V O L 7 3 N O. 1 2 I D E C E M B E R 2 0 2 0 I B Y S U B S C R I P T I O N
DENTAL TECHNOLOGY...
IMPLANT USE IN ORTHODONTICS PAGES 8 & 10
VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM
THIS MONTH... • TECH INSIGHT: 5 THINGS I CANNOT WORK WITHOUT! I SEAN WARD P. 16 • INSIGHT: DENTAL PROFESSIONALS CONFERENCE 2020 I ANDREA JOHNSON P. 22-23 • BUSINESS: EMPLOYEE ENGAGEMENT I ASHLEY BYRNE P. 30-31
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CONTENTS
CONTENTS I DECEMBER 2020 Editor Matt Everatt F.O.T.A. E: editor@dentaltechnician.org.uk Designer Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com Advertising Manager Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602
Welcome Welcome from the editor
DTS 2021 For all the dental lab community Ready for anything
Editorial advisory board Andrea Johnson Ashley Byrne Ross Chapman Sharaz Mir Sir Paul Beresford
Dental Technology
Published by The Dental Technician Limited, PO Box 430, Leatherhead , KT22 2HT. T: 01372 897463
6 Self Help Tips For Those Aches & Pains. John Forde and Katie Bell Long lasting health. Helen Everatt
The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.
5 things I cannot work without! Sean Ward My professional journey and Dental Technology. Andy Fairbanks
No part of this publication may be reproduced in any form without the express permission of the editor or the publisher.
Virtual Dental Professionals Conference 2020. Andrea Johnson
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Leadership has never been so important. Leanne Doncaster, Byrnes Dental Lab Employee engagement. Part 4. Ashley Byrne
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Implant use in Orthodontics
5 17
8 & 10
Health & Wellbeing 12 14
Technicians Insight 16 34-35
Dental Laboratory Software Review Labtrac. Review by ukdentech
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Insight 22-23
ECPD 26-27
Business
ADI Team Congress 2021
28-29 30-31
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Marketplace SHOFU Disk ZR Lucent Zirkonzahn Shade Guides
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Classifieds
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WELCOME
Welcome
TO YOUR DECEMBER 2020 ISSUE By Matt Everatt F.O.T.A I Editor
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elcome to your December Edition of The Dental Technician Magazine. Now we are into December, I think most of us will be so happy to say goodbye to 2020, and may we never experience another year like it! For those of us that are still here, working in whatever context, we are here and we have experienced a once in a lifetime event that hopefully we will never experience again and one day we will be but a history lesson at school. To the techs who spent their summer worrying about their jobs and livelihoods, it wasn't the summer we had hoped for. Hopefully for the most we managed to get some quality time with our families or finishing some of those tasks at home that we've put off forever! You did it, and hopefully enjoying being back working and helping the Great British public again. Well done all! For those lab owners that have been agile and utilised the Furlough scheme and have managed to get everyone back into work, adapted your workplace to be Covid safe and are operating with some kind of normality, I salute you. It’s not been easy!
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For the reps (lots whom are ex techs) who have gone back into their roles and been inventive with zoom and telephone meetings, well done, we need you more than we will ever admit to! To the hospital techs who have worked throughout the pandemic, some of whom have been redeployed to do jobs they'd never imagined they'd be doing, much respect to you and thank you for your efforts. To those whom may have lost their jobs or worrying about their futures, please remember this is a small community, reach out to us, you never know, we might just be able to help. Someone may need some extra help in their lab, or know someone who does. Let's pull together on this. To the CDTs who have had to jump through ridiculous hoops to make their clinics COVID safe and for the work you have no doubt done to help the desperate patients who could not access treatment for a few months! Well done, you did great! To the lecturers in colleges and Universities, we need you to keep going and bringing our
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new blood through. You often get a rough deal from all angles, we need you more than we think we do. We have almost done with this year! As far as I concerned, 2020 can chuff right off, then chuff off a little further until it’s a distant memory. Dentistry is already on a great path to recovery. Those that have become dependent on work from NHS providers, it will bounce back with a vengeance, just make sure you don't be a push over with your pricing and services and you WILL COME BACK STRONGER! So please join me in giving each other a virtual hand shake, a pat on the back, a virtual hug if you fancy. I don't say this lightly, if you need someone to chat with, run something by someone, have a rant or just have a friendly chat, drop me a message. Well done everyone! A little early to celebrate the New Year, but I do hope we all absolute thrive in 2021.
I TRULY HOPE WE ALL SMASH IT IN 2021!
DTS 2021
FOR ALL THE DENTAL LAB COMMUNITY
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The Dental Technology Showcase (DTS) 2021 will provide just the boost you need to reset your laboratory and your career. There will be an array of lecture programmes dedicated to different areas of the profession, including the DTS Lecture Theatre and the Digital Dentistry Acceleration Theatre. There will also be sessions designed specifically for orthodontic technicians and clinical dental technicians, with business topics covered to support lab owners too. In addition, the trade floor will host various manufacturers and suppliers of products, technologies and services designed for the dental lab profession, with show-only deals and live demonstrations to enjoy.
SAVE THE DATES IN YOUR DIARY TODAY!
DTS 2021 WILL BE HELD ON FRIDAY 21ST AND SATURDAY 22ND MAY, BIRMINGHAM NEC, CO-LOCATED WITH THE BRITISH DENTAL CONFERENCE AND DENTISTRY SHOW FOR THE LATEST INFORMATION, PLEASE VISIT
Web: www.the-dts.co.uk Call: 020 7348 5270 Email: dts@closerstillmedia.com
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S AVE !
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BAR HEADER
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DENTAL TECHNOLOGY
IMPLANT USE IN ORTHODONTICS By Dan Shaw I Laboratory Manager at Chesterfield Royal Hospital The control of anchorage during orthodontics is the key to successful treatment. Headgear – Extra Oral Traction (EOT) for example is a common technique to allow achievement of desired tooth movement. The use of EOT devices can lead to good treatment outcomes however the aesthetic and comfort aspects of this approach are not particularly favourable. The responsibility for EOT wear is left with the patient, hence their cooperation is vital for treatment to succeed. USE OF MID PALATAL IMPLANTS
In 2000 at Chesterfield Royal Hospital (CRH), I was introduced to a technique that we hoped would become a viable alternative to EOT - the use of intra-oral implants. At that time we were using Strauman Midpalatal implants that required three months of osseointegration before force could be applied. The accurate insertion of these implants required a surgical stent that was worn whilst an OPT was obtained to view the desired trajectory of the implant. If the clinician was happy with the stent, then this appliance was converted into a surgical guide, to enable 4mm or 6mm drill hole to be made. Finally the ratchet torque tool allowed the implant to be placed into the pre-drilled hole. (figs 1-4) The design of the Implant supported palatal arch evolved as the project progressed, with the initial Trans-Palatal Arch (TPA) soldered to both the implant and two orthodontic bands around the first permanent molars. In some cases, the position of the implant relative to the crowns of the molars was not favourable, and the rigidity of the appliance was not forgiving enough to allow the device to be seated successfully. Initially the band was cut, so it would only part contact the crown. The second alternative was to use bonded brackets, cemented to the palatal aspect of the anchor teeth. Both these methods were unsuccessful due to subsequent cement debond. (figs 5-7) The later employment of lingual hinge brackets, supplied by Ormco, allowed the TPA to effectively connect the implant and the bands of the anchor teeth. (fig 8)
Fig 1 Fig 6
Fig 2
Fig 7
Fig 3 Fig 8
USE OF TEMPORARY ANCHORAGE DEVICES
Using this previous experience in implant apparatus design and problem solving, it was an exciting challenge to provide another new method of treatment using Temporary Anchorage Devices (TAD’s). This time I was asked to design a TAD supported device that would enable the mesialisation of the buccal segment teeth.
Fig 4
The initial case was relatively straight forward, and a treatment plan was devised by the Orthodontist. (fig 9) After considering several alternatives we settled with the OrthoEasy TAD by Forestadent UK. The attractive feature was the robust and versatile fixation of the arch to the implant using the internal thread on the head of the TAD. The following image demonstrates this and also shows how the abutment is secured via u the locking screw. (fig 10) P.10
We then compared the use of these implants to that of EOT and they proved to be successful and were therefore recommended as a satisfactory alternative to EOT (Am J Orthod Dentofacial Orthop. 2008 Jan;133(1):51-7, Journal of Orthodontics. 2004 March; 133(1):3-8)
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Fig 5
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DENTAL TECHNOLOGY From P.8
Orthodontic analogues were placed into the hexagonal housing of the transfer copings. This is a simple push fit and no wax must be placed around the pin to aid security as it is not necessary and the correct orientation of the laboratory pin could be compromised. (figs 11-15)
u
LABORATORY MANUFACTURE ABOVE: Fig 10
ABOVE: Fig 9
A suitable stone is used to cast the impression and produce a model of significant base thickness. This is necessary as when the soldering is performed thermal conductivity could crack the model. The positioning of the tube, (standard EOT activator tube (Ortho-Care UK) is crucial to allow easy translation of the molars to be mesialised. The tube must also be positioned 2mm away from the palate so as to avoid impingement on the palatal soft tissues. (fig 16-18) Further modification to the EOT attachment, is a gap in the mesial arm (fig 19) which allows placement of the spring, and secondly there is a fine notch created to prevent the spring becoming dislodged.
ABOVE: Figs 11 - 12
There is now one piece of 0.9mm SS wire that is soldered to the abutment and then rests on the cingulums of the central incisors. (fig 20) Once the superstructure is placed this anterior end of the wire is bonded to the teeth for added anchorage control. ABOVE: Figs 13 - 15
Once all soldering is performed and the appliance polished to a high standard, the distal end of the rod is smoothed. If the appliance moves the tooth as expected, this rod will protrude distally out of the EOT tube. (fig 21)
DISCUSSION
ABOVE: Figs 16 - 18
ABOVE: Figs 19 - 21
IMPRESSIONS
For success the clinical information must be transferred to the laboratory accurately. Initially, there was a tendency to favour silicone impression material and for the first few appliances made, this was the approach.
Fig 22
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Fig 23
Following their placement, two transfer copings were placed over the implants and appropriate orthodontic bands were placed on the teeth.
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This appliance has been successfully used for over 25 patients, however there have been issues and queries in its design that we have had to overcome. A few appliances had weaknesses of the wire presumably affected by heat during soldering, and unfortunately they fractured in use. The greatest challenge however has been the correct orientation of superstructure on the hexagonal headed Ortho analogue. After being placed over the analogue a small number of rods were not correctly lined up with the tubes. I concluded that there were two issues that could potentially cause this: either the impression transfer coping was moving within the alginate, or the analogue itself was spinning within the model. To overcome this, I have modified the impression cap and the orthodontic analogue pin to key both into the alginate and the model plaster, respectively. (fig 22-23)
CONCLUSION
As with all appliance design and manufacturing there will be failures and successes but with perseverance, patience and modification it is possible to overcome these challenges and provide successful treatment. www.forestadentuk.com
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BAR HEADER HEALTH & WELLBEING
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SELF HELP TIPS FOR THOSE ACHES AND PAINS BY JOHN FORDE, PHYSIOTHERAPIST AND KATIE BELL, PHYSIOTHERAPY & WELLNESS
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s you are all probably experiencing, this extended period of reduced activity is resulting in muscle tightness, joint stiffness, increased muscular tension due to how inactive we currently are! The goal of 10,000 steps per day is becoming increasingly difficult to achieve, you may even be surprised how groggy and stiff our bodies feel when our normal activity is restricted! Sports massage is a great treatment technique to reduce aches and pains, improve joint mobility and reduce muscular tension which is no doubt on the rise currently! With many people not currently having access to their regular sports massage therapists, this blog aims to support you in maintaining your health and wellness at home to reduce the likelihood of your aches and pains intruding into your daily routine! If you’re for whatever reason, unable to attend your routine sports massage appointments to get you back to peak health, you’re in luck.. as the below top self help tips and tricks will keep you flexible, mobile and pain free!
1. Self massage
While none of us are as flexible as elasti-girl and therefore won’t be able to massage our back or glutes we can still reach some problematic areas to reap the benefits! Apply a moderate amount of massage/baby oil and slowly work into an area of the body gradually increasing the pressure you apply into the muscle for 10 minutes. You’ll be surprised how much benefit this will give to a particularly sore and tight muscle.
2. Epsom salts
Absolutely no excuses for not having enough time to take a long bath anymore! Epsom salts are a great addition to your bath as they aid with muscle relaxation and nourishment. In addition to the salts, the hot bath works wonders aswell! The heat provided from the hot water relaxes down muscle tension, nourishes the muscle and joints with blood, oxygen and nutrients!
3. Hot water bottle
If the bath is too time consuming, a hot water bottle can mimic the benefits. Hot water bottles are brilliant for injury rehabilitation and the reduction of tightness and tension. Place a hot water bottle on a sore area of the body for 20-30 minutes, you can repeat this several times a day also!
4. Hydration
The human body is around 60% water so there’s no doubt that when we’re dehydrated it has a huge knock-on effect on our health and muscles. Dehydrated muscle is much more likely to be sore, tense and tight and so drinking the recommended 2 litres of water per day goes a long way in battling aches and pains.
5. Spiky ball/foam roller
These pieces of equipment are lifesavers for muscular aches and pains! Follow these links for some great exercises and tips for using them: Foam roller tips and exercise and Tennis ball self-release exercise.
6. Posture
Dental Technicians are particularly prone to adopting bad postures. Posture is important but not necessarily the postures we are in, it’s all about the time we are in that posture for! The best posture is your next one, meaning it’s best to avoid static positions and keep moving. Even if you adopt the classic textbook posture, if we hold that posture for hours on end, you’re going to ache no doubt! Keep moving to keep well and healthy. Hopefully this gives you a great start to battling your aches and pains at home during this inactive time. If you would like any further information on how we can help, do not hesitate in contacting our clinic. Find us at www.katiebellphysio.com
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BAR HEADER HEALTH & WELLBEING
LONG LASTING HEALTH By Helen Everatt I Mission Nutrition, Nutrition Coach and Fitness Instructor
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work with clients to help them become a healthier, fitter version of themselves. Most clients come to me once they have exhausted fad diets, meal plans, shakes, smoothies, red days, syns and points, because, despite working in the first instance, these schemes are more often that not, unsustainable and their results sadly do not last. So what is the answer to life long health and fitness? I believe education is paramount, teaching someone the fundamentals of nutrition, the importance and benefits of staying adequately hydrated, eating protein at every meal, limiting refined sugars and saturated fat, filling up on fibrous carbohydrates, moving daily, engaging in strength exercise sessions at least twice per week... I could go on. It is by no means rocket science, and all of my clients understand and are in agreement with the importance of each of these principles. It is the implementation of this understanding that is key in becoming healthier, for a lifetime. James Clear, one of the world's leading experts on habit formation and the author of Atomic Habits writes, “Goals are good for setting a direction, but systems are best for making progress.” We aren’t always 100% motivated, we can often start a new habit with the best intentions, forget it once skip it twice, for it never to be repeated again. If you're having trouble changing your habits, whatever they may be, the problem is not you. The problem is your system. Bad habits repeat themselves over and over, not because you do not want to change, but because you have the wrong system for change.
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What daily or weekly habits do you currently have? l Brushing your teeth l Driving to work l Taking the dog for a walk l Go shopping l Running the children to their activities We know that these systems work, because you do them regularly, consistently, without fail. To implement new healthy habits that you want to do regularly, consistently and without fail, piggy back on these existing habits, and add on the new habit you want to adopt. For instance: l Heel raises whilst brushing your teeth l Listen to a podcast or audio book whilst driving to work l Grab an apple to eat as you leave the house to take the dog for a walk l Park further away from the shops and enjoy a longer walk whenever you go shopping l Meal plan for the week and do the weekly food shop online whilst you wait for the children at their activity These are just a couple of examples, the possibilities really are endless. What could you do at your laboratory to ensure you are up and moving every hour? I had a client who, after talking about this one session, sent me a picture of her diary. She had moved all of her school and nursery drop offs and pick ups by 30 minutes. Booking in the time to walk these journeys, therefore increasing her daily activity. This worked for her, in her lifestyle, what will work for you? I have a friend who, at his
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dental laboratory, whenever he gets up to make a hot drink he would walk a circuit of the building as the kettle boiled. I am the queen of one-pot-wonders, when I cook, I do it big! I have an enormous pot I call my cauldron, and I have a habit of cooking 2 times, 3 times the volume of food our family will consume at that meal time. Over the years I have got making bolognese sauce, Mexican bean chilli, chickpea curry for 15 people down to a fine art. I have a cupboard full of Tupperware and box up the leftovers for myself and my husband to have for lunches in the lab throughout the week. Saving money, time and of course, being the healthiest versions of ourselves. The amazing thing about piggy backing existing habits, is that the 90% of the effort has already been done. I was already going to cook dinner for my family, my client was always going to take her children to school, I was already driving to work, taking the dog for a walk, making that cup of tea... all of these actions are already happening. My advice to you would be think small. Write a daily habit log, pick out the habits you do on autopilot and start piggy backing on some of those, with small, healthy habits, which, cumulatively will enable you to make enormous strides towards achieving your goal. I will close with a final quote from Clear: “Every action you take is a vote for the type of person you wish to become. No single instance will transform your beliefs, but as the votes build up, so does the evidence of your new identity.” Who do you want to be? Helen Everatt, Nutrition Coach, Mission Nutrition W: www.missionnutrition.co.uk Insta: mumonmissionnutrition FB: iloveMissionNutrition
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TECHNICIANS INSIGHT
5 THINGS I CANNOT WORK WITHOUT! We spoke with Sean Ward from Echo Dental Solutions Dental Lab recently about his 5 most treasured things that he cannot work without. Sean has certainly got an interesting way of warming up his lunch.
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1. WAX KNIVES Being mainly in the removable prosthetics field I have a certain penchant for a pair of wax knives I possess. Yes, a pair, both exactly the same, the same size, the same blade and the same spoon end. The reasoning for this is quite simple, when waxing up or setting up. I have no need to change around to which end of the knife I need to use I just pick up my alternate one. This saves getting burned on the back of the hand when I need to swap. One thing it doesn’t stop though is getting burned when I pick up the wrong one at the wrong end when I’ve left the bench for any reason. 2. MY ASH CARVER NO5. When I was a younger tech a colleague said to me to try to get my own instrument adapted to me for carving, then if anyone lifts yours they won’t be able to use it. I didn’t do this, but over the years I have only ever been able to use one type of Ash no5. Depending on where you source them the blade is designed slightly different, and no matter how often I’ve tried, I go back to the original shape I used when I was at college. I have multiple Ash carvers but I only use one.
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3. DREVE LABORMAT My Dreve Labormat boiling out machine is the workhorse of my prosthetics lab. It is also very versatile and has several other roles! Firstly, I keep my hydro flask on top of this and it keeps the water at a good hand hot so we aren’t running water every time we need to cure a repair or addition. It also serves its Lab well - it keeps our teapot warm along with associated pies and sausage rolls etc. I myself use it to heat up my lunch in my sealed box which sits nicely inside on the boiling out shelf. 4. MY STAFF I have to mention my staff here. As a small Lab the ability to trust and rely on your staff is essential. Gemma who is in everyday usually (Covid allowing) books all the work in. She keeps me up to date with reminders, sorts out the ordering and postage etc, and makes a Braw cup of tea. We stop work for Radio 2’s Popmaster every day and woe betide anyone who calls between 10:30 and 10:50. Getting the right staff is hard, and at the end of the day, they have to be able to work with me and put up with all my quirks.
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5. OTHER LABS My final one most labs will understand. There are some jobs that we subcontract out. It’s not just a case of sending work to another lab, we have to build up the trust and rapport that goes with it. I don’t see these other labs as other businesses but as an extension of my own lab. I try not to put pressure on them as I know they are under enough pressure, as are we all. I have used a few chrome labs and had a few failings with some of these in the past because I wasn’t happy putting the work out they sent me. Over the years I have settled on two labs, so HJ Creative and Chrome Design both get a mention here. The communication, ability and willingness to discuss complex cases is great. I must also mention Fusion ceramics who do some of my C&B work. I have met and known only one of these but it goes to show I will work with people I know or don’t know if we share the same goals. I’ll include suppliers here, and whilst I use several suppliers I’ve built up a rapport with two in particular: Wright Cottrell and WHW. I had not intentionally singled out these two suppliers, however I have used them since I started in business, and they are key to us.
If you would like to participate in our ‘5 Things I Cannot Work Without’ feature please email: editor@dentaltechnician.org.uk
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DTS 2021
READY for ANY THING 2020 didn’t exactly go according to plan, but there are some positives to take away from it. The dental lab community has evolved rapidly as it adapted to the changing situation and businesses are now far more prepared for whatever the future holds.
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With an eye on the future, we can look forward to the Dental Technology Showcase (DTS) 2021. This is be a great opportunity to finally catch up with friends and colleagues form across the industry, sharing experiences and learning from each other.
It will also be the perfect place to gain CPD, and discover the latest ideas and innovations to come from leading dental lab manufacturers and suppliers. Be ready for anything. Don’t miss DTS 2021 – get the dates in your dairy today. DTS 2021 will be held on Friday 21st and Saturday 22nd May, Birmingham NEC, co-located with the British Dental Conference and Dentistry Show.
For the latest information, please visit: Web: www.the-dts.co.uk Call: 020 7348 5270 Email: dts@closerstillmedia.com
REVIEW
DENTAL L ABORATORY SOFT WARE:
LABTRAC Review by ukdentech
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At ukdentech, Labtrac has been our most pivotal partner in transitioning from a traditional analog dental laboratory to a fully serviced digital dental laboratory which harnesses cutting edge technologies largely overlooked throughout the industry. As a newcomer to the dental laboratory space I knew that a lab management software solution would be vital in allowing us to scale effectively whilst maintaining / delivering a high level of service to our client base. At ukdentech we set ourselves a goal of achieving a cloud-based solution which drives down the need for manual processes, adding value to our ever-growing digital client base whilst allowing us to streamline and manage our every-day complex workflows.
received from an intra-oral scanner, as a result of this we had to completely re-think how work is received, manifested and processed. Labtrac Online is a catalog of all current and previous jobs which contains a host of information easily accessible by anyone throughout the lab, however, by far it’s best feature is the IOS connector dashboard. This tool scans each IOS provider’s portal and cumulates the data onto one screen, from this we are able to create a job in our workflow management system which is pre-packed with all electronic information received from the provider (e.g. STL files, comments, images etc). This has eliminated the need to manually copy files from the IOS provider’s portal and has saved us heaps of time!
received from the dentist’s scanner as well as internal comments/files that have been uploaded at the lab.
Labtrac uses three different platforms which are all located in the cloud (accessible to use from any internet browser) allowing us to maintain tight control on operations and automate previously manual processes. These three platforms are outlined below:
Workbench Once the jobs have been created by the IOS connecter we are able to schedule each job accordingly using Labtrac’s ‘Workbench’ tool. With each technician having an individual login they are able to view their scheduled workflow for the day. As a result of the IOS connector they have immediate access to all relevant files
Overall, Labtrac has been vital in us achieving the efficiencies and control available in today’s world of modern technology. We would be lost at ukdentech without the solutions mentioned above and our ever-evolving relationship with the team at Labtrac means we are closer than ever in achieving our goal of being a 100% digital and fully automated dental laboratory.
Labtrac Online / IOS Connector At ukdentech 70% of our current workload is
Dentist’s Portal This tool adds real value to our clients who are able to track the state of their live jobs in production as well as view jobs which have already been completed. They are able to upload images and add comments which are immediately available on Workbench for our technicians to view. There is also a dentist chat feature which allows two-way communication between technician and dentist. This has been vital to us ensuring that our technicians have easy access to all relevant information and largely decreases the chances of miscommunication.
Marly Rider, Production Manager at ukdentech
ADVERTORIAL
REPLACING THE SHELF l Labtrac has long been the premium choice for a dental laboratory with its focus on managing and scheduling workloads but now the product can also help all labs embrace digital and more complex scenarios with the latest member of the family: Labtrac Workbench. Digital dentistry is here and is growing at an even faster rate since COVID. We have seen the rate of IOS adoption across our customers increase four-fold this year and those labs that focus on receiving IOS cases have bounced back stronger than they were before. There is some way to go before all work is transmitted digitally to the lab. Coping with this mix of styles of work has brought the biggest challenge to a laboratory and created the gap between where labs used to be pre digital with one entry point to now with multiple entry points and numerous manufacturing paths. Workbench helps solve these workflow problems. As dentists have adopted new approaches to the way they work with digital IOS and e-prescriptions, so the modern dental laboratory has to change shape with them, often scrambling to keep up with many ways a Dentist communicates with them. Workbench brings all of your work, regardless of how it originated, into one single inbox. Integrating with IOS systems synchronizing the orders, comments and
Technician Work List
files: everything you need is one place. Add in traditional orders and have one full list to review and accept. Based on your specific flows it schedules that work through your departments, machines and technicians. It also maintains checkpoints throughout the process to make sure each job is case reviewed, accepted, invoiced, dispatched and any other process you wish to add. Gone is the problem of dealing with an influx of digital scans and files from different and confusing IOS providers and websites. Workbench has all the features and performance that manages some of the largest labs in the world but redesigned for a lab and budget of any size from 1
IOS Order Inbox
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to 100+ technicians. Pricing is monthly based on order volume and features configured so you can add and remove modules as you need them without a big outlay. Technicians get their work for the day allocated and you instantly get alerts if jobs fall behind in the process. You can start the move to a paperless office as all notes, photographs and scans are accessed through the workbench browser app which his available on any internet connected device. If you opt for a web portal, your Dentists and Technicians can communicate directly through the multi-way chat on each Order. At Labtrac we appreciate how difficult it can be to transition from a traditional Laboratory to a new modern Dental Manufacturer with a mix of digital and impression work. We believe Workbench and the Labtrac suite of products can help you make this transition and never lose control of your lab and ultimately delivery on the cornerstones of your business: quality, and reliability. Web: www.labtrac.com Tel: 0333449970 Email: answers@labtrac.com
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ADVERTORIAL
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ADVERTORIAL
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21
INSIGHT
DENTAL PROFESSIONALS CONFERENCE 2020 By Andrea Johnson
l a u t Vi r
H
ow much fun can a conference be when you are sat at home in your slippers with a coffee in hand? Well the organisers and participants of the 2020 Dental Professionals Conference (DPC) were going to find out. This year was the 3rd year of the OTA’s reformatted conference. Building on the success of the team event, this year’s conference was planned to be held in the Marriott Hotel in Liverpool’s Queen Square. However, as everyone has found out, 2020 had other plans for us all. When Covid-19 struck and we became aware of the fact that this may be with us for some time, difficult questions and decisions had to be taken regarding the traditional face to face conference for this year. It was decided to take the conference online. This was to ensure that the conference could still go ahead, that it was safe for the delegates and so that even though we may be miles and miles apart, we could still meet up and see each other. The conference was able to open its doors to every member of the profession no matter where they were in the world and we had attendees from as far afield as Jordan, Italy, Germany & Iraq. To make any of this work we needed some fantastic speakers. Working in close partnership with our wonderful conference co-partners, BIDST, BADT, SBDN, BSDHT & OTS they did not let us down. We had some incredible speakers and the attendance throughout the day was fantastic. Our day started with a warm welcome to all from OTA President Bill Ip in which he not only thanked all the attendees for joining us but also gave his thanks on behalf of the OTA to all the other associations and groups who had come on board with us to make it such a successful event.
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Bill introduced our first speaker of the day, Emanuele Paoletto who joined us live from Italy. Emanuele gave us a very interesting presentation on the subject of Orthodontic Skeletal Anchorage in the
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Digital World. He was followed by Melonie Prebble on Strengthening Teams and Delivering Patient Care and then Amanda Borthwick speaking on the subject of Cleft Lip and Palate before we broke for lunch.
INSIGHT This was a good opportunity to stretch our legs and backs whilst also watching some great adverts from our show sponsors Eurodontic, Planmecca and Orthocare who have always been such fantastic supporters of the OTA and our work. Without them where would we be? The conference just would not be the same without them regardless of the format. After such a good morning the afternoon had a lot to live up to and it did not disappoint, we kicked off the sessions again with the brilliant Stephen Taylor who went through Full Immediate Loading from the Technician Perspective and was closely followed by Helen Minnery who’s lecture worked in perfect harmony with Steve’s, they complemented each other perfectly giving both sides to the same subject area. Closely on their heels was Kirsty Galt with a super interesting Max Fac case study which really had the audience engaged. After such a good run of speakers you would wonder how we could follow that up but, follow it up we did and we did it with style as the amazing Joss Harding who gave such an enthusiastic and interesting presentation on Oral Care for the Cancer Patient, then to finish off we had Deputy Chief Dental Officer for England Jason Wong who gave us an update on where we are now as an industry and bravely stuck around after to take questions. This was the formal end to the lecture programme; the quality of the speakers and their topics was incredibly high and quite frankly the day just flew by. Every lecture had a unique and quirky slide mixed in with their presentations for delegates to lookout for and record, this was to ensure that participants were engaged for the purposes of CPD but with the questions and chatter after each lecture that was never in doubt. Sitting through all the lectures was a real treat in respect to being able to see and learn from all the different perspectives and knowledge of all the dental team members. Although the formal lectures had come to an end we kept a slot free at the end of the day for the OTA to update everyone on their activities over the year and to take questions but also, and arguable more importantly, to give us all some very much needed social space. One of the most loved aspects to any OTA/DPC conference are the social events in the evenings where we get to sit, relax, chat with old friends, make brand new friends and connections. Although we could not replicate this online properly online, we did have some chat space so
we could just sit and talk, and it was blumming lovely. The day came to an end with the OTA’s AGM, this was for members only and it was there that I officially stepped down as Chair of the OTA. I have always loved, and I always will love, every single member of the OTA; we are a big messed up family and we are always there for each other and that is the very essence of the OTA.
Chair. I wish the new council the very best of luck and I very much look forwards to seeing the new and innovative ways they choose to take the association forwards to be even bigger, better and stronger in the months and years to come.
It was also very hard for me to step away and to say goodbye to such an amazing team of people on the council. They are a truly amazing, hardworking bunch of fantastic people and it has been an absolute privilege to have been their
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ECPD
FREE VERIFIABLE ECPD As before if you wish to submit your ECPD online it will be free of charge. Once our web designers give it the all clear there will be a small charge. This will be less than the CPD submitted by post. This offer is open to our subscribers only. To go directly to the ECPD page please go to https://dentaltechnician.org.uk/dental-technician-cpd. You will normally have one month from the date you receive your magazine before being able to submit your ECPD either online or by post. If you have any issues with the ECPD please email us cpd@dentaltechnician.org.uk
4 HOURS VERIFIABLE ECPD IN THIS ISSUE LEARNING AIM
The questions are designed to help dental professionals keep up to date with best practice by reading articles in the present journal covering Clinical, Technical, Business, Personal development and related topics, and checking that this information has been retained and understood.
LEARNING OBJECTIVES REVIEW: n Strength of Zirconia n Implant planning n Customised Special trays n Business of Management
LEARNING OUTCOME
By completing the Quiz successfully you will have confirmed your ability to understand, retain and reinforce your knowledge related in the chosen articles.
Correct answers from November DT Edition:
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VERIFIABLE ECPD - DECEMBER 2020 1. Your details First Name: .............................................. Last Name: ........................................................Title:................ Address:.............................................................................................................................................................. ................................................................................................................................................................................ ............................................................................................................ Postcode:............................................... Telephone: ......................................................Email: .................................................. GDC No:.................. 2. Your answers. Tick the boxes you consider correct. It may be more than one. Question 1
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As of April 2016 issue ECPD will carry a charge of £10.00. per month. Or an annual fee of £99.00 if paid in advance.
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3. Evaluation: Tell us how we are doing with your ECPD Service. All comments welcome.
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Via email: cpd@dentaltechnician.org.uk By post to: THE DENTAL TECHNICIAN, PO BOX 430, LEATHERHEAD KT22 2HT
Payment by cheque to: The Dental Technician Magazine Limited. Natwest Sort Code 516135 A/C No 79790852 You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.
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ECPD
VERIFIABLE ECPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN PAYMENT BY CHEQUE TO: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852 IMPLANT USE IN ORTHODONTICS Q1. What does EOT stand for? A - Extra Oral Traction B - Endodontics Over Time C - Extra Ortho Traction D - Example Oral Traction Q2. What year was EOT introduced to Dan Shaw? A - 1998 B - 1999 C - 2000 D - 2001 Q3. What allowed the implant to be placed into the pre-drilled hole? A - Ratchet Torque Tool B - Trans-Palatel Arch C - An abutment D - Drill Q4. What is a TAD? A - Temporary Arch Device B - Torque Arch Device C - Temporary Anchorage Device D - Teeth Arch Device Q5. Orthodontic analogues were placed into the XXX housing of the transfer copings? A - Rectangular B - Square C - Vertical D - Hexagonal Q6. What is used to cast the impression and produce a model of significant base thickness? A - Wax B - Acrylic C - Chrome D - Suitable Stone Q7. How far must the activator tube be positioned from the palate to avoid impingement on the palatal soft tissues? A - 2mm B - 4mm C - 6mm D - 8mm
Q8. What may have caused weaknesses of the wire with a few appliances? A - Heat during soldering B - Orientation of superstructure C - Spring becoming dislodged D - Rough end of rod
Q15. What helps with the ease of the work? A - Smaller working weeks B - Outsourcing milling C - Admin D - CAD/CAM
Q9. For success what must be transferred to the laboratory accurately? A - Materials B - Orthodontic bands C - Analogue pins D - Clinical Information
SHOFU DISK ZR LUCENT HIGH STRENGTH MULTILAYER ZIRCONIA
DENTAL LABORATORY SOFTWARE: LABTRAC
Q16. How many individual layers create a harmonious blend of shades and translucencies? A-1 B-2 C-3 D-4
Q10. How many platforms does Labtrac use? A-1 B-2 C-3 D-4 Q11. Where are the platforms located? A - Disk B - USB C - Cloud D - C.D
MY PROFESSIONAL JOURNEY AND DENTAL TECHNOLOGY - ANDY FAIRBANKS Q12. Where did Andy start off working at Dencraft? A - Wax room B - Accounts C - Conference room D - Trays Q13. How long did Andy stay at Benbrook lab ? A - 2 years B - 4 years C - 6 years D - 8 years Q14. The majority of work at “Fairbanks lab” is? A - Chrome B - Implant C - Orthodontic D - Milling
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You can submit your answers in the following ways: Via email: cpd@dentaltechnician.org.uk or by post to: The Dental Technician Limited, Po Box 430, Leatherhead KT22 2HT. You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.
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BUSINESS
LEADERSHIP HAS NEVER BEEN SO IMPORTANT... By Leanne Doncaster I Byrnes Dental Lab
H
ere we are today… six months on since the U.K were put into lockdown and although restrictions are easing, and more people are now returning back to work, organisations are and will face their own unique challenges. How do we as leaders learn to deal with the amount of change and what skills do we need to help us as leaders? Leadership has never been so important and we as leaders need to develop our emotional intelligence to be able to give our teams the support they need. As we are all starting to return back to work and adjust to the workplace, we are all still very much on our own journey of the pandemic and things will seem uncertain and confusing for a while so being able to understand that every individual will be experiencing different emotions is essential for relationship management with your team. According to Jim Hagemann, rather than returning to how things were before, companies must leap ahead into a better future: this could refer to a change in a company’s strategy and the leader’s leadership approach. Since returning back to work, I know I feel we are all in a recovery phase and from my own experience I’ve had to be adaptable
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to the challenges and adapt my leadership accordingly, for example recognising that we can’t just go back to how things were before lockdown, but to adapt to what is needed for people in supporting them with their return to work. As a leader, you need to be aware of what is going on in your team, understand how they are feeling, what support each individual will need and be on the front line in the recovery phase. It is important to listen to your colleagues and show compassion when times are stressful. Showing that you care, and you are willing to help can go a long way. According to Emotional Intelligent expert David Goleman ‘E.I is the ability to recognise and understand emotions in yourself and others, and leverage this awareness to manage your behaviour and relationships’. By developing your selfawareness and emotional intelligence, leaders will be able to make better decisions, communicate more effectively and are more relatable. You can develop your selfawareness and emotional intelligence by taking psychometric tests which will help give you a better understanding of who you are and what you need most from other people. Getting regular feedback at work is also a great way to improve self-awareness and emotional intelligence, and by talking with close friends always helps me too!
BUSINESS This is an area that I have been working on personally for a while now and by developing my own emotional intelligence I have been able to work on my own personal resilience which has helped me respond positively to challenging situations. Yes, it has been tough but I have learnt to take ownership of the challenges and step up, by doing this I have had a great sense of job satisfaction. Helping and supporting others is something I really thrive on so to know I’ve been able to give someone the support they need in a situation does fulfil me. I have found by managing my own emotions I am able to give the team the support and time they need. I believe as leaders we are always learning from our experiences and situations at work and that there is not one size fits all approach to leadership but it is about applying the right leadership for the situation, and most importantly showing that you care and have empathy. The pandemic has certainly brought a lot of uncertainty to the world and questions are being asked that have never been asked before. I think as leaders we should try not to put too much pressure on ourselves to have to know all of the answers to everything: we
E.I is the ability to recognise “ and understand emotions in
yourself and others, and leverage this awareness to manage your behaviour and relationships. should encourage conversations to problem solve and recognise the fact you do not know the answer but let’s try and work out a solution together. The world of work is changing, and as leaders we have to prepare ourselves for the future. It is likely that you already demonstrated great leadership pre COVID-19 but what might be different is how much more it matters now as we continue to adapt to the ever changing world around us. As part of the RTW (return to work) team I’ve seen and been faced with challenges in the lab and I am certain there will be more. My advice to leaders throughout this current time would be
”
to have more regular conversations with your team, find out how they are really doing, show them that you care and listen to them when times are stressful at work. Also, it is so important for you to look after yourself, make sure you are giving yourself enough self-care so you are able to give your team the support they need. As part of maintaining a positive and healthy mindset, I find listening to a good podcast and a great work-out can really help me: what would yours be? Brene Brown states ‘Leadership is not about titles or the corner office. It’s about the willingness to step up, put yourself out there, and lean into courage. The world is desperate for braver leaders. It’s time for all of us to step up’.
EXPERIENCED DENTAL TECHNICIANS
We are seeking experienced, qualified Dental Technicians to join our busy team opportunities available in Sheffield & London. SKILLS AND EXPERIENCE REQUIRED: Desirable (not essential): ■ Qualified and registered Dental Technician ■ Experience within all areas of Orthodontics, including fixed, functional and removable appliances ■ An advanced qualification in Orthodontics ■ Membership of the OTA ■ Previous work in within the Orthodontic Aligner Industry ■ Experience using Orthodontic Treatment Planning Software or similar JOB DETAILS: Full-time, 40 hours per week. Monday - Friday, with varied starting times between 6.30am & 8.30am. Attractive salary and company pension scheme.
To apply, please visit www.s4sdental.com/careers
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BUSINESS
EMPLOYEE ENGAGEMENT
THE KEY TO COMBINING LEADERSHIP, VISION AND THE TEAM. PART 4 By Ashley Byrne I Owner at Byrnes Dental Lab
S
o this is the last in the 4 part series and I wanted to say a massive thank you to everyone who has been so kind in reading my ramblings as a business owner. Furthermore, for passing on your positive feedback - it really has meant the world to me. In this final part I want to wrap up the team approach by talking about employee engagement and what that means with regards to the first three topics we discussed. I wrote about reflection on leadership style and admitting when you are wrong, onto building a team, and into sharing your vision for the company with that team. So now we have the leader, the team and the vision but how do we engage the team to work with those three areas? Employee engagement is the hardest to achieve as it’s all about your team members (remember, we don’t use the word staff) waking up and being excited to come to work. Employee engagement isn’t just some management buzz word, nor is it achieved by simply paying someone more. For an employee to be engaged in the company they need trust, appreciation and a willingness to go that extra mile without being asked. They should be proud of the company they work for and a truly engaged team member will sing the company praises from the roof tops. But how do you engage your team? Let’s start with core values, as I believe every company needs them and every team member should play to them. The image (opposite page) shows our 5 core values have fun and be curious, always act with integrity, build relationships (with your team, customers and suppliers), do more with less (environmental) and innovate to drive change. The first value, ‘have fun and be curious’ is engrained in all that we do. I encourage the team to challenge the norm, play, try new things and the message that portrays is, “I trust you to make the right call and if you don’t, we learn from it’. Our ‘fail hard and fail fast’ approach ensures that if we do want to try a new way of milling, or a different zirconia, if we try it fast and it goes wrong, we have time to fix it without having to move the appointment. Trusting your team is the number one rule in engagement.
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Sitting over their shoulder, questioning all their decisions and belittling them when they make mistakes is a guaranteed way to dissolve any engagement. Complimenting this core value is a no blame culture at Byrnes because everyone makes mistakes. When we do make them, they can be costly but it’s essential that that no one is made to feel bad, and that the cost, however expensive, is not a wasted opportunity to learn and improve. No human ever wants to make a mistake but we are human and we do. Slip of a bur on an implant framework and it’s £1000 frame in the bin; furnace set to the wrong temp on a 12 unit case (ouch); and I even remember one of my trainees steaming 24 veneers in a device for denture teeth. 24 veneers went in, 8,000 tiny bits of ceramic came out. S*&t happens and belittling someone instantly disengages them and puts them in fear of making a mistake but mistakes are part of our learning process. Customers possibly will be angry and upset but as the boss, that’s for you to deal with. It’s why you’re the boss (and yes that can be painful!). This approach starts to build responsibility and trust as well as ensuring that when a mistake does happen, no one tries to hide it. In 14 years I’ve never shouted at an employee for a mistake. Responsibility and self-management are also key to engagement. In a team of 32 people, we don’t have managers and that’s a rarity for our size. I want people to manage themselves, their work load, their day, their materials, burs, etc, and I trust them to do so - which ties back to the core values of (acting with) integrity and building my relationship with them. Not everyone does as well as each other but an engaged team will help and support their fellow team members and we recognise that individuals have complementary strengths. So there’s that building relationships core value again. We also push for team recognition whereby the trainee is as key to the team as myself or a lead ceramist. The operations team are as important to the job as the model technician that poured it and the ceramist that finished it. It’s very easy when a lovely post-op photo from a client comes in and all the praise goes to the ceramist or denture technician. What
BUSINESS
about the model? Who booked it in? Who packed it? Who did the CAD design? If any of those factors are wrong, the job is useless. I think of the team as a 32 gear gearbox and we can’t get to flat out without engaging first gear. So when that photo comes in, we look at all involved and ensure all those people get the praise, generating inclusiveness amongst the team and within the company, rather than simply showing up to work ‘8-to-5’.
to build relationships with new people. Combine that with an afternoon off work, a brewery tour, beer tasting and then pizzas, and you find people mixing and forming friendships and respects that never existed before. All of these contribute to engagement. Whilst we’re now single storey, we are 2 buildings so what we achieve through the Two Cans is a foundation for not letting a divide return.
Divides in your team will happen, it’s inevitable at some point because we are human beings. Our previous lab was over two stories and we had this ‘upstairs and downstairs’ divide which created a ‘rot’ in the company. One of the ways we broke down that old divide was the infamous ‘Two Can Meetings’. Two Cans you ask? It originally meant you can have two cans of beer and still drive but two can meetings developed much greater significance. We do an event in work time, shutting the lab for an afternoon, and then doing an activity but one that must have a theme. The last one was close to my heart - a brewery tour and tastings. Yes there was a theme!! Quality control. How can a brewery ensure its beers are consistently good and tasty? It’s not dissimilar to ensuring a crown is always good, it’s just a different industry. We had the team in groups they wouldn’t normally work with which encourages them
Another Two Can was a trip to Go Ape with the theme of ‘don’t fear change’. Despite about 4 of us being scared of heights (including me, I’m petrified of heights), we - as a team - got everyone through even the highest of obstacles. The next day the team were buzzing and engagement was at a record high. At the end of the Two Can I always give a speech and link the event to the lab. Go Ape showed us what the team could do when we ALL pulled together, achieving things that most of us thought impossible and yet we were all laughing, buzzing and itching to get back to work. Engagement is vital for any company and its impact will be across many layers. We have an incredibly low employee turnover (less than 5% over 14 years and yet according to Monster recruitment the UK average is over 15%), low sickness rate, and team
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member fall outs are near non-existent. Our productivity is up despite working hours being down. We run a strict 8.30-5.30 working day but I trust the team to manage their own days so some start at 7 and leave at 4, some 8 and leave at 5 but that’s their call. So as we come to the end of this 4 part series, I really hope you can see the honest and open changes we have made at Byrnes. I’m writing this now on my desk with laughter in the air mixed with hand pieces whirring and keyboards clicking. There is a warmth in the building and as a team, I am proud and equally honoured that they are focused, driven and engaged. My work as the leader isn’t complete. It’s never complete and when I waiver, my team are confident to approach me with no fear and to let me know. I too can make mistakes and my team, like me, don’t get upset - we talk, we reflect and we adapt. It’s back to those core values again, through the relationship they have with me, they can see I’m not having fun and being curious, so with integrity we talk honestly and openly about how we can innovate to drive change. I smile at the team’s honest approach, I reflect and I know I can change it again. We all slip once in a while so I’m back on track and having fun again. This is the power of a team with a vision that is incredibly engaged and I would highly recommend anyone to do the same.
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BAR HEADER FOCUS
THE
GREAT DEBATE
BAR HEADER FOCUS
THE PLACE TO BE IN 2021
l
“My lecture will focus on the use of scaled models in the processing of un-sintered zirconia.”
The ADI Team Congress 2021 is the place to be if you are looking to learn from experts in the dental implant field. Among the highly-anticipated speakers presenting at the event is dental technician, Stephen Lusty, who will share his insights on the multiple uses of zirconia as both a dental implant and tooth-borne restoration material. “My lecture will focus on the use of scaled models in the processing of unsintered zirconia,” Stephen says. “I will also look at staining and glazing techniques, layering of ceramics and methods for dealing with vertical and sub-gingival preparations, as well as the use of zirconia on everyday implant cases. I hope delegates will understand how versatile zirconia can be if used correctly.”
STEPHEN LUSTY
Don’t miss out on the chance to share ideas, get up-to-date on industry developments and explore the latest concepts in dental implantology. book your place at the ADI Team Congress 2021 today!
ADI TEAM CONGRESS 2021 “THE GREAT DEBATE” 6–8 MAY 2021, MANCHESTER CENTRAL ADI MEMBERS WILL BE ABLE TO ATTEND THE ADI TEAM CONGRESS FOR DISCOUNTED RATES
JOIN TODAY www.adi.org.uk/congress21
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BAR HEADER INSIGHT TECHNICIANS
MY PROFESSIONAL JOURNEY AND DENTAL TECHNOLOGY - WHERE IT ALL STARTED FOR A LANKY SHEFFIELD LAD By Andy Fairbanks I Fairbanks Dental Laboratory
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fter finishing my A-levels which I only did as I had no idea what to do after my GCSE’s, I applied for every single job out of the ‘Sheffield Star’ newspaper not knowing what half of them were. I’d have done anything that came my way, my dad used to tell me that working hard will pay off in the long run no matter what did. I had a few replies and interview requests, but the first reply that came along was from Dencraft dental laboratory in Sheffield. Dencraft was above a butcher which was awesome as I love bacon. At age 17 I turned up for the interview bricking myself as I’d done zero research into the business not knowing what they did and instead gone to the pub the night before having 9 pints of Stones Bitter. Steve was and still is the chap who runs Dencraft and I remember him asking me if I knew what they did, I came up with some gibberish absolutely winging it. Must have worked though as I had a job offer within a few days, along with a mate who’d also got a job there without either of us knowing we’d both applied. I loved this job, I loved the fact I had a job and its was making stuff! I started off in the wax room waxing up C&B and used to love being busy and doing as much as possible, which is what I was taught by pops. I wanted to do ceramics after about a week which is what every new tech wants to do at first. I remember Steve asking me around this time if I could do it all and if I knew what I was doing, I obviously said ‘Yeah man’, he just laughed and now I know why. You never stop learning this trade! It was that point when I said to myself that I wanted to be like Steve with my own lab, drive an Audi and be a ceramist.
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I stayed there for a few years and wanted to still be ‘that guy’, I knew I could do it and learn all other aspects of the job along the way. I moved onto a smaller lab after a few years which was called Benbrook and run by Simon. This lab was a 2-minute walk away from my parent’s house, 2 man lab and I felt comfortable immediately. I still drove to work obviously! Here I was given full opportunity to do whatever aspect I wanted providing I did some actual work and I soon jumped on ceramics. Shortly after I was able to complete the whole C&B process, probably not very well looking back but I could still do it. Simon was a great laugh and let me crack on to improve as fast as I wanted giving feedback along the way. One thing Simon always used to say was ‘why not always have as much fun as possible in work and on courses’, this is my excuse for why I’m like I am today. I stayed there for 8 years, thoroughly enjoyed myself, growing in confidence and the thought of my own lab curdling in my tiny brain. I made the jump by purchasing some lab equipment from various places using savings and small 5k loan to help me out. I had moved out of my parents about 3 years previously so had my own man pad to store all my purchases until I got a lab sorted. Simon knew I was leaving to set up and we agreed a date for me to finish at the end of January 2012, I worked as hard as I always had on my last day smashing out around 25 units ceramic including all the waxing and metal prep. Busy times! Mint, I found a small shop to rent out and turn into my lab. I was proper buzzing and could not wait to get started and set everything up. The rent on the new gaff was £210 a month, cheap as a chips, which is good as I had no money to live on until work came in. I sold my car which at the time was a BMW and purchased a £70
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Fiesta off eBay with a fake MOT and 3 working brakes. The new lab was amazing in my eyes although having no hot water or heating which was challenging. I remember when the first bit of work came through the front door from a chap in a local village, PBC and whitening trays. I’d made my first 100quid! The lab grew from here and I stayed working alone for a full year, freezing my back side off in my damp lab with frozen toilet water. I was comfortable, had my own lab and went to buy a new motor as the passenger seat fell through the floor on the Fiesta and I nearly drove through a bush. I got that Audi! Around this time, I ended up taking on another technician to help me out along with a driver. It was hard for me to get it into my head that I didn’t have to do everything myself and I could now share the tasks. The lab grew and more clients came on board, mainly NHS with only a few Private units each week. After 2 years of getting the windows smashed on the lab, freezing my butt off and growing vandalism I decided enough was enough. I wanted something that made us look better than we were, somewhere I could grow the lab work to the standard of the surroundings. I found somewhere, a new build unit with communal toilets, showers, conference rooms, a cleaner and reception staff. I was buzzing about the cleaner obviously along with a warm bog. This was it, the image I had inside my head, I kitted the new digs out in just 3 days as I couldn’t wait for the new chapter of my business. Now was time to kick into gear and make the business better in every aspect, grow and set out my stall. At this time I was still very narrow minded, took on any work I could which was mainly lower priced NHS restorations. We were super busy, but I was working all hours, 14
TECHNICIANS INSIGHT hours days, 6-7 days a week, no holidays and not getting anywhere as quick as I wanted. Mainly because I wasn’t spending the time driving the business in the right direction, I had blinkers on and head down in my bench. At one point I had 6 staff, if I’m honest I didn’t know what they were doing at any point and my only focus was doing as many units as possible. This took its toll and I ended up unwell and slightly depressed. Easy done when you channel everything into work and have no free time for yourself. Things needed to change asap or I knew the dream of my own lab would come to a halt. I started to become more active on social media, attending more courses and being more vocal about what we do. I looked at what other people were doing, their labs and asked how they made it work. To my surprise everyone I spoke to was extremely open and helpful, this opened my eyes to what I needed to do and I started to implement changes. Quickly I had a great team behind me and the lab was running way better, we even won a ‘Best lab award’, or something like that. We were getting better clients, turning out better work and had moved over to digital. Next step was to go full private and I was shaking like a crapping dog when I made this change but had the backing from staff which was super cool. I learnt that you can’t do it all yourself, taking it all on your shoulders and cracking on, this doesn’t work. You need that team, small or large who love their job and you can trust. Saying that I had also learnt that as an employer you need to look after your team, be honest and let them know the plan. I like to think I look after them well and treat them how I would like to be treated myself. They may tell you otherwise, but I do my best. This was 4 years ago and the best move I’ve ever made for the business. It surprised me how much work came in once I advertised the fact we only did private work. I’m not saying there’s anything wrong with doing work for NHS clients, nor am I saying our work is top notch. Actually, I pitch us as the ‘Volkswagen’ of dental labs. We’re no Bentley or Rolls Royce but reliable, everything works, looks great and we know our stuff. This has worked for us and I think everyone needs to pitch themselves where they feel comfortable and can sustain that level easily. The majority of our work is implant based but we still do single units and the basics such as whitening trays. We’ve held courses on implants and ceramics to try and push people down the same routes that have worked for ‘Fairbanks Lab’ to try and aim peeps in the right direction. These days there’s only 3 of us, myself doing ceramics, CAD wizard Jimmy and Kath on admin. The staff are all on particularly good wages which they deserve, we now only work
4 days a week with the lab fully closed Fridays and nobody works any overtime. I give flexible working hours which works for the staff and myself, we are more productive than working 5 days, all generally happier and have a fantastic work/life balance. I love going to work these days, it’s a great laugh and spend half my time dancing around like I’m in a 90s rave. The ease of work is helped by all our work being processed by Cad/Cam which is predictable, easy to replicate and accurate. We don’t have a massive array of tech, we outsource all our milling and pressing which enables us to make money every minute at the bench. I know we wouldn’t be able to get the amount of work done currently using traditional techniques or processes and to be honest wouldn’t want to try. This is my story, I’m nobody special and the path I have chosen could have been done better. Who knows where my carrier will progress to in the future or what changes may come. Where we are as a lab today is achievable for everyone, just choose where you pitch yourself carefully, look after your staff and it will come. Its not about hard work but ‘smart work’, work out where your time is going and what you can produce in that time. Admin, if
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you don’t have one get one, or two, whatever you require and this will instantly change the way your lab works for the better. Get on social media, become active, get noticed for the right reasons. Don’t become a groaner or write about something non-factual that you can’t back up. I know times are rough at the minute for a lot of folk but keep your head up, believe in yourself, you can get through this period and come out stronger the other side. People will always have teeth, these teeth need sorting out by you guys so stay with us. Even if you have to do something different in the meantime. I’d like to thank Steve, Simon, all my staff, co-workers past and present that have helped/ pushed me to where we are today. Many of you I now call friends and give you abuse/banter. If I can help anybody out with answering questions or can give advice, please don’t hesitate to ask. I know I talk a lot of nonsense, but I love to help people and it’s never any trouble. I was helped along the way by some amazing people and I’d love to do the same. Take care folks and I’ll see you when all this is over for a beer, they’re on me. Andy F x
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Tooth 21 has received a stained and glazed monolithic SHOFU Disk ZR Lucent Veneer, made by dental technician Nick Mekias, Athens, Greece.
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