DT UK No. 12, 2013

News / Interview: Dental Tribune Online spoke with Prof Stephen Porter from the UCL Eastman Dental Institute about new risk factors and prevention strategies for oral cancer / Comment / An appropriate way to save lives / Showcase Tribune / Child Protection – a huge responsibility - a moral obligation / Practice finance made simple / Industry News

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October 2013

PUBLISHED IN LONDON
News in Brief
Bad teeth among athletes
Athletes at the London 2012
Olympic Games had ‘striking’ levels of bad teeth, say
researchers. A team at University College London says many
competitors had bad dental
problems, with large amounts
of carbohydrates and sugary
energy drinks consumed regularly causing the damage. The
study, published in the British
Journal of Sports Medicine,
looked at competitors visiting
the dental clinic at the Games.
Of the 302 athletes examined,
55 per cent had evidence of
cavities, 45 per cent had tooth
erosion and 76 per cent had
gum disease. One in three said
their oral health affected their
quality of life and one in five
said it affected training or athletic performance. Stress on
the immune system from intense training may also leave
athletes at risk of oral disease.
Cigarette health warnings
Barely a third (35 per cent) of
teenagers in the South East are
deterred from smoking by current cigarette packs, compared
to nearly half (48 per cent) of
teenagers in Australia, where
packs are almost entirely covered by graphic warnings, a
survey has revealed. The British Heart Foundation’s (BHF)
poll found that 75 per cent of
teenagers in the South East
think the UK should introduce
standardised cigarette packs.
It was also found that 59 per
cent of teens in Australia think
graphic images on packaging
deter people their age from
smoking. The European Parliament is set to vote on key legislation tomorrow (8 October
2013) that would see cigarette
packs across the EU feature
larger graphic health warnings
on both sides of the box.
Guilty beautician
A beautician has pleaded guilty
to unlawfully practising dentistry by carrying out tooth
whitening treatment. Ms Elaine
Taylor-Valles is the first person
to be prosecuted by the General Dental Council (GDC)
since the High Court upheld
the view that tooth whitening
is the practise of dentistry and
should only be carried out by
dentists, dental hygienists and
dental therapists, working on
the prescription of a dentist.
Ms Taylor-Valles has been
given a nine month conditional
discharge and ordered to pay
£350 towards the GDC’s costs.
During sentencing at Preston
Magistrates’ Court, District
Judge Goodwin said: “I accept
that Ms Taylor-Valles had done
a teeth whitening course, however she did not ring the General Dental Council to confirm
whether she was allowed to do
tooth whitening.” DT
www.dental-tribune.co.uk

News

Cleans teeth in six seconds

page 2

Showcase Tribune

Feature

Interview

3D printed toothbrush

VOL. 7 NO 12

Oral cancer

MSc

LIFESAVER app

Stephen Porter on the
risk factors

The revolutionary way to
save lives

pages 6-7

page 9

Oliver Harman on his
Msc journey

pages 12-13

Senior BDA executive
tells boss to quit
BDA crisis deepens after angry GDPC meeting

he BDA’s General Dental Practice Committee
(GDPC) met on Oct 4.
The meeting was dominated by
an angry discussion about the
disastrous financial impact on
the BDA that the new membership structure has had
GDPC members received a
presentation from Richard Shilling, the BDA’s Financial Director, at which he stated: “We have
to cut staff, services and other
costs, in order to enable us to
make the savings needed under
our proposed recovery plan”.
Whilst taking questions from
Committee members, the Finance Director admitted that
25 whole time or equivalent
posts have been put at risk of
redundancy already, representing nearly 20% of the total BDA
staff capacity across the UK, and
management continue to invite
further voluntary redundancies from across the staff. The
Finance Director also admitted
that the BDA may well need to
look at a further round of redundancies, as part of a deeper costsavings exercise.
Martin Fallowfield, Chair of
the BDA’s Principle Executive
Committee (PEC), struggled to
answer the many angry questions from Committee members
about how such a wildly miscalculated new membership
structure had been introduced
without proper planning for the
worst case scenario.

The BDA Finance Director
told the meeting that there is
currently a recurring shortfall in
subscriptions of about £2.5m and
a projected ‘worst case’ deficit of
£3.4m. One GDPC member, who
wished to remain anonymous,
commented: “Simple maths tells
me that the BDA needs to recruit
about 8,500 new members at the
‘Essential’ level of BDA membership, in order to make up a
£2.5m shortfall in this first year.
And even that would still leave
the organisation with no financial reserves unless savings are
made from other areas.
“Surely this model should
have been more carefully considered by the management team
and by the Principle Executive
Committee? I gather less than
10% of the membership was lost
during the transition to this new
structure. It is clear to me that
this is not a problem with member loyalty, this is about management incompetence.”
The BDA is now in the process of convening an Emergency General Meeting of the UK
Council. Under the BDA’s Articles of Association, the UK Council has the power to dismiss the
Principle Executive Committee
and to call new elections.
Speaking with a member of
the Smile-on News team, one
senior BDA executive has raised
the question of the viability of
some members of the PEC and
the CEO’s position and suggested that now may be the time for

some to ‘fall on their swords’.
Martin Fallowfield, Chair,
BDA Principal Executive Committee, said: “The BDA’s membership structure needed to
change. It was not financially
viable and it was not fair to
members; some were paying for
services they seldom required
while others were heavily using
services for which their mem-

bership fees did not pay.
“The new system is fair because it links services received
to membership fee paid. Members choose the membership
package that is appropriate for
them and they pay for it. It also
establishes a sustainable finanà DT page 3

[2] =>

2 News

United Kingdom Edition

October 2013

3D printed toothbrush cleans
teeth in six seconds
A

new 3D printed toothbrush
tailor-made to fit a person’s
mouth is claimed to completely clean teeth in six seconds.
To make the ‘Blizzident’, dentists take a digital scan of a person’s teeth and use that to deter-

mine the optimal placement of
600 bristles by simulating biting
and chewing movements. The
bristles resemble normal toothbrush bristles but are much finer
and tapered to reach the gum line
better.

The scan is used to create a
computer aided design (CAD)
model of the brush, which is
converted into a 3D object using
stereolithography, a method in
which liquid plastic is cured into
a shape with an ultraviolet laser.
The bristles are then attached.

To use the Blizzident, a person bites down on it and grinds
their teeth for about six seconds.
The brush’s makers say this is
sufficient time to clean teeth completely, although independent
studies have yet to verify this. DT

Anna Jefferson cleared over CQC cover up

nna Jefferson, CQC’s
current Head of Media, has been cleared
of wrong-doing in an internal
enquiry.
As previously reported, a
report revealed that the CQC
‘covered up’ knowledge of its
failings over a series of baby
deaths at a Cumbria hospital.
Anna Jefferson, along with
Cynthia Bower and Jill Finney,
were blamed in a follow-up
report. They were all said to
be present at a meeting where

deletion of a critical report
was allegedly discussed.
Ms Jefferson is alleged to
have said of the report: “Are
you kidding me? This can never be in a public domain.”
However, the CQC has now
released a statement that says:
“Anna Jefferson had not used
‘any inappropriate phrases’
as attributed to her by one
witness quoted in the Grant
Thornton report” and that
“Anna Jefferson had not sup-

ported any instruction to delete and internal report prepared by a colleague – Louise
Dineley.”
It added: “The CQC regrets
any distress Anna Jefferson
has suffered as a consequence
of this matter and is pleased to
welcome Anna back to the organisation following a period
of maternity leave. She is currently undertaking a course of
postgraduate study with CQC’s
support.” DT

Natural teeth last longer than dental implants

atients should hang onto
problem teeth as long as
possible rather than getting dental implants, a new literature review suggests.
The review, published in the
Journal of the American Dental
Association, found that 15-year
tooth loss rates range from 3.6
per cent to 13.4 per cent, whereas implant loss rates range from
nought per cent to 33 per cent.
Some
clinicians
recommend dental implants as an
alternative to treating severely
diseased teeth, however the researchers note that even teeth

Published by Dental Tribune UK Ltd
© 2013, Dental Tribune UK Ltd.
All rights reserved.

Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for

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

Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@healthcare-learning.
com

Sales Executive
Joe Ackah
Tel: 020 7400 8964
Joe.ackah@
healthcare-learning.com

Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@healthcare-learning.
com

Editorial Assistant
Angharad Jones
Angharad.jones@healthcarelearning.com

Design & Production
Ellen Sawle
Tel: 020 7400 8970
ellen@healthcare-learning.
com

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

classified as ‘hopeless’ may survive, especially if periodontal
treatment address the underlying problem.
“The results of this systematic review show that implant survival rates do not exceed those
of compromised but adequately
treated and maintained teeth,
supporting the notion that the
decision to extract a tooth and
place a dental implant should be
made cautiously,” the authors
write.
It was found that more conical implants had higher stresses
than did cylindrical and screw-

shaped implants, and textured
implants had better outcomes
than those with machined surfaces. Implants were more likely
to fail in patients with periodontitis-related tooth loss, in those
who smoked, and in those with
diabetes mellitus, a history of
radiotherapy, or impaired bone
quality.
“In light of the above review,
the decision to retain properly treated and maintained
teeth for as long as possible
seems to provide an overall solution that can reduce the treatment risks over the long term,”
they conclude. DT

Tooth restores man’s sight

man has had his sight
restored after one of his
teeth was implanted in
his eye.
More than two decades
ago, former factory worker
Ian Tibbetts began to lose his
sight after suffering an industrial accident. According to
the Independent, as he was removing a piece of scrap metal
from an oven it struck him in
the right eye, ripping his cornea in six places. By 1998 he
had lost all sight in his right

eye, followed a decade later by
nearly all the remaining vision
in his left.
Now thanks to an operation
in which one of his teeth was
implanted in his eye socket to
act as a cradle for a false lens,
his sight has been restored.
The procedure, known as osteo-odonto-keratoprothesis
(OOKP) was carried out by
surgeon Professor Christopher
Liu at the Sussex Eye Hospital
in Brighton.

The two-stage surgery involves the removal of a piece
of tooth and bone from the patient’s mouth, and then stitched
into the eye socket.
“The
technical
success
rate is close to 100 per cent.
The number of people who
will see well for a very long
time is two-thirds to threequarters. If I am a bit more
pessimistic I will say half to
two-thirds. But for the majority of people it will work,” says
Professor Liu. DT

[3] =>

United Kingdom Edition

ß DT page 1

cial footing for the Association.
“The changes were made
after years of research and engagement with members. The
new membership packages respond to what dentists have told
us they want.
“They are also flexible. Members can trade up to a higher
package if they realise they need
a higher level of service and we
see them doing exactly that.
“With new members joining
and current ones upgrading every day it is not possible to form
a definitive picture of the profile
of BDA membership yet, and the
detailed analysis of members’
usage of services prior to the implementation of the new structure suggests that there will be
lots more movement before that
picture does properly emerge.
“The
implementation
of
a new business model brings
challenges for any business and
the BDA is no exception. The
BDA’s senior management team
has looked at the out turn and
thought carefully about what
changes are needed to respond
to members’ decisions. It has
moved quickly to implement a
new financial model and is also
consulting on changes to the
deployment and headcount of
its staff resource. Unfortunately,
that will mean redundancies in
some areas. Members can be assured that services will be protected.
“The changes were necessary and have been made after
thorough research, careful consideration and dialogue with
members. The BDA’s elected
representatives – including the
Executive Board and Representative Body; the bodies superseded by the PEC in 2012, and
latterly the PEC itself – endorsed
the changes.
“Like any democratic organisation the BDA is a crucible for
different opinions and interests
and has formal decision-making
mechanisms through which they
are debated and reconciled. Inevitably, with an issue as important as the operation of the Association, views come to the fore.
“One of the mechanisms for
the exchange of views is the BDA
committees and councils representing dentists working in different dental crafts and the four
UK countries and we are committed to ensuring these bodies
are kept fully informed. Many of
them are scheduled to meet during the autumn and are being
updated as they do, but contrary
to reports, no EGM of the UK
Council has been scheduled.” DT

News 3

October 2013

Editorial comment

ello
and
welcome
to
this
month’s issue of Dental Tribune.
This month profession and industry alike
are gearing up for one of the
biggest events in the dental
calendar – BDTA Dental Showcase.

Held this year in Birmingham October 17-19th, visitors
have a multitude of stands and
lectures to choose from relating to all aspects of dentistry
including running the practice,
clinical topics and education.
I think we know one stand
which may be extremely popular this year – that would be
the BDA’s stand (K04). With all

the news, rumours and rhetoric that has been circulating
the organisation since the announcement of the new three
tier membership system and
the seeming failure of that
system to ignite the interest of
the profession, no doubt many
members and non-members
alike will be flocking to speak
with the team.
We will be based on
Stand H01 – do come
and say hello. 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@healthcare-learning.com

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[4] =>

4 News

United Kingdom Edition

October 2013

CQC given more independence
T

he Care Quality Commission is to be given
greater independence,
Health Secretary Jeremy Hunt
has announced.

Under
the
proposals,
the Health Secretary will relinquish a range of powers to
intervene in the operational
decisions of the CQC. The
CQC will no longer need to
ask for Secretary of State approval to carry out an investigation into a hospital or care
home, and the Secretary of
State will no longer have

the power to direct the CQC
on the content of its annual
report.

social care services across the
public, private and independent sectors.

In addition, the newly created positions of Chief Inspector of Hospitals, General Practice and Adult Social Care, will
be enshrined in law. They will
lead CQC’s inspections and
regulate providers of health or

Health Secretary Jeremy
Hunt said: “The Chief Inspector must be the nation’s
whistleblower in chief. We
will legislate in the Care Bill
to give the CQC statutory independence, rather like the

Bank of England has over interest rates. The welfare of
patients is too important for
political meddling and our
new legislation will make sure
Ministers always put patients
first.” DT

Dentist jailed for
filming female staff

dentist has been jailed
in Germany for secretly
filming his female staff
while they were changing
clothes.
The 52-year-old had installed a video camera in the
changing room of his practice
which was used by his female
hygienists and receptionists. After staff discovered the camera,
investigators found almost 7,500
video files on the defendant’s
computer going back six years,
showing eight victims in their
underwear or naked.
He has been convicted of
211 counts of violation of privacy using a recording device
and jailed for two years and four
months. DT

‘Pressure wash’
your teeth and
gums

dentist has invented a device that will replace the
traditional
toothbrush,
toothpaste, floss and mouth
rinse, and now he is trying to
raise money to develop it.
The CLEARsmile device is
a ‘pressure wash’ for teeth and
gums that hits every angle simultaneously, says inventor Dr
Igor Reizenson. He came up
with the idea while working in
the Veterans Hospital and seeing elderly bed-ridden patients
unable to clean their teeth, and
nurses not able to do it for them.

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He also did community dentistry on mobile buses for under
privileged children across the
state of Georgia, US, and came
to the conclusion that an oral
hygiene device that is quick,
easy and effective, is needed.
Dr Reizenson now needs to
create a prototype and it was
found that $750,000 is needed
to be raised to do this. His campaign can be found at the crowd
funding site indiegogo.com DT

Email: jsdsales@js-davis.co.uk
Visit: www.js-davis.co.uk
The CLEARsmile Device

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[6] =>

6 Interview

United Kingdom Edition

October 2013

Interview: ‘The patient should be told the truth’
Dental Tribune Online spoke with Prof Stephen Porter from the UCL Eastman
Dental Institute about new risk factors and prevention strategies for oral cancer
Undoubtedly, it will increase.
When a celebrity announces that
he or she has a particular disorder, there is often an upsurge of
referrals by concerned individuals. In the UK, this was perhaps
best illustrated when Freddie
Mercury declared that he had
HIV. There was a substantial rise
in the number of persons seeking
advice and/or testing for the disease in the aftermath.

Prof Stephen Porter, Director and Professor of Oral Medicine of UCL Eastman
Dental Institute

ental Tribune Online: A
recent study on Turkish dental patients in
central Anatolia has shown
that only one in two people are
aware of oral cancer. Are these
results representative of most
people’s knowledge about the
condition nowadays?
Prof Stephen Porter: It is not
uncommon for individuals not to
be aware that cancer can arise
in the mouth. Indeed, there are
studies indicating that even patients without cancer who attend
clinics that specialise in mouth
cancer are unaware of the possibility. This trend regarding a lack
of awareness occurs across the
globe, although it varies between
countries.
With celebrities such as Michael Douglas struggling publicly with the disease, do you
think awareness of malignant
diseases of the mouth is increasing?

A fair number of famous people have had oral cancer, including Sigmund Freud, Ulysses S.
Grant and TV producer Aaron
Spelling to name but a few. In
the UK, journalist and first husband of TV cook Nigella Lawson
John Diamond wrote a series of
articles detailing the progress of
his disease and its treatment that
informed many of the impact this
disease can have on an individual and his or her family.
Unfortunately, the Michael
Douglas situation has perhaps
confused the exact role of the
human papillomavirus (HPV) in
mouth cancer. Certainly, it can
cause mouth cancer and it can
be acquired through orogenital
contact, but there is no evidence
that such contact will lessen any
subsequent risk of contracting
mouth cancer.
Oral cancer figures are rising
worldwide. What are the reasons for this, and does it fulfil
the criteria for an epidemic, as
it has been called in some media reports?
An epidemic is defined as new

cases of a disease in a given human population over a particular
period. It often has an emotive
element to it. Oral cancer certainly is on the increase in the
developed world, although the
number of new cases is falling in
some parts of the globe, notably
parts of India.
The rise in some countries is
gradual but sustained. Smoking
tobacco and/or drinking alcohol
are the two factors that traditionally have given rise to mouth cancer. In addition, individuals are
now acquiring cancer-causing
(oncogenic) types of HPV, probably via orogenital contact. This
burst of infectious disease, or indeed sexually transmitted infection, is not a new phenomenon,
but it has become much more
manifest in the last 30 years.
So, what is new is probably that
oncogenic types of HPV are just
more common in the sexually active population than in the past.
The exact risk that it carries
is unclear but it has been suggested that the risk of HPV-related mouth and/or throat cancer
climbs when someone has had
more than nine different sexual
partners.
What other factors besides
smoking, drinking and HPV
are currently being investigated, and what is their malignant potential?
People chew betel nut preparations (eg paan masal and gutka)
in parts of India, Pakistan, Bangladesh and surrounding areas.

These cause initial fibrosis of the
oral tissue, termed “submucous
fibrosis”, which carries a high
risk of causing oral cancer of
possibly 30 per cent. Submucous
fibrosis can arise even in young
individuals and is irreversible,
and thus patients are likely to
have a lifelong risk of mouth
cancer, even if they stop the
causative habit. The nightmare
scenario is that when examining
a patient with submucous fibrosis the mouth opening can be so
small that a clinician may be unable to see the cancer.
Mouth cancer can also arise
in patients who have rare genetic
disorders, such as Fanconi anaemia and dyskeratosis congenita, but the most common oral
disorder that is considered to
be potentially malignant is oral
lichen planus. This is a global
disorder that typically occurs in
middle-aged and older women.
It is a chronic immune disorder
that may cause painless white
patches that sometimes are accompanied by painful erosions or
ulcers. It affects about one to two
per cent of the population and is
the most common disorder to affect the lining of the mouth (the
oral mucosa).
It has been suggested that
one-two per cent of patients with
oral lichen planus will develop
mouth cancer, but this risk is
highly unpredictable because it
does not appear to be consistently associated with the duration
or type of treatment of the lichen
planus, nor the age or sex of the
patients, nor their alcohol or to-

bacco habits. The good news,
perhaps, is that 98 to 99 per
cent of patients with oral lichen
planus will not contract mouth
cancer.
Isolated white or red patches on the oral mucosa (sometimes termed “leukoplakia” and
“erythroplakia”) have malignant
potential as well, but these are
actually uncommon, particularly
the latter, compared with oral lichen planus.
Besides new treatment concepts, prevention remains the
most effective strategy against
oral cancer. Why do so many
dentists still appear to overlook obvious signs of the disease, and do current screening
procedures have shortcomings?
The great majority of patients
ultimately found to have mouth
cancer will have been referred
to a specialist service because
a dentist or other dental professional will have noticed something abnormal. He or she might
not have known what it was, but
they did the correct thing by referring the patient to a specialist.
Screening for possible mouth
cancer is straightforward. It is
just a matter of examining the
neck and mouth carefully. However sometimes dentists do not
know what to look for, as they
have probably never seen more
than one type of oral cancer in
their professional lives.
Similarly, mouth cancer is

[7] =>

United Kingdom Edition

more likely in socio-economically deprived groups than the
wealthy. Socially disadvantaged
people have a tendency not to
attend health care providers,
including dentists, on a regular basis nor to take up possible
screening opportunities for common diseases and therefore have
a variable awareness and practice of disease prevention strategies, whether concerning oral
health or general health.
Clearly, the best option for
screening would be opportunistic screening, where health care
staff examine patients in risk
groups for a particular disease,
but this requires people to want
to attend a clinic and to appreciate the possible benefits of such
attendance for their health and
well-being.
Is there any evidence that regular screenings could help prevent oral cancer?
There is no evidence that a particular frequency of dental examination will lessen the risk
of mouth cancer. However, the
more regularly a person is examined, the greater the chance
that emerging malignant or potentially malignant disease will
be detected and that any lesion
present will be small.
However, overzealous review
is likely to be wasteful and thus
all patients should be advised
that if they become aware of a
change in their gingivae or oral
mucosa that persists for more
than three weeks and has no obvious local cause, or example a
sharp tooth or filling, they should
seek advice from their dentist.
In its 2008 policy statement, the
FDI stresses the important role
of dental professionals in the
detection of oral cancer and
patient education. To what extent are dental professionals
fulfilling this role?
The majority of patients ultimately found to have oral cancer will have been identified by
a dentist or other dental professional; thus, dental professionals
are fulfilling this role to a great
extent. However, dental professionals should also be able to
provide advice about oral cancer
prevention, for example tobacco
and alcohol cessation, and information on where additional advice can be obtained, for example tobacco cessation services.
The current rule of thumb is
that the more people smoke and
the longer that habit the greater
the risk of mouth cancer. The
same applies to alcohol. There
are some nuances as regards
the type of tobacco or alcohol
that may affect risk but these
are really not of notable concern
when communicating a disease
prevention message. Of significance is that the risk of cancer

developing if someone smokes
and drinks is much higher than
if someone smokes or drinks (i.e.
there is a synergistic rather than
additive effect).
Of course, many dentists will
indicate that they have no experience of having seen oral cancer
or having managed any patient
who has previously had such disease. However, there are some
simple rules. If a lesion is solitary, has been present for more
than three weeks and has no lo-

October 2013

cal cause, the patient should be
referred. Any lesion that strikes a
dental professional as odd and/or
destructive warrants referral.

Interview 7
told the truth, ie that the dental
professional has concerns that
a lesion is possibly malignant

or premalignant, and is thus referring the patient for further
investigation. DT

Dentists should always keep
an accurate and contemporaneous record of what is observed
during clinical examination and
be familiar with the contact details of local oral cancer specialists (typically oral and maxillofacial surgery or oral medicine).
Finally, the patient should be

Regular screening increases the chance of detecting oral lesions early

[8] =>

8 Comment

Amit’s corner
Amit Rai guides on guidelines

ith all that was going
on with the transition
of PCTs to NHS England, the DH’s 2013 update of
HTM 01-05 has gone relatively
unnoticed. Maybe this is because
it was resentfully received on account of wrapped instruments

now being able to be stored for six
times longer than before, which
in turn questions the previous 21or 60-day guidelines along with
the practice costs associated.
This got me thinking about
guidelines. I’m not sure why, but

United Kingdom Edition

people don’t always like to follow
guidance and direction. In fact a
study has shown that when people are asked to plan a journey
they don’t tend to follow their own
directions, because the scene, as
it unfolds in real-time, presents
various opportunities to reduce
the journey time through taking
short-cuts. Maybe it’s because
we think we know better or we
are too pragmatic to be wasting
our time on “reading” and would
rather be “doing”. Either way,
when it comes to professional

guidelines the risks of not following them could be more serious.
A guideline is considered to
be a statement by which to determine a course of action, and clinical guidelines are published by a
number of bodies, including the
National Institute of Health and
Clinical Excellence (NICE) who
assert that “good clinical guidelines aim to improve the quality of healthcare”. Are guidelines
mandatory to follow? Well, the
case of JAC Richards v Swansea

October 2013

NHS Trust [2007] EWHC 487 (QB)
demonstrates how the judiciary
has held professional guidelines
as the legal standard in which to
find negligence.
In this particular case, the
time taken to deliver a baby by
emergency caesarean section
exceeded that recommended in
the NICE and Royal College of
Gynaecologists and Obstetricians
guidelines on caesarean section.
As this delay was found to have
led to the claimant’s cerebral
palsy Field J found the NHS Trust
to be negligent. This reliance
on guidelines represents a judicial shift away from the Bolam
standard of a competent body of
professional opinion because,
unlike experts, guidelines are
evidenced-based and objective.
Guidelines can therefore be relied on as a tool to reduce clinical
error and promote consistency in
the provision of care.
Examples of guidelines within
the dental sphere include NICE
Guidance on the Extraction of
Wisdom Teeth (2000) and FGDP
Adult Antimicrobial Prescribing
in Primary Dental Care for General Dental Practitioners (2012).
Use of clinical guidelines does
however present concerns to the
practise of dentistry including the
growth of ‘cookbook dentistry’
where dentists are at risk of practicing prescriptively, even when it
is justified to use clinical discretion in the patient’s best interests.
Fear of litigation could perhaps
give rise to defensive dentistry. As
inferred from Plato, the imposition of guidelines threaten the
autonomy of our profession,
which prides itself on being truly
imprecise insofar that patients
are unique and no disease manifests in the same way. Samanta et
al contend that it is important that
the courts use guidelines that are
credible. This credibility could be
determined on the basis of predefined standards, ie authorship
by esteemed professional bodies
and the guidelines themselves
being systematically developed
on the basis of evidence.
Guidelines are just that –
guides. However, beware of likening them to futile instructions.
This is because they are valued by
the judiciary to help identify what
is legally expected, offering a
framework which can be used by
the courts in order to assess the
reasonableness of decisions in
the arena of clinical negligence.
• References are available upon
request. The views expressed are
those of the author and do not
necessarily reflect the views of,
and should not be attributed to,
any organisation or institute that
he works for. DT

About the author
Amit Rai is a General Dental Practitioner, Dental Educator and Advisor
with a Dento-Legal background

[9] =>

United Kingdom Edition

October 2013

Feature 9

An app-ropriate way to save lives

he Resuscitation Council
(UK), the medical charity
that produces official UK
guidelines for CPR, has launched
an app as a way to learn CPR in
the 21st century. Together with
production company UNIT9, the
Resuscitation Council has created LIFESAVER, a free app that
is available on your computer,
smartphone or tablet.
An estimated 60,000 people each year in the UK have
an out-of-hospital cardiac arrest and less than 10 per cent of
these survive; this means that it’s
more likely that the person suffering the arrest will be known
to the rescuer. The Resuscitation Council built this app as an
attempt to let people learn CPR
easily, have the confidence to
do it, and ultimately, save lives.
With almost everyone having access to a computer, smartphone
or tablet and wanting to receive
information in a quick condensed manner, this is the first
effective way of learning CPR
available to everyone.
LIFESAVER is an interactive
short film that is played like a
game. The user is put into the
situation and asked questions
about what you would do each
step of the way; if you pick the
wrong answer, you’re told why
it’s wrong and what should be
done instead. Playing the game
is quite pressured - you’re given
a time limit to answer the questions so have to react quickly,
just as you would if you were in
a real-life situation. The interactivity really puts you in the situation and makes you feel as if you
are experiencing it .

on the mannequin in the training”, she says.

this has given her great comfort
since his death.

Viv knows that she had done
everything she could to try and
save him. Her husband dying
wasn’t as a result of her not
knowing what to do, and she says

LIFESAVER is available from
both the Android and Apple app
stores, and can be played online
at www.life-saver.org.uk DT

“Paul is a passionate and charismatic speaker
He has been teaching for over 25 years,
both in the UK and internationally and, has

a wealth of experience which he imparts
in ways which Dentists can use day to day.”

Being involved in the game
provides a more vivid experience than practising on a dummy like traditional CPR classes.
There are three different scenarios to go through, giving you
advice in what to learn in each
situation. There is also the opportunity to hear expert advice
on CPR and real-life accounts of
cardiac arrest.
Viv Cummins talks about
her experience when her husband had a cardiac arrest. Viv
phoned the ambulance and the
responder talked her through
what to do. She’d done a CPR
course a few months earlier and
says it all came back to her –
her panic went and she got into
practical mode.
“I already knew it was too
late at this point but I had to do
what I could and got on with
what I’d been trained to do. It
was nothing like carrying it out

Dr Paul A Tipton
B.D.S., M.Sc., D.G.D.P. U.K.
Specialist in Prosthodontics
President, British Academy of Restorative Dentistry
Courses in Restorative, Implant and Aesthetic Dentistry

Book your place now at:

www.tiptontraining.co.uk

Now
Taking Bookings
for 2014 Courses

Dental Tribune looks at the CPR app LIFESAVER

[10] =>

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[11] =>

Showcase Tribune
Showcase Tribune

Showcase Tribune

‘I know that I do not know’

Going Private

Oliver Harman discusses his MSc experiences

pages 12-13

Roger Matthews discusses potential transition options for dental
professionals looking to convert to private practice

The perfect answer to gagging

Dr Manuel Kalo presents a simple solution

pages 16-17

pages 14-15

It’s BDTA Dental Showcase time!
Dental Tribune details all you need to know about this year’s event…

DTA Dental Showcase is
renowned as the UK’s biggest and most important
dental exhibition.
Organised by the British Dental Trade Association (BDTA),
Dental Showcase is the longest
established and best attended
show in the dental calendar annually attracting thousands of
dentists, practice managers, hygienists, therapists, dental nurses, lab owners, dental technicians
and dental receptionists.
In 2012 more than 13,000
members of the profession and
trade attended the exhibition. Attendance numbers are always independently audited by the BPA.

Manufacturers and suppliers
invest considerable resources
in developing innovations that
are specially designed to meet
your needs, save time, improve
productivity, reduce long term
costs and generally make your
life easier. Dental Showcase provides the perfect opportunity for
forward-looking members of the
dental team to see what’s new,
gain technical and business information, make informed purchasing decisions and take advantage
of special offers.
BDTA Dental Showcase 2013
will once again offer a diverse
range of free, informative mini
lecture sessions providing verifiable CPD and for those who prefer a more practical learning experience there will be a new and
exciting line-up of Live Theatre
demonstrations throughout the
three days.
In 2012, more than 100 free
business and clinical CPD sessions offered visitors more than
60 hours of verifiable CPD. In total, the dental team enjoyed 5,000
verifiable CPD sessions!
Reasons to visit
• Meet with the largest number
of on-stand experts presenting

the biggest selection of dental
equipment, products, technologies and services in the UK
• More than 350 trade stands to
explore
• Discover what’s new
• Gain first-hand experience of
the latest products and innovations and access a range of
industry experts
• Gain CPD by attending the
complimentary Mini Lectures
• Take advantage of special
offers
• Watch live theatre demonstrations presented by leading
experts
• Network with colleagues and
peers
• A springboard for new ideas and
an environment for collaboration

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D-Tec products. Visit stands J18
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• Qudent’s special deal of 10%
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show for all Support Design and

BDTA Dental Showcase takes
place at the NEC in Birmingham
October 17-19. See you there! DT

Discover
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Exclusive deals & special offers
Make the most of this opportunity to see, try and buy - snap up
exclusive Dental Showcase deals
on offer at this year’s exhibition,
such as:

Visit us
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• Healthcare Learning: Smileon are offering a massive discounts on their range of resources, including the very popular
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Come to Stand H01 to find out all
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The strongest*
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• Don’t miss Philips’ Showcase
giveaway! Lucky delegates each
day can try the Sonicare Airfloss
at one of the brushing stations on
Philips’ stand (P06) and can take
it away with them for free.
• Kemdent’s range of exclusive special offers at this year’s
show: Amazing half price sale
on 5L disinfectants, plus spend
up to £175.00 on Kemdent products and get a PracticeSafe Hand
Disinfectant Gel Dispenser FREE
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about the FREE gun and activator
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Price: £167.25 + VAT.

everX Posterior from GC is the first
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in large size cavities.

Extending the limits
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• Visit NSK on stand G21 and get
three cans of Pana Spray Plus free
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26/09/13 11:30

[12] =>

12 Showcase Tribune

United Kingdom Edition

October 2013

“I know that I do not know”
Journey through an MSc in Restorative & Aesthetic Dentistry with Oliver Harman

D

r Oliver Harman is
now coming to the
end of his two-year
MSc in Restorative & Aesthetic
Dentistry, with only a couple
of weeks before the dissertation section of the course.
Designed to advance prac-

titioner’s skills in this area,
the course is provided by renowned education provider
Healthcare Learning: Smileon in collaboration with the
University of Manchester.

course has provided everything
I have come to expect. The
latest modules have taught me
a lot about how much I still
have to learn, and it has been
an exciting and at times challenging journey.

The second half of the MSc

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Module four was an introduction to the research and
evidence-base behind everything we do. This was completely new to me as such an
area was not included in my
initial training to become a
dentist, and with this came

my greatest challenge from
the MSc course. While it was
extremely interesting to delve
into all the research associated
with the practical work I do, it
was a real eye-opener – for all
the things I didn’t know! When
I first qualified, I was told how
things worked, shown how to
do them and that’s what I did;
so this was a whole new way
of thinking. The test for this
module was a particularly rude
awakening, as I realised just
how much there still was to
learn. I am however pleased to
report that I did pass the module after some hard work.

‘I have also been
thoroughly impressed with all the
academics leading
the course, who really know their stuff
and have been fantastic instructors’
Having considered myself a
fairly experienced clinician, I
was surprised to find sections
of this course quite so challenging. That said, I think it
was invaluable to go back to
basics and to be able to form
my own opinions directly from
the evidence-base available. I
experienced a different style
of teaching here as well – it
was clear the course instructors were training us for bigger
things. This module in particular encouraged a high level of
thinking and reasoning, which
has already had a huge influence over the way I practice
dentistry.
Highly aesthetic
By the time we reached module
five, I was somewhat relieved
to return to the wet-fingered

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Journey’s end for the class of 2013 as they graduate with t

[13] =>

United Kingdom Edition

dentistry I am reasonably
comfortable with. In this section we looked at how to perform back fillings correctly
and how to achieve highly
aesthetic results.
Module 6 then covered
more advanced techniques
and involved a lot of implant
work. This I found exceptionally useful as it forced me to go
beyond the basic understanding I already had and it gave
me a really good grounding in
implantology, as well as covering complex restorative areas
too. For the first time, I think
I can now honestly say that I
actually understand occlusion
– if anyone can!

this relationship.
For any professionals thinking of undergoing a Masters
course, I think it is important
to evaluate your personal situation before you start. I have
found that running a busy
practice while taking on the
extra workload from the MSc
difficult at times, so I would
say such an endeavour would
be best suited to those running
more established practices, or
to associate dentists with fewer

October 2013

responsibilities. I also take my
hat off to the clinicians on my
course juggling a busy family
life as well, particularly those
with young children!
Finding the balance
A good support system is vital
when undertaking this type of
course – designed to test you
and develop your skills, the
workload can understandably
put you under pressure. I am
fortunate enough to have a
very understanding wife, who

Showcase Tribune 13
has stepped in to help with the
daily goings-on of my practice,
and I can’t thank her enough
for her support. It’s all about
finding the balance between
your passion to learn and your
current commitments.
As the old saying goes, ‘you
don’t know what you don’t
know’. To quote Socrates in

Plato’s dialogues, the course
has ensured that now ‘I know
that I do not know’. As I come
to the end of the formal training of the MSc and look towards my dissertation, I can
say without a doubt that is has
changed the way I practice for
good. It has been an excellent
course and I have thoroughly
enjoyed the journey. DT

Come to Showcase Stand H01
Visit the Healthcare Learning: Smile-on team at Showcase to find out more about the
MSc in Resorative &Aesthetic Dentistry and other MSc programmes currently being
offered. Alternatively visit www.healthcare-learning.com or call 020 7400 8989

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MSc in Restorative & Aesthetic Dentistry

Strengthening foundations
While I appreciate the Manchester University’s methods
of teaching are not the only
ones, this MSc course has been
superb, especially when it
came to occlusion. The course
strengthened my clinical foundations, covering all types
of treatments and providing
practical advice for day-today procedures. Patient communication was an especially
helpful area to go over, and
covering the potential risk factors has helped strengthen my
treatment plans.
I have also been thoroughly
impressed with all the academics leading the course, who
really know their stuff and
have been fantastic instructors. A good balance between
the research, hospital and general dentistry has also been
presented.
Now nearing the end of
the MSc, I am keen to take a
much more minimally invasive approach to cases wherever possible. This has been
reflected in my practice and
we have started to focus on
providing more advanced cosmetic and restorative treatments, with enhanced treatment planning procedures.
We also now have an in-house
implantologist, and the MSc
has certainly helped me build

their Masters in Resorative & Aesthetic Dentistry

Two of the UK’s most respected education and academic organisations have joined forces to provide an
innovative, technology driven MSc in Restorative and Aesthetic Dentistry. Healthcare Learning Smile-on,
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Convenience

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The majority of the
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The programme is
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his/her own learning.
The emphasis is on a
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Students will be able
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peers, with who they
will also share residential get-togethers in
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This innovative programme establishes
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[14] =>

14 Showcase Tribune

United Kingdom Edition

October 2013

Going Private

Roger Matthews reveals how making the transition to private practice does not
have to be an ‘all or nothing’ decision for dental practices and looks at some of the
private options which allow you to retain your NHS contract

I

n the current economic climate, the idea of ‘going private’ will leave many principals feeling a little nervous to
say the least. After all, the NHS

at least provides a relative, or
perceived, level of security, so
why would you want to put an
entirely new funding option in
place for your patients?

What are my options?
Because a full transition to private practice is such a daunting
prospect, it’s really important
to look closely at the problems

you currently face in your practice and what options are available to you. The good news is
that, in this day and age, the
transition to private practice is

Go Digital
The Secret to Dental Lab Survival

not an ‘all or nothing’ choice
and there are plenty of options
available. The overwhelming
majority of Denplan practices,
for example, offer a mixed service of both NHS and private
care and we’re able to guide
them through the process one
step at a time.
And, with so much change
on the horizon once again with
the NHS, it makes good business sense to look at the available options and the ways in
which you can secure your
practice’s success long into
the future. What is it specifically that you want to achieve
or change as a result of offering
private care; which provider
will offer you the best support;
and do their values and aspirations mirror your own? Once
you have the answers to these
questions you can see whether
a full or partial transfer is the
best option for you or whether
a slower transition to offering
private care is the way to go.
You can, for example, undertake a principal only transition
whereby the NHS contractual
obligations are delivered by associates within the practice,
and the principal focuses on
private patients. As a result, the
principal gains freedom from
UDA targets and can benefit
from the additional time spent
with patients. The practice also
benefits from increased revenue while retaining its NHS
contract and offering patients a
greater degree of choice.

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Can a payment plan help?
Offering a dental payment plan
to patients wishing to benefit
from private care can increase
the practice’s stable, regular income, while providing a way for
patients to budget for their dental care. It’s not uncommon to
assume that patients will be unwilling or unable to afford such
a service, but Denplan’s own research, undertaken by YouGov,
has indicated that 15 per cent
of regular attenders without a
payment or cash plan, and over
23 per cent of Private Fee Per
Item patients would consider
buying a payment plan to help
them budget for their dental
care and treatment. Those who
would consider buying a dental payment plan also said they
would be willing to pay around
£14.90 per month for it [ Denplan / YouGov survey, January
2013 – total sample size was
4116 adults surveyed online.
Figures have been weighted
and are representative of all UK

[15] =>

United Kingdom Edition

adults (aged 18+)].
Providing your patients with
a range of options to pay for
their treatment ensures their
loyalty and can mean the difference between attendance and
a depleted appointment book
due to cancellations or postponed treatment in the current financial climate. It can
also help you to differentiate
yourself from the competition,
increasing the success of your
practice. Some payment plan
specialists can also provide
a wide range of value added
services worth thousands of
pounds as part of your membership and can provide the
help and advice you need to
ensure that, whatever your individual goals and aspirations
may be, the transition runs
smoothly and is as stress free
as possible. This allows you to
get back to the kind of dentistry
you trained to deliver without
worrying about the future. It
sounds simple and, in the right
circumstances, it can be.
Why now?
The current target-driven approach favoured by the NHS is
believed by many to be at odds
with the patient-focused approach that is at the foundation
of professional training. This
was cited by many as one of
the main reasons for practices
moving away from the NHS
when the last new NHS contract was introduced in 2006.
However, the Department of
Health seems to have learned
from these experiences and the
piloting of new approaches to
fund NHS dental care is well
under way, although the confirmed details of such a new
contract remain unknown.

tion and quality, with a focus
on preventive care. This is a
system that payment plan specialists such as Denplan have
been operating and developing for more than a quarter of
a century, with a rich history
of helping practices achieve
and sustain financial stability
while being able to truly focus
on helping patients to achieve
optimal oral health.
With such a significant
amount of turbulence inevita-

October 2013

Showcase Tribune 15

bly on the cards for NHS dental
care, it seems that, now more
than ever, the question of making at least a partial transition
to private practice is a viable
one and a very real way of securing your practice income
and future success. DT
• Denplan will be exhibiting
at BDTA Dental Showcase
in Birmingham. Visit Stand
F10 to discuss what Denplan
could do for your practice.
Look at all the options open to you to allow you time for your patients

Implantology

Sealing of Hollow
Spaces in Implants
Visit our booth
No. Q12 at the BDTA
Dental Showcase

GapSeal®
The Decisive Weapon against Periimplantitis
• Seals implant gaps and hollow spaces
bacteria-proof

The next version of the
NHS contract does, therefore,
need to learn and build from
its past experiences, but it does
so against a predicted future of
flat healthcare spending and
further budgetary constraints.
It will also be at least another
year before the evaluation of
the NHS pilot outcomes is sufficient to inform a new contract.
And, with a general election in
May 2015, it would seem that
the coalition’s commitment to
introduce a new contract before then may be a tall order.

• It durably stops an infiltration of germs into
the hollow spaces thus eliminating the risk
of a reinfection of the periimplantal tissue
• So effectively avoids a main reason for
periimplantitis
• In clinical use successfully at the University
Düsseldorf, Germany for more than 16 years
• Easy in handling and application by a special
applicator

That said, it’s interesting to
note the intention of introducing a new NHS dental contract
based on registration, capita-

About the author
Roger Matthews MA BDS
DGDP(UK)
FDSRCS(Edin)Chief Dental Officer, Denplan.
Roger joined Denplan in 1995
having spent 20 years working in
general dental practice and as a
dento-legal advisor for the Medical Defence Union. He oversees
dental advice to the company
and its links with professional
bodies, and is responsible for
Denplan’s professional services.

www.hagerwerken.de
Tel. +49 (203) 99269-0  Fax +49 (203) 299283

GapSeal-Anz-156x219mm-GB.indd 1

Video

21.08.13 11:57

[16] =>

16 Showcase Tribune

United Kingdom Edition

October 2013

The perfect answer to gagging
Dr Manuel Kalo presents a simple solution to help patients prone to gagging
during the impression taking process

A

46 year old patient required the replacement of
defective composite and
amalgam restorations in teeth 14
and 15 with existing distal (14)
and mesial (15) approximal caries (fig. 1).

The teeth were to be restored
with ceramic restorations. A special challenge was the patient’s
pronounced gagging reflex.

prepared according to minimallyinvasive principles, the impression material must exhibit
specific properties.

In order to take an accurate impression of any cavity

The wash material should
be applicable without bubbles,

remain in situ on the preparation
without slumping, have optimal
flow characteristics under pressure, and provide precise detail
reproduction. The tray material
should support the properties of
the wash material. The preferred

tray material should be one with
a true putty consistency and with
optimal resistance when positioned, in order not to trigger
the patient’s gagging reflex. Both
materials should be suitable for
the double-mixing technique
with matching setting times.
For the double-mixing technique, DMG’s Honigum-MixStar
Putty and Honigum-Light were
used because these materials
fulfilled all the above conditions.
The materials were mixed in the
MixStar-eMotion automatic mixing unit, which is programmable for working time and setting
time in the mouth.
In order to guarantee stability of the impression material
upon removal from the mouth,
a non-perforated impression
tray, coated with DMG Tray-

Fig. 1 Initial situation

Constic:
Do more with less.

NEW !
Fig. 2 Preparing the cavities

The new 3-in-1 flowable: etching, bonding, filling in one step.
Faster, easier, safer: experience Constic – the new
self-etching, self-adhesive flowable composite from DMG.
Constic combines etching gel, bonding agent and flowable
in one single product. You thus save treatment steps – and

thereby benefit from increased safety during
application. Whether for small Class I restorations,
linings or fissure sealing: start relying on Constic
- the 3-in-1 flowable now! www.dmg-dental.com

Fig. 3 Applying DMG Tray-Adhesive

Fig. 4 Hygienic filling of the impression
tray, using Honigum-MixStar Putty
AZM_Constic_GB_E_2013_8.indd 1

16.08.13 12:50

[17] =>

United Kingdom Edition

Adhesive, was used.
Procedure
After removal of the defective
restorations, excavation of the
caries, and preparation of the
cavities (fig. 2), an impression
was taken using to the doublemixing technique.
For this purpose, the impression tray was first coated
with Tray-Adhesive (fig. 3).
While the assistant filled the
impression tray with HonigumMixStar Putty (fig. 4), the dentist filled the cavities and covered the occlusal surfaces of
the adjacent teeth with bubble-free Honigum-Light (fig.
5). During the wash material’s
1:45 minute working time the
impression tray was inserted
in the patient’s mouth using

Showcase Tribune 17

October 2013

‘In order to take an accurate impression of
any cavity prepared according to minimally-invasive principles, the impression material must exhibit specific properties.’
The material properties of
Honigum-Mixstar Putty and
Honigum-Light provided optimal results. The impression was
a bubble-free, finely detailed reproduction of the entire preparation, including any difficult to ac-

tics of Honigum-Mixstar Putty,
which provides patient-friendly
resistance, there was no irritation of the sensitive areas in the
patient’s mouth due to overflowing or running impression material. Consequently no gagging
occurred.

cess areas and preparation lines.
Thanks to the rheologically
active matrix of Honigum-Light,
which delivers excellent stability
yet very good flow characteristics, and putty-like characteris-

The precise reproduction of
the preparations, by means of
combining the two impression
materials, was demonstrated impressively by the perfect fit of the
final restorations (fig. 7). DT

• Visit the DMG at Dental
Showcase on Stand L11 to see
their range of impression materials and much more.

About the author
Dr. Manuel Kalo - Winterhuder
Weg 76A22085 HamburgTel. +49 40
2279402. The complete DMG range,
including Honigum, is distributed in
the UK and Ireland by DMG Dental
Products (UK) Ltd. For further information contact your local dealer
or DMG Dental Products (UK) Ltd
on 0044 1656 789401, fax 0044 1656
360100, email info@dmg-dental.co.uk
or visit www.dmg-dental.com

Tetric EvoCeram Bulk Fill
& Bluephase Style
®

The bulk-fill composite

The curing light

Fig. 5 Homogeneous and bubble-free
syringing of the preparation, using
Honigum-Light

Fig. 6 Perfect impression result

For even more efficient

Fig. 7 Perfectly fitting final restorations

light pressure and left in situ
for at least 3:15 minutes. The
acoustic signals of the MixStareMotion’s timer are very helpful for the clinician’s time management. After the setting time
had elapsed, the impression
was removed from the patient’s
mouth, which, particularly in
the area of the prepared teeth,
must be done parallel to the
axis of the teeth. The material’s putty consistency, which
remains in that state even after
hardening, makes this process
significantly easier. After drying the impression, the result
was inspected and the impression stored at a maximum temperature of 25°C.

posterior restorations
• Fill with up to 4 mm bulk increments due to lvocerin, the patented light initiator
• Sculpt and contour with ease as a result of the material’s smooth consistency
• Then light-cure for ten seconds using the short, 10-mm Bluephase Style light probe …
• … and the esthetic restoration is done!

Watch the Tetric EvoCeram Bulk Fill & Bluephase Style animation at:
www.ivoclarvivadent.com/bulkfill_en

www.ivoclarvivadent.co.uk
Ivoclar Vivadent Limited

TEC_BulkFill_BluephaseStyle_e_A4.indd 1

23.11.12 12:49

[18] =>

The

of creating
smiles.

Welcome to the GC G-ællery – aesthetic solutions
for every case … with exactly the handling you prefer
G-ænial from GC

Visit us
on stand
M01
At GC, we focus on individuality.
We understand that no two
patients are the same – and neither
are their restorative challenges. We
also understand no two dentists have
exactly the same preference when it
comes to placement technique or ideal
composite restorative.
To meet this need GC presents a range
of composites with handling options from
firm and packable through to flowing and
injectable. Each GC composite introduces
aesthetic qualities which help clinicians
create invisible restorations with simplicity
and efficiency. Each of these composites offers
superior physical properties and polish retention
to ensure strength and durable aesthetics. And
each product showcases the innovation and quality
that is core to GC’s product philosophy.

www.gceurope.com

GC EUROPE N.V.
Head Office
Tel. +32.16.74.10.00
info@gceurope.com
http://www.gceurope.com
GC UNITED KINGDOM Ltd.
Tel. +44.1908.218.999
info@uk.gceurope.com
http://uk.gceurope.com

[19] =>

United Kingdom Edition

October 2013

Special 19
Company Spotlight

Child Protection – a huge
responsibility, a moral obligation
Dilhani Silva discusses spotting abuse of children in a dental setting

O

n the fifth day of Stuart Hazell’s trial in May
of this year he pleaded
guilty for murdering 12-yearold Tia Sharp. He is someone
who never had any record as a
paedophile. A huge amount of
people have said that she was
better off leaving this world
as it was a dysfunctional family. They lived with this person
day in, day out and this was the
mother and the grandmother.
The law expects us, the professionals, to protect children, we
have a huge responsibility; a
moral obligation. I wonder how
we do this when most cases of
child abuse and neglect do not
come to the notice of professionals. The above case is a
classic example, which means
that children like Tia (and more
recently, four-year-old Daniel
Pelka) continue to be harmed.
Key Position
Members of the healthcare sector, especially dental teams, are
in a key position to observe potential signs of mistreatment;
like everyone, they have a responsibility to report any concerns. We have a duty of care.
All of us share the responsibility
to follow practice procedure, local procedure and the national
procedure for child protection.
We may observe, feel, or hear
something that causes us to
suspect that a child is at risk of
neglect or abuse. It is our upmost responsibility to take action and make the whole team
aware and follow the procedures. Sharing information and
sharing concerns is the key.
As a civilised country we lament and screech about child
soldiers in Syria and child labour in Bangladesh. Jimmy
Savile has left us a memoir;
his malicious activities were
shielded by his niche success
and charity efforts, now it has
been exposed by his death. It
is sad he is not alive to witness
his shame and it is a shame on
the people and authorities who
turned a blind eye to all this or should I say the system failed
these children.
Four Types of Abuse
There are four types of abuse Physical, Emotional, Sexual and
Neglect. It is of paramount importance we do not ignore the
vital signs of any abuse. Children may have physical marks
on their body or they can portrait emotions or behavioural
changes, which may be worth
further scrutiny. We should

speak about these topics in our
staff meetings and enlighten the
whole team. We should not let
the innocent childhood be taken

away from children at risk or let
them die before they have even
lived their life. This is the extreme end of child abuse.

In
American
paediatric
dentistry circles ‘wilful failure
of parent or guardian to seek
and follow through with treat-

ment as necessary to ensure
a level of oral health essential
à DT page 20

[20] =>

20 Special

United Kingdom Edition

ß DT page 19

for adequate function and freedom from pain and infection’
is dental neglect. Participating in Oral Health Education
days in schools has given me a
vital insight, especially for primary school children. They tell
me ‘Mummy brings me sweeties when she picks me up’ or
‘I have a milkshake before bed
with a movie’. Statements such
as these are endemic in our culture. I must admit this is often

due to a lack of knowledge. This
all boils down to one thing, as
Tony Blair famously said - ‘Education, Education, Education’.
Most of all we should endeavour to protect children in
the dental setting, as well as
ensure a level of protection for
ourselves. We all need to follow
the guidelines from organisations such as the GDC, CQC etc
and carry out enhanced CRB
(now Disclosure and Barring
Service (DBS) checks.

The General Dental Council’s Standards for Dental Professionals states: ‘You must
maintain appropriate boundaries in the relationships you
have with patients. You must not
take advantage of your position
as a dental professional in your
relationships with patients’.
Every dental practice should
follow best practice steps to
put in place child protection
procedures. These include:
• Nominating a member of staff

as the ‘Lead on child protection’
• Having a written child protection policy with Local Child Protection Lead details included
• Following a step-by-step guide
of what to do if you have concerns
• Following best practice in record keeping
• Undertaking regular team
training and staff meetings
on the subject of child protection
and
safeguarding
• Practising safe staff recruitment procedures

The only truly British made dental Laser
giving you local backup and support

• The British Society of Paediatric Dentistry and the Royal
College of Paediatrics and
Child Health’s Procedures to be
adopted by the dental professional who suspects child abuse
http://www.rcpch.ac.uk/publications/recent_publications/GDCFinalNovember.pdf
http://www.scottishdental.org/
docs/procs_suspabuse.pdf (version for practices in Scotland)

Accurate impressions and
gingival re-contouring as well
as peri-implantitis treatment
are just some of the laser
benefits.

No expensive tips

If you are concerned about
a child you should act on it
promptly; please do not think
someone else will take action.
Approach the child in a friendly
manner, take a history, examine
and talk to the child. Do not ask
leading questions. Ask the child
and the parent/carer about what
caused any obvious injuries,
and take into account the child’s
past dental history, their medical history and the family and
social circumstances. Please do
not be judgemental. Speak to
you Child Protection Lead or a
senior member of staff and follow the local child protection
guidelines.
Further guidance
• All Wales child protection
procedures
http://www.allwalesunit.gov.
uk/index.cfm?articleid=298

See and feel the benefits
of Laser assisted Dentistry.

No battery
No power loss

October 2013

• Educare child protection
distance learning resource,
written by the NSPCC (the first
two modules are available free
of charge) and supporting its
campaign
http://www.debrus-educare.
co.uk/talktilitstops/
• Healthcare Learning: Smileon has produced an online resource looking at the treatment
and support of vulnerable children. Access the course for free
http://elearning.smile-onnews.
com/

British Build, Design & Support

Most competitively priced whitening available

• Local safeguarding children
boards (These organisations
help key agencies to work
together)
http://www.everychildmatters.
gov.uk/lscb/

TeleCam Dual
All-in-One Intra oral
Camera with 8” or
5” screen options.

• NSPCC ‘Talk ‘til it stops’
campaign
http://www.nspcc.org.uk/html/
home/newsandcampaigns/talk_
til_it_stops.htm
• Scottish Dental child protection
and the dental team resources
http://www.scottishdental.org/
resources/child_protection

Surgery Branding

Call now 01227 780009 Quoting offer ‘BDTA’ - Whilst stocks last

www.quicklase.com - BDTA Stand J11

QLQW030913RG

Laser & Whitening Specialists since 1992

About the author
Dilhani Silva is
Practice Manager
for
orthodontic
clinic, Orthoclinic
Limited.

[21] =>

This is an advertising feature
United Kingdom Edition

October 2013

Practice finance made simple
Becki Barnett details finance issues

S

o things are looking up if
you listen to the news and
the papers, although on
the ground some would argue
that the hesitance to spend is still
there. Our practice sales team are
still going into practices who say
that whilst they haven’t been materially affected the patient books
are still a little quieter than they
were and patients continue to
postpone big treatment plans not
through not having the money
but through fear of not having it!
However, from a practice finance perspective in honesty the
ground hasn’t really moved in
the last two years. We have an
exciting new entrant in the market with a further two banks who
aren’t active in the market at the
moment in the crux of writing
new credit policies to offer lending to dentists, but talk is talk and
actually drawing down money is
something entirely different. The
new entrant openly admit to being more expensive but seek to
compete on the grounds of being a different service offering
and more informed credit team
which is undoubtedly a draw given some of the big names’ reputation. However, the days of 1 per
cent above base are still sat in the
past alongside petrol at 69p a litre!
I tend to find that when first
approached by prospective buyers, they are in the main inquisitive about how much money they
will be allowed to borrow and
at what interest rate. Although
these are difficult questions
to answer specifically as lending
decisions are based fundamentally on the target practice(s)
so we enter a chicken and egg
style scenario.
However, with the average
goodwill and equipment transaction value on Dental Elite’s
rostrum being £643,048 it is becoming more challenging for first
time buyers as popular practices
now rarely trade for less than
£450,000. However, there are a
number of government schemes,
pro-active healthcare managers
and ambitious banks who will
often find a way to make a deal
work if it is presented in the right
way:
• Presentation is Key: when you
are presented with a set of accounts for a practice everyone
knows that these accounts have
been subject to some legal manipulation to mitigate the annual
sum paid to George Osborne! Motor Expenses / Spouse’s Salaries,
I’m sure you know the drill but often there are other more discrete
tax efficiencies hidden within the
accounts and you shouldn’t rely
on your Bank Manager to find
these to make your proposal at-

tractive to credit. If you want the
practice we are going to have to
demonstrate to the lenders that
this deal works and that it is a
good business with a good profit
margin. Further if you are going
to add additional services or reduce overheads in the business
to improve the bottom line, build
it into a cash flow forecast and a
supporting business plan if appropriate.
• Be Comfortable with the Target Practice: Two of the modal
lenders in the sector instruct a
chartered valuation as a matter
of course which seeks to confirm
your offer for the practice. Eight
times out of ten this valuation will
come in at the level you have offered for the practice but there
are occasions, especially on very
popular practices that the value
comes in below that, that you
have offered. Whilst we work
with the valuers to give them
comparable data and background
marketing information to support
the value offered, annoyingly it is
a fairly frequent occurrence that
the value doesn’t marry up. Depending on the lender the amount

‘Do not be afraid to
challenge the valuation if you feel it
inaccurate’

of deposit required can vary from
5 per cent upwards but obviously
the bigger the deposit the more
options you have for lending. It
is however worth thinking about
how this will affect your loan offer? If you have been offered a
loan on the basis of 80 per cent
Loan-to-Value (LTV) then the 80
per cent will often be 80 per cent
of the valuation reported, which
can leave a funding gap that will
either need to be addressed by renegotiation with your target practice or by you putting in the extra
funds to cover the gap. Therefore
if you can stretch to 22 per cent of
the Purchase Price in your own
funds this will make you a far better prospect for a vendor than if
you are scrapping together the 20
per cent!
• Do not be afraid to challenge
the valuation if you feel it inaccurate: we have just had successfully contested a valuation that
came in £200,000 below the offer
price. Whilst, we weren’t able to
make all of the gap up, we did get
considerably nearer which was
enough to make the deal work for
buyer and seller alike.

• Be savvy about use of the Enterprise Finance Guarantee
Scheme (EFG): The EFG is a
great scheme that encourages
banks to have a greater appetite
than perhaps their credit teams
would otherwise have had. However it is a reasonably expensive
scheme as it carries a 2 per cent
per annum interest premium
which is payable quarterly. This
can get confusing as banks have a
habit of quoting their interest rate
plus the EFG Premium, which
means that the 3.6 per cent above
base rate is actually 5.6 per cent
above base for the component
that is in the EFG Scheme.
We are finding this is the biggest area than can be negotiated
with the banks as encouraging
them to take an extra £100,000
risk themselves makes a considerable difference to your annual
repayments and we are finding
that if left un-debated the managers will divert to using the EFG
Scheme by default without considering whether it is prudent for
the bank to take all the risk for at
least some of the loan.
• Be prudent with who you
approach and when: if you approach NatWest and they submit a proposal to credit this will
prohibit negotiations with RBS
for a period of time but it may
have been a deal that is better
suited to the RBS team. Additionally, there are vast differences in
the commercial attitudes of different personnel within a bank
and you will want to work with
someone who has a ‘can-do’ attitude. All too often I have known
of buyers who have had their
proposal knocked back before
credit only for the same deal to go
through with another buyer with
the same bank who actually has
a weaker proposition. However,
once you have given a proposal
to one Healthcare Manager it
is difficult to change that manager whereas we cherry-pick
the people we know want to make
a deal work at all of the banks we
work with.
DE Finance are the newest division of Dental Elite, specialising
in securing Practice Finance for
dental professionals either looking to acquire their first practice
to experience principles growing
their corporate group. By dealing
with practice finance in a nonclinical way we can better assist
you in presenting the case in a
positive business perspective for
each lender and by developing
cash flow forecasts and business
plans that aren’t going to knocked
back at the first hurdle. We also
only look at practice finance so
we have no financial interest in
upselling you insurance or other
sundry finance products. DT

[22] =>

22 Industry News
Denplan - enhancing
brand recognition at BDTA
According
to
recent
consumer research, Denplan
is the third most widely
recognised
healthcare
brand in the UK, behind only
BUPA and AXA PPP, with an astonishing 50% recognition rate*. As the only
dental payment plan specialist that patients can ask for by name, Denplan
uses its consumer brand identity to help you grow your business. Come along
to stand F10 to enjoy an ice cream and find out how. And that’s not all – we’ll
also be announcing some exciting new product enhancements at this year’s
Showcase to benefit both practices and patients alike, so come and talk to one
of the friendly team at our stand to find out more.
For more information about Denplan, please visit www.denplan.co.uk or call
us on 0800 169 9962.
*Source: Simplyhealth/HPI brand tracking research, October 2012 based on
1178 responses of those who have or would consider health cover.

United Kingdom Edition

Interested in ergonomics?
Visitors to DB Dental’s Stands N03 and N05 will
have an opportunity see some of Heka Dental’s
bespoke UNIC Treatment Centres, which
combine aesthetic beauty with state-of-the-art
ergonomic efficiency. Now available in an even
wider range of inspirational colours, UNIC is the
ultimate embodiment of feedback from patients,
dentists and service engineers, its inviting
appearance and carefully thought through
functionality creating the perfect environment
for a pleasant dental visit. Designed by David Lewis, UNIC is the epitome of
ergonomic design. Everything – instruments, trays, light, x-ray unit etc – is within
easy reach. Heka Dental call it intuitive design and functionality – everything
is exactly where you would expect it to be, making even complex clinical
procedures easier, more efficient and comfortable for the patient and dental
team. With their unique bespoke design capability, UNIC treatment centres can
be built to individual specifications, releasing the operator’s creative genius in
every aspect of dentistry.
Supplied with a fully comprehensive three year Warranty, every component is
manufactured by Heka Dental in order to ensure the highest possible quality.

Masterstrokes of innovation showcased at the BDTA
Healthy, clean, whiter teeth are the ultimate aspiration, so Philips’ coupling of
Sonicare with Zoom has created the dream team to help dental professionals
achieve patients’ expectations. In 2013 the Company celebrated the launch
of a trio of new oral healthcare products which edge patients closer to the
pinnacle of oral achievement, and all three will be showcased on stand P06 at
the BDTA between 17 -19 October in Birmingham.
Visitors to the stand will be also able to get their hands on the new Sonicare
FlexCare Platinum - the most effective yet gentle brush with patented sonic
technology the Company has yet produced. FlexCare Platinum removes seven
times more plaque from between the teeth than a manual and has a built-in
pressure sensor to prevent patients from over brushing.
Lightening has struck twice with the launch of the latest Zoom light activated
chairside whitening system which when combined with new DayWhite/
NiteWhite home tooth whitening products from Philips have achieved the
impossible dream - sparkling results.
Dental professionals are recommended to plan to visit stand P06 early to beat
the queues, or if they are unable to attend the BDTA Showcase but would like
to speak to a Philips representative directly or to place an order, they can call
the Company direct on 0800 0567 222.

QuickLase QuickWhite
Amazing Offers for the
BDTA 2013
Why spend more when you
don’t need to?
Exclusive October offers for
the BDTA show attendees,
limited only for these days, your chance to save!
Show offers will be available on the following products, the new Quicklase
lasers, the inexpensive Quickwhite whitening kits, TeleCam Intra Oral cameras
5 inch and 8 inch built in colour screens.
Make sure you visit us on stand J11 to take advantage of these offers as well as
new products revealed first at the BDTA show.
Don’t miss out, call us on 01227 780009 for further information,
visit www.QuickLase.com or follow Quicklase Quickwhite on Facebook and
Twitter @QLQW.

Christmas gifting wrapped up- In the run up to the Christmas gifting time
period, the launch of the recommendation voucher scheme could not be more
timely, so practices are recommended to contact Philips to obtain the display
unit in time for the festive season. For more information please telephone
0800 0567 222.

Oralift
Sensational facial rejuvenation …
without surgery or needles
Visitors to the BDTA Showcase will
have an opportunity to hear Dr Nick
Mohindra, inventor of the innovative
Oralift facial rejuvenation device,
deliver a mini lecture on its benefits
at 16.30 on Thursday 17th October,
11.00 on Friday 18th October and 12.30 on Saturday 19th October. There will
also be the opportunity to attend a Practical Demonstration in the Live Theatre
on the Thursday (13.00 – 14.00) and Friday (15.30 – 16.30). They will also have an
opportunity to speak directly to Nick on Stand P15 throughout the Showcase.
The Oralift device is designed to reduce and delay the signs of facial ageing
(crows’ feet, wrinkles, loss of skin tone, sagging jowls etc) without the need
for surgery, needles or artificial fillers. Oralift is a thermoplastic bite-guard
which is easy to fit over the mandibulary teeth similarly to a small mouthguard.
Requiring no exercise programme, the facial muscles are simply activated to
create the rejuvenating effect by just wearing it in the mouth. After a matter
of weeks, patients will start to notice Oralift’s rejuvenating effects, which can
become stronger and more pronounced as they continue the therapy. Oralift
therapy is simple, easy to use and above all totally natural!

For further inforation on the complete range of Heka Dental equipment visit
Stand N03 and N05, contact DB Dental on 01484 401015
or visit www.heka-dental.com.

For further information about Oralift email info@dentalfacelift.com
or visit www.oralift.com

Blast Away at the BDTA!
Lucky delegates each day can try the Sonicare AirFloss at one of the brushing
stations on Philips’ stand (P06) at the BDTA Conference and can take it away with
them for free. This follows a similar initiative at the product’s unveiling at the BDA
Conference earlier in the year where over 30% of delegates trialled an AirFloss.
The early trialists evaluated their AirFloss for thirty days and results were beyond
Philips’ expectations; 85 per cent would recommend it (to their patients, friends
or colleagues);

Visit QED Stand P13 for all your endodontic
requirements
QED is looking forward to the BDTA Showcase, a
great opportunity to introduce new products and
concepts to Dentists plus get feedback from existing
customers, so please visit stand P13. Endodontics,
RCT, root canal therapy, whatever you call it, there
are many endodontic systems on the market which
can make endo confusing and costly, so QED try to keep it simple and costefficient. They have three main file systems, TRINITI®, Mtwo® and RECIPROC®.
Since launching RECIPROC®, customers’ feedback has been great. Delegates
can evaluate it at one of their hands-on workshops, which are being run
throughout Friday and Saturday. The sessions will be hosted by Nick Gibb, who
runs a busy NHS/Private Practice in Leamington Spa. If you want to participate,
please visit Stand P13 or contact QED in advance on 01733 404999, email
sales@qedendo.co.uk or via your local salesperson. QED have other exclusive
products including Apex Locators – Morita’s Root ZX, VDW’s Raypex 6; Motors
– VDW Silver and VDW Gold with integrated apex locator; Obturation units SuperEndo Alpha and Beta, Obtura Max and Gutta Fusion. In addition, they sell
products from Dentsply, Sybron Endo, Acteon (Satelec) plus many more too.

More than 95 per cent agree that AirFloss is easy to use (for their patients) and
9 out of 10 believe agree that AirFloss will be effective for use with orthodontic
patients
Other highlights of a stand visit will be a chance to see the new Sonicare FlexCare
Platinum – the most innovative sonic toothbrush to be developed by Philips –
and the one which achieves the best plaque removal results in its portfolio.
Light fantastic ‘limited’ pre-Christmas whitening show offers will be available so
Dental Professionals are recommended to plan their visit to stand P06 to beat
the queues. If you are unable to attend the Showcase but would like to speak to
a Philips representative directly or to place an order, call direct on 0800 0567 222.

For further information on the complete QED range visit stand P13 or contact
them on 01733 404999, email sales@qedendo.co.uk or via your local
salesperson.

Smilelign Welcomes Orthodontic Consultant on
Board
Smilelign are proud to announce that Dr Sunil Hirani,
a Specialist Orthodontist and founder of SmileLux, a
Specialist Orthodontic practice in Milton Keynes has
been invited on board as Clinical Advisor.
Dr Sunil Hirani
Practice Principal / Specialist Orthodontist
BSc (Hons), BDS, MSc, FDSRCS (Eng), MOrthRCS (Eng), FDS (Orth), GCAP (KCL)
GDC No. : 72309
Dr Hirani graduated from Guy’s Hospital, London in 1996. He has a Master’s
degree in Orthodontics and is a Fellow of Dental Surgery of the Royal College
of Surgeons (RCS) and holds a Membership in Orthodontics from the RCS which
was awarded in 2003. In 2005, he passed his exit fellowship, FDS (Orth) which
is a marker of Consultant approved training and obtained first place in the UK.
Dr Hirani commented: “I am delighted to be part of the Smilelign team. GDP’s
can rest assured that the treatment will be achievable, within sensible limits
and complete in a very timely manner. The team at Smilelign have clearly done
their research in the market, listened to what Dentists want and what they need,
bundled it together and what you see is a well presented product that does what
it says on the tin!”
T.0114 250 0176 e. info@smilelign.com www.smilelign.com

Philips launches
recommender scheme
for AirFloss and Sonicare
power toothbrushes
In the run up to Christmas
gifting
period,
Philips
Sonicare has launched a
recommendation scheme
for dental practices which
prefer not to dispense products. Participating practices will be provided with
vouchers which they can give patients to point them in the right direction to
buy a Sonicare toothbrush or AirFloss. The vouchers are redeemable in Boots
stores* and as an added incentive to encourage patients to purchase, they offer
£10 off each item. This is in addition to any in-store promotions which may be
running! The vouchers are provided for practices to tear off from a freestanding
counter top display unit; one for Sonicare - which is valid on all brushes in the
Sonicare range (excluding PowerUp); and a separate one for AirFloss.

October 2013

Ensure your compliance the easy way
SafeSeen Touch to be launched at BDTA Dental
Show 2013
Launching at this year’s BDTA Dental Showcase,
the innovative SafeSeen Touch is a complete
compliance suite.
The device enables you to ensure and
demonstrate your practice compliance in all areas of CQC, HR and patient
consent. All information you and your patients will need is stored on the device,
and programmes can then be accessed and viewed in high quality graphics.
For convenience, your patients can also create a secure e-signature on the
tablet for any treatment consent required in the future. Designed to maximise
your practice workflow while meeting all the regulations, the SafeSeen Touch
is a compact, portable and easy-to-use tablet for use anywhere in the practice.
Created independently from any software manufacturer, the SafeSeen Touch is
also compatible with any existing practice management software for ultimate
flexibility.
To improve communication with your patients and ensure every aspect of your
practice compliance, discover what the SafeSeen Touch could do for you, at the
BDTA Dental Showcase 2013.
For more information, please contact Chloe Booth on 07825 201657
email: chloe@totaldental.co.uk

Three jewels from Trycare
ADIN Implants, Estelite and the Straw!
Visitors to Stand D26 will be able to see three jewels
from Trycare – the ADIN Implant System, Estelite and
Sterisil Straw. The ADIN Implant System is the new
era in ethical implantology. Independently judged
to be one of the most effective implants evaluated
by New York University, ADIN implants are available
from as little as £125 plus VAT including the implant,
healing abutment, analog, transfer and cement
retained abutment. Estelite is the jewel of composites. In addition to superb
aesthetics, the ideal composite must have outstanding physical properties
that deliver reliable, long lasting restorations simply and effectively. Tokuyama
has developed such a composite! The uniqueness of Estelite is achieved
by combining a size and shape controlled spherical filler with an innovative
polymerisation process that ensures rapid, controlled cure with no shade
change after polymerisation. All of this with easy aesthetic perfection and
remarkable handling. The innovative Sterisil Straw and antimicrobial bottle
system transforms waterline disinfection from a daily or hourly procedure
into a simple annual event. Working night and day for 365 days, Sterisil
Straw disinfects the dental unit’s water lines providing safe and clean water
throughout the year.
For further information visit Stand D26, ask your local Trycare Representative,
email dental@trycare.co.uk or visit www.trycare.co.uk

Plan for success with Plandent
Planning is central to running a
successful dental practice and this is
where Plandent offer you a full service;
whether it’s new capital equipment,
ordering your everyday consumables
and advice on new dental products.
Incorporating Claudius Ash, Plandent’s
fully trained team are here to help
with all your dental needs and
wants. Plandent is the second largest dental distributor in Europe allowing
the Company to provide you with the very best value for money. This year’s
BDTA Dental Showcase will see the launch of Plandent’s fabulous and unique
ordering system, PlanO+plus. This easy to use on-line Smart App does all
of the hard work for you, straight from your iPhone or iPod Touch, ensuring
you never run out of vital materials, whilst maintaining an affordable level of
stock for your practice. As well as the renowned Planmeca units and chairs,
Plandent will be demonstrating the very latest developments in 2D and 3D
imaging, essential for improved diagnostics and practice development. During
your visit, come and try our revolutionary solutions in Digital Dentistry with
the all new PlanCan intra-oral scanner, PlanScan Lab, PlanCAD & ProScanner
phosphor plate device.
Visit Plandent’s Stand F13/G14 for daily exhibition special offers. Alternatively,
call Plandent on Freecall 0500 500 322.

[23] =>

United Kingdom Edition

October 2013

Industry News 23

Help your patients achieve the best
Waterpik International to exhibit at the BDTA Dental Showcase 2013
Do you want to help your patients achieve excellent oral health? Have you
discovered the benefits of the Waterpik® Water Flosser? Exhibiting at this year’s
BDTA Dental Showcase, the expert team from Waterpik® will be available to
offer any information or advice you may need on the Waterpik® range. Waterpik
International will be launching the newly refined WP100 Ultra Water Flosser,
with a new two-pin plug for easy charging from a standard UK shaver socket.
The number one recommended Water Flosser by US dentists and arguably the
most popular Water Flosser globally is now available in the UK. Also find further
details on the Waterpik® Complete Care system. Combining the Waterpik®
Water Flosser and Sensonic® Professional Plus Sonic Toothbrush in one compact
unit, the system is supported by a wealth of clinical evidence. The Waterpik®
Water Flosser, for example, has been proven to remove up to 99.9% of plaque
biofilm on treated areas in just three seconds[ Gorur A, Lyle, DM, Schaudinn
C, Costerton JW. ‘Biofilm removal with a dental water jet’. Compend Contin Ed
Dent. 2009;30(Special Iss 1):1 – 6.], while the Sensonic® Professional Plus Sonic
Toothbrush has up to 25% faster bristle speed for 29% better plaque removal
than other sonic toothbrushes available[ Goyal CR, Lyle DM, Quqish JG, Schuller
R. ‘The addition of a Water Flosser to power tooth brushing: effect on bleeding,
gingivitis, and plaque’. J Clin Dent. 2012;23:57-63.]. The combination of the two
was proven 70% more effective than a leading sonic toothbrush for reducing
gingival bleeding.[ Goyal CR, Lyle DM, Quqish JG, Schuller R. ‘The addition of
a Water Flosser to power tooth brushing: effect on bleeding, gingivitis, and
plaque’. J Clin Dent. 2012;23:57-63.] To find out more, don’t forget to visit the
experts on stand H06 at the BDTA Dental Showcase 2013.

Curaprox to exhibit impressive oral hygiene
solutions at the BDTA Dental Showcase
Oral healthcare experts Curaprox will reveal
their new branding at this year’s BDTA
showcase, while demonstrating their range of
high quality oral hygiene solutions with live
demos. Delegates at the Curaprox stand [N07]
will experience live tooth brushing demos
following the “touch 2 teach” philosophy –
from our iTOP (individually Trained Oral Prophylaxis). Visitors will also discover
Curasept, non-staining CHX toothpaste and gel formulations – products that
contain the industry’s gold standard anti microbial without its side effects. The
Curaprox team will also be at hand to share the new generation of interdental
brushes – the CPS Prime range. Made from nickel free CURAL surgical wire, these
interdental brushes offer extreme durability with the thinnest of cores – this
means they last up to 5 times longer than other brushes on the market. With
decades of clinical expertise, Curaprox have developed such an impressive range
of high quality of oral hygiene products, establishing them as one of the UK’s
leading suppliers.

Get the most out of your business
Cavendish Imaging has been
providing
specialist
imaging
service to dentists, maxillofacial
surgeons, dental implant surgeons,
orthodontists and facial plastic
surgeons, for more than 10 years.
Keen to ensure the centres use the
most effective equipment available
in the industry, Dr Andrew Dawood
(Clinical Director) and Veronique
Sauret-Jackson (Radiology Director),
recently sourced the latest NewTom 5G CBCT scanner from Tavom, through
RPA Dental. “Since purchasing the machine, the support we have received has
been great – the RPA Dental engineers are able to visit Italy, where the scanner
is manufactured, regularly to refresh their training and therefore ensure we
really get the most out of the equipment.” – Dr Veronique Sauret-Jackson.
“I agree the suppliers have been very good. RPA Dental is responsive to our
needs and they get back to us quickly. The team also helped us develop an
efficient interior design to accommodate the new equipment in the space we
had available.” – Dr Andrew Dawood. Whether you need new equipment or
a complete re-design of your premises, Tavom has the solution. The team of
experts have all the experience and skills to ensure you get the most out of
your business.For more information on how Tavom can help you, please visit
www.tavomuk.com. To contact the supplier RPA Dental,
please call 08000 933 975 or visit www.rpadental.net

Support the UK dental technician
trade with Sparkle Dental Labs
Sparkle Dental Labs is a Leeds based
dental laboratory that is looking
to revive the UK dental technician
trade, which has suffered in recent
years due to work being outsourced
abroad. Delegates attending this
year’s BDTA: Dental Showcase will have the chance to speak with a member of
the Sparkle Dental Labs team about the array of services that they offer and the
quality of the dental products that they produce. To compliment its high calibre
products Sparkle Dental Labs maintains a high level of customer care, which
includes a quick turnaround policy. By making sure that all of its clients receive
their dental products as soon as possible, Sparkle Dental Labs is able to help the
practices that it works with maintain a high standard of patient care

Visit Stand L11 and see the
NEW Constic self-etching and
adhesive flowable composite
from DMG UK!
Visitors to Stand L11 will be able
to see all the latest innovations
from DMG UK including their
NEW Constic self-etching and
adhesive flowable composite.
Constic self-etching and adhesive flowable composite is a new 3-in-1
flowable composite which combines etching gel, bonding agent and flowable
composite in one single product. Consequently it eliminates both the etching
and bonding steps and the associated time expenditure. Possible sources of
error are also minimised – advantages not offered by conventional flowable
composites requiring the use of a separate adhesive. Post-operative sensitivity
is also markedly reduced. Constic is faster, easier, more gentle and reliable! As
well as treating MID restorations including small Class I restorations and base
linings in adults and children, Constic can be used for fissure sealing, repairing
existing restorations and blocking out undercuts, all of which can be quickly
carried out with Constic, which is simple to apply and then light-cured.

Constic
DMG’s NEW self-etching and
adhesive flowable composite is
ideal for MID!
When restoring teeth as part of
a minimally invasive procedure
wouldn’t it be great to save
additional time too?
DMG’s NEW Constic self-etching
and adhesive flowable composite eliminates both the etching and bonding
steps and saves valuable time too. Post-operative sensitivity is also markedly
reduced. Constic is faster, easier, more gentle and reliable!
This new 3-in-1 flowable composite combines etching gel, bonding agent and
flowable composite in one single product. Consequently it eliminates both
the etching and bonding steps and the associated time expenditure. Possible
sources of error are also minimised – advantages not offered by conventional
flowable composites requiring the use of a separate adhesive.
As well as for treating MID restorations including small Class I restorations and
base linings in adults and children, Constic can be used for fissure sealing,
repairing existing restorations and blocking out undercuts, all of which can be
quickly carried out with Constic, which is simple to apply and then light-cured.
Available in six shades (A1, A2, A3, A3.5, B1 and Opaque-White), Constic is
radiopaque with a tooth-like fluorescence.
For further information contact your local dental dealer or DMG Dental Products
(UK) Ltd on 01656 789401, fax 01656 360100, email paulw@dmg-dental.co.uk
or visit www.dmg-dental.com

Journey through an MSc in Restorative & Aesthetic
Dentistry
With Dr Oliver Harman
Dr Oliver Harman is now coming to the end of his twoyear MSc in Restorative & Aesthetic Dentistry, with
only a couple of weeks before the dissertation section
of the course. Designed to advance practitioner’s
skills in this area, the course is provided by renowned
education provider Healthcare Learning: Smile-on
in collaboration with the University of Manchester.
“This MSc course has been superb. I experienced a different style of teaching
throughout this course – it was clear the instructors were training us for
bigger things. Module 4 in particular encouraged a high level of thinking and
reasoning, which has already had a huge influence over the way I practice
dentistry. “I have been thoroughly impressed with all the academics leading
the course, who really know their stuff and have been fantastic instructors. A
good balance between the research, hospital and general dentistry has also
been presented.

High quality, home grown dental
xxxxxx
xxxxxxxxxxxxxxxxxxxxxxxxxx
products
from Sparkle Dental
Labs Ltd
Sparkle Dental Labs Ltd is a dental
laboratory based in Yorkshire, with
the aim of reinvigorating the UK’s
waning dental technician trade.
Ten years ago there were more
than 12,000 dental technicians
operating in the UK, today this figure
stands at 5,000 technicians and is still
depleting by more than 200 technicians
a year. With its state of the art laboratory in Leeds, Sparkle Dental Labs is hoping
that it can attract a new generation of technicians to this dwindling profession.

Boost your patient base
with Zesty
The popularity of television
programmes like The Only
Way is Essex have caused a
surge in interest in cosmetic dentistry. With this area of dentistry flourishing,
now is the time to let Zesty help you bring patients looking for whitening and
other cosmetic treatments to your practice.

Available in six shades, Constic is radiopaque with a tooth-like fluorescence.
For further information visit Stand L11, contact your local dental dealer or DMG
Dental Products (UK) Ltd on 01656 789401, fax 01656 360100,
email info@dmg-dental.co.uk or visit www.dmg-dental.com

Are you looking for competitive teeth
whitening?
Peroxide whitens teeth; don’t be deceived
by other suppliers who say their products
have additional whitening ingredients and
gimmicky extras such as cool packs. We have
provided over 3,000 whitening systems and
over 3,000,000 whitening kits. With our PH
balanced gel we guarantee quality, control
and a competitive price. Whitening is simple
just stick to the latest regulations, start with
the 6% in surgery and then let the patient
finish the whitening process with carbamide
peroxide at home. Tell your patient to rinse
with water to eliminate any sensitivity. Our
latest unbeatable whitening offers include the new QuickWhite Intenz
combined kit, using 6% hydrogen peroxide for in-surgery and 16% carbamide
syringes for home use. Offers include the QuickWhite syringes, available in 6%
hydrogen peroxide, 10% and 16% carbamide peroxide. We are well known for
effective, fast whitening and being a manufacturer means the cost to you is
lower. They are the most economical kits sold in the market and supported
with patients marketing; there is even the option for customised packaging.
Don’t miss out on these offers, call us on 01227 780009 for further information,
visit www.QuickLase.com or follow Quicklase Quickwhite on Facebook and
Twitter @QLQW.

To learn more about these high quality oral hygiene solutions, make sure you
visit the Curaprox stand [N07] at the BDTA Dental Showcase 2013.
For more information please call 01480 862084,
email info@curaprox.co.uk or visit www.curaprox.co.uk

To speak with a member of the Sparkle Dental Labs team you can find them on
stand M06 at this years BDTA: Dental Showcase, which takes place from October
17th - 19th at the NEC in Birmingham.

For any additional information please call 0800 138 6255
or email customerservice@sparkledentallabs.com
or visit: www.sparkledentallabs.com

Carestream Dental – Here to Help
BDTA Dental Showcase 2013,
Stand P05
Do want to know how the latest
technology could benefit your
practice? Do you need advice on which equipment would suit you best? Don’t
miss your chance to get answers from the experts at Carestream Dental, who
will be exhibiting at this year’s BDTA Dental Showcase. The team will be on hand
to offer guidance on everything from state-of-the-art practice management
software, to intraoral scanners and patient correspondence options.
The cutting-edge products and services on display will include:
CS Solutions – a fully integrated and portable system that enables you to scan,
design, mill and place restorations in a single appointment.
AutoPost – an innovative alternative to paper communication with patients.
RVG 6500 – produces digital radiographs to the highest image resolution (20lp/
mm) in the industry. All technologies are designed for optimum efficiency,
accuracy and patient comfort, ensuring your patients have the best possible
dental experience. Working with eXceed, a business corporate programme
ensuring excellen\customer service, Carestream Dental is dedicated to helping
you do the best job you can.
For more information please call 0800 169 9692
or visit www.carestreamdental.co.uk

Giving your business a new lease
of life
Tavom UK at BDTA Dental
Showcase 2013
If the time has come to refresh and
refurbish your dental practice or
laboratory, you need look no further
than Tavom UK. Exhibiting at this
year’s BDTA Dental Showcase,
Tavom UK will be on hand to provide
any information or advice you could need. With extensive knowledge and
experience specifically within the dental industry, the Tavom UK experts
understand the demands you and your team face. They are dedicated to
helping you design an efficient working environment that encourages staff
satisfaction, while making the very most of the space available. All cabinetry is
made for maximum durability and is easily cleanable for full compliance with
HTM 01-05 regulations. It is also available in a range of colours, finishes and
surfaces materials, enabling you to design a premises totally unique to you.
So whether it is your dental practice or laboratory in need of a new lease of life,
be sure to discover the options available to you from Tavom UK at stand Q03 at
the BDTA Dental Showcase 2013.
For more information on Tavom UK, please visit www.tavomuk.com

“It has been an excellent course and I have thoroughly enjoyed the journey.”

To find out more about the MSc in Restorative & Aesthetic Dentstry, please call
020 7400 8989 or email info@healthcare-learning.com

Zesty is an online booking service that makes finding new patients simple. The
service allows patients looking for cosmetic services to find your practice and
book an appointment with only a few of clicks of a button. With enquiries about
clear braces rising by 177 per cent and laser whitening treatment increasing by
116 per cent, there has never been a better opportunity for cosmetic dentists
to boost their patient base.

With a high frequency of lab work now being referred to overseas laboratories,
Sparkle Dental Labs are hoping to regain the interest of dentists in home
grown dental products by ensuring that they are of the highest quality and are
reasonably priced.

Zesty is also able to accommodate the introduction of Direct Access, allowing
patients to find and book appointments with hygienists and therapists quickly
and simply.

As one of the only labs to be recognised with MHRA, DAMAS and ISO quality
assurance marks, you can be sure that Sparkle Dental Labs are working hard to
bring you the very best dental products from a team of highly skilled technicians.

With more than one million people searching for dental appointments every
month in London alone, Zesty is a truly modern approach to booking a dental
appointment that will help to keep your practice busy.

For more call 0800 138 6255 or email customerservice@sparkledentallabs.com
or visit: www.sparkledentallabs.com

Simply email: hello@zesty.co.uk, visit www.zesty.co.uk or call 020 3287 5416
for more details.

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[cover] => DT UK No. 12, 2013

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => Interview: Dental Tribune Online spoke with Prof Stephen Porter from the UCL Eastman Dental Institute about new risk factors and prevention strategies for oral cancer [page] => 06 ) [2] => Array ( [title] => Comment [page] => 08 ) [3] => Array ( [title] => An appropriate way to save lives [page] => 09 ) [4] => Array ( [title] => Showcase Tribune [page] => 10 ) [5] => Array ( [title] => Child Protection – a huge responsibility - a moral obligation [page] => 19 ) [6] => Array ( [title] => Practice finance made simple [page] => 21 ) [7] => Array ( [title] => Industry News [page] => 22 ) ) [toc_html] =>

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