DT UK No. 23, 2012

News / Service above self: Dental Tribune interviews the founders of the Pain Relief Clinic in Hansali / I know a man who can...: Tim Bradstock-Smith discusses why its okay to refer key to success / Comment: Charity starts in your profession – giving is good / Comment: Unethical Advertising / LASER Assisted Open Flap Debridement – A Case Series / Patient Confidential: Jane Armitage looks at patient confidentiality in the dental practice and beyond / Information: to share or not to share? / Thinking of buying a Practice??? Some Top Viewing Tips / Investing Your Capital – Your 10-Point Checklist / London 2012 - The other big event of the year / BDTA Preview / Dental Tribune UK Editorial Board / Classified

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September 24 - 30, 2012

PUBLISHED IN LONDON
News in Brief

News

Practice manager steals £25k
Dental practice manager Susan Codd, 52, was arrested in
March this year after stealing
almost £25,000 from patients.
As reported in Hull Daily Mail,
Codd had been stealing money
from payments made to her by
more than 500 patients since
2002, and was caught when
financial anomalies appeared
after the practice updated its
computer system. Codd was
questioned, and subsequently
offered to resign. In March she
was arrested, and admitted to
stealing £8,000. She has since
admitted to stealing the full
£24,839.90, and was referred
to Hull Crown Court for sentencing. She has been ordered
to pay back all of the money,
and has been given a 12-month
suspended sentence. She has
also been ordered to carry out
200 hours of unpaid work.
Private dental school
The UK’s first independent
dental school aimed at a global
market has been announced
by the Leicester Dental Teaching Academy and the University of Buckingham. The school,
which will be located in Leicester and will take 100 students
annually on a degree course
that lasts five years from September 2013, is aimed primarily at international students.
The new venture is a partnership between the Leicester
Dental Teaching Academy
and the University of Buckingham. The new Bachelors degree in Dental Surgery will be
awarded by the University of
Buckingham and the course is
designed to meet General Dental Council Outcome Measures
and European standards as
well as the requirements of the
Quality Assurance Agency for
Higher Education.

www.dental-tribune.co.uk

Feature

Outreach programme

Dental students travel to Ghana

Clinical

Service above self

DT talks to the founders of the
Pain Relief Clinc

BDTA

Laser debridement

Dr Sneha Gokhale provides a
case series

pages 8-9

page 4

VOL. 6 NO. 23

Showcase Preview

A look at this year’s BDTA
dental showcase

page 27

pages 15-18

CQC chair announces resignation
“I now believe it is time to step aside and for a new Chair to lead
CQC into the next stage” – Dame Jo Williams
(CQC) has announced their resignation.
After four years at the organisation, Dame Jo Williams is leaving her position as CQC chair.
Commenting on her decision,
Dame Jo said: “Having served on
the Board of the CQC for almost
four years, and as Chair for nearly
three, I am proud of the progress
we have made.
It has been a demanding and
complex role, and there have undoubtedly been challenges as we
registered 40,000 providers and
brought the entire health and social care system under one set of
standards.

Dam Jo WIlliams

J

ust weeks after the new
chief executive David Behan had settled into his office chair, another senior figure
at the Care Quality Commission

“But there is now clear evidence that our regulation is beginning to have an impact on the
care that people receive, and it

feels as if the organisation is moving into the next stage of its development.
“‘And I am delighted that that
I have been able to appoint David Behan as CQC’s new Chief

‘There is now clear
evidence that our
regulation is beginning to have an
impact on the care
that people receive’
Executive - I am confident that
he will continue to build on the
progress that we have made in
promoting and protecting the
health and safety of people

who use services.
“It has been a privilege to
hold this important role but I
now believe it is time to step
aside and for a new Chair to lead
CQC into the next stage.”
Andrew Dilnot, Chair of the
Commission of Funding of Care
and Support, said: “I have enormous admiration and respect for
Dame Jo; her insight, experience
and commitment were invaluable
to the work of the Commission
of Funding of Care and Support,
which reported last summer.
“While she will be much
missed in her position as CQC
Chair, I hope that Adult Social
Care will continue to benefit
from her contribution via other
forums.”
Dame Jo will remain in post
until a successor is appointed. DT

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2 News

United Kingdom Edition

September 24 - 30, 2012

New Health Secretary in cabinet reshuffle

t was all change in the recent cabinet reshuffle, and
the health sector did not
escape. Secretary Andrew Lansley was demoted to Leader
of the Commons, to be replaced
by former Culture Secretary
Jeremy Hunt. Speaking at the
time, Hunt stated he was “incredibly honoured” to take over.
“It is a huge task and the biggest privilege of my life,” he told
the BBC. Lansley was reportedly sacked by the Prime
Minister over his failure to communicate his controversial NHS
reforms.

The
government
were
quick to point out that the reshuffle does not affect policy
and that the coalition commitments to dentistry remain.
Following on from the reshuffle, it was announced that
Earl Howe will remain as the
member of the Department of
Health Ministerial Team responsible for dentistry. He is
the only member of the team
to retain their post. Former
Ministers Simon Burns, Anne
Milton and Paul Burstow
have been replaced by Nor-

man Lamb, Anna Soubry and
Daniel Poulter. Ms Soubry, a
former television news journalist and presenter who has
been MP for Broxtowe since
the 2010 General Election, assumes responsibility for water
fluoridation.
Confirmation that Earl
Howe will remain the member
of the Department of Health
Ministerial Team responsible
for dentistry has been welcomed by the British Dental
Association. Dr Martin Fallowfield, Chair of the BDA’s Prin-

cipal Executive Committee,
commented: “This is a pivotal
period in the reform of dental
contracts and commissioning
in England. A great deal of
work has already been done,
and significant challenges remain. The continuity that the
decision to retain dentistry in
Lord Howe’s portfolio brings
is good news.
“The BDA looks forward
to continuing its engagement
with Government to meet the
challenges ahead.” DT

Jaw reconstruction techniques compared

he Journal of Oral Implantology has presented a pilot study comparing transcrestal techniques for
maxillary sinus floor elevation.
This is a surgical procedure
that increases bone volume
and prepares the upper jaw
for dental implants. The study
sought to determine if any of
the techniques carried a greater risk of surgical complications.
Perforation of the sinus
membrane is the most common surgical complication as-

sociated with maxillary sinus
floor elevation. Perforations
have been linked to acute or
chronic sinus infection, oedema, bleeding, loss of bone graft
material, and failure of the implant.
The conventional method
for this procedure is the lateral
approach, which gains surgical
access through the zygomatic
bone bordering the maxillary
sinus cavity. While this is an invasive technique, there is a low
incidence of complications. A
less invasive procedure uses a

crestal approach through the
osteotomy prepared for dental
implant placement. However,
this is a sensitive technique
that restricts the surgeon’s direct visual examination.
The current study used 20
human cadaver specimens with
40 intact sinuses, as test subjects for three transcrestal surgical techniques. One experimental group used the DASK
kit, which features specially
designed surgical drills to apply mechanical and hydraulic
pressure. Another experimen-

tal group received a surgical
protocol that permitted entry
into the sinus through crestal
bone that had been eliminated
during site preparation. A control group was treated with the
osteotome/crestal sinus membrane elevation, or OCSME,
technique.
Postoperative assessment
of the specimens determined
whether membrane perforation had occurred. Direct visual endoscopy, cone-beam computerized tomography, and
periapical radiographs were

used. While the study found
endoscopy to be the preferred
form of detecting membrane
perforations, no significant
differences were found in the
rate of perforations among the
surgical techniques used.
Full text of the article, “The
Incidence of Maxillary Sinus
Membrane Perforation During
Endoscopically Assessed Crestal Sinus Floor Elevation: A Pilot Study,” Journal of Oral Implantology, Vol. 38, No. 4, 2012,
is available at http://www.
joionline.org/ DT

E-petition

‘One suicide is one too many’
A
A
new Suicide Prevention Strategy has been
launched, aiming to
focus on supporting bereaved
families and preventing suicide amongst at risk groups.

The strategy, launched
by the Government and
supported by organisations
such as the Samaritans is supported by a £1.5m grant for research.
The strategy is the first in
more than 10 years and aims
to reduce the suicide rate in
England and better support
those who have been bereaved
or affected by suicide. There
are six key areas for action,
including:
• A better understanding of
why people commit suicide
and how it can be prevented –
supported by new suicide prevention research funding
• Working with the media, and
the internet industry through
members of the UK Council for Child Internet Safety
(UKCCIS) to help parents ensure their children are not accessing harmful suicide-relat-

ed websites, and to increase
the availability and take-up
of effective parental controls
to reduce access to harmful
websites

• Reducing opportunities for
suicide, by making sure prisons and mental health facilities keep people safer – for
example by redesigning buildings to take away ligature –
and by safer prescribing of potentially lethal drugs.
• Better support for high-risk
groups - such as those with
mental health problems and
people who self-harm - by
making sure the health service effectively manages the
mental health aspects as well
as any physical injuries when
people who have self-harmed
present themselves
• Improving services for
groups like children and
young people or ensuring the
mental health needs of those
with long-term conditions
are being met through the
Government’s mental health
strategy
• Providing better informa-

tion and support to those bereaved or affected by suicide –
making sure families are included in the recovery and
treatment of a patient and giving support to families affected by suicide

Care Services Minister,
Norman Lamb said: “One
death to suicide is one too
many - we want to make
suicide
prevention
everyone’s business. Over the last
10 years there has been real
progress in reducing the suicide rate, but it is still the case
that someone takes their own
life every two hours in England.”
To enable the delivery of
better outcomes for people
using health and care services, the Government Policy
Research Programme is funding up to £1.5m for research
to help develop the evidence
base and improve understanding of:
• how to reduce the risk of suicide for people with a history
of self-harm
• how self-harm can be better

managed and suicide reduced
in children and young people

• how interventions can be
tailored to improve the mental
health in some specific groups
• how and why suicidal people
use the internet

•how support can be provided
effectively to those bereaved
or affected by suicide
Supported by a grant from
the Department of Health,
the Call to Action consists of
national organisations from
across
England
committed to taking action so fewer
lives are lost to suicide and
people bereaved or affected
by suicide receive the right
support. This is the first
time that organisations have
committed to working together to share best practice and
deliver real action to tackle
suicide. DT

dentist from Yorkshire
has launched an e-petition to call for the Government to take a closer look at
the funding for NHS dentistry.
Anthony Kilcoyne, owner of
The SmileSpecialist® Centre
in Haworth, has taken the step
to gather support for what he
sees as ‘The Big Lie’; in that the
Government needs to recognise
that NHS dentistry in its current
form cannot meet the clinical
dental needs of the public without doubling funding.
On the e-petition page, Dr
Kilcoyne states: “It is time that
Government acted by FIRST diagnosing publically that without
doubling funding, NHS dentistry
cannot meet everyone’s clinical
needs realistically.
Only then can it devise its
first ever National Dental Strategy, that takes the long-term view,
transcends artificial medical
and social care barriers and synergises (rather than demonises)
with Private dental options too,
in the Public Interest overall.”
To view the e-petition, go to:
http://epetitions.direct.gov.uk/
petitions/37296 DT

[3] =>

United Kingdom Edition

Editorial comment

his week I’ve
been
amused
by the lengths
some companies will
go to when trying to
align their brand with current
affairs. In the US, the upcoming
Presidential elections are looming large and all the razzmatazz
that goes with the political canvassing of the candidates is seeing a frenzy of comment and debate about who’s going to win.
In a desperate attempt to
jump on the bandwagon, a US
whitening product manufacturer
has joined the fray by releasing
the results of a study which point
to presidential candidates’ teeth
whiteness as a leading indicator
of election success.

New way to
patch up teeth

cientists in Japan have created a ‘tooth patch’ that
could mean the end of decay. The patch is a microscopically thin film that coats individual
teeth, and can also make teeth
appear whiter. The researchers
have been experimenting on disused human teeth, and will soon
move to test on animal teeth.
“This is the world’s first flexible apatite sheet, which we hope
to use to protect teeth or repair
damaged enamel”, said chief researcher Shigeki Hontsu, professor at Kinki University in western
Japan.
The ‘tooth patch’ is a heardwearing and ultra-flexible material made from hydroxyapatite, the main mineral in tooth
enamel. By creating an all-apatite
sheet, the researchers are essentially creating artificial enamel
which could mean the end to
sensitive teeth as well as decay.
The film is 0.004mm thick, and
is created by firing lasers at compressed blocks of hydroxyapatite
in a vacuum to make individual
particles pop out. The particles
fall onto a block of salt which is
heated to crystallise them, before the salt stand is dissolved
in water. The film is scooped
up onto filter paper and dried,
and is then robust enough
to be picked up using tweezers.
“The moment you put it on a
tooth surface, it becomes invisible”, Hontsu told AFP. One problem, however, is that it takes almost one day to adhere firmly to
the tooth’s surface.
It will be five years or more
before the film can be used in
practical dental treatment, but it
should be available to use cosmetically within three years. DT

According to the company’s
press release: An analysis of
photos taken of presidential candidates on the campaign trail
showed the correlation between
teeth whiteness and electability.
Photo evidence going back
to 1992 shows the candidate
with the whiter teeth winning
the election. When he was just

News 3

September 24 - 30, 2012

Governor of Arkansas, Bill Clinton had a considerably whiter
smile than incumbent President George H.W. Bush. Clinton
handedly won the election, a
feat he repeated in 1996 against
the dimmer-smile-bearing Bob
Dole.
In 2000, George W. Bush had
only marginally whiter teeth
than Vice President Al Gore, a
portent of the narrow election
win he’d see in November. But,

just four years later his teeth
outshone those of Senator John
Kerry, and Bush once again one
the election.
So, I hear you cry, what is in
store for this year’s candidates?
Well it seems to be a good year
for current incumbent President
Obama, as he shades it
over main rival Mitt Romney. Will it be a whitewash? We’ll find out in
November! DT

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

LY
L
ICA N

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V
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[4] =>

4 News

United Kingdom Edition

September 24 - 30, 2012

Enzyme link to bone loss found
A

research
scientists
based at the University of Louisville (Kentucky, USA) has discovered a
way to prevent inflammation
and bone loss surrounding the
teeth by blocking a natural
signalling pathway of the enzyme GSK3b, which plays an
important role in directing the
immune response.
Publishing his findings in
the journal Molecular Medicine, researcher David Scott,

PhD and his team found
that not only do the results
have implications in preventing periodontal disease,
but also may have relevance
to other chronic inflammatory diseases. Since GSK3b
is involved in multiple inflammatory signaling pathways,
it is associated with a number of diseases and also is
being tested by scientists for
its impact in Alzheimer’s disease, Type II diabetes and
some forms of cancer, to name

a few.
“The traditional approach
to dealing with periodontal
disease is to prevent plaque
from forming at the gum-line
or prevent the consequences
of periodontal disease progression,” Scott said. “Our approach manipulates a natural
mechanism within our bodies
to prevent inflammation and
subsequent degradation when
exposed to the bacterium
P. gingivalis.” DT

Bruxism Awareness Week

ruxism is one of the
most common conditions to be induced or

exacerbated by tension and yet
surprisingly few people are familiar with the term or know

about the damage it can do. Or
indeed, who can help.

ple, swift and straightforward
treatment.

For these reasons, in 2010
the team at S4S, providers of
the NTI-tss mini anterior Bruxism splint, decided to establish
Bruxism Awareness Week.
They realised just how little
awareness there was amongst
both the public and dental professionals on this subject and
decided that something had
to be done. The annual event
aims to enlighten sufferers as
to the nature of their condition
and encourage them to contact their local dentist for sim-

A huge success, the event
was repeated in 2011 and now
the third Bruxism Awareness
Week takes place October 2228, 2012.
During Bruxism Awareness Week, dental practices
throughout the UK will be
holding open days, encouraging patients to make the first
step towards getting professional help. A ‘Practice Information and Promotion’ pack
from S4S is available to any

UK dental practice on request
to help publicise activity and
treatment.
The event will also include
a series of seminars and promotional events to draw attention to the scale of distress
brought about by Bruxism.
To learn more about Bruxism Awareness Week or request a free information and
promotion pack, please contact S4S on 0114 250 0176, or
email: info@s4sdental.com DT

Will you stop for ‘Stoptober’? Dental students support outreach programme

toptober, the first ever mass
quit attempt for smokers, has been launched by
Chief Medical Officer Professor
Dame Sally Davies.
The innovative campaign
comes as smoking remains the
biggest killer in England with
half of long-term smokers dying
prematurely from smoking related diseases.
Stoptober
takes
place
from 1 October and is backed
by Cancer Research UK and
British Heart Foundation. It is
the first 28-day quit attempt
of its kind to encourage the
nation’s 8m smokers to make the
step towards a smokefree future.
Smokers will receive support
and encouragement through TV
and radio advertising plus a daily messaging service and roadshows around the country.
Research shows those who
stop smoking for 28 days are five

The trip was also supported by
Henry Schein UK, who through
its Henry Schein Cares initiative
donated oral health care travel
packs. The packs consist of a prepacked assortment of essential
dental supplies that oral health
care professionals can use to treat
those in need.

times more likely to stay smokefree. Stoptober will lend a hand
to help smokers achieve this
goal.
The new campaign is also
supported by the Stoptober app
(available free via Smartphone)
as well as the Smokefree Facebook page with additional tips
and advice.
Jean King, Cancer Research
UK’s director of tobacco control,
said: “Smoking accounts for one
in four cancer deaths and nearly
a fifth of all cancer cases so it’s
vital that work continues to support smokers to quit.
“Breaking the addiction is
difficult so new and innovative campaigns such as this are
hugely important.
“After the success of the
Olympics
and
Paralympics
where we’ve seen such fantastic
feats of physical achievement,
it would be great to think this
might help also motivate smokers to quit and take advantage of
Stoptober. It’s key that smokers
don’t give up trying to give up.”
To find out more about the
campaign go to smokefree.nhs.
uk/Stoptober. DT

Treating locals

wenty-one dental students
from the Cardiff Dental
School participated in an
outreach programme to help improve the quality of life in underserved communities in Ghana
Organised by Global Brigades,
the students supporated one of
nine skill-based programmes
(Dental Brigade) by establishing a
dental clinic in Ekumfi Agyankwa,
a village about two hours away
from the Ghanaian capital Accra.
More than 400 adults and approximately 500 school children were
treated, dental check-ups were
made and immediate dental pain
relief was delivered. Furthermore,

the dental professionals were able
to provide education for life-long
oral health benefits, with toothbrushes and toothpaste given to
local school children.
“The Global Brigades trip to
Ghana was a great success in
many aspects”, said Sachin Sheth,
student of the Cardiff Dental
School, “We not only were able
to help so many local Ghanaians. This outreach programme
also made a huge difference to
our personal lives and our elective experience”. The students
have been accompanied by five
dentists and one specialist oral
surgeon.

Simon Gambold, managing
director at Henry Schein UK, commented: “We are very pleased to
see that our donation is helping
dental professionals provide crucial treatment for oral diseases as
well as essential preventive care
to those in desperate need. The
oral health travel packs donation
is exactly meeting with the mission of our global social responsibility programme, Henry Schein
Cares, and we are very grateful
that we were able to realise this
programme through the generous
support of some of our supplier
partners.” DT

Cardiff dental brigade

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[6] =>

6 News

United Kingdom Edition

September 24 - 30, 2012

Foundation Shows Support For Key
European Oral Health Policies
spite a reduction in global caries, those from poorer backgrounds will still be plagued
by dental disease. Access to
oral healthcare services remains ‘a major health problem’, while the economic
impact of oral health related
problems is forecast to rise by
2020.

F

ollowing attendance at
one-day conference Are
we taking enough care
of our teeth? The case for a
European oral health policy
at the European Parliament
in Brussels, The British Den-

tal Health Foundation has
welcomed The State of Oral
Health in Europe report and a
number of key recommendations.
The report states that de-

The report has also identified
that half of the European population may suffer from severe
gum disease, a leading cause
of tooth loss among adults.
Chief Executive of the BDHF,
Dr Nigel Carter OBE, welcomed the recommendations
put forward in the report. He
said: “The Foundation unequivocally supports the policy
recommendations detailed in
the report. Addressing exist-

BKH joins forces with
Same Day Smiles

T

he BKH Group has
gone into partnership
with Same Day Smiles,
the nationwide dedicated dental implant team. At the same
time, Dr Alex Jones, principal
of PDC Dental, has joined SDS
as Business Development Director.
“The BKH team will impact in all areas of the business - finance, marketing,
customer service, compliance,
operations and team-build-

ing,” commented Dr Richard
Brookshaw, Clinical Director at SDS. “I am very excited
about the future potential this
releases for the business and
all those who work for and
with us.”
Dr Alex Jones said: “I am
very excited not only to work
with existing sites on improving the services we offer, but
also to bring new sites into the
SDS family and create a national brand of which we can

all be very proud.”
“We are absolutely delighted to be working with Richard and Alex,” stated Chris
Potts, Managing Director of
BKH. “This is a really exciting
development for existing and
future partners of BKH and
potentially everyone that we
work with.” DT

ing oral health inequalities is
a vital step towards improving
oral health across the globe.
“By educating the public on
prevention and better oral hygiene practices, a key aim of
the Foundation, we hope to
see a further reduction in the
level of gum disease and tooth
decay seen globally. These
are two highly prevalent yet
highly preventable diseases,
and although we have seen
vast improvements over a
number of years, there’s a
collective responsibility to review our oral hygiene routine
and seek ways in which improve it.”
The policy recommendations
include:

Charity resources
catalogue out

T

he
British
Dental
Health Foundation has
launched its latest educational resources catalogue
with more than 500 products
to help support dental professionals.
The 75-page catalogue
has been updated with an exciting new range of products
to help assist dental practices
communicate, and motivate
their patients.
Included in the new series
of products is a collection of
‘Infobites’. Taking bite-sized

Free CPD at Showcase 2012

W

ith less than a year
to go until the end of
the first five-year cycle of CPD for more than 40,000
DCPs, this year’s BDTA Dental
Showcase offers a range of
ways in which you can obtain
CPD for FREE.
The whole dental team can
gain both general and verifiable CPD through:
• Attendance at the complimentary Mini Lectures
• Attendance at the Business
Clinic
• Interacting with on-stand experts
• Attendance at tech talks in
the Tech Zone
• Answering questions on CPD
articles in the Show Guide

• Develop a coherent European strategy to improve oral
health with commitments to
quantifiable targets by 2020
• Improve the data and knowledge base by developing
common methodologies and
bridging the research gap in
oral health promotion
• Support the development
of cross-sectoral approaches
with health and social care
professions and support the
development of the dental
workforce
• Address increasing oral
health inequalities and knowledge of prevention/oral hygiene practices of the public
and guarantee availability and
access to high quality and affordable oral health care
• Encourage best practice
sharing across countries DT

So whether you prefer to
learn hands-on or by listening, discussing, reading or
a combination of all three,
there is something to suit you.
This year’s BDTA Dental
Showcase will take place at
ExCeL London on 4-6th October. To take advantage of this
fantastic opportunity to gain
CPD, register for your free
tickets before the closing date
at: www.dentalshowcase.com,
call the registration hotline
on 01494 729959 or text your
name, address, occupation
and GDC number to 07786
206 276. Advance registration
closes 3 October 2012. Onthe-day registration: £10 per
person. DT

information from the hugely
popular Tell Me About range,
these A6 postcards are ideal
for patients to take home and
refer to.
The
Foundation
will
now also stock Multilingual
Health History Forms. These
are specially designed for
frontline staff at dental practices to undertake a rapid patient health appraisal quickly, cheaply and without the
need for an interpreter. The
form includes more than 250
open format and dichotomous questions covering key
personal, medical and dental information, and helps
dentists keep accurate, upto-date and detailed records
of their patients’ medical
history.
Other new items in the
catalogue include children’s
and adult’s books, activity
packs, oral health kits and Tell
Me About leaflets. More than
40,000 copies of the catalogue
have been printed and are
available on request.
For more information on
resources or to order a catalogue, call the Foundation’s
Resource Team on 01788 539
793 or email them at order@
dentalhealth.org. DT

[7] =>

United Kingdom Edition

September 24 - 30, 2012

News 7

Sellers market prevails in dental world

he ratio of goodwill to
fee income for the average dental practice sold
in the quarter ending 31 July
2012 has increased in the latest
NASDAL goodwill survey. It has
picked up by 10 per cent from
91 per cent of turnover in the
previous quarter ending April
2012 to 101 per cent in the most
recent collection of figures from
NASDAL members.
An organisation of accountants and lawyers who
advise about 20 per cent of
GDPs, the NASDAL goodwill
survey reflects a significant
number of dental practice
sales in any quarter. Percentage of turnover is the simplest
method of measuring fluctuations of goodwill in the marketplace, but it is important to
be aware that actual valuations

BDA
PEC fills
vacant seat

r Stephen Shimberg has
been elected to serve as
a member of the British Dental Association’s (BDA’s)
Principal Executive Committee
(PEC). He won a closely-contested by-election in the north
west of England.
Dr Shimberg is a general
dental practitioner in Worsley
Village, Manchester. He has
been a GDP since qualifying
from Liverpool Dental School
in 1971.
A lengthy career in dental
politics has seen him chair
West Pennine Local Dental
Committee and serve as the
West Pennine and Manchester
representative on the BDA’s
General Dental Practice Committee (GDPC). As part of his
role on GDPC, Dr Shimberg
has acted as the cross-rep to
the BDA’s Salaried Dentists
Committee and Central Committee for Hospital Dental
Services.
He joins the 14 alreadyelected members of the PEC:
Dr Mick Armstrong, Dr Paul
Blaylock, Dr Victor Chan, Dr
Eddie Crouch, Dr Martin Fallowfield (Chair), Dr Philip
Henderson, Dr Judith Husband (Chair, Education, Ethics and the Dental Team),
Dr Stuart Johnston, Dr Nigel Jones, Dr Robert Kinloch
(Deputy Chair), Dr Russ Ladwa, Dr Alison Lockyer, Dr Susie Sanderson and Dr Graham
Stokes. DT

are calculated using a combination of different methodologies.
Alan Suggett, a partner in
UNW LLP in Newcastle upon
Tyne who carries out the NASDAL goodwill survey, commented: “There is still upward pressure on goodwill values for most

types of practice. Small and
medium sized practices, both
NHS and private, are in demand from associates who are,
in some cases, desperate to
own practices, and larger NHS
practices are sought after by
venture capital backed dental
corporates.

Ray Goodman, of Goodman
Legal commented: “The market
may be buoyant but we are still
seeing the effects of the recession. The length of time it is taking to sell a dental practice continues to grow because of the
difficulty in securing loans from
highly cautious lenders and also

because of non-specialist advisors operating in the marketplace.” DT

[8] =>

8 Feature

United Kingdom Edition

September 24 - 30, 2012

Service above self
Dental Tribune interviews the founders of the Pain Relief Clinic in Hansali
more than 100,000 patients
have used this free service
and the clinic continues to
provide free dental treatment
and lectures on oral hygiene
to the girls school and the
boys schools.
Volunteers
“So far the clinic is going very
well, and has had many visits
from many volunteers,” Dr
Coonar explained. “The first
year when we established the
clinic I invited the principal
director of a dental college,
Dr S Sidhu to work here. More
recently a group from the international college of dentists
from New Delhi taught the
staff for three days.

Visitors to the clinic

“We have had visitors
in small numbers through
the Rotary in the past from
Australia, England, Canada,
USA and Argentina. In earlier
days the Rotary used to pay
for people to travel and we
would provide them with accommodation and vegetarian food. But now the Rotary
has very strict funding and
volunteers have to fund the
trips themselves, but we still
provide them with accommodation.”

All treatments supplied to patients is free

I

n the heart of rural Punjab
lies the village of Hansali,
a tiny settlement known
as the “bread-basket of India”. The land is mostly inhabited by farmers who work
the land for an income of
around 3,000 Rupees (£36) a
month. The people who live in
these remote areas are deeply
religious, and Sikhism is a
significant part of their daily lives. The people here
are not rich, but they do not

Setting up
The idea for setting up a clinic
in the Hansali area was originally that of the late Major
Shamsher Singh, who studied medicine at the Medical
School of Agra before serving
in the Indian Medical Corps.
At the time Hansali was no
different to any other village
in the area and had little to
no medical care. With much
encouragement and support
from Dr Daman Lal-Sarin,

‘Dental care was non-existent until only
a few years ago, when the Pain Relief
Clinic was set up’

fall in the category of poor
from Indian standards; every
village is connected by a road,
and there are water pumps,
electricity and irrigation facilities. None of them go without food and all the children
have access to compulsory
schooling. But the medical
facilities in this area are very
limited and dental care was
non-existent until only a few
years ago, when the Pain Relief Clinic was set up.

Major Shamsher Singh’s two
sons Dr Hardev Coonar and
Dr Pritam Singh Coonar set up
the Pain Relief Clinic in 1999,
instantly bringing pain relief
to the people in the village in
which it was nestled.
“My father always wished
that our rural area had better medical care and so my
brother, Dr Pritam Singh
Coonar, became a doctor and
set up a medical practice in
the village which specialised

in eye surgery. I became an
oral
surgeon
after
my
basic degree in dentistry, but
it wasn’t until I retired in
1999 from the Eastman Dental and Hammersmith Hospital that I came back home to
serve my people,” explained
Dr Coonar.
“During this period of time
I was influenced by Dr Daman
Lal-Sarin, who at the age of
60 had retired from general
dental practice in Coventry
and had started to volunteer
in various parts of the world
as a Rotarian dental surgeon.
We talked about setting up a
clinic and started to set one up
here in Hansali.”
Central figure
A month after the clinic
had been set up a happily
retired Dr Lal-Sarin started
to actively take part in how
the clinic was run. Spending months at a time over in
the remote farmlands, Dr
Lal-Sarin soon became a centre figure at the clinic. As
friends and family proudly
exclaim, he made a significant impact on the staff at the
clinic, making sure that apart
from extractions they started gradually doing fillings,
crowns dentures, and even
root canal treatments all free

of charge.
Dr Lal-Sarin then brought
in the help of the Rotary Club,
who directly helped by sending volunteer UK dentists to
the village. Even his wife, Mrs
Chand Lal-Sarin, began volunteering at the clinic. The
clinic started reaching out
beyond the village boundaries, and as one can imagine,
in an area where medical care
is scarce, the clinic generated
interest in the surrounding
areas outside of Hansali. For
the staff, the demand became
intense, but even though their
wages were low, their determination and enthusiasm never once faltered. In 13 years

Funding
Most of the funding that
the clinic receives is from
Baba Ajit Singh Ji, a respected nobleman who has established a place for worship and
people have faith in his presence. He is warmly known to
the people as Babaji and is
regarded by many as an enlightened man who cares for
the welfare of all people. Babaji receives many offerings,
and any money he receives is
spent on good causes, such as
education and health services.
So far he has set up the local
school, a college, a communal canteen at the very heart
of the village and he even offered up his accommodation

[9] =>

United Kingdom Edition

Feature 9

September 24 - 30, 2012

for the location of the Pain Relief Clinic.
The clinic has four surgeries, two of which are well
equipped, whilst the other
two are older and in need of
some
modernisation.
The
clinic has its own power generator for when the power
fails, and it even has digital
radiograph equipment, which,
as Dr Coonar explained,
is a great improvement for
the clinic.
Future plans
The plan now is to keep the
clinic as a permanent feature
and keep it as a centre for providing pain relief treatment to
the surrounding community.

‘I can verify
completely that
every penny we
get is spent on the
clinic; not a penny
is wasted’

As both Dr Lal-Sarin and Dr
Coonar highlighted, this is
not a profit-making association; they buy local equipment
and try to keep costs down as
much as possible.
“There are so many charities that collect so much money but in quite a few cases
people don’t know what happens to the money, but I can
verify completely that every
penny we get is spent on the
clinic; not a penny is wasted,”
Dr Daman Lal-Sarin said.
For more information
on the Pain Relief Clinic and
if you wish to donate equipment, please visit http://bit.
ly/Odfhsc. DT
* Images supplied courtesy of
Ms Karsta Straub

The team at the Pain Relief Clinic

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Acknowledgements
Special thanks to the contribution of
Karsta Straub and Leonard Cohen.
Dr Coonar wishes to thank them for
their continued interest in Pain Relief
Clinic Hansali. Special thanks also to
the role of RC Sirhind through Professor Harshvinder Singh Past President
and the current Lead Dental Surgeon
is Dr Jaspreet Kaur, who, as both Dr
Daman Lal-Sarin and Mrs Chand
Lal-Sarin explained, is a “caring dedicated person under whose care the
patients presenting for treatment get
excellent care.”

Scotland – Robert Wright, 07971 992 055
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Offer ends 30th November 2012

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[10] =>

10 Feature

United Kingdom Edition

September 24 - 30, 2012

I know a man who can...

Tim Bradstock-Smith discusses why its okay to refer key to success

he days of Renaissance
Man have long passed
into history; nowadays,
the breadth and depth of knowledge within even a relatively
narrow area of scientific activity
far outstrips the capacity of just
one human being, and dentistry

is no exception.
It is part of the very definition
of general dental practice that
the practitioner can never anticipate the nature of the next case to
present itself; although this challenge is part of the fascination

of the profession, modern diets
and lifestyles have predisposed
or aggravated many dental conditions, while at the same time
patient expectations have risen,
and continue to rise, to a level
which cannot always be satisfied
by even the most talented GDP

with limited specialist training,
experience or equipment.
In every walk of life, knowing what you do not know, and
so delegating the responsibility
to those who do, is the key to
confidence and success. When

Treat small
spaces with

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

patients present with symptoms
outside the dentist’s experience,
need or seek treatment which
the practice cannot provide, or
require diagnostic tools which
are not to hand, the wise clinician seeks outside help with
a referral. While this may go
against the grain when many
patients are reducing their discretionary spending, referring
relevant cases to a specialist
should remain the standard response in the best interests of
both the patient and the referring practitioner.
The first duty of every healthcare professional is to provide
the best possible care for the patient, and to address his or her
specific needs. Over the last two
decades in particular, there have
been significant advances in
dental techniques and technolo-

‘“……. but I know a
man who can.”
AA advertising slogan, 1980’

Laser-Lok 3.0 placed in
aesthetic zone.

Radiograph shows proper
implant spacing in limited site.

Image courtesy of Michael Reddy, DDS

Image courtesy of Cary Shapoff, DDS

gy, most notably in implants and
orthodontics, which have widened the scope of possible treatments beyond the practicalities
of general dental practice.
Focus
The current focus throughout society on health and appearance
has ensured that these advances
have attracted widespread media coverage, which coupled
with the internet has hugely
increased patient awareness of
what is possible. With American
style litigation also hovering in
the background, all GDPs need
to be wary of a dissatisfied patient damaging a practice’s reputation, either locally or through
the courts, making a further cogent argument in favour of referral when the optimum treatment
cannot be offered in-house.

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

• Two-piece 3mm design offers restorative flexibility in narrow spaces
• Implant design is more than 20% stronger than competitor implant2
• 3mm threadform shown to be effective when immediately loaded3
• Laser-Lok microchannels create a physical connective tissue attachment (unlike Sharpey fibers) 4

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

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

Specialist referral practices
deal routinely with complex cases which GDPs encounter only
occasionally, and so have the experience to achieve both a satisfactory outcome and a satisfied
patient. Such experience often
allows, a restorative procedure
to be simplified and made less
invasive by anticipating and so
avoiding complications, thus reducing stress for the patient and
enabling treatment to be completed by the referring dentist.
Aside from clinical considerations, referred patients

Bio Horizons_treat small.indd 1

01/03/2011 16:33

[11] =>

United Kingdom Edition

also appreciate that their own
dentist has put their interests
first, which strengthens their
loyalty to the practice and encourages word of mouth recommendation.
Demand
The increased demand for tooth
whitening has led to many practices offering this service as patients seek to improve their appearance and self confidence by
brightening their smile. However, those with crooked or damaged teeth are unlikely to wish to
draw attention to these defects,
and a corrective referral often
leads to follow up cosmetic treatment carried out by the GDP as
the patient pursues the maximum benefit.

September 24 - 30, 2012

‘GDPs sometimes need to be reassured that
a referred patient remains on their own
practice list’

nology.
Very
few
general
practices, likely to be encountering only a few cases
a year whose complexity requires such advanced technol-

ogy, could justify such a level
of investment, or the time spent
training to interpret the results.
Close relationships between

general and referral practices
also provide the often unremarked benefit which comes
from the exchange of professional information and experience. For the GDP especially,
new treatment possibilities
can emerge offering both career and financial advantages.
The London Smile Clinic
prides itself on the quality of
the care it delivers and on its

Feature 11
working partnerships with its
referring GDPs. The Clinic is
a renowned centre of excellence, offering specialist orthodontics and implant dentistry from an award winning
team, with ‘before and after’
photographs and models presented as standard features of
treatment planning to assist
decision making for both the
patient and the referring practitioner. DT

Buy with Conﬁdence ...

Inevitably cases will occur
when the GDP is unsure whether
a referral will be in the patient’s
interest, or which referral practice would be the most appropriate. As remedial and restorative
procedures and their associated
treatment tools become ever
more sophisticated, more and
more specialist practices are
hosting open days to introduce
themselves and their equipment
to their GDP colleagues and explain the results they can offer.
GDPs sometimes need to be
reassured that a referred patient
remains on their own practice
list and is only exceptionally
treated by the referral practice.
Once the patient has been assessed all three parties agree on
a treatment plan which makes
clear which aspects of the treatment will be undertaken by each
practice. Patient ‘poaching’ by
the referral practice, once much
feared by High Street practitioners, is now largely a thing
of the past. The expansion of
the referral sector has also increased competition, and every
referral practice itself depends on repeated referrals to
survive;
unethical business
practice is today instantly counter-productive.
Committed
While many GDPs relish the
varied nature of their daily
challenges, referral practices
attract the committed specialist within a particular field. As
well as ensuring the patient
receives the very best in up to
the minute care, referred patients also benefit from the latest
developments in, for example, scanning and x ray tech-

Patients would prefer their dentist to use the new dentaLase
rather than a scalpel, retraction cord or electrosurge during treatments

dentaLase by

About the author

For more information contact The
London Smile Clinic on 020 7255 2559
or visit www.londonsmile.co.uk/refer

1992 - 2012

Anniversary

www.quicklase.com
Call us 01227 780009

DentaLase120912RG

Dr Tim Bradstock-Smith is principal
of the London Smile Clinic, an awardwinning centre of excellence in dentistry that is based in Central London.
The Clinic offers an extensive range
of services, which include specialist
orthodontics, implant dentistry and
dentures.

Celebrate with us
at BDTA stand FO8
our 20th anniversary
of serving dentistry

Made in Britain

[12] =>

12 Comment

United Kingdom Edition

September 24 - 30, 2012

Charity starts in your profession – giving is good
Mhari Coxon reviews the BDBS Conference and Dental Wellness Trust Dinner

was lucky enough to spend
a wonderful day at the British Dental Bleaching Society’s
Conference at Royal College of
Surgeons in July. The conference was very good with some
recent research being presented
by Dr Bruce Matis, of Indiana

University School of Dentistry. He
had a unique piece where the studies were in vivo using teeth which
would be extracted for orthodontic reasons. He was a very interesting and knowledgeable speaker.
After a wonderful lunch, Dr

Linda Greenwall, President of the
BDBS, spoke with a practical, approachable animated style, about
categorising and costing your
whitening cases appropriately.
She also discussed mircroabrasion and how this can work to
treat whitespots. It was an incred-

ibly useful talk. She showed cases
who have whitened successfully
and are still white six or eight
years later.
Following on from Linda, Dr
Mervyn Druin gave a wonderful
and useful talk, showing dental

professionals how to calculate the
hourly fee required to run the
practice and therefore how to cost
treatment effectively. Mervyn also
shared some wisdom and inspiration with us on how to be happy
in practice. Choosing patients you
like to treat, staff you like to work
with, and doing at least one act of
kindness in a day which can’t be
repaid.
After a short reflective break,
James Goolnik, author of Brush,
spoke about marketing in practice, sighting his own practice,
Bow Lane, in this. James also
talked about being an inspiration
and role model in the profession.
The day finished with a debate
and a strong panel of experts Dr
Bruce Matis, Dr Wyman Chan, Dr
Mervyn Druin, Dr James Goolnik,
Dr John Tiernan and chaired by
Dr Linda Greenwall. It was a very
good debate looking at the EU
directive, what this means for us
as a profession and our patients.
The general consesnus was that
power whitening is not necessary
and that the 6 per cent rule will
be sensible and apporpriate. Not
everyone agreed with this but it
was voiced that this would make
it easier to work together to close
down illegal whitening practice.

BOC LIFELINE emergency
resuscitation equipment.
Saving minutes, saves lives.

BOC Healthcare can assist your dental practice with the provision of emergency resuscitation equipment.
LIFELINE oxygen kit
• Lightweight oxygen cylinder
• Built in regulator
• Next working day reﬁlls*
• Variety of oxygen masks

Automated External
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• Simple and easy to use
• Rescue Ready technology
• Seven year warranty
• Four year battery guarantee

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For further information or to place an order contact BOC Healthcare: Tel 0161 930 6010, Email bochealthcare-uk@boc.com

We had drinks in one of the
Council Rooms then moved
through to the Edward Lumley
Hall. The hall was beautiful and
the dinner was to raise awareness
and funds for the Dental Wellness
Trust. The whole day I was conscious of so many of the delegates
desire to give back and support
charity initiatives. So I thought I
would show you what is out there
that you could be part of too. It is
incredibly rewarding to give some
of your time and skills to a project
professionally and emotionally.
Dental Wellness Trust
The trust’s overarching mission
is to educate and treat the underprivileged in an effort to improve
the oral health and wellbeing of
people with little or no access to
basic oral healthcare.
A gap between the oral health
status of children in lower socioeconomic groups still exist in
the UK. A recent national survey
of child dental health states that
the probability of having obvious
decay experience of the primary
teeth was about 50 per cent higher in the lowest social group than
in the highest social group. Surveys in the UK still highlight the
inequalities strongly associated
with social background. People
living in areas of deprivation and
other vulnerable groups in society
have poorer oral health and little
or no access to dental services.

[13] =>

United Kingdom Edition

The trust’s oral health education programme is in line with
government policy, which recognises the important role of civil
society – to integrate oral health
into the wider public health agenda and focus on preventative dentistry, with few interventions.
For more information on how
you can contribute or support
the trust visit http://dentalwellnesstrust.org/
Heart Your Smile
Celebrating the dental profession
and providing you with tools to
engage your local community, celebrating your successes and guiding you to deliver a positive dental
experience.
The goal of the campaign is to
the change the public’s perception
of Dentistry, increase attendance
and reinstates the dental team’s
position as trusted members of the
local community. We will take this
message to the public in a new fun
way ONCE we have enough of the
profession behind us and we have
hit certain key measurements. Using campaigns never seen in Dentistry before, based on humour,
powerful visuals and collective
effort, we believe we can make a
measurable difference. We will be
starting from the ground- up, using the dental teams of the future
(the students). Our estimate is to
launch the public facing campaign 12 months from now but
that depends on your help!
For more information and
to sign up to the manifesto visit
http://www.heartyoursmile.
co.uk/
Bridge2Aid
Since 2002 when they started
work in Tanzania, Bridge2Aid
has worked tirelessly to increase
access to pain relief. Focussing
on sustainability, and empowering local people to improve their
own lives over the long term,
they have trained over 160 local
health workers in emergency dentistry, and now train more than 50
health workers each year. This
training has not only directly treated tens of thousands of people but
has also extended access to emergency dentistry services to people

About the author
Mhari Coxon has
20 years experience in dentistry,
working
as
a
nurse, receptionist,
oral health advisor and ultimately
hygienist in a variety of practice
environments. She
is passionate about her profession. At
present, she works as Senior Professional Relations Manager for Philips
Oral Healthcare and clinically as a
hygienist in central London. From
Chairing the London BSDHT for 3
years, and working as an MD; Mhari
excels at motivating and co-ordinating a team and utilising skills, decentralising leadership and developing
self efficacy in members.

living in rural areas. An estimated 1.6m people now live within
reach of someone who can help
them when they have dental pain.
Bridge2Aid has also established a long term development
programme with the disabled and
People Affected by Leprosy at Bukumbi Care Centre.
There are many ways you
can support Bridge2Aid, for more
information visit http://www.

September 24 - 30, 2012

bridge2aid.org/b2a/index.html
Dental Mavericks
This is a fantastic group of people
who have worked to build a programme for children in Morocco
over the last three years. They
are fund raising to purchase a
dental ambulance so they can
reach more familes out in the
harder to reach areas and tribes.
The journey has been said to be
life altering by many who have
volunteered.

Comment 13

For more information on
ways to help visit http://www.
dentalmavericks.org/
Smiles 4 Heroes
The Smile 4 Heroes Foundation is
a team of highly committed dental professionals in the UK that
have come together to give their
time and expertise to rebuild the
smiles and confidence of those
Heroes who have been injured
in active service in our armed
forces.

All the teams involved in the
foundation can see the amazing
changes they are making to those
heroes lives.
For more information and
ways to support visit http://www.
smile4heroes.co.uk/
I hope that helps so that you
can find something you would
feel comfortable doing to help
others who are not as fortunate
as you. DT

[14] =>

14 Comment

United Kingdom Edition

September 24 - 30, 2012

Unethical Advertising
Neel Kothari looks at the murky world of advertising dental products
this marketing gone mad
but it could potentially do a
lot of harm for those high
risk children who may rinse
away their fluoridated toothpaste whilst thinking that they
are improving their oral health.

ver the past few years
dentists have been heavily scrutinised in the way
that we advertise to our patients
and the public. Heaven forbid
we use words that suggest we
specialise in fixing teeth without the relevant qualifications or
make use of our courtesy title of
‘Dr’ without running the risk of
misleading patients into thinking that we graduated with PhDs
(Or is that medical doctors? I’m
confused.).
Of course in the long run
this level of scrutiny is probably in the best interest of our
patients, after all can we really
expect people to make informed
choices without fair and honest
advertising? Of course not. As a
profession we are quite rightly
held to a high standard; people
value the health of their mouths
and as such put a lot of trust in us
when we try to help.
So why are manufacturers of
toothpastes and mouthwashes
allowed to make all sorts of exaggerated claims when other
healthcare products such as
over the counter medicines
have stricter guidelines? In my

opinion if somebody is gullible
enough to think that the extract
of herbs and fruits actually improves shampoo, then that’s fine
and up to them, but most people
don’t really expect any healthcare benefits.
However many of the dental
products are not simply advertising whiter teeth or improved
breath, they often claim to offer
a ‘total’ protection against more
serious dental conditions such
as gum disease. Whilst many
products used appropriately are
of benefit to the public, where do
we draw the line when it comes
to marketing? Recently I have
seen a large increase in the number of mouthwashes marketed
for children which runs contrary
to the advice that I give my patients not to rinse after brushing.
In 2010 the FDA (US Food and
Drugs Agency) issued warning
letters to three companies that
manufacture and market mouth
rinse products with claims that
they remove plaque above the
gum line or promote healthy
gums. These claims suggest the
products are effective in preventing gum disease when no such

benefit has been demonstrated.
Warning letters were sent to
Johnson & Johnson (Listerine
Total Care), CVS Corporation,
and Walgreen Company. These
mouth rinse products contain
the active ingredient sodium fluoride. The FDA has determined
that sodium fluoride is effective
in preventing cavities but has not
found this ingredient to be effective in removing plaque or preventing gum disease.
Jonathan
Shenkin,
a
paediatric dentist and assistant professor of health
policy at Boston University’s
School of Dental Medicine said
“rinsing does disrupt plaque,
but the effect is similar
with plain water or mouthwash”. Of course this does
not apply to all mouthwashes and certain antimicrobial
rinses have proven efficacies with good clinical studies supporting their claims.
However, if we look at the children’s range of mouthwashes
there is a strong implication to parents that by using
their product children will
have oral health benefits.
In my opinion, not only is

One
popular
toothpaste
brand has recently placed an
advert strongly suggesting that
by using their toothpaste one
will not see bleeding gums
when flossing. The advert goes
along the lines of a lady flossing with a clear look of disgust
when blood is seen on the piece
of floss. Her colleague walks
into the boardroom flossing and
telling her ‘look no blood’ stating that it is because of his toothpaste.
As a dentist I am completely confused.com over how
using this product alone is
able to adequately remove
plaque to a point where there
is no immune response and
as such no bleeding. What is
the public perception of this sort
of advertisement? I suspect that
a high proportion of the public
may think that as they are getting a ‘total’ clean there is no
additional need for flossing or
interproximal cleaning? After all
if there is no bleeding, there’s no
inflammation
and
surely
this means that there is no
bacteria. This may be fine for
a large percentage of the public who are not periodontally susceptible, but what
about those who are, or even
patients with cardiac issues who
may be at risk from bacteraemia?
I discussed this topic with
a patient called Beverly, who
said “I think that this is dangerous as the companies
lull you into a false sense
of security. They are misleading

you into thinking that by buying
these products you are doing all
you can to protect your teeth.”
So why are we so heavily scrutinised as a profession
when big corporate organisations are able to blatantly abuse
marketing in a manner that manipulates their quasi-medicinal
products and takes advantage
of the public, who are simply
trying to do the best they can to
improve the oral health of themselves and their families? We already have rules and regulations
which govern advertisement of
products which are not in the
public’s best interest - a key example is tobacco advertisement.
Whilst I am not trying to compare smoking with flossing, I am
concerned that companies are
so freely able to imply that their
products are on par with other
more tried and tested forms of
cleaning despite a lack of acceptable evidence supporting
their claims. I am even more
concerned that the GDC seeks
to question whether it is in the
public’s best interest that we
use the title ‘Dr’ when there are
far more pressing issues which
would benefit the public. Or perhaps they are just going after
the battles they think they
can win. DT

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

[15] =>

United Kingdom Edition

Clinical 15

September 24 - 30, 2012

LASER Assisted Open Flap
Debridement – A Case Series
Dr Sneha Gokhale discusses periodontal therapy

P

eriodontitis is the result
of complex interrelationships between infectious agents such as bacteria
and host factors. It is universally accepted that periodontal disease is the result of
mixed bacterial infections
that require the participation
of a very limited number of
the members of the anaerobic
microbiota inhabiting the subgingival region and results in
the destruction of supporting
structures of the teeth.
The non-surgical periodontal therapy leads to resolution of inflammation, reduction in bacterial load and
reduction in probing pocket
depth. However, the complete
removal of bacterial toxins

‘Laser-assisted
periodontal therapy
has attracted attention recently as
a potential alternative or adjunct
to conventional
mechanical
debridement’

from the root surfaces in the
deep periodontal pockets is
not always achieved with nonsurgical therapy. Instrumentation is not possible in inaccessible areas such as furcation,
grooves and concavities.
Thus surgical therapy performed in cases with persistent inflammation, deeper
pockets, class II and III furcation defects and intrabony
defects provides better accessibility to root surfaces as well
as osseous defects. However,
periopathogens persist in the
mixed species plaque biofilm
on tooth surfaces, adhere to
and enter the epithelial cells
and are tissue invasive in nature. These are sources for recolonisation and reinfection.
The limitations of the conventional therapy have prompted
us to implement the use of adjunctive anti-microbial measures.
Laser-assisted

periodon-

tal therapy has attracted attention recently as a potential alternative or adjunct

to conventional mechanical
debridement. Carbon dioxide (CO2) laser, Neodymium

doped:Yttrium-AluminumGarnet (Nd:YAG) laser, Diode
and
Erbium-doped:Yttrium-

Aluminium-Garnet

(Er:YAG)
à DT page 16

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[16] =>

16 Clinical
ß DT page 15

laser have been used in the
therapy of periodontal pocket
for hard tissue as well as soft
tissue management. A part of
the laser energy scatters and
penetrates during irradiation
into periodontal pockets. The
attenuated laser at a low energy level might then stimulate the cells of surrounding
tissue resulting in reduction
of the inflammatory conditions (Shimizu et al 1995), in
cell proliferation (Quadri et al
2005), and in increased flow
of lymph (Shimotoyodome et
al 2001), improving the periodontal tissue attachment and
possibly reducing post-operative pain.
Lasers have been used as
an adjunct to non-surgical
periodontal therapy. Soft tissue lasers such as Diode and
Nd:YAG have the potential for
curettage of pocket wall and
disinfection of periodontal
pockets. Er:YAG laser can be
used for both soft and hard

United Kingdom Edition

tissue debridement. However,
the scientific studies indicating positive clinical results
and effective calculus removal in deep pockets with the
use of different lasers are still
lacking.
The use of Diode, CO2 and
Er:YAG lasers as an adjunct
in open flap debridement has
been described in this case
series. The mechanism of ac-

of 30-50 years diagnosed as
cases of Chronic Periodontitis were selected from the
outpatient
department
of
M.A.Rangoonwala
College
of Dental Sciences and Research Centre, India. Patients
with probing pocket depth
more than five mm after
Phase I therapy were selected
for the surgical therapy. Customised acrylic stents were
prepared to record the prob-

‘Soft tissue lasers such as Diode
and Nd:YAG have the potential for
curettage of pocket wall and disinfection
of periodontal pockets’

tion, surgical technique, advantages and disadvantages
of each laser have been discussed in detail.
Therapy selection
Patients within the age group

ing depths pre and post-operatively. All the patients were
followed up for three months
post-surgery
and
probing
depths were recorded with
same stent.

Fig 1-Pre-operative probing depth

Fig 2-CO2 laser used for debridement

Fig 3-Charred tissue due to ablation

Fig 4-Epithelial exclusion technique

Fig 5- Post-operative

Fig 6-Pre-operative

The surgical area was anesthetised using Lignocaine
2% with 1:200000 Adrenaline. The procedure was done
under proper aseptic precautions using continuous aspiration to keep the surgical site
clean. A full thickness mucoperiosteal flap was raised to
provide visibility and accessibility to the underlying bone
and root surfaces. After the
debridement, mucoperiosteal
flaps were sutured back with
4-0 non-resorbable silk sutures.
The laser safety protocol
was followed to avoid the adverse effects of lasers:

1

The operator, patient
and the assistant wore glasses which are specifically designed to filter the laser beam
of the specific wavelength.

2

Reflecting surfaces like
mouth mirror were avoided in
the area of interest.

September 24 - 30, 2012

3

The lips were reflected
by the assistant to avoid any
damage.

4
5

Moist gauze was used to
protect the adjacent areas.

Alcohol based topical anesthetic or alcohol moistened
gauze were not used during
the surgery as they are inflammable.

6

High speed evacuation
was used to capture the laser
plumes.
Case 1: co2 laser assisted
open flap debridement
The CO2 laser is a gas laser with a wavelength of
10,600nm. It can be used
in a continuous or pulsed
mode. The laser shows high
absorption by water and
therefore it is an excellent
soft tissue laser. It can easily cut and coagulate soft tissue, and has a shallow depth
of penetration into the tissue, which is important while
treating mucosal lesions. In
addition, it is helpful in vaporising dense fibrous tissue.
It can penetrate about 0.5mm
deep into the tissue depending on the power intensity.
It also has a strong bactericidal effect.
A 40-year-old male patient
with a probing depth of six mm
(Fig 1) after Phase I therapy
was taken up for CO2 laser assisted open flap debridement.
The CO2 laser (Fotona ®) was
used at the power of 3W in a
continuous defocused mode
for removal of the pocket lining. Defocussing increased
the surface area and reduced
the depth of penetration (Fig
2). The use of laser on the inner aspect produced a charred
layer after ablation of the
tissue (Fig 3). This laser had
an articulating arm through
which the laser beam was
directed towards the granulation tissue. This laser is always used in a non-contact
mode. The articulating arm is
kept at a distance of one inch
from the target tissue. A smoke
evacuator was used to absorb the laser plumes formed
as a result of ablation. An
‘Epithelial Exclusion’ technique was described by
Centty et al. in 1996 was
used in this case. This
technique includes de-epithelisation of the outer surface of the mucoperiosteal
flap to prevent epithelial
downgrowth (Fig 4). It was
done at 3W, superpulse focused mode and the laser
beam was directed at the band
of epithelium which was ablated. Since the laser was

[17] =>

United Kingdom Edition

laser is an excellent soft tissue
surgical laser. The FDA approved oral soft tissue surgery
in 1995 and sulcular debridement in 1998 by means of a
diode laser.

used in superpulse mode, the
penetration was superficial
and did not damage the underlying tissue.
The three-month follow up
showed reduction in probing
depth from six mm to three
mm (Fig 5). The healing was
uneventful. Patient did not experience pain or discomfort
after the procedure.
The advantages of the CO2
laser are the excellent tissue
coagulating and haemostatic
properties. It also exhibits
bactericidal effect against
the tissue invasive perio-pathogens.

Clinical 17

September 24 - 30, 2012

A 45-year-old male patient
with a probing depth of six mm
after Phase I therapy was selected for diode laser assisted
open flap debridement (Fig 6).
Diode laser (Sunny Laser®)
with a wavelength of 980nm
and with a power setting

Fig 7-Diode laser for removal of granulation tissue

2.5W was used in continuous,
contact mode with the help
of a flexible fibre (400µm)
optic
delivery
system.
The fibre was used in a ‘brush
stroke’ motion on the undersurface of the flap to remove
the pocket lining (Fig 7). A
layer of charred tissue was
noticed after lasering the
undersurface due to haemostatic and tissue coagulation
effect of the diode laser (Fig
à DT page 18

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The laser energy is conducted through the waveguide
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The loss of tactile sensation
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surgeon, but the tissue ablation is precise with a careful
technique.
Case 2: diode laser assisted
open flap debridement
The diode laser is a solid-state
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Gallium (Ga), Arsenide (Ar),
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18 Clinical
ß DT page 17

8). Three-month follow up
showed reduction in probing
pocket depth from six mm to
three mm (Fig 9). The healing
was uneventful.
The laser exhibited better
operator control than the other two lasers since it is used
in a contact mode. It is the
most commonly used laser
and is available in smaller
cost effective units. Thus
collateral damage with diode laser is less as compared
to CO2 laser. The wavelength
of diode laser is absorbed by
the haemoglobin which leads
to tissue coagulation and formation of charred layer. Diode
leads to thermo-coagulation
of the blood vessels which is
responsible for its haemostatic effect. Thus diode laser is an excellent soft tissue
laser because of its tissue
coagulating and haemostatic properties. It selectively
ablates the pigmented perio-pathogens
due
to
its
affinity for pigments and
therefore exhibits excellent
bactericidal effect.
Diode
laser
when
applied to the hard tissues
at power setting of more
than 1.5W can lead to thermal damage. However, no
effect is seen on dry or moistened surfaces. Since diode
is absorbed by haemoglobin,
only blood stained surfaces
show evidence of thermal
damage. It is ineffective in
calculus removal.
Case 3: er: yag laser assisted
open flap debridement:
The Er:YAG laser produces
invisible light with a wave-

United Kingdom Edition

length of 2,940nm that has
high affinity to water in which
it is maximally absorbed.The
mechanism is similar to CO2
laser, but the absorption is
about 10 times more. The soft
tissue is removed by direct
non-selective ablation, due to
Water-mediated Photothermo-

the Er:YAG laser (Fotona ®)
was used at a power setting
of 1.5W (Energy 150mJ, Frequency 10Hz) in a short pulse,
non-contact mode with air for
degranulation and with air
and water with the same power setting for calculus removal (Fig 11). The mode of laser

‘The use of lasers as an adjunct to
mechanical debridement did not lead
to post-operative complications nor
delayed healing’

Mechanical process, which
ablates all living cells within
the range of its penetration.
Laser energy is absorbed by
water molecules, and causes
quick heating and vaporisation with massive volume
expansion
and
explosion.
The sequel of ‘Microexplosions’ creates high pressure
on the surrounding cells that
blast off. These dynamic effects cause mechanical tissues to collapse, resulting
in
Thermomechanical
or
Photomechanical
ablation.
This phenomenon has also
been referred to as ‘Water
Mediated Explosive Ablation’.
Thus it is both a hard and soft
tissue laser. The temperature
increase is minimal in the
presence of water irrigation,
allowing hard and soft tissue
removal without any carbonisation.
A 37-year-old male patient
with probing depth of six mm
was selected for Er:YAG laser
assisted open flap debridement (Fig 10). In this case,

delivery was a handpiece.
The laser beam was directed
towards the granulation tissue by holding the handpiece
one inch away from target tissue. It was moved in a ‘brush
stroke’ motion in a shaving
manner till the granulation
tissue was removed. The motion was continuous with
overlap of the laser spots. The
laser was used for calculus removal in the same way. Since
the laser does not have a haemostatic effect, some amount
of bleeding was noticed after
the use of laser (Fig 12).
There was reduction in
probing depth from six mm to
three mm after three months
post-operatively (Fig 13). The
healing was uneventful.
The
use
of
Er:YAG
laser has gained popularity
in recent years due to its use
in both soft and hard tissue
procedures. The laser has
an irrigation system which
prevents overheating of the
tissues
thus
causing

minimal thermal damage. It
also has an excellent bactericidal effect.
The difficulty in using this
laser is the non-contact mode
of laser delivery, which is difficult in inaccessible areas.
This laser produces a typical ‘bullet noise’, which can
be irritating to the patients.
The use of irrigation produces aerosol containing with
blood which can contaminate
the dental surgery. Also, the
Er:YAG laser machine is expensive and comes as a big
unit, unlike the diode laser.

September 24-30, 2012

cause less mechanical trauma,
less swelling and scarring and
less post-operative pain. Thus
lasers can form an integral
part of periodontal therapy in
the future.
However, further longitudinal studies are required
to evaluate the long term effects of lasers on clinical as
well as microbiological parameters.
Further
animal
studies are required to provide an insight into the healing and a possible role of lasers in formation of a new
attachment. DT

Post-operative instructions
After completion of the procedure, flaps were sutured
back with 4-0 non-resorbable
silk sutures. No periodontal dressing was placed over
the operated area in any of
the treated sites. Post-operative
instructions
were
given to the patient. The patient was instructed to avoid
spicy, hard, sour and hot food,
avoid smoking and brushing on the treated area and
was instructed to maintain
oral hygiene by regular rinsing after meals and advised
warm saline rinses from the
next day. The patients were
prescribed analgesics and
Chlorhexidine mouthwash after the surgery.
Conclusion
The use of lasers as an adjunct
to mechanical debridement
did not lead to post-operative
complications nor delayed
healing. Lasers have been
used in periodontal therapy
due its bactericidal, haemostatic, cutting and coagulating properties. The use of
lasers have been reported to

Fig 8-After debridement- note the haemostatic effect

Fig 9-Post-operative

Fig 10-Pre-operative

Fig 11-Laser used for debridement

Fig 12-After debridement

Fig 13- Post operative

About the author
Dr.
Sneha
Gokhale Gaikwad
MDS
(Periodontology and Oral
Implantology),
M.A.Rangoonwala
Collegeof
Dental sciences and
Research Centre,
Pune, India.
Diploma in Oral LASER applications,
SOLA, Vienna, Austria.
Email: gokhalesneha@yahoo.com

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[20] =>

20 Practice Management

United Kingdom Edition

September 24 - 30, 2012

Patient Confidential
Jane Armitage looks at patient confidentiality in the dental practice and beyond

ast week I attended the
hospital for an appointment. As I sat there I
couldn’t help but listen to a
conversation that was going
on between reception staff. It
was all about a patient who
had been diagnosed with can-

cer; it made me think how that
person would feel if they knew
that everybody in the waiting
area had heard about their diagnosis. I think that this is a
terrible scenario.
How many of us have our

Reception
desks
adjacent
to the waiting area? Probably
the majority - and how often
do staff members congregate
at some point of the day in
the
reception
area?
It’s
normal to talk but it is inappropriate to discuss anything of a

confidential nature, especially with patients in close
proximity.
Dental teams have both
an ethical and a legal duty to
keep patient information confidential.

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Sharing confidential information
Dentist-patient confidentiality
is simple: as a patient you have
a right to complete confidentiality. Anything said within
the confines of a dental practice, becomes protected under
the Data Protection Act. This
includes the fact that you were
even there. Dentists have
no right to supply anyone,
even close family members,
with your dental records
or information, without consent. However it can be shared
with someone who has an
interest,
for
example
a
Consultant who may also have
an interest in your dental
health.
Privacy is an important issue and confidentiality is a
must.
In a dental practice there
is always something to do and
it’s important that the recep-

‘Dental teams have
both an ethical and
a legal duty to keep
patient information
confidential’

tion area remains as a reception area and not become
an overspill of the staff meeting room.
Induction can form the
basis of what you can expect
from new staff members.
Confidentiality should form
a large part of any induction
programme for new team
members.
Being social
Social networking is another area where you can
see that reference to incidents or names are being
made, quite often the person
whom comments are being
referred to is oblivious to the
fact that his/her business is
being shared with the world.
This is an area that needs
addressing to ensure you
don’t fall foul of the ethics of
dentistry.
Staff meetings can be used
to test the staff on the importance of confidentiality especially who you can share information with. Every dental
professional should be made
aware of the advice sheet
Ethics in Dentistry (available

[21] =>

United Kingdom Edition

September 24 - 30, 2012

Practice Management

• Where disclosure is required
by statute or is ordered by a
court of law
• Where disclosure is necessary for a dentist to pursue a
bona-fide legal claim against
a patient, when disclosure to a
solicitor, court or debt collecting agency may be necessary

21

of Coronation Street!”
I give up; this was
supposed to be a serious subject! DT

After writing this, a colleague of mine has read it
and passed a comment which
made me laugh and that was:

Confidentiality is a must for patient information

questions covering all aspects
from the BDA website - meof data protection and confimebers only). Although it is
dentiality. I also refer to Standheavy reading it is a useful
ards for dental professionals,
tool to have within the practhis is available from the GDC.
tice as it determines what
you can and can’t say and
Your team need to know
to whom.
when they can divulge inforThe Information Govern213860_BDJ_Nobel
8/2/12
1 party without
mation Page
to a third
ance toolkit developed
by the13:10
having adverse effect.
Department of Health (https://
www.igt.connectingforhealth.
Disclosure
nhs.uk/) is a great training
There
are
circumstances
tool and is a way of ensurwhen personal information
ing all staff has answered

can be disclosed:

‘Your team need to
know when they
can divulge information to a third
party without having adverse effect’

• Where expressly the patient
has given consent to the disclosure
•
Where
disclosure
is
necessary for the purpose
of enabling someone else to
provide health care to the patient and the patient has consented to this sharing of information

“Could someone tell Deidre
about this as she has told all
the UK about Tyrone’s girlfriend’s visit to the doctor?”
I replied: “Who’s Deidre?”,
thinking we had a new employee...the
answer
came
back: “In last night’s episode

About the author
Jane Armitage is
an award-winning
practice manager
and has almost
40 years industry
experience.
She is currently a
practice manager
for Thompson &
Thomas, and holds
a Vocational Assessors award. She is
also a BDA Good Practice Assessor,
BDA Good Practice Regional Consultant, and has a BDA Certificate of Merit
for services to the profession. She has
her own company, JA Team Training, offering a practice management
consultancy service, which includes
on-site assistance covering all aspects
of practice management with a pathway if required for managers to take
their qualification in dental practice
management. If you’ve any memories of the early 1970s or any specific
choices of topics you’d like addressed,
call Jane on 01142 343346 or email janearm@tiscali.co.uk.

Limited places
available!

Enrol today! Call for details

TR213860

[22] =>

22 Practice Management

United Kingdom Edition

September 24 - 30, 2012

Information: to share or not to share?
Amanda Atkin on what you should know about the Information Governance Review

the opening line of the famous sorecent news item (Vol. 6,
liloquy in Shakespeare’s Hamlet,
No. 15) listed the panel
the Review is entitled ‘Informamembers for the Indetion: to share or not to share?’ If
pendent Information Governance
this is the question, what will the
Review being chaired by Dame
review mean for dental practices?
Fiona Caldicott. The aim of the
Review is to advise on how to
The mandate for the Review
achieve a better balance between
arose from a recommendation by
protecting and sharing confidenthe NHS
tial
information. With echoes1 of
dentaltribuneuk_artwork_Layout
28/06/2012
12:53Future
Page 1Forum (a body

conversing with patients, service
users and professionals to provide
independent advice to the Government on specific topics) and
the Review aims to ‘ensure that
there is an appropriate balance
between the protection of patient
information and the use and sharing of information to improve patient care.’

In the context of dental practices, this is a review around the
huge issue of confidentiality of
information, which is something
dental practices are already
aware of the need for. Practices
have started to monitor the use
of email and to manage how staff
share information when a reception area is crowded with patients.

The review takes the subject of
confidentiality to another level to
include not only the information
held in practices but the security
of that information/data from an
access perspective to data storage
on laptops, memory sticks, data
servers and discs (to name a few).
It also includes the physical security of buildings.
The Terms of Reference for
the Review include (to review):
• the information flows needed to
support [the current and future
purposes for which patient and
social care service user information may be used] where they require information which may be
identifiable
• when explicit consent for information sharing needs to be sought
and recorded, and when may consent reliably be implied and objection/active dissent recorded
• when should anonymised and
pseudonymised data be used

2012. It’s no time to
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Or, if you’ll give us an extended try out, we’ll give you 25% off your entire bill
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There’s lots more information overleaf, as well as inside the front cover flap.
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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
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As dental practices already
have to be compliant with CQC
requirements, which also cover
elements of information governance such as privacy, dignity,
equality and confidentiality, the
Review covers this need from a
higher, more robust level. Already
dental practices are required to
undergo the IG Toolkit (Information Governance Toolkit) to embed and ensure staff have a clear
understanding of what information governance means for the
practice, staff and, most importantly, patients.
Have your say
The Information Governance
Review Panel has identified a
number of themes it wishes to investigate, with dentistry not mentioned specifically. There is also
no dentistry representative on the
panel. With this in mind, it would
seem important that those in the
dentistry profession contribute to
the evidence gathering process
of the Review. This can be done
by post or email – see http://caldicott2.dh.gov.uk/contact-us. The
panel is also holding a number of
‘Evidence Sessions’ – each with a
particular theme. Again, none are
exclusive to dentistry but some
themes (eg Patient and Public
rights in law including new EU
Regulations) will clearly have a
bearing on what goes on in dental
practices. The dates and themes
can be downloaded at https://
www.wp.dh.gov.uk/caldicott2/
files/2012/06/Evidence-Gathering-Themes-Dates-130612.pdf DT

A moder
modern d
needs

About the author

Amanda Atkin runs Atkinspire Ltd and
offers practices support, training and
consultancy on information governance,
CQC compliance, National Minimum
Standards and HTM 01-05.

[23] =>

[24] =>

24 Money Matters

United Kingdom Edition

September 24 - 30, 2012

Thinking of buying a Practice???

Some Top Viewing Tips
edict from the Government to
lend and with the dental industry being one of very few
so called ‘Green Light’ sectors
we are finding that as long as
you have carefully prepared
your proposal in advance (ideally in conjunction with a specialist Dental Business Advisor
who knows what the banks are
looking for) then most clients
CAN secure funding for practice purchase.

T

he Doom Mongers out
there would have us all
believe that the banks
have simply shut up shop and
are not lending – indeed anyone having read most weekend

editions of the Mail or the Express would normally then be
running for the hills.
This is simply not true.....
the banks now have an active

rankly

With a lot of Associates unhappy with their ‘lot’ and only
seeing tougher times ahead
with further reductions in
their income, it is no wonder that the past 18 months
have seen a sizable rise in the
number of Associates looking

S

peaking

to purchase.
In many areas, demand
to purchase dental practices
(both NHS and Private)
is
outstripping supply with the
net result being increased
competition to purchase the
most sought after practices
in question.
In these so called popular
areas therefore it remains very
much a sellers’ market.
So........ As a prospective
purchaser how do you make
sure that you stand out from the
crowd and ensure the Vendor
WANTS to sell to you.
There are of course no guarantees however there are a few
common sense steps that a prospective purchaser can take to
improve their chances
• Turn up for your viewing appointment on time !
• Prepare a verbal CV in readiness to talk about your past
business and clinical experience
• Ask questions of the Vendor to
establish if you share a similar
approach to dentistry (important as the Vendor will be quite
keen to ensure that a buyer
cares for his/her patients in a
similar way).
• Relate to the Vendor - Look
for a personal connection - try
to find common areas of interest or common business experiences (eg you both studied at
Guy’s)

Raising Finance?
DO engage the services of an independent firm to liaise with the Banks
on your behalf – will ensure proposal is packaged for best chance of a
positive response and also to negotiate best terms.
DO ensure you provide an accurate summary of your current position
including all savings and existing borrowing.
DO ensure your CV is up to date with particular focus on any past
Managerial experience.
DO expect the Bank to want you to put down a contribution towards
the purchase.

• Do not be pushy as this will
probably unsettle the Vendor

DO undertake your own research of the local area and find out why the
current owner is selling.
Search for Frank Taylor and
Associates

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

1559COR FTA 140x100mm AD1.indd 1

Follow us
@franktaylorassc

• At the initial viewing do not
ask too many in depth questions
(there will be plenty of time for
that later!) Remember you may
be one of many viewing the
Practice that particular day and
will only have a finite amount
of time with the Vendor. You do
not want to be remembered as
the awkward one....

• Be positive to the Vendor (Remember this is their pride and
joy they are selling and even if
you feel the decor has a lot to
be desired – make sure you bite
your tongue - you can always
re-decorate once you have purchased)
• Highlight your intention
to use a specialist dental so-

22/02/2011 22:35

licitor (tends to lead to a
quicker and smoother transaction compared to using a generalist)
• Outline that you do already
have funding available or
‘agreement in principle’ for
the purchase (and in advance,
I would suggest you speak with
a specialist Independent Dental
Business Advisor, rather than
simply your own bank, who
from their knowledge of the
WHOLE banking market could
detail the preferential terms
which could be secured as well
as proving outline approval)
• Assuming viewing arranged
via specialist sales agent, do
not discuss price direct with
the Vendor - always best to
communicate any offers via the
agent
I know it may seem bizarre
bearing in mind you may be
purchasing for a sizable sum;
however in this competitive

‘So........ As a prospective purchaser
how do you make
sure that you stand
out from the crowd
and ensure the Vendor WANTS to sell
to you.’
market you really do need to
sell yourself to the Vendor and
to make sure they pick YOU
above everyone else. It is not
always the person who provides the highest offer who secures the practice - quite often
it comes down to personality
and who the Vendor feels will
look after their practice and patients best.
So be nice in that first viewing and remember the tips......
they really do work. DT

About the author
David Brewer has worked with the
Dental profession for over 15 years
helping over 1000 clients secure funding for Practice purchase and Start
Up. With his banking background
and friendly pro-active approach he
is ideally placed to provide advice and
guidance to clients who are looking to
purchase a Practice or simply review
their existing arrangements. David is
Director of FT&A Finance and can be
contacted on 08456 123424 or david.
brewer@ft-associates.com

[25] =>

United Kingdom Edition

September 24 - 30, 2012

Money Matters 25

Investing Your Capital – Your
10-Point Checklist
S

hould you be in the fortunate position to be able
to invest some of your income/capital for your future then
there is a 10 point checklist you
may want to refer to when making your investment decisions.
It doesn’t matter whether you
have a small nest egg to invest
or if you have a large amount
of money set aside. Whatever
the amount, it’s crucial that the
investment decisions made are
right for you and this is where the
10-point checklist comes in.
Before reading through the
10 points there is a word of warning you should heed; it is an issue
some face through overzealous
investing. It’s important that you
don’t over invest; this means that
you should not commit money
that you may need access to in
the short term and you should
not invest money you can’t afford
to lose.
One point that should be
mentioned is that savings and
investments are two different elements of the financial planning
process.
Savings come with a set (or
variable) interest rate so you
have security (up to 85,000 per
financial institution) with your
money but it will yield (currently) a low rate of return. The classic example is a deposit based
savings account.
Through an investment you
take a lump sum of money, or a
regular amount, and place it into
an investment vehicle that is not
deposit based. An investment has
the potential to grow quite substantially, or potentially fall lower
than your capital amount. This
will be largely dependent on the
asset class (such as shares, government bonds etc) chosen as
well as the overall market conditions of the asset classes.
Let’s look at the 10 points:
1 – Objective
Before proceeding with an investment you need to understand
what you want to achieve with
your money. There are a few
questions you need to ask yourself: are you looking for growth
on your capital, or to generate an
income from your investment?
Why are you seeking capital
growth? What amount of income
are you looking to generate?
2 – Term
You really should consider how
many years you want to invest
your money over before you sign
on the dotted line. This is especially the case if you need access
to any of the capital. Therefore,

it’s advisable to check if there are
any penalties for accessing your
money at any stage of the investment as some financial products

have clauses in them that will not
allow access without penalty.
3 – Financial Loss

With any investment there is the
potential for loss. Because of this
you do need to focus on potentially losing money. This is not an

area many investors like to think
about, but it is a key element of
the decision making process.
à DT page 26

[26] =>

26 Money Matters
ß DT page 25

How much can you realistically
feel comfortable losing without
impacting your current and future
financial position?
4 – Volatility
Investment markets can be described as volatile, a term that
scares many but this shouldn’t
necessarily be the case. The dictionary.com meaning of volatility
is: (of prices, values, etc.) tending

United Kingdom Edition

to fluctuate sharply and regularly:
volatile market conditions.
If you know you are someone who is easily nervous of such
changes, you may find yourself
worrying and losing sleep. A volatile market doesn’t necessarily
mean you will lose your capital
as you will only lose out if you
withdraw your investment at the
wrong time.
5 – Risk
With any investment there are as-

you are comfortable with.

sociated risks. Some of the risks
are that you could lose money
on your capital or that it may not
grow to the expectations you were
looking for. Each investment type
has differing levels of risk and,
generally, the greater amount of
risk you take provides the greater
potential for reward.

6 – Taxation
Taxation is a key area that needs
to be considered with all investments. The wide range of investment vehicles on the market offer
different taxation implications for
taxpaying investors. Make sure
you review your tax position prior
to investing your money and think
about whether you may have to
pay capital gains tax on the growth
of your investment or income tax
on any ongoing interest/returns.

Think about the amount of
risk you are willing to take. This
means you should only put your
capital in markets that carry the
same amount, or a lower risk than

Call us on +44 (0)151 342 0410 Advanced Dental Education

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My first experience of the Dawson academy was Edinburgh
a BDA lecture in Birmingham,
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met3rd
Ian2012
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2012I firstNov

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Series.
BuckleCore
and was
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(Part of The Dawsonrespected
Academy
Core Curriculum)
speakers, Bill Comcowicz and Roy Higson, so my knowledge of occlusion was already at a
For further
information on this introductory
course, basic
1
level. Core Curriculum of learning and team events, please contact:
⁄2 Day
Hands On +44respectable
2info@bdseminars.com
Ian Buckle (BDS)
(0)151 342 0410
www.bdseminars.com
The Dawson Academy UK | Hilltop Court | Thornton
Common
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The Dawson
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however
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with Dr Ian Buckle 19hrs
CPD:
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WIRRAL THE DAWSON CENTRE UK
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Principal
July
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-14
2012
BDS(UBrist)
Extensive experience in restorative dentistry with over 10 years of
specialised postgraduate training on all
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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.

I undertook the first set of four modules for the coredifference
curriculum
and found that importantly all the
to how I do my dentistry making it now
fragmented
piecesUK
of knowledge that I had were able
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together so that I could finally start to
completely
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LONDON
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Finnegan Belfast
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The course offers a pragmatic and
Heathrow, London UK
systematic approach from carrying out a comprehensive
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through together.”
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“The glue
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September 27 – 29 2012
Sean Corry
Magherafelt
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To change a career path is no easy task. Having worked for many years I struggled to apply the principles

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This course providesthatthe
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Focusing on the approach of a systematic diagnosis and treatment plan I began to
Establish
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planning
my treatment decision making in a different
way. Iaused
the three
dimensional
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with a programmedapproach
approach
to
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taught by Dr Buckle and started to visualise and create plans in the diagnostic wax up phase myself
emphasis will be placed on the four options of
rather than planning,
expect a technician toyou
guess where theSpecial
teeth should
go and what they should look like.
diagnosis and treatment
treatment (reshaping, repositioning, restoring and surgical
This alone improves clinical and diagnostic skills and
coupled with the additional modules of anterior
correction).
will discover how torestoration
visualise
optimum
and equilibration helps to make important
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Explore why 90% of mistakes occur not during the restorative
rather than start treatment with no concept of how phase,
it will concludean unfortunate
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many ofprocess.
our
but rather during
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therecords
four options
of
treatment
mean all further stages are compromised. Unlike many of the restorative gurus out there, Dr
Discover the need for/value of quality records.
is always approachable.
(reshaping, repositioning, restoringBuckle
and surgical
correction), so
Master the 16 functional and esthetic components of
that the correct option(s) are chosen for each patient. Additionally,
healthy, functionally correct dentition.
This
course
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and I am now doing the kind of dentistry I could only
each student will learn how to segment large treatment plans, so
Investigate how the teeth should be positioned in space for
have imagined a few years before. I have since gone
on to the advanced set of modules and slowly have
optimum aesthetics, phonetics and function.
that patients with financial issues can receive optimum care over
gained the confidence to tackle complex and difficult cases.
Identify specifically how to utilise the diagnostic photographs
time. The focus of the programme is to integrate a comprehensive
in conjunction with mounted diagnostic models to visualise
treatment planning process into their
practice. Suggestions
will
The Philosophy
of the Dawson approach
really emanates
fromcourse
PeterofDawson
himself, possibly the most
an optimum
treatment.
also be made on creating time andimportant
a placefigure
for optimum
treatment
in the advancement of complete dentistry,
and Ian Buckle,
along
with
Johnoptimum
Cranham,
Create a segmented
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of
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Glenn Dupont,
Wilkinson
Andrew Cobb(to name a few) have brought this philosophy forward.
planning. Finally, a consultation process
will beDewitt
discussed
inand
detail,
They
teach withcase
a passion
and desire
to spread their
knowledge
asaPeter
would
have wished
Creating
time and
place Dawson
for treatment
planning.
ensuring each participant will enjoy
a healthy
acceptance
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when the academy was first set up.

“

For further information on this introductory course, basic Core Curriculum of learning and team events, please contact:
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+44 (0)151 342 0410

bd_2482_irish-2-aw3.indd 1

For example, you may decide
that going for an Individual Savings Account instead of another
investment product is your first
port of call because of the associated tax benefits.
7 – Accessibility
As mentioned in point 2, some investments allow for instant withdrawal of capital with no penalty
associated, whilst others have financial penalties involved for
instant withdrawal. On the other
hand, there are products that offer limited withdrawal and have a
fixed duration for the investment
so your money is “tied in” and
cannot be withdrawn no matter
what the circumstances are.
Because of the volatility of
markets, as mentioned in point 4,
you may need to think about the
duration period and whether a
medium to long term fixed duration fits your requirements should
the markets suffer. This is also
relevant to points 3 and 5.

21⁄2 Day Lecture & Hands On
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September 24 - 30, 2012

02/03/2012 09:17

8 – Understanding
A number of investments are simple and easy to understand, whilst
others are more complex and
require a detailed level of knowledge. If you don’t fully understand how the investment vehicle
works, it may be an idea to steer
clear. Also, if you use the services
of a financial adviser, ensure you
ask as many questions needed to
understand the product before
agreeing to put your money into it.
9 - Review
Investments require regular reviewing, no matter what the product type is. If you are not willing
to review them at least annually
then it is probably not advisable
to invest your money in the first
place as you will not know how
your investment is progressing
and whether it still suits your circumstances on an ongoing basis.
10 – Cost
As with many things in life, in the
investment world there is no free
lunch. Just about all investments
incur charges so it is important
that you know what these are and
exactly how much you will be
paying, both initially and ongoing.
In Summary
So there you have it. Whilst there
are a number of additional points
that investors should consider,
this list is a useful place to start.
The key point to remember is to
always do thorough research, either yourself or outsource it to a
trusted professional. DT

About the author
Ray Prince is a
fee based Certified
Financial Planner
with
Rutherford
Wilkinson Ltd and
helps dentists plan
towards (and during) their ideal retirement, as well
as getting the best
deals on protection and investments.
You can contact him on 0191 217 3340
and ray.prince@rwpfg.co.uk . Also,
to request a free copy of the popular
monthly email newsletter ‘Financial
Tips’ visit www.medicaldentalfs.com
Rutherford Wilkinson Ltd is authorised and regulated by the Financial
Services Authority.

[27] =>

ST
AN
D

United Kingdom Edition September 24 - 30, 2012

London 2012 - The other
big event of the year
Dental Tribune looks at BDTA Dental Showcase

As well as being able to interact with on-stand experts,
this year introduces new features to the Showcase: Mini
Lectures, a Business Clinic,
and a Tech Zone (Saturday 6th
only). Not only will all of these
be beneficial to everyone in
dentistry, but they are also all
simple ways of obtaining general and verifiable CPD.
The Mini Lectures programme features a whole host
of expert speakers covering a
range of topics; from how to
handle medical emergencies,
to the benefits 3D imaging provides for dental diagnostics
and implant preparation, and
financial management for your
practice.
By visiting the Business
Clinic, you can receive free expert advice on how to improve
your practice. A panel of six experts will be on board to share
common problems and help
dental team members identify
issues within their business,
and how best to address them.
Spaces are limited to 20 people per session and bookings
are first come, first served, so
make sure to book your seat
online to guarantee your place
and verifiable CPD. This can be
done at www.dentalshowcase.
com.
A number of talks will be
hosted at The Tech Zone,
where you can see all the latest in technology across a variety of disciplines in an exciting
and dynamic way, from some of
the UK’s leading technicians.
For visitors who enjoy
watching demonstrations as a
method of learning, a live theatre will be featured inside the
exhibition hall this year, offering useful insights into a range
of techniques and innovations
in dentistry. Demonstrations
include Hypnosis for Dentistry
and Facial Aesthetics: Botox
and Dermal Fillers, among others. And don’t forget to visit the
Smile-On team at stand J02 for
more CPD and information of
postgraduate courses on offer!
Food and Drink
All of this can be tiring work,
so what better way to put your

feet up than by visiting one of
the many food places that can
be found at ExCeL. You can enjoy pizza at Zero Sette, fish and
chips at Docklands Bar and
Grill, Dim Sum at China Palace, and vindaloo at Bollywood
Brasserie. With no shortage of
variety on offer, there really is
something for everyone.

and all other web browser-enabled phones): While on your
smartphone, point your mobile
browser to http://m.core-apps.
com/showcase12. From there
you will be directed to download the full version of the app
for your particular device, or
on some phones, bookmark
this page for future reference.

If you’re in need of a caffeine hit, head to La Barrique
for a cup of tea or coffee and
cake, or go there to wind down
at the end of the day with a
glass of wine.

How do I Get Tickets?
Be sure to register online for
tickets in advance of the show
to guarantee free entry. This
year the BDTA are switching
to e-ticketing, and by registering online, you will be helping
dental charities chosen by you.
When on-line registrations
reach 20,000, the BDTA will
donate £5,000, shared out between the charities in accordance with your votes. When
registrations reach 25,000 they
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.

Plan Ahead
As it is such a vast exhibition,
make sure you plan ahead and
are able to access all the information you could possibly
need on the day, by downloading the new Showcase 2012
app on your smartphone. The
BDTA Dental Showcase is the
first dental exhibition in the
UK to offer a free app to help
you along with your visit.
There are built-in functions
to view exhibitors you would
like to visit, you can plan which
live theatre demos you’ll be
attending, and see what key
speakers will be at the event.
The app also allows you to access social media sites, allowing you to connect with other
dental professionals at the
event and share your Dental
Showcase experience. So now
you only need your phone to
network and navigate your way
around the show!
Downloading the mobile
app is easy. For iPhone (plus,
iPod Touch and iPad) and Android phones: visit your iTunes
App Store or Google Play on
your phone and search for
‘Showcase 2012’ to download
the app. For All Other Phone
Types (including BlackBerry

Less traumatic extractions
Specially designed periodontal ligament
knives with fine tapering blades that
compress the alveolar bone, cut the
membrane and gently ease the tooth
from the socket with a minimum of
tissue damage. Available in 8 standard
sizes and 5 short sizes, enabling an
easier working position for smaller
hands.
Luxator Kit LK4
(LC3, L3S, L5C, L5S, sharpening Tool L10)
Plus FREE Forte 3.2 worth € 62.00

€ 210.00
€ 355.00

Luxator Kit LK7
(LC3, L3S, L5C, L5S, sharpening Tool L10)
Plus FREE Forte 3.2 & RootPicker CA worth € 108.50

To do this, go to www.dentalshowcase.com, register for
your e-ticket, and vote for the
dental charity of your choice.

If you hassle the kids the kids will hassle you
Pedodontists love FenderPrime…
Hassle free restorative dentisty with kids in mind!

How do I get to ExCeL?
The Jubilee Line is recommended as the quickest route
to ExCeL London. Alight at
Canning Town and change
onto a Beckton-bound DLR
train, for the quick 2-stop journey to Custom House for ExCeL (West) or Prince Regent
for ExCeL (East).
If driving to ExCeL London,
follow signs for Royal Docks,
City Airport and ExCeL. There
is easy access from the M25,
M11, A406 and A13. For maps
and parking information, go to
www.excel-london.co.uk/visiting-excel DT

Protection and matrix for primary teeth
A unique combination of a preparation shield and a
sectional matrix for Class II fillings of primary teeth.
FenderPrime enables a fast, simple and safe restoration
of primary teeth. FenderPrime is available in two sizes,
long and short. Samples available.

his year’s Dental Showcase is back in London’s
ExCeL from 4-6th October, with more than 300 stands
exhibiting all the latest products, services and technologies
in dentistry.

FenderPrime Refill
Short, Neon Yellow or Long Neon Green
18 pcs

€ 16.25

FenderPrime Assortment
Short, Neon Yellow and Long Neon Green
2 x 18 pcs

€ 25.85

DISTRIBUTED IN THE UK BY TRYCARE
TEL. 01274-88 55 44

[28] =>

28 BDTA Preview

United Kingdom Edition

September 24 - 30, 2012

Discover More From Carestream
Dental at the BDTA Dental
Showcase 2012 Stand C08
Visit Carestream Dental at the BDTA
Dental Showcase and find out how the
latest advances in dental software and
equipment can dramatically improve
patient care and practice profitability.
Taking place at London’s ExCel from
the 4th to the 6th October 2012, the
theme for this year’s Showcase is ‘A
Voyage of Discovery’ - which is exactly
what delegates will experience at the
Carestream Dental stand:
• CS R4 communication tools: new launch supporting dentists to communicate
effectively with their patients using Carestream Dental products and services.
• CS 8100: new launch offering the simplicity of compact panoramic imaging.
Talk to the enthusiastic and knowledgeable team about the huge range of
market-leading solutions on offer. Innovations from Carestream Dental are
easy to use and blend seamlessly into practices of all shapes and sizes.
Discover what you can achieve with faster processes, enhanced accuracy and
true integration for an impressive modern practice that gives patients the
‘wow’ factor.
For more information, contact Carestream Dental on 0800 169 9692
or visit www.carestreamdental.co.uk

CEREC® AC
Cut your Lab Bills down by 90%
Visit Stand P12 and find out how buying a CEREC®
System from Ceramic Systems, the UK CEREC®
Specialists, will enable you to cut down your
Laboratory Bills by up to 90%. CEREC® enables
Dentists to create high quality and durable
chairside all-ceramic restorations in the most
cost-effective and efficient way. Quick, efficient
and easy to use, CEREC® is a computer-aided
method for creating precision fitting all-ceramic
restorations; saving virtually all your Laboratory costs it enables Dentists to
design and create all-ceramic inlays, onlays, partial crowns, veneers and crowns
for the anterior, premolar and molar regions in-house in one visit. Eliminating the
need for messy and expensive impressions, CEREC® utilises a digital impression
taking technique to capture the data used to design the restoration which
is then milled in the milling unit. The milling unit can be situated anywhere
that is convenient within the Practice, even as a fascinating eye-catcher in the
waiting room. Combined with adhesive bonding techniques, CEREC® creates
biocompatible, non-metallic, natural-looking restorations from durable highquality ceramic materials in a single treatment session - without the need for
provisional restorations. A fantastic Practice Builder, CEREC® is extremely popular
with patients and saves a fortune in Laboratory fees!
For further information visit Stand P12 or contact Ceramic Systems Limited on
01932 582930, e-mail j.colville@ceramicsystems.co.uk
or visit www.ceramicsystems.co.uk

See a smart future with Clark Dental at BDTA
Dental Showcase Stand D 16
Visit Clark Dental at this year’s BDTA Dental
Showcase, on stand D16 and discover the cutting
edge of dental technology.
Dental Units: With an exceptional range of dental
units to suit all budgets Clark Dental offers
unbeatable choice. Including the new tax efficient
rental option on their Stern Weber units, offering six
months free rental with no deposit, economic monthly payments and a FREE
UPGRADE after five years. Digital Imaging: Schick Digital Imaging System has
brought thousands of dentists into the world of digital imagery, its modular
system means you will never be caught with out of date technology. Be first
to see the latest additions to the ever-expanding Schick range, which now
includes Schick WiFi for an even greater level of freedom and flexibility. Sirona’s
leading range of OPG machines also integrates seamlessly with Schick’s highly
respected CDR Dicom software. Distributed in the UK by Clark Dental, Sirona’s
imaging range includes the upgradable Orthophos XG 3D ready, Orthophos
XG 3D and GALILEOS Comfort/Compact. For a truly portable x-ray experience
Clark Dental offers the revolutionary Nomad Pro, with totally cordless
performance a weight of less than 4kg. Periodontal probes: The unique Florida
Probe lets a single operator complete a comprehensive periodontal exam in
less than 10 minutes, speaking out and recording its measurements as it goes
are just a few of the Florida probes great features.
For more information call Clark Dental on 01268 733 146,
email info@clarkdental.co.uk or visit www.clarkdental.co.uk

Award winning web design
team to appear at the BDTA
As the UK’s premiere dental
exhibition, the BDTA Dental
Showcase will feature stands
from many of the leading
names in dentistry.

DMG UK
Visit Stand R14 and see the NEW PermaCem
2.0 from DMG UK!
DMG UK are exhibiting all their latest
innovations, including their NEW PermaCem
2.0 and Flairesse ranges, on Stand R14. NEW
PermaCem 2.0 represents a completely new
generation of self-adhesive luting cements and is perfect for use with all crown and
bridge restorations including zirconia-based all-ceramic restorations. It provides
outstanding adhesive strength to zirconia without the need for separate etching
and bonding steps. The secret lies in the material’s composition; the special ‘Flow
2.0’ adhesive monomer formula enables superior natural self-adhesion without
the compromises associated with traditional permanent cements. PermaCem 2.0
achieves an exceptional adhesive strength to other materials as well, including
oxide and silicate ceramics, metals, composite restorations or glass-fibre reinforced
root posts. Its recently developed ‘Flow 2.0’ formula facilitating easy handling and
incredibly simple excess removal. The Flairesse prophylaxis system is the latest
addition to DMG’s preventative range which includes Icon, their revolutionary
treatment for incipient caries and carious white spot lesions …. without drilling!
Flairesse offers the choice between paste, foam, gel or varnish, all containing xyitol
and fluoride. Xylitol is an artificial sweetener which reduces the cariogenicity of
plaque. Clinical studies have proven its cariostatic and anticariogenic effect.
Similarly, there is no question that fluorides are important for dental health. For
further information visit Stand R14, contact your local dental dealer or DMG Dental
Products (UK) Ltd on 01656 789401, fax 01656 360100,
email info@dmg-dental.co.uk or visit www.dmg-dental.com

Innovations at BDTA Showcase Exhibition
from GC UK
Easy – Quick – Unique – Intelligent – Aesthetic, GC’s
EQUIA defines a totally new approach to long term Class
II restorations. Restorations based on glass ionomer
technology have never been so aesthetic and translucent,
high-performing and economical! EQUIA if the first to
combine quick and easy handling with perfect physical and incomparably
aesthetic properties, which means double the power for double the performance
and natural optical characteristics. Probably the quickest and simplest bond on
the market today is Gaenial BOND. This one bottle system takes advantage of
selective etching to avoid marginal staining – why use anything else! Test results
have shown that there is no decrease in bond strength to etched dentine; there is
no adverse effect if the etchant inadvertently reaches the dentine while etching
the enamel. With a selective etching approach, G-ænial BOND safely offers the
best of both worlds: the simplicity and reduced post-operative sensitivity of a
self-etch adhesive together with the greater bond strength to enamel that was
traditionally found only with etch-and-rinse adhesives. New to GC UK’s innovative
product range is Tri Plaque ID Gel. As the name suggests Tri Plaque ID Gel allows
you and your patient to identify areas of plaque in 3 easy steps. By changing colour,
it quickly identifies new, mature and acid producing biofilms. This unique gel also
highlights exactly where the bacteria are most active by disclosing the acidic pH.
This additional information will be a great help in your daily practice to motivate
your patients to improve their oral hygiene. Because after all, people often need
to see something before they believe it. Visit Stand J03 or for further information
please contact GC UK on 01908 218 999.

Oral-B
Innovation is once again key
to Oral-B’s stand at this year’s
Showcase. Their flagship power
brush, the Oral-B Triumph with
SmartGuide, incorporates novel compliance-enhancing technology using a
unique remote display and comes with a broad range of oscillating-rotating refill
heads. Oral-B also have the TriZone power brush refill head which gives patients
the opportunity to keep a manual feeling whilst taking advantage of the benefits
afforded by power technology.

Visit our stand A05 for the launch
of our exciting new oral hygiene
products
Developed, used and recommended
by dental care professionals and
backed by extensive scientific
research, the UltraDEX® range
(formerly known as RetarDEX) delivers fresh breath confidence, whitening
maintenance and exceptional oral health, when used as part of a daily oral care
regimen. The clinically proven technology is antibacterial, works with the natural
oral pH level, releasing the appropriate amount of active ingredient to meet the
individual needs of each mouth. UltraDEX eliminates, not simply masks, odourcausing Volatile Sulphur Compounds (VSC) on contact, lifts organic stains and
breaks down bacterial plaque biofilm. Bacteria cannot become resistant and
regrowth is inhibited. Three exciting new products have joined the already highly
recommended and successful UltraDEX range: • UltraDEX Recalcifying & Whitening
Toothpaste, dual powered by SensiShield® and iQ+ ActiveOxi Technology™ •
UltraDEX Wire-Free Interdental Brushes coated with iQ+ ActiveOxi Technology, •
UltraDEX® Anti-bacterial Coated Interdental Tape, powered by Stabilised Chlorine
Dioxide UltraDEX Oral Healthcare Kits, which can be personalised with your
practice details, are also available. With hygienists and dentists incorporating the
kits into their treatment plans, the demand for dual branded kits is constantly
increasing; the best performing practices are selling more than 20 kits a week. To
obtain samples, book your free UltraDEX webinar training session or find out more
about our professional clinically proven effective formula, visit our stand A05 at the
BDTA Dental Showcase or our website www.periproducts.co.uk.

Among the many high profile exhibitors at this year’s event will be Dental
Focus® Web Design, and it’s team of internet superheroes, ready to answer your
questions on how to make your practice an online success!
With over 10 years’ experience in dentistry, the Dental Focus team are renowned
for creating powerful, effective websites that don’t just attract patients – they
convert them as well. That’s why Dental Focus are the trusted experts in online
dental marketing, and have over 500 dental websites to their name.
To find out more about how Dental Focus can help your practice build a highly
effective online presence, make sure you look out for the Dental Focus team at
this year’s BDTA Dental Showcase.
For more information call 020 7183 8388, or visit www.dentalfocus.com

Visit the Inman Aligner Stand at the BDTA
Showcase 2012 – Stand F 17
The BDTA Showcase 2012 is set to be a highlight
of the dental calendar. Entitled ‘A Voyage of
Discovery’, the event is expected to house over
350 exhibitors, making it the largest dental
exhibition in the UK.
Amongst the many world-class exhibitors
will be Inman Aligner experts, providing
information and advice on their innovative
training courses, enabling practitioners to gain
immediate certification.
The hands-on intensive course lasts a single day, and demonstrates how to use
the Inman Aligner effectively to produce the best results. The online course
takes less than 3 hours to complete, providing all the information needed to
offer the Inman Aligner treatment straight away. Online support forums also
provide a source for additional guidance with practitioners first cases after the
course.
This year’s BDTA Showcase will be held on 4th, 5th and 6th October at ExCel in
London. For the opportunity to expand your treatment range and provide a
superior service to your patients, make sure you visit the Inman Aligner stand.

The innovation of Oral-B Pro-Expert toothpaste lies in the synergy of the
combination of the two main ingredients which provide the united strengths
of stannous fluoride’s antimicrobial properties and polyphosphate as a gentle
cleaning agent to inhibit calculus and stains.
Dental professionals are also encouraged to visit Oral-B’s new website, Dentalcare.
com, designed to provide intuitive, easy access to a wealth of resources relevant
to every aspect of UK dentistry. It is a complete on-line platform where dental
professionals can find all the resources they need.
For further information please call michelle@ab-communications.com,
07920-178179

For more information on Inman Aligner training please visit
www.inmanaligner.com or phone 0845 366 5477

Plan For Success with Plandent
Planning is central to running a successful
dental practice, and this is where Plandent
offer you a full service; whether it’s new
capital equipment, ordering your everyday
consumables and for advice on new dental
products. Incorporating Claudius Ash,
Plandent’s fully trained team are here
to help with all your dental needs and
wants. Plandent is the second largest dental distributor in Europe allowing the
Company to provide you with the very best value for money. The BDTA Show
will see the launch of Plandent’s innovative inventory management system –
the unique Plan O. This easy to use on-line system does all of the hard work
for you, ensuring you never run out of vital materials, whilst maintaining an
affordable level of stock for your practice. As well as the renowned Planmeca
units and chairs, Plandent will be demonstrating the very latest developments
in 2D and 3D imaging, essential for improved diagnostics and practice
development. During your visit, come and try the revolutionary solution in
impression taking with the 3 Shape TRIOS – throwing out your impression
materials and trays for good!! The Statim autoclaves and Hydrim washer/
disinfector from SciCan will be showcased and supported with Plandent’s
accredited nationwide service network – come and ask for details.
Visit Plandent’s Stand H07/H08 for daily exhibition special offers. Alternatively,
call Plandent on Freecall 0500 500 322.

Visit Stand M05
For a FREE Reciproc Hands On Tutorial
On Stand M05, Quality Endodontic
Distributors Limited will be running a
series of Free Reciproc Hands-on Tutorials
on Friday 5th October and Saturday 6th
October.
Running on the hour, starting at 11.00am
each day, each Tutorial will last for about
45 minutes and will give participants
the opportunity to discover what makes
Reciproc the truly revolutionary one file system. The Friday Sessions will be
lead by Dr Howard Lloyd, Specialist Endodontist, with the last Tutorial starting
at 5.00pm. The Saturday Sessions will be lead by Dr Ken Green, Specialist
Endodontist, with the last Tutorial starting at 3.30pm. Places will be limited and
QED anticipate a big demand for participation on these Tutorials. Therefore they
suggest anyone interested book their place in advance by calling 01733 404999.
QED will also be displaying their full endodontic range, and adding some
exciting new products which will further enhance their already comprehensive
catalogue of products. There will also be an opportunity to pick up a copy of their
NEW Catalogue, the Tenth Edition. So make sure that you visit Stand M05 for
a complete update. For further information visit Stand M05, telephone Quality
Endodontic Distributors Ltd on 01733 404999, email sales@qedendo.co.uk, fax
01733 361243, visit www.qedendo.co.uk or contact your local QED Salesperson.

Be impressed at the BDTA stand
F08
Impressed?
Quicklase
have
launched their new affordable
recession free laser dentaLase.
It is designed to appeal and be
obtainable by all Dental Practices
without fear of paying over the top. The new dentaLase Laser is half the price
of its competitors. Come and see it!
In addition, QuickWhite have launched their new offers for their Carbamide
and in-surgery kits, the kits are new in a special cosmetic looking package. The
brand is known for effectiveness and excellent fast results. They are the most
economical kits sold in the market and supported by patients marketing in
addition to the new packaging option.
Why not look at the NEW Dual Intra Oral Camera, the TeleCam?
Visit our stand F08 at the BDTA Excel or web site www.quicklase.com or
telephone us 01227 780009

[29] =>

United Kingdom Edition

Sident Dental Systems
For over 30 years experience with Sirona
products, visit Stand P11!
With over 30 years experience of working
exclusively in partnership with Sirona, to
promote the world’s premier brand of high
tech dental equipment and support their
many loyal customers, visit Sident Dental
Systems on Stand P11 for the ultimate Sirona
Experience. Sirona Specialists, Sident Dental Systems offer the choice from
the complete range of Sirona Treatment Centres including Sinius, 2D and 3D
digital imaging units – including the NEW Orthophos XG 3D CT digital conebeam equipment, their extensive range of Sirona handpieces, and auxiliary
items including SiroLaser Advance and the DAC Universal sterilisation unit. To
support these items they offer DURR Suction and Dental Art Cabinetry, as well
as other essential equipment from similarly tried and trusted manufacturers.
Wherever possible potential clients are invited to visit The Courtyard, Sident’s
state-of-the-art training and showroom facility in Chertsey, where they will be
able see the complete product range in action. They will then be able to identify
the best solution for their individual needs, allowing Sident’s Design Specialists
to incorporate their desires into the most appropriate and ergonomically
efficient Surgery or Practice layout. Through their partner, Infiniti Finance plc,
they can take the headache out of financing new equipment and installations,
with finance packages tailored to individual requirements at very competitive
rates. For further information visit Stand P11 or call Sident Dental Systems on
01932 582900 or email j.colville@sident.co.uk

September 24 - 30, 2012

Spry to demonstrate range of
natural xylitol-based products at
the BDTA Dental Showcase 2012
– Stand S01
This year’s BDTA Dental Showcase
will take place on the 4th–6th
October 2012 at ExCel London,
and will feature over 350 different stands from some of the leading names in
dentistry. Among the many exhibitors at this year’s show will be Spry, showcasing
its exciting range of natural xylitol-based dentifrices, mints and gums. Xylitol is
now one of the most talked about ingredients in dentistry, boasting fantastic
anti-plaque properties and numerous benefits for oral health. Visitors to the
Spry stand will be able to learn more about the scientifically proven benefits of
xylitol and how it comes highly recommended by dental associations around
the world. Delegates will also be able to try samples of Spry Chewing Gum and
Spry Mints, as well as find out more about Spry’s popular range of dentifrices
that include toothpastes and toothgels, oral rinses and even a specially designed
dental floss.
To learn more about how xylitol can benefit your patients, visit the Spry stand at
the BDTA Dental Showcase 2012.
For further information contact Anyone 4 Tea Ltd on 01428 652131,
Or visit www.anyone4tea.com

BDTA Preview 29
Takara Belmont (Stand E07)
A spotlight will be on stand E07
at this years Dental Showcase as
Takara Belmont prepare to unveil
new additions to their portfolio of equipment. Take a pew on one of the best
seats in the house as they offer you an insight into their latest technology.
The flexibility of their range will be demonstrated, highlighting the very best
technical, hygienic and ergonomic features, backed up by free extended
warranties offering total peace of mind.
Takara Belmont Treatment Centres are designed to please everyone, including
your patients. Left handed practitioners might opt for the ambidextrous
Voyager II, surgeries tight on space will benefit from the small footprint of the
Cleo II whilst those treating the elderly and children can appreciate the easy
access facilitated by its ‘knee break’ chair. Various installations are also available
within the range, including continental rod, cabinet or mobile cart options. A
choice of electric versions is available on the Clesta II and Cleo II with a host of
factory built-in options to increase the functionality of the Treatment Centre
and the services the Practice can offer to patients.
So whatever your plan for the duration of the show, be certain to make time to
visit the Belmont stand.
For more information on this release please contact: Michelle Hurd, AB
Communications, Tel: (020) 8399 6730,
E-mail: michelle@ab-communications.com

Industry News
Waterpik International Inc. to Exhibit
at the
BDTA Dental Showcase 2012 – Stand J05
With over 10,000 delegates set to visit
and over 350 exhibitors, the BDTA Dental
Showcase 2012 is set to be the largest
dental exhibition in the UK. ExCeL London
will play host to the massive three-day
event between the 4-6th of October 2012,
with plenty of opportunities on offer for
every member of the dental team.Waterpik
International is extremely excited to be among the many companies exhibiting
this year. Delegates visiting the Waterpik® stand can find out more about the
brand new Waterpik® Complete Care system as well as the new Sensonic®
Professional Plus sonic toothbrush – both of which will be launched at this
year’s show. Visitors to the Waterpik® stand will also be able to learn about
the numerous studies that have been conducted, proving the effectiveness
of Waterpik® Water Flossers, and will be able to take part in a very special
giveaway competition. To learn more about the entire range of Waterpik®
Water Flosser devices, as well as Waterpik International’s range of powered
toothbrushes and more, visit the Waterpik® stand J05, at the BDTA Dental
Showcase 2012. For more information please speak to your wholesaler or visit
www.waterpik.co.uk. Waterpik® products are widely available in Boots stores,
Argos and selected Lloyds Pharmacies.

WhiteWash Laboratories to appear at
the BDTA Dental Showcase
The BDTA Dental Showcase is one of
the biggest dental exhibitions held
anywhere in the UK, and will feature
stands from many of the foremost names
in dentistry. Among the exhibitors at
this year’s Dental Showcase will be
WhiteWash Laboratories – provider of
exceptional oral healthcare products. With a focus on innovation and quality,
WhiteWash is committed to providing excellent oral care products that are
packaged beautifully and work superbly, all at prices that are accessible to
everyone. All of WhiteWash’s products have been developed and formulated
by UK dentists, and present an excellent opportunity to practices and suppliers
seeking to expand the range of products they can sell. These products include
the innovative silver particle whitening toothpaste, nano-silver toothbrushes
and professional teeth whitening strips. To learn more about WhiteWash’s
outstanding range of premium quality oral hygiene products, look out for
WhiteWash Laboratories at the BDTA Dental Showcase!

Orajel™ - rapid relief when
and where it’s needed
most
One in ten sufferers will
put up with toothache for
over a week before seeking
professional advice. Orajel™
could really help to relieve
the pain during this period.
Orajel™
contains
benzocaine; a powerful local
anaesthetic that works by
temporarily blocking the pathway of pain signals along the nerves, to go right
to the source of the pain to provide effective targeted relief.
Orajel™ gel form gives control over the product during application and goes
right to the source of pain to provide targeted relief. It is ideal to reduce pain
associated with a broken tooth or in a tooth that may require a filling until a
dentist can be seen.

Refresh your Practice with Tavom
When the time comes to refresh the look of your
dental practice, it is important to use a company
with experience and specialist expertise.

Orajel™ comes in two formulations; Orajel™ Dental Gel (contains 10% w/w
benzocaine) and Orajel™ Extra Strength (contains 20% w/w benzocaine). For
more information go to http://orajel.co.uk

For more information call 0844 68 69 150, email
info@whitewashlaboratories.com, or visit www.whitewashlaboratories.com

Less than £1.00 per Capsule!
Diamond Rapid Set Capsules are
proving very popular with Dentists
everywhere because they are very
fast, convenient and easy to use.
September is the ideal time to
try Diamond Rapid Set Capsules,
manufactured by Kemdent. Buy 120
capsules for £118.80. Less than £1.00
per capsule!
The pliable, packable consistency of Diamond makes it extremely easy to carve;
it won’t stick to metal instruments, and the restoration will set quickly to a rock
hard state. No light curing is required as the restoration is chemically cured
and rapid snap set into position. The restoration is completely waterproof
once the chemical snap set is complete and will not expand and create patient
sensitivity.
Diamond Rapid Set Capsules are packed in individual, easy to access foils and
are suitable for Class 1 and ll restorations, together with build-up fillings and
linings, core build-up and retrograde root fillings. They are available in three
matching tooth colour shades.
For information on Kemdent’s full range of Diamond products call Helen
01793 770090 or visit our website, www.kemdent.co.uk.

Whether you are completely reinventing the
appearance of your practice, or simply updating
it, Tavom provide customised furniture and
cabinetry of the highest quality.
Tavom’s personalised cabinetry is supplied by RPA Dental, the equipment
specialists with over 40 years experience in delivering an unrivalled service and
after-sales support.
Their experienced team will guide you through the entire process from design to
installation, and you can be sure your new practice will be created with minimal
disruption to your daily routine.
Dr Pete Equizi describes the company as “fundamental in the modernisation of
every aspect of our practice, from design to service.”

Stand J18
Meet the Dental Sky team over a coffee and a cupcake in their American diner
on Stand J18. They’ve got some rocking offers crammed into their 60 page
bumper monthly brochure, including all the big brand names as well as deals
from their exclusive R&S, Clinix, Medibase and Dento Viractis ranges. Or grab
a bargain while the Cherokee scrubs are on special offer during October, on a
Buy 3 Get 1 Free deal. How great is that?
Place an order at the stand and you can claim either your FREE Sony Digital
Radio, R&S Triscaler Compact, Secury+ Pouch Sealer or an iPad 2 16gb.
Happy days at Dental Sky!

Make sure you work with names you can trust, and create your ideal practice.
For more information call Tavom UK on 0870 752 1121 or visit the Tavom website
www.tavom.com. For RPA Dental on 08000 933975, or visit www.rpadental.net

Free Prize Draw - visit
Showcase Stand R04
Braemar Finance, a direct
funder to the profession
wish to share its 20th
anniversary
celebrations
with YOU at Showcase.
We are holding a FREE prize draw where you could win £100 of John Lewis
vouchers with an automatic entry into our MAIN Prize draw to win a staggering
£2,000!*
Braemar specialise in tax efficient finance for:
• Equipment Finance • IT Finance • Vehicle Finance • Practice Loans
• Personal Loans • Tax Loans • Patient Finance*
*Braemar Patient Finance ensures that you receive payment at the onset of the
treatment. If you are with an alternative provider, it is easy to change.
Visit our finance experts at Showcase on stand R04 to discuss any finance need
that you may have.
Contact Braemar on:
0845 154 6549 info@braemarfinance.co.uk *Full T&Cs can be found at
www.braemarfinance.co.uk Finance approval is subject to status

Grahame Gardner enhance Urbane range
Grahame Gardner have enhanced their
phenomenally popular Urbane scrubwear
range with the addition of 9534, a new longer
length tunic. This flattering style of tunic boasts
the same high quality design features as the
rest of the Urbane range, and is available in a
wide selection of bold colourways.
The Urbane Scrub range has become a firm
favourite of dental surgeries since it was
launched in the UK 6 years ago. The range
presents all the comfort associated with
scrubwear, but the unique designs also include side darts, contrast trims and
other desirable design features making Urbane a collection of distinction.
Grahame Gardner offer a number of scrub ranges, for further information please
call 0116 255 6326 or take a look at www.grahamegardner.co.uk

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 handpieces, 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% discount on our already great prices – WEB01.
For more information call 01253 404774 or visit www.mcrepairs.co.uk also
follow us on twitter @MCRepairsLtd

[30] =>

30 Editorial Board

United Kingdom Edition

September 24-30, 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
Professor Nick Grey
BDS, MDSc, PhD, DRDRCSEd,
MRDRCSEd,
FDSRCSEd, FHEA
Professor of Dental Education, National
Teaching Fellow, Faculty Associate
Dean for Teaching and Learning School
of Dentistry, Manchester
Professor Andrew Eder
BDS, MSc, MFGDP, MRD, FDS, FHEA
Director of Education and CPD, UCL
Eastman Dental Institute

nt Abutments

uire on the

atory Implant

implants
the journal of

launch the Complete
ery patient is unique
ia abutments , we can
to your patient.

2

oral implantology

Mr Raj RajaRayan OBE
MA(Clin Ed), MSc, FDSRCS,
FFGDP(UK), MRD,
MGDS, DRD

aving you

£100

*

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

£25
£140
£185

£350

TO £100 per unit

†

Arch® Crown . † T&C Apply

| event review

The Clinical Innovations Conference 2012

idden Charg

es!

ar pricing
promise
hidden ch
ar
no shocking ges
bi
of the mon lls at
th.

| user report

Impression techniques for Implant dentistry

| case study

Pam Swain
MBA LCGI FIAM MCMI BADN®
Chief Executive, British Association of
Dental Nurses

Dr Peter Galgut
PhD (LMU), MPhil (Lond), MSc (Lond),
BDS (Rand), MRD RCS (Eng), LDS RCS
(Eng), MFGDP (UK), DDF Hom, ILTM
Periodontal Consultant

compare to Stock prices*?

w:
s:

Professor Liz Kay
Foundation Dean and Professor of Dental Public Health
Plymouth University Peninsula Schools
of Medicine and Dentistry Dean of the
Peninsula Dental School, Plymouth

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

2012

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

Mr Raj Rattan
Associate Dean, London Deanery

Vol. 2 • Issue 2/2012

t Centre

Dr Stuart Jacobs
BDS MSD (U Ind)
Full-time Private Practitioner
Shaun Howe
RDH
Dental Hygienist

Mr Amit Rai
BDS (Hons) MFGDP (UK) MJDF RCS
Eng FHEA
General Dental Practitioner
DFT1 (VT) Programme Director, London Deanery

Implant therapy of edentulous patients

Illustrations & images courtesy of Amman Girrbach ©

03/09/2012 16:03:06

Vol. 2 • Issue 2/2012

roots
magazine of

2

Published by Dental Tribune UK Ltd

endodontology

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

2012

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

Publisher
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com

| user report

Ultrasonic irrigation

| research

Root canal morphology

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

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

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

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

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

Follow us on Twitter
Roots_issue2_2012.indd 1

28/06/2012 10:32
28/06/2012 10:27

[31] =>

United Kingdom Edition

Classified 31

September 24-30, 2012

S P E C I A L I S T D E N TA L A C C O U N TA N T S

Independent Financial Advice for Dentists
n Buying a Practice
n Income Protection
n Retirement Planning & Investments
n Mortgages

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

N SDAL
National Association of
Specialist Dental Accountants & Lawyers

N SDAL
Whatever your management role.....
National Association of
Specialist Dental Accountants & Lawyers

Telephone: 01904-670820
Email: jon.drysdale@pfmdental.co.uk
Web: www.pfmdental.co.uk

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
Management
Nationaland
Association
of
Specialist Dental Accountants & Lawyers
and provide a practical management training pathway for
dentists, DCPs and practice managers.

N SDAL

Authorised and Regulated by The Financial Services Authority. PFM Dental is a trading name of Practice Financial Management Ltd

rankly

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

S

N SDAL

ILM Level 3 Certificate in
Management

peaking

National Association of
Specialist Dental Accountants & Lawyers

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

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

For full details, course dates and venues contact Penny Parry on:
 020 8255 2070  penny@umdprofessional.co.uk

Raising Finance?

www.umdprofessional.co.uk

DO engage the services of an independent firm to liaise with the Banks
on your behalf – will ensure proposal is packaged for best chance of a
positive response and also to negotiate best terms.

Applications are invited for a hospital based “certificate” year course
(one day a month) starting on 7th November 2012.

DO ensure your CV is up to date with particular focus on any past
Managerial experience.
DO expect the Bank to want you to put down a contribution towards
the purchase.
DO undertake your own research of the local area and find out why the
current owner is selling.
Follow us
@franktaylorassc

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

1559COR FTA 140x100mm AD1.indd 1

Contact

To advertise call
Joe Ackah on 0207 400 8964

MULTI-SYSTEM IMPLANTOLOGY CERTIFICATE COURSE AT
TRAFFORD GENERAL HOSPITAL, MANCHESTER
Recognised by University of Salford

DO ensure you provide an accurate summary of your current position
including all savings and existing borrowing.

Search for Frank Taylor and
Associates

COURSE ANNOUNCEMENT

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
• Keynote consultant/specialist speakers from UK and abroad
• Certification for three major implant systems and GBR techniques
• Prepare for Diploma examinations or further academic study (e.g. MScs)
• Benefit from extensive network of accredited UK Mentors
• Clinical practice support and advisory service
• Implant team with highly proven 20 years’ clinical research and teaching
experience
• Become an ITI member (with complimentary 1st year’s subscription) (worth £200)
• Receive complimentary editions of five ITI Treatment Guides (worth £350)
FOR FURTHER INFORMATION: Professor T.C. Ucer, BDS, MSc, PhD,
22/02/2011 22:35
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

[32] =>

W

Proface
– New and innovative
More
reliable
caries detection

NE

Visit us on
Stand K15
at BDTA
Showcase

Scan the QR code
with your mobile phone
for more information
on Proface

With the award winning Proface from W&H, you can:
> Visually identify the scope of caries infection using
Fluorescence
Aided Caries
Excavation
(FACE)
technology
Caries
seen differently:
Illuminating
opened
cavities
with the
>Proface
Prevent
over-excavation
of dentine
light
probe clearly reveals
dentine infected with caries.
> Reduce
the risk
of residual
caries
beneathminimally
fillings and
crowns
This
innovative
method
supports
selective,
invasive
>excavation
Minimiseand
invasive
probing
pain-sensitive
patients
minimises
theforrisk
of caries recurrence!
W&H (UK) Limited

Park Street, St Albans

Now
atWood
your
dental
supplier
or atAL2
wh.com
6 Stroud
Business
Centre
Hertfordshire
2NJ, United Kingdom

t +44 (0) 1727 874990
f +44 (0) 1727 874628

e office.uk@wh.com
wh.com

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

[cover] => DT UK No. 23, 2012

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => Service above self: Dental Tribune interviews the founders of the Pain Relief Clinic in Hansali [page] => 08 ) [2] => Array ( [title] => I know a man who can...: Tim Bradstock-Smith discusses why its okay to refer key to success [page] => 10 ) [3] => Array ( [title] => Comment: Charity starts in your profession – giving is good [page] => 12 ) [4] => Array ( [title] => Comment: Unethical Advertising [page] => 14 ) [5] => Array ( [title] => LASER Assisted Open Flap Debridement – A Case Series [page] => 15 ) [6] => Array ( [title] => Patient Confidential: Jane Armitage looks at patient confidentiality in the dental practice and beyond [page] => 20 ) [7] => Array ( [title] => Information: to share or not to share? [page] => 22 ) [8] => Array ( [title] => Thinking of buying a Practice??? Some Top Viewing Tips [page] => 24 ) [9] => Array ( [title] => Investing Your Capital – Your 10-Point Checklist [page] => 25 ) [10] => Array ( [title] => London 2012 - The other big event of the year [page] => 27 ) [11] => Array ( [title] => BDTA Preview [page] => 28 ) [12] => Array ( [title] => Dental Tribune UK Editorial Board [page] => 30 ) [13] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

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