The Dental Technician Magazine September 2018 by The Dental Technician Magazine

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VO L 7 1 N O. 9 I S E P T E M B E R 2 0 1 8 I B Y S U B S C R I P T I O N

VERIFIABLE CPD FOR THE WHOLE DENTAL TEAM

ECPD CHANGES TO ECPD CAME INTO EFFECT AUGUST 1ST THIS YEAR

ARE YOU UP TO SPEED?

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DENTAL TECHNICIANS DRIVING DANGEROUSLY IN WW2 BY TONY LANDON PAGE 24 - 25

BEYOND THE COLLECTION TIN UNLOCKING THE VALUE OF CORPORATE SOCIAL RESPONSIBILITY (CSR) PAGE 14 - 15

YO BY UR R S A EC UB C O S SE OL MM CR E LE EN IPT PA A D IO G GU IN N E E G 3

VITA ENAMIC HOW HYBRID CERAMICS MAKE ECONOMIC SUCCESS A POSSIBLE PAGE 10 - 11

Inside this month

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CONTENTS SEPTEMBER 2018

Editor - Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. E: editor@dentaltechnician.org.uk T: 01372 897461 Designer - Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com Advertising Manager - Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602 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 Published by The Dental Technician Limited, PO Box 430, Leatherhead , KT22 2HT. T: 01372 897463 The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.

Welcome Thoughts from the Editor

Marketing Marketing Simplified by Jan Clarke

Digital Technology VITA ENAMIC GC UK Limited: GC Initial™ LiSi Press

10 - 11 17

Insight Dental opinion from Sir Paul Beresford, BDS. MP Looking back with John Windibank FOA Dental Technicians Driving Dangerously in WW2 by Tony Landon

12 16 - 17 24 - 25

Business Beyond the collection tin – unlocking the value of Corporate Social Responsibility (CSR) by Mark Topley

14 - 15

Dental News ECPD began on August 1st 2018 - Are you up to speed? Dental Tribune news: Ancient amphibians had a mouthful of teeth Fill the space to help prevent Peri-implantitis

19 - 23 30 30

Company News

No part of this publication may be reproduced in any form without the express permission of the editor or the publisher.

Acteon Group / Kemdent / Shofu BLOCK HC

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

Free Verifiable CPD & CPD questions

Extend your subscription by recommending a colleague

CPD

Classifieds

28 - 29 31

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.

P. 24-25

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THOUGHTS FROM THE EDITOR

WELCOME to your magazine THE FIGURES SAY THERE IS A BRIGHT FUTURE FOR US WITH DIGITAL DENTISTRY l Its difficult to realise that autumn is here already. But it’s been a reasonable year for frolicking but not nearly so good for farming. I am sure the effects will be seen throughout the coming 12 months with the food price increases, which are inevitable. If any of you are going to the BDIA I will probably see you there. I will be looking at the stands and probably trying to find an interesting topic to sit in on at the lecture theatres. I do hope you have now all gotten used to the new demands of the ECPD, which began on August 1st. I have included a refresher of the requirements in this months magazine. Make sure you set yourself up to a regular routine to fill in and acquire your necessary number of hours. We will continue to create 4 Hours per issue within these pages. I do hope you enjoyed the small mention of the dental nurses conference and the profiles. There is a positive move within the ranks of the various DCP groups to try to realise the team philosophy on a broader basis and getting to know a bit more about each other is to me certainly a step in the right direction. As many of you as possible should try to get to the First Dental Professionals Conference in Nottingham on Friday 14th and Saturday 15th September, at the Park Plaza Hotel. Put together by the OTA, the DTA, SBDN and FUTURE LAB.

This is a real occasion to mix and listen to our working colleagues in the nursing and clinical field. With an interesting list of speakers, offering their take on topics of current interest to us all. Technical, clinical and financial as well as tips on ECPD and record keeping and digital dentistry. Two days in a very attractive city, with time to chat and learn useful tips to solve some of your everyday challenges. Chaired by the very able Andre Johnson who was very involved in the bringing together the various interests of CDTs. There is an informal start on Thursday 13th at “YE OLD JERUSALEM” purported to be the oldest Inn in England. For just £40 you can have a Social a meal and meet with some very interesting company. You can pick up 10 Hours of CPD for attending the two days. I am still looking for your interesting cases or tips which can be included in your magazine. While there does seem to be a great deal of technical talent appearing from all corners of the nation I am finding it difficult to get you to submit your pictures and your cases to the Technician. All the cases that are featured within the magazine are of interest and a great source of knowledge for those not so lucky as to be having a choice on the work they are doing. The learning potential is tremendous, so please think about sending in your pictures. I am happy to write up from your own write up or if you prefer send a voice recording. The magazine cannot continue to be, if you don't contribute towards its continued interest. Some of you guys are photographing all the time so you must have a few cases to show off. I am no longer producing cases so I do need your support. While I have mentioned it in the magazine earlier do remember to fill in the market research form from Andy Foster and Marshall Hunt recruitment. It’s totally anonymous and is aiming at nationwide response. You know it will help enormously with understanding the area differences and to addressing any low paid comparisons.

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An up to date market research from Market Research Engine shows a predicted growth in the Digital Dental Laboratory market of 6% on going. They are predicting a global market of £33.4 Billion by 2024. They see this as a response to the increase in the aging population and there probable demands for restorations. The number of people 65 years and over is predicted, by the World Health Organisation, to increase from 524 million in 2010 to 1-5 Billion by 2050. They also see a greater degree of inter activity between laboratory and clinic as the need for dealing with caries and other oral diseases grows. The suggestion is the laboratory services will be required to deal with the restorative needs. So any prediction of doom and gloom should be put to one side and all technicians should grasp the opportunity to be involved with the modern techniques and understand their potential value. The practicality is that the clinicians will not have time to become part time technicians and may even need an increase in the technical support. Yes of course we will need better education, which definitely need to be addressed but we should also be involved in the process of ensuring our staff, are being prepared for the changes and the opportunities that will certainly come. There are certainly very many opportunities to learn and see the options available so make an effort and get along to the BDIA in October but particularly the DTS Dental Conference coming later, in the spring of next year. There are also lots and lots of the companies who have invested heavily in Digital processes and materials offering opportunities to attend free, or relatively inexpensive courses on their materials and equipment. I do sincerely believe the future generations of Dental Technicians will have the opportunity to live and work in much better conditions and can demand a better return for their investment. The future is bright, you just have to work at and earn it.

Larry Browne, Editor

MARKETING SIMPLIFIED JAN CLARKE BDS FDSRCPS MARKETING

l 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 and heads up the Social Media Academy at Rose & Co.

Web: www.roseand.co Email: jan@roseand.co Facebook: Jan ClarkeTaplin Twitter: @JanetLClarke Instagram: janlclarkeacademy LinkedIn: Jan Clarke BDS FDSRCPS

Is it time to reflect on your own marketing activities?

We are well into 2018 now and about to start the last quarter of the year. It is, therefore, a great time to reassess your marketing activity so far and start to consider the activities you want to take into 2019 and beyond. At this stage you should be able to see your financials quite accurately. Which were your best months, which months bombed, and get a good idea on the business as a whole. You don’t have a full year of information but it’s certainly worth considering all these points so that by the end of the year you can confidently plan your marketing activity for 2019. Marketers like to talk about ROI or Return On Investment and now is a good time to assess this so far. Let’s look at some areas you may have been marketing in. WEBSITE Your Google analytics account will allow you to receive some fairly detailed information on your website. • How many visitors you have had • Where the visitors originated – organic search, social media etc • Which pages were accessed • How long visitors stayed and particularly the “Bounce Rate” When assessing your ROI for new client enquiries you will need to know: 1. Your actual spend on your website 2. How many new clients came to you from the website 1 is fairly easy to calculate but 2 is more difficult. If you have a fairly proactive receptionist/ new business administrator then they will be asking every new client how did they find you. If you don’t already do this it is a good idea to start implementing. Often it can be quite difficult to confirm how a client found you, they may have seen your social media posts and then checked out your website or perhaps a friend mentioned you and then they checked out the website. These enquiries would be marked as Social Media and Referral not Website. If, when calculating your ROI, it doesn’t look too healthy don’t worry, this is only part of the picture and why it doesn’t always pay just to look at ROI.

If you did your calculations and it looked like you had no ROI for new enquiries, what might you do? Well certainly you are unlikely to consider not having a website as this is now considered an essential marketing tool, however, you may realise it needs a refresh with perhaps a focus on attracting new clients. Decide on new activities for 2019. Perhaps it’s finally time to consider the blog aspect to your website or electronic transfer of data? Also look at SEO, search engine optimisation. Is your website being found and where does it appear in a google search? Whilst SEO may seem a “Dark Art” there are plenty of essentials you can put into place that will help your website immensely without a big spend. • Putting a blog into place with regularly updated content • Using social media to drive traffic to your website • Reviewing the content of your website and ensuring it is written well and with enough key words to keep Google happy! SOCIAL MEDIA If your website hasn’t been too proactive on attracting new patients it is highly likely your social media hasn’t been either. • Are you on the right channels to attract your ideal client? • Number of followers? • What is your engagement like? • What is the competition doing and what are there numbers compared to you? When considering a refresh of your social media strategy, remember to factor in your website and attempt to drive traffic to your website via social media. We know that potential clients who arrive at your website from a social media link are much more likely to stay awhile and browse through your website, hence your “Bounce Rate” will be lower. TRADITIONAL MEDIA You will also, by now, be able to assess your spend on your printed material and also be able to reflect on client feedback and problems that may have turned up during the year. Whilst you need Lab Forms and prescription templates perhaps it’s time to consider if the spend is too much? Is there a way to reduce these costs? How about clients downloading forms and printing out from your website or electronic submission of data? These all have

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GDPR implications, however they are possible, especially if you are considering website changes. It’s also worth thinking about how you distribute your printed material and to be a little more streamlined so it’s not wasted. If you post out glossy, expensive, brochures to potential new clients and you have no follow up then it is highly likely that you will be wasting your money. It’s much better to hand over a brochure to a dentist in person and explain the services you can offer. Yes, it can be difficult to speak to dentists and get past the receptionist but if you can have that human contact they will be much more likely to use your services and start a professional relationship with you. YOUR TEAM You may not think of your team in marketing terms or as return on investment but certainly all your team are definitely responsible for marketing. A good job carried out by your dental technician and delivered for a patient will improve your reputation and hence your likelihood to accept new clients. This doesn’t just stop with the providers of your technical work, it extends to the whole team. • Your delivery personnel – are they timely and pleasant? Many of the delivery drivers will get to know the practice personnel really well and a friendly, personable worker will more than likely attract more work than one who isn’t. • How friendly are your receptionists? How accommodating are they and do they manage and solve problems or just create them? A client who feels you provide exceptional customer service in all aspects of your care will be much more likely to recommend your services to his friends. • How do you assess the quality of your technical work leaving your business? Have you total confidence in your quality assurance system? If not, perhaps it’s time for an overhaul. These are some of the areas that you could start to look at before the last quarter is finished. By understanding these activities and analysing them with a marketing mindset you can be confident that when 2019 comes along you will be ready with your new plan and will hit the ground running. As ever I am here to help with any of these issues so do email or connect online with me, I look forward to meeting some of you in cyberspace!

VITA ENAMIC redefines load capacity.* ®

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VITA – perfect match.

Small crown, big impact: with the hybrid ceramic VITA ENAMIC, single tooth restorations can be produced more economically

DIGITAL TECHNOLOGY

VITA ENAMIC CAN SERVE AS AN ECONOMIC STIMULANT IN THE DENTAL TECHNOLOGY LABORATORY How hybrid ceramics make economic success a possible SOURCE: ZWL ZAHNTECHNIK WIRTSCHAFT LABOR 2 / 2017, OEMUS MEDIA AG, GERMANY

hat good is the most beautiful restoration if it is not economical? For dental technician and laboratory manager Benjamin Schick, craftsmanship and artistry form the basis of success for a dental laboratory. However, he also advocates for never losing sight of the economic aspects. For this reason, after completing his training as a dental technician, he pursued a degree in business administration before taking over and economically reorganizing his parents' dental laboratory four years ago. The reorganization established a new digital workflow. In this interview, Schick talks about his experiences with the hybrid ceramic VITA ENAMIC and its economic impact.

You have always attached an importance to the economic aspects of your practice and your supply concepts. How have you reacted to the market here? As an entrepreneur, you always have to keep an eye on the market. And I do not see a dental laboratory solely as a workshop. For me, the economy of every supply concept must be very clearly identified. When profitability is ensured, then there is more opportunity for creativity. Due to its economic efficiency, the market is demanding more and more monolithic restorations in the posterior region. However, the manually fabricated nonprecious solid crown can no longer compete

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with CAD/CAM-based monolithic restorations. The production chain with waxing-up, casting and finishing is simply too time-consuming and material-intensive. The hybrid ceramic VITA ENAMIC has been developed into a top monolithic product in your laboratory. Why is this innovative material so interesting for a dental laboratory? The development plan for hybrid ceramics is simply unique, because composite and ceramic have never been combined. In this case, a porous sintered, compact block made of a fine-structure feldspar ceramic is infiltrated with a polymer. The dominating ceramic network provides the necessary stability

and esthetics, while the meshing polymer network provides ruggedness and dentinelike flexibility. This has many advantages for technicians, dentists and patients. With VITA ENAMIC, we have become very efficient in the laboratory. The economic secret of the material lies in its innovative design.

You have a laboratory with several technicians. Why is the hybrid ceramic VITA ENAMIC valued so much by your employees? The grinding times in the machine are significantly reduced compared to glass ceramics or metal. The thin minimum layer thicknesses open up prosthetic scope. VITA ENAMIC is a very robust material with high edge stability which can be easily handled by all employees. This is important for a smooth process.

firing with veneering ceramic. So I always know if I'm on the right track. In the case of ceramic layering, the real change can only be seen after each individual, intermediate firing. With VITA ENAMIC, such versatile restorations are possible, from the inexpensive monochromatic crown to the highly esthetic solution. The hybrid ceramic has become my favorite material for single tooth restorations in the posterior region.

Morphological corrections must be made after clinical try-in, as needed. What options does VITA ENAMIC offer here? Here, too, we have become significantly more flexible. Reworking and corrections can be carried out very easily with the composite veneering material VITA VM LC flow. All I need is a common lightcuring device. The material surface can be conditioned with hydrofluoric acid gel and silane, then the layering can take place. Intermediate curing with the polymerization lamp allows me to maintain control. The dimensional stability is convenient when layering with the flowing composite in contrast to the shrinkage of veneering ceramic. If I need to reinforce a contact point, I just work in a more detailed manner.

VITAÂŽ and other VITA products mentioned are registered trademarks of VITA Zahnfabrik H. Rauter GmbH & Co. KG, Bad SĂ¤ckingen, Germany.

DIGITAL TECHNOLOGY

Have your processes changed since the introduction of VITA ENAMIC in your dental laboratory? What are the advantages of the new VITA ENAMIC work processes? The monolithic single tooth restorations from the hybrid ceramic are very high quality, esthetic and more economical to manufacture, compared to other ceramic CAD/CAM materials. I no longer need a furnace. So I save all the sintering time compared to zirconia or a layered crown on a coping. By eliminating individualization firings, we have become much faster and more flexible. Once the crown has been ground, the only thing left to do is to polish it. Unfortunately, many dental technicians and dentists still do not understand how to use VITA ENAMIC as a full-fledged ceramic. For me, the material has been a real asset in my practice and very close to the gold standard.

Finishing and polishing are much easier by hand than with non-precious alloys, zirconia or glass ceramic. This protects the tools and reduces the time required. The crack-stop function of the interacting polymer network eliminates the danger of producing dangerous micro-cracks during manual processing. The regeneration firing can also be eliminated. You just have to be careful not to overheat the material during processing.

What about esthetic corrections or highly esthetic individualizations? Can VITA ENAMIC keep up with ceramic layer concepts here? VITA VM LC flow, with its characterization options, works comparably to the ceramic VITA VM veneering concept. Because of this, there are no limits to the esthetic layering. However, when layering with VITA VM LC flow, I already see the shade gradient during the work, in contrast to the correction

Dental technician Benjamin Schick explains how he can work rapidly and flexibly with VITA ENAMIC

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DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP INSIGHT

GENERAL DENTAL COUNCIL - YET AGAIN!

ave you looked at the new Enhanced CPD rules? If not, pause here, get 2 glasses filled with ice and your favourite beverages. One with a non-alcoholic beverage to drink as you read what is to follow and the second alcoholic, if you are allowed, to calm you when you have read to the end and even more frighteningly looked on the GDC ECPD site. In local Government and even more so in Government the word “review” was the bureaucrats delight especially if it was a review of regulations applied by them to others. Inevitably these changes required the others to undertake more. It always gave me delight when a review could achieve the aim of the regulation but be less burdensome. Rare but it did happen. To my amazement the CQC in its early days had a rethink and as far as dentistry was concerned at least it became more understanding and concentrated its efforts on the most important areas. Not so the General Dental Council One doesn’t have to have a long memory to recall the huge jump in fees a few years ago. But we were all wooed with a sneaky rumour that the last fee change would be a drop through efficiencies. Perhaps I dreamt that, as it didn’t happen. The reason is the GDC have changed the game. It crept up on me and I guess many others. Some of you will remember at school having to write essays and mini commentaries after school visits. It is the same for the dental professionals. You trot off to your CPD course or conference which often cost oodles for the course, the travel, the hotel, the meals and of course the loss of earnings. Still it is almost always worth the effort as most of us come back with new ideas and new techniques. Even if the trip means you learn nothing new

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

but that you are doing your dentistry the right way it is a good thing. You have your attendance certificate and in a spare moment you go on line and after a struggle and a reminder to recollect your password to enter the details against your name on the GDC files. Job done? Not any longer. That would be too friendly to the registrants. Firstly, the hours of registered CPD over the 5-year period has gone up for all except dental nurses and technicians where it remains at 50 hours. Hygienists and clinical technicians it jumped from 50 to 75 hours and for dentists gallops up to 100 hours. You can’t do the hours all in one go as a few were. Leave it to a big rush at the end. You must put in an annual declaration. A minimum requirement is 10 hours over any two consecutive years. Brace yourself - it gets worse! I have borrowed the BDA explanation as set out below. You will need to keep a formal log of the CPD you have done. It should list the date, title and number of hours done; it will also have to say which of the four formal GDC learning outcomes it relates to. These outcomes are defined by the GDC and cover: A - Communication. This relates to effective communication with patients, team members and others such as NHS officials, suppliers or academics. It might include consent, dealing with complaints or whistleblowing B - Management. This covers how you manage your own work and your interaction with colleagues whether as a team leader or team member. Learning should focus on how management can be effective, constructive and put the interests of patients first. C - Knowledge. Ensuring that you maintain and develop your knowledge and related skills within your field of practice

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. l Councillor including Leader of Wandsworth Council moving to the

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D – Skills. Maintaining your skills and how you show this to patients so that they have confidence in your work and the profession at large. Your log will have to list the relevant letter or letters for the outcome A-D that your CPD covered. Personal development plan The use of the personal development plan (PDP) is now a formal, mandatory requirement. PDPs are intended allow you to plan what you want to cover in your CPD in a more formal way and to allow you to reflect on what you have learned (see the next point). As part of the renewal process, each registrant will make a formal declaration that they are using a PDP, though there will be no requirement to send in the PDP as part of registration renewal. It may however, be required for audit purposes at some stage. Reflection You will be asked to reflect on what you have learned through your CPD activities. This will include how, if at all, you have changed your practice as a result. The GDC, however, does not intend to be prescriptive on how you reflect upon your CPD or indeed how it is recorded. Further guidance is available on the GDC's website. This means every year 1/5 of registrants will have their little essays checked by someone at the GDC with the prospect that you may get a note explaining you are not getting your certificate to continue because they do not like you prose. Remember that English teacher you could not stand? You will contemplate explaining where you think they should go and decide if you want to retire, change profession or do a rewrite. I understand the Government has a draft paper on professional registration bodies such as the GDC and GMC. This is rumoured to greatly reduce the size or even remove the GDC. If this is true watch this space to see if it means the burden on us all can be reduced. I may even pray!

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.

MARK TOPLEY SETS OUT THE CASE FOR JOINING THE MOVEMENT OF BUSINESSES, SMALL AND LARGE ACROSS THE GLOBE WHO ARE TAKING CSR SERIOUSLY – AND REAPING THE BENEFITS BUSINESS

BEYOND THE COLLECTION TIN – UNLOCKING THE VALUE OF CORPORATE SOCIAL RESPONSIBILITY (CSR)

n the interests of transparency, I’ll admit that I have been an advocate for a structured approach to CSR for many years. As the CEO of Bridge2Aid, I worked with businesses in the UK, East Africa and Australia to help deliver aspects of their CSR, and I saw first hand the impact that a well structured and thought through approach to CSR can have on a business – the team, the brand, the customers, and good causes. But I was taken aback in January this year when Laurence Fink, the Founder and Chairman of Blackrock – a firm with $6 trillion of funds invested – wrote to the CEOs and senior executives of the world’s largest companies with a clear message – do social good, or risk losing our support. That a man in Fink’s sector (let’s face it – an investment firms raison d’être is to generate a return) should come out with such a statement is partly driven by good values (one of my clients used to work with Fink – and Blackrock is a value-driven organisation), but it also recognises what I and many others have been convinced of for years – that CSR is good for business. It’s a win-win all round. But it’s also a term that most people have heard, but few truly understand. “Joe Bhat is one of the dentists who have been committed to charity work for some time who are now bringing those values into their business through CSR”

Straumann Charity Bike Ride: CSR

WHAT IS CSR? CSR speaks to who your company is, what it believes, and how it does business. What you ‘do’ as part of your CSR flows from your values as a business and how you see your role, influence, your responsibility as part of your community and society. It affects how you engage with your local and wider community and good causes - playing your role as a good corporate citizen. It involves making choices to limit your environmental footprint. It means acting honestly and with integrity as a business

- going beyond mere compliance. And it guides how your lead and treat your team. If it's done well and with commitment, it creates heart and energy at the centre of the business. “Companies like Straumann, recognise the value to the business of organising fundraising challenges, and generate significant funds for good causes.” WHY IS IT IMPORTANT? Fink’s letter also acknowledges that consumers and staff are increasingly judging business and other organisations at a standard beyond profit. And that matters if we want people to trust us, and demonstrate another crucial aspect of doing business today - authenticity. There is a strong evidence base for this. Whether you employ people looking for meaning and purpose in their work, or whether you are looking for customers who are increasingly savvy about organisations doing good - it’s going to impact you. The evidence shows that when an organisation embraces structured CSR: l 93% of consumers will have a more positive image of a company l 90% will be more likely to trust them l 88% of consumers now expect businesses they buy from to create social and environmental benefit as an integral part of their business strategy

Mark with Joe Bhat, a committed charity fund raiser

Employees are typically 65% more engaged in Socially Responsible organisations - they weather

more change, advocate for the organisation, and contribute more. According to Microsoft, engaged employees are 147% more productive.

like their work makes a difference, and giving people a sense of purpose through work is powerful, as well as creating huge impact for good causes. One of the main drivers for me in setting up The CSR Coach was to demystify CSR for businesses and create a structured approach that would make the benefits for team, brand, environment and good causes available in a time and cost effective approach. There are some key things to bear in mind.

Evidence shows that having a good CSR strategy will: l Reduce staff turnover (by up to 50%), and increase loyalty and engagement l Build customer loyalty, your reputation and sales (increase of up to 20%) l Reduce the impact of the business on the environment l Demonstrably impact good causes far more effectively

KEYS TO SUCCESS Fit – Businesses that choose causes and community work that fits with their sector and make sense to their stakeholders, gain the most value from CSR. l Commit – You need to commit wholeheartedly to CSR. It’s ‘Go big or go home’! l Manage – When it’s done well, CSR is like any other value creating asset in your business. And as such, you need to manage it effectively. l Connect – You must connect your team and l

And it feels great to do! Everyone wants to feel

THE FUTURE OF CSR CSR will be something that you need to get right more and more as other businesses adopt strong CSR strategies and consumers demand proof, that you’re a good corporate citizen. Creating a strategy is straightforward, and you can read more about it on my website and access a range of free resources there, and on my Facebook page. Working through the process will enable you to create more loyalty and inspire your team and your customers, boost your brand, and raise money for causes that matter to you and your community. l Mark Topley helps dental practices and businesses to unlock the added value of a structured approach to Corporate Social Responsibility. He writes at marktopley.co.uk, and provides free articles and advice on his Facebook page: facebook.com/toppernator, Twitter @Mark_Topley Tel: 07462 550531 Web: www.TheCSRCoach.uk

MARK TOPLEY has almost 25 years experience working with business and charities, 13 of those in the dental sector. Until October 2017 he was CEO of Bridge2Aid, which during his tenure grew to be one of the foremost UK dental charities. Mark’s strategic and visionary skills, combined with his passion for excellence and making a difference are now combined in his business: theCSRCoach.uk

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BUSINESS

WHAT ABOUT OUR SECTOR? The thing that we mustn’t miss in all this is that CSR is increasingly relevant to all businesses, from global multi-nationals, to SMEs, Labs, and independent dental practices. All the evidence, both empirical and anecdotal, shows that it has a strong impact on your team, your customers, and your reputation.

your other stakeholders to what you’re trying to do.

LOOKING BACK JOHN WINDIBANK FOA INSIGHT

MEMORIES OF AN OLD CODGER 16 EDUCATION, EDUCATION, EDUCATION

he title of this memory is of course taken from one of Tony Blair’s election slogans, but back in 1979 Margaret Thatcher was the new prime minister. At her first budget the chancellor announced that billions of pounds of public expenditure cuts were to be made. Gold and silver prices doubled and unemployment figures started rising and silver working labs in London closed. There were political assassinations by the IRA and strikes were at their highest since 1926 the year of the general strike. This era saw a massive upheaval of training and education which also included dental technicians, but I have not attempted to report the mountain of information and complex negotiations that emanated from the discussions that went on at the time. Here are just some of my selected memories of moments of that time as I remember them. I had been chairman of Central Council (CC) for two years but was feeling uncomfortable in the job as most of the questions and criticism seemed to be coming my way and to my eyes a chairman should be an impartial member keeping a balance at meetings. Harry Thompson from Slough took over from me as chairman and on and off he was chairman for 10 years. I switched to being the Education Secretary for the next 18 years and as Brian Conroy CBE once said, "education is tiger country" and he wasn't far wrong. Massive amounts of changes for us were imminent and groups and sub groups of sub groups mushroomed everywhere and I seemed to be involved for a period with most of them. I have had a look into my files of the time, to remind myself of the chronology of it all and here are, this old codger’s memories of some the events as I saw them. I was appointed to the City and Guilds(C&G), Dental Technicians Advisory Committee in 1975 representing the union Amalgamated Union of Engineering Workers / Technical and Scientific Staff (AUEW/ TASS). The C&G examinations for us would be phased out in 1982 but for a while I had access to their annual reports, comments and results. The prevailing mood of the committee was that examinations should be tough, with no compromise for difficult working conditions and to get a qualification students were expected to be better than good. The examinations were indeed tough with an 18 hr practical

from dentistry but it’s a nice thought and yes we were proved right.

CENTRAL COUNCIL MEETING CC 1980 (L TO R): H Thompson Chairman, M Thompson Secretary, D Annis Treasurer, P Buttler Registar, Rod Snape Health & Satety

examination under supervised conditions usually in a college laboratory. Two three hour papers on practice and material sciences and in the early years until about 1960 they also included a viva. Pass levels were horrendously low with an average pass rate of about 70% and for advanced courses approximately 65%, imagine those pass rates today, if OFSTED had existed then they would be having a seizure. In 1980 the first Nuffield report on Dentistry was published and the one thing that sticks in my mind is that Dental Technicians were described as auxiliary to dentistry, well I wasn't happy about that, implying that we were a tacked-on bit of hired help. Dental technology with its ancient history deserved better than that and I fired off a letter to Nuffield. The letter stated that dental technicians have always been part of Dentistry and essential for the rehabilitation and treatment of patients. Dental Technicians I asserted were not auxiliary, but a profession complimentary to dentistry. I never received a reply to my letter but Central Council (CC) approved my approach and from that time on we described ourselves as a profession complimentary to dentistry. Some things once they are released, take on a momentum of their own and one of CC most dynamic chairman, Ian Mcleod CBE in meetings with the Dental Auxiliaries Review Group(DARG) explained our position as a complimentary profession and eventually the DARG also became Professions Complimentary to Dentistry. Finishing this particular story, as legislation took hold in the NHS, the medical technical groups who were professions supplementary to medicine, also became complimentary professions, to medicine. Now I have no evidence that the medical groups took a leaf

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The second Nuffield Report published in 1993, made recommendations concerning Dental Technicians and CC had talks with various groups, including Mrs Seaward of the British Dental Association. Discussing our submissions for training centres and our proposal that there was a place for graduate dental technologist, I remember her surprise, but she conceded that there may be a place for a few and she stressed a few places for graduate technicians. In 1978 I was appointed as Dental Technologies representative for the NHS Training Authority(NHSTA) and at the time I was surprised at my appointment, but looking back, my involvement with C&G, Central and Whitley Council, OTA and my teaching experience, had made a very good case for my appointment. Following my appointment, I wrote to every dental technology grouping I could think of but I only received one reply from Dr Huggett representing the Society of University Dental Instructors. The group I was in at the NHSTA included Biochemistry, Dentistry, Medical Laboratory Scientific Officers, Photography, Physics, Pharmacy, Radiography, etc. and some groups such as Orthotists and Animal Technicians were unable to provide a nominee. When we arrived for the first meeting we were fed with a patter that they had been given this difficult task to do and then we were bombarded with questionnaires that had to be answered in a strict format. It wasn't a surprise to me that this was yet another public group that knew nothing about those they had to administer, but fair play they wanted to find out about us. I doggedly worked my way through their many questions that asked about our grading structures, registration, training, type of students we were, what foreign qualifications were acceptable, the curriculum, examining bodies, the numbers in training and the rest. Any questions they wanted to know were channelled through us and it took years of complaints from us before they formulated a process for us to submit ideas, for programs that were needed for the many groups involved. Looking back as I do, we were never intended to be more than their unpaid help and I had

Central Council with its evidence to Nuffield, had proposed centres of excellence for the training and education of hospital

JOHN WINDIBANK FOTA

technicians, but we needed a survey to know the numbers in training, where they were, how this was funded and I thought that channelled through the training authority there would be money and clout behind the proposal. Sadly, the hopes and expectations of CC were unfulfilled and we only had one reply from the NHSTA which passed the buck to the National Vocational Qualification, as recommended in the second Nuffield Report. The survey however was undertaken by Central Council in 1992 with a very good response from the hospitals involved and following its publication I had my last conversation with Dr Robin Huggett. Robin

Dental Technology Representative on the National Health Service Training Advisory Board l Member of the City and Guilds Dental Advisory Board l Member BTEC Dental Technology Higher Awards Advisory Board l Member DTETAB Representing MSF l Teacher of Orthodontics at Maidstone & Medway Technical College. l

Senior Chief Technician at West Hill Hospital, Dartford, Kent. l Represents OTA at CCHADT & Regional Delegate l

PASSED POSTS: Member of the first steering committee that founded the OTA. l Founder Member of the CCHADT l Member of the Whitley Council and Committees for 15 years. l

amongst other things, was involved with the setting up of the National Health Service Training Authority (NHSTA now DTA) and he wanted me to explain some of my conclusions. Robin was not his old self and he had a problem with what I was trying to tell him and he apologised for being so slow. It was a great sadness for me when later I read that Robin had died, a great loss to the profession, science and dentistry. I will have more to say on our meetings later and my brief involvement with DTETAB. REFERENCE: Nuffield Reports: NHSTA Papers: C&G Papers: CC Papers: WEB: NUGSAT papers

Vice Chairman OTA Chairman CCHADT l Education Officer l Minutes Secretary l First Treasurer l Member of SLC Dental Advisory Committee l l

HONOURS: Fellow of the OTA l AE Dennison Award for services to Dental Technology l

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INSIGHT

such hopes that we could progress some of our cherished aims for improving the education training and funding for Dental Technology. The NHSTA was disbanded in 1991 but a few years before this, we were allowed to submit ideas for funded projects that met with their approval and I eagerly set about meeting their carefully formatted criteria for the submission of projects. The grounds for the project, the outcomes, the time, cost and questions it seemed to me, that could only be answered after the project was completed.

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DENTAL NEWS

ECPD BEGAN ON AUGUST 1ST 2018

ARE YOU UP TO SPEED? The rules and requirements for ECPD, which came into effect on August 1st this year were published in a earlier issue (March) of the Dental Technician. The hope is you are fully informed and ready to continue your career and able to provide what the regulator wishes. The changes are not too onerous but you need to create a regular routine around the requirements and not miss out. Below I have re-published your guidelines and requirements but I would be happy to hear from any of you, or your colleagues who are finding the process difficult. Write, phone or email any questions to me at the Dental Technician: Larry Browne, Editor. Email: editor@dentaltechnician.org.uk Tel: 020 7403 4656. Mob. 07941 061668. I will be happy to answer your questions.

ECPD - TYPES OF ACTIVITY THAT CAN BE INCLUDED

Continuing professional development (CPD) describes the variety of activities that you can do to maintain and build your skills and knowledge in your field of practice. Whilst you may find that non-verifiable CPD is beneficial to your learning needs, you only need to declare your verifiable CPD to the GDC. Please refer to section 5.3 on the evidence required to show that your activity is verifiable. Examples of types of verifiable CPD may include (but are not exclusive to): • Courses and lectures; • Training days; • Hands-on clinical training or workshops; • Clinical audit; • Attending conferences; • E-learning activity The GDC recommends that you carry out a diverse range of activities, with an emphasis on opportunities for discussions and interactive learning with fellow professionals.

Changes to ECPD due to affect all registered Technicians came into effect August 1ST this year.

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DENTAL NEWS

EPCD continued from page 19

RECORD PLAN DO REFLECT You must do at least 10 hours in any 2 year period PLANNING CPD FOR YOUR FIELD OF PRACTICE • The CPD rules state that you must choose CPD that includes activities relevant to each field of practice you work in during your CPD cycle. • Your CPD may support you to maintain current skills, or develop new skills within your current or future field of practice. • Your field of practice encompasses a variety of aspects about your work as a professional beyond just your scope of practice. You should consider the regular skills, practice and professional roles that you undertake. • If you work in a specialist practice or laboratory, have a professionally focused area of work, or have educational roles, this should be reflected in your CPD planning and activity; REFLECTION • The aim of reflection is for you to think about the outcomes of your CPD activity, focusing on what you have learned from the activity and how this influences your daily practice and duties. • The enhanced CPD scheme is not prescriptive about how you reflect, or how you record that reflection has taken place. • For example, you might like to reflect on your CPD and PDP at the end of each year, by writing a summary of your reflections. THE GDC'S RECOMMENDED TOPICS • To help and support you in your CPD choices, the GDC has identified some CPD topics that will relate to many dental professionals in their field of practice. These are highly recommended to do as part of the minimum verifiable CPD requirement: • Medical Emergencies: at least 10 hours in every CPD cycle –and we recommend that you do at least two hours of CPD in this every year; • Disinfection and Decontamination: we recommend that you do at least five hours in every CPD cycle; and • Radiography and radiation protection: we recommend that you do at least five hours in every CPD cycle. This applies only to those who undertake radiography.

• We make these recommendations because we believe regularly keeping up to date in these topics contributes to patient safety TYPES OF ACTIVITY THAT CAN BE INCLUDED:

If you are a dental technician you can do CPD in materials and equipment instead of radiography and radiation protection: at least five hours in every CPD cycle. We also recommend that you keep up to date by doing CPD in the following areas: • Legal and ethical issues; • Complaints handling; • Oral Cancer: Early detection; • Safeguarding children and young people; and • Safeguarding vulnerable adults.

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• Whilst you may find that non-verifiable CPD is beneficial to your learning needs, you only need to declare your verifiable CPD to the GDC • Examples of types of verifiable CPD may include (but are not exclusive to): - Courses and lectures; - Training days; - Hands-on training or workshops; - Clinical audit; - Attending conferences; - E-learning activity. The GDC recommends that you carry out a diverse range of activities, with an emphasis on opportunities for discussions and your annual CPD statement.

DENTAL NEWS

YOUR ANNUAL CPD STATEMENT INCLUDES : • A declaration of the number of hours of CPD you have completed during your CPD year or, if you have not completed any hours in that year, then confirmation that you have completed zero hours; • A declaration that you have kept a CPD record; • A declaration that you have a plan (PDP) in place; • A declaration that the CPD you have completed and recorded is relevant to your current or intended field of practice; • A declaration that your statement is full and accurate. • You can make your statement up to 28 days after your CPD year has ended. YOUR END OF CYCLE STATEMENT • A declaration of the total number of hours of CPD you have undertaken in your five year cycle; • A declaration that you have kept a CPD record; • A declaration that you have kept a plan (PDP); • A declaration that the CPD you have completed and recorded is relevant to your current or intended field of practice; • A declaration that, your statement is full and accurate. TRANSITIONAL ARRANGEMENTS Prior to 1 January 2022 for dentists and 1 August 2022 for DCPs and depending on where you are in your cycle, you may have to complete CPD based on both the 2008 CPD scheme and enhanced CPD scheme to be compliant at the end of your cycle. A pro-rata approach will be applied, taking into account the requirements of the old and new scheme. After you renew your registration for 2018, you will be able to log onto eGDC where an individual calculation has been done for each dental professional to show you what your specific requirements are over the transition period. For a general idea of how the transition period works, please use our online transition tool. Once your current cycle ends, you will start the next cycle on the enhanced CPD scheme only. YOUR CYCLE PERIOD https://gdc.onlinesurveys.ac.uk/ecpdtool PERSONAL DEVELOPMENT PLAN (PDP) For the GDC, your PDP must include: 1) The CPD you plan to undertake during your cycle, which must include CPD that is relevant to your current or intended field(s) of practice; 2) The anticipated development outcomes that will link to each activity; 3) The timeframes in which you expect to complete your CPD over your cycle. You might find that your field of practice or learning needs change, and so you should adjust your plan and activity accordingly.

The GDC encourages you to review your plan annually as it relates to your role and daily work.

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DENTAL NEWS

EPCD continued from page 21

ACTIVITY LOG Name: Jo Bloggs Registration No. 153256 Cycle Period: Date: Hours Completed: Evidence of Verification: Evidence of Verifiable CPD: Title of Provider and Content: CPD activity: Development Outcomes: 1. How did this benefit my daily work 2. Certificate: Harley St Study Club: David Smith: Vanishing Dental Technicians: eCPD: T Levels: Outcome: 1. Understood the changing role of dental technicians and why numbers are decreasing. 2. Learned about eCPD and how I must comply with the new CPD rules. 3. Learned about 'T Levels' and discussed if they are appropriate for dental technology

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DENTAL NEWS

THE EVIDENCE REQUIRED FROM EACH ACTIVITY • As part of your CPD record you must also obtain evidence of having completed the CPD activity. • The evidence from the provider must include the following details: - The subject, learning content, aims and objectives; - The anticipated GDC development outcomes of the CPD; - The date(s) that the CPD was undertaken; - The total number of hours of CPD undertaken; - The name of the professional who has participated in the CPD activity; - That the CPD is subject to quality assurance, with the name of the person or body providing the quality assurance; - Confirmation from the provider that the information contained in it is full and accurate. • It should also include your registration number. Pictured right is an example taken from the GDC website.

PLEASE FIND LOT’S MORE INFORMATION AVAILABLE HERE:

https://gdc.onlinesurveys.ac.uk/ecpdtool

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DENTAL TECHNICIANS DRIVING DANGEROUSLY IN WW2 INSIGHT

BY TONY LANDON

he Battle of the Bulge took place during the mid-winter of 1944 – 1945 in the pine forested area of the Ardennes just cross the border of Germany into Belgium. Both battling armies had problems supplying through deep snow sufficient troops, various ammunitions, food, fuel, medical and other essential supplies to their ever changing front lines. The German’s had well prepared for their inspirational attack to split the American and Allied forces but two major factors hampered them. First they kept their essential stock piled supplies well and truly hidden under camouflage too far back, east of the Rhine River, which led to sheer difficulties of supplying their front line combatants. Secondly, even to the last year of WW2 the German army utilised horse drawn carts and waggons to transport all their essential supplies from their rail head depots to their front lines. Each of their divisions required logistical support of 500 tons per day. Their horse drawn four wheeled wagons were so slow moving through the unprecedented snow drifts. The American forces had realised, before the Battle of the Bulge, on their way to invade Germany that they had to have a secure one way traffic road system through France and Belgium to which all other traffic was banned in order to expedite trucking urgent cargoes from Cherbourg to the forward logistics base at Chartres. This whole logistics scheme was superbly improvised in a thirty six hour brain storming session by pouring over hundreds of detailed road maps that had to be laid out to form a coherent plan of an operation that had to succeed from 25th August through to the 16th November 1944.

aircraft fighters or enemy troops waiting to ambush such precious convoys.

ABOVE: A Red Ball Express Jimmie truck stuck in the mud - 1944 TOP RIGHT: Red Ball Priority Sign

southern route was assigned for returning trucks. Both these Red Ball Express road routes were closed at all times to civilian traffic. The majority of the truck drivers were not experienced long distance hauliers. The drivers had been very hastily formed from rear-echelon military personnel such as dental technicians and stretcher bearers. These truck drivers managed to deliver over 412,000 tons of ammunition, food, fuel, medical and other essential supplies in a three month period.

Each of the twenty eight Allied combat divisions fighting in Northern Europe required 750 tons of supplies, per day, to be transported into battle field areas that were strung out across Belgium, France, Holland, and Luxembourg. Six thousand trucks were swiftly impounded from every US Military Unit to constitute what was to known as the Red Ball Express. Each truck was identified by painted on large red discs, hence the adopted name, Red Ball Express.

American divisions on disembarking at French ports were immediately trucked along the Red ball Express route. Most of the soldiers were bunched up standing on the cargo beds of the designated trucks or their trailers in freezing wet weather for a total distance of 285 miles. They endured, for they all thought that in this autumn/winter of 1944 the European war was winding down and they would then be sent out to the hot humid jungles of the pacific theatre of war against the Japanese which they all dreaded. The provision of trucks had reached 11,000 towards the end of the Red Ball Express route operation where they were acknowledged for transporting 250,000 military personnel and their supplies within a week to a threatened sector.

The original signage of the red ball referred to perishables in North American freight rail wagons that needed to have the right of way to prevent spoilage. Thus the red ball sign attached to any type of transport meant that it was important and vital that it reached its destination quickly. A northern priority route was used for delivering supplies, whilst a separate designated

Unfortunately there were many serious accidents due to insufficient maintenance time allocated for each truck, lack of sleep for the sheer exhausted truck drivers, and constantly having to find replacement inexperienced personnel that could drive such trucks with little training. Night driving had to be done without headlights to avoid being spotted by enemy

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The 6x6 Jimmies as the American troops affectionately called their Red Ball Express trucks used to carry ammunition boxes twice as high as the top of the actual truck’s sides. A whole convoy would be swaying side to side as they barreled along the French country roads. Each driver had quickly learned to remove the truck’s speed governor, which sapped the overloaded vehicle of its capable power when tackling inclines and prevented their truck from maintaining a steady and much higher speed to stay in convoy. These governors weren’t thrown away they were quickly retrieved from a hiding place, slapped back into place when safety inspections were infrequently made. These overloaded Red Ball trucks took tremendous beatings. Batteries dried up, engines overheated, motors burned out due to lack of grease and oil, transmissions were overstressed, bolts came loose, and drive shafts fell off. In the first month of operation, Red Ball trucks wore out their 40,000 tyres. A round trip from picking up, to delivering the stores and returning to the coastal depots took the minimum of fifty four hours. Drivers would eat warmed up food whilst on the move their trick was to wire on their C-ration cans to their truck’s exhaust manifolds to heat up their plentiful rations. Tired drivers would occasionally forgot to retrieve their heated up canned food resulting in it exploding. Motor pool maintenance crews were justifiably angry when they raised the hoods of trucks to find contents of C-ration can baked all over the engine components. Red Ball trucks were often brought to a standstill by water in their fuel systems. Sabotage was a factor as POW’s were frequently detailed to move and pour fuel from storage cans in the loading areas whilst the trucks were being prepared for the outward journey. POWs would drag the heavy fuel cans, with caps their caps off, through snow and rain in a deliberate effort to contaminate the fuel. German prisoners of war were well aware that the Achilles’ heel of the Jimmie was water in the fuel. These Jimmie trucks were supposed to travel in convoys and be protected by out-riding patrol

There was also various Allied combat divisions so desperate for fuel cans and ammunition they would send out raiding parties to commandeer Red Ball trucks and "liberate" their supplies before the trucks reached their designated drop off depot. When the front line depot had moved on to a new location some Red Ball drivers could not find their new destination so it was not an uncommon occurrence for drivers to hawk their loads to anyone interested. US army issued cigarettes were distributed at seven packs per US soldier, per week, which could be supplemented by purchasing more at 5 cents a pack from their soldier’s equivalent of a local NAFFI stores! On the black market a pack of US cigarettes was selling at a rate of $4 per pack! Dental Technician truck drivers were transporting, every day, potential Black market fortunes! The theft of cigarettes had reached such astronomical proportions that in a one month period only 11 million out of 72 million packs

of cigarettes destined for front line US combat troops across Belgium, France, Holland and Luxembourg actually reached their destination. Convoys were supposed to always have posted guards around the trucks to prevent the warweary French and profit-minded American troops from taking anything not tied down. Those with experience of driving right up to the front lines used sand bags to line the floor of their truck’s cab to absorb mine blasts. The German forces were sending out night time infiltration patrols behind the US frontlines to plant mines and stretch wire across roadways at driver’s height. Many Red Ball trucks and escorting jeeps took to quick preventative measures by welding angle-iron bars upright to their front fender to snag the stretched wire before it decapitated the driver. These crude life saving devices were needed especially near combat areas as the drivers would hinge down their windshields to prevent a fleeting sun lit flash off their windshield glass being spotted by German forward artillery observers who would request immediate artillery fire on such convoys. The unpleasant side of being a haulier with the Red Ball Express was the return trip from forward area depots. Transporting the bodies of American and Allied soldiers killed in action was a particularly dreadful task. Red Ball drivers remember the pervasive odor of death that took days to dissipate from their truck’s cabins. Even though the truck beds were hosed down this

failed to wash away the remnants of blood and grime that had oozed between the cracks of the wooden truck beds. The Red Ball Express was successful due to the Americans understanding the strategic value of their haulage motor vehicles that already had played a critical role in the growth and development of their vast country. The sheer quantity of military material moved by unheard logistic heroes led to victory. General Eisenhower did write a grateful Order of the Day expressing is deep appreciation of an excellent job well done to all the Red Ball Express drivers and motor mechanics. The US and Allied combat troops were never short of ammunition, food, fuel or other essential supplies and their moral was frequently being restored to fight another day. REFERENCES Snow & Steel, Peter Caddick-Adams, Published in 2014, ISBN 978 1848 094284 (Page 85 is the mention of Dental Technicians). Featured Article Featuring The Red Ball Express From History Net Magazines On the Road to Victory: The Red Ball Express David P. Colley Further reading: The United States Army in World War II, Logistical Support of the Armies, by Roland G. Ruppenthal; and Overlord, by Thomas Alexander Hughes. www.redballexpress

1/2 Day: GDC Enhanced CPD and PDP Requirements for DCPs: How to comply with the new 2018 CPD changes

___________________________________________________________________________________________________________________________________________ New GDC 2018 Development Outcome Coding: A / D The GDC starts their enhanced CPD scheme in 2018 for all dental professionals and specifically for Dental Care Professionals effective from 1st August 2018. The GDC has ‘strongly advised’ all dental professionals to be familiar with the changes to CPD so as to understand their CPD obligations for maintaining registration. This seminar, delivered by a former advisor to the GDC on the quality assurance of dental education, will cover the new requirements including the requirement for dental professionals to have a personal development plan (PDP) and to align CPD activity with specific development outcomes. By the end of this seminar you know: 1.

How to use a GDC approved PDP

How to utilise an appropriate activity log

How to plan your CPD activities in accordance with the GDC’s requirements

What type of CPD activities/hours you are required to complete

This 1/2 day CPD course is designed for all dental professionals and aims to provide participants with the latest information regarding these important key changes to maintaining your GDC registration. •

19th November 2018 AM Course: Registration is at 08:45am and the course starts at 09:00am. Expected finish time is 12:00pm.

•

19th November 2018 PM Course: Registration is at 12:45pm and the course starts at 01:00pm. Expected finish time is 04:00pm.

The course takes place at LonDEC. Please see https://www.londec.co.uk/directions/ The price of this course is £75 which includes: course notes, certificate of completion from LonDEC/Kings College London, 3 hours verifiable CPD and refreshments.

Call 0207 848 4574 or email info@londec.co.uk to book your bespoke courses

For more information and pricing on all LonDEC courses please visit:

www.londec.co.uk/courses LONDEC Dent Tech Mag 2018 V1.indd 1

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INSIGHT

jeeps but when a truck became separated it could be subjected to being held up or hijacked wholesale, vehicle and all goods, at gun point as the tired drivers traversed across the recently freed European countries. It was not just groups of local criminals that were threating the truck drivers to steal their load for a black marketing profit, but professional criminals within the ranks who had established contacts with French receivers.

COMPANY NEWS

THE DENTAL TECHNICIAN MARKETPLACE ACTEON GROUP ACQUIRES PRODONT HOLLIGER w At the heart of France and a region known worldwide for its metal and in particular its blades and knives, Prodont Holliger manufactures reliable, leading-edge tools that are designed by dentist for dentists and technicians for technicians. Carried by a passionate team of skilled engineers, their unique competence knows no bounds and rigor and precision are key words in every aspect of R&D, production and delivery.

Explore the wide range of dental laboratory products from handheld instruments and discs for working with all types of materials, to the new Protorch 4, one of the most reliable and constant burners on the market, with a precise and adjustable flame and automatic piezo ignition. For more information, a product catalogue or demonstration, call Acteon UK on 01480 477307 or email info.uk@acteongroup.com

KEMDENT: THE IDEAL ACRYLIC PACKAGE, WHEN SPEED IS OF THE ESSENCE w Want to save time and still have a high quality

finish to your dentures? Try Kemdent’s Cold Cure and Heat Cure Denture Base Acrylics, ideal for the busy prosthetics laboratory. Acron Express quick dough denture base acrylic will take just 7-15 minutes to dough, so you can start packing those urgent jobs faster. The heat cure acrylic stays packable for longer (at least 30 minutes) this will allow you to process more jobs at the same time without loss of quality. The light veined shade is very popular with Kemdent customers and a very high polish can be achieved.

making it ideal choice for all repairs. Available in several shades, Simplex Rapid Repair exhibits high bond strength to existing denture acrylics of all types. Suitable for hydroflask or bench curing techniques. Cut down your time and try Kemdent’s Acron Express and Simplex Rapid and give the

patient a long lasting, life-like denture they can wear with confidence. During September receive 50% discount when you buy 1 x 1kg/500ml pack of Acron Express, only £24.48 + VAT. Call Jodie on 01793 770256 for more fantastic offers on Acrylics. Email: sales@kemdent.co.uk Website: www.kemdent.co.uk

Simplex Rapid Repair Cold Cure Acrylic is a strong, self curing denture base acrylic designed for additions, repairs and chairside relines to dentures. Simplex Rapid sets in just 20 minutes giving an exceptionally high mechanical strength and high lustre finish,

SHOFU BLOCK HC: DURABLE AND COLOUR-STABLE HYBRID CERAMICS IN TWO LAYERS AND THREE TYPES w Whether aesthetic anterior restorations or inlays, onlays and posterior crowns with high colour and surface stability: Shofu Block HC can be used for almost all indications for modern CAD/CAM technology and machined wet or dry in all standard milling units. Shofu has added two-layer blanks to its line of hy-brid ceramics and fitted blocks with universal holding pins. So Shofu Block HC, a high-performance CAD/CAM material, is now available in three types (Universal, Cerec and Ceramill) and as one and two-layer blocks. Users may choose from various high and low-translucency shades and two enamel shades, designed to reliably meet every need in the field of allceramic resto-rations.

forces. Moreover, highly aesthetic restorations can be created thanks to enamel-like light transmission and the addition of two-layer blocks featuring a smooth, natural shade transition from dentin to enamel.

The excellent physical properties of Shofu Block HC allow to make crowns and implant-supported restorations characterised by great durability and absorption of oc-clusal

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In combination with the HC Primer, which ensures very high bond strengths thanks to its unique infiltration effect, and SHOFU’s gentle polishing and luting systems, a CAD/ CAM restoration system with perfectly matched components is provided – for all modern milling units, aesthetic requirements and clinical indications. For further information, please contact Shofu UK. Call: 01732 783 580, email: sales@shofu.co.uk

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

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Payment by cheque to: The Dental Technician Magazine Limited. Natwest Sort Code 516135 A/C No 79790852 You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

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VERIFIABLE CPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN PAGE 6 Q1. By how much is the Dental Laboratory market set to grow each year through to 2024? A. 2.0% B. 3.6% C. 6.0%. D. 9.0%. Q2. A. B. C. D.

What is the predicted worth of the market by that time? 33.4 Billion Pounds. 33.4 Billion Dollars. 504 Million Pounds. 1.5 Billion Dollars.

Q3. A. B. C. D.

What is the WHO estimate for the number of 65+ year olds by 2050? 715 Million. 524 Million 1.25 Billion 1.5 Billion.

PAGES 14-15 Q4. What does CSR represent? A. International travel at the tax mans expense. B. Combining Charity with Corporate promotion. C. Using large companies to promote your services. D. Helps to offset your charitable gifts. PAGES 24-25 Q5. What was the name of the dedicated route used by the U.S. Transport? A. Red Route. B. Red Ball Express. C. Red Ball Highway. D. Freedom Road. Q6. A. B. C. D.

How many allied combat divisions were in Northern Europe? 28. 16. 72. 33.

PAGES 16 -17 Q7. When was the first Nuffield Report on Dentistry Published? A. 1963. B. 1984. C. 1980. D. 1989. Q8. A. B. C. D.

What was the average pass rate for City and Guilds up to 1960? 89% 85%. 82%. 70%.

Q9. A. B. C. D.

When was the second Nuffield Report Published? 1983. 1974. 1993. 1995.

P 30 Q10. What is the name of the lead Professor in the research? A. Professor Grahame. B. Professor Reisz. C. Professor Dontaur D. Professor Eggart . PAGE 30 Q11. What is the condition thought to cause breakdown? A. Gingivitis. B. Laryngitis. C. Periodontitis. D. Peri-Implantitis. Q12. Over what period was the research gathered? A. Two years. B. Seven years. C. Ten Years. D. Twelve years. Q13. What quality seems to give the silicone material a novel advantage? A. It is thixotropic. B. It has high viscosity. C. It is non-allergenic. D. It is Space filling. PAGES 19 - 23 Q14. How many hours of CPD are now required for Technicians in their Cycle? A. 50 hours. B. 75 hours. C. 65 hours. D. 100 hours. Q15. How long is the require cycle for Dental Technicians? A. Two years. B. One Year. C. Five years. D. Seven years. Q16. What number of hours of verifiable CPD must be completed every two years? A. Sixteen hours. B. Ten hours. C. Five hours D. Twenty five hours.

You can submit your answers in theÂ 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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DENTAL NEWS

ANCIENT AMPHIBIANS HAD A MOUTHFUL OF TEETH DENTAL TRIBUNE INTERNATIONAL JANUARY, 2018 l TORONTO, Canada: The idea of being

bitten by a nearly toothless modern frog or salamander sounds laughable. However, their ancient ancestors had a full array of teeth, large fangs and thousands of tiny hook like structures called denticles on the roofs of their mouths that would snare prey. (According to new research by Paleontologists at the University of Toronto Mississauga. UTM). In the study, professor Robert Reisz and his research team at UTM explained that the presence of such an extensive field of teeth provides clues to how the intriguing feeding mechanism seen in modern amphibians was also likely used by their ancient ancestors. The researchers believe that the tooth-bearing plates were ideally suited for holding on to prey, such as insects or smaller tetra-pods (four-limbed vertebrates), and may have facilitated a method of swallowing food via retraction of the eyeballs into the mouth, as some amphibians do today.

In many vertebrates, ranging from fish to early synapsids (ancestors of mammals), denticles are commonly found in dense concentrations on the bones of the hard palate. However, in one group of tetra-pods, temnospondyls (which are thought to be the ancestors of modern amphibians), these denticles were also found on small, bony plates that filled the large soft part of the palate. The entire roof of the mouth was covered with literally thousands of these tiny teeth that they used to grab prey with. Since these toothy plates were suspended in soft tissue, they were often lost or scattered during fossilization. Denticles are significantly smaller than the teeth around the margin of the mouth—to the order of dozens to several hundred microns in length. “They are actually true teeth, rather than just protrusions in the mouths of these tetra-pods,” explained Reisz. “Denticles

have all of the features of the large teeth that are found on the margin of the mouth. In examining tetrapod specimens dating back (approximately) 289 million years, we discovered that the denticles display essentially all of the main features that are considered to define teeth, including enamel and dentine, pulp cavity and peridontia” he continued. Reisz and his graduate students suggested that the next big question relates to evolutionary changes regarding the overall abundance of teeth: If these ancient amphibians had an astonishing number of teeth, why have most modern amphibians reduced or entirely lost their teeth? The study, titled “Histological characterization of denticulate palatal plates in an Early Permian dissorophoid,” was published online in PeerJ, an open-access journal, on Aug. 22, 2017.

FILL THE SPACE TO HELP PREVENT PERI-IMPLANTITIS YES IT COULD BE THAT SIMPLE l An interesting paper recently published in

the international Dental Tribunal pointed to a 10 year research programme which clearly showed a real improvement in outcomes for implant borne removable constructions such as overdentures on Bars or telescopic bridges. The tissues surrounding the implant shoulder are always a potential area for problems. The risk of food debris retention in these microgaps and the potential to create plaque traps are always there. The research concentrated on ensuring a continuing seal around the components fitting on to the abutments and the superstructures, such as bars and telescopic “Conus” crowns in order to prevent as far as possible the incidence of such. The authors of the paper Prof. C.U. Fritzemeier & Dr Deborah Horch based in Germany showed that if you can seal the many spaces that exist between the components successfully you can prolong the life of the restoration by reducing the risk of Periimplantitis. However hard the manufacturers and we technicians strive to eliminate these gaps it is impossible so to do. The flexure which comes from the loading on even the very best fitting component will allow gaps which will seem like caves to the microbes that abound within the oral cavity. The study found that with the use of a flexible space filling material, which could be simply applied, even by the patient, to the

ABOVE: Photo credit Prof. C.U.Fritzemeier and Dr. Deborah Horc. BELOW LEFT: GapSeal (Hager & Werken)

exposed area of the structures. A highly viscous silicone matrix material, which has now been in use successfully in industry and medicine for many years, ensures a reliable seal, making the colonisation of microbes impossible. First, owing to its volume, the base material works according to the principles that, where something occupies a space, nothing else can occupy it, and if the medium is not conducive to colonisation, no bacteria can grow there either. Additional requirements for an effective sealing material are hydrophobic properties and mechanical strength to give it high retention, so that it cannot be washed away. It must also not harden, or else shrinkage could cause gaps to form again. Furthermore, a viscous material facilitates movement into the gaps. GapSeal (Hager & Werken) consists of a specially adapted silicone matrix that prevents the infiltration of bacteria by sealing hollow spaces. Although it is always placed to the top of the component stack and above the soft tissue it has the proven advantage of not having any sensitising (allergenic) effects.

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In fact, it shows no damaging effects to the organism at all, and it can therefore be used without concern for all patients. The material has additional benefits. Its high viscosity improves the anchorage of telescopic or conical crowns, since with increasing viscosity, retention also increases.4 The thixotropic properties of the base material prevent the formation of calculus, as the silicone film makes sustained adhesion of plaque on the supporting elements impossible. REFERENCES 1. Fritzemeier CU, Schmüdderich W. Periimplantitisprophylaxe durch Versiegelung der Implantatinnenräume mit GapSeal®. [Periimplantitis prophylaxis through sealing implant interior spaces with GapSeal®]. Implantologie. 2007 Mar;15(1):71–9. German. 2. Zipprich H, Weigl P, Lange B, Lauer HC. Erfassung, Ursachen und Folgen von Mikrobewegungen am Implantat-Abutment-Interface. [The detection, causes and consequences of micromovements at the implant–abutment interface]. Implantologie. 2007 Mar;15(1):31–46. German. 3. Wolf HF, Rateitschak EM, Rateitschak KH. Band 1: Parodontologie: Farbatlanten der Zahnmedizin. [Periodontology: colour atlases of dentistry]. 3., Aufl. Stuttgart: Thieme; 2012. 544 p. German. Rößler J. Der Haftmechanismus von GalvanoDoppelkronen-Systemen und seine Beeinflussbarkeit durch Zwischenflüssigkeiten [dissertation]. [The adhesion mechanism of Galvano double crown systems and how it can be affected by liquids inbetween]. [Jena]: Friedrich-Schiller-Universität Jena; 2004. 154 p. G

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