Building on its success of recent years, The Dentistry Show 2015 promises to be another unmissable event for UK dentists. With exciting changes and an array of fantastic new features and social events, there will be even more learning and networking opportunities for everyone connected to the profession.

So What’s New?

Dedicated to continuing the growth and success of previous years, and to ensure as many professionals as possible are able to attend, The Dentistry Show and DTS have changed their dates from 2015 onwards. Out of 756 dentists who hadn’t attended the Show in 2013 or 2014, 69% said they were likely or very likely to visit if it was held in April – so the dates were changed. The 2015 Show will therefore take place on Friday 17^th and Saturday 18^th April, enabling professionals who are busy completing UDA quotas in March, to attend without any added stress.

And with more delegates visiting, it will be better for everyone. Not only will more professionals be able to make the most of the free education and CPD available throughout the two-day event, but increased networking opportunities will ensure you have the chance to make even more new contacts across the industry. There will also be a larger number of delegates to support the many leading suppliers and manufacturers around the extensive exhibition, promising an even more dynamic and productive event for all. 

Another particularly exciting new initiative at the 2015 Show will be ‘Launchpad UK’.  With the new dates, The Dentistry Show will now take place just after the IDS in Cologne every other year, making this the perfect platform for the trade show to showcase and launch the very latest products, technology and materials available to the UK market.

For delegates, this means that you can be sure to source all the very latest developments and innovations, with an array of brand new, cutting edge technologies and services at your disposal. In the weeks leading up to The Dentistry Show 2015, all registered delegates will receive updates and highlights on what to expect and who from, so that you can plan and maximise your time at the event. The experts will also be on hand across the extensive trade floor to provide any information or advice you may need and to help you ensure that your practice is at the very forefront of dentistry.

In addition, further proving its commitment to and support of the dental industry, The Dentistry Show is delighted be working with Purple Media Solutions to host the prestigious Dental Awards 2015. The Awards will provide a fantastic chance for delegates to come together to recognise and celebrate the many achievements of both individuals and groups in the industry.

Are The Old Favourites Returning?

The Dentistry Show wouldn’t be what it is without the varied and vibrant learning opportunities it has become known for. Many key features of previous years will return for 2015 including the hugely popular BSP PerioLounge, Short-Term-Orthodontic Lounge and an array of hands-on workshops and live surgery demonstrations. The impressive speaker line-up will once again consist of world-class professionals at the very top of their game, each delivering sessions designed to inform, amaze and inspire.

The dedicated conference streams will also return to ensure there is something for each and every valuable every member of the dental team, with a wide spectrum of clinical, technical and debatable topics covered for GDPs, specialists, dental hygienists, therapists, nurses and practice managers. A lecture programme will also be provided concentrating on business topics with fresh and easy to implement ideas on how to motivate your team, enhance your marketing strategies and maximise your online presence, enabling you to develop and grow your practice. Hours of verifiable and general CPD will be available for all delegates through various conference streams, helping your whole team to meet the requirements in a simple and fun way.

With all this and much more to look forward to, The Dentistry Show and DTS 2015 is one event you don’t want to miss. With first-class education, worldwide leading speakers, hands-on experience, a fantastic social and networking programme and the chance to discover the newest products and innovations to hit the market, what more could you need?

If you choose to attend only one UK dental event next year, make it The Dentistry Show.

The Dentistry Show 2015 will once again be held in conjunction with the next DTS on 17^th and 18^th April at the NEC in Birmingham.

For further details please visit www.thedentistryshow.co.uk, call 020 7348 5269 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

According to key business lobby groups, the UK economy is prospering and economic recovery is now in full-swing. Growth is reaching record highs and the British Chambers of Commerce (BCC) has upgraded its growth forecast for 2014 from 2.8% to 3.1%.

Recently, however, most of the headlines have been focused on the apparent boom in residential property prices. With concern mounting that, in the housing sector at least, property values are raising so high and so quickly that the bubble will soon burst.

The business property sector has also started to see the beginnings of an increase in values, although nothing quite like the dramatic surges that we’ve seen in certain areas of the residential market, such as in London and the South-East.

With this in mind, the dental sector remains unique in its reduced response to external economic influences. It is one area where values, and banks’ approaches to lending, are less affected by changes in the general fiscal situation. But that’s not to say that values are not on the increase.

There are arguably very few markets that are more affected by the rise and fall of discretionary spending behaviours than the dental market. Prior to the recession and during it, the biggest determinant was patients’ attitudes toward spending. As we now emerge from the fog of the financial crisis we all wait with baited breath to see whether patients view investment in oral health as a key priority.

As LaingBuisson, recently reported in its UK Dentistry Market Review, there has been a significant decline in NHS primary care dentistry of around eight-and-a-half per cent.

And in private dentistry, the ‘golden’ period of growth in the 1990s (as LaingBuisson describes it) has been replaced by a deceleration as the market matured and patient demand suffered through the recent subdued economy.

However, none of this has served to undermine the appetite in the dental market from operators undertaking expansion plans and investors who view the sector as a ‘gift that keeps on giving’.

The private dental sector, particularly, is set to ‘bounce back’, from its recent period of contraction. What is more the activity in the transactional and investment environments certainly reflects a re-maturing marketplace, and ultra-competitive corporate activity continues to maintain its rapid pace.

In the meantime, the shape of the sector remains fascinating, with fewer than ten per cent of practices in corporate ownership – although multiple ownership is growing amongst ‘mysterious’ owners whose diverse branding makes it difficult to keep track on their movements. It is highly likely that the next few years will see a growing number of independent practices acquired by these small group operators, and smaller groups swallowed up by larger owner-operators.

Presently, values of dental practices are on the up – further confirmation of which is seen in the way that more banks are more forthcoming in offering finance for acquisition – on those, still relatively rare, occasions that dental practices do come to the market.

As with any property sector there are countless external factors and economic influences that will inevitably affect values and sales, but ultimately dentistry is one market where the consumer is king.

To discuss how Christie + Co might help you achieve your future plans please contact Simon Hughes on 020 7227 0749

BIO:

Simon Hughes joined Christie + Co in 1987 and has responsibility for the further expansion of its brokerage services into the primary care sectors of dentistry and GP surgeries. Over the past three years, Christie + Co has advised, valued or sold almost £1 billion worth of businesses. Simon heads up a dedicated team of specialist advisers and agents based in regional locations throughout the UK.

Christie + Co was proud to sponsor the LaingBuisson UK Dentistry Market Review.

We are delighted to announce that Steve Taylor DipPS (Implantology) will be Chairman of the educational programme at the Dental Technology Showcase (DTS) 2015.

Owner of Taylor Dental Technology Centre in Leyland, Steve has more than 25 year’s experience in implantology and understands the many demands placed on the modern dental technician. He will be helping to create the two-day lecture programme for the greatly anticipated 2015 event, bringing together a selection of leading professionals to share their own experiences, ideas and skills.

DTS will provide the perfect platform for all dental technicians, clinical technicians and laboratory owners to discover the latest in dentistry – and it’s completely free!

The brand new ‘Launchpad UK’ initiative in particular will introduce the very latest products, materials and equipment to reach the UK industry, ensuring your lab is at the cutting-edge of innovation.

Make sure your team doesn’t miss out!

DTS and The Dentistry Show 2015 will be held on Friday 17^th and Saturday 18^th April at the NEC in Birmingham. For further details please visit www.thedentistryshow.co.uk/Content/Dental-Technician-Show,

call 020 7348 5269 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Implement practice procedures that make the best possible use of their time. Similarly, safeguarding patient satisfaction and confidence is paramount to the management of a successful team. Advanced dental procedures such as digital impression systems are popular with dental practitioners, as not only do they increase clinical accuracy they decrease overall procedure time.

Creating conventional impressions can be messy, prone to problems with drag and setting and often make patients feel vulnerable. The taste of impression fluid is unpleasant and many patients find it difficult to control the gag reflex. Often dentists must take time away from the procedure to relax patients and address unexpected side effects. The importance of careful technique to create a dental impression first time round is paramount as any errors can have a detrimental effect on the patient’s experience and confidence in their dentist.

The use of digital impression scanners means that patients receive a more comfortable, non-evasive procedure with the advantage of radically improved accuracy. Although the actual scanning procedure can take approximately five minutes longer to complete than conventional impressions, the digital alternative reduces the risk of errors and the potential need for remakes. The treatment instills increased confidence in the patient and the practitioner is able to produce a precise digital impression of a patient’s mouth within minutes.

Impressions can be cleanly made using digital images. Data can be easily integrated and sent wirelessly to CAD/CAM systems, milling units and laboratories. This saves precious time communicating patient’s details and requirements and reduces the potential for human error. As digital intraoral scanning has the potential to produce high quality, anatomically accurate images, the precision of the scans facilitates natural, functional restorations requiring fewer alterations and adjustments.

Due to the accuracy of the scanning techniques, a considerable amount of time can be saved at the fitting stage reducing the overall treatment time.

The CS 3500 intraoral scanner from Carestream Dental provides practitioners with the ability to obtain 2D and 3D detailed images and precise colour matching. The handpiece can be angled up to 45 degrees and is able to scan to a depth range from -2mm to +13mm. It also incorporates an innovative light guidance system designed to optimise image and data capture while enabling the dental professional to concentrate on the patient rather than watching a monitor. The CS 3500 is fully portable; it does not require an external heater, powder, liquids or trolley system and can be plugged into any workstation using a USB cable. These features streamline the scanning process, saving time and providing an improved treatment experience to patients.

The potential for a reduction in treatment time is an extremely valuable asset. When patients receive fast results without errors they cannot help being impressed and confident with the care they receive. Confidence in their dentist grows, and satisfied patients means that dentists can enjoy the benefits of return visits, recommendations and increased referrals. Furthermore when procedures are time effective and accurate, a growth in business strength follows naturally.

For more information, contact Carestream Dental on 0800 169 9692 or visit www.carestreamdental.co.uk

With the months flying by, the next The Dentistry Show and Dental Technology Showcase (DTS) will be here before you know it. Preparations are in full swing to make sure that everyone attending gets the very most from the events, and here’s a preview of what you can expect…

More delegates and new dates

Despite having more than trebled the number of delegates at The Dentistry Show since 2010, attendance figures are once again set to increase.

From 2015 the dates have been changed – The Dentistry Show and DTS 2015 will now be held in April, with the next event held on the 17^th and 18^th April at the NEC in Birmingham.

Why the move to April?

Without the added pressure of UDA cycle end, (in March), even more dentists will now have the time to join in and discover the array of innovations the trade have to offer. This is supported by a survey of 765 dentists; none of whom visited The Dentistry Show 2013 or 2014, and 69% said that they were likely or very likely to visit with the Show now its running in April.

This uplift in attendance from dentists, to a total of over 7,500 dental professionals across just two days, will ensure that The Dentistry Show remains the must attend event for UK dentistry.

A new platform to launch

With these new dates, The Dentistry Show is now perfectly timed after IDS in Cologne every other year, making the 2015 event the ideal platform for launching new products and services in the UK. To facilitate this and provide as much exposure as possible for exhibiting companies, the Show will be running the ‘Launchpad UK’ marketing campaign for the very first time.

Key buyers, dealers and wholesalers will be sent a ‘Launchpad UK’ catalogue and all pre-registered delegates will receive regular updates in the weeks before the next Show, ensuring maximum coverage for all your new innovations, all completely free of charge.

Additional promotion

With over 7500 delegates expected to attend in 2015, The Dentistry Show and DTS will offer a vast range of further benefits for companies exhibiting on the extensive trade floor; product profiles in the pre-Show  newspapers, coverage in the 2015 Products & Services Guide and online branding.

We look forward to seeing you there

For those of you who haven’t yet booked your stand for 2015, what are you waiting for? As an event that offers something for everyone, it will provide a great platform to meet new clients, strengthen relationships with existing ones and build your business. With messages being sent to the profession from July 2015, don’t miss out and get the most out of taking part this time around!

The Dentistry Show 2015 will once again be held in conjunction with the next DTS on 17^th and 18^th April at the NEC in Birmingham.

For further details, please visit www.thedentistryshow.co.uk, call 020 7348 5269 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

If we fail to offer our patients the very latest technological innovations in diagnosis and care are we doing them a dis-service and providing second-tier dentistry?

The best imaging equipment, such as CBCT scanners, give a specialist enormous amounts of information. If a patient visited a dentist with access to a scanner, wouldn’t it be better if they were able to take a scan and say, for example, “The reason this restoration is failing is because you have a missed canal. Therefore the treatment I propose is X”?

That would be the gold standard of service, and in an ideal world offered to every patient. Unfortunately that level of diagnosis requires exposure to high degrees of radiation, prompting the argument of how a dentist could ethically irradiate each patient to such a level in order to achieve some diagnostic information? But if they didn’t, are they then failing to provide the greatest possible diagnoses?

Risks and Benefits

As with everything there are risks and benefits to be considered. The European Society of Endodontology recently released a statement of its position on the matter. It said, “A CBCT scan should have a net bene?t to the management of a patient’s (suspected) endodontic problem”.[1]

If it was up to a specialist and radiation wasn’t an issue, every patient would be scanned. Indeed in times to come this may be the case, but for now there must be this ‘net benefit’ that outweighs the radiation risks. Therefore the decision not to undertake a CBCT scan could be equally as ethically significant as the decision to do so.

Cost

So what about when the cost of the latest technology is only financial rather than physical?

25 years ago endodontists didn’t all use microscopes, and the old boys would say to us, “You don’t need microscopes; our fingers are our eyes”. Of course this wasn’t good enough, and therefore the specialism became two-tiered: those with microscopes and those without. This didn’t mean that the practitioners working without microscopes shouldn’t have been offering treatments - rather that for particularly complicated cases, they couldn’t hope to match the successes of those who did.

These are of course still early days for the technology, but there may come a time when if you don’t have access advanced imaging technology, yours will be a second-tier diagnostic service.

Naturally this is all a part of the process of progress; a reciprocating cycle that will continue and continue. New innovation will lead to better quality treatments, leaving those who don’t prescribe to the latest technological advances playing in the lower leagues. Thus there will always be those ethical questions around the level of service we can provide, and the truth of the matter is that it’s all in the balance of risks, benefits and cost.

For further information please call EndoCare on 020 7224 0999

Or visit www.endocare.co.uk

Dr Michael Sultan BDS MSc DFO FICD is a Specialist in Endodontics and the Clinical Director of EndoCare. Michael qualified at Bristol University in 1986. He worked as a general dental practitioner for 5 years before commencing specialist studies at Guy’s hospital, London. He completed his MSc in Endodontics in 1993 and worked as an in-house Endodontist in various practices before setting up in Harley St, London in 2000. He was admitted onto the specialist register in Endodontics in 1999 and has lectured extensively to postgraduate dental groups as well as lecturing on Endodontic courses at Eastman CPD, University of London. He has been involved with numerous dental groups and has been chairman of the Alpha Omega dental fraternity. In 2008 he became clinical director of EndoCare, a group of specialist practices.

Tooth wear is a common condition among patients in the UK. According to figures in the Adult Dental Health Survey, over three quarters of the population suffers from tooth wear of some kind.[1] The treatment of wear poses a dilemma for many dentists. On the one hand there do exist some strict established protocols for the treatment of this condition, but these protocols can be impractical, invasive and expensive to perform.

However, there are other treatment options out there. On Saturday 8^th November, Tif Qureshi will speak at the BACD’s 11^th Annual Conference sharing a minimally invasive interceptive approach to the treatment of tooth wear. As a past-President of the Academy, Tif is a familiar face to regular conference goers, and will present on a topic that he believes is one of the most important treatments that he provides.

‘The idea behind my lecture is to present an “alternative approach” to treating tooth wear,’ says Tif. ‘It’s about using composites to try and restore patients’ teeth rather than having to go down more traditional invasive routes such as using preparing teeth for ceramics.

‘Often it is the case that treating occlusal problems requires certain protocol to be followed. In my lecture however we will be looking at the problem in a slightly different way using composite and the Dahl technique. Of course I understand that for some people the Dahl technique remains a slightly controversial treatment option, as some people think it doesn’t work, however I aim to prove them wrong.’

In a comprehensive and wide-ranging lecture, Tif will set out everything you need to know about the Dahl technique to use it safely, and predictably in practice. This includes when to use it, when not to use it, as well as a range of hints and tips to help you produce consistently excellent results.

‘I’ve been using this approach for more than 15 years and have carried out the technique on literally hundreds of patients,’ continues Tif. ‘Never once have I had to “take it off” or reverse treatment, nor have I ever had any serious problems with it. Of course case selection very important, as it’s not something that every patient can have.

‘As dentists I believe we have an ethical responsibility to be as minimally invasive and conservative in our treatments as possible. By intercepting wear cases sooner, rather than later we preserve more of the patient’s natural tooth structure for longer, and save them time, money and stress of leaving it and then treating them with more invasive methods further down the line.

‘It’s not that there’s a “right way” and a “wrong way” to treat tooth wear. All of the various forms of treatment out there work, however some are simpler, cheaper and more practical than others. To me, the idea of using composite before things get a lot worse makes a lot of sense as it makes it a lot cheaper and easier to maintain.’

As Tif is keen to point out, dentistry has come on a long way in the last few years. Materials technology in particular has progressed immensely, and presents new and exciting opportunities for dentists to provide effective treatments that are both conservative, and highly aesthetic. One particular area that Tif will focus on his in lecture is the use of the Dahl technique in conjunction with other minimally-invasive treatments such as short term orthodontics (STO) in order to enhance the final aesthetic result.

‘With short term orthodontics we have a powerful tool to help us enhance not only the appearance of patients’ teeth, but their overall facial profile as well,’ says Tif. ‘As we know the facial arch naturally narrows over time, which makes people appear more aged than they perhaps are. However with a combination of STO and the Dahl technique we are able to control and intercept this change.

‘This isn’t something that’s commonly dealt with in dentistry, and it’s something I aim to take up in my lecture. As such I aim to draw attention to the many different factors that as dentists, we are able to control. We will talk for example about canine width protection and canine width expansion and how we can use this to control anterior occlusion and maintain facial width. I will also demonstrate how using the techniques I have described we are able to dramatically affect a patient’s appearance and make them stay younger for longer.

‘In my opinion this is an exciting new avenue for dentists to explore, and is an excellent addition to what we can “offer” as cosmetic dentists.’

To find out more about this topic, Tif will present his lecture ‘Preventing wear to despair…’ on Saturday 8^th November at the BACD’s 11^th Annual Conference in Liverpool.

For further information call 0207 612 4166, fax 0207 182 7123, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.bacdconference.co.uk

“Invention isn’t innovation until you’ve delivered something to the marketplace. The engine that drives innovation is technology, but understanding what people need and delivering the right product at the right price is equally important.”

– Joe Bailey, Previous 3M Vice President for Research and Development, 1999

3M – Innovating since the 1920s

The Minnesota Mining and Manufacturing Company, or 3M as it’s called today, was founded by five businessmen, who in 1902, set out to mine mineral deposits. By the 1920s, the company was flourishing, having created many world-first innovations such as waterproof sandpaper and masking tape.

From the start, its original owners realised the importance of supporting their workers in the development of new products; a principle that became the core belief of their business. The 15 per cent rule, which is unique to 3M, was first practiced in the 1920s and still applies as company policy today.

3M encourages its technical people to devote 15 per cent of their working time to a project of interest outside their normal duties. This philosophy is what makes 3M a world leader in invention and innovation, and has brought about products including: Scotchlite reflective sheeting; the Thermo-Fax copying process; Scotchgard fabric protector; Thinsulate insulation and the ubiquitous Post-It note.

3M’s many firsts in dentistry

In dentistry, 3M has also brought about many innovations that have helped revolutionise the work of dental professionals worldwide.

Since the foundation of 3M Dental in 1964, the company has continuously pioneered many innovative dental restorative products, starting with Addent composite, the world’s first tooth-coloured commercial resin composite.

Many other products followed, such as Impregum, the first polyether impressioning material, and Vitrebond light-cure glass ionomer liner, the first light-curable product of its class,[1] offering extra assurance that restorations will be long-lasting and sensitivity free.[2]

3M ESPE innovation

3M Dental acquired the German dental company ESPE AG in 2001, which led to the foundation of 3M ESPE. A year after the merger, 3M ESPE introduced Filtek Supreme universal restorative, a nanotechnology product that has played a substantial role in improving composites.[3]

In order to call a restorative a nano composite, every single filler particle in the material must measure less than 100 nanometres [nm] (a single hair strand is about 100,000 nm in width). The minute filler particles in Filtek restorative offer excellent polish retention, smoothness and aesthetic quality.[4]

As former 3M engineer Joe Bailey once said, delivering the right product at the right price is equally important, which is why 3M ESPE recently launched Filtek Z500 restorative, the truly affordable universal restorative that carries the same 3M nanotechnology and quality guarantee. Filtek Supreme and Z500 restoratives are the only two true nanocomposites in the marketplace to date.

The same year that Filtek restorative was launched also saw the introduction of RelyX™ Unicem cement, the world’s first self-adhesive resin cement. This product was a big world first for 3M ESPE because for five years following its launch, no other competitor in the market was able to challenge RelyX Unicem cement and introduce a similar product.

Another world-first that 3M ESPE has brought into the market is Protemp crown, the first single-unit, self-supporting, malleable, light-curable composite crown, which was launched in 2007. Protemp crown also allows dentists to create a temporary single-unit restoration in under four minutes, is twice as fast,[5] and is stronger than other temporisation materials.[6]

This innovative product offers high-quality aesthetic properties as well, with its pre-formed anatomical shape and tooth-coloured shade, which can be polished to a shiny, tooth-like appearance.

The same year Protemp crown was launched also saw the introduction of the world’s first non-methacrylate based composite.

Continued advancement for the future

All these leading restorative products join many other dental innovations from 3M ESPE, such as the first automatic mixing unit.

The beauty of 3M technology, seen since the 1920s, is that it never stops evolving. 3M ESPE continues to bring astounding innovations to dentistry that move with the industry’s changing demands, with products that always have the wants and needs of both dentists and patients in mind.

For more information, call 0845 602 5094 or visit www.3Mespe.co.uk

On the 21^st June in Birmingham the European Society of Aesthetic Orthodontics (ESAO) hosted a full-capacity orthodontic skills course. With parallel sessions running for dentists and DCPs; the sold-out course was a huge success.

With a range of highly qualified and experienced speakers including Dr Andy Wallace, Dr Daz Singh, Dr Pav Khaira, Dr Ian Hutchinson, and Steve Blackhall, delegates were treated to lectures and hands-on courses that covered the entire spectrum of aesthetically focused orthodontics.

Topics ranged from the importance of retention after orthodontic treatment, to techniques for impression taking and interproximal reduction (IPR), as well as TMJ assessment and composite edge bonding. The one-day course was aimed at ensuring practices and practitioners were able to deliver medico-legally protected, high quality aesthetic dentistry with confidence and support.  

Dentist Course

Dr Pav Khaira is the Ethics Director for the ESAO, he provided the first session for dentists that focused on enhancing their diagnostic skills. He says, “One of the main concerns that I have is the lack of diagnostic skills that are taught at undergraduate level when it comes to jaw joint and chronic pain issues. I see a lot of dentists start to undertake brace work without fully understanding the red-flags areas and what could potentially go wrong mid-treatment or even once treatment has been completed.

“What I hope delegates were able to take away from the course is a better understanding of the types of screening questions that they should be asking so that they have a clearer indication of which patients are more likely to be fine and which are more likely to develop problems.”

The second lecture for dentists was presented by Dr Ian Hutchinson. His session was concerned with retention and exploring how to ensure teeth remain straight once they have been corrected. He discussed removable retainers as well as variants in fixed retainers and reviewed some specific situations where special attention may be required.

He said of the ESAO, “The reason I support the ESAO is that there is an alarming growth in manufacturers selling orthodontic 'systems' with no regard to correct training of the clinician or suitability of their appliance to correct the problem. The marketing of such appliances is often 'direct to public' and therefore stimulates demand from potentially misinformed patients. The ESAO represents an organisation that clinicians are able to go to for important, independent and impartial advice.”

Dr Andy Wallace then presented a session on IPR and its importance in aesthetically focused orthodontic procedures. He provided ways to calculate the necessary amounts of IPR along with techniques for effective and safe execution. He then gave a second session that covered aesthetic edge bonding, in which he shared techniques and tips to simplify procedures, which will allow delegates and attendees to complete their aesthetically focused orthodontic cases to a very high quality.

Course for DCPs

Alongside the lectures and hands-on sessions for dentist there ran a parallel course for DCPs.

Dr Wallace presented a talk that focused on the essentials of dental photography. He explained how it allows for clearer communication with patient, dentist, laboratory and support systems, as well as being an important record of each case both before and after treatment. His seminar focused on teaching delegates how to achieve consistent photography and included a hands-on session where attendees could try out their new techniques.

ESAO Secretary Dr Daz Singh also presented a talk that focused on impression taking and shared some techniques with delegates for the consistent delivering of high quality impressions. He says, “Taking an accurate impression is vital, as it helps to ensure that planning for any treatment is carried out correctly. With a vast number of different materials available to us, it is essential to choose the appropriate material for your treatment." 

Steve Blackhall, co-owner and co-founder of Prestige Dental, gave the final practical session for DCPs that covered model making and the production of vacuum formed retainers and whitening trays. Delegates on the course were shown some essential tips for best practice and enjoyed the interactive nature of the seminar, making their own trays and models.

Great Success

The event was organised by Dr Raha Sepehrara, the scientific director of the ESAO, and was a great success. She says, “I hope that the delegates found the day useful and that they are able to apply what they have learnt in their everyday practice. It was an exciting opportunity for me to put this course together, as I had the chance to meet many excellent speakers and clinicians and also learn a lot from their presentations.”

The ESAO is dedicated to helping ethical practitioners provide the finest quality aesthetically focused orthodontics. For details of any upcoming courses or how to join the fast-growing organisation visit the website today.  

For more information visit esao.co.uk or email This email address is being protected from spambots. You need JavaScript enabled to view it.

What’s the first thing you think of when someone says ‘marketing’?

Perhaps something like ‘advertising’ or ‘attracting new patients’, or maybe even ‘expensive’.

But that doesn’t need to be the case.

Internal marketing is an area often forgotten or not given enough attention, despite its many benefits. Promoting your range of services effectively to patients already visiting the practice can have a huge impact not only on the treatments your patients request, but it can also be a powerful tool to help increase referrals. When your patients are satisfied with the service they receive, they are more than happy to share this with family and friends and you should be making the most of this.

Here’s a few things to note when it comes to organising your internal marketing strategies:

Get the whole team involved

All members of your clinical and front-of-house team need to communicate that the practice is actively accepting more patients. They are interacting with patients throughout the day, and by training staff to ask patients to tell a friend about the service they have received, there is potential to dramatically increase referrals. As billionaire Milton Petrie famously said, “If you don’t ask, you don’t get”.

Display patient testimonials

This is a great way to create a positive atmosphere within your practice, boosting staff morale as well as giving patients more confidence to recommend you elsewhere. You may even wish to show appreciation for your patients’ comments with gifts such as free oral health products or gift certificates for a meal to encourage continued referrals.

Be visual

While some patients like to read when waiting for their appointment, most are likely to notice to your wall displays if they incorporate images and colour. Use photos of the treatments or services you provide to attract attention and help your patients understand the procedures, encouraging them to ask their practitioner for more information.

Get personal

Make the most of opportunities to get involved in the local community by highlighting any relevant events or anniversaries. Showcase your practice and your staff where you can, encouraging a professional yet more personal experience for visiting patients.

Be consistent

Rather than taking a random, scattershot approach to internal marketing, your key messages should remain the same and your activities should be regular.

The MagicBox from 7connections is a great aid to help you achieve the above – and all of the hard work is done for you. A box of digital and hard copy material is delivered to your practice every month, focusing on different treatment areas and services each time, ready for you to implement all the internal and external marketing you need to encourage patient recommendations and increased business. Everything from patient referral cards to waiting room TV loops, posters and banners is included, ensuring you have all you need without having to spend the associated time and money to get it.

If you are not leveraging on the fact that your patients are satisfied with the service they receive, you need to look at your internal marketing strategies. Make sure you don’t miss such an effective opportunity to promote and grow your practice!

For more information about 7connections and the MagicBox™,

please call 01647 478145, email This email address is being protected from spambots. You need JavaScript enabled to view it.. or visit the new website www.7connections.com

We are told that the economic recovery is now in full-swing, and according to key business lobby groups, the UK economy is prospering. Growth is reaching record highs and the British Chambers of Commerce (BCC) has upgraded its growth forecast for 2014 from 2.8% to 3.1%, which, if achieved, would be the highest rate since pre-crisis 2007.

Recently, however, most of the headlines have been focused on the apparent boom in residential property prices. With concern mounting that, in the housing sector at least, property values are raising so high and so quickly that the bubble will soon burst.

The business property sector has also started to see the beginnings of an increase in values, although nothing quite like the dramatic surges that we’ve seen in certain areas of the residential market, such as in London and the South-East. However, the fluctuations in business and business property values is nothing new to an experienced commercial property agent, nor are the highs and lows of lender activity (or lack thereof) between recessions and recoveries.

Nonetheless, the dental sector remains unique in its reduced response to external economic influences. It is one area where values, and banks’ approaches to lending, are less affected by changes in the general fiscal situation. But that’s not to say that values are not on the increase. Of course the economy retains some influence, but the biggest driver to increasing or declining values in the dental marketplace is derived from one main source – the consumer.

There are arguably very few markets that are more affected by the rise and fall of discretionary spending behaviours. Prior to the recession and during it, the biggest determining factor affecting the performance of the dental market, and in private practice in particular, was patients’ attitudes to spending. As we now emerge from the fog of the financial crisis we all wait with baited breath to see whether patients view investment in oral health as a key priority.

As LaingBuisson, provider of information and market intelligence on the independent health care sectors recently reported in its 2014 UK Dentistry Market Review, there has been a significant decline in NHS primary care dentistry of around eight-and-a-half per cent.

And in private dentistry, the ‘golden’ period of growth in the 1990s (as LaingBuisson describes it) has been replaced by a deceleration as the market matured and patient demand suffered through the recent subdued economy. Patient demand for wholly private dentistry fell by four per cent in the years 2009-13, a decline largely fuelled by a drop of roughly similar percentage in the self-pay (non-insured) population.

However, none of this has served to undermine the appetite in the dental market from operators undertaking expansion plans and investors who view the sector as a ‘gift that keeps on giving’. Indeed, LaingBuisson confirms that ‘there is significant scope for growth in dentistry demand in the UK’, even if Government and dentistry providers need to address the financial and non-financial barriers that patients have preventing attendance at the dental surgery. The dental market does, to a degree, remain in a state of change and uncertainty until the new commissioning structure is announced and Government spending on NHS dentistry under austerity is revealed.

However, the private dental sector, particularly, is set to ‘bounce back’, emerging from its period of contraction during the recent economic depression. What is more the activity in the transactional and investment environments in recent times certainly reflects a re-maturing marketplace, and ultra-competitive corporate activity continues to maintain its rapid pace.

In the meantime, the shape of the sector remains fascinating, with fewer than ten per cent of practices in corporate ownership, which is considerably less than in other healthcare sectors – although multiple ownership is growing amongst ‘mysterious’ owners whose diverse branding makes it difficult to keep track on their movements.

It is highly likely that the next few years will see a growing number of independent practices acquired by these small group operators, and smaller groups swallowed up by larger owner-operators. This is typical behaviour from a consolidating market and will increasingly become attractive to institutional investors.

Presently, values of dental practices are on the up – further confirmation of which is seen in the way that more banks are more forthcoming in offering finance for acquisition – on those, still relatively rare, occasions that dental practices do come to the market.

But as much as transactional activity and consolidation is driven by the mechanics of the market and the general economic condition – as well as the dynamics of supply and demand – it will always be patient power, and the prospect of increasing patient spend on oral health, that truly shapes the market. As with any property sector there are countless external factors and economic influences that will affect values and sales, but ultimately dentistry is one market where the consumer is king.

To discuss how Christie + Co might help you achieve your future plans please contact Simon Hughes on 020 7227 0749

BIO:

Simon Hughes joined Christie + Co in 1987 and has responsibility for the further expansion of its brokerage services into the primary care sectors of dentistry and GP surgeries. Over the past three years, Christie + Co has advised, valued or sold almost £1 billion worth of businesses. Simon heads up a dedicated team of specialist advisers and agents based in regional locations throughout the UK.

Christie + Co was proud to sponsor the LaingBuisson UK Dentistry Market Review.

Writing a blog is not only enjoyable but it can be productive too, helping to attract more interest to your website. If you have little or no writing experience, however, the idea of making your words public can be daunting.

Start with something you are passionate about. This could be a new piece of research or a more general topic, such as the fluoridation debate. Be yourself, while keeping the tone professional. Look out for dental news in the press and blog your thoughts to give your posts a current twist.

So blogging doesn’t become a chore, your posts need not be too long. A couple of short paragraphs that get to the point will be better received than sticking to a strict word count. It’s also a good idea to create a schedule, so your readers know when to come back and you to get into the blogging habit.

Get other willing members of the team involved. They will offer new perspectives and help to keep content varied and interesting. Try to switch up the format now and again. With the relevant permissions, you could look at blogging about a patient’s journey through their treatment, for example, including before and after photographs.

Once you have got into a blogging schedule, promote your blog with other social networking tools like Twitter and Facebook. Get involved in the blogging community and look for bloggers writing about similar topics, so you can link them in your posts. Comment on other blogs to get a dialogue going and hopefully they will return the favour; you may even want to invite a ‘guest blogger’ to your site. By networking in this way you will see your blog grow. Similarly, respond to readers’ comments. Even if they have left ‘negative’ feedback, a constructive reply will hopefully lead to a positive conclusion.

One of the main reasons for putting effort into a well-run blog is for what it can do for your practice. Search engines such as Google love new content, so a regularly updated blog can help to boost your practice’s ranking, also known as it Search Engine Optimisation (SEO).

With so much to think about, enlist the services of a company that understands how blogging and online dental marketing works. It will help you get started, find the right content management system and refine your first posts. Dental Focus ^® ‘Websites for your profit’ has years of experience in guiding practices in all aspects of successful blogging, from setting up, to content ideas.

Writing a blog can help you to grow your practice and enhance its reputation. With practice, blogging can help you to build contacts and also find out what your patients think. Not only is it enjoyable, but it should also form a key component of your forward-thinking marketing strategy. Taking expert advice will help to get your started and steer you in the right direction.

For more information call 020 7183 8388, or visit www.dentalfocus.com

Martin Hellawell is in charge of customer and information technology services at Nuview. The expert on integrating cameras and digital microscope photography into dentistry, he advises customers on the best systems and settings to use and the optimum ways of incorporating this into their daily practice. Here he describes some current trends in dental microscopes and looks back over the last ten years of Nuview.

One of the biggest changes in modern dentistry that has affected us at Nuview is the demand from dentists for the enhanced integration with digital technology and the specific changes in that technology that have occurred over the last few years. If we consider the advances in digital SLR cameras for instance; 10 years ago they were still relatively clumsy, oversized and only capable of low resolution imaging but thankfully the technology has moved on in some amazing ways.

Dentists are now able to hold multiple high definition (HD) pictures in their patient notes, and can record images of procedures to go back to for reference and for achieving future patient consent. More and more dentists, especially those who teach, also want to record videos, and the latest technology not only allows the recording of stills but also video images in HD.

Of course what sets Nuview apart is that we exclusively offer the Carl Zeiss range of dental microscopes with their integral HD visualisation systems, industry leading quality optics and an exceptional human interface experience (ergonomics) which makes them second to none. However, what has kept Carl Zeiss microscopes such as the OPMI Pico as being the best in the market, is the continual development, which incorporates and embraces the on-going changes in technology.

One thing that over the last 10 years has remained consistent is our passion for and commitment to the highest quality and finest levels of service. Through continuous feedback and communication with dentists we are able to maintain and perfect the individualised service we can offer. For us feedback has always been really important and we are very proud of the service we provide, for myself, particularly around the Carl Zeiss visualisation systems and helping dentists to exploit camera technology. As a small company we try very hard to build positive and on-going relationships with our dentists.

Looking ahead to the future, the biggest challenges are going to be around incorporating further innovations in visualisation technology. A lot of people have now seen ultra high definition televisions (UHD) and the whole arena of UHD (or 4K as its currently known) will radically change the ways in which even digital SLR cameras work. Right now there is a differentiation and separation between video cameras and SLR cameras, which I think may well entirely vanish in the near future.

Today people are used to, and even expect HD quality images, so what will be interesting over the coming years is to see how UHD fits into and becomes the industry norm, and then how the camera technology adapts to incorporate this emerging technology. Although UHD technology, particularly now that it is being incorporated into televisions, is becoming more readily available in the marketplace, it will take potentially two years before technology standards are properly set out and agreed and we will begin to see cameras and microscopes becoming generally available that fully incorporate UHD technology.

One final change that we’ve seen over the last few years is that whereas dentists were primarily using microscopes for more specialist work, we now see dentists exploiting the power of the high quality magnification in their more general daily practise.

As part of out on-going commitment to exposing and training dentists to the performance and usability of a dental microscope, we at Nuview actively support various organisations and individuals in terms of providing microscopes and expertise for professional courses. We are proud to participate in enhancing the level of skill that both specialist and general dentists have, and for me, helping them to embrace the latest technology in visualisation systems is particularly rewarding.

For more information please call Nuview on 01453 872266,

email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.nuview.co

The majority of the world’s population has no access to oral pain relief. This means people can suffer agonising pain for years, from dental problems that can be quickly and easily treated in the western world.

Since 2002, Bridge2Aid has been working hard to remedy this, increasing sustainable access to emergency dental care throughout East Africa. Through its carefully designed volunteer programmes, it provides the opportunity for UK professionals to visit some of the poorest areas of the developing world. There they can not only deliver the safe and effective treatment needed by thousands of people, but they also help to train local health care workers so that they can sustain the provision of dental care in the long-term.

In order to continue its inspirational work however, the charity relies on the generous donations of time, money and resources from the UK dental profession.

Shaenna Loughnane, Operations Manager at Bridge2Aid, says:

“The start of the year was tough for us and we were so grateful to the profession for showing their support. We are through the worst of it now and we would like to thank everyone who came to our aid!  

“Our main aim for the next year is to help more people understand what we do and to show the impact our training programmes have on communities in rural areas of East Africa. We offer a sustainable, ethical and appropriate response to the fact that 70% of the world has NO access to oral pain relief – and the 30% with access are only in the cities, whereas the huge majority of people live in rural areas. The charity has big plans for this year and next, we just need to raise the funds to be able to achieve them!

“On 4th October 2014 we are celebrating 10 years of our dental volunteer programme. We are running a ‘Birthday Bash’ at Wembley Stadium to celebrate, and all our friends, family, volunteers, donors and fundraisers are invited. More details are available on our website: www.bridge2aid.org/birthdaybash.”

The dedicated Bridge2Aid team will be attending The Dentistry Show 2015 to raise awareness of the situation in East Africa to show more industry professionals what they do.

“The Dentistry Show has given us free space for the last few years,” continues Shaenna. “We have always found it to be a fantastic Show and it certainly seems to be getting busier each year. It seems to have got the mix of exhibition time and CPD just right, and we welcomed a good number of dental professionals to our unique volunteer programme during the 2014 event. The Sea of pink was also a fantastic success for us – in the end, 30 exhibitors took part and it was amazing to see the support in the room.

“As we are always looking to raise our profile and promote the ever-growing need for dental equipment, products and training in East Africa and other developing regions of the world, we are looking forward to The Dentistry Show 2015. It will present the perfect opportunity for people to visit our stand and develop their understanding of what we do – we hope to see you there!”

For more information about Bridge2Aid and its volunteer programmes, visit www.bridge2aid.org. Or you can visit the team at The Dentistry Show 2015 on Friday 17^th and Saturday 18^th April 2015, at the NEC in Birmingham. For further details please visit www.thedentistryshow.co.uk, call 020 7348 5269 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

The Dental Advisor has identified five 3M ESPE products as excellent solutions to particular clinical challenges in the 2014 Clinical Problem Solvers Awards[1].

• The Intra-oral Syringe was praised for its lightweight and ergonomic design, which was found to enable precise application of impressioning material in hard to reach areas.
• Imprint 4 impression material was established as a solution to patient discomfort and long setting times when taking impressions.
• RelyX Ultimate adhesive resin cement was awarded the best alternative to the multiple products needed to prime a tooth and restoration for silica- and zirconia-based crowns.
• RelyX Unicem 2 automix cement was recognised for its dual-cure, self-adhesive properties, which prevents problems with improper setting of fiber posts.
• Impregum Penta impression material was praised as rigid and accurate enough for reseating a closed tray impression.

For more information, call 0845 602 5094 or visit www.3Mespe.co.uk

3M, ESPE, Imprint, RelyX, Impregum and Penta are trademarks of the 3M Company.

Rodericks Limited is delighted to welcome Sue Gregory OBE into its highly experienced and talented team.

Sue Gregory has extensive experience within the dental industry, having worked as the Deputy Chief Dental Officer with the Department of Health between 2009 and 2013. She was also a Consultant in Dental Public Health for several years, developing outreach services in the primary dental care setting for minor oral surgery, restorative dentistry, periodontics, and endodontics. Sue is currently the Director of Dental Public Health for Public Health England, as well as a visiting lecturer at King’s College Dental Institute and a widely respected speaker and author.

Sue has recently joined the professional team at Rodericks Limited as a Non-Executive Director.

“I have known Shalin Mehra and Steve Brookes for many years, and I have always been impressed by their capacity for innovation in delivering effective, quality dental care in a cost effective way,” she says. “It will be exciting and challenging for me to work in the corporate business environment. I hope to bring added value to the company with my skills and experience in strategy, policy and oral health improvement. I would like to see the company further enhance its focus on quality and outcomes, building and improving on what is already a solid base. I also hope to increase the skills and capacity of the whole dental team to contribute to that agenda.”

Managing Director of Rodericks Limited, Shalin Mehra adds:

“We are delighted to welcome someone with such knowledge and skills as Sue, into our team at Rodericks. We look forward to learning from her extensive experience and expertise, and we hope that together, we can continue developing both our group as a business and the services we provide patients.” 

Having begun life as a partnership back in 1991, dedication to excellent dentistry and a close working relationship with a local medical centre saw the business triple in size within four years. They then incorporated in 2005 by acquiring the name Rodericks Limited, one of the original Dental Body Corporates. Over the next decade, new practices were opened and others joined the group, advancing the services provided and significantly increasing access to thousands of patients across the UK.

When the new NHS contract was introduced in 2006, Rodericks Limited made a strategic decision to further expand by tendering predominately for new practices that PCTs were commissioning. Over time, with the development of the business plan and the extremely high goodwill valuations of practices, this turned out to be a successful approach.

Following steady and continued growth, Rodericks Limited now consists of 52 dental practices across England. Committed to providing the best possible clinical treatment and excellent patient care, practices within the group offer a wide range of first-class dentistry from routine check-ups to facial aesthetics, specialist and referral services. Renowned for their cutting-edge facilities and the provision of outstanding NHS and private dentistry, every team shares a passion for continuous training and skill development, to ensure they are at the very forefront of the profession.

To find out more about Rodericks Limited please visit www.rodericksdental.co.uk or call 01604 602491.

The Government’s Trailblazer initiative is set to improve and develop apprenticeships in 29 different industry sectors across Britain. Owner of Sparkle Dental Labs, Mustafa Mohammed, is leading the way to create a programme designed specifically for dental technicians.

Apprenticeships can give young people the opportunity to learn on the job, building essential experience and practical skills to enable them to become experts in their chosen field. Through high quality training and mentoring, businesses can create a motivated, skilled and highly qualified workforce.

Committed to spreading the word and raising awareness for dental technician apprenticeships, Sparkle Dental Labs recently welcomed a selection of esteemed professionals to its remarkable premises in Leeds. The event, held in celebration of the company’s first year of business, also presented a fantastic opportunity to increase support for the apprenticeships.

MP for Harrogate and Knaresborough, Andrew Jones, was in attendance and commented: “Apprenticeships are one of the most important parts of education in Britain…I believe few sectors will however create as much excitement and as much drive as the dental laboratory industry has, and for that I would like to congratulate everyone involved.”

Delroy Beverley, Chairman of The National Apprenticeship Ambassadors Task Force for Yorkshire and Humberside, further highlighted the importance of the apprenticeship scheme and offered high praise for Mustafa Mohammed and the team at Sparkle Dental Labs: “Crucially, Mustafa has recognised the need to do something… Asking for no personal accolade, he has nurtured this idea and is dedicated to providing a blueprint that shows the Government and other businesses alike, that you really can ‘practice what you preach’. Sparkle Dental Labs is a great example of just this”.

Anthony Knowles, Head of Employer and Delivery Services with the National Apprenticeship Service, added: “The facilities at Sparkle Dental Labs are fantastic – something for Yorkshire to be proud of. I think this is matched by Mustafa’s approach to offer more chances of employment for young people… I would encourage as many business owners as possible to get involved with the scheme”.

The pioneering dental technician apprenticeship will offer an array of advantages for the British public with hugely increased employment opportunities and the chance to ‘earn while you learn’. Boosting the national economy and the UK dental lab industry in particular, participating employers will also benefit from enhanced productivity, lower staff turnover and an increased skill set among the company1^,2.

Sparkle Dental Labs continues to lead the way in training and education. With established orthodontic and implant teams, all work is produced to the highest standard and tuition of the next generation of employees is second to none. To find out more about the laboratory, or about how you can get involved with the apprenticeship scheme, contact the dedicated team today.

For any additional information from the National Apprenticeship Service, please visit www.apprenticeship.org.uk.

For more details about Sparkle dental Labs, please call 0800 138 6255, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit:

www.sparkledentallabs.com

On the 21^st June in Birmingham the European Society of Aesthetic Orthodontics (ESAO) hosted a full-capacity orthodontic skills course. With parallel sessions running for dentists and DCPs; the sold-out course was a huge success.

With a range of highly qualified and experienced speakers including Dr Andy Wallace, Dr Daz Singh, Dr Pav Khaira, Dr Ian Hutchinson, and Steve Blackhall, delegates were treated to lectures and hands-on courses that covered the entire spectrum of aesthetically focused orthodontics.

Topics ranged from the importance of retention after orthodontic treatment, to techniques for impression taking and interproximal reduction (IPR), as well as TMJ assessment and composite edge bonding. The one-day course was aimed at ensuring practices and practitioners were able to deliver medico-legally protected, high quality aesthetic dentistry with confidence and support.  

Dentist Course

Dr Pav Khaira is the Ethics Director for the ESAO, he provided the first session for dentists that focused on enhancing their diagnostic skills. He says, “One of the main concerns that I have is the lack of diagnostic skills that are taught at undergraduate level when it comes to jaw joint and chronic pain issues. I see a lot of dentists start to undertake brace work without fully understanding the red-flags areas and what could potentially go wrong mid-treatment or even once treatment has been completed.

“What I hope delegates were able to take away from the course is a better understanding of the types of screening questions that they should be asking so that they have a clearer indication of which patients are more likely to be fine and which are more likely to develop problems.”

The second lecture for dentists was presented by Dr Ian Hutchinson. His session was concerned with retention and exploring how to ensure teeth remain straight once they have been corrected. He discussed removable retainers as well as variants in fixed retainers and reviewed some specific situations where special attention may be required.

He said of the ESAO, “The reason I support the ESAO is that there is an alarming growth in manufacturers selling orthodontic 'systems' with no regard to correct training of the clinician or suitability of their appliance to correct the problem. The marketing of such appliances is often 'direct to public' and therefore stimulates demand from potentially misinformed patients. The ESAO represents an organisation that clinicians are able to go to for important, independent and impartial advice.”

Dr Andy Wallace then presented a session on IPR and its importance in aesthetically focused orthodontic procedures. He provided ways to calculate the necessary amounts of IPR along with techniques for effective and safe execution. He then gave a second session that covered aesthetic edge bonding, in which he shared techniques and tips to simplify procedures, which will allow delegates and attendees to complete their aesthetically focused orthodontic cases to a very high quality.

Course for DCPs

Alongside the lectures and hands-on sessions for dentist there ran a parallel course for DCPs.

Dr Wallace presented a talk that focused on the essentials of dental photography. He explained how it allows for clearer communication with patient, dentist, laboratory and support systems, as well as being an important record of each case both before and after treatment. His seminar focused on teaching delegates how to achieve consistent photography and included a hands-on session where attendees could try out their new techniques.

ESAO Secretary Dr Daz Singh also presented a talk that focused on impression taking and shared some techniques with delegates for the consistent delivering of high quality impressions. He says, “Taking an accurate impression is vital, as it helps to ensure that planning for any treatment is carried out correctly. With a vast number of different materials available to us, it is essential to choose the appropriate material for your treatment." 

Steve Blackhall, co-owner and co-founder of Prestige Dental, gave the final practical session for DCPs that covered model making and the production of vacuum formed retainers and whitening trays. Delegates on the course were shown some essential tips for best practice and enjoyed the interactive nature of the seminar, making their own trays and models.

Great Success

The event was organised by Dr Raha Sepehrara, the scientific director of the ESAO, and was a great success. She says, “I hope that the delegates found the day useful and that they are able to apply what they have learnt in their everyday practice. It was an exciting opportunity for me to put this course together, as I had the chance to meet many excellent speakers and clinicians and also learn a lot from their presentations.”

The ESAO is dedicated to helping ethical practitioners provide the finest quality aesthetically focused orthodontics. For details of any upcoming courses or how to join the fast-growing organisation visit the website today.  

For more information visit esao.co.uk or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Dr. Gordon Matthew from Neilston Road Dental Group recently attended the Inman Aligner advanced training course.

‘I have been providing the Inman Aligner for six years and attended one of the original courses run by Dr. Tif Qureshi. Although I’ve treated a reasonable number of people with the Inman Aligner, I thought it was time to learn a bit more and was intrigued about what advanced training might teach me.

‘I actually found there to be a quantum leap from what we were talking about six years ago and things have really moved on from what I was taught before. The course was fantastic. The material, the information, the technology used – everything was easy to follow and well thought out. I would give it 10 out of 10.

‘On the day, there were many practitioners with different levels of experience in the room and so a discussion about how we would go about different cases was very informative. The value of having people of considerable knowledge about the Inman Aligner on hand was certainly noticeable and hugely beneficial.

‘I think the Inman Aligner is a wonderful tool that has really minimised the amount of invasive dentistry that I do, like placing veneers and preparing teeth. It’s a very good option for the patient.

‘I would have no hesitation in recommending the Inman Aligner advanced training course. Even practitioners who have been using it for a few years are bound to pick up something new. Tif and the other trainers are learning all the time too, because they are doing so many of these courses now, and are able to impart all their extra knowledge to practitioners.

‘I achieved everything I’d hoped for and more from this training course. I learned an amazing amount and it has transformed how I do things in my practice.’

To develop your knowledge and refine skills even further, discover the Inman Aligner advanced training course today.

To find out more and to see upcoming course dates, please visit www.inmanalignertraining.com, email This email address is being protected from spambots. You need JavaScript enabled to view it. or

call 0845 366 5477

Promtemp Crown from 3M ESPE – “It just makes perfect sense”

Dr Anoup Nandra from Edgbaston Dental Care in Birmingham has been impressed with Protemp Crown temporary material from 3M ESPE for many years.

“I first came across the material seven or eight years ago – few seemed to know about it at that time but it certainly had a ‘wow’ factor and I thought it was a great product.

“I have been using Protemp Crown routinely for the last two years now and I like everything about it – it just makes perfect sense. I am able to choose a pre-made crown that not only looks good but that also fits well. It is easy to use, easy to manipulate, the occlusion is always good because the patient’s mouth is used to help achieve good positioning: it just works exactly as it is designed to do so.

“Other temporary restoration techniques can be fiddly, messy and much more time-consuming. Protemp Crown material requires little time to place, offers really good aesthetics and it is long lasting– it is like a permanent crown. If circumstances require a patient to keep a temporary crown in place for some time, this is the perfect indication for this material – I am very confident leaving this in place, a lot more so than I would be with a normal chairside created temporary restoration.

“As a result, I already routinely recommend Protemp Crown to other practitioners.”

For more information, call 0845 602 5094 or visit www.3Mespe.co.uk

The BACD will hold its 11^th Annual Conference ‘Life LIKE Aesthetics’ on 6^th – 8^th November 2014 at the ACC Liverpool. As one of the highlights of the dental calendar, delegates can look forward to an exciting three days of high quality education and networking opportunities.

Thursday 6^th November will include exclusive hands-on sessions, with delegates able to join one of three separate courses running across the day. These will be run by renowned clinicians Dr Didier Dietschi, Dr Lee Ann Brady and Dr Rahul Doshi, and present a fantastic opportunity to learn from established experts in their field.

On Friday 7^th November there’s even more to look forward to as the main conference kicks off in style. After the opening ceremony two main lecture streams will run in parallel with Dr Didier Dietschi presenting on no-prep comprehensive smile rehabilitations, while Dr Christian Coachman will lecture on ‘The smile designer: a new speciality beyond conventional dentistry’. Both of these extended sessions will run over the entire course of the day, while delegates will also have a chance to attend sessions on clinical photography, BACD members’ pearls, and an ‘Introduction to cosmetic dentistry’.

After a busy day’s lectures, Friday night is gala night, with the return of the BACD’s famous gala dinner and dance. With an exciting evening of fun and entertainment in store, the gala dinner is the must-attend social event of the year, and is a great place to meet new people and make new friends.

If that wasn’t enough, on Saturday 8^th November, the BACD Annual Conference reaches its climax with an incredible packed day of lectures spread over five separate conference streams. In the main hall, Dr Lee Ann Brady will share her top aesthetic tips and techniques, while in the next hall Dr Tif Qureshi will speak on the subject of tooth wear. If business management and marketing are more your thing, Hall 4A is the place to be as a succession of well-known speakers will take to the stage including Mark Oborn, Tracy Stuart, Kevin Rose and Steve Cartin. There will also be a return of the BACD Accreditation workshop other lectures on digital solutions and vacuum forming among others.

The BACD Annual Conference really does represent one of the best educational conferences of the year. As well as great education from renowned mentors the BACD conference is excellent for sharing hints and tips with fellow members and for gaining valuable new knowledge that you can take away and apply in your practice the very next day. Delegates to last year’s event have commented on, ‘Learning you can take straight back to the practice’, as well as, ‘Great networking with colleagues,’ and, ‘If I could only attend one meeting in a year it would be this one!’

As with all BACD conferences, ‘Life LIKE Aesthetics’ is an event not to be missed, so check out the BACD website for early bird discount offers. To find out more, contact the BACD today!

For further information call 0207 612 4166, fax 0207 182 7123, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.bacdconference.co.uk

Pregnant patients are extremely vulnerable, and practitioners must support them in maintaining a good oral care regime. Huge physical changes, irregular eating habits and fluctuating hormones all make pregnant women susceptible to a host of things, which are detrimental to their dental health, and can have a significant impact on the health of their unborn baby too.

But many expectant mothers worry that dental treatment during pregnancy isn’t safe. As long as dentists are told that their patient is pregnant, however, they can consider all the options available to safely provide an appropriate dental care plan for the entire pregnancy and beyond.

Some procedures are indeed best deferred. The Department of Health still advises pregnant women do not get amalgam fillings replaced until after they have given birth – while (according to a large body of research) foetal risk from amalgam is largely theoretical, most dentists and patients will usually decide together to delay placement and removal of these types of fillings. Similarly, dental X-rays are generally delayed unless there is an overriding clinical need. It is good advice, then, for woman to be advised to visit the dentist before they start trying for a baby, in order that any invasive treatment they need can be completed before they fall pregnant.

So what are the increased risks to oral health that pregnant women may experience? Morning sickness, for example, can be damaging to the surface of the teeth, due to the presence of stomach acid. Any woman suffering from morning sickness should therefore be advised to rinse with water or a non-alcohol based mouthwash.

Inflammation of the gingiva during pregnancy can lead to bleeding gums. Recent pioneering research suggests that gingivitis during pregnancy may be due to high levels of the hormone oestrogen.[1] A study found that the oestrogen found in pregnant women strongly determined their risk of developing gum disease, and in all three trimesters women with higher levels of oestrogen or plaque had more pregnancy-related gingivitis than those with lower levels. Because high oestrogen is found in healthy pregnancies, these results underline the importance of good dental health starting from the prenatal period. 

If gingivitis leads to periodontitis, this can set off a chain of reactions capable of damaging the body’s workings. It may result in a preterm or low birth weight baby and research has shown that women who are successfully treated for their peridontal disease have significantly lower incidence of these outcomes.[2] Aside from being predisposed to a myriad of post-natal complications, pre-term and low birth weight babies are also more likely to encounter heart disease, high blood pressure or diabetes later in life^.[3]

Numerous studies have shown that pregnant women with peridontal disease are more likely to develop gestational diabetes mellitus than those with healthy gingiva. Gestational diabetes can also lead to pre-term delivery, and although the condition usually disappears after the pregnancy has ended, women who develop it have a greater risk of developing type-2 diabetes in later life. Research has also found a link between periodontitis and pre-eclampsia.[4]  This is a rapidly progressing condition that can lead to fatal consequences for both the mother and the unborn child.

Interestingly, at the other end of the scale, peridontal disease has also been linked with poor fertility and it could even delay conception by up to two months.[5] This really does underline the common sense advice for women to add a trip to a dentist to their pre-conception checklist.

Once pregnant, women need to visit their dentist regularly and get advice about how to properly care for their teeth. Gingivitis can be reversed so that it does not proceed to periodontitis if practitioners can encourage their patients to follow good dental care routine, twice daily. If access is a problem, dentists should be making sure their patient knows to take full advantage of free NHS dental care from the start of their pregnancy.

As well as daily brushing, pregnant women should invest in a good toothbrush. For example, the Curaprox Hydrosonic is suitable for people with sensitive gums. With gentle CUREN^® filaments, it offers effective cleaning of the gum line and periodontal pockets. The Hydrosonic is part of a range of complementary products for sensitive patients, including the CS5460 manual brush and the alcohol-free CURASEPT ADS^® mouthwash – all suitable adjuncts to a pregnant patient’s oral care routine.

In conclusion, the huge changes that a woman’s physiology goes through during pregnancy means that dental health may need closer attention at this time. Simple advice to establish a good oral care routine will help to decrease plaque and periodontal pockets, and your pregnant patient will have a lower risk of developing more serious problems that that will affect them and their unborn child.

For more information please call 01480 862084, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.curaprox.co.uk

Doing things together can be fun, whether it’s meeting up with friends, working on a project together or taking part in a group activity. If that fun also helps to raise funds for organisations which in turn help others, even more people benefit. This is why raising funds for charity can be such a rewarding thing to do. 

Many of us get involved in fundraising, directly or indirectly, ranging from helping out at the school fete to shaking a charity collection box. While these may just take a few hours out of our daily lives, causes and charities that funds are being raised for go on working everyday to help others.

Raising awareness is important too. Recently, inspirational teenager Stephen Sutton, who is sadly no longer with us, raised over four million pounds for his chosen charity as he battled with cancer, his extraordinary achievement also helping to raise awareness for the thousands of people with the disease around the world. It is a sobering fact that every two minutes, someone in the UK is diagnosed with cancer.[1]

This was the case for dentist, Dr T, who needed time off work to undergo and recover from cancer surgery. Separated and with two young children to support, Dr T turned to the BDA Benevolent Fund, which helped to pay for childcare costs while she was in hospital, also providing a monthly grant to help during her recovery.

Fortunately, there are many ways to raise funds, ranging from organising a coffee morning to doing a bungee jump. The list is endless, but the funds that charities need are not, which is why your help is so essential.

During 2013, the BDA Benevolent Fund ‘Be Active’ campaign raised £17,000, with a further £125,000 raised by LDCs, BDA Branches and Sections. An auction, photographic competition, climbing Kilimanjaro and a golf tournament were just some of the great fundraising events. These monies meant that over £172,000 of grants and £36,000 of new loans could be provided to those who truly needed the support in 2013.

So please help to raise funds for the BDA Benevolent Fund this year, because with your help, the Fund can continue to help those in need.

The BDA Benevolent Fund relies on your help to continue this work,
so please contact us on 020 7486 4994 or This email address is being protected from spambots. You need JavaScript enabled to view it.

or to give a donation today, visit www.bdabenevolentfund.org.uk
 

And if you are in need of help yourself, please contact us now.

All enquiries are considered in confidence.

Registered cha

With the months flying by, the next The Dentistry Show and Dental Technology Showcase (DTS) will be here before you know it. Preparations are in full swing to make sure that everyone attending gets the very most from the events, and here’s a preview of what you can expect…

More delegates and new dates

Despite having more than trebled the number of delegates at The Dentistry Show since 2010, attendance figures are once again set to increase.

From 2015 the dates have been changed – The Dentistry Show and DTS 2015 will now be held on the 17^th and 18^th April at the NEC in Birmingham.

Why the move to April?

Without the added pressure of UDA cycle end, (in March), even more dentists will now have the time to join in and discover the array of innovations the trade have to offer. This is supported by a survey of 765 dentists; none of whom visited The Dentistry Show 2013 or 2014, and 69% said that they were likely or very likely to visit with the Show now its running in April.

This uplift in attendance from dentists, to a total of over 7,500 dental professionals across just two days, will ensure that The Dentistry Show remains the must attend event for UK dentistry.

A new platform to launch

With these new dates, The Dentistry Show is now perfectly timed after IDS in Cologne every other year, making the 2015 event the ideal platform for launching new products and services in the UK. To facilitate this and provide as much exposure as possible for exhibiting companies, the Show will be running the ‘Launchpad UK’ marketing campaign for the very first time.

Key buyers, dealers and wholesalers will be sent a ‘Launchpad UK’ catalogue and all pre-registered delegates will receive regular updates in the weeks before the next Show, ensuring maximum coverage for all your new innovations, all completely free of charge.

Additional promotion

With over 7500 delegates expected to attend in 2015, The Dentistry Show and DTS will offer a vast range of further benefits for companies exhibiting on the extensive trade floor; product profiles in the pre-Show newspapers, coverage in the 2015 Products & Services Guide and online branding.

We look forward to seeing you there

For those of you who haven’t yet booked your stand for 2015, what are you waiting for? As an event that offers something for everyone, it will provide a great platform to meet new clients, strengthen relationships with existing ones and build your business. With messages being sent to the profession from July 2014, don’t miss out and get the most out of taking part this time around!

The Dentistry Show 2015 will once again be held in conjunction with the next DTS on 17^th and 18^th April at the NEC in Birmingham.

For further details, please visit www.thedentistryshow.co.uk, call 020 7348 5269 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Prior to 2006, life was simple – dentists were unable to incorporate and therefore neither accountants nor dentists nor associates gave even a second thought as to how much their lives might be improved if only they could trade is limited companies.

Then in 2006 came changes to the Dentists Act!

Since then, provided you have a majority of GDC registered directors, you are able to form and trade as a limited company and enjoy the tax benefits which may ensue as a result.

So far so good!

If you have a private practice, life has continued to be good and you can incorporate to your heart's content!

Unfortunately the same cannot be said for Principals of NHS practices.

The reason for this is simply that in order for the incorporation to be effective a new NHS contract has to be issued in the name of the limited company, and that can only be achieved with the consent of your friendly local NHS contract manager.

Initially PCT's were generally happy to agree to issue new contracts in the name of the limited companies. They then started to realise that people were disposing of their practices by selling the shares in their limited companies, and thus the PCT's had lost control over the identity of the dentists that they were contracting with.

At that point, an NHS principal’s ability to incorporate depended entirely on the attitude of their local PCT. Every PCT in the country seemed to have a different attitude to incorporation, and even the same PCT appeared to change their mind from time to time, depending primarily, it appeared, on what side of the bed the contract manager got out of that morning.

There were those PCTs who continued to be happy to agree – although it would be fair to say that these were very much in the minority.

Most would agree, but only on the basis that what is known as a "change of control" clause was inserted into the new contract. So that if there was a change in shareholder, then the PCT would have the right to terminate the contract (thus a principle could save some tax, but in the course of doing so could lose the entire goodwill value of their practice!).

Matters were further complicated by virtue of the fact that each PCT seemed to have different wording for their change of control clause – some were reasonable and others entirely not so.

And then there were some PCT's who simply said, "no!".

This was obviously a wholly unsatisfactory state of affairs.

In April 2013, NHS England issued guidance to the LATs stating in terms that, provided there had been no issues with the performance of the contract, they should allow incorporation.

"Hallelujah!" We thought in our innocence.

Despite the guidance issued by NHS England, different LATs have chosen to implement and interpret the guidance in different manners.

Some are insisting that the principal guarantees the performance of the contract by the limited company – which would not be unreasonable, except for the fact that the guarantee is generally worded in such a manner that it will continue even after the sale of the practice.

Others are still insisting that the change of control clauses are inserted – and the wording of these is still wholly inconsistent.

Worst of all, there is one PCT that I have spoken to recently who advised that they, ‘did not like the guidance issued by NHS England’, (apparently and conveniently forgetting that they are part of this organisation) and that they were, therefore, refusing to process any incorporation applications until revised guidance was issued which was more to their liking.

In other words we are back in a situation with an LAT saying "no".

Therefore, despite changes in governance and the guidance issued by NHS England, the LATs still appear very much to be acting as if they are a law unto themselves.

We are therefore back in the position where, at least so far as incorporation is concerned, NHS practitioners are very much the poor cousins compared to their professional colleagues in private practice.

John Grant of Goodman Grant Lawyers for Dentists - a NASDAL member

For more information call John Grant on 0113 834 3705 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

www.goodmangrant.co.uk

A NASDAL and ASPD MEMBER

Patient expectations are changing and practices must adapt and change to meet their requirements. Dental practices can no longer rely on word-of-mouth referrals alone to bring patients in through their doors. With the current trends in the profession leaning towards high levels of competition and increases in online advertising, practices will need to explore new avenues to keep up with the industry and to reach and attract new patients.

Often the first port of call for prospective patients looking for last minute treatment or a specific specialist procedure would be to turn to the Internet. No longer purely the domain of the younger generations, this is now the primary source of consumer information. From online banking to booking a train fare and from researching holiday destinations to completing the monthly shop, in the modern world if it isn’t on the Internet, then it doesn’t exist.

An increased online presence therefore is essential to ensure your practice maximises its potential for reaching as many patients as possible, even if your target audience is the older generation. However, online advertising and the setting up of new modern websites can be expensive and time consuming and, unless you are fully competent in all-things multimedia, can actually be counter-effective – as the wrong message online will only send your patients elsewhere.

Fortunately there are other options available for practices looking to extend their reach. By joining a marketing cooperative, for instance, practices can achieve results that would be otherwise impossible. Marketing cooperatives allow practices to participate in nationwide advertising without the associated costs. Indeed membership could grant access to large-scale marketing that would be very difficult for practices to achieve whilst maintaining their independence as a small practice or group of practices.

Other benefits of joining a marketing cooperative might include enhanced associations and affiliations within the profession, meaning an increased support network for your business. As well as the opportunity to expand on the provision of treatment and services you can offer through reputable patient referrals.

Marketing cooperatives such as United Smile Centres offer practices the opportunity to be a part of a wider promotional campaign, allowing access to patients that would otherwise look elsewhere for their dental treatment. United Smile Centres promotes same-day implant surgery targeted at the over 50s and its member-base is made up of highly recommended implant practices that all benefit from its patient referrals.

Patients can find a local practice offering Fixed Teeth in a Day through the postcode locator on the United Smile Centres website and are put into contact directly through the phone number provided. From a business perspective this represents a fantastic opportunity for practices, as all they need to do is sign up to United Smile Centres and the marketing cooperative does the rest.

If your practice offers same-day implant surgery and is looking for new ways to increase its reach, or if you are interested in enhancing your patient base without the associated costs of setting up new websites and national advertising campaigns then United Smile Centres could be the solution.

Olajumoke Alara, Practice Manager for Dental Specialists MK in Milton Keynes explains the advantages of becoming a member:

 “We’ve had quite a few patients referred to us by United Smile Centres. The main benefit is the additional advertising the practice receives, plus the fact that the staff at United Smile Centres explain the treatment process and pass on other relevant information to the patients before they are sent to us for assessment, which reduces the amount of time we spend on the phone. We also receive really useful email feedback from United Smile Centres, which helps us with our record keeping.”

Jag Shergill BDS, MSc (Implants) from the Coventry and Birmingham Centre for Advanced Dentistry is highly impressed with his experience of United Smile Centres. He says:

“Being affiliated with United Smile Centres has truly been an excellent experience. The other members of the affiliated teams are likeminded individuals, and at a couple of the organised days it’s been very useful getting their viewpoints – and those whom I have spoken to have also been delighted with United Smile Centres within their practices.”

Dr Jay Padayachy at Senova Dental Studios in Watford explains how United Smile Centres has made his practice more efficient and productive:

“It’s been a good additional revenue stream for the practice, and it’s great to have potential patients preselected. This means that when they contact they practice, they are at least partially sold on the idea that they need treatment.

“By joining United Smile Centres, you can market your practice nationwide at a fraction of the cost usually involved. I would definitely recommend United Smile Centres. It’s a great concept to have a group of practices linked together with a central hub that fields the calls, logs the questions and then passes on an appropriate contact.”

For more information call United Smile Centres on 0800 8 49 49 59, email This email address is being protected from spambots. You need JavaScript enabled to view it., or visit www.unitedsmilecentres.co.uk

By 2018 all employers must by law offer a workplace pension scheme for employees aged between 22 and the pension age and who earn £10,000 or over.

All businesses will have been allocated ‘staging dates’ that the Auto-Enrolment must have been accomplished by, and for dental practices this is likely to be between January 2015 and April 2017. This may seem like a long time away but in order to be properly set up and ready for the transition it is worth preparing for Auto-Enrolment as soon as possible.

According to The Pensions Regulator website, businesses should begin to plan for Auto-Enrolment at least 12 months before their staging date and by six months before should have the chosen pension scheme in place and their staff clearly informed[1].

Any employers who do not enrol their staff into a pension scheme by their staging date will face a fixed penalty fine of £400. If they continue to ignore their responsibilities they will begin to receive daily fines ranging from £50 to £10,000 a day.

It should be noted that workplace pensions schemes are not compulsory for employees; although everyone will eventually be enrolled, employees can opt out if they choose to. Despite the Government’s best efforts to convince the public to save for their futures, it is still estimated that millions will decide to opt out of saving.

For practices, choosing the best pension scheme to enrol your employees into can be particularly complicated, as it’s important that you choose the right one that is appropriate both to you and your employees’ needs. The most common schemes used will be Defined Contribution schemes; where both the employee and the employer make contributions to the fund, which is then invested.

Your practice may already have a pension scheme set up for your staff; this might be a stakeholder scheme or a group personal pension scheme and in some cases you will be able to continue to use this, depending on its suitability and whether or not the provider states that it can be used for Auto-Enrolment.

The best course of action at this stage will be to consult an Independent Financial Adviser (IFA), ideally one with specialist knowledge of the dental sector such as those at money4dentists. They will be able to help you decide which option is most suited to your needs and situation, ensure that all timelines are met. If you’re looking for straightforward guidance and advice around starting the journey into Auto-Enrolment then contact the experienced and reliable IFAs at money4dentists today.

For more information please call 0845 345 5060, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.money4dentists.com

When your practice is up and running, it is very easy to lose sight of your goals or to stop setting them on a regular basis. Enlisting the support and guidance of a non-executive director can help get your business back on track. They can help you assess your practice performance, set high but realistic targets and then implement the changes necessary to achieve them.

Geraint Buse, Principal Dentist of Marquess Dental in Wales, decided to do just this:

As a sole-trader of a busy dental practice, set up as a squat 3 years ago, it recently became obvious to me that it was necessary to revisit the business structure and ensure that it was set up correctly. This included looking over the financial reports, ensuring HR and contractual aspects were all in place, and basically setting the business on a sound footing for the next 10 years. I wanted to get this right early on, so that as the practice grew, it would be possible to measure and steer it accordingly.

As such, I decided to enlist the support of a non-executive director to help set the right course. He took the time to get a real grasp of where we were as a business and suggested ways of improvement, both immediate and long-term. He was always positive, helpful, reliable and a pleasure to speak to, which is important when looking for someone to work with. He also provided accountability to make sure I made the changes suggested, although these changes were always mutually agreed upon and all decisions were still mine.

Only five months down the road, the changes are already visible. We now have a clear accountancy structure with monthly, up-to-date KPIs (Key Performance Indicators). We have enhanced the structure in our staffing, with all existing employees now working with better defined roles and management protocols. We also have refined plans for future marketing and business development, which will ensure that our practice continues to grow.

I would advise practice owners who feel that they need a more definitive business structure, who want to assess how the business is progressing on a monthly basis, and who not only want a plan for future business development but also to put that plan into action, to definitely get a non-executive on board to help. There is a lot of work involved in running a practice, and it is essential that you invest your time wisely, ensuring you are steering in the correct direction.

Over the past year I have really got to know the whole team at 7connections. With the strengths of the whole team and all of the different aspects in which they can help with in the running of the practice, to work with them is a pleasure. They are inventive and constantly developing new products that help you to keep evolving as a practice. I would highly recommend Tim Caudrelier and the 7 connections team to all who would benefit from their help.

For more information about 7connections,

please call 01647 478145 or email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit the brand new website www.7connections.com

It is without doubt that people now use the internet most often when searching for goods and services. In 2013 the total number of Google searches was 2.0287 trillion[1]. When we are interested in a product or service we will use a search engine, browse a number of sites and read reviews before making choices and spending our money. 

Websites are undeniably the most cost effective way of marketing within dentistry and practices need to find a way of attracting and converting patients online. When this is successful these patients then become the greatest promotional asset of all, by recommending the practice by word of mouth.

An informative website provides the initial attraction and interest and its success depends on its ability to engage the right people in the right place. A dental practice website should be designed to deliver high quality content in an eye-catching manner and employ techniques to transform a website visitor into a potential patient.

In order to capture leads and to increase the potential of converting, a patient may be asked to complete an online survey, questionnaire or receive a newsletter. This enables contact details to be collected and identify specific areas of interest, which can be gathered and transformed using a lead management system. Lifestyle Marketing[2] state that using automation to deliver content and nurture leads can deliver a 45% increase in qualified leads.

Introducing an online giveaway or a special offer is an effective way of attracting patients and building a relationship. The offer of a free product sample is a simple but effective method of gaining interest. Testimonials, reviews and referrals can be encouraged online, by offering incentives that also increase business growth as well as the reputation of the practice.

Contextual advertising can also be employed to present patients with advertisements based on their recent browsing behaviour. For example, if an individual reads an article about teeth whitening they are presented with a dental practice advertisement on the same page.

Whichever method is chosen it is vital that practices ensure that their website engages with patients productively. To ensure success, the website must be well managed and maintained meticulously. More importantly, it is essential to employ a reliable lead management system to take advantage of the data and information collected online.

Practices should turn to the experience of experts, such as Dental Focus ® ‘Websites for your profit’, to fully enhance their website. They can support and advise on all aspects of online marketing, and are able to create a bespoke website that complies with GDC standards which is fully compatible with mobile devices such as tablets and smart phones.

As each year passes technology moves on and people find more advanced ways to make their lives easier. Dental practices need to become web wise to take full advantage of the power of the internet and reap the most cost effective rewards from their marketing budget.

For more information call 020 7183 8388 or visit www.dentalfocus.com

About the author:

Alfie Jones is the resident Mobile Web expert and Sales Manager at Dental Focus ® ‘Websites for your profit’. Alfie has worked as a web designer, copywriter, college tutor and charity fundraiser before finding his niche with the team at Dental Focus. As an expert in social media and website technology, Alfie is the first port of call for any dentist who is serious about their online marketing.

Dr. James Shorrock BDS runs a successful, 4-surgery private practice in Spalding, Lincolnshire. After working with loupes for years and finding them indispensable he invested in a Carl Zeiss OPMI Pico Dental Microscope.  (The following is an extract from the unsolicited testimonial he provided to Nuview, the full version is published on their website)

Whilst attending an endodontic course a fellow delegate enthusing about microscopes inspired me to investigate the use of a dental microscope myself. After much research I concluded that the Carl Zeiss OPMI Pico Dental offered the optimum ergonomics, durability and performance for my busy practice. This system features a MORAswing mechanism to allow effortless scanning across the mouth at the touch of a finger, and a ‘varioscope’ focusing system that hugely facilitates patient positioning and considerably improves depth of field.

I met Steve Clapman of Nuview, the exclusive UK distributor of Carl Zeiss visualisation systems, at a professional event and he agreed to visit my practice and discuss my requirements. His knowledge and professionalism led me through the options, and I was impressed by his honesty, guiding me away from certain expensive features as they would be unlikely to deliver value for money in my specific circumstances. 

All Carl Zeiss Dental Microscopes are custom built, and pending delivery Nuview invited me to attend the annual 2-day symposium, held in London. As well as international speakers, there were hands-on sessions involving demonstrations of microsurgical techniques and many experts in the field to answer questions.

Steve eventually delivered the microscope and spent several hours instructing me on setup, correct posture and showing me the controls. These were very intuitive, and I was excited to get going. I was determined to fully exploit my investment and not just use it for the occasional tricky endo or crown preparation. I started with checkups the following morning.

Looking ‘forward’ and working ‘down’ was a little alien at first, but the advantages were immediately obvious. Even with only a 4-6x magnification the excellent axial illumination and perfect optics showed the slightest differences in enamel translucency, early subsurface demineralisation and even interproximal caries, while filling defects, failing crown margins and fine cracks literally jump out at you.

The perio probe graduations are easily readable, soft tissue variations are instantly evident and anything of interest can be quickly snapped with the attached SLR, to be shown to the patient, filed for later reference, or printed to accompany a referral.   

The improvement in my posture and comfort was immediate and noticeable, although I would personally recommend the addition of a Support Stool with separate articulated armrests from BQE; 9-10 hour days now cease to be a problem!

After 2-3 days we began simple treatments, descaling and fissure sealing etc, using the microscope at around 4x so generally the whole mouth is visible as with medium powered loupes. Instrument location can initially be difficult, but I found that a sweep in of the hands close under the scope before dropping down into the mouth works well.  It took a week to develop the confidence to use a handpiece under scoped vision, but the advantages were instantly evident. You can see exactly what you are doing.

Using 6-10x magnification, the mind quickly focuses on the task in hand, you soon forget about the decreased field size. Every procedure is enhanced; for example, the very apparent fine differences in shade & translucency reduce the need to double check with a probe whether dentine is sound or carious. Damage to adjacent teeth is easily avoided as the marginal ridge appears like a cliff face next to your class 2 preparation, and a further advantage is the easy visualisation of any incipient defects in the adjacent teeth. Regularly using the scope for full crown preparations took around 2-3 months, but after completing half a dozen you soon miss10-16x magnification!   As a simple reference, at 4x you can see the whole mouth, 6x a quadrant, 10x 2-3teeth, 16x a single tooth, 20x a single canal orifice. 

Dental microscopes have traditionally been associated with endodontic procedures, and I now understand why. Pursuing my own interest in endodontics, I always strived to find the MB2 in upper molars and was probably successful using loupes about 20-30% of the time, but with the microscope this leapt immediately to more often than not.  It’s hard to overstate the difference good lighting and higher magnification make to both pre-treatment diagnosis and the potential quality of the actual outcome. Since acquiring the microscope I revisited several previous problem cases, using 16x magnification, it’s been possible to identify and remedy causes that had remained hidden even after apparently flawless x-rays and repeated attempts at correction. I have heard said on several courses – if you can see it you can do it, with a scope you can see and do a whole lot more.

After 4 months I use my microscope 75% of the time, although obviously there are occasions when the ‘macro’ picture is more relevant.  Although initially learning to work with the scope somewhat slowed me down, I am now back up to 95% of my original throughput and am confident that the overall quality of my work is considerably higher. It has been possible to undertake more complex procedures with confidence without the need to invest in additional instruments or attend lots of additional specialist courses.

In spite of the capital cost, I can heartily recommend the investment as a sound career move to any dentist who takes pride in their work, likes to be comfortable during their working day and puts quality patient care first.

I would be happy to discuss how to integrate a microscope into your daily practice and am easily contactable at This email address is being protected from spambots. You need JavaScript enabled to view it., 

For more information please call Nuview on 01453 872266,

email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.nuview.co

Time is a valuable and precious commodity, which should be managed wisely in order to generate the best and most cost effective practices. As well as treating their patients with knowledge and skill, dental professionals have to manage their time and resources to work effectively within the team. Practitioners must be constantly mindful to set up and implement the most proficient practice procedures to ensure a successful, time efficient and stress free working day.

Digital impression systems are now popular with practitioners, as not only do they increase clinical accuracy, but they also reduce overall procedure time. The conventional impression procedure is often associated with imperfections and inaccuracies and is generally uncomfortable for patients. Furthermore traditional methods have the potential to lead to lengthy corrections, remakes, faulty restorations and ineffective use of professional time.

Creating conventional impressions can be messy, prone to problems with drag and setting and often make patients feel vulnerable. The taste of impression fluid is unpleasant and many patients find it difficult to control the gag reflex. Often dentists must take time away from the procedure to relax patients and address unexpected side effects. The importance of careful technique to create a dental impression first time round is paramount as any errors can have a detrimental effect on the patient’s experience and confidence in their dentist.

Some Some dentists have noted that in many dental procedures, a minor mistake can be corrected or adjusted quickly, without the patient knowing that anything has gone amiss. However, this is not the case with impression taking. Retakes make it obvious to patients that something has gone wrong, and typically patients are not very pleased about having to undergo the procedure again. This makes the impression-taking process a very important step, with the potential to have a big impact on the patient’s confidence in the dentist’s skills.

The use of digital impression scanners means that patients receive a more comfortable, non-evasive procedure with the advantage of radically improved accuracy. Although the actual scanning procedure can take approximately five minutes longer to complete than conventional impressions, the digital alternative reduces the risk of errors and the potential need for remakes. The treatment instills increased confidence in the patient and the practitioner is able to produce a precise digital impression of a patient’s mouth within minutes.

Impressions can be cleanly made using digital images. The images and data can be easily integrated and sent wirelessly to CAD/CAM systems, milling units and laboratories. The advanced intraoral scanning technique saves precious time communicating patient’s details and requirements to technicians and reduces the potential for human error.

As digital intraoral scanning has the potential to produce high quality, anatomically accurate images, the precision of the scans facilitates natural, functional restorations requiring fewer alterations and adjustments. Practitioners are even able to expand their digital technology with additional equipment and software to enable them to scan, design, model and mill restorations and crowns chair-side, if they wish. This choice provides maximum flexibility to the practitioner. Due to the accuracy of the scanning techniques, a considerable amount of time can be saved at the fitting stage reducing the overall treatment time.

The CS 3500 intraoral scanner from Carestream Dental provides practitioners with the ability to obtain 2D and 3D detailed images and precise colour matching. The handpiece can be angled up to 45 degrees and is able to scan to a depth range from -2mm to +13mm. It also incorporates an innovative light guidance system designed to optimise image and data capture while enabling the dental professional to concentrate on the patient rather than watching a monitor. The CS 3500 is fully portable; it does not require an external heater, powder, liquids or trolley system and can be plugged into any workstation using a USB cable. These features streamline the scanning process, saving time and providing an improved treatment experience to patients.

Fast results without errors keep patients happy and confident in their dental service. Many individuals are nervous or simply find it difficult to allow the time to attend multiple appointments. The potential for a reduction in treatment time is an extremely valuable asset, and patients cannot help being impressed and pleased with the care they receive. Confidence in their dentist grows, and satisfied patients means that dentists can enjoy the benefits of return visits, recommendations and increased referrals. Furthermore when procedures are time effective and accurate, a growth in business strength follows naturally.

For more information, contact Carestream Dental on 0800 169 9692 or visit www.carestreamdental.co.uk

The success of your practice can be measured in many different ways – by your patients’ satisfaction, the number of new patients you acquire each month, your annual turnover or the happiness of your staff. In most cases it is likely to be combination of these aspects and more, together demonstrating the overall growth of your business.

Developing relationships

As important as it is to remain abreast with the latest developments in the industry, source the most effective equipment and ensure staff training is up-to-date, it is also crucial to build and maintain effective relationships with your patients.

From the moment someone first shows interest in your practice or a service you provide, right up until they have been with you for 30, 40 years and beyond, the relationship you share with them is integral to your business’ success. After all, it is not simply about getting new patients through the door (which is of course essential), it’s about giving them a reason to keep coming back.

This is demonstrated perfectly by the concept of lifecycle marketing. Tried and tested for small businesses in several different industries, this concept establishes seven steps for effective marketing:

1. Attract strangers,
2. Capture leads,
3. Nurture prospects,
4. Convert sales,
5. Deliver and satisfy,
6. Up-sell and
7. Generate referrals.

As mentioned, step 1 is important to drive new people into the practice, and these leads then need to be captured by encouraging them to visit the website or even the practice.

The area most often neglected by practices when it comes to their marketing strategies, is step 3 – nurturing prospects.

In order for patients to accept treatment, they need to have trust and confidence in your practice and the skills of your staff. This is relevant both with new patients and existing, and on-going communication is important to help build that rapport.

For example, some people may not require dental treatment for another couple of years, but by keeping them informed of the services you offer and the benefits available to them, they are more likely to visit you when that time comes. Similarly, patients who have been visiting your practice for years, experiencing a divorce, a birthday or the end of a child’s education fees, they may reach a position where they can enhance their appearance or undergo the dental treatment they have wanted for a while.

Once these relationships have been established and nurtured, the following few steps of the lifecycle fall into place much easier. Assuming that the patient is satisfied with the outcome of their treatment, they are likely to consider further procedures and recommend you to family and friends.

The cost of effective marketing

It is widely accepted that around 5% of your gross revenue should be spent on step 1 of lifecycle marketing. Whether you use newspaper adverts, A-boards or post leaflets through doors, it is important to raise awareness of your business in the local and wider area.

Once you have built up a database of potential patients (this can include existing patients who visit regularly for routine dentistry), money then needs to be spent on maintaining those relationships. Keeping these people informed of new treatments, services and special offers through direct mail or newsletters can however require a lot of time, money and effort.

Making life easier

Instead of compromising on the quality or regularity of marketing material sent out, there are ways you can make the process a whole lot more efficient and cost-effective. Companies such as Infusionsoft provide the perfect opportunity for you to prepare and initiate a long-term effective marketing strategy, without the associated costs and time. Through effective planning, proper structure and a tracking system to measure return on investment, it offers all the tools small businesses need to attract new patients, automate marketing and grow sales.

In view of the recent partnership between Infusionsoft and 7connections, together they can help you organise, implement and analyse your marketing strategy for maximum success in the dental industry.  They can help you sustain and develop patient relationships that maximise on your marketing, by utilising the power of a specialist service that saves you precious time and money.

Looking to the future

By truly nurturing your patient relationships, you can help build a sound foundation for the future of your business. A proven and cost-effective lifecycle marketing strategy will ensure you make the very most of your investment and encourage the long-term success you seek. What are you waiting for?

For more information about 7connections or the new partnership with Infusionsoft, call 01647 478145 or email pThis email address is being protected from spambots. You need JavaScript enabled to view it..

Alternatively, please visit the brand new website www.7connections.com.

A dazzling smile does not merely indicate healthy teeth and gums; your dental health also plays a significant role in how confident you feel. If you are self-conscious about your smile, you will not feel good about interacting with other people. When your teeth look white and healthy, you can relax, be in the moment and laugh. It is widely acknowledged that changing your expression to a smile or mimicking another’s smile can cause involuntary biological changes[1]; a smile can lower blood pressure, release endorphins, increase serotonin and reduce stress¹. Smiling boosts your mood and has a contagious effect; others are likely to smile back and become more drawn to you, thereby increasing your confidence and happiness even more.

Various research projects have shown that people who smile more often have a far more positive effect on their environment, and are much better received by others[2]. A radiant smile tells people that you are happy to be in their presence, indicating that you are sociable, trustworthy and intelligent.

People who avoid smiling usually do so because they are unhappy with the appearance of their teeth. They invariably stop smiling or assume a closed-lip grin, which at best is perceived as awkward, or at worst as not genuine.

Teeth can become discoloured by stains on the surface or by changes in the tooth material. Of course, extrinsic discolouration occurs when the enamel is stained, often caused by drinks such as tea, coffee and red wine, foods that contain strong colours and smoking. Intrinsic discolouration arises when the dentin darkens or adopts a yellow tint. Contributory factors include too much exposure to fluoride during early childhood or experiencing a trauma in a permanent tooth whereby internal bleeding resulted in tooth discolouration. Age-related discolouration is a combination of both extrinsic and intrinsic factors, as dentin naturally yellows over time.

Many extrinsic stains caused by food and drink can be removed by regular professional cleanings and good home care, which includes brushing, flossing and rinsing after meals.

Tooth whitening can be a very effective way of lightening the natural colour of the teeth without removing the enamel or damaging it.

In Europe, only a qualified dental practitioner can legally carry out tooth whitening.  New EU guidelines introduced in October 2012 state that only qualified dental practitioners can buy whitening products containing or releasing up to 6% hydrogen peroxide. These regulations are in place to protect the patient. They ensure that anyone carrying out whitening has the correct skill and knowledge to execute the procedure without risking permanent damage to the teeth and gums.

It is the dentist’s responsibility to first assess whether tooth whitening is suitable for the patient and then to outlay the suitable options. Not to be recommended are the often cheaper, over-the-counter home kits, which are not always tested for safety and can potentially damage patients’ teeth and gums. Regulations differ between countries; while kits sold in Europe cannot legally contain more than 0.1% peroxide, which is too little to be effective, in other countries, stronger peroxide is allowed. Products sold over the internet may contain damaging acids and abrasives, which can attack tooth enamel.[3]

Many people turn to unregulated methods as they regard dental costs as prohibitive. In the past, it was possible to choose from only a limited selection of products. However, there are now many different options available, making teeth whitening more accessible and affordable than ever.

Professional teeth whitening options available include teeth whitening trays, gels and strips. Common in most dental practices, tray whitening offers patients a brighter, whiter smile and improved appearance with no side effects. Initially a customised whitening tray, similar to a gum shield is made. This is then taken home and used in conjunction with a bleaching gel. The gel is regularly applied over two to four weeks and worn for between 30 minutes to an hour.

Likewise, teeth whitening strips are a great choice to offer patients. Representing the latest innovation in whitening technology, Professional Whitening Strips from WhiteWash Laboratories contain the optimum amount of whitening gel to simply, safely and effectively whiten patients’ teeth. With a unique and gentle mint-flavoured whitening formula and slow release ingredients, the cost-effective and comfortable strips provide reason enough for a more radiant and whiter smile within only 14 days!

In addition, products that can maintain healthy teeth and enhance their appearance are of paramount importance when encouraging patients to sustain an effective oral hygiene routine. The WhiteWash Laboratories range of oral care products includes brushes with ergonomically contoured handles to fit the shape of the hand and fluoride toothpaste that can help to remove surface stains and restore teeth back to their natural whiteness.

Advocating a good oral hygiene regime will reap long-lasting benefits for your patients, promoting strong teeth and gums and keeping teeth whiter for longer. With newfound confidence on board, a sense of ease will prevail, mental well-being will improve and relationships will flourish. And that is definitely something to smile about!

For more information call 0844 68 69 150, email

This email address is being protected from spambots. You need JavaScript enabled to view it., or visit www.whitewashlaboratories.com

Whether it is an idea or a plant, when something takes root, it hopefully grows and develops. If all goes well, a healthy future can lie ahead, but if damage occurs, the outcome may be disappointing or worse. Because roots are often invisible, problems can lie hidden and cause difficulties.

When it comes to teeth, endodontics involves the treatment of root canal problems, while periodontics deals with the “prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of teeth”.[i]

Although periodontal disease attacks the gingiva, it has additional, sinister potential. The relationship between periodontitis and endodontitis has been described as a continuum i.e. “a continuous sequence in which adjacent elements are not perceptibly different from each other, but the extremes are quite distinct”[ii] and this aspect was considered in a review of 2008.[iii] This inter-relationship has “aroused much speculation, confusion and controversy” and the review looked at various aspects, including the cause and development of perio-endo lesions. In respect of periodontal lesions on pulp, the review notes that while factors relating to the evolution of these lesions can vary “it is widely accepted that microbial agents are the main cause”.  In relation to the transmission of disease between pulpal and periodontal tissue, it also observes that there are studies that showed “microbiological similarities between infected root canals and advanced periodontitis”.

Where there has been root canal surgery, periodontal disease may go ‘underground’ in the form of apical periodontitis. In a French study of 1035 root-canal treated teeth, apical periodontitis was found in 33% of the treated teeth, with only 19% of the teeth found as receiving ‘adequate endodontic treatment’.[iv] The relationship between the quality of root canal treatment and the prevalence of apical periodontitis was also considered in a Palestinian study where 15.1% of teeth examined “had radiographic signs of apical periodontitis”.[v]

With regard to treatment when apical periodontitis has occurred, the Quality Guidelines of the European Society of Endodontology[vi] note that “treatment is aimed at restoring the periradicular tissues to health: this is usually carried out by root canal treatment”.

The treatment of periodontal disease is very important, particularly bearing in mind the observations of the 2008 review.[vii] Treatment depends upon the disease type and “no single treatment approach can provide the only means of any one or all periodontal diseases”,[viii] with different treatments being appropriate for different sites including good oral hygiene, antibiotics, and/or root planing and scaling. However, given that microbial agents can play a part in the evolution of perio-endodontic lesions, combating these agents is important, and scaling and planing may not necessarily be adequate.

An adjunctive treatment may also be needed, with the use of antibiotics as one possibility. However, given the clear links found between widespread use of antibiotics and the selection of resistant organisms, a better adjunctive treatment for periodontal pockets of 5mm or more may be a PerioChip®. Once inserted into the pocket, the wafer thin gelatin chip immediately releases a high local concentration of chlorhexidine diglucontate, continuing as it biodegrades over approximately a seven-day period and suppressing bacterial flora for up to 11 weeks.[ix] The process should be repeated at three monthly intervals if the pocket remains larger than 5mm as part of an ongoing periodontal treatment programme.

As the British Endodontic Society observe, “Endodontic treatment saves teeth that would otherwise need to be extracted”.[x] Ensuring good periodontal health can help to play a part in this and other treatments.

For more information or to contact the team behind PerioChip®, email This email address is being protected from spambots. You need JavaScript enabled to view it. or call 0800 013 2333

DPD/14/0021

Dr. James Shorrock BDS runs a successful, 4-surgery private practice in Spalding, Lincolnshire. After working with loupes for years and finding them indispensable he invested in a Carl Zeiss OPMI Pico Dental Microscope.  (The following is an extract from the unsolicited testimonial he provided to Nuview, the full version is published on their website)

Whilst attending an endodontic course a fellow delegate enthusing about microscopes inspired me to investigate the use of a dental microscope myself. After much research I concluded that the Carl Zeiss OPMI Pico Dental offered the optimum ergonomics, durability and performance for my busy practice. This system features a MORAswing mechanism to allow effortless scanning across the mouth at the touch of a finger, and a ‘varioscope’ focusing system that hugely facilitates patient positioning and considerably improves depth of field.

I met Steve Clapman of Nuview, the exclusive UK distributor of Carl Zeiss visualisation systems, at a professional event and he agreed to visit my practice and discuss my requirements. His knowledge and professionalism led me through the options, and I was impressed by his honesty, guiding me away from certain expensive features as they would be unlikely to deliver value for money in my specific circumstances. 

All Carl Zeiss Dental Microscopes are custom built, and pending delivery Nuview invited me to attend the annual 2-day symposium, held in London. As well as international speakers, there were hands-on sessions involving demonstrations of microsurgical techniques and many experts in the field to answer questions.

Steve eventually delivered the microscope and spent several hours instructing me on setup, correct posture and showing me the controls. These were very intuitive, and I was excited to get going. I was determined to fully exploit my investment and not just use it for the occasional tricky endo or crown preparation. I started with checkups the following morning.

Looking ‘forward’ and working ‘down’ was a little alien at first, but the advantages were immediately obvious. Even with only a 4-6x magnification the excellent axial illumination and perfect optics showed the slightest differences in enamel translucency, early subsurface demineralisation and even interproximal caries, while filling defects, failing crown margins and fine cracks literally jump out at you.

The perio probe graduations are easily readable, soft tissue variations are instantly evident and anything of interest can be quickly snapped with the attached SLR, to be shown to the patient, filed for later reference, or printed to accompany a referral.   

The improvement in my posture and comfort was immediate and noticeable, although I would personally recommend the addition of a Support Stool with separate articulated armrests from BQE; 9-10 hour days now cease to be a problem!

After 2-3 days we began simple treatments, descaling and fissure sealing etc, using the microscope at around 4x so generally the whole mouth is visible as with medium powered loupes. Instrument location can initially be difficult, but I found that a sweep in of the hands close under the scope before dropping down into the mouth works well.  It took a week to develop the confidence to use a handpiece under scoped vision, but the advantages were instantly evident. You can see exactly what you are doing.

Using 6-10x magnification, the mind quickly focuses on the task in hand, you soon forget about the decreased field size. Every procedure is enhanced; for example, the very apparent fine differences in shade & translucency reduce the need to double check with a probe whether dentine is sound or carious. Damage to adjacent teeth is easily avoided as the marginal ridge appears like a cliff face next to your class 2 preparation, and a further advantage is the easy visualisation of any incipient defects in the adjacent teeth. Regularly using the scope for full crown preparations took around 2-3 months, but after completing half a dozen you soon miss10-16x magnification!   As a simple reference, at 4x you can see the whole mouth, 6x a quadrant, 10x 2-3teeth, 16x a single tooth, 20x a single canal orifice. 

Dental microscopes have traditionally been associated with endodontic procedures, and I now understand why. Pursuing my own interest in endodontics, I always strived to find the MB2 in upper molars and was probably successful using loupes about 20-30% of the time, but with the microscope this leapt immediately to more often than not.  It’s hard to overstate the difference good lighting and higher magnification make to both pre-treatment diagnosis and the potential quality of the actual outcome. Since acquiring the microscope I revisited several previous problem cases, using 16x magnification, it’s been possible to identify and remedy causes that had remained hidden even after apparently flawless x-rays and repeated attempts at correction. I have heard said on several courses – if you can see it you can do it, with a scope you can see and do a whole lot more.

After 4 months I use my microscope 75% of the time, although obviously there are occasions when the ‘macro’ picture is more relevant.  Although initially learning to work with the scope somewhat slowed me down, I am now back up to 95% of my original throughput and am confident that the overall quality of my work is considerably higher. It has been possible to undertake more complex procedures with confidence without the need to invest in additional instruments or attend lots of additional specialist courses.

In spite of the capital cost, I can heartily recommend the investment as a sound career move to any dentist who takes pride in their work, likes to be comfortable during their working day and puts quality patient care first.

I would be happy to discuss how to integrate a microscope into your daily practice and am easily contactable at This email address is being protected from spambots. You need JavaScript enabled to view it., 

For more information please call Nuview on 01453 872266,

email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.nuview.co

Promtemp Crown from 3M ESPE – “It just makes perfect sense”

Dr Anoup Nandra from Edgbaston Dental Care in Birmingham has been impressed with Protemp Crown temporary material from 3M ESPE for many years.

“I first came across the material seven or eight years ago – few seemed to know about it at that time but it certainly had a ‘wow’ factor and I thought it was a great product.

“I have been using Protemp Crown routinely for the last two years now and I like everything about it – it just makes perfect sense. I am able to choose a pre-made crown that not only looks good but that also fits well. It is easy to use, easy to manipulate, the occlusion is always good because the patient’s mouth is used to help achieve good positioning: it just works exactly as it is designed to do so.

“Other temporary restoration techniques can be fiddly, messy and much more time-consuming. Protemp Crown material requires little time to place, offers really good aesthetics and it is long lasting– it is like a permanent crown. If circumstances require a patient to keep a temporary crown in place for some time, this is the perfect indication for this material – I am very confident leaving this in place, a lot more so than I would be with a normal chairside created temporary restoration.

“As a result, I already routinely recommend Protemp Crown to other practitioners.”

For more information, call 0845 602 5094 or visit www.3Mespe.co.uk

On Friday 20^th June, Sparkle Dental Labs welcomed a selection of esteemed professionals to its remarkable premises in Leeds. The event presented a fantastic opportunity to celebrate both the company’s first year of business as well as its successful drive for dental technician apprenticeships.

MP for Harrogate and Knaresborough, Andrew Jones, was in attendance and commented:

“Apprenticeships are one of the most important parts of education in Britain…I believe few sectors will however create as much excitement and as much drive as the dental laboratory industry has, and for that I would like to congratulate everyone involved.”

Delroy Beverley, Chairman of The National Apprenticeship Ambassadors Task Force for Yorkshire and Humberside, offered high praise for Owner of Sparkle Dental Labs, Mustafa Mohammed:

“Crucially, Mustafa has recognised the need to do something… Asking for no personal accolade, he has nurtured this idea and is dedicated to providing a blueprint that shows the Government and other businesses alike, that you really can ‘practice what you preach’. Sparkle Dental Labs is a great example of just this.”

To find out more about the laboratory, or about how you can get involved with the apprenticeship scheme, contact the dedicated team today.

For any additional information from the National Apprenticeship Service, please visit www.apprenticeship.org.uk.

For more details about Sparkle dental Labs, please call 0800 138 6255, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit:

www.sparkledentallabs.com

Learn the secrets to aesthetically-driven treatment planning with Ken Harris at this year’s BACD Annual Conference.

On Thursday 6^th November, Ken will lead a hands-on session on the Kois Dento-Facial Analyser, and will demonstrate how it can be used to direct aesthetically-driven treatment plans in even the most complex of cases.

Ken says: “As a practising cosmetic dentist the use of the Kois Dento-Facial Analyser has made communication with my laboratory so much easier and quicker, so I can make smiles my patients really like.”

As it stands Ken Harris is one of only two people in the UK to have been awarded BACD Fellowship – the highest accolade the academy can bestow.

So, don’t miss out on your chance to learn from one of the UK’s top cosmetic dentists – book your place today!

The BACD’s 11^th Annual Conference will take place on 6^th – 8^th November 2014 at the ACC in Liverpool.

For further information call 0207 612 4166, fax 0207 182 7123, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.bacdconference.co.uk

The dental sector offers a unique challenge for RICS Registered Valuers when undertaking the valuation of a practice. In a market experiencing constant and rapid change, many factors can affect valuation including ownership, income mix, contract type, UDA value and location.

In order to avoid confusion, it is important to have an understanding of the terminology used by agents and RICS accredited valuers when considering a Market Value. This can include distinguishing between valuations for marketing purposes and professionally qualified RICS Registered Valuations. It is also important to understand the fundamental differences between EBITDA valuations against turnover valuations. 

A valuation for marketing purposes as opposed to an RICS Registered Valuation is a market assessment that takes competitive bidding, desirability and special purchase value of a practice into account. The value is based on what an agent considers they could achieve rather than purely on market evidence from previous transactions. In contrast to this, an RICS Registered Valuation is “the estimated amount for which an asset or liability should exchange on the valuation date between a willing buyer and a willing seller in an arm’s length transaction after proper marketing and where the parties had each acted knowledgeably, prudently and without compulsion”. It is also the Market Value that a lending institution would be willing to lend, or securitize monies against and is considered an Open Market appraisal.

An EBITDA (earnings before interest, tax, depreciation and amortisation) valuation is based on the loan serviceability of the asset. The EBITDA relates to the ability to repay the debt and costs incurred in operating the business, while a turnover valuation is based simply on a percentage of the turnover of a practice, and not its profitability.

When it comes to borrowing, although the dental industry is often referred to as a ‘green-light’ sector in terms of securing finance for practice purchases, this is founded on commercial valuations rather than proposed sale prices. It is useful to note that banks will only lend against the RICS value incorporating both EBITDA and turnover approaches and not just the predicted sales price.                                                                             

Serviceability of debt funding

When considering purchasing a practice, practitioners should be aware of the dangers in neglecting the serviceability of the debt incurred. This can result in there being insufficient monies to pay the debt down and meet practice bills, once a personal salary has been deducted. In a situation where an owner-operated practice has a profit of say £100,000 per annum, the practitioner may desire a salary of £80,000, leaving £20,000 to meet any finance charges. However, as a practice that makes £100,000 profit is likely to be worth £400,000, if the practitioner has borrowed the full value i.e. £400,000, the serviceability of such a debt on this business is going to be approximately£45,000 to £50,000 per year over ten years, resulting in the practitioner earning a figure closer to £30,000 a year. The situation is therefore not financially viable, the practitioner’s judgement clouded by the turnover value of a practice and the desire to operate their own practice. Ignoring the serviceability of debt funding can sadly result in being unable to afford the practice.

Competitive bidding

There is a significant gulf between market value – what a bank-backed valuation would amount to – and special purchase value – what an individual would be willing to pay. Indeed, due to the high desirability of owning a dental practice compared to the relatively low supply available, private individuals are often prepared to pay more than corporate bidders who are interested in the profitability and performance of a practice. This creates an environment of competitive bidding, which tends to inflate values and prices significantly.

This unique situation in the dental market causes difficulties for RICS Registered Valuers seeking to draw on previous ‘deals’ as precedents, posing further complications in the valuation process. The dental sector also demonstrates a reluctance to reveal details behind previous transactions, due to the highly competitive arena. This is in contrast to other areas, such as the residential market, where valuers might share information, providing a clear picture of the market landscape.

Freehold

Finally, freehold properties can present some of the biggest points of contention within the sector. For instance, a practitioner may purchase a residential building for a certain amount and then decide to spend a further £100,000 converting it into a dental practice. In their opinion the practice should then be worth the original value of the house plus the money spent on converting it. However, when a rent investment calculator is applied to it, it may actually only be worth a figure much closer to the initial cost of the residential building. Furthermore, because of its residential setting it could then be difficult to re-market or sell for D1 planning purposes. 

More complications will occur if looking to sell on as a residential building, as it may be worth the initial price as set by a local estate agent, but only once converted back into a residential building. This would then make the building worth less than the initial price paid for it. As this example demonstrates, the importance of understanding freehold property valuations cannot be underestimated. 

When trying to understand what a practice is actually worth, achieving a true market value assessment from an RICS Registered Valuer will always be extremely beneficial.

Christie+Co has a thorough understanding of the dental market and 15 regional offices providing a consistent approach across the country. This also allows local valuers who understand regional variances to assess the value of the asset. When looking for a practice valuation that is appropriate to your situation and that will achieve the best price, contact the experienced brokers at Christie+Co.  

To discuss how Christie+Co might help you achieve your future plans please contact Chris Vowles on 0121 456 1222

Christopher Vowles MRICS is an RICS Registered Valuer specialising in dental valuations and a Director at Christie+Co.

On the 18^th-19^th September 2014 The Academy of Clinical Excellence in Wakefield is running two one-day hands-on training courses on the use of dental microscopes.

In association with Nuview, the exclusive distributor of Carl Zeiss magnification systems in the UK, the Academy of Clinical Excellence will be welcoming renowned practitioners Dr. Maxin Belograd and Dr. Jason Smithson who will be providing lectures and interactive sessions.

Dr. Maxin Belograd is a specialist in advanced microscope dentistry and his lecture, Micro access. The new endodontic idea, will focus on how practitioners can integrate micro-dentistry into everyday General Practice.

Dr. Jason Smithson’s session, Adhesive, minimally invasive tooth coloured restorations, will present a comprehensive approach for the restoration of posterior teeth. This session will also have a strong hands-on component that will count towards 6½ hours of CPD.   

If you are excited about exploring the possibilities presented by utilising dental microscopes in your practice, book a place on the training course today.

For further information or to book on the

training course, please contact Naomi Hamilton

by calling 0845 201 1515.

For more information please call Nuview on 01453 872266,

email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.nuview.com

Online booking services are becoming increasingly popular across all areas of public provision. Cinema tickets and food shopping can be booked online, as well as hotels and air travel. So why wouldn’t you offer your patients the opportunity to do the same when making dental appointments with your practice? 

The benefits of using internet booking software seem endless. Alongside decreasing no-shows and the ability to fill last minute cancellations, comes enhanced patient perception as your practice is seen to enter the modern age. The technological advancements also allow for easier advertising methods that will reach a wider audience.

Ava Farvahari Practice Manager at Putney Dental Surgery in London reveals how working with Zesty to increase booking options enhanced her working practice.   

“Last year the team from Zesty came in to begin a three month trial of their services.

At the time the booking process we followed was always over the phone; we didn’t have any facility for patients to book though our website or online at all. We were thinking about exploring more booking options, but were not aware that such service as Zesty even existed. That people could go onto the internet, find a website and book an appointment and then get connected to us seemed incredible.

“Installing the system was very smooth: the representative was able to do everything himself. I gave him the list of patient names and he provided me with a link and my login details and then everything was set up. So now when I have a free slot in the booking schedule, all I have to do is put it onto the website and wait for it to be filled. We’ve never had any problems with the system. I’ve only had three instances where patients failed to attend, and even then they have re-booked their appointments straight away.

“Putney Dental Surgery has been open for more than 25 years and the use of Zesty has thoroughly modernised the practice, helping us to appeal to the younger generation. A lot of young people want to book everything online and not to call a practice; this is therefore the perfect portal for them to do this. It is so easy to find a local dentist and book an appointment straight away and Zesty has helped to bring in a whole new generation of patients to our practice.

“Getting new patients is what, as practice manager, I endeavour to do all the time, through networking and enhancing our online presence. Thankfully the new online booking system now makes my job much easier by streamlining the whole appointment process. But attracting new young patients is not the only advantage we have seen; current patients can also use the online booking system. I’ve had a couple of patients that booked appointments out of practice hours and it was only when I tried to add them to the system that I realised that they were already existing patients here. Zesty brought surprising benefits for advertising for our business as well.

Previously I was spending my time organising leaflets and exploring search engine key words and internet ranking to improve our website hits, which was very time consuming. But Zesty already does this and through using it, we are linked to their website to further improve our online presence.

“In fact before Zesty approached us we were looking to produce more leaflets to start the New Year, which we no longer need to do. This has obviously saved us money, which we can invest in enhancing other areas of the practice. We still plan on producing some leaflets to encourage other new patients but there is not the urgency for this as there once was, as we are now getting more and more patients all the time.

“I would recommend Zesty to any practice manager; the principal dentist here now always has a full surgery and is very impressed. The influx of new patients in the practice has been really noticeable. Whenever a booking is made online I make a note of it and all the practitioners here can see the improvement in patient numbers.”

To find out how your practice ban benefit from the introduction of an online booking system, contact Zesty today

Simply email: This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.zesty.co.uk or call 0203 287 5416 for more details of our Free Trial

As a dentist, you probably have some basic criteria in mind as to what you’re looking for in a dental laboratory. Fast turn around times, reasonable prices, and reliable quality might be at the top of your list. From what most dental labs choose to highlight on their websites, these are the benchmarks that suppliers deem most important to you as well, and ones that can possibly be met from anywhere in the world – hence the rise of dental lab outsourcing in recent years.

Arguments to and for the outsourcing of dental lab work have been made and discussed in various articles, blogs and dental publications. It’s been put forward that outsourcing dental lab work overseas may be detrimental to our local industry, and that we can’t really be sure about the quality of work or material we get when placing orders for crowns and bridges from halfway around the world. Then the flip side of the issue comes up: with all the economic difficulties in the UK today, and prices of local goods and labour ever rising, how do we expect dental practices to keep their heads above the water without turning to suitable money-saving methods such as delegating some of the work they need done to cheaper suppliers?

All these arguments raise a valid point, but in the noise from both sides of this debate, a more vital issue is lost – no matter where you choose to have your lab work done, isn’t the kind of relationship you have with your lab ever as important?

Some dentists seem to have forgotten that in order for effective dentistry to be performed, dental labs should be full practice partners to those requiring their services, and not just mere vendors selling a product needed to complete a treatment. Considering that coming up with excellent dental restoration work is the shared responsibility of both technicians and dentists, shouldn’t you seek a more personal working relationship with your dental lab of choice?

As easy as it may sound for simple restoration work to be sent off and made without the need for anything other than a lab ticket, there are of course more complicated cases that can benefit from another critical eye, and restorations that can’t really be crafted to the best standards without an actual discussion. And on the off-chance that you mistakenly omit a seemingly negligible but vital piece of information from the lab ticket, the lab you outsourced to based in a different country might not be able to get in touch with you to double check the facts handed to them.

Of course, there may be some dental labs outside the UK who do offer an effective, personal service. But more often than not, if you choose to outsource your dental lab requirements overseas, communication is unfortunately limited to lab tickets and emails. This lack of deeper communication might lead to small mistakes and even big mishaps in the end.

In an ideal world, what every dentist should be getting from their dental lab is this: a technical manager whom you can bounce ideas back and forth with and cares about the end result of your treatment; a technician who is on exactly the same page as you when it comes to ideal treatment outcome; and the feeling that you’re not performing the restoration on your own, that the lab you choose to work with views your patient as someone they are partly responsible for. In an ideal world, you should be able to call your dental lab with regards to a order you’ve placed, and have a helpful discussion with an experienced professional who can give you some input on the work you’re planning to do. But this of course is the ideal, and something that might not be entirely possible when you take factors such as economics into consideration.

For those who do deem the monetary advantage of outsourcing to be more important than the dentist-lab relationship fleshed out above, it may be enough for you to send an order off and get the restorations back at a cheaper price. But you also end up losing out when you receive a less than perfect crown or bridge from a supplier whose communication with you may have been somewhat sparse. You may have saved money on the product, but if you had to spend an extra half hour trying to make that crown fit properly into your patient’s mouth then you would have lost a considerable amount on additional chair time anyway.

And the loss can be even greater when a restoration won’t fit at all and needs to be sent back. Then you not only lose the chair time, you lose your patient’s trust as well, because as far as the patient is concerned you, the dentist, made the mistake – they don’t know that the lab you chose to work with is responsible for the unwanted outcome.

With the work dental labs provide being such a huge part of treatment outcome, it really pays to have a lab you can work with, not just send work to. Though your initial impression may be that finding such a lab with expertise and quality assurance in the UK will cost your practice way too much monetarily, you should be aware that there are options available out there today. There are dental labs in the UK that provide expertise, personal service and unparalleled quality for economical prices. Sparkle Dental Labs can be one such example, as they invite visitors to their website to call and discuss their latest cases in an effort to supply their customers with solutions for their treatment plans.

Finding a lab you’re happy to work with is a delicate balance of economics and gain. Dental laboratories are responsible for far too much of the treatment to be regarded as mere vendors to your practice, but at the same time you need to find a lab whose prices you can realistically afford over a longer period of time.

Thankfully, there are options out there that can give you the kind of service you ought to receive at better prices, making the possibility of an actual working partnership with your dental lab possible once more.

For any additional information please call 0800 138 6255 or email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit:

www.sparkledentallabs.com

Whether you are passionate about cosmetic dentistry or just want to keep up to date with exciting developments in the industry, the 2014 BACD Annual conference is the place to be. This year’s Conference will be taking place between Thursday 6^th November and Saturday 8th November at the Arena and Convention Centre in Liverpool, alongside the famous Mersey riverfront, and close to Tate Liverpool.

The focus of this year’s Conference is “Life LIKE aesthetics”. Those who attended last year’s BACD Conference may recall the theme was “Evolution of the smile” and this theme is echoed on Friday 7^th November this year in one of the many lectures that will be taking place. Presented by Dr. Christian Coachman, his all-day lecture “The smile designer: a new speciality beyond conventional dentistry” will explore the exciting new concept of Digital Smile Design which has been developed by Dr. Coachman.

Communication is a vital part of life and something we spend a lot of time doing, both with and without words. Non-verbal communication is all around us in gestures, body movement and of course, facial expressions.[1] Our expressions are an important way of communicating emotions and how we may relate to others. A baby’s first smile can produce tears of parental joy, while throughout our lives a smile can mean many different things.

Dr. Coachman, well known for his work in digital smile design, feels “there are not many things in life more important than a healthy natural, confident and beautiful smile!” As a dentist, dental technician and lecturer, Dr Coachman advocates a new and “more humanistic, emotional and artistic” face of dentistry. His approach is based not only on planning and design, but on improved communications between both specialists, and specialists and patients.

After graduating in dental technology in 1995, and then in Dentistry in 2002 at the University of São Paulo, Brazil, Dr Coachman has worked internationally. This year he will be travelling globally to destinations ranging from Russia to Japan, delivering lectures and courses on Digital Smile Design. Dr Coachman has described the DSD concept as -

“The concept aims to assist the dentist in three aspects. To improve the aesthetic planning and smile design, to improve communication between specialists involved and to also improve communication with the patient, increasing their participation on the designing process of their own smile design, motivating and educating them about the benefits of the treatment and increasing the case acceptance”.

Acknowledging that patients want smiles that not only integrate physically but are “also in harmony with their emotional aspects” the DSD concept harnesses technology readily available in most practices. It also brings together the various specialists involved to ensure the best aesthetic result.

Using digital photography and video, the patient’s face is analysed with a view to ascertaining the “ideal smile”. A presentation is then prepared using software (Keynote for Mac or Powerpoint for PC) enabling practitioners to work together and with the patient. Dr. Coachman observes: “The fundamental question is: what the patient wants to express with their smile? We can create different smile designs, each one with a specific character. The key is in discovering what is the design that will harmonize with the morphopsychological aspects of the patient.” Once the ideal smile has been agreed, a wax-up is produced to aid the design process prior to treatment.

Teamwork in all walks of life is important and for the dental team this is especially so. Indeed, the General Dental Council 2013 Standards for the Dental Team says professionals must “Work effectively with your colleagues and contribute to good teamwork.” Dr Coachman’s DSD techniques recognise the importance of both teamwork and an interdisciplinary approach between both professionals and the professional-patient relationship – an approach which he considers can help to produce a result meeting the patient’s needs as well as their emotional and aesthetic requirements.

If you would like to join this fascinating one-day lecture on Digital Smile Design, you can register and book a place by going to the BACD’s website at www.bacd.com.  Dr. Coachman says:

“I am looking forward to attending the BACD Annual Conference and the opportunity to share my ideas and concepts. My all-day lecture on the Digital Smile Design process will show how we can move beyond conventional dentistry by not only improving the aesthetic planning of smile design, but in improving communication between specialists and patients too, resulting in better case management.” 

The BACD Annual Conference is a great way to meet like-minded professionals, keep up-to-date, hear lectures presented by notable speakers, enjoy hands-on sessions and discover information about developments in the profession. Make sure you put the BACD dates in your diary and come along and participate on the 6^th, 7^th and 8^th November 2014. 

For further information call 0207 612 4166, fax 0207 182 7123, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.bacdconference.co.uk

Lifecycle marketing is a tried and tested concept for small businesses and, these principles must be applied in dentistry to attract new patients and to encourage them to keep coming back.

US marketing giant Infusionsoft has already demonstrated a huge rise in revenue when lifecycle marketing is implemented effectively, with some business reporting a 400% increase![i]

The team at 7connections understand this and have recently partnered with Infusionsoft to offer even more effective support to practices around the UK.

Together, they can help you organise, plan, implement and analyse your marketing strategy to ensure that you use the most effective tools for your business, without huge further expense. With a tracking system to measure your return on investment, you will even be able to measure and monitor your progress as you grow.

Take advantage of lifecycle marketing the easy way, with 7connections and Infusionsoft.

Quote code LC14 and book your free marketing review with 7connections today!

For more information about 7connections or the new partnership with Infusionsoft, call 01647 478145 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Alternatively, please visit the new website www.7connections.com

The Dental Directory would like to congratulate Sterling Dental College on its successful opening this May. Many esteemed professionals, colleagues and friends attended the inaugural opening evening, showing their support of the College, its aspirations and its philosophy.

As a platform for quality dental education, with a high emphasis on charity, Sterling Dental College is dedicated to enhancing the learning opportunities available to local and international communities. The College in Southall will offer an array of postgraduate training courses covering everything from endodontics to periodontics and aesthetics. It also aims to increase access to CPD activities for dentists and DCPs, providing courses in the core topics as well. All course content will be highly structured and accredited by BPP University and COLDS, so that students both from the UK and abroad can achieve qualifications recognised and managed by British standards and regulations.

Ensuring only the highest calibre of education is provided, a selection of leading speakers and instructors will deliver the programmes. The College also features state-of-the-art facilities, with brand new dental surgeries and training rooms furnished with cutting-edge equipment and a dedicated OPG unit.

The Dental Directory is delighted to have been a part of the founding of Sterling Dental College and pleased to be able to help and support the design process of the now outstanding resources.

Mike Volk, Sales and Marketing Director at The Dental Directory, says:

“With a focus on improving dental education and students’ access to it, this is a great intuitive. For our part, The Dental Directory is thrilled to have been involved with building the new Sterling Dental College, and pleased to have been able to offer the advice and support needed to ensure the best training facility possible.”

Raj Majithia, Education and Clinical Advisor to the Sterling Group, adds:

“The Dental Directory was instrumental in bringing Sterling Dental College to life. Many thanks to the team for all their help and support.”

With over 27,000 products available, The Dental Directory is one of the UK’s largest dental dealers offering everything from consumables to equipment. The highly knowledgeable and experienced team are always on hand to provide any unbiased information or advice you may need, continuing their commitment to the dental profession.

The Independently Verified Best Priced Dealer!

For more information, contact The Dental Directory on

0800 585 586, or visit www.dental-directory.co.uk.

3M ESPE has been named the ‘Most Innovative’ company in the global dental industry by The Anaheim Group, distributor of Dental Fax Weekly, for the ninth consecutive year.

The recognition was published in the 2013 Dental Industry review and was based on new product approvals and international patents – of which 3M ESPE achieved 63 in 2013.

In addition to new product clearances and patents, the review highlighted several products introduced by 3M ESPE in 2013, including Sof-Lex Spiral finishing and polishing wheels, Imprint 4 VPS impression material and a software update for the 3M true definition scanner.

To find out what solutions from the industry recognised ‘most innovative’ company in dentistry could support your practice, contact 3M ESPE today.

For more information, call 0845 602 5094 or visit www.3Mespe.co.uk

3M ESPE, Sof-Lex and Imprint 4 are trademarks of the 3M Company.

On Sunday 14^th April I ran the London marathon. Covering the miles, it occurred to me that a marathon is about more than just running– it’s about practise, training, perseverance, and pacing yourself to avoid burning out. In fact, it’s a bit like dentistry.

Recently, I feel that there are an increasing number of young dentists who have stopped seeing dentistry as a profession. They see it as a short term fix with a quick sprint for cosmetic treatment rather than a slow life long career full of learning, growth and development. Dentistry is a long-distance profession, and while it may be painful, with little gratification along the way, when you get to the finish line, it is certainly worth it.

Today, graduates sprinting for the ‘smile’ clinics and cosmetic centres are really going into the beauty industry rather than traditional dentistry, but without a general practice foundation and experience they can miss out. By contrast, because I was not allowed to undertake my Masters course until I’d completed five years in general practice, I saw a bit of everything and learnt more about dentistry and people in those five years than in any other training I’ve ever had.

In the past, there was pride in the profession, a sense of duty and a desire to serve your patients. What I see now is graduates sprinting for the spas and cosmetic centres, who are more interested in facial fillers rather than dental fillings. This rush not only to get rich quick, but to exit the NHS as quickly as possible, is a bit like entering a race without being properly prepared

Like a marathon, dentistry is very much a personal journey and doesn’t need to be competitive. It’s about being proud of what you’ve done and do, competing with yourself to advance your knowledge. It's also important to preserve a sense of balance and the realisation that this great profession is for the long term – not just for the time it takes to get out in front – can help to achieve this.

I feel the profession is up against many obstacles, one of which is that we no longer feel trusted, feeling the need to ‘look over our shoulder’ all the time, being dragged down to the ‘lowest common denominator’ by the mounting rules and regulations. I’m sure 99% of the profession want to do what’s best for the patient, but because of cuts to NHS funding, monies are limited and in the NHS life-saving procedures are likely to take priority over dentistry.  Nevertheless, teeth for the rich and dentures for the poor is not a choice that should have to be made.

Despite all this, dentistry is a great career. It is a privilege to help people, relieve pain, and make them feel good about themselves. It is also the result of a lifetime of learning, not only about teeth but about people. As professionals we can build real relationships – it may be a marathon, but it’s one worth running.

For further information please call EndoCare on 020 7224 0999

Or visit www.endocare.co.uk

Dr Michael Sultan BDS MSc DFO FICD is a Specialist in Endodontics and the Clinical Director of EndoCare. Michael qualified at Bristol University in 1986. He worked as a general dental practitioner for 5 years before commencing specialist studies at Guy’s hospital, London. He completed his MSc in Endodontics in 1993 and worked as an in-house Endodontist in various practices before setting up in Harley St, London in 2000. He was admitted onto the specialist register in Endodontics in 1999 and has lectured extensively to postgraduate dental groups as well as lecturing on Endodontic courses at Eastman CPD, University of London. He has been involved with numerous dental groups and has been chairman of the Alpha Omega dental fraternity. In 2008 he became clinical director of EndoCare, a group of specialist practices.

People are living longer. The Office for National Statistics[1] recorded that the most common age at death in England and Wales in 2010, was 85 for men and 89 for women. Between 1960 and 2010 lifespan increased by an average of eight years (female) and 10 years (male) and the number of those reaching 100+ years is increasing too. While the population has been slowly living longer, technology has been simultaneously developing quickly.

The use of CAD/CAM technology for dentistry began in the 1970s with Dr. Francois Duret who considered how technology from other industries could be adapted for use in dentistry. From there it has progressed to the integrated systems on offer today, allowing scanning, design and milling chairside, with restoration work all being performed in practice if desired. But what is the connection between dental CAD/CAM and the increase in national longevity?

Increased longevity means an ageing population. There were ten million people over the age of 65 in 2010, with a projected 19 million by 2050[2]. NHS spending on health provision for the retired is nearly double that for non-retired[3] and the dental needs of older people will continue to rise. The older generation – sometimes referred to as the ‘heavy metal generation’ - now retain more teeth and wish to keep them[4]. McHarg J. and  Kay, E.J[5]. point out that :

“Those who were middle aged in 1978, with heavily restored mouths, will have become elderly. Unlike in previous generations, the teeth are likely to be retained, albeit in a compromised state of advanced restoration, due to the restorative cycle the teeth have been involved in for the previous 40 years”.

They go on to highlight that we “face an ever growing number of very elderly people with complex oral health needs”.

In a review of dental CAD/CAM, Miyazaki, T. et al[6] of the Showa University School of Dentistry in Japan note that, with an increasingly ageing society, the continued development of technology will impact on dental services. This is in terms of the quality of life, maintenance of oral function and good quality dental treatment of older people, which CAD/CAM technology can contribute to.

The contribution that CAD/CAM currently makes to workflow and treatment times and methods is already considerable, with some restorations being completed in a single appointment. A scan is first carried out to provide digital images for the design process. This can be either via a scan of the analogue impression or alternatively, an intraoral scanner. The latter can be used to send images direct from the patient’s mouth avoiding the need for analogue impressions (much to the relief of some patients!). Once scans are sent to the imaging system the information is converted into a digital three-dimensional model from which the design process can then take place.

This digital workflow from scan to three-dimensional design removes the need for temporary prosthesis and can enable all the work to be completed rapidly. Using the dedicated software to undertake the process, a precision design can be worked out and implemented, often with the option to customize where needed.

CAD/CAM systems can also offer an integrated connectivity between all components. Once the process is complete, the files are sent to either the integrated milling machine where a crown can be produced, or to a laboratory of choice. Choosing to mill in-house provides the option to complete the restoration process in one appointment, offering both patient and dentist valuable time-saving benefits and an enhanced and technologically-driven service for the patient.

Miyazaki, et al[7] also looked at the advantages of using CAD/CAM technology. They number amongst these the reduction of labour involved in contrast to conventional laboratory production, the reduction in cost when milling from a pre-fabricated porcelain block as opposed to the laboratory process, quality control benefits, and  being able to follow up saved data which can assist with the restoration prognosis.

The potential benefits offered to a practice by a fully-integrated CAD/CAM system are considerable, but making changes can sometimes be daunting. Being informed and supported can make a difference and one such company who offers CAD/CAM systems together with accessible training and support, is Carestream Dental.  Its range of solutions can be bought separately or as a package in CS Solutions and include the CS 3500 intraoral scanner, CS 9300 and CS 9000 3D CBCT systems, CS Restore software and the CS 3000 milling machine, enabling single tooth restoration in as little as an hour. Carestream Dental also supplies CS R4 practice management software which combines the management of clinical notes, care pathways, baseline charts and more, for enhanced service, functionality and productivity of your practice.

A popular quote points out that “Growing old is inevitable, growing up is optional”[8]. Dental practices face the challenge of growing up and moving on in today’s fast moving technological environment. The fact that patients may be growing older simultaneously should not be a barrier but a motivation, to ensure that the dental services on offer grow with them efficiently.

For more information on CS Solutions or bespoke advice on CAD/CAM technologies, please call the experts at Carestream Dental

on 0800 169 9692 or visit www.carestreamdental.com

The new Product Guide Update

The Dental Directory is launching a brand new mini Product Guide Update. Packed inside its 384 pages you will find over 6,800 essential dental products – a comprehensive range of the most widely used products required by today’s modern dental practice. You’ll find innovative new products from leading brands, plus high quality own-label alternatives on a wide range of consumables, instruments and materials.

As comprehensive as this Product Guide is, there are limits to the number of products that can be featured. Our massive stock holding includes over 27,000 lines, so if you can not find what you need within the Product Guide, please call us free on 0800 585 586 or visit www.dental-directory.co.uk.

With the expertise of our knowledgeable customer service team for assistance, we offer brands you can trust at the best possible value every time. Register online today to receive our newsletter and promotions straight to your inbox.

The Independently Verified Best Priced Dealer!

For more information, contact The Dental Directory on

0800 585 586, or visit www.dental-directory.co.uk.

You may already know that The Dental Directory offers 27,000 top quality dental products at amazing prices. But now we have a series of ‘not to be missed’ 5-day promotions running until the end of July.

You will have access to an array of exclusive discounts on top selling and trusted products and equipment. Just sign up for our newsletter, send us your email address and we will make sure you don’t miss out on any of these fantastic promotions.

Ordering online is so easy and convenient – order whenever it suits you and enjoy free delivery and no minimum order value.

For fast and convenient access to great deals on brands you can rely on, look no further than The Dental Directory.

The Independently Verified Best Priced Dealer!

For more information, contact The Dental Directory on

0800 585 586, or visit www.dental-directory.co.uk.

There are around 800,000 people currently suffering from Alzheimer’s disease in the UK[i], which cost the UK £23 billion in 2012 for their care[ii]. A new study has found that patients with poor oral hygiene could be putting themselves at risk of developing the disease later in life. Providing your patients with advice on how to look after their own oral hygiene could potentially help lessen this risk.

Researchers from The University of Central Lancashire School of Medicine and Dentistry discovered a link between the disease and poor oral hygiene. During the study brain samples of ten patients without dementia and ten patients suffering from dementia were examined. The academics discovered the presence of products from Porphyromonas gingivalis in the samples donated by the dementia sufferers.

P. gingivalis, as it is more commonly known, is a bacterium found in the oral cavity and linked to certain forms of periodontal diseases. These bacteria enter the bloodstream when patients eat, chew and brush their teeth on a daily basis, and following invasive dental treatment. After entering the bloodstream these bacteria then potentially enter the brain on a regular basis.

Following the discovery of P. gingivalis in the brain samples, the research suggests that every time these bacteria reach the brain they trigger an immune system response by already primed brain cells, causing them to release more chemicals that kill neurons. These changes in the brain, which are typical of Alzheimer’s disease, could be responsible for causing symptoms such as confusion and deteriorating memory[iii].

P. gingivalis also causes inflammation of the periodontium, leading to periodontal diseases. Periodontis is a common, progressive disease that affects the supporting structures of the teeth, which can cause loss of attachment to the bone and, of course, tooth loss. It has been shown that having excellent oral hygiene means periodontis can be prevented. A study to detect P. gingivalis on individuals with periodontis and those without, found that patients with periodontis were 112 times more likely to have the bacteria present[iv]. This study highlights the importance of oral hygiene, as it prevents periodontis from developing and P. gingivalis from being detected. In turn this means the bacteria cannot enter the bloodstream and into the brain, which research suggests, reduces the risk of the onset of Alzheimer’s disease.

There are many products that you can recommend your patients use to keep their mouths healthy and free from periodontal diseases and P. gingivalis. Products, which can be used easily by a patient at home, include interdental brushes, toothbrushes, toothpastes and mouthwashes.

Patients of all ages should obviously be encouraged to brush their teeth twice a day with a fluoride toothpaste to remove plaque and food debris from interdental spaces. It is recommended that patients should spend two minutes brushing their teeth and that a toothbrush should be changed every three months. Older patients who may not have the dexterity to use a toothbrush or dental floss effectively should be encouraged to add an antiseptic mouthwash into their daily routine. This enables older patients to remove food debris efficiently and reduce bacteria in the mouth, helping to prevent the onset of periodontal diseases.

In addition, older patients are more likely to be at risk of xerostomia, which seriously increases the risk of dental disease. Mouthwashes that contain alcohol as a key ingredient are unsuitable for patients suffering from a dry or sensitive mouth, as alcohol can irritate oral tissues. For these patients a Chlorhexidine (CHX)-based mouthwash would be more appropriate as these mouthwashes are more effective at controlling bleeding, inflammation and sub-gingival plaque than other products.

However, patients using CHX-based products have reported side effects such as altered taste perception and staining of the teeth, gums and tongue. To combat these side effects, oral healthcare experts have worked extensively to create a more suitable mouthwash. One leading oral healthcare expert, Curaprox, created a mouthwash which is free of alcohol, free of foaming agent SLS and doesn’t come with any of the possible side effects that patients usually experience with CHX-based products. Their ‘gold standard’ Curasept ADS® range includes an alcohol-free mouthwash as well as SLS-free toothpastes and gels.

The Alzheimer’s Society supports the theory that good oral hygiene could help reduce the risk of developing Alzheimer’s in the future, but believes more research is needed into the area. The Society recommends that one of the best ways to reduce the risk of dementia is to lead a healthy lifestyle. This means eating a diet rich in fruit, vegetables and oily fish, enjoying regular exercise and not smoking[1].

As a dental professional, encouraging your patients to care for their oral health at home should be part of every day practise. But given the findings of the research, encouraging patients to care for their oral health should become even more prevalent if it can potentially reduce the risk of developing Alzheimer’s later in life.

For more information, please call 01480 862084, email This email address is being protected from spambots. You need JavaScript enabled to view it., or visit www.curaprox.co.uk

Periodontal assessments are an important part of the work of a dental hygienist. This is because all we do is based on thorough assessment, and nothing can be done without one. But while the protocols and processes for a periodontal assessment have been well established for many years now, this is not to say there is not room for improvement in the way we conduct our exams. The latest technological advances have, for example, played a major part in enhancing the care we can provide to patients in other areas of our practise, so why not periodontal exams as well?

One particular development of note in this area has been The Florida Probe – an all-inclusive computerised probing and charting system. Once you’ve mastered this simple and highly effective system, a periodontal exam can be completed in less than 10 minutes, while the innovative software is invaluable in helping to educate and motivate patients to accept the treatment they need.

The system

The Florida Probe system offers a number of advantages including the fact that only one person is needed to conduct the exam – you don’t need an assistant to be tracking for you. It also provides invaluable documentation of every patient assessed, and settings can be customised to meet the requirements of each particular case.

At the heart of the system are two key components: the handpiece and the software. The handpiece consists of a spring-loaded calibrated probe that exerts a consistent 15g of pressure. This ensures that the evaluation is uniform throughout the mouth, and helps to prevent cases of under- or over-probing. The handpiece also includes an override button for instances where you need to use your tactile perception to overcome barriers inside a periodontal pocket. This is also useful for where you need to feel for the curvatures of the root, subgingival calculus, or the general morphology of the tooth.

Readings are recorded automatically at the press of the footswitch, and you can choose to set the system to read each result out for the patient’s benefit as well as your own. Results are then displayed on the colour-coded display with different colours and markings to show recession, pocket depths, borderline areas and bone loss. The software also has a bleeding and suppuration section, which is a particularly useful tool for showing patients their level of disease activity.

Educating patients

All dental professionals will understand the importance of patient education. However as a profession it is often the case that we focus too much on informing patients about their results, as opposed to actually engaging them with their oral health. Periodontal exams are an excellent example of this. Conventional periodontal charts will generally take the form of a graph, that (let’s be honest) means absolutely nothing to patients – they see numbers and lines, but these things mean nothing to them.

It’s in areas such as this where technology really can enhance the quality of care we can provide. By tracking results visit-on-visit patients can see for themselves the progress they’ve made, via visual indicators and ‘scores’ that the system can read out. Bleeding scores especially are a good way to track progress. While we are of course hoping to achieve pocket reduction, our focus should be a reduction in bleeding. For patients, a reduction in bleeding means we are ‘winning’ with the treatment. This is where technology really shines over conducting exams by ‘traditional’ methods. The Florida Probe is particularly useful in this regard as it supports you in your efforts to motivate and engage patients with their oral health. If patients can see their scores coming down each time you know that your patient is ‘on board’ with you, and your treatment is more likely to end in a successful long-term outcome for the patient.

Communication is key

As with any piece of technology, an electronic probing and charting tool is only as good as the operator using it. The key then is to really focus on communication and explaining to the patient precisely what you’re doing and why you’re doing it. It is at the point that you can then show patients how you will use technology to assist you in your efforts – to support you with your periodontal exam. In this sense then, The Florida Probe is an excellent means of validation. If patients don’t quite appreciate that they have severe levels of bone loss, to have a computer confirm your assessment takes oral health engagement to a new level.

The future is here

In order to successfully evaluate and treat patients’ periodontal condition, first you need to have the patient ‘on board’. This is just as important as your clinical skills as an engaged and motivated patient is crucial to determining the final outcome of the treatment. With the latest developments in electronic probing and charting we now have a new set of tools to put to use to help us in our day-to-day work. By taking advantage of systems such as The Florida Probe we can chart accurately and efficiently, in less time than ever before. We are also able to draw upon a whole range of audio-visual tools to assist us in our educational mission, to help actively engage patients with their oral health, and so provide a better standard of care as a result.

For more information call Clark Dental on 01268 733 146, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.clarkdental.co.uk

About the author:

Flo Couper is a dental hygienist with over 15 years’ experience. She is a member of the Cherrybank Dental Spa team and Fresh Smile Clinic, Scotland’s first independent dental hygienist clinic. At Fresh Smile Clinic she has was responsible for the launch of the clinic, the day to day running and developing and implementing processes and protocols.  She has also recently set up her own business to provide dedicated coaching and training services to dental teams. You can follow her on Twitter @FCouper.

Beginning any building project comes with a plethora of hurdles and hazards to watch out for. This is especially true for professionals, such as dentists, planning a new practice or renovating an old one. The first question often is: Where do I start? 

It has always been essential that when beginning a building project a dentist should sign a contract with their chosen builder. In the past and up until very recently, the contract of choice would have invariably been a Joint Contracts Tribunal (JCT).

This is a well-rehearsed, finely tuned document created for balance and fairness to both the contractor and client. It very clearly encompasses for each party what must be done, by when, by whom and for what price, and as with many contracts the real benefits only come to the forefront if there is a dispute.

A definitive aspect of a JCT is the strict adherence to procedure. A dentist may want the builder to change certain aspects of a project, but what a JCT does is state that there is a clear process of information that must be followed in order to do this. They cannot simply approach the builder themselves but must go through a contract administrator. The dentist can potentially fall foul of the contract if they stray from this course.

Another element of a JCT to be aware of comes toward the end of a project, when seeking documentation of practical completion. This signifies that all the works in the contract have been carried out and that the defects liability period can begin. This can only be achieved once the contract administrator is in receipt of all the certification manuals for the building’s mechanical and electrical infrastructure, thus indicating that the building can now be used for what it was originally designed for.  

This can be a disputable area, as what the builder believes is practically complete could be seen as a matter of perspective. The contract administrator therefore has the right to deny practical completion until issued with all the manuals. This can prove onerous for the dentist, who will be keen to attain his CQC inspection and sign-off, but cannot proceed until in receipt of building regulations and fire certification etc.

Upon practical completion there is a list drawn up of any defects in the building and these must be dealt with within the defect period. This is written into the contract and may be 3 months, 6 months or even a year.

When there is a problem within that period there are 3 categories where the contractor must respond within certain time limits. From ‘emergency’, which must be responded to within 24 hours, to ‘urgent’, to be dealt with within 7 calendar days, and finally ‘non-urgent’ where the contractor has 31 days to take action. Obviously a good contractor will try and do everything as quickly as possible, but they don’t have to under a JCT.

In the past contractors have found themselves at the wrong end of practical completion and defect liability, not receiving their final payment until considerable time after because the client was unhappy with a certain portion of the project. This is in spite of there being a retention clause in a JCT to cover defects.

Recently, however, there was a revision to the construction act that came into force in the latter part of 2013 and included JCTs. The act gives contractors entitlement to be paid their entire application, irrespective of whether the figures are correct or agreed, if they have not received a payment certificate by the date prescribed in the contract.

In other words if nothing was written in the contract about final payment dates, the dentist would have to pay the contractor within a set time. Under a JCT this can be as little as five days after the interim valuation date, and twelve days after practical completion.

What this means is that a smart builder who has a sharp quantity surveyor can make the documentation complicated by adding in figures that weren’t previously there, putting pressure on the client to overpay. A dentist could spend the whole twelve-day period trying to work through the numbers, and end up paying the entirety, even if it’s wrong.

This is where, in more recent circumstances, a JCT may no longer be the most suitable option. A client who chooses to take more time to look through the details of the application would be in opposition to the contract. If this were to go to court, many judges would now uphold the terms of a JCT, making it a pretty powerful weapon against the client.

Thus after many years of JCT contracts seeming to be the strongest option for a dentist beginning a building project, it would now seem to be worth getting a new contract written. Ideally, one that is not under the rules of a JCT and does not include such awkward timing aspects.

Of course, this may incur some additional cost; the dentist would need a solicitor to draw up the new contract, but it could well be a better means of dealing with a project in the future. Certainly there are benefits to the contractor in using a JCT, as it now appears strongly weighted toward them, but it has recently become harder and harder to see the benefits to a client. The best way to ensure the dentist’s needs are suitably met, whilst getting the builder on board is to write a separate contract where arbitration can be agreed.

All in all, there are so many particulars and potential stumbling blocks involved when beginning building work on a profession practice, that it can seem overwhelming from the offset. An architectural design service will be able to help navigate the pitfalls of such an endeavour. Advisers at Roger Gullidge Design are committed to helping dentists achieve the very best results, and dentists will undoubtedly benefit from their experienced guidance.

If you are looking to build or refurbish your practice, clearly consideration needs to be made in selecting the best contract available to you. Working with a specialist really could save you significant time, money and stress.

Roger Gullidge Design is a specialist design and project management consultancy specialising in the dental sector. Call 01278 784442 for more details or visit: www.rogergullidgedesign.com

Soon to commemorate its first year in UK dentistry, Sparkle Dental Labs has already earned a reputation for quality service and commitment to the profession. MP for Harrogate and Knaresborough, Andrew Jones, will be visiting the laboratory this year to help celebrate its fantastic achievements in such a short space of time.

In addition to already establishing dedicated and highly qualified professional teams in the areas of orthodontics and implants, Sparkle Dental Labs has demonstrated an absolute commitment to education and the provision of quality learning opportunities. While ensuring on-going training of the whole team, the laboratory has also become one of the first in the UK to get involved with the Government’s new Trailblazer Apprenticeship Scheme.

Trailblazer Scheme – New Opportunities

Designed to initiate the improvement and development of apprenticeships in 29 different sectors, the project is focused on creating new opportunities both for the public and UK organisations. Particularly beneficial to those less suited to academic learning, the programme will provide a fantastic option for people to gain new practical skills and qualifications, while earning at the same time.

As 47% of graduates are thought to find employment in non-graduate jobs in the first six months[i], the apprenticeship scheme will also offer an effective option for young people looking for employment and a promising new career.

Employer-led, the Trailblazer initiative will offer a wealth of advantages for companies who take part as well. Not only will apprentices become experienced and highly skilled employees on completion of their training, but it has been statically proven that apprenticeships increase productivity[ii] and reduce staff turnover[iii]. Increased loyalty and a better understanding of the company and its ethics all contribute to a more reliable and happy workforce, encouraging stable and highly efficient productivity for increased profits.

Strengthening the dental lab industry

With hundreds of dental technicians believed to be leaving the UK profession each year, concern is growing over the amount of work sent overseas. This Trailblazer Apprenticeship Scheme is a fantastic initiative to train new professionals in the sector, strengthening the industry once again, and Sparkle Dental Labs is keen to help lead the way.

For any additional information please call 0800 138 6255 or email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit:

www.sparkledentallabs.com

The Royal College of Surgeons of England (RCS) is offering a limited opportunity for 12 dental professionals to participate in their Diploma in Advanced Dental Implantology. Developed by a team of internationally renowned clinicians including  the likes of Patrick Palacci, Jonathan Parkinson, Paulo Malo, Nikhil Sisodia, Joe Bhat and Rishi Patel and more, the highly anticipated programme for the Diploma in Advanced Dental Implantology will commence this September in London.

The course will challenge participants to reflect on and record the decision-making process required to ensure optimal chances of success in complex cases, and will be supported by worldwide leading dental product supplier Nobel Biocare.

Delivered by the prestigious RCS, course participants can also expect state-of-the-art training facilities and first-class tuition from truly inspirational professionals in advanced centres in the UK, Lisbon and Marseille.

To find out whether you have sufficient experience and skill to apply for the course, visit www.rcseng.ac.uk/fds/courses. With limited availability for such a fantastic opportunity, places will be allocated by competitive entry.

For enquiries or applications, please contact the FDS Education department at the RCS on 020 7869 6815/6814/6813 or This email address is being protected from spambots. You need JavaScript enabled to view it..

For more information on Nobel Biocare please call 0208 756 3300 or visit www.nobelbiocare.com

Sparkle Dental Labs is delighted to be celebrating its first year in the UK dental industry.

Andrew Jones, MP for Harrogate and Knaresborough will be attending an event in June to congratulate the team and help them celebrate 12 months of success.

In its first year, Sparkle Dental Labs has already established dedicated and highly experienced teams for both orthodontic and implant work, ensuring outstanding standards for all products crafted.

The laboratory has also fully embraced the Government’s innovative Trailblazers Apprenticeship Scheme, demonstrating its total commitment to first-class education and training and the creation of new learning opportunities throughout the UK.

To find out more or to discover how you could benefit from working with a laboratory so devoted to dentistry and education, contact Sparkle Dental Labs today.

For any additional information please call 0800 138 6255 or email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit:

www.sparkledentallabs.com

This year’s Essex Dentist Ball will be held on 28^th June in the stunning location of Hylands House, arranged by Pure Orthodontics of Chelmsford in partnership with the BDA Benevolent Fund. The prestigious black tie evening will provide entertainment all night with a raffle and auction, while raising money for a fantastic cause.

All funds from the event will be donated to the BDA Benevolent Fund, enabling the charity to continue its invaluable work with dentists in times of need.

The Fund provides financial support, with one-off and monthly grants to help pay living expenses to dentists and their families.  Whether professionals have fallen on hard times due to bereavement, illness or other unforeseeable events, the Benevolent Fund is there to offer hope when there’s no one else to turn to.

To get involved and show your support for the BDA Benevolent Fund and colleagues in need, book you place at the Essex Dentist Ball 2014 today.

For more information about the BDA Benevolent Fund
call 020 7486 4994, email This email address is being protected from spambots. You need JavaScript enabled to view it.
 or visit www.bdabenevolentfund.org.uk

All enquiries are considered in confidence.

Registered charity no. 208146

If you are a leader in your field with a special interest in:

• the benefits of zinc and chlorhexidine in combating VSCs
• advocating the use and benefits of a product that can relieve halitosis
• participating in peer group opinion, debates and ideas development
• commenting  and supporting halitosis management products in publications and at events

Then you can join CB12 in championing the management of halitosis.

To talk about this exciting opportunity and for more information please contact Neil Lawrence by email at This email address is being protected from spambots. You need JavaScript enabled to view it.

Dr Andy Wallace qualified as a general dentist in1998 in Queen’s University in Belfast. For the first 6 years he worked in an NHS practice and then, approximately ten years ago bought his first practice just outside Belfast.

When I first began to be interested in cosmetic dentistry I attended a lot of courses, the majority of which were based on ceramics and composites. However, I found a lot of the invasive and damaging procedures involved to be outside of my comfort zone. For the majority of my patients seeking cosmetic improvement I found that veneer treatments were not appropriate, as they tended to be very invasive and destructive. 

In late 2008 I read an article on Inman aligner treatment and managed to get a place on one of the first training course in the UK for this type of procedure. That course has really transformed my professional approach to dentistry and I have since attended numerous courses on different aligner and fixed bracket systems, focusing on minimally invasive cosmetic techniques. Recently I have also been involved in the teaching side of some of these treatments.

I think that in order to move forward the industry really needs an organisation that is not based around one particular system or company; one that is truly independent and free from bias or profit seeking. This will help provide focus on promoting good ethical treatment and give dentists a sound footing to practice from. This could also provide a forum for dentists of varying levels of skill and expertise to share their knowledge and experience with like-minded practitioners and specialists who have a passion for minimally invasive, aesthetically focused orthodontics.

I initially became aware of the European Society of Aesthetic Orthodontics (ESAO) following the adverse press that had been directed towards general dentists providing orthodontic treatments. I saw that an organisation was being put together to put forward the views of those dentists providing cosmetic orthodontics, it intended to drive forward the education of dentists performing cosmetic orthodontics, and offer them support and mentoring – I thought that this was a fantastic idea and so attended the inaugural meeting in December 2013, signing up to become a full member on the same day.

The organisation’s aim is to benefit any ethical dentist offering any type of cosmetic orthodontics. Through its courses that are designed to help form a better understanding of the available treatments and procedures and through increasing the perception of aesthetically focused orthodontics within other areas of the profession. Of course, as dentists we should practice within our competencies, but that doesn’t mean that our competency should remain static, that we shouldn’t want to incorporate new things into our daily practise.

The ESAO is therefore also a great platform for those that are involved the education of cosmetic orthodontics and who want to drive the profession forward through teaching. I have been fortunate to have been given the opportunity to participate in some of the teaching and I will be speaking at the next conference in June, discussing safer and more ethical enamel reduction, as well as providing a programme for nurses on record keeping through photography.

For anyone interested in the provision of cosmetically focused orthodontics an organization like the ESAO could prove invaluable. To find out more about the organisation and the courses it provides visit the website today.

For more information visit esao.co.uk or email This email address is being protected from spambots. You need JavaScript enabled to view it.

When selling your dental practice there is a seemingly endless maze of considerations and potential stumbling blocks to navigate. Without help and expert advice, you will find yourself stuck in the middle of this labyrinth not knowing where to turn.  

However, with a little knowledge and experience some confusion can be avoided. Here are a few relatively simple tips that will help to facilitate the smooth sale of your practice for the maximum value.

1. Get the price right

Valuation and pricing your business correctly for the market is paramount. Expert advice in this forever-fluctuating arena is equally important. Virtually all buyers will have undertaken an independent valuation before purchasing a practice; if your price is unrealistically high it will get knocked down, so it is important to get it right first.

The trick is to think like a buyer. Looking at your own business through critical eyes and as if you were the purchaser, will give you an insight into what others might see. Ask yourself: how does it look and feel? Is it fit for purpose? First impressions of the practice are very important and the asking price is a significant part of this. View other practices from similar price ranges: would you consider them to be a bargain, fairly priced or overpriced? Your expert adviser will have comparable evidence from which to draw – the more experienced the adviser, the more evidence there will be.

2. Ensure the property is in order

Making sure that your property lease is in order and that you have sought out clear and succinct advice is also important. For instance, if your property is leasehold, are you offering a sufficient lease term to make it worthwhile for the buyer?

It is also worth checking that all regulatory data is accurate and correct. Your practice clearly wouldn’t be trading if you weren’t CQC and HTM01-05 compliant, but do you have all the necessary documentation to hand should you need it?

3. Ensure all operations are in order

Every experienced buyer understands that all businesses have their own staffing challenges and issues, so absolute honesty is the key to maintain the credibility of your business valuation. If you paint too perfect a picture then a potential buyer may be suspicious. Equally, if you have got a lot of staffing issues, then this can present problems as well.

If the practice has vacancies then highlight this. If you choose not to replace missing associates, turnover will go down and the value of the business will follow suit. Too much vacant chair space will cost you in the long run and will be reflected in your income and valuation.

4. Planning and preparation

Preparation is key; this is the most significant aspect of getting ready for any sale. Insufficient planning and preparation may ultimately cost you. Many deals are agreed quickly but end up going nowhere due to a failure to sufficiently plan in advance.

It is important, therefore, to collect all the key pieces of information a prospective purchaser might want. One of the most fundamental considerations in any sale process is making sure that profit and loss accounts are relevant; any NHS vital signs reports need to be up-to-date, and all other due diligence information that any reasonable buyer will want should be available and easily accessible.

5. Get your adviser right

The best option is always to turn to a company who can offer both marketing expertise and professional accountability; an agency with experience in the dental sector and that also has professional accreditations is ideal.

By turning to a company that understands the dental industry like Christie+Co, you can be sure that all considerations are covered and your best interests as a seller come first.

To discuss how Christie + Co might help you achieve your future plans please contact Simon Hughes on 020 7227 0749

BIO:

Simon Hughes joined Christie + Co in 1987 and has responsibility for the further expansion of its brokerage services into the Primary Care sectors of dentistry and GP surgery sectors. In the past three years, Christie + Co has advised, valued or sold almost £1 billion worth of businesses. Simon heads up a dedicated team of specialist advisers and agents based in regional locations throughout the UK.

The demand for GDPs offering orthodontics for cosmetic purposes has dramatically increased in recent years and the treatment options available are increasing too.

The European Society of Aesthetic Orthodontics (ESAO) offers general dental practitioners the opportunity to enhance their knowledge and experience of aesthetically focused orthodontics to aid in its provision.

Dr Nadim Majid, the Communications Director of the ESAO states:

“At the moment there are a lot of companies that provide orthodontics and aesthetically limited orthodontics and until recently there didn’t seem to be an umbrella organisation that could offer unbiased advice and guidance for GDPs.

“Our organisation aims to bring impartial training and education to those dentists who want to build upon their core knowledge of aesthetic orthodontics. The ESAO supports ethical dentists who wish to offer minimally invasive treatments, and also voices any concerns from dentists and patients.”

For more information on offering aesthetically focused orthodontic solutions and for details of upcoming ESAO events visit the website today.

For more information visit esao.co.uk or email This email address is being protected from spambots. You need JavaScript enabled to view it.

Exclusive to The Dental Directory, BurButler bur stands are the perfect storage and sterilisation system for all types of bur.

Designed by a practising dentist, you can be sure of its practical usage and efficacy in every day practice. Its patented hole design allows safe and secure storage of any bur, regardless of shank type and the silicone block has an ideal non-slip surface that facilitates easy placement into each hole.

The BurButler resists distortion at high temperatures and is fully autoclavable and, unlike other bur storage systems on the market, the BurButler’s transparent lids (available separately) are fully autoclavable too.

Available in seven colours to match your surgery aesthetic and in five sizes of 5, 10, 20, 40 and 60 holes, the BurButler fulfills all your bur storage needs.

Contact The Dental Directory today to find out more about the BurButler – a bur management system that you can trust.

For more information, contact The Dental Directory on

0800 585 586, or visit www.dental-directory.co.uk.

For your total peace of mind, The Dental Directory has been independently verified as the best priced dental dealer in 2012 and 2013.

The Dental Directory is here all year round to ensure you receive the best products at the best prices.

The latest issue of our bi-monthly Inside Ortho flyer offers an exciting choice of products ranging from innovative bracket systems to high quality hand instruments. Inside you will find special offers on the exclusive Pink Line range of standard and self-ligating bracket systems, molar bands, archwires and buccal tubes. The Pink Line range offers fantastic value for money without compromising on performance or patient comfort. Take a look today and see how much you could save.

If you need advice or more information about a product, our dedicated Orthodontics Product Manager and nationwide team of business consultants are here to help.

Our comprehensive range of quality orthodontic products is competitively priced and everything is delivered free with same day dispatch for orders placed before 5pm.

Independently verified as the best priced dealer, you can trust The Dental Directory to look after your professional needs and your budget.

The Independently Verified Best Priced Dealer!

For more information, contact The Dental Directory on

0800 585 585, or visit www.dental-directory.co.uk.

With the popularity of facial aesthetic treatments growing daily, The Dental Directory provides a quality service you can trust. 

From skin peels to dermal fillers and cosmeceuticals, these are just some of the wide range of essential products The Dental Directory provides, ensuring quality every time and making sure you get outstanding results.

Parneet Sehmi, principal dentist at Hermes Dental Clinic, London says:

“I’ve used The Dental Directory for all my other dental services but I started using its facial aesthetics range two years ago. The Dental Directory provides a wonderful service, supplying us with the facial aesthetic products I need at a great price. The local rep, Zara, goes above and beyond what is required and I would highly recommend them to any dentist who offers facial aesthetic treatment.”

 The Independently Verified Best Priced Dealer!

For more information, contact The Dental Directory on

0800 585 586, or visit www.dental-directory.co.uk.

The inaugural opening of Sterling Dental College proved a fantastic evening, with an array of esteemed professionals, colleagues and friends in attendance. Designed to offer a high standard of education while promoting charity and access to training for everyone, the new College will enhance opportunities available to the local communities. The content and material of each course on offer at Sterling Dental College is accredited by BPP University.

Dr Maher Almasri, Director of the Faculty of Dentistry at BPP University-School of Health, Director of Implant Dentistry Programme at Warwick Medical School and Honorary Principal of Sterling Dental College said:

“The main aim of Sterling Dental College is to enhance dental education with a focus on charity. The vision is to promote oral health and prevent oral disease through education. This will help to increase awareness of oral health in the local communities. The college will provide a range of educational resources and forge links with other providers including BPP University, Warwick Dental and City of London Dental School.”

Amongst the distinguished guests attending the opening were Lord Indarjit Singh of Wimbledon CBE, The Right Honourable Virendra Sharma, MP for Ealing and Southall and Dr Onkar Sahota, member of the London Assembly and a general practitioner in Southall, who all offered kind words about the College and everything it aspires to achieve.

 Lord Singh commented:

“I have been happy to witness the progress of the Sterling Dental Group and the wonderful charitable work it performs, extending learning opportunities for all groups. I think facilities at the College are outstanding – I am amazed and delighted.”

Mr Virendra Sharma MP added:

“I am pleased to support this new initiative. Its vision will help build relationships not only between the profession and the people in Britain, but also in India, so that all the students can work together.  We can therefore take values and ethics from both cultures to help deliver good education to all.”

Dr Onkar Sahota added that he is very much looking forward to the multi-disciplinary approach to health care and that this project will enhance patient care and wellbeing.

Guests at the opening had the chance to meet and network with others while being offered delicious buffet-style food. Attendees were able to view the brand new state of the art facilities throughout the premises, which included a fully equipped skills room with operating microscopes and dedicated training surgeries.

In the conference room, guests were welcomed to the official opening and introduced to the core values and beliefs of Sterling Dental College.

After a few words from Mr Virendra Sharma MP, eminent speaker Professor Nairn Wilson CBE took to the podium to discuss ‘Anticipated changes in the clinical practice of dentistry’, once again highlighting the need for top quality education and training for the next generation of dental professionals.  About Sterling Dental College he said:

“I have been a clinical academic all my life and I have always been a great believer in education, continuing professional development and innovations such as this initiative, so I am delighted to see the new College. This is a group with a real entrepreneurial spirit and a commitment to education for professional advancement, which is just great.”

Respected Jasvir Singh Rayat, Sikh Minister Her Majesty’s Prison Service added:

“While there are initiatives promoting general medicine, this is the first to promote dentistry specifically within our community.  As awareness grows, Sterling Dental College will provide these professionals with new career opportunities, strengthening the connection between communities here and in India.”

Sterling Dental College also works closely alongside Sterling Dental Foundation, which is a GDC approved charitable organisation that aims to provide free education for dental graduates who are otherwise unable to receive it due to physical or financial difficulty. Sterling hopes to open its first Sterling Dental centre in India in August this year, with the first Sterling Dental conference in New Delhi in November.

Detail of the hands-on and core courses, seminars and CPD events can be found on the website, www.sterlingdentalcentre.co.uk

Delivering another exceptional event, The Dentistry Show 2014 certainly provided the vibrant learning and networking experience it has become known for.

Past President of the British Society of Periodontology, Dr Phillip Greene, described it as a ‘the best dental show of the year” with a “superb educational programme, fantastic energy and high quality international speakers”.

Principal Dentist of Braintree June McCohen also commented that “the speakers are all excellent – they are wet fingered dentists who are at the top of their game who are working in practice and there is a lot to learn from them”.

The next event will be held at the NEC in Birmingham on 17^th and 18^th April 2015.

Promising another outstanding programme of lectures, live demonstrations and more hands-on workshops, each presented by international speakers of the highest calibre, the event guarantees excellence once again.

To make sure you don’t miss out, save the dates in your diary today!

For more information please visit www.thedentistryshow.co.uk, call 020 7348 5269 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

The founder and Principal Dentist of the Stephen Dental Practice in London, Neil Stephen, recently flew out to St Lucia to help educate some of the lsland’s school communities on how to avoid dental decay.

“We took two large tooth models to help demonstrate good oral hygiene techniques to the children. The second model, donated by The Dental Directory, was very useful as Mrs Stephen and I were able to observe half of the class each with their cleaning.

“We also took balloons and timers donated by The Dental Directory, which the children absolutely loved (maybe more than the lessons!). You could feel the anticipation as we turned our attention to the brushing, with a brush, a balloon, toothpaste and stickers provided as rewards for taking part.

“We are conscious of how many charities there are, all of them needy, and are so grateful that The Dental Directory decided to assist us in helping over 300 children in St Lucia to understand a bit more about preventing dental decay.”

For more information, contact The Dental Directory on

0800 585 585, or visit www.dental-directory.co.uk

Time to consider the UnoDent Plastic Protector Safety Syringe from The Dental Directory

In May 2013, Health and Safety Regulations relating to the use of sharp instruments in healthcare came into force.  Under these regulations, unprotected ‘traditional’ sharps must be substituted whenever practicable with one that is safer, such as syringes and needles with covers or shields.

Fortunately, the UnoDent Plastic Protector Safety Syringe available from The Dental Directory has been specifically designed to prevent needle stick injuries and requires no recapping.

Suitable for administering dental local anaesthetics, the syringe comes as a box of 100 sterile needles with an autoclavable handle and six silicone washers. Available in four sizes – 27G Short, 27G Long, 30G Short and 30G Ultra Short – make the UnoDent Plastic Protector Safety Syringe your first choice.

Our dedicated and informed customer service team is ready to help with your questions and ordering requirements. Enjoy the benefits of free delivery, same day dispatch on orders received before 5pm, and an extensive choice of dental supplies from oral hygiene to digital imaging systems.

Order from The Dental Directory today – independently verified as the best priced dental dealer in 2012 and 2013

For more information, contact The Dental Directory on

0800 585 586 or visit www.dental-directory.co.uk

Planning for worst-case scenarios can be tough and confusing. It is vitally important that your choice of insurance is appropriate for you, but how do you begin to get your head around the multitude of insurance policies on the market?

Some significant types of cover for you to consider might be Income Protection, Business Partner Protection and Life Insurance.

Income Protection safeguards your earnings if you are unable to work due to sickness or injury. Allowing you to insure approximately 65% of your gross salary, it lets you maintain your standard of living should you become sidelined though ill health.

It is important to know that insurance companies describe the level of cover in terms of how ill you have to be before any money is paid out. You should always look for a policy that offers ‘own’ income protections, as opposed to ‘suited’ or ‘any’. This is the only description that ensures an income for the rest of your working life if you are unable to work as a dentist.

As Income Protection defends you against loss of earnings, Business Partner Protection (or Key-Person Assurance) look after your practice and family. For any dentist who owns part of their practice, investing in this type of cover is vitally important.

The death of a business partner or key employee will always have severe implications on any business - equally difficult might be a business partners’ diagnosis of serious illness or disability. In either situation having Business Partner Protection will ensure that should the worst happen, both your family and your business will be protected.

Finally, Life Insurance is fairly straightforward: in the event of your death the insurance company pays out the policy. The difficulties arise in ensuring that your money goes to the right people at the right time. The most effective way of doing this is through a trust, as this ensures the money goes to the people whom you want to benefit from it. Life Insurance companies can often pay a death claim more quickly if the plan is put into a trust and the money paid is even often free of inheritance tax.

With so many options to be aware of, many professionals seek bespoke financial advice in order to avoid acquiring inappropriate levels of cover. Independent Financial Advisers (IFAs) such as those at money4dentists have all the knowledge and experience to ensure you make the right decision for your future.

Whether you already have existing cover or are looking for the first time, ensure you seek out expert advice to guarantee that the best possible plans are in place should the worst happen.

For more information please call 0845 345 5060, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.money4dentists.com

Are you looking to grow your practice?

Is your current marketing activity generating a poor return?

Do you need a new and more effective strategy but don’t have the time or the resources to put it together?

Would you love to generate more patients but don’t know where to start?

At 7connections, we understand how precious your time and resources are, but we also know that you will struggle to grow your business without effective and consistent marketing. So we have done all the hard work for you….

What is the solution?

The MagicBox^TM is a comprehensive package that provides everything you will need to raise the profile of your practice and encourage more business. It offers a 12-month marketing plan all set up and ready to go, with suggested activities broken down into their relevant months ensuring a hassle-free and smooth process for you.

The package offers material to market your services in a way that both attracts new patients and nurtures the relationships you have with existing ones. While you of course are always looking to introduce new patients in order to grow your business and increase income, it is just as vital to promote additional or new treatments to people who have visited your practice for years. The MagicBox™ incorporates both hard copy and digital media to ensure you get your message across effectively to everyone, strengthening your patient-base in every way.

How does it work?

Each month a MagicBox will be sent to your practice containing a specific treatment focused campaign chosen by you and branded to your practice. You will receive detailed instructions on how to deploy the campaign across all mediums with a day-by-day planner. The Box will contain the following items:

 A TV loop for your patient lounge.

 In-house practice posters.

 Practice referral cards.

 Large format banners for the outside of your practice.

 A-Boards.

 Advert for Local Press.

 Appointment cards.

 Website banner.

 Digital Facebook, Twitter and YouTube banners.

 Digital promotional videos for social media distribution.

 Smile evaluation.

 12-month marketing plan.

 Digital and telephone support.

 Month by month implementation and return on investment tracker.

In order to measure and monitor the success of your marketing, this last feature is an important one. It enables you to track your progress and to calculate the return on your investment so that you have a record of what works for your practice.

As well as focusing each month on treatment areas such as orthodontics or teeth whitening, the packages also take into account any seasonal topics, ensuring that you don’t miss any marketing opportunities throughout the year.

All-in-all, the MagicBox™ enables you to benefit from a 21^st century design and marketing department, without the associated time, cost or energy. With all the foundations in place, all you have to do is personalise your marketing material to include your practice name and logo and you’re prepared for the year.

Book your free marketing review with 7connections today, and quote discount code MB004 to receive a 25% on your first three months of MagicBox™

For more information about 7connections and the MagicBox™,

please call 01647 478145, email This email address is being protected from spambots. You need JavaScript enabled to view it.. or visit the brand new website www.7connections.com

*Discount code valid until the end of May

Although the greeting ‘How do you do?’ has largely been superseded by a brief ‘Hi’ in society in general, healthcare professionals first enquiry should still reflect concern for their patient’s health.

Oral symptoms can often indicate systemic health issues. The 2013 Standards for the Dental Team and the current Dental Contract Reform Programme both call for a ‘holistic and preventative approach.’[1]^,[2]

 Gingivitis and periodontal disease can influence, or be affected by, many other conditions, including xerostomia or thrush. Type 2 diabetes sufferers are about 3x more likely to develop dental problems, and the risk is also increased for those with Type 1.^[3]

Responses from a  2011 study showed that of 229 diabetics who completed a questionnaire, only 15.3% flossed daily and a startling 69.1 % had not be given oral health advice relating to diabetes^[4]. More than half supported the idea that dentists could offer screening for diabetes.

Despite recent research^[5] by the British Heart Foundation refuting a direct relationship between ‘poor oral health and cardiovascular disease,’^[6] researchers at the University of Bristol and the RSCI found that when the oral bacteria streptococcus gordonii enters the bloodstream, it can cause clots and give rise to growths on heart valves.^[7]

Other common factors predispose heart disease and oral ill health. Smoking can cause gingivitis and mouth cancer, and with  1,900 people dying annually from this cancer in the UK^[8], the GDC now includes ‘Oral Cancer: Improving Early Detection’ as a recommended CPD topic.

Patients diagnosed with oral cancer should receive ‘urgent dental care before treatment’^[9] as the drugs used in chemotherapy can affect the mouth lining, with the potential for soreness, ulceration and mouth infections. Helping patients ensure their mouth is in good condition before and after treatment should include advice on oral products to reduce ulceration and soreness etc.^[10]

Sufferers from dementia and Alzheimer’s disease, as well as their carers, may also need help, reminders or advice on oral health matters.  More specifically, a recent study has identified a possible connection between the risk of Alzheimer’s disease and the bacteria porphyromonas gingivalis, which is commonly linked to periodontal disease.^[11]

 It’s evident that all dental professionals have an ongoing responsibility to all their patients to be vigilant in detecting possible systemic symptoms and offering appropriate advice on oral healthcare products and protocols. 

Curaprox offers Curasept ADS® mouthwash for gingivitis, SLS-free toothpaste to help avoid soreness of the gingiva, and the CS 5460 ultra soft toothbrush to prevent damage to the oral cavity. Pharmacist patient Miss Chow reported, “After chemotherapy last year, my gums became very sensitive. I’ve had no problem with the CS5460 however, as it is very soft and comfy on the gums and massages properly; the small head reaches all of my mouth. I really enjoy using it!”

The whole dental team should hope to hear the smiling answer, ‘Very well thank you’ to every ‘How do you do?’ question! 

For more information call 01480 862084, email This email address is being protected from spambots. You need JavaScript enabled to view it.

 or visit www.curaprox.co.uk

For accurate occlusal analysis the Tekscan T-Scan® from Clark Dental is unsurpassed.

The T-Scan is a cutting-edge diagnostic device that records your patient's bite force dynamics, including occlusal force, location and timing. The applications of T-Scan are almost endless, and you will find it useful whenever you need information on occlusal contacts including:

• Fixed prosthetics
• Occlusal adjustments
• Orthodontics
• Periodontal management
• TMD appliances

• Routine exams
• Diagnosing pain and discomfort
• Finishing cases

Not only that, but you will also find that the T-Scan is an excellent way to help you differentiate your practice, improve patient communication and reduce lost chair time due to return visits.

To find out more about this innovative ‘practice building’ product, contact Clark Dental today.

For more information contact Clark Dental on 01270 613750,
email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.clarkdentalsurgerydesign.co.uk

Diagnosing and treating pain is not always as easy or as straightforward as it may seem. Very often we find ourselves confronted by patients who may be sleep deprived, or who may have poor communication skills – both of which can be a hindrance to diagnosing the precise cause of the pain.

Another problem that we face is that pain is very emotional issue for all those concerned. When a patient presents with pain, clearly we want to relieve their suffering and help in any way we can. The problem is, as dentists we are often inclined to look for dental causes, though in some cases the pain may not be dental in origin at all. Though these cases are fairly rare, problems can arise when we intervene with the very best intentions, but are then faced with an issue that was never dental at all.

Do no harm

This topic reminds me of a feature posted on the BBC towards the end of last year. In the article we meet a patient, Ann Eastman, who unfortunately lost two teeth through misdiagnosis of her Trigeminal Neuralgia.^[1] This condition, which often mimics the symptoms of dental pain, is thankfully relatively rare, however this article shows it can be misdiagnosed – often with serious consequences for the patient.

As dentists, the first step with any treatment should always be to ‘do no harm’. As long as we are unsure of the diagnosis, we should avoid intervening for as long as possible, especially when intervention involves something as drastic as removing teeth. However, having said that, sometimes you do just have to make a call. It is a fine balancing act, and only with experience and understanding can we make a decision that is truly in the best interests of the patient long-term.  

Difficult diagnosis

When any patient presents with pain, there are a number of key questions we need to answer. Firstly, is the pain dental, or non-dental? If it is non-dental it may pain associated with the TMJ, the sinus, or something more sinister. If the pain is dental, is it pulpal or periodontal? If it is pulpal, is it reversible or irreversible? Is it vital or non-vital? Of course all of these things sound fairly straightforward until we are faced with a patient who is convinced that they have a tooth-ache, but can’t tell you whether it’s a top tooth or a bottom tooth. Even worse when on inspection you are faced with 24 crowns!

Clearly, communication is a key factor in determining the true cause of dental pain, though from our own experience, we know that pain is rarely easy to put into words. Descriptors such as ‘sharp stabbing pain’ could be pulpitic, but alarm bells should go off when the patient uses terms such as ‘electric shocks’, or if the burning pain is so severe they have to hold their face, or brings them to tears.

But even then things aren’t always black and white. There are a lot of grey areas, and a lot of different factors that we need to take into account. Though the temptation may be to ask the patient to ‘come back in a few days’ to eliminate some of the possible causes, this isn’t always practical. After all, the patient is suffering and wants an immediate solution to their problem!

No easy solution

So what do we do? As we have seen, the general problem with pain is that it can be very difficult to diagnose. Sinus pain can easily mimic a toothache – as can bruxing, or even a high restoration. The worst is atypical pain, and one of the most distressing is Trigeminal Neuralgia, especially if it appears to be a toothache. With a distressed patient who is at their wits end we really want to help, but we should not be hasty to act.

If unsure, first and foremost, we should always try and avoid intervening when the diagnosis is unclear. It’s soul destroying to see radiographs where a dentist has gone from root canal to root canal, or worse still, extraction to extraction. We should also be on the look out for ‘non-classical’ descriptors, and pain shifting around the mouth should make us particularly cautious. Better here to prescribe antibiotics to rule out infection, or cabamezipine if there is a possibility that it might be Trigeminal Neuralgia. After all, a diagnosis through medication is preferable to reaching for the drill (or the extraction forceps!)

Seek advice

As we know, great diagnosis is paramount to great practise, and does a lot to enhance our standing in the general community and to patients. Though the temptation will always be to act quickly, we need to be sure that we are always acting in the patient’s best interests. Treating pain is no easy matter, and while in most cases, the cause will be dental, if you are not sure it is always a good idea to ask a second opinion of a colleague. But if still in doubt, please, for patient’s sake, refer. 

For further information please call EndoCare on 020 7224 0999

Or visit www.endocare.co.uk

Dr Michael Sultan BDS MSc DFO FICD is a Specialist in Endodontics and the Clinical Director of EndoCare. Michael qualified at Bristol University in 1986. He worked as a general dental practitioner for 5 years before commencing specialist studies at Guy’s hospital, London. He completed his MSc in Endodontics in 1993 and worked as an in-house Endodontist in various practices before setting up in Harley St, London in 2000. He was admitted onto the specialist register in Endodontics in 1999 and has lectured extensively to postgraduate dental groups as well as lecturing on Endodontic courses at Eastman CPD, University of London. He has been involved with numerous dental groups and has been chairman of the Alpha Omega dental fraternity. In 2008 he became clinical director of EndoCare, a group of specialist practices.

Dedicated to tailoring our products and services to meet the ever-changing and increasing demands of the dental profession, we recently put our new autoclave to the test. Several dental facilities across the UK took part in a trial of the LittleSister SES 3000B autoclave, from whose feedback we were able to determine how we could exceed their expectations.

Fiona Minay, Practice Manager from Ashby and Atkinson in Shildon, was kind enough to offer the following comments:

“Of our equipment manufacturer, we would expect them to supply us not only with products we require, but to provide information regarding those product, while also having the ability to answer any questions we may have.

                                                                                                                                                                                                                                                                                                                                                            “Eschmann met all our expectations as they had full understanding of their product and the team were professional, knowledgeable and able to provide any advice and information we needed.

“We already had a good working relationship with the Eschmann’s Angie Hill, the engineer who looks after our autoclaves, so were more than happy to help out with the trial. We were also interested in what the new SES 3000B autoclave would be like to use.

“As a result we preferred working directly with the manufacturer rather than a third-party supplier because they were able to sort most things out over the phone, and had full understanding of how the product worked. By having this knowledge they were in a better position to give advice as and when needed.”

Speaking about the autoclave itself, Fiona said:

“On the whole the new LittleSister was an excellent product and performed well. All the nurses liked working with it – it was very easy to use and had a large capacity for instruments preventing a build up of instruments to sterilize. The speed of the autoclave also helped enhance workflow, enabling a quick turnover from surgery to decontamination room and allowing things to run swiftly and såmoothly.

“On the occasions where we identified what appeared to be an issue with the autoclave, the engineer was always at the end of the phone ready to help, and once the problem had been identified, was very quick to quick. The initial reason for such a trial is of course to identify and address any problems or areas for improvement prior to the full production roll out, and we were able to relay our thoughts directly to Eschmann with ease.

“We really liked what we saw during the trial of the LittleSister SES 3000B autoclave and we would be interested in purchasing one in the future once the product has been finally completed and refined from the trial stages.”

For further details on the LittleSister SES 3000 B autoclave or any other products available from Eschmann, please visit www.eschmann.co.uk, or call 01903 753322

For Dr Linda Williams, dental surgeon at the Ryedale Dental Healthcare Clinic and Implant Centre in North Yorkshire, the treatment of periodontitis is a team effort.

“For me, the relationship with a perio patient is very close anyhow, because you both really have to work in order to save the tooth – you’re both fighting the same thing and it has to be teamwork. I make sure that my patients are very aware of what’s happening, how it looks and how the disease should me monitored, I’m very particular with that.”

On Dr Williams’ team, for every periodontal treatment she gives, there are three members: herself, the patient and PerioChip®.

“I have been utilising PerioChip for the last 4 or 5 years,” she says. “When it first came onto the market I thought it was a brilliant alternative, it quickly became my first choice and it still is to this day.

“I use PerioChip in pockets 5mm or deeper, after deep scaling. I review my patient every three months to measure the pockets and for patients without advanced periodontitis, with fewer pockets and only some loss of attachment, PerioChip works perfectly. The pockets are reduced easily and I am always happy with the result.

“If I have a patient with more advanced periodontitis and deeper pockets than 5mm, I would still treat them first with PerioChip.

“My patients are delighted with the treatment. They find it more convenient than antibiotics, because it can be given right there and then whenever a periodontal pocket of 5mm or more is identified in a routine examination. My patients don’t need to fill out a prescription or remember to take medication every day. Because PerioChip is readily available and instantly applicable patients are very grateful for the treatment.

“From my point of view, I find the product easy to handle and convenient to use, and I absolutely love it. PerioChip is also predictable as you can actually see the whole process and there’s no estimating involved, as there sometimes is with antibiotic gels.

“When treating patients with periodontitis, education is everything. I inspire them to be active patients and to monitor their own treatment with me so they know what we’re doing and so they are absolutely aware of everything that’s happening. They’re like my assistants by the end. This also helps motivate patients to come back because they are more involved in their treatment and really want healthy teeth and gums.

“PerioChip is the perfect product to help treat periodontitis – it works well for me and my patients and I’m really pleased with it.”

For more information or to contact the team behind PerioChip®, email This email address is being protected from spambots. You need JavaScript enabled to view it. or call 0800 013 2333

David Worskett is non-executive Chairman of the Association of Dental Groups (ADG). With a long career both in business and the public sector, David has worked in a variety of roles, and has a broad range of board-level experience including at the RAC, at the former Engineering and Technology Board, and until recently, as chief executive of the NHS Partners Network.

Given his background in technology and healthcare, in 2012 David was invited to oversee the formation of the ADG – a specialist trade association for corporate dental companies and dental groups. The ADG now consists of 10 members, all of whom have to meet strict membership criteria, which include supporting the Government’s aim to improve high quality access to dental care, and ensuring the delivery of quality outcomes for patients in a sustainable, transparent and high quality manner.

“One of the interesting things about the dental corporate and group model, is that these organisations are in a position to take part in worthwhile initiatives more efficiently and cost-effectively than a standalone practice can,” says David. “This is partly because they can centralise their back office facilities, and insist on consistency across all of their practices. They can also take advantage of economies of scale that simply aren’t available to small or medium businesses.

“One particular area in which these groups are able to make a contribution is in the area of training. These organisations have got scale on their side, and employ large numbers of staff. It is therefore relatively straightforward to implement group-wide training strategies, put in place training programmes, day release schemes and so on, as they have the ability to cover it.”

As David points out, for any business to be successful, it needs to employ people with the skills and training to meet the demands that the job brings. This is true in every sector of the economy, including dentistry, where there is a need not only to recruit more dental nurses and technicians, but also well qualified practice managers and to give them the skills and training they need to forge successful careers.

This is a view shared by many, and is one of the guiding principles behind the Government’s new Trailblazers programme – an employer-led initiative designed to raise standards in the Apprenticeship system and so give people the skills employers need to grow and compete. When the ADG was approached to support the scheme, David and his colleagues were keen to get involved.

“Supporting the Trailblazers initiative was a complete ‘no-brainer’ for me,” says David. “Members of the ADG are in the perfect position to give the scheme the support it needs. Together with the Chair for the Trailblazers programme in dentistry, Mustafa Mohammed, and other members of the initiative, we aim to simplify the existing system and raise standards to make Apprenticeships in dentistry a really positive option for individuals and employers alike.”

While Apprenticeships may have fallen out of favour over the last few decades, according to David, they are once again returning to the fore.

“Apprenticeships today are more relevant now than they have been in a long time,” continues David. “We are increasingly becoming a technology-based society, and we need people with technical skill sets in all industries and at all levels, including key management posts to make things work.

“A degree is no longer the ‘only way’ to good employment and a successful career. With modern Apprenticeships people are able to learn real, and often very high-level technical skills ‘on the job’. This is a hugely valuable option to them as individuals – and also to the industry – and provides an excellent alternative and supplement to more academic-based pathways into careers within the dental sector.”

As David suggests, Apprenticeships aren’t just good for individuals and employers, but they also benefit the dental sector as a whole:

“In many respects the dental sector is no different to any other in that you have to invest – not just in technology, but in the people who can use it. The Apprenticeship model is an extremely good way of investing in people with the right skills, building for the future. Even if you don’t retain all of your apprentices over time what you’re doing is building up the pool of technically skilled people working in your industry. This can only be good for the industry, and for the wider economy as well.

“For many years now I think we’ve had a problem in all the science and technology based industries with the tension between the need for higher academic and technical skills. Obviously we need both of these groups, but we need to find a balance. With the Trailblazers programme I genuinely believe that in all areas it’s involved in, it’s a really worthwhile way of helping to rebalance the ‘technical skills mix’ in the way that the modern economy needs.”

As David concludes: “Apprenticeships can be a really positive thing in dentistry – not just for individuals, but also for employers and the dental profession as a whole. As such I am delighted to be involved with the Trailblazers programme in dentistry, as I believe it is an incredibly good thing, and encourage other organisations to get involved.”

To find out more about the Trailblazers programme, and how your company could get involved, contact Mustafa Mohammed via This email address is being protected from spambots. You need JavaScript enabled to view it..

Goodman Grant lawyers for dentists are doing their bit raise money for Bridge2Aid.

The team of experienced solicitors may have a wealth of knowledge and expertise in the dental sector, but this won’t help them in tackling their latest challenge.

On May 23^rd members from both the Liverpool and Leeds offices will embark on a 3 day cycle ride, taking them 180 miles across the width of the country from St Bees in Cumbria to Robin Hood’s Bay in the North Yorkshire Moors National Park. With little previous experience or training this will be no mean feat!

The Goodman Grant coast to coast challenge is intended to raise money and awareness in support of the fantastic work carried out in East Africa by Bridge2Aid. They work endlessly to provide training to increase access to dental pain relief for the millions of people suffering in the developing world.

For more information and details on how to donate please visit the justgiving site: www.justgiving.com/goodmangrantc2c.

Thank you.

For more information contact either

John Grant on 0113 8343705 or This email address is being protected from spambots. You need JavaScript enabled to view it. or

Tom Wright on 0151 707 0090 or This email address is being protected from spambots. You need JavaScript enabled to view it. 

www.goodmangrant.co.uk

NASDAL and ASPD MEMBERS

.                                         .

New from Clark Dental, the Zenium ZYO is the latest high performance operating light featuring ‘shadowless’ technology for perfect clarity of vision.

Designed with the modern practice in mind, the ZYO is the perfect blend of style and sophistication. The unit consists of six powerful LED lights that can be adjusted to produce between 5,000 and 32,000 Lux, while innovative new materials improve heat dissipation while ensuring the unit remains light and compact.

With ergonomics such an important consideration, users will appreciate the excellent freedom of movement offered by the articulating ZYO arm, which has been designed to offer maximum fluidity and variety so you can illuminate your procedures from any angle. 

The Zenium ZYO can be purchased as an LED light only as above and also offers clinicians the additional option of a fully integrated digital HD camera, complete with zoom function. This provides a high quality display via a monitor, with the ability to save dental procedures to a hard disk for review as still images and also as video clips.

Combining style, sophistication and cutting-edge technology, the Zenium ZYO is the perfect addition to any dental practice.

For more information call Clark Dental Sales on 01270 766167, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.clarkdentalsurgerydesign.co.uk

Back this year with a fresh new format, this year’s BACD Annual Conference offers more practical hands-on session than ever, combined with a selection of talented speakers, presenting on all aspects of aesthetic treatment. This includes everything from direct resin composites, to provisionals and implant-supported aesthetics, alongside a range of lectures and seminars to help you market and promote your work to patients.

Whether you are a beginner, or an expert, there will be something for you at this year’s Annual Conference, and you can be sure to leave feeling both educated and inspired by the exceptional lectures and seminars on offer at this year’s event.

Among the many outstanding speakers already confirmed for 2014 is Dr Didier Dietschi of the famous Geneva Smile Center. A renowned lecturer and key opinion leader in his field, Dr Dietschi has published more than 70 clinical and scientific papers in his career, as well as writing many book chapters on adhesive and aesthetic restorations.

On Thursday 6th November Dr Dietschi will lead two hands-on sessions on “Metal free posterior restorations: direct techniques”. These two highly anticipated sessions will give you the chance to learn from the renowned expert, and pick up hints and tips that you can take back to your practice and apply the very next working day.

Following on from his hands-on sessions, on Friday 7th November, Dr Dietschi will present a full day’s lecture on: “Indications, advantages and limits of no-prep direct bonding in a comprehensive approach of anterior aesthetics.” This lecture will include a lot of material never before presented in the UK, and is a “must attend” event for anyone with an interest in adhesive dentistry.

“The aim of my lecture is to envision realistic dentistry with a strong emphasis on tissue conservation and aesthetics,” says Dr Dietschi. “I will demonstrate a way to reach excellent results using a reliable and relatively simple procedure.”

With this lecture, delegates can look forward to thought-provoking and inspirational presentation packed full of case examples and useful tips on how to achieve high quality aesthetic results in a clinically proven, minimally invasive way.

“Delegates can learn a method based on scientific evidence and systematic clinical protocols,” says Dr Dietschi. “These methods are essential to master the application of ‘no-prep’ conservative dentistry. This is the dentistry of the future!”

As Dr Dietschi concludes: “I have designed this lecture to be both fresh and enjoyable... I hope it will be an inspiring experience!”

This year’s BACD Annual Conference promises to be bigger and better than ever before. It is a great opportunity to meet like-minded professionals, learn from the experts, and keep up to date with the latest developments in the profession. Book your place today to make sure you don’t miss out on this inspiring and highly worthwhile event.

The BACD’s 11^th Annual Conference will take place on 6^th – 8^th November 2014 at the ACC Liverpool.

For further information call 0207 612 4166, fax 0207 182 7123, email This email address is being protected from spambots. You need JavaScript enabled to view it. or visit www.bacdconference.co.uk

While the protocols for safeguarding vulnerable patients are of course essential in any healthcare setting, it remains a difficult area to address. While professionals receive a significant amount of training when studying at University, many will have little experience of such a situation in practise and so may be unsure about exactly what is expected of them.

Lisa Pilkington is a Creative Training and Consultancy Manager with The Athena Programme – a renowned training facility that educates professionals and volunteers on how to safeguard children and vulnerable adults. As a retired Police Detective with over nine years’ experience in investigating and supervising child and adult abuse, Lisa was responsible for writing the first Lancashire Police Policy on the Investigation of Vulnerable Adult Abuse, which was subsequently identified as good practice nationally by the Association of Chief Police Officers.

Lisa has previous experience sitting on Local Safeguarding Children and Adult Protection Boards, working in a multi-agency arena to monitor and update Safeguarding policies and protocols.

With an in-depth understanding of the CQC and various Safeguarding requirements for healthcare professionals, Lisa has been working within the dental industry for nearly five years now.

“The Safeguarding regulations set out by the CQC are quite generic (Outcome 7), but they bring professionals’ responsibility to safeguard patients to the forefront,” Lisa explains. “It is very much a part of their job now, and it is important that all members of the team understand what is required of them.

“The pathways that should be followed in the event that a professional suspects a child or vulnerable adult may be experiencing abuse or neglect, are as standard across the country. The line-manager or safeguarding lead within the practice should be notified, and if further information is needed or a referral is necessary, then the local Safeguarding Authority should be contacted. It is important for professionals to share their concerns with someone else, and confidential information sharing protocols should be in place and followed in such situations.”

As a sensitive area of any healthcare provider’s responsibilities, Lisa discusses the barriers that professionals need to overcome in order to act appropriately when protecting vulnerable patients.

“Professionals can often be afraid to report suspected neglect for fear for getting into trouble. Whether that’s with regards to sharing information or approaching the subject with the patient themselves, it is crucial that they have the confidence to deal with the circumstances effectively. Abuse or neglect is not always obvious and can be difficult to recognise, as well of course as being slightly subjective. For example, if there is a child patient who has 10 caries and who shows few signs of any improvement in their oral health, is that a form of neglect on behalf of the parents? If clinicians are concerned then simply speaking to another professional about it can help clarify their suspicions and help them follow protocol.”

There are also further ways of making the protocols clearer for both professionals and their patients.

“Increasing patient awareness of professionals’ duty to safeguard vulnerable people can help build practitioners’ confidence. Whether that involves placing posters or leaflets in the waiting area, or breeching the subject during patients’ initial enrolment with the practice, this can be hugely beneficial.

“For the latter, it is important to softly explain that dental professionals have a responsibility to protect their patients, and that they are simply doing their jobs should the topic ever be brought up. The more information practices can gain the better, so it may also be good to include a few questions in the registration forms such as ‘Does your child have a social worker?’. If the answer is yes, then a private and gentle conversation would be advisable – for some it may simply be to help with a disability, and for those who have been identified as a potential protection risk in the past, the practice will know to be particularly vigilant.

“When approaching the subject with regards to adults, questions such as ‘Do you have a carer?’ or ‘Who is your next of kin?’ are important. It may also be worth asking ‘Should you at any point not have the capacity to provide consent for yourself, who would you like us to ask?’. Also known as an ‘express wish’ or ‘desire’, adding these questions to the standard enrolment papers can limit the potential embarrassment caused by asking such things at a later date.

“Care Plans should also be taken into consideration when treating patients from residential or care homes, and follow ups are particularly important to ensure that the proposed treatment plan is being adhered to correctly.”

Patient consent is of course a difficult area with regards to vulnerable patients, and steps can and should be taken to ensure the highest possible quality of consent is acquired every time.

“Non-compliance with CQC regulations with regards to either Safeguarding or Patient Consent can of course have serious consequences for healthcare providers. It is therefore crucial that practices have a framework in place to show how staff should approach situations and to demonstrate that these have been adhered to. I often recommend tools such as SafeSeen Touch to help practices evidence their compliance, as the tablet removes the ‘red tape’, provides professionals with easy access to the protocols and is easy to use. Added features such as the ability to acquire e-signatures are also great for patient consent, and this makes it more convenient for professionals to seek consent for every patient at every appointment.”

It is paramount that you know and understand the Safeguarding protocols in order to help protect your more vulnerable patients. Whether you have a flowchart available in reception, an accessible hardcopy document or an electronic pathway set out, make sure you have the confidence to act appropriately if the time comes.

For more information about The Athena Programme, please visit www.theathenaprogramme.co.uk or email Lisa at This email address is being protected from spambots. You need JavaScript enabled to view it.

For more information, please visit www.safeseentouch.co.uk, call 0845 576 2833 or This email address is being protected from spambots. You need JavaScript enabled to view it.

Although there are many concerns that surround the new NHS contract, there is no evidence of this translating into nervousness in the market at the moment.

Potential changes as seen through the pilot programmes are viewed by many practitioners as the chance to practice the kind of dentistry they want. Moving NHS dental services away from the high volume, quick turnaround UDA (Units of Dental Activity) system to a structure of care pathways and prevention is of course perceived as a good thing. And all the better if they can practice this new kind of dentistry under the same budget.

There are, of course, some other potential changes being whispered about that may affect dental businesses if they come through.

For example, there is talk of adjustments being made to the value of unit activity, which will clearly have an impact on practice income and profitability. Anything that affects the income or cost base of a business can of course affect its overall value, and if the rates of the service come down then clearly the value of the business is affected as well.

Another possible change being discussed is the time-limited GDS contract. If this change does take place, this will obviously have an effect on the practice’s valuation because the practitioner will only have the right to receive that income for a certain amount of time.

But again, until any announcements are made and changes put into place, all this is mere speculation at the moment, with little to no effect on the business side to be seen. Prices for NHS practices have been surging ahead in the last 12 to 18 months, while prices for private practice have remained relatively stable.

With the changes to the NHS contract possibly taking place soon, and the improving economy in general, demand for private dental practices is likely to improve in the coming months.

The best advice, therefore, remains:  research what you are buying thoroughly; don’t be carried away just because the market is currently hot; execute your due diligence properly; take professional advice to make sure you get the very best the market has to offer.

To discuss how Christie + Co might help you achieve your future plans please contact Simon Hughes on 020 7227 0749

BIO:

Simon Hughes joined Christie + Co in 1987 and has responsibility for the further expansion of its brokerage services into the Primary Care sectors of dentistry and GP surgery sectors. In the past three years, Christie + Co has advised, valued or sold almost £1 billion worth of businesses. Simon heads up a dedicated team of specialist advisers and agents based in regional locations throughout the UK.

Debate has recently been ignited regarding the government’s apprenticeship scheme and its intended reforms under the Trailblazers programme. National Apprenticeship Week in March raised awareness of the rewards that employers reap from taking on young trainees. The dental lab industry – which may in the future see the creation of a dental lab technician apprenticeship – can realise the same benefits by employing newly qualified dental technicians.

The dental lab industry is struggling – and it has been for some time. Between 500 and 800 dental technicians leave the profession every year, and there are just 6,000 registered with the GDC. This is an extremely low figure, especially considering that a decade ago it was closer to 12,000 registrants. Britain is gradually losing a highly skilled workforce and as a result, more and more work has had to be outsourced overseas, which is less than ideal.

Despite these figures, there still remain labs that are apprehensive about employing newly qualified techs due to misconceptions about the quality of work that will be produced or questions surrounding the motivation or enthusiasm of the employee. Yet the vast majority of young people that are taken on in this role are not only highly dedicated, enthusiastic, motivated and dexterous individuals, but they’re also closely mentored, supported and trained before being permitted to work on difficult cases.

One example of the scope of achievement that can be reached by giving newly qualified dental technicians top quality support and instruction can be seen in the training programme of Sparkle Dental Labs. The company was launched in 2012 with the aim of regenerating the British dental lab industry, reversing the trend of outsourcing and supporting the future of the industry through the careful selection and thorough training of newly qualified dental technicians.

The lab ensures that new technicians do not work on complicated cases until they’ve had at least 18 months’ experience, as it appreciates that it’s only after a new technician has had significant lab experience that they have the skills and expertise required to work on more complicated cases. The company also enjoys a very low staff turnover, which is beneficial in many ways, including the fact that newly qualified dental technicians have consistency in their training. A low staff turnover also means that strong, long-term relationships are easily forged with the dentists the lab works with.