DT UK No. 10, 2011

Is the ‘uplift’ really a pay cut for dentists? / News / “Just put your feet up!” / Giving and Gaining? / Focus on finance / No more ‘Get out of Jail Free’ card / Social marketing on Facebook – what is your plan? / Waste management matters / Dynamic thinking / Doing it by the book / You get what you measure / United we stand / Laboratories and dental professionals working in partnership / Industry News / Events / Classified

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May 9-15, 2011

PUBLISHED IN LONDON
News in Brief
Justin Bieber’s gone dental
Teen singer Justin Beiber
has cornered a previously
uncharted market with the
launch of his very own singing toothbrushes. The electric toothbrushes, which are
to be launched on July 1st
2011 from Ashtel Dental,
will come in two designs:
one plays Biebers’ hit tunes
Baby and U Smile, while the
other blasts out Somebody
To Love and Love Me. Each
song lasts two minutes. According to reports, there
are other Bieber-themed
oral
care
merchandise,
which has been produced
by the company; these include an adult toothbrush,
floss and travel kit - which
includes a mini hourglass
timer and a tongue scraper.
Gum disease and anaemia
A new study suggests that
chronic periodontitis may
cause a reduction in red
blood cells and haemoglobin
leading to the blood disorder anaemia. The research,
published in the Journal of
Periodontology, found that
more than a third of people
suffering from severe gum
disease had haemoglobin
levels below normal concentrations. Following a sixmonth course of treatment to
improve their oral health, all
patients had improved levels
of red blood cells, haemoglobin and all other clinical
measures used to assess the
health of the blood. The research also suggested that
women with severe gum
disease had a higher risk of
anaemia, compared to men.
Less than three in ten men
had anaemia, compared to
over four in every ten women.
Dental cost
One in five people are delaying having dental work carried out because of the cost
of treatment according to the
findings of the Adult Dental Survey. But the results of
the survey, which was carried out in 2009 but has just
been published in full, suggest even modest charges
can prevent people seeking
treatment and can widen
dental health inequalities.
The findings also confirm research by the British Dental
Association (BDA) carried
out earlier this year in England, which found concerns
about the economic climate
are leading patients to cancel
dental appointments and defer treatments they need. Dr
Nigel Carter, chief executive
of the BDHF, said: “Dental
care should not be viewed
as a luxury. Looking after
your oral health can reduce
the risk of getting infections.’’
www.dental-tribune.co.uk

Feature

Giving and gaining

Amarjit Gill looks back on a visit
to Chitrakoot

Social Media

What’s your plan?

Rita Zamora discusses social
marketing on Facebook

pages 9-10

pages 14-15

VOL. 5 NO. 10
Practice Managment

Doing it by the book

Jonnie James discusses employment regulations

Lab Feature

Working in partnership
Dental Tribune talks to Nicola
Farnfield about relationships

page 18

pages 25-27

Is the ‘uplift’ really a
pay cut for dentists?
BDA warns that percentage increase may not be all it seems
value of DESs.”
The British Dental Association (BDA) has said however that
the Department of Health’s announcement of a 0.5 per cent
increase in contract values for
general
dental
practitioners
in England for 2011/12 is a
pay cut that will negatively
affect their ability to invest in patient care.

T

he NHS Employers organisation and the General
Practitioners Committee
(GPC) of the BMA have agreed
changes to the General Medical
Services contract for 2011/12 for
England, Scotland and Wales.
The new contract states that:
For 2011/12 the overall value of
GMS Contract payments will rise
by 0.5 per cent, to support practices
in meeting the costs of increased
expenses, including pay increases
for employed staff with a full
time equivalent salary of less than
£21,000. This uplift will be delivered in England through a 2.53
per cent increase in the value of
a QOF point (from £127.29 to
£130.51).
This increase in the value of a
QOF point is intended to deliver
the full 0.5 per cent expenses increase. There will be no increase
to global sum payments or to the

The BDA demonstrated in its
evidence to the Department of
Health that expenses in dental
practice are increasing sharply,
but the BDA has said that their
warning has been disregarded.
Dentists are also being
asked to implement new best
practice guidance for preventing oral disease in children
in support of the Government’s
aim of reducing levels of oral
disease in younger patients.
Where it is considered appropriate, parents will be offered the
opportunity for their children to
have fluoride varnish applied to
their teeth.
John Milne, Chair of the BDA’s
General Dental Practice Committee, said: “The level of this
uplift is simply not enough.
Dentists across England are
working really hard, through a
period of uncertainty, to deliver high quality care to their
patients.
‘‘They are contending with
a growing mountain of pointless bureaucracy and escalating

costs on top of the effects of the
efficiency savings imposed last
year. They need help to address
those problems.
“While we support this
prevention-focused activity to improve young people’s oral health,
the costs of providing the extra
fluoride varnish to children have
not been recognised by this uplift.

‘‘The NHS rightly seeks to
improve the quality of dental
services and to increase the
emphasis on disease prevention, but this cannot be done in
an environment where not only
are dentists incomes frozen,
but the continued failure to
reimburse expenses puts practices under severe financial
pressure.” DT

[2] =>

2 News

United Kingdom Edition May 9-15, 2011

Call for ideas about Scope of Practice

T

he
General
Dental
Council wants to hear
from dental professionals as part of its review of one
of its key documents – Scope of
Practice.
The guidance was first
published in January 2009. It
clearly sets out the skills and
abilities that each registrant
group should have, as well as

• Whether dental professionals
agree the lists accurately reflect
the work that should be carried
out by a particular registrant
group?

trying to increase their scope of
practice?

In the introductory section
of the guidance it states that the
lists will be reviewed regularly
to ensure that they are still relevant to the dental team.

whether Scope of Practice has
achieved its original aims and
whether the lists still accurately
reflect the scope of practice for
all our registrant groups. Any
feedback we receive will feed
into the development of the formal consultation that will run
later this year.

• Are there any skills that they
think should be removed from
these lists?

An online feedback exercise
is being launched to find out

Questions the GDC is asking
include:

• What barriers dental professionals have encountered when

The review of Scope of Practice is running alongside the
review of Standards. This work
will continue throughout 2011
with the aim of producing new
guidance in 2012. DT

listing the additional skills registrants may develop after registration.

A question of radiation

I

t has been reported that
our exposure to radiation is
seven times higher than it
was in the 1980’s. Much of this
radiation exposure comes from
CT scans, X-rays and various
other forms of medical imaging, including exposure during
dental check-ups.
However, with the development of new methods and
practices throughout the dental
industry patients are being exposed to levels of radiation.
One report quoted Erika

Benavides, DDS, PhD, clinical assistant professor in the
department of periodontics
and oral medicine at the University of Michigan, School of
Dentistry: “It’s in line with, or
even more advanced than other
fields of medicine,” Erika said.
However,
the
problem
seems to be that dentists don’t
seem to be investing in all those
new low-radiation methods.
Both the American Dental
Association and the Food and
Drug Administration have is-

sued guidelines for how often
adults and children should be
getting X-rays and as recent reports have highlighted, healthy
adults without many risk factors only need a dental X-ray
every three years.
The ADA recommends that
a thyroid collar be used on
everyone, but specifically on
women of childbearing age,
pregnant women, and children,
because studies have shown
that repeated dental X-rays
can increase your risk for thyroid cancer. DT

Dunmurry dentist
wins business award

Dental professionals can
take part at www.gdc-uk.org.

Soft drinks don’t degrade orthodontic wires

A

ccording to a new study in
Acta Odontologica Scandinavica, researchers have
said that sugared soft drinks and
juices do not appear to degrade
the physical and chemical properties of nickel titanium orthodontic
wires.
According to a recent report,
researchers from the University
of Bologna evaluated the effect
of Coca Cola, orange juice, and
Gatorade on the Young’s modulus,
hardness, surface topography, and
chemical composition of nickeltitanium-based orthodontic wires.
The report stated that “the researchers cut 32 specimens (20
mm in length) from the straight
portion of preformed 0.019 x
0.025-inch nitinol heat-activated

archwires and randomly divided
into four groups of eight specimens each: Group A1 (Coca Cola
regular), Group A2 (Santal orange juice), Group A3 (Gatorade),
and Group B (distilled, deionized
water). Each specimen was immersed in 10 mL of one of the soft
drinks or the control for 60 minutes at 37° C.”
The study concluded that there
were no significant differences
between the groups either in the
Young’s modulus or hardness after the selected soaking protocol.
“Besides some surface colour changes, the topography and
the chemical composition of the
wires were not affected by the immersion in any of the chosen soft
drinks,” they noted.

Tooth-friendly soda

A

n Arizona endodontist
has come up with an
idea for a tooth-friendly, all-natural fizzy soft drink.
The drink, which is called
Kurij, is currently undergoing
the final touches by Dr Tung
Bui and a student from the University of Arizona, Alex Deo.
According to reports, the
prototype they have created is

Published by Dental Tribune UK Ltd
© 2011, Dental Tribune UK Ltd.
All rights reserved.

Lisburn Business Awards 2011 - Debbie & Philip McLorinan

Philip McLorinan

P

he is a motivated and determined individual with a strong track record
of achieving business goals.”

hilip McLorinan (Principal Dentist & Owner)
from
Dunmurry
Dental Practice has won Young
Entrepreneur at the Lisburn
City Business Awards. The
Practice was also a finalist
in the Business Growth category.

on 19 April.

Philip received the award
from Kerrie McIlwaine of First
Trust Bank, one of the sponsors, during a gala dinner held at
Lagan Valley Island Civic Centre

The judges commented that:
“Philip impressed the judges with
his commitment to the on-going
development for himself, his team,
his business and even the industry;

The judges were looking for an
outstanding individual who demonstrated exceptional vision and
leadership in the establishment
and development of an owner-led
business.

Philip opened Dunmurry Dental Practice in 2004 as a single
surgery practice and since then
has grown the business into one
of the largest in Northern Ireland
with six surgeries and a team of
17 staff, offering offer a wide range
of dental and cosmetic treatments,
providing NHS and Private healthcare. DT

Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com

a citrusy drink that uses only
natural sweeteners, including xylitol, which studies have
shown fights caries, and it also
reportedly has zero calories.
With recent feedback being
positive, Dr Bui told reporters
that he hopes to sell the new
drink in local grocery stores
and dental offices, especially
those that have lately taken to
offering refreshments. DT

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

Sales Executive
Joe Ackah
Tel: 020 7400 8964
Joe.ackah@
dentaltribuneuk.com

Design & Production
Ellen Sawle
Tel: 020 7400 8921
ellen@dentaltribuneuk.com

Editorial Assistant
Laura Hatton
Tel: 020 7400 8981
Laura.hatton@dentaltribuneuk.com

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

[3] =>

News 3

United Kingdom Edition May 9-15, 2011

Editorial comment

W

ell
here
we
are!
No sooner
do we get a hugely
successful Clinical
Innovations
Conference under our
belts then we have
BDA to contend with! This week
will see more than 3,000 dental
professionals descend on Manchester’s Central Convention
Complex to hear leading speakers on a variety of topics, ranging

Mum’s gum disease treatment
safe for baby

A

ccording to a new study
published in the Official
Journal of the American Academy of Paediatrics,
pregnant women can safely
be treated for gum infections
without having to worry about
their baby’s health.

from clinical to political and everything in between.
The big news is of course
the appearance at the event of
the Secretary of State for Health,
the Rt Hon Andrew Lansley
CBE, who will be delivering a
speech and is also scheduled to
participate in a question and an-

swer session after his address.
With the monumental reforms
going on in the healthcare sector,
and the changes more specifically happening in the dental sector, this really is a great chance
to grill the Minister over his
thoughts about dentistry and its
place in the wider NHS. I’m looking forward to it...

The BDA event is also the perfect place to sign up for our upcoming specialist titles coming to
the UK: Implants, Roots and Cosmetic Dentistry. For a special price
of just £50, these three titles can be
sent to your practice, keeping everyone up to date with
the latest in implants,
endodontics and cosmetic techniques. For
more information call
020 7400 8969 or come
see us on Stand A21. DT

What’s more, dentists have
shied away from aggressive
teeth-cleaning, which is also
effective, out of fears they’d
help the bacteria get into the
bloodstream. In principle, that
could harm the brain development of the foetus.
However, according to the
new study these fears are baseless.
Michalowicz, a dentist at the
University of Minnesota School
of Dentistry in Minneapolis, and his colleagues tested
more than 400 two-year-olds,
who’d been born to mothers
with gum disease.
Half the mothers had been
treated with aggressive teethcleaning during pregnancy,
while the rest had not.
The
researchers
found
that the children did just as
well on language, motor and
mental tests regardless of
whether their mothers had
been treated. DT

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

Which one would your patient prefer?
Does
it have
to be gold?
or Gold?

There has been widespread
concern among dentists that
treating the problem could
cause bacteria to get into the
mothers’ bloodstream, which
in turn could harm the babies’
development.
Gum disease is a particular problem during pregnancy
because hormonal changes
appear to make a pregnant
woman more susceptible to developing it; however, the standard antibiotic-based therapy is
not recommended because it
stains the baby’s teeth.

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?

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[4] =>

4 News

United Kingdom Edition May 9-15, 2011

Scientists declare CUS an autoimmune disease

TI: Patients that suffer
from a very rare condition affecting the oral
mucosa may soon get relief
from new research conducted
in the US. In a recent study,
scientists from the Tufts University near Boston claim to
have found evidence that the
so-called Chronic Ulcerative
Stomatitis (CUS), characterised
by recurring painful ulcers, is
mainly caused by an autoimmune response of the body that

destroys the binding of cells inside the surface tissue layer of
the mouth.
According to the scientist,
only a dozen cases of CUS
have been reported worldwide
since the condition was first
clinically identified in 1989
but more patients could be
affected due to the extensive
testing procedure and low
awareness among dental clinicians. They said although pri-

or it was known that affected
patients had specific autoantibodies,
researchers
were
not able to determine how
much these actually contributed to the condition. With help
of the new findings, CUS could
now be classified as an autoimmune disease in order to
allow better management of
the symptoms.
Due to its unique resistance to standard medication

like corticosteroids, successful treatment of CUS has been
achieved only in some cases
through hydroxychloroquine,
a prescription drug primarely
used to prevent malaria as well
as to treat rheumatoid arthritis
or lupus. By better understanding the mechanisms linking the
autoimmune response to ulcerative sores, new treatment approaches could be developed to
manage the condition, the scientists said.

So far, CUS has been found
primarily in middle-aged Caucasian woman. It can only
be diagnosed by surgical
biopsy
using
immunofluorescence microscopic examination in an outside lab. In
normal clinical settings it can
be taken for oral erosive lichen
planus, another more common
chronic condition affecting
mucosal surfaces and also
considered to be an autoimmune disease. DT

Dentistry in a decade Bruxism week raises
£500 for Help4Heroes
T
B
he BDTA is looking for
3rd and 4th year BDS
clinical students to write
an article for publication in the
dental press, online and potentially the wider media.

The article will be entitled
‘Dentistry in a Decade’ and will
be based on the findings from
the recent Adult Dental Health
Survey (ADHS). Students wishing to take part will specifically
need to consider the requirements of the over 45 age group
in the next decade and the skills
and services that this group
will need.
The entries will be judged
by a panel of professionals from
dentistry in August and the

writer of the winning entry will
be awarded £500.

The winning article will
be published in Dental Update
and will also appear online
on a new website being developed by the BDTA to host articles for health writers/journalists to access and use when
writing articles. Other articles
submitted are also likely to feature on the website, with the
winning entry.
Tony Reed, Executive Director at the BDTA comments,
“We are keen to promote the
benefits of visiting the dentist
to the wider public and feel that
a series of high quality articles
based on statistical information

is a credible way of communicating the message. We plan
to include the winning article
together with other entries on
a new website which health
writers for the national and
local press will access when
they are carrying out their research for dental related articles. We look forward to receiving the entries.”

Articles should be no more
than 1500 words in length and
the deadline for submissions is
15 July 2011.
For further information and
to read the full brief and terms
and conditions for the article
visit www.bdta.org.uk/dentistryinadecade. DT

Temp registration consultation

he General Dental Council (GDC) has released
details of draft plans to
change guidelines about the temporary registration of dentists. An
online consultation on the issue is
now open and closes on 22 July
2011.
Temporary registration allows dentists who are not eligible for full registration with the
GDC to practise dentistry in the
UK in supervised posts for training, teaching or research purpos-

es only and for a limited period.
The proposed guidelines
include:
• clarifying the purpose of temporary registration based on
the GDC’s role of public protection and upholding professional
standards;
• making information about temporary registrants more widely
available to the public;
• limiting the temporary registrant to working in a maximum
of three hospitals in any one post;

• setting out more fully the responsibilities of the temporary
registrants and their supervising
consultants;
• describing in detail the arrangements in place to assure the quality
of both posts and registrants, and
the process of monitoring these;
• strengthening the GDC’s stance
when it comes to English Language testing;
• extending the GDC’s options
when dealing with complaints
about a temporary registrants’ fitness to practise in order to ensure
public protection.
GDC Chair of Registration
Committee Elizabeth Davenport
says: “While our proposed changes will directly affect a small
number of temporary registrants,
they will have a wider impact. We
would particularly like to encourage those who work alongside,
supervise or employ temporary
registrants to take part in our
consultation. We want to make
sure our plans will work not only
to protect patients but to ensure
high standards of dentistry are
maintained.”
The online questionnaire can
be found at www.gdc-uk.org.

The proposed guidelines clarify the role of temporary registrants

ruxism Awareness Week
looks set to becoming
an annual autumn event
with 24 – 30 October now confirmed for 2011 by the organisers S4S.
The inaugural 2010 event
raised hundreds of pounds for
Help 4 Heroes and helped focus
on the high number of service
personnel affected by bruxism which is a common symptom of
Post-Traumatic Stress Disorder
(PTSD).

However, bruxism is not
confined to people suffering from
PTSD. It is estimated that more
than half the UK population
is affected by the condition and
many of those are unaware that
help and treatment is available.

Dentists
are
discovering
more and more patients with
bruxism and the results can have
debilitating consequences.
S4S, the specialist dental
splint laboratory behind Bruxism Awareness Week believe that
although millions of people suffer from bruxism, it is commonly
undiagnosed with patients presenting to their GP’s only when
the effects have become severe.
By raising awareness among
patients and dental practitioners, it is hoped that support and
treatment can be offered before the effects cause long-term
damage.
S4S’s own research suggests
that as many as 85 per cent of
dental patients suffer from Bruxism. Since bruxism is commonly
exacerbated by stress, S4S believes that the current economic
climate and worries about employment and finances will lead
to an increase in bruxism.
For more information call
0114 250 0176 or visit www.s4sdental.com DT

Complimentary seminars at Showcase 2011

he BDTA has announced
that there will be complimentary feature lectures
and seminars available to visitors
at this year’s BDTA Dental Showcase. Following the success of
last year’s sessions, a similar programme of informative and helpful lectures and seminars will take
place across the three-day event.
The lectures will take place
before the exhibition opens each
day and are designed to inform
visitors of the latest dental innovations and how these can be
adopted. Research has shown that
people attend Showcase in order to find out about what’s new
in dentistry and to broaden their

knowledge, and so these lectures
give attendees the perfect opportunity to do so.
The one-hour seminars will
take place during the exhibition
opening times each day and will
cover regulatory issues.
The lectures and seminars will
be offered free of charge, and the
time spent attending will count as
verifiable CPD.
BDTA Dental Showcase 2011
takes place between 20-22 October
2011 at the NEC, Birmingham. To
secure your free of charge entry to
the show, register for your ticket at
www.dentalshowcase.com. DT

[5] =>

[6] =>

6 News

United Kingdom Edition May 9-15, 2011

Pupils defy dental checks Taking the fear out

A

recent report has revealed that thousands of
primary school children
in Scotland are missing out on
routine dental checks.
The blame has been handed to parents who are failing
to give permission for the examinations and also to those
pupils who refuse to open their
mouths for the dentist; as a result, targets to inspect the teeth
of all five and 11-year-olds are
being missed.
Even though experts have
stated that rates of tooth decay
among young people are at their
lowest levels ever, the report has
shown that four health boards,
including Greater Glasgow and
Clyde and Lanarkshire, are behind the rest of the country with
regards to their dental health.
Andrew

Lamb,

national

director for professional body
the British Dental Association in Scotland, said a gulf
had opened between the dental health of children from
affluent families and those
from poorer homes and this
was why some regions were
lagging behind.
An action plan for improving oral health in Scotland
was published in 2005 and the
new report, published by the
NHS, tracks progress against
its goals. According to the report across Scotland nearly 64
per cent of 11-year-olds are
decay free, beating the 60 per
cent goal.
One report stated that the
Childsmile campaign, which
introduced daily tooth brushing to nursery schools across
the country and primary
schools in the most deprived

areas, is thought to have
contributed significantly to
this success.
However, there according
to reports there still remains
a problem with gaining access
to an NHS dentist in Scotland.
This was a serious problem
in some regions in the
past, and although this has improved since the dental action
plan was introduced, NHS
Grampian,
where
there
has long been a shortage of
NHS provision, and NHSDumfries and Galloway, are
still failing to hit the target ratio of one dentist per
1,750 people.
One report stated that
incentives to attract dentists
to barren spots have been offered during the last five years
and Mr Lamb said they had
worked in many places. DT

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of local anaesthesia

R

esearchers at the University of Uberaba in Brazil have
come up with a simple solution to solving needle anxieties
in children: The Angelus Alligator
disposable syringe cover.

school, the only thing a child will
see prior to receiving local anesthesia is a cartoon-looking device
made of flexible rubber that fits
over the needle and syringe, hiding
them from young patients’ eyes.

Hiding needles from children
is often a difficult thing to achieve,
and if not done well can lead to
stressful and often unsuccessful
experience. However, the effectiveness of the Angelus Alligator
was presented during a poster session at the recent International
Association for Dental Research
(IADR) meeting in San Diego
along with some accompanying
clinical data.

“Our experience with children
who were undergoing treatment
at the Children’s Clinic School of
Dentistry revealed that the patients
were more cooperative due to less
stress and fear, as they did not even
realize that they were having an
injection, she told reporters. “So
the patient-professional relationship was more harmonious during
the appointment.”

One report stated that according to Maria Angélica Hueb de
Menezes Oliveira, DDS, a professor in the department of pediatric
dentistry at the university’s dental

According to reports Dr Hueb
originally came up with the idea
during a conversation with her
brother Fernando, who is also a
dentist and a professor at the University of Uberaba. DT

Tyrannosaurus toothache

A

study that was conducted
at the University of Toronto, Mississauga, has
revealed an infection in a jaw of
ancient fossil.
The reptile, that lived 275 million years ago in what is now
Oklahoma, has started giving
paleontologists a glimpse of the
oldest known toothache.
Throughout the study, which
has been led by Professor Robert
Reisz, the chair of the Department
of Biology at the University of TorontoMississauga, scientists have
found evidence of bone damage
due to oral infection in Paleozoic
reptiles as they adapted to living
on land.
Their findings, published
online in the journal Naturwissenschaften - The Nature
of Science, predate the previous
record for oral and dental disease
in a terrestrial vertebrate by nearly 200 million years.
After investigating several well-preserved jaws of the
275-million-year-old
terrestrial
reptile Labidosaurus hamatus,
who originated in North America, one of the specimens stood
out due to its missing teeth and

what appeared to be bone erosion of the jaw. After subjecting
the fossil to a CT scan the researchers found evidence of an
infection, which had resulted
in bone destruction of the jaw,
tooth loss and an internal loss of
bone tissue.
As the reptiles adapted to life
on land many of them evolved to
have special cranial and dental
developments so they could feed
more efficiently to feed on both
animals and plants. Some changes
meant that animals no longer replaced their teeth as they became
strongly attached to the jaw. This
was clearly advantageous to some
early reptiles, allowing them to
chew their food and therefore improve nutrient absorption.
However,
according
to
one report, Reisz and his colleagues suggest that as this reptile
lost the ability to replace teeth,
the likelihood of infections of the
jaw, resulting from damage to the
teeth, increased substantially.
This is because prolonged exposure of the dental pulp cavity of
heavily worn or damaged teeth
tooral bacteria was much greater
than in other animals that quickly
replaced their teeth. DT

www.velopex.com

Call: 020 8965 2913

Email: enquiries@velopex.com

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Fossil of Labdiosaurus hamatus suggests toothache

[7] =>

United Kingdom Edition May 9-15, 2011

Syneron Dental Lasers signs
clinical research agreement

S

tions, with a brand new research
centre that includes state-ofthe-art auditoriums and laboratory equipment.

Professor Moritz is the head
professor of Professional Dental
Training at the Bernhard Gottlieb University Department of
Dentistry at the Medical University of Vienna and is the current
President of the International Society for Oral Laser Applications
(SOLA).

“We have been carrying out
researches with a number of
laser systems, and we are extremely pleased to be able to
study the LiteTouch™ and the
Laser-in-Handpiece™ as it is essentially different and unique
Er: YAG dental laser technology”
said Professor Andreas Moritz.
“As a laser dentistry veteran clinician and a researcher, the cooperation with Syneron Dental
Lasers is instrumental to our
academic research and will assist us in achieving the goals we
have set to educate and combine
the latest technology with laser
dentistry research so that in the
very near future practitioners
and patients alike can immediately benefit from the innovations in this field.”

The Medical University of Vienna’s School of Dentistry is one
of the world’s top six academic
institutions to offer Laser Dentistry program in the Bernhard
Gottlieb University. The School
of Dentistry, under the leadership of Professor Moritz, has recently undergone major renova-

“Syneron Dental Lasers is
pleased to have Professor Andreas Moritz on board,” said Ira
Prigat, Syneron Dental’s President.” This collaboration with
Professor Moritz - who is one of
the world’s key opinion leaders
in the field of laser dentistry - will
support the construction of pow-

yneron Dental Lasers has
signed a clinical research
agreement with the Medical University of Vienna under the leadership of Professor
Dr Andreas Moritz, one of the
world’s top researchers who
has been involved in the teaching and the development of laser
dentistry for more than 13 years.
Syneron Dental Lasers hopes the
clinical research agreement will
be a strong and solid framework
for academic and scientific cooperation, which will drive the
advancement of laser dentistry
research forward.

erful research cooperation and
an education network, as well as
the company’s position as a technological leader. Together with
Professor Moritz, we will achieve
our mutual goal to further develop the education and training
of current and future practitioners - who stand to hugely benefit from evidence-based laser
dentistry research and clinical
findings. This combined synergy
between a company with superior technology and an excellent
clinician with superior academic
research abilities will provide
the best foundation for innovative research, outstanding clinical training and successful laser
dentistry practices.”
“Following a recent similar
collaboration that was signed
with the University of Barcelona’s Master program, we are confident that this collaboration with
Prof Moritz will enrich and empower Syneron Dental’s contribution to laser dentistry research
and will promote increasing laser usage in day-to-day dentistry.

I

The BDHF asked 1,004 people – in the lead up to National
Smile Month 2011 - what made
them most nervous from a list including heights, flying, injections,
doctors, snakes, spiders, going to
hospital and visiting the dentist.
Over one in five people rated vis-

iting their dentist as the thing that
made them most nervous – more
than any other category. Overall,
statistically, heights topped the poll
of biggest fears, closely followed by
visiting the dentist and going to the
hospital. Snakes were rated fourth
and spiders came fifth.
In comparison to doctors, dentists also struggled. The BDHF
discovered that nearly 10 times as
many people (22 per cent) were
made most nervous by their dentists, compared to their doctor (two
per cent). The Adult Dental Health
Survey points to two dental treatments in particular as the main
cause of these nerves: three out of
ten (30 per cent) adults said that

Visiting the dentist is seen as more scary than spiders

Racegel opens the sulcus
without applying any pressure,
keeping the gingival passive
and the cervical margins
ideally exposed making it
the ideal preparation for
impression taking.

“We look forward to having many more laser dentistry
researchers
and
clinicians
from across the globe join
our team.” DT

Dentists more scary
than snakes and spiders
t’s not good news for dentists
as the latest piece of research
by the British Dental Health
Foundation suggests that visiting
the dentist makes people more
nervous than snakes or spiders.
The research echoes last month’s
Adult Dental Health Survey, which
revealed half of adults – especially
women - were classified as having
moderate to extreme dental anxiety.

Racegel is a brand new
gel specifically designed
for gingival preparation
procedures. It is easy to put in
place, is not traumatic for the
gingival tissues and eliminates
the need for retraction cord.

Dentists in the
know use
Racegel

having a tooth drilled would make
them very or extremely anxious.
A similar number (28 per cent) of
people reported equivalent levels
of anxiety about having a local anaesthetic injection.
Dr Nigel Carter, Chief Executive of the British Dental Health
Foundation, said: “Everyone in
the profession knows that dental anxiety is a major barrier for
many people to visit their dentist.
What may prove concerning is just
how poorly the profession rates
in comparison to doctors. The
comparison with snakes and spiders may appear frivolous, but
it does suggest we still have a lot
of work to do to build public confidence.
“The issue of anxiety affects everyone in the profession.
Collectively we need to work
together and we hope that the
whole profession will get behind
this year’s National Smile Month
campaign which starts on the 15
May 2011. The campaign offers
thebest opportunity for everyone
to reach millions of people whose
nerves and anxiety are directly
affecting their oral health.” DT

For more information please
contact your dental retailer
www.septodont.co.uk
Anaesthetics • Endodontics
Restorative Dentistry • Dental Surgery
Prosthetic Dentistry • Disinfection & Hygiene

[8] =>

8 GDPUK

United Kingdom Edition May 9-15, 2011

“Just put your feet up!”

to each practice.

Tony Jacobs shares some of the many topics that have been raised
on dental forum GDPUK.com

dvice was sought on the
forum as to the best way
to sell a practice. Various
agents were discussed, valuations and marketing the practice

oneself were all compared, and
there were some good ideas as
well as the usual moans about the
method colleagues had chosen in
the past.

The on-going saga of CRB
checks for staff, (need them or
not?) was another topic. This
subject seems to be never fully
resolved, but one posted on the

GDPUK forum had an email from
Cynthia Bower, the chief executive
of CQC and she said these were
not mandatory but subject to risk
assessment , this being individual

There was news of future IT
in dentistry - you can draw the inference that future contracts will
involve detailed recording of the
dentistry carried out, as well as all
the datasets for QoFs and practice
owners will have to invest in the
latest software [and no doubt hardware] or there will be no chance
of a contract. It seems this investment will be borne by the practice
owners, not by reimbursement by
the NHS or the DoH.
A number of hygienists on
the forum have also had several
threads to raise their collective
blood pressure; they have been
discussing these matters amongst
themselves and with dentists.
Direct access is one of the buzzwords, with the prospect in sight
of hygienists being able to see patients without need for a referral
from a dentist to carry out treatment. One unanswered question
is what is the training hygienists
have for diagnosis?

The Pioneers of
Teeth Whitening

On another level, an informative clinical topic has been regarding host/immune response and
low saliva buffering; we all have
patients who claim to have an excellent diet, but saliva analysis and
high caries experience belie this. A
dental nurse wrote about her own
son, aged five, who had this scenario with a good diet and he was
diagnosed with ceoliac disease.
This leads to different saliva composition plus reduced Vitamin B,
which in turn, leads to more mouth
ulcers plus more caries due to the
reduced buffering. There may be
many syndromes which change
the biochemistry of the mouth,
and thus we need to learn more,
research more, and think of differing reasons for high caries rate.

%
10

The New
‘LowCost’ whitening
In-surgery Power
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One colleague wrote about saying something stupid to a patient
and this brought in a raft of witty
replies – an elderly gentleman who
had lost both legs was helped into
the dental chair, the dentist felt stupid when he smiled at the patient
and said: “just put your feet up!” DT

About the author

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Whitening specialists since 1992
Call us now: 01227 780009
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This topic was linked to a
discussion about a Minimal Intervention Dentistry course, and
colleagues discussed methods of
caries removal, differing results
with differing burs, and then materials used to seal the lesions.
These techniques are taught in
dental schools now, and there
were anecdotal stories of young
associates being sacked for insufficient caries removal by principals’ who believed all caries must
be removed. Interesting times.

Tony Jacobs, 54, is a GDP in Manchester, in practice with partner Steve
Lazarus at 406 Dental. Tony founded
GDPUK in 1997, and the website now
has over 11,500 unique visitors each
month, who make 50,000 visits and
create over 2 million pages on the site
every month. Tony is certain GDPUK.
com is the liveliest and most topical UK
dental website.

[9] =>

United Kingdom Edition May 9-15, 2011

CAD/CAM SYSTEMS | INSTRUMENTS | HYGIENE SYSTEMS |
TREATMENT CENTRES | IMAGING SYSTEMS

Giving and Gaining?
Immediate Past President of the BDA Amarjit
Gill looks back at an eye-opening visit to the
Indian town of Chitrakoot to see the work going on at the dental clinic of the Chitrakoot
Project charity

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Depleted Canabis

Feeding the Holy men

Women at work

hat great American philosopher and boxer Mohammed Ali said “Service to others is the rent you pay
for your room here on earth”.

Pradesh, two of the poorest and
most deprived areas of rural India. It is reached from Delhi by
air to Khajuraho and then by a
four-hour road journey, or by a
train journey of 14 hours.

town. There are 500 surrounding villages with a total population of more than a million,
all struggling with extreme
poverty and an almost total absence of health care. The Chitrakoot Project charity aims to
address a major aspect of the
health problems in the area

T

In the middle of February
a party of 50 Brits travelled
to India to take part in a joint
meeting between the Indian
Dental Association, the Faculty
of General Dental Practitioners (UK) and the British Dental
Association. After the meeting,
20 people went to Chitrakoot, a
small town of about 35,000 people situated on the Mandakini
River, a tributary of the Ganges
lying approximately 500 miles
south east of Delhi.
It is on the border between
Madhya Pradesh and Uttar

Chitrakoot is best known as
a major historic religious cen-

‘The purpose of our visit was to see the dental clinic which is providing much-needed
dental care to the community

tre of the Hindu faith and as a
centre for pilot studies in selfreliance, based at the Deendayal Research Institute in the

and understands that an unhealthy individual is unable to
à DT page 10

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

The Four Amigos

The Dental Company

[10] =>

10 Feature

United Kingdom Edition May 9-15, 2011

ß DT page 9

cluding implants!).

be productive and self-reliant.

As you would expect, treatment is only part of the overall

That said, the purpose of our
visit was to see the dental clinic
which is providing much-needed dental care to the community. Initially set up by Naresh
Sharma from Leeds and Pommi
Datta from London, it now has
a financial lifeline from the
AOG. Arriving at the dental
project, we were amazed to
see a state-of-the-art four
surgery clinic in such an impoverished area. The unequivocal aspiration for the clinic
was to be of the highest standard possible.
The underlying philosophy
applied to both the clinic and
complex it was in, was that just
because it served the needy and
the poor that didn’t justify having lower standards at all. This
premise equally applied to the
residential units, catering for
both the overseas healthcare
professionals and the family
members who accompanied
the ill. As seems to be common in charitable institutions,
the enthusiasm the dental team
was a wonder to behold. Their
motivation and desire to do
good was almost palpable.
The clinic provides services from everything you would
expect the general dental practice to provide and includes
some speciality services such as
implants too. The patients pay
whatever they can and those
who are too poor actually get
all the treatment for free (in-

to contribute with time and
money.

‘The patients pay whatever they can and
those who are too poor actually get all the
treatment for free (including implants)’

service that patients receive.
Complimenting patient treatment is a very effective and
simple
advice
programme
to prevent further dental problems. Part of that advice is
to help patients understand
the role of plants in ayurvedic
medicine.
Hygiene is an Indian cultural value and a central practice
of ayurvedic medicine. Hygienic living involves regular bathing, cleansing of teeth, skin
care, and eye washing. Immediately outside the dental clinic
there was a herb garden identifying plans that patients could
use to care for themselves.
When you recognise that
patients can travel hundreds
of miles to get treatment, then
you realise the immense value
of prevention for these people.
If you ever met a pioneer
behind the charitable projects
you cannot help but be overawed by their humility and charisma. I guess it’s their humanity that motivates them and their
charisma that attracts others

Most visitors are fascinated
to see how the work of the unit
progresses particularly in the
rural villages. Accomodation
can usually be arranged but
it is wise to discuss possible
dates and functions with Dr
Sharma beforehand. Planning
well ahead also confers the advantage of accessing the cheapest airfares too.
Of course there is always
the easier option - simply
donate money. If you would like
to donate funds to this very worthy cause, please go to http://
chitrakootuk.org/ and clink

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If you want to lighten your
mind and volunteer then you
might wish to know that the
Chitrakoot project is always
ready to accept volunteers.
Usually there are a few visitors
at the same time so they can
make up a touring party.

“I placed nine implants in the first six days of the course”
- Dr Marius Swanepoel

Specialist in Prosthodontics. President, British Academy of Implant Dentistry.
(Voted one of the U.K’s most influential dentists (Dentistry Magazine, 2011))

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£600

which causes sorrow to the
doer of the sacrifice is no sacrifice. Real sacrifice lightens the
mind of the doer and gives him
a sense of peace and joy”.

OVER 18 YEARS WE HAVE HELPED
100'S OF DENTISTS TO LAUNCH
THEIR IMPLANT CAREERS

Dr. Paul A. Tipton B.D.S., M.Sc., D.G.D.P., U.K.

London
Deposit required

Gandhi said: “The sacrifice

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for my own patients. On a purely business basis the course was a sound investment having
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itself several times over”- Dr Ayzaaz Akram
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about to start. The best thing about these cases is that they are mostly existing patients.”
- Dr Alex Jones

For more information please visit our website:

CELEBRATING 22 YEARS
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‘Most visitors are
fascinated to see
how the work of
the unit progresses
particularly in the
rural villages’

www.tiptontraining.co.uk

on the ‘How you can help’ section.
Remember, this is a registered charity so download the
Gift Aid form to allow some of
your taxes to be added to your
donation.
Final thought goes to
Bob Hope - “If you haven’t
any charity in your heart, you
have the worst kind of heart
trouble”. DT

[11] =>

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history for each machine in the practice.
With R4 you will also be able to record which trays of instruments have been used on each patient
for each appointment, even if multiple trays were used. Standard reports within R4 will show which
patients a specific tray has been used on within a specified period of time,
as well as the tray history for a specific patient.
Steritrak is another solution from Carestream which helps you
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For more information or to place an order
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[12] =>

12 Money Matters

United Kingdom Edition

May 9-15, 2011

Focus on finance

Jon Drysdale provides advice for dentists buying a practice
the need to repay the loan at
a relatively fast pace means
less interest is paid overall.
When used in combination with
traditional bank funding EFG
can be a useful means of securing finance.
European Investment Bank
(EIB) funding
You won’t find a branch of the
EIB
(European
Investment
Bank) on your local High Street
but they might just help you to
purchase a dental practice.
Since 2008 the EIB has
granted loans to small and medium sized enterprises (SMEs)

There are various measures in place to improve bank credit

ecuring finance for a practice purchase can be problematic, particularly in the
aftermath of the banking crisis. However small businesses
remain critical to the economy
and there are various measures
in place to improve access to
credit.
However help is at hand. The
following facilities are available
to dentists:
The Enterprise Finance
guarantee (EFG)

EFG is a guarantee facility for
small businesses, specifically
for new loans. For a practice
purchase where the required
funding is relatively large EFG
can prove invaluable. Often the
traditional banks will use EFG
in combination with their own
lending facility. In essence this
reduces the bank’s risk.
Dentists should be aware
that there are ‘strings attached’
where EFG is used, which increase the cost of borrowing.
Firstly there is a limitation

on the loan term to 10 years.
Dentists planning on repaying
their loan over a longer period
should therefore be aware that
the monthly repayment cost of
EFG will be higher. Secondly an
annual premium is paid to BIS
(Department for business Innovation & Skills). This additional
premium is two per cent pa of
the outstanding loan balance
(therefore reducing), payable
quarterly in advance.
Interest rates where EFG is
concerned are competitive and

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tists, who might otherwise have
struggled to arrange finance for
their practice purchase. EIB
funding comes with very few
strings attached and can command a lower interest rate than
traditional commercial loans.
The cash is available through
well known commercial banks
with specialist ‘healthcare’ divisions. However, this funding is
not a bottomless pit and a call to
action is required now to avoid
disappointment.
Your finance application
Securing finance for a practice
purchase can be problematic
and success is largely down to

‘Small businesses are the innocent
victims of the credit crunch. The
lack of start-up capital has
been a long standing problem in
the British economy’
George Osborne’s Budget speech 23 March 2011

through UK commercial banks.
The EIB see SMEs as ‘critical’
to the European economy, so
much so that a staggering EUR
10 Billion was made available in
2010.
Amongst the 160,000 SMEs
receiving Euro funding since
2008 were a number of den-

the strength of your individual
financial profile as well as that
of your target practice. The
strength and quality of your
application is critical to achieving a competitive interest rate
and terms.
Your finance case will be
assessed by several bank underwriters before approval (or
rejection). Once outline approval is granted you will have
a number of pre-conditions to
fulfil such as insurance requirements, property valuations or
lease arrangements and confirmation of the NHS contract
transfer. Some of this is best
dealt with by a suitably qualified
(dental) solicitor who should
also ensure that you are protected in respect of staff issues, restrictive covenants and serious
clinical liabilities.
With all of the above in mind
the purchase process can take
several months. Professional
guidance has proved invaluable
to many associates purchasing a
practice.
To find out where European
funding is available and how to
access EFG funding, please contact the author. DT

About the author
Jon Drysdale is a Director of Practice
financial Management (PFM) and is
a qualified Independent Financial Adviser. PFM offer advice to dentists considering purchasing a practice and run
regular BDA CPD approved practice
purchase seminars. For further information email jon.drysdale@pfmdental.
co.uk, call Jon on 01904 670820 or visit
www.pfmdental.co.uk

[13] =>

United Kingdom Edition May 9-15, 2011

Money Matters 13

No more ‘Get out of Jail Free’ card
Bob Cummings, NASDA, explains the changes in the penalty system
£100, the penalty would match
the money owed. If, for instance,
no tax was owed, there would be
no penalty.
Under the new regime, the
£100 applies automatically, regardless of how much tax is outstanding. If submission of the

Late tax returns will be penalised

P

enalties for late submission
of your tax return have just
got more stringent, according to Bob Cummings, tax specialist to the National Association
of Specialist Dental Accountants
(NASDA).
He explained that HM Revenue and Customs have changed
the penalty system for late
submission. Quite simply, the
later your tax return is submitted, the more you will be
penalised.
Bob said: “There has always
been a penalty aimed at those

‘There has always
been a penalty
aimed at those who
submit their returns
after the deadline,
but, in reality, each
year it was possible
to cancel the penalty. Unfortunately,
this ‘get out of jail
free card’ has now
been withdrawn.’

who submit their returns after
the deadline, but, in reality, by
paying the tax owed on or before
31 January each year, it was possible to cancel the penalty. Unfortunately, this ‘get out of jail free
card’ has now been withdrawn.”
Bob explains that for 2011
Tax Returns, due to be filed by
31 January 2012, a £100 penalty will automatically apply to
all Returns submitted late. In
the past, the penalty was set at
a maximum level of £100. If the
outstanding tax bill was less than

return is delayed for more than
three months, a daily penalty of
£10 will be charged. Daily penalties will run for three months
from 1 May 2012 to 31 July 2012.
This means that if a Tax Return is submitted six months
late, a penalty of £1,000 will

be charged: £100 initial penalty
plus £10 per day for 90 days. Remember, warns Bob, this will
apply even if all tax due was
paid on the correct date of 31
January 2012.
Bob said: “If this is not
bad enough, further penalties

can also be charged after 31 July.
The message is clear! Get your
Tax Return in on time!”
For more information, contact Caroline Holland on 020
8679 9595/07974 731396 or go to
the NASDA website: www.nasda.
org.uk DT

[14] =>

United Kingdom Edition May 9-15, 2011

CAD/CAM SYSTEMS | INSTRUMENTS | HYGIENE
SYSTEMS | TREATMENT CENTRES | IMAGING SYSTEMS

ORTHOPHOS XG 3D

Social marketing on
Facebook – what is
your plan?
Rita Zamora discusses social marketing

The most
popular
X-ray unit
in the world.
Now with 3D! T

Managers of Facebook business pages are called Administrators

Simply outstanding. The new ORTHOPHOS XG 3D
combines all the advantages of digital panoramic,
cephalometric and 3D imaging into a single easyto-use system. Its optimized field of view ensures
greater precision and opens up new perspectives
for your practice, such as simultaneous prosthetic
and surgical implant planning with CEREC. The
fully automatic 2D / 3D sensor, intuitive operation
and a finding-based workflow make your
routine practice even more efficient.
Enjoy every day. With Sirona.
Sirona Dental Systems, Lakeside House,
1 Furzeground Way, Stockley Park,
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Telephone: 0845 0715040
e-mail: info@sironadental.co.uk
www.sironadental.co.uk

here are over 29 million
people using Facebook
in the UK alone. Even
Google has confirmed Facebook’s skyrocketing popularity. Google’s current AdPlanner
statistics show Facebook as the
UK’s most visited site of the Internet. Is your practice properly
positioned to be found where
millions of people now spend
their time?
Whether your practice is
actively marketing on Facebook
or you are just getting started,
there is advice unique to social marketing that will benefit
you. First and foremost, have a
plan. Most of us wouldn’t hop
into a car or on a train without
a destination in mind, however
many practices create Facebook
Business Pages without forethought.
A Facebook marketing plan
can help you and your team to
be organised, consistent, and
most importantly effective. Here
are four major plan components
to keep in mind.

1
The

Dental

Company

Who – Who will be responsible for managing your Facebook efforts? This person will
monitor, interact and post on
behalf of your practice. Mangers
of Facebook Business Pages are

called “Administrators”. Pages
can have multiple administrators, however be advised that
administrators have the ability
to delete other administrators
and can delete the page entirely
as well. Be sure to have trust in
those who administrate your
page. As practices invest more
in Facebook and Facebook
pages become more valuable,
knowing how to keep these
social assets safe will become
more crucial.
It is also key to have a Fa-

to patients about Facebook. This
conversation can accelerate
the growth of testimonials and
“likes” which results in amplified word of mouth and greatly
benefits your practice.

What - What will your
practice post about? In other
words, what will you say to your
followers? Even if your practice
focus is on sedation dentistry,
cosmetics, dental implants, sixmonth smiles or periodontal
disease, you will need to con-

‘First and foremost, have a plan. Most of us
wouldn’t hop into a car or on a train without a destination in mind, however many
practices create Facebook Business Pages
without forethought.’
cebook “champion” in charge
of your Facebook page. This
team member enjoys Facebook,
is gregarious, and is a genuine people-person whether on
or offline.
Often practices’ success in
social marketing is directly
linked to the motivation level
of your champion. An excellent
champion will be excited to talk

sider additional content. Remember, social media is popular with users because it is fun
and social.
Most popular health magazines contain a variety of topics,
because readers wouldn’t necessarily find interest in a magazine
solely focused on dentistry (although dentists would). Therefore, don’t plan on bombarding

[15] =>

United Kingdom Edition May 9-15, 2011

your followers with dentistry
non-stop: you will benefit more
from posting a combination
of information, including “social” topics.
The “socialness” of Facebook is where many practices
have difficulty. Some dentists
immediately push back the
concept of non-dental posts
by saying they wish to remain
private or keep their personal interests to themselves.
However, there are definite
ways to be social and personable without losing privacy.
One of the largest benefits you
can reap in social marketing is
making human connections—a
result of sharing a bit of your
authentic self. For example,
consider the following nondental topics practices could
post about:

goals should be to connect
with as many of your existing
patients as possible (as they will
be an excellent source of testimonials and word of mouth for
you), consider ways in which
you can recruit as many of their
“likes” as possible.

• Using email to promote your
Facebook presence and invite
participation

Methods in which you can
promote your Facebook Page offline include:

Lastly, keep in mind the
purpose of your Facebook marketing. Social media is not the
place to push advertising messages or overtly sell. Set intentions to build relationships and

• Inviting patients to ‘like’ your
page whilst in your practice.

• Promoting your page via special Facebook business cards,
signage, flyers or posters within
your office

Social Media 15
create community. Ultimately,
the purpose of any Facebook
marketing initiative should
be to genuinely connect with
others.
Schedule a Facebook plan
meeting with your team. Create
a basic plan as outlined above
and determine who will be
accountable. This plan will
both streamline your efforts
and help you to successfully
achieve your social marketing
objectives. DT

About the author
Rita Zamora is an
international
social media marketing consultant and
speaker. She and
her team actively
co-manage dozens
of dental practices’
social media programs. Her clients
are located across
the United States
and
internationally. She has been
published in many professional publications. Rita is also Honorary Vice
President to the British Dental Practice
Managers Association. Learn more at
www.DentalRelationshipMarketing.
com or email rita@ritazamora.com.

• What hobbies do the doctor or
team members participate in?
• What do you do for fun outside
of the office?
• Are there organisations you
donate to, support, or volunteer
for?
• Do you have a patient appreciation day, open house, or practice anniversary event upcoming?
In addition, brainstorm with
your team. The best new ideas
are often produced at brainstorming sessions. Spend a few
minutes at each staff meeting
to discuss creative Facebook
posts. Remember to document
the ideas to easily reference in
the future. Documenting the
teams ideas will help ensure
you’ll never run out of fresh
content to post.

When – When will
your practice participate on
Facebook? Will you check-in
“whenever you have time” or
will you schedule specific days
of the week to respond to comments, interact, and post? Like
many other aspects of managing a successful practice,
consistency is key. Plan to dedicate time certain days of the
week to your social marketing.
While much of this type of marketing may be done spontaneously, often those practices who
excel over the long term have
pre-scheduled their marketing
activities.

How – How will you inform
your patients about your practice Page? What tactical methods will you employ to promote
your Facebook community? Facebook ran a study that proved
offline promotion resulted in a
20 per cent or greater increase
in their overall connections.
Because one of your primary

Essential Periodontology: a practical approach

Dr Wendy Turner
23rd May 2011
Periodontics: An update for the general
practitioner

Dr Amit Patel
31st May 2011
Dental Implant treatment planning and Implant
maintenance for the general practitioner

Dr Amit Patel
7th June 2011
Restoring Dental Implants made easy

Dr Stuart Jacobs
16th June 2011

[16] =>

16 Feature

United Kingdom Edition May 9-15, 2011

Waste management matters
Louise Finn discusses the high level of medical waste in the UK
ronment. As responsible dental
professionals we need to understand and observe the regulations concerning both the
biodegradable and inorganic
waste generated by our practices, while at the same time seeking to minimise our practice’s
waste product footprint.

There is a significant quantity of hazardous waste that must be disposed of with care

W

waste accounts for only one
tonne in every seven produced in the UK,1 and among
the commercial waste is a
significant quantity of ‘hazardous waste’ from healthcare premises which must
be disposed of with great
care
to
eliminate
any
risk to the public or the envi-

e’re all aware of
waste, whether it’s
tucked into our own
household wheelie bins or litter dropped in the street.
However, while an empty crisp packet may be unsightly, it’s unlikely to trigger an epidemic. Household

The optimum waste solution is of course recycling, with
organic material the prime
candidate to attempt to reduce atmospherically damaging methane emissions, but in
many instances Government
regulations prohibit this option
for both medical detritus and
potentially contaminated obsolete equipment.
The Environment Agency
has designed a website1 where
businesses are listed according
to sector and their responsibili-

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Controlled waste must be
handled byan authorised contractor, and its source must be
traceable, so it’s vital to maintain and retain the paperwork
covering waste transfer whenever it leaves the practice.
Keeping waste disposal records
is a legal requirement, and any
failure in this regard can lead
to prosecution.

being replaced by upgrades,
websites such as ‘Free Cycle’
have emerged as an advertising
medium for unwanted items
and other household electrical
goods whose working life is not
yet exhausted.
Dentists seeking to dispose
of unwanted or superseded
professional electrical equipment have particular problems.
Although recycling is the ideal
way to eliminate liability to
landfill tax, this is not always
practical, and it can seem profligate, even immoral, to scrap
a perfectly functioning, sophisticated machine in favour of
the latest version or simply because of a policy change.
While there may be occasions when approaching an
overseas dental charity represents a satisfying solution,
there will be others when for
fiscal, financial or logistical
considerations this is not appropriate - and the guidelines
for safe disposal take no account of the practice budget!
Many practices, prudently
taking heed of the present economic climate, are today pur-

‘Individual businesses each have a ‘duty
of care’ to safely manage their own ‘
controlled waste’

Master and Develop new skills helping you to expand your Treatment planning and hands on skills. The
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Individual businesses each
have a ‘duty of care’ to safely
manage their own ‘controlled
waste,’ defined as being any byproducts of their commercial or
other activities which pose a
potential risk to humans.

Healthcare waste which is
destined for landfill must be
pre-treated (washed and disinfected) before tipping, and when
this is not practical or treatment

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 Complimentary ipod touch with more than 25
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 Occlusion and Treatment Planning
 Minimal Intervention to Full Coverage

ties defined. Practice Principals
and clinicians should already
be aware of these, but downloading the relevant protocol is
a simple expedient to ensure this
awareness is shared by every
member of staff and the highest
standards of health and safety
are maintained in respect of
waste throughout the practice.

 Smile Design Aesthetic Masterclass
 Advanced Treatment Planning, Implants and

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4 x 3 day modules @£325 +vat per day

Starts: April 2011 GROUP SIZES LIMITED TO 12
efficacy cannot be guaranteed
landfill disposal is not permitted. Although treatment protocols are ultimately the contractor’s responsibility, the
consignor, in this case the dental
practice, should always separate
hazardous from non-hazardous waste prior to collection.

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tel: 0845 604 6448 for further details

The disposal of defunct or
unwanted electrical or electronic equipment is covered by
the guidelines contained in the
Waste Electrical and Electronic
Equipment (WEEE) directive.
In the domestic market, where
the pursuit of modernity and
perpetual upgrading has become a way of life for many,
household appliances such
as kettles or toasters bought
before August 2005 can be returned to the manufacturer
when a replacement unit is
purchased.
For domestic appliances
acquired after August 2005 the
manufacturer should also provide a protocol for disposal of
the old unit. With so many still
serviceable domestic items

suing both the environmentally
and financially friendly option
of upgrading or exchanging
equipment through the second
hand market.
It’s worth remembering that
many millions of pounds worth
of working dental equipment
is scrapped every year, and the
1,500 landfill sites across the
UK are filling up fast. They also
account for almost a quarter of
the nation’s methane emissions, underlining the urgency, as well as the moral
imperative, forall of us within
the dental industry to dispose of our waste safely and
responsibly. After all, the
planet belongs to all of us. DT

References
[1] Guidelines for dentists can be found at
www.environment-agency.gov.uk/netregs/
businesses/93585.aspx (accessed 04/02/2011).

About the author
Louise Finn is the Director of Dental
Stock Xchange
For more information visit
www.dentalstockxchange.co.uk

[17] =>

United Kingdom Edition May 9-15, 2011

Practice Management 17

Dynamic thinking
Glenys Bridges discusses a technique to solve problems and generate new ideas
SCAMPER
The SCAMPER tool has been
widely used in the marketing
sector since the 1950s to offer
a practical and structured approach to creative thinking. It
asks users to give answers to a
checklist of idea-spurring questions. This technique is designed
to reflect the thinking style of
operational thinkers, and is a

well in other areas be combined
with what is working in another
area to strengthen overall performance?
Adapt - Are there similarities
between your problem scenario
and other external or internal
situations? If so, can you adapt
the solutions others have applied?

‘The most worthwhile meetings are
those that stimulate creativity and lots
of new thoughts’

highly effective way of stimulating the creativity of individuals
who like more structured processes.

Try getting the most out of team meetings

re you getting a worthwhile return on the investment you make in
your team meetings? Routine
team meetings are now a feature
of dental teams’ interactions,
this is mostly due to regulatory
requirements placed upon dental businesses.
Team meetings however require an investment of time and
resources, for which it is reasonable to expect to see a return.
Dental teams are increasingly
seeing how their team meetings
can be beneficial if they are well
planned and have agreed aims
and objectives.
Not lip service
There are a number of skills and
techniques that can be applied to
make team meetings productive
and a worthwhile investment,
rather than a disappointing

experience which simply pays
lip service to clinical governance and Care Quality Commission requirements.
The most frequently heard
grumbles about team meetings
are that they are either blame
and moan sessions, or that
ideas stimulated by the meeting are not followed through.
Both of these shortcomings
are easily addressed with good
management.
The most worthwhile meetings are those that stimulate creativity and lots of new
thoughts. It can be difficult to
access that type of energy when
dealing with the same old situations day in and day out. Here
are some ideas and techniques
that can get your team out of
their rut and encourage inspirational thinking.
One way is to look for par-

allels to your team’s challenges
in stories you read, films or TV
programmes you watch. Keep
looking for links; it is amazing
how your mind will link things
together for you.
You may find features of how
a hero saves the day (or the villain almost wins) that can be
adapted into your team scenarios.
Correctly
cultured
new
thoughts can lead to breakthroughs because insight arises from new thoughts. During team discussions thoughts
arise and change all the time;
although the prospect of new
thoughts about old situations is
ever present, they are unlikely
to prosper if stifled by tired old
thinking. Here is a tool that can
give inspired thinking the impetus to make a difference.

Here is
SCAMPER:

example

In practice - The roll-on deodorant was invented in the 1950s
by an imaginative employee in a
pen factory. He worked out that
the same principle used in the
ball-point pen could be used to
spread deodorant evenly under
the arm. In this way something
that was working well in one
area of operation was adapted
and applied in a completely new
area. The SCAMPER process
was as follows:
Substitute – In underperforming areas explore what, or who,
can be replaced with something
or someone different. This is
based on the thinking that if
something’s not working well do
something different.
Combine - Could the people
and/or ideas that are working

Modify and magnify - What
changes would increase the
benefits/drawbacks?
Put to other uses - What new
applications can you see for
your strengths and aptitudes?
Eliminate - What is excessive
or outdated and how can we
eliminate this?
Rearrange - Can we refresh
people and ideas with new personnel combinations and/or sequences of events?
The objective of the technique is to solve problems and
generate new ideas by using a
checklist of questions. Ask your
team to explore the SCAMPER
questions in relation to a task
or situation and see what new
ideas emerge. DT

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

[18] =>

18 Practice Management

United Kingdom Edition May 9-15, 2011

Doing it by the book
Jonnie James discusses the ins and outs of employment regulations
necessary evidence to substantiate any information given by the
candidate, and in particular be
able to provide proof that staff are
registered with the appropriate
body (such as the GDC), wherever necessary. Principals are also
obliged to determine whether the
new employee is both physically
and mentally fit for the role so extra precaution should be taken if
there are any doubts in this area.

The safest way to recruit staff is to take control of the process youself

ost dentists dream of
owning their own practice but, to quote Marvel
comics, ‘with great power comes
great responsibility’! As a principal you leave yourself open to
everything from overtime to litigation, so it helps to keep up to
date on all the latest rules and
regulations, in order to protect
yourself and your business.
Aside from treating patients,
one of your biggest responsibilities is the employment
and upkeep of your staff. It is up
to you to ensure that employees are competent, efficient and
happy in their work and the first

step to achieving this is, of course,
recruitment.
Recruitment is common sense
in many ways, as every employer is aware of the importance of
checking references and credentials. Unfortunately even this can
sometimes be inadequate, as illustrated by a recent case in the
West Midlands in which a fraudulent ‘dentist’ had so convincingly faked her qualifications that
she amassed £230,000 of profits
before being discovered and sentenced to three years in prison.
Such cases are, thankfully,
exceptionally rare and a back-

ground and CRB check are usually sufficient when hiring. However, with CQC regulations now
emphasising the responsibility of
dental employers, it is important
that you understand exactly what
is expected of you with regards
to the recruitment of new staff.
Regulation 21 of the CQC, which
relates to outcome 12, states that
all registered practice owners
must ‘operate effective recruitment procedures’ which ensure
that the people hired by the practice are of good character, as well
as being suitably qualified, skilled
and experienced. In order for this
to be established, you are obliged
to carry out the usual pre-employment checks and obtain all the

It is essential for the protection
of your business, your staff and
your patients that every necessary
precaution is taken when hiring
new employees, as the CQC places the onus squarely on the shoulders of the practice principal when
it comes to hiring permanent
staff. With regards to temporary staff, it is still important to exercise caution, even
when dealing with an agency,
as problems may still arise.
Employees hired through an
agency are generally referred to
as outside contractors, and it is
the responsibility of the recruitment agency to hire them on
behalf of you, the client. It is also
up to the recruitment agency to
negotiate holidays, contract extensions and pay rises and you
should check the wording of your
contract carefully to avoid being
held directly responsible for the

The clear choice for straighter teeth!

employee due to ‘implied employment’, that is a contract that suggests that the employee may be
deemed a permanent rather than
temporary member of staff. One
case, which illustrated this potential pitfall, was that of Muscat
vs. Cable and Wireless, in which
a temporary worker successfully
sued his employers for wrongful dismissal when they terminated his temporary contract,
because his working situation
was deemed to be one of implied
employment. It therefore goes
without saying that any recruitment should be undertaken with
care and it is worth engaging the
services of a legal advisor to help
you draw up contracts.
However, there are certain
other ways in which to negate
some of the stress of hiring. A
well laid out contract is of course
a must, but using a recruitment
agency dedicated to the dental
industry can also relieve some of
the pressure of hiring, as a company with a thorough knowledge
of the industry will be aware of
what to look for in potential employees. Perhaps the safest way
to recruit is to take control of the
entire process yourself by using
a company such as Dental Gateway, the UK’s only online networking site for dental professionals. With Dental Gateway
principals can register online
and post job adverts as well as
browsing or searching through
hundreds of CVs and contacting
candidates directly. By cutting out
the middleman, you can ensure
every part of the hiring process
goes exactly to plan.
Principals and their practice
managers have an enormous
responsibility to hire staff who
are capable of fulfilling their job
description and taking care of a
surgery’s most important asset;
its patients. By making sure that
you understand what is required
of you as an employer and ensuring that you can prove your diligence every step of the way, you
can achieve compliance, meet
your practice needs and employ a
happy and efficient workforce. DT

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About the author
Jonnie James is an entrepreneur and
founder of DentalGateway.com. He has
perormed consultancy work for companies such as Carphone Warehouse,
Sainsburys, and GlaxoSmithKline and
is passionate about using the power
of the internet to create a level playing field for both staff and employers.
“Finding a job should be about who
you are, not who you know. Those with
the best attitude and best qualifications should be rewarded with the best
jobs. Simple as that. “With the advent
of social and professional networking
there’s now no excuse for it to be any
other way”. For more information visit
www.dentalgateway.co.uk or call us on
0845 094 4031

[19] =>

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[20] =>

20 Practice Management

United Kingdom Edition May 9-15, 2011

You get what you measure
Ernie Wright reveals how to set targets, budgets and strategies for
your practice, without resorting to pure hope

O

ne of the most common issues I currently
hear dentists commenting about is their concern over
the number (or lack of!) new
patients and how to keep the

practice above water in these
austere economic times.
At this point, I would love to
be able to wave my magic wand
and bestow upon dentists and

their teams the golden key that
will unlock the door to practice prosperity and success,
but we all know it is never that
simple! We can all get lost in
profit and loss accounts, cash

flow or fixed versus variable
costs and become confused by
jargon about creating a marketing proposition, or carrying
out business process reengineering. After all, how can we

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be expected to be qualified accountants, expert marketers’
and professional management
consultants, as well as qualified, expertly skilled dentists
with an excellent chairside
manner?
The answer is we can’t, so
it is necessary to have professionals around us to support
our business. However, we all
need to do a bit of groundwork
if we wish our business to (a)
function and (b) make a profit.
It takes more to manage your
business than to simply check
the bank balance at the end of
the month and hope that your
year-end set of accounts will be
adequate, with enough money
left to pay the tax bill.
I believe in keeping that
groundwork very simple so
that I, and everyone supporting
me, understand it. This way I’m
much more likely to make it a
priority rather than something
I dread and relegate to the bottom of my “To Do” list where it
never gets done.
One thing I have noticed
recently relates to a small
core of dentists I work with

‘I would love to be
able to wave my
magic wand and
bestow upon dentists the golden key
that will unlock the
door to prosperity
and success, but we
all know it is never
that simple’

who have struggled in the last
year to run their practices
profitably. They are now telling
me that they have “just had a
run of three months in profit”
or “just had my best month
for over two years”. Could there
be a common denominator
as to what these practices are
doing differently that is reversing their negative trend of
practice profit?

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Yes, there is! They have
started measuring and reviewing key activities in their business using a few, well-chosen
Key Performance Indicators
(KPIs). These particular dentists are almost allergic to numbers and the “S” word (sales),
but by keeping it simple they
are now able to focus on what
is making their business work
(or not) and then make changes to keep it on track.
A very dear, wise and astute
friend gave me the following

[21] =>

United Kingdom Edition May 9-15, 2011

advice several years ago and it
revolutionised my life:
“Measure what you value,
and you get what you measure”
This is exactly what the
principal dentists I mentioned
earlier have taken on board
and made a part of their daily
lives. We can apply this motto
to both our businesses and our
personal lives. For example,
many of us make resolutions
about losing weight, getting fitter or spending more time doing the things we enjoy. How
often do we fail in achieving
any of these goals?
I spent years wishing I was
thinner, reading lots of books
and articles about weight loss
and occasionally actually doing
something about it. Sometimes
I felt good, other times I knew
in my heart that I was fooling
myself, such as those moments
when my jeans seemed to be
a tiny bit looser so I thought I
must be on track (I wasn’t…).
Then I realised, once
that advice had sunk in, that I
had to:
• Value the importance in my
life of actually being thinner (I
wrote a lot down, which I still
refer to regularly five years on
and two children later)
• Stand on the scales (however
painful that was)
• Write down my real current
weight (and stop trying to stand
on one foot to make it less)
• Set a target weight that I wanted to reach and when (realistically)
• Tell someone my current and
my target weight (ouch! Very,
very scary as I had never admitted my weight to anyone
before!)
• Stand on the scales each week
and weigh myself, record my
weight and tell my buddy the
progress (or lack of)
• Assess (with the help of my
buddy) if I’m losing weight and
staying on track, what I’m doing or eating that’s working,

and if I’m not losing weight and
not on track, what I need to
change or stop doing or eating
• Continue measuring even
when I hit my target weight:
keep measuring, reviewing and
taking appropriate action regularly to stay on track
It is a natural law of the
universe that once you start
measuring something important to you, a high percentage
of the time you will get what
you want. The reason being is
that the act of measuring and
reviewing ensures a focus on
the desired outcome, so you are
far more likely to achieve it.
So, enough of the magic
wands and laws of the universe,
how does the losing weight
analogy work for running a
successful, profitable practice?
Here’s how:
• Decide what things you need
to measure in your business
(KPIs) that are important for
you to achieve your desired
outcome. Start with a few simple, useful KPIs and evolve.
• Start measuring your KPIs by
collecting the data. This gives
you a starting point
• Set a target for each of your
KPIs that you want to achieve
in the next year
• Share those targets with key
personnel in your business and
your coach
• Measure your KPIs on a weekly or monthly basis (ie continue to collect the data), as appropriate
• Review the data on a monthly
basis with your team and coach
as appropriate and assess
whether or not you are on target to meet your year-end goals
• Make decisions and take action. Make changes to ensure
that you are on track to meet
your year-end goals
It doesn’t matter how bad
those first numbers are, you
have taken a major step forward in your business because
now you know exactly where
you are. This is purely a start-

ing point.
In my mantra of “keeping
it simple, so I’m more likely to
do it”, here is my minimum list
of KPIs to measure in a dental
practice:

1
2

CAD/CAM SYSTEMS | INSTRUMENTS | HYGIENE
SYSTEMS | TREATMENT CENTRES | IMAGING SYSTEMS

ORTHOPHOS XG 3D

Gross fees per fee earner
verses target

Enquiries
new
patient
verses target

3
4
5
6

converted to
consultations

Turnover verses target

Fixed costs versus target

Profit verses target

New
patient
versus target

numbers

I am still surprised at the
number of practices that do not
set a forecast with targets and a
budget for the year or measure
and review how they are doing.
Without these fundamentals,
they are really relying on hope
as a strategy (and it didn’t work
for me in getting thinner). In
the current economic environment, pure hope on its own is a
very dangerous strategy.
For additional information
or advice on running a successful practice, please call Breathe
Business on 0845 299 7209. DT

About the author
Ernie Wright is a founding partner
and the Managing Director of Breathe
Business and has years of experience
in the corporate world as a senior director for Reuters. With a background
in results focused on marketing and
sales, Ernie recruited and led successful business teams across three continents. Ernie is Breathe’s lead coach
on people and business management,
which translates to helping dental
practices perform better through improved processes and focused motivated teams. Over the last 10 years, Ernie
and the highly experienced Breathe
Team have worked with more than 700
dental practices, helping them to develop and grow.

The most
popular
X-ray unit
in the world.
Now with 3D!
Simply outstanding. The new ORTHOPHOS XG 3D
combines all the advantages of digital panoramic,
cephalometric and 3D imaging into a single easyto-use system. Its optimized field of view ensures
greater precision and opens up new perspectives
for your practice, such as simultaneous prosthetic
and surgical implant planning with CEREC. The
fully automatic 2D / 3D sensor, intuitive operation
and a finding-based workflow make your
routine practice even more efficient.
Enjoy every day. With Sirona.
Sirona Dental Systems, Lakeside House,
1 Furzeground Way, Stockley Park,
Heathrow UB11 1BD
Telephone: 0845 0715040
e-mail: info@sironadental.co.uk
www.sironadental.co.uk

Making targets that are important for you to achieve are a good first step

The Dental Company

[22] =>

22 DCPS

United Kingdom Edition May 9-15, 2011

United we stand
Mhari Coxon discusses the scope of extending
your duties and skills as dental professionals

fully prosecuting a company for
here are a lot of things,
practicing dentistry without
big things, happening
being registered as a dentist
in the dental world just
or dental care professional.
now.
As I write this, the GDC
9361 DBG ClinicalGov The probe 338x244.qxd:Layout 1 1/7/10 13:39
The long term implications for
has made history by success-

this are righteous as hopefully
now the business of tooth whitening will only be carried
out by a competent dental proPage 1
fessional uder the prescrip-

tion of a dentist, within scope
of practice.
Scope of practice is a way of
describing what you as a dental professional are trained and
competent to do. It describes
the areas in which you have the
knowledge, skills and experience to practise safely and effectively in the best interests of
patients. Scope of practice was
first published in April 2009 and
clearly laid out the skill groups

expected of each dental team
member upon qualification; it
also extended additional skills
or duties that could be added
to their skill group through
training either in house or by
external training and examination; whichever would be most
appropriate. The most important
thing is that any professional
should only carry out a duty of
care for a patient when they feel
confident and competent. It also
clearly says the things we should
not be carrying out without further qualification.
The General Dental Council
met on February 24, 2011 and,
among other important items,
two working parties were ap-

Clinical Governance including
Patient Quality Measures Is your practice compliant?

‘In order to protect
the public by regulating the dental
team, we need to
listen and understand the views of
the public, patients
and registrants’

Are you waiting to find out when
the Care Quality Commission*
inspect your practice?
Have you addressed all 28 CQC
outcomes?
Your compliance with Clinical Governance
and Patient Outcomes will be questioned
with the introduction of the Care Quality
Commission*, HTM 01-05 and the increase
in PCT practice inspections.
Would you like to know how you would fare when your
practice is inspected and have the opportunity to take
corrective action?
The DBG Clinical Governance Assessment is the all
important experience of a practice audit visit rather than
the reliance on a self audit which can lead to a false sense
of compliance. The assessment is designed to give you
reassurance that you have fulfilled your obligations and
highlight any potential problems. We will provide help
and advice on the latest guidance throughout the visit.

The areas the DBG assesses are:

premises including access, facilities, security, fire
• Your
precautions, third parties and business continuity plans.
governance including Freedom of Information Act,
• Information
manual and computerised records, Data Protection and security.
• Training, documentation and certificates.
• Radiography including IRR99 and IR(ME)R2000 compliance.
infection and decontamination including HTM 01-05
• Cross
compliance and surgery audits.
emergencies including resuscitation, drugs,
• Medical
equipments and protocols.
• Training, documentation and certificates.
• Waste disposal and documentation and storage.
• Practice policies and written procedures.
• Clinical audit and patient outcomes including quality measures.

The assessment will take approximately four hours of your Practice Manager’s time depending on the number of surgeries and we
will require access to all areas of your practice. A report will be despatched to you confirming the results of our assessment. If you have
an inspection imminent then we suggest that you arrange your DBG assessment at least one month before the inspection to allow you time
to carry out any recommendations if required. Following the assessment you may wish to have access to the DBG Clinical Governance
Package with on-line compliance manuals.

For more information and a quote contact the DBG on 0845 00 66 112

*England only.

proved. One group, consisting
of four council members, two
external members and, importantly, a patient representative; will review the Standards
guidance and report back to
the Council in July 2012. The
second group, which would
comprise representatives from
seven registrant groups, plus a
lay Chair (appointed from Council) and a patient representative would review the Scope
of Practice document and report
back to the Council in February
2012.
The principle focus of the
Scope of practice workshop
group will be patient safety and
public interest.
The GDC has this to say on
their website:
Policy is developed on the basis of consultation and evidence.
In order to protect the public
by regulating the dental team, we
need to listen and understand the
views of the public, patients and
registrants.
The GDC will draw upon
these views to make policy and
decisions on the basis of the best
available evidence.

20
YEARS

www.thedbg.co.uk
Please Note: Errors and omissions excluded. Any prices quoted are subject to VAT. The DBG reserves the right to alter
or withdraw any of their services at any time without prior notice.

The consultation has an open
call for your ideas and views.
à DT page 24

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[24] =>

24 DCPS
ß DT page 22

You simply need to email standards@gdc-uk.org with Scope of
Practice review in the subject bar
and say what you think.
What seems apparent from
the last review of duties is that
each group was not particularly aware of, or supportive towards, the other DCP groups.
I think there may have been a
breakdown in communication

United Kingdom Edition May 9-15, 2011

and working in the best interest
of the dental patient. For example, it was finally decided that
a dental nurse can work clinically with the patient, placing
rubber dam, taking shades, taking impressions and providing
oral hygiene advice and fluoride application. All these additions were welcomed but it was
with disappointment that I saw
that the initial proposal had included prophylaxis and some
simple supragingival calculus

removal, and they never made
the final cut.
Then there was the hygienists
and therapists portion of the consultation. The initial consultation considered diagnosis of disease to be added to their duties
and the need for a treatment plan
from a dentist to be removed.
Instead, we ended up with a
ruling about a prescription for
the treatment and the need to
see a dentist every three years

The focus of ‘Scope of Practice’ is patient safety

A-dec 300

Simple. Smart. Streamlined.
A-dec 300 is designed for the health of your practice. Because your every movement counts, every detail
matters. That’s why A-dec 300 is setting a new benchmark for optimal ergonomics, smart efficiencies, and
lasting value. By asking what’s going to help you feel great at the end of the day, A-dec has arrived at a
treatment room solution that ensures an easy, continuous flow that is as healthy as it is natural.

for a referral as a minimum. Of
course a patient should see the
dentist at intervals which best
suit their dental needs, but the
feeling is that they are not being
allowed to access care independently and that this could be seen
as restrictive.
History in the making?
It is not often we get the chance
to have a say in the future of our
professions and I implore you
to grab it with both hands. If
we don’t reply with our views,
whatever they may be, then we
can’t expect these groups and the
council to understand our point
of view and take it into account.
I will be replying myself, saying that in my ideal dental world,
I would like to see the dental
nurse be able to use prophylaxis
to remove the disclosing solution
after their oral hygiene session
with the patient, perhaps suture
up at the end of surgery even.
My future would see the hygienist able to carry out all the treatment planning and diagnosis of
the patient’s periodontal health,
and therapists being able to detect and treat caries without a
treatment plan from a dentist,
still working as part of the team
but allowing direct access to this
service by patients.

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

So, thinking caps on, do you
want to see the option of extending your duties with additional
skills expand and if so, what
would you like to see included? I
truly believe there has never been
a better time to be in our profession and providing we show that
we are interested, the future will
only get more interesting.
Standards for dental professionals and Scope of Practice are
both documents from the GDC
which should have been read by
every registered dental professional. DT

Chairs
Delivery Systems
Lights
Monitor Mounts
Cabinets
Maintenance
Infection Control

About the author

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

A-dec 300 streamlined.indd 1

03/11/2010 15:38:15

Mhari Coxon is
a dental hygienist
practising in Central London. She
is chairman of the
London British Society of Dental Hygiene and Therapy
(BSDHT) regional
group and is on the
publications committee of its journal,
Dental Health. She is also clinical director of CPDforDCP, which provides
CPD courses for all DCPs. To contact
her, email mhari.coxon@cpdfordcp.
co.uk.

[25] =>

United Kingdom Edition May 9-15, 2011

Special Feature 25

Laboratories and dental professionals working in partnership
Dental Tribune talks to Nicola Farnfield from Lifelike Dental Ceramics

icola Farnfield was new
to the Dental industry
when she joined Lifelike
Dental Laboratory in Buckinghamshire four years ago. Having
worked in the past as a Commercial Director of a blue chip Company for 15 years, Nicola thought
that Customer relations would
be similar in the dental market
but soon discovered that wasn’t
the case. We put some questions
to Nicola:When to communicate?
This sounds simple, but it is
not. Trying to communicate
with a dentist is like trying to
communicate with a client who
is always in a meeting and unavailable. Obviously the majority of dentists’ time is spent in
surgery so you need to establish when is the most convenient time to contact them if required. For some it may be at
lunch time or for others it may
be at the end of the day. It is important to establish this at the
start of the relationship.
Equally, clinicians need to
know that they can get in touch
with their lab promptly. The
way we overcome this at Lifelike Dental Ceramics, is all our
clients have the mobile phone
number of the technician that
is dealing with the case. This
means they can have direct
contact with them and avoid
going through switchboard
if they are in a rush. Furthermore, we don’t close at 5.30pm
- we are available after this
time for people to phone us.
How to Communicate?
Each dentist favours different methods of communication. So it is important for a lab
to be flexible and to respond
to all types of communication
promptly. Some of our clients
use email and take advantage
of the flexibility of exchanging photos by iphone which is
very efficient. Some prefer
to text and others prefer telephone communication or face
to face support.
Which is more important Product or Service?
Well to us, the customer service
we offer is as important as getting the right product. As we are
a small lab we make the time
to go the extra mile for clients,
particularly when dealing with
challenging cases. If a dentist
is dealing with a complex case
it can be quite time consuming, so they need to know they

have the support of a dedicated
technician at their laboratory
to support them.

How do you feel labs should
respond to criticism?
It is important that feedback is

given - both positive and negative. At Lifelike Dental Ceramics we encourage feedback

because this way you always
know if clients are happy (or
à DT page 27

[26] =>

26 Lab Directory

United Kingdom Edition May 9-15, 2011

UK Dental labs were established in 1980 by Derek Phippen who has over 38 years of
experience and expertise in all aspects of dental technology. Derek specialises in
ceramics and offers a superior bespoke service to his clients. Ongoing professional
development has ensured a service that remains at the cutting edge of the latest
techniques and processes. With a dedicated team of registered technicians to provide
you with a full laboratory service. We are committed to excellence in all we do, and to
deliver the very best service available.
We pride ourselves on service, therefore lab to surgery communication is important,
and vice versa .We provide friendly technical support. Monday to Friday 8am to 5pm,
or out of hours on 07947807552. You can also email us through our website. www.
ukdentallabs.com
We hope you like what you see, if you require further information please contact us, ask
for Derek, Jan or Laura and we look forward to hearing from you.
Cheltenham Laboratory
32 Chirstchurch Road,
Cheltenham,
01242 522998
info@ukdentallabs.com
40 Green Park
Bath
BA1 1HZ
Tel: (01225) 332242

To advertise in the
Precident is a full service private laboratory, located in St George, Bristol. Every technician at Precident is highly skilled to ensure that we can deliver the highest
quality of work to our clients. We are Bristol’s premier implant laboratory - we are Straumann Platinum certified and familiar with all leading implant systems on
the market. All our technicians are highly qualified and are registered at the General Dental Council. We strive to stay on top of technology and the changing
Dental market by attending appropriate courses and lectures as often as we can.
Precident also holds courses on Zirkon Zahn manual Zirconia milling.
Products
Implants
Cresco
Metal Ceramic
Veneers
Zirconia (Metal free)
Prosthetics
Chrome Cobalt partial dentures
Our Current Special Offer: e.max restorations - only £129 for the first unit, each subsequent unit on the same prescription is £90. Download our prescription form
and free shipping label from our website at www.precident.co.uk now!
Please contact us at:
t: +44 (0)117 9355 335
info@precident.co.uk
www.precident.co.uk

next Lab Directory
call Joe Ackah on
0207 400 8964 or
email joe.ackah@
dentaltribuneuk.com

[27] =>

Special Feature 27

United Kingdom Edition May 9-15, 2011

ß DT page 25

not) and without feedback we
could not improve. The most
difficult part of being a lab is
that you do not see the patient’s
mouth and you have to rely on
a model for interpretation, so it
is critical you work as a team to
get it right first time.
Should you meet the patients?
Of course – but only if the clinician wants you to. Sometimes
a client may want chairside assistance with their patient for
complex cases or other times
they may want to send the patient to you for shade matching. I believe that if you offer
this service to practices it is
important to have a suitable
and professional waiting room
for patients. When we meet patients we feel we are representing our clinical colleagues and
they trust us to do that.
How important is trust?
Extremely important! Dentists
need to trust that their lab will
advise them of the right product to use for the right situation. They also want assurance
that the restoration you are

a technical point of view for
suggestions.
How important is Reliability?
To us it is essential. We treat
patients as if they are ours.
This means at no time do we
want a patient sitting in the
chair with no restoration to fit.
We go the extra mile for cases
that need a speedy turnaround
and because we have our own
delivery and collection vehicle
we can ensure that cases are

delivered on time.
Anything else you would like
to add?
Yes, remember it takes time to
build a working relationship
and open communication is
key, once you have established
this the rest falls in to place. DT
Lifelike Dental Ceramics
Tel: 01525 240824
www.lifelikedental.co.uk
email: lifelike@btinternet.com
Working as a team is critical. Andrew & Scott at Lifelike Dental Ceramics

Seminars@38 offers the best courses with world class speakers given Dr Gaynor
Barrett’s strong links with UK and International dental professionals. First class
lecturers from around the world will be invited to our intimate facility to mentor you.
The comfortable and private backdrop of 38 Devonshire Street will provide direct
access to these speakers to facilitate a unique learning process, encouraging a culture
of open dialogue and interaction between delegates and speakers.
30th October 2010 - (9am to 5pm)

Dr. Jason Smithson BDS (Lond), DipRestDent RCS (Eng)
Hands on seminars ‘Direct Resin Artistry: Simple, Predictable, Easy’
Anterior [6 hour verifiable CPD for each course]

3rd November 2010 / 10th November 2010 - (3pm to 6pm)

Fiona Stuart-Wilson & Tim Eldridge
CQC Registration and Compliance (Part 1) - Don’t Bury Your Head
[6 hour verifiable CPD]

‘It is important that
feedback is given both positive and
negative’

13th November 2010 - (9am to 5pm)

Dr. Jason Smithson BDS (Lond), DipRestDent RCS (Eng)
Hands on seminars ‘Direct Resin Artistry: Simple, Predictable, Easy’
Posterior [6 hour verifiable CPD for each course]

15th November 2010 / 13th December 2010 / 17th January 2011 - (6pm to 9pm)

Dr. Emiliano Zanaboni DDS, PG Implant (NY),...
giving them is the one you say
it is – for example we give all
our dentists guarantee cards
with our metal- free restorations, verifying the material
and products authenticity. We
also keep a recorded log of material numbers for metal restorations.
Dentists also rely on us to
inform them of new products
that come to the market that
will add value to their particular type of business, sometimes
they are too busy to research
the market and rely on us from

Three of the Best: Putting implants at the top of your treatment
options [5.25 hour verifiable CPD] Seminar 1: from diagnosis to the
final restoration

12th March 2011

Dr Pirooz Zia BDS, MScD & Dr Benjamin Watkins DDS
Endodontic course. Details to follow.

19th March 2011

Dr Massimiliano Di Giosia DDS Cert. Orofacial pain (USA)
Dental Management of Snoring and Obstructive Sleep Apnea.
Details to follow.

2nd April 2011

Dr. Jason Smithson BDS (Lond), DipRestDent RCS (Eng)
Hands on seminars ‘Direct Resin Artistry: Simple, Predictable, Easy’
[6 hour verifiable CPD for each course]

19th, 20th & 21st May 2011 (9am to 5pm)

Prof. Giovanni Zucchelli DDS PhD
Soft Tissue Plastic Surgery in the Aesthetic Areas: A three day course
[17 hours verifiable CPD] Day #2: May 20; Day #3: May 21 In-depth
knowledge and understanding of gingival plastic surgery procedures

Spring 2011

Dr Marc Cooper DDS
Mastery Programme. Details to follow.

Nicola & Andrew, Proprietor at Lifelike
Dental Ceramics, research new products
for clients

www.seminarsthirtyeight.com
catherine@seminarsthirtyeight.com

[28] =>

28 Industry News
Admor: The Complete package
Do you want a full service office essentials
company that knows the dental industry
inside and out? While other companies
can meet only your basic stationery
needs, Admor can help your practice with
everything from dental specific products
such as appointment cards to bespoke
design services:
“Not only did I purchase my stationery,
banners and signage from Admor, but I also
engaged the services of their design team.
The Admor website was excellent: really easy
to use with a tremendous range of products
and the service I received was exemplary.
The designs were just what I wanted, the products were of extremely high
quality and the Admor team were very efficient – an all-round winner! I would
have no hesitation in recommending Admor to colleagues and shall be using
them again in the future.” Stuart Lutton, Ivy Dental Practice, Edinburgh.
With over 30 years’ experience in the industry, Admor can ensure all your
office dental and essential needs are met. So for an all-round service on one
convenient website, be sure to contact Admor, the office essentials company
dedicated to dentists.
For more information contact Admor at support@admor.co.uk
or by calling 01903 858 910 www.admor.co.uk

Luxator®RootPicker
Simplifies handling of small root
rests Stockholm, Sweden February
28, 2011 – During extractions
annoying parts of the tooth may
be left, or difficult pieces of the
root remains firmly lodged in the
alveolus. Often these pieces are very
small and slippery, a challenge to
remove with ordinary tweezers or forceps. In these situations it is helpful to use
an instrument specially designed to handle those awkward particles. Directa
AB introduces Luxator® RootPicker, a new professional dental instrument
specially designed in cooperation with Dr Lars Rundquist to elevate roots and
remove remaining parts of the tooth after extraction. Luxator® RootPicker is
a short and stable instrument, making it easy to get into the alveolus. The tip
of the instrument provides a firm grip on the remaining elements allowing it
to extract or elevate in a safe manner. The Luxator Root Picker comes in two
versions: Straight Tip or Bent Tip, enabling perfect access.
For further information please contact: Olle Larsson, Managing Director,
Directa
Phone: +46 8 506 505 76
Mobile: +46 708 593 483
E-mail: olle.larsson@directadental.com

Lunch and Learn with EndoCare
The specialists at EndoCare, located on Harley
Street, in Richmond and Watford regularly visit
dental practices in and around the capital to
hold ‘Lunch and Learn’ sessions for the whole
dental team. These bite sized courses cover
a broad range of topics and provide dental
professionals with an ideal opportunity to
gain CPD, meet their peers and enjoy an
informal lunch at times convenient to them.
Back at their own practices, EndoCare’s
friendly team is led by Dr Michael Sultan. Dr
Sultan is experienced in treating nervous patients with a range of techniques
and equipment to make the procedure as comfortable as possible. Should
they wish, referred patients are provided with a set of headphones and a wide
selection of films to watch during the procedure.
Dentists referring their patients to the practice always receive full support
during and after the procedure as well as a free after-care appointment six
months post treatment.
For more information about referring your patients to EndoCare please call 020
7224 0999 or visit www.endocare.co.uk

All-on-4™ from Nobel Biocare: For
predictable and affordable treatment
Increasing patient acceptance is a priority
for many dental practitioners Nobel
Biocare’s All-on-4™ system can help you
achieve just this.
Eliminating the need for sinus lifting,
nerve repositioning and complex bone
grafting, the All-on-4™ system offers
patients a more affordable solution
to restore missing teeth with highly
predictable results.
With its immediate loading function, the All-on-4™ system enables clinicians
to provide their patients with a less traumatic experience in the chair and a
fast recovery. In many cases, the entire treatment will be completed within just
one day. Nobel Biocare’s All-on-4™ system offers many more clear benefits to
dentists and patients alike, including:
• Stability even in minimum bone volume
• Compatibility with NobelGuide™
• Increased efficiency
Ideally suited to be the clinician’s second implant system, the All-on-4™
broadens the clinician’s potential patient base and is supported by Nobel
Biocare’s dedicated team of experienced representatives.
Please call Nobel Biocare for further information and technical advice on: 020
875 633 00

United Kingdom Edition May 9-15, 2011

“SOMETHING TO SMILE ABOUT
- Maximum Aesthetics from
Minimal Intervention”
The British Academy of Cosmetic
Dentistry’s
eighth
annual
Conference will take place in London
at the Hilton London Metropole
Hotel from 10-12 November 2011.
This year will be no exception in
terms of opportunities for quality
learning, with many first-rate CPD-verified courses and limited-numbers
hands-on workshops on offer for the whole dental team. A wealth of local
and international speakers will also once again deliver some world-class talks
centred on the latest trends in conservative cosmetic and restorative dentistry.
Delegates will be able to learn more about how it is now possible to create
beautiful smiles for patients whilst also preserving and even enhancing a
patient’s natural teeth – a growing trend within UK dentistry as a whole. The
conference will also give dental professionals the chance to network with
peers and mix with many thought leaders from within dentistry, especially at
the gala dinner which promises to be another glittering affair.
Why not take the opportunity to acquaint yourself with the latest cutting edge
techniques so that you can return to your practice better equipped to deliver
exceptional quality dentistry for today’s demanding patient without feeling
ethically compromised?
For more information, or to book please visit www.bacd.com Or contact Mrs
Suzy Rowlands on 0208 241 8526 Or email suzy@bacd.com

Stay Compliant With Nusonics MED
You work hard in your practice to keep
up with changing regulations and the
stringent standards of HTM 01-05 and, as
a busy GDP, you need all the help you can
get.
That’s where Nusonics MED comes in:
Nusonics MED is the latest example of
Blackwell Supplies’ top quality range of
decontamination products. Nusonics MED
works by converting fat, starch and protein
deposits into soluble matter, making them
easy to remove from re-usable surgical
instruments. Nusonics MED makes cleaning inside fine lumens easy, thanks to
its unique non-foam formula and, because it is a triple enzyme bacteriostatic
cleaner, it removes all residues without affecting any other instruments being
cleaned. Designed for use in washer-disinfectors, Nusonics MED solution
is added to water (3-7.5 ml to one litre) for the reliable decontamination of
hand instruments, ensuring that your patients are protected from infection
and assisting compliance with HTM 01-05. For the best possible result in
the shortest possible time, turn to Nusonics MED, available from Blackwell
Supplies who are well placed to offer you the products you need to achieve
the high standards you desire.
For more information please contact your dental dealer or call John Jesshop of
Blackwell Supplies on 020 7224 1457,
email john.jesshop@blackwellsupplies.co.uk

FenderWedge®Prep
The evolutionary wedge that protects
adjacent teeth now available for
larger
preparations
Stockholm,
Sweden February 28, 2011 – The
Swedish dental company Directa
AB introduces FenderWedge®Prep,
the new FenderWedge® for larger
preparations designed in cooperation
with renowned Dr Domenico Massironi.
FenderWedge® Prep is a combined wedge and plate that together prevents
contact between the bur and the adjacent tooth during preparation. It can
be used in all cases of proximal preparations to protect adjacent tooth and
gingiva.
New FenderWedge®Prep is narrow at the front with a rounded boat-shape tip
that allows it to be inserted into narrow proximal spaces while compressing
the gingiva without harming it. Insertion may be buccal or lingual.
The plate has a perforation that allows it to be bent before insertion so that
it leans firmly against the adjacent tooth to be protected. This provides for
a faster and safer preparation with optimal vision and space, thus very time
efficient. FenderWedge®Prep is ideal for all larger preparations such as crowns,
veneers and inlays.
For further information please contact: Olle Larsson, Managing Director,
Directa Phone: +46 8 506 505 76 Mobile: +46 708 593 483
E-mail: olle.larsson@directadental.com

FenderMate®Primary
The proximal matrix FenderMate®.
now available for primary teeth
Stockholm, Sweden February
28, 2011 –Directa AB introduces
FenderMate® Primary, an addition
to the FenderMate® Matrix
System designed for preparation
and restorations of primary
teeth. FenderMate®Primary is
a combined plastic wedge and
straight metal shield . Specially designed for primary teeth it provides both
a protection during preparation and a matrix for the filling. It is inserted as
a regular wedge and the unique boat-shaped tip simplifies the insertion and
allows the gingiva to be compressed without damage thus reducing the risk
of bleeding. FenderMate Primary can be bent around the tooth to give the
filling a better shape. FenderMate® Primary offers a quick and easy repair of
primary teeth. The product is available in two wedge sizes, colour coded for
easy identification.

Kent Implant Studio:
Keeping referring
practitioners in the loop
If a referral treatment is
to run smoothly, it is vital
that the referring practitioner is kept fully informed as to the progress of the
procedure and have quick and easy access to aftercare advice and support
available to them.

When you make a referral to Dr Dattani you can be sure that your patients are
in the safest possible hands.

Accurate restorations using a
variety of materials
The NobelProcera™ transforms dental
prosthetics with leading CAD/CAM
technology, making it easier than
ever before to create detailed, true to
life restorations to suit every patient.
Colin Sykes uses the NobelProcera™
at Radford Heath Dental Laboratory
in Torquay: “We purchased the first
NobelProcera™ scanner when it was
launched several years ago and then upgraded it to the NobelProcera™ Forte
model,” Colin said.
“I have found the scanner to produce accurate restorations using a wide variety
of materials, allowing us to provide an invaluable service to our customers.
The NobelProcera™ is also easy to use and I would certainly recommend it to
others.”
Now dental professionals everywhere can offer customers and patients an
even wider range of dental restorations and solutions with the NobelProcera™.
What’s more, NobelProcera™ products on teeth and implants are guaranteed
under a comprehensive warrantee for five years.
All NobelProcera™ frameworks and copings are covered against breakage and
defect, and certificates of material authenticity are also provided.

For further information on the Kent Implant Studio or to obtain a referral pack
please call: 01622 671 265 www.kentimplantstudio.com

For further advice and technical information please call 0208 756 3300 or visit:
www.nobelbiocare.com

OPROshieldTM
OPROshieldTM Ortho Gold
orthodontic sports guards
are
specifically
designed
for wearers of fixed braces.
Designed with patented stateof-the-art fin technology this
self-fit
mouldable
mouth
guard provides a unique
inner channel to ensure the
best retention of any self-fit
orthodontic mouthguard in the world. The tough outer shell provides superior
protection while the inner channel houses the braces and provides maximum
comfort. Stretch zones around the mouth guard allow Oproshield TM to fit all
mouths. The OPROorthofins TM break down on biting and mould to the teeth.
This mouth guard also features posterior buffer pads for increased concussion
protection. OPROshields TM come with a substantial Dental Warranty and are
the first mouth guards in the world to achieve CE TYPE Certification to the
latest Standards. OPROshield TM Ortho Gold is presented in high quality pointof-sale packaging together with its own storage case and comes complete
with an instructional ‘how to fit’ mini CD.

Hands-on Inman Aligner Accreditation
Seminars from Straight Talk
GDP’s looking to expand their practice and
offer their patients a minimally invasive
orthodontic treatment that works rapidly,
is cost effective and lifestyle-friendly
should consider registering for an online
Inman Aligner hands-on accreditation
course through Straight Talk Seminars. The
one day hands-on covers case selection,
interproximal
reduction
techniques,
appliance fitting and adjustment - all
that is required to begin treating simple
to moderate cases straight away. Delegates also benefit from a 30-day
membership to the Straight Talk Community Forum – the perfect platform
to discuss cases with peers and get advice and support from the Straight Talk
team. Professionals looking for a convenient way to revise their skills can also
sign up for the online refresher course. Dr Jon Sproson, a Shropshire-based
GDP and co-owner of Sproson Coaching and Consulting who recently took
a hands-on Inman Aligner course led by Dr Tif Qureshi, said: “I appreciated
the approachability of the presenters and their willingness to allow audience
participation and questions. This made for a very accessible way of learning
and engendered a highly constructive working environment.”

At Kent Implant Studio, the team, led by Clinical Director Dr Shushil Dattani,
is committed to forging strong relationships with all clinicians referring to the
practice. Always working efficiently and professionally, Dr Dattani and his
team are happy to provide help and advice whenever possible. Boasting the
latest techniques and technology in Implant Dentistry, Kent Implant Studio is
perfectly situated to offer patients in both London and across the South East
top quality care. Welcoming referrals for even the most complex of cases such
as sinus grafts, bone grafts, guided bone regeneration and ridge expansions,
Dr Dattani can provide expert treatments from surgery only prosthesis
assistance to a full implant service. Referring practitioners are even invited to
attend any stage of their patient’s treatment plan.

To find out more about this very popular product or to place an order please
contact your local ORTHO-CARE sales representative or telephone our
Customer Services Team on 01274 392017. Email info@orthocare.co.uk or visit
www.orthocare.co.uk

For further information please contact: Olle Larsson, Managing Director,
Directa
Phone: +46 8 506 505 76
Mobile: +46 708 593 483
E-mail: olle.larsson@directadental.com

For more information, or to book your place, please contact Caroline on 0207
2552559 (UK) or visit www.straight-talks.com

[29] =>

United Kingdom Edition May 9-15, 2011

slick tip

‘Slick-Tip’ Mixing tip - Free sample
Topdental have launched the new
Slick-Tip mixing tip, the new tip is a
quicker and more efficient version of the
traditional mixing tip.
The tip features a faster method
of fastening the mixing tip to the
impression cartridge; instead of having
to line up the ‘v’ slot the Slick Tip will
connect with having to locate an exact
location. Thismulti-point tip will fit most
traditional 1:1 ratio standard mixing
cartridges.
As well as saving time, the Slick-Tip offers
high performance mixing each and
every time with a low material wastage.
The tip will accept existing Intra Oral tips.

The prices of the tips are only £19.50 exc vat per bag of100 tips. Samples are
available by phoning Topdental on 01535 652 750 or visiting our web site
www.topdental.org

A-Dec and Clark Dental: Quality and Good
Service Combined
The quality of your surgery equipment speaks
volumes about your business, so when Dr
Monica Reinach of Pure Orthodontics in
Chelmsford was looking for top quality, high
specification chairs, she chose A-Dec from
Clark Dental.
“When opening this surgery, we went to all
the different suppliers and looked at all the
chairs available. When we saw the A-dec
chair, I knew we did not need to look any
further as it had the right look for the kind of surgery we were planning. We
chose to get the chairs from Clark Dental, as we had heard that their customer
service was second to none and we were not disappointed. With so much
experience in the dental industry and such dedication to their customers, Clark
Dental definitely deserves their reputation for excellence.”
As a specialist private clinician, Dr Reinach understands how important it is
that your surgery design reflects your business ethos and puts your patients
at ease. The superior feel and comfort of A-Dec chairs can help patients feel
relaxed during treatments and the myriad extra features and ergonomic
design will help you to be your best every day.

The product ID code is : BKST130.
For more information please call Clark Dental on 01268 733 146 or email
enquiries@clarkdental.co.uk

CosTech Elite® unveils new
fleet of branded cars
CosTech Elite® knows how
important communication
is between the practice
and technician. As such,
the team endeavours to
form a close professional
relationship with dental
professionals in order to provide them with the very best restorations for their
patients. If the clinician desires, the laboratory’s team of talented technicians
will visit the practice and patient themselves to discuss the range of options
available to them. Dental professionals in London and the South East might
notice CosTech Elite’s team of representatives on the road in their new fleet of
branded CosTech Elite® cars.
CosTech Elite® is constantly striving to improve the service it offers its
customers. To do this it recently launched its Elite7® service which not only
delivers the highest standards of quality in dental prosthetics, but also has
them delivered to your surgery within 7 days of placing the order. All Elite7®
prosthetics come with a five year guarantee and if the restoration fails to arrive
on time, dentists are guaranteed their money back.
For more information on how CosTech Elite® can help you, call 01474 320 076
or email: info@costech.co.u

UK’s First elexxion Pico Laser
The UK’s first elexxion Pico Laser has been installed at the Kalyani Dental
Lounge in Bath Street, Glasgow.
The elexxion Pico Laser contains two lasers: a 5 Watt Gallium Aluminium
Arsenate (GaAlAs) diode laser and a small laser pointer. The GaAlAs laser is ideal
for soft tissue (gum) work, particularly indicated for both periodontal and also
for endodontic work where it can sterilise the root canal. The laser energy is
fibre delivered - the smallest available fibre being 200 microns.
The GaAlAs laser has a wavelength that makes it an ideal way to do minor oral
surgery. Using this laser, an area can be cut with localised haemostasis. Not
only does the laser cut but it also sterilises the tissues as well making for good
post-operative results. Dr Jayabalan, who is no stranger to lasers said of the
Elexxion Pico Laser: “This is a super unit, neat compact and easy to use.”
The elexxion Pico Laser can also be used for Tooth Whitening (of both vital
and non-vital teeth). The elexxion Pico Laser is very easy to operate with a user
friendly, menu based, control system that is easy to navigate. The unit itself is
super-compact and battery powered. Patient feedback continues to be very
positive with many patients commenting positively on the laser, particularly
how gentle it is.
For more information please contact:
Mark Chapman, Area Sales Manager, Elexxion laser AG Tel: 07946 714039
Dr A. Jayabalan is based at: Kalyani Dental Lounge, 200 Bath Street, Glasgow,
G2 4HG

Tandex: A Flexible
Approach to Interdental
Cleaning
As an addition to its popular
range of interdental brushes,
Danish company Tandex has
recently launched its new
Flexi Max brush: the ultimate
interproximal cleaning aid.
The
Flexi
Max
is
ergonomically designed with an ultra-soft grip handle for ease of use, even for
patients with manual dexterity problems and, like every interdental brush in
the Tandex range, comes in a range of colour coded sizes, to help patients pick
the right brush for them.
Suitable for patients of all ages, as well as those with fixed orthodontic
appliances, the longer handle and angled head of Flexi Max is ideal. For direct
visibility as well as raising compliance and hygiene consistency, the Flexi Max
easily fits into the daily oral interdental health care routine of your patients.
The Flexi Max brings patients the same superb design and high quality as
other Tandex products, with a little something extra for those patients who
find interproximal cleaning difficult.So for products that work from a company
that cares visit Tandex, the home of quality.
For more information on any of Tandex’ range of products for better oral
health, please visit www.tandex.dk

CosTech Elite7® Restorations Your Patients
Will Smile About
Your laboratory should meet
the highest standards in
restoration quality, not only
in the product itself but also in the service provided in order to satisfy paying
patients and maintain your revenue.
CosTech Elite® presents the best solution to exceed your laboratory
requirements with their new state of the art Elite7® programme. The Kent based
dental laboratory is run by a dedicated team of GDC registered technicians,
able to create long-lasting restorations within a short space of time. The Elite7®
express service ensures that you will receive your quality restorations at your
surgery within seven days of your order, no matter where you are in the UK, via
traceable UPS pick-up and delivery courier.
If for any reason your laboratory work is not received on time, CosTech Elite®
will guarantee a full refund. In addition, all their products, including the Elite
7®, have a five-year guarantee, which should reassure both patients and
practitioners that your orders are valued and are in the best of hands.
For more information on CosTech Elite® or for a free Elite® Dentist Pack call
01474 320076 or visit www.costech.co.uk

Optimise your patient education
technique with iTOP Courses
When Dr Jiri Sedelmayer of Hamburg
University realised the problems many
GDPs have with patient education, he
designed a method of teaching to help
dentists increase their knowledge and
hone their skills: to educate them about
educating! He called this new idea the
Individually Taught Oral Prevention (iTOP) method, and developed courses
intended to help practitioners understand how to gain compliance, teach their
patients about oral healthcare and encourage patients to attend dental clinics
regularly.
With iTOP, dentists and hygienists can build on their existing knowledge
by attending introductory, advanced and top level modules, where they
can eventually become lecturers themselves. Because of the emphasis
that the government now places on preventative care, patient education
is more important than ever and iTOP can help you improve your patient
communication skills and help them take charge of their own oral health.
As well as the three-level courses, you can attend the iTOP implant course,
which focuses on helping patients to look after teeth during implant treatment.
You are your patient’s greatest asset in their quest for good oral health, so
maximise your own potential and theirs, with iTOP courses, brought to you by
Curaprox. For more information email clare@curaprox.co.uk call 01480 862084
or visit www.curaprox.co.uk

“SDR™ is perfect for posterior
restorations”
SDR (Smart Dentine Replacement)
provides dental professionals with
a revolutionary new way of placing
posterior composites.
Dr Greg Theodorou of Woodley
Dental Practice has been using
SDR in his surgery for over a year.
“I started using SDR as soon as it
became available in the UK,” said Dr Theodorou.
“Generally I use SDR for Class I and II restorations for post area teeth, however
it could also be used as a core build up material. I use the product as a base
under a capping composite as a main build up material for the cavity. After
trying SDR I have no reason to use any other liner, as SDR satisfies the needs of
both a liner and base material.”
“The material flows beautifully into the cavity and adapts perfectly to its walls.
It does not cause shrinkage stress and my patients never complain of postoperative sensitivity, making it an excellent practice builder. The material also
produces good aesthetic results. No matter which capping composite I use
with SDR, the natural dentine shape always shows through.”
To find out more or to arrange for your FREE SDR sample call +44 (0)800 072
3313 or visit www.dentsply.co.uk

Industry News 29
Corsodyl
Amongst the UK population the number one reason
for choosing a mouthwash is for fresh breath.
Corsodyl Daily Defence Mouthwash has a prolonged
disruptive effect on plaque and up to 12 hour action
against bacteria to fight the leading cause of bad
breath. Corsodyl Daily Defence Mouthwash is a daily
use mouthwash containing 250 ppm fluoride, to
help protect against caries, plus 0.06 per cent w/v
chlorhexidine digluconate to help maintain healthy
gums. Research has highlighted the benefits of
mouthwash use in addition to an effective brushing
technique. Over eight weeks, usage of Corsodyl Daily
Defence Mouthwash in addition to toothbrushing
was shown to result in up to 3.5 times greater plaque
reduction than brushing alone.
Richard Madley-Dowd, Expert Marketing Manager, GlaxoSmithKline Consumer
Healthcare comments: “We know that patients are concerned about fresh
breath and this is the main reason for choosing a mouthwash, yet only
50 per cent of people actually use a mouthwash regularly. As plaque is the
leading cause of bad breath it is important that the chosen mouthwash
helps to manage plaque. Corsodyl Daily Defence Mouthwash contains both
chlorhexidine digluconate and fluoride and is designed to help patients
maintain healthy gums and teeth on a daily basis”.
For samples of Corsodyl Daily Defence mouthwash visit
www.gsk-dentalprofessionals.co.uk

DECAPINOL® Mouthwash and
Toothpaste
Now
available
from
www.
toothbrushdirect.co.uk and from www.
dentalshop.co.uk
DECAPINOL® Mouthwash and Toothpaste
are now available to all patients on line at:
www.toothbrushdirect.co.uk and www.
dentalshop.co.uk The DECAPINOL® range
is a new, clinically effective approach to
the management of gingivitis, and the
prevention of periodontitis. DECAPINOL® Mouthwash and Toothpaste reduce
gingivitis by up to 57 per cent. The combination of tooth brushing and the
anti-plaque action of Decapinol® ensures that plaque is removed effectively,
and the build-up of new plaque is prevented. Free from biocides, patients can
enjoy an effective method of preventing periodontitis and managing gingivitis,
without experiencing an unpleasant taste or dark, semi-permanent staining of
the teeth. DECAPINOL® creates an invisible barrier between dental plaque
bacteria and the surface of the tooth and gingivae to prevent colonisation of
plaque. DECAPINOL® therefore reduces the build-up of the plaque forming
bacteria associated with periodontal disease. Maintain a healthy and balanced
oral micro flora, DECAPINOL® Mouthwash and DECAPINOL® Toothpaste are
the ideal solution for both the long-term and short-term preventative, healthy
management of gum diseases.
For more information call: 01483 410 600
www.decapinol.com

Prestige Medical announces faster
cycles with the launch of Optima an autoclave with four times greater
instrument processing power!
The new Optima autoclave from
Prestige Medical is claimed to be
capable of processing up to four
times as many instruments as other
leading autoclaves on the market,
revolutionising the decontamination
process. Prestige Medical believes its
new Optima is exactly the right product at the right time.
Study shows that the autoclaving part of the process creates a bottle neck. This
is because large numbers of instruments need to be sterilized in low capacity
autoclaves with relatively long cycle times. Prestige Medical believes they
will solve this problem with the launch of Optima, an autoclave that is able
to sterilize a full 6kg vacuum load in just 23 minutes. Optima is a considerable
jump forward in performance compared with other autoclaves because of the
inclusion of Flash Steam® technology. Flash Steam® is considerably quicker
than current methods, cutting vacuum cycle times considerable, in some
cases by around 50%. Optima will be available in June and more information
is available from Prestige Medical direct by calling 01254 844 103 or email to
sales@prestigemedical.co.uk
For more information contact: Christine Bowness, Sales & Marketing Manager
01254 844 101 or email christine.bowness@prestigemedical.co.uk

DentalAir.com – Certified to ISO 9001
Quality Management Standards
DentalAir.com designs and supplies quality,
oil free piston and scroll air compressors
that have been specifically designed for
use in the dental practice. Available for
purchase with an optional service and
support agreement, all DentalAir.com’s
machines can be relied on to deliver clean,
dry air into the surgery.
The company itself has recently been
certified to ISO 9001 quality management
standards for its design, installation, supply,
maintenance, testing and commissioning
of air compressors. Only businesses that can demonstrate a commitment to
quality, their customers and a willingness to work towards improving efficiency
are awarded with the internationally recognised standard. This means that
dentists can rest assured they will always receive the highest levels of service
and customer care from DentalAir.com’s professional team.
For non-obligation, expert advice and a full on-site survey, dental professionals
on the UK mainland need only schedule an appointment with a DentalAir.
com representative. Alternatively, ‘Lunch and Learn’ sessions can be held at
the practice at a convenient time to discuss the range of clean air equipment
suited to your practice’s needs.
For more information on DentalAir.com’s range of packages for every practice
please contact the team on 0800 975 7530.

[30] =>

30 Events

United Kingdom Edition May 9-15, 2011

Dental Protection expand its ‘Horizons’
The Nationwide Roadshow visits venues across the UK

F

ollowing the resounding success of last year’s
events, Dental Protection
is pleased to announce that the
Horizons series will again be
visiting cities around England,
Wales and Northern Ireland
during September 2011.

The team-focused evening
event provides a practical
look at topics that are relevant
for all members of the dental
team, both GDC registered and
non-registered.
Speakers Brian Edlin, Ste-

phen Henderson, Jane Merivale
and Alasdair McKelvie will
be presenting at the evening
events which this year will be
entitled Choices.
During September 2011,
Horizons will visit Exeter, El-

stree, Cardiff, Leeds, Blackpool
and Belfast.
In a difficult economic environment, this is a challenging and difficult time for most
dental health professionals.
Regulation, scrutiny and ac-

pr

l
a
n
o
i
s
s
e
f
o

One of the speakers at the Horizon event

con
ven
ien
t&

countability is increasing and
change is all around us. This
creates uncertainty and unseen
risks at a time when economic
considerations will also affect
patients’ choices and their expectations of treatment outcomes. This seminar is designed to explain important
facts, dispel some dangerous
myths and provide powerful
insights into several important
areas of patient care which
are also potentially important
medico-legally.

er
an
dw
he
nev
er

Kevin Lewis, Director of
Dental Protection, said: “We
were overwhelmed by the response to last year’s Horizons
events in the UK, and are
pleased to be running more of
them and visiting new venues.

for all your Core Subject needs visit www.corecpd.com

Email info@smile-on.com or
call 020 7400 8989

v
e
r
e
h
w

‘‘Our aim is to bring quality programmes closer to home
for more of our members, and
in that spirit this same programme has recently been
taken to our members in seventeen cities all over Australia.”
Including 2.5 hours verifiable CPD the evening will
also give delegates a chance to
meet some of the Dental Protection advisory team face to
face in order to explore the full
range of benefits available to
members.
Tickets
cost
£60
for
members and £80 for nonmembers. Tickets for DPL Xtra
Practices and their staff are
priced at just £50 per person,
and accompanying staff members (dental nurses, reception
team and technicians) can
attend for the nominal fee of
£5 per person, when accompanied by a full-paying dental
professional. DT

[31] =>

Classified 31

United Kingdom Edition May 9-15, 2011

Midi Pro

Simple and reliable unit
with generous specification.
only 8% VAT - buy directly
from the manufacturer
• reliable, pneumatic unit
based on DCI parts (USA)
• piezo scaler and fibre optic
handpiece outlet as standard
• services hidden in chair’s base
• wide range of optional equipment
• continental, international
and cart systems available

£7,990

mobile
07981075157
27 Woodcock Close
voicemail 08450044388
Birmingham, B31 5EH
fax
08719442257
e-mail office@profi-dental.co.uk

WWW.PROFI-DENTAL.CO.UK
DATES:

The attitude of Minimal Invasive Dentistry

June 22 MANDEC
Manchester
June 23 Newcastle
June 24 Leeds

With Dr Harris Sidelsky

The Future of Dentistry?

Benefits

Embraces

Your patient’s pockets and yours!!!!

All aspects of dentistry

Creates

Immense personal satisfaction and
purpose for the practitioner

Harris will you show how to
• Set up your practice to provide exceptional customer care (internal marketing included) • Allow the patient to experience the complete examination technique • Analyse the data to diagnose the right ethical attitude for individualising treatment • Codiscover all the above to facilitate and individualise choices
by the patient creating • Regimented treatment modalities which will flow from the above for the hygienist and dentist to include • A structured hygiene programme for caries prevention • A regime for the reversal of demineralisation • Minimal invasive techniques forrestoration beginning with Icon for the impregnation of early enamel lesions.• The minimally invasive invisible interstitial composite • Explore where Cerec technology fits into then MI camp • Full mouth
restorative care using minimal invasive restorative techniques

Dr Harris Sidelsky
Harris is a registered specialist in prosthodontics. For many years he has been a sought after speaker on the lecture circuit. Until more recently he was the primary
post graduate speaker at a leading London teaching hospital in crown and bridgework minimal invasion dentistry, cosmetic dentistry and adhesive dentistry. His 10
day course is now in its 20th year and is heavily oversubscribed. He has authored over 40 articles and has successful practices in the West End and North West of
London. His current main interest in minimal invasive dentistry and he is lecturing style is known to be able to relate and communicate with the general practitioner.
What he communicates is appropriate and applicable.
Registration 9 am, close 5pm, 6 hours vCPD. Places will be limited so early booking is recommended. Please register your interest by either calling 07530450598 or send you remittance to:
P Willmer, 43 Fenton Place, Porthcawl, CF36 3DW
Cost: £150 + VAT = £180 please make payment to DMG UK Ltd

[32] =>

40% of denture patients are
1
concerned about denture odour
Yet many denture wearers fail to keep their
2
dentures clean .
That’s because brushing dentures with ordinary toothpaste can scratch
denture surfaces3. And scratched surfaces can lead to bacterial growth4
leading to denture odour.

Scanning electron microscope (SEM)
images at 240 minutes confirm a significantly
higher build up of Streptococcus oralis on
denture materials previously cleaned with
ordinary toothpaste vs. a non abrasive solution5

Poligrip denture cleansing tablets effectively
remove plaque and tough stains6 without
scratching3, to leave dentures clean and fresh.
Poligrip Total Care denture cleansing tablets
also kill 99.9% of odour causing bacteria.

Recommend Poligrip denture
cleansing tablets to help your
patients control denture odour
References: 1. GlaxoSmithKline data on file, 2010. 2. Dikbas I et al, Int J Prosthodont 2006; 19: 294-8.
3. GlaxoSmithKline data on file Study L2630368 2006. 4. Charman KM et al. Lett Appl Microbiol. 2009;
48(4):472-477. 5. GlaxoSmithKline data on file Study NPD/EU/062/07 2008. 6. GlaxoSmithKline data on
file Study USNPD 016 and CS5244.

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

SPEAK, EAT AN D SMILE
WITH CONFIDENCE

) [page_count] => 32 [pdf_ping_data] => Array ( [page_count] => 32 [format] => PDF [width] => 842 [height] => 1191 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT UK No. 10, 2011

[toc] => Array ( [0] => Array ( [title] => Is the ‘uplift’ really a pay cut for dentists? [page] => 01 ) [1] => Array ( [title] => News [page] => 02 ) [2] => Array ( [title] => “Just put your feet up!” [page] => 08 ) [3] => Array ( [title] => Giving and Gaining? [page] => 09 ) [4] => Array ( [title] => Focus on finance [page] => 12 ) [5] => Array ( [title] => No more ‘Get out of Jail Free’ card [page] => 13 ) [6] => Array ( [title] => Social marketing on Facebook – what is your plan? [page] => 14 ) [7] => Array ( [title] => Waste management matters [page] => 16 ) [8] => Array ( [title] => Dynamic thinking [page] => 17 ) [9] => Array ( [title] => Doing it by the book [page] => 18 ) [10] => Array ( [title] => You get what you measure [page] => 20 ) [11] => Array ( [title] => United we stand [page] => 22 ) [12] => Array ( [title] => Laboratories and dental professionals working in partnership [page] => 25 ) [13] => Array ( [title] => Industry News [page] => 28 ) [14] => Array ( [title] => Events [page] => 30 ) [15] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

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