The Dental Technician Magazine September 2023 by The Dental Technician Magazine

VOL 76 No. 9 I SEPTEMBER 2023 I BY SUBSCRIPTION

www.dentaltechnician.org.uk

AN EVENT NOT TO BE MISSED THE BACD 19TH ANNUAL CONFERENCE PAGE 8

SWISS SCHOOL OF PROSTHETICS BY CANDULOR THE FIRST MANUFACTURER-OWNED TRAINING INSTITUTION TO BE ISO 21001:2018 CERTIFIED

PAGE 10-11

CAREER SPOTLIGHT

WITH CERAMIST BOGDAN PETRE PAGE 30

DO IT FOR PASSION

CASE STUDY: REPRODUCING NATURE I LUANA TITO P. 18-19

DENTAL TECHNOLOGY: DIGITAL V ANALOGUE DENTURES I PHIL WEARS P. 24

MARKETPLACE: CRACKING THE QUALITY CODE I STRAUMANN P. 32

VE R

plus...

FO IF I DE R T AB NT HE LE AL W E TE HO CP AM LE D

WITH SÉBASTIEN MIORANZA PAGES 12-14

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.

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CONTENTS

SEPTEMBER 2023 WELCOME

4 6-7

From the Editor Editorial Board

EVENTS

8 31

BACD Annual Conference Zirkonkhan’s Lecture Tour

DENTAL NEWS

10-11

High quality of SSOP confirmed

DENTAL TECHNOLOGY

12-14 22-23 24

Do it for passion – Sébastien Mioranza Digital dentures – where are we now? – Davide Accetto Digital vs analogue dentures – Phil Wears

INTERVIEW

An interview with… Jody Walmsley

CASE STUDY

18-19

Reproducing nature - Luana Tito

INSIGHT

Tech’s eye view – Andrea Johnson

ECPD

26-27

Free verifiable ECPD & ECPD questions

WELLNESS

28-29

The impact of stress and anxiety – John Bennett

CAREERS

Career spotlight on… Bogdan Petre

MARKETPLACE

32-33 33 34 34 35 36 36 37

Cracking the quality code Zirkonofen Turbo Kemdent Anutex HS modelling wax Medentika implant system Space and success in the dental laboratory Createch Medical Kemdent Paper Polishing Discs Vita Scientific News app

CLASSIFIEDS Editor: Heather Grimes E: editor@dentaltechnician.org.uk Advertising Manager: Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602 Designer: Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com Editorial Advisory Board Sir Paul Beresford Deepa Bharakhda Chris Golze Andrea Johnson Sharaz Mir Sean Thompson Philip Wears

39 PUBLISHED BY THE DENTAL TECHNICIAN MAGAZINE, PO BOX 2279, PULBOROUGH, RH20 9BR. T: 01372 897463

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

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.

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.

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WELCOME

FROM THE

Editor

Welcome to the September issue of The Dental Technician Magazine, your trusted source for all things dental technology! In the ever-evolving field of dental technology, staying informed and connected is paramount. Our mission at The Dental Technician is to provide you with the most relevant and upto-date information, insights, and innovations that shape the world of dental technology. Whether you’re a seasoned dental technician, a budding professional, or just beginning your journey in this exciting industry, you’ll find valuable content within these pages. In this issue, we have curated an array of articles, features, and case studies

that delve into the latest advancements in dental materials, digital dentistry, and much more. Our talented editorial board and industry experts have poured their expertise into these pages, aiming to empower you with knowledge and inspire your professional journey. I also encourage you to explore our regular sections, including this month’s Q&A with Jody Walmsley, Tech’s Eye View with Andrea Johnson, events, news, and product marketplace. We continue to strive to be a platform for your voices through readercontributed content; we strongly believe in the power of community and the exchange of ideas, which is why we are always eager to hear from you.

Reach out to a BIGGER audience

If you would like to be involved in any capacity please drop me an email editor@dentaltechnician.org.uk, contact any of the editorial board members, or find us on Facebook @The Dental Technician and Instagram @thedentaltechnicianmagazine. As we continue to navigate the challenges and opportunities in the dental technology landscape, your support and engagement are invaluable. Please do not hesitate to reach out with your feedback, suggestions, or contributions. Together, we can foster a vibrant and thriving community of dental technicians.

Heather Grimes | Editor

In print since 1947

PROMOTE YOUR BUSINESS IN THE DENTAL TECHNICIAN MAGAZINE T. 01372 897462 E. sales@dentaltechnician.org.uk

ADVERTISE DPS AD.indd All Pages

4 I www.dentaltechnician.org.uk

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EDITORIAL BOARD CHRIS GOLZE w I’m Chris Golze! Dental technician, lab owner and Olympic-class swearer! Born in Doncaster, raised in Doncaster and currently working in… you guessed it. You could say I’m a proud Yorkshireman too!

SIR PAUL BERESFORD w I am the MP for Mole Valley and a practising dentist. I am New Zealand born and bred, married with four children; three sons and one daughter. I graduated in dentistry in New Zealand and took a year’s postgraduate course at the Eastman Dental Hospital. I first practised in the East End of London before moving to the West End. I joined the Putney Conservatives and was elected to Wandsworth Council in 1978 and was its Leader between 1983 and 1992. I was knighted in the 1990 New Year Honours for political and public service.

PHILIP WEARS w Dental technology has been in my family now for three generations and as such I’m incredibly passionate about our industry and feel suitably placed to help bring the content technicians want to read. I’ve worked in all types of lab throughout the north of England from small one man and his dog labs, to huge corporates, and now I own my own lab. I believe there’s never been a better time to be a dental technician than right now. What makes this time so exciting is the technology, the new materials and techniques mixed in with a newer generation willing to share tips and tricks. Dentists and patients are wanting, expecting bigger and better work than ever before and it’s our chance to shine.

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I can usually be found skulking around the various social media platforms, hopefully chipping in with the odd useful post but probably more likely taking a thread off on a tangent! I’ve been in the lab industry since 1994. Starting off in a local practice -owned, full -service lab, moving to being co-owner of that same lab, then progressing to my current position of sole owner of XSDental. My favoured area, and what the business concentrates on, is thermoforming. I’ve been fortunate enough to speak with and learn from many people over the years. This has allowed me to develop my own techniques and (hopefully) point others in the right direction on occasion too. I think it’s an area which is often overlooked as it’s not quite got the glamour that ceramics, prosthetics and even the wire mastery that some ortho has. There’s a few thermo-wizards out there now so maybe it’ll start to share the glitz the other departments bask in! I’ve got to say I was pretty surprised to be asked to join the Editorial Board. Those who know me well will be aware this is new for me but something I am looking forward to. It does feel quite the honour to be amongst some very well-respected names from our profession. Hopefully as a group we’ll be able to bring an informative, educational, fun and (important to me) all-inclusive feel to The Dental Technician magazine. If anybody wants to connect and discuss articles and the magazine I can be found on the various Facebook groups under my own name and on Instagram at @xslabtech (and I managed all that without swearing…)

DEEPA BHARAKHDA w My name is Deepa Bharakhda originally from Old Trafford, Manchester! Currently living in Leicester UK. I am a trained and registered dental technician since 2010! I graduated from Manchester Metropolitan University, currently working in a private laboratory in Leicester called Dencraft Leicester. I am prosthetic technician working with specialist dentists at a specialist practice on site as well as dentists outside the lab. I love working with dentists and building a good working relationship that helps me to fabricate beautiful work with a happy patient. I have developed special interests in implants, over bar dentures and acrylic hybrids with an artistic flare for composite work! I love making dentures and hybrids look natural and beautiful. I am always wanting to learn new techniques, skills, meet new people and share knowledge. I am lucky to be part of a great dental community connecting with people around the world. My passion in the dental field has led me to peruse dental photography and capture beautiful images of my work. I have had the opportunity to write for Dental Technicians Guild Magazine, Laboratory Dentistry and Dentistry.co.uk as well as been a speaker at dentistry shows. I am a co-founder of Nightshift on Facebook, a group designed to elevate and celebrate female dental techs by giving them a space where they showcase their knowledge and skills. I am very passionate about my profession creating beautiful smiles and making a difference is quite rewarding!

EDITORIAL BOARD ANDREA JOHNSON

went from strength to strength, now employing over 70 highly respected members of staff. Ashford became an early implementer of digital techniques within orthodontics and firmly established itself as the ‘go to’ lab for digital orthodontics at scale, servicing almost 30% of NHS contract holding practices.

w I am the chair and co-founder of dental charity Den-Tech, an orthodontic and maxillofacial laboratory manager/highly specialised dental technician, quality improvement coach, healthcare careers ambassador and clinical research intern at Doncaster & Bassetlaw NHS Foundation Trust. I am an advisory board member, careers pathway reference group member and fellow of the College of General Dentistry. I am a Healthcare Leadership Academy (HLA) Cohort Director & co-lead of the HLA Dental network. I have a PgCert in charity management and 1st class BSc hons in Dental Technology.

SEAN THOMPSON

I like to be very active within the dental profession and am regularly called upon to sit on advisory committees and working groups with bodies such as the General Dental Council, Health Education East Midlands and many more.

w I entered into dental technology in 1982 by means of a summer job whilst waiting to start university after studying A-levels in biology, chemistry and English literature. I started a four-year apprenticeship training programme in dental technology instead, qualifying with Distinctions in 1986 after completing City and Guilds at Newcastle College, gaining the ‘Top Student’ award in the process for both the intermediary and final examinations.

Some of my previous roles include chair of the Orthodontic Technicians Association (OTA), council member of the Dental Technologists Association (DTA), associate lecturer at Manchester Metropolitan University (MMU), visiting lecturer at the University of Chester, sessional teacher at Nottingham College, a Science, Technology, Engineering, Mathematics (STEM) ambassador and Chair of the Women in Healthcare Leadership Summit 2022.

I worked in various commercial laboratories for 18 years before gaining employment running the day-to-day operations of the orthodontic and maxillofacial laboratory at Sunderland Royal Hospital. Whilst there, I studied for a further two years gaining a postgrad professional studies diploma in maxillofacial technology from Manchester Metropolitan University in 2002.

Winner of a Star award, Pride of Derby award and the Aldridge Medal, I am a keen advocate of lifelong learning, I have written many CPD papers and lectured on a variety of subjects both nationally and internationally.

I decided to leave employment to form a specialised orthodontic laboratory, establishing Ashford Orthodontics in January 2001, which

Outside of work and professional activities I enjoy running, going to the gym, walking my dogs and adventure travel.

SHARAZ MIR

Twitter handle: @kittani5 LinkedIn profile: andreajohnson0705

I set up and grew other associated businesses such as Quick Straight Teeth and Retainerworld, as well as CSG Properties Ltd, all of which were successfully sold on. Was elected to the OTA council in 2012 with aims to enhance the Commercial Laboratory representation by giving Private Laboratories a ‘voice’ within the OTA, whilst forging links with our other professional bodies. Ashford grew from a modest £50,000 per year turnover to an almost £7 million business before my retirement in June 2021, after successfully negotiating the formation of a new company called ALS into which Ashford’s shares were pooled along with significant inward investment from Ansor Ltd. I exited the business, allowing the pursuit of other interests including professional coaching via a directorship in a consultancy company called Ashmore Consulting Ltd, and CEO of Retainers4life. Outside of work, my other passion is Sunderland the ‘City’ and thus Sunderland Football Club, following them through ‘thin and thin’ for the last 50 years, attending almost every game with my wife Allison and sons Matthew and Nicholas.

w I am the co-founder and sales and marketing director at Blueprint Dental. I achieved a BTEC in dental technology at Kings College London in 1993 and attended the University of Sheffield to gain a BMedSci and an MPhil in dental technology. I am an exceptionally approachable individual with a passion for dentistry and the patience of a rock. I have a unique eye for what I call ‘products and projects’, being able to spot the next best thing in dentistry and implementing it. This has been key to keeping Blueprint Dental ahead of the game. I am very passionate about my profession creating beautiful smiles and making a difference is quite rewarding!

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EVENTS

FIND NEW HORIZONS WITH THE BACD An event not to be missed

he BACD 19th Annual Conference is just around the corner and it will once again deliver an exciting programme designed for all clinicians and dental technicians with an interest in cosmetic dentistry.

who is this year’s keynote. Also look out for restorative dentist Dr Fran Brelsford, discussing ‘A Predictable Posterior Protocol’, which will feature insights from her advanced training in biomimetics.

Titled New Horizons, the 19th Annual Conference will be held at the IET Savoy Place, London on 9-11 November and is an opportunity to learn and network with the best in the business.

Hands-on workshops will cover: • Direct resins • CAD software • Hard and soft tissue regeneration • Composite veneers • TMJ management • Advanced treatment planning • Ortho-restorative planning

Choose your Day 1 session, and curate a programme according to your expertise and interests. Day 2 is a single stream and Day 3 has parallel streams for dentists and dental technicians. Sessions will cover a TMJ masterclass, an advanced planning bootcamp and ‘Composite Veneers – Not For Dummies’. Speakers include Dr Tif Qureshi and Dr Lincoln Harris,

The main programme will explore even more topics, including aesthetic anterior adhesive restorations, full mouth rehabilitations and digital workflows. Headline speaker, Dr Lincoln Harris will also deliver a full day’s lecture on ‘Building Aesthetic Foundations’, sharing his extensive experience with delegates.

FOR FURTHER ENQUIRIES ABOUT THE BRITISH ACADEMY OF COSMETIC DENTISTRY VISIT www.bacd.com

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To find out more about the event and the opportunities available to learn, develop and network, visit the website today: www.bacd.com/annual-conference. BACD members get preferential rates, so why not join? With unrivalled education and a host of other benefits, the BACD will support your career, at every stage.

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.

SIM

E D A®

STHETI

DRIVEN

NEWS

HIGH QUALITY OF THE SSOP CONFIRMED BY QM CERTIFICATION

THE SSOP (SWISS SCHOOL OF PROSTHETICS BY CANDULOR) IS THE FIRST MANUFACTURER-OWNED TRAINING INSTITUTION TO BE ISO 21001:2018 CERTIFIED With its special concept of a comprehensive continuing education program on removable dentures, the SSOP has always had the aura of a quality brand among manufacturer-owned offerings. A reputation that has now been confirmed by an independent body: with a quality management certification specifically for educational institutions in accordance with ISO 21001:2018. For participants in the SSOP prosthetic courses, this certification confirms the strong focus on learning by the participants and the high-quality standard in terms of curriculum, didactics and staffing of lecturers and experts.

ontinuous progress in dental technology and treatment methods as well as advancing digitisation make lifelong learning an issue for dental technicians and dentists more than ever before. Different levels of know-how among laboratory staff due to training acquired in different countries poses particular challenges for dental laboratories. From a series of courses to a certified continuing education concept This is where the SSOP fills an important gap in the continuing education offering when it comes to fundamental, comprehensive knowledge transfer on the subject of Removable dentures. A global network of teachers with many years of practical experience and outstanding expertise passes on their skills within a didactically sound training concept consisting of course modules which build on one another. This opens up very interesting options for course graduates to specialise or position themselves in the dental market. ‘By doing this, we offer a continuing education series which endows both dental technicians and dentists with a high level of excellence for the individualisation of dentures,’ explains Alexander Ewert, director marketing

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The Swiss School of Prosthetics (SSOP) stands for a profound, modular seminar program on removable dentures, which has been QM-certified according to ISO standard 21001:2018 specifically for educational institutions. © SSOP by Candulor.

& education at Candulor. In addition, we reinforce the success of treatment for the patient by promoting a holistic approach to therapy and communication at eye level between two prosthetic experts: in the dental laboratory and the dental practice. Whereby it does not matter whether the dental technician works in an analog or increasingly digital manner. Our experience shows that analogue tooth set-up concepts in particular sharpen the understanding of the interrelationships between support, chewing stability and functionality, phonetics and aesthetics, thus also adding more finesse to the digital solution. This special training concept made it logical for us to qualify for the demanding audit as part of an ISO 21001:2018 certification. For the benefit of our participants: They place

their trust in a further education institute which is tasked with continuous improvement as part of its management system, and which is also put to the test every three years through a renewed audit. What are the benefits of a certification for course participants? The focus of the special certification for educational institutes is on those learning. In practice, this means that the certified educational institute must ensure an optimal and motivating learning environment in terms of infrastructure, facilities, teaching materials and teaching methods that meet the needs of the participants. A further aspect is the establishment of a state-of-the-art knowledge management system and a modern concept

NEWS

At the core of the QM certification for educational institutions is a demanding focus on the learner and high requirements for the selection and further development of the Teacher. © SSOP by Candulor.

for conveying learning content, based on defined standards and lecturers with a high level of expertise and continuous commitment to further development. This tequires mechanisms, which include support adapted to the participant, individual coaching and customised learning plans. This is to ensure that the objectives of the participants are achieved. For one, this is ensured in the SSOP through various seminar modules which allow entry at different levels of knowledge, from professionals/career changers and returnees to advanced proficiency. SSOP Coaching is a particularly individualised training format under the motto: Bring the Swiss School of Prosthetics to your laboratory or dental practice! Here, it is not only possible to provide training specifically tailored to the team and the practice/laboratory, but also genuine management consulting in the sense of Best Practice to increase productivity, efficiency and quality. Alexander Ewert concludes: ‘With the QM certification specifically for educational institutions according to ISO 21001:2018, many advantages that already distinguished the SSOP previously, have now been confirmed by an independent body with regard to its high, qualitative orientation. Thus, the SSOP offers significant added value in terms of sound

knowledge transfer, learning environment, individual support, recognition and continuous improvement. In addition, we are engaging even more closely with practice and dental laboratories that have already established a quality management system in accordance with ISO 9001, by offering a training concept and a coaching program for employees with the SSOP, which ensures QMcertified continuing education.’ A continuing education program which compares internationally As the SSOP has an international orientation and is currently already present in seven countries, one also wanted to set an example with this internationally recognised standard in terms of comparability of the training offered. An issue that is very important to Alexander Ewert: ‘When I, as a participant, am looking for a training course, I can rely on an institute which, like the SSOP, is ISO21001:2018 certified and implements strict quality controls. This ensures that the continuing education programs offered comply with defined standards. Course graduates can be confident that they are receiving high-quality education and, therefore, that their certificate comes from an accredited and credible institution.’

Certification was conducted by the renowned Swiss Institute for Quality Management, SQS. © SSOP by Candulor.

Swiss School of Prosthetics by Candulor W: www.ssop.swiss T. +41 (0) 44 805 9000 E: hello@ssop.swiss

www.dentaltechnician.org.uk I 11

DENTAL TECHNOLOGY

Do it for

PASSION We speak to Sébastien Mioranza about what it takes to be Panthera Master Cup winner

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What is the Panthera Master Cup?

The Panthera Master Cup is open to everyone. Its aim is to find the most qualified dental technician, dentist or denturist to create a complete dental prosthesis. Knowledge, skills, function and aesthetics will be assessed through a complete case involving implant-supported bars.

What made you want to enter?

I had already taken part in competitions (KunZahnWerk organised by Candulor in 2013, 2017 and 2021, and I was also a finalist in the ‘One of the best workers in France MOF’ competition between 2013 and 2015). I take part purely for my own pleasure, I like challenges, I love my work and I do it with passion and enthusiasm. I don’t care about the result, what I enjoy is solving problems and finding solutions. It takes practice, but also a lot of research and communication. Taking part in a competition means learning about yourself.

How long did it take you to complete the case and the presentation? How did you find working on this case alongside your day job?

It took me about 120 hours of work to complete this project from A to Z. All of this was done outside my normal working hours and with a lot of overtime. Of course, you have to expect to work evenings and weekends. Using the camera itself doesn’t take much longer than usual, what takes time is the documentation because of all the videos or photos at each stage of the work. The quest for excellence often leads to things being redone for simple details that would normally have gone unnoticed. It’s done at the end of the adventure when you’re most tired, and requires a lot of research, iconography and computer work. I’m always proud when I show the documentation to patients or dentists, it’s a great way of communicating and showcasing our work.

Tell us how it felt to be in the top 3

The first victory was being selected from the 10 participants invited to take up this challenge. I discovered some ‘super’ technicians, each as talented as the next. To be in the top 3 and share the podium with Vlad Atanasoaie (2nd) and Christian u Von Bukowski (3rd) is a great honour.

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DENTAL TECHNOLOGY What was it like to win the award?

This qualification enabled me to be invited by Panthera Dental to Quebec City in Canada. After a warm welcome, we were able to visit their company, and see all the new technologies and the means they use to produce perfect made-to-measure surgical parts. The evening after the awards ceremony, a magnificent party was organised for their 10th anniversary. First place wasn’t too important, I took part for the experience and the adventure, and I have to say that the result was beyond my expectations.

How has winning the award changed things for you?

This award is a spotlight that I intend to use, both for my own personal development in the profession, but also to try and shine a light on the profession that brings me so much.

What would you say to anyone thinking of entering the competition? Here’s some advice and encouragement: • Do it for passion • Be creative: Don’t limit yourself to the norm, show your creativity in making the prosthesis. The Panthera Master Cup encourages the showcasing of skills and techniques, so don’t hesitate to come up with original solutions • Be meticulous in your documentation: Documentation is a crucial element of the competition, so take the time to prepare it well and showcase your work. • Enjoy the experience: Whether you win or lose, remember that the most important thing is to enjoy the adventure and the experience. The competition will allow you to meet other talented professionals. • Don’t underestimate your abilities: Be confident in yourself and your skills. Simply taking part in the competition is an achievement in itself, so go for it with determination and give it your best shot. • Let this be an enriching experience for your professional and personal development - Don’t forget that above all it’s an opportunity to learn and grow in your profession. The Panthera Master Cup is a prestigious competition that showcases the skills and talents of dental technicians and offers a unique opportunity to stand out in the field.

ABOUT SÉBASTIEN MIORANZA

Sébastien Mioranza is a qualified Dental Technician at Laboratoire Dentaire ISABELLA and Panthera’s Fifth Master Cup Competition in 2022

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INTERVIEW

An interview with…

Jody Walmsley What was the last case you worked on? The last case I worked on was a single tooth flexi addition. A lot of people are unaware that you can add onto them.

Jody Walmsley talks to us about his career, his proudest achievements, and offers some sound advice

How many years have you been working in the dental industry? I’ve been in the industry since about November 1997. I was 17 at the time, needed a job and this came up, so I thought I’d give it a try as it was in walking distance from my house. At which point in your life did you decide to start your own lab? I decided I wanted to work for myself about four years ago but wasn’t quite ready for it at the time. Redundancy came during Covid, which wasn’t ideal but it gave me the push that I needed. I went back into employment for a while then 12 months ago started up on my own. I did talk about it in about 2009 with someone else but I was nowhere near mature enough or ready for it. If you weren’t a dental technician what would you be? I honestly have no idea but I’d like something outdoors and active… sitting down a lot doesn’t do the back any favours. If you could put a lab or bench anywhere in the world, where would it be? The first place that came to my head was Bannf in Canada, I visited once for snowboarding and absolutely loved it. I could happily have their summer heat and winter snow in my life. What is your laboratory pet peeve? Lazy people with a bad attitude, that can be management or technicians. I hate it when you are working your a*se off whilst someone spends all day on their phone or going for fag breaks all day. It just makes you think about the place you are working in and if it is worth it!

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What is your proudest accomplishment to date? My proudest accomplishment is landing a beer on Muttley McLad’s head at a Macc Lads gig just as he was finishing the last song off... he laughed (the video is on YouTube). Either that or starting up on my own after realising that people were seeking me out to do their flexi dentures. On the lab speakers… are you listening to a podcast or a playlist? This varies. It’s either my music playlists, which range from metal, hip hop, easy listening or just anything that my ears like. I also put YouTube on a lot and have car videos or food videos playing, it’s always good to learn new things about making food. What has been your biggest challenge and how have you overcome it? My biggest challenge was having the balls to make the decision to go solo and just going out there doing it with the clients I had been building up. What advice would you like to give young dental professionals starting their career? I would say learn as much as you can even if your work place isn’t offering the chance to. I just wish someone had told me that years ago... Don’t stop learning. Don’t be bullied by idiots or bosses that treat you like cr*p, just move on, when you find a good place you will wonder why you put up with all that sh*t from them... you are in control, no one else.

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CASE STUDY

REPRODUCING NATURE Luana Tito shares how to interpret the patient’s mucosa in order to achieve a natural characterisation of a dental prosthesis

n order to achieve the natural characterisation of a dental prosthesis, it is necessary for the technician to have a basic understanding of the internal structures they’re trying to replicate.

Only then can they achieve a more natural approximation in the prosthesis according to the colour of the patient’s gums. We need to understand how to interpret the patient’s mucosa. For example, we notice that the colours are more intense with vivid shades in areas like the alveolar mucosa, but in regions like the free gingiva or frenum, we observe softer tones. By training our eyes to interpret mucosa colours, reproducing them becomes easier. In Brazil, we use the salt and pepper characterisation method. For this we use different shades of pink, dentin colour, and intensive pigments. The colours to be used vary greatly from patient to patient. There’s no ready-made recipe; an analysis is always done to understand what each shade represents. LAYER BY LAYER When starting the characterisation, the first thing we do is reproduce the veins by placing wool in the alveolar mucosa region. We must ensure that the wool is of good quality and doesn’t release dye. To determine its quality, you can immerse a piece in monomer for a few minutes; if it doesn’t release colour, it can be used. The next step involves applying a thin layer of resin to give our piece a skin colour. It is important that the first layers are always thin, so the effect of the subsequent layers becomes visible. With that said, we apply lighter colours around the teeth, allowing the resin to flow slightly into other areas to create a smooth gradient between colour layers, thus adding naturalness to the piece.

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CASE STUDY

In the area of the mucogingival junction, we start with a stronger tone. We finish in alveolar mucosa with intense colours. To mimic the bony plate tones, I use dentin colours, placing them where the roots would be, always paying attention to each volume. I also use a bit of the same intensive colour used in alveolar mucosa before, applying it very cautiously between the roots to create differentiation between layers, imitating the periosteum and adding depth to the characterisation. After completing these steps, we redo the same process to the second layer, reapplying the veins and following the previous steps, always considering the space we have for this characterisation. A third layer could be necessary. FINISHING To finish, we cover the characterisation with a thin layer of resin and place a separating plastic to prevent resin from contacting the plaster, close the flask to check if the amount is appropriate or the excess needs to be cut off. In Brazil, it is very common for the palate of our prosthesis to be colourless. Therefore, after checking the resin space, we isolate our plaster to then complete our prosthesis with colourless resin. When acrylicising with this method, a homogenisation time is necessary before proceeding with the polymerisation of the prosthesis. The time can vary from company to company.

ABOUT LUANA TITO My name is Luana Tito, I’m Brazilian, and I work alongside my husband at the Incer’Art Laboratory, where he is a partner along with his father, who is a ceramist. My career as a dental technician is relatively new; I started working in July 2020. Since then, I’ve been improving and studying to become a better professional every day. I always seek to understand what I’m doing rather than just reproducing, as I believe this is the key to professional growth. That’s why we’re currently taking specialisation courses in dental prosthetics. I’m an opinion leader for IvoclarBR and Evoden, and I partner with other companies in Brazil, promoting them and my work on Instagram. I also teach courses on dental prosthetics throughout Brazil and recently gave my first hands-on lecture at a APDESP BUSINESS Conference. Alongside my husband, we also offer mentoring in our laboratory.

www.dentaltechnician.org.uk I 19

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Tech’s We get nosey with Andrea Johnson, who gives us a tour of her very organised desk ANDREA JOHNSON PgCert, BSc (Hons), FCGDent, LOTA, MHLA Chair - Den-Tech (Registered Charity No: 1172889). Cohort director, Healthcare Leadership Academy. Dental Network co-lead, Healthcare Leadership Academy You can also connect with me on: LinkedIn at https://www.linkedin. com/in/andreajohnson0705/ Twitter at @kittani5

INSIGHT

Eye View W

elcome to a small snippet of my lab and lab life. I like my life to be fairly organised both at home and work. Everything has its place and, in my mind at least, it’s a logical and efficient placement. I know that I can find what I need without hunting for it. I am also a strong believer in looking after my materials and equipment too. I mean, most of us do not have the luxury of having two of everything and there is not much I can live without for long and still do my job properly so woe betide anyone who messes with my stuff. Starting from the left-hand side of the pic you will see my precious Biostar. It is an amazing piece of kit and any other pressure former or vacuum former just feels like a step back in time in comparison. In a world where more and more of orthodontics is moving over to pressure formed appliances you need a reliable and effective piece of kit. Next is my Erikson model jig, that gets a lot of use for all my osteotomy cases. In the corner is a small fume extractor, I have to be honest I never use it as it’s pretty ineffective so I just open the window and work near to it. One of my most useful personal buys is the blue storage unit on my bench. I bought it from B&Q and it has quite a lot of drawers in it which are perfect for storing my tools,

spare burs and any other small bits and bobs such as ball clasps, etc. Another useful and cheap piece of kit is my wax pot. It’s actually a Glade wax melt for scented candles but it’s perfect for keeping my wax fluid all day ready, I also have a no flame induction heater that is so much better than a bunsen safety wise but also because it heats my tools up so much quicker and I am impatient. I do have a hand flamer for the odd occasions I need a naked flame for soldering or smoothing wax. My digital radio and speaker system help keep me sane as I work alone for the most part. I listen to Absolute Radio in the morning but by the afternoon that usually is doing my head in so I hook up my laptop to the speakers and chuck on some Spotify playlists I can sing along too. Finally, speaking of music, Simon Whitehouse of Elite Orthodontics has very kindly used his immense talents as a singer to record a CD of 20 tracks, all chosen by techs on the Dental Technicians Great Britain Facebook page to raise funds for my charity Den-Tech and our Vets Bite Back project. These CDs are now available to order at a cost of £10 each plus £1 P&P or you can buy a download version too. So, if you would also like a copy, please do get in touch with him and order a copy or two!

WANT TO FIND OUT MORE?

in it,in which are perfect for storing my tools, Do you want your desk featured a future issue? Email: editor@dentaltechnician.org.uk!

www.dentaltechnician.org.uk I 21

DIGITAL TECHNOLOGY

DIGITAL DENTURES: WHERE ARE WE NOW? Davide Accetto discusses one of the hottest topics in dental technology over the last couple of years

f we look at where the denture industry stands now, digitalising prosthetics could be one of the best options for both the present and future generation of dental technicians. But why change something that has always worked well?

Let’s have a quick look at some numbers: • The average age of prosthetics dental technicians in the UK is 56 years old, with industry growth at around 5% per annum. • The next 10 years look quite bleak for employers. Despite a very positive industry growth per year, the GDC registers in the 2022 report don’t look so bright: - There was a 1.4% decrease in the overall number of DCP removals from the GDC register in 2022. - 6.5% of those DCP removals were for retirement reasons, with only 127 new Dental Technicians registered in 2022.

TOP ROW (L): Full-printed Lucitone denture designed on 3Shape with HC libraries for the teeth (R): Analogue impression (yellow mesh) vs IOS PrimePrint (beige mesh) 2ND ROW (L): Analogue impression (yellow mesh) vs IOS PrimePrint (beige mesh) (R): Dentures scanned chairside with PrimeScan LEFT: Upper and Lower impressions using hard baseplate bite block scanned with PrimeScan

Those numbers reflect the entire dental lab industry. There aren’t enough dental technicians to satisfy the growing manufacturing demand with long dentist waiting lists of patients waiting for their new dentures to be fitted. Digitalising the prosthetics departments could be one valid option to reduce labour time and scale the production as we would cut all the long processing of traditional dentures from casting plaster to flasking and packing. All the design is done directly from an oral scan, of course you can still use conventional impressions, and with an average of 30 minutes of design you could have a full set of dentures ready to be printed or milled. WHY I LOVE 3D PRINTING I am a big fan of 3D printing for three simple reasons: • First: It’s quicker than milling depending on which printer you use; I could easily print up to 4 upper arches with the MAX UV printer in just 3 hours and I could print 9 full arches in just 2 hours with a CARBON printer.

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• Second: Low waste, you can print up to the last drop of the material. • Third: Less maintenance and more costeffective than milling dentures. DEVELOPMENT I started working on digital dentures back in 2019 at Byrnes Dental Laboratory. I was an early adopter of this workflow, and honestly at that time it was quite challenging; not enough reliable materials on the market, digital denture bases were too brittle, and the denture CAD systems were very basic, limited and did not allow me to make a proper design. Let me explain how new products are adopted in the market; for every new product and system launched, there is an adaption curve which is based on three phases:

• Phase 1: Concept and innovation phase, this is when developers make their vision real and launch the new product. • Phase 2: The early adopters work with the new product and provide feedback to help developers to improve the system. • Phase 3: Mass market adoption - when the entire profession starts to use the new product. After nearly five years of development, we are now approaching phase 3 of the digital denture adaption curve. DESIGN CAD module is so much better than in the past, allowing you to design nearly every single case with no problem. There are better teeth libraries, which can give translucency aesthetics for printed teeth

DIGITAL TECHNOLOGY (HC libraries on 3Sape), better gingiva modules, better virtual articulation and so many new tools to make the workflow easier and quicker. I use EXOCAD and 3Shape together to achieve the best results for every case. I believe it’s important to have both as you will have a wider range of tools when combining these two leading CAD softwares together. MATERIAL Material is also key. I can proudly say after much research and testing of many denture base materials in the last five years, Lucitone Digital Print remains the best digital denture base worldwide. Lucitone Digital Print is a Smart Polymer known as Body Activated Material, which means it gets stronger when it reaches body temperature. It also has an average of 0.02% residual methacrylate content, which reduces the chance of an allergic reaction. SCANNING IOS scanners play an essential part in prosthetics digitalisation and are getting more advanced every year. With new technology and camera resolution that’s becoming much easier to use, proper application of the scanner can easily reduce appointments and give more information to the labs. The scan data can be saved and reused at any time, providing more accurate impression details and depth than a conventional impression. The existing dentures can be used as a tray to take an impression and scanned chairside, so the patient can have the denture back the same day to use while they are waiting for a copy or a new denture. In edentulous cases, the bite block can be realised with a hard base plate to allow the clinician to take a functional impression and register the bite on the same appointment. Scans can be taken chairside and sent directly to the lab. The laboratory can start the denture design directly from the scan provided without having to cast some plaster and articulate the models.

THE ICING ON THE CAKE… And from the Latin expression ‘dulcis in fundo’ which translates to ‘the dessert comes at the end’... Why don’t you suggest your dentists include a lips smile scan aligned with the patient scan for their cases? This will give you all the references to provide a very accurate set-up for the patient, which of course could reduce appointments and adjustments. The case presented here was done in collaboration with Dr Callum Graham at Larkhall Dental Institute in Glasgow using a PrimeScan. The case consists of an upper gingiva scan (without the denture) in occlusion with the lower jaw. One scan of the denture aligned with the primary upper gingiva scan, and a scan of the lips of the patient in a rest position aligned to the upper denture scan. This workflow provided me with all the information necessary to re-establish a new setup for the patient by using the old denture as pre-op and lips shape to correct the aesthetic disbalance given by the previous denture. LET’S START MOVING To conclude, nearly five years of digital innovation has made such a big difference from where we started back in 2019. This is making prosthetics a more exciting department, giving a new product to play with and new tools to get a more accurate result for patients. The aim is not to replace analogue dentures, which is something I am proud of, but to offer an alternative solution to our clients. Now is the best time to start moving with this new technology.

ABOUT DAVIDE ACCETTO

Davide Accetto is national product sales specialist UK & Ireland at Dentsply Sirona. You can contact him via email at davide.accetto@dentsplysirona.com, or on 07920 250 296.

DENTURE DESIGN COURSE I am a strong believer that education should be always free and accessible to everyone, and I am very proud to run The Digital Denture Academy at the Dentsply Sirona headquarters in Weybridge. Once a month I provide a full course of denture design on 3Shape, which provides 7 hours of CPD, where I share with you all my experience gained in CAD with this new solution. 2023 is fully booked already but stay tuned for the new 2024 training dates which will be released soon. To register: https://www.dentsplysirona.com/en-gb/academy

www.dentaltechnician.org.uk I 23

DENTAL TECHNOLOGY

Digital v analogue dentures Phil Wears asks do we really need to pick a side?

he question whether digital or analogue is better seems to be a hot topic right now. It’s also quite a divisive one, depending on which side of the fence you fall on. There are question marks around quality, longevity, cost of technology, and whether digital dentures are really here or are they still a way off compared to what we can produce by hand.

The downside is that the investment in the technology is not cheap and probably quite rightly so. It also doesn’t really replace the need for a talented denture technician. The fundamentals of making a good denture still need to be understood and adhered to, although I do believe that moving forward it will be easier to teach someone to make a denture using digital techniques than it is teaching them using traditional techniques.

Digital dentures have been flirting with techs and lab owners for a while now. In stark difference to when there was a crown and bridge digital introduction, it has been somewhat cumbersome and more a case of ‘let’s try and see what it’s like’ rather than having a complete solution that was easily reproducible with a cost point that made us sit up with excitement…

Analogue dentures are still rock solid, there’s been no better time to be a denture wearer, the techniques and new materials available are better than ever and the industry seems awash with talented people who are excelling in this field. When done right, traditional or analogue dentures are still the most aesthetic.

UNTIL NOW!

3D print technology has excelled recently and the dentures I have seen can be every bit as good as anything made analogue. With translucent teeth, which are strong and aesthetic, and bases that have more stress resistance than acrylic, I am confident digital dentures are no longer the future but can be a very big part of the now.

WHY PICK A SIDE?

But my question is this... Why does it have to be one or the other? Why can’t we live in a world where two exist? Digital is just another tool we have available and an offering we can provide. I appreciate some labs are looking at digital as a way of increasing production and that’s fine, this has always happened – high-volume NHS labs have always produced lower-cost less functional and aesthetic dentures.

There will be good digital dentures and bad ones, just as there are good analogue dentures and some bad ones. It is up to us to determine who we want to be and what we want to provide, but in terms of what’s available, I don’t think we can any longer deny that it is completely possible to make a good dentures digitally. Those of you who offer this service or are looking to, I have one question of note, who is the digital denture for? I don’t mean which patient, my question is who does the digitalmade denture benefit? I think we need to be careful of dentists who aren’t able to capture good impressions or aren’t confident with denture techniques, I don’t see digital as the easy answer in these cases. The same applies for dentists as it does for technicians; correct protocols need to be followed, good impressions are still needed, and correct bite information is crucial. Digital is not a magic wand to make bad dentures go away, but used correctly, by the right people and for the right patient, it can be hugely successful.

ABOUT PHIL WEARS Lucitone digital print denture by Nina Frketin

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Phil Wears has worked in all types of labs throughout the north of England, from small right through to large corporates. He now owns his own lab, Mango Dental Technologies.

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ECPD

FREE VERIFIABLE ECPD

As before if you wish to submit your ECPD online it will be free of charge. Once our web designers give it the all clear there will be a small charge. This will be less than the CPD submitted by post. This offer is open to our subscribers only. To go directly to the ECPD page please go to https://dentaltechnician.org.uk/dental-technician-cpd. You will normally have one month from the date you receive your magazine before being able to submit your ECPD either online or by post. If you have any issues with the ECPD please email us cpd@dentaltechnician.org.uk

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 After completing this quiz, participants will have a comprehensive understanding of the intricacies of dental prosthesis creation, including the significance of competitions like the Panthera Master Cup, as well as the techniques and considerations involved in achieving natural characterisation in dental prosthetics.

CORRECT ANSWERS FROM THE AUGUST 2023 DT EDITION:

VERIFIABLE ECPD - SEPTEMBER 2023 1. Your details First Name: .........................................Last Name: ...................................................Title:.............. Address:............................................................................................................................................... ................................................................................................................................................................ ................................................................................................... Postcode:.......................................... Telephone: ..................................... Email: .......................................................GDC No:................ 2. Your answers. Tick the boxes you consider correct. It may be more than one. Question 1

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As of April 2016 issue ECPD will carry a charge of £10.00 per month. Or an annual fee of £99.00 if paid in advance. You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. By post to: The Dental Technician Magazine, PO Box 2279, Pulborough, RH20 9BR Payment by cheque to: The Dental Technician Magazine Limited. Natwest Sort Code 516135 A/C No 79790852 You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

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ECPD

VERIFIABLE ECPD As you need it via the Dental Technician THIS MONTH’S CPD QUESTIONS ARE ARE FOCUSED ON

The Panthera Master Cup competition – Sebastian Mioranza & Achieving natural characterisation in dental prosthetics – Luana Tito Q1. What is the primary aim of the Panthera Master Cup competition? A) To find the most experienced dental technician B) To evaluate knowledge and skills in dental prosthetics C) To promote dental products D) To discover innovative dental technologies

Q8. In the Brazilian method mentioned, what is the first step in characterisation? A) Placing wool in the alveolar mucosa to simulate veins B) Applying a thin layer of resin for skin color C) Mixing different shades of pink D) Immersing the prosthesis in monomer

Q2. How long did it take the individual to complete the Panthera Master Cup case, including documentation? A) 24 hours B) 48 hours C) 72 hours D) 120 hours

Q9. How are different shades of pink, dentin color, and intensive pigments used in the characterization process? A) They are mixed together to create a uniform color B) They are applied evenly to the entire prosthesis C) They are used based on the patient’s preferences D) They are applied strategically to mimic natural mucosa

Q3. What was the most significant reward for the winner of the Panthera Master Cup? A) A cash prize B) A trip to Canada C) International recognition D) A new dental laboratory

Q10. What is the purpose of applying lighter colors around the teeth in the characterisation process? A) To reduce the overall color intensity B) To create a smooth gradient between color layers C) To hide imperfections in the prosthesis D) To make the prosthesis appear more vibrant

Q4. According to the article, how has the winning the award changed the winner’s perspective? A) It made them more competitive B) It increased their income significantly C) It inspired them to promote their profession D) It made them lose interest in their work

Q11. What is the significance of the resin space in Brazilian prosthesis acrylicising? A) It determines the prosthesis’s weight B) It indicates the quality of the resin C) It allows for the palate to be colorless D) It affects the prosthesis polymerisation process

Q5. What advice is given to those considering entering the Panthera Master Cup competition? A) Focus on winning at all costs B) Stick to conventional methods C) Enjoy the experience and learn from it D) Don’t be too confident in your abilities

Q12. Why is a homogenisation time necessary before polymerizing the prosthesis? A) To increase the prosthesis’s strength B) To ensure even colour distribution C) To allow for final adjustments D) To facilitate the separation of the prosthesis from the mold

Q6. What is the primary reason mentioned for participating in the Panthera Master Cup competition? A) To earn a substantial cash prize B) To demonstrate one’s skills to patients C) To gain recognition from dental laboratories D) To meet other talented professionals

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.

ARTICLE 2: Q7. Why is it important for a dental technician to understand the internal structures when creating a dental prosthesis? A) To save time in the fabrication process B) To achieve natural characterisation in the prosthesis C) To reduce the cost of materials D) To simplify the documentation process

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

www.dentaltechnician.org.uk I 27

WELLNESS

The impact of stress and anxiety John Bennett discusses this natural human response… until it’s not

s I left a supermarket car park recently and swung onto an empty roundabout, a fast-moving car suddenly appeared from the right. The driver, a woman with I assume her teenage daughter sitting as the front seat passenger, was travelling so fast that she had to brake suddenly. No horn was sounded, but I witnessed through the rear-view mirror the proverbial rude hand gesturing, and for me, a voiceless tirade of abuse directed at yours truly, to her, the unknown occupant. I thought that would be the end of it, but it wasn’t. For around five minutes, the angry and inconvenienced driver was as close to the back of my vehicle as she dared, before we diverted in different directions. This type of driving takes enormous concentration and effort, and I should know, because I’m ashamed to say, in my youth, I have done the same. It requires lots of intermittent acceleration and braking to maintain that intimidating position, the glaring eyes, hyper tuned alertness and awareness using at least three of our five senses. Indeed, a massive mental and physical consumption of energy. I do not know what kind of day that person was having, or what her state of mind was, and I am too old and wise to

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judge the why’s and wherefores. But I do know, without any doubt, that for those five minutes the driver’s autonomic nervous system (ANS), was fully triggered in the sympathetic. Fight or flight mode was most definitely in the fight zone! Increased heart rate, rapid breathing, dilated pupils, blood pressure increased. The parasympathetic rest, digest, recovery and repair was most definitely switched off. It is a fact, no living organism on the planet can sustain prolonged stress without eventual compromise. Short-term stress is a natural function that is there to protect and help us in times of urgency, danger, risk of injury, defence or attack. In our modern world it can also help us to meet deadlines, to deal with irate customers and to work better under pressure. Fight, flight, play dead or BS I am sure most have heard the phrase ‘fight or flight’. In the animal kingdom they have a third option; fight, flight, play dead. Think springbok captured by a cheetah, playing dead, waiting for the jaw grip to release before suddenly jumping up and sprinting away at full speed. But humans, well we can go that little bit further. We actually have a fourth option;

fight, flight, play dead and BS! Yes, given the right stressed or excitable circumstance, we talk to attempt to control or manipulate. Because we have an evolved forebrain, vocal chords and a vast vocabulary at our disposal, we can literally talk ourselves out of - or into - an escalating situation, or maybe an imminently violent confrontation. The wild dog caught in the lion’s mouth has no such ability (take a look at animals playing dead on YouTube, fascinating stuff). Think about specially trained suicide or hostage negotiators. Their skill set can literally talk someone who wishes to end their life, down from a bridge. This takes fast and complex thought processes, reasoning skills and quick wits. A very unique skill when compared to other species, but common amongst us humans. However, despite this ability to talk, to discuss, to argue, debate, reason, to mull, it does come with a big caveat. By thought alone, we can recall or imagine events and people from our past or unknown future. We can think negatively and start churning through our thoughts about people that may have wronged us, a terrible decision we made, a big life regret, when we hurt someone, when we were fooled, embarrassed

WELLNESS inconvenience and annoyance. And as a result, for at least five minutes, but maybe longer leading up to and after the altercation, her body had stopped digesting food. There was no repairing, healing or recovering of muscles that she may have been using earlier in the day. There was a slowing down of cell growth and cell reproduction, and I doubt her mind was thinking of anything pleasant, enjoyable or relaxing for those minutes. In summary, the stressed state was not as a result of potential danger or attack, it was just driving a car. The effect Sadly, in today’s hectic world, for many people young and old, having frequent bouts of stress or anxiety is a common occurrence. Whether dealing with a busy home life, a busy work schedule, demanding boss, pressure to ‘fit in’, or not perceiving enough ‘online’ attention. Or the opposite with chronic loneliness, or isolation. All can result in negative thoughts and emotions that can throw our body and mind into the fight/ flight response. When this keeps happening, weekly, daily, in some cases hourly, then our body will begin to adapt to this new ‘normal’, and we continue living, all be it, in a chronic state of semi-perpetual angst. And this is what contributes to long-term illness, a weakened immune system and too often, finally results in something chronic.

or taken advantage of, or catastrophise a future that has not even happened. By simply thinking in negative and anxious ways, we can trigger our fight/flight mode, which then triggers our sympathetic response, ergo, our body changes its physical state through thought alone. The reality is, irrespective whether your response is a physical, chemical or emotional one, our brain does not treat them any differently.

As we reach middle age, our metabolism and ability to heal and recover begins to slow down. We can do many things to mitigate this through exercise, diet, a calm mind and a healthy lifestyle. However, this will be greatly hindered if we carry perpetual mental baggage from the past, or anxious worry into the future. Remember, our bodies do their best digesting, healing, recovering, repairing, immune defending and fighting infection when they are in the parasympathetic state.

And therein lies the problem. The angry driver on the roundabout was in a rush, maybe for no reason, I don’t know, and my car suddenly appearing was an

I recently finished a fascinating book published in 2020 by Dr Jeffrey Rediger called Cured: The Power of Our Immune System and the Mind-Body Connection.

Over 15 years, using strict medical criteria, Dr Rediger documented thousands of cases of unexplained spontaneous healing, from all corners of the planet. One of the cases outlined was someone dealing with terminal cancer, and after following months of all the recommended treatments, was not improving. It was at this point that the patient fully accepted their predicament, completely relaxed about the whole situation, and just went out to enjoy what was left of their life. Upon returning to their doctor some weeks later, everyone was amazed to see that the cancer had shrunk. What caused this reversal, I will leave that to the book to explain, but I do recommend you read for yourself. I will leave you with this one quote, by Dr Rediger: ‘Chronic inflammation is a superhighway that runs straight to the most deadly diseases out there.... Chronic inflammation comes from how we think, how we feel, how we live.’ How to cope This is a vast topic and I explore it further through my online and in-practice training sessions. However, here are some simple tips to try for when your mind starts racing, or you feel anxiety/stressed feelings growing: • Bring attention to your breath. Breathe in and out as slowly as is comfortable (through your nose, keep mouth shut) for a count of five each way. Repeat as necessary until your heightened emotional state begins to calm. • Tell yourself again and again: ‘What if it all works out’. Play the scenario through your head and imagine a positive outcome. We become what we continue to think we are. • If you can, in those moments, share your thoughts and worries with someone you trust. A second perspective is always a good way to see things from a different angle. • Remember, if you are a person who always say ‘Yes’ or always say ‘No’, it is absolutely OK to sometimes say the opposite. • W.I.N - Tell yourself ‘What’s Important Now?’ Thinking about an irrelevant past or an unknown future, serves you no purpose.

ABOUT JOHN BENNETT l John Bennett has worked in the dental sales and training arena for the last 16 years. Over the last 10 years, he has been building a substantial knowledge and understanding of the growing issue of poor health, both physical and mental, in our profession. Also a qualified Breathing & Respiratory Coach,John left the safety of the

corporate world and two years ago created DPC Dental - Dental Performance Coaching, offering wellness training, breath coaching and ergonomic solutions for the dental and medical professions. For more information, contact 0333 4040728, info@dpcdental.co.uk, or visit www.dpcdental.co.uk.

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Career spotlight on…

Bogdan Petre Ceramist

Andy Foster talks to Bodan Petre Bogdan Petre started studying dental technology around 13 years ago when he was 29, in Romania, his native country. He worked there for four years after he graduated and then decided to change his life completely and came to London. He has spent enough time in each stage of the analogue and digital workflow to realise that ceramic is what he wants to do - there is something creative in Bogdan that needs to be expressed. He has focused on ceramic work for the last three years, but has really pushed himself, and his still doing so.

What attracted you to the field of dental technology?

I don’t believe there was something in particular, but everything felt very serious and complex, and this energy followed me until I decided to give it a go. I started studying when I was almost 30 years old, and I don’t think I could have done it if I had begun 10 years earlier. My personality and energy wouldn’t have been suited for this field of work back then.

What company are you with now?

The first years in London I worked as self-employed for a laboratory whose clients were mostly NHS dentists. Things changed radically once the pandemic hit, it was the moment when I made the leap from NHS to private. Now I’m a ceramist at QLab in West London, an almost 100% digitised laboratory, and it’s the best place I could be. The working conditions are fantastic, the quality of the work is exceptional, our clients are elite, everything is superlative.

What is your (preferred) job title?

I have spent enough time in every stage of the analogue work flow. During my university years I cast models in an analogue laboratory, only after two years did I start waxing and some metal work. I also spent some time in front of a computer for digital design, and since I joined the QLab family I am only at the ceramic bench, mostly build-up, but also stain and glaze when needed.I have no preferences when it comes to job titles, dental technician seems the most accurate.

What is a typical (or not so typical) day-in-the-worklife for you?

I have my own rhythm, a little different from that of my colleagues. I start very early, I’m in

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the lab around 5am. Of course, I will start the day with the most interesting, challenging or urgent case, but usually I work on multiple cases at the same time, I don’t really have idle time. After lunch, I start preparing the cases for the next day. I’m very lucky when it comes to time management, I can easily divide the day into two distinct parts, in the lab until the afternoon and then family time for the rest of the day.

How did you get your current job?

It was a long and frustrating process. In the first year of the pandemic, with all the lockdowns, a large part of the industry suffered, especially the labs that had their clients coming from the NHS. I used to work for such a lab. It was the moment when I had to make a decision about my professional and personal future. It was not easy, I was not prepared and failed in the first attempts, but I continued to search, especially on recruitment sites. Fortunately for me, QLab was preparing to launch at the same time, and they were looking for technicians. After a decent bench test, I got the job.

What skills came easily to you, and what skills took longer to learn?

I am definitely not one of the most technical of technicians, achieving a high aesthetic result would be my main objective, so I would say that ceramic layering is my favourite part. I don’t consider myself an old-fashioned technician, but I still believe that layering ceramic, especially anteriors, is the right way if you need to achieve natural results.

What are hoping to achieve in the next five years?

I don’t spend much time planning my professional future, most of the planning is for short term, like courses to attend and learning new technics. However, I am trying to improve with every case I work on, keep spiralling upwards I would say.

What advice do you have for others wanting to be successful and fulfilled in their dental technology careers? Gather knowledge. Attend courses, especially hands-on, read the literature in the field, articles and books, search on the Internet, you will find almost anything you want to know. Follow the results of top technicians, cases, photos, discussions. At least that’s how it works for me. Indeed, there are very talented technicians who do not need much effort to obtain extraordinary results, more power to them, but for the rest of us, I think that continuous research and practice are absolutely necessary.

If you could be paid for your job with something other than a pay cheque, what would it be?

Interesting question, makes me smile. No matter how passionate I am about this job, I’m not a hypocrite, I wouldn’t do it for free. And to give an answer anyway, if I didn’t receive money for my work, I would probably accept another form of payment, but one that carries value, I think gold would be a suitable alternative.

For more dental lab career tips, register with Recruit4Technicians online at www.recruit4technicians.com/registration

EVENTS

ZIRKONZAHN’S LECTURE TOUR Aesthetics – Connected Solutions Birmingham, Ultimate From Prepping To Rechecking Cardiff and Southampton n

from September 26 to 28

Zirkonzahn will be in Birmingham, Cardiff and Southampton from 26 to 28 September for their 2023 lecture tour, ‘Ultimate aesthetics – connected solutions, from prepping to rechecking’. During the lecture, DT Jacopo di Terlizzi (international lecturer, CAD/CAM expert and member of the R&D team at Zirkonzahn Headquarters) will show how Zirkonzahn’s connected workflows will greatly simplify your daily work processes to meet your customers’ expectations. The lecturer will focus on real patient cases treated with the innovative Prettau® Skin® veneers and will explain innovative working methods and technologies for achieving a high degree of customisation and aesthetics based on the 3D virtual reproduction of the patient’s physiognomy and oral situation.

LECTURE HIGHLIGHTS:

l Working on the 3D virtual reproduction of the patient with smart software functions l Connected solutions for a seamless process: digital-analogue workflows with intraoral scanner, 3D printer and innovative tools and technologies for improved time-efficiency, such as the new JawAligner for plaster-free articulation of models and the new extra-large Teleskoper Orbit (Ø125 mm) l And much more!

The lecture is open to both dentists and dental technicians and will take place in Birmingham, Cardiff and Southampton from 26-28 September 2023. Places are limited, but registration is obligatory.

l The new Prettau® Skin® technique, for

producing ultra-thin zirconia veneers (0.2 mm) applied with zero to minimal impairment of tooth substance, and the complete workflow with preparation guides

For more information and registration, scan the code, visit: www.zirkonzahn.com (events section) or contact: Carmen Ausserhofer, T: +39 0474 066 662 E: carmen.ausserhofer@zirkonzahn.com

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MARKETPLACE

CRACKING THE QUALITY CODE Quality management systems mean that clients and patients can be confident in the products and services you provide w The word ‘quality’ is bandied about everywhere these days, particularly in the healthcare sector. There’s quality control, quality management, quality assurance… but what are they? And how do they differ? With so much terminology, it is easy to feel confused, let alone understand their true value when working in a dental laboratory.

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When it comes to dental laboratory work, high quality is not ‘an extra’; it is an essential basic requirement and an integral part of your daily activities. Dental practices have to be confident in the laboratories and technicians they use and quality assurance processes can help build a solid relationship between a dentist and a technician. Working closely together will always achieve the best results for the patient too. Quality is not just about the products and services a dental laboratory provides. It should also relate to the way you do your job and the work processes and procedures you follow to deliver those products and services. You should never forget that you as the dental technician are the most important resource for improving that quality,1 although technology plays an important role in the speed, predictability and reproducibility that can be achieved in the lab today.

A QUALITY MANAGEMENT SYSTEM Ultimately, quality control is focused on fulfilling quality requirements, whereas quality assurance (QA) is about providing confidence that quality requirements are fulfilled.2 The two working together is an effective quality management system (QMS). An effective QMS will have multiple touchpoints throughout a laboratory’s processes, guaranteeing the integrity of the work you’re doing. Regular auditing and testing will make the QMS robust. There are 12 essential areas3 (as outlined in ISO 15189) a QMS in a laboratory will cover: the lab/business itself, the people, the equipment, purchasing and inventory, process control, information management, documents and records, occurrence management, assessment, process improvement, customer service and facilities

MARKETPLACE and safety. The stronger and more connected your QMS is, the greater the quality, efficiency, speed and safety of your laboratory work and its outputs will be.

requires a structured approach to prevent any quality problems through planned activities that include reviews, monitoring and documentation.

You will be familiar with DAMAS (Dental Appliance Manufacturers Audit Scheme) which is the most commonly used annually inspected quality system within the dental laboratory industry and is endorsed by the Dental Laboratories Association.4 It provides a framework for an effective quality management system, which enables dental laboratories to prove to their clients that they are operating within the law (the Medical Devices Regulations, MDR). Whether a lab manufactures one or a million custom-made dental devices per year (including fixed bridges, bleaching trays, crowns, splints and retainers), it must comply with the MDR. 5

OUTSOURCING Of course, in a busy lab any QMS can sometimes come under pressure. An effective way of mitigating the ebb and flow of making quality dental restorations is by outsourcing. Research indicates that, when well designed and well managed, outsourcing reduces operating cost and enhances competitive strategy. 6 Outsourcing extends a laboratory’s capacity as well as enabling smaller dental laboratories access to some of the more cutting-edge technologies and equipment. It also gives labs the opportunity to forge valuable relationships with other experts in their field.

Generally, the audit scheme covers the following areas and procedures: approved materials, purchasing, training records, materials and equipment instructions, cleaning records, complaints records, evaluating materials and internal audits and reviews. It also encompasses control beyond just inspection and testing and

With quality such an important aspect of a dental laboratory’s work, it’s essential that the companies you work with when outsourcing operate to similar exacting standards.

Createch Medical, a direct-to-lab milling service and part of the Straumann Group, uses aeronautical technology to provide consistently high-quality prostheses, with an extensive range of solutions compatible with over 600 systems. The strict environment ensures that all products are produced to a high standard, and all solutions can be tailored for maximum flexibility, so dental laboratories can provide dental devices that will satisfy their clients and meet their quality expectations. Dental technology requires tremendous precision and skill to deliver the required dental prostheses – be they life-changing, crowdfunded dentures7 or the gleaming veneers of countless TV celebrities. Labs working to quality assurance protocols ensure high standards are kept and maintained, as well as keeping and maintaining happy customers and patients at the same time. REFERENCES

For a list of references, please email editor@dentalechnician.org.uk

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

ZIRKONOFEN TURBO – SPEED BEYOND ANY EXPECTATIONS

hanks to the proven firing technology and heating rates of up to 150 °C/min, sintering with the Zirkonofen Turbo is both time and energy saving. Smaller zirconia structures can now be sintered starting from 75 minutes. Compared to the standard program, the Ultraspeed program cuts the sintering time by 84% and reduces electric consumption by 81%. In addition to the pre-installed Zirkonzahn sintering programs, the user can easily and quickly create individual sintering programs directly on the touch display of the furnace as well as via the mobile Zirkonzahn.App. Furthermore, the Zirkonzahn.App can be used to monitor the Zirkonofen Turbo remotely. Via the internet connection, the user can download and install the updates directly at the furnace to keep it up to date with the latest functions and sintering programs. The round shape of the sintering chamber ensures optimum heat

distribution and a uniform sintering of all zirconia elements. Due to its large volume of 0.9 l, up to 120 zirconia elements or up to 3 full-arch bridges can be sintered simultaneously.

More information at www.zirkonzahn.com

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MARKETPLACE A TRUSTWORTHY PRODUCT FOR LONG-LASTING QUALITY w The Anutex HS modelling wax from Kemdent helps busy dental technicians achieve more accurate try-ins, with less risk of distortion in the mouth. This solution is easy to work, trims cleanly and softens without becoming flaky.

Nigel, from Knights Dental Studio, shares his experience of using the Anutex HS modelling wax: ‘I’ve been using the Anutex wax for about 40 years.’ ‘What I like most about the product is its working time, and it performs well in all temperatures. I haven’t had any issues with the product, so it’s good for my lab!’ To discover more about Kemdent solutions, get in touch today. For more information about the leading solutions available from Kemdent, please visit www.kemdent.co.uk or call 01793 770 256

IDEAL SOLUTIONS FOR YOUR CLIENTS w The Straumann Group is proud to offer

dental technicians solutions that are designed for excellence, at an economical cost.

on the market. Appreciate a streamlined armamentarium, with solutions that allow you to do more with less.

(Novaloc®/Optiloc®). This affords you the flexibility you need to meet the needs of every client and case.

Medentika® comprises a range of precision-engineered, multi platform abutments and components, all fully compatible with the major implant systems

The range includes Multi Platform Systems (MPS), which offer an outstanding price-performance ratio and come with unique parts to further extend your options

You really can trust Medentika®, as all solutions come with a lifetime guarantee for total reliability. To find out more, visit the website today.

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

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MARKETPLACE

Space and success in the dental laboratory

n the dental laboratory, space is an important consideration when looking to improve and enhance workflows within the business. It may not be an immediately obvious aspect of a successful lab, but space planning can help to improve efficiency, boost productivity and allow you to see what areas of the business require improvement.

Going with the (work) flow

A smooth workflow is a key player in providing outstanding work for clients. Yet there are many physical aspects of the lab space that can impede a productive working day, and, according to the literature, can actually impact employee health and performance. Noise levels (especially pertinent in the lab), lighting and spacing can all contribute towards either a negative or positive working environment: as this can impact work satisfaction, there may be negative ramifications for employees. Working indoors has been associated with poor health and absenteeism, which is not only concerning for employee wellbeing but also impacts a business’s growth. Thus, ensuring that the space in the lab is well-optimised is a vital consideration to boost employee well-being, improve job satisfaction and promote productivity. But what is an optimised space? Essentially, it means that the room is being used to the best of its advantage, ensuring that all staff are able to work ergonomically and have their needs met. When all areas within the premises are used to their full potential, this also facilitates lower costs as you will be using the space more efficiently. In a lab where the space has been optimised, the team can navigate and work smoothly, materials are stored correctly and can be retrieved easily, and equipment is handled safely. From an operational perspective, everything is running in a more streamlined fashion, with a reduced risk of accidents, disorganisation and, ultimately, less stress. In the lab, there may be several workstations and storage areas: could they be altered to improve how employees move and work? It could mean investing in more ergonomic desks and chairs, or more comprehensive storage. Even minute aesthetic details, like the lab’s colour palette or décor, influence employees and their working day.iv If you are looking to physically expand in the future, optimising the space you

currently have can be a prime way to ascertain where improvements can be made, and ultimately how much space is required for your future business goals.

Key decisions

Assessing space includes making decisions on new equipment and technologies, and whether they are the right decision for your business. For instance, it is widely recognised now that digitalised tools offer a myriad of benefits for the modern lab, including enhanced communication between the team and clients, and an improved quality of work. However, some dental laboratories may not have enough space to feasibly adopt such technologies, especially when it comes to larger pieces of equipment. In some cases, the team’s workload may not be able to sustain new additions to their workflow either. In today’s market, staying ahead of the curve means providing innovative solutions to your clients, but this becomes a problem if you are faced with the aforementioned issues. Thankfully, labs can opt to outsource aspects of their workflow, which provides them with the flexibility to offer a wider range of services to their clients, without having to sacrifice resources or team compfort in the process. Outsourcing is an ideal solution, as it allows access to state-of-the-art equipment and materials, and also frees up time and space for the lab team to devote to other areas of the business.

a direct-to-lab milling service. Utilising aeronautical technology, Createch Medical provides labs with high-quality prostheses, supported by a vast range of compatible solutions. Work can be tailored to suit your specific needs, so you have total flexibility over the work you require. With consistently high-grade offerings that are precise and long-lasting, you can satisfy the demands of your clients and prioritise growth, with access to advanced technologies.

Doing more with what you have

If you are looking to grow in the future, or there are areas that are complicating your workflow and creating snags in your processes, it is important to assess your use of space, and whether it has been truly maximised. Doing so can enhance working protocols, improve work satisfaction for the team and boost efficiency. Space is a resource that should be fully utilised, and should certainly be measured when contemplating future growth and success. 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-andsolutions/implant-borne-prosthetics/ products/createch-medical.html

The Straumann Group is proud to have partnered with Createch Medical,

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MARKETPLACE MILLING AT ITS FINEST w Make the most of a full range of

excellence, with Createch Medical from the Straumann Group, an exceptional direct-tolab milling service for implant restorations. Tailor-made solutions provide maximum flexibility, so your patients’ needs can be met perfectly each time. A high degree of individualisation, including angulated screw channel abutments, means restorations can fit perfectly. Gain access to the full range of screwretained bars and bridges across 30 different implant brands, and over an immense 200 implant connections. Consistent high quality and precision is coupled with unparalleled support through Createch Medical’s modular Excellence and Service line. At the cutting-edge of lab service, you can choose the workflows that best suit you.

Createch Medical prosthetic frameworks also come with a 10-year guarantee, and a lifetime guarantee when restored with Straumann® implants.

For more information on how Createch Medical can impact your lab’s workflows, find us online.

For more information, please visit https://www.straumann.com/gb/en/dental-professionals/ products-and-solutions/implant-borne-prosthetics/products/createch-medical.html

POLISH UP ON BRIGHT RESTORATIONS w A natural-looking restoration with a brilliant polish guarantees patients go home smiling. With the wide range of polishing discs available from Kemdent, your lab can produce a bright finish, every time.

The Paper Polishing Discs from Kemdent are available with a pinhole or metal centre,

to seamlessly fit with your lab’s tools, and are designed for durability and longevity for sustained brilliance. The discs are suitable for polishing a wide array of materials, with abrasive grades ranging from X Fine to X Coarse to create the consistent shine you desire, no matter the medium.

Work effectively in wet and dry conditions with Kemdent’s Ruwa™ Polishing Discs, specially purposed to be moisture proof for an adaptable approach. Get the most out of your lab’s polishing with reliable solutions from Kemdent, contact the team to find out more.

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

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MARKETPLACE VITA SCIENTIFIC NEWS APP: IN-DEPTH USER KNOWLEDGE AT A GLANCE w On the road, at home, in the laboratory or

dental practice: no matter where you are, the VITA Scientific News app for Android and iOS provides consolidated expertise on your smartphone for the entire VITA ecosystem. Now available in six languages too! The app provides dental technicians, dentists and researchers with technical publications on the materials that are structured according to application area. And thanks to the Feature function, they can also be sorted based on research or application queries for specific materials. In other words: clicking on VITA ENAMIC will show all studies related to VITA ENAMIC. If you then choose ‘Features’ and click ‘polish’, for example, you will immediately see all studies on polishing the VITA ENAMIC hybrid ceramic. This provides research-based applications, as well as rapid access to the right sources. In addition, Breaking Study News always provides the very latest study results.

AN INFORMATION AND COMMUNICATION CHANNEL But that’s not all: online learning and case reports on the individual products provide even more background information and valuable tips and tricks. As part of VITA Expert Talk, international experts demonstrate how they work with VITA materials. The complete range of product information and instructions for use is available in the VITA download center. Are you looking for a direct connection to VITA Zahnfabrik? Our users have the choice – with just one click, they can talk directly with our hotline, send an email or use the navigation button and travel directly to company headquarters.

VITA Scientific News app: Discover the entire VITA ecosystem with just one click.

What’s more, researchers can enjoy open access to companies in order to present their research proposals or directly submit a study application.

More information on the Scientific News app and how to download it is available at www.vita-zahnfabrik.com/scientific_news.

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date with regular developments in the industry and stay up to date with new CPD.

For just £49.95 a year for UK customers & £70.00 for European customers for a one year subscription 12 issues / 12 months.

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E X T E N D & S AV E ! Tell your colleagues to subscribe, and if they do, we will extend your subscription for 3 months. The only condition is that they have not

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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.

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