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[1] =>
February 27- March 4, 2012
PUBLISHED IN LONDON
News in Brief
Dentist fakes death
A dentist who was £395,000
in debt and faked his own
death in a £1.8m life insurance scam has been summoned to appear at a disciplinary hearing of the
General
Dental
Council
later this month. Emmanouil Parisis admitted forging
documents that showed he
had died in a car crash while
on holiday in Jordan, claiming a total of £1.85m in life
insurance policies; he was
sentenced last March for five
years. The dentist, who reportedly started a new life in
Scotland after his insurance
scam, has also been accused
of falsifying documents to
obtain work in Britain. According to reports, Plymouth Crown Court was informed that Parisis faked his
own death because he was
£395,000 in debt. It was also
revealed that because of a
string of complaints against
his name, he was about to
be barred from working as a
dentist. At the time of writing, Parisis was due to appear under the name of Neil
McLaren at a hearing of the
Professional Conduct Committee of the GDC in London on 24 February, accused
of procuring entry on to the
General Dental Council’s
dentists register in the name
of Neil Edward McLaren
with the use of faked documents.
Tackling tooth decay
NHS Cumbria has received
extra funding of £1.5m to
help in the battle to tackle
tooth decay amongst the
children in the region, health
bosses have confirmed. The
additional funding, which
comes from the Department
of Health in an effort to try
and help reduce the rates of
tooth decay in children, will
be used to improve access
to NHS dentists. The move
will enable health bosses to
ensure that all children are
placed near a surgery close
to their home and will help
provide dental care for those
children who have not seen
a dentist for two years. According to a report, figures
published in the local press
last summer revealed that
children in Furness and
South Lakes had the highest
levels of decay in the country, with 12-year-olds in the
two districts having an average number of decayed,
missing or filled teeth of 1.6,
compared to the national
average of 0.8 per cent. The
Primary Care Trust has a database, which ensures that
people who have been waiting the longest get seen first.
www.dental-tribune.co.uk
Clincial
Feature
News
Contaminated killer
Study authors issue warning
after death
The Genghis Khan way
Michael Young on managing
the CQC
page 6
VOL. 6 NO. 5
DCPs
Impacted Canines
Dr Nilesh Parmar discusses
Maxillary canines
pages 8-9
Dental history
Mhari Coxon on modern
concepts
pages 20-21
pages 24-25
Dentistry: is the
future bright?
Leading figures debate the profession’s future at event
W
ith the recent controversy surrounding
NHS reform, the programmes being presented by
key government figures, such as
Chief Dental Officer for England
Barry Cockcroft, and other leaders in dentistry at The Dentistry
Show, are all the more timely
given the development of the
new dental pilots.
Throughout the two day
conference and exhibition, key
policy makers will be informing dentists of what lies ahead
for the dental profession, whilst
leading figures from the dental
profession will be sharing their
strategies and advice on what
lays ahead for the future. Kevin
O’Brien, Chairman, The General
Dental Council and Chief Executive and Registrar, Evlynne Gilvarry, will update delegates on
the latest developments at the
UK’s dental regulator including
the review of ‘Standards for Dental Professionals’ and ‘Scope of
Practice’. In addition, GDC staff
will be on hand throughout the
conference to answer any questions delegates may have about
the regulator and how its work
affects them.
It has also been announced
that leading industry figures will
be debating the trial of the new
dental contract and the underlying issues concerning dentistry.
A series of discussions on
the growth of cosmetic and private procedures, non-invasive
approaches to cosmetic dentistry and the uncertain future
for young dentists will also be
discussed and debated in great
detail.
Chief Dental Officer, Barry
Cockcroft, who will be discussing the changing face of dentistry, said: “Dentistry is going
through a period of significant
change. The drives for this
change are many and varied.
“The biggest challenge now
is to tackle the inequalities between the significant majority
with good oral health, no active disease and improving access to services and the minority who retain a high burden of
disease and who to their own
particular circumstances may
still be unable to access appropriate care.
“Professor Jimmy Steele’s
review of NHS Dental Services
in England highlighted the
particular challenge of delivering care for the “heavy metal
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“The vast majority of patients still access their care
through the NHS but there has
also been significant growth
in the private sector, which in
money terms is probably as
large as the NHS sector at the
moment.
“There have recently been
well publicised articles about
the long term impact on healthy
teeth, of elective cosmetic surgery, and what is the future
for that market sector as oral
health continues to improve,
and how “the prefect smile” is
no longer seen as the perfect
smile.” DT
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20/02/2012 14:22
[2] =>
2 News
United Kingdom Edition
February 27-March 4, 2012
GDC to meet registrants in Wales
T
he
General
Dental
Council will be in Deganwy Quay near Llandudno on 21 March for the
fourth of its 2012 registrant
events.
Dental professionals from
in and around the town are
being asked to come along
to the Quay Hotel, Deganwy
Quay, Conwy, LL31 9DJ to
find out about how the GDC’s
work affects them. They
will also have the chance to
take an active role in one of
two workshops; one on the
responsibilities of being a
dental professional and one
explaining our current fitness
to
practise
procedures
and the proposed changes
to them.
The event is free and participants will be awarded two
hours of verifiable Continuing Professional Development
(CPD).
Director of Policy and Communications at the GDC Mike
Browne says these events are
a good chance to get faceto-face feedback: “We have
already held events in Bristol
and Derry/Londonderry this
year and we will be in Glasgow on 28 February. We have
found that speaking directly
to registrants is a valuable
way for GDC staff to find out
what people are concerned
about. And as we continue
to review CPD and Standards, we’re keen to know
exactly what dental professionals think.”
Any
dental
professionals interested in attending
can book online here. It should
be noted that places are
limited, so early booking is
advised. DT
Illegal handheld dental x-rays flood online market
D
ental
professionals
have been warned
by the US Food and
Drug Administration (FDA) of
a batch of potentially unsafe
handheld dental x-ray units
that are being sold online.
The warning comes after
growing concerns that the
devices are both unsafe and
ineffective; according to one
report it is believed that the
devices could expose users
and patients to unnecessary
and potentially harmful xrays.
The safety of the devices
was also alerted by The Wash-
The x-ray devices could prove harmful
Bacteria, don’t fall in
the wrong crowd
A
new study published in
the journal Microbiology, has suggested that
stopping certain mouth bacteria from accessing gangs of
other pathogenic oral bacteria
could help prevent gum disease and tooth loss. The study
suggests that this ‘access key’
that bacteria use, could hold
the answers for people who
are at high risk of developing
gum disease.
latch onto oral bacteria, leading to blood clotting and tissue
destruction.
The
study
explains
how oral bacteria, such as
Treponema
denticola, frequently ‘gang up’ with other
pathogenic oral bacteria to
produce
destructive
dental plaque, causing bleeding gums and gum disease. It
is believed that this interaction
between the bacteria is crucial
to the development of periodontal disease.
“CTLP gives Treponema access to other periodontal com-
Researchers from the University of Bristol discovered
that during this interaction the
molecule CTLP acts as the access key, allowing bacteria to
Professor Howard Jenkinson, who led the study, said in
a report: “Devising new means
to control these infections requires deeper understanding
of the microbes involved, their
interactions, and how they are
able to become incorporated
into dental plaque.”
munities, allowing the bacteria
to grow and survive. Inhibiting
CTLP would deny Treponema
access to the bacterial communities responsible for dental
plaque, which in turn would
reduce bleeding gums and
slow down the onset of periodontal disease and tooth loss.”
“If a drug could be developed to target this factor, it
could be used in people who
are at higher risk from developing gum disease,” explained
Professor Jenkinson. DT
ington State Department of
Health, who stated that the
devices did not comply with
x-ray performance standards.
In a press release issued
February 10, the FDA confirmed that the handheld xray units did not meet FDA
radiation safety requirements.
As a result, the FDA is investigating the devices and
are continually notifying organisation about the safety
risks.
All units that have been
cleared by the FDA bear a permanent certification label/tag
“Healthcare professionals
using these devices should
verify they are purchasing and
using those that have been
reviewed and tested to meet
FDA’s standards,” said Steve
Silverman, director of the
Office of Compliance in the
FDA’s Center for Devices and
Radiological Health in a recent report. DT
Contraceptive injec-
tion linked to poor
periodontal health
A
ccording to research in
the Journal of Periodontology, injectable progesterone contraceptives may be
associated with poor periodontal
health.
The study found that women
who are taking depotmedroxyprogesterone acetate (DMPA)
injectable contraceptive are
more likely to have indicators of
poor periodontal health compared to women who have never taken the contraceptive; the
same is true for those women
who have taken it in the past.
In the past research has associated gum disease with other
chronic inflammatory diseases
such as diabetes, cardiovascular
disease, and rheumatoid arthritis.
Oral bacteria can ‘gang up’ with other bacteria
and an identification (ID) label/tag on the unit. It should
also display a warning label,
the full name and address of
the manufacturer of the unit,
the month and year of manufacture, and finally the place
of manufacture.
For the study the participants
were non-pregnant, premenopausal women aged 15-44. Each
participant provided information on whether they wereusing
DMPA, had used it in the past, or
had never used the contraceptive
injection at all.
Following this, the participants received dental examinations; the examination noted
clinical attachment (CA) loss,
periodontal pocket assessment
and whether there was presence
of gingival bleeding.
After taking into consideration issues such as age and
smoking status, the study found
that those participants who were
either using or had used DMPA
had a significant increase in periodontal pockets, gingival bleeding, and CA loss compared to
those women who have never
used DMPA. The study also found
out that those women currently
using DMPA were more likely to
have gingivitis, while past DMPA
users were more likely to have
periodontitis.
According to a report, Dr
Pamela McClain, President of the
American Academy of Periodontology (AAP) said: “These findings suggest that women that use,
or have used, a hormone-based
injectable contraception such as
DMPA may have increased odds
of poor periodontal health. DT
[3] =>
United Kingdom Edition
Editorial comment
W
ell
here
we are the
week
of
the first big event of
the year – the Dentistry Show!
I am looking forward to making my
way to Birmingham’s NEC for a
great line-up of speakers discussing topics from all around the
dental sphere. The news hound
in me is very much looking forward to the Future Dentist conference, where speakers such as
Barry Cockcroft and Evlynne Gilvarry will detail how they see the
future of dentistry. I am also
looking forward to hearing Eddie Crouch and John Renshaw
debate the topic The Government
Knows Best!
I am also looking forward to
meeting, or tweeting, up with
friends and colleagues connected by Twitter! The dental ‘tweetup’ is becoming a focal point
at dental shows, and it gives a
chance for those who have connected or reconnected using
Twitter to meet face to face. By
the way, if you are so minded,
follow @dentaltribuneuk for the
News 3
February 27-March 4, 2012
latest news and offers from your
favourite dental newspaper; or
if you are interested in the ravings of a dental editor, follow @
lisaeditor!
Our sister company Smileon will be launching the newest
educational resource for dental
professionals – On the Record.
The package, developed in association with Dental Protection,
aims to help dental practices
keep and maintain high qual-
ity patient records, ensuring a
standard of care and consideration for patients as well as having that all-important back-up
should the unthinkable happen
and you find yourself in front of
the GDC!
Come to stand
K11 to see On the Record for yourself and
meet the team. I look
forward to seeing you
there. DT
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YourÊsecretÊweapon
againstÊdentalÊcaries
King’s
crown up
for auction
B
uying teeth once belonging to famous icons has
been a popular choice of
purchase at auction houses recently, and it doesn’t seem to be
stopping anytime soon, with the
latest famous tooth going up for
grabs once belonging to Elvis
Presley!
What has been jokingly called
the King’s Crown, the item is actually a mould of Elvis’ mouth
with a spare crown in place.
The crown was created by the
former King of Rock n’ Roll’s dentist in case he chipped his front
tooth whilst on tour.
The dentist in question was
former Memphis dentist Henry
Weiss, who was Elvis’s dentist up
until 1971. According to a report,
he used to do all his dental work
and was even called away on tour
when Elvis cracked his crown
on a microphone while performing at the International Hotel,
now known as the Hilton Hotel,
in Las Vegas.
Paul Fairweather from Omega Auctions, Manchester, said in
a report: “Following on from Lennon’s tooth back in November
which sold for £19,500, we were
extremely excited on the consignment of this truly unique item
from the King of Rock & Roll.” DT
CLINICALLY PROVEN TO REDUCE
DECAY BY UP TO 40%1
Colgate FluoriGard Daily Dental Rinse
Name of the medicinal product: FluoriGard Daily Dental Rinse. Active ingredient: Sodium Fluoride 0.05 %w/w (225ppm F). Indication: To aid in protection against dental caries. Dosage
and administration: Use once per day, preferably after brushing teeth. Rinse 5-10ml around and between teeth for one minute and then spit out. Do not eat, drink or rinse mouth for at least
fifteen minutes afterwards. Contraindications: Do not use under six years of age. Special warnings and precautions for use: Do not swallow. Excess dosage may cause nausea, and in children
under seven, dental fluorosis. Keep medicines out of reach of children. Undesirable effects: When used as recommended there are no side effects. Legal classification: GSL. Product licence
number: PL0049/0012. Product licence holder: Colgate-Palmolive (U.K.) Ltd. Guildford Business Park, Middleton Road, Guildford, Surrey, GU2 8JZ. Recommended retail price: £4.75 (500ml
bottle) Date of revision of text: September 2003.
®
The ‘Kings Crown’
1 Marinho V et al. (2002) Cochrane Database Syst Rev. no3.
www.colgateprofessional.co.uk
[4] =>
4 News
United Kingdom Edition
February 27-March 4, 2012
Severe dental erosion link to eating disorders
E
ating disorders can be
physically and emotionally destructive, but
the results of a new clinical
study indicate oral health is
also destroyed by the condition.
per cent of the control group.
Those with an eating disorder
also self-reported higher daily
tooth sensitivity, higher occurrence of facial pains and of
dry mouth.
The study by the University
of Bergen in Norway revealed
patients with an eating disorder
– such as Anorexia and Bulimia
- had significantly more dental health problems than those
without, including tooth sensitivity, facial pain and severe
dental erosion.
It is estimated eating disorders affect 1.1 million women
and men in the UK, although
many more do not come forward with their problems.
While vomiting is often associated with eating disorders,
the results of the research reveal oral health is likely to suffer too.
The report highlighted that
more than one in three of those
with an eating disorder (36
per cent) had ‘severe dental
erosion’ compared to just 11
Chief Executive of the British Dental Health Foundation
Dr Nigel Carter discussed the
reasons behind the apparent
poor oral health and offered
some advice for sufferers.
Dr Carter said: “When you
vomit repeatedly, as with certain eating disorders, it can severely affect oral health.
“The high levels of acid in
the vomit can cause damage
to tooth enamel. Acid attacks
of this sort on a frequent basis means the saliva in your
mouth won’t have the opportunity to naturally repair the
damage done to your teeth by
the contact with the acidic vomit, hence the increased severity
of dental erosion witnessed in
the study.
“People suffering with an
eating disorder should look
to, wherever possible, rinse
their mouth as soon as possible after vomiting to help
reduce acid effects. Do not
brush immediately after vomiting as this may brush away
softened enamel. The use of
a fluoride toothpaste will help
to protect teeth over time,
and by chewing on sugar free
gum it will help to increase
saliva flow and neutralise acids in the mouth. Your dentist
can
also
prescribe
high
strength fluoride toothpaste
which will help to protect your
teeth.
“We would highly recommend more frequent visits to
the dentist to ensure the prob-
lem does not deteriorate further and to identify whether
any treatment would be required. If the problem persists, don’t be afraid to discuss
your problems.”
Support
groups
such
as Anorexia and Bulimia
Care
www.anorexiabulimiacare.org.uk/ are on hand
to provide advice and support. The Foundation’s own
‘Tell Me About’ www.dentalhealth.org/tell-me-about/
topic/mouth-conditions/dental-erosion leaflet on dental erosion also gives some
advice on how you can continue to look after your oral
health. DT
Research points to possible association
between oral bacteria and bowel cancer
T
he bacteria associated
with the most common
cause of tooth loss in
adults could be a pre-curser
for the development of bowel
cancer, according to a team of
scientists.
Bowel cancer, also known
as colon cancer, is one of the
top three deadly cancers in
the UK. Around 35,000 people
get diagnosed with bowel cancer every year and around half
of them die.
The link comes as scientists
at the Dana-Farber Cancer Institute and the Broad Institute
in America found an abnormally large number of Fusobacterium, a bacterium associated with the development
of periodontal (gum) disease,
in nine colorectal tumour
samples, pointing to the possibility the two could be associated.
Although lead author Matthew Meyerson, MD, PhD,
co-director of the Center for
Cancer Genome Discovery at
Dana-Farber and a professor
of pathology at Harvard Medical School believes further research is needed to discover
the extent of the link, the research suggests the bacterium
could be a factor in the development of cancer.
Dr
Meyerson
stated:
“At this point, we don’t know
what the connection between
Fusobacterium and colon cancer might be. It may be that
the bacterium is essential
for cancer growth, or that
cancer simply provides a hospitable environment for the
bacterium. Further research
is needed to see what the
link is.”
Chief Executive of the British Dental Health Foundation,
Dr Nigel Carter, believes the
research further highlights the
importance of good oral
health.
Dr Carter said: “This research, although at an early
stage, is more evidence of the
systemic links between oral
and overall health. Everyone
sufferers from gum disease
at some point in their lives,
which could potentially endanger thousands of people if
they persist in neglecting their
oral health.
“If you have swollen gums
that bleed regularly when
brushing, bad breath, loose
teeth or regular mouth infections appear, it is likely
you have gum disease. To
avoid further deterioration
in your oral health, visit your
dentist for a thorough checkup and clean.”
The research, presented
in Genome Research (October 18 2011) made the discovery by sequencing the DNA
within nine samples of normal
colon tissue and nine of colorectal cancer tissue, and validated by sequencing 95 paired
DNA samples from normal
colon tissue and colon cancer tissue. Analysis of the
data turned up unusually large
amounts of Fusobacterium’s
signature DNA in the tumour
tissue. DT
UMD Professional celebrates a record
number of qualified practice managers
A
record number of dentists
and dental practice managers from all over the UK
celebrated achieving a nationally
recognised management qualification with UMD Professional at
an awards ceremony in London
last month.
72 managers and dentists
achieved an Institute of Leadership and Management qualification with UMD Professional in the
last year, the highest number to
date, and 23 of them came together in London to celebrate their
success at an awards reception.
The successful managers at the ceremony with John Tiernan of Dental Protection (front centre left) and Fiona Stuart-Wilson of UMD
Professional (front centre right)
The successful candidates
were presented with their certificates by John Tiernan, Director of
Educational Services for MPS and
Dental Protection Limited.
Fiona Stuart-Wilson, Director
of UMD Professional said: “We
are delighted not only to celebrate
everyone’s success but also to
mark a record number of passes in the last year. We are very
pleased to see in so many cases
that practices are willing to continue investing in their managers’
development by supporting them
through the course, and to reap
the benefits of the training they
have undertaken.”
UMD Professional is currently
taking applications for their regional workshop courses and distance learning programmes, and
grants are still available in some
areas. DT
[5] =>
18th and 19th May 2012
Millennium Gloucester Hotel &
Conference Centre, London Kensington
info@smile-on.com | www.clinicalinnovations.co.uk | 020 7400 8989
Switch
on to new
ideas
Speakers:
Prof Nasser Barghi
Dr Richard Kahan
Prof Gianluca Gambarini
Dr Wyman Chan
Dr John Moore
Dr Ajay Kakar
Ms Jackie Coventry
Dr Mona Kakar
Basil Mizrahi
Mhari Coxon
EA
RL
Y
Fraser McCord
BO
OK
IN
G
DI
SC
OU
NT
[6] =>
6 News
United Kingdom Edition
February 27-March 4, 2012
Elderly woman dies due to
contaminated dental equipment
fever and respiratory distress.
Although the elderly lady
had no underlying disease, after a chest radiography and a
Legionella pneumophila urinary antigen test, the woman
was promptly diagnosed with
Legionnaires’
disease.
Although she was immediately given oral antibiotics the
patient developed fulminant
and irreversible septic shock
and unfortunately died two
days later.
Legionnaires disease
A
n article recently published in The Lancet describes a case report of
an 82-year-old woman in Italy
who died of Legionnaires disease due to contaminated dental equipment.
The report describes how
the elderly woman was admitted to the intensive care unit
“G.B.
Morgagni-Pierantoni”
Hospital, Department of emergency Anaesthesia and Intensive Care Unit, Forlì, Italy with
The case report prompted
an investigation into to finding
the source of L pneumophila,
and after enquiring about the
patient’s whereabouts during the incubation period, it
was revealed that she had attended two dental appointments.
As a result, samples were
taken from both the woman’s
home and the dental surgery
that she visited in order to investigate possible L pneumophila
contamination. According to the
report, samples from her home
tested negative for L pneumophila, however, samples from the
dental practice tested positive
and showed genomic matching
between L pneumphila in the
dental unit waterline and in the
women’s respiratory secretion.
The authors have called for
various control measures at dental surgeries to prevent similar
incidents.
The authors explain: “The
case here shows that the disease
can be acquired from a dental
unit waterline during routine
dental treatment. Aerosolized
water from high-speed turbine
instruments was most likely the
source of the infection. Legionella contamination in dental unit
waterlines must be minimised to
prevent exposure of patients and
staff to the bacterium.
“We suggest several control
measures: use of anti-stagnation
and continuous-circulation water systems; use of sterile water
instead of the main water supply
in the dental unit waterline; application of discontinuous or continuous disinfecting treatment;
daily flushing of all outlets and
before each dental treatment; use
of filters upstream of the instruments; and annual monitoring
of the waterline. Further useful
procedures to prevent legionellosis within dental surgeries can be
obtained from [already available]
dedicated guidelines.” DT
Could oral blood be used to screen for diabetes?
A
recent study has suggested that oral blood
samples taken from
pockets of periodontal inflammation can be used to measure a patient’s diabetic status.
The NYU nursing-dental
research team found that
the technique, which works
by using oral blood samples
to measure hemoglobin A1c
(which is widely used to test
for diabetes), compares well
to blood samples taken from
the patients finger.
Samples of oral and finger-
stick blood were taken from
75 patients with periodontal
disease; the NYU researchers then compared the hemoglobin A1c levels from the
oral and finger-stick blood.
The results that produced a
reading of 6.3 or greater in
the oral sample corresponded
to a finger stick reading of 6.5
in identifying the diabetes
range.
“In light of these findings,
the dental visit could be a useful opportunity to conduct an
initial diabetes screening - an
important first step in identi-
fying those patients who need
further testing to determine
their diabetes status,” said the
study’s principal investigator, Dr Shiela Strauss, associate professor of nursing and
co-director of the Statistics
and Data Management Core
for NYU’s Colleges of Nursing and Dentistry, in an online
report.
Throughout the year-long
study, dentists and dental hygienists were able to collect
finger-stick blood samples
and send them to a laboratory for analysis thanks to a
hemoglobin A1c testing kit
that was designed specifically
for the study.
“There is an urgent need to
increase opportunities for diabetes screening and early diabetes detection,” Dr Strauss
added in the report. “The issue of undiagnosed diabetes
is especially critical because
early treatment and secondary
prevention efforts may help
to prevent or delay the longterm complications of diabetes that are responsible
for reduced quality of life
and
increased
levels
of
mortality risk.”
The study was funded by
an NYU CTSI (Clinical and
Translational Science Institute) grant, which was awarded to the research team last
year. The findings were then
published in the Journal of
Periodontology.
According to the report,
the research is part of a series
of NYU nursing-dental studies examining the feasibility
of screening for diabetes and
other physical illnesses in the
dental setting. DT
NEBDN calls for examiners ‘VSS Mentor’ launched
T
he National Examining
Board for Dental Nurses (NEBDN) is seeking
to recruit new members to
its Panel of Examiners in order to deliver the new NEBDN
National Diploma in Dental
Nursing examination.
Featuring Objective Structured Clinical Examinations
(OSCEs), NEBDN has completely revised the format of
the qualification in order to
provide a more modern approach to the assessment of
Dental Nurses.
To become an Examiner with
NEBDN you must:
• Have previous experience of
assessing OSCEs within dental
training
• Be registered with the General Dental Council
• Be currently practicing as
a Dental Surgeon or Dental
Care Professional
• Have two years’ experience
since qualification
• Be well organised and able
to maintain high quality
standards
• Be passionate about Dental
Nurse Education and helping
people reach their full potential
Becoming an Examiner will
help you to:
• Improve your personal development and professional
status
• Develop your skills and understanding of Dental Nurse
Education and training
• Gain verifiable CPD through
on-going support and training
• Network with other professionals with a commitment to
improving Dental Nurse Education
For further information
please contact sarah@nebdn.
org.
Full training and support
will be provided. Successful
applicants will be invited to an
assessment day in April / May
2012. DT
V
isiting Specialist Services
(VSS) has announced the
launch this month of ‘VSS
Mentor’, a new UK wide mentoring programme in implant dentistry for GDPs. This new programme
provides clinicians undertaking
implant training with support in
their own practices from an experienced mentor. Practitioners
can choose from a range of levels
of support to best suit their needs,
from a single mentoring session
to a full mentoring programme
which supports dentists from their
first implant placement through
to becoming an independent implant surgeon.
the UK, and our aim is to provide
additional support to help the
practitioner gain experience and
confidence in their own practice
environment with the supervision
and guidance of a clinician experienced in the field,” said Fadi
Barrak, Director of VSS and one of
the VSS Mentors.
“There are several excellent
courses in implant dentistry in
To find out more please contact 0845 6585737. DT
“By providing support in
this way we can help dentists to
develop their implant service
more quickly and effectively, and
build their practice’s profile and
goodwill, which is especially important in the current economic
climate.”
[7] =>
United Kingdom Edition
February 27-March 4, 2012
News 7
20 years of service for BADN’s Pam
B
ADN Chief Exec Pam
Swain completes 20 years
of service with the Association this year, making her the
longest-serving Chief Executive of
a dental professional association.
Pam, (pictured), started working for the ABDSA, as it was then,
in August 1992 when the Association head office was a small
room above a bank in Fleetwood.
“There was one desk
which I shared with the two
part time staff, a phone on the wall,
a very primitive word editor (a
sort of pre-computer) and a manual typewriter,” said Pam.
“We only had a few hundred
members, which is just as well,
because we sent out mailings by
hand - folding, stuffing and licking
stamps - after we’d typed out the
envelopes! But this was already a
huge advance - until the late 80s,
the Association, the Exam Board
and the Voluntary Register had all
been run out of the same office
by two ladies with three different
coloured pens - blue for the Association, red for the Exam Board,
green for the Register - and a box
of index cards!”
Paula Sleight, who joined
Council earlier in 1992, and who
was President 1995-1997, remembers it well: “At Council meetings,
we all had to squeeze around a
table in this tiny little meeting
room. Those at the top of the table
couldn’t get out again until those
at the bottom had left the room!
“Pam’s appointment made a
huge difference to the Association.
She dragged us screaming, somewhat belatedly, into the 20th century and put the Association onto a
much more business-like footing,
introducing a computer system,
including a professional customised database management system; functional equipment like a
franking machine and a proper
telephone system; a proper membership benefits scheme; she reorganised Council meetings so
that they ran much more efficiently; and revamped the Journal into
the professional publication it is
today. That’s without mentioning
what she did for Conferences!”
Joan Hatchard, BADN’s Finance Officer and a Conference
attendee since the late 80s agrees:
“Pam’s efficiency and organisation really made a difference to
Conference. Pam runs a very
tight ship - everything is planned
out to the last minute and smallest
detail with contingency plans for
almost everything. In addition,
her networking skills soon meant
that she had persuaded top class
speakers to appear at Conference
and dental trade companies to
sponsor it, making the BADN Conference a major event in dentistry.”
“Having an experienced “bureaucrat” (her word, not mine)
at the helm made the Association
much more professional,” says
Paula. “Up until then, we’d had
more in common with the WI or
the Mothers Union than a professional association but Pam’s arrival changed all that. The fact that
she wasn’t a dental nurse herself
and had no dental baggage meant
that she wasn’t intimidated by
dentists or by the larger institutions like the BDA and the GDC,
and was prepared to say and do
whatever necessary to represent
dental nurses and to get their
views across.”
Current BADN President Nicola Docherty also recognises Pam’s
contribution to BADN. “I am sure
all past Presidents will agree with
me that the support offered by
Pam and the office staff makes
the Presidential term of office
run much more smoothly. We all
draw extensively on Pam’s skills
and knowledge to get us through
our two years”! DT
A prescription for prescribing
A
trial programme carried
out by Cardiff University
could help significantly
reduce the number of antibiotic prescriptions handed out
by GPs.
The programme meant that
the 89 Welsh GP practices that
took part in the two-year trial
received antibiotic prescribing
and resistance data obtained
from their own practices. It also
meant that GPs had access to
online learning materials and
‘consulting skills’ tools, ena-
bling and encouraging doctors
to effectively discuss treatment
options with their patients.
According to a report, the
researchers found that participating practices greatly reduced
their numbers of antibiotic prescriptions. They also calculated
that if the initiative was to be
introduced throughout the UK,
prescriptions could be cut by a
staggering 1.6 million per year,
saving the NHS money. It would
also help tackle antibiotic resistance.
Lead researcher Professor
Chris Butler, whose findings are
published in the British Medical
Journal, said: “As most antibiotics are prescribed in general
practice, safely reducing the
number of unnecessary prescriptions is essential.
“The
STAR
programme
helped Welsh GPs gain new
skills derived from motivational interviewing so they could
achieve evidence-based treatment while taking patient perspectives into account.” DT
Anti-biotics are fast becoming resistant
Team honour for LonDEC
L
onDEC, a joint enterprise
between King’s College
London Dental Institute
and the NHS London Deanery, is
celebrating after winning a prestigious award at the 2011 Elisabeth Paice Awards for Educational
Excellence in Medical and Dental
Education. The team behind running the education and training
centre was nominated as winner
in the category of Best Postgraduate Education Centre Team.
The annual Elisabeth Paice
Awards identify and reward those
making outstanding commitment
and contributions to postgraduate
medical and dental education and
are judged by a panel from the
NHS London Deanery.
The LonDEC team was honoured with the title Best Postgraduate Education Centre Team 2011
at the awards presentation evening held at the De Vere Holborn
Bars Hotel.
After receiving the award Bill
Sharpling, Director of LonDEC
and Senior Clinical Teacher at the
Dental Institute and Dental Tutor
for the London Deanery, said: “I
am extremely proud of the LonDEC staff and vast team of teachers that contribute to the success
of the Centre. The contribution
from Perry Tatman, Tara Owen,
Victoria Hegarty and Tom Laine
has been a significant factor in
receiving this team award, as has
the committed weekly teaching of
Raj Majithia and Sandra Smith.
quality London Deanery CPD
programmes continue to receive
excellent feedback and during the
last year the team have overseen
471 courses, of which 316 were
dedicated Deanery courses.”
“The courses we arrange include events for 10 to more than
300 delegates, with a range of programmes from two-hour evening seminars, half day and one
day courses and three day master
classes. Additionally, we host the
nine-day residential programmes,
which form part of King’s College London Dental Institute’s
blended learning master’s degree
programme training. Our high
LonDEC was shortlisted for an
Elisabeth Paice Award in November. This in itself is a great accolade and is a significant achievement for a centre that is just over
two years old to be considered for
such an award against well-established postgraduate medical education centres. The winning centre in 2010 was the Postgraduate
Medical Education Department at
Great Ormond Street Hospital. DT
Prof Nairn Wilson, Dean and
Head of the Dental Institute, said:
“The Elisabeth Paice Award is a
richly deserved honour for LonDEC. Building on such success,it is
hoped that LonDEC will continue
to grow and develop as a groundbreaking centre of excellence.
Robert Kinloch reelected as Chair of SDPC
D
r Robert Kinloch has
been re-elected as
Chair of the British Dental Association (BDA)
Scottish Dental Practice Committee (SDPC). His re-election
was unopposed.
Dr Kinloch is a general
dental practitioner who practises at Alexandria, near Loch
Lomond. He graduated from
Glasgow Dental School in
1977 and has been in general
practice since then, initially
working as an associate before
establishing his own practice
in 1981.
In addition to serving
as Chair of SDPC, he also
chairs the BDA’s Scottish
Council and the UK Healthcare Policy Group. He has
served as SDPC Chair since
January 2010.
Thanking his committee
members for electing him, Dr
Kinloch said:
“It is a huge privilege to be
re-elected as Chair of SDPC.
I’d like to thank my committee members for their continued support. Although we
have seen some very positive developments in general
practice in Scotland in recent
years, there are many challenges still ahead of us. I look
forward to leading SDPC as we
debate and address them.”
Dr Gerard Boyle, a general dental practitioner in
Glasgow, was elected as
Vice Chair. Also elected to
serve on the SDPC Executive
were Drs Robert Donald, John
Glen, Derek Harper and David
McColl. DT
[8] =>
8 Feature
United Kingdom Edition
February 27-March 4, 2012
Managing CQC the Genghis Khan way
Michael Young on registration, regulation and regulators
Dental receptionists have a lot to handle
W
hen I graduated in
the late 70s I could
have literally walked
out of dental school and set
up a new National Health Service (NHS) practice in the back
room of my house, if I had
one. All I needed was a Family
Practitioner Committee (FPC)
number, a quick chat with the
local Planning Department
(or I could have kept quiet,
as the chap who owned the
practice I bought in the early
1980s had done in the 1950s),
some professional indemnity
insurance, oh, and a nurse
and a receptionist. Maybe the
rankly
privately educated but not too
bright daughter of the local
farmer fancies trying her hand
at nursing. Finding a receptionist shouldn’t be too much
of a problem, after all what
can be so hard about answering the telephone, making appointments and taking a bit of
money from the patients? The
Dental Practice Board (DPB)
will send one of their Dental
Officers around to give the
place the once over, make sure
I’ve got enough of everything,
and that the surgery and waiting room (the hallway at the
back of the house) are nicely
decorated. Hopefully the NHS,
the FPC and the DPB wouldn’t
bother me again. As long as I
kept out of trouble and stayed
on the General Dental Council
(GDC) dental register, I would
never have to open another
S
peaking
What is the difference
between Frank Taylor
and Associates and a
dental agent?
dental book or journal ever
again. My nicely spoken nurse
would never have to trouble
herself with keeping up-todate or passing exams. Yes, the
next 35-40 years until I retired
were going to be just dandy, or
so I thought.
That’s how it was for dentists a generation ago, but oh
my, how things have changed:
bit-by-bit, dentistry has slowly
been coming under the ‘control’ of various regulatory
bodies. Health and safety legislation, disability discrimination, clinical governance,
and the annual complaints
audit all crept in. Initially, only
dentists, hygienists and therapists had to be on the GDC
register, but now dental nurses
and technicians (DCPs) also
have to be registered. Everyone now has to undertake
continuing professional development (CPD). And so it went
on; more regulations, more accountability, more paperwork,
and inevitably, more cost.
Now it seems that dentists
and their practices have the
daddy of all regulations and
• When we market your property to all of our registered 2000 plus
potential purchasers and the agent doesn’t.
• When we only ever act for the Vendor and the agent doesn’t.
• When we never accept an undisclosed fee from the purchaser
and the agent does.
Tel: 08456 123 434
01707 653 260
www.ft-associates.com
The Care Quality Commission (CQC) has accepted that
membership of the Scheme is
a reliable indication that the
practice is using a QA framework. Practices meeting the
Scheme standard should be
well positioned for meeting
CQC compliance.
If we were not a BDA Good
Practice or a member of any
other compliance scheme,
then I think that my practice manager and myself, and
the team would have our work
cut out.
CQC compliance involves
the whole team, and so everyone at my practice would
be made aware of CQC from
the outset, and would then
be expected to help the practice comply. There has been a
great deal of negativity from
dentists about CQC, but when
either my practice manager or
myself talked to the rest of the
team about CQC, we would always be very positive about it.
‘That’s how it was for dentists a generation ago, but oh my, how things have
changed: bit-by-bit, dentistry has slowly
been coming under the ‘control’ of various
regulatory bodies’
regulators watching over their
every move, namely the Care
Quality Commission (CQC).
As I am no longer in practice
I don’t have to dance to CQC’s
tune, but curiosity has got the
better of me, and so I read
‘Essential standards of Quality and Safety’, which made
me think about how I would
have
‘managed’
CQC
in
my practice.
• When we do a totally independent valuation you can rely on and
the agent doesn’t.
think we would have been well
placed to comply with CQC. As
the BDA itself states:
I think at the outset it is important to separate what CQC
is trying to achieve from how it
is going about it. The improvement in the quality of dental
practices, both NHS and private, and the safety of patients
are central to what CQC is trying to achieve. I don’t think
anyone can argue against
CQC’s goals.
The first stage in the CQC
process is that practices have
to register with CQC and declare that they comply with a
number of items. My practice
was a British Dental Association (BDA) Good Practice so I
There is no point undermining
people’s confidence in something if you then expect them
to help you.
Assuming that your practice is compliant then the
next stage of the CQC process
should hold no fears for you or
your team. A CQC inspection,
or a ‘Review of Compliance’ as
they are correctly termed, is
the next thing that will happen.
I have heard of practices that
have only been given a couple
of days’ notice by the CQC prior
to one of these reviews. If your
practice is compliant then this
should not be a problem, because apart from a quick check
to make sure that you have
everything you should have to
hand, you will be prepared. I
would have prepared my team
well in advance, well ahead of
receiving notice of a review,
talking through the purpose
of the review, how it is going
to be conducted, and what
should be said if anyone
were asked a question by the
inspector. This is not cheating;
[9] =>
United Kingdom Edition
this is planning.
It does not matter how well
you prepare, an inspection is
going to be a stressful event.
You imagine that the practice
manager won’t be able to find
that one bit of paper that you
both saw yesterday; or that
they will ask the youngest and
newest member of the team
a question to which they give
totally the wrong reply; or that
the one patient they ask about
the practice is the one you
didn’t want them to ask! There
is always the thought that you
have overlooked something or
‘Improving the
overall quality of
dental care and
treatment must
surely make sense
to everyone working in dentistry’
that unbeknown to you, the
nurse has been doing her own
thing regarding the decontamination and sterilisation
of instruments. I think it is
fair to say that the inspector is
not there to catch you out, but
if the practice is failing in any
of the outcomes, then it is their
job to tell you. I would see an
inspection as a positive thing,
an opportunity for me to find
out from someone who should
know, how my practice could
improve.
The ‘Review of Compliance’ report arrives. I would
not expect the practice to have
satisfied everything that the in-
About the author
Michael
Young
is the author of
the Diagram Prize
winning Managing
a Dental Practice
the Genghis Khan
way. He has over
20 years’ experience of managing
a dental practice.
He taught clinical dentistry at two
dental hospitals. He was forced to retire from clinical dentistry because of
ill health. He is now a writer and business consultant. During his dental
career he was a member of the Chartered Institute of Management, the
Chartered Institute of Marketing, and
was the Secretary of the North East
Region Committee of the Institute of
Management Consultancy. Michael
is a former Young Enterprise Business Adviser. He was also a member
of the Expert Witness Institute. His
practice was one of the first in the UK
to be awarded the British Dental Association’s (BDA) Good Practice. He was
also an Assessor for the Good Practice
scheme. Over the years he has published a large number of articles on
various aspects of practice management and marketing in the dental
press, and an article on report writing
in the legal press. He is the author of
How to be an effective expert witness,
which is available on Amazon Kindle.
Away from dentistry, Michael’s interests include archaeology, history and
the arts. Apart from his undergraduate and postgraduate dental degrees,
he also holds a BA from the Open University. Visit Michael’s web page www.
thegenghiskhanway.com
spector was inspecting. I’d be
very happy if we had, but not
too disappointed if we hadn’t,
unless it was something really
serious. I’d then go through
the report line-by-line and
work out exactly what had to
be done by the practice to fully
comply. I would then hold a
special team meeting in which
all the concerns arising from
the report would be discussed
and an action plan for each one
discussed and agreed. Writ-
February 27-March 4, 2012
ten objectives would be given
to each team member so that I
know that what must be done
is done and that it is done on
time. The CQC would then be
informed in writing when any
compliance actions had been
completed.
Dentistry has come a long
way from the scenario I outlined at the start of this article.
The safety of patients, you and
your team through stringent
cross infection control measures is a good thing. Criminal
record checks on employees
are sadly a reflection of our
modern risk aversion psyche.
Improving the overall quality
of dental care and treatment
must surely make sense to
everyone working in dentistry.
Isn’t it about time that private
practices were brought into
line and that they too were inspected alongside NHS practices? Some dentists might resent
Feature 9
outside interference, but the
fact is that CQC is here, and it
is better to work with it than
against it. Practices that are
professionally and progressively managed, and who take
a very positive attitude towards
managing change, should have
no or very little problem with
CQC. I don’t think Genghis
Khan would have shied away
from the challenge, nor do I
think he would have thought
of CQC as a bad thing. DT
Periodontal Disease
How do you measure success?
Dentomycin offers:
• 42% reduction in pocket depth after 12 weeks1
• broader spectrum of antibacterial action2 with greater all round
activity than metronidazole or tetracycline
• conditioning of the root surface3 and enhanced connective
tissue attachment4
• improved healing through inhibition of degradative collagenases5
• effective treatment of chronic periodontitis which has been
associated with cardiovascular diseases6-9
1. van Steenberghe D, Bercy P, Kohl J, et al. Subgingival minocycline hydrochloride
ointment in moderate to severe chronic adult periodontitis: a randomized, double-blind,
vehicle-controlled, multicenter study. J Periodontol 1993;64:637-44
2. Slots J and Rams TE. Antibiotics in periodontal therapy: advantages and
disadvantages. J Clin Periodontol 1990;17:479-93
3. Rompen EH, Kohl J, Nusgens B, Lapiere CM, Kinetic aspects of gingival and
periodontal ligament fibroblast attachment to surface-conditioned dentin. J Dent Res
1993;72:607-12
4. Rifkin BR, Vernillo AT, Golub LM. Blocking periodontal disease progression by inhibiting
tissue-destructive enzymes: a potential therapeutic role for tetracyclines and their
chemically-modified analogs. J Periodontol 1993;64:819-27
5. Somerman MJ, Foster RA, Vorsteg GM, et al. Effects of minocycline on fibroblast
attachment and spreading. J Periodontal Res 1988;23:154-9
6. DeStefano F, Anda RF, Kahn HS, et al. Dental disease and risk of coronary heart
disease and mortality. BMJ 1993;306:688-91
7. Joshipura KJ, Rimm EB, Douglass CW, et al. Poor oral health and coronary heart
disease. J Dent Res 1996;75:1631-6
8. Mattila KJ. Dental infections as a risk factor for acute myocardial infarction. Eur Heart J
1993;14 Suppl K:51-3
9. Morrison HI, Ellison LF, Taylor GW. Periodontal disease and risk of fatal coronary heart
and cerebrovascular diseases. J Cardiovasc Risk 1999;6:7-11
Information about adverse event reporting can be found at www.yellowcard.gov.uk Adverse events should also be reported to
Blackwell Supplies,Medcare House, Gillingham, Kent ME8 0SB or by telephone: 01634 877525
Dentomycin abridged prescribing information. Please refer to the Summary
of Product Characteristics before using Dentomycin 2% w/w Periodontal Gel
(minocycline as hydrochloride dihydrate). Presentation: a light yellow coloured gel
containing minocycline as hydrochloride dihydrate equivalent to minocycline 2%
w/w. Each disposable application contains minocycline HCI equivalent to 10mg
minocycline in each 0.5g of gel. Uses: Moderate to severe chronic adult periodontitis
as an adjunct to scaling and root planing in pockets of 5mm depth or greater.
Dosage: Adults – Following scaling and root planing to pockets of at least 5mm
depth. Gel should fill each pocket to overflow. Applications should be every 14 days
for 3-4 applications (e.g. 0,2,4 and 6 weeks). This should not normally be repeated
within 6 months of initial therapy. Use only one applicator per patient per visit which
should be wiped with 70% ethanol between applications to each tooth. Avoid tooth
brushing, flossing, mouth washing, eating or drinking for 2 hours after treatment.
Elderly – As adults, caution in hepatic dysfunction or severe renal impairment. Children
– contraindicated in children < 12 years.
Not recommended in children > 12 years. Contraindications: Hypersensitivity to
tetracyclines, complete renal failure, children under 12 years. Precautions: Closely
observe treatment area. If swelling, papules, rubefaction etc. occur, discontinue
therapy. Safety in pregnancy and lactation not established. Side-effects: Incidences
are low and include local irritation and very rarely diarrhoea, upset stomach, mild
dysphoria and hypersensitivity reactions. Storage: 2°-8°C. Legal category: POM.
Presentation and cost: Disposable applicator in an aluminium foil pouch. Each
carton contains 5 pouches. Carton £103.02+VAT. Licence No: PL 27880/0001
PA1321/1/1. Product Licence Holder: Henry Schein UK Holdings Limited, Medcare
House, Centurion Close, Gillingham Business Park, Gillingham, Kent, ME8 0SB.
Telephone 020 7224 1457 Fax 020 7224 1694 Distributed by: Blackwell Supplies
a division of Henry Schein UK Holdings Ltd, Medcare House, Gillingham Business
Park, Gillingham, Kent ME8 0SB Tel 020 7224 1457 Fax 020 7224 1694 Date of
preparation: February 2011 *Registered Trademark BLA/DEN 18
[10] =>
10 Social Media
United Kingdom Edition
February 27-March 4, 2012
The movement of social metrics
Rita Zamora talks about how to thrive in social media
W
hat
was
your
most pressing social
media challenge in
2011? Chances are you might say
it was one of the following:
1
2
We weren’t really sure what
we were supposed to be doing
We didn’t have the time to
manage it
3
We didn’t know if our efforts
were working
Let’s look at each challenge,
as well as solutions.
Problem number one: We
weren’t sure what to do
If you aren’t sure what you are
doing on Facebook or Twitter,
know that you are not alone.
Everyday new practices join
these social media platforms
R4 Practice Management Software
GIVES YOU MORE
AND KEEPS
ON GIVING
constantly developing
constantly delivering
More features, More benefits, More time,
More support, all of which can help you achieve
More patients and More profits
For more information or to place an order
please call 0800 169 9692
email sales.uk.csd@carestream.com
or visit www.carestreamdental.co.uk
Carestream Dental
© Carestream Dental Ltd., 2012.
Solution
First and foremost, consider
your goals. What results would
you like to see from your social
marketing efforts? By answering
this question, you can determine
which social marketing platforms you should be working
with. Note, not all practices are
cut out for every social media
platform. For example, if you
said your primary social marketing goal is to network and
connect with other businesses
in your community, I’d recommend you utilise Twitter.
On the other hand, if you said
you wanted to increase word of
mouth referrals and grow relationships with patients, then
Facebook would be an ideal
tool to use. It can be frustrating
not knowing if you are doing
the right thing on social media,
and even more nerve wracking
to learn you aren’t even using
the proper platform. So, begin
with the end in mind. What are
your goals? Once you know your
goals, you will discover which
social media tool is best for you.
You can then start or focus on
that one platform and master it.
constantly improving
...and there’s still more to come
and find their own way... or
not. Because social media is a
“free” tool to use, often practices
struggle with the idea of spending money for help with social
marketing. However, remember
that time is money. Investing in
a course or some coaching can
not only help you get ahead, but
it can also help to save hours of
time and frustration.
featu Re S o f R4
R4 Mobile
Direct link to PIN pad
Patient Check-in Kiosk
Care Pathways
Communicator
Steritrak
E-Forms
Patient Journey
On-line Appointment Booking
Text Message and Email reminders
Clinical Notes
Appointment Book
Digital X-Ray
Managed Service
Practice Accounts
Problem number two: We
didn’t have time to manage it
Now that you know what your
goals are, and which social tools
are best for you, we can address
challenge number two: finding
the time to manage social marketing.
Many practices are struggling to keep up with creating
content for their Facebook page,
finding time to tweet on Twitter,
or make video for their YouTube
channel. Not to mention we now
have Google+ pages as well. The
best way to survive (and thrive)
in social media management is
to have a plan. Your plan may involve partial delegation of your
activities or hiring someone to
manage your activities internally. Either way, without a plan
you are planning to fail.
Solution: Put a basic strategic
plan in place
You wouldn’t get into a car or
hop a train without knowing
where you are headed. If you
don’t have a plan for your social
[11] =>
Consider the following:
1
Who will be responsible for
your marketing efforts? Decide
if you will manage these efforts
internally or partially out-source
the responsibilities. Notice I
don’t recommend total outsourcing of your efforts. If you are considering totally outsourcing your
social marketing so you “don’t
have to see or touch it”, then social media marketing may not be
a good fit for you.
2
What is your promotional
strategy? Although social media
is a digital tool, much of the success of your efforts will rely on
your offline marketing. Think
about signage, scripting for verbal invitations, and other tangible support materials.
3
What is your content strategy? Determine how you will
come up with content for your
Facebook Page. Consider what
you will tweet about and how
you will interact... Note also how
often and when you will participate, such as Tuesday and
Thursday mornings or when the
practice is typically slower.
Problem number three: We
weren’t sure if it was working
Once you have a plan and systems in place to leverage your
social marketing, you are ready
to address challenge number
three. Do you know if your social marketing efforts are really
working? Much like getting into
a car without knowing where
you are going, if you aren’t sure
how you are going to measure
social media successes, how will
you ever know how you are doing? To use an analogy, how do
you know when you are successful at driving your car to your
practice? The answer of course
is that you actually got to your
practice. To know if you were
successful at your social marketing efforts, you must have some
specific measurable outcomes
that match your overall goal in
mind.
Solution: Decide which metrics you will measure
As with any marketing activity,
social media efforts should be
measured. While there are several metrics you can use to determine how you are doing, the
most important metric of all is
tracking specifically where new
patients have seen you.
Often practices say they are
seeing the number of new patients “from the internet” grow.
The best way to learn exactly
where you were found is to ask.
Wait until new patients visit your
practice for their first visit—and
you’ve wowed them with excellent service. Then simply say:
“We are working hard to ensure
we can be found easily in our
community. Would you mind
telling us if you happened to see
our, ie: Facebook, Twitter, Google+ or YouTube?”
Keep in mind the movement
of social metrics may move slowly. However the quality of new
patient referrals via social media
(conversational,
relationshipfocused) will, for most practices, be far greater than those
Upto
Social Media 11
acquired via traditional media
(one-to-many, sales-oriented).
If you haven’t already, make the
most of the unique opportunities social marketing has to offer.
Thrive in 2012 by considering
your goals, putting a basic plan
into place, and tracking exactly
where people have seen you.
Following these recommendations will put your practice on
the right track for a socially successful future. DT
About the author
Rita Zamora is an
international
social media marketing consultant and
speaker. She and
her team actively
co-manage dozens
of dental practices’
social media programs. Her clients are located across
the United States and internationally. She has been published in many
professional publications. Rita is also
Honorary Vice President to the British
Dental Practice Managers Association. Learn more at www.DentalRelationshipMarketing.com or email rita@
ritazamora.com.
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efforts you could end up driving
around in circles. No wonder so
many practices find themselves
lost! To help you get clear direction and most importantly make
your efforts both manageable
and effective, take time to create
a basic strategic plan.
February 27-March 4, 2012
O
United Kingdom Edition
[12] =>
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This avalanche of paper can
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and it is then easy to miss
the small things that can all
too often trip you up, and have
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are buying as opposed to what
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The practice in question
was spread over two floors,
with the upper floor including a room above a public passageway leading to a
rear courtyard. During the
routine process of checking
buyer to acquire a right to use
this room and a right to register a title to that room at the
Land Registry. Any unknown
rights of third parties against
the room were insured against
with a one-off payment insurance policy.
However, the claim was
further complicated due to
the fact that there was a passageway running beneath the
room which was used by members of the public. Clearly the
selling dentist didn’t own the
passageway beneath the room
but consideration had to be
made as to what was and what
was not owned - for example
what about the beams on the
underside of the room that
offered it support and what
rights were available to carry
out repairs?.
A specialist dental solicitor will be able to guide you
through the process and find
solutions to your problems.
However, in this instance
‘Having a specialist dental solicitor to
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check the paperwork for discrepancies
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The dentist buying the
practice understandably believed he was buying the room
in question, which was being
used by the practice as a surgery. However, technically
speaking this was not part of
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that the plans at the Land Registry matched what the buying
dentist believed was included in the purchase we discovered that the documents
at the Land Registry missed
off the room above the passageway. This meant that
the selling dentist simply
didn’t have legal ownership of
this room.
www.dentala2z.co.uk
The situation was resolved
using the rules of adverse possession (commonly known as
squatters’ rights) and assigning these rights to this room
to the buyer. This allowed the
without a full check of all
of the documentation associated with a practice the situation would not have been
picked up and the buying
dentist would have paid for
a room that the seller had no
legal ownership of. Indeed,
who knows whether the next
buyer would have discovered
this irregularity if and when
the dentists decided to sell on
the practice ?
The lesson is clearly to
never assume anything and always check the detail, even on
what at first glance, seems a
straightforward property conveyance. Because dentistry
has many specifics relating to
legal matters including contracts, regulatory responsibilities, partnership agreements,
patient complaints and property ownership, it is really important to employ legal advis-
ers who know and understand
the dental profession.
Everyone in business is
facing the financial challenges of the recession, and it
can be tempting to think it is
not worth spending money on
specialist lawyers for what appears to be a straightforward
transaction or arrangement.
Sadly, examples of false economy in business are legion,
and choosing to dispense
with legal help on the grounds
of cost is well proven to be one
of them.
When it comes to matters
of the law, especially when resolving claims or disputes, attention to the smallest detail is
essential. What may seem inconsequential or irrelevant to
a layman may prove to be the
linchpin of a complex compensation claim further down the
line. That is why contracts need
to be planned with all eventualities in mind, and property
details and accounts need to be
meticulously examined. It is
a surprisingly wise investment
and could save you money
and heartache by resolving
issues before they become
problems.
Goodman Legal, Lawyers
for Dentists, has been working
with dentists for more than 25
years and have dedicated expertise in every area of dental
related law. Goodman Legal
is regularly recommended by
dental accountants, bankers
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dental industry specialists and
advisors nationwide. DT
About the author
Ray Goodman is
a Member of the
Association of Specialist Providers for
Dentists
(ASPD),
legal member of
NASDA (National
Association of Dental
Accountants)
and included on
the BDA list of recommended dental
solicitors. He has a comprehensive
understanding of the commercial
and professional objectives of Dental
Practices, along with l the relevant
legal requirements. In his spare time,
Ray has ambitions to be the next Eric
Clapton.
For more information call Ray Goodman on: 0151 707 0090, or email: rng@
goodmanlegal.co.uk
[13] =>
United Kingdom Edition
Comment 13
February 27-March 4, 2012
The right to be pain free
knowledge sharing as well as raising patient expectations to be pain
free. DT
Michael Sultan discusses pain
P
ain is defined by The World
Health Organisation as “an
unpleasant sensory or emotional experience associated with
actual or potential tissue damage, or described in terms of such
damage”.
While recognising its existence, what the WHO doesn’t mention is that pain is, of course, entirely subjective which is one of
the reasons why it is such a challenge and a major global public
health issue. We probably know
far more about pain and its treatment than ever before, yet there
is a disconnection between having that knowledge and using it to
treat and manage pain.
I believe passionately that
dental professionals in general,
and endodontists in particular,
should commit to the right of every patient to be free of pain and
through our work as compassionate professionals, to understand
acute pain management if we are
to provide real health and emotional benefits for our patients.
We are approaching the end
of the ‘global year against acute
pain’, during which time the International Association for the Study
of Pain (IASP) published a paper
that points to inadequate education of healthcare practitioners as
one of the main reasons for underestimating the seriousness of,
and failing to recognise treatment
options for, acute pain.
By increasing our own awareness and understanding of the issues surrounding the assessment
and treatment of acute pain, we
can in turn, help educate our colleagues in the use of anaesthetics
and analgesics so they are better
placed to offer information and
help to their patients, many of
whom are reluctant to use painkillers for fear of unpleasant side
effects or even, addiction.
Acute pain is the awareness
of noxious signals from damaged
tissue and is complicated not only
by sensitisation in the periphery
but also by changes in the central nervous system. Someone’s
emotional state can often have a
significant influence on pain and
increase the level of distress and
impact on quality of life. Pain is
hugely debilitating and makes life
extremely miserable for millions
of people every day and there
are many underlying cultural,
economic and social reasons that
should also be taken in to consideration.
I firmly believe that the dental profession must work with the
government, policy makers and
that poorer patients are forced to
campaigners to ensure that every
settle for extractions and dentures
patient has access to pain free
rather than tooth preservation,
dentistry. In some cases this will
with root canal treatments a premean NHS patients will receive
serve of the rich.
treatment from private dental
specialists,
anA3_Layout
issue raised
by 10:29
the Page 1
2392
DD SDM Advert
1 10/02/2012
While there is no legally enSteele report, which suggested
About the author
shrined right to be pain free, there
are those who believe that the internationally established and recognised rights to health include that
by implication and inference. We
can at least encourage greater
awareness, better education and
Dr Michael Sultan BDS MSc DFO
FICD is a specialist in Endodontics
and the Clinical
Director of EndoCare.
Michael
qualified at Bristol University in 1986.
He worked as a general dental practitioner for 5 years before commencing specialist studies at Guy’s hospital,
London.
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Capsules, X-Ray Film Intraoral, Evacuation Cleaners, Endodontics Files & Reamers Files, Hand Instruments Surgical Instruments Suture Material,
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*SDM DPMSS Q1, Q2, Q3 2011 average.
for Price & Service
[14] =>
14 Comment
United Kingdom Edition
February 27-March 4, 2012
Dental Associates: SOS
Neel Kothari discusses the problems surrounding UDAs
B
DA chair Susie Sanderson OBE, recently said
it was the worst time in
history to be a dental associate
– and I think many of us would
absolutely agree. The imple-
longer claimed a fee from the
NHS but rather through a middle-man, the practice owners.
The 2006 dental contract was
made between PCTs and practice owners (not necessarily
mentation of the UDA payment
system messily dissected the
profession seeing a large proportion of power swing towards
government. Front line staff
such as dental associates no
dentists) who in turn engaged
in contracts with dental associates - and with it all hell broke
loose.
What a crazy situation we
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are now in where a dental professional can accept an associate position for a ridiculous
sum of money (£7.50/UDA lowest rate found online) without
having a clue as to the need in
the local area or the full rate
received by the practice owners. £7.50/UDA could actually
be pretty fair for a well maintained stable list of patients
who require little or no work,
but without knowing the full
rate, how on earth is an associate meant to know exactly
how much work is needed per
UDA? For example if an associate received £7.50/UDA on a
high risk list of patients there
are strong perverse incentives
to either undertreat or restrict
treatment options, which in my
opinion really is not fair for associates or for patients.
Dental associates and those
newly qualified entering into
our profession have probably
been affected most by the 2006
contract. All too frequently they
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‘What a crazy situation we are now
in where a dental
professional can
accept an associate position for a
ridiculous sum of
money (£7.50/UDA
lowest rate found
online) without
having a clue as to
the need in the local area or the full
rate received by the
practice owners’
are placed in a very difficult position, whereby in order to get
a job they have to accept UDA
targets not really designed for
them, levels of remuneration
based on the realities of supply
and demand rather than clinical need and the full liability
of clinical decision making. At
the same time this subgroup is
being held to an exceptionally
high standard, constantly worrying about the threat of litigation and practising defensive
dentistry. Dental associates do
have a range of options to support them in providing a first
class service to their patients,
but without the financial support structured into the UDA
[15] =>
United Kingdom Edition
system, on a practical level
many of these options are about
as useful as a chocolate teapot.
Unfortunately
dentistry
costs money; it is expensive
and always has been. I think it
is very unfair to place the newest members of our profession
into the untenable position of
having to choose between 1)
earning a living by playing the
UDA game and 2) treating patients as they were taught to
do in dental school. Whatever
happened to the concept of a
fair day’s wage for a fair day’s
work?
I have mentioned the concerns surrounding litigation
and clinical decision making
for associates (as well as the
profession as a whole). But
why has this become such a
concern? Well historically the
legal standard by which healthcare professionals were judged
was based on that of the ‘Bolam
test’ (Bolam vs Friern Hospital Management Committee,
1957) which stated that “if a
doctor reaches the standard of
a responsible body of medical
opinion, he is not negligent”.
In this regard, one could argue that a responsible body of
‘Whatever
happened to the
concept of a fair
day’s wage for a
fair day’s work?’
dental opinion could be used
to defend the standard of clinical care within NHS dentistry.
Except that the Bolam case is
now largely outdated following
the ruling made by the House
of Lords in the Bolitho v. City
and Hackney Health Authority
(1997), which has been seen
as a departure from the Bolam
test, whereby the standard of
care was judged based on a
sound body of expert opinion.
This effectively means that,
just because others in the profession would have made the
same decision, that alone is not
enough to justify the standard
of clinical care. Associates are
therefore being judged by the
very highest of standards, but it
is clear to most of us working
within the NHS that the capped
funding system is often unable
to deliver what experts might
consider best practice, no matter how much we want to believe in the principle of ‘swings
and roundabouts’ – sometimes
associates can feel like they are
faced with a terrible vicious circle where they are confronted
with endless roundabouts and,
February 27-March 4, 2012
the profession will depend on
a number of factors, key questions being: is fair for dentists, fair for patients and is
it financially sustainable by
the NHS? Furthermore, will it
provide a fair day’s wage for
So what about the future
a fair day’s work for all memfor associates? Well hopefully
bers of our profession? Associmany of these issues will be
ates have suffered a great deal
addressed by the new contract;
since 2006. They have been
through the current pilots we
manoeuvred into a very vulhave a unique opportunity to
nerable position, where practest this in practice. Whether
msc_ad_source_uk.pdf
1
03/08/2009
15:21:59
tice owners have the dominant
or not things will improve for
despite their dental school education and training, be pushed
to make a living. This is surely
not a fair way for associates to
have to work.
Comment 15
role, setting targets and UDA
rates to achieve their business
goals, where associates have
to aspire to the very highest
standards on only limited funding and where at the same time
the culture of litigation is growing exponentially. We need to
see far more support for associates, far more fairness and far
more clear and realistic expectations. Let’s see what the new
contract will offer. I’m on tenterhooks. 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.
[16] =>
16 Practice Management
United Kingdom Edition
February 27-March 4, 2012
Selling without the “S” word
Alun Rees discusses how to get the most out dental “sales”
T
here’s more to success
in dentistry than a flat
screen TV, a leather sofa
and a treatment co-ordinator as good and desirable as those
things are.
but then skirt around the “selling” bit. Perhaps it’s because
they feel that if they aren’t selling loads of treatment they are
somehow “not good enough”.
Perhaps there is still a feeling
that “selling” is somehow not
Of the Seven Pillars of Dental
Practice Management(c) it’s a
sale that has most of the Dementor about it. During seminars,
delegates will happily spend an
hour talking about marketing
or the problems with their team
2012 Sopro Life Ad (Dental Tribune)_2012 Sopro Life Ad (Dental Tribune) 30/01/2012 17:15 Page 1
a professional activity. Without
doubt there is still a reluctance
to embrace a “sales” process. I
once had a conversation with a
client who threatened to throw
me out if of his practice if I even
mentioned sales during a team
All these patients are, of
course, going to demand “sexy,
funky” dentistry for which they
will pay tens of thousands of
pounds. And if they have problems affording it, we’ll send you
on a course so that you can sell
finance.
DIAGNOSIS & TREATMENT
Now I’m not sure from
which particular planet some
of the people who suggest
these techniques come from,
but it’s not the same one that I
and the majority of people who
are privileged to have BDS after their names hail. The constant pursuit of new patients on
which to inflict someone else’s
misplaced ideas of what is good
dentistry can only lead to the effect described by Colin Dexter
who related an overheard conversation between two dentists
complaining that their district
was “worked out” as if it were
some sort of mine and they
were having to move on.
SoproLife
L.I.F.E. Light Induced Fluorescence Evaluator,
for the diagnosis and treatment of tooth decay
A recent exchange of emails
with a young friend saddened
me; this dentist had been in a
position of an intern in a private practice. It was made clear
to him that he should be looking to gross over £2,000 on each
and every new patient. Eventually he opted to return to the
NHS because as he said “I know
what my targets are there and
I understand the limitations of
the system”.
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So I set myself a challenge.
How to do a half-day presentation on “sales” without once using the “s” word itself?
Why do it? Well as with everything else - in response to my
clients and audiences. I sense
boredom and even alienation
with the overwhelm of clever,
“sophisticated” marketing techniques that mean you will soon
have a guaranteed 10/100/1000
patients beating a path to your
door by doing x or y with Google
ad-words, and whatever social
media is top of the pops this
week. Not that I’m knocking
21st century marketing techniques.
SOPROLIFE
A patented new fluorescence
technology which allows you to
‘see the invisible’ – detection of
occlusal or interproximal decay,
even in its earliest stages, which
is often missed by X-rays. The
fluorescence images produced
in treatment mode show a
differentiation between healthy
and diseased tissue, while
images can be compared under
white light in daylight mode. All
images can be evaluated with
magnification of 30x to 100x
and work seamlessly with Sopro
Imaging software.
training session.
We
to create
What individuals who would
have you believe that dentistry is the same as every other
business overlook is that teeth
aren’t widgets, teeth were not
put into mouths for the benefit
of the dental profession and that
people are not mouths on legs.
Of course you must count
the “sales” made and the influence of new marketing
[17] =>
United Kingdom Edition
So back to my experience.
Did the audience benefit? Well
as usual the proof will be in
the pudding. Certainly “Selling
without the S-word” was well
received and I hope gave them
confidence in their abilities to:
Character comes from an
individual expressing their
authenticity. This means telling each and every patient the
truth about his or her mouth,
oral health and the advantages
of good dentistry, as you see it.
Sometimes that means that they
may not like what you have to
say and initially you may feel
you do not have the right words
to use. Well it’s time to practice,
• Put their patients at their ease
• Take a full history of the patients’ needs and wants
• Present all the options
• Explore objections
• Gain permission to discuss the
subject again in a certain time
frame
• Not taking it personally if a
patient rejects what you think
is the right treatment plan for
them
• Ask for new referrals from
their existing patients
Selling is ultimately the
highest form of communication,
it’s about making the perfect
match between the skills that
you have to offer and helping
your patient realise their needs
and wants. Be prepared though,
sometimes the process will take
years and that’s what being a
professional is all about.
If you’d like more details of
“Selling without the S word” get
in touch. DT
About the author
Alun Rees trained at
Newcastle University
and started his career
as an oral surgery resident, before working as
an associate in a range
of different practices.
With this solid foundation, Alun went on to launch two practices in the space of just 15 months,
a challenge in the toughest economic
conditions. Alun now runs Dental
Business Partners to offer specific
and specialised support for dentists,
by dentists. www.dentalbusinesspartners.co.uk alun@dentalbusinesspartners.co.uk For more information
email Alun at alunrees@mac.com, or
alternatively call 07778 148583 or
01242 511927
T
.I.R.S.T
.T
EC
NI
Q UE
LI V E
A
NF
I
K
H
SH
As Seth Godin put it: “One
basket, cared for and watched
carefully. When no one else can
focus on and serve that customer as well as you (because you
have no choice, it’s your only
basket) you have a huge obligation but you also have a platform to do great work.”
Live Theatre
EN
T
D
We risk losing sight of
what we are here for if we’re
not careful. Dentistry is under
attack from politicians, bureaucrats and “modernisers”.
One way to fly the professionalism flag is to ensure that all
our relationships, especially those with patients are of
the highest quality. Mike Wise
taught me that: “Character is
Practice Management 17
Small Diameters...
Big Features.
The one fundamental point
that I made is that you are not
selling a composite restoration,
a veneer or even a course of orthodontic treatment; you’re not
even selling the benefits of the
associated outcomes. You are
creating a professional relationship that you want to endure
for years; a relationship that
puts the health and wellbeing of
the patient at the very centre of
everything that you do. It’s not
about the money or the UDAs;
it’s about the people who choose
you and who you choose. The
rest will follow as long as the
remainder of the pillars are in
place.
If I may borrow some more
words, this time from my friend
Jane Ainsworth who summed
this up in a recent posting on
GDPUK: “Perhaps it doesn’t
matter how much practice owners spend on decor, marketing
and presentation. If patients
don’t perceive knowledge, skill,
and empathy, or perhaps what
the King James Bible means by
charity, it won’t be enough to
keep them in the practice.”
in the same ways that your practical skills need to be honed and
perfected so does your verbal
expertise. I don’t mean by learning platitudes by rote but by
fully understanding and meaning what you say, so that you say
what you mean in words that
your patients understand. That
may well mean using different
words for different patients. Obvious? Try recording your conversations and see whether the
patient hears what you think
you’re saying.
doing the right thing when nobody’s looking.”
IS
TR
Y SHOW
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[18] =>
18 Practice Management
United Kingdom Edition
February 27-March 4, 2012
Why improving your practice is a
mystery - part five
Jacqui Goss explains how to develop a patient-centred practice
S
o far in this series I’ve
written about how potential new patient enquiries should be handled, creating
a good impression and, in the
last article, some ways of finding out what patients really
think of you and your practice.
Here, I’m continuing with the
last theme by discussing patient
consultation groups (PCGs) and
why they can help you achieve a
patient-centred practice.
In the health service and
general medical practices, PCGs
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have been around for a while.
Indeed, from April 2010 all PCTs
and SHAs were legally required
to explain how they have acted
upon feedback from patients
and the public – the buzz phrase
being “Real Accountability.”
CQC Outcome 1 (respecting and involving people who
use services…) means it is
now a regulatory requirement
for dental practices to gather
feedback from patients (but not
the public).
PCGs are a mechanism for
collecting face-to-face verbal
feedback from patients in a costeffective, minimally demanding
(for the patients) way which, if
done properly, should generate
accurate and honest feedback.
Don’t think of PCGs as merely
ticking another CQC box – they
can prove vital in helping you
develop your practice.
Okay, so what is a PCG? Essentially, it’s a number of your
patients meeting to discuss you,
your team and your practice.
They are encouraged to consider different aspects of your
service and make positive or
negative comments.
Clearly, you will need to
initiate such a meeting and encourage them to continue. Here
are some things to consider.
• How many patients should
be in a PCG? I suggest ten attendees (see below) as a manageable number for a meeting
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RECALL
• How do you arrange the first
meeting? Decide on a date, a
time and a location and invite
patients with a personal letter,
by telephone or when they visit
your practice. Outline the reason for arranging the meeting
an explain that you value their
involvement and feedback
• Who should you invite? You
want a cross-section of patients
– different ages, gender, ethnicity and social class. You want
long-term patients and new
patients, patients who’ve had
lots of treatment and patients
who’ve had little. They should
be patients seen by each member of your clinical team. Some
will be working, some will not.
Some will have families, some
won’t. Of course, to achieve
such a broad cross-section
you’d need to invite hundreds of
patients. In practice try for the
best cross-section you can by
inviting 12 to 15 people – some
[19] =>
United Kingdom Edition
will fail to turn up on the night
and you’ll probably have about the
right number of actual attendees
• Which days and times are best?
Avoid Fridays and weekends and
dates when there’s a vital football
match or the final of Strictly Come
Dancing on television. Early evening, say 7.00 or 7.30pm, is probably as good a time as any. State a
finish time (and stick to it) – about
one and a half hours is the maximum time the meeting should last
• Where should you hold it? In
your practice is both the best and
cheapest option. It’s good for patients to visit your practice for other than treatment as it helps lower
any barriers to communication.
Second choice would be to hire a
private room in a smart local hotel
• Who should run it? Not you! Patients will be most unlikely to express honest opinions if the dental
principal hosts the meeting. The
same applies to members of staff.
Use a facilitator – somebody good
at controlling meetings while
involving everybody and with
some knowledge of dentistry and
your practice. Importantly, even
though they will be receiving a
fee and/or expenses, the facilitator can declare themselves independent and assure the group
members of confidentiality
• Should they be paid? Advertising any form of payment or gift
could be construed as an inducement to attend and might well land
you in trouble with the GDC. However, it would be polite to give participants some form of ‘thank you’
at the end of the meeting.How
about negotiating some vouchers
from a suitable local shop?
As preparation for the first
meeting, you’ll need to liaise
with your facilitator. Discussion
About the author
A proven manager
of
change
and
driver of dramatic
business growth,
Jacqui Goss is the
managing partner
of
Yes!RESULTS.
By
using
Yes!RESULTS dental practices see
an increase in treatment plan takeup, improved patient satisfaction and
more appointments resulting from
general enquiries. Yes!RESULTS turns
good practices into great practices.
Practice Management 19
within the PCG needs to be both
directed and free ranging – an
obvious contradiction. The facilitator needs an idea of the sort
of things you want feedback on.
Maybe it’s your new appointment booking system, the practice website or the range of services you offer. You may also wish
the facilitator to preview things
you are considering introducing
– a practice plan, finance terms,
later opening hours and so on.
very open questions of the group
such as: “How could we improve
your visits to this practice?” In
my experience the answers are
often quite small things that are
easy overlooked. In one practice
the first afternoon appointments
are at 2pm but the door is kept
closed from 1pm to 2pm for lunch
– so patients arriving early (as
most do) have to wait outside in the
cold and rain. Opening the door at
1.55pm solved this problem.
The facilitator can usefully ask
You’ll also be pleased to learn
that some people in PCGs declare
themselves very happy with a
dental practice. Patient feedback
is not always negative and is certainly not to be feared. The old
retail adage of ‘the customer is always right’ (thought to have been
coined by Harry Gordon Selfridge
in the early 1900s) applies equally
to dental practices. Initiate regular PCG meetings (perhaps with
the membership changing a little
each time), act on the feedback
and you’ll soon fulfil the ideal of a
patient-centred practice. DT
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• Should staff attend? This is a
tricky one. On the one hand you
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that issues raised by patients can
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you don’t want patients to feel
uneasy at the presence of people
they may be indirectly (or even
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Given that clinical matters are
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patient
coordinator
and maybe a member of your front
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• What about refreshments? Offering light refreshments such as
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[20] =>
20 Clinical
United Kingdom Edition
February 27-March 4, 2012
Impacted canines - a case study
Dr Nilesh R. Parmar discusses Maxillary canines
Fig 2
Fig 1
Fig 3
Fig 2 - Presentation 2 months after the
URC & UR3 were extracted
Fig 6
Figs 6-8 - Buccal fenestration covered
with Bovine bone graft and membrane
Fig 3 - Implant Stage 1: note the thin
alveolar ridge
en. The patient was very happy
Fig 7
Fig 1 - Galileos CBCT scan showing the position of the UR3
T
he impaction of maxillary canines is a common problem. Research
by Thilander and Myrberg estimated the prevalence of impaction at 2.2 per cent. Impactions are twice as common in
females as in males, with up
to 8 per cent of cases presenting with bi-lateral impactions
(Dachi et al.) In this case report I shall be describing the
management of an impacted
canine which was removed
and replaced with an implant
supported restoration.
This lovely lady presented
with a retained URC and an
impacted UR3. She was aware
of the impaction and wanted
a cosmetic solution for the
URC. Clinically, the URC was
gr 2 mobile with no associated
pathology. The canine could
not be palpable labially and a
midline/palatal impaction was
suspected.
Clinical examination revealed a minimally restored
dentition with good oral hygiene. She was medically fit
and well and wasn’t taking
any medication. To further assess the position of the UR3
a Sirona Galileos collimated
CBCT was taken. This showed
the UR3 to be almost horizontally impacted, with the crown
tip in close proximity to the
root apex of the UR2.
The treatment options available were:
1
Extraction of the URC
and orthodontic alignment of
the UR3 Due to the position of
the UR3 orthodontic extrusion
would be difficult and may
take up to two years to complete. There is also a risk of
resorption around the UR2.
2
Extraction of the URC
with provision of a restorative
replacement. This could be: A
single tooth denture
A resin retained bridge
An implant retained crown
After careful consultation
the patient opted for extraction of the UR3 under GA with
an implant retained crown.
Once the UR3/URC were extracted the patient was provided with a temporary partial
denture. Two months after the
extractions an Astra Tech 5.0
x 13mm implant was placed.
Due to the canine impaction,
there was a very thin ridge
of bone present with a pronounced concavity. A Astra
Tech osteotome was used to
widen the alveolar ridge in order to place the implant. The
buccal aspect of the implant
was grafted with a bovine
bone graft material (Gen-Oss)
and covered with a porcine
membrane. A 2 stage surgical
approach was adopted and the
implant buried.
Despite
the
buccal
fenestration
of
the
implant,
a
primary
stability of 35Ncm was obtained.
It was decided to wait a full
three months before exposing the implant and placing a
healing abutment. At the second stage surgery a palatally
positioned incision was made
and the soft tissue pushed
towards the buccal aspect.
This was done in order to produce a canine eminence and
improve the emergence of the
implant crown. A wide neck
Fig 8
‘xxxxxxxxxxxxx’
Fig 9
healing abutment was placed
to support the new position of
the gingivae.
A fixture level impression
in impregum was taken and
an Astra Tech shaded Atlantis
Zirconia Abutment ordered.
The Virtual Abutment design
system supplied by the Atlantis system allows for the technician to liase directly with the
dentist to ensure that the soft
tissue emergence of the abutment is correct.
A shaded A2 Zirconia abutment was used to ensure the
E-max crown didn’t appear to
bright when fitted.
Fig 9 - Closure with 5,0 PGA
The abutment was torqued
to 25Ncm and the crown cemented with temp bond. The
excess cement was removed
and a baseline LCPA was tak-
with the final result and the
work has a very good longterm prognosis. DT
[21] =>
United Kingdom Edition February 27-March 4, 2012
Fig 11
Figs 11-12 - Second stage: Note the
healing abutment supporting the excess
tissue pushed over from the palatal to the
buccal side
Fig 14
Fig 15
Figs 14-15 - Appearance after second
stage surgery
Fig 12
Fig 17
Fig 18
Fig 13
Fig 19
Figs 17-19 - Atlantis Virtual Abutment
Design proposals
Fig 20
Fig 13 - The pontic on the denture was adjusted to further support the tissues
Fig 21
Fig 20 - Atlantis Shaded Zirconia abutment in-situ
Fig 16
Fig 16 - Shade taking using mulitple tabs
for comparison
References
Thilander B, Myrberg N. The prevalence
of malocclusion in Swedish school children. Scand J Dent Res 1973;81:12-20.
Dachi SF, Howell FV. A survey of 3,874
routine full mouth radiographs.
Oral Surg Oral Med Oral Path
1961;14:1165-9.
Fig 21 - E-max try-in
Fig 22
Fig 22 - Final appearance
About the author
Dr Nilesh R.
Parmar
BDS
(Lond) MSc (ProsthDent) MSc (Imp
Dent) Was voted
Best Young Dentist
in the East of England in 2009 and
runner up in 2010.
He was short-listed
at the Private Dentistry Awards in the
category of Outstanding Individual
2011. Nilesh is one of the few dentists
in the UK to have a degree from all
three London Dental Schools and is
currently studying for his 3rd MSc in
Orthodontics. Nilesh is an Astra Tech
Clinical Coach and has his own practice in Southend on Sea, Essex. He
also works as a Visiting Implantologist
at Sparkly Smiles in Blackheath.
www.drnileshparmar.com
[22] =>
22 DCPs
United Kingdom Edition
An evolving vocation
Leigh Morrison discusses dental nursing in Northern Ireland
M
technicians, dental nurses are reany
things
have
quired to register with the General
changed over the years
Dental Council on the GDC’s Dental
for dental nurses - we
Care Professionals’ Register. With
were once known as Dental
this progression in professionalSurgery Assistants (or DSAs) but
ism the level of education providchanged
our title to “dental nurse”
PeriproductsVital March2012.pdf 1 20/02/2012 12:27:58
ed has changed to reflect this.
in 1994. Since 2006, together with
As dental nurses we can find
dental therapists, hygienists and
ourselves in a variety of different
roles ranging from dental nurse,
decontamination nurse, practice
manager to practice owner. We
may find ourselves undertaking
any number of these roles in our
normal working day. This is why
dental nurse training has evolved
to cover these additional duties
and responsibilities such that we
are now an all-round dental professional, ie more than a typical
dental nurse of old. Dental nurse
training has been provided in
Northern Ireland now for more
than three decades. There are
February 27-March 4, 2012
currently 1512 dental nurses from
Northern Ireland registered with
the General Dental Council, with
many more dental nurses undergoing training in various providers.
The new National Examining
Board for Dental Nurses (NEBDN)
Diploma in Dental Nursing is
the qualification that is delivered
throughout Northern Ireland by
many training colleges and educational providers.
Courses provided can vary from:
• Full time – college attendance
three days per week and a two
day placement in various GDP’s,
community, hospital and specialist clinic
• Part time day release attending
college one day per week and four
days in general practice
• Part time evening classes while
working in practice
On successfully passing the
exam and GDC registration the
dental nurse can then progress to
a course where they can complete
additional qualifications/additional skills.
C
M
Y
CM
MY
CY
CMY
K
Following on from the underpinning knowledge being provided for dental nurses in Northern Ireland, the Northern Ireland
Medical and Dental Training
Agency (NIMDTA) provides many
courses for dental nurses to update their core knowledge. Some
of these courses include Medical
Emergencies, Radiography, IPC,
Complaints and Legal & Ethics
further to this dental nurses can
add additional skills to their portfolio: Intra Oral Photography or
Cannulation for Sedation Qualified Nurses to name but a few.
Decontamination workshops
have also been developed by NIMDTA to enhance the knowledge of
the members of the dental team
when it comes to the handling and
usage of decontamination equipment used within the dental surgery. This is also supported by “in
practice” training sessions which
are currently up and running. This
means that the entire dental team
can undertake this training simultaneously in their own environment. This has real and obvious
benefits for the personnel involved
and individual.
For full contact information for
all training providers in Northern
Ireland please contact NEBDN or
visit their website www.nedbn.
org. DT
About the author
Leigh Morrison qualified as a dental
nurse after passing her exam at Newcastle Dental Hospital in 1995 and she
has worked in general practice, orthodontics, private dentistry as well as for
the Ministry of Defence. She gained her
Radiography Certificate in 1999. Leigh
was awarded her C&G 7302 in February
2006. In 2006 Leigh started work with
NHS Education for Scotland as a Regional Dental Nurse Tutor where she went
on to gain her C&G 7303 & 7304 and is
aiming to complete the C&G 7305 later
this year. Leigh is also an examiner for
NEBDN National Certificate.
[23] =>
2
R
01
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IN A SS OCI AT I ON WI T H
Seminars
Occlusion & Aesthetics
Ian Buckle BDS
John C. Cranham DDS
Senior Faculty Member, Director,
The Dawson Academy UK
Ian is the first International
member of the senior teaching
faculty at the Dawson Academy
for Advanced Dental Education
in St. Petersburg, Florida. Ian
is directly involved in hands-on
courses within the curriculum.
Ian has over 20 years experience
in general practice both in private
sector and NHS and lectures
nationally and internationally on
functional and aesthetic dentistry.
Clinical Director,
The Dawson Academy
Dr. Cranham is the Clinical
Director of The Dawson Academy
where he is involved with many of
the lecture and hands-on courses
within the curriculum. As an
active educator, he has provided
over 650 days of continuing
education for dental professionals
throughout the world.
Lecture & Hands On
Comprehensive Dentistry
Wirral Core Curriculum Series 2012 UK
3 Day Lecture & Hands On. (23hrs CPD)
Fees: £1695+VAT for each module
Location: Wirral
Winter 2012
Summer 2012
Module 1: Comprehensive Examination
& Records
Jan 19th-21st
May 24th-26th
Module 2: Treatment Planning Functional
Aesthetic Excellence
Mar 8th-10th
Jun 21st-23rd
Module 3: The Art & Science
of Equilibration
May 3rd-5th
Sep 13th-15th
Module 4: Restoring Anterior Teeth
Jul 5th-7th
Nov 15th-17th
Fully Booked
Fully Booked
The Dawson Centre UK
The Dawson Academy
Core Curriculum
Testimonials
The Dawson Academy is a postgraduate educational
facility dedicated to the advancement of dentistry.
All our instructors are practicing dental professionals
who have implemented the Dawson teachings
into their own practices and bring that real-world
experience back into the classroom.
The Core Curriculum at The Dawson Academy UK has
been developed as a complete plan for general dentists,
specialists and dental practice team members striving
to develop a highly effective practice. The continuing
education courses have been designed to clarify the
concepts and provide hands-on training in the skills that
are needed to practice master quality, complete dentistry.
“I would recommend this course to everyone that wants
to move away from single tooth dentistry and more into the
realms of full mouth dentistry. The great thing is it also
improves your decision making for the simpler cases.”
Harvinder Singh Thiara, Nottingham
The recommended path of learning through the
basic Core Curriculum will provide the principles
and skills necessary for the successful practice
of complete, quality, predictable dentistry
with primary concentrations in occlusion, the
temporomandibular joints and comprehensive
aesthetic restorative dentistry.
CORE CURRICULUM
Hands On
Comprehensive
Examination
& Records
Our dental continuing education hands-on classes
are held at The Dawson Centre UK and are limited
in enrollment to afford participants the maximum
opportunity to practice the skills in a hands-on format.
We utilise state of the art learning techniques to ensure
that students go beyond just understanding principles to
actually being able to implement the concepts and skills
in their practices.
Treatment Planning
Functional Aesthetic
Excellence
The Art & Science
of Equilibration
Restoring
Anterior Teeth
“My clinical confidence has grown immensely and my case
assessment feels stress free now. The uptake for work, and
therefore my income, has increased massively. I had easily
recouped my investment in the course fees plus a lot more
in just six weeks.”
Tim Earl, East Sussex
“Great atmosphere, a lot of fun!”
Thomas Milstram, Sweden
“Ian Buckle is incredibly knowledgeable, approachable
and realistic.”
Jacqueline Fergus, Aberdeen
“I felt the pace of theory and hands on was spot on, clearly
understandable processes to take back to my own practice.”
Steven Rees, Buckinghamshire
“Life-changing (dentally!) every dentist should attend.”
Neeta Shah, Middlesex
For more information on our Core Curriculum, team events and guest lectures or to book a place please contact us:
sal@bdseminars.com
+44 (0)151 342 0410
www.bdseminars.com
The Dawson Academy UK | Hilltop Court | Thornton Common Road | Thornton Hough | Wirral | CH63 4JT | UK
[24] =>
24 DCPs
United Kingdom Edition
February 27-March 4, 2012
Making dental history this year
Mhari Coxon discusses modern concepts in periodontal instrumentation
I
are privileged enough to be
presenting ‘Modern Concepts
of Periodontal Instrumentation’ at the Dentistry Show
2012 at the NEC. This is set
to be a unique experience,
the first of its kind in the UK
siasm of on Dr Matthew Perkins, I find myself in just that
position.
have to say, saying to
someone “I am going to
be a part of making dental
history this year” is not something I had put on my goal list
for 2012. But, with a little blue
sky thinking and the enthu-
Modern concepts
On Saturday the 3rd March
2012, Mathew Perkins and I
and it aims to simultaneously broadcast a lecture at the
same time as a patient is being treated in the live theatre
space at the event. This will
enable you to be in the lecture
theatre and see the treatment
live on screen as Mathew discusses the concepts or for
you to take a seat at the live
theatre and watch the lecture
on the screens while the patient is being treated. The
patient will be treated in real
time and therefore I will be
working with them for around
an hour.
Back to basics
Periodontal
instrumentation should be back to basics stuff, but the number of
dentists and DCPs that ask
for assistance in this matter is huge. When I get feedback from course, there are
always a number of requests
for hands on instrumentation.
And if it is not an everyday
used skill, as it is for many
dentists, then we could all do
with a refresher.
ER
T
S
I
REG FOR
*
NOW
‘Periodontal instrumentation should
be back to basics
stuff, but the number of dentists and
DCPs that ask for
assistance in this
matter is huge’
RT
* D EL
E
E
R
F
G
H £ 499
The aim of the presentation is to revise the aetiology of periodontitis, and the
rationale for non-surgical
treatment of the disease. In
practice, good non-surgical
periodontal treatment can
O
E
AT
E PA S S W
We’ve squeezed more in…
so you can get more out
The Dentistry Show is back with a
world-class clinical and business
CPD programme across six
streams for every member of your
practice team.
more than 55 hours of seminars,
lectures and clinical workshops
including Didier Dietschi, Michael
Morgan, Jeff Blank and Steve
Rasner.
The biggest ever exhibition floor
is brimming with more than 300
UK and international suppliers,
and our live surgery theatre will
demonstrate some of the latest
aesthetic procedures.
When it comes to helping forward
thinking dental professionals
to stay at the forefront of the
profession – The Dentistry Show
has it covered. And here’s the best
news of all – it’s still completely
FREE to attend.
The conference features an
international speaker faculty
of over 60 lecturers presenting
Supported By:
Live Theatre Sponsors:
Register now for free...
Sponsored By:
www.thedentistryshow.co.uk/Tribune
CPD Partner:
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ION
treat the majority of patients.
The concept that we no longer
need to scrape the root until
glassy smooth is something
that has passed many by, and
the presentation will show us
why it is no longer necessary
and what we should be aiming
to achieve when we debride
our patients with periodontitis. Mathew’s engaging realistic lecture style makes this
subject accessible, absorbable
and achievable.
Know your Langer
Many in the profession will
have trained with the use of
universal curettes and the
concept of site-specific curettes is intimidating. Knowing your Langer from your
[25] =>
United Kingdom Edition
Gracey is important when you
start to build a periodontal
debriding kit. Again, we will
run through these and their
uses in detail, with the live
link up meaning that while
we talk about the instrument,
you can watch its correct use
direct from the live theatre.
The use of more efficient
Gracey curettes means the job
is done better and also saves
your posture for the years
ahead. I will be using loupes
throughout and show some
techniques to reduce operator
fatigue to make debriding a
full mouth an easier task and
not tiring. I will also be using
the smallest blades possible
to ensure patient comfort and
better access.
We will then be talking
about ultrasonic and sonic instrumentation and their role
on non-surgical treatments.
Again, the rationale and correct techniques will be revised
and their use demonstrated
live on a patient.
‘At the end of the presentation, delegates
should have a clear understanding of the
rationale for periodontal debridement in
the 21st century ’
Mathew will also be guiding us on when to refer on a
case to a specialist. It is better for the patient to recognise
and refer quickly to allow for
more treatment options.
The conclusion will neatly
wrap up the tips, techniques
and instruments discussed
throughout the session, and
allow delegates to ask clinical questions to both Matthew
and myself. At the end of the
presentation, delegates should
have a clear understanding of
the rationale for periodontal debridement in the 21st
century and have been introduced to some ways of achieving gold standard outcomes
safely and effectively for the
patient and indeed, for themselves.
The presentation takes
place at Dentistry Show 2012
at the NEC on Saturday 3rd
March at 11.15am in the Hygiene and Therapy Lecture
Hall and simultaneously in the
Live Theatre.
We look forward to seeing
you there. DT
PERIODONTAL
STANDARD GRACEY
CURETTE
SG5/675
AFTER FIVE
GRACEY CURETTE
SRP11/1273
Adjuncive therapists
In the final section, adjunctive
therapies
such
as SYLC (an air polishing
system which repairs and
builds the root surface as you
use it, rather than removing
tooth surface), laser therapy
and the role of topical antimicrobials will be discussed and
Matthew will give his own
opinions on their efficacy and
indications.
MINI FIVE
GRACEY CURETTE
SAS7/877
About the author
Mhari has 20 years
experience in dentistry, working as a
nurse, receptionist,
oral health advisor
and ultimately hygienist in a variety
of practice environments. She is
passionate about
her profession. At present, she works
as Senior Professional Relations Manager for Philips Oral Healthcare and
clinically as a hygienist in central
London. From Chairing the London
BSDHT for 3 years, and working as an
MD; Mhari excels at motivating and
co-ordinating a team and utilising
skills, decentralising leadership and
developing self efficacy in members.
Throughout her career Mhari has developed hygiene protocols and plans
in practices which have continued to
be used with great success. Mhari is
Clinical Director for CPDforDCP Ltd,
a training company offering motivational and interactive development
courses to the dental team. A keen
writer, Mhari is on the Publications
Committee of Dental Health, the British Society of Hygienists and Therapists (BSDHT) Journal, has a conversational column in Dental Tribune
and writes articles for many other
publications and online sites. As a
speaker Mhari has presented regionally, nationally and internationally for
many groups including Talking Points
in Dentistry, the British Orthodontic
Society Specialist group, the BSDHT,
the BDA, the International Symposium of Dental Hygiene, the dentistry
show and many others. In 2006 she
was the Probe Awards hygienist of the
year, and was highly commended in
2010. 2011 saw her placed 15 in the
Dentistry Top 50 most influential people in the UK.
DCPs 25
February 27-March 4, 2012
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That means less frequent sharpening,
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designs to be used on specific tooth surfaces, thus improving adaptation and deposit removal. Also referred to as
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terminal shank (3mm) provides better clearance around crowns, and superior access to root contours and pockets
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[26] =>
26 Advertorial
United Kingdom Edition
February 27-March 4, 2012
Resolving severe upper anterior crowding
with ‘invisible’ orthodontic splint therapy
Dr Gary Dorman leads us through the treatment of maxillary crowding using InLine orthodontic splints
Fig 1 Initial situation frontal view
P
eople of all ages want a
beautiful, natural smile as
well as healthy teeth and
gums. An increasing number of
adult patients with anterior spacing or crowding adults are willing to undergo orthodontic treatment in order to achieve this.
Fig 2a and b Initial situation lateral views
from occlusion (Fig 2, 3, 4). UR2
was noticeably labial to UR1. UR1
was retro-clined, indeed both
centrals were mal-aligned. UL2,
UL3 and UR3 were also marginally mal-aligned.
As a part of the diagnostics, a
‘ In many cases, invisible splint/ brace therapy can be applied successfully’
However, they usually want the
appliance to be as inconspicuous and comfortable to wear as
possible. In many cases, invisible
splint/ brace therapy can be applied successfully. In this case the
anterior crowding was treated
with In-Line splints, produced in
Germany by Rasteder Orthodontic Laboratory (www.in-line.eu).
Initial situation
The patient wanted to resolve her
severe maxillary crowding in order to improve both the appearance of her smile and her dental
hygiene. She expressed a desire to
have the mal-alignment corrected with a therapy which should
be as invisible as possible. The
severity
of
the
crowding
was not immediately apparent from a frontal view (Fig
1). However, the mal-alignment is more clearly seen
when viewed from the side or
Fig 3 Occlusal view of severe maxillary
anterior crowding
model and OPG were produced.
Clinical examination showed
that the patient’s teeth and gums
were otherwise healthy with no
problems relevant to orthodontic
treatment.
Treatment decision
The patient was informed about
all the available treatment options. In addition to treatment with
In- Line splint therapy, the possibility of fixed brackets was also
discussed. However, even braces
made of tooth coloured ceramics were rejected by the patient
on both aesthetic and comfort
Fig 4 Occlusal view of mild mandibular
anterior crowding
grounds. The patient was shown
a sample of an In-Line splint to
get an impression of the material,
the robustness and the thickness
of the splint. This solution met
her need for comfort; the splints
affect the patient’s speech only
initially and are visually barely
noticeable. In-Line’s laboratory
charges are also significantly
lower than some competitive
brands, which brings the treatment within the reach of a wider
range of patients.
An In-Line splint
Treatment planning
A quotation with treatment
recommendations
and
a
3D digital set-up was requested from In-Line. The 3D
set-up includes seven images
of the final situation, allowing the patient to see how her
teeth will appear post treatment from all angles. (Figs 5,
6, 7). An overlaid image showing the movements made by
each tooth is also provided. (Fig
8) In addition to the 3D setup photographs, study models
of the anticipated final situation
were also requested.
The
treatment
plan
prescribed
seven
splints
for the upper arch and four
splits for the lower. In-Line
splints must be worn for fivesix weeks; each splint can effect a
movement of up to 0.6mm.
Fig 2b
between five designated contact points in the upper arch.
IPR was not required on the
lower arch. In-Line’s state of the
art software is able to accurately
calculate the amount of IPR required in advance of treatment.
Treatment progress
The patient was given new splints
successively at individual checkup appointments, at intervals of
approximately six weeks. Interproximal enamel reduction was
carried out incrementally over
the first three to four splint fittings, until the enamel had been
reduced by the specified amount.
The patient’s compliance
was excellent and made a
significant
contribution
to
the success of the treatment.
She wore the splints for the
recommended
time
of
at
least 18 hours a day and the
treatment goal was reached
ahead of the scheduled eight
– 10 months. (Fig 9, 10, 11,
12, 13).
A comparison of before and
after study models shows the impressive results achieved with
around nine months of invisible
splint / brace therapy (Fig 14, 15).
The treatment recommendations proposed slight interproximal reduction of 0.15mm
A
comparison
of
the
study models showing the anticipated final situation (sent
by
In-Line
pre-treatment)
and the post treatment study
models shows that the treatment
goal had been achieved almost
perfectly. (Fig 16, 17)
Fig 5
Fig 6
Retention
Long
term
retention
is
crucial following adult orthodontic treatment in order to avoid the
risk of potential relapse. In-Line
initially supplies a retention splint
with each splint set, however this
splint is only intended to be a
short term solution. The Laboratory also supplies two products
for
long
term
retention;
an
unbreakable
retention
splint to be worn for threefour nights per week and a
‘Long term retention is crucial following adult orthodontic treatment
in order to avoid
the risk of potential
relaps.’
3–3 bonded wire retainer.
The patient opted for a 3–3 bonded wire retainer as her chosen
method of long term retention. DT
Fig 7
Fig 8
[27] =>
United Kingdom Edition
February 27-March 4, 2012
Advertorial 27
About the author
Gary Dorman
BDentSc
Gary
Dorman
trained in Dublin
and qualified in
1990. He joined
the Hartley Dental Practice in
Kent as an associate in 1991 and
became Principal in 1998. He
first discovered
In-Line in 2007
having
treated
himself with the
system. He has
since successfully treated many of his
patients with the system as part of his
General Dentistry. If you would like
more information please email Gary
at garydorman@hotmail.com, call
the Hartley Dental Practice on 01474
703484, or visit the website www.hartleydentalpractice.co.uk
Fig 9 Frontal view after treatment but
before whitening
Fig 10 Frontal view after treatment and
whitening (teeth in protrusion to show
alignment on both arches)
Fig 12 Lateral view (left) before and after comparison
Fig 14 Upper study models before and after treatment
Fig 11 Before and after comparison
Fig 13 Lateral view (right) before and after comparison
Fig 15 Lower study models before and after treatment
L - Fig 16
R - Fig 17
The clear choice for straighter teeth!
In-Line®, the favourably priced
alternative from Germany!
For further information please contact:
Rasteder Orthodontic Laboratory UK Office
Nick Partridge ·UK Sales Manager
174 Lode Lane · Solihull · B91 2HP
Tel. +44 (0)121 244 0827 · Mobile+44 (0)7970 207377
nick@in-line.eu · www.in-line.eu
» In-Line® splints correct the
position of the teeth without
compromising the appearance
of the patient.
» In-Line® splints have a continous
effect on the teeth ensuring a smooth
movement to the required position.
[28] =>
28 Industry News
Astra Tech Dental - Stand
no E30
At Astra Tech Dental we
aim to provide dental
professionals
with
the
freedom
of
unlimited
possibilities when it comes
to implant therapy. Our products and solutions are designed to help make
your job easier, but we never compromise on reliable long-term function and
aesthetics, all for the benefit of the patient. In fact, the Astra Tech Implant
System™ is one of the most thoroughly documented implant systems in the
world.
As an open-minded company, one of our core values is freedom, which is why
we also offer open solutions for all major implant systems. Open solutions from
Astra Tech Dental include Atlantis™ – patient-specific abutments for cementretained restorations and Cresco™ – precision method for screw-retained
restorations.
United Kingdom Edition
BioHorizons – dedicated to dental implants
BioHorizons is proud to be exhibiting its dental implant products on stand M35
at the Dentistry Show, to be held on 2 and 3 March at the NEC.
On show will be BioHorizons’ four comprehensive implant lines, including LaserLok, and three small diameter systems, covering virtually every surgical and
prosthetic indication or clinician preference.
Also available to view will be biologic products scientifically proven for a wide
range of soft and hard tissue applications, prosthetics not only covering a wide
range of indications and patient conditions, but also manufactured to some of
the tightest machine tolerances in the dental industry, as well as a broad range
of instruments and motors to meet your needs.
February 27-March 4, 2012
Live demonstration - Digital
Dentistry... the ultimate in patient
care
Market leaders in implant dentistry
Straumann will be demonstrating
the latest digital solutions including
the iTero digital impression system, alongside their clinically proven dental
implant system and regenerative range.
Additionally delegates will be able to learn more about the iTero digital
impression system at the workshop ‘Digital Dentistry... the ultimate in patient
care’ delivered by Paul Abrahams BDS and Ashley Bryne on Saturday 3rd March
between 10 and 11am in the ADI implant lecture theatre.
BioHorizons is also delighted to present Dr Ken Nicholson, who will be speaking
about ‘The Laser-Lok Advantage’ on Saturday 3 March between 1.15pm and
2.15pm, as part of the Association of Dental Implantology’s parallel two-day
programme of workshops and industry conferences.
During this workshop Paul and Ashley will provide a complete guide to using
both the clinical and technical stages of iTero and Straumann CADCAM,
demonstrating the accurate fit and outstanding aesthetics this technology
delivers.
Call: 0845 450 0586, E-mail: implants.uk@astratech.com
For more information, please call 01344 752560, email infouk@biohorizons.
com or visit www.biohorizons.com.
If you are unable to attend the workshop visit Straumann on Stand C43 or call
01293 651230 for more information. www.straumann.com www.straumanncares-digital-solutions.com
Implantology motors with big
differences . . .
If you’re looking for a motor to make
implant surgery easier for you and
more pleasant for your patient, look
no further than Acteon’s i-surge and
i-surge + units.
The i-surge + is a powerful motor
in a robust aluminium case with
reliable electronic speed and torque
control. This high technology, autoclavable micromotor offers high power in
any surgical procedure, and a smooth, stable motion to ensure precision.
There are no brushes and no lubrication is needed, making the micromotor
totally maintenance-free. A special “No-Drop” system eliminates additional
irrigation leakage when pump flow is stopped.
The calibration system on both of these units guarantees a perfect match
between the micro-motor and the contra-angle prior to use for setting exact
values. With five customizable, memorized programs, seven contra-angle
ratios, compatibility with all contra-angles - thanks to E-type – ISO 3964
connection - and a large multifunction footswitch equipped with pressure
sensors for an extended life, you will soon find these motors indispensable in
practice.
UCLan
UCLan’s School of Postgraduate
Medical and Dental Education was
established in 2006 and provides
a growing portfolio of part-time
awards for the whole dental
team. The focus is on Continuing Professional Development, providing the
opportunity to further skills and education in specialist areas, whilst maintaining
clinical practices. The School works in conjunction with governing dental bodies,
ensuring that the curriculum offered facilitates transferable skill development.
Denplan – helping increase practice profitability
The Denplan Ninjas’ mission to make your practice more profitable is gathering
pace this year on stand H43 at the Dentistry Show in Birmingham.
Our academic team are available on Stand K47 throughout the Dentistry
Show to offer advice on our wide range of courses. Alternatively, you are welcome
to visit our website at www.uclan.ac.uk/med-dent or email meddent@uclan.
ac.uk.
Now part of Simplyhealth, Denplan can focus on continuing its support for
member dentists and continue helping more people in more ways to look after
their health. As such, the Denplan’s Ninja team will be demonstrating its unique
new business app, which calculates how much the gaps in your appointment
book are costing your practice. They will also be showing how the steady
income you can expect from your Denplan membership and the regular
attendance of Denplan patients can increase your practice’s profitability.
Denplan patients attend appointments nearly twice as often as PFPI patients*,
so to find out how working with us can help your business thrive, go to stand
H43 and speak to one of our committed Ninja Consultants,
or go to www.denplan.co.uk
*Source: Denplan / YouGov survey. 3106 adults interviewed online January /
February 2011.
If you need to transport implant equipment, the i-surge is your ideal choice.
It is the most compact implantology motor on the market, but still retains all
the key features.
Take your practice to the next
level: See Carestream Dental at
The Dentistry Show 2012
Don’t miss out on the latest
innovative practice management solutions; visit Carestream Dental at The
Dentistry Show from the 2nd to 3rd March 2012 at the Birmingham NEC.
Exhibiting cutting-edge equipment and technology, Carestream Dental has
solutions to help any practice take care of CQC and HTM 01-05 compliance,
while transforming productivity and profitability. The Carestream team will
be on hand to demonstrate new launches including: • CS 7600: making the
transition to digital radiography easy and affordable • CS 9300: all-in-one
extraoral imaging with 3D technology and multiple fields of view • E-Forms:
a radical new product that takes signed consent forms into the digital realm
• Patient Survey: find out how your service compares with the national and
regional average, and where you need to improve
• CS 1600: multi-purpose intraoral camera with best-in-class image quality.
Discover a range of state-of-the-art solutions that are straightforward to
integrate into the practice. Enjoy smoother workflow and greatly enhanced
efficiency that takes your practice to the next level.
For more information, contact Carestream Dental on 0800 169 9692 or visit
www.carestreamdental.co.uk
DMG UK
Visit Stand K27 and see the NEW
Flairesse from DMG UK!
Visitors to Stand K27 will be able
to see all the latest innovations
from DMG UK including their
NEW Flairesse prophylaxis system,
which offers the choice between
paste, foam, gel or varnish, all
containing xylitol 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. The NEW Flairesse prophylaxis system is the latest addition
to DMG’s preventative range which also includes Icon, their revolutionary
treatment for incipient caries and carious white spot lesions…without drilling!
Icon is an innovative caries infiltration therapy. It represents a breakthrough in
micro-invasive technology that reinforces and stabilizes demineralised enamel
without the need for drilling or sacrificing healthy tooth structure. It offers a
simple alternative to the “wait and see” approach, enabling Dentists to offer an
immediate treatment without unnecessary loss of healthy tooth structure. Total
treatment time about 15 minutes.
For further information visit Stand K27, 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
Heka Dental
Don’t miss Herluf Skovsgaard at the
Dentistry Show
Forgotten to book your place on one
of the free 45 minute CPD Seminars by
Herluf Skovsgaard, the world-renowned
expert in ergonomics, workingmethods and organisation within dental
practices?
There might still be time? Subject to
availability, delegates are invited to
book one of the remaining places by
visiting DB Dental’s Stand E50. Seminars will run on the hour throughout the
course of both days. An opportunity not to be missed, Herluf will present
practical advice that will improve you practice efficiency and ergonomic
well-being, enabling you to work less and earn more! Visitors to Stand E50
will also have an opportunity to see some of Heka Dental’s bespoke UNIC
treatment centres, which combine aesthetic beauty with state-of-the-art
ergonomic efficiency. Available in a wide range of inspirational colours, UNIC
is the epitomy of ergonomic design. Heka Dental call it intuitive design and
functionality – everything is exactly where you would expect it to be, making
even complex clinical procedures easier, more efficient and comfortable for
the patient and dental team.
For further information on the complete range of Heka Dental equipment visit
Stand E50, contact DB Dental on 01484 401015 or visit www.heka-dental.com
Software solutions to drive your
practice forward
Software of Excellence has a
range of software-based solutions
designed to help you face the
challenges of 2012. One of Software
of Excellence’s initiatives for 2102 is
the “Best Practice Check Up” - a unique, easy and complimentary service that
analyses performance using individual practice data. The report identifies
where opportunities exist enabling our business consultants to suggest ways
to maximise your competitive advantage. Also new for 2012 is Software of
Excellence’s on-line appointment booking module. This unique software
provides a convenient on-line appointment booking facility and integrates
it with the overall recall management process, increasing recall success rates,
leading to improved chair-side utilisation. Over 200 UK practices have now
benefited from the remarkable insight provided by SoE’s THRIVE programme
and you can learn more about how your practice can benefit by talking
direct to a THRIVE consultant at The Dentistry Show. Using the powerful data
within EXACT™, THRIVE provides up-to-date business information helping
with the development of specific strategies to improve practice efficiency by
streamlining administrative duties and highlighting shortfalls in performance.
For first-hand advice or a demonstration of EXACT™ visit Stand F15 or go to
www.soeidental.com. The Best Practice Check Up can be completed on-line at
www.soebestpractice.co.uk or can be completed at Stand F15.
Visit Smile-on at The Dentistry
Show 2012
Smile-on are dedicated to inspiring
better care with values centring
on supplying highly professional,
accessible and effective learning. Providing core CPD, dental nursing courses,
communication in dentistry and oral cancer courses, Smile-on are involved
with bringing those in the dental industry into the know. From education
support systems to web services and interactive learning products, Smileon can maximise your professional potential. Partnership, imagination,
innovation, creativity and potential are key words to sum up Smile-on’s
philosophy. Thinking outside the box and presenting educational options
to you in the dentistry field is Smile-on’s promise. For Smile-on, innovation
is not just about technology or finding new and different ways to enhance
the learning experience. It is also about finding new and different ways to
communicate and engage with all those who are important to them. Smile-on
will be exhibiting on the 2nd and 3rd of March at The Dentistry Show 2012, one
of dentistry’s fastest growing events. They will be part of an outstanding show
that must not be missed.
An hour without a smile is a wasted hour: Smile-on
For more information call 020 7400 8989, visit www.corecpd.com or
email info@smile-on.com
Find out more about Sensodyne
Repair & Protect at the Dentistry
Show 2012
Visit stand B35 to discover how
Sensodyne Repair & Protect can
actually help repair your patients’
exposed dentine1,2. With twice
daily brushing the NovaMin® bioactive technology builds a substantive
hydroxyapatite-like layer over exposed dentine and within dentine tubules, to
help prevent sensitivity1-5.
Trial size packs and information on GlaxoSmithKline Consumer Healthcare’s
(GSK’s) other oral care brands will also be available, including details of the
Corsodyl Gum Care Pack, which is available free to practices.
References
1) Earl JS et al. J Clin Dent 2011; 22 (Special Issue): 68-73.
2) Earl JS et al. J Clin Dent 2011; 22 (Special Issue): 62-67.
3) Salian S et al. J Clin Dent 2010; 21 (Special Issue): 82–87.
4) Du MQ et al. Am J Dent 2008; 21 (4): 210−214.
5) Pradeep AR & Sharma A. Journal of Periodontology 2010; 81(8): 1167-1173
[29] =>
United Kingdom Edition
BioHorizons – dedicated
to dental implants
BioHorizons is proud to be
exhibiting its dental implant
products on stand N20 at
the first ever Scottish Dental Show, to be held on 24 and 25 May at Hampden
Park in Glasgow.
On show will be BioHorizons’ four comprehensive implant lines, including
Laser-Lok, and three small diameter systems, covering virtually every surgical
and prosthetic indication or clinician preference.
Also available to view will be biologic products scientifically proven for a wide
range of soft and hard tissue applications, prosthetics not only covering a wide
range of indications and patient conditions, but also manufactured to some of
the tightest machine tolerances in the dental industry, as well as a broad range
of instruments and motors to meet your needs.
For more information, please call 01344 752560, email infouk@biohorizons.
com or visit www.biohorizons.com.
February 27-March 4, 2012
BioHorizons – dedicated to
dental implants
BioHorizons is proud to be
exhibiting its dental implant
products on stand 25 at the Irish Dental Association’s annual conference, to be
held between 17 and 20 May at the Malton Hotel in Killarney.
On show will be BioHorizons’ four comprehensive implant lines, including LaserLok, and three small diameter systems, covering virtually every surgical and
prosthetic indication or clinician preference.
Also available to view will be biologic products scientifically proven for a wide
range of soft and hard tissue applications, prosthetics not only covering a wide
range of indications and patient conditions, but also manufactured to some of
the tightest machine tolerances in the dental industry, as well as a broad range
of instruments and motors to meet your needs.
For more information, please call +44 (0) 1344 752560, email infouk@
biohorizons.com or visit www.biohorizons.com.
Industry News 29
Not to be missed! CosTech Elite
celebrate 35 years of smiles with
ZirconArch
Now celebrating 35 years as a leading
supplier of dental restorations,
CosTech Elite is offering patients
and clinicians alike a significant
saving on all ZirconArch crowns and
bridges throughout April 2012.
Throughout the month of April 2012, CosTech Elite is supplying ZirconArch
crowns and bridges at a price of just £35 each as a Happy 35th Birthday to all
of their customers, presenting an outstanding saving on a genuinely beautiful
smile for all patients NHS or Private.
Presenting a perfect balance between strength and aesthetics, ZirconArch
crowns and bridges from CosTech Elite provide patients with a beautiful
restoration that is truly built to last.
Produced entirely in ceramic, ZirconArch restorations offer superior colouration
and subtle translucency to standard porcelain fused to metal implants, and
CosTech Elite technicians can perfectly match the shade of the patient’s
existing teeth for a seamless, natural appearance.
ZirconArch crowns and bridges also provide excellent biocompatibility, and
with CosTech Elite’s impression technology, offer a perfect gum fit.
For further information call CosTech Elite® on 01474 320 076,
Email info@costech.co.uk, or visit www.costech.co.uk.
Enhance your infection control
procedures with the “CLEAN”
instrument cleaner
The Dental Directory stocks a wide range
of Infection Control products from some
of the industry’s leading manufacturers,
including “CLEAN” from Techno-Gaz
(DQX 100).
“CLEAN” is a simple system for cleaning
excess cement and alginate from
hand instruments prior to starting the
sterilisation cycle. It also effectively reduces clinicians’ exposure to potentially
infectious materials.
The device consists of an ergonomic container with both an inner and outer
chamber, and integrated brush. To use the device simply fill the inner chamber
with a recommended instrument cleaner such as UnoDent Instrument
Cleanser/Disinfectant GEV 010, GEC 000 or GIC 200, and push the hand
instrument through the brush with a “to and from” movement; repeat as
necessary to clean off excess material.
Cheokke newsflash
Reports just in have confirmed that Dental
Sky have taken leave of their senses!
They’re selling Cherokee scrubs on a BUY 3
GET 1 FREE deal this month. That’s right….
if you order any 4 items, you’ll receive the
cheapest one FREE*.
Cherokee is USA’s most popular choice
of scrubs by healthcare professionals. So
don’t miss out, and call 0800 294 4700 or
visit www.dentalsky.com to see the full
range of styles and colours.
*Excludes patterns. Offer ends 30th March
2012.
Instruments can be left in the outer ring to drain. For more information, contact
The Dental Directory on 0800 585 586, or visit www.dental-directory.co.uk.
Composi-Tight 3D Best for Class II’s
The Composi-Tight 3D Sectional Matrix
System from Garrison Dental Solutions
has been named the 2012 Top Sectional
Matrix and Preferred Sectional Matrix by
The Dental Advisor. Composi-Tight 3D
produces tight anatomically accurate
contacts at the height of contour with
virtually zero flash, accomplished with
three dimensionally contoured Soft Face
tips that conform to the surface of the
tooth sealing the edges of the matrix
band. Composi-Tight is the only system to employ this technology. Separation
of the teeth, by compression of the periodontal ligaments, is produced by
stainless spring steel reinforced by advanced polymers. This combination
produces a ring that is fully steam autoclavable and retains its tension and
shape for hundreds of uses.
The advanced 3D separator rings are provided with Garrison’s new Slick Bands
non-stick sectional matrix bands. These dead soft, pre-contoured, ultra-thin
matrix bands are available in 5 sizes covering a wide range of cases. Bonding
agent adhesion to the matrix band is virtually eliminated allowing for easy
band removal while producing extremely tight contacts. This award winning
system is available from Garrison Dental Solutions in the UK by calling Lee
Haywood on +44 (0) 7772 788893 or lhaywood@garrisondental.co.uk .
Does your demo unit need an
MOT?
Oral-B want to ensure the
educational material they provide is
appropriate for its intended purpose
which is why most of the ideas are
generated from your feedback. A
couple of years ago Oral-B produced
some working display models to
support dental professionals in
their efforts to communicate proper
brushing technique. Depending on
the level of use, some of these units
may require a bit of an ‘MOT’ and
that’s why Oral-B is inviting practices to contact them if any elements of the
kit require replacing. Their customer service team will be calling practices over
a three month period to see if they require any replacement parts. If the unit
is looking a little tired, after two years of hard work, Oral-B will even replace
the entire unit for free. Practices should contact the Customer Service line on
0870-2421850.
The Oral B Triumph 5000 demonstration unit facilitates chair side instruction
and practical demonstration of the best brushing techniques and habits. This
tool will enable delivery of a much more powerful and long lasting message
and will be helpful in supporting communications with patients new to
electric toothbrushes and those whose regime needs modification. To ‘service’
your existing unit, call 0870-2421850.
Careers’ Day 2012: Finding the
Right Career Path
The
twelfth
annual
‘Career
Opportunities in UK Dentistry’
conference and exhibition was
a great success, hosted by the
UCL Eastman Dental Institute in
association with the British Dental
Association. Dental professionals
descended upon London’s Hotel
Russell on Friday 3rd February 2012 to discover ways to revitalise, progress
or change their career paths. Offering five hours of verifiable CPD, the event
provided access to leading speakers and key figures in dentistry, imparting
wisdom on employment issues, career planning and dental support agencies.
Opened by Professor Stephen Porter, Professor of Oral Medicine and Director
at the UCL Eastman Dental Institute, the event’s theme for 2012 was ‘What
Career Path is Right for You?’ His address was followed by a panel debate on
the changing face of the NHS, featuring Professor Porter; Barry Cockcroft
CBE, Chief Dental Officer; Jimmy Steele CBE, Head of School and Professor of
Oral Health Services Research at Newcastle University; and Peter Ward, Chief
Executive of the BDA. For the exhibition, delegates had a ‘visitor passport’ to
collect stamps from the stands and win prizes.
For more information on next year’s Careers’ Day meeting, please contact UCL
Eastman Dental Institute on 020 7905 1234 (email d.mifsud@ucl.ac.uk) or the
BDA events team on 020 7563 4590 (email events@bda.org).
Buy one. Get one Free
ChairSafe disinfectant is available in 200ml
foam dispensers, 500ml spray containers
and 1L and 5L refill containers. ChairSafe
disinfectant is alcohol free. Its mode of
action makes it very effective against HBV/
HIV/HCV/BVDV/Vaccinia, bactericidal and
fungicidal micro-organisms, MRSA and
influenza A (H1N1) viruses (pathogens of
swine flu).
Making a Good Impression:
Providing Performance
Mouthwear
Dr Peter Fine is principal dentist of
The Knoll Dental Practice in Barnet
and Director of Sports Dentistry at
the UCL Eastman Dental Institute.
He has recently become an
official provider of Under Armour
Performance MouthwearTM (UAPM)
This is an excellent time to buy the 5L
ChairSafe refill. It is available on a buy one
get one free offer until the end of March.
from Bite Tech.
“Custom-fit mouthwear is very straightforward to incorporate into the
practice,” says Dr Fine, “dentists are taking impressions every day of their
lives. With UAPM, you’ve got something that fits properly, is comfortable and
protects, so people are more likely to actually wear it!
HTM 01-05 published by the DOH,
recommends that Dental Chairs be
cleaned between every patient to minimise the dispersal of microorganisms.
ChairSafe is specially formulated to clean sensitive surfaces and equipment,
including the leather and synthetic facings of dental chairs. ChairSafe
disinfectants comply with the newly reclassified EC regulations regarding the
disinfection of medical devices, and all carry the CE mark.
For further information on special offers or to place orders call Jackie or Helen on
01793 770256 or visit our website www.kemdent.co.uk.
The LR appliance from Oralign
– a revolution in anterior teeth
alignment
The LR appliance from Oralign Ltd is
a fast and effective way to straighten
anterior teeth, and only requires
14-16 hours of wear per day. Dr Lisa
Godfrey of Smilestyle Signature, can’t
wait to bring the LR appliance to her
practice in Nottingham:
“I recently attended an LR Training Day held in Leeds and was impressed by how
informative and useful the course material was,” she says. “I’m now very much
looking forward to using the LR appliance. It will fit in nicely at our practice.
“One of the main benefits of the LR over its competitors is its size – it’s a lot less
bulky that other similar products on the market, and one of its main selling
points is that patients don’t have to wear it for a long time.
“Patient interest so far has been great – in fact I’m even considering using the LR
appliance myself!”
For clinical information please contact Dr Ross Hobson on 07710 243690 or
email: ross@oralign.co.uk
For information on administration please contact Dr Lester Ellman on 07973 875
503 or email: lester@oralign.co.uk
www.oralign.co.uk
“UAPM stops your teeth from coming completely together, so the muscles are
‘at rest’. This prevents the production of lactic acid, which causes fatigue, aches
and pains. If muscles are more relaxed, athletes are freed up to perform better.
“To start with, I’m targeting my existing patient list, making use of the biannual practice newsletter and placing other literature in the waiting room.
“Once the service has bedded in, I’ll look further afield to spread the word.”
For more information on how your patients can benefit from Under Armour
Performance MouthwearTM go to www.bitetech.com, call Nuview on
01453 872266 or email armourbite@nuview-ltd.com
United Smile Centres - Keeping your
patients smiling
At United Smile Centres we use state of
the art equipment to transform people’s
lives with our Permanent Teeth in a Day
treatment.
The procedure takes advantage of the dense
bone in the front part of the jaw, placing
implants at an angle to avoid the sinus
cavities in the upper jaw and the nerve canal
in the lower jaw.
Your referral could change your patient’s life. One such success story is Keith
Collins, a 67 year old who had battled with bad teeth all his life until he came
to us:
“United Smile Centres provided me with a phenomenal service. They reassured
and supported me every step of the way. I look ten years younger now and I
felt no pain at all throughout the process. I was warned that there could be
some swelling but I didn’t experience that. I’d recommend it to everyone! It’s
the greatest thing that has ever happened to me.”
For Keith, we provided a key alternative to traditional dentures and dental
implant techniques. With your referral we can help many more people like
Keith transform their lives, one smile at a time.
For more information about United Smile Centres visit
www.unitedsmilecentres.co.uk. Call 08008494959.
[30] =>
United Kingdom Edition February 27-March 4, 2012
De V is
n it
Sta tistry us!
nd S h
K 3 ow
1
FenderWedge
protects and separates
during tooth preparation
Dental Tribune UK
Editorial Board
Dr Neel Kothari
BDS Principal and General Dental Practitioner
Dr Stephen Hudson
BDS, MFGDP, DRDP
General Dental Practitioner
Mr Amit Patel
BDS MSc MClinDent MFDS RCEd MRD RCSEng
Specialist in Periodontics & Implant Dentist Associate Specialist Birmingham Dental Hospital
Professor Nick Grey
BDS, MDSc, PhD, DRDRCSEd, MRDRCSEd, FDSRCSEd, FHEA
Professor of Dental Education, National Teaching Fellow, Faculty Associate Dean for Teaching and Learning School
of Dentistry, Manchester
Professor Andrew Eder
BDS, MSc, MFGDP, MRD, FDS, FHEA
Director of Education and CPD, UCL Eastman Dental Institute
Mr Raj Rayan
OBE
Associate Dean of Postgraduate Dentistry, London Deanery
FenderWedge protects the tissue and
separates the teeth, simplifying the following
application of a matrix.It can be applied
buccally or lingually for optimal access and
vision. Available in four color coded sizes.
Dramatically less traumatic
for you, your patients and
their dentition
Dr Trevor Bigg
BDS, MGDS RCS (Eng), FDS RCS (Ed), FFGDP (UK)
Practitioner in Private and Referral Practice
Baldeesh Chana
RDH, RDT, FETC, Dip DHE
President, BADT and Deputy Principal Hygiene and Therapy Tutor, Barts and The London School of Medicine and Dentistry
Dr Stuart Jacobs
BDS MSD (U Ind)
Full-time Private Practitioner
Shaun Howe
RDH
Dental Hygienist
Dr Richard Kahan
DS MSc (Lond) LDS RSC (ENG)
Endodontic Specialist
Mrs Helen Falcon
Postgraduate Dental Dean, Dental School, Oxford & Wessex Deaneries
Professor Liz Kay
Dean of the Peninsula Dental School, Plymouth
Pam Swain
MBA LCGI FIAM MCMI BADN® Chief Executive
Mr Raj Rattan
Associate Dean, London Deanery
Published by Dental Tribune UK Ltd
© 2012, Dental Tribune UK Ltd.
All rights reserved.
Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Extraction Instruments
Luxator Periotomes are 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. The whole operation is performed
with a minimum of tissue damage.
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com
the validity of product claims, or for
typographical errors. The publishers also
do not assume responsibility for product
names or claims, or statements made
by advertisers. Opinions expressed by
authors are their own and may not reflect
those of Dental Tribune International.
Sales Executive
Joe Ackah
Tel: 020 7400 8964
Joe.ackah@
dentaltribuneuk.com
Design & Production
Ellen Sawle
Tel: 020 7400 8970
ellen@dentaltribuneuk.com
Editorial Assistant
Laura Hatton
Tel: 020 7400 8981
Laura.hatton@dentaltribuneuk.com
Dental Tribune UK Ltd
4th Floor, Treasure House, 19–21 Hatton Garden, London, EC1N 8BA
Follow us on Twitter
[31] =>
United Kingdom Edition
Classified 31
February 27-March 4, 2012
Whatever your management role.....
you can find a qualification to benefit you and your practice.
UMD Professional's range of qualification courses are
accredited by the Institute of Leadership and Management
and provide a practical management training pathway for
dentists, DCPs and practice managers.
ILM Level 3 Certificate in
Management
designed for senior nurses and
receptionists and new managers
taking their first steps in management
ILM Level 5 Diploma in
Management
for existing practice managers
and dentists
ILM Level 7 Executive Diploma
in Management
for dentists and practice business
managers, and accredited by the
Faculty of General Dental Practice as
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SPECIALIST DENTAL ACCOUNTANTS
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Tel: 0151 348 8400
Email: mail@moco.co.uk
Website: www.moco.co.uk/dentists
Are You Making These Retirement
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