The Probe June 2025

Specialty brushes

by TePe®

TePe has a great selection of brushes to complement the regular toothbrush, specifically designed to keep every smile healthy. No matter if you have braces, dental implants, or tricky spots to clean, we’ve got just the right brush to make at-home care easier and more enjoyable!

TePe® Denture Care with extra-long and strong filaments, it’s optimal for cleaning a removable denture.

TePe® Implant Orthodontic Brush is a special toothbrush designed to clean along implants and fixed braces.

TePe® Universal Care has a unique angle for better access to hard-to-reach areas. Optimal for cleaning on lingual surfaces and along the gum line of natural teeth, implants, prosthetic constructions, fixed lingual braces, retainers and retroclined teeth. Scan the QR code to view

TePe® Interspace is an angled, single-tuft brush with replaceable brush tips. The angled head and the pointed tip improve access to hard-to-reach areas, such as furcations and behind the last tooth.

TePe® Gentle Care is a super soft toothbrush recommended as the second brush stage after oral surgery and for patients with sore or delicate tissues.

specialty brushes.

TePe® Special Care Compact is an ultra-soft toothbrush with a small brush head, recommended for patients after oral surgery and for patients with sore or delicate tissues.

TePe® Compact Tuft is a single-tuft brush with a dome-shaped brush head for precision cleaning of hardto-reach areas, such as implants, attachments for overdentures, fixed braces, or along the gum line.

BDA warns of ‘paper pay rise’ that won’t cover mounting cost of care

The British Dental Association (BDA) has stressed headline pay uplifts of 4% will do little to halt the exodus from NHS dentistry, unless Government is willing to cover the real costs of delivering care.

A final figure factoring in dentists’ expenses, is still to come. The BDA has said the new Government must not follow in its predecessor’s footsteps by cherry picking measures of inflation that will likely fail to reflect soaring overheads and leave frontline dentists facing real pay cuts. Additional costs brought by the recent rise in National Insurance contributions and the National Living Wage, which are

estimated to increase dental practices’ wage bills by 9.5%.

The BDA estimates a typical practice loses over £40 delivering a set of NHS dentures, and over £7 on a simple new patient exam.

Earlier this year the professional body warned the Public Accounts Committee that the Treasury has become reliant on practices delivering care at a loss. This has fed into a decade of austerity funding, which has fuelled the workforce and access crises in the service. The PAC stressed promised reform of the discredited contract dentists work to must

go hand in hand with sustainable funding.

While the Department of Health and Social Care has a cost-of-service exercise underway, with the BDA’s full support, there is no sense if the Treasury will plug the funding gap to keep NHS practices afloat longer term, or how this data will inform future pay awards.

The professional body has said the Review Body on Doctors’ and Dentists’ Remuneration deserves credit for refusing to be constrained to by the Government’s budgeted uplift of 2.8%. But it says the final uplift, when confirmed, will not even begin to undo the real terms collapse

Call for labelling reform to protect oral health

Patients are unknowingly putting their oral and general health at risk by missing hidden sugars on food labels, prompting urgent calls for clearer labelling and stronger regulation. The Oral Health Foundation is calling on the government to introduce mandatory front-of-pack sugar warnings, enforce consistent naming for added sugars across all products, and lead a public education campaign to help people recognise and reduce their sugar intake.

The charity says current food labels are too complex and inconsistent, making it difficult for consumers to make informed choices about their health.

New research from the Oral Health Foundation reveals that just one-in-five (19%) UK adults always check food labels for sugar content – despite tooth decay being the nation’s most common and entirely preventable disease.

The findings, released during National Smile Month, show a worrying trend of confusion and complacency around sugar. While many people keep an eye on calories or fat, fewer than one-in-three (29%) regularly check how much sugar is in their food. Alarmingly, around one-in-six (17%) never check sugar content at all.

Dr Nigel Carter, Chief Executive of the Oral Health Foundation, says the public is being “caught off guard by sugar in everyday foods”, and that industry and government have failed to provide the tools people need to make informed choices.

Dr Carter says: “People are trying to make healthier decisions, but the information they need just isn’t clear enough. Sugar is everywhere – not just in sweets, but in cereals, sauces, yoghurts and ready meals – often hidden under misleading names.

“We need simple, honest labelling that makes sugar content impossible to miss. This is a matter of public health.”

Current food labelling rules allow manufacturers to obscure added sugars under technical or unfamiliar names like glucose, dextrose and maltose. Traffic light labelling, portion sizes and daily intake guidance remain underused – partly because the systems are inconsistent and overly complex.

Despite being designed to support healthier choices, fewer than one-inthree (29%) people use traffic light labels to assess sugar content. Fewer than half (46%) check the ingredients list, where added sugars are commonly disguised. Only one-in-four (26%) look at the grams of sugar per portion, while just one-in-eight (13%) pay attention to the recommended daily intake.

The Oral Health Foundation says the UK needs a “complete rethink” on how food and drink products are labelled, with sugar given the same level of visibility and concern as fat or calories.

“We’re calling for a national effort –from government, food companies, and educators – to empower people with clearer information,” says Dr Carter. “We must stop treating sugar like a harmless treat and start recognising it as a serious health threat. Labelling reform is just the beginning.” ■

of over 40% in NHS dentists pay since 2010, a fall with no precedent in the UK public sector.

Employed dentists will see a 4% uplift, with an additional £750 on pay scales for resident dentists working in hospitals.

Shiv Pabary, Chair of the BDA’s General Dental Practice Committee, said: “On paper dentists are being offered an uplift of 4%. The reality is they won’t see anything like this, unless ministers cover the mounting cost of care. Without real change, practices will remain stuck delivering NHS work at a loss and the exodus from this service will continue.” ■

A welcome from the editor

This last month has arguably been the busiest of my working life. That’s not to say it hasn’t also been a ton of fun!

One particular highlight was this year’s British Dental Conference and Dentistry Show in Birmingham. I came aboard The Probe during

in 2020, and can safely say that the 2025 edition of the Dentistry Show was the busiest and most positive I have yet to

To get an idea of what the exhibition was like – or to relive it if you were there – check out our video in which we asked exhibitors and visitors alike to describe the event in a single word. Visit https://tinyurl.com/Dentistry-InAWord or scan the QR code accompanying the thumbnail below.

We have also revealed the finalists, commended, and winners of the 2025 Dental Awards. This is always our favourite event of the year, and 2025 has brought some incredible reactions. You can view the winners and finalists in five of the 12 categories on pages 42-43 (with the remaining seven to be featured next issue). Alternatively, head over to https://tinyurl.com/DentAw2025 to watch this year’s presentation and view the full list of this year’s big winners and runners up.

I’m running out of space and have just scraped the tip of the iceberg. We’re also in the midst of National Smile Month, of which I had the pleasure of attending this year’s launch in London. You can read more on that in Nigel Carter’s article on page 8 and Polly Bhambra’s piece on page 10.

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Editorial Advisory Board: Dr Barry Oulton, B.Ch.D. DPDS MNLP; Dr Graham Barnby, BDS, DGDP RCS; Dr Ewa Rozwadowska, BDS; Dr Yogi Savania BChD, MFGDP; Dr Ashok Sethi, BDS, DGDP (UK), MGDS RCS; Dr Paroo Mistry BDS MFDS MSc MOrth FDS (orth); Dr Tim Sunnucks, BDS DRDP; Dr Jason Burns, BDS, LDS, DGDP (UK), DFO, MSc; Prof Phillip Dowell, BDS, MScD, DGDP RCS, FICD; Dr Nigel Taylor MDSc, BDS, FDS RCS(Eng), M’Orth RCS(Eng), D’Orth RCS(Eng); Mark Wright BDS(Lon), DGDP RCS(UK), Dip Imp Dent.RCS (Eng) Adv. Cert, FICD; Dr Yasminder Virdee BDS. Readers who fall

Alison Large Dento-legal adviser DDU

Lianne Scott-Munden Clinical Services Lead Denplan

Ollie Jupes Former NHS dentist Dentist Gone Badd

Dr Nigel Carter OBE Chief Executive Oral Health Foundation

Dr Rana Al-Falaki Founder MedDent Academy

Martin Foster Dentolegal Consultant Dental Protection

Dr Selvaraj Balaji Owner of The Gallery Dental and Implant Centre

Simon Cosgrove Dental Regional Manager Wesleyan Financial Services

Missing you…

Afew months after I retired, I bumped into a patient in my favourite supermarket. I got on well with her over the years and after the usual exchanges regarding the wellbeing of family members, she asked me not whether I was missing dentistry, but what I was missing about dentistry. I had to think for a mere thousandth of a millisecond before replying, “the biscuits.” That was it. Truly. I think I must have been trying to blot out all the horrors of a 35-plus-year career. I couldn’t think of a single thing I missed. At my last practice we always had a plentiful and varied supply of biscuits in the staff room (donated by members of staff I hasten to add, rather than being supplied by the corporate) and the odd chocolate chip cookie or choccy Hobnob did much to alleviate the diametrics of NHS dental practice, namely boredom and stress.

Very recently, an acquaintance asked me the same question. Having given it a little more thought, I have to admit there were some colleagues I missed – particularly the quirky ones that occasionally managed to lift me, albeit temporarily, out of the blackness of dental practice that seemed to dog me from the point at which I transformed from graduand to graduate in July 1988, up until the point that I skipped out of my surgery for the very last time, on 31st December 2018.

I mean, who could fail to be spiritually lifted by walking into a conversation in the staff room at lunchtime on your first day at a new practice and hearing one of your new European colleagues – in a very heavy (and loud) Portuguese accent - telling everyone about her troublesome ‘penis allergy’. It took some time for colleagues to pull themselves together after she told us that, for a laugh, her husband had once threatened to chase after her with ‘some penis in his hand’ if she didn’t make him a coffee. It was only after she mentioned intramuscular adrenaline and oxygen that we realised she was talking about a severe peanut allergy and reflected that maybe we should have toned down the hysterical laughter, just a tad.

I also have fond memories of one of my earliest bosses in the 1980s, who in recent years has reached national and international prominence – lecturing extensively on topics like minimally invasive dentistry and composite placement, so I’d best be careful. On my first day at work for him, the first important thing he told me about was where he kept his hairstyling mousse. “Help yourself,” he said, pointedly looking at my hair, which I have to admit looked redolent of Rowan Atkinson’s haircut in Blackadder 1 at the time. It changed my life.

Simon (‘twas not his name) worked at his main practice in the Cotswolds but did two days in his recently acquired branch practice in a new town, where I was based. He invariably arrived 30 or 40 minutes late in the mornings and used to laboriously unload his favourite dental materials from his Land Rover

whilst the three or four patients that had accumulated in the waiting room frustratedly watched him through the window and then witnessed him moussing his hair behind the reception desk whilst chatting amicably about his precarious drive down Fish Hill.

Suffice to say, Simon always ran late, but it didn’t seem to bother him. I can’t say I ever witnessed any stress in him – a quality I really wish I’d possessed throughout my career. He’d do treatments on the spot even if it pushed him back even further, and I once saw him leave the practice at 2.10pm on finishing his morning session to go and have lunch (the all day breakfast) at Pat’s Café next door, just as the second scheduled patient of the afternoon was arriving.

In the late 80s, we were still sending completed FP17s to Eastbourne by post. One day the receptionist beckoned me into the waiting room. “Come and look at this,” she said. We watched as Simon crossed the car park and over the road to a post box, which was just outside the local police station. “He does this every day,” she told me. Simon put an A4 envelope through the slot, then appeared to jiggle it about before putting his arm through almost up to the elbow. When he appeared satisfied that the envelope was secure, he began to walk back to the practice but then stopped and returned to the post box, putting his arm through it again and damping the contents down. Appearing satisfied once more that the FP17s weren’t going to be blown out of the slot, he started to walk back to the practice, only to return to the post box for one last reassuring prod.

“He doesn’t trust me to do it,” said Val. “I reckon he thinks I’ll somehow put the forms in the wrong slot, and we’ll lose all our pay.”

In the early 90s, when I concluded that I really needed to be working in a practice with experienced practitioners on-site, I moved to a city on the Welsh border, to an NHS practice run by two dentists who remain my heroes to this day.

The younger of my two bosses had a wicked sense of humour and would often call me ‘stupid boy’ in the manner of Captain Mainwaring in Dad’s Army when I was admitting to some mistake I’d made earlier in the day.

In the 90s there was a DJ on… I want to say Radio 2… his name was Simon Bates. He had a feature on his morning show called Our Tune – a cloying segment in which listeners would submit real-life tales of personal struggle accompanied by the instrumental from the Romeo and Juliet movie. Although he hated the segment, Doug (‘twas not his name, either) would play Bates in the surgery.

One day, the segment got up Doug’s pipe in particular and, when it was finished, he spent a couple of minutes berating the programme to his dental nurse whilst he was polishing a filling on the male patient in the chair. As the patient was rinsing, Doug was loudly saying how he couldn’t understand how anyone in their right mind could be so pathetic that they felt the need to write into the programme to

have all their personal business broadcast to the nation. Suddenly, the patient ripped off the protective bib and shouted, “Well! It helped ME when I wrote to him!” The patient apparently stormed out.

Idris (nope, not his real name either) was the older partner, and one of the most ethical dentists I have ever met. However, one day after we had both retired, we were having a conversation about mistakes we had made while in dentistry and he made a big confession.

Idris told me that many years ago – sometime in the 1970s – he had a patient, an elderly dowager whom he had been treating for many years. She had a problematic upper central that had been root-treated and, subsequently, post-crowned until that failed. Implants were not a realistic option at that time and the patient didn’t want a denture, but the problem was that the root-canal was so wide and short, Idris had struggled to get a decent post in until inspiration hit him whilst he was in the practice toilet.

He didn’t go into detail, but while he was in the loo, he noticed that one of the hinges had a loose screw in it. On examination it had a diameter and length that appeared ideal for the elderly lady’s upper central and, after autoclaving and prepping (he didn’t say how he did that mercifully because I would have been on

edge), he had a crown made which lasted right up until her death. After many years, Idris did admit to the patient what he had done and she laughed. “You are such a clever boy!” she had told him.

I’ll leave you with an embarrassing tale about Idris, not related to dentistry, but surgery. He told me that one day he took his car in for an MOT and, while he was waiting for it, he got chatting to the garage’s new receptionist. Idris had noticed that she had signs of a cleft lip repair. In his opinion, and after much surreptitious examination of the repair while he was half-listening to the receptionist, Idris concluded that the surgeons hadn’t done a very good job. They chatted for a while and got on to the subject of the receptionist’s car, which was apparently a vintage vehicle. Idris smiled and exclaimed “Excellent! You’ve got one of those! My wife used to drive a hare lip!”

I miss all that. n

About the author ollie Jupes is the pseudonym of a former nHs dentist. He monitors dentistry on twitter X as @DentistGoneBadd

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Rethinking the threshold for palliative care in dentistry

Ihave spent decades advocating for preventive oral health, supporting evidence-based care, and empowering patients to take ownership of their oral hygiene. But every so often, a colleague says something that fundamentally reshapes the way we think. That moment came for me during Rhiannon Jones’s keynote speech at the launch of National Smile Month 2025.

Rhiannon, a dental therapist and current President of the BSDHT, delivered a powerful challenge to our profession. Speaking about the management of patients who are ‘non-engaging,’ she raised a question that I cannot stop thinking about:

“Before we consider moving a patient to palliative care, we must ask: have we exhausted all options?”

This wasn’t said in passing – it was the central message of her talk. Rhiannon’s call to action wasn’t just a reflection on good clinical practice, but a deeply human appeal to how we treat those patients who don’t (or can’t) fully engage with their treatment. Her words gave voice to an uncomfortable truth: sometimes, as clinicians, we may wave the white flag too soon.

In medicine, palliative care is associated with end-of-life treatment – making a patient comfortable when cure is no longer possible. But in dentistry, the term has a different flavour. It often refers to a shift in focus from active treatment to maintenance or damage limitation. It can mean scaling back our interventions when a patient cannot or will not comply with recommended care.

Sometimes this decision is appropriate. Patients may have cognitive impairments, mobility issues, psychiatric illness, or deep mistrust of dental services. Some are struggling with addiction, trauma, or social isolation. For these individuals, the standard toolkit of oral health education, scaling, restorative work, and recall simply doesn’t apply in the same way.

But here’s the uncomfortable part: how often do we make that decision prematurely? How often do we label a patient ‘nonengaging’ when, in fact, we haven’t fully explored why they are disengaged – or whether we’ve offered all the tools that could make their care more accessible?

This is the question Rhiannon posed. And she’s absolutely right to do so.

There is a critical distinction between patients who are truly beyond intervention, and those for whom our usual interventions have simply failed. When Rhiannon said,

“If we haven’t explored adjuncts like mouthwashes – especially those with essential oils or cetylpyridinium chloride –then we haven’t done everything possible to help them manage their oral health,” it struck a chord.

Adjunctive care is too often overlooked. Take mouthwashes, for example. There is now solid, peer-reviewed evidence to support their role in managing biofilm and reducing inflammation, especially in patients with periodontal disease. The clinical efficacy of essential oils, cetylpyridinium chloride, and fluoride-based rinses is well documented. Yet in the minds of many patients – and, dare I say, even some professionals – mouthwash remains a cosmetic afterthought. Something to freshen the breath, not to save a failing mouth.

That mindset needs to change. As Rhiannon so clearly articulated, “mouthwash is not a last resort; it’s part of the solution”. And for some patients – particularly those with reduced dexterity, cognitive decline, or chronic health conditions – mouthwash might be the most practical and impactful tool we can offer.

If we reframe adjuncts like mouthwash as essential interventions rather than optional extras, then our concept of what constitutes ‘exhausting all options’ expands dramatically.

What Rhiannon also reminded us of is that engagement is not binary. Patients

are not simply compliant or non-compliant. Engagement is a sliding scale, influenced by life circumstances, health literacy, financial pressures, mental health, and the accessibility of care.

Too often, we judge a patient’s willingness to engage by their adherence to a narrow set of expectations: do they brush twice a day? Do they attend their check-ups? Do they use interdental brushes? These are valid clinical markers – but they don’t tell the whole story.

Some patients may not be able to manage interdental brushes but could rinse once a day. Some may find toothbrushing painful or difficult but could swish a therapeutic mouthwash with minimal effort. These alternatives may not represent perfect care, but they may represent possible care. And possible care is what we need to pursue relentlessly, especially before we consider withdrawing active treatment.

Another vital part of Rhiannon’s message was the need to educate patients about the role and effectiveness of adjunctive products. Many do not realise that certain mouthwashes can significantly reduce plaque and gingival inflammation, or that they may help distribute active ingredients more evenly across the oral cavity than brushing alone.

We also need to engage patients in conversations about their preferences –flavour, alcohol content, brand familiarity, and even packaging can influence whether a patient uses a product consistently. In our latest research, a survey indicated that nearly one in five consume sugary foods out of habit. Taking those preferences seriously,

and making thoughtful recommendations based on them, is not pandering – it’s patient-centred care.

We must also be transparent about the risks – staining, taste changes, and rare allergic reactions – so that patients can make informed decisions. These discussions are not timewasters; they are trust builders. And trust, as we all know, is the bedrock of engagement.

What Rhiannon highlighted is that the threshold for palliative care in dentistry should be a last resort, not a convenience. It is only appropriate after a full, creative, and compassionate attempt to reach the patient has been made.

That attempt includes:

• Reviewing and personalising home care plans

• Incorporating adjunctive therapies where appropriate

• Understanding and removing barriers to engagement

• Educating patients clearly and consistently

• Acknowledging and respecting their lived experiences

If we’ve done all of this – really done all of it – and a patient still cannot or will not engage, then yes, a palliative approach may be the most humane and pragmatic option. But not until then.

As a profession, we must hold ourselves to this higher standard. Not out of duty alone, but out of belief. Belief that every patient deserves every possible chance. That is the spirit of National Smile Month. That is the heart of preventive care. And that, thanks to Rhiannon’s words, is a call to action I hope we all carry into our clinics tomorrow. n

About the author Dr nigel Carter oBe is the Chief executive of the oral Health Foundation.

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Can we make National Smile Month a year-round mission?

polly Bhambra questions whether we’re using National Smile Month as a tick box exercise

Each year, National Smile Month gives the dental profession a powerful platform to engage, educate, and inspire the public about the importance of oral health. The campaign’s message is simple and vital: brush twice a day with fluoride toothpaste, cut down on sugar, and visit the dentist regularly.

It’s a familiar call to action that resonates with patients and professionals alike. But as the campaign draws to a close, it’s worth asking an important question: are we making the most of it?

National Smile Month is a fantastic initiative, and its visibility continues to grow. But too often it risks becoming a oncea-year event – a box-ticking exercise of social media posts, a few giveaways, and then back to business as usual. The real challenge lies not in what we do during National Smile Month, but what we take from it into the months that follow.

the missed opportunity of May and June

For many practices, May and June provide a burst of activity. Posters go up, patient engagement increases, and staff are reminded of their roles as educators as well as clinicians. But come mid-June, the campaign winds down, the bunting is taken down, and the conversations around oral health often fade into the background. It doesn’t have to be this way. National Smile Month should act as a launchpad, not a deadline. The enthusiasm and awareness

it generates can be channelled into yearround outreach and education.

taking the message into the community

One of the most powerful ways to extend the impact of National Smile Month is to take its message beyond the walls of the dental practice. Schools, in particular, are a great place for longterm behaviour change. By visiting classrooms, running workshops, or even inviting pupils into the practice for a tour, we can create early, positive experiences with dental professionals. These encounters help to demystify dentistry, reinforce good habits, and lay the foundations for a lifetime of healthy smiles.

Beyond schools, there are plenty of opportunities in local community groups, nurseries, care homes, youth clubs, and health fairs. Outreach programmes don’t need to be complex or time-consuming to be effective.

A short talk, a Q&A session, or a simple demonstration can spark conversations that linger far beyond the session itself.

A marketing opportunity?

Although not the primary goal, there is a valuable business case for ongoing outreach too. In a world where trust and connection matter more than ever, community engagement helps practices stand out. Being visible in schools and community spaces builds goodwill, boosts local recognition, and shows patients that your commitment goes beyond the surgery doors.

Practices that build regular outreach into their strategy often see new patient

From awareness to action

When it comes to wellbeing in dentistry, most teams now understand it matters.

We’ve seen the stats, felt the pressure, and lived the reality. Burnout, disconnection, retention struggles, and daily overwhelm aren’t just buzzwords – they’re the backdrop to many dental practices. But here’s the thing: awareness isn’t enough. If we want to shift the experience of dentistry – for individuals, teams, and patients – we need to go beyond the posters and policies.

That’s why, in collaboration with the Chief Dental Officer, we launched the BREATHE Wellbeing Platform in March. More than a resource, it’s a revolution designed specifically for the oral health community. It speaks to the reality of our work: the patient pressures, the team dynamics, the compliance and regulation checklists, the emotional load. BREATHE isn’t about theory. It’s about tools that work in the real world and, more specifically, in the dental world because, let’s face it, our working environment is certainly unique.

In this context, wellbeing isn’t just about mental, physical, or emotional health. It’s about what those things make possible. Not pushing harder or masking exhaustion but creating the conditions where we and those around us can truly thrive.

This is where leadership comes in. Not the top-down, clipboard kind, but the kind

that enables energy, collaboration, purpose and influence across the whole team. This is the foundation of the NAIL-IT Leadership System – a model for leadership and elevated wellbeing that leads to sustainable high performance.

NAIL-IT is a leadership model built on six human systems:

• Needs – laying foundations for success

• Attitude – maintaining focus despite obstacles and challenges

• Integrity – being proud to stand out from the crowd

• Limitlessness – displaying effortless leadership

• Intuition – making powerful and aligned decisions

• Tangibility – creating sustainable transformation

Each system addresses real barriers dental professionals face daily, whether it’s miscommunication, stress overload, or the challenge of being both clinician and leader. And it’s not just for principals. It’s a teamwide framework.

NAIL-IT wasn’t created in a corporate boardroom. It was born from within the profession by someone who achieved success as a multiple practice owner, consultant, academic, specialist, and industry pioneer, but also faced depression, divorce, addiction, ill-health, and burnout. The full spectrum of dentistry’s warning signs. That person is me – Rana Al-Falaki.

enquiries increase as a result. Especially from parents who want to instil good habits early. And, while the motivation behind outreach should be rooted in care and education, the marketing benefits are a welcome bonus.

embedding oral health into everyday practice

It’s also worth reflecting on how the momentum built up from National Smile Month can be used to offer stronger oral health messaging into everyday patient interactions.

Every appointment is a chance to reinforce the key messages of brushing, diet, and regular check-ups. Whether it’s a quick reminder during a scale and polish or a more structured approach through oral health education sessions, continuity is key. Practices can also take a more proactive approach by training the whole team to engage in these conversations. This is an opportunity not just for dentists and hygienists, but for nurses, receptionists, and treatment coordinators too. When everyone is on board, the message becomes consistent and more likely to stick.

Celebrating

and planning ahead

Of course, we should absolutely celebrate National Smile Month. It remains a vital part of our calendar and an important reminder of why we do what we do. But rather than seeing it as the main event, we should treat it as a starting point for wider efforts. What worked well this year? What engagement was most effective? Which

audiences responded best? These are thoughtful questions we can ask in June, to make sure our efforts are not just ticked off and shelved until next year. Practices that take the time to evaluate and plan can build momentum year-on-year, growing their outreach and impact in a meaningful way. National Smile Month can then evolve from a seasonal initiative into a sustained movement that reaches more people, more consistently.

A collective responsibility

Finally, let’s remember that the responsibility for oral health promotion doesn’t lie with one team, one practice, or one campaign alone. It’s a collective effort, and National Smile Month gives us the perfect excuse to join forces across the profession. Shared resources, collaborative school visits, and joint community events can help ease the workload while amplifying our impact. As dental professionals, we have a powerful voice – one that can inspire longterm change when we use it consistently and creatively. Let’s not save it for just one month of the year. Let’s make every month a reason to smile. n

About the author polly Bhambra, practice principal at treetops Dental surgery. Follow her social media channels @pollybhambra

I optimised my health and fulfilment, emerging as high-performing, energised and full of passion, with purpose and real joy that displays itself on a daily basis.

So, what does optimal performance look like? Fewer sick days. Clearer communication. Team members who don’t just stay but grow. Managers spend less time firefighting and more time leading. Clinicians feel focused, proud, and present in their care. It’s about having energy left for life.

When dental teams are supported to perform at their best, everything shifts: culture, retention, patient experience, and even profitability.

Lasting change doesn’t come from scanning a QR code or reading an article. It happens when people come together and take action. It starts with one person choosing to lead differently. Not with a title, but with intention.

Imagine dentistry no longer being labelled as stressful, or having the highest suicide rates? That would be a legacy worth creating! And it’s possible when individuals become better leaders, prioritise wellbeing, and model optimal performance. Their energy ripples out, creating a culture shift that benefits everyone.

That’s why the BREATHE platform exists. To turn awareness into action.

The extensive, free video series covers every aspect of health: mental, emotional, physical, social, organisational, and financial. It also includes team dynamics,

communication, and emotional intelligence. MedDent Silver members also access free assessments, downloads, team wellbeing guides, bite-sized training and motivation –immediately usable, designed for dentistry, and completely free.

One dentist recently told us how introducing a simple breathwork tool, shared with his dental nurse, transformed their post-lunch energy.

Bringing leadership and wellbeing into dentistry is something you can now embrace with ease. Both BREATHE and MedDent aren’t just here to educate, but to walk alongside you. This isn’t leadership from the top down – it’s leadership that lifts everyone.

If we want our teams to thrive, tick-box training won’t cut it. We need tools that are practical, personalised, and proven. The tools are here. The support is here. The time is now. Will your team keep surviving or will you help them thrive?

• BREATHE: breathedentalwellness.org

• MedDent: meddent.co.uk/silver-membership n

About the author Dr Rana Al-Falaki, founder of the MedDent Leadership Academy, has collaborated with oCDo england on a new, free wellbeing resource: BReAtHe.

References: 1. PRO-ARGIN® technology vs stannous fluoride/sodium fluoride technology, in vitro study, confocal images after 5 treatments. Liu Y, et al. J Dent Res. 2022;101(Spec Iss B):80. 2. For instant relief, apply directly to the sensitive tooth with fingertip and gently massage for 1 minute. Supported by a subanalysis of Nathoo S, et al 2009. Data show that 42 subjects out of 42 (100% or 10 out of 10) experienced immediate sensitivity relief on both tactile and air blast measures after a single direct topical self-application using the fingertip and massaging. Subanalysis of Nathoo S, et al 2009 (CRO-2009-01-SEN-IARG2ED; Nathoo S, et al. J Clin Dent. 2009;20(4):123-30). 3. With 4 weeks of continued use. Supported by a subanalysis of Docimo R, et al 2009. At 4 weeks, 40 out of 40 subjects (100%, 10 out of 10) achieved lasting sensitivity relief on both tactile and air blast measures. Subanalysis of Docimo R, et al. J Clin Dent. 2009;20(1): 17-22. Turning off and simple is as instant sensitivity pain as a flick of a switch

*Colgate® Brand, UK Dentist Survey, 2023. To verify, contact: ukverification@colpal.com.

more in vitro tubule occlusion vs competitive technology 1 1.5X

100%

of patients experienced instant 2 and long-lasting pain relief 3

Our squat practice was built on a vision

Dr Oana anton recently established a family-run practice – Ivy Dentistry Aesthetics in London – alongside husband Doru Schipor, with equipment supplied by Clark Dental

We built it all from scratch – an exciting squat practice in a shell and core premises of a brand-new development. It is the first squat practice we have built, so this was a new and unique experience for us.

My wife and I wanted to establish a family-run practice that could expand her patient base and allow her to perform effective care in a business led by her own priorities. I am a business lawyer by day, so I oversaw any business and building-related matters during the setup. Oana, of course, led the planning of the surgeries whilst balancing her time with work in other practices.

aiming high

With a business plan in place and suitable location found, we were able to get started. We aimed high and envisioned a practice that would raise above the others, aiming to be amongst the top dental practices in London. After all, why not aim to be the very best? As a family-owned business we had to work with a smaller budget than some other competitors, but we were confident we could achieve our goals. We wanted to create a space that had a relaxed, spa-like design that made patients feel welcomed when visiting the dentist, forgoing any all-too-common anxieties. We have high ceilings and large windows on each exterior wall throughout the building, making the practice feel open and inviting. In the reception we chose materials like wood for warmth, glass for transparency and plenty of plants for a fresh and homely atmosphere as soon as a patient walks through the door.

While still working on the practice, every day passers-by would come in and ask what the building was going to be. When we said a dental practice instead of a restaurant, they could not quite believe us! This relates our vision for the patient experience we wanted to create and the extreme attention to detail we committed to it.

Our clinical space was designed with practicality in mind, first and foremost. The care that would be provided within our practice was considered first, and equipment choices and placements were made with efficient workflows in mind. Aesthetically, we kept the room as light as possible, with colour in the

floor and chair to curate another bright and welcoming space.

the best equipment for the job Choosing the right supplier for our practice equipment was vital, and I am delighted we worked with Clark Dental. I like to meet several potential suppliers, ask for quotes, and go forward from there. We wanted to work with people who actively listened to us and support our vision, rather than passing us between an infinite number of internal departments for equipment acquisition or to simply unload their stocked equipment.

We met with Matt Rowlingson and immediately knew that Clark Dental was the right fit for us. Matt agreed with Oana and I that the process relied on an understanding and communicative working relationship. Where other suppliers seemed to prioritise their profit margins without fully understanding our needs and or the equipment, Clark Dental wanted to make sure we knew all our options at each and every step. When choosing our clinical equipment, we leaned into our own research. We knew the Dentsply Sirona Intego treatment centre very well, and had visited showrooms to see it up close. Matt and the team at Clark Dental provided immense advice for each of our queries regarding the equipment we were choosing. They offered completely objective recommendations, covering everything from the air compressor and decontamination equipment, to the x-ray unit and handpieces. Their sincerity made a big difference, and it stuck with us.

putting it into practice

Installation day came and went extremely quickly. We kept all areas clean and clear of other tradesmen, allowing two days to complete the process. In the end, we needed just half a day.

Clear communication allowed us to effectively manage any potential roadblocks throughout the project. I would contact Matt long ahead of a deadline, but he was always quick to respond. It never felt as though I was chasing information or needing to alter plans to accommodate any last-minute changes.

Of course, building our practice had its challenges. Delays came as labour was difficult to come by, but we had some great relationships with members of the Romanian construction community, which really helped us on our way. After the coronavirus pandemic and Brexit, we never expected the process to be smooth sailing. Instead, we adjusted our timelines and increased our investment, but the results were worth any moment of struggle or stress.

In the end, the practice is everything we wanted. Following our designs with the help of Clark Dental meant we could take on the best changes and advice, such as minor alternations to our original suction pipe or chair placements, without having to compromise on our overall vision.

reflecting on the process Establishing a squat practice is immensely rewarding. With the right skills and knowledge, and the investment to match, you can achieve success and fulfil your dreams. The most important part, though, is the people around you. Whether it is for construction roles, or equipment suppliers, having people you can trust and communicate freely with is essential. There is a lot at stake, and exceptional judgement will go a long way.

There is also so much that you would not have thought to consider, and equally as many situations that you cannot anticipate and will require patience. Stick to your visions and ideals, but approach the process with an open mind to achieve an optimal outcome.

Finally, if you aim to deliver the highest standard of care from your dental practice, why would you cut corners? From the design stages, to the construction process and acquiring equipment, you should not settle for second best. Find professionals that know what they are doing and have ideals aligned with your own, and watch your dreams take shape.

Looking to the future, we have room for one more surgery, having fitted two surgeries and our state-of-the-art CBCT machine so far. Knowing that we already have an excellent relationship with Clark Dental, I am sure we will soon return to work with them moving forward.

When we began this long process, Oana and I could not have anticipated each and every turn in the road, but we are glad we surrounded ourselves with brilliant help. We thanked the trades people and friends and family that helped us with a party, and are looking forward to a grand opening once the final touches are in place – it will be worth the wait!

For more information call Clark Dental on 01268 733 146, email info@clarkdental.co.uk or visit www.clarkdental.co.uk n

about the author

Doru Schipor is a senior lawyer with a focus in business law and has led the establishment of ivy Dentistry aesthetics in London with his wife, Dr Oana anton. Oana earned both her dental degree and Specialist endodontic certification with distinctions, at the carol Davila University, Bucharest, romania. together, Doru and Oana have strived to create an environment that makes patients feel welcome and calm in their care, each time they step into the practice. their practice can be followed on instagram, @ivydentistryaesthetics, and Facebook, @Dentist roman Londra – e0 7pN, or you could check their website at ivydentistryaesthetics.co.uk.

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A guide to introducing 3D printing to your dental practice

The digital workflow is fast becoming the foundation of quality and efficiency in the dental practice. When implemented effectively, a myriad of benefits is afforded for professionals and patients alike. Not only are quality standards elevated and outcomes improved, but digital technologies also optimise the predictability and reproducibility of care as well as enhancing patient comfort and making life simpler for the dental team.

Consequently, a growing number of dental practices are looking to capitalise on the advantages by introducing a 3D printer. How this is executed and the equipment chosen will have a significant impact on the success achieved.

identify demand and opportunity

Before researching the market or making any changes, it is important to appreciate the opportunities available to utilise 3D printing within existing workflows. Though the practice may primarily consider the technology for crown and bridge work, or dentures, additional value can be obtained

by also using it for the fabrication of orthodontic aligners or stents, for example. By recognising the full potential of the technology, the team can ensure that its benefits are harnessed across the board. The result is happier patients in all treatment areas and a greater return on investment for the 3D printer.

equipment selection

Not all 3D printers were made equal, so it’s essential to select the right one for your practice. The accuracy of products manufactured is a critical consideration, as this will significantly affect the quality of restorations or devices that can be provided in-house. Equipment ease of use, speed, reliability and durability are also important features to look for, in addition to the range of compatible 3D printing resins available. What’s more, the technical support delivered by the supplier should be reviewed in order to ensure that ongoing assistance will be offered to help the team maximise its advantages.

To assess the options and aid the decision-making process, it can be helpful to seek recommendations from peers and consider online reviews for specific brands. Leading suppliers will also provide free demonstrations and will often be happy to visit the practice with more information.

integration and compatibility

While selecting the right equipment, it is necessary to determine the potential ease of integration within existing workflows.

Not only does the hardware need to be appropriate for the desired outcomes, but the software must also be compatible with other technologies that will need to communicate. This is often why an open-source 3D printer is preferred, as it can receive data from various other technologies without creating extra work for the practice team. Therefore, compatibility with existing intraoral scanners, CAD/ CAM software and prosthetic design programmes should be evaluated.

installation and beyond

Leading suppliers will deliver team training as part of the installation and set-up process, ensuring that relevant members of the team can effectively operate the technology from the outset. This training should also cover standard maintenance advice so that professionals can look after the technology and keep it operating efficiently for longer.

Beyond this, the equipment should be regularly cleaned to optimise its performance. Technical support should be consulted with any troubleshooting questions or calibration needs.

It is equally as important that the practice team understand exactly how and when to use the 3D printer. They must receive the support needed to develop the relevant skills and given any guidance on how to integrate the equipment from a practical point of view. This might mean creating simple protocols that can be shared with personnel, giving them

Simpler recycling alert

31st March 2025 may have been and gone, but dental practices should be aware of the UK Government’s Simpler Recycling Policy that came into force on that date.

In particular, these changes to workplace recycling will affect almost all practices. Those that do not fit the initial criteria will still need to get up to speed by 31st March 2027. Whether your practice must comply currently or has time to make effective changes, it’s important to know the new rules you must follow. Waste management is a key part of every dental practice, and these regulations may encourage you to review your wider workflows.

the new regulations

In a world where environmental action has become a priority for governments and healthcare regulators, it’s imperative to stay familiar with changing waste workflows. The latest amendments that came into effect on 31st March were aimed at all businesses with over 10 full-time equivalent staff members, including dental practices. Those that have fewer than 10 full-time equivalent employees are categorised as a micro-firm, and are exempt from the rule changes until 31st March 2027. Multi-site practices must be aware that these rules judge the business as a collective, not by singular locations.

The changes call for dental teams to separate more of their everyday waste before collection, including that produced

by visitors and patients. There must be a separation of:

• Dry recyclable materials (plastic, metal, glass, paper and card - must be noncontaminated)

• Food waste (such as tea bags, coffee grounds, peelings and leftovers)

• Non-recyclable waste, or residual waste

As a default, paper and card waste are separated into their own category. This is because when packaged with other dry recyclable materials, there is evidence to suggest they have high levels of contamination, which affects the recycling rate. Examples include broken glass stuck on paper or soggy paper from liquid found in bottles and cans, which impact the waste workflow.

Waste collectors may require each other dry recyclable material to be separated too, though this is dependent on the workflow of individual waste specialists rather than the new guidance.

Make amends now

Changes must be made in the dental practice immediately if you meet the minimum 10 fulltime equivalent employee criteria, but haven’t yet taken steps to meet the regulation. Failure to do so leaves you at risk of a compliance notice from the Environment Agency. It is an offence not to follow this compliance notice, and risks enforcement action.

Whilst you may need new containers to further segregate associated items, much like when adhering to the clinical

steps to follow in order to optimise the efficiency of 3D printing.

the future

3D printing is just one of the technologies revolutionising dentistry, but it is an important one. By introducing solutions such as the industry-leading 3D printers and restorative resins from SprintRay, dental practices can significantly enhance their workflows and their patient care. As the only provider of a complete digital ecosystem for 3D printing workflows, SprintRay offers equipment designed to optimise accuracy, speed and efficiency. Comprehensive technical services and support are also readily available to ensure practices maximise on their equipment features.

Effectively integrating 3D printing can significantly improve professional efficiency and patient care. By selecting the right printer, materials and workflow, dental professionals can stay ahead in modern dentistry. 3D printing is the future. Don’t risk getting stuck in the past – find out more today!

For more information, please visit https://sprintray.com/en-uk/ n

about the author ross phillips, Sprintray area Manager, UK & Nordics.

waste guidelines in the Health Technical Memorandum 07-01 (HTM 07-01), it is advantageous to first speak to your waste collection specialist. You’ll want to understand how they collect the waste items that are affected by the new regulations, and understand whether it is necessary to segregate materials like metal, plastic and glass separately at the source, or whether they can do this for you.

The size of containers and frequency of waste collections are for the dental practice to decide in conjunction with their waste management specialist. Once again, it is prudent to consult on these before committing to changes and investing in products.

Speaking to the dental team about opportunities to maximise appropriate waste segregation is important. Consider that in a dental practice, affected items will include food waste from staff lunches, coffee grounds and tea bags; glass from drinks bottles; paper from envelopes, boxes and cardboard packaging; and much more.

New regulations, same effective workflows

This change to waste management in the dental practice must be implemented quickly by all affected. The segregation of waste items is nothing new to dental professionals, as seen with HTM 07-01, which means that clinical teams should be able to quickly adapt to the guidance.

Clinicians must recognise how to separate

items such as highly infectious clinical waste, known infectious clinical waste, anatomical tissue, offensive waste, and generic confidential waste into a colourcoded waste system. Not all of this can be recycled, or disposed of in an entirely ‘green’ manner – but the segregation minimises the contamination of recyclable materials, creating greater opportunities for recycling, Energy from Waste (EfW) disposal, and more. Initial Medical, a leader in healthcare waste management services in the UK, supports dental practices remotely and in-person for optimal regulatory compliance. The expert team provides up-to-date regulatory advice to dental professionals, whilst also collecting clinical waste from practices across the country. Clinical teams can get in touch to learn more about effective changes to their own waste workflows. Regulatory compliance for waste management is paramount for dental practices. Whether your business needs to make changes immediately or has a buffer until 2027, acting quickly with the support of a waste management specialist is especially useful.

To find out more, get in touch at 0808 304 7411 or visit www.initial.co.uk/medical n

about the author rebecca Waters, Head of Marketing at rentokil initial.

Elemental Antibacterial Wound Dressing

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Leveraging the antibacterial and wound-healing properties of zinc ions, Elemental can be used post-operatively with or without a membrane.

Elemental activates when in contact with boiling water, and the resulting material, which sets rigid and stable, can be quickly and easily moulded and shaped according to the needs of the patient.

Keep to convention

In everyday dental workflows, familiarity can be a valuable tool. For example, some patients are increasingly turning to cosmetic treatments, meaning the average day of a dentist is slowly but surely changing in tandem. Clinicians who have greater experience providing such care, or knowledge of the clinical implications of certain treatments, will feel more comfortable in this new age of dentistry.

In a time of great change, where digital solutions are developing at rapid pace and clinicians are managing the still recent introduction of AI (which brings its own challenges and ethical considerations), maintaining conventional workflows may bring confidence and comfort to some dental teams.

It’s important to understand why conventional materials for diagnostic and treatment purposes may be preferred compared to digital solutions, and recognise which groups of dentists could benefit most from their use.

technostress

Digital systems offer benefits in a variety of aspects of modern care, that is undeniable. However, the speed and scale of change that it has brought to dentistry and other healthcare fields can be a problem. Technical problems, a lack of training and the pressure to keep up with rapid developments can all create stress for the dental professional. Take the speed at which AI is advancing as an example. There is a concept called task completed time horizons, which is the speed programmers take to complete a task compared to that of an AI model that achieves success. The time horizons of modern AI models are currently doubling at an average of every seven months, meaning their capabilities are growing but, equally, people need to be able to keep up with implementing new abilities.

Alongside the need to keep up with the potential for new applications, clinicians need to judge when they are appropriate to use in order to improve a conventional workflow. With the need to juggle knowledge of regulatory changes, the ability to perform tasks without repetition due to technical error, and more, the technostress that can affect some clinicians is understandable.

There is also the need to think further along the clinical workflow, and understand which solutions professionals such as dental technicians are confident working with. The literature notes that their acceptance and engagement with AI technologies is pertinent for developing this aspect of care, and its overall success relies on the perceptions and acceptance of the whole team. If clinicians or technicians cannot utilise new advancements safely and appropriately, keeping to convention is a responsible choice.

Speak to your team

Knowing your team is important when selecting materials and equipment used throughout a dental practice. The literature is contradictory; some studies have found that experienced dental students do not find digital tools easier than conventional impression techniques, whilst others have found high acceptance rates for the newer approaches.

This is all a measure of preference, which will differ based on a professional’s past experiences, time spent using a solution, the targeted outcome and more. Whilst long-form studies have their place in helping practices plan for the future, it is equally important to speak to the individuals that work with patients every day and get their view. For many that have used conventional approaches for decades at no disadvantage to a modern digital solution, the significant change in workflow may not only be unnecessary, but detrimental to patient outcomes whilst clinicians familiarise themselves.

Consulting the team can also keep the practice in line with current guidance. The General Dental Council’s ‘Standards for the Dental Team’ state that a clinician must only carry out a task or type of treatment if they are trained, competent and confident. If they are not confident in using new equipment, a dental professional must refer the patient to another clinician. Before making sweeping changes that may affect a clinician’s capacity to work in the practice to the best of their ability, seeing if conventional workflows should remain is something to consider.

choose high-quality solutions

When working with conventional dental materials, especially in workflows such as impression taking, its imperative that clinicians choose materials that not only maximise confidence, but patient outcomes too.

The KemKat impression compound material from Kemdent is a leading example, as an ideal contribution to copper band impressions and adding to an impression tray. The material is a staple of conventional workflows, and maximises results with a high viscosity that helps to record the full depth of the sulcus. Called a “must-have for clinicians who value excellent detail” by Mike Gregory BDS, Clinical Lecturer at Bristol University, it can serve a fantastic role in conventional workflows in practices. Conventional does not mean out-dated. When practitioners work with confidence and clinically proven solutions, they can deliver brilliant dental care that supports patients for years to come. For more information about the leading solutions available from Kemdent, please visit www.kemdent.co.uk or call 01793 770 256 n

Hidden revenue streams and added opportunities of CBCT

CBCT imaging offers significant advantages to dental practices that routinely provide advanced treatment solutions. While many dental professionals view CBCT scanners primarily as diagnostic tools, particularly for complex endodontic, implant and orthodontic procedures, their potential extends far beyond this element. When utilised efficiently, CBCT scanners can become revenue-generating assets, making it crucial for dental teams to maximise their capabilities to achieve the best return on investment (ROI).

improve clinical decision making

The increased visualisation that CBCT imaging provides has been shown to significantly impact clinical decision-making among practitioners. Evidence indicated that specialists will often change their treatment plans after a CBCT image is produced. This underscores the importance of obtaining comprehensive clinical information prior to planning, ensuring that decisions are tailored to each individual patient’s unique anatomy and clinical situation. Similar results have been found across the dental disciplines. For example, in endodontics, CBCT can substantially improve therapeutic decision efficacy. The literature also supports use of CBCT in cases of impacted teeth, orthognathic or craniofacial surgery, as well as other orthodontic indications.

In addition, CBCT imaging has become synonymous with dental implants, especially in complex cases of reduced bone volume, sinus lifts and augmentation procedures. Studies even suggest that patient trust can be boosted by the utilisation of a CBCT image as an adjunct to standard panoramic radiography during the diagnostic and treatment planning phase. The development of low-dose CBCT combats previous concerns about patient exposure to radiation, facilitating precise images and accurate diagnostics without compromising safety. Higher quality patient care and happier patients will ultimately encourage treatment acceptance and deliver increased revenue to the practice. Furthermore, positive patient reviews will help to build the practice’s reputation and secure future business.

enhance speciality services

Business growth is a top priority for most practices and many do this by developing their specialist services. Whether the team includes in-house or visiting experts, the availability of an on-site CBCT will allow clinicians to perform at the highest level while attracting a broader patient base with more complex treatment needs.

expand referrals

In the same vein, expanding your services will also unlock new ways to grow your referral network. Many practices do not see enough complex cases to justify investing in a CBCT scanner themselves, meaning they rely on trusted colleagues for imaging services. To capitalise on this predicament, some simple marketing is needed to communicate your new imaging and specialist services to local practices. It doesn’t have to be complicated or expensive – sending direct mail or dropping flyers through doors will do the job very effectively. You may also consider hosting study clubs or other CPD events for local dentists that promote the CBCT imaging services available.

training and education

For many dental professionals – including all members of the team – skill development and career progression are essential to job satisfaction. The implementation of a CBCT scanner within the practice affords opportunities for many to benefit from. Dental nurses, dental hygienists and therapists, and dentists can all undergo dedicated training to operate CBCT scanners as part of their patient’s treatment. Not only does this introduce new skills to their armamentarium, but it also enables them to diversify their work and engage with patients in a new way. Staff retention might not be a direct revenue stream, but not having to recruit new members will certainly save the business money in the long-term.

What’s more, CBCT training may be offered in partnership with appropriate organisations to external dental professionals as an extra source of income to the practice.

choose the right equipment

To benefit from all of this and more, it is important to choose the right CBCT scanner for your practice. If you are introducing your first technology of this kind, it is essential that the model you select be intuitive and easy to use, and that it caters to all your needs. The CS 8200 3D Access from Carestream Dental is ideal, providing a versatile 4-in-1 solution that makes CBCT imaging accessible to all. The user-friendly interface is designed for dental teams with any level of experience, and the open network facilitates a seamless workflow no matter what other technologies you wish to integrate.

about the author

alistair Mayoh, Marketing Director at Kemdent

As already mentioned, speciality areas that benefit include endodontics and orthodontics, as do those providing TMJ assessment and disorder management, sleep disorder therapies, and all manner of oral surgery. In providing the equipment these specialists need in your practice, you can offer more specialist appointments and attract more patients for increased revenue potential. You may also be a more enticing prospect for skilled clinicians looking to advance their career opportunities, who can develop their own patient base.

CBCT imaging is more than just a diagnostic tool ¬– it is a powerful business asset that can drive substantial revenue growth when used strategically. From enhancing clinical decision-making to expanding specialty services, attracting referrals, and offering training opportunities, CBCT technology provides multiple income streams that can significantly improve your practice’s profitability.

For more information on Carestream Dental visit www.carestreamdental.co.uk n

about the author

Nimisha Nariapara, trade Marketing Manager

at carestream Dental.

Boost practice growth with the right dental plan

Dental plans provide a range of benefits for both your practice and your patients. Whether you are thinking about introducing them, are looking to ease the transition from NHS to private dentistry, or are hoping to maximise on the advantages with a new, fully-tailored plan, IndepenDent Care Plans (ICP) is here to help.

Why chose iCP?

ICP has three decades of experience in UK dentistry. The team consists of professionals who really understand the profession, as well as the needs of both patients and practices. As such, we are able to fully customise dental plans to meet your requirements and ensure you can optimise the advantages they afford. Created by dentists, working for patients, ICP remains flexible to members. Our options include Full Care Dental Plans, Dental Maintenance Plans and Children’s Dental Maintenance Plans. Making dentistry even more affordable, you can also offer family discounts to encourage plan members at your practice to expand their cover. These include a 5% discount for two family members, 10% for three and 15% for four or more.

In addition, we operate Dental Emergency Assistance Support, an integral part of the plan, which gives patients who sign up access to an array of additional benefits. These include emergency treatment away from home, emergency evening, weekend or public holiday callouts, dental trauma cover, hospital benefits and oral cancer support.

New to dental plans

If you haven’t already been reaping the rewards of a dental plan solution, you’ve been missing out! Benefits consist of:

• Regular monthly income

• Improved patient attendance to appointments (fewer no-shows)

• Increased treatment uptake

• Enhanced patient engagement and loyalty

• Reduced administrative tasks for staff

• More quality time spent with patients

• Access to preferred services –with discounts from a variety of recommended partners With ICP, you are supported every step of the way by our friendly, experiences team. Our Business Development Consultants are always on hand to answer questions, provide expert guidance, and ensure you get the most out of your plan – now and into the future.

We will help you personalise your plan to suit your practice, your team, and your patientsmaking it truly your membership plan.

Moving away from the NHs

If you, like many dental practices today, are considering a move away from NHS dentistry, or if you simply wish to build your private dentistry services, a tailored dental plan can be useful. It’s a great way of making routine dental care and specific treatment more affordable and accessible to patients who may be concerned about the cost.

What’s more, patients will have more choice regarding treatment options, often encouraging them to proceed with the care they need. All of the aforementioned benefits become available to you as a business as well, making dental plans an excellent tool in your practice development and growth.

optimising existing dental plans

Should you already have a dental plan in place but feel that it no longer effectively serves your patients – or just doesn’t work for your practice for whatever reason –ICP can help you upgrade your solution. The switching process is made easy with support from our Business Development Consultants. They will visit your practice at a convenient time for you to discuss what ICP offers and how it could deliver a unique solution tailored to you. They will also explain the changeover process and your dedicated administrator will further ensure a smooth transition.

Our team will also assess your current registration process and provide guidance on how to increase your patient uptake for a business boost. They can advise on everything from marketing to staff training, ensuring that your dental plans are being promoted in the right way to the right people.

a chat is all it takes

No matter why you are considering the implementation of dental plans right now, your business, team and patients will thank you for choosing ICP. It’s quick and easy to book a no-obligation consultation with a member of our experienced team. If you’re looking to boost your practice growth, can you afford not to find out more?

For more information and to book a no-obligation consultation, please visit ident.co.uk or call 01463 222 999 n

Preventative action for a healthier world

Dental practitioners have a duty of care to educate their patients on how to prevent oral diseases for an improved quality of life. This is the goal of the iTOP programme from Curaden; giving dental practitioners an expert understanding in oral prophylaxis so that they can better teach and protect their patients.

diane rochford is a dental hygienist and a BSDHT Past President. She divides her time working clinically in two practices and achieved iTOP Lecturer status in 2024, leading the UK Introductory courses.

alan McCartney, Education Manager for Curaden UK, spoke to Diane about her professional dental journey and her experience with the iTOP programme.

alan: So Diane, what originally made you interested in pursuing a career in dentistry?

diane: I had a brilliant dentist as a child and felt very comfortable in their practice. I remember thinking ‘I would like to work somewhere like this’. Later, I had a positive experience as an orthodontic patient and this cemented my interest in dentistry.

alan: What do you enjoy the most about being a dental hygienist?

diane: Definitely the patient side of the role. I love getting to know my patients and ensuring that their oral hygiene is at an optimal standard; the longer I’ve known my patients the more confident I am in my work. But there is so much else to love about being a dental hygienist; the treatment aspect, being part of a team, the flexibility, and teaching fellow dental professionals –there are many positives, and I am enjoying them even more as the years pass.

alan: Tell us about how your career progressed with your involvement in the BSDHT and being elected as President?

diane: I joined the BDHA in 1996 (as it was known then) because my tutors were all members so I thought it was compulsory! I had been a regular for many years and as my career progressed, I became involved at Regional Group and Council level, culminating in being President-elect in 2018 and becoming President in 2020. I have had such positive experiences in my career and I wanted to inspire others in our profession to have similar opportunities. Being President was one of the best things I have ever done!

alan: What is the biggest challenge in your day-to-day workflow?

diane: I have been at one of my practices for 28 years, and many of my patients have been with me for all that time. The biggest challenge there is continual motivation; we can get blasé with our oral health over time.

a lan : How did you first hear about the iTOP courses?

diane: The dentist I work with in London – Dr Linda Greenwall – was taught the iTOP approach whilst teaching abroad. She returned and encouraged me to attend the iTOP courses.

I completed the Introductory course in Surrey in 2018 and then the two-day Advanced course in Switzerland a few months later. Curaden UK invited me to attend the Educator course in Prague, which I loved.

alan: What was the main takeaway for you after attending the iTOP courses and what impact did it have on your approach to patients afterwards?

diane: The Advanced course in particular was one of the best courses I’ve ever done. I learnt so much and felt hugely motivated to help my patients. The handson Touch2Teach element was superb. After the course, I championed the home care focus much more with my patients – these were tailored conversations with greater focus and discussion about their daily oral hygiene routine; what’s going well and what isn’t, what they’ve learned etc., rather than just a few words at the end of each appointment. Patients understood the importance of home care and soon I saw improved results. alan: What is the benefit of the iTOP programme and what impact will it have in the UK?

diane: Home care and oral prophylaxis isn’t taught in great detail within the dental curriculum. Curaden UK has been able to help undergraduates and postgraduates, offering training and bridging the divide so that we can best support our patients in achieving optimal oral health. Patient education is such an important part of our daily practice, and it is important for all members of the dental team to learn more about the iTOP philosophy of a tailored approach to patient education. The iTOP programme is about something more than just toothbrushing. Curaden’s mission is to ensure that there is an understanding of preventive action for a healthier world. The iTOP programme is enlightening, inspired and motivational, and completing it is one of the best things dental practitioners can do to help their patients.

For more information about iTOP courses and to book your place on one, please visit http://www.curadenacademy.com/

To arrange a Practice Educational Meeting with your Curaden Development Manager please email us on sales@curaden.co.uk n

alan McCartney

diane rochford

Engineering excellence in dental practice support

What began in 1996 with a focus on engineering has grown into a wide array of services, earning Hague Dental numerous accolades. Over the course of almost three decades, the company has evolved into a leading provider of comprehensive solutions for dental practices, and a socially conscious business that reflects their genuine dedication to making a positive difference beyond dentistry.

Customer service: A core value Hague Dental’s award-winning customer service is built on understanding client needs, building lasting relationships, and exceeding expectations. Having been voted the BDIA’s Customer Service Provider of the Year six times in the past decade, and ‘Service and Repair Company of the Year’ for the last 4 years out of 6, Hague continues to build on this success by investing in its people and infrastructure, constantly raising the bar for service excellence.

Engineering services: The backbone of dental practice efficiency

At the heart of Hague Dental’s offerings lies its engineering services, designed to ensure that dental practices operate smoothly and efficiently. A substantial investment in warehouse stock and vanbased spares contributes to their high firsttime-fix-rate and reflects their commitment to their customers.

Hague Dental offers a broad spectrum of service and repair solutions, ensuring that dental practices run smoothly. These include:

• Emergency repairs: When you need repairs fast, they offer a responsive, emergency engineering service including remote support, designed to get your practice back up and running as quickly as possible.

• Equipment servicing: In accordance with manufacturer recommendations, and with manufacturer approved service kits, prolonging the lifespan of dental equipment and preventing unexpected breakdowns. Weekend servicing available, by appointment.

• Equipment installation: Just need them to install? Their manufacturercertified engineers will handle the entire process with precision and care, minimising disruption.

• Remote digital dial-in. They offer secure remote dial-in support for digital systems. This allows their expert engineers to diagnose issues, apply software updates, and provide technical guidance in real-time.

• Part sales: Are you looking for parts for your current or old equipment? They have a large warehouse and stock almost every part from their manufacturer partners, ensuring fast delivery to your practice.

• Loan equipment: When things go wrong, they keep you going. They offer a full range of loan equipment including compressors, suction pumps, autoclaves, handpieces, stools, and more.

• Annual service contracts: Bespoke and built entirely around the needs of your practice, with price-lock for the year. These contracts provide you with predictable maintenance costs, priority support, and reduced downtime.

• Small equipment repairs: Restore your handpieces, scalers, air and electric motors, couplings, and more, back to its prime through quick turn-around, quality repairs.

• X-ray certification: Compliance checks and certifications for radiographic equipment.

• Pressure Systems Inspection (PSI) for compressors: Mandatory annual inspections to comply with safety regulations.

Meeting customer demand

Hague Dental has strategically expanded its service coverage to meet the growing needs of dental practices. This expansion includes geographic reach, with coverage from Bournemouth to Leeds alongside a network of affiliated engineering companies strategically located in England, Wales, Scotland and Ireland.

Manufacturing partners

Hague Dental’s engineering team is manufacturer-trained and certified to work on top brands such as Acteon, A-dec, Belmont, Durr, Cattani, Labomed, Melag, Neodent, NSK, Planmeca, Tuttnauer, Vatech, and W&H, ensuring that clients receive expert support.

A reflection of excellence

The company’s dedication to service and quality is echoed in the numerous testimonials from satisfied customers:

– “Excellent company, fast, efficient and friendly service, saved us a considerable amount of down time. Highly recommend.” Justin Gale, Saltergate Dental Care Ltd – “A company to trust and return to again and again.” Gareth McAleer, Beyond Dental – “Great company, used for servicing surgery chairs, friendly engineers & helpful customer service team! Would recommend.” Amber Cousins, Century Dental Clinic – “Great customer service, helpful admin staff/ engineers and fast call outs.” Emily Sherlock, Sync Dental 

Hague Dental Supplies offers end-toend solutions built around your practice needs. They are a multi-award-winning highly customer-focused team providing a comprehensive set of services that enable you to build, run, and maintain your perfect practice. With almost 30 years of experience in the industry, they bring years of know-how to any project, large or small:

• Practice Design

• Interiors

• Project Management

• Build

• Equipment

• Digital

• Engineering

• Service Contracts

Are you dreaming of building that unique practice or are you a new customer with a one-off emergency callout? Their team would love to support you.

T: 0800 298 5003

E: enquiries@haguedental.com haguedental.com

More than a decontamination equipment provider

Delivering exceptional dental care relies on a coordinated effort from various professionals. From in-practice clinical and support team members to dental plan providers, software developers and equipment suppliers, each has a role to play in ensuring a high-quality, seamless and comfortable patient experience.

Whether your practice is upgrading its infection control workflow to meet best practice guidelines, replacing old equipment or looking to maintain existing equipment for years to come, it’s important to work with a professional partner that can be trusted. Any product malfunctions, breakdowns or inefficiencies can lead to practice downtime, costing time and money while causing stress. Preventing these situations – and resolving them as quickly as possible – is, therefore, crucial.

Quality comes first

The most important factor to consider is the quality of the equipment a provider offers. Reliability isn’t optional in the dental setting, meaning you need consistent solutions you can trust to operate efficiently, day in, day out. You also need them to withstand the rigours of daily life in the practice, be robust and last for years to deliver long-term value and maximise your return on investment. Beyond this, it’s important to find a provider of equipment that is designed to promote workflow efficiency. Features such as automatic data recording and intuitive user interfaces can prove beneficial. The team has a number of tasks to perform every day, so streamlining the decontamination process will free up time for them to focus on their patients instead of admin.

Compliance expertise and understanding

Alongside exceptional product knowledge, you need your equipment provider to have an up-to-date understanding of the regulations governing infection control in the dental practice. They should be fluent in HTM 01-05 (England and Wales) and SHTM 01-05 (Scotland) regulations to ensure that any advice or recommendations they make to your practice will facilitate adherence to the guidelines.

This knowledge can help ensure that you always remain CQC/Practice Inspection Compliant, minimising the risk of a last-minute panic should an inspection notification be received. A proactive and knowledgeable provider will help you identify areas of improvement and then support you while you implement changes.

Practice team training

Leading decontamination equipment suppliers want to help practices make the most of their solutions. They help dental professionals achieve this by delivering comprehensive team training upon equipment installation, showing staff how to use, maintain and troubleshoot the equipment safely and effectively. Offering additional value, some will even make this training session Enhanced CPD-accredited, helping professionals increase their CPD in essential topics while improving overall practice efficiency as well as patient and staff safety.

support when you need it most

The maintenance and servicing offered by the organisation you choose should optimise product life while also keeping your practice running smoothly. The engineers you work with should be knowledgeable about the specific models in your practice and provide original manufacturer’s parts in order to make any minor repairs before larger issues develop.

More than this, however, the support team should be rapid in their response to your queries to ensure that you are not left on your own. You need to be confident that sending your equipment provider a message won’t leave you on unread for days – that could cost your business and your patients considerably! Instead, prioritise suppliers that give access to continuous telephone support, remote services and fast on-site visits when required.

Working with an organisation like Eschmann affords all of this and more. Known as an expert in decontamination, Eschmann provides a range of industry-leading infection control equipment that is supported by a comprehensive maintenance service offering you can rely on. The Care & Cover package includes unlimited breakdown cover, Annual Validation and PSSR Certification, unlimited original manufacturer parts, Enhanced CPD user training, rapid telephone support and on-site services from a nationwide team of 50+ Eschmann-trained engineers.

the right decontamination partner

Effective infection control is the foundation of safety within the dental practice. The standard of your equipment and protocols, as well as the efficiency of your workflow, will depend heavily on the provider you choose to work with. Doing your research and making the right decision will help ensure that your decontamination processes are optimised and your investment protected. For more information on the leading infection control equipment and comprehensive maintenance & support services supplied by Eschmann, please visit www.eschmann.co.uk or call 01903 753322 n

Shared ownership concept delivering accelerated growth and higher returns for dentists

For years, independent dental practice vendors have faced limited and often unsatisfactory options when selling their practices. Traditionally, these options involve the complete transfer of operational control, with earn-out structures designed primarily to protect the corporate buyer. This often results in disappointing outcomes such as the loss of key staff, diminished morale, and earn-outs not being realised.

A side effect of these limited options is that the sales journey typically begins at retirement, or as principals reach a point where the burden of running a business outweighs the benefits. But what about positive options for growing and ambitious practices?

For principals who have wished there was a better option, now there is.

introducing deNovo dental Partners (deNovo) – a new model for UK dentistry

DeNovo is on a mission to transform the UK dental practice sector with a shared ownership model that offers a refreshing alternative option for principals planning for the future of their practice. Upon sale to DeNovo, Partner dentists receive the majority of their payment upfront, in cash, and take a minority stake in the DeNovo parent company. This investment and the shared ownership model creates a ‘best of both worlds’ proposition where the Partner dentist maintains practice autonomy, just with a whole lot more support from an aligned ownership community. By leveraging DeNovo’s collective strength, Partner dentists can accelerate practice growth, improve profitability, and participate in the broader success of the company.

DeNovo’s unique model has drawn on best practices utilised around the world, from Australia to Canada, and is tried and tested. It creates a truly new opportunity for dentists to enjoy the benefits of both independent and dental group environments.

the financial benefits

rewarding them in future years for the growth of their practice. Finally, the issuance of shares in the parent company means the Partners reap the benefit of share value increase, resulting from both the growth in the individual practices as well as from the arbitrage that results as the parent company scales.

Multiple wealth creation opportunities – earlier than previously thought possible DeNovo Partners have multiple wealth creation opportunities and – due to the unique model – they can begin realising them earlier in their career than they had expected. Because of the continued incentive payments, DeNovo Partners need not fear missing the opportunity of maximising the value of their practice before selling. They can join now, leverage the support of the community and resources, and still be rewarded for growth. This makes DeNovo an ideal environment for dentists looking to take their practices to the next level, not for those who wish to retire imminently. Additionally, the share value does more than align the Partners and the management team around the growth and value creation for the company. Down the line, upon a liquidity event, Partners receive yet another gain when their shares can be converted to cash. Looking at the financial benefits collectively, DeNovo Partner’s opportunity significantly outperforms what a traditional model would deliver.

about the author

Nicky varney, Head of Marketing at eschamnn.

Like other selling options, DeNovo Partners benefit from the release of capital from their business, but that is pretty much where the similarity ends. Rather than any hold back, DeNovo Partners are paid the full value of the business upfront, with the majority paid in cash and the rest in shares of the DeNovo parent company. Additionally, rather than the amount a seller receives being set at the sale date, DeNovo continues to incentivise Partners by

the deNovo mission – it’s not a retirement plan, it’s a growth plan Ultimately, the objective of DeNovo is to create a community where Partners and their teams thrive and grow. DeNovo is on a mission to empower dentists through partnerships that encourage real clinical and business autonomy while offering a new level of support, thanks to extensive collective resources. It’s not a retirement plan; it’s a growth plan – and it’s one designed to ensure that dentists and their teams reap the rewards of that growth. As such, DeNovo provides an excellent proposition for any dentist with a highperforming practice looking to plan the next phase of their career. Totally unique to anything else in the UK right now, DeNovo offers a better option suited for the forward-thinking clinician. Find out if DeNovo is right for your practice’s future by visiting www.denovo.partners n

A-dec 500 Pro: Experience a new level of connection. Everything you’ve come to appreciate about the A-dec 500 dental chair, is now available with a new delivery. Enabled with A-dec+ and an updatable software platform, the A-dec 500 Pro delivery system supports your dental team with a new level of connection.

YOAT Wire Bender

The world’s first chairside fixed retainer wire fabricator

In the world of orthodontics, precision and efficiency are critical to your outputs. The process of bending wires to fit the unique dental anatomy of each patient has traditionally been a labour-intensive and timeconsuming task.

However, with advancements in technology, innovative solutions are emerging to streamline this process. One groundbreaking innovation is the YOAT Wire Bender II ® Robot. This state-of-the-art robotic wire bender has revolutionised orthodontic wire bending, offering unparalleled precision, consistency, and efficiency.

the yOat Wire Bender II® robot is transforming orthodontic practices

The YOAT Wire Bender II Robot is an advanced robotic system designed specifically for bending fixed orthodontic retainers. Utilising cutting-edge technology, this robot automates the wire bending process, ensuring each wire is crafted to exact specifications with minimal manual intervention. The robot is equipped with sophisticated software and mechanical components that allow it to produce highly accurate and consistent bends, tailored to the specific needs of each patient.

One of the standout features of the YOAT Wire Bender II Robot is its precision. The robot uses advanced algorithms and high-resolution sensors to measure and bend wires with remarkable accuracy. This level of precision ensures that each wire fits perfectly, 100% passive, reducing the need for adjustments and improving the overall effectiveness of orthodontic treatments.

Manual wire bending can result in slight variations from wire to wire, which can affect the consistency of orthodontic treatment. The YOAT Wire Bender II Robot eliminates this issue by automating the process, ensuring each wire is bent to the exact specifications every time. This consistency is crucial for achieving predictable and reliable treatment outcomes.

The automation provided by the YOAT Wire Bender II Robot significantly reduces the time required for wire bending. What used to take minutes or even hours can now be accomplished in a fraction of the time. This efficiency allows orthodontic practices to increase their productivity, handle more patients, and ultimately improve their bottom line. A patient can be debonded and have a fixed retainer created in the same visit. Saving chairside time and appointments for the patient.

Every patient’s dental anatomy is unique, and the YOAT Wire Bender

II Robot excels in customisation. The robot can be programmed to bend wires according to specific treatment plans, ensuring that each patient receives a personalised approach. This capability enhances the quality of care and contributes to better patient satisfaction.

The YOAT Wire Bender II Robot is designed with a user-friendly interface that makes it easy for orthodontic staff to operate. The intuitive software allows users to input specifications, adjust settings, and monitor the bending process with ease. This accessibility ensures that the technology can be seamlessly integrated into any orthodontic practice.

Built with high-quality materials and robust engineering, the YOAT Wire Bender II Robot is designed to withstand the demands of a busy orthodontic practice. Its reliable performance ensures that it can handle continuous use without compromising on accuracy or efficiency.

The introduction of the YOAT Wire Bender II Robot is set to have a profound impact on orthodontic practices. By automating the wire bending process, orthodontists can focus more on patient care and less on manual tasks. The increased

efficiency and consistency also contribute to improved treatment outcomes and higher patient satisfaction. Additionally, the robot’s ability to produce precise and customised fixed retainers enhances the overall quality of orthodontic care.

available now at trycare. Contact John Lancaster for more information: call 07977 279 462 or email orthodontics@trycare.co.uk n

Managing, discussing and treating gingival pain

Gingival pain is an indication of many different oral health problems. Clinicians must be able to recognise how they can provide short- and long-term support and relief, as well as recognise the impact that discomfort may have on oral hygiene routines. Uniquely tailored advice can ensure that patients maintain a high level of oral hygiene without causing unnecessary irritation.

a common problem

There are many reasons a patient may experience gingival pain. Gingivitis is a plaque-induced problem that can lead to the periodontitis if left untreated, and therefore they share clinical indications. Patients may have inflamed gingivae, manifesting as discomfort on gentle probing. Often, however, gingivitis does not cause any pain; instead, patients may report a dull soreness in the gingival tissue only when the disease has progressed to periodontitis, which may coincide with the identification of bleeding during oral hygiene routines or visible gingival recession. By this point, patients risk bone loss and tooth loss without appropriate action.

Desquamative gingivitis is a term describing the presence of erythema, ulceration, erosion, blistering or desquamatation of the attached and marginal gingivae. It may precede more extensive gingival lesions, and can be linked with a wide spectrum of diseases – including most predominantely mucous membrane pemphigoid, lichen planus, and pemphigus vulgaris. Much like typically understood gingivitis and periodontitis,

delay in diagnosis leads to worse treatment outcomes. Implementing patient education in regular appointments allows them to come to clinicans with concerns early, who can use their up-to-date clinical training to formulate a treatment plan.

Some causes of pain may, however, begin with the oral hygiene routine itself. Toothbrushing can cause gingival abrasions which increase in prevalence and severity dependent on bristle stiffness, the force applied to brushing, and the type of toothpaste used. Some patients should be recommended to try using a softer toothbrush for improved outcomes.

Communication and clinical identification

Other aspects of gingival discomfort may prompt more widespread orofacial pain. Patients will typically experience two types of soreness. A deep somatic pain can indicate the problem has a periapical origin, whereas a superficial somatic pain may signal pain in the gingival tissue itself. Though oral pain is entirely subjective, it’s helpful to encourage patients to describe the painful sensation, when it occurs, and when it is at its worst – though the layman will lack the clinical language for a textbook description, the semantics between a sharp, shooting pain and a dull, constant ache may begin to point in the direction of a clinical diagnosis and treatment plan.

One example of this being effective is with abscesses in the periodontium. They are a collection of pus, typically classed wider into gingival, pericoronal and periodontal abscesses depending on their location.

Patients with an abscess can experience different types of pain in the gingival tissue. An acute periodontal abscess will typically last a few days or a week, presenting as a sudden onset of pain when biting and a deep, throbbing pain in a tooth – the gingiva becomes swollen and tender, which may be easier to identify in a check-up. A chronic periodontal abscess, on the other hand, will develop slowly. As well as discomfort, which is usually of a low intensity, patients may experience spontaneous bleeding and an unfavourable taste in the mouth.

Whilst each problem is from an issue of a similar general aetiology, the ways that patients convey their experience of general soreness or sharp, throbbing pains may help with effective identification. Treatment plans can then be better informed for optimal patient outcomes.

Management

Treatment for these sources of pain – and more – in the gingival tissue will vary. Whether the patient needs professional calculus debridement or surgical intervention, or a less invasive route altogether, will depend on the individual. Patients could use overthe counter pain medication, or specially tailored mouthwashes to manage issues at home between appointments.

Taking charge with self-care

The World Health Organization (WHO) describes self-care as the ability of individuals and families to maintain their own health, prevent disease and to cope with illness – with or without the support of a health or care worker.

For patients with chronic conditions, selfcare is a bedrock for recovery, getting patients to not just live with a condition, but to try and overcome it where possible.

Temporomandibular joint disorder (TMD) is one such condition, affecting up to 34% of the world’s adult population. A complex chronic pain disorder, patients with TMD should follow self-care practices to alleviate its symptoms and restore function to the jaw in a non-invasive way. Dental practitioners can empower TMD patients to take charge of their health.

Six steps of self-care

By helping patients identify behaviours that may cause pain, dental practitioners can provide an educational foundation from which the patient can better care for their TMD, focusing on the following:

• Dietary advice and nutrition

• Thermal therapy

• Massage

• Therapeutic exercises

• Parafunctional behaviour identification, monitoring and avoidance

Controlling diet is a form of self-care for TMD patients. Certain foods can aggravate the jaw by forcing the mouth to open as wide as possible. When wanting foods that traditionally do this – apples and burgers, for instance – TMD patients should cut these down into smaller pieces. For those reporting high levels of pain, reducing hard foods may be an essential step to limit mastication and jaw use.

TMD pain can manifest in two ways: a dull, steady ache, or an occasional sharp, stabbing pain. In cases of the former, patients are advised to apply heat, such as a hot water bottle or a warm towel, to the afflicted area. This increases blood circulation and allows the jaw muscles to relax. For the sharper pain symptoms, cold packs wrapped in thin towels are ideal; they reduce inflammation and numb the pain.

executing exercises

Whilst alleviating pain is vital for an improved quality of life, it does not treat the problem. Therapeutic exercises are an effective treatment for TMD, especially for patients with limited mouth opening. These can lead to long-term success, encouraging mobility in the temporomandibular joint (TMJ) and lowering the risk of dysfunction. Able to be done from home, therapeutic exercises offer many benefits to increase patient compliance.

Good oral hygiene is key to reducing any catalyst for pain and preventing future issues. Twice daily brushing and interdental cleaning is paramount to remove plaque and debris that can cause irritation and infection.

When the periodontium is tender and painful, it may feel difficult for patients to carry out effective routines. Gentle brushing may be recommended, but interdental solutions like the Cordless Advanced water flosser from Waterpik™ may also be incredibly effective. The 3 advanced pressure settings allow patients to access interdental and subgingival spaces with comfort, tailoring their approach when they are experiencing pain. The Cordless Advanced is clinically proven to remove up to 99.9% of plaque from treated areas in as little as 3 seconds, for an effective clean to minimise irritation and infection.

Gingival pain can be linked to many oral health conditions for patients. Pairing clinical knowledge with a patient’s description of their experience can help deliver successful outcomes.

For more information on WaterpikTM water flosser products, visit waterpik.co.uk. WaterpikTM products are available from Amazon, Costco UK, Argos, Boots and Tesco online and in stores across the UK and Ireland. n

about the author anne Symons is a Dental hygienist currently working in a specialist periodontal/ implant practice.

Whilst some health conditions may demand a physiotherapist for rehabilitation, seen at either the patient’s house or the practitioner’s clinic, self-care eliminates this aspect as many TMD treatments do not need a professional to complete the exercises; patients only need to coordinate review appointments. Self-care therefore saves time and prevents the risk of miscommunication.

empowering the patient

Self-care empowers patients to take control of their health, letting them choose the time that best suits them to complete their recommended exercises. Empowerment can be a pivotal value for some TMD patients, particularly those with depression or anxiety, and those who are often stressed. These conditions can increase the risk of clenching or bruxism, aggravating the TMJ. At-home solutions are appropriate for these patients, allowing them to rehabilitate from the comfort and security of home, without having to plan their day around an appointment. Doing this may increase compliance, whilst certain TMD devices can also be portable enough for patients to pack when travelling. It should always be highlighted that self-care is an extension of the appointment – it is not them being left alone to solve a problem. Patients should be advised on the minimum and maximum exercises needed for the best outcomes, reducing the risk of over-exercising

and damaging the TMJ. Practitioners can also curb this outcome by completely informing the patient about their condition – this can reduce fear, depression and anxiety too.

the road to recovery

Patients affected by TMD may find an ideal self-care solution with the OraStretch Press Rehab System from Total TMJ. Perfect for home use, the handheld device opens the mouth, mobilising the jaw and stretching the orofacial tissues. The simple design gives way to numerous therapy exercises depending on the severity of the condition, helping all TMD patients restore function to the jaw in a noninvasive way, ensuring compliance.

Promoting self-care gives TMD patients the best chance of managing their condition, helping to overcome chronic pain and keeping the jaw active. Following the recommended programme of therapeutic exercises can improve a patient’s quality of life – they just need the right device.

For more details about Total TMJ and the products available, please email info@totaltmj.co.uk n

about the author Karen harnott, totaltMJ operations Director.

Toothache and its impact on quality of life

Generally speaking, pain is a universally negative experience causing differing levels of discomfort depending on its severity. However, its impact doesn’t end there, having the potential to affect many other aspects of life including a person’s mood and their ability to function in their day-to-day tasks. A study by the World Health Organization found that those living with persistent pain are four times more likely than others to experience depression or anxiety, and twice as likely to have difficulty working.

Considering the impact it can have on an individual’s wellbeing, pain is considered to be one of the key determinants of quality of life. This takes into account the impact that it might have on a person’s ability to take part in a range of roles in society and be satisfied with their performance.

As such, any therapy or treatment provided should take into account the potential effects it could have on quality of life. It is a more subtle indicator than other variables, but it is a helpful determinant of treatment value and is often a more relevant indicator of patient satisfaction as well as their willingness to accept treatment and follow post operative advice.

How toothache affects quality of life

Dental pain is very common, with 24% of adults affected in the UK. However, its prevalence does not reduce the impact it can have on individuals. Not only is toothache uncomfortable, no matter how long it lasts or severe it is, but it also

results in reduced sleep, impacts the ability to socialise and concentrate, has a psychological impact, reduces nutrition, and reduces productivity at work.

Each of these can have a significant impact on people’s daily lives, with eating, speaking, and sleeping all potentially impacted by dental pain. As such, it is important that this is taken into account when examining patients and recommending treatment, with the understanding that pain relief in the short term will be a preference for many patients, particularly if they cannot receive treatment immediately.

What influences the impact of toothache

In addition to its general impact on daily life, it’s important to consider the effects that different types of dental pain can have. Toothache can present as a dull ache that doesn’t go away, a sharp pain, throbbing pain, sensitivity, or swollen and painful gums, and can have a range of causes including cavities, abscesses, cracked teeth, or gum disease. Depending on the length of time it takes for a patient to seek out and receive treatment, dental pain could last for a while, leading to impacts on physical and mental health in some cases.

Different people will have different pain tolerances, and varying coping mechanisms. However, severe and long-lasting pain is bound to have an impact on anyone. As such, clinicians must arrange treatment as soon as possible, and offer patients advice regarding pain management in the interim.

Advice for patients

When you become aware of a patient in pain, it’s important to get their dental appointment booked in as soon as possible (an emergency appointment may be necessary) and offer them advice about how to manage their pain immediately. Depending on the suspected cause, some helpful recommendations may include taking over the counter pain killers such as paracetamol or ibuprofen, or rinsing with saltwater (in cases of inflammation). However, these options take time to provide relief, and do not provide targeted numbing. A fantastic alternative is pain-relieving gel such as the Orajel Dental Gel. It contains 10% benzocaine allowing patients to directly apply local anaesthetic to the painful area for relief in less than two minutes.

The ability to offer your patients the advice they need to relieve pain that impedes their everyday tasks is invaluable. Enabling them

to minimise their pain whilst they wait for the treatment they need will mean they can eat, sleep, and socialise more normally and reduce the impact of dental pain on their relationships, mood, and performance at work. Of course, treating the cause of the pain is essential, and it should be made clear that this is the only way to cure their pain for good, but providing short term solutions that enable patients to complete their daily tasks is important. For essential information, and to see the full range of Orajel products, please visit https://www.orajelhcp.co.uk/ 

About the author Jenny Sinclair Brown, Marketing Manager, Orajel.

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The power of prevention

As one of the leading, avoidable causes of dental implant failure, a great deal of consideration is given to the likelihood of patients developing peri-implant diseases (PID) before considering implants as a treatment option. Failure to assess the probability of serious infection comes with a huge cost. Implants are a significant investment for many patients, coming at a cost that for some means difficult decisions around their financial planning. Retreatment may well represent real economic hardship, and may be out of reach for some patients. There is also an important sustainability component to prevention that is increasingly accepted within the dental profession.

Preventative treatment means less patient travel, less use of non-renewable or non-biodegradable materials, and less output of energy. Every clinician providing implant treatment has a responsibility to prevent disease, or unnecessary treatment. With the right approach and correct risk mitigations, professionals can greatly improve the predictability of their practice.

Standardising guidelines around prevention

A number of recommendations and guidelines exist to provide a clear decisionmaking process for the prevention and treatment of PIDs. Initiatives like the European Federation of Periodontology (EFP) S3-Level clinical practice guidelines aim to standardise care to ensure patients’ needs are met. These evidence-based

guidelines also serve to help demonstrate clearly to at-risk patients what measures they can take to enable implant treatment to move forward, and to maintain success. Recommendations emphasise preventative measures as soon as dental implants are suggested as a possible treatment; an interdisciplinary approach in planning, surgical placement and prosthetic design; identifying all local and systemic risk factors that can contribute to PIDs in a complete risk assessment; and patient education, emphasising the vital role of enhanced oral hygiene routines at home, as well as regular follow-up visits to the dentist. Every patient should be considered at-risk of developing PID. Once the implants have been placed, patients should receive a tailored supportive peri-implant care (SPIC) programme for enhanced oral hygiene coaching and early detection of problems.

Pathophysiology and prevalence

Peri-implant biofilms are thought to be the primary cause of peri-implant mucositis, the largely treatable precursor of peri-implantitis. There are similarities between periodontal diseases and PIDs. However, unlike periodontal tissues, peri-implant tissues do not contain cementum or periodontal ligaments, leaving only the alveolar bone and the peri-implant mucosa. In the peri-implant mucosa, epithelial attachment tends to be longer, the connective tissue lacks fibres that insert into the supra-crestal area, and it has lower vascularisation. PIDs have been shown to result in faster and more significant bone resorption than periodontal disease.

During the XI European Workshop in Periodontology in 2014, a systematic review was conducted to examine the prevalence of PIDs. This review analysed eleven studies and found that about 43% of patients experience peri-implant mucositis. For peri-implantitis, the prevalence was about 22%. It has been found that patients with peri-implant mucositis who do not receive regular supportive therapy are at a higher risk of developing peri-implantitis. Another key finding was that patients could effectively reduce their risk by maintaining good oral hygiene.

assessing the risk

A comprehensive approach to assessing risk is a vital element to improve outcomes in implant treatment. The periodontal risk assessment, a spider-web shaped matrix including an evidence-based range of risk factors for PID, is an effective tool to make the decision-making process safer and more predictable. It includes six key factors, which are important indicators of risk, including the bleeding on probing score, the presence of gum pockets measuring 5 mm or deeper, and the number of missing teeth. Additionally, it assesses the risk of infection and other risks to osseointegration in relation to factors such as the patient’s age, systemic and genetic factors, and tobacco use.

micromovements and periimplant disease

Many risk factors for peri-implant disease are associated with oral dysbiosis, making infection more likely. In addition, poor bone quality can result in mechanical instability

creating a risk of exposure of implants to the oral microenvironment. Bacteria adhering to the implant surface can easily form biofilms which can influence the implant in various ways. Lack of implant stability due to mechanical overloading or inappropriate implant/abutment connection can result in micromovements that leave gaps, perfect for the proliferation of harmful bacteria. Risk reduction is further assisted by using the right tools both to insert implants and measure their stability. The automatic thread cutter function of the Implantmed from W&H prevents excessive compression of the bone, promoting stress-free healing. Implantmed Plus connects seamlessly to the Osstell Beacon, which objectively measures implant stability, and enables clinicians to monitor osseointegration over time, without jeopardising the healing process. Take a look at the W&H synergistic surgical solution to provide the complete answer to providing implant treatment. Preventing implant failure is greatly assisted by a proactive, evidence-based approach, that takes risk factors into consideration from the outset. Using these tools, while fully informing and educating patients on what they can do to prevent failure greatly improves outcomes. To find out more about the full range from W&H, visit www.wh.com/en_uk, call 01727 874990 or email office.uk@wh.com n

about the author Jon Bryant, General manager, W&H UK.

Achieving a beautiful restoration with a fixed dental prosthesis

Replacement of missing teeth in a partially edentulous arch involves various treatment options like removable or fixed prostheses, and implants. Fixed dental prostheses (FDPs) like fixed partial dentures (FPDs) can provide effective solutions for a wide range of dental conditions. As materials and methods have evolved, this restorative method has become increasingly predictable for maintaining function and aesthetics for patients over a long period. The most common causes of dental bridge failure are divided into categories involving biological, mechanical and aesthetic considerations. Mechanical failures include prosthesis fracture, crown perforation, failed post-retained crowns, defective margins or loss of retention. Biological failure can most commonly occur due to periodontal disease or periapical involvement, but reasons for replacement also include a poor occlusal plane, or caries.

Poor aesthetics are another common reason for failure of a fixed prosthesis, which can be a secondary result of biological or mechanical failure, or due to a poor choice of materials and methods. When planning and creating the perfect dental bridge, there are several important considerations to ensure beautiful results that last.

aesthetic considerations for the perfect FDP

The appearance of the bridge plays a significant role, especially for those who need restoration in anterior areas of the

mouth. The shade, texture and translucency of the prosthesis, as well as the cement used should match the patient’s natural teeth as closely as possible to ensure a seamless look. It is also important to consider the shape, thickness and contouring of the pontic – not only to ensure the mucosa remains healthy under the bridge, but to have a consistent visual appearance alongside the patient’s natural teeth.

Overall oral aesthetics

Designing the pontic to mimic the natural emergence profile of the tooth helps in achieving a more natural look. Lack of attention to the emergence profile can result in limited access for oral hygiene, causing inflamed tissue that can lead to an unappealing aesthetic outcome, such as bone loss and gingival recession, which additionally threaten the success of treatment. Away from the aesthetic region, the pontic should ideally be avoid gingival contact, and be modified for easy cleaning. Ensuring proper occlusal relationships prevents functional issues and maintains the aesthetic integrity of the restoration. The teeth in the anterior region have a role in phonetics as well as aesthetics. To aid in these two outcomes, a pontic in this region can slightly touch the ridges, and a conical, bullet, or spheroid pontic is recommended.

appropriate use of materials

Choosing the restorative material is an important factor for meeting functional as well as aesthetic requirements. While

strength of materials may be more important consideration for posterior bridges, in visible areas, bridge materials may require more aesthetic properties to meet patients’ requirements. In addition, they should be resistant to staining from common foods and beverages, such as coffee, tea, or red wine. Common materials include porcelain, porcelain-fused-to-metal (PFM), or allmetal alloys. Stain-resistant and durable, porcelain can provide a natural look and is often used for bridges in the aesthetic region of the mouth. Porcelain-fused-tometal offers a strong structure while still looking like natural teeth.

Zirconia is a strong, durable allceramic material which can provide an excellent aesthetic result. This material is becoming more popular for its similarity to natural teeth. Zirconia crowns can fail – primarily due to biological or technical complications, and can be difficult to remove, but it remains an important restorative material due to its favourable mechanical and visual properties. Non-prep bridges (NPBs) do not require any preparation of the abutment teeth, offering a truly non-invasive solution for patients with healthy abutment teeth and gingiva. These can be applied directly using flowable composite, or using indirect restorations which are bonded. These restorations can be fabricated from blocks of resin composite, or hybrid ceramic materials using CAD/CAM techniques, and can be modelled to blend well with natural teeth, even in anterior areas of the mouth.

meeting patient expectations

When treatment with an FDP is preferred, and clinically appropriate, managing the patient’s expectations regarding the aesthetic outcome is important for satisfaction with the final restoration.

Providing the perfect restoration requires a comprehensive approach that takes into account various patient factors, clinical considerations, and aesthetic needs. SoloCem from COLTENE, is a selfadhesive resin cement application with low shrinkage, which is not only fast but also safe. SoloCem has been developed for reliable adhesion combined with excellent aesthetics, for optimal restoration wherever luting is required.

Fixed dental prostheses provide effective solutions for restoring missing teeth; however, they must be carefully chosen and customised for each patient to ensure optimal biological, mechanical, and aesthetic results. Selecting the appropriate materials for adhesion, as well as for the prosthetic itself, is a crucial factor in achieving successful outcomes.

For more on COLTENE, visit https:// colteneuk.com/ email info.uk@coltene.com or call 0800 254 5115. n

about the author nicolas Coomber, COLtene national account & marketing manager.

Amazing MINST in managing a significant public health problem

In yet another study extolling the value of excellent oral hygiene, good protocols as part of minimally invasive non-surgical therapy (MINST) are highly effective in preserving teeth that might once have been considered a lost cause. Moreover, there is emerging evidence that bone infill can take place after extended periods of enhanced hygiene both in the surgery and at home. However, for MINST to be effective, patient education is key.

The principle of the MINST approach to periodontal treatment hinges on effective decontamination of root surfaces, and infection control within periodontal pockets. Studies have demonstrated the effectiveness of this approach in reducing the clinical and radiographic depth of intrabony defects.

a shift in prevalence, and a shift in treatment protocols

Between 2011 and 2020, periodontitis in dentate adults was estimated to be around 62% and severe periodontitis 23.6%. This represents a significant increase from figures compiled in the previous decade, which show a 50% and 11% prevalence respectively. Effective treatment for periodontal disease is essential to prevent periodontitis and the ensuing complications that result in tooth loss as well as damaging effects to patients’ systemic health and oral health related quality of life.

Periodontitis, being a microbial infection affecting gingival tissue, is generally treated with a focus on root surface

decontamination and infection control. Up until recently, scaling and root planing combined with gingival curettage was common practice. Root planing involved the removal of contaminated cementum and dentine to restore the biocompatibility of diseased root surfaces. This approach was based on the concept that endotoxins and lipopolysaccharides from gram-negative bacteria penetrate the cementum. However, aggressive and repeated root planing is now generally considered to be an over-treatment. Endotoxins only loosely adhere to the root surface and don’t penetrate the cementum. In addition, there is generally evidence of subgingival recolonisation within 4-8 weeks of planing or scaling. Traditionally provided alongside scaling and root planing, gingival curettage is a surgical procedure designed to remove the soft tissue lining of the periodontal pocket with a curette, leaving only a gingival connective tissue lining. Short and long-term clinical trials have confirmed that gingival curettage provides no additional benefit in achieving probing depth reduction, attachment gain, or inflammation reduction.

new protocols

Supragingival and subgingival debridement, disrupting plaque and biofilm build-up is an essential treatment, and is considered the gold standard in periodontal treatment after a baseline examination to gauge patient motivation, and instruct them on proper oral hygiene.

Pocket and root instrumentation should be staged according to the severity of the condition, and ultrasonic devices with delicate tips, small curettes with longer terminal shanks and thinner blades used with magnification are recommended to carry out treatment according to MINST protocols. Healing should be monitored and clinically assessed before proceeding to a more invasive form of treatment.

Using these protocols, studies have shown a significant reduction in mobility and bleeding on probing (BOP), that is greater than reductions recorded using more invasive methods. In addition to this, randomised, controlled trials have shown that patients treated according to MINST protocols demonstrated slightly lower pocket depths than control groups, and significantly less gingival recession in deep molar pockets.

Prevention and management of periodontal disease using mInSt protocols

As well as an emphasis on oral hygiene and minimally invasive debridement and curettage methods over more invasive cementum removal procedures, MINST prioritises preventative treatment and

advice. Optimal plaque control is essential for the success of non-surgical as well as surgical periodontal therapy. Toothbrushing alone is not sufficient for managing oral hygiene to effectively manage subgingival plaque. Interdental cleaning with interdental brushes has been shown in numerous studies to be the most effective way of managing enhanced oral hygiene.

FLEXI Interdental brushes from TANDEX are a great solution to recommend to patients at risk of developing or experiencing periodontal disease to help them implement enhanced oral hygiene at home. Adding a small amount of PREVENT Gel from TANDEX adds the healing effect of 900 ppm fluoride and the antibacterial power of 0.12% chlorhexidine.

In the person-focused, preventionbased dental practice model, approaches that prioritise evidence-based, healthy outcomes are to be embraced. In addition to the right approach to professional cleaning, with the correct advice on maintaining excellent oral hygiene, patients can gain control of their oral health.

For more information on Tandex’s range of products, visit https://tandex.dk/ Our products are also available from DHB Oral Healthcare https://dhb.co.uk/ n about the author Dr Jacob Watwood, UK clinical advisor for tandex.

Offering minimally invasive endodontics

In recent years developments across research, technology, and techniques have been leading to more minimally invasive procedures across much of dentistry. This includes endodontics which, for many, now has more of a focus on conserving dental tissues where possible in order to delay the restorative cycle and preserve vital pulp. As such, it is important that those who are interested in endodontics and currently provide treatment in this area have a good understanding of the less invasive alternative to root canal treatment (RCT): vital pulp therapy (VPT).

What to consider during diagnosis

Before providing treatment, it’s important to accurately assess whether there are any diseases associated with the pulp through an assessment of the patient’s symptoms and a clinical exam. Currently, pulpal disease may be diagnosed as normal pulp (responds normally to stimuli), reversible pulpitis (stimulus causes pain which subsides quickly), irreversible pulpitis (stimulus causes more intense pain that lingers), or pulp necrosis (tooth is unresponsive to pulp testing). There is evidence that VPT (specifically pulpotomy) can be used to effectively treat irreversible pulpitis. types of vital pulp therapy

Once a diagnosis has been established, it is important to assess which type of VPT would be most appropriate for the specific case. The four types of vital pulp therapy are:

Indirect pulp capping

Indirect pulp capping is indicated when a tooth has dentine loss due to caries, trauma, or a previous iatrogenic intervention. Importantly, this is applicable when there is a cavity which is close to the pulp but there is still dentine covering the pulp tissue. The process involves applying material onto a thin layer of dentine which is close to the pulp in order to produce a positive biological response, protecting it from harm.

Direct pulp capping

This is appropriate in similar cases to indirect pulp capping, however, the soft tissue of the pulp is exposed and, in most cases, is bleeding. In these cases, symptoms will be relatively mild and will not indicate irreversible pulpitis. In this therapy type, material is applied directly to the pulp in order to produce a positive biological response, enabling the pulp to protect itself.

Partial pulpotomy

Indicated when there is a loss of dentine and the soft tissue of the pulp is exposed, bleeding, and appears to be inflamed and contaminated a partial pulpectomy involves the removal of a small amount of superficial coronal pulp tissue and the placement of material directly onto the pulp.

Full pulpotomy

Full pulpotomy is indicated in similar cases to partial pulpotomy, except a larger amount of pulp is exposed. The process involves the complete removal of the coronal pulp to the

root canal orifice level and applying material directly onto the remaining pulp in order to produce a positive biological response.

Offering successful minimally invasive outcomes

When carried out well using aseptic techniques, vital pulp therapy can produce predictable results with a high success rate. After one year, direct pulp capping with either CSC or calcium hydroxide shows a success rate of 90%, with partial and full pulpotomy demonstrating 98% and 99% success rates respectively. However, some clinicians hesitate to provide minimally invasive procedures such as these, as they are less familiar with them than conventional root canal treatment. As such, it’s important to carefully assess each case in order to establish whether they are a suitable candidate and whether an individual is sufficiently confident, competent, and indemnified to provide the treatment.

Decision-making in endodontic treatment planning

Research suggests that there are a number of factors which influence a clinician’s decision-making relating to VPT or RCT. Even though it is widely accepted as a potential alternative to RCT in mature permanent teeth with compromised pulp, some dentists wrongly assume that VPT presents a high risk of treatment failures. As such, this contributes to clinicians choosing to provide conventional root canal treatment and avoid any perceived risks. Whilst the research around factors which

may influence decision-making is conflicting, those with speciality training and more years of experience often chose VPT over RCT in cases of irreversible pulpitis.

For clinicians looking for assistance in the decision-making process and an informative reference with regards to diagnosis and treatment types surrounding VPT, the British Endodontic Society (BES) has produced a Guide to Good Endodontic Practice. The guide describes a wide range of scenarios relevant to endodontic diagnosis, decision making, and treatment types, in addition to management of complications. This informative resource is just one of the many ways the BES aims to keep its members informed and up to date with the latest research – also hosting multiple educational and networking events every year including a dedicated Vital Pulp Therapy Masterclass on Friday 4th July at Eastman Dental Hospital in London. With minimally invasive treatment types showing good success rates, and many clinicians and patients favouring minimally invasive techniques wherever possible, it’s important that those providing endodontic treatment stay informed about developments in vital pulp therapy. For more information about the BES, or to join, please visit the website www.britishendodonticsociety.org.uk or call 07762945847 n

about the author Dr Phil tomson, BeS President.

Flowable composites – where they fit in your workflow

The ability to deliver effective restorative care is subject to a wide range of variables. From the type of restoration needed, to the patient’s oral health history and oral hygiene practices, the balance of longevity and aesthetics, and so much more, there is never simply one solution that can be used to tackle every challenge. As the idiom goes, it’s about picking horses for courses – and being able to adapt to each new hurdle.

Flowable composites are a leading choice for many clinical indications. They differ from conventional restoratives in a variety of properties, enabling dental professionals to adapt to problems such as decay or fracture. It’s important to understand how these solutions are designed to provide alternative approaches to restorative care. Just as imperative is the ability to recognise how modern developments have improved the use of such restoratives, particularly in the design of the syringes for user application.

Unique form

Flowable resin-based composites uniquely reduce the filler load and/or utilise less viscous monomers. They can be used in conjunction with conventional composites, but many modern solutions match the clinical results of traditional materials, meaning they will often be used for the entirety of a restoration (where appropriate) without compromise. Most often, the filler load of a restorative composite will sit between 37-53%. It’s

important to note that this inorganic filler only differs in quantity when compared to a conventional composite solution, as well as an increase of dilutant monomer. Other variable factors such as size of the filler particles typically remains the same.

This is not to say that each product will be identical; different flowable composites are designed to contain unique inorganic fillers, with characteristics such as type, size and geometry changing between each solution. This then affects the clinical properties of the material, which gives clinicians the opportunity to employ different flowable composites dependent on the targeted outcome, or their own clinical preference. Compressive strength, or the endurance of a filling over time, is one measurable outcome that has been found to typically correlate with the amount of inorganic filler in flowable resin-based composites – where there are outliers, previously mentioned properties (inorganic filler type, size and geometry) are thought to affect the result.

avoiding voids

Clinical skill will also play a role in the success of a restoration, including the ability to avoid potential complications. Void creation is one such example, and has been observed when using some flowable resin-based composites. If an application technique is insufficient, material distribution may not be uniform, creating imbalance in a restoration. Pre-existing air may also be present within the composite itself, in turn creating the voids.

The trapped air pockets can create clinical complications. If minor, a patient may experience no difficulties, and the greatest inconvenience will be a poor visual result in a radiographic exam – cause for concern for the clinician, but not the patient. However, if the void is of an adequate size, a restoration can be compromised. Cracks can begin to form under fatigue loading at the voids, and initial stress around an air bubble can lower the durability and performance of the restoration.

A defect such as this at the restorative margins can lead to microleakage and discolouration, both significant problems for the success of a restoration, and potentially resulting in extensive, and even more invasive, retreatment for an individual.

In the modern age

Modern flowable composites can optimise application whilst reducing the incidence of void creation in a number of

ways. This includes adjusting the shape of the syringe used by a clinician. Dental professionals should seek a flowable composite that maintains and improves the ease of access to a restorative site to minimise clinician error. Then, a solution should allow for air to escape and not become trapped within the composite, which can lead to void creation.

The Filtek Supreme Flowable Restorative from Solventum, formerly 3M Health Care, offers such advantages to clinicians. With an upgraded syringe and new tip design, air that is trapped is pushed out by the front flow of the paste, and venting on the plunger allows air to escape, resulting in virtually no bubbles. The Filtek Supreme Flowable Restorative offers excellent adaption in the oral cavity, and long-lasting polish retention and wear resistance with natural-looking results that serve your patients for many smiles to come.

Flowable resin-based composites can be an effective solution for the dental professional, but success relies upon the properties of the material and the syringe, as well as the clinician’s abilities. Taking the time to choose an approach that optimises both solution and skill is key for long-lasting success.

To learn more about Solventum, please visitsolventum.com/en-gb/home/oral-care/ For more updates on trends, information and events follow us on Instagram at @solventumdentalUK and @solventumorthodonticsemea n

Restorative - Turbines

Restorative - Contra Angles

Perio & oral hygiene

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Busy in Birmingham

IThe 2025 Dentistry Show, held at the NEC on 16-17 May, was the biggest and best dental exhibition I have attended in the last few years. AND, the organisers of the show really do include all the members of the dental team – including dental nurses, with the Dental Nurse Forum and Dental Nurse Lounge – rather than just paying lip service to the concept of the dental team and inclusivity, like organisers of other exhibitions, who just concentrate on what they think will appeal to dentists. When will organisers and trade companies alike realise that dental nurses have enormous influence on practice purchases? They might not sign the cheques, but they are the gatekeepers to practices and principals.

This year’s Dental Nurse Forum, hosted on the Saturday by BADN, had a wide range of presentations. The Saturday programme started with my Stealth Bullying presentation – I think everyone knows by now that I was viciously bullied some years ago, almost leading to a breakdown. So many people asked for copies of the presentation that we have made it available in the non-members’ area of our website: www.badn.org.uk. I was greatly touched by the number of dental nurses who had been targets of bullying that came to me afterwards and told me their stories.

Dr Debbie Reed RDN, former BADN Chair, and current Chair of the College of General Dentistry’s Dental Nurse Faculty, (as well as the recipient of the Outstanding Contribution to Dental Nursing Professional Practice in 2020 and the Janet Goodwin Award in 2021, and author of the Dental Nurse Retention Survey Report), spoke on Dental Nurse Career Pathways and Routes to Recognition,

covering in her presentation the CGDent Career Pathway and the BADN Fellowship. As the Report showed, “providing structured career progression options can enhance job satisfaction, professional growth, and overall engagement among dental nurses. When dental nurses feel their contributions are recognised and see potential for advancement, they are more likely to remain in their positions, leading to a more stable and experienced workforce. Establishing recognisable routes for professional development not only benefits individual dental nurses but also contributes to the overall efficiency and quality of dental care.”

BADN President Preetee Hylton RDN had a busy day! As well as introducing other speakers and hosting the Forum, she delivered her own presentation: ‘Dental Nurses – Glorified Cleaners or Skilled Professionals?’, chaired the panel assisting dental nurses to ‘Find Your Fire, Shape Your Future’ along with Faiza Khatidja Arshad RDN and entrepreneur and Jo Dawson RDN, and stepped in to deliver the ‘Sexual Harassment – What has Changed in Law’ presentation for Rebecca Silver RDN, when Rebecca was taken ill and rushed to hospital.

Preetee’s own presentation was designed to explore the diverse scope of practice available to dental nurses in the UK, discuss career progression opportunities including extended duties, leadership roles and education pathways; to inspire and empower student, newly qualified and experienced dental nurses to embrace their professional potential; and to give attendees enhanced knowledge of the dental nurse scope of practice, enable them to identify pathways

for career progression, and the dental nurse’s contribution to high quality patient care.

Preetee also delivered the presentation put together by Rebecca Silver RDN, a member of the BADN Panel of Representatives, on the recent changes to the law regarding sexual harassment. These changes put the onus firmly on the employer to take steps to discourage any form of sexual harassment before it starts, and to fully investigate any allegations of sexual harassment, and so was of interest to both dental nurses (in fact, all members of the dental team) and practice principals alike.

The Panel discussion gave the perspectives of three different dental nurses

– Preetee, Faiza and Jo – and encouraged dental nurses to:

• Identify different development pathways for career progression

• Understand possibility of working overseas

• Explore how personal branding and content creation can enhance opportunities

• Highlight entrepreneurial and nontraditional career options

• Recognise the importance of mentorship, networking, and peer support

• Build confidence to pursue diverse opportunities redefining the DN journey

The last presentation on Saturday, sponsored by NEBDN, “Knowing Me, Knowing You”, was from personal development coach Sarah Kenyon, an Institute of Leadership & Management certified business coach. Sarah encouraged attendees to understand their own communication styles, read the communication styles of others, and to adapt their own styles if necessary to enable better communication – as well as the importance of self and social awareness.

Finally, special mention goes to BADN member Rachel Dilley RDN, Chief Executive and Co-Founder of the Liberty Dental Group, who spoke on the Friday about her own personal journey from dental nurse to practice owner, the obstacles she had faced and empowering other dental nurses to follow in her footsteps. n

About the author pam swain MBe is Chief executive of BADn

Awkward doesn’t have to be awful

Last week, I spent a day delivering a complaint-handling training session for a team of 30. And you know what?

It never gets old. Every time I run this kind of training, I’m reminded just how much emotional labour dental teams carry – and how rarely we name, normalise, and nurture the skills they need to manage it well.

We expect our teams to handle intense, emotional conversations like seasoned therapists. But how often do we train them for it? How often do we provide the tools, the language, and the emotional support to deal with a patient shouting about a toothbrush… or a colleague snapping in the corridor?

This was the driving force behind my session:

• Handling Tough Conversations with Emotional Intelligence & Empathy

• “Because awkward doesn’t have to be awful!”

• Starting with the Real Talk

• To kick things off, I used some icebreaker questions on the first slide:

• Ever had a conversation that made you want to hide in the staff room?

• Ever had a patient shout… over a toothbrush?

• Ever been blamed for someone else’s missed appointment?

• Ever had a colleague say “It’ll only take five minutes”… 20 minutes ago?

• Ever had to smile while someone told

you off—with bib clips in their mouth?

• Cue the laughter, nodding, and that look of “Yep, I’ve been there.”

• Why This Matters (Especially in Dentistry)

• Let’s be honest, dentistry isn’t just clinical. It’s emotional. Patients arrive: Nervous; Frustrated; Occasionally… furious. And the team? They’re navigating their own stress, trying to stay in sync as a team, and still provide compassionate care. That’s why our words—and how we deliver them—can make or break these moments.

We explored five key emotional intelligence (EI) skills—each one practical and powerful in a healthcare setting: self-awareness: Know when you’re triggered Scenario: A patient questions your diagnosis for the third time and namedrops Google.

Your inner voice: “Seriously?”

EI move: Notice the irritation bubbling. Take a breath. Remember: this isn’t about ego – it’s about their anxiety.

self-regulation: Pause before the sarcasm

Scenario: A colleague snaps – “Why didn’t you clean your instruments properly?” – in front of the team.

Instinct: “Maybe check your own tray next time!”

EI move: You pause. “Let’s chat after clinic – I think we can work this out together.” You stay calm and de-escalate.

empathy: Feel their pain, but don’t carry it all

Scenario: A patient gets emotional over unexpected costs.

Temptation: Absorb their stress, feel guilty.

EI move: “I can see this is upsetting. Let’s go through your options together.” You show care but stay steady.

I referenced a conversation where a lovely receptionist was trying to comfort a patient who expressed feelings of panic and upset over the cost of a treatment plan that was essential.

Patient - “I don’t know how I can afford this, what am I going to do? Its so expensive!”

Receptionist – trying to engage empathy – “Yes, I know, it is very expensive.”

Me – hits palm on face! Again, feel it, but don’t carry it!

Social skills: Get your point across without war Scenario: Reception double-books two long appointments.

EI move: “We’ve had a scheduling mixup – let’s figure out the best fix so we’re not affecting patient care.”

You lead with solution-focused language, not blame.

Motivation: Be the calm in the chaos

Scenario: You’re exhausted, running behind, and now there’s a last-minute emergency.

EI move: You remind yourself of your purpose. You focus, support the patient, and carry on with grace, even when tired.

One key message I wanted to leave them with is that confidence doesn’t mean you’re never shaken. It means you’ve got the tools to navigate it – even when you are.

Everyday tools include go-to phrases like “Let’s work through this together”, breathing resets (inhale for four, exhale for six, practising posture and tone in front of a mirror (yes, it works), debriefs with a colleague after a tough conversation, and, of course, a little humour (used wisely, it disarms and connects).

Following this session, I went on to deliver the edited version at The Dentistry Show in Birmingham. The session was packed out. I was shocked, but very happy to have so many people come and listen to me. The feedback was that teams need these sorts of skills enhancing and want to be more confident. These superpowers will benefit them and the practice.

Let’s help your team turn awkward into confident – one conversation at a time. n

About the author Lisa Bainham is president at ADAM and practice management coach at practice Management Matters.

Vaccinations – the debate continues

World Immunisation Week is promoted towards the end of April, throwing a somewhat controversial topic into the limelight. As healthcare professionals, we dentists are often keen to emphasise the benefits and encourage all to move forward with recommended vaccinations. However, it is important that we understand why some individuals are hesitant to proceed.

Vaccines in numbers

Vaccination coverage has been declining in the UK, with decreases in all 14 recorded immunisation areas in 20232024 of between 0.1 and 1% compared to the previous year’s results. No vaccines have fulfilled the national target of 95% since 2020-21 – this is true at any of the recommended vaccination ages (typically 12 months, 24 months and 5 years or a combination of these).

As a result of lower immunisation rates in the UK, we are already seeing the re-emergence of previously eradicated diseases such as measles and mumps. This puts people at risk of potentially life-threatening health conditions that could have been easily preventable.

Understanding barriers

Various studies have attempted to determine the drivers for this decline in vaccinations. One found that uptake was lowest in the most socioeconomically deprived regions of the UK. Another revealed ethnicity to have an influence, with the black community and people of Pakistani or Bangladeshi heritage least likely to be immunised. Other reasons for low uptake may include poor access to healthcare services; inaccurate claims of vaccine safety and effectiveness; and insufficient healthcare capacity to deliver programme.

Following the Covid-19 pandemic, there is also a body of recent research looking further at vaccine hesitancy. Education level has been identified as a potential factor, with those who completed more schooling more likely to be vaccinated.

In an age of information where facts and myths are almost indistinguishable even to the most discerning individual, health literacy may be particularly important for immunisation uptake. Research by the UK Health Security Agency (UKHSA) in 2023 found that 67% of parents surveyed had seen information relating to vaccines online – almost 30% used the NHS website, 24% saw it on Facebook and 18% saw it on parenting websites. Of the same participants,

The Female Dentist Board: Nicola Rowland

As a fast-emerging network, The Female Dentist supports women in dentistry through CPD opportunities, exciting events, new collaborations and wellness resources. A board of 13 trailblazing women leads The Female Dentist, sharing a rich array of experiences and specialties that members can turn to for support and inspiration.

Before becoming a Board Member, Nicki Rowland spent 10 years co-owning an awardwinning dental practice and then set up her own business, Practices Made Perfect (PMP) in 2014, designed to ignite positive change in a practice’s compliance, leadership, and team-building through dedicated consultancy and training. As a Board Member of The Female Dentist, Nicki reflects on its unique position in the dental industry:

“The Female Dentist stands as a beacon of support, empowerment, and professional development for women in dentistry; a field where female professionals have historically been underrepresented in leadership and specialist roles. The Female Dentist remedies this, carving out a vital space for connection, growth, and advocacy.

“My decision to join the board of The Female Dentist was driven by a deep passion for supporting women in dentistry. I’ve experienced the unique challenges that females face in dentistry, from owning a practice and balancing career progression with family responsibilities to breaking through the glass ceiling in specialist fields. By taking a position on the board, I will ensure that it offers a strong and dynamic support system for its members. The role allows me to advocate for such things as more training opportunities and a greater visibility for female professionals within the wider industry.

88% believed vaccines were safe (down from 92% in 2022) and 89% thought they worked (also lower than in 2022).

Healthcare providers are, therefore, tasked with educating patients about both the effectiveness of vaccines and the reliability of associated information available online.

A dental perspective

Although we’re not directly involved with the provision of vaccines, we are well-placed to ensure patients are fully informed on the potential risks and benefits. Even something

“The core mission of the network is to create a community where female dental professionals feel supported not only in their clinical work, but also in the operational side of running a successful practice.

“Leading a dental practice is more than just delivering exceptional patient care – it’s about navigating complex regulatory requirements, managing teams effectively, and ensuring that the business side of the practice thrives. For members of The Female Dentist, I can provide tailored practice management consultancy and training, helping members streamline operations, enhance patient experiences, and ultimately increase profitability. My expertise in compliance ensures that practices remain up to date with evolving CQC regulations, fostering a well-led culture of excellence and safety.

“The Female Dentist’s influence extends beyond individual success stories – it is reshaping the culture of dentistry, making it more inclusive and supportive for future generations of female dentists. This is reflected in its generous support for the charity I founded, The Magic Dentist. This initiative is aimed at reducing child admissions to hospital for tooth extractions under general anaesthetic, reducing absenteeism from school, and providing equity of access to dental services for children, taking control of the dental crisis currently facing us across the UK.

“My involvement with The Female Dentist is more than just professional – it’s personal. It’s about building a legacy where female dental professionals are not only supported but celebrated; where their expertise is recognised, and where they have the confidence and resources to reach new heights.”

For details on membership visit thefemaledentist.co.uk/membership-benefits/ n

as simple as sharing government-hosted webpages on the latest research and statistics could help individuals make the right decisions for them. We’re not here to lecture or judge, but we can share educational resources and show patients that we are here to help. n

About the author endoCare, led by Dr Michael sultan, is one of the UK’s most trusted specialist endodontist practices.

Meet the BES: Rahul Patel

Dr Rahul Patel is an Ordinary Member of the British Endodontic Society (BES) council. He shares a little bit about himself and his experience with the BES:

“I qualified in 1996 from Sheffield University and have been involved in running my own practice for the last 18 years. I undertook my PG Certificate in Restorative Dentistry at the Eastman Dental Institute in 2001 which is where I first realised my interest in endodontics.

I have recently completed my MSc in endodontics, which began in 2020 and finished last year. I first joined the society in the first year of my MSc and, in the final year of my course, my professor and tutor suggested that I stand for election to join the BES council. At first, I felt that this wouldn’t be the right fit for me, as I had been a GDP for most of my career, but I eventually was convinced of the role, stood for election and was voted in.

As a part of my role in the council I get involved in as many things as possible, helping the society out in any way I can.

I now feel that I have found a society which I truly fit into.

“I have always enjoyed endodontics, I like that it requires me to work precisely, using technical equipment and microscopes to achieve a successful result. Of course, this area of dentistry is almost exclusively about saving teeth, which is the reason many of us become dentists in the first place.

“As a member of the BES council, we help in the organisation of two conferences per year, the Spring Scientific Meeting and the Regional Meeting, which attracts excellent quality speakers. Most recently, the BES organised the World Endodontic

Congress in Glasgow. It was an honour to have been involved in this process. Members also have access to the International Endodontic Journal , which I find to be very resourceful journal.

“Being a member of the BES council has been eye-opening. I didn’t realise how hard the council work to help the members of the society. We encourage absolutely everyone to get involved, through awards and prizes, the Early Career Group, and Teaching programmes, to name a few.

“At the moment, outside of work, aside from being a father of three teenagers, I am really enjoying road cycling and mountain biking. I used to take part in competitive rowing and am looking to renew my competitive interest and to take on a coaching role in this sport too.”

For more information about the BES, or to join, please visit the website www.britishendodonticsociety.org.uk or call 07762945847 n

Reform of NHS dentistry in Wales – a step too far?

Nigel Jones: Apart from the proposed centralised patient access list and the removal of patient charge revenue collection in practices, what other areas do you think the profession should be thinking about as they mull over the proposals?

Lauren Harrhy: I think there will be far tighter controls by health boards.

Instead of three months’ notice to quit the contract, the proposal is that it’ll be a sixmonth notice period. So, if you are going to try it and see, then you need to be aware that it’s now six-months if it doesn’t work out rather than three to quit.

I think that the 40% target by 6 months is also going to be a bit tricky because we’ll be seeing patients with quite high needs. 40% of our metrics must be achieved by mid-year or we risk the health board unilaterally deciding to reduce the contract value. In Wales courses of treatment are only counted when they’re finished. I know, because I’m in a high needs area, that courses of treatment on these types of patients can take the full contract year, and beyond sometimes.

quite difficult to improve access even if the process would appear to do that.

Is there going to be the workforce available to do it?

LH: That’s another significant concern and it is something that we frequently look at in the BDA. I know that HEIW (Health Education and Improvement Wales) is looking at it as is the rest of the UK too.

We are fortunate in the UK that we have quite a high proportion of dentists for our population compared to other countries. But not everybody works full time, and not everybody works within clinical practice. So, although technically we do have plenty of dentists, not all of them are doing faceto-face dentistry.

I can see where you’re going with the suggestion that we are going to see a dip in access more broadly. Each practice that hands back its contract will also be handing back quite a significant number of patients. So, access not just to NHS dentistry but dentistry generally, is likely to take a hit and that might be an unintended consequence.

Most of us want to look after those people that we’ve been looking after for a long time, and if that means that we have to go private to do that, then I think that many will make that choice.

NJ: That’s such an important point. I remember very early on in my career having a conversation with a dentist who said that he felt he had to make a choice between delivering the best quality patient care he could or being loyal to the ideals of the NHS that weren’t matched by reality. I suspect that’s how a lot of your colleagues in Wales will see things, Lauren.

LH: What you’ve just said, Nigel, is so poignant. Those ideals of the NHS are what clinicians have. We’ve been idealistically trying to work towards those for so long, and I think successive governments have relied upon the fact that we have these ideals and that all of us want to prop up the NHS and make it work.

contracts back. You can see why, because the NHS ideals are what most of us in healthcare would like to be working towards.

NJ: Thank you for sharing your views, Lauren. This year, Practice Plan celebrates 30 years of welcoming practices into the family, helping them to grow profitable businesses through the introduction of practice-branded membership plans. So, if you’re looking to switch provider or are considering a full or partial move away from the NHS and would like a provider who will hold your hand through the process whilst moving at a pace that’s right for you, why not start the conversation with Practice Plan, on 01691 684165, or for more information visit the Practice Plan website: https://www.practiceplan.co.uk  As

NJ: So, the idea of working incredibly hard in the last quarter no longer applies.

LH: Not anymore. We know that is something that does happen. However, if you’re working on very high needs patients, it might have taken you that whole year to get through the course of treatment. So, it doesn’t necessarily follow that all the activity just happens in the last quarter.

I do understand why there’s the 40% rule. It’s prudent to have activity spread along the whole contract year. But that doesn’t reflect the nuances of what happens at the coalface. It could be that a practice might have a dentist on maternity leave for the first half of the year and the rest of the dentists are doing their best to try and keep the contract running along. I know we should have locums, but that’s not always possible in this climate. Not everybody wants to work in the NHS, or locum in the NHS. Also, will they be working as rapidly as your usual dentist?

Practices do face difficulties throughout any financial year, as any small business will. However, I think that, as long as we hit them, we should be allowed to manage those targets as we need to.

NJ: You raise a really important point that seems to be relevant right across the UK at the moment, which is the workforce issue and the availability of clinicians, full stop, let alone clinicians willing to work in the NHS. If some, and it might be a significant proportion, decide to hand their contracts back, then most of my experience of working with dentists going private is that they see around half the number of patients they were seeing before, and spend twice as much time per patient.

So, for every dentist that hands back their contract, that means half their patient base is being added to the DAP (Dental Access Portal). So, it feels as if it’s going to be

NJ: It seems to me that a major part of the challenge can be the ability of NHS practices to attract associates. You are right about the trend for working fewer clinical hours. We work with about 3,000 practices, and we observe that constantly. It seems to me that it’s going to be a real challenge for an NHS practice to be able to afford to attract or keep associates. Although it feels like it’s a problem right the way across dentistry, including private practice, it’ll be more acute in some practices, particularly those where their NHS income is going to be limited. Is that a fair assessment?

LH: Yes. We have known that this has been the case for a number of years now. Certainly, since the 2006 contract came in, practices have found it increasingly difficult to attract associates to help them deliver the contracts.

What has happened over that time is that practices have either been subject to significant clawback or they’ve had to reduce their contract, which will reduce access. So, I believe that challenge will become quite pressing and ever more acute within the next couple of years.

NJ: What is likely to play out in Wales?

LH: This is a personal view, but I think we will probably see fewer independent practices being able to offer NHS work. Corporate practices may be able to do that more effectively for longer because of the economies of scale, but I think we will probably see that many independent practices will feel that this has been a step too far.

Most of us got into dentistry to look after a particular cohort of patients that we come to care deeply about. The biggest concern is what happens to our patients now if we are interrupting that continuity of care, and interrupting that relationship between dentist and patient? A lot of us will probably think, ‘what are we doing it for’?

We have tried to do that for so long, but it doesn’t feel like it is always the right thing. Practitioners go through the grief process a little when they decide to give their

Nigel Jones

Lauren Harrhy

Joining the dots

If life were a dot-to-dot (bear with me), the bold standout dots create an emerging picture of you and your life, each one representing pivotal moments and a milestone achieved. Each dot is a key part of your story. But these headline moments inevitably overshadow the fainter lines between each one – the lines that represent the journey and graft it takes to get from one to the next. Those are the bits that no one really sees. And arguably they are way more important than the destination dots.

Many of us work hard to achieve specific goals. Whether you’ve just qualified as a dentist, bought your first practice or launched a new dental training business, there are obviously significant steps to follow that get you there. Each new thing we accomplish provides many learning opportunities along the way. The time spent between the victories are way more important as they represent an accumulating lifetime’s worth of investment – not just time, but the creation of good

habits, discipline and focus. And with each headline event we are developing those positives in readiness for the next.

My top tips for focusing on the journey (instead of the goal)

Keep going – show up every day, even when it’s hard. Be prepared by doing whatever it is that puts you in the right frame of mind. A brisk walk/run, revitalising shower, the right clothes and good coffee might be your go-to. Once you have a goal in mind, stay focused. Write this week’s tasks on a whiteboard in big letters – do whatever you need to stay on the thin joining line that is taking you to the next dot.

Break it down – tackling a series of small steps is infinitely the easiest way to manage a large project, as we all know. It’s satisfying to cross things off a list, knowing you’re making progress. You can also plan your days and weeks more effectively if you have an idea of what you need to accomplish to keep moving forward.

Do no harm

Ilike the word ‘nonmalfience’. It doesn’t quite have the Mary Poppins factor, but it could be written on the wall of every dental operatory, printed at start and end of every treatment plan and, if tattoos are your thing, have it in such a position that you see it each and every time you wash your hands. Perhaps a brand name for clinical gloves?

In Latin it is, ‘primum non nocere’. In plain English, “Do no harm – the obligation of a medical professional not to harm the patient”. It is the ethical foundation and core principal

Build in some resilience – be ready for the setbacks, understanding that you are likely to take some steps back occasionally before you can take more steps forward – that’s just life! Learn from any mistakes and view them as part of your personal investment into your work.

Work out what’s rewarding for you – align your rewards with a combination of performance, values and goals. Acknowledge each part of your progress and think about how you respond to different kinds of milestones. If you know that you enjoy peer collaboration, formal training courses or more relaxed, self-guided tuition to reach your goal, you might consider planning those for support and motivation. Seeing improvement by repeating and practising a complicated skill gives you physical evidence of your progress. There are lots of ways to assess your successes, however small, as rewards for your endeavours.

of professionalism in medicine and, perhaps, in life.

Those three little words are the foundation of everything that clinicians and their teams should hold dear.

We all make mistakes, some more important than others. A book I recommend is the autobiography of neurosurgeon and author, Henry Marsh, appropriately titled Do no harm: Stories of Life, Death and Brain Surgery . Marsh is the man who pioneered the ‘awake craniotomy techniques’, and he describes catastrophic failures he had suffered where patients died.

This helps to put dentistry into some perspective of course, but our professionalism and pride in what we do, should not allow us to fall into the ‘it’s only teeth’ view. There’s no place for ‘just a..’ in any professional life.

When I first started exploring the abyss of occlusion under the tutelage of Roy Higson, I encountered great advice from a visiting US dentist: “If you don’t want to learn about occlusion, no problem, just move practice every two years.”

Very occasionally, I wished I had, but the sense of obligation that came from knowing that I would have to see my work, over and over again, deal with, explain and rectify the failures made me a better and more rounded human being.

I couldn’t blame anybody else, for my mistakes, it wasn’t the fault of patients, principals, materials, labs, or the NHS for my mishaps and failures.

We are all bound to make mistakes, whether through ignorance, arrogance, bad luck or plain bad judgement. We are only human after all.

There is some consolation that even the best don’t always get it right. In spite of winning 80% of his matches, Roger Federer (only) won 56% of the points he played.

“It’s not the failure, it’s the learning,” my boss at Kettering District Hospital, the late James Schofield, told me after I had made another error. He was right. Madness, incompetence or the arrogance of ignorance, leads to someone making the same mistakes over and over again.

e njoy the quest and plan the next – remember we’re mapping out our careers as a series of unique dot-todot achievements. It’s not linear and is very much open to exploration, including any twists and turns you want to include. What’s next ? n

About the author

Dr Dhiraj Arora BDs MJDf rCs (eng) Msc (endo) pG Cert Ce owner of evo endo, with three practices (limited to endodontics) in Twickenham, Gerrard’s Cross and slough. Dhiraj is a passionate teacher and ambassador for all things endo. follow him on instagram: @drdij_evoendo

It takes time to improve, to learn that combination of mental and manual skills that makes a successful dentist. In times past, skills were learned through the years as an apprentice to being recognised as a craftsman who was able to become a journeyman (defined as a time of travel for several years after completing the craftsman stage). How many of us were journeyman associates? Only after time was it deemed appropriate for a craftsman to work in their own business as a master, but many chose not to.

Learning and refining one’s skills on living, breathing, bleeding patients, paying customers or not, is an honour and responsibility which should never be taken lightly. Dentists share with Henry Marsh and all other surgeons the power for good but also the ability to cause harm through zeal, misguided enthusiasm and over confidence. The burden of responsibility can be heavy sometime – that’s one of the privileges of calling yourself a professional. Primum non nocere. Before all else. Do no harm. n

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The Mid-Year Mirror

Reflecting on your journey and future goals

How many of you started your year with a fresh Personal Development Plan (PDP)? And how many times have you cast your eyes over it to ensure that you are on track? Or is it still in the bottom of a drawer under that pile of paperwork? As we find ourselves halfway through the year, it’s an opportune moment to pause and look into the ‘Mid-Year Mirror’. This reflection allows us to evaluate our journey so far, understand what went wrong, celebrate what went right, and consider what we might do differently moving forward. It’s also a time to set the stage for the next six months, ensuring our future goals are aligned with our broader objectives and are both SMART (Specific, Measurable, Achievable, Relevant and Time-bound) and challenging. First, let’s celebrate the wins. Reflect on the goals you set at the beginning of the year. What have you achieved so far? Perhaps you’ve completed a significant project, learned a new skill, or made progress in your personal life. Acknowledging these accomplishments is crucial as it not only boosts your confidence and motivation but encourages you to keep pushing forward.

Next, consider what didn’t quite go as planned. It’s important to approach this with a growth mindset. Mistakes and setbacks should be viewed as valuable learning opportunities. Identify the areas where you fell short and seek to understand why things didn’t work out. Was it due to a lack of resources, unforeseen circumstances, or perhaps a need for better planning? Understanding these factors can help you avoid similar pitfalls in the future.

Equally important is recognising what went right. What strategies or actions led to your successes? By identifying these positive patterns, you can replicate them in other areas of your life. This reflection helps you understand your strengths and how to leverage them effectively.

With this insight, think about what you would do differently. Are there habits or practices that need to change? Maybe you need to set more realistic deadlines, seek additional support, or prioritise your tasks differently. Adjusting your approach based on past experiences is key to continuous improvement.

Now, let’s look ahead. What are your goals for the next six months? Ensure they are aligned with your overall objectives and are SMART. Setting goals using this method can

help you stay focused and provides a clear roadmap for what you want to achieve.

While it’s important for goals to be achievable, they should also be stretching and challenging enough to promote growth. Aim to step out of your comfort zone and take on new challenges. This not only enhances your skills but also builds resilience and adaptability. Consider how your personal goals align with your professional or practice objectives. Are you contributing to the larger mission and vision? Ensuring alignment helps create a sense of purpose and direction, making your efforts more meaningful.

As a leader, focusing on your own personal development can have a profound impact on your team. When you prioritise growth and learning, you set a powerful example for others to follow.

As we move into the second half of the year, let’s embrace this opportunity to reflect, adjust, and set ourselves up for success. Personal development is a continuous journey, and by taking the time to evaluate and plan, we can ensure that our efforts are purposeful and impactful. Remember, it’s okay if you haven’t achieved all your goals yet – life can get in the way, and that’s perfectly normal. Just

The mark of our ethics on patient care

We are no strangers to the concept of fingerprint identification as a means of establishing who was where and what they did. Fingerprinting has a surprisingly long history. The Ancient Babylonians recorded in clay the ‘prints’ of arrested felons. In the modern era, from the 1890s, fingerprints have been used in evidence to tie an individual to a place or an action. (Interestingly, one of the first cases which turned on fingerprint evidence, that of Henri Scheffer in France in 1902, involved a murder on the premises of a dentist.)

What are ethics?

Ethics can be thought of as the framework of principles accepted by an individual or a group as guiding acceptable, expected conduct. It is a complex area involving the concepts of conscience, belief systems, right and wrong, and codes of behaviour. We may do our best to behave ethically but we are all human. Sometimes people do the ‘wrong’ thing through self-interest, convenience, pressure or succumbing to temptation. Circumstances can also lead to an individual doing a bad thing but for what seems like a good reason. We have all seen (and enjoyed) films where the ‘baddies’ get their comeuppance as a result of the ‘goodie’ doing something that is not merely ethically questionable but just downright bad – but somehow, we don’t mind this because it seems ok in the circumstances. So, it is possible to recognise something as ‘bad’ while at the same time excusing or even condoning it. From this it is not too much of a stretch to suggest that, given the right circumstances, we are all capable of straying. Is it more moral to observe the rules or to help a loved one in need? This is the stuff of ethical dilemmas that often involve choices which are not simple.

Whose interests matter most?

In clinical practice there is an expectation that we put our patients’ best interests first, but does that mean sacrificing our own? As a business, a practice needs to stay solvent and it is in nobody’s interests if the practice is not run in a sustainable fashion. Dentistry straddles a tricky fault line. There is a need to combine effective healthcare with commercially efficient operation. The demands of these two potentially conflicting drivers can create an intense ethical pressure on the clinician.

In the commercial field, goods and services can be thought of as falling into three categories. Search, Experience and Credence.

“Search” purchases are those where a consumer makes the purchase based upon the known usefulness of the item (e.g. a car or a kettle). “Experience” purchases are, as the name suggests, based upon previous knowledge and exposure to that good or service (e.g. a meal or hair appointment).

“Credence” purchases are where the consumer has limited understanding of the details or benefit of what is recommended and has to rely upon the advice of the technical expert. The information asymmetry makes the consumer reliant upon trusting the expert.

This may be good for the expert but with such settings there is the risk of temptation to provide less than ideal recommendations. A faulty computer, for example, might not need quite as much work as has been suggested and the consumer is at the mercy of the integrity of the provider.

Knowledge is power

In the dental setting it can sometimes manifest as either under-treatment, where the patient really requires an intervention that is complex, time-consuming or technically challenging but only receives much simpler treatment, or overtreatment where the intervention suggested is more than the situation really warrants.

as Winston Churchill once said, “Success is not final, failure is not fatal: it is the courage to continue that counts.” The key is to learn from these experiences and keep moving forward. Whether you’re an individual striving for personal growth or a leader empowering your team, the principles of reflection, goal setting, and continuous improvement are integral to achieving great things. Together, let’s make the next six months a period of growth, achievement, and fulfilment. n

Where one party has the upper hand in terms of information there can be a temptation to act in their own interest. A practitioner keeping a business afloat can be torn between putting patient interests first and the demands of running a business successfully. There can be a conflict between the interests of the parties, which needs to be recognised. There are distorting factors at play in ethical decision-making. These can include imperatives to hit certain targets, to upsell, to increase throughput or concentrate on high value treatments. Working at a loss will obviously be unsustainable for any business but commercial viability should not come at the cost of ethical sacrifice, as there are risks for both patients and clinicians.

One risk is from raised expectations and the patient not having the full picture regarding options. Credence involves trust and the information asymmetry mentioned above can create circumstances where patient choice can be distorted.

The public is hugely influenced by advertising and marketing. There are ever-increasing expectations around aesthetic dentistry. Some patients feel this will have transformative effects and improve not just their smile but their opportunities, life choices and popularity. Impressive as your dentistry might be, meeting these sorts of aims is a bit of a tall order. Although you may not want to deflate their dreams it is important to manage patient expectations with very clear communications. What we know is that failure in communication is a predominant factor in most dental complaints and claims.

A particular risk from the demands brought to the practice by patients is that of patient-led care with a focus on high value treatment. With a willing consumer, the provider of credence purchases can easily, and inadvertently, move into the realm of over-selling, over-promising and over-treatment. The combination of

wanting to accommodate a patient’s wishes, stretching our technical skills and needing to pay the bills can be a powerful mix. It can lead to going along with, or even encouraging, unwise patient choices. The result can be beautifully executed overtreatment or a ‘disappointment gap’ between expectation and delivery. Dentists are subject to the realities of business but need active ethical awareness to eliminate behavioural bias and be aware of hidden temptations.

How does a clinician keep their fingerprints ‘ethical’?

Start by asking yourself what is driving a clinical decision. Is it clinical need? The patient? You? The practice? Or is it financial pressures? Are expectations realistic in terms of treatment outcomes, comparative benefits and your own abilities? Is what is proposed a good thing, being done for the right reason, and is this the best option for this patient at this time? When discussing treatment, stop to consider if the advice presented is accurate and fair, if alternatives, risks and benefits have been presented clearly and that you are satisfied that what is proposed is within your ability, is in the best interests of the patient and is what you would want for yourself. Our ethical fingerprints reflect our behaviour and choices. Behaviour is susceptible to the pressure of circumstances and none of us are immune to temptation. The risk of our decisions being distorted by various pressures can be reduced simply by recognising this. n

About the author Martin foster, Dentolegal Consultant at Dental protection.

Lianne scott-Munden Clinical services Lead at Denplan.

‘And the winners are’ - Part One

The

Probe proudly presents The 2025 Dental Awards

The 2025 Dental Awards marks the 27th edition of this prestigious event that, for more than quarter of a century, has sought to recognise the outstanding individuals and teams whose dedication and drive continues to raise standards throughout the UK dentistry profession.

Winning or becoming a finalist in the Dental Awards is a tremendous accolade that provides a significant boost to the profile of a practice. Not only is the event an opportunity to share in the happiness and success of those who win an award, but it offers the chance to see what fellow dental professionals are doing across the United Kingdom.

The Dental Awards presentation, which streamed on the-probe.co.uk, as well as on The Probe’s Youtube channel, is available to

Dentist of the Year

Winner: Dr Martina Hodgson, The Dental Architect

Dr Hodgson has demonstrated her commitment to enhancing patient experience and the outcome of care while maintaining her professional standards through the provision of evidencebased, high-quality dental care. Her commitment to delivering patient-centred care is evident.

The judges said it was clear that Martina runs a practice that is dedicated to make a difference to her patients’ lives as well as to her team’s professional development. Martina has made sure she also gives back to the professional community by mentoring and educating colleagues.

Highly Commended: Dr Chloe Harrington-Taylor, Hereford Dental Implant Clinic

Finalists: Dr Gayathiri R Balasubramaniam, K S Hunjan and Associates

Dr Neel Tank, Imogen Dental

Dr Wajiha Basir, Trinity House Dental Care

Young Dentist of the Year

Winner: Simran Bains, Rock Dental Practice

Simran had a very strong entry with judges explaining that she is progressing sensibly in her profession and has a very promising future career. “She’s learning to bake the cake before icing it. It’s great to see a young dentist getting to learn about the pillars of oral healthcare before embarking on cosmetic dentistry.”

Highly Commended: Paul Midha, VICI Dental

Finalists: Awaz Sharief, {my}dentist, Padgate

Dr Riaz Sharif, {my}dentist, Poole

Janice Jyy Yi Lim, St Martin’s Dental and Implant Clinic

watch on-demand now. Scan the QR code below to see the winners of The Dental Awards 2025 react to their victories, as well as to discover who was named a finalist in each of the 12 hotly contested categories.

The Dental Awards 2025 is brought to you by B.A. International, Colosseum Dental, Dental Elite, and Waterpik, in association with The Association of Dental Administrators and Practice Managers, British Association of Dental Nurses, British Association of Dental Therapists, British Society of Dental Hygiene and Therapy, and The Oral Health Foundation.

For more, scan the QR code below to visit the-probe.co.uk/awards/the-dental-awards-2025/

Martina Hodgson

Simran Bains

Dental Therapist of the Year

Winner: Emily Banks, University Dental Hospital, Cardiff

The judges noted that Emily’s entry demonstrates a professional who goes above and beyond for both her patients and her peers.

Highly Commended: Natalie Fitzpatrick, Bridge Dental Care

Commended: Gemma-Louise Cowen, Prohygenist

Finalists: Abigail Dawson, Rocky Lane Dental Practice

Anuja Joshy, University of Suffolk Dental CIC

Dental Hygienist of the Year

Winner: Natalie Fitzpatrick, Bridge Dental Care

Natalie represents a hardworking dental hygienist who gives up her time to support the profession. In the words of the judges: “This should be celebrated. Very well done!”

Highly Commended: Lauren Chipman, Rock Dental

Commended: Bukola Ogunyemi, ODL Dental Clinic

Finalists: Hiba Tayiba Malik, RW PERIO

Jenita Radhakissoon Venilal, Orchard Orthodontics

Dental Nurseof the Year

Winner: Mihaela Marian, Ten Dental + Facial

Highly Commended: Rebecca Silver

Finalists: Alison Pillings, Holbrook Dental and Implant Centre

Jyoti Tamang, Woodberry Down Dental Practice

Kelly Hamill, Falkirk Dental Care

Emily Banks

Natalie Fitzpatrick

Mihaela is described by the judges as a breath of fresh air. She displays dedication to oral health and dentistry through providing support and mentorship to trainee dental nurses. Her dedication to diversity is admirable and it is clear that she is a terrific team player.

Mihaela Marian

A kaleidoscope of education, inspiration and engagement

The ADI Team Congress – The Implant Aesthetic Kaleidoscope – was an event full of clinical education, experience sharing, innovation and connection. It brought together all members of the dental implant team, from dentists and dental hygienists/therapists to dental nurses, practice managers and treatment coordinators, product developers and technology suppliers.

Held in a sunny and vibrant Brighton, a full morning of hands-on workshops preceded the main programme, giving clinicians the chance to advance their practical knowledge and skills with experts in their respective fields. Presented by trade partners Dentsply Sirona, ESM Digital Solutions, MegaGen, Nobel Biocare, Southern Implants, and Sweden & Martina, the sessions covered anterior implant placement provisionalisation, digital restorative workflows, shield techniques, Allon-4®, full arch treatment, and soft tissue management. This was an excellent precursor to the trade exhibition, where attendees could engage with an array of implant-related product and technology experts.

The programme officially kicked off with ADI President Zaki Kanaan highlighting the ‘team’ element of the Congress. He said that, in

Pick a colour

As dental technology becomes increasingly digitised, new possibilities are emerging in assisted colour matching – supporting clinicians and dental technicians in creating single-tooth restorations that harmonise with the surrounding dentition more quickly and reliably than before, but without replacing the need for manual customisation.

Sascha Hein is a colour scientist and Master Dental Technician, currently based at the University of Leeds as a postgraduate researcher in the School of Design. Drawing on his extensive work in the field, Sascha has closely examined the challenges of digital shade matching and notes: “There has been an exponential increase in digital solutions within dentistry in recent years, aimed either at fully replacing the manual workflow through increased automation, or at digitally assisting and complementing it. In other words, these digital developments are rapidly transforming the dental industry – and the breathtaking pace of change can feel overwhelming at times. The technology is making a meaningful impact where it can be easily deployed, but there are also areas, such as custom shade matching, where it can only play a supporting role. Shade matching remains an exercise that depends heavily on the skill, knowledge, and experience of the dental ceramist, and this is unlikely to change in the near future.

One particular challenge lies in the ongoing transformation of the dental laboratory

dental implantology, “a beautiful, long-lasting result is a whole team effort… Each role is essential and each perspective valuable”.

Offering a brief history of the ADI as an association, Zaki also introduced the chosen charity for this year’s event as Anthony Nolan, which supports those with blood cancer by funding stem cell donation. You can still show your support through JustGiving.

To get everyone fired up and ready for a busy few days, Ed Jackson took to the stage. Known to many for playing professional rugby, Ed had a truly inspirational story to tell that saw him face life-changing adversity. A spinal injury that should have left him paralysed became the catalyst for embarking on an exquisite journey that has taken Ed to the summit of multiple mountains. His stunning determination and unparalleled sense of adventure were infectious and everyone was left in awe of what is possible when we really put our minds to it.

This enthusiasm continued throughout the Team Congress, where all members of the implant team had access to education and networking.

In the Plenary Programme, key themes emerged. Despite this being an event dedicated to implantology and oral surgery, the first take home message was the importance of saving natural teeth wherever possible. Innovative implant techniques and materials used today deliver exceptional results, but nothing will ever be as good as the real thing. The second takeaway was to preserve as much of the existing soft tissue as possible – regeneration procedures should be a back-up and not relied on solely. Another recurring message was the idea that extraction of the terminal dentition

should not initially involve extraction of all the teeth. A few reasons were given by different speakers, from using the natural teeth to anchor surgical guides for more accurate placement, to reducing the infection present in order to improve the condition of the teeth left over time.

Dr Karen Gangotra shared her thoughts on the event as an attendee: “There’s been a great line-up of speakers – I find them really inspirational and there’s a lot of evidence-based lectures. The exhibition is great as well, it’s good to see what’s up and coming because technology is always changing. The ADI Team Congress is the leading event based on implants and it showcases a vast range of implant treatments, which sets it aside.”

For dentists who were new to dental implantology or thinking about getting involved in the near future, the Next Generation Programme provided an ideal platform for them to learn more. Some key points made across these sessions included the importance of planning to minimise longterm complications, as well as the need for clinical guidance and mentoring.

Echoing the whole-team approach that President Zaki introduced at the very start,

the ADI Team Congress offered dedicated education for all, including a Hygienists & Therapists Programme, a Dental Nurses & Practice Managers Programme and a Technicians Programme.

Dental hygienist and past president of the BSDHT Miranda Steeples shared her thoughts: “This is a Team Congress and has been planned with the team in mind. There have been a variety of lectures with information I can take back to practice –I’m able to refresh my knowledge and take away some new things too. A session on nutritional aspects has really resonated with me, thinking about the conversations we can have with patients discussing their general health and how that feeds back into their oral health as well.”

Corinne, a dental nurse commented about her experience: “I’ve been impressed with the speakers and found sessions on asepsis and the TCO role. I would definitely encourage other dental nurses to come along – there’s lots to learn, nice people to chat to and you can get some great advice.” Of course, no ADI event would be complete without social events too. An Industry Party and stunning Gala Dinner both afforded time to relax with friends and colleagues.

If you missed the ADI Team Congress 2025, where were you? There will be other ADI educational and networking events available for all team members involved in the delivery of implant dentistry over the coming months. And to make sure you don’t miss out on the ADI Team Congress again, get the dates in your diary today –7-9 May 2027.

For more information about the ADI, visit www.adi.org.uk n

workforce, which is undergoing significant demographic change. Experienced colleagues with highly developed manual skill sets are retiring rapidly, and they are being replaced by a smaller number of younger dental technicians who are often highly proficient with digital tools but may lack the manual experience of the older generation.

This may also help explain the growing interest in traditional craftsmanship among a new generation of dental ceramists. In recent years, small groups of ceramists studied the art of tooth carving: sculpting life-sized natural teeth from blocks of plaster using carving knives. A similar revival has been seen with platinum foil veneers, an equally classic technique for creating ultra-thin, highly aesthetic restorations. These developments contrast to the mainstream adoption of largely automated digital workflows, where technicians can select tooth morphologies from extensive digital libraries at the click of a button.”

the science behind tooth colour appearance

Sascha Hein will speak at the BACD 21st Annual Conference with his lecture, ‘The Truth About Tooth Colour: Measuring, Perceiving and Restoring with Science’. He sets the scene:

“As both a colour scientist and dental technician, I’ve developed a deep interest in understanding how measured tooth colour relates to what we actually

perceive. While digital shade matching and intraoral scanning have brought exciting advancements, it’s important to explore their limitations and understand where discrepancies may arise.

“This lecture will look at how light interacts with teeth and restorative materials, and how various shade-matching technologies, such as spectrophotometers, colorimeters, cameras, and scanners, perform in practice. We’ll also examine the perceived differences between ceramics and composites, and whether these distinctions are as clear-cut as often assumed.

“The aim is to equip attendees with a strong foundation in colour science, helping them make informed choices about materials and measurement tools, and ultimately achieve more predictable and aesthetic outcomes.”

Grow your skills, hone your clinical identity

The BACD 21st Annual Conference isn’t Sascha’s first foray with the association. He shares the value of being a part of the network:

The BACD offers a wealth of educational opportunities. Last year, I ran a workshop on digital photography and its value in documenting treatment and improving shade communication. Events like these are a great way to connect with others in the profession and build on the foundations taught at dental school. While undergraduate training tends to

focus on core clinical skills , private practice often involves elective treatments that call for a very different skill set. These include aesthetic considerations like managing tooth proportions, soft tissue harmony, shade matching, and effective communication with the dental laboratory. The BACD provides a platform for exploring these more advanced aspects of dentistry, where science, technology, and artistry come together.

“I’m looking forward to the Annual Conference – not just to learn and reconnect with colleagues, but also to see how the industry is evolving. With so many innovations in cosmetic dentistry, it’s important that we each maintain our individuality. Technology is a powerful tool, but it should support, not replace, the personal touch that defines our work. Staying true to your own style is key to delivering meaningful, patient-focused results.”

To catch Sascha in action and engage with an unmissable trade show, informative workshops and exciting social events, book your place at the BACD 21st Annual Conference today.

BACD 21st Annual Conference 6-8 november 2025

the Lowry Arts Centre

salford Quays, Manchester

Pre-sale tickets available at bacd.com n

For successful interproximal reduction

Scan me to view all features

The IPR™ Tips allow interproximal reduction safely and with optimal control:

The tip thickness (0.5, 0.4, 0.3, 0.25, 0.2 or 0.1 mm) sets the prescribed amount of reduction. They are double-sided except for the 0.25 mm tips which come with abrasive on left or right side.

Like all Profin tips, they do not harm soft (gingival) tissue.

The IPR tips have a grit of 50 microns except the 0.2 mm tips (40 microns) and the 0.1 mm tips (15 microns), which can also be used for polishing.

Colour coding corresponds to the thickness.

Restoring very thin bone using multiple grafting techniques

dr selvaraj

Balaji presents a challenging case in which hard and soft tissue augmentation was required to facilitate the placement of four dental implants in the mandible

Patient presentation and assessment

A 63-year-old male patient was referred to the practice with missing LR5,6,7 and LL4,6. He had severe bone loss, and previous dentists had refused to place dental implants due to very thin bone and a resorbed mandible.

A CT scan was taken, confirming very narrow and thin bone which would make implant placement a challenge. Additionally, a soft tissue defect in the form of a thin biotype was identified. A number of failing restorations were also identified in the upper teeth that needed to be addressed.

treatment planning

The treatment options were discussed with the patient, including doing nothing which was not advised in this case as a restored dentition would significantly improve his quality of life.

In order to address all of the patients’ missing teeth, the treatment plan needed to include a way to increase bone and soft tissue volume around the LL5 in order to place implants in the LL4,6. Bone and soft tissue augmentation were anticipated in the lower right region using the sausage technique in preparation for two dental implants. Aside from this, there were two main treatment options which aimed to address the complication of the LL5, these were:

1. Extract the LL5 in order to facilitate the use of the sausage technique in the lower left region, in preparation for dental implant placement.

2. Keep the LL5 and perform bone and soft tissue augmentation using the

Fig 1 Initial presentation

Fig 2 Pre-treatment right lateral

Fig 3 Pre-treatment left lateral

Fig 4 Pre-operative OPG

Fig 5 Pre-operative CT

Fig 6 LL flap opened

Fig 7 Hole in membrane for LL5

Fig 8 First layer of membrane placed around LL5

Fig 9 Buccal pins placed to secure membrane

Fig 10 Second layer of membrane placed around LL5

‘poncho technique’, allowing us to retain as much of the natural dentition as possible, whilst still facilitating the placement of two dental implants to replace the missing LL4,6.

Each of these treatment options were explained to the patient, and any questions or concerns he had were addressed. The patient provided informed consent to treatment option 2, as this would enable him to keep as many of his natural teeth as possible, whilst still improving function and aesthetics.

First treatment phase

Surgery on both the lower left and lower right sides were performed on the same day. A mixture of 40% xenograft and 60% autogenous bone (harvested from the patient) was prepared for the bone grafts, alongside a resorbable collagen membrane to secure the graft material in place. Flaps were raised in the lower left and lower right regions to facilitate bone and soft tissue augmentation.

In order to address the bone loss around the LL5, the ‘poncho technique’ was used. This technique involved making a hole in the membrane to accommodate the LL5. Once in place, the lingual pin was placed, and the bone graft material was applied using a layering technique placed buccally. Next, the buccal pin was placed in the membrane to secure the graft. A second layer of collagen membrane was placed around the neck of the LL5 to give further stability to the bone graft.

The lower right area was then treated using the sausage technique in which the xenograft and autogenous bone mixture

Fig 11 Flap closed using lingual advancement technique

Fig 12 LR initial situation

Fig 13 LR flap opened and bone graft material placed

Fig 14 LR soft tissue graft placed

Fig 15 Post bone and soft tissue augmentation OPG

Fig 16 LR site reopened

Fig 17 LR Dental implants placed

Fig 18 Dental implants exposed

Fig 19 Crowns placed

Fig 20 Final outcome OPG

was placed, covered with the collagen membrane, and secured with master pins. This technique aims to immobilise the graft and improve long-term stability.

The lingual advancement flap technique was then performed on both sides, along with buccal flap advancement using mucoperio elastic technique to gain passive soft tissue closure and facilitate a tension-free closure for the best aesthetic results. Following surgery, the patient was sent home with standard oral hygiene instructions.

second treatment phase

Six months later, the site was reopened to place dental implants. Good, healthy bone was revealed with sufficient height and width for the placement of two implants in the lower right, and two implants in the lower left region.

Two months later, the soft tissue was reassessed. The pre-existing thin biotype and surgeries necessitated a free gingival graft to increase the gingival width and the amount of keratinised mucosa. This was harvested from the palate. At the recipient site, a split thickness flap was raised and apically repositioned. The graft material was placed on top of the periosteum and left to mature for three months.

After a further two months, the dental implants were exposed and restored with four crowns.

discussion

The main challenge in this case arose as the bone was very thin with no cancellous bone in the jaw (only cortical bone). As such, the blood supply for the graft was

significantly reduced, which made surgery difficult as it was too thick to place pins into the membrane.

The presence of LL5 between the two missing lower left teeth added a further complication. A decision had to be made about whether to remove the LL5 in order to make surgery easier, or to keep the tooth to help maintain bone and the remaining natural dentition. Ultimately, we decided to keep the LL5 and place bone and soft tissue graft around it as this was deemed best for the patient.

Dr Balaji provides industry-leading training courses on both hard and soft tissue management around dental implants with the ASHA Club. n

about the author dr selvaraj Balaji: Bds, MFds RCPs(Gla), MFd sRCs(ed), Lds RCs(eng) since he obtained the Bds degree, dr Balaji has worked in Maxillo-facial units in the uK for several years and gained substantial experience in surgical dentistry. He is the principal dentist of the Gallery dental Group which is made up of Meadow Walk dental Practice and the Gallery dental & Implant Centre. dr Balaji is also the founder of the academy of soft and Hard tissue augmentation (asHa) and runs courses, lectures and study clubs in the uK and around europe for aspiring implantologists.

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Your best foot forward

Dental implantology is made up of a wide range of skills that are valuable for any dentist to learn.

The importance of educational resources about dental implants at undergraduate level is gaining recognition, but many find that an already extensive curriculum has little room for additional content; therefore, the teaching of dental implantology in particular suffers, and the burden is placed on dental professionals to seek out courses after graduation. Whilst an individual may have some knowledge of the treatment process after undergraduate education, further training is essential to reinforce confidence and ensure clinicians have a complete understanding of implant dentistry, up to and including complex cases. As per the General Dental Council’s “Standards for the Dental Team”, clinicians should only carry out treatments that they are trained for.

Before clinicians invest time and money into a training course, they must be confident that they will receive suitable support and curriculum coverage to establish a successful career in implant dentistry, building on knowledge developed at undergraduate levels. This requires research into courses, and a recognition of benefits that may help further success, such as mentoring opportunities.

Hitting the marks

Training in implant dentistry is provided by universities, royal colleges and hospitals, as well as individuals and commercial providers. Each will have different focuses and approaches to learning. Some could spend

extensive time in a lecture hall, diving into the theory around osseointegration and soft tissue formation, others may take a more hands-on approach that allows clinicians to focus on implant techniques – delegates can choose a programme that plays to their strengths.

Just as educational approaches may change, so too will curriculums. Clinicians should not only seek out courses that are tailored to their interests – perhaps they want to take on courses that will prepare them all the way to multi-unit bridge placements in the anterior zone, for example, and so will look for courses that cover this complex treatment – but also those that meet the available training standards, laid out by the College of General Dentistry (CGDent), formerly the Faculty of General Dental Practice UK (FGDP).

Dentists who take on a course should be confident in clinical assessments and riskbenefit analyses, communication with patients, radiographic imaging, appropriate surgical techniques, autogenous bone harvesting, conventional restorative procedures and straightforward implant supported restorative workflows. In addition, a clinician should be able to diagnose and treat peri- and postoperative complications, as well as monitor and maintain implants and restorations over time where they are successful. With an understanding of these aims, clinicians should choose courses that focus on every aspect in sufficient detail with ample support.

More complex cases were noted in the Training Standards in Implant Dentistry 2016, published by the FGDP, now the CGDent. If these are of interest to clinicians,

Braces in place

Fixed braces can restore confidence to a patient’s smile, providing the aesthetic and functional outcome they need to feel empowered every day.

The IAS Academy offers the Fixed Braces Course as an essential stepping stone for dentists looking to enhance the orthodontic treatments they can provide.

Dr Rebecca Williams is an Associate Dentist with the Cox and Hitchcock Dental Group in Cardiff, Wales. Pursuing her passion for orthodontics, Dr Williams has recently completed the Fixed Braces Course. She elaborates:

“I’ve always loved dentistry but came to it later as a mature student. After studying general dental practice I had a nagging feeling to do orthodontics. However, none of the courses gave me the confidence to start off until I found the IAS Academy training courses. These were brilliant introductions to orthodontics but they extended beyond that: the IAS Academy doesn’t just teach a weekend course; it mentors you and teaches you for your life so you can keep growing.”

“Having completed the Clear Aligners Level 1 and 2 options I was able to take on more patients but found I was still needing to refer others. Some of these referrals were basic cases that I couldn’t do with aligners. I subsequently signed up for the Fixed Braces Course to widen the treatments I could deliver, and then undertook the Fixed Braces Level 2 Course afterwards. The IAS Academy has allowed me to do the dentistry I’ve always wanted to do, completing a proper pathway that has been an insightful learning curve.”

The Fixed Braces Course lasts two days; the first is focused on theory and the second applies the knowledge in practical hands-on sessions. These include different

they should establish with the education provider whether such care is detailed throughout the course, and if not, whether an advanced programme is accessible further down the line.

Hear from others

Alongside reading the curriculum online, dental professionals could also consider the experiences of others when it comes to selecting a course. Testimonials, commonly available on websites and social media, provide an insight into how well a course is received. Delegates may note that they enjoy a certain aspect of the experience, or how heavily hands-on support is delivered.

Clinicians who have had experience on previous courses, or throughout their undergraduate experience will commonly understand what they enjoy from a learning experience; detailed explanations, an opportunity to practice surgical techniques with knowledgeable guidance at hand, smaller classes or large cohorts with ample support between delegates. These can be sought out in testimonials and course descriptions for the perfect fit.

It is also worth reaching out to dental professionals who have previously taken a dental implant course, or carry out work that clinicians admire; they can give firsthand insights and advice, and it may also plant a seed for collaborative dental care in the future.

Mentoring

The availability of mentoring throughout implant placement cases is also important when considering postgraduate education.

methods for tying brackets, placing archwires and bonding brackets with indirect trays. All of this and more is supervised by the first-class lecturers: Dr Andrew Wallace, Dr Hooria Olsen, Dr Emma Dougherty and Dr Utpalendu Bose. The mentorship they provide is integral for future success, with Dr Williams commenting:

“When you’re not an expert it’s hard to ascertain what you can and can’t do, so having a mentor really helps with navigating this challenge. The mentors at IAS really care; for the Fixed Braces Course, Dr Bose was my mentor and he has continued to support me, be that chatting about future cases or reflecting on completed ones. Contacting your mentor is easy and they answer all your questions quickly. Having someone to converse about work with is a major way to boost confidence – they also encourage you to think for yourself in the decision-making process. The IAS mentors all go above and beyond.”

Among the other IAS Academy courses Dr Williams has completed is the online Photography Course, a simple but invaluable way of complementing the fixed brace workflow. Dr Williams highlights its role during such treatments:

“Taking clinical photographs throughout a treatment has many benefits. Being able to show patients previous cases is brilliant for consent during the treatment planning process as it illustrates the step-by-step protocol. Moreover, for cases that might require contouring or composite bonding, for instance, I can take a photo in an appointment and transfer it to a tablet or computer. I can then draw on the image of their teeth and give a strong indication as to what the aesthetic outcome will be for the patient. The photos you take can also be used in marketing to promote the excellent work that you do.”

Some professionals even believe that postgraduate courses without mentoring or clinical supervision have limited benefit, but dental professionals should be confident in the background of the educating staff to ensure the greatest possible insights.

One to One Implant Education offers leading support through their Postgraduate Diploma in Implant Dentistry, empowering clinicians to become confident in the field. Each delegate can gain support through a tiered peer mentor system, which pairs clinicians with tutors who have previously completed the course and can provide unique insights and support. The course is spearheaded by Dr Fazeela Khan-Osborne, renowned implant clinician at The One to One Dental Clinic, and Dr Nikolas Vourakis, a well-respected dental surgeon who operates across the country.

Taking the step into dedicated dental implant education is a big decision for every clinician. Choosing the right course is key, and is possible with an understanding of expectations and research into curriculums, clinical support, and mentoring opportunities. To reserve your place or to find out more, please visit 121implanteducation.co.uk or call 020 7486 0000. n

about the author dr Fazeela Khanosborne is the founding clinician of the Face dental implant multidisciplinary team for the one to one dental clinic based on Harley Street, London.

After completing many fixed braces cases, Dr Williams was accepted onto the IAS Advanced Diploma Course where she continues to expand the orthodontic possibilities in her daily workflow, transforming the smiles and lives of more patients.

For more information on upcoming IAS Academy training courses, please visit www.iasortho.com or call 01932 336470 (Press 1) n

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From NASA to the dental surgery

A review of dr Robert Stanley’s implantology masterclass, hosted by BioHorizons Camlog

Blending the worlds of engineering and physics with oral surgery and implantology, Dr Robert Stanley –co-founder and senior instructor at the Stanley Institute – recently presented an implantology masterclass, proving a passionate presenter with a flair for engaging his audience. Unafraid to buck trends and question the status quo, he shared a wealth of thought-provoking ideas with insights into their real-life application. Indeed, from NASA to the dental surgery, Dr Stanley has accrued diverse experiences as an engineer and later a dental clinician that afford him a unique perspective on the patient care he delivers. The two-day programme demonstrated what he looks for in an implant system from a mathematical standpoint, as well as exploring the types of prostheses that enhance patient outcomes. A particular spotlight was placed on the cleansability of implant-retained dentures provided as part of full arch rehabilitation, as well as the long-term implications and potential for future treatment. The ultimate goal was to help attendees lower the risk of complications while enhancing treatment outcomes. Here were some of the key takeaways …

Longevity levelling

To avoid the negative reputation often associated with bone reduction, Dr Stanley has coined the term “longevity levelling” as an alternative. The concept is still about levelling the bony ridge to facilitate a flat tissue surface for the prosthetic to seat on, but it does so while protecting the horizontal bone volume. The motivation for a name change was in response to a hesitation to reduce bone – an attitude

which, Dr Stanley emphasised, is not at all shared by colleagues in orthopaedics. Dr Stanley proved the point by showing cases where a full arch of implants had failed due to patient factors, were removed and then replaced with even more.

Guided surgery

Advocating for a digital workflow, Dr Stanley encouraged clinicians to streamline their workflows with fewer steps for denture fabrication, for example. Guided surgery also featured heavily, with real-life cases demonstrating the accuracy and predictability of implant placement using guides. There was also a good argument well-made for aiding future treatment, with the guided workflow providing an exact record of where implants are located. As the pioneer of the IMS methods (Implants Made Simple), this reflected Dr Stanley’s overall approach to implantology.

a question of literature

Despite relying heavily on engineering principles and mathematical formulas, the masterclass highlighted a lack of useful clinical literature in the field. Dr Stanley shared some recent studies of note, but remained open and honest about the fact that some of his concepts won’t be found in the existing literature. The reasoning was that implantology has evolved rapidly in recent decades, meaning that 20-year, 10-year and even 5-year case follow-ups are assessing implant designs and placement techniques that are no longer used. Many lacked modern materials, digital workflows and guided surgery, all of which have a significant impact on the long-term outcomes achieved.

FP1/2 vs FP3

Dr Stanley had a clear preference for FP3 devices being the more easily cleanable for patients, suggesting that very few clinicians are placing true FP1 prosthetics due to inherent strength insufficiencies of the design. This he quantified by using a number of mathematical formulas and engineering concepts, explaining in easy-to-understand terms why and where mechanical weakness existed within dental prostheses. The take home message was that a higher number of embrasures meant more stress concentrators and a greater potential for the prosthetic to fracture. He described FP3 designs as “the workhorse of my practice” because they are mathematically 22 times stronger than FP1 alternatives.

implant design

In addition to exploring prosthetic design and shedding light on the mechanical weaknesses of dentures, Dr Stanley did the same with a very thorough assessment of implant design. From thread pattern to material choice, shape, surface and more, every inch of the humble implant was evaluated in detail. This provided an excellent opportunity to officially introduce the brand-new Tapered Pro Conical implant from BioHorizons Camlog, which has brought together the best of everything BioHorizons and Camlog had to offer respectively. Its grade 23 titanium, reverse buttress thread, deep conical connection and laser-lok® surface treatment all contribute to high primary stability, exceptional aesthetics and ease of placement for an efficient professional workflow. Designed for immediacy but suitable for various workflows, the Tapered Pro Conical is built for longevity and aesthetics.

Reducing risk

Throughout the entire masterclass, Dr Stanley consistently returned to the same point that clinicians should always be looking to drive the risks associated with treatment down. From using a high-quality implant, to taking a fully guided approach or ensuring a strong prosthetic design, it is clear that every individual clinical decision is critical in lowering the chance of complications. Stating that “implants are not a commodity”, Dr Stanley was keen for colleagues to choose their implant systems, materials and technologies based on their proven merits, not based on price. For the very best results, high quality implants must be combined with correct implant location, treatment must be guided and immediacy protocol followed where appropriate. He presented success in dental implantology as a method that can be replicated time and time again – clinicians must simply follow the right steps. For more information on the innovative Tapered Pro Conical implant from BioHorizons Camlog, please visit theimplanthub.com/taperedproconical/ n

Immediate implants – the importance of patient selection

There are many advantages to immediate implant placement when delivering treatment for edentulous patients. Studies have shown that with the right clinical approach, there is no significant difference in survival rates between implants placed with immediate or delayed protocols.

Immediate implants may prevent disuse atrophy, and crestal bone loss may be less significant. The decreased surgical trauma of immediate placement not only benefits the patient in terms of reduced chair time, but a may also create more favourable conditions for woven bone to be transformed into lamellar bone. However, careful patient selection is paramount. Maintaining ongoing evidencebased knowledge and understanding about the indications, contraindications and other considerations concerning immediate versus delayed placement protocols is essential when developing advanced practice.

indications

In general, patients who have experienced minimally traumatic tooth loss or extraction, without purulent exudates or cellulitis, who have adequate soft tissue and sufficient apical and palatal bone volume can be considered for immediate implant treatment. Periodontally healthy patients, with a thick gingival biotype, intact buccal bone wall, with both neighbouring teeth may additionally benefit from a low risk of

aesthetic complications when treating tooth loss with immediate implants in the anterior regions.

contraindications

Taking a detailed patient history is an important precursor for any treatment. For example, if a patient’s healing capacity is compromised by health conditions like diabetes, medications such as bisphosphonates and derivatives, or if the patient is a smoker, a heavy drinker, or if they have poor oral hygiene, immediate implant treatment would not be recommended.

The presence of any active infection is generally a cause for concern, although some evidence has shown positive outcomes for immediate implants with the use of plasma rich in growth factors (PRGFs) during placement. The presence of purulent exudates at the time of extraction indicates the presence of an infection that should often be treated before proceeding with implant treatment. Likewise if there is any evidence of adjacent soft tissue cellulitis, treatment should be delayed. Immediate implant placement is also not indicated in the presence of granulation tissue. An important component in the wound healing process, the granulation tissue matrix fills wounds where edges do not approximate. When granulation is present, most studies recommend debridement of the implant site before placement, or antibiotics to support the healing process before proceeding with implant treatment.

achieving optimal results

Ultimately, the main factor determining the success of immediate placement is primary stability. As well as the design of the implant itself, the quality of bone in the edentulous area is a key concern. For example, there is a higher association of implant failures in type C dental sockets, which are defined as having little or no bone on the septal wall, requiring the implant to engage in the edge of the socket. Immediate placement would not normally be indicated in such cases.

A buccal wall thickness of at least 2 mm is recommended to achieve optimal results when immediately placing implants. Augmentation procedures are required below this threshold, involving the use of graft materials to fill the buccal gap during placement. In addition to this, consideration should be given to other influencing factors, such as the flap versus flapless approach, socket anatomy, remaining buccal bone thickness, gingival phenotype, gap size, and implant material. Recently studies and analyses on the efficacy of bone and soft tissue grafting techniques have shown that they can enhance immediate implant treatment. Though not always essential, they are a valuable resource to prevent significant tissue reduction, reaching positive bone stability and favourable pink aesthetic and visual analogue score levels.

Eminent specialist oral surgeon Professor Cemal Ucer, along with the skilled team at ICE Postgraduate Dental Institute and Hospital, presents a unique opportunity to learn more through the Advanced Certificate in Management of Tooth Loss: Immediate Implants vs. Socket Preservation. This two-part course features evidence-based workshops and lectures covering minimally traumatic extraction techniques, socket preservation, both analogue and digital workflows, socket augmentation, and alveolar ridge preservation.

With the right patient selection strategy and the right knowledge and skills, immediate implants can be a highly effective and predictable treatment option for edentulism. Employing this approach to implant treatment can significantly reduce the duration of treatment, giving patients the aesthetics and function they need in less time.

Please contact Professor Ucer at ucer@icedental.institute or Mel Hay at mel@mdic.co or call01612 371842 www.ucer-clinic.dental n

about the author Prof. cemal ucer, BdS, MSc, Phd, FdtFed., iti Fellow, Specialist oral Surgeon

Innovating dentistry with smart technology

Justin Hind explores how technology is transforming modern dentistry, with innovations like the A-dec 500 Pro Delivery System enhancing precision, efficiency and connectivity, improving outcomes for patients while streamlining daily workflows for the dental team

Aims and objectives

The aim of this article is to explore the role of technology in modern dentistry and how advancements in innovation and connectivity are reshaping dental care.

On completing this Enhanced CPD session, the reader will:

• Appreciate how smart automation and software integration contribute to a more adaptive, future-ready dental practice

• Understand how digital workflows help to improve clinical outcomes and streamline day-to-day operations

• Recognise the impact of ergonomic design on clinician comfort and patient experience

• Value smart connectivity’s role in compliance, communication and patient care.

Learning Outcome: B, C, D

How can dental teams reduce downtime, improve precision and future-proof their workflows, all while ensuring a seamless patient experience? With AI-driven diagnostics, automation and smart connectivity, the latest innovations are transforming dental practices like never before.

Building on more than 60 years of expertise in dental innovation, the A-dec 500 Pro Delivery System embodies this shift, offering a smart, softwaredriven platform that evolves with clinical needs. With real-time monitoring, customisable settings and a seamless digital interface, it keeps pace with modern dentistry while supporting long-term workflow efficiency.

Smarter dentistry: AI that works for you

A-dec’s latest generation of digitally connected dental equipment, including the 500 Pro Delivery System, demonstrates how smart technology is already transforming clinical routines. By harnessing these connected capabilities, dental teams are able to work smarter, not harder, with technology supporting rather than complicating clinical care.

Indeed, automation and AI are no longer abstract concepts. Rather, they are actively improving the dayto-day running of dental practices. This proactive approach means less disruption, maximising chair time and minimising costly repairs.

Alongside automation, streamlined digital workflows are making practice management more intuitive. The dynamic screen on the A-dec 500 Pro features a responsive, user-friendly interface that simplifies chairside interactions by displaying only the most relevant information for each procedure. This reduces visual clutter and allows clinicians to maintain full focus on their patients.

Customisable chair presets and handpiece settings support efficient

treatment changeovers, helping to minimise delays and maintain consistency across the practice. The 500 Pro capacitive touchscreen offers precise, gloved-hand control over chair movement, air pressure and procedural functions, ensuring smooth and responsive clinical operation. Efficiency extends beyond the treatment room. In multi-chair practices, synchronisation across operatories is key to maintaining consistency. The A-dec 500 Pro platform supports multi-user profiles, allowing each clinician to save and sync their preferences, including chair positions, handpiece configurations

and workflow settings, for a seamless experience across treatment rooms. Visual command confirmation, LED indicators and intuitive on-screen controls guide users through settings with confidence. As technology continues to evolve, future software enhancements will further support seamless clinical communication and workflow integration.

Intelligent

software, futureready performance

Technology is also changing how dental practices plan for the future. Traditionally, upgrading equipment meant investing in new hardware, which is often a costly and disruptive process. The A-dec 500 Pro eliminates this concern with a software-driven platform designed to evolve over time. Regular software

To learn more about how the A-dec 500 Pro can support your practice’s digital transformation, visit tinyurl.com/UK-adec-500Pro or explore the A-dec 500 dental chair at tinyurl.com/UK-adec-500Chair.

To take the next step, contact your local Territory Manager via: https://unitedkingdom.a-dec.com/find-a-dealer.

updates introduce new features and performance enhancements, ensuring the equipment remains at the cutting edge without the need for expensive replacements.

This forward-thinking approach not only extends the life of the system but also keeps practices equipped with the latest advancements as clinical technologies continue to evolve. Such digital flexibility builds on A-dec’s longstanding reputation for engineering excellence, seamlessly blending trusted manufacturing with modern innovation. The company is also harnessing technology to enhance its robust production processes further.

Unlike traditional systems that become obsolete, the A-dec 500 Pro Delivery System integrates A-dec+ connectivity to enable real-time software updates, remote diagnostics and enhanced performance monitoring. Practices can also register equipment through the A-dec+ mobile app, staying up to date with minimal disruption and eliminating the need for extensive servicing or manual updates. A-dec+ features encrypted data communication — the trusted industry standard for cybersecurity — enabling secure software delivery.

In addition to daily operations, innovation is influencing the way practices design their spaces. A case in point is A-dec’s Dream in 3D platform, soon to be released on

the UK website, which provides an immersive virtual operatory design tool, enabling dental teams to experiment with layouts, optimise ergonomics, and fine-tune workflow efficiency before making physical changes. By visualising how equipment placement impacts accessibility and movement, practitioners can create a workspace that enhances both clinician comfort and patient experience.

These innovations underscore A-dec’s commitment to leading the future of dentistry by integrating smart, connected products that enhance user experience and practice efficiency.

Optimised care, maximised profitability

Clearly, efficiency and innovation directly impact practice profitability and patient satisfaction. The ability to reduce chair setup times, automate maintenance processes, and minimise equipment downtime translates into cost savings and increased productivity. Smart technology ensures faster, smoother procedures, leading to higher patient throughput and better financial sustainability without affecting the standard of care.

To illustrate, one of the key design features of the A-dec 500 Pro is its ergonomic flexibility, allowing dental teams to work more comfortably while maintaining precision. Paired with the A-dec 500 chair, which supports natural posture and integrates smoothly into the operatory, it creates a unified system designed for comfort, control and efficiency. The ultra-thin backrest and gliding headrest improve patient positioning, ensuring that clinicians have better access and visibility.

CPD Questions

1. What is one benefit of the A-dec 500 Pro’s software-driven approach to equipment management?

a) It increases reliance on manual servicing

b) It prevents users from adjusting system settings

c) It allows the system to evolve over time with clinical needs

d) It requires frequent hardware replacements

2. How does the A-dec 500 Pro Delivery System help futureproof dental practices?

a) By signalling periodic hardware replacements in good time

b) Through regular software updates and integration capabilities

c) By limiting integration with other clinical devices

d) By restricting user configuration options

3. What features of the A-dec 500 Pro improve practice efficiency?

a) Manual chair adjustment settings

b) Fixed handpiece configurations

c) Remote diagnostics and multi-user settings

d) Limited integration with digital systems

4. How does A-dec+ help protect practice data?

a) By encrypting data communication, meeting industry cybersecurity standards

b) By requiring manual security updates from the user

c) By restricting remote access to the system

d) By storing patient data on external servers

5. How does Dream in 3D support dental professionals?

a) By providing an immersive virtual operatory design tool

b) By restricting practice layout options

c) By reducing the use of technology in clinical environments

d) By increasing hardware dependency

Meanwhile, the capacitive activation braking system allows for seamless adjustments, as simply grasping the handle automatically releases the flexarm brake, making it effortless to reposition the delivery system without breaking focus.

Advanced patient comfort features also play a crucial role in enhancing satisfaction. The A-dec 500 Pro incorporates hydraulic motion for gentle chair movements, reducing any jarring sensations that may cause patient anxiety. The dual-articulating gliding headrest ensures consistent support, while the secure, multi-position armrests allow for easier patient entry and exit.

To boost patient comfort further, the Toeboard Tilt feature imperceptibly raises the toeboard by a full 9” (229mm) as the chair reclines, creating a gentle cradling effect, so all the patient feels is relaxation. These refinements not only improve treatment efficiency but also contribute to a more relaxed, trustbuilding experience.

To stay ahead in an evolving landscape, dental professionals must embrace digital transformation. Smart automation and connected workflows are no longer optional extras but rather

represent essential tools for delivering precision-driven care while maintaining efficiency and profitability.

The A-dec 500 Pro Delivery System represents this new era of dentistry, providing a future-proofed, intelligent solution that adapts to the needs of today’s practices and the advancements of tomorrow. Backed by a 10-year warranty and designed for a 20-year lifespan, the A-dec 500 Pro also offers exceptional durability, giving practices long-term confidence in their investment. n

About the author

Justin Hind is A-dec’s Territory Manager for London & South East England. With 23 years of experience in the dental industry, Justin has held roles at Dentsply, DD, and A-dec. He enjoys working with dentists to help them find the perfect equipment for their needs and showing them better working positions to work painfree. Outside of work, Justin enjoys mountain biking, road cycling, golf, and going to the gym. He has been married for 24 years and is a proud parent of two adult children in their early 20s.

Maximise your exit value unbeatable trio

How can principal dentists gain financial independence in our ever-changing economic climate?

Our Managing Director, Abi Greenhough, will be sharing her insights at the Hyatt Regency Manchester for Putting Profit Back into Practice, a seminar hosted by Montgomery Charles Wealth Management, on Friday 20 June from 2pm to 4pm.

She will be discussing how you can maximise your exit value in any market at any time, leaving you with confidence in your legacy and retirement.

Learn whether you can retire sooner rather than later, tips on enhancing your practice’s value and how to navigate the legal issues and processes of your

First impressions

Designed to quickly remove contamination and target pathogens that may remain on the surface of a dental impression. IMPactiv P is a market leading concentrated impression disinfectant from Bossklein.

IMPactiv P is safe to use on all types of impression materials without affecting the mould stability and shape. The unique formula uses peracetic acid as the primary active ingredient which is one of the most eco-friendly biocides available. After use the only waste products produced are water and oxygen.

An ultra-quick contact time of only 60 seconds is up to 15 minutes quicker compared to rival products and ensures comprehensive, efficient cleaning and

practice sale. Register for free today: https://montgomerycharles.co.uk/ upcoming-events/putting-profit-back-intopractice-manchester/ n

• BeautiBond Xtreme: All-in-one universal adhesive with high bond strength, suitable for all etching techniques.

• BEAUTIFIL Flow Plus-X: Versatile, fluoride-releasing hybrid composite in 2 viscosities, perfect for Class I-V restorations.

• Super-Snap X-Treme Polishers: Achieve a flawless finish with our enhanced polishing disks for ultimate patient comfort. n

A beauty

in simplicity with solventum

protection for all dental impressions.

Bossklein IMPactiv P is available now. For more information call 0800 132 373 or visit www.bossklein.comn

Simplify shade selection for your composite restorations with Filtek Easy Match Universal Restorative from Solventum, formerly 3M Health Care, by only needing to choose between three solutions: Natural, Bright and Warm.

Natural will deliver an expertly balanced appearance that suits most patients, with Bright and Warm offering alternatives to match the classical VITA shade guide. A naturally-adaptive opacity ensures each restoration shows an enamel-like translucency where it’s appreciated most, on the bevel and incisal edge. No blocker is needed to mask the darkness of the oral cavity in anterior restorations, meaning treatment is simpler whilst retaining high-quality outcomes.

With a reduced inventory, clinicians can spend less time choosing between the most minute details for shade selection and focus on what matters most – the patient experience.

Learn more by contacting the Solventum team today.

For more updates on trends, information and events follow us on Instagram at @solventumdentalUK and @ solventumorthodonticsemea

©solventum 2024. solventum, the s logo and Filtek are trademarks of solventum and its affiliates. 3M is a trademark of 3M company.n

solventum.com/en-gb/home/oral-care/

Going solo Quality products and incredible customer service

Single tufted brushes utilise an angled head to effectively move and clean around orthodontic appliances, crowns and implants, making them a must-have for patients undergoing treatment.

The SOLO series of special brushes, from TANDEX, offer an enhanced way of cleaning the tooth surfaces and restorations that are difficult to access. Included in the range are Medium, Long, Soft and Ultrasoft versions, all available in at least four colour options. For tender gingivae and sensitive teeth, SOLO Ultrasoft is an ideal solution, supporting a comfortable and compliant clean. Developed and designed by dentists and industry experts, it is an efficient way of removing trapped food particles and soft

plaque before it hardens, using its unique, handmade SOLO tip for optimal hygiene results and protecting against restoration failure. Daily dental care supplemented by the SOLO series ensures that all tooth surfaces and restorations are thoroughly brushed, leaving little room for oral disease. Recommend today.

For more information on Tandex’s range of products, visit https://tandex.dk/ Our products are also available from DHB Oral Healthcare https://dhb.co.uk/n

radiographic images at speed

8 seconds is all it takes to access highresolution radiographic images with the CS 7200 Neo Edition from Carestream Dental, ensuring you can make confident diagnoses and support patients in an instant.

The CS 7200 has thin, flexible, cablefree plates that are simple to position and are immediately comfortable for patients. With three plate sizes available, you can choose the most appropriate plate for your periapical, bitewing and paediatric exams. Plus, the imaging processing system itself is equally compact, making it easy to implement in the busiest of practices. The practicality of the CS 7200 is not lost in the transfer of data either. With both

USB and ethernet connection, the CS 7200 can be a chairside solution or shared between multiple surgeries, with images transferred across a server at a moment’s notice.

To learn more about the effortless speed of the CS 7200, contact the team today. For more information on Carestream Dental visit www.carestreamdental.co.uk

For the latest news and updates, follow us on Facebook and Instagram @ carestreamdental.ukn

Prominent implant dentist, Dr Viraj Patel, shares why he uses products from BioHorizons Camlog to achieve excellent treatment outcomes for his patients:

“The CONELOG Progressive implant 3.8mm is my go-to for premolar sites. The implant is versatile in its clinical application, suitable for use in healed ridges and fresh sockets, providing good stability for delayed and immediate implant placement protocols. It’s an all-in-one implant for me and I love using it. The implant connection is also great – you almost get a cold weld on the conical connection, which affords confidence that custom healing abutments will remain stable during the healing phase.

“One of the main reasons I choose to work with BioHorizons Camlog, aside from the quality of the products, is that the customer service is incredible. I have complete access to the local rep, the regional and area managers when needed. There is also a great community and network of clinicians using their products, which allows me to discuss cases with friends and colleagues.” n

Keep them returning time and time again!

Safety, comfort, and confidence are essential pillars that will keep patients coming back time and time again.

The treatment centre from Clark Dental offers ergonomic design, simple infection control, and intuitive technology, to ensure seamless workflows and a positive experience for every patient.

The experienced team at Clark Dental will help you select the right treatment centre for you, and the Intego Pro is a great option for many clinicians. It features an EasyTouch touchscreen for easy operation, the flexible comfort assist function, suitable for two or four handed treatments, and it is available in the TS or CS model, enabling you to choose your preferred way of working.

Find out more about the treatment centres available from Clark Dental, visit the website today.

For more information call Clark Dental on 01268 733 146, email: info@clarkdental.co.uk or visit: www.clarkdental.co.ukn

developed for long-lasting aesthetics

BRILLIANT EverGlow from COLTENE is a universal submicron composite, designed for exceptional polishability and long-lasting brilliance. In tests, even after more than 20,000 brushing movements, BRILLIANT EverGlow retains a high gloss level.

BRILLIANT EverGlow is engineered to last as well as look great. With high compressive strength, it is ideal for posterior restorations. Its advanced monomer composition leads to a lower absorption of water, enabling it to maintain excellent long-term colour stability. This high-quality submicron hybrid composite is also available in a flowable consistency. BRILLIANT EverGlow

Flow has lowviscosity and excellent stability for incredible handling. With perfect thixotropy, it can be easily applied with absolute precision. Visit the website to find out more!

For more on COLTENE, visit https:// colteneuk.com/BRILLIANT-EverGlow email info.uk@coltene.com or call 0800 254 5115.n

colteneuk.com/BrILLIANt-EverGlow

the perfect partner to periodontal care

Periodontist Dr Paul Renton-Harper runs a specialist referral practice in Bristol and lectures to national and international audiences on periodontal care and treatment. He uses a wide range of Curaden products in his practice, including CPS Interdental Brushes. He shares why:

“I believe we use pretty much all of the Curaden oral hygiene products in our practice. We particularly like the CPS Interdental Brushes, as they are of a high quality and have very flexible bristles, aiding in effectively cleaning the interdental spaces. I also like that the wires don’t bend out of shape during use, meaning that they don’t puncture the patients’ gingivae.

“I also like the environmentally-friendly

design, in which the handle can be reused and the brush tip replaced for reduced plastic waste.”

Discover the full range of Curaden oral hygiene products by visiting the website and getting in touch with the team.

To arrange a Practice Educational Meeting with your Curaden Development Manager please email us on sales@ curaden.co.uk

For more information,please visit: www.curaprox.co.uk and www.curaden.co.uk n

Fluoride application has never been so simple than with Clinpro Clear Fluoride Treatment, the award-winning* solution from Solventum, formerly 3M Health Care. Patients are looking for quick and effective treatments that can fit into their daily lives. The 15-minute contact time for Clinpro Clear Fluoride Treatment means dental professionals can support individuals in the practice in short appointments, whilst being confident that they are receiving high-quality care.

Clinpro Clear Fluoride Treatment is a waterbased, rosin-free formula that is simple to apply, delivering a pleasant mouthfeel. Patients can secure effective fluoride uptake, and the experience is improved by a choice between flavours – mint, watermelon or

Discover the true potential of Sensei Cloud from Sensei, the practice and patient management brand of Carestream Dental, by finding exceptional support at your fingertips.

Clinicians can join Sensei trainers for demonstrations of new features whenever a new update is released for the cloudbased system, which doesn’t require extensive down-time for changes to take effect.

Practice teams can also find in-app support by clicking a “?” icon, and getting in touch with a member of the team, or finding solutions to questions other clinicians have asked.

The Sensei team are delighted that Sensei Cloud can optimise two-way

flavourless.

Solventum is determined to support dental professionals to enhance their everyday treatments with high-quality solutions and materials. Contact the team to find out more.

For more updates on trends, information and events follow us on Instagram at @solventumdentalUK and @ solventumorthodonticsemea ©solventum 2024. solventum, the s logo and clinpro are trademarks of solventum and its affiliates. 3M is a trademark of 3M company.n

communication, so suggestions for future releases and updates are welcome and can be submitted online. This way, Sensei can learn from you, too.

To discover more about support from the Sensei team, get in touch today.

For more information on Sensei Cloud visit https://gosensei.co.uk/

For the latest news and updates, follow us on Facebook and Instagram @ carestreamdental.ukn

Great listening to help navigate the ups and downs remove the confusion from occlusion

Specialist dental brokers at Dental Elite has announced a successful sale of Wood and Woolfstein Dental Practice, a popular community practice in Chorlton-cumHardy, Manchester.

Principal Dentist and co-owner, Dr Nigel Woolfstein said of his experience:

“We worked with Julie Randle from Dental Elite on our practice sale in Manchester, and have just completed the sale.

Throughout the long process, we found Julie to be totally professional, amazingly supportive and a great listener during the ups and downs of the process.

“Based on obtaining the valuation at the outset and the ongoing advice and support provided to get the sale over the line, we would have no hesitation in recommending

Julie and the team at Dental Elite!” Dental Elite’s specialist dental teams provide a bespoke service to ensure each and every client gets what they need. This professionalism has resulted in over 1000 successful transactions. Whether you need a valuation, a successful sale or simply advice on growing your goodwill, Dental Elite can help.

Contact the team to find out more today!

Visit the website, email info@dentalelite. co.uk or call 01788 545 900n

Put a stop to pest problems

Minimising the risk of a pest infestation in the dental practice is essential for clinician and patient safety. When reviewing your waste management solutions, choose support from Initial Medical, and their yellow wheelie bins for clinical waste.

All waste, including clinical waste produced at the dental practice, must be safely and securely stored to reduce the chance of attracting pests, and the yellow wheelie bins for clinical waste help to achieve this. Each unit, available in sizes from 240L to 1100L, is lockable to ensure only clinicians and waste management teams can access its contents.

Dental teams could also install a wheelie bin sanitiser station, which helps to minimise the opportunity for cross contamination

upon return to the practice and serves as an effective reminder to lock each unit after use.

Initial Medical is one of the leading providers of UK medical waste management services and prides itself on dedicated support for dental practices in-person and online. Clinicians shouldn’t settle for second best when it comes to the safety of their patients. Choose Initial Medical.

To find out more, get in touch at 0808 304 7411 or visit the website today www.initial. co.uk/medical n

Occlusion continues to confound some dental professionals, with divided opinions on its definition. For those who undertake the Basics of Occlusion course from IAS Academy, you can have a world-class understanding to help provide enhanced patient outcomes.

Requiring zero prior knowledge of occlusion, the course favours a practical approach that, after two days of training, gives you the experience needed to ably confront occlusion in the daily workflow. From hands-on exercises like posterior indirect restorations to identifying red flags in conformative approaches, the course is comprehensive.

Dr Jaz Gulati and Dr Mahmoud Ibrahim lead the course with passion, incorporating their unique philosophies like ‘Unchippable’ for safely lengthening teeth and ‘Tangible’

for ensuring that every concept taught leads directly to improved dental care and optimal patient outcomes.

With first-class teachers and two days of invaluable knowledge and skills, the Basics of Occlusion course is the gateway to superior treatments and excellent patient outcomes. For more information on upcoming IAS Academy training courses, please visit www.iasortho.com or call 01932 336470 (Press 1)n

Introduce dental plans you can trust

There are many reasons to introduce dental plans to your practice, including:

• Regular monthly income

• Improved patient attendance and engagement

• Increased treatment uptake

• Reduction of admin for staff

For a dental plan provider that is big enough to offer a comprehensive understanding of the market but small enough to maintain a personal service, discover IndepenDent C are Plans.

We offer customised dental plans tailored to suit your needs and those of your patients. Our Business Development Consultants will also train your team to ensure they have a clear understanding of how your plan works

and how to promote it to patients. In addition, you can use our online portal to monitor the success of your dental plan and return on investment.

If you don’t yet offer dental plans, you are missing out – and so are your patients. Contact IndepenDent Care Plans today to find a provider you can trust. Find out more at ident.co.uk or call : 1463 222 999n

Accuracy comes first

Create accurate intraoral impressions with Imprint 4 VPS Impression Materials from Solventum, formerly 3M Health Care, featuring unique solutions for each clinical need.

Clinicians can choose their material based on fast and regular intra-oral setting times, creating new opportunities to exercise control over the process to maximise accuracy and long-term outcomes.

With ample working time, clinicians can still have this freedom whilst minimising patient chair times to improve comfort.

The hydrophilic material displaces moisture immediately in the unset stage, preventing voids that can cause problems when devising highquality restorations.

To learn more about the Imprint 4 VPS

When investing in new equipment, refurbishing or building a practice, there is so much at stake. Find brilliant support for all of your design and equipment needs at Clark Dental, a trusted name for over 45 years.

Clark Dental offers an excellent team that supports you through every step of your journey.

Dr Oana Anton and Mr Doru Schipor recently established the Ivy Dentistry Aesthetics clinic in London and said:

“We immediately knew that Clark Dental was the right fit for us. They agreed that the process relied on an understanding and communicative working relationship. Where other suppliers seemed to prioritise their profit margins without fully understanding the equipment, Clark Dental wanted to make sure

“A

Dental Elite is a well-established dental recruitment agency specialising in sourcing and hiring for jobs in the dental sector. Dental Elite works closely with a wide pool of talented professionals, including dental nurses, dental hygienists, associate dentists, locum dentists and more. Experts in the team are dedicated to helping practices and professionals find their perfect match.

For example, Chalet Hill Dental Practice frequently uses Dental Elite’s help in finding candidates to fill locum positions. In a recent review, they said:

“Every time we need a locum, Dental Elite Locum Controller, Luke Arnold manages to provide us one within a week of asking. His efficiency and dedication make everything so easy. Highly recommend!”

optimising referrals

To optimise the referral process and ensure a smooth and consistent experience for your patients, consider the following:

• Provide as much patient information as you can

• Include details of previous treatment and a comprehensive medical history

• Speak to the expert/specialist directly to build a relationship

• Keep communication open, clear and consistent

At EndoCare, we aim to make the entire referral process as simple as possible from start to finish, for both you and your patient. We believe in transparency and consistency, keeping you in the loop every step of the way. The team are also always

Impression Material from Solventum, contact the team today.

To learn more about Solventum, please visit https:// www.solventum.com/en-gb/home/oral-care/

For more updates on trends, information and events follow us on Instagram at @ solventumdentalUK and @solventumorthodonticsemea

©solventum 2024. solventum, the s logo and clinpro are trademarks of solventum and its affiliates. 3M is a trademark of 3M company.n

unique perspectives and innovative solutions

The Tapered Pro Conical implant was officially launched by BioHorizons Camlog with a masterclass from Dr Robert Stanley – engineer turned dentist.

Unafraid to buck trends and question the status quo, Dr Stanley shared a wealth of thought-provoking ideas and insights into their real-life application. With a talent for simplifying complex mathematical formulas and advanced engineering principles, he delivered an easy-to-digest two-day programme packed full of detail and innovation.

Key takeaways included the importance of “longevity levelling” to ensure flat bone and cleanable implant-retained prosthetics; guided surgery for accuracy and repeatability; and excellent implant

design for stability and strength. On this note, he eloquently introduced the Tapered Pro Conical implant, featuring grade 23 titanium, reverse buttress thread, deep conical connection and laser-lok® surface treatment to deliver high primary stability, exceptional aesthetics and ease of placement for an efficient professional workflow.

Thank you to Dr Stanley for making the trip across the water to share his unique perspectives and diverse expertise! n

Bring the fun to the gums

we knew all our options at each and every step.

“The team at Clark Dental provided immense advice for each of our queries with completely objective recommendations. Their sincerity made a big difference, and it stuck with us.”

For comprehensive support when looking to invest in new equipment for your practice, contact the Clark Dental team today.

For more information call Clark Dental on 01268 733 146, email info@clarkdental.co.uk or visit www.clarkdental.co.ukn

How do you make toothbrushing a fun activity for children? Education and compliance are vital for paediatric patients, preparing them for a consistent oral hygiene routine that will keep them happier and healthier for longer.

To spark excitement among children whilst supporting optimal hygiene results, Curaprox presents the Kid’s Oral Health Bundle. Suitable for children aged 5+, the bundle includes a gentle but effective toothbrush, a watermelon flavoured toothpaste with 1,450ppm fluoride content, and plaquedisclosing tablets – these show where to more thoroughly clean and demonstrate how brushing can make a visible difference in removing harmful particles. Also included is a two-minute timer, a

toothbrushing chart and a limited-edition children’s book, all of which reinforce the daily process of keeping the oral cavity fresh and healthy. With its bright colours and friendly aesthetic, the Kid’s Oral Health Bundle is a great way of empowering children to look after their teeth and gingivae – recommend today.

To arrange a Practice Educational Meeting with your Curaden Development Manager please email us on sales@curaden.co.uk

For more information, please visit: www.curaprox.co.uk and www.curaden.co.uk n

And Alice Donlon said of her experience using Dental Elite’s recruitment services:

“I had a really positive experience using Dental Elite’s recruitment services. They were always professional and friendly and provided me with a range of fantastic roles. They arranged interviews and followed up with me afterwards.”

Contact the team today! Email: info@dentalelite.co.uk or call 01788 545 900n

DeNovo Dental Partners do things differently. Unlike anything seen before in the UK, DeNovo provides a shared ownership model, rooted in practice autonomy, driven by a growthminded ecosystem and enabled by a culture of collaboration and support.

Utilising best practices from models already tried and tested around the world, DeNovo addresses challenges and limitations encountered by traditional practice sales. It offers the full business value upfront, incentives to drive practice growth, and integrates Partner dentists as significant shareholders and beneficiaries of increased value created within DeNovo group. Partner dentists retain full clinical freedom and autonomy over practice management, ensuring

they can provide the dentistry they love while continuing to steer their business – just with the support of the wider DeNovo network.

As such, the model protects the independence of each practice, but provides access to the collective power of the DeNovo community across the UK. For more information on how you could make the most of this unique opportunity, contact the team today. Find out if DeNovo is right for your practice’s future by visiting www.denovo.partners today n

available should you have any questions about a patient’s current or previous treatment with us.

To see for yourself how easy referring to EndoCare is, visit the website or give us a call today.

For further information about the endodontic referral services available from EndoCare, please call 020 7224 0999 or visit www.endocare.co.uk n

Your team can optimise the life of your autoclave with excellent in-practice care and external expert support from Eschmann. The Eschmann team will guide you through all the regular testing and maintenance you can perform. They will also help you fulfil mandatory validation requirements and provide ongoing servicing to optimise product longevity.

But you don’t just have to take our word for it – see what our customers are saying! Tracey Cage, Practice Manager at Kelvin House Dental Practice, commented: “We would absolutely recommend Eschmann equipment and the Care & Cover maintenance programme. The entire team have done a fantastic job and we have no complaints at all. The fact that one model lasted 16 years and we have another that is

already 12 years old speaks volumes for the quality of the product and service.”

Maxine NorthallRollins, stock controller at Scott Arms Dental Practice, said: “We have had some of our Little Sister autoclaves for over 10 years now and have been really happy with them. We protect [them] with the Eschmann Care & Cover servicing and maintenance package, we wouldn’t even think of not having them covered. I would unreservedly recommend Eschmann products and the Care & Cover service package to others.”

Call 01903 753322 n

Maximise the life of your autoclave with Eschmann

AdI team congress 2025 impresses again An iconic partnership

Clinicians had a chance to immerse themselves within the world of dental implantology at the recent ADI Team Congress 2025. Held in Brighton, the vibrant three-day event offered everything from hands-on workshops to thought-provoking lectures, an implant-dedicated trade exhibition and plenty of networking opportunities.

Dr Jake Simpkin shared his thoughts on the event as an attendee:

“I’ve been impressed by the quality of the venue and of the speakers. It’s been great for them be so honest – they have shown their mistakes and it’s not just been how amazing they are, they have shared their problems and how they’ve overcome them.”

Dr Karen Gangotra shared her thoughts on the event as an attendee:

Grow your repertoire

The Fixed Braces Course from the IAS Academy is a two-day mix of theory and hands-on activities that develops the long-lasting orthodontic treatments you can provide to your patients. Dr Rebecca Williams found the course a vital part of her journey in orthodontics, explaining:

“The Fixed Braces course widened the treatments I could deliver as I was previously having to refer cases. The skills and knowledge I gained from the course meant I could reduce referrals and tackle the cases myself.

“The IAS Academy has allowed me to do the dentistry I’ve always wanted to do, following a proper pathway that has given me immense support from my mentors. Courses like Fixed Braces aren’t just taught

When patients are in pain, it’s important to act quickly. Even though it may not be possible to provide patients with immediate treatment, offering advice for pain relief in the meantime is essential. Providing relief from dental pain in two minutes or less, Orajel is the ideal solution for your patients. Containing 10% benzocaine, Orajel Dental Gel enables patients to apply local anaesthetic directly to the affected area for rapid pain relief. Plus, in more severe cases, recommend Orajel Extra Strength. It contains 20% benzocaine to numb areas of intense pain and provide patients with the relief they need.

Powers of prevention

Toothbrushing and interdental cleaning are effective at removing trapped food particles from the oral cavity, but for enhanced protection from oral diseases, patients should adopt an antibacterial sidekick.

PREVENT Gel, from TANDEX, is an excellent supplement to daily oral care. Its unique formula contains 0.12% chlorhexidine content to help eliminate harmful bacteria and reduce the risk of caries or periodontitis. For long-lasting tooth maintenance it also includes 900ppm fluoride to strengthen the enamel, defending the teeth against demineralisation.

After traditional toothbrushing, PREVENT Gel can be easily applied to a FLEXI interdental brush, from TANDEX, to clean the areas that were previously difficult to access.

“There’s been a great line-up of speakers – I find them really inspirational and there’s a lot of evidence-based lectures. The exhibition is great as well, it’s good to see what’s up and coming because technology is always changing. The ADI Team Congress is the leading event based on implants and it a big range of implant treatments, which sets it aside.”

To enjoy these events and the many other benefits available from the ADI, become a member today! n

3M Health Care is now Solventum. Enabling better, smarter, safer healthcare to improve lives. Please see solventum.com.

By pairing the RelyX Universal Resin Cement from Solventum, formerly 3M Health Care, and the Scotchbond Universal Plus Adhesive from Solventum, clinicians can create an effective and award-winning* cement system that exceeds all expectations.

The RelyX Universal Resin Cement is an effective standalone solution, but as part of this iconic restorative duo, its self-adhesive qualities are further enhanced to assure the adhesive bonding to all substrates.

The Scotchbond Universal Plus Adhesive is renowned for its fantastic control and predictability in treatment, lending its unique benefits to the twocomponent system.

When observed by Dental Advisor,* a total of 636 restorations were available for recall, and no debonds were reported in either self-adhesive or adhesive modes. Experts also complimented the excellent colour stability and resistance to marginal staining even after years of use.

For more updates on trends, information and events follow us on Instagram at @solventumdentalUK and @ solventumorthodonticsemea

©solventum 2024. solventum, the s logo and relyX are trademarks of solventum and its affiliates. 3M and scotchbond are trademarks of 3M company.n

for a weekend – they mentor you and teach you for your life so the growth is constant.”

With the Fixed Braces Course under your belt, you can enhance the smiles of more patients. Know how with the IAS Academy today and explore the selection of courses available to transform your workflow.

For more information on upcoming IAS Academy training courses, please visit www.iasortho.com or call 01932 336470 (Press 1)n

Find out more about how recommending Orajel can benefit your patients by getting in touch with the team today.

For essential information, and to see the full range of Orajel products, please visit https://www.orajelhcp.co.uk/ n

Combining the exceptional cleaning power of a FLEXI with the prophylactic powers of PREVENT Gel ensures that patients can maintain a healthy microbiome. With TANDEX products, patients can welcome a new era of consistent oral hygiene – recommend today.

For more information on Tandex’s range of products, visit https://tandex.dk/ Our products are also available from DHB Oral Healthcare https://dhb.co.uk/n

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What sets IcP apart?

IndepenDent Care Plans offers three decades of experience in delivering highly tailored dental plans for practices across the UK. We have a proven track record when it comes to supporting professional teams and their patients, as well as creating the ideal packages to suit specific business needs.

Our team also prides itself on providing customer service that is second-to-none. We are here for our members every step of the way and can help with everything from staff training to marketing materials and business development support.

So, if you’re looking to benefit from

To fabricate long-lasting final restorations you and your patients can trust, SprintRay provides the proven equipment and materials you need.

The OnX Tough 2 is designed with NanoFusion™ technology to deliver the high strength, structural integrity and stability required for a range of restorations. It is especially suited for the fabrication of hybrid denture prosthetics, implant-supported denture prosthetics, monolithic full and partial removable dentures, an preformed denture teeth to be used in a denture.

Ushering in a new era of accessibility for practitioners and patients alike, the SprintRay ecosystem facilitates a complete digital workflow. As part of this

consistent income and improve patient attendance with a customised dental plan, or you need to upgrade your existing programme to one that affords greater advantages, give us a call at IndepenDent Care Plans today! Find out more at ident.co.uk or call: 01463 222 999n

comprehensive network, the OnX Tough 2 makes it possible to 3D print, wash and cure 10 fixed dentures in just 30 minutes! Find out more by contacting SprintRay today.

For more information, please visit: https://sprintray.com/en-uk/ n

the Batman and robin of oral health

To encourage consistency with interdental brushing in the daily oral hygiene routine, Curaprox has designed the Super Duo, a heroic pairing of the CS 5460 toothbrush and two CS interdental brushes that ensures villainy can be cleaned away from every tooth surface. By harnessing the gentle yet effective cleaning power of its Curen® filaments –which are three times denser than the average toothbrush – and its angled head, patients using the CS 5460 can attain an optimal standard in oral hygiene.

This can be followed by harnessing the powers of the CS 07 and 09 interdental brushes to disturb the trapped food particles that a traditional toothbrush cannot, reducing the risk of caries. For a more ergonomic approach to this, the Super Duo pack also

contains a brush holder that houses both interdental brushes at once; patients can quickly alternate between them depending on the size they need.

Available in numerous colours, achieving 100% clean teeth has never been easier with the Super Duo from Curaprox.

To arrange a Practice Educational Meeting with your Curaprox Business Development Manager please email us on: sales@curaden.co.uk

For more information, please visit www.curaprox.co.uk and www.curaden.co.uk n

curaprox.co.uk

Fast toothache relief in two minutes the right products for 3d printing success

Selling your dental practice to an associate

Whilst selling to an associate may be considered an internal sale purchase, you can still seek outside assistance. Martyn bradshaw of PFM Dental discusses a number of important factors

When coming close to retirement, an often explored or considered option is whether you sell your dental practice to one of your existing associates. This can often come with some advantages, with little change to the practice dynamics and passing the practice to someone that you may have known for the last decade, knowing that they should be a good fit for the practice and personalities within, as well as understanding their quality of clinical work. However, many clients will also consider whether they should let the associates know about the future sale as they will be letting the cat out of the bag and may find that, should the associate not be interested, then they could decide to leave or tell other colleagues at the practice. Therefore, a careful and considered approach is always advised.

Valuations

Just as it is for any other type of sale, it is important to get an up-to-date valuation of your practice. An accurate valuation will give confidence to the buyer, as well as giving you a true and accurate position –ensuring that you do not price too low, or even too high which could cause the deal to collapse in the latter months when the bank’s valuer or buyer’s accountant is involved.

A valuation can be instructed by the Principal or you could even opt for a joint instruction, giving the reassurance to both buyer and seller that the valuation is impartial. A valuation will also ensure that any anomaly, such as the Principal working three days per week, is adjusted for to ensure that a full ‘principal led’

and ‘associate led’ values are given. The valuation process involves a detailed review of the practice and financials, and is something that should only be carried out by a recognised expert.

negotiations

Interestingly as a dental practice broker, we regularly have clients who wish to sell to their associate but ask us to undertake the negotiations on their behalf. Often this is so that the Principal can keep their normal dayto-day relationship with the associate, and have us undertake the negotiations and discussions regarding the practice sale, with us having the experience of explaining the market and being able to go into the details of the financials with the buyer/associate. Often the buyer will require reassurance or information in a way that the associate will understand. This may not always be possible for the Principal.

We would always produce a prospectus as if going to open market, as this provides all of the necessary information for the buyer and their professional advisors. Where the Principal is less sure of the associate’s intentions or feels that they have previously been messed around by the associate in trying to agree a sale, we may also then go down a route of offering ‘first refusal’. Under this route the associate may be given 2-4 weeks to review and provide a formal offer before the practice goes to market. It may (or may not) surprise you that less than 50% of our client’s associates end up buying the practice. I tend to put this down to associates not being active in looking for practices and the associate often being unrealistic about the prices achieved. They may also

not really wish to purchase but feel pushed from others that this is what they should do – but they will never commit to this.

finance assistance and verification

Once someone has decided that they wish to purchase a dental practice it would typically take us around 48 hours to get the relevant information from a buyer, put to the banks and get bank offers (agreements in principle) back from then. Often when speaking with Principals who have been trying to go it alone with their associates, it is not unheard of to find out that the associate has not managed to arrange finance after a month. This can be down to them, again, not being committed to the purchase or that the buyer needs help in putting everything together and knowing who to approach. You should always have finance verification from a buyer that they can proceed. However, any assistance to make the buyer’s life easier also helps with the smoothness of a sale.

If you are considering selling to your associate, or an interested party (they don’t have to be an associate) we do suggest that help is still available and you should not feel that you cannot get the same assistance as you would if you were selling on the open market. n

about the author

Martyn bradshaw is a Director of PfM Dental and heads up the dental practice sales agency.

Converting curiosity into consultations

How enhancing your personal profile online can showcase the power of your work

In the competitive dental world, patients aren’t just looking for a skilled dentist – they’re looking for someone they can trust. Someone who ‘gets’ them. To know they’re in good hands and someone they can imagine themselves visiting for years to come. Today, the journey to building that relationship almost always begins online. For dentists across the UK, now is the perfect time to use your website and social media platforms to build your personal profile and showcase the life-changing results of your work. From before and after photos to video testimonials and personal introductions, digital content doesn’t just sell treatments – it fosters trust. And trust, more than anything, is what converts curiosity into consultations.

Before and after images are some of the most powerful tools in your digital toolkit. They allow potential patients to visualise the results you can help them achieve – especially when paired with a brief story about the treatment. For example, share a composite bonding case with a clear narrative: “Sarah came to us feeling self-conscious about a chipped tooth. One appointment later, she walked out with a confident smile.” This is far more compelling than a stock image or clinical description alone.

Make sure the photos are high-quality, well-lit, and consistent in framing. Consider using a logo with your practice name or Instagram handle and always remember to get written consent before sharing their content.

Video testimonials

Video testimonials are a game-changer and add an invaluable layer of authenticity. Written reviews are important, but there’s something powerful about seeing a real person share their story. Whether it’s a nervous patient who has overcome their dental fears or someone who’s just completed a smile makeover, letting patients speak in their own words builds a deeper emotional connection with future patients.

You don’t need a fancy setup. A well-lit room, a quiet space, and a smartphone can often do the trick. Just keep it natural. In fact, the less polished the video, the more believable it often feels. These snippets of real emotion are gold for your website, Instagram Reels, and TikTok clips.

You’re the brand

One of the most overlooked yet effective strategies is simply putting yourself in front of the camera. Whether it’s a short

clip of you talking about how Invisalign works or a few Instagram Stories showing a day in the life at the practice, people connect with people. They want to know who will be holding the mirror up at the end of treatment, who will be listening to their concerns, and who will understand why they’ve waited so long to take that first step.

You don’t have to be a natural presenter; just be yourself. A calm, friendly tone and

a genuine smile go a long way. Think of these videos as virtual introductions to help break the ice. They lower the anxiety and apprehension barrier and help a patient feel like they already know you before they even pick up the phone.

Your website and social media shouldn’t exist in isolation; they should work hand in hand. Use your website as a hub for key content like treatment overviews, team bios, patient stories, and a full smile gallery. Then, use your social media channels to bring it all to life with regular posts, story highlights, and short-form videos.

Building your personal profile online isn’t about self-promotion; it’s about building trust, showing what’s possible, and helping people feel comfortable enough to take that first step. You don’t need to go viral. You just need to show up consistently and let your caring approach show through.

In today’s digital world, your next patient could be one scroll away. The question is, what will they find when they see you? n

about the author

Michael Leach, Digital Marketing strategist, connect My Marketing connectmymarketing.com

Call in the experts. Contact us for your FREE Care & Cover package quotation. I would unreservedly recommend products

Eschmann & the Care & Cover service package to others.

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Experience Eschmann excellence at www.eschmann. co.uk, or call us on 01903 753322.

In partnership with

Maxine Northall-Rollins, Scott Arms Dental Practice

The hidden risk of playing it safe

The definition of risk is “the possibility of incurring misfortune or loss”

Over the years, I’ve spoken to hundreds of dentists about risk – and their reactions vary widely. Some fear putting their hardearned money in jeopardy, while others welcome the opportunity for financial growth.

Everything carries some degree of risk. Simply getting up every morning exposes you to all sorts of potential incidents. But not getting up every morning carries its own risks – from health problems to missing out on everything life has to offer. If taking action is a risk, then taking no action is also a risk. The same is true with investing. The secret is to manage the associated risk and stay within your comfort zone.

Let’s say you have a sum of money available, and you don’t want to take any risk with it, so you put it under your bed. No risk in that, surely? Well, aside from the risk of burglary, that money is still subject to inflation risk. Although the amount of money stays the same, its buying power decreases over time.

Even saving with a bank isn’t completely risk-free. If you had put £10,000 in a deposit account matching the Bank of England base rate in March 2013, inflation based on the UK Retail Prices Index would have reduced the buying power of your money to around £6,900 ten years later. While your account may now show approximately £10,500, you’d only be able to buy what £6,900 could

have bought in 2013. That’s because prices have risen faster than your savings.

Investing, therefore, isn’t just about growing wealth. It’s also about the potential for preserving it.

Two common strategies to help reduce investment risk are diversification and pound cost averaging.

Diversification means not putting all your eggs in one basket. Instead of investing in a single asset or company, you spread your money across various asset classes – such as property, bonds, and equities – and different sectors like retail, construction, and finance. Each asset class and sector reacts differently to economic changes, which helps smooth out the ups and downs.

No one asset class consistently outperforms the others year after year, so diversifying gives you balance. A fund is often the easiest way to achieve this. Just remember, diversification reduces risk, but it doesn’t eliminate it. A major global event could still affect most investments at the same time.

Pound cost averaging involves investing gradually as a drip-feed, rather than all at once. If you invest a lump sum, you’re locked into the price on that day. But by investing monthly, you buy more shares when prices are low and fewer when they’re high, averaging your cost over time.

For example, if you invested £1,000 per month over three months, starting in June

when shares cost 100p, then bought at 90p in July and again at 100p in August, your July investment would net you 1,111 shares versus 1,000 in June. By August, your £3,000 investment would be worth £3,111 due to the extra shares bought in July.

Had you invested the full £3,000 in June, it would still be worth £3,000 by August, having temporarily dipped in value during July.

Many dentists invest a lump sum into pensions and ISAs in March for tax reasons, but this means being at the mercy of market conditions on a single day.

Monthly contributions via direct debit can help spread that risk throughout the year.

Regular investing can lead to better outcomes in falling markets. Of course, when markets rise, you buy fewer units, which might mean slightly lower returns.

Understanding and managing financial risk is essential for long-term stability. Whether you’re investing in funds, equities, or savings, recognising the impact of inflation and market swings helps you make informed decisions.

Seeking professional financial advice can help tailor the right approach for your goals. Risk can’t be avoided completely – but with the right strategy for your personal circumstances and appetite, it can be managed to support long-term financial success.

Remember: The value of investments can go down as well as up and you may get back less than you originally invested.

Want to make your money work as hard as you do? Book a conversation with a dental Specialist Financial Adviser, visit wesleyan.co.uk/ dental or call 0808 149 9416.

Please note: Charges may apply. We will not charge you until you have agreed the services you require and the associated costs. n

about the author

Having vast experience as a dental specialist financial adviser (sfa) over the years, simon cosgrove is now a Dental Regional Manager at Wesleyan financial services, guiding a team of dental sfas to support dentists, their families, and their practices with financial planning to secure their financial future.

Focus on what made your business successful

At a time when margins are being stretched and competition is fierce it can be tempting to park your core business and go and look for new revenue streams. Diversification. Or, in the parlance of the Entrepreneurial Operating System (EOS), you go chasing ‘shiny things’.

I often have discussions around the merits of diversification with clients who want to build their revenue and profitability as they prepare to put their practice on the market. These are great discussions to be having. However, it is essential to understand if these opportunities dovetail in with what made you successful to this point and how you can deploy your existing team to support these initiatives. The key thing to remember is ‘all that glistens is not gold’. Diversification can seem a very obvious and logical step to take. It provides the opportunity to provide different services to different people, ignite your entrepreneurial passion, explore new revenue streams. It’s invigorating, even thrilling and without it you fear your business won’t continue to thrive. What begins as a seemingly sound strategy can sometimes reveal itself as a costly distraction from what truly matters if you lose sight of your core business focus. Your core business focus clearly defines your company’s sweet spot. Procedures and care you love to do and are best at. Used properly, it helps you stay laserfocused on the stuff you do that most consistently delights your customers, makes you money, and allows you to have the most fun. To get it right, you’ve got to resist the temptation of trying to be all things to all people.

Often, the strategy to building revenue and margin is more about strengthening what you already have. I spend lots of my time advising dentists on how their business model is aligned to their goodwill value. As I often explain to clients, business resilience and goodwill value is not just about the top line and the bottom line.

Just to give you a simple example. By looking at the revenue earners in a business we can see who the biggest contributors are. By the same token we can also see where the risks are. A person in a practice who earns 30% of the revenue presents a risk in the event they are no longer there. Then their great contribution becomes a hole in the revenue in the event of an Associate leaving or the Principal selling. Big fee earners are seen as a risk by many buyers and makes a practice less interesting to them.

I had a client who wanted to exit their business. Their Associate was clinically gifted, highly efficient, highly paid and delivered 90% of the revenue. The Associate effectively was the business. Any prospective buyers needed to do a deal with the Associate to ensure the future smooth running of the practice. The Associate had little interest in working for a new owner and became impossible to negotiate with. The Associate effectively killed any deal and the owner had little choice but to carry on running the business as they had before.

Having a steady stream of returning customers is another example of how maximising what you have can bring you the results you are looking for. This way revenue is much less likely to be dependent

on one-off treatments or self-referrals. It means ensuring that the goodwill you build today isn’t diluted by the business model. I’ve witnessed first-hand the consequences of veering from the core business focus. While intentions may be noble – diversifying to future-proof the business, capitalising on an opportunity, or supporting a client’s adjacent need – the fallout often impacts both the customer and the internal team. When you step too far outside your zone of genius, cracks begin to show.

I have seen it in my personal life. How often do we try to do it all – thinking we can master every task – only to end up with half-finished projects or less-thansatisfactory outcomes? Often, we end up hiring professionals anyway. So why not stick with what we’re best at in the first place.

One of the frameworks that’s helped bring clarity to this question is the Entrepreneurial Operating System (EOS). At its heart, EOS teaches businesses to deeply understand who they are, what their niche is, and why they exist. This demands an obsessive focus on core purpose. Be exceptional at what you do and build everything else around that unwavering commitment. So how can we stay true to our core focus in a world brimming with temptation and shiny distractions?

1. Know Who You are

Spend intentional time defining who you are as a business. What are your core values? Think about the type of practice you are running and for whom. Let these values be the lens for every decision—who you hire, partner with and serve.

2. assess Your Readiness

Before jumping into a new venture or project, ask: Do we have the resources, capabilities, and bandwidth to do this well right now? Mediocrity, especially in unfamiliar territory, can erode trust faster than doing nothing at all.

3. Define What Makes You unique What sets you apart in your market? What is your purpose and passion? Get crystal clear on this and use it as a filter for every opportunity that comes your way.

4. strengthen Your core

Don’t just maintain your core offering— enhance it. Get incrementally better every day. Build deeper expertise, elevate your patient experience. Excellence compounds.

5. beware the Distraction of novelty

Recognise the allure of shiny objects for what they are: distractions. If something doesn’t directly align with your mission, your customers’ needs, or your operational strengths, think twice.

In a world that glorifies innovation and disruption, there’s something powerful about focus. The most resilient, respected, and successful businesses are not necessarily those that do the most— but those that do what they do best, consistently and exceptionally well. Sometimes, the bravest business decision is not to chase something new, but to recommit to what you’ve already built. n

about the author abi Greenhough,

Managing Director

of Lily Head Dental Practice sales.

The Perfect Couple

Meet FLEXI & PREVENT Gel

The couple that helps you to achieve even better oral hygiene

FLEXI

• The special flexible handle makes it possible to angle the handle to achieve better and easier access to all interdental spaces.

• The non-slip handle ensures good grip, even when fingers are wet.

• All brushes have plastic coated wire. This ensures no metal is in direct contact with teeth and gums, thus making them much more comfortable to use and preventing dental injuries.

• 11 sizes ensure that all needs are covered.

PREVENT Gel

• Strengthens the enamel and has an anti-bacterial effect.

• 0.12% chlorhexidine and 900 ppm fluoride.

• The consistency combined with the needle shaped tube end make it easy to apply directly on the FLEXI brush and use wherever needed.

• Pleasant taste of peppermint.

• No alcohol or abrasives.

What makes a multiple: the life blood of practice sales

Dentists can feel quite overwhelmed when considering how to maximise the sales value of their dental practice. When considering the sale of a practice, it is helpful for practice owners to learn more about how multiples work, so vendors can focus their energies more productively on enhancing their value. Additionally helpful, is a clear understanding of the impact of external variables such as the Bank of England base rate on sales multiples.

PesTLe factors: e.g. The bank of england base rate

The base rate is set by the Bank of England – also known as the bank rate or referred to as the interest rate. In February 2024, this was 5.25%. Over the course of a year this has been reduced to 4.5%. While not equivalent to post-Covid pricing, this has made the cost of borrowing cheaper for buyers. Very few commercial loans are based on fixed rates, so this change means servicing a £1 million debt is now £7,500 cheaper than it was last year.

Private equity, which finances most larger corporate purchases, also benefits from a lower base rate. These firms borrow from challenger banks rather than high street firms to finance multiple ventures. This kind of lending is considered more risky as there’s less control and no personal guarantees, meaning the cost of borrowing money for private equity firms tends to be greater. For this reason, private equity firms will always be assessing their investment in terms of a reliable and quick return. When the cost of borrowing falls, this reduces their financial burden across all their assets, and eases the financial pressure, leading to

more confident investment. However, these buyers will generally seek deal terms that protect their investment and mitigate risks.

The micro market factors

A lower base rate encourages spending, activating and energising the market, and if factors affecting multiples are managed well, this can increase potential buyers’ interest in your practice.

When Dental Elite goes to value a dental practice, the experienced team of brokers look at the risks that might affect the earnings before interest, taxes, depreciation, and amortisation (EBITDA) multiples a practice can achieve. One of the more significant factors vendors are often unaware of is the impact of a high-value associate, which can negatively impact on your multiple. For example, key person risk is a factor. In the context of dentistry, this usually involves the risk that a high-grossing associate will leave soon after the sale of a practice, and will be very difficult to replace. Depending on the practice, one thing we might advise is diversifying risk by increasing the hours of another good associate, or taking on one or more new team members and giving them

time to build a rapport with patients before going to market.

Another big factor in recent times has been a difficulty to meet NHS contracts due to the recruitment crisis, and practices maximising their private offer to maintain profitability. It’s becoming a common problem that practices under contract to perform 10,000 UDAs are only able to deliver 5,000. A practice that has been in breach of contract for underperformance for two or three years will potentially have their contract permanently reduced or taken away. Talking to the area commissioning team and changing your contract is better than having sequential breach notices, as this will affect lending and will impact on your multiples.

Another consideration is your increased costs. We are in an inflationary environment, so while many patients remain careful about choosing expensive treatments, your costs are also rising. At the time of writing, inflation is at 2.8%, and is expected to rise this year to around 3.7% by Q3 2025. If the impact of increased operational costs are affecting your practice, it is worth examining your offer closely against the demand and competition in your area.

Where there’s a will there’s a way

With the warmth of summer comes the joy of a well-earned holiday. But for some, this can also be a time of trepidation. In recent years, travel anxieties have increased. From testing positive for Covid, worries about natural and nuclear disasters, and concerns over international conflict, relaxing before a holiday abroad is proving difficult. This doubt can be a trigger for many to have a will written before they board the plane, ensuring that their money, property, possessions and investments go to the people and causes they care about. It is a macabre thought, but having a will is vital – over half of UK adults do not have one, meaning that their estate won’t go to where they would ideally want it to. For dentists planning on writing or amending their will, there are many questions to consider, such as how do you decide the best way to divide your estate? And, what happens to the business if you are a practice owner?

The bond of business

Dental practice owners have full-on schedules, juggling patient treatments with managing, developing and growing the business. Personal admin may therefore take a back seat – this can include writing a will. Documenting your succession is

imperative if you have family members or workers who are reliant on the business for their own financial security in the future. In the event of an untimely death, having a planned route for the practice to continue operating ensures that your dependents are provided for.

Without legal documents saying otherwise, administrators of your estate will share it, including your sole trading business assets, according to intestacy rules. Instead, having a Business Will allows your chosen successor to fill in your shoes – this can mean bringing in a close friend or family member or finding a suitable professional to manage the business.

In the case of the former, you will require a meeting to formally discuss the business and finances, ensuring that the recipient has sufficient knowledge to takeover in the event of an untimely death. Having a financial adviser with you can streamline the conversation, simplifying the essential information and providing continuity.

selecting your options

The two most important details of a will should clearly state who will be distributing the will (the executor), and how it’s going to be distributed. This takes considerable thought; who do you want to benefit from your finances? Those with children are likely

to leave a large portion of the residue of their estate to them, this being the property and money left over following funeral and admin expenses.

You may also have specific gifts for particular people, such as a painting you own or an antique that you wish to entrust to another. Identifying these more personal choices can take time, forcing you to take stock of your belongings and potentially having them valued.

Planning five years at a time

A will should be reviewed and amended every five years or so. If changed, the older will should be destroyed so there is no overlap or conflicting interest. Much can change in five years: you may have a child, or a new niece/nephew/grandchild that you would like to include in your estate. You may have pets that need handing over to a specific owner, a higher income or newer business interest to consider, or more property to manage.

You may also need to change Lasting Power of Attorney if that party is unable to act on your behalf owing to illness, personal issues or death. Switching costs £82 and the current PoA must be revoked for the new one to be active.

As a practice owner, the five-year recommendation also ensures that, if you

a professional valuation

Working with specialist teams such as those at Dental Elite will greatly increase your chance of getting a deal that works best for you. Clients are closely supported throughout the whole sales process, from initial consultation, through to valuation, finding a suitable buyer and progressing the sale, all the way to completion.

To get the multiple you need, getting the right advice is crucial. To stay ahead of the game, it is also helpful to gain a working knowledge of the terminology, external factors that affect your buyers’ decision-making process and a deeper understanding of how multiples are affected.

For more information on Dental Elite visit www.dentalelite.co.uk, email info@dentalelite.co.uk or call 01788 545 900 n

have selected someone to take over the business, that person is still happy and able to do so.

Managing your finances shouldn’t be a burden to face alone. money4dentists provides expert advice in a range of areas, from pension and retirement planning to life and critical illness protection. With a history that dates back over half a century, the team of advisers at money4dentists can ensure that your monetary issues are in good hands for now and the future.

Having a will that best manages and shares your finances removes worry, allowing you to take each day as it comes with the knowledge that your loved ones and dependents would be looked after should the worst happen.

For more information, please call 0845 345 5060 or 0754DENTIST. Email info@money4dentists.com or visit www.money4dentists.com n about the author Luke Moore is one of the founders and Directors of Dental elite.

authors Richard Lishman and Sarah Guilford at money4denitsts.

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