The Dental Technician Magazine November/December 2017 by The Dental Technician Magazine

The Dental Technician September 2017/Vol 70 Issue 08

VOL 70 NO 10

I NOVEMBER/DECEMBER 2017 I BY SUBSCRIPTION

CHRISTMAS IS COMING!

IS YOUR GOOSE GETTING FAT? We can now prepare for Christmas in the laboratories and the usual push for finishing which a few of those at the exhibition said had already started. Despite the uncertainty about Brexit and the future shape of the marketplace, there still seems to be enough interest in restoration for

INSIDE

THIS ISSUE

Continued on page 4

TECHNICAL

CLASS 2 CASE STUDY PAGES 8, 10, 17

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TECHNICAL

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Christmas. A lot of those I spoke with at the NEC seem to think you need to get involved as the technology can make for an easier and more efficient process. It may mean using a third party manufacture but the established companies have pretty well ironed out the posting and delivery hang ups. I know it is difficult for many of you to overcome the

Quite a few laboratories who have invested in the technology are saying the scans are working well and make the whole process more accurate and economic. Patients like the fact there is no impression and the technology leads logically through to constructing anything from a single unit to the most complicated telescopic crown and bridgework. Undoubtedly the economics do seem daunting but committing to the process of scanning and design, without in house manufacturing, is an affordable way of getting involved. My feeling is there will be an increased take-

up of the technology, both in clinic and laboratory, and you should be prepared to know how and why you might need to use it.

he BDIA dental show is now over and you can read all about it in this month’s magazine. Well perhaps not all about it as I did rather try to concentrate on those areas of interest to Dental Technicians. Not an easy task as the organisation decided not to appear to know about the Laboratory market. Never the less there were those there who cater for clinical and technical and hopefully I have found most of them see pages 20 22 24. The number of technicians attending was up on last year with over 300 technicians turning up. There was quite a bit to see especially if you are interested in the Digital Revolution. The clinical presentations were many and most were concentrating on the Intra oral scanning. Interestingly the Dentists are dragging their heels for more or less the same reasons as the Laboratories. The up front cost and whether the technology will continue to evolve, making what they have bought obsolete. While nobody can be sure, it is unlikely, because the techniques are now so predictable and with extreme accuracy. Being able to combine the scan of the mouth with the full Radiographic potential makes treatment planning for the simple and complicated cases very possible.

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The Dental Technician November/December 2017/Vol 70 Issue 10

CONTENTS

THE DENTAL TECHNICIAN NOVEMBER/DECEMBER 2017 4

DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP

MARKETING SIMPLIFIED

8, 10, 17

CLASS 2 CASE STUDY

HELP TO PROVIDE SMILES FOR THE HOMELESS

GENERAL DENTAL COUNCIL ANNOUNCEMENTS / MAKING SURE YOU GET YOUR MONEY

12 - 13

CLEANCERT: ENHANCING DENTAL LAB SAFETY

14 & 16

THE ITI STUDY CLUB AT LONDEC

HENRY SCHEIN WELCOME THE PRESS AT BDIA

18 & 19

THE IMPORTANCE OF PASSIVE CANDIDATES

PR NEWS

20 - 23

THE BDIA DENTAL SHOW AT NEC

REAWAKEN THE PASSION AT DTS 2018

26 - 27

VERIFIABLE CPD

DEN-TECHS FIRST EVER SPONSORED EVENT

GENERAL DENTAL COUNCIL ANNOUNCEMENTS / DENTAL NEWS

DENTAL NEWS

CLASSIFIED ADVERTS

15 PUBLISHERS: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT TELEPHONE: 01372 897463 Subscriptions The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH Editor: Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. Tel: 01372 897461 Email: editor@dentaltechnician.org.uk Subeditor: Sharon (Bazzie) Larder Email: inthedoghousedesign@gmail.com Advertising: Chris Trowbridge Tel: 07399 403602 Email: sales@dentaltechnician.org.uk Editorial advisory board K. Young, RDT (Chairman) // L. Barnett, RDT // P. Broughton, LBIDST, RDT // L. Grice-Roberts, MBE // V. S. J. Jones, LCGI, LOTA, MIMPT // P. Wilks, RDT, LCGI, LBIDST // Sally Wood, LBIDST

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DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP GOOD DENTAL RESULTS NEED GOOD RELATIONSHIPS AND GOOD UNDERSTANDING BETWEEN THE DENTIST AND TECHNICIAN

am lucky. I have worked closely with my crown and bridge technician for decades. Even luckier a few years ago he had to find new premises just as I had cleared facilities in my small surgery he could use. He works with me but not for me as he has external clients.

Sir Paul Beresford. BDS. MP.

Dual UK/NZ nationality. New Zealand born, bred and educated, with post graduate education in UK. Worked as an NHS and private dentist in East and South West London. Private dentist in the West End of London then and currently in a very part time capacity in South West London. Councillor including Leader of Wandsworth Council moving to the House of Commons. A Minister in the John Major Government, MP for the then Croydon Central, then elected as MP for Mole Valley as a result of the boundary changes for the 1997 election.

On returning recently from a dental technicians conference he said “everyone I met said 2 things at first - how is business and what a problem dentists are!” To be fair I do know a few dentists that I would cross the road to not meet. More so today than ever before we have to work closely and it must be a two way relationship. My Grandfather was a dentist up to the World War II and beyond in Taumarunui in New Zealand. Taumarunui is and was a small town in the middle of the North Island. It would have been called a “one horse town” except the horse left. He became quite famous for his dentistry especially his beautiful gold fillings. In those days fillings were amalgam or silicates for anteriors. However in New Zealand gold in anterior teeth was common practice especially if the incisal edge was involved. Even as a child I remember those gold glinting smiles. My grandfather did all his own gold work. I imagine all were carved in wax in the patient’s mouth and then carefully withdrawn and cast. His work apparently was of a very high quality.

Would those inlays have passed the Eastman test of margins which was that they had to be so good you can’t even feel them with a very fine sharp probe or viewing through the strong loupes and microscopes, in use now, they may be in doubt. He had no need for good relations with his technician as he did not have one. My Father was a dentist in another small town in the north of the South Island of New Zealand. In his early days dental forceps were frequently used and full clearances under general anaesthetic were common. He practiced there from the late 40s. with a formidable reputations for exceptionally good dentures. The denture work load was enough for him to have a full time, on the premises, denture technician. However he did all the denture set-ups himself. When I was a dental student both in New Zealand and at the Eastman we did our own technical work be it acrylic, gold or porcelain. This gave me and my dentist colleagues a real understanding of the task facing our dental technicians.

With the huge advances in materials and exacting techniques those days are gone. So close cooperation and communication becomes a must. Stable impression materials, digital photographs and scanning means the dentist and technician can be geographically remote but the quality of understanding can be equally good. As I said, I am lucky as my technician is a flight of stairs away and we talk over virtually every case. Many of his client dentists call in to talk over cases. He encourages this. The more difficult cases can mean he and I sit with the patient. For other dentists, he visits, if possible. That means we design the preparations, the design and colouring of the crown or even denture together. In todays world the use of Skype or FaceTime makes remote personal links possible. Contact must be two way. Many dentists have a comment section on their laboratory sheet where diplomatic guidance and advice can be given. Some technicians send out standard sheets on handling of the crown, cementing and even preparation, designing and impression taking. Subtle education of your dentists could be a good thing. Finally as it is Christmas go and see your dentist, take a bottle of wine and tell him or her you want to run over a few cases so the result will be even better next time.

Continued from page 1 reticence to use another source of manufacture but when you look at the economics it does make great sense. Often the expensive investment is in the manufacturing processes and the greatest potential for change is also in that area. It might be wise to let someone else, carry the cost of keeping up with the manufacturing while you use your technical expertise and experience designing the right restoration for your particular patient and clinician. This month we have a report on a case of a patient who tried to fraudulently get his money back for

some dentures he had claimed were faulty. After a court case the CDT not only got his money but all the costs as well. That may be a warning to those supplying the public directly. I am sure the dentist has had some cases where the denture wearer has not been honest and claimed the money back but in this case it proved to be a scam by the patient. As CDT’s begin to become more available for patients I am sure there will be an increase in such cases. Read the story and be warned. I am hearing a great deal on the poor standard of our technician training

which from reports does seem to be pretty patchy in standards across the country. Budget cuts and priority changes seem to explain the demise of some centres while others are thriving and providing really up to date training and are producing some very able and talented young technicians. I know the training methods are changing and there is more emphasis on the academic process but I have seen some really great facilities and graduates who do seem to be well trained and hungry for life in the working environment. Of course they will not come out of college ready to take on a full days

work but those I have met, seem to me, to be well prepared and ready to take on the challenge of the modern dental laboratory. The future for Dental Technology will require academic and computer skills to accompany the basic skill and knowledge of a traditionally trained technician. The modern colleges are providing that training background for their graduates. Let me know if you do not agree and by all means spotlight the centers who you believe are not performing. I would like to know where the good ones are and perhaps direct the powers that be to copy them.

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JAN CLARKE

BDS FDSRCPS

Jan qualified as a dentist in 1988 and worked in the hospital service and then general practice. She was a practice owner for 17 years and worked as an Advisor with Denplan. Jan now works helping dental businesses with their marketing and business strategy. Web: www.roseand.co Email: Jan@roseand.co

opefully some of you may have already been inspired to start writing a blog to be able to impart information to your potential new clients. You may also have been considering improvements, changes or even a new website to help with your marketing? These small but quite significant changes will start to bring you into the digital world of 2017 and perhaps even contemplate using Social Media Marketing? Really, I hear you say? Do I need to? No, you don’t, but you just might enjoy it and find it extremely useful for your business. I first started using Twitter and Facebook in 2008 mainly because I had been told it would be useful to have a presence by my web designer husband. The plan was to be able to use social media to make potential clients aware of my dental practice. I used Facebook to promote the practice but Twitter I used as a dental professional expecting to connect with patients and found so much more. I found a world of dental professionals whom I connected with on a daily basis. I also learned lots from dental technicians, other dentists and other dental sector businesses. In fact it was through Twitter that I connected with a new dental laboratory and started working with them very successfully. So, if you’re sitting firmly on the fence with social media, I would encourage you to find out more before you write it off totally. Social Media Marketing is not about “selling” it is about being social. I tell my Academy clients to think in terms of how you would behave at a networking meeting or even a party. Chat to the other person, find out what they do and see where your common ground is. You wouldn’t just go in and say “hey I make Emax crowns, we have a deal on”. Much better to talk about your experiences and help people find solutions to their problems with technical work. Educate without

MARKETING SIMPLIFIED BY JAN CLARKE

being patronising. You are the experts about technical work, some of the dentists you meet may be incredibly knowledgeable but on the whole most will have deficits in their knowledge that you can help them with.

OKAY, SO WHERE DO I START?

There are masses of social media channels now and it can seem quite overwhelming knowing where to start. My advice would be to start with a Facebook business page for your dental business and start to grow a following. Facebook is still the largest platform of all with 2 billion monthly active worldwide users compared to 200 million for Instagram. In the UK there are an estimated 38 million Facebook users and this is growing with a predicted 42 million accounts by 2022. ( source – statista). Instagram is also growing, it is very popular with the 25 to 35-year-old group so it’s a good place to attract young dentists. Interestingly statistics show that 50% of 15-25 year olds check their social media platforms on waking! Instagram is a pictorial based platform that relies on hashtags to help you grow a following. Twitter is also somewhere I would recommend you connect with other dental professionals. Twitter is a very busy platform and does need constant attention which is fine if you’re a bit of a social media addict but if not can take a bit of getting used to. LinkedIn is also useful from a professional point of view but beware of spamming your potential clients. There is a common problem with new connections on LinkedIn sending a thank you message with a long list of what they can do for you, this is one sure way of losing the same new connection. The secret to all the social media platforms is to use them to have conversations and be “sociable”.

There are many other platforms too and each have their own merits. My advice would be not to spread yourself too thin. It is much better to be very active on one forum and learn how to use it well and to your advantage. If you are starting out then I would advise Facebook to begin with: • Set up a business page, do not be tempted to use a personal

profile for your business as you will miss out on all the business tools, advertising capability, for instance, plus it may be shut down once Facebook realise you’re using a personal profile for a business page. • Spend time completing all the “about” fields and making your header image and profile image look great. There are free sites you can go to to design your own headers and import images, logos and so on. One I favour is canva.com as it has the current correct templates for use on all social media channels. • Include people in your profile, if possible. Often we use logos and images to convey the sense of a larger organisation, if you aren’t and are just a small team, use this to your advantage, don’t try to be bigger than you are. People do like to do business with other people and if your Facebook page can give an element of personal service and who you are, that very much can work in your favour. • If you decide to also use Twitter then the same is true get your images and description right. • Include the URL or address of your website on your page and details of how to contact you with the message system. It’s also worth mentioning that you do not need a website to be active on social media, it is important that prospective and current clients can contact you and you are responsive, so spend time setting up the messaging reactions buttons. If all this sounds like a foreign language and you wonder how to get started then you can find lots of help for free within each platform. There are help buttons that will guide you through the basics. If you get unstuck then You Tube is an amazing source of help. Our children now use You Tube to learn about everything from coding to how to decorate cakes. You will find a plethora of useful hints and tips. If you require something more structured and formal then you will find many online courses that you can work through and I myself run a Social Media Marketing Academy that offers one to one marketing advice and guidance for your business. Once you have set up your page it is time to start posting and gaining

a following. This does not happen over night nor will results happen immediately. Building a following and connecting with your clients and potential new clients takes work. Two words I always mention are Consistency and Persistency. This means regular posts, daily if possible and keep going. As a Facebook business user you will start to see “Facebook Insights” which gives you statistics on how your posts are received and how many saw them. You can then take an informed decision as to when is the best time of day to post and which posts were better received than others. There is no right or wrong way to post, you will find what works best for your business. The type of posts that I find work well in dental businesses are: • Video – uploaded directly to Facebook always get a great reach • Posts about your team – people love to know about other people • Education – adding value to your viewers by offering information about subjects they do not understand necessarily. A good variety of posts with great images and offering a real insight into your business will show your followers that you are someone they would like to do business with. Make it easy for them to connect with you and before you know it you will start to see growth. Social Media Marketing is something you can do yourself and at a very low cost to get a great return over time. Social Media, love it or loathe it, it is not going away and it is still an amazing way for a small business to self market. Next time I will talk in more detail about planning your Social Media posts and what to write about, how to reach the right people and how to use Facebook Advertising to target your audience. l As ever if you have any queries please do contact me via email jan@roseand.co, connect with me on Twitter @JanetLClarke or on LinkedIn Jan Clarke BDS FDSRCPS or Facebook search Jan Clarke Taplin.

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The Dental Technician November/December 2017/Vol 70 Issue 10

CLASS 2 CASE STUDY

BY MIKE LLOYD HUGHES

INTRODUCTION

TREATMENT PLAN:

An 82 year old female patient who was medically fit and well, selfreferred to the practice in May 2016, regarding an unsatisfactory lower denture, which she did not wear.

An explanation was given to the patient about why she probably could not tolerate the lower denture and thus a treatment plan was formulated to try and make a fully extended complete denture that would initially not be implant retained, and then to provide retentive anchors on the existing two implants once a suitable period of wear had occurred.

She had been seen locally by another practitioner, who had originally provided her with three dental implants in the lower anterior mandible in 2012. In the upper jaw she had second premolar to second premolar occlusion. In the lower jaw she was edentulous at presentation with only two implants remaining since the mid-anterior mandible implant had failed. (Fig 1)

MIKE LLOYD HUGHES

BDS(Cardiff)2004, MFDS RCS(Eng), PG Cert Endodontics(Ches), Dip Rest Dent RCS(Eng), MSc(Leeds) FFGDP (Uk)

Mike is originally from Penygroes, North Wales and Welsh is his first language. He has a passion for postgraduate education, to continually learn new skills and techniques to enable him to provide the best possible care to his patients. He has won Best Young Dentist for Wales & South West 3 years in a row. Mike who now splits his time between The Menai Bridge Dental Practice, Anglesey and Kiln Lane Dental in St. Helens has a special interest in Periodontics (gum health) implants, and advanced Restorative Dentistry and he has been the Director of the ITI (international team of Implantology) study club for North Wales for the past 4 years The North Wales ITI Study Club meets 4 times a year in Bangor. Non ITI members can attend two study clubs free of charge before being required to join the ITI. If you would like more information please contact Mike via email menai@menaibridgedental.co.uk

She gave a history of the mandibular overdenture not fitting and being loose and had multiple retentive systems ( but not a bar) provided by the original dentist but unfortunately the patient could not wear the denture. The previous dentist had even converted the denture to a screw type fixed prosthesis but the patient also found this very uncomfortable, giving her ulcers, and could not clean it. Fig.1. Pre-Treatment

In the meantime, in order to allow the ulcers to heal, the denture was adjusted quite a lot, and a soft tissue conditioner was used and within the envelope of function of the lower muscles and lips, a soft reline was carried out, and the patient instructed to leave the denture out as much as possible to allow the ulcers to heal. As part of this management of the periimplantitis, it was decided to treat this conservatively and this was done with I.V. sedation, since the patient was very nervous. Once a flap was raised on the lower left canine implant, biofilm was removed, and the implant’s rough surface was smoothed down and polished, a procedure called an implantoplasty The flap was repositioned apically to aid cleaning.

In late September 2016, a neutral zone technique impression was taken. The modified special tray was used with a light wash of light bodied Aquasil silicone, to aid stability of the special tray over the ridges and the anterior implants. A Viscogel soft tissue conditioner was used and placed over the metal eyelets and the patient instructed to do multiple border movements such as talking, pursing her lips, sipping water from a cup, and moving her tongue. The end result was a fully functional neutral zone impression. (Fig 3,4.)

Fig. 3. Modified Special Tray Fig. 4. Modified Tray Bite Record

CLINICAL AND LABORATORY STAGES: In August 2016 ,initial primary impressions were taken of the upper (alginate) and the lower jaw (Aquasil Putty and lightbodied wash) along with a facebow record.

EXAMINATION: At presentation the denture had been converted back to being a removable, but was over extended mid lingually, with an ulcer, as well as the left buccal shelf, where there was a deep painful ulcer. On examining the denture it was found to be unstable during function, and under extended posteriorly. It was found that the patient had a very strong mentalis muscle and the teeth appeared to be outside of the patients’ neutral zone. At presentation she has some periimplantitis associated with the lower left canine implant, with exposure of the rough surface circumferentially.

At the second visit in September 2016, using a greenstick modified special tray,an Aquasil medium bodied mono-phase addition cured silicone impression was taken, with adequate border moulding. A wax occlusal rim was used to record the occlusal vertical dimension which was increased due to overclosure. A modified special tray was constructed at this vertical by with multiple wire loops/ eyelets occlusally. An example is show in Fig 2. Fig.2 Special tray with Loops

Fig.5. Functional Bite Record

The bite was also re-recorded at this visit on the Rim, Fig 5. When the patient was talking and moving the tongue and thus this was found to be successful. The wax try-in was of an unusual shape but conformed to the existing muscular action of the patient’s tongue and cheeks but more importantly the lower lip and the action of the mentalis muscle. (Fig 6,7).

Continued on page 10

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HELP TO PROVIDE SMILES FOR THE HOMELESS

A GREAT IDEA FROM ANDREA JOHNSON AND HER CHARITY TO RAISE FUNDS AND PROVIDE SMILES FOR THE HOMELESS IN LONDON, THIS CHRISTMAS. CUT IT OUT AND PIN IT ON YOUR NOTICE BOARDS AT WORK AND WITHOUT COSTING YOU ANYTHING YOU CAN PROVIDE THE FUNDS FOR DENTURES TO BE MADE BY THE VOLUNTEERS.

l Visit: https://www.easyfundraising.org.uk/causes/den-tech/

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The Dental Technician November/December 2017/Vol 70 Issue 10

Continued from page 8 Fig.6

was advised it would take time for the muscles to get used to the denture. No attempt was made to fit the implant attachments at that time, until the denture was satisfactory and could be worn without.

Fig.12. New Bite Record

Fig.16. New denture

PROBLEM:

Fig.7

After multiple reviews in January 2017, it was concluded that there was a problem with the denture not being stable. Unfortunately in the transfer of the chrome to the denture the labial set up that was correct initially in giving the patient a class 2 incisor relationship was in fact placed into a class 1 incisor relationship with complete disregard to the neutral zone impression of the lower labial area/lip/mentalis muscle. This of course resulted in an unstable denture, with the teeth being too far labial, and the buccal flange being in a incorrect position and shape.

Fig.17. Lingual

Fig.13. Functional Record Fig.18. Ant. Overbite Fig.14. New Impression

Fig.19. Right Lat- exc.

BACK TO THE BEGINNING:

It was planned to provide a chromes trengthener in the final denture since the lingual aspect of the anterior teeth was found to be slightly bulky. The implants were slightly lingually placed, even though it was recorded as the neutral zone, the metal would make it thinner in this area.( Fig 8,9) Fig.8

In a February 2017 review, it was decided to go back to the beginning and to examine the neutral zone impression. Following shrinkage from the surgery around the LL3 implant a minor reline impression was done in this area but the information that was still on the special tray in terms of the lower lip was re-highlighted to the technician with a drawing and thus a new second try in was prescribed at the same occlusal vertical dimension. (Fig 10) Fig.10 Instructions to alter or remake

Both the modified denture, and the original neutral zone impression were stable in the mouth with functional movement, proving that the original information was transferred over correctly. This time care was taken to make sure the position of the neutral zone was copied exactly, by using a silicone matrix, of both the relined denture and the neutral zone. (Fig 15). Fig.15. Silicone Matrix

Fig.20. Left Lat- exc.

Minor occlusal adjustments were carried out following successful wear of the denture, and the existing attachments on the implants were replaced with simple Locator attachments which were picked up directly in the mouth under light functional load, with cold cure acrylic, and pink nylon inserts were placed. (Fig 23).

Fig.21. Sites for Attachments

To coincide with this, the first denture was relieved heavily, labially into the roots area of the incisor teeth, since they were too buccally placed. (Fig 11).

Fig.9

The denture was completed and delivered to the patient in early December 2016. When tried in, it was noted that there was a slight lift. The buccal flange was adjusted slightly, and polished. The patient

Fig.11. Adjusted Denture

The denture was relined with light cured silicone and a new bite record taken, to give as much information to the technician. (12,13,14).

Fig.22. Class 2

The resulting new try-in for the second time was found to be very satisfactory and even though lingually the denture was slightly bulky this was actually an area formed by the patients tongue and functional movements and thus it was decided not to reduce this area at all and to provide her with a full acrylic denture of the exact same shape. This was delivered to the patient in May 2017 after 11 months since treatment began the patient was managing, without implants, to adapt to this denture that conformed to all the neutral zone.(Fig 16,17,18,19,20,)

Fig.23. Locator Attachments Fitted

Continued on page 17

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GENERAL DENTAL COUNCIL ANNOUNCEMENTS u

30TH OCTOBER 2017. BILL MOYES, CHAIR OF THE GDC COUNCIL, PUBLISHES A BLOG FOLLOWING THE OCTOBER COUNCIL MEETING. NEW COUNCIL MEMBERS n Yesterday was the first Council

meeting with the GDC’s new Council members in post. Anne Heal, Crispin Passmore, Sheila Kumar, Caroline Logan and Jeyanthi John all formally took up post on 1 October and join us with a wealth of experience from the public and private sectors and both within and out with dentistry. Terry Babbs was reappointed and Margaret Kellett, Catherine Brady and I started our second terms. This new composition coincides with a changing focus for the Council. For good reasons, much of the Council’s focus over the past few years has been overseeing operational improvements within the GDC. This is bearing fruit. We have already improved our performance as measured against the Professional Standards Authority’s review of our statutory functions, and we hope further improvement will be seen in this year’s review. We will be able to tell you very soon what the PSA’s review has concluded about our performance against their standards.

The year ahead will see us developing a model of upstream regulation, as set out in Shifting the balance. This is an ambitious programme designed to improve the service we give to patients who refer complaints to us about the fitness to practice of their dental clinician, as well as to the registrants who are the subject of serious complaints. The key aims are to improve how we engage with dental professionals, particularly to help embed the Standards for the Dental Team and share learning from fitness to practice and other sources; develop and adopt a risk-based approach to how we assure the quality offered by education providers; and to develop our approach to continuing professional development (CPD) to encourage greater ownership of the scheme among dental professionals. We are already making improvements on our approach to CPD, with the launch of Enhanced CPD in January 2018 for dentists and in August 2018 for dental care professionals. We received

an update on the progress for implementing this at our Council meeting. Firstly, a reminder: the main changes to the scheme are: • The requirement for all dental professionals to have a personal development plan (PDP);  • An increase in the number of verifiable hours for most professional titles and the requirement to spread the hours more evenly across the five year cycle;  • The removal of the requirement to declare non-verifiable CPD to the GDC;  • The requirement to make an annual statement of CPD hours completed, even if zero hours have been completed for that year;  • The requirement to align CPD activity with specific development outcomes;  • The requirement for professionals to plan CPD activity according to their individual “field(s) of practice”. The key update includes the suite of support materials that have been published to help to ensure

dental professionals and other key stakeholders are able to understand the changes and what is required under the new system. These are all available on our website, where you will find: • Guidance for dental professionals and providers  • Video blogs to help explain the guidance, one for professionals and one for providers • A template Personal Development Plan and examples of completed PDPs, one tailored for each professional group • A template activity log, and completed logs for each professional group • A tool to help you work out the specific transition arrangements, depending on where you are in your CPD cycle  • Frequently asked questions l Of course, the GDC is here to help and if you still have any queries, don’t hesitate to get in touch via our webform, our Customer Information Team on 0207 167 6000 or you can tweet us @GDC_UK.

MAKING SURE YOU GET YOUR MONEY - A STORY FOR ALL OF US MR MK EHYALL CDT DCP

n This is a story worth repeating.

where they were and why they not been returned. The patient said he would have no teeth to wear and refused to return the ”unsatisfactory set” but Mr Ehyall insisted. The patient refused and so Mr Eyhall sued him for return of his denture or the refunded money. The due date arrived (14th September 2017) in the District Court at Watford and before Deputy Judge Ahmed the patient was called to the stand to explain his position.

Eventually Mr Ehyall returned his money. A couple of weeks later the dentures had not arrived back and Mr Ehyall phoned the patient and asked

Giving evidence while still wearing the dentures in question! Within minutes of his starting to explain his position, the Judge just saw red. The patient admitted to wearing the dentures daily since the fitting. The judge therefore determined that he was committing a fraud on the CDT and ordered him to pay damages and costs amounting to a total of £1,930.00. within14 days. The funds were duly received by Mr MK Ehyall who had know it was a good denture from the beginning and suspected

The gentleman pictured above visited the Dental Technician stand at the recent BDIA Exhibition in Birmingham. His name is Mr MK Ehyall and he is a qualified CDT working in London. He recently finished a denture for a patient who some weeks after fitting rang and complained that the teeth were no good and wanted his money back.

the patient was trying to blag. He gave me a picture of the patient just after fitting. He routinely keeps photos of the before and after, of his cases. The one shows a happy smiling face with good lip support and a pleasing smile. Mr MK Ehyall told me he originally comes from a very tiny village in Eritrea in a very remote region. He grew and travelled across Europe and trained and qualified as a Dental Technician and here in London, qualified as a CDT. A wonderful story, which serves as lesson to all of us who may be dealing directly with the public. Not everybody is playing with a straight bat and we should pursue those who try to be too clever and try to avoid paying their bills. On that day I met him at the NEC, he had entered the Zhermack competition for the best impression

for each day during the exhibition. He won the prize on that day and was just off to collect it after telling me his story. If any of you have similar stories or indeed other interesting tales please send them in. It will help others if they read of such happenings and perhaps avoid being ripped off by an amoral patient.

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ENHANCING DENTAL LAB SAFETY

SIMON DAVIES CONSIDERS THE MICROBIAL LOADING OF DENTAL IMPRESSIONS COMING INTO A DENTAL LABORATORY, THE RISKS POSED TO TECHNICIANS, AND HOW TO MANAGE IT Simon Davies is the Managing Director of CleanCert, a company specialising in innovative dental infection control and water purification products.

pioneer of infection control in the 1800s, Joseph Lister created protocols that enabled many a patient to survive what had previously been a very high likelihood of developing a fatal infection post-surgery.1 Of course, there have been huge developments in the intervening years and, today, ‘best practice’ in healthcare facilities requires stringent – but practical – infection control procedures to be in place. The dental laboratory is one such premises, as stated succinctly in sections 7.1 and 7.1b of HTM 01-05: Decontamination in primary care dental practices:2 7.1 ‘Decontamination of these devices [Impressions, prostheses and orthodontic appliances] is a multi-step process to be conducted in accord with the device or material manufacturer’s instructions. In general terms, the procedure will be as follows: b. ‘All devices should receive disinfection according to the manufacturer’s instructions. This will involve the use of specific cleaning materials noted in the CE-marking instructions. After disinfection, the device should again be thoroughly washed. This process should occur before and after any device is placed in a patient’s mouth.’ Dental technicians, dentists and other members of the dental team are committed to ‘best practice’, as well as being open to evidence-based developments in clinical care, as is LabCert’s manufacturer (CleanCert Holdings). This led to the careful creation and execution of two projects in partnership with one of the dental industry’s leading laboratories, PDS Dental, earlier this year:

1. Assessment of the efficacy of current disinfection practice on microbial loading of incoming dental impressions to dental laboratories

Figure 1: Distribution of swab log counts observed

2. Comparison of two disinfectant products (LabCert and LabCert+) and three dip times (15s, 30s, 60s) on dental cast microbial loading. The risk management had to consider the very high throughput volumes handled by PDS each day (sometimes in excess of 800 units) and the fact that the 10-minute contact time recommended for most dental prosthesis disinfectants was impractical within their operation and ideally this had to be reduced to less than 1 minute. The results of any implemented work practices from the products used would also have to stand up to peerreviewed scrutiny, as PDS wanted a validated process to demonstrate that, as an employer, they were taking all reasonable steps to protect their staff from exposure to cross infection risks like Hepatitis B, from ‘goodsin’ arriving at the laboratory from their customers (i.e. on impressions, alginates, and prostheses).

MICROBIAL LOADING AND THE LABORATORY

This first trial aimed to assess the effectiveness of the disinfection protocols carried out by dental practices in September 2017 at reducing microbial loading on dental impressions prior to submission to a dental laboratory, and therefore identify what potential risk was posed to the technicians handling them.

were taken from impressions coming into the lab on one day by a single person: 30 from public sector group 1 (PSG1), 30 from another public sector group 2 (PSG2) and 30 from high street dentists (a mixture of general dentistry and orthodontic practices). Swabs were analysed at a specialist laboratory for ACC (aerobic colony counts) at three dilutions (10-1,10-3,10-5). The range of values observed was from <10 cfu (colony-forming units) per swab to >30,000,000 cfu per swab. Log10 results are presented in Figure 1. Overall, 32%

of the 90 impressions swabbed had <10 cfu per swab with 16% of impressions having over 30,000,000 cfu per swab. Average values were 1 x 106 (1,004,170), 1.4 x 107 (13,638,088) and 1.2 x 106 (1,204,482) for swabs taken from dental impressions submitted by PSG1, high street and PSG2, respectively. When looking at the averages, the data would indicate that contamination levels are consistent. However, a different interpretation can be made when looking at the median and mode results, as seen in Table 1.

Table 1: Mean, median and mode cfu per swab (values and Log10 transformed)

PDS was ideally placed to be involved with this study, as the laboratory processes up to 800 incoming dental impressions every day from a variety of sources in both the public and private (high street) sectors. For the trial, a total of 90 swabs

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Although the averages are similar for each of the three origin points, the median calculations demonstrate that there is considerably higher microbial burden on the impressions received from the high street dental practices.

Figure 2: Distribution of swab log counts observed for each place of origin

Figure 2 shows that 12 out of 30 of the swabs taken from impressions submitted by high street dental practices had microbial counts in excess of 107 (>10,000,000 cfu per swab). Only 1 out of 30 swabs from the PSG1 and PSG2 had such high levels of contamination. In contrast, 13 out of 30 and 14 out of 30 swabs submitted showed counts of <10 cfu per swab on impressions sent by the PSG1 and PSG2, respectively

DENTAL CAST MICROBIAL LOADING

Having identified that there was a potential risk posed by the casts, the aim of the second project was to compare the efficacy of two products (LabCert and LabCert+) over 3 dip times (15 seconds, 30 seconds, and 60 seconds) on reducing the loadings of the casts received by the laboratory to an acceptable level, and to determine the contact time required to do so. A total of 72 swabs were taken from 18 incoming impressions in one day by one person; all originated from high street dental practices. The swabs were taken from 10 sets of impressions: 8 sets had top and bottom impressions, 2 were singles. Where a set had 2 impressions, one impression was dipped in LabCert and the other dipped in LabCert+ (a higher concentration solution with a shorter shelf life). Swabs were taken before dipping, and then after 15, 30 and 60 seconds of contact time; therefore, each impression generated four swabbing / sampling time points. Best efforts were made to keep the swabbing

technique consistent; each swab was passed along the arc of the impression 10 times. Swabs were sent to a specialist laboratory, where they were analysed at three different dilutions (10-1,10-3, 10-5) using the pour plate technique. The range of values observed on the incoming casts was from <10 cfu per swab to >30,000,000 cfu per swab, which is consistent with the previous study. Just under a third (28%) of incoming impressions had a loading over 30,000,000 cfu per swab, which is similar to previous findings (40% of swabs taken from impressions sent by high street dentists had >30,000,000 cfu per swab). Due to the sample size, there was a slight variation in control counts. Both products delivered rapid, effective decontamination with the average LabCert+ counts being 1 log less than the average LabCert counts post-decontamination. The available sample size, coupled with the wide range in cfu counts, means that the averaged data are somewhat skewed, so it was more meaningful to look at median and mode data. Both LabCert and LabCert+ achieved excellent microbial kill; however, LabCert+ achieved a faster kill.

PRACTICAL APPLICATION

technicians working on prostheses, alginates, and impressions. It is difficult to ascertain the exact area swabbed on dental impressions, but it is approximately 6cm2 with 10 swab sweeps of the impression arc of that area collecting micro-organisms onto a swab of approximately 1cm2. Under these parameters, the mean and mode results indicate that a 30-second dip in LabCert is sufficient to achieve an acceptable decontamination (less than 102 remaining from an initial loading of >107), while LabCert+ achieves the same level of decontamination slightly faster (15 seconds).

The first trial demonstrated that there is considerable variation in microbial loading on the swabs submitted for analyses. It also shows that microbial loading on casts arriving at the lab were significantly higher on impressions submitted by high street dental practices compared to those from PSG1 or PSG2.

Given that it is not possible for PDS to be confident that effective decontamination has been carried out by their suppliers, they have used the results of this study to implement an ‘on-receipt’ disinfection process that will provide management of the risk to their employees without significant disruption to their operations.

Further investigation is required to ascertain whether this problem is a result of poor compliance, poor choice of disinfectant product and/ or or poor adherence to disinfection technique (specified contact times) in practices falling below the ‘best practice’ standard.

By using LabCert for 30 seconds prior to handling dental impressions, alginates or prostheses, dental technicians can be confident that ‘best practice’ infection control is in hand and they will not be exposed to cross-infection risks.

The second trial confirmed that there is considerable variation in microbial loading on casts presented to the laboratory. However, both LabCert and LabCert+ achieved excellent kill within one minute, with the latter achieving a faster kill time. However, a decision must be made about what constitutes an adequate level of kill. For context, food preparation surfaces must be <1000 cfu/cm2, with counts above 1000 cfu/ cm2 deemed ‘inadequate’. Dental unit water lines require <200 cfu/ml (102)3 and EU potable water standards are <100 cfu/ml (102). Although there are no exact guidelines in HTM 01-05 for items arriving into dental laboratories, decontamination to loadings 102 or less was suggested as being reasonable in managing risk for dental

l LabCert is available in 1L spray or 5L pour bottles from The Dental Directory or direct from www.cleancert.co.uk. For further information on the full range of proven, innovative dental infection control products available from CleanCert, please visit cleancert. co.uk, email sales@cleancert.co.uk or call 08443 511115. Please email for further details of this study. REFERENCES

1. Newsom SWB. Pioneers in infection

control - Joseph Lister. Journal of Hospital Infection 2003; 55(4): 246-253 2. HTM 01-05: Decontamination in primary care dental practices. Department of Health 2013 3. HTM 01-05, section 6.79

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THE ITI STUDY CLUB AT LONDEC WEDNESDAY 4TH OCTOBER Fig.1. Xabier Egurdbide

t was another great evening with a mixed group of Clinicians and Technicians sharing a common interest in knowing the latest from someone, recognised as being the best in their field. This evening, we were treated to a real update on Digital Dental processes by Xabier Egurbide, from Createch Medical. Createch based in the Basque area of northern Spain near San Sebastion, have built a reputation for extremely high quality engineering and digital dental manufacturing know how. While they are one of only two engineering companies supplying parts for the European Hydron Collider.

Fig.2. Hydron Collider They also create many of the critical engineering parts for the Aeronautics industry and in particular for Rolls Royce and Boeing. They have for some years been manufacturing complex and extremely high quality dental restorations for Dental Laboratories across the world. Now part owned by Straumann they are very much involved as a major player in the European scene for third

Fig.3. Scan and Measure

Fig. 4. Step By Step party manufacture of Milled Bars and Telescopic full arch restorations. From the beginning it was clear that this company expected and worked successfully with those requiring a higher degree of accuracy and finish. Xabier took the audience through a step by step of the history of the a company and its involvement with dental manufacture and outlined the degree of quality control which has earned their very deserved reputation. Their measuring probe for implant integrity has a tolerance of only 1 micron. It is this tradition and pedigree, which has propelled the company to the very top for third party manufacturing services.

Over the years of the companies involvement in dental manufacturing their reputation has grown and during that time they have been involved in helping to develop many patient centric solutions to the area of Orthognatic surgery and reconstruction and have developed a growing number of novel solutions for the rebuilding and rehabilitation of post trauma and surgery defects and patients. Their enthusiasm is immediately clear when you see the individual bespoke answers they produce for the full variety of defects and bone and tissue loss. From cases with no bone below the nose restored to smile and function with clever telescopic constructions, to a partial mandible, replaced by a designed and milled Titanium complete with a bespoke and functioning condyle process. It was clear that Xabier understood and enjoyed the various challenges his company have accepted and answered with great innovation and insightful knowledge. There was a great feeling that we were at the beginning of a very exciting and constructive path towards making these excessively traumatised patientsâ&#x20AC;&#x2122; lives, much more liveable and real. Fig.6. Semi-Mandible & Condyle Process

Fig 8. Zirconia on Titanium Telescopes

Fig. 9. Available Solutions

Fig.10. Bar Options Across the world of modern dental procedures the digital revolution is presenting us with a greater choice of materials and methods to re-habilitate the dental patients and without compromise for the aesthetic outcome. While we all understand the tendency of manufacturers to exaggerate the uniqueness of their particular system or design Xabier showed clearly how at Createch Medical they will caution against poor choices of material or combinations of materials. Without saying no they

Fig.5. Bespoke Solutions Fig 7. Complete rebuild below the nose

Continued on page 16

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HENRY SCHEIN

WELCOME THE PRESS AT BDIA Patrick Allen MD. Henry Schein

The press were keen to learn The balcony meeting place

n Friday 20th of October Henry Schein welcomed the dental press to ther very impressive two storey stand at the BDIA. The assembled Representatives, were greeted by the Managing Director Patrick Allen who was very positive and happy after his company had the best first day (on Thursday19th) they have ever had at any exhibition before. He went on to praise his staff for their hard work and explained they had acquired an American company, which incorporated MEDICRUIT, MEDIFINANCE and MEDISTATE which was adjacent to the Henry Schein site at the BDIA. By acquiring this group it meant they can now offer the complete package of Recruitment, Finance and Business Systems and organisation to their ever growing customer base. Together with their associate companies they are ensuring a comprehensive supply and support system to service the growing customer needs in the months and years to come.

He then handed over to John Maloney who described the growth of the company within the Digital Market and invited those interested to experience a handson demonstration of the various areas of Clinical and Technical innovation and equipment. Each of those taking part were invited to spend three 15 minute slots, of their choosing, to experiencing the new digital methods and equipment, including Intra Oral scanners and the laboratory systems which compliment the digital process. We were allowed full hands-on contact and were able to follow the process from the initial patient scan through to the design and manufacture in the Laboratory area. It was clear the company had devoted a lot of time and money to ensuring the staff and the systems available met the needs of the prospective customer

At each station the operators were very knowledgeable and confidently answered all the questions from a very interested audience. The demonstrators covered the practical use of all areas of the equipment with Radiographic scanning and planning right through to the final design and manufacture in the laboratory. Undoubtedly this technology is changing and will continue to change the whole process of dental treatment and restoration for the future.

Part of the Technical process

The support mechanism for this innovative technology must be in place to successfully introduce it to their customer base and it was clear they fully understood their responsibility and were enthusiastic to demonstrate their know how and were very much able to enlighten the interested visitors. It was reassuring to know the back up and support was built in to the whole operation. A very interesting and rewarding visit for the invited press and a really constructive experience for all concerned. The view from the balcony

John Maloney Presents

Growing the service Examination through to finish A major shift in approach to the historical, often disjointed, traditional method. A comprehensive protocol can cover every step in the patientâ&#x20AC;&#x2122;s journey, from initial examination through to on going maintenance.

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Continued from page 14 will inform the client of their own research findings over many cases and are reluctant to blindly supply what has been prescribed, without passing on their concern. Combinations of various metals and Ceramics and of course the manufacture of complex and large removable constructions in Zirconium all need careful consideration.

to replace with cheaper analogues or abutments on the grounds it will not make any difference. Interestingly Xabier said that not all copies or non-original parts were less good but in general their research showed a consistent discrepancy against the original manufacture.

milled structure. In their facility the floors of the manufacturing area are separated from the walls to avoid vibration transmission from outside the room.

Fig16. Xabier explains Fig 13. Original V Non Original Fig 11. Bar Options Fig. 12. Telescopic options

Fig 14. 10 mu or 1mu There are various other materials which are becoming popular for frame and bar telescopic designs, such as PEEK plastics but these materials are new in dentistry and there is not a great deal of published research on the longevity and suitability. While the signs sound good it is better to proceed with caution. There is undoubtedly going to be a great increase in the materials choice and design as the science and workability of the digital manufacturing process develop. We are already familiar with milling and 3Dprinting there are other methods, such as laser melting and forming techniques already in use in industry, which may well become part of the dental manufacturing pathway. Undoubtedly the digital revolution is maturing and with companies and personnel such as Createch Medical and Xabier at the leading edge of development and innovation the future looks a great deal more than interesting. To underline the companies commitment to accuracy and precision Xabier described a series of tests they have undertaken to see if there is a difference between a manufacturers original parts and look alike or copy alternatives. While the cost of supplying the parts for implant dentistry remains high many are tempted

Their test involving internal fitting tapered originals, which were sectioned through in three parts. Top of taper, middle and bottom where six fit points were measured at each section, making a total of 18 measuring points.

He explained that with the variations of everyday life a laboratory scanner will probably never be able to overcome these outside influences but pointed out that the Inter Oral Scan (IOS) has the potential to eliminate many of those incontrollable elements. It is taken from the original tooth or Implant and used as the basis of the fit and design. It is he said not unusual to find that the variation of model making with the various digital methods may mean the bridge does not fit the model but will probably fit the mouth. The digitally produced model should be considered an aid to handling for form and aesthetics and probably

occlusion but not necessarily for fit in the mouth. Those of you busy with digital processes may often wonder if the model will be necessary for the future. If IOS scanning become wide spread, as is predicted, then perhaps the expensive model preparation will be a thing of the past? During the evening Xabier passed round some bridges and bar constructions in Titanium, Coron and Peek plastic. Some screw fixed, others friction telescopic designs and examples with conventional retention components built into the bar or sub-frame. The quality and finish was a real treat and the fits were very impressive. There were several technicians present who already use the companies services but it was clear the evening increased their interest in all they were doing with digital dentistry. It was a great eye opener as to why some people get problems and also how to avoid getting problems, which may come with the new technology. Thank you Xabier for a very interesting and stimulating evening and once more, thanks to Charlotte Stillwell and Bill Sharpling who organise the speakers and all the refreshments which are very welcome after a hard days work. Look out for the next ITI study club at LonDEC. It is certainly worth a visit.

Fig17. Bill Sharpling

Fig.15. Quality measured

There was a discrepancy which could mean a fit problem on large scale bridgework of up to 3mm. So think before you substitute in case you are creating problems for the clinician and patient further down the life of the construction. He also showed that the normal lab scanner, even the good ones, while fine for general work and even large scale bridgework when it comes to the precision of screw retained Implant cases there may be too many variable in the handling and scanning by the laboratory. An industrial â&#x20AC;&#x153;touchâ&#x20AC;? scanner is their choice in order to get the accuracy required. Variation in room temperature, vibration from road traffic or next door manufacturing processes, are enough to alter the final result of a

Fig.18. Charlotte and Xabier

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Continued from page 10 Patient was reviewed in June 2017 (Fig 24 -25). Fig. 24

Fig. 26

Fig. 25

Fig. 27

Fig. 28 Fig. 24 & 25 First Review, May 2017 Fig. 26, 27, 28 Latest Review Sept 2017

At the time of writing, in Sept 2017, the patient has been reviewed again and is still very satisfied with her denture and can function and eat very well. (Fig. 26,27,28)

CONCLUSION n Denture construction is a very difficult process and I feel itâ&#x20AC;&#x2122;s more of an art than a science. Nevertheless, not all dentures are straightforward, and itâ&#x20AC;&#x2122;s important to listen to the patient and to understand why a denture was not worn successfully.

the neutral zone impression and thus not to disregard the information that it records especially in a scenario like this with a strong mentalis muscle. (Fig 29,30).

There is too much emphasis on implant-retained overdentures being able to address all the problems with stability, support and retention of a full lower denture. This case highlights the fact that regardless of implants, understanding conventional prosthodontic principles and techniques, including the use of a neutral zone impression is paramount to the success of the denture, being implant retained or not. Itâ&#x20AC;&#x2122;s important to utilise the buccal shelves for support as well as the retromolar areas, and to understand in some patients that the mentalis muscle is very strong. This case highlights the fact the importance of

Fig 29. Severe Overjet

It also highlights that not all patients have an ideal Class I. incisor relationship. In fact Class 2. incisor relationships are the most common malocclusion seen. This patient has always had an increased overjet and was a severe Class 2,and even though there is potential to decrease the overjet by moving the lower incisors forward, if this is done in a case with very strong mentalis muscle then this would result in the teeth being outside of the neutral zone and thus would give a very unsatisfactory conventional denture regardless if implants are used or not. (Fig. 31,32). Left: Fig 31. Class 2 Set-up

Fig. 30. Strong Mentalis muscle

Right: Fig. 32. Class 1 to Class 2. Re-Set

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THE IMPORTANCE OF PASSIVE CANDIDATES BY ANDY FOSTER

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hen looking to engage your next technician, for whichever position in the lab that might be available, your first port of call might be to post an ad and engage all of those candidates who are actively looking for a new role. That way you’ll get the most eager and enthusiastic candidates, right? You want candidates fighting over your role, throwing CVs your way and begging for an interview! But is this really the best group of candidates to be interviewing?

ANDY FOSTER

Dental Lab Recruitment Andy Foster is the founder of Marshall Hunt Recruitment, a niche consultancy that sources dental technicians for small, mid sized and large dental labs. Andy spent 20+ years running his crown & bridge lab – Fosters Dental Ceramics, before moving into recruitment and online networking. He also manages the popular online job-board DentalTechnicianJobs.net When he not working, Andy is a dedicated father, with an unhealthy weakness for coffee.

In fact, by limiting yourself only to technicians who are actively seeking a new role, not only are you cutting your candidate pool in half, but you are also potentially missing out on candidates who are looking to move jobs for the same reason you want to hire them! Perhaps you DON’T want someone who is desperate to move jobs because they’re not getting on with their team members. Perhaps the best candidate for your role is not one who is desperate for a better job title.

WHAT’S THE DIFFERENCE BETWEEN AN ACTIVE AND PASSIVE CANDIDATE?

An active candidate is one who is actively seeking a new role. They will have signed up to job boards, registered with agencies and will be interviewing regularly until they find their new role. Their reasons for wanting to change roles could be anything from being unhappy in their current position, being unsuccessful in their current position to simply wanting a change. Of course, they could also be unemployed. A passive candidate, on the other hand, is one who is currently in a

role and is not actively looking for their next career move. They may be quite happy in their current role; however they’re open to moving if a ‘better’ role came along. For passive candidates, what constitutes a ‘better’ role is very different to that of an active candidate. As previously mentioned, for an active candidate, a better role might simply be one where they can get on with their team! However, for a passive candidate, their decision to change jobs will be based on a much wider spectrum of issues including work-life balance, remuneration, commute and benefits. But are passive candidates really out there? And if so, how do you find them? A recent report from Indeed ‘Talent Attraction Study: What Matters to the Modern Candidate‘ states that 71% of workers would be open to an new opportunity if it was the right move for them. To an employer, this means that your pool of candidates is far larger than you might have first thought! The number one reason (according to LinkedIn) why an active candidate chooses a new role is because of greater opportunities for advancement. For a passive candidate, the number one reason is better compensation and benefits. So what does this mean to you as an employer? Well, if you’re looking for a candidate who wants to progress and is eager to climb the ladder, then an active candidate might be what you need. However, more often than not, a passive candidate is someone who is successful in their current role. They’re not actively seeking as they’re currently employed and what they have would need to be bettered

in order to warrant a move. What this means to an employer is that, whilst your candidate might not be looking to climb to the top of your business, they have a proven and steady loyalty to their role and their reasons for changing jobs are more rooted in their ‘needs’ rather than a desperation to move. Further to this, by interviewing passive candidates, you will be seeing quality employees who are not currently being interviewed by several other dental labs. This means that you are not up against your own competitors to win the talent that comes everyone’s way. Honesty plays a key part in the interviewing process for an employer; if a candidate is desperate to get a job, they might be more willing to stretch the truth on their CV/resume or inflate their achievements to make themselves seem more desirable. If you reach out to a passive candidate to come and interview for your role, they are much less likely to behave in this way as you have already submitted your interest due to their current position in their establishment. In summary, when looking to engage your next employee, don’t underestimate the importance of seeking out passive candidates; more people than you think are open to changing their jobs if the right role comes along! l Andy Foster specialises in dental lab recruitment, managing the online job board DentalTechnicianJobs.net and dental recruitment company Marshall Hunt Recruitment. You can contact Andy at andy@marshallhunt. co.uk or call 07595 315862.

PR NEWS uuu

A NEW GENERATION OF ARTICULATORS n Denar’s Mark 300 Series of articulators offers a new level of interchangeability, with factory-set accuracy within 20 microns.

• A built-in support, allowing the upper member to stand completely open while the articulator is sitting flat

This next-generation articulator includes the following features:

• A positive centric latch that allows the members to be separated or locked together.

‘When I tried the 300, I knew this was something we needed. The consistent 20-micron repeatability saves us time, and we no longer need to send the articulator, along with the models, to the practice when the dentist also has a 300.’

Purchaser of five of the articulators, Phil Reddington, owner and technical director at Beever Dental Technology, said:

l For more information, visit whipmix.com, email info@prestige-dental.co.uk or call 01274 721 567.

• A three-point magnetic mounting system for stability and accuracy • Tilts back at a 45° angle, facilitating a hands-free view of the cast

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THE BDIA DENTAL SHOW AT NEC

s I mentioned, last month this is not a show that seems to be even aware that Dental Technicians exist! While there were of course quite a few working on various stands and some interested ones visiting you had to look to be aware of anything of interest for the working Technician. Luckily several of the companies who were showing various pieces of equipment, materials and techniques could not, by the nature of restorative dentistry, completely ignore our presence or our knowhow. I am pleased to say that the numbers attending were up by some 11 plus per cent and over 300 technicians made the trip. I spent some time, during my three days with the stand for the Dental Technician going around to see those companies who are known to have a major Lab Market interest. The following montages reflect what was there and hopefully you will get some insight around those parts, which are Technical in nature.

HENRY SHEIN n Henry Shein have greatly increased their support and sales team and indeed their direct holding on many systems for both laboratory and clinic. In reality you cannot demonstrate a clinical scanner without showing the completed process within the laboratory. Whether it be in the clinic (rarely) or in the commercial laboratory. Henry Schein have increased their holdings with the addition of the American Group; Including MediCruit MediFinance & MediStates Covering Recruitment, Finance and Business. Together with their associate companies they more or less cover the whole supply and support needs of Dentistry and the dental professionals involved within it. Clearly a company, which is training and employing capable and enthusiastic people with real expertise to handle their expanding portfolio.

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STRAUMANN GO DIGITAL n Straumann had a great stand for those interested in their digital programmes. With particular emphasis on their intra oral scanner and the link right through to laboratory and return. The 3Shape Trios was in great demand for demonstration and for the technician the full range of in lab scanners, 3Dprinting, Cad Cam and the examples of the remarkable standard now available from the digital systems. Lots of technical and expert help was available for demonstration and advice with their dedicated and highly trained team. The digital evolution for these with a greater interest in the digital market is extending to the materials being used in the processes. With Straumann introducing their own blocks and discs for the manufacturing processes as well as their link to the excellent milling and manufacturing service from Createch, the Spanish based engineering and digital dentistry experts who have set new boundaries for quality and service. Through Co Diagnostics the system is integrated from chair-side scanning through planning via Co Diagnostics and manufacture via their Platinum laboratory network through to surgery for implants and restoration via the laboratory and the restoring dentist.

Continued on page 22

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Continued from page 21

IVOCLAR VIVADENT n Ivoclar Vivadent were present but the laboratory digital programme seems to be held up. It looks interesting but may not be available here in the UK until later in 2018. They featured their e-Max porcelains and of course their digital materials and options.

in Europe. It is always good to see skilled technicians, demonstrating the use of these useful materials. Very popular with the visiting technicians who can ask questions and have their queries answered by the demonstrator.

SHOFU

VITA n VITA were very much concentrating on their shade taking machine at this clinical based show. They were demonstrating the shade guide choices along with the Vita Easyshade. With some expert input about their Vita Enamic and of course their much appreciated porcelains all available in the UK from Panadent.

SCHOTTLANDER n A great supporter of the BDIA over many years. The companies presence was set in a cleverly lit and eye-catching stand which suited the products and the personnel tasked with helping those interested in their extensive range. For Technicians the Enigma

n Always good to see Chris Brown of GC. With his interesting choice of products, which are often very much worth looking at. The company enjoys a really good reputation for materials and goodies, which are just that bit better than the similar materials from other sources. His Gradia Plus Composite is greatly liked by the technicians and laboratories who use it and of course their own pressable system Initial LiSi which is compatible with their very impressive Initial Ceramics system. They do of course have their own digital system with their intra-oral scanner from Aadva. They do provide a very attractive Cad Cam Manufacturing for laboratory designed bars and telescopic bridge work and crowns

teeth range was on display and of course their remarkable range of protective gloves. Schottlander continue to run an extensive range of courses for both clinicians and Technicians which are well worth keeping in mind.

n A newly re-invigorated Shofu under the guidance of Julie Greenwood was there to proudly display their range of composite, porcelain and milling blocks. Also on display was their cleverly designed point and press camera, which not only gives easy access to the patients mouth and smile but captures the shade of the patients teeth with great accuracy. The latest model, with an improved lens set up is proving to be even better than before. Shofu has always quietly produces some of the very best ceramic available anywhere and together with their range of specialist rubber points and burs really do need some attention. Julie seems to have stepped up the service to the laboratories with new but experienced Technician Representative Colin Hogg, taking on the role of expanding.

CARESTREAM n CARESTREAM have continued with their growth in the Digital Dental aea with both intra oral scanners and of course their extensive range of Laboratory CADCAM provisions. They have an equally impressive clinical portfolio, which was well presented at Birmingham.

Continued on page 24

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THE CDO ZONE n Very bravely Sara Hurley the Chief Dental Officer put herself in a zone where she could be seen and spoken with for all those attending the BDIA show at Birmingham. Sara is fighting hard to get Parliament and the British public to Fully understand the importance of Dentistry in their general health. Championed by Sir Paul Beresford, who writes in our Journal, Sara is determined to raise the profile of the needs in dentistry and its importance within the health picture for the country. I spotted her speaking with Prof. Treavor Burke and had some opportunity to speak with her myself. A few other companies who deal with technical dentistry were there and a few new faces. Blueprint Dental is always a welcome sight with their positive attitude to technical education and interesting materials and equipment. Continuing to expand their interest with their Digital portfolio and interesting products chosen by staff who know what they are talking about. A new comer to our dental show is Implants Direct who specialise in supplying implants and abutments etc. for various systems. A growing number of companies now supply the market with alternative manufactured components at more economic prices. Several companies were dealing in loops and other magnification products. Biostar were there with their excellent range of vacuum and pressure forming equipment as well as the very

reliable Biostar original. One of the joys of a dental exhibition is the faces you meet and the characters. Seeing the well known faces within technical and clinical dentistry. Here is a little Pot Pourri of the flavour of the three days at the NEC. Milkshake Marketing running a coffee shop (very good Coffee). They specialise in Promoting Dental Practices and some Laboratories to engage in serious marketing. Phil Mathers with his company Trycare stepped out with his top hat and was joined by colleagues who have spent nearly as long as he has in UK Dentistry. Along the way some familiar faces said hello. A great smile from Lease UK. Big hello from familiar faces and some others who may have just had enough. It really is a mix of interested buyers, technicians and dental professionals trying to find the next best thing in the dental market. Perhaps a text book from Quitessence publishing or another way to find the little bit of information or perhaps a tip from a fellow professional to crack the latest concerns. For sure the meetings give us all a chance to meet with and discuss the potentials available while wondering at the choices now being presented. For sure there are great changes going on in dentistry today and just to keep up to date these shows are a worthwhile day or two off in each year to catch up and perhaps be challenged in a new direction.

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REAWAKEN THE PASSION AT DTS 2018 D o you remember the day you first entered a dental laboratory as a full-time employee? Do you recall excitement bubbling in the pit of your stomach, perhaps mixed with a few nerves? Do you recollect the enthusiasm you had to get stuck in and the ambition you had to develop your skills and thrive in your chosen career?

Do you still get the same feelings when you enter the lab on a Monday morning? If not, why not? This is a truly exciting time to be involved in UK dentistry, with new innovations driving standards ever higher while also making life easier for professionals. For dental technicians today, there is an enormous choice of materials, technologies and products designed specifically to provide solutions to the challenges once faced on a daily basis. By simplifying and speeding up workflows, broadening restorative and prosthetic possibilities and improving the accuracy of products crafted, these solutions allow the dental technology team to truly thrive. The consequences of this are multiple. Firstly, more diverse opportunities allow technicians to select what they wish to focus on, enabling them to develop their knowledge and skills. This promotes increased job satisfaction and encourages the fulfilment of career ambitions, while also improving staff retention for the business. Secondly,

higher quality, more precise restorations and appliances provide a fantastic service to partnering dentists and their patients. Happy clients mean more referrals and a better reputation – and these are the building blocks of a long and prosperous future for both individual dental technicians and the business overall. Over time, a busy workload, changing regulations and unexpected events can understandably dampen one’s enthusiasm for their work, but it’s important to take the time to re-ignite the passion. Whether you are looking to give yourself a push or it’s your business and your team that need a boost, there are plenty of things you can do to renew the hunger for excellence.

What do you want to do next? Are you looking to learn new skills and if so, what would be of most benefit to you? Do you think a new piece of equipment would make your work more efficient? Does your laboratory need a re-design in order to better accommodate recent growth in your team? Do you wish the environment were more ergonomic for increased comfort and productivity? If you’re looking for a place where you can find the answers to all these questions and more, the Dental Technology Showcase (DTS) 2018 is a must-attend event for you! The twoday show offers all the information, advice, demonstrations and

education you need to re-discover your love for your craft, while also gaining verifiable CPD and enjoying time with friends and colleagues outside the laboratory.

LEARNING

Between the DTS Lecture Theatre (designed by the Dental Technicians Guild), Digital and Innovation Theatre and on-stand learning throughout the trade exhibition, as well as additional sessions tailored to orthodontic technicians and clinical dental technicians, you will be spoilt for choice when it comes to enhancing your understanding of new and traditional techniques, materials and technologies, with hours of CPD available. Hear from an array of world-class speakers for free, including some of the biggest talents in the profession from here in the UK and across the globe. They’ll share their extensive expertise to introduce innovative new solutions to you and help you make the very most of the equipment and materials you have access to. There is also the chance for discussion among peers, with interactive sessions providing a platform to ask your own questions and seek bespoke advice tailored to your specific needs. For lab owners and managers, the

Dental Business Theatre will offer a wealth of practical information and guidance on how to maximise profits and encourage business growth. The fun-filled programme delivered by Practice Plan once again next year, will have you fired up and ready to take on any challenge that presents itself in the months to come!

DISCOVERY

The trade floor will host more than 100 lab-dedicated manufacturers, suppliers and training providers, all keen to highlight their latest offerings. Product experts will be on hand to demonstrate key products and you’ll also be able to get handson to try new concepts out for yourself. Launchpad UK will highlight the newest innovations on the UK market, giving you fresh ideas on how to upgrade your lab facilities for the benefit of your team and your bottom-line.

COMMUNITY

The sense of community is rife throughout DTS, as dental technicians, clinical dental technicians, orthodontic technicians and lab owners come together from across the nation. Meet up with friends, expand your professional network and get involved.

DON’T MISS DTS 2018!

DTS 2018 will be held on Friday 18th and Saturday 19th May at the NEC in Birmingham, co-located with The Dentistry Show. For further details, visit www.the-dts.co.uk, call 020 7348 5270 or email dts@closerstillmedia.com 24 The Dental Technician_NOV_DEC issue.indd 24

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UNIVERSITY OF GLASGOW COLLEGE OF MEDICAL, VETERINARY AND LIFE SCIENCES SCHOOL OF MEDICINE, DENTISTRY AND NURSING

LECTURER IN DENTAL TECHNOLOGY Vacancy Ref: 019274 Salary: Grade 7/8, £34,520 - £38,833/£42,418 - £49,149 per annum The post holder will play a major role in delivering teaching of Dental Technology to undergraduate and postgraduate students, including assessment and course administration. The successful post holder will have an appropriate qualification in dental technology that is accredited for registration with the General Dental Council, with a further higher (Scottish Credit & Qualifications Framework SCQF level 8 or equivalent) qualification in prosthodontics and/or crown & bridge dental technology. The successful post holder will have experience in dental technology at an advanced level. In addition, you will have the ability to give clear practical demonstrations of all aspects of Dental Technology. This post is full time and open ended.

To apply online, please refer to http://www.gla.ac.uk/explore/jobs/

CLOSING DATE: 26 NOVEMBER 2017 It is the University of Glasgow’s mission to foster an inclusive climate, which ensures equality in our working, learning, research and teaching environment. We strongly endorse the principles of Athena SWAN, including a supportive and flexible working environment, with commitment from all levels of the organisation in promoting gender equity. THE UNIVERSITY OF GLASGOW, CHARITY NUMBER SC004401

We are a small but busy dental lab based in Canterbury, Kent looking for a qualiﬁed dental technician, preferably GDC registered. Must be able to undertake all aspects of NHS prosthetic work - all stages from bite to ﬁt and produce high quality work. (Crown and Bridge not necessary) Overtime available at the managers discretion - extra hours may be required. Salary negotiable depending on experience. Monday to Friday 8.30am-5pm. The right candidate will be a real team player capable of using their initiative. We are an equal opportunities employer and welcome applications from everyone who meets the selection criteria.

PLEASE CONTACT EMMA FOR MORE INFORMATION AT

enquiries@conﬁdent-labs.com

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YOUR DETAILS Mr Mrs Miss Ms First Name ............................................................. Surname................................................................. Address................................................................................................................................................... Postcode .................................Email...................................................................................................... Daytime phone ...................................................... Mobile.................................................................... If a gift for someone please complete both the recipients and your own details (above) GIFT RECIPIENTS DETAILS ONLY Mr Mrs Miss Ms First Name ............................................................. Surname................................................................. Address................................................................................................................................................... Postcode ................................................................................................................................................ PAYMENT OPTIONS 1 DIRECT DEBIT PAYMENT - £39.50 PER ANNUM Instruction to your bank or building society to pay by Direct Debit Please fill in the form and send to: The Dental Technician, Select Publisher Services Ltd, PO Box 6337,Bournemouth BH1 9EH Service user number 8 3 8 7 7 Name and full postal address of your bank or building society: To: The Manager Bank/building society: Address................................................................................................................................................... ................................................................................ Postcode ................................................................ Name(s) of account holder(s)................................................................................................................ Account number Branch sort code Reference (Official use only) Instruction to your bank or building society Please pay The Dental Technician Magazine Ltd Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with The Dental Technician Magazine Ltd and, if so, details will be passed electronically to my bank/building society. Signature ............................................................................. Date / / Banks and building societies may not accept Direct Debit instructions for some types of account. SUBSCRIPTION PRICING WHEN PAYING BY CHEQUE OR CREDIT/DEBIT CARD ½ Yearly Yearly Europe Rest of World 1/2 Yearly: £22.50 UK // Yearly: £39.50 UK // Europe £60.00 Yearly // Rest of World £80.00. (inc. Delivery). 2 CHEQUE I enclose a cheque for ..................... (made payable to Select Publisher Services Ltd) 3 CREDIT CARD/DEBIT CARD Visa MasterCard Maestro Switch Card Number Expiry date Valid from (if shown) Issue number (if shown) Security number (last 3 digits on the back of the card) Signature .................................................................................. Date / / I would like my subscription to begin from issue (month + year): RETURN THIS FORM TO: The Dental Technician, Select Publisher Services Ltd PO Box 6337, Bournemouth BH1 9EH For help to complete the above form if required phone +44 (0) 1202 586 848 Please tick this box if you DO NOT want to receive any other information from The Dental Technician Magazine Ltd. Please tick this box if you DO NOT want to receive any other information from other companies.

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

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FREE VERIFIABLE CPD As before if you wish to submit your CPD 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 CPD 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 CPD either online or by post. If you have any issues with the CPD please email us cpd@dentaltechnician.org.uk

4 Hours Verifiable CPD in this issue LEARNING AIM The questions are designed to help dental professionals keep up to date with best practice by reading articles in the present journal covering Clinical, Technical, Business, Personal development and related topics, and checking that this information has been retained and understood. LEARNING OBJECTIVES REVIEW: n Strength of Zirconia. n Implant planning n Customised Special trays n Business of Management LEARNING OUTCOME By completing the Quiz successfully you will have confirmed your ability to understand, retain and reinforce your knowledge related in the chosen articles.

Correct answers from October DT Edition:

Verifiable CPD - NOV/DEC 2017 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

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Question 10 Question 11 Question 12 Question 13 Question 14 Question 15 Question 16

Q1.

Q2.

Q3.

Q4.

Q5.

Q6.

3. Evaluation: Tell us how we are doing with your CPD Service. All comments welcome.

Q7.

...............................................................................................................................................

Q8.

Q9.

...............................................................................................................................................

Q10. B.

As of April 2016 issue CPD will carry a charge of £10.00. per month. Or an annual fee of £99.00 if paid in advance.

Q11. D.

You can submit your answers in the following ways:

Q12. A.

1. Via email: cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN, PO BOX 430, LEATHERHEAD KT22 2HT

Q13. B. Q14. C. Q15. D. Q16

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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VERIFIABLE CPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN MARKETING MADE SIMPLE

Q1. A. B. C. D.

What is the subject for this month’s article? Choosing the right Graphics Using your telephone effectively Using Social Media Using your answering machine effectively

CLASS 2 CASE STUDY.

Q2. A. B. C. D. Q3. A. B. C. D. Q4. A. B. C. D.

How old was the patient’s original denture? 10 years old 4 years old 2 years old 5 years old

Why did she want it changed? Did not like the colour of the teeth The denture was loose and unstable The denture was too bulky The palate was covered too much What treatment plan was agreed with the patient? To replace the implant borne denture with another To replace the denture with a tissue borne denture To reline the existing denture To make a fixed bridge

Q5. What material was used for the Upper impression? A. Addition cured silicone B. Polysulphide C. Alginate D. Greenstick composite Q6. A. B. C. D.

What Technique was used for the Lower Impression? A neutral Zone impression technique A Light and heavy bodied silicone in special tray A functional impression using Polysulphide Alginate compressive technique

Q7. A. B. C. D.

What was used to secure the bite to the special tray. Sticky wax Wire Loops Rapid cure acrylic Roughened acylic

Q8. A. B. C. D.

What does the author think is the most common malocclusion? Class 3 Class 2 Div 2 Class 2 Class 4

Q9. What was the cause of the failure of the first new denture? A. Lingual over-extension B. Buccal overbuild C. Under-extension D. Finishing as Class 1 Q10. How long did the treatment take? A. 12 weeks B. 5 Months C. 11 Months D. 28 weeks Q11. A. B. C. D.

What lesson was learned by the operator? Always use implants for stability Implants alone will not make for a successful denture The more implants you have the better Always use a bar for retention

MARKETING MADE SIMPLE.

Q12. A. B. C. D.

What does Jan Clarke recommend in this months column? Full page in the local Newspapers Direct mail shots in the local area Regular phone calls as patient reminders Social Media interaction

Q13. What channel does she recommend as a first step? A. Twitter B. Facebook business page C. Instagram D. Linkedin Q14. A. B. C. D.

How does she recommend you proceed? Set up a personal profile page Set up a business page e Mail all your contacts Advertise on line

CHRISTMAS IS COMING.

Q15. How many Technicians visited the BDIA.? A. 300 B. 430 C. 256 D. 520 GDC. BILL MOYES BLOG.

Q16. A. B. C. D.

What is the primary change with Enhanced CPD? To submit more non verifiable CPD To submit twice a year To submit an annual return of CPD completed To photograph all your patients

Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852

You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

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DEN-TECHS FIRST EVER SPONSORED EVENT WAS HELD IN GLEN CLOVA SCOTLAND n The aim of this event was to raise funds for Den-Tech, to support the provision of dental laboratory services to the homeless of the UK and to help provide dental lab facilities in developing countries such as Uganda and Cambodia. Den-Tech is the brainchild of dental technicians Andrea Johnson and Andrew Sinclair who after visiting Uganda with another dental charity realised that there was a great need for quality dental technology services in the country and other developing countries like it. There are many charities which provide the incredibly valuable service of ‘dental pain clinics’ but no real provision for the restoration of the dentition thereafter. This can leave patients with large gaps where teeth have been extracted meaning that they can quite often struggle to eat and chew their food well, to speak properly and to look and feel normal. Andrea and Andrew felt very passionately that this should not continue and that if they could set up a high quality, supported working and training dental laboratory in the country they could help provide not only a little help now but a legacy of support and training that could be a leg up to the native people and not just a temporary hand out.

They set up their charity called Den-Tech in 2017 and have enlisted a board of trustees who are equally as passionate about using their skills and resources to help out those less fortunate. The board of trustees now comprises of Andrea Johnson, Andrew Sinclair, Delroy Reeves, Edward Mapley, Jade Oakes Stott and Robert Williams, you can view their brief biographies on the about us page. This drive and enthusiasm has now extended to helping out those less fortunate in the UK, the homeless. This new project in addition to the existing overseas ones has received a fantastic amount of

support from the dental technician community who are pulling together to provide a full range of dental technology services free to those most vulnerable and needy in our society. This first ever sponsored walk for Den-Tech was organised by technician volunteer Sean Ward who lives in Forfar. The event involved a walk of around 11 miles over rough and steep terrain taking in 2 popular peaks of over 3000 feet (Munro Height). The mountains which are easily accessible from Glen Clova Hotel, were used as the base. Glen Clova is situated in Angus

and is one of the most dramatic and picturesque Glens in Scotland. The route started at the ranger station and followed an old drivers’ road “The Kilbo Path” to gain the height of the plateau, there a peak on the Left “Driesh” was the first ascent, returning to the path directly ahead was the second peak “Mayar”. Heading due North they then descended via the face of “Corrie Fee” next to the waterfall into the bowl carved out by glaciations, finally going through the forest to a rough road heading towards another drivers’ road and across to head back to the rangers station via “Jocks Road”. l To get involved, make a donation or just to find out more please visit https://www.den-tech.org/ or find them on Facebook at https://www. facebook.com/Dentech1/

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GENERAL DENTAL COUNCIL ANNOUNCEMENTSuuu

GENERAL DENTAL COUNCIL APPOINTS CLINICAL DENTAL ADVISERS TO AID FITNESS TO PRACTISE PROCESS n The General Dental Council (GDC) has appointed four Clinical Dental Advisers and a Senior Clinical Dental Adviser to support the Fitness to Practise (FtP) process. The five new appointments will provide the GDC with advice on complaints of a clinical nature during a FtP investigation. The team are all currently practicing dentists and their role will be to give early clinical advice on complaints via written reports. Jonathan Green, Executive Director, Fitness to Practise at the GDC, said: “I am happy to announce the new appointments and welcome them all to the team. The Clinical Dental Advisers and Senior Clinical Dental Adviser, who will manage the team, will play a crucial part in helping the General Dental Council (GDC) fulfill its statutory duty to investigate dental professionals whose fitness to practise is called into question.”

The new appointments are: Margaret Naylor, Senior Clinical Dental Adviser Margaret is principal dentist in two NHS practices and has 16 years’ experience as a Foundation Dentist Trainer. Margaret works within the Practice Advice and Support Scheme (PASS), helping dentists who have experienced problems, and has been a representative on the South Yorkshire PAG as well as holding positions on the local General Dental Practice Committee and the South Yorkshire and Bassetlaw LPN. Margaret is also a BDA Good Practice Assessor and an Honorary Clinical Lecturer for the Outreach Programme at the University of Sheffield. Richard Cox, Clinical Dental Adviser Richard has been a Dentist since the 1980s, both as an Associate and a Practice Owner. He is currently a NCAS Clinical Reviewer, a Dental CPD Trainer and Assessor for Wessex Deanery, and has previous experience as a Clinical Director for

a small corporate and a Record Card Auditor for various PCTs. Richard Lawson, Clinical Dental Adviser Richard has a long history in both general practice and clinical advice. Formerly a Practice Owner and a Clinical Lead for a small corporate, Richard is a Specialist Advisor with the CQC and a Dental Professional Advisor for the NHS and sits on the PAG. He is a member of the National Association of Dental Advisors. He has worked with the GDC and NHS England in workplace supervision and mentoring roles with practitioners under conditions. In addition, he serves on his LDC and was heading up the local PASS scheme until recently. He is also a qualified mentor and Practice Appraiser. Shamir Mehta, Clinical Dental Adviser Shamir jointly owns two practices in Harrow. He has acted as an Expert Witness for both the GDC and defence organisations and is currently a Senior

Clinical Teacher at Kings College, London (Deputy Programme Director for the MSc in Aesthetic Dentistry). He has published in a wide range of dental journals and has co-edited a textbook on Aesthetic Dentistry. Shamir is an Examiner for several institutions, a Manuscript Reviewer for a number of dental journals, a Member of the King’s College London Research Ethics Panel and a Fellow of the International College of Dentists. Christopher Roome, Clinical Dental Adviser Christopher has worked in General Practice for over 30 years, a Practice Owner for 25 years and is now an Associate. He has taught on several university courses and acted as a Dento-Legal Adviser for a defence organisation. Christopher also has a long history of involvement in foundation training and of working with various local performance groups and networks, including the local LDC, PAG and Local Performer Network.

DENTAL NEWS uuu

WOMAN GIVEN CONDITIONAL DISCHARGE FOR ILLEGAL TEETH WHITENING IN DARTFORD 22ND SEPTEMBER 2017

n A woman from Dartford has pleaded guilty to practicing dentistry illegally following a prosecution by the General Dental Council (GDC). Lisa Fox was handed a conditional discharge and ordered to pay a £30 victim surcharge and a contribution of £400 towards the GDC’s costs, at Bexley Magistrates’ Court. Ms Fox admitted practising dentistry – specifically teeth whitening – illegally at Guys n

Dolls, 44 London Road, Dartford, on 28 April 2017. The Dentists Act 1984 outlines that to practice dentistry legally – which includes teeth whitening – an individual must be registered with the GDC. The GDC’s role is to regulate the dental team in order to protect patients and help to maintain public confidence in dental services. One of the ways patients are protected and public confidence is maintained, is by prosecuting people who carry out dentistry illegally.

Shaun Round, Interim Head of Illegal Practice at the GDC, said: “It is imperative that dental professionals are registered to practice. Registration ensures that only those fully trained and qualified can practise dentistry legally. It also places a legal requirement on dental professionals to keep their skills and knowledge up to date through the completion of continued professional development (CPD) – this makes sure that patients receive the best possible treatment by a professional that is trained,

competent and indemnified. “Registration with the GDC is also required to purchase valid indemnity insurance, which is imperative as it allows patients to seek compensation if they are harmed as a consequence. By performing dentistry illegally, patients are placed at serious risk of harm.” l The register of dental professionals is publicly available on the GDC’s website www.GDC-uk.org

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DENTAL NEWS uuu

BRITISH DENTAL ASSOCIATION AND CLOSERSTILL MEDIA COLLABORATION n The British Dental Association and CloserStill Media have announced a major new collaboration, that will see the British Dental Conference and Dentistry Show launched in May next year.

the latest innovation, education and quality CPD. “Our members are our number one priority. On top of one unmissable national conference, we are working to ensure they have access to more exclusive events in more locations across the UK.”

The new collaboration of the BDA’s British Dental Conference and Exhibition, and CloserStill Media’s Dentistry Show, will take place on 18 to 19 May 2018 at the Birmingham NEC and will be the undisputed leader in dental events. The BDA Conference & Exhibition has been running for over 100 years and is the BDA’s annual flagship event for its members and the wider dental profession. The Dentistry Show, will have been running for 11 years in 2018. The new event will now become the key date in all dental professionals’ diaries with over 10,800 visitors attending the two day event. The new event will be free of charge and open to all. BDA Chief Executive Peter Ward said: “We’re committed to offering our members

Alex Harden, Event Director of The Dentistry Show said: “This is an exciting investment for us all. Between us, the team now running The Dentistry Show and The BDA Conference have been responsible for running some of the UK’s fastest growing events over the last two decades. Our combined experience, sector knowledge and significant commercial and marketing resources will be focused on delivering for both exhibitors and the audiences for these powerful brands.”

and this profession the biggest and best event in the dental calendar. This collaboration with our friends at CloserStill Media will take our landmark event to the next level.

“Our British Dental Conference and Dentistry Show is now the one date every dentist needs in their diary. And we’ve opened the doors to the whole profession, to give them all access to

l For further information, please contact the BDA’s media team on 0207 563 4145/46 or email mediaprandparliamentary@bda. org You can follow news from the BDA on Twitter: http://twitter. com/theBDA

STUDY FINDS THAT DENTAL CARIES ARE NOT GENETIC influenced by genetic background, these inherited bacteria are not linked to dental caries.

DENTAL TRIBUNE INTERNATIONAL

n MELBOURNE, Australia: In the

first large-scale study to look at the oral micro-biome, researchers from Murdoch Children’s Research Institute (MCRI) have determined that an individual’s genes are not associated with the presence of bacteria responsible for dental caries. Rather, this is more greatly influenced by environmental factors like diet and oral hygiene habits.

To understand exactly the role of genetics in the make-up of the oral micro-biome, the research team conducted a twin study. They profiled the supra-gingival plaque micro-biome of 205 pairs of genetically identical twins and 280 sets of non-identical twins between 5 and 11 years old based on mouth swabs. From this, they concluded that, while certain components of oral micro-biome composition are

“There may be a perception in the community that bad teeth are inherited,” said study co-author Dr Jeff Craig, an associate professor at MCRI. “But this research is an important message because it means parents and children themselves can take control. We’re not doomed by genetics in tooth decay.” The researchers also found that the level of inherited bacteria tended to decrease over time, whereas the bacteria associated with environmental factors increased. In light of these findings, Craig

reiterated that limiting children’s intake of sugary foods and drinks, combined with a consistent oral hygiene routine, is the best way to prevent caries. “One of the myths is that you don’t worry about your child’s oral health until the teeth come through,” said Craig. “Tooth decay is one of the most prevalent diseases in children, but it’s tragic because it’s preventable. It’s good to have preventative oral health, even before teeth appear.” The study, titled “Host genetic control of the oral micro-biome in health and disease”, was published online on 13 September in the Cell Host & Microbe journal.

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