The Dental Technician Magazine May 2023

Seamless beauty.

Consistent strength.

VITA YZ® ZIRCONIA

The Shade Must Be Right. Always.

• High strength (1200 MPa) for precise processing and predictable results

• Fascinating esthetics and high shade reliability thanks to the VITA Shade Formula

• Speed Sintering in under 60 minutes

BY RECOMMENDING A COLLEAGUE (SEE PAGE 5)

Zirlux

As the restoration moves from the cervical to the incisal, translucency becomes the more desired characteristic. This gives the material a much better aesthetic quality and contributes to the natural look.

Zirlux

A consistent blend of shading elements combined with a cold isostatic pressing manufacturing process creates a highly aesthetic ceramic.

• 1000MPa

• High strength for most indications

• Wider range of applications in a single source zirconia

• High strength with low opacity

• Multilayered Disc <47% Translucency

• Smooth transitional blend of shading characteristics

• Highly Aesthetic

May 2023

Advertising Manager: Chris Trowbridge

E: sales@dentaltechnician.org.uk

T: 07399 403602

Designer: Sharon (Bazzie) Larder

E: inthedoghousedesign@gmail.com

Editorial Advisory Board

Andrea Johnson

Mir Sir Paul Beresford

Ward

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 £49.95 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.

Welcome to your May edition of The Dental Technician Magazine.

I am very honoured to have joined the team at The Dental Technician magazine, and I am looking forward to working within this exciting area of dentistry. We are in the process of growing our already excellent editorial panel and I will be building on the great work that Matt Everatt has done over the last three years to enhance your magazine further.

My goal is to bring you, our readers, content that is inspirational, boosts your laboratory business, and encourages ambition and career progression. I am also looking forward to working with some of the leading lights in dental

technology, both established and respected figureheads as well as the new and upcoming names in our industry.

Our goal at The Dental Technician is to remain the voice of dental technology, bringing you useful, insightful and informative content that helps you to build your business and find fulfilment in your everyday working life. However, I believe that our readers should always be at the heart of this magazine, which is why I will be striving to work with more of you to feature on future pages. I want to know what you are doing differently, understand the successes you are enjoying in your labs, and see the fantastic work you are producing. Essentially, I’d love to shine a light on

the dental technicians who continuously work hard and deserve to be celebrated. If that sounds like you, or one of your colleagues, let’s have a chat about working together.

While some things may look a little different in upcoming editions, The Dental Technician will, of course, continue to offer the features you know and love, including industry news, case studies, ECPD, and Marketplace. Is there something else you’d like to see? I’d really love to hear your thoughts, it is your magazine after all! You can always get in touch with me via email at editor@dentaltechnician.org.uk.

Heather Grimes | Editor

m6 blank changer milling unit

NEW! M6 MILLING UNIT WITH AUTOMATIC BLANK CHANGER FUNCTION AND STORAGE FOR UP TO 16 BLANKS (UPGRADABLE)

+ Fully automatic blank changer

+ Blank storage for 16 blanks (can be upgraded)

+ Teleskoper Orbit M6 (Ø 125 mm) for processing material blanks with Ø 95 mm, 98 mm, 106 mm and 125 mm

+ Tool magazine (x 60) with automatic tool changer function

+ Performance Spindle M6 with permanent-magnet synchronous motor (PMSM)

+ Intelligent selection and checking of blanks as well as milling tools via a QR code scanner

+ Newly developed door for easy and fast maintenance

+ Automatic self-cleaning and drying function

+ Ioniser for the electrostatic discharge of resin shavings, for a cleaner processing

+ Integrated PC with 15“ touch screen

+ Cleaning Kit with shower and suction system

Ø95,98,106,125 mm 16 BLANKS(upgradable)

CANDULOR EXPANDS ITS ARTICULATOR PORTFOLIO WITH THE ARTICULATOR CA 3.0 LARGE WITH INCREASED HEIGHT

The Articulator CA 3.0 LARGE is a 10 mm higher version of the CA 3.0 with an adapted construction height of 126 mm. When used in combination with the Candulor ‘Plate set for use with Splitex®’ and the ‘Compatible centering key for Splitex®’, the CA 3.0 LARGE can be synchronised with the Artex® articulators of the Carbon series from Amann Girrbach.

The articulator series CA 3.0 excels with its simplicity. It is characterised by its handy design and is lightweight and sturdy at the same time. Both articulators are suitable for removable and fixed prosthetics.

The special feature of the articulators CA 3.0 and CA 3.0 LARGE from Candulor is the double cone, which simulates the shape of the temporomandibular joint head. As a result, unphysiological, straight movement patterns are avoided in lateral and transverse motion sequences. This allows copying the natural, three-dimensional movements such as the lateral and Bennett movement of the patient's natural masticatory movement. The restoration of the patient is spared excessive grinding or post-processing. Functional, aesthetic work can be created more clearly.

An outstanding feature is the clean and corrosion-free split-cast surface with incorporated magnet.

TECHNICAL DATA

• Height: 160 mm

• Width: 145 mm

• Weight: 735 g

• Inner construction height: 126 mm

• Depth: 160 mm

• Bonwill triangle: 110 mm

• Balkwill angle: 25°

• Retrusion track: 1.5 mm

• Immediate side-shift stop: 0 - 2.5 mm fix

• Angle of jaw track adjustable between 0° - 60°

• Incisal plate: 15°

• Material: anodized aluminum

For further information please visit candulor.com

Dental Application

EXTRAORAL

High detailed 3D printed models with Cosmos Dental Model. Available in plaster colour to guarantee high aesthetic results, Cosmos Dental Model is indicated to print prosthodontics dental models allowing high accuracy work

Universal Resin for Dental Model,Beige,DLP,1L

Gingiva Mask

Con dence on implant & prosthetics checking. Cosmos Gingiva mask resin is speci c to print arti cial gingiva models due to the proper colour and exible aspect, which can be combined with model material.

- 500mL bottle

Universal Resin for Gingiva mask,DLP,500mL

Castable

Easiness in casting process. Casting material for cropings, crowns, bridges and general frameworks. This 3D printing resin can go directly to the foundry. Easy to use due to the formulationdesigned to leave no residue after casting.

For more information, contact your local territory manager www.straumanngroup-uk.co/team-directory

Nexa3D: Revolutionising the world of 3D printing in digital dentistry

By Alan Wright, Blueprint Dental

Pioneering technology

At the core of Nexa3D's success lies its pioneering technology, which enables ultrafast, high-resolution 3D printing. The company has developed a proprietary technology known as Lubricant Sublayer Photo-curing (LSPc), which combines light and oxygen to facilitate rapid resin-based printing. This ground breaking approach allows Nexa3D printers to achieve speeds up to six times faster than conventional 3D printers without compromising on quality or accuracy.

Unparalleled speed and efficiency

The realm of 3D printing has witnessed remarkable advancements over the years, and Nexa3D has emerged as a trailblazer in this rapidly evolving industry. With its innovative technology and relentless pursuit of excellence, Nexa3D has established itself as a frontrunner, redefining the possibilities of additive manufacturing and revolutionising the way we manufacture and produce objects. This article delves into the journey of Nexa3D so far, its ground breaking solutions, and the impact it’s having on dental technology.

One of the key advantages of Nexa3D's technology is its remarkable speed and efficiency. Traditional 3D printers often take hours or even days to complete a single print, limiting their practicality for large-scale production. However, Nexa3D's printers can produce complex objects within minutes, revolutionising the manufacturing process. This exceptional speed enables dental labs to streamline their production cycles and respond quickly to evolving patient demands.

High-quality prints

While speed is a distinguishing feature of Nexa3D's technology, it does not come at the cost of print quality. The company's printers deliver exceptional accuracy and resolution, resulting in high-quality prints. This makes Nexa3D an ideal choice for applications requiring intricate details, fine textures and smooth surfaces. From rapid prototyping to functional end-use parts, the versatility of Nexa3D's technology makes it a gamechanger for a wide range of industries, including digital dentistry.

Sustainable manufacturing

In addition to its speed and precision, Nexa3D also prioritises sustainability in its manufacturing processes. The company utilises a variety of eco-friendly materials, including biocompatible resins, recyclable plastics, and plant-based polymers. By reducing waste and energy consumption, Nexa3D enables companies to adopt more sustainable manufacturing practices. Furthermore, the ability to produce parts on-demand eliminates the need for excessive inventory, reducing material waste and storage costs.

Collaborations and industry impact

Nexa3D has forged strategic partnerships with leading companies in various industries. These collaborations have resulted in transformative applications across diverse sectors, including dentistry. In the healthcare sector, the speed and precision of Nexa3D's technology have facilitated the production of personalised medical devices, prosthetics, and surgical models, enhancing patient care and treatment outcomes. And this, of course, now includes the dental sector, where Nexa3D’s technology can be used to manufacture a wide range of dental prosthetics and products, including splints, occlusal guards, surgical guides, custom impression trays, implant and orthodontic models.

Working with leading resin supplier, Keystone, there is a wide range of materials formulated to meet the specific requirements of dental applications, providing high accuracy, detail and biocompatibility.

The future

As the 3D printing industry continues to evolve, Nexa3D remains at the forefront of innovation. The company is dedicated to pushing the boundaries of what is possible in additive manufacturing. With ongoing research and development efforts, Nexa3D aims to expand its portfolio of materials, improve printing speeds, and enhance the capabilities of its printers. By unlocking new frontiers, Nexa3D envisions a future where 3D printing becomes an integral part of mainstream manufacturing processes.

Nexa3D and the UK dental industry

For dental technicians and CDTs in the UK, the Nexa3D range offers something for everyone. The small, desktop XiP unit for start up 3D production, through to the XiP Pro high throughput unit for larger or more established 3D printing operations. All with post processing and user friendly software options to complete an end-to-end digital workflow.

Meet XiP – the ultrafast desktop resin 3D dental printer

The Nexa3D XiP 3D Dental Printer is available in the UK from Blueprint Dental. With XiP, you really can have it all – speed, productivity, quality, ease-of-use, and affordability.

Here are just half a dozen reasons to consider XiP for your dental lab or practice:

1. Speed

XiP uses a patented LSPc technology that allows it to print at rapid speeds, enabling dentists and dental technicians to produce dental models, aligners and surgical guides in a fraction of the time required by traditional manufacturing methods.

2. Accuracy and precision

The Nexa3D XiP 3D Dental Printer offers exceptional accuracy, with layer thicknesses as small as 0.1mm. This ensures that dental restorations fit precisely and require minimal adjustments.

3. Quality

XiP uses a wide range of high-quality resins to produce durable dental restorations that are resistant to wear and tear. The materials used are biocompatible, ensuring that restorations are safe for patients.

4. Cost-effective

Desktop 3D printing eliminates the need for expensive larger equipment for most small - to medium-sized labs and dental practices. The ability to use only the required amount of resin also reduces material waste. This makes the Nexa3D XiP 3D Dental Printer a cost-effective solution for dental labs and practices.

5. Versatile

The printer can be used to produce a wide range of dental restorations, including dental models, aligners, surgical guides, and prosthetics. This versatility allows dentists and labs to expand their services and offer more options to patients.

6. Automation

The printer's software allows for easy automation of the printing process, freeing up staff time and increasing productivity.

If your 3D printing production is already up and running and you’re looking for a high throughput unit, there’s a new version of the XiP available.

Go large with XIP PRO

For those requiring a higher throughput, the Nexa3D XiP Pro is a high-performance printer offering a range of features that make it an ideal solution for dental professionals seeking to optimise their workflow and enhance patient care. With its advanced technology and capabilities, the XiP Pro enables the production of accurate, high-quality dental models, surgical guides, aligners, and other dental components in a fast and efficient manner.

Benefits for dental applications:

1. Faster turnaround times: The XiP Pro's exceptional printing speed enables dental professionals to reduce turnaround times

significantly. Patients can receive their dental models, aligners, or other customised dental components more quickly, improving overall patient satisfaction and treatment efficiency.

2. Enhanced precision and fit: The printer's high level of accuracy ensures precise dental models and components, resulting in better-fitting aligners, crowns, bridges, and other dental restorations. This accuracy leads to improved patient comfort and treatment outcomes.

3. Customisation and personalisation: With the XiP Pro, dental professionals can easily produce customised dental models and components tailored to each patient's specific needs. This level of customisation allows for more personalised treatment plans and better patient experiences.

4. Cost efficiency: By optimising production speed and reducing material waste, the XiP Pro offers cost-saving benefits for dental practices. It enables dental professionals to achieve higher productivity levels and reduce inventory costs associated with outsourcing or traditional manufacturing methods.

NOT FORGETTING POST PROCESSING

One crucial aspect of post-processing in dental applications is achieving a smooth and polished surface finish. Nexa3D offers a range of tools and techniques to achieve this goal.

After the printing process, the printed dental parts can be subjected to various postprocessing steps, namely washing, curing, and polishing.

Washing the printed parts is an essential step to remove any residual resin or support materials. Nexa3D provides recommendations and guidelines for the appropriate cleaning solutions and techniques to ensure the removal of excess materials without damaging the printed parts. This step is particularly crucial in dental applications, as it ensures a clean and hygienic final product.

Curing is another important postprocessing step addressed by the Nexa3D range. Curing involves exposing the printed parts to UV light to fully cure the resin and enhance its mechanical properties. Nexa3D offers UV curing units that provide the right intensity and wavelength to achieve optimal curing results. This step is vital in dental applications, as it ensures the structural integrity and biocompatibility of the printed dental parts.

Furthermore, Nexa3D provides postprocessing solutions for achieving a polished surface finish on dental prints. This is particularly important in dental applications where aesthetics and patient comfort are key factors. Nexa3D offers polishing equipment and techniques that can be used to achieve a smooth and glossy surface on the printed parts. This allows for a more aesthetically pleasing final product and helps ensure patient satisfaction.

Overall, Nexa3D's post-processing solutions for dental applications address the specific requirements and challenges of the dental industry. By offering a comprehensive range of cleaning, curing, polishing, and quality control techniques, Nexa3D enables dental professionals to achieve high-quality, accurate, and aesthetically pleasing dental prints.

These advanced post-processing capabilities contribute to the advancement of digital dentistry and the delivery of improved dental solutions for patients.

Nexa3D products and Keystone resins are all available to UK dental laboratories from Blueprint Dental Ltd. For information, please contact Alan Wright on 07904 413211 or alan@blueprintdental.co.uk or contact HQ on 0800 228 9828 or sales@blueprintdental.co.uk.

More product information can also be found at https://blueprintdental.co.uk/ products/nexa3d-dental-printers/

9 essential tips for job interview success

By by Andy Foster, Recruits 4 Technicians

Are you feeling anxious about your upcoming bench-test interview? You're not alone. From what to bring, to doing the test itself, there are many considerations to make before walking into that dental lab! To ease your worries, we've compiled a list of top tips to help ensure a successful interview. Read on to discover how to prepare and impress your potential dental lab boss!

1. Gain a competitive edge: researching the dental lab before your interview

When it comes to job applications and interviews, doing your homework and researching the dental laboratory can make all the difference. It shows that you are genuinely interested in the position and the company, and that you are willing to put effort into preparing for the process.

Not only will this make you stand out from other technicians, but it will also give you valuable information that can help you tailor your responses and questions during the interview. Make sure to research the lab's products or services, recent news, and any other relevant information. This will not only help you during the interview, but it will also give you a clearer idea of whether the lab aligns with your own values and goals. So, take the time to do your homework and research the company before your next job application, interview or bench-test.

2. First impressions matter: dressing appropriately for your job interview

When it comes to job interviews, first impressions play a vital role in determining the outcome. One of the easiest ways to make a positive first impression is by dressing appropriately. It's true, that dental labs are hardly filled with technicians wearing three-piece suits to work each day, but it's important to

remember your clothing is a reflection of your personality and professionalism, and it can speak volumes about your character.

If you're unsure of what to wear, it's often best to dress conservatively and avoid anything too casual or flashy. Remember, dressing appropriately shows that you respect the company and the interviewer, and it's a sign that you are taking the interview seriously.

3. Punctuality is key: arriving on time for your job interview

Arriving at the lab on time is crucial to making a good first impression with the boss! Being punctual shows that you are reliable and respect other people's time, which are both highly valued traits in any workplace. You may want to plan your route in advance and allow extra time for unexpected delays, such as traffic or construction.

It’s also important to factor in time for finding parking and locating the correct building and floor. Arriving too early can also have its downfalls, as you don’t want to be waiting around for too long before your scheduled interview time. Therefore, planning out your arrival time and being on time is a critical aspect of the interview process.

4. Listen carefully: be sure to understand the bench-test requirements

When it comes to taking the bench-test, there are a lot of things to keep in mind.

You'll need to be quick, accurate, and confident as you complete the piece(s) of work given to you.

However, one of the most important things you can do is also one of the simplest: listen carefully to the instructions given to you. This might seem like a no-brainer, but it's surprisingly easy to get caught up in your own thoughts or start secondguessing yourself. Make sure that you fully understand the instructions carefully, and if you're unsure about anything, don't be afraid to ask questions.

By taking the instructions seriously and being attentive to any details or nuances, you'll give yourself the best possible chance of success on the bench-test.

5. Mastering stress: how to stay calm and confident during your job interview

Job interviews can be nerve-wracking experiences that can challenge even the most confident of individuals. To become a master of stress during an interview, it's essential to prepare in advance. Research the lab, practice common interview questions, and think of examples to highlight your skills and experience.

Don't forget to take deep breaths and leverage positive self-talk to combat negative thoughts. When speaking with the interviewer, remember to maintain eye contact and speak clearly and confidently.

Lastly, don't be too hard on yourself if you stumble or make a mistake. Everyone does it, and it's natural. Mastering stress

during a job interview takes practice, but with these tips, you can conquer your nerves and land that dream job.

6. Body language tips for job interview success: projecting confidence and professionalism

When it comes to job interviews, body language can be just as important as the words you say. Projecting confidence and professionalism can make a big difference in how you are perceived by potential employers. To do this, it's important to make eye contact, sit up straight, and avoid fidgeting or slouching. Keep your arms uncrossed and open, and use hand gestures sparingly and purposefully.

Lastly, don't forget to smile! Smiling can instantly make you appear approachable and likeable. By mastering these body language tips, you can create a positive impression and improve your chances of acing the job interview.

7. Curiosity as a key to success: asking insightful questions during your interview

Naturally, dental labs are looking for talented technicians at the bench, but also for individuals who are eager to learn and grow, and your curiosity is a great indication of that.

Rather than just answering the questions you're given, try generating insightful questions of your own. This will help you understand the company, demonstrate your interest and engagement, and give the impression that you're eager to learn and grow with the lab. Some examples might include asking about the company culture, the team you'd be working with, or specific goals the lab has for the near future.

Not only will asking insightful questions help you stand out from other technicians, but it will also give you a better sense of whether this is the right job for you.

8. Showing gratitude: the importance of sending a follow-up message after your job interview

In the world of job interviews, it can be easy to become so focused on impressing the interviewer that you forget about one crucial step: following up with a thank-you message. However, taking the time to express your gratitude for the opportunity to interview can make a significant impact on your chances of getting the job.

Not only does it show that you appreciate the time and effort that was put

into the interview process, but it also keeps you top-of-mind for the employer as they make their final decision.

So, why not take a few moments to craft a thoughtful note and hit that send button - it just may be the difference maker in landing your dream job.

9. Do your best and relax!

Congratulations! If you've followed the steps and put in the effort to prepare for your bench-test, it's time to pat yourself on the back. You did your best, and that's all that matters. It's normal to feel anxious about the next steps, but don't let those jitters consume your thoughts.

Now it is out of your hands and in those of the dental laboratory. All that is needed now is to sit tight, take a deep breath, and relax. Trust yourself and the effort you put in, and allow the outcome to reveal itself in due time.

For more dental technician career tips, scan the QR code and register to the Recruit4Technicians blog.

HOW TO ENSURE YOU GET PAID EVERY TIME, ON TIME, BY EVERY CUSTOMER

Running any business is full of challenges and hurdles, ultimately for a worthy reward - notably making money, generating a profit, remaining solvent. But even the most seasoned business owner will have noticed that getting paid is not always easy and it is becoming increasingly difficult, even in the resilient dental laboratories industry.

With demand for dental treatment largely unaffected by the economic climate - people still need their teeth fixing - it is known as a comparably resilient sector. But cashflow is tight and the prospect of going into administration is now being faced by a number of dental practices… can you heed the warning signs before it's too late?

WARNING SIGNS

Customers who always paid on time, every time, start to push payment dates to the max. You allow them to extend payment dates, and you accept another order from them, even though they still owe you for the previous one. You don’t want to chase them for money - it would be uncomfortable for both of you.

But running a successful business means that you must get comfortable with the uncomfortable. When you don’t get paid, it affects your ability to run your business and it can have dire consequences.

CASE IN POINT

Gary’s company was instructed by a dental laboratory that had unpaid invoices totalling around £90,000 owed by a local dental practice. These invoices were approaching a year overdue and the knock-on effect was that his client was having issues paying their own suppliers.

Gary’s team gathered as much information as possible relating to the history of the matter, as well as copies of the contract, invoices and other supporting documentation. On receipt of the demand letter, the debtor contacted them to confirm that the unpaid invoices were in dispute for reasons ranging from pricing and quality issues to questions around their correct legal entity.

‘A key part of getting these issues resolved was the fact that our client had quite a strong set of terms and conditions that had been agreed by the dental practice at the start of the relationship. This helped us to dismiss the claims that were being made by the debtor, which appear to have been raised simply to delay payment.’ Gary disclosed.

If you do find yourself in the unfortunate position of not being paid… employ the services of a reputable debt collection company as soon as a payment is not made by the agreed date. The earlier a debt is sent for recovery, the more chance there is it will be paid.

He continued: ‘Correctly formed Terms & Conditions can mean the difference between getting paid or not. Many businesses don’t have any in place and, even if they do, they often offer inadequate protection.’

THE DO’S & DON’TS OF MAKING SURE YOU GET PAID

DO make sure you understand the legal entity of a new customer’s business and who is responsible for making payments to you. Should an invoice remain unpaid, the legal entity (e.g. a sole trader, a limited company or a partnership) will make a difference to how the debt can be recovered or if it is even worth attempting to recover it.

DO credit check all new customers before you agree to supply to them. Companies in financial difficulties will often try to find new suppliers so they can continue to trade in the hope that they can turn their situation around, but they’re unlikely to volunteer this information.

DO make sure you get your customer to sign a contract and that you have adequate and legally binding Terms & Conditions (T&Cs) drawn up by a solicitor, detailing your payment terms and credit control procedure. Your T&Cs will ensure you have something concrete to fall back on should a customer forfeit their part of the contract.

DO ask your customer to give you a signed authorisation for each new order or job, and obtain proof of delivery if you are sending goods to them. It might sound obvious, but that extra step in your sales process could be vital if your customer doesn’t pay you.

If you suspect that a customer is heading towards problems, acting quickly and calling in the experts will give you a much better chance of getting paid. Gary Ainley, director of debt collection agency Expert Collections, has helped to recoup thousands of pounds for clients in the weeks leading up to administrators being appointed, sometimes even right up to the day before it actually happens.

The outcome in this particular case was that the payment the dental laboratory was expecting was paid in full and the cost of collection was billed to the debtor using late payment legislation.

Expert Collections is a commercial debt collection agency based in West Yorkshire www.expertcollections.co.uk. Gary Ainley: 01274 866820, gary@expertcollections.co.uk

Ellan Campbell-Swann: 07977 903684, ellan@revamp-marketing.co.uk

DO take action as soon as a debt becomes overdue. Always follow your credit control procedure. Start with a gentle, polite reminder (they might genuinely have overlooked payment), but follow it through. It may be possible to agree an acceptable payment plan, but put this in writing and get the customer to sign it.

DON’T continue to supply a customer who is already overdue. You cannot be sure of their financial situation - it may have changed since your initial credit check. If a customer has outstanding invoices, put them on ‘stop’. As a fellow business owner, they should understand and respect your position. If they do settle the outstanding amount, keep a close eye on them - it may have been a one-off or it may be a symptom of longer-term financial difficulty.

Not being paid causes stress and problems with your own cashflow and can cripple your business, Gary Ainley from Expert Collections explains how you can be ahead of the game

Mindful moments

We all have moments where we feel overwhelmed during the working day. Whether it’s due to an increasing workload, struggles with other colleagues, or personal problems that creep into your day, its useful to have simple tools to help you manage and find a sense of calm.

Mindfulness can be a powerful means of helping you to thrive within the workplace, by allowing you to notice what is happening both around you and within your own thoughts, helping you to gain control of your feelings by bringing you fully into the moment.

Here are 5 easy ways to practice mindfulness, help enhance contentment in your job, and become more productive…

Pay attention

It’s easy to ‘go through the motions’, especially when you are fully absorbed in your work. Instead of allowing your mind to wander, focus on what is going on in front of you, around you, and within your own mind. Paying attention to the small things will help you to be more present,

giving the task you are carrying out your full concentration. This will result in more accurate and efficient work, giving you a sense of pride and achievement in what you are doing.

Use all of your senses

If you are not used to becoming fully present in the moment, it can often feel difficult to start with. One simple trick is to employ each one of your senses (within reason!) to help you become fully aware. Notice sounds, scents, textures, colours, etc, all of which will bring you fully into the moment.

Do one task at a time

We’re all expected to ‘wear many hats’ in our job roles and while this keeps the day varied and interesting, it can lead to inefficiency if we try to do too many things at once. Instead of skipping from one task to another, finish one thing completely before moving on. You will find you achieve more and leave feeling more accomplished without lots of ‘loose ends’ weighing on your mind and carrying over to the next day.

Look for gratitude

Gratitude journals are becoming increasingly popular, and for good reason. Finding the time to write down small things that you are grateful for each day encourages you to feel happier and more positive. You can start by jotting down three things each evening that you were grateful for. This will eventually become a habit, leading you to consistently notice small things throughout the day that fill you with joy, which is a wonderful, peaceful feeling.

Discover acceptance

Sometimes things go wrong, or changes are made that we don’t like as much. Instead of feeling disheartened, angry, or negative, learn to accept things that you cannot change. This doesn’t mean shrugging your shoulders and not caring, it’s about understanding that things won’t always go your way and that it is ok. Acceptance will help you to feel calmer, and eventually see positives in what was initially a negative.

This month, we look at mindfulness techniques that can help to bring about feelings of calm and contentment while also improving productivity

“Finding the time to write down small things that you are grateful for each day encourages you to feel happier and more positive. You can start by jotting down three things each evening that you were grateful for.”

Simeda® Customised prosthetic solutions

Premium quality prosthesis with high level service

Anthogyr offers high precision Simeda® customised restorations for Anthogyr dental implants and MPS, Multi Platform Solutions, with a free library of more than 250 implant platforms.

Simeda also offers tooth-supported solutions as a onestop-shop service for all your CAD/CAM orders. The range covers all types of single and plural restorations, available in a wide range of high-quality materials.

All of our creations meet extremely strict production criteria and are covered by Serenity® warranty program.

THE IMPORTANCE OF EFFECTIVE POLISHING IN THE DENTAL LAB

By Alistair Mayoh, marketing director, Kemdent

When creating restorations in the dental lab, it is important to finish and polish them effectively for the best results. By polishing dental restorations, you benefit from improvements in both function and aesthetics, which can contribute to client and patient satisfaction, as well as the longevity of the restoration. Polishing the surface of a restoration provides an improved finish, reduced biofilm adhesion, and improved cleanability.i All of these contribute to the long-term success of the restoration, and help to maintain positive relationships between you and your clients.

Producing excellent aesthetics

In recent years, patients’ and, in turn, clinicians’ demands for highly aesthetic restorations have increased, and this demand is expected to continue rising.ii Many patients will be looking to achieve a good-looking smile, with their dentists helping them to reach their aesthetic goals. Dental aesthetics are fast becoming a top priority for many people, thanks to the continued popularity of visual social media, as well as the lasting impact of the COVID-19 ‘zoom boom’. These factors have been thought to trigger a boost in people seeking cosmetic procedures to enhance their appearance.iii

It is important that we do not down play the importance of these factors as this means that, whether patients are seeking cosmetic dentistry or require restorative treatment, both patients and clinicians will expect aesthetic results. As a dental technician, it is important to be aware of the ways in which you can maximise restorative aesthetics long-term, helping to satisfy your clients and their patients by providing highly aesthetic restorative appliances.

When it comes to aesthetics in restorative dentistry, the aim is to replicate the appearance of natural teeth for the best results. It is important to consider the impact of surface texture on aesthetic results, as well as the colour match to natural dentition, and the stability of the restoration’s colour. If the surface of the restoration is not sufficiently smooth, it may become more susceptible to staining. This will, in turn, affect the restoration’s natural looking, glossy appearance, going on to impact the longevity of the restoration and patient satisfaction.iv

Longevity and function

When creating restorations, it is important to remember the role that surface texture plays in the longevity of the restoration. Generally, smoother restoration surfaces are less likely to result in biofilm formation and adhesion. This is regardless of restorative material, demonstrating the importance of polishing across all restoration types. This is because if a restoration surface is textured, plaque is able to accumulate in any imperfections. If this is not cleaned away properly, it could lead to the development of secondary caries, which could lead to the failure of the restoration in time.v

It is important to note that some dental materials may require different polishing methods or materials, so you should adapt your technique to create the best results. v Patients and clinicians may have different requirements or preferences when it comes to restorative materials, so dental technicians should be knowledgeable about appropriate techniques for each type, and should be prepared to provide a high-quality polish in every case.

Building relationships with clients

Not only does high-quality polishing contribute to excellent aesthetics and long-lasting restorations, but rough surfaces actively lead to staining and biofilm accumulation, as well as gingival irritation, caries, and restoration discolouration. Because different materials respond to finishing and polishing in different ways, it is important to have a good working knowledge of your restorative material options, and feel confident in selecting the appropriate products in each case. v

To maintain a positive relationship with your clients, it is important to ensure that you use the best polishing techniques and materials for ideal outcomes. This will ensure that patients

will be able to enjoy long-lasting restorations, and clients will be more likely to work with you again in the future. Choosing quality solutions is crucial for producing the best results in each case. Ruwa Universal Wheels from Kemdent are a fantastic, versatile option for restoration polishing. They are designed to create lustre across various dental restoration materials including precious metals, stainless steel, chrome cobalt, cement, amalgam, and plastic fillings.

When creating dental restorations, it is vital to consider the importance of the polishing process. High-quality polishing is crucial for the long-term success of the restoration. Take into account the material used, and the specific needs of the case to ensure the best possible aesthetic and functional outcomes, with reduced risk of developing secondary caries, or gingival irritation. By making polishing a priority, you can help build positive relationships with your clients, boosting the satisfaction of their patients.

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

REFERENCES

[i] Highland Equipment. The benefits of mechanical polishing. Accessed April 23. https://www.highlandequip.com/blog/ the-benefits-of-mechanical-polishing

[ii] Business Wire. Worldwide Cosmetic Dentistry Industry to 2027 - Rising Demand of Medical Aesthetics is Driving GrowthResearchAndMarkets.com. Accessed April 23. https://www.businesswire.com/news/ home/20220721005444/en/WorldwideCosmetic-Dentistry-Industry-to-2027-RisingDemand-of-Medical-Aesthetics-is-DrivingGrowth-ResearchAndMarkets.com

[iii] Padley, Roxanne H., and Bruno Di Pace. "Touch-ups, rejuvenation, re-dos and revisions: remote communication and cosmetic surgery on the rise." Aesthetic Plastic Surgery (2021): 1-3.

[iv] Choi, Mi-Sook, et al. "Changes in surface characteristics of dental resin composites after polishing." Journal of Materials Science: Materials in Medicine 16.4 (2005): 347.

[v] Dutra, D. A. M., et al. "Does finishing and polishing of restorative materials affect bacterial adhesion and biofilm formation? A systematic review." Operative dentistry 43.1 (2018): E37-E52.

[vi] Gönülol, Nihan, and Fikret Yılmaz. "The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites." Journal of dentistry 40 (2012): e64-e70.

FAST SCAN-TO-DESIGN WORKFLOWS WITH 3SHAPE’S LATEST SCANNER

It is expected that the European digital dentistry market and dental prosthetics market will continue to grow considerably over the foreseeable futurei, bringing distinct advantages for today’s dental labs. As digital technology and material science advance, technicians have access to validated, digital workflows from scan to manufacture, making work more predictable, efficient and productive.

A dental lab that employs a digital workflow relies on a digital impression of the patient’s mouth. This either comes directly from a clinician using an intraoral scanner to capture precise digital images of a patient’s dentition and gingival tissue, or from a conventional impression and physical model sent to the lab. In the latter case, the lab needs a dental model scanner to digitise the impression and to start the digital design process.

THE MOVE TO LAB SCANNERS

Digital equipment, and lab scanners in particular, can bring efficiency and versatility into lab workflows, enabling faster in-house provision of treatment solutions to the clinician and patient. As the first stage in

every digital case, the latest lab scanners can accommodate scans for all indications with design software that offers outstanding accuracy and intuitive design capabilities.

3Shape has long been one of the industry’s leaders in scanning technology, introducing entry-level scanners for labs working in crown and bridge through to high-performance scanners to meet the most demanding requirements of fullservice digital labs.

In its continuous drive to create equipment to answer the needs of labs of every size, the all-new F8 lab scanner is 3Shape’s most versatile and intuitive scanner to date. Launched at this year’s International Dental Show (IDS) in Cologne, it enables optimal productivity with fast scan-to-design workflow speeds and requires minimal scanner interactions from technicians.

With a complete range of indication workflows, including upper and lower scanning, die-in model, articulator and impressions, the outcomes that can be achieved with the F8 are almost limitless.

Ellis West, laboratory telesales supervisor at Henry Schein Dental talks about 3Shape’s latest F8 lab scanner engineered for fast and efficient dual model scanning.

JUST PLACE AND SCAN

The F8 features a sophisticated open design with no lid that sits easily on any benchtop for faster, easier loading and removal of models. Always open and ready for interaction, technicians simply place a model on the magnetic scanner plate and automatically trigger the scanner to start. Despite its compact size it has not just one, but two scanning plates, which means two models can be scanned simultaneously for even faster production.

Auto-start, in-software and visual light guidance ensures scanning begins as soon as a model is in place. New scanner tools such as a height adapter, an articulator plate and a new impression fixture, along with improved ethernet connection between multiple workstations, opens up a range of new workflow possibilities, plus there is the benefit of support for older tools as well. The new articulator scanning tool minimises the number of interactions and holds the articulator upright, with no tilting and no fixation required.

LIGHTNING-FAST SCANS

Scans are completed and ready for design in a matter of minutes; for example, a full-arch scan with restorative scan script takes just nine seconds. 3Shape also state the F8 has one of its leanest scan-to-design workflows yet, faster when compared to the 3Shape D2000 on the same workflows, performed by the same technicianii.

The scanning process can be accelerated further thanks to the F8’s ability to scan both upper and lower arches simultaneously. Its rotating arm automatically moves the camera to cover all angles while the rotating

plates turn the models through every aspectall without any need for operator interaction.

Going far beyond a crown and bridge or implant bar, the F8 can also handle die-in models, an upright articulator, and vertical impressions, opening new ways for labs to bring analogue cases into a digital workflow.

CO-OPERATIVE DESIGN SOLUTIONS

All 3Shape’s products feature advanced technology that allows users to better utilise their skills, knowledge, experience and creativity. They seamlessly connect practices with labs allowing dental professionals to work smarter through efficient, enhanced and integrated workflows.

Speaking at IDS 2023, Dr Rune Fisker, 3Shape’s vice president of product strategy said: ‘The 3Shape F8 scanner was six years in the making. It came not only from our designers and engineers, but also from lab technicians themselves. 3Shape

interviewed hundreds of lab employees around the world to find out exactly what challenges they face, and what solutions would best remedy them.’ iii

The result is one scanning solution designed to answer challenges within the dental lab landscape while effortlessly providing a full service to any dental practice, regardless of whether they have any digital capabilities. With greater speed, versatility and efficiency, it harnesses the latest technology that technicians demand while doing away with manual tasks and restrictive workflows.

With automated scan-to-design workflows, the F8 is a problem-solving scanner that combines speed, accuracy, predictable treatment outcomes and efficiency to bring something different to the lab scanner market.

To find out more about the new 3Shape F8 lab scanner, visit https://www.hsdequipment. co.uk/product/3shape-f8

Twitter: @HenryScheinUK

Facebook: H enryScheinUK

Instagram: @henryscheinuk

LinkedIn: Henry Schein Dental UK

REFERENCES

[i] https://www.dental-tribune.com/news/digitaldentistry-market-3d-printers-and-intra-oral-scannersdrive-market-growth-in-europe/

[ii] https://www.3shape.com/en/scanners/f8

[iii] https://international-dental-show.dental-tribune. com/c/3shape/news/complete-solutions-from3shape-solutions-allow-for-smarter-work-throughintegrated-workflows/

Cutting-edge technology for denture teeth - guaranteed VITA quality

BUILT OVER TIME, MADE IN GERMANY

VITA Zahnfabrik from Bad Säckingen, Germany, is a dental technology manufacturer that has delivered guaranteed quality denture teeth for many decades. We are proud to say that our products have been made in Germany since 1924! Our experience and technology are not bought but built over nearly 100 years of company history.

With the development of the VITA MRP (microfiller reinforced polymer matrix) dental material, the company has set a new standard: all VITA teeth are based on this cross-linked formula comprised of microfillers and polymers. Dentine, cervical and enamel materials are pressed simultaneously from a single source in a specially developed process. This ensures longevity as well as a natural aesthetic with a threedimensional depth effect.

Our customers can count on VITA teeth. And it's no surprise: our users around the world actively shape the development of toooth lines using their wealth of experience and needs of their dental labs and clinics.

THE FUTURE IS DIGITAL – WITH QUALITY AND PROVEN SERVICE

The VITA MRP formula has the quality you need – and a pin-on-block wear test conducted by the University of Regensburg proves it.i Among the eight tooth lines that were compared from different manufacturers, the MRP technology showed significantly higher abrasion stability. And the success story has only just begun: With the VITA VIONIC VIGO denture tooth, developed especially for the digital workflow, laboratories can now also use the CAD/ CAM workflow with all standard open systems and benefit from the quality of VITA denture teeth.

i Source: Pin-on-block (POB) wear test, Report Number: 280_2/Project Number: 280. 09. 11. 2015, Polyclinic for Dental Prosthetics at the University of Regensburg, Germany, 2015.

Ø95,98,106,125 mm 16 BLANKS(upgradable)

WHAT DOES PERFECTION MEAN TO YOU?

Optimal function? More authenticity? Maximum naturalness?

Successful tooth design knows only one benchmark: your own standards and those of your patient.

We have been designing teeth since 1936, like the PhysioSelect TCR. CANDULOR. HIGH END ONLY.

WHERE TO BUY?

A PATIENT SEARCHING FOR FUNCTIONALITY AND NATURAL AESTHETICS

By dental technician José María Fonollosa PhD I Barcelona, Spain

The expectations of a full denture restoration are always the same - the patients want to be able to chew with their dentures without any problems and regain an age-appropriate appearance. Neither was present in the following case, which is why the affected 63-year-old patient wanted new dentures. Her expectations were understandably high after years of frustration. Dental technician José María Fonollosa PhD (Barcelona, Spain) demonstrates that by combining the prefabricated teeth VITAPAN EXCELL Anterior and VITAPAN LINGOFORM Posterior, the situation was functionally and aesthetically restored.

THE PREVIOUS RESTORATION

The clinical inspection revealed a total prosthetic restoration. The denture teeth of this restoration appeared lifeless at first glance and showed unsightly discoloration. The incisal edges of the maxillary teeth did not follow the line of the lips, but were in infraposition in the first quadrant and supraposition in the second. The incisal edge of tooth 22 was also longer than that

of the neighboring tooth 21. This made the aesthetic zone appear asymmetrical and bumpy. The front featured a progenic bite (Angle class III), as well as a frontal open bite, which made it difficult to bite off food, and the lower lip bulged forward. Occlusal contact existed only between the incisors in the maxilla, and the lateral incisor and canine in the mandible, which led to instability and point loading during chewing.

THE NEW RESTORATION

The aim was to change the current dentition of an Angle class III to a neutral bite position (Angle class I) in the full denture restoration, which was statically and dynamically possible, due to the positional relationship of the jaw ridges, and by changing the tooth setup. After the mucodynamic impression and determination of the jaw relation, the patient's situation was transferred to the articulator and the wax setup was started. Thanks to the diverse selection of shades and shapes, it was possible to find the VITAPAN EXCELL anterior tooth set in the desired shade that matched the shape of the face and the jaw ridge conditions. The three-

The initial situation with the uneven line of the incisal edges in the upper jaw.

dimensional anatomical layering and the natural surface texture of the denture tooth ensured a natural and lively appearance. In the posterior region, a simple and intuitive setup was possible by closing the articulator, and thanks to the VITAPAN LINGOFORM with automatic centric finding based on the gear wheel principle.

A SMILE RESTORED

During the clinical try-in, the patient gave her consent and the two wax setups were implemented in resin. After finishing the denture bases, the teeth were only selectively polished with the handpiece to prevent the reduction of the juvenile surface texture of the VITAPAN EXCELL. After the integration, the patient was absolutely satisfied with her new smile and the optimised dentition. Thanks to the right choice of denture teeth and dental technology, she now had the full denture function and aesthetics that she had desired for so long.

TOP: The progenic bite situation with occlusal stress on particular points 2ND ROW LEFT: New restoration: Surface texture, shape and shade were ageappropriate after the integration 2ND ROW RIGHT: A Class III became a Class I (neutral bite position) as a result of the realignment 3RD ROW LEFT: The course of the incisal edge harmonized with the lower lip, which no longer protruded forward 3RD ROW RIGHT: The patient with her new full denture restoration.

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

0.5HRS VERIFIABLE ECPD

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 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 APRIL 2023 DT EDITION:

VERIFIABLE ECPD - MAY 2023

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VERIFIABLE ECPD

As you need it via the Dental Technician

This month’s CPD questions are are focused on A patient searching for functionality and natural aestheticsJose Maria Fonollosa and 3Shape’s latest scanner

Q1. What were the patient's expectations for a full denture restoration?

A) To have a natural appearance

B) To be able to chew without any problems

C) Both A and B

D) None of the above

Q2. What was the issue with the previous prosthetic restoration?

A) The teeth were too white

B) The teeth appeared lifeless and showed unsightly discoloration

C) The incisal edges of the maxillary teeth followed the line of the lips

D) The front featured a normal bite

Q3. What was the patient's bite position prior to the new restoration?

A) Neutral bite position (Angle class I)

B) Progenic bite (Angle class III)

C) Both A and B

D) None of the above

Q4. What type of tooth was used in the new restoration for the anterior region?

A) VITAPAN EXCELL

B) VITAPAN LINGOFORM

C) A prefabricated tooth

D) None of the above

Q5. How was the automatic centric finding achieved in the posterior region of the new restoration?

A) Based on the gear wheel principle

B) By manually setting the teeth

C) Through a computer program

D) None of the above

Q6. What was the outcome of the new denture restoration?

A) The patient was not satisfied with the new smile

B) The patient had full denture function and aesthetics

C) The patient's jaw position was worsened

D) None of the above

Q7. What is the latest scanner introduced by 3Shape?

A) D2000

B) F8

C) Both A and B

D) None of the above

Q8. What is the benefit of using digital workflows in dental labs?

A) Work becomes more complicated and time-consuming

B) Work becomes more predictable, efficient, and productive

C) Work becomes less accurate and more prone to errors

D) There are no benefits of using digital workflows in dental labs

Q9. How does a dental lab get an digital impression of a patient’s mouth?

A) By making a conventional impression and sending it to the lab

B) By taking precise digital images of a patient’s dentition and gingival tissue using an intraoral scanner

C) Both A and B

D) None of the above

Q10. What is the benefit of using lab scanners in dental workflows?

A) They slow down the workflow

B) They bring efficiency and versatility into lab workflows, enabling faster in-house provision of treatment solutions

C) They limit the range of outcomes that can be achieved

D) They are not necessary for dental workflows

Q11. How long does it take for a full-arch scan with restorative scan script using the F8 scanner to be completed?

A) 9 seconds

B) 9 minutes

C) 90 minutes

D) 90 seconds

Q12. What is the advantage of the F8 scanner’s rotating arm and rotating plates?

A) They reduce the accuracy of the scan

B) They require operator interaction, slowing down the scanning process

C) They are not useful in dental workflows

D) They automatically move the camera to cover all angles and turn the models through every aspect without any need for operator interaction

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.

PAYMENT BY CHEQUE TO: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852

FULL LOWER CHARACTERISED DENTURE A

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 prior. Due to an accident at work, he lost the vast majority of his lower dentition and the remaining three 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 the teeth were in good condition.

By Craig Mark Broughton, Dip CDT RCSEd | CMB Dental Laboratory Ltd

His treatment plan was to have threetooth extraction and an immediate temporary denture for six 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’.

ACHIEVING AESTHETICS

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.

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 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.

FITTING

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.

CAN 3D PRINTING PROVIDE A BETTER WAY TO MAKE DENTURES?

By Dr Andrew Keeling

The techniques used to manufacture dentures are labour intensive, expensive, innacurate and have remained largely unchanged for decades. Recent advances in technology are now making it possible to create 3D printed dentures. Dr Andrew Keeling investigates whether this is feasible and if the results are acceptable to wearers and are as good or better than existing dentures.

Although approximately six percent of the population have lost all their teeth and require complete removable dentures, modern dentistry often overlooks their needs. Dentures have been around for more than a century, as have the labour-intensive techniques used to create them.

New materials for use in 3D printing have recently received a CE Mark, meaning they've been certified safe for making things like dentures. However, no robust studies have been conducted

to test the best ways to manufacture 3D printed dentures, or to discover how they compare to traditional versions, e.g. whether they fit better, are durable enough for everyday wear, or are as well-liked by wearers.

Dentures have been around for over a century, and even the techniques used to make them have changed little in that time...

We wanted to find out how best to make 3D-printed dentures, and test whether they were as good as traditional dentures through clinical trials.

ARE 3D-PRINTED DENTURES BETTER?

3D printed dentures have the potential to solve many problems. We are investigating whether they can fit better and be more comfortable than traditional dentures and whether they are cheaper, easier, and faster to produce. At the same time, these new dentures must be acceptable to wearers.

In a pilot study, we worked with three dental centres equipped with a digital scanner for scanning impressions and dental models. We worked with them to refine the scanning software and optimise the 3D printing process, then trialled the results with users. Each study participant received two sets of dentures: one using traditional methods and one using 3D printing. Overall, both sets were scored around the same by wearers, confirming that the new versions are acceptable.

Now that we have found the best way to scan impressions and models, and print dentures, we will be taking this technology forward into a larger trial.

WHAT IMPACT COULD THIS HAVE?

Our work will make a difference not only for those who receive the first dentures, but also for those who lose

them – a situation that occurs often in hospitals and care homes. Currently in the UK, the time and expense involved in making a new set of dentures means that people can be left without teeth for months, with knock-on effects on nutrition and confidence.

Currently, it takes several dental appointments and costs the NHS thousands of pounds to make a new set of replacement dentures in a care home setting. With 3D printing, we can use the digital scanner file to quickly print a new set to be sent out. This not only saves a lot of time and money, but also reduces the number of face-toface visits with the dentist.

We have demonstrated that 3D printed dentures are acceptable to users. In the future, they could have the potential to be better fitting and easier to produce than conventional dentures - that's a reason to smile!

Dentures are not the most glamorous aspect of dentistry, but they are essential for millions of people in the UK - many of them are older, less wealthy and often struggle with ill-fitting dentures or no dentures at all. What is striking about our trials is how grateful

participants always are to get their dentures. It's really gratifying to be able to do something meaningful for a significant minority of the population that is often overlooked.

PREPARING FOR THE CHALLENGES AND OPPORTUNITIES AHEAD

lSteve Campbell, president of the Dental Laboratories Association (DLA), will be speaking within the DTS Lecture Theatre programme for 2023.

He says: ‘The industry is experiencing what will be the biggest transformation in its history. We only have to look at other manufacturing sectors that have already been transformed by the technology and digital workflows that are now starting to dominate our sector in the same way. This will bring both threats and opportunities to the dental lab community.

‘My presentation will be an update on the challenges and opportunities that lab owners and dental technicians will soon

face. I hope to share some of the good and the bad to help others prepare for the future.

‘I have attended DTS for many years now and always find it to be a great event. I would recommend it to colleagues as a means of growing their support network and discovering opportunities to enhance their knowledge and understanding of a rapidly changing industry.’

DTS 2023 will be held on Friday 12 and Saturday 13 May, NEC Birmingham, co-located with the British Dental Conference & Dentistry Show. For more information, visit the-dts.co.uk or email dts@closerstillmedia.com

Clinical Dental Technicians Association UK relaunches to advocate for professional scope and patient access

The UK Clinical Dental Technicians Association (CDTA) has announced its relaunch, providing a united platform for clinical dental technicians (CDTs) across the nation to address the General Dental Council's (GDC) proposed changes in Scope of Practice (SOP) and its potential effects on patient access to dental care professionals (DCPs).

The CDTA UK, formerly known as the UK CDT Facebook Group, has evolved into a formal association to better represent and advocate for the interests of CDTs in the United Kingdom. The GDC's proposed changes to the wording of the SOP have caused concern among CDTs due to the potential reduction in patient access to trained DCPs and the narrowing of future CDTs’ scope of practice and education.

The association is meeting with the GDC, calling for further clarification and providing feedback on the proposed changes, as well as voicing concerns about the possible impact on patients’ access to DCPs. The CDTA emphasizes that the proposed changes may unintentionally increase risks for patients who do not have access to a dentist by restricting CDTs from performing initial consultations for removable dental devices without a prescription.

‘We believe that the changes proposed by the GDC require further clarification and discussion to ensure the safety and confidence of the public in visiting a CDT, said a representative of the CDTA. ‘As a united organisation, we aim to work closely

with the GDC to find the best way forward, considering the best interests of both patients and dental professionals.’

The UK Clinical Dental Technicians Association (CDTA) is a professional organisation representing the interests of clinical dental technicians across the United Kingdom. The association is dedicated to promoting best practices, collaboration, and professional development within the industry, as well as advocating for patient access to dental care professionals.

The rebranded association aims to address concerns around proposed changes in Scope of Practice and their potential impact on patient care.

The art of Listening

Your role as a leader is to inspire your people to work together and move seamlessly toward a common goal. The title ‘boss’ implies power over others. To be a true leader, you need to be the standard for excellence, motivating your team with actions and words - or fewer words, as the case may be. Your employees look to you for guidance and support, and when they trust you to deliver what you say, their efforts will match.

Great leaders like Martin Luther King Jr. were able to express a clear and almost tangible vision - his ‘I Have a Dream’ speech is a perfect example. Through his words, actions and beliefs, he led his people to achieve his vision. However, to truly inspire people, you need to understand their needs and wants, as well as your own. This is where the art of listening comes into play.

USE EMPATHIC LISTENING

You will certainly have heard the phrase... ‘We were given two ears and one mouth and, as a leader, should use them in that right proportion.’

Listening is an essential leadership skill.

Attentive listening should be a standard we should all strive for. In attentive listening, the listener pays full attention to the speaker and demonstrates a solid understanding of what was said by summarising the conversation. However, if you really want to make an impact on those around you, use ‘empathic’ listening. Empathic listening is a ‘feel,

Nicki Rowland Director of the Exceptional Leadership Academy

felt, found’ approach, and a conversation could go a little like this...

Team Member: ‘I am very anxious about using the new software we are adopting in our lab, I don’t know how it will affect my workflow or if will impact the quality of my work.’

Lab Manager: ‘I understand how you're feeling, it made me uncomfortable too. I found that once I got the hang of it and started making changes, the fear factor was gone. Thinking about it was a lot worse than doing it. Don't worry, we will discuss any changes and their implications with the whole team.’

Team member: ‘That's reassuring. I feel a little better. Thank you very much!’

Openness and transparency are key elements of excellent leadership. As I said before, leaders don't necessarily have all the answers. It's very important to understand that you don't have to be ‘The Oracle’ and that it's best to ask your team for help in finding a solution. Many leaders often default to limiting information sharing in practice with the hope of minimising the risk of confusion and getting things wrong. However, this can backfire and create a culture of low trust and resentment, with staff feeling like things are being hidden from them. For labs to thrive, we must learn to inspire trust and openness within our teams and drive our labs to the next level.

BE PASSIONATE

Enthusiasm lifts your team and boosts morale, so it's an essential part of being an inspirational leader. Work becomes a meaningless task for your people if you seem blasé about it. If you do not live and breathe your purpose and mission, neither will your team. Keeping your vision at the forefront of your mind allows your passion to become tangible. This will remind your team of their ‘why’ and increases productivity. Your passion is contagious and will eventually result in full team engagement with a lasting impact on overall success. As Sam Walton, founder of Walmart says: ‘If you love your

work, you'll be out there every day trying to do it the best you possibly can, and pretty soon everybody around will catch the passion from you - like a fever.’

BE VULNERABLE

As leaders, we must avoid authoritarian expressions when pursuing our passions and not claim to have all the answers. We need to balance passion with openness and frankness, and ask our teams for their ideas and perspectives. It's about adopting a growth mindset and showing our vulnerability as a leader. In the same way as a coach might share with their team their own experiences and challenges of training as a young athlete, we too must reveal what we have felt and feel. This openness helps to build trust in the workplace by showing the team that you understand and respect their position and care about their feelings and opinions.

Let's talk a little more about vulnerabilitybased trust. This type of confidence allows you to take risks, ask for help, admit mistakes, and confront your team members without fear of retaliation or resentment. This allows you all to be vulnerable to each other. Patrick Lencioni, author and pioneer for organisational health, talks in depth about this concept: ‘Trust lies at the heart of a great team, and a leader must set the stage for that trust by being genuinely vulnerable with his or her team members.’

CREATE A ‘CIRCLE OF SAFETY’

We can create a circle of safety by first treating our employees as we would like to be treated ourselves. Give them a sense of belonging, a common purpose, some autonomy, and most importantly, take care of them. We are all human and need to feel needed, wanted and valued in order to feel safe.

A good coach will strive to understand how their runners feel physically during training, but also how they feel mentally in the face of upcoming challenges and events. Likewise, we need to open up emotionally to our teams to tailor our support to their physical, emotional and psychological needs. When we do that, trust, commitment and loyalty grow organically.

(ELA) shares how good listening is a leadership skill that encourages commitment and loyalty from your team

THE ART OF NETWORKING: making the most of meeting up

In the right place, with the right people, networking can be an extraordinarily effective way to build productive relationships with other professionals and open up avenues of mutual support.i These are particularly valuable assets in the context of the challenges facing dentistry in the UK today.ii

PROFESSIONAL AND PERSONAL BENEFITS

The professional benefits of networking are manifold, especially within healthcare.iii In the dental profession, networking provides the opportunity to build knowledge with specialists in different fields and learn about new products and technology that could benefit your practice. Connecting with the right people could develop a network of colleagues for complex treatment referrals, research projects or mentorship collaborations.

Networking rewards aren’t all workrelated. The process of meeting new people, discussing topics both familiar and unfamiliar, exchanging details and arranging follow-up meetings can all have a positive effect on your social confidence: especially if you are a naturally shy person. Work-related contacts can often make the transition to personal friends, expanding your social circle too.

NETWORK SETTINGS

Networking within the dental industry can take place in a multitude of settings. Trade shows, conferences and exhibitions bring thousands of delegates from related fields within dentistry together in one place. Exhibitors will be ready and eager to exchange details, talk about industry topics and answer questions in their field. The scale of such events means there are usually plenty of informal communal areas to meet up with people on a more personal, low-key level, striking up a conversation with someone while you grab a coffee, for instance, or chatting in the sandwich queue.

FROM LOCAL TO GLOBAL

Effective networking can also take place away from key industry events: at training days, for example, or activities organised by professional bodies. Joining social committees is a more informal, smallerscale form of networking that can also generate new connections.iv At the other

end of the spectrum, online networking sites such as LinkedIn, Instagram, Twitter and Facebook can, of course, lead to an almost infinite number of interactions with new contacts, searchable in specific terms such as industry, position, experience, shared contacts and more.v While such sites are undoubtedly powerful tools, their lack of initial personal connection could be seen as the compromise for their scope.

BE PREPARED

If you are planning to attend organised industry events in order to, in part at least, network, it pays to be prepared. Look ahead: find out the information that will help you to network productively. Research exhibitors, talk schedules and seminars. Focus on areas that are professionally interesting to you. Carry relevant materials and stationery, such as business cards and leaflets, so they are easily to hand.

MIND YOUR BODY LANGUAGE

While you’re talking to people, think about your body language - particularly if you’re shy. Be aware that you might slip into a ‘closed’ position if you’re feeling nervous and work on opening yourself up. Conversations can be started easily with simple, friendly questions. Useful snippets of interesting industry information are good ways to engage people. Above all, be your authentic self.

FOLLOWING UP

Follow up any commitments you make to contacts. However trivial the actions promised may seem, it’s important to establish reliability. Meaningful followups can include registering for courses or events you discussed attending together, forwarding a document you mentioned or even emailing a quick, post-event ‘nice to have met you’. This is where social networking sites are really useful: a follow or a like on someone’s LinkedIn page or Instagram account raises your visibility to both your contact and their own network of followers.

UNEXPECTED BENEFITS, SURPRISING OUTCOMES

One of the nicest aspects of networking are the unplanned encounters, conversations and talks that can lead to new contacts, perspectives and ideas. vi Dentistry Show London 2023 takes place at ExCeL, London in October and is an excellent place to connect with thousands of professionals from all walks of dentistry, from practice managers to dental hygienists/therapists, practice owners to dental nurses. The Association of Dental Administrators and Managers (ADAM), the British Orthodontic Society (BOS) and the British Association of Dental Therapists (BADT) will be contributing to the programme, amongst others, and Jason

Wong, deputy chief medical officer at NHS England, will be speaking on behalf of the Mouth Cancer Foundation. The sheer diversity of the exhibitors, speakers and delegates makes Dentistry Show London 2023 a very exciting networking prospect to put in your diary this autumn.

AN ENJOYABLE ENDEAVOUR

Networking could be described as work, without the actual work. What could be seen as a somewhat daunting prospect could very well end up being a gratifying - even fun - activity. The right approach will help you to get the most out of networking opportunities, whether they’re organised industry events or impromptu workplace get-togethers. It can lead to surprising and unexpected benefits and outcomes and, ultimately, meaningful professional connections that develop into long-lasting, useful and enjoyable relationships.vii

REFERENCES

iGov.uk. Careers advice: networking. Available at: https://nationalcareers.service.gov.uk/careersadvice/networking. Accessed April 17, 2023.

iiWoodrow M, Seddon C, Waite C, Kelso T. British Dental Association blog: The four nations' wishes for 2023. January 11, 2023. Available at: https://bda.org/ news-centre/blog/Pages/The-four-nations-wishesfor-2023.aspx. Accessed April 18, 2023.

iiiHealth professional networks as a vector for improving healthcare quality and safety: a systematic review: https:// qualitysafety.bmj.com/content/qhc/21/3/239.full.pdf https://qualitysafety.bmj.com/content/qhc/21/3/239.full.pdf

ivPorter CM, Woo SE. Untangling the networking phenomenon: a dynamic psychological perspective on how and why people network. Journal of Management 2015; 41:1477–1500. pp19-20. Available at: https://www.researchgate.net/profile/CaitlinPorter-2/publication/275581408_Untangling_the_ Networking_Phenomenon_A_Dynamic_ Psychological_Perspective_on_How_and_Why_ People_Network/links/553fa2280cf29680de9ba333/

Untangling-the-Networking-Phenomenon-A-DynamicPsychological-Perspective-on-How-and-Why-PeopleNetwork.pdf. Accessed April 18, 2023.

vBrandão MA, Moro MM. Social professional networks: A survey and taxonomy. Computer Communications, Volume 100, 2017, Pages 20-31, ISSN 0140-3664. Available at: https://doi.org/10.1016/j. comcom.2016.12.011. Accessed April 18, 2023.

viChen J, Chen C-Hua, Chess C, Ehrlich K, Eleftheriou M, Helander M, Lasser C, McAllister S, Medeiros S, Penchuk K, Snowdon J, Steen, M, Topol A. Enhanced Professional Networking and its Impact on Personal Development and Business Success. 2008. Available at: file:///Users/writer/Downloads/ Enhanced_Professional_Networking_and_its_ Impact_on.pdf Accessed April 18, 2023.

viiThe Health Foundation. Effective networks for improvement: developing and managing effective networks to support quality improvement in healthcare. Available at: https://www.health.org.uk/sites/default/ files/EffectiveNetworksForImprovement.pdf. Accessed April 18, 2023.

KEMDENT A SIMPLE, READY TO USE SOLUTION

w Technicians can easily remove excess plaster from trays and the fitted surface of dentures with PlasterSafe Plaster Solvent from Kemdent.

By just immersing trays in PlasterSafe, the solution will automatically dissolve any remaining plaster, leaving trays free from debris and ready for further cleaning. Plus, PlasterSafe has been specifically formulated to be kind to technicians’ hands, and its water-based, alcohol-free formula contains no harmful chemicals.

A cost-effective, time-saving solution for every dental laboratory - find out why PlasterSafe is trusted by technicians across the nation by contacting Kemdent today.

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

TESTIMONIAL FANTASTIC PRODUCTS FROM KEMDENT

‘I use the wax mainly to build stock trays which allow me to create highquality impressions. Similarly, I use the compound to fill out any spaces within the trays, and use the green sticks to build up the peripheries so that I can get as accurate an impression as possible, which is especially useful for denture work.

w Mr Samuel Labib has been using the Kemdent Green Tracing Sticks, Anutex Wax, and the Kemco Precision Impression Composition for the last 3 months. He shares his experience of using the products:

‘The products do the job. They are lovely to handle, cost-effective to use, and produce excellent results.

‘I would rate the green sticks very highly and the wax and compound 10/10. They are fantastic products; I would absolutely recommend them to colleagues. As the practice principal, I order them for my team directly from Kemdent. I have also lent these products to colleagues in the past, and I have shared content about them on Instagram, recommending that colleagues visit the Kemdent website.

‘I love the fact that these products are made locally, here in the UK, and the support that I’ve received from Kemdent has been fantastic.’

For more information, contact the Kemdent team today.

CREATECH LET NOTHING HOLD YOUR LAB BACK!

w Your lab can do more with Createch. Createch is a direct-to-lab milling service, enabling you to expand capacity.

If space and other resources are limited, Createch offers the fast production of high-quality products. Get a range of dental framework options with Selective Laser Melting (SLM) manufacturing, plus a 10-year guarantee on all prostheses. Outsourcing to Createch can make the impossible, possible.

Exceed dentists’ expectations and allow them to pass on the advantages of fast turnaround times and maximum predictability to patients, with restorations that fit precisely and look beautiful.

Choose your most convenient workflow, conventional or digital, for ultimate flexibility. Createch is a service from Createch Medical, available from the Straumann Group.

Register for your account with Createch Medical at http://www.createchmedical.com/en/file-sending/login-registro/ For more information on the Createch Medical direct-to-lab milling service from the Straumann Group, visit https://www.straumann.com/ gb/en/dental-professionals/products-and-solutions/implant-borne-prosthetics/products/createch-medical.html

MEDENTIKA® COMPONENTS FOR ANY CASE, ANY IMPLANT SYSTEM

w Medentika® is a trusted name across the dental profession. It provides the Multi Platform System (MPS), which includes abutments and implant components to suit nearly any clinical situation and all major implant systems.

Precision engineered, the comprehensive range of products comes with a lifetime guarantee - that’s how confident we are that they will consistently meet exacting standards. Encompassing unique parts that cannot be sourced anywhere else, the portfolio offers an excellent price:performance ratio for economic benefits as well.

No matter the case at hand, Medenika® offers both dentists and dental technicians the components they need to achieve exceptional results for their patients.

Discover the full MPS range online, available from the Straumann Group.

For more information, visit the website today: https://www.straumann.com/medentika/en/professionals.html