
level please call 3M ESPE today on 0845 602 5094 or visit www.3mespe.co.uk/
lavacos
www.3mespe.co.uk
3M ESPE Dental Products UK & Ireland
Tel +44 (0) 1509 611611 email: 3mespeuk@mmm.com

Sident Dental Systems
Looking for Sirona Equipment, get it from Sident!
If you are looking for any Sirona equipment, get it from
Sident Dental Systems, the UK’s only Specialist Supplier
of Siemens /Sirona equipment. Only Sident Dental
Systems can offer you:-

■ Comprehensive bespoke Project Management Service for Surgery
refurbishments
■ Factory Trained Engineers
■ Product Specialists to advise on design, installation and on-site training
■ Low cost finance packages for all products
■ Established 28 years
So if you are considering reequipping make sure you talk to them!
Sirona Specialists, Sident Dental Systems offer the choice from the complete
range of Sirona Treatment Centres, 2D and 3D digital and film based x-ray
apparatus – including the very latest Galileos 3D digital cone-beam equipment,
their extensive range of Sirona handpieces, and auxiliary items including
SiroLaser, SIROEndo and the DAC Universal sterilisation unit.
Wherever possible potential clients are invited to visit The Courtyard, Sident’s
state-of-the-art training and showroom facility in Chertsey, where they will be
able see the complete product range in action.
For further information call Sident Dental Systems on 01932 582900 or email
j.colville@sident.co.uk

Ignite Your Passion with
Sirona CEREC!
With dental technology
constantly evolving, now is
the time to log on to Sirona
CEREC’s website. Sirona CEREC is dedicated to ensuring customer satisfaction
from before the moment of purchase. As such Sirona prioritise training, as they
realise how crucial it is to be kept up to date with the very latest techniques.
With a free online training facility www.sironacadcamsolutions.co.uk allows
you to more than visualise how beautiful restorations can be created in the
comfort of your own surgery. Get to know the system quickly and learn how
to market CEREC to your patients. See actual cases in your home or at the
practice; from the most simple procedures to more advanced cases. You will be
amazed at the final results time and time again.
With hours of free training to refresh your memory or to learn about the reality
of CEREC – ignite your passion for dentistry with CEREC from Sirona.
For further information please log on to www.sironacadcamsolutions.co.uk
or call Sirona Dental Systems on 0845 071 5040 e-mail info@sironadental.co.uk

DENTSPLY Indirect Restorative Procedure
Don’t risk it – get it right first time
Mr Aquasil Ultra, a key starter in his indirect restorative
team delivers great impressions even where moisture
control is a challenge and records finer details that
other impression materials will not. With a strength
that is at least 40% greater than 24 other leading products tested, he records
even the thinnest margins, remaining intact when removed from the mouth.
Another team member, Mr SmartCem™2 loves working with his indirect
restorative team and ensuring the final restoration fits perfectly, performing
a brilliant job together.
Since crown & bridge restorations are amongst the most demanding
procedures carried out by a dentist, with high expectations from their patients,
DENTSPLY’s indirect restorations team make it quicker and easier to ensure an
accurate, long lasting restoration to “get it right first time”.
Impression Taking with Mr Aquasil Ultra “Always makes a Great Impression”
Temporary/Provisional Restorations with Mrs Integrity™ “Looks that Last”
Restorative Hand Instruments with Mr Artio™ “Tools for a True Artist”
Permanent Cementation with Mr SmartCem™2 “Strength in Simplicity”
For more information, please contact your local DENTSPLY Product Specialist
on: +44 (0)800 072 3313 or visit our website: www.dentsply.co.uk

[27] =>

United Kingdom Edition November 23-29, 2009

Good for Patients, Good for Practices
The demand for dental work is growing at an
unprecedented rate due to an ageing population
living longer; younger generations who continue to need preventive services
and maintenance of existing dental work.
Munroe Sutton has developed a patient referral plan that is affordable and
effective. Unlike insurance, discount plans have no annual limits and no health
restrictions. Referral Plan members are granted access to a large network of
participating dental care providers that have agreed to offer their services at a
discounted fee, while the practitioner gains access to a large pool of potential
patients.

All equipment/medical devices in direct contact to the patient have to be
disinfected and sterilised after use and before use on another patient. Kemdent
InstrumentSafe is suitable for the safe inactivation of influenza A viruses at the
respective concentration rates and exposure times of the product.

Some of the many benefits Dentists receive from the Munroe Sutton plan are:
• Access to many potential new patients
• Support with marketing their practice through the scheme, which
encourages patients to visit the dentist regularly and helps them afford
desirable treatments such as aesthetic dentistry.
• No long term commitment. Dentists can cancel their participation with a
simple 30-day notice period.

Using Kemdent Cross-infection control products will help a Practice maintain
their high standards of patient care.

Simple, effective and tried and tested by millions of Americans. Munroe Sutton
offers increased profitability for UK dentists with no extra outlay.

For further information on special offers or to place orders call Helen on 01793
770256 or visit our website www.kemdent.co.uk.

For more information call 020 7887 6084
or visit www.munroesutton.co.uk/dentist

A personal trainer for the mouth
-The first motivational toothbrush is launched

Quality not Compromise
Time Dental Farnham
Genus is renowned for offering extensive
design and construction expertise to the
dental market, whether for refurbishing or fitting out a practice. The team at
Genus make it their business to get to know their clients in order to develop
designs that are highly effective, fully compliant and closely in line with the
dentist’s vision for their practice.
Genus oversees the construction phase to maintain close control over the
progress of the project and to schedule work effectively. Genus employs its
own project managers, trades people and labour teams and, apart from some
specialist services, does not use sub-contractors.
Genus is not tied to any particular manufacturer, which means they can
choose the best solution for each project. When Genus specifies furniture and
equipment for a project, this is based on the client’s requirements and the
overall design.

Statistics show that 50% of people who join a gym
stop going within 3 months! However when they use
a personal trainer, who shows them how to use equipment effectively, they
remain focused and far more motivated to achieve their health goals.
The same could apply to Dental Professionals and Philips has launched its
latest Sonicare – FlexCare+ - to provide DPs with the latest motivational tool
for the mouth. The brush is enriched with new features specifically designed
to motivate patients to brush the way they need to if they are to address their
periodontal conditions.
So that they can assess FlexCare+ before recommending it, Philips is offering
Dental Professionals an exclusive opportunity to trial the brush with it’s built
in UV brushhead Santiser before the dispensing models are available in early
2010. To find out how, visit the new Sonicare website www.sonicare.co.uk/dp
and fill in a form online or call 0800 0567 222

Genus delivers effective practice designs and high quality interiors that are
completed on time and to budget.
For more information please call Genus on 01582 840484 or email info@
genusgroup.co.uk www.genusinteriors.co.uk

Experts in Professional Legal Services for
UK Dental Professionals!

Cut your bills
Is your practice still spending
too much on equipment and
supplies? Then you need to take a
look at www.inventorycircle.com
The website has been designed
to connect dentists and dental
suppliers across the globe who
wish to buy and sell:

While you are busy caring for your patients, Goodman Legal Lawyers are
working hard to ensure your practice is protected and that you have access to
tailor made, reliable and practical solutions to suit your specific needs.
The professional team of specialist lawyers swiftly develop a safe and reliable
plan to offer clients outstanding options and piece of mind when faced with
either problems or opportunities.
A dedicated partner who understands your commercial and professional
objectives as well as your legal requirements can guide you through:
• Dental Practice sale and purchase • Practice merger and acquisition
• Contracts • Partnership agreements • Partnership dissolution
• Expense Sharing agreements • Associate and hygienist agreements
• Dispute resolution • Employment matters • Sale and purchase of premises
• Freehold and leasehold property • Commercial debt recovery

• Time sensitive (soon to expire) supplies
• Returned equipment and supplies
• Used equipment
• Refurbished equipment
• End of line supplies

The Goodman legal team are experts in the dental field with years of experience
and an outstanding knowledge of current legal suggestions and guidelines.
For piece of mind contact Goodman Legal, Lawyers for Dentists on 0800 073
0385, email rng@goodmanlegal.co.uk or visit www.goodmanlegal.co.uk

It is absolutely free to register on www.inventorycircle.com . So, what have you
got to lose?

Vita, the world -leading expert in
shade determination brings you
the new Easyshade™ Compact, a
fast and reliable way to take shade
at the push of a button. Consistent
measuring accuracy due to 3
spectrophotometer
measuring
components, this cordless, mobile
and lightweight unit reads up to a
potential 97 shades combination,
both in Classical and in the 3D
system. User friendly and easy to
learn, with Easyshade™ Compact, you can read one single shade or 3 different
areas in the tooth. You can also monitor your quality control by using the ‘verify
restorations’ facility. Up to 25 shades taking results can be stored in memory.
By using LED technology, Vita has ensured that the Easyshade ™ Compact ‘life
expectancy’ is almost limitless. No more worries about lighting conditions or
costly remakes either! Panadent 01689 88 17 88 or visit www.panadent.net

Panadent Minamint ZINC – The Next
Generation of Mouth Rinse arrives
Panadent is pleased to announce the next
generation of dental mouth rinse is launched
with the introduction of Minamint Zinc
Now all that has changed.
Panadent has managed to engineer a small
amount of Zinc into the formulation for
Minamint Zinc Concentrated Mouth Rinse. Zinc
in low concentrations is known to reduce levels
of Volatile Sulphur Compounds in the mouth.
By rinsing with Minamint Zinc, patients not only
benefit from the fresh clinical bouquet and freshness provided from original
Minamint’s unique high quality formulation but also will assist to reduce
unpleasant odours and taste associated with dental procedures and poor oral
hygiene pre, during and post procedure
Minamint Zinc is recommended for all dental surgeries as a effective mouth
rinse with additional benefits. Panadent is offering a special introductory trial
offer to let you see the advantages for yourself of buy 2 get 1 free, which brings
the unit price per 100ml bottle to £8.33 + vat each. Call Panadent today at
01689 88 17 88 for details.

BDTA Showcase Review 2009 Stand U02
Periproducts would like to take this opportunity to thank
all who came onto the stand to talk to us about our
products and passed on such fantastic feedback.
Many great Showcase offers were available and there is still time to place an order.
Offers end 30th November 2009
Please call 0208 8681500
For more details
Two of our featured products that received a lot of interest were:SensiShield is Bio mimetic Technology
The Advance Bio-Technology formula of SensiShield Toothpaste mimics the way saliva
in the mouth naturally re-calcifies dentine and tooth surface enamel.
And, Denti-Brush Interproximal Brushes
The main benefit is that each brush has a flexible handle and brush to increase
control and access to difficult areas. Unlike other brushes, the tip has been specially
designed with ‘Pivot Technology’. This reduces the pressure and stress on the wire
holding the interdental brush head in place, therefore minimising potential breakage.
Luigi Castellano, Accounts Manager said ‘After three days of demonstrating the pivot
technology by bending the brush head backwards and forwards the brush head was
still in tact. To place an order, receive further information or samples to try please call
0208 8681500

Biterite Dental Laboratory
New Website, Same Great Service!
Biterite Dental Laboratory have a new look,
easy to navigate website that offers users
instant access to the great products at Biterite as well as the latest innovations
from the smile design team.
Housed in their brand new state-of-the-art premises, the team from Biterite
uses the latest technology combined with the finest craftsmanship to offer you:
• The standards and values of the traditional dental laboratory combined with
the contemporary work ethics of today’s dentist
• Guarantees on all their work for 3 years
• All work turned round within 10 working days
• A consistent supply of crown and bridgework solutions of outstanding quality
• A bespoke service to suit the specific needs of your practice

No need to spend hours fruitlessy searching online – everything is in one place.
And, unlike advertising, you pay nothing to list equipment and supplies on
Inventory Circle – you only pay a small commission once the items are sold.
You pay on results!

Easyshade™ Compact

Industry News 27

Why not try the fresh approach to cosmetic crown and bridgework solutions?
To demonstrate the quality of all work created by Biterite, your second piece of
work will be done completely complimentary!
Visit the new website at www.bite-rite.co.uk or call the dedicated team on 0208
455 5321 to get your free Biterite information pack.

The Fusion of Style and Function
If you are looking not only to refurbish but also to transform
your practice, look no further than Tavom.

The British Academy of Cosmetic Dentistry presents the latest in
its series of Study Club Lectures, to be held at the British Dental
Association, London on Tuesday 26th January 2010.

A company who, for 30 years, has embodied the philosophy of
constant improvement in both their service as well as in their
products, Tavom are experts in guiding the client through the process from start
to finish.

Entitled ‘Impression Free Dentistry: Are We There Yet?’ Dr Ilan
Preiss will explore how digital impressions can have a significant
impact on the way dentists practise.

A team consummate in employing CAD technology to transform ideas into
tangible results will deal with every detail of your requirements. The innovative
design of cabinets such as the new Alnair Range means practicality and style are
combined to create surfaces and storage which maximise space, no matter how
limited.
There is the option of utilising Y Glass to give an ultra-modern finish to create
visually elegant surroundings.
For excellent resistance to corrosion, the Kamal range includes stainless steel
units whose hardwearing surfaces offer hygienic functionality with a sleek,
contemporary look.
Take a moment to visit the website and you will be amazed by the fusion of style
and function to create spectacular results for your surgery.
For further information call Tavom UK on 0870 752 1121 or visit www.tavom.com

The focus is the new 3M Lava Chairside Oral Scanner and the lecture will cover:
• An overview of the technology involved
• Clinical tips for capturing data
• Interpretation of data and communication between dentist and lab
• Clinical cases and photos for onlays, veneers and all ceramic crowns
The lecture will also feature a practical element, allowing attendees to use the
equipment.
Dr Ilan Preiss is a member of the BACD, AACD and ADI. Part of the Bow Lane
Dental Practice since 2002, Ilan won the 2009 Restorative Smile of the Year
Award at the prestigious Smile Awards.
Places are limited for this event and so booking early is recommended.
For more information or a booking form please contact Suzy Rowlands on
0208 241 8526 or email suzy@bacd.com.

[28] =>

28 Industry News
Kavo Everest CAD/CAM
One of the most respected UK dental suppliers, Wright
Cottrell, has been working alongside dental teams for many
years, supplying an incredible range of quality products for all
indications.
Wright Cottrell works hard to deliver the latest innovations and cutting edge
equipment, including the Kavo Everest CAD/CAM system.
A complete processing system for strong and highly aesthetic solutions for all
ceramic restorations, the KaVo Everest CAD/CAM system is an outstanding example
of holistic design in dental laboratory technology.
The system comprises of four components:
• Everest scan pro – Measuring unit with exact scanning of the models
• Everest engine – Milling and grinding unit for high
precision and automated processing
• Everest Therm – Sintering unit for perfect sintering
The benefits of scanning with this innovative solution have opened doors to all
dental professionals by offering fast and accurate results. With access and support
from the experienced Wright Cottrell team, you are guaranteed outstanding
customer care and the highest quality products available.
For more information about how you can benefit from outstanding service and a
world-class product range, freephone Wright Cottrell on 0800 66 88 99 or visit www.
wrighthealthgroup.com

United Kingdom Edition November 23-29, 2009

Kemdent products provide Effective protection
against Swine Flu
Kemdent Practicesafe Spray and wipes and Kemdent
Chairsafe foam and wipes used correctly, guarantee a safe
inactivation of influenza A (H1N1)- viruses (pathogens
of swine flu). These products should be used for daily
disinfection of surfaces close to the patient/frequently
touched surfaces (eg. dental chairs, door handles, work surfaces).
The disinfection of hands and surfaces and also contaminated instruments
play a major role in preventing the human-to–human transmission of the
currently circulating swine-flu virus which belongs to the group of influenza
A viruses, type H1N1.
All equipment/medical devices in direct contact to the patient have to be
disinfected and
sterilised after use and before use on another patient. Kemdent InstrumentSafe
is suitable for the safe inactivation of influenza A viruses at the respective
concentration rates and exposure times of the product.

And, as a seller it costs you NOTHING to advertise your equipment. You only
pay a small percentage once the item has been sold. Truly payment by results.
What have you got to lose?
It is absolutely free to register on www.inventorycircle.com . So, what have you
got to lose?

The Future of
Periodontal Instruments
Harder-Sharper-Better.
Introducing the future of
Periodontal Instruments,
PDT
are
the
most
innovative and progressive hand instruments available. The working tips
on PDT instruments offer unequalled consistency, angles and sharpness.
PDT’s unique heat-treating incorporates not only the newest technology for
hardening but also in cryogenics. PDT instruments hold their edge 4 to 7 times
longer than most instruments available today. The colour-coded thermal resin
handles are not only the lightest on the market, but are also extremely tactile
sensitive. The exclusive knurling pattern goes right to the tip, giving a much
better grip and allows for better pull as well as rotational control, putting less
strain on your muscles, reduced hand cramping and reduced risk of carpel
tunnel syndrome. For our latest special offers please call us on 01535 656312 or
visit www.swallowdental.co.uk , or come and see us this Autumn at the BSDHT
stand 34, BDTA stand Q14.
Contact:
Vicki Nunns
Swallow Dental Supplies Ltd
8 Ryefield Court, Ryefield Way, Silsden,
West Yorkshire, BD20 0DL.
Tel: 01535 656312 sales@swallowdental.co.uk www.swallowdental.co.uk

The Implant Education Centre, based in
Leicester, in conjunction with Nobel Biocare
is pleased to welcome delegates to the
outstanding One Year Dental Implant training
programme.
Designed for dentists with a basic knowledge
of implants who want guidance through
simple and safe implant treatments, the
course also offers support on more complex and advanced cases. GDC registered
delegates will benefit from the many highlights of this programme including:
• 138 CPD Hours
• 12 modules over 12 months – 15 days training
• Exceeds the GDC training standards in implant dentistry
• 60% hands-on live surgery and 40% theory
• A 3 day, hands-on, cadaver module in Washington DC
Lead by Chris Lucas BDS, and a 26 strong training team, delegate feedback has been
exceptional with comments such as: “Very clinically focused, exactly want I wanted”
and “A very different experience from any other training or development I have been
involved in within dentistry.
Nobel Biocare continues its commitment to dentistry by supporting outstanding
education and events programmes offering quality-training solutions for the
entire dental team. For more information call +44 (0)116 240 6441 or visit www.
implanteducationcentre.com

For all your various needs...The NEW NSK
Varios 970!
Ultrasonic scalers are in daily use in a dental
surgery, providing a patient friendly and
efficient way to meet the challenges of perio,
endo and minimal intervention treatment
techniques.
The Varios 970, from NSK, can be used for
these treatments, simply by exchanging the
tip – and with a total choice of 45 tips, there
is always one for the procedure you are
undertaking.
The Varios 970 has a very useful second solution container, allowing you to
easily change irrigants during a treatment with a dial control, also the unit has
3 power ranges; Perio, Endo and General, that are easily selected with the push
of a button.
The Varios 970 incorporates the NSK iPiezo PCB with the very latest, and most
advanced, standards in auto feedback technology, making the performance
smoother and more efficient, so that, whether you are ultrasonically scaling,
endodontically shaping or preparing minimal intervention cavities the Varios
970 is your ultrasonic unit of choice. For more information please call Jane
White at NSK on 0800 6341909 or visit www.nsk-uk.com

NOW
- National Orthodontic
Week to be launched by
British Orthodontic Society

Faster Impressions with GC Exafast NDS
GC has produced a range of impression
materials that set in super fast time with
Exafast NDS.

The British Orthodontic
Society
has
announced
that the first ever National Orthodontic Week will be launched on 22 March
2010. The aim of the week is to create a cohesive vehicle for all providers of
orthodontic treatment to come together and communicate a strong and wellinformed message about orthodontics to the public and to the wider dental
profession.

The Exafast NDS family of addition cured
silicones provide high quality, accurate and
consistent impressions every time. Exafast
NDS allows you to produce very smooth
and highly precise impressions in only 2
minutes, thus improving your productivity
and maximising the comfort of your patients.

Do it NOW

GC Exafast Putty is an extremely fast setting putty material, ideally for use in
the single step technique. In combination with other GC Exafast NDS materials
its working time of 45 seconds and setting time of 2 minutes 15 seconds offers
you the perfect combination of speed and precision.

The BOS is making the announcement NOW to give the profession plenty of
time to gear up for the event and make preparations for local and practice
initiatives which will benefit them and their patients. A new website
www.nowsmile.org has been created and dental professionals are being
encouraged to log on NOW to find out how they can get involved with the
campaign; download free material for their practices and even read the blog
being written by an orthodontist to describe how his practice will be gearing
up for NOW.
To participate in NOW or to find out more, please visit www.nowsmile.org.

With our huge range of 25,000 products, free next-day delivery, choice of
ordering systems, and our continual campaigns to offer Dentists the very best
value for money, The Dental Directory has always been the place to order your
dental sundries, consumables and equipment.

Lansdell & Rose can help you with the complexities of Incorporation and offer
you a personal, bespoke service that suits you and your practice.
A Limited Company can hold many benefits including:
• Limited Liability – shareholders are limited to the capital they introduce
• Enhanced commercial and patient credibility – Often seen as more credible
than sole traders
• Taxation benefits –Taxation can often be reduced by up to 50%, depending
on personal and business circumstances!

So, while all dental dealers can give you the 15% VAT rate until December 31st,
don’t you want the best in price, range and service too?
Start saving now call us on 0800 585 586.

They also stop leaking anaesthetics and are resistant to a broad range of
chemicals. The range includes the 2.2ml and a 1.8ml self-aspirating, imperial
hub thread needle-accepting syringe and is compatible with the Astra SelfAspirating Cartridge.

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

Can You Benefit from Incorporation?
The move from Sole Trader/Partnership to a Limited
Company can be an exciting, if somewhat apprehensive
time. Incorporation can be a far more sensible, durable and
long-term plan to reduce tax than risky ventures such as ‘tax-schemes’, which
can prove to be disastrous for many dentists.

Dedicated Orthodontic and Oral Hygiene Product Managers are available to
offer specialist products and advice that can not only save you money, but also
increase your practice revenues.

Eeliminating the use of barbs, the Rotor S/A Syringe design uses the elasticity
of the cartridge and thumb disk to induce carefully and easily controlled
aspiration, and allows the dentist to check the correct position of the needle.

For further information on special offers or to place orders call Helen on 01793
770256 or visit our website www.kemdent.co.uk.

Beat the VAT increase and get the best in price,
product range and service too with The Dental
Directory!
Remember, the VAT rate* is likely to rise to 17.5% at
the end of the year, so beat the increase and buy now
to save an extra 2.5%!

Our Equipment Department have a skilled team waiting to help you through
the minefield of product selection, planning and installation. They can also
help to spread the costs with attractive hire purchase agreements that take
advantage of the reduced VAT rate, so now really is the time to make that
investment in large equipment or a surgery refit.

These light, moulded components, with a
secure snap-fit assembly, maintain mechanical
strength, stability and stress cracking resistance
when exposed to the repeated, long-term high temperature autoclave cycles
necessary for infection prevention.

Blackwell Supplies’ Rotor Syringe range helps you achieve best practice
pragmatically, combining effective infection control with durability and ease
of use.

Taking a long time?
Costing an arm and a leg in
advertising?

• Time sensitive (soon to expire) supplies
• Returned equipment and supplies
• Used equipment
• Refurbished equipment
• End of line supplies

Blackwell Supplies’ innovative and fully
autoclavable Rotor Syringe range uses quality
stainless steel and unique Peek thermoplastics.

Using Kemdent Cross-infection control products will help a Practice maintain
their high standards of patient care.

Trying to sell equipment?

Then you need to take a
look at www.inventorycircle.
com The recently launched
site has been designed to
connect dentists across the
globe who want to buy and
sell:

Clean injection with Rotor

All benefits and implications of Incorporation and your unique circumstances
will be thoroughly discussed to enable Lansdell & Rose to devise a personalised
blueprint to ensure a successful transition.
By offering you expert advice at every step and providing you with a bespoke,
reliable service, you can be assured that the team at Lansdell & Rose is
delivering correct, suitable advice that will help you and the future of your
business For more information about Incorporation and the services available
from Lansdell & Rose please call on 020 7376 9333

The Exafast wash material is available in 3 viscosities to suit your preferred
technique. All are supplied in cartridges for speed and ease of application. As
the material sets so quickly there is less risk of distortion due to movement
during the setting.
For further information please contact GC UK Ltd on 01908 218999 or e-mail
gcuk@btinternet.com

Faster Cutting with Predator from Prima Dental
Group
Predator Turbo is the original one piece metal cutting
carbide, ideal for rapid reduction of all dental materials,
amalgam, and semi precious and non precious metals,
tooth structure. Its unique sharp blade design and
multiple cross cuts provide the ideal combination for
crown removal and endodontic access.
Predator Turbo considered the ultimate in premium
cutting technology, received US Dentistry Today’s
highest accolade of Top 100 products.
The secret of Predator Turbo’s success lies in its subtle aggression whilst its
unique tooth geometry and flute design supply the cutting power necessary
for metal/crown removal.
Predator Turbo burs are manufactured using the latest Swiss made precision
machine tools. As a result their optimal design, quality materials and exacting
engineering enable Predator Turbo burs to cut faster than straight bladed burs
and smoother than regular dentated burs. Predator Burs are the strongest,
sharpest and most durable burs available.
All shapes are available in a unique Solo Peel blister 10/packs as well as
convenient clinic 100 packs. For further information please contact Prima
Dental Group on +44 1452 307171 www.primadentalgroup.com

[29] =>

Advertorial 29

United Kingdom Edition November 23-29, 2009

Endodontics: a field of its own
Untreated infections can lead to the loss of teeth. This has psychological,
as well as physiological, consequences with many patients reporting low
self esteem and feeling embarrassed to be seen in public.
Demanding patients
Today there are two options for
diseased teeth: endodontic therapy
and extraction/implant placement.
The rapid growth of the internet
over the past decade has resulted
in patients being better informed
about these options and often expecting their teeth to be saved
rather than extracted or replaced.
With this surge of demand
from patients and advances in endodontic methods and technology,
endodontics has become a recognised field of dentistry in its own
right. Endodontic instruments are
now so accurate that the length of
a root canal can be determined to
0.5mm. This is all thanks to fibre
optic illumination, minute video
cameras attached to microscopes,
sophisticated apex locators and ultrasonic technology.
A rapidly growing industry
The field of dentistry is continually
growing and evolving; statistics
show that the amount of knowledge required by a General Dental
Practitioner (GDP) doubles every
five years. Consequently, current
undergraduate dentistry education
is unable provide the level of detail
required for GDPs to feel suitably
qualified to perform intricate procedures. In terms of endodontics,
it is often when teeth with a more
complex anatomy are involved,
such as back molars, that further
training is needed. For this reason,
many dentists choose to follow a
postgraduate route of study to specialise in the field of endodontics.
The European Society of Endodontics, a highly prestigious
academy of scientists, teachers and
clinicians, published guidelines for
undergraduate education in endodontics. However, a recently published study in the BDJ critically
commented on the coverage of the
subject in dental schools throughout Europe. The same European
Society of Endodontics is currently
developing guidelines for postgraduate endodontic education.
The USA has progressed much
further in this field. The American Association of Endodontics
published strict guidelines years
ago, which are followed rigorously by the majority of postgraduate
dental institutions.
A new MSc in Endodontics
The University of Warwick will
launch a new MSc in Endodontics
in January 2010. The programme
follows the American Association
of Endodontics’ guidelines. It will
be delivered by leading professionals, academics and researchers in
the field of endodontic dentistry,
and supported by respected aca-

demics from the field of continuing
professional development.
As a part-time course, it has
been designed to offer a flexible
training pathway tailored to indi-

vidual requirements and circumstances. The programme will allow
students to improve and increase
the scope of endodontic treatment
in their practices through the study
of a wide range of topics, such as

tooth morphology, mechanical
shaping, chemical disinfection and
pain management in endodontics.
Learning will take place
through traditional seminars and

practical work, performed in labs
and at regional training centres.
Students will gain a thorough
understanding of modern technologies, using materials and
instruments such as surgical microscopes and cone beam CT.
Applications are being accepted now and further information
about the course can be found at
www.warwick.ac.uk/go/dentistry.

[30] =>

30 Events

United Kingdom Edition November 23-29, 2009

Volunteer programme success
One million ordinary Tanzanians can now access safe emergency
dental treatment, thanks to the sustainable training carried out by
volunteers on Bridge2Aid’s Dental Volunteer Programme

or 75 per cent of the world’s
population – those living in
the rural areas of developing nations – relief from unbearable dental pain is several hours’

or even days’ walk away. Worse
still, many will walk for hours
or days for help, only to find that
there is no-one qualified to treat
them.

For so many Tanzanians, this
has been a daily reality. Driven by
overwhelming pain and despair,
many people will resort to selftreatment or unqualified help.

DIY extractions often aggravate
the problem, resulting in sepsis,
fractures and other life-threatening situations. Every year,
many Tanzanians suffer horrific
injuries and complications that
could easily have been prevented with the right primary care.

‘many will walk for
hours or days for
help, only to find that
there is no-one qualified to treat them.’
Addressing the problem
Bridge2Aid has been actively addressing this problem since 2004.
The Bridge2Aid Dental Volunteer
Programme (DVP) is now helping to make this scenario a thing
of the past. Over one million of
the world’s poorest people are
now able to access qualified local health personnel, who have
been trained and equipped to deliver emergency oral healthcare
under the ongoing supervision of
their own regional dentists. This
is a proud moment for the charity and for all the volunteers that
have helped make this a reality.
On a Bridge2Aid DVP, qualified UK dentists and dental nurses volunteer their time and spend
two weeks in Tanzania, delivering
specialised one-to-one training to
local clinical officers. Since 2004,
over 120 dentists and 80 dental
nurses have taken part in the programme, devised by Bridge2Aid
in collaboration with the Tanzanian government. One hundred
and five clinical officers have
now been successfully trained.
And not only that, in 2010, a further 500,000 Tanzanians will gain
access to the same standard of
dental treatment, thanks to the
continuing growth of the capacity
of the programme.
A lasting legacy
Volunteers
with
Bridge2Aid
leave behind a lasting legacy –
by passing on their dental skills
to Tanzanian healthcare workers, all patients that access the
service
receive
high-quality
treatment using safe equipment
in an environment with a high
level of cross-infection control. Training clinicians in this
way ensures that a volunteer’s
time in Tanzania has a maximum impact over the long term.
To take part in the next
Bridge2Aid Dental Volunteer Programmes in January and February 2010, or to find out more, visit
www.bridge2aid.org or call Ruth
Bowyer on 07748 643006. DT

[31] =>

Classified 31

United Kingdom Edition November 23-29, 2009

Geoff Long
2010

FCA

Tax Planning Slate
Now Available!

office@dentax.biz

Untitled-4 1

19/10/09 17:03:31

Call 01438 7222242

[32] =>

PE

F

GU

E

X

YEARS O

RTISE

C

SODY
L

OR

M CARE

DUAL CARE FOR
GUMS AND TEETH

CORSODYL DAILY GUM & TOOTH PASTE IS DIFFERENT
FROM REGULAR DENTIFRICES
The only formulation to contain
sodium bicarbonate, 1400 ppm
fluoride and six natural
plant extracts

Over 67% of the ingredients are
for the care of gingiva and teeth
– compared to 25% in many
other regular dentifrices

Free from sodium lauryl
sulfate – suitable for patients
using 0.2% chlorhexidine
digluconate mouthwash

Corsodyl Daily Gum & Tooth Paste is a clinically proven dentifrice,
which can kill bacteria that can cause gum disease1.
With regular brushing, it helps maintain firm and tight gums and a low gingival index2.

Recommend Corsodyl Daily Gum & Tooth Paste
because teeth need gum care too
References: 1. Arweiler N, Auschill T, Reich E , Netuschil L. Substantivity of toothpaste slurries and their effect on re-establishment of the dental
biofilm. J Clin Perio 2002, 29, 615-621. 2. Yankell SL, Emling RC. Two month evaluation of Parodontax dentifrice. J Clin Dent 1988 Suppl A, A41-3.

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

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[cover] => DT UK 2809

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