DT UK No. 11, 2012

News / The British Dental Conference and Exhibition preview / The Queen’s Diamond Jubilee...do you know the drill? / Interview: Looking towards the future / Important Facebook changes impact your business page / Why improving your practice is a mystery – part eight / Atraumatic extractions with Luxator Periotome / The Inman Aligner...fact or fiction? / Back to basics – keep it simple works....but technology is nice too / Mentoring in learning / Who said private practices weren’t selling? / Industry News / Dental Tribune UK Editorial Board / Classified

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April 23-29, 2012

PUBLISHED IN LONDON
News in Brief
New chair elected
Bernie Speculand, Oral and
Maxillofacial Surgeon, has
been elected as the new Chair
of the British Dental Association’s Central Committee
for Hospital Dental Services
(CCHDS) for the 2012/14 triennium. He had been viceChair of CCHDS in the last
triennium. Mr Speculand is
a consultant at University
Hospital Birmingham. He
also holds consultant posts at
Birmingham Dental Hospital
and at City Hospital. His clinical interests are TMJ surgery,
including joint replacement
surgery, maxillofacial trauma, salivary gland disorders
and dental implant surgery.
Glucose study
According to a new study in
the Journal of Nutrition (April
4, 2012), blood glucose levels
following starch ingestion
are influenced by genetically
determined differences in
salivary amylase. The study
was carried out by scientists
from the Monell Center. The
researchers studied amylase
activity by measuring saliva
samples obtained from 48
healthy adults. Based on extremes of salivary amylase
activity, two groups of seven
were formed: high amylase
(HA) and low amylase (LA).
According to reports, the participants each drank a simplified corn starch solution;
blood samples were then obtained from the participants
over a two-hour period. The
samples were analysed to determine blood glucose levels
and insulin concentrations.
The study identified that after
ingesting the starch, the individuals in group HA had lower blood glucose levels compared to those in the LA group.
www.dental-tribune.co.uk

News

Interview

Alumnus of the year

King’s College announce
awards

page 2

Looking to the future

Neel Kothari interviews Susie
Sanderson

pages 10-11

VOL. 6 NO. 11
Clinical

Atraumatic extractions

Dr Simon Jones provides a
guide

pages 16-17

Clinical

Fact or fiction?

Dr Kanaan discusses the Inman
Aligner

pages 18-20

Could cigarette packaging
go up in smoke?
A UK-wide consultation on whether tobacco should be sold in
standardised, or plain packaging, has been launched

he recent consultation
concerning the future
branding of cigarette
packaging has come about in
an effort to impact on people’s
health and reduce the uptake of
smoking.
The consultation suggests
for the first time what requirements for standardised packaging could consist of, including
no branding, a uniform colour
and a standard font and text for
any writing on the pack.
The consultation will seek
views on whether tobacco
packaging should remain unchanged,
plain
packaging
should be adopted, a different
option should be considered.
Respondents will also be

asked to consider what the specific impact of standardised
packaging could be, including whether it could reduce
the appeal of tobacco products,
increase the effectiveness of
health warnings, impact on the
tobacco industry and retailers or
encourage consumers to buy tobacco products abroad for their
own consumption.
There has however already
been mixed opinions on health
forums and news sites regarding
the consultation.
Non-smokers and smokers
alike are exclaiming that policies such as this are “incredibly patronising” and some nonsmokers are even suggesting
that it shows a complete lack of
understating about addictions.

C 58

Whilst some people believe
that it could have an effect on
steering people away from starting the habit, many people believe that the plain packaging
policy will have little to no affect
whatsoever on younger people;
some even believe it will encourage them to start smoking
because cigarettes will have that
“forbidden factor”.
However, there are some that
hope that if the policy does come
into effect it will reduce the attraction of cigarettes; but many
people remain sceptical. One
concern that non-smokers, exsmokers and smokers alike are
raising is how the “plain packet
policy” will be “an open invitation” for smugglers and counterfeits to produce fake cigarettes

with harmful substances. Further worries, such as a substantial loss in Tax from cigarette
purchases are also concerning
members of the public, whilst
others believe that the consultation is a waste of Taxpayers’
money. People are even asking
why plain packaging would be
needed if the cigarettes are hidden from view.
The consultation will be
open for responses from 16 April
to 10 July. Any person, business
or organisation with an interest
is encouraged to respond.
To take part in the consultation visit http://consultations.
dh.gov.uk DT

[2] =>

2 News

United Kingdom Edition

April 23-29, 2012

King’s dental alumni awards announced
of life and brought credit to the
profession, directly or indirectly, with particular emphasis on
the last three years.
Profs John and Deborah
Greenspan are internationally
recognised for their contributions and achievements in the
field of oral manifestations of
HIV/AIDS.

Martin Kelleher

L

ast month the King’s
College London Dental
Alumni Association hosted a presentation for two prestigious awards – the Alumnus of
the Year and the Alumnus Distinguished Service Award.
The Alumnus of the Year
Award was this year shared by
two alumni, Professor John S
Greenspan (RDH, Dentistry,
1964) and Professor Deborah
Greenspan (RDH, Dentistry,
1964). The prize is given to the
person or persons who have
achieved national and international distinction in any walk

Prof Debora Greenspan
commented: “This award was
completely unexpected and is
deeply appreciated. From the
merger of the Royal Dental Hospital with Guy’s, then United
Medical Dental Schools, the
Guy’s, King’s and St Thomas’,
now King’s College London, we
have felt part of a growing and
supportive alumni group that
can be proud of being part of an
outstanding dental school and
university. The heritage of the
Royal lives on in King’s College
London Dental Institute.”
Prof John Greenspan added:
“We did not know we were getting the award, so to hear about
it while sitting among four tables of my classmates and their
guests at the reunion marking
the 50 year since our gradu-

ation was particularly poignant. Memories of 50 plus years
ago, mingled with news of colleagues’ families and careers
flooded the mind with a mixture
of emotions; nostalgia, pride,
yes some sadness forthose no
longer with us, plus a deep
sense of gratitude for the education we received at the Royal
all those many years ago.”
The Alumnus Distinguished
Service Award was presented
to Mr Martin Kelleher. The
award aims to honour a
long-serving
member
of
staff who has made a significant contribution to the Dental
Institute or one of its constituent Schools.

President of the Dental
Alumni Association, Dr Clive
Debenham said: “Martin Kelleher is a teacher whose idiosyncratic, didactic but sympathetic
style will always be remembered by those lucky enough to
fall under his tutelage.”
Commenting on the award,
Mr Kelleher said: “I was equally surprised and delighted to
receive this prestigious award
from the Dental Alumni Association. During my many years
as postgraduate dental tutor at
both the King’s College Hospital, Denmark Hill site and the
Guy’ Hospital site I tried to be
as inclusive as possible of the

various graduates, each with
their different histories, in running Clinical Day in conjunction with the dental alumni.
“I am delighted to note that
the alumni and the Dental Institute generally continue to
be highly successful and they
are to be heartily congratulated on this. In expressing my
deep gratitude for this honour
I would like to take this opportunity not just to thank all
those involved, but also to wish
them all the best for their future activities.” DT

Mr Kelleher is a Consultant in Restorative Dentistry at
King’s College London Dental
Institute. He was postgraduate
tutor at King’s College Hospital and Guy’s Dental Hospital
for many years. He has lectured extensively both nationally and internationally for
more than 25 years and is the
author of many peer reviewed
articles and a book on dental
bleaching.
(L-R) Professor John Greenspan, Professor Deborah Greenspan and Dr Clive Debenham

Health and Social Care Bill gains royal assent

T

he Health and Social
Care Bill recently gained
Royal Assent to become
the Health and Social Care Act
(2012).
The core principles of the
Act mean that doctors and nurses will be able to tailor services
for their patients, more choice
will be given to patients over
how they are treated, and bureaucracy in the NHS will be
reduced.
The Act aims to:
• Devolve power to front-line
doctors and nurses: Health professionals will be free to design

and tailor local health services
for their patients
• Drive up quality: Patients will
benefit from a renewed focus on
improving quality and outcomes
• Ensure a focus on integration:
There will be strong duties on
the health service to promote
integration of services
• Strengthen public health: Giving responsibility for local public health services to local authorities will ensure that they
are able to pull together the
work done by the NHS, social
care, housing, environmental
health, leisure and transport
services
• Give patients more informa-

tion and choice: Patients will
have greater information on
how the NHS is performing and
the range of providers they can
choose for their healthcare. And
they will have a stronger voice
through Healthwatch England
and local Healthwatch
• Strengthen local democratic
involvement: Power will shift
from Whitehall to town hall
– there will be at least one locally elected councillor and a
representative of Healthwatch
on every Health and Wellbeing
Board, to influence and challenge commissioning decisions
and promote integrated health
and care

World Health Day

W

orld Health Day was
celebrated on the 7th
April, marking the
anniversary of the founding of
the World Health Organisation
in 1948. World Health Day is a
global campaign, inviting everyone – from global leaders to the
public in all countries – to focus
on a single health challenge with
global impact – the focus this
year being Ageing and Health.
World Health Day 2012 focused

on how good health can add life
to years, enabling older men and
women to not only live longer,
but also to extend their active involvement in all levels of society.
Ageing concerns each and every
one of us – whether young or old,
male or female, rich or poor – no
matter where we live.
Before the end of this century,
the world will have more older
people than children. People are
living longer and life expectancy

continues to improve around the
globe, but living longer is just one
part of the equation - living well
is the key to ensuring that older
people remain healthy, energetic
and involved in their communities and society as a whole.
As the world’s population
continues to age, social and economic implications of an ageing
population will need to be addressed. Evidence suggests that
moderate physical activity can

• Reduce bureaucracy: Two layers of management - Primary
Care Trusts and Strategic Health
Authorities - will be removed
through the Act, saving £4.5 billion over the lifetime of this Parliament, with every penny being
reinvested in patient care
Andrew Lansley, the Health
Secretary, said: “The Health
and Social Care Act will deliver
more power to clinicians, it will
put patients at the heart of the
NHS, and it will reduce the costs
of bureaucracy.
“We now have an opportunity to secure clinical leadership

help to improve and prolong mobility in the elderly, yet as age
increases, physical activity often
decreases. This sort of decline
in activity levels is more pronounced in women, low-income
groups and in persons with low
education levels.
Education and awareness
are therefore key as well as adequate provision of age-friendly,
community-based exercise and
recreation facilities as well as
improved access to basic primary
health care. But perhaps the most
important role for government
and community leadership bod-

to deliver improving quality and
outcomes; better results for patients is our objective.”
Professor Steve Field, chair
of the NHS Future Forum, said:
“It was a tremendous privilege
to be able to chair the Independent NHS Future Forum. All the
comments and debate that we
heard helped improve the Bill.”
The implementation of the
Act will now enable clinical
leaders, patients’ representatives and local government to
all take new and leading roles
in shaping more effective services. DT

ies lies in acknowledging the value of older people and the contributions they make to family and
community life.
Although it is never too late
to adopt a healthy lifestyle, starting early will make sure that your
later years are not only long, but
also healthy. Studies show that
children’s arteries start showing
atherosclerosis from as early as
two years of age, which means
the effects begin in utero. Whatever your age, regular exercise is
crucial, so don’t delay. DT

[3] =>

United Kingdom Edition

News 3

April 23-29, 2012

Editorial comment

T

oday I spent
most of the
day at the
GDC CPD Review
Conference. It was
a very interesting
day, looking at the
delivery of CPD
and the barriers to accessing
quality courses.

The delegate list was filled
with practitioners, under- and
post-graduate dental Deans,
educators, academics, GDC
members and commercial providers. Chaired by GDC Chief
Executive and Registrar Evlynne Gilvarry, the day took
in many aspects of CPD and
its relevance to revalidation;

Denplan withdraws from ROI

F

ollowing its launch in the
Republic of Ireland in August 2010, Denplan’s Executive Board has taken the difficult
decision to withdraw its presence
from this region.
Denplan has been working
with a range of member dentists
over the last 19 months in order to
increase the level of support it can
offer to both the dental professionals and their patients - following the Government’s decision
to remove state-funded dental
provision and reduce the Medical Card provision to children and
exempt patients.
However, ongoing interest by
the insurance regulators in this
region has necessitated a growing investment in legal services
to explain Denplan’s product
design and cover, which has, in
turn, made this market financially unviable. This has been
compounded by Denplan’s recent
sale to Simplyhealth, which is not
yet registered to trade in the Irish
Republic.

both allowing course providers
to gain an insight into the potential direction for CPD in the
future, and for the GDC to get
feedback from stakeholders.

ed learning experience. This
can use both online and faceto-face methods, with interactivity at the heart of
it.

One of the buzzwords from
the day was ‘blended learning’
– the use of different teaching
modalities to allow for a round-

If CPD and revalidation are here to
stay, then so is blended learning. DT

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

W
E

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A UNIQUE

MOUTHWASH
THE MOST EFFECTIVE MOUTHWASH

FOR SENSITIVE TEETH

Denplan’s Managing Director,
Steve
Gates,
commented: “We’re disappointed
to be withdrawing from the
Republic of Ireland, but I would
personally like to thank all of our
contacts in the area for the support and business they placed
with Denplan and wish them every success in the future.
“This decision in no way affects our substantial presence
in Northern Ireland, which still
offers strong opportunities for
growth over the coming years. I
would also like to reiterate that
there will be no job losses as a result of this decision.” DT

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[4] =>

4 News

United Kingdom Edition

April 23-29, 2012

Centres selected to host cutting-edge cancer services

round 1,500 cancer patients a year will benefit
f rom a cutting edge cancer treatment – Proton Beam
Therapy – that will be available in London and Manchester, Health Secretary Andrew
Lansley announced today.
Up to £250 million will be
invested by the NHS in building Proton Beam Therapy facilities at The Christie NHS
Foundation Trust hospital in
Manchester and University
College London Hospitals NHS
Foundation Trust. The Department of Health have set aside
public capital for this scheme.
Proton Beam Therapy is a

type of radiotherapy, which
uses a precision high-energy
beam of particles to destroy
cancer cells. The treatment
is particularly suitable for
complex childhood cancers,
increasing success rates and
reducing side-effects, such as
deafness, loss of IQ and secondary cancers.
Given the complex nature
of the treatment and facilities,
Proton Beam Therapy won’t be
fully available in England until
2017. Until then, the NHS will
continue to fund patients in
need of Proton Beam Therapy
to go abroad – either to Switzerland or the USA. By 2014/15
the NHS will be spending £30

million per year sending up to
400 patients overseas.
Health Secretary, Andrew
Lansley, said: “Developing a
national proton beam therapy service is vital to ensuring
our cancer facilities are world
class. We have always said that
it is patient outcomes which
matter, and to get the best for
patients we must always be
looking to push the boundaries.
“In addition to improved
success rates proton beam
therapy reduces the side-effects which patients, particularly children, can suffer as a
result of traditional forms of

cancer treatment.
“Once this service is in
place, The Christie and UCLH
will boast unparalleled cancer
facilities. It will mean more
patients will be able to get this
treatment, including those for
whom travelling abroad for
long periods is not possible.”
Andrew Lansley made a
commitment to the programme
in 2010 when he pledged over
£50 million across the Spending Review period to allow up
to 400 high priority patients
to be treated abroad while we
developed the business case
to establish a national service
here.

The Department of Health
plans to introduce PBT services at The Christie and UCLH.
The Department’s assessment
shows this to be affordable
and deliverable in the short
term. The development of the
service will be closely monitored and should further capacity be needed in the future,
the preferred third site is University Hospitals Birmingham,
subject to normal business
cases processes and the views
of the NHS Commissioning
Board. DT

Tackle alcohol abuse at the dentist Surgeons perform full-

lcohol abuse causes dental
disease and mouth cancer warn health experts.
To tackle this at the earliest opportunity, screening and treatment for excessive drinking is
vital, according to a paper published in the April edition of the
Royal College of Surgeon’s Dental Journal. The paper, ‘Alcohol
misuse: screening and treatment
in primary dental care,’ points
out that patients do not attend
their GP unless they are ill, but
most people visit their dentist
for a routine check-up, giving
the dental team a unique opportunity to identify misuse.
The paper highlights that
making standard questions
about alcohol consumption
more explicit under new policy

proposals could provide a currently untapped opportunity to
help individuals tackle problem drinking, as asking patients
about alcohol consumption is
a routine component of understanding a patients overall
health.
Jonathan Shepherd, Professor of Oral and Maxillofacial
Surgery and lead author of the
paper, said: ‘Excessive alcohol
consumption can lead to cancer of the mouth, larynx and
oesophagus and dentists maybe
the first to notice these conditions. So we need to introduce
an alcohol screening tool that
reliably detects hazardous and
harmful drinking alongside effective treatment.’
The paper emphasises that
an estimated one in five men

and one in seven women in the
UK regularly binge drink which
costs the UK economy approximately £25 billion a year. Promoting moderation in alcohol
consumption in the primary
dental setting could contribute
to decreasing the economic, social and health burdens associated with alcohol abuse.
The study stresses that identifying and tackling alcohol
misuse at the dentist would be
a major contribution to the Government’s health priorities. ‘The
dental team has a responsibility
to promote overall health and
not just dental health. Dentists
and the Government must work
together to develop and deliver
screening and treatment by intervening early,’ Shepherd concluded. DT

face transplant

urgeons at the University
of Maryland in Baltimore
have reported the transplantation of an entire face onto
a 37-year-old man.
According to a report, the
surgeons successfully transplanted facial tissue, a tongue,
teeth, and upper and lower jaw.
The procedure is considered to
be the world’s most extensive
full-face transplant. The patient Richard Lee Norris from
Hillsville, Virginia, had the face
transplant after a gun incident
15 years ago left him severely
disfigured. Richard lost his
lips and his nose, and his jawline was almost completely destroyed. As a result, he was left
with limited movement of the
mouth.
It wasn’t until 2005 when

Richard first approached doctors at the university to discuss
surgical options. After a face
was donated by the family of a
deceased anonymous donor,
the extensive and difficult surgery could commence, and was
conducted in late March by a
multidisciplinary team of more
than 150 medical professionals
and lasted 36 hours. According
to the university, this is the first
time in history that a full-face
transplant has been completed
by a team of plastic and reconstructive surgeons experienced
in both trauma and dental and
facial reconstruction.
The project was financially supported by the US Navy,
which hopes to gain better insights into the reconstruction of
the wounded faces of returning
soldiers. DT

Clarification on licensing for dental surgeries
(“the Court”) on 15 March
2012 in the case of Società
Consortile Fonografici (SCF)
v Marco Del Corso (“the Decision”).
The Decision concerns the
liability of dentists to pay equitable remuneration for what
under Italian law is a statutory right to use sound recordings by communicating them
to the public. In its Decision,
the Court held that such use
by dentists to patients in their
waiting rooms did not amount
to a “communication to the
public” with regard to this liability.
Dentists performing copyright music in their surgery do need a PRS for Music* licence

f you’re a dentist performing copyright music in your surgery, it
has been announced that
you do need a PRS for
Music* licence.

According to PRS, clarification on the requirement for a
PRS for Music licence when
playing music in a dental surgery following the decision
of European Court of Justice

The Decision does not affect the requirement for a business to hold the correct PRS for
Music licence where they play
or perform PRS for Music repertoire in public.
The Decision specifically

dealt with the right of producers and performers to remuneration for certain uses of
sound recordings, as provided
for under Italian law. PRS for
Music does not administer this
right.

poser’s domestic or home circle.
By not having, or cancelling an existing PRS for Music
licence, you may be liable for
infringement of copyright in
PRS for Music’s repertoire.

PRS for Music administers,
amongst other rights, the exclusive right conferred on the
copyright owners by UK law, to
perform and to authorise the
performance in public of their
copyright musical works.

In the UK, the owners of the
copyright in commercial sound
recordings enjoy an exclusive
right to play sound recordings
in public. If you intend to continue playing such recordings
in public in your workplace,
we suggest that you contact
PPL to discuss your requirements. www.ppluk.com DT

Therefore if you intend to
continue performing our musical works in your premises
regardless of the means of
performance, for example by
radio, TV, CD, MP3 or live performance, then you will need a
PRS for Music licence. Under
UK law a performance is regarded as taking place ‘in public’ if the audience comprises
individuals outside of the com-

*PRS for Music is the trading name for the Performing
Right Society (PRS). This information relates to the rights
represented by PRS.

[5] =>

18th and 19th May 2012

Millennium Gloucester Hotel & Conference
Centre, London Kensington
info@smile-on.com | www.clinicalinnovations.co.uk | 020 7400 8989

Switch
on to new
ideas
Speakers:

EA
RL
Y

BO
O

KI

Prof Nasser Barghi
Dr Richard Kahan
Prof Gianluca Gambarini
Dr Wyman Chan
Dr John Moore
Dr Ajay Kakar
Ms Jackie Coventry
Dr Mona Kakar
Basil Mizrahi
Fraser McCord
Mhari Coxon
Amit Patel
Anthony Roberts
NG

DI

SC

OU

NT

[6] =>

6 News

United Kingdom Edition

S&Sdental

services

April 23-29, 2012

Campaign for CASPER

lenys Bridges and Jane
Armitage launch the
Campaign for Administrative Standards and Professional Education for Receptionists and Practice Managers
(CASPER)
In the modern dental profession there is no shortage
of Standards and Regulations
or authoritative bodies to assess and compliance. The origins of the current legislation
date back as far as the Dentist
Act 1921, which restricted the
practice of dentistry to qualified, registered practitioners,
working within ethical standards set by a regulatory body;
The Dental Board for the UK,
the initial forerunner of the
General Dental Council (GDC)
Over the 90 years since
the Dentist Act 1921 the
health care professions have
changed considerably, so too
has their relationship with the
public. When dentistry was
restricted in 1921 the purpose
of this legislation was to protect the public. In 2001 following some high profile medical
cases, including the Harold
Shipman, Alderhay and The
Bristol Babies it was clear that
to maintain public confidence
higher profile measures were
required and Clinical Governance was introduced to the
Healthcare Sector.

and ongoing development requirements.
The Health and Social Care
Act 2005 sets out clear regulations which in turn have been
translated by each constituent
country of the United Kingdom
to local essential standards of
quality and safety. Each has
appointed inspectors to visit
registered practices to assess
compliance. If you look really
hard you will find training recommendations for Registered
Managers. But not only do
you need to look hard, to find
any meaningful education requirements, you also need to
use a broad span of interpretation because qualification
requirements for Registered
Managers are not definitive.
Worse still the standard for
administrators and receptionists are non-existent; or at
least I have not been able to
find them.
It is undisputable that the
quality of UK clinical dentistry
is world class. However, nowadays patients demand more
that excellent dentistry, they
will not settle for less than an
excellent dental experience
from the moment they decide to make an appointment
on until they complete their
treatment.

Over the past 10 years the
dental profession has introduced a curricular framework
to enable members of the dental team to gain registerable
qualifications and this has enabled a range of dental professionals to increase the scope
of their contribution to patient care. As a result careers
in the dental profession have
become more prestigious and
attractive to a wider range of
people with a vocation to work
in a caring profession.

This is recognised in care
quality outcomes. To consistently achieve these outcomes
requires a range of quality
management skills, such as
planning services, auditing
performance, creating, implementing and evaluating
SMART objectives and gathering feedback on clinical
and non clinical aspects of
care. Without formal education these skills will be absent
from dental teams’ skills sets,
therefore patients’ experiences of quality if their dental experience will suffer.

Clinically dentistry can
claim almost 100 years of ongoing development with excellence as its primary objective. However, when it comes
to the non clinical aspects of
dental care there is a massive
black hole in terms of training

Jane Armitage is a high
profile multi-award winning
practice manager. Over recent months she has helped
numerous practice managers who are completely out of
their depth with the new quality management regulations.

Jane says: “I believe academic
training requirements must
be introduced on a tiered level
in-line with individual managers responsibilities. How
can manager’s be expected
to run practices without academic training? It is bizarre.
How can you lead a team of
committed dental professionals without demonstrating the
same level of commitment to
your own training and ongoing development? We must
begin by establishing educational standards and then establishing how many practices
managers are educated to that
level. From a quality standard
should this be an issue that
needs addressing.”
The Campaign for Administrative Standards and Professional Education for Receptionists and Practice Managers
(CASPER) has gathered high
profile dental professionals
who believe that qualifications for practice managers
and receptionists are the next
logical step in the progression
of the dental profession and
are urging the GDC and CQC
to formalise a non-clinical
curricular framework.
Jill Taylor, President of the
Association of Dental Administrators and Managers (Formerly the BDPMA) has added
her support to this campaign
with the following Statement
“I agree that the dental profession needs definitive nonclinical educational and CPD
standards for dental managers
and administrators.”
If you would like to add
your voice to ours, simply
email us your name and:
“I agree that the dental profession needs definitive non-clinical educational
and CPD standards for dental
managers and administrators”
to:
casper.campaign@gmail.
com DT

Registration for Showcase 2012 now live!

elegates are now able to
register online for their
ticket to BDTA Dental
Showcase, which takes place at
ExCel London from 4-6 October
2012. Registration is free and
can be completed easily online
at
www.dentalshowcase.com
and you will instantly receive
your e-ticket.
Dental Showcase is the UK’s

No.1 dental exhibition, with
over 10,000 members of the
dental team expected to visit the
three-day event, and more than
350 companies exhibiting, presenting the latest products and
services that the dental industry
has to offer.
Each year the BDTA holds
an outstanding show, which is
why Dental Showcase contin-

ues to be the biggest and best
exhibition in the dental calendar. Book your ticket now to
ensure that you don’t miss out!
For more information, or to
register for your free ticket to
BDTA Dental Showcase please
visit
www.dentalshowcase.
com. DT

[7] =>

United Kingdom Edition

April 23-29, 2012

Research to target threat
caused by sepsis

T

welve new research and
development projects that
aim to improve the future
diagnosis, detection and management of sepsis, a life-threatening
illness caused by the body overreacting to an infection, are to receive government funding totalling £8 million.
The grant funding – from the
Technology Strategy Board, the
Department of Health, Ministry
of Defence, Home Office, Engineering and Physical Sciences
Research Council and Medical Research Council – will be
matched by funding from the
UK companies involved in the
projects, bringing the total value of the R&D to more than £15
million.
Iain Gray, Chief Executive of
the Technology Strategy Board,
said: “There is universal recognition of the need for new
and improved diagnostic tools
to help in the management of
sepsis. The products that will
emerge from this important research and development will
help to reduce the economic
burden, death and illness from
sepsis and infectious diseases
and create opportunities for UK
companies in the huge global
market for diagnostic devices.”
The 12 business-led R&D
projects will see more than 20
UK companies working collaboratively with more than a 12
universities, research organisations and NHS Foundation
Trusts.
The funding awards
follow successful applications
by the consortia to two competitions managed by the Technology Strategy Board.
The Multi-pathogen detec-

tion and/or simple discrimination competition sought proposals for projects to develop
point-of-care diagnostic tools
to assist clinicians and health
workers in the management
of sepsis, while the Advancing
biomarker use in sepsis management competition looked
for R&D projects that would advance the effective use of biomarkers in the management of
the condition.
The projects will be led by
BD Biosciences (Oxford) (2
projects), BioGene (Kimbolton,
Cambs), HPA Microbiological
Services Porton (Salisbury), Inanovate UK Ltd (Birmingham),
Magna Parva (Leicester), MAST
Group Ltd (Bootle), MicroLab
Devices Ltd (Leeds), Mologic
Ltd (Sharnbrook, Beds), Randox
Laboratories Ltd (Crumlin, Co
Antrim), Sepsis Ltd (Liverpool)
and Smiths Detection Watford
Ltd (Watford). Taking into account the other organisations
that make up the twelve consortia, companies and experts
from every part of the UK will
take part in the research and
development activity.
The projects include work
that will lead to the development of:
• Point-of-care devices to detect
multiple pathogens and antibiotic resistance profiles
• A rapid test (less than three
minutes) to detect the presence
of bacteria in blood
• Devices capable of detecting pathogens and the host response in a single system in less
than 15 minutes
• Biomarker based cellular assays to predict stages of infection and sepsis
• Tests incorporating physical

and biological measurements
that can be used in multiple settlings to detect the early signs
of infection and sepsis
The Technology Strategy
Board used the Multi-pathogen
detection and/or simple discrimination competition to pilot
a planned initiative called Design Option, which aims to help
businesses think more about
design at the start of their research and development project. Through the Design Option initiative, applicants to this
competition were offered free
access to design mentors while
they were in the early stages of
developing their project proposals. Five requests for Design Option assistance were
received and approved. Three
of these were invited to submit
full applications and two were
ultimately successful in securing offers of grant funding.
The funding programme is
part of the Technology Strategy Board-managed Detection
and Identification of Infectious Agents (DIIA) Innovation
Platform, which is managing
a range of government investment in innovative research
and development into diagnostic tests and devices that
will help to cut the number
of deaths and cases of illness
caused by infectious agents in
humans and animals, while reducing the economic burden. DT

Celebrate with the AOG

C

ome and celebrate the
AOG’s 30th anniversary
this summer, at the Haberdasher’s Aske’s Girls School in
Herts. Enjoy the sun with superb
Indian cuisine, wine, beer, soft
drinks and plenty of entertainment for the kids including a
bouncy castle and an interactive
animal zoo!
The event will take place
on 8th July 2012 and tickets
are available online. Non-AOG
members can purchase tickets
from the website for £15 an
adult and £3 for children under 16, while the special members’ rates are £5 per adult

and £1 for under-16s.

summer. DT

The AOG began as a source
of social networking for dental professionals, and over the
years has become a place for
people of all ages to come together and give back to those
within dentistry. Open to everyone, the AOG organises
events, educational support
and charitable trips with the
aim of working ‘towards the
greater good’.

For further details on forthcoming trips and events, or to
join, visit www.aoguk.org

Help us celebrate our 30
years of success, and enjoy
great company and fun for
all the family at our BBQ this

[8] =>

8 BDA Preview

United Kingdom Edition

April 23-29, 2012

The British Dental Conference
and Exhibition preview
Dental Tribune previews this year’s Manchester event
practice improvement. What’s
more, the zone will allow delegates to see demonstrations
of innovations that are contributing to the future of dentistry
(and all whilst gaining 30 minutes of FREE verifiable CPD).
This year delegates will also
be encouraged to plan their visit
to the exhibition element of the
event using an innovative new
online bookings system that allows attendees to reserve time
with exhibitors.

only get what you give!
This session will be looking
at the ways in which responsible volunteering and partnership with Bridge2Aid can add
value to your practice, your
team, your reputation, and your
personal development whilst
making a sustainable difference
to the oral health needs of de-

ence programme, The British
Dental Conference and Exhibition is also famous for its social
events!
On Thursday the entertainment begins at 18:00 at the Central Hall with the exhibition hall
drinks reception as the BDA
hosts a get together to celebrate
the opening day of the event!

Conference highlights
The conference is providing a
fantastic range of topics, encompassing aesthetics, core
CPD, endodontics, general dentistry, oral health, periodontics,
career development and practice management.
Thursday’s highlights
11:45 - 12:30 - Capability of the
21st century mind
Outside the Manchester Central Convention Complex

T

he British Dental Conference and Exhibition
27th – 29th April 2012,
to be held in Manchester at
the MCCC, is the UK’s largest
three-day dental conference
and exhibition and is certainly a
must-attend event in the dental
calendar.
The conference, run by
the British Dental Association,
hosts a world class clinical programme of lectures and seminars covering all aspects of dentistry, with leading experts from
both the UK and overseas.
The exhibition itself hosts
a fantastic array of companies
from the dental industry and
this year includes an educational exhibition with free seminars
featuring a demonstration theatre and training essentials theatre (all of which offers verifiable
CPD).

As well as an all-encompassing variety of seminars, lectures
and social events, there will also
be a number of new features on
offer. These include a live Demonstration theatre offering a full
three-day programme and the
Innovation Zone!

Innovation, innovation,
innovation
New for the 2012 Conference
is the live Demonstration theatre, which offers a full threeday programme, including the
chance to see experts from the
UCL Eastman Dental Institute
demonstrate on phantom head
simulators. Delegates will also
be able to learn more about
managing dental anxiety and
medical emergencies through
role-play enactments.
There is also the exhibition’s
Innovation zone, where delegates will be able to discover
cutting-edge dental technology
and the latest innovations in

Susan Greenfield CBE discusses the human brain, at the
Motivational keynote session:
Capability of the 21st century
mind.
Here Susan will discuss how
the human brain is exquisitely
evolved to adapt to the environment and question that as the
screen culture of the 21st century is changing in unprecedented
ways, will the next generation
therefore think and feel in a totally new way?
14:45 - Infection control:
Fighting the tide of communicable disease and avoiding infection – experiences from the cruise
industry
This session, by Kate Bunyan, Medical Director, Carnival UK (Cunard and P&O), will
take a look at where, how and
why the cruise industry manages decontamination, crosscontamination, water safety and
environmental pathogens.
Friday’s highlights
10:00 - Developments in dentistry for the UK | Session for young
dentists: What is the future of
clinical dentistry?
This is a session not to be
missed, as The Earl Howe addresses developments in dentistry for the UK.
14:00 - Volunteering - you

Delegates at the British Dental Conference and Exhibition

veloping nations.
Saturday’s highlights
09:00 - 10:00 - Session 1: How
to achieve aesthetic results with
conservative treatments (direct
and indirect) and 10:45 - 12:00
- Session 2: How to achieve
aesthetic results with prosthetic
treatments on both natural teeth
and on implants
Professor of Restorative
Dentistry Lorenzo Vanini will
be providing lectures on how to
blend function and aesthetics in
every clinical situation.
13:00 - Fast smiles for the
GDP – exploring ‘quick fix’ orthodontic treatments
Ross Hobson, Specialist Orthodontist, discusses orthodontics and how many GDPs have
been enticed by the apparent
simplifying of the mysteries associated with braces. His presentation will examine the various brace options and how to
understand what is good and
bad orthodontics.

Social events
Along with its fantastic confer-

On Friday there is the Friday
Night Party, held at the Palace
Hotel, Manchester, where you
will be able to enjoy a free drink
and sample a spice infused buffet which will be cooked in front
of you by the Palace’s experienced chefs. With this year’s
entertainment
provided
by
Killer Queen, Europe’s number
one Queen Tribute band it’s an
event not to be missed!
The Golden Age of Hollywood will also be making an appearance on Friday at the now
SOLD OUT FD Ball.
Finally, on Saturday evening,
the BDA will be hosting a blacktie Gala dinner. Held at the Hilton Deansgate Hotel, Manchester, the event is the perfect way
to end the conference in style,
with drinks at the pre-dinner
reception and a chance to relax with friends and colleagues
over a three course meal. DT
For more information about
the British Dental Conference
and Exhibition, got to http://
conference.bda.org/ or call the
BDA on 0870 166 66525

[9] =>

United Kingdom Edition

Feature 9

April 23-29, 2012

The Queen’s Diamond
Jubilee...do you know the drill?

four day weekend lies
ahead to mark the
Queen’s Diamond Jubilee – or does it? NASDAL, the
National Association for Specialist Dental Accountants and
Lawyers, is advising dental
team members not to be too
jubilant until they are sure that
they really are entitled to the
additional holiday.
The Spring Bank Holiday
has been moved to Monday
4th June and there is an additional Bank Holiday on Tuesday 5th June to mark the 60th
year of Queen Elizabeth II’s
reign. But 5th June could be
just another day in the practice.
In the same debate that
surrounded last year’s Royal
wedding, the tabloids have
already stepped up the campaign for employers to grant
their staff the day off to celebrate, but in many cases, employers are being advised that
they are not obliged to do so.
Amanda Maskery, a Lawyer and a member of NASDAL, has shed some light on
the matter. It is a common
misconception, she said, that
employees are entitled to
time off work for bank holidays. Usually, employees are
simply entitled to the statutory minimum number of holidays, currently 5.6 weeks (or
28 days) a year.

tice when taking a decision
on whether to grant an extra
day off. She adds: “Employers should be aware that their
employees may have an implied right to the extra holi-

day by virtue of the employer
previously granting time off in
similar circumstances. Given
that the situation does not
arise very often, the likelihood
is small, but in the shadow of

the Royal Wedding, there is
clearly the potential for a custom and practice argument.”
Amanda
suggests
that
employers would be wise to

consider any potential staffing issues now and consult
their employees’ contracts of
employment, together with
holiday policies, so their staff
know whether or not they will
have a four day weekend. DT
• Amanda Maskery of Sintons LLP can be contacted
on 0191 226 7838 or to find a
member of NASDAL in your
area, go to http://www.nasdal.
org.uk/

Goes anywhere,
cleans everywhere.

CMY

She suggests that the starting point is to look at the
contract of employment for
guidance. Where the contract
states that an employee is entitled to public holidays in addition to their annual leave,
but neither the number nor
the specific dates are referred
to, they will be entitled to an
additional day’s holiday. That
said, if the employer has the
contractual right to grant a
day off in lieu of a bank holiday, an employee may still be
required to work on 5th June,
and their extra day’s holiday
can be postponed.
K

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[10] =>

10 Interview

United Kingdom Edition

April 23-29, 2012

Looking towards the future
In the fourth and final part of this interview, Neel Kothari talks to Susie Sanderson
about the amalgam issue and her thoughts on the future of dentistry
(and it is mercury globally, not
just dentistry again). Dentistry is high profile once more
because, like compliance in
any other area, we’re really
easy to circumscribe and pick
off in terms of enforcement of
change.
For a regulatory authority, it’s really easy to control
mercury in dentistry – you
just say, don’t use it any more.
Now if you say to the chloralkali industry or the Chinese
power station industry, stop
using anything that’s got mercury in it, they’ll go ‘we can’t,
the whole industry would fall
apart – we can’t do it’. So then
dentistry is a very easy target.

Amalgam has been widely used in dentistry

K: A recent WHO report
recommended
the phase down of the
use of amalgam in dentistry.
What impact will this have on
the profession?
SS: I know quite a lot about
this, because I chair the working group of Council of European Dentists. This issue has
been going on for a very, very
long time, but started for the
Council of European Dentists
with the European mercury
strategy, back in 2006.
The
mercury
strategy
doesn’t just cover dentistry, it
covers the whole use of mercury in Europe and the aims
were to reduce environmental impact, reduce use where
it could be substituted with
something
else,
replaced
with alternative materials,
right across the board. So
for example the chlor-alkali
industry and batteries, gold
mining, etc.
We did a huge amount of
work to review the literature
and evidence on the health
issues of dental amalgam.
At that point the health risks
were not seen to be significant
and, as things currently stand,
as a result the Commission has
virtually parked health anxieties about dental amalgam.
But it did find, through the
work of its Scientific Committees, there was very little evidence about the environmental impact and how it would
be mitigated if there was a
difficulty. So that was around

Bio Intelligence Services
is carrying out a big piece of
work on behalf of the Commission at the moment looking at the life cycle of dental
amalgam. All the way through
the interim five years we’ve
discussed with the Commission that really the only way
you can look at dental amalgam is through the life cycle
of how you track where it is,
who’s using it, what they’re
doing with it, how they’re disposing of it.

monitored. Dentists are largely seen in Europe as being
hugely responsible about their
use of dental amalgam. They
also understand the Council
of European Dentists’ stance
that dental amalgam should
remain as part of a dentist’s
‘armoury’ in combatting oral
disease and that the choice of
materials to be used should be
a clinical decision in discussion with the patient and consented by the patient after a
proper evaluation of the risks
and advantages. So the ideal
is that it remains as an available material for as long as it’s
needed, because there is no
equivalent substitute.

At the same time we’ve
monitored European dentists’ approach to dealing with
the environmental load, and
we’ve watched the improve-

Dental amalgam has qualities which none of the other
materials that we currently
have at our disposal satisfy in
the same way. None of them

2006 and they said they would
review the mercury strategy
about now, and that’s exactly
what they are doing.

‘Dental amalgm has qualities which none
of the other materials that we currently
have at our disposal satisfy in the same
way’

ment of the implementation of the Hazardous Waste
Regulations, not only by the
governments in Europe, but
also the dentists. It’s got better and better and better, and
we’ve done year on year surveys to see how, for example,
amalgam seperators are being
installed, used, checked and

However the World Health
Organisation document has
been published. It is a report of a consensus seminar
day with all the world’s experts present and it proposes
that a “phase down” would
be the best way forward. We
acknowledge that actually it
would be useful if we could
get to a situation where we
weren’t contributing to the
global mercury environmental
load, but until there is something that we can use as effectively, in the circumstances
I have just described, it has
to be a phase down. A phase
down is over, say 20-25 years
might give an opportunity for
research to produce a substitute material. Until we have
that, we can’t lose amalgam.
NK: I think that’s something
which, for a number of other
reasons with the use of mercury, I’ve felt for a long time
that it might be inevitable.
SS: Yes, but preferably not
next week.
NK: In private practice it
might be able to be accommodated.

are as cheap, long lasting,
durable, safe and malleable,
and most importantly, usable
in circumstances that are less
than ideal.

SS: So we’re talking about the
cost of it and who pays for the
increased time that will be
needed to provide good quality restorations without the
availability of amalgam. We’ve
described the risk in our lobbying in Europe and at world
level as potentially destabilising state health economies,
and that’s what it would do.

In the meantime the United Nations Environment Programme also decided it needed to look at mercury globally

If in, say, three years the
Department of the Environment told the Department of
Health to stop allowing den-

tal amalgam, there will have
to be serious consideration
of the increased costs of NHS
dentistry and the potential impact on workforce planning.
It will, of course be totally
unreasonable for the DH to attempt to insist that the same
volume of care is provided
within the same contract values. It is widely acknowledged
that composite fillings take
longer to place than amalgam
and that fact must be taken
into account if a ban is introduced. At the moment, where
the patient pays the full cost
of their care through private
contract, dentists can offer a
genuine choice of materials.
NK: That’s
isn’t it?

the

difficulty,

SS: Absolutely. So we’re talking about the destabilising of
health services. What we’re
fighting for is a new contract
which will give dentists the
time to do what’s right.
So, ‘phase down’. The terminology is really important.
A ‘phase out’ we could probably entertain if it was 30 or 50
years, because by that time we
might have a proper substitute material. A ‘phase down’
over the next 20-25-30 years
is probably acceptable. The
Department of Health will say
that the use of dental amalgam is dropping significantly
and that in 20 years we probably won’t be using that much
of it anyway. But during that
‘phase down’ time, the investment governments have to invest properly in implementing
genuine prevention.
So all in all there’s a massive piece of diplomatic and
scientific work going on. It’s
like a swan paddling like anything underneath while we’re
trying not to create panic.
Apart from anything else, the
minute you start talking about
amalgam in public all the anti-amalgamists emerge and
create smoke screens about
the real issues. So we keep it
low key in public, but it takes
huge resources here, in this
building, to be dealing with it.
NK: Now that you’re in your
final six months as chair
of the BDA, what do you
consider are your proudest
achievements and what do
you see as priorities for dentistry in the future?

[11] =>

United Kingdom Edition

SS: I came into the job at the
time of the new contract. I
started in the February before the new contract was imposed on the 1st of April, so almost simultaneously. I think
that my biggest achievement
has been to make sure that
at every stage we challenged
the fact that it wasn’t fit for
purpose and that successfully that challenge was understood, listened to and
that we’ve achieved, in political terms, a turn-around of
intention, to reform really
quite swiftly.

players in the improvement of
health of the nation as well.
So, whilst I don’t think dentistry will ever be properly
integrated into the NHS per
se, because we’re a primary
care sector of what is primarily a secondary care business, I think to be treated
as a profession with respect
and credibility is hugely important and I hope that what
I’ve done over the six years is
to facilitate that and to move

Interview 11

April 23-29, 2012

that on.
At all times I think what
I’ve tried to do is to promote
the integrity of the profession
and I hope that I’ve been an
ambassador for that.
NK: I think you have.
SS: Thank you very much. DT

The disposal of amalgam is one of the issues that has come up in recent discussions

So I think I’m extraordinarily proud of that. I gave
evidence to the Health Select
Committee and I’m proud of
having done that successfully
and been treated with respect
and had an influence there,
as well as the huge amount of
teamwork that went behind it.

‘I’m very keen that
in the future we’re
never divided and
ruled and I suppose
that if I have a
message, it’s to keep
on trying to make
sure that the profession works as one’

And I also consider that, as far
as we possibly can, getting the
profession to work together
has also been something that
I’m proud of.
I’m very keen that in the
future we’re never divided
and ruled and I suppose that
if I have any messages for my
successor, it’s to keep on trying to make sure that the profession works as one and it
doesn’t expose itself through
fighting and internal bickering. It’s hugely counter-productive and we need to make
sure we present a unified
front.
I hope that in the way we
continue to affect health, that
we continue to improve it and
that we’re seen as significant

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About the author
Neel
Kothari
qualified as a dentist from Bristol
University Dental
School in 2005, and
currently
works
in Sawston, Cambridge as a principal dentist at High
Street Dental Practice. He has completed a year-long
postgraduate certificate in implantology and is currently undertaking the
Diploma in Implantology at UCL’s
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[12] =>

12 Social Media

United Kingdom Edition

April 23-29, 2012

Important Facebook changes
impact your business page
Rita Zamora outlines the most important changes and how they can affect your practice

s of March 30, 2012
drastic changes were
seen on all Facebook

business pages. In addition to
the visible changes Facebook’s
new timeline design brought

to page walls, there are also
many unseen modifications
that are important to note.

One of the most important
changes to note is the removal
of the prominent “recommend

this place” option. I’ve touted
this as one of the most powerful ways to actively promote
your practice on Facebook. If
you never saw this option, it
used to be located in the upper right hand corner of your
page. It was a place where recommendations (testimonials)
lived. If you had lots of recommendations, take comfort
in knowing that each of those
recommendations likely resulted in dozens or hundreds
of pieces of word of mouth being shared on Facebook about
your practice.
From here forward Facebook has yet to decide if they
will continue to feature recommendations in a separate box
or not. Regardless, you will get
the same ability to automatically feature testimonials or
comments from patients in a
box labeled “recent posts by
others”, which is essentially
similar to the recommendation box, except it’s labeled
and positioned differently... It

‘Inviting patients
to share their likes,
comments, recommendations or
thoughts on your
business page is
still the most powerful way to market
your practice on
Facebook’

will still provide benefit in
messaging that will be published to the poster’s Facebook friends when they post a
testimonial or comment on
your page wall. Again, the benefits are the same; it’s simply
an adjustment on the layout
and wording.
Remember inviting patients
to share their likes, comments,
recommendations or thoughts
on your business page is still
the most powerful way to actively market your practice on
Facebook.
A second change, and perhaps the most welcome of enhancements, will be the addition of what Facebook calls

16/03/2012 15:49

[13] =>

United Kingdom Edition

“tiers of administrator” controls. Facebook claims this
new option should become
available soon. The new option
should allow you to designate
“ownership” of your page, as
well as allow for limited access, or controls, for other administrators. This option is one
of the most valuable upgrades
as it will finally allow practice
owners to protect their pages.
This means you will no longer
have to worry that a disgruntled employee could steal or
delete your page.

To hide the “message” button
from your page wall, click on
edit page, and then click on
“manager permissions” and
you will find a box to uncheck
the option under “messages”.
A fourth, and not-so-welcome, change is the fact you
can no longer generally set
custom applications as landing pages. However, if you
place an advert on Facebook,
you will still be able to choose

April 23-29, 2012

exactly where people will land
and what they can expect to
see when they get there. In the
months to come I’m sure many
people will begin exploring
new solutions to try and regain
their beloved landing page opportunities.
Whether you like the new
Facebook changes or not, the
one thing we can count on is
that there will continue to be
more change. Facebook claims

Social Media 13
this recent set of “enhancements” are in effort to further
align with their mission, which
is: “To give people the power
to share and make the world
more open and connected”. It
is best to keep this mission in
mind when setting goals for
your practice Facebook marketing.
The world of business, and
dental practices, is becoming
more and more transparent

and connected. One way you
and your practice can win in
this new world is to commit to
being open and connected with
your patients and community.
Be sincere and authentic in
your patient care and in your
Facebook communication. In
turn your Facebook marketing
efforts and the relationships
you build via your Facebook
community will continue to
benefit you. DT

Facebook has also introduced a new message option
for pages. This means that
your patients or followers may
now contact you in a private
manner, using this message

‘Facebook has
introduced a new
message option for
pages. This means
that your patients
or followers may
now contact you in
a private manner’

feature. Notifications about
any new messages will appear
in the right-hand section of
your admin panel. The admin
panel will appear automatically when administrators land
on their Facebook pages... As
long as you actively manage
and monitor your Facebook
page, I recommend you allow
this new messaging.
Only time will tell if potential new patients or existing
patients will find this a preferred method of communication. We are all aware of the
growing popularity of society’s
desire to type rather than talk
these days. However, if the
thought of allowing messages
via Facebook is unappealing
to you, you have the option to
hide this feature from visitors.

We can help with:
• Practice growth
• Planning for a successful future
• How to win an NHS Tender
• Increasing treatment plan
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• Maintaining CQC registration

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Talk to us today

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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.

0161 928 5995
www.thedentistrybusiness.com

[14] =>

14 Practice Management

United Kingdom Edition

April 23-29, 2012

Why improving your practice is a
mystery – part eight
Jacqui Goss suggests productive ways to handle complaints

ecently, I received a letter
from my former mobile
phone service provider –

a large international company.
The letter was in response to
my terminating my contract

(just beyond the 24-month
contract period). I did so because I moved house and found

the signal strength in the area I
moved to inadequate.

There was a small amount
owing on my account (£14.77).
The letter explained, in what
can best be described as terse
language, that if I didn’t pay this
within 14 days they might register my account as a bad debt
with a credit reference agency
and instruct a ‘Debt Collection
Agency’ (this being more important than a debt collection
agency, you understand) to collect the payment on their behalf, with 15 per cent added to
the amount outstanding. Rather
sweetly(!) the letter ended by
thanking me for my custom.
Until I received the letter, I’d
had nothing to complain about
with this service provider. I’d
even visited their local store to
see if there was an alternative
to my switching providers – the
assistant was unhelpful, to say
the least.
So, what’s the point of this
little story? It’s that while first
impressions are important, final impressions are the ones we
retain. And you can guess what
my final impression of this company is!
There’s a learning point
here for dealing with complaints from patients. How each
patient’s complaint is dealt with
and resolved will determine the
lasting impression. You may be
the best practice on the planet
with the world’s loveliest staff
but if the resolution of a complaint leaves a patient dissatisfied, their lasting impression
(and the one they’ll convey to
family and friends) will be negative.
Before we consider how to
avoid this, I should point out
that I’m discussing non-clinical
complaints. Clinical complaints,
as we all know, should be dealt
with in accordance with GDC
guidelines.
Now, I can imagine some
of you reading this are smugly
thinking: “But we never get
complaints”. Well, here’s some
statistics I learned at last year’s
BDA Conference. Only four per
cent of dissatisfied patients actually complain – the other 96
per cent just go elsewhere. If
a complaint is resolved, seven
out of 10 patients will stay and if
it’s resolved quickly that figure
rises to nine out of 10.
Most complaints are received by your front of house

[15] =>

United Kingdom Edition

(FoH) team. Not because they’re
poor performers necessarily but
because they’re the ones who
answer telephone calls and
meet patients in the reception
area. They should, of course,
listen politely and try to gather
(and note down) as much information as possible about a patient’s complaint. Should they
then, as a matter of procedure,
refer the complaint to the practice manager? I say not. If you
give your FoH team the scope
to resolve complaints and, most
importantly, to offer compensation when they deem it appropriate, you’ll stand the best
chance of retaining the patient.
There can be no generic
rules as to which complaints
FoH staff in dental practices
should deal with. I suggest you
discuss the matter with your
team and devise some ground
rules particular to your practice
that suits the confidence and
experience of your FoH staff.
You may decide that FoH staff
should deal with complaints
arising from mistakes they have
made (such as mix ups with appointments) and with clerical
errors (getting a patient’s name
or address wrong, for example). They should surely not,
however, deal with complaints
about them – such as alleged
rudeness – since these ought to
be referred to the practice manager. Resolving a complaint
or dispute at the reception point
doesn’t mean it gets forgotten about – they should all be
reported to the practice manager. From the point of view
of running a patient-centred
practice, the manager needs
to know if mistakes are being
made repeatedly and causing
complaints or, indeed, if particular patients are ‘always’ disputing things.
The question of compensation is a tricky one. While you
don’t want to be giving products
or services away willy-nilly,
there’s little doubt in my mind
that the lasting impression will
be positive if the complainer
takes away something tangible.

About the author
A proven manager
of
change
and
driver of dramatic
business growth,
Jacqui Goss is the
managing partner
of Yes!RESULTS. By
using Yes!RESULTS
dental practices see an increase in
treatment plan take-up, improved
patient satisfaction and more appointments resulting from general enquiries. Yes!RESULTS turns good practices
into great practices.
Jacqui Goss
Managing Partner, Yes!RESULTS
Honeydale Barn
Wall under Heywood
Shropshire SY6 7DU
Tel: 08456 448066
Mob: 07795 562617
Email: jacqui@yesresults.co.uk
Website: www.yesresults.co.uk
Twitter: @Yesresults
www.facebook.com/Yesresults
http://uk.linkedin.com/in/jacquigoss

And it’s this positive impression
that they’re most likely to convey to friends and family.
Hopefully, you will have
picked up some oral hygiene
products cheaply at dental
shows or you will have purchased some end-of-line stock
from your supplier. These are
the sorts of items FoH staff can
offer as recompense in faceto-face situations. The person
complaining receives, say, an
electric toothbrush worth £25

April 23-29, 2012

Practice Management 15

yet your financial loss is considerably less and will be more
than made up for by retaining
the patient.
For complaints made by telephone, I’ve found that the offer of a free appointment with a
hygienist (“Which usually costs
£xx”) is often regarded as acceptable recompense.
If the complaint is of such a
nature that it needs to be handled by the practice manager,

the FoH team still has a vital
role to play. Often in this situation, the practice manager will
need to do some investigation
and maybe confer with the principal dentist or practice owner.
They may need to interview
other members of the team.
This invariably means the patient will be told that someone
will telephone them. Do ask the
patient what time would be convenient and make sure the call
takes place at that time. If the
matter is still unresolved by the

agreed time, make the call anyway. It gives a much more positive impression to telephone at
the arranged time and explain
that further investigation is required than to leave the patient
in the dark.
My final tip when dealing
with complaints is to never say
“No”. Someone making a complaint is sure to resent having
what they consider a reasonable
request flatly denied. DT

[16] =>

16 Clinical

United Kingdom Edition

April 23-29, 2012

Atraumatic extractions with
Luxator Periotome
Dr Simon Jones discusses why he prefers using Luxators for extractions

T

he extraction of a tooth
is probably the most
traumatic event a pa-

tient can experience in the
dental surgery, and if the extraction doesn’t go smooth-

ly, things can become quite
stressful for the dentist too!
When the use of a simple sur-

gical instrument can make the
extraction process infinitely
easier for both patient and

Tempdent Dental Recruitment & Training
www.tempdent.co.uk

For Specialist Dental Recruitment and Training Services

dentist, I find it surprising that
not all dentists reach for a Directa Dental Luxator as their
first instrument of choice.
To understand how best
to remove a tooth, it helps to
appreciate the structures and
forces that are holding the
tooth in position. It is only by
overcoming these forces that
the tooth can be removed.
First to consider is the
bone structure surrounding
the roots. As the bone sits intimately against the root surface, any irregularities, un-

Fig 1 Luxator Periotome

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Fig 2 Luxator severs the periodontal
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dercuts or curvatures of the
root will provide mechanical
retention. To overcome this
retention the socket must be
dilated until the path of removal of the root is unimpeded by bone.
The second factor resisting the removal of the tooth
is the periodontal ligament,
composed of collagen fibres.

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Like millions of little guy
ropes, the cumulative strength
of these fibres resist the
strongest of biting forces. Imagine how much force would
be required to overcome their
combined strength in an attempt to simply pull out a
tooth.

[17] =>

United Kingdom Edition

April 23-29, 2012

Fig 4 Luxator Periotome vs. Luxator
Forte

Fig 5 An atraumatic extraction is performed

The third force to be overcome is that of atmospheric
pressure. Withdrawing a tooth
from its socket will create a
void or vacuum at the apex of
the socket, and until this void
is filled with blood or the ingress of air, then atmospheric
pressure will effectively push
on the tooth to keep it in position. Anyone who can remember back to the Magdeburg
Hemisphere experiment in
school physics will know that
simple atmospheric pressure
resisted the force of two teams
of horses pulling in opposite
directions.

the periodontal ligament between the crestal bone and
the root. Once in the periodontal ligament the Luxator is
worked down the length of the
root with a side to side rocking motion and steady axial
pressure (Fig 2). This motion
firstly severs the periodontal
fibres, then as the blade is introduced further, the socket is
dilated to allow an easier path
of removal. Finally, as the periodontal ligament is severed
and the socket dilated, bleeding and air ingress overcome
the vacuum that resists tooth
removal.

Little wonder then that
simply using a combination
of forceps and brute force can
lead to unnecessary loss of alveolar bone, root fracture, and
a subsequently more stress-

The Luxator should be inserted around as much of the
circumference of the root as
possible to evenly dilate the
socket. Once this has been
achieved, then the final deliv-

‘The careful and considered use of a Luxator helps the dentists to divide and conquer
the forces retaining a tooth’

The careful and considered
use of a Luxator helps the
dentist to divide and conquer
the forces retaining a tooth,
making the extraction process
an infinitely more predictable
and stress-free process.
The appropriate size of
Luxator is chosen to match the
diameter of the root, and the
angle of the blade is chosen to
give the best access. The tip of
the Luxator is gently inserted
into the gingival margin, with
the blade angled slightly towards the root surface. This
ensures the Luxator enters

ery of the tooth may be performed with forceps, although
this is often not required with
single-rooted teeth.
When using a Luxator,
the uniquely designed handle
should sit neatly in the palm
of your hand, cradled by your
fingers and thumb, with the
index finger extended towards
the tip of the instrument (Fig
3). This allows for precise
control of the tip and prevents
the risk of slipping. Excessive
force should be avoided; the
Luxator is a surgical instrument, and should be used as
such, not as an elevator.
To complement their range
of Luxators, Directa now produce an elevator called the
Luxator Forte. Having dilated

the socket using a Luxator, if
it is felt that greater dilating
and elevation forces are required then the stronger Luxator Forte should be used. The
Forte is easily recognisable by
its black handle (Fig 4). This
sequence of luxation followed
by elevation generally means
that forceps are only ever
used for the final easy delivery
of the tooth.
The Swedish dental company Directa not only invented the name ‘Luxator’, but
have developed this range
of instruments to perfection.
The use of high-grade surgical steel blades and a two-part
moulding technique for the
uniquely ergonomic polymer
handle combine to provide a
high-quality instrument that
will give years of reliable service, and endure countless
cycles of dishwasher disinfection and autoclaving.
Having used Luxators for
more than 20 years, I cannot imagine undertaking the
extraction of any tooth without first severing the periodontal fibres with my trusty
friend. It would be the equivalent of struggling to remove
my boots without first undoing
the laces. DT

About the author
Dr. Simon P.
Jones is a leading UK dentist
with a practice in Middlesbrough,
north east of
England.
He
qualified
in
1985 and has worked mainly
in the British NHS since then.
For the past six years he also
served as a Vocational Trainer for the Northern deanery
of Newcastle University Dental School.

3512-11201 © Directa AB

Fig 3 Correct handling of Luxator Periotome

ful experience for both patient and dentist. Dealing with
the fracture of a maxillary
tuberosity can certainly ruin
your day!

Luxator Extraction
Instruments
are now the preferred
method of
performing extractions

Luxator Extraction Instruments were invented by
a Swedish dentist to make extractions as trauma
free as possible. He developed subtleties in the
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with an acclaimed and ergonomic handle design.
For this reason our Luxator instruments are
discernably different.
Distributed in the UK by Trycare
Tel. 01274-88 10 44

[18] =>

18 Clinical

United Kingdom Edition

April 23-29, 2012

The Inman Aligner...fact or fiction?
Dr Dominique Kanaan, certified Inman Aligner dentist, shares her experience of
the Inman Aligner and gives some handy hints to facilitate success

with that you might say... but at
soon... probably quite a few. It’s
ow many patients have
what cost?
also likely that you’ve had just
you had step into your
as many who want to improve
clinic and say that they
10 years ago, I worked full
their smile for no specific reawould like to improve their
time15:52
at Dentics’
son
at all,
than
alsmile
as they
are going
for a
2012
Tipped
For Success
Ad (Roots)_2012
Tipped
Forother
Success
Ad they’ve
(Roots) 19/03/2012
Page 1 flagship Cosmetic Dental Clinic (formerways wanted to. Nothing wrong
new job or are getting married

ly Ora) at the world famous
Selfridges department store
in London. Although it was
thought that all we did was
tooth whitening, we actually
carried out many smile makeo-

Although I believe that tooth
whitening can be considered as
a scalpel-free face-lift, porcelain veneers are definitely not
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prepless variety.

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people who had worn fixed
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a recession, there still remains
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Back then, adult orthodontics was not what it is today.
Lingual braces were in their
infancy and in the realm of the
very few specialist orthodontists that had the skill and the
will to carry out this innovative
but tricky treatment.
There were various reasons
why porcelain veneers were
requested, but one of the most
common in my experience was
crowding in the anterior segment. Frequently this involved

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vers as well as general dentistry. At the time, we were inundated with requests for various
forms of smile enhancements.
Is it any surprise when the public are faced with celebrities on
the big screen, small screen
and in various glossy (and not
so glossy) magazines with perfectly white teeth and that infamous ‘Hollywood Smile’? In
those days, there was no recession and smile makeovers were
the order of the day... every
day! Of course I didn’t carry
this out on everyone that asked
for it, but the WANT was there
and the requests flooded in.

to create

Having heard a lot about the
‘three-month wonder brace’
Inman Aligner, I thought to
myself, could this really be as
simple as it sounds and could
this also be the answer to what
I had always wanted in my
Dentics days... a fairly quick
fix to the same old problem of

[19] =>

United Kingdom Edition

April 23-29, 2012

Figure 4. Postoperative 1:2 Retracted
Right Lateral View. Note good incisal
alignment.

Figure 1. Preoperative 1:2 Anterior Retracted View showing lower anterior segment
crowding. Note how much lower down the LL1 tooth was compared with the other
incisors.
Figure 5. Preoperative 1:2 Retracted Left
Lateral View

Figure 6. Postoperative 1:2 Retracted Left
Lateral View
Figure 2. Postoperative 1:2 Anterior Retracted View at 13 weeks. Whitening and incisal
edge bonding was offered to the patient but was declined as he was so happy with the
end result as it was.

the crowded anterior segment?
A few years ago I attended the
Straight Talk Seminars handson Inman Aligner course, and
I would now like to share with
you my first ever case.
The patient was a 45-yearold gentleman who was enquiring about the options to
improve the look of his lower
anterior teeth that had... yes,
you guessed it, relapsed after
fixed orthodontics as a teenager. Admittedly he blamed
himself for this, as he had
stopped wearing his retainer.
He presented with mild to moderate crowding in the upper
anterior segment and moderate crowding in the lower anterior segment. It was, however,
only the lower incisors that
concerned him.
Over the years he was given
various options for treating this
from various dentists. These
included the quick fix porcelain veneers, fixed orthodontics
and Invisalign. Luckily, he had

always declined the veneer option and didn’t want the fixed
orthodontic option. I made him
aware of lingual orthodontics
but due to costs and length of
treatment time, this was declined. Although Invisalign was
a viable option, it was twice as
costly and would have taken
twice as long as what I proposed...the Inman Aligner. He
hadn’t heard of it before but really liked the fact that not only
was it removable but it was also
quick, usually taking three-four
months and was cost effective.
Good case selection is essential and a parallel technique
digital long cone periapical
radiograph was taken of the
lower incisors. This is essential not only to assess whether
any apical pathology is present
but also to assess the spacing
between the roots. If the roots
are as crowded as the crowns,
then this may be a difficult case
and you should proceed with
caution. This case exhibited no
pathology and some spacing

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Figure 7. Preoperative 1:1 Anterior Close
Up View

Figure 3. Preoperative 1:2 Retracted Right Lateral View. Note degree of lower incisal
crowding

Our specialist knowledge of
the dental market enables
us to provide a high quality
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Figure 8. Postoperative 1:1 Anterior Close
Up View. Bonding was offered to level
incisal edges but was declined.

between the roots. The patient
therefore went ahead with impressions at his consultation
appointment. This is quickly
done in alginate in metal Rimlock trays and an alginate finger sweep into embrasures lingually and labially for accurate
bubble-free impressions.
The fit appointment was two
weeks later and took 15 minutes. Lingual and labial composite attachments were placed
to engage the palatal bow and
prevent the labial bow from
slipping towards the gingiva respectively. Some selective and
progressive interproximal reduction (IPR) was carried out.
The patient received instructions as well as demonstrations
of insertion and removal of the
appliance. It was emphasised
that both nocturnal and daytime wear is essential in Inman
cases, with an average of 18
hours of wear per day.

à DT page 20

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[20] =>

20 Clinical

United Kingdom Edition

ß DT page 19

It may be tempting to carry
out IPR in the region of most
crowding, in this case LL1.
However, if IPR had been carried out mesial and distal to the
LL1, this would have created
ledges, poor contact areas, a far
from ideal contour and final result. It is important to remember the ‘Domino Effect’ with
these cases. IPR in this case
is done remote to the site of
most imbrications or crowding,

Figure 9. Preoperative Lower Occlusal
View.

Figure 10. Postoperative Lower Occlusal
View with bonded wire retainer in place.

namely distal of the LL2 and
LR2 and can even be done distal to the LL3 and LR3 (and in
certain situations distal to the
first premolars). Further down

the line once the crowded incisors begin to ‘unravel’, IPR
can be carried out in the LL1
region.

IPR is best carried out using
Brasseler VisionFlex metal perforated polishing strips in the
following sequence (depending
on space required and if needed): Yellow (Extra fine, 15µ),
Red (Fine, 30µ) and Blue (Medium, 45µ). You must always go
back the other way and finish
off with the extra fine yellow
strip to ensure a smooth enamel surface. A fluoride mouthwash is also recommended.
The patient was reviewed

Monday
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March
2011 30th April 2012
Saturday
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every two-three weeks, depending on progress, and 13
weeks later he was delighted
with the result. The patient
was given the option of bonding to level the incisal edges
off but he was happy to accept the final result as it was.
The composite attachments
were polished off and a wire
retainer fitted. A 0.5mm Essix
style clear retainer was made to
fit over the wire retainer. This
acts as a good back up in case
the wire comes away, however
the patient is instructed to wear
this every night for the initial
threemonths, reducing this
to every other night and then
once a week after the first year.
There has been much debate about whether ‘simple’
orthodontics can or should be
carried out by GDPs. In my
view, the key word here is ‘simple’. We are not reorganising
the occlusal scheme, we are not
moving molars and we are not
extracting teeth. In fact, I see

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Indirect
Optionsother theory based education days
28th
2011
and is the ideal programme for dentists. Dental hygienists and dental therapists who wish to gain a greater understanding of dental bleaching.
21 hours of verifiable CPD

All White
on the
Night
Tuesday
12th April
2011

All 3 days only £1200

A close look29th
at toothMay
whitening
with practical sessions on available techniques. This hands on course will compliment other theory based education days
Tuesday
2012

is the ideal
programmein
forDental
dentists. Dental
hygienists and dentaland
therapists
who wish to gain a greater understanding of dental bleaching.
CoreandCPD
Updates
Radiography
Decontamination

Gorgeous
Gums
This core
CPD course
will
provide2011
participants with the very latest information regarding these 2 important areas of essential CPD. Please note that the
Tuesday
12th
April
for compliances
and1stcare
Quality
6guidelines
hours of verifiable
CPD with HTM01-05
Book before
May
2012Commission
& pay £275(CQC) standards in decontamination will be covered.
Core
CPD
Updates
in
Dental
Radiography
Hands-on grafting procedures and crown lengthening
Courseand
price Decontamination
£325
Thursday
April
This core14th
CPD course
will 2011
provide participants with the very latest information regarding these 2 important areas of essential CPD. Please note that the
guidelines19th
for compliances
HTM01-05 and care Quality Commission (CQC) standards in decontamination will be covered.
Tuesday
Junewith
2012

CDTs, Therapists and Hygienists Role in Oral Medicine
Thursday 14th April 2011

This half
dayApproach
lecture course has been
specifically for DCP team members
with a clinical
role.in
The lecture
will provide
an overview of the common
An
MI
todesigned
the Management
of Tooth
Wear
General
Dental
oral medicine conditions seen in general dental practice. Designed to develop the specific skills and knowledge of the clinical DCP this course will provide
Therapists
and
Hygienists
Role&in
6participants
hoursCDTs,
of verifiable
Book
before
22nd May 2012
payOral
£175 Medicine
with anCPD
understanding
of the
following:
half day lecture course has been designed specifically for DCP team members with a clinical role. The lecture will provide an overview of the common
•This for
Thethe
rolewhole
of theteam
CDT/Therapist/Hygienist
in oral
screening
premalignant
malignant
lesions.
Strategies
on how to manage these
complex
andfor
common
cases. and
Course
price £225
oral medicine conditions seen in general dental practice. Designed to develop the specific skills and knowledge of the clinical DCP this course will provide
•participants
The ability
the ofsymptoms
of oro-facial pain from pain of dental origin
withtoandistinguish
understanding
the following:
• How
patients
can aﬀect the mouth.
Wednesday
18th
2012
• aThe
role
of medication
theJuly
CDT/Therapist/Hygienist
in oral screening for premalignant and malignant lesions.
The ability
distinguish the symptoms of oro-facial pain from pain of dental origin
Saturday• Design
14th
Mayto–2011
Smile
Creating
Smile
• How a patients medication
can aﬀectatheBeautiful
mouth.
before 19th June 2012 & pay £275
Gorgeous
SaturdayGums
14th MayBook
2011

6 hours of verifiable CPD

Techniques
assesscovering
patients &soft
thentissue
designaesthetics.
aesthetic direct
and indirect
optionsthe smile, diagnosing
Coursegingival
price £325
A hands ontocourse
Including:
Assessing
pathology and aesthetic problems, treatment options

Gumsof treatment. The hands on session will provide training in: Grafting procedures to improve gingival contour, techniques to
for pinkGorgeous
aesthetics, principles
Thursday
21st
July
2012
on course
covering
soft
tissue aesthetics.
Including:
thehard
smile,tissue.
diagnosing gingival pathology and aesthetic problems, treatment options
combatA hands
recession
and crown
lengthening
procedures,
both softAssessing
tissue and
for pink aesthetics, principles of treatment. The hands on session will provide training in: Grafting procedures to improve gingival contour, techniques to

Current
Concepts
in Implant
Related
Treatment
Thursday
6th
June
2011lengthening
combat recession
and crown
procedures, both
soft tissue andPeriodontal
hard tissue.
6 hoursThursday
of verifiable6th
CPDJune 2011
Book before 22nd June 2012 & pay £120
All day seminar proving updates on the latest thinking for assessing, managing, monitoring and treating peri-implantitis.

The Management of Tooth Wear in General Dental Practice

This one-day
course provides participants
with anWear
understanding
of the aetiology
and management
The Management
of Tooth
in General
Dental
Practice of tooth wear. Attendance on this course will ensure
that delegates
cancourse
followprovides
restorative
management
to predictably
manage
clinical problem.
This13th
one-day
participants
with 2012
anprotocols
understanding
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andthe
management
of tooth wear. Attendance on this course will ensure
Mon
–
Sun
19th
August
£275 inclusive
of
lunch
and
refreshments
that delegates can follow restorative management protocols to predictably manage the clinical problem.

£275 inclusive
of lunchJuly
and refreshments
LonDEC
7 Day
Summer
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Saturday 23rd-25th July 2011

‘There has been
much debate
whether “simple”
orthodontics can or
should be carried
out by GDPs’

no downside to providing this
treatment. Whether the Inman
Aligner is used as a standalone
treatment, before whitening,
bonding or even veneers, one
thing is for sure, it simplifies
treatment and allows minimal
preparation or no preparation
at all. Not offering tooth alignment, in my opinion, verges on
negligence. It is not a question
of ‘should we be providing this
treatment option?’ We must
provide it.
So is the Inman Aligner the
Real Deal? It sure is. DT

44 hours of verifiable CPD
Book before 16th July 2012 & pay £2250
Three-day
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Three-day Aesthetic & Restorative Masterclass

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From
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Dental
Institute’s MSc in Aesthetic Dentistry the following one-day modules will be covered:
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About the author
Shortly after qualifying from Guy’s
Hospital in 1996, Dr Dominique Kanaan achieved a Diploma in Hypnosis
and most recently she has become
a Licentiate of the Faculty of Homeopathy. She enjoys all aspects of dentistry but, after working in a leading
flagship cosmetic dental clinic in
Selfridges, has focused her interests
in the field of cosmetic dentistry. She
is well known in the cosmetic dental
arena and to keep up-to-date with the
very latest techniques, attends courses both nationally and internationally,
and is a full member of the British
Academy of Cosmetic Dentistry. Dr
Kanaan has also teamed up with her
husband Zaki and is a Clinical Director of K2 Dental Seminars, running a
renowned whitening course to specifically train dentists, hygienists and
therapists in the latest tooth-whitening techniques.
Dr Dominique Kanaan
BDS, LFHom
dominique@k2dental.co.uk

[21] =>

United Kingdom Edition

DCPs 21

April 23-29, 2012

Back to basics – keep it simple
works....but technology is nice too
Mhari Coxon discusses technology and innovation

I

t is so easy to get caught
up in new innovation and
technology. I love shiny
things and am drawn to them.
And, innovation makes ours
and our patients lives much
easier. But the mistake we
often make is to start to drop
the basic staple fundamentals
of prevention. This can lead
to our patients becoming unhealthy again and, in worst
case scenario, have active
dental disease.
When we have been working in the same practice for
a long time, it can be hard to
change or add to your clinical
work, as patients have become
familiar with how it works
just now. Once we have established the rhythm of our appointments it can be difficult
to add to or change our clinical behaviour.
Bringing it back to basics
I lectured recently at Dentistry Show 2012 and talked about
implementing change in your
clinical day. One of the exam-

Blame someone else and
prepare the patient for the
change

This makes it so much easier
on both you and the patient.
So...blame CQC and their new

patient centred lifelong care
plans. Or...blame the Department of Health and their De-

livering

better

oral

health

à DT page 22

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‘Once we have
established the
rhythm of our
appointments it can
be difficult to add
to or change our
clinical behaviour’

ples I used was re-introducing
disclosing patients to better assess their oral hygiene.
Periodontists hardly ever use
it as a tool and so can often
forget to reinforce its importance in general practice.
Many of us found this boring and messy and if enough
patients
complained,
and
we forgot the benefit of it;
we tended to drop it as a tool
pretty quickly after qualifying.
The trouble is if it has been a
few years without this basic,
how do you explain to patients
that you are reintroducing
it and that their oral hygiene
needs to be better? What
do you say when they ask
why you haven’t ever done
this before?

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[22] =>

22 DCPs
ß DT page 21

toolkit and how we have to
be evidence based. Neither of
these bodies will be bothered
and you have your excuse for
change.
Prepare the patient for the
change. If you write or call to
confirm their appointment,
explain that this time we
will be using a special dye that
will show us how we can help
you to clean better at home
and act as a road map so we

United Kingdom Edition

can clean your mouth really
well. Reassure them that it
will all come off before they
leave the surgery. Giving the
patient notice of the change
will reduce the negative response you can get with no
prior warning.
Delegate to an enthusiastic team member for best
results
I love to disclose my patients.
It makes me happy that they
care about what the outcome
will be. I like that entire fami-

lies compete with each other to get the lowest scores.
It makes it relevant and fun
for them. So, when you are
disclosing you need to be
efficient, neat and enthusiastic. Depending on your role
in the team this can be easier
for some than others. Patients
have a different relationship
with different team members
and you can often find that
the dentist is not the person best placed to carry out
this work.

Use technology too
I find one of the best people to
do the disclosing and digital
photographs of this is one of
the dental nursing team. They
can even provide the oral hygiene advice to the patient in a
non clinical environment. This
can make it much easier for
the patient to listen, relax and
respond to advice. The digital
photographs act as a record
of oral hygiene advice being
given and can be sent to the
patient be email to help them
remember where to brush. My

April 23-29, 2012

friend Fiona, who has recently
re-established her love of disclosing, goes one step further
and films the patient using the
correct product and technique
on the areas they need to
concentrate on their own
phone. Then they can play it
back at home to reinforce the
new routine.
There is an app for that
There is a fantastic app to
complement this that really is simple, back to basics
combined with technology. It
is called brush DJ and was
the brainchild of dentist Ben
Underwood. It selects tunes
from your phone or iPad and
plays them with a circular
timer on screen to help you
brush for two minutes. It
also helps you to remember
to floss, not spit out and use
a fluoride mouthwash. You
can set your appointments
with your dentist and hygienist in it and it will even
remind you when it is time to
get a new toothbrush head.
For more information and to
download the free app visit
www.brushdj.com/
So go back to basics,
mixed with a bit of technology
and see your patient’s enthusiasm grow and see their health
improve. DT

About the author
Mhari has 20 years
experience in dentistry, working as a
nurse, receptionist,
oral health advisor
and ultimately hygienist in a variety
of practice environments. She is
passionate about
her profession. At present, she works
as Senior Professional Relations Manager for Philips Oral Healthcare and
clinically as a hygienist in central
London. From Chairing the London
BSDHT for 3 years, and working as an
MD; Mhari excels at motivating and
co-ordinating a team and utilising
skills, decentralising leadership and
developing self efficacy in members.
Throughout her career Mhari has developed hygiene protocols and plans
in practices which have continued to
be used with great success. Mhari is
Clinical Director for CPDforDCP Ltd,
a training company offering motivational and interactive development
courses to the dental team. A keen
writer, Mhari is on the Publications
Committee of Dental Health, the British Society of Hygienists and Therapists (BSDHT) Journal, has a conversational column in Dental Tribune
and writes articles for many other
publications and online sites. As a
speaker Mhari has presented regionally, nationally and internationally for
many groups including Talking Points
in Dentistry, the British Orthodontic
Society Specialist group, the BSDHT,
the BDA, the International Symposium of Dental Hygiene, the dentistry
show and many others. In 2006 she
was the Probe Awards hygienist of the
year, and was highly commended in
2010. 2011 saw her placed 15 in the
Dentistry Top 50 most influential people in the UK.

[23] =>

[24] =>

24 DCPs

United Kingdom Edition

Mentoring in learning
Fiona Ellwood explores the role of the mentor

Y

ou may have thought that
mentoring was predominately there to offer support,
advice and guidance when things
go wrong. Of course current
thoughts are a far cry from this.
As part of the BADN team, it has
become increasingly evident that
the more contemporary approach
towards mentoring is key to our
agents of change and supporting
others in their learning journey.
“Mentoring can be defined as
a relationship between two people
with learning and development as
its’ purpose”¹ Brockbank 63
Historical dimension
Mentoring is far from a new phenomenon, indirect links to mentoring have been associated with
Plato and Socrates as far back as
347BC1. However, the word mentor first appears in literature in the

Homer narrative “The Odyssey”
some 3,000 years ago. The narrative asserts that Odyssey left his
son in the capable hands of his
entrusted friend Mentor asking
him to teach him everything he
knew, whilst he went to the Trojan Wars². This however, provides
a misconception that the mentor
is older, wiser and by virtue more
experienced. Evidence shows that
over the last 30 years mentoring
has grown in popularity, in Government, industry, education, the
medical profession and more recently the dental arena.
With the rapidly changing
landscape for dental care professionals (DCP’s), there has never
been a better time to explore this
role and look at how it can be
contextualised not only within a
given career trajectory, but in a
learning setting. DCP’s now have

the opportunity to undertake additional duties3 and make full use of
professional development plans,
when planning career pathways.
This has come about as an indirect result of statutory registration
and a greater public awareness of
the sector.
What is mentoring?
Mentoring is a dyadic professional
learning relationship which, enables and facilitates individuals to
take charge of their development
and realise their potential.4 The
mentoring relationship helps individuals to review the here and now,
to explore short term goals, shaping and influencing their future.
There are two approaches to
mentoring, the Gestalt approach
and the Humanistic approach,
which are portrayed through either the traditional mode of men-

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toring or the contemporary mode
of mentoring. The traditional
mode of mentoring can often be a
mode that has a power imbalance
and is based on the mentors’ experience, rather than the need of
the individual. The contemporary
mode of mentoring does not require the mentor to be older, wiser and more experienced, but can
indeed be a fellow work colleague
or friend; a peer mentor. This
is because the contemporary mode
of mentoring is accepting of the humanistic approach, whereby the
individual is placed at the centre
of the mentoring relationship; this
is known as the person-centred
approach.5 This approach asserts
that the individual is the resourceful one, not the mentor, the mentor merely enables and facilitates
in the professional relationship.
What attributes and traits do
you need to become a mentor?
Becoming a mentor requires
you to have an ownership and
understanding of certain aspects of human behaviour and
the reasoning behind it, in order to fulfil your role. The attributes that a mentor should ideally
have are coined within the three
key concepts of mentoring as:
Unconditional positive regard,
Congruence and Empathetic
understanding,5 if we unpick
these concepts the attributes and
traits that would be unveiled are:
• Empathy
• Good communicator
• Good listener
• Congruence
• Good facilitator
• Encourages creativity/flexibility
• Trustworthy
• Honest
• Social/emotional intelligence
Quite often these skills are a
natural occurrence and merely
need to be developed or enhanced
and by working on these skills and
embedding them within the relationship, you are able to create the
right environment for that agent of
change, which is so often missing.
What often happens over a period
of time is that the dynamics of the
relationship shift from the mentor
working with the individual, to the
individual taking the lead and the
mentor playing a much lesser part
as the individual grows.
Being an effective mentor
It is imperative that a mentor recognises their own strengths and
weaknesses and knows their limitations, not only of self, but from
an ethical stance. The European
Mentoring and Coaching Council have produced a document,
which outlines the code of ethics
for those in the mentoring field.6 In
line with this, Pokora and Connor7
have outlined nine key principles

April 23-29, 2012

that underpin the effective practice of being a mentor at work:

1
2
3
4
5
6

The learning relationship is
at the heart of change

The context is work

The individual sets the agenda and is resourceful

The
...mentor
facilitates
learning and development

The outcome is change

The framework for...change
...provides movement and direction

7
8

The skills develop insight, release potential and deliver results

The qualities of the ...mentor
affirm, enable and sustain the individual

9

Ethical Practice safeguards
and enhances...mentoring
Of course not all mentors work
from an ethical stance and can be
disabling or toxic either intentionally or unintentionally. They have
a tendency to be destructive and
limiting to the individuals learning and developmental processes.
Toxic mentors are those who are
often unavailable or inaccessible,
undermine and criticise those
whom they are helping and on
occasion lead individuals into
new situations and then withdraw
their support.
Models of mentoring
There are many models of mentoring that can be applied to given
situations, individuals and organisations and can be adapted to other approaches:
• Egan Skilled Helper Model8
• G.R.O.W Model2
• Cyclical Mentoring Model9
• Double Matrix Model1
This list is far from exhaustive and models can also be used
interchangeably to suit the situation, after all, the model is merely a framework, an underlying
structure and not something that
is central to the mentoring relationship. Indeed Egan 2010 reminds us that we should beware
of the man of one book.8 This concept is evident in the mentoring
course that has been developed at
FGDP (UK), which is primarily associated with the person-centred
approach, and champions both
the Skilled Helper Model8 and
the G.R.O.W Model2, which have
been integrated and further developed to form the Y.U.G.R.O.W. D3
Model10. Through personal expe-

[25] =>

United Kingdom Edition

rience this model has proved to be
a very worthy tool and is flexible
in approach and adaptable to most
mentoring situations.
The benefits of mentoring
The benefits of mentoring are
far reaching not only for the individual, but for the mentor alike.
From experience the benefits for
the individual are namely motivational and a greater sense of selfawareness and self-efficacy, the
development and enhancement
of skill sets and underpinning
knowledge. In addition to this individuals have shown an ability to
recognise and assist with problem
solving situations. As a mentor the
benefits to me have been: greater
job satisfaction, an opportunity to
develop professional relationships
and interpersonal skills, I have
been able to give greater consideration to my reflective practice
and felt a sense of personal satisfaction through supporting the
development of others.

are able to apply it and accept it
for what it is, towards double loop
learning, which is learning that
is challenged and often brings
about a transformation in learning. This requires the facilitation
of reflective learning and practice,
which is again possible through a
mentoring relationship.1
There is a need for those engaging in professional mentoring to have an understanding of
some of the mentoring concepts,

in order to enable and facilitate
others in their professional learning journey. This is an exciting
and fluid arena for DCPs, which
will benefit greatly from mentoring schemes, but we must not
overlook the need to master these
skills in order to do least harm and
most good. DT
References
1. Brockbank, A. and McGill, I. (2009)
Facilitating Reflective Learning Through

Mentoring and Coaching. London. Kogan
Page. 2. Whitmore, J. (2009) 4TH ed Coaching for Performance: GROWing Human
Potential and Purpose: The Principles and
Practice of Coaching and Leadership. London: Nicholas Brealey Publishing. 3. General Dental Council (2005) Scope of Practice:
Protecting Patients Regulating the Dental
Team. www.gdc-uk.org Accessed Feb 1 4.
Garvey,R., Stokes, P. and Megginson, D.
(2009) Coaching and Mentoring: Theory
and Practice. London: SAGE Publications
Limited. 5. Rogers, C.R. (1969) Freedom To
Learn. Ohio: Charles E. Merrill Publishing
Company 6. European Mentoring Coaching Council (2008) Code of Ethics www.
emccouncil.org/uk. Accessed March 2012
7. Connor, M. and Pokora, J. (2008) Coach-

ing and Mentoring at Work: Developing
Effective Practice. Berkshire: Open University Press. 8. Egan, G. (2010) 9th ed The
Skilled Helper: A Problem-Management
and Opportunity-Development Approach
to Helping: California: Brooks/Cole CENGAG E Learning. 9. Law, H., Ireland, S.
and Zulfi, H. (2007) The Psychology of
Coaching, Mentoring and Learning. West
Sussex: John Wiley and Sons Ltd. 10. Holt,
V. (2010) Certificate in Mentoring in Dentistry. London: Faculty of General Dental
Practitioners. 11. Bandura, A. (1999) SelfEfficacy in Changing Societies: Cambridge:
Cambridge University Press 12. Schon,
D.A, (2009) The Reflective Practitioner:
How Professionals Think in Action. London: Ashgate Publishing

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How can mentoring be applied
to learning?
As DCPs embark on post registration qualifications and additional
duty programs, it is crucial we understand how the notion of mentoring can facilitate their learning,
whether they are enrolled on external courses or undertaking inhouse training most learners will
need a mentor, if they are to reach
their full potential and reap the rewards of success.
Mentoring and learning are
closely aligned and together considered to be a learning process.
Often our previous experience influences our future behaviour in
learning. Bandura (1977) asserts
that “...[individuals often] avoid
situations they believe exceed
their capabilities...11” by helping to develop self-efficacy in the
learner, the learner is more likely
to be motivated and want to succeed. If we apply the person-centred approach5 of mentoring to
the learning environment, it may
be possible to support learners in
moving them from single loop12
instrumental learning, whereby
they learn something new, they

DCPs 25

April 23-29, 2012

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Fiona Ellwood RDN 1986, Cert Ed
(Univ. of Greenwich), FBADN, LCGI,
Cert OHE, FETC 1 & 2, NVQ IV & Assessor. Member of: IfL, NOHPG, IVA,
Associate member FGDP (UK), BADN.
She has been involved in helping dental nurses reach their full potential for
many years. During this time she has
developed successful training businesses in the Midlands for the National
Diploma, an Oral Health Education
Certificate Programme and more recently a distance learning programme.
She is a former examiner for both the
National Certificate, the Diploma and
Oral Health Education. She is presently undertaking a BA (Hons) in Education Studies and more recently became
the director of education for The Dental Business Academy and work alongside Integrated Dental Holdings. Her
opportunities to undertake mentoring
are immense; becoming a member
of the Mentoring Development Team
at FGDP (UK) has armed her with
some very powerful tools and changed
the way in which she practices her
mentoring skills.

[26] =>

United Kingdom Edition

April 23-29, 2012

Who said private
practices weren’t selling?

There are a lot of myths about the buying and selling of dental practices

I

visit a lot of practices and also
do a lot of seminars with dentists and commonly I come
across a number of what I can
only define as myths about the
buying and selling of dental practices so I thought I’d restore some
confidence in the private principal that ultimately their business
does hold a good value and in my
opinion will do for some time!
There is no secret that when it
comes to buying and selling NHS
dental practices they are proverbial hotcakes but I believe this
has led many to believe that that
private practices aren’t selling
which simply isn’t the case. So,
let’s get the facts straight:

1

Proportionally, they don’t
sell for the same prices – This
is true depending what measure you use for valuation. If you
are valuing in EBITDA terms
there is a difference of c20 per
cent between the valuations. Eg,
an NHS Practice in Cambridge
with a £400k turnover would
likely collect 5.4xEBITDA. An
similarly sized and located private practice would probably be
nearer to 4.3xEBITDA. Although
if you are using turnover as a
measure of practice value this is
often misleading as if the private
practice is managed efficiently
could actually be more profitable, see my article What the
EBIT? (DTUK Vol.5 No.11)

2

There is a direct relationship between risk and price – If
the practice is an implant referral practice where there is a reliance on external referrals and
the average spend per patient
head is higher then this will value
for a lower multiple than a practice with a large maintenance
plan contingent where a lot of
income is paid to the practice
on a monthly basis by direct
debit and the cash flow is more
predictable.

3

The more confidence you
can give a purchaser, the better
the deal will be – a lot of this does
of course rely of the abilities of
your broker but I do notice a big
difference between how a private
practice is received to market if
the vendor is nearer to 65 than
45. Equally if the vendor is happy
to stay on for a period to ensure a
smooth transition then this does
undoubtedly give the proposed
purchaser a confidence to move
ahead with the acquisition if the
Status Quo can be maintained beyond sale for at least enough time
for the core attendees to come
along to their check-up under the
new management.
I also thought it may be helpful to qualify these findings with
an outline of three recent practices which have both a deal and
finance agreed to give you an indicator on what is actually being
achieved for private practices in
the market place.
Deal One – South-East – 100 per
cent Private
T/Over – c£330k, Agreed Price £395k
A very young business in
South-East England which offered the purchaser a steady
low-price private business from
which profitability could easily be improved and the turnover
grown over a period of time. Vendor agreed to remain in post for
six months beyond completion.
Deal Two – South-Coast – 100
per cent Private
T/Over – c£260k, Agreed Price £200k
A reasonably mature dental business where the Principal had begun working less and
therefore the turnover had been
declining. There was circa 70 patients registered to a Dental Plan
but otherwise the practice was
all fee per item. Marketed by two
other known dental agents for six

months but a deal struck by Dental Elite within three weeks. The
vendor took a lower offer in order
to have a guaranteed associate
post for at least one year working
one day a week.
Deal Three – East – 70 per cent
Private
T/Over – c£1.15m, Agreed Price
£1.1m
A mature business with little
room for growth where there was
some NHS but this was largely
performed by NHS associates as
opposed to all dentists working
on a mixed basis. Just over £10k
per calendar month in income
from a dental plan but otherwise
the private income was fee per
item. The principal has by choice
agreed to remain in post for 12
months beyond completion. This
practice could have got a higher
price and was valued for more
but the vendor chose to sell to
an elite buyer on a reasonably
closed market and made this decision based on the personality
and ethics of the buyer.
Similarly, all of these deals are
being financed by different banks
so it is equally untrue that all the
banks want is NHS. If a purchaser
can put together a sound proposition both for maintaining and
growing the proposed target then
if the CV of the dentist is right
they will lend just as easily on
private practice as to NHS!
If you are considering buying
or selling a dental practice, come
and see me at Stand A32 at the
BDA Conference or call me on
01788 545900. DT

About the author
Luke Moore
Director – Dental Elite
luke.moore@dentalelite.co.uk
Dental Elite are a Practice Sales & Recruitment Agency with a nationwide
remit. We offer all Principal Dentists
a complimentary on-site practice
healthcheck with no strings. The
healthcheck includes a valuation of
the practice and a report detailing the
basis for this valuation and some suggestions how this could be improved.

[27] =>

Easy, Successful and Affordable

Made in Germany

Champions® Implant System
(R)Evolution in Implantology and Prosthodontics:
MIMI® Method (Minimally Invasive Method of Implantation)

Dr. Armin Nedjat said,

OuR OFFER FOR YOu

"I have developed the Champions® implant system, a reliable
and innovative implant system that can be routinely used in
the day-to-day work of dental offices.

The Champions® can be
fully integrated into the
treatment services offered
in regular dental offices.

More than 2 800 dental offices and clinics are ‘Champions’,
and they performed more than 50 000 implantations last
year. Do you want to be a new 'Champion' too?"

You can smile again!
We have a special offer for
you: the Surgery Kit for
one-piece and two-piece
Champions® implants for
€ 500 instead of € 700!

Advantages
• Suitable for MIMI® – Win-Win situation for patients and
dentists
• Patient friendly

Dr. Armin Nedjat

• More efficient procedure for the dentist

Developer of the Champions system / CEO

• Champions® implants: a wide range of innovative
implants and accessories, which can be used for
many indications

Tel. + 49 151 / 15 25 36 92
armin@championsimplants.com

unt
o
c
s
i
D
00
2
€
e
Sav

OFFER FOR New CuStOmERS
• If a turnover of at least 50 implants is reached within 6
months, the surgical kit will be your property..
• You can choose 20 implants, which you can keep for two
months. You will only have to pay the used implants.

• High quality at affordable prices
• Excellent primary stability

Should you require further information, you can contact our
Service team. You can also go to our Web site to find our offer
for new customers and also further information at:

• Optimal immediate loading
• Excellent prosthodontic restorations
• Innovative solution and successful treatment

www.champions-implants.com

• Made in Germany with great precision and
of the highest quality materials
• Free MIMI® marketing
• Free forum for all Champions® customers
• Champions®-surface – rated one of the best
(studies on demand)

Fanny Rougnon-Glasson
Tel. +49 151 / 15 25 57 18
fanny@championsimplants.com

MIMI®
Suitabasleive Imfoplanr tation Method

One-Piece Implants

€ 74

Minimally Inv

Champions®-Square-Shaped Implants
Ø 3.0 · 3.5* · 4.5 · 5.5
Thread lengths 6 · 8 · 10 · 12 … 24 mm

+ VAT

t includ
Prep-Cap no

Courses about the minimally invasive
implantation method (MIMI®) and the
Champions® implant system
Continuing education in mallorca

The course starts on Wednesday at 2:00 P.M. and ends on Saturday afternoon

* Also available in "Classic"

❏ June 13 – June 16, 2012

Zircon Prep-Caps

59 €

& 510(k) registered

WIN! &Titanium Prep-Caps

35 €

FDA (USA)

Course content

Champions®-tulips
Ø 2.5 · 3.0 · 4.0
Thread lengths 8 · 10 · 12 · 14 … 24 mm

Theory: Presentation of the Champions® implant system and the MIMI®
method · Practice: Live surgeries with one-piece and two-piece Champions®
implants.

The course includes

two-Piece Implants

5 nights in a double-room, breakfast included, transfer to the dental office,
day rate, lunch, coffee break, 2 dinners, course script, A3 Certificate, incl. for
accompanying person.

Course fee € 3 200 (VAT excluded)

 Free loan of the surgical kit
 Inner cone with integrated “Hexadapter”
 Micro-close connection < 0.6 μm
 Price VAt included:
Healing Cap (with implant)

0€

Customizable and glueable
titanium abutment

23 €

Implant Analog Set

23 €

Impression Coping

10 €

Course participants: minimum 3, maximum 10

€ 59

Please arrange your flight schedule. For transfers, please give us your flight arrival time.

+ VAT

the courses will be presented in a friendly and relaxed atmosphere,
and dentists will be able to incorporate Implantology as an
additional treatment in their dental office.

ttle included
Gingiva-Shu

The courses will be taught by Dr. Armin Nedjat, an
experienced Dental Implantology specialist. He has placed
and restored more than 20 000 implants.

Ø 3.5

4.0

4.5

Medilas Opal
diode laser 980

by Dornier medtech

5.5

Thread lengths:
6.5 · 8 · 10 · 12 · 14 · 16

4 999 €
from

www.champions-implants.com
incl. online-shop & about 120 videos
(instructions & implantations)

+ VAT

Several clinical cases online!
Champions-Implants GmbH
Tel.: +49 67 34 / 91 40 80 · Fax: +49 67 34 / 10 53
info@champions-implants.com

Recommended by VIP-ZM
association of innovative-practicing dentists

[28] =>

28 BDA Preview
Denplan – number crunching at the
BDA
We can make you more profitable and we
can prove it!
Responding to news that many practices
have seen a reduction in profitability as
a result of the recession, Denplan is on
hand at this year’s BDA Conference and
Exhibition in Manchester to offer a range
of solutions.
A warm welcome awaits you at stand
A49, where the Denplan team can help
you calculate your practice’s daily income,
using Denplan’s innovative ‘Mind the Gap
App’. They can then show you how much revenue you may be losing out on
through missed appointments, holidays, illness etc, and work with you and
your team to find appropriate solutions.
For more information about Denplan, please go to www.denplan.co.uk or call
us on 0800 401402.

Pioneering dental
innovation showcased
at the BDA
At the BDA Conference in Manchester between 26 and 28 April 2012 delegates
are encouraged to try the Philips’ latest innovations for themselves on its Stand.
On show will be Sonicare AirFloss which dispenses rapid bursts of air with
micro-droplets of water to permeate the interproximal spaces. The water is
propelled between the teeth at 45 miles per hour dislodging plaque biofilm,
while leaving the gums unscathed.
Just when it was thought that toothbrush technology could not be enhanced,
Philips unleashed Sonicare DiamondClean, progressing sonic toothbrushing to
a new height of techo-sophistication. Its five brushing modes and astonishing
new-to-the world charging technology-a glass and a USB travel case.
Philips’ Zoom is the most frequently patient-requested professional whitening
system. The advanced LED light technology emits at the optimal light
spectrum, with 100 per cent greater light intensity than the closest competitive
lamp (1). The light then activates a photo catalyst within the gel to greatly
accelerate and enhance whitening.
Philips also believes that scientific advances and clinical efficacy need to be
matched with practitioner fluency, so it is also hosting a BDA Conference
session focusing on communications in practice.
For more information visit the Phillips stand or
www.philipsoralhealthcare.com. Please call 0800 032 3005 or 0800 0567 222

Stand Number B64
Be Inspired with CEREC
from Sirona Dental
Systems
Sirona
Dental
Systems
launched the latest CEREC
Software version 4.0 late last year. With intuitive operation this new software
is easier to use allowing you to create patient individual restorations at the
chairside.
CEREC is the passport to natural, made-to-measure restorations founded on
precise research and development by the Company. CEREC is simple to use
allowing you to create probably the most life-like, perfectly fitting crowns,
veneers, inlays, onlays and temporary bridges in a single appointment.
CEREC significantly improves the quality of treatment for patients, as well as
enhancing the efficiency of the dental practice. CEREC not only saves time for
you and your patients, but also drastically reduces your laboratory bills which
normally are a costly monthly expense.
Sirona Dental Systems Ltd UK’s mission is to deliver satisfaction to the dentist
using tried and tested training methods supported by CEREC Specialists who
are dedicated to your success.
Come and try CEREC for yourself at stand B64.
For further information please contact Sirona Dental Systems on 0845 071
5040 or e-mail info@sironadental.co.uk

United Kingdom Edition

See, feel and touch GC’s Flowable Composite
at the BDA Conference Stand Number B60
G-aenial Universal Flo flowable composite
restorative material features a unique filler
technology. Unlike other flowable composites
G-aenial Universal Flo has a higher filler load
and a homogeneous dispersion of fillers. The
improved strength and wear resistance are two key features.
With a physical performance of a regular composite, G-aenial Universal Flo is
highly thixotropic and stays neatly in place holding its shape for ease of use.
You will find it to be virtually self-polishing with superb invisible aesthetics.
Tri Plaque ID Gel quickly identifies new, mature and acid producing biofilms.
This gel highlights exactly where the bacteria are most active by disclosing
the acidic pH. This information will be a great help in your daily practice to
motivate your patients to improve their oral hygiene. Because after all, people
often need to see something before they believe it.
FujiTemp LT is the first glass ionomer provisional luting cement that provides
versatility, reliability, durability and ease of use. GC FujiTemp LT offers the
benefits of glass ionomer technology, with significantly greater fluoride
release and unsurpassed protection.
To see for yourself how GC can revolutionise your practice please visit stand
B60 or for further information please contact GC UK on 01908 218 999

Practice Plan, supporting
private dentistry – stand B71
Practice Plan, the leading
provider of practice branded
dental membership plans, will be showcasing how we support private
dentistry at this year’s BDA Conference and Exhibition in Manchester.
Much more than just a membership plan provider, we provide a whole host of
business support services dedicated to helping your practice grow.
We offer you compliance support through a comprehensive online toolkit that
makes demonstrating compliance pain-free. We also give you expert advice
through our current series of seminars aimed at helping you understand CQC
requirements.
Dedicated regional support managers and expert consultants are on hand
to offer you tried and tested business support when you need it and you can
get help with marketing your practice and increasing your patient base with
support from our in-house design and marketing team.
Most of all, we have an innovative team working on your behalf to develop
services you need, when you need them and negotiate great discounts on
everyday goods and services to make your practice more profitable.
So, whether you are looking to convert from the NHS, develop your current
plan or introduce a new dental membership plan, come and visit us on stand
B71 to find out more.
Tel: 01691 684135 Fax: 01691 684149 info@practiceplan.co.uk www.
practiceplan.co.uk

Dr Linda Greenwall: A Major Influence in Dentistry
The British Dental Bleaching Society would like to
congratulate Dr Linda Greenwall, Chair of the BDBS,
for achieving recognition in the annual Dentistry Top
50 poll.
Voted for by the readers of Dentistry magazine, Dr
Greenwall successfully reached number 12 in the
publication’s top 50 most influential people in UK
dentistry. The results were announced on 5th April
2012. Dr Greenwall is a leading expert in restorative dentistry and runs an
award-winning dental practice. She also lectures extensively around the world
on the subject of tooth whitening and is a published author.
Last year, she fulfilled her lifelong dream of establishing a dental charity
when she founded the Dental Wellness Trust (DWT). With help from dental
volunteers, the London-based charity brings oral healthcare to the most
vulnerable and underprivileged in the UK and selected communities overseas.
The DWT also empowers people to take charge of their oral hygiene through
preventative-orientated educational programmes.
In June 2008, Dr Greenwall launched the BDBS, which aims to lobby for
changes in the controversial bleaching legislation and to educate dental
professionals in tooth whitening.
For more information on the BDBS and the many benefits of BDBS
membership, visit www.bdbs.co.uk
Email info@bdbs.co.uk or call 0207 267 7070

April 23-29, 2012

Communications in
practice
An impressive lineup has been drawn
together to address an afternoon Seminar at the 2012 BDA Conference. The
whole of the session on Friday 27 April 2012, which runs between 14.15
and 15.30, will be dedicated to addressing the issues of Communications in
Practice. During the session, delegates will be shown how to avoid pitfalls
and instead build effective channels of communication between dentists,
hygienists, nurses and other key members of the dental team.
Like the myriads of bacteria and other flora which together form plaque biofilm,
the ability to signal, communicate, and network is crucial for the growth of the
colony. As a whole, this analogy can be directly applied to provide practitioners
with the effective keys to a successful practice.
Thanks to support from Philips Oral Healthcare, a trio of dental and
communications experts will be sharing their expertise and stimulating new
thoughts and ideas for delegates to take away and immediately implement
in their practices:
Robin Bryant is Regional Clinical Services Advisor for Oasis Dental. Chris Barrow
is a renowned business communications expert. Mhari Coxon has 20 years’
experience in dentistry in the UK, working in a variety of practice and hospital
environments.
For more information visit www.philipsoralhealthcare.com or call 0800 032
3005

Takara Belmont (Stand
C36)

Takara Belmont’s portfolio of Treatment Centres helps you to provide better
dentistry. The flexibility of their range will be demonstrated at this year’s BDA
Conference, highlighting the very best technical, hygienic and ergonomic
features, backed up by free extended warranties offering total peace of mind.
Takara Belmont Treatment Centres are designed to please everyone, including
your patients. Left handed practitioners might opt for the Clesta II (factory
installation option) or Voyager II-L which is suitable for ambidextrous use.
Surgeries tight on space will benefit from the small footprint of the Cleo II
whilst those treating the elderly and children can appreciate the easy access
facilitated by its ‘knee break’ chair, not to mention the ease of communication
facilitated by having your patient upright during a consultation. Various
installations are also available within the range, including continental rod,
cabinet or mobile cart options. A choice of electric versions is available on the
Clesta II and Cleo II.

All the business support you need…
in one place!
Business of dentistry (BoD) is a fantastic
new online service designed to give you
all the business support you need to
grow your practice.
Developed specifically for the dental
market, you can access a comprehensive package of products and save money
with exclusive discounts on services.
The services on offer are wide ranging and include support on regulatory
compliance with CompliancePlus – a non-invasive guidance tool helping you
navigate regulation; Dental Practice Insurance – a comprehensive insurance
package designed for the busy dental practice and backed by one of the
world’s largest insurance brokers; and HR support - a three tiered service
offering to meet the specific personnel, employment law and health and safety
needs of dentistry today.
This is just the tip of the iceberg, add to this a full calendar of events, CRB
checks, design and marketing, and content managed websites, you will begin
to see why this is all the business support you need!
Accessing the services is simple. You can register your details online for free or
become a member of BoD to access generous discounts and exclusive services.
To find out more go to www.bodhub.co.uk

Industry News
UK’s First elexxion Pico Laser
Get them brushing!
The Aquafresh Kid’s Motivation
Pack is a great way to help
instil good dental care habits
in your younger patients –
habits which could last them
a lifetime. The kits are bursting
with colourful materials, all
aimed at making brushing fun
and visits to the dentist less
intimidating.
Inside you’ll find ‘well done’
stickers to reward dental
attendance, ‘Nurdle’ passports for parents to record children’s dental visits,
brushing charts, and other activities for your young patients and their
parents. For your surgery there’s a poster and a display card – to let everyone
know that yours is a “child friendly practice”.
The free packs can be ordered at www.gsk-dentalprofessionals.co.uk.

The UK’s first elexxion Pico Laser has been
installed at the Kalyani Dental Lounge in
Bath Street.
The elexxion Pico Laser contains a five
Watt Gallium Aluminium Arsenate (GaAlAs)
diode laser and a small laser pointer. The
GaAlAs laser is ideal for soft tissue work and both periodontal work (where
it can sterilise the pocket killing the bacteria) and endodontic work (where it
can sterilise the root canal). The laser energy is fibre delivered - the smallest
available fibre being 200 microns.
The elexxion Pico Laser can also be used for Tooth Whitening (of both vital and
non-vital teeth).
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.”
Daniel Pinder, Sales Manager from Velpox, who supplied the Pico laser,
commented: “It’s great to see great customers and great products coming
together, thats what Velopex is all about.”
The elexxion Pico Laser is easy to operate and is battery powered. The
Laser fibre delivery system allows movement of the hand-piece and patient
feedback is positive.
For more information contact Mark Chapman, Area Sales Manager, Elexxion
laser AG. Tel 07946 714039
Dr Jayabalan is based at Kalyani Dental Lounge, 200 Bath Street, Glasgow, G2
4HG

Dentinal Tubules – a vision for
dentistry
Dentinal Tubules is dentistry’s fastest
growing online community and
learning resource, boasting over 1,200
articles on a broad range of different subjects.
Dentinal Tubules works in collaboration with a number of different key
partners who each share the same vision of education and learning for the
dental community. These companies are listed on the brand new “Partners”
page, which includes company information as well as customer testimonials.
The page also includes a bespoke section where members can communicate
with partner companies directly. This can often prove quicker than sending an
email, and is yet another example of how Dentinal Tubules continues to lead
the way in online innovation in dentistry.
One of great strengths of Dentinal Tubules is the size and breadth of its
community, which includes members from across the dental spectrum. Many
members write articles and product reviews which are posted on the website
for peer review and comment while other members serve to provide invaluable
support to fellow professionals through the popular community forum.
With the community going from strength to strength, there really is something
for everyone with Dentinal Tubules. Visit the new Partners page today to see
who else shares Dentinal Tubules’ vision for dentistry.
For more information visit www.dentinaltubules.com

[29] =>

United Kingdom Edition

April 23-29, 2012

A new Angle on Interdental Cleaning
TePe Angle® is the latest addition to the popular
family of TePe Interdental Brushes.
TePe Angle was developed to improve access to
all interdental spaces particularly in difficult to
reach areas. The angled head gives perfect access
to posterior teeth without the need to bend the
wire thus enhancing their durability. The long
and flat handle provides a stable, ergonomic grip
and allows access both palatal and buccally.
ELGA Process Water, a Veolia Water Solutions & Technologies company, is proud
to announce the launch of its online loyalty programme for UK customers.
The AQUAclub ‘buy and save’ programme offers registered customers the
opportunity to earn reward points for online purchases which can then be
redeemed for credit in the online shop www.shop.elgaprocesswater.co.uk
Registering for your FREE account is quick and easy. As part of the launch, all
new customers who register for an account in May will receive 100 points.
Points can be used against all purchases including special offers.
ELGA Process Water, which launched its online shop two years ago, has
introduced the loyalty programme to reward customers and encourage
online sales. Haroon Rashid, Digital Marketing Executive, says: “The loyalty
programme enables us to enhance our customer’s online experience and
develop offers that are relevant to their needs.”

TePe Angle is available in six colour coded sizes
- pink through to green. All TePe interdental
brushes have plastic coated wires for safety and
come with a hygienic cover.
Offer!
Buy a minimum of four boxes (in a single purchase) during May and June from
your wholesaler and get a free mixed surgery pack of 30 TePe Angle brushes worth £9.99! The mixed pack is an ideal and cost effective way to use the Angle
on your patients.
www.molarltd.co.uk. info@molarltd.co.uk.
Tel: 01934 710022

To find out more visit www.shop.elgaprocesswater.co.uk

Jubilee fever hits Grahame
Gardner Ltd
To mark the auspicious
occasion of the Jubilee
of Queen Elizabeth II,
Grahame Gardner have
launched a new scrub top –
emblazoned with the Union
Jack. In environments where
bunting is impractical, this
top enables the wearer
to celebrate the Jubilee whilst carrying out their day to day duties. This
comfortable patriotic top sits perfectly alongside Grahame Gardner’s Scrub
ranges, and is already receiving interest from the Healthcare, Dental, Veterinary
and Beauty markets.
The unisex loose fitting top has two convenient hip pockets and a red, white
and blue contrast collar. Produced in poly-cotton, comfortable to wear and
very easy to care for plus customers can also choose to enhance the garment
with the addition of embroidered badges or logos.
The Limited edition Jubilee Top is now available on the Grahame Gardner
website (www.grahamegardner.co.uk) for only £19.95 plus VAT in two sizes
(small/medium and large). For further information refer to the website or call
0116 255 6326.

Periproducts’ superior product
range not only includes the
highly effective and clinically
researched RetarDEX alcohol free
oral rinse, oral spray and SLS free
toothpaste, but also an extensive
range of innovative interdental
products, Oral Health Care Kits,
a tongue cleanser and an ionic
action toothbrush. Developed
by an American professor of
Periodontology and his hygienist,
the patented ingredient CloSYS ΙΙ
in the RetarDEX range is antimicrobial, killing both the aerobic and anaerobic
bacteria associated with plaque, tooth decay and gum disease. This clinically
proven professional formula interferes with the formation of biofilms, inhibits
bacterial regrowth and is used for complete periodontal and oral hygiene
treatments. Independent clinical tests have proven that the active ingredient
prevents bad breath for at least eight hours by eliminating odour-causing
Volatile Sulphur Compounds and bacteria and that both the toothpaste and
oral rinse whiten teeth within 14 days by gently oxidising and lifting organic
stains. To receive further information on all our products or to place an order,
please call 0208 8681500 or visit our website: www.periproducts.co.uk.

New training collaboration between UMD
Professional Ltd and award-winning Menagerie
Theatre
UMD Professional has announced the launch of an
exciting new collaboration with Paul Bourne, Artistic
Director of the Menagerie Theatre Company, in a
series of new courses for dental practices. The first,
‘Exceptional leaders – outstanding teams: what’s
your story?’ has been designed as a unique journey through leadership and
teamworking to help dental practices to achieve more of what they set out
to. The course is facilitated by members of the UMD Professional team and
actor/director Paul Bourne who is also a Visiting Fellow at the Universities of
Cambridge (Judge Business School), Moscow, and the Stockholm School of
Economics. The unique and innovative approach uses theatre and the arts to
challenge and explore communication and to offer new insights into how to
get the best from self, team and patients. Fiona Stuart-Wilson, Director of UMD
Professional said. ‘Many dentists spend time and effort in developing ideas
about where they want their practices to go and what they want to achieve,
only to see those ideas disappear in the reality of day to day life in practice.
We’re delighted to be working with Paul, an exceptional trainer and academic,
and to have developed this course to help dentists and their teams to achieve
more. We’re aiming to help dentists to unleash the untapped potential of
their teams and themselves. It’s fun, relevant and different, but above all, it’s
practical.’ The first course is being held in London in June. For more information
about the course please contact Penny Parry at UMD Professional on 020 8255
2070 or via e-mail at penny@umdprofessional.co.uk.

It’s National Smile Month – don’t forget your
toothbrush!
What better way to celebrate National Smile Month
than with a brand new toothbrush offered at a
fantastic discounted rate!
As dental professionals we all know that ideally our
patients should change their toothbrush every three
months. Unfortunately it’s just all too easy to forget!
That’s why dfyt.com (don’t forget your toothbrush) is here to help.
dfyt.com is a subscription-based delivery service for toothbrushes and other
oral hygiene products, from some of the UK’s most popular brands. For every
patient that signs up, every three months we will send them a brand new
toothbrush of their choice direct to their door. This benefits your patients in a
number of ways: firstly, it reminds them about the importance of oral health,
and secondly, it saves them money!
But dfyt.com’s benefits don’t just stop there. For each purchase your patients
make with us, your practice will receive 10 per cent of the order value straight
into your practice account!
So go on, keep your patients smiling this National Smile Month, and contact
dfyt.com today for the latest special offers!
For more information on how dfyt.com can benefit your patients’ oral health,
visit www.dfyt.com
For further dental enquiries, email conor@dfyt.com
For sales, email graham@dfyt.com

LR appliance training days – become an LR provider
today

Ultrazyme-T Dental water supply cleaner & disinfectant
concentrate

With patients across the country seeing outstanding
results from one of the smallest orthodontic devices,
becoming an ‘LR’ Appliance provider can help you offer
your patients a beautiful smile economically and discretely whilst reaping rich
rewards.
Practitioners will become a qualified provider of the LR Appliance by attending
a one day intensive training course, with a comprehensive programme of
theory and ‘hands-on’ sessions.
Attending one of these training days clinicians can learn every aspect of
prescribing and fitting the LR Appliance, and how to achieve straighter teeth
and reduced crowding in their patients in just 14 weeks.
Training days will be held on:
• May 18th – Newcastle upon Tyne • June 15th – London • July 20th –
Birmingham • August 17th – Belfast • September 14th – Nottingham • October
26th – London
Join on one of the above dates become an LR Appliance provider. Benefit your
patients and your practice.
Enrol via the website.
For clinical information please contact Dr Ross Hobson on 07710 243690 or
email: ross@oralign.co.uk
For information on administration please contact Dr Lester Ellman on 07973
875 503 or email: lester@oralign.co.uk Web: www.lrorthodontics.com

Ultrazyme-T is a combination of detergent and disinfectant
for the routine decontamination of the dental pressurised
water line. Ultrazyme is aldehyde free and 99 per cent
biodegradable. Use Ultrazyme at the end of a clinical
session to remove biofilm contamination. Designed to
dissolve proteins rapidly it offers a continuous disinfection
of contaminated water lines without undue effect on
internal pipe structure and does not degrade nylon, plastic
or metal. Our two litre concentrate bottle will make 100
litres of solution and is in our current offer brochure.
ULT0001 – 1 x 2 litre - £29.50
For more in our range of Infection Control products and to receive a 3 per cent
discount when ordering online, please visit www.topdental.org, email sales@
topdental.co.uk or call 0800 414 0471.

Industry News 29
Amalgam alternative
This is an excellent time to try
Diamond Carve Glass Ionomer
cement. A 50 per cent discount
is available on the 10g/7ml packs
and the Selection packs (5 x 10g
powders and 25ml liquid). A
saving of up to £192.50 can be
made if you purchase Diamond Carve before the end of April 2012.
Diamond Carve Glass Ionomer is unique because it is based on a distinct
ingredient, a specialist glass polyphosphonate cement. This ingredient
contributes to the many advantages of Diamond Carve, including versatility
and strength, saliva resistance, excellent finishing and wear resistance
properties. There is no need to worry about the dimensional change of
Diamond Carve or post-operative sensitivity.
Diamond Carve is mainly used for Class 1 and Class 2 restorations together
with class V abrasion cavities. It is also used for restorations in deciduous
teeth, core build up, amalgam repair and the cementing of posts in root canal
treatments. It is available in seven shades.
These qualities, together with the packable consistency of Diamond Carve, its
durability and ease of use, make this material the perfect aesthetic alternative
to amalgam.
For further information or to place orders call Helen or Jackie on 01793
770090 or visit our website www.kemdent.co.uk.

Driving patients to dentists: Nobel
Biocare’s new all-on-4TM website
Nobel Biocare has launched www.
allon4-dentist.co.uk, a new consumer
website to encourage patients to
contact authorised All-on-4TM dentists for life-changing treatment.
All-on-4TM is a revolutionary solution for edentulous patients, who receive an
aesthetic, fully functioning, fixed full arch prosthesis in a single day, using only
four implants.
www.allon4-dentist.co.uk is designed for intuitive and easy navigation,
directing patients towards their nearest qualified All-on-4TM dentist with
a ‘postcode finder’. So far, over 40 practices from all over the UK are on the
site, listed by geographic location. Patients can view the practice’s profile
information, contact telephone number, address and website.
The site clearly explains the process of All-on-4TM in layman’s terms and
reassures patients with ‘before and after’ images and video testimonials.
They are also reminded of the benefits that fixed teeth bring to their health,
confidence and lifestyle.
Dentists who wish to be added to the website must be certified by Nobel
Biocare as Centres of Excellence for the All-on-4TM procedure. This involves
specific training and surgical experience and use of the scientifically proven
products from Nobel Biocare.
For further information, or to be added to the site, please contact Nobel
Biocare on 0208 756 3300 or visit www.nobelbiocare.com

Oral-B – together we innovate
Oral-B set itself a challenging task
to find a toothpaste to complement
their superb adult power toothbrush,
the ‘Triumph with SmartGuide’. Last year, after many years of research,
they launched their ‘Pro-Expert’ toothpaste. This all-in-one formulation
protects against gum problems, plaque, caries, calculus formation, dentinal
hypersensitivity, staining and bad breath and is supported by 12 years of
clinical development and over 70 research papers.
The innovation of Oral-B Pro-Expert toothpaste lies in the synergy of the
combination of the two main ingredients. Never before previously paired
they are now matched to provide the united strengths of stannous fluoride’s
antimicrobial properties and polyphosphate as a gentle cleaning agent to
inhibit calculus and stains.
Oral-B electric toothbrushes are the number one brand used by dental
professionals worldwide. The company has several models, as unlike ProExpert, one might not necessarily ‘suit all’. Their flagship model, the Oral-B
Triumph with SmartGuide incorporates novel compliance-enhancing
technology using a unique remote display. The display can be placed on the
counter, so the two-minute timer, brushing mode, and quadrant timer can be
easily viewed during brushing. In addition, it also has a visual pressure signal
that lights up if too much pressure should be applied at which time pulsations
are interrupted.

UCL Eastman Dental Institute: June 2012 deadline for
outstanding educational opportunities
Deadlines to enrol for professional enhancement at the world
leading UCL Eastman Dental Institute are fast approaching;
and dental professionals are advised to apply now to avoid
disappointment.
“The immediate improvement in my knowledge and clinical skills has given me
the confidence to tackle more challenging cases and accept referrals.” -- D.S.
Applications must be received by 1st June 2012 for many of the part-time
programmes, which include: • Advanced Aesthetic Dentistry: One year,
Certificate level • Implant Dentistry: Three years, Diploma level •
Endodontic Practice: Two years, Certificate and Diploma level • Special Care
Dentistry: Two years, Certificate and Diploma level • Paediatric Dentistry: One
year, Certificate level
Invest in your career, patients and practice with the UCL Eastman. Courses
provide a highly supportive and flexible learning experience with theoretical
and hands-on clinical training, state-of-the-art facilities and experienced
teaching staff.
“I would wholeheartedly recommend the course. The clinical experience and
contacts gained from such a highly regarded programme are one of a kind.”
-- M.K.S.
Places are available on a first come, first served basis and courses commence
from September 2012.
Further details can be accessed from: www.ucl.ac.uk/eastman/cpd
For more information or to register, please contact Nisha Gosai, Registry
Officer, on 020 3456 1092 or email edi-admissions@ucl.ac.u

[30] =>

United Kingdom Edition

April 23-29, 2012

Dental Tribune UK
Editorial Board
Dr Neel Kothari
BDS Principal and General Dental Practitioner
Dr Stephen Hudson
BDS, MFGDP, DRDP
General Dental Practitioner
Mr Amit Patel
BDS MSc MClinDent MFDS RCEd MRD RCSEng
Specialist in Periodontics & Implant Dentist Associate Specialist Birmingham Dental Hospital
Professor Nick Grey
BDS, MDSc, PhD, DRDRCSEd, MRDRCSEd, FDSRCSEd, FHEA
Professor of Dental Education, National Teaching Fellow, Faculty Associate Dean for Teaching and Learning School
of Dentistry, Manchester
Professor Andrew Eder
BDS, MSc, MFGDP, MRD, FDS, FHEA
Director of Education and CPD, UCL Eastman Dental Institute
Mr Raj RajaRayan OBE
MA(Clin Ed), MSc, FDSRCS, FFGDP(UK), MRD, MGDS, DRD
Dr Trevor Bigg
BDS, MGDS RCS (Eng), FDS RCS (Ed), FFGDP (UK)
Practitioner in Private and Referral Practice
Baldeesh Chana
RDH, RDT, FETC, Dip DHE
President, BADT and Deputy Principal Hygiene and Therapy Tutor, Barts and The London School of Medicine and Dentistry
Dr Stuart Jacobs
BDS MSD (U Ind)
Full-time Private Practitioner
Shaun Howe
RDH
Dental Hygienist
Dr Richard Kahan
DS MSc (Lond) LDS RSC (ENG)
Endodontic Specialist
Mrs Helen Falcon
Postgraduate Dental Dean, Dental School, Oxford & Wessex Deaneries
Professor Liz Kay
Dean of the Peninsula Dental School, Plymouth
Pam Swain
MBA LCGI FIAM MCMI BADN® Chief Executive
Mr Raj Rattan
Associate Dean, London Deanery

Published by Dental Tribune UK Ltd
© 2012, Dental Tribune UK Ltd.
All rights reserved.

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

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 8970
ellen@dentaltribuneuk.com

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

Design & Production
Rachel Harrison
Tel: 020 7400 8951

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

Follow us on Twitter
Follow us on Twitter

[31] =>

United Kingdom Edition
United Kingdom Edition

April 23-29, 2012
April 16-22, 2012

Classified 31
Classiﬁed 31

STAND OUT FROM THE CROWD

Choose a first class dental specialist
accountant, with unrivalled expertise
and over 30 years’ experience
dealing with:
• Tax savings – Chartered Tax Advisor
• Buying and selling a practice
• Incorporations
• NHS Superannuation
• HMRC Investigations

FREE
CONSULTATION
Book your free
initial meeting at
our Thame office.
WWW.DBS.ORG.UK
01844 260111

210x148.indd 1

29/03/2012 15:21

SPECIALIST DENTAL ACCOUNTANTS
- Assistance with Buying & Setting Up Practices
- NHS Contract Advice
- Tax Saving Advice for Associates and Principals
- National Coverage

Please contact:
Nick Ledingham BSc, FCA
Tel: 0151 348 8400
Email: mail@moco.co.uk
Website: www.moco.co.uk/dentists

- Incorporation Advice
- Particular Help for New Associates
- Help for Dentists from Overseas
- We act for more than 550 Dentists

Contact

To
advertise
call
Joe Ackah
on
0207
400 8964

[32] =>

R4

Practice Management Software

Give your patients the freedom to book
their own appointments

GIVES YOU MORE

Online Patient Appointment Booking allows patients to book appointments online, whenever they want to, or
need to, even out of normal surgery hours.
While this makes it very convenient for your patients, you still have complete control over who can make the
bookings, the types they can book, with who and when.
A quick glance will tell you when an appointment has been made so that you are
able to accept, refuse or adjust any request.
This gives your patients greater accessibility to you and your colleagues with
increased feelings of inclusivity and you’ll have fewer missed appointments.

• From a Laptop
• From an iPad
• From a Smartphone
For more information or to place an order
please call 0800 169 9692
email sales.uk.csd@carestream.com
or visit www.carestreamdental.co.uk
© Carestream Dental Ltd., 2012.

f e atu re s o f r 4
R4 Mobile
Direct link to PIN pad
Patient Check-in Kiosk
Care Pathways
Communicator
Steritrak
E-Forms
Patient Journey
on-line appointment Booking
Text Message and Email reminders
Clinical Notes
Appointment Book
Digital X-Ray
Managed Service
Practice Accounts

) [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. 11, 2012

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => The British Dental Conference and Exhibition preview [page] => 08 ) [2] => Array ( [title] => The Queen’s Diamond Jubilee...do you know the drill? [page] => 09 ) [3] => Array ( [title] => Interview: Looking towards the future [page] => 10 ) [4] => Array ( [title] => Important Facebook changes impact your business page [page] => 12 ) [5] => Array ( [title] => Why improving your practice is a mystery – part eight [page] => 14 ) [6] => Array ( [title] => Atraumatic extractions with Luxator Periotome [page] => 16 ) [7] => Array ( [title] => The Inman Aligner...fact or fiction? [page] => 18 ) [8] => Array ( [title] => Back to basics – keep it simple works....but technology is nice too [page] => 21 ) [9] => Array ( [title] => Mentoring in learning [page] => 24 ) [10] => Array ( [title] => Who said private practices weren’t selling? [page] => 26 ) [11] => Array ( [title] => Industry News [page] => 28 ) [12] => Array ( [title] => Dental Tribune UK Editorial Board [page] => 30 ) [13] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

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