The Dental Technician Magazine May 2018 by The Dental Technician Magazine

VO L 7 1 N O. 5 I M A Y 2 0 1 8 I B Y S U B S C R I P T I O N

DENTAL

TECHNOLOGY

SHOWCASE

2018 A LINE-UP LIKE NO OTHER

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GDPR - A MOVE TOWARDS COMPLIANCE AT DTS MARCUS RICKARD. QC. PAGE 30

COMPANY PROFILE A VISIT TO HENRY SCHEIN PAGES 18 - 19

DENTAL TECHNICIANS DANGEROUS ROLE IN WW2 TONY LANDON PAGES 12 - 13

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

Inside this month

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P26 -27

CONTENTS MAY 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. No part of this publication may be reproduced in any form without the express permission of the editor or the publisher. Subscriptions The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH

Extend your subscription by recommending a colleague There is a major change in CPD coming soon. The Dental Technician Magazine is a must read. Tell your colleagues to subscribe and if they do so we will extend your subscription for 3 months.

Welcome 4

Thoughts from the Editor

Spotlight 7-8

Prestige Dental Laboratory Division

Insight Dental opinion from Sir Paul Beresford, BDS. MP Dental Technicians: Dangerous role of WW2 by Tony Landon Looking back with John Windibank FOA

10 12 - 13 14 - 15

Digital Technology Taking restorative dentistry to the next level - Celtra® Press GC UK Limited Materials and procedures in tooth production - VITA ®

15 22 26 - 27

Marketing Marketing Simplified

16 - 17

Company profiles A visit to Henry Schein

18 - 19

Company News Lambeth College / Kemdent / Measom Freer / Shofu / Bio Horizons

17 & 20

Focus DTS Showcase 2018

23 - 24

CPD Free Verifiable CPD & CPD questions

28 - 29

Dental News GDPR Harley Technicians Study Club

30 30

Classifieds

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.

P18 & 20

At only £39.95 per year, for UK residents, this must be the cheapest way of keeping up to date. Help your colleagues to keep up to date as well. Ask them to call the subscriptions Hotline on 01202 586 848 now.

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THOUGHTS FROM THE EDITOR

WELCOME to your magazine The DTS Show, The British Dentistry Show, The BDA Conference. May 18th/19th. N.E.C. Birmingham l We are rapidly approaching the DTS show and there is much to be interested in seeing. The N.E.C. Birmingham is an excellent venue with lots of space and easily accessed meeting rooms and lecture theatres. The New combination of the BDA running their annual Conference together with the Dentistry Show Introduces a extra appeal so hopefully there will be an even bigger turn out than last years highly successful meeting. The various clinical and technical lectures from some very familiar names are bound to be of interest. The conference programme for Technicians and CDT’s has greatly expanded and this year the Dentistry Show combines with the BDA to present undoubtedly the largest Dental Conference and Exhibition in the UK with well over 12,000 visitors expected over the two days. There are dedicated lecture theatres, which simplifies the task of finding your chosen lecture and the Dentistry show will undoubtedly have international speakers showing Restorative, Orthodontic and Implant Therapies which gives an opportunity to see the work from the clinical point of view. You would not be serious about your commitment to your chosen profession if you did not take the time to see what is available and at the same time get the chance to step into the world of clinical and technical dentistry with such ease. There will be huge concentration on the application, both clinically and technically, of digital processes and a good many systems and equipment choices to consider. Just listening in on conversations at various trade booths can often generate

ideas and solutions you may have been seeking for some time. It is never a waste of time and it always offers the opportunity to meet with fellow professionals and old friends with a chance to discuss what has been seen. Everyone will have a slightly different point of view but that is what makes the world go round. Comparing notes and attitudes to the same things and finding a different angle or approach, which perhaps makes you think again. Apart from the lecture programme we all look forward to the technical demonstrations, which are generally part of the various stands and usually presented by some very able and talented individuals from whom we can often learn a great deal. A look at the use of new materials without having to buy and the opportunity to perhaps try them for your selves. There are some great changes continuing with materials and techniques and a couple of days visiting and looking critically at what is on offer may just change and improve your own potential for a better restoration or method of producing it. Some of the lectures will be linked to some of the new materials and systems being offered on the trade stands. This gives you a really good opportunity to see and then go and feel it. Have a real look for yourself. The Representative Organisations, which have been involved and will have a presence at the meeting are, the DTA, The DLA, The OTA, The DTG, The BDIST and The BACDT. Over 70 Speakers on just the Technology show reflect the variety of helpful information available to say nothing of the opportunity to collect some valuable CPD points. Right next door is the combined Dentistry Show and the BDA Conference where there are some very able and international speakers. Covering all connected clinical subjects

around Orthodontics, Restorative, Direct Composite Applications and much more. With expert presentations on Implant Dentistry, Digital Dentistry, Minimally Invasive Techniques all of which will have some influence on the laboratory and technical procedures in the coming months and years. We as Dental Technicians cannot work alone and have always been part of a team process. Whether it is always achieved will be very much down to each involved individual Technician or Clinician. Without knowing about each other’s working world it can never be achieved. These major Dental Shows give us a rare opportunity to discover and improve our understanding of those with whom we are supposed to work for the benefit and safety of our

patients. The big plus is you only have to turn up and give your time and the rest is free!!! So you now have no excuse to dip out of going and taking the opportunity to come and tell me what you would like to see within these pages. I will spend much of the two days waiting your contact and looking forward to chats with both familiar and unfamiliar faces. The Dental Technician is the magazine for Technicians and those interested in technical dentistry. I want it to be part of your working life so come along and say what you like and what you don't like. Help me improve the content and broaden its appeal so more of you contribute and get back in equal measure.

Larry Browne, Editor

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SPOTLIGHT ON...

Paul Martin and Lucy Gabbitas

restige Dental remains an independent privately owned company after a management buyout in 2004. Now owned, and run by Paul Martin, who many of you will know, and Lucy Gabbitas. Paul was very much the expert on attachments while working with the company in London. With his technician background and in conjunction with another technician produced the Quintessence technical manual on Precision Attachments, which was published in 5 languages including Japanese. His background and understanding of everyday dental laboratory processes gives him the advantage of knowing what technicians may need and what product best fits. Lucy has a background in Clinical Dentistry and an inside knowledge on products that work and those the operator may need. No wonder Prestige Dental has built its reputation for providing an extensive range of quality dental products, combining innovative and new solutions with old favourites. Prestige Dental Management are proud of its product variety and diversity and continues to seek innovative answers and products to fit with the demands of the modern Dental market.

New laboratory product specialist Mick Holt

In 2017 the company recognised a need to expand the laboratory side of the business and have invested time and thought into the way forward. Earlier this year a new laboratory product specialist, Mick Holt joined the company. With over 30 years dental experience, including owning his own laboratory, he wanted to be sure he had chosen the right company. Working for the right business was imperative to him. Prestige Dental is not only well established, but has built its reputation on innovation, combining new products with old favourites. Backed by its own distribution centre, with a friendly, knowledgeable customer service team he knew he had chosen wisely. He feels confident of an interesting and demanding future in his newly chosen career. As part of their future plans for extending their market appeal at Prestige they have launched a new 100 plus page catalogue, which combines old classics alongside some exciting new products which they believe will become a must buy range of new favourites. They are confident they will be rekindling interest in their existing customer base and adding new customers with their extended and very interesting product list.

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SPOTLIGHT

PRESTIGE DENTAL LABORATORY DIVISION DENAR 300 SERIES OF ARTICULATORS Represents a response to the market place demands and a relevant update, of one of the worlds most popular Articulators.

Royce Thompson a design engineer at Whipmix explains why the 300 series was developed: “Customers were asking us for an articulator with closer interchangeability, fewer wrenches to make adjustments to the articulator, and more user friendly. The feedback was that the Technicians and Clinicians wanted to eliminate having to ship their articulator back and forth between dentists and labs. By designing a method to ship only models which would make it simpler to move cases around the lab as well. They also wanted a more modern looking instrument. They asked and we listened and we created the 300 series” Phil Reddington from Beever Dental Technology commented the following when asked what was it about this model that was different to previous articulators they were using: “They are so much more stable. With our previous articulators, when we were working on a case we always had to go back to the same articulator. However with the 300 Series it’s so stable that they just all transfer across perfectly with absolute precision. It doesn’t matter which one it’s been articulated on, it doesn’t need recalibrating.” Clearly a perfect answer to what was an everyday problem in the past. It also eliminates the potential of using the wrong articulator when pressure for time can distract the most careful of technicians.

REINER COMPATIBLE IMPLANT COMPONENTS

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SPOTLIGHT

The world of Implant Dental restoration is changing rapidly with competition coming from talented engineering companies for the production of components to fit available systems. Reiner have a long pedigree in creating excellence with their component manufacture. They cover all the popular systems with high quality but affordable options. Prestige are delighted to be handling Reiner Implant Components which provide a cost effective solution for everyday CAD/ CAM workflow application and conventional cast on techniques. The current systems available include: Branemark, Nobel Biocare, 3i, Straumann, Astra, Sweden & Martina, Biohorizons, BTI etc. Prestige know their products need to be of the very best quality and so have chosen Reiner dental as their preferred supplier. WHITE PEAKS DENTAL SOLUTIONS HIGH END DENTAL CAD/CAM PRODUCTS When you are looking at the source for milling blocks of Zirconia or indeed Titanium and Cobalt Chrome, Burn out resins and splint resins to fit to your needs white peaks produce a full range of materials ready to fit into your Milling Machine. White Peaks, a German manufacturer based in Essen. in the Nord Rhein area of Germany, committed to providing the very highest standard but with technical innovation created by their interactive team of experts. It is one of the leading companies in the sector of development and production of dental materials. Their products are manufactured by a small team of specialised craftsmen at their facility in Wesel Germany. Using exclusive use of raw material from the company Tosoh/ Japan, the world market leader for zirconium dioxides for the zirconium products.

RHEIN 83 The OT Equator, the newest line of low profile castable and direct implant overdenture attachments. With a low vertical profile 2.1mm and diameter of 4.4mm OT Equator is the smallest attachment system on the market. This system offers multiple solutions for overdenture treatment planning when vertical space limitations are a consideration

PRIMOTEC Primotec is committed to offering innovative developments and novel products that outstandingly improve the quality of every piece of dental work they are used to create, and to contributing to greater efficiency and streamlining workflows in the dental laboratory. PREPARATION OF ZIRCONIUM NTI ROTARY INSTRUMENTS The quality of the instrument you use and the choice of shapes required with modern production techniques demands a high quality and well designed combination from which to choose. This interplay, between scientific expertise and modern production technology makes NTI one of the leading manufactures of this type of instrument, which are characterised by high quality, precision and innovation.

HATHO HATHO is a manufacturer of rotating polishing brushes for the dental industry. A new addition to their range is the 3 Step Thermoplastic Polishing Kit. Fast and easy pre-polishing with Scotch-Brite Multi-Layer brush and Polistar Lintygrey. Effective shine, polishing with COSIMA Soft buff and cream. Perfect high shine polishing ,with Polistar Pro Pink. All of the above great products are featured within our new catalogue with lots of others which you may find just as interesting. Why not take a look? To request a copy of the catalogue or arrange a visit please contact Mick Holt on 07876 415347, email: mickh@prestige-dental.co.uk or visit www.prestige-dental.co.uk

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DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP INSIGHT

GET ON BOARD -

THE ECONOMY IS MOVING UP

usterity is still on but easing. UK PLC has had its first fall in National Debt in 17 years. Personal Tax Allowances has gone up from £6475 in 2010 to £11,850 this year. We are not out of the deep dark woods yet but there is every hope. More money is in to pay for NHS staff. Sadly I can hear the cry for more for the NHS and more for NHS dentistry. Yes true but we need to do our bit for ourselves, after all we are forward looking commercial health care workers or should be. In dental health, with action and pressure from dental professionals we can and are increasingly bringing in dental health prevention. I have already expanded on improving child dental health. The Government is awake to the problem at last. The new sugar tax is persuading sugary food stuff manufacturers to change. More health areas are introducing toothbrushes and tooth brushing to kids and at the same time to parents as we have the appalling problem of children’s dental health care. Perhaps we can get the Government to expand HPV vaccination as in my March “Opinion”. If you have not used that article to pen a letter to your MP please do so now. The dental headline that hit me most last month was the predicted growth of the dental restorative market. Grand View Research in the US has predicted the US restorative dentistry market to grow to $25.9 billion (£19.2 billion) by 2025. The reason given is more US dental practices and dental corporates are concentrating on this approach. Coming from New Zealand where there is no state dental care for adults, where all practices are private I was horrified at what

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

was on offer to patients. In the early 70's I started in a hard part of East London. To say to patients there is NHS or private got blank stares until I explained. Most payments were cash and no questions asked. The pride and appreciation of the patients along with the upgraded profit topped off with the pride in a class job made the effort worth it.

Many UK technicians need to up market and sell to their dentists. Drag them in to the light. Dentists need to sell to patients that restorative dentistry can be more than amalgams. Incidentally there is still room for beautiful gold posterior restorations. When I see superb gold molar inlays placed 3 or 4 decades ago, by me or my colleagues I am reminded, new is not always best.

If the Americans can do it so can we. The upper echelons of UK dentistry - both technicians and dentistry - are as good as it gets. With care we can all get to that level. Modern materials and techniques, are making it all easier to get terrific health care restorative results. The modern impression materials are remarkable. The new digital scanning and 3D printing is coming of age. New plastics, new porcelains, digital photography, better adhesive dentistry all give us that chance. It saddens me when some of my colleagues - top dentists - send their work to Germany and the US. Support the UK please.

An interesting point from the Grand View Research report. “The growth of the global market also highlights a need for suppliers and manufacturers to rise to the challenge of educating dentists and patients about this wonderful, but undeniably demanding, treatment modality”

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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He is wrong. It is up to us as dentists and dental technicians, to educate ourselves, and work together. The manufacturers will help but! We then present what is available to our patients. We are the ones with the knowledge and skills. Most patients are very happy to learn and pay for the best.

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.

INSIGHT

DENTAL TECHNICIANS DANGEROUS ROLE OF WW2 By Tony Landon

Landing craft, Omaha Beach, Normandy

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Dental Technicians working in a cramped and seemingly rudimentary Mobile Field Laboratory WW2

On 6 June 1944 United States, British and Allied forces went ashore along a 40-mile coastal stretch of Normandy, France. Prior to the bloody arrival of the seaborne landing troops storming ashore, 13,000 parachute and glider troops of the U.S. 82d and 101st Airborne Divisions, had landed just after midnight on the Cotentin peninsular French countryside. However these airborne forces had become widely scattered. Initially it was chaotic as their drop zones were missed due to navigation errors created by the enemy. They had breached the banks of the Normandy Rivers and the expected river outlines had been changed. The rivers flooded the surrounding fields and removed the identifiable reflective river lines meandering across the flat countryside. Dense foggy banked weather and enemy antiaircraft fire also prevented accurate landings.

U.S. 307th Airborne Medical Company waiting to board their Horsa glider for D. Day airborne landings

Broad white lines were painted on the Allied wooden framed canvas skinned gliders at the last moment to offer some clear identification as it was thought these markings would prevent friendly fire bringing down the gliders. But paratroopers quickly came to the conclusion they had become dammed for such obvious expansive white lines would provide easy identifiable targets for the enemy to fire at!

Both the paratroopers and amphibious landing craft assault troops were ordered to close shave their entire heads to reduce the chance of infection should they sustain head wounds. Many American troops went for a Mohican style. Close shaving their scalps but leaving a strip of stubble hair running along the top of their heads to make them appear more menacing. The Anglo American Allied naval bombardment started on D Day at 05.50 hours. The French inhabitants of the coastal town of Vierville-sur-Mer were jumping from their beds and speedily running for safe underground sanctuaries as naval exploding shells straddled their town. The mayor’s house was one of properties to receive a direct hit that promptly demolished his prominent household. Fortunately it was later reported, as a small consolation, that the mayor’s wife on returning to her shattered property to salvage what she could take away with her, was so relieved to find her “false teeth” intact amongst the ruins of her former home. At OMAHA beach the V Corps had the U.S. Army’s costliest day’s losses as these seaborne landing attackers were pinned down along the high water mark for much of the day. Gradually by nightfall around 34,000 troops of the 55,000man assault force were ashore. The V Corps, however, had fallen far short of its D-day objective. Its advance positions constituted a series of isolated groups rather than a continuous line of fighting soldiers. German snipers and machine gunners kept picking off exposed targets as they presented themselves to dash forward. Forward emergency surgery clearing and field medic stations never got started on OMAHA during the first twenty-four hours. Of the twelve teams attached to the 60th and 61st Medical Battalions, eight succeeded in reaching beyond the shoreline between 1130 and 1730 that memorable day. This was only after various harrowing adventures of their landing crafts being misdirected to their designated shore touchdown spots or taking direct shell fire hits that promptly sunk these vulnerable vessels. Inevitably most of the medical teams arrived on the beach without their operating equipment. Even if they reached their assigned collect-to-clearing company designated areas, they could do little but pitch in with everyone else in basic first aid, form up in stretcher teams for evacuating the wounded whilst being subject to constant enemy fire. DENTAL TEAM MEMBERS WERE IMMEDIATELY SUPPORTING Under such circumstances a division’s surgeon had the dental detachment at his disposal, for employing all or part of the dental personnel for non-dental duties. Dental team members could be of most service as assistant surgeons

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and dental technicians as stretcher bearer teams during the opening period when the offensive landing was being consolidated. As soon as conditions permitted, the dental detachment would be reassembled to resume their primary function. A Captain Cawthorn of the U.S. 2nd battalion, 116th Infantry was outside the makeshift battalion beachhead headquarters shouting instructions to his men, over the battle noise ,when a piece of shrapnel hit him. This jagged metal fragment tore through one cheek and out through the opposite cheek without touching his Jaw bones. Because at the moment of the shrapnel’s impact his mouth was wide open. He was fortunate to be quickly dealt with by the assembled medic and dental teams. Battle causalities receiving first aid on the beach

The V Corps suffered around 2,400 dead, wounded, and missing and the two airborne divisions together lost about another 2,400 men. This number should have been within the envisaged, first-aid medical treatment and evacuation capabilities, of the medical forces that was planned for assembly on D-day. In reality it did not work out especially at Omaha. The total number of American dead during the first twenty-four hours was 1,465. Allied causalities across Normandy was on average at 2,000 per division per month. One fact that never appears to be widely reported is that 3,000 French civilians died, due to the intense Anglo American Allied navy shelling, bombing and rocket fire over the first twenty four hours of the D Day landings. This is double the number of American dead. Ref* The BBC French service had transmitted a plain message on 1st June, five days ahead of D Day. The announcer read “L’heure du combat viendra” The moment of battle is approaching. Warning leaflets were also dropped by Allied aircraft, but the French civilians unfortunately because of the strict secrecy of the actual Anglo American Allied timing of their landings and precisely where, were sadly caught out. Many already had their radios taken away by the Germans fearing coded messages were being transmitted to the French Resistance members. To be continued...

INSIGHT

ven during the height of the WW2 sea and airborne landings to established a firm D Day defensible beach-head on the Normandy coastline for following on troops to pass through, dental technicians were expected with due diligence to perform multi-tasking first aid roles!

LOOKING BACK JOHN WINDIBANK FOA INSIGHT

MEMORIES OF AN OLD CODGER 12 THE 1960Â´S

he nineteen sixties for us British was a time of change, international crisis, ban the bomb and retrenchment. Prime minister Harold Macmillan's "you have never had it so good" and "the wind of change" saw his optimism flounder on the Profumo affair the Cuban missile crisis and the death of President Kennedy. Things were changing politically and at that time I was working at Lewisham and I attended an election meeting at Catford Town Hall. The place was packed to the rafters with hundreds in the hall and Harold Wilson was the main speaker, with his promise of a white hot technical revolution. Politics in its hay day, crowd pleasing passionate speaking, heckling from the hall and Harold revelling in it, he was elected with a small majority. Cliff Richard was warbling on about summer holidays, which inspired me to catch a train to the south of France for my first overseas holiday. Yes things were changing.

Orthodontics was the fastest growing part of dentistry in the NHS, creating massive demand for consultant services and Mr K Pringle the consultant I worked with at Lewisham Hospital knew exactly how he would like to run these services in our region. New hospital buildings were popping up everywhere and he was determined that these new units would contain Orthodontic consulting rooms and a laboratory. The Health Advisory Committee report on Dental services had recommended that specialised technicians were concentrated in centres of excellence and Sir Terrance Ward wanted that centre to be at the Queen Victoria Hospital (QVH) at East Grinstead (EG) and had closed hospital labs in the area and transferred the work to that lab. This policy was, it is fair to say, was opposed by many consultants and specialists working in the South East and Mr Pringle was one of them. About three years after I went to work at Lewisham I was approached by him to see

JOHN WINDIBANK FOTA

QVH Dental Unit 1960c

if I would be interested in running the laboratory he wanted to open at the Woolwich Memorial Hospital. Sometimes when we are old we forget the struggle it is for young people trying to make their way in the world and the hand to mouth existence we led. Well the prospect of extra money and running my own lab was extremely attractive to me and tinged with a little sadness of leaving Lewisham, as they had promised me a senior grade when Mr Ryles the senior technician retired. It took another two years before the new lab was opened and when I had a look at it I was shocked at how small it was. The room was no wider than a corridor with a bench mounted centrifugal caster at one end, a work bench on one wall with the most enormous silversmith cut out and a huge bench peg. On the far wall was a sink with a model grinder next to it and I was promised a suspension motor soon. Mr Pringle who was showing me round said that he had been buying equipment over a period to keep down the apparent costs of opening the lab, but he expected me to have a few further requirements and he wasn't kidding. It soon became evident that to get the lab opened had been quite a struggle and that the costs had been heavily underestimated to sell the idea and Mr Pringle admitted that the correspondence on the matter had been immense. Well much to Mr Pringle's relief I agreed Committees for 15 years.

to open the lab if there could be a lot of alterations like a plaster bench, welder (I used the surgery welder), shelves, better lighting some extraction, a long list of equipment, tools, materials and of course a better chair, itâ&#x20AC;&#x2122;s surprising but when you mention laboratory, people all seem to think everyone who works there perches on a stool. Administratively things were changing, but generally back in the sixties the day to day running of hospitals were organised by a Hospital Secretary, Matron and a Senior Consultant. After I submitted my requirements for the Lab the Hospital Secretary arrived post haste and blinking at my list, he wanted to know exactly why I needed all this. Well he said I expected the consultant to have underestimated your requirements but this well beyond what I budgeted for. Jumping in the deep end springs to mind, so I went over the list item by item and we trimmed quantities and flask numbers and I agreed to work with the hospital carpenter and the works department to get the place functional. So with a lot of huffing and puffing the carpenter and the electricians started knocking the place apart. The Woolwich Memorial Hospital (WMH) was situated at the top of Shooters Hill and was set well back from the main road, it was surrounded by fields and woods with stunning views across South London, when I had time to look. The lab was situated next to the Dental Dept in a new Outpatients block and working on my own was new to me. I missed the camaraderie of working with people, but I bought a cheap radio and radio 4 and I became best friends and to this end I would arrange my noisy work around the afternoon play. Mr Pringles obvious pleasure at having his own dedicated Orthodontic technician at last,

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

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

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

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

piled into the lab including the splint work that had previously gone to Lewisham, I was also receiving Orthodontic work from three other centres and 8 hrs a day wasn't enough. Things came to head when I wanted a short holiday and trying to arrange no work coming into the lab for a week was met with, that's OK we will cast your models for you and we can manage from the surgeons! yes I know but could I manage. My first day back at work after my short holiday was jaw droppingly awful, every surface including my chair had impressions with dried out tissues over most of them. There were a few dried out impression which had been cast with a thin layer of plaster and left on the bench to dry, these models were all porous and the hardened impression had to be chipped of the models. After salvaging what I could my next stop was to see the hospital secretary to arrange for me to work overtime to clear this backlog of work and a short time later, I saw Mr Pringle to explain that even working overtime I could not manage

all the work that was coming through the door, he was very surprised that the Oral Consultant was sending me work as he had said he did not want a lab in the department. This led to an uptight visit from Mr Shuttleworth outraged that it had been suggested he did not send his work to me, hay ho, the life of a ping pong ball is not to be envied. Eventually some of the orthodontics went back to EG and I continued to work overtime, but Mr Pringles efforts to have labs near the dental units was to come to fruition. Labs in the South east were opened at Woolwich (St Olaphs) Dartford, Canterbury, Sidcup and Brighton, the centre at Lewisham is still there and the centre of excellence at QVH, EG is better than ever. I spent 5 years at the WMH the consultants always popped in for a chat and I liked them both, they expected me to help when needed in the surgery or theatre and were sorry when I left and moved on to Dartford.

Celtra® Press - a new generation of high strength glass-ceramic, zirconia-reinforced lithium silicate (ZLS), is now available in a pressable version for highly aesthetic monolithic restorations

Now Dentsply Sirona has launched Celtra® Press, a new generation of high strength glass ceramic that allows laboratories to benefit from the unique microstructure of ZLS using a traditional pressing procedure. With its strength in excess of 500MPa (after power firing), Celtra Press delivers exceptional performance, translucency and opalescence. Microstructures With zirconia-reinforced lithium silicate the inclusion of 10% zirconium oxide already dissolved in the glass matrix ensures particularly high strength. The crystallites formed are up to eight times smaller than lithium di-silicate crystallites, resulting in an ultra-fine microstructure that combines high average flexural strength with high glass content. These characteristics give the material outstanding light-optical properties. The small crystals enable better compressibility and flowability (lower viscosity) during the pressing process and owing to the good surface texture, intraoral polishing is possible.

The crystallites embedded in the glass phase of lithium di-silicate ceramic are 2000-4000 nm in size and thus significantly larger than Celtra, this fact influences both the light-optical and mechanical properties of the material, resulting in lower light conductivity and a final restoration that requires a greater polishing effort. Smart shade system Celtra Press is available in selected VITA1 shades and has excellent shade accuracy and reproducibility. The individual pellets are assigned to three different translucency levels – HT(high translucency), MT (medium translucency) or LT (low translucency) depending on the indication. While in conventional lithium di-silicate glass ceramics, translucencies are not uniform (for example MT can be more opaque than LT), with Celtra Press the HT, MT and LT translucency steps are closely matched, which permits users to reliably reproduce the desired degree of translucency. Celtra Ceram veneering porcelain is available to laboratories for additional customisation. Celtra® Press Investment The Celtra Press Investment, which has been specifically developed for use with Celtra Press, minimises the formation of a hard reaction layer between the investment and the pressed restoration. Along with the lower pressing temperature of Celtra Press when compared to conventional lithium di-silicate glass ceramics (50-60°C), Celtra Press Investment and Celtra Press together eliminate the need

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to use cleaning fluid containing hydrofluoric acid. Thanks to the lower pressing temperature any remaining reaction layer residue can be easily removed by sandblasting as the hardness of the reaction layer is greatly reduced. The low viscosity of Celtra Press provides optimum flow properties so that usually only one pressing sprue needs to be attached. This is applicable for the entire indication spectrum including up to three-unit bridgework on second bicuspids in the anterior region. Even the most delicate of structures and restoration margins are reproduced accurately. Ashley Byrne is Managing Director of Byrnes Dental Laboratory, a cutting edge, digital dental laboratory that focuses on producing world-class, natural restorations. Having worked with Celtra Press Ashley says, “The glass-like aesthetic properties of Celtra Press ensure we can achieve life-like results easily and reliably every time. As a system it has simplified our workflow right from the investment process to finalising the crown, allowing us more time to create stunning aesthetics.” To find out more about the extensive range of restorative solutions, materials and equipment, please visit dentsplysirona.com or call us on 01932 853 422. You can also access a range of education resources, video tutorials, courses and CPD webinars at dentsplysirona. com/ukeducation Earn Dentsply Sirona Rewards on all your restorative solution purchases at dentsplysirona.com Facebook: Dentsply Sirona Twitter: @DENTSPLY_UK 1. VITA is not a registered trademark of Dentsply Sirona

DIGITAL TECHNOLOGY

TAKING RESTORATIVE DENTISTRY TO THE NEXT LEVEL ll-ceramic restorations have fast become an integral part of restorative and cosmetic dentistry, offering superior aesthetics combined with high biocompatibility and strength. Ceramics such as lithium di-silicate and zirconia-reinforced lithium silicate have become the materials of choice for technicians in the creation of a multitude of restorative solutions, from single units and veneers to multi-unit bridges and implant-supported restorations.

INSIGHT

was sadly dented a few weeks after I had settled in at the Memorial. The other Dental Department Consultant at the WMH was a Mr Shuttleworth who was a doubly qualified Prof. who also lectured at Guys. Mr Shuttleworth was very old school and always addressed me using my surname Windibank, which to my working class ears always sounded rude, but I'm sure it was not meant that way as his use of surnames applied to everyone. While Mr Pringle was trying to open the lab Mr Shuttleworth had shown no interest in having a technician at the WMH and did not see the necessity for one. I had not seen a lot of Mr Shuttleworth since I had moved into the lab, but this morning he sidled into the lab, smiled and said "how would you feel about doing some work for me Windibank? it won’t amount to very much". Very surprised I looked at him and said that would be OK as far as I was concerned and he seemed very pleased. Help me, I was very young and inexperienced and not knowing that the words "not very much work" to a surgeon means piles of the stuff to a technician. The work

MARKETING SIMPLIFIED JAN CLARKE BDS FDSRCPS MARKETING

l Jan qualified as a dentist in 1988 and worked in the hospital service and then general practice. She was a practice owner for 17 years and worked as an Advisor with Denplan. Jan now works helping dental businesses with their marketing and business strategy and heads up the Social Media Academy at Rose & Co.

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

FROM YOUR CLIENTS’ PERSPECTIVE: PART 2

5. BLOGGING

ast month I discussed looking at your business from your clients’ perspective. It is almost impossible for you to view it from this angle without asking an independent third party to do this for you. This is exactly what we have done recently for some dental practices and the results have proven to be eye opening for those business owners.

• Is there a blog or news section on your

website?

• Is it updated regularly? • What is the quality of the content and have there been any comments and interaction?

Being able to view your business and particularly your marketing activity from the outside-in can be invaluable. Let’s see what you need to do to be able to have a long hard look at your business and perhaps ask someone to help who has no understanding or knowledge of dental technology services. We have already discussed:

1. What do your clients see? 2. How easy is it to become a client? 3. How easy is it to stay a client? In this article I will continue to discuss further the 7 essential perspectives that can be assessed and improved upon. 4. IS YOUR WEBSITE WORKING? • Many companies offer audits for your website, what are they looking for and can you assess this yourself? Depending on your knowledge most of these elements can be judged by you. • Is the design current or still living in the last century? • Can you access the site quickly and navigate your way through it with ease, does it load quick enough? • Are the important areas on the site obvious – for instance, prices and access to lab forms for download or how to make an enquiry?

• Is the site mobile and tablet friendly? Whilst many of your clients may well access your site on their desktops in the surgery, they may still browse and look for labs on their phones. It is considered that 60% of users will access via phones and tablets with this percentage increasing. • Compliance – is the site both GDC and ICO compliant? The General Dental Council publish their own guidelines on compliance of websites that can also be found online and as registered professionals you do need to adhere to these. With the advent of GDPR – General Data Protection Regulation in May of this year, there are also some elements you will need to consider in how you collect data from your site. If you have a contact form or ask for email addresses this will need to be more robust than it has been previously. • Do you have Search Engine Optimisation of your site and how does it rank for certain keywords. Think about phrases a potential client may use to find you online and test this for your self. • You will also want to assess your blog or news section on your site which is your next perspective.

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I have written about blogging separately and feel it is highly underutilised by all dental professionals. It is an easy way to keep your clients and potential clients updated about new services, information about your business and it also has an impact on your website. A regularly updated blog on your website will help keep your website healthy as it appears as fresh new content. Add in key words and your search engine optimisation is also given a helping hand. A blog is a great place to educate and help solve problems too. Perhaps discuss some of the problems you see with work coming into the lab and how dentists can avoid these issues. Show cases from start to finish by collaborating with one of your clients so you can also use some clinical photos. There has been lots of discussion about the length of blog posts and at the time of writing it is considered that an optimal blog post is around 500 words. At least 350 helps with updates to your site and if you have a case study then a longer blog should hold the attention. If you haven’t thought about blogging then I would encourage you to consider. Once written they are a source of recyclable content and of course can be used on our next perspective. 6. SOCIAL MEDIA We know that visitors to our website who arrive via social media and perhaps,

because of a shared blogpost, will spend longer in your site. Generally you will see a lower “bounce rate”.

• Use of channels – which channels do you

have activity on? Are the links from your website current and live or do they take you to a defunct account that hasn’t been updated sine 2013? I encourage you to be active on social media but don’t spread yourself too thin that your posts are too sporadic. It is much better to choose one channel and concentrate on regular current posts than try and work more channels with little content. If links from your website don’t work or are not current, remove them.

• Header images and Profile images. Do these represent your brand, your current team and is it obvious from these images what your business is about? Many businesses try and reflect a corporate image in these headers when they may be a much smaller, personal business so don’t be afraid to have images of your team here. Social media is about personality and friendliness so if that’s what you’re about show it in your headers. • Is the “about” section completed? Spend time to ensure you have completed all the

• Do you have a variety of regular posts that offer a glimpse into your world? Can you scroll down your page and see information, colour, interest and variety. Do you look like a business you might like to do business with?! • Reviews – are there reviews on your page and are these current? Attempt to get a couple of reviews each month so you build a steady stable base. These help with social proof and also help your rankings too. Always respond to reviews as you would any comments on your pages. • Responsiveness to messages – wherever possible set up some automation to messaging so you can be seen to be initially responsive, but of course, respond as soon as you can. The message services within social media channels can be a great source of new clients as it is easy and informal. • Do you have any videos? 2018 is definitely the year of the video so if you haven’t recorded any now may be the time to consider. Videos can be short and uploaded directly to Facebook to achieve a good

reach or they can be longer and uploaded to YouTube to create a library of content. 7. TRADITIONAL MEDIA Our last of the 7perspectives focuses on a more traditional aspects, your printed leaflets, brochures and printed communications.

MARKETING

What are we looking for though, when we assess your social media usage?

sections you can to give as much information to potential new clients and check it regularly. All of the channels are constantly changing and adding in new features that you will want to take advantage of.

• Are they on brand? If you have spent quite a lot of time and money on branding and producing glossy leaflets don’t be tempted to use up all the old stock of a slip that have been sitting in the corner of the lab because you ordered too many! Keep on brand and stay on brand. Check any work before printing for typos and check again then. • Does the leaflet give all the necessary information and is it understandable? • Is the quality of your printed material consistent? Understanding your business from your clients’ perspective can reap rewards a plenty and I would encourage you to spend time to look at each of the 7 perspectives. As ever I am here to help with any of these issues so do email or connect online with me, I look forward to meeting some of you in cyberspace!

LAMBETH COLLEGE: ONE OF THE LEADING COLLEGES OF DENTAL TECHNOLOGY IN THE UK w Lambeth College has been providing training for Dental Technicians since the 1950s. Our professional team have a wealth of experience, are linked closely with laboratories and supply companies and fully immersed with industry trends. Our experience means we are able to pass this valuable information

COMPANY NEWS

THE DENTAL TECHNICIAN MARKETPLACE onto our learners in order to ensure the continued success of the industry. Our BTEC Level 3 Course in Dental Technology is provided in our 3 modern, fully equipped laboratories and classroom facilities, dedicated to digital dentistry and theory lectures.

year. Alternatively, the course is also available over 3 years on a part time basis with 4 days work experience in a laboratory and 1 day per week in college.

The course is available over 2 years on a full time basis, with 3 days in college and 2 days work experience compulsory on the second

For further information on our offer and to apply today, please visit www.lambethcollege. ac.uk/courses/science

KEMDENT: ANUTEX MODELLING WAX 2.5KG FREE WHEN YOU BUY ACRON HI – HI IMPACT ACRYLIC w During May 2018 when customers buy 1 x 1kg pack of Acron Hi – High Impact Denture Base Acrylic they will receive 1 x 2.5kg Anutex Modelling Wax FREE. Offer price only £186.60 + VAT One of the most common reasons dentures break prematurely is due to repeated slight flexing from mastication, resulting in stress fractures. Acron Hi – High Impact Denture Base Acrylic utilises Kemdent’s special

Multi-Matrix technology to produce dentures that are highly resistant to breakage and fracture. Acron Hi has exceptional aesthetics and the dough is ideal for all processing protocols including injection moulding systems. It flows easily and smoothly with a short dough time of 10-20 minutes compared with competitors. Anutex Toughened Modelling Wax is Kemdent’s most popular European Wax. The unique manufacturing process imparts

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excellent handling characteristics to the wax. These characteristics make it ideal for high quality work. Find Kemdent at the Dental Technology Showcase, Stand F02, NEC Birmingham, 18th - 19th May and take advantage of the other special offers available. To place an order call Kemdent on 01793 770256 or visit our website www.kemdent.co.uk

p20

COMPANY PROFILES COMPANY PROFILES

A VISIT TO HENRY SCHEIN

s one of the largest players in the marketplace, a chance to visit Henry Schein Dental seems too good a chance to pass up for our editor, Larry Browne. I continue to believe that we all need to learn more about those on whom we rely for our vital supplies of sundries, and to whom we tend to go to find out about the latest available equipment and techniques to keep us up to date. As one of the largest players in the dental marketplace, a chance to visit Henry Schein Dental and look at their laboratory supplies and equipment portfolio seemed too good a chance to pass up. I arranged to meet James Salter, Laboratory Business Manager, who looks after the laboratory and technical matters here in the U.K. While Henry Schein were for many years considered a clinical supplies company, in recent times they have embraced the laboratory market and have expanded their interest in all things technical. They have taken on some very talented and skilled staff in order to meet the needs of those who will require more direct assistance - particularly with the modern digital dental techniques and materials which seem to be ever-expanding. Under their marketing banner Henry Schein ConnectDental® the company has put together a valuable tool for improving their communication and your understanding of their broad, modern digital offering. You could certainly think of it as the “One Stop Shop” for digital dentistry. They offer an opportunity to view and learn about a broad selection of different systems and their components. Certainly when you are starting out on your digital journey, they offer the advantage of viewing many of the available systems with the assistance of well-trained, experienced dental technicians who really do know their subject. James’s offices are housed in the main building, shown above, but he took me

CLOCKWIDE FROM TOP LEFT: Henry Schein Headquarters UK. Gillingham, Kent; HSD Reception; HSD Warehouse

through the main warehouse, which was mightily impressive. With over 60,000 items of supply for clinical and technical dentistry it requires a very sophisticated location and recording system to fulfill orders accurately. Here the company has installed a computercontrolled barcode identification system. The paperwork carries an identification code, which is linked to its location within the vast shelving units and the barcode pinpoints the item. Each member of staff carries a handheld scanner to read the barcodes. The item once found is then placed in a container and transported,

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via a building-long conveyor belt to its pack and dispatch area. It all looked remarkably efficient, stress-free and clean. It is so essential to make sure the right component is delivered intact to the right address. I was left in no doubt that the warehouse was working very well indeed and the personnel seemed very much in control. There is separate storage for the equipment with a similar identification and location process. One of the advantages of being a multinational successful business is having the resources available to efficiently handle the necessary expansion.

There is a huge choice of milling machines from various manufacturers such as; • The PrograMill PM7 from Ivoclar Digital • Roland DWX-52DC and other models • Novux® nx Mill5 and other models

COMPANY PROFILES

DIGITAL DENTISTRY With another Henry Schein Digital Symposium just passed I am sure there will be an increased interest from both clinic and laboratory in dipping their toe into the world of computer-aided design and computeraided manufacture (CAD/CAM). We are all aware of the necessary investment required and none of us can afford to throw money away on buying the wrong system or part of a system. There is quite a choice, whether you just want to do scanning and design or you want to manufacture in-house as well. These are serious decisions for all of us who are interested. I took a look at the options offered by HSD Connect and I must say learned a lot. 3D PRINTING FROM: • Rapid Shape® • Novux 3D Print Solutions • Roland • Formulabs SINTERING FURNACES FROM: • Dentsply Sirona • Novux

A WIDE CHOICE OF MATERIALS The choice of which materials to use for the restoration will of course affect your choice of machine and also the cutting tools or 3D printer you may need. It was good to see such a wide choice of equipment to compare and to be able to consult the technical experts about the most suitable choices for each individual need.

With more choice from other manufacturers.

They do of course have an ongoing education programme for both clinicians and technicians. You will certainly need to get along to some hands-on learning courses and try the machines and scanners with various materials. Material choice is growing and offering some real innovation and advantages for better aesthetics and strength. Perhaps the biggest advantage is the ability of these systems - in the right and trained hands - to produce large-scale metalwork and substructures for acrylic, composite and ceramic. There are options for metal-free strong structures such as zirconium oxide and – in the not too distant future - for strong plastics,

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such as polyether ether ketone (PEEK), which are already having an impact as really strong economic alternatives to zirconium and metal. The choice continues to grow. Today they are making aircraft from plastics and the industrial know-how is being absorbed into a great many manufacturing areas, including dentistry which is really benefiting from these developments. The future is most certainly CAD/CAM. If you are looking to find out more, then HSD ConnectDental would be a great place to start. The various systems they handle and the expertise of their support staff will give you lots of options so you can make a better-informed choice. I left my meeting with my head buzzing and lots more to follow up. The coming Dental Technology Showcase (18th-19th May at the NEC Birmingham) will perhaps help me dot the i’s and cross the t’s. I also think another visit to the Cardiff facility would be helpful. Henry Schein ConnectDental, Henry Schein’s platform for digital dentistry, combines a wide choice of digital technology solutions with all the knowledge, service and support needed to help practitioners navigate the rapidly changing world of digital dentistry. For more information, visit www.hsdconnectdental.co.uk henryschein.co.uk Twitter: @HenryScheinUK Facebook: HenryScheinUK

CLOCKWISE FROM TOP LEFT: Abutment Design; Bars for Over Dentures; Digital Dentures; Metal or Plastic Partial Dentures; Crowns & Bridges

COMPANY NEWS

THE DENTAL TECHNICIAN MARKETPLACE MEASOM FREER PROVE THEIR ENVIRONMENTAL CREDENTIALS w The well-established plastic packaging manufacturer Measom Freer is proud to announce it has achieved the BSI ISO 14001:2015 Certificate in Environmental Management. The company believes it has a moral duty to protect the natural environment and they are committed to minimising their global impact as a business by improving resource efficiency, reducing waste and reducing costs.

They ensure their stock products are sustainable by sourcing materials such as polythene that can be readily recycled, PPR (post production regrind) is also used in all their stock products. It believes that its customers should also be offered the choice of using eco materials, like Bio-based Copolyester and rHDPE (a PCR Post-Consumer Recycled HDPE) and they offer these on a made to order basis for their products.

So if you are looking for a company who is committed to controlling its effect on the environment and produces quality products too contact their Sales Team now: sales@measomfreer.co.uk Tel +44 (0)116 2881588 or buy online at www.measomfreer.co.uk

VINTAGE PRO BY SHOFU: OPTIMISED LEUCITE-REINFORCED FELDSPATHIC PORCELAIN MEETS ALL CHALLENGES DEFINITELY IMPROVING AESTHETIC RESULTS: INNOVATIVE PFM SYSTEM REDUCED TO THE MAXIMUM! w Proven products have been redesigned for even more convenient handling and sophisticated shade matching – so why not rediscover PFM restorations? VINTAGE PRO, launched at the IDS 2017 represents a fresh, new PFM porcelain generation allowing dental technicians to easily, efficiently and aesthetically meet all challenges in the field of PFM restorations. Based on SHOFU’s proven VINTAGE systems and more than 30 years of experience and ex-pertise in dental porcelains, this optimised leucite-reinforced feldspathic porcelain helps users to achieve maximum aesthetics in a minimum of time. The excellent handling of a well-established PFM systems has been systematically optimised, their aesthetic benefits have been further enhanced, and their porcelain basis has been combined with new materials – for even greater ease of use, higher safety and firing stability, and naturally opalescent shades on all classical PFM alloys! VINTAGE PRO provides new perspectives for PFM restorations: The uncomplicated, light-transmitting and reflecting porcelains of this system allow both professionals and beginners to create excellent aesthetic results using a time-saving technique. Thanks to their leucite-reinforced crystalline structure, these porcelains feature exceptional brilliance with

paste stains are available for individualisation. Another highlight: Newly developed Powder Opaque and ready-to-use Paste Opaque materials with great opacity and bond strength allow technicians to quickly and reliably mask metal frameworks and create an aesthetic base for porcelain build-up. Both Opaque types can easily be adjusted or modified and applied in any desired thickness. great depth and high colour and firing stability, making PFM restorations look as if they were all-ceramic – no matter if the frameworks are made of gold-containing, palladium-based or non-precious alloys or CAD/CAM materials! EXCITINGLY CLASSIC, REFRESHINGLY NEW: BRILLIANCE WITH DEPTH VINTAGE PRO stands for new, fresh aesthetics with precise opales-cence and fluorescence, whose naturalness changes with varying light conditions. The reason: Each porcelain material shows a characteristic shade effect, based on specifically matched light refraction properties. VINTAGE PRO is a leucite-reinforced feldspathic porcelain system with a versatile, lifelike shade range including standard shades, highly fluorescent margin and cervical shades, opalescent effect shades and supplementary bleach shades – all accurately matched to the Vita Classical system. In addition, high-quality

REDISCOVER PFM – AND IMPROVE AESTHETIC RESULTS! VINTAGE PRO meets all requirements a state-of-the-art PFM system has to meet. An optimised layering system, ideal stackability and sculptability, and high dimensional and firing stability at a temperature of approx. 900°C make this porcelain convenient and efficient to use in everyday work. Reduced to the maximum, VINTAGE PRO porcelain is now available in 16 standard shades, 4 whitening shades and various light-dynamic auxiliary and effect shades. The system also includes Paste and Powder Opaque materials ensuring the right base colour and high bond strengths. For further information, please contact the Shofu office 01732 783580 or sales@shofu.co.uk

BIOHORIZONS SUPPORTS CAMLOG ACCREDITATION FOR TECHNICIANS w BioHorizons is delighted to announce that the CAMLOG Accreditation Course for Dental Technicians will be held on Saturday, 2 June in Ilkley. Presented by Michael Knackmuss, a German-certified dental technician, the course offers unrivalled insight into the functionality and versatility of CAMLOG’s CONELOG® system.

Delegates will study the user-friendly, prosthetically-driven system and experience it through hands-on workshops. The compatibility of the system in relation to CAD/CAM workflows and software will also be explored.

Costing just £99.50 plus VAT and worth 7 hours of CPD, the value this course is clear so with places limited, act now to ensure you don’t miss out!

Upon completion of the course, each technician will receive an ‘accreditation pack’, enabling them to showcase that their laboratory is accredited to work with the CONELOG system.

If you would like further details about the CAMLOG Accreditation Course for Dental Technicians, please visit www.theimplanthub.com/events/

www.dentaltechnician.org.uk

Do you want to be a Dental Technician? Lambeth College is proud to be one of the few colleges in the UK with the facilities and expertise to offer professional Dental Technology qualifications. Our Level 3 BTEC Extended Diploma in Dental Technology, starts in September 2018. The course can be completed either on a 2 year/full time basis or *3 year/part-time basis. Limited spaces available.

Apply now For further information call or apply today:

0207 501 5090

lambethcollege.ac.uk/courses *Studying part-time you should already be working in a Dental Laboratory.

You have the potential to be anything you want

GC UK LIMITED l

GC UK will be running One Day Intro and Two Day Advanced Gradia Plus Hands-on Courses by Lisa Johnson in their Newport Pagnell Training Campus in June 2018. Lisa Johnson DTG, from Nexus Dental Laboratories in Harrogate, is one of the UK’s top aesthetic technicians with over twenty years’ worth of experience using composite systems, specialising in large implant frameworks. From the early trials, Lisa and Nexus Dental Laboratory were both involved with the development of GC’s Gradia Plus composite resin C&B system. They have layered many frameworks using injectable techniques with Gradia Plus One Body System. On the Gradia Plus Intro Course, which will be held on 5th June 2018, Delegates will construct a metal based anterior crown in order to develop an understanding of this unique

opaque system. This will include learning how to layer the crown using Gradia Plus Heavy Body, create internal effects using Gradia Plus Light Body and external effects using Gradia Plus Lustre Paints. They will also master the best composite finishing and polishing techniques. Using the same principles they will also build up a posterior crown using the One Body Injection technique. With 7 hours verifiable CPD, the course fee is just £275.00 and includes all models, copings and materials. On the Advanced Two Day Hands-on Course, which will be held on 6th and 7th June 2018, Delegates will be shown how to use the latest polymer technology composite from Gradia Plus, by both injecting and layering with Heavy Body and Light Body materials on a six unit anterior titanium framework. The aim of the course being to replicate both the teeth and gingiva from an actual clinical case. Lisa will demonstrate

how to achieve natural aesthetics with both fluorescence and opalescence plus surface texturing and polishing, and also demonstrate the simplicity of the injectable One Body technique with light curing flasks. With 12 hours verifiable CPD, the course fee is £ 495.00 including one night’s hotel accommodation, meals and course models. GC anticipate a big demand for both courses so book now to avoid disappointment! For further information please contact Louise Pakes at GC UK Ltd on 01908 218999, e-mail info@gcukltd.co.uk or visit www.gceurope.com

Perfect Packaging Solutions Whether you need packaging to contain your product, or you’re looking for a solution to a working practice issue – we have an impressive range of plastic packaging available from stock. From bottles to boxes, containers to caps and tubes to ties – you’ll find it all available for immediate delivery. With over 80 years’ experience, environmental production credentials and exceptional customer service, we think you’ll find Measom Freer has your perfect packaging solution.

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Bottles & Plugs Dropper, Flip & Screw-on Caps Containers, Boxes & Jars Scoops & Measures Spoons & Spatulas Tubes, Ties & Clips Spray & Gel Pumps Bespoke Packaging

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DIGITAL TECHNOLOGY

LISA JOHNSON GC GRADIA PLUS HANDS-ON COURSES. NEWPORT PAGNELL, JUNE 2018!

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Now Buy Online Tel: +44 (0) 116 288 1588 Email: sales@measomfreer.co.uk Web: www.measomfreer.co.uk 37-41 Chartwell Drive, Wigston, Leicestershire, LE18 2FL, England.

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Made in England

DENTAL TECHNOLOGY SHOWCASE 2018

DTS 2018 SHOWCASE ROUND-UP A LINE-UP LIKE NO OTHER In order to provide the highest standard of education, the Dental Technology Showcase (DTS) 2018 has once again brought together a fantastic speaker line-up for all delegates to enjoy.

Among the speakers in the DTS Lecture Theatre – which has been programmed by the Dental Technicians Guild (DTG) – will be John Wibberley, Stefan Picha, Dr Finlay Sutton, George Morgan and Phil Reddington. They will cover everything from dentures to high performance polymer materials and enhancing aesthetics of prostheses.

The Orthodontic Technicians Association (OTA) and British Association of Clinical Dental Technology (BACDT) will be supporting sessions that cover systemic disease in older people, the evolution of light curing, occlusal management and oral cancer, among other topics. Speakers here will include Professor St. John Crean, Stephen Prime, Derren Neve, Matt Burnell, Steve Taylor, Finlay Sutton, Jonathan Hughes, Craig Parker and Andrea Johnson, among many others. Don’t miss out and register your whole team for FREE from the website!

ENHANCED LEARNING OPPORTUNITIES w The Dental Technology Showcase (DTS) 2018 is the perfect place for dental technicians and clinical dental technicians to gain verifiable CPD. The huge variety of lectures means there is something for everyone, ensuring an informative and highly relevant learning experience for all.

These include the DTS Lecture Theatre programmed by the DTG, the OTA Seminars and CDT Conference. Particularly important in light of the new enhanced CPD rules, every delegate will receive a CPD certificate following the event to demonstrate the hours accrued.

ALL THE LATEST GC INNOVATIONS EXHIBITED AT DTS

w GC exhibited all their latest innovations on Stand A10 at DTS including the complete Initial ceramic and Gradia Plus ranges. GC Initial LiSi Press is a revolutionary pressable ceramic which combines unparalleled strength with exceptional aesthetics. Best of all it is faster to process, optimized for use with both GC Initial LiSi veneering ceramic and lustre pastes, and leaves virtually no reaction layer using the Lisi spray, making the laboratory more productive. GC Initial LiSi Press is a high strength lithium disilicate ingot with High Density Micronization (HDM) Technology. This proprietary technology provides unsurpassed physical properties while delivering the most aesthetic pressed ceramic option on the market. GC have further enhanced the Initial range with the launch of their new Initial Spectrum Stains, Enamel Opal Booster and two new IQ One Body Lustre Paste NF Effect Shades. Developed in close co-operation with a group of top Dental Technicians, Gradia® Plus is a modular composite system for indirect restorations which sets a new standard in lifelike mixing and layering of shades. 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 used from classic or multi-chromatic buildup to the monolithic approach. For further information contact GC UK Ltd on 01908 218999, e-mail info@ gcukltd.co.uk or visit www.gceurope.com

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

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What’s more, DTS 2018 is completely free to attend, so there’s absolutely no reason not to attend! To make the most of all the educational opportunities at DTS 2018 and to truly tailor your learning to your own needs and interests, register for your free delegate passes online today.

GC UK LIMITED

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DENTAL TECHNOLOGY SHOWCASE 2018

GDPR: MOVE TOWARDS COMPLIANCE AND DON’T GET CAUGHT OUT! By Marcus Rickard QC. Member of the Criminal Bar Association and South Eastern Circuit Marcus is an experienced barrister with over 15 years’ experience dealing with criminal, fraud and regulatory law, as well as criminal/civil investigations. As a member of the much celebrated ‘Red Lion Chambers’, his varied legal/regulatory work also included being on the prosecution lists for the CPS, the Health & Safety Executive, the Environment Agency and the Office of Rail Regulatory List. Having built and owned technology companies in the dental industry which deal with handling sensitive data, Marcus has both a commercial and legal perspective to expertly advise on GDPR.

The General Data Protection Regulation – or GDPR – has been the source of much confusion in the profession of late. Coming into effect on the 25th May this year, there have been a lot of myths surrounding the topic! Affecting most businesses in some way, dental laboratories, dental practices, dental groups and software providers all need to move towards compliance.

Marcus Rickard is a barrister, member of a top regulatory Chambers in London and member of ‘New Leaf Advisory’, which is a QC led boutique advising on GDPR. Amongst others, New Leaf Advisory is partnered with Experian, assisting their clients to prepare for GDPR. Marcus has over 10 years’ experience in the dental sector through his running and ownership of Cable Dental Limited and Transactor Systems Limited, where he has focused on the regulatory and governance requirements in relation to the provision of technology and software solutions for the UK dental market – specifically looking at the interrelationship between dentists and dental laboratories. This led very naturally to becoming an expert on GDPR.

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Marcus highlights what he believes are the key challenges currently being faced: “Among other questions, you might be asking yourself…what do I need to do about patient consent? How do I change my privacy policies? Do I need to have a Data Protection Officer? How do I carry out a gap analysis or Privacy Impact Assessment? How does GDPR affect the information that I have on my staff, patients and other suppliers? How do I get contracts drawn up for all the people that are processing the personal data that my business processes? “Post GDPR deadline, a dental practice can only use their patients’ personal data for lawful purposes in accordance with Article 6 of GDPR. It is for each and every dentist – the ‘data

controller’ – to choose and record which of the possible justifications for using their patients’ data they are going to rely on. GDPR is very much about ‘accountability’. “GDPR will also require every dentist (being a ‘data controller’) to have written contracts with any other businesses that are processing personal data on their behalf. That means that if the dentist continues sending patients’ ‘personal data’ (i.e. patient names and d.o.b.) to a dental laboratory, then they must have written contracts with the lab to reflect the Article 6 rights relied on by the dentist. This is because 99% of dental labs will be ‘data processors’ under GDPR, as they have staff and receive ‘personal data’ about patients for admin/filing/tracking purposes on a lab slip for the manufacturing process.

“I’ll be discussing GDPR from a barrister’s perspective, demonstrating its applicability to dental laboratories and dental practices. I hope to do some “myth busting”, clarifying what professionals need to do and providing some straightforward advice on moving towards compliance and trying to answer questions! I will also offer some general advice and, for those who need more details or who need to check or write contracts, we offer these services at New Leaf Advisory.” Marcus will also be demonstrating how the Cable Dental and Transactor software systems could provide a solution for interaction between laboratories and practices.

“As already described, there are challenges to overcome with regards to the relationship “Due to the expanded rights under GDPR for between the laboratory and practice. Cable ‘Data Transparency’ and ‘Data Portability’, for the Dental’s integration with Transactor’s new first time ever, this could also mean that practices V8 lab software provides a solution as it will have to inform patients of which dental lab(s) allow the dentist to make an order in the they will send their personal information to, as secure environment of the practice, in an well as if the lab uses other labs. anonymised format. If done correctly this can arguably mean that the dental lab is not “So, as one of the goals of GDPR is data a ‘data processor’ under GDPR, as they are minimisation, there is an argument for restricting not handling patients’ identifiable personal the information shared so that unnecessary data and thus they can avoid a lot of the personal data is not sent – such as a patient’s name responsibilities that GDPR creates. For the to a laboratory. Consequently, it would kill two lab, it also keeps all case information and birds with one stone to simply reduce the patient communication within one distinct, secure data shared between practice and lab – as with portal and removes the need for various any other third parties you do business with.” different communication platforms, which can result in a clumsy, antiquated and timeWhile that should certainly provide consuming data collection process. This also food for thought, clarity is integral for the helps move towards compliance with CQC, dental profession to have confidence in their MHRA and MDD, in addition to GDPR. compliance with GDPR. Marcus will be providing just this at the Dental Technology “I hope delegates will leave my session with Showcase (DTS) 2018, presenting “GDPR – a better understanding of how GDPR affects Moving towards compliance!” within the Digital them and the need for adequate GDPR& Innovation Theatre. Located on the trade compliant contracts. They will also discover floor, this session will be just as relevant for some of the solutions available to streamline dentists as for dental technicians and lab owners. the workflow and move towards compliance.”

To find out more about GDPR and what you need to do to be moving towards compliance, don’t miss Marcus’ lecture at DTS 2018. Register for the event for free online today.

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MATERIALS AND PROCEDURES IN TOOTH PRODUCTION:

Dr. Stefan Aechtner, Bad Säckingen, Germany

MRP COMPOSITE VERSUS PMMA OF SUCCESS FOR ESTHETIC PROSTHETICS DIGITAL TECHNOLOGY

oday, the denture teeth available on the market are mostly manufactured from polymethyl methacrylate (PMMA). In contrast to the classic “PMMA denture teeth,” VITA manufactures the majority of its dental products from MRP composite (Microfiller Reinforced Polymer Matrix). This is a highly crosslinked polymer matrix with homogeneously distributed, inorganic polymerized microfillers. In the following article, Dr. Stefan Aechtner (Project Manager for Material Development at VITA R&D, Bad Säckingen, Germany) explains the central differences in materials and procedures in industrial tooth manufacturing. Characteristics of dental materials During manufacture of the VITA MRP composite, the silicon dioxide fillers (SiO2/ pyrogenic silica) are surface-modified or silanized at VITA in a special process to ensure excellent bonding to the PMMA matrix. The SiO2 filler acts as an additional crosslinking agent during polymerization. The strengthening of

the polymer matrix with microfillers ensures an excellent wear resistance for MRP composite products. PMMA materials (polymethyl methacrylate), on the other hand, are a synthetic acrylic without inorganic fillers. PMMA denture teeth exhibit comparably lower durability in tests than dental products made of composite. Procedures for fabricating teeth In general, today’s modern denture teeth are built up layer-by-layer from different types of material. However, there are fundamental differences in tooth manufacture, depending on the material base. With MRP composite, the different materials are layered, one after the other, into the tooth molds until the mold is completely filled. After this, the materials are compacted and cured under pressure and heat. The polymerization of the entire denture tooth is done in a single step. The materials penetrate each other completely at their boundary layers and a gap-free and pore-free bond is achieved. In the case of PMMA prefabricated teeth, the materials are successively layered or pressed into

FIG. 1: Schematic of layered construction of a new generation of VITA denture tooth (VITAPAN EXCELL). FIG. 2: The cross-sectional image generated by light microscopy also shows a gap-free and pore-free bond in the boundary layers. FIG. 3A/B: Comparison of MRP composite (left) and PMMA (right) using schematic representations of the material structure and scanning electron microscope (SEM) images

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the tooth molds. Here, each individual layer is fixed in position by heating under pressure to ensure that the mold can be opened for introducing the next layer. Finally, the final polymerization follows, which fully polymerizes the material. 100 % German Dental Engineering VITA is committed to the motto of “100% German Dental Engineering,” and has been combining German engineering skill with practical dental knowledge and technology since 1924. VITA denture teeth are made from MRP composite and manufactured according to the highest production and quality standards, exclusively in southern Germany, at the company’s headquarters. Here, specially trained, skilled personnel produce the denture teeth using both automated processes and customized manual production. VITA® and other VITA products mentioned are registered trademarks of VITA Zahnfabrik H. Rauter GmbH & Co. KG, Bad Säckingen, Germany.

FIG. 2

DIGITAL TECHNOLOGY

FIG. 4

FIG. 5

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FIG. 2: Individualizations using the veneering composite VITA VM LC on the teeth and labial shield ensured an age-appropriate and natural character of the total prosthetic restoration. FIG. 3, 4: In the lateral view, the age-appropriate line of the gingiva with imitated exposed tooth necks and the BIO-Logical dentition in the molar area are visible. FIG. 5: Intraorally as well, the reconstructions imitated alveolar processes, gingiva, lip veins and teeth in a nature-identical manner

PHOTOS CREDIT: MDT THOMAS WEILER, KLEINSMAN / VARZIDEH DENTAL CENTER, BOCHOLT (GERMANY).

FIG. 3

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

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VERIFIABLE CPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN OPINION Q1. What is the Predicted Figure for the American Restorative Market in 2025? A. £25.9 billion. B. £22.3 billion. C. £19.2 billion. D. £17.4 billion.

GDPR MOVE TOWARDS COMPLIANCE AND DON'T GET CAUGHT Q9. What does GDPR stand for? A. General Dental Protection rules. B. General Dental Protection Regulations. C. General Data Protection Regulation. D. General Dental Practitioner Requirements.

Q2. What does he recommend UK Technicians should do? A. Offer bigger discounts. B. Up their game and sell better quality. C. Better turn round times. D. Improved packaging.

Q10. How does it apply to Dental Laboratories? A. It does not. B. You are required to register with the Information Commissioners Office. C. Some Data cannot be shared. D. Only via the Dentist Client.

TAKING RESTORATIVE DENTISTRY TO THE NEXT LEVEL Q3. What are the constituents of Centra Press? A. Zirconia re-enforced lithium di-silicate. B. Zirconia re-enforced Lithium tri-silicate. C. Zirconia re-enforced lithium silicate. D. Zirconia re-enforced lithium oxide. Q4. How much smaller are the Celtra crystallites than those in lithium di-silicate? A. Eight times. B. 10%. C. Three times D. 12 Times. Q5. What is the crystallite size of Celtra Press? A. 4000 - 6000 nm. B. 2000 - 4000 nm. C. 500 - 1200 nm. D. 1200 - 3500 nm. Q6. How many sprues are required for the pressing process? A. One per crown. B. One per pressing. C. One per unit. D. One per crown + one per pontic. MY VISIT TO HENRY SCHEIN DENTAL Q7. How many Sundry items are housed in the Warehouse? A. 3,000. B. 6,000. C. 12,000. D. 60,000. Q8. How many companies supply laboratory digital via HSD Connect? A. Four. B. Seven. C. Three. D. Six.

Q11. Who regulates the requirements? A. The Information Commissioners Office. B. The GDC. C. The MHRA. D. The BDA. Q12. How can you find out more about it? A. Contact your local MP. B. Contact the GDC. C. Contact the Information Commissioners Office. D. Contact BIDST. MARKETING, FROM YOUR CLIENTS PERSPECTIVE. Q13. How can you see your business from your clients Perspective? A. By talking with the clients, one by one. B. By using a third party to look at your business. C. By asking one of your colleagues. D. By Looking back at your business records. Q14. How do you optimise your Website? A. Ask another Laboratory owner. B. Ask the DLA. C. Ask a professional to do an Audit. D. Ask the BDA what they think. Q15. What must you be aware of when you get client contacts through your Website? A. How it compares with the competition. B. You must meet GDC Guidelines. C. You must cover Dentist’s names. D. You must only use your personal telephone Number. Q16. What other body must you comply with? A. The DTA. B. The MHRA. C. The DLA. D. The ICO.

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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DENTAL NEWS

GDPR

WHAT DOES IT MEAN FOR DENTAL TECHNICIANS?

As from the 25th of May 2018 all Dental Laboratories will be required to register with the Information Commissioners Office if they use personal data about patients for whom they are preparing the work. This was required under the Data Protection Act and all businesses holding and using data on anybody should have been registered. Many of you will not be so first thing is Register. There will be a new set of regulation called the General Data Protection Regulation (GDPR) which will on May 25th. of this year replace the DPA. It is not fully understood exactly how Dental laboratories will be required to act but it is safe to assume the registration will be required. Talks and negotiations are going on with the trade bodies, such as

the DLA but until they report (it will be to their members only) I am not sure which other body may be working on our behalf. Perhaps somebody would be good enough to let me know if they know. It would be right to inform our colleagues of potential areas of concern. The areas of concern would be the personal information of the patient, which may be held either electronically or indeed in paperwork. The Data that is held on the practices, and clinicians with whom you may be working must be stored safely. One thing is certain it would be a misuse of that data if you were to mail-shot your customer list without first informing them and getting their permission. This rule will apply to companies with whom you deal as well. While for many, this is not really a problem, for others it will mean a re-think. If you are subcontracting any of your work to another source such as Chrome work or CAD/CAM you will need to be sure the contractor understands and complies with the regulations. But you will probably be responsible for ensuring he does. You will probably need written

proof of that and will need to treat it as a first step before continuing. You may need to keep a written strategy of your intentions and methods for keeping the data. Data will include Photographs, Models, Impressions, Bite Records and any relevant information regarding the patients Health & Dental Health. Perhaps the patients Telephone number or address. You will need to name a responsible person as the Data Manager and they should ensure the record is kept up to date. If in doubt contact the Information Commissioners Office and they will send you a step-by-step guide to the steps needed to comply. Act now!! There is only a couple of weeks left. The recommendation clearly shows that a tick box to opt in or out will not be allowed. A clear written permission will be required. Anytime anyone on whom you will be keeping Data requests it be returned or destroyed you will have a month to comply. Unless the data being held is enormous. You will then need to follow the guidelines laid down by the ICO.

HARLEY TECHNICIANS STUDY CLUB FEATURES DIGITAL DENTISTRY BY BRACON

The Study club is keeping up to date with its choice of speakers and had Invited Stephen Judge Dip CDT RCS Eng, D.D. Hon. to speak to us on behalf of Bracon with and Introduction starting out with Digital Dentistry today. Stephen was introduced to the gathered audience by Noel Pach who has taken over some of the duties of the former chairman David Coppin who has for many years been a hard working and able organiser of the regular meetings. Stephen Judge was a working and able technician before he took the Canadian and then the English qualification as a CDT. He now works with Bracon as their sales and marketing manager for technical dentistry and still manages to work part time in practice as a CDT. It’s always good to hear about these new methods and materials from someone who knows what it is like to use them. Stephen presented a simple point by point look at the first stages in using digital equipment today. He noted how much has been learned from the original “Procera” days to now and how much the materials and equipment has simplified and in many ways become more affordable. He began talking about scanning and the use of scanners in the laboratory and chairside. He showed how

CLOCKWISE FROM TOP LEFT: STEPHEN JUDGE. DIP CDT RCS. ENG D.D.HONS , 3D PRINTING EXPLAINED, STEPHEN TALKS OF THE RANGE OF PROCESSES

scanning is now very much a straightforward process for both technicians scanning models and Clinicians scanning patient’s mouths. The software, which controls the captured Data is today very much an understood process with the information being converted to STL files which will be read by pretty well all the available computers. This makes the systems very much more open and allows mixes of various manufactured equipment to be incorporated. Stephen showed the offering from Bracon with their various scanning options and their 3D milling equipment. He pointed out the machines, whether 3D printing or milling, will all need a scan as a starting point. He emphasised that the

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machines will do a great many processes but it is important to ensure the machine you invest in is suitable for your own laboratory use. Whether you are wishing to make study models or indeed full arch crown and bridgework there is a machine which can do it all or there are others which will do specific procedures. He stressed that you should be sure you are not buying more than you need. He also highlighted that some suppliers are taking advantage of the markets lack of knowledge and ripping off the unsuspecting with inflated prices for both equipment and such things as the liquids for 3D printing. Charging up to 4 times what should be reasonable. This was a refreshingly informing evening with lots of opportunity to talk with Stephen and his technical colleagues who had brought along some scanners and 3DPrinting machines to play with. And who very obviously knew what they were talking about. There was a good deal of conversation and interest from the attending technicians. A really good opportunity to find out a lot more about the various highlighted processes and to put them in to context for each interested party. Thank you to Stephen and Bracon and his very helpful colleagues.

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