DT UK No. 16, 2012

News / Living like a rock star / OFT report: what does it mean? / A well-earned break! / Ortho Tribune / Chronic pain management / Get CPD and some Christmas shopping! / Safeguarding children / Industry News / Dental Tribune UK Editorial Board / Classified

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June 18 -24, 2012

PUBLISHED IN LONDON
News in Brief
Robotic operation in UK
A minimally invasive treatment of oropharynx cancer is
now available at the Wellington Hospital in London. The
one-hour technique known
as Transoral Robotic Surgery
allows a surgeon to remove
the cancer without splitting
the jaw or taking tissue from
other parts of the body. It involves the use of the Da Vinci
robot to access the tonsils
through the mouth and unlike
a traditional surgery carried
out by two surgical teams, it
has less complications. Patients are in hospital for just
a week and do not need longterm feeding tubes as they
are able to swallow normally
soon after the surgery.
Sleep deprivation
Three studies being presented at Sleep 2012 conclude that
obesity and depression are
the two main culprits making
us excessively sleepy while
awake. Researchers at Penn
State examined a random
population sample of 1,741
adults and determined that
obesity and emotional stress
are the main causes of the
current “epidemic” of sleepiness and fatigue plaguing the
country. Insufficient sleep and
obstructive sleep apnoea also
play a role; both have been
linked to high blood pressure, heart disease, stroke,
depression, diabetes, obesity
and accidents. In the Penn
State cohort study, 222 adults
reporting excessive daytime
sleepiness (EDS) were followed up seven years later.
For those whose EDS persisted, weight gain was the
strongest predicting factor.
The three abstracts are being
presented at SLEEP 2012, the
26th annual meeting of the
Associated Professional Sleep
Societies (APSS) in Boston.
Redheads and dentists
A new study by the Journal of
the American Dental Association has suggested that redheads fear getting their teeth
checked out by a professional
more than the average Jane.
The study’s authors recruited
144 people for the study, 67 of
whom were natural redheads,
and 77 who were dark-haired.
The participants answered
survey questions about any
fears or anxieties related
to dental visits, and the researchers took blood samples
that they later tested for specific gene variants common in
people with red hair. People
with one specific gene, MC1R,
were more than twice as likely to report that they avoided
dental appointments because
of fear and anxiety than people without that gene.
www.dental-tribune.co.uk

News Feature

In the zone
DT looks at dental nursing
education

page 4

MSc Blog

VOL. 6 NO. 16

Ortho Tribune

Comment

Like a rockstar

Peer to pier

Pain management

Ken Harris talks about the
MSc residential

The BOS Conference 2012

Michael Sultan discusses the
bigger picture

page 8

page 13

pages 22-24

Meet the new CQC boss
David Behan takes over as Chief Executive in July

D

ame Jo Williams, Chair
of the Care Quality Commission (CQC)
recently announced the appointment of David Behan as
the Commission’s new Chief
Executive.
David is currently Director General for Social Care,
Local Government and Care
Partnerships at the Department of Health, prior to which
he was Chief Inspector of the
Commission for Social Care
Inspection. He has served as
President of the Association
of Directors of Social Services and as Director of Social
Services for Greenwich, Middlesbrough and Cleveland
Councils.
David joined the Department in 2006. For the last six
years, he has made a major
contribution to the work of the
Department as a member of
the Departmental Board and
the NHS Management Board.
He has led on work to reform
adult social care, and has
worked closely with local government to deliver the system
reforms set out in the Health
and Social Care Act 2011.
In his previous role, he was
the first Chief Inspector of the
Commission for Social Care
Inspection. Before that, David
held a number of leadership
and senior roles in the social
care and health sector, building on the frontline experience he gained at the start of
his career in 1978. His contribution to social care was recognised in 2004 by a CBE for
services to social care.
David will join CQC in July.

He will replace Cynthia Bower, who announced her resignation in February.

tackling poor care. I and my
Board very much look forward
to working with him.”

Dame Jo said: “I’m delighted to confirm David as
our new Chief Executive. The
quality of applicants was exceptionally strong, but David’s
combination of frontline and
regulatory experience, coupled with his commitment to
making a difference for people
who use services, made him
an outstanding candidate.

Commenting on his appointment David said: “I am
greatly looking forward to
my next challenge of working
with the CQC Board, staff and
stakeholders. I am delighted
to have been given this opportunity to lead the organisation that takes action where
services are poor and unsafe,
whilst providing assurance
that our health and care services are fit to achieve quality and outcomes for people
which are amongst the best in
the world.”

“His clarity of vision and
strong track record on delivery will be crucial to driving forward the next stage of
CQC’s development - as we
continue to build on the progress already made, delivering increasing benefits to the
health and social care system
through our essential role in

Protected by

Health Secretary Andrew
Lansley said: “I would like to
thank David for his dedication and professionalism. He
has made a huge contribution,

both in designing the reform
of the social care system so it
is fit for the future, but also
securing much better integration of health and social care.
“David will take his wealth
of experience of health and
social care to a vital role –
making sure that not only are
patients and service users getting high quality care, but that
their dignity and experience
is as important as their treatment and care. I wish David
the best in his new role.”
Permanent Secretary Una
O’Brien said: “David has made
an outstanding contribution,
not only to the Department of
Health, but to the entire social
care sector. I wish him all the
best for the future.” DT

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[2] => DTUK_issue161-5.indd

2 News

United Kingdom Edition

June 18-24, 2012

Smile for the camera?
A recent story run by a national newspaper of images
showing children coming
round from anaesthetic after
having their teeth pulled out
has caused unrest in the dental world.
The before and after shots,
which were taken in an effort
to dispel patients’ fears of the
dentist, show the faces of several children before and after
they are put under general
anaesthetic.
The images show the children at Sheffield’s Children
Hospital looking cheerful,
alert and happy before they
undergo the procedure and
then confused, scared and
covered in blood in in the
photos after they have had
their teeth pulled out.
According to the report,
photographer Andy Brown

decided to create the series
to show the young patients’
bravery during what can be
a singularly traumatic childhood experience.
However, the exhibition
is seemingly having the opposite effect: The first picture
is of a six-year-old boy, who
reportedly told his mother he
‘wouldn’t be able to smile because his teeth hurt’; the second picture is of a little girl
who looks scared and disorientated after having been
unconscious for more than
an hour; the third child looks
dazed and confused, whilst
the fourth child looks exhausted and worn down.
According to the report,
after their first portraits were
captured, the children were
put under general anaesthetic for tooth extraction and
remained unconscious until

just before the second pictures were taken in the recovery room hours later.
Sheffield-based
photographer Mr Brown said in the
report: “In recovery, children
were disorientated, woozy
from the general anaesthetic
and often upset. Their bravery in posing for a portrait despite this can be clearly seen.
“I chose to document the
procedure in this manner to
reflect the experience of the
patient. They have no memory of the procedure; they are
unconscious between the two
time points recorded here.”
According to the report,
the hospital opened its doors
to three professional photographers last autumn, with
the idea that they would capture the essence of daily life
on the wards for a ground-

breaking exhibition.
The pictures, which have
been described as ‘fascinating’ are part of the exhibition which is called You Are
Not Alone; it aims to reassure
children and parents who are
intimidated by hospitals.
However, dentists across
the country believe it is having the opposite effect: “I
think it is a sad reflection on
the state of UK dentistry when
some people think children
can be put at ease by showing
them the blood smeared faces of post-GA patients” one
disgusted dentist told Dental
Tribune.
The hospital’s website
reads: “We recognise that
coming to hospital can be an
anxious time and that this can
come from an uncertainty of
what to expect.

“This exhibition aims to
break down some of these
barriers by showing some aspects and characters of the
hospital which are not normally seen.
“By sharing patients’, parents’ and staff experiences,
we hope to demonstrate that
we are not alone in our anxieties and wish to provide viewers time to reflect on and even
celebrate what makes their
own experiences of The Children’s Hospital so unique.
“Through these stories, we
aim to share a glimpse of the
bravery, care, dedication and
even humour that exists at
the hospital every day.”
Original reports can be
found at http://bit.ly/LQ5hkS
and http://bit.ly/NI338O DT

‘Ridiculous’ rent forces dentist out
for a new £14.7m build competed in August and the rent
for rooms will shoot up to
£80,000 a year.
Mr Davies said: “It’s increasing about seven times
and I can’t afford that out of
my pay packet. I am not happy about it at all. It is a ridiculous amount to rent empty
rooms.
New health centre charges ‘ridiculous’ rent

dentist is being forced out
of his practice in Bransholme, Hull because of a
‘ridiculous’ rent charge at a new
health centre.

According to a news report
on the This is Hull & East Riding news site, Russell Davies
has been located at the centre for 16 years. However, the
current centre is making way

“I’m the only dentist at the
centre so there will no longer
be a practice when the new
building goes up. We treat
about 2,500 patients and they
will all have to find somewhere else to go.

Mr Davies added: “I don’t
even know why we need a
new health centre; the one we
have is fine. A million pounds
could have been spending smartening the current
one up.”

not good enough. I can’t get
to the new practice so I don’t
know what I’m going to do.”
A spokeswoman for NHS
Hull said: “The dentist has
been invited to move into the
new Bransholme Health Centre and, as the dental practice
is an independent business,
must decide whether or not
this is a viable business option, based on financial and
other reasoning.”

According to the report,
many of the elderly patients
of the practice have criticised
the rent charge. One said: “I
have been going to my dentist
for 30 years and this is just

The NHS is assuring patients there will be alternative
options within easy reach of
the existing centre but accept
they will lose the Mr Davies
from the health centre. DT

“I’m not going to have a
practice any longer so, unfortunately, all I can offer now is
house visits to my patients – I
have no choice.”

Outreach prize winner for Cardiff
T
his year the Cardiff
University
Outreach
Prize for Dentistry was
awarded to Kristian Davies.
Each year a BDS undergraduate student from Cardiff is selected to receive this award
in recognition of outstanding
achievement in the final year
of the course.

W&H supported the event
again this year and kindly donated an engraved handpiece,
which was presented to Kristian
at the University’s newly opened
Primary Dental Care Unit in
Mountain Ash.

The prize winner is selected for the possession of a
number of attributes in addition to displaying a high level
of clinical skill. Kristian was a
well-deserved winner of this
year’s award, his kind and caring nature was greatly appreciated by all his patients.

A popular member of his
year, his ‘upbeat’ manner,
dedication and high standards
made him the firm favourite for the award. Kristian
served as year representative
and achieved the 17th highest
mark in last November’s na-

tional DF1 interviews.

Known for being an extremely organised person with
excellent social skills, Kristian
was highly regarded and wellliked by both the clinical and
nursing staff.
He has chosen to take a
DF1 place near his home town
in South Wales and he takes
with him the best wishes of
all the staff for his future
career. DT

L-R: Peter Ash (Consultant / Director in Primary Care Dental Teaching Units), Kristian
Davies (prize winner), Caroline Caine (W&H), Andrew Ashraf (Clinical Lecturer)

[3] => DTUK_issue161-5.indd

United Kingdom Edition

Editorial comment
This week sees
the end of National
Smile Month for another year. There has
been lots to talk about
this year within the profession, not least of which the
use of the campaign by illegal
tooth whiteners to promote
their services, and the resist-

ance this has caused within
the profession about making
sure the right messages are
getting across to patients and
consumers.
It has been heartening to
see the galvanising of some
of the profession behind stopping this menace to patient

News 3

June 18-24, 2012

safety. Continued communication to the companies via their
Facebook pages, Twitter feeds,
press, consumer boards, letters to companies supplying their services, letters to
Trading Standards etc; it has
caused much trouble for some
of the larger illegal whitening
services.

the most passionate of supporters would admit to that!
But still, the ripples of this
stone could have far reaching consequences. I hope that
these efforts made over the
last month continue
and more add their
voice. DT

Of course it is a small stone
dropped in a large pond, even

Scientists at Newcastle
University, working with biotechnology companies OJ-Bio
Ltd and Orla Protein Technologies, are developing a novel
device which has great potential in rapidly detecting the
early signs of gum disease and
monitoring improvement as
the condition is treated. The
government-backed Technology Strategy Board and the
Engineering and Physical Sciences Research Council (EPSRC) have awarded the grant
funding to the £1.3m project to
help the consortium develop
the prototype into a commercial product.
The project will deliver
a device that will enable patients and dentists to monitor gum disease accurately,
simply and cost effectively, by
identifying signs of the disease
in saliva.
The funding allows OJ-Bio
and Orla to work with scientists Dr John Taylor and Professor Philip Preshaw, from
the Institute of Cellular Medicine (ICM) & Centre for Oral
Health Research (COHR) at
Newcastle University.
OJ-Bio was created to develop a new generation of
hand-held, real-time diagnostic devices that combine
biotechnology processes with
electronics manufacturing.
OJ-Bio had already performed an initial study for the
Technology Strategy Board,
which demonstrated the feasibility of a nanobiosensor
device for the detection of
proteins called matrix metalloproteinases, which are involved in a variety of diseases.
The project brings together
a multi-disciplinary effort of
UK excellence in nanoscale
science. DT

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

New

Grant for
new device
North East team who
have developed a device which will help
monitor gum disease has been
awarded more than £1,000,000
of Government funding.

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

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Duraphat

Dental Suspension Fluoride Varnish

In surgery treatment for
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Clinically proven caries efficacy1
– 33% reduction in dmfs
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Quick and easy application

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Applying fluoride varnish containing 22,600ppm F is a recommended intervention in
‘Delivering Better Oral Health – An evidence-based toolkit for prevention’2
Duraphat 50 mg/ml Dental Suspension. Active ingredients: 1ml of suspension contains 50mg Sodium Fluoride equivalent to 22.6mg of Fluoride (22,600ppm F)
Indications: Prevention of caries, desensitisation of hypersensitive teeth. Dosage and administration: Recommended dosage for single application: for milk teeth: up to
0.25ml (=5.65mg Fluoride), for mixed dentition: up to 0.40ml (=9.04 Fluoride), for permanent dentition: up to 0.75ml (=16.95 Fluoride). For caries prophylaxis the application is
usually repeated every 6 months but more frequent applications (every 3 months) may be made. For hypersensitivity, 2 or 3 applications should be made within a few days.
Contraindications: Hypersensitivity to colophony and/or any other constituents. Ulcerative gingivitis. Stomatits. Bronchial asthma. Special warnings and special
precautions for use: If the whole dentition is being treated the application should not be carried out on an empty stomach. On the day of application other high fluoride
preparations such a fluoride gel should be avoided. Fluoride supplements should be suspended for several days after applying Duraphat. Interactions with other medicines:
The presence of alcohol in the Duraphat formula should be considered. Undesirable effects: Oedematous swelling has been observed in subjects with tendency to allergic
reactions. The dental suspension layer can easily be removed from the mouth by brushing and rinsing. In rare cases, asthma attacks may occur in patients who have bronchial
asthma. Legal classification: POM. Product licence number: PL 00049/0042. Product licence holder: Colgate-Palmolive (U.K.) Ltd, Guildford Business Park,
Middleton Road, Guildford, Surrey GU2 8JZ. Price: £22.70 excl VAT (10ml tube) Date of revision of text: July 2008.
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1 Marinho et al. (2002); Cochrane Database Syst. Rev. no3. 2 Delivering Better Oral Health - An evidence-based
toolkit for prevention, Second Edition, Department of Health, July 2009.

www.colgateprofessional.co.uk

[4] => DTUK_issue161-5.indd

4 News Feature

United Kingdom Edition

June 18-24, 2012

Getting in the Zone
Dental Tribune looks at the newest collaboration in the field of dental nurse education

Kirstie McCulloch and Alison Doherty discuss the new Dental Nurse Education Zone (DNEZ)

T

he new collaboration
between Tempdent and
Smile-on has developed
the Dental Nurse Education
Zone, an online portal of information and education for dental nurses at any stage in their
career. Alison Doherty, Head
Tutor at Tempdent and Kirstie
McCulloch, General Manager
– Qualifications at Smile-on
spoke to Dental Tribune and explained how the two companies
have come together to provide
Dental Nurse Education Zone.
Kirstie explained: “Combining our healthcare educational
expertise with the UK’s leading specialist dental training
provider to deliver a better and
more flexible approach to dental nurse education is a natural
synergy.
“Collaborative partnerships
are fundamental to Smile-on’s
philosophy and our partnership with Tempdent is another
step forward in providing innovative blended learning offerings for every registered dental professional, this includes
dental nurses.”

Alison said: “As the head tutor at Temp Dent, I have used
some of the services offered by
Smile-on and found them to be
high quality, very user-friendly

This combining of expertise has led to the development
of the Dental Nurse Education
Zone. The UK’s first blended
learning website for dental

‘Innovation is one of our guiding principles
and using intergrated technology soultions
creatively to provide qualifications that are
now woven into the long term interests of
dentistry is at our core’
resources. As a training provider that has been delivering the
primary qualifications for more
than 10 years, we have accreditation for both City and Guilds
and the National Examining
Board and a substantial knowledge and expertise to ensure
students can qualify as easily
and quickly as possible.
“We can now combine these
two high quality expert companies to deliver a new style
of learning across the United
Kingdom to reach areas where
there are very few training providers.”

nurse education, it has been
developed to cover areas such
as Primary Qualifications; Online Registration for the National Diploma in Dental Nursing;
Online Registration for the Advanced Apprenticeship in Dental Nursing NVQ; Postgraduate
Qualifications; eRecord of Experience and Online Extended
Duties.
The Zone will also include
sections for CPD and Specialist Career Advice & Job Search;
as well as access to the latest news and information relevant to dental nurses. Alison
explained: “The students will
be able to access the underpinning knowledge through a
website. They can log on and
work through material such as
reading matter, audio PowerPoint presentations, webinars,
pre recorded webcast material
and a discussion board. We are
trying to use a wide variety of
materials to ensure that the students will find it easy to watch,
interact and learn.
“There are also parts of the
qualifications that will be difficult to learn in this way and so
we have added regional workshops. The learners will know
where and when these are running so the more practical techniques needed to pass an exam
can be tried, tested and perfected before the exam.

“As I mentioned, we have
full capability of helping the
students to meet the standards
needed for the qualifications
and have had an excellent success rate in delivering both
primary Dental Nursing qualifications in a classroom based
manner. As an example, we
have just received our first results for the brand new National Diploma for Dental Nurses
written exam that was sat last
month. Fifty-three of the 56 students have passed the written
exam. This is a pass rate of 95
per cent! Together with Smileon’s online expertise we can
bring our highly successful and
quality assured Dental Nurse
training programmes online to
every Dental Nurse across the
UK.”
Kirstie added: “Innovation
is one of our guiding principles
and using integrated technology solutions creatively to provide qualifications that are now
woven in to the long term interests of dentistry is at our core.”
Smile-on are leaders in the
field of blended learning for
dental professionals; in 2010
the company launched in partnership with the University of
Manchester the first two-year
online MSc in Restorative and
Aesthetic Dentistry. Now in
its third year, the course accommodates between 60-70
students in each cohort from
around the world. Kirstie said:
“We are entering into a new
age of integrating new technology based learning into the educational sector. Learners and
employers want the ability to fit
educational needs around commercial commitments, whilst
also minimising the financial
and time impacts traditional
methods sometimes dictate.
“There is so much more
choice now in how we access
and deliver content, the question is not ‘why’ we should be
doing it, but ‘what is the best
way to deliver a particular
component to meet the needs
of the recipients. Whether it is
through webinars, e-Learning,
vodcasts or podcasts or more

traditional face-to-face methods, we need to ensure we take
all aspects of the participants’
learning styles into account and
be far more customer centric
with the approaches we adopt.”
Alison added: “Dentistry has
changed so much in the last few
years. Education has changed
in the last few years. There is
a need to be able to offer different methods of learning to
students at a time that is convenient to them in the workplace. Many of the students
now find that they learn faster
and more easily through their
computer than going into a
classroom situation. They prefer to be able to learn at their
pace instead of the pace set by a
class. Also, many cannot access
a classroom based lesson at a
convenient time or location for
them. IT seems like the perfect
solution for many.
“I have spoken to many

‘There is a need
to be able to offer
different methods
of learning to students at a time that
is convenient in the
workplace’

students whom I have met at
various exhibitions and other
networking events who have
voiced a desire to learn as an
online course, together with
the knowledge of knowing that
there was always a dedicated
tutor who is available to speak
to in times when they needs
support. This is where our programme differs as we believe
students can complete these
primary qualifications with full
support of a tutor who can be
on the end of a phone or at a
workshop.” DT
t
For
more
information
contact info@smile-on.com or
call 02074008989

Over the next six months Tempdent & Smile-on will also be
starting delivery of online Dental Nurse Post Registration
Qualifications – Oral Health Education, Dental Radiography &
Dental Nurse Sedation, as well as Dental Receptionist & Practice
Management qualifications, all of which Tempdent have been
successfully delivering for a number of years & have achieved
outstanding success rates. A number of the qualifications that
will be delivered by the Dental Nursing Education Zone are
either fully government funded or heavily government
subsidised.

[5] => DTUK_issue161-5.indd

Dental Nurse Education Zone
One simple place...

Online Dental Nurse Education and Qualification Services
Smile-on and Tempdent
understand the need for flexible
learning to fit around the busy
lifestyles of dental nurses and
practices.
This blended learning website
provides everything you need
from the start of your dental career
through to your postgraduate
qualifications and even helps you
find the right job:

National Diploma in
Dental Nursing

Learning and Assessment

NEBDN

Diploma in Dental Nursing
Advanced Apprenticship

Learning and Assessment

Government funded NVQ

Online registration for National
Diploma in Dental Nursing

Oral Health Education
Fluoride application
Dental Radiography
Impression taking

 Primary Qualifications
 Online Registration for the National
Diploma in Dental Nursing
 Postgraduate Qualifications
 eRecord of Experience
 Online Extended Duties
 Specialist Career Advice &
Job Search
 CPD
 Latest News & Information
One simple place...

Dental Sedation Nursing
Postgraduate qualifications

eRecord of Experience

Online Extended Duties

Workshops
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[6] => DTUK_issue161-5.indd

6 News

United Kingdom Edition

DCP ARF reminder
D
ental care professionals
(DCPs) are being reminded to pay their annual retention fee (ARF) to the General
Dental Council (GDC) by 31 July
2012. Payment must be received
on or before that date if they want
to remain on the GDC’s register and eligible to work. No payments can be processed after the
deadline.
All dental care professionals
must be registered with the GDC
to work in the UK. The ARF is £120
for dental nurses, dental techni-

cians, dental therapists, dental
hygienists, clinical dental technicians and orthodontic therapists.
Registrants can use one of the
following options to pay their fee.
Option 1 – online

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open from 1 June – 31 July 2012
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an eGDC account yet, it’s not too
late to set one up now. The online registration process is simple

t 1MFBTF CF BEWJTFE UIBU UIF
GDC will not be able to accept
any payments received after
31 July 2012

and fast.

t 5P DSFBUF BO BDDPVOU WJTJU
www.eGDC-uk.org and enter the
required details, including Registration number and ID verification codes, which can be found on
the ARF notices
Option 2 – by post
t 1BZ UIF "3' DPNQMFUF UIF
“cheque and postal order” form
which was enclosed with the ARF
reminder letter

Option 3 – payment by phone
t#FUXFFO+VOFBOE+VMZ
2012. Make a payment by credit
or debit card over the phone 24
hours a day, seven days a week by
calling 0800 197 4610 (+44 207 000
3650 from overseas) up to and including 31 July 2012
t3FHJTUSBUJPOOVNCFSBOE*%
verification codes are required,
which can be found at the top of
the ARF notices, so please make
sure you have this to hand

June 18-24, 2012

Any DCPs who fail to make the
payment on or before the 31 July
2012 will be removed from the
GDC’s register. A list of those people will be circulated to UK Primary Care Trusts, Health Boards
and indemnity providers to enable them to keep their records up
to date.
Those registrants removed for
non-payment will also incur further costs if they apply to restore
their name to the register.
If you have any questions,
contact the Customer Advice and
Information Team on 0845 222
4141 or by email information@
gdc-uk.org DT

Implant nerve damage warning
E

xperts from King’s College
London have warned that
cases of permanent nerve
damage caused by dental implants could rise further if steps
are not taken to address risks and
prevent injury.
Researchers from the King’s
College London Dental Institute
carried out a case review of 30
dental implant patients who were
referred to a specialist nerve injury clinic at King’s College Hospital, part of King’s Health Partners Academic Health Sciences
Centre. The findings, published
today in the British Dental Journal, reveal that patient consent
and information, pre-operative
planning and appropriate postoperative referral were inadequate in this patient group. The
team has used these findings to
make recommendations for clinicians to improve practice.
Incidence of injury of the inferior alveolar nerve (IAN) has

increased as a result of a rise in
dental implant surgery over recent years. There are approximately 10,000 mandibular (lower
jaw) dental implant procedures
carried out each year in the UK,
and an estimated 100 reported
chronic nerve injuries resulting
from these procedures per year.
This type of injury can cause
severe pain and altered sensation
in the face, affecting everyday activities such as speaking, eating,
kissing, shaving and brushing
teeth. These injuries can have a
significant effect on a patient’s
quality of life, and can lead to depression and other mental health
problems.
In 1997, approximately 10 per
cent of all nerve injuries caused
by dental work were associated
with implants and this increased
to 30 per cent in 2007. Several
hundred complaints about dental
implants were made to the General Dental Council last year.

Researchers reviewed 30 patients whose nerve injuries were
caused by dental implants. A detailed history was taken, alongside a clinical examination and
assessment of pain levels. They
found that:
Only 11 of the 30 patients
were aware of signing consent
forms for the implant surgery
and of those eight felt they were
not explicitly warned about nerve
injury. Sixty-four per cent of patients did not recall providing
written consent.
No radiographic evidence pre
or post-operatively was provided
by the referring practitioner in 15
per cent of cases.
Seventy per cent of the 30 patients were referred to the specialist nerve injury clinic more
than six months after surgery,
despite evidence to show removal of the implant within 30 hours
significantly reduces the risk of

Barriers to cleft care
W

hen a child is born
with
an
orofacial
cleft, a family may
face medical, financial, and
cultural trials. Knowing how
parents perceive their ability to
access needed care for a child
born with birth defects can help
formulate solutions. A survey
of North Carolina mothers examines barriers to support and
services.

Almost 250 mothers of children from birth to six years
of age with orofacial clefts responded to the survey. Almost 40
per cent of the mothers reported
problems accessing primary
craniofacial care. Geographical
factors, lack of referrals, experiences with stigmatisation, and
concerns about confidentiality are some of the barriers that
these mothers perceived.

Cleft
Palate–Craniofacial
Journal reports findings from
this survey in the May issue.
Mothers responded to questions
about barriers to care, including
an open-ended question to offer
further insight. This study is a
qualitative analysis of this population, based on a state-wide
birth defects registry.

The themes that emerged in
this study were financial, structural, and personal barriers
to care. Lack of health insurance
or low Medicaid reimbursement
rates can create financial obstacles to care. The structure of
the health care system or psychosocial problems can be
defined as structural and personal barriers.

To address these issues and
help parents to achieve a positive view of their experiences,
the authors recommend wellcoordinated care and communication between service providers and families. Training
and continuing education for
healthcare professionals could
help them understand parents’ views and specific needs.
Health insurance companies,
health departments, craniofacial and cleft teams and centres, and birth defect registries
can collaborate with families
and existing health care systems to offer identification and
referral of these children to
the services that can best meet
their needs. DT

permanent damage. As a result,
only three patients were referred
and able to be treated immediately post-surgery.
The study showed that some
of the patients experienced problems associated with dental implant surgery, such as severe
bleeding, constant pain and/
or discomfort, numbness and
speech problems.
Thirty per cent of the implant
injury patients had problems with
eating, drinking and brushing
teeth due to pain. Psychological
problems were reported by 30 per
cent. This included four patients
out of the 30 with diagnosed depression and two with significant
depression and suicidal thoughts.

Following this case review, the
researchers suggested that professionals fitting dental implants
must ensure all implant patients
give adequate consent and are
made aware of the risk of nerve
damage; the researchers also
gave several recommendations
such as using of shorter implants
and that clinicians should recommend a patient undertakes a
‘home check’ for 12 hours after
surgery. They also recommended that the prompt removal of
implants should be carried out
within 30 hours if required.
Clinicians are reminded of
the requirements to notify the
Care Quality Commission of injuries to the nervous system. DT

Getting greener
employees who turned off their
computer monitors the evening
before.

As part of its commitment to
lessening its impact on the environment, Denplan held a special
Green Action Day on 25th May
2012.
In support of its ISO14001
environmental management accreditation, Denplan’s Green Action Day included lots of ‘green’
activities and prizes. Not only
did staff wear green clothing for
the day, but many avoided using
their cars in favour of walking,
running and cycling into work.
There was a ‘trash fashion’ competition, quizzes, a themed cake
sale and a raffle in aid of Denplan’s chosen charity, Macmillan
Cancer Support. The ‘Monitor
Monitor’ was also on patrol, giving out seeds and plant pots to all

Business Services Manager,
Kevin Muldoon, said: “Denplan
takes its environmental management very seriously and although
the Green Action Day was a great
deal of fun, it also had a serious
message behind it. Everyone really got into the spirit of things
and we not only raised awareness
of green issues, but hopefully
made people think about where
they can reduce their impact on
the environment at home and at
work. Even something small, like
turning off monitors every night,
can save you money, reduce your
energy usage and ultimately your
carbon footprint – it’s these small
things that will make a huge difference if everyone does their
bit.”
For more information about
Denplan, visit www.denplan.
co.uk or call 0800 401 402. DT

[7] => DTUK_issue161-5.indd

United Kingdom Edition

News 7

June 18-24, 2012

Oral healthcare feeling the pinch

More than a third of adults are more likely to delay any dental treatment needed due to cost

growing number of people are cutting back on
their oral healthcare as
household budgets continue to
be squeezed.
The UK’s current economic
problems are proving bad news
for the nation’s teeth as many

people are looking for ways to
save money. The British Dental
Health Foundation is warning
that any cut-backs to spending on oral health is a false
economy and will cost more in
the long run – physically and
financially.

The warnings have been
prompted by a new survey
commissioned by the Foundation which suggests that more
than a third of adults (36 per
cent) are more likely to delay
any dental treatment needed
due to cost and over a quarter say they are visiting their
dentist less often as a result
of the current economic problems. Approaching one in five
(17 per cent) people say they
are spending less on their oral
care and over a quarter (27 per
cent) are buying cheaper oral
care products including toothpaste, mouthwash and toothbrushes.
The Foundation is particularly concerned that one
in four people believe visiting the dentist is becoming
less of a priority. Government
data shows that the number
of people with tooth decay is
more than 40 per cent lower

amongst people who visit their
dentist at least once a year.
Regular visits can also help the
crucial early diagnosis of life
threatening diseases such as
mouth cancer.
Not surprisingly, people on
lower incomes are most at risk
of deteriorating oral health in
the current economic climate.
One in four people (24 per
cent) on lower incomes are
likely to refuse dental treatment and approaching four out
of every ten people are more
likely to delay treatment.
Chief Executive of the British Dental Health Foundation,
Dr Nigel Carter, is hoping to
remind anyone thinking of
over-looking their oral health,
to think again.
Dr Carter said: “Our findings show that oral health is
not recession-proof and that

too many people are willing to
gamble with their oral health.
Unfortunately, they are running the risk of storing up a
wide range of health problems
and even bigger costs in the
future. Many people are entitled to free dental treatment on
the NHS and it’s always worth
checking, especially if your
circumstances change.
The findings have been
published as part of National Smile Month, which runs
from 20 May to 20 June and
is the UK’s biggest annual reminder to look after their oral
health. The campaign encourages everyone to brush
their teeth for two minutes
twice a day with a fluoride
toothpaste, cut down on how
often they have sugary foods
and drinks and to visit their
dentist regularly, as often as
they recommend. DT

3URIHVVRUFRQÚUPHGDV Caring around
the world
Chair of the HRA

rofessor Jonathan Montgomery has been confirmed
as Chair of the Health Research Authority (HRA).
Professor Montgomery is currently Professor of Health Care
Law at the University of Southampton, Chair of the Nuffield
Council on Bioethics and Chair of
Hampshire Primary Care Trust.
He will head up the Health Research Authority, the new organisation that will protect and
promote the interests of patients
and the public in health research,
building confidence while simplifying regulatory practice. Professor Montgomery plans to withdraw from his role as Chair of
Hampshire Primary Care Trust as
soon as hand over arrangements
have been agreed.

Health Secretary Andrew
Lansley said: “I am very pleased
to announce Professor Jonathan
Montgomery’s appointment as the
Chair of the Health Research Authority.”
Professor Dame Sally C.
Davies, Chief Medical Officer and
Chief Scientific Advisor, Department of Health said: “I am delighted that Professor Montgomery has
been appointed as the Chair of
the Health Research Authority to
take this exciting phase of development forward. I wish him every
success and hope that colleagues
throughout health research will
take this opportunity to support
him and the Health Research Authority.”
Professor Montgomery said: “I
feel privileged to be appointed to

chair the Health Research Authority. My first public service role was
on a local research ethics committee and I know how important
they are to safeguard the interests
of participants. We can be proud
of our country’s contribution to
health research. Even so, some of
our NHS approval processes delay
high quality projects, especially
those involving a number of different centres.
“We will continue to work
to ensure that it is easy to carry
out ethical research so that we
make our contribution to ensuring that the highest levels of human knowledge and skill can be
brought to bear to save lives and
improve health as the NHS Constitution promises.” DT

enry Schein UK has announced that it has donated 50 oral health care
travel packs to International
Health Partners (IHP), for distribution to health care professionals in developing countries
around the world.
The travel packs consist of a
pre-packed assortment of 35 lines
of essential dental supplies that
oral health care professionals can
use to treat those in need. This
initiative is part of Henry Schein
Cares, the Company’s global social responsibility program, which
expands access to health care for
underserved and at-risk populations around the world.
The donation was made
through the generous support of a
number of Henry Schein’s suppli-

er partners: GC Europe, Schülke,
and Septodont.
Of the 50 oral health travel
packs donated through Henry
Schein Cares, 16 were distributed to meet disaster response
initiatives in Pakistan and Haiti;
24 were distributed to clinics and
dental schools in South America,
Africa, the Middle East, and South
East Asia with on-going programs;
and 10 were distributed to dental
students and dentists undertaking
overseas missions.
In addition, Henry Schein UK donated more than 20 pallets
of medical supplies representing
more than 500 product lines to IHP
for distribution to dental schools,
trust entities, relief organisations,
clinics and existing programs for
those in need. DT

E
E
E
02089652913
E
S 2
E E
2 2
E
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[8] => DTUK_issue161-5.indd

8 MSc Blog

United Kingdom Edition

June 18-24, 2012

Living like a rock star
.HQ+DUULVUHYHDOVDOOIURPWKHÚUVW06FUHVLGHQWLDOLQ0DQFKHVWHU
delegates from around the world
with a large contingent (perhaps
20 or so) from Bombay, so we really are a cosmopolitan bunch.
I’m expecting full and frank exchanges of views over the next
two years from such a talented
group.
Initially only names, I can
now put faces to names following the first four day residential
course in Manchester where we
all finally got to meet up. I am always humbled the way other nationalities speak English so well,
and a few beers with delegates
from Croatia and Bulgaria in
particular have only reinforced
my linguistic shortcomings.

The MSc cohort gather for a group photo at the Manchester residential

hat a hectic few
months it has been.
What with trips to Copenhagen to teach occlusion,
and to Warsaw to present a lecture at the Polish Academy of
Cosmetic Dentistry to say nothing of a day spent a day teaching
colleagues in Nottingham, and
a lecture at the 2012 Dentistry
Show at the NEC, I have had little time for anything else. I suppose I do spend rather too much
time preparing my lectures, but
when colleagues take time away
from their practices, I do feel a
big responsibility to deliver. I really must juggle my time better.

I guess I initially underestimated the sheer amount of
reading this MSc course would
involve and probably allowed it
to build up to a sizeable backlog.
However, I have knuckled down
and finally completed Module
1… just in time to start Module 2!
The first module began with
the basic science which has lain
deep in my undergraduate subconscious for well over 30 years.
Sharpey’s fibres, the prickle cell
layer and of course the HunterShreger bands have once again
become old friends. I feel like an
18 year old again!

The latter stages of Module
1 has been restoratively based
with examination and diagnosis
well to the fore as they should
be, but up to now there has
been very little emphasis upon
aesthetic aspects. I guess this
is how it should be initially, but
did I perceive the slightest bat’s
squeak of animosity towards the
whole concept of cosmetic dental treatment from the academic
staff? I wonder if they have become so used to teaching restorative dentistry over the years
that the cosmetic outcome may
well still be of a secondary concern. Let’s see how they shape
up during the coming modules
shall we?
As well as a comprehensive
reading list, much of our teaching is also provided by live online webinar lectures. This format allows direct access to the
lecturer and we are all encouraged to type in questions and
comments as the lectures unfold. It makes for a lively interactive format, and I’m starting to
see who the troublemakers are
already!

Students enjoy one of the hands on sessions.

It seems there are 70 or so

Being amongst the shortlisted candidates in the Smile
Awards this year, my team
(sensing a few free drinks) felt
we might win something and
decided we should all attend; no
excuses! The fly in the ointment
was that the presentation ceremony clashed with the MSc residential. My staff of course just
closed the practice, and took the
train aiming to get an early start
at the bar, but my own challenge
was getting down to London for
the Friday evening awards ceremony and back to Manchester
early Saturday morning before
my absence was noticed.
However, the news of our
success was revealed via Twitter
within minutes of the presentation, so the game was up, and
I could not hide my Saturday
morning “celebratory hangover”. I tried to blame it all on
the 6am train from Euston, but
news of the huge round of celebratory drinks I was “forced”
to buy (London prices, wow!)
had also travelled ahead of me,
and my limp excuses were met
with smirks and superior looks
by the “teacher’s pet” contingent. All I can say is that my staff

were a lot worse for wear than I
was, which is no real surprise I
suppose, but their powers of recovery are startling. Ah, the joys
of youth.
Few things polarise the profession as much as cosmetic
dentistry except perhaps occlusion. “I’ve never seen a good
veneer” say our colleagues, usually when they happen to see a
particularly bad example of a veneer in their practices. Equally,
I’ve lost count of the times I’ve
been told occlusion does not
matter or equally that it matters
too much. It seems ignorance
and personal prejudice drives
dental opinion in both of these
contentious fields. However, as
we have just completed a comprehensive occlusion module,
and are embarking upon the anterior aesthetic module, I’m expecting my MSc studies will be
able to give me some definitive
answers over the next two years.
With all this studying I must
not neglect my other career as a
rock star, although I have been
spending lots of time with the
Hunter-Shreger band! DT

About the author
Ken
Harris graduated
from the dental school of
the
University of Newcastle
upon
Tyne in 1982
and
passed
MFGDP(UK)
in 1996. He
maintains a fully private practice with
branches in Sunderland and Newcastle upon Tyne specialising in complex
dental reconstruction cases based
upon sound treatment planning protocols. He is one of only two Accredited
Fellows of BACD, holds full membership of BAAD and remains a sustaining member of AACD. He is currently
UK Clinical Director for the California
Center for Advanced Dental Studies
and the only UK Graduate and Mentor
of the Kois Center in Seattle.

[9] => DTUK_issue161-5.indd

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[10] => DTUK_issue161-5.indd

10 Feature

United Kingdom Edition

June 18-24, 2012

OFT report: what does it mean?
Dental Tribune looks at what the recent OFT report on dentistry will mean
satisfied with the services provided by their dentist. But even
though the report started off
on a high note, there were significant concerns regarding the
past and the future of dentistry,

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and there were several recommendations that went hand in
hand with these concerns.
One concern highlighted by
the OFT was how the existing

NHS dental contract in England
acts as a barrier to entry and
expansion in the dentistry market (a market who’s growth is
valued at an estimated £5.73bn
a year). The report stated that:

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potential new, innovative dental practices trying to enter the
dentistry market face limited
opportunities, good practices
offering higher quality services
to patients face high barriers to
expansion, and poor performing dental practices face more
limited incentives to improve
in order to retain and attract
new patients. Even on paper it
doesn’t sound too good.
Vital step
In the OFT’s view, it is a vital step for the Department of
Health to progress with the redesign of the NHS dental contract and introduce a system
in which ‘any qualified provider’ may deliver NHS services
to dental patients and where
NHS dental payments follow
the patient; it was also strongly
recommended that the Department of Health bring an end to
non-time-limited NHS dental
contracts and that NHS dental
contracts in England should be
‘streamlined and standardised’
to facilitate entry into the market by new dental practices.

‘A core concern
for the OFT is that
the existing NHS
dental contract in
England acts as
a barrier to entry
and expansion in
the dentistry market and that reform
of the NHS dental
contract is needed
to facilitate greater
competition’
The proposed moves by the
OFT didn’t seem to come as a
shock to most practitioners, as
practice principal Neel Kothari
explained: “Unsurprisingly the
2006 dental contract was slated
by the OFT report. A core concern for the OFT is that the
existing NHS dental contract
in England acts as a barrier
to entry and expansion in the
dentistry market and that reform of the NHS dental contract
is needed to facilitate greater
competition. This was of course
a rather obvious conclusion,
but are we as a profession able
to cope with further changes
without a knock on effect on
patient care?”
Å

A

t the end of last month
the Office of Fair Trading (OFT) published its
report on the UK dentistry market; in summary it declared that
dental patients were largely

DT page 11

[11] => DTUK_issue161-5.indd

NEW
United Kingdom Edition

DT page 10
Å

With this in mind, the finding from the OFT report that revealed a lack of patient information was rightly highlighted as
a cause for concern. Any lack of
patient information in a medical
sphere is going to directly have
an impact on the patient’s perception of their care.
Inaccurate
The findings from the survey,
carried out alongside the OFT report, has estimated that 500,000
patients were being provided
with inaccurate information by
dentists.
The report related how dental
patients did not always benefit
from timely, clear and accurate
information to make active, informed decisions regarding their
choice of dentist and dental treatment; it also revealed that 39 per
cent of NHS dental patients reported that there were no leaflets
or posters providing information
on NHS charges at their dentist
and 56 per cent of dental practices that provide some private
dental services fail to display private fee information at the dental
practice reception.
As a result, the OFT has suggested that steps should be taken
to improve patient information
and awareness of existing online
tools, such as the NHS Choices
website. The OFT also concluded
that regulators of dental practices, such as the CQC, should be
‘more proactive’ in ensuring that
dental practices display NHS dental treatment prices and clear information on dental treatments.
But questions as to why this
was even looked at in the report
have been raised by dental practitioners.
Weaknesses
“Ever since the Health Select
Committee’s 2008 highly critical
report into NHS dental services
it was clear that NHS dentistry
was not working well,” explained
Neel. “Clearly weaknesses within
the 2006 contract have been the
driving force behind many of the
difficulties we are currently seeing as a profession; for instance,
what a shame it is that we have
now arrived at a position where
we are incentivised not to see
high risk new dental patients.
“In light of this, will improving our practice leaflets and information available to patients
actually be a fix for a fundamentally flawed system?”
But more important questions
are being fired in the direction
of the OFT, such as why haven’t
they (the OFT) commented on
why around 500,000 patients a
year are being supplied with the
so called ‘misinformation’, or
even where this figure comes
from, given that there were less
than 3,500 survey respondents?

This leads onto the obvious
‘elephant in the room’ as Neel
explains: “What exactly should
be available on the NHS? Co-Cr
dentures, implants, fixed bridgework, or simply a core service
centred on fillings and dentures?
Assuming that the OFT report
is accurate in that 500,000 patients a year are actually being
misled this is more than just a
perverse incentive built within a
flawed system; it’s confirmation
that things have gone horribly
wrong.”
Other worries highlighted
in the report surrounded issues
of dental payments plans, and
concerns that patients are being
pressured into joining a dental
payment plan as a means of paying for private dental treatment.
Along with these discoveries
there were further matters regarding the complaints process
and how the current complexity
and costs impose unnecessary
burdens on patients and dentists.
As a result, the OFT stated
that they strongly recommended
that either a single body should be
responsible for dealing with such
complaints, or a single patientfacing portal for the reporting of
such complaints should be developed to ensure a more effective,
efficient and consistent complaints
system.
So far all the findings from
the OFT report, from insufficient
patient information to the complexity of the complaints process
for patients, makes the question
surrounding patient care beg
for some serious deliberation.
But the question on patient care
was made even more prominent
when the OFT announced that
they had called upon the GDC to
review and urgently remove restrictions on direct patient access
to dental care professionals.
Currently, dental patients are
unable to access dental hygienists, dental therapists and (except
for patients without any teeth)
clinical dental technicians without first receiving a referral from
a dentist; however, the OFT stated that they do not consider that
there is any compelling, objective
justification for the current restrictions.
Benefits
The OFT believe there are a
number of benefits that Direct
Access may deliver for patients,
such as the chance to provide
patients with greater choice and
a chance to allow DCPs direct interaction with patients; the OFT
also believes that the removal of
restrictions on patients’ Direct
Access to DCPs could also create competition and enable the
development of more efficient
models of service in the dentistry
market that may be more responsive to patients’ needs.
The report states: On the ba-

June 18-24, 2012

sis of evidence we have considered
there is a clear and compelling
case for the removal of current
restrictions on Direct Access to
DCPs, without further delay. Patients are losing out on potential
benefits that Direct Access could
bring. Furthermore, we see no
evidence to suggest that patient
safety will be at risk.
Mixed emotions
The statement has caused mixed
emotions in the dental sphere.
The GDC and the BDA have
raised concerns around patient
safety if patients are allowed Direct Access to DCPs, with the
BDA stating that direct patient
access to DCPs would introduce
risks to patient safety because
‘DCPs are not trained to diagnose
significant early stage oral disease.’ However, these views are
not shared by all.
Sally Simpson, President of
BSDHT said: “We firmly believe
that Direct Access will not be detrimental to patients as suggested
by the General Dental Council
and British Dental Association;
rather that Direct Access will
help dentistry move forward and
embrace the successful model
of care as employed in medicine allowing patients greater
accessibility.”
Sally Reid, Secretary of BADT
said: “BADT are in favour of the
OFT report regarding Direct Access for dental therapists and
hygienists and support their recommendation. Patients should
have more freedom of access and
choice on who can deliver their
dental care. This will improve the
system and enable dental care
professionals to practice dentistry
within their competency without
the need for treatment planning
and referral from the dentist.”

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email: sales@henryschein.co.uk
Sirona Dental Systems Ltd
Telephone: 0845 071 5040
e-mail: info@sironadental.co.uk

Speaking on the subject, Neel
said: “Whilst this could potentially be a good thing for patients,
I am concerned that a government body responsible for making sure markets work well for
consumers is making recommendations that have a clinical
impact on patient care. On top of
this, what evidence does the OFT
have that suggests that allowing
Direct Access to DCPs will actually save money and be better for
consumers?”
Insatiable demand
Even still, as Neel explained,
there remains to be some good
points about UK dentistry, as
Neel explained: “Whilst the OFT
report highlighted flaws within
the UK dentistry market, it fails
to note the contribution that NHS
dentistry has played in meeting
the insatiable demand for high
output en masse dentistry whilst
working in a budget limited
system.” DT

www.sirona.com/cerec-inspired

[12] => DTUK_issue161-5.indd

12 Money Matters

United Kingdom Edition

June 18-24, 2012

A well-earned break!
Dentist Clive Jones looks back at selling his last practice
ises and had thought they would
be an ideal site for a practice –
so he took his chance. Through
know-how, targeted marketing
and of course decent dentistry, the
practice had grown to almost 3000
patients with a 65:35 NHS:Private
split by 2010 – impressive.

White Rose Villa in Florida

entist Clive Jones had
had a long and varied career in UK dentistry. After
qualifying in 1974, he worked in
hospital for two years carrying
out oral surgery before moving
to general practice as an associate in Huntingdon in the long,
hot summer of 1976. By 1984 he
had purchased his own practice
in Histon (Cambridgeshire) and

rankly

this was sold in 2005.
But he wasn’t done yet! He
then worked at a dental practice
within a GP practice in Somersham (Cambs) before starting a
cold squat in Longstanton (Cambridge) in 2008. This was a massive challenge but one that he
attacked with vigour. Clive had
regularly passed the squat prem-

The plan had always been
to sell within three years or so
and Clive was looking forward
to a well-earned retirement! The
practice needed to be sold and
Clive approached Frank Taylor
and Associates without hesitation.
“I had a valuation with them when
I sold my Histon practice in 2005
but for one reason or another had
not sold it through them and had
always regretted it”, remarked
Clive. That was settled – the practice was on the market.
“I expected a large number
of responses”, commented Clive,
“and we got them!” Within 10 days
or so, there had been a number of

peaking

Raising Finance?
DOLUNHNL[OLZLY]PJLZVMHUPUKLWLUKLU[ÄYT[VSPHPZL^P[O[OL)HURZ
VU`V\YILOHSM¶^PSSLUZ\YLWYVWVZHSPZWHJRHNLKMVYILZ[JOHUJLVMH
WVZP[P]LYLZWVUZLHUKHSZV[VULNV[PH[LILZ[[LYTZ
DOLUZ\YL`V\WYV]PKLHUHJJ\YH[LZ\TTHY`VM`V\YJ\YYLU[WVZP[PVU
PUJS\KPUNHSSZH]PUNZHUKL_PZ[PUNIVYYV^PUN
DOLUZ\YL`V\Y*=PZ\W[VKH[L^P[OWHY[PJ\SHYMVJ\ZVUHU`WHZ[
4HUHNLYPHSL_WLYPLUJL
DOL_WLJ[[OL)HUR[V^HU[`V\[VW\[KV^UHJVU[YPI\[PVU[V^HYKZ
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DO\UKLY[HRL`V\YV^UYLZLHYJOVM[OLSVJHSHYLHHUKÄUKV\[^O`[OL
J\YYLU[V^ULYPZZLSSPUN
Search for Frank Taylor and
Associates

Tel: 08456 123 434
01707 653 260
www.ft-associates.com

evening visits and Clive was confident enough to leave for a golfing
holiday some days later. The confidence was not misplaced – on
his return; there were seven offers
at asking price or above. Everyone
who had visited, had made an offer (“which was gratifying”) and
the decision was taken to ‘close
books’.
An offer was accepted from a
dentist who, although very charming in the first instance, seemed
more and more indifferent once
the price was agreed. There
seemed to be a loss of excitement and the purchaser almost
‘stumbled’ through the finance
process. There were three completion dates and finally the offer
was withdrawn in January 2011
– the day before exchange. The
whole process had to be started
again! Clive was introduced to the
eventual buyer by his accountant
– they got on like a house on fire.
Clive continued to use Frank
Taylor and Associates as an agent,
even though his accountant had
introduced the new buyer. There
was no legal demand to use Frank
Taylor and to pay their fees but
they had been so useful during the
previous attempt at sale that Clive
was more than happy to employ
them and receive their support.
That may surprise some but that
shines a light on a common misconception. The agent’s job is not
just to find a buyer (or it shouldn’t
be!). As the sales process becomes
ever more complex, they are a
negotiator, mediator, confidant,
shoulder to cry on – the list goes
on. Even in the first, aborted sale,
Clive found the support and assistance that he received from
Frank Taylor and Associates to be
invaluable.
Anyway, back to the wellearned break of the title. Frank
Taylor and Associates offer a
week’s break in a Florida villa to
ALL their vendors on the completion of the sale. The sale of a
dental practice even if relatively
straightforward, can be a very
stressful time and getting away
from it all once the ink is dry, is a
great way to unwind and put the
sale behind you.
Clive took them up on their
offer even though he wasn’t sure
that Florida was really ‘his thing’.
However, he and his wife had
a fantastic time! Clive said: “A
friend of ours had bought a place
out there about 15 minutes up
the road and that helped give us
some local knowledge. We felt
that we were not quite the target
demographic for Disney, but we
did do SeaWorld and my highlight

was definitely the Kennedy Space
Center. The scale of it was simply
awe inspiring!
“I found the ‘dynamic relaxation’ of golf, the everglades etc to
be just what I needed post-sale. I
am quite sure that the bed in the
villa is the biggest that I have ever
slept in! The only disappointment
was that we had to come home
– I would suggest a minimum of
three weeks to anyone.
“Upon reflection, I think that
the villa is really symptomatic of
the way that Frank Taylor and Associates approach and undertake
business. It is clearly not a necessity but that extra thought and
consideration makes all the difference and leaves one, as a client,
with a warm glow (and tan in this
case!)
“So many retired people come
up with the phrase “I can’t see
how I found time to work”. This is
absolutely true, and not based on
watching day time TV either, God
forbid. Our garden is controlled,
long needed painting in the house
has been done, long term financial
planning is being done, and most
importantly my golf handicap is
coming down. We are creating
time to do things that we did not
have time to do previously, such
as cookery courses, photography
courses, learning Spanish, and
frequent visits to London theatres
and galleries.”
“We are also in the process of
obtaining planning permission to
build a dream house in the garden
which is a great challenge. I did
find time last year to do the London to Paris bike ride which did
take up a great deal of time getting
fit enough to do 100 miles a day.”
“As you can gather, I love retirement and the opportunity it
gives to travel as well as the previously mentioned things. We aim
to be on “holiday” at least every
six to eight weeks, usually out of
the country.”
Retirement has given Clive
the opportunity to unlock a door
that was impossible to open whilst
working and he sums up: “I have
to say that Frank Taylor and Associates, as well as giving us key to
open the door, also made the journey manageable.” DT

Contact info
For more information call 0845 612
3434 or visit www.ft-associates.com
Frank Taylor and Associates
1 Bradmore Building
Bradmore Green
Brookman’s Park
Hertfordshire AL9 7QR

[13] => DTUK_issue161-5.indd

United Kingdom Edition

June 4-June 10, 2012

In-

OrthoTribune
Ortho Tribune

Ortho Tribune

Ortho Tribune

Attracting innovation

Improving smiles

A digital solution

Phillips showcases products
at conference

Dr Sunil Chudasama discusses the Inman Aligner

Clearstep presents a new
orthodontic system

page 15

pages 17-19

Luxator Extraction
Instruments
are now the preferred
method of
performing extractions

pages 20-21

Peer to Peer and
Pier to Pier
News about the British Orthodontic Society
Conference 23rd-25th September 2012

Bournemouth Pier boardwalk

One of the main attractions for
this year’s conference is sure to be
Dr Ben Goldacre. Known to many
as a best-selling author, broadcaster and journalist as well as a

‘One of the main attractions for this years’ conference is sure to be Dr Ben Goldacre’
ing the inexorable ascent of the
British Orthodontic Conference to
become the UK’s most prestigious

psychiatrist and statistician, Ben
is to address the Conference on
the Sunday afternoon and by all

measures should not be missed as
he gives his unique take on the relationship between medicine and
the media as well as the darker
side of research and its relationship with business-objectives and
big pharma.
For the main programme,
the emphasis at BOC has always
been to schedule presenters with
a keen eye on the scientific basis
for sound clinical decisions. With
this in mind international speakers such as Sebastian Baumgaertal will present on mini-screw
anchorage solutions, Prof CH Kau
will discuss the integration of cutting edge technology into cliniDT page 14

3512-11201 © Directa AB

specialist conference – attracting
in excess of 1,000 delegates to hear
a unique blend of homegrown and
international speakers.

Å

T

he first joint meeting of the
BAO (British Association of
Orthodontists) and BSSO
(British Society for the Study of Orthodontics) took place in Bournemouth 26 years ago, and it is to the
very same sandy shores that 2012’s
conference returns. Whilst much
has changed in clinical and academic practice, there is no doubt-

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

[14] => DTUK_issue161-5.indd

14 Ortho Tribune
DT page 13
Å

cal and research practice and
Frank Weiland will consider
the reality of our knowledge
regarding self-ligating appliances. Homegrown presenters
include Professor Donald Burden who will give the prestigious Northcroft Lecture, Martyn Cobourne on the genetics
of hypodontia and Kathryn
Weaver on eating disorders.
Further highlights with particular clinical appeal might

United Kingdom Edition

include Dr Ewa Czochrowska
on treating patients with periodontal breakdown and Ama
Johal and Shakeel Shahdad on
the orthodontic-restorative interface.
Sunday morning features
a session coordinated by the
University Teachers’ Group
of the BOS for new researchers and is the perfect place to
spot the next big thing in academic orthodontics. In parallel
with this, the political session

includes Sam Illingworth from
the newly formed shadow NHS
commissioning Board and Sue
Gregory, Deputy Chief Dental
Officer amongst others. This
forum in particular is a unique
opportunity to listen, be heard
and share experiences in this
unsettled period of transition.
As in previous years, 2012
will see BOC focus on highquality, evidence-based presentations which will appeal
to the whole team, whatever
their field of practice. With this

June 18-24, 2012

‘The emphasis at BOC has always been to
schedule presenters with a keen a eye on
the scientific basis for sound clinical
decisions’

Safety

Priorities

Ltd

Consultants to the Dental Profession

Are you ready for your
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in mind, as in previous years,
there are a number of parallel sessions to broaden appeal.
The popular and relevant programmes for nurses and orthodontic therapists continue in
2012, the line-up of speakers
including such luminaries as
Jonathan Sandler, Rye Mattick,
John Scholey and Simon Littlewood.

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It would not be BOC without a packed social programme
and trade exhibition. True to
form 2012’s trade show is bigger than ever and includes
a number of new names and
products to pique interest. The
social programme, as well as
the Gala Dinner and drinks reception, includes the golf competition on the Wednesday in
addition to numerous opportunities to catch up with friends
and colleagues.
In theses uncertain political
and economic climes we can
be certain of little. Now more
than ever it is paramount that
the specialty presents a strong
and united front to promote
and protect first-class care for
patients and the integrity and
position of orthodontics in the
United Kingdom. It is without
doubt that the bringing together of the whole team to share
ideas and knowledge at BOC
has a vital part to play in maintaining the unity and focus of
the specialty. It goes without
saying of course, that is also
great to mix learning with socialising…. DT

Contact info

0800
028
7083
Email: enquiries@dental-support.co.uk Web: www.dental-support.co.uk

For more details including the complete programme, online booking and
accommodation/travel details visit
www.bos.org.uk.

[15] => DTUK_issue161-5.indd

United Kingdom Edition

Ortho Tribune 15

June 18-24, 2012

Attracting innovation to BOC
7KUHHSLRQHHULQJLQQRYDWLRQVVKRZFDVHGIRUWKHÚUVWWLPHDWWKH%ULWLVK
Orthodontic Conference by Philips

P

hilips believes technological advances will bring
about the clinical effectiveness which is key to improving the future of oral health. It
is this guiding principle which
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Three of its latest innovations will be on show when the
Company makes its debut at
the British Orthodontic Society
Conference in Bournemouth
this September. Sonicare AirFloss is an electronic hand held
device which dispenses rapid
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debris around fixed brackets
and permeate the interproximal
spaces. The water is propelled
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unscathed. What’s more, it requires only a teaspoon of water
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every tooth in a minute and
clinical trials show it is more effective than oral irrigation systems and encourages greater
levels of patient compliance
than string floss.1

tus as a modern design classic.
For patients at the conclusion
of their treatment the Company
has also just launched Zoom
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[16] => DTUK_issue161-5.indd

16 Ortho Tribune

United Kingdom Edition

June 18-24, 2012

Fourteen questions about
Invisalign for teens
Dr Peter Ilori discusses patient preference

n this interview Orthodontic Specialist Dr Peter Ilori
explains why his teenage
patients are expressing a preference for invisible aligners
rather than metal brackets.

Align
Technology
launched Invisalign Teen
with features which are specifically designed for teenagers (such as the compliance
indicators, eruptions tabs
and compensators as well as
free replacement aligners).
As a practitioner, which of
these features do you appreciate the most?
Dr Ilori: It is undoubtedly the
combination of these features
which makes this product well
supported and effective in
tackling most malocclusions.
However it is also the free replacement aligners which give
confidence to parents who
might worry about additional
costs.

report that it is truly invisible,
easy to wear and is generally
more comfortable (and less
painful) than traditional fixed
braces. Teenagers tend to cope
better with oral care instructions and there is less interference with their dietary habits
(so no need to abandon pizza
habits). For patients who have
confidence or social problems,
the product has been very successful in reducing teasing and
bullying in school and social
environments. Parents find it
easier and feel more confident
to monitor and supervise their
children’s treatment because
the system has built in compliance indicators.

4. What are the clinical benefits of Invisalign compared
with traditional fixed brace
treatment?
From a clinical perspective
it is easy to start a case and
there are additional benefits of

likely to be. I have received a
lot of positive comments from
parents and children who feel
that choosing Invisalign makes
them part of a new wave of
cutting-edge technology in orthodontics.

5. Which Invisalign prod- 8. What is the most crucial
ucts do you use for the treatment of teenagers?
We mainly use Invisalign
Teen but in a few instances we
will use Invisalign Lite or even
the adult version depending on
the complexity of the case.

6. As it is not always possible
to predict the eruption path
of the canines, 2nd premolars
and 2nd molars, an orthodontist might need to change the
final position or stage of these
teeth. This change is not regarded a mid-course correction by Align Technology and
will not be charged. How valuable is this to you?

2. How long have you been
treating teenagers with Invisalign?
Since the day Invisalign
Teen was launched in 2008,
so I have four years of experience using this system with my
younger patients.

3. What is the benefit of
Invisalign compared with
traditional fixed brace treatment?
The advantages of Invisalign can be seen from both a
patient and clinical perspective. Teenage patients are very
appearance conscious and they

a better attendance at school
with less missed lessons. With
Invisalign Teen, parents whose
children are in boarding
schools are still confident of
achieving a good result despite
the issues caused by distance.

benefit for the teenagers?
The crucial benefit is that
teenagers get their teeth
straightened without compromising their self-image, confidence or appearance.

9. How commercially interesting is it for you as an Orthodontist to offer Invisalign
to your teenage patients?
Selecting the right cases
and completing and achieving
treatment goals is rewarding.
Invisalign Teen is also profitable because we make savings
on materials, chairside or clinical time and repairs.

10. What kind of marketing
‘Most parents would do anything to prevent their children being unhappy about
wearing braces. Traditional braces tend to
trigger battles relating to eating as well as
the frequency of toothbrushing and regular
visits to repair broken braces ’

reduced clinical time and no
emergencies. There is a high
level of patient acceptance of
this product so it sells itself.
The Clincheck feature helps
me plan, visualise and explain
clearly what the end result is

activities do you use when
promoting Invisalign to your
teenage patients?
We use our website and social media as well as internal
marketing using posters and
brochures. We also get a lot
of our referrers involved by
sharing the benefits of the teen
products.

11. What role do you think
This is very valuable because ectopic teeth are common and any practitioner will
need to capture and align these
teeth as they come through.
Also, from a cost perspective,
patients would not be happy
if additional charges were applied during the treatment.

Invisalign plays in your practice when it comes to teenage
patients?
The most valuable and virulent driver is Invisalign Teen.
This is because of its high acceptability within this age
group.

7. According to your expe- 12. What is your top tip to
rience, what is the most crucial benefit for parents who
are considering Invisalign for
their children?

Invisalign with embedded compliance indicator

Most parents would do anything to prevent their children
being unhappy about wearing braces. Traditional braces
tend to trigger battles relating
to eating as well as the frequency of tooth brushing and
regular visits to repair broken
braces. All of these issues can
be avoided by choosing Invisalign Teen. The reduced number of appointments results in

Dr Peter Ilori

13. What is your orthodontic experience?
I am a Specialist in Orthodontics with 27-years of experience in dentistry. In 2001, I
was awarded the MBA with distinction from Brunel University
in Uxbridge. I am the founder/
owner of Octagon Orthodontics with branches in London,
High Wycombe, Denham and
Beaconsfield. I am actively involved in the development of
orthodontic, aesthetic and cosmetic enhancement protocols
for clients of all ages using
Invisalign, Invisalign Lite and
Invisalign Teen. I am also a
Platinum Elite Practitioner and
Clinical Speaker/Trainer.

14. Where can I get more
information about Invisalign –
Teen and otherwise?
You can find out more about
Invisalign by visiting: www.
aligntechinstitute.com/international/pages/english.html DT

other Orthodontists who are
considering treating teenagers with Invisalign?
If you share the benefits
and advantages of this treatment you can expect an increased uptake. Invisalign
Teen treatments require detailed knowledge of dental
eruption patterns, jaw growth
and experience in planning,
treating and managing young
children and teenagers which
Orthodontists
are
ideally
placed to manage.

Contact info
Face to face opportunities: Align Technology is running two courses solely
for Orthodontists. 19 October 2012,
Introduction for Orthodontists new to
Invisalign, Hilton Hotel, Tower Bridge,
London. 10 November 2012, Orthodontic Forum for Certified Invisalign Orthodontists, Hilton Hotel, Tower Bridge,
London. Align Technology will also be
exhibiting at the BOS Conference in
Bournemouth between 23 and 25 September 2012 and would like to invite
you to a breakfast seminar on 26 September at 8.00 am.

[17] => DTUK_issue161-5.indd

United Kingdom Edition

2UWKR7ULEXQH 17

June 18-24, 2012

,PSURYLQJVPLOHVZLWKUHPRYDEOH
RUWKRGRQWLFDSSOLDQFHV
'U6XQLO&KXGDVDPDGLVFXVVHVKLVÚUVW,QPDQ$OLJQHUFDVH

fter successfully treating patients with clear
aligner systems, veneers
or bonding to improve my patients’ smiles, I was attracted to
the Inman Aligner due to it being a very simple, cost-effective
solution for patients. I found it
very easy getting my first case
and quickly completed the user-friendly online training by
Straight Talk Seminars.
My first case with the Inman
Aligner was on a 28-year old
male, who I will refer to as JB.
His main aesthetic concern was
his anterior crowding, primarily
with his lower teeth. After indepth discussion with JB about
his priorities, it became clear
that he was mainly concerned
with his lower incisors and
would consider some improvement to his upper incisors. He
was happy with the shape and
shade of his teeth.

tics would not be a suitable option due to aesthetic concerns.
On agreement that the In-

man Aligner was the best product to use for his case, we then
planned the logistics. Initially
JB was only concerned with

The choice between the options became clearer after discussing the advantages of the
Inman Aligner. Firstly, it is a
cheaper treatment option in
comparison to clear aligners;
and secondly, it works much
faster – this proved useful, as
we had limited time, as JB was
planning a year of travelling in
the near future. Fixed orthodon-

teeth, we planned to align and
open up the upper anterior
teeth with slight proclination,
which would then give us plenty

PERIODONTAL

STANDARD GRACEY
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The options we talked about
were veneers (direct/indirect)
and adult orthodontics via clear
aligners (Invisalign or Clearstep) or a removable device (Inman Aligner). As JB was happy
with the shape and shade of his
teeth we agreed that the healthiest and best option long term
would be to orthodontically
improve his smile. JB had mild
crowding with his upper anteriors, and mild-moderate crowding with his lower anteriors, so I
felt it was important to raise the
issue about the rotated lower
canines, as it would not be possible to predictably align these
teeth without the use of fixed
orthodontics.

‘I was attracted to
the Inman Aligner
due to it being a
very simple, costeffective solution
for patients’

his lower teeth. However, after
identifying that he had limited
space to move the teeth around
between the upper and lower

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terminal shank (3mm) provides better clearance around crowns, and superior access to root contours and pockets
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For more information on our products please:
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- contact your regular Dental Dealer.
©2012 Hu-Friedy Mfg. Co., LLC. All rights reserved.

How the best perform

[18] => DTUK_issue161-5.indd

18 2UWKR7ULEXQH

United Kingdom Edition

June 18-24, 2012

Anterior Pre Op

Anterior Post Op

Upper Anteriors Pre Op

Upper Anteriors Post Op

Upper left Pre Op

of space to correct and align the
lower incisors.

healthy and maintained excellent oral hygiene.

t took radiographs to exclude
any pathology and provide a
baseline reading

t took upper and lower impressions (two-stage)

The patient was medically
fit and well. An examination
revealed that he was dentally

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ance and sent off the impressions to Nimro Dental for case
analysis, and construction of the
upper aligner. I informed the lab
that up to 0.25mm of IPR could
be performed between contacts.

t took the necessary photos

t obtained a bite registration
t got him to read and sign the
consent form

I then designed the appli-

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RQ&ODVV,,&RPSRVLWHVZLWK&RPSRVL7LJKW®'

On receipt of the aligner
from Nimro Dental I confirmed
the design and mock up model,
as well as accepted their diagnosis that 0.2mm IPR was needed to achieve the final result.
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t checked the fit of the aligner

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7...LW
3ULFH 
For further information or to order please call Garrison Toll Free at Tel. 0800 011 2738.
7KHSURGXFWVDUHDYDLODEOHWKURXJKDOOPDMRU8.UHWDLOHUVRUGLUHFWO\WKURXJK*DUULVRQ'HQWDO6ROXWLRQV

t confirmed the patient was
happy with the proposed final
result
t activated the aligner andplaced the necessary composite
buttons
t performed the first stage of IPR
(0.1mm), polished the interdental spaces and applied duraphat
t discussed post operative instructions, demonstrated insertions/removal of the aligner,
aftercare, oral hygiene and provided the patient with a written
document, explaining what had
been discussed
At the 1st review appointment
(four weeks later) we:
t checked progress: things were
moving along as planned
t ensured the appliance was still

‘The patient was
medically fit and
well. An examination revealed that
he was dentally
healthy and maintained excellent
oral hygiene’
active: the appliance was still
engaging the teeth and ‘tight’
t repeated the final IPR stage
(0.1mm), polished the interdental spaces and applied duraphat
At the 2nd review appointment (four weeks later) we:

*All offers are valid until 31st July 2012 and are subject to availability. All prices are subject to VAT.

t checked progress: we were 95
per cent of the way there, but
the upper central incisors were
still not ideally aligned

*DUULVRQ'HQWDO6ROXWLRQV&DUOVWUDVVH'8HEDFK3DOHQEHUJ*HUPDQ\
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t ensured the appliance was

[19] => DTUK_issue161-5.indd

United Kingdom Edition

Ortho Tribune 19

June 18-24, 2012

still active: the aligner was not
as ‘tight’
t the decision was made to increase the activeness of the
springs by adding a flowable
composite to the appliance
At the 3rd review appointment
(two weeks later) we:
t checked treatment progress
the teeth were nicely aligned
and the patient was extremely
happy with the improvement

Upper left Post Op

Upper Occlusal Pre Op

Upper Occlusal Post Op

Upper Occlusal Right Pre Op

much rather offer an aligner
and place direct composites to
improve a smile, as opposed to
cutting into perfectly healthy
teeth for veneers. In cases

where veneers are required, the
invasiveness of the procedure
can be greatly reduced by some
quick pre-alignment.

The Straight Talk online
course was a fantastic and convenient way for me to gain my
accreditation as I already had a
good idea of techniques and ap-

proaches with regards to adult
orthodontics and I have been
recommending the product to
patients and dentists since! DT

t we took a final impression
(two-stage) of the upper arch
for construction of an upper
bonded retainer

KSS Deanery and FGDP (UK) Invite you to:

$WWKHÚQDODSSRLQWPHQW WZR
weeks later) we:
t fitted the bonded retainer with
a flowable composite
t removed the composite buttons
t took final pictures

SPEAKERS

Upper Occlusal Right Post Op

Sue Gregory
Anousheh Alavi
Graham Gilmour
Heather Lloyd
Vicki Jones
Debbie Lewis

COST
Lower Occlusal Pre Op

JB was very impressed with
his result, as you can see in the
photos and we are currently
mid treatment on his lower
arch, which I am pleased to say
is progressing well!
Conclusion
Overall the Inman Aligner is a
safe and easy appliance for any
GDP to confidently use. It needs
to be used wisely and appropriately, but I can safely say it has
completely changed the way I
treat my patients – I would now

Author info
Sunil Chudasama
BDS (Lon) qualified at King’s College London in
2008 and currently
work as an associate dental surgeon
in two practices
based in Essex. He
provides a variety
of treatments and has an interest in
cosmetic and restorative dentistry. He
strongly believes in postgraduate training and since qualifying has successfully completed the Chris Orr Cosmetic
Dentistry & Aesthetic Restorative Dentistry course, trained in several orthodontic systems and completed MJDF
parts I & II. He will soon commence
the Restorative Dentistry MSc at the
renowned Eastman Dental Institute.
Sunil’s vision and aim has always been
to provide quality and ethical dental
care for his patients.

DCP - £30.00
Dentist - £60.00

The Vulnerable Adult
Safeguarding and
Oral Health



WK-XO\

5R\DO&ROOHJHRI6XUJHRQVRI(QJODQG



How to Book
To book your place please visit:
http://www.kssdentaltraining.co.uk

The day will cover:
i Information on vulnerability, signs of abuse and neglect and action to

Search for course id 484
For enquiries please email:
debs@kssdeanery.ac.uk
Or telephone:
020 7415 3676

take in cases of suspected abuse.
i Oral Health issues for vulnerable people
i Care Quality Commission
Outcome 1 Respecting and involving people who use services
Outcome 2 Consent to care and treatment
Outcome 4 Care and welfare of people who use services
Outcome 7 Safeguarding people who use services from abuse
i GDC statement on Child Protection and Vulnerable Adults, (expansion
of standards for Dental Professionals principle 1.8)
i ³'HOLYHULQJ%HWWHU2UDO+HDOWK´IRUROGHUSDWLHQWV

[20] => DTUK_issue161-5.indd

20 Ortho Tribune

United Kingdom Edition

June 18-24, 2012

A digital orthodontic solution
T

he Clearstep System is
a comprehensive invisible orthodontic system
designed to provide bespoke orthodontic solutions that are “invisible” and efficient. At the core
of the system are clear positioner
braces which are designed to
align your teeth in incremental
steps and offered to patients as

an alternative to traditional metal wires and brackets.
The most obvious benefit to
patients is the discretion that
the System offers. This makes
the System particularly popular
with adult patients who want a
naturally beautiful smile without
anyone realising they are undergoing orthodontic treatment, un-

like the alternative of fixed train
track braces.
The clear positioners at the
heart of the system are removable, which allows the patient
to fit their orthodontic treatment
around the needs of their daily
routine. They are removed to
eat, drink and clean your teeth,

but otherwise are worn all of the
time. After a two week period the
patient progresses onto the next
positioner in their sequence.
This sequence of positioners will
gently guide the patient’s teeth
into their desired position.
Positioners are provided to
the patient in sequences of eight

Making
Digital
Dentistry
Happen

positioners. Once this sequence
is completed, the patient returns
to their Clearstep practitioner for
a new impression of their teeth.
This impression is then sent to
Clearstep for assessment and the
next sequence of eight positioners is produced. This approach
ensures that the treatment progresses according to plan and
allows Clearstep to continually
capture new data as the teeth
are moving providing the patient
with the most accurate and efficient treatment possible.
The Solution
A practitioner begins by gathering the patient’s records to assess their case. A General Dental
Practitioner sends them to Clearstep and will receive a diagnosis
and treatment plan devised by a
specialist orthodontist detailing
the options that are available,
which is then discussed with the
patient. A specialist orthodontist
will devise their own treatment
plan and have a similar discussion with the patient regarding their options. Once the patient’s decision has been made,

3D Printing Solutions for Digital Dentistry
U Print stone models, veneer try-ins and
delivery trays, surgical guides, denture
try-ins, orthodontic appliances and more

‘Our digital
solution has
resolved many day
to day issues. It
provides us with a
scalable, cost
effective
production model
which meets our
stringent demands
for accuracy’

the practitioner will instruct
Clearstep to produce the first sequence of eight positioners.

U Produce parts faster with superior accuracy
and resolution
U Eliminate manual work and improve
efﬁciency
Objet Eden260V 3D Printer

Find out how Objet 3D Printing can transform your dental business today.

www.objetdental.com V dental@objet.com

The impressions of the patient are turned into plaster
models of the patient’s teeth
which are then digitally scanned
so that a 3D model can be created. Specialist orthodontic technicians then plan out each individual movement of the teeth
according to the treatment plan
as prescribed by the orthodontist.
A 3D model is then printed
by Objet’s Eden 500V for each of
the eight steps in the sequence
from which the clear positioner
brace is then manufactured.
The sequence is then sent to the
Clearstep practitioner who will
guide the patient through the
treatment.
The Results
Treatment with clear positioner

[21] => DTUK_issue161-5.indd

United Kingdom Edition

Ortho Tribune 21

June 18-24, 2012

braces is planned, manufactured
and guided by Clearstep. The
use of Objet Eden500V 3D printing solution has enabled Clearstep to manufacture the clear
positioned braces in a more efficient and timely manner than
the traditionally employed manual approach. Once the individual movements for a patient’s
sequence have been completed

Objet Eden500V 3D-Printing System

by the technicians, the production of the models is initiated by
the Objet Eden500V, allowing
the technician to proceed to the
next patient’s case. Consequently the daily production yield per
technician has increased within
a short time frame and further
time savings are forecast.

Digital storage made it easier
to streamline their appliance
replacement services, reduce
administration costs and store
models in a safe, controlled environment. With the system’s intuitive search functions, rapid case
retrieval could be handled by the
front line staff, leaving Clearstep’s technicians free to focus
on the core manufacturing.
Clearstep’s approach to incorporating CAD/CAM technology is expected to show a
return through the faster more
streamlined manufacturing process, giving them the ability to
improve the service to their clients and drive forward the company’s continued growth and
development. DT

Contact info
More information at
www.objetdental.com

R4

The switch to a digital production process has provided the
company with a scalable solution
needed for continued growth.
The Objet Eden500V is also
pivotal to Clearstep’s digital
study model storage strategy, as
they can quickly and easily print
any stored files. Clearstep could
additionally provide orthodontists with tools for virtual treatment planning and assessment
without the need for a physical
model. This has opened a potential new market whilst crucially
solving storage issues.

Model printed with Objet VeroDent

Give your patients the freedom to book
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Practice Management Software

‘Digital storage
made it easier to
streamline their appliance replacement
services, reduce
administration
costs and store
models in a safe,
controlled
environment’

GIVES YOU MORE

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

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

FEATURES OF R4
R4 Mobile
Direct link to PIN pad
Patient Check-in Kiosk
Care Pathways
Communicator
Steritrak
E-Forms
Patient Journey
On-line Appointment Booking
Text Message and Email reminders
Clinical Notes
Appointment Book
Digital X-Ray
Managed Service
Practice Accounts

[22] => DTUK_issue161-5.indd

22 Comment

United Kingdom Edition

June 18-24, 2012

Chronic pain management
Michael Sultan discusses the bigger picture

C

hronic pain is an awful,
debilitating
condition
and can seriously impact upon patients’ quality of
life. With insufficient systems

in place for the management
of chronic pain, thousands of
patients are left to suffer in
silence, either unaware that
help is out there, or left feeling

helpless after the healthcare
system has failed address their
pressing needs.

a story in the news about a man
who took his own life after suffering from excruciating toothache. The man in question,
Dorian Thomson, a 41-year-

I was deeply saddened to read

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old model from Maida Vale,
suffered from Ehlers-Danlos
Syndrome (EDS), an inherited
collagen disorder that causes
weakened joints and can force
sufferers to live in an enormous amount of pain. According to reports, Mr Thomson
had previously received failed
orthodontic treatment that had
in fact exacerbated his condition, leading him to suffer for
almost a decade before he finally took his own life.

‘As dentists we
work for the common good - we
work to relieve
our patients’ pain
and improve oral
health’

And with a Ùve year warranty that comes as
standard plus the Ùrst two years of service
cover included in the price when you Cuy from
EschmannDirect the CeneÙts of dealinH with the
6,ms leadinH decontamination specialist are clear.

As soon as I read this story, my
first thought was how could
we, as a caring profession
have let down somebody in so
much pain that they eventually
committed suicide? Naturally
it would seem Mr Thomson’s
relatives are calling for an investigation into this matter,
although I do suspect that the
orthodontic treatment is something of a red herring. What
this story does highlight however is the very poor availability of access to chronic pain
centres.

Hanpiece Care

8asher Disinfectors

Sterilisation
As a specialist endodontist, I
treat pain on a daily basis and
am very much aware of the debilitating impact pain can have
on my patients’ lives. Strangely, at EndoCare we did actually treat a similar case to Mr
Thomson’s a little while back.
Like Mr Thomson, the patient
was a tall, thin model and also
Å

DT page 24

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Ehlers-Danlos Syndrome (EDS) can force
sufferers to live in pain

[23] => DTUK_issue161-5.indd

[24] => DTUK_issue161-5.indd

24 Comment

Chronic pain can have a negative impact on patient’s daily life

United Kingdom Edition

DT page 22
Å

addled by her painkillers.

suffered from EDS. She had not
been well treated by her new
general dentist as he assumed
that she was a drug addict as
she was always in pain and often came in disorientated or
slurring her speech. Her dentist was unaware of her chronic
pain condition and did not fully
appreciate the delicate balance
she had to put up with, either
being in pain or being mentally

What strikes me more than anything from this story is that in
this modern age, people such
as Mr Thomson are still slipping through the net. As a profession we have let him down
and he has paid the ultimate
price as a result. It disappoints
me that in the year 2012 we
still have such poor systems in
place to help people deal with
chronic pain, and there are

June 18-24, 2012

hundreds if not thousands of
people out there still suffering.
What we need is what the old
political spin-doctors would
describe as ‘joined up thinking’. Chronic pain is not something that can be treated in
isolation. With a great deal of
experience as an endodontist,
I know from my own work that
there are many facets to chronic pain beyond dealing with the
site of infection.
When someone’s been suffering for a long period of time,
or if they’re run down and
tired, there’s an emotional
component to their pain, especially where chronic pain
is concerned. To deal with
this element adequately systems should address the acute
need for patients such as Mr
Thomson to see professionals such as psychologists and
councillors to give him a comprehensive range of measures
to help him alleviate some of
his symptoms and improve
his quality of life. From a clinician’s perspective, patient
suffering in any form is inexcusable, and allowing our
patients to suffer in silence is
one of the worst things I can
imagine.
This case should serve as a reminder of why it is we do what
we do. As dentists we work for
the common good – we work
to relieve our patients’ pain
and improve oral health. We
should not be purely sidelined by beauty but should focus on health.
As clinicians then, we need
to be more aware of the systems that are in place that can
help people such as Mr Thomson. Chronic pain is a serious condition. Unless systems
to deal with chronic pain are
improved, I fear cases such as
poor Mr Thomson’s will become all too common. DT

About the author
Dr
Michael
Sultan
BDS
MSc
DFO
FICD is a Specialist in Endodontics and
the Clinical Director of EndoCare. Michael
qualified
at
Bristol University in 1986. He worked
as a general dental practitioner for 5
years before commencing specialist studies at Guy’s hospital, London.
He completed his MSc in Endodontics
in 1993 and worked as an in-house
Endodontist in various practices before setting up in Harley St, London
in 2000. He was admitted onto the
specialist register in Endodontics in
1999 and has lectured extensively to
postgraduate dental groups as well as
lecturing on Endodontic courses at
Eastman CPD, University of London.
He has been involved with numerous
dental groups and has been chairman
of the Alpha Omega dental fraternity.
In 2008 he became clinical director of
EndoCare, a group of specialist practices. For further information please
call EndoCare on 020 7224 0999 or
visit www.endocare.co.uk

[25] => DTUK_issue161-5.indd

United Kingdom Edition

DCPs 25

June 18-24, 2012

Get CPD and some Christmas shopping!
The BADN discusses the 2012 National Dental Nursing Conference
The 2012 National Dental
Nursing Conference, which
will be held at the Blackpool
Hilton on Saturday 24 November, will be the last conference
before the end of the first fiveyear CPD cycle in July 2013*.
Dental nurses who still require
CPD can take advantage of the
fact that this year it is a one day
Conference, which keeps costs
down, and held on a Saturday, which allows more dental
nurses to attend.
We’ve done away with the
Presidential Dinner (something else most survey respondents wanted!), but anyone arriving on the Friday can
join us at Harry Ramsden’s for
an informal fish and chip supper. Because dental nurses are
used to multi-tasking, we’ve
arranged for delegates to start
their Christmas shopping and
have the car valeted during
conference - as well as keep
fit with a Zumba session, and
those staying over on Saturday night can complete their
Christmas shopping with a visit
to the local Hounds Hill Centre
and/or Fleetwood’s Freeport
on the Sunday morning.
The Keynote Speaker will
be new GDC Chairman Kevin
O’Brien, who will be followed
by the GDC’s Clare Herbert
speaking on how to manage
the end of the first CPD cycle.
Barbara Lamb will then give
a presentation on a subject
much requested by respondents to our recent conference
survey - Radiography.
After lunch we have presentations on Oral Cancer, Special
Care and a return visit from
Sharon Waxkirsh, whose hypnotherapy in dentistry proved
so popular two years ago. We
are also in the process of organising a second presentation
stream for after lunch, so delegates will have a choice for
each of the afternoon presentation sessions. The £50 Conference fee (that’s for current
BADN® members - £120 for
non-members) includes lunch
and refreshments.
We have negotiated a special B&B rate at the Hilton, or
there are hotels in all price
ranges nearby. Conference
registration will be on line
(payment must be made at the
time of registration by credit
or debit card) and delegates to
previous Conferences will get
their priority invitation emails
around the end of May. General registration will open at
the beginning of June - if you
are not yet, on our e mail list,

send your name and e mail
address to conference@badn.
org.uk and we’ll add you to it.
There will also be a link from
the Conference page of the
BADN® website www.badn.
org.uk/conference.

If you are not yet a BADN®
member but are interested
in attending Conference, its
worth becoming a member
first, as it will save you £70 on
the Conference fee! go to www.
badn.org.uk/join-up to join on
line. DT

* If you registered with the
GDC before 31 July 2008, your
CPD cycle ends on 31 July
2013. If you registered after
31 July 2008, your CPD cycle
started on 1 August after you
registered, and ends five years
later. For example, if you reg-

istered in August 2008, your
CPD cycle started on 1 August
2009, and finished on 31 July
2014. For more information on
CPD, visit http://www.gdc-uk.
org/Dentalprofessionals/CPD/
Pages/default.aspx

[26] => DTUK_issue161-5.indd

26 DCPs

United Kingdom Edition

June 18-24, 2012

Safeguarding children
Glenys Bridges looks at the policies, procedures and regulations you need

rrespective of the type of
work you do, or the profession you are a part of,
safeguarding is currently a

top priority issue. Every so
often a case comes to the
public attention that is so
appalling that rafts of new

measures
are
in an attempt
a repetition.

introduced
to prevent

In 2007 the Department of
Health provided clear guidance to dental teams on this
on this highly emotive issue,

Apical Surgery Tips

TIPPED FOR SUCCESS

when they published Child
Protection and the Dental
Team. (This can be downloaded from http://bit.ly/LFFQk4).
Dental teams have responsibilities, both as healthcare
professionals and as members
of society. When any of us
hear something about a child
or vulnerable adult that concerns us we should report our
concerns to someone who can
help. In such circumstances,
from the outset it’s important
to realise that members of the
dental team are not responsible for making a diagnosis of
child abuse or neglect, just for
sharing concerns appropriately. For this reason it is essential to agree as a practice
upon the required response,
and to set this out in the form
of a written and well communicated policy and procedures
document, which should be
followed should concerns be
aroused.
In these very difficult economic times, the stresses and
strains are having a devastating effect on some families. Articles in the press frequently give examples of the
suffering of some of the most
vulnerable members of society. These serve to highlight
the fact that record numbers
of families are having court
cases brought against them
to remove their children because of factors like abuse and
neglect. Most children who go
into care do so as a result of
concerns that they are being

Extremely versatile ultrasonic and irrigation products
for endodontic treatments.

P5 Newtron Range
Our complete series of ultrasonic
generators are available with or
without self-contained irrigation and
LED light. Other options include the
Sterikit and a wide selection of tips.
(Free CD-ROM Tip Book is available
on request)

IrriSafe Tip

P5 Newtron XS
with LED

‘As dental care
professionals we
are often in a position to recognise
neglect, which in
some cases can be
resolved through
education and
support’

Endo Success Tips

For further information:

01480 477307
info@acteongroup.co.uk | sales@acteongroup.co.uk | www.acteongroup.com

to create

neglected, not that they are
at risk of physical violence, or
sexual abuse. As dental care
professionals we are often in a
position to recognise neglect,
which in some cases can be
resolved though a mixture of
education and support.

[27] => DTUK_issue161-5.indd

United Kingdom Edition

The guidance should follow this three-stage approach:

1. Evaluate the injury itself,
its extent, site and any particular patterns

2. Take a history to understand how and why the injury occurred and whether the
findings match the story given

3. Explore the broader picDental professionals are often in a position to spot neglect

DCPs 27

June 18-24, 2012

ture (eg the child’s behaviour,

the parent-child interaction,
underlying risk factors or
markers of emotional abuse or
neglect)
Numerous reputable organisations provide a wide
range of excellent written policies and procedures for dental businesses. Having selected such a policy, or better still
developing a policy in-house,
it is essential to follow through
by embedding its content into

the fabric of the practice. In
this way you make your policies living documents for the
quality and safety of care,
rather than just documents
gathering dust on a shelf. DT

About the author
Glenys Bridges is an independent
dental team trainer. She can be contacted at glenys.bridges@gmail.com

Child Protection and the
Dental Team states that:
Abuse or neglect may present to the dental team in a
number of different ways:
t Through a direct allegation
(sometimes termed a ‘disclosure’) made by the child, a parent or some other person
t Through signs and symptoms
which are suggestive of physical abuse or neglect

Treat small
spaces with

conﬁdence

t Or through observations of
child behaviour or parentchild interaction

Human histology shows the apical
extent of the junctional epithelium
below which there is a supracrestal
connective tissue attachment to the
laser microchannel surface2.

To ensure that the team
is able to respond effectively
should the need arise, it is
highly recommended that a

‘To ensure that the
team is able to
respond effectively
should the need
arise, it is highly
recommended that
a Child Protection
Lead is appointed’

Child Protection Lead is appointed. This could be a registered provider, practice manager, or a senior dental nurse.
This person should be the first
port of call for their team if
they have concerns about any
individual. The Child Protection Lead should be ready
and equipped to follow practice policy and procedures in
response to those concerns.
They are also responsible for
ensuring that any actions instigated are followed through.
The practice policy should
contain flow charts and checklists to guide the team both in
the preparation for and the
response to events. It should
contain all of the required
phone numbers and contact
names, as well as team guidance for the assessment of any
physical injury.

Laser-Lok 3.0 placed in
aesthetic zone.

Radiograph shows proper
implant spacing in limited site.

Image courtesy of Michael Reddy, DDS

Image courtesy of Cary Shapoff, DDS

Introducing the Laser-Lok® 3.0 implant
Laser-Lok 3.0 is the ﬁrst 3mm implant that incorporates Laser-Lok technology to create a biologic seal and maintain crestal bone
on the implant collar1. Designed speciﬁcally for limited spaces in the aesthetic zone, the Laser-Lok 3.0 comes with a broad array
of prosthetic options making it the perfect choice for high proﬁle cases.

F)@9 :40.077/0<4289110;<;0<=9;,=4?0E0A4-464=B488,;;9@<:,.0<
F7:6,8=/0<4284<79;0=3,8 <=;9820;=3,8.97:0=4=9;47:6,8=2
F 3mm threadform shown to be effective when immediately loaded3
F Laser-Lok microchannels create a physical connective tissue attachment (unlike Sharpey ﬁbers) 4

For more information, contact BioHorizons
Customer Care: +44 (0)1344 752560 or
visit us online at www.biohorizons.com

1. Radiographic Analysis of Crestal Bone Levels on Laser-Lok Collar Dental Implants. CA Shapoff, B Lahey, PA Wasserlauf, DM Kim, IJPRD, Vol 30, No 2, 2010.
2. Implant strength & fatigue testing done in accordance with ISO standard 14801.
3. Initial clinical efﬁcacy of 3-mm implants immediately placed into function in conditions of limited spacing. Reddy MS, O’Neal SJ, Haigh S, Aponte-Wesson R, Geurs NC.
Int J Oral Maxillofac Implants. 2008 Mar-Apr;23(2):281-288.
4. Human Histologic Evidence of a Connective Tissue Attachment to a Dental Implant. M Nevins, ML Nevins, M Camelo, JL Boyesen, DM Kim.
SPMP10109 REV D SEP 2010
International Journal of Periodontics & Restorative Dentistry. Vol. 28, No. 2, 2008.

[28] => DTUK_issue161-5.indd

28 Industry News
BioHorizons presents its
European Symposium
BioHorizons invites you to
join an international group of
well-respected speakers for its
European symposium in Rome
between 18 and 20 October 2012.
Addressing a wide range of dental implant topics including implant aesthetics,
implant complications and tissue regeneration, the symposium presents the
perfect opportunity to stay on top of the latest treatment options and remain
aware of what techniques and products are supported by peer-reviewed
research.
The event will include presentations from Carl Misch, Michael Pikos, Jack Ricci,
Sonia Leziy and Brahm Miller.
Also, expanding on previous years’ offerings, the 2012 schedule incorporates a
biologics forum on the Thursday afternoon (18 October).
To find out more about this exciting event, including details of the topics to be
covered, please visit www.biohorizons.com/symposium-series-Italy-2012.aspx.
For further details about BioHorizons, a company dedicated to
developing evidence-based and scientifically proven products, visit
www.biohorizons.com, call 01344 752560 or email infouk@biohorizons.
com.

ThankYou Impression Trays –
a popular new addition from
CosTech Elite®
CosTech Elite® has launched
its new and exclusive range of
ThankYou Impression Trays,
using a novel approach that has ensured the range is an immediate hit with
dentists.
As some dentists have been found to be reusing impression trays, at
considerable risk to their patients, CosTech Elite is providing the trays to all of its
loyal customers for free, setting a new benchmark for value.
The initiative aims to remove the financial burden of replacing disposable dayto-day equipment from dentists, and to ensure that they dispose of impression
trays after using them. Reusing the trays carries a significant risk of cross-patient
contamination.
Available exclusively from CosTech Elite, ThankYou Impression Trays present an
exceptional reduction in materials and equipment costs, enabling practices to
offer patients the smile they want without compromising safety, at a price that
can’t be beaten.
For more information on how CosTech Elite® can help you, call 01474 320 076 or
email info@costech.co.uk

Exclusive “ANY” Intraoral Camera lets patients
monitor their oral health on their own television
A powerful new tool for helping patients to learn
about their oral health is now available exclusively
from The Dental Directory.
5IF i"/:w JOUSBPSBM DBNFSB GSPN (PPE %ST JT B
multipurpose device that can be linked to a standard
television set, allowing patients to monitor their oral
health from the comfort of their own homes.
Similar to a toothbrush in size and shape, the camera is simple to use for almost
all patients and can be deployed with disposable covers to prevent crossinfection between users.
Showing patients detailed images of the inside of their mouth, the ANY
intraoral camera allows them to learn more about their oral health and monitor
any existing conditions. It is not suitable for patient self-diagnosis.
The ANY intraoral camera is available exclusively from The Dental Directory, in
display boxes of five. For more information on ANY and how it can benefit your
practice; contact The Dental Directory today by calling 0800 585 585 or visiting
www.dental-directory.co.uk

Gengigel – Keep that
perfect smile!
(FOHJHFM JT B OBUVSBM
mouth and gum care product with hyaluronan as the principal ingredient.
Hyaluronan exists naturally in the human body and assists with tissue
regeneration and promotes natural healing.
In cases of mouth ulcers, inflamed or bleeding gums or following surgical or
PUIFSUSBVNB (FOHJHFMIBTCFFODMJOJDBMMZQSPWFOUPTPPUIFBOESFTUPSFHVNT
and tissues.
(FOHJHFMJTDPNQMFUFMZOBUVSBM XJUIOPTJEFFòFDUTPSDPOUSBJOEJDBUJPOT BOE
is available from all good pharmacy wholesalers in a 150ml mouth rinse or a
20ml gel.
For more information, contact Molar Ltd on 01934 710022.

United Kingdom Edition

June 18-24, 2012

Want to move your practice
forward?
Stuck in a rut with your dental practice?
Why not get into a partnership with a
company that truly values you and will
do everything possible to help you
succeed?
New dental corporate BKH Healthcare
offers practice principals and the whole
dental team support in three key areas:
dentistry, education and management.
With a strong support framework, guidance from industry experts and a proven
approach to success, partnership with BKH Healthcare allows you to focus on
what you do best: providing exceptional patient care. BKH Healthcare supports:
t *OWFTUNFOU GSPN JOJUJBM TUBSUVQ UP SFCSBOEJOH BOE SFEFWFMPQNFOU t )JHI
QFSGPSNBODF XPSLJOH XJUI UIF CFTU UP BDIJFWF UIF CFTU SFTVMUT t &EVDBUJPO
EFWFMPQJOH TLJMMT BOE LOPXMFEHF PG BMM UFBN NFNCFST t 5FDIOPMPHZ UP TUBZ
BUUIFDVUUJOHFEHFt(SPXUICVJMEJOHPOTVDDFTTt2VBMJUZJOFWFSZUIJOHGPSB
practice we can all be proud of Moving forward has never been so easy with BKH
Healthcare by your side. For more information about BKH please call 0161 820
5466 or email Al Kwong Hing at al@bkh.co.uk, Chris Barrow at chris@bkh.co.uk or
WJTJUXXXCLIDPVL8BOUUPTUBZJOUPVDIXJUIUIF#BSSPX,XPOH)JOH(SPVQ
Connect with us here Facebook: www.facebook.com/bkhgroup; YouTube: www.
youtube.com/BarrowKwongHing: LinkedIn: www.linkedin.com/company/
barrow-kwong-hing-group: Twitter: Chris Barrow @ChrisBKH, Dr Al Kwong
Hingv@AlanBKH

Market-leading Stern Weber dental
units from Clark Dental
Utilising Swiss technology, Stern
Weber is one of the leading names in
dentistry. Available exclusively from
Clark Dental in the UK, Stern Weber
dental units are the embodiment of
pioneering invention and design.
Dr Tom Mazgaj of Wight Dental Care,
based on the Isle of Wight, says: “As I
work using an operating microscope,
the reflex arm in the Continental
delivery and position of trays in our
model of Stern Weber unit creates a very ergonomic environment; as well as
more balanced four handed dentistry with more involvement of the dental
assistant in providing the treatment. She can access all instruments and the hand
pieces easily, placing them in my hands, enabling me not to have to look away
from the microscope and to constantly change my optimal position. “
“The dental unit is of excellent quality, we have had no problems and the
design makes it easy to clean. Thanks to the memory foam seat and effortlessly
pneumatic adjustable headrest, the dental experience is much more comfortable
for our patients.”
“The service from Clark Dental was very good. We would recommend them to
our colleagues and would definitely use their services again.”
For more information call Clark Dental on 01268 733 146, email info@
clarkdental.co.uk or visit www.clarkdental.co.uk

The Hydrosonic Electric Toothbrush gives
a full mouth clean
42,000 sonic waves per minute make the
Hydrosonic Electric Toothbrush one of the
fastest sonic brushes on the market in the
UK. Combined with an innovative brush
head, three cleaning modules and timer, the
Hydrosonic gives an immaculate clean.
Developed by oral healthcare specialists
Curaprox, the all-new Hydrosonic cleans the
teeth, gums and the rest of the mouth. The tongue and mucous membranes are
thoroughly cleansed, and orthodontic braces are left spotless.
The Hydrosonic brush head features CUREN® bristles, which remain firm because
they don’t soak up water. When combined with sonic power, the brush gives
a highly effective yet gentle clean. It is easy to hold the brush at the correct
angle of 45 degrees, thanks to the ergonomic handle, which also helps to clean
between the teeth, or hard-to-reach areas.
Pausing every thirty seconds during its two-minute timer, the Hydrosonic
ensures a full mouth clean of all four quadrants. There are even three cleaning
modules to select: intensive, to remove stains; soft, for sensitive areas; and
massage, for the gums.
Suitable for all patients, even those with implants, the Hydrosonic Electric
toothbrush from Curaprox is best in class for maintaining a healthy smile.
For more information please call 01480 862084, email info@curaprox.
co.uk or visit www.curaprox.co.uk

The Dental Directory – fantastic offers on top
products
The Dental Directory is one of the best-known
names in dentistry, but it never rests on its laurels,
instead striving continuously to provide knockout
value for its customers.

EndoCare – for stress-free referrals
and exceptional patient care
EndoCare is one of the UK’s leading
Endodontic referral centres, and prides
itself on its caring, patient-centred
approach. For the dedicated EndoCare
team the health and satisfaction of
the patient is a priority, alongside maintaining excellent relationships with all
referring practices. This outstanding service is available in its main locations:
Harley Street, London and Richmond, Surrey. Each practice features state-ofthe-art equipment and facilities, and is staffed by a team dedicated to providing
superior treatments to all patient referrals.
As part its mission to provide exceptional levels of care EndoCare will schedule
a free appointment for all patients to return in 6 months to ensure the team can
check on the treatment progress and the patient’s recovery.
EndoCare works together with all referring practices to become an integral part
of your team, to deliver outstanding Endodontic treatments. Refer your patients
to EndoCare today for effortless, stress-free referrals, and an exceptional level of
patient care.
For further information please call EndoCare on 020 7224 0999 or visit
www.endocare.co.uk

Carl Zeiss Dental Loupes from Nuview –
“absolutely flawless”
Carl Zeiss dental loupes combine high-quality
optics with sophisticated design, and establish
new standards in precise vision.
Dr. Shamir B. Mehta is Deputy Director (Clinical)
of the MSc Aesthetic Dentistry course at King’s
College London, and is principle / partner at My
Dental Surgery, Harrow:
“I recently acquired a set of Carl Zeiss EyeMag®
Pro dental loupes and an EyeMag® Light. Being
an avid user of magnification for the past 14 years, I can say without doubt that
this has been my ‘item’ purchase of the year. The clarity of vision offered by this
set up is superior to any other magnification-illumination system I have used
in the past, and has taken my enthusiasm and quality of precision dentistry to
another level. The system definitely lives up to the reputation of the world class
Carl Zeiss brand. My experience of these products has been further enhanced
by the excellent sales advice and after sales care offered by Nuview – absolutely
flawless!”
For more information please call Nuview on 01453 872266, email info@
nuview-ltd.com or visit www.nuview.co

To showcase just some of its special offers, The
Dental Directory is launching its latest Pricewatch
catalogue from 1st July. The discount spotlight will
be shining on a selection of well-known products to bring savings to practices
around the UK.
$PMUFOF ($ 4FQUPEPOU 4ZCSPO %&/541-: *WPDMBSBOE"MLBQIBSNQSPEVDUTXJMM
all feature in the catalogue, along with other big name products and The Dental
Directory’s UnoDent and Classic ranges.
To learn more about Pricewatch and The Dental Directory’s fantastic range of
infection control products, speak to your Dental Directory Representative, call
0800 585 586 or visit www.dental-directory.co.uk

Success with the Inman Aligner
The Inman Aligner is a revolutionary appliance
that uses innovative technology to straighten
anterior teeth. The technique involves a lingual
coil spring and a labial bar putting equal pressure
on either side of the teeth, repositioning and
straightening them quickly but gently.
As official trainers, Straight Talk Seminars offer
both online and hands-on courses for dental professionals to gain certification,
and provide the Inman Aligner as part of their treatment options.
%S (SBOU .D"SFF PXOFS PG 5IF 8IZUF )PVTF %FOUBM 1SBDUJDF JO 5PQTIBN
Devon, has now been offering the Inman Aligner for over a year, and is
enthusiastic about the benefits it offers as a treatment choice.
“The Inman Aligner has been a key addition to my treatment range and has
reduced the need for referrals within Orthodontics.
“The Inman Aligner improves patient choice, often providing an alternative to
or reducing the need for veneers and crowns, which I think has helped earn
me a reputation among patients for adopting a more conservative approach.
“I would certainly recommend the Inman Aligner to other dental professionals,
as I’ve had so many success stories, with some patients seeing a noticeable
improvement in just two weeks!”
For more information on Straight Talk Seminars visit www.straight-talks.
com or phone 0845 366 5477

Carl Zeiss OPMI Pico “sets high standards”
Dr Joseph Broome (www.josephbroome.co.uk)
has recently invested in a Carl Zeiss dental
microscope from Nuview:
“The field of endodontics has changed
dramatically since the introduction of the dental
microscope in the early 1990s (Kim et al. 2004)
– so much so that the microscope is now an
essential part of any endodontic treatment. This
is because the dental microscope brings minute
detail into view (Vertucci, 2005) and aids greatly
in diagnosis, and the location, negotiation and
treatment of canals.
“For optimal results, only the best equipment
will do. Precision engineered to produce crisp, clear images of fantastic quality,
Carl Zeiss dental microscopes are among the world’s leading magnification and
illumination systems. “The OPMI Pico dental microscope sets high standards.
What amazed me about the OPMI Pico dental microscope was its design. Highquality optics and operating field illumination makes it an excellent surgical
microscope. “This purchase has made huge improvements in the quality and
ease of endodontic treatment. Indeed, the improved vision gained from the use
of magnification improves all aspects of general dentistry, not just endodontics.
It can be recommended without reservations.”
For more information please call Nuview on 01453 872266, email info@
nuview-ltd.com or visit www.nuview.co

[29] => DTUK_issue161-5.indd

United Kingdom Edition

Brush to success with Spry Xylitol
Toothpaste
Since it was first introduced as a key
ingredient in toothpaste in the mid1970s, fluoride has been one of the
most important weapons in the fight
against tooth decay. But while fluoride
has long reigned supreme in preventive dentistry, there is another name gaining
support from dentists across the world: xylitol.
Xylitol is a white crystalline sugar alcohol sweetener that looks and tastes just
like sugar, but with 40 per cent less calories. Thanks to its unique composition
xylitol is unfavourable in the metabolism of S.mutans – the bacteria most closely
associated with dental plaque.
To take advantage of xylitol’s unique properties, leading producer of natural
products Spry manufacturers a range of xylitol-based oral hygiene products
including Spry Dental Floss and Spry Toothpaste (with xylitol).
Each tube of Spry Toothpaste is made with all-natural xylitol and is designed
to leave teeth feeling clean, smooth and extra fresh. With a variety of flavours
including Spearmint, Peppermint and now also Cinnamon, Spry Toothpaste
gives users a powerful new weapon in the war on dental plaque and is available
both with and without fluoride.

June 18-24, 2012

New! Practice box and
surgery packs for TePe Angle
Interdentals.
TePe Angle® is the latest addition
to the TePe Interdental Brush
range. The TePe family includes the
ever popular original Interdental
range, the x-soft, and now the TePe
Angle with its long handle and
angled head. TePe Angles are now
available in two special economy
packs for use in the practice. A new surgery pack contains a mix of 30 brushes
and patient leaflets and complements the 25 brush packs. A surgery container
is also now available and has been specially designed to accommodate Angle
brushes in a convenient, hygienic and portable box.
TePe Angle was developed to improve access to all interdental spaces,
particularly in difficult to reach areas. The angled head gives perfect access to
posterior teeth without the need to bend the wire thus enhancing durability.
TePe Angle is available in six colour coded sizes - pink through to green.
www.molarltd.co.uk. info@molarltd.co.uk. Tel: 01934 710022

For further information contact Anyone 4 Tea Ltd on 01428 652131 or visit
www.anyone4tea.com

The Waterpik Water Flosser - “A
clinical benefit for patients”
Miss Bal Chana, President of the
British Association of Dental
Therapists, has seen a number of
beneficial results from using the Waterpik Water Flosser.

Industry News 29
UCL Eastman MSc in Restorative
Dental Practice: “I’d thoroughly
recommend the course – in fact I
already have!”
GDPs who would like to develop their
clinical skills in restorative dentistry
will find it easier to incorporate
learning into a busy lifestyle with
part-time programmes from the UCL
Eastman Dental Institute.
Dr Simon Assor, a principal dentist
of The Dental Clinic – Radlett in Hertfordshire, recently graduated from the
Eastman with an MSc in Restorative Dental Practice.
“I completed the Certificate course in Restorative Dental Practice, which led on
nicely to the Diploma, “says Dr Assor. “For one extra year I could do a research
project and graduate with a Masters. It was a very logical progression.
“For the MSc, research at the lab was the only time away from the practice, which
was great, and the facilities were very good as well.
“I’d thoroughly recommend the course – in fact, I already have to a colleague! It
was very well structured, with good support and lots to put into effect from the
practical and clinical aspects.”
For further information, please contact Victoria Banks, Programme
Administrator, on 020 7905 1251, email v.banks@eastman.ucl.ac.uk or
visit www.ucl.ac.uk/eastman/depts/cpd

Innovative digital imaging solutions
from Carestream Dental
With a reputation for innovation
in digital imaging for the dental
profession, Carestream Dental has been
overwhelmed by the response to the
Kodak 1500 Intraoral camera.
A lightweight, ergonomically designed
and easily manoeuvred device, the Kodak
1500 camera offers dental practitioners
fantastic image quality, thanks to its
pioneering liquid lens technology.
Focusing like the human eye, the Kodak
1500 camera captures high-resolution
images and video with undesired light
reflection eliminated by the automatic
adjustment to lighting conditions. The
user can take still portraits, full arch,
intraoral and macro views with LEDs for optimal illumination of even the hardest
to see areas. The Kodak 1500 camera also utilises the latest Wi-fi technology
for improved freedom of movement around the chair: it also allows for ease of
sharing with other clinicians, affording efficient workflow. The information can
be directly transferred and displayed on either a computer or video monitor,
making patient interaction more dynamic. For more information please call
Carestream Dental on 0800 169 9692 or visit www.practiceworks.co.uk

Clinical Innovations
Conference a great success!
This year’s Clinical Innovations
Conference
(CIC)
was
a
tremendous
success,
confirming yet again that the
event is one of the leading
aesthetic and restorative
conferences held anywhere
in the UK. Building on the success of previous years, the 2012 CIC featured a
line-up of world-class speakers from around the globe, who presented a host
of lectures and live workshops. New this year, Smile-on and the AOG, launched
the Clinical Innovations Award – a fantastic new award designed to showcase
the best, most innovative products on the market today. The judging panel
consisted of a number of esteemed dental professionals, as well as members of
a number of key journal editorial boards. After much careful deliberation by the
panel, Dean of the London Deanery Mrs Elizabeth Jones announced the winners:
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1SPGBDFMJHIUQSPCFt$PNNFOEFE/4,4."91*$0)"/%1*&$&'PMMPXJOHUIF
Clinical Innovations Award ceremony, Smile-on and the AOG hosted its third
annual Clinical Innovations Charity Ball. With hundreds of delegates taking the
opportunity to enjoy exquisite food and brilliant entertainment, the evening was
thoroughly enjoyed by all.
For more information visit www.clinicalinnovations.co.uk. To learn more
about Smile-on, visit www.smile-on.com. To learn more about the AOG,
visit www.aoguk.org

The Dentistry Show 2013: New Chair
for the Dental Nursing Conference
announced
The Dentistry Show is pleased to
announce the new Chair for the Dental
Nursing Conference 2013 is Laura
Horton, from Laura Horton Consulting.
Laura works with dental teams
around the country. Event Director of
The Dentistry Show, Chris Brown, is
highly enthusiastic about the recent
appointment. “Having Laura host the
Dental Nurses Theatre at Dentistry Show
next March is a huge coup for the show.
Her career began as dental nurse in 1996
– this has led her to become one of the most respected TCO advisers around and
her enthusiasm for helping DCPs is infectious! I’ve no doubt that the two days of
presentations addressing all core CPD areas as well as introducing some hugely
aspirational case studies will mean, again, that the theatre is standing room only.”
The programme for the Dentistry Show 2013 will be announced in the coming
months, put the dates in your diary now and make sure the dental nurses in
your team don’t miss Laura and a host of inspirational speakers covering all
core topics! Next year’s event will take place on 1st and 2nd March at the
NEC Birmingham. For further information visit www.thedentistryshow.
co.uk. For any other queries please call 020 7348 5269 or email info@
thedentistryshow.co.uk.

The current legal issues
regarding the sale of a
leasehold practice
Banks
are
becoming
increasingly discerning when it comes to lending for the purchase of dental
practices. Nowadays the terms on which they will lend are increasingly strict.
Fortunately though, the window of opportunity has not entirely closed but what
we are seeing now is that the banks are still prepared to lend, but are seeking
greater security.
In cases with a shorter period before the lease expires, it is necessary to negotiate
a new, longer lease with the landlord. Fortunately, it often benefits the landlord
to have a tenant tied in for a longer period of time, so they will usually cooperate
as long as you agree to pay any legal costs.
So if you are thinking of selling your practice in the near future, it may be
worth starting the procedure to extend your lease as soon as possible, so that
the practice is saleable when you need it to be. Dentists are reminded of the
importance of having the work carried out by specialist solicitors who will be
able to navigate the legal minefield on your behalf to ensure you get the most
value out of your practice.

Make dentures a thing of the past
with United Smile Centres
At United Smile Centres we are
dedicated to offering a highly effective
alternative to dentures, and a powerful
solution for patients with failing teeth.
Our revolutionary approach to dental
implants utilises the very latest in implant
technology to completely transform patients’ smiles with our unique “Permanent
Teeth in a Day” treatment.
The procedure takes advantage of the dense bone that remains in the front part
of the jaw, placing implants at an angle for additional strength and support.
This method also reduces the need for bone grafting and promotes far shorter
healing times.
By referring your patients to United Smile Centres you can be sure your patients
will receive the very best treatment available from our highly experienced,
dedicated team of clinicians. Once treatment is complete and the patient is
wholly satisfied they will then be returned back to you for their final restoration
and the completion of any other on-going treatment.

For more information contact Ray Goodman on 0151 707 0090 or email
rng@goodmanlegal.co.uk www.goodmanlegal.co.uk

To learn more about how implant referrals can benefit your practices,
contact United Smile Centres today, and help make dentures a thing of
the past!
For more information about United Smile Centres visit www.
unitedsmilecentres.co.uk or call 0800 8 49 49 59

Smile-on: delivering quality
education
Smile-on and the University of
Manchester now provide an MSc in
Restorative and Aesthetic Dentistry.
If you are a busy practitioner looking
for a platform to enhance your current
clinical practice this MSc is the ideal
choice. A combination of webinars,
e-learning modules and instructor-led
learning ensures that all the resources you need are covered.
Leading international experts are on hand to discuss current issues, and the twoyear course is structured so that you can learn at the pace that suits you best.
Both Smile-on and the University of Manchester have outstanding reputations
as being quality providers of distance learning.
3BK #PMBDLZ GSPN . , 7BTBOU "TTPDJBUFT BOE 4IBGUFTCVSZ %FOUBM $FOUSF
says: “The course suited me perfectly as it allowed me to continue working at
my two practices without the need to take time out and attend too many day
release courses. I’m looking forward to the residential days in particular and
also learning about ‘smile designs’ and the science behind aesthetic dentistry. I
initially thought that because it is a distance learning course it might be overtly
solitary, but I’ve found it engaging and stimulating.”
For more information about the online MSc in Restorative and Aesthetic
Dentistry go to www.smile-on.com/msc, email info@smile-on.com or call
020 7400 8989

Tavom brings quality Italian furniture to the
Dental Technology Showcase 2012 on the
John Winter & co Ltd Stand
Tavom brought over 35 years’ experience in
bespoke Italian-made dental furniture to this
year’s Dental Technology Showcase, held at
Coventry’s Ricoh Arena from 18th to 19th May
2012.

“Having mastered the technique, the compact device is fairly easy to use,” says
Miss Chana. “The pulsating action effectively dislodges debris, and it can also
be used around orthodontic brackets, which can be difficult to clean using
traditional methods.
“Studies have shown the Water Flosser to be more effective than flossing, so it
is certainly a clinical benefit for patients.” Impressed by the clinical results, Miss
Chana believes that the Waterpik® Water Flosser should become a common part
of patients’ oral health routine.
“This device should be recommended to patients as a supplement to their daily
oral hygiene regime.”
For more information on Waterpik® Water Flossers please speak to your
wholesaler or visit www.waterpik.co.uk. Waterpik® products are widely
available in Boots stores.

Countless delegates were attracted to the John
Winter Ltd stand to find out how the company’s innovative Computer Aided
Design technology is used to create individualised solutions that capture both
style and practicality.
Tavom designers construct the ideal laboratory or practice to suit each distinct
space using a range of modular furniture, available in a variety of finishes, sizes
and styles. Organisation and workflow of the new environment is seamless,
while cabinetry and surfaces are strong yet sophisticated.
To see how your workplace could be transformed by our elegant designs
and refurbishments, contact our exclusive laboratory dealer on 01422
364 213. Alternatively, visit the Tavom website www.tavom.com.

Tavom Offers Bespoke Elegance at the
Scottish Dental Show 2012
Tavom delivered Italian excellence north of
the border for the inaugural Scottish Dental
Show 2012 at Hampden Park from 24th to 25th
May. With over three decades of experience
in creating custom-made laboratory units
and cabinetry, Tavom showcased an elegant
product range to enthusiastic delegates,
in conjunction with Glasgow based Dental
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The modular solutions provide true flexibility
for a tailor made design that meets the needs of any Surgery environment. The
superior quality products are matched only by an exceptional customer service.
Delegates explored a huge range of furniture and fittings, including the Mitto,
New Skyline, Classic and Evolab series, while the Tavom team explained the
design and installation process.
Tavom ensures that each high quality refurbishment brings your unique vision
to life while maximising space, productivity and style.
To see how your workplace could be transformed by our elegant designs
and refurbishments, visit www.tavom.com or call on 0870 7521121

[30] => DTUK_issue161-5.indd

United Kingdom Edition

NEW

June 18-24, 2012

CEREC SW 4.0

CEREC
Made to inspire
State-of-the-art treatment during a single
appointment is a totally new experience for
patients. Word of this spreads fast and it soon
becomes the ﬂagship of the dental practice.
For dentists the deﬁning feature of CEREC
has always been greater job satisfaction.
Now this has been further enhanced with the
entirely new intuitive software 4.0. Discover
for yourself the unique - and inspirational potential CEREC offers.

Enjoy every day.
With Sirona.
Ceramic Systems Ltd
Telephone: 0845 070 0137
e-mail: sales@ceramicsystems.co.uk

Henry Schein Minerva Dental Ltd
Telephone: 08700 102041
email: sales@henryschein.co.uk
Sirona Dental Systems Ltd
Telephone: 0845 071 5040
e-mail: info@sironadental.co.uk

Dental Tribune UK
Editorial Board
Dr Neel Kothari
BDS Principal and General Dental Practitioner

Mrs Helen Falcon
Postgraduate Dental Dean, Dental School, Oxford &
Wessex Deaneries

Dr Stephen Hudson
BDS, MFGDP, MSc
General Dental Practitioner
Mr Amit Patel
BDS MSc MClinDent MFDS RCEd MRD RCSEng
Specialist in Periodontics & Implant Dentist Associate
Specialist Birmingham Dental Hospital
Professor Nick Grey
BDS,
MDSc,
PhD,
DRDRCSEd,
MRDRCSEd,
FDSRCSEd, FHEA
Professor of Dental Education, National Teaching Fellow, Faculty Associate Dean for Teaching and Learning
School of Dentistry, Manchester
Professor Andrew Eder
BDS, MSc, MFGDP, MRD, FDS, FHEA
Director of Education and CPD, UCL Eastman Dental
Institute
Mr Raj RajaRayan OBE
MA(Clin Ed), MSc, FDSRCS,
MGDS, DRD

FFGDP(UK),

Professor Liz Kay
Foundation Dean and Professor of Dental Public Health
Plymouth University Peninsula Schools of Medicine and
Dentistry Dean of the Peninsula Dental School, Plymouth
Pam Swain
MBA LCGI FIAM MCMI BADN®
Chief Executive
Mr Raj Rattan
Associate Dean, London Deanery
Dr Paroo Mistry
BDS MFDS MSc MOrth FDS (Orth)
Specialist Orthodontist
Dr Peter Galgut
PhD (LMU), MPhil (Lond), MSc (Lond), BDS (Rand),
MRD RCS (Eng), LDS RCS (Eng), MFGDP (UK), DDF
Hom, ILTM
Periodontal Consultant

MRD,

Dr Trevor Bigg
BDS, MGDS RCS (Eng), FDS RCS (Ed), FFGDP (UK)
Practitioner in Private and Referral Practice
Baldeesh Chana
RDH, RDT, FETC, Dip DHE
President, BADT and Deputy Principal Hygiene and
Therapy Tutor, Barts and The London School of Medicine and Dentistry
Dr Stuart Jacobs
BDS MSD (U Ind)
Full-time Private Practitioner
Shaun Howe
RDH
Dental Hygienist
Dr Richard Kahan
DS MSc (Lond) LDS RSC (ENG)
Endodontic Specialist

Published by Dental Tribune UK Ltd
© 2012, Dental Tribune UK Ltd.
All rights reserved.
Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for

www.sirona.com/cerec-inspired

Group Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
Publisher
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com

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

Sales Executive
Joe Ackah
Tel: 020 7400 8964
Joe.ackah@
dentaltribuneuk.com
Editorial Assistant
Laura Hatton
Tel: 020 7400 8981
Laura.hatton@
dentaltribuneuk.com

Design & Production
Ellen Sawle
Tel: 020 7400 8970
ellen@dentaltribuneuk.com
Design & Production
Rachel Harrison
Tel: 020 7400 8951

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

Follow us on Twitter

[31] => DTUK_issue161-5.indd

United Kingdom Edition

COURSE ANNOUNCEMENT

MULTI-SYSTEM IMPLANTOLOGY CERTIFICATE COURSE AT

&ODVVLÚHG 31

June 18-24, 2012

STAND OUT FROM THE CROWD

TRAFFORD GENERAL HOSPITAL, MANCHESTER
Recognised by University of Salford

Applications are invited for a hospital based “certiﬁcate” year course
(one day a month) starting on 7th November 2012.
This unbiased multi system clinical course in its 20th year is designed to teach
practitioners how to incorporate implant treatment to their practices safely with
the back up of three most documented implant systems according to the FGDP/
GDC Training Guidelines. Astra, Nobel Biocare and ITI/Straumann, the market
leaders in implantology for their unique indications, predictability, research and
documentation, are taught step-by-step during the year course. Each participant
will have the opportunity to place implants in their patients under supervision. The
course has been granted approval by the FGDP (UK) for accreditation towards
its Career Pathway’.

COURSE CONTENTS AND BENEFIT
 t,FZOPUFDPOTVMUBOUTQFDJBMJTUTQFBLFSTGSPN6,BOEBCSPBE
 t$FSUJmDBUJPOGPSUISFFNBKPSJNQMBOUTZTUFNTBOE(#3UFDIOJRVFT
 t1SFQBSFGPS%JQMPNBFYBNJOBUJPOTPSGVSUIFSBDBEFNJDTUVEZ(e.g. MScs)
 t#FOFmUGSPNFYUFOTJWFOFUXPSLPGBDDSFEJUFE6,.FOUPST
 t$MJOJDBMQSBDUJDFTVQQPSUBOEBEWJTPSZTFSWJDF
 t*NQMBOUUFBNXJUIIJHIMZQSPWFOZFBSTDMJOJDBMSFTFBSDIBOEUFBDIJOH
FYQFSJFODF
 t#FDPNFBO*5*NFNCFS(with complimentary 1st year’s subscription) (worth £200)
 t3FDFJWFDPNQMJNFOUBSZFEJUJPOTPGmWF*5*5SFBUNFOU(VJEFT(worth £350)
FOR FURTHER INFORMATION: Professor T.C. Ucer, BDS, MSc, PhD,
Oral Surgeon, Oaklands Hospital, 19 Lancaster Road, Manchester M6 8AQ.
Tel: 0161 237 1842 Fax: 0161 237 1844 Email: ucer@oral-implants.com

www.oral-implants.com

Choose a first class dental specialist
accountant, with unrivalled expertise
and over 30 years’ experience
dealing with:
t Tax savings – Chartered Tax Advisor
t Buying and selling a practice
t Incorporations
t NHS Superannuation
t HMRC Investigations

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

Dental Practice Finance
Are you buying a practice?
We can help with:
 t 6QUPmOBODF
S P E C I A L I S T D E N TA L A C C O U N TA N T S

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

- Assistance with Buying & Setting Up Practices
- Tax Saving Advice for Associates and Principals
- Incorporation Advice
- NHS Contract Advice
- Particular Help for New Associates
- Help for Dentists from Overseas
- National Coverage
- We act for more than 650 Dentists

N SDAL
National Association of
Specialist Dental Accountants & Lawyers

 t 5IFNPTUDPNQFUJUJWFJOUFSFTUSBUFT
 t 1SFTFOUJOHZPVSmOBODFBQQMJDBUJPO
 t 1SPmUBOEMPTTQSPKFDUJPOT
 t "EWJDFPOQSBDUJDFTVJUBCJMJUZ
Contact
Whether you are buying an NHS, Mixed or Private
practice, PFM can help you raise the required ﬁnance.
We also help associates buying a share in their existing
practice
PFM have many years experience of helping dentists to
purchase a practice. We are fully independent and have a
reputation for integrity and professionalism.
Visit www.pfmdental.co.uk for details of our regular practice
purchase seminars.

For more information contact Jon Drysdale on
01904 670820 / jon.drysdale@pfmdental.co.uk

To
advertise
call
Joe Ackah
on
0207
400 8964

[32] => DTUK_issue161-5.indd

74)'-%03**)6

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[cover] => DT UK No. 16, 2012

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => Living like a rock star [page] => 08 ) [2] => Array ( [title] => OFT report: what does it mean? [page] => 10 ) [3] => Array ( [title] => A well-earned break! [page] => 12 ) [4] => Array ( [title] => Ortho Tribune [page] => 13 ) [5] => Array ( [title] => Chronic pain management [page] => 22 ) [6] => Array ( [title] => Get CPD and some Christmas shopping! [page] => 25 ) [7] => Array ( [title] => Safeguarding children [page] => 26 ) [8] => Array ( [title] => Industry News [page] => 28 ) [9] => Array ( [title] => Dental Tribune UK Editorial Board [page] => 30 ) [10] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

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