In the same way that a film director rarely receives as much attention as the stars of the film, the dental technician almost always performs his or her wizardry behind the scenes. The dentist takes an impression with a disposable tray, despatches it to the laboratory, and then fits the prosthetic without giving too much thought to what happens in between.
While the patient can perhaps be forgiven for taking little interest in the creative process, the dentist’s own role is almost certainly enhanced by a greater understanding of that of the technician.
The product will generally be a crown, bridge or abutment created from an amalgam of glass and ceramic, a combination which has proven strength and longevity in the mouth and also offers a close aesthetic similarity to natural tooth enamel. Various techniques are used to build the prosthetic in liquid layers applied with a small brush, with each layer being allowed to cure before the next is applied. The ceramic formula can be varied to exactly match the shade and translucency of the contiguous teeth.
It would be easy to regard dental technicians as the junior partners in restorative dental treatment, but this would be a false premise, as without their skills most treatments would simply not be possible. Nevertheless, in spite of their vital role, laboratories throughout the UK are expressing concern at the fall in the numbers of trainee technicians entering the profession in recent years.
While there is no doubt that becoming a dental technician is the first step on a worthwhile and rewarding career which has a direct impact on raising the quality of other people lives, it requires highly specialised skills.
The situation is compounded by the lack of UK training institutions which offer courses in Dental Technology. Even institutions that offer courses are often not fully subscribed, and their intensity leads to a high dropout percentage; for example, 35 students enrolled on the Dental Technology course at Lambeth College in September 2011, and only 12 survived until February 2012 – a dropout rate of almost 66%.
As is frequently the case with professions requiring practical skills as well as applied theory, recent graduates often have difficulty in finding sympathetic initial work experience, and an abrupt entry into the pressurised environment of a commercial laboratory, followed by a failure to work fast enough or to a consistent standard, also leads to staff losses. When all these factors are taken together, there is a strong probability of an industry-inhibiting shortage of skilled dental technicians in the coming decade.
In an attempt to remedy the situation, Sparkle Dental Labs Ltd has entered into an alliance with the UK Department of Education to allow its own, existing team of dedicated and experienced dental restoration and prosthetic technicians to deliver hands-on training to a new generation within a commercial laboratory environment. It is hoped that early exposure to the deadlines and rigour of completing actual commissions, on budget and on time, will assist more students to ‘stay the course’ and build their careers in the longer term.
Dental laboratories and technicians are the beating heart of restorative dentistry, and should it miss a beat the impact on both patients and clinicians would be severe to say the least. As the number of trained technicians is threatened, Sparkle is acting in both its own and the public interest to safeguard the existing skills base and the dental and oral health of society generally. There are particularly high hopes that the growing cooperation between Sparkle laboratories and educational establishments will begin to stem the decline and underpin the future for restorative dentistry in the UK.
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www.sparkledentallabs.com
Mustafa Mohammed is the Managing Director of Sparkle Dental Labs Ltd. and Genix Healthcare. In this article he explains the vision behind turning an old warehouse in Leeds into one of the UK’s up and coming dental laboratories.