The Dental Technician Magazine February 2022 by The Dental Technician Magazine

VO L 7 5 N O. 2 I F E B R U A R Y 2 0 2 2 I B Y S U B S C R I P T I O N

PRESTIGE: FROM THE DARK AGES TO WEBSITE WINNERS!

VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM

PAGE 18

CASE STUDY: FULL LOWER CHARACTERISED DENTURE

By Craig Mark Broughton Dip CDT RCSE PAGE 28-29

COMPUTER AID DESIGNS IN DENTAL LABS By Cristian Popa, Byrnes Dental Laboratory PAGES 34-35

THIS MONTH... l

TECHNICIANS INSIGHT: 5 THINGS I CANNOT WORK WITHOUT! I BY INDIA WILSON, DENTAL TECHNICIAN, S4S DENTAL LABORATORY P. 8

EVENTS: HENRY SCHEIN® ORTHODONTICS™ PRESENTS ITS 6TH ANNUAL EUROPEAN CARRIÈRE® SYMPOSIUM P. 14

RECRUITMENT: RECRUITS4TECHNICIANS I HOW LABS CAN IMPROVE THEIR SUCCESS WHEN RECRUITING TECHNICIANS P. 20

w w w.d e n t a l t e c h n i c i a n .o r g .u k

CONTENTS

FEBRUARY 2022 Editor: Matt Everatt F.O.T.A. E: editor@dentaltechnician.org.uk

Welcome Welcome from the editor

Designer: Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com

Advertorial

Advertising Manager: Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602

The Zirkonzahn Culture: bar-supported bridges made of Prettau® 2 Dispersive® on four implants each 6

EDITORIAL ADVISORY BOARD Andrea Johnson Ashley Byrne Sharaz Mir Sir Paul Beresford

PUBLISHED BY THE DENTAL TECHNICIAN MAGAZINE, PO BOX 2279, PULBOROUGH, RH20 9BR. T: 01372 897463 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. No part of this publication may be reproduced in any form without the express permission of the editor or the publisher.

SUBSCRIPTIONS The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH

Extend your subscription by recommending a colleague There is a major change in CPD coming soon. The Dental Technician Magazine is a must read. Tell your colleagues to subscribe and if they do so we will extend your subscription for 3 months. The only condition is that they have not subscribed to the magazine for more than 12 months. Just ask them to call the Subscriptions Hotline. With four colleagues registered that means your subscription would be extended for a year free of charge. At only £39.95 per year, for UK residents, this must be the cheapest way of keeping up to date. Help your colleagues to keep up to date as well. Ask them to call the subscriptions Hotline on 01202 586 848 now.

Technicians Insight 5 things I cannot work without! By India Wilson, Dental Technician at S4S Dental Laboratory 8 The Exhibition. By Andy Sanson 30-31

Insight Steer Your Ship in 2022. By Nicki Rowland Why do they always ask ‘What is a Dental Technician’? By Eve Apostel

10-11 12

Dental Technology Sagemax - why two multilayers are a good solution Sagemax goes Ceramet Shofu: Excellent results with little effort

13 21 24-25

Events Henry Schein® Orthodontics™ presents its 6th Annual European Carrière® Symposium

Dental News Prestige - From the dark ages to website winners! Dentsply Sirona partners with University of Toulouse

18 22-23

Recruitment Recruits4Technicians - How labs can improve their success whenrecruiting technicians

ECPD Free Verifiable ECPD & ECPD questions

26-27

Case Study Full Lower Characterised Denture. By Craig Mark Broughton Dip CDT RCSE

DTS 2022

28-29 32

Education Is applying for a Healthcare Leadership Academy (HLA) Scholarship right for you?

Digital Technology Computer Aid Designs in Dental labs. By Cristian Popa, Byrnes Dental Laboratory

34-35

Marketplace Kemdent/Teleskoper Orbit

Classifieds

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BAR HEADER WELCOME

From the

Editor Matt Everatt F.O.T.A

Welcome to your February edition of your magazine readers

Firstly, I want to take the time to thank those of you that have come forward to my pleas for content. Over the past couple of months, we have been quite thin on the ground in terms of technical pieces. I suspect this is purely because most technicians are head down at the coal face at the minute. So, thank you for providing myself and fellows readers with some fantastic content. I love going into February, it’s the time of year when I really notice the days getting longer. Valentines Day is a date that always reminds me of one of the old techs I worked with. He always reminded me ‘By the 14th of February, you be heading home in the daylight’. It is a time when the weather can be still very unpredictable, well, it is the Peak District where I live! It is not uncommon to see snow into April! But, it’s a beautiful time to start thinking of new starts, fresh plans and the year ahead of us and 127 day long January (it certainly feels that long) is a distant memory. I and a few other techs have been mentioning the upcoming North of England Dental show, I must say I am really looking forward to attending this.

Last year, although restrictions had begun to lessen, it still felt really awkward meeting people. Did you go full on for the handshake (a hug was definitely out of the question), or where we still elbow and fist bumping? I do hope to be shaking hands with a few old friends and hopefully meet a few new ones along the way. I’m good with a handshake by the way, I don’t mind a hug either! On the note of exhibitions, we have a great satirical article by Andy Sanson. I love reading his old stories of days gone by. Andy writes of a dental show he and ‘The Buggers’ attended in Blackpool back in the day. It’s another great piece, I do hope you enjoy it. Keeping my ear to the ground, I have been very interested and delighted to read of a few labs that have said they are taking the step to increasing their prices and moving away from offering cheap services to NHS Dental practices. I do hope this is the beginning of a paradigm

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shift to dental labs charging a decent amount for their experience, services and products. Wouldn’t it be a great profession to work in if we had salaries that were not so grossly different from our clinical colleagues and reflected our knowledge and experience? I have also been privy to forum posts of Dentists asking their clinical colleagues for recommendations for NHS Labs as their lab no longer offers NHS work. I think fellow readers know my position on ‘NHS Labs’, we should rid ourselves of this ‘title’. It hangs like the Sword of Damocles over us. We are not paid for, governed by, or indeed paid by the NHS. We are simply suppliers to NHS Dental Practices. I do genuinely hope we use this opportunity to address the pricing of our services. And finally….It goes without saying, I do hope you enjoy reading the magazine. I would like to re-introduce ‘Letters to the Editor’ . Although it was never officially dropped from the magazine, I simply haven’t received any letters from you! Now, it could be that myself and the Editorial panel are doing such a great job and you’ve no reason to raise any issues or concerns with the content. Of course, I hope this is the case. However, if it is not the case, please do get in touch with me. Equally, if you have any burning suggestions or something you would like to get off your chest, drop me an email and we will get it published in the magazine. Please contact me by email editor@dentaltechnician.org.uk Best Wishes Matt Everatt FOTA

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ADVERTORIAL

THE ZIRKONZAHN CULTURE: BAR-SUPPORTED BRIDGES MADE OF PRETTAU® 2 DISPERSIVE® ON FOUR IMPLANTS EACH

The patient presented to the dental practice with two removable prostheses and impaired residual dentition. After complete tooth extraction, the dental team planned the new restoration based on 2D photos of the patient and scans of the removable prostheses. The planned restoration consisted of two bar-supported zirconia full arches with gingival portion on four implants each. Prettau® 2 Dispersive® zirconia was chosen in order to meet the patient’s wish of receiving a young smile with healthy, bright teeth. Using the virtual libraries with sets of teeth and gingiva available in the Zirkonzahn. Modifier software, and on the basis of the scanned prostheses, the dental technician first created a digital wax-up. The wax-up was then imported into the Zirkonzahn.Modellier design software, where the adjustment of the eight direct implant connections was performed for the fabrication of a prototype made of Prime resin. After checking aesthetics and function, the prototype was scanned and then the two bars were designed individually, milled and digitised. Subsequently, in the design software, parameters were adjusted to achieve a perfect fit of the secondary structures and a digital cutback was carried out in the vestibular area of anterior teeth. At this stage, the two structures could be milled out of a Prettau® 2 Dispersive® A1 zirconia blank. The zirconia is already provided with a natural colour gradient during the manufacturing process. However, for an even more individual result, after manual finishing the two structures were infiltrated with Colour Liquids Prettau® Aquarell intensive colours. In addition, the new Colour Liquid Prettau® Aquarell Opaque was applied over the walls of bar seat, in order to increase opacity and prevent the bars from shining through the zirconia. The two structures were slightly veneered with ICE Ceramics on the gingival and non-functional areas and the bars were anodised in gold before cementation into the zirconia frameworks. The finished restoration was then delivered to the dentist and the patient, who was fully satisfied with his new bright and fresh smile. Case made by DT Federico Presicci, Dental Laboratory Antonio Lazetera, Savona, Italy and Dr. Massimo Callerio, Cassolnovo, Milan, Italy

For more information and to read more case reports visit www.zirkonzahn.com or follow Zirkonzahn on YouTube!

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Case made by DT Federico Presicci, Laboratorio Odontotecnico Antonio Lazetera, Savona and Dr. Massimo Callerio, Milan (Italy)

PRETTAU® 2 DISPERSIVE® ZIRCONIA BAR-SUPPORTED AESTHETIC RESTORATIONS ON FOUR IMPLANTS EACH FOR A YOUNG AND BRIGHT SMILE Prettau® 2 Dispersive® is a zirconia with particularly high translucency, excellent flexural strength and a natural colour gradient. The zirconia is provided with the smooth gradient already during the manufacturing process thanks to a special technique that does not blend colours into layers but disperses them evenly. This results in a merging natural colour effect, which can be further individualised manually for an even more personal characterisation.

Zirkonzahn Worldwide – South Tyrol (Italy) – T +39 0474 066 680 – info@zirkonzahn.com – www.zirkonzahn.com

TECHNICIANS INSIGHT

5 THINGS

I CANNOT WORK WITHOUT! By India Wilson I Dental Technician at S4S Dental Laboratory

plaster off a model before working on it which is so quick and easy. We have so many types of burrs to use which means a lot of the process can be done with this!

5 THE TEAM

India is a qualified Dental Technician who studied in Sheffield and works as a Dental Technician at S4S Dental Laboratory. India’s work in the retainer and aligner department, she shares with us the most important things she needs to help her get the best out of her working day.

1 COMPRESSED AIRLINE

First on my list is our airline. I love this piece of equipment and really don’t know what I’d do without it. Once I’ve finished tidying up a model ready to work on, it can get very dusty. Blowing it with your mouth only does so much; so I grab my airline and give it a little blow of compressed air and my model is clean and ready to be worked on. This also prevents my appliances from getting unwanted plaster residue inside it! I also love to use my airline when pealing the separation foil from the inside of a retainer without it, I’m picking away with my ash 5 for quite a while!

2 5 MINUTE BREAKS

For me, a little bit of fresh air every couple of hours really helps me get refreshed and motivated to go back and finish. Especially if you’ve got a tricky bit of work, it’s good to leave your desk, have a breather and come back with a fresh set of eyes and re-evaluate what you have to do. Being outside even for a short time has proven to boost your self-esteem and reduce stress, therefore making you more likely to produce better work and feel great about it!

Finally, this is probably the most important to me in the list. As I’ve only been working as a technician full time for 2.5 years I feel like I still have a whole lot to learn. It’s great having so many co workers around me who have done this for a long time as I get lots of advice and pointers to make my work perfect. My team leader Paul is so patient with me as I’m constantly asking questions about the appliances he is making and he is always willing to show me tips and tricks to get the job done! Not only is everyone amazing at helping each other with work; but we are a family. I want to specifically shout out Matt Norie as he has helped me progress into new departments, learn new skills and also become a better person altogether this past year.

3 ASH 5

Along with other technicians who have wrote this article, my Ash no.5 is one of my favourite tools to use. I was given this one in college and I use it every single working day without fail. It’s great for carving the models, pealing foil from my appliances and even unscrewing my mandrel.

4 MY NSK HAND PIECE

Making splints and retainers; a hand piece is very much needed! I use this to trim excess

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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INSIGHT

STEER

YOUR SHIP IN 2022 By Nicki Rowland

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INSIGHT

In Nicki’s introductory article, she discussed adopting an ‘executive mindset’ as a leader to be able to take the helm and steer your ship into safer waters in 2022. In her series of monthly articles this year, she will be delving into the value of great leadership and its crucial role in driving business development in any dental laboratory, large or small. In this first publication, Nicki explores what makes an executive effective and how to captain your ship and crew for optimum performance.

ALL SHAPES AND SIZES

Week in, week out, I work with leaders in the dental world and they come in all shapes and sizes. Some are charismatic, others are quite introverted. Some are relaxed, other are controlling. Some are generous, others are frugal. Whatever, their personality traits are, they have one thing in common; they are effective and embrace 8 essential courses of action: 1. They identify what needs to be done to achieve success 2. They explore the best methods of working for their business and their team 3. They develop action plans and set specific objectives 4. They lead decision making 5. They are accountable for accountability 6. They are always optimistic even in the face of adversity 7. They generate open and honest communication 8. They recognise that there is no ‘I’ in ‘team’. It is always ‘we’ The first two courses of action help leaders understand which direction to steer their ship and which destination they want to reach. The next four help them to set their GPS or navigation system to get them from A to B. The final two practices ensure that their crew are fully on board.

ASK ‘WHAT DO WE NEED TO DO?’

Any leader needs to ask themselves, ‘What do we need to do?’ rather than ‘What do I want to do?’ It is critical to success to establish the difference. When I set up our dental practice, I know that I wanted to have an award-winning business. However, when I drilled down into what we needed to do, I realised that we needed to agree and implement business and personal objectives

to guide us to our aspired goal. Much like getting into your ship as a captain, you know that your ultimate destination is Barbados but you need to anchor up at numerous ports along the way to refuel and check your bearings.

• It avoids miscommunication – using attentive listening skills reduces the chance of misunderstanding. Can you imagine what would happen on board a battleship if someone misheard the command ‘fire’?

NURTURE A COLLABORATIVE CREW

• It boosts morale – It is so easy to assume what someone is thinking and feeling. However, if you go the extra mile and give people time and listen to them closely, they will feel calmed and motivated. I remember hearing someone say that the mind is like water. If it is agitated, it is hard to see things clearly. |However, if it is settled, the answers surface.

Setting business objectives should be a shared responsibility as a team. I have seen many a leader fall foul of making decisions that they impose on their teams. When their plan goes wrong, the team turn round and point the finger at the decision maker. If you work together for the greater good and brainstorm what you need to do, it is very empowering. If everything goes to plan, the rewards can be shared and you can celebrate together. If the voyage turns out to be rough, then you can pull together, change course and sail into smoother waters collaboratively. Everyone is then accountable for the outcome. There are many benefits to working as a tight-knit team. Generally speaking, when there is a diversity of skill sets in the mix, it collectively increases overall competence and experience. Problems are then more easily resolved in a creative manner because team members cover each other’s ‘blind spots’. Individuals also have a tremendous opportunity to learn from one another.

BE OPEN AND CANDID

Openness, transparency and a willingness to be candid are key leadership qualities. Leaders do not have to be ‘the Oracle’ and have all the answers. Looking to your team to problemsolve and be innovative will help your business to thrive. Working together generates cohesion and trust and ultimately drives commitment and achieves greater results. As human beings, we all need to feel appreciated, understood and valued at work. This is integral to a healthy, open culture. If one of your team feels that they are unappreciated or that their opinions do not matter, they are more likely to leave the business. Listening is more important in the workplace than ever before and there are huge benefits from doing so:• It builds trust and respect – using listening skills shows the other person that you really care and that you are there to support them. It is like a sail in high winds; if the mast is strong, it has no reason to fear the turbulence. • It encourages action – when team members feel supported, they will open the hatches, emerge from the safety of their cabins and it is ‘all hands on deck’. • It generates understanding – empathetic listening allows you to read an individual and understand what they need to thrive. Many individuals ‘batten down the hatches’ when stressed or up against it but listening with empathy allows you to ‘stand in their shoes’ and see it from their point of view.

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BE A ‘FUTURIST’

Planning and being a strategic thinker are about much more than simply setting business objectives. As we move into 2022, it is about looking to the future and crafting out the life you want for yourself. It is about finding your purpose and whether it is centred around creating wealth, a legacy or a great work life balance. Executive leaders who have a futuristic mindset have the following attributes:1. Laser-focus – they keep looking ahead with their eye on the horizon 2. Imagination – they visualise their future business and create what they see in their mind’s eye 3. Innovation – they are creative and ‘think outside the box’ 4. A strategic mind – the ability to plan ahead, set goals and inspire their team to achieve them 5. Intelligent Risk-taking – the ability to take a ‘calculated’ risk for the greater good of the business and team 6. Skill in Communicating – the ability to translate their future vision into a tangible image in the minds of their team to turn it into reality 7. Resilience – the ability to stand firm and be determined to succeed against adversity In summary, Futurists inspire, transform and change their industries. It is more important than ever for business owners and their management teams to be agile and adapt to our changed world. You have probably heard the word ‘pivot’ been bounded about recently and ultimately leaders need to ‘ready about’ and change course at any point.

A WORD FROM NICKI

I hope you have enjoyed reading my article. There is much more to come this year in my monthly Executive Leadership series. I will be exploring everything from nurturing an amazing culture in your laboratory through to driving business growth. If you would like any support with anything I touch on, feel free to contact me at nicki@ela.team

INSIGHT

WHY DO THEY ALWAYS ASK ‘WHAT IS A DENTAL TECHNICIAN’? Eve Apostel , a final year student in Dental Technology, discusses education of Dental Technicians, and asks why aren’t there more academic institutions offering Degree level qualifications?

Dental Technology and Education I am currently a final year student studying towards a foundation degree in Dental Technology at The Sheffield College and throughout the last two years I have always had the same question from people around me “what is a dental technician?”, “are you becoming a dental nurse?”, “a dentist?” “What is dental technology?” There should be more awareness around our careers and the importance of dental technicians to a dental practice. In my experience the school system likes to funnel students towards the higher education of university, with emphasis on this higher education leading to a successful career and future. When comparing how many higher education institutions there is in the UK, only three universities offer a BSc (Bachelor of Science) in dental technology, in comparison to 164 higher educational institutions; under 2%. In 2018-2019 1.8 million students applied to a higher educational institution and more expected in 2021-2022. If there were more higher education institutions that offer a BSc in dental technology, it may mean that there would be more qualified dental technicians to join the industry as well as more awareness of what a dental technician is.

ABOVE: Eve Apostel (pictured 3rd from right)

Within the UK there are 16 universities offering BDS dentistry course and dental hygiene/therapy (or oral health science) degree courses whereas only 3 dental technology courses. Dentistry is an extremely competitive industry, where there is a 15:1 ratio in student getting a placement in a dental school. However, with clinical courses such as dentistry there is an excess number of dentists and the intense application process is there to ‘prevent oversupply of dentists’, yet within dental technology there is a lack of qualifying dental technicians each year.

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When listening to experienced dental technicians I have overheard that being a dental technician is a ‘niche career’ and it´s external from the dental team as its not within a clinical environment. A dentist needs us as much as a dental technician needs them. Additionally, I have heard that the search for a superior dental technician has been likened to hunting for gold when it shouldn’t be. There should be more ongoing dental technology courses to not only increase the amount of dental technology students but for people to learn and gain insight of what we do and what they can take from the course, and how they can use it to their advantage. As well as learn skills to becoming an ‘outstanding’ dental technician to increase our job prospects and to open more opportunities in the future. Understandably there are a few more BTEC level 3 courses that lead to a GDC registration as a dental technician, however for students such as me and 1.8 million other a ‘bachelor’s degree’ leads to other opportunities as well as allow you to step into the ‘adult world’ by moving away from home and experiencing university life. Moreover, with the level 3 qualification, many students are wanting to progress onto something else by going to university and doing a different course, and using their level 3 qualification as a steppingstone, in comparison to a degree level course where you want to become a dental technician as a career. Although dental technology is a very niche course, it has allowed me to learn and be one step closer to becoming a qualified dental technician and it opened up many different opportunities despite the hardships of covid-19 over the last 2 years. I hope that within the near future that dental technology is accepted as a well-known profession and that the public understand what a dental technician is and how important it is within dentistry.

DENTAL TECHNOLOGY

Why two multilayers are a good solution l

Choosing the right multilayer zirconia depends on several different factors including colour, strength, and translucency. As a dental professional it’s very important to keep in mind the colour/shade of the underlying tooth/preparation. Imitating the natural tooth structure requires flexibility in translucency and colour, which Sagemax has covered in their two multi layers. Sagemax offers two multilayer zirconia discs, that take all these aspects into account and together provide a comprehensive range of aesthetic all-ceramic solutions which are NexxZr T Multi and NexxZr+ Multi. Their similarities and differences can be found in the following descriptions.

NEXXZR T MULTI NexxZr T Multi is a dental multilayer zirconium oxide (3Y-TZP cervical, 5Y-TZP incisal) of the latest generation. The combination of the very high flexural strength (1170 MPa cervical, 630 MPa incisal) and the smooth gradient of colour and translucency makes the difference. This combination offers optimal performance for the fabrication of monolithic restorations. The specially developed multi concept changes the mechanical and light-optical properties, creating a smooth gradient from cervical to incisal. The high-quality production process provides tension-free sintering, with high accuracy of milling with long-span restorations.

NEXXZR+ MULTI NexxZr+ Multi is a dental multilayer zirconium oxide (4Y-TZP cervical, 5Y-TZP incisal) with natural color and translucency gradient with high flexural strength (880 MPa cervical, 630 MPa incisal). These properties enable the fabrication of highly esthetic, monolithic single or bridge restorations for the anterior and posterior region. The specially adjusted translucency gradient ensures optimal coverage in the cervical area, with increased translucency in the incisal area. The integrated color gradient also ensures the efficient fabrication of natural looking restorations.

CONTACT Ceramet UK E: info@cmukdental.co.uk T: 01625 413990 W: www.cmukdental.co.uk W: sagemax.com www.dentaltechnician.org.uk

TECHNICIANS INSIGHT EVENTS

Henry Schein® Orthodontics™ presents its 6th Annual European Carrière® Symposium in Lisbon The event will demonstrate Minimum Touch OrthodonticsSM (MTO), a cuttingedge treatment philosophy, featuring keynote speaker Dr. Luis Carrière.

Gillingham – 18 January 2022: Henry Schein® Orthodontics™, the orthodontics business of Henry Schein, Inc., announces its 6th Annual European Carrière Symposium, taking place on 1 and 2 April 2022 in Lisbon, Portugal, at the Hotel Cascais Miragem. The Symposium will focus on Minimum Touch OrthodonticsSM (MTO), a new treatment philosophy that blends contemporary clinical principles with advanced digital solutions in a seamless workflow, to deliver remarkable and predictable results. MTO encompasses protocols, aspect of patient care, and communication into one holistic approach. Attendees will gain further insight into how industry leaders are challenging traditional clinical practices while driving strategic growth in the wake of the pandemic. World-renowned speakers will share progressive concepts; differentiating whilst achieving remarkable, efficient results, and incorporating novel workflows that are critical to success. Attendees will be shown how to grow case starts and same-day-starts (SDS) capacity; how to attract new patients by offering unparalleled convenience, streamlining appointment times, seeing fewer patients in person while staying connected virtually; providing excellent clinical outcomes with less invasive procedures; giving patients a comfortable experience and a brilliant smile in as few as 11 to 18 months.

The Symposium features keynote speaker Dr. Luis Carrière, the inventor of Sagittal First™ and a co-creator of MTO philosophies. He will be joined by other world-renowned, experienced, and engaging speakers; they include: • Dr. Khaled Attia • Dr. Ana María Cantor • Dr. Mario Chorak • Dr. Peri Colino • Dr. Tamar Finkelstein • Dr. John Graham • Dr. Antonio Guiducci • Dr. Dave Paquette • Dr. Mike Ragan All sessions will be presented in English, with simultaneous translation in Portuguese, Spanish, French, and Italian during the general sessions. In addition, networking opportunities will be available for participants to connect with fellow peers and other industry professionals from around the world. The goal of this event is to provide attendees with a comprehensive set of tools to further grow their practice by

In the UK, Henry Schein Orthodontics™ products are sold via Henry Schein Dental and Henry Schein’s affiliate Optident. This also included the Henry Schein’s Reveal® Clear Aligners (Reveal), a convenient solution for patients looking to enhance their smile, with a treatment plan approved by a dentist of their choosing. Optident also provides regular orthodontic education events. A special full-day live education event with Dr. Carrière to advance the future of orthodontics just took place mid of December 2021 at Royal College of Physicians in London. The next UK based orthodontics education event is planned for May 2022. For more information, please visit the following website: https://optident.co.uk/courses

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applying MTO while offering high-quality patient care and comfort. As in prior years, the event is expected to sell-out, bringing together leading orthodontic speakers and forward-thinking attendees in a powerful learning environment. Benefit from Early Bird Admission pricing registration until 31 January 2022. To register, visit European Carriere Symposium 2022, or email CE@HenryScheinOrtho.com, or call +1.866.448.8606.

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DENTAL NEWS

FROM THE DARK AGES TO WEBSITE WINNERS! w “So surprised – delighted – could not stop smiling!” These were the sentiments shared by Directors Paul Martin and Lucy Gabbitas at the recent Dentistry Industry Awards where Prestige Dental was awarded the Website of the Year. “This is the first time we have ever entered any awards! We were so thrilled to have made the shortlist amongst some very worthy competition, so took the decision to celebrate by attending the ceremony in London,” said Lucy. “As you can see by the picture on the night, when we were named as the winner,” Paul commented, “it was such a genuine surprise, we were subsequently also attributed with the best reaction of the evening!” The accolade was made even sweeter after such a tough year for the dental industry, and the journey that Prestige had made to produce a website that was now considered a winner. The judges described the website as ‘very clear, nice use of white space, all seems calm, good imagery with demonstrable sales growth’. Looking back an initial venture into the website world for Prestige was slow, scary, expensive and quickly outdated and it would have been easy to not try again. However, serving such a fragmented audience with a comprehensive range of dental laboratory and surgery supplies and small equipment, Prestige knew further investment was essential. They started by identifying a web designer which they felt shared the same business values. Barnsley based Genius skilfully led an uninformed team with a complicated offering, through the complexities of website development. Prestige found their ideas and patience awesome and gradually the site took shape, launching in December 2019 just before anyone had heard of the word ‘Covid’. The intention for a slow launch almost came to a grinding halt, as dentistry was delivered a crushing blow by the pandemic and the industry was in effect cancelled whilst everyone was asked to stay and work from home. Taking the initial interest created in the site, Prestige took the time to populate the site with tools other than just products, providing a vastly improved

user experience. Particular attention was paid to developing a Resources section which now houses a myriad of key information - equipment part lists, product certifications and much more. A champion of dental education, a lot of thought was also put into how Prestige could continue to support this sector. As work patterns started to return, they invited key UK course providers to supply information about themselves and their current dental education programmes to feature on the site. In a further education initiative, Prestige worked with course tutors to build unique Kits of the equipment/consumables used on teaching programmes, making them available at a discount to dental students to help them on their career path. Further site content now includes the e-learning section which supports the growing call for demonstrations, facilitating new and refresher online learning.

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There is no doubt that the website helped keep Prestige on the radar whilst the dental industry was ravaged during the pandemic and enabled them to be quick to respond and support, particularly educational needs, as things began to improve. Site development will continue in response to the needs of the industry, in step with new and innovative products, relevant dentistry news, information and ongoing support.

Workstations & Equipment

for 21st Century Lab Technicians WORKSTATIONS Ergonomic Secure Sustainable Modular, unlimited layout possibilities, wide range of materials and colours to suit your laboratory and style

VACUUM MIXERS MODEL TRIMMER Fast Effective Efficient

TWIST mixers create a perfect, homogeneous mass without bubbles, lumps and agglomerates

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Head Office & Showroom Trident Court, 1 Oakcroft Road, Chessington, Surrey KT9 1BD T: 0800 228 9828

E: info@blueprintdental.co.uk

W: blueprintdental.co.uk

DENTAL TECHNOLOGY RECRUITMENT

HOW LABS CAN IMPROVE THEIR SUCCESS WHEN RECRUITING TECHNICIANS THE PROBLEM

Competition for top technicians is intensifying across the United Kingdom, resulting in recruiting rivalry for skilled technicians. Dental laboratories are being affected by the shortage of skilled technicians, and frustrated to find that the majority of applications are either based overseas or underqualified for the position on offer. With good quality dental technicians becoming harder to find, it is essential that labowners and lab managers look at ways to optimize the recruiting process.

THE SOLUTION

Recruitment is a constant activity, the same way that marketing is a constant activity, and continuous recruitment makes searching for good employees part of everyday operations. Recruiting only when there's a gap in the workforce is leaving it too late! Continuous recruitment is a clever solution for labs that are facing hiring issues. Put simply, continuous recruiting means looking for new and better employees all the time and not just when staffing needs are high. This means that as a lab-owner you must always know your staffing needs and give priority to your most important recruiting needs. With continuous recruitment, potential candidates are encouraged to complete an application and submit a CV, even when there isn’t an immediate opening fitting their experiences and skill set. If you find a good technician and do not have a current position open, you should process the applicant as if you did. In today's market, conditions can change rapidly and that includes staffing needs. Dental labs can then start to build a database of talented technicians, substantially lowering hiring costs and drastically reducing the time required to fill vacancies. Continuous recruitment is only effective when used with the other parts of your hiring process; ads, applications, the interview process, etc. It might help to view your recruiting efforts as a “treasure-hunt" that never stops.

Here are some useful recruitment tips: • Find sources that are likely to be in regular contact with the types of applicants you need, and stay in touch with these contacts. • To get good at continuous recruitment you should practice, practice, and practice some more. Like anything recruiting is a skill that can be improved with practice. • Don't forget to follow up and analyze why a poor hire did not work out or why a good prospective technician chose another company. Take the attitude that each interview you do will benefit your lab in some manner. • Consider using a finder's fee for those really tough hires, especially for difficult to find positions. Remember that recruiting gets easier when you improve and streamline the process. Themost difficult stage of continuous recruitment is the beginning stage.

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• Be patient. Patience is a big plus when "fishing" for talented technicians. This is harder to do if your need is acute.

SUMMARY

Recruiting can determine success or failure. Continuous recruiting can give your company a real competitive tilt toward the success you seek and allows labs to respond quickly with staffing complications, sudden vacancies, or the need to replace low performing individuals. Email info@Recruit4Technicians.com for more details on how Recruit4Technicians can help your lab with continuous recruitment.

DENTAL TECHNOLOGY

SAGEMAX GOES CERAMET w

The beginning of 2022 is the beginning of the cooperation with Ceramet UK Dental Solutions, our new dealer for the United Kingdom. We are happy to welcome Darren and Andy in the Sagemax family! Now all Sagemax products can be ordered directly from Ceramet. A fast shipment throughout the United Kingdom in ensured, and with the expertise from Ceramet labs can now experience a full customer service. Furthermore, Ceramet offers many courses with highly talented professionals to offer education and training to dental technicians across the UK. The all new CM Techstudio is coming soon, and we are very happy to have found a dealer with the same dedication we hold at Sagemax. Expressing it in Ceramet's words, we are: "From The Industry, For The Industry.” About Ceramet Ceramet UK Dental Solutions is one of the leading suppliers of premium dental prosthetics and esthetics in the UK, bringing together global

brands that stand for excellence, innovation and quality. Constantly sourcing cutting-edge innovations and technological breakthroughs. Ceramet is committed to supporting the next generation of dental care professionals to excel in their profession. The aim from the very beginning has been to build on the successes and maintain the focus on providing excellent customer service at every level. The goal of the Ceramet team is to develop and improve products and services. From dedicated technical support to sales and customer service, the Ceramet team strives for best products combined with best possible support. About Sagemax and NexxZr Sagemax Bioceramics, Inc. is one of the world’s leading manufacturer and supplier of dental zirconia for CAD/CAM laboratories. The company is consistently extending its competitive range of products for leading CAD/CAM systems. Sagemax is focusing on the aesthetic demands of dental laboratories,

with high-end dental materials such as high translucent Multilayer-zirconia NexxZr+ Multi and the latest product release of NexxZr T Multi. The material development and production plant take place in Federal Way, Washington, USA. Sagemax products are distributed throughout the global dealer network.

ABOVE LEFT: Darren Shorrocks RIGHT: Andy Fairbanks

For more information please visit www.sagemax.com Contact: marketing@sagemax.com / info@cmukdental.co.uk

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DENTAL NEWS

DENTSPLY SIRONA PARTNERS WITH UNIVERSITY OF TOULOUSE TAKING THEIR PRECLINICAL LABORATORY EQUIPMENT TO A NEW LEVEL The University Toulouse III Paul Sabatier in France, founded in 1229, partners with Dentsply Sirona to professionally equip its renovated preclinical lab. Dentsply Sirona is providing the Faculty of Dental Surgery with state-of-the-art simulation units and multimedia components. The new equipment will take the education of young dental professionals in Toulouse to a higher level.

In his speech at the inauguration ceremony Dean Prof. Pomar praised the cooperation with Dentsply Sirona

Charlotte, 18 January 2022. The University Toulouse III Paul Sabatier has carried out extensive modernization and equipped its preclinical laboratory with 21 Sim Intego units and a multimedia system. Thanks to this technology, students can follow the tutor’s activities on their own monitor, including audio communication, which enhances the overall visibility and interactive collaboration during lectures.

LAUNCHING THE PROJECT AND THE DENTAL STUDENT EXPERIENCE The inauguration ceremony of the new lab took place on November 9 in the presence of Dean Prof. Philippe Pomar and professors of the dental faculty, as well as the management team of Dentsply Sirona France and the International Special Clinic Solutions (ISCS) business unit. The University Toulouse III Paul Sabatier has been relying on quality products from Dentsply Sirona for some time, using the CEREC Omnicam in teaching. The last time Dentsply Sirona was involved in such project with a French university was in the 1990s.

In his speech at the inauguration ceremony of the new preclinical training rooms, Prof. Pomar appreciated the cooperation with Dentsply Sirona: "With their outstanding work and support in modernizing our simulation laboratory, they have made a significant

The newly renovated and modern simulation laboratories in the University Toulouse III Paul Sabatier, France

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DENTAL NEWS

THIS PHOTO: The new equipment allows practical work with the tools and devices offered by modern dentistry. BELOW: Students can follow the tutor’s activities on their own monitor

contribution to enabling us to optimally prepare our students for their clinical training. Throughout the project and afterwards, we always experienced a real partnership." The students and staff were enthusiastic about the new facility and the many opportunities it opens up for their studies. "The new lab fully meets our expectations and allows for more efficient teaching," said Prof. Dr. Karim Nasr. "Combining the deep historical knowledge and expertise of the University with these new, modern-day tools will catapult the whole learning experience.

ALMOST 1,000 UNIVERSITIES AND CLINICS EQUIPPED

Olivier Lafarge, General Manager Dentsply Sirona France, sees a lot of potential in this exceptional partnership: "We have the same goal as the University of Toulouse and as all dental education and training institutions – to ensure that students become outstanding dentists and the next leaders in dentistry. We want to keep evolving our solutions to transform dentistry and improve oral health to make the next generation of dental experts fit for the digital age of dentistry." Dentsply Sirona draws on decades of extensive experience in equipment projects. To date, the world's largest manufacturer of dental products and technologies for dentists and dental technicians has supported nearly 1,000 universities, clinics and hospitals around

the globe in the planning and construction of new wings and facilities. These include the National University Center for Oral Health, Singapore, the University Center for Dentistry in Basel, Switzerland, and the University of Otago in New Zealand.

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DENTAL TECHNOLOGY

EXCELLENT RESULTS WITH LITTLE EFFORT “PFM Restorations – anything but outdated” By German Bär I Dental Technician I Sankt Augustin I Germany First published in: dzw Zahntechnik, Issue 5/18, 2nd May 2018.

Anatomical design: Proper preparation of the metal framework helps to ensure a reliable bond and compensate for any indirect occlusal stresses

PHOTOS OF DENTAL WORKPIECES: Team Dentalstudio Sankt Augustin

erman Bär, dental technician and veneering specialist of Dental-Team Sankt Augustin, Germany, tested Shofu’s metal-bonded porcelain system Vintage PRO before its launch at the 2017 International Dental Show (IDS). It is now an integral part of the production processes in his laboratory. One year and many PFM restorations later, he shares his experience.

Wider variety of suitable alloys: The choice of the optimal alloy, whether milled or cast, is the basic prerequisite for a successful restoration.a reliable bond and compensate for any indirect occlusal stresses

When browsing dental journals, we might think that today PFM restorations play only a minor role in the everyday work of dental technicians. Reality is different: Due to increasing cost awareness of and decreasing payments from statutory health insurances, dental laboratories increasingly use nonprecious alloys for standard PFMs. However, customers and patients have not lowered their aes-thetic demands as a result of these cost-cutting measures – quite the contrary. To meet the demands, we need modern buildup porcelains that are not prone to greyish or greenish discoloration but natural-looking even on nonprecious alloys. Patients expect their PFMs to be more or less as aesthetic as all-ceramic restora-tions. For dental technicians, it is important to achieve this challenging goal with little effort. PFM vs. All-Ceramic: advantages of the classic approach In my view, the use of PFM restorations in dentistry is comparable to the use of concrete in construction, which is also often frowned upon: It depends on what you make of it. In cases with difficult statics, e.g. when interocclusal distances are short or long-span bridges are necessary, I still prefer PFM to all-ceramic solu-tions – if only for reasons of longevity and safety.

Vintage PRO closely matches the VITA Shade Guide, which I regard as a great benefit. If the VITA shade has been correctly selected, I can be sure that my re-sult will accurately match the tooth shade. Meaning: When I build up A3, I will get A3. Even if the porcelain has to be fired more often than usual, it will not become greyish but

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show high shade stability. Besides, the appearance will come close to that of an all-ceramic even when using normal layer thicknesses. Promoting dental materials as “easy to use” is one thing; keeping this promise is another. Vintage PRO has really met our expectations in

DENTAL TECHNOLOGY

practical use: This build-up porcelain can be used not only by experienced technicians, but also by new-comers and ambitious trainees. The materials are highly stackable during layering and very easy to sculpt with some practice. Moreover, the porcelain shows only minimal firing shrinkage. The details I create during layering will still be there after firing. This allows users to experience great success, especially if they are beginners. And the Effect and Gum shades help experienced dental technicians to easily, safely and efficiently fabricate even the most complicated large-scale restorations and demanding anterior teeth. Vintage PRO can be recommended to all technicians wishing to achieve excellent results with little effort. By the way, the system can also be successfully used for indications not included in the manufacturer’s IFU. We used it to build up veneers on refractory dies. The results were great. When there is no metal framework, lifelike light effects will be especially well visible. We were also very happy with the natural opalescence of the Effect and Incisal shades. The benefits of Vintage PRO have made everyday work much easier for us. Anterior and posterior crowns and bridges can now be efficiently veneered. Posterior crowns can be made in the “one bake technique” with some practice. The efficiency of this technique is virtually unbeatable: One layering step, one firing step, and that’s it. And even aesthetics leave nothing to be desired. Let’s take a look at the fabrica-tion of anterior single crowns, a dental technician’s core competence: To naturally and harmoniously match a crown to the adjacent teeth in terms of shade and all the other characteristics, I must be able to precisely control the opalescence and fluorescence of my porcelain. Vintage PRO allows me to optimally achieve the opalescent light refraction and brilliant shade effect desired. Shofu was the first manufacturer to introduce the interplay of light between fluorescent dentin and opalescent enamel into dental porcelains. This phenomenon is particularly well visible in reflected and transmitted light. Vintage PRO benefits from Shofu’s years of experience in every respect.

FROM THE TOP: Excellent results with little effort. Translucency: The opalescent Vintage PRO Incisal and Translucent shades allow technicians to accurately reproduce the optical properties of natural teeth with minimal effort. Mimicking nature: Studies of layers and shapes by Dental-Team German Bär. Thanks to its great ease of use and low error potential, Vintage PRO can be used not only by experienced technicians, but also by newcomers and ambitious trainees. Simply aesthetic.

I have developed my own preferences; I like to work with the Body porcelains, not least because they closely match the VITA shades. Besides, I highly appreciate Effect and Opal with their natural opalescence.

Equipped for all situations: comprehensive assortments We have thoroughly tested all Vintage PRO assortments with all porcelains available, including Body, Effect and Gum, in cooperation with clinicians. Our conclu-sion: Vintage PRO has definitely proved itself. This porcelain system helps us to fully satisfy both patients and customers.

The challenge: PFMs and allceramics side by side Frequently, patients receive all-ceramic anterior restorations and PFM posterior restorations. These cases are not always easy to handle. However, Vintage PRO proves very useful here, since it conducts light virtually like all-ceramic restora-tions. With little effort, transitions can be concealed even when using a normal layer thickness, so that they are no problem for technicians and not recognisable in the patient’s mouth. The transition from anterior to posterior teeth can be incon-spicuous and harmonious, because canines are often more chromatic.

To colleagues who wish to excel in their work and go beyond standard PFM layer-ing, I recommend the shades of the Enamel Effect Set. And when fabricating large, implantsupported bridgework, the Gum shades will be essential. Like all experi-enced technicians,

Even when handling a material that is essentially easy to use, a few basic points should be observed. In the case of a metal-bonded porcelain system, first of all, the coefficient of thermal expansion (CTE) of the metal framework deserves clos-er attention. Vintage PRO is designed for a

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firing temperature of approx. 900°C. The firing schedule included in the IFU is primarily geared to nonprecious alloy frameworks, regardless of whether they are traditionally cast, made by CAD/CAM or sintered. When veneering these alloys, long-term cooling may be beneficial. When veneering high-gold or reduced-gold alloys, long-term cooling may or may not be advisable, depending on the CTE. My tip for colleagues: try something new I can really recommend giving Vintage PRO a try – e.g. the Incisal porcelains with their beautiful transparency. Or why not mix Incisal with some Opal-OC for more diffuse light refraction? There are so many ways to use this versatile porcelain system to your advantage. Just remember: Practice makes perfect. Material information Vintage PRO (Shofu) is a metal-bonded leucitereinforced feldspathic porcelain system for the conventional CTE range of 13.5 to 14.8 x 10-6 K-1. It is designed primarily for veneering nonprecious alloys but also suitable for high-gold, reduced-gold or palladium-based alloys.

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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 n To understand the requirements of a specific "Full Lower Characterised Denture" and how to create the best match for natural aesthetics using selected methods and materials.

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 THE JANUARY 2022 DT EDITION :

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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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Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852 FULL LOWER CHARACTERISED DENTURE BY CRAIG BROUGHTON DIP CDT RCSE

Q1. The 58 year old gentleman attended the clinic for the provision of what? A - Complete lower denture B - Full upper denture C - Mandibular arch D - Denture base

Q2. How long ago was the temporary denture placed? A - 3 months B - 6 months C - 9 months D - 12 months

A - Porcelain denture B - High quality acrylic denture C - Partial metal denture D - High quality plastic denture

Q9. What did they match the shade of the clients natural dentition to? A - A2 B - A3 C - A4 D - A5

Q10. What was used to match the denture to the clients natural gingvae ?

Q3. Due to an accident at work the client lost the vast majority of what? A - Upper dentition B - Premolars C - Lower dentition D - Canines

A - Periodontal ligament B - Enamel C - Composite D - Sulcus

Q11. What colour Optiglaze stain was applied first?

Q4. There was a full upper dentition apart from XXX? A - UR5 B - UR6 C - UR7 D - UR8

A - Blue B - Red C - Green D - Yellow

Q12. What doe the light blue colour create the illusion of?

Q5. The treatment plan was to have XXX tooth extraction? A-3 B-4 C-5 D-6

Q6. How long was the immediate temporary denture planned for? A - Five months B - Six months C - Seven months D - Eight months

Q7. What did the client decline due to cost? A - Complete lower denture on two implants B - Complete lower denture on three implants C - Complete upper denture on two implants D - Complete upper denture on three implants

Q8. What did the client opt for instead?

A - Osseous craters B - Ledges bone C - Bulbus bone D - Buccal exostosis

YOU CAN SUBMIT YOUR ANSWERS IN THE FOLLOWING WAYS: VIA EMAIL: cpd@dentaltechnician.org.uk OR BY POST TO: The Dental Technician Magazine, PO Box 2279, Pulborough, RH20 9BR. 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 magazine. Certificates will be issued within 60 days of receipt of correct submission.

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CASE STUDY

FULL LOWER CHARACTERISED CMB DENTURE

Dental Laboratory Ltd.

www.cmbdentallab.co.uk

By Craig Mark Broughton Dip CDT RCSE I CMB Dental Laboratory Ltd

58 year old gentleman attended my clinic for the provision of a complete lower denture to replace his temporary denture that he had placed post extraction 6 months ago. Due to an accident at work he lost the vast majority of his lower dentition and the remaining 3 posterior teeth had to be extracted due to failed root canal treatment. Apart from his UR6 he had a full upper dentition, he had recently undergone a course of whitening and were in good condition. His treatment plan was to have 3 tooth extraction and an immediate temporary denture for 6 months whilst the bone and tissues could heal and then to be referred to myself to make his new complete lower denture. Following the McGill consensus, a complete lower denture on two implants would have been the most retentive option for this patient. However, he declined due to the cost and instead opted for a highquality acrylic denture. Discussing with the patient what he would like to achieve from his new denture he expressed that he wanted his new denture to have straight teeth and to look as realistic as possible, not “plain pink”. We matched the shade of his natural dentition as A2 and found that the Enigma Life teeth were very similar in translucency at the incisal edge to his natural dentition. I then took the shade of his gum, firstly his sulcus and then the gingival margins of his natural teeth to try to match the denture as much as possible to his natural gingivae.

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CASE STUDY All stages went well with minimal adjustments needed to create balanced occlusion and articulation as-well-as good aesthetics. The denture was processed in Ivocap, trimmed up, cut back and sandblasted in preparation for the next stages of stains and composites. Firstly, I applied red Optiglaze stain buccally and labially towards the periphery of the denture and then mixed in some blue to create a purple hint in the frenal areas. These intense colours will create the illusion of the most vascular parts of the mouth and as the composite is built up over the top there will be gradual gradation from red to light pink. The next stage was to add the Nexco composite. Starting with the lightest shade to build up the canine eminencies. The light colour creates the illusion of the bulbus bone under the surface of the mucosa. Then starting with the darkest shade of composite, the buccal aspect was built up finishing with the lightest shade at the gingival margins. I have tried many different ways and different tools to create a good gingival roll when using composites but I find the most effective way is to use a brush and carefully move the composite around. The denture was then cured and polished ready for the fit appointment. The fit went smoothly and after a minor adjustment of the disto-buccal cusp of the LR6 the occlusion was good. The patient was very happy with the result. I was happy with the outcome of the denture even though this was my first attempt at using Nexco composites and I feel that there is so much more to learn.

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TECHNICIANS INSIGHT

The Exhibition By Andy Sanson

O Another satirical article in the series by Andy Sanson. A diversionary and humorous look into years gone by from the retired Dental Technician. Andy tells us of his first experience of visiting a Dental Exhibition in Blackpool.

stensibly a showcase for talent and workmanship of the highest quality and standard, an opportunity for like-minded craftspeople to get together, swap ideas and expand their knowledge of their chosen vocation, the trade exhibition/conference is in fact an excuse to go on the pull, drink copious quantities of gut-rotting cheap plonk and wind-inducing fizzy lager, eat buckets of ring-stinging curry and throw up in the back of taxis. Volumes are spoken by the fact that these events are invariably held in corporate chain hotels in places such as Bournemouth, Llandudno or one of the larger city centres and last for several days when all business-related matter could easily be dealt with in the course of an afternoon. Back in the day, we Buggers were discouraged by Management from attending. We were considered unsuitable ambassadors for The Lab. Announcements in The Dental Mechanic were hid from our eyes with a fervour that makes the security extant at such events as the Inauguration of President Obama and the London Olympics seem positively lackadaisical. Because of this it was many years before a small band of us plucked up the courage to set off on our own for a look at what all the fuss was about. The Exhibition in question - and it’s a long time ago so my memory may be somewhat dulled - was, I believe, accommodated within the Imperial Hotel, North Promenade, Blackpool. We decided to drive up and stop over. Obviously being members of the downtrodden masses, we couldn’t afford to even dream of staying anywhere as plush as The Imperial so we threw ourselves upon the mercy of the Tourist Information Centre’s Book-a-Bed-Ahead service. One of the resort’s infamous guest houses had two twin rooms available and, as our band numbered four, we took the bait. We anticipated a horn-rimmed battle-axe landlady, teapots that didn’t work and a nine o’clock curfew. We were only mildly disappointed. At least we were given a key, albeit with instructions to neither make a noise when we got in nor drag back any of the locals we might collect on the way. Our hostess who, I imagine had she applied for the lead role in the recent ‘Filth: The Mary Whitehouse Story’ opus on BBC2, poor old Julie Walters wouldn’t have stood an earthly, had been around long enough to know ‘the kind of things your sorts get up to and we’ll have none of it here, thank you very much. Indeed, no’. We thought about pointing out to her that she would do well to

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bear in mind which of us was the customer and how it may be beneficial to all sides were she to accord us a little of the respect such a relationship deserved. We let it lie… all we wanted to do was break free from the turgid tick of the grandfather clock and all-pervading fug of lavender and get on the p--- I mean, get off to the Exhibition. Ahem… Our plan was to head straight off and spend a few hours at the Imperial, looking around the stalls, talking to fellow techs, soaking in the ambience and generally seeking out ways to further our careers, leaving all thoughts of seaside antics and Bacchanalian jiggerypokery until late afternoon at least. ‘Hang on though. Let’s go and try the Grand National first, coz it’ll be packed later.’ What surprised us, upon arrival at the Pleasure Beach, was the number of patrons whose demeanour suggested they were probably there for the same reasons we were. I suppose there isn’t a general stereotypical music hall/Carry On image of the dental technician - vicars, spivs, government officials, yes - dental technicians, no. Still, you will understand what I mean when I say that we knew immediately which among the hundreds of day-trippers and off-the-leash factory workers were fellow Exhibition attendees and which were not. And they were all in the queue for the Grand National. ‘Hang on, I wanna go to Ripley’s’ ‘We just gotta have one in the Manchester. You can’t come to Blackpool without having one in the Manchester.’ ‘What about the Tower? We’ll have to go up the Tower?’ Probably one of the highlights of my life was an incident that occurred on the way out of the Tower. Having got lost in the corridors and catacombs of the place we found ourselves on a wide staircase with a banister which Harry, for the sake of it, decided would leave a gaping hole in his life if he didn’t slide down it. Of course, he failed to stop at the end and crushed himself on the newel cap, or whatever the knob on the end’s called. A great bovine bellow issued forth, the words ‘Oooh, me &^%$in’ kn*&^%rs!!’, echoed round the place, indeed unto the great ballroom itself wherein, the second I came into sight of it from the balcony on which we now stood, about 500 residents of Twilight Towers awaited an organ recital - half a thousand

TECHNICIANS INSIGHT

venerable elders who, to a man and woman, now concentrated their gaze on the source of the bellow which just happened to coincide perfectly with my appearance, as that of Jabba the Hut about to kick off the Podrace. My two remaining comrades dissolved into gibbering jellies about me leaving me standing in the full limelight, hopelessly trying to disrobe myself of all connection with any of it. Thinking that trying to explain the situation would be a non-starter, we shouldered our purpling companion and beat a hasty retreat, legging it out of the building as fast as we could manage. The memory of this has kept me going on many an occasion since when hope had all but failed. Apparently, ghostly glowing orbs can be seen in certain photographs taken in the ballroom. Now, there’s a coincidence. I have a vague and fuzzy recollection of wandering amongst a few crumb-spattered pasting tables strewn with various prostheses and leaflets, and a rather superb chrome (human) skeleton and gold (Tower) bridge, pre-David Brent types with their ties in their pockets going off about New Romanticism and Betamax videos, and vomit-stained carpets, after which my next memory is saying ‘coffee please and just some toast, yes, no, thank you….’ in Mrs Faggot’s breakfasting room about ten thirty the next morning. All too soon, with hangovers nowhere even close to dispersed we headed back down the M6 and home. It’s not a long journey, Blackpool to the Welsh Borders, but it is dull. Vacuous attempts to ignite serious discussion about the Exhibition, the exhibits, people we’d met and the relevance of the whole on our future careers came to nothing so we fell silent once more as the featureless Lancastrian roadscape whizzed past. Boredom’s gift is time to think of other stuff, such as your stomach. The Thelwall Viaducts, or Viaduct as it was in those sunny, halcyon, absolutely perfect, long gone days, impress in the magnificence of the engineering and sheer presence but we’d seen it all before. Harry, my Geordie colleague, now as recovered from his encounter with the Tower Ballroom newel cap as could be expected in the given time, graced us with the unsolicited information that he could “eat a scabby-arsed mule” and I began to sympathise. Apart from a slab or two of charcoal’d toast and half a skip of black coffee at Mrs Faggot’s, not a morsel had passed the lips of any of us. We decided to get off at Junction 12 and head for Greasy Lil’s, a well-known - at least among the commercial travelling and logistical fraternities - transport café and dossing venue. The ancient, wheezing and overloaded Hillman Imp splashed into the lorry park, menaced on all sides by scowling pantechnicons. The surface, were the

conspiracy theories regarding the falsification on the Lunar Landings to be believed, might well have served as a location for Tranquility Base, had it been a little less pock-marked and barren. Not so much ‘Magnificent Desolation’ as ‘Crap’. Our brave little cabal - well, alright, bunch of young reprobates indulged in a certain amount of stretching and swearing with regard to stiffening joints and sore heads, before gathering its remaining strength and heading piecemeal towards the welcoming glow from within. The noise was incredible. Everything that wasn’t clattering was either clanging or clashing; fruit machines bleeped incessantly. A TV in a top corner boomed its Antipodean soap at anyone who cared to listen and, more to the point, anyone who didn’t. Fifty or more truckers bellowed at one another, each endeavouring to outdo his neighbour. Evidently the idea was that if you wished to hold a conversation it was mandatory to put as much distance as possible between yourself and your confabulator and roar the text at 10,000 decibels until your lungs gave out. The smell of the grub, however, was fabulous. I ordered chicken and chips, grabbed a cauldron of steaming tea, and found a fourseater table that had been perfunctorily wiped down somewhere around the end of the Triassic Period where we sat ourselves down and awaited our repast. Some short while later, a spindle of a woman in her early nineties, with a well-worn Woodbine hanging from paper-thin lips, plonked what looked like four large white loaves cut in twain on our table and hobbled off towards the counter midst a chorus of mildly profane comments from the clientele. “Beef pie and chi-i-i-ii-pps!”, screeched the voice of a rusty dalek that cut through the prevailing din and seared the very soul. In an instant there was a hideous scraping noise as a massive gentleman at a nearby table endeavoured to free himself from the confines of his seating. His physique was not conducive to ease of movement. The chair continued to howl across the floor, while the trucker admitted to himself, and others, “Goodness me, what a portly piggy of a haulier I am. I really must stop drinking so much beer and afford myself some flipping exercise.” At length, he succeeded in separating himself from his chair and wobbled dangerously over to where his repast awaited his pleasure. He grasped his plateful with hands made of Cumberland sausages.

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I didn’t wish to appear nosy but I couldn’t help noticing that his meal consisted of a piece of pie the diameter of an LP record, enough chips to fill the upturned dome of St Paul’s Cathedral and eight million peas floundering in an ocean of mastic. He returned to his seat, looked around, put his plate on the table, gripped the back of the chair, raised his right leg and blew off with sufficient vigour to ruffle the folds in the voluminous theatre curtains that served him as trousers, announcing to each and every one of us there gathered that, ‘That’ was ‘better’, before fanning the insidious green cloud of ectoplasm in our direction with his copy of the Daily Mirror. Watching him eat was a revelation. Initially we felt somewhat self-conscious that we might be seen infringing his privacy and get told by the twenty eight stone bronto-buttocked, wildeyed waggoner to mind our own business lest we found ourselves masticating the car park. It soon became evident that, even if we were to face the other way and sing loudly to ourselves and pretend to be filling in crosswords, we would still find the spectacle impossible to ignore. From our vantage point, behind and rather to the left, we could make out a blurred flurry of elbows which, combined with a dissonant cacophony of slurps, belches and other Beano-type effects, provided a launch pad for his running commentary: “By Jove, what dashed good value for three pounds and ninety five pence.” More drain-cleansing emissions. “A bally sight preferable to patronising blinking McDonald’s, I should venture.” “Chicken and chi-i-i-ii-pps!” hit my ears as the unexpected arrival of the Red Arrows on a dreamy summer’s afternoon. The gentleman gourmand was correct; excellent value and good with it. I have cultivated a reputation over the years as something of a hearty eater, but I admit I struggled with this lot, not least because of the doorstep chip butties constructed with the wedges given to me earlier by the be-pinnied crone with the Woodbines and a generous splurge of the 10p a vat brown sauce provided in huge squirty bottles that took two hands to operate.. And it was a change to get a proper mug of tea instead of having to contend with one of those dreadful stainless steel teapots, beloved of motorway “services”, that splash tea everywhere except in the cup. Wonderful!

DTS 2022

Develop your hard and soft skills at DTS 2022 Don't miss the next Dental Technology Showcase (DTS) in May 2022!

l The lab-dedicated event offers two days of education and inspiration, helping all members of the dental lab team to enhance both their hard and soft skills for the development of their careers and their laboratories. There will be world-class speakers sharing a wealth of information, helping delegates to streamline and elevate every aspect of their own businesses. The trade floor will also be a great place to find further training and to network with peers from across the profession for significant added value. Plus, it’s free for the lab team to attend. Be sure not to miss out – save the dates in your diary today!

Re-connect with confidence l The constant uncertainty of the past couple of years has created many difficulties both within and outside the dental profession. However, it is important for all lab teams to engage with the wider community when it is safe to do.

There will be individuals and organisations from across the industry, as well as a lab-dedicated trade floor with an array of dental manufacturers and suppliers, and hundreds of dentists in a co-located event too.

The Dental Technology Showcase (DTS) 2022 will provide a fantastic opportunity for all members of the lab team to re-connect with peers in a safe and productive environment.

Whether you wish to expand your client network, find new suppliers or establish new relationships for future collaborations, DTS 2022 is the place to be!

The next DENTAL TECHNOLOGY SHOWCASE will be held on Friday 13th and Saturday 14th May 2022, Birmingham NEC, co-located with British Dental Conference & Dentistry Show Birmingham. For more information, visit www.the-dts.co.uk, or email dentistry@closerstillmedia.com

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EDUCATION

IS APPLYING FOR A HEALTHCARE LEADERSHIP ACADEMY (HLA) SCHOLARSHIP RIGHT FOR YOU?

s most of you will already know, I am very passionate about whole team working, about creating opportunities for every member of the team, ensuring that we all have equal opportunities to grow and develop our skills in whatever direction we wish to take them. So, in order to help facilitate this and open doors for us all I am constantly being the proverbial pain in the butt to anyone I come across who is offering training that I think may be of interest to us all, and of course especially for us as technicians.

SO HERE IS A LITTLE OF THE BLURB ABOUT THE HLA:

The Healthcare Leadership Academy is a CIC registered social enterprise. Any donations or income generated is reinvested in promoting leadership in healthcare. This is primarily through supporting the scholars on the flagship annual course. Scholars do not pay to undertake the programme.

Treated as a valued and respected part of the HLA community by all dental and medical professionals within it? Absolutely!

I quite often get feeble excuses as to why this or that training wouldn’t be suitable for us and I constantly battle and challenge those responses as often as I can. So, when I saw the Healthcare Leadership Scholarship opportunity advertised and saw that their language was once again written in such a way to be once again aiming itself to clinicians, medical professionals etc I immediately challenged this, as I saw no treason at all as to why their programme should just be for clinical applicants from the medical or dental field. To my complete surprise and delight they immediately apologised, asked me what need to be changed to correct their error and have taken immediate action to try and change their language to ensure that the opportunity is open for anyone with the right personality characteristics and desire to be an effective leader in whatever field they may work in within the healthcare fields.

Founded by Dr Johann Malawana (Course Director), former leader of the Junior Doctor Dispute, and a team of like-minded professionals (Our Faculty and Assistant Course Directors) the Healthcare Leadership Academy launched on 20th December 2016.

Have you applied yet? If not please do, do not let me be the only technician to go through the HLA leadership programme, I’m happy and proud to be the first and to have paved the way for others but my effort is only worth it if you take the opportunity with both hands and show this world what an awesome addition we are to any team.

The next step was to then call their bluff of course and apply myself for a scholarship. Well guess what? Yep, I’m now a HLA Leadership Scholar and very proud of it too. Why? Well because they not only stayed true to their word in being a totally inclusive organisation but so are all the other scholars within it. Not once have I been made to feel unwanted or inferior in any way, shape or form. In fact, quite the opposite is true.

The Healthcare Leadership Academy formed in response to demand from young clinicians and medical students to learn about leadership.

HLA houses an exciting faculty from across the health sector and beyond. Their shared aim is to inspire the next generation of healthcare professionals and develop their understanding of leadership. Too often in healthcare, leadership is confused with management. Through a combination of mentoring, Socratic discussion, and philosophical exploration, HLA aims to inspire our scholars to change the world of healthcare, one small step at a time. At a time when the world seems an ever more worrying place, it is important that the next generation of healthcare professionals truly understand how to motivate the people they work with in order to best look after the populations they serve.

SO IN SUMMARY... Free HLA Leadership training for dental technicians? Hell yeah!

Do you have to work in the NHS? No!

The application portal is now open, it is a competitive process as there are only 100 free scholarships but if I can do it then so can you! Please go for it and get your applications in! https://www.medics.academy/ courses/hla-2022-23-scholarsprogramme-application-portal You have until the deadline of Wednesday 31st March 2022 at Midday (12 noon) GMT.

For more information please check out: https://www.thehealthcareleadership. academy/ https://www.linkedin.com/ groups/8861953/ https://twitter.com/HLA_int https://www.facebook.com/HLAint

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DIGITAL TECHNOLOGY

COMPUTER AID DESIGNS IN DENTAL LABS By Cristian Popa I Byrnes Dental Laboratory 1 COMPUTER AID DESIGNS The technology is moving fast, and it is meant to make our lives easier, be more productive and focus on the cases that are more complicated and require more time. I have started working in the dental field, as a dental technician in 2011. Was waxing up, investing, casting the metal and finishing/ polishing the structures. Some of you maybe still doing it, I’m glad you still enjoying it! Hear me out, while it might sound like a too much of a change / you don’t have time for this change to get a CAD system and as well the investment that comes with it, you might need to reconsider. 2 BENEFITS Some 4 years ago, got accepted at Byrnes Dental and I knew there will be challenges to learn and develop, rewire my brain into CAD. It was something completely new to me, while I knew exactly how my restorations should look like, had no clue how to design them. With the support of a great team managed to understand the basics of the systems, how everything works. Instantly, I had no more problems with the bridges “rocking” on the models, no longer need to cut them, laser weld, and as well be more productive and an ever clean and professional working environment. 3 CAD I would split the CAD roles in two different subcategories: One would be the design itself; the artistic flair involved in the design stage keeping in mind the function of the prosthesis. Second one would be, learning the infrastructure of the software, how it works, what libraries you need, how to keep it updated, what parameters you need and how to customize them. Learning about different companies how their work and how would be beneficial for the workflow.

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DIGITAL TECHNOLOGY

In order to create a successful restoration, the two combined and the proper milling center/in house milling are mandatory.

4 FULL ARCH RESTORATIONS

While a single incisor has his own challenges, when we speak about big span bridges things can go sideways in some many ways even before we realize. We have tried them all, from monolithic ZR on stock titanium bases, Cr-Co anatomical bridges, bars and so on.. Each type of restoration comes with their positives and negatives, and I know it is a sensitive subject, everyone is seeing it different and maybe have different experiences. I would speak about my experiences with titanium frames. The main objective is to have a happy patient and a long-lasting restoration, and I think as technology evolves, we should embrace it leaving less room for errors and more room for innovation and productivity. I still think dental labs and the technology available on the markets still lacks behind compared with other sectors but lucky some companies are moving into dental sector and the quality from them it is just outstanding. One of this companies, while it is not new in the dental field, provides one of the best milling solutions out there. We would design most of our full arches using a substructure of titanium bars, either with individual crowns and composite pink or a sleeve bar that has contact with mucosa and zirconia sleeve. The cost will be bigger then a monolithic ZR bridge but as well durability over time will overpass the monolithic bridge. When we speak about a chipping one of the teeth it is more affordable to replace a single crown on the thimble bar then a remake of the entire ZR bridge. Another positive aspect of both type of bars shown in picture, is that they can take small deviations from the implant placement; monolithic zirconia will not be that forgiven.

5 THE PROCESS

Everything is starting with a prototype. We will design a verification jig and aesthetic trying in one go. Will order the temporary cylinders, scan them in design the bridge, print it and send it out for trying. When we get the setup back if we have the approval, will proceed to the design stage of the bar. Depending on the OVD and smile line this is the stage we will decide if will be a sleeve bar or thimble bar; usually with thimble bars apical point should not be very close to the mucosa.

We have designed the bar leaving enough space for the pink composite and correct space in order to replicate the emerge profile of the crowns.

that some milling machines will mill better then others but would never be 100% same as the digital files. SLM would be more precise but will have to go with CR-Co then.

After we have finished with the design stage will send our restorations to Createch milling center with the corresponding online order form.

We have the bar rescanned, realigned with the previous job and saved all the files aligned; it is time for the artistic part to begin. The design of the crowns.

The best way would be to rescan the bar and align it with the previous order, where was initially designed or even rescan everything from beginning as some human errors could be present when the initial scan was done. The reason of the rescan at least the bar is

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6 CONCLUSION

Don’t fear technology, instead embrace it and take advantage of everything that comes with it. Make the jump, and learn as you go to navigate in the new world of digital dental technology.

BUSINESS

Advertise your business in the Dental Technician Magazine 01372 897462 sales@dentaltechnician.org.uk

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MARKETPLACE

KEMDENT A BRITISH MADE HIGH IMPACT DENTURE ACRYLIC YOU CAN TRUST w It is essential to use the right materials in order to maximise the value offered to your clients and their patients. When it comes to the fabrication of acrylic dentures, you need look no further than Acron Hi from Kemdent. The Acron Hi is a true high impact strength acrylic, ideal for the provision of high-quality dentures. For easy handling – regardless of your team’s preferred application method – it produces a soft and easily packable

‘dough’ that suits any processing protocols, including injection moulding. The unique Multi-Matrix Technology optimises its fracture and breakage resistance, and its increased stiffness after processing makes

trimming and polishing simple. Plus, a low level of residual monomer minimises the risk of allergic reactions for greater patient comfort. For a high impact denture acrylic you can trust, contact Kemdent today!

For more information about Acron Hi and the many other leading solutions available from Kemdent, please visit: www.kemdent.co.uk or call 01793 770 256

NEW COMPETITION FROM KEMDENT - 1ST MARCH TO 30TH JUNE 2022

please tag #Kemdent100, including the name of the dental technician on the application form and ‘Like’ the Kemdent page. These images should show different angles of your wax try-in or acrylic denture created using Kemdent products. Full details, rules and regulations can be found on the website.

w To celebrate the skills of UK Dental technicians and in celebration of Kemdent’s 100th anniversary, we are launching a competition for dental technicians with two £1,000 Trailfinders gift vouchers up for grabs! There are two categories , Best Modelling Wax Try-in and Best Acrylic Denture, and dental technicians can submit one entry for each. A judging panel of highly qualified professionals will be looking at aesthetics, details and complexity of case among the criteria for each group.

For your chance to gain recognition for your skills and win a £1,000 Trailfinders gift voucher – to spend on a holiday anywhere in the world – don’t miss this competition! To enter, please visit www.kemdent.co.uk/ competition to download the competition form. This should be completed and emailed to info@kemdent.co.uk, with your five accompanying photos posted on Facebook –

For more information about the leading solutions available from Kemdent, please visit www.kemdent.co.uk or call 01793 770 256.

TELESKOPER ORBIT Ø 125 MM - FLEXIBILITY AND PRECISION w With a 125 mm diameter, the extra-large Teleskoper Orbit exemplifies precision and flexibility. In the new M2 milling unit comfort line, it allows in combination with special holders (Blank Holders) the processing of all common soft and hard material blanks with a diameter of 95 mm, 98 mm, 106 mm and even 125 mm. This means that oversized restorations that previously could not be milled in standard blanks (Ø 95 mm, Ø 98 mm) can now be easily positioned and then milled. In this way, the number of splints capable of being produced doubles. Thanks to the special holders, it is also possible to mill in just one process up to nine glass-ceramic or six Raw-Abutments® or up to seven 1-size zirconia blanks in different colours. Furthermore, the material discs with the relative Blank Holders can be removed

but also for the two-stage production of immediate restorations in case of implantsupported prostheses (with the Double Milling technique). In this case, the user can stop a milling process at any time to complete more urgent jobs: once the new structure is completed, the blank with the partially-milled structure can be reinserted into the orbit in order to continue the interrupted milling process.

from the orbit and re-inserted later at the same position with high precision in micron range. This is particularly helpful not only for adjusting the friction of telescopic jobs

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The new M2 milling unit comfort line includes five milling units. According to the machine model, they are equipped with one or two milling chambers and Teleskoper Orbit (Teleskoper versions). With the M2/M2 Dual Upgrade Kit, the milling units that do not include the Teleskoper Orbit by default can be upgraded to the Teleskoper model.

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The Dental Technician Magazine February 2022

Articles inside

Recruits4Technicians - How labs can improve their success whenrecruiting technicians