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INSIDE THIS ISSUE
Technical
Technical
Business
Insight
June 2017 Vol 70 No 05
HTSC The Future of Dental Technology Pages 8 & 12
South East Study Club Page 24
HS Digital Symposium Page 10
Health Report Pages 14 & 16
DTS & DENTISTRY SHOW M
y thanks to all of you who came to see me at the Dental Technicians stand at the recent DTS and Dentistry show. There was quite a buzz and I met a lot of old friends and saw some familiar faces. It would seem as if many of you have not received your Technician while expecting for it to turn up. If you are one of those or particularly know someone who is in that boat, please ask them to fill in the subs form or contact me at the number listed on page 3. The DTS went off very well and a lot of people I met were very happy with the deals and various new systems and products on offer. The technical talks were very well attended and the audience enjoyed the very full programme which was very well Chaired by Phil Reddington, who had a big hand in choosing the speakers. Some new young faces and some familiar names all gave thoroughly interesting presentations of topics covering digital dentistry, orthodontics and prosthetics with a measurable input by the CDT’s . It was noticeable that the staff at the NEC, including the bus drivers, were all very attentive and polite with a positive attitude to the visitors to Hall No.5. Perhaps a successful piece of staff training? Digital topics and the future of dental technology was on
Continued on page 9
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CONTENTS
THE DENTAL TECHNICIAN JUNE 2017 4
4
Looking Back
6
BDA Conference
8 & 12
Harley Technicians Study Club
9
Cover story continued DTS & Dentisrty Show
10 & 11
Henry Schein Connect Dental Digital Symposium
13
Still Going Strong 80 Years On!
14, 15 & 18 Health Report 16
ITI World Symposium 2017
17
Bracon Ltd
19 & 20
CPD
21
PR News
22 & 23
DTS winners
23
Dental News
24 & 25
South East Study Club
26
Dentaid grant helps Todos Juntos provide dental care for children in Argentina
27
Oral Hygiene
28
The Oral Health Foundation
29
Dentine Hypersensitivity, Is it a big problem?
30
The Cleft Lip and Palate Association (CLAPA) / GC launched their NEW Initialâ„¢ LiSi Press at DTS
31
Classifieds
8 & 12
13
28 PUBLISHERS: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT TELEPHONE: 01372 897463 Subscriptions The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH Editor: Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. Tel: 01372 897461 Email: editor@dentaltechnician.org.uk Subeditor: Sharon (Bazzie) Larder Email: inthedoghousedesign@gmail.com Advertising: Chris Trowbridge Tel: 07399 403602 Email: sales@dentaltechnician.org.uk Editorial advisory board K. Young, RDT (Chairman) // L. Barnett, RDT // P. Broughton, LBIDST, RDT // L. Grice-Roberts, MBE // V. S. J. Jones, LCGI, LOTA, MIMPT // P. Wilks, RDT, LCGI, LBIDST // Sally Wood, LBIDST
THE DENTAL TECHNICIAN WEBSITE IS NOW LIVE! FIND US AT:
dentaltechnician.org.uk THE DENTAL TECHNICIAN is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused. No part of this publication may be reproduced in any form without the express permission of the editor or the publisher.
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LOOKING BACK
PART 3
A VISIT TO AMERICA DELAYED BY THE WW11.
VISIT TO NORTHERN AMERICAN LABORATORIES
A Mr Walter J. Bell wrote an article that was published in this journal edition about his experiences on visiting American dental laboratories and well known manufacturers back in 1947. Mr Bell an accomplished dental technician and chairman of the Harley Technicians Study Club, had been invited for a several week tour to visit various dental establishments across North America in 1938, however the the start of Second World War postponed the trip for nine years. Back in 1947 Mr Bell had to seek an endorsement from the British Dental Association so that they would positively approve his application for a workable currency allowance by the Bank of England. A Mr Davies the Managing Director of S.S. White Co., Great Britain provided all the useful contacts and visits Mr Bell should make in the U.S.A. No flying over in those decades of long ago, it was a crossing of the North Atlantic by ship, the Queen Elizabeth Liner no less! The headquarters of S.S. White’s Company was in Philadelphia where our Mr Bell met Mr Sam White the 3rd. His trip around the States was well organised, thanks to the S.S. White personnel. Mr Bell visited laboratories that employed a hundred staff and smaller specialised laboratories. Flying out further to Chicago he met the well known to us all by name and those thoughtfully designed clasps, the venerable, then old notoriety of dentistry, Doctor Roach. Mr Bell was very fortunate to visit the Austenals Dental Laboratory which was of particular interest
to him for this was the home of Vitallium Casting technique. One of his recorded observations as he completed his several week tour was that American speciality technicians showed to Convention audiences how their techniques were performed. Mr Bell hoped that similar informative big scale regular dental technician conventions would also be held across Great Britain in the forthcoming future. Seventy years on and they have proved worthwhile attending as part of our annual calendar events “must go to,” over a few recent decades. Mr Bell thought his trip valuable and it reinforced his opinion that British dental technicians were better allround craftsmen than their American counterparts. Salaries were however better in America with a system of bonuses in place and that forty per cent of the patients’ payment for their complete treatment was earmarked for laboratory costs. There appeared to be a closer friendlier co-operative spirit between the North American dentists and their technicians!
ARMED SERVICES DENTAL TECHNICIANS
This first edition journal is full of interesting articles. Again the comparison came up how better treated were the North American Armed Service dental technicians matched to the British Army Dental Corps rankings. Canadian and United States dental mechanics were generally entered into their armed services with a sergeant’s ranking, which provided them with a decent pay package and status. Whilst our guys were trade tested through a ranking range Dental Mechanic, GP (B) trade Class I or II or III, or lowest of the low, Dental Clerk Orderly. Dental Technicians were known as Dental Mechanics, by His Majesty Forces. (I have used both titles for our personnel throughout this paper). In theory, and it proved on too many occasions to be just a theory, that our armed service dental technicians could progress up
their ranks that were applicable to them. Most technicians at the army’s Aldershot Laboratory were on D.M. GP (B) C1.III. After one year’s service there was supposed to be the opportunity to be considered for up grading to a Class II and then after a further six months to a Class I.
of production, then pass on to the next stage, a belt repetitive system of commercial type production. That should ideally work for manufacturing identical produced products, but not at all entirely satisfactory for dental appliances with their individual complexities.
Such was the demand during WWII for dental professionals that a called-up dental technician from early 1940 onwards found it near on impossible to seek a transfer to another Regiment or Corps for an improved status or pay structure, or sheer adventure! The dodge that was operated by some individual technicians in the original months of Call-up was to completely fail the dental technician’s trade test, even for Dental Clerk Orderly. These trade tests were held at the Aldershot Training Laboratory. However there were so many attempts of this kind that the army authorities checked the scope of work that had been undertaken at the technician’s original place of employment. Once graded as a D.M.GP (B) that usually fixed the dental technician’s status and pay all through the WWII.
There were constant disruptive disputes which subjectively led individual technicians to lose interest in their allocated repetitive routine position of work within the laboratory; be it setting-up, flask and pack, or trimming up and polishing. Sheer frustration of being blamed for poor workmanship was increasingly exasperated when one considers the other personnel involvement. The dental officer, who made the impressions and subsequently registered the bite and the Clerk Orderly who cast the models and made the occlusal registration rims. The methods of dispatch and handling of such vast quantities of dental packages, for service personnel requiring dentures, was the General Post Offices responsibility.
The large Command Dental Laboratories had on the average 40 technicians mainly producing dentures on a sectionalised system. On paper at least, the vast amount of required dentures could be produced to keep the armed service personnel “fighting fit” by having technicians working repetitively on a particular production phase. These large laboratories brought together dental technicians who could now exchange techniques and discuss all the questions of a unified profession had to offer as against the past customary working in isolation to each other which had proved so detrimental to their trade status. But, continual problems arose producing so many dentures. Who was ultimately responsible when dentures didn’t fit! The system had too many operatives working on each individual denture appliance as technicians were expected to operate only on one area
The Sergeant Major to the technicians would hold inquests, of course, and the inevitable result was each section disclaiming responsibility. Technicians would find themselves ploughing through their daily routines under, at times, a stressed atmosphere. But for all the poor recognition at trying to do one’s best and low pay and status, successful quality dentures both full and partial were fitted.
As an example of how little, things change in reality, the above ad for Badcock screws is referring to the lack of materials for their manufacture, siting the recent conflict, (World War 11).
To be continued in the next issue
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BRITISH DENTAL ASSOCIATION ANNUAL CONFERENCE SUPPORTS THE VICTIMS OF MANCHESTER
T
he British Dental Association (BDA) at there annual conference held in Manchester Central from Thursday 25th has pledged to donate £5,000 to the victims of the bombing at a concert on Monday 22nd. The Conference, at its usual Manchester Venue the professional body has joined other initiatives for supporting the victims and families of those involved in this horrendous attack. Chair of the BDA Principal Executive Committee Mick Armstrong said: “We’ve been so proud to make Manchester home to our national conference, and we just want to do our bit to help our hosts and friends in the aftermath of this horrific attack.” “Quite rightly Manchester has resolved to carry on. Our thoughts are with all the families touched by this atrocity,” he added.
According to the Greater Manchester Police, Monday’s attack during a concert by American singer Ariana Grande at the Manchester Arena left 22 people dead and more than 50 injured. The suicide bombing, believed to have been executed by a 23-year-old man from the south of the city, is one of the most fatal terror-related incidents in Great Britain in recent years. In response, the UK government has changed the terror threat level from severe to critical and deployed armed forces nationwide to protect vulnerable sites. Participants of this year’s BDA conference have also had to submit to extra security measures that have been put in place for the entire event. Earlier on Thursday, they joined in on a minute of silence across the UK to honour the victims. The BDA has been continuously holding its national conference at the Manchester Central Convention Complex since 2012. Over 4,000 dental professionals are expected to attend this year’s three-day event, which also features an extensive industry exhibition.
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HARLEY TECHNICIANS STUDY CLUB
WED 17TH MAY ASHLEY BYRNE: THE FUTURE OF DENTAL TECHNOLOGY technician recruitment. A CAGR of 4.9% from 2015 to 2023 makes dental technology one of the fastest growing established Industries in the world.
A
s usual, an enthusiastic crowd of members and guests had responded to hear what was to prove a very, very interesting view of the state of Technical Dentistry, particularly in the UK. Ashley has travelled around the world in search of the best combinations for Digital Dentistry systems and has become convinced of the particular advantages offered to the profession and the patients. Ashley was very upbeat about the future and damning of the doom merchants who have help usher the decline in
He told the story of one young applicant who had tried 18 laboratories to get a job as a Trainee Technician. Only two had replied saying not to waste her time or her life as there was no future in Dental Technology. Ashley went on to say how well she had fitted in and just how quickly she had gotten on with the job of learning. According to the report, the global dentallaboratories market was valued at $12,4 billion in 2014 and is projected to expandat a CAGR of 4.9% from 2015 to 2023 to reach$20,2 billion in 2023. https://www.thebalance.com/ what-is-the-ideal-gdp-growthrate-3306017
1 3
2 LAB TEAM TOOLKIT:
1. CAD-SYSTEMS 3Shape, Exocad DW; 2. OUTSOURCE Createch; 3. 3D PRINTERS Form2 3D systems; 4. MILLING In House Systems
Of course there are changes coming to us all but they are changes to be managed and Ashley believes in training and incorporating the young peoples grasp of computer and digital technology without question He has also talked to
4 his present staff about re-adapting their skills, and all, including the model room technician have shown a real willingness to learn. Coupled with their already developed knowledge and abilities with dental technology, they are finding they can easily adapt to the new work practice and add something of their already developed skills. Ashley is making sure his newer recruits are trained in dental technology and has undertaken a serious programme of encouraging the trainees, who may be excellent with their computer skills, to learn the traditional (Analogue) methods of the craft. Ashley was clear that you need to find your ideal scanner and design programmes and he has used his experience and knowledge to choose four or five. Each a different soft ware option, in his opinion, has a particular advantage in one or other process of technical
dentistry. He certainly has gone for some of the best known options within dentistry, but has also chosen several from the general industry of digital technology. He moves between 3Shape, Exocad, Dental Wings and the non-dental systems. He is undoubtedly well aware of his needs and pursues them quite single-mindedly. It would have been difficult not to be impressed with his enthusiasm and confidence. He spoke of the advantage of this technology being able to produce demanding and time consuming restorations in a fraction of the technicians valuable time. The completed work being shown was indeed impressive. Ashley has long enjoyed a reputation for quality and advanced work and it is clear he does not intend to compromise his reputation.
Continued on page 12
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Continued from page 1 everybody’s lips with the doom hailers mixed up well with the positive go getters and of course the great wad of don’t knowers in between. The changes that are taking place in technical dentistry are here to stay and mark the beginning of the new chapter in the development of our craft and profession. The potential for further development of the craft skills and the opportunity to develop your own new model of your traditional laboratory image has never been greater. Really examine this innovative revolution and see what parts suit your philosophy. Perhaps you may just need to outsource everything digital and perhaps deal with the aesthetic phase only. Or perhaps deal with the client and manage the communication with confidence. Whatever you do you must examine the areas, which can augment what you are already doing with your client base. See what else you can offer as part of the services and identify the areas you need to examine and study in order to be the technical voice of your digital dental offerings. Very many technicians and lab owners are wringing their hands
and adopting the attitude of the clock running down for them. There is obviously areas of the country that have been blighted by the Corporates, and a few Dental labs sending work out to the Far East. A market based on price alone, unsupervised, unchecked and producing whatever from whatever material can be used very cheaply. The Ministry are not at all interested in maintaining standards only budgets and the Corporates are driven only by the bottom line. While all clinicians working for corporates are far from indifferent the future prospect of these organisations maintaining true patient focus quality treatment is slim. The further the practices get from the original owners influence the more the cynical bottom line attitude will kick in. We know that corporates are buying up laboratories and are looking seriously at the digital methods in order to circumvent the required qualifications for Technicians. Hopefully we can have some influence on maintaining the standards for the sake of the patients. We do have two organisations that represent the interests of the technicians. The DLA, which represents the laboratory owners and the DTA, which represents the interests of the technicians. Is there
any chance, I wonder if these organisations can have some sway on the decision makers and find some way of removing the process worker clause so only trained and training personnel can be registered. Otherwise these large organisations will be filled with school leavers, computer literate, who can follow instructions without understanding anything about dental restorations and without the protocols to ensure the restorations are fit for purpose. The specialist technicians such as the Orthodontic Technicians Association, I do feel sure will resist this potential watering down of skills and quality but without the political will from the MHRA and the GDC there will be little chance of halting the process. I know there are many technicians who will resist and will confine themselves to Private work but the future for the patients dental health and wellbeing is not promising. We have a situation at
the moment where the minimum requirement of offering the Statement of Manufacture is being ignored right across the country, despite being against the law, and the GDC seems content to accept that situation on the grounds that technical work does not generate problems and unhappy patients with complaints. It is however the only piece of evidence of the place and name of the manufacturer. The Chinese and Korean work coming into the country does not obviously carry an SOM. We have no idea who is responsible for, whatever restorations are being made this way. We have no idea what they are being made from and what may be contained within the metal, Composite or indeed the porcelain being used. This is a clear example of the MOH encouraging a process in order to keep down costs while turning a blind eye. And the GDC ignoring its own premise of putting the patients interest first. Nudge Nudge Wink!! Say N’More.
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HENRY SCHEIN CONNECT DENTAL DIGITAL SYMPOSIUM
ANOTHER HUGE SUCCESS
A
gathering of more than 400 delegates at this year’s Henry Schein ConnectDental Digital Symposium is testament to just how far the digital message is resonating with the profession. Organised at the splendid Grange St Paul’s Hotel in central London, the Digital Symposium is now rightly regarded as the premier digital event in UK dentistry. The diverse two-day programme covered all aspects of the digital spectrum, through a series of lectures, presentations and breakout sessions and was opened with a keynote lecture by Ian Buckle. Mr. Buckle, an experienced clinician with a private practice in the North West, examined the important relationship between clinicians and their technical colleagues and how the use of digital tools can aid communication not only with the laboratory, but also other specialists, including orthodontists, implant dentists and surgeons. In a frank and entertaining personal commentary, Ian discussed what works, what does not and what the future might hold for those reluctant to adopt digital processes.
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The Henry Schein ConnectDental platform offers digital technology solutions to help improve efficiency and productivity for both the practice and the laboratory with the aim of enhancing the patient experience by delivering predictable, high-quality dentistry. The role of digital dentistry in achieving this aim was perfectly illustrated by one of the highlights of the Symposium - a two-part presentation by Colin Campbell and Jameel Gardee, which included a full case study on digitally planning the smile and guided implant surgery. The presentation included details of how intraoral scanning, CBCT, digital x-rays, digital photography and smartphone video were all used to provide a fully planned, interdisciplinary case, which included the live capture of a patient’s information. In addition, the case demonstrated how to create a digital wax-up as well as the production of a milled implant surgical guide. The case was completed on the Saturday morning when Colin described the surgical procedures and compared the relative benefits of the different guided systems used on the case. With content to excite and inspire dental professionals at every stage of their digital journey, the Digital Symposium is clearly at the forefront of digital education. Dental professionals rely on Henry Schein’s experience and advice. With this symposium, the company guided those taking their first steps in the digital world and assisted those practitioners who have already embraced the technology and are seeking to perfect their craft. Jane MacRae, Marketing Manager at Henry Schein Dental, was delighted with the response from the profession and the industry: “The Digital Symposium is the perfect vehicle for us to demonstrate the way in which the clinical solutions we offer help our customers remain at the forefront of patient care. These solutions work across numerous dental disciplines, including implants, orthodontics, endodontics, prosthodontics, laboratory services, and many more. We believe that the experience and knowledge shared at this event will show customers our commitment to help them achieve achieve their digital vision. This year’s event encapsulated a shift in the acceptance of the digital transformation and I think we can look forward to some very exciting times in the near future.” l Videos and images of the event are available to download at hsddigitalsymposium.co.uk 11 The Dental Technician_June issue.indd 11
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Continued from page 8
2 WHOLE DAYS FOR JUST ONE FULL ARCH?
WHY ARE WE STILL CASTING FULL ARCHES? n Ashley was quite forthright in many of his comments. He said clearly he prefers his digital impression to come directly from his clinician rather than scanning the impressions or models. He said clearly that you cannot scan an impression effectively and the process of taking an impression, disinfecting it, and then casting a model introduces expansions or contractions at each stage, which makes that method less accurate than a direct scan of the mouth. The science seems to support his
view. While in his laboratory the number of units done through the traditional method is still greater, the number of cases as direct digital impressions is growing. His clinical colleagues are still using analogue methods for their bigger cases. It is early days and the confidence and trust on these major rehabilitations will need to be learned. But he is confident that the potential cost saving for both him and the clinician will be more than attractive enough for the methods to change.
3 HOUR DESIGN TIME FOR SET UP AND CAD.
This process still limits a technicians time n Ashley showed some examples of cases where the operator, a clinician was processing on the digital set-up but without a fully trained technician. The consequences were clearly compromised. The work was less than satisfactory with poor choice of metals , naive metal design and less than good technical consideration for the composite layering. The consequence was a rather rapid remake, in another practice with the patient pursuing her original dentist for the fees. The message is clear. If you are going to work within your scope of practice, be sure you have learned it well. Be sure the technical knowhow matches the technology and works smoothly with it as the remarkable tool that it is. Adding to the trained technicians ability to achieve the perceived final result.
Working together with your clinical colleagues and utilising this technology wisely opens up some remarkable choices for really advanced restorations. With use and familiarity the digital systems offer enticing options. The advancement through digital radiography of the life sized image together with the design technology of what is already available means that even very major cases can be planned with the option of the patients soft tissues overlaid on the working screen in order to be sure it will all fit and support as required. Occlusal management becomes
an easier potential with the ability to adjust interferences and premature contacts on the virtual master impression without starting from scratch. Of course the great major advantage for patients who do not like their restoration, or those who may accidently break or lose them, (dentures) is the ability to recall the files and to reconstruct at the push of a button. If any redesigning is required or any other adjustments they can probably be carried out on the original image. Restorations lost in the post or damaged in transit, all can be repeated with alterations, if necessary, and quickly and economically replaced. It is undoubtedly a brave and exciting new world already opening wide for our approval. We would be crazy to turn away and take our hard earned knowledge and skills away from the potential offered by this digital technology tool. That is what it is, a atool with which to expand you abilities to supply amazing restorations and perhaps answer some hitherto unanswerable challenges. Like Ashley, we should be relishing the opportunity to extend the scope but within our technical control, for the great benefit of the patients we serve Many of you, I know have seen and grasped the potential of this wonderful innovation, but beware, take a leaf from Ashley’s book. Learn how to judge the effectiveness of what you are being offered and if you can try it before you buy it. Make sure you have back-up and hope the profession does not give up on this potentially wonderful future working methods.
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STILL GOING STRONG 80 YEARS ON! n
When Gordon & Eve Freer started a business selling buttons in 1937, little did they know that 80 years later their thriving business would still be going from strength to strength.
own requirements using their in-house CAD CAM 3D design & advanced CNC tool-making facilities with a printing service also available for their bottles and packaging products.
Now in its third generation Measom Freer & Co Ltd still have the same ethos of good customer care at their core, allowing them to build up their reputation as a manufacturer of quality plastic bottles, caps, containers and fasteners.
l To see how Measom Freer can help you and to buy online please visit www.measomfreer.co.uk or email sales@measomfreer.co.uk If you would like a chat, call +44 (0)116 2881588 and speak to one of their friendly sales team.
They continue to adapt to ever challenging business conditions, adding to their extensive catalogue of stock products available for next day delivery. Their continual investment in the latest technology and premises has allowed them to move with the times, always maintaining the attention to detail that customers expect. They can offer bespoke designed products tailor made to customers’
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HEALTH REPORT n DENTISTS SHOW SUPPORT FOR GENDERNEUTRAL HPV VACCINATIONS
The overwhelming majority of dentists and GPs are backing calls for the Human Papillomavirus (HPV) vaccination programme to be expanded to school aged boys, according to a new survey. In the new poll published by the campaign coalition HPV Action for World Immunisation Week (24th28th April), 97% of dentists backed expansion of the programme, with the same proportion saying if they had a son they would want them to receive the vaccination. 94% of GPs said they would support both positions. The survey was sent to members of the Faculty of General Dental Practice (UK), the British Dental Association and the British Medical Association. Findings come as the Government’s vaccination advisory committee (JCVI) moves towards a decision on whether boys should be given the HPV vaccination. Up to 80% of sexually active people will be infected by HPV at some point in their lives. 5% of all cancers are caused by HPV and some of these, notably oral cancers, are now rising sharply in incidence. HPVrelated cancers such as anal cancer are also among the hardest to diagnose and treat. Parliamentarians from all parties have signed an open letter to the Health Secretary, Jeremy Hunt MP, urging him to ensure that the UK doesn’t miss this opportunity to eradicate some of the fastest-rising cancers in the developed world. Mick Horton, Dean of FGDP(UK) said: “The incidence of oral cancer
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has increased dramatically over the last decade, and over two-thirds of diagnoses are in men. HPV is a main causative agent, and the introduction of the NHS vaccination programme for girls has led to a significant reduction in the prevalence of the virus among women. Yet with over 2,000 men a year in the UK diagnosed with an HPV-related cancer - of whom almost half will die from the condition within five years – it is clear that current measures are not working for everyone. The view of oral health professionals is resounding - many of these lives could and should be saved by also vaccinating boys against HPV.” Mick Armstrong, Chair of the BDA’s Principal Executive Committee, said: “HPV is the leading cause of oro-pharyngeal cancers and men are just as likely to develop it as women so where is the logic – or fairness – in targeting protection to one section of the population? It is morally indefensible to allow people to contract cancer when prevention – the new NHS mantra – could be so cheap and easy. 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.” Dr Andrew Green, a member of the BMA’s General Practitioners Committee (GPC), said: “If we want to see an end to some of the most aggressive and hard to treat cancers such as throat, head, neck and anal cancer, boys as well as girls must be given the HPV vaccination. It is ridiculous that people are still dying from these cancers when their life could have easily been saved by a simple injection.” Peter Baker, HPV Action Campaign Director, said: “HPV affects men and women equally and both sexes therefore deserve equal protection though a national vaccination programme. It is now time for the Government’s vaccination advisory committee to look up from its financial spreadsheets and act to end the suffering of those men and women affected by easilypreventable diseases caused by HPV.” HPV Action is asking members of the public, especially the parents of boys, to sign an online petitiondemanding gender-neutral vaccination:http://
bit.ly/2nHaUul and will be calling on all political parties to commit themselves to gender-neutral HPV vaccination during the forthcoming General Election campaign.
n PLAIN TOBACCO PACKAGING ‘MAY CUT SMOKERS BY 300,000 IN UK’
Plain cigarette packaging could lead to 300,000 fewer smokers in the UK over the next year, a major review suggests. Standardised packs could also reduce the appeal of tobacco and increase calls to quit helplines, experts behind the Cochrane Review said. UK law, which comes into full effect in May, states that all cigarette packs must feature health warnings and have a standard colour, shape and font. But a smokers’ group said the estimates were “wishful thinking”. The Cochrane Review team, led by researchers from London and Oxford, estimated that the number of people who smoked in the UK could go down by 0.5% by May 2018, although they said the current evidence was limited. The findings were backed up by a report from the Australian government, which showed a similar drop in smoking prevalence
- 0.55% - following the introduction of plain packaging there in 2012. Currently, about 17% of the UK adult population are smokers. The review looked at new evidence from 51 studies, involving 800,000 people, on the impact of standardised packaging on smokers’ attitudes and behaviour. It is also the first review to include research on smoking in Australia after packaging rules were changed. They said the following changes could occur over the next year in the UK: • no change in the number of cigarettes smoked by those continuing to smoke • a 6% increase in people trying to give up smoking • an increase in calls to quit smoking helplines Prof Ann McNeill, lead review author from King’s College London, said there was evidence that standardised packaging made people less likely to be motivated to smoke and reduced cravings for tobacco. The health warnings, which have to cover 65% of the front and back of
Continued on page 18
MSc Dental Technology (Distance Learning) This part-time distance-learning programme will make use of new educational technology, including online video conferencing, to offer practical modules and components that form a contribution to the General Dental Council Continual Professional Development requirements. Entry requirements: Dental Technology degree with at least a 2.1. Those with alternative entry qualifications or experience are encouraged to apply and will be considered on an individual basis.
Foundation Degree (FdSc) Dental Technology A part-time FdSc in Dental Technology is also available, with much of the practical experiential learning carried out at the student's place of employment. The syllabus is structured to include the General Dental Council's requirements for registration as a Dental Technician. The use of new educational technology, including online video conferencing, enables a much-reduced attendance. Entry Requirements: Qualifications equivalent to one A-Level. * Both programmes require students to have access to a broadband PC with a webcam and microphone.
For further information please contact us: Tel: 029 2041 6899 Email: jlewis@cardiffmet.ac.uk (for the MSc) Email: cgeisel@cardiffmet.ac.uk (for the Foundation)
cardiffmet.ac.uk/cshs
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ITI WORLD SYMPOSIUM 2017
Record attendance of 4,800
BIGGEST INTERNATIONAL IMPLANT DENTISTRY CONGRESS EVER. NEW ITI PRESIDENT INAUGURATED.
Fellowship in recognition of his untiring efforts on behalf of the ITI and implant dentistry as a whole over the last three decades. He is the 16th ITI Fellow to be awarded this honor since 1993. l The next ITI World Symposium will take place in 2020.
Basel, Switzerland, May 5, 2017 The International Team for Implantology (ITI) held the ITI World Symposium 2017 from May 4 to 6 in Basel, Switzerland. A total of more than 4,800 dental professionals from 90 countries attended the ITI’s flagship event, making it the biggest international implant dentistry congress ever. The focus of the three-day scientific program was on “Key factors for long-term success”. The scientific program was presented by more than 100 speakers and moderators from all over the world who provided keen insights into diverse aspects of current treatment methods and new technologies. The presentations ranged from 45-minute in-depth plenary lectures covering the entire treatment cycle from diagnosis through treatment to aftercare, to highly concentrated 15-minute talks in a series of six lively breakout sessions. The faculty combined the field’s established leading speakers along with a broad range of talented specialists from all of the ITI’s 27 Sections. In order to ensure as broad an understanding as possible of the knowledge being presented, simultaneous translation was provided into 11 different languages. The event kicked off with a half-day Pre-Symposium Corporate Forum presented by Straumann, botiss and Morita. In his key note address, world-renowned researcher and pioneer in the field of artificial
ABOUT THE ITI
intelligence and biomechanical engineering, Prof. Kevin Warwick provided fascinating insights into the potential future directions of healthcare. A large industry exhibition and poster presentation kept participants occupied during coffee and lunch breaks. These activities were complemented by the traditional evening social program that included the ITI reception and the legendary Straumann party that allowed people to relax and network after a full day of science. “I am delighted with the results of this World Symposium at every level”, said Daniel Wismeijer, Chair of the Scientific Program Committee. “The attendance figures speak for themselves. It is clear that the ITI is meeting a strong need for reliable evidence-based information and it is my belief that practitioners are going home carrying many new keys in their pocket ready for use in daily clinical practice.”
STEPHEN CHEN NEW ITI PRESIDENT
At the ITI’s Annual General Meeting 2017, held the day before the ITI World Symposium, Dr. Stephen T. Chen (Melbourne, Australia) was officially inaugurated as ITI President. Taking over from Prof. Dr. David L. Cochran (San Antonio TX, USA), who led the organization for the past four years, Stephen Chen has a strong track record in ITI education, having served both as member and Chair of the ITI Education Committee for more than 10 years. He is ideally positioned to take the ITI’s education projects to the next level – in particular the new ITI Curriculum, a standardized modular program of structured learning for dentists that will be rolled out later this year.
ITI HONORARY FELLOWSHIP FOR DANIEL BUSER
At the same meeting, the ITI awarded Prof. Dr. Daniel Buser (Bern, Switzerland) an ITI Honorary
The International Team for Implantology (ITI) is an academic association that unites professionals around the world from every field of implant dentistry and related disciplines. It actively promotes networking and exchange among its membership of currently more than 17,000. ITI Fellows and Members regularly share their knowledge and expertise from research and clinical practice at meetings, courses and congresses with the objective of continuously improving treatment methods and outcomes to the benefit of their patients. In 37 years, the ITI has built a reputation for scientific rigor combined with concern for the welfare of patients. The organization focuses on the development of welldocumented treatment guidelines backed by extensive clinical testing and the compilation of long-term results. The ITI funds research as well as Scholarships for young clinicians, organizes congresses and continuing education events, and runs more than 630 Study Clubs around the globe. The organization also publishes reference books such as the ITI Treatment Guide series and operates the ITI Online Academy, a peer-reviewed, evidencebased e-learning platform with a unique user-centric approach. l www.iti.org
ITI INTERNATIONAL TEAM FOR IMPLANTOLOGY
www.iti.org The International Team for Implantology (ITI) is a leading academic organization dedicated to the promotion of evidence-based education and research in the field of implant dentistry.
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PROUD TO REPRESENT THE BEST QUALITY MANUFACTURERS FROM AROUND THE WORLD! B
racon Ltd are celebrating their 65th year in the business featuring high quality equipment and materials for all your laboratory’s needs. This year’s DTS in Birmingham was no exception, with their award winning digital solutions on show. This included the internationally renowned range of Medit Identica T-Series scanners, as well as the unparalleled high spec and versatile Asiga 3D printers with design software, suitable for every type and size of laboratory. This was alongside their UK exclusive benching range from CATO which is the perfect solution to your modern laboratory; This Italian collection represents the finest quality, style and functionality available today. In this issue we are highlighting their launch of the new Asiga MAX™, the world’s most advanced high resolution digital desktop 3D printer. This DLP 3D printer offers prints with high precision, outstanding speed and is capable of producing 7 full arch dental models in less than 1.5 hours. Featuring a build plate size of 119x67x76, the Asiga
MAX™ features a small footprint that compliments the Laboratory environment and is optimised for dental applications offering orthodontics, crown & bridge, surgical guides, dental models, custom trays and partial dentures at an X,Y resolution of 62μm. The full Asiga 3D printer range boasts an open material system, meaning resins from third party suppliers are compatible for maximum flexibility and economy. Instead of an SLA which uses a laser, the Asiga range use a DLP light source which results in fine detail that is far superior in the X, Y resolution with the added bonus that an LED is less prone to failure. The Asiga LED carries a 5 year warranty, which speaks volumes to the reliability.
3D PRINTER
Bracon also offers a comprehensive range of materials, equipment and chairs and their industry expert sales team will be on hand for any enquiries, from basics to laboratory refits: They’ve got your needs covered, so call today. l Tel: 01580 817000 Email: sales@bracon.co.uk
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Continued from page 15 packs, were prominently in people’s eye lines, she said. But there was room for further changes to cigarette packs. “It would appear that the impact of standardised packaging may be affected by the detail of the regulations such as whether they ban descriptors, such as ‘smooth’ or ‘gold’ and control the shape of the tobacco pack,” she said. However, there were no studies showing whether changing the packaging affected the number of young people taking up smoking. Giles Roca, director general of the Tobacco Manufacturers’ Association said: “This report destroys the rationale for the introduction of plain packaging by finding no evidence that it actually acts a deterrent to young people in taking up smoking- this was at the core of the government’s and health campaigners’ argument for its introduction.” Simon Clark, director of the smokers’ group Forest, said the estimates were “wishful thinking, based on hope and anecdotal evidence, not facts” “Since plain packaging was introduced in Australia, smoking rates have fallen, but only in line with historical trends,” he said. From May 2017, all packs of tobacco sold in the UK must meet these standards: • Picture and text health warnings must cover 65% of the front and back of cigarette and roll-your-own tobacco packages • No branding other than the product name and brand variant in a standard font, size and colour • All other trademarks, logos, colour schemes and graphics are banned • The only colour permitted on the external pack is olive green with a matt finish • Cigarette packets must be cuboid in shape and contain a minimum of 20 cigarettes
• Misleading information on tar, nicotine and carbon monoxide emissions must be removed • Any promotional descriptors such as references to flavours must be removed
patient’s cancer.
WHAT IS HAPPENING IN OTHER COUNTRIES?
The results, outlined in the journal Nature, showed cancer recurrence could be detected up to a year before any other method available to medicine.
Australia was the first country in the world to require cigarettes to be sold in plain, standardised packaging, in December 2012. The UK became the second country to pass similar legislation. Ireland and France have followed suit. Several other countries, including Hungary, Slovenia and Norway, are now in the process of introducing plain packaging laws. Uruguay introduced large health warnings on cigarette packs in 2005.
‘EXCITING’ BLOOD TEST SPOTS CANCER A YEAR EARLY
Then blood tests were taken every three months after the surgery to see if tiny traces of cancer DNA reemerged.
The tumours are thought to have a volume of just 0.3 cubic millimetres when the blood test catches them. Dr Christopher Abbosh, from the UCL Cancer Institute, said: “We can identify patients to treat even if they have no clinical signs of disease, and also monitor how well therapies are working. “This represents new hope for combating lung cancer relapse following surgery, which occurs in up to half of all patients.”
75% chance of being cancer-free in five years. “It’s like going from terror to joy, from thinking that I was never going to get better to feeling like a miracle’s been acted,” she said. And taking part in a trial that should improve the chances for patients in the future is a huge comfort for her. “I feel very privileged,” she added. The blood test is actually the second breakthrough in the massive project to deepen understanding of lung cancer. A bigger analysis, published in the New England Journal of Medicine, showed the key factor - genetic instability - that predicted whether the cancer would return. Multiple samples from 100 patients containing 4.5 trillion base pairs of DNA were analysed. DNA is packaged up into sets of chromosomes containing thousands of genetic instructions.
Doctors have spotted cancer coming back up to a year before normal scans in an “exciting” discovery.
So far, it has been an early warning system for 13 out of 14 patients whose illness recurred, as well as giving others an all-clear.
The UK team was able to scour the blood for signs of cancer while it was just a tiny cluster of cells invisible to X-ray or CT scans.
In theory, it should be easier to kill the cancer while it is still tiny rather than after it has grown and become visible again.
It should allow doctors to hit the tumour earlier and increase the chances of a cure.
However, this needs testing.
The team at the Francis Crick Institute showed tumours with more “chromosomal chaos” - the ability to readily reshuffle large amounts of their DNA to alter thousands of genetic instructions - were those most likely to come back.
Prof Charles Swanton, from the Francis Crick Institute, told the BBC: “We can now set up clinical trials to ask the fundamental question - if you treat people’s disease when there’s no evidence of cancer on a CT scan or a chest X-ray can we increase the cure rate?
Prof Charles Swanton, one of the researchers, told the BBC News website: “You’ve got a system in place where a cancer cell can alter its behaviour very rapidly by gaining or losing whole chromosomes or parts of chromosomes. “It is evolution on steroids.”
“We hope that by treating the disease when there are very few cells in the body that we’ll be able to increase the chance of curing a patient.”
That allows the tumour to develop resistance to drugs, the ability to hide from the immune system or the skills to move to other tissues in the body.
They also have new ideas for drugs after finding how unstable DNA fuels rampant cancer development. The research project was on lung cancer, but the processes studied are so fundamental that they should apply across all cancer types. Lung cancer kills more people than any other type of tumour and the point of the study is to track how it can “evolve” into a killer that spreads through the body. In order to test for cancer coming back, doctors need to know what to look for. In the trial, funded by Cancer Research UK, samples were taken from the lung tumour when it was removed during surgery. A team at the Francis Crick Institute, in London, then analysed the tumour’s defective DNA to build up a genetic fingerprint of each
Janet Maitland, 65, from London, is one of the patients taking part in the trial. She has watched lung cancer take the life of her husband and was diagnosed herself last year. She told the BBC: “It was my worst nightmare getting lung cancer, and it was like my worse nightmare came true, so I was devastated and terrified.” But she had the cancer removed and now doctors say she has a
The first implication of the research is for drug development - by understanding the key role of chromosomal instability, scientists can find ways to stop it. Prof Swanton told me: “I hope we’ll be able to generate new approaches to limit it and bring evolution back from the brink, perhaps reduce the evolutionary capacity of tumours and hopefully stop them adapting. “It’s exciting on multiple levels.”The scientists say they are only scratching the surface of what can be achieved by analysing the DNA of cancers”.
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FREE VERIFIABLE CPD
We are delighting to inform you that we are hard at work building our members’ website. It is being beta tested. As a result, for this month, if you submit your CPD using the website, it will be free of charge. Just follow the instructions. Our website is www.dentaltechnician.org.uk. You can, of course, complete your CPD by post or email. Normal charges willapply. If you have any issues with this part of the website please email 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 May DT Edition:
Verifiable CPD - June 2017 1. Your details First Name: ..................................................Last Name: ............................. Title:.................. Address:................................................................................................................................. ............................................................................................................................................... ........................................................................................Postcode:....................................... Telephone: ..................................... Email: ............................................GDC No:.................. 2. Your answers. Tick the boxes you consider correct. It may be more than one. Question 1
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3. Evaluation: Tell us how were doing with your CPD Service. All Comments welcome.
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. You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. 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 LOOKING BACK: Q1. How long did Mr Bell wait for his trip to America? A. 3 Months. B. 2 Years. C. 7 Years. D. 9 Years. Q2. Where did Mr Bell Meet Dr Roach? A. Philadelphia. B. Boston Mass. C. Chicago. D. Washington. THE FUTURE OF DENTAL TECHNOLOGY Q3. What is the CAGR? A. Care Agency Growth Rate. B. Control Agency General Rules. C. Counted Annual General Rate. D. Continual Annual Growth Rate. Q4. What do you need to find when setting up your digital programme? A. 3D Printers. B. . Scanner and Design Programmes. C. Good Outsourcing. D. In House Milling. Q5. A. B. C. D.
What is the best type of digital Impression? Scanning a model. Scanning an Impression. Scan from patients’ mouth. Scan by STL File.
HEALTH REPORT Q6. What percentage, of sexually active people are infected by HPV? A. 45%. B. 73% C. 37% D. 80%. Q7. A. B. C. D.
How any men are infected annually in the U.K? 2000. 1380. 4000. 3500.
Q8. How much could smokers numbers be reduced by plain packs? A. 10%. B. 0.5%. C. 2.0% D. 0.55%
Q9. A. B. C. D.
How many people would that be? 25,000. 125000. 300,000. 220,000
Q10 What is the blood test looking at? A. Red blood cells. B. DNA. C. Lipids. D. Chromosomes. ITI. WORLD SYMPOSIUM Q11. How many countries were represented? A. 65. B. 78. C. 57. D. 90. Q12. How many Fellows and members do they have? A. 2300. B. 6000. C. 17000. D. 23000. SOUTH EAST STUDY CLUB Q13. What guidelines have been used to design the Excell Teeth. A. Grey’s Anatomy. B. Golden Proportion. C. Universal Prosthetics Journal. D. Natural Dentine Atlas. ORAL HYGIENE Q14. Which Vitamins are vital to Oral Health. A. B1. B. C & A. C. D3. D. B % E. DENTINAL HYPERSENSITIVITY Q15. What age group is primarily affected by Hypersensitivity? A Over 55 years old. B. 16 to 30 years old. C. 18 to 60 years old. D. 12 to 28 years old. THE ORAL HEALTH FOUNDATION Q16. How many lost work-days are due to Oral Health problems? A. 12 Thousand. B. 1.2 Million. C. 120 Thousand. D. 60 Thousand
Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852
You can submit your answers in the following ways: 1. Via email:cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.
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PR NEWS
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SHIFTING THE
PARADIGM Dental Surgeon Craig Parker and Clinical Dental Technician (CDT) Jonathan Hughes recently copresented a fascinating lecture, which explored new digital applications and materials for producing removable partial dentures (RPD).
Located at the Dental Technology Showcase (DTS) at Birmingham NEC, Craig and Jonathan introduced technicians to the revolutionary new Ultaire™ AKP, an innovative highperformance specially formulated polymer for dental applications. They presented it as an alternative to metal for removable partial dentures (RPD’s) and highlighted the following attributes: • Ultaire™ AKP is durable and does not distort • Lightweight • Ultaire™ AKP has high levels of conformity • Its flexural properties allow engagement for deeper undercuts than metal • It can be coloured • Ultaire™ AKP is easy to trim and adjust • Taste free – no metallic taste • Technicians can produce a natural looking smile with discreet clasp designs • Using Ultaire™ AKP eliminates the risk of metal sensitivity • The material is similar to bone and patients like the feel of it Other key benefits discussed were that with an Ultaire™ AKP RPD frame, point loading is reduced, the frames have the incorporation of rests so it can be tooth borne and energy dissipated across the framework. There are thoughts this could limit bone loss. If you were not able to attend the lecture you can still find out about Ultaire™ AKP from by contacting Solvay Dental 360™ now. l For more information about Solvay Dental 360™, Ultaire™ AKP and Dentivera™ milling discs, please visit: www.solvaydental360.com
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CONGRATULATIONS TO THE WINNERS
T
he Dental Technology Showcase (DTS) was a fantastic opportunity to look back at some of the achievements made throughout the year – and nothing epitomised this more than the 2017 BACDT awards. Presented by the President of the BACDT, the winners were announced as follows: • MEMBER OF THE YEAR Ben Brookshaw, Denture Clinic • BEST PATIENT EXPERIENCE Matt Burnell, Lichfied Smiles • MOST WELCOMING PRACTICE Mike Brindle, Flyde Clinic • BEST PATIENT INFORMATION David Parson, First Impressions Stalybridge • THE EXTRA MILE AWARD Matt Burnell, Lichfield Smiles Each of the winners had been nominated for their dedication to exceptional care and the impact they have had not just on their patients, but on the profession as a whole. On his success, Matt Burnell commented: “I am very, very chuffed. I believe that I do a good job but being presented with this award galvanises it.” All those who were nominated should feel proud that they are being recognised for their hard work and dedication to dental technology – and the BACDT would like to extend their congratulations to all. l DTS 2018 will be held on Friday 18th and Saturday 19th May at the NEC in Birmingham, co-located with The Dentistry Show. l For further details: visit www. the-dts.co.uk, call 020 7348 5270 or email dts@closerstillmedia.com 22
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DENTAL NEWS uuu
Man fined thousands after falsely claiming to be a dentist A man was fined £5000 for falsely claiming to be a dentist and for offering illegal tooth whitening to members of the public. Thomas Wilson, from Sheffield, was found guilty at Sheffield Magistrates’ Court of unlawfully using the title ‘dentist’ and holding himself out as being prepared to practise dentistry - in the form of tooth whitening - at Wow Teeth Whitening, 416B Sharrowvale Road in Sheffield. Thomas Wilson is not a qualified dental professional and is not registered with the General Dental Council meaning that he cannot legally call himself a dentist or perform the act of dentistry in the United Kingdom.
The District Judge at the hearing said that the offence was “particularly serious” as Mr Wilson called himself a dentist and that the people seeking tooth whitening treatment from him were at “serious risk”. The District Judge added: “People who choose to have their teeth whitened need to be assured individuals are qualified and registered to do so.”
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He was fined £2,500 for falsely claiming to be a dentist and £2,500 for illegal tooth whitening. He was also ordered to pay a £250 victim surcharge and pay the full costs of the General Dental Council’s legal process equalling £2,071.85.
• Thomas Wilson did not attend the hearing at Sheffield Magistrate’s Court. The General Dental Council initiated an investigation into Wow Teeth Whitening, Sheffield after a series of complaints were received about an unregistered individual offering illegal tooth whitening. Victoria Sheppard-Jones, Interim Head of the Illegal Practice team said: “The GDC’s role is to protect patients and work to maintain public confidence in the dental profession. Part of the way we achieve this is by
regulating dental professionals and investigating and, where appropriate prosecuting, cases of illegal practice. “To ensure patient safety, tooth whitening can only be carried out by dentists and dental care professionals who are registered with the GDC. The GDC investigates and where appropriate prosecutes those who carry out illegal dentistry, to ensure that members of the public are protected and not put at risk.”
• The date of the offences took place on 23 February 2017. • Thomas Wilson has never been registered with the General Dental Council. • A non-registered person carrying out tooth whitening is contrary to the Dentists Act 1984. Please note that the quote from the District Judge is taken from the hearing papers.
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SOUTH EAST STUDY CLUB
APRIL 26TH 2017
M
ore congratulations to Magnus and Julie Underhay and all those who have managed to continue filling the local hall at West Kingsdown with interested Dental Professionals. Another evening, sponsored by Panadent, who arranged for a good cross section of speakers covering a range with something to appeal to everyone there. The speakers, were welcomed by Magnus Underhay. Who handed over to Dominique Gigante from Panadent Ltd., who began with their dramatic Title for the evenings Presentations.
“TALES OF THE UNEXPECTED� l Nigel Malleson started the evening with a good look at the changing market place and introduced The VITA new digital software launched at IDS in Cologne. The process of denture construction via the Digital pathway is very well developed and all the major manufacturers are vying to have the most user friendly yet effective method for production. As a major manufacturer of high quality denture teeth, Vita are very aware that the outcome of digital denture construction depends very heavily on the suitability of the chosen teeth. The design which must accommodate the scanned images should be easily and efficiently adapted to the produced CAD/CAM block for try-in and for finishing. Nigel talked about the life like effects and colour and design of the New VITA Pan Excell teeth. Designed around the golden proportions with cleverly layered colour build-up which produced the most natural appearance. He spoke of the surface texturing and the
lifelike finish, which adds to the very natural appearance and matched well to the extremely popular VITA shade guides. Thus giving a real boost to partial denture construction accuracy and naturalness. Nigel went on to mention the digital denture processes and the VITA Vionic method of trimming the selected teeth to fit the digitally designed denture base. He also spoke of the strengthening of the materials now available for Implant supported constructions. As usual, a very informative and useful talk.
removed from the articulator with the minimum of finishing required. Rowland then went on to show the method used for producing tempory crowns and bridges via the same method. Clean quick and very efficient. A novel technique, which is potentially a very straightforward way of producing any denture of indeed temporary bridge. In the era of Implant dentistry and the all on four concepts this will be a very desirable tool indeed.
l Nigel handed over to the next speaker Mr Rowland Gardner from Fast Protec to speak on some novel techniques and equipment for producing dentures and particularly same day Implant Dentures with full confidence, and without investing them in plaster of paris. An impressive demonstration showing silicone duplication and investing with a pourable technique instead of packing. A rapid setting plastic which was wonderfully and cleanly
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The final speaker Mr Stijn Hanssen, from Imetric, a Swiss manufacturer of digital dental systems for the laboratory. Mr Hanssen spoke of the many innovations being offered through the digital dental market but was clear the Imetric scanning system was deliberately designed for the dental laboratory market and was a neat small and very efficient. Combined with their EXOCAD software the Imetic series of three scanners cover the span of popular laboratory procedures from crown
and bridges up to complete arch Implant cases. The series of L1, L1m and the L1i is priced to be attractive to the busy laboratory but can be upgraded to cover an increasing area of construction designs up to the full arch implant case with the L1i. Dedicated to producing accuracies of 5 micron for single units and up to 15 microns for the full arch the Imetric commitment is very much part of their philosophy. Despite the impressive accuracy the scanner is capable of scanning a full arch in 30 seconds only.
At the Break, with refreshments, Stijn Hanssen continued with a demonstration of the very neat and tidy designed Imetric scanner. There was a great deal of interest from the assembled technicians and lots of questions as Stijn showed his expertise as he put the Imetric scanner through it’s paces. With lots
of chipping in by the knowledgeable audience. An impressive and fulfilling evening. Magnus thanked Panadent for an interesting group of speakers and the useful display of the use of the equipment. We look forward to the next South East Study Club and I am sure another interesting evening.
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Dentaid grant helps Todos Juntos provide dental care for children in Argentina More children living in the slums of Buenos Aires will be provided with free dental care after international dental charity Dentaid made a grant to Todos Juntos Children’s Trust, a charity dedicated to improving oral health in the Argentinian capital.
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Last year Todos Juntos provided 35,000 dental treatments for children living in desperately poor communities in Buenos Aires. The charity was established in 2005 after its founder, Fiona Watson, realised the extent of tooth decay among Argentinian children and the effect that a lack of access to dental services was having on their lives. Many were suffering severe dental pain which affected their ability to eat, talk and smile. Todos Juntos now operates three Sonrisa (meaning smile) clinics in Buenos Aries which provide free dental treatment for underprivileged children. The charity also runs oral health education sessions in surrounding schools, distributes toothbrushes and toothpaste and gives one-to-one hygiene sessions for all its young patients. Services are provided by Argentinian dentists funded by Todos Juntos. Dentaid supports projects around the world that improve access to safe, sustainable and affordable dental care. In addition to running its own oral health programmes, the charity funds schemes delivered by a range of partners and is delighted to support Todos Juntos with a grant of £2000. “Sadly about 90 per cent of children living in the Argentinian slums suffer from tooth decay and many don’t even own a toothbrush or toothpaste. They are considered to be a luxury item which is a problem we see in many countries around the world,” said Dentaid’s overseas project manager, Jacqueline James. “When we heard about Todos Juntos and their amazing work in Buenos Aires we were delighted to support them by making this
grant. Many of these children would never be able to afford to see a dentist otherwise which affects their general wellbeing and life chances. Through a combination of treatment, training and education we are committed to helping people out of oral pain and we are sure this partnership will achieve that in Buenos Aries. Fiona Watson, founder of Todos Juntos Children’s Trust, added: “It is never easy to fund a small grassroots charity so I am really excited about this partnership with Dentaid. Tooth decay is the number one chronic childhood disease worldwide and yet it is probably the most forgotten of all diseases. Joining hands with Dentaid might shed a bit more light on the slum children of Buenos Aires. Behind each child we help, behind every healthy smile we give, there are still ten more children waiting in line for treatment. It is just never ending, and grants to support dental charities are very hard to come by. But as the wonderful Angela Davis quote goes ‘you have to act as if it were possible to radically transform the world and then you have to do it all the time’. We’re doing just that, one smile at a time, 7000 smiles a year. “ l For press inquiries contact press officer at Dentaid Jill Harding on: 01794 324249 or jill@dentaid.org
PHOTOS: TODOS JUNTOS
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ORAL HYGIENE
ITS NOT JUST ABOUT SMELLY BREATH When we think of bad dental hygiene, we usually associate it with bad breath, tooth decay and gum disease. While those are all problems that do emanate when our oral care is not up to date, unfortunately they are not the only ones. Studies have discovered that bad oral health can both lead to systemic diseases and be a symptom for some of them. Let’s now take a look at a few facts to properly understand the link between dental hygiene and various systemic diseases.
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AS A SYMPTOM
The bacteria responsible for forming plaque in our mouth are also the prime culprits behind periodontal diseases that infect the gum and the cementum. An increase in the population of the bacteria can be a symptom of diabetes that is going out of control. Dry mouth is a common problem faced by diabetics and that’s exactly what leads to the problem. Additionally, kidney disease, pancreatic cancer, leukaemia, many forms of oral cancers, heart disease and even Alzheimer’s can be the reason behind periodontal diseases. If you observe any of the symptoms below, contact your doctor and your dentist immediately: • Swollen red gums that hurt and bleed • Gum that pulls away from the teeth easily • Loose, painful and separating teeth • Changes in the structure and
alignment of your teeth’s setting • Pus in gum or teeth • Chronic bad breath
AS A REASON
In addition to being a symptom, periodontal diseases can themselves lead to heart diseases (bacterial endocarditis), pneumonia, strokes, intestinal disorders, IBS and chronic digestive issues. The mouth serves as the most important entry point to our body and is regularly subjected to more pathogens than any other place. Therefore, on failing to keep it as clean as necessary the pathogens can make their way to other parts of the body as well. For example, someone who already has had heart issues is susceptible to bacterial endocarditis. This is a condition responsible for inflammation of the heart and bad dental hygiene has been proven to be the prime reason behind it. When oral bacteria manage to enter the blood stream, they attach to the fatty deposits found in our blood vessels and over time, this may lead to blood clots and consequent strokes.
• Visit the dental hygienist twice a year or more if indicated by your dentist • Maintain a diet rich in vitamin A and C • Avoid unhealthy food; apart from making you gain fat, it also affects your dental health • Avoid chewing tobacco or smoking • Sign up for reputed medical blogs like Healthcare News to stay updated with the latest findings in dental science • Don’t skip your appointment with the dentist Maintaining proper dental health is a lifelong process and neglecting it for even a few days can have detrimental effects on your entire body. As you can see, the importance of dental hygiene goes far beyond the mouth and is directly responsible for the well being of our entire body.
DR NISSIT PATEL (BDS (LONDON) MCLINDENT (PROSTHODONTICS) (LONDON)) is the Principal Dentist and Prosthodontist at Progressive Dentistry a private dental practice in Fulham, London.
WHAT CAN WE DO?
While it goes without saying that primary habits for dental hygiene like brushing twice a day, flossing and rinsing are mandatory, those may not be enough. Consider the following additional steps to ensure that your mouth is as healthy as it can be and even if something does pop up, it never goes unnoticed.
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THE ORAL HEALTH FOUNDATION
T
he Oral Health Foundation is urging workplaces and employees to prioritise their oral health as new research reveals that oral health problems such as toothache are costing the UK economy more than £105 million each year in sick days. The poll, commissioned as part of the campaign National Smile Month, discovered that around one in 20 working Brits have been forced to take time off work in the last year due to oral health problems.The charity estimates that we have missed more than 1.2 million days of work in the last year, with one day of absenteeism costing an average of £82.86 to the economy, according to the Chartered Institute of Personnel and Development (CIPD). Dr Nigel Carter, CEO of the Oral Health Foundation, says: “Bad habits such as irregular brushing and sugary diets are contributing to around three in every ten UK adults suffering regular dental pain and tooth decay. It is therefore inevitable that significant numbers of people are taking sick days off work and damaging the productivity of the UK economy. “One of the major problems we are continually faced with at work is an excess of sugar, and a snacking culture has become commonplace. Cake culture and unhealthy options of high sugar foods and drinks in vending machines and canteens are not only contributing to oral health problems but major issues with health overall, with increased levels of diabetes and obesity. “By increasing education about sugar and supplying employees with healthier alternatives, there is an excellent opportunity that would benefit both employers and employees.”An unhealthy workplace - physically and mentally - normally equals time off work and lost productivity. Thousands of people miss work because of their oral health. Frustratingly, these problems are often completely preventable.”
“We urge everybody to adopt three relatively simple steps in order to look after your oral health,” adds Dr Carter. “By brushing our teeth last thing at night and at least one other time during the day with a fluoride toothpaste, cutting down on sugary foods and drinks and visiting the dentist regularly, as often as they recommend, we can develop and maintain great oral health. “It’s
also important to remember that poor oral health is not just about toothache and decay. It has a much wider impact on general bodily health than you may think. Research over the past decade has revealed growing evidence linking poor oral health to serious health conditions, which account for many more days off work. “In recent years, poor oral health has been proven to have very close links to such diseases like heart
disease, diabetes, problems during pregnancy and dementia. The campaigns organiser, the Oral Health Foundation, along with Platinum Sponsors Oral-B, with further support from Wrigley’s Extra, POLO® Sugar Free, Philips and Regenerate, are looking to take their important messages of oral health to more people than ever in an effort to let people take control of their own oral health.
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DENTINE HYPERSENSITIVITY
IS IT A BIG PROBLEM?
P
eriodontology specialist, Dr David Gillam, from the Institute of Dentistry at Queen Mary University of London, is the author of practice guidelines regarding the management of dentine hypersensitivity. At this year’s Dentistry Show in Birmingham in the UK, where he held a number of lectures and presentations on this topic, Dental Tribune Online sat down with him to discuss the condition and what practitioners need to consider when treating patients. Dental Tribune Online: Dentine hypersensitivity still seems to be an underrated condition in the majority of practices. How prevalent is it according to the latest data and are there demographics that are more affected than others? Dr David Gillam: Dentine hypersensitivity affects any age group from 18 onwards, but the peak is probably in people in their thirties and forties. There is some evidence that sensitivity decreases with age owing to more dentine being laid down. That does not mean that one cannot develop hypersensitivity at age 60 and above. However, there is a higher possibility of the condition affecting younger people owing to their lifestyle and dietary choices, which can lead to the erosion of dentine.
DOES HYPERSENSITIVITY RESULT SOLELY FROM EROSION? Reviewing scientific data from the US, recession is considered the main cause, but this is a predisposing feature. To my mind, once the dentine is exposed, erosion facilitates hypersensitivity because it opens the tubules. There are actually two stages, the uncovering of the dentine layer and the widening of the tubules, as set out in the hydrodynamic theory. WHAT MAKES THE TREATMENT OF DENTINE HYPERSENSITIVITY PARTICULARLY CHALLENGING? Dentine hypersensitivity is one of those nuisance conditions that may have more than one cause. It also takes a great deal of diagnostic time, unfortunately. From the patient’s point of view, it is often considered a minor problem that he or she believes he or she can deal with in everyday life. That makes it
difficult to identify sometimes. I recommend that practitioners consider the guidelines and the presenting features and manage the patient accordingly. There is a large amount of valuable information available in the literature and in the industry, but most of this is productrelated. However, one cannot just wave a magic wand with one solution and expect the condition to go away. Part of what I do now is to educate and raise awareness among members of the dental profession. Therapists, particularly, are a key target group for education. There needs to be higher awareness in general. WHAT ARE THE KEY RECOMMENDATIONS FOR DENTAL PROFESSIONALS WITH PATIENTS SHOWING SIGNS OF HYPERSENSITIVITY? Practitioners should ask the patients the right questions. Key to this is
linking the problem with lifestyle and how it affects the patient on a day-to-day basis. Also, dentists should do a differential diagnosis to exclude other causes of dental pain. A large number of dental professionals do not seem to do that. They should not simply recommend a once-off solution, but one that is based on managing the presenting clinical features. This will help to diversify t he clinician’s management plan. If the dentist provides treatment, he or she should incorporate a preventative philosophy that will involve changing certain habits. The patient should be monitored within the practice’s time frame. It is not necessary to see him or her every week. Finally, the clinician should research the pain presentation and not use any specific technique just because it’s endorsed, by a particular manufacturer.
With people keeping their teeth longer, they are potentially more exposed to erosive patterns and behaviour. A different profile may yet emerge, but this is not the case at the moment. From studies, we estimate that nowadays the condition occurs on average in one in ten patients, indicating a sizeable problem.
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THE CLEFT LIP AND PALATE ASSOCIATION (CLAPA) BY ANDREA JOHNSON BSC (HONS), LOTA, MDTA. OTA SECRETARY & VICE CHAIR. ANDREW’S GREAT NORTH SWIM - WINDERMERE 1 MILE Andrew Tinkler is currently raising awareness and donations for the Cleft Lip and Palate Association (CLAPA) and will be swimming the Great North Swim in Windermere on the 10th June for this wonderful charity.
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CLEFT LIP AND PALATE ASSOCIATION: THE STORY n This wonderful charity has helped me and my family over the years and my aim is to raise awareness and raise a small amount in donations, to help continue their fantastic work The Cleft Lip and Palate Association (CLAPA) is the only national charity supporting people and families affected by cleft lip and/or palate in the UK. Their vision is a world where having a cleft is no barrier to achieving your desires and ambitions.
Please check out his JustGiving page below for updates on his training or to make a donation.
http://www.justgiving.com/owner-email/ thankyou/Andrew-Tinkler1
THIS IS A REMARKABLE INITIATIVE, SO LETS SPONSOR ANDREW OR ANY OF THE OTHER BRAVE SWIMMERS.
CLAPA was set up in 1979 as a partnership between parents and health professionals, and this remains a core value of ours. The charity works to provide non-medical services which complement the medical care provided by the specialist NHS Cleft Teams, and aims to support people with cleft and their families from infancy through to adulthood.
CLAPA is a small charity with no government funding, and they rely entirely on donations and grants from generous members of the public to continue with their work. Three babies are born with a cleft lip and/or palate every day in the UK, and they face a 20-year treatment pathway, which can continue well into adulthood. The Cleft Lip & Palate Association (CLAPA) is here to make sure no one has to go through this alone. Every donation will help CLAPA to continue to provide specialist, targeted services to give people affected by cleft the knowledge and emotional support they need, while their UK-wide community brings together people from all walks of life to share experiences and learn to cope. Thank you for taking the time to read this information and your support. I’ll be posting updates as to how my training is coming along. Andrew
GC LAUNCHED THEIR NEW INITIAL™ LISI PRESS AT DTS GC launched their NEW GC Initial LiSi Press at the DTS on Stand A36. There was also an opportunity to hear Bill Marais present some of his work on this exciting development on the Saturday. It was an opportunity not to be missed!
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GC’s Initial LiSi Press is their revolutionary new pressable ceramic which combines unparalleled strength with exceptional aesthetics. Faster to process, optimized for use with Initial LiSi veneering ceramic and Lustre Pastes, and leaving virtually no reaction layer using LiSi spray, it makes laboratories more productive. Initial LiSi Press is a high strength lithium disilicate ingot with High Density Micronization (HDM) Technology. This proprietary new technology provides unsurpassed physical properties while delivering the most aesthetic pressed ceramic option on the market.
HDM Technology utilizes equally dispersed lithium disilicate microcrystals to fill the entire glass matrix, rather than traditional larger size crystals that do not take full advantage of the entire matrix structure. Consequently, Initial LiSi Press delivers the ultimate combination of strength and aesthetics making it perfect for all types of restorations. Moreover, this technology means it is very stable without distortion and drop in value, even after multiple firings, it can also be polished intraorally by Dentists. Initial LiSi Press is perfectly optimized for use with Initial LiSi veneering ceramic and Lustre
Pastes to provide laboratories with the strongest, most user friendly, aesthetic, and stable option on the market today.
warm and bright colours with excellent fluorescence; and an unsurpassed flexural strength (450 MPa) with HDM Technology.
Initial LiSi Press’s features and benefits include cleaner presses; unparalleled aesthetics, fluorescence, a seamless learning curve; low abrasion and high wear resistance; virtually no reaction layer when divested; material and colour stability after repeated firing; lower chemical solubility than other leading brands; rich,
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