Articulate September 2017

September 2017 | volume 4 | issue 5

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

This issue contains 1 hour 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

Equipment and Materials: Let’s view Orthodontic Retainers REF: ● Standards for the Dental Team: 7.3 c) Equipment and Materials

Aims: ● To review orthodontic retainer types and use.

CPD Outcome(s): ● To better understand the use and forms of Orthodontic retainers.

T

here is a wide range of dental retainer designs used by clinicians towards the end of orthodontic treatment, from the well-known Hawley Retainer with its labial bow and cribs or ball clasps, or the clear vacuumed formed Essex Retainer through a range of new or novel appliances. The dentist may offer their patients either removable or fixed dental appliances to hold the natural teeth in place whilst the tissues stabilise; but do they know what range of appliances you as the dental technician could offer them?

Marketing our products is therefore essential in a developing market as this could be a new long-term income stream.

It is well documented that after orthodontic movement of the natural teeth they need to

be held in the new positions. Without such retainer support ‘relapse can occur as a result of forces from the periodontal fibres around the teeth which tend to pull the teeth back towards their pre-treatment positions, and also from deflecting occlusal contacts if the final occlusion is less than ideal’.1 The British Orthodontic Society (BOS) suggest that ‘almost every patient who has had orthodontic treatment needs to wear retainers. If you do not wear these retainers then your teeth will go crooked again, and the hard work in wearing the braces will be lost. You should only go ahead with orthodontic brace treatment if you are also happy to wear retainers to keep the result at the end’.2 It is also interesting to read a leaflet that the BOS has online3 in which there is basic guidance to patients undergoing orthodontic treatment regarding e.g. the effect on speech, how long the initial retainer might be required to be worn, oral hygiene guidance and that, ‘The only way to have permanently straight teeth is to wear a retainer on a parttime basis for life’4 The suggestion that the retainer might need to be worn for ‘life’ has we appreciate be seen as an opportunity to enter or re-enter the orthodontic appliance market. With this in mind a DTA member suggested that we might like to share this

web video link which shows a number of retainers offered by an American laboratory.

Have a look at this 12-minute video link: https://www.youtube.com/watch? v=2XQGu0FmCKQ where the owner of Ohlendorf Appliance Laboratory shares his product offer to help and widen his business opportunities. For those wanting to enhance their own business, there is guidance in, for example, Business Plans for Dummies5 where they suggest that ‘Many fledgling businesses succeed by jumping on new opportunities that arise through technological, social...’ and such opportunities.

What we know in the arena of dental technology is that our knowledge, understanding and skills need to be applied often in new ways to maintain a viable income. Positively marketing a range of different orthodontic retention appliances to dentists could open up new and long-term income streams.

1 Retention in Orthodontics; British Dental Journal 218, 119 - 122 (2015) Published online: 16 February 2015 C. D. Johnston & S. J. Littlewood.

Accessed 15th July 2017 2 British Orthodontic Society http://www.bos.org.uk/ Public-Patients/Orthodontics-for-Children-Teens/ Treatment-brace-types/Retainers . Accessed 15th July 2017 3 http://www.bos.org.uk/Portals/0/Public/docs/ PILs/retainersapril2013.pdf 4 Page 2 Bottom of column 2 of BOS leaflet on retainers.

5 Business Plans for Dummies, 2nd Edition by Paul Tiffany and Steven D. Peterson

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

September 2017 | volume 4 | issue 5 CPD We have included ten CPD questions and a further 2 questions which provide members with the opportunity to provide their own reflection and feedback on this area of study. So, if this area of study interests you and meets your own Personal Development Plan (PDP) you need to complete the on-line questions on the

DTA’s website, in the members CPD section. ● Don't have a Personal Development Plan yet? You can download one from the DTA website in the Guidance Documents area – www.dta-uk.org.

CPD Questions Q1 The Essix Retainer is ...

Q2 The Hawley retainer is ...

Q3 The writer says marketing products are essential in...

a) b) c) d)

a) b) c) d)

a) b) c) d)

Clear tooth crown coverage Labial bow and c) and d) Adams Crib Palatal coverage and c) only

Clear tooth crown overage Labial bow and c) and d) Adams Crib Palatal coverage and c) only

Reworking existing dental appliances Creating new fixed orthodontic appliances Developing new markets Limiting growth in other new market

Q4 Orthodontic Retainers are essential to...

Q5 The only way to have permanently straight teeth is to ...

Q6 What does the Ohlendorf Appliance Laboratory video suggest is the advantage of the wrap around Hawley retainer?

a) b) c) d)

a) Have all the natural teeth crowned and made to be within the ideal arch b) Use a retainer part time for life c) Use a retainer for up to a year after treatment d) Have the ideal arch linked together with composite

a) b) c) d)

Q7 What is the fundamental difference of the QCM retainer instead of the labial bow?

Q8 The clear bow retainer is similar to the QCM but...

Q9 What best describes the Sure Hold Appliance?

a) b) c) d)

a) Labial stainless steel bow supports the anteriors b) Material is round like a wire c) Is a narrow palatal version of the Essix retainer d) Uses the bow on the palatal or lingual sides of the anteriors

a) Labial bow covered with a strip of acrylic b) Cast metal buccal strip c) Flexible round clear strip of plastic held at either end d) Fitted buccal and lingual/palatal bows in stainless steel

Prevent relapse, and b) Resist deflecting occlusal forces Build periodontal fibres and all the answers Move teeth back to pre-treatment positions and b) only

No labial bow or strand Only incisal edges covered Buccal and palatial crown coverage Clear heat sensitive ribbon used on the labial

Q10 How does the video suggest making retainers for fixed appliance cases? a) Take the impressions immediately on removing the brackets b) Utilise temporary cement to hold the teeth whilst the retainer is made c) Remove the wires and take an impression over the fixed brackets d) Use a spacer in the Essix retainer thus allowing for the brackets

Shorter labial bow No needs for a labial bow No occlusal interference Less palatal coverage

CPD Reflection There are no right or wrong answers for these questions – tick only one answer for each question.

A. What did you learn from this CPD activity I. Updated my own knowledge on the subject II. Gave me a basic understanding of this area of activity III. Made me consider possibly sharing this information with others IV. Was of no use to me whatsoever

B. How might this CPD help improve your professional working I. It will not, but it has made me aware of potential business opportunities II. Made me aware of other areas of work activity III. Gave me the opportunity to consider other potential learning IV. No help whatsoever.

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.

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

September 2017 | volume 4 | issue 5

E-NEWS SHOT

BDIA CSIDI CAMPAIGN WINS TWO AWARDS! The BDIA is delighted to announce that its 2017 BDIA CSIDI (Counterfeits and Substandard Instruments and Devices Initiative) advertising campaign is the winner of the Highest Believability category and joint winner of the Highest Information Value category in the latest BDJ Readex Research.

Edmund Proffitt, Chief Executive of the BDIA, comments “We are really pleased that our CSIDI campaign is having such an impact on BDJ readers. The campaign not only conveys useful and relevant information to the

profession, but serves to highlight the very real and significant dangers associated with counterfeit and non-compliant instruments and devices across the dental sector.”

Partnering with the MHRA (Medicines and Healthcare products Regulatory Agency) for the CSIDI campaign reflects the BDIA’s continued commitment to tackling the issue of unscrupulous vendors selling poor quality, substandard, counterfeit and illegal products, usually online. Highlighting the importance of making the decision to purchase from reliable, reputable suppliers to the profession means

that the end-user has the assurance of highquality products that meet all necessary requirements, and will not endanger the user or patient, nor risk action from the courts or regulatory bodies. ● For further information on the BDIA or CSIDI, please visit www.bdia.org.uk

New Centre for Dental Sciences at Barnet and Southgate College in North London

Brand new charity Den-Tech launches Den-Tech is the brain child of dental technicians Andrea Johnson and Andrew Sinclair who after visiting Uganda with a clinically orientated dental charity realised that there was a great need for quality dental technology services in the country and other developing countries like it.

The Charitable Incorporated Organisation (CIO) they have set up is designed to relieve poverty by the provision of affordable dental appliances to those patients who are in need and unable to afford such items and in furtherance of this, to provide training, mentoring and education for dental technicians in developing countries to enable them to supply appropriate quality dental appliances. This is also in addition to supporting those most needy within our own country - the homeless.

There are many charities which provide the incredibly valuable service of ‘dental pain clinics’ but no real provision for the restoration of the dentition thereafter.

This can leave patients with large gaps where teeth have been extracted meaning that they can quite often struggle to eat and chew their food well, to speak properly and to look and feel normal.

Andrea and Andrew felt very passionately that this should not continue and that if they could set up a high quality, supported working and training dental laboratory in the country they could help provide not only a little help now but a legacy of support and training that could be a leg up to the native people and not just a temporary hand out.

They set up their charity called Den-Tech in 2017 and have enlisted a board of trustees who are equally as passionate about using their skills and resources to help out those less fortunate. The board of trustees now comprises of Andrea Johnson, Andrew Sinclair, Delroy Reeves, Edward Mapley, Jade Oakes Stott and Robert Williams.

DenTech: Left to Right – Bob Williams, Andrea Johnson, Delroy Reeves, Edward Mapley, Jade Oakes Stott and Andrew Sinclair.

● You can read more about Den-Tech at: https://www.den-tech.org

Dental Technology has a new Centre for Dental Sciences at the Southgate Campus of Barnet and Southgate College in North London. Facilities include a digital suite, specialist labs, as well as conference facilities.

This September, Barnet and Southgate College is running a part time 3-year Level 5 Higher Apprenticeship (Foundation Degree) Dental Technology course. Fees are heavily subsidized by the government and cost £600 per year.

Make the most of government funding and benefit from the country’s newest, innovative centre of dental technology and excellence. ● If you are considering sending a member of staff or looking for an apprentice, call the Apprenticeship Team on 0203 764 4570 or email the Programme Leader gillian.dent@barnetsouthgate.ac.uk for more information, or visit www.barnetsouthgate.ac.uk/ dental-technology-centre

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

September 2017 | volume 4 | issue 5

E-NEWS SHOT

Act now on oral health of care home residents The British Dental Association (BDA) has called on ministers, health commissioners and care home owners to act on conclusions from a new Healthwatch report, showing elderly residents do not always have access to basic care.

Healthwatch inspectors visited 197 care homes across England between January 2016 and April this year.

The report found many examples of good care but concluded that in many homes staff were "rushed off their feet" with residents picking

up the strain. Of the homes inspected several said it was difficult to get access to a dentist, and only one home told Healthwatch visitors that a dentist came to the home regularly. ● To read more go to https://www.bda.org /news-centre/press-releases/Act-now-on -oral-health-of-care-home-residents

Gum disease linked to cancers in older women, study finds

GDC suspends registration of dentist for using counterfeit and non-compliant dental equipment The recent GDC Fitness to Practise hearing concerning a dentist’s purchase and use of counterfeit dental devices highlights the dangers to both patient and professional registration from using counterfeit and noncompliant devices.

It also reinforces the need to exercise common sense and care when purchasing dental equipment and to have adequate systems in place to ensure that equipment is genuine, compliant, and safe to use.

The GDC’s Professional Conduct Committee determined that the dentist’s registration should be suspended for a period of 3 months.

Edmund Proffitt, BDIA Chief Executive comments, “The recent GDC hearing is a stark reminder of the seriousness of using of counterfeit dental devices. It may also sound alarm bells for any dentists who may have purchased from unreliable sources and emphasises the importance of purchasing from reputable suppliers.”

The BDIA’s award winning Counterfeit and Sub-standard Instruments and Devices Initiative (CSIDI), operated in partnership with the MHRA, has worked hard over the last two years to raise the awareness of GDC registrants to the dangers of counterfeit and non-compliant dental devices through its hardhitting press and information campaign.

The BDIA recommends that all purchases, however small, are made from a reputable supplier and that all suspect instruments, and devices are reported to the appropriate authorities at the earliest opportunity. ● Devices can be reported at www.bdia.org.uk/device-reporting.html

Unhealthy gums could put older women at significantly higher risk of developing many forms of deadly cancer, according to the findings of a ground-breaking new study.

The research, which looked at data from 65,000 post-menopausal women between the ages of 54 and 86, found those with a history of gum disease were 14% more likely to develop cancer.

In response, leading charity, the Oral Health Foundation is encouraging women to ensure they pay close attention to their gum health to reduce their risk of developing these types of cancer. ● See https://www.dentalhealth.org news/details/969 for more information

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

September 2017 | volume 4 | issue 5

E-NEWS SHOTS (CONTINUED...)

BADN responds to HPV Vaccination Decision The British Association of Dental Nurses, the UK’s professional association for dental nurses, joined the Faculty of General Dental Practice (UK) and other prominent dental associations in condemning the decision of the Joint Committee on Vaccination and Immunisation not to vaccinate boys against the Human Papilloma Virus (HPV).

protection against HPV infection and associated disease” but rejects vaccination of boys on the grounds that it would not be “a cost-effective use of health service resources in the UK setting”. The JCVI decision was made despite the fact that a recent survey of FGDP(UK), BDA and BMA members showed that 97% of dentists and 94% of GPs backed vaccination of boys.

Girls aged 12-13 have been vaccinated against HPV on the NHS since 2008, and boys are vaccinated in eleven other countries; but the JCVI’s recent interim statement suggests that boys in the UK will not receive the same protection, despite the fact that HPV causes 5% of all cancers. 2,000 men a year in the UK, almost half of whom will die from the condition within five years, are diagnosed with an HPV-related cancer. The statement recognizes that “HPV vaccine in boys …… would provide those vaccinated with direct

HPV Action, of which BADN is a member, disputes the cost-effective rationale, estimating that vaccinating boys would cost no more than £22m a year, and that existing secondary care costs of treating HPV-related oropharyngeal cancer alone are likely to exceed £21m.

BADN President Jane Dalgarno said “BADN supports the HPV Action campaign and calls upon its members to lobby their MPs to make them aware of the seriousness of this matter.”

GDC welcomes new Council members The General Dental Council has announced that the Privy Council have confirmed the following appointments with effect from 1st October 2017: ● Anne Heal, lay member, appointed for a four-year term; ● Crispin Passmore, lay member, appointed for a three year term; ● Caroline Logan, registrant member (dental technician), appointed for a three-year term; ● Jeyanthi John, registrant member (dentist), appointed for a four-year term; ● Sheila Kumar, lay member, appointed for a three-year term; ● Terry Babbs, lay member, appointed for a four-year term. ● To read the GDC’s full Press Release, go to https://www.gdc-uk.org/news/ media-office/press-releases

Educating the profession All dental professionals need to adapt to the rapidly changing nature of dentistry.

Undertaking high-quality training and education is important to keep technical skills and knowledge up-to-date. However, good teaching is an art and requires personal judgements, feelings, and values.

Attending well-run sessions that will contribute towards your development and not just tick boxes is essential.

Effective education Education, in any setting, is an enormously complex human endeavour; with more ways to make changes that can be harmful or of little value than ways to make constructive improvements. The central purpose of education is to empower learners and give them everything they need to take charge of their own advancement. This is achieved through three forms of learning: acquisition of

knowledge (cognitive learning), change in emotions or feelings (affective learning) and gain in physical, motor actions or performance (psychomotor learning).

Through the use of effective training techniques, the individual is able to make sense out of the experience in order to develop and progress. This guidance in learning and the use of tools to facilitate understanding is becoming especially important in business.

But, while corporations recognise that education of employees is necessary due to continual changes, many tend to look for shortterm solutions. What they seldom do is educate employees to understand the ideas that underlie the new methods or techniques that reach the market. Training usually takes the form of memorising new rules, procedures or rationales, without the requisite conceptual understanding necessary for employees to take

command of their work – and to contribute their own creative ideas.1 Working with initiative is vital in the dental lab where solutions need to be found for patients.

Learning and integrating new knowledge helps the team to keep the lab competitive, as well as strengthening relationships between technician and dentist.

Continuing professional development Of course, a key part of being a registered dental technician is the requirement to participate in continuing professional development (CPD). This helps to ensure skills and knowledge are kept up-to-date, as well as

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

September 2017 | volume 4 | issue 5

E-NEWS SHOTS (CONTINUED...) contributing towards the individual’s effectiveness as a professional. However, there is a wide range of opinions and attitudes towards the benefits of CPD. It has been estimated that the knowledge gained in a degree course remains useful for about four years, which in turn highlights the importance of lifelong learning and CPD participation.

In a pilot study prior to compulsory registration, dental technicians generally felt that registration might raise the profile status of technicians. In a later paper, researchers confirmed this, but despite the overall positive consensus towards CPD, many quoted a number of barriers to gaining CPD. Lack of time, no relevant courses, geographic location and cost were all perceived to be a significant factor to hinder technicians achieving CPD.

Dental Technology Showcase With world-class speakers, live demonstrations and an outstanding list of exhibitors, the Dental Technology Showcase (DTS) 2018 is the ideal place to update your knowledge and acquire your CPD. You can enjoy educational and inspiring presentations from some of the world’s leading experts in dental technology, while taking advantage of the free CPD available. There are lectures for

every member of the dental laboratory team, including clinical dental technicians, orthodontic technicians and lab owners, plus hands-on education at exhibitor stands.

In 2018, the trade floor is destined to be even more extensive than in previous years, with hundreds of products and services on display.

You can find out about the latest materials and technologies on offer, as well as testing some of the hottest merchandises, with free product samples and on-stand learning. Plus, with thousands of dental technicians and laboratory professionals in attendance, DTS provides numerous opportunities to meet up with friends and network with colleagues and industry peers.

Further still, co-located with The Dentistry Show, there is the chance to meet with existing clients and make new connections for future business growth. Wandering around the practice-focused exhibition will also provide useful information on the materials, processes, and technologies your partnering dentists are using.

On-going education remains a crucial aspect for all dental professionals. Finding a way of learning that meets the needs of your whole team, without costing too much or significantly disrupting the lab’s work is also important. ● DTS 2018 will be held on Friday 18th and Saturday 19th May at the NEC in Birmingham, co-located with The Dentistry Show. ● For further details, visit www.the-dts.co.uk call 020 7348 5270 or email dts@closerstillmedia.com

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

The Technologist ● To access the next issue: click here

IN NEXT MONTH’S THE TECHNOLOGIST ... ● ● ● ● ●

HR facts Business and management Disinfection and decontamination Overdentures An interview with Marta Wisniewska

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

September 2017 | volume 4 | issue 5

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