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[1] =>
March 19-25, 2012
PUBLISHED IN LONDON
News in Brief
The dentist & King’s Crown
It has been reported that the
same dentist who brought
John Lennon’s tooth at auction
has now purchased the spare
tooth made for Elvis Presley.
The Canadian dentist, who
paid more than $30,000 for the
spare tooth, said in a report
that the auction for the King of
Rock n’ Roll’s tooth was ‘tough
to resist’ because like Lennon,
Elvis was an important cultural icon. According to a report,
the dentist, Dr Zuk, has been
asked to participate in a movie
related to celebrity DNA.
Dentist unlocks secret
A Hong Kong dentist is wielding forceps to help reach for
answers inside the last surviving example of the Seven
Wonders of the Ancient World,
the Great Pyramid of Giza. Reports have stated that dentist
Ng Tze-chuen, 59, has helped
organise a team to work with
Egypt’s former antiquities
minister Zahi Hawass to help
unlock the mystery surrounding two doors blocking two
narrow shafts in the pyramid,
which have left archaeologists
puzzled since they were first
discovered in 1872. Drawing
on the experience of his own
designs for dental forceps, Ng
Tze-chuen said his team will
mount tiny grippers on an
insect-sized robot which is expected to travel up the shafts
and drill into the doors. It will
carry a camera to record what
it finds.
Parents back advertising ban
A survey has suggested that
parents would like to see a
ban on junk food advertisement before the 9pm watershed. More than 1,000
parents took part in the poll,
which was commissioned by
the Children’s Food Trust,
and more than half of them
thought that advertisement
for sweets and unhealthy
foods made it difficult for
them to provide their children
with a healthy diet. According
to a BBC report, the majority
of the parents admitted they
could do more to help give
their children healthy foods,
however many of them admitted that they felt ‘pestered’
into buying unhealthy foods
by their children. As a result, two-thirds of the parents
who took part in the poll said
there should be a total ban on
commercials which advertise food that is high in salt,
sugar and fat before 9pm.
The poll was published as
the Children’s Food Trust and
the School Food Trust hosted
their first Children’s Food
Conference on Wednesday 7
March 2012 at the CBI Conference Centre, London.
www.dental-tribune.co.uk
DCPs
Feature
News
VOL. 6 NO. 7
Business
Direct
Rainforest remedy
Could flower be end for dental
pain?
page 6
The learning experience Q and As
.com
Direct
A ‘‘Smile makeover’’
Rupert Hoppenbrouwers discusses cosmetic treatments
Glenys Bridges looks at CPD
requirements
page 12
Direct.com
Lis Hughes provides
requirement advice
page 22
page 24
Tug of war
between
.com
Direct
dentists’ associations
Power struggle developing between CODE and DPA; claims of
‘illegal activity’ darken situation
I
n a move that had tongues
wagging at the recent
Dentistry Show, dental
association CODE has assumed the management of the
Dental Professionals Association (DPA).
In a recent press release,
Paul Mendlesohn, the Chief
Executive of CODE, confirmed that the Council of the
DPA has in fact accepted in
principle a proposal by CODE
to manage the DPA. Reasons
behind DPA’s decision to ‘join
forces with CODE’ were stated as ‘a result of falling membership levels’ and ‘concerns
over declining finances’.
A statement from DPA
has stated how the new joint
working relationship would
mean that DPA members
would receive ‘greater benefits’ such as access to CODE’s
management skills and ‘free
benefits’ including CODE Infection Control Prevention
kits and access to the employment legal helpline with
First Assist.
The DPA press release
also states that the new venture ‘means that members of
CODE and the DPA will both
benefit from the increased resources that joining forces will
bring’ however, it does stress
that ‘both organisations will
remain as completely separate
entities with their own unique
goals and objectives.’
Direct.com
Despite the positive noises coming from the joint
relationship, it would seem
that everything is not quite
clear cut. Some DPA members
are garnering support against
the ‘agreement’, claiming illegal activity on the part of
the DPA Council and not allowing DPA members a vote
on the decision. As displayed
on the DPA website www.ukdentistry.org, there is a backlash against the move and
many are prepared to resign
and withdraw their subscriptions if the decision goes
ahead.
Dental Tribune spoke to exTreasurer Neville Bainbridge,
who said: “Under the disputed
CODE Association Management Agreement, CODE has
been running the DPA on a
day-to-day basis since 1st
March. Therefore the press
releases put out by the ‘DPA’
and CODE have been written
by the same person. It was only
when I decided to go public
and the story broke on internet forums that the members
found out what was actually
happening behind their backs.
Direct.com
Direct.com
“Obviously it is difficult
Direct.com
to communicate with DPA
members if they are being told ‘officially’ that the
merger is going ahead, however I hope we are succeeding in communicating to
members what happened on
21st January (when a meeting was held to vote on the
possibility of a working
agreement).
“I would like to emphasise
that whatever the outcome,
our only motivation is to act in
an open and transparent way
in line with the wishes of the
members.” DT
Direct
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Direct.com
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.com .com
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.com.com
Direct
Call 01903 875787 or visit
EschmannDirect.com for details
Direct.com
[2] =>
2 News
United Kingdom Edition
March 19-25, 2012
Does your dental practice website
meet new GDC criteria?
D
entists are urged to
review their practice
websites to ensure they
comply with strict new GDC
guidance.
UK-wide dental defence organisation MDDUS is advising
every practice to check their
website includes all relevant and
up-to-date information as detailed in the GDC’s Principles of
Ethical Advertising.
Under the new rules, practice
websites must include a range of
information including the dentist’s professional qualification
and GDC number, the GDC’s address and contact details, details
of the practice’s complaints procedure and the date the website
was last updated.
MDDUS welcomes the clarity
of the GDC’s website criteria –
which came into force on March
1 – in an age where an increasing amount of information is accessed via the web.
The use of a website can help
a dental practice communicate
with and inform their patients
and the new guidance aims to
ensure all practice websites are
accurate and do not display misleading information, in line with
European regulation. The guidance sets out a clear breakdown
of what websites should display
to ensure they are accurate and
accessible.
MDDUS dental adviser Rachael Bell believes the guidance
benefits both patients and dentists. She says: “While a website
is no substitute for face-to-face
contact with patients, the new
guidance will help patients as it
ensures they are given clear and
accurate information that is easy
to access.
“For dentists, a website is a
useful tool to communicate with
their patients as information is
now so readily available online
and patients are ever more internet literate. Websites can also
be a great marketing tool, but
exactly what is being offered and
to whom needs to be clear and
accurate if dentists are to keep
themselves in line with the GDC’s
guidance.
site they will now know from the
GDC what information must be
included.”
The guidance asks for a dentist’s registration number to be
clearly displayed as well as their
professional qualification and the
country from which that qualification is derived.
“Most practices that have
websites will already have most
of the information that the GDC
are asking them to display but it
would be beneficial for practices
to re-check their websites in light
of the new guidance.
Other information that must
be displayed is the name and
address of the practice, contact
details including an email address and the GDC’s address or a
link to their website. There also
needs to be a section giving details of the practice complaints
procedure which should include
details of who patients can contact if they are not satisfied with
the response.
“If dental practices are exploring setting up their own web-
The guidance also states a dental practice website must not dis-
play information comparing skills
or qualifications with other dental
professionals and that all information on the website is updated
so it reflects the personnel at the
practice and the service offered.
“If a dental practice has a
website, it is imperative they
keep it as up-to-date as possible
as patients have a right to assume
all information on the website is
accurate,” adds Bell.
As well as websites, the guidance covers advertising services,
the use of specialist titles and
states all information or publicity material regarding dental
services should be legal, decent,
honest and truthful.
For full details of the GDC
guidance entitled Principles of
Ethical Advertising, visit www.
gdc-uk.org. DT
Goodbye to tobacco displays
O
n 6 April 2012, all large
shops in England will
have to hide tobacco products from view in a drive to cut the
number of smokers and protect
young people who are often the
target of tobacco promotion.
Sainsbury’s, The Co-operative
and Waitrose have already been
trialling hiding tobacco displays.
Other shops have just one month
to find out if they are classified as
a large shop, to plan how they are
going to cover up their tobacco
displays and to train their counter
staff on the new law.
Cigarettes and tobacco products are to be hidden from view
except when staff are serving customers or carrying out other dayto-day tasks such as restocking.
Ending open cigarette displays
will also help people trying to quit
smoking and help to change attitudes and social norms around
smoking.
Chief Medical Officer, Professor Dame Sally Davies said:
“More than eight million people
in England still smoke – it is our
biggest preventable killer and
causes more than 80,000 deaths
each year.
“Nearly two-thirds of current
and ex-smokers say that they
started smoking before they were
18, with 39 per cent saying that
they were smoking regularly before the age of 16.
“With only one month to go
until large shops need to cover
up their tobacco displays, we
will soon start protecting children and young people from
the unsolicited promotion of tobacco products in shops, helping
them to resist the temptation to
start smoking. This will also help
and support adults who are trying
to quit.”
Jean King, Cancer Research
UK’s Director of Tobacco Control, said: “With one month to
go before tobacco displays are
removed from large shops, we
look forward to cigarettes being less visible to children and
young people.
“Around 80 per cent of smokers start before they turn 19, so
it’s vital that cigarettes are not
seen as normal, harmless prod-
ucts instead of the deadly and
addictive drugs they really are.
Preventing young people from
starting to smoke is vital and putting tobacco out of sight is a step
towards putting them out of mind
for the next generation.”
Deborah Arnott, Chief Executive of ASH, said: “Despite
the scare stories put out by
the tobacco industry in the past,
the countdown to implementation is going smoothly. Indeed
many retailers have already
covered up their displays and
manufacturers are meeting the
cost of adapting tobacco gantries
with inexpensive covers, just
as we said they would. In Canada and Ireland retailers found
no short term impact on tobacco sales and no growth in
smuggling. There’s no reason
why it should be any different
here.”
Large shops are defined as
having a relevant floor space of
more than 280 square metres, as
used in the current Sunday Trading law. When serving customers
or actively carrying out one of the
other tasks allowed, each temporary tobacco display must not
exceed 1.5 square metres. Guidance on the new law is available
on Businesslink or through local
authority trading standards departments.
Retailers wanting to find out
more about the end of tobacco
displays can contact their local authority trading standards for more
information. DT
New tools launched for healthcare professionals
T
he
East
Midlands
Adult
Safeguarding
Board has developed
four new tools designed to be
used at all levels across services that have a responsibility for promoting and ensuring
the protection of vulnerable
adults.
From
research
there
seemed a vast disparity in
levels of understanding of
the Mental Capacity Act,
its associated Code of Practice and the Deprivation of
Liberty Safeguards (DoLS)
across those health and social
care professionals that come
into contact with vulnerable people. To help address
this, two versions of a Mental Capacity Act e-learning
tool have been devised; one
for primary care workers,
and the other for social care,
which also provides flexibility and ownership for the
end user.
To
ensure
theoretical
learning can be reinforced
at the frontline of health and
social care, the NHS East Mid-
lands has produced ‘Prompt
Cards’ that clinicians and
practitioners can easily refer
to in practice. The need for a
simple-to-use and accessible
tool to help adult safeguarding was identified following the pilot use of the Safeguarding Self-assessment and
Assurance Framework (SAAF)
in 2010.
This initiative was developed by a small working group of safeguarding
health leads from across the
region, in consultation with
the East Midlands Adult Safeguarding Network. The colour
coded cards ensure that the
relevant information can be
accessed quickly to support
good practice and help the
user identify vulnerable individuals.
Finally, the ‘Valuing People
Team’ in Leicestershire has
developing a number of new
resources to help keep people
in the community safe, particularly people who may have a
learning disability or a learning difficulty. DT
The tools are designed to promote and
ensure the protection of vulnerable adults
[3] =>
United Kingdom Edition
News 3
March 19-25, 2012
Editorial comment
T
to do, being practically perfect
in every way, but on this occasion it is necessary!
It’s not something editors like
The last issue of Dental
Tribune saw an unacceptable
lapse in our usually high editorial standards in the form of
some glaring mistakes on the
front page.
his week I’d
like to make
an apology
to all our readers
of Dental Tribune.
FDI
launches
Guide
The guide provides FDI national dental associations with the
necessary information and tools
to follow up their government’s
commitments on NCD prevention
and control. It further provides
a timetable for their exchanges
with policy makers and government officials and a blueprint for
evaluating policy and monitoring progress, based on suggested
oral health targets and indicators.
FDI Executive Director Dr
Jean-Luc Eiselé characterised
the guide as a means for NDAs to
demonstrate their understanding
of the Political Declaration, their
intention to hold government accountable and their willingness to
contribute their knowledge and
experience. He pointed out that
the guide contained no stated position on the ‘communicability’
of oral diseases. “FDI seized the
opportunity to raise the profile of
oral diseases, advocate for better
oral health at a global level and
place oral health on the political
and development agenda.”
According to Dr Eiselé “the issue of oral health and NCDs is an
opportunity to increase the visibility of the dental profession at the
highest levels of government.”
In his presentation ‘NCDs,
oral health: a common response’
Science Committee member
Prof Harry-Sam Selikowitz said:
“We know that the epidemiological and economic consequences
of oral diseases in developing
and developed countries have
not been fully translated into a
global response proportionate to
the magnitude of their impacts.”
The guide, he said, was a call
to action, a briefing and a practical tool, containing key messages
to deliver to governments. “There
must be an understanding that
oral diseases cause suffering and
pain, disruption of daily life, and
therefore present an economic
burden to society.” DT
We very much want to
make sure this is an isolated
occurrence so I’d like to assure readers we have looked
into what went wrong and we
are putting it right.
English poet Alexander
Pope said: “To err is
human; to forgive,
divine.” So please
forgive
our
human errors, and we
promise to learn by
our mistakes. DT
If so don’t hesitate to write to:
The Editor,
Dental Tribune UK Ltd,
4th Floor, Treasure House,
19-21 Hatton Garden,
London, EC1 8BA
Or email:
lisa@dentaltribuneuk.com
New
D
uring a session on NCDs,
hosted by the American
Dental Association (ADA),
the FDI launched its publication ‘Oral health and the United
Nations Political Declaration on
NCDs: a guide to advocacy’.
Readers have written in
and given feedback, and
thanks for that – it is good to
know that readers care about
what we do and keep us on
our toes so to speak.
Do you have an opinion or something to say on any Dental Tribune
UK article? Or would you like to
write your own opinion for our
guest comment page?
lighter
tint
®
Duraphat
®
®
Dental Suspension Fluoride Varnish
In surgery treatment for
caries prevention
Clinically proven caries efficacy1
– 33% reduction in dmfs
– 46% reduction in DMFT
Quick and easy application
Temporary light tint for
visual control
Applying fluoride varnish containing 22,600ppm F is a recommended intervention in
‘Delivering Better Oral Health – An evidence-based toolkit for prevention’2
Duraphat 50 mg/ml Dental Suspension. Active ingredients: 1ml of suspension contains 50mg Sodium Fluoride equivalent to 22.6mg of Fluoride (22,600ppm F)
Indications: Prevention of caries, desensitisation of hypersensitive teeth. Dosage and administration: Recommended dosage for single application: for milk teeth: up to
0.25ml (=5.65mg Fluoride), for mixed dentition: up to 0.40ml (=9.04 Fluoride), for permanent dentition: up to 0.75ml (=16.95 Fluoride). For caries prophylaxis the application is
usually repeated every 6 months but more frequent applications (every 3 months) may be made. For hypersensitivity, 2 or 3 applications should be made within a few days.
Contraindications: Hypersensitivity to colophony and/or any other constituents. Ulcerative gingivitis. Stomatits. Bronchial asthma. Special warnings and special
precautions for use: If the whole dentition is being treated the application should not be carried out on an empty stomach. On the day of application other high fluoride
preparations such a fluoride gel should be avoided. Fluoride supplements should be suspended for several days after applying Duraphat. Interactions with other medicines:
The presence of alcohol in the Duraphat formula should be considered. Undesirable effects: Oedematous swelling has been observed in subjects with tendency to allergic
reactions. The dental suspension layer can easily be removed from the mouth by brushing and rinsing. In rare cases, asthma attacks may occur in patients who have bronchial
asthma. Legal classification: POM. Product licence number: PL 00049/0042. Product licence holder: Colgate-Palmolive (U.K.) Ltd, Guildford Business Park,
Middleton Road, Guildford, Surrey GU2 8JZ. Price: £22.70 excl VAT (10ml tube) Date of revision of text: July 2008.
®
1 Marinho et al. (2002); Cochrane Database Syst. Rev. no3. 2 Delivering Better Oral Health - An evidence-based
toolkit for prevention, Second Edition, Department of Health, July 2009.
www.colgateprofessional.co.uk
[4] =>
4 News
United Kingdom Edition
March 19-25, 2012
Study reveals
Text service could
causes of
cut three million
missed appointments ‘meth mouth’
A
R
esearch carried out by
the British Dental Association discovered that
at least three and a half million
dental appointments are missed
in England each year, and is a
common problem across the
whole of the health sector. But
new research from overseas
has shown that text message reminders could be a solution to
improve attendance rates.
In a recent trial, dentists in
India who sent their patients a
text reminder found that four
in every five people attended
their appointment on time. Although text messaging is used
by many dental practices in the
UK, it is not widespread and
with an estimated 91 per cent
of adults in the UK owning or
using a mobile phone4 it is the
most ubiquitous form of communication.
While it remains to be seen
whether the system would
eradicate missed dental appointments in the UK, it is a
solution that should be given
further consideration, according to Chief Executive of the
British Dental Health Foundation. Dr Nigel Carter.
Dr Carter said: “At present
individual practices are responsible for how they communicate with their patients.
However, with such a large
number of people not attending dental appointments, it’s
obvious better communication
is needed.
“A text message is a very
simple, efficient and cost effective way of communicating in
modern society. With so many
mobile phones in use, it could
be the answer to the problem.”
The cost of NHS dental treatment, allied with dental anxiety
within the population, accounts
for the reason three in every
four people think twice about
looking after their oral health.
With basic NHS dental charges
due to increase on 1 April 2012,
Dr Carter believes now more
than ever patients need to be
informed about how important
their oral health is.
Dr Carter said: “While patients may have genuine reasons for not attending dental
check-ups, the Foundation has
previously reported on other
factors, particularly financial
constraints, influencing dental
treatment choices.
“The general public need
greater access to information to
educate them on how important
their oral health is. It has been
proven that looking after your
oral health can reduce the risk
of getting infections which in
turn can spread to other parts
of the body. For instance, heart
disease, strokes, diabetes, pneumonia, pancreatic and colon
cancer are all problems made
worse or even caused by poor
dental health, particularly gum
disease.
N
The study was led by Dr
Shahram Ghanaati and dentist Dr Markus Schlee, who
together with a team of researchers from Germany and
Switzerland, investigated how
collagen could be used to form
a support frame to help mend
receding gums and exposed
roots.
To extract the collagen,
reports stated that various
processes, such as oxidative and alkaline treatments,
were used to ensure that bacterium, viruses and other
pathogens were removed and
that the cell walls were broken down.
The study focused on 14
patients who had more than
60 cases of gum recession between them. The participants’
teeth were cleaned before
collagen implants were held
in place on the infected teeth
with loops of surgical thread.
Two weeks later the sutures
were removed and it was reported that none of the patients needed antibiotics. It is
believed that the collagen acted as a ‘scaffold’ for the body
to repair the damage caused
by gum recession.
The disorder, which develops in the oral cavities of
methamphetamine (MA) abusers, can lead to a series of problems, such as extensive tooth
decay, caries and severe periodontal disease.
“If people realised that
dental care is not a luxury
that should be overlooked,
regular check-ups can identify
early signs of gum disease. The
cost of not doing so has health
implications, not to mention
more extensive cost implications.”
The study came about after it was identified that there
had been few in depth studies
on ‘meth mouth’ and the authors wished to characterise
the oral health of subjects with
a history of meth abuse as compared to non-abusing control
subjects.
The research, carried out
on 206 people attending outpatient clinics at the ITS Centre
for Dental Studies and Research
(ITS-CDSR), Muradnagar, Ghaziabad, Uttar Pradesh, India,
found the rate of attendance on
time was found to be significantly higher in the test group
(79.2 per cent) than in the control group (35.5 per cent). DT
“A small number of studies
had been published describing ‘meth mouth,’ but most
were limited in their design or
were conducted by non-dental
personnel,”
lead
author
Michele Ravenel, DMD, associate professor at the Medical
University of South Carolina’s
College of Dental Medicine,
said to reporters.
Could collagen ‘matrix’ be
the cure for receding gums?
ew research has demonstrated that an innovative
method
using bovine collagen is able
to enhance gum healing, helping to cover exposed roots
that have been caused by receding gums.
study in Quintessence
International
(March
2012, Vol. 43:3, pp. 229237) has revealed how dental
researchers are trying to reveal the factors that contribute
to a condition known as ‘meth
mouth’.
the participants had been reexamined six months later, Dr
Schlee described the results:
“In all cases the healed-over
implant improved the look
and severity of the recession,
and, in over half of all treatments, resulted in total coverage of the exposed root. We
would not have expected any
of these patients to get better
without surgery.”
The study was published
in BioMed Central’s open access journal Head & Face Medicine. DT
Speaking in a report after
New research could help cover exposed roots that have been caused by receding gums
28 meth abusers and 16 subjects who were non-abusers of
MA took part in the study, which
consisted of interviews and
surveys regarding meth abuse,
dental history, oral hygiene,
and diet. An oral exam, which
consisted of a soft tissue examination, a decayed missing filled
surfaces index, an evaluation
of the presence of calculus and
plaque, and a record of gingival signs and tongue condition
was also conducted by dental
professionals. The subject’s saliva was also analysed for pH
testing, flow rate, volume, and
buffer capacity.
According to the researchers, significantly higher rates
of decayed surfaces, missing
teeth, tooth wear, plaque, and
calculus were noted among the
meth abusers. Although there
were no significant differences
in salivary flow rates the results
did show significant trends for
lower pH and decreased buffering capacity among the meth
abusers.
The authors concluded that
the findings suggest that salivary quality may play a more
important role in meth mouth
than previously considered. DT
NI Executive funds cut
to ‘hit dental services’
T
he British Dental Association has warned that dental services in Northern
Ireland could deteriorate if plans
to cut funds are carried out.
According
to
Claudette
Christie, national director of the
BDA in Northern Ireland, the
proposed cuts would result in a
six per cent reduction in dental
service funding and with the vast
majority of people dependent on
National Health Service dentists,
the proposal is causing concern.
“The cuts would reduce
some of the treatments available
to the patients, most notably how
frequently you could have your
teeth cleaned at the dentist,” Ms
Christie said.
“That would go back to
once a year from four times a
year. That’s a very significant
change... and it’s important that
you do that to manage and maintain your oral health.”
Quoted in a BBC report, Ms
Christie also stated how other changes would mean that
treatments currently routinely
available would no longer be
routinely available.
“The dentist would have to
ask the health service in advance if they could do them
and that would introduce a delay for patients and we think
all of that would disadvantage
our patients’ oral health,” she
said.
“If you take money away,
naturally jobs will follow and
resources will follow.”
The news of the cuts comes
only weeks after it was reported that Northern Ireland has
the worst teeth in the UK.
The British Dental Association said a dental health strategy, published five years ago,
must be implemented. 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
S
CO
UN
T
[6] =>
6 News
United Kingdom Edition
March 19-25, 2012
Rainforest remedy could spell end of dental pain
may hasten the end of current
reliance on local anaesthetics
in dental use and Non-Steroid Anti-Inflammatory Drugs
(NSAIDs) in specific applications.
Cambridge University anthropologist Dr Françoise Barbira Freedman, the first westerner to be invited to live with
the Keshwa Lamas in Amazonian Peru, is leading efforts to
bring this wholly natural painkiller to the global marketplace
as an organic alternative to
synthetic painkillers.
The Amazonian rainforest plant used in the remedy
A
n ancient Incan toothache remedy – for centuries handed down among
an indigenous people in the
rainforests of Peru – could be
on the cusp of revolutionising
worldwide dental practice.
The remedy, made from an
Amazonian plant species from
varieties of Acmella Oleracea
and turned into a gel for medical use, has proved hugely
successful during the first two
phases of clinical trials and
In doing so, the company
she founded, Ampika Ltd (a
spin-out from Cambridge Enterprise, the University’s commercialisation arm) will be
run according to strict ethical
guidelines, and will be able to
channel a percentage of any
future profits back to the Keshwa Lamas community who
agreed to share their expertise
with her.
With no known side-effects
during the past five years of
Phase I and II trials, Dr Freedman, who has continued to visit
and live among the Keshwa Lamas over the past 30 years, is
confident the stringent Phase
III trials (multi-location trials across a diverse population
mix) will be the final hurdle to
clear. If successful, Ampika’s
plan is to bring the product to
market in 2014/15.
She said: “The story began
in 1975 when I first went to
live among the indigenous people of Peru. We were trekking
through the rainforest and I was
having terrible trouble with my
wisdom teeth. One of the men
with me noticed and prepared a
little wad of plants to bite onto.
The pain went away.
“This treatment for toothache means we could be looking at the end of some injections in the dentist’s surgery.
We’ve had really clear result
from the tests so far, particularly for peridodontological
procedures such as root scaling and planing, and there are
many other potential applica-
tions. The native forest people
described to me exactly how
the medicine could and should
work and they were absolutely
right. There are a range of mucous tissue applications it could
benefit, and may even help
bowel complaints such as IBS
(irritable bowel syndrome).”
The Keshwa Lamas remedy
represents the first clinical trial
of a natural product in Peru using the International Convention of Clinical Trials, of which
Peru is a signatory, the goldstandard for clinical trials that
is recognised across the Pacific
and Atlantic regions.
Dr Freedman, who will
visit the Peruvian community
again in the coming weeks,
has already been able to channel some early funding to the
Keshwa Lama to help in the
creation of a medicinal plant
garden to conserve plants and
plant knowledge related to
women’s health and maternity
care – with the express aim of
preserving wisdom for future
generations. DT
NICE identifies key role for dentists
to help smokeless tobacco cessation
T
he National Institute for
Health and Clinical Excellence (NICE) is recommending a key role for dental professionals in their public
health intervention proposals
to help stop the use of smokeless tobacco by people of South
Asian Origin.
Dentists, dental nurses and
dental hygienists may be asked
to play a leading role as part
of new proposals to stop the
use of smokeless tobacco in
the UK. The National Institute
for Health and Clinical Excellence (NICE) have published a
consultation on their proposals,
which recommends a key intervention and education role for
dental professionals.
NICE is also recommending more training for dental
professionals to help them
gain a greater understanding
of smokeless tobacco including terminology, symptoms and
approaches to successful intervention.
Smokeless tobacco is associated with a number of health
problems including nicotine addiction, mouth and oral cancer,
periodontal disease, heart attacks and strokes, problems in
pregnancy and following childbirth and late diagnosis of dental
problems as smokeless tobacco
products can often mask pain.
Smokeless tobacco is mainly
used by ‘people of South Asian
origin’, which includes people
with ancestral links to Bangladesh, India, Nepal, Pakistan or
Sri Lanka.
The draft guidance recommends that dental professionals
take specific actions including:
• Asking patients about their
smokeless tobacco use and record the outcome in their patient notes
• Making users aware of the
potential health risks and advise them to stop, using a brief
intervention
• Referring users who want
to quit the habit to tobacco
cessation services that use
counsellors trained in behavioural support
• Recording the person’s response to any attempts to encourage or help them to stop
using smokeless tobacco in the
patient notes
Chief Executive of the British Dental Health Foundation,
Dr Nigel Carter, said: “Smokeless tobacco is a little known
area for many health professionals in the UK so the current
draft public health guidance is
a positive step to bring greater
knowledge and understanding.
“The evidence that does exist indicates that South Asian
women – the main users of
smokeless tobacco – are approaching four times more
likely to suffer from mouth cancer. Quite rightly dental professionals have been identified as
major players to help reduce
these risks and prevent the serious health conditions caused by
smokeless tobacco.
“The British Dental Health
Foundation supports NICE’s
draft proposals and encourages all dental professionals
to include the intervention of
smokeless tobacco usage as part
of their continuing professional
development.”
The consultation is open to
comments until 25 April 2012. DT
Killing Candida with mouthwash
S
cientists have discovered
that silver nanoparticles
can kill yeasts which cause
hard-to-treat mouth infections.
As a result of the discovery,
Professor Mariana Henriques,
University of Minho, and her
colleagues hope to test silver
nanoparticles in mouthwash
and dentures as an aid to help
prevent yeast infections.
According to a recent report, the team of researchers
looked at the use of different
sizes of silver nanoparticles
to determine their anti-fungal
properties against yeasts such
as Candida albicans and Candida glabrata, which cause oral
thrush and dental stomatitis, a
painful infection which affects
a reported 70 per cent of denture wearers.
Infections such as oral
thrush and dental stomatitis
are particularly difficult to treat
because the microorganisms
involved form biofilms. However, during the study the scientists discovered that by adding
different sizes and concentrations of silver nanoparticles
the different sizes of nanoparticles were effective at killing
the yeasts.
Although
the
authors
have stressed that more research is required at this
early stage, the researchers
hope that the study will enable
the nanoparticles to be used
in many different applications.
The research was published in the Society for Applied
Microbiology’s journal Letters
in Applied Microbiology. DT
Scientists have discovered that silver
nanoparticles found in mouthwash can
kill yeasts
[7] =>
United Kingdom Edition
News 7
March 19-25, 2012
Demands on prison dentistry are
stretching services to the limit, BDA warns
D
ental records must be
delivered in a timely
manner
to
improve
continuity of care for prisoners
when they move from one secure setting to another, the British Dental Association (BDA)
advises in a series of reports on
oral healthcare in prisons and
secure settings.
This would assist prison
dentists in providing continuity
of care to a population that has
complex, high needs, and tends
to access care only in emergencies. The high turnover of prisoners, particularly in short stay
institutions, means that many
courses of dental treatment go
unfinished, the reports suggest.
The challenge of delivering
effective dental services to pris-
oners is often compounded by a
history of substance abuse with
many prisoners only recognising
a need for dental care when they
are undergoing detox from drug
and alcohol addictions. It is also
well recognised that the prison
population has a higher incidence of mental health conditions or learning difficulties than
in the general population.
The reports highlight that national IT systems were installed
in England and Wales last year
to improve the transfer of prisoners’ medical records but not
dental records, a missed opportunity to enhance the delivery of
dental services. They also draw
attention to gaps in training for
prison dentists in the handling of
personal threats to security, and
the specific clinical challenges of
treating prison populations.
The BDA began collecting
evidence from prison dentists
about the challenges of working in the prison environment in
2010, culminating in the current
reports. This included a survey
of prison dentists which revealed
that 64 per cent of respondents
said they wanted more training,
particularly around issues connected to security and treating
patients with substance abuse.
Reflecting on her 11 years’
experience of delivering dental
care for prisoners, the Deputy
Chair of the BDA’s Executive
Board, Judith Husband, said:
“Providing good quality continuing care in prisons is obviously challenging, but too often the provision of such care
Breaking news from
Brunel Science Park
In the near future it is predicted that dentistry will move
from restorative to regenerative,
as dental stem cells show their
capability to regrow teeth, jawbone, and muscle tissue. In
addition to being the person you
go to for a root canal or cavity
filling, the dentist will serve as
a gateway to a wide variety of
regenerative therapies, making
the term regenerative dentistry a
reality.
Precious Cells International opens their central stem cell processing and storage facility
at Brunel Science Park
P
recious Cells International
has opened their central
stem cell processing and
storage facility at Brunel Science
Park, near Uxbridge, London.
Headed by Dr Husein Salem
(stem cell biologist), Dr Nasreen
Najefi (dentist) and an expert
team of clinical advisers, the company has now opened subsidiary
offices and stem cell collection
centres in fifteen countries to
date. Precious Cells International
is the only family stem cell bank
in the world to offer collection,
processing and long term storage
of stem cells from five different
sources in the body: umbilical
cord blood and tissue, bone marrow, adipose tissue and teeth.
Stem cells from teeth are
found in pulp (DPSCs) and exfo-
liated deciduous teeth (SHED).
SHED cells have the unique advantage of being retrievable from
naturally exfoliated teeth which
can be considered a disposable
source of postnatal human tissue. Deciduous teeth, healthy
wisdom teeth and permanent
teeth extracted for orthodontic
purposes all contain stem cells
that have the ability to develop
into many different types of tissue (skin, nerve, muscle, fat, cartilage and tendon) and can potentially be used to replace diseased
and damaged tissues in the body
without rejection.
Teeth are by far the most
natural, non-invasive source
of stem cells. There are no medical interventions required and no
religious or ethical objections to
overcome.
Precious Cells International
now offers dentists the opportunity to become affiliate healthcare professionals in order to offer their patients what could be
a life-saving opportunity to preserve precious stem cells and to
position the dental practice at the
forefront of modern health technology.
Patient educational leaflets
explain the opportunity for storing stem cells from teeth and
the potential health benefit for
the patient or patient’s family.
Further website support is also
available for patients. Patient response so far in the early months
of the company’s operation has
been very positive, with several
hundred choosing to store stem
cells for the future.
Fully licensed by the Human
Tissue Authority, Precious Cells
International welcomes visitors
to their website www.preciouscells.com or telephone calls
for further information to 0845
4755221 DT
is hampered by the failure to
transfer dental records with the
patients when they move between establishments.
“This increases the workload
for dentists, and the cost to the
NHS of commencing a new treatment plan each time the patient
is relocated.
“The delivery of medical care
has undoubtedly been improved
by the electronic transfer of records; surely this system can be
emulated in dental services?
“It’s also essential that dentists new to the prison environment receive mandatory training in diffusing threats to general
and personal security, as well as
clinical training appropriate to
the needs of prisoners.”
To reflect the different commissioning arrangements for
prison dentistry and routes to
clinical training across the UK,
the BDA has produced tailored
guides for England, Scotland
and Wales. Go to: www.bda.
org/dentists/policy-campaigns/
research/patient-care/prisons.
aspx. TO access the reports for
Northern Ireland, which is currently being finalised, will be
added to the list.
Untreated dental disease in
prisoners is around four times
greater than the level found in
the general population coming
from similar social backgrounds.
(Strategy for Modernising Dental Services for Prisoners in England, Department for Health,
April 2003). DT
“When did you
last speak up?”
T
he Dental Complaints
Service (DCS) is encouraging private dental
patients to talk to their dental
professional if they have any
concerns about their treatment.
The DCS helps dental patients and dental professionals in
the UK resolve complaints
about private dental treatment.
They aim to do it fairly, efficiently, transparently and
quickly by working with both
parties.
Staff from the DCS will be
at the Vitality Show in London’s
Earls Court 2, Stand H376 from
the 22 to 25 March 2012 to remind patients that the first step
if a problem arises is to speak
to their dental professional.
Head of the DCS, Hazel
Adams says they want to help
patients
understand
what
to expect from their dental professional and what to do if their
expectations are not met:
“There are lots of questions that patients should feel
confident asking before they
go ahead with treatment, for
example; how much the treatment will cost, when they will
have to pay and what happens if
they are unhappy with the results.
The patient might also want
to ask how long any particular
course of treatment will take.”
Hazel adds that good communication between patients
and professionals can make all
the difference when problems
arise and patients should know
that they can ask for a detailed
treatment plan before work begins.
The DCS has a leaflet ‘Making a complaint about private
dental care’ that helps guide
people through the complaints
process and will be available on
the stand.
There are four key principles to the work of the DCS,
which is funded by the General
Dental Council:
• The service is free
• It is independent of the NHS
and the Government
• It will treat people fairly,
whatever their background or
circumstances
• It does not take sides
For more details about the
service and what it can help
with log on to the website www.
dentalcomplaints.org.uk DT
[8] =>
8 Feature
United Kingdom Edition
March 19-25, 2012
Neel Kothari interviews Dr
Susie Sanderson OBE
In the first part of this four-part series, Neel Kothari talks to Chair of the BDA
Exec Board Susie Sanderson about the future of NHS dentistry
whole country can get comprehensive dental care; it’s
that those that want it can access it when they need it. But
they also want to be able to
control it. So they want to be
able to continue with the 2006
notion - a capped, funded service. That was the fundamental change which made it so
difficult. There’s no way that’s
going to go away again. The
government want to continue
to control what they spend on
dentistry.
Susie Sanderson
N
K: What does the BDA
hope to see from the
current new NHS
contract pilots?
SS: I think we have a unique
opportunity to influence reform this time around. The
2006 contract is disastrous in
two main areas – disastrous
for dentists and disastrous for
patients. It’s also been disastrous for the government.
As a result of our lobbying,
the Health Select Committee
carried out an enquiry into
the 2006 contract and found
very little that was acceptable about it. That resulted in
the review, so we then
had a recipe if you like, a
template, for looking forwards. The key thing at that
point, having done all that
work
making
compelling
stories, making sure that
everyone knew that the contract was disastrous, was
to make it survive through
the change in government –
and through significant efforts
we managed to achieve that.
The pilots are a pretty
unique opportunity to test
what should happen in the
new contract. They’re not a
testing a prototype contract,
but they’re testing parts of it,
looking at things like remuneration models, oral health
assessments and care pathways. What we want to see is
something which satisfies the
three stakeholders.
Patients come first
Patients always come first.
The patients want a contract
which provides them with
care when they want it and
need it that’s affordable, good
value for money and a quality
that they can rely on. They
want to improve their oral
health and actually, those who
think about it deeply enough
will also want the public
health to improve. They’ll
want their children’s health
to have improved and they’ll
want a situation where that
will continue.
The dentists want all of
that, but they also want to be
able to do it in an environment where they can sustain
their businesses and where
they can have a decent worklife balance and they’re not
run ragged, running round in
circles being anxious about
how they’re going to pay their
next set of bills. So they want
to be able to have a system
where they can deliver everything that’s needed to im-
prove oral health, and that
includes prevention, restorative interventions and taking
in all the new technologies
that come along; the NHS
shouldn’t be an area where
you can’t do things because
it’s the NHS. The NHS should
be able to sustain financially
and from a support point of
view any innovation that comes
along as well. So the dentists
want all that, but primarily
dentists want to be able to
carry on doing that, so they
The important thing is for
everybody to hold their nerve
as we go through the testing
process. The practices that
are involved are NHS practices are used to running themselves ragged and being constrained in what they can do
and the time that they can do
it in. Now, holding their nerve
and actually working through
these contracts in a way that
they will want to do in the new
contract, with enough time,
enough resources, being able
to sustain it, doing the right
things for the patients, implementing prevention, improving oral health; all of those
things they’ve got to do in
these tests. Whether or not it’s
not what normally happens,
they’ve got to hold their nerve
and do that.
No going back
The Department of Health
have got to hold their nerve,
because intuitively you and I
as dentists will think at some
‘The Department of Health have got
to hold their nerve, because intuitively
you and I as dentists will think at
some point they’re going to realise
that they can’t afford this’
want the financial challenges to
fade away and they want to be
able to do it in an environment
which is sustainable.
And then the government
want to be able to afford it;
they want access, they want
to be able to say that anybody
who wants dental treatment
can get it. That’s not the same
as saying everybody in the
point they’re going to realise that they can’t afford this.
And at that point they cannot,
they must not go back on their
promise to test this properly.
So we’ve got to see the testing right through to the point
where evaluations are meaningful. There’s no point saying
half-way through, this seems
like it’s working, let’s make it
substantive because it looks
ok and we’ve still got the control. We really, really need
to know. And once we know,
then as dentists we can say
whether we want to be part of
this or not.
NK: When the new contract
is eventually rolled out,
what criteria do you think
are needed to judge whether
it is successful?
SS: It’s again to do with the
needs and the aspirations of
the three stakeholders. Are
we improving oral health?
Does everybody who wants
it, needs it, have access to it,
within the structures that it is,
within whatever the NHS offer turns out to be? Are dentists able to make a living,
sustain their practices, invest,
educate, keep patients safe,
still have some interest in
what they’re doing on a dayto-day basis, still be inspired
to go to work? Are they able
to build their teams so that
everybody grows in selfworth, self-esteem and their
part in delivering the care?
The most important thing
is that it has to be sustainable. It has to be affordable
for a practice to be able to do
this. You can’t expect a practice
for example that’s been in a
two-up two-down since 1948
not to be needing to put some
investment into their building,
or relocate, or do something, to
get to the point where they can
improve the situation they’re
working in.
NK: So is there government
funding for this?
SS: Not at the moment. But
there has to be within those
contracts enough for dentists
to say, ‘I can provide that care
and I can set something aside
to plan for investment. I can
make sure I’ve trained my
staff, I can fulfil sensible, proportionate regulatory requirements’ – it all has to be covered and you’ve got to make
a living. You have to have
some headroom for investment. My personal view is that
that headroom, that flexibility
for every practice to invest if
they need to, is not there at
the moment.
NK: Is it fair for any profes-
[9] =>
United Kingdom Edition
sional to enter into a situation where they’re being
paid a certain sum of money
without having an idea of
how much work they potentially need to do? Does that
not introduce a perverse incentive? Is that fair for the
patient?
SS: Of course it does. No, it
isn’t. And that’s absolutely
the fundamental flaw in the
contract. Whoever you are,
whether you’re an associate
or a practice owner, that’s absolutely the basis of the flaw,
and it’s what the Health Select
Committee, when they finally
‘There’s no point
saying half-way
through, this seems
like it’s working,
let’s make it substantive because it
looks ok and we’ve
still got the control.
We really, really
need to know. And
once we know, then
as dentists we can
say whether we
want to be part of
this or not’
understood how it worked,
agreed as well. You are absolutely right. This is why we’ve
got to carry on the testing for
long enough so that the valuation is real and credible and
gives some meaning to proper
funding and proper structure
in the future.
Sustainability
The difference in the treatment volumes between patients in the very high deprived areas and other areas is
just phenomenal and as an associate I would want to know
what it looked like before I
went there. I mean we’re all
up for doing some high needs,
because it’s actually very
rewarding turning people
around. But you can’t do it on
every patient every day for the
average UDA value. It’s just
not sustainable.
NK: UDA values are kept
confidential between practice owners and the PCTs
and often not passed on to
associates in full. Why is this
information, which really
is the only true measure, although not an accurate
one, of patient need being
kept secret?
SS: Because it’s a business
contract. Any business contract would need to be kept
confidential. It is the head
contract, which is completely
different to the sub contract.
As a practice owner your
contract is with the PCT and
that’s confidential. But if
you were going into a practice as an associate where
your contract is with the
practice owner, not the PCT,
you would want to know the
sort of spread of work that
you were going to be expected to do for £9 a UDA,
or whatever it is you’re going
Feature 9
March 19-25, 2012
to be paid - that’s good business sense in any sort of case.
If you wanted me to paint all
the garage doors down Wimpole Street Mews, I’d want to
know what you are going to
pay me per garage door. If I
got £9 per garage door in the
last job, and you offered me
the same, I’d say that’s fine.
But it might turn out they’re
three storeys high and 60
foot wide! It’s the same in
dentistry – we need to be very
careful to check what it is
we’re taking on. DT
In the next article, Susie
Sanderson answers questions
on dental regulation.
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.
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References: 1. Burwell A et al. Journal of Clinical Dentistry 2010; 21 (Special Issue): 66–71. 2. LaTorre G & Greenspan DC. Journal of Clinical Dentistry 2010; 21 (Special Issue): 72-76.
3. Efflandt SE et al. Journal of Materials Science: Materials in Medicine 2002; 13(6): 557−565. 4. Clark AE et al. Journal of Dental Research 2002; 81 (Special Issue A): 2182. 5. Earl JS et al.
Journal of Clinical Dentistry 2011; 22 (Special Issue): 62-67. 6. Du MQ et al. American Journal of Dentistry 2008; 21(4): 210−214. 7. Pradeep AR & Sharma A. Journal of Periodontology 2010;
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[12] =>
12 Feature
United Kingdom Edition
March 19-25, 2012
The rise of the “smile makeover”
Rupert Hoppenbrouwers asks to what extent should cosmetic treatments be
offered in dental practices
vide, make sure you undertake
appropriate additional training
to attain the necessary competence. Do not mislead patients into
believing that you are trained and
competent to provide other services purely by virtue of your primary qualification as a healthcare
professional, but make clear that
you have undertaken extra training to achieve competence.”
The administration of botulinum toxin and dermal fillers in dental practices is an area that continues to raise ethical and legal
concerns
T
he term “smile makeover”, now used to
describe a range of cosmetic treatments, some dental and some non-dental, has
gathered a lot of press interest
and, as a result, created increasing demand for these types of
treatment.
Tooth
whitening
hit
the headlines recently when the
GDC brought a successful prosecution against a non-registrant
for carrying out tooth whitening.
With this renewed attention, the
perceived “quick fix” cosmetic treatment is back in the
spotlight. The DDU sometimes receives calls from its
members raising concerns about
the number of beauty salons now
offering tooth whitening, usually
carried out by beauty therapists,
so prompting some dental professionals to ask whether the law or
the GDC’s stance has changed.
Practice of dentistry
Not at all. The GDC states that:
“The practice of dentistry is limited
to GDC registrants. It is the Council’s view that applying materials and carrying out procedures
designed to improve the aesthetic
appearance of teeth amounts to
the practice of dentistry. So too
does the giving of clinical advice
about such procedures. Therefore
all tooth whitening procedures,
including bleach and laser treatment are seen as the practice of
dentistry by the General Dental
Council.”1
The GDC requires that tooth
whitening treatments should
only be carried out by regis-
tered dental professionals acting
within the GDC’s Scope of Practice guidance. In 2008, the scope
of practice for dental hygienists
and therapists was widened to
include tooth whitening treatments. However, this did not allow a hygienist or therapist to
prescribe the treatment, which
must still be part of an overall
treatment plan formulated by a
dentist who has examined the
patient. Nor did it alter the fundamental legal position relating
to the supply of bleaching compounds which contain or release
more than 0.1 per cent hydrogen
peroxide, which can still result in
criminal prosecution, despite an
amendment to the EU Cosmetics
Directive, and a proposed change
to UK domestic law, which has
yet to be made.
Botox Blues
Another area that raises ethical and legal concerns is the
prescription and administration of
botulinum toxin and dermal fillers in dental practices. Such facial
treatments are often offered as
part of a smile make-over but the
current position from the GDC is
that botulinum toxin and dermal
fillers are not legally considered
to be the practice of dentistry, because they are not restricted to
dental registrants.
However, this is not as straightforward as it seems. Dental professionals can provide these treatments alongside their “normal”
dental treatments but must avoid
causing confusion among their
patients about which procedures
are provided by dental professionals in their capacity as a GDC registrant and which are not.
Advertising
The GDC has recently published
guidance
for
the
principles of ethical advertising2 which sets out the regulatory requirements for dental
Dental professionals need
to ensure that all work they undertake is within their Scope of
Practice.3 This sets out the core
activities of each group of registrant, the additional skills each
group might develop during their
careers, and the types of work
that groups other than dentists
do not undertake. Most relevant
in this context is the point that
registered dentists are the only
members of the dental team who
can diagnose and can draw up a
treatment plan (save for clinical
dental technicians treating edentulous patients for the provision
of complete dentures). They are
also alone in the dental team in
having general prescribing rights
(botulinum toxin is a prescrip-
‘The GDC requires that tooth whitening
treatments should only be carried out by
registered dental professionals acting within the GDC’s Scope of Practice guidance’
nity for that work.
Pros and Cons
The undertaking of cosmetic procedures should be approached in
the same way as any other type
of dental treatment. Care should
be taken to ensure that patients
properly understand the options, the pros and cons of those
options, including the material
risks, and give valid informed
consent. Dental professionals
should ensure that they are appropriately trained, their scope of
practice permits them to carry out
the treatment proposed and that
they have the necessary indemnity. Ultimately, any work carried
out should be line with the ethical obligation of all dental professionals to put patient’s interests
first, which means they should
refuse to provide any treatment
which goes against their clinical
judgment and which they consider will not be in the patient’s best
interest. DT
About the author
Rupert Hoppenbrouwers is head of
the DDU. He is a former general dental practitioner and was Director of
the School of Dental Hygiene at University College Hospital, London from
1980 to 1986. He has lectured and
written widely on risk management
and dento-legal matter and has a particular interest in clinical negligence
and dental care professionals. He is
currently Chairman of the UK Dental
Law and Ethics Forum.
References:
professionals
advertising
their services. The guidance
states that:
“If you wish to offer services which
your training as a dental professional does not qualify you to pro-
tion-only medicine in the UK). It
is also important to bear in mind
that the GDC expects any dental professional undertaking any
type of treatment to be not only
appropriately trained, but to have
adequate and appropriate indem-
Tooth whitening should only be carried out by registered dental professionals
1 GDC Tooth whitening Q &As http://
www.gdc-uk.org/dentalprofessionals/
standards/pages/tooth-whitening.aspx
2 GDC principles of ethical advertising
http://www.gdc-uk.org/Newsandpublications/Publications/Publications/Ethical%20advertising%20statement%20
Jan%202012.pdf 3 GDC Scope of Practice
http://www.gdc-uk.org/Newsandpublications/Publications/Publications/ScopeofpracticeApril2009[1].pdf
[13] =>
Education Tribune
Education Tribune
Education Tribune
News in Brief
pdent Dental Recruitment & Training
School split
Doctors have called for a
rethink of plans to split the
Plymouth-based
Peninsula
College of Medicine and Dentistry (PCMD) after concerns
emerged that the split would
cause disruption to research.
The proposed plans would
mean a medical and dental
school at Plymouth and a medical school at Exeter; however,
according to BBC report a
letter from the Devon Local
Medical Committee (DLMC)
has called the move by PCMD
founders University of Exeter
and Plymouth University a
“disaster”. The DLMC, which
represents Devon GPs, said in
a letter to Plymouth University
Vice Chancellor Wendy Purcell that the announcement
in January was a “momentous shock to all students and
staff involved with the medical
school across the peninsula”.
A spokesperson representing
both universities said: “We
remain convinced that this
is in the best interests of students and patients in the South
West.”
pdent.co.uk
pecialist Dental Recruitment and Training Services
The importance of training
The missing link
Alison Doherty discusses the high profile subject
Barry Musikant discusses critical thinking
page 20
pages 14-19
Smile-on, DPL go On the Record
on’s customers from Core CPD
to a part-time MSc in Restorative
and Aesthetic Dentistry.
During the presentation,
Noam officially launched On
the Record, a CPD resource
that educates the whole dental
team on how to take clear and
relevant records. Communications officer for Dental Protection, David Croser, highlighted
the importance of good record
keeping, citing examples of
where dental professionals
had been made the centre of a
complaint that had been incon-
UCL research poster comp
L-R - Noam Tamir, David Croser, Mash Seriki, Patrick Cannon
Congratulations to PhD stutendees were welcomed by exect the The Dentistry Show
dent Prasad Sawadkar and
utive chairman of Smile-on Noam
Smile-on launched On
research associate Dr Kris
Tamir, who took the opportunity
the Record, the latest
Gellynck on each winning
a
213860_BDJ_Nobel
8/2/12 13:10 Page 1
to thank the many partners that
collaboration between Smile-on
prize in this year’s UCL Gradthe company had worked with
and Dental Protection.
uate School Research Poster
Competition. The two Institute
over the years and discussed the
scientists were awarded in the
different opportunities for SmileAfter a fantastic breakfast, atcategory of Medical Sciences
& Population Health Sciences.
Prasad Sawadkar, working
under the supervision of Dr
Vivek Mudera from UCL Institute of Orthopaedics (Division
of Surgery and Interventional
Sciences) and Dr Laurent
Bozec from UCL Eastman
Dental Institute, was awarded
Second Prize. Their work aims
to surgically optimise the graft
insertion technique in tendon
to take the load off the repair
construct. To date, this work
has focussed on testing of a
modified suture technique to
Limited places
accommodate a tissue engineered tendon in vivo. Prasad
available!
Sawadkar is a first year PhD
student registered at UCL
jointly between Institute of
Orthopaedics (Division of Surgery and Interventional Sciences) and Eastman Dental
Institute. Dr Kris Gellynck,
working together with Dr
Rishma Shah and Professor
Nigel Hunt at the Institute, was
awarded a runner-up prize.
Their work focuses on the
engineering of a contiguous
muscle, tendon, bone structure for implantation in areas
of deficit within the craniofacial region. The work is funded by a Fellowship awarded to
Dr Shah by the Royal College
of Surgeons, England.
A
eam Training Courses
testable because the records
were incomplete. He warned
that if current GDC plans about
streamlining the Fitness to
Practise procedures go ahead,
it will see something like 1,300
patient records a year being
requested by the GDC to decide the validity of a case – and
wouldn’t you rather your records told the whole story?
On the Record is available
from Smile-on – visit http://
www.healthcare-learning.com/
elearning/detail/view/productId/3 for more information. DT
riable CPD courses delivered across the UK in the comfort of your dental practice
r training courses
urses include;
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Radiography
Certificate
Sedation Certificate
de & Impression taking courses starting mid 2012
TR213860
[14] =>
14 Education Tribune
United Kingdom Edition
March 19-25, 2012
Critical thinking: The missing
link in endodontic education
Barry Musikant discusses the role of critical thinking
country, I can say with strong
conviction that the process
of critical thinking has not
Upto
been applied to the mechanics of endodontics. Not for
one moment am I critical of a
programme’s emphasis on diagnosis, histology and pathology. The incorporation of mi-
a Whopping
o
OFF
Lasers - Whitening - Cameras - Curing Lights
Fig. 1 Photograph of a K-file. Note the
high number of flutes that are more
horizontal in nature
an analysis of what works
best. It is simply a tool that
has
been
handed
down
from generation to generation either to perform the
entire
shaping
procedure
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croscopes has vastly improved
dentists’ abilities to seek out
fine structure that can be the
difference between success
and failure.
Where critical thinking
is missing is in the selection
of the design and utilisation of the instruments used
to shape the canals. For the
most part, K-files are the instruments recommended for
the initial shaping of canals.
I have never detected any
evidence that the decision
to use K-files resulted from
O
A
fter years of teaching endodontic programmes around the
Fig. 2 Photograph of a relieved reamer. Note the flat side
[15] =>
United Kingdom Edition
March 19-25, 2012
or to create a glide path for
the subsequent use of rotary
NiTi files.
If K-files had been chosen as the most appropriate instrument to use after
critical analysis, we would
expect these instruments at
least initially to shape canals
more easily than other instruments. We would expect that
such problems as loss of
length because of the apical
impaction of debris, distortion
to the outside wall, elbowing
and frank perforation would
be less inclined to occur because of superior design and
method of usage. Yet K-files
are associated with all the
‘In fact, critical
thinking was not
applied to the
choice of instruments. Tradition,
inertia and simple
prejudice take the
place of effective
analysis’
Fig. 3 Illustration of an asymmetrical instrument’s ability to distinguish and clean an
oval-shaped canal
Education Tribune 15
are. Compare the 30 flutes on
a K-file to the 16 that are present on the shank of a reamer
(Fig. 2). Also, please note that
with approximately half the
flute number, each flute is
significantly more vertically oriented along the length
of the reamer shank. Fewer
flutes lead to less engagement along length. Resistance
in apical negotiation is directly related to the reduction in
engagement.
A watch-winding motion is
the recommended way to use
both the reamers and the Kfiles. Yet, when a watch-winding motion is applied to the
more horizontally oriented
flutes of a K-file, the threads
tend to embed themselves
into the canal walls without
shaving any of the dentine
away in the process. Increasing the amount of engageà DT page 16
&
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above
problems,
whereas
their counterpart, K-reamers,
is far less likely to produce
such issues. In fact, critical
thinking was not applied to
the choice of instruments.
Tradition, inertia and simple
prejudice take the place of effective analysis.
Let’s examine how critical analysis would prevent
this widespread mistake that
is perpetrated on our student
bodies over the years. Take a
look at a photograph of a Kfile (Fig. 1). Please note that
the shank is composed of
30 flutes along its 16mm of
working length. The greater
the number of flutes, the more
horizontally oriented they
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and the vertical flutes
nth
[16] =>
16 Education Tribune
United Kingdom Edition
ß DT page 15
ment does not help in shaping the canal. Compare the
action of these flutes with the
more vertical orientation of
the flutes on the reamer. Using the same watch-winding
stroke applied to the K-files,
the blades being more at right
angles to the plane of motion
will immediately start shaving
dentine from the walls of the
canal, further reducing the
degree of engagement and the
subsequent resistance encountered as the reamers negotiate apically.
Clinically, the dentist encounters less resistance when
using reamers because there
is less engagement along
length, resulting from fewer
flutes to begin with and their
greater ability to shave dentine rather than embed into it.
Embedment leads to increased
resistance. Shaving dentine
Fig. 4 The Endo-Express reciprocating handpiece (Essential Dental Systems)
2
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01
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Ian is the first International
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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
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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
March 19-25, 2012
further reduces the smaller
amount of engagement that
was already present. The design and utilisation of the Kfile works against the very
goals it wants to attain. Reamers are designed and utilised
in a way that is compatible with their goals. Critical
thinking would make these
basic points obvious. Controlled clinical testing of both
designs would immediately
demonstrate the superiority of
reamers to K-files.
The comparison could
easily stop at this point,
and reamers would be the unquestioned winner, but there
are other advantages that
accrue to the user as well.
With less engagement along
length, a cutting blade more
‘Reamers are designed and utilised
in a way that is
compatible with
their goals. Critical thinking would
make these basic
points obvious.
Controlled clinical
testing of both designs would immediately demonstrate
the superiority of
reamers to K-files’
or less at right angles to the
plane of motion that removes
dentine rather than embeds
into it, a more flexible instrument that is a consequence of
fewer twists along the length
of the shank, the reamer gives
the dentist a superior tactile perception, giving him
the ability to differentiate
between the tip of the instrument hitting a solid wall
or engaging within a tight
canal. Both situations will ei-
“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
Figs. 5-7 Radiographs showing clinical results achieved w
A3-advert-Dentistry-AW.indd 1
08/12/2011 17:55
[17] =>
United Kingdom Edition
ther stop or slow down apical
progress.
However, if the tip of the
instrument is hitting a wall,
there will be no tug-back
when the reamer is withdrawn, telling the dentist that
he must not attempt to proceed further.
Rather, he must remove
the reamer from the canal,
place a 45° bend at the tip and,
with a light peck-and-twist
motion, attempt to manually
negotiate around the obstacle. On the other hand, if tugback is present from the outset, the dentist knows to continue apical negotiation using either the recommended
watchwinding motion or a
twist-and-pull motion until
the apex is reached.
A K-file that is already
so heavily engaged along
length cannot make the distinction between a solid wall
and a tight canal. The resistance along length obscures
what the tip of the instrument
is encountering. Using a Kfile, all a dentist may know
is that he is short of length.
Using an aggressive twistand-pull motion, the proper
length can be regained even
when employing a K-file with
a non-cutting tip. However,
too often the dentist will discover that the original anatomy has been lost with the
apical third transported to the
outside wall of a curved canal.
This is the effect when a solid
wall or impacted debris is encountered, but not recognised
as such because of the excessive engagement of the K-file
along length.
The absence of critical
thinking is recapitulated by
maintaining the continued
use of K-files. First, we abdicate the use of reamers without making any comparisons.
Worse, while not learning the
benefits of reamers, we also
lose our evolutionary potential to improve upon a tool
with relieved reamers in a reciprocating handpiece
March 19-25, 2012
‘Critical thinking demonstrates that reamers are superior to K-files for several reasons, one of the main reasons being reduced engagement along length’
that in its present state is superior to K-files.
perior to K-files for several
reasons, one of the main reasons being reduced engagement along
length. By placing
Critical
thinking demonmsc_ad_source_uk.pdf
1
03/08/2009
15:21:59
a flat along the entire workstrates that reamers are su-
Education Tribune 17
ing length of the reamer, we
now have a reamer that has
even less engagement along
its working length. The result
is an instrument that is even
more flexible because it is
thinner in cross-section, includes two vertical columns
of chisels that cut equally effectively in both the clockwise and counter-clockwise
direction and is asymmetrical
in crosssection, giving it the
ability to differentiate between a round and oval canal.
No symmetric instrument can
differentiate between a round
and oval canal. The ability to
make this distinction tells the
dentist when to widen the canals to greater dimensions
for
superior
mechanical
cleansing and better chemical
debridement via the irrigants
(Fig. 3).
Without critical thinking,
no one knows that a reamer is
à DT page 18
[18] =>
18 Education Tribune
ß DT page 17
superior to a K-file and without that knowledge, no one
knows that a reamer can be
modified to further improve
its
functionality.
Perhaps,
most importantly, without the
benefit of critical thinking,
those designing instruments
to eliminate the shortcomings
of K-files do not eliminate
them. They merely reduce
them, still incorporating their
use in the creation of the
United Kingdom Edition
glide path 1, and then proceed
to introduce rotary NiTi systems that, while overcoming
the limitations of K-files, introduce significant new problems that add cost, anxiety
and unpredictability to canal
shaping.
In the meantime, critical
thinking would clearly demonstrate that relieved reamers (Fig. 3) are not only good
for glide path creation but
work far more safely when
used for the entire shaping
procedure. Stainless steel relieved reamers are quite effective at recording the curvatures of a canal. 2 Unlike NiTi,
they do not snap back to the
straight position, a property
that increasingly distorts the
apical end of curved canals as
the tip size and taper of the instruments increase.
Fig. 6
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EVEREDGE® TECHNOLOGY
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heat treatment and crynogenics to
create a superior stainless steel alloy
for scalers and curettes that stay
sharper longer than any instrument
you’ve used.
That means less frequent sharpening,
less hand fatigue, and greater comfort
throughout the day.
The greater stiffness of
stainless steel is compensated
for by the relieved reamer design, never exceeding a .02
taper and routinely straightening the coronal curve prior
to the use of larger-tipped
instruments. Used either in
a tight watch-winding stroke
or in a 30° reciprocating
handpiece (Fig. 4), the tip of
the instrument confined to
such a short arc of motion
always stays centred in the
canal. As long as patency is
maintained, these relieved
reamers will not deviate from
the original pathway. Patency 3
is maintained by going 0.5mm
‘Stainless steel relieved reamers are
quite effective at
recording the curvatures of a canal’
beyond
the
constriction
through a 25 relieved reamer, a technique that is easy to
master and is completely predictable in its results.
Unless
The improved sharpness of
EVEREDGE® TECHNOLOGY
instruments does not come from a
superficial coating –
the long-lasting wear is present
throughout the entire instrument tip.
HU-FRIEDY - THE ORIGINAL MANUFACTURER OF GRACEY CURETTES!
STANDARD GRACEY CURETTE — The Gracey curettes combine a unique offset blade with 9 different shank
designs to be used on specific tooth surfaces, thus improving adaptation and deposit removal. Also referred to as
Finishing Gracey Curettes.
AFTER FIVE GRACEY CURETTE — Designed for instrumentation in deeper periodontal pockets. Elongated
terminal shank (3mm) provides better clearance around crowns, and superior access to root contours and pockets
5 mm or more in depth. Thinner blade permits easier subgingival insertion.
MINI FIVE GRACEY CURETTE — Designed with the same elongated terminal shank (3 mm) and thinned blades
as the After Five Gracey Curettes. 50% shorter blade for access to smaller roots, narrow pockets, furcations, and
developmental grooves.
For more information on our products please:
- call us on 0770 318 6612 or 0770 318 6474,
- visit our website www.hu-friedy.eu
- e-mail us on info@hufriedy.eu
- contact your regular Dental Dealer.
How the best perform
©2012 Hu-Friedy Mfg. Co., LLC. All rights reserved.
Fig 7
Gracey ad_GB_A4_2012.indd 1
March 19-25, 2012
16.02.12 14:38
one
is
exposed
[19] =>
United Kingdom Edition
to the critical thinking needed to open one’s mind to
better working alternatives,
the entire cascade of learning
is stopped before it starts.
Without
critical
thinking, one will never learn that
reamers are safer, more efficient and more effective than
‘We have been indoctrinating our
students for too
long. It is about
time that we
educate them. Critical thinking is the
way for students
to make rational
decisions’
K-files. Without learning the
superiority of reamers, one
will never learn that relieved
reamers are superior to nonrelieved reamers. If one does
not use reamers, one will not
be exposed to the advantages
of non-distorted shaping using a 30° reciprocating handpiece. Without the exposure
to a 30° reciprocating handpiece, one will never appreciate the absence of torsional
stress and cyclic fatigue 4 that
plagues rotary NiTi, leading
to unpredictable separation.
And, without the appreciation
that instruments will simply
not break, one will not confidently shape canals to the
larger dimensions that are often required to ensure proper
debridement and irrigation.
Examples of cases done with
relieved reamers in a reciprocating handpiece are shown in
Figures 5–7.
We have been indoctrinating our students for too
long. It is about time that we
educate them. Critical thinking is the way for students to
make rational decisions. They
will become better dentists and serve the needs of
their patients better when
these skills are honed. There
March 19-25, 2012
may be those out there who
dispute the conclusions that
critical thinking will produce,
but I defy anyone who says
this is not the proper way to
educate. DT
Editorial note: A complete list
of references is available from
the publisher
Education Tribune 19
First published in Roots (international version) Issue 4 2011
About the author
Dr Barry Lee Musikant
Essential Dental Systems, Inc.
89 Leuning Street
S. Hackensack , NJ 07606
USA
info@edsdental.com
[20] =>
20 Education Tribune
United Kingdom Edition
March 19-25, 2012
The importance of training for the dental team
Never before has training the dental team been such a topical and high profile subject
O
ver the last 10 years dentistry has witnessed a
substantial change as the
GDC legislated the need for compulsory CPD training for all the
clinical dental team.
The most recent emphasis on
the importance of training has
been brought about by the CQC’s
emergence into the dental profession.
According to practices that
have always invested in staff
training, with some of them having gone on to obtain the Investors in People (IIP) or BDA Good
Practice standards, regular training of the entire dental team is invaluable to the practice in many
ways:
1
Boosting of staff morale,
knowledge and skills as staff will
feel respected and valued
2
Longevity of staff employment as the team will be happy
and confident with enhanced
knowledge and skills
3
Greater patient satisfaction
and fewer complaints will be
Tempdent Dental Recruitment & Training
www.tempdent.co.uk
For Specialist Dental Recruitment and Training Services
evident as familiarity with all the
team will in turn improve the reputation of a practice
4
Practice run in a more cost
and time efficient manner when
each team member understands
their responsibilities and can carry out their duties efficiently
5
A more profitable and successful practice as patients will
want to return and refer other
people to a safe and positive experience of dentistry
Who do we mean by the dental
team? The dental team is often
thought to consist of the dentist,
hygienist/therapist and dental
nurse as these are the GDC registered professionals who need to
complete CPD to uphold their registration. However, in order for a
practice to work successfully the
dental team also includes the dental receptionist, practice manager,
administration staff, decontamination room assistants and even
the cleaner!
Dental Team Training Courses
GDC veriable CPD courses delivered across the UK in the comfort of your dental practice
or at our training courses
CPD courses include;
• Cross Infection & decontamination to HTM01-05
• Dental Radiography
• CPR including Medial Emergencies
• Safeguarding to Level 2 including Child Protection & Vulnerable Adults
• Health & Safety
• Complaints handling &Ethics
• First Aid Appointed Person
• Ergonomics & Manual Handling
Dental Nurse Qualifications & Courses Accredited promart & post registration dental nursing
qualifications include
• Diploma in Dental Nursing (National Certificate)
• Dental Nursing Advance Apprenticeship (Diploma/NVQ 3)
• Oral Health Education Certificate
• Dental Radiography Certificate
• Dental Sedation Certificate
• Flouride & Impression taking courses starting mid 2012
Dental Office Team Qualifications
• Management NVQ 3
• Customer Service NVQs 2&3
• Business Administration NVQs 2&3
To find out more about our training & recruitment services please contact us on
020 8371 6700 // info@tempdent.co.uk // www.tempdent.co.uk
A variety of CPD courses are
available to the entire dental team
through many different mediums. These range from the core
subjects of Cross Infection and
Decontamination, Radiography
and CPR Medical Emergencies to
topics such as Communication or
Conflict Management.
Dentists and hygienists/ therapists have always had to be professionally qualified in order to start
their careers. There are a variety
of different postgraduate specialist training qualifications that they
can obtain. After completing their
primary qualifications there are a
number of post registration qualifications available.
The dental office team, namely the dental receptionists, administrators and practice managers
are usually the most overlooked
members of the dental team as
there are no formal dental qualifications available to them and
they are not on the GDC register.
There are government funded
work-based management, customer service and business administration NVQs that fit with the
job roles of theses team members.
Training is, therefore, a very
important enhancement for all
members of the dental team. We all
strive for patient satisfaction as this
leads to personal job satisfaction
for each member of the team. DT
About the author
Alison Doherty
Tempdent Dental Recruitment
Training
020 8371 6700
www.tempdent.co.uk
&
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Continuing the Care That Starts in Your Chair
[22] =>
United Kingdom Edition
March 19-25, 2012
Relishing the
learning
experience
NOW 100% sterile,
100% disposable.
Glenys Bridges discusses how to get maximum
return for your continuous professional
development investment
THE QUALITY YOU EXPECT
ULTRA SAFETY PLUS
As the world leader in pain
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the increasing need for safe,
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Now available with a sterile
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In addition to the protection
brought by the sliding sheath,
the new Ultra Safety Plus further
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To magnify safety and increase
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Finding the preferred learning style of each team member will help everyone gain the most out of their CPD
C
PD is now a fact of life
for dental professionals.
However, across the profession attitudes toward this obligation vary widely. In some cases
it is viewed as another hurdle to
be endured, whereas in other
cases practice teams are reaping
real benefits from their coordinated approach for the on-going
development of their knowledge
and skills. In this article I will
share with you five tips for maximising the return from your
teams CPD input.
Tip 1 - Within any given team
there will be a spectrum of attitudes toward development
and learning. At the extremes of
that spectrum, people relish the
learning experience and welcome each chance to up their
skills and excel. At the other end
of the same spectrum people do
not feel the need to dedicate time
and effort into developing their
working practices, preferring to
sleep walk through their career
doing an OK job.
Managers need to take great
care to address the needs of their
people throughout the spectrum.
To do this they need to ensure all
learning experiences provided
are stimulating and pragmatic.
Even the most enthusiastic learners will lose interest if they cannot see any practical benefits
from their learning. Whether the
desired result is to get people going, or keep them on board, make
sure learners recognise tangible
personal and professional benefits from their learning.
Tip 2 - Many educational theo-
ries demonstrate the importance
of cascading learning from one
learner to another. For example,
educational psychologist William
Glasser advocates that we learn:
10 per cent from what we read,
20 per cent from what we hear, 30
per cent from what we see, 50 per
cent from what we see and hear,
70 per cent from what we discuss,
80 per cent from what we experience, 95 per cent from what we
teach someone else. This being
the case, sharing knowledge and
skills gained from a CPD experiences will benefit all parties.
Tip 3 - For CPD to be meaningful
it must contribute to the on-going
process of securing the goals set
out in the practice’s business
plan. This plan should be the basis for decision making when selecting CPD activities. When the
team are committed to reaching
(and clearly understand) their
part in securing those goals, all
their CPD will be welcomed.
In order to reach this stage
practice goals should be shared
with the team through appraisals
and team meetings. Many practices do not have a formal business plan, which places them at
a disadvantage when it comes to
measuring their on-going success. CPD should be linked to
practice goals and team members should be asked to bring one
thing to each practice meeting to
show progress to practice goals.
Tip 4 - ‘Blended learning’ is a
buzz word in the lifelong learning
sector. This approach to learning takes into account the fact
that each person has preferred
ways of learning. Some are happy
to immerse themselves into
a book and will learn from reading, whereas others gain most
from practical, applied learning
experiences. There are many
diagnostic tests available on the
internet to analyse the preferred
learning style of each team member and if you establish the learning preferences of each team
member early on you can provide each person with stimulating learning opportunities.
Tip 5 - Development as a result
of learning is a process that takes
place over time. Many educationalist advocates that reflective
practice is essential for ensuring
that the cognitive processes that
progress learning into measurable development require an input
of reflective practice. Following
each learning experience team
members should be required to
keep a learning log. This can be
shared with colleges and more
importantly reviewed periodically to refresh learning.
Although your team’s CPD is
prescribed in GDC regulations, it
is important to recognise that the
GDC requirements are minimum
standards. It is also important to
use CPD as a tool for business
development by ensuring each
person uses their learning to contribute to a process of continuous
improvements in the quality and
safety of dental care provided at
your practice. DT
About the author
Glenys Bridges is an independent
dental team trainer. She can be contacted at glenys.bridges@gmail.com
[23] =>
United Kingdom Edition
Money Matters 23
March 19-25, 2012
Changes to the Lifetime
Allowance and your pension
Brendan Coburn looks at financial planning for retirement
F
rom the 6th April 2012, the
total amount of pension savings you can build up over
your career in a tax efficient manner is being reduced due to a reduction in the Lifetime Allowance.
The Lifetime Allowance (LA)
is a limit on the total value of your
pension savings that you can accrue over your career until retirement before a tax charge is levied.
This effectively means that FP
could be unsuitable for younger
active NHS Pension Scheme members or those wishing to continue
to contribute to private pensions.
It is likely then, that FP will
only be a consideration for those
dentists who are about to leave
the NHS Pension scheme and
have not taken their benefits or
who have already left the NHS
Pension Scheme but who have not
yet taken their benefits from a private pension scheme
This is a highly complex area
and any dentists who feel they may
be affected by this change should
seek professional advice from a
financial consultant, ideally a
dental specialist, who is well
versed in the workings of the NHS
Pension Scheme before making a decision that could have an
impact on their retirement. DT
MediMatch dental laboratory
MHRA:CA009413 - DLA member - GDC registered staff - London Based - TUV - ISO 9002 - ISO 9001:2000
Currently, the level of the LA
stands at £1.8m but this is being
reduced to £1.5m from the 6th
April 2012.
Comply with CQC and let
MediMatch collect your models.
As well as the value of your
NHS pension, the value any private pensions you hold form part
of your LAat retirement.
DO NOT throw your models away!
If you exceed your LA then any
excess over the limit is subject to a
tax charge of 25 per cent if taken
as a pension (and the pension is
then taxed as income) and 55 per
cent if taken as a lump sum.
In real terms, this means a
dentist at retirement could find
themselves with a smaller pension and lump sum than they had
expected.
Even though the new limit of
£1.5m may seem quite high, this
change will affect dentists who
have accrued significant NHS
benefits already during their career and/or who have made large
contributions into a private pension, particularly if they are looking to retire and take their pensions in the next couple of years.
There is a window of opportunity for those affected to protect the
higher level of LA by applying for
Fixed Protection (FP).
Available until 6th April 2012,
FP would preserve a dentist’s personal LA of £1.8m.
However, this solution is not a
universal panacea since there are
restrictions on the provision of FP.
Most notably, any dentist with FP
cannot accrue any further pension
benefits from the 6th April 2012.
About the author
Brendan Coburn Dip PFS I am a financial planner at Essential Money,
one of the leading firms of specialist
IFA’s for dentists and one of the few
ASPD – Recognised Financial Planners I have worked in financial services for my entire career starting with
Natwest. Following this I established
my own brokerage in 2000 which I
nurtured until its eventual sale. I then
joined Royal Bank of Scotland to provide Independent Financial Advice
to their commercial clients until the
opportunity arose to join Essential
Money.
Dental Models may contain Gypsum. Gypsum should not be included in your waste as it
needs special treatment before going into a landdll.
MediMatch can collect up to 5kg of models (one MediMatch “model bag”, supplied by
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[24] =>
24 Business
United Kingdom Edition
March 19-25, 2012
The Q and A’s of recruiting
Lis Hughes provides some useful advice
that comes up again and again
is that of recruitment. ‘How
do we get the right staff?’,
‘How do we keep the right
staff?’, ‘Where should we
look?’
Employment law has changed a lot over the years and there is now so much more to
consider
A
t Frank Taylor and Associates we see a huge
number of dental practices every month. As well
as valuing and selling these
practices, we also provide
a full range of business services. This will very often lead to
involved discussions about a
wide range of aspects of dental practice management and
associated issues. One item
rankly
This was becoming such
a regular request that we decided to do something about
it. We have formed a partnership with recruitment experts, MedicsPro. As the leading valuer and sales agents of
dental practices in the UK, we
are well aware of the importance of the right team members, and how this can make
a massive difference to the
success or failure of a dental
business.
founded on an adherence
to best practice; hence why
they are members of the
Recruitment
and
Employment Confederation. This ensures that dental professionals
can be confident of work-
S
What is the difference
between Frank Taylor
and Associates and a
dental agent?
ing with a respected and fully compliant dental staffing
agency.
Our colleagues at Medics
Pro have provided some top
tips if you have, or will have a
need for the right staff in the
near future:
1
If you pay peanuts, you
will get monkeys. It never fails
to amaze me that some principals will complain about lack
of staff loyalty and team members not ‘buying into’ the practice vision, only to find out that
their staff would be better off
working on the checkouts at
Tesco’s! The right people don’t
come cheap.
2
Remember
that
nursing and reception staff are as
important to the practice as
dentists and hygienists. They
are very often the ‘face of the
practice’ and need careful
consideration – an excellent
nurse may not be great on the
front desk for instance.
3
• When we do a totally independent valuation you can rely on and
the agent doesn’t.
• 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
6
Are you an expert in recruitment? Think very carefully about managing the process yourself. It is no longer
‘Consider the costs of getting it wrong. As
well as having to start the whole process
again, there could be costs to your
practice’s reputation and patients do
not relish the idea of seeing someone different every time’
MedicsPro is a company
peaking
self why you are unsure?
Is it a permanent position?
If it is for a locum or temporary position, it may be much
easier to get someone else to
take care of it for you.
4
Consider the costs of getting it wrong. As well as having to start the whole process
again, there could be costs
to your practice’s reputation
and patients do not relish the
idea of seeing someone different every time – just ask Boots
Dentalcare.
5
Do not be afraid to go to
multiple interviews. If you are
still not sure then don’t feel
you have to make a decision.
Take a step back and ask your-
just a case of putting an ad in
the BDJ, seeing the responses
flood in, and employing the
candidate you struck up a rapport with in a brief meeting.
Employment law has changed
a lot over the years and there
is now so much more to consider. Also, if you aren’t doing
dentistry, you aren’t earning
money.
7
When you are choosing an
agency, ensure that their fees,
whatever they may be, are
open and transparent.
8
Once you have decided
upon an agency to work with,
before anything else is done,
you should discuss openly
and honestly what you are
looking for in a candidate. This
will save everybody’s time and
effort!
9
Any agency should perform a rigorous candidate
search along agreed themes
and present you with the
cream of the crop.
10
Consider
the
options of short-term contracts
and ensure that where relevant, a probationary period is
added. DT
About the author
Lis Hughes is a Director of Frank
Taylor and Associates and works specifically with clients as the transaction
proceeds through the sale and purchase process. She is a recognised authority on what it is happening in the
dental sector particularly in relation
to CQC and compliance. Tel: 08456
123434 Email: lis.hughes@ft-associates.com Frank Taylor and Associates
@franktaylorassciates.com
If you require any immediate
assistance, why not contact MedicsPro on 020 8505 6600 or email
dentistry@medicspro.com or visit
w w w. m e d i c s p r o . c o m / d e n t i s t r y jobs.cms.asp
[25] =>
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[26] =>
26 Practice Management
United Kingdom Edition
March 19-25, 2012
Are you prepared for a medical emergency?
Sharon Holmes discusses some of the best ways to get your practice learning new tricks
S
ometime
last
year
my
principal
dentist
Dr Malhan showed me
an article about a dentist,
who unfortunately suffered
a fatality at his practice due
to a patient having had an
allergic reaction to a mouth
rinse that contained chlorhexidine. The fortunate thing
for this dentist was that he
and his dental team dealt
with the emergency in the
correct manner even though
it had a tragic ending. Even
the paramedics who arrived
within five minutes could
not help the patient. The
paramedics had nothing but
praise for the dentist and
his team.
We, like everyone else,
have annual CPR training, but
when you come to think of it
how often do you actually deal
with a real life threatening
situation in a dental surgery?
I have been in dentistry for 20
years and, fortunately, have
only ever experienced patients who have fainted.
This really drove home the
message that you can never be
overly prepared when it comes
to dealing with medical emergencies. Having come from a
medical nursing background,
it got me motivated in wanting to make sure that all our
teams across the group
would be readily prepared in
dealing with an emergency.
An example of a defibrilator
So I set about creating a
medical training program
that stretches out across
the year.
®
BOC LIFELINE emergency equipment.
Saving minutes, saves lives.
The plan that I created
is simple and educational.
Using the Resuscitation Council (UK) Standard for Clinical Practice and Training, I
made sure that I had all the
medical emergency scenarios
covered.
The
common
medical
emergencies that could happen in a dental practice are:
Anapen® adrenaline (epinephrine)* £28 + VAT each
1. Asthma
2. Anaphylaxis
3. Cardiac emergencies
3 Available in 150mcg, 300mcg and 500mcg
3 Intuitive to use
3 Virtually painless
LIFELINE oxygen kit
Automated External Defibrillators (AEDs)
3 Lightweight oxygen cylinder
3 Built in regulator
3 Next working day refills†
3 Variety of oxygen masks
3 Single annual service charge
3 Intuitive voice prompts
3 Easy to use
3 Seven year warranty
Prices from £945 + VAT (AED only)
Only £195 + VAT per annum
‘This really drove
home the message
that you can never
be overly prepared
when it comes to
dealing with medical emergencies’
For further information or to place an order, call 0161 930 6010 quote reference RF278
BOC Healthcare
BOC Healthcare, Customer Service Centre, Priestley Road, Worsley, Manchester M28 2UT
bochealthcare-uk@boc.com, www.boclifeline.co.uk
*Full prescribing information is available from: Lincoln Medical Ltd, Unit 8 Wilton Business Centre Wilton, Salisbury SP2 0AH, United Kingdom: POM date of Preparation – November 2009, Code: ANA/09-008. Adverse effects should be reported. Reporting forms
can be found at www.yellowcard.gov.uk. Adverse events should also be reported to Lincoln Medical on +44 (00) 1722 742 900 or (0) 1748 828 785. †Depending on geographic location. Prices quoted are for a limited time only and are subject to change.
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4. Myocardial infarction
5. Epileptic seizures
6. Hypoglycaemia
7. Syncope (fainting)
8. Chocking and aspiration
9. Adrenal insufficiency
I broke these emergencies
down into one training session per month, and provided
[27] =>
United Kingdom Edition
a theory sheet showing a flow
chart of how to deal with each
emergency. The theory sheets
are used for learning the signs
and symptoms of the particular emergency.
I decided to include the
training sessions in our
monthly staff meetings, which
are booked for a minimum of
two hours. During the staff
meeting half an hour is dedi-
‘My desire is for our
teams to learn to be
interactive and to
enjoy the learning,
but most importantly to become
learned. The more
they learn the less I
stress.’
cated to learning about common medical emergencies and
we discuss the chosen subject
in depth and share incidents
that we may have experienced
over the years.
We then go through the
emergency drug kit where we
discuss each drug and what it
is used for. To make the drugs
easier to recognise during a
stressful situation I have instructed my practice manager
to have each drug clearly labelled (red ink on a white label) and a brief description of
what it is used for. For example: Glyceryl Trinitrate spray
(GTN) would be marked as
CHEST PAIN – ANGINA ATTACK.
We then go through the
procedure of the O2 Cylinder and make sure that we
all know how to open the
O2 cylinder and to close it,
and learn how to ensure it is
completely closed to avoid a
disaster. We also make sure
that we have the correct
masks and tubing in place
and that they are left in situ
because the less time you
need to spend trying to connect your tubing and mask,
the sooner you can assist
the patient.
Before ending the training session we go through the
roles of the persons who have
been nominated for dealing
with each different step if an
emergency was to occur. One
person is nominated to call
the ambulance, another is
nominated to stand outside
the practice and wait for the
ambulance, and the dentist
and nurse are then left to deal
with the patient.
Each month a different person is nominated to
lead the training so that each
person gets a turn to prepare
and teach.
My desire is for our teams
to learn to be interactive and
to enjoy the learning, but
most importantly to become
learned. The more they learn
the less I stress.
In closing, my advice
to you would be to review
your medical health ques-
March 19-25, 2012
Practice Management 27
tionnaire to ensure that it
covers all medical questions.
Make sure to update your patient’s health status at each
visit and make sure notes
are made on the back of the
questionnaire regarding any
changes; these must be dated
and then signed by the patient
and dentist.
Finally, make sure that the
nominated health and safety
officer is completing all their
weekly audits and checks.
These can be done on different days, but I tend to do them
randomly so that my staff
don’t know when to expect
them! I do this to ensure that
they are always prepared and
can’t work around my pending
site visits.
As Winston Churchill once
said: ‘I never worry about action, only inaction. DT
About the author
Originally
from
South Africa, Sharon Holmes has
worked in the field
of dental practice
management since
1992. In 2003, she
moved to London
City Dental Practice where after
18 months, was responsible for managing four practices in the group.
The London City Dental Practice
is now part of a mini co-operative
group called the Dental Arts Studio, of
which she has been instrumental in
its creation.
[28] =>
28 Industry News
United Kingdom Edition
March 19-25, 2012
‘Highly acclaimed’ facial
aesthetics training courses
Botulinum Toxin, dermal
fillers & medical needling
Dr Brian Franks BDS (U.Lond)
LDS RCS (Eng) MFGDP (UK)
FPFA ACIArb
MSc
Clinical
Course
Lead, Non-Surgical Facial
Aesthetics,
School
of
Postgraduate Medical and
Dental Education, University
of Central Lancashire Clinical Director, Dentistry, Bupa Health and Wellbeing
UK • Smaller training groups: one tutor to five delegates and one tutor to one
delegate for hands on training, which means that you get to inject a whole
face not just one area • Our courses not only teach you how to inject; we show
you how to provide a consultation and assess the face • Collagen induction
therapy has become very popular in the last few years and is a great addendum
to Botulinum Toxin and Dermal Fillers, promotes new collagen, improves
laxity and skin tone. This course is encouraged as part of the Foundation
Level courses. • Contemporaneous note writing and clinical photography • A
written test is provided at the end of the course • Certificates are only awarded
on competency not just attendance • Post course support is free • seven hours
verifiable CPD Call us now on 020 8446 6518 or email jan@drbrianfranks.com
or visit www.drbrianfranks.com
Beat the tax man with Stern
Weber
With the new tax year looming it
pays to consider your investments
wisely. For a short time only,
Stern Weber dental units from
Clark Dental are available at a
promotional rate – the perfect
investment for practices seeking
to make the most of their extra tax
relief.
Depending on circumstances, practices replacing surgery equipment valued
over £50,000 before the end of the financial year practices can expect to receive
a First Year Tax Reduction of £20,000 (receivable in 2013). If purchased on or after
May 1st 2012 however, First Year Tax Reduction will only be £11,800.
With a little bit extra to spend before the turn of the tax year, it makes sense
to invest in a brand that is the hallmark of quality across Europe. Available
exclusively from Clark Dental in the UK, Stern Weber dental units are the
embodiment of over fifty years of pioneering invention and intelligent design,
and are considered among the leading dental units on the market.
With higher rates of tax relief only available until the end of the tax year, take
advantage of your extra spending power today, and invest in the dental unit
brand of choice.
The best value dental
supplier: Fact!
Independent research has
now proven what many
dentists have suspected
for years. When compared
to all its rivals The Dental
Directory consistently offers
the best prices on dental
products.
Strategic Data Marketing
LLC
(SDM)
compares
quarterly sales data from all of the UK’s major dental suppliers, analysing it
on behalf of dental product manufacturers. When comparing the final selling
prices, including all discounts and promotional prices, of 25 top-selling
branded products from a range of categories, SDM found customers could
save a packet by using The Dental Directory. The company was on average an
incisive 5.2 per cent cheaper than its competitors. Coupled with no minimum
order values and free next day delivery, plus a massive stockholding that
provides a daily fulfilment rate of more than 99 per cent, the proven value of
The Dental Directory makes the choice of a dental products supplier simpler
than ever.
Create Beautiful Restorations with GC’s
G-aenial
Learn how to create probably the most beautiful
composite restoration in the historic city of Leuven,
Belgium with GC. GC G-aenial is a unique light cured
composite that allows you to fabricate natural
looking, aesthetic direct restorations. The handson G-aenial course shows how to craft functional
composite restorations; even monochromatic
restorations become beautiful due to the unique chameleon effect of GC
G-aenial. This unique light curable micro-ceramic composite material benefits
from those all-important properties such as strength and durability but unlike
other composite materials on the market, GC G-aenial has been developed
to look like natural tooth structure. G-aenial’s more natural appearance has
been achieved by creating a final restoration of optimum hue, chroma and
brightness, whilst minimising the paleness inherent with composites. The result
is a restoration with opalescence comparable to porcelains and close to natural
teeth, which would previously have been impossible to attain using traditional
composite materials. The GC G-aenial course includes flights from London
Heathrow or Eurostar, transfers to the hotel and training centre, one night hotel
accommodation, all meals; together with all materials, models and equipment.
With 10 hours of CPD accreditation you will certainly benefit from attending a
GC hands-on course. For full details of the G-aenial courses, which are contained
within GC’s Training Calendar Booklet or for further information please contact
GC UK on 01908 218 999.
GlamSmile Shine at The Dentistry
Show 2012
As one of the highlights of the
dental calendar, The Dentistry Show
2012 saw thousands of delegates
from across the world attend the
NEC in Birmingham for a superb
two-day event.
Among the many hundreds of
exhibitors on display was GlamSmile
– designers of irresistible smiles. GlamSmile serves the dental community with
unique porcelain veneers, as well as teeth whitening treatments and a range
of oral hygiene products that are recognised worldwide for their technological
superiority and unique ease-of-application. Visitors to the GlamSmile stand
were keen to learn more about the company’s extra thin (0.3mm) no-prep
veneers which are available with a special positioning tray which precisely fits
the dental arch and allows the dentist to fit six to 10 veneers at once.
In contrast to traditional veneers, up to 10 GlamSmile veneers can be fitted in
just 60 minutes – dramatically reducing the normal treatment time.
As well as its highly popular veneers, GlamSmile team members also
demonstrated the easy-to-apply White Boost home-whitening kit, and
Formulation+, a special whitening treatment designed for short but intensive
whitening procedures to enhance the whiteness of teeth by up to 10 shades.
Periproducts
Periproducts’ superior product
range not only includes the highly
effective and clinically researched
RetarDEX alcohol free oral rinse,
oral spray and SLS free toothpaste,
but also an extensive range of
innovative interdental products
(Interproximal Denti-Brushes with
Pivot Technology and Wire-free
Denti-Brushes), a tongue cleanser
Developed by dental professionals, the patented ingredient CloSYS ΙΙ in the
RetarDEX range is antimicrobial, killing both the aerobic and anaerobic bacteria
associated with plaque, tooth decay and gum disease. This clinically proven
professional formula interferes with the formation of biofilms, inhibits bacterial
regrowth and is used for complete periodontal and oral hygiene treatments.
Independent clinical tests have proven that the active ingredient prevents
bad breath (by eliminating odour-causing Volatile Sulphur Compounds) and
that both the toothpaste and oral rinse whiten teeth within 14 days (by gently
oxidising and lifting organic stains).
Philips helps dental
professionals see the
light
As part of its growing
support for clinical excellence in the field of dental and facial aesthetics Philips
Oral Healthcare is sponsoring the 2012 Smile Awards, which recognise the
achievements of dentistry’s crème de la crème.
Philips has a justifiable reputation for advancing the field of oral health. The
Company recently expanded its powerbase as a result of its acquisition of
Discus Dental.
With its broadened product portfolio now including Zoom plus its
complementary take home whitening kits DayWhite/NiteWhite, Philips Oral
Healthcare is extending its considerable expertise in the sector.
Philips Zoom is used by more dental professionals than any other including
Dr Zaki Kanaan, currently Vice-President and Scientific Director of The British
Academy of Cosmetic Dentistry. He is enthusiastic about Zoom because it
provides him with the best whitening results for his patients. Because Zoom is
now part of Philips, its advocates have a way to ensure the long term success
of their whitening treatment by offering a Sonicare DiamondClean. Philips’
latest sonic toothbrush removes stains and whitens teeth naturally twice as
well as a manual toothbrush. It to be dubbed by the media as “the iPhone of
toothbrushes”!
To receive further information on all our products or to place an order, please call
020 8868 1500 or visit our website: www.periproducts.co.uk.
For more information visit www.philipsoralhealthcare.com
or call 0800 032 3005
For more information, contact The Dental Directory on 0800 585 586,
or visit www.dental-directory.co.uk
Personal Trial Kit
A good oral hygiene
regimen will involve the
use of several different
products as it’s the
unison of both chemical
and mechanical plaque
removal
that
ensures
sustainable oral health.
For this reason Oral-B offer
the complete package; a
choice of power or manual
toothbrushes, toothpaste, mouth rinse as well as more specialist cleaning
devices. The efficacy of all is unquestionable, delivering the benefits your
patients need to maintain good oral health between appointments. Oral-B has
put together a Personal Trial Kit for dental professionals, which contains 1 x
Triumph 5000 toothbrush, 3 x Precision Clean replacement toothbrush heads,
4 x Pro-Expert toothpaste (75ml) and one x Essential Floss (50m) pack. The kit
is available to dental professionals for their personal use only at the remarkable
price of £36.61. This is Oral-B’s suggested selling price. The individual selling
price remains at the wholesalers’ discretion and may vary slightly. If you’ve
ever tried to calculate the annual cost of oral hygiene products you will realise
what a tremendous offer this is. Consequently, these packs are limited to one
per dental professional and are only available for a limited period. The offer is
valid until 30 April 2012 and is available from CTS (0173 776 5400), DHB (0845
6017086) and Survival 32 (0118 951 6161).
N’Durance offers superior
performance
N’Durance from Septodont is
a nano-dimer low-shrinkage
composite suitable for the
direct aesthetic restoration
of both anterior and
posterior teeth, among
the features offered are: •
Low volumetric shrinkage,
resulting in less stress on the
tooth/restoration interface
for improved durability • A high intra-oral monomer conversion of 75 per cent,
optimising physical and mechanical properties • Compressive strength of 319
MPa for longer-lasting posterior restorations • Non-sticky and easy to handle •
Compatibility with all bonding agents. N’Durance is available in 16 Vita shades,
Universal Opaque, Translucent and Bleach White, offering superior aesthetic
results • Can be obtained in kits or single-does capsules and syringes
Trusted the world over, Septodont’s is committed and on-going research and
development which can be relied upon by thousands of dental professionals
every day. By recognising Septodont’s brand and value, you can overcome
the worries associated with private labels and trust that every product – from a
company you’ve always relied upon – will help you to provide the very best care
for your patients.
For further information, please visit www.septodont.co.uk or call 01622 695520
For more information call Clark Dental on 01268 733 146, email info@
clarkdental.co.uk or visit www.clarkdental.co.uk
and an ionic action toothbrush.
A new angle on interdental cleaning
TePe Angle® is the latest addition to
the popular family of TePe Interdental
Brushes.
TePe Angle was developed to improve
access to all interdental spaces
particularly in difficult to reach areas.
The angled head gives perfect access
to posterior teeth without the need
to bend the wire thus enhancing their
durability. The long and flat handle
provides a stable, ergonomic grip and
allows access both palatal and buccally.
TePe Angle is available in six colour coded sizes - pink through to green. All TePe
interdental brushes have plastic coated wires for safety and come with a hygienic
cover. The handles are made from recyclable polypropylene.
Offer!
Order a minimum of five boxes during March and April from your wholesaler and
collect a stylish umbrella – free!
One umbrella per person only. Contact your wholesaler for details.
www.molarltd.co.uk. info@molarltd.co.uk.
Tel: 01934 710022
Curaprox Brushes off the
competition at The Dentistry
Show 2012
The Curaprox stand was a popular
destination for delegates at The
Dentistry Show 2012, where they
discovered innovative, marketleading products including the
newly launched Hydrosonic Electric
Brush. Dental professionals couldn’t get enough of the oral health care
specialist’s products, such as:
• Hydrosonic Toothbrush: 42,000 sonic waves per minute make this one of the
fastest sonic brushes on the market in the UK • Ultrafine interdental brushes:
available in a variety of sizes and thicknesses to suit every patient’s needs •
Curasept ADS® (Anti Discolouration System): this CHX-based range includes
toothpaste, gel and mouth rinse, inhibiting bacteria without staining or
affecting taste perception A particular favourite was the new Hydrosonic
Electric Brush, which combines sonic technology, an advanced brush head,
three cleaning modules and a two-minute timer for an outstanding clean.
The Curaprox team also answered questions and took bookings for its iTOP
(Individually Taught Oral Prevention) patient education programme. Suitable
for all dental professionals, the courses provide the tools to encourage and
motivate patients to take control of their oral health. With Curaprox, dental
professionals can offer patients of all ages a variety of solutions for a whole
mouth clean. For free samples or for more information please call 01480
862084, email info@curaprox.co.uk or visit www.curaprox.co.uk.
For more information visit www.glamsmile.com
UCL EDI Diploma in Implant Dentistry
Dr Peter Willy is one of the two principal
dentists for Hoburne Dental Practice, a private
practice based in Dorset. He has recently
graduated from the UCL Eastman Dental
Institute with a Diploma in Implant Dentistry.
“The course teaches you everything you
need to know, from basic concepts up to the
latest evidence-based practice,” he says. “The
teaching staff, which included internationally
renowned experts, were excellent. “There
are plenty of hands-on sessions, both in the
laboratory and one-to-one surgery with your own patients. Being able to place
implants on your own patients under direct supervision at the Eastman is so
important to help you get started in practice. “You learn to assess the whole
dentition and other relevant aspects to ensure that the implants you place will
provide a predictable long-term solution for your patients. “Our practice can
now routinely offer in-house implant options to our patients. We have been
surprised at the increased interest from patients when it is their own dentist
doing the treatment, rather than having to be referred out of the practice. Our
patients are happier and it has given the practice a real boost financially.”
For further information, please contact Richard Banks, Programme
Administrator, on 020 7905 1281, email richard.banks@ucl.ac.uk
or visit www.ucl.ac.uk/eastman/depts/cpd
[29] =>
United Kingdom Edition
WhiteWash Laboratories cause a stir at The
Dentistry Show
With thousands of delegates flooding the floors
of the NEC in Birmingham, The Dentistry Show
2012 was one of the highlights of the year so
far. Among the many exhibitors on display was
WhiteWash Laboratories, leading provider of
exceptional oral healthcare products. Visitors
to the WhiteWash Laboratories stand were keen
to find out more about the company’s innovative range of products including
its Professional Teeth Whitening Strips – mouldable plastic strips with preapplied whitening gel designed to follow the contour of your teeth for optimum
whitening. Delegates were particularly interested to learn more about this
innovative alternative to traditional whitening trays that offers a much easier,
more convenient and cost-effective way to whiten teeth.
As well as Professional Whitening Strips, visitors to the WhiteWash stand were
also treated to demonstrations of WhiteWash Laboratories’ two other innovative
products: Nano-Silver Whitening Toothbrushes and Silver Particle Professional
Whitening Toothpaste. By utilising advanced silver technology, both of these
products demonstrate superior anti-bacterial properties, for optimum oral
health. WhiteWash Laboratories would like to thank all delegates who took
the time to visit their stand, at The Dentistry Show 2012, and looks forward to
appearing at the next event.
March 19-25, 2012
Industry News 29
BKH Healthcare takes centre
Stage at The Dentistry Show
2012
Anticipation was high for the
launch of new dental corporate BKH
Healthcare at The Dentistry Show
2012. Delegates discovered a host
of benefits on offer for every member of the dental practice, ranging from userfriendly management tools to industry-recognised educational opportunities.
BKH Healthcare provides a full complement of services to assist the provision
of first-class dentistry. With a complete support framework for optimal practice
management and business development, principals can focus on what they do
best: treating their patients. Staff are your most important resource and BKH
Healthcare delivers a full syllabus of business skills and post-graduate clinical
training to develop the abilities of the whole dental team.
With new practices opening in carefully chosen locations, BKH Healthcare
is striving to raise the bar in dentistry and ensure that patients and dental
professionals reap the rewards. Join BKH Healthcare and enjoy deeper career
satisfaction, fulfilment and fun with the dental corporate that cares. For more
information about BKH please call 0161 820 5466 or email Al at: al@bkh.co.uk,
Chris at chris@bkh.co.uk or visit: www.bkh.co.uk Want to stay in touch with the
Barrow Kwong Hing Group? Connect with us here Facebook: www.facebook.
com/bkhgroup YouTube: www.youtube.com/BarrowKwongHing LinkedIn:
www.linkedin.com/company/barrow-kwong-hing-group
Twitter: Chris Barrow @ChrisBKH, Dr Al Kwong Hingv@AlanBKH
Occlusion in everyday practice with Roy Higson and
Laurence Murray – new course dates announced
British Society for Occlusal Studies (BSOS) has announced
new dates for its introductory occlusion courses.
Occlusion in Everyday Practice is an excellent one-day
introduction to the principles of occlusion and how
they influence all of dentistry. Practitioners attending
Occlusion in Everyday Practice will be able to develop their understanding
and management of TMD and headaches. This course is also recommended for
dental technicians. The fee is £150 with a discount to BSOS members.
The Hands-on Occlusion Practical programme is also run by Dr Roy Higson and
covers facebow registration, centric relation manipulation, use of a leaf gauge,
the construction of an anterior jig and a lower stabilisation splint.
The fee is £300 (first served basis).
Course dates and venues are as follows:
Occlusion in Everyday Practice
Time: 09.00-16.30
• Bradford: Friday 25 May 2012 • Thatcham: Friday 8 June 2012 • Torquay: Friday
6 July 2012
Hands-on Occlusion Practical
Time: 09.00-16.30
• Wakefield: Saturday 26 May 2012 • Thatcham: Saturday 9 June 2012
• Torquay: Saturday 7 July 2012 Dates for later in the year for both programmes
will be announced in due course.
To find out more about the courses and to book a place, please call 0118
9590222 and ask for Amy or email info@bsos.org.uk
A demonstration of excellence by
Carestream Dental
The team from Carestream Dental
gave an impressive performance at
The Dentistry Show 2012, held in
Birmingham’s NEC complex. Thousands
of delegates took advantage of the
opportunity to see a wide range of
exciting products and services from
the industry-leading dental equipment
specialists. Carestream Dental provides state-of-the-art technology for digital
imaging and practice management systems, assisting practices to stand out
from their competitors and comply with the requirements of the CQC and HTM
01-05. Highlights of the event included: • R4 Clinical + practice management
software designed to help increase the efficiency and productivity of your
dental practice • CS 9300: outstanding extraoral imaging for all your diagnostic
needs. Incorporates 3D technology and multiple fields of view • CS 7600:
‘Scan & Go’ with fast and user-friendly smart plate technology for premium
quality intraoral digital images • CS 1600: multi-purpose intraoral camera with
unbeatable image quality Carestream Dental develops pioneering solutions
to deliver increased precision and confidence for diagnostics, and improved
productivity and workflow, so that dentists offer patients nothing but the best
possible care. For more information, contact Carestream Dental on 0800 169
9692 or visit www.carestreamdental.co.uk
CosTech Elite® Enjoys Great Success at
The Dentistry Show 2012
As one of the most prominent dental
laboratories to feature at The Dentistry
Show 2012, the CosTech Elite® stand was
busy with delegates keen to find out more
about the company’s wide range of services
for practices across the UK.
CosTech Elite® employs only the best GDCregistered managers and lab technicians
to produce its range of excellent dental restorations and prostheses, with
brands including DIO abutments and unique products such as ZirconArch® and
Thineers®.
With a reputation built on high-quality output and outstanding customer
service, delegates were keen to learn more about how CosTech Elite® can go
that extra mile for its clients. One such example is the CosTech Elite® fleet of cars
which it uses as part of its ELITE7 courier service. Groups of dentists are also
very welcome to visit the CosTech Elite® laboratory, and Elite managers and team
members are available to visit practices if required.
CosTech Elite® would like to thank delegates who took the time to visit its stand
at The Dentistry Show 2012, and looks forward to appearing at the next event.
dbg launch the Virtual
Compliance Office (VCO) at The
Dentistry Show 2012
One of the key exhibitors at The
Dentistry Show 2012 was dbg – one
of the industry’s leading names in
dental services. 2012 is set to be a big year for dbg, with this year featuring the
launch of its highly anticipated dbg patient plan that is set to cause a stir in the
industry over the coming months.
Furthermore, this year’s show marked the official launch of dbg’s brand-new
Virtual Compliance Office (VCO). The dbgvco is a secure, online location where
members can identify and work through CQC* requirements, and can also
manage CPD time, certificates and relevant documentation in all in one place.
The VCO proved a big hit with delegates who were interested to learn more
about the innovative new system that is free to dbg members. Delegates were
also particularly keen to take advantage of dbg’s special 25 per cent discount
for new members signed-up at the show.
Endodontics – as easy as one, two, three,
four, five
Available exclusively from The Dental
Directory, the S5 Rotary System (EVS 500)
from Sendoline.
The S5 is a fast, safe, innovative system for
mechanical cleaning of root canals. Utilising
a cordless S5 Endo Motor and just five files,
it makes Endodontic Treatments simple and
quicker to carry out. Key features include:
• All files use the standard crown down
technique • Unique ‘S’ profile •13mm shank
for ease of access •Long progressive flutes to
prevent the ‘screw in effect’ •Available with fully compatible ISO standardised
GP and paper points
For more information on the Sendoline S5 system, contact The Dental
Directory on 0800 585 586, or visit www.dental-directory.co.uk. To enhance
the quality of your endodontic treatments, The Dental Directory is now
sponsoring “Hands-On Endo for the General Practitioner” – a new course
presented by leading endodontists Jason Bedford and Charlie Nicholas. This
hands-on seminar will show you new and simple techniques to make your dayto-day endodontic treatments efficient, enjoyable and predictable. Courses
for 2012 are scheduled to take place at venues across the UK, however spaces
are limited so book your place today! For further information, or to enquire
about course dates and locations email info@d2dendo.co.uk
or visit www.d2dendo.co.uk. www.dental-directory.co.uk.
Europe’s fastest growing dental
event now largest provider of
live vCPD
xxxxxxxxxxxxxxxxxxxxxxxxxx The
Dentistry Show 2012 delivered
more than 10,000 hours of verifiable
CPD education to almost 5,000
dental professionals who packed
Europe’s fastest growing dental
For more information call 0844 68 69 150, email info@whitewashlaboratories.
com, or visit www.whitewashlaboratories.com or www.whitewashstrips.com
Continu delivers CQC compliant solution for
fast, effective disinfection of dentures
A recent CQC inspection commented that
“Inspectors could not find evidence to show
denture work was disinfected before fitting.”
Disinfecting dentures or other removable
orthodontic appliances quickly and safely
is not as easy as it may sound, but Continu
Mouthwear Disinfectant offers an ideal
solution.
The Continu Mouthwear product is simply
sprayed onto the appliance, left for 30 seconds
and then rinsed off to deliver effective and
compliant disinfection.
In addition to the mouthwear disinfectant, Continu offers a complete range
of alcohol free products for disinfection or cleaning of hands, surfaces, water
lines, dental impressions, ultrasonic baths and instruments.
With products designed to address every area of infection control within your
practice, Continu from Nuview delivers a comprehensive solution to reduce
the risk of cross contamination and maintain compliance with HTM01-05 and
CQC standards.
For more information please call Nuview on 01453 872266,
email info@nuview-ltd.com or visit www.nuview.com
For further information call CosTech Elite® on 01474 320 076, or email info@
costech.co.uk, or visit www.costech.co.uk.
event at the weekend.
Organiser CloserStill Media Healthcare announced that delegate attendance at
the two-day conference and exhibition increased to 4,917 healthcare delegates
and that the trade floor grew from 214 to 324 exhibitors showcasing the latest
dental equipment and technology alongside clinical and business services
in 2012. Delegate attendance has more than doubled (120 per cent) over the
past two years, as the Dentistry Show, with its combination of 60 hours of free
business and clinical CPD education across six conference streams, workshops,
a live surgery theatre, plus a major exhibition, attracted dental teams from
practices across the UK and overseas. The exhibition floor, which grew by more
than two-thirds in 2012, reported brisk trading with delegates.
Change and challenges confronting the profession topped the agenda as
leading figures in the dental profession tackled key issues, such as revalidation
and the trial contract, and Chief Dental Office Barry Cockcroft, gave his views on
the future of private dentistry.
The Dentistry Show returns to the NEC Birmingham on March 1st and 2nd, 2013.
Smile-on post Dentistry Show
Smile-on is proud to be part of The
Dentistry Show 2012. Held at the
NEC Birmingham on the 2nd and
3rd of March, the event brought
together the best of dentistry under
one roof.
Innovation is not just about
technology, it is about discovering different ways to communicate and engage
with others. From education support systems to interactive learning products
and web-services, Smile-on is dedicated to inspiring better care.
Smile-on is a provider of quality qualifications, interactive learning courses,
websites, events, publications, learning compliance systems, bespoke solutions
and mobile applications. If you want to maximise your professional potential
then Smile-on can help, thinking outside the box to find the right choice for you.
The Dentistry Show was the most successful to date and Smile-on would like to
thank all the attention they received from delegates.
An hour without a smile is wasted: Smile-on
For more information call 020 7400 8989, visit www.corecpd.com
or email info@smile-on.com
For more information on dbg membership services and the newdbgvco, call
0845 00 66 112 or visit www.thedbg.co.uk
*England only (dbg members from Ireland, Scotland, and Wales can use the
compliance section as a benchmark for ‘’Essential Standards’’ of Quality &
Safety)
Nuview demonstrates marketleading magnification systems at
The Dentistry Show 2012
One of the undoubted highlights of
the dental calendar, The Dentistry
Show 2012 was a great success,
with many thousands of delegates
flooding to the NEC in Birmingham
for the two-day event. Among the
most popular stands at the Show
was Nuview – the exclusive UK distributor of Carl Zeiss dental microscopes and
loupes. Carl Zeiss manufactures some of the world’s leading magnification and
illumination systems, offering precision optics coupled with highly functional
ergonomic designs. Visitors to the Nuview stand were able to experience for
themselves the exceptional image quality and ergonomics offered by the Carl
Zeiss OPMI Pico dental microscope, and were also able to learn more about
Carl Zeiss’s leading range of dental loupes
With compliance and infection control high on every dental practice’s agenda,
delegates were also interested to learn more about Continu, the highly
effective, alcohol-free disinfectant, available from Nuview. With an efficacy
rating of 99.999 per cent and a contact time of only 30 seconds the Continu
range is yet another example of Nuview’s commitment to excellence in all its
operations.
For more information please call Nuview on 01453 872266, email info@
nuview-ltd.com or visit www.nuview.com
Achieve a unique look for your
practice
Tavom has been producing bespoke,
cabinetry solutions for 35 years,
making them experts in avoiding
the stress that arises from practice
refurbishment. Furnishings should
reflect the personality of a practice
and Tavom makes cabinetry that is
unique to your needs.
RPA Dental, one of the leading suppliers of dental equipment, supplies Tavom
cabinetry.
“RPA Dental did a fantastic job in designing and installing our two new surgeries
and decontamination room. The whole project was managed by them and
came in on budget and on time, we were even able to continue working
throughout the transformation and we have been delighted with the results.
I would use RPA Dental again for any surgery work I was considering and
would recommend them to anyone else as they have a wealth of experience
in dealing with surgery planning and decontamination room design, and are
able to deliver exactly what they promise. Every aspect of the job from start
to finish including final decoration was expertly handled and could not have
gone smoother.” Dr Simon Hall.
To benefit from Tavom’s exceptional quality call Tavom UK on 0870 752 1121 or
visit the Tavom website www.tavom.com
For further information call RPA Dental on 08000 933975,
or visit www.dental-equipment.co.uk
[30] =>
United Kingdom Edition
March 19-25, 2012
Dental Tribune UK
Editorial Board
Dr Neel Kothari
BDS Principal and General Dental Practitioner
Luxator Extraction
Instruments
are now the preferred
method of
performing extractions
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
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
3512-11201 © Directa AB
© 2012, Dental Tribune UK Ltd.
All rights reserved.
Luxator Extraction Instruments were
invented by a Swedish dentist to make
extractions as trauma free as possible. He
developed subtleties in the design only a
practising dentist would appreciate with an
acclaimed and ergonomic handle design.
For this reason our Luxator instruments are
discernably different.
Distributed in the UK by Trycare
Tel. 01274-88 10 44
Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
Publisher
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com
the validity of product claims, or for
typographical errors. The publishers also
do not assume responsibility for product
names or claims, or statements made
by advertisers. Opinions expressed by
authors are their own and may not reflect
those of Dental Tribune International.
Sales Executive
Joe Ackah
Tel: 020 7400 8964
Joe.ackah@
dentaltribuneuk.com
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
March 19-25, 2012
SPECIALIST DENTAL ACCOUNTANTS
- Assistance with Buying & Setting Up Practices
- NHS Contract Advice
- Tax Saving Advice for Associates and Principals
- National Coverage
- Incorporation Advice
- Particular Help for New Associates
- Help for Dentists from Overseas
- We act for more than 550 Dentists
Please contact:
Nick Ledingham BSc, FCA
Tel: 0151 348 8400
Email: mail@moco.co.uk
Website: www.moco.co.uk/dentists
Are You Making These Retirement
Will HMRC
Be Sending You A
Planning Mistakes?
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withoutwhen
even you
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resulting
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mistakes until it’s too late.
“Essential
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Rutherford Wilkinson Ltd is authorised and regulated by the Financial Services Authority
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