News / Mercy ships: Changing lives / Colourful perception and 50 shades of grey / Five easy ways to help achieve smoother CQC compliance / Education Tribune / Employment law: know where you stand / Simply the best / A key(board) question / Why improving your practice is a mystery – part 11 / Industry News / Dental Tribune UK Editorial Board / Classified
News
01 - 07 viewMercy ships: Changing lives
08 - 09 viewColourful perception and 50 shades of grey
10 - 10 viewFive easy ways to help achieve smoother CQC compliance
11 - 12 viewEducation Tribune
13 - 22 viewEmployment law: know where you stand
24 - 25 viewSimply the best
26 - 26 viewA key(board) question
27 - 27 viewWhy improving your practice is a mystery – part 11
28 - 28 viewIndustry News
29 - 29 viewDental Tribune UK Editorial Board
30 - 30 viewClassified
31 - 31 viewArray
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[1] =>
DTUK_issue21_1-5.indd
September 3-9, 2012
PUBLISHED IN LONDON
News in Brief
'HQWLVWVFRPHÚUVW
According to a recent poll,
dentists offer the best customer service of any profession. Out of the 1,000 people
who took part in the survey,
47 per cent of people rated
dentists highly, followed by
waiters, who received 30 per
cent of the votes and doctors, who took 27 per cent
of the vote. According to the
report, gym staff are among
the worst to deliver customer service, while 40 per cent
of people think council staff
have a bad attitude. Police,
hospital workers and shop
assistants were also rated
badly, as were post office
staff. The poll concluded that
people are more than twice
as likely to receive good customer service from dentists
as they are from bar staff; so
it’s good news for dentists!
Oz tobacco decision
The British Dental Health
Foundation has welcomed
the decision by the Australian High Court to reject the
legal challenge by the tobacco industry against the
tobacco plain packaging legislation. The new Australian
law will require cigarettes to
be sold in olive green packets, with graphic images
warning of the consequences
of smoking. The new legislation, which will be enforced
in Australia by 1 December
2012, means that all tobacco
products must be in plain
packaging. This will restrict
tobacco industry logos, brand
imagery, colours and promotional text appearing on
packs. Brand and product
names will be in a standard
colour, position and standard
font size and style.
Dental Commissioning Statistics, England - June 2012
The DoH has released statistics showing the volume
of UDAs commissioned by
Primary Care Trusts as at
the end of each quarter, for
the preceding 12 months.
Key findings this quarter include: All 151 Commissioners (PCTs and Care Trusts)
returned data; 89.1 million
UDAs have been commissioned as at 30th June 2012;
This represents a decrease
of 686,000 (0.76 per cent) on
the UDAs commissioned as
at 31th March 2012; The total UDAs commissioned as
at 30th June 2012 is 87,000
higher (0.10 per cent increase) than the UDAs commissioned as at 30th June
2011. Dental Contracts Statistics can be viewed at: https://
www.wp.dh.gov.uk/transparency/2012/08/08/dentalcommissioning_june12/
ZZZGHQWDOWULEXQHFRXN
News
Feature
2UDO+HDOWK&DPSDLJQ
September is Colgate Oral
Health Month
page 2
VOL. 6 NO. 21
Education Tribune
0HUF\VKLSV
Neel Kothari looks at a dental
mission in West Africa
pages 8-9
Feature
([SDQGLQJ+RUL]RQV
.H\ ERDUG TXHVWLRQV
Oliver Harman discusses the
MSc
So how do you keep your keyboard germ free?
page 27
pages 13-14
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N
HZ ÚJXUHV VKRZ WKDW
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IHOO E\ ~ WR ~ LQ
The decrease is detailed in
one of two new reports published by the Health and Social Care Information Centre
(HSCIC). The other report,
on dentists’ working hours to
2011/12, suggests their average
weekly hours have gradually
increased.
Dental Earnings and Expenses, England and Wales, 2010/11
reported that in 2010/11 taxable
income (gross earnings minus
average expenses) from NHS
and private dentistry was:
t b GPS TFMGFNQMPZFE
primary care dentists who held
a contract with their primary
care trust (England) or local
health board (Wales) – known
as providing-performer dentists (who make up about 28 per
cent of the primary care dental
workforce). This is an 8.5 per
DFOU EFDSFBTF GSPN b JO
2009/10
t b GPS TFMGFNQMPZFE
primary care dentists who work
in a practice but do not hold
a contract – known as performer only dentists and who make
up the majority (about 72 per
cent) of the primary care dental workforce. This is a 4.2 per
DFOU EFDSFBTF GSPN b JO
2009/10
The report also showed that
when both groups were considered together:
tQFSDFOUFBSOFEBUBYBCMF
JODPNF PG MFTT UIBO b JO
2010/11 compared to 55.8 per
cent in 2009/10
t QFS DFOU EFOUJTUT
earned a taxable income of at
MFBTUb JO DPN
pared to 310 (1.5 per cent) in
2009/10
Dental Working Hours, England and Wales, 2010/11 and
2011/12, also published recently,
is based on a survey sample of
both full and part time providing-performer and performer
only dentists carrying out NHS
work in primary care. It provides context to the earnings
figures and suggests:
t#FUXFFOBOE
there were gradual increases in
average weekly hours. For providing-performer dentists hours
increased from 39.6 to 41.9
hours (smaller increase for performer only dentists), the main
factor being a gradual increase
in the proportion of time spent
on non-clinical work (23.8 per
cent in 2011-12)
t *O QSPWJEJOHQFS
former and performer only
dentists reported working an
overall average of 37.5 hours
per week in dentistry, of which
28.1 hours (74.8 per cent) were
devoted to NHS dental services.
The remainder, 25.2 per cent,
was accounted for by private
dentistry
HSCIC chief executive Tim
Straughan said: “These figures
show dentists on average have
seen a drop in their income,
with those that hold a contract
with a Primary Care Trust or Lo-
cal Health Board seeing a fall in
PGPWFSb
“This information will of
course be of use to dentists but
also other groups including the
public and policy makers. Coupled with today’s other report
that suggests a gradual increase
in dental working hours, this
information highlights changes taking place to the working
lives of primary care dentists.”
Dental Earnings and Expenses, England and Wales,
2010/2011 presents earnings
and expenses results by Strategic Health Authority in England,
age and gender. It is at www.
ic.nhs.uk/pubs/dentalearnexp1011
Dental Working Hours, England and Wales, 2010/11 and
2011/12 can be found at www.
ic.nhs.uk/pubs/dentalworkinghours1012 DT
[2] =>
DTUK_issue21_1-5.indd
2 News
United Kingdom Edition
4FQUFNCFS
Dentist walks the Two Moors in
aid of Mouth Cancer Foundation
A
Dentist Paul Kelly
dentist from Weymouth,
Dorset and his partner
Danielle Wootton, a university lecturer, are walking
the Two Moors Way in Devon
this September in aid of the
Mouth
Cancer
Foundation.
Paul Kelly said: “We decided to
do this because I have seen the
consequences of mouth cancer
and Danielle has had a relative
die from this condition. Figures
for mouth cancer are on the increase”. The Two Moors Way is
just over 100 miles and goes over
both Exmoor and Dartmoor to
ÚQLVKLQ,Y\EULGJH'DQLHOOHVDLG
“neither of us are long-distance
walkers but we have been training hard and we are hoping that
the weather remains favourable,
particularly for the Dartmoor
stretch. Fortunately we are doing
this over eight days. We are paying for all our own accommodation and every penny we receive
in support goes to the Mouth
Cancer Foundation”.
They are also working on
their navigation skills as part of
the route is described as ‘unwaymarked’ open moorland. Fortunately Paul has done some navigation before, but he still feels
the need to practice in the field
with a compass and an ordnance
survey map.
He said: “We have read blogs
of others who have done this walk
and had nothing but rain day after day. We hope that doesn’t happen to us”.
Paul said: “We are taking seriously the requirement to upgrade
our fitness levels”. Paul used to
be a keen surfer, mountain biker,
and badminton player but he said
that it had been too easy to let
these activities slip by the wayside as years passed. Danielle
used to enjoy cycling and tennis and she says that she is really enjoying discovering a level
of fitness that she thought she
had lost. They have had support
from a local radio station, set up
for the period of the 2012 Olym-
pic events in Weymouth and
Portland, that has been playing
recordings of an interview with
Paul to raise awareness about
mouth cancer.
Paul stated that the aim of
the walk was not only to raise
funds but also to raise awareness in the population regarding mouth cancer. He will be
emphasising the importance of
early diagnosis, attention to risk
factors, and the changing demographics, with more young people being affected. DT
For anyone who wishes to
donate visit http://www.mycharitypage.com/paulkelly
Rise in young female dentists working for the NHS, says new report
A
n increasing number of female dentists are working
for the NHS, with the gap
between male and female numbers narrowing, a new Health
and Social Care Information Centre (HSCIC) report shows.
dentists making up the under-35
age group; which is now 55.4 per
cent compared to 55.2 per cent
in the previous year and 51.8 per
cent in 2006/07.
Of the almost 23,000 high
street dentists who performed
NHS activity in 2011/12; 44.5
per cent were female. This is up
from 43.5 per cent on the previous year and from 38.8 per cent
in 2006/07.
The report; NHS Dental Statistics for England: 2011/12 brings
together information on different
aspects of NHS dentistry in England, from the number of dentists working for the NHS and the
amount of activity they perform,
to the number of patients seen by
an NHS dentist.
There has been a gradual increase in the number of female
Key facts include:
t NJMMJPO QBUJFOUT QFS
cent of the population, including children and adults) were
seen by an NHS dentist in the 24
months to June 2012; a 0.4 million increase on the 24 months
UP+VOF QFSDFOUPGUIF
population) and a 1.4 million increase on the 24 months to March
2006, immediately prior to the introduction of the current dental
contract when 55.8 per cent of
the population were seen by an
NHS dentist
t NJMMJPO DIJME QBUJFOUT PS
70.7 per cent of children, were
seen by an NHS dentist in the 24
months to June 2012; 0.4 percent-
BHFQPJOU NPSFUIBOUIF
24 months to June 2011 when
70.4 per cent of children saw a
dentist but the same number and
percentage of children as in the
24 months to March 2006
ures show that more females
are working for the NHS as
high street dentists, with the
under 35’s age group in particular made up of more women
than men.
t5IFOVNCFSPGDPVSTFTPGUSFBUment performed on the NHS inDSFBTFECZ QFSDFOU
JOBZFBSUPSFBDINJMMJPOJO
2011/12. This number has been
increasing each year since the
courses of treatment measure
was first introduced in 2006/07
“Today’s figures come hot on
the heels of two more HSCIC reports that show dentists’ working
hours have gradually increased.
Primary care dentists have also
seen a drop in their taxable income. Together, these dentistry
reports offer a broad picture
of what is happening within
the dental profession and its
patients.” DT
HSCIC chief executive Tim
Straughan said: “Today’s fig-
September is Colgate Oral Health Month
theme for the 2012 campaign
is ‘Oral Health as Part of Overall Health’ with the following
messages:
t#SVTIZPVSUFFUIUXJDFBEBZ
with fluoride toothpaste
t "WPJE TVHBSZ TOBDLT BOE
drinks between meals
T
his September, The
British Dental Association and Colgate are
partnering to raise awareness
of oral health as part of overall health. Colgate Oral Health
Month, now in its 10th year,
aims to inform and educate
the general public on the importance of good oral health,
and to encourage communication between dental professionals and patients. The
t7JTJUUIFEFOUJTUSFHVMBSMZ
To help raise awareness
and engage with the entire
population, Colgate is running a national radio advertising campaign, focusing on the
UISFFLFZNFTTBHFTBCPWF"Editionally Colgate is hosting a
2" FWFOU PO UIFJS 'BDFCPPL
page during the month of
September inviting the general public to have their oral
care questions answered by
a dentist.
Dental professional participation is key to the success of this campaign. Colgate
will provide all registered
practices with Colgate Oral
Health Month practice packs
containing
educational
materials to help your team
create a practice display. Colgate Oral Health Month is an
opportunity to reinforce the
benefits of improving oral
health as part of a national
campaign, and your entire
dental team can play a key
role, as part of your on-going
delivery of care.
" OBUJPOBM $PMHBUF 0SBM
Health Month road show will
provide oral health infor-
mation to the general public throughout the month of
4FQUFNCFS 7FOVFT JODMVEF
Croydon, Cardiff, Kingston,
3FBEJOH #BUI *TMJOHUPO #JSmingham, Liverpool, Manchester,
Sheffield,
Leeds,
Newcastle and Glasgow. Dental hygienists and therapists
will provide oral care advice and raise awareness of
oral health as part of overall
health. If you’re interested
in attending one of the road
shows, full details of the venues can be found at www.colgateprofessional.co.uk.
Colgate will provide a verifiable CPD Programme for all
dental professionals: DeliverJOH #FUUFS 0SBM )FBMUI o 1SPNPUJOH 1SFWFOUJPO JO "EVMUT
This will be available to
download from 1st September
at www.colgateprofessional.
co.uk
For further information
please contact the Colgate
Oral Health Month registration line on 0161 665 5881. DT
[3] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
Editorial comment
T
his week sees
the start of Colgate Oral Health
Month (COHM) - a dental public health campaign now in its tenth year.
Aiming to inform and educate the general public on
the importance of good oral
health, and to encourage
communication
between
dental professionals and patients, COHM is a partnership
between the BDA and Colgate with activities such as
roadshows
and
a
social
media campaign to get the
message across to the public
that oral health is a fundamental part of overall health.
Get involved with the
News 3
September 3-9, 2012
campaign’s events.
As I write, the Paralympics are now in full swing so
please join me in wishing all
competitors (but especially
Team GB) the best of luck! DT
campaign - contact the Colgate Oral Health Month registration line on 0161 665 5881
for a registration pack and
more information about the
Do you have an opinion or something to say on any Dental Tribune
UK article? Or would you like to
write your own opinion for our
guest comment page?
If so don’t hesitate to write to:
The Editor,
Dental Tribune UK Ltd,
4th Floor, Treasure House,
19-21 Hatton Garden,
London, EC1 8BA
Or email:
lisa@dentaltribuneuk.com
BDA welcomes
Monitor licensing
exemption
proposal
T
he British Dental Association (BDA) has welcomed
a proposal that providers of primary dental services in
England will not be subject to licensing by Monitor. The proposal,
which is outlined in a Department
of Health consultation published
today (15 August 2012), follows
extensive lobbying by the BDA.
The BDA has made the case
against the need for Monitor to
license dentistry since the possibility was raised by the publication of the Health and Social Care
Bill in 2010. BDA campaigning has
stressed to politicians and the Department of Health the extensive
regulatory regime to which primary care dentistry is already subjected, and has seen BDA officers
regularly pressing for confirmation that Monitor’s regime would
not be applied to the sector.
Dr John Milne, Chair of the
BDA’s General Dental Practice
Committee, said: “Dentistry is
already subject to extensive
regulation. Adding another, unnecessary layer to the many that
already sit across our practices
would serve only to tie dentistry
up in even more red tape. That’s
why the BDA has lobbied hard
against the possibility of Monitor licensing dental practice.
“We are pleased to see that
our campaigning appears to
have borne fruit and welcome
today’s proposal that primary
care dentistry will not be subjected to Monitor’s regime. This
is a sensible recommendation
and good news for dental practice.”
The consultation document,
Protecting and promoting patients’ interests – licensing
providers of NHS services, considers who will be licensed by
Monitor, how licensing will operate and the financial penalties
that Monitor will be able to impose for breaches of its licensing conditions. The BDA will be
reinforcing its view that what
has been recommended is appropriate in a formal response
to the consultation. DT
6YHS/LHS[OHZ7HY[VM6]LYHSS/LHS[O
;OPZ`LHY*VSNH[LHUK[OL)YP[PZO+LU[HS(ZZVJPH[PVUHYLWHY[ULYPUN[VYHPZL
H^HYLULZZVMVYHSOLHS[OHZWHY[VMV]LYHSSOLHS[O(ZWHY[VM`V\YVUNVPUN
KLSP]LY`VMJHYL[OLLU[PYLKLU[HS[LHTJHUNL[PU]VS]LK[VYLPUMVYJL[OL
ILULMP[ZVMPTWYV]PUNVYHSOLHS[O
=PZP[^^^JVSNH[LWYVMLZZPVUHSJV\R[VKV^USVHK[OL]LYPMPHISL*7+
WYVNYHTTL‘Delivering Prevention in Adults’
If your practice has not previously been involved in Colgate Oral
Health Month, please call 0161 665 5881 to register.
www.colgateprofessional.co.uk
[4] =>
DTUK_issue21_1-5.indd
4 News
United Kingdom Edition
September 3-9, 2012
The oral health of elite athletes at
The London 2012 Olympics
U
CL Eastman Dental Institute has been leading
an innovative research
study at the London 2012
Olympic Games to investigate
the oral health of elite athletes
and the impact of oral health on
training and performance.
The study is led by Professor
Ian Needleman with Dr Paul
Ashley, Dr Aviva Petrie, Professor Stephen Porter and Profes-
sor Nikolaos Donos, working
with the London 2012 Polyclinic Dental team led by Professor
Farida Fortune from Barts and
The London School of Medicine
and Dentistry.
To date, more than 300 athletes have been recruited to
take part, making it one of the
most comprehensive investigations of oral health in elite athletes ever undertaken.
Professor
Needleman
explains the purpose of the
study: “There are many potential threats to oral health
in athletes including exerciseinduced immunosuppression,
difficulty in taking time away
from training for oral care,
and drinks high in sugars. Despite this, oral health does not
usually appear on the radar
for many athletes and little is
known about such impacts on
their performance.
“Several athletes during the
Olympic Games so far have told
us how big an effect it has had
on them and we will look forward to analysing the data over
the next few months.”
UCL Eastman Dental Institute would like to acknowledge the fantastic enthusiasm
of the volunteer dental clinic
staff who worked hard to conduct the screenings. The research continues the Institute’s
focus on investigating the relationship between oral health
and general health and wellbeing. DT
For more details about the
UCL Eastman Dental Institute,
please visit http://www.ucl.
ac.uk/eastman or telephone
020 3456 1038
Major review into cosmetic procedures launched
E
xpert panel to look at the
best way to protect patients
having cosmetic interven-
cedures. The call for evidence,
issued today, which can be found
at www.dh.gov.uk/publichealth, is
asking for people’s views on:
The cosmetic surgery industry is under scrutiny and could
find itself operating under tighter
restrictions following a major review into cosmetic surgery and
procedures launched today by the
Department of Health.
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products used in cosmetic interventions
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people who carry out procedures
have the necessary skills and
qualifications
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have the systems in place to look
after their patients both during
their treatment and afterwards
tIPXUPFOTVSFUIBUQFPQMFDPO
sidering cosmetic surgery and
procedures are given the information, advice and time for reflection
to make an informed choice
tXIBUJNQSPWFNFOUTBSFOFFEFE
in dealing with complaints so they
are listened to and acted upon
tions
The review, requested by
Health Secretary Andrew Lansley
and led by the NHS Medical Director, Professor Sir Bruce Keogh,
is in response to concerns raised
about the industry following problems with PiP breast implants.
It will look at many issues including whether the right amount
of regulation is in place, if people
have the right amount of information before going through with
surgery and how to make sure patients get the right aftercare.
People are being asked to give
their views on, and share their
experiences of, the cosmetic surgery industry and cosmetic pro-
This comes as a survey shows
that many people consider the
cost of surgery more important
than the qualifications of the people doing it, or how they will be
looked after. The survey of 1,762
people shows that:
t5XPUIJSET QFSDFOU PGUIPTF
questioned consider cost as a factor when deciding whether or not
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50 per cent for non-surgical proDFEVSFT UBLFUIFRVBMJGJDBUJPOTPG
their practitioner into consideration
t MFTT UIBO IBMG QFS DFOU GPS
surgery, 36 per cent for non-surgiDBMQSPDFEVSFT DPOTJEFSUIFRVBM
ity of their aftercare
It also shows that, as a result
of the recent PiP breast implant
problems, almost half of women
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have considered cosmetic surgery before, say that they are now
less likely to have it. This comQBSFT UP B RVBSUFS QFS DFOU
of men.
Professor Sir Bruce Keogh
said: “The recent problems with
PiP breast implants have shone
a light on the cosmetic surgery
industry. Many questions have
been raised, particularly around
the regulation of clinics, whether
all practitioners are adequately
qualified, how well people are
advised when money is changing hands, aggressive marketing
techniques, and what protection is available when things go
wrong.
“I am concerned that too
many people do not realise how
serious cosmetic surgery is and
do not consider the life-long implications – and potential complications - it can have. That’s why
I have put together this Review
Committee to advise me in making recommendations to Government on how we can better protect people who choose to have
surgery or cosmetic interventions.
“We want to hear views
from
everyone,
particularly
people who have experience of
the cosmetic surgery industry
or of other cosmetic interventions – good and bad – so we
can learn what works best.”
A team of experts will assist
Sir Bruce Keogh to gather evidence and make recommendations to the Government by next
March. The members are:
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Medical Director of BUPA
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PiP implants
t 1SPGFTTPS 4JS *BO ,FOOFEZ
Emeritus Professor of Health Law,
Ethics and Policy at University
College London
t 5SJTI )BMQJO &EJUPS PG A.BSJF
Claire’ magazine
t %S 3PTFNBSZ -FPOBSE (1 BOE
media doctor
t 1SPGFTTPS 4IJSMFZ 1FBSDF DMJOJ
DBM QTZDIPMPHJTU BOE GPSNFS 7JDF
Chancellor of Loughborough University
t4JNPO8JUIFZ QMBTUJDTVSHFPO
t 7JWJFOOF 1BSSZ XSJUFS BOE
broadcaster
The
Secretary
of
State
for Health has also requested
that the review considers a national implant register, for products such as breast implants
and other medical devices.
The information could include
the date and place of the operation, the clinical outcome
as well as a method of identifying the patients who received
the product. DT
Researchers identify markers of oral cancer
A
group of molecular markHUV KDYH EHHQ LGHQWLÚHG
that can help clinicians determine which patients with lowgrade oral premalignant lesions
are at high risk for progression
to oral cancer, according to data
from the Oral Cancer Prediction
Longitudinal Study published in
Cancer Prevention Research, a
journal of the American Association for Cancer Research.
“The results of our study
should help to build awareness
that not everyone with a lowgrade oral premalignant lesion
will progress to cancer,” said Miriam Rosin, Ph.D., director of the
Oral Cancer Prevention Program
BUUIF#$$BODFS"HFODZJO7BO
couver, British Columbia, Canada.
“However, they should also begin
to give clinicians a better idea of
which patients need closer followup.”
Oral cancers are a global
public health problem with close
to 300,000 new cases identified
worldwide each year. Many of
these cancers are preceded by
premalignant lesions. Severe lesions are associated with a high
progression risk and should be
treated definitively. However, the
challenge within the field has
been to distinguish which lowgrade lesions are the most likely
to progress to cancer.
In 2000, Rosin and colleagues
used samples of oral premalignant lesions where progression
to cancer was known to have
subsequently occurred in order to
develop a method for grouping
patients into low-risk or high-risk
categories based on differences in
their DNA. In their current population-based study, they confirmed
that this approach was able to correctly categorize patients as less or
more likely to progress to cancer.
They analysed samples from
296 patients with mild or moderate oral dysplasia identified and
followed over years by the BC Oral
Biopsy Service, which receives
biopsies from dentists and ENT
surgeons across the province. Patients classified as high-risk had
an almost 23-fold increased risk
for progression.
Next, two additional DNA molecular risk markers called loss of
heterozygosity were added to the
analysis in an attempt to better
differentiate patients’ risks. They
used the disease samples from the
prospective study, and categorised
patients into low-, intermediateand high-risk groups.
“Compared with the low-risk
group, intermediate-risk patients
had an 11-fold increased risk for
progression and the high-risk
group had a 52-fold increase in
risk for progression,” Rosin said.
Of patients categorised as lowrisk, only 3.1 percent had disease
that progressed to cancer within
five years. In contrast, intermediate-risk patients had a 16.3 percent five-year progression rate
and high-risk patients had a 63.1
percent five-year progression rate.
“That means that two out of
every three high-risk cases are
progressing,” Rosin said. “Identifying which early lesions are
more likely to progress may give
clinicians a chance to intervene in
high-risk cases, and may help to
prevent unnecessary treatment in
low-risk cases.” DT
[5] =>
DTUK_issue21_1-5.indd
Making
Digital
Dentistry
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U Print stone models, veneer try-ins and
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try-ins, orthodontic appliances and more
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efficiency
Objet Eden260V 3D Printer
Find out how Objet 3D Printing can transform your dental business today.
www.objetdental.com V dental@objet.com
[6] =>
DTUK_issue21_1-5.indd
6 News
United Kingdom Edition
September 3-9, 2012
BDA celebrates individual contributions to dentistry
F
ourteen individuals who
have made outstanding
contributions to dentistry have been honoured by
the British Dental Association
(BDA) in the organisation’s
2012 Honours and Awards it
has been announced this week.
BDA Fellowship, which is
awarded in recognition of outstanding and distinguished
service to the BDA and the
dental profession, has been
conferred on three individuals:
Dr Mike Arthur, a general dental practitioner in Lanarkshire
and former Chair of the BDA’s
Scottish Council; Dr Lester Ellman, a general dental practi-
tioner and former Chair of the
BDA’s General Dental Practice
Committee (GDPC); and Dr Raj
Joshi, a consultant in restorative dentistry who has represented hospital dentists at a
national level for many years
and served as both Chairman
and President of the South
Yorkshire Branch.
BDA
Life
Membership
was conferred on three individuals: Dr John Mooney,
the current Chair and former
President of the BDA’s East
Lancashire Cheshire Branch
who has served as a Vice
Chair of GDPC and member
of the BDA’s Executive Board;
Mr Jackie Morrison who has
served both the BDA’s Community Dental Services Group and
its West of Scotland Branch in
roles including President; and
former Consultant in Dental Public Health Dr Richard
Ward, a former Chair of the
BDA’s Central Committee for
Community Dental Services
(now Salaried Dentists Committee).
Three individuals’ names
will be entered on the BDA’s
Roll of Distinction: British
Dental
Trade
Association
Executive
Director
Tony
Reed,
Emeritus
Professor
Phillip Sutcliffe and BDA
Director Linda Wallace.
Dr Malcolm Heath of
the BDA’s Eastern Counties
Branch, and Dr John Herrick, who has played a leading role on the BDA’s Scottish
Salaried Services Committee,
have been awarded the BDA’s
Certificate of Merit for Services to the Association. Dr
David Croser, Communications Manager for Dental Protection and a leading figure in
the campaign to allow dentists
living with HIV to practise, and
Dr Mervyn Druian, a leading figure in the BDA’s Metropolitan Branch, have been
awarded the BDA’s Certificate
of Merit for Services to the Profession.
BDA President Dr Frank
Holloway said: “The BDA is extremely proud to be honouring these fourteen individuals,
whose outstanding commitment
and professionalism have illuminated dentistry. Each has served
the dental family and the patients
it treats with dedication and
distinction. The dental profession can be proud that it counts
amongst its ranks so many individuals of such calibre.”
A ceremony to present the
winners with their awards will be
held in London in November. DT
MyFaceMyBody Awards - the shortlist is announced
O
n Saturday 3rd November
2012
dental,
aesthetic
and
beauty
professionals
will be attending the party
of the year at the MyFaceMyBody awards. The theme is
a masquerade ball, and with
entertainment from the West
End, a drinks reception and a
three-course-meal, the evening promises to be a great
night out.
FaceMyBody Awards, which is
the first aesthetic and dental
consumer awards, has been
organised to celebrate and
award those who have made
a difference in the cosmetic
sphere.
The prestigious awards,
which are sponsored by
handi…MEDIA and will be
televised and consumers will
be involved in the voting process.
The aesthetic and dental
business is one of the most
forward-looking
industries
in the world. It is constantly
pushing the boundaries of
what is possible to achieve
and matches technological
advances with human endeavour to create stunning solutions which change people’s
lives for the better.
The awards are promising to be a fantastic chance
to promote company products
and services and with special
sponsorship packages and
the knowledge that MyFaceMyBody will reach 10 million
consumers during the run up
to the awards through various
media channels.
To recognise this, The My-
What’s more, the awards
Win a trip for two to GNYDM
T
o mark Colgate Oral
Health Month, Colgate
is offering the chance
to win a fantastic week-long
trip for two to New York to
take in the Greater New York
Dental Meeting, which runs
from 24th to 27th November
2012.
The Greater New York
Dental Meeting is one of the
largest dental congresses in
the world, attracting more
than 50,000 delegates from
132 countries.
Featuring
some of the most highly regarded authorities on dentistry, the event at the Jacob
K. Javits Convention Center
in Manhattan, will be an unrivalled opportunity to expand
your knowledge by exploring
the latest industry innovations
and practices. And after the
congress, there will be plenty
of time to hit the shops, take
in a show on Broadway, or just
sample the very best that the
Big Apple has to offer!
To enter visit http://www.
colgateprofessional.co.uk before midnight on 30th September.
Terms and conditions apply. See website for details. DT
will be supporting Bridge2Aid,
a charity set up to help bring
dental pain relief to East Africa, an area where people
have no access to pain relief,
leaving millions in pain. The
charity helps to train local
health workers in basic extraction techniques. Focussing on
sustainability, and with the
help of dentists and nurses
from the UK, they train more
than 48 health workers each
year with plans for expansion.
Because of this work, an estimated 1.7 million people now
live within reach of someone
who can help them when they
have dental pain.
Along with a whole host
of entries, from body reshaping treatments to non-surgical procedures, best clinics
and community teams, those
shortlisted from the dental
world are:
Best Tooth Whitening
Enlighten
Zoon Whitespeed – Phillips
Pearl Drops tea and coffee &
Hollywood smile
Arm & Hammer Advanced
White Max Booster
Arm & Hammer Advanced
Whitening
Pearldrops beauty sleep
Ivoclar
Best clinic dental
Harley Studio
The Smile Studios
Beacon Dental Care
Bank View Smile Studios
Savernake Forest dental
Harley Dental Studio
Best Dental Hygiene
Sonicare Airflow – Phillips
Sonicare Diamond Clean –
Philips
Molar Ltd Tepe - Angle Brush
Molar Ltd Implant Care toothbrush
Arm and Hammer SONIC Spinbrush
Pearldrops Whitening mouthwash
MyFaceMyBody is a television and online resource for
consumers seeking advice on
hundreds of beauty and cosmetic treatments. It allows
people to access information,
learn about treatments, follow
the latest procedures and discuss them via our social media
channels.
Most Innovative Dental
Prestige Dental – bruxism
TePe Clip Strip
Smile in a day implants
Clearstep
The MyFaceMyBody Awards
and the masquerade ball and
held at The Landmark Hotel,
London on the 3rd November
2012. DT
Help us reach 25,000 registrations and
unlock £10,000 for dental charities
T
his year, BDTA Dental
Showcase is switching
to e-ticketing, which
means big savings in postage
costs. To encourage delegates
to register online, the BDTA
will be donating up to £10,000
to dental charities chosen by
you. All you need to do is to
go to www.dentalshowcase.
com, register for your e-ticket
and vote for the dental charity of your choice.
When
on-line registrations reach
20,000, we will donate £5,000,
shared out between the charities in accordance with your
votes.
When registrations
reach 25,000 we will add
another £5,000 to be shared
between them in the same
way.
£10,000 really can
make a difference to people’s
lives, so every registration
counts.
Registering in advance also means that you get
free entry to the show, so don’t
delay.
Once you have registered,
don’t forget to choose your
favourite dental charity to decide how the money is shared
by voting at: www.dentalshowcase.com/charity
This year’s BDTA Dental
Showcase takes place from
4th-6th October at ExCeL
London, the biggest exhibition
on the UK dental calendar.
Featuring over 300 exhibitors
with knowledgeable on-stand
experts displaying their full
product range and more than
10,000 delegates, BDTA Den-
tal Showcase is the premier
event of the year. Register online now, if you want to get
first-hand experience of the
latest innovations the dental
industry has to offer, all at
this year’s BDTA Dental Showcase. With mini-lectures, live
theatre demonstrations and
opportunities for CPD, there
is something for every member of the dental team. Don’t
miss out!
Remember,
your
online registration can make a
difference! If, for any reason, you cannot get access
to the internet, then you can
still obtain free entry to the
show by contacting our preshow registration hotline on
01494 729959. DT
[7] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
News 7
September 3-9, 2012
Be on your guard against oral health problems!
A
fter Team GB Hockey star
Kate Walsh suffered a
serious facial injury during the Olympics, an oral health
charity believes it serves as a
timely reminder for those reRVJSJOH NPVUIHVBSET UP HFU GJUted up.
Mouthguards are an essential piece of kit when it comes to
playing sports that involve physical contact. The British Dental
Health Foundation is advising
parents whose children play
contact sports to get their child
fitted with a mouthguard to help
protect against unwanted accidents.
It is estimated 40 per cent of
all mouth injuries can be related to sports. Minor dental injuries can include a chip or crack
in the tooth. Athletes can also
lose teeth and suffer damage as
the result of biting the tongue or
the cheek. Biting the inside of
the mouth can also lead to cuts
UIBUNBZSFRVJSFTUJUDIFT'SBDtures of the upper and lower
jaw, cheekbones, eye sockets or
any combination can have more
TFSJPVTDPOTFRVFODFT
Karen Coates, Dental Helpline Advisor at the Foundation,
said: “While mouthguards may
not protect against concussion
or have any impact on its severity, they can reduce further oral
health complications.
“If your child plays football,
rugby, cricket, hockey or rounders, or any contact sport then
they will need a mouthguard.
“Although you cannot get
mouthguards on the NHS, the
Foundation recommends you
talk to your child’s dentist. A
mouthguard needs to fit the
mouth exactly and protects
teeth and gums properly.
“Each mouthguard is fitted
individually so you should constantly review them to make
sure it is still fit for purpose as
your child develops.”
If your child is involved in an
accident and loses a tooth, Ka-
ren offers the following tips for
a speedy recovery:
t'JSTUMZ JGZPVDBOGJOEUIFUPPUI
and it is clean - put it back into
the socket yourself
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t 1VU UIF UPPUI TUSBJHIU JOUP B
cup of milk or keep it in your
mouth
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on the wound
t%POUDMFBOUIFUPPUIXJUIEJTinfectant or water or let it dry
out
t%POUQBOJD
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as soon as possible
t %P UBLF QBJOLJMMFST JG OFDFTsary
t %POU IPME UIF UPPUI CZ UIF
root, as teeth are surrounded by
fragile ligaments which need to
be kept intact if the tooth is to be
replaced
t*GZPVIBWFOPUNBOBHFEUPEP
it yourself, the dentist will put
the tooth back.
If you need any further advice please visit the Foundation’s ‘Tell Me About’ section
to find out more about cracked
teeth and mouthguards. DT
Dental Focus® Web Design supports the Mouth Cancer Foundation 10km Awareness Walk
Lennon tooth sculpture
T
The sculpture has been created by artist Kirsten Zuk, whose
brother, dentist Dr Michael Zuk,
won the tooth at an auction in
Stockport for £19,500 last year.
he 7th annual FREE
Mouth Cancer Foundation 10km Awareness
Walk will take place on Saturday 22nd September at Hyde
Park in London. The event will
raise much-needed funds for
the Mouth Cancer Foundation,
while also working to raise
awareness of all head and neck
cancers.
Among the many sponsors
of the event is Dental Focus®
Web Design – an award-winning team of online marketing
experts, with more than 500
dental websites to their name.
As part of Dental Focus’s com-
mitment to dentistry and issues affecting dentistry, Dental
Focus won’t just be sponsoring
the Mouth Cancer Foundation
Awareness Walk – members
of the team will also be taking
part in the walk as well! With
last year’s event a fantastic
success, this year’s event aims
to be even bigger and better
than ever before.
To join the Dental Focus®
team on the walk, you can register for free at www.mouthcancerwalk.org.
T
Like other workshops in the
series, Mastering Difficult Interactions is a three-hour interactive workshop that is available
to members free of charge and
to non-members at a charge.
Mastering Difficult Interactions provides a solution-fo-
For more information visit
www.mouthcancerwalk.org. DT
On the day of the event,
from 1pm, you will be able to
collect your participant bib,
Dental Protection
launches new workshop
he third workshop in
Dental Protection’s communication and risk
management skills series will
be launched on 28 August in
Hong Kong during the FDI Annual World Dental Congress.
Key stakeholders from a variety
of countries have been invited
to attend the inaugural workshop that will be introduced by
Kevin Lewis (Dental Director)
and facilitated by John Tiernan
(Director of Educational Services DPL/MPS).
t-shirt and refreshments for
the walk that will start at 2pm.
Once the walk is complete you
can look forward to receiving your very own goodie bag
packed with freebies, with
prizes awarded to the highest
individual and team fundraisers.
cused approach to enhancing
effectiveness and ease when
dealing with difficult interactions.
By attending this workshop
delegates will:
t6OEFSTUBOEUIFDIPJDFTBWBJMable when faced with a difficult
interaction
t-FBSOUFDIOJRVFTUPNJOJNJTF
conflict and deal with challenging scenarios
t #VJME UIF TLJMMT UP FGGFDUJWFMZ
“diagnose” the problem
t -FBSO QFSTPOBM iTVSWJWBMw
skills to reduce stress
t*NQSPWFUIFDMJOJDBMPVUDPNFT
of these complex situations
The new workshop will run
JOUIF6,BOE*SFMBOEMBUFSUIJT
year when early booking is advised. Full details are available
online http://bit.ly/O2KVre DT
A
ccording to a recent report, a piece of John Lennon’s tooth has been used
in a sculpture.
capsule. It will contain his DNA.”
According to reports, Kirsten
Zuk has incorporated the small
piece of the molar in her clay
model of the singer as a tribute
to the Beatles icon.
Donations made at the viewing will go towards the children’s
charity Smile Train, as Dr Michael Zuk explained: “Lennon
gave his tooth to a fan in good
spirit so I wanted to do a few
things that would raise awareness of the charity Smile Train,
so we are asking people that
come to view the sculpture at
Kirsten’s Art Show this weekend
in Edmonton to consider making
a donation which helps children
with cleft lip and palate.”
Speaking about the sculpture, which will be on display
during Edmonton’s Fringe Festival, Kirsten said: “I love John
Lennon – I’ve been a huge fan
all my life. This is like a time-
The tooth was originally
given to Lennon’s housekeeper
Dorothy Jarlet, who worked
for the singer at his home in
Weybridge between 1964 and
1968. DT
Planmeca signs recordbreaking Saudi contracts
JOOJTIEFOUBMFRVJQNFOU
manufacturer Planmeca
delivers three fully digital teaching environments to
,JOH 4BVE 6OJWFSTJUZ $PMMFHF
of Dentistry and the National
Guard of Saudi Arabia Health
Affairs as part of an extensive
local health care development
and investment to education.
F
This substantial delivery
agreement includes a turnkey solution with more than
1,000 dental units, simulation units, 2D and 3D Xray systems combined with an
innovative software platform,
which
seamlessly
incorporates
the
devices
and
partner solutions into a hightech,
attractive
learning
concept. A similar solution with
127 dental units and a complete
imaging and teaching system
will also be delivered to the
6OJWFSTJUZPG&BTUFSO'JOMBOEJO
Kuopio.
The government of Saudi
Arabia has given high priority
to health care services development. With these projects,
the Saudi Arabian Ministry of
Higher Education is investing in the new facilities of the
Female dental college and
builds a new dental hospital
on the male college campus.
At the same time, the National Guard of Saudi Arabia
invests in top level teaching
environment for the educational and research purposes
of the King Saud bin Abdulaziz
6OJWFSTJUZGPS)FBMUI4DJFODFT
College of Dentistry.
In co-operation with its local distributor Care Ltd., Planmeca delivers the complete
digital university installations including 990 Planmeca
Compact i and Planmeca Sovereign dental units and 100
simulation units as well as a
complete imaging system consisting of 19 Planmeca ProMax 3D dental X-ray units,
345 Planmeca ProX digital
intraoral imaging systems all
interconnected with Planmeca
Romexis software. The installations will be completed in
fall 2012. DT
[8] =>
DTUK_issue21_1-5.indd
8 Feature
United Kingdom Edition
September 3-9, 2012
Mercy ships: Changing lives
Neel Kothari looks at the volunteer work taking place in West Africa
I
t has now been over two
years since the Dental
Tribune first reported on
the work carried out in West
Africa by volunteering healthcare professionals for the
charity Mercy Ships.
Due to extreme levels of
poverty in this part of the
world the outcomes for those
who are sick are very poor
and many of the conditions
that are considered treatable
in developed countries often
result in fatalities in the third
world.
This article tells the stories of three people who have
had life changing operations
thanks to the work of the all of
the volunteers at Mercy Ships
and discusses the impact that
treatment has had on these
patients.
The first case is that of Agbekanme, a 40-year old lady
who presented with severe
mandibular osteomyelitis as
seen in the accompanying
photos.
Agbekanme’s case
In West Africa, the severity
and extent of osteomyelitis is
more wide spread and persistent than those seen in the UK.
Apart from poor nutrition and
a compromised immune system against infection, the lack
of basic health care including dental treatment and antibiotic leads to uncontrolled
periapical abscesses and subsequent extensive osteomyelitis in West African patients.
Acute medullary bone ischemia and irreversible bony
necrosis lead to chronic suppurative osteomyelitis.
Agbekanme was not in extreme pain as osteomyelitis itself is not particularly painful
given the lack of nerve endings in bone, however she did
have mild discomfort due to
the mucosal infection.
Specialist Oral and Maxillofacial surgeon Leo Cheng
reports that patients with osteomylelitis who remain untreated risk suffering from
pathological fracture of the
mandible and oro-antral/oronasal fistula for maxillary osteomyelitis. Mr Cheng also reports that very often patients
presented with facial swelling
and pus discharge and some
have single and multiple extraoral sinuses. Some patients
were tested to be HIV positive,
sickle cell crisis, Hepatitis B
and actinomycosis.
Although this is a severe
case and rarely seen in the
UK, an important message
for dentists is to be aware of
the increased risk of osteomyelitis that is posed by minor oral surgery procedures
and
bisphosphonate usage.
Bisphosphonates adversely affect osteoclasts, which are the
cells responsible for bone resorption and thereby act to increase bone density. The literature shows that intravenous
bisphosphonate usage carries
a higher risk of osteomyelitis
compared with oral bisphosphonate usage.
The uses of bisphosphonates include the prevention
and treatment of osteoporosis, osteitis deformans (“Paget’s disease of bone”), bone
metastasis (with or without
hypercalcaemia),
multiple
myeloma, primary hyperparathyroidism, osteogenesis imperfecta, and other conditions
that feature bone fragility.
Guanue’s case (before and
after)
The second case is that of twoyear-old boy Guanue, who
presented with a rare bilateral facial cleft.
Thankfully
Guanue was lucky enough to
receive treatment that managed to close his facial clefts
and realign the anatomical
structures. In West Africa,
people with facial deformities
often face a series of social issues that can often see them
being outcast from the societies. Surgeon, Leo Cheng reports that apart from appearance there are a number of
functional deficits including
cial skin flaps (interdigitating
and transposition flaps) were
used to close the clefts and
closure of the lower eyelid
conjunctiva was also required.
For uneducated village
chief and witch doctors, babies
with clefting deformities are
often treated as devil’s chil-
‘For uneducated village chief and witch
doctors, babies with clefting deformities
are often treated as devil’s children’
poor speech and overflowing
of tears due to defective drainage of tears.
In Guanue’s case local fa-
dren. Some villages in West
Africa bury babies alive with
clefting deformities. They are
often rejected by their own
parents, relatives and villag-
ers because they feel that they
are cursed. Some babies with
birth deformities are even left
in the forest for wild animals.
Alimou’s case
Our third and final case is that
of 22-year old Alimou who
presented with a large multicystic ameloblastoma of the
mandible.
Alimou Camara is from Conakry, the capital of Guinea
in West Africa. At 16 while in
the 11th grade, Alimou had to
stop school as the tumour was
growing in size and becoming an unsightly spectacle. His
siblings supported him, but
his friends abandoned him.
“People laughed at me and rejected me,” he said.
He was unable to work,
eat, and began losing weight.
Alimou lived with one of his
[9] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
married brothers whose kids
grew afraid of him. His sister-in-law feared contamination and ordered her children
not
to
drink
from
the
same cup. His life slowly became one of seclusion as
he kept himself inside hidden away from a judgmental
world.
After eight years his tumour, which hung from his
lower jaw, had grown to equal
the size of his head. It was a
huge strain on his neck. His
bottom teeth were embedded
and displaced as the mass enlarged. He experienced headaches and a continual watering of his eyes.
There was a constant leaking of pus that seeped from
his mouth where the fungating tumour protruded. Alimou would wipe it away, but
the smell was overpowering.
‘The day finally came when Alimou awoke
without a mass on his face for the
first time. Handed a small mirror, he
examined his face quietly, in awe, as tears
slid down his cheeks’
no longer allow the passage of
food through the mouth. The
eight-hour surgery involved
removing the three-kilogram
Feature 9
September 3-9, 2012
(6.6 pound) tumour, his lower
jaw, and all his lower teeth.
The tumour was removed and
he was fitted with a titanium
lower jaw by surgeons Gary
Parker and Mark Shrime.
The day finally came when
Alimou awoke without a
mass on his face for the first
time. Handed a small mirror, he examined his face
quietly, in awe, as tears slid
down his cheeks. He was unable to speak due to the tracheotomy.
Cosmetically, he looked
normal again and his face
felt much lighter. He was
planning to go back to school
as his aim was to become an
accountant.
On
behalf
of
Dental
Tribune I would like to
give a special thanks to Mr
Leo Cheng for providing the
information and photos for
these cases.
For those of you who
wish to learn more about the
work carried out by Mercy
Ships, please visit www.mercyships.org.uk for further information. DT
3URYHLWWR
[10] =>
DTUK_issue21_1-5.indd
10 MSc Blog
United Kingdom Edition
September 3-9, 2012
Colourful perception and 50 shades of grey
Ken Harris provides a colourful update on the MSc
(odd essay?) did not take me
10 years, but it certainly took
me a lot longer than I expected. We had to send in our completed manuscripts via the internet, and I suspect I was not
the only one sweating over a
hot laptop at two minutes to
midnight on deadline day!
Having trouble with 50 shade of root grey?
W
ell, six months have
passed in the blink
of an eye… and I
don’t feel a day older. However, I have recently been forced
to face up to reality as Smileon has posted mug shots of
all the MSc delegates on the
website. I’m told you are getting older when the policemen
look young, but what about
the dentists, they all look so
young! Wonder what they
think of me?
Anyway, we’ve picked up
speed since first embarking
upon the joys of dental anatomy back in January, sprinting headlong through patient
communication and management issues, and galloping
ever onwards towards treatment planning, with a necessary genuflection at the altar
of informed consent and legal
matters. Consequently we’ve
landed with an almighty bump
at the conclusion of module
two, hot, moist and breathless
(yuck!) but allegedly tooled up
and ready for anything that
might come our way.
We have had six months of
serious teaching and learned
reading to keep us all occupied, and we are now ready
to come out swinging as lean,
mean aesthetic dental machines.
The phoney war is over,
and now it’s time to get down
and dirty with the hand pieces; I do love the smell of burning dentine in the morning!
The upcoming module has us
showing off our clinical skills
in the shape of our first clinical case reports, and there is
nowhere to hide; especially
with our new found dental
photography skills.
However, before the dia-
mond hits the enamel, I must
tell you that as a finale to
module two we have had to
write our first proper essay.
It’s been 30 years since I last
penned 1,500 words to this
standard, and I must admit
that I have felt the ominous
spectre of “academic writing” seeking me like the eye
of Mordor, since I began this
course. I faced the task with
much trepidation, but I was
determined not to let it devour
me whole. Yes, perhaps I have
been reading a little too much
epic poetry of late; apologies
folks! Anyway after numerous false starts, I managed to
stop eating the lotus flowers
and began upon my own epic
essay. After avoiding Scylla &
Charybdis, sidestepping the
Cyclops, and getting an earful
of the Sirens’ seductive song
along the way, I finally made
it home to Ithaca. Thankfully, my own personal Odyssey
The webinars have still
been coming fast and loose.
Some good, and some not
so good, but all have to be
watched and inwardly digested as our “attendance”
at these virtual lectures is
strictly monitored by our tutors, and rightly so. Nevertheless, the sheer volume of
work has made it tempting to
perhaps cut a few corners and
maybe miss out some lectures
along the way. However, I can
still hear the stern words of
my old schoolmasters ringing
in my ears; “remember,
when you cheat you are only
cheating yourself… now bend
over
Harris...”
Somebody
wake me, please!!!
Dr Gregory Brambilla is a
clinician whose work I have
admired for some time now;
he really is a true artist with
composite resin, right up
there with the likes of Didier
Dietschi and Lorenzo Vannini
in my humble opinion; I do
feel I have some experience in
this field having spent a week
down in Brazil with the great
Newton Fahl back in 2005. Anyway, imagine my delight to
find him delivering a webinar
lecture, live from his private
practice in Milan, even if it
was only on shade and colour
science. However, he is the
first person I’ve heard who
can actually explain just what
is meant by the term “value”
when applied to tooth colour.
He really brought a potentially dry subject to life, and his
infectious enthusiasm
well… infectious!
was,
It’s surprising what influences our colour perception,
even the colour of our surgery walls. I was surprised at
the recommendation to repaint them every three years,
and even more surprised
to discover that Oliver Harman (resident teacher’s pet)
already does just that!!! It’s
amazing what secrets people
reveal about themselves on
this course; who needs Facebook?
The next live webinar
promises to be a real cracker with Dr Brambilla talking
about “Advanced Anterior
composite Techniques”. Does
it get much better than this?
Except perhaps a week in Brazil… (apologies Newton!!)
Anyway, tomorrow morning I have to place an allceramic crown on a root
filled upper central incisor.
The problem is with the root
shade exhibiting 50 shades
of grey, my nurse has suggested I need to be seriously
disciplined, ooh-er missus! I
don’t think she’s been reading
Greek epics! 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.
[11] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
CQC 11
September 3-9, 2012
Five easy ways to help achieve smoother CQC compliance
Shilla Taliti provides some advice on Outcome 7
A
s it dawns on us all, we
will all be faced with an
inspector calling from
CQC (if you haven’t had one already). The question is: Are you
Prepared?
The patient focus
The patients should benefit from
the fact that the practice works
in collaboration with other services, teams and individuals in
relation to safeguarding mat-
ters; and that these procedures
link up with local authorities.
They should feel confident that
their children are treated by
a team who understands their
responsibilities in line with the
Children’s act 2004.
TIP 1 - have a complaints procedure and policy in place
Patients should know that if
they have any concerns, they
can speak to somebody about it.
A complaints procedure should
be readily followed by all staff
and more importantly the patients should feel they are able
to discuss issues with the practice. A complaints policy should
DT page 12
Æ
In this series of articles, I
will be writing tips on achieving
compliance based on the several outcomes CQC are looking at.
As a reminder of the tips in
part 1 - they included confidentiality, patient records, complaints procedures etc.
As a reminder of the tips
in part 2 - they included Good
patient communication, emergency protocols, Safe practice
environments etc.
This article will be based on:
OUTCOME 7: Safeguarding patients from abuse.
The regulations of Outcome
7 look at things like the way in
which we protect our patients
against the risk of abuse and
that we do not tolerate any abusive behaviour should it occur.
This can be measured in the
way we make arrangements
‘Patients who come
to our practices
should feel they are
protected and that
their human rights
are respected and
upheld’
within our individual practices to ensure the patients are
safe by means of having correct policies and procedures in
place. Patients who come to our
practices should feel they are
protected and that their human
rights are respected and upheld.
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Although my tips cover only
a few areas of this outcome, I
hope you find them useful in
complying with CQC. This is
a very important topic and for
ease I have categorised it.
The four main areas in practice include: The patient focus,
The staff focus, The clinician
focus and The practice management focus.
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[12] =>
DTUK_issue21_1-5.indd
12 CQC
Å DT page 11
be displayed somewhere for the
patients to see it easily, for example in the waiting room.
The incidents raised by patients, their concerns and what
their actual complaint is should
be logged, monitored and responded to within the normal
requirements set out in your
policy.
The clinician focus
There are two aspects to the
clinician’s duty. One to protect
the patient from abuse and secondly to heed any warning signs
that may be evident from the patient of abuse. This could be, in
the form of emotional or physical abuse etc.
If you suspect any of the
dentists/hygienists to be in the
direct line of abusing the patient, then this is a breach of our
duty and the correct measures
should be followed by staff in
order to protect the patient. See
Tip 3 on whistle-blowing.
The staff focus
TIP 2 - All clinical staff should
have and enhanced CRB
check done
All members of the clinical team
should have an enhanced CRB
check done. The only time you
may not want to, perhaps, is
for a receptionist for whom you
may want to carry out a comprehensive risk assessment.
TIP 3 - have a whistle-blowing
policy in place
The practice staff should have
the confidence to report con-
United Kingdom Edition
cerns without worrying about
the consequences and they
should know their rights under The Public Disclosure Act
1998 for whistle blowing. These
concerns may be in the form of
abuse (verbal, physical etc).
The staff should feel that
they can disclose something and
are protected when doing so.
The disclosure should be made
to the appropriate body like the
practice manager, partner, PCT
or the health and safety executive.
The practice management focus
All members of our dental
team should have a personal
responsibility for safeguarding
patients. The staff should understand the signs of abuse and
know who to go to, if they have
any concerns.
Tip 4 - have a vulnerable
adult’s policy and staff training on it
This is mostly where a patient is
18 years of age or over and they
are not able to look after themselves or protect themselves
from harm or being exploited.
This can include the elderly,
people with mental illnesses,
physical disabilities etc.
It is useful to have a policy
which clearly outlines the procedures for staff members to
follow and states their responsibilities to the patients. It is
always useful to have the local
contacts for adult safeguarding
board near you, on the policy.
Staff should be regularly
September 3-9, 2012
trained on this aspect and they
should all be aware of what to
do if they suspected misconduct. A training log is useful to
show compliance in this area.
Tip 5 - have a child protection
policy and staff training
The policy could have things
such as:
t 8IBU ZPVS DPNNJUNFOU JT UP
safe guard children
t )PX ZPV XJMM FOEFBWPVS UP
safeguard children
t"MMTUBGGBSFBMMUSBJOFEPODIJME
protection
t 5IBU ZPV NBZ TIBSF JOGPSNBtion about concerns with other
agencies who need to know
What is your commitment to safeguarding children?
t5IBUZPVXJMMGPMMPXBQQSPQSJate procedures for staff recruitment and selection
if they are especially fearful of
local anaesthetic injections.
8IJMTU UIF QSJNBSZ QVSQPTF PG
such an action would be to reassure the patient, there is the
t5IBUZPVXJMMQSPWJEFFGGFDUJWF
management to supervision,
support and training
It may be useful to have a
nominated lead for safeguarding issues within the practice so
that all staff and patients know
who to raise a concern with.
Extra tip - restraints in dental
practice
Restraints policies are rare in
dentistry but some CQC inspectors have been asking for them.
There are very few situations
in dentistry where restraints
would ever be appropriate. Examples Include:
t " TUBGG NFNCFS IPMET B QBtients’ hand, to reassure them,
of a very nervous patient who
wanted to grab the dentists hand
whilst they were using the drill
The act requires two condi-
‘It is useful to have a policy which clearly
outlines the procedures for staff members
to follow and states their responsibilities
to the patients’
possibility that the patient may
want to grab the dentists hand
whilst they are giving the injection resulting in possible damage to themselves or others.
The Mental Capacity act 2005
of doing this could be construed
as restraint and team members
should be confident to answer
this question.
tions to be satisfied if, ever you
or your staff used the restraint:
t 3FBTPOBCMZ CFMJFWF UIBU UIF
restraint is absolutely necessary
to prevent the person coming to
harm
t "OPUIFS FYBNQMF XPVME CF
As with all management areas, these are not the only policies relating to this subject. You
may want to have other policies
JO QMBDF UPP GPS FYBNQMF B )Vman rights policy, a policy on
aggression and violence etc.
t &OTVSF UIF SFTUSBJOU VTFE JT
reasonable and in proportion to
the potential harm.
)PMEJOH WBSJPVT TUBGG NFFUings and communicating with
your staff will help to achieve
continuity of practice procedures and policies. Audits too
are a way of improving our services to patients and regular
audits carried out may help to
demonstrate our compliance to
CQC. There are many ways to
show your compliance of this
outcome and the tips above are
only a few of them. The method
of compliance for each practice
will be individual to that practice. DT
Limited places
available!
Enrol today! Call for details
About the author
TR213860
Dr Shilla Talati
is a partner MD
of Dental Perfection and has a
special
interest
in the managing
side of her dental
practice. She also
writes several articles on compliance
and is also involved with medico-legal
aspects of patient care. To contact
Shilla please email her on shillatalati@yahoo.co.uk
[13] =>
DTUK_issue21_1-5.indd
EDUCATION TRIBUNE
Education Tribune
Education Tribune
Education Tribune
Education Tribune
Expanding horizons
Clicks n’ Bricks
Safeguarding the vulnerable
State of the art
Oliver Harman discusses the MSc
Ken Nicholson discusses implant
training
Henry Clover looks at the issues
The training facility at LonDEC
pages 13-14
pages 15-17
pages 18-20
pages 21-22
Expand your “Cosmetic” Dentistry
Oliver Harman discusses expanding horizons with an MSC in Restorative and
Aesthetic Dentistry from The University of Manchester and Smile-on
“For someone who has been
practising for 29 years it has
been extremely useful, and
it gives a really good overall
picture. Technology has developed dramatically in the
past few years, and the course
too many sacrifices.
“The speakers are also
very good, and include some
of the leading names in the
field. I like that the lecturers
aren’t limited to Manchester
‘Technology has developed dramatically
in the past few years, and the course offers
a very up-to-date and progressive set of
lectures, at the cutting-edge of the dental
industry’
offers a very up-to-date and
progressive set of lectures, at
the cutting-edge of the dental
industry.”
Students of the MSc attending a hands-on session at one of the residential modules of the course
I
n the dental industry today, there are many interpretations of the term
“cosmetic dentistry”. Some
practitioners would define it
as a branch of dentistry that
focuses solely on the appearance of the smile, as opposed
to the health of the teeth.
However these are not two
mutually exclusive entities.
In an attempt to reconcile
“aesthetics” with “cosmetics”, many practitioners are
now enrolling in educational
courses to help develop their
knowledge and understanding
within the area of “cosmetic”
dentistry. In today’s society,
there is a high demand for
aesthetically pleasing smiles
amongst the general public.
As this demand increases, it is
important that clinicians enhance their skills within this
field, and produce the results
expected by patients.
Innovative
Smile-on is currently working
with the University of Manchester to provide the innovative MSc in Restorative and
Aesthetic Dentistry. The distance-learning course is designed to enhance clinicians’
existing knowledge and skills,
providing a combination of
both instructor-led units and
self-paced eLearning modules. The aim of the MSc is to
develop practitioners’ confidence and ability to offer the
highest standard of aesthetic
restorative dentistry to their
patients.
Dr Oliver Harman from
The Harman Dental Clinic in
Royal Tunbridge Wells, is one
of the two dentists in the UK
to pass the BACD Fellowship
Examination, and began the
MSc course at the beginning
of the year.
Excellent
“I have just completed the introduction to the MSc course,
and have so far found it to be
an excellent grounding in 21st
century dentistry,” he says.
Webinars
When discussing what features of the course he found
most beneficial, Dr Harman
is finding the eLearning approach to be very positive. “I
definitely prefer the webinars
live, as I feel it adds something to the lecture. Generally
the format works very well
and is a realistic method of
learning for busy dental professionals. The online aspect
provides the fantastic privilege of allowing me to continue working while studying.
This is particularly relevant to
dental professionals fairly advanced in their careers, as it
is more challenging to attend
traditional courses regularly
with great commitments to
their families and practices.
The online format allows for
more mature clinicians to revisit mainstream education
and training without making
University, enabling the presentations to provide brilliant
exposure to a wider faculty
than you would normally have
access to.”
Passionate
When talking about why he
wanted to take the MSc in
Restorative
and
Aesthetic
Dentistry, Dr Harman is very
passionate about the controversies surrounding the concept of ‘cosmetic dentistry’.
“Within the dental industry
at the moment, there are some
very conflicting views about
what the term ‘cosmetic dentistry’ covers. Unfortunately, I
think many practitioners have
formed their opinions based
on some of the pretty terrible
examples of so-called ‘cosmetic’ work in the past.
“As far as I’m concerned,
‘cosmetic dentistry’ is not a
separate entity in practice. In
all my work I aim to complete
DT page 14
Æ
[14] =>
DTUK_issue21_1-5.indd
14 Education Tribune
United Kingdom Edition
DT page 13
Å
to have an understanding of
the progress within the UK.
the gap between the widespread views of ‘cosmetic’
dentistry. Though I have just
begun the course, I think it
will be a tremendous help
to knowing and fully understanding the literature and evidence-base behind the work I
do – an invaluable benefit both
in practice and for the clinical
case studies and articles I frequently write.
“Along with a few colleagues, I wish to help bridge
“With so many contradictory ideas of ‘cosmetic dentistry’
treatments giving my patients
a beautifully crafted smile,
which
functions
properly,
looks great, is painless and
lasts a lifetime. It’s not necessarily ‘cosmetic’, it’s just good
dentistry.
‘The MSc in Restorative and Aesthetic Dentistry enhances my mainstream knowledge
of modern techniques, providing an updated platform for my work’
Enhancing
“The MSc in Restorative and
Aesthetic Dentistry enhances
my mainstream knowledge of
modern techniques, providing
an updated platform for my
work. I put a lot of emphasis on
keeping up with new advances
within the field worldwide,
but I think it is very important
September 3-9, 2012
within the dental community,
it is no wonder the general
public don’t really understand
the term. In order for patients
to know what we mean, we
need to define the term ourselves first. We need to ensure
Approximately 6,000 people in the UK annually are
diagnosed with oral cancer - with an estimated
2,000 deaths every year
(Source: British Dental Health Foundation, www.mouthcancer.org)
The MSc course uses a blend of online
and offline learning
what we’re teaching, learning and trying to achieve is
the same for everyone – hospital workers, general practitioners and members of
the public.”
The MSc course from
Smile-on and the University
of Manchester is split into
seven units, incorporating
webinars, lectures, residential
sessions and a dissertation to
end. The online resources can
be accessed repeatedly, at a
convenient time to the practitioner, and from a familiar environment. Including access
to advice and guidance from
some of the experts at the
forefront of aesthetic dentistry, the course provides a solid
framework for dental professionals to develop and improve the standard of service
they offer their patients. DT
Smile-on: inspiring better care.
Oral Cancer – prevention, examination, referral has been designed to support all health professionals
by updating their knowledge, highlighting the importance of oral cancer screening, and providing
practical tools for communicating with patients and colleagues
For
more
information
about the online MSc in Restorative and Aesthetic Dentistry go to www.smile-on.
com/msc, email info@smileon.com or call 020 7400 8989
The programme comprises four topics:
1: The facts - Providing a background into the incidence, causes and development of oral cancer
2: Team Approach - Looking at all aspects of communication both within the team and with patients
3: Screening Examination - Practical advice on improving the opportunistic screening procedure in practice
4: Case Studies - Providing first hand experiences of examining, making referrals and living with oral cancer
For more information call us on 020 7400 8989 or log on to www.smile-on.com
Graduate with a degree from a world
respected university
[15] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
September 3-9, 2012
Education Tribune 15
Implant Training Options,
from “Bricks” to “Clicks”
Ken Nicholson discusses how to invest in your career and boost your practice income
N
o-one, but absolutely no-one, can have
missed the fact that
there is a global economic crisis. Perhaps this may have directly affected your practice –
fewer patients, fewer referrals,
decreased uptake of elective or
advanced treatment.
ics. Not surprising really when
one considers that the majority
of people asking the questions
are busy General Dental Practitioners. Question 2 for example, “Will I need to spend a lot
of time away from my Practice?” – time away from practice costs money in lost reve-
nue, travel and accommodation
One way of off-setting this
situation is to offer something
new in your practice perhaps
dental implants but this requires training, so what are
your options? Let’s take some
time to consider these options
or different approaches and
tailor this article to answer the
ten questions most commonly
asked of me during my 12 or so
years of teaching implant dentistry;
1
2
3
Does the course comply
with current guidelines?
Will I need to spend a lot
of time away from my practice?
How much hands-on training is provided?
4
5
Are patients provided?
Must I provide patients for
treatment?
6
What recognition do I get
at the end of this course?
7
Can I offer my patients
a discount if treated on the
course?
8
Who is ultimately responsible for the treatment (medico-legally)?
9
Honigum.
Overcoming opposites.
Often times, compromises have to be made when developing impression materials. Because normally the rheological
properties of stability and good flow characteristics would
stand in each other’s way. DMG’s Honigum overcomes these
contradictions. Thanks to its unique rheological active
2012
What happens if my patient’s treatment is not completed before the end of the
course?
10
2010 Pr
How much does it all
cost?
If you look at the questions
above you will see there is an
underlying theme – econom-
* The Dental Advisor, Vol. 23, No. 3, p 2-5
e f e r r e d Pr o du
c ts
matrix, Honigum yields highest ratings in both disciplines.
We are very pleased to see that even the noted test institute
»The Dental Advisor« values that fact: Among 50 VPS
Honigum received the best »clinical ratings«*
www.dmg-dental.com
DT page 16
Æ
[16] =>
DTUK_issue21_1-5.indd
16 Education Tribune
United Kingdom Edition
DT page 15
Å
costs. Questions 3,4,5,7 and 10
also have an economic theme.
Think about it, what’s the point
of the training? By the end of
the programme you want to be
able to place and restore implants in a safe and predictable
manner in your General Dental Practice environment (The
Goal) and get a return on your
investment. Without a significant amount of hands-on training it is unlikely that you will
things, knowledge and skills.
Many implant courses offer
the knowledge component but
most struggle when it comes to
skills training.
What, then, might the criteria be for the ideal implant
training programme?
t Cost effective and cost efficient i.e. value for money
- minimising the time you need
to take out of your practice
thereby being cost efficient and
Things seem to be changing with a move from the bricks to the clicks of mobile learning
realise this goal. An implant
programme should deliver two
Go Direct
September 3-9, 2012
having low course fees, thereby
being cost effective in allowing
you to more readily see a return on your investment.
t Adequate skills training
-Patients provided for hands-on
(skills) training
-A significant amount of skills
training
t A recognised qualification
- That shows you are trained to
a certain standard that meets
the required guidelines
-That will help with marketing
your new found skills
Looking at the last of these
criteria first what exactly is
a “recognised” qualification.
This is usually taken as a degree inferred by an academic
institution or a qualification inferred by a Royal College. One
needs to be very wary of private
courses promoting a “Certificate” or “Diploma” at the end
of their programme. At best
such courses can only offer
verifiable CPD or a certificate
of course completion.
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Of course a recognised
qualification is not an essential requirement but the ideal
course would at least offer the
option.
So what are the current
pathways to meeting the ideal
course criteria and what are
the advantages and disadvantages of each?
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The GDC supported FGDP
implant training standards
document updated in June this
year (http://www.fgdp.org.uk/_
assets/pdf/publications/policy
documents/implant
training
stds jun 12.pdf) clearly indicates that appropriate training can be delivered by a wide
variety of providers ranging
from universities to individuals. The important point is that
the course you enrol on should,
as a bare minimum, meet these
standards.
The majority of UK universities now offer part-time MSc.
programmes in implant dentistry but this is probably the
most costly route to obtaining
a qualification in implant dentistry with average fees for a
three year programme in the
region of £25k. Furthermore
the hands-on (skills) training offered on university programmes varies greatly from
one university to the next.
One slightly unusual pathway to a qualification in implant dentistry is the Diploma
at the Royal College of Surgeons of Edinburgh. With the
right course geared towards
the examination this can be the
most cost effective and cost efficient route.
[17] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
The cost efficiency to both
the student and the course provider can be hugely increased
by the use of e-learning. This
is where the situation becomes
very interesting. Ever since the
first European university, the
‘Today however
things seem to be
changing with
a move from the
“Bricks” of the university campus to
the “Clicks” of mobile learning’
education, as they say, is like
turning an aircraft carrier.
In eight or nine years we will
continue to see incremental
changes, but not the more radical transformations described.”
From the point of view of
the GDP looking for a cost efficient and cost effective course
e-learning cannot be ignored.
A course on which the delivery
of the knowledge component is
through an e-learning platform
means that the practitioner
Education Tribune 17
September 3-9, 2012
will not need to take expensive
time out of practice to attend
lectures. Furthermore, a well
structured e-learning course
can enhance the learning experience through the use of
interactive presentations that
you can return to time and time
again as opposed to the one off
lecture with a pretty pointless
pdf handout. The structure of
the e-learning content is of paramount importance. Web based
learning should be exactly that
and not just a means of dissem-
inating lifeless information.
Combine e-learning with “hybrid” or “blended” delivery and
we are suddenly now well on
our way to meeting the criteria
set earlier for the ideal implant
programme.
With the use of regular live
Webinars, an online discussion
forum, on-line assessment,
mock examinations geared towards the Diploma in Implant
Dentistry at the Royal College
of Surgeons of Edinburgh and
The distillation of years of
teaching and clinical experience combined with a knowledge and enthusiasm for IT in
education has allowed Dr Ken
Nicholson the director of ProfiVision Ltd. to produce such a
course hosted on the e-learning
platform at http://www.SmileTube.tv DT
EVERYBODY
University of Bologna 1088,
universities have been accepted as the societal hub for
knowledge and learning. For a
millennium the ways in which
universities have offered learning, knowledge and student assessment has to a large extent
gone unchanged through the
huge societal changes created
by technology. Today however
things seem to be changing
with a move from the “Bricks”
of the university campus to the
“Clicks” of mobile learning.
How can the business of higher
education possibly avoid the influence of technology that has
transformed other informationcentric industries such as news
media, magazines, music and
television?
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to give your patients the smile
they deserve.
Change in universities to
embrace the technology that
can enhance learning and reduce the cost of education
tends to come at a snail’s pace
- Richard Holeton, director of
academic computing services
at Stanford University Libraries, has said “Change in higher
About the author
Dr Ken Nicholson BDS, MSc. Dr
Nicholson graduated from Queen’s
University Belfast in 1982 winning the
Ash prize in restorative dentistry. After
several years in general practice he
joined the Royal Army Dental Corps
where he remained until 1988 when
he returned to N. Ireland to establish
a successful general practice. After a
decade in general practice he opened
a dedicated implant referral centre,
purpose designed for the delivery of
implant treatment and teaching. In
2010 he was employed by the Postgraduate Medical and Dental School
at the University of Central Lancashire to restructure the MSc programme in Implant Dentistry, prior to
this he was instrumental in the development of the MSc course in Implant
Dentistry at the University of Warwick
where, until April 2012, he was an Associate Fellow in the Institute of Clinical Education. He is the founder of the
British Society of Oral Implantology,
the co-founder of the European Journal of Oral Implantology, a Fellow of
the International Congress of Oral Implantologists, a member of the Faculty
of Examiners at RCS Edinburgh and
sits on the editorial board of the European Journal of Implant Dentistry,
The International Journal of Implant
Dentistry and Related Research, Implant Dentistry Today and The Irish
Dentist. He currently is studying for
his Doctorate in Education, looking at
the role of e-learning in postgraduate
dental education and devotes the majority of his time to SmileTube.tv and
clinical implant practice.
the provision of patients to treat
under supervision we have now
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[18] =>
DTUK_issue21_1-5.indd
18 Education Tribune
United Kingdom Edition
September 3-9, 2012
Children and Vulnerable Adults
'HQSODQoV'HSXW\&KLHI'HQWDO2IÚFHU+HQU\&ORYHUORRNVDWWKHVHQVLWLYHLVVXH
of caring for children and vulnerable adults in the modern dental practice
T
he vast majority of
regulation
inspectors will have significant experience of inspecting providers across a whole
range of services – most with
a background in nursing or
social care. Therefore, it’s
unsurprising that their enquiries to date have concentrated on aspects relating to
these fields.
Denplan has been receiving a steady stream of reports
from members about their
recent inspections and questions that any member of staff
can be asked have included:
t8IPJTSFTQPOTJCMFGPSTBGFguarding vulnerable adults in
the practice and how is this
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achieved?
t)PXEPZPVFOTVSFUIFTBGFty of child patients at your
practice?
t5FMMNFBCPVUMPDBMBSSBOHFments for safeguarding children?
There are no right or
wrong answers to these questions, so it’s best to be as honest and detailed as possible
– a ‘stock’ answer may not reflect exactly what happens in
a specific practice and could
lead to further probing questions. The Inspector wants to
see how your policies and protocols translate into safe and
effective care and whether
the whole team can show that
they work together to achieve
this, so it’s a good idea to get
the whole team involved from
the outset.
Safeguarding vulnerable
adults and children
Children
One child per 1,000 under
four years of age suffer severe physical abuse and an
Practice Management Software
CS R4 Clinical +
t )PX EP ZPV SFTQFDU BOE JOvolve patients?
‘Who is responsible
for safeguarding
vulnerable adults
in the practice
and how is this
achieved?’
At the heart of your practice
CS R4 Clinical+ practice management software is constantly working to help your practice
function as smoothly and efficiently as possible. From text messaging, email patient reminders
and easier appointment booking to improved clinical notes and closer integration of digital
imaging services. CS R4 Clinical+ also incorporates elements to help explain your treatment
proposals and effortlessly increase patient acceptance.
Then when you’ve closed for the day CS R4 Clinical+ goes on working, backing up
your data, updating your software and preparing your system for the next working day.
As the demands on the modern dental practice grow CS R4 Clinical+ helps you
to grow with them and to flourish even in the most difficult times.
In fact, CS R4 Clinical+ is central to the success of every modern practice.
For more information or to place an order
in the UK please call 0800 169 9692
or in Ireland please call +44 1438 245000
email sales.uk.csd@carestream.com
or visit www.carestreamdental.co.uk
© Carestream Dental Ltd., 2012.
FEATURES OF CS R 4
R4 Mobile
Direct link to PIN pad
Patient Check-in Kiosk
Care Pathways
Communicator
Steritrak
E-Forms
Patient Journey
On-line Appointment Booking
Text Message and Email reminders
Clinical Notes
Appointment Book
Digital X-Ray
Managed Service
Practice Accounts
estimated one-two children
die each week in England and
8BMFT BT B SFTVMU PG BCVTF
Every member of the public
has a responsibility to report
their concerns about the welfare of children and vulnerable adults, but the dental team
is in a position to observe
these groups more frequently
and your observations can be
crucial when trying to prevent
abuse or neglect.
Abuse is classified into the
following categories:
t Physical – hitting, shaking,
biting, poisoning, burning etc
- Signs of this abuse include
orofacial trauma, which occurs in at least 50 per cent of
[19] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
September 3-9, 2012
failure to complete treatment
plans and returning in pain at
regular intervals
In all these cases, you must
be prepared to exercise your
judgement - failure to pass on
information that might prevent a tragedy could expose
you to criticism. Your patient
is the most important person, so don’t think ‘what if
I’m wrong?’, but instead think
‘what if I’m right?’ Documenting and reporting potential
Abuse comes in many forms including physical
Education Tribune 19
abuse is essential and you
must follow your LSCB guidelines. Sample child protection referral flowcharts are
also available from Denplan,
which you can modify to fit
with your local guidelines.
You should also bear in mind
that members of the dental
team are not responsible for
making a diagnosis of child
abuse or neglect, just for sharing concerns appropriately.
Vulnerable adults
Vulnerable adults are at risk
of all of the same abuse as
children, but with the added
risk of financial abuse too. A
vulnerable adult is classified
as someone “who is or may
be in need of community care
services by reason of mental
or other disability, age or illness; and who is or may be
unable to take care of him or
herself, or unable to protect
him or herself against signifiDT page 20
Æ
children diagnosed with physical abuse. Also be aware that
accidental injuries typically
involve bony prominences
such as the nose, chin, knees
etc, so document injuries seen
‘Your patient is the
most important
person, so don’t
think ‘what if I’m
wrong?’, but instead think ‘what if
I’m right?’
on both sides of the body, on
soft tissue and any history of
similar or untreated injuries.
Black eyes and injuries to the
cheeks, intra-oral, ears and
neck are also an indicator.
t Emotional – being made to
feel worthless, unloved, bullied etc
-Emotional abuse is often
harder to recognise but signs
include clingy or agitated behaviour and distress when a
parent or carer is not present,
self harm, abuse of drugs and
alcohol, delinquent behaviour
and educational problems
t Sexual – Including the witnessing of sexual acts or pornography etc
- Signs of this abuse can include
erythema,
physical
damage to the mouth, ulceration and vesicle formation
arising from an STD, inappropriate sexual behaviour or
knowledge, anxiety or depression, delayed development, or
pregnancy
t Neglect – failure to provide
adequate food, clothing, shelter, supervision, emotional
neglect etc
- Signs of this neglect can often include failure to comply
with professional advice, a
child being under or malnourished, have inappropriate clothing for the weather,
ingrained dirt or head lice,
withdrawn or attention seeking behaviour. There is also
the issue of dental neglect
which includes severe caries,
irregular dental attendance
and missed appointments,
Supported by
Email info@smile-on.com Telephone 020 7400 89 89
19-21 Hatton Garden, Floor 4, Treasure House, London, EC1N 8BA
[20] =>
DTUK_issue21_1-5.indd
20 Education Tribune
United Kingdom Edition
DT page 19
Å
cant harm or exploitation”.
In both children and vulnerable adults, therefore, it
is important to note down
your observations if you suspect abuse and document
any injuries including the
type, extent, pattern and location, as well as the overall
appearance of the person and
anything else you feel may be
relevant. In child cases you
‘The MCA states that it is up to the
treating clinician to consider the capacity
of the patient and which treatment is
in their best interest’
should consult your child protection lead in your practice
in the first instance and then
potentially liaise with other
agencies such as your LSCB,
your defence union, other
health care agencies and
social services. In adult cases, the LSCB is substituted
by your Adult Safeguarding
September 3-9, 2012
Board and, dependent on the
case, it might be appropriate
to involve the police.
tant not to promise confidentiality as it is your duty to report
your concerns.
If a child or vulnerable
adult discloses abuse to you,
it is important to remain calm
and not to be judgemental.
You should avoid asking leading questions, but listen carefully and ask open questions.
Follow your child protection
policy and record your notes
using their own words wherever possible. It’s also impor-
Judging mental capacity in
vulnerable adults
Some people may lack the
capacity to make appropriate decisions for themselves
due to age, illness, disability,
substance abuse or medication. The Mental Capacity Act
2005 (MCA) covers England
and Wales and is designed
to protect health carers and
can help you make a decision
about treatment options. The
MCA states that it is up to the
treating clinician to consider
the capacity of the patient and
which treatment is in their
best interest. It is not for the
relative, spouse or carer to
make this decision, which can
be a difficult relationship to
manage for the practice team.
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2. A person is not treated as
unable to make a decision unless practicable steps to help
him/her to do so have been
taken without success
3. A person is not to be treated as unable to make a decision merely because he/she
makes an unwise or eccentric
decision
4. An act on, or decision made
under this act for, or on behalf
of, a person who lacks capacity must be done or made in
their best interests
5. Could the decision be made
in a way that interferes less
with their rights and freedom
of action
The care and treatment
of children and vulnerable
adults is an integral part of
every dental practice. Policies and training involving the
whole dental team is essential
to protect these groups and
help act appropriately on any
concerns encountered. It’s
up to you to ensure that your
practice team is up to date on
all legal and legislative requirements, but knowing and
applying best practice will not
only improve your chances of
an excellent regulatory report
but will improve your business model and systems. DT
About the author
Dr Henry Clover - Deputy Chief Dental Officer, Denplan. Henry is a former general dental practitioner who
converted his own practice to private
practice in 1993. He joined Denplan’s
in 1998 with responsibility for professional support and member services.
He was promoted to his current position in 2010 and is responsible for
Denplan’s Professional Services team,
providing professional guidance and
support for all member dentists.
[21] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
September 3-9, 2012
Education Tribune 21
A centre for excellence
Dental Tribune looks at the dental training facility at LonDEC
F
or the past three years
LonDEC has been a centre of excellence in its
provision of post qualification
education and training courses
for Dental Professionals. These
courses have principally focused
on advancing existing skills and
learning new skills via high-end
hands-on training. The majority
of courses held at LonDEC make
use of the state of the art clinical
skills training room that hosts
the latest phantom head simulators, video operating microscopes and even a CAD teaching
aid called PrepAssistant that can
scan a single tooth preparation
in a matter of minutes and generate reports relating to how
it compares to an “ideal” tooth
preparation. Visitors and users
of the dedicated dental education centre report that facilities
within LonDEC are better than
any they have seen locally, nationally or internationally.
As well as having the 26
delegate capacity clinical skills
training room LonDEC has a 65
seat lecture room, two seminar
rooms that can seat 10 in each
and a dental surgery set up for
medical emergency simulation
training as well as dental decontamination training suite.
This article will look closely at the Medical Emergency
and Decontamination training
suite, which has been highly acclaimed by many that have attended a course.
Medical Emergency Suite
This is LonDEC’s jewel in the
crown and is home to the infamous iStan. iStan shares the facility with LonDEC’s Simulation
Suite Supervisor and Training
Co-ordinator Kemi Bakare.
For those who are unaware of
this existing technology, iStan is
a “living” manikin. He breathes,
has a pulse, will speak to you
and respond to your questions.
Most importantly, if not cared
for, should an emergency sce-
nario occur, iStan will suffer the
full consequences of an medical emergency crisis – would
you and your colleagues really
know what to do if iStan had
an anaphylactic attack, fit, simple faint or even a heart attack
whilst you carried out his dental
check-up?
Controlled by computer software iStan is a life size Human
Patient Simulator.
Using iStan’s truly life-like be-
haviour enables delegates attending courses at LonDEC to
see how they would actually
behave in an as close to real life
DT page 22
Æ
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2ESTORATIONS
CPD course
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Saturday
17th
November
2012 – 6 hours CPD – Course Fee £349*
Thursday 14th
April
2011
Perfect
Preps in
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CDTs, Therapists
andthe
Hygienists
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oral medicine conditions seen in general dental practice. Designed to develop the specific skills and knowledge of the clinical DCP this course will provide
participants
with an understanding
of the following:
Wednesday
2nd November
2012 – 6 hours CPD – Course Fee £275*
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SaturdayTAKING
14th
May
2011
IMPRESSION
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COMMUNICATION
Gorgeous Gums
23rdcovering
– Sunday
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2012the–smile,
18 diagnosing
hours CPD
Course
Fee £1200*
AFriday
hands on course
soft tissue25th
aesthetics.
Including: Assessing
gingival–pathology
and aesthetic
problems, treatment options
for pink aesthetics,
principlesEndodontics
of treatment. The hands on
session will provide training in: Grafting procedures to improve gingival contour, techniques to
3-Day
Modern
Masterclass
combat recession and crown lengthening procedures, both soft tissue and hard tissue.
3KILLS UPDATE s $AY #ONTEMPORARY ENDODONTIC TECHNIQUES HANDS ON 0REPARATION )RRIGATION AND /BTURATION s $AY 2OOT CANAL RETREATMENT REMOVAL OF
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The
Management of Tooth Wear in General Dental Practice
Tuesday 27th November 2012 – 6 hours CPD – Course Fee £175*
This one-day course provides participants with an understanding of the aetiology and management of tooth wear. Attendance on this course will ensure
An
MI Approach
to management
Tooth Wear
General
Practice
that delegates
can follow restorative
protocols in
to predictably
manageDental
the clinical problem.
£275 inclusive
of lunchPROTOCOLS
and refreshments
2ESTORATIVE
MANAGEMENT
FOR PREDICTABLE CLINICAL OUTCOMES $EVELOPING AN UNDERSTANDING OF THE LATEST TECHNOLOGY IN DENTAL ADHESIVE MATERIALS AND THE
PRINCIPLES BEHIND
SIMPLE CARE July
PLANNING
OF TOOTH WEAR CASES $ISCUSSION OF TOOTHWEAR CASES TREATMENT PLANNING OPTIONS
Saturday
23rd-25th
2011
Saturday
December
2012 – 6 hours
CPD – Course Fee £299*
Three-day1st
Aesthetic
& Restorative
Masterclass
From the King’s College London Dental Institute’s MSc in Aesthetic Dentistry the following one-day modules will be covered:
All
White on the Night
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%BZ4NJMF%FTJHOo$SFBUJOHUIF1FSGFDU4NJMF%BZ
invasive
for smile design such as composite addition
t options
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LonDEC provides
all required
materials
andofeach
delegate
*Please
contact uscourse
to take
advantage
our limited
early bird course fees.
All courses
includeCPD
refreshments,
lunch
will receive a certificate
and verifiable
hours. Lunch
and& CPD certificate.
refreshments will also be provided to all those attending a LonDEC
For further details & to book a place please visit: www.londec.co.uk
course.
Alternatively, please call or email: 0207 848 4570 / info@londec.co.uk
Looking for a suitable venue to deliver first-rate dentistry postgraduate training? Or for a
meeting
or trade
display
events?atLonDEC
facilities are flexibleTo
spaces
that adapt
to meet
Please
book
on-line
www.londec.co.uk.
contact
LonDec
your needs. Contact us to find out how we can help you.
please email info@londec.co.uk or call +44 (0) 207 848 4570
LonDEC’s infamous iStan and LonDEC’s
Simulation Suite Supervisor & Training
Co-ordinatorKemi Bakare
www.londec.co.uk
[22] =>
DTUK_issue21_1-5.indd
22 Education Tribune
DT page 21
Å
crisis situation as is possible to
create. Delegates are able to
deal with a medical emergency
as if it were happening in their
own surgeries.
This learning experience has
changed the way basic life support is being taught. Delegates
have expressed overwhelming
gratitude for the experience, not
only to learn the technical way
of carrying out CPR but also to
have the emotions and urgency
that comes with a real life crisis
situation.
Delegates are able to review the way they carried out
the management of the crisis
by watching the automatic recordings that are created. This
review process is carried out in
a neighbouring classroom and
is where most of the learning
is carried out. Seeing oneself
United Kingdom Edition
in action and performing a task
well (or less well) is a great way
of seeing, and of course believing, what to do better next time
or indeed, what had been done
correctly and well at the time.
Students can self-reflect on
their practice against the theory learnt. Discussions can be
held amongst the students and
the Tutor is able to facilitate
their learning by also giving
feedback.
Decontamination Suite
Designed as a fully compliant,
KLJKO\VSHFLÚHG6WHULOLVDWLRQ
room
The aim was to demonstrate
what could be achieved in a dental practice, with all the legislations and guidelines to consider.
The suite has enabled, not
only dental nurses, but also other dental professionals to understand what needs to be done to
achieve the best quality service
September 3-9, 2012
for our patients.
It also demonstrates the
work load required from dental
nurses before or after each patient.
The Decontamination suite
is an eye opener to working
practice and the knowledge
gained will benefit all dental
professionals.
For anyone looking to design
a dental decontamination suite
in their own clinic it is a must
see facility.
Teaching and training in this
important core CPD area takes
place on a weekly basis, as it
does for medical emergency
training. LonDEC is fortunate
to have expert tutors for its own
courses and for London Deanery courses held at the centre .
2012. It’s no time to
be fitting your patients
with 1960’s lab work.
MaxiDent is the brand new lab created to meet the needs of todays NHS
and independent dentists and their patients.
Try it for yourself.
You’ll get 50% off the cost of the first standard crown unit, MaxiFlex flexible
dentures or unbreakable ZiRock crown you order from us.
Or, if you’ll give us an extended try out, we’ll give you 25% off your entire bill
in the first month in which you order 10 or more jobs from us.
There’s lots more information overleaf, as well as inside the front cover flap.
Or take a look at our website.
It’s totally free to open your account.
ALL FABRICATION BY OUR LAB COMPLIANT WITH
020 3235 1830 maxi-dent.co.uk
764 FINCHLEY ROAD, LONDON NW11 7TH
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L A B O R AT O R I E S
TODAY’S LAB FOR TODAY’S DENTIST
IT IS YOUR RESPONSIBILITY TO MAKE ALL DECISIONS REGARDING TREATMENT IN THE BEST INTEREST OF YOUR PATIENT. AFTER VIEWING THE INFORMATION PRESENTED HEREIN, YOU MUST MAKE YOUR OWN DECISIONS ABOUT SPECIFIC TREATMENT, EXERCISE PERSONAL JUDGEMENT REGARDING THE NEED FOR
FURTHER CLINICAL TESTING OR EDUCATION, AND RELY ON YOUR OWN CLINICAL EXPERTISE BEFORE TRYING TO IMPLEMENT NEW PROCEDURES. 25% OFFER EXPIRES 31/12/2012. A PRACTICE MAY TAKE ADVANTAGE OF ONE OF THE FOUR OFFERS ONLY.
LonDEC can provide tailor
made solutions for the full dental team and when the whole
team do come along they are always surprised by what a great
learning experience they have
had, what a great team bonding exercise it has been and also
they often go away and re-write
sterilisation and medical emergency protocols. LonDEC is located a short walk from London
waterloo station in a building
that is open 24 hours a day, 7
days a week. Courses can be
put on at a time that suits individuals and practices. Why
not make a day of it and carry
out true-to-life hands-on medical emergency training in the
morning,
infection
control
training in the afternoon and
then wander across Waterloo
Bridge in to Covent Garden
for all that the West End of
London has to offer by way
of shops, restaurants and
theatre. The LonDEC staff will
happily arrange the whole
event, just let us know what you
need and it will happen. DT
Please visit the LonDEC
website for more information
about the centre and the courses
we offer and please feel free to
contact us with any enquiries.
We look forward to hearing
from you.
www.LonDEC.co.uk
http://twitter.com/LonDEC
www.ewisdom-london.nhs.uk/
[23] =>
DTUK_issue21_1-5.indd
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[24] =>
DTUK_issue21_1-5.indd
24 Comment
United Kingdom Edition
September 3-9, 2012
Employment law: know where you stand
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D
entistry has always
been
a
challenging profession, and
now, with regulation and
competition between practices at an all-time high, it is
perhaps more challenging
than it’s ever been. Be it the
CQC, the GDC, PCTs, or even
the HMRC, there are just so
many hurdles for us to cross,
and hoops for us to jump
through, it’s staggering that
we have any time for our patients at all!
Cause for concern
But while as a profession we
have had to get used to the
likes of CQC inspections and
the need to fulfil regular quotas of CPD, there is one particular aspect to our role as
employers that that has given
me great cause for concern in
recent months. That is, employment law.
tistry shows and conferences
throughout the year I am always keen to attend lectures
and listen to speakers share
their thoughts on dentistry.
I am especially interested to
learn from our international
colleagues, many of whom offer a different perspective to
what we are used to here in
the UK.
In a British room, this message often leaves the audience
feeling somewhat perplexed.
This is because in the UK our
labour laws very much favour
the employee. As an employer
then, if ever we were to employ someone who just wasn’t
‘doing it’ for us anymore, then
we’d sorely struggle to part
Our American colleagues
in particular will often speak
passionately on the subject
of branding. According to the
US philosophy, in order to run
a successful practice – or indeed a successful business –
staff should always reflect the
nature of the organisation.
Time and time again, any
speaker on branding will always say the same thing: if
your staffs aren’t ‘on brand’
then find staff who want to
work for you!
As a regular visitor to den-
rights. What I don’t agree with
however is the completely debilitating and sometimes catastrophic consequences that
some of these employment
laws can have.
How is a dental practice
expected to survive if an employee is required to be sus-
‘Time and time again, any speaker on
branding will always say the same thing:
if your staffs aren’t ‘on brand’ then find
staff who want to work for you!’
company with that employee
on any grounds other than the
most serious.
Labour laws
I fully understand the need
for employment laws, and the
need to protect employees’
pended on full pay during an
investigation? Not only must
the practice meet the cost of
the suspended staff member’s
pay, but they must also cover
the cost of the replacement,
and the loss of working efficiency experienced as a re-
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Window
There’s been some coverage in the press recently surrounding an amendment to
employment law that is supposed to work in employers’
favour. Essentially it gives employers a two-year window in
which they can legally still ask
an employee to leave. While
this might be a slight change
to our benefit, I still can’t
help but think this doesn’t address a number of the fundamental issues.
As an employer, if you have
a grievance with a member
of staff there will be an informal and formal grievance
procedure, a disciplinary and
even an appeal process. With
the rise in unionism within
BHA
software
1RZDYDLODEOHWKHQHZJURXQGEUHDNLQJ
3HDUO3UDFWLFH
0DQDJHPHQW6RIWZDUH
sult. With employment laws as
they stand even the smallest
matter can potentially cripple
a practice and run it into the
ground.
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[25] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
certain areas of the profession, we are also now finding
a number of unscrupulous individuals and organisations
taking advantage of dentists’
ignorance of labour law. This
has led to more people than
ever pushing for the likes of
unfair dismissal or constructive dismissal. Very often this
doesn’t leave the dentist with
a leg to stand on, and the practice will fast be out of pocket if
they haven’t followed the correct procedure.
Employment law is a tricky and troublesome issue
Comment 25
September 3-9, 2012
Troublesome issue
With employment law such a
tricky and potentially troublesome issue for dental practices, it really does pay to
have an advisor on your side.
This is why I heartily recommend all colleagues outsource to a HR department
that has all the relevant skills
and expertise to deal with
any employment issues that
may arise. In this modern
and increasingly challeng-
ing world, we just can’t afford
to make these kinds of mistakes. I urge you then, to protect
yourselves now – you never
know what might be round the
corner. DT
Flawed
One striking example here is
that if you sack someone and
don’t tell them they’ve got a
right to appeal then the indus-
‘With employment
law such a tricky
and potentially
troublesome issue
for dental practices,
it really does pay to
have an advisor on
your side’
trial tribunal will always find
for that employee, no matter
what the problem was originally as the issue is a flaw in
the procedure! Furthermore,
dental practices will also find
that if they don’t have the relevant documentation, policies
or disciplinary procedures in
place to protect themselves
and their staff then they will
find that they are themselves
vulnerable to a successful
complaint from a disgruntled
prospective, present or even
past employee.
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
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[26] =>
DTUK_issue21_1-5.indd
26 Advertorial
United Kingdom Edition
Simply the best
Chris Dakin discusses the UK Dawson Academy...
I
qualified as a dentist in 2002,
and like many spent my early
career completing vocational
training, working within the NHS,
and paying off my student debt!
With the treatment constraints
of certain areas of NHS funding,
I was keen to push my career towards the independent/private
sector, and wanted a skill-set to
enable me to do this. In 2006 I
completed a year-long, one day a
month restorative dentistry course
amongst other CPD courses, and
was considering what to spend my
money on next!
In 2008, I heard Glenn DuPont from the Dawson Academy
lecture on Solving Anterior Wear
Problems, and then did the break-
out session taught by Glenn and
Ian Buckle. Several dentists I’d
spoken to had recommended the
Dawson Academy and I was considering going to Florida to complete the courses. Fortunately, Ian
was in the process of bringing the
core curriculum to the UK, and
having liked what I’d heard decided it was something that I’d like to
do. I phoned Sally-Ann (Ian’s wife
and course administrator), and reserved my place. I was to be one
of the first dentists to pass through
Lecture & Hands On
Call us on +44 (0)151 342 0410 Advanced Dental Education
Core Curriculum Series 2012/13 UK
21⁄2 Day Lecture & Hands On
with Dr Ian Buckle 23hrs CPD: £1995+VAT for each module
Autumn-Winter 2012/13
Date
Venue
Module 1 Comprehensive Examination & Records Oct 18th - 20th
Wirral
Module 2 Treatment Planning,
Functional Aesthetic Excellence
Sept 27th - 29th
London
Module 3 The Art & Science of Equilibration
Nov 29th - Dec 1st Wirral
Module 4 Restoring Anterior Teeth
Jan 31st - Feb 2nd Wirral
“Thank you for your time and your
passion is inspirational, I genuinely feel
privileged to have attended .”
Mark Durnall Cornwall
Ian Buckle (BDS)
“The Dawson Academy UK has
made a massive difference to how
I do my dentistry making it now
completely predictable.”nnegan Belfast
Greg Finnegan Belfast
Special offer - 10% off Comprehensive Examination & Records Oct 18th-20th 2012
offer ends Sept 21st 2012
“
Moiz Mohammed Principal
BDS(UBrist)
Extensive experience in restorative dentistry with over 10 years of
specialised postgraduate training on all
cosmetic and reconstructive aspects
of dentistry. He continues to lecture on
Cosmetic dentistry and has completed
the prestigious Dawson academy foundation course ,based in St Petersberg.
He is a member of numerous organisations which focus on stable and functional aesthetic outcomes.
A career path change and discovering my passion
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ZKHQWKHDFDGHP\ZDV¿UVWVHWXS
“
For further information on this introductory course, basic Core Curriculum of learning and team events, please contact:
info#bdseminars.com
+44 (0)151 342 0410
www.bdseminars.com
The Dawson Academy UK | Hilltop Court | Thornton Common Road | Thornton Hough | Wirral | CH63 4JT | UK
September 3-9, 2012
the (UK style!) Dawson Academy
continuum.
May 2009, and I’m checking
into a hotel at for the initial Dawson Academy lecture: Functional
Occlusion – From TMJ to Smile Design. The usual questions featured
in my thoughts. Would it be worth
the cost? Would I learn things
that would improve my dentistry?
Would they be applicable to my
practice and relevant to me?
Over the next six months
I completed the remainder of
the core curriculum which covered Examination and Records,
Aesthetics, Treatment Planning,
Occlusal Equilibration, and Restoring Anterior Teeth. The smallgroup nature of the hands-on sessions encouraged discussion and
the opportunity to ask questions,
and seeing the familiar faces of
participants at each of the courses led to group camaraderie and
a heightened sense of learning
together. Without exception, the
lecturers always wanted to give
as much information as possible,
and many class-sessions had timings extended at their insistence
to enable this. This added lots of
value and made the courses excellent value for money.
Mention must also be made of
the venue – I attended the handson classes at Ian’s practice in the
Wirral. The facility is lovely, but
it is the friendliness and support
of his staff that really make the
courses run well. They also provide an excellent social program,
so it’s not all just learning!
So, the benefits of studying
with the Dawson Academy? It is
simply the best post-graduate
course I’ve taken. So much so, that
when Ian set up some advanced
courses I readily signed up. It has
given me a set of clinical principles and a framework in which to
apply them. It has made my work
more successful and predictable
and has increased my enjoyment
of dentistry. Furthermore, the lectures and course material forms a
collection (along with Pete Dawson’s textbook) to which I frequently refer. I have a part-time
teaching position at The University of Birmingham, and I would
like to think that it has helped me
to teach some occlusion concepts
to my undergraduate students.
In short, I feel that it is an excellent course, the continuum has
also given me the chance to meet
like-minded dentists, many of
whom have become good friends.
I’m sure many of them would
agree with my thoughts. DT
About the author
Chris Dakin qualified in 2002 and
works as an associate dentist in private practice in Shipston-on-Stour,
and Coventry, enjoying all aspects of
aesthetic restorative dentistry. He is
also a part-time clinical lecturer at
The University of Birmingham School
of Dentistry, and has lectured on occlusion in restorative dentistry both
locally and nationally.
[27] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
September 3-9, 2012
Hands down
A key(board) question the worlds
As a dentist you want to ensure CQC complieasiest
to
clean
ance; keeping your computer keyboards clean
and germ free, what are your options...
keyboard
P
lastic Wrap - this means you
wrap ‘clingfilm’ around the
exterior of a keyboard. This
works; it’s cheap and does the job,
it’s difficult and time consuming to
replace between treating patients,
it looks very unprofessional.
t4JMJDPOF3VCCFS$PWFSTNPVME
ed removable covers that fit diSFDUMZPWFSUIFLFZCPBSE$PWFST
must be removed and washed in
a sink with soapy water, presenting a barrier to compliance. The
rubber material and deep crevices between keys become a reservoir for pathogens – making them
worse than the keyboard without
a covering, if they aren’t cleaned
regularly. They can look extremely unprofessional when they are
not cared for.
t 3VCCFS ,FZCPBSET UIF FOUJSF
keyboard is made of rubber, with
keys that move within the rubber
encasement. Must be washed in a
sink with soapy water, presenting
B CBSSJFS UP DPNQMJBODF 3VCCFS
material and deep crevices between keys become a reservoir for
pathogens – making them worse
than a regular keyboard, if not
cleaned regularly. Lack of tactile
feel make these keyboard harder
to use. Generally these keyboards
are more unreliable and the rubber breaks down.
t4FBMFE.FNCSBOFUBDUJMFLFZT
are covered with a sealed membrane typically made of vinyl or
TJNJMBS $BO CF DMFBOFE JO QMBDF
However, the tactile keys require
more force than a regular keyboard, making them impractical
for quick, repetitive typing and
crevices are an issue.
t 4FBMFE 3VCCFS PWFS .FDIBOJ
cal Keys - a thin silicone rubber
membrane is stretched over regular mechanical keys. They can
be cleaned in place. Porous rubber material can attract dirt and
pathogens. The thin cover is easily damaged and can break down
with some cleaning agents.
t "OUJ.JDSPCJBM 1MBTUJDT $PBU
ings - incorporating a coating or
plastic additive with anti- microbial properties. Looks and feels
like a regular keyboard. Difficult
to clean down in the cracks. Even
if it’s anti-microbial, you still have
to wipe off residue. This presents
a barrier to compliance.
t4PMJE4VSGBDF5PVDIBHMBTTPS
acrylic top with touch sensitive
keys. Smooth polished surface
makes cleaning fast and effecUJWF $BO CF DMFBOFE JO QMBDF *T
waterproof. Lack of tactile feel of
the keys can slow typing speed.
No moving parts and completely
sealed means very durable.
The solid surface solution
seems to tick all the right boxes.
The highly-polished surface of a
solid surface keyboard eliminates
any crevices in which dirt and microbes can gather.
With no moving parts, the solid-surface keyboard can be very
TMJN BOE BMTP WFSZ SFMJBCMF "MM
these factors combine to produce
a favourable rating in every category for the solid-surface solution.
Traditionally usability of solid-surfaced keyboards has been
a drawback. The keys are not
mechanical, so the user is unable
to tacitly feel the keys and unable
to press them to get the keyboard
‘click’ feedback users expect.
Furthermore, because the
surface is touch-sensitive, the
user is unable to rest their fingers
on the keys without causing them
to type. This means slower typing
for 10-finger typists who are used
to resting their fingers on the
home row keys. The problem is
seemingly paradoxical: how can
a touch-sensitive keyboard allow
the user to rest their fingers on it
and feel the keys without typing?
When a user types on a solidsurfaced keyboard, they usually
tap on the desired key causing a
“thumping” noise, or vibration.
$POWFSTFMZ XIFO UIFZ BSF SFTU
ing their fingers on a key, no tap
occurs. By adding a vibration sensor to the keyboard and correlating its input to that of the touch
sensors, the paradox is solved;
the keyboard simply doesn’t output text unless a tap has coincided with a touch. This approach
would allow the user to rest their
fingers on the touch-sensitive
surface, solving the problem described above. Further, shallow
indentations could be moulded
over each key, forming “keywells” on the solid surface that
allow the user to tacitly feel the
location of each key. With these
enhancements, the usability of
the solid-surfaced keyboard is
dramatically improved.
Solid surfaced keyboards are
quicker to clean because they are
made with a solid, sealed surface;
they can be cleaned in a fraction
of the time it takes to clean a regular keyboard and are easier to
DMFBO *UT KVTU BT FBTZ BT XJQJOH
a countertop: just wipe the keyboard in place with a disinfectant.
What about the extra cost of
a solid surface keyboard? Well
let’s look at that; assuming just
six cleanings per day, solid surface keyboards can save up to 50
hours per year in cleaning time,
QFS LFZCPBSE "OZ XBZ ZPV MPPL
at it, solid surfaced keyboards
can pay for themselves in far less
UIBOBZFBS$PTUTBWJOHTBMTPSF
sult from fewer disposable gloves
and wipes used per treatment
and the return on investment is
immediate and significant: up to
10 times in the first year alone!
"O BNB[JOH JOWFTUNFOU DPO
sidering the expected life span
of these keyboards is up to five
years. What’s the side-effect of
all those savings? Well a far more
aseptic computing environment.
So in conclusion a solid-surface touch-sensitive keyboard
provides an effective solution to
the problem of the spread of infection caused by keyboards. By making the cleaning and disinfecting
processes both effective and easy,
compliance to cleaning protocols
are more likely to be followed
with this type of keyboard. The
additional features of a tap-sensor help overcome the traditional
drawback of usability of these
keyboards, making it an ideal solution for infection control. DT
*G ZPV XPVME MJLF B DPQZ PG
this white paper please email drbandeywhitepaper@cleankeys.
com
t4PMJE4VSGBDF
t5PVDI4FOTJUJWF
Keyboard
Made for dentists.
Cleankeys in the United Kingdom
Michael Hensman
t: +44 (0) 1404 861113
m: +44 (0) 7836 731333
mike.hensman@cleankeys.com
www.cleankeys.com
[28] =>
DTUK_issue21_1-5.indd
28 Practice Management
United Kingdom Edition
September 3-9, 2012
Why improving your practice
is a mystery – part 11
Jacqui Goss says: don’t forget to stop and smell the roses
though it was a business in
which I’ve consulted quite
frequently and know well, I
gained an even better understanding of the dynamics of
the practice – the hectic and
less hectic periods, the frequency of telephone calls and
the movements and changing
priorities of the staff.
I now understand better
why FoH staff can sometimes
struggle to interpret correctly
and act speedily upon messages that come from team members in the treatment rooms. A
hastily scribbled note or brief
telephone message can have
a perfectly clear meaning to
a dentist or nurse totally involved with a complex treatment but seems out of context
to a receptionist dealing with
a patient asking about the
dental plan, a courier unloading deliveries and a member
of the public wanting directions to the post office!
Taking time to ‘smell the roses’ can be an eye opening experience for practice managers
A
s a practice management consultant I have
a range of daily rates
depending on what I’m asked
to do – consulting, training,
mentoring, an audit, patient
coordination and so on. Compared to some others in this
business, my rates are modest and clients have even told
me this. This allows more
practices to be able to afford
me, which broadens my experience, and means I’m quite
often asked to stand in for
an absent team member
or members. Not clinical
staff but practice managers,
business development managers and patient coordinators,
for example. In doing this,
I sometimes ‘hold the fort’
at reception while somebody
is on lunch break or has a
hospital appointment etc.
the reception desk, why your
practice manager should sit
in (with the patient’s agreement) on a treatment and why
your nurses should see how
some of the monthly management reports are run off and
analysed.
Fresh eyes
I enjoy doing so and in this
article I shall explain why
you should facilitate and take
part in job swaps within your
practice as well as occasionally bringing in outsiders to
look at roles with a ‘fresh pair
of eyes’. We’ve moved on from
the days of ‘time and motion’
studies but similar principles
still apply – somebody new to
a task can often suggest more
efficient ways to do it. There
are other good reasons why
you should take a turn on
they are constantly touring
their shops, often turning
up unannounced. They monitor activity, talk to shoppers, meet their staff and
generally keep abreast of
what’s happening. Such an
approach is impossible within
dental practices. For maximal
turnover dentists and hygienists need to be ensconced
in their treatment rooms from
dawn until dusk and only
let out at weekends if they’re
lucky! The practice manager
is rarely seen as they bat-
I can’t recall their names
just now but some bosses
of large retail companies are
well known for rarely being in their offices. Instead,
tle continuously with new
compliance
requirements
and the front of house (FoH)
staff can barely cope with the
phones ringing ‘off the hook’.
I exaggerate for effect, of
course.
Opportunity
However, patients do fail to
arrive and there are sometimes gaps in appointment
schedules. Practice managers
and patient coordinators do
‘We’re looking at having sheets of smiley
face symbols so that staff can simply tick
eg happy face, surprised face, angry face
and so on ’
get 20 minutes ‘to spare’ every
so often. These are the opportunities to man the reception
desk, answer the telephones
or assist one of the team to do
a stock check. Similar opportunities may arise for managerial or administration staff
to find out what goes on in the
treatment rooms.
Let me give you examples
of what you may learn – based
on my recent experience of
‘covering’ reception in a small
but busy practice. First, even
Ambience
Sat at a reception desk within sight and earshot of the
patients’ lounge, as I was, I
learned that you don’t have
to actively eavesdrop to get a
feel for the (constantly changing) collective mood and ambience. Silence ‘says’ a lot
as, on the other hand, does
animated conversation and
laughter. Sometimes, I collected valuable feedback from
patients either without asking or just by posing a simple
enquiry such as: “Is there anything that would have made
your visit more pleasant?”
I’ve written previously about
how FoH staff can gather useful patient feedback and market your practice (you can
view my articles on www.
dental-tribune.com/epaper or
my LinkedIn profile http://
uk.linkedin.com/in/jacquigoss). My session on the reception desk reinforced just how
worthwhile this can be.
From my spell on reception the learning points for the
practice I was in were:
t "EEJUJPOBM SFTPVSDFT OFFE
to be available at the front of
house at two or three particular times of the day to cope
with increased telephone and
in-person patient activity.
A common language of key
words needs to be agreed between FoH and clinical staff
for messages together with a
priority rating system (such
as one to five or ‘hi/med/lo’)
instead of everything being
classed ‘ASAP’.
t 'P) TUBGG OFFE B RVJDL
and easy way of noting comments and feedback from patients so that they can subsequently be discussed at team
meetings. We’re looking at
having sheets of smiley face
symbols so that staff can simply tick eg happy face, surprised face, angry face and
so on – including some we’ll
make up (such as a ‘would
welcome SMS appointment reminders’ face and a ‘liked the
new website’ face).
You, of course, will have
different experiences when
you job swap and discover different learning points to be
solved. However, if you take a
turn on reception, as I did, I’m
sure you’ll be reminded what
a difficult and demanding role
it is. Oh, and that you need a
strong bladder, because ‘comfort breaks’ can be few and far
between! DT
About the author
A proven manager
of
change
and
driver of dramatic
business growth,
Jacqui Goss is the
managing partner
of
Yes!RESULTS.
By
using
Yes!RESULTS dental practices see
an increase in treatment plan takeup, improved patient satisfaction and
more appointments resulting from
general enquiries. Yes!RESULTS turns
good practices into great practices.
Jacqui Goss
Managing Partner, Yes!RESULTS
Honeydale Barn
Wall under Heywood
Shropshire SY6 7DU
Tel: 08456 448066
Mob: 07795 562617
Email: jacqui@yesresults.co.uk
Website: www.yesresults.co.uk
Twitter: @Yesresults
www.facebook.com/Yesresults
http://uk.linkedin.com/in/jacquigoss
[29] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
Fixodent further improves
lives of denture wearers
9 August 2012, Fixodent
launches Dual Protection;
it offers users an improved
quality of life for denture
wearers, sealing out five
times more food particles
compared to no adhesive, so that patients can continue to eat whatever foods
they like. Its formulation inhibits the build-up of plaque, prevents denture
soreness and reduces the incidence of oral malodour, keeping breath fresh for
up to eight hours. It provides strong lasting hold for up to 13 hours.
To support the dental profession Fixodent has produced information leaflets
to share with the denture wearers, it offers practical advice on concerns such
as eating and speaking, as well as tips on how to remove and care for dentures.
This information is available to professionals free of charge from your Fixodent
representative. If you don’t know who your representative is to obtain the
leaflets please call the helpline on 0870 242 1850. Alternatively, you can order
them directly from the website www.dentalcare.com.
Man of the moment
This year Zaki Kanaan
was awarded UK Dentist
of the Year in the Dental
Awards and voted second
in Private Dentistry’s ‘Elite Twenty’ dentists in the country. And this week
Zaki was officially appointed as Philips’ Dental Adviser. Zaki qualified from
Guy’s Hospital in 1996 and achieved a Master’s Degree from the GKT Dental
Institute in 2001. He also sits on the Board of Directors of the British Academy
of Cosmetic Dentistry as Vice-President and Scientific Director. He is also an
editorial consultant for Dental Implant Summaries and is a member of the
Association of Dental Implantology. He will be acting as a spokesperson for
Philips and presenting on behalf of the company as well as authoring articles
and providing his expert opinion in the press, via webcasts and live webchats,
on the Company website and in social media
Zaki’s first public appearance since his appointment will be on at the BDTA
Dental Showcase in October.
To meet Zaki Kanaan at the BDTA please visit the Phillips stand K16, if you can’t
attend the show, visit www.sonicare.co.uk/d or www.philipsoralhealthcare.
com.
You can also preregister for talks on the Philips stand by calling 0800 032 3005
or 0800 0567 222 For more information about Zaki Kanaan,
please visit www.K2dental.co.uk
GC Announces G-aenial Composite
Courses in Belgium
As GC value training so highly, the company
has invested heavily and is delighted
to announce a series of courses for the
remainder of 2012 that will be taking place
at the GC Campus – meeting and education
centre based at the European headquarters in
Leuven, Belgium.
GC has recently launched an improved
composite system with G-aenial. The handson training courses have been designed
for dentists to learn how to place the very
best composite using a combination of
materials. After analysing the structure of the
surrounding teeth, simple steps are used to create the perfect restoration
using G-aenial.
September 3-9, 2012
Liverpool Dental Hospital
Twenty two treatment stations,
including purpose built cabinetry
systems, have recently been installed
in the Paediatric Orthodontic Unit of
Liverpool Dental Hospital. The project,
won by Paterson Health Group was
completed in just six weeks from
order to delivery and under budget, a
remarkable achievement in such a tight timescale. The hospital which is part
of the Royal Liverpool and Broadgreen University Hospitals NHS Trust, wanted to
make the most of the space available. The Paterson team recommended the Cleo
II from Takara Belmont with its folding knee break chair and small footprint as
the optimum chair solution for the project. Stuart Paterson, Managing Director
of Paterson Health Group was delighted to be awarded the contract, which is the
company’s first with the hospital. “Our clinic and cabinetry design provides the
perfect solution for a busy teaching hospital. We were able to deliver the project
in demanding timescales and we are all thrilled with the results.” The Cleo II was
the Trust’s first choice. Lisa Marginier the Dental Hospitals’ Associate Directorate
Manager, who was in charge of the project, commented “Reliability, flexibility
of use and ease of servicing were all major factors in our decision. The folding
knee break chair is perfect for use in a paediatrics unit as it is less intimidating
for children and allows the consultants to literally talk ‘face to face’ which can
be particularly helpful in reassuring nervous patients.” For more information on
how a Takara Belmont chair might be the right choice for your practice please
call 020 7515 0333.
MC Repairs Ltd
MC Repairs Ltd is pleased to
announce the launch of their new
website. The new website now gives
a full insight to our repair services
on offer and also launches our new
online shop. Repair packs can be ordered easily for any customers requiring
them for repairs or freepost address labels can be printed for those in a hurry
to send off repairs. The shop will enable customers to be able to order quickly
and efficiently new hand pieces, motors, couplings, lubrication and much
more. The new shop will be regularly updated to keep the best prices available
to the customer on display at all times. Please use the following code for an
additional 10 per cent discount on our already great prices – WEB01.
Pioneering education and
innovation being showcased at
the BDTA
Visitors to the BDTA Dental
Showcase between 4-6 October are being offered the chance to gain CPD for
attending lectures on the Philips’ stand. An education lecture theatre is being
erected on Stand K16 and underlines the Company’s commitment to perpetual
learning. Stand speakers include Professor Damien Walmsley and Zaki Kanaan.
Part-funding released for UMD professional dental business
management course in London and Leeds
For more information call 01253 404774 or visit www.mcrepairs.co.uk also
follow us on twitter @MCRepairsLtd
UMD Professional has announced that dentists and senior practice managers
can benefit from part-funding towards their ILM dental business management
course which starts in London, and, for the first time, Leeds in the early autumn.
This unique course, which leads to the ILM Level 7 Diploma in Executive
Management, offers a blend of practical workshops, webinars and one to one
management mentoring, and provides 90 hours of verifiable CPD.
Lighting up the Philips stand for the first time will be the Company’s new Zoom
WhiteSpeed, a light-activated tooth whitening system with a variable range of
intensity settings which enables dentists to make adjustments for patients who
may experience transient sensitivity during the whitening process.
The part-funding, which is available for a limited period, contributes £1,200
towards the course fees, and a second delegate from the same practice can
attend the course for half price.
Delegates are also being encouraged to try two of Philips’ latest innovations
for themselves in brushing booths on the stand. The multi award winning
Sonicare AirFloss and the Sonicare DiamondClean will be on show. Philips is
also a pionoeer in non-invasive ventilation and a global leader in the respiratory
medical device market with its ventilatory support systems. For the first time a
product from an aligned sector of the Philips’ stable will be debuted at a dental
show in the UK.
Fiona Stuart-Wilson, Director of UMD Professional said, ‘We are very pleased to
have secured this funding for what is one of the most comprehensive business
management courses available in dentistry, at a time when investment in
training is under pressure in many practices. In these challenging economic
times, sound strategic management is crucial for long-term business success,
and previous delegates tell us that this course has been of enormous practical
help in ensuring that their practices thrive.’
For more information visit the Phillips stand K16, or visit www.sonicare.com or
www.philipsoralhealthcare.com. You can also preregister for talks on the Philips
stand by calling 0800 032 3005 or 0800 0567 222
Diamonds are forever
Dental Sky supply a wide range of top branded burs
including their own Dental Advisor™ ++++½ rated
R&S Diamond Burs. Dental Sky is now offering you
a chance to collect Diamond Points on your bur
purchases to exchange for High Street vouchers
in time for Christmas. Purchase any bur from the
current Dental Sky catalogue between 1st June
and 30th November you will receive one Diamond
Point. At the end of the programme your points will
be added up and converted into shopping vouchers which you will receive in
time for your Christmas shopping. Each point is worth five pence. You get to
make your choice from Marks & Spencer, John Lewis (which includes Waitrose),
Sainsbury’s or Love2Shop (redeemable in over 20,000 retail stores across the UK).
How great is that? So make sure you register with your Account Manager on
0800 294 4700
or via their website www.dentalsky.com and start saving your Diamond Points
now.
New generation of 3D CBCT
The first UK R100 was installed
at Parkdale Dental Clinic in
Wolverhampton in May. Dr Jonathan
Pugh enthused: “The ability to
undertake 3D scans in-house
speeds up the treatment planning
process, and avoids the expense and
inconvenience of sending patients
elsewhere. I believe this investment
will more than pay for itself in higher acceptance rates for treatment plans.”
Capturing posterior dentition missed by an 80mm diameter field of view (FOV),
the R100 field includes relevant anatomy equivalent to a 100mm cylindrical
scan. The Morita Veraviewepocs 3D R100 won the Innovations Award at this
year’s Clinical Innovations Conference in London. A panel of eminent dentists
and members of journal editorial boards decided that this breakthrough had
‘powerful implications for enhanced patient safety’. Their verdict was that the
R100 was ‘an amazing development’. Jonathan Pugh found the interactive
panoramic and bi-directional scout positioning particularly useful when
PQFSBUJOHUIFFRVJQNFOU.PSJUB3TUBOEBSEGFBUVSFTt)JHITQFFE IJHI
RVBMJUZ MPXEPTFJNBHFt4JYöFMEPGWJFXPQUJPOT NNEJBNFUFSVQUP3
t&BTZBOEBDDVSBUFBVUPNBUJDTDPVUQPTJUJPOJOHt8JEFDIPJDFPGQBOPSBNJD
imaging modes Built in Japan by J Morita Manufacturing Corporation, Morita
cone beam CT scanners provide world-renowned image quality.
For your FREE demonstration call 0845 388 3380 or email: info@morita-uk.com
Dining out with dentures!
The makers of Poligrip® are delighted to announce the winner of a restaurant
meal for two in the Poligrip Support Kit 2011/2012 prize draw is a patient of York
House dental practice, Chesham.
Kemdent Hat Trick!
Craig Mayoh, General Manager at Kemdent beat
over 20 golfers to win the BDTA Golf Tournament
2012 at the Foxhills Golf Club Surrey.
The prize draw was open to all patients receiving a Poligrip Denture Support
Kit. These support kits include top tips, advice and information to help denture
wearers adjust to their new teeth, a denture bath and brush, and a money off
coupon for any product in the Poligrip range.
Craig has competed in this tournament for
the last six years but he has never been lucky
enough to win. His father Graham Mayoh, had
won the BDTA golf trophy in 2010 & 2011. Craig
completed a Mayoh hat-trick and collected the
prize for longest drive!
For more advanced users there is an additional course that adopts a theoretical
and practical approach to this most sophisticated direct composite system.
Spaces on these 2-day courses are limited for maximum personalisation. To
register your interest please contact GC UK Ltd on 01908 218999. Hurry as
places are limited!
New Alginate Mixer from Qudent
Qudent have introduced a new alginate mixer
to their product range. The Pulsar MX300
alginate mixer features a modern, button less
touch design with a lightweight metal casing
making it more resistant. The powerful motor
is capable of reaching a maximum of 3,600rpm
and creates a smooth bubble free mix in under
15 seconds. The MX300’s memory settings
(eight, 10 & 12 seconds) make it easy to use
and ensure a good quality mixture. The Pulsar
MX300 comes complete with four mixing
cups, spatula and magnetic mixing pot The unit is competitively priced and
is currently on special offer at £700.00 + VAT (RRP £875.00). If you require any
more information on our Alginate mixers, please contact Qudent on 01903
211737, or visit www.qudent.co.uk
Industry News 29
Support Kits are available free of charge to dental surgeries, clinics and labs, and
can be requested by calling 0845 600 0441.
Well done to everyone who took part!
The makers of Poligrip produce products for denture wearers, including denture
fixatives to help block food particles getting trapped between the denture and
the gum, making denture wearing more comfortable, and denture cleansers to
help maintain good oral hygiene.
For further information on kemdent products visit our website
www.kemdent.co.uk
[30] =>
DTUK_issue21_1-5.indd
30 Editorial Board
United Kingdom Edition
September 3-9, 2012
Dental Tribune UK
Editorial Board
Dr Neel Kothari
BDS Principal and General Dental Practitioner
Dr Stephen Hudson
BDS, MFGDP, MSc
General Dental Practitioner
Dr Richard Kahan
DS MSc (Lond) LDS RSC (ENG)
Endodontic Specialist
Mr Amit Patel
BDS MSc MClinDent MFDS RCEd MRD
RCSEng
Specialist in Periodontics & Implant
Dentist Associate Specialist Birmingham Dental Hospital
Mrs Helen Falcon
Postgraduate Dental Dean, Dental
School, Oxford &
Wessex Deaneries
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
Mr Raj Rattan
Associate Dean, London Deanery
Mr Raj RajaRayan OBE
MA(Clin Ed), MSc, FDSRCS,
FFGDP(UK), MRD,
MGDS, DRD
Dr Paroo Mistry
BDS MFDS MSc MOrth FDS (Orth)
Specialist Orthodontist
Dr Trevor Bigg
BDS, MGDS RCS (Eng), FDS RCS (Ed),
FFGDP (UK)
Practitioner in Private and Referral
Practice
Dr Peter Galgut
PhD (LMU), MPhil (Lond), MSc (Lond),
BDS (Rand), MRD RCS (Eng), LDS RCS
(Eng), MFGDP (UK), DDF Hom, ILTM
Periodontal Consultant
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
magazine of
2
LUKVKVU[VSVN`
2012
Published by Dental Tribune UK Ltd
© 2012, Dental Tribune UK Ltd.
All rights reserved.
Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Group Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
| event
Clinical Innovations Conference 2012
| user report
[31] =>
DTUK_issue21_1-5.indd
United Kingdom Edition
&ODVVLÚHG 31
September 3-9, 2012
Whatever your management role.....
you can find a qualification to benefit you and your practice.
UMD Professional's range of qualification courses are
accredited by the Institute of Leadership and Management
and provide a practical management training pathway for
dentists, DCPs and practice managers.
ILM Level 3 Certificate in
Management
designed for senior nurses and
receptionists and new managers
taking their first steps in management
ILM Level 5 Diploma in
Management
for existing practice managers
and dentists
COURSE ANNOUNCEMENT
MULTI-SYSTEM IMPLANTOLOGY CERTIFICATE COURSE AT
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
ILM Level 7 Executive Diploma
in Management
for dentists and practice business
managers, and accredited by the
Faculty of General Dental Practice as
part of the FGDP Career Pathway
SmileGuard is part of the OPRO
Group, internationally renowned for
revolutionising the world of customfitting mouthguards. Our task is
to support the dental profession
with the very latest and best oral
protection and thermoformed
products available today.
For full details, course dates and venues contact Penny Parry on:
020 8255 2070 penny@umdprofessional.co.uk
www.umdprofessional.co.uk
SOMETHING TO
smile
CUSTOM-FITTING
MOUTHGUARDS
0UKLWLUKLU[-PUHUJPHS(K]PJLMVY+LU[PZ[Z
Buying a Practice
Income Protection
Retirement Planning & Investments
Mortgages
;LSLWOVUL!
,THPS!QVUKY`ZKHSL'WMTKLU[HSJV\R
>LI!^^^WMTKLU[HSJV\R
(\[OVYPZLKHUK9LN\SH[LKI`;OL-PUHUJPHS:LY]PJLZ(\[OVYP[`7-4+LU[HSPZH[YHKPUNUHTLVM7YHJ[PJL-PUHUJPHS4HUHNLTLU[3[K
The best protection
for teeth against
sporting oro-facial
injuries and concussion.
ABOUT
NIGHTGUARDS
BLEACHING TRAYS
SNOREGUARDS
OPROREFRESH
The most comfortable
and effective way
to protect teeth
from bruxism.
The simplest and
best method for
whitening teeth.
Snugly fitting
appliances to reduce or
eradicate snoring.
Mouthguard and tray
cleaning tablets.
FOR MORE INFORMATION VISIT WWW.SMILEGUARD.CO.UK
EMAIL INFO@SMILEGUARD.CO.UK OR CALL 01442 430694
SmileGuard was the first to provide independent certification relating to
EC Directive 89/686/EEC and CE marking for mouthguards.
A GREAT BRITISH PRODUCT
Contact
To
advertise
call
Joe Ackah
on
0207
400 8964
[32] =>
DTUK_issue21_1-5.indd
HELP PROTECT YOUR PATIENTS’
HEALTHY GUMS
NEW
NEW
ALCOHOL FREE FORMULA
TWICE DAILY BRUSHING WITH
A FLUORIDE TOOTHPASTE
TWICE DAILY USE OF MOUTHWASH
FOR PROLONGED DISRUPTIVE
EFFECT ON PLAQUE1
INTERDENTAL CLEANING FOR
EFFECTIVE PLAQUE CONTROL
THE CORSODYL DAILY RANGE OF PRODUCTS
NOW OFFERS EVEN MORE CHOICE FOR PATIENTS
WHO WISH TO MAINTAIN THEIR GUM HEALTH
RECOMMEND THE CORSODYL DAILY RANGE
Reference: 1. Claydon N et al. J Clin Perio 2002; 29: 1072-1077.
CORSODYL is a registered trade mark of the GlaxoSmithKline group of companies.
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[title] => News
[page] => 01
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[1] => Array
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[title] => Mercy ships: Changing lives
[page] => 08
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[page] => 10
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[4] => Array
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[page] => 13
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[title] => Employment law: know where you stand
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[6] => Array
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[title] => Simply the best
[page] => 26
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[7] => Array
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[title] => A key(board) question
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Table of contents
-
News
01 - 07
view
-
Mercy ships: Changing lives
08 - 09
view
-
Colourful perception and 50 shades of grey
10 - 10
view
-
Five easy ways to help achieve smoother CQC compliance
11 - 12
view
-
Education Tribune
13 - 22
view
-
Employment law: know where you stand
24 - 25
view
-
Simply the best
26 - 26
view
-
A key(board) question
27 - 27
view
-
Why improving your practice is a mystery – part 11
28 - 28
view
-
Industry News
29 - 29
view
-
Dental Tribune UK Editorial Board
30 - 30
view
-
Classified
31 - 31
view
[toc_titles] => News
/ Mercy ships: Changing lives
/ Colourful perception and 50 shades of grey
/ Five easy ways to help achieve smoother CQC compliance
/ Education Tribune
/ Employment law: know where you stand
/ Simply the best
/ A key(board) question
/ Why improving your practice is a mystery – part 11
/ Industry News
/ Dental Tribune UK Editorial Board
/ Classified
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