DT UK No. 7, 2013

News / Where are you on the management skills ladder? / Tooth whitening update - better late than never / Creating a successful and profitable practice in the recession / Long-term care vs. short-term gain / Keeping up with the industry / Blowing the whistle and protecting patients / Turn your good practice into a great one – part three / All change on the NHS contracts front / Getting it right / City & Guilds Dental Nurse Qualifications / Industry News / Dental Tribune UK Editorial Board / Classified

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March 25-31, 2013

PUBLISHED IN LONDON
News in Brief
GnR’s Axl Rose knocks out
fan’s teeth
A Guns N Roses fan is suing
Axl Rose after being injured
by a microphone during the
band’s tour of Australia.
Axl Rose threw his microphone into the crowd during a recent gig in Perth,
and reportedly broke two of
fan Darren Wright’s teeth.
Mr Wright is now suing the
singer for around $5100
in a bid to get them fixed.
“With the bright lights
and explosions, I couldn’t
see anything,” Wright has
said. “The next thing I
knew, I was whacked in
the mouth. I thought I had
been punched. I was quite
stunned and it took a few
seconds to realise what was
going on. I could feel bits
of teeth in my mouth. “At
the very least, I want someone to pay to get my teeth
fixed.”
Dental nurse is ‘best
dressed’ at Cheltenham
Dental
nurse
Charlotte
Hamilton from Pittville was
crowned ‘best dressed’ on
Ladies’ Day at Cheltenham
Festival.
Charlotte, who
wore a coat, fur scarf, hat
and leather gloves, was delighted with the prize. “I’m
overwhelmed,” she said.
“It was not the outfit I was
planning on wearing but
when I saw the weather I
decided to go for it.” Charlotte was presented with a
bottle of bubbly to celebrate
the success by Cotswold
farmer Adam Henson.
FGDP(UK) to host series
of seminars
Delegates attending this
year’s British Dental Conference and Exhibition at
ExCel London will be given the opportunity to hear
from some of the most respected professionals in
the industry courtesy of the
FGDP(UK). Leading dental professionals, including
Professor of Oral and Maxillofacial Imaging at Manchester University, Keith
Horner, and FGDP(UK)
Course
Director
Paula
McHenry will be speaking
on a variety of topics from
minor oral surgery to new
radiology guidelines. Each
session will last between an
hour and ninety minutes.
All four seminars will be
taking place over Thursday
25 and Friday 26 April and
offer an exciting opportunity to investigate some
of the new developments
within dentistry and recognise how to implement best
practice as delegates develop their career.

www.dental-tribune.co.uk

News

Smoking

Smokers more likely to quit for
sake of children

page 4

VOL. 7 NO 7

Comment

Opinion

Tooth whitening

Long term gain

Neel Kothari discusses changes
in the law

pages 8-9

Michael Sultan discusses importance of long-term care

page 13-14

Meeting

Keeping up with the
industry

Richard Kahan talks CIC 2013

page 15-16

Tooth decay highest amongst
England’s most deprived
New figures on hospital admissions for dental procedures reveal
higher rates for patients from the most deprived sectors of the
population when the primary diagnosis is tooth decay

lmost one fifth of such admissions were for patients
from the most deprived
ten per cent of the population.
However, those from the least deprived ten per cent of the population accounted for only four per
cent of admissions with a primary
diagnosis of dental caries.
Health and Social Care Information Centre (HSCIC) Chief
Executive Tim Straughan said:
“[These] figures show a correlation between rates of hospital
dental procedures caused by tooth
decay and the patient’s level of
deprivation. [This] report has implications for the public’s dental
health and for hospital trusts in
England that perform dental services, in particular those that serve
England’s most deprived areas.”
Professor Damien Walmsley,
the Scientific Adviser to the British Dental Association, said: “The

striking and persistent correlation
which exists between those with
the best and worst oral health and
their social backgrounds, particularly among children and young
people, has long been apparent.
“Dentists working in Britain’s
poorest communities are working with fundamental problems
such as children not being taken
to see a dentist, not being provided with toothbrushes and fluoride
toothpaste and being fed irregular diets heavy with sugary and
acidic food and drink. As a result,
sadly, we see many children with
significant levels of decay; some
of whom have to be referred to
hospitals for multiple extractions
before they are even ten years old.
“Tackling these problems and
the social determinants that underlie them needs to be part of
governments’ wider public health
strategies across the UK, as the

BDA continues to stress.”
Dr Nigel Carter OBE, Chief
Executive of the British Dental
Health Foundation, said: “Although the findings of the report
are nothing new, the scale of the
problem is a worry. Social inequalities have a great bearing
on oral health, both in adults and
children.
“While there have been major improvements in oral health
in the last 30 years, with research
leading to advances in the prevention and treatment of disease, inequalities remain and a marked social gradient in oral health is seen
similar to that in general health.
“Recognition of the common
risks shared between chronic
diseases such as cardiovascular
diseases, cancers, obesity and oral
diseases has facilitated more oral
health organisations to work with

health disciplines to educate and
inform patients about the risks.
“Those with a lower social
economic status tend to have an
unbalanced diet containing little
or no fresh fruit and vegetables.
The entire profession should take
every opportunity to discuss their
patient’s diet to assess their risk
and give them as much information on how to reduce their risk.”
Further research shows that
more than 30 per cent of children
in the UK will have dental decay
by the time they are five. The Infant & Toddler Forum (ITF) is also
calling for a focus on public health
education in order to make a difference, with the aim to help families instil healthier attitudes in
their children for lifelong health,
through a programme of everyday tips on which foods to offer
and which behaviours to encourage as early on as possible. DT

[2] =>

2 News

United Kingdom Edition

March 25-31, 2013

Funding uplift places extra pressure on GDPs, BDA warns
ciation (BDA) has warned.
The Department of Health’s
decision has this year been
made without a recommendation from the Doctors’ and
Dentists’ Review Body, following its decision to suspend
DDRB’s role in determining
pay settlements.
The Department of Health
has also signalled that it intends to implement changes to
the way that dental contracts
are managed at the end of
the 2013/14 financial year, although details of these changes are yet to be published.

BDA warns of fiscal pressure

A

Government
decision
to award general dental
practitioners in England
an uplift to their funding of 1.5

per cent for 2013/14 will do
little to relieve the increasing
pressure on high street dentists, the British Dental Asso-

Dr John Milne, Chair of the
BDA’s General Dental Practice
Committee, said: “While dentists understand the financial
challenges facing the public

purse that sit behind this decision, they also know that their
practice expenses are continuing to escalate and that their
professional lives are becoming ever more challenging.
“Dentistry in England is
facing an uncertain time with
new commissioning arrangements being implemented in
just a few weeks and new contractual arrangements being
piloted.
“Dentists are working hard
not only to care for their patients today, but also to make
these reforms work to build a
better future.
“That future will also depend on the funding shortfalls that are being endured by
practices now being recouped

in future years. The BDA will
continue to remind Government of this and look to the
DDRB for future recommendations to more effectively support dentists’ hard work caring
for patients.
“We will also press for
the all-important detail of
the changes to contract management that have been announced alongside today’s announcement to be published.
Inevitably, the devil will be in
the detail of these changes and
we will be looking very closely
at them.”
Salaried dentists will receive a one per cent pay uplift,
in line with the award given to
other NHS employees. DT

Thousands encouraged to use Smoking increases
lung cancer risk after
internet to improve health

Online to better health?

T

he NHS Commissioning Board (NHS CB)
has announces plans to
help up to 100,000 more people to use the internet to improve their health.
The Board is forming a new
partnership with the Online
Centres Foundation to fund
existing UK Online Centres
to train and support people
to help their health and wellbeing through the internet.
The funding will support the
Online Centres Foundation to
develop at least 50 of their existing centres in public places
such as libraries, community
centres cafes and pubs to become digital health hubs.

These hubs will provide
training and support to help
people go online for the first
time so they can start using
websites such as NHS Choices. As people become more
confident they will also be encouraged to do more online,
such as provide comments on
their use of the NHS or order
repeat prescriptions online.
To support the centres and the
people who use them there
will be online health information training on their website
www.learnmyway.com.
In addition to the health
hubs, the programme will
also establish a new network
of larger NHS digital projects
working in health locations
(including hospitals and GP
surgeries) to pilot innovative
approaches to getting involved
in online healthcare.
The NHS Commissioning
Board is concerned that those
who experience the greatest

health inequalities – and who
have the greatest need of NHS
services - are least likely to be
online. People over the age of
65 account for more than half
of NHS spending, but 36 per
cent of those over the age of 65
have never been online before
and half of the eight million
people who have never used
the internet have a disability.
Homeless people, travellers
and some rural communities
experience health inequalities and poor health – but often also lack access to online
services.
To support the centres and
their users, a digital health
information learning package will be established on
the online learning platform
Learn my way, which will help
evaluate the best way to encourage people to find health
and information and complete
transactions online. DT

radiation exposure

T

he risk of developing
cancer or tissue damage after exposure to
ionising radiation varies among
people because of genetic and
lifestyle factors, according the
Health Protection Agency’s independent Advisory Group on
Ionising Radiation (AGIR).
An AGIR report concludes
that there is strong evidence
that smoking substantially increases the risk of developing
lung cancer after exposure to
ionising radiation; an effect
particularly marked in people
exposed to radon gas. There is
also evidence that genetic factors affect the way people react
to ionising radiation, although
further research is needed to
confirm this and identify all the
genes responsible.
The conclusions raise ethical issues that will need careful
consideration and could have
implications for advice given

to smokers who undergo radiotherapy, work with ionising
radiation or are accidentally exposed.
Professor
Bryn
Bridges,
chairman of AGIR, said: “Smoking may well be important when
considering future risks in exposed people. It is an appropriate time to start to consider
how knowledge of lifestyle factors such as smoking might be
incorporated into occupational,
medical and public radiation
protection.” DT

Another risk from smoking

Britons fear tooth loss more than weight gain

A

new
survey
from
dental brand Corsodyl has revealed that
permanent tooth loss is the
nation’s biggest confidence
killer.
Out of the adults surveyed,
51 per cent said that losing
a tooth would be the worst
blow to their confidence, compared to 19 per cent who cited

changes in weight, and ten
per cent bad skin.
Despite these findings, 48
per cent of those surveyed
said that healthy looking gums
are not as important as other
aspects of their oral health,
and only 18 per cent said they
would visit the dentist if they
had gum problems.

Dentist Amit Rai commented: “Gum disease is prevalent in Britain and this new
report highlights what I see
in my practice on a daily basis - that some British adults
seem to know little about the
health of their gums. Although
most
patients
nowadays
understand the importance
of brushing twice daily,
they
don’t
often
realise

that the bugs, which cause
gum disease, love to hide
within the spaces in-between
their teeth.
A build-up of bugs causes
the gums to become inflamed,
commonly
resulting
in
red, swollen gums which
may bleed upon flossing or
brushing. Over time gums
could pull away from teeth

and, if left untreated, gum
disease could result in the
scary reality of tooth loss.
There are many products
available to treat gum disease. Where appropriate, I
often recommend a medicated mouthwash, containing
chlorhexidine, for short term
use to treat the signs of gum
disease, as well as a good oral
care routine.” DT

[3] =>

United Kingdom Edition

News 3

March 25-31, 2013

Editorial comment

Although the day is not
widely marked in the UK, the
opportunity for focusing on
oral health should never go
begging. I made sure that our

AL HEA
R
O

social media was on the case,
I hope your was too!
If you’d like to see more
about World Oral Health Day
so you can plan for next year,
go to http://www.fdiworldental.org/events/world-oralhealth-day/world-oral-healthday-2013.aspx. DT

WORLD

for FDI member associations
to organise events locally to
raise oral health in the public’s awareness.

A
HD Y
LT

ast week saw
the sixth World
Oral Health Day.
Organised by the FDI,
World Oral Health
Day is celebrated every year
on 20 March and was created
to remind the global population that healthy teeth, gums
and mouth play a crucial role
in our ability to work or study
without constant, nagging and
painful toothache, in our selfconfidence and in the health
of our whole body,

MARCH

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

This
year’s
theme
is
‘Healthy Teeth for Healthy
Life’. It reflects the major contribution oral health makes
to our lives. The event provided a fantastic opportunity

Tooth loss?
Rather have
the flu!

Advanced Defence Sensitive
blocks 92% of dentine tubules
in just 6 rinses in vitro*

mericans
are
more
afraid of losing a natural tooth than they are of
getting the flu, according to a
January survey by the American Association of Endodontists. Despite an especially bad
flu season that taxed hospital
emergency rooms nationwide
and led some cities to declare
a public health emergency,
more
survey
respondents
hoped to avoid losing a permanent tooth (74 per cent)
than avoid getting the flu (73
per cent).

Introducing the first in a new expert range from Listerine® –
a twice-daily mouthwash built on potassium oxalate crystal
technology that blocks dentine tubules deeply for lasting
protection from sensitivity.2,3
In just six rinses Advanced Defence Sensitive blocks
92% of dentine tubules; twice as many as the leading
recommended pastes.1,4

Also, 70 per cent of respondents say they want to
avoid getting a root canal, and
60 per cent were more anxious
about root canal treatment
than getting a tooth pulled
(57 per cent), or receiving a
dental implant (54 per cent).
The underlying factor of these
numbers could be connected
to outdated concerns about
root canal treatment.

It can be used alone for lasting protection,3 or in combination
with the most recommended paste from the leading
sensitivity brand, to significantly increase the number of
tubules the paste blocks in vitro.4,5
* Based on % hydraulic conductance reduction

During the seventh annual
Root Canal Awareness Week,
March 17-23, the AAE wants
to dispel myths that root canals are painful and encourage patients who need a root
canal to see an endodontist to
save their natural teeth.
“We want patients to know
that there is no reason to be
anxious about receiving a root
canal,” said AAE President Dr.
James C. Kulild. “With today’s
advanced technologies, root
canals are no more painful
than getting a filling - root canal treatment is actually one
of the best ways to save your
natural tooth!” DT

References:
1. Dentine Tubule Occlusion, DOF 1 – 2012.
2. Tubule Occlusion Stability, DOF 3 – 2012.
3. Relief of Hypersensitivity, DOF 4 – 2012.
4. TNS – Sensitivity Market Research 1 – 2012.
5. Combination Tubule Occlusion, DOF 2 – 2012.
UK/LI/12-0494m

Recommend Advanced Defence Sensitive
for expert care when you’re not there

Do not recommend this product if patients have a history of kidney disease, hyperoxaluria, kidney stones or malabsorption syndrome, or take high doses of vitamin C (1000mg or more per day).

10237_ocdlis_sensitive_SP_DentalTribune_297x210_fa1.indd 1

2/18/13 10:35 AM

[4] =>

4 News

United Kingdom Edition

March 25-31, 2013

New drug treats oral mucositis
protects against or heals
mouth sores commonly
associated with cancer
treatment.

M

ouse model studies
show that administered
genetically
or topically, protein Smad7

In some cancer patients treated with radiation, the mouth sores
known as oral mucositis
become so severe that
feeding tubes are required
for nutrition and narcotics are needed for pain. In
fact, 40-70 per cent of patients treated with upperbody radiation develop the
condition to some degree.
Currently, there is no FDA approved treatment. A University of Colorado Cancer Center
study published this week in

the journal Nature Medicine
takes an important step toward
changing that.
“We developed a genetically engineered mouse that
produces a protein called
Smad7 in the surface layers
of its mouth. With this protein expressed, mouse models
were dramatically more resistant to the development of oral
mucositis than were controls,”
says Xiao-Jing Wang, PhD, CU
Cancer Center investigator.
Wang and collaborators including Qinghong Zhang, PhD,
Yosef Refaeli, PhD, and radiation oncologist David Raben,
MD, are pursuing further re-

search with the goal of developing Smad7 as a therapeutic
agent for human oral mucositis. The group joined Smad7 in
with a short peptide that allows
the protein to cross through
cell membranes, and produced
this combination protein from
cultured bacteria. When they
applied the engineered compound directly to the mouse
oral cavity, it both protected
against the development of
oral mucositis and worked to
heal existing ulcers. Importantly, it revived wounded normal cells but not cancer cells,
avoiding a major problem of
growth factors currently used
to promote the cell growth that
heals ulcers.

“It’s very reasonable to
hope that this line of research
will result in a drug that patients can self-administer topically to oral mucositis sores,
or use to prevent them altogether, thus significantly improving the quality of life for
many cancer patients,” Wang
ways.
Additionally, Wang points
out that the mouse model engineered to develop humanlike oral mucositis in the presence of radiation treatment is
a useful tool for studying the
disease – offering opportunities to search for biomarkers
and test experimental therapies. DT

Stub it out for the children’s sake!

S

mokers are most likely to
kick the habit due to the
effect it has on children,
according to the results of a
new survey.

Public Health Minister Anne
Soubry has already called for
smoking to be banned in cars
carrying children on “child
welfare” grounds.

Almost a third (30 per cent)
of those surveyed by the British
Dental Health Foundation said
they would stop smoking due
to the effects it has on children.
More than one in four (26 per
cent) said the danger of developing mouth cancer would be
the reason they quit, while less
than one in five (19 per cent)
said the risk of lung cancer.

Children are particularly
vulnerable to the effects of second-hand smoke and exposure
increases the risk of cot death,
glue ear, asthma and other respiratory diseases.

Children are often exposed
to second-hand smoke in the
home and particularly cars.

A review by the British
Medical Association’s Board of
Science concluded that there
is no safe level of exposure to
tobacco smoke for children and
adverse effects can be found at
low levels of exposure.

Tobacco use is a major
killer worldwide, and Dr Nigel
Carter OBE, Chief Executive of
the British Dental Health Foundation, hopes the one in three
smokers in the UK that want to
quit do so sooner rather than
later.

A

Northumbria Healthcare NHS
Foundation Trust’s initiative for
looked after children in the borough won the ‘continuity of care’
award at the Patient Experience
Network (PEN) awards.
The scheme, which operates in
partnership with professionals responsible for the children’s welfare
and wellbeing, ensures there is no
interruption in dental care for
children entering care and has
resulted in improvements in their
oral health.
The project, run by the Trust’s
Northumbria Dental Service,
started as a 12-month pilot in
conjunction with North Tyneside
Council in 2010, however due to

its success, has continued.
Community dental officer Dr
Alex Rushworth, who co-ordinates the project alongside senior
oral health promotion officer Jo
Mackintosh, said: “We are really
excited and proud to have won
this award. This service was designed for the looked after children of North Tyneside with the
help of the children, young people
and carers themselves.
“Although Northumbria Dental Service already assessed and
treated looked after children, this
service means we have more robust links with everyone involved
in the care of these patients. It
means that more children are
able to access our service and
benefit from a project specifically
designed to deliver health benefits
to them.”
There are plans to extend the
service into Northumberland.

not only will you stop damaging
your body, you will stop damaging those around you.” DT

Dr
Carter
said:
“The
research is clear-cut – smoking
in any environment is harmful to you and those around
you. Around one in six adults in
the UK still smoke, and if they
are doing so around their children it could have a catastrophic effect on their future health.
“Children see their parents as role models. If they

National award for Tyneside dental project
ground-breaking project
which delivers a dedicated
dental service for children
in care in North Tyneside has won
a national award.

are smoking, children are more
likely to take up the habit. By
stubbing out cigarettes now,

The award means that Northumbria Healthcare has triumphed
at every PEN awards – for the last
three consecutive years.
Annie Laverty, the Trust’s director of patient experience, said:
“It is brilliant news that we have
again been successful at the only
awards which reward teams who
really go out of their way to improve the quality of care for their
patients.
“This project was truly unique
as the service was tailor-made to
meet the needs of the children in
full partnership with those responsible for their welfare, the children themselves and their carers.
“It is a clear example of how
our staff are committed to finding
innovative new ways to improve
the experiences of patients and it
is fitting that they have been rewarded in this way.” DT

Children are vulnerable to the affects of scondhand smoke

BDA launches major
changes to membership

F

or the first time, the British
Dental Association (BDA)
will offer dentists a choice
of membership packages that reflects individuals’ different needs.
Following extensive research,
the BDA is launching a new
membership scheme and from 1
June 2013 the current ‘one size
fits all’ membership will be replaced with three different packages, offering a range of benefits.
At the same time, the BDA is
also launching a new online CPD
‘Hub’ which will be available to all
members.
The new membership packages are:
• Essential (£295) – covering trade
union support, access to online
advice, subscriptions to the BDJ
and BDA News; access to the
brand new online CPD system

• Extra (£795) – covering everything in Essential membership plus, tailored support and
advice via phone or email, and a
VIP three-day ticket to the British
Dental Conference and Exhibition
• Expert (£1,095) – covering everything in Essential and Extra
memberships plus exclusive access to BDA Expert (including
over 170 model policies and protocols); two three-day DCP tickets
to the British Dental Conference
and Exhibition; and a BDJ Clinical
Guide
Concessionary rates will also be
available:
• Students (£24 a year while at
university) – covering a range
of benefits including access to ebooks, BDA publications and free
entry to the Conference and Exhibition
• Those over 65 (£150) – for access to the Essential membership
package. DT

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[6] =>

6 News

United Kingdom Edition

March 25-31, 2013

Work in Burma with Burmadent

Burmadent

A

chance encounter whilst
on holiday in Burma
in March 2012 was the
starting point for UK dentistry’s
newest Charity, Burmadent.

Founded by practice owners Sharon Bierer and her
husband, dentist Henrik Overgaard-Nielsen, together with
fellow Trustees, Brian Weatherly and Lesley Naismith from
Software of Excellence, Burmadent has been established
to provide dental care and
promote oral health education
in Burma.
Initially a holiday in March
2012 took Sharon and Henrik
to Inle Lake in Burma where
they were granted access to

the Mein Thauk orphanage.
The levels of caries and decay they found in the mouths
of such young children was
shocking and motivated the
couple to organise a return trip
to the area in November last
year, with the aim of providing
a programme of dental care to
the orphans.
The couple were joined on
the trip by the head nurse at
their London practice, Zar Ni,
and his wife May Myat San as
well as Support Manager at

Software of Excellence and
trained dental nurse, Lesley
Naismith.
Burmadent aims to arrange
for dentists to work in Burma
with an English speaking nurse.
Dentists will pay for their own
flights and hotel (at £15pp per
night). Burmadent will facilitate this by providing information on useful contacts, advice
on precautions that should be
taken, how to get a visa, necessary injections, hotel details,
travel arrangements etc. – in

fact every resource needed to
make your trip a reality.
Burmadent has a number
of events planned for the coming year and has a programme
of presentations to local BDA
groups already arranged. In addition, a Burma Day was being
held at Software of Excellence
on 22nd March and don’t forget
the Burmaball on 12th October
at “Eight” – the private members’ club in London. DT

BDTA Dental Showcase launches new website

R

egistration for BDTA
Dental Showcase, the
UK’s largest dental exhibition, is now officially open
for 2013.
Whatever
your
reason
for attending the UK’s largest dental exhibition – to
see the very latest technology,
gain insight on the newest
thinking, purchase equipment
or to learn more and gain CPD
– the new BDTA Dental Showcase website is the hub for
everything you need!

The online portal of the
UK’s largest dental exhibition
has a whole host of practical
features, designed to ensure
you maximise your visit to
BDTA Dental Showcase.
Visit
www.dentalshowcase.
com now to:
• Register for free to benefit
from BDTA Dental Showcase
2013. See what’s new in the
world of dentistry
• Find out the latest news and
updates about the exhibition
• Use the new ‘My Dental

Showcase’ section, where visitors can plan their day, see
who will be exhibiting and research travel options
• Use the ‘Save The Date’ facility which will automatically
add BDTA Dental Showcase to
your online calendar
• Download your CPD from
2012 (if you have not already
done so)
•
View
highlights
from
last year’s BDTA Dental Showcase
The latest news and updates in the build up to the

show are also available direct
to you by following @dentalshowcase on Twitter or by liking the ‘BDTA Dental Showcase’ Facebook page.
This year, the exhibition
will be held at Birmingham
NEC from 17-19th October.
To
find
out
more
about Dental Showcase 2013,
register for tickets and personalise your experience visit: www.dentalshowcase.com
now! DT

GDC’s Chair and Chief
Word of mouth
Executive speak at
strengthens oral health BDA Conference
time they visit.
Tony Reed, Executive Director of the British Dental
Trade Association (BDTA)
said: “New technologies have
transformed the whole experience of visiting the dentist. There are now a wide
range of largely non-invasive
treatments
including
laser treatments, to target
decay and disease, and digital
scanning technology which
allows dentists to make
replacement teeth and crowns
without taking silicon impressions.

Personal reccommendations are key

M

ore than 28 million people in the
UK chose their current dentist through word of
mouth, according to new research.

per cent of people used the internet. Almost two thirds (63.7
per cent) would rely on recommendations from friends
and family to choose a new
dentist.

In a poll conducted by Bray
Leino, half of people questioned (44.7 per cent) used
friends and family recommendations for choosing their
current dentist, while only 7.5

The trust people have in
their dentist was also highlighted as the survey found
that two in every three people
(66.3 per cent) would prefer
to see the same dentist every

“Dental treatments have
advanced significantly helping to make a visit to the
dentist a much more relaxed
experience and encouraging
more patients to take care of
their oral health which, in
turn, benefits their overall
health.” DT

T

he
General
Dental
Council’s (GDC) Chair,
Kevin
O’Brien
and
Chief Executive, Evlynne Gilvarry will be appearing at this
year’s BDA Conference, taking
place at London ExCeL on 2527 April 2013.
Together they will present
a session on Friday 26 April in
Theatre 4 at 2.15pm, entitled
Radical changes ahead – the
GDC prepares for the future.
In the session they will be
discussing the GDC’s work,
future aims and strategy; cost
effective regulation; and the
importance of contributing to
the GDC’s work.
Kevin O’Brien will also be
presenting the session Work-

ing to deliver dentistry in line
with patient expectations on
Friday in the Training essentials theatre at 11am. In the
session, Kevin will be exploring the aims and objectives of
the GDC’s corporate strategy;
the role of patient expectations and safety; and how progress in key projects such as
direct access, the review of
standards and CPD will impact dental professionals.
For
more
information
about the conference and to
book a place, please go to:
http://conference.bda.org/ DT

[7] =>

United Kingdom Edition

March 25-31, 2013

News Feature 7

Where are you on the management skills ladder?
Glenys Bridges requests your help...
an electronic version for the
questionnaire at casper.campaign@gmail.com
Completing the
questionnaire
Identify the level of your
management contribution by
simply referring to the ‘Management Function’ column as
follows:
1. Refers to Strategic Management or
2. Refers to Operational Management or
3. Refers to Supervisory Management

Climbing the skills ladder

T

he CASPER campaign
began in June 2012
with a meeting of 12
interested parties at Aston
University Business School.
The aim of the meeting was
to form a Steering Group to
highlight the need for clear
guidance on the standards of
professional education required to enable dental professionals to meet regulatory
standards for quality of care
and patient safety.
With the enactment of the
Health and Social Care Act
2008 and the creation of the
regulatory bodies appointed
to ensure compliance with its
regulations we have been approached by an ever increasing number of practice teams
struggling with the requirements. It is clear to us that
many of the employers- Registered Providers do not have
the training required to make
the regulations into an effective tool for ensuring consistent standards of patient
-focused care.
Frequently,
they employ a practice manger who does not have the re-

About the author
Glenys
Bridges
is an experienced
management
trainer and assessor with 20 year
experience
of
working with General Dental Practitioners and their
teams. In addition,
she has expertise and qualifications
in Counselling and Life Coaching. Her
first book Dental Practice Management and Reception was published in
2006 her second book: Dental Management in Practice was published
during 2012.

quired skills either.
The
CASPER
working
group is made up of managers, communicators and trainers who understand the skills
required at each level of practice management. Whether
your management role is at
the strategic level where managers are often Registered
Providers and are responsible
for business planning, or at
the operational level at which
managers are responsible for
designing practical procedures, or the supervisory level
at which managers supervise
the work of colleagues, having
the appropriate knowledge,

skills and understanding of
management principles is advisable, especially during adverse economic times.

CASPER project by completing
the questionnaire below, you
can do this on paper and post
your response with your name

‘We are inviting interested dental professionals to register their interest in the
CASPER project by completing the questionnaire below’

Registering your interest
We are inviting interested
dental professionals to register their interest in the

and postal or email address
to: 24 Farnworth Grove, Castle Bromwich, Birmingham
B36 9JA or email us asking for

When you have identified
your current level of management contribution, 1 or 2
or 3, complete all four functions; Planning, Organising,
Leading/Directing and Controlling then do the same for
the Training Needs column by
completing the corresponding
horizontal row.
When we have registered
your interest through either
the receipt of your request for
an electronic survey, or your
paper (by post), we will send
you a second skills gap survey directly, relevant to your
management level showing
you the recognised skills and
outlining relevant training opportunities for you. DT

[8] =>

8 Comment

United Kingdom Edition

March 25-31, 2013

Tooth whitening update, better late than never
Neel Kothari looks at the situation around whitening

O

n 31st October 2012
‘The Cosmetic Products (Safety) (Amendment) Regulations 2012 (implementing Directive 2011/84
EU which amends Directive
76/768/EEC)’ came into force

for the first time, clearing up
the legal position on tooth
whitening in the UK.
Prior to this time the majority of the profession carried out tooth whitening pro-

cedures in breach of the law;
in the absence of any political
will to enforce it a messy situation ensued. The problem was
that despite its illegality, tooth
whitening was a treatment
which in many cases offered

a cheaper, less damaging and
less risky approach to improving patients’ smiles compared
with conventionally carrying
out veneers or crowns.
However

the

current

amendment
completely
changes this. The vast majority
of tooth whitening procedures
can now comfortably be carried out with concentrations of
six per cent or less Hydrogen
Peroxide, rendering the need
to use greater concentrations
almost obsolete. Accordingly, it is now incredibly difficult for dentists to provide a
clinical justification to break
the law.
The regulations set out that
products containing or releasing up to six per cent hydrogen
peroxide can be used, subject
to the following conditions:
• It is only to be sold to dental
practitioners
• For each cycle of use, the
first use is to be by a dental
practitioner, or under their direct supervision, if an equivalent level of safety can be ensured
• After the first cycle of use,
the product may be provided
by the dental practitioner to
the consumer to complete the
cycle or use
• It is not to be used on a person under 18 years of age
The GDC position statement on tooth whitening further expands on this legislation stating that if they receive
information or a complaint

‘Despite its illegality, tooth whitening
was a treatment
which in many cases offered a cheaper,
less damaging and
less risky approach
to improving patients’ smiles’
that a registrant is using a
product for cosmetic purposes
in excess of six per cent they
may face fitness to practise
proceedings and can expect
to have the matter referred to
the relevant trading standards
department.
The Dental Defence Union
(DDU) advises its members
that in the worst case scenario
‘dental professionals who use
bleaching products containing or releasing over six per
cent hydrogen peroxide could
be imprisoned and/or fined up
to £5,000 under the Consumer
Protection Act 1987.’ The DDU

[9] =>

United Kingdom Edition

also states ‘the six per cent hydrogen peroxide limit applies
to any compound whether
used externally or internally
e.g. on a root-canal treated
tooth’ and that ‘it remains illegal to use tooth bleaching
compounds containing or releasing more than six per cent
hydrogen peroxide’.
Dental
Protection
also
states that ‘the use of products containing or releasing
more than six per cent hydrogen peroxide is a breach of the
Regulations’ and ‘members
may consider, for example, the
extensive published evidence
that products containing or
releasing more than six per
cent hydrogen peroxide may
lead to a higher incidence of
side effects including sensitivity, which in turn are respon-

‘Dental Protection
also states that ‘the
use of products containing or releasing
more than six per
cent hydrogen peroxide is a breach of
the Regulations’
sible for a significant number
of complaints relating to these
procedures. Furthermore, this
evidence suggests that the use
of these higher concentrations, whether administered
in the surgery or at home, may
ultimately confer no long-term
benefits in aesthetic terms
when compared to the alternative products that remain
within the proposed new six
per cent limit.’ If a member
considers that it is in a patient’s best interests to use a
product containing or releasing more than six per cent hydrogen peroxide and a member chooses to use this product
they may be challenged on the
use of the product by Trading
Standards Officers.
As part of the agreement to
change the directive the EU
demanded that there should
be reporting of any adverse effects from the use of HP products up to six per cent. At the
time of writing I am not entirely sure as to how this is

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.

advised that the Consumer
Protection Act 1987 and the
cosmetic Products (Safety)
(Amendment)
Regulations
2012 do not cover the final
‘use’ of the product, therefore
these specific regulations do
not prevent the direct application of any whitening product
of any concentration to the
teeth.

meant to work in practice, so
if I ever find out I will do my
best to update you on this position. Alternatively if there is
anyone out there who knows
please email me at neel@sawstondentist.com.
In what may seem as a
somewhat contradictory position The Department of Business, Innovation & Skills (BIS),
who oversee consumer safety
and trading standards, have

Comment

March 25-31, 2013

This suggests that it is not
illegal under these regulations

for anyone to apply whitening
products of any strength directly to the teeth of patients,
however it is difficult to see
how this can work if dentists
are restricted from purchasing
HP products over six per cent
and are not supported by their
dental defence unions.
Essentially, the need to
use stronger concentration
whitening products has always been debatable given

9

that similar results can easily be achieved using ‘weak’
or ‘strong’ products. Those
advocates of ‘power whitening’ may ultimately feel disheartened by the ruling, however really have no choice but
to abide by it. Over the past
year I personally noticed
seemingly excellent deals in
a number of power whitening
lamps – I am now extremely
glad that I wasn’t tempted to
buy one. DT

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[10] =>

10 Feature

United Kingdom Edition

March 25-31, 2013

Creating a successful and
profitable practice in the recession
Ash Parmar details steps you can take to be successful in today’s economic climate

he world is in economic
turmoil at present. If
you watch the news, we
are constantly being reminded
of doom and gloom. Have you
wondered how this may affect
your dental practice? This article will look at the fundamental concepts that every practice
owner needs to really focus on
in 2013, not just to survive, but
hopefully to thrive in. Remember, a practice cannot just stay
where it is. If you do nothing,
your business will probably
decline. By taking positive action and working hard, the
business will grow.

The Law of Attraction
(pic 1)
The Law of Attraction says that
you are a living magnet. Any
thought you have, combined
with an emotion, positive or
negative, radiates out from
you and attracts back into your
life the people, circumstances,
ideas and opportunities consistent with it.
The Law says that if you
have a very clear idea in your
mind of your desired goal (eg
having a successful private
practice), and you can hold
that idea in your mind on a
continuing basis, you will
draw into your life the resources that you need in order
to achieve it. So whatever type
of new patients you want to attract, have a positive focus and
attitude, and this will happen. I
successfully used this concept
in setting up a state-of-the-art
private cosmetic and implants
practice two years ago (www.
smiledesignbyash.co.uk).

Goal Setting (pic 2)
Goal setting is essential for
success. Goals must be written with clear deadlines. Only
the top three per cent of the
most successful business owners have clearly defined WRITTEN goals! For example, to
convert an NHS practice to a
private practice may require a
one - two year game plan with
clearly defined and managea-

Pic 1 - Law of Attraction

2 - Goal setting

ble monthly goals. This makes
the task easier and minimises
financial risks in the transition. The entire team needs
to understand the journey of

‘The entire team
needs to understand the journey of
change, and support the business in
the new vision and
direction that the
practice will take’

change, and support the business in the new vision and direction that the practice will
take.

Improving your Practice
(pics 3a, b)
The first important and practical thing is have a close look
at your practice. To improve
it need not cost that much
money! Dentists spend thousands of pounds on equipment

and fancy gadgets, but often
fail to understand that patients will NOT really perceive
these differences. They will
however notice the aesthetic
ambience of the practice, the
nice aromatherapy vapour as
they enter the premises, the
beautiful music playing in the
background, the smiling and
smartly dressed professional
team members. They will also
notice the totally clutter free
environment, the beautifully
appointed bathroom, and the
freshly made tea and coffee.
They will also enjoy the classy
hardback books in your reception lounge, the nice works of
art and makeover pictures of
your clients on the wall.
In summary, set a budget, have a team meeting and
brainstorm the ideas of change
you want to consider in your
practice. Review what nice hotels and restaurants look and
feel like. You CANNOT have a
successful private Practice if
you “don’t look the part”! This
is obvious, but often ignored.

Review your Finances
(pic 4)
It is vital to go back to basics
and rethink your strategy going forward. The current economic climate is very unusual;
even estate agents cannot predict what exactly will happen
in the next twelve months! As
dentists, we need to be clear of
the following:-

Once you are offering a superior service, increase your
fees by 10 per cent. This will
have the effect of increasing
your profit by 28 per cent if
your expenses are held at 65
per cent! In addition, review
all expenses and tighten up
wherever you can, and certainly avoid any major capital
expenses. If you intend to do
more cosmetic dentistry, then
purchase important pieces of
equipment or technology (eg a
digital SLR camera or a soft tissue diode laser), ie things that
have a very good return on investment.

Marketing the Practice
Allow a budget of five – eight
per cent of the annual turnover for marketing your practice. You should then have a
detailed marketing plan for
the year, which will actually
change as time goes on. This
is because you need to monitor
your marketing strategies and
evaluate what is working and
what is not. Some examples of
successful and low cost marketing strategies are:-

• Find time to develop excellent relationships with your
clients
• Offer outstanding customer
service at all times
• Learn how to ask for referrals

• Monthly turnover target
• Monthly expenses
• Cost to run each treatment
room
• Profit made by the hygienist
or associate working for you
• Marketing plan and budget

• Devise and send newsletters
to your patients (keeping regular contact is important)
• Use Smile Questionnaires
with new patients, recalls and
hygiene patients
• Digital photography (one
of the most powerful ways of
non-pressurised selling)

• Number of new patients
you would like to sustain the
practice

Pic 6 - Finance Plans for patients

• Develop a website, and optimise it

• Network with local businesses
By clearly defining your vision, you will automatically
decide on the type of patients
you wish to attract to the
practice.

Finance Plans for patients (pic 6)
If you do not already work with
a financing company that offers finance plans for dental
patients, then it is vital to immediately set this up. A com-

‘By clearly defining
your vision, you
will automatically
decide on the type
of patients you wish
to attract to the
practice’

pany such as Medenta (www.
medenta.com) can come and
train up your treatment coordinator, including help with verbal skills. For a larger investment, most patients will want
to spread payments over an
extended period of time, and
if possible enjoy the benefit of

Pic 3a - Improving Practice

Pic 3b - Coffee Station

Pic 4 - Review your finances

Pic 5 - Digital photography

Pic 7 - Team Meetings

[11] =>

United Kingdom Edition

an interest free loan over 12-24
months.

The team should also have
a daily morning meeting where
the treatment coordinator has
pre-planned everything. This
important 15 -minute discussion will ensure a smoother
day and reduced stress!

11

‘The team should also have a daily
morning meeting where the treatment
coordinator has pre-planned everything.
This important 15-minute discussion
will ensure a smoother day and
reduced stress!’

7

Team Meetings (pic 7)
By having regular monthly
team meetings where EVERYONE is present will give the
team an excellent opportunity
to discuss, co-discover and
role-play verbal skills. Someone will need to create the
agenda, which is approved by
the principal, and also take
minutes.

Feature

March 25-31, 2013

Pic 8 - Customer Service

• An excellent treatment coordinator. Dentists find it hard to
delegate. However, a highly
trained and skilled treatment

coordinator will drive your
business to levels of success
à DT page 12

Learn more about Luxatemp and
other DMG milestones at www.dmg-dental.com/20-years

8

Education and Team
Training (pics 8-11)
To make successful change,
you will need the following:-

Happy
Birthday,
Luxatemp!

Pic 8 - Hands On Courses

The successful material
for aesthetic, break-resistant

Pic 9 - Learning to Create Beautiful
Smiles

temporary restorations
is turning 20.
We thank dentists
worldwide for
their confidence.

Pic 10 - Education and Team Training

Pic 11 - Treatment Coordinator

• Excellent clinical skills. Go
on postgraduate courses to
learn additional skills. Hands on courses are the best way to
learn (eg Smile Design, Occlusion, and Photography).
•
Learn the Art of Selling.
How can you quickly learn the
skills to successfully get your
patients to say “Yes” to larger
treatment plans? How good are
you and your team at communication skills?
AZM_20_LxStar_DeEn_2012_2.indd 1

12.10.12 11:36

[12] =>

12 Feature

United Kingdom Edition

very high standard (visit www.
horton-consulting.com ).

ß DT page 11

you would not have dreamed
of. Dentists should mainly focus on actually doing the dentistry! It is likely that there is
a team member you have that
will have the requirements for
being a great treatment coordinator. You simply need to
identify this person and nurture them. I recommend Laura Horton to any dentist that
wants their team trained to a

Pic 13 -Bonus System

Exceptional Customer
Service (pic 12)
Patients (ie customers!) are
very discerning nowadays.
There is no room for complacency. The new patient experience has to be seamless from
the minute the initial phone
call enquiry comes. The team

March 25-31, 2013

needs to be trained in adding value to everything that
is said and done at work. The
language between colleagues
needs to be courteous and professional at all times. Many
small touches in caring for the
patient will add up to the overall experience being positive
and totally comfortable. Having satisfied customers will
create “raving fans” that will
then refer more new clients. In
this current economic clients
the need to really look after
people is even greater!

Bonus System

(pic 13)
Having a fair bonus system
based on practice turnover and team performance
is a great way to appreciate hard work that is done by
staff. The system needs to be
simple, with clarity in everyone’s mind as to how it
works. Bonus should be calculated on an average of three
months turnover, and paid
monthly (if applicable for that
period) separate from the
monthly pay cheque. It goes
without saying that appreciation and compliments are
equally important as financial
rewards when it comes to motivating team members!
Summary
“Knowledge is Power” and the
more you learn, the more you
find out that you do not know.
As human beings, we only
use about three per cent of
our true potential! Imagine
what you will become and the
practice success you will enjoy
if you put your mind to it, and
discover the right mentors… DT

About the author
Ashish B Parmar
(Ash) is a private
dentist and has a
unique
state-ofthe-art practice in
Chigwell,
Essex
called Smile Design By Ash. Ash is
a national and international lecturer and was one of the main dentists on
the three series of Extreme Makeover
UK. He offers an outstanding eightday course which includes training
on leadership, vision creation, goal
setting, step by step techniques in
doing Smile Makeovers, treating advanced cases (e.g. wear cases), lasers,
fibre-reinforced composite dentistry,
photography, communication, case
presentation skills, team development, occlusion, etc. Ash has written
numerous clinical articles in dental
journals and is well recognised for
his passion in cosmetic dentistry –
using both composite and porcelain
techniques. To review many other
informative articles and FREE TRAINING CLINICAL VIDEOS, and to find
out more about the unique training
Course run by The Academy By Ash,
visit www.theacademybyash.co.uk, or
send an email to training@theacademybyash.co.uk. Alternatively, you
may phone Ash personally on his mobile number 07971 291180.

The Academy A4 Advert FINAL.indd 1

21/09/2012 10:53

[13] =>

United Kingdom Edition

Opinion 13

March 25-31, 2013

Long-term care vs. short-term gain
Michael Sultan highlights the importance of thinking long-term...

he one thing I always
remember about my
first employer was his
favourite lesson. ‘Michael,’ he
would say, ‘Always remember:
a fast buck is your last buck.’ Of
course he was right, but I don’t
think my younger self quite realised the significance of those
words. Now, looking back, I am
much better placed to understand exactly what he meant.
He wasn’t just telling me about
the need to be honest and open
with my patients – he was telling me to always think in terms
of long-term care.
When we’re young I don’t
think we appreciate the passage of time, but as we grow
older we soon wonder where
the time’s gone. As dentists
we’re in a fairly unique position as if we continue to work
at the same practice, we get the
chance to assess the outcome
of our work over a number of
years. It’s lessons such as this
that really push the point home

Whereas 20 years ago a patient
may have sat in my chair and
said ‘I’m 60, is it worth it?’ today
I’m more likely to have someone say ‘I’m 80, is it worth it?’
If you’ve got a toothache then it
doesn’t matter how old you are.
The oldest person we’ve treat-

ed here at EndoCare was 100.
Did she want to keep her teeth?
Very much so!
What this reminds us then
is that with an aging population, looking to the long-term is
even more important than ever.

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One factor that’s had a significant impact upon the way
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What this teaches us then is
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eyes on the future and the ‘oral
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will take. It’s no good for example seeing a tooth with a broken filling and putting a crown
on it without thinking that six
months down the line the patient would have opted for a
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as a dentist that the work we do
now can have a profound impact upon a patient’s life and
will hopefully be with them for
many years to come.

à DT page 14

Rob Lynock and James Russell -

‘The oldest person
we’ve treated here
at EndoCare was
100. Did she want
to keep her teeth?
Very much so!’

So now, more than ever,
‘short-term gain’ is very short,
especially when we consider
the longevity of patients. But it’s
a fine balancing act. Of course
we should always endeavour

If people want to look good at
70 then rather than patching
up teeth one tooth at a time
we need to be thinking about
the overall big picture, and not
constantly fire-fighting each
separate problem as it occurs.

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[14] =>

14 Opinion
ß DT page 13

to focus on the long-term but
at the same time we have to
give patients what they want.
As we all know, very often patients don’t know what they
want, or they think they know
what they want, and don’t necessarily have all of the facts
and evidence to hand. Financially some patients may have
only short-term goals. Students
for example may not be able to
afford major treatments until

United Kingdom Edition

a later date. We should always
endeavour to provide a solution
with as little harm to the longterm prospects as possible.
With treatment discussions,
‘no’ sometimes means ‘no not
now’ rather than ‘no not ever’.
If a student came to you who
needed an implant but couldn’t
afford it, it would be very wrong
to cut down their adjacent teeth
and make a bridge (short term
gain) when in the long-term
they would be better off having an implant and just waiting

for it. If the problem short-term
is financial then we should always do something that’s reversible and non-damaging.
But there’s also another element to this short-term gain
discussion that we haven’t yet
considered. How does taking
the long-term perspective benefit our practices as businesses? Someone once told me that
the biggest practice builder is
emergency patients. If you really help someone out, then

more often than not, they will
stay with you for life. That’s because people don’t forget the
great service provided. They
don’t forget if you go out of
your way to help them out in a
difficult situation. If you’ve got
an emergency in and you’ve
been punitive with fees and
‘fast buck’ culture, yes you’ve
got them out of pain, but no,
they’re not going to come back.
For the sake of a few hundred
pounds you’ve soured a relationship for a lifetime. If you

March 25-31, 2013

think about the cost of patient
acquisition and how much a
patient is worth to a practice
these days (especially taking
patient longevity into account),
sometimes it’s even worth just
shrugging your shoulders and
waiving a fee if that means you
might be able to keep hold of
someone for 10, 20, 30 years or
more.
So there’s a lot more to my
old mentor’s advice than meets
the eye. Yes, a fast buck certainly nearly always is your

‘Yes, a fast buck
certainly nearly
always is your
last buck, but this
simple statement
means so much
more than that,
and has an impact
on all of our working lives’

last buck, but this simple statement means so much more
than that, and has an impact
on all of our working lives. It
certainly means to look at the
long-term over the short, but
it also means that sometimes,
going out of your way to do
something (however small) for
a patient, can reap you great rewards over the course of your
practising lifetime. DT

About the author

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Dental Tribune March Ad.indd 1

3/11/13 1:53 PM

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

[15] =>

United Kingdom Edition

Meeting 15

March 25-31, 2013

Keeping up with the industry
Dr Richard Kahan gears up for Clinical Innovations Conference 2013

D

esigned specifically to
help dental practitioners keep up-to-date
with the industry, Healthcare
Learning: Smile-on is proud to
host the 10th Clinical Innovations Conference (CIC) on 17th
and 18th May at the Millennium Gloucester Hotel in Kensington, London. Presented in
collaboration with The Dental
Directory, the event will provide a unique opportunity for
dental professionals to attend a
variety of clinical lectures and
workshops, learning and applying the latest techniques and
products in the industry.
Running alongside the main
lecture programme this year
will be the London Deanery
DFT Conference, designed specifically to introduce London
Deanery Foundation students
into the modern dental industry.
Amongst the confirmed
line-up of highly respected
speakers will be Endodontic
Specialist, Dr Richard Kahan.
Richard is a specialist endodontist working in Harley
Street, London and the former
Director of Endodontic Courses
at UCL Eastman CPD. He has
lectured widely on endodon-

‘After speaking at
the CIC last year, I
found the event to
be very well organised while providing a wide range of
education to suit all
delegates’

tics and technology and has
recently set up the Academy of
Advanced Endodontics to teach
the fundamentals of endodontics to GDPs through extended
mentoring within his practice.
With five years’ experience of
endodontic CBCTs, his clinic
has become a referral centre
for complex cases used by both
endodontists and GDPs.
“After speaking at the CIC
last year, I found the event to
be very well organised while
providing a wide range of education to suit all delegates,” he
says. “I found audience participation to be great, and really felt that delegates were responding to what I was saying.

cone beam CT technology, and
how it can be used to diagnose
and treat endodontic cases effectively. I will use various case
studies to illustrate my points.
“My lecture will also ap-

ply to all members of the dental team, as I hope to aid the
general progressive awareness of cone beam technology
within the modern profession.
I aim for delegates attending
my talk to realise the potential

for this technology to enhance
their clinical work, even if they
have not undergone any training specifically within the area
of endodontics. I also hope to
offer support and guidance on
how delegates can utilise this

knowledge and understanding
to raise the standard of their
treatment range. The latest imaging equipment can save the
practitioner and their patient
à DT page 16

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“I will be giving a similar
lecture this year, looking into

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17/10/2012 10:46

[16] =>

16 Meeting

United Kingdom Edition

ß DT page 15

suppliers and manufacturers,
demonstrating the latest equipment and innovations in UK
dentistry.

both time and money, which
could have a great affect on the
overall success of treatment
and the reputation of the dental
practice.”
In order to provide a diverse
learning experience for delegates, the CIC 2013 will present
several additional features over
the course of the two days. The
trade exhibition for example,
will host a range of high profile

“Dentistry is a very fastpaced profession, and techniques and equipment can
evolve very quickly,” adds Richard. “As a result, I think it can
be very difficult for practising
clinicians to keep on top of the
latest developments, particularly if they are also trying to
run a dental practice and raise

Delegates at CIC 2012

3
Celebrating 10 years of innovation

a family at the same time. Information has also become more
accessible to patients, so they
are always demanding new or
more complex treatments on
top of everything else. If the clinicians get behind, so does the
practice, and in such uncertain
economic times, this can be a
huge worry.
“In order to keep up, I think
it is important that clinicians
employ a variety of learning methods, and one of these
should definitely be attending
events such as the CIC. I believe this to be a very useful
way for practitioners to update
their knowledge and skills, as
the events encourage face-toface interaction between professionals. Dentistry can be a
lonely profession at times, particularly for principle dentists.
By speaking to people they otherwise may not have had the
opportunity to speak to, attendees to such events can gain a
wealth of new ideas and different perspectives to help them
and their practice thrive.
“As well as offering a relaxed and friendly atmosphere
for networking, the trade exhibition also enables delegates to
meet the experts behind new
products, allowing them to gain
a better understanding of the
techniques. From the trade’s
point of view it also provides
feedback on where they could
improve their products or services, so everybody gains.”

Friday 17th and Saturday 18th May 2013
Millennium Gloucester Hotel, London Kensington

Another opportunity to meet
both old friends and new will
be presented at the Clinical Innovations Awards Ball on the
evening of 17th May, when you
can relax and enjoy a luscious
gala meal with live entertainment. The evening will also
celebrate the latest developments in the industry, and the
deserving winner of the Clinical Innovations Award will be
announced. DT

Speakers include:
Nasser Barghi
Irfan Ahmad
Louis MacKenzie
Ash Parmar
Ian Buckle

About the author

BOOK NOW for early booking discount
cic@healthcare-learning.com
020 7400 8989

March 25-31, 2013

smile-on

healthcarelearning
inspiring better care

As well as working in his specialist
practice in Harley
Street, Richard is
Senior
Clinical
Part-time lecturer
in Endodontology
at the prestigious
Eastman
Dental
Institute, University College London teaching endodontics to both postgraduate specialist students and general practitioners.
He has lectured nationally and has
written many research papers for
refereed journals. Richard’s other interest is Information Technology and
he is a consultant in dental IT integration. He has recently finished writing
a clinical software programme called
EndoBiz which is currently undergoing beta testing.
To make sure you don’t miss Richard
Kahan or any one of our renowned
speakers, book early and avoid disappointment. To find out more or to
book your place, please email info@
healthcare-learning.com or call 020
7400 8989 Follow us on Twitter @
smileonnews and @hlc_smileon for
the latest news

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[18] =>

18 Practice Management

United Kingdom Edition

March 25-31, 2013

Blowing the whistle and protecting patients
Dilhani Silva details who to contact when you’re concerned about a colleague
tee hears evidence and investigates facts. If any allegations
are proven, the Committee can
erase the registrants, suspend
them, impose conditions on
registration, prohibiting them,
for example, from working in
a particular area of practice
or issue a reprimand. See the
GDC guidelines Principles for
Raising Concerns which is
downloadable from the GDC
website. The GDC states: ‘Try
to raise concerns locally first.
Come to us if you can’t, or if
you have already raised a concern locally and nothing has
been done about it.’

Whistle blowing is a responsibilitiy

s health care professional we have a duty
of care to our patients.
All our staff are trained to do
so and taken an oath on protecting patients. However we
seem to have had forgotten
or deliberately trampled the
truth. We have a responsibility and are gait to protect
patients and improve on our
skills in order to deliver the
best treatment and maintain
standards. Vast majority of
the dental care professionals
use their skills, education and
dedication to deliver the most
excellent treatment to their
patients.
The Department of Health
publication ‘Shifting the Balance of Power: the next steps’
stresses that: ‘It is essential
in protecting patients that instances of poor practitioner
performance are recognised
much earlier than they have
been in the past and effective
solutions found. It is anticipated that many more will in future be helped by retraining or
other means to restore an acceptable standard of practice.’
PCO
If you have an NHS contract
your Primary Care Organisation (PCO) will have a Practitioner Advice and Support
Scheme (PASS). This is a committee who will investigate
underperformance and provide support and guidance.
PASS can recommend additional training, courses or
mentoring etc.
Practitioner Advice and
Support Scheme (PASS)
The government guidelines
for PASS are as follows:

• The PCOs will work with
the Local Dental Committee
to help develop a system for
identification, assessment and
remediation in general dental
practice
• The process must be clear in
distinguishing concerns from
complaints. Concerns can
come from anyone, and can
lead to an investigation of the

‘We have a responsibility and are gait
to protect patients
and improve on our
skills in order to deliver the best treatment and maintain
standards’

wider content of a GDP’s practice, whereas a complaints
investigation is limited to specific circumstances
• Information might reach the
Panel via the following routes:
- Self-referral
- Member of the public
- Dental Practice Board
- The PCO
- A concerned colleague
- A member of practice staff
• Under-performance can be
reviewed under the four elements
of
commissioning
accountability
framework,

namely:
- Clinical and professional
- Patients and the wider public
- Management
- Finance
General Dental Council
The GDC has a three-stage
complaints
procedure
for
dealing with allegations about
the registrant’s performance.
At stage one the allegations
are considered by a caseworker. If they need further investigation the information is
passed on to the Investigating
Committee (IC).
At stage two the IC considers the allegations, comments
from the dental professional,
any additional comments from
the individual who made the
allegations. All parties receive
a complete copy of the paperwork (excluding any sensitive health information). The
IC decides whether to refer
the case to full public enquiry
(stage three) or not to refer it
for a public inquiry and take
no further action or issue advice or warning. If the case is
referred for a full public enquiry it is forwarded to one of
practice committees – the Professional Conduct Committee,
the Professional Performance
Committee or the Health
Committee.
If the IC decides to refer
the allegations for an enquiry,
they can refer the dental professional to the Interim Orders
Committee (IOC) to consider
whether to impose conditions
or interim suspend until the
enquiry has been held.
At stage three (full public
inquiry) the relevant Commit-

National Clinical Assessment Service NCAS
The PCO or GDC may decide
to involve NCAS for the more
complex or serious cases.
NCAS has dealt with over 3000
cases of underperformance
in doctors and dentists and
brings great experience towards helping practitioners to
improve standards and keep
working.
NCAS works in a number
of different ways and for complex cases may carry out an
assessment and can recommend further training or mentoring.
Dentists’ Health Support
Programme
The Dentists’ Health Support
Programme was launched by
the British Dental Association
in January 1986 under the title ‘The Sick Dentist Scheme’,
the DHSP title was adopted in
2001. The objects of the programme are to identify and
support dentists who may be
impaired by dependency/addiction to alcohol or other
drugs. Through a system of
investigation, verification, intervention, referral for treatment, post-treatment support
and monitoring the dentist can
overcome his/her impairment
and is supported in return to
satisfactory, safe practice.

training to ensure that they
are aware of who they need to
notify in the relevant circumstances.
Provide relevant information to the new staff members
during their induction programme.
For more details about the
Practitioner Advice and Support Scheme (PASS), carry
out a Google Search and you
should find details of your local scheme
Government has scrapped
the draconian confidentiality clauses aimed at silencing whistle-blowers, in the
NHS. This is assuredly the
best news in the NHS oppose
to its negative press. It is time
to put things right by ending
the blame culture. We all are
adults, not children who work
in the profession, and should
be able to take responsibility
to raise concerns of our poor
performance to protect the
public, which simply could
be our family. Staff should
be encouraged regularly and
should be alerted by the systems in place not only by the
government but by our own
working environment. There
should not be a fear to report
any wrong doing, misconduct
or any poor performance as
it will elevate the profession
and the surgery performance.
It has proven that ‘Non-disclausing’ clause in contracts
has silenced the profession for
some time.
Towards April each year we
(most of us) chase the UDAs,
that is a fact. Some might say
we are forced by the system to
do so. Are we doing this ethically? Meeting targets, ticking
the boxes and endless bureaucracy has brought this upon
us! Many of you may agree but
I leave this to my intelligent
readers. DT

A colleague may be referred to this programme either personally or from one
of the other bodies referred to
above.
GDC principles for raising
concerns
Ensure that staff members
have familiarised themselves
with the GDC principles of
raising concerns and clarify
any issues and questions at a
practice meeting.
Adapt a policy on raising
concerns and provide staff
members with the relevant

About the author
Dilhani Silva is
Practice Manager
for
orthodontic
clinic, Orthoclinic
Limited.

[19] =>

United Kingdom Edition

March 25-31, 2013

Turn your good
practice into a great
one – part three
Jacqui Goss continues with your journey toward
practice perfection!

Retirement and Buying a Practice
seminar programme (verifiable CPD)
PFM Dental continues their popular verifiable CPD courses in 2013 with booking
now open for:
• Preparing for retirement –
Leicester 3rd May and Edinburgh
20th September
• Buying a Practice – Wakefield
7th May (evening)

The way your calls are answered is crucial

A

ttention dentists, hygienists and all other
wet finger operatives.
Imagine if you will that you
have no appointment system.
People turn up when they feel
like it and bang repeatedly
on the door of your treatment
room, regardless of how busy
you are. As more people arrive
they also start banging on the
door. When you let one of them
in you discover they’re not a
patient and you have no notes
on them. Nevertheless they sit
themselves in your chair and
demand attention. They may
be there for five minutes or
half an hour. Meanwhile, the
banging on the door is getting
ever louder...
A
nightmare
scenario?
Nooo… just a typical working
day for a receptionist through
the prism of being a dentist.
For front of house staff, answering the phone is just one
of their many routine tasks
yet the way they do it and
what they say can significantly affect practice profits. I’m
amazed that some practices
spend time and money attracting potential patients (read
part two to find out how) and
then don’t ‘close the deal’ by
overlooking the training and
on-going development of their
reception staff.
I’ve been on both ends of

the telephone. Practice owners employ me to play the role
of potential new patients to
assess how well the telephone
is answered. As extreme examples, reception staff can
be ‘captured spies’ – persistent questioning is required to
elicit any information – or they
can be ‘monologue-ists’ – they
emit a continuous stream of
words, often repeating themselves rather than pausing for
breath!

background noise.

I exaggerate for effect, not
to imply criticism. Answering the phone in a practice is
hard work. I’ve done it when
clients have been suddenly
left short-handed and judge
it as akin to running a mental marathon with the added
hazard of random hurdles to
leap over and arbitrary hoops
to jump through. Oh, and the
occasional wayward mobile
‘banana’ to trip over.

The problem comes when
somebody answers the telephone in this way 10, 20, 50
times a day. Before the week
is out they’re answering:
“G’morning.
Sunnysmilesdentalpractice. Jacquispeak…
n’Icanhelp!”

When you answer the
phone you have no idea who
is calling. Within a few seconds you may determine their
gender from the sound of their
voice. You don’t know their
name, age, mood or their reason for calling. They may be
in a hurry or relaxed. They
could be warm and dry or getting cold and wet. They may
have good or poor hearing and
there could be little or lots of

Okay, let’s start considering what mistakes can be
made when answering the
telephone and how they can
be avoided. The usual advice
is to first confirm the business name and then identify yourself (I’m making up
the names): “Good morning.
Sunny Smiles Dental Practice.
Jacqui speaking and I can
help you”

As a humorous diversion,
older readers may recall the
Morecambe and Wise sketch
‘Morny Stannit’. Eric plays a
street newspaper seller who
repeatedly calls out the name
of the newspaper – “Morning
Standard” over time having
become “Morny Stannit”. Incidentally, the Morny Stannit is
now available online: http://
mornystannit.info
The caller is either obliged
to ask that this be repeated or
they carry on without having
à DT page 20

Preparing for retirement – an insight into
goodwill valuations from leading practice
valuers PFM Dental. A specialist dental
solicitor will cover legal issues including:
NHS contract transfers, sale agreements
and employment law. Dental accountants
PFM Townends will present on tax reliefs
and independent financial advisers will
focus on the NHS Pension and wealth
management.
Buying a Practice – financing a practice
purchase and presenting your case to the
banks. Lloyds TSB Healthcare will cover
finance applications and PFM Dental’s
practice valuers will offer guidance on
goodwill values. A specialist dental
solicitor will cover sale/purchase
agreements and common pitfalls.

To book your place on one of PFM Dental’s
verifiable CPD courses please email
mandy.wraige@pfmdental.co.uk
or call Mandy on 0845 2414480.

[20] =>

20 Money Matters
properly heard what was said.
The tendency to speak rapidly
(sometimes in a frenzied way)
is called pressured speech. In
other circumstances, it can
be a symptom of certain mental health conditions such as
schizophrenia. I won’t get
sucked into the whole world of
psycholinguistics but I can tell
you that it’s a topic which has
evoked considerable study – not
least by Heidi Riggenbach from
California who has written
several books on the subject.

United Kingdom Edition

There are accepted rates
of speech, measured as words
per minute (wpm). Fewer than
110wpm is slow whereas conversational speech is somewhere around 150wpm or
more (some experts say 180200wpm is ideal, others consider this fast). There are free
audiobooks available via the
Internet (www.booksshouldbefree.com is one website)
and these can help you gauge
a rate of speech that can be
readily understood. You can

also find rate of speech tests
– Lisa B. Marshall, host and
creator of The Public Speaker podcast, offers one here:
h t t p : / / w w w. l i s a b m a r s h a l l .
com/uncategorized/how-fastdo-i-speak.
Bear in mind that research
has shown older people tend
to perform more poorly (although there can be considerable variation) when speech is
deliberately speeded up.

There are four key things
to remember:
• The speed of answering
should be slower than normal
conversation
• It should be a ‘smiley’ greeting (see below)
• The caller should be identified by repeating your own
name and then asking the
caller for theirs, eg “My name,
again, is Jacqui, may I take
your name please?”
• Listen to what the caller
says.

Monday
28th
March
2011
Tuesday
16th
April
2013 – 6 hours CPD – Course Fee £349
Monday
28th
March
2011
All White
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Tuesday
12th
2011

Friday 10th-Sunday 12th May 2013 – 21 hours CPD – Course Fee £1099*

12th Aprilin
2011
CoreTuesday
CPD Updates
Dental Radiography and Decontamination

3
Masterclass
ThisDay
core
CPDAesthetic
course Updates
will provide&
participants
withRadiography
the very latest
information
regarding these 2 important areas of essential CPD. Please note that the
Core
CPD
inRestorative
Dental
and Decontamination

guidelines
for Shade
compliances
HTM01-05
andDesign
care
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standards
in
decontamination
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Day
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Dayparticipants
2: Smile
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Thursday 14th April 2011

Tuesday
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This half day lecture course
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Gorgeous
Gums
This half day lecture
course has been designed specifically for DCP team members with a clinical role. The lecture will provide an overview of the common

oral medicine conditions seen in general dental practice. Designed to develop the specific skills and knowledge of the clinical DCP this course will provide
oralanmedicine
in of
general
dental
practice.
Designedoftosoft
develop
thedefects,
specific the
skillsbiological
and knowledge
of the
DCP supporting
this course will
provide
Develop
understanding
of seen
current
concepts
in the
management
tissue
principal
andclinical
evidence
various
techniques.
participants
with anconditions
understanding
the following:
participants
with
an
understanding
of
the
following:
• surgical
The roleelement
of the CDT/Therapist/Hygienist
in oral
screeningonforanimal
premalignant
Hands-on
covering soft tissue grafting
techniques
jaws. and malignant lesions.
• The role of the CDT/Therapist/Hygienist in oral screening for premalignant and malignant lesions.
• The ability to distinguish the symptoms of oro-facial pain from pain of dental origin
• The ability to distinguish the symptoms of oro-facial pain from pain of dental origin
• How
patients
medication
cancan
aﬀect
mouth.
Thursday
13th
June
2013
–aﬀect
6the
hours
• aHow
a patients
medication
the
mouth.CPD – Course Fee £175*

Saturday
14th14th
MayMay
2011
An
MI Approach
to the Management of Tooth Wear in General Dental Practice
Saturday
2011

Gorgeous Gums

Restorative
management
protocols for predictable clinical outcomes; Developing an understanding of the latest technology in dental adhesive materials and the
Gorgeous
Gums
principles
simple
caresoft
planning
of
tooth
wear
cases; Discussion
wear
cases and
treatment
planning
options.
A hands
onbehind
course
covering
tissue
aesthetics.
Including:
Assessing
the
smile,
diagnosing
gingival
pathology
aesthetic
problems,
treatment
options
A hands
on course
covering
soft
tissue
aesthetics.
Including:
Assessingof
thetooth
smile,
diagnosing
gingival
pathology
andand
aesthetic
problems,
treatment
options
foraesthetics,
pink aesthetics,
principles
of treatment.
handsononsession
sessionwill
willprovide
provide training
training in:
to to
improve
gingival
contour,
techniques
to to
for pink
principles
of treatment.
TheThe
hands
in:Grafting
Graftingprocedures
procedures
improve
gingival
contour,
techniques
Thursday
11th
July
2013
–
3
hours
CPD
–
Course
Fee
£50*
combat
recession
and crown
lengthening
procedures,both
bothsoft
softtissue
tissueand
andhard
hard tissue.
combat
recession
and crown
lengthening
procedures,
tissue.

Thursday
June
2011
CDTs,
Therapists
and Hygienists Role in Oral Medicine
Thursday
6th6th
June
2011

This lecture
provide an overviewofofTooth
the common
oral medicine
conditions
seen in Practice
general dental practice, including: Management of dry mouth, burning
The will
Management
Wear
in General
Dental
mouthThis
andone-day
altered course
taste; Recognising
and managing
lesions, red
lesions
and and
premalignant
lesions.
provides participants
with an white
understanding
of the
aetiology
management
of tooth wear. Attendance on this course will ensure
This one-day course provides participants with an understanding of the aetiology and management of tooth wear. Attendance on this course will ensure
that delegates can follow restorative management protocols to predictably manage the clinical problem.
that delegates
can follow
restorative
management protocols to predictably manage the clinical problem.
£275 inclusive
of lunch
refreshments
Saturday
13th
Julyand2013
– 6 hours CPD - Course Fee £349*

The Management of Tooth Wear in General Dental Practice
£275 inclusive of lunch and refreshments

Saturday 23rd-25th July 2011

Immediate
Veneers
– Direct Options and other minimally invasive techniques
Saturday
23rd-25th
July 2011
Three-daysmiles
Aesthetic & Restorative Masterclass
to restore
Three-day
Aesthetic & Restorative Masterclass

From the King’s College London Dental Institute’s MSc in Aesthetic Dentistry the following one-day modules will be covered:
• toDay
1: Shape,
Shade
and
Colour.
From
the King’s
College
London
Dental
Institute’s
MSc toin Aesthetic
Dentistry
the following
one-day
be covered:
An
opportunity
learn
about
three
different
methods
restore teeth
and create
new smiles
usingmodules
minimallywill
invasive
composite materials in three formats.
• consist
2:
Design
Creating thetoPerfect
Smile design,
Day. treatment options and direct composite, indirect composite and prefabricated veneers.
• willDay
1:Day
Shape,
Shade
and
The day
of Smile
seminars
and–Colour.
hands-on
cover smile
• 2:Day
3: Aesthetic
Restorations.
• Day
Smile
Design –Indirect
Creating
the Perfect Smile Day.

•

Day 3: Aesthetic Indirect Restorations.

LonDEC provides all required course materials and each delegate
*Please contact us to take advantage of our limited early bird course fees.
LonDEC
provides
all required
materials
andLunch
each delegate
will receive
a certificate
andcourse
verifiable
CPD hours.
and
willrefreshments
receive
a certificate
verifiable
hours.
Lunch and
will alsoand
be provided
to CPD
all those
attending
a LonDEC
All courses include refreshments, lunch and CPD certificate.
course. will also be provided to all those attending a LonDEC
refreshments

course.
For further details and to book a place please visit: www.londec.co.uk

Please book
on-line
at email:
www.londec.co.uk.
To contact
LonDec
Alternatively,
please
call or
0207 848 4570
/ info@londec.co.uk
Looking for
a suitable
venue
to
deliver first-rate
postgraduate
dental training?
Please
book
on-line
at www.londec.co.uk.
To
please
email
info@londec.co.uk
or call +44
(0) contact
207 848 LonDec
4570
Or for a meeting or conference? LonDEC is a flexible space that adapts to meet
please
email info@londec.co.uk
callhow
+44we(0)can207help
848you.
4570
your needs.
Contact
us to find or
out
www.londec.co.uk

www.londec.co.uk

March 25-31, 2013

Ways of giving a ‘smiley’
greeting or sounding friendly on the telephone include
speaking clearly and naturally and perhaps with a deeper
pitch of voice. Oh, and smile
genuinely while you do so.
Colleagues should occasionally listen to how practice
team members answer the telephone to ensure they haven’t
reverted to an Olympic pace
greeting! The other thing to
be checked regularly is that
your telephone system has
good audio clarity – unless a
colleague makes a trial call
every so often, you may never
know. They should also check
that receptionists are not
starting to speak before the
line is properly connected –

‘Colleagues should
occasionally listen
to how practice
team members answer the telephone
to ensure they
haven’t reverted to
an Olympic pace
greeting’
resulting in “…ternoon, Sunny
Smiles Dental Practice” etc.
Finally, how does your answerphone message sound
to callers? Check for clarity, background noise, pace of
speech and good intonation.
Why have I used most of
this article concentrating on
just the first few seconds of
a telephone call? It’s because
those first seconds are critical
– it is oft quoted that research
shows that people form first
impressions of others in just
a very few seconds. Unfortunately, I can’t refer you to specific research to verify this. I
can, however, give you a great
reading recommendation. It’s
Drop the Pink Elephant by
Broadcasting Business Managing Director, Bill McFarlan. The book is about ways to
speak to people without getting them focused on the opposite of what you are saying.
Eg if someone says: “Don’t
think about a pink elephant,”
then, of course, that is exactly
what you think about. So, if
you say: “Don’t worry, we are
really good with nervous patients,” all the patient hears is
that they should worry! DT

About the author
Jacqui Goss is the
managing partner
of
Yes!RESULTS
dental
practice
management consultancy.
Many
practices
utilise
her knowledge and
expertise to considerably improve
their patients’ journeys.
Email: jacqui@yesresults.co.uk

[21] =>

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[22] =>

22 Practice Management

United Kingdom Edition

March 25-31, 2013

All change on the NHS contracts front
Amanda Atkin relates the ongoing saga of NHS dental contracts and advises on
good housekeeping you should undertake
flexibility to resolve any details
with the PCT and the practice
before signing the agreements,
and gave the national team
the capacity to support them
through this process.
Support is provided via a
national team that includes
the Department of Health,
NHS Dental Services and others. Clinical training for dental
teams on the care pathways
and support on implementing
and using the software have
been provided, as well as a
range of events for both PCTs
and practices, a dedicated regional support lead and an
online helpdesk and resource
network.
Core pathways for patients form part of the pilots

W

ho remembers the
General Dental Services (GDS) contracts? Yes, for some people
the painful memories are still
there! These were introduced
to take effect from April 2006
and heralded the new local
commissioning arrangements
for NHS primary dental care
services. There were also new
contracts for dentists in Personal Dental Services (PDS)
pilots making the transition to
GDS contracts. For those providing services such as orthodontics, there were substantive
time-limited agreements – normally a five-year PDS Agreement, which is different from
the new PDS+ Agreement.
Towards the end of 2009,
the DH introduced a new model contract called the PDS+
Agreement. Many dentists and
dental associations were con-

cerned that this new agreement was a shorter-term contract than previously, that it
favoured the PCTs and required
managements systems likely
to be beyond the resources of
small practices and even larger
corporate ones. Updates to this
draft agreement followed in
early 2010 – most notably to the
payment bands for key performance indicators (KPIs).
Since their introduction in
2006, dental contracts have often been criticised. Some dentists claim they encourage an
ethos of ‘drill and fill’ in order
to claim the Units of Dental
Activity (UDAs) required under the contract. Some even
suggest that it has encouraged
‘informed neglect’ – which are
not words to be used lightly.
However, when an investigation by NHS Protect subsequently uncovered £70m a year

of fraudulent claims it was the
death knell for these contracts.
In 2010 the government announced it would pilot three
different models to help develop a new national NHS dental contract. Dental practices
with existing GDS contracts
or PDS agreements were invited to apply to become a pilot in December 2010. From
the applicants who met the
criteria, a selection was made
in order to reflect the diverse
range of the practices across
England, in terms of ‘rurality’,
size, population demographics,
and so forth. There was also
a mix between corporate, independent and single-handed
practices.
Seventy pilot practices went
live in the summer of 2011, although not all at the same time
– a staggered approach allowed

While the agreements make
changes to the way dentists
work and what they’re paid to
do, they continue to receive
payments and contract information from NHS Dental Services, and PCTs remain as the
commissioner and contract
holder with the practice for the
next few months until they novate to the NHS Commissioning Board.
The new agreement would
be designed to reward dentists
for ‘the continuity and quality
of care provided to patients,
promotion of oral health and
preventative measures as opposed to the number of units of
dental activity undertaken’. At
the same time, the dental outcomes and quality framework
(DQOF) was launched to measure the quality of work carried
out under the proposed new
contract.
According to the DH: ‘It will

be underpinned by the use of
a standardised oral health assessment and the development
of a comprehensive set of accredited clinical pathways’. At
the time of writing, the DH has
just added 29 new practices to
join the 70 already on the pilot
scheme.
Following assessment of the
experiences of the practices on
the pilot scheme and a period
of consultation, legislation will
be brought before Parliament
and, if approved, the new dental contracts are proposed to
commence from April 2014.

‘In 2010 the government announced it
would pilot three
different models to
help develop a new
national NHS dental contract’

However, I have been hearing
recently that 2016 now looks
more realistic in terms of implementation. Whether the
Coalition will allow one of its
pledges to remain unfulfilled
going into the next General
Election remains to be seen.
In the HM Government MidTerm Review – Programme

[23] =>

United Kingdom Edition

for Government Update published earlier this year, against
the commitment to introduce
a new dentistry contract the
‘What we have done’ comment
was: We have established the
pilot programme to test out elements of a new dental contract,
and published initial findings
in the autumn of 2012. We will
continue to work closely with
the NHS Commissioning Board
to develop a new dental contract.
Meanwhile, a new health
and care system in England
will be in place from April of
this year and Clinical Commissioning Groups (CCGs) will replace PCTs. CCGs will commission many of the services for
their local community such as
services provided by GPs, A&E,
maternity services and so on.
However, a new independent
body, set up on 1 October 2012,
called the NHS Commissioning
Board (NHSCB) will commission all dental services (including primary, community and
secondary care hospital dental
services) and urgent and emergency dental care. The NHSCB
will also commission a wide
range of other health and care
services such as primary ophthalmic services and pharmacy
services. This is so-called Direct Commissioning.
The NHSCB takes up its full
statutory duties from 1 April
2013 and terms itself a ‘special
health authority’. It comprises
a number of directorates, with
Barry Cockcroft, Chief Dental
Officer, a member of the Medical Directorate. In addition, it
has regional and area teams.
The NHSCB will draw upon
the knowledge and expertise
of local professional networks
(LPNs) to secure local dental
services. LPNs should be multi-disciplinary and include a local eye health network, a local
pharmacy and, of most interest
to us, a local dental network.
Local dental networks will
have a wide ranging role – supporting practices, developing
integrated care pathways, ensuring high quality standards
are maintained and so on.
At

the

time

writing,

About the author
Amanda
Atkin
runs Atkinspire Ltd
and offers practices support, training and consultancy on information
governance, CQC
compliance,
National
Minimum
Standards
and
HTM 01-05. Her bespoke service supports practices as they embed the
required standards within their daily
routines – to ensure a high quality
service and patient safety at all times.
e amanda@atkinspire.co.uk
www.atkinspire.co.uk

NHSCB area teams are drawing
up plans and budgets on the
basis of them commissioning
all dental services. However,
the NHSCB document Supporting planning for 2013/14 for
Direct Commissioning, dated
24 January, states (paragraph
7): ‘Discussions are continuing
as to whether secondary dental care is better commissioned
from a centre of expertise, this
has not been finalised’. For
primary care the NHSCB currently has a number of priori-

March 25-31, 2013

Practice Management 23

ties including the ‘safe’, ‘steady
state’ transfer of dental (and
other) PCT contracts to the
NHSCB on 1 April 2013.
Following the anticipated
publication of Securing excellence in commissioning NHS
dental services in February
2013, the NHSCB will begin
to develop national care pathways across all dental specialties in line with the outcomes
of the new national NHS dental
contract pilots. It will continue

to support the dental contract
piloting programme and plans
to implement a new dental
contract by 2014-2015 or even
2016!
The work PCTs are currently undertaking is predominantly to ensure that
all independent contractors,
including dentists, have a
contract in place which is current, has all the relevant paperwork attached and is uploaded electronically onto the

NHS secure server. It is advisable for dentists with an NHS
contract to ensure such paperwork is in place, it is current, signed and dated, that the
statements you receive from
the NHS DS include the correct contract value, the correct amount of activity, your
UDA value is what it should be
and any outstanding variations
to contracts such as partnerships etc. are in place as PCTs
start to novate contracts to the
NHSCB. DT

[24] =>

24Practice Management

United Kingdom Edition

March 25-31, 2013

Getting it right
Jane Armitage deals with health and safety

H

ealth & Safety is a big
issue in the present
time. As a manager it
is essential that you are ahead
of the game and any changes
affecting the Health & Safety
of your staff should be implemented straight away, with

regular reviews of policies. It’s
also of little use having a policy and having no staff involvement. Each and every member
should be aware of what is included in your policy and how
it involves them. An ideal way
is to ensure during induction

you give all employees copies
of what I consider to be the
most important policies you
should have, Grievance, Confidentiality, Health & Safety
etc, certainly make sure that
time is set aside for new employees to read through them

plus all the other policies in
place, obtain a signature of
understanding and maybe
during staff meetings it would
be an idea to look at different
policies and how it affects the
employee and employer. Most
importantly is to ensure that

policies are reviewed at regular intervals and acted upon if
necessary.
Today I am going to concentrate on New and Expectant Mothers in the Workplace
and what is required by law to
be implemented.
I don’t want to sound discriminative but as the majority of DCPs are women, this is
one area in practice management that I can safely say one
day you will come across the
need for ensuring the legislation affecting New & Expectant Mothers is in place, not
only to protect the staff but to
protect you as an employer.
Legally a pregnant employee is required to give her
employer three pieces of information:
• Prior to or on the 15th week
before her estimated date she
must inform you that she is
pregnant.
• She must notify the confirmed date.
• The date she intends to start
her maternity leave.

‘So as a manager I
would like to think
that I wouldn’t necessarily hold any
pregnant employee
to terms and conditions where pregnancy is concerned’

This should be given in
writing and a form MAT B1
obtained by the employee and
given to the Employer.
The employee can only
change the date she wishes
to commence her maternity
leave by giving 28 days notice
with a new start date. However as we all know babies
can think differently and one
never knows what can be anticipated during a pregnancy.
So as a manager I would like
to think that I wouldn’t necessarily hold any pregnant
employee to terms and conditions where pregnancy is concerned. Once you have been
informed of a pregnancy you
must acknowledge the notification of maternity leave
within 28 days.

[25] =>

United Kingdom Edition

Where Health & Safety is
concerned employers have
a duty of care to protect the
health and safety of their employees and pregnant employees, and nursing mothers have
special duties that apply to
them. It is therefore most important that any issues regarding health and safety should
already be in place to cover
those within this category.
A full risk assessment is
required covering pregnant
and nursing mothers. It is a
good idea to already have a
risk assessment for expectant
and nursing mothers in place
as you would be ready should
it occur, however you would
have to take into fact that all
pregnancies are different and
should the individual’s GP or
Midwife give the employee
medical advice that may interfere with their daily working
life you would have to take this
into consideration and adapt
the risk assessment. However
if the risks cannot be removed
you would have to offer suitable alternative work.

March 25-31, 2013

Practice Management 25

maternity suspension and her
wages remain as normal; this
is only the case if alternative
work has been offered and refused. The suspension can last
up to four weeks before the
expected date of arrival, when
ordinary
maternity
leave
starts.

in the four weeks before the
baby is due, maternity leave
and Statutory Maternity Pay
will start automatically - it
doesn’t matter what has been
previously agreed.
Should there be no other
suitable work, which in hindsight if trained in Reception
this could always be an alternative, however legally if
no other suitable alternative
work is available the employee has a right to be placed on

All the employee’s employment rights are protected
whilst on maternity leave:
• Pay rises
• Accrued annual leave

Statutory Maternity Leave
The employee can take up
to 52 weeks of Statutory Maternity Leave providing the
Employer is given the correct
notice. You don’t have to take
all of your statutory maternity
leave but you must take two
weeks compulsory leave after
your baby is born.
Eligible employees can
take up to 52 weeks maternity
leave. The first 26 weeks is

from

Jane Armitage
Practice Manager
2005,06,07,09.

of

the

s

n
CBCT sca

from

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rts

repo
t
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o
l
o
i
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Forget about buying a scanner or
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- Lowest radiation and smallest ﬁeld of view

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This includes any parenting classes recommended by
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Employers can’t change a
pregnant employee’s contract
terms and conditions without
agreement - if they do they are
in breach of contract.
Pregnancy-related illnesses
If the employee is off work for
a pregnancy-related illness

About the author

£39.99

In a dental practice exposure to Radiation would be a
problem so that would be the
first thing I would not allow
the employee to do. Also:

Pregnant employees have legal rights - including paid
time off for antenatal care,
maternity leave and maternity
pay. Pregnant employees have
four rights:

The earliest leave can
be taken is 11 weeks before the expected week of
childbirth. DT

H
OPG/CEP

When looking at a risk assessment for expectant or new
Mums you would need to consider factors that would normally not cause a potential
problem until pregnancy occurs.

• Lifting, bending and carrying.
• Standing, sitting in the same
position for long periods.

known as ‘Ordinary Maternity
Leave’, the last 26 weeks as
‘Additional Maternity Leave’.

London 2 Devonshire Place, London W1G 6HJ
Manchester Mansion House, 3 Bridgewater Embankment, WA14 4RW
Birmingham 2nd Floor, Varsity Medical Centre, 1a Alton Road, B29 7DU

Year

[26] =>

26 DCPs

United Kingdom Edition

March 25-31, 2013

City & Guilds Dental Nurse Qualifications
Janet Goodwin highlights dental nurse education

n October 2003, Peter Mathias
from City & Guilds and Stephen Lambert-Humble from
NEBDN signed an agreement
between the two organisations to
develop and deliver dental nurse
qualifications. After a short period

of time the Scottish Qualifications
Authority in Scotland also became
part of this now tripartite agreement.
City & Guilds, who hold
awarding body status with Ofqual

and who are part of the National
Qualifications Framework, would
lead on the delivery of the theoretical and work based assessment aspects of the qualifications.
NEBDN would deliver the final
assessment/examination.

The new qualifications:
a. NVQ level 2 award in dental
nursing
b. NVQ level 3 in certificate dental
nursing

This new way of delivering
professional dental nurse qualifications saw the development of
new roles, and the introduction
of funding for certain age groups
of students. This concept saw
the emergence of Youth Training Scheme and different types of
registered and approved training
centres.

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with

were formed around the National
Occupational Standards devised
by the Learning Skills Council.
They provided a staged process
for a dental nurse in achieving
level 2 initially, then moving on to
level 3. The units were a mixture
of practical competence and theoretical knowledge delivered in
training centres and dental hospitals throughout the UK.

A.D.S

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Increases patient compliance

Anti Discolouration System

The new roles consisted of:
a. Assessor – who confirms that
the evidence provided by a student for assessment has been produced and authenticated in accordance with the requirements
of the assessment specification.
b. Internal Verifier – who ensures
that the assessors are consistent
in their interpretation and application of the standards within the
award, and the accuracy and consistency of assessment decisions
between assessors is maintained.
c. External Verifier – who has a
dual role – verifying the performance of the centre to ensure
the quality and consistency of
assessment against national requirements, and supporting and
advising the centre on improving
the effectiveness and quality of
assessments.
The final examinations for the
qualifications: ie the Vocationally
Related Qualifications were available three times a year in March,
June and December.
Present Day
In 2008, both the level 2 & 3 were
due to be reviewed as they had
reached their five year term; this
review coincided with the introduction of statutory registration of
dental nurses by the GDC.
The GDC had accepted that the
registrable qualification would be
the revised level 3 Diploma 4234
in dental nursing; therefore many
centres found that the delivery of
a level 3 Award 7393 now has little value for dental nurses and it
is being withdrawn from December 2012.

Special promotions available through your dental wholesaler

The reformatted Level 3 Diploma qualification which has 46
credits and 291 guided learning
hours consists of:

Unit 301 Ensure your own actions
reduce risks to health and safety
Curaprox_Curaspet_A4P_TR_019_12.indd 1

05/09/2012 15:14

[27] =>

United Kingdom Edition

Unit 302 Reflect on and develop
your practice
Unit 303 Emergency First Aid
Unit 304 Prepare and maintain
environments
Unit 305 Offer information and
support to individuals
Unit 306 Provide chairside support during the assessment of patients’ oral health
Unit 307 Contribute to the production of dental images
Unit 308 Provide chairside support during the prevention and
control of periodontal disease and
caries and the restoration of cavities
Unit 309 Provide chairside support during the provision of fixed
and removable prostheses
Unit 310 Provide chairside support during non-surgical endodontic treatment
Unit 311 Provide chairside support during the extraction of teeth
and minor oral surgery

around the UK delivering the
qualification with between 500 –
700 candidates undertaking the
assessment at each sitting.
Future
During late 2012-early 2013,
City & Guilds have been working to move the examination to
an electronic format - a working group has been building up
a bank of questions around the
four theoretical units, which will
then form the basis of each paper.

DCPs 27

March 25-31, 2013

The examination will be based
on 60 questions over a 1 ½ hr examination. Centres will be able
to let their students complete the
examination on demand, as every
paper will be unique.

on candidate assessments
5. that assessments are available
on demand
Other changes that have been
or are taking place include:

team learning outcomes for registration, have now been published
.
c. The City & Guilds 4234 Diploma
is due to expire and be reviewed
at the end of December 2013

The advantages of this system
will be:
1. Flexibility
2. cost effectiveness
3. that detailed results will be
available immediately
4. that centres have more control

a. The National Occupational
Standards for Dental Nurses were
revised last year and are now
published on the Learning Skills
Website.
b. The GDC Learning Outcomes
– Preparing for Practice, dental

So where does this leave City &
Guilds?
These changes give City & Guilds
the opportunity to re-design and
develop a Diploma in the future
that is accessible, robust, and fit
for purpose. DT

The nine units above are focused on the practical aspect of
the role of dental nursing and assessed by a work based portfolio.
Unit 312 Principles of Infection
Control
Unit 313 Assessment of oral health
and treatment planning
Unit 314 Dental Radiography
Unit 315 Scientific principles of
oral health & dental procedures
The further four units are focused on the theoretical aspects,
and are assessed via an hour and
a half examination, which is taken at the student’s training centre
in March, June and December.
The Level 3 qualification also
moved into the Apprenticeship
Framework, and along with the
units above, students also have to
complete:
a. Functional Skills in English,
maths and ICT (if they do not possess GCSEs level C or above)
b. Employers’ rights and responsibilities

Admin
Supplies

Safety

During the last year, the contract between the three parties
has expired, and City & Guilds
and SQA now set their own papers
and have their own bank of markers, and Chief Examiner.
There

are

many

Printing

centres

About the author
Janet
Goodwin
was born in Bradford in West Yorkshire. Janet now
works in the Blackpool area and since
2005 she’s worked
as
qualifications
manager for the
National Examining Board for Dental Nurses.She is already involved in some work with the
General Dental Council. Since 2002,
as an invited professional, she’s been
involved in working groups for dental
nurse registration, overseas registration and DCP education. Janet is also
currently working with the Faculty of
General Dental Practice to help develop DCP integration within their
educational programmes.

All your practice needs

Signage

With over 40 years experience supplying dental practices across the UK, We’ve built
a range of products that cover every corner of the modern dental practice.
From marketing materials to reception furniture and signage, stationery to in-surgery
products - all our products are carefully selected based on our understanding of your
needs, and are delivered to your door in super quick time.
Call us or visit our website to request a copy of our latest Product Catalogue.

Furniture

In-Surgery

To order call 01903 858910 or visit www.admor.co.uk
3359 ADM] A4 Press Ad.indd 1

18/02/2013 16:32

[28] =>

28 Industry News

United Kingdom Edition

ImplaColor™ Titanium - ErgoLight Titanium Implant Instruments Our larger,
lighter handles set the industry standard for comfort, control and tactile sensitivity,
while reducing hand fatigue. ImplaColor™ Titanium’s medical grade GR1 titanium
tips are individually hand crafted by our employees. Our titanium instruments
retain their sharp edges longer than other instruments available on the market.
Our titanium instruments are designed to remove calculus from implants without
damaging the implant itself. These implant instruments will not scratch or damage
titanium implants. All of our instruments undergo rigorous quality inspections
upheld to all ISO 13485 standards, to provide you with the most precise and
longest lasting instruments on the market today. This combination of working
ends is designed to complete an entire Buccal or Lingual Sextant without changing
instruments; therefore increasing effciency. Caution: • For intended use by dental
professionals • Inspect, clean and sterlise before each use • Recommended steam
sterlisation for 5 minutes at 273°F / 134°C • Recommended steam sterilization for 20
minutes at 350°F / 177°C • Clean using an ultrasonic cleaner or thermodisinfector •
For silicone resin handles do not use dry heat or rapid heat sterlisation techniques
Features: • Continuous corrosion resistant special American GR1 medical grade
titanium instrument tip • Will not scratch or damage titanium implants • Long
instrument life when compared to other brands on market • Color-coded silicone
rings for easy instrument identification Benefits: • Excellent tactile sensitivity due
to light handle weight • Comfortable knurled non-slip grip • Less strain due to
light weight of the instrument • High metal wear resistance due to highest quality
titanium imported from United States. • Extremely sharp cutting edges due to
titanium • Won’t damage titanium implants More information is available from
www.dentala2z.co.uk or direct by calling FREEPHONE: 0800 04 39 503
or e-mail to: sales@dentala2z.co.uk

Instruments decontaminated to
Best Practice standard in only 60
minutes with Prestige Medical!
Dental
practices
can
meet
Best Practice requirements for
instrument decontamination in as
little as 60 minutes with this three
step solution from Prestige Medical.
Step One - Clean: The new
UltraClean 3 Washer Disinfector features a 35 minute ‘Quick Cycle’ with validated
cleaning results. UltraClean 3 also features a glass viewing pane and illuminated
chamber. Step Two - Lubricate: The new Optimax Hand Piece Lubrication System
is fast and simple to use, lubricating up to three hand pieces in less than two
minutes. Air activated, the Optimax automatically rotates the hand pieces,
ensuring correct lubrication every time. Step Three – Sterilize: Optima B is the
fastest B class vacuum autoclave on the market and can sterilize a full 6kg load
in only 23 minutes including drying. Now also featuring a new hand piece cycle
which can sterilise up to 12 hand pieces in only 15 minutes.
UltraClean 3 and Optima will be installed and commissioned by our own
engineers who will also give you training in how to use the equipment
completely free of charge.

Every Day Excellence:
Carestream Dental at The Dentistry Show
2013
Carestream Dental showcased industry
leading products and solutions at The
Dentistry Show 2013 that enable any practice
to achieve excellence every day. From 1st to
2nd March 2013 at the Birmingham NEC, the
team demonstrated cutting-edge advances
in digital imaging and practice management
software. Delegates were impressed with
products’ superior quality, ease of use and smooth integration into the practice,
as well as with Carestream Dental’s eXceed programme, which focuses on quality
throughout the business. New launches included the CS 8100 digital panoramic
OPG unit, which takes precision images in seconds, and AutoPost, an offsite service
that allows practices to organise paper correspondence to patients quickly and
cost-effectively. Delegates were also keen to find out about the CS R4 Clinical+
practice management software and how it operates as the hub of the practice.
Carestream Dental sponsored Dr Colin Campbell’s popular talk ‘Diagnosing
and Presenting Implant Cases in the 21st Century’ at the ADI Implant Theatre.
Attendees discovered how digital imaging systems enhance and simplify patient
education and description of treatment plans. Innovations from Carestream
Dental give practices the edge for safety and productivity and ensure patients
receive first class treatment. For more information on CS 8100, AutoPost, CS R4
Clinical+ or eXceed, contact Carestream Dental on 0800 169 9692
or visit www.carestreamdental.co.uk

Skema 6: Providing Solutions to
all your Dentistry Needs
As one of Europe’s leading dental
equipment
manufacturers,
Castellini
is
renowned
for
producing some of the industry’s
foremost products, including the
highly regarded Skema 6 dental
unit available from RPA Dental.
The Skema 6 features a full colour TFT display, and is supplied as standard with
an Inox 6 function syringe (heated), a Venus Plus operating light and a “Silent
Power” Turbine Kit (4L) which is more than 50% quieter than a standard turbine.
With over 75 years of experience in the industry, Castellini understands the
varied needs of the different dental disciplines. As such the Skema 6 can be fully
customised to meet the strict demands of any Implantologist or Endodontist.
Options include: • Surgison ultrasonic surgical scaler • Leda LED powered curing
light • LAEC Electronic apex locator• Autosteril disinfection system • MWB
continuous feed water system • SHD suction hose disinfection system

Impressive service and support
from Clark Dental
With over 30 years’ experience in
dentistry, the team at Clark Dental
offer a complete surgery design
service, and can work with you to
guide and support you through
every stage of your project.

Luxurious Sophistication from Plandent
Planmeca Sovereign from Plandent is the
most sophisticated dental unit incorporating
many revolutionary features.

Dr Raluca Mihoc of Poole Dental
Practice, Dorset, says:
“We decided to work with Clark Dental as they came highly recommended to
us, and they were able to meet all our design and equipment needs. “The whole
process was very smooth. The Clark Dental team installed two surgeries to our
exact specifications, along with a sterilisation room as well as all the fittings
necessary to prepare a third surgery for use at a later date. “As well as our
superb A-Dec dental units, Clark Dental also provided us with other equipment
including the Schick Digital Imaging System and the Nomad portable x-ray.
“Overall I’ve been very impressed with the service and support we’ve received
from Clark Dental. I am now very much looking forward to opening our third
surgery in the coming year!”

More information is available from Prestige Medical direct by calling 01254 844
103 or email to sales@prestigemedical.co.uk or check out our new website:
www.prestigemedical.co.uk/uk/dentistry

The Skema 6 is also available in Over Patient, Continental Style, or Hanging
Tubing instrumentation layouts. With dedicated and extremely knowledgeable
sales and technical staff just a phone call away, RPA Dental’s exceptional support
team are on hand to advise you on any questions you may have.
For more information, phone Castellini UK Ltd 08000 933975 for details of your
local Castellini dealer. Castellini has service centres through out UK

The streamlined profile of Planmeca
Sovereign combines the latest technology
with the very highest quality components,
resulting in a major step forward in working
productivity, patient comfort and durability. Quality is clearly evident in fit,
finish and materials. Control of the chair, through a simple iTouch screen, and
working access is exceptional due to the design of the motorised back and
headrest combined with the wide range of positions. Patient access and comfort
is enhanced by the integrated arm rests, advanced lumbar design and sculpted
seat and back that securely supports the patient for comfort in all positions. The
Planmeca Sovereign is the only dental unit on the market with a motorised chair
swivel and motorised base unit. This unique combination provides a huge range
of configurations to suit your individual working style. You can even switch from
right to left handed in just 30 seconds at the press of a button. Available with
state-of-the-art operatory configurations complete with advanced lighting,
instrument packages and a comprehensive range of other components, the
Planmeca Sovereign will luxuriously enhance your working practice.

March 25-31, 2013

Exciting News, the Lisa autoclave from W&H
now comes with a highly effective fast cycle
With the Lisa 500 sterilizers, W&H now offers
the option of rapid sterilization of unpacked
instruments, in addition to the proven Class B
cycles and the gentle ECO B function, which
minimises duration of instrument exposure to
high temperatures. To improve efficiency, the Lisa
requires no cooling down period between cycles.
The new ‘Fast 134 Cycle’ offers the option of an
even faster more economical sterilization cycle at no extra cost. The Lisa has
now been enhanced by the new ‘Fast 134 cycle’ which allows you to sterilize
unwrapped handpieces as well as solid instruments in just 14 minutes.
In order to better support our customers, W&H Premium Care and Premium
Careplus Service Plans for W&H decontamination products have been
developed to enhance your decontamination facility in line with current
guidelines, ensuring peace of mind and the confidence that your sterilizers
are working at peak performance. W&H’s 24 hour online support offers added
information and decontamination guidance at www.wh247support.co.uk.
For further details regarding the full range of W&H products and services,
please contact W&H (UK) Ltd on office.uk@wh.com or +44 (0)1727 874990.

Alex Amery orders first CEREC® Omnicam in the UK
Alex Amery from A J Amery & Associates Ltd,
Buntingford, ordered the first powder-free CEREC®
Omnicam in the UK from Ceramic Systems, the
UK CEREC® Specialists, before it was even officially
launched! Having graduated from Kings College
London in 2000, Alex quickly recognised the Practice
Building benefits of the CEREC® System and made it a central feature of his
thriving patient-centred Practice. As each advancement in the CEREC® range was
introduced Alex has quickly adopted it. Consequently, when Alex heard about
the revolutionary powder-free CEREC® Omnicam he had no hesitation in ordering
one before he’d even seen it at the BDTA Showcase. The CEREC® Omnicam enables
continuous data acquisition for the generation of full colour 3D virtual models of
single teeth, quadrants and full arches. Powder-free, it saves time and eliminates
the inconvenience associated with the powdering stage. Simply by sweeping
the slim-line camera over the desired area it generates full colour natural shaded
3D virtual models, which can be used to counsel patients’ to create a desire for
additional treatment or production of CEREC® restorations via a milling unit. Used
in combination, the CEREC® Omnicam and CEREC® System enable Practices to cut
down their Laboratory Bills by up to 90%. With over 30 years experience of working
exclusively in partnership with Sirona, to promote the world’s premier brand of
high tech dental equipment and support their many loyal customers, when you
buy CEREC from Ceramic Systems you not only get the best price and exclusive
Special Offers, but you also get access to unrivalled sales support. For further
information contact Ian Pinner on 01932 582905,
e-mail i.pinner@ceramicsystems.co.uk or visit www.ceramicsystems.co.uk

Sirona receives “red dot” design award
for SINIUS
• SINIUS ranks among top 60 of over 4,500
design products • Sirona was presented
with the award at the red dot gala
• Patients notice the comfort and design
of SINIUS • Enhanced range of indications
The SINIUS treatment center from Sirona is
one of the top 60 design objects of 2012.
At the red dot gala in Essen (Germany) at
the start of July, representatives of Sirona and the Puls Produktdesign design
agency were honored with the “red dot trophy” of the prestigious design
award for the Sirona product. Together with another 59 “best of the best,”
SINIUS prevailed over more than 4,500 products, and now carries the seal
of winner the red dot. Not only does the striking design and high comfort
level of the treatment center attract the attention of experts: “We also receive
feedback on SINIUS from our patients – I have not experienced this with any
other treatment center. They notice that the patient chair is comfortable and
comment on its modern appearance,” says Dr. Gunther Landskröner from
Bensheim. SINIUS has unique functions and characteristics that allow the
dentist to work efficiently and save time.

For more information call Clark Dental on 01268 733 146,
email info@clarkdental.co.uk or visit www.clarkdental.co.uk

For further information please call Plandent on Freecall 0500 500 322.

Contact details for further information:
Sirona Dental Systems 0845 071 5040
Info@sironadental.co.uk

Cleo II - The ‘friendlier’ option
Communication is key to achieving best practice
in dentistry and any equipment that can facilitate
this, is an essential purchase for any dental practice.
The Cleo II treatment centre from Takara Belmont
excels in aiding the practitioner in meeting this
goal. With ultra soft cushioning providing lumbar
and ergonomic support from head to toe, even the
most anxious of patients will feel comfortable. The
chair has been described by some as ‘friendly’; its
design helping to put the patient at ease so that
you discuss options rather than telling them what to do. The fact that it looks
like an armchair adds further reassurance – patients know how to get onto it
for a start! With a removable, foldaway or rotating armrest, patient access for
the very young and elderly is also made easier. Its seamless upholstery makes
routine cleaning to the highest possible standards an uncomplicated process,
too, and, with additional features such as touchless on/off sensor controls for
the operating light and easy clean membrane switches on the control panel,
there is no place for bacteria to hide. For the practitioner, the small footprint
facilitates movement around the chair, even in the smallest of surgeries.
The ability to position the operator console behind the chair and out of the
patient’s view makes possible the ideal ‘prep and clean’ position. If you wish to
see the Cleo II first hand, without any obligation, you can make an appointment
to visit either of the company’s London or Manchester showrooms. For more
information, call 020 7515 0333.

Practice of the Year wears Urbane
Maple Dental Care in the Brooklands area of
Manchester has recently been named British
Dental Association (BDA) Good Practice of
the Year, offering exemplary levels of care
and service – and looking great too in Urbane
Scrubs from Grahame Gardner Ltd. With
exceptionally high standards of patient care, a wide range of available treatments
and an ongoing commitment to continuing development of staff, Maple Dental
Care needed a fresh and modern image that reflected the ethos of the practice.
Nicola Barnard, Practice Manager comments: “Green is our corporate colour,
but more of a traditional bottle green. This is used right across our practice, so
using such a bold lime green for our uniforms was a very brave step and we were
initially very apprehensive. However, I am very happy with the final image we
have cultivated using Urbane, the selection of shades complement each other
well to create a bright, clean and fresh identity for staff. Nursing Staff wear lime
green with pink trim, dentists wear all black and hygienists black with a pink trim.
All garments were supplied embroidered with the striking Maple Leaf practice
logo. Maple Dental Care were selected for this accolade from 1,800 members of
the Good Practice Scheme, which Maple Dental Care have been participating
in for 10 years. The Practice, which treats both private and NHS patients, was
judged on a number of criteria including patient communications, the care
pathway and team training. For further information on Grahame Gardner, their
products and services take a look at www.grahamegardner.co.uk or call 0116
255 6326. For further information on this press release please call 0114 258 1432,
mobile or email lilly.elbra@btopenworld.com

Over 80% of dentists see Acid
Wear every week
Many dental professionals are aware
of Acid Wear– but new research,
conducted for Pronamel, throws
light on just how often this condition is seen in practice.
In a survey of 200 dental professionals, completed in January 2013, 83.5% said
that they saw Acid Wear amongst their patients on a weekly basis, and 86% felt
that the condition was on the increase.
Patients are also aware of the problem. Nearly 60% of dentists reported that an
increasing number of patients were expressing concerns to them about Acid
Wear.
89% of dentists agreed that Acid Wear posed a significant threat to patients’
oral health.
Pronamel toothpaste can help protect your patients from the effects of Acid
Wear by re-hardening acid-softened enamel.
Find out more about Pronamel and Acid Wear at
www.gsk-dentalprofessionals.co.uk.

[29] =>

United Kingdom Edition

Helping you find your
bearings
With
over
25
years’
experience in the dental
handpiece repair industry,
MC Repairs Limited offer a
reliable, efficient and extremely competitively priced handpiece repair service
with a 24 hour turnaround in most cases. They are confident that they are the
best value repair centre in the UK. MC Repairs offer a Freepost Service and
free no obligation quotations on all their repairs. All repairs are quoted the
day they are received and the vast majority are returned within 24 hours of
acceptance. MC Repairs use only the highest quality components, including
original manufacturers’ components, with all their repairs undertaken
to independently verified ISO 9001:2008 standards. As well as complete
overhauls, MC Repairs also offer a choice of very competitive Bearing Repair
Services starting from just £ 29.50 plus vat. All work carried our by MC Repairs
carry a warranty ranging from three to 12 months and they guarantee all
materials and workmanship for the full warranty period. MC Repairs also
offer Practices free technical advice on the care and maintenance of their
handpieces etc, enabling Practices to get a longer working life and more value
for money from their equipment.
For further information telephone 01253 404774 or visit www.mcrepairs.co.uk
where you can download a Freepost label and also see the various equipment
items they offer for sale.

Design your new practice
with Tavom UK
Tavom UK has long been
recognised as a leading
international manufacturer
of Dental, Veterinary and
Medical cabinetry, and now
all products can be viewed
from the brand new website www.tavomuk.com. The experts at Tavom UK
will help you plan your new practice layout, ensuring the design is tailored to
your individual needs and requirements. Effective ergonomics, easy-to-clean
designs and quality materials, allow for an efficient workflow, while meeting
HTM 01-05 regulations and ensuring the safety of both your staff and patients.
You are then able to choose which cabinetry style and colour you prefer from
and extensive product range, with a full pdf catalogue available to download
online.
Tavom cabinetry is precision made and delivered to your door ready to be
placed in position and levelled with adjustable feet.
You can also expect first-class service throughout your entire experience with
Tavom UK. To see how Tavom UK can transform your practice, please visit the
brand new website www.tavomuk.com, or call 0870 752 1121.

Complete Coaching Expertise in
7connections
Find your ideal partnership or
bespoke coaching service with
7connections, the brand new business that paves the way for dental practices
to achieve success. The 7connections team has an unparalleled understanding
of the business of dentistry and offers a tailor made service to suit the unique
needs of every practice. Guiding you every step of the way, 7connections
offers:
1. Training - showing your team how to do things
2. Consultancy - helping your team to apply the training in practice
3. Coaching - holding you and your team accountable for progress
4. Management - helping you to implement systems
5. Leadership - teaching you to lead your team
6. Mentoring - sharing our experience
7. Partnership - releasing equity and joining you in the ownership of your
practice
Find the missing link to your dream practice with 7connections, for better
dentistry, greater rewards, and first class patient care. For more information
about 7connections please call Chris Barrow on 07713 644437
web: www.coachbarrow.com/tag/7connections

March 25-31, 2013

Exciting New Products from GC
UK at BDA 2013
GC are at the forefront of research
and development and regularly
release new products to benefit
you. The latest addition to the GC
range is everX Posterior. This fibrereinforced composite is designed
to be used as dentine replacement,
in conjunction with a conventional composite such as G-ænial Posterior used
as enamel replacement. The short fibres of GC everX Posterior will make it
a perfect sub-structure to reinforce any composite restoration in large size
cavities. Fibres will also prevent and stop crack propagation through the filling,
which is considered to be the main cause of composite failures. Thanks to its
unique properties, GC everX Posterior opens new possibilities for restorations of
extensive cavities at chairside and is the answer to the growing demand for an
economic restorative alternative for big size cavities.
Advances in glass technology have resulted in the development of hand
mixed GC Fuji IX GP EXTRA, a high strength glass ionomer cement with a new
generation of glass filler, resulting in a restoration with very high translucency
that changes little over time. The result is natural aesthetics never before
achievable with conventional glass ionomer.
Please visit stand F02 at the BDA Exhibition for a hands-on experience or for
further information please contact GC UK on 01908 218 999.

Keeping up with the industry Dr Richard Kahan at
the CIC 2013
17th & 18th May at the Millennium Gloucester Hotel,
Kensington
Designed specifically to help dental
practitioners keep up-to-date with their dental skills,
Healthcare Learning: Smile-on is proud to host the 10th
Clinical Innovations Conference 2013, in collaboration
with the AOG and The Dental Directory. Amongst the
confirmed line-up of highly respected speakers will be
Endodontic Specialist, Dr Richard Kahan.

Industry News 29
Icon
Drilling … No Thanks!
Icon is DMG UK’s revolutionary treatment
for incipient caries and carious white
spot lesions … without drilling! Icon is
an innovative caries infiltration therapy.
It represents a breakthrough in microinvasive technology that reinforces and
stabilizes demineralised enamel without
the need for drilling or sacrificing healthy tooth structure. The first product to
bridge the gap between prevention (fluoride therapy) and caries restoration,
Icon’s micro-invasive infiltration technology can be used to treat smooth
surface and proximal carious lesions up to the first third of dentine. In just
one visit Icon can arrest the progression of early enamel lesions and remove
carious white spot lesions. Icon offers a simple alternative to the “wait and
see” approach, enabling Dentists to offer an immediate treatment without
unnecessary loss of healthy tooth structure. It prevents lesion progression and
increases life expectancy for the tooth. Providing a highly aesthetic solution,
carious white spot lesions treated with Icon take on the appearance of the
surrounding healthy enamel. Total treatment time is about 15 minutes.
For further information contact Rachel Moreland, DMG UK’s Icon and Flairesse
Product Specialist, on 07854 725544 or rachelm@dmg-dental.co.uk
Alternatively contact your local dental dealer or DMG Dental Products (UK) Ltd
on 01656 789401, fax 01656 360100, email paulw@dmg-dental.co.uk
or visit www.dmg-dental.com

“After speaking at the CIC last year, I found the event to be very well organised
while providing a wide range of education to suit all delegates,” he says. “I found
audience participation to be great, and really felt that delegates were responding
to what I was saying. “In order to keep up with such a fast-paced profession, I
think it is important that clinicians employ a variety of learning methods, and
one of these should definitely be attending events such as the CIC. I believe this
to be a very useful way for practitioners to update their knowledge and skills.”

Target Bad Breath with New CB12
As dental professionals you are well
aware that bad breath is a recurring
and persistent problem for half of the
population, sapping confidence and
blighting interpersonal relations in
every sphere and at every level. The
most common cause of bad breath/
halitosis, is the creation and exhalation
of gaseous ‘volatile sulphur compounds,’ or VSCs, which are formed as the
mouth bacteria break down food particles. While traditional mouth rinse
treatments work by masking the smell, often only for a short time, CB12 has
two active ingredients which combine to eliminate the VSCs at their source.
A feature of CB12 is its ability to adhere to tissues inside the mouth, ensuring
it remains effective for longer, and published clinical studies have shown it is
effective for at least 12 hours. CB12 also contains fluoride to help prevent tooth
decay, and promoting improved overall oral health. One strength, available in
two flavours, mint menthol and mild mint menthol, to suit all patients.

Richard will be joining a fantastic programme of speakers which include Nasser
Barghi, Irfan Ahmad, Ian Buckle, Manish Bose, Ash Palmer, Wyman Chan, Adi
Moran and many more.

Delivering effective and instant protection from a single 10ml dose, CB12 is
a clinically proven breakthrough in the elimination and management of bad
breath.

To find out more or to book your place, please email info@healthcare-learning.
com or call 020 7400 8989

For more information on CB12 please visit www.cb12.com

The ideal introduction to occlusion
Occlusion in Everyday Practice, organised by BSOS and presented by Dr Laurence
Murray), provides the ideal introduction to the principles of occlusion and how
they affect restorative, periodontal and orthodontic treatments. Practitioners
will also be able to develop their understanding and management of headache
cases. In addition, the seminar includes TMJ anatomy and function and the use
of appliances. Faculty- and university-approved, worth 7 verifiable CPD hours
and costing just £250 per delegate, this course is also recommended for dental
technicians. Locations and dates for 2013 are as follows:
• Worcester | Friday 15 March
• Belfast | Friday 19 April
• Glasgow | Friday 10 May
• Wigan | Friday 7 June.
The complementary Hands-on Occlusion Practical, limited to 12 delegates at
each venue and costing only £400, will take place the following day. The handson course will include:
• Facebow registration and mounting of an upper model
• Centric relation manipulation
• Construction of an anterior jig
• Use of a Leaf Gauge and centric relation records to mount a lower model
• Construction of a lower stabilisation splint on the mounted models
• Delivery of the stabilisation splint to the patient.

Fill faster with sonic energy
SonicFill is the new, fast and easy
composite bulk fill system for
posterior restorations.
The first of its kind, SonicFill enables
clinicians to perform posterior restorations with an easy-to-use, single-step
technology that combines the advantages of a flowable composite with a
universal composite. SonicFill reduces the time needed for placing, packing
and sculpting restorations by an incredible 30%.
The SonicFill system combines the expertise of two leading dental companies,
comprising a KaVo handpiece that enables sonic activation of a specially
designed and conveniently delivered composite from Kerr.
SonicFill’s proprietary sonic activation significantly reduces the composite’s
viscosity, which provides effortless placement and superior adaptation.
SonicFill quickly returns to a non-slumping, non-sticky and easy-to-sculpt
state. The composite’s superior strength results in low shrinkage and high
depth of cure up to 5mm with no need for any other material to cap.
Furthermore, a specially designed ergonomic, small nozzle Unidose tip
enhances access to the cavity and precise placement of the composite.

With places awarded on a first come, first served basis, do not delay in booking
your spot. For further details, please email Info@BSOS.org.uk

For more information or to arrange a free in-surgery demonstration, please call
01733 892292, email kerruk@kerrhawe.com or visit www.sonicfill.eu

New Hand Disinfectant Gel from Kemdent
Buy 4 packs of the new 4 x 650ml PracticeSafe
Hand Disinfectant Gel from Kemdent and get a
‘No touch’ PracticeSafe Hand Disinfectant Gel
Dispenser free of charge during April 2013.

The future of digital imaging technology
from Clark Dental
Available from Clark Dental, the Sirona
ORTHOPHOS XG 3D is at the cutting edge of
digital imaging technology, and is the smart
choice for your practice.

PracticeSafe Hand Disinfectant Gel is the new
rapid action high level hand disinfectant from
Kemdent, suitable for frequent use. It allows
hygienic hand disinfection in seconds with no
sticky residue on hands or gloves. PracticeSafe Hand Disinfectant Gel preserves
the epidermis of the skin. It is effective against: MRSA, E-Coli, H1N1 Influenza
A Virus, Pseudomonas aeruginosa, Enterococcus hirae, Staphylococcus Aureus,
Clostridium Difficile (C-Diff ) vegetable cell formation (growing cells) of Gram
positive organisms, Aspergillus niger, Candida albicans. PracticeSafe Hand
Disinfectant Gel used with the PracticeSafe Hand Disinfectant Gel Dispenser
provides a correct dosage every time. The pouches can be replaced without
coming into contact with any airborne micro-organisms and they contract
efficiently so they are very easy to dispose of.

Offering striking image quality in both 2D
and 3D the ORTHOPHOS XG 3D features a
hi-definition mode, as well as MARS (Metal
Artefact Reduction Software) to produce brilliant 3D images that are perfect for
the modern Endodontist. Thanks to a number of different scan volume settings,
the ORTHOPHOS XG 3D provides a time-efficient approach to diagnostics, which
is perfect for Endodontics as depending on the indication, the scan volume can
be adjusted to suit. This not only saves time, but also reduces patient dose, and in
the small Endodontic volume, scans can be reconstructed with a high resolution
of 100 µm.

See More
The new 900 Series LED light from Takara Belmont offers practitioners great
flexibility, the system is available in either a unit, ceiling or track-mounted option.
Once you’ve worked with an LED you’re unlike to go back. Not only does it illuminate
the oral cavity with great clarity, but it also obviates the need for the portable light
on your loupes which removes any shadow on your field of view, unlike portable
lights, that frequently throw shadows.’The 10 shadow-less beams emit excellent light
colour, making it ideal for colour matching as well as reducing eye fatigue. The light
can also be adjusted between 4,000 and 32,000 LUX to meet both individual needs
and the lighting requirements in practices that may not have the luxury of natural
daylight. As well as its flexibility, the LED operating light promises longevity, too,
with a projected lifetime of an impressive 40,000 hours - or around 25 years for the
average user. The light also emanates less heat and consumes less power, offering
an estimated 80% power saving over a conventional bulb - so it’s environmentally
friendly, too. Cross infection requirements are superbly met as well with the unit’s
touchless sensor neatly turning the light on/off as well as allowing the user to
switch to a composite cure mode setting so that you can work uninterrupted with
composite-cure materials. As the 10 LED lights are encased in a one-piece cover,
there’s no risk of dust or mist build-up and the unit is easily cleaned. Leaving the
last word to one enthusiastic practitioner: ‘More and more of us are utilising loupes
to visualise our work and help diagnose disease but a good proportion of dentists
are not using portable lights. By having an LED overhead light, you will avoid being
trapped to a door handle because your battery pack cable, clipped to your waist,
gets caught on the door handle. This happens many a time!’

For information on the full range of Kemdent disinfectants, ChairSafe,
PracticeSafe, PracticeSafe Soak and InstrumentSafe visit the Kemdent website
www.kemdent.co.uk For further information on special offers or to place
orders call Helen on 01793 770256 or visit our website www.kemdent.co.uk

Whether you’re keen to invest in 3D technology now, or will be looking to
invest in the future, Sirona and Clark Dental have the solution for you, as the
ORTHOPHOS XG is also available as a 3D-Ready model. This option gives you all
the reassurance and fantastic image quality of the Sirona brand, with the option
to upgrade to full 3D at a later date.
For more information call Clark Dental on 01268 733 146,
email info@clarkdental.co.uk or visit www.clarkdental.co.uk

[30] =>

30 Editorial Board

November 26- December 03, 2012

PUBLISHED IN LONDON
News in Brief

News

Fake dentist kisses patient
A fake dentist from Florida
has been arrested for kissing his female patient’s
buttock. John Collazos had
been practising dentistry
without a licence, directing his sevices towards immigrants. A woman complained to police about
Collazos after attending an
appointment with him for
toothache. According to
the patient, Collazos gave
her an injection in her buttock to relieve the pain, and
subsequently kissed the
wound. Collazos has been
charged with four counts
of practising without a licence, another four for using equipment without a
licence, and one count of
battery.

Feature

GDC suspension

Council member suspended
from office

Africa

Erik Ahlbom recollects
Ugandan trip

Hand hygiene

Study looks at behavioural trial

pages 10-11

page 2

VOL. 6 NO. 28

Infection Control Tribune

Event Review

Risk management
Shaun Howe looks at the Premier Symposium

page 21

page 16

OFT campaign gives
patients ‘Right to Smile’

Dallas star dies of mouth
cancer
TV star Larry Hagman,
best known for his role as
JR Ewing in the hit series
Dallas, died of tongue cancer on Friday 23rd November, having been diagnosed
with the disease in October last year. Chief Executive of the British Dental
Health Foundation, Dr Nigel Carter OBE, hopes this
latest high-profile case will
help to spread the message
and raise awareness about
mouth cancer. Dr Carter
said: “Larry’s passing is a
reminder of how deadly
mouth cancer can be. Latest figures show more than
6,000 cases have been diagnosed in the UK. Without early detection, half of
those will die.

T

he Ofﬁce of Fair Trading
has launched a new campaign to help patients understand more about their rights
when visiting the dentist.
The Right to Smile campaign
has come off the back of the report from the OFT earlier in the
year, where it was claimed that
patients do not always have the information to allow them to make
informed decisions about their
choice of dentist and treatments.
As part of the campaign the
OFT is advising NHS patients:
• They are entitled to a wide range
of treatment that is needed to get
their mouth, teeth and gums as
healthy and pain free as possible.
• If the dentist discusses a particular type of treatment, patients
shouldn’t be required to pay for it
privately. Private options may be
discussed, such as cosmetic alternatives or specialist treatments
such as dental implants – which is
up to the patient to decide if they
want them.
• Even if treatment involves a
number of visits, patients will only
pay one charge for each complete
course of NHS treatment, unless
there was an emergency visit to
the dentist first.
• Should NHS treatment fail within
12 months, the dentist should repair or redo most treatment free of
harge, unless the patient was advised that treatment was unlikely
to be a long-term solution. Advice
for private patients includes:
• Ask what guarantees the dentist
provides. In addition to any rights

www.dental-tribune.co.uk

patients may have under guarantee, they will also have rights under the Supply of Goods and Services Act 1982.
The Right to Smile campaign is
supported by organisations such
as the BDA, Oasis, IDH, Which?,
NHS Choices, the Department of
Health, the Welsh Government,
the Scottish Government and Citizens Advice.
Judith Frame, OFT Head of
Campaigns, said: “While the UK
has one of the highest standards
of oral health in the world, and
satisfaction levels among patients
are high, our report found that
people are often confused about
what they’re expected to pay, and
don’t always have the information
they need.
This campaign aims to help
patients be clearer about what to
expect, and more engaged when
making decisions about their
choice of dentist and treatments.”
Barry Cockcroft, Chief Dental
Officer for England, said: “Giving
patients good information is key
to a high quality service. We are
delighted to support the Office of
Fair Trading’s campaign. This
material will help patients make
informed choices about their dental care.”
Dr Martin Fallowfield, Chair
of the BDA’s Principal Executive
Committee, said: “As the OFT acknowledges, and research by the
BDA and other organisations con-

firms, patients’ satisfaction with
dental care in the UK is high.
“Effective
communication
between dentists and patients
is vital in improving oral health
and the BDA is pleased to lend its
support to this campaign which
seeks to ensure patients have a
full understanding of what to expect when receiving dental care.”

Dental Tribune UK
Editorial Board

A Which? spokesperson
said: “We support the ‘Right
to Smile’ campaign to help
consumers understand their
rights when visiting the dentist. It’s vital patients are given
clear, timely and transparent
information on the proposed
treatment and the costs and
how to complain if something
goes wrong.” DT

Recruitment, Education, Classi�ieds & dentalBuy

Dr Neel Kothari
BDS Principal and General Dental Practitioner

SOURCE1uk is a fully interactive ‘one stop shop’
for the entire Dental Profession.
We are a communication tool to help Dentists �ind you,
and utilise your services.

Recruitment

FREE Dental Jobs Board • Recruitment Consultancy

Education

Training Organisations • Membership Organisations
Journals • Study Clubs

Classi�ieds

Service Providers • Practices for Sale / Rent
Referrals • dentalBuy

Dr Stephen Hudson
BDS, MFGDP, MSc
General Dental Practitioner

For Patients – Find...

Cosmetic Dentists • Facial Aesthetic Practices
24hr Emergency Clinics • Specialists
General Dentists • Sedation Practices
Implant Providers • Insurance Providers

Free Article / Forum Section

Please visit our website www.source1uk.com
call 020 8546 2935 or email enquiries@source1uk.com
for more information!

DTUK_issue28_1-5.indd 1

27/11/2012 19:45:42

Vol. 2 • Issue 3/2012

roots
the journal of

March 25-31, 2013

Consumer and competition authority initiates drive to encourage
patients to know their rights before visiting their dentist

Oral HIV test
According to Time magazine, OraQuick, the first
in-home HIV test kit that
received FDA approval for
over-the-counter sale directly to U.S. consumers in
July, is one of the best inventions of 2012. “With just
a swab of saliva, OraQuick
can identify the antibodies that signal HIV infection within 20 minutes. It’s
the first do-it-yourself test
for HIV—the same one that
health professionals use
but without the trip to a
doctor’s office or the need
to wait days for results,” the
magazine reported. Douglas Michels, president and
CEO of OraSure Technologies, manufacturer of the
kit, said “The OraQuick
In-Home HIV Test is a
breakthrough product in
the fight against HIV and
AIDS because it empowers
more people to learn their
HIV status in the comfort
and privacy of their own
homes,” he said.

3

United Kingdom Edition

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

endodontolgy

2012

Professor Andrew Eder
BDS, MSc, MFGDP, MRD, FDS, FHEA
Director of Education and CPD, UCL Eastman
Dental Institute

| special

The Young Dentist Endodontic Award 2012

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
Foundation Dean and Professor of Dental Public
Health
Plymouth University Peninsula Schools of Medicine and Dentistry Dean of the Peninsula Dental
School, Plymouth
Pam Swain
MBA LCGI FIAM MCMI BADN®
Chief Executive, British Association of Dental
Nurses
Mr Raj Rattan
Associate Dean, London Deanery

| technique

Three-Dimensional Obturation

| report

CBCT in Endodontics

implants

12/12/2012 17:31:01

Vol. 2 • Issue 3/2012

the journal of

3

oral implantology

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

Dr Paroo Mistry
BDS MFDS MSc MOrth FDS (Orth)
Specialist Orthodontist

Dr Trevor Bigg
BDS, MGDS RCS (Eng), FDS RCS (Ed), FFGDP
(UK)
Practitioner in Private and Referral Practice

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

Baldeesh Chana
RDH, RDT, FETC, Dip DHE
President, BADT and Deputy Principal Hygiene
and Therapy Tutor, Barts and The London School
of Medicine and Dentistry

2012

Dr Stuart Jacobs
BDS MSD (U Ind)
Full-time Private Practitioner

Sneha Gokhale- Gaikwad
BDS, MDS (INDIA)
Specialist in Periodontics and Implant Dentistry
Diploma in laser dentistry (Vienna, Austria)

Shaun Howe
RDH
Dental Hygienist

| feature

Guided implant surgery using CEREC

| user report

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

Laser-Lok: a case study

| industry report

A new protocol for immediate loading

cosmetic

20/12/2012 17:37:48

Vol. 2 • Issue 2/2012

dentistry_ beauty & science
2

2012

Published by Dental Tribune UK Ltd
© 2013, Dental Tribune UK Ltd.
All rights reserved.

Dental Tribune UK Ltd makes every
effort to report clinical information and
manufacturer’s product news accurately,
but cannot assume responsibility for
Group Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@healthcare-learning.com
Publisher
Joe Aspis
Tel: 020 7400 8969
Joe@healthcare-learning
.com

| technique

ratings in both disciplines.
even the noted test institute
at fact: Among 50 VPS
nical ratings«*

Clinical digital dental photography

| special_orthodontics

Short-term orthodontics: An overview

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@
healthcare-learning.com

Design & Production
Ellen Sawle
Tel: 020 7400 8970
ellen@healthcare-learning.
com

Editorial Assistant
Angharad Jones
Tel: 020 7400 8981
Angharad.jones@healthcarelearning.com

| comment

25 Clinical Tips

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

Follow us on Twitter
17/10/2012 12:56:17

02.04.12 09:47

[31] =>

United Kingdom Edition

Classified 31

March 25-31, 2013

new

endodontic
microsurgical
course

2 DAY INTENSIVE HANDS-ON
APICOECTOMY TRAINING UNDER MICROSCOPE
SUBJECTS COVERED
• treatment planning
and considerations
• incision techniques
and micro-suturing
• osteotomy window
• ultrasonic retrograde preparation and filling
• bone augmentation
This course is intended for the serious generalist,
special interest dentist, specialist endodontist or oral
surgeon who wishes to extend his/her knowledge
and expertise. The hands-on training will fortify and
will positively impact the trainee’s confidence and skill
for this challenging and important treatment option
after failed root treatments.
The hands-on training will include preparing
apicoectomies on at least 6 extracted teeth set in
phantom heads with the use of microscopes and
more.
Please phone Dr Zolty BDS MSc
0161 792 5223 or 07780 901 916
or email info@proendo.co.uk for more details.
Sessions are limited to 10 participants and are
booked on a first-come-first served basis.
£649.00 per day

AIMS: to advance the standard of surgical
endodontics.
OBJECTIVES: to obtain a full and
current knowledge and skill to perform
microsurgical
endodontics
with
confidence. The hands-on training will
provide not only the necessary skill
but ensure there is coherence in its
implementation.

Independent Financial Advice for Dentists
n Buying a Practice
n Income Protection
n Retirement Planning & Investments
n Mortgages
Telephone: 01904-670820
Email: jon.drysdale@pfmdental.co.uk
Web: www.pfmdental.co.uk
Authorised and Regulated by The Financial Services Authority. PFM Dental is a trading name of Practice Financial Management Ltd

OUTCOME: the participant will obtain
information for treatment planning
and the necessary skill to perform the
complex endodontic surgery.
14 hours cpd

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

www.proendo.co.uk

Dental Support Service
Consistently achieves excellent results in all of
its courses
We are now recruiting for the following courses:

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

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

N SDAL
National Association of
Specialist Dental Accountants & Lawyers

• NEBDN National Diploma for Dental Nurses
Starting May 2013
• NEBDN Certificate in Dental Radiography
Starting February 2013

N SDAL
National Association of
Specialist Dental Accountants & Lawyers

• NEBDN Certificate in Oral Health
Starting March 2013
• City and Guilds Diploma in Dental Nursing

N SDAL
National Association of
Specialist Dental Accountants & Lawyers

Starting June 2013
If you are interested in becoming one of our successes
Contact us for more details
Tele: 0208 555 9000
Email: info@dentalsupportservices.co.uk

N SDAL
National Association of
Specialist Dental Accountants & Lawyers

[32] =>

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[cover] => DT UK No. 7, 2013

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => Where are you on the management skills ladder? [page] => 07 ) [2] => Array ( [title] => Tooth whitening update - better late than never [page] => 08 ) [3] => Array ( [title] => Creating a successful and profitable practice in the recession [page] => 10 ) [4] => Array ( [title] => Long-term care vs. short-term gain [page] => 13 ) [5] => Array ( [title] => Keeping up with the industry [page] => 15 ) [6] => Array ( [title] => Blowing the whistle and protecting patients [page] => 18 ) [7] => Array ( [title] => Turn your good practice into a great one – part three [page] => 19 ) [8] => Array ( [title] => All change on the NHS contracts front [page] => 22 ) [9] => Array ( [title] => Getting it right [page] => 24 ) [10] => Array ( [title] => City & Guilds Dental Nurse Qualifications [page] => 26 ) [11] => Array ( [title] => Industry News [page] => 28 ) [12] => Array ( [title] => Dental Tribune UK Editorial Board [page] => 30 ) [13] => Array ( [title] => Classified [page] => 31 ) ) [toc_html] =>

Table of contents

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