Articulate July 2017

July 2017 | volume 4 | issue 4

articulate the bi-monthly e-newsletter of the dental technologists association

This issue contains 30 minutes of CPD for DTA members

www.dta-uk.org PLEASE NOTE OUR NEW CONTACT DETAILS F13a Kestrel Court, Waterwells Drive Waterwells Business Park Gloucester GL2 2AT Telephone: 01452 886366 Email: sueadams@dta-uk.org Web: http://www.dta-uk.org

DTA Nominated Charity of the Year 2017

DTA members have selected Crisis as DTA’s nominated Charity of the Year for 2017.

If you’d like to find out more about their work go to www.crisis.org.uk

Medical Emergencies: Allergic reaction and Anaphylactic shock

I

n the human body an allergic response may occur to an allergen stimulus with a release of antibodies, which attach themselves to mast cells. This then causes histamine to be released from the mast cells and this may then cause one or more of the following symptoms: ● Eyes begin to itch or become watery; ● Nose to itch, sneeze, and produce more mucus; ● Skin to itch, develop rashes or hives; ● Sinuses to become congested and cause headaches; ● Lungs to wheeze or have spasms; ● Stomach to experience cramps and diarrhoea.

Histamine causes dilatation (opening up) of the blood vessels causing flushing, rash, or itching and increased mucus production i.e. a runny nose, and bronchoconstriction.

Bronchoconstriction is the constriction of the airways in the lungs due to the tightening of the surrounding smooth muscle, causing coughing, wheezing and shortness of breath.

Because histamine is contained in almost all body tissues, especially the lungs, nose,

sinuses, skin, intestinal mucosa and certain white blood cells (mast cells), it is able to cause a wide variety of symptoms.

The release of histamine can be caused by almost any allergen. Examples of such allergens include inhalant allergens (e.g. pollen, dust), drugs (e.g. penicillin), stinging insects, and foods (e.g. egg, wheat, milk, fish, etc).

Anaphylaxis (or anaphylactic shock) is a severe, potentially life-threatening allergic reaction that can develop causing difficulty in breathing and low blood pressure. Other signs of anaphylaxis include: ● ● ● ●

itchy skin or a raised, red skin rash; swollen eyes, lips, hands, and feet; feeling lightheaded or faint; swelling of the mouth, throat, or tongue, which can cause breathing and swallowing difficulties; ● wheezing; ● abdominal pain, nausea, and vomiting; ● collapse and unconsciousness.

As part of this training session; You should now watch the following short video clips

which provided additional learning material on this subject: ● Introduction to Allergies: https://www.youtube.com/ watch?v=8gi9nZpyGfk ● What is Anaphylactic Shock: https://www.youtube.com/ watch?v=sX97LcDpgzo ● Understanding Food Allergy: https://www.youtube.com/ watch?v=AKVjKC3u9hk ● Using an Auto Injector in an Emergency: https://www.youtube.com/ watch?v=tjILFYPE3Uw Having completed this study, you should now take the MSQ’s to enable you to confirm your understanding of this subject:

Dental Technologists Association, F13a Kestrel Court, Waterwells Drive, Waterwells Business Park, Gloucester GL2 2AT. call: 01452 886 366 email: sueadams@dta-uk.org web: www.dta-uk.org

www.dta-uk.org

July 2017 | volume 4 | issue 4 CPD Questions Q1 What is an Allergy?

Q2 What are regarded as major symptoms of Anaphylactic Shock?

Q3 What does Histamine do to blood vessels?

a) An immune system reaction to a normally harmless substance. b) Response to a blood borne virus. c) A chronic long-term mucosa reaction... d) A substance that directly damages the outer layer of skin.

a) Hydration, deep breathing, high blood pressure and increased energy. b) Flushing of the skin, swelling of tissues, itchiness, and Bronchospasm (or a bronchial spasm). c) Sputum production, shortness of breath and a productive cough. d) Coughing and shortness of breath, followed by chest pain and clubbing of the fingers.

a) b) c) d)

Q4 What initial treatment is proposed in the Khan Academy of Medicine video for Anaphylactic shock?

Q5 Which hormone is used to control Anaphylaxis?

Q6 The xxxxxx is a single use injection containing epinephrine, a chemical that narrows blood vessels and opens airways in the lungs.

a) b) c) d)

a) b) c) d)

a) b) c) d)

Intravenous fluid.

Transplant therapy.

CPR and rest.

ABC and Epinephrine.

Thyroxine.

Epinephine.

Glucagon.

Insulin.

Elongates the vessel.

Constricts blood vessels.

Dilates blood vessels.

Limits blood flow to the brain.

Jet injector.

Lactic-role.

Bio-jector.

EpiPen.

References: ● NHS Choices: http://www.nhs.uk/conditions/Anaphylaxis/Pages/Introduction.aspx ● YouTube videos from: – National Institute of Allergy and Infectious Diseases (NAID) in the USA – Khan Academy Medical: https://www.khanacademy.org/science/health-and-medicine – Michigan Allergy: http://www.michiganallergy.com/food_and_histamine.shtml

CPD Reflection When you have completed this CPD it’s important that you reflect upon, for example: ● What specific learning have you achieved?

● What will you do to introduce this learning to your work? ● What will you do differently as a result of what you have learned? ● What other personal development will you now be seeking?

Disclaimer Notice: This publicly available information is provided to members for educational purposes only and DTA accepts no responsibility for any inaccuracies contained therein. Clinical aspects are shown in order to (a) assist members’ understanding (b) promote team working with clinical colleagues and (c) support continuing professional development.

E-NEWS SHOTS Dentists’ leaders urge action as 80% of toddlers miss out on dental care The British Dental Association (BDA) has responded to new data from the Faculty of Dental Surgery (FDS) at the Royal College of Surgeons showing that 80% of one- to twoyear-olds in England did not visit an NHS dentist in the year to 31 March 2017.

The BDA has conducted polling with YouGov indicating that millions of UK parents are

unaware that NHS dentistry is free for children under 18. The BDA has long criticised the government’s increasing over-reliance on patient charges, which exist to discourage patients from seeking care.

Tooth decay remains the number one reason for tooth decay among children in Britain. The

BDA has been calling on all parties to deliver an oral health strategy based on prevention. ● Read more at: https://www.bda.org/news-centre/ press-releases/Dentists-leaders-urge -action-as-80-per-cent-of-toddlers -miss-out-on-dental-care

Dental Technologists Association, F13a Kestrel Court, Waterwells Drive, Waterwells Business Park, Gloucester GL2 2AT. call: 01452 886 366 email: sueadams@dta-uk.org web: www.dta-uk.org

www.dta-uk.org

July 2017 | volume 4 | issue 4

E-NEWS SHOTS (CONTINUED...)

Appreciation and Congratulations at the BACDT Awards 2017 The Dental Technology Showcase 2017 (DTS) was delighted to host the 3rd awards ceremony of the British Academy of Clinical Dental Technology (BACDT).

Held in the CDT Conference Theatre, clinical dental technicians gathered to celebrate the achievements of BACDT members and to discover the winners of the awards, which were judged from over 500 patient nominations.

The President of the BACDT addressed an enthusiastic audience, emphasising that although the association may be small in numbers, it is large on talent and has a huge impact not just on patients’ smiles but also their lives. As a group, the BACDT champions and supports the profession and it was a great moment when members were rewarded for their dedication, care and hard work with awards and certificates in five categories.

As well as mentioning the nominees and those CDTs that received highly commended, the winners were announced as: ● Member of the Year - Ben Brookshaw from the Denture Clinic ● Best Patient Experience - Matt Burnell from Lichfield Smiles ● Most Welcoming practice - Mike Brindle from Flyde Clinic ● Best Patient Information - David Parsons from First Impressions Stalybridge ● The Extra Mile Award - Matt Burnell from Lichfield smiles.

Having won two of the prestigious awards, Matt Burnell spoke after the ceremony: “I am very, very chuffed. I believe that I do a good job, but being presented with this award galvanises it.”

All members were thanked for their commitment to patient care and the professionalism that they deliver in the provision of an excellent service from the initial consultation right through to the final visit.

Congratulations were extended to all and the event proudly illustrated the BACDT as a leading professional association that supports the talents and advancements of clinical dental technologists in the UK.

Chewing more sugar free gum could save billions of pounds in the treatment of tooth decay Chewing just one additional piece of sugar free gum each day could save £3.3 billion worldwide on dental expenditures from treating tooth decay, according to a new study published in the American Journal of Dentistry.

The data is significant given tooth decay and oral diseases rank fourth among the most expensive global health conditions to treat, according to the World Health Organization.2

While tooth decay is largely preventable, it still affects 60-90% of schoolchildren and nearly all adults globally. ● Read more at: https://www.dentalhealth.org/news /details/963

Dentaid thanks DTA members DTA has received a letter from Dentaid thanking us for our donation to them. ● Click here to read the pdf version: https://www.dta-uk.org/pdfs2017/letter_from_dentaid.pdf

Dental Technologists Association, F13a Kestrel Court, Waterwells Drive, Waterwells Business Park, Gloucester GL2 2AT. call: 01452 886 366 email: sueadams@dta-uk.org web: www.dta-uk.org

www.dta-uk.org

July 2017 | volume 4 | issue 4

E-NEWS SHOTS (CONTINUED...)

General Dental Council (GDC) announces Enhanced Continuing Professional Development on its way At the GDC’s May Council meeting, plans to introduce Enhanced Continuing Professional Development (ECPD) were approved. These are changes to the five year CPD cycle which are due to happen on 1 January 2018 if you are a dentist, and 1 August 2018 if you are a dental care professional. The main changes are: ● An increase in the number of verifiable hours for some registrant types (see details in the table below) and the requirement to spread the hours more evenly across the five-year cycle. ● The reduction of CPD hours overall for all dental professionals, due to the removal of non-verifiable CPD.

● The need to make an annual declaration of the CPD hours you have carried out which meet the requirements. ● The requirement for a Personal Development Plan which details planned CPD to be undertaken and associated learning outcome. ● A log of completed activity, including date, number of hours and which learning outcome it covered. ● The collected evidence (e.g. a certificate) for each activity.

changeover dates and those registrants will need to complete some CPD based on the current scheme, and some on the new scheme.

More information will be available in the autumn. ● GDC have compiled some frequently asked questions about ECPD which you can view at www.gdc-uk.org/professionals/cpd/ enhanced-cpd

There will be transitional arrangements for those who are mid-cycle on the

DCP annual renewal opens, says General Dental Council (GDC) Annual Renewal opened for DCPs on Friday 16 June. The easiest way to renew is to use https://www.egdc-uk.org where you can make your Annual Retention Fee payment, declare your indemnity, and update your CPD hours.

You can also update your personal details. To renew your registration, you will need to: 1. Pay your Annual Retention Fee; 2. Declare your indemnity; 3. Update your CPD hours, if it’s the end of your cycle. ● Please ensure all payments and declarations are made by midnight, 31 July 2017. If you have further questions please email renewal@gdc-uk.org

Congratulations to Ashley Byrne on becoming a DTA Fellow President James Green (centre) with some of the DTA Fellows.

L to R: Chris Maryan, Ashley Byrne, James Green, John Stacey & Paul Mallett.

KEEP IN TOUCH WITH DTA ON FACEBOOK &TWITTER On Facebook: ● @DentalTechnologists Association On Twitter: ● @The DTA

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Medical emergencies Health & safety Digital dental world Cross infection control

Dental Technologists Association, F13a Kestrel Court, Waterwells Drive, Waterwells Business Park, Gloucester GL2 2AT. call: 01452 886 366 email: sueadams@dta-uk.org web: www.dta-uk.org