The Dental Technician Magazine July 2018

VO L 7 1 N O. 7 I J U LY 2 0 1 8 I B Y S U B S C R I P T I O N

QUEENS AWARD

FOR INNOVATION GOES TO ATTENBOROUGH LABORATORIES THANKS TO THE SUPERVET

TONY LANDON PAGE 20

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NOTTINGHAM 14TH & 15TH SEPT 2018 PAGE 23

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THE DENTAL PROFESSIONALS CONFERENCE 2018

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DENTAL TECHNICIANS: DANGEROUS ROLE OF WW3 PART TWO

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DISCOVERING RHEIN83 MICK HOLT, PRESTIGE DENTAL12 PAGE 6-7

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“NON PARLO ITALIANO”

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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

Inside this month

VERIFIABLE CPD FOR THE WHOLE DENTAL TEAM

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CONTENTS JULY 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

Technical Discovering Rhein83 by Mick Holt, Prestige Dental

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Digital Technology CDT´S - who needs them by Andrew Barrs GC UK Limited The 2nd Createch Medical International Symposium

8-9 14 - 15 30

Education London ITI Study Club Londec

10 & 12

Insight Dental opinion from Sir Paul Beresford, BDS. MP Looking back with John Windibank FOA Dental Technicians: Dangerous role of WW3 Part Two by Tony Landon

13 17 - 18 20

Dental News Attenborough Laboratory win the Queens Award The Dental Professionals Conference 2018 Dental Tribune news

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Company News

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

Kemdent / Shofu / Vita / Aceteon Group / GC UK Limited

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CPD

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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.

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THOUGHTS FROM THE EDITOR

WELCOME to your magazine Oh dear who gives a damn about the patient!! l Here we go rushing headlong into summer and the weather is beginning to make us all feel that winter will never come again. It has been quite an exciting time in our technical dentistry world.

With the changes to our CPD announced and still not a lot of movement with the MHRA and the GDC about whether we are actually registered or not. With a lot of talk about seudo-exemptions and a general failure to commit to their own decisions there really is a very unreal feel about the status. If the object of the whole exercise in changing the law was to protect the patient then it is very clearly not fitting the requirement for patient protection nor the spirit. The Statement of Manufacture is a legal requirement for all manufacturers of bespoke appliances. Its existence is to be revealed to the patients whenever they have such a device fitted. We know in the thousands it is not. So when does the patient protection begin? As in prior legislation, when the dentist decides! Or

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perhaps, when the first serious case of poor craftsmanship or more likely poor materials, cause a serious problem. Why are some technicians conniving at playing the corporates game and sending boxes and boxes out to the far east? Recently I heard that Customs had intercepted a package of 450 Dentures, undeclared, and sent by air cargo. How many others? And what sort of fools at the Ministry of Health are sitting watching the deterioration of dental services, primarily to NHS Patients, while corporates tick the boxes and add up the pennies. Of course it does help to stay within budget, but at what cost to the deliberately uninformed patient.

The Digital phenomena has not yet been publicised but why are the BDIA members, Oh! so keen on stamping out counterfeit hand pieces etc. In case they damage the patients!! Encouraging their clinical clients to ignore the MHRA and the MDD guidelines. The widespread ignoring of the requirement to be registered with the MHRA to manufacture and the requirement for that manufacture to be carried out by an operative who had undertaken and passed a recognised course.

They are in their thousands breaking the law as it is written, and encouraging their registered Nurses to do the same so they can have their splints and bite guides made in house for a fraction of the cost. How come they could be cheaper? They don't have to be any good, that's why because the patient knows nothing. Despite the legislation requiring the patient to be informed nothing has changed. As Technicians you have seen the simple splints made from inappropriate materials, the occlusal splint made in such a way it makes the problem worse, and now Orthodontic clear splints made without care or knowledge. How long do we go on accepting the growth of the Iatrogenic Factor!! Before we step in and protect our patients from real harm. The Problem is getting worse because undergraduate Dental students are taught little or nothing about the practical

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aspect of manufacturing anything from simple inlays or crowns to dentures and metal support. They are lost in a world they have not experienced. It has become noticeable how poor an understanding of the technical process they have. And the Dental companies are turning over digital design and manufacturing potential to complete idiots. The BDIA & their members are even telling many of them they are exempt from the legislation, which was designed to protect the patient from such irresponsible ignorant and potentially damaging behaviour. Come on lets get a grip.

Sir Paul Beresford in his Opinion column, last month, touched on the subject of export led quality!! He spoke of the idea of creating a Hub with members working together within an understanding of locally available specialist referral services, which would allow patients access to the desirable specialist treatment without having to travel and at the same time providing the profession with all they could need to service their patients.

I have discussed this with quite a few dental people over the last month and while most agree they are dubious of the potential for the professionals to talk with each other!!

Paranoia about their patients being poached and a general lack of ability to communicate with their professional colleagues seems more the problem. A real chance for the professional local branches to take on board the idea of their local patients and the real need for the provision of specialist servies. I would have thought the laboratories could easily adopt a Hub approach. With specialist services such as C/C work or Digital work or other advanced processes around which they may not be fully aware. The future work picture is changing and to have at your disposal a convenient source seems to me to be an invaluable asset. Have a chat at your next DLA meeting. Make an effort to attend such meetings and talk with others who are sharing your workday experiences but perhaps with a better answer. Your never too old to learn but you can be too frightened to try!!

Larry Browne, Editor

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TECHNICAL

“Non parlo Italiano”

DISCOVERING RHEIN83 BY MICK HOLT, PRESTIGE DENTAL

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he mission to bring together the most innovative product range to keep our customers at the forefront of the dental market, has always driven Prestige to work with the best. Rhein83 is no exception and their commitment to ongoing development is just one of the reasons that the two companies have a very long-standing working relationship. But it wasn’t until a recent product training update at Rhein83 HQ in Bologna, Italy, that Mick Holt of Prestige, truly appreciated the length, breadth and versatility of Rhein83’s product range.

Mick takes up the story: “Rhein83 HQ was in a predominantly residential area and from the outside looked very ordinary. That immediately changed when you walked through the doors into a modern, well equipped and completely self-contained facility over several floors. With the vast majority of staff able to speak excellent English, my phrase book was thankfully discarded and the challenge now was theirs to understand my somewhat distinctive Lancastrian accent! I also felt immediately at home in a company very similar to Prestige - tightknit, willing to go the extra mile and above all friendly.

(L to R) Prestige’s Mick Holt and Rhein83 trainer, Claudio de Angelis

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Getting to grips with the sheer range of the Rhein83 catalogue was quite breathtaking whilst the simplicity of each product makes for ease of use, building on any dental technicians everyday skills. Both the Sphere’s and Equators can be used straight over Implants to produce a removable but Implant retained prosthesis, with the different inserts providing different levels of retention. They can also be used on conventionally waxed or CAD-CAM created bars. I’m not sure how many people in the UK still hand wax bars, but this technique is extremely simple. Due to their Seeger system, pinpoint accuracy is not a prerequisite providing you have a nice passive fit without any “rocking”. Equators and the two different sizes of Spheres 2.5 and 1.8, again provides considerable versatility, especially if you have a limited intraoral space to work with - a frequent occurrence in the laboratory.

The plastic inserts, unlike other systems, are all made from different plastics, each with distinct properties to provide varying levels of retention and resilience. Rhein83 opted to go down this route rather than using varying thicknesses of material, to create more or less retention (thinner less retention, thicker more retention), despite the need to get each and every plastic tested and certified for use in the oral cavity.

This is just one example of how Rhein83 are committed to pushing the boundaries.

Despite an existing, innovative product range, one of the newest initiatives led to the production of the Smart Box and the Sphero Flex. Both these can correct angles of between 40 and 50 degrees from the midline, depending on which you use. Although this may sound simple, it is invaluable to technicians when the oral surgeon has not taken the final restoration into account and selected only the site with the best bone.

TECHNICAL

Touring the building I was amazed to find that the manufacturing – everything apart from the plastics – was done in-house, with heavy duty milling machines located on the ground floor. Here the components were manufactured, cleaned, polished and then anodized when needed. This also provided Rhein83 with the ability to custom mill individual equators (abutments) for all implant systems at point of order.

THIS PHOTO AND TOP RIGHT: Rhein83 premises

Another current development is a way of turning the Equator into a Multi Unit Abutment (MUA). This changes the implant from sub gingival and internal hex, to tissue level and a type of external hex which gives a much better “path of insertion”. The restoration that I was shown was a hybrid style, a metal framework with an acrylic wrap around. This normally means the screw access channel would have to come out through the Buccal surface of the tooth or the pink Gum work, neither of which is ideal. To combat this Rhein83 have developed an MUA which gives a “snap” fit rather than a screw retained fit, eliminating the need for the dentist to try to match up the Buccal surface with composite. Still at pre-launch stage I’m keen to examine this potential product to check the mechanics and integrity of the snap fit mechanism, but I’m excited at the potential of having a “fixed” prosthesis.

Thanks to my trainer Claudio De Angelis whose praises I cannot sing enough, my product training was extremely thorough with some hands-on practical work including re-lining 2 new housings over some root pivot sphere’s. This led to discussions about delivering courses together in the UK specifically for technicians and another for dentists, together with the potential of a customer’s product training at Rhein83 HQ in Bologna.

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Selection of demonstration models

Furthermore a combined initiative between Rhein83 and Prestige is to run an International Removables Symposium in London. Based on scientific research, the aim is to combine informative lectures from renowned international specialists with views from UK Technicians whilst providing an informal platform to showcase the extensive Rhein83 range.

I came away from my visit enthused by Rhein83’s product range but perhaps more importantly the ongoing commitment to scientific research – this is a company that is not going to sit back on its laurels anytime soon. It combines technical expertise with everyday simplicity, delivering an amazing product range. We are delighted to continue to work alongside them. Grazie mille Rhein83.”

For further information on any of the points raised in this article please contact Mick Holt, Laboratory Specialist, Prestige Dental.

Email: mickh@prestige-dental.co.uk Mobile: 07876 415347.

Prestige Dental Ltd, 7 Oxford Place, Bradford, West Yorkshire BD3 0EF. www.prestige-dental.co.uk

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DIGITAL TECHNOLOGY

CDT´S WHO NEEDS THEM

BY ANDREW BARRS

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Occasionally a patient would walk in with a Denture repair and that patient may have even asked us if we could make a Denture for them. Happy days !!! A few extra quid for a bit less work! For many Dental Technicians, although this is still illegal, it is still their way of working and it would appear some seem to be quite happy with it.

As we now know several decades ago a few brave souls decided enough was enough and thought we wish to be more professional and decided to do something about it. We wanted to be more than just a Dental Technician.

In Canada they had “Denturism” and a recognised course and qualification in place, at the George Brown College. After several years and with many cohorts qualifying in Canada and some additional exams with the Royal College of Surgeons, in 2007 the UK had its first legal Clinical Dental Technicians.

So what is a Clinical Dental Technician?

I was always under the impression that it was someone who had trained firstly as a Dental Technician, someone who predominately had a lot of experience and many years in making dentures. That person then trained as a CDT and that enabled them to then see patients and make their dentures for them from start to finish. Full/Full dentures, totally independently and partial dentures or a denture opposing natural teeth, working with a Dentist to provide an Oral health certificate/prescription.

One of the most satisfying things I get personally from this profession is the ability to construct every stage of treatment and provide my patients with a Denture made solely by me. Sadly, it seems that this is not the case across our profession. I attended a seminar recently at the DTS presented by a CDT who stated quite openly that he didn’t carry out any of his own Laboratory work!!!!

Whilst this is nothing new and some of the older CDTs didn’t do their own lab work either, it appears more and more are now following that path and feel it is a perfectly acceptable way to work. I’m sure that if the CDTA, all those years ago had gone to the

Otherwise Attend training course, Improve your denture making skills and knowledge and therefore become a more effective/ more complete/more skillful Clinical Dental Technician. There are so many Advantages of doing your own laboratory work.

The disadvantages we had as Technicians faced with lack of communication from dentists is not there. You don’t have to tell your Technician what to do and how you want it done as your doing it yourself. You are communicating with the patient so you know exactly what they want. Everything is controlled by you so if there are any mistakes they are your mistakes.

GDC and presented ourselves saying Whilst we had achieved some qualifications“we want to be recognised as professional” As Clinical Dental Technicians but also added that a lot of us won’t be doing our own laboratory work. Would the GDC of said yes that’s fine??? I’m sure the GDC would of have replied along the lines of ‘no not really, very sorry to disappoint you but we have people like that already and they are called Dentists so why do we need CDTs’.

So what is it that makes CDTs now think that they shouldn’t do any lab work and where does that leave the CDT profession going forward???

Firstly money CDTs see undertaking their own lab work as no longer cost effective.They can in reality earn so much more money spending more time in the surgery, which in turn is more profitable leaving less time for the less profitable laboratory work. But surely I hear you ask, that’s just CDTs getting greedy. In truth yes it is, but their argument then becomes I’m trying to run a business and with my overheads I can make more money sending my laboratory work out. Whilst in some cases that maybe true, surely they are missing the point of being a CDT. If you Price your work correctly and offer great Denture work with that personal service you can still make a very good living.

Patients will definitely pay for that Personalised start to finish service.

SECONDLY Their are some CDTs who might argue that they were predominately a crown and bridge Technician and my Denture Technician makes much better dentures than I do!! My answer, although harsh, would be maybe you shouldn’t of become a CDT in the first place and remained within your area of expertise.

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Job satisfaction is huge part of this profession knowing you’ve created that patients smile. And ultimately your day is never boring because of wider variety of work you do not just time spent in the surgery.

My fear for the future is there won’t be any CDTs in say 20 years maybe less. But why I hear you ask?? Well greed and no forward thinking, for many it’s just about the here and now. Now those CDTs that don't do their own lab work would argue that we are great at selling dentures, seeing patients, knowing what patients want and being able to do good clinical work. Are they becoming glorified Denture salesman or is that just a little harsh?

If they don’t make there own dentures and only see Patients, could it be argued that they are negating the need for CDTs. And for those paranoid and fearful CDTs amongst us ‘think about this’. The GDC could quite easily decide to run a few extra modules in futurefor newly qualified Dentists in say impression taking/ Border Moulding, Bite registrations/Gothic arch tracing, Tooth selection, Designing chromes, Valpast and other Denture types.

In reality a complete module for a Dentist who wants to specialise in Dentures. And that dentist can see Partial Denture patients as well!!!! Where we will be then????

Think on!!!!

A lot of us started off many years ago as regular Denture Technicians and we worked illegally making dentures to the public. After many years of striving we’ve got recognition by the GDC and become professional. But if we are not careful our greed is going to send us back 40 years.

Think about your work practice and the future of your profession, not just yourself and the here and now because today’s shortsightedness will be tomorrow’s nail in the CDTs coffin.

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DIGITAL TECHNOLOGY

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any years ago when we were all just Dental Technicians, we used to sit at the bench day and night trying to make a living. I’m sure many of us used to have ‘boasting rights’ of how many hours we all worked. And on top of that we had to deliver our work to the Dentists, invoice them at the end of the month and then if we were lucky we might be paid within 30 days.

Sometimes it was longer, a lot longer and cash flow was always our killer.

EDUCATION

LONDON ITI STUDY CLUB LONDEC T

he ITI study club meets on a regular basis at Londec near Waterloo station.

Organised by Charlotte Stillwell and Bill Sharpling (both elected ITI Fellows) they have managed to get interesting speakers to fill each of their meetings. Open to all professionals, not just ITI members, whether clinically based or laboratory based, they have managed to maintain a very high standard of informative speakers of international repute. It takes place on a regular basis at the LonDec King’s College, close to Waterloo Station. On Thursday 22nd May we gathered to hear from Ashley Byrne and Matt Wilde (pictured right), on the subject of digital update for Implant Bourne Dentures.

Ashley, who is an ITI Fellow, began the evening with a resume of the present situation regarding the declining number of available technicians qualifying each year. He showed the dramatic drop and commented on the future prospect for managing the potential demands for laboratory support. This last year only 300 technicians nationwide completed their training, which reflects the falling numbers of graduates available for fulfilling the technical support role needed across the country. When considering the potential market place he pointed to the trend for the expanding need for more trained technicians.

Ashley showed the results of a study and market survey in the USA which indicated an annual growth of 4.9% in the area of restorative dentistry which puts it at the top of the table for manufacturing businesses.

The future forecast shows a continuing growth of the same order, which if repeated here in the UK would certainly leave a gulf of trained personnel to fulfil the need. He reported that Laboratories were seen in the USA as real investment targets and some were changing hands for major amounts.

With many having annual turnovers of $700 million. The trend here is apparently quite the opposite with many training colleges closing down or amalgamating and reducing the potential for training across the country.

So what has gone wrong with the UK market?

Somewhere along the way it would seem that the general lack of self-esteem has become part of the technicians profile. While the political situation and the apparent indifference of the profession to the situation have not helped, it is surely for technicians to establish their presence and underline the stupidity of the continuing decline and lack of interest. If apathy continues then the idea of using some other answer will be proposed with digital procedures suggested as the option.

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Ashley then showed a comparison between his digital production quality and a Dentist who had purchase the same machinery with the intention of doing his own laboratory work and saving about ÂŁ10 per unit. Ashley showed the results compared to his laboratory produced cases and the examples underlined the need for proper technical training and knowhow. The metal design of a major bridge was, to say the least, inadequate. The lesson is that IT cannot substitute for professional knowhow and understanding. Being a trained and qualified technician brings an understanding and an instinctive judgement, which cannot be replaced by IT or machines.

He has taken on another building, close to his main laboratory and had begun the process of teaching and training his own staff.

Ashley went on to talk about the aging population and showed the growing numbers predicted for the coming years. The indicated need is way above the potential ability to be catered for with the limited numbers of personnel. We are facing a major crisis, not too far into the future, because we have a situation at present, which fails to see the growing needs of the present and changing demographic of the national population.

Dentistry and particularly Technical Dentistry seems not to understand their

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important future role for dealing with this changing situation. With the average age of Dental technicians in the UK at 57 years and the average age of Laboratory owners at 58 the alarm bells should be ringing.

While CDTs provide some of the answer for denture provision what about all of the other disciplines, which will be needed. Together with the total lack of technical training for undergraduate dentist students the future looks bleak, if technicians are not available to provide the necessary expertise, which will undoubtedly be needed. Technicians should not turn away from the digital dental revolution but grasp it and show their technical expertise. It is already happening in the USA with more and more technicians being employed, in clinics, as technical experts. It will happen here also but be sure you, as a technician, do not sell yourself too cheaply.

Ashley and Matt went on to describe the process of producing digital dentures. They spoke of the work still needed to complete the processes and suggested that none of the available systems were perfect. They showed that the scan of the soft tissue is not effective for full denture construction, because of the compressive nature of the soft tissue.

So a conventional impression will continue to be required. However p12

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BODY

ucontinued from page 10

EDUCATION

from that point on there are a great many options from Try-in resins to custom built teeth for each denture. With access to growing libraries of natural teeth the future looks bleak for all those tooth manufacturers who will not be needed to supply teeth on cards as we have been used to for so many years.

But undoubtedly the technology is taking the design and manufacture in that direction.

There is obviously a learning curve with even the clinical guidelines being changed in order to cope with the abilities of the modern technology. Facial scans with clear midlines and morphology together with a functional occlusal records will allow the digital programme to design and complete the patients set-up and if required supply a try-in in a plastic material. It all sounds wonderfully automated but it will only work with the expertise of the dental technician being central to the design and manufacture.

Matt went on to talk about the construction of digital partials in both metal and plastics.

The modern strengthened plastics can be tooth coloured or pink and are proving to be very popular with patients. They offer tooth coloured clasps in areas close to the visible zone.

The clasps do appear larger than the ideal but

who knows what the future holds. The range of available new materials and the innovation of modern industrial plastics, means that aeroplanes are now made from plastic. But with the digital methods you can choose to design your restoration and have it manufactured by an expert third party or manufacture in house. Ashley uses up to 17 outside sources

for different areas of manufacture as well as his in-house facilities. Matt showed the waxing process on the computer screen and then explained it can from their, be made in plastic for try-in, or sent to be made in metal.

The choice of metals has much increased with improved qualities and offering real options for both in-house and third party construction.

There is real potential to design and manufacture bespoke precision attachments or allow the adaption of pre-manufactured attachments to be incorporated.

Clearly the technical expertise of these two enthusiastic technicians was showing in their use and understanding of the system but throughout there was a clear indication that the whole thing works because these two presenters were first, very fine dental technicians and also CDT’s. Technical experts.

Phoenix Dental Castings Ltd We are a full service laboratory with over 40 staff We have a unique opportunity to be a full time, GDC Registered, Removable Prosthetic Manager Do you have: • A wide range of experience with all types of dentures including implants • the knowledge skills and competence to make beautiful dentures • flair with design, understanding the principles of occlusion • familiarity with all the materials, processes and equipment Are you able to: • Organise and manage a great team of experienced staff • effectively manage work flow • build and maintain excellent customer relations • balance productivity with quality and consistency • meet deadlines and targets • work closely with other managers and departments • adapt to new techniques, materials and equipment

Please submit your CV to jo.duffin@phoenix-dental.co.uk by 17.00 on Tuesday 31 July 2018. Formal interviews and bench test will take place on 10 and 13 August.

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Would you like to live and work in Devon?

We have job opportunities in both our ceramic and prosthetic departments for full time dental technicians We are looking for: • A prosthetic technician with flair, commitment and works well in a team • Attention to detail, takes pride in their work • Willing to learn new techniques, material and processes • Good knowledge, understanding and skills in prosthetic work We are looking for: • A ceramist with flair, commitment and works well in a team • Attention to detail, takes pride in their work • Willing to learn new techniques, material and processes • Good knowledge, understanding and skills in crown and bridge work If you believe this could be the right opportunity for you and would like to discuss any of the posts, then please contact: David Smith on 01392 444456 Email: david.smith@phoenix-dental.co.uk Job description and person specification are available on our website: www.phoenix-dental.co.uk

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DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP

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Ps worlds are immersed in campaigns. A large proportion of our mail or email boxes are filled with campaigning letters.

The variety is endless ranging from the serious to the moderately insane.

These nasty viruses also cause between 35 & up to 70% % of head and neck cancer depending on the anatomical site.

For example, up to 70% of oropharyngeal cancers are caused by HPV

Naturally at the moment we are all inundated with pro and anti Brexit letters.

There are a number of groups who lobby anti-government issues regardless of the colour of the Government at the time. The aim of these groups is to inundate MPs with letters and emails often utilising spurious or incorrect information. Phrases which are downright lies posing as facts are frequent.

Our UK voters include a huge proportion of easily influenced animal lovers. Campaigns to save badgers and elephants for example produced huge volumes of letters. One notorious “save the elephant” campaign from several years ago raised huge sums of public money but few if any elephants were saved However, some campaigns and some campaigning groups are genuine and produce real change for the betterment of our world. WWF is one such international organisation that drew enormous respect and trust from me when I was a minister in the then Department for the Environment.

Having spent time with the Metropolitan Police Paedophile unit I decided to launch my own quiet long running campaign for legal improvements for protection of children against abuse. Obviously working closely with some of those cops as advisors was a basic source. There are a number of organisations offering help and advice.

Some good, some poor, but the NSPC were

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

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INSIGHT

YOU CAN HELP GENUINE CAMPAIGN LOBBING CAN WORK

the best. Very many changes were achieved with their help.

As a dentist my longest running dental campaign has been for HPV inoculation, through the NHS, for young boys.

Several MPs and several groups have been campaigning for this change as well. For years the Health Ministers have hidden behind the advice of the Joint Committee on Vaccination and Immunisation. This august body of mostly professors has consistently rejected the idea of full vaccination of boys.

There are a number of HPV viruses and 2 are very nasty. The vaccination of girls against the HPV virus is to stop cervical cancer.

These HPV viruses also causes penial cancer and genital warts. Slowly but surely there will be a reasonable herd immunity amongst most girls against the virus. I am saying reasonable because the vaccination is far from 100% Many girls start the course but do not complete the course. Many do not even start the course.

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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Treatment of head and neck cancers are often debilitating, disfiguring and destructive of the patients and their self-esteem.

Frequently radiology and/or surgery is required, involving the face, the jaw and teeth, the neck, the tongue, the pharynx, the larynx, the oesophagus, or combinations of them.

Physical disfigurement is common, and speech and eating can be significantly impaired. In the global ranking of cancer deaths, head and neck cancers rank fifth. Furthermore, the prevalence of head and neck cancer is markedly higher in males than in females—a ratio of approximately 2:1. The frequency of head and neck cancer is one of the fastest increasing of all cancers in the UK. The cost to the NHS of treatment is astronomical.

The development of the required herd immunity will take time. The financial benefits in the reduction of genital warts will be some years off but will be significant.

The reduction in head and neck cancer will be dramatic but three or more decades away.

Any health minister juggling budgets now needs the foresight to pay now. I understand that that would cost would be about another £22 million per year. That is small beer when set against the £58 million spent on treating genital warts and is well below the over £300 million spent on head and neck cancer treatment.

You can help. Please write to or send an email to your MP asking for him or her to write to Jeremy Hunt MP as the decision will be made soon.

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.

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13

DIGITAL TECHNOLOGY

GC UK LIMITED

“ONE TAMBOURINE AND I’M OFF!”

PATRICK KELLEHER PREVIOUSLY SALES MANAGER AT GC UK LTD REFLECTS ON A CHANGE OF DIRECTION. FROM A CAREER IN DENTISTRY TO ORDINATION TRAINING WITHIN THE CHURCH OF ENGLAND.

“

One tambourine and I’m off”, I said as I walked down the village high street towards the vicarage. Alongside me was my wife Emma-Jane, and we had been married just a couple of months before. I remembered talking to Michael the vicar just after the wedding ceremony outside the church and making the comment that “For some reason, today I wanted to dwell in church instead of leaving for the party”.

For those that knew me well at the time, a very strange comment indeed! Anyway, back to the walk down to the vicarage.

Emma-Jane and I had been invited to an Alpha course; Emma-Jane was going with an open mind and it's fair to say that I was not! I’m pleased to report that there were no tambourines and this event marked the start of an ongoing, loving and enduring relationship with God through Jesus Christ.

“What on earth has all this to do with dentistry?” I hear you say. Well those that know me would agree that dentistry has been a major part of my life for the best part of thirty years. First as a Technician in the late 80’s, then in dental retail working for the Baxter group (Procare Dental) and then in 1997 I joined GCUK Ltd. I even married a dental nurse along the way!

The lion's share of my time in dentistry (20 years) was spent with GC UK Ltd and it’s to this period that I’d like to dedicate the next section of this article.

I first met Chris Brown in 1992/93 when GC UK consisted of one person, Chris Brown!

He was travelling the length and breath of the UK promoting an amazing new Light Cured Resin Modified Glass Ionomer called Fuji II Ridley Hall

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www.dentaltechnician.org.uk

However, as I’ve already hinted, the success of GC UK has not just been about its products.

The people have had a major part to play. Led by Chris, the company has gone from employing one person to over twenty with a sales team of 15. GC UK has never seen a year without growth and is widely respected by dental professionals and the dental industry. Why is this the case? Well, the GC Corporate motto when translated reads “Do unto others what you would have done to yourself”. This has parallels with the Bible (Matthew's Gospel) and provides a platform for all at GC UK to ‘practice what they preach’ irrespective of any formalised faith.

I believe the GC UK team under the leadership

of Chris care passionately about what they do, having respect and regard for all the people they engage with. Sales are of course important, but they are not pursued at all cost and faith in the products by the sales team and market make for honest engagement. My twenty years at GC UK were a complete joy, and I rejoice that I was part of such a dynamic team and was able to forge long lasting relationships with all manner of people both inside and outside of dentistry. I’m certain that this would not have been possible in many other companies where so often the spirit of fellowship is not present. Fellowship is a good way of describing the underlying spirit at GC UK where relationships between employees are on the whole always positive. Even during sales campaigns, the overriding spirit is one of mutual respect among the sales team underpinned by a genuine spirit of ‘well done’ from the GC UK management team. I hear that this year, once again, the GC UK team has delivered another year of growth despite all the challenges faced by the UK dental market. To this I say well done!

Keep up the good work and continue to be you!

“Why” I hear you say did you leave? The truthful answer to this question is clear cut - to follow what I believe to be a calling into parish ministry within the Church of England. I write this article as an ordinand (one training for ordination) studying at Ridley Hall Cambridge and thank God that

my journey has led me to this amazing place.

However, I’d be being very economical with the truth if I was to say that the journey has not been without difficult decisions, one being me leaving GC UK for fulltime study. I guess it boils down to one thing God versus Chris Brown and GC UK, there was only ever going to be one winner!

In summary, GC UK was always going to be my place of employment for the long term and onwards even into retirement. My interest in the materials GC make, the fellowship of the GC UK team and my longstanding friendship with Chris were all factors that would have guaranteed this. The only thing that could and now has changed my ‘GC pathway’ is the calling into ordained ministry in order to follow God's plan for me. I’m very pleased to report that there’s been no sign of a tambourine so far but one thing is for sure, my time at GC UK has been a major part of my life and so in turn my formation. I give thanks that I was able to play a part in establishing the company alongside Chris and the rest of the GC UK team. I’ll never forget my time at the GC UK and I wish them every success in the coming years.

Patrick Kelleher was the GC UK National Sales Manager for Surgery Products and is now studying Theology, Ministry and Mission at Ridley Hall Cambridge.

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15

DIGITAL TECHNOLOGY

LC. Chris co-called with me in North London and the East Midlands, and we made a sale in virtually every call. Fuji II LC still remains a cornerstone of most dentist’s range of go to Restorative materials, and GC has continued to develop new ground-breaking products in a number of diverse areas of the dental market.

The continued development of Fuji IX GP in all its variants has made it into the biggest selling tooth coloured restorative in the UK dental market. The most recent development in this field has been the exciting addition of Equia Forte to the GC range of materials. This High Viscosity Glass Ionomer with a Filled Resin Coating system has the potential to revolutionise direct posterior restorations.

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LOOKING BACK JOHN WINDIBANK FOA

H

istory I am told is the knowledge of past events and these memories I write about, some of them happened over fifty years ago. I have to keep reminding myself that the people and events I describe that were well known at the time, but are unknown to many of you.

INSIGHT

MEMORIES OF AN OLD CODGER 14 THE 1970´S Elizabeth Garret Anderson Hospital 2015

Many years ago I was at Crystal Palace and watching a cycle race around the grounds, the man standing next to me said, “did you see the palace burn down”? To me that was history the Palace was destroyed in 1936 but to him the event was a living memory in his life and he had to be reminded that I was not born when it happened.

Central Council for Health Authority Dental Technology (CC) held its first meeting on 18th January 1974, the meeting was well publicised at the time and after its formation, the council met quarterly at Dudley Road Hospital Birmingham, (now City Hospital.) The story of the council was written by Mike Cook (then secretary of CC and Chief Technician at Morrison Hospital) and published in the Dental Technician in 1998. I am not going to write a history of CC but talk about my memories of some of the events and people and how they affected us.

One of the first things we had to discuss at the council was the call for industrial action within the Hospital & Local Authority Dental service. The background to the dispute was the promise of a pay link with Medical Physics Technicians. Dental Technicians pay was falling behind other comparable groups in the NHS and the staff side of the Dental Technicians Whitley Council had agreed that this link would be a good thing for us. Unfortunately, the Management side of the Whitley Council went back on the promise and the CC agreed to support the call for industrial action and a work to rule was implemented. The Staff Unions called a strike and we had technicians picketing hospitals and we heard from the picketers that they were ribbed, by other staff, for bothering. This action however was not a joke, back in the nineteen seventies, service and postal vans would not pass a picket line, so this was serious stuff for all concerned. The London regions of Central Council called a meeting and over a hundred technicians attended, Brian Conroy (Chief Technician at Queen Mary's Hospital Roehampton) chaired the meeting and we agreed to raise money to help support

John Windibank and Rod Snape 1999

the strikers. I was responsible for holding and distributing the money raised, but fortunately for everyone the dispute was quickly resolved with a pay rise to staff of between 52% - 67%.

The unions claiming a victory but we did not achieve formal links with other groups until the nineteen nineties restructuring.

The existence of Central Council was making waves and in 1975 Roderick Snape (Rod, Chief at Peterborough) became chairman and along with Graham Pratt (Vice Chairman, Chief at Leicester) they were asked to attend a meeting with Len Comber (Chief Technician at the Central Dental Laboratory) and Mr Tashner (Senior Technician at the Royal Dental Hospital) representing the union NUGSAT (National Union of Gold and Silver and Allied Trades). To shorten a very tortuous series of meetings, it turned out that

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NUGSAT needed members to stay viable and it hoped that Central Council could use its influence to provide them and with the new members it would be possible to be elected the NUGSAT representatives on the Whitley Council and possibly the NJC (National Joint Council). The Council were startled by the proposal but cautiously agreed in principle and asked its members in London, who could, to join NUGSAT. Well a few did and Rod Snape and I went along to a meeting of their dental section AGM at Kings Cross London to see what would transpire. Rod and I walked into the meeting and Len Comber (Chairman of the NUGSAT Dental section) said hello and OK; Rod and John you can be the representatives on the Whitley Professional and Technical Council B (PTB) and Rod and I (Len) can be representatives on the PTB committee B for Dental Technicians, that OK? Long stunned pause and we agree that the proposal was OK and that was it, two new members of PTB; there were people I knew who had tried for years to become members of Whitley Council and I had just walked into a room and had it thrust upon me!! (What have you got me into Bert Aldridge?).

The Whitley Councils were the mechanism for the National Health Service to negotiate with its staff and PTB covered various technical groups including dental technicians. The full PTB committee which included the Staff and p18 Management sides met two or three times a

u

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INSIGHT

year, mostly at the NHS HQ which was back then, a glass and concrete tower block at the Elephant and Castle, London. Other meetings of the staff side could be anywhere, we had meetings at the Houses of Parliament, the tower block which then housed MI5 and at a meeting at the TUC HQ,(Trades Union Congress) I had to pass a picket line to get in. The Minister of Health (Min of Social Services) David Ennals was to be at the meeting and there was a proposal on the agenda to close the Elizabeth Garrett Anderson Hospital (EGAH). Elizabeth Garratt Anderson was the first women doctor to qualify in Britain and founded the Hospital in 1890 that bears her name. Much to my amazement the minister new my name when he answered a question from me, he was pretty well briefed and I was very impressed. The EGAH remained open at that time, but was closed in 2002 and subsequently bought and restored by the Unison Union.

Once a year the joint PTB committee would take themselves off to a venue to meet hospital staff, hold an open meeting and then follow this with a full PTB meeting. The first trip Rod and I took with PTB was to Liverpool and this was memorable because we were shown around the town hall by the mayor and lavishly fed at a reception there. Other trips included staying and being fed at a Cambridge University Collage and at all these meetings we were lavishly entertained. This format for our annual meetings was dramatically abandoned forever, following a dispute at the joint staff and management meeting. E.A.G. Spanswick JP, (Bert) was the general secretary of the Confederation of Health Service Employees Union and secretary of the PTB staff side committee. He was a very nice man who did not waste words and always presented the staff side’s case at joint meetings in a steady unemotional manner, a bit boring some would say. But not on this occasion, the management of the health service were messing about with our pensions again and in the climate of the time pensions were a big issue for unions and working people. The Unions were proud of their efforts to achieve pension arrangements for staff and they were not going to throw away years of work. With pensions on the agenda Bert rose to his feet to present the staff side’s

JOHN WINDIBANK FOTA 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

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co-operation CC were seeking. I reported the decision to NUGSAT and for a few years the union continued until it was absorbed in 1981 by the AUEW/TASS union (Amalgamated Union of Engineering Workers / Technical and Scientific Staff).

Bert Spanswick and Mrs R Kelly cc1980. Chairman of PTB

case and he let rip with fierce warning that if the management try to impose these changes without full agreement then there would be full co-ordinated strikes on their hands. Bert made it sound that hell would be unleashed if things carried on this way, and I have never seen a management committee so shaken. Coming from anyone else but Burt the statement would not have been so shocking but he was Mr reasonable. The management withdrew and it was agreed to continue the discussions at a London meeting where all the administration staff could be present. Agreement was reached on the pension’s reorganisation a few years later, which provide me with a financially comfortable retirement. Recently I watched in disbelief at the sight of hospital staff pension contributions coming under attack again, with politicians issuing totally misleading information. The pensions for the NHS have always operated with a surplus, with a growing industry funding dwindling recipients; where are you now Bert Spanswick?

Rod Snape and I continued in our offices with CC but our appointment as Whitley Council Officers was not accepted as good news by everyone. Carrying out the Central Councils wishes with regard to NUGSAT, it seemed we had upset the other unions involved representing Dental Technicians and the people who had encouraged us to participate had changed their minds and a vote was passed for us to no longer co-operate directly with NUGSAT. Back door deals had it seemed been arranged and an all-out fight ensued between the unions for members, not helping the

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

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Every year the staff side of PTB held a Christmas dinner for all its members and the management side of the committee were also invited, a reflection of happier days when the NHS was being created and cooperation was the mood. The venue for the meal was the Chairing Cross Hotel and I entered a very spacious room laid out for dinner. As I walked in, a wiry old man with a thin pale face practically ran across to me and grasping me by my lapels, pulled me towards him until we were eyeball to eyeball. So you are the B*** who has stolen my seat he said, with this it dawned on me that this character so fiercely holding on to me must be Bill Warrington. Of course I had a devastating response to his assault and said; “hello Bill”, but before anything else could be said Bert Spanswick who had witnessed the incident asked Bill to join everyone at the top table where he was presented with a long service award and that, was my only meeting with Bill Warrington.

Bill Warrinton had a very long and successful life in Dental Technology his achievements are many and profound. Bill was a member of the Goldsmiths Union when he and others started the first courses for Dental Technicians (Dental Mechanics was the usual title back then) in the nineteen thirties at the Borough Polytechnic London. The Dental Technician paper started as an internal newsletter for the Goldsmiths Union and Bill was its editor. Later Bill was the owner and editor of the monthly periodical until it was purchased by A E Morgan Publication Group.

Bill was for many years Chairman of the Dental Technology section of NUGSAT, was also Chairman of the Staff side of NJC and the Secretary of the Staff side of PTB/B and treasurer of PTB staff side. Those who knew him said he could be a difficult man to work with and he took a lot of the blame for Dental Technicians poor pay performance. But no one could argue with his many achievements.

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 AE Dennison Award for services to Dental Technology

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DENTAL TECHNICIANS DANGEROUS ROLE OF WW2 PART THREE INSIGHT

BY TONY LANDON

Canadian dental officer working in the field, literally

C

ausality collecting stations, usually located near the operational command posts, changed bandages on incoming wounded, adjusted splints, administered plasma, and combated shock whilst preparing serious wounded patients for further evacuation. Such clearing stations had always to be ready to move forwards at short notice to be within four to six miles behind the frontlines.

These medical, dental facilities performed Triage, in maintained wards for care of those shocked and transferred servicemen needing emergency surgery, to adjacent field hospitals.

The number of wounded arriving all but overwhelmed the medical staff. They had to maintain a priority system, operating on those who were most in need of surgery and giving the others emergency treatment. In surgery they dealt first with the head and chest wounds, next the abdomens and extremities.

At British Number 3 Causality Clearing Station in Normandy noted the case of an officer brought in unable to speak, gasping for breath and quite panic stricken, justifiably. The medics in attendance took some time to diagnose what was wrong with this officer as he had no external wounds. He had swallowed his denture. He was placed on the evacuation by air list as this Causality Clearing Station had no bronchoscope.

On the 9th June, three days after D Day the hospital ship Lady Connaught, was the first of a regular series of hospital ships to be in attendance off UTAH beach. This vessel had brought much needed urgent medical supplies and six additional surgical teams. Thus allowing relief for the original surgical teams that had worked for 36 hours with little rest. The vessel took on board 400 wounded for the return crossing to England.

Prime Minister Winston Churchill’s dental comment six days after D Day It’s hard for us to image the sheer volume of essential various kit and weaponry that was subsequently brought ashore in the days that followed D Day. Surprisingly, the generals made sure that the immediate sea-borne supplied loads did include dental chairs and all appropriate dental equipment and materials as per the forward planning arrangements.

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There is an apocryphal story of how Winston Churchill objected to this when he saw the piles of dental supplies loosely stacked along Juno beach as he came ashore in a DUKW, (an amphibious transport built

by General Motors), to inspect the seaborne landed British and Canadian troops following their Normandy landings.

over a quarter of a mile away was too warm to be mixed with plaster of Paris powder. The resultant mix set so rapidly it could only be used for pouring just a set of casts. And the sheets of dental wax they had been supplied with, melted too easily. Their set-up’s and every wax based lab stage, such as record blocks made of wax, had to be kept in cool water to avoid distortions.

On landing himself at 11am on the 12th of June, just six days after D day, at Courseulles Sur Mer, Winston Churchill apparently queried Field Marshal Montgomery whether he shouldn’t have brought more guns rather than included dental-chairs? Montgomery replied, “A soldier with a toothache is no good to me.”

Maxillofacial injuries Maxillofacial injured soldiers received immediate care at Causality Clearing Stations to control their bleeding, treatment of shock, and possibly the temporary immobilisation of their fractured jaws with some type of bandage. As soon as possible these oral mutilated patients were removed by ambulance or jeep onto an evacuation hospital.

It had been acknowledged that although the average age of a British or Allied fighting man during World War II was twenty six years old many of them wore dentures. This was partly because keeping one’s teeth clean by daily tooth brushing was not a regular habit. It was well understood that infected, diseased teeth could cause all manner of problems, so it was best to extract suspected teeth. This wide spread opinion was supported by the then medical and dental professionals. Tooth repairs or replacements were not long lastingly effective and if due dental professional restorative treatment was implied, there would be the un-planned for costs to be considered. Previous years and those of WW2 were before the free NHS dental treatment with its oral health education programmes became widely available to the British general public.

A British dental officer, Alastair Robertson, working in a dental unit kept his field dental laboratory busy eight miles behind the front line as the amphibious landed Allied troops were trying to break out of their Normandy confinements. They were primarily focused on making replacement dentures. He is quoted as saying that during the four weeks after D Day his unit had made over 450 dentures.

The high demand for dentures in this month was due, in part, to the rough seas experienced during the crossing of the English Channel by the sea borne D Day landing troops. Many soldiers lost their dentures because they were overwhelmed by continuous seasickness. They had inadvertently vomited out their dentures.

Even when the troops were disembarked from their transport ships to their landing crafts sea conditions were found to be even more intolerable with their flat bottomed vessel’s unpredictable motions to each wave swell.

The dental technicians at this unit complained that the water they had to bring from a pump

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Evacuation hospitals of up to several hundred beds were army installations established beyond the enemy range of ordinary artillery fire. These hospitals possessed medical, surgical, and x-ray facilities, and dental teams equipped with their prosthetic chests in addition to the dental operating chests. With maxillofacial casualties their facial injuries received conservative debridement, foreign bodies and unattached bone fragments were removed and fractured jaws immobilized with more permanent fixation than was afforded by bandages.

Drainage was provided and prophylactic doses of penicillin or sulphur drugs administered where indicated. In the absence of a full maxillofacial team, extensive intervention might do more harm than good. Thus evacuation hospitals were frequently instructed to limit their maxillofacial treatment under such circumstances to conservative measures only.

Prevent infection and reapply new bandages and temporary fixation where required.

Nurses found it difficult to feed such wounded facial patients with nourishing meals.

Especially, those patients with severely burnt lips or those with remnants of lips. Nurses had to mash down a meal and then sieve by pressing the resulting mix through a gauze to create a fluid that could be administered a tiny small spoon full at a time or down a funnelled tube to sustain a patient. There were then no liquidiser’s available or baby type foodstuffs.

One maxillofacial injured guardsman was kept alive on eggnogs poured into him via a nasal tube. Later, during his recuperation he wrote a note to his favourite dedicated nurse, whom patiently always took the time to pulp his meals, could he at last try streak and chips!

DENTAL NEWS

ATTENBOROUGH LABORATORY WIN THE QUEENS AWARD

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Custom made patient specific cranial and maxillo facial implants are a groundbreaking technology in medical science and something we believe can strongly benefit surgeons and patients.

Some 3 years ago we won an award with Innovate UK for the Knowledge Transfer Partnership, with the Queen’s Medical Centre at the University of Nottingham, for making patient specific spine implants.

This led us to giving a presentation where we were introduced to Noel Fitzpatrick who was coincidentally working on his latest series of The Supervet Bionic Series. Noel asked to do an episode in our lab, involving the case of a Cavalier Spaniel who had a life threatening sinus tumour. This case was a great example of the benefits custom made and offer as it demonstrated the fast turnaround potential as the Spaniel was treated within a 24 hour period.

It also showed the way primary fixation was achieved, and also how digitally planned and controlled surface treatment and coating enabled cellular differentiation. It also showed how we can learn a lot from veterinary science and apply it to humans via biomedical engineering.

It was this project with Noel that led us to applying for the Queens’ Awards for enterprise.

A viewer asked Noel to encourage us to contact the Lord Lieutenant of Nottingham. We submitted our work and highlighted the fact that everything is a one-off – no one implant can go through broad testing, as we construct the implant and aim for the patient to have it within a week. There is a necessity to validate implants, and our highly innovative software enables us do this swiftly and efficiently.

We have developed a complex and innovative software that can model the patient, load the patient’s data into that model, thus personaliseing the model for the individual patient. When constructing a virtual model

ABOVE LEFT: Digital Spanial's Mandible.

ABOVE RIGHT: Re-Modelled Condyle LEFT: Spaniels cranial plate

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TOP AND BOTTOM LEFT: Patient specific software design. BOTTOM RIGHT: New Digital Orbital Floor

for a joint it must also incorporate other vital information such as gait analysis, including videos of the patient moving. The software then incoprorates this data to produce a dynamic working model of the proposed restoration. We can then have an online collaborative design session with the surgeon to complete the online design processes.

Several sessions between us and the surgeon take place during process, including both technical, clinical and surgical input. After the collaboration, the agreed design needs to be thoroughly tested, but it must also be appropriate. In traditional implants in vitro testing will take place in the lab, whereas, in vivo testing will occur on a live patient, potentially an animal.

However, we have now developed an in silico model which loads a model with the patient scan data, can design implants in 3D and accurately predict the future performance of the implant. One major benefit to this is to eliminates the need for animal testing as now the outcomes can be predicted using software instead. Our software model was validated against in vitro testing in the lab, and the model’s result is consistently within 3% of lab results. We then over-engineer by 20% to give us a viable safety margin.

To win the Queens Award our digitally validated 3D printed, patient specific orthopaedic implants, were recognised with appraisal. In the future patient specific medicines are going to be more and more frequent, highlighting the importance of

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digital validation; the Chief Medical Officer in the UK has said “The future of oncology is in patient specific treatments rather than generic diagnosis and treatment. It clearly allows the most helpful treatment for each patient, which will significantly benefit the NHS and other medical bodies financially. Most surgeons have to make patients fit the object rather than the other way round, so to know that the object is designed to fit you, and only you, brings some degree of comfort during a potentially difficult surgical procedure.”

Implants don’t necessarily last a lifetime, so not only does this mean the patient is going to have to have and implant replaced, but they can only have it replaced once or twice meaning surgeons try to delay the input of the implants to prolong their effective lifetime further down the line.

We found out only a couple of months ago that we had won the award. It is a fantastic reward for our team and laboratory which has been running for over 100 years. Custom made patient specific implants are still very much in their infancy and it has taken 15 years to get this far. We are hoping that winning the Queen’s Award for our innovation on this new technology will fast track its progress into common and accepted medical practice in Britain and worldwide.

For more information contact: Attenborough Laboratories - Web: www.attenborough.com Email: info@ attenborough.com Tel: + 44 - 115 - 947 3562 Fax: + 44 - 115 - 950 9086

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This will be the first ever dental professional’s annual conference hosted by the Orthodontic Technicians Association (OTA), it will be held in association with FutureLabs, the Dental Technologists Association (DTA) and the Society of British Dental Nurses (SBDN), held at the Park Plaza Hotel in Nottingham on the 14th & 15th of September 2018 everyone and anyone working in the dental field are welcome to attend.

Speakers confirmed so far include: Lesley Sharpe, Kash Qureshi, Julianne Kumm, John Brown, Nicolas Miedzianowski-Sinclair, Jutta Ruffing, Larry Browne, George Antonopoulos, Fiona Ellwood and many more...

CONFIRMED SPEAKERS

Fiona Elwood

Jutta Rflfing

George Antonopoulos

Kash Qureshi

Lesley Sharpe

Nick Miedzianowski

The conference will unofficially begin on the evening of Thursday 13th for those who wish to join the OTA council, representatives from FutureLabs, the DTA and the SBDN at an exclusive event to be held in the ‘Ye Olde Trip to Jerusalem’ which is just around the corner from the conference hotel.

The ‘Ye Olde Trip to Jerusalem’ in Nottingham, claims to be the oldest pub in Britain, reputing to have been established in 1189AD, the pub building is built into the Castle Rock upon which Nottingham Castle is also built. It is also attached to several caves carved out of the soft sandstone of Castle Rock, which were originally used as a brewhouse for the castle, and which appear to date from around the time of the construction of the castle in 1068 AD. The conference itself will be a two day event, offering up to 10 hours of verifiable CPD, it will start in earnest on Friday 14th in the morning with a choice of four hands-on workshops with enough time for each delegate to attend two workshops of their choice.

Also if you like a spot of golf and wish to forgo the Friday morning workshop sessions, there will be a golf competition held at a local course. More details coming soon...

The afternoon session on Friday will offer attendees the opportunity to tailor their own conference programme with a total of sixteen different lectures to choose from. These lectures will cover a variety of subjects from within the field of orthodontics, fixed and removable prosthodontics, and dental nursing.

The days programme on Friday will finish with a drinks reception and buffet dinner with plenty of time for networking and relaxing with friends.

Saturday morning will be the start of a more combined ‘team’ day, but still offering choices in the morning, there will be a choice of attending a workshop session, a combined tech session or a nurse’s programme followed by a fully integrated team lecture programme in the afternoon. The OTA will also be holding its AGM at the end of the days lecture programme.

The conference will officially end with the much loved Black Tie Dinner and awards ceremony on the Saturday evening, with live music from local band ‘Wayward Brotherhood’.

For details of how to apply and for more details as they are revealed go to https://ota-uk.org/ota-conference/ For anything else please contact the conference organiser Andrea Johnson directly at chair@ota.-uk.org

The early bird deadline is 31st August 2018, but places are limited, so to guarantee your place at this fantastic event get your applications in as soon as you can.

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DENTAL NEWS

THE DENTAL PROFESSIONALS CONFERENCE 2018

COMPANY NEWS

THE DENTAL TECHNICIAN MARKETPLACE KEMDENT SAVE TIME & STILL HAVE A HIGH QUALITY FINISH TO YOUR DENTURES w Want to save time and still have a high quality finish to your dentures? Kemdent’s heat cure Acron Express and Acron Hi Denture Base Acrylics are ideal for the busy prosthetics laboratory.

A special introductory half price offer is available during July and August for both these high quality acrylics. Buy 1 x 1kg/pack of Acron Express Heat Cure Denture Base Acrylic for only £24.48 + VAT or buy 2 x 1kg/pack of Acron Hi – High Impact Denture Base Acrylic for only £93.30 each + VAT. 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) allowing you to process more jobs at the same time without

systems. It flows easily and smoothly with a short dough time of 10-20 minutes compared with competitors. Kemdent customers like the working time and how easily it comes out of the moulds. Which saves time during the final processing stages.

loss of quality. The light veined shade is very popular with Kemdent customers and a very high polish can be achieved.

The excellent handling characteristics of Acron Express and Acron Hi make them ideal for high quality work providing the patient with a long lasting, life-like denture they can wear with confidence.

Acron Hi is the ideal high impact denture base acrylic that produces dentures that are highly resistant to breakage and fracture. Acron Hi provides greater flexural strength and high impact strength as well as exceptional aesthetics. The dough is ideal for all processing protocols including injection moulding

Learn more, visit http://www.kemdent. co.uk/the-advantages-of-using-acron-hiand-acron-express to view a video showing Acron Hi - High Impact Acrylic and Acron Express in use. To take advantage of this special offer contact Jodie on 01793 770256. Or email sales@kemdent.co.uk

CERAMAGE UP BY SHOFU –THE STATE OF THE ART IN COMPOSITE LAYERING! w The best of both restorative worlds: technologically sophisticated and aesthetically optimised. Ceramage UP, the new flowable C&B composite system combines all the benefits of composites and ceramics in an innovative high-performance material.

Its high ceramic filler load and homogeneously compacted nanostructure guarantee excellent abrasion resistance, flexural strength and colour stability. At the same time, its perfectly structured layering concept with opalescent enamel and high-translucency

colours allows dental technicians to achieve amazingly natural aesthetic results, comparable to layered porcelain restorations.

Ceramage UP is indicated for almost all anterior and posterior restorations and comes in a modular system featuring great ease of use.

The individual shades are ready for use and thixotropic, so that tooth shapes can be freely sculpted using a probe or brush directly after dispensing. To further customise the appearances of anterior and posterior

restorations, the flowable materials can easily be mixed with each other or characterised with the light-cured stains of the Lite Art system. Thanks to the additive layering technique, only minor shape adjustments will be necessary. So the Ceramage UP C&B composite system, which is suitable for all types of crowns, bridges, inlays, veneers and long-term temporaries, uniquely combines cost-effectiveness, efficiency and aesthetics.

VITA EVEN CLOSER TO YOU: YOUR TRUSTED PARTNER IN THE UK w VITA has been the reliable partner of technicians and dentists around the globe for over 90 years, providing both materials and technology. VITA’s aspiration is to inspire and support professionals to be able to deliver the most esthetic, functional and long-lasting restorations with an efficient

protocol to their patients. To accomplish this mission, VITA provides precise communication means between the dental lab and practice, based on an accurate digital and visual tooth shade determination.

With its high quality, metal-free restoration materials and reliable equipment for shade reproduction, VITA enables technicians and dentists to achieve clinical

and economic success. Get in touch with your ‘perfect match’ on Facebook or get more detailed information from our representatives and on www.vita-zahnfabrik.com VITA Specialist Mr. Shane Kent Mobile: +44 7387 0879 82 Email: s.kent@vita-zahnfabrik. com Order Department & Customer Service Mrs. Nicole Vogt Tel: +49 7761 562-281 Email: n.vogt@vita-zahnfabrik.com

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

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Explore the wide range of dental laboratory products from handheld instruments and discs for working with

www.dentaltechnician.org.uk

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DENTAL NEWS

IRISH DENTAL SERVICE SYSTEM PREVENTS DENTISTS FROM PROVIDING ADEQUATE CARE DENTAL TRIBUNE INTERNATIONAL JUNE 5, 2018 lDUBLIN, Ireland: A recent survey

conducted by the Irish Dental Association (IDA) has found that the majority of dentists have no confidence in the Dental Treatment Services Scheme (DTSS) and are dissatisfied with the level of care they are allowed to provide. The DTSS gives Irish citizens who fall below a certain income tax threshold access to free or reduced-rate dental treatment. Based on the results of the survey, the IDA has called for immediate resumption of contract talks.

Over 440 dentist members of the IDA, completed the survey, which was undertaken in the first two weeks of May. According to the results, 90 per cent said they are dissatisfied with the level of care they can provide under the scheme, while 96 per cent believe the scheme prevents them from providing the same standard of care as for private patients.

The survey also found that 97 per cent of dentists lack confidence in the

DTSS. Thirty-eight per cent of the surveyed dentists said they had been refused approval to provide treatment for exceptional or high-risk patients owing to lack of funding. Because of these circumstances, three out of four of the respondents would like to leave the scheme within the next five years.

“I am opting out of the DTSS scheme.

I will suffer short term for this, but not as much as my poor patients. I just can’t do it any longer,” said one surveyed dentist.

Another claimed, “It is an unethical scheme. It provides the illusion of care.”

In 2010, the Health Service Executive (HSE) imposed unilateral cuts to the scheme without informing or consulting patients, dentists or the IDA. From that point on, the only treatments available to patients were an annual oral examination, two fillings per annum and unlimited extractions. According to CEO of the IDA Fintan Hourihan, these changes have led to a 41 per cent increase in the number of

surgical extractions and a 12 per cent rise in routine extractions.

Since 2010, the number of patients eligible for dental care has risen to 1,340,412—an increase of 24 per cent.

Despite this, the number of treatments funded by the HSE has fallen by 24 per cent.

“We are calling on the Minister for Health [Simon Harris] to resume contract talks as a matter of urgency and to extend to dentists the same terms and conditions which have been offered to public servants and other health professionals who have seen Financial Emergency Measures in the Public Interest pay cuts reversed in full. There must also be a commitment in the forthcoming budget for multiannual funding towards a new scheme which focuses on prevention rather than treatment. Until that is in place the costs of poor dental health will continue to be borne by the most disadvantaged in society,” Hourihan concluded.

RESEARCHERS DEVELOP MATERIAL THAT COULD EMULATE DENTAL ENAMEL DENTAL TRIBUNE UK JUNE 7, 2018 l LONDON, UK: Unlike many

other tissues in the human body, dental enamel does not regenerate itself once it is damaged. In what could potentially be a breakthrough for dentistry, researcher at Queen Mary University of London has developed a new method for growing mineralised materials that could potentially regenerate dental enamel, bone and other hard tissue.

As the hardest tissue in the body, enamel allows our teeth to withstand exposure to acidic foods and drinks, extreme temperatures, and frequent biting forces. Unfortunately, enamel’s inability to renew can lead to tooth pain and tooth loss, conditions that affect a large proportion of the world’s population.

By focusing on a specific protein material that can trigger and guide

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the growth of apatite nanocrystals, the researchers found that the microscopic prisms created by the material possessed similar physical properties to dental enamel. These structures can be grown over large uneven surfaces and native tissue, opening opportunities for hardtissue repair.

“This is exciting because the simplicity and versatility of the mineralisation platform opens up opportunities to treat and regenerate dental tissues,” said first author of the study Dr Sherif Elsharkawy, a dentist from Queen Mary’s School of Engineering and Materials Science.

“For example, we could develop acid-resistant bandages that can infiltrate, mineralise, and shield exposed dentinal tubules of human teeth for the treatment of dentine hypersensitivity.”

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The study’s lead researcher Prof.

Alvaro Mata, said: “A major goal in materials science is to learn from nature to develop useful materials based on the precise control of molecular buildingblocks. The key discovery has been the possibility to exploit disordered proteins to control and guide the process of mineralisation at multiple scales. Through this, we have developed a technique to easily grow synthetic materials that emulate such hierarchically organised architecture over large areas and with the capacity to tune their properties.”

The study, titled “Protein disorder–order interplay to guide the growth of hierarchical mineralized structures”, was published online in Nature Communications on 1 June 2018.

DENTAL TRIBUNE INTERNATIONAL JUNE 6, 2018 l LONDON, UK: The incidence of throat

cancer caused by the human papillomavirus (HPV)—one of the most difficult to diagnose and treat—has increased sharply in the UK. Men are twice as likely to be affected by HPV than women. Therefore, the British Dental Association (BDA), alongside partner organisations, has recently called upon the Department of Health and Social Care to extend the vaccination programme against HPV to boys.

With a gender-neutral approach to HPV vaccines on the agenda for the next meeting of the Joint Committee on Vaccination and Immunisation dental leaders have written to Steve Brine, the Parliamentary Under Secretary of State for Public Health and Primary Care. In the letter, they expressed their strong support for universal vaccination against the virus. They further set out the

case for blanket immunisation against HPV and asserted that it is morally indefensible to allow thousands of men to develop cancers that could be easily and cheaply prevented.

The letter also suggests that withholding the vaccine from boys while immunising girls might constitute gender discrimination under equality law.

HPV has been linked to one in 20 cases of cancer in the UK, causing not only cervical cancer, but also cancers of the mouth and throat, penis and anus. Up to 80 per cent of sexually active people will be infected by HPV at some point in their lives.

“HPV-related cancers affecting the mouth and throat have a huge impact on the quality of people’s lives, so it’s frustrating for dentists, who are often the first to detect them, knowing how easily they could have

been prevented. We urge the Government to consider the human as well as financial cost of these devastating but preventable diseases when making a decision on this issue. There is no logic—or fairness—in only protecting half of the population against this terrible virus. It is time for a universal vaccination programme,” said Dr Mick Armstrong, Chair of the BDA’s Principal Executive Committee.

DENTAL NEWS

DENTAL LEADERS REQUEST EXTENSION OF HPV VACCINATION PROGRAMME

“The current girls-only policy is costing lives and leaving 400,000 more boys needlessly unprotected with every passing year. The fight to reverse the increasing incidence of oral cancer hangs on the government’s decision, and we urge ministers to listen to the dentists and other health professionals who see the devastation that HPV-related cancers wreak on patients and their families,” stated Dr Mick Horton, Dean of the Faculty of General Dental Practice (UK).

NET PROFITS RISE, WITH NHS AND PRIVATE PRACTICES LEAPING AHEAD DENTAL TRIBUNE UK MARCH 23, 2018 l LONDON, UK: New figures presented by the National Association of Specialist Dental Accountants and Lawyers (NASDAL) on Tuesday have shown profits widening between mixed practices and practices that solely focus on NHS or private work. On average, mixed practices lag behind by nearly £10,000 compared with their NHS or private counterparts, which according to the organisation is a significant but not huge gap.

Practices in the UK overall saw net profits rising last year, with larger practices coming out tops with £143,446 per principal,

compared with £138,511 in 2016. Profits of practices without associates by contrast only increased slightly, from £105,914 to £107,896 per principal. Private and NHS practices performed equally well, with an increase in profits of almost 5. per cent, NASDAL said.

“It may be controversial to say but might the gap be explained by NHS practices maximising profits by concentrating on NHS dentistry with a low-cost base and private practices maximising profits by offering higher value treatments, whereas, mixed practices could be left offering private

dentistry at nearer to NHS prices and therefore seeing lower profits?” asked Ian Simpson, a chartered accountant and partner in Humphrey and Co., which carries out the statistical exercise. “Perhaps mixed practices fall into the all too common business trap of losing focus and not being entirely clear on who they are and what they deliver to their patients,” he suggested.

The figures were taken from NASDAL’s latest annual Benchmarking Report, which was based on 2017 tax returns and accounts with year-ends up to 5 April 2018.

GC UK LIMITED GC GRADIA® PLUS SETTING THE STANDARD IN LIFELIKE MIXING AND LAYERING OF SHADES mechanical properties, ensuring a longterm, permanent solution, GRADIA® PLUS is suitable for a wide range of clinical applications: from metal free inlays, veneers and jacket crowns to frame-supported crowns & bridges and implant superstructures.

Based on the latest ceramic polymer technology this advanced, high-strength, nano-hybrid, light-curing composite offers brightness, translucency, chroma and a natural opalescence in the oral environment that is similar to porcelain. Its unique modular concept has fewer standard shades, but uses a more individual mixing and layering approach making it more compact and cost-effective. Nevertheless it meets all the demands on indications or techniques

Curing at the speed of light, all the shades of GRADIA® PLUS polymerize completely in short irradiation times using GC LABOLIGHT DUO, GC’s state-of-the-art multi-functional light-curing device, which combines two curing modes: pre-curing (step mode) and final curing (full mode).

used from classic or multi-chromatic buildup to the monolithic approach.

Offering improved aesthetics and superior

www.dentaltechnician.org.uk

For further information please contact GC UK Ltd on 01908 218999, e-mail info@ gcukltd.co.uk or visit www.gceurope.com

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COMPANY NEWS

w GRADIA® PLUS is a modular composite system for indirect restorations which sets a new standard in lifelike mixing and layering of shades. It has been developed by GC in close co-operation with a group of top Dental Technicians.

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 June DT Edition:

CPD

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VERIFIABLE CPD - JULY 2018 1. Your details First Name: .............................................. Last Name: ........................................................Title:................

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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

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Question 10 Question 11

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Question 14

Question 15

Question 16

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Q7.

A.

Q8.

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.

Q9.

C.

You can submit your answers in the following ways:

Q10.

B.

Q11.

A.

1.

2.

Q12.

B.

Q13.

A.

Q14.

C.

Q15.

D.

Q16

B.

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

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

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 ITI. MEETING LONDEC. Q1. How many Technicians qualified in 2017 in the U.K? A. 2,050.

B. 760.

C. 300.

D. 1230.

Q9.

A. B. C. D.

Q2. What is the annual growth rate of restorative Dentistry in America?

A. 6.0%.

B. 4.9%.

C. 3.75%.

D. 2.95%.

Q10.

A. B. C. D.

Q3.

A. B. C. D.

What is the Average age of Dental Technicians in the U.K? 43yrs.

39yrs 56yrs.

57yrs.

Q4.

A. B. C. D.

What is the average age of Dental Laboratory owners in the U.K? 64yrs.

58yrs.

67yrs.

54yrs.

TECHNICIANS IN WW2 Q5. What was the name of the Hospital Ship?

A. Lady Godiva.

B. Marchioness Laura.

C. Lady Connaught.

D. Duchess of Munster.

Q6.

A. B. C. D.

How many wounded did the ship take on board?

900.

650.

460.

400.

Q7. In the four weeks following D Day how many dentures

were made?

A. 17.

B. 450.

C. 220.

D. 176.

IRISH DENTAL CARE PROVIDES INADEQUATE CARE Q8. How many Dentists took part in the survey?

A. 380.

B. 220.

C. 440.

D. 600.

How many patients are said to be eligible under the DTSS Scheme?

1,765,018.

1,435,214.

1,374,241.

1,340,412.

What is the suggested rise in the percentage of extraction?

53%.

41%.

12%.

47%.

DENTAL PRACTICE TURNOVER INCREASE, FOR DEDICATED NHS OR PRIVATE PRACTICES, OVER MIXED PRACTICES Q11. How much difference is suggested by the NASDL figures?

A. 12,000. p.a.

B. 10,000. p.a.

C. 9,000. p.a.

D. 15,000. p.a.

ATTENBOROUGH LABORATORY QUEENS AWARD. Q12.

A. B. C. D.

What was the first award won by the team at Nottingham?

The Export Technology Award.

The Knowledge Partnership Award.

Technical Challenge Award.

Innovation in Technical Dentistry Award.

Q13.

A. B. C. D.

What Case led them to apply for the Queens Award?

The Cavalier Spaniel.

The Spinal cord Attachment.

The Canine eminence re-attachment.

The Orbital Floor restoration.

Q14.

A. B. C. D.

How do they establish the validity of the design prior to surgery?

By copying the original.

By using only the same designs as before.

By interactive discussion with the surgical team.

By experience and knowledge.

CREATECH MEDICAL, INTERNATIONAL SYMPOSIUM. Q15. Where was the meeting held?

A. In Basle in Switzerland.

B. In Bern Switzerland.

C. In San Sebastian Spain.

D.I n Madrid.

Q16.

A. B. C. D.

What speaker asked the audience to choose his language?

Richard Elliott.

Miquel Coronel.

Dr Ramon Gomez Meda.

Francisco Tiexeira Barbasco.

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.

www.dentaltechnician.org.uk

29

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

A DAY AND A NIGHT TO REMEMBER!

THE 2ND CREATECH MEDICAL INTERNATIONAL SYMPOSIUM BRINGING LAB AND CLINIC CLOSER THROUGH DIGITAL WORKFLOW San Sebastian is a beautiful place… miles of golden sand, coupled with great shopping and wonderful food - what more could you ask for? Well how about a little bit of dentistry and a great party! Imagine all of this and you’ll get the idea of the 2nd Createch Medical International Symposium, which was held on 25th May 2018 in San Sebastian, Spain.

DIGITAL TECHNOLOGY

Createch Medical are a dental engineering company, with origins in the aeronautical sector, who manufacture a wide range of unique prosthetic solutions. The result of these developments are unique CAD/CAM structures that make Createch Medical the go-to company for all implant-supported substructures in a range of materials.

The 2nd Createch Medical International Symposium ‘Bringing lab and clinic closer through digital workflow’ was a triumph in that the speakers were not guided to talk specifically about Createch but instead presented on an array of digital topics of interest to the international audience of clinicians and technicians.

Dr Aritza Maté started the day discussing the very interesting topic of ‘Functional and aesthetic digital designs: from wax-up to ¬final result’. This presentation showcased how a patient can have their restoration designed and digitised to see the results before they start treatment. Dr Maté showcased his use of the latest digital technology and a range of fabulous case reports, which were very well received.

HOMEGROWN TALENT The UK’s very own Richard Elliott, Managing Director of Queensway Dental Laboratory, in Billingham Teesside, presented an excellent lecture focused on ‘Good communication between lab and clinic: the secret of a happy relationship’.

The presentation highlighted how, with modern communication methods, the working relationship between technician and clinician can be improved for the benefit of all. Richard went on to explain his use of digital scanning and 3D printing coupled with his use of Createch’s milling technology that has revolutionised his working practices for the better.

Miquel Coronel discussed ‘Harmony and Simplicity: back to theorigins’ showcasing and explaining the delivery of complex overdenture cases supported by Createch milled bars. The quality of the work showcased was exceptional and Miquel made us all think that even when patients have complex needs they can treated in a highly successful way.

After a very successful morning we were presented with a beautiful lunch with wine… we were after all in San Sebastian! And when Dr Francisco Teixeira Barbosa took to the stage for the afternoon session no one was falling asleep. At first Francisco debated with the audience if he should present in Spanish or English and Spanish won… He went on to explain in very eloquent terms ‘Immediate loading in the present, from analogue protocols to a 100% digital protocol’ including outlining the speed of change within digital dentistry and how all clinicians should now consider the use of digital scanning and planning to deliver successful treatment outcomes, whilst saving time and money.

Thomas Lassen delivered a very insightful presentation ‘New prosthetics on long termstability implants using high-tech CAD/ CAM technology’. This showcased a range of successfully-completed cases using Createch CAD/CAM and digital planning processes.

He also demonstrated via a short video the accuracy of complex structures created using these latest processes.

Dr Ramón Gómez Meda delivered the final presentation ‘Combining the best of both worlds: digital and analogic’. Ramón delivered an insightful presentation covering the advantages and disadvantages of CAD/CAM technology and how best in his opinion to successfully combine the analogue and digital world using a multi-disciplinary approach.

All the speakers were presented and thanked for their remarkable and topical presentations.

The collective audience were very appreciative of a wonderful learning experience.

LET THE PARTY BEGIN! In the evening we were treated to Createch’s exceptional hospitality as many partied until the small hours at GU San Sebastian. GU is an exceptional venue offering spectacular views of La Concha Bay where we were served beautiful Spanish food, cocktails and great music - a day and a night to remember!

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