Modern Dentist Magazine Issue 8 by Charlton Grant

C Pr on D of tin ev e u el ssi in op on g m al en t

e Ar u yo up to d? ee sp

Issue

08 ISSN 2515-6128

Lifelong learning and development for dental professionals Jessica Rothnie, General Dental Council (GDC)

Medical Emergencies

CPD

Dr Ian Corbett,

Royal College of Surgeons Edinburgh

Do you want learning to be more fun for you and your team? Rebecca Morris, Glenys Bridges Practice Pathways Key contributors to this issue

Dentist On THE ROCK! Dr Adam Nulty

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Welcome As we all know, in the UK, after graduation, all dental professionals have the responsibility of continuing their professional education. It is down to you to keep your knowledge and skills up to date. Even though it is a requirement to take part in CPD (Continued Professional Development), it enables you to keep up with trends and developments in the field as well as boost your confidence and help you develop professionally. This edition is all about CPD and reflective learning. We have jammed packed this edition with experts in the field to give you advice and top tips regarding training and developmental activities. We hear from Jessica Rothnie, a Policy Manager at the General Dental Council (GDC), who helped to develop the enhanced CPD guidance documents for dental professionals and is leading on the GDC’s work to further develop lifelong learning and development of dental professionals in the UK. Dr Ian Corbett, Consultant Oral Surgeon and Hon. Senior Lecturer at Newcastle Dental Hospital, offers his guidance regarding medical emergencies, while Rebecca Morris, a Tutor and Partner at Glenys Bridges Practice Pathways, put forward Chomp, a new mobile phone app which will deliver bite-sized training with interactive experiences, making learning more fun for you and your team. In this edition we also have our special product review section, dedicated to providing you advice on everything from digital dentistry to selling your practice. Dr Lau Berraondo, Enhance Dental Pratice discusses his experience of using Price Bailey’s services to improve the running of his practice. Dr Chris Navarro, Beeston Dental Practice and Implant Clinic, told Modern Dentist about his experience of using Planmeca’s Promox 3D Max, and how it has helped him to effectively manage and plan his dental implant surgeries. We hear from Dr Anup Ladva, Braintree Dental Studio, about digital dentistry and how 3shape is helping him on his digital

journey. Dr Sonia Ali, Westbourne Grove Dental, tells us her reasons for choosing Digimax Dental to help her re-create her dental brand and stand out. Finding the right buyer for your practice can be tricky; Dr Sesh Rao, Stotfold Dental Clinic, spoke about his initial concerns and the challenges involved in selling a practice, as well as how he achieved a desirable end result with Dental Elite. Dr Colin Gardner, Botanics Dental Care, told us how DenGro has helped him to convert more leads into patients, while DMG introduced us to a whole series of new developments in 3D printing, and Trycare showcased their shadeless Omnichroma from Tokuyama. And as always, we have our panel of experts featuring their columns on the editorial board. I hope you enjoy this issue, and if you have any comments or feedback, then please do get in touch via the details below.

Poppy Poppy Green Co-Editor, Modern Dentist Magazine 01765 600909 | @Modern_Poppy poppy@charltongrant.co.uk | www.moderndentist.co.uk

Editorial Contributors Heidi Marshall

Mark Barry

Rob Griffin

Issac Qureshi

Mike Hughes

Sophie Gray

Helen Weston

Nathalie Smets

Sophie Kwiatkowski

Kelly Saxby

Ray Cox

Laura Smith

Dr Richard Brown

Partner Dodd & Co

Director Ogilvy & Haart

Head of Teaching Tempdent Recruitment & Training Managing Director Green Apple Dental Recruitment Limited Associate BLM Law

Director ESM Digital Solutions Principal Dental Practice Consultancy Service Marketing and Sales Country Manager Ancar

Business Owner Aspired Finance Dental Compliance Manager Isopharm Accountant PFM Townends LLP

Chairman Medifinance Parrys Lane Dental Practice and Bupa Dental Care Geo Orthodontics

Co-Editor - Poppy Green, poppy@charltongrant.co.uk Project Manager - Amanda King, amanda@charltongrant.co.uk

All material is copyrighted both written and illustrated. Reproduction in part or whole is strictly forbidden without the written permission of the publisher. All images and information is collated from extensive research and along with advertisements is published in good faith. Although the author and publisher have made every effort to ensure that the information in this publication was correct at press time, the author and publisher do not assume and hereby disclaim any liability to any party for any loss, damage, or disruption caused by errors or omissions, whether such errors or omissions result from negligence, accident, or any other cause.

Modern Dentist Magazine

Contents 27

Radiation refresher

Medical Emergencies CPD

News

CPD

Interviews

Lifelong learning and development for dental professionals

Jessica Rothnie is a policy manager at the General Dental Council, developed the enhanced CPD guidance documents for dental professionals and is leading on the GDC’s work to further develop lifelong learning and development of dental professionals in the UK. Here she talks us through the guidelines.

Medical Emergencies CPD

JMedical emergencies in the dental practice are rare, but when they do arise, they need to be dealt with quickly and effectively. Dr Ian Corbett, Consultant Oral Surgeon and Hon. Senior Lecturer at Newcastle Dental Hospital, dishes out his top tips on medical emergencies CPD; specifically: how can we recognise and manage a dental emergency, and what are the appropriate treatment approaches, plus, why CPD is critical for dental professionals to continue to deliver outstanding care.

4|Modern Dentist Magazine

Why is it important to plan and reflect on your CPD?

Editorial Board

Planning is imperative

19 21 21

Invest in your patients

Sophie Kwiatkowski, PFM Dental Accountancy

27 29

Heidi Marshall, Dodd & Co

What are practices looking for when recruiting for new dental staff? What are the benefits of using a professional broker?

How to use Instagram to attract new patients

Why you need a cash flow forecast

Rob Griffin, Aspired Finance

Safeguarding in the dental sector

Radiation refresher

Swift Dental Group: Roadshow with Dr Ash Parmar

Nathalie Smets, Ancar

Mike Hughes, Dental Practice Consultancy Service

Reaching for your financial aspirations

Why is it important to plan and reflect on your CPD?

Issac Qureshi, Ogilvy & Haart

Sophie Gray, Isopharm

The impact of CPD and remediation on regulatory and disciplinary outcomes

Features

Kelly Saxby, Green Apple Dental Recruitment Limited

Ray Cox, Medifinance Ltd

Laura Smith, BLM

Mark Barry, ESM Digital Solutions

Check before you accept

Saving for the future

Safeguarding is defined as protecting people’s general wellbeing and human rights, allowing each individual to live free from abuse and neglect. Helen Weston, Head of Teaching at Tempdent Recruitment and Training, explains the dental professional’s role and duty of care to vulnerable children and adults who may be at risk.

Speaking to Modern Dentist, Stephen Green CRadP MSRP MIPEM, Stephen Green & Associates, gave us a refresher in radiation and radiography and on the importance of appointing a Radiation Protection Adviser and a Medical Physics Expert to your practice.

Swift Dental are proud to announce a series of six exciting CPD Roadshows packed with great lectures for the whole dental team; working in partnership with The Academy By Ash, leading cosmetic dentist Dr Ashish B Parmar, Straumann, Henry Schein, Clark Dental and a number of other leading sponsors.

Issue 8 | ISSN 2515-6128

Do you want learning to be more fun for you and your team?

36 38

Dentist On THE ROCK! In this edition of Modern Dentist, our Practice Focus features Dr Adam Nulty, Principal of Dentist ON THE ROCK. With the very latest technologies and techniques, this practice is all about keeping up to date and providing quality services.

Product Review

43 45 47

Solving your business challenges

Describing their knowledge as second to none, Dr Lau Berraondo, Enhance Dental Practice, told Modern Dentist how Price Bailey has helped to improve the running of the practice.

Working towards a digital journey Dr Anup Ladva, Clinic Director at Braintree Dental Studio, told Modern Dentist why his practice is at the forefront of digital dentistry, and why 3shape is helping him on that journey.

A new way of approaching implants Dr Chris Navarro BDS MFGDP, Principal Dentist at Beeston Dental Practice and Implant Clinic, discusses his experience using Planmeca’s Promax 3D Max and how it has helped him to efficiently manage and plan his dental implant surgeries.

51 Finding the right buyer

We spoke to Dr Sesh Rao about his initial concerns and all the challenges involved with his practice sale, as well as how he achieved a desirable end result with Dental Elite.

53 55

Convert more leads into patients The introduction of DenGro to Dr Colin Gardner’s Practice, Botanics Dental Care, has seen an increase in the managing and converting of leads. Here he explains why they decided to choose DenGro for their practice.

Dental future in 3D

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Marketing is crucial for growth Dr Sonia Ali, Principal of Westbourne Grove Dental, tells us her reasons for choosing Digimax Dental to help re-create her brand and stand out in a sophisticated way.

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NEWS

CPD

Dental professionals need to ensure that their knowledge, skills and competence is up to scratch and up to date throughout their careers. Bill Sharpling, Associate Dean (CPD) and Director of LonDEC Faculty of Dentistry, Oral & Craniofacial Sciences at King’s College London, discusses the importance of continuing professional development (CPD) and reflecting on our own personal development. Continuing professional development (CPD) for dental professionals is defined in law as: “learning, training or other developmental activities which can reasonably be expected to maintain and develop a person’s practice as a dentist or dental care professional and is relevant to the person’s field of practice”.

new techniques, materials and our own interest changing all the time, so will our CPD needs.

Over the last few years the expectations of dental professionals regarding CPD has changed. The General Dental Council (GDC) introduced enhanced CPD (eCPD). This is different from the original CPD process and understanding the differences is something all dental professional should be familiar with as well as working towards.

CPD is about us, as dental professionals, keeping our knowledge, skills and competence relevant to our specific areas of work and up to date during our careers. Therefore, a CPD programme is not something that can be provided as an “off the shelf” solution.

The topics we elect to undertake for updating our skills, competence and knowledge are of course likely to change as our careers travel along certain pathways and develop. With

All dental professionals should consider their development as a dynamic, frequently reviewed process. This ongoing learning and skills maintenance is a commitment all dental professionals should make to ensure they can provide safe and relevant services and treatments to patients and the public.

Each of us needs our own personal development programme and it is incumbent upon us to create this plan, carry it out, reflect upon it, record the development that has been completed and then revisit and plan again.

This is an ongoing cyclical process and during the 5-year CPD cycle, one should set aside time to review one’s own development at least annually. The personal development plan (PDP) we create for ourselves should give us the chance to consider what CPD to carry out, and what CPD will provide us with the maximum chance to develop, with maximum benefit for our professional pathway and the maximum benefit for our professional practice. During the 5-year CPD cycle there is an obligation to fulfil certain hours of CPD: Professional

Min. hours/cycle

Dentist

100

Dental therapist

Dental hygienist

Orthodontic therapist

Clinical dental technician

Dental nurse

Dental technician

Modern Dentist Magazine

News

CPD is about us, as dental professionals, keeping our knowledge, skills and competence relevant to our specific areas of work and up to date during our careers At the start of our professional development planning process we should identify learning needs particular to our field of expertise and consider how these relate to the GDC’s development outcomes. Examples of these outcomes are shown below. We are encouraged to choose CPD to cover all 4 development outcomes. Development outcome

Example of CPD content

A Effective communication with • Communication skills patients, the dental team and • Consent others across dentistry, including • Complaints handling when obtaining consent, dealing • Raising concerns with complaints, and raising • Safeguarding concerns when patients are at risk; B Effective management of self and effective management of others or effective work with others in the dental team, in the interests of patients; providing constructive leadership where appropriate;

• Effective practice management • Business management • Team working • Leadership skills

C Maintenance and development • Clinical and technical areas of study of knowledge and skill within your • Radiography field of practice; • Cross infection control • Medical emergencies and CPR • Emerging technologies and treatments • CPD on quality assurance for MHRA • CPD specific for your daily role(s) • Upskilling opportunities D Maintenance of skills, behaviours • Ethical and legal issues and and attitudes which maintain developments patient confidence in you and the • Professional behaviours dental profession and put patients’ • Equality and diversity training interests first. You can then plan how you will meet your needs through regular CPD activity across your cycle. The expectation is that you should complete CPD at frequent intervals. At least 10 hours every two years. If when thinking through your PDP and you are not sure what areas of development are appropriate for you, then consider using information available from various sources such as patient feedback, complaints, audit, peer review, significant event analysis or dental practice evaluations.

Bill Sharpling

is the Associate Dean (CPD), Director LonDEC Faculty of Dentistry, Oral & Craniofacial Sciences at King’s College London. References: https://www.gdc-uk.org/professionals/cpd/enhanced-cpd

The personal development plan (PDP) we create for ourselves should give us the chance to consider what CPD to carry out, and what CPD will provide us with the maximum chance to develop 8|Modern Dentist Magazine

To complete your CPD you will invariably need to attend training and development courses. The Faculty of Dentistry, Oral & Craniofacial Sciences at King’s College London has a dedicated post qualification education and training centre – LonDEC (London Dental Education Centre). LonDEC is a state-of-the-art education and training centre designed to enhance and further the skills and knowledge of the entire dental team. The multi-million pound high-specification centre is dedicated to the task of training dental professionals, driving clinical standards up and improving clinical leadership via unrivalled opportunities for CPD. LonDEC, recently awarded “Best Dental Education & Training Centre – UK” as part of the 2019 Business Excellence Awards, provides a range of dental courses and is home to a vast selection of post qualification education and continuing professional development opportunities for every member of the dental team. For details of all LonDEC courses please visit www.londec.co.uk and navigate to the “Explore our Courses” section. The courses on offer are numerous and varied covering most aspects of dentistry. All recommended CPD is offered and LonDEC’s on-site dental surgery and “real” patients provide the perfect environment for individuals and teams to practice effective management of a medical emergency crisis. The Centre also has a bespoke decontamination training room where an experienced tutor can take individuals and teams through correct protocols. Infection Control and Medical Emergency courses run throughout the year. Visit the course page www.londec.co.uk/courses for specific date information. LonDEC is just a short walk from Waterloo mainline station and is the perfect location for the training that supports the development of new and advanced skills in modern dentistry. Contact details: LonDEC King’s College London Dental Institute 3rd Floor Franklin-Wilkins Building 150 Stamford street London SE1 9NH Phone: +44 (0) 20 7848 4570 Email: info@londec.co.uk Website: www.londec.co.uk

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Interview

Lifelong learning and development for dental professionals Jessica Rothnie is a policy manager at the General Dental Council, developed the enhanced CPD guidance documents for dental professionals and is leading on the GDC’s work to further develop lifelong learning and development of dental professionals in the UK. Here she talks us through the guidelines.

Continuous, lifelong learning and maintenance of skills are the commitments made by all dental professionals at the beginning of their careers to provide safe and appropriate services to the public. In the many conversations we had with dental professionals prior to the introduction of enhanced continuing professional development (CPD) in 2018, we heard them say they wanted to gain much more from it than they had in recent years. We also heard professionals recognise the importance of driving their own development and learning, and how this responsibility was central to being a professional. We listened to what professionals felt would be a good fit for their developmental needs and applied this to how we developed enhanced CPD. We are now almost a year and a half on from when enhanced CPD was introduced

10|Modern Dentist Magazine

for dentists and feedback has, on the whole, been positive – both from dentists and dental care professionals, who followed their dentist colleagues into the scheme in August last year. In particular, we saw aspects relating to the personal development plan, the changes to non-verifiable activity and learning reflection well received.

We also know that there have been some challenges, and we continue to seek ways to improve the system where we can. These changes always were, though, designed to be the first step of the journey towards reaching a system of learning and development which supports dental professionals more in reaching their goals, and I cover more recent developments towards the next steps a little later on.

Enhanced CPD – the main changes The introduction of enhanced CPD brought a system that encourages professionals to prioritise the quality and relevance of learning activity rather than simply the number of hours required. It also aims to focus CPD towards building or maintaining the skills and knowledge required for professionals’ everyday working lives. Central to the system is the introduction of the personal development plan (PDP). It’s designed to help professionals think about their maintenance and development needs and the learning activities they will need to fulfil them over their five-year cycle. In addition, it aims to encourage professionals to reflect on their learning and how it applies to their work, whilst providing us - the regulator - with the assurance that CPD is being taken seriously and planned effectively by professionals.

Interview

We also know that there have been some challenges, and we continue to seek ways to improve the system where we can

A: Effective communication with patients, the dental team and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk: • Communication skills • Consent • Complaints handling • Raising concerns • Safeguarding B: Effective management of self and effective management of others or effective work with others in the dental team, in the interests of patients; providing constructive leadership where appropriate: • Effective practice management • Business management • Team working • Leadership skills As part of our conversations with professionals in the development of enhanced CPD, many told us they wanted their learning and development to be linked more closely to the Standards of the dental team and this is what the CPD development outcomes aim to introduce. They encourage professionals to think more widely across the full breadth of what the standards cover, rather than just on CPD that focuses on clinical skills, for example. All CPD activity must now link to at least one of the four development outcomes. Development outcomes A, B, C, and D are listed below with some examples of the kinds of CPD activity that could link to each. We recommend that CPD linked to each of the outcomes is completed, but this is not compulsory.

C: Maintenance and development of knowledge and skill within your field of practice: • Clinical and technical areas of study • Radiography • Cross infection control • Medical emergencies and CPR • Emerging technologies and treatments • CPD on quality assurance for MHRA • CPD specific for your daily role(s) D: Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession and put patients’ interests first: • Ethical and legal issues and developments • Professional behaviours • Equality and diversity training

What to look out for when choosing your CPD The GDC does not assure the quality of CPD, but we do place some requirements on the providers of courses in order for the CPD to count as verifiable. One requirement is that evidence given to participants (i.e. the CPD certificate) must state that it has been subject to quality assurance and the name of the person or body providing the quality assurance. In addition, the certificate should also feature the activity’s aims, objectives, learning content and the intended development outcomes covered. We have not been prescriptive in exactly the form this should take but these criteria should act as a guide in helping to decide if the course will meet the development needs professionals are looking for. It will also provide evidence that the CPD meets the GDC’s verifiable requirements.

While there is no approved list of training providers or courses, the ability of the CPD provider to demonstrate they are meeting the verifiable criteria provides a useful starting point for dental professionals. Before booking a course though, professionals will need to have a good look at the course and use their professional judgement to decide if it will fulfil their development needs and will be counted as verifiable.

Ongoing development to lifelong learning and development In 2017, the GDC published Shifting the balance, our agenda for moving regulation towards a more preventative approach. Within this new way of working, the GDC has challenged whether the enhanced CPD scheme goes far enough to support dental professionals to drive their own development.

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Modern Dentist Magazine

Interview

The introduction of enhanced CPD brought a system that encourages professionals to prioritise the quality and relevance of learning activity rather than simply the number of hours required There were four main CPD proposals in Shifting the balance, which were designed to test appetite for a model of CPD which is more professionally driven and to understand whether more focus on peer and interactive learning would be valued. We received broadly positive feedback, but it became clear that more thinking and clarity was needed, and we needed to gain evidence to support any further changes. To this end, we have taken a two-fold approach, which saw us commission a systematic literature review on CPD to fully understand the approach taken elsewhere, and form a CPD advisory group to guide us in the development of our proposals. The systematic literature review, which was undertaken on our behalf by the Association for Dental Education Europe, was published in January this year and its scope was comprehensive. The resulting report summarises evidence from across healthcare and non-healthcare sectors on the variety of approaches taken towards CPD activity. Alongside this work we set up the CPD advisory group. The Group has provided expert advice and guidance, and helped us to better-understand the risks, benefits and implications of any future developments in CPD and how these would manifest in the variety of workplace environments that dental professionals work within. In addition to the CPD advisory group, we held focussed stakeholder workshops this year to further explore, develop and test potential proposals. This work is all building towards the publication of a discussion document this summer, in which we will set out proposals for where we want to take lifelong learning and development of dental professionals in the UK. We really want to hear from as many dental professionals as possible, so please look out for this and let us know your thoughts.

Jessica Rothnie

is a Policy Manager at the General Dental Council (GDC).

12|Modern Dentist Magazine

Key elements of enhanced CPD

To be verifiable, your CPD certificate must include:

• The requirement for all dental professionals to have a personal development plan (PDP)

• The subject, learning content, aims and objectives

• An increase in the number of verifiable hours for most professional titles and the requirement to spread the hours more evenly across the five-year cycle • Dental professionals no longer have to declare non-verifiable CPD to the GDC • The requirement to make an annual statement of CPD hours completed, even if zero hours have been completed for that year • The requirement to align CPD activity with specific development outcomes • The requirement for professionals to plan CPD activity according to their individual “field(s) of practice”.

• The anticipated GDC development outcomes of the CPD • The date(s) that the CPD was undertaken • The total number of hours of CPD undertaken • Your name • That the CPD is subject to quality assurance, with the name of the person or body providing the quality assurance • Confirmation from the provider that the information contained in it is full and accurate Ideally the certificate should also include your registration number, although this is not mandatory.

Jess’s Top Tips 1. Your personal development plan is meant to help you plan your CPD – don’t leave it until the last minute. Develop your PDP as early as possible and keep it under review - it will help you book the best CPD to match your personal development needs 2. Before selecting (and paying for) CPD, make sure it meets the requirements laid out by the GDC 3. The GDC has provided recommended topics to cover as part of its guidance but these are not mandatory. Your main focus should be your field of practice - think about your daily work and use your professional judgement to decide whether the CPD fulfils your development needs

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Interview

Medical Emergencies CPD Medical emergencies in the dental practice are rare, but when they do arise, they need to be dealt with quickly and effectively. Dr Ian Corbett, Consultant Oral Surgeon and Hon. Senior Lecturer at Newcastle Dental Hospital, dishes out his top tips on medical emergencies CPD; specifically: how can we recognise and manage a dental emergency, and what are the appropriate treatment approaches, plus, why CPD is critical for dental professionals to continue to deliver outstanding care. In its enhanced CPD guidance, the GDC have recognised that professional development should be tailored to the individual needs of your role, work setting and your patients (Enhanced CPD Guidance for Dental Professionals, 2018). Unfortunately, there still remains an overemphasis on certification, many courses providing excellent learning and development opportunities which may not

meet unnecessarily stringent requirements. To help and support you in your CPD choices, some topics are identified as recommended, or as is the case with medical emergencies, as “highly recommended.” The guidance suggests verifiable medical emergencies CPD activity of at least two hours each year, or at least ten hours in every CPD cycle.

CPD should be a process of growth for a dentist, in terms of knowledge and experience, both clinical and non-clinical 14|Modern Dentist Magazine

Although medical emergencies are rare in general dental practice, around once every five years (Atherton, 1999), when they arise they are frequently unexpected and require immediate intervention. Common Medical Emergencies in a Dental Practice • Adrenal insufficiency • Airway obstruction (choking and aspiration) • Anaphylaxis • Angina • Asthma • Epilepsy • Hypoglycaemia • Myocardial infarction • Syncope (faint)

Interview minimum, contains a core dataset of medication, allergies and adverse reactions. Unfortunately, as a profession and despite our caring nature, we may be a common link in precipitation of medical emergencies, as we are constantly reminded by our patients of the anxiety and fear we induce. Patients with a dental disease are also frequently in pain, sleep deprived, may have had difficulty eating, may have self-medicated or even resorted to alcohol for respite. All of these factors may play a role in exacerbating pre-existing conditions. The GDC directs dental professionals to the Resuscitation Council UK (https://www.resus. org.uk/quality-standards/primary-dental-carequality-standards-for-cpr/), and the British National Formulary (BNF) (https://bnf.nice.org. uk/guidance/prescribing-in-dental-practice. html) as sources of advice on management of medical emergencies, and both provide a wealth of information. Part of your medical emergencies CPD should include interactive basic life support training, as defined by the Resuscitation Council, preferably with an assessment of competency. For those of you providing intravenous sedation, you must undertake age-appropriate, immediate life support training, in keeping with the Report of the Intercollegiate Advisory Committee on Sedation, 2015. An ILS course is recognised for up to five hours of CPD, although annual half-day refresher courses are also available. Please be aware that life support training certificates rarely meet the GDC stipulations and you may need to complete additional paperwork to comply. The Resuscitation Council also provides a list of resuscitation equipment required for dental practice.

Although by definition an emergency is unexpected, we are frequently forewarned. A thorough, comprehensive medical history should identify ‘at risk’ patients from disclosed preexisting medical conditions

Refreshing your knowledge of medical emergencies in itself will not prepare you for this eventuality. Imagine carrying out a clinical procedure that you had only ever heard of, briefly practiced once a year and may only be carried out on a patient every five years. As such, two hours verifiable CPD provides a basis for management of medical emergencies, whereas effectiveness comes with practice, such as running regular medical emergency scenarios in your clinical setting. This not only reinforces knowledge, but also helps build a team approach to emergency care and defines actions and roles to streamline performance. Although by definition an emergency is unexpected, we are frequently forewarned.

A thorough, comprehensive medical history should identify ‘at risk’ patients from disclosed pre-existing medical conditions. Medical histories should be updated at each visit, which helps to identify disease progression through changes in medication, recent complications and hospitalisations. This allows us to be vigilant to the signs of an impending emergency and informed as to the likely nature. When a patient is unsure of health problems, information sharing with other healthcare professionals is essential. The Health and Social (Safety and Quality) Act 2015, sets a duty for information to be shared where it facilitates care for an individual and it is legal to do so. This sharing requires the patient to be informed and with an opportunity to object. Many general medical practitioners will be able to provide a summary care record, which, as a

Equipment for use in Cardiopulmonary Resuscitation • Personal protective equipment - gloves, aprons, eye protection • Pocket mask with oxygen port • Portable suction • Oropharyngeal airways (sizes 0, 1, 2, 3, 4) • Self-inflating bag with reservoir (adult) • Self-inflating bag with reservoir (child) • Clear face masks for self-inflating bag (sizes 0, 1, 2, 3, 4) • Oxygen cylinder, masks with reservoir, tubing – a CD size cylinder will provide 15 litres/ minute for 30 minutes • Automated external defibrillator (AED) adhesive defibrillator pads/spare set, razor and scissors

There are countless opportunities to do something different for your CPD - try something new, or push yourself further on the things you already do

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Modern Dentist Magazine

Interview

Please consider registering the location of your automated external defibrillator with one of the open access websites, such as www.heartsafe. org.uk, which lists public access defibrillators. You never know when it might come in useful to others.

Score Clinical Risk 1-4 Mild

Recommendation Dentist must assess patient. Wait 5-10 minutes and reassess. Consider shortening/postponing treatment Seek medical advice from GP, local A&E or NHS Direct Continue monitoring at 5 minute intervals

The BNF provides guidelines on the management of the more common medical emergencies which may arise in a dental practice, with signs and symptoms of each condition given. A list of relevant drugs for use in medical emergencies is also provided.

5-6 Medium Or 3 in one parameter ≥7 Severe

Abandon dental treatment Call 999 for ambulance

Drugs for use in Medical Emergencies • Adrenaline 1 in 1000, (1 mg/ml), 1 ml ampoules • Aspirin Dispersible Tablets, 300 mg • Glucagon for injection, 1mg vial (with solvent) • Glucose (for administration by mouth), 25g tube • Glyceryl trinitrate spray, 400 micrograms dose • Midazolam oromucosal solution, 10mg • Oxygen • Salbutamol aerosol inhalation, 100 micrograms/actuation, with spacer device Drugs for medical emergencies can be obtained individually, and if so, care must be taken to ensure that a system is in place to monitor expiry dates and replace used items. An alternative is to seek a supplier of an emergency drugs ‘package’, the whole of which is replaced at regular intervals or upon use. A similar list of drugs and equipment has been published in the Scottish Government document, Emergency Drugs and Equipment in Primary Dental Care, with additions for practices undertaking intravenous sedation. A useful tool in assessing the unwell patient had been developed by the Royal College of Physicians (RCP) in 2012, and revised in 2017, and has been widely adopted in the NHS (https://www.rcplondon.ac.uk/): the national early warning score (NEWS) is an aggregate scoring system in which a score is allocated to the variation in six simple, readily measured

Figure 2. Aggregate Score Recommendations for Dental Practice (Omar J. Br Dent J 2013;214:255-59) physiological parameters (Figure 1). The cumulative score relates to thresholds, which trigger actions and simplifies the decision making processes in managing an acutely ill patient, although not replacing management of medical emergencies. A dental practice based protocol has also been proposed (Figure 2 - Omar, 2013). NEWS guidance and charts are readily available from the RCP website and are copyright free. Most practices, especially those undertaking sedation, will have the additional equipment required for monitoring, namely a thermometer, blood pressure monitor and pulse oximeter. NEWS training can be part of the dental team enhanced CPD. I would highly recommend using the NEWS process for the initial assessment of unwell patients in practice. Thankfully, most emergencies encountered are simple and readily managed. Being prepared and effectively dealing with situations early is not only reassuring to the patient, but can avoid unnecessary escalation and also facilitate rapid handover to the emergency services. Although completing the recommended and highly recommended enhanced CPD topics, such as management of medical emergencies, could essentially fulfil the requirements of the five year CPD cycle, it is not the essence of CPD. CPD should be a process of growth for a dentist, in terms of knowledge and experience, both clinical and non-clinical. It is easy to see CPD as an obstacle in clinical practice, however, time away from the surgery although not financially rewarding, can be equally rewarding in other ways. Over the years I have both attended and provided CPD courses and the interaction with colleagues is always refreshing and an opportunity to network. Courses can also be part of dental team building, look for interactive opportunities as well as face to face courses.

National Early Warning Score (NEWS)* PYSIOLOGICAL PARAMETERS

3 2 1 0 1 2 3

Respiration Rate

Oxygen Saturations

<91

92 - 93

9 - 11

12 - 20

94 - 95

<96

ny Supplemental A Yes Oxygen Temperature

<35.0

Systolic BP

<90

Heart Rate

<40

91 -100

41 - 50

<25

35.1 - 36.0 36.1 - 38.0 38.0 - 39.0 101 - 100

21 - 24

<39.1

111 - 219 51 - 90

91 - 110

111 - 130

Level of A Consciousness

<220 <131 V, P, or U

* The NEWS initiative flowed from the Royal College of Physicians’ NEWS Development and Implementation Group (NEWSDIG) report, and was jointly developed and funded in collaboration with the Royal Collage of Physicians, Royal Collage of Nursing, National Outreach Forum and NHS Training for Innovation. © Royal Collage of Physicians 2017

Figure 1. National Early Warning Score Parameters “The RCP should be acknowledged as follows: Reproduced from: Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017.”

16|Modern Dentist Magazine

There are an ever growing range of publications and online learning opportunities by which to complete CPD, with many companies offering an inclusive package managing personal development plans, logging activities and recording reflection to ease the process. It can be difficult to assure the quality of the activities provided online, and care should be taken to choose appropriate providers. It is better to undertake a range of online learning and face to face training where possible, to gain the best possible experience. In the last ten years, through post-graduate education, I have become closely involved with the Royal College of Surgeons of Edinburgh, a charitable organisation based on education, training and assessment. Edinburgh, as the other Colleges, provides CPD opportunities in the form of webinars, meetings, conferences, hands-on and structured online courses, for all members of the dental team. Higher qualifications such as the recently launched Membership in Advanced General Dental Practice, and the Diploma in Implantology are excellent ways of demonstrating CPD. Although you may feel you never want to sit another examination, it is surprising how rewarding it can be in terms of updating knowledge and techniques, along with the sense of achievement on passing. For those delivering training in any area of dentistry, the Faculty of Dental Trainers of the College provides recognition and support for this role and an opportunity for like-minded people to get together. Colleges also offer an opportunity to influence change, with extensive numbers of UK and international members and fellows to lobby and influence, and I would certainly recommend getting involved.

So, what are my top tips? It’s not all about ticking boxes. Medical emergency training is essential, and should be part of on-going in-house training throughout the year; make it as interactive as possible. Try to vary CPD, a mix of online for convenience and face to face for the experience. Also, get out and get involved, contact your regional RCS Edinburgh ambassador and see what activities are on offer. There are countless opportunities to do something different for your CPD - try something new, or push yourself further on the things you already do. If the CPD you want to do doesn’t come with certification but meets the GDC requirements, a “Mapping document for verifiable CPD” is available on the GDC website to evidence activity (https://www.gdc-uk.org/ newsarticle?id=1217).

Dr Ian Corbett

is a Consultant Oral Surgeon and Hon. Senior Lecturer at Newcastle Dental Hospital, Convenor of Dental Examinations, and Past Chair of the Specialist Advisory Board in Oral Surgery at the Royal College of Surgeons Edinburgh.

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Editorial Board

Planning is imperative

Invest in your patients

Mark Barry

Director, ESM Digital Solutions. Cash flow is a big challenge when opening a new practice. How can practices effectively manage their cash flow and control their costs? The answer to this question is extensive, but this article will cover some key points to get you thinking, and you can then speak to your accountant for further advice! Purchasing a practice is a big capital investment and being able to keep a close eye on your financials over the opening years is vital. The best way to achieve this is by using cloud-based software for your bookkeeping. Cloud-based software, like Xero, enables you to have direct feeds with your bank, meaning that every time you access your bookkeeping records you are looking at real-time information. This means that you can look at your financials quarterly, monthly, weekly or even daily! The software allows for detailed cost analysis to be performed. Once you have identified the key cost drivers that you want to monitor in your business; you can set this up on the software. For example, you could have a different code for each lab bill provider, or dental materials supplier. This means when you come to review your profits - at the click of a button you can clearly see how much you have spent with each supplier to date in the financial year. This tool is proving invaluable to practice owners. Tax planning is also imperative to helping with cash flows in a business. As you take on a new practice, you will want to make some changes, and potentially refurbish some areas. This requires further capital expenditure. By speaking to your accountant, you will be able to plan these enhancements to ensure you are maximising tax relief. When taking on a new practice, your tax bill is also likely to increase. You may also have to factor in a change in trading structure, e.g. you may be changing from a sole-trader to a Limited Company. You will need advice to understand future tax liabilities so that you can keep re-investing and growing your business whilst ensuring that you can pay the tax as it falls due. The key to managing cash flows effectively and controlling costs is organisation and pro-activeness!

Sophie Kwiatkowski

Accountant, PFM Dental Accountancy.

Does the public need to be kept up to date and educated about current innovations in dentistry, if so, how can this be achieved? There is no doubt that the public should be kept up to date and educated about current innovations in dentistry. These are your patients, the people whom you have built your practice to serve. You work hard to deliver the best patient care and most likely you invest in yourself, your team and your practice to achieve this. Patients often seek reassurances throughout their treatment and if you are investing in innovations to benefit the patient, make sure you let them know you are committed to their treatment. Perhaps innovation is for faster, more convenient treatment, or it is a minimally invasive approach, new materials or perhaps something that just makes the overall experience more patient friendly. Whatever it is, make sure you let your patients know. They will appreciate you taking the time to inform them. They will appreciate that you have invested in making their care and treatment better. They will trust you. It is becoming more commonplace for practices to send newsletters to patients or share activity on social media. Blogs are becoming increasingly more common as it gives practice owners an opportunity to go into more depth as to why they have decided to adopt a particular product or technique or indeed, chosen not to adopt a technique for good clinical reasoning. Make an effort to ensure that your claims and statements are based on fact and is accurately presented. Keep it simple and consider dumbing down the language you use so that patients can fully understand what you are trying to say and the real implications that it can have on their treatment. As always, be ethical. Donâ&#x20AC;&#x2122;t get overly caught up in the glitz and glamour of a new toy that you have at the practice. Patients will often see through this and perhaps it will give your local competition an opportunity to criticise what you are doing. You invest for good reasons. Make sure you keep your patients up to date of your commitment to them and reassure them that they are at the core of everything you do.

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Modern Dentist Magazine

SD-730

Editorial Board

Check before you accept

It’s that time of year when NHS dentists need to submit their net pensionable earnings (NPE) onto the dental portal, Compass. I continue to be amazed by the number of dentists who don’t seem to be concerned about these figures and are happy to confirm the data that the NHS hold or that principals have entered without checking it. Your annual NPE is the figure that is used to calculate your pension when you retire. Any error now could significantly reduce your NHS pension, so I would strongly recommend that you check the data before you accept it. The figures are based on what the NHS hold and how they have allocated the NHS contract on their monthly net pay schedules. Depending on how good the practice is at submitting contract allocation forms and how prompt the NHS are at processing them this can be considerably different to the actual position. 43.9% of the practice contract value is pensionable. As an associate the net amount that’s received in respect of NHS work is your NPE. As a principal you keep the balance after you have deducted your associates NPE. Example: Contract Value £250,000 Maximum NPE £109,750 (£250,000 x 43.9%) Amounts paid to Associates (in respect of NHS work): Associate one Associate two Balance for the principal

£54,320 £18,495 £72,815

£36,935 (being £109,750 less £72,815)

If you are an associate trading through a limited company you aren’t entitled to pension your earnings. As a principal trading through a limited company your NPE is restricted to the lower of your NPE or the salary and dividends you have received. There are some anomalies - if you run an associate led practice and the associates are earning more than 43.9%, then net earnings in respect of NHS work could be more than the practices maximum NPE figure. In this case you need to apportion their earnings down accordingly. Also, somewhat unfairly, if you and your associate split UDAs 50:50 but you pay more than 43.9% of the UDA value, you could end up in a position where their NPE is larger than yours, despite doing the same amount of NHS work. If in doubt ask your accountant to assist you with the calculations.

Heidi Marshall

What are practices looking for when recruiting for new dental staff?

Kelly Saxby

Managing Director, Green Apple Dental Recruitment Limited. Whether you are recruiting for a dental practice or any business, creating the right team dynamic is fundamental to your success. From an employer’s perspective, the most crucial factors when selecting a candidate are reliability, honesty, and professionalism. Beyond these, there are additional qualities that come into play when choosing the right person for a role that both Principals (or Recruitment Managers) and applicants should consider. Excellent communication skills are so important; having firstrate written and verbal abilities is vital in most jobs. Now more than ever, employers are also looking for candidates who have a high level of computer skills and are able to easily adapt to using new technologies for recording information, as well as up and coming networking based programmes for marketing of services. An interest in personal and professional development is also a valuable characteristic. Those with the desire to learn more often excel in their fields and also understand the learning process other team members go through better. And with new equipment emerging into the marketplace on a regular basis, it is important to keep abreast of new professional opportunities and ways to offer a better customer experience. Ambition is another positive attribute a Principal looks for; candidates who are genuinely interested in their own achievements as well as the success of the establishment they work for are much more likely to be team players as well as problem solvers. Forward thinkers who are passionate about creating an environment that is conducive to offering the highest level of service and care is a true character strength. Being able to demonstrate dedication to your field and role from previous experience is also highly beneficial. However, everyone has to start somewhere, so candidates who are open to learning and evolving within the industry and practice will also make a good investment. It is important for candidates to remember that every role they have becomes part of their achievement. Being a good employee (self-employed person in contract) is important in your current role, and leaving a respectable impression is important as your last employer is your most current referee. Dental practices and general companies alike are interested in well-rounded individuals who will commit themselves to achieving the highest standards in everything they do.

Partner, Dodd & Co.

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Modern Dentist Magazine

Editorial Board

How to use Instagram to attract new patients

What are the benefits of using a professional broker?

Nathalie Smets

Marketing and Sales Country Manager, Ancar.

Dental Finance? Is it as straightforward as you think? First and foremost, you require the very best options available to you, but have you got time to source the best products within the marketplace? Understanding which finance house has an appetite for your requirements can be crucial as although most funders want the straight forward proposal, we all know that your requirements are sometimes not straight forward. Believe it or not, many funders donâ&#x20AC;&#x2122;t just want to lend money to everyone, they all have different criteria and attitude to risk for different projects and this can be reflected in the rates they will charge you. Higher rates can mean you are paying over the odds for your new projects. By using the help of a professional broker who understands which funders would support your proposal, based on your own background and experience and can also provide you with the best rates to suit your circumstances, can mean a massive saving for you. Most professional brokers know which ones will be more likely to support your application at the most competitive rates, saving you a great deal of time, hassle and money! Many of the best options are not available directly to you so it pays to use a specialist independent finance broker. Running your business is time consuming enough, we know exactly how to package a proposal to ensure we secure the best finance package in the quickest time. We provide an initial quote to plan your project so you know full costings at the beginning and complete the whole process dealing with your supplier and invoices and ensuring payments are made on time to enable a smooth process. Some of the additional services you can secure with a specialist broker is to provide stage payments to enable suppliers to have funds during various stages of the project. You can also secure deferred payment options to help with other costs during your project especially at the beginning, so deferring payments during the first few months can help with cash flow. We believe it is all about TRUST, if you can trust your broker to provide you with the correct options at the best rates and secure approval, then you do not have to worry about your application.

Rob Griffin

Business Owner, Aspired Finance.

Instagram is a social network that integrates more than 700 million subscribers around the world and has a growth that can double in the coming years. It is a simple and easy-to-use tool in which, essentially, photos are published, with a daily average of 95 million shared photographs. When it comes to user participation, Instagram stands out from the other platforms. According to a recent survey, user participation in Instagram is 15 times higher compared to other networks such as Twitter or Facebook. If your business strategy needs to be updated or if you are a beginner in social networks and you are looking to attract new patients, you will see that the following tips will be extremely useful to grow your business and increase patient adhesion. To be successful using Instagram, and attract the attention of potential customers, it is necessary to follow people whose profile may be interesting for your niche market. You can start by investigating the influencers of dentistry, prophylaxis, healthy lifestyle, or other topics related to yours, which can attract new followers. Likewise, it would be very useful to investigate what your competition on Instagram does in order to have an idea of what a good strategy can be. Instagram revolves around hashtags. What hashtags will do is drastically improve your visibility online, so incorporating relevant tags in your photos will allow your content to be seen by users who did not even know your professional profile or dental clinic. For example, adding labels like #whiteteeth #beautifulteeth or #greatsmile will help you make your content more attractive and widely spread. Patients almost always look for work samples. This is especially true if it is, for example, an orthodontist, that is, anyone who produces tangible results. You can start taking pictures while working with your patient (after having obtained their permission). In addition, you can post testimonials, satisfied patients, videos, before and after photos, or the list of treatments you offer. This will show your patients that your clinic has personality and will be a differential compared to other clinics. Apart from that, with just one click, you can share the same content on various networks such as Twitter and Facebook. This will help you optimise time, since you do not have to make a different publication on each platform. The key to being relevant on Instagram, or any other social networking platform, is to keep reminding your patients of your services. Post content frequently, but not too much. A daily photo is enough. Your goal should be a frequency that shows that your account is active, but without the risk of being heavy. This will help establish credibility among your patients. Are you going to use Instagram in your marketing strategy?

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Modern Dentist Magazine

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Editorial Board

Why you need a cash flow forecast Mike Hughes

Principal, Dental Practice Consultancy Service. The objective of all businesses and more specially, those in which the business owner is actively working, is to ensure that they cover, firstly, the overheads of the business, secondly, can service the debts associated with their acquisition or development and thirdly, to produce a realistic lifestyle for the owners. Cash flow modelling provides a track to ensure that these goals and objectives can be met. When a business is acquired it is often the case that there will be some quite important changes in the way in which the business operates. Will they purchase in the same pattern as the seller? In the current climate, with practices changing hands for such large amounts of money, how much of the practice revenue and net trading profit will be absorbed in the servicing of debt? Are the pay rates for other performers realistic and up to date? If these need to be adjusted, what are the implications for the amount of money available within the business? Is the current business currently fit for purpose? Here I have seen countless examples of practices who need significant investment in order to bring them up to and to maintain a modern standard and the previous lack of investment may often have led to abnormally high levels of profit that will not be replicated moving forward. As consultants we work closely with practitioners to consider these implications and to create financial models or cashflow forecasts that will assist in ensuring that the three key objectives are met. I believe that it is important that financial forecasts, particularly where major change is envisaged, are created by an outside agency such as ourselves. Firstly, we have the tools to be able to do the job effectively and to model various alternative scenarios but more importantly, we can be the conscience sitting on your shoulder. Once you have a dream, it is human nature that you will rarely end up constructing your own business forecast in relation to a project that might fail. There is always the tendency to tweak a little bit here and a little bit there until the project works but is the outcome realistic? By challenging your assumptions or adjustments we can help to ensure that you do not plan to fail.

Reaching for your financial aspirations

Issac Qureshi

Director, Ogilvy & Haart.

How can young dentists effectively plan their finances and look to achieve more? Financial planning isn’t just about saving for retirement or taking out income protection, nor is it just for the super-rich. Effective financial planning helps you organise your money, enabling you to do more with it. By starting financial planning early, young dentists often find they can achieve more of their aspirations, sooner than they anticipated. You might need advice on cashflow management, be saving up a deposit for your first home, or even considering buying into or owning a practice in the future. Whatever your financial goals may be, organising your finances now will help put you in a better position in the future. As a young dentist, your priorities are likely to change as time goes on, so you need to understand what you want to achieve now and in the coming years, to create a flexible financial plan that’s tailored to your needs. By understanding what you want to achieve, you can begin to explore the saving and investment options best suited to your needs. Investments can seem like a luxury for those with more disposable income, but the potential for reward even in the short term shouldn’t be ignored. For the longer term, pensions are just one way of providing a solid base for your retirement provision. Although retirement may seem like a long way off, starting to plan now can go a long way in helping you achieve the lifestyle you want in your later years. Another key consideration is proactive tax planning and careful strategizing to minimise your tax burden both now and in the future. By implementing efficient, tried and tested strategies, you can begin to increase your net income thereby increasing your disposable income. These are all perfect places to start in helping you reach your financial aspirations. Alternatively, you could arrange a complimentary no-obligation consultation (worth £497) with our experienced advisers who will work with you to put together a plan that’s focused around your short, medium and long-term goals.

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Modern Dentist Magazine

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30/04/2019 09:03

Editorial Board

Why is it important to plan and reflect on your CPD?

Sophie Gray

Dental Compliance Manager at Isopharm. Effective planning is essential to ensure registrants take part in continuous professional development (CPD) that is required throughout their cycle. While it is vital to schedule time for courses that are necessary for compliance, it is also important to carve out time for personal interests and career progression activities. A personal development plan will aid this process and allow individuals to identify and document learning needs, which are relevant to their field of practice and ensure skills are not only maintained but also developed. While the majority of dental professionals have utilised a personal development plan for some time, since the introduction of Enhanced CPD by the General Dental Council (GDC) in 2018, it has now become a requirement to maintain registration. The GDC require the below information to be captured as a minimum. • The CPD you plan to undertake during your cycle, which must include CPD that is relevant to your current or intended field(s) of practice; • The anticipated development outcomes that will link to each activity; • The timeframes in which you expect to complete your CPD over your cycle. You might find that your field of practice or learning needs change, and so you should adjust your plan and activity accordingly. The GDC encourages you to review your plan annually as it relates to your role and daily work. (Enhanced CPD guidance General Dental Council 2018). Self-reflection allows registrants to evaluate the CPD they have selected to consider outcomes and impact on daily practice. The GDC does not dictate how a registrant must reflect or how this must be recorded, but you should make a record that it has taken place. Reflection is an individual process, which can be completed after each activity a registrant undertakes or periodically dependant on what the individual finds most beneficial. Some prefer to reflect alone while others believe they benefit more when engaging with colleagues or a mentor. If you haven’t taken part in reflective learning previously the below prompts should start the process. • Describe what you learned from the course or activity. • Describe how you will apply the knowledge gained to your profession. • Describe how you will maintain this knowledge in the future. • Describe how you will continue to develop in this area.

Saving for the future Ray Cox

Chairman, Medifinance Ltd. Whether associateship in a practice or employment as a salaried practitioner is the chosen path post dental school, the subject of money is likely to feature high on most newly qualified dentists’ agenda. For many young dentists these first few years are merely a stepping stone to eventual practice ownership, and whilst the financial demands of day to day living are the same as for any young person, that ultimate goal needs to be factored in to their planning right from the start. When the day comes and the search for a practice of one’s own begins in earnest, it should be recognised that banks and other lending institutions will expect the dentist to have some funds available to put into the project. The days when 100% finance was available to open a new start business or to purchase an existing practice are largely over, so planning one’s finances to provide a deposit of some sort is very important. With interest rates at their current low-level, expert advice should be taken on the best type of savings plans to start to invest in, in order to achieve the maximum return in something like a five to ten-year period. If the dentist has demonstrated some degree of future planning, the banks are likely to be more rather than less generous when it comes to lending for that all important first practice. Once in the practice, treating it as a business as well as a clinical practice is extremely important. Investment in a good practice accounting system is money well spent as this will produce all the financial data and reports that are necessary to operate the business side of the practice. Timely information is key in helping the principal decide what the most important financial priorities are each week and month. Control of costs and keeping a positive cashflow at all times can make the difference between success and failure in a practice almost regardless of the clinical excellence achieved. An annual budget and cashflow forecast can be easily input to most modern computer-based systems with reports issued at regular intervals to help keep the practice owner fully abreast of everything that is happening or likely to happen to the business.

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Modern Dentist Magazine

Green Apple Dental Recruitment is the UK’s leading Dentist Recruitment Agency As experts in Dentist Recruitment, we help hundreds of GDC registered Associates find Locum and Permanent roles in NHS, Mixed, Private and Specialist practices across the UK every day Why do Dentists choose Green Apple Dental Recruitment to help with their job search? Top Locum and Permanent jobs throughout the UK Extensive knowledge of the marketplace A professional and personal service Discreet and considerate at all times The UK’s most experienced Dentist Recruitment Team Handle the entire process from interview to contract stages

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Editorial Board

The impact of CPD and remediation on regulatory and disciplinary outcomes Practitioners who find themselves subject to proceedings before the General Dental Council (GDC), will spend some time deciding whether to admit or deny the factual allegations. There is, however, another important task to undertake when faced with a regulatory investigation. Cohen v GMC [2009] EWHC 645 (Admin) established three questions which must be considered when assessing whether or not a registrant’s fitness to practise is currently impaired: • Is the conduct easily remediable? • Has it been remedied? • Is it highly unlikely to be repeated?

The Committee then assess any steps that have been taken by the registrant and decide whether the conduct has been remedied and whether there is likely to be any repetition. Remediation may include changes in practice, continuing professional development and selfreflection. Committees will apply a critical eye to any evidence of remediation. Remediation should therefore be: • Undertaken throughout the course of an investigation (as opposed to just before a hearing) • Targeted to the issues; and • Embedded into the registrant’s practice.

For example, a registrant facing an allegation regarding failing to obtain valid consent may Once factual findings have been made, attend workshops relating to consent, produce Committees will assess whether any failings reflections setting out what they learnt and could be remedied. By way of example, produce recordDentist keeping failings are likely to be Moden Mag1_Layout 1 17/01/2019 16:53 Page 1 updated information leaflets for patients and consent forms. The registrant may considered remediable whereas dishonesty is also give oral evidence about how they now more problematic.

approach obtaining and recording consent. This evidence will not be relevant to the factual stage of the hearing (i.e. what happened with the patient) but can make the difference in terms of the eventual outcome. Remediation can lead to a case being concluded with no action being taken or can lead to a lesser sanction being imposed. Even where a registrant does not admit the factual allegations, it is beneficial to demonstrate that they have reflected and engaged in CPD to reinforce their understanding of the relevant issues. In summary, the importance of engaging in remediation when faced with a regulatory investigation cannot be overstated but the quality of the remediation undertaken will be scrutinised.

Laura Smith

Associate, BLM.

Specialist Dental Accountants Business Well Planned www.doddaccountants.co.uk ow Kn w ho for ts tis n e d

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We’re Making Tax Digital ready, are you? For a confidential, no obligation discussion about how we can help your dental business, accounting and advisory needs contact Heidi Marshall on 01768 864466 or email heidi@doddaccountants.co.uk.

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Modern Dentist Magazine

Features

Safeguarding in the dental sector Safeguarding is defined as protecting people’s general wellbeing and human rights, allowing each individual to live free from abuse and neglect. Helen Weston, Head of Teaching at Tempdent Recruitment and Training, explains the dental professional’s role and duty of care to vulnerable children and adults who may be at risk. There have been reports recently in the media of some high profile and shocking cases regarding safeguarding. In the majority of these cases, the media have identified the many opportunities that health care professionals have failed to identify and report signs of neglect and abuse. I am often asked what dentistry has to do with safeguarding and my response is that we are in the perfect position to identify any signs of neglect and abuse. We tend to see our patients three or four times a year, often from a young age into adulthood, we have access to the mouth where possible signs of abuse or neglect can be spotted. We have a professional relationship with carers and family members, and we can identify if there is a change in behaviour, physical condition and oral health. It may be the case that a disclosure is made or we hear something that gives us cause for concern.

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What exactly is our responsibility? According to the CQC, when they come to inspect your practice or organisation in regards to safeguarding, there is one key question they will require evidence of: Are services safe? Standard 3: what systems and processes are in place to keep people safe and safeguard them from abuse? You and your team will need to demonstrate an understanding of the risks and types of abuse of an adult or child. Let’s discuss this first. The CQC will want to look at your training records to ascertain who has had training, when they had training and at what level of safeguarding training staff have received.

The CQC state that the minimum training requirements are: • Level 1: for all non-clinical staff (e.g. receptionists and practice managers) • Level 2: for all dentists and dental care professionals • Level 3: for paediatric dentists and paediatric orthodontists (i.e. those who could potentially contribute to assessing, planning, intervening and evaluating the needs of a child or young person and parenting capacity where there are safeguarding/child protection concerns). Level 3 training is not normally required for dentists and dental care professionals working in general dental practice. Training content should be refreshed every 3 years, and non-clinical staff and DCP’s should renew their certification annually. Level 1 refresher can be undertaken online and a minimum of 2 hours. Level 2 refresher can be undertaken online and a minimum of 3 hours.

Features

We understand that we have a duty of care to protect our patients, visitors and staff. And we understand that it is everyone’s responsibility to protect children and vulnerable adults, however, the dental profession can often feel that they lack the confidence and the ability to deal with this tricky, awkward legislation. It has not been within our professional remit to tackle these difficult conversations in the past and many dental health care professionals are struggling to confront the subject.

What is out there to help us? Within The Care Act 2014, there are six safeguarding principles designed to give us guidance in fulfilling our responsibilities as dental health care professionals. These principles are: 1. Empowerment: people being supported and encouraged to make their own decisions and give informed consent

The dental profession can often feel that they lack the confidence and the ability to deal with this tricky, awkward legislation

Types of abuse: • Physical • Emotional • Sexual • Neglect • Modern slavery • Human trafficking • Mental capacity and Deprivation of liberty • Female genital mutilation (FGM) • Discriminatory • Financial • Cyber bullying

As a dental professional, you are likely to notice injuries to the head, eyes, ears, neck, face, mouth and teeth, as well as other welfare concerns. Finally, it is important to understand the assessment of physical injury, there are typical features of non-accidental injury that dental care professionals are best placed to identify. As upsetting as this can be, we have to assess these injuries and evaluate the risk to that child. The Triangle of Safety is a really great resource in identifying the areas where accidental injury is unusual, the areas included are: Ears, side of the face, neck and the top of the shoulders. Soft tissues of the cheek, could be an indication of a slap across the face. Intra oral injuries, these are areas that we have access and visibility to monitor.

2. Prevention: it is better to take action before harm occurs 3. Proportionality: the least intrusive response appropriate to the risk presented 4. Protection: support and representation for those in greatest need 5. Partnership: local solutions through services working with their communities – communities have a part to play in preventing, detecting and reporting neglect and abuse 6. Accountability: accountability and transparency in safeguarding practice

All staff will be expected to identify the different types of abuse and name who the safe guarding lead is in your organisation.

5. Recording all concerns, whether disclosed or not. Keep accurate contemporaneous records of conversations between you and the discloser, what did they say? How did you respond? What action did you take? Who did you inform? What was the outcome?

Using these principles, we can break down what the priorities are for us within our practices/organisations. The first of these would be: 1. Identifying the harm, for example, is it physical, neglect or deprivation of liberty? 2. Reporting the neglect, informing the safeguarding lead in your practice, the GP of your concerns, if the danger is immediate, the police, if a child is in potential danger social services. 3. Supporting the person who has disclosed the abuse, informing them of your intention to report it. 4. Monitoring patient wellbeing, for example, a regular patient does not attend, this is out of character, ringing the patient to ensure all is well, don’t forget this could be a deterioration in their mental or physical wellbeing.

What should be recorded? Where the injury is sited, any patterns, e.g. a bite mark. Ask the question, how did this injury occur? Ask the child directly. Does the injury match the explanation? How is the interaction between the parent/carer and the child? Has the behaviour changed? Is the child anxious or visibly afraid of the parent/carer? In conclusion, as difficult as it is, we cannot argue that dental healthcare professionals are and will remain in an invaluable position to safeguard. If ever you doubt your ability or your suspicions you do not need to manage this on your own, the Department of Health poster, ‘What To Do If You’re Worried A Child Is Being Abused: a flow chart for referral’ is a helpful resource. And finally, remember Victoria Climbié and Baby Peter, just a couple of the many cases where a child was not safeguarded by any healthcare professional they came into contact with. Remember, record everything!

Helen Weston

is Head of Teaching at Tempdent Recruitment and Training.

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Features

Radiation refresher Speaking to Modern Dentist, Stephen Green CRadP MSRP MIPEM, Stephen Green & Associates, gave us a refresher in radiation and radiography and on the importance of appointing a Radiation Protection Adviser and a Medical Physics Expert to your practice.

of this job is to give advice on shielding integrity - what should the walls be made of? Which walls are the x-ray beam likely to hit? What level of shielding is required for the x-ray equipment to be used?

Why do you need a radiation expert and what benefits does a Radiation Protection Adviser and a Medical Physics Expert bring to a practice?

simple answer is that the law requires it. The term ‘radiation expert’ A The encompasses, in the UK, Radiation

Protection Advisers (RPAs) and Medical Physics Experts (MPEs) and - although not in the dental profession - also Radioactive Waste Advisers (RWAs). Their job is to advise employers and employees in a dental practice to become, and remain, compliant with the relevant radiation regulations (IRR17 and IRMER 2017 in the case of dental professionals).

For instance, one of the reasons a Radiation Protection Adviser must be consulted under IRR17 is on the prior examination of plans for any installations and the acceptance into service of new or modified pieces of equipment. Part

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The Medical Physics Expert role is about helping to protect the patient and taking into consideration the clinical need of the patient - patients have to have a dose of radiation but it is important to ensure that those doses are kept As Low As Reasonably Practicable (ALARP), consistent with the diagnostic purpose. Part of the Medical Physics Expert role is to look at the type of imaging systems practices have got - what unit/s and what imaging systems (e.g. film or digital) and give advice on the appropriate levels of exposures. It is worth stressing that it should be practical compliance that is relevant to the particular place of work - generic

advice is not considered by the HSE to be appropriate, because it may well not be relevant. It is important that a Radiation Protection Adviser and a Medical Physics Expert knows what equipment is in your practice and what the room/s look like otherwise how can they give advice that is relevant to your practice if they don’t know the layout. you explain the concepts of radiation dose? Q Can are three ‘definitions’ of radiation dose. The first is called the Absorbed Dose A There - simply the amount of energy delivered by the ionising radiation absorbed in a particular mass. If you absorb one joule of energy in one kilogram of mass you are said to have received a dose of one Gray. A Gray is a very large dose and when we are talking about doses received by patients and possible scattered doses to staff in terms of dental imaging, we’re

Features Quite simply, get it right to start with know your equipment and how it moves, the angles it can get to; know your room and which walls have been appropriately shielded. Make sure the x-ray beam is being aimed at those walls and not being aimed towards a room entrance or where the operators might be standing. Know the protocols of the practice and what the expected images to be carried out are - and also be aware of, and consistently select, the relevant exposures for imaging procedures. Know the local rules of your practice, not just the general local rules but also the local rules that are specific to that particular room that you might be working in.

do this we take the Equivalent Dose and multiply it by a Tissue Weighting Factor (the tissues/organs that are more sensitive to radiation are given a higher tissue weighting factor). This turns the Equivalent Dose into what we call the Effective Dose - with the unit of Effective Dose also being the Sievert.

Those are the basic concepts but I don’t think people should lose sight of the fact that the dose itself is all about the transfer of energy from the radiation into the body - the greater the amount of energy delivered, the greater the dose.

are the dose constraints and considerations associated with Q What pregnancy and children?

pregnant patients be x-rayed? Yes. Can children be x-rayed? Yes. Should A Can they be x-rayed? Well that is all about

professional justification - what you are intending to do and how you are intending to do it. The general guidance used in every dental practice is typically to defer any dental imaging while a patient is pregnant - with a pregnant patient only x-rayed if it is deemed absolutely necessary.

It is important for an employer to be aware that people are trained properly and are doing refresher training in radiation protection so that they are aware of current practices

generally talking about doses at the level of micrograys – that is millionths of a Gray.

What that concept doesn’t take into consideration is the type of radiation we are using. There are different types of radiation as well as x-rays - for example alpha particles, beta particles and gamma radiation which have different properties - and the second definition of dose (the Equivalent Dose) takes into account the different type of radiation that you are actually using. You take your Absorbed Dose and multiply it by a Radiation Weighting Factor (1 for x-rays) and that gives you your Equivalent Dose. The unit of Equivalent Dose is the Sievert. We know different parts of the body and different organs have different sensitivities to radiation, so it is important to consider the relative risk from the radiation for the different tissues. To

However, if a dental x-ray is considered to be essential for a pregnant patient then it is important that dentists give as much information as they can so that the patient can appropriately consent to the procedure - and we would always recommend that a consent form is signed before proceeding with the x-ray in this situation. Doses are required to be kept As Low As Reasonably Practicable (ALARP) – consistent with the diagnostic purpose of the imaging procedure – and that applies to all patients and not just pregnant patients or children. But are children a special case? Well they do appear to be more susceptible to certain malignancies, and they do have a longer life expectancy and hence have a greater potential for developing any effects. But does that mean that children should not be x-rayed? Again, as with a pregnant patient, if the benefit will outweigh the risk, then an x-ray procedure can be carried out - the justification of the x-rays just becomes more paramount and the dose must be optimised (it is essential that the appropriate exposure is given for that particular child).

are the potential hazards and safe working practices when using x-ray Q What units and similar equipment? are of course potential hazards inadequate shielding of both the x-ray A There tube or the room, the risk of an x-ray

unit continuing to expose - so it is of course important to ensure that rooms have been designed appropriately, suitable equipment is installed and that equipment is maintained regularly.

But the ‘people’ aspect is also essential to consider and the provision of suitable and sufficient training is paramount.

And don’t forget the contingency arrangements for the practice, they should be part of your local rules and they are expected to be rehearsed from time to time. So, what are you expected to do if something goes wrong? Where are the unit isolators so if you do think there is a problem you can turn off the x-ray unit as quickly as possible? It is important to be aware and be prepared.

can practices promote good radiation protection practice? Q How I think in many respects it is as simple as that. Training right from A Training. the beginning. What happens to new

employees when they start at a new practice? Make it your mission to show them the rooms, show them their room and how their particular x-ray unit works. Someone stick a copy of the local rules under their nose and get them to read and understand what might be the particular issues in their particular room.

It should be remembered also that it is important for an employer to be aware that people are trained properly and are doing refresher training in radiation protection so that they are aware of current practices and current regulatory requirements.

is your advice for dental professionals looking to update and Q What improve their knowledge and skills

regarding radiation and radiography?

good quality initial and CPD training. There are a lot of options available such A Get as study days and online training. But

that training has to be taken seriously - skipping through an online course for example is cheating yourself just as much as it is cheating the system.

Continuing education and training is also important not just in the radiation protection area - it is also about looking at new techniques and new equipment that might come onto the market. Dental professionals need to keep themselves aware of what is out there and the possible advancements - and I also think it is important that the RPA/MPE does the same.

Stephen Green CRadP MSRP MIPEM,

is a Radiation Protection Adviser, Medical Physics Expert and Radioactive Waste Adviser at Stephen Green and Associates.

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Modern Dentist Magazine

SW I F T D E N TA L G R O U P

www.theacademybyash.co.uk | enquiries@swiftdental.co.uk

Features

Swift Dental Group; Roadshow with Dr Ash Parmar & Guest Speakers

Swift Dental Group are proud to announce a series of six exciting CPD Roadshows packed with great lectures for the whole dental team; working in partnership with The Academy By Ash, leading cosmetic dentist Dr Ashish B Parmar, Straumann, Henry Schein, Clark Dental and a number of other leading sponsors. This inspirational and unique series of lectures will give dental teams across the UK an opportunity to learn from the industries latest innovations, experiences and knowledge. The aim is to provide confidence and motivate dental teams across the UK to increase their Private dentistry and empower their knowledge of digital dentistry whilst promoting effective communication between dentists and their laboratory to maximise predictable and high-quality results every time. Roadshows are open to all Dentists, Hygienist’s and Therapists across the UK and Northern Ireland and are not exclusive to Swift customers, we invite teams to join us for these unique CPD events. Tickets are competitively priced at £30.00 and include a complementary ticket for a member of your Practice team which would include your Practice Manager, Dental Nurse, Treatment Coordinator or Receptionist. Included in the cost is a hot buffet, refreshments and a fantastic sample and education pack; also included is a Zirconia restoration plus a voucher which can be exchanged for a Zirconia restoration for a patient of your choice.

Registration starts from 5.30pm and the event is due to finish around 9.45pm. This three hour CPD Course meets both GDC’s development outcomes A and C and includes a 30 minute market place innovation corner; there will be representatives from Henry Schein, Straumann, Clark Dental, Smile Imaging, Optident, Phillips, M C Repairs, Modern Dentistry Magazine, Bryant Dental, Klipp Wealth Management, Aequitas Accountants & Auditors and Dental Decontamination. Main lectures begin at 6.30pm with lectures from Dr Ashish Parmar, Straumann, Henry Schein and Clark Dental. Dr Ashish Parmar will cover the following topics: • Do more private dentistry – tips on communication and effective/ethical selling strategies. • Ash’s top 10 clinical tips – things you can get on with in general practice to improve your dental treatment and patient care. • Top 10 laboratory communication tips for anterior aesthetic dentistry – how to get accurate, well-fitting restorations, and excellent shade/aesthetics to avoid remakes.

Roadshow events will take place in the evening to avoid disruption to surgery productivity. There will be six road shows: South West – Bristol - City Centre Marriott - 17th June South East – Wembley - Holiday Inn - 18th June Scotland – Glasgow – City Centre Marriott – 24th June North West – Manchester – Etihad Stadium – 25th June North East & Yorkshire – Leeds – Royal Armouries – 26th June Midlands – Leicester Tigers Rugby Stadium – 27th June

Straumann will deliver a lecture on their latest innovations in new technology and products they have available. Henry Schein will present an exciting lecture on one of the fastest growing materials in the industry, Zirconia and its rediscovery which will include everything you ever wanted to know and more included when and how to use it and achieve the best results consistently. The lecture from Clark Dental will be around the fantastic Digital Occlusal Analysis dentistry’s only clinically recognised and research validated digital occlusion analysis system.

SWIFT BIO Established in 1984, Swift Dental Group is the UK’s largest Dental laboratory yet still retains the same qualities such friendless, integrity and personal service. - Full-service laboratory - Nationwide coverage - Multi award winning laboratory - Dedicated customer support - Digital CAD CAM suite Swift strives to stay at the forefront of new technology and innovation and are delighted to be able to work in partnership with the industry’s leading manufactures to bring the Roadshow events to the industry this June, we look forward to seeing you there.

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Modern Dentist Magazine

Features

Do you want learning to be more fun for you and your team? We all had to do it, and are still doing it, cramming our studies around our day job to keep on top. Let’s face it, it’s not always the most enjoyable of tasks to fit in, and costs start to add up. A new learning resource is arriving, with a difference. Chomp is the new mobile phone app hitting the dental industry; it delivers bite-size training with interactive experiences designed to provide a fun training resource while complementing existing dental training. Chomp is aimed at trainees, postgraduate training and people returning to work after a break. Developed by Blueflame Digital who have teamed up with Rebecca Morris and other industry experts, the project has been supported by the Ufi Charitable Trust. Why do we think that Chomp will be good for the industry? Rebecca has worked in dentistry for over 25 years; however, she still remembers her first few weeks as a trainee dental nurse, working in entirely new surroundings, having to work with a dentist who she wanted to please and patients coming in and out all day at a fast pace. She did her best to keep on top of the duties but was just so worn out at the end of the day to take time to learn dental basics. Rebecca has seen trainee after trainee come and go, not because they were inefficient in their job, but because of the stress of not having the time or the energy to learn the fundamentals. ‘’What if there was some way that dental practices could provide a way to prep their trainees, or new dental nurses even before they even started their new job?’’

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Different fads come and go, however, mobile phones are here to stay and you can do anything with them, message, group message, email, music, ‘GAMES’. Many friends and associates take time out in their lunch or travelling on the bus or train, playing little catchy app games on their phones, just as time out for themselves. ‘’How about they utilise this time by learning and still having fun?’’ ECPD can be so mundane to arrange, either time out of work, squeezing in your lunch break or taking up your weekend. ‘’What if there was a dental app that would record the time you spent learning and provide you with a certificate to use in your Personal Development Plan but also measure how much your knowledge has improved in this time, all through playing a game on your phone, tablet, or laptop?’’

Not only would there be an opportunity for trainees, but a whole suite of training opportunities that will help you towards your Certificate in Implantology, Sedation, Radiography. A dental app game that will help you to memorise all the complicated information you need to know to successfully pass your certificate. Currently, the dental industry only provides standard books and a very small amount of information to help dental professionals gain knowledge and learn more about their specialised subject. We seem to be left behind with the technology racing past us. I am sure you are beginning to notice that there is a serious shortage of dental nurses in the UK. We need to find a way to encourage new and returning-to-work dental nurses back to the dental service but also help our already loyal

Features or pick specific areas to strengthen. Chomp can identify and encourage trainees to play through weaker areas. All this gameplay adds up towards self-certified CPD, so playing games on your phone no longer has to be a waste of time in your breaks or on the bus. Proven concept of learning - making mistakes in a safe environment. For example, training a train dispatcher to manage passenger safety and behaviour through repeatable scenarios.

What are our goals for this dental app? We will be launching September 2019, which will contain the first module dental charting and skull anatomy. Chomp will grow to be a suite of learning modules covering a wide range of topics in the dental industry. Primarily focused on UK standards, once established, we’ll be adding international standards and further afield. From the outset, Chomp will be complementing existing training; the ultimate goal is to become the go to app for dental training.

How can you get involved? We need to find a way to encourage new and returning-to-work dental nurses back to the dental service but also help our already loyal dental nurses have the opportunity to learn different attributes - this is going to be one of the ways that will help dental nurses have the opportunity to learn different attributes - this is going to be one of the ways that will help.

What makes it so different to other online training courses/ groups? Our approach is very different from existing training options out there. Game-based learning means we engage the trainees first, then teach through play, interaction and visualisations. If the trainee is stuck in a particular area, the games are designed to encourage them to repeat until they feel confident. We would rather trainees fail through play until they get it right and feel great, rather than lacking confidence in the real world and make mistakes.

We always want to make sure we’re delivering what people need, so it’s crucial we get great feedback from the people who need it. Sign up for the FREE trial app in May by visiting: http://chomp.fun and keep up to date with Chomp through social media and our website.

Who is: Rebecca Morris Rebecca Morris Dip DPM has worked in dentistry since 1997 – initially a dental nurse and then in 2002 completing Diploma in Dental Practice Management with Glenys Bridges. She has been involved in launching one of the first dental nursing magazines and she is now a partner of Glenys Bridges Practice Pathways, providing management and leadership training within the dental sector.

To make this project successful, we need you to share with friends, colleagues, qualified dental nurses, dentists, hygienists, lab technicians, receptionists and practice managers. This will benefit your entire team. If you are a dental tutor and you feel this will be of interest and beneficial to your trainees please feel free to contact us to discuss and join our other colleges who are also getting involved. Connect on social media Twitter, Facebook, Instagram: @chompdental Find out more at http://chomp.fun

Rebecca Morris Dip DPM

is a Tutor and Partner at Glenys Bridges Practice Pathways.

Who is: Rich Lloyd Rich Lloyd Director of Blueflame Digital, with over 20 years’ experience delivering commercial software projects. Rich and the team develop game-based learning projects across many industries from rail to dentistry.

Trainees can tailor the learning by either playing through all the modules building up their skills

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Modern Dentist Magazine

Features

Dentist On THE ROCK! Q Can you tell us about your background? grew up in Bury, Lancashire; son of an NHS A IDentist and went into dentistry probably just to follow in his footsteps, but as a kid I always had a passion for technology and also art and painting. This later worked out well with the digital technologies being introduced into dentistry.

I went to university at Leeds but returned to Bury to work with my father, who I worked for ten years in an NHS practice.

or who made you chose a career in dentistry? Q What my father being a dentist that added A With to my decision to go down the dentistry

path, but that wasn’t my original intention. I initially wanted to be an architect but it

38|Modern Dentist Magazine

wasn’t meant to be. I actually went on to study the three sciences and the next option I considered was being offered to go and study and then work on the large hadron collider as I always loved and did well in physics. This wasn’t meant to be either as I didn’t fancy the long distance travel away from friends and family. So I followed in my father’s footsteps but it wasn’t until I met my wife, Louise, in the second year of university, 16 years ago, studying to be a Radiographer, that I picked up my passion for digital technologies again. Accompanied with further education then led me to a greater understanding of CBCT and guided surgery. That and her support through the years has meant that whilst I didn’t “choose” my career because of her, I certainly wouldn’t be where I am today without her.

us more about your practice THE ROCK? Q Tell On THE ROCK started as a new A Dentist practice from scratch - a squat practice as

a result of my frustration with wanting to integrate a fully digital workflow and control my own practice. It was a huge project as it used to be a jeweller’s shop and so now looks very different. I had to have the whole building completely gutted, but it has come together nicely now, with four busy surgeries, a digital lab, CBCT and a lecture room at the top, where we often run courses with the DDA and others. We’ve grown to be a team of 14 members in just under four years.

My favourite part of the practice is the name and logo. My wife suggested to call it Dentist On THE ROCK as the road it’s

Features

In this edition of Modern Dentist, our Practice Focus features Dr Adam Nulty, Principal of Dentist On THE ROCK. With the very latest technologies and techniques, this practice is all about keeping up to date and providing quality services.

on is called The Rock. That way patients would say “I go to the dentist on the rock”. The logo was my first Digital project at the practice too as I asked my then two year old son to draw a rock which I then digitally transferred and took the exact shape he drew into the logo we have everywhere. He still remembers doing it which is nice.

Q A

Can you expand on the Dental work that you provide?

At the practice we provide a wide range of treatments from general dentistry to advanced implant work, cosmetic smile makeovers and braces. I have an associate that does a fair bit of Invisalign, but now i’m moving towards our own DDA aligners.

you tell us more about the DDA? How it started, what you aim to Q Can achieve, and what benefits it will bring to dentists?

The DDA has been a great success. I was very lucky to meet Chris Patrik and Quintus a few years back, and find we had so much in common. We are all passionate about dentistry, digital tech and most of all, providing the best possible treatments for the patients. We started out doing our courses to help fellow dentists get the most out of the kit they have, and to provide unbiased advice. We all got some very high end tech but found that the support wasn’t always there, and we wanted to change that. It has evolved even more now though compared to when we are running the first MSc in Digital Dentistry, in collaboration with CoLDS. It is all modular, with online content that students can complete at their own pace and then residential days with face-to-face training in small groups at different locations to get the most out of the different technology that is available.

This varies from CAD/CAM, surgical guides, digital smile design to lab work like staining and glazing, and digital orthodontics.

Q A

What do your courses teach?

We teach ALL aspects of digital dentistry. We want clinicians to be able to develop what they are interested in and provide comprehensive treatments. The core is that it is a digital subject but this is the future of dentistry… so we cover using the different tech, aesthetic treatments, SKYN and smile design, orthodontics and of course implant dentistry, a bit of a passion of mine. Chris has a particular interest in the different materials and physical properties, and guided surgery, and Patrik does a lot of restorative work and ortho. He has a lab too, so is keen on that side of things and we believe integrating lab technicians and dental auxillaries in the clinical work is also important.

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Modern Dentist Magazine

Features

Q Has digital changed the way you work? Our practice is one of the most A Completely! advanced in the UK in terms of technology.

From scanning in new patients to create a historic reference point and backup, to planning and providing the treatment. It is just part of everything we do now. It means the treatments are more predictable, comfortable, safer, more accurate and often much quicker too.

there any products you couldn’t live without in your practice? Q Are main thing would have to be the A The intraoral scanners. I have quite a few now, of different makes, and they are all good in different ways. I still think the Sirona chair side workflow is great to work with but there are several good options now. Otherwise probably my collection of 3D printers, I print mock ups, models, surgical guides and splints all the time now. And Chris loves making guides chair side, and Patrick makes loads of in-house digital orthodontics now using 3D printer technology.

have patients’ expectations changed over the years? Q How think they have, quite a lot really, but A Irightly so. We have the technology and

patients see it and expect us to use it. But it is in our favour really, they just don’t seem so happy to accept things like acrylic dentures, amalgam and gaps anymore, and we are happy to help.

do you stay abreast of modern techniques? Q How go on courses too, all the time, and to A We prepare our lectures and courses we have

to. I’m just finishing my PhD in Guided Surgery with a new way to combine CBCT and digital impressions in edentulous patients and all three of us are also doing the final part of MSc courses too. We are very involved with a number of companies that want us to try out new kit, beta test

40|Modern Dentist Magazine

and do KOL work. It is exciting as we always see all the new materials before it becomes mainstream. We all like being early adopters. what are you most proud of? Q Professionally, question, but I think it must be that A Tricky I built the ROCK from the beginning in a

short time, set up the DDA with Chris and Patrik, and now that it has developed into a truly international network of the world’s foremost clinicians and technicians with the IDDA. We just had our first International

Conference, with some great speakers, a tradeshow, gala dinner and The Digital Dental Academy Awards. I am proud also that we have got the MSc running so successfully. The first cohort started back in September and we are filling up quickly for the next intake later in the year.

do you get your motivation and drive from? Q Where what I do. The courses are fun A IandjustI enjoy enjoy meeting people with ambition and talent. I love working in my practice, it somehow re-energises my batteries so I can do new things.

Q What are your plans for the future? is very exciting and we have A lotsTheoffuture new projects. We are growing the International

Digital Dental Academy further, and have opened up embassies all over the world now, US, Egypt,

Brazil, Sweden, Mexico, Peru and more want to join, and we have in very short time got over

10,000 followers on Facebook and are now the biggest independent digital dentistry group in the world.

Next up we have our Second International Congress, this time in Cairo!

We also have some very exciting news coming soon so it’s definitely worth keeping an eye on our forums…

The future is very exciting and we have lots of new projects

Fact File: Dr Adam Nulty Qualifications: BChD - Leeds MJDF RCS Eng PGCert - Implants, Manchester Manchester MSc (Distinction) - Restorative Dentistry, Manchester MAcadM Position: Principal of Dentist On THE ROCK

President of The International Digital Dental Academy Programme Director - MSc in Digital Dentistry, City of London Dental School Dental interests: Digital Technologies Guided Implant Surgery Implantology Restorative and Aesthetic Dentistry

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The introduction of DenGro to Dr Colin Gardnerâ&#x20AC;&#x2122;s Practice, Botanics Dental Care, has seen an increase in the managing and converting of leads. Here he explains why they decided to choose DenGro for their practice.

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Dental future in 3D

DMG presents new materials, printers and software

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NEW Shadeless Omnichroma from Tokuyama Never take a shade again!

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Modern Dentist Magazine

Price Bailey has a specialist healthcare sector team that have worked with dental professionals for many years.

We offer advice and support through every financial aspect of your professional dental journey. Give Price Bailey a call on +44 (0)1223 565035 or visit us at The Dentist Show on 17/18 May 2019 at Birmingham NEC on Stand No.D73 to see how we can help you and your practice. Price Bailey Chartered Accountants, the British Accountancy Awards National Firm of the Year. Listed in the Sunday Times Top 100 Best companies to work for 2019.

At Price Bailey - Itâ&#x20AC;&#x2122;s all about you The right advice for your business life

2019 pricebailey.co.uk

Product Review

Solving your business challenges Describing their knowledge as second to none, Dr Lau Berraondo, Enhance Dental Practice, told Modern Dentist how Price Bailey has helped to improve the running of the practice.

Q A

How do you feel Price Bailey has helped your Practice?

A busy modern clinic has so much to keep track of… Price Bailey have changed the way we run the business side of the practice. They have made the day to day running smoother and allowed us to concentrate more on the clinical aspects of modern dentistry.

What do you like most about having Price Bailey as your accountant and business adviser, and what in your opinion sets them apart from others?

Price Bailey are so easy to work with. Their knowledge of the dental market is second to none. They are able to offer advice on many aspects with all the specialists at their disposal. For example, completely restructuring my pension and the incorporation of the clinic.

How has the introduction of Price Bailey helped improve the running of your practice, and do you consider Price Bailey to be part of your team?

Price Bailey has introduced protocols to make the clinic more productive and easier to run. The use of the latest software systems to upload invoices and the interaction between the business manager at Enhance and the team at Price Bailey has made for a smooth day to day exchange of information. Price Bailey have taken over payroll, which is very positive when in a busy clinic with lots of employees.

Price Bailey has a specialist healthcare team with members from dental backgrounds – do Q you consider this to have helped integrate them into your practice?

Price Bailey Comment: The Price Bailey difference.

This is one of the main benefits of working with Price Bailey. Their dental knowledge is incredibly thorough, meaning that they know all the issues the clinic team face. The fact that some members of Price Bailey have worked in dental clinics in the past, which means that the Enhance team find it easy to contact them and discuss specific issues without having to first explain the dentistry side of things.

How has the guidance and advice from Price Bailey helped you to navigate the current Q challenges facing the dental sector? The dental sector is constantly changing at the moment and Enhance are meeting these A changes head on. Having specialists like Price

Bailey supporting us makes these challenges easier to face. Their help and knowledge in running the business means that we are in the best position possible for the years to come.

would you recommend Price Bailey’s services to others in the sector? QWhy I’d wholeheartedly recommend the team at Price Bailey to any other modern dental A clinic. They make such a difference to running the

business and organising all the financial aspects of a busy dentist. Their specialisms reduce the stress associated to a healthcare business and allow me to spend more time on the clinical aspects of my work.

Dr Lau Berraondo

is the Clinical Director at Enhance Dental Practice.

Awarded the National Firm of Accountants in 2018, Price Bailey are well placed to offer you and your practice ‘the right advice for life’. Working with dental professionals, Price Bailey offer private client and financial services designed to meet your needs throughout your professional career - from locum to business start-up to practice growth, and on to pension and succession planning. Our specialist dental team understands the unique concerns of the industry and supports our dental clients with guidance based on in-depth sector knowledge. With the dental industry facing new challenges - such as profits under threat from tighter NHS funding, consumer spending on private dental services, and industry consolidation - our sector specific advice provides constant specialist support for our clients and their practice. To do this, Price Bailey spends time getting to know your business and understanding your concerns, obstacles and opportunities; making sure the advice really works for you. Send an enquiry at www.pricebailey.co.uk or get in touch on 0800 434 6460.

Price Bailey have changed the way we run the business side of the practice. They have made the day to day running smoother and allowed us to concentrate more on the clinical aspects of modern dentistry

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Modern Dentist Magazine

See us at the Dentistry Show 17-18 May, Stand F20

3Shape TRIOS Go Beyond on your digital journey

TRIOS 3 Basic

TRIOS 3

TRIOS 4

Discover the complete portfolio of 3Shape TRIOSÂŽ intraoral scanners. Contact ukenquiries@3shape.com for more details

Whether you are a digital newcomer or a fully-digital practice TRIOS enables you to do more and Go Beyond in your delivery of superior patient care.

Product Review

QWhat made you decide to go digital?

Our practice is pretty innovative and at the forefront of the digital journey right now. We found that the last piece of the puzzle was having an IOS. During our research, it became clear that the 3Shape TRIOS scanner was one of the best on the market. At the time, they had just released it with open .stl export, so we could send to non 3Shape labs, and also work in-house. This finalised our decision.

another surgery within a couple of minutes. We are looking into buying another one so that we can increase its availability throughout the whole building. It has allowed the practice to not only use it for the things we would have traditionally used it for (crowns, bridges and single-use implants), but also for a lot of our orthodontic work too. It has changed our digital workflow in the orthodontic environment in short term orthodontics as well as planning. I like to push the boundaries and I think the 3Shape TRIOS allows me to do that.

were the main features you looked for in an intraoral scanner? QWhat

has TRIOS improved the quality of service for the patient? QHow

Trueness, accuracy, ease of use and a good workflow. Having the ability to use it for not just single unit crowns or single unit implants, but to have a good breadth of work flow in terms of the trueness and accuracy of a larger scan. We wanted to try and move as much of our workflow to digital as possible and the addition of the scanner has allowed us to do so.

When we are working on large or demanding cases, it all comes down to the accuracy of the impressions. When we are taking full arch impressions, there is goo, moulds, time in the chair – no patient likes that – they prefer to have the scan. The apps that allow us to simulate changes for the patients smile and teeth position are simply the best.

Why did you decide to invest in 3Shape TRIOS?

The team at 3Shape were really helpful and I really appreciated the support that I received. I was able to interrogate the system and through that process I came away thinking that they were incredibly innovative and that they had so much in their pipeline that would fit with how we would use the scanner and how we want to digital develop our practice.

has it improved the way you and your team work? QHow

TRIOS has increased our ability to plan ahead. It makes it super-efficient so the patient is spending less time in the chair and essentially we can send the scans to the patient and they can look over it in their own time with no pressure from us; they can then get in touch with us and start talking about the planning stages when they are ready. It gives us more opportunities to engage with our patients.

We are able to have the TRIOS readily available for a clinician and we can literally have it in

How has TRIOS improved efficiency within the practice?

The TRIOS is used in the majority of our planning appointments so that we can scan the patients and then show them the details in order for them to fully understand the problems in the way that we see the problem.

can you see the need for products like this in the future? QHow

The more we work towards a digital workflow, as the processes develop and innovation changes the game, the more patient engagement is going to improve. Anyone who is looking at getting an IOS, do some research, play with one and get to grips with it, and make sure it doesn’t just work for you but for your whole practice.

Dr Anup Ladva BDS KCL, MJDF RCS Eng, PGCAP AFHEA, MClinDent FRP KCL

is the Clinic Director at Braintree Dental Studio.

I like to push the boundaries and I think the 3shape TRIOS allows me to do that

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Modern Dentist Magazine

PLANMECA ProMax 3D CLASSIC THE CBCT THAT TICKS ALL THE BOXES. multipurpose range of X-ray units, capable of 2D panoramic and cephalometric images, 3D CBCT, 3D facial photography and 3D model scans. Patient movement is one of the main contributing factors in poor image quality. Planmeca CALMTM corrects artefacts caused by movement, resulting in sharper final images eliminating the need for re-takes. Call Planmeca today to start your CBCT journey...

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For more information visit www.planmeca.com

Planmeca UK Ltd, Suite 2, Ricoh Arena, Judds Lane, Coventry, CV6 6GE. Tel: 0800 5200 330 • Email: marketing@planmeca.com

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The Planmeca ProMax® CBCT family is an intelligent and

Product Review

A new way of approaching implants

Dr Chris Navarro BDS MFGDP, Principal Dentist at Beeston Dental Practice and Implant Clinic, discusses his experience using Planmeca’s ProMax 3D Max and how it has helped him to efficiently manage and plan his dental implant surgeries.

Q A

Why did you decide to invest in Planmeca ProMax 3D Max?

My journey with digital imaging started with the Planmeca Promax 2D OPG machine, which we had installed in 2006. As my experience with implant dentistry grew I realised I wanted to invest in a 3D cone beam CT machine. I wanted to be able to plan my cases virtually before I touched my patients, in order to give me the peace of mind that I am doing my utmost to provide safe, prosthetically driven surgery.

Q A

How is the Planmeca ProMax 3D Max enhancing imaging procedures?

Its allows me to see the patient’s anatomy in three dimensions - so that I can virtually place an implant in the right place for the prosthetic tooth away from vital structures, before I perform the surgery for real. Using the CBCT scan and I/O scan together from the Emerald, I can then create a surgical guide to aid my implant placement when it comes to placing the implant - giving me extra peace of mind that I have done all I can to get the implant in the right place.

Q A

How has Planmeca ProMax improved the patient’s experience?

Q A

How has Planmeca ProMax improved efficiency within the practice?

I no longer have to refer patients for a CBCT scan, which I did before - I know this has put some patients off. Having the ability to give patients answers more quickly and efficiently without having to inconvenience them with referrals to a third party has definitely helped the Practice and my patients. The planning workflow and software is intuitive and allows me to plan what stock I need, how I should approach the case and what potential difficulties I might encounter before I see the patient, so my surgery is more efficient. The surgical guides that I have been able to design using my Scanner and the Romexis software has improved the quality and efficiency of my surgery also.

Q A

How has it improved the way you and your team work?

Our team love placing implants so anything that helps us do that is a bonus for us.

Not only are the ProMax and Romexis great planning tools, they are great communication tools too - it is far easier to communicate to teams, lab technicians and patients what is planned and why.

Dr Chris Navarro BDS MFGDP

The patient gets peace of mind too - they are often amazed by what they see when I show them their scan, the planning software and their potential new teeth on a screen before we’ve even performed any surgery Planmeca − Better care through innovation Planmeca is a global leader in many fields of health care technology, with products distributed in over 120 countries worldwide. Our product range covers digital dental units, world-class 2D and 3D imaging devices, and comprehensive CAD/CAM and software solutions. Our aim is to create functional, durable and beautifully designed products that stand the test of time. We do this by always keeping our four design principles in mind: ergonomic workflow for professionals, patient and staff safety, patient comfort and long lasting aesthetics. All our dental care units, X-rays and software solutions are designed and manufactured using the latest technology and the best materials.

is the Principal Dentist at Beeston Dental Practice and Implant Clinic.

Modern Dentist Magazine

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Product Review

Marketing is crucial for growth

Dr Sonia Ali, Principal of Westbourne Grove Dental, tells us her reasons for choosing Digimax Dental to help recreate her brand and stand out in a sophisticated way.

Q A

How has Digimax Dental enabled you to grow as a practice?

As a practice that was rebranding and where it almost felt like starting a squat – I can say Digimax has been a fundamental component in our practice growth strategy.

Q A

How did Digimax Dental help you to establish your brand identity?

They are great at making practices stand out in a sophisticated way. I believe sophistication attracts sophistication. Their brand design process was incredibly thorough, which allowed me to have a stunning sign for the shop front designed, which often stops potential patients in their path. Shaz, the Creative Director, has a keen eye for the finer details, which was very important to me.

Q A

Why is it important to have a large presence online in this day and age?

I think it is reasonable to say 40% of our new business comes from locals that are searching

from their home, or people who work in the local area and just need to see the ‘right’ dentist for them. This can only be achieved by a strong presence online, and supported by a phenomenal in-house team and not to forget – exceptional clinical skills.

Q A

Has there been an improvement in retention and gathering new patients?

Oh absolutely, our growth has been notable. Our team see it and it’s made them more enthusiastic to grow and develop the brand. Once we get the patient through the door, they almost certainly become a patient of ours.

Q A

Comment: We are an award-winning Dental Marketing Agency based in Marylebone, London. We have been helping practices Stand Outand Grow since 2003. Our team consists of dental web designers, SEO experts, branding specialists and graphic designers. From website design, social media, through to digital advertising and printing – at Digimax Dental, every marketing need for your practice is catered for – requiring minimal input from you.

What is it like working with Digimax Dental?

Like a breath of fresh air! They take the time to really understand our needs and are all highly professional. It’s clear they are true designers and fully grasp the needs of a practice in a location like mine. They make difficult things, very easy!

Dr Sonia Ali is the Principal of Westbourne Grove Dental.

We have a deep understanding of dentistry from a patient and dentist’s perspective and know what is required to make your practice marketing a success. We apply the very best design talent to produce work proven to convert patients. Our clients tell us our work is unique, and they have seen nothing like it in dentistry. Our solutions are never one-size-fits-all – we strive to be better every day and produce unique work that makes you stand out from the competition.

Digimax has been a fundamental component in our practice growth strategy. They are great at making practices stand out in a sophisticated way

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Modern Dentist Magazine

Product Review

Finding the right buyer Selling a dental practice can seem a daunting process, as there are many obstacles to overcome in order to achieve everything you set out to do.Working with an expert team you can trust, to help you navigate the maze of due diligence, bidding processes and various contracts, is a must. Before you even get to all this, the very first challenge is finding the right buyer for your business. We spoke to Dr Sesh Rao about his initial concerns and all the challenges involved with his practice sale, as well as how he achieved a desirable end result. was your biggest fear prior to marketing the practice for sale? QWhat QWere they in regular contact? For me, this was achieving the asking price. they were – I’d give them 10 out of 10 for Due to general market conditions and the A AYescommunication throughout the process. value of UDAs within the practice – our UDAs were valued at just under £20, while some practices get closer to £25 or £26 – there was a little anxiety about getting the full asking price.

did your completion price compare to your original valuation? QHow In the end, we actually achieved more on completion than the original valuation for the A practice. made you choose the offer you accepted? QWhat It was the highest bid, but the potential buyer also shared the same vision and aspirations for A the future of the practice as me – they wished to

progress the business and take the practice to new heights.

Q The timeframe. We were initially aiming for 4-5 months, but it took about eight months in A the end. This was no one’s fault, just the nature of

On reflection, what was the most challenging aspect of the sale?

the beast. I think one of the reasons for the delay was that the buyer had three separate legal teams – one for the leasehold, one for the business and one for employment. Despite the fact that I worked with only one company, we still had questions coming from three different teams on behalf of the buyer, which may have slowed things down. Other than this, the transaction went as planned and we reached a mutually satisfactory conclusion.

consultants in Dental Elite did you work with? QWhich My initial contact was Phil Kolodynski and I later worked with Sue Humphrey – they were A my main two contacts.

Q A

How did you find the agent buffer between solicitors, buyer and seller?

The agents I worked with were very mature and level headed. This is very important in this business – prices are high so agents working on your behalf and involved with the negotiations need to stay calm and collected, which they did in my case and this certainly helped. The team were very knowledgeable, very professional and always pleasant.

Q A

Why did you choose Dental Elite?

I initially marketed my practice with a different agent, but struggled to find the right buyer. A good friend of mine was working with Dental Elite to sell their practice and recommended them. I therefore moved over and found Dental Elite to be a better alternative for me.

Q A

Would you sell through Dental Elite again?

I would definitely work with Dental Elite again. All the consultants had the necessary knowledge to get the right outcome for me.

Luke Moore, Co-Founder of Dental Elite, commented: “We are all about making practice sales as hassle-free as possible for vendors. Our team has a really in-depth knowledge of the various processes involved and ensures we stay up-to-date with all the latest regulations and news in the profession to enable us to always provide current and correct advice. Within our team are professionals dedicated to areas like CQC application, whose refined expertise can significantly help transactions progress efficiently. We also make sure every dentist we work with has one point of contact throughout the entire process, making communication easier and more effective. “For anyone looking to sell their dental practice, our key recommendations would be to get as prepared as you possibly can, well ahead of time. That includes checking everything from lease length to possible property defects, staff contracts, NHS contracts, accounts, marketing, due diligence, indemnities and so much more. Working with a professional who understands the process and is able to help you avoid potential complications that could delay the transaction is key.” For more information on Dental Elite visit www.dentalelite.co.uk, email info@dentalelite.co.uk or call 01788 545 900

Dr Sesh Rao P BDS MDS FDSRCS (Edin)

is the Principal Dentist at Stotfold Dental Clinic.

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Modern Dentist Magazine

Convert more leads into patients Every month our award winning online software helps practices catch, nurture and convert patients worth more than £1.5 million. Join them.

NEW

Get started for free, trydengro.com “ DenGro is a must have for every practice. The most effective new lead management system.” Dr Erika Schoeman Principal, Elegance Dental

“ We started using DenGro in October 2018 and absolutely love it! Well done and thank you DenGro!” Dr Colin Gardner Principal, Botanics Dental

“ Previously we were using InfusionSoft but found this far too technical. DenGro is a clear winner.” Amy Cuckoo Marketing Manager, Aura Dental

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C o nve r t m o re l e ad s

Product Review

Convert more leads into patients The introduction of DenGro to Dr Colin Gardner’s practice, Botanics Dental Care, has seen an increase in the managing and converting of leads. Here he explains why they decided to choose DenGro for their practice.

Q A

How did you manage leads before using DenGro?

We had a patient tracker system and we also had a mixture of spreadsheets that were tracking different things. But DenGro has changed that, so instead of someone having to go through many different spreadsheets, we have now got everything located in the one place.

Q A

Who uses DenGro in your practice?

Everyone. My practice manager and I got the initial training through the MiSmile Network, but we could see that this was something that would be invaluable to the practice and that would be incorporated as a daily task, so we rolled the training out to everyone.

Q A

Did you find DenGro easy to introduce to the daily practice routine?

Yes, we incorporated it into the reception protocol, so whenever we receive a lead, be it a phone call, an email, a referral or a walk-in, that data gets captured and put onto DenGro, and if the patient is not able to make an appointment there and then, we set reminders on it so no one should slip through the net. We don’t just use it for new patients now – we also use it to keep track of our existing patients. For example, someone may express an interest in a particular treatment but not be quite ready to proceed. We can now add them to DenGro as a future task. We always did this in the past but now it’s simplified by all being together in the one place.

Q A

How has DenGro improved your lead management processes in practice?

It has certainly simplified it. Instead of there being several excel spreadsheets for someone to sift through, we have everything in one place. I think the biggest challenge facing practices is when a patient or a potential new patient is trying to make contact but we can’t speak to them there and then. The automated task setting from DenGro means that even if we can’t reach them at that, the team is able to put a note in that they attempted to and then reset when that task is going to be due again. The beauty is that can happen several times during the day. We

experiment a little bit with the timing to identify the best times to call certain patients.

Q A

Are you converting more leads with DenGro than you were previously?

Like most practices, we’re not converting as fast as I would like to be, but I would say that DenGro has simplified the process, which has made us much more efficient in converting leads.

Q A

How do you use DenGro Reports in practice?

In several different ways. We can monitor which team members are logging in and we can manage our team’s performance – we can identify any training needs and act on those. There are lots of indicators to measure and we can see the potential value for our whole team. We are able to identify where potential leads are lost, which allows us to target team training to improve our overall conversion rate. We want every team member to make the most out of DenGro and understand the benefits to the business, and consequently to us all as the practice subsequently grows.

Q A

What do you find great about using DenGro?

It gives you so much information very quickly and it is easy for every team member to use, so it frees up time and means that none of your potential leads can get overlooked. Any system is only as good as the data entered into it so it definitely worth while spending time on training the team to make sure everyone is inputting that data correctly.

Q A

Would you recommend DenGro to other practices?

Yes, I am a big fan of DenGro; it simplifies all of our processes and saves us a lot of time and has increased our efficiency. Longer term, I expect it is going to make a significant difference to our return on investment. It is early days for us at the moment but I can see massive potential going forward.

feedback and make the experience as easy as possible for us. It has been a joy working with them.

Dr Colin Gardner BDS

is the Clinical Director and Principal Dentist at Botanics Dental Care.

COMMENT We’re delighted that so many practices are recognising the value that DenGro provides. As practices invest more in their marketing activity, it makes sense for them to also invest in the practice’s follow-up systems to ensure they maximise the conversion of as many of those patient enquiries as possible. Spreadsheets, diaries, post-its - these methods of tracking patient enquiries just don’t offer the same benefits a digital lead management system does when it comes to efficiency and productivity, not to mention nurture and conversion. We know that practices are busy places, we also know that the introduction of new processes and systems in practice isn’t something that’s taken lightly. Anything ‘new’ needs to provide clear benefits and add real value, to everyone in practice. Thankfully, those practices who have switched on to DenGro are finding just that. Front of house teams have likened DenGro to having their own Personal Assistant - making the management and conversion of new leads effortless, while principals and practice managers really value the transparency and reporting it provides. We couldn’t be happier with the reception we’ve received from the industry, including our recent award win for High Technology launch of the Year from FMC.

The whole team at DenGro are extremely approachable and respond incredibly quickly if we do have any queries – they are also very open to

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Modern Dentist Magazine

Crystal clear! LuxaPrint Ortho Plus. What do you need for high spirits in 3D? A 3D printing material for splints with the clearest transparency! LuxaPrint Ortho Plus offers 99 % transparency â&#x20AC;&#x201C; every bit as good as the transparency of drawn-down splints. Another, important advantage: No brittleness and extreme impact resistance. You can discover even more clear advantages of LuxaPrint Ortho Plus at: www.dmg-dental.com/luxaprintorthoplus

Product Review

Dental future in 3D:

DMG presents new materials, printers and software

“Validated workflow at your service”

The interplay of materials, hardware and software is crucial for an efficient digital workflow in the dental practice and laboratory. In line with this holistic approach, DMG is presenting a whole series of new developments for 3D printing at the IDS – perfectly coordinated for reliable processes and quality results in day to day procedures. Four new LuxaPrint material variations DMG has added four new light-curing materials to the tried and tested LuxaPrint family. Look forward to new key applications in 3D printing! All LuxaPrint variants have been designed using the highest quality material and for the easiest handling. Precision printer DMG 3Demax and 3Delite The new DMG 3Demax is a high-precision, high-speed 3D printer for a wide variety of dental usage. Thanks to ultrafine resolution and a generous build area, it can be used to create drilling templates, burnout casting structures, mouthguards and splints, crowns and bridges, models and much more. The “Force Feedback” option accelerates the printing process by up to 50%. The compact DMG 3Delite 3D printer has been specially developed for the rapid production of individual crowns and bridges, splints, drilling templates and individual trays. The practical “Single-Print Capsule” system allows simple, clean loading with portioned quantities of material. Software DentaMile connect With DentaMile connect, DMG offers a cloud-based solution that will revolutionize the digital workflow. The customizable software ensures that the production of medical devices is secured and validated. For more information and active participation visit www.dentamile.com

The complete digital workflow can be experienced live at the

Dentistry Show 17th & 18th May 2019 at Birmingham NEC, Hall 5, Stand P55. |55

Modern Dentist Magazine

Product Review

NEW Shadeless Omnichroma from Tokuyama never take a shade again!

“The feedback I got is that the restorations feel really smooth and natural compared to the other restorations they have.” - Dr Maarten de Beer, Holland Up until now, in order to provide the optimum in aesthetic composite restorations it was necessary to spend a considerable amount of time taking an accurate shade match. And, to be honest, even then it was sometimes wrong when the patient got out of the chair! Plus it was necessary to stock those rarely used shades, just in case. Shades that could go out of date before you had managed to use them all up. Tokuyama, one of the world’s biggest and most innovative dental manufacturers, have eliminated the cost and inconvenience of both of these problems with the introduction of Omnichroma the world’s first shadeless composite. Tokuyama’s shadeless Omnichroma combines patented “structural colour” pearl technology with their advanced resin expertise so that just one shadeless Omnichroma and Omnichroma Blocker is all you need to replace all 16 Vita shades of any other composite system. This means that with Omnichroma there is no need to shade match ever again because just one pack saves the time and cost of on average 20 shade matches per syringe or pack of PLTs. Whilst its white opaque uncured appearance makes it clearly visible when packing and carving it becomes invisible when cured, seamlessly blending into the natural tooth so that it simply disappears. Quick and easy to adapt into the cavity, like Tokuyama’s other leading composites, Estelite Sigma Quick and Asteria, it is extremely quick and easy to polish. Again saving valuable time. Here are some of the comments from some of Europe’s top aesthetic practitioners: “At first I was a bit sceptical that Omnichroma could replace all the different colours of composite we use in daily practice, but I found out that it actually works. The handling of Omnichroma has quite a learning curve, but once you use it often gets easier and you can get stunning results. What I absolutely love about Omnichroma is the polishability of the material. It’s so easy to get a beautiful shine on the material, a lot easier than the other brands I use. The patients are also very happy with Omnichroma. The feedback I got is that the restorations feel really smooth and natural compared to the other restorations they have.” Dr Maarten de Beer, Holland. “The use of the blocker requires a little bit of intuition, but even anterior restorations can be solved excellently with Omnichroma.” Dr Christof Föcking, Germany. “My first reaction was that it’s truly magic. The result is also beautiful, high gloss, easy to sculpt and the procedure is simple. Except for the fact that you can skip the shade selection step your workflow is the same as with regular composites. The only addition is the blocker which you can use to cover heavy discolouration which you don’t want the composite to take its colour from.” Dr Clas Oscarsson, Sweden. “First I was sceptical if the colour matching would fit. But easy application, convincing polishing results and surprisingly good colour matching convinced me.” Dr Markus Lenders, Germany. “Omnichroma is an essential composite for any restorative dentist as its colour matching after curing in circumferential enamel cavities is truly unique.” Dr Thomas Taha, UK. “One colour for all fillings? Sounds completely unbelievable – but actually works!” Prof Dr Claus-Peter Ernst, Germany. “A very descriptive case of an incisal edge fracture with initial incisal application of Omnichroma Blocker and further layering with Omnichroma. The first image shows the incisal edge fracture after conditioning with etching gel and an adhesive. The second image shows the application of the blocker and the third the perfect integration after layering with Omnichroma.” Dr Ulf Krueger-Janson, Germany. But seeing is believing! Ask your local Trycare Representative for a demonstration of shadeless Omnichroma’s magic disappearing trick!

For more information about the complete Tokuyama range, including Omnichroma, contact your local Trycare Representative,

call 01274 885544

or visit www.trycare.co.uk/ omnichroma

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Modern Dentist Magazine

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Case Study

Nuvola aligners... The difference is clear! Hand crafted in Italy by master craftsmen, bespoke and using only the highest quality materials, you could be forgiven for thinking I am talking about an exotic sports car! Of course, I am talking about the fantastic Nuvola aligners from GEO. GEO is a laboratory that is constantly evolving, despite their vast experience and years of market dominance in Italy, their owner is constantly innovating. GEO are always looking at ways to get ahead and stay ahead of the curve! This can be new materials; the laboratory interface; the treatment upload portal... The list is never ending!

Before

I have used these clear aligners for nearly 10 years now and have been extremely pleased with the performance. What truly sets Nuvola apart is the personal communication with the laboratory which ably backs up a top quality product. The extremely clear aligners are popular with patients due to the speed with which they work, comfortably straightening the teeth with maximum discretion. Due to the quick turnaround times with Nuvola, patients don’t need to hang around to start their smile makeovers! With scanning and exported STL files, treatment plans or assessments on treatment can take place in a matter of days (or sometimes hours!) Don’t panic if you are yet to invest in a scanner, the fully comprehensive orthodontic laboratory can still produce the same excellent results from traditional impressions.

After

All Nuvola products are supplied in stylish and practical packaging, by far the best in the current market. The patient can leave your surgery feeling that their investment has been made in a quality brand that conveys its superiority across all facets of the production. This includes lightweight and extremely clear aligners, robust packaging to help the patient take their aligners home and appliances that effectively and efficiently move the teeth to a perfect position! You can put full trust in Nuvola. Alongside the excellent products which Nuvola produce, they are very keen to provide continued support to clinicians using their products. This is achieved through innovative courses to explain how to maximise results with the Nuvola aligner. They have a huge wealth of talented and knowledgeable clinicians who are using the system in their daily practice and can therefore guide you whether you are taking your first steps or looking at more complex treatments with a few cases already under your belt!

Dr Richard Brown,

Parrys Lane Dental Practice and Bupa Dental Care, is a Nuvola Speaker for Nuvola courses.

A-dec Opens New Southern Showroom

A-dec have just opened a new showroom is Bracknell, near Reading, and they can’t wait for you to see it! At the new location, they will be showcasing the entire A-dec chair collection; allowing customers to explore the full range of chair configurations, delivery systems and LED lights. The new premises will also be used for hosting courses and training from partners as well as A-dec themselves. For the past 55 years, A-dec has been asking dentists what they need and want from their equipment. In response, they have created numerous innovative and reliable solutions that have helped shape modern dentistry into what it is today. A-dec’s reputation is based on the high build quality and longevity of their products, and they are proud to offer some of the most highly acclaimed dental chairs on the market. Visiting the showroom is a great opportunity to take your time in exploring the range and testing out the chairs. It’s also the perfect time to have a one-to-one discussion with an equipment expert about your dental equipment needs, to ask questions, get advice and find the perfect solution for your practice. Customers are encouraged to bring a colleague or their dealer to a showroom appointment, as a second opinion or alternative perspective may be helpful.

The southern showroom is conveniently located between Reading and London at 329 Bracknell, Doncastle Road, Bracknell, RG12 8PE within easy reach of the M4 and Bracknell train station.

Contact Justin Hind at 07921 004 829 or email info@a-dec.co.uk

to request a personal showroom appointment for a time that suits you (evening and weekend times are available). A-dec will also be offering on-stand consultations at the Dentistry Show between the 17th and 18th of May on stand B40 – please stop by and say hello if you are attending. The team at A-dec look forward to welcoming you soon.

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Modern Dentist Magazine

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Case Study

Triple Enzyme

Gigazyme Foam ®

gigazyme® foam from schülke is a ready-to-use spray foam designed for the immediate cleaning and disinfection of dental instruments, before reprocessing. The unique formulation includes three different enzymes for cleaning and disinfection. gigazyme foam also keeps soiled instruments moist for a prolonged period of time. In tests, using the state-of-the art ProReveal system, gigazyme® foam removed over 70% of the protein residue on instruments before reprocessing [1]. The ProReveal system is 100 times more sensitive than other currently available tests in detecting proteins on instruments [2]. Containing a unique mix of three enzymes plus surfactants to enhance cleaning, gigazyme® foam maintains a moist environment around the instrument to help prevent blood and other organic materials from drying prior to cleaning. Compared to soaking instruments in water, gigazyme® foam has ten times the degreasing cleaning power (DCP) against organic soiling on stainless steel. Compatible with most materials used in the production of dental instruments, gigazyme® foam does not present a corrosive pitting risk on stainless steel. gigazyme® foam offers dental practices an effective spray with proven cleaning and disinfection properties.

Contact www.schuelke.com | email: mail.uk@schuelke.com | schülke UK Ltd, Cygnet House, 1 Jenkin Road, Meadowhall, Sheffield S9 1AT | 0114 254 3500

References: 1. schülke data on file 2014 2. Perrett D, Nayuni KN, Hayden-Wright A, The in-situ detection of residual protein on surgical instruments: Development of the ProReveal system, IDSc Journal, 2014, Vol 18, No 3

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Modern Dentist Magazine

10 Minutes with... Neil Photay I would say that one aspect of the profession that has really changed is how much time dentists can afford to spend working closely with labs

There have been lots of positive changes to the industry in a very short time. I think one of the most important of these is the introduction of new technology such as CAD/CAM and intraoral scanners. These are really helping to boost patient satisfaction, especially as they allow us to create more accurate restorations, speed up turnaround times and reduce the need for remakes. No one wants to go to the dentist more than necessary, so it’s really important that we all work together to get restorations right the first time.

Neil Photay

is the Director of CosTech Dental Laboratory.

Q A

Has the dental profession changed since you started work in it?

Yes. I think generally the population are more aware of dentistry and the importance of looking after their teeth, and this has had a direct impact on dental laboratories. We are seeing a significant downturn in fixed prostheses such as crowns and bridges, and a large increase in aesthetic treatments like veneers and whitening.

The introduction of the UDA system has impacted the laboratories greatly. Practically overnight, multi-unit cases reduced to single unit cases. However, as the system changed, the shift to prevention rather than cure has benefited all patients. I also think aspects of modern life such as social media are impacting how the profession is operating today. Aesthetics have become more important than ever, and whilst we still need to put function first, natural-looking restorations have become the primary priority for patients. It looks like we’ve all had enough of jokes about “British teeth” and are trying to change things around! What have been the key positive or negative changes in your area of the profession?

62|Modern Dentist Magazine

Another huge positive is the widening array of materials available for these restorations. Not so long ago your choices were pretty much limited to PFM or metal, but now we have an extensive array of excellent, highly aesthetic materials at our disposal, including zirconia and other ceramics.

are passionate about achieving patient satisfaction. Changing someone’s smile can massively transform their life. Getting feedback that our teamwork has impacted someone’s life so positively gives us tremendous job satisfaction.

Q A

When it comes to negatives, I would say that one aspect of the profession that has really changed is how much time dentists can afford to spend working closely with labs. In the past it was part of a dentist’s training to learn how to make their own crowns, but today it seems that this information has been reduced to one module during their course. I feel this makes it harder for new dentists to understand our side of things, and this can affect their relationship with the laboratory. At the lab we always have an open door to new dentists, so they can increase their knowledge and meet the technicians.

Q A

Who inspires you and why?

It’s not particularly an individual that inspires me but a type of person. I love it when I work with dentists who

Working with these individuals is really inspiring and technicians love it – passion really shows, and in an industry which is about caring for people it’s heartening to see people who put this belief first. What do you do to ensure good customer service?

I think what we do best is communication. There are now so many ways to keep in touch with people, and at CosTech we always try to keep contact direct and straightforward so that we can work with dentists to get better results. Our phones are manned as much as possible, but we are also happy to email or send instant messages. Instant messages are particularly good because we can send photos in real time and discuss them there and then – this means that professionals don’t have to wait for us to deliver a product just to make sure it is right – we can go through the process together and ensure that we are on the right track with all of the most relevant and up to date information.

Q A

If you were not in your current position, what would you be doing?

I come from a family of business people so I would still be running a business. My passion outside of work is music, so being involved in the music industry and live events etc. would be great!

Transfer to us and get £10 for every patient And that’s in addition to the huge long-term savings you’ll make by switching to us as your plan provider. Only available to the next 10 practices that transfer, this deal won’t be around long. Get in touch with us on 0344 848 6888 or at info@patientplandirect.co.uk to find out more. Terms and conditions apply.

Visit us at Stand G65 at The Dentistry Show on 17th & 18th May to see what you can pick up in our grabber machine!