TT December 2017 pdf

volume 10 issue 6 december 2017

issn 1757-4625

the

technologist the official journal of the dental technologists association

Dawn of the digital age

In this issue:

Challenges of the digital implant world Understand changes to your CPD Taking stress seriously

4

HOURS OF VERIFIED CPD PLUS 1 HOUR OF UNVERIFIED CPD IN THIS ISSUE!

december 2017 1

the

technologist in this issue Editor: Vikki Harper t: 01949 851 723 m: 07932 402 561 e: vikki@goodasmyword.com Advertising: Sue Adams t: 01452 886 366 e: sueadams@dta-uk.org

DTA administration: Sue Adams Chief Executive F13a Kestrel Court Waterwells Drive Waterwells Business Park Gloucester GL2 2AQ t: 01452 886 366 e: sueadams@dta-uk.org DTA Council: James Green President Delroy Reeves Deputy President

news

02

dta column

04

hr facts: is christmas the best time for giving?

06

a taxing christmas

07

CPD

Tony Griffin Treasurer

are you taking stress seriously?

John Stacey Gerrard Starnes Marta Wisniewska Social media coordinator

classified advertising

13

the challenges of the digital implant world

14

CPD

the digital dental world: part six

18

CPD

state-of-the-art digital workflow

20

CPD

continuing professional development

22

Editorial panel: James Green Tony Griffin

Design & production: Kavita Graphics t: 01843 583 084 e: dennis@kavitagraphics.co.uk

Published by: Stephen Hancocks w: www.stephenhancocks.com

08 cpd – all change in 2018 – Part 1 10

CPD

The Technologist is published by the Dental Technologists Association and is provided to members as part of a comprehensive membership package.

For details about how to join, please visit: www.dta-uk.org or call 01452 886 366

Find out the 11 reasons to join DTA by visiting: www.dta-uk.org the

technologist

ISSN: 1757-4625 Views and opinions expressed in the publication are not necessarily those of the Dental Technologists Association.

Cost effective professional indemnity insurance for dental technicians and laboratories

Tel: 01634 662 916

2 december 2017

news&information

■ JOIN DEN-TECH TO HELP THE HOMELESS THIS CHRISTMAS Den-Tech aims to help relieve poverty here at home and abroad by providing dental appliances to those in need who are unable to afford them.

W

e also provide training, mentoring and education for dental technicians in developing countries to enable them to supply appropriate quality dental appliances.

We will be working with the homeless charity, Crisis at Christmas, to provide homeless people with simple dentures or repairs to their existing appliances.

Our immediate goal to achieve our aims is to raise funds, and we have signed up

to easyfundraising, an online donation tool that makes it simple for you to help us and encourage others to do the same.

Please consider distributing the link and our plea for dental technicians to lend their support by placing a poster on your work notice boards or emailing details to family, friends and colleagues.

Thank you in advance of anything you can do to help those in need.

■ Andrea Johnson, BSc (Hons), LOTA, MDTA. Chair – Orthodontic Technicians Association (OTA).

Den-Tech Chair (Registered Charity No: 1172889)

■ BDIA LEADS The British Dental Industry Association (BDIA) and Federation of the European Dental Industry (FIDE), as the trade associations representing the dental industry in the United Kingdom and Europe, have today issued a joint letter outlining their priorities for the ongoing Brexit negotiations.

T

he initiative, proposed by the BDIA, saw a letter addressed to the European Chief Negotiator for Brexit, Michel Barnier, and the Secretary of State for Exiting the European Union, David Davis, highlighting the important economic and public health role played by the dental technology and devices sector, and calling for action to be taken to safeguard it.

BDIA Chief Executive, Edmund Proffitt, comments, ‘The measures outlined by our associations would ensure that our industry is able to continue to provide access to innovative dental technology in the UK and throughout the EU, to the benefit of patient oral health and the economy, beyond the UK’s exit from the EU in March 2019’.

Chief amongst these measures is a commitment to parity of UK and EU legislation after Brexit. The UK’s decision to leave the European Union came at a critical point for the dental industry,

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news&information

EU INITIATIVE ON BREXIT ■ BRACON INTERNATIONAL TRAINING AND EDUCATION CENTRE

Bracon is delighted to introduce its new centre, based at Broad Oak in East Sussex, providing a hub in the South of England for all dental professionals.

COURSE OBJECTIVES: to provide a comprehensive introduction to digital dentistry for beginners, including handson practical sessions with digital scanning and 3D printing.

COURSE TITLE: DIGITAL DENTISTRY, SCANNING AND PRINTING OVERVIEW COURSE LENGTH: 2 HOURS VERIFIABLE CPD: 2 HOURS COURSE DATE: Wednesday 22 November 2017

COURSE OUTCOMES: Delegates will understand the business opportunities and changes to workflow that digital dentistry offers to the dental team and the benefits to patients. Get understanding and knowledge of how digital scanners and 3D printers work, plus the materials that can be used for different aspects of dentistry, including practical hands-on experience of basic scanning and printing and a good understanding of file types and formats related to scanning and printing.

COURSE OBJECTIVES: to provide a basic understanding and overview of digital dentistry, specifically related to scanning and 3D printing, and to see the equipment and scanning demonstrated.

coinciding with the publication of the EU Medical Device Regulations (MDR), and future divergence in legislation would risk disadvantaging both patients and businesses across Europe.

Other priorities to ensure a successful outcome to the negotiations include the maintenance of the Medicines and Healthcare Products Regulatory Agency’s involvement in ongoing discussions concerning medical device regulation, the continued adoption of the CE marking process for medical devices and allowing UK Notified Bodies to operate under the MDR.

COURSE OUTCOMES: Delegates will understand digital dentistry processes and the procedures involved in scanning and 3D printing. In addition, get an understanding of what can be fabricated by current materials using the technology and how this technology is already changing the dental landscape.

COURSE GUIDE: This short course is ideal for dental professionals who wish to find out about digital dentistry in relation to scanning and 3D printing. It will provide an overview of current scanning and printing technology and its applications. Only a 2-hour duration and with verifiable CPD, this course is an ideal first step into the digital world of dentistry.

COURSE FEE: £25.00 per delegate inclusive

Correction In our article, Want to make a difference, in the October edition of TT (page 8, para 2) it says that Marta works in Tyler’s Dental Laboratory, but it should have reflected that Marta now has her own lab. the

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COURSE TITLE: AN INTRODUCTION TO DIGITAL DENTISTRY, SCANNING AND PRINTING – BEGINNERS COURSE LENGTH: 6 HOURS VERIFIABLE CPD: 6 HOURS COURSE DATE: Wednesday 6 December 2017

After completing this course, dental professionals will have enough information to be able to decide if they wish to expand their current services to incorporate scanning and/or printing and be able to choose the most appropriate equipment and materials for their requirements or the requirements of their clients.

COURSE GUIDE: This one-day beginners course is ideal for dental professionals that have little or no experience of scanning. Structured especially for smaller groups, each delegate can gain a working knowledge with practical hands-on experience. Those who wish to find out about digital dentistry in relation to scanning and 3D printing will find this a very informative and enjoyable day.

COURSE FEE: £120.00 per delegate inclusive ■ For all course bookings, please contact customer services on 01580 817 000, email sales@bracon.co.uk or via our website at www.bracon.co.uk

4 december 2017

thedtacolumn letterstotheeditor From: A Hudson CPD Questions: The digital dental world, part 5 (materials & equipment) Comments: I found the article interesting.

Learning about its original purpose and progressing into car manufacturing and now it has evolved into denture manufacture. I would not use this technology as I am coming to the end of my career but I can see how it would be an asset to someone just starting out.

From: J Blakeley CPD Questions: H&S at work (verifiable non core) Comments: This article has refreshed my knowledge of the subject of health and safety at work. I have also gained new knowledge from completing this CPD i.e. the requirement for all employees to hold Employer’s Liability Insurance and the fact that all companies employing five or more employees must have a written health and safety policy.

From: S Roots CPD Questions: The self-help check (oral cancer: early detection) Comments: Thank you. I think we all need to be updated in this area, whether for professional purposes or for one’s self.

From: K Sawtell CPD Questions: The digital dental world, part 5 (materials & equipment) Comments: Excellent on digital dental world.

From: N Clyne CPD Questions: Hygiene under pressure (disinfection & decontamination) Comments: I have never really thought about the potential dangers from pressure pots and will definitely pass on this information to my team.

From: S W Carslake CPD Questions: Hygiene under pressure (disinfection & decontamination) Comments: Of all the infection control articles I have read, none has been as detailed about pressure vessels.

The DTA Column DTA Christmas Opening The DTA team will be breaking up to celebrate Christmas and the New Year on Friday 22 December at 1.00 pm. We will be back on Tuesday 2 January 2018 at 9.00 am. Merry Christmas and a Happy New Year to one and all.

Give a £1 to Crisis!

When you pay your subscription to DTA this month, why not add on a £1 for Crisis?

All contributions will be forwarded to the charity in the New Year.

Last year, DTA members kindly donated just over £200 to Dentaid. Help make a difference this festive season!

Annual subscriptions 2018 You will shortly receive your annual subscription reminder. Payment is due by the end of December and can be paid by cheque and post, online @ www.dta-uk.org or by BACS. The renewal fee for 2017 is £105 for 12 months and this covers the many membership benefits available to you.

Here is a reminder of the great value your membership fee delivers: ■ The Technologist – 6 issues each year with an average 4 hours of verifiable CPD

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in each one, including the core subjects ■ Articulate e-journal – 6 issues each year with up to 45 minutes of verifiable CPD ■ www.dta-uk.org – our website provides news, views, a huge library of articles, guidance documents, plus events and jobs ■ Legal helpline 24/7 ■ Access to preferential rates for professional indemnity cover with UK Special Risks ■ A voice at national level ■ A library of guidance documents, including pay scales for the commercial sector ■ Your own CPD records ■ DTA App to keep you up to date with everything when you are out and about ■ Fully mobile-friendly website

DTA management team The DTA management team needs new faces with new ideas to join them.

Could it be you?

If you feel that this is something that may interest you, then come along to our next meeting. There’s no pressure. Join us and get to know our team members and observe a typical meeting. The next Council meeting will take place on Saturday 10 March 2018 in the Cotswolds. Wives, husbands and partners will be welcome to come along and have dinner with the team the evening before (Friday 9 March).

■ We can accommodate five new people, so get in touch on 01452 886 366 for further details.

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thedtacolumn DTA Fellowship Awards 2018 Do you know someone who has made an outstanding contribution to dental technology and who you would like to recommend for a DTA Fellowship?

changes to the CPD we provide to help our members with the transition to the new scheme.

You may have noticed that we now include two reflection questions for online CPD users. This will become a mandatory part of CPD from August 2018.

■ Full details and a nomination form can be found on the website – www.dta-uk.org (About us, Fellowships).

■ Closing date for nominations is 31 January 2018

■ For further details, read the article on page 10 of this publication.

■ You can also find out more by visiting the GDC website – www.gdc-uk.org

DTA Fellowship presented to Sue Adams

Peer review

Articulate e-journal

From 2018 we will begin featuring CPD articles in TT with a peer review logo.

Are you receiving Articulate by email? If not, let us know your current email address and we can add you to the mailing list.

Peer review means others working in the same field evaluate our articles for scientific, academic, or professional work. Look out for the Peer Reviewed symbol in TT and Articulate.

Alternatively, you can view each issue on the website in the publications section. Each issue contains at least 30 minutes of CPD.

DTA President, James Green, presents the 2017 Fellowship award to DTA CEO, Sue Adams

TT annual review of content

Congratulations to Sue Adams who was presented with a DTA Fellowship on Saturday 30 September.

We have now introduced an at-a-glance annual review of CPD provided in TT, year by year. To view or download, visit The Technologist Archive section on the website – www.dta-uk.org

Presenting the Fellowship, DTA President James Green said, ‘Much of the DTA’s success is because of Sue Adams, who has been at the heart of our professional body for 25 years.

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

As Chief Executive, Sue is exceptionally hardworking and driven but is never satisfied with the progress that has been made and never stops pushing the organisation forward’.

Enhanced CPD The GDC has recently unveiled plans for what they call Enhanced Continuing Professional Development (ECPD).

The new scheme begins in January 2018 for dentists, and August 2018 for dental care professionals. We will be making

The DTA management team – Left to Right: James Green, Tony Griffiths, John Stacey, Marta Wisniewska and Delroy Reeves

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6 december 2017

hrfacts

■ Is Christmas the best time for giving?

Standards for the Dental Team: Standard 7.3 Update and develop your professional knowledge and skills ■ Educational aim: – to raise awareness of the benefits and drawbacks of various staff incentive and bonus schemes ■ CPD outcome: – to gain a better understanding of the kinds of incentive schemes around that might suit your business best

Rewarding staff with a Christmas bonus has provided many organisations with a nice way to say thank you at the end of the year, but is the link still relevant today?

Richard Mander, HR consultant, looks at how you can set up an effective incentive scheme and why you might want to make a break with the tradition of a spec other one-off ific v erifie payment at d the end of the year. lear n theing fro bes m t

CPD

What’s the incentive?

T

here are many reasons why you might want to consider a bonus scheme for your organisation.

These can vary from a simple way to say ‘thanks’ to everyone for a good year to the more sophisticated schemes that

incentivise improved performance by recognising excellence at an individual or team level.

expectations through peer support and challenge for less experienced or weaker performers.

Links to profitability

Running costs

Analysis of the most profitable organisations often highlights the things that they do differently, and one area that crops up a lot in the best is having ‘clear rewards and accountability’. Organisations that are clear about ‘what good looks like’ and reward their staff on this basis, generally establish an edge over their competitors.

There is a balance to strike between the costs of administering any scheme and the impact and effectiveness. A scheme paying up to 5% of basic pay is not untypical on salaries in the £15,000– £25,000 range, but run on a monthly basis, generates a high administration burden for a relatively low impact.

Consider running your scheme on a quarterly basis, when the rewards for staff are more tangible and the evidence of performance is a lot clearer too. Bear in mind that any bonus or incentive payments made through your scheme will be subject to tax and NI deductions under current HMRC rules.

Value for money Recognising excellence through annual pay awards is expensive, adding a permanent increase to your payroll that may not be warranted when an individual’s performance dips. Bonus and incentive schemes are a much more costeffective way of targeting improvement and can be run on a discretionary basis from year to year, subject to affordability.

It also pays to consider a discretionary ‘claw back’ clause if staff leave within say 3 months of any pay out.

Taking a balanced view The best schemes identify a range of factors that make up an effective contribution. Things like productivity, quality and attendance can be targeted and measured objectively, but it’s also important to include the more subjective areas, such as attitude and flexibility.

For these grey areas, it pays to identify what they look like in terms of specific behaviours. So, for ‘flexibility’, you might be looking for evidence of a willingness to adapt and deal with change positively.

There is no ‘I’ in team Where effective team working is a priority, you might want to consider a team-based scheme. If structured, targeted and measured effectively, this can have a positive impact on raising the bar and the

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‘Bah humbug’ So, you may still conclude that the traditional Christmas bonus is a nice gesture, treats everyone equally and feels right for your organisation. The latest research, however, suggests that you may want to have a rethink and invest in a team-based, quarterly scheme based on a range of factors to really incentivise improved performance in your business.

Richard Mander Richard Mander is a freelance HR consultant with over 25 years’ experience in Strategic and Operational HR with companies including the Granada Group and Ecclesiastical Insurance. He specialises in providing support to smallto medium-sized companies who do not have their own in-house resource and aims to deliver cost-effective, pragmatic and practical solutions. If you would like to find out more about this topic or advice on other HR matters you can contact him at www.manderhr.com 07715 326 568.

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tax

■ A taxing Christmas Just how generous is HM Revenue and Customs when it comes to allowing us to claim expenses in the lead up to Christmas?

E

ven if you’re not a corporate, HMRC allows even the smallest of limited companies the ability to take advantage of a tax exemption for any allowable costs of their Christmas event.

any one tax year. It must be a business gift, such as a business diary, and not food or alcohol. The gift should carry a conspicuous advertisement for your company to avoid being classified as entertainment expenses.

So, there you have it! HMRC is not totally heartless when it comes to the season of goodwill, but make sure you

know exactly what you can and can’t do to make sure you get the maximum tax advantage!

How much can I claim?

By taking advantage of a tax relief at 20% tax exemption for annual events, you will only have to pay for 80% of the costs of your Xmas event.

How do I qualify?

To qualify, it must run annually. So, if you are going to have a party once a year, then you will have to do it every year. The event does not have to be restricted to Christmas! It could be an Easter or summer party, but it must recur annually.

It should be available to all employees in one location. That means all directors, staff and guests. Guests can include spouses, civil partners and children. There is a limit of £150 per head. This is an absolute maximum. The £150 includes VAT, transport and accommodation costs.

The total cost is then added up and divided by the number of guests. Even if the cost per head is a penny above the £150, the exemption will be void and the total cost will be taxable.

Gifts to employees You are entitled to claim back the costs of any ‘trivial gifts’ you buy for your employees. These gifts must be in keeping with the season, so gifts such as a bottle of wine or a turkey would be acceptable, but a case of wine or a food hamper would be considered a ‘non-trivial gift’ and not be allowable.

Gifts to clients HMRC will allow you to give a business gift worth up to £50 to any one person in

NLP Christmas Survival Guide Christmas is a time to eat, drink and be merry, but for some people it can be stressful. If Christmas is not a time for joy and merriment, these NLP tips might just help you to come through the festive period unscathed!

Focus on what is going well

Use the ‘feedback sandwich’

Where you put your attention is what you get more of. Focus your efforts and energy on the good moments with family and friends and reflect on your role rather than immediately rushing off to the next thing on the list!

If you criticise other people they can tend to switch off and your valid points fall on deaf ears. A great way to achieve Christmas cheer is to communicate your thoughts by saying what you are pleased with, then what you would like more of, and finish with how well it’s going overall.

Be the behaviour you want Kids in particular tend to follow your example, so always show them what you want from them. For example, if you want them to show more compromise, then demonstrate compromise over something like what to watch on TV!

See things from other’s point of view Children will see things differently from you so try to put yourself in their shoes; would you want to stop playing to eat or go to bed? The same principle applies to dealing with adults!

Speak with authority The lower and more slowly you speak, the more authoritative and in control you sound.

Delegate Wherever possible, delegate. If you have a million and one things on your to-do list, do what you value most and what you feel you need to do – everything else, delegate or leave!

Christmas is there to be enjoyed and utilising some or all of the above points might allow you to do just that!

About Peter Blake Peter Blake is a chartered accountant, business coach and master practitioner of NLP. He has his own practice based in Wiltshire, lectures on finance and mentors new business start-ups for Gloucestershire Enterprise Ltd. For further details, contact Peter on 07912 343 265 or email peterblake@pbcoachingandtraining.com the

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workplacestress

■ Are you taking stress seriously?

Standards for the Dental Team: Standard 7.3 Update and develop your professional knowledge and skills ■ Educational aim: – to be aware of the causes and symptoms associated with stress in the workplace and the possible solutions to alleviating them and creating a more harmonious work environment ■ CPD outcomes: – to understand how stress in the workplace occurs – to be able to identify the signs of stress in your place of work – to be aware of some of the solutions to stress at work

By Marisa Firkins, CMIOSH, Director, Safety Forward Ltd Picture the scene.

You are a dental laboratory manager or owner trying to meet the demands of providing your patients and/or customers with a good service and product. Those of you who run dental laboratories may be familiar with managing health and safety issues, such as infection control and fire risks, but how many employers and managers truly know how to tackle stress in the workplace?

Mental health and wellbeing are not always at the top of the agenda for business owners and that may well be due to a lack of knowledge of how to deal spec other ific v with it. erifie d

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tress often happens as a result of feeling under pressure, but it’s specific to the individual and often relates to a person’s personality and ability to cope with stress. We all react differently depending on our nature: while someone may adversely react to a pressured situation, another could deal with it in a positive way by feeling motivated and driven.

Pressure at work is not the only reason for mental health problems; quite often it is issues at home that are the cause.

However, feeling stressed from a situation at home may cause someone to bring their issues into work. People generally don’t like to admit to feeling stressed; they may feel it will not be taken seriously or will be labelled as ‘not coping’.

How big a problem is the ‘S’ word in the UK? The latest figures show that 37% of all work-related ill health is down to anxiety, stress and depression in the workplace. In 2015–2016 there were 224,000 new cases reported. Workers in healthcare are one of the highest sectors to suffer from stress. The figures have remained unchanged over the last 10 years, which

shows that as a nation, we may not be tackling the problem sufficiently.

The common causes of stress in the workplace One of the main reasons cited is a lack of support from managers. Additionally, poor organisation, work pressure and poor work culture are all common themes. In a busy dental laboratory, some of those stress factors may be down to being short-staffed, or commercial factors such as introducing new services or technology to boost income, improve efficiencies and meet business objectives. The owner may have a fantastic reputation as a dental technician, but lack of business or people skills may detrimentally impact the wellbeing of the rest of the team.

The signs of stress to look out for Typically, a person may show signs of headaches, muscle tension, dizziness, high blood pressure, sleep problems and eating too much or too little. However, those are the physical signs we see. So how about the things we can’t see? A person may suffer from anxiety, feeling overwhelmed, irritability and poor selfesteem. Someone suffering from stress

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CPD spec other iďŹ c v eriďŹ e

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will typically find themselves constantly worrying, have difficulty concentrating or it may be challenging to make important decisions. These are all factors that will impact productivity and the smooth running of your business.

To begin addressing the problem of stress amongst your team, you need to know what to look out for. Many larger businesses spend time surveying their employees to identify whether stress is likely to be a problem now or in the future. The Health & Safety Executive (HSE) has a useful tool you can download which asks a number of questions.

Building a happier workplace Once you have identified what the issue is, you should seek to make improvements. A happy workplace is a place where people work best when they feel good about themselves. You will not get the best out of your employees if you are creating a workplace culture of blame and bullying. Managers who understand that their role is to develop and coach their employees will be leading a more productive team. The key to understanding stress as an issue is by understanding how and where it is caused.

One of the biggest improvements you can make to your workplace is to consult with your employees. Team members do not like having things imposed on them and like to feel they have an input. Lack

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of communication from management is cited as one of the main reasons for stress in the workplace. If your dental laboratory is going through any form of change, involving your workforce is fundamental to reducing pressure.

Remember, it is best to do things WITH people not TO people.

Revisiting your people management policies to ensure everyone has clearly defined roles, and a degree of control over what they do, is very important.

Focusing on workplace achievements and creating good team dynamics will play a part in reducing stress. Making sure that work is evenly distributed and staff have the chance to take on extra responsibilities where they want to, and ensuring they feel valued and listened to will encourage them to feel they are an important part of the business.

will inevitably have an impact on the smooth running of your laboratory, but by being proactive and identifying stress factors in the early stages, you will no doubt reduce the chances of staff being absent from work due to mental health issues.

It can sometimes feel like a balancing act when dealing with the health and wellbeing of employees together with the goals of business. There is never going to be a quick fix, but with the commitment from management, buy-in from staff and a culture that supports health and wellbeing as a part of the business values, you will go some way to preventing a real issue in your dental laboratory. â– Free HSE Stress Toolkit: http://www.hse.gov.uk/stress/ standards/downloads.htm

Make sure your team members take a break. Rest breaks from work are not just important to those who are carrying out the jobs but they are equally important to the employers themselves. Taking a break helps productivity and maintains focus.

Ignoring stress can wreak havoc with the smooth running of your business. One in seven employees in the UK has resigned according to mental health charity, Mind.

Staff turnover and absence due to illness the

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cpd2018

■ Continuing professional development – all change in 2018 – Part 1 Over the past few months the General Dental Council has been working on plans to update the current CPD model. As you will have seen in the press, and on the GDC website, these changes come into effect on 1 January 2018 for dentists and 1 August 2018 for dental care professionals (DCPs). The new CPD scheme is called Enhanced Continuing Professional Development or ECPD for short.

How will this affect you?

New development outcomes

The main changes are: ■ the reduction of CPD hours overall for all dental professionals, due to the removal of non-verifiable CPD ■ a requirement to make an annual declaration of CPD hours completed instead of the existing 5-year requirement ■ all registrants must have a personal development plan (PDP) and log of activity

Enhanced CPD: Your 5 year cycle

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■ the requirement to align CPD activity with the GDC’s ‘new’ development outcomes ■ the requirement for professionals to plan CPD activity according to their individual ‘field(s) of practice’

There are new development outcomes for all registrants.

From August 2018, you will need to map your CPD to at least one development outcome – A, B, C or D. Development outcomes and examples of what kinds of CPD might be mapped to each.

Professional

Min. hours/cycle

Meet the hours requirement

Dentist Dental therapist Dental hygienist Orthodontic therapist Clinical dental technician Dental nurse Dental technician

100 75 75 75 75 50 50

Keep a CPD record

This needs to include: 1. Your personal development plan (PDP) 2. Your log of CPD activity completed 3. Documentary evidence (eg certificate) from the CPD provider for all activity completed It should also include an element of reflection.

Each CPD activity needs at least one of the GDC’s learning outcomes

Make your annual statement

You will be declaring: ● The number of CPD hours you have done in that year ● That you have kept a CPD record ● That the activity you have done is relevant to your practice as a professional

You can log onto eGDC at any time to make your statement for each year

Remember: You must do CPD regularly, at least 10 hours every 2 years

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cpd2018 Development outcome

Example of CPD content

A. Effective communication with patients, the dental team, and others across dentistry, including when obtaining consent, dealing with complaints, and raising concerns when patients are at risk

■ Communication skills ■ Consent ■ Complaints handling ■ Raising concerns ■ Safeguarding

B. Effective management of self, and effective management of others or effective work with others in the dental team, in the interests of patients; providing constructive leadership where appropriate

■ Effective practice management ■ Business management ■ Team working ■ Leadership skills

C. Maintenance and development of knowledge and skill within your field of practice

■ Clinical and technical areas of study ■ Radiography ■ Cross infection control ■ Medical emergencies and CPR ■ Emerging technologies and treatments ■ CPD on quality assurance for MHRA ■ CPD specific for your daily role(s) ■ Upskilling opportunities

practice, and how this relates to the GDC’s development outcomes.

Do Registrants will identify the verifiable CPD activity that best meets the needs set out in their PDP, and then complete CPD activity consistently throughout their cycle.

Registrants might find that their field of practice or needs change, and adjust their plan and activity accordingly.

Reflect

D. Maintenance of skills, behaviours and attitudes that maintain patient confidence in you and the dental profession and put patients’ interests first

■ Ethical and legal issues and developments ■ Professional behaviours ■ Equality and diversity training

As before, there is a list of recommended topics* for registrants to include in their CPD.

applicable to areas that they have identified to maintain or build on.

■ Medical emergencies ■ Materials & equipment (dental technicians) ■ Complaints handling ■ Safeguarding children and young people ■ Disinfection & decontamination ■ Legal & ethical issues ■ Oral cancer: early detection ■ Safeguarding vulnerable adults * as at 23/10/2017

Plan The personal development plan (PDP) is used to help identify CPD needs for the cycle. Registrants will create a plan for maintaining and developing their skills and knowledge within their field of

Reflection is an important process for registrants to evaluate the impact of CPD activity on meeting their needs for maintenance and development.

Taking some time to review and reflect on their activities allows them to assess what benefits have been gained and how they have implemented learning.

Record Registrants need to record what CPD activity they have completed.

A complete CPD record includes the log of activity with development outcomes mapped to each activity, the personal development plan, and the evidence collected from each activity.

Registrants can make their annual declaration at any time of each year, on eGDC.

CPD cycle – plan, do, reflect, record The enhanced CPD scheme is designed to support dental professionals to gain maximum benefit from CPD activities.

The plan, do, reflect, record model encourages registrants to proactively think about their professional needs, field of practice and the standards for the dental team before embarking on CPD activity. In this way, the activity becomes more meaningful and the

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12 december 2017

cpd2018 How many hours of verifiable CPD? Min. hours of CPD per cycle: Clinical dental technicians 75 Dental technicians 50 For registrants who are registered under more than one category, they need to do the minimum amount of CPD for the category with the highest CPD hours’ requirement.

So, if you are a clinical dental technician and dental technician, you will need to do 75 hours, covering your field of practice under both roles.

Spreading CPD throughout the cycle It may not be possible for professionals to do CPD for every year of their cycle.

However, CPD is more beneficial when spread throughout the cycle, rather than a large amount of activity in a short period of time.

To encourage registrants to do regular activity, there is a requirement to do a minimum of 10 hours CPD for every two consecutive CPD years.

The CPD record

● Ensure your evidence matches the verifiable CPD you are declaring each year ● Complete your annual statement ● Complete your end of cycle statement

● Think about your field of practice ● Identify your learning needs ● Link to the GDC’s development outcomes ● Design your PDP

Your CPD cycle

● Review your activity ● Reflect on impact on your daily practice and patients ● Make a record of your reflection ● Adjust your PDP as needed

1. your personal development plan 2. your log of completed activity 3. the evidence e.g. the certificate you have collected from each activity

● Complete your CPD activity ● Collect evidence from each activity ● Meet your hours requirement ● Adjust your PDP if needed throughout your cycle

■ In the meantime, why not visit http://www.gdc-uk.org/professionals/ cpd/enhanced-cpd for further information.

Field of practice for dental professionals The CPD rules state that dental professionals must choose CPD that includes activities relevant to each field of practice they work in during their CPD cycle.

In part two, we will be looking in more depth at the changes and letting you know how DTA will support you to meet the requirements of enhanced continuing professional development (ECPD).

A complete CPD record is made up of:

Examples: If you declare 0 hours in year 1, you must do at least 10 hours in year 2

Year 1

Year 2

Year 3

10 hours CPD

0 hours CPD 10 hours over 2 years

If you declare 3 hours in year 1, you must do at least 7 hours in year 2

7 hours CPD

3 hours CPD 10 hours over 2 years

If you declare 7 hours in year 2, you must do at least 3 hours in year 3

3 hours CPD

7 hours CPD 10 hours over 2 years

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cpd2018 Small but busy dental lab based in East London looking for a prosthetic technician.

All levels considered from beginner through to experienced technician. We are looking for someone who can work as part of a team and on an individual basis. Salary will be based on ability and experience. Please email Joanne@chingford-dental.co.uk or phone 020 8531 1212.

FOR SALE DUE TO RETIREMENT

KENT WOULD SUIT CLINICAL DENTAL TECHNICIAN LABORATORY ESTABLISHED FOR ALMOST 50 YEARS CLINIC ESTABLISHED FOR 8 YEARS TOTAL TURNOVER £500,000 VERY GOOD PRIVATE/CASH DENTURE TRADE FREEHOLD OR LEASEHOLD GOOD RELIABLE STAFF – ALL WILLING TO STAY PART TIME DENTIST EMPLOYED ON SITE PRICE NEGOTIABLE, BUT SERIOUSLY NO TIME WASTERS. I MIGHT BE RETIRING SHORTLY BUT STILL A BUSY MAN AT PRESENT! ● IF SERIOUSLY INTERESTED PLEASE CONTACT ME ON Bigalmilton@aol.com or 07836 569 661 the

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14 december 2017

digitalimplantworld

■ The Challenges of the Digital Implant World Standards for the Dental Team: Standard 7.3 Update and develop your professional knowledge and skills ■ Educational aims: – to raise awareness of developments in digital implant workflow – to understand the fundamental aspects of the clinic including the dental laboratory relationship with regard to digital workflow restorations ■ CPD outcomes: – to gain a better understanding of the advantages and workflow between dentist and dental technician in the manufacture of implant restoration appliances – to enhance the individual’s ability to relate such restorations to other case needs

Undoubtedly digital dentistry is the current topic. Over the last five years, the entire digital workflow has progressed in leaps and bounds.

There are so many different digital applications that it is sometimes difficult to keep up with all the advances. Many dentists and technicians are excited about the advantages of new technologies, but there are an equal number who doubt that the improved clinical workflow justifies the expense.

I have worked closely with Borough Crown and Bridge – Andy Morton and Ian Murch – for the last 10 years and at times we have had steep learning curves and dealt with many issues as a team but, importantly, we share our experiences and feedback.

I

have often heard the argument that there is no need to try and fix something that is not broken. It is so true that impressions have their place and there are certainly limitations to the digital workflow that anyone using the technology should be aware of. For me, however, the benefits of digital far outweigh the disadvantages. In fact, the disadvantages are the same as with conventional techniques.

Chairside CAD/CAM single-visit restorations have been possible for over 20 years, but the accuracy of what was produced was always questionable.

However, the ability to connect the intraoral scanner to a laboratory-based milling unit to enable a ceramic restoration to be produced by a technician was clearly an advantage – even with a model-free workflow, for those brave enough. Of course the scope was limited to smaller, single-unit restorations but the technology demonstrated that this new workflow was desired by clinicians, technicians and patients alike.

Fig. 1

CAD/CAM technologies – was driven purely by dental technicians wishing to become more efficient in terms of time management, production volume, accuracy and cost efficiency. However, it did mean there was a capital investment required in the new technologies – and it is important to think of this as an investment not an expense.

What is digital implant dentistry?

This was the first step in the digital dentistry revolution and it was dental technicians who were the early adopters.

The movement away from the lost-wax technique to customised milling –

Many implant clinicians have probably been using CAD/CAM workflows without even knowing, as many laboratories implemented the technologies without their clinicians realising it, substituting the lost-wax technique and the expense of

Fig. 2

Fig. 3

By Ross Cutts, the principal dentist at Cirencester Dental Practice in Cirencester in the UK. He can be contacted at cuttsrg@aol.com. the

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december 2017 15

digitalimplantworld gold for fully customised cobalt-chromium milled abutments (Fig. 1).

One of my most important goals in seeking to be a successful implantologist is to provide a dental implant solution that is durable. We have seen a massive rise in the incidence of peri-implantitis and have found that a large proportion of these cases can be attributed to cement inclusion from poorly designed cementretained restorations (Fig. 2). Even well designed, fully customised abutments and crowns can have cement inclusion if the restoration is not carefully fitted (Fig. 3).

This has led to a massive rise in retrievability of implant restorations, with

screw-retained crowns and bridges now being the goal. However, making screwretained prostheses places even greater emphasis on treatment planning and correct implant angulation.

With dental laboratories as early adopters, we have been milling titanium or zirconia customised abutments for over ten years.

What has changed recently in the digital revolution is the rise of the intraoral scanner. We now have a workflow in which we can take a preoperative intraoral scan and combine this with a CT scan using coDiagnostix (Dental Wings) in order to plan an implant placement accurately and safely. We can also create

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veriďŹ a surgical ed guide to aid in accurate implant m placement, & e ateria quip ls have a men t temporary crown prefabricated for the planned implant position and then take a final scan of the precise implant position for the final prosthesis.

Accuracy of intraoral scanners Figures 4–14 show the workflow for preoperative scanning, which includes the implant design, guide fabrication and surgical placement of two fixtures.

Fig. 4: Preoperative site

Fig. 5: CT scanning and intraoral scanning coDiagnostix planning

Fig. 6: Printed models

Fig. 7: Surgical stent fabricated for surgery

Fig. 8: Surgical stent in situ for implant surgery

Fig. 9: Placement of implants

Fig. 11: Healed implants and emergence profile

Fig. 12: Straumann mono scan bodies in situ for intraoral scan

scan image comes up in real time and I can evaluate my preparation and quality of the scan on the screen immediately.

Seeing the preparation blown up in size

no doubt improves the technical quality of the tooth preparations. The scan can then be sent directly to the laboratory for processing via The Cloud.

Fig. 10: Post-operative X-ray of implant placement

Intraoral scanners have improved over the last few years, and their accuracy and speed provide a viable alternative to conventional impression taking. The digital

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16 december 2017

digitalimplantworld Fig. 13: Screw-retained crowns fabricated

Fig. 14: Final implant crowns in place

While we do not think of intraoral scanners as being any more accurate than good quality conventional impressions, there are many benefits of scanning, such as impressions not being lost in the post and an almost zero re-impression rate creating predictability and reliability.

When fabricating definitive implant frameworks for bridges, we use Createch Medical for screw-retained CAD/CAM-

Clinical case to demonstrate our digital workflow:

Fig. 16: Implants placed in the lower arch

Fig. 17: Scan bodies in situ

I have three different scanners in the practice: the iTero (Align Technology), the CEREC Omnicam (DENTSPLY Sirona) and the Straumann CARES Intraoral Scanner (Dental Wings; Fig. 15). The CEREC Omnicam is fantastic for simple chairside CAD/CAM restorations, such as IPS Emax all-ceramic restorations on Variobase abutments. For truly aesthetic results we, of course, work with our dental laboratory.

For single (aesthetic) and multiple-unit cases, we use the iTero and Straumann scanners. The latter we have only had at our disposal since February. The technology is great, as is the now openness of the system, which provides the advantage of being able to export STL files into planning software. We even use the scanners for orthodontic cases now instead of wet impressions. I invested in the iTero scanner five years ago and have used it for everything, from simple conventional crowns and bridges, to scanning for full-mouth rehabilitations.

Fig. 15

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milled titanium and cobalt-chromium frameworks. Even though intraoral scanning appears extremely reproducible and accurate, blind belief in the accuracy of technology can lead to trouble because we have found there can be significant inaccuracies between the scan and actual implant position – to ensure a truly passive framework we resort to ‘analogue’ technologies, such as verification jigs.

Fig. 18: Verification jig made on the model

Fig. 19: Verification jig in the mouth

Fig. 20: Acrylic temporary bridge and try-in

Fig. 21: Final framework fabricated

Fig. 22: Final bridge placed in the mouth

december 2017 17

digitalimplantworld Linking my workflow to my dental laboratory

Fig. 23: iTero model

There are many ways digitisation has improved dentist-laboratory relationships and communication: from the basic use of the iPhone, to digital SLR cameras for picture transfer, to the use of intraoral scanners to substitute wet impressions and allow direct data transfer.

For the last few years, model production and accuracy have improved greatly – milled iTero models are almost indestructible and the pindexing system is very rigid, allowing excellent contact point accuracy on restorations.

Recently, with advances in 3D printing, rigid models can be printed which don’t wear or chip like conventional stone models. The pindexing is very precise but articulation and accuracy are still to be questioned.

Fig. 24: Printed models

We can now use printing technology to create surgical guides for precise implant placement.

However, we must remember there are inaccuracies with every technology we implement but if we can keep this in mind we can ensure the patients’ best interests are kept at the forefront.

We are exposed to so many new techniques and technologies, we must

Fig. 25: Printed surgical guide

ensure that it is not at the expense of the end user – our patients.

To conclude, digital dentistry is the future and so why not take advantage of it and help improve your clinicians’ and ultimately the patients’ clinical outcomes.

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18 december 2017

digitaldentalworld

■ The digital dental world: Part six Standards for the Dental Team: Standard 7.3 Update and develop your professional knowledge and skills ■ Educational aim: – to gain an awareness of how this fourth industrial revolution may change the face of our industry ■ CPD outcomes: – to be familiar with the term ‘batch one’ and what it means for dental technology – to understand the benefits and drawbacks of this fourth age of industrialisation – to appreciate how the nature of what we do, how we do it and where it is done may change in the future

The Technologist explores ‘Industry 4.0’ – the fourth industrial revolution

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igital technology has ushered in ‘Industry 4.0’, which is nothing less than the fourth industrial revolution, the latest in a series of worldaltering technological leaps that began in the 1780s with the advent of steam power and the great move from an agrarian economy to an increasingly urban model.

The next leap happened in the 1920s, thanks to flourishing electrical technology and mass production, most widely represented by the iconic Model T Ford automobile – available in any colour you like, so long as it’s black.

The 1970s saw the emergence of IT and the internet, allowing the globalisation of high speed communications and mankind’s first steps into online life.

In the present day, more people have access to online communication through tablets and smart phones than have flush toilets. Machines communicate in a dynamic cyber-physical process, and batch one manufacturing, close to the point of consumption, has arrived.

‘Batch one’? This term will soon become common in the dental technical fraternity.

The growing consumer drive towards ever greater personalisation of products has

created a batch one culture that moves away from mass production to a bespoke manufacturing model which produces a single, on demand item – in other words, unique product output in batches of one.

The dental lab has always been at the forefront of batch one production. How else can you describe a bespoke crown, carefully shaped to fit precisely into the patient’s mouth, if not as batch one?

The digital revolution has changed the way many dental technicians work, and a great deal of the innovations underpinning digital dentistry have evolved since cyber-physical manufacturing matured, which required a number of factors to fall into place: Cloud-based communication, advanced digitisation and an integrated digital workflow, plus artificial intelligence, advanced robotics and highly developed automation all funnelling demand towards an accessible, localised, batch one manufacturing process.

Fuelling the process is what has been described as ‘The Internet of Things’ (IoT). What is this? There have been a lot of smart column inches dedicated to this subject, including white papers, but to simplify the concept, this is the process

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december 2017 19

digitaldentalworld by which anything with an on/off switch can be connected to the internet and then each other. For example, the Hive system allows you to remotely switch on your heating, lighting, TV, and even your kettle, by using your mobile phone. So what? IoT is big business and will impact on healthcare.

Analytical research specialist, Gartner, estimates that by 2020 there will be over 20.8 billion connected devices generating over 20 zettabytes (20 sextillion bytes) of data. In the same year, consumer and business spending on IoT end hardware will reach an estimated $3 trillion. This will connect things to each other, things to people, and people to people.

To summarise the key components for Industry 4.0: ■ ■ ■ ■

Advanced digitisation The ‘Internet of Things’ Integrated workflow Advanced robotics and highly developed automation

What are the drawbacks of Industry 4.0?

People’s careers will be affected. Societal repercussions are forecast to include the fact that up to 50% of current jobs will cease to exist. Because smart factories will need less human intervention, there will be a major shift in the workplace skillset, meaning a lot of people will require retraining.

It is also believed that 65% of children entering primary school for the first time this year will end up working in jobs that don’t yet exist.

The need for people who can manipulate materials and design bespoke products will continue to grow, and new materials are being developed all the time. Not getting left behind by competitors who have embraced Industry 4.0 requires a shift in mindset, and an acceptance of new, turnkey technologies.

We discussed 3D printing at the beginning of the year and developments

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have seen it move forward at a rapid pace. By 2025, 3D printers will be used for manufacturing 5–10% of consumer products; 30–50% of direct manufacturing (aerospace, healthcare and automotive, etc.); and 30–50% of industrial tooling and moulds.

quickly the term ‘digital workflow’ has become accepted in technical conversations.

By 2025 the 3D print market is forecast to be worth between $230–550 billion per annum, and is currently believed to be at the point the worldwide web had reached 20 years ago.

Digital dentistry is now an accepted and mature science, and this maturity was demonstrated throughout Showcase by the many demonstrations of workflows that started with an intraoral scan and ended with a restoration manufactured using a 4- or 5-axis milling centre.

Once the materials are in place, 3D printing might prove the perfect solution for manufacturing a broad range of dental devices because it cost effectively ensures the product meets the optimum design criteria by matching form to fit and function.

During BDIA Dental Showcase, The Technologist spoke with Henry Schein’s specialist in 3D technology, Mosin Aboobaker, and he explained that although 3D printing makes precision model-making much simpler and faster, and is a cost-effective manufacturing system for bespoke mouth guards, surgical guides, and other medical devices, it is not yet a medical device silver bullet. For example, while biocompatible materials exist for printing dentures, the colour and texture are not yet acceptable.

spec other ific v erifie d

lear n theing fro bes m t

The process time from when the lab accepts the dentist’s intraorally scanned, open STL file, through designing the restoration and then staining and sintering a high quality crown, can realistically take just an hour or less. And if the practice and lab are nearby, the patient can walk out of the practice with a same-day restoration, or even an implant with a temp in place.

Industry 4.0 is a dynamic process. In the same way steam changed the face of the world, Industry 4.0 will change the way we work. Will technicians be replaced by software and artificial intelligence? Only the future will tell, but we believe there will always be a place for the skilled hands and mind of a human somewhere in the workflow.

One day soon, however – thanks to advances in IoT connectivity – plus smarter digital algorithms, new materials, and more intelligent workflow, a dental technician might be able to start and end his day in his living room. They will open their computer, accept the latest STL filed scan from the surgery, design the restoration, and then send the file to a MakerBot, Stratasys, HP, or Rapidshape 3D printer in a local dedicated manufacturing centre.

The work will be checked remotely and then finished and possibly delivered back to the surgery by one of a fleet of drones.

If it sounds like science fiction, think how the

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20 december 2017

digitalworkflow

■ State-of-the-art digital workflow Standards for the Dental Team: Standard 7.3 Update and develop your professional knowledge and skills ■ Educational aim: – to be aware of the challenges dental technicians face in their search for accuracy and perfect fit using digital technology ■ CPD outcome: – to gain an understanding of the external influences that impact the success of digital milling and scanning technology

Christian Flynn, Product Manager, Digital and CAD/CAM Straumann UK, discusses the benefits of working with Createch Medical

Createch Medical, in partnership with Straumann, have become recognised leaders across Europe for third party manufacture of milled bars and telescopic full arch restorations to the highest degree of accuracy and finish.

A

s dentistry continues to move from an analogue to a digital world, it is clear that many technicians are facing challenges in the search for accuracy and perfect fit.

One of the main advantages of scanning is speed, as technicians can process many more units each day. But when it comes to complex implant work, it is always advisable to also produce an analogue model, as this allows both the digital and analogue model to be compared and any inaccuracies compensated for to achieve the best possible result.

Createch has some of the most specialised and sophisticated measuring and scanning technology available in the world and recommends that labs send them both analogue model and digital file

for implant-based restorations. The model is measured using a probe with a tolerance of just one micron.

This is then compared with the .STL file and adjustments made as necessary to provide the technician with the most accurate results. By using these processes, the customer is free to design but Createch can guarantee the fit.

Createch has a different measuring protocol for each type of implant connection. Measurements are taken of the implant itself and the internal taper at three different heights – bottom, centre and top of the taper, giving six fit points at each section, making a total of 18 measurements regardless of implant type.

They maintain a respect for implant philosophy: each implant is designed with a certain geometry for a certain reason, for example, bone level implants are designed to sustain the load on the internal taper. For compatibility, they always look at the original design of the implant and how it’s been engineered.

Environmental concerns Another variable to be considered when adopting scanning and milling technology is the environment. Scanners and milling machines work best when they are in highly stable conditions with limited variations to light and temperature and away from vibrations.

It is not recommended placing a scanner near a window as the light will affect it, and the bench it is set on must be stable and in an area where there are no big temperature variations. To scan and mill the

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digitalworkflow

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in microns, there needs to be a constant temperature throughout the year, along with humidity control, as both the materials and scanners are prone to contractions and expansions.

Vibration from passing traffic or next-door manufacturing are enough to also affect the final result of the milled structure and is the reason why at Createch they have ‘floating floors’, meaning the floors are isolated from the walls to stop such vibrations and the temperature is controlled at a constant level.

Createch can restore all types of implants, regardless of their type and age. Currently there are around 600 different compatibilities and even discontinued lines, and implants that are now very difficult to get components for can be restored through CAD/CAM at standard pricing.

They are also seeing an increasing number of maxillofacial surgeons looking for their help in complex orthognathic surgery where there is no room to place standard implants or there is not enough bone.

By working with Createch, dental technicians, clinicians and even patients are given the opportunity to receive ultraprecise solutions to the strictest standards to guarantee the ultimate result is achieved.

■ For more details on how your laboratory can benefit from the services that Createch have to offer, please contact Straumann on: 01293 651 230.

■ www.straumann.co.uk ■ therevu.co.uk ■ Facebook: Straumann UK ■ Twitter: @StraumannUK

Createch Medical Createch Medical, based near San Sebastian in northern Spain, has its origins in the aerospace industry and now pioneer in the field of implant-borne prosthetics. Createch Medical was founded in 2006 and specialises in the research, development and manufacture of high quality, innovative, CAD/CAM bridges and bars. Straumann partnered with Createch Medical in 2013 and in doing so now provides a wide range of structure solutions for prostheses and the results of their developments are unique CAD/CAM structures that make them leaders in the sector. the

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22 december 2017

continuingprofessionaldevelopment Continuing Professional Development (CPD) Programme The Technologist is pleased to include a continuing professional development (CPD) programme for DTA members in accordance with the UK General Dental Council’s regulations and the FDI World Dental Federation’s guidelines for CPD programmes worldwide.

The UK General Dental Council regulations required that from 1 August 2008 all dental technicians must start documenting their CPD. They are required to complete and record a minimum of 150 hours of CPD every five-year cycle, a third of which should be verifiable CPD (50 hours). This should include verifiable CPD in the following core subjects: ■ medical emergencies (10 hours per cycle) ■ disinfection and decontamination (5 hours per cycle)

■ materials and equipment (5 hours per cycle) The questions in this issue of The Technologist will provide verifiable CPD for those entering the programme. Complete your answers for free online at www.dta-uk.org, or use the answer sheet overleaf (or a photocopy if this is preferred, so as not to remove the page). Return your answer sheet to the DTA Head Office address with your £5 payment (please note that your CPD won’t be processed without payment) before the 19 January 2018.

Online and paper responses must be received by the deadline. Dental technicians completing the programme will receive a certificate for the prescribed number of hours of verifiable CPD, together with the answers to the questions either online or by post according to the above guidelines.

Aims and outcomes In accordance with the General Dental Council’s guidance on providing verifiable CPD: ■ The aim of The Technologist CPD Programme is to provide articles and material of relevance to dental technicians and to test their understanding of the contents.

■ The anticipated outcomes are that dental technicians will be better informed about recent advances in dental technology and associated subjects and that they might apply their learning to their practice and ultimately to the care of patients.

Please use the space on the answer sheet or online to provide any feedback that you would like us to consider.

Are you taking stress seriously?

(Other specific cpd – one hour) Q1 – How many new cases of stress were reported in 2015–2016?

A – 224,000 B – 175,000 C – 363,000 D – 145,000

Q2 – Which of the following are indicative signs of suffering from stress?

A – Headaches and muscle tension B – Bruising easily C – Dizziness or changes to normal dietary routines D – High blood pressure and a and c

Q3 – In the UK, what percentage of ill health is attributed to depression, anxiety and stress?

A – 11% B – 25% C – 37% D – 42%

Q4 – Which of the following reflect the common causes of work-related stress?

A – Poor work culture and a lack of management support B – Not being able to take time off C – Finishing work on time D – Poor computer skills

Q5 – Which of the following statements relating to workrelated stress is untrue?

A – Healthcare is one of the highest sectors to suffer with stress B – Lack of management support is key to increasing stress at work C – Giving employees more time off alleviates stress D – One in seven employees resigns for stress-related reasons

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Q6 – Name an improvement you can make to combat stress in your workplace: A – Allow staff to decide what time they go home B – Get employees to write their own job descriptions C – Put up a TV in the staffroom D – Consult with your employees

Q7 – What business factors may cause people to become stressed?

A – A bullying and blame culture B – Being short-staffed C – Lack of support from management D – All of the above

Q8 – How will encouraging breaks improve wellbeing?

A – It will allow people to check their phones B – It will help employees to maintain focus C – It allows people to dash to the shops and do all the things on their to-do list D – It means people can catch up if they have fallen behind

Q9 – How many UK employees have resigned from their job because of stress, according to Mind Charity?

A – 1 in 4 B – 1 in 7 C – 1 in 10 D – 1 in 12

Q10– Alleviating stress is not a quick fix, so what should you do?

A – Seek commitment from management B – Get buy-in from staff C – Create a culture that supports health and wellbeing D – Don’t ignore stress and all of the above

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continuingprofessionaldevelopment The digital dental world (Other specific CPD – one hour) Q1 – When was the first Industrial Revolution?

A – 1780s B – 1830s C – 1640s D – 1720s

C – $400–680 billion per annum D – $350–400 billion per annum

Q10– What type of file does an open intraoral scanner create?

A – HML B – STL C – TFL D – MDEC

Q2 – What is ‘Batch One’ manufacturing?

A – The first product of its type B – The first product to be delivered C – Unique product output in batches of one D – Any item that can be safely packaged on its own

Q3 – What is the Internet of Things?

A – A search engine like Google B – An interactive computer game C – A description of the way things and people are connected via the internet D – An online shopping facility

Q4 – What is a zettabyte?

A – Sextillion bytes B – 10 to the power of 12 bytes C – 200 million gigabytes D – 100 trillion bytes

Q5 – How much is the Internet of Things forecast to be worth by 2020?

A – $5 billion B – $5 trillion C – $10 billion D – $3 trillion

Q6 – How many existing jobs are forecast to be lost due to industry 4.0?

A – 10% B – 25% C – 50% D – 75%

Q7 – Of the children entering school for the first time this year, how many are forecast to end up working in jobs that don’t yet exist?

State-of-the-art digital workflow (Materials & equipment cpd – 30 minutes)) Q1 – According to the author, what is one of the main advantages of using digital scanning?

A – Accuracy B – Cost C – Speed D – Competitiveness

Q2 – Why does Createch recommend sending both the STL and the analogue model to them when requesting a milled implant structure?

A – To guarantee the fit and c B – They like to maintain control C – To compare both and provide the most accurate result D – To compare results amongst dental technicians

Q3 – Which measurements are taken for each implant connection?

A – The internal taper is measured at its bottom, centre and top B – Six fit points are taken for each internal taper C – There are 18 measurements regardless of implant type D – There is a different measuring protocol for each implant type and a, b & c

Q4 – What is true regarding environmental variables when adopting scanning and milling technology?

A – Highly stable conditions are necessary and b B – Temperature and humidity must be controlled C – Variations to light must be limited and a & b D – Movement and vibrations don’t impact predictable outcomes

Q5 – How many types of implants are Createch solutions currently compatible with?

A – 600 B – 6000 C – 60 D – 660

A – 20% B – 45% C – 37% D – 65%

Q8 – By 2025, what percentage of direct manufacturing is forecast to be undertaken by 3D printers?

A – 30–50% B – 20–40% C – 40–60% D – 10–30%

Q9 – By 2025, how much is the 3D print market estimated to be worth?

A – $100–350 billion per annum B – $230–550 billion per annum the

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24 december 2017

continuingprofessionaldevelopment Christmas Bonus (Other specific CPD – 30 minutes) Q1 – Research suggests that the most profitable companies: A – Have clear rewards and accountability B – Pay staff the minimum rate for the job C – Recognise experience over performance D – Always pay a Christmas bonus

Q2 – One-off bonuses and incentives offer good value for money to a business because they are: A – Tax and NI free B – Discretionary and not added to the basic annual salary bill C – Paid automatically every year D – Paid to everyone

Q3 – The most effective bonus schemes measure: A – A single factor B – A range of factors, including quality and quantity of output C – Attendance rates D – Quantity of output only

Q4 – The most effective bonus schemes are based on: A – Individual performance B – Paying everyone the same bonus every year C – Group or team performance linked to overall company performance D – Matching competitor bonus schemes

Q5 – The most cost-effective and motivating schemes are run on a: A – Weekly basis B – Fortnightly basis C – Quarterly basis D – Annual basis

Q1 – What does the author consider advantageous in developing digital workflows with the whole dental team?

A – More streamlined and cheaper restorations B – Better quality of in-house milled units C – Share our experiences and feedback together D – Easier use of impressions to facilitate transfer

Q2 – Digital workflow is increasing although it is necessary to note there are: A – Always better results with digital systems B – Limitations that anyone using the technology should be aware of C – Limitations to the current digital systems relating to questionable accuracy D – Often better results with traditional methods

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A – Dental technicians B – Clinicians C – Manufacturers D – Teaching institutions

Q4 – Peri-implantitis is the destructive inflammatory process affecting the soft and hard tissues surrounding dental implants; a major cause suggested by the author is: A – Overbuilt margins and c B – Use of cobalt chromium alloys C – Overloading of the occlusion D – Poorly designed cement-retained restorations

Q5 – The author believes the ease of being able to remove and replace implant restorations has driven the use of: A – Cemented restorations B – Milled friction fit restorations C – Screw-retained crowns and bridges D – Diverse angulations of the implant abutments

Q6 – Fig. 5 clearly shows the use of a preoperative intraoral scan combined with: A – A radiograph (panoramic X-ray (OPG)) B – CT scan (CAT scan, computerised axial tomography) C – Digital elevation model (DEM) D – BioTime Face – facial recognition

Q7 – What is a surgical stent as shown in Figs 7 and 8 used for?

A – To align the mono scan bodies B – To accurately guide the intraoral scan C – As a surgical guide to aid in accurate implant placement D – The correct placement of implant screws after healing

The Challenges of the Digital Implant World (Materials & equipment cpd – one hour)

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Q3 – Who does the writer believe were early adopters in connecting the intraoral scanner to a lab-based milling unit to enable a ceramic restoration to be produced with a model-free workflow?

Q8 – Intraoral digital scans provide which of the following?

A – Real time images, large images seen on the screen immediately, and b.

B – Allows clinical evaluation of the preparations to consider quality C – Scans that can then be sent directly to the laboratory for processing via The Cloud D – All the above

Q9 – Which of the following does the writer consider important?

A – The opportunity for planning orthodontic cases B – Openness of the system, and all answers C – Ability to export STL files and only b D – Files taken into planning software

Q10– What does the writer consider the analogue technologies as shown in Figs 18 and 19 are used for?

A – To ensure a truly passive framework B – To use as a stent C – To enable removal of the screwed restoration D – To enable CAT scanning

Simply fill in the multiple choice answer sheet on the inside back cover and complete the form ...

december 2017

continuingprofessionaldevelopment

answer sheet the technologist december 2017 Please PRINT your details below: First Name*

Last Name*

GDC no.*

Title

DTA Member: Yes

No

DTA no.*

*Essential information. Certificates cannot be issued without all this information being complete.

Complete free online at <www.dta-uk.org>. First-time users will need to register; those already registered need only log in.

Or, either remove this page, or send a photocopy to: Dental Technologists Association, F13a Kestrel Court, Waterwells Business Park, Gloucester GL2 2AT. A £5 payment must be included with your CPD answer sheet – please do not forget!

Please note that you must achieve a score of 50% or more to receive a certificate.

Answer sheets must be returned before 19 January 2018 for CPD responses returned in the post and for online CPD users.

Answer sheets received after this date will be discarded.

Answers Please tick the answer for each question below Are you taking stress seriously? (Other specific cpd – one hour) Question 1:

A

B

Question 2:

C

D

A

C

D

A

Question 6:

A

B

B

Question 3:

C

D

C

D

Question 7:

B

A

B

D

A

C

D

A

C

D

A

C

D

A

C

D

A

C

D

A

Question 8:

A

B

Question 5:

Question 4:

C

B

C

D

A

C

D

A

C

D

A

C

D

A

C

D

A

C

D

A

C

D

A

C

D

A

C

D

C

D

C

D

C

D

C

D

C

D

C

D

C

D

Question 10:

Question 9:

B

B

B

The Digital Dental World (Other specific cpd – one hour) Question 1:

A

B

Question 2:

C

D

A

C

D

A

Question 6:

A

B

B

Question 3:

C

D

C

D

Question 7:

B

A

B

Question 8:

A

B

Question 5:

Question 4:

B

Question 10:

Question 9:

B

B

B

State-of-the-art digital workflow (Materials & equipment CPD – 30 minutes) Question 1:

A

B

Question 2:

C

D

A

B

Question 3:

C

D

A

B

Question 5:

Question 4:

B

B

Christmas Bonus (Other specific CPD – 30 minutes) Question 1:

A

B

Question 2:

C

D

A

B

Question 3:

C

D

A

B

Question 5:

Question 4:

B

B

The Challenges of the Digital Implant World (Materials & equipment CPD – one hour) Question 1:

A

B

Question 2:

C

D

A

C

D

A

Question 6:

A

B

B

Question 3:

C

D

C

D

Question 7:

B

A

B

D

A

C

D

A

Question 8:

A

B

Question 5:

Question 4:

C

B

Question 10:

Question 9:

B

B

B

Feedback We wish to monitor the quality and value to readers of The Technologist CPD Programme so as to be able to continually improve it. Please use this space to provide any feedback that you would like us to consider.

An important note for non-DTA members Non-DTA members will incur a £25 fee for undertaking CPD provided through this publication. Cheques made out to DTA should accompany your answer sheet. the

technologist