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[1] =>
Friday_GuyEdit.indd
Showcase Tribune
The leading newspaper for BDTA Showcase - Brought to you by Dental Tribune UK
Friday Oct 21, 2011
Published in london
News in Brief
model shown Diplomat DC320
That’s one expensive tooth!
John Lennon’s tooth is being put up for auction in November and is expected to
make £10,000. According to
a report, John had given the
tooth to his former housekeeper, Dot Jarlett, after he
pulled it out in the kitchen
of his Weybridge property.
Dot’s son Barry Jarlett was
quoted in the report saying:
“He was in the kitchen and
he had this tooth which he
had wrapped in a piece of
paper. “He said: ‘Dot will
you dispose of this’ and then
he said: ‘Or, as your daughter’s a Beatles fan, you can
give to her as a souvenir’.
“It is something that we felt
was very personal and my
mum actually gave it to my
sister who has kept it safe.”
The tooth, which will be
auctioned in Stockport on
5 November, comes with
an affidavit signed by Mrs
Jarlett. This isn’t the first
item of John’s that has been
auctioned; Mrs Jarlett previously sold items including the
jacket worn by John Lennon
on the Rubber Soul album.
“He was very generous to
my mother,” Mr Jarlett said.
“He treated her like family because he didn’t really have a very big family
and he really looked after
my mum. He used to call
her Aunty Dot.” According
to Karen Fairweather, from
Omega Auctions, the tooth
is the weirdest yet “most
wonderful” item that has
been put up for sale at the
auction house. As a result,
it has been difficult to put
a price on the tooth. “We
are expecting it to achieve
at least £10,000 but it is
not unknown for these items
as rare as this to reach
six figures.” Karen said.
News
Feature
Smile-on Launch
The future of mlearning is here
page 3
A new concept
Jurgen Manhart discussess dentin
replacement
The next big thing
A dry subject
A view from Endo experts
pages 8-10
Pharma discusses dry mouth
page 16
pages 21-22
Showcase : ‘One Stop Shop’
Y
esterday was the
first day of this
year’s Showcase
event, and was a
day filled with new launches and fresh ideas.
ing for the images to be
transmitted to wherever
they need to be, not just
straight back to the surgery
for processing.
New solutions were the
order of the day. One such
example was Carestream,
who had no less than five
new products on show on
Stand H07. These included:
The CS9300 CT Scanner
and CS1600 I-O Camera.
The CS9300 device has been
designed with more than
just dentistry in mind, as
it is able to capture from the
smallest detail such as a
single tooth to a large field
image such as those needed in ENT (Ear, Nose and
Throat) Departments. The
CS1600 includes a caries
detection mode as one of its
functions.
The global launch of the
CS7600 X-ray machine with
intelligent plates. This new
system is able to have the
patient’s info transferred
onto the individual plate,
reducing error and allow-
E-forms and Patient Surveys. Aiming to help practices comply with CQC and
be a paperless office, these
systems include the forms
necessary for patient consent and feedback.
Around 370 stands are in
attendance from every corner of the dental profession,
as visitors were spoilt for
choice about where to go to
get the best deals.
Other companies launching innovations included:
Admor (Stand C05): Admor has rebranded, putting
the ‘dedicated to dentist’
message into everything
they do. One such innovation is the release of magnetic signs for the practice,
thereby making it easier
when practitioners move
or share surgeries to keep
signage clear for patients
(and staff). Also launched
is the Slimline cabinetry
range, Italian designed and
produced to add value.
ADAM (Stand B13): Formerly known as the British
Dental Practice Managers’ Association (BDPMA),
ADAM has widened its focus to help support those
team members who are involved in the management
of the practice.
DIPLOMAT
from
£7,990
STAND
K06
Feature
Feature
Evolution in Practice
made in Slovakia
www.chirana.sk
money4dentists (Stand
R03): launching a new arm
of their services, careers4dentists.
Spry Xylitor (Stand Y09):
promoting the clinical benefits of using Xylitol as an
alternative to sugar, Spry
promoted its range of products including lozenges,
gum and granules.
This year’s event is
seeing an upturn in the
use of social media at the
event, with many stands
and even the BDTA’s own
guide to the show sporting QR codes and a deluge
of tweets discussing the
event. A new phenomenon for dental exhibitions,
the ‘Tweet-up’ is happening twice each day of the
event, allowing those who
indulge in Twitter to meet
face-to-face. DT
27 Woodcock Close
Birmingham, B31 5EH
mobile
fax
e-mail
1996 - 2011
07981075157
08719442257
office@profi-dental.co.uk
WWW.PROFI-DENTAL.CO.UK
[2] =>
Friday_GuyEdit.indd
2
News
Showcase Tribune BDTA Edition Friday Oct 21, 2011
Stand awards at showcase 2011 BADN AGM to
T
he BDTA is delighted to announce that the
Showcase Stand
Awards will return this
year at Dental Showcase and will be judged
by Paula Ripoll from the
Association of Event Organisers.
Exhibition stands will
be judged on a number of
factors, including presentation, professionalism,
Colgate Total_journal ad_Oct 2011.pdf
1
stand layout and appearance, staffing, and the
range of products/information on display.
There will be three
eventual winners, covering the small, medium and large stand categories, and each will
win a full-page ad in
their choice of dental
magazine.
Director at the BDTA,
said,
“The
Showcase
Stand Awards provide an
opportunity for the BDTA
to recognise the significant time and effort
that exhibitors put into
their stands at Showcase and we are especially pleased to have
exhibition expert Paula
Ripoll to select this year’s
winners.” DT
also be a buffet lunch,
sponsored by Phillips
Sonicare.
Tony Reed, Executive
12/10/2011
15:21
Clinically proven non-stop
12 hour protection
against bacteria...
Stannous fluoride toothpaste
12 hours after toothbrushing –
significant bacteria regrowth
COLGATE TOTAL
Colgate Total provides
72
12 hours after toothbrushing –
reduced bacteria regrowth
%
REDUCTION
IN PLAQUE
BACTERIA
REGROWTH
12 hours after toothbrushing
vs stannous fluoride
toothpaste1
C
M
*
Y
CM
MY
CY
CMY
be held at Dental
Showcase 2011
*Dramatisation illustrating reduction of plaque bacteria 12 hours after toothbrushing with Colgate Total vs stannous fluoride toothpaste.
K
D
ue to the current economic climate the
BADN
has
decided not to hold the
2011 National Dental
Nursing Conference in
Glasgow.
However, the BDTA is
delighted to announce
that the Presidential
Inauguration of incoming President Nicola Docherty, and the
BADN AGM will now
be held on Saturday
22 October at Dental
Showcase. There will
Tartar
Plaque
Enamel Erosion
Gum Problems
Staining
Sensitive Teeth
Bad Breath
Published by Dental Tribune UK Ltd
© 2011, 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
Editor
Lisa Townshend
Tel: 020 7400 8979
Lisa@dentaltribuneuk.com
For a healthy mouth
recommend NEW Colgate Total.
1 Furgang et al, J Dent Res. 2011; 90 (Spec Issue): Abstract 3073.
Advertising Director
Joe Aspis
Tel: 020 7400 8969
Joe@dentaltribuneuk.com
www.colgateprofessional.co.uk
www.colgate.ie
Inauguration
and
the AGM, and look forward to speaking with
as many dental nurses
as possible at Showcase.”
BADN will be reviewing their Conference strategy later this
year and hope to run
an updated, more compact 2012 Conference.
DT
...and protects against most common
dental problems, including:
Cavities
“I am of course
very disappointed that
Conference
cannot
go ahead in my home
town of Glasgow,” said
Nicola “but appreciate that we are in very
difficult times financially. I should like to
thank both the BDTA
and Phillips Sonicare
for
their
generous
sponsorship
of
the
Presidential
the validity of product claims, or for
typographical errors. The publishers also
do not assume responsibility for product
names or claims, or statements made
by advertisers. Opinions expressed by
authors are their own and may not reflect
those of Dental Tribune International.
Sales Executive
Joe Ackah
Tel: 020 7400 8964
Joe.ackah@
dentaltribuneuk.com
Design & Production
Ellen Sawle
Tel: 020 7400 8921
ellen@dentaltribuneuk.com
Editorial Assistant
Laura Hatton
Tel: 020 7400 8981
Laura.hatton@dentaltribuneuk.com
Dental Tribune UK Ltd
4th Floor, Treasure House, 19–21 Hatton Garden, London, EC1N 8BA
[3] =>
Friday_GuyEdit.indd
News
Showcase Tribune BDTA Edition Friday Oct 21, 2011
Smile-on Launch!
W
ith the buzz
of
Showcase
2011
filling
the
atmosphere at the NEC
Birmingham,
Smile-on
launched their new website and mLearning revolution to an excited crowd
that gathered at stand
W08.
Those who attended
were welcomed with a
champagne
reception
and buffet lunch as CEO
of Smile-on Noam Tamir
introduced the crowd to
the newly found presence
of mLearning and Smileon’s role in bringing it to
dental professionals.
Progressing on from
the established form of
eLearning, which educational institutions have
become accustomed too,
mlearning, as Noam explained, is a learning on
the go, wherever and
whenever.
Chief Dental Officer,
Barry
Cockcroft,
was
there to officially open
the launch. In a speech to
the crowd that gathered at
the stand, Barry congratulated Smile-on’s hard
work and effort that they
have brought to the dental
educational environment.
The launch was then
handed over to Operations Officer at Smile-on,
Patrick Cannon, who provided a demonstration of
the new website. Giving a
brief history of the phases
of the previous website
designs, the new website is fresh and friendly,
providing everything that
dental professionals need
to fulfil their CPD requirements. With features such
as My Account, users are
not only able to keep track
of their CPD hours but the
website cleverly provides
a platform for dental professionals to complete
their CPD requirements
on the go.
Of course the launch
couldn’t
be
complete
without a demonstration
of Smile-on’s new App,
Smile-on News. As Pat explained, the Smile-on app
is a great way to keep up
to date with all the latest
news and developments
in the dental world. Not
only this, but the app will
also have a great selection of dental related articles, from social marketing to clinical cases!
Showcase Guide, Alegra ad, v4_Layout 1 05/08/2011 14:33 Page 1
A bright idea!
Especially for non-optic dental units
The website and the
launch of some new programmes also generated
a great deal of interest
from those who attended,
especially dental nurses
and practice managers,
who were greatly interested in Smile-on’s CQCm
programme.
However, one of the
highlights of the event
was Smile-on’s very own
fruit machine, the One
Armed Bandit! With the
top prize being a luxury
holiday worth £3000 the
response was great and
people were queuing up
to have a go! Within the
first few attempts people
were winning watches
and 50 per cent discounts
on a range of Smile-on
products, but at the time
of writing there’s still a
chance to win the iPad
and holiday!
The competition will
be running for the remainder of Showcase so
make sure you check out
stand W08 for more information and a chance to
win a prize! DT
See Alegra
on Stand
G07
with standard LED
with LED+
If you thought you couldn’t use optic handpieces just because you don’t
have optics on your dental unit, think again!
Alegra LED G turbines and contra-angle handpieces from W&H generate
their own light - so you can use them on any dental unit, non-optic or
optic. You don’t even need to be an existing W&H user to benefit from
this revolutionary technology, because models are available for all of
Self-generating LED+ technology
the major connections. An extremely bright idea.
No optic unit? No problem!
And they come with the latest LED+ technology too!
See the Alegra LED G range on Stand G07, BDTA Dental Showcase 2011.
www.wh.com
3
[4] =>
Friday_GuyEdit.indd
4
BDTA Essentials
Showcase Tribune BDTA Edition Friday Oct 21, 2011
BDTA Essentials Let’s see what’s new in dentistry!
W
ith more
than 350
companies appearing at this event,
Showcase 2011 presents
yet another superb opportunity to view the latest innovations in the
world of dentistry under
one roof.
The BDTA have announced that not only
will there be complimentary one hour seminars,
covering regulatory issues, but there will also
be free feature lectures,
informing visitors of the
latest dental innovations.
(See tables below). And
after its massive popularity last year Dental Lab @
Showcase is back again!
Once again the Pavilion
will be a focal point for
DCPs, spanning 60 square
Stand L01
metres and hosting a hospitality and lounge area,
encouraging interaction
and providing a practical example of working
together for the benefit of
the industry.
This year the BDTA
were delighted to announce that the following
professional dental association’s sharing the pavilion at Showcase 2011:
DENTAL SHOW
DISCOUNT VOUCHERS
Cut out for extra money off. Vouchers must be used at time of purchase. Not Valid after 5th Nov
PREMIUM QUALITY LED INSPECTION LIGHT
MAGNIFYING
INSTRUMENT
INSpECTION
LIGHT
Rx FORCE
COMpOSITE
Regular Price: 3D £59.99 5D £69.99 +VAT
TAKE AN
EXTRA
£14.3
99 OFF
PREMIUM QUALITY LED INSPECTION LIGHT
JOYpEx 5
ApEx LOCATOR
Multi frequency operating system.
Adopts the fifth generation circuit-T
Surge frequency. Accuracy 0.1mm.
Regular Price: £299.99 +VAT
TAKE AN
EXTRA
£19. 3
99 OFF
900 mW POWER OUTPUT
LED budget model, looks good and
feels great to work with.
Regular Price: £109.99 +VAT
99 OFF
£24. 3
SLOW SPEED HANDPIECE KIT
CASH N’
CARRY
99
£69. 3
CASH
DEAL
LATEST BRUSHLESS TECHNOLOGY
ENDO MOTOR
& ApEx
LOCATOR
IN ONE UNIT
Regular Price: £599.99 +VAT
TAKE AN
EXTRA
99 OFF
£99. 3
CONTRA ANGLE
E:FITTING
SET OF 4
Regular Price: £199.99 +VAT
TAKE AN
EXTRA
99 OFF
£39. 3
STOCK UP WHILST AT THIS PRICE
TRIpLE pACK
HANDpIECE DEAL
1) AIRMOTOR
2) CONTRA ANGLE
3) STRAIGHT
Regular Price: £189.99 +VAT
TAKE AN
EXTRA
Supplied as a kit of 6 x 4gm
syringes in Vita Shades A1, A2,
A3, A3.5, and OA2.
Regular Price: £99.99 +VAT
STOCK UP WHILST AT THIS PRICE
CORDLESS
CURING LIGHT
TAKE AN
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SPECIAL CASH N’ CARRY DEAL
99 OFF
£19.
3
HTM 01-O5
COMBO DEAL
3D MAGNIFICATION LIGHT,
KEYBOARD & MOUSE,
SAFETY VISORS,
& SURFACE WIpES
Regular Price: £112.99 +VAT
TAKE AN
EXTRA
99 OFF
£22. 3
• BADN
• BACDT
• DPA
• DLA
• DTA
• BDPMA
• BADT
• BSDHT
• BACD
• BDTA
Food & Drink
When you’ve finished
visiting Stand W08 for
all your CPD and postgraduate training needs,
as well as meeting all the
team from Dental Tribune, there’s a vast selection of food places to be
found!
The NEC has a great
range of places to eat
and relax, from bars too
easy to eat market places,
operated by the NEC’s
sister company Amadeus,
there is something for
everyone.
First
off
is
the
food&bar, which offers a
modern self-service restaurant with a choice of
sandwiches, salads and
hot and cold meals away
from the buzz of the show.
Then there is the marketplace style Foodmarket,
which offers all the ingredients to find and eat
tasty food quickly and
without fuss.
Serving what has been
classed as “the highest
standard of tasty sandwiches, salads, snacks
and drinks” is Foodexpress and there’s also
Foodfeature,
which
changes concepts every
week, serving anything
from noodles to jacket
potatoes!
For an ideal quick
drink and a chat, the
Foodcafébar is an alternative choice and can
found in halls 9 to 12 offering yet another place
to grab a coffee, snack or
even a glass of wine.
For those desiring a
relaxing table service
restaurant The Exhibitionist is the place to go,
offering a seasonal menu,
guests can sit back and
enjoy quality food in stylish surroundings.
However there is also
The Food Bank, a selfservice restaurant which
offers an extensive choice
of hot and cold meals.
For those looking for a
quality sandwich, look no
further than The Damn
Fine Sandwich Company;
they serve a range of unusual breads with hot or
cold fillings and their salads sounds mighty tasty
too, with favourites including Red Thai chicken
salad and Buffalo Mozzarella with chargrilled
vegetables.
For a bit of live cooking head to Jimmy Spices,
which offers Indian, Chinese Mexican and Italian
cuisine (it’s also open for
a tasty full English breakfast and coffee too!)
On the subject of coffee the NEC host Starbucks and there’s even a
Subway. For those looking for a free house you
can find a JD Wetherspoon, offering a mix of
traditional British meals
and international dishes
and a selection of alcoholic and soft drinks.
If you’re looking for a
food place using free
range, locally sourced
and organic ingredients
(wherever possible) the
Pasty Presto is the place
to go. DT
[5] =>
Friday_GuyEdit.indd
Experience the
A-dec collection
on stand D05
A-dec 500
A-dec Radius
A-dec 300P-R
A-dec 300 Radius
A-dec 300P
A-dec 200
*
Receive the A-dec experience.
■
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Meet the experts; FREE design service . Bring your surgery
dimensions along and let A-dec design and draw your ideal practice
■
View the range of A-dec equipment including, stools, chairs,
delivery systems, cuspidors, lights and cabinetry
■
Materials management demonstrations with Zirc
■
Learn more about the new solutions range of cabinetry
FREE design service
‡
New cabinetry range
Chairs
Delivery Systems
Lights
Monitor Mounts
Cabinets
Maintenance
Infection Control
Zirc demonstrations
A-dec Dental UK Ltd
Austin House, 11 Liberty Way, Nuneaton, Warks, CV11 6RZ.
Tel: 024 7635 0901 Fax: 024 7634 5106 Email: info@a-dec.co.uk Website: www.a-dec.co.uk
©2011 A-dec® Inc. All rights reserved. * Image for illustration purposes only. ‡ Subject to availability.
[6] =>
Friday_GuyEdit.indd
6
News
Showcase Tribune BDTA Edition Friday Oct 21, 2011
‘Instrument Amnesty’ returns to Showcase
D
o you have any
hand
instruments you no
longer use?
In order to address
the need for dental instruments in developing
countries, the BDTA is
pleased to announce that
the instrument amnesty
has returned to Showcase
2011. The BDTA is link-
ing up with Dentaid, the
dental charity striving to
improve the oral health
of disadvantaged communities around the world,
to encourage the dental
team to donate their unwanted hand instruments
at this year’s exhibition.
Shortage of dentists and
equipment in developing countries
There is a severe shortage
of dentists in developing
countries and the ones
that are working are drastically under-resourced.
The level of care they
are qualified to offer is
significantly higher than
their equipment allows;
no light, no drill, no suction, difficult working
conditions and very importantly, only a limited
Ems-swissqualitY.com
savE cElls
NEw Ems swiss iNstrumENts surgErY –
saviNg tissuE with NEw iNNovatioNs iN implaNt
dENtistrY
The inventor of the Original Piezon
Method has won another battle
against the destruction of tissue when
dental implants are performed. The
m a g ic word is dual cooling –
instrument cooling from the inside
and outside together with simultaneous debris evacuation and efficient
surgical preparations in the maxilla.
> EMS Swiss Instrument
Surger y MB6 with unique spiral
design and internal instrument
irrigation for ultralow
temperature at the operative site
cooliNg hEals
A unique spiral design and internal
irrigation prevent the instrument’s
temperature from rising during the
surgical procedure. These features
combine effectively to promote excellent regeneration of the bone tissue.
EMS Swiss Instruments Surgery
MB4, MB5 and MB6 are diamondcoated cylindr ica l instr uments
for secondary surgical preparation
(MB4, MB5) and final osteotomy
(MB6). A spiral design combined
with innovative dual cooling makes
these instruments unique in implant
dentistry.
coNtrol savEs
Effective instrument control fosters
atraumatic implant preparation and
minimizes any potential damage to
the bone tissue.
(membranes, nerves, blood vessels, etc.).
An optimum view of the operative
site and minimal bleeding thanks
to cavitation (hemostatic effect!)
further enhance efficacy.
prEcisioN rEassurEs
Selective cutting represents virtually
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The new EMS Swiss Instruments
Surgery stand for unequaled Swiss
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For more information >
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range of instruments.
Recipient dentists are
always delighted with the
equipment provided but
some have been known
to literally weep with joy
when they have opened
the box of instruments
provided with the surgery,
highlighting just how important these hand tools
really are for day-to-day
dental care.
Andy Jong, Dentaid’s
CEO commented: “Since
developing the portable
dental chair and portable instrument kit, Dentaid has experienced a
big surge in orders from
charitable projects and
hospitals with community
oral health programmes.
This year’s instrument
amnesty is a great way for
the dental team to help
us meet the demand and
reach many more remote
places with improved oral
health care.”
It is likely that there
is a huge selection of
instruments sitting in
the bottom of cupboards
in dental practices across
the country not being used.
The highly successful
instrument amnesty last
took place at Showcase
in 2005 where more than
10,000 instruments were
collected. It returns to this
year’s event as a way to
once again replenish the
diminishing stocks and
enable Dentaid to continue its important work.
Don’t forget to bring
your instruments with you
to BDTA Dental Showcase
2011!
Please ensure your
instruments have been
properly
sterilised
and then donate, along
with details of your practice, to the Dentaid stand
during the exhibition.
For further information
on Dentaid, visit www.
dentaid.org. DT
[7] =>
Friday_GuyEdit.indd
new
Welcome to a new
layer of Sensodyne
expertise in dentine
hypersensitivity
Today you can go further than treating
the pain of dentine hypersensitivity
with Sensodyne. Today you have
new Sensodyne® Repair & Protect
containing NovaMin® calcium
phosphate technology. NovaMin®
builds a reparative hydroxyapatite-like
layer over exposed dentine and within
the tubules1-5
Starting to form from the first use5, this reparative layer
creates an effective and lasting barrier to the pain of
dentine hypersensitivity6-8, with twice-daily brushing.
Explore a new layer of
opportunity with Sensodyne
Repair & Protect
Visual representation of dentine cross-section
and dynamic reparative layer
Specialist in dentine hypersensitivity management
References: 1. Burwell A et al. Journal of Clinical Dentistry 2010; 21(Special Issue): 66–71. 2. LaTorre G & Greenspan DC. Journal of Clinical Dentistry 2010; 21 (Special Issue): 72-76. 3. Efflandt SE et al. Journal
of Materials Science: Materials in Medicine 2002; 13(6):557−565. 4. Clark AE et al. Journal of Dental Research 2002; 81 (Special Issue A): 2182. 5. GlaxoSmithKline data on file Earl J, 2010b. 6. Du MQ et al.
American Journal of Dentistry 2008; 21(4): 210−214. 7. Pradeep AR & Sharma A. Journal of Periodontology 2010; 81(8):1167−1173. 8. Salian S et al. Journal of Clinical Dentistry 2010; 21 (Special Issue): 82–87.
SENSODYNE, NOVAMIN and the rings device are registered trade marks of the GlaxoSmithKline group of companies.
SM1818_17 Repair & Protect DENTAL TRIBUNE ad New Ref 1 PRINT READY.indd 1
25/05/2011 10:00
[8] =>
Friday_GuyEdit.indd
8
Clinical
Showcase Tribune BDTA Edition Friday Oct 21, 2011
A new concept for dentin replacement
in posterior composite restorations
I
n
stress-bearing
posterior applications,
composite
restoratives
have
been used as an esthetic
alternative to metallic restorations for more than two
decades, and their popularity has steadily increased,
especially in the last few
years. The first clinical
data gathered for posterior
restorations in the early
1980s, particularly with regard to mechanical properties, were not encouraging.
The abrasion resistance of
those early composites was
so low that fillings lost their
contours. Fractures, marginal breakdown and marginal leakage caused by
polymerization shrinkage
also limited the durability
of composite restorations.
These shortcomings have
been considerably reduced
by recent improvements of
both composites and adhesive systems 6. However,
the negative effects of polymerization shrinkage –
such as insufficient marginal integrity, unsatisfactory
adhesion to cavity walls, or
cusp deflections – continue
to be the greatest problem
of composite restoratives.
The stress developed during polymerization results
from the shrinkage effects
occurring when the monomers react to form a polymer. Therefore, limiting
this polymerization stress
without sacrificing the
high degree of conversion
(which is essential for good
mechanical properties of
the material) seems to be a
promising element in synergistic approaches to the
problems associated with
shrinkage.
In light-cured composites, the organic phase of
the uncured composite
paste contains free, uncombined
methacrylate
monomers. Upon initiation of light curing, these
monomers combine, in
a free radical process, to
form larger oligomers
and finally the long-chain,
cross-linked, cured polymer. Since the distances
between the individual
components of the polymer
formed are shorter than between the individual monomers before this reaction,
polymerization leads to a
net loss of volume. This
effect is referred to as polymerization shrinkage. As
long as the monomers are
able to move freely, because they are not yet part
of a network, there is only
little or no development
of polymerization stress.
However, as more monomers react, the developing
polymer network begins to
become rigid, in part due to
increasing covalent bond
formation (cross-linking)
between adjacent polymer
chains. As the mobility of
the monomers essentially
ceases, any further shrinkage of the system results
in an increase in polymerization stress. This stress
is not only trapped in the
composite itself, but also
exerts forces on any interface to which the composite is bonded by means of
adhesive pretreatment.
The transfer of this polymerization stress is the
cause of numerous clinical
problems. In a well-bonded composite restoration,
the stress resulting from
polymerization shrinkage
is transferred through the
interface with the tooth
structure and may cause
deformation. This tooth
deformation may result in
enamel fracture, cuspal
movement and cracked
cusps. An influence of cavity design on the transfer
of polymerization stress is
documented in the dental literature. The term
“C-Factor” describes this
influence; it relates the
number of composite restoration surfaces bonded
to the tooth by an adhesive
to the number of unbonded
surfaces. The higher the
C-Factor, the greater the
stress-related forces acting on the cavity walls. It
is apparent that Class I and
II cavities have the highest
C-Factors, making these
restoration types most susceptible to the effects of polymerization stress.
In a less well-bonded
restoration, polymerization
stress may initiate debonding of the composite from
the tooth (adhesive failure)
if the forces developed exceed the bond strength.
The resulting gap between
the restoration and the cavity walls may produce postoperative sensitivity, microleakage, and/or secondary
caries. Further, internal
stress of the composite has
the potential to initiate
micro-cracking within the
restorative. If the bonding
to the cavity walls is strong
enough to avoid gap formation during hardening, the
stress concentrated inside
the composite can still produce micro-cracks. As a result of this phenomenon, a
restored tooth remains under stress even when there
is no functional loading.
This implies a greater risk
of failure during tooth function. Therefore, controlling
the amount of polymerization stress due to shrinkage
may in all probability improve the clinical success
of composite systems.
SDR Smart Dentin Replacement Composite
In traditional methacrylatebased composites, visible
light curing proceeds rapidly, especially directly after photo-initiation. This
rapid polymerization leads
to a rapid increase in polymerization stress. The
polymer chains cross-link
at a high rate. Thus, the
developing polymer undergoes a significant amount
of shrinkage, and the network is unable to relieve
the resulting stress due to
its adhesion to the cavity
walls. This explains why,
despite efforts to reduce
polymerization shrinkage,
the effects of the resulting
stress are evident across
a wide range of composites with sometimes very
different shrinkage values.
If trapped stress caused
by polymerization shrinkage is not dissipated, adverse effects will always be
present.
In the traditional, methacrylate-based composite
systems widely used today,
the most common approach
to reducing the effects of
polymerization stress is to
incorporate inorganic fillers into the polymerizable
resin matrix, so as to reduce shrinkage by reducing the resin portion of the
composite. Of course, there
is a practical limit to the
amount of fillers that can
be added without affecting the clinical usability of
the material. Although the
polymerization shrinkage
is greatly reduced in these
highly filled systems, there
is still a dramatic increase
in the stiffness or elasticity
modulus due to the inclusion of fillers, keeping the
stress high.
Alternatively, one could
develop a composite with
a lower overall modulus
to reduce the effects of polymerization stress. Unfortunately, in the commonly
available
methacrylate
composites, a low final
modulus results in inferior
mechanical properties and
is therefore not a practical solution. Another approach would be to replace
the methacrylate chemistry with a different resin
chemistry. But this would
also require altering the
materials that are used in
conjunction with the new
composite system (e.g. adhesives).
The low-viscosity, flowable
composite
“SDR
Smart Dentin Replacement” (DENTSPLY DeTREY; Konstanz, Germany)
is based on the traditional
methacrylate
chemistry.
However, it contains a
UDMA-based polymerization modulator, designed
to permit internal reduction of the stress caused
by polymerization shrinkage by means of a slower
modulus development in
the curing phase without
any decrease in the rate of
polymerization or degree
of conversion 9. The functional groups of this methacrylate allow it to react
with other typical methacrylate systems, which are
currently used in almost all
composites. Thus, traditional methacrylate-based
etch&rinse or self-etch adhesives react with SDR in
à DT page 10
[9] =>
Friday_GuyEdit.indd
Bulk-fill in
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every time.
SDR is up to 40% quicker and
*
easier than conventional layering .
™
SDR’s unique and patented formulation can be bulk-filled in increments
of 4mm, making restorations less cumbersome, quicker and easier.
Its flowable viscosity results in excellent cavity adaptation, which
significantly reduces post-operative sensitivity.
Small things. Big difference.
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THE MAKERS OF
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CAVITRON™
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05/10/2011 16:16
[10] =>
Friday_GuyEdit.indd
10
Clinical
ß DT page 8
the same way as with conventional composites. SDR
has the required physical
and mechanical properties
for use as a posterior bulkfill flowable base. SDR (filler content: 68 per cent by
weight, 44 per cent by volume) is indicated for use
as a bulk-fill base in Class I
and II direct composite
restorations and as a cavity liner. After curing, the
SDR base has to be covered
with a methacrylate-based
universal or posterior composite to reconstruct the
occlusal anatomy.
Clinical Case
The following clinical case
report describes step by
step the replacement of
an old amalgam filling in
a lower molar by an SDR
(DENTSPLY
DeTREY)
composite restoration.
A female patient reported occasional pain caused
by osmotic or thermal stimuli in a first lower molar,
which had been restored
with amalgam. During clinical examination, the tooth
responded normally to a
vitality test, and a percussion test did not show any
abnormalities, either. Probing of the accessible areas
of the mesio-proximal box
floor with a pointed probe
showed a small marginal
gap. The patient agreed
to the replacement of her
amalgam filling. Having
been informed about various treatment options, the
patient wished to receive
a direct composite restoration, placed in the new SDR
technique.
First, external deposits
were thoroughly removed
from the molar, using a
fluoride-free prophylaxis
paste and a rubber cup.
The amalgam was carefully removed, without unnecessarily damaging the
remaining tooth structure,
caries was excavated, and
the cavity was fully prepared and then finished
using a fine-grit diamond.
The dam separates the
treatment site from the oral
cavity, ensures effective
and clean working conditions and prevents any
contamination with blood,
sulcular fluid or saliva.
Contamination of enamel
and dentin would greatly
reduce the adhesion of
the composite to the tooth
structure, so that a successful, long-lasting restoration
with optimal marginal integrity could not be guaranteed. Besides, the dam
protects patients from irritants, such as the adhesive
system. The rubber dam
is therefore an important
tool for work simplification and quality assurance
in the adhesive technique.
The effort required to apply the dam is very low
and also compensated for
by eliminating the need to
change cotton rolls and allow the patients to rinse
their mouths.
The depth of the cavity (mesial box floor) was
measured with a graduated
periodontal probe, because
SDR can be bulk-placed in
increments of up to 4mm.
The restorations are completed by reconstructing
the occlusal anatomy with
approx. 2mm of a methacrylate-based universal or
posterior composite. The
convex shape of the sectional metal matrix can be
slightly customized prior
to application by careful
deformation with thumb
and forefinger. The tension
ring helps to separate the
teeth, so as to compensate
for the matrix thickness.
The vertical extensions of
this ring, reaching into the
interdental space, adapted
the contoured matrix band
to the sides of the proximal box. A plastic wedge
(Flexiwedge,
Common
Sense Dental Products Inc.,
Spring Lake, MI, USA) was
used to tightly adapt the
Showcase Tribune BDTA Edition Friday Oct 21, 2011
matrix in the cervical area.
The wedge was used only
to avoid any cervical excess and did not have to be
forced into the interdental
space, since composites do
not require a high packing
pressure. To optimize the
contours, the matrix can be
carefully bent against the
adjacent tooth with a medium-sized ball plugger (cold
deformation). The creation
of a physiologically contoured proximal surface in
close contact with the adjacent tooth is still a challenge in composite restorations. Unlike amalgam,
composites show a certain
degree of viscoelastic recovery after deformation,
which is often undesirable
and makes the adaptation
of the matrix to the adjacent tooth by packing pressure more difficult.
will need selective reapplication of the adhesive.
The self-etch, one-component, tert-butanol-based
adhesive Xeno V (DENTSPLY DeTREY) was used for
bonding. The adhesive was
generously applied to and
distributed over the cavity
surface with a minibrush.
It was important to ensure
that all parts of the cavity
were adequately wetted by
the adhesive. After gently rubbing the adhesive
into the tooth structure for
20 seconds, the solvent was
carefully evaporated with
the aid of oil-free air; then
the adhesive was lightcured for 20 seconds. The
result was a shiny cavity
surface, uniformly covered
with the adhesive. At this
point, the cavity should be
thoroughly checked for any
non-shiny surfaces, which
may indicate that insufficient amounts of adhesive
have been applied to these
areas. In the worst case,
this may lead to reduced
adhesion of the restorative
to these areas and inadequate dentin sealing, possibly resulting in postoperative hypersensitivity. If
such areas are found during visual inspection, they
Next, Ceram-X Mono+
composite (DENTSPLY DeTREY) was used to carefully
sculpt the occlusal surface
and complete the restoration. When reconstructing
the occlusal anatomy, it is
important to sculpt the surface with great care and remove any excess while the
material is uncured. This
will substantially facilitate
the subsequent finishing
procedure and reduce it to
only a few steps. After lightcuring for 20 seconds, the
restoration was checked
for any imperfections, and
then the sectional metal
matrix was removed. In the
region of the proximal extension, the material was
additionally
light-cured
from buccal and oral.
SDR composite (DENTSPLY DeTREY), available
in one translucent universal shade, was then bulkplaced in the cavity as a
base in a 4mm increment
directly from the Compula
Tip, starting at the deepest
part of the defect. To avoid
any air inclusions, the thin
metal cannula of the Compula Tip should always be
immersed in the material
during extrusion. Thanks
to its flowable consistency, the composite increment self-levels within a
few seconds. Any air bubbles visible in the material
should be eliminated using
a probe tip. The composite
was light-cured (intensity:
> 550 mW/cm²) for at least
20 seconds.
The polymerized restoration was already wellcontoured. After rubber
dam removal, the fissure
relief and the fossae were
further outlined with a
pear-shaped diamond finisher. In the next step of the
standardized finishing sequence, a round-end bullet-shaped diamond finisher was used to increase the
convexity of the triangular
ridges and create harmonious transitions between the
various features of the occlusal anatomy. After eliminating occlusal interferences and adjusting static
and dynamic occlusion,
polishing discs were used
to contour and pre-polish
the proximal surfaces, as
far as accessible. Then
the restoration was satinpolished using composite
polishers. The final highshine polish was achieved
with the aid of a composite
polishing paste. The mesial
view shows the seamless
transition between composite material and tooth
structure and the details
of the occlusal anatomy.
The treatment was concluded by applying fluoride
varnish to the tooth with a
foam rubber pellet.
Conclusion
The importance of composite-based direct restoratives will continue to increase in the future. The
use of these materials for
high-quality
permanent
restorations in stress-bearing posterior applications
is supported by scientific
evidence, and their reliability is documented in
the dental literature. The
results of an extensive
meta-analysis have shown
that their annual loss rates
are not significantly different from those of amalgam
fillings. Minimally invasive
treatment protocols, combined with the recent progress in early caries detection, will further improve
the survival rates of these
composite
restorations.
However, the basic prerequisites for high-quality direct composite restorations
with good marginal integrity continue to include the
careful use of a matrix system (if proximal surfaces
are involved), an effective
dentin adhesive and the
proper application and adequate polymerization of
the composite. DT
[11] =>
Friday_GuyEdit.indd
Feature
Showcase Tribune BDTA Edition Friday Oct 21, 2011
11
CQC visit on the horizon?
P
restige
Medical
is here to help by
providing
some
basic advice on
compliance with HTM
01-05.
Here are the most
frequently asked questions:
• HTM 01-05 is advisory,
do I have to comply?
The legal stuff is in the
Health Act 2006. This
act, which is the law, lays
down compliance criterion which have to be
implemented
either
through HTM 01-05 or
through another method
which you can prove to
an inspecting body is just
as effective as HTM 0105. Do you have such a
method? If not then you
should
to
implement
HTM 01-05.
• What’s the difference
between Essential Requirements and Best
Practice?
Surprisingly little. Best
Practice says that you
should replace manual
cleaning with a washer
disinfector, that your
storage and record keeping should be of a better standard, allowing
traceability,
and
that
you should have a separate
decontamination
area. Once you’ve seen
the
problems
associated with the full manual cleaning procedure
you may well surmise
that it’s easier and cheaper to buy a washer disinfector. You don’t yet
need to comply with Best
Practice but you should
have a written plan to
show how you are going
to move towards it, and
you should implement
Best Practice wherever
possible.
• Do I have to use a
washer disinfector?
No, but it is best practice
and strongly recommended. if you don’t then you
should comply with the
full manual washing procedure in HTM 01-05 3.16
(assuming you don’t have
an alternative method
that satisfies the inspecting body, see above).
Compliance to this procedure is difficult and
time consuming. Do you
constantly monitor the
water temperature with
a non-mercury thermometer? Use only a single
use long handled brush?
Clean each instrument
and then inspect each
one under an illuminated magnifying source?
Are you rinsing with RO
or distilled water? Check
the full procedure in Section 3.16 and decide if
you can or want to implement this. Beware, noncompliant manual cleaning is rife.
standards are detailed
in HTM 01-05, Section 3.
Seek further advice from
Prestige Medical.
• How should I treat my
hand pieces?
Section 2 makes it clear
that you should clean
and sterilize after each
patient. From a practi-
cal point of view you may
want to consider a dedicated hand piece sterilizer because washer
disinfectors may degrade
the performance of your
hand pieces. DT
For
further
advice
call Prestige Medical on
01254 844 103 or email
sales@prestigemedical.
co.uk
About the author
David Robinson has been the Commercial Director for Prestige Medical
since 2007. During that time Prestige
Medical has moved from being a
manufacturer of autoclaves to a provider of total decontamination solutions across several industries. These
include Laboratory, Education, Veterinary, and Podiatry, as well as Prestige Medical’s core market of Dental
decontamination.
YourÊsecretÊweapon
againstÊdentalÊcaries
• Do I have to use a vacuum autoclave?
Read Section 4. If you
are sterilizing lumened,
wrapped, or pouched instruments then it’s pretty
clear that you should.
Seek and apply manufacturer’s advice.
• Do I need to have a full
decontamination room?
No, it is ideal but if for
practical reasons you
cannot then HTM 01-05
does not insist upon it
• What tests do I have to
perform on my decontamination equipment?
There are daily, weekly,
quarterly, and annual
checks and tests on the
performance
of
your
equipment that must be
carried out and documented. The required
CLINICALLY PROVEN TO REDUCE
DECAY BY UP TO 40%1
Colgate FluoriGard Daily Dental Rinse
Name of the medicinal product: FluoriGard Daily Dental Rinse. Active ingredient: Sodium Fluoride 0.05 %w/w (225ppm F). Indication: To aid in protection against dental caries. Dosage
and administration: Use once per day, preferably after brushing teeth. Rinse 5-10ml around and between teeth for one minute and then spit out. Do not eat, drink or rinse mouth for at least
fifteen minutes afterwards. Contraindications: Do not use under six years of age. Special warnings and precautions for use: Do not swallow. Excess dosage may cause nausea, and in children
under seven, dental fluorosis. Keep medicines out of reach of children. Undesirable effects: When used as recommended there are no side effects. Legal classification: GSL. Product licence
number: PL0049/0012. Product licence holder: Colgate-Palmolive (U.K.) Ltd. Guildford Business Park, Middleton Road, Guildford, Surrey, GU2 8JZ. Recommended retail price: £4.75 (500ml
bottle) Date of revision of text: September 2003.
®
1 Marinho V et al. (2002) Cochrane Database Syst Rev. no3.
www.colgateprofessional.co.uk
[12] =>
Friday_GuyEdit.indd
Showcase Tribune BDTA Edition Friday Oct 21, 2011
Selling to a dental conglomerate
– the devil is in the detail!
E
ach stakeholder
in dentistry has
their own opinion on the dental
corporates – whether they
are successful or doomed
for failure?
But sure enough the corporates are growing in
number as Sainsbury’s
and Tesco up the ante.
Similarly, House of Fraser
are rumoured to follow
suit, which will leave
the Independent Principal competing with some
even bigger corporations.
There are also two other
players shortly to enter
who I’m involved with
but not allowed to mention!
Some dentists view the
corporates as the devil,
but there is increasingly
a number of practitioners
considering either selling or working for one.
However, the trick is to
work out what you want
from them before even
opening any discussion
with them.
If you look to sell or be
recruited by any of them
you will deal with some
well-trained individuals
in their field, so the first
thing is to be clear in
your mind what you want
out of the deal.
So let’s start with the
decisions that should be
made before entering any
negotiations:
1.
Price - Get a realistic idea of the value
of your business from a
recognised valuer or accountant with an independent view
2.
Basis – Remember
that corporates value on
profit not turnover, read
my article on EBITDA or
come and talk to us about
it on stand M05a at the
Showcase
3.
Deal Terms – When
will you get your money?
4.
Tenure – Is it worthwhile retaining the Freehold?
5.
The Team – What
will happen to them? How
is your purchase price
calculated?
Of course this list is not
exhaustive.
Remember there are
always other options. Yes
the ADP-IDH Merger has
in essence removed one
competitor from the market, but there are ample
small groups and purchasers out their looking for the same stock as
them. Do not feel guilty
for shopping around.
Some people fear that if
they shop around they
will lose the initial offer they had. This may
be true in House Sales
but
not
true
when
you are selling to a conglomerate.
For Private Practices,
make sure the deal is
right. If you are selling to
a corporate you will most
likely have to stay on, so
take some time to understand how their practices are run. Will they
guarantee the marketing
spend? Will they invest in
the latest technologies?
And what lab/implants/
orthodontic
appliances
can you use? How is any
deferred
consideration
linked to the practices/
your individual performance and how achievable is this especially with
any changes they may be
intending?
OK, so you’ve agreed
your offer and you’re
happy with the price and
the terms. In all likelihood the contract you
gave your associates is
based on the BDA Model
but how does this new
agreement work and how
much freedom does it
give you?
Take a deposit – “I’m
a corporate, I don’t pay
deposits” – Why not? I
can tell you that I’ve sold
practices to corporates
and they can and will pay
a deposit. This means
that if they change their
mind then there is at least
some recompense.
The Changeover – Different groups do things
different ways. Normally
at this point they would be
given their new associate
agreements for post-sale
and given an opportunity
to ask any questions of
likely changes that will
happen.
Take a Holiday – Initially, there will be a
psychological barrier to
overcome for both the
selling principal and the
staff. You will normally
feel the need to sort out
any problems and they
will come to you with
them. I always advise
any principal to take a
fortnight out of the practice in the initial weeks
post-sale to allow the
staff to adjust. DT
[13] =>
Friday_GuyEdit.indd
m
e
e
s
t
t
n
e
i
t
a
p
e
l
t
t
i
l
ng e
e
l
r
l
a
h
u
c
g
o
n
i
y
h
s
u
g
r
n
b
i
p
ig
l
b
e
e
h
H
t
Aquafresh has developed a range of toothbrushes and
toothpastes that are specifically designed for each
stage of a child’s oral development.
Aquafresh also offers a range of FREE motivational
materials to reward children’s good brushing efforts,
helping support your practice to deliver a positive
dental experience.
To request your FREE motivational pack visit
www.gsk-dentalprofessionals.co.uk
y
k
l
i
M
Billy
AQUAFRESH, the iconic Nurdle device and other marks are trade marks
of the GlaxoSmithKline group of companies.
[14] =>
Friday_GuyEdit.indd
14 Product Spotlight
Showcase Tribune BDTA Edition Friday Oct 21, 2011
The new Direct Composite Veneer System
“COMPONEER“, Coltène/Whaledent presents a new and easy-to-use system for restoring anterior teeth
C
O M P O N E E R and stability of the enamel
are Direct Com- shells. Extremely thin veposite
Shells neer coatings from 0.3mm
and represent a allow a high level of concompletely new class of servation of hard tooth
veneers. They are manu- substance during prepafactured industrially from ration. The shiny and nathighly filled nano-hybrid- urally designed surface
composite which ensures adds a look of vitality to
Componeer ad B A4 full page 20/9/11 08:50 Page 1
excellent
homogeneity the restoration.
The novel micro-retentive inner surface increases wettability and
ensures a lasting bond.
Special conditioning of
the veneer is not necessary.
COMPONEER
is available in different
sizes and allows efficient
direct composite veneer-
A smile for virtually all
occasions
Whether for incisor extensions, the covering of
COMPONEER
™
‘
Saves time
Saves money - No lab fees
Amazing results
One appointment
Promotional literature available
Seminars planned for the near future
I fitted 6 Componeer veneers and the patient cried with delight
’
Chris Siddons - Burley in Wharfedale
Dr. Mario Besek - the inventor of Componeer
Will demonstrate the system at BDTA Showcase, stand WO1
on Friday & Saturday 21st & 22nd October
A great opportunity to see this amazingly easy technique
Two ‘One Day’ Courses
Covering composite layering technique with Miris 2 and introducing
COMPONEER - the new direct composite veneering system
London Dental Education Centre December 7th and 8th, 2011
Book Now - limited places (FreePhone 0500 295454 x229 Shelley)
Get the full picture on:
www.componeer.info
for your in-surgery demonstration
FREEPHONE 0500 295454 ext’s. 223 Julie or 224 Adrian
novel special instruments,
and comprehensive information material for dentists and patients. COMPONEER offers attractive
restorations
effectively
and economically. further
information at: www.componeer.info
Composite Veneer System adds a new and interesting dimension to existing treatment options
and gives dentists and
‘‘Composite Veneer System
adds a new and interesting
dimension to existing treatment options’’
Innovative
and amazingly easy
Direct Composite Veneers
Significant advantages over free hand
composite and ceramic veneering for
tooth fracture, erosion, discolouration,
diastema, extending incisors and
optimising old restorations
ing of a single tooth or
complete anterior dentition.
Time-consuming
shaping of the anatomical shape or surface and
elaborate trimming are
no longer required. COMPONEER can be customised with composite at
any time.
massive discolouration or
the closing of diastemas,
aesthetic corrections can
be carried out easily and
fast with COMPONEER.
This closes the gap between
time-consuming
freehand and expensive
invasive veneer techniques. Fractures, malposition or anatomical malformation can, of course,
also be elegantly and permanently restored using
the Direct Composite Veneer system. Especially in
extensive reconstruction,
the contralateral teeth
can be efficiently set to
symmetrical positions.
COMPONEER –
a milestone in veneer
technology
COMPONEER
offers
a complete and wellthought-out system. In
addition to composite veneers, the system includes
a specially matched composite (SYNERGY D6), a
highly efficient Total Etch
Bond (One Coat Bond),
patients new economic
perspectives.
Patients
can be given a naturally
aesthetic smile in just a
single session, and come
away smiling – with a
“smile to go”.
• Easy-to-use and efficient due to well-thoughtout system
• Quality aesthetic dental
restoration in just a single
session
• Extremely thin veneers
allow for a high level of
conservation of hard tooth
substance during preparation
• Novel micro-retentive
inner surface increases
wettability and ensures a
lasting bond
• Easy to customise with
composite
• Wide range of uses in
aesthetic and clinical applications DT
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V
at isit
D e us
nt at
al St
Sh an
ow d
ca D0
se 3
Biodentine
TM
... is the first all-in-one
biocompatible and
bioactive material
to use wherever dentine is
damaged
Pulp exposure
Dentine caries
Biodentine
TM
Biodentine
TM
Pulpotomy
Perforation
Biodentine
TM
Biodentine
TM
Resorptions
Biodentine
TM
Immature root
Biodentine
TM
Apical surgery
Showcase Tribune BDTA Edition Friday Oct 21, 2011
DENTINE CARE
INNOVATION
Biodentine
TM
For crown and root indications
Helps the remineralisation of dentine
Preserves pulp vitality and promotes pulp healing
Replaces natural dentine with the same mechanical properties
Biodentine™: The next
big thing in dentistry
S
eptodont’s
newest
innovation,
Biodentine™ has
been
receiving
outstanding praise from
endodontic experts up
and down the country
since its launch in September 2010.
Biodentine™ is a novel
new material that is set to
revolutionise the world
of dentistry. What makes
Biodentine™ so unique is
the fact that it is the first
all-in-one, biocompatible and bioactive material that can be used wherever dentine is damaged,
wether in the crown
or root, making it literally ‘dentine in a capsule’.
The product has already
received rave reviews
from some of the leading lights in dentistry and represents the
cutting edge of technology, which, for the
first time, offers a bioactive
substitute
to
dentine.
Renowned endodontist Dr Julian Webber
commented,
“Sophisticated biosilicate technology and 100 per cent
biocompatibility makes
Biodentine™ the perfect
root canal repair material.
With
its
improved
handling
ability
and
quick setting time, Biodentine™ offers considerable advantages over
other similar materials. I
cannot recommend it
more highly.”
Professor
Callum
Youngson
BDS,
DDSc, FDS, DRD, MRD,
FDS(Rest
Dent)
RCS
(Edin), FDS RCS (Eng)
added, “Biodentine finally provides us with a
material that closely resembles lost dentine and
has the potential to promote, rather than just allow, healing of the pulpitic tooth resulting from
caries or leaking composites.
Biodentine, unlike other sedative dressing materials, is also compatible
with the final composite
restoration, making it
an important addition to
the clinician’s armamentarium.”
Based on unique Active Biosilicate Technology™, Biodentine™ can
be used for a wide variety of endodontic indications, wherever dentine
is damaged, including:
• Root perforations
• Pulpal floor perforations
• Internal/External re-
sorptions
• Apexification
• Apical surgery
With such a broad
range of indications, endodontic specialists are
now realising the benefits of Biodentine™ in
their practices. N.G.A
Wright BDS FDSRCS,
Specialist in Endodontics, said of the product,
“As an endodontist, I have
used Biodentine™ for repair of perforations and
as a retro grade material. I have found it a very
easy material to handle
and clinically successful.
I have no qualms in recommending it to my colleagues.”
Highly biocompatible,
thanks to its Tricalcium
Silicate core, Biodentine™ makes the risk of
adverse tissue response
a thing of the past. It also
helps preserve pulp vitality by promoting reactionary dentine genesis and has outstanding
sealing properties to reduce the risk of clinical
failures through bacterial percolation, thus
ensuring the absence of
post-operative sensitivity. Biodentine™ needs
no surface conditioning
or bonding to dentine
and sets quickly, making
it simple and easy to use
for the busy clinician. DT
To order Biodentine™
please contact your dental dealer directly. Alternatively, for more information contact Septodont
on 01622 695 520, email
sales@septodonont.com
or
information@septodont.co.uk or visit www.
septodont.co.uk
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TRADITION INSPIRES OUR PROJECTS.
INNOVATION BRINGS THEM TO LIFE.
Passion is the driving force through which Castellini achieves that accomplished blend of tradition
and technology. In each detail, the mark of design expertise intent on creating operative efficiency
and comfort in the dental environment.
SKEMA: a Castellini concept
BDTA DENTAL SHOWCASE 2011 NEC
Birmingham 20-22 October - Stand T01 Hall 5
castellini.com
CASTELLINI Ltd.
Spare parts & Assistance
Ph. 0870.7560219
Fax 0194.2245809
LONDON & SOUTH CENTRAL
DENTEC SERVICES
Ph. 01582.492749
dentec@ntlworld.com
WEST MIDLANDS & SOUTH WALES
CADENT Ltd.
Ph. 01527.576345
cadent@btconnect.com
NORTHWEST & NORTHEAST
R.P.A. DENTAL
Ph. 01942.245808
Free phone 08000933975
info@rpadental.net
LONDON & SOUTH EAST
CAPITAL DENTAL
Ph. 0208.9429751
cdelondon@talktalkbusiness.net
GLASGOW
C.E.I. SERVICES
Ph. 01236.875059
ceidental@gmail.com
EAST MIDLANDS,
EAST ANGLIA & SOUTH YORKSHIRE
JGM DENTAL EQUIPMENT
Ph. 01949.869085
jgm-dental@supanet.com
SOUTH WEST
S & S DENTAL SERVICES
Ph. 0844.2724561
paul@ssdentalservices.co.uk
CAstelliniSK6DentalTribune.October.I.issue2011.indd 1
13/09/11 15.20
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18 Exhibitor News
Dental Sky Wholesaler Ltd
Stand E08
Visit Stand E08 and meet the Dental Sky team
over a coffee and a cupcake. They have so much
to offer with the launch of their new 2012 dental
catalogue, the ‘hot off the press’ 2011 workwear
catalogue, including new ranges from Cherokee,
and their 48 page bumper monthly brochure
packed with all the great offers you’ve come to
expect from Dental Sky over the last 12 years!
Place an order at the stand and you can claim
either your free bottle of Champagne, a Canon
Powershot camera, an Advent Vega Tablet or a
Sony Bravia Smart TV!
Reach for the Sky!
Tel:
Email:
Web:
0800 294 4700
sales@dentalsky.com
www.dentalsky.com
Oral
Cancer
Screening Device
New
from
DentalEZ is the
Identafi®
multispectral
oral
cancer screening
device.
Identafi®
helps
those in the front
line of detection to identify biochemical and
morphological changes in the cells of the mouth,
throat, tongue and tonsils.
The detection is made through the processing of
optical fluorescence and reflectance in certain
body tissues, using this small portable device.
In UK alone in 2007 there were 5,410 cases of an
oral cancer, according to cancer research UK.
Often the signs and symptoms are missed by the
naked eye, this device can help in the screening
process.
Tel: 01442 269301 Fax 01442 217594, www.
dentalez.com, www.identafi.net
DMG UK
Visit Stand M06 and see the
NEW Honigum Pro from DMG
UK!
Visitors to Stand M06 will be
able to see all the latest innovations from DMG UK
including their NEW Honigum Pro and LuxaTemp
Star! Honigum Pro’s most dramatic innovation is
its ability to attain top values in two conflicting
parameters – flowability and stability. This is
due to a patented ingredient which ensures that
Honigum Pro is reliably stable when under a low
shear stress; so there is no risk of it running off the
tooth. However, at high shear stress the viscosity
characteristics come into effect and it flows superbly
into even the smallest spaces, so that precise
detail reproduction is achieved. This unification
of apparently contradictory characteristics is
unparalleled. Furthermore, its Snap-Set Technology
ensures a previously unmatched combination of
convenient working time and short setting time.
This means less stress for the Dentist and greater
comfort for the patient. Finally, it features enhanced
hydrophilicity andtoughness. Whilst with NEW
Luxatemp Star DMG the best just got better! For
further information visit Stand M06, contact your
local dental dealer or DMG Dental Products (UK)
Ltd on 01656 789401, fax 01656 360100, email info@
dmg-dental.co.uk or visit www.dmg-dental.com
Showcase Tribune BDTA Edition Friday Oct 21, 2011
wSilver skies - Looking back on 25 years of the
BOS Conference
As the British Orthodontic Society celebrates
the 25th Anniversary of The British Orthodontic
Conference this September it is taking a reflective
look back.Since its inception in Bournemouth in
1986, it has become one of the largest and most
prestigious specialist meetings in the UK dental
calendar. Twenty five years ago the first Conference
was created, heralding the first joint meeting of
three orthodontic societies, the British Association
of Orthodontists, Consultant Orthodontic Group
and British Society for the Study of Orthodontics.
The first event was led by then Chairman Dr David
Di Biase. Attendance was high from the start with
five hundred Orthodontists attending. By the time
of the third Conference in Glasgow, of which Dr
Chris Kettler was Chairman, six hundred delegates
attended. The much anticipated Northcroft lecture
is now a regular feature of the conference, delivered
as the climax of the event. In 1986 the first speaker
for the first joint meeting was Professor Jack Tulley.
By year five, with 1,000 delegates now in attendance
at the Conference the organising committee
spearheaded the introduction of Orthodontic
Nurses. For the first time in 2011 the Conference
in Harrogate will include a programme for
Orthodontic Therapists. Alongside this will feature
an educational programme for Orthodontic Nurses.
CosTech Elite® To
Display Its Expertise at
The BDTA
Restorative
dentists
from all over the country will be able to discover
how the CosTech Elite® team could help them raise
the standard of their work to new heights. CosTech
Elite® employs the best GDC-registered managers
and technicians to produce its range of excellent
dental prostheses, including DIO abutments
and unique products such as ZirconArch® and
Thineers®. Their unswerving commitment,
attention to detail and rigorous quality control
standards create forensically detailed implant
and denture pieces, fulfilling the crucial need for
pinpoint accuracy required by surgeons wishing to
carry out effective and durable restorative work.
Communicating well with its clients and providing
outstanding customer service is another key priority
at CosTech Elite®. The company takes particular
pride in its ELITE7® courier service, which carries
a money back guarantee. Located at stand B21,
the CosTech Elite® delegation will be pleased to
enlighten visitors on the full extensive range of
products and services offered by the company’s
laboratory in Kent. For further information on how
CosTech Elite® can help your practice, call 01474
320 076 or email info@costech.co.uk. ELITE7
courier service subject to availability.
Come and see us at
Showcase 2011
Once again at this
years’ BDTA Showcase,
The Dental Directory’s
stand promises not to
disappoint!
Our
experienced
Equipment team will be able to demonstrate chair
packages, digital imaging systems and provide
you with the best available deals. Whatever your
equipment enquiry, our experienced team will
provide you with the best possible advice.
We also invite our loyal customers to come and
relax in our hospitality suite where we will be
offering complimentary refreshments and snacks.
It’s a great opportunity to take a moment to wind
down and catch up with colleagues.
Come see what The Dental Directory can offer
you! You will find us on Stands B02, B03 and C02.
We very much look forward to seeing you there.
For further information call 0800 585 586.
Stand C07
DENTSPLY UK
at the 2011 BDTA
Dental Showcase
It’s
that
time
again:
from
Thursday 20th – Saturday 22nd October 2011
Birmingham NEC will once again open its doors to
the spectacular BDTA Dental Showcase. Britain’s
premiere dental exhibition attracted over 13,000
visitors and 350 exhibitors last year in a stunning
event that had everybody in the industry talking
and this year promises to be even better. The 2011
exhibition features DENTSPLY, the UK’s leading
dental manufacturer. DENTSPLY is renowned for its
innovative research and development initiatives and
will be showcasing some of its leading products at
the exhibition.
Products to look out for are:
• SDR™ (Smart Dentine Replacement) • Chemfil™
Rock • Citanest® • WaveOne™ • Ash®
So keep an eye out for DENTSPLY at the BDTA Dental
Showcase, and don’t forget to ask about DENTSPLY’s
other outstanding services such as the DENTSPLY
Academy and the new DENTSPLY Rewards website,
offering users amazing deals as a thank you for their
continued custom. For more information visit www.
dentsply.co.uk Contact us by phone on 0800 072
3313 or email enquiry.uk@dentsply.com
Digital Dental
Digital Dental launches exclusive
new digital imaging solutions
Visitors to Stand H10 can receive
advice on all their digital imaging
needs from Digital Dental: With
over 14 years of experience, they appreciate that
every practice is different. Digital Dental are proud
to be the only digital imaging specialists who have
been selected to offer the whole range of products
from Schick and Vatech. Visitors will be able to see
all the 3D Cone Beam CT and digital panoramic
innovations from Vatech, including their new
Flex3D which is the most cost effective, adaptable
and feature-rich digital imaging unit available on the
market. They will also be able to compare intraoral
digital x-ray sensors and image plate scanners from
Durr, Digora, Satelec and Schick. In response to
requests for a low cost digital x-ray solution, Digital
Dental will be exclusively launching a new range
of digital intraoral and panoramic systems. There
will also be a dedicated booth with the latest digital
intraoral cameras. Exclusive show offers and free
installation and training with all solutions ensure
Digital Dental can provide the right solution at the
right price for every practice. For further info please
visit Stand H10, telephone 0800 027 8393, email ja@
digitaldental.co.uk or visit www.digitaldental.co.uk
Directa CoForm
Directa’s
CoForm
matrix
system is a set of pre-formed
transparent matrixes, made
of celluloid plastic that are
designed to deal with composite
restorations around difficult incisal edges and tooth
fractures. The matrices conform to the patient’s
dentition. They are applied over the cavity after
etching and bonding with a slight movement to
avoid air bubbles. When securely in place excessive
composite material should be removed. A benefit of
utilising CoForm is that the device aids pressure to
force composite material into cavities and etched
tubes. Light curing is carried out through the
transparent surface of the CoForm matrix. CoForm’s
convenient ready-cut mesial and distal corners do not
adhere to composite so that they are easy to remove
without causing any drag after the restoration has
been light-cured. The product is available in four
sizes. Packaging is a clinical dispenser with a simple
size selection system to find a suitable form. Directa
is a privately owned Swedish dental manufacturer
that was founded in 1916. It is one of the fastest
growing manufacturers of dental products. Other
renowned Directa products include FenderMate®,
FenderWedge®, Luxator® Extraction Instruments,
PractiPal® Tray System and ProphyPaste CCS.
Directa AB, Sweden www.directadental.com
DÜRR dental (Stand
T04)
Dürr Dental’s huge
choice
of
digital
technology is definitely
a ‘must-see’ at this
year’s exhibition. The better you can see, the better
you can diagnose. Three pieces of equipment
from Dürr Dental facilitate enhanced vision
– VistaCam, an intraoral camera, VistaScan, a
digital radiography system and VistaProof, a caries
diagnostic tool. The latter is the Company’s most
recent innovation. VistaProof is a fluorescence
camera capable of detecting caries quickly and
accurately. Caries is shown even in fissures and
on occluded surfaces where to the naked eye or on
x-ray photographs it may be hard or impossible to
detect. The high performance software displays a
false colour image on which active caries appears
in red and healthy enamel in green. In contrast
to other screening systems it also shows caries
that was not previously diagnosed so that it can
be used to monitor the progression of carious
conditions over a period of time. Dürr Dental
will also be exhibiting their leading compressors,
suctions systems and disinfection range and will
have representatives on hand to answer any of
your questions.
GC UK launches two new
products
wGC
will
be
demonstrating
the
latest
additions to their prestigious
range with a new product,
FujiTemp LT. FujiTemp LT
is the first glass ionomer
provisional luting cement that provides versatility,
reliability, durability and ease of use. GC FujiTemp
LT offers the benefits of glass ionomer technology,
with significantly greater fluoride release and
unsurpassed protection. GC will be showing you the
benefits of EXA’lence VPES™. EXA’lence represents
the next generation impression material - Vinyl
PolyEther Silicone - predictable in an unpredictable
environment. With natural reflectivity G-aenial
allows you to create beautifully invisible restorations
with one shade. Three inside shades are available.
Incorporating industrial monomer innovation
from DuPont®, Kalore features an exclusive low
shrinkage technology. This means that during and
after polymerisation, adhesion between the fillers
and the resin matrix is maintained. With minimised
shrinkage stress, the restoration especially at the
margins is ensured. On the laboratory side of the
business, GC will be showing Initial IQ Layering
Over Zirconia and Light Reflective Liners – the
latest addition to the Initial IQ range. For further
information please contact GC UK on 01908 218 999
GlaxoSmithKline
Consumer Healthcare UK
(GSK)
Find out more about a
new layer of expertise
from Sensodyne at the
British Dental Traders Association (BDTA) Dental
Showcase! Visitors to the 2011 Dental Showcase
can find out more about new Sensodyne Repair
& Protect by visiting stand C10. This new daily
fluoride toothpaste contains advanced NovaMin
technology which delivers clinically proven
relief from dentine hypersensitivity with twice
daily brushing. Details of the science behind the
active ingredient of the product will be available
on the stand including images of the substantive
reparative layer which is built up by NovaMin over
exposed dentine, using the natural building blocks
of teeth. GSK Expert Marketing Manager, Richard
Madley-Dowd observes, “GSK is delighted to once
again be associated with Dental Showcase. This
event gives us an excellent opportunity to discuss
new products and initiatives with all members of
the dental team.” The GSK team will be on hand
throughout the exhibition to provide information
on their full portfolio of oral care brands including
Aquafresh, Biotène, Corsodyl, Poligrip, Pronamel
and Sensodyne.
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Open your doors to more
patients, be a LASER dentist
PowerPen
Cordless
4w auto setting
*
£1950
PowerDesktop
*
Picasso £3900
7w with 8 Customisable procedures
2.5w Picasso LiteDesktop £2400*
Soft Tissue Management
Call us 01227 780009
info@quicklase.com
www.quicklase.com
* Prices include delivery and training ex VAT.
Laser specialist since 1992
BDTA
U07
PPenPic7WQL150911RG
[20] =>
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20 Exhibitor News
guru aid to oral health
New chairside software
guru is helping to
make
oral
health
education
easy
and
interactive.
guru
enables practitioners to
increase treatment plan acceptance by customising
presentations. The patient explanation can be
augmented by pausing animation and annotating
directly onto the screen via a tablet and stylus, or
by recording an audio explanation. Presentations
can then be printed, emailed or burnt to a DVD or
memory stick for the patient to take away. The guru
library currently contains more than 200 excellent
quality 3D animations on a range of treatment
options, including an extensive section on oral
health. guru can also be employed in the patient
waiting area. Playlists featuring oral hygiene tips
and techniques as well as treatment options can be
displayed on a screen providing an interesting and
information backdrop for the practice. guru provides
a hi-tech experience for patients wholly familiar
with visual media, enabling you to improve patient
communication and increase uptake of treatment
recommendations. guru will be demonstrated on
Stand M03 or for more information visit our new
website at www.guru-dental.co.uk or call 01622
604695.
Salli – the superior chair for dental care
Almost everybody working in dentistry is affected
by some kind of sitting disorder.
When sitting on a saddle chair the back is in the
same position as when we are standing, therefore
there is no need for a back rest. In the upright
posture it is easy to breathe and we stay alert.
There is a 135 degree angle in the knees and
between the thighs and the upper body and the
circulation in the lower limbs is good.
The posture relieves tension in the neck and
shoulder muscles. The curve of the lower back is
maintained and disks do not press the nerves. On
a divided seat it is easy to sit in a good position for
the whole day because the chair does not press
the genitals - this feature makes Salli superior
compared to other saddle chairs.
There are no arm or back rests so it is easy to sit
on a Salli and easy to reach for equipment.
Come and feel for yourself the comfort of the new
softer padding and the narrower seat. Our staff at
stand N09 is ready to demonstrate the benefits of
saddle sitting.
Further information: Export Manager
Korppi, +358 40 531 6547, tuija@salli.com
info@salli.com / tel. +358 10 270 1210
I N T E R N AT I O N A L
Tuija
The Velopex Team
will be delighted to
welcome you to Stand
F 06 at the BDTA
Showcase.
Exhibitions are always an exciting time for
Velopex – new and existing customers come to
talk about all the Velopex products, and especially
the new ones: on display will be the award
winning Velopex Aquacut Quattro Fluid Abrasion
patient treatment unit, the upgraded Mark 6
x-ray processors and the Velopex/Owandy Digital
system, along with an extended range of the
equipment for Aseptico portable dental surgeries.
We will be showing the Owandy I-Max Touch
digital panoramic x-ray unit, the Visteo intraoral
sensor and the OwandyCam intra-oral camera
supported by Velopex. Steve Reed, Velopex U.K.
Sales Manager said: “We always enjoy exhibitions
and the interaction with customers. There are
always a number of people wanting to try out the
Aquacut Quattro and see its many applications.
This year visitors should leave extra time to see
the record number of exciting new ventures by
Velopex”.
For information, please contact Steve Reed on
07734 044877 or via steve.reed@velopex.com. Or
for more information on our range of products,
please see: www.velopex.com
Showcase Tribune BDTA Edition Friday Oct 21, 2011
Visit KaVo on stand
D09
Visit KaVo on stand
D09 to experience firsthand our ergonomically
designed,
highly
efficient, state-of-the art
Heka Dental
Interested in ergonomics?
Hear
Herluf
Skovsgaard
thoughts on Stand F10 Visitors
to DB Dental’s Stand F10 will
have an opportunity to hear
Herluf Skovsgaard present his
thoughts on ergonomics care
of Heka Dental. Herluf is a world-renowned expert
in ergonomics, working methods and organisation
within Dental Practices. This is an opportunity not
to be missed. Presentations will run throughout the
Showcase. There will also be an opportunity to see
some of Heka Dental’s bespoke UNIC Treatment
Centres, which combine aesthetic beauty with stateof-the-art ergonomic efficiency. Available in a wide
range of inspirational colours, UNIC is the ultimate
embodiment of feedback from patients, dentists
and service engineers, its inviting appearance and
carefully thought through functionality creating the
perfect environment for a dental visit. UNIC is the
epitomy of ergonomic design. Everything is within
easy reach. Heka Dental call it intuitive design and
functionality – everything is exactly where you
would expect it to be, making even complex clinical
procedures easier, more efficient and comfortable
for the patient and dental team. For further
information visit Stand F10, contact DB Dental on
01484 401015 or visit www.heka-dental.com.
How to have a blast at the BDTA
BDTA delegates will have an opportunity to try
two new products being showcased on the Philips
stand (D07+08). The stand itself will accommodate
ten brushing stations and the Philips team will be
joined by a large number of dental nurses to serve
each one. Sonicare AirFloss is a revolutionary new
product to clean interproximally by blasting away
plaque and food debris. Its microburst technology
delivers a burst of air and microdroplets for a
gentle yet powerful clean in-between the teeth.
When combined with brushing, Sonicare AirFloss
removes up to 99 per cent more plaque between
teeth than brushing with a manual toothbrush
alone. Philips also launched DiamondClean. The
brush is as effective as it is sleek, as it removes up
to 100 per cent of plaque from hard to reach places.
It has five brushing modes giving users complete
control of their own brushing and is powered
by new-to-the world charging technology. Aline
Nassar, Marketing Manager for Philips Oral
Healthcare is advising delegates to turn up
early, as the queues for the brushing stations the
company installed at the IDS for the European
launch of the products were unprecedented, even
by Philips standards.
For more information in advance of the BDTA,
please visit www.sonicare.co.uk/dp or call 0800
0567 222.
Septodont brings magic to BDTA Dental
Showcase 2011
Septodont will be exhibiting at BDTA Dental
Showcase at stand D03. Following a highly
successful launch of Biodentine Septodont is
inviting dentists to visit its stand to find out how
this first all-in-one, biocompatible and bioactive
material can be used wherever dentine is damaged.
As well as showcasing Biodentine, Septodont will
showcase the highly innovative Septoject Evolution
needle. Septoject Evolution is engineered for
smoother penetration with less displacement,
meaning less discomfort for patients. Designed
with a patented scalpel-designed bevel for easier
insertion and reduced deflection, around 29 per
cent less force is required while control and
accuracy are improved. Other Septodont products
on display at BDTA Dental Showcase 2011 will
include RaceGel®, a gel specifically designed to
make gingival preparation procedures easier and
more comfortable for patients, and Ultra Safety
Plus – a sterile, single-use, aspirating syringe
system equipped with a needle-stick injury
prevention device. While continuing to lead the
way in the manufacture and supply of 100 per cent
latex-free anaesthetics, Septodont, through new
product innovations, has also proved to the market
its on-going commitment to pioneering research
and development in all aspects of dentistry.
Smile-on launch new website
Smile-on has been on a long journey over the
last decade. On Thursday 20th October at 12noon
Smile-on will be launching their brand new
website at the British Dental Trade Association’s
Dental Showcase at Birmingham’s NEC Centre.
Over 12,000 dental professionals are expected to
attend this year’s event, and the company hopes
to spread its message of innovative lifelong
learning amongst as many of the visitors as
possible. The Smile-on stand, located at W08
on the exhibition floor, will be showcasing their
‘never seen before’ new website as well as their
latest eLearning products such as On the Record,
made in conjunction with Dental Protection Ltd.
They will also be unveiling the Smile-on News
App and the new post graduate degree Pathway to
UK Dentistry with the University of Lancashire. As
well as all of this you will also have the chance to
enter a competition to win a holiday of a lifetime.
Don’t miss out. Visit Smile-on on stand W08
Takara Belmont (Stand
D10)
Takara
Belmont’s
portfolio of Treatment Centre’s promise to cater
to any dentists requirements. Their range will
be demonstrated at this year’s Dental Showcase,
backed up by free extended warranties offering total
peace of mind. Takara Belmont Treatment Centres
are designed to please everyone. Left handed
practitioners might opt for the Clesta II (factory
installation option) or Voyager II-L which is suitable
for ambidextrous use. Surgeries tight on space
will benefit from the small footprint of the Cleo II
whilst those treating the elderly and children can
appreciate the easy access facilitated by its ‘knee
break’ chair. Various installations are also available
within the range, including continental rod, cabinet
or mobile cart options. For those looking to increase
functionality, the choice of electric versions of
the Clesta II and Cleo II are available. All are
manufactured in seamless, high grade upholstery
to aid the highest hygiene standards. An extended
warranty well beyond the industry standard comes
with every purchase of Takara Belmont equipment.
Five years is offered on chairs and lights, three on
units and spittoons and two on X-rays. And if it’s
x-ray units that you’re interested in, you’ll be excited
to hear that Takara Belmont will be launching a new
one at the Show!
Anyone 4 Tea set to feature at
the BDTA Dental Showcase
2011
The BDTA Dental Showcase
is the UK’s premiere dental
exhibition and is expected
to attract over 12,000 visitors across the course of
the three-day event. Attending the event this year,
specialist natural product distributor Anyone 4 Tea
will be displaying its comprehensive range of Spry
Xylitol-based products for the use in dental defence
systems. Delegates can discover the benefits of Spry
Chewing Gum – sweetened only with Xylitol to
promote overall good oral and dental care. Chewed
after meals, these sugar-free chewing gums have
been scientifically proven to help fight the bacteria
that produce cavities. Among the other products on
display will be the Spry Dental Defence System®
range, which includes Spry Fluoride Toothpaste
(with Xylitol) and Spry Xlear Oral Rinse. Also
available will be Spry Infant Tooth Gel, designed
specifically to help manage the oral health of infants
and children. As a specialist distributor of selected
natural products, Anyone 4 Tea strives for excellence
in all its operations. The company’s core values are
excellence in service and excellence in products.
Visit the Anyone 4 Tea stand to see for yourself.
For further information contact Anyone 4 Tea Ltd on
01730 890290, Or visit www.anyone4tea.com.
Develop your career
with the UCL Eastman
Dental Institute at the BDTA Dental Showcase
2011
Visit the UCL Eastman Dental Institute at the British
Dental Trade Association Dental Showcase 2011 to
discover an array of career-boosting educational
opportunities. Find out about the wide range of
brand new short courses that will be available from
January 2012 and will run from one day to five days
in duration. Popular courses of study include the
highly practical MSc in Restorative Dental Practice,
Core CPD courses which are all available online at
www.corecpd.com and DCPBites (www.dcpbites.
com) which hosts a vast selection of downloadable
podcourses for DCPs to gain verifiable CPD. The
internationally renowned UCL Eastman offers
an extensive collection of training and research
programmes enabling qualification at certificate,
diploma and masters level as well as specialty
training, doctorates and PhDs. Some courses are
delivered part-time and in a modular fasion in
order to fit around a busy lifestyle while providing
stimulating and satisfying studies to enhance your
career. or taught or research programmes, please
contact the Admissions Officer on 020 7915 1092 or
academic@eastman.ucl.ac.uk or For CPD and online
programmes, please contact the Administration
Team on 020 7905 1234 or cpd@eastman.ucl.ac.uk
product range.
During the show, we’ll have some very special
promotional package offers running across a
range of surgical treatment units.
Experience our new instruments’ Master and
Expert Series to discover maximum work
efficiency, patient comfort and the highest degrees
of versatility. Explore the new era of viewing
excellence with Leica Microscopes. We’ll also
be showcasing the KaVoLUX 540 LED operating
light, designed to meet all clinical needs for
outstanding treatment results. Our specialist
support staff will be on hand to guide you through
our entire product portfolio across imaging,
treatment centres and handpieces.
For further information on the courses offered by
Smile On, call 020 7400 8989. Alternatively, email
info@smile-on.com or visit www.corecpd.com.
CODE Buying Group to
Launch at The BDTA
Dental Showcase 2011
CODE, the association
for
dental
practice
owners and managers,
is to launch a new
and exciting members
scheme - The CODE
Buying Group The Code
Buying Group has been developed in partnership
with Dental Directory in order to offer a range of
benefits to all CODE members helping them to
save money and include: • Free products • Free and
subsidised CPD • Cash back on purchases made
during any six month period • Exclusive promotional
offers from trade partners • Additional support and
training from Code Buying Group manufacturers
CODE offers Care Quality Commission compliance
advice and practice management guidance to
members the CODE Buying Group is the latest
addition to an association dedicated to helping dental
professionals meet the needs of their patients and
the requirements of their business.CODE’s team of
representatives will be on hand at the BDTA Dental
Showcase to show delegates how they can benefit
from the company’s expertise and services. Please
visit www.CODEuk.com, email info@CODEuk.com
or call 01409 254 354 for more information.
[21] =>
Friday_GuyEdit.indd
Feature
Showcase Tribune BDTA Edition Friday Oct 21, 2011
21
The ‘Challacombe’ Scale
A S Pharma discusses the severity and diagnosis of dry mouth
commonly affected, may
also suffer vaginal dryness.
The Guy’s Hospital Dry
Mouth Clinic team is participating in a major, multinational study of Sjogren’s
syndrome to widen understanding of the condition.
Having confirmed xe-
T
rostomia, the clinician
must then determine the
severity of the condition
and whether treatment
is required. Applying the
Challacombe Scale measures the acuteness of the
aridity relative to the saliva flow and mucin den-
sity. The Scale has been
proven over two years of
clinical application and
provides a common reference point for use between
clinicians as well as indicating treatment options.
à DT page 22
Prof Stephen Challacombe
reatment outcomes
are
increasingly
recognised
throughout UK healthcare
as more important than
other considerations such
as meeting targets, inputs
or frequency of attention.
In this context the primary
post-diagnosis requisite in
all disease management/
treatment must be an accurate assessment of the
initial severity of the condition.
The challenge then is
to create a gauge or ‘yardstick’, against which to
measure the treatment’s
success. In mucosal disorders involving either hyposalivation or dehydration it
is also necessary to distinguish between pathological and physiological causes, which have been one
focus of the work at the
Guy’s Hospital Dry Mouth
Clinic. (Guy’s & St. Thomas’ NHS Foundation Trust).
Evidence suggests that
perhaps 20 per cent of the
population suffers from a
dry mouth, and numbers
are growing as more and
more medication is prescribed which has the side
effect of reducing salivation. There are over 1000
drugs in the BNF (British
National Formulary), including those for treating
high blood pressure, diuretics,
anti-depressants,
anti-histamines and many
others,
which
impact
gland secretions or affect
glandular nerve impulses
and lead to a 25 per cent
reduction in the flow of
saliva. When more than
one drug is prescribed,
the problem can be
exacerbated by up to 75
per cent, and prescribing clinicians are not always fully aware of the
combined effect on oral lubrication.
Patients referred to the
Guy’s Hospital Dry Mouth
Clinic may undergo tests
for Sjogren’s syndrome,
the most common autoimmune condition after rheumatoid arthritis, but which
is often unrecognised. In
Sjogren’s syndrome, white
blood cells attack the tear
and saliva glands, causing
a dry mouth and dry eyes.
Women, who are most
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[22] =>
Friday_GuyEdit.indd
22 Feature
ß DT page 21
While a high score is a
clear indication that treatment is needed, the more
radical option with a low
score is not to intervene,
which can be a demanding
decision and often requires
specialist knowledge. An
additional benefit of the
Challacombe Scale is that
the patient’s progress can
be monitored over time,
measuring the efficacy
Showcase Tribune BDTA Edition Friday Oct 21, 2011
of treatment or indeed
introducing
treatment
in the event of deterioration.
Widespread lack of
awareness among both
clinicians and the general
public has led to a frequent failure to diagnose
and treat dry mouth, especially in the older demographic. The misconception persists that age is a
major contributory factor,
despite the fact that over
half (55 per cent) of octogenarians are receiving
medication which reduces
saliva flow. Experience at
Guy’s has shown that age
need not be a factor, and
dryness can be resolved by
stimulation within this age
group. Conversely, some
patients may only need to
be encouraged to drink
water more frequently
but it is vital to recognise
the difference between
a lack of hydration and
lubrication – water wets
Whiter teeth in 1 minute.
but does not lubricate.
Many clinicians regard the
mouth as merely the entrance to the alimentary
canal without appreciating its importance as a primary herald for systemic
diseases of the immune
system, HIV, the stomach
and the skin et al, and
Professor Challacombe believes dental training needs
to sharpen its focus on recognising these symptoms.
The traditional, and in
many instances persisting, role of an NHS dentist has been to pursue a
‘drill and fill’ policy since
the system of remuneration has discouraged a
comprehensive oral examination.
Patients are themselves more likely to consult their GP for non tooth
related oral symptoms
on grounds of cost. Nevertheless, the dentist is
usually better qualified to
give a diagnosis, although
the importance of access
to the patient’s medical history needs to be
stressed when prescription drugs are involved, to
allow an understanding
of the difference between
‘wetness’ and ‘lubrication.’ This difference can
be crucial when deciding
whether to offer a saliva
substitute.
The Challacombe Scale
is not intended as a research tool but as a practical, empirical measure
for dental professionals to assess the severity
of dry mouth syndrome
and to help them determine when treatment is
required. The composition of saliva includes
protein, and lubrication
is also necessary throughout the length of the
oesophagus
to
facilitate swallowing, and so
wetting alone is not a solution in severe cases.
Research at the Guy’s
Dry Mouth Clinic has
confirmed that a 30 micron layer of mucin is
necessary to maintain
a smoothly functioning,
healthy oral cavity.
By introducing a reliable, proven system of reference to this important
but currently under-recognised area of oral health
the Challacombe Scale
offers practitioners an
opportunity to discuss the
problems of a dry mouth
with patients who may
have become resigned
to the discomfort as a
consequence of their medication, or in the mistaken
belief that nothing can
be done as they are
simply getting older.
A.S. Pharma is proud
to be associated with this
important work and Professor Challacombe’s pioneering scale. DT
For further information, please contact A S
Pharma on telephone
08700 664 117 or email:
HYPERLINK “mailto:info@
aspharma.co.uk”
info@
aspharma.co.uk
Prof Stephen Challacombe of King’s College,
London and Guy’s Hospital Dry Mouth Clinic,
has developed the Challacombe Scale as a universally applicable calibration system to assist in the
diagnosis, measurement
and treatment of xerostomia, or dry mouth as it is
more commonly called.
It is the result of ten
years’ work headed by
Professor
Challacombe
who has published or
co-authored over 350 peer
reviewed papers on mucosal immunity, immunological, dermatological
and microbiological aspects of oral diseases and
is recognised as one of
the leading experts in this
specialist field.
[23] =>
Friday_GuyEdit.indd
Showcase Tribune BDTA Edition Friday Oct 21, 2011
Money Matters
23
Do the new NHS pension scheme rules
signify the end of the associate incorporations?
Penny Bowen of DBS advises a close look at your pension
I
have written this article because I want
you to think about
this now, and take
action if you need to.
When you retire you will
have the time to sit and
think about the money you
have lost, but then it will
be too late to do anything
about it.
Dentists have been allowed to run their businesses as limited companies since July 2006, and
over the years a significant
minority of dentists have
taken advantage of the opportunity to incorporate,
and so taken control over
their personal tax liabilities.
The introduction on 6
April 2010 of a 60 per cent
income tax band for incomes between £100,000
and
approximately
£112,950, rising to £114,950
on 6 April 2011, and a new
top rate of income tax at
50 per cent for incomes
in excess of £150,000 has
stimulated the demand for
incorporation amongst the
profession. Added to all of
these figures is the 2 per
cent class 4 National Insurance charge which has
no ceiling.
The new tax rates have
made incorporation a viable proposal for associate
dentists; however, there
are two drawbacks,
• associates cannot capitalize goodwill because
they don’t own any, and
• associates with NHS activity will lose their right to
be part of the NHS Pension
Scheme after 7 November
2011
The second point is of
particular concern to us as
specialist dental accountants. All too often we meet
associates with NHS activity whose accountants have
recommended incorporation. When we point out to
them that they will lose the
benefits of the very generous NHS Pension Scheme,
we are told their accountant says that there is
no problem. But this is
simply untrue. The truth
is that the non-specialist
accountant does not know
that there is a problem,
never mind how signifi-
cant it is.
So, what is at stake?
Well, the NHS Pension scheme (NHSPS)
is a statutory occupational pension scheme.
Providers’
(principals)
and performers’ (associates) pensions are broadly
based on their career pensionable pay rather than
their final salary. NHSPS
benefits are paid for by
the contributions made by
members and their employing authorities - the
primary care trusts (PCTs)
and local health boards
(LHBs).
The NHSPS offers considerable benefits which
it would be foolish to give
up,
• An annual (index linked)
pension and tax-free lump
sum at retirement.
• Life Assurance benefits
including pensions and allowances for a member’s
spouse/civil partner (or
nominated partner) and
dependent children in the
event of the member’s
death
From a tax point of view
incorporation is attractive
because it gives you an opportunity to base your tax
on what you draw rather
than on what you earn.
Earnings are still taxed of
course, but these are subjected to corporation tax at
substantially lower rates
(20 per cent on profits of
less than £300,000). Once
the corporation tax is paid,
any further tax will be
based on what you draw
– to take the extreme case
if you don’t draw anything
then you won’t pay any
personal tax.
The methods of drawing money from a company for personal use are
many and most practitioners use a combination of
salary and bonus, benefits
in kind, dividends, rent
(although this would have
an impact on a subsequent
claim for entrepreneur’s
relief), drawings from the
director’s loan account
and interest thereon.
Until 7 November 2011,
you must draw all the NHS
income from the business
in the form of salary and/
or dividends in order for
this to count as pensionable earnings. Any NHS income that is not taken but
left in the business cannot be pensioned now or
in future years. Dividends
are pensionable however they must only be in
respect of NHS work, so
technically the private element of a dividend must be
stripped out leaving only
pensionable NHS dividend
income.
Incorporation remains
increasingly
attractive
to associates working in
purely private practices,
but things are not so good
for those with NHS income.
According to A Guide to
the NHS Pension Scheme
published in September
2011, because the NHSPS
regulations to not recognise the sub-contracting
relationship between the
associate and the limited
company:
‘A Performer [associate]
who sets them self up as
a limited company cannot
be a member of the NHSPS
with effect from the 7th
of November 2011. This
is subject to Parliamentary approval however
(pensionable) Performers
are advised to put arrangements in place by this
date to ensure they can
comply.’
It is reassuring to note
that NHSPS membership
will continue until 6 November 2011, however, you
need to take action now
to make sure you remain in
the NHS Pension Scheme
and so retain for yourself
and your family, its generous benefits. Visit Stand
U11 to find out more. DT
[24] =>
Friday_GuyEdit.indd
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