The Probe September 2025

Turning off and simple is as instant sensitivity pain as a flick of a switch

Turning off and simple is as instant sensitivity pain as a flick of a switch

100% of patients experienced instant2 & long-lasting pain relief3 1.5X more in vitro tubule occlusion vs competitive technology1

Recommend Colgate® SENSITIVE INSTANT RELIEF

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-IARG2-ED; 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.

NHS dental statistics show steady recovery

The NHS Business Services Authority (NHSBSA) has published its annual 2024/25 NHS Dental Statistics – England report, showing encouraging recovery and growth in dental services post-Covid-19. The report, which covers 2019/20 to 2024/25 NHS dental activity and workforce data, reveals that 35 million courses of treatment (COTs) were delivered in 2024/25 – a 4% increase from the previous year.

Child patient treatments (aged under 18) saw particularly strong growth, with COTs increasing by 7% to 12 million. Adult patient treatments also rose by 2% to 23 million COTs.

The dental workforce continued to expand, with 24,543 dentists providing NHS services in England – a 1.4% increase from 2023/24. This represents 42 dentists per 100,000 population, maintaining the

Dust off your

Bridge2Aid, a dental charity dedicated to providing sustainable access to emergency dental care in underserved communities, is encouraging the dental community to get involved in its 5k4B2A a virtual run, taking place on 11th October 2025.

Participants can complete a 5k wherever they are and however they choose, be it running or walking. A £10 donation to Bridge2Aid is all that

same national ratio as the previous year.

Other key findings include:

• 73 million units of dental activity (UDAs) were delivered, with Band 1 treatments – including check-ups, examinations, x-rays and preventive advice –accounting for 29% of total UDAs.

• Band 1 treatments made up over 60%

of all COTs, whilst 10% were urgent.

• 18 million adults received NHS dental care from 1 April 2023 to 31 March 2025, representing 40% of England’s adult population. For children, 6.9 million patients were seen from 1 April 2024 to 31 March 2025, covering 57% of the child population.

Whilst treatment figures show positive trends, the report notes that dentist availability still varies significantly across different Integrated Care Board (ICB) areas in England.

The British Dental Association, however, has said the new data underlines the need for urgency and ambition to fix NHS dentistry, with capacity still trailing pre-Covid norms and lightyears from meeting demand. The Association states that the figures highlight the limits of the pandemic recovery. 

running shoes for Bridge2Aid

is required to enter, with no additional fundraising or entry fees. Each participant will be entered into a prize draw with a grand prize of two places in a 2026 European marathon or half marathon. The event is in association with the British Dental Industry Association (BDIA), which has chosen Bridge2Aid as its annual charity partner. Bridge2Aid CEO Shaenna Loughnane highlighted the importance of the event, stating, “It’s a great way to spread the word about the incredible work Bridge2Aid is doing in East Africa and

the UK and raise vital funds to get more people out of pain.”

The charity's mission is to share oral health education and improve the competence of the local dental workforce in Tanzania, where oral disease affects an estimated 3.5 billion people worldwide.

Sign up at https://tinyurl.com/5k4B2A or scan the QR code.

In another major fundraising effort, over 100 senior figures from across the dental industry are uniting to take on the Snowdon Sunrise Trek on 19th September 2025. This trek, organised by Barker PR, aims to raise vital funds to support the charity’s work in addressing the global oral health crisis. The companies involved in the Snowdon Sunrise Trek include, Henry Schein and Optident, GC Medical, Rodericks Dental and EMS. To support the team and help Bridge2Aid expand its life-changing work, please donate here: https://www.justgiving.com/team/b2asnowdonsunrise

Dr Catherine Rutland joins Dentaid

As the charity’s work and profile has grown rapidly in recent years, this new role will help Dentaid increase its influence at Government level and to champion the charity’s approach across the dental sector and further afield. Catherine will represent Dentaid at a range of events in the dental sector and beyond and meet with MPs, commissioners, public health teams and stakeholders across the dental industry to show the long-term benefit of Dentaid’s work across the UK. 

Toothpaste made from hair provides natural root to repair teeth

Toothpaste made from your own hair may offer a sustainable and clinically effective way to protect and repair damaged teeth. In a new study, scientists discovered that keratin, a protein found in hair, skin and wool, can repair tooth enamel and stop early stages of decay.

The King’s College London team of scientists discovered that keratin produces a protective coating that mimics the structure and function of natural enamel when it comes into contact with minerals in saliva. 

Dr Catherine Rutland has joined Dentaid The Dental Charity as Head of Policy.

A welcome from the editor

September is here and with it comes the smell of freshly sharpened pencils. As the kids go back to school, The Probe brings you plenty of educational content this month.

A visual learner, there was nothing more satisfying than jotting down some bullet points in my exercise books as a school pupil. A bit overzealous, perhaps, sometimes the ink would soak through the page.

Nonetheless, in this issue, a pair of bullet-pointed how-to guides caught my eye as summer gives way to autumn. On page 50, Riaz Sharif offers fitness tips for dental professionals – always important but especially so for those in roles that aren’t the best suited to ergonomics.

The other is on page 84, where PFM’s Samantha Hodgson provides a step-by-step guide to help you decide whether you are ready to buy a practice.

We begin this issue, on the next page, with a tribute to Kevin Lewis written by his friend and colleague, Sara Hurley. Kevin leaves behind an incredible legacy in British dentistry and his impact will be felt for decades to come. From all here at The Probe, we offer our deepest condolences to everyone who had the pleasure to know Kevin Lewis.

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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

Jessica Diner Global Beauty and Wellness Director

Dr Nigel Carter OBE Chief Executive Oral Health Foundation

Dr Amit Jilka Principal Abbey House Dental

Janet Pickles CEO R A Medical

Dr Selvaraj Balaji Owner of The Gallery Dental and Implant Centre

Riaz Sharif Dentist at mydentist, Parkstone Road, Poole

Lianne Scott-Munden Clinical Services Lead Denplan

Samantha Hodgson Finance Broker PFM Dental

Remembering Kevin Lewis: The voice, the vision, the gentleman

Words by Sara Hurley

It’s not often that one person’s name becomes synonymous with integrity, wisdom, and quiet strength across an entire profession – but Kevin Lewis was such a person.

News of Kevin’s passing has reverberated across the dental community with a deep and genuine sense of loss. For many, he was a household name – first as a practitioner, then as Dental Director at Dental Protection, and finally as a writer, lecturer, mentor, and steady hand behind some of the profession’s most pivotal developments.

Kevin didn’t seek the spotlight, yet his influence was everywhere –measured not in titles or accolades (though there were many), but in the trust he earned. Trust from colleagues, patients, young dentists finding their way, and seasoned professionals navigating the stormier waters of complaints, litigation, and professional scrutiny.

He held a mirror up to the system without ever becoming cynical. In writing, he mastered the art of saying what needed to be said – blunt when it mattered, witty when it helped, and always humane. His columns were staples: not just for their insight, but for the warmth behind them. You felt, reading them, that Kevin truly understood your world.

But it wasn’t just his pen that left a mark. Kevin helped shape the values that underpin today’s indemnity landscape. His tenure at Dental Protection gave countless dentists the reassurance that someone genuinely had their back. Later, his work with BDA Indemnity set a new standard, rooted in ethics, accountability, and clarity.

He brought that same clarity to the birth of the College of General Dentistry. As a founding member of its Transition Board and later as a Trustee and Ambassador, Kevin lent his voice to the importance of professional identity, standards, and support across the whole dental team. His final public accolade –the College Medal, awarded just last month – could not have been more fitting.

For me, Kevin’s voice was both personal and pivotal.

When I was appointed Chief Dental Officer for England, Kevin’s quiet encouragement meant more than he could have known. His words were generous but grounded. He understood – perhaps better than most – what it means to shoulder national leadership in a profession that doesn’t always speak with one voice, and isn’t shy about raising it in criticism.

During the pandemic, as the noise grew louder and the criticism more pointed, Kevin’s words stayed with me: “If no one’s shouting, you’re probably not doing anything worth noticing,” he once quipped, halfsmiling in that gently defiant way only he could.

When I stepped down as CDO, it was Kevin who instinctively recognised that stepping away wasn’t stepping back – it was the continuation of a mission through different means. We shared a kindred spirit in what he once described as “constructive disruption”: the refusal to accept things as they are, simply because they’ve always been that way. He nudged the profession forward while keeping it rooted in compassion, ethics, and solidarity. Kevin believed in leadership as service – and disruption, when done

with integrity, as a duty. We shared that belief, and a sense of responsibility to keep pushing, questioning, improving.

In this, he stood alongside others we’ve recently lost, like Michael Watson, unafraid to call it out, to speak truth to power, and to put the profession before popularity.

To list Kevin’s achievements is to trace a timeline of modern dentistry. But to truly honour him, we must remember the man behind them. Kevin was kind. Measured. Generous with his time. Fiercely loyal to the profession. He listened more than he spoke – but when he spoke, people listened. Kevin was the calm voice at the end of the phone, the wise mind in the meeting room, the dry wit in the pub after a conference. A mentor without ever making a fuss about it. He helped others rise, always without expectation of credit.

Dentistry is richer because of Kevin Lewis. We owe it to him to carry forward his values: reasoned leadership, professional solidarity, ethical courage, and an unwavering belief in doing the right thing – even when it’s hard.

To his wife Rhiannon, his children Nick and Angharad, and to all who loved him, we offer our deepest condolences.

And to Kevin – thank you. You left this profession far better than you found it. You will be deeply missed. n

about the author Sara Hurley is the former Chief Dental o fficer for e ngland.

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Levelling the map or chasing a mirage?

Dr nigel Carter, CEO of

the Oral Health Foundation, examines the state of dental schools

This month, an estimated 750,000 young people are settling into university for the first time, beginning careers that will shape the next generation of the UK’s workforce. Dentistry, however, occupies a vanishingly small slice of this cohort.

In some parts of England, getting an NHS dental appointment can take months, or never happen at all. East Anglia is one of those places. In a recent House of Commons debate, Norfolk MP Steff Aquarone called it “the Sahara of dental deserts,” and he’s not wrong.

His rallying cry was for a new dental school at the University of East Anglia, which is approved by the GDC, facilities already underway, but now stuck in a funding limbo that could cost the region another lost year of progress.

The question is bigger than Norfolk. It is about whether building new dental schools is an answer to England’s deepening regional oral health inequalities – and whether government delay is simply storing up more trouble for the future.

where we train, we tend to stay

There’s a pattern in dentistry that’s almost too obvious to need a study: people often build careers near where they train. In medicine, it’s well established; in dentistry, the evidence points the same way. That’s great news if you live near a dental school – less so if you’re hundreds of miles from the nearest one.

Today, the UK has 16 dental schools, 12 of them in England. They cluster in major cities: London, Birmingham, Bristol, Manchester, Liverpool, Newcastle, Sheffield, Leeds. But swathes of the East, South East, and

parts of the Midlands have none. This regional imbalance mirrors – almost perfectly – the map of where NHS access is worst.

In Norfolk and Waveney, each NHS dentist is responsible for around 3,000 people. Factoring in working hours, appointment capacity, and the rising tide of unmet need, it’s clear that postcode is a predictor of oral health access. The problem is not just about recruiting more dentists – it’s about producing them in the right places.

expanding the pipeline

Opening a dental school is not like opening a supermarket. It requires specialist facilities, a network of clinical placements, highly trained teaching staff and, crucially, funded student places. The annual cap on dental student numbers has barely shifted in a decade, sitting at around 1,100 for the whole UK. Without lifting that ceiling, a new school diverts places from somewhere else.

This is why East Anglia should not be treated as an isolated case. If the cap remains fixed, one new school will not shift the national picture. The real

prize is using it as a trigger to expand the overall pipeline – increasing the number of training places across the UK, especially in regions where access is worst.

It also means giving dentistry a fairer profile in healthcare career promotion. Medical careers receive the lion’s share of public attention, with structured outreach programmes in schools and strong representation at careers events. Dentistry is often an afterthought. If we want to fill more training places and retain people in the profession, we must actively market it to young people as a rewarding, stable, and vital career.

if not this, then what?

Even if the green light were given tomorrow, the first fully qualified dentists from a new school would not emerge for another five years. That is a long wait for regions already struggling to cope. A dental school may be a vital part of a long-term fix, but it cannot be the whole fix. In the meantime, other measures must be taken to prevent the situation from worsening.

Bridging the gap will mean making the profession itself more appealing and accessible in the places that need it most. That starts with contract reform that makes working in under-served regions not just viable but attractive, coupled with tangible incentives to encourage graduates to put down roots there. It means empowering the wider dental team – hygienists, therapists, dental nurses – and ensuring they are commissioned to work in communities where access is poorest. And it requires thinking beyond the clinic walls, using community outreach and targeted prevention programmes to reach people who cannot wait half a decade for local provision to improve.

The government’s 10-Year Health Plan talks a good game on workforce planning and prevention, but unless those ambitions are matched by the resources to deliver them, they will remain words on paper.

our role in breaking the cycle

As a profession, we cannot simply watch from the sidelines. Dental schools are not built for academic prestige – they are built to train the people who will one day ease pain, stop disease, and prevent tooth loss in communities that have been waiting years for relief.

Whether it is writing to MPs, responding to workforce consultations, or supporting local advocacy campaigns, the dental voice carries weight. That voice matters most when it speaks for those who have none –the patients stuck in the queue, the parents driving 50 miles for a child’s extraction, the older adult waiting months for a denture replacement.

East Anglia’s proposed dental school could make a difference locally. But its real value could be as a starting gun for a broader national effort – one that unlocks more training places, rebalances the map of dental education, and gives dentistry its rightful place alongside medicine in the national careers conversation. Without that, we risk another decade of patchwork fixes and missed opportunities to change the system for good. n

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

Visit A-dec at the London Dentistry Show

A-dec is proud to be exhibiting at the London Dentistry Show 2025, taking place on October 3rd and 4th at ExCeL London. This unmissable two-day event welcomes thousands of dental professionals eager to discover the latest innovations, products, and dental techniques that are shaping the future of dentistry in the UK.

With more than 100 CPD-accredited seminars, engaging workshops, internationally renowned speakers, and over 250 exhibitors, the London Dentistry Show is an incredible chance to connect, learn, and discover solutions to help your practice thrive.

As a global leader in dental equipment, A-dec invites you to visit Stand B26 to explore the latest advancements in dental equipment design and discover how the right equipment can improve ergonomics, workflow, and patient experience. Show highlights including the A-dec 500 Pro and A-dec 400 Pro packages. The A-dec 500 Pro Package, the brand’s most advanced solution, features ultra-smooth movement, touchpad integration, and dynamic LED lighting, delivering seamless precision

and premium comfort. The A-dec 400 Pro Package combines responsive, pressure-mapped support with robust adjustability and a flexible delivery system – built to adapt to your team’s needs. All core products are now backed by our 10-year warranty, reinforcing A-dec’s long-term commitment to reliability and value.

You’ll also have the opportunity to speak with A-decs Territory Managers, experts in dental ergonomics, who will offer tailored guidance to help reduce strain and support optimal working posture. Don’t miss your chance to see A-dec in action. Visit Stand B26 and let your next dental equipment investment start with A-dec.

Can’t attend? Don’t miss out on discovering why A-dec continues to lead the way in dental innovation and take the next step toward enhancing your practice’s efficiency, comfort, and patient satisfaction. To learn more or to book a showroom appointment, email info@a-dec.co.uk or scan the QR code to book an A-dec Showroom appointment at Nuneaton (Warwickshire), Warrington (Cheshire) or Bracknell in Berkshire. n

Ending your professional relationship with a patient

Looking after people’s long-term oral health is one of the pleasures of dental practise but unfortunately your professional relationship with patients can sometimes break down with no prospect of getting things back on track. If there’s a complete loss of trust, it’s probably in everyone’s best interest for the patient to see another dental professional but just refusing to see them could make matters worse. These DDU tips should help you manage the end of a professional relationship.

Set boundaries

We recommend practices display a clear zero tolerance policy in reception and on the practice website, explaining what behaviour is unacceptable and will lead to patients being removed (and the police being called). The practice can refer to the policy when communicating with a patient about the decision to remove them.

Consider asking the practice to write to a patient whose behaviour hasn’t breached the zero-tolerance policy but still causes concern, e.g. they make personal comments about you which are unpleasant. If their behaviour is out of character, you could offer them an opportunity to discuss what happened and reset the relationship, but the letter should be clear why their behaviour is inappropriate and warn them what will happen if it continues.

The practice letter should set out the reasons for the decision and explain what will happen with the patient’s ongoing care.

Make arrangements for ongoing care

It’s important not to leave a patient in the lurch, especially if they are in the middle of a course of treatment. The GDC says: “You should take steps to ensure that

If you are worried about a patient, keep an incident log to support your decision-making.

Have a valid reason

The GDC’s guidance on ending a professional relationship with a patient (Standards for the Dental Team, paragraph 1.7.8) says: “You must be satisfied that your decision is fair and you must be able to justify your decision” and that it wouldn’t be acceptable to stop treating a patient solely because they have made a complaint. You mustn’t discriminate against patients for any reason.

Remember that a patient is likely to be unhappy with the decision, so you may be asked to account for your actions if they complain to someone else. It will help if you can show you have taken care over your decision so be clear about why the relationship has broken down and what you have done to try and rectify the situation. Discussing your decision with your defence organisation should help you test your reasoning and highlight any potential issues.

Can a colleague can take them on?

If the patient hasn’t been violent or abusive, it may be possible to transfer their care to another dental professional in the practice. If so, it makes sense to discuss this option with the patient first. If the patient is happy to move, you should transfer their care promptly so there’s no interruption to their treatment.

Inform the patient

If there is no one else willing or able to take over the patient’s care at the same practice, or if a ‘zero-tolerance’ decision has been reached, this should be communicated to the patient by the practice, and not an individual clinician. This is because the relationship between the practice and the patient has broken down rather than the relationship between the individual clinician and the patient.

arrangements are made promptly for the continuing care of the patient.”

For NHS patients this could be providing the contact details of the local NHS office and suggesting they obtain a list of NHS dental practices that can accept patients.

Meet your contractual obligations

If you need to stop seeing an NHS patient,

follow the relevant contractual requirements. This will vary depending on your location, e.g. in Scotland, the dentist will need to formally deregister the patient. Talk to your local NHS office if you are unsure of the process. No dental professional wants their professional relationship with a patient to fail but with the right approach, you can both make a fresh start. 

Tales of disdain and humiliation

Afew days ago, I was shouted at like I was some sort of medieval serf.

The incident was humiliating and completely over the top. It was basically a rollicking because, as a reluctant and overstretched golf croquet team captain, I had erroneously overplayed my club captain’s wife in my team’s final match of the season. I was frankly speechless, as were the lovely opposing captain and the retired Detective Chief Superintendent who also witnessed the outburst.

During the match, my captain marched into the clubhouse, came up to me and shouted: “GET IT RIGHT!” He then launched into a load of other stuff, which, quite honestly, became white noise and I switched off. During the outburst, I was immediately transported back to the late 80s and my long, hideous days at dental school.

After the croquet event, I felt like I’d been treated with complete disdain despite my tireless voluntary work for the club, and it brought back painful memories of my treatment at dental school as well as memories of how I used to try to support fellow students who had similarly fallen prey to deliberately hurtful barbs from lecturers in front of both patients and fellow pupils.

There was one particularly unpleasant senior lecturer - who mercifully never rose any further up the academic ladder - who bawled across the busy restorative clinic as he walked away from checking a fellow student’s cavity, ‘You’ve ruined that tooth! You may as well send her down to locals for extraction!’

Mercifully, another (kinder) lecturer went across to my friend’s unit and smoothed the waters with the patient. Of course, the student had done no such thing with the tooth. The second clinic lecturer later reassured the student that he’d maybe extended the cavity a teeny bit more than was desirable (remember “extension for prevention”?) but it was still a competent job.

I have spoken in The Probe in the past about my own treatment at dental school and the humiliations I suffered that were meted out by the shedload of sociopaths on my dental school’s teaching staff. But over the years I realised that the disdain with which dentists can be treated can follow them throughout their practising lives, whether it be from individuals or institutions.

Do any of you remember the campaign by Douglas Pyke in the 90s to allow UK dentists to use the courtesy title ‘Dr’? It was argued that such a move would have brought us in line with international norms – joining Australia, New Zealand the USA, as well as many European countries, yet the General Dental

Council was initially resistant –expressing concerns that it would cause public confusion and the distinction between medical doctors and dentists would be blurred.

Of course it would! I often walk into a clinic unsure as to whether I am there for a scaling or a look at my haemorrhoids!

Even some medical doctors and organisations were critical or wary of the change, being frankly disdainful of the public’s ability to discern the distinction between a dentist and a medic alongside the dentist’s ability to be honest in their use of the title.

I remember not long after retiring, at the end of 2018, that I led a revolt against the prominent corporate I had recently left after the company tried to force myself and my former colleagues into paying the full amount due after a Dental Assurance Framework audit. My colleagues and I had been working under incredible pressure for two or three years, having to tolerate support staff shortages and having to frequently work with locum staff not familiar with the company’s software system. After going through the audit, I discovered that a sizable number of treatment claims that had been challenged by the local health authority I had not actually authorised but had been subsequently added by nursing staff. It was later found that nurses had been instructed by various corporate managers to ‘maximise’ claims. In consequence, the associates found themselves facing an unexpected payback to the health authority.

The BIG problem was that the corporate insisted that the associates should bear the FULL cost of repayment, despite the fact that the company had, on average, taken 56% of the income from the erroneous claims. I had to threaten the corporate’s head of clinical services that I would report the company’s behaviour to the NHS nationally or the press if it didn’t pay its fair share of the payback. The corporate backed down, but it was the attitude of the company’s clinical services team that really got to me – implying that we had obtained money by deception when it was actually the corporate’s policy and directive to temporary and locum staff to maximise claims. There was complete disdain for the associate’s rights and any notion that we might actually object to being described as dishonest.

But if you’re talking about an ingrained disdain for health service dentistry, look no further than the carousel of UK governments that have overseen the service’s demise over the years.

Government after government

- including the wretched Labour Government that brought the evil

UDA-based contract into existence in 2006 – have consistently ignored expert opinion that the NHS contract is unfit for purpose. Despite being criticised for not far off two decades, governments have only made minor adjustments rather than implementing fundamental reforms.

The British Dental Association has branded government responses as “piecemeal” and quite rightly accused it of ignoring professional advice.

Chronic underfunding and a failure to ensure that the dental service keeps pace with inflation puts oral health at risk, yet government ministers often frame the issue as a matter of “access” or “uptake” rather than a funding crisis, thus avoiding responsibility for real-term cuts.

In true Trumpian fashion, governments have downplayed the scale of the dental crisis, or even completely denied that there is one, by claiming that NHS dentistry is “recovering” despite the growth of dental deserts and the myriads of despairing tales of victims of access presented by the Toothless In England campaign. Public outcry is effectively ignored.

Of course, governments repeatedly and blatantly shift responsibility to dentists, implying that dentists choose not to offer NHS services –completely ignoring the reality that many are driven out of the NHS by unsustainable contracts and financial losses. The blame-shifting both demoralises dental professionals and makes recruitment and retention almost impossible.

The short-term “fixes”, like the oneoff £50M dental funding boost, have been labelled as ‘too little, too late’ and do not address structural issues.

But the disdain governments have for the public is beyond words, with worsening dental health inequality amongst children and low-income adults being disproportionally affected.

Delays in increasing training places and a lack of a realistic and workable strategy to retain experienced dentists in NHS roles seems a universe away. Workforce issues are consistently kicked down the road due to election cycles.

When NHS dentists have put everything into their work and have cared for their patients with dedication over many years, no one would surely blame them for securing their futures with a switch to the private sector after enduring the disdain with which government after government has treated them? Unless a near miracle occurs in the public dental service, finding a more enjoyable path in the private sector is surely the way to go?

As for me, it’s time for a change. Off to a new croquet club, I must go. Hoop hoop n

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

It affected every part of my life.

No dentist should face the turmoil of a claim against them alone. If it happens to you, our dentolegal experts will help keep you grounded.

Join the No.1 for protection and be ready for whatever life throws at you.

What the GDC’s working-patterns data says about dental nurses

polly Bhambra reports on the GDC’s latest analysis of DCP working patterns and what it means for dental nurses

If you want to understand the health of UK dentistry, look first to the people who keep it moving: our dental nurses.

The General Dental Council’s latest analysis of dental care professionals’ (DCP) working patterns finally puts numbers behind what many of us have felt for years – a committed workforce, predominantly employed and overwhelmingly clinical, holding practices (and patients) together.

The question is: how do we turn these insights into action that improves careers, and retention?

what the data tells us

The GDC’s survey reached 43,692 DCPs (58% of the DCP register), representing 54,600 professional titles (64%). Dental nurses are the largest group by far. And most respondents in the DCP dataset are dental nurses – more than three quarters. That breadth gives the findings real weight in workforce planning conversations.

Look at employment status first. Nearly nine in 10 dental nurses (88%) are employed. With a small proportion self-employed/ locum (7%) and around 3% on parental leave. In other words, dental nursing is structurally an employed profession, unlike dental hygiene and therapy where selfemployment is far more common.

Any policy or practice solution that ignores this reality – from pay, to progression, to benefits – will miss the mark.

Now consider how we actually work. Half of dental nurses work 30-40 hours a week. A further 28% work 20-30 hours – a clear signal that full-time and substantial parttime patterns dominate.

Most nurses are rooted to a single site: around 81% work in one location. With only 11% in two, and a tiny minority commuting between multiple sites (some even seven or more). That stability is a strength for continuity of care and team culture – but it also means that flexibility needs designing into one workplace, not assumed via multi-site rotations.

where do dental nurses work?

Two-thirds (66%) are in general practice, with around 13% in specialist practices and 5% in dental hospitals.

Geographically, the spread mirrors the wider system: 81% in England, 11% in Scotland, 5% in Wales and 3.3% in Northern Ireland.

If you’re commissioning services or recruiting, these are signals about where support and investment will land.

Clinical/non-clinical balance?

Forty-four per cent of dental nurses report being fully clinical. With a further 25% split between clinical and non-clinical work. That split role is important: it recognises the reality of what dental nurses actually do – decontamination, compliance, coordination, treatment planning support, patient communication – and why ‘chairside only’ job descriptions no longer reflect modern practice.

the funding mix.

More than a third (37%) of dental nurses say they provide a mix of NHS and private care; 22% are private-only with another 10% mostly private. This is a workforce living the everyday reality of mixed practice. And juggling different expectations and administrative burdens within the same week.

If you’re a dental nurse reading this, know this: the profession is finally talking about you with numbers, not just anecdotes

Reading between the lines

1. Employed status, limited ladders. When 88% of your workforce is employed, the onus falls on principals and managers to build clear career pathways: lead nurse roles, decon/compliance leads, treatment coordination, radiography, impression taking, fluoride varnish, mentoring and education. Without visible ladders, you can’t be surprised by attrition

2. With 44% fully clinical and a quarter splitting roles, contracts and rotas should explicitly value the “invisible” non-clinical work that keeps the CQC (and the surgery) happy. Build it into job plans, not as overtime favours

3. Because most nurses work in a single location, flexibility must come from smarter scheduling (e.g., school-friendly shifts, predictable rotas, annualised hours), not from expecting people to fill gaps across multiple sites

4. Operating across NHS and private lists requires different communication styles and time allocations. Invest in conversational skills and digital tools that help nurses manage that shift hour-to-hour

5. With a visible cohort on parental leave, re-entry routes matter.

A guide for principals and managers

1. Write the job the way the work is actually done. If your nurses split clinical and non-clinical tasks, reflect that in contracts and pay banding. Create protected time for compliance, stock, audits and patient follow-ups – and stop squeezing it into lunch. Your governance will improve and burnout will fall.

2. Build a visible skills escalator. Map a nurse’s career from day one to senior leadership in your practice. Publish it. Talk about it. Fund it.

3. Rethink flexibility where it’s needed most – on one site. Because 81% of dental nurses work in a single location, consider school-hours clinics, fixed ‘A-day/B-day’ rotas, and predictable Saturdays on rotation. Small changes in predictability are often worth more than abstract promises of ‘flexibility’.

4. Train for mixed-model communication. With 37% working across NHS and private in the same role, invest in short, scenario-based training. Patients will feel better informed resulting in improved uptake.

5. Create a confident return pathway. Offer refresher sessions for those coming back from parental leave, pair them with a mentor and stage their return over four to eight weeks. You’ll hold onto talent and cut the time to full confidence.

6. Move beyond “years served” to “skills held” levels of pay. If a nurse adds radiography or takes on decontamination leadership, reflect it in the pay packet. It’s fair – and cheaper than replacing them.

7. Make recognition routine. Whether it’s monthly shout-outs, CPD vouchers or nominating nurses for external awards, visible appreciation changes culture. People stay where they feel seen.

Follow

A call to the profession

The GDC has given us the data; we need to supply the leadership.

If you’re a principal or manager, pick two changes you’ll make this quarter: publish a skills escalator; schedule protected non-clinical time; pilot a family-friendly rota; or launch a returner scheme. Then measure the impact: retention, sickness, satisfaction, patient feedback.

If you’re a dental nurse reading this, know this: the profession is finally talking about you with numbers, not just anecdotes. Use the data in your appraisal. Ask about the skills escalator. Put your hand up for that lead role.

Your work is the constant in a system that’s still finding its future.

I started my journey as a dental nurse. Everything I’ve built since –practices, teams, training – rests on the truth this report underlines: dental nurses are not an afterthought. They are the backbone.

Let’s design careers, rotas and recognition like we mean it. n

About the author polly Bhambra, practice principal at treetops Dental surgery.

Inserting oral health into mainstream conversation

Jessica Diner, a prolific global beauty and wellness director, is working with Curaprox to promote the benefits of oral health for all. Here she shares some insights into her own experience of dental wellbeing and why this is such a great passion project for her

From your perspective, what do you feel are the most important connections between oral health and beauty / wellness?

Oral health is the stealth foundation of beauty and wellness. It impacts not only the appearance of our smile but also the microbiome, systemic health and even self-confidence. We talk endlessly about skincare routines and gut health, yet the mouth – the true gateway to the body – is often overlooked. For me, oral care is integral to a truly holistic approach to beauty.

How important do you think it is for people to recognise this link? Do you think knowledge in the area is currently lacking and why so?

The link between oral health and overall wellbeing is long overdue a place in the mainstream wellness conversation. The knowledge gap often stems from oral care being seen as purely functional or clinical – not aspirational – but this is changing. As the mainstream wellness world becomes more science-literate and discerning, people are beginning to understand that oral care is not a siloed category, but a central pillar of good health.

Why is this a topic that you personally feel strongly about?

I’ve seen first-hand how beauty and wellness narratives can evolve – and how powerful that shift can be. When people feel informed and empowered, they make better choices. Curaprox has been instrumental in reframing oral care through a more elevated, design-led and educationfocused lens, which really aligns with how I think about beauty and wellbeing: intelligent, considered and quietly transformative.

Are there any specific areas of beauty and wellness that you foresee oral health becoming a greater part of?

I see oral health becoming central to the conversation around longevity. The science is compelling – good oral hygiene supports everything from cardiovascular health to cognitive function. It’s a simple, daily act with long-term impact. That’s where I see the shift: from quick-fix hacks to deeper, more sustained care.

Are there any emerging trends that might accelerate the interest in oral health among the general population?

The rise of preventative health, personalised supplements and microbiomefocused routines has set the stage for a new wave of oral care innovation. Add to

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that the influence of social media, where close-up beauty is the norm, and you have a cultural moment that’s primed for change. People want their rituals to be both effective and beautiful. Oral care can – and should –offer both.

When it comes to spreading educational and motivational messages regarding oral health, how do you feel your experience and network will benefit the cause?

My hope is that in sparking conversation around dental care, not just for adults but for the whole family, that it elevates the category into something that people want to join in the conversation of.

Do you feel beauty and wellness experts/practitioners can help promote the oral health message? If so, how would you foresee them doing so?

Practitioners already hold so much trust –whether doctors, dentists, nutritionists or wellness coaches – and they’re uniquely placed to normalise oral care as part of a wider lifestyle approach. It’s about shifting the narrative from clinical to conscious. That might be as simple as recommending the Curaprox toothbrushes that are soft and

gentle but still so effective at cleaning, or as integrated as including oral microbiome education in treatment protocols.

Is there anything else you would like to add?

Oral care deserves the same attention and aesthetic consideration as any other aspect of modern beauty. Curaprox has made this feel possible through Swiss innovation, design intelligence, a flair for elevated products and a real commitment to long-term oral health. It’s time to raise the bar (or brush!) in product, in education and in experience.

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

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

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Putting our associates front and centre

amit

Jilka BDS, MJDF, rcSeng talks about the growth of his Abbey House Dental group and how having the right training and equipment helps team deliver exceptional dental care

Abbey House Dental in Stone, Staffordshire was founded by myself and my wife Mumta – who is also a dentist – in 2012. It was early on in our careers and at that time we just wanted to develop the practice and its facilities and had no immediate expansion plans.

Together, we have always shared a passion for high-end dentistry. Having trained with the Oral and Maxillofacial team at Queen Elizabeth Hospital in Birmingham, I wanted to focus on surgery related aspects of dentistry, especially dental implants, while Mumta wanted to focus on orthodontics and smile makeovers.

The Abbey House practice saw rapid growth from the outset, quickly growing from two surgeries to five. Having seen the potential, we decided to invest in a second practice, and a third followed soon after. We’ve now established our fourth practice and number five will be ready to open shortly.

Focus on training

As we’ve grown, I’ve come to realise the importance of training other dentists to do what we do. Our approach to growth has been to always put our associates at the forefront of everything that we do and to help them grow clinically and build confidence in their own skills. As well as mentoring other dentists, we are also a training centre for sedation. We have three accredited mentors approved by the Royal College of Surgeons to train our associates in IV and inhalation sedation, and all our associates are trained in sedation from day one.

At our Festival Park practice, we have opened a new training academy that can accommodate up to 40 people, and I hope to run clinical hands-on courses and business-related courses at this site. While this is still in its infancy, it’s something we’re looking to really develop. And because we now have over 110 members of staff, including 35 clinicians, we are already using this facility for our clinical meetings and running in-house courses for our own practice teams.

Mentoring associates

As a result of our expansion, I find I’m doing less clinical work and concentrating more on the business side of things and mentoring our associates to help them to offer the full range of dental treatments, but with a particular focus on dental implants and the provision of clear aligners.

While I do miss the day-to-day clinical work, I am still involved in more complex implant cases, placing implants or helping with grafting or sinus lifts. I may not be responsible for the patient throughout their whole journey but I’m very hands-on as a mentor and it’s very much a team effort until the associate is ready to fully take on these types of cases for themselves.

Quality equipment and support When choosing handpieces and equipment for a practice, it’s often tempting to go for the cheaper options, particularly when first starting out. However, in my experience, you soon discover this can cause many problems. Things break or the bearings go, and more than anything you feel like you’re doing a disservice to your patients.

We take great pride in training others at Abbey House Dental, and that in turn dictates the type of equipment we use. That’s why we use NSK equipment and handpieces in all our practices. Quite simply, NSK works the best, its products last the longest and they’re easy to service and repair. And it’s not just about the equipment. The customer service we receive from the NSK team and in particular our

local NSK Product Specialist, Andy Hargreaves, is always top-notch. Andy is always on hand when we need him and if we have a problem or query, he’s always happy to call in and see us, which is just so helpful for everyone.

Having the same equipment in each practice makes our lives so much easier. I also think this sets a standard when associates join our team. They can see that the kit they will be using every day is top-quality, high-end equipment, which is a clear indication that Abbey House believes in quality care – and that’s what we expect from them.

As well as NSK turbines and contraangles, we use NSK micromotors for implant surgery. I’ve been using the Surgic Pro since I first started placing implants over 10 years ago, and it’s still going strong, which is a real testament to the motor. We also have the latest Surgic Pro2 that’s built to the same high standards but with a higher specification – and we’ve never had issues with either model.

When it comes to the care and maintenance of handpieces, we use the NSK iCare handpiece oiling machine, because if a handpiece is lubricated properly after every use, it lasts longer, repair bills are reduced and that brings the business a cost saving overall.

the personal touch

At Abbey House Dental we’re passionate about running all our practices to the highest standards of dental care while helping our associates to focus on expanding their knowledge and achieving the best outcomes for patients and clinical team.

For us, it’s all about the personal approach. We are a family run business, and we want everyone to feel a real connection to our practices, and to myself and Mumta as practice owners. We strive to encourage our whole team to grow and develop their skills, to feel empowered and valued to help each practice grow, and to reach their full potential by making Abbey House Dental a fantastic place to work.

For more information on NSK’s handpieces and small equipment please visit MyNSK.co.uk

To become part of Abbey House Dental’s growth, visit abbeyhousedental.com and send us a message. n

about the author

Dr amit Jilka is the clinical Lead of abbey House Dental and mentors other dentists in dental implants and cosmetic dentistry.

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Elevating sterilisation protocols beyond the autoclave

Streamlining successful sterilisation

At the core of all dental care is the safety of all involved. Patient safety in particular is not only integral throughout a procedure, but it is also deeply rooted in the preceding and ongoing interactions. To meet the expectation of safety regarding instruments, sterilization protocols must be consistent and unfaltering.

While the autoclave remains a vital step in eliminating harmful bacteria, truly comprehensive infection prevention extends far beyond this singular piece of equipment. When patient safety is the factor on the line, the sterilisation of instruments must be a meticulous, holistic process. Instruments must always be sterile, but to maintain the highest sterilisation standards without compromising the integrity and product life of instruments, effective maintenance is also essential.

Dentists have an extensive array of tools at their disposal, but dental handpieces present a particularly unique and significant challenge in reprocessing. These devices are constantly in contact with the oral environment, exposing them to substances such as saliva, blood, tissue, and microbial flora. Unlike simpler instruments, handpieces are carefully engineered with complex internal structures to meet the precise demands of their use. They consist of fine water and air channels, a web of tiny lumens, and sophisticated mechanisms which collaboratively make the instruments more susceptible to contaminants.

Complicating matters further is the phenomenon of ‘suck-back’, where the use of the handpiece comes to a sudden stop, oral fluids can be pulled deep into the internal system. This makes thorough cleaning and lubrication of the internal mechanisms particularly difficult. When selecting handpieces, for the safety of your patients and team, it is prudent to choose those that are designed to limit or remove the risk of suck back with antiretraction systems like the Hygienic Head system from W&H.

Inadequate sterilisation in between patients has extensive consequences. Insufficient pre-sterilisation cleaning of instruments can result in organic debris, biofilm, and microbes becoming baked onto internal surfaces due to the hightemperature of the autoclave. When this occurs, a protective layer may form to shield contaminants from the sterilising steam, compromising the entire process, and increasing the rare, but real, risk of crosscontamination between patients. Essential equipment such as washer disinfectors ensure high standards of cleaning and decontamination prior to sterilisation. These events can also negatively impact the practice itself, with possible damage to expensive instruments or the decontamination equipment directly. Repercussions include costly repairs or replacements, patient dissatisfaction, and poor patient reviews which will harm the practice’s reputation. Beyond these are the effects that repeated instrument failure can have on team morale. Avoid disruption and added stress by investing in reliable products, eliminating the stress of working with unreliable tools. Making

sure that the products you use comply with current requirements being demanded by ethical and governing bodies who are placing emphasis on strict decontamination protocols. Failure to properly sterilise and maintain equipment can result in regulatory breaches which could have legal consequences, potential fines, failed inspections and even the temporary closure of the practice.

Correctly lubricated handpieces will protect your investment long term whereas insufficient lubrication can cause premature wear of the bearings. Ensuring consistently high standards of handpiece maintenance avoids the risk of instrument malfunctions and the potential of unexpected repair costs.

Automating handpiece maintenance helps ensure reliable, consistent care, protects valuable equipment for years to come, and frees up clinical time for patient-focused tasks. Allowing dental professionals to utilise their time more efficiently, focussing on patient care rather than maintenance tasks. No longer seen as a luxury, these systems are an integral component of the decontamination workflow, optimising cleaning, and lubrication, directly adhering to the required guideline standards, and enhancing efficiency.

In modern dental practices, the demand for safer, more effective, and more efficient instrument maintenance is growing. Protecting patients remains paramount, and preserving valuable instruments and maintaining seamless workflows are just as vital. Fortunately, the technology surrounding this field has developed synchronously, providing equipment to match all the needs of a dental practice, making it faster and easier to maintain products.

When looking for products to rationalise your processes, the W&H decontamination products offer a gold standard solution with the Assistina Twin, a handpiece maintenance device with a uniquely innovative duochamber system which allows continuous loading with no interruption. The technology offers consistently effective oiling, using innovative oil nebulisation technology to execute deep internal cleaning and precise lubrication in just 10 seconds. This ensures instruments are quickly and easily prepared for sterilisation, extending their lifespan, and removing the risk of cross-contamination.

Enhancing sterilization protocols to include an all in one synergistic solutions from companies like W&H, is essential in today’s dental field. With increasing demands for patient safety, regulatory compliance, and overall efficiency, there is no longer the space nor time to waste on outdated, ineffective methods. By incorporating more advanced, reliable instrument maintenance, dental practices can confidently remove the risks surrounding dental contamination.

To find out more about the full range from W&H, visit www.wh.com/, call 01727 874990 or email office.uk@wh.com n

about the author

Jon Bryant, National Sales & Marketing Manager, UK & ireland, at W&H.

Effective infection control requires a comprehensive workflow that affects every part of the dental practice. From the instruments used to the surfaces touched, the equipment utilised and the people who come into contact with patients, all must be appropriately considered to minimise the risk of spreading infection.

One of the most important steps is the cleaning, disinfection and sterilisation of clinical instruments. Having access to sterile instruments is integral to the daily running of the dental practice, so it is up to the team to optimise protocols for a seamless workflow.

a spotlight on instrument sterilisation

There is no argument that the quality of instrument decontamination is crucial for the safety of patients throughout the dental practice. However, the efficacy of the process is just as vital. This necessitates coordination among the professional team, as well as access to the right equipment, allowing practices to achieve the highest standards of infection control.

There are several potential errors associated with instrument sterilisation, which can occur across the healthcare sector. The most common (89%) arises from failures in visualisation – where the team insufficiently inspect or identify instruments during the decontamination and surgical or clinical workflow. The literature suggests that these pitfalls cause a delay to proceedings in more than half of cases reported, leading to significant lost revenue for the medical facility. In the dental practice, the extra 10 minutes here and there needed to reorganise instrument trays (or replace those that had not previously been inspected closely enough) could have a detrimental impact on daily schedules and patient experiences.

Another common issue can be caused by incorrectly loading instruments into the autoclave. For example, overlapping instruments will prevent them from being sterilised as the steam may not be able to penetrate all the necessary component surfaces. Overloading can also reduce the autoclave’s ability to reach the required temperature for the necessary amount of time, once again compromising the sterilisation process. Not only will instruments need to be reorganised and the autoclave run again – disrupting the daily workflow – but there is also an increased risk of breaking either the instruments or the autoclave itself. The latter would cost the practice in both time and money, as repairs or replacements will often need to be completed as quickly as possible.

– which saves significant time compared to manually washing instruments. In addition, the automated and validated process affords greater peace of mind that instruments are subjected to a universal standard of presterilisation cleaning and disinfection for enhanced consistency in quality assurance.

Hands and surfaces

Of course, the instrument decontamination workflow is not the only one relevant to the safety and efficiency of the dental practice. Comprehensive protocols must also be in place for hand hygiene and surface disinfection processes. Although many of these are second nature for the dental team, it is essential that reminders are regularly provided to professionals to ensure continued adherence with high-quality processes. There is also important work to do with regards to patient education. Did you know that more than a quarter of British adults are believed to skip washing their hands after using the bathroom – even today, post-pandemic? Simple posters in the washrooms or in the waiting area to encourage good hand hygiene is an excellent extension of the team’s commitment to optimising health and safety throughout the practice.

Keeping the team up-to-date

To share best practice with patients and to maintain exceptional standards in all infection control workflows, it is important that staff are adequately educated and supported. This is especially relevant to new staff members to the practice or those who have recently qualified. Even for more experienced professionals who may be familiar with the steps involved, frequent refreshers are mandated as part of the Enhanced CPD requirements. These are also great opportunities for individuals to update their knowledge about new products or equipment.

To further streamline the instrument sterilisation workflow, instruments can be efficiently prepared for sterilisation with the use of a washer disinfector. This is a requirement for compliance in Scotland according to SHTM 01-05 and an important step towards best practice in England as per HTM 01-05. This step is highly effective in removing physical contaminants from the instruments, rendering them ready for the autoclave. The process can also take place while staff are completing other tasks

When you work with leading providers of infection control solutions, this training is made all the easier. Eschmann, for example, is known as the expert in dental decontamination, providing world-class autoclaves, washer disinfectors and Reverse Osmosis (RO) water systems designed for dentistry. They deliver Enhanced CPD training for team members at installation of this equipment with their Care & Cover package, with the option to top up training annually as part of the service plan. Infection control is much more than a regulatory tick box exercise. To optimise protocols and ensure the safety of patients and colleagues alike, it is essential that staff have the ability and confidence to perform related tasks correctly. Successful instrument sterilisation is a major part of this. For more information on the highly effective and affordable range of laundry solutions available from Eschmann, please visit www.eschmann.co.uk or call 01903 753322. n

about the author Nicky Varney, Head of Marketing at eschmann.

Making 3D printing part of practice culture

Though once considered an innovative breakthrough, 3D printing is now a well-established tool in the dental industry. From digital scanning to immediate intramural manufacturing, the technology has become growingly accessible, well-integrated into workflows, and easy to use. With successful implementation, dental practitioners can further their practices, maximising the technology’s value by empowering the entire dental team to use it confidently.

Trusting your tools and your team

In the majority of clinics, 3D printers are still treated like a specialist tool. Training merely a few individuals within a workplace on equipment so vast in potential is a huge disservice in itself. However, the more individuals within the practice able to operate the equipment, the better the team can fully maximise on its potential. Furthermore, the team approach towards a 3D printer deems it an even more attractive investment for practices currently without one.

Though it can be daunting to offload responsibility and skillsets to colleagues, it is already being successfully achieved in many areas of the profession. For example, dental nurses are progressively becoming trained in a plethora of departments and roles. Expanding their expertise not only benefits practice efficiency, but also improves the team’s agility and adaptability. Increasing accessibility of tools such as 3D printers to more colleagues allows the practice to gain flexibility in its clinical workflows and

eventually, builds business resilience. Trained staff can help speed up appointments, developing more trusted and dynamic relationships with patients, and significantly expanding the prospect of business growth.

Strategic upskilling

Upskilling actually means saving costs in the future. With dental nurses able to safely share the workload, dental practitioners are able to utilise their time more efficiently. When dentists are able to delegate tasks, they have more time to focus on higher value treatment or seeing more patients. A survey exploring the motivation and job satisfaction around upskilling dental nurses proves the benefits to be immeasurable. With additional responsibility granted, team members feel greater recognition, improved collaboration with peers, and overarchingly, develop higher job satisfaction. With practices nationwide facing recruitment and retention challenges, these elements are absolutely essential.

Practices demonstrating innovative methods of staff delegation and digital progression attract talented and ambitious clinicians and team members who seek to work with modern tools in a mutually-trusting work environment. This undoubtedly leads to a higher calibre of applicants, only bettering practices; the return on investment is incredibly valuable.

One of the theorised inhibitions of 3D printing is that the knowledge needed to ensure efficient equipment operation relies on extensive training and time. However, leading dental systems today often do not require the degree of preparations anticipated. Short,

practical onboarding sessions for team members can encourage the confidence and skills necessary to navigate tools and understand processes. Dental nurses’ clinical confidence increases, as well as their communication and responsiveness with patients. This concept also provides positive career development for individuals, further benefiting the practice and again building confidence and morale within the team.

Investing in the right tools

The SprintRay Midas 3D printer addresses these obstacles directly. Designed specifically for rapid chairside use, Midas has the ability to create high-quality crowns, veneers, indirect fillings, and more, whilst offering same-day dentistry with a turnaround of just 45 minutes for a single crown from design to placement. Reduced chair time optimises chair efficiency for practitioners, and creates time to spend with more patients. Moreover, the product requires minimal training, with error-free technology.

The reality is that in a post-pandemic world, patients expect flexibility and speed of treatment, something that makes a huge difference to where patients choose to go to for their dental care. 3D printing provides the opportunity for same-day dentistry, leading to the faster, more affordable solutions patient desire. Additionally, patient benefits of being treated using a 3D printer include more personalised care, improved treatment predictability and precision, enhanced comfort, and even benefits regarding health and sustainability such as lower radiation exposure. Of course, progressing a team and practice requires more than merely enthusiasm, but the right tools too. 3D printers are an investment, require relevant training, and proper maintenance.

Investing in 3D printing is more than merely introducing a new machine, it is the beginning of an investment into the whole team and practice future. New technology is good, but implementing it with a shared team ethos is great. When revolutionary tools and extensive usage of such are implemented into daily practice, the rewards are endless: shortening treatment time, enhancing engagement, boosting team morale, and improving business performance. Advancing with tools such as 3D printers can often be deemed unnecessary due to perceived usage. However, return on investment is absolutely worthwhile when fully utilising the equipment, which includes training the whole team.

For more information on the 3D printing solutions available from SprintRay, please visit https://sprintray.com/en-uk/ 

About the author Ross Phillips, SprintRay Area Manager, UK & Nordics.

Optimising business growth in implantology

Although market growth has slowed in recent years, it has been predicted that demand for dental implants will increase by a 9.9% CAGR (compound annual growth rate) by 2030. This is at least partially driven by an aging population and the increased risk of tooth loss with age – which is reflected in reports showing that only half of over-75s have 21 or more natural teeth. With demand for restorative solutions expected to increase in the years to come, there is massive potential within the dental implantology field for professionals to develop into. To deliver the highest standard of implant care while maximising on the benefits afforded to the clinician and the practice, it is important to take a strategic approach to growth in this area of the business.

Define your value proposition

Whether operating as a sole dentist or as a practice, it is crucial to define exactly what you are offering, to who and how. You need to establish what makes you stand out from the crowd, what you can provide that others can’t. This will not only help you clarify your services for your team, but it will also inform how you communicate with patients. Your marketing plan should reflect all the unique selling points that you offer, encouraging patients to enquire about treatment in your practice over another provider. Promotional material should offer an insight into how you ensure high-quality results and a comfortable patient experience, as well as communicating your core values and ethos. It should also take into account who your core audience is and be designed to target those patients who are most likely to benefit from implantology – for example, those

in the older age groups with greater disposal income. From website content to social media channels, direct marketing and partnerships with other local businesses, it is crucial to maintain consistent messaging that really shows your implant services in the very best light.

elevate internal protocols

Before you even have patients coming in the door, it is vital that you have the right infrastructure within the practice to facilitate seamless implant treatment. For businesses with a treatment coordinator, for example, this will require the implementation of clear and concise protocols for new patient enquiries. There also needs to be a process in place for patients to receive the necessary dental hygiene care pre- and post-implant surgery, further utilising the services available in-house. For a treatment modality like implants, which requires significant investment from the patient in terms of time, money and commitment to oral health, every part of their journey will be scrutinised. Research has found patient satisfaction with dental treatment to rely on a number of aspects other than quality of dentistry, including staff behaviour, facilities, waiting time, perceived value and cleanliness. All these factors should be accounted for to elevate the patient journey.

ensure team confidence

Of course, the delivery of all this depends on a team with the necessary skills and

capabilities to maintain high standards across the board. With regards to the clinical treatment, only evidence-based techniques should be employed by the surgical and restorative teams, who must have sufficient knowledge to treat the range of clinical needs you expect to encounter.

All team members should also be confident in performing their role within each patient’s implant pathway. Whether they are responsible for greeting the patient, providing initial information, taking a medical history, performing implant placement or offering maintenance support for the years afterward, each professional is key to success.

Consequently, all professionals require up-to-date and continuous training and education in the field. This should be provided to all new team members and encouraged for clinical team members routinely in order to ensure they remain abreast of the latest concepts and treatment concepts in the discipline for predictable patient outcomes.

Build a strong network

The team will also need access to a broad range of high-quality products and equipment, including advanced imaging systems and the software to integrate it all. If you are fairly early on in your implant business journey, and don’t have a CBCT in-house, this might require building relationships with referral practices who can perform the imaging for diagnostics and treatment planning.

Building business in endodontics

Business development and growth is a priority for practice principals and their teams across the UK. The turbulence of the national economy means that you never know what is around the corner, increasing the importance of future-proofing and enhancing business resilience. For those looking to achieve this by maximising their endodontic offerings, there are several aspects to consider.

team

As many as 94% of general dental practitioners refer patients for an endodontic problem in the UK. This number may increase further when considering newly qualified clinicians, with endodontic confidence among dental students found to be highly varied, peaking when faced with advanced situations – as would be expected. The reasons for referral vary, but most commonly include anatomical challenges, root canal retreatment, trauma, medical factors and iatrogenic errors. To establish yourself as a competent referral centre, it’s crucial that your team can confidently take on such cases. As demand for services grows, the team must be adequately trained and prepared. This might mean advancing the skills and capabilities of in-house staff, facilitating clinical courses or even supporting individuals on the pathway to specialism. It is also necessary to consider the training needs of more than just the clinicians. For example, dental nurses are

integral to smooth and effective endodontic procedures, so ensuring they have sufficient skills and confidence in the field is essential. In addition to investing in the team, the opportunity to diversify skills and use their full scope of practice is great for increased job satisfaction among team members as well. In a world where staff retention is crucial – especially with regards to talented dental nurses – this can only be a positive for the future of the business.

Marketing services and referral relationships

Once the team is in place, attention should turn to promotion of the services available. This may take different forms depending on the practice’s situation, but will likely centre around building a trusted referral network. Direct marketing tends to work well in order to effectively target practices in the surrounding area who may not offer advanced endodontic care in-house. Sending flyers, emails or even giving them a call allows you to communicate exactly what you offer and how you can help them and their patients.

Once colleagues show interest or even start referring patients to you, managing this professional relationship becomes crucial. Communication must be kept open and consistent, both during an active referral and beyond. When a referred patient is undergoing treatment, be sure to keep the routine clinician informed of progress, maintaining a

If you’re in the market for an imaging system, or any other dental implant-related products, you’ll need to work with a supplier you can trust. This means finding a company that offers solutions backed by science, with a solid reputation for excellent customer service too. Where possible, it is also hugely beneficial to work with an organisation that can cater to a broad range of your needs, reducing the number of suppliers you have to liaise with. For example, BioHorizons Camlog provides a comprehensive portfolio of clinically-evidenced dental implant systems and complementary biomaterials. Not only are the solutions designed to optimise predictability, stability and longevity of clinical results, but they also help to streamline the workflow for an excellent patient and professional experience. In addition, all solutions come with exceptional support from highly dedicated customer service and Territory Manager teams who are always on hand to provide information and guidance.

Sustainable success

To accelerate your business growth in dental implantology, it’s important to define your value proposition, market effectively, define your protocols, train your team and build a trusted network to support your practice. For more information on how BioHorizons Camlog can support your business growth goals reach out to our dedicated teams at https://theimplanthub.com/the-team/ n

about the author Naomi pleasants, Marketing Manager, BioHorizons camlog UK & ireland.

collaborative approach where appropriate. Between patients, consider sending regular marketing materials to your referral network that advise of any additions to your team, services or technologies, reminding them that you are there when they need to provide advanced endodontic care to their patients. This is complemented by a strong online presence, which should include an easy-to-navigate website and up-to-date social media platforms, with the option for targeted digital advertising. Additional promotional opportunities include the provision of study clubs for local clinicians to attend and lecturing at industry events.

Much of this continuous communication with the wider profession is about maintaining and enhancing the reputation of your practice among the profession. Sharing positive reviews from other referring clinicians is a powerful way of demonstrating the standards you achieve and encouraging others to work with you. It also gives potential new business partners a chance to get to know you and your team, building respect and trust over time.

clinical standards

Of course, in order to achieve those high clinical standards that colleagues and their patients will appreciate, it is crucial to use evidence-based techniques, cuttingedge technologies and clinically-proven instruments. Utilising renowned guidelines and consensus documents in the field is useful, such as the Guide to Good Endodontic

Practice from the British Endodontic Society. The tools employed are just as important, having an impact on everything from the accuracy and speed of treatment to patient comfort and long-term satisfaction. COLTENE offers an array of solutions that have been developed specifically to help clinicians overcome common challenges in endodontics. The innovative HyFlex EDM files, for example, are designed for optimised fracture resistance and flexibility, with shape memory and high cutting efficiency to elevate the professional workflow.

a bright endodontic future

The provision of endodontic services affords a valuable opportunity to grow your business and build a sustainable future. With investment in the team, marketing activities and equipment, your practice will prosper. For more information, visit colteneuk.com/HyFlex-EDM, email info.uk@coltene.com or call 0800 254 5115. n

about the author Nicolas coomber, cOLteNe National account & Marketing Manager.

MORE THAN A SIMPLE CONTRA-ANGLE

The CA PRIMA is not just an evolution of a previous generation. It is an entirely re-engineered 1:1 contra-angle designed to simplify your work, offer you complete peace of mind, and enhance your patients’ comfort.

The ethics of waste disposal: From environment to injury

It’s important to look at the dental team’s waste responsibilities from a wider perspective.

Steps such as item segregation and container choice are not in place just to meet practice standards such as Health Technical Memorandum 07-01 (HTM 07-01). Instead, they’re for the safety of patients, clinicians, and other individuals who may go unseen in the waste workflow, and even the wider environment.

Looking at the ethical responsibilities of waste management can help clinicians realise the magnitude of their actions, even if at first glance they pale in comparison to the treatment of patients in the dental chair.

Protecting the planet

The NHS clinical waste strategy, published in March 2023, delves into the transformation of the waste workflow with a greener lens; it aims to eliminate unnecessary waste, increase reuse where appropriate, and reduce carbon emissions by 30% over 10 years, setting the course for net zero by 2040. It was a significant step towards a more sustainable healthcare system, and promised to improve training for NHS care providers.

Healthcare systems contribute to approximately 4.4% of global greenhouse gas emissions, and the waste produced plays a notable part in this. Plastic items are a particularly significant issue, comprising 30% of overall healthcare waste. The various risks to the environment from these plastics include the potential for loose waste, and the contamination of ecosystems and the food chain with microplastics. To combat this, clinicians must work with trusted waste management services to ensure that plastic waste is accounted for throughout the workflow.

Recycling where possible is also paramount. HTM 07-01 highlights the issue of overclassifying waste when assessing its hazardous properties which results in a higher rate of clinical waste incineration, when often, a more sustainable alternative would suffice. By appropriately segregating waste at source, clinicians are singlehandedly able to reduce the greenhouse gases produced in dental care.

Stay sharp

The waste workflow separates waste items in many different ways, including the physical properties of an object. For example if it is ‘a sharp’ or contains liquids then a plastic bag should not be used. Instead, a punctureproof or leak-free solution is needed, whilst sharps containers can contain very minimal amounts of liquid waste, these waste types should be separated.

One of the ethical responsibilities here is the storage of waste items knowing that they will be handled by another individual further along the workflow. When ‘a sharp’ is incorrectly stored, the risk of percutaneous injury is created.

A 2022 systematic review noted that data on the prevalence of sharps injuries in the UK (measuring professionals who had experienced exposure to ‘a sharp’

in the previous 12 months) swung wildly from incidences of 3.33%, 6.25% and 5.88% all the way to 38% and 32%, dependent on the studies observed. The difference may be due to the disparity between official incident reports, and actual experiences, suggesting some exposures are not recorded but that the issue is rife. When a clinician is disposing of sharps, they need to use an appropriate container to minimise any immediate risk of harm to a patient, themselves, and other practitioners. There are also many other individuals to think about, including those that collect the waste from the dental practice, and each person involved in the disposal process at a waste management site.

Dental teams should regularly review guidance concerning the management of sharps waste, and safely assort items according to the physical hazards they present.

Medicinal management

When managing procedures for patients, clinicians may provide local or general anaesthetic to help individuals through the treatment, or indeed prescribe other medications to treat oral health needs. The dental team has a clear responsibility to ensure that all pharmaceutical products and waste are appropriately stored and disposed of. This includes having processes in place to manage patient returns, as well as expired items. Storing medicines that are waiting to be disposed of in an area separate from those still in use is the gold standard. In line with HTM 07-01, pharmaceutical waste items should be stored in a blue lidded container, once again separated by their physical properties. Appropriate storage and labelling ensures the correct provision of pharmaceuticals is carried out, protecting patients throughout their care. When reviewing the responsibilities held by the dental team concerning waste management, the choice of containers is the best place to start. Initial Medical, a British owned waste management service with over a century of expertise, provides high-quality and compliant waste containers for dental practices. This includes the Griff Pac containers, which are colour coded in line with HTM 07-01. Each is made from at least 70% recycled plastic, making them a green solution, and they help clinicians safely organise dental waste every day, from clinical waste to pharmaceutical items. Dental waste management must protect clinical teams, patients, the environment at large and waste disposal technicians. When next discarding an item, it’s worth considering the impact an item could have if it was stored or segregated incorrectly, and embrace the responsibility this creates to protect those around you.

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

About the author

Rebecca Waters, Head of Marketing at

Elemental Antibacterial Wound Dressing

A Revolution in Bone Graft Protection

Minimise Complications and Improve Healing Conditions In Mucogingival and Implant Surgery

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.

The nitrous oxide debate

Nitrous Oxide has certainly been with us for many years, since Joseph Priestley discovered the gas in 1772.

Nitrous oxide – commonly referred to as laughing gas – is a chemical compound and oxide of nitrogen. It is a colourless, non-flammable gas with a slightly sweet scent and taste. Additional uses, apart from healthcare, include being used as a propellant in rocketry and cars. It is also used for whipped cream dispensing.

More recently it has become a concern for abuse in recreational settings and, as a result, was made a Class C drug on 8th November 2023. It has been used in dentistry and surgery as an analgesic and anaesthetic since 1844. Originally administered through simple inhalers, today it is delivered by means of dedicated relative analgesia machines with failsafes – capable of delivering a precise mixture of titrated oxygen and nitrous oxide. Minimum 30% oxygen and maximum of 70% nitrous oxide.

Modern interest dates mostly from the mid-20th Century with the development of purpose-designed relative analgesia flowmeters. However, it was only from the 1980s that some attention started to be focused on the effects of nitrous oxide on healthcare professionals. This took the form of what was termed ‘active’ breathing systems, the definition of which was ‘an air flow rate at the nasal mask of 45 L/min’1

From the mid to late 1980s, some concerns were expressed over potential for global warming and depletion of the ozone layer.

The early active breathing systems, using the single nasal mask type, were not particularly efficient. Efficiency improved with the introduction of the double mask type, which had a more anatomical fit and, therefore, was much better at reducing leakage from the mask edge. A further improvement was made with the release of systems such as the Porter Silhouette, a radically different, close fitting mask shape.

From the late 1990s to the early 2000s, an awareness of the detrimental effects of nitrous oxide on healthcare staff continued to grow. This had the effect of more attention being paid to COSHH 2 and Health and Safety requirements. The early 2000s saw growing concern and warnings regarding the potential for climate crises increasing.

In November 2021, all four of the UK Health Services committed to net zero carbon emissions by 2050.

NHS england: All Services, including oral health and dental care, were required to be working towards targets set out in the document ‘Delivering a Net Zero health service’. A target of net zero by 2040 with an ambition to reach a 50% reduction by 2028-2032 was set. A commitment to tracking and reporting its carbon footprint to meet commitments of the Climate Change Act (2008) was made.

NHS Northern Ireland: The Climate Change Act (Northern Ireland) was enacted in June 2022. NI supports the UK target under the Climate Change Act (2008) but, to date, there is no NHS NI strategy published.

NHS Scotland: Aiming to become a net zero carbon emissions health service by 2045. There is an ambition to bring this forward to 2040 according to the latest draft of the NHS Scotland Climate Emergency & Sustainability Strategy.

NHS Wales: In 2019, the Welsh government declared a Climate Emergency. Since then, there has been a stated ambition for the public sector to be net zero by 2030. The NHS Wales Decarbonisation Strategic Delivery Plan contains 46 commitments for delivery by 2026. By 2025 they had a target of 16% reduction in emissions from 2018/2019. A further target by 2030 was 34%.

Healthcare staffing issues

In the UK, nitrous oxide has a permitted COSHH exposure limit of 100 PPM (Parts Per Million) over an eight-hour TWA (Time Weighted Average).

High levels of nitrous oxide exposure can cause short-term issues with manual dexterity and mental performance, and also result in Vitamin B12 deficiency. It could have the potential to cause adverse effects on fertility and pregnancy and, therefore, female healthcare staff are advised to avoid exposure during the first and third trimester of pregnancy.

It may also cause peripheral neuropathy resulting in tingling in the extremities.

a greenhouse gas

A long-lived greenhouse gas with an atmospheric lifetime estimated at 100120 years, nitrous oxide is an ozone depleting substance with a much higher global warming potential than carbon

dioxide.UK anaesthetic nitrous oxide emissions are comparable to 320,000 flights from London to New York. Nitrous oxide also constitutes 80% of the total anaesthetic gas carbon footprint

The estimated total annual carbon footprint of NHS dental services in England for the period April 2013 to March 2014 was 675 kilotonnes of carbon dioxide equivalent. No more recent figures seem to be available. This was broken down as follows:

• Patient travel 31.1%

• Staff commuting 30.3%

• Procurement 19.0%

• Electricity 7.7%

• Gas 7.6%

• Staff travel for work 3.1%

• Nitrous oxide release 0.9%

• Waste 0.2%

• Water 0.1%

‘Nix the Nitrous’ Campaign

The Nitrous Oxide Project (#nixthenitrous) is an initiative embedded in the Greener NHS Programme. Most of the initial effort has been directed towards evaluation of hospital-piped nitrous oxide systems and has concluded that due to a variety of issues – including inefficient design, cylinder management, leaking pipework etc. – great savings can be made in the use of nitrous oxide.

This has resulted in a movement to examine opportunities to completely mitigate emissions of nitrous oxide across the entire NHS supply chain. Conclusions included that a lot of wasted nitrous oxide could be identified and, as a result, a lot of pipeline use was discontinued in a quantity of acute facilities – many in Scotland but a growing number elsewhere in England and Wales.

The estimated completion of transition from use of nitrous oxide manifold systems to point-of-use cylinders was placed at by the end of the 2026/2027 financial year. No details are available as yet, as to the success or otherwise of this projection.

The Royal College of Anaesthetists has offered clear clinical guidance that piped nitrous oxide is not required to maintain high standards of anaesthetic care. Additional factors that have been taken in account include: poor stock rotation of medical gas cylinders which resulted in cylinders exceeding the ‘use by date’, wasteful clinical practice, flaws in equipment design and theft.

Nitrous oxide destruction

The ideal solution for dealing with waste nitrous oxide emissions would be to employ a destructor. Whilst there are some models available – for example, Medclair have developed both a mobile and centrally fixed unit – there seems a reluctance to use them. This is possibly down to factors such as initial cost, maintenance, electricity used etc., certainly in the case of the mobile unit. The Medclair Portable Nitrous Oxide destructor unit was originally designed for use in obstetric settings and, therefore, is not at the current time suitable for use in additional areas such as dentistry. Some development work is ongoing with this, but no timeframe has been released for completion. Further development work is currently underway in university settings to examine the issue and hopefully develop a more reasonable, cost-effective solution. Again, no timeframe for completion is yet available.

Conclusion

In terms of nitrous oxide release in healthcare settings, taking into account the available statistics are over 10 years old and indications are that use of nitrous oxide for anaesthetics has decreased significantly in that period, it would seem reasonable to suggest that the nitrous oxide release figure of 0.9% could also have decreased.

Therefore, as nitrous oxide sedation is still a valued and widely used analgesic for dental and other disciplines, being employed for use with paediatrics, special needs and phobic patients, it would seem a retrograde step to discontinue this type of safe sedation in the frenzy to meet net zero targets.

Surely a little patience and common sense should be employed, less the old adage of ‘throwing the baby out with the bathwater’ comes into play. After all, it takes time to adjust to anything new, and the amount of nitrous oxide used in healthcare is minute compared to that generated by agriculture and industry. n

references

1. Health Technical Memorandum 02-01: Medical Gas Pipeline systems October 2006

2. Control of Substances Hazardous to Health Regulations 2002 (as amended) 6th Ed. 2013

about the author

Janet Pickles is Chairwoman of r a Medical Services.

Medclair Portable NOD

Matrx MDM on 4-cylinder stand

roduct Code: 6050-UK

ntroducing

Smart growth starts with the right dental plan partner

By chelsea Holland, Relationship Manager at Patient Plan Direct,

reflects upon the New Plan Launch journey

Over the years working as a Relationship Manager at Patient Plan Direct, I’ve had the privilege of helping practice owners and their teams launch and grow successful dental plans. It’s a part of dentistry that’s becoming more important than ever. Patients are increasingly aware of the pressures facing NHS dentistry, and many now understand that affordable private dental plans aren’t about ‘greedy dentists’ but about providing a sustainable, workable alternative when the NHS model no longer adequately supports patients or practices. For practices, rising costs and the pressure to remain profitable mean that a dental plan can be a lifeline. But I know from my experience that practice owners want more than just a competitive deal. They want value, reliable support, and a partner who truly understands the challenges they face. That’s exactly where Patient Plan Direct stands out.

Yes, our admin fees are considerably lower than other major plan providers, which allows practices to retain more of their plan income. But in my view, cost savings are only part of the story. The real difference lies in the support and collaboration that come with working with a provider that has a track record –something Patient Plan Direct has over a 16-year history. My role is to guide practices, whether it’s a brand-new squat, an established private practice introducing a plan, or an NHS practice looking to run a plan alongside their NHS contract, through every stage of the plan launch process. I make sure they have the tools, confidence, and strategy to succeed.

Last year, I worked closely with Dr Arnold Gangaidzo, Principal Dentist at Lancashire Smiles. Dr Arnold was opening a new practice and wanted a strong dental plan in place from day one. Together, we set clear

goals, a compelling plan proposition, created a strong team approach, and engaged patients even before the practice opened with the benefits of joining the new plan.

The results were outstanding. Dr Arnold didn’t just reach his initial plan-patient target – he exceeded it in record time. His plan continues to grow every month, creating a reliable revenue stream that is already supporting his plans for expansion.

Here’s what Dr Arnold had to say about the experience:

“My experience with Patient Plan Direct, and with Chelsea as my main point of contact, has been fantastic. Her support throughout the launch process,

before the practice opened and beyond, was the expert guidance that made our plan launch such a huge success. That personalised, bespoke support and future planning has been influential in our continued growth.”

I’ve been lucky enough to see stories like Dr Arnold’s play out many times in my six years with Patient Plan Direct, supporting practices across the UK. Time and time again, I hear the same thing from practice owners: they want a dental plan provider who offers hands-on, personal support while also allowing them to retain more of their income.

Compared with the two biggest players in the market, our fees are much lower, which means practices keep more of their plan revenue. But unlike the ‘budget’ providers at the other end of the scale, we deliver hands-on, face-to-face support that helps practices grow and thrive. From bespoke team training and guidance on patient communications to regular reviews and growth strategies, we don’t just set up a plan and walk away; we become an extension of your team.

For me, the most rewarding part of my role is seeing practice owners gain the confidence and stability that comes with a thriving dental plan.

It’s not about short-term wins; it’s about building long-term success.

Dr Arnold’s journey with Lancashire Smiles is just one example of how the right partnership can make all the difference. And it all starts with a conversation.

If you’re thinking about launching a dental plan, or rethinking your current provider, I’d encourage you to hear directly from Dr Arnold. His story shows what’s possible with the right support in place.

You can watch his testimonial by scanning the QR code below.

Visit patientplandirect.com/launch to learn more about our New Plan Launch service. n

chelsea Holland, relationship Manager at patient plan direct

“Patient Plan Direct’s support throughout the plan launch process was the expert guidance that made our plan launch such a huge success.”

Dr Arnold Gangaidzo, Principal at Lancashire Smiles

patientplandirect.com/start

info@patientplandirect.co.uk

Picking bones

The alveolar bone is the soil that keeps the teeth planted, but resorption of it occurs frequently in the first six months following a tooth extraction. Implant treatment success relies on minimal alveolar bone loss; the higher the loss the smaller the chance of osseointegration. In this case, the likelihood of the patient having to return for further treatment increases, reducing their trust and confidence in the clinician and costing them time and resources.

To overcome the challenge of alveolar bone loss management, filling the extraction socket with biomaterials reduces resorption, ensuring that there will be sufficient bone for osseointegration. The extraction site, with its abundant blood supply and retention of bone graft material, is a favourable environment for regeneration but, for dental implantologists, there are several biomaterial options to choose from, each with their own benefits or limitations. Determining which one to use is paramount for alveolar ridge preservation (ARP).

autograft repair, autograft replace Autografts are considered the gold standard for balancing osteoconduction, osteoinduction and osteogenicity. The gold-standard option, with an 89% acceptance rate, autogenous bone has the highest bone regeneration capacity due to its natural match with the patient’s anatomy, greatly reducing the risk of rejection and disease transmission. An autograft may

be more preferable for patients because of these advantages, as well as the lower cost compared to its alternatives. However, the amount of available autogenous bone to harvest may be limited and a second site is needed, potentially leading to complications such as pain, scarring, infection and limited function. As more procedures are required than for an allograft, patients may not want the risk of further damage with an autograft.

animal bones

With an allograft, patients receive sterilised bone tissue from a donor. Patients may prefer an allograft as it doesn’t require a second surgical site; those in active jobs may wish to minimise pain and speed up recovery, but clinicians should highlight that the match may not be as ideal as an autograft.

Not all donors need to be human: a xenograft uses bovine bones that have been deproteinated and crushed into granules. Despite the difference in bone source, research has shown that resorption rates are very similar between xenografts and allografts. Xenografts had an average bone loss on the horizontal ridge of 1.47mm and at the mid-buccal and mid-lingual points this was 0.68mm and 0.65mm. In contrast, the allograft average was 1.52mm, 0.68mm and 0.4mm respectively. For context, resorption measurements without any intervention averaged 3.1mm, 1.79mm and 1.53mm, emphasising the necessity for bone graft materials.

Synthetics

Alloplasts, along with xenografts, have the lowest survival rates after 7 months but have later demonstrated higher survival rates, making them less predictable. Synthetic materials such as hydroxyapatite and calcium phosphate provide strength and stability to the extraction site and mixing blood has also been noted as a good osteoconductive scaffold to reinforce the fibrous tissue. Without the risk of disease transmission or donor site morbidity and with the advantage of readily available materials, alloplasts can be an efficient and agreeable option for patients, even if they offer weaker regenerative abilities. For patients less at-risk of resorption, an alloplast could be ideal.

Complications to consider

To further aid with material selection, there are many risk factors to be aware of. These include:

• Extent of the traumatic injury during extraction

• Socket morphology

• Presence of infection

• If the patient smokes

• Tooth type and position

• Patient compliance

• Medical conditions

In cases of the latter, a xenograft may not be suitable for patients with weaker or compromised immune systems as there is a higher risk of peri-implantitis. Compliance is also vital; clinicians must make sure that their

implant patients are consistent in their daily oral hygiene routine, paying close attention to the implant site. As 2.8-9.1% of bone graft cases can lead to infection, reducing the risk is crucial for long-term success.

Staying informed

Keeping up-to-date on the latest developments relating to bone grafting materials is essential for giving the best implant treatments to your patients. By joining the Association of Dental Implantology (ADI), members can access a wealth of educational resources and CPD events, such as the illuminating Study Clubs that occur across the UK. Led by renowned experts, each session discusses recent advancements in the implantology field, whilst also connecting like-minded professionals to improve the way implants are delivered in the UK. Every decision in the implant process has short and long-term impacts. With bone graft material selection, both clinician and patient should feel empowered in their choice by having a comprehensive understanding of their benefits, knowing the best option to heighten the success of the treatment. For more information about the ADI, visit www.adi.org.uk n

about the author amit Patel, President of the association of Dental Implantology (aDI) is a specialist in periodontics.

Navigating fluoride treatment for adolescents

Supporting paediatric patients with their oral health is sometimes a challenge. Alongside the patient, clinicians need parents and guardians onside to consent to treatment and ensure regular oral hygiene routines are carried out.

Tooth decay and oral sensitivity are recognised issues in the paediatric and adolescent populations. In 2023, 16.2% of year 6 schoolchildren in England (average age 11.1 years) had experienced dental decay in the permanent dentition. On average, every child had decay in 1.8 teeth. Considering the permanent dentition typically begins to erupt around age 6 or 7, and should last a lifetime, this is a sign that support for the symptoms of decay is required. Without it, we see a large proportion of adolescents struggling with toothache and hypersensitivity.

Topical fluoride treatments are highly recommended for the treatment of hypersensitivity, especially for young patients. It is safe for most individuals, and simple for dental professionals to apply. Use of topical fluoride application must first overcome some common hurdles, however, to ensure young patients get the care they need.

Popular perception

The use of fluoride is a controversial topic amongst some circles. Water companies have been reluctant to fluoridate water supplies, and social media misinformation can fuel scepticism amongst patients. This can increase refusal for topical fluoride treatments, putting the paediatric patient’s oral health at risk. The

literature has made connections between topical fluoride hesitancy to phenomena such as scepticism for childhood vaccines and the Covid-19 vaccines.

Communicating the efficacy of fluoride treatments to parents and guardians, and why they are suitable for their child, is key. It’s important that both the paediatric patient and their guardian can understand the treatment to a level that is appropriate, with informed consent before beginning treatment.

If parents do hesitate or refuse fluoride treatment for their child, it’s imperative that clinicians can engage with this safely. The available literature has laid out approaches to such cases. If a parent is hesitant, it is better to begin a discussion around their understanding of fluoride use rather than simply stating the benefits of the mineral; the former puts an emphasis on listening and building trust.

It may be effective to first explain the need to reduce problems such as hypersensitivity, before mentioning fluoride treatment. An explanation tailored to the child’s current needs may also help parents understand the importance and relevance of topical fluoride application.

If patients continue to refuse fluoride-use, clinicians must provide alternative advice, including amendments to a high-sugar and high-acid diet. Open communication is paramount, as parents may yet change their mind in later appointments.

Opinion in the chair

Dental professionals must remember the influence that the paediatric patients

themselves have on the process. To provide consent themself, they need to be ‘Gillick competent’, where one understands the treatment, its alternatives and consequences; is able to retain that information; is able to use that information in the decision-making process; and is able to communicate their decision. For many young children, their consent is not necessarily needed for treatment permissions, but rather to minimise any worries in the appointment. Parent and child dental anxiety, influenced by fears of separation and anticipatory worries, can distort the child’s understanding of care, and make fluoride varnish application as terrifying as a tooth extraction, even though they are worlds apart in invasiveness. This anxiety should be recognised, and both parent and clinician can establish a calm approach, which the child may then adopt.

Children who have previously had topical fluoride treatments may express concern over the taste or tactile feel of the paste, which can fuel apprehension. Clinicians should look for alternatives that may be better received, with improved taste and in-mouth feel.

Fast forward

Keeping paediatric appointments quick and pleasant for the patient is ideal. A fastacting solution minimises chair time for the patient – children are not always the best at sitting still – as well as time spent away from school, for example. This also helps parents and guardians who may be more inclined to access a fluoride treatment appointment if

it is convenient to their working hours, and without significant disruption to the child’s education or hobbies.

With all of this in mind, the clinician’s fluoride solution of choice has a significant impact on the appointment. The fast-acting 3M™ Clinpro™ Clear Fluoride Treatment from Solventum, formerly 3M Health Care, is designed for effective uptake in minimal time. In just 15 minutes, patients have immediate access to fluoride ions, which are quickly transferred through the rosin-free, water-based formula, made up of 2.1% sodium fluoride. With a slick and pleasant mouth-feel, the 3M™ Clinpro™ Clear Fluoride is available in Flavourless, Mint and Watermelon options for improved treatment acceptance, and a comfortable experience. Working with both parent and child is key to delivering effective fluoride care for paediatric patients. By focusing on clear, thoughtful communication, and choosing effective treatment solutions for improved appointment experiences, young patients can battle problems such as dental hypersensitivity with ease.

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

Patient movement during dental imaging and scan accuracy

Imaging is a cornerstone of dental diagnosis and treatment planning, making it absolutely crucial that it be carried out correctly to achieve accurate results. However, there are a number of challenges that dental professionals may face when capturing dental images, which mean that the resulting scans are sometimes unusable and retakes are necessary. As such, it’s important to consider the causes and consequences of inaccurate images, and understand how they can be minimised to improve patient management.

Implications of movement during diagnostic imaging (CBCT)

Should a patient move during a CBCT examination, artifacts may arise. In resulting images, these may present as stripes/ streaks, double contours, or overall lack of sharpness. The presence of artifacts such as this, in extreme cases, may render images uninterpretable. This means that clinicians are unable to make a diagnosis or discern relevant information based on the images. Research suggests that, whenever movement is present, image quality is hampered. Although, the risk of an image being ‘not interpretable’ becomes statistically significant only when movement is 3 mm or more.

When a scan is deemed uninterpretable, a retake will be needed in order to produce an image of sufficient quality. For the patient, this means an extra dose of radiation exposure which could have been prevented if there hadn’t been movement.

How

to minimise patient movement during scans

In order to effectively minimise patient movements during diagnostic scans, patient education is crucial. This includes informing patients about the risks presented by ionizing radiation (doubled with retakes), in addition to the importance of regular follow up appointments to reduce otherwise unnecessary examinations. The minimisation of repeated exposures in diagnostic imaging needs a comprehensive approach – encompassing innovative technology, optimising techniques, and educating patients. Collectively, these approaches will help ensure that benefits of diagnostic imaging are maximised whilst patients are more effectively protected from the potential risks associated with radiation exposure.

What are the considerations during intraoral scanning?

In single and partial implant restorations, research finds the use of intraoral scanners satisfactory and reproducible. However, in full arch scenarios, they remain problematic and unreliable – this is likely due to the lack of landmarks in an edentulous mouth. Full arch cases can require a long scanning process, often resulting in several interruptions, and the potential need to restart the scan from the beginning. Many modern intraoral scanners aim to limit these challenges, however, tracking loss can occur for a number of reasons. These include patient movement, the presence of reflective or transparent surfaces, saliva, and human error.

Scanning speed is also thought to play a part in scan accuracy. Elevated scanning speed may compromise accuracy, due to limited capability to capture adequate data points to achieve a complete 3D reconstruction. However, scanning at an excessively slow speed could increase the risk of patient movement. To optimise accuracy of the scan, clinicians must have a good understanding of how to use their particular scanner.

The importance of accuracy

As mentioned, there are a number of factors which might interfere with intraoral scan accuracy, including patient compliance, mouth opening, tongue size, and movement, in addition to the need for practitioners to invest time in learning how to use the device effectively. However, it is important that accuracy is prioritised in order to support optimal diagnosis, treatment planning, and communication (with patients and colleagues). As such, in cases where intraoral scanners typically encounter challenges, such as full arch edentulous cases, it may be more appropriate to take impressions using analogue methods. With modern technological solutions, traditional

impressions can be digitised with complete accuracy, enabling clinicians to enjoy all of the benefits of a digital workflow without compromising on quality.

The Cubit360™ scanner from Mimetrik™ is revolutionising the digital dental workflow, enabling those who value speed, efficiency, and traditional techniques to access the benefits that digital dentistry has to offer. The scanner is fast and intuitive, offering six degrees of freedom for continuous, real-time scanning without mechanical delays. This means that, once an analogue impression is taken, it can be scanned immediately and shared with the dental lab electronically without the need to post the impression. So, to summarise, accuracy is absolutely crucial when carrying out dental scans, often meaning that errors during these processes, caused by issues such as patient movement, result in the need for retakes. By selecting the most appropriate method for each use case and working with patients to ensure they are informed of the requirements for a successful outcome, clinicians can minimise the number of imaging errors and resulting artefacts. For more information about Mimetrik, please visit https://mimetrik.tech 

About the author

Alyn Morgan is the immediate Past President of the British Endodontic Society, and the co-founder and CEO of a spin-out company from the University of Leeds, Mimetrik Solutions.

Evaluating early paediatric orthodontic intervention

Early orthodontic intervention, known as interceptive orthodontics, has recently sparked considerable controversy. With a continuously rising number of referrals for younger children, clinicians must often compare timely treatment with the potential jeopardies of unnecessary and premature treatment. Precise diagnosis and informed planning are essential in avoiding overtreatment, enhancing clinical outcomes, reducing patient burden, and minimising the risk of complications. Furthermore, the correct use of diagnostic imaging ensures the lowest necessary radiation exposure.

In a recent international study, 88% of dentists reported referring children aged 8-12 years old for orthodontic referral. Despite the proactivity in their efforts, researchers noted that not all patients met the referral guidelines and so may not have been ready for treatment. Premature recommendations and treatment can be avoided by ensuring the patients’ growth patterns and skeletal development have first reached an appropriate stage.

Weighing the benefits of interceptive orthodontics

Interceptive orthodontics encompasses the diagnosis and treatment of malocclusion at an early stage in a child’s life. This is often prior to the eruption of all permanent teeth. The intention behind such early treatment is to influence facial growth, prevent future misalignment, and to simplify or expedite future treatment.

It is tenable to state that early intervention proposes many benefits. Primarily, it can prevent the escalation of complex cases, particularly in Class II or III malocclusions, crossbites, or airway problems, and significantly reduce the requirement of more invasive procedures in adolescence. In certain scenarios this approach could eliminate the need for further treatment completely further down the line.

Despite these successes, concerns around potential overtreatment are growing. Oftentimes, dental problems have the ability to self-correct without any procedures. Beginning orthodontic treatment can cause unnecessary inflictions for both the patient and their families. These include avoidable expenses, emotional toil, physical pain, and wasted time. In a study conducted surrounding inappropriate patient referrals, it was noted that up to 45% of new orthodontic referrals may be unsuitable, often due to factors such as referrals made too early.

Could the patient wait a few more years?

The British Orthodontic Society (BOS) suggests that although early intervention can be advantageous, it must be reserved for very certain circumstances with an appropriate clinical requirement to do so. To reduce inappropriate referrals and gain greater determination on patient requirements, precise clinical diagnostic methods are indispensable. These are particularly essential in young, growing patients as their skeletal growth is continuing. Identifying the root

cause of malocclusion in growing patients requires advanced technology, particularly cephalometric imaging – a vitality in paediatric orthodontic diagnosis.

minimising radiation exposure in young patients

Children are particularly vulnerable to the negative effects of ionising radiation, which increases concern surrounding their dental care. Modern practice for all age groups is guided by the ALARA (As Low As Reasonably Achievable) and ALADA (As Low As Diagnostically Acceptable) principles. Although dental imaging usually involves low doses, multiple peer-reviewed studies suggest that even at minimal levels, repeated exposure can have negative biological effects, including DNA alterations over time and oxidative stress. Due to this, the use of radiographs must be justified, attaining integrity with each use, particularly on young patients. Where imaging is essential, multiple precautionary measures can be installed to improve safety. Radiation exposure can be minimised by narrowing the field of view to a precise area of interest, selecting highresolution sensors that can operate well at lower radiation dose settings. Scan frequency should be minimal with each patient, typically for solely baseline assessments and targeted follow-up appointments.

Focused cephalometric imaging has reduced radiation exposure by up to 50% compared to standard panoramic methods, while simultaneously providing clinicians precise data and diagnostically reliable results required to make informed decisions.

technology that supports clinical judgment

When clinical evaluation requires advanced imaging, a system that balances image quality with paediatric safety is essential. The CS 8200 3D Access from Carestream Dental with the Cephalometric Imaging module fulfils all requirements by providing childrenspecific settings with pulsed low-dose modes. Collimating the image field to the area of interest, the exposure area is limited for better patient protection. Its efficient workflow integrates seamlessly into every practice and offers hybrid 2D and 3D imaging capabilities in a compact design. The accumulation of each revolutionary element gives practices a technological edge now, and in coming years. Early orthodontic intervention can offer patients the expedited potential of perfecting their smile. Clinicians must differentiate patient cases that would benefit from interceptive treatment from those with potential to selfrectify. Cephalometric imaging provides vital diagnostic clarity, with low-dose technology protecting young patients from the risks of radiation exposure.

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

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

Is there a time limit on orthodontic care?

Orthodontic care is one of the few dental procedures that has a heavy link to patient age. Most patients receive treatment as a teenager, but there are benefits for patients outside of that demographic. To ensure clinicians can provide effective and safe care, however, it’s important to understand why orthodontic treatment is intrinsically linked to the adolescent experience. We can then begin to understand clinical factors that should be identified when assessing treatment suitability for other individuals.

teen experience

Patients with malocclusions can benefit from orthodontic care, often providing improved aesthetics and function. For teenagers, this can improve their quality of life as a whole, as malocclusion influences self-esteem in individuals aged 11-14. In fact, in a social media age where aesthetics are highly-prioritised, it’s no surprise that malocclusion is among the top three highest dental health priorities for patients.

Orthodontic intervention during adolescent years is indicated due to advantageous physiological factors. Favourable biologic characteristics have been noted in the literature as a key principle for success, alongside the skills of the orthodontist, the patient’s compliance with care, and the efficacy of an orthodontic appliance. The adolescent dentition is in a period of change and growth, experiencing the eruption of the teeth and the morphology of the jaw from childhood to adulthood. This makes it an opportune time to enact this sort of treatment, utilising the natural forces that are changing the dentition to support care.

Into adulthood, the dentition sees little change; the most significant may come with diminished bone density over time, though this typically begins at age 40 and continues through adult life. This includes a reduction in the height and thickness of alveolar bone during healthy ageing, after continued growth between the ages of 10-17 years old.

However, once an adult patient presents desiring orthodontic care – for functional or aesthetic benefits – there is no turning back the clock. If their bone density is favourable, treatment could be successful with the right support.

no such thing as too old

A 2023 report from the British Orthodontic Society noted that 76% of orthodontists saw an increase in adult patients seeking orthodontic care in the previous three years, with a majority (83%) aged 26 to 55. This comes off the back of the coronavirus pandemic, with many feeling that the increase in online working and socialising through video calls was a contributing factor to the rise in demand.

Around 33% of adult patients are discouraged from having orthodontic treatment due to the length of treatment and the discomfort and inconvenience of care. Yet, a 2020 systemic review found that in many cases, there is not a clinically significant difference in the duration of comprehensive orthodontic treatment with fixed appliances between teenagers and adults. Be aware, however, that some in the literature have recorded extended treatment durations when addressing the alignment of palatally displaced canines in adults compared to adolescents.

The delay in tooth movement is thought to come with age, but this may be counterbalanced by adult patients improving compliance with orthodontic instructions. This has a direct, and positive, effect on treatment duration.

Keep it comfortable

For patients to engage with orthodontic care, and receive the aesthetic and functional benefits that come with it, they need to be willing to engage with an extensive treatment time (sometimes over a year) and adhere to strict instructions from the orthodontist. This is made more complicated if their orthodontic solutions, such as a fixed brace, cause discomfort. When patients use the Ortho Relief Wax from Kemdent, they can undergo care with confidence and comfort. The wax protects gingival and buccal tissue from the metal edges of braces, which can cause irritation. After being softened in the patient’s hand, the wax can be placed over a brace or bracket, before later harmlessly flaking away or peeling off. Its available in small, sustainable tins that are 100% recyclable, and perfect to store in a bag or pocket.

Clinicians should expect more adult orthodontic patients going forward, and confidently assess them for treatment suitability. Where bone density is favourable, and the patient is receptive to the proposed treatment time, success could be found.

about the author

nimisha nariapara, trade marketing manager at Carestream

Dental.

Adult patients seeking orthodontic support must have tempered expectations. They need to first understand if treatment is at all possible in their circumstances, and if so, what the process could look like. The chance of improvement to the malocclusion is more limited, and treatment is likely to take longer for adults. However the NHS notes that whilst these patients will likely need to seek private care, orthodontic treatment can start at any age.

For more information about the leading solutions available from Kemdent, please visit www.kemdent.co.uk or call 01793 770 256 n

about the author alistair mayoh, marketing Director at Kemdent.

Immediate implant placement to replace a failing bridge

dr Balaji presents a challenging case which required hard and soft tissue augmentation in order to replace a failing upper left bridge with an immediately placed implant-retained solution

Patient presentation

A 60-year-old lady presented to the practice for treatment of a failing upper left bridge. The bridge was situated at the UL3–5 and was supported by UL3 and UL5 abutments, and the UL4 was a pontic.

a ssessment and treatment planning

Clinical assessment revealed that the patient had bone and soft tissue loss in the UL4 region, attributed to tooth loss. The UL3 and UL5, the teeth that supported the bridge, were failing and required extraction. An x-ray was taken to aid in diagnosis and the planning of future implant placement – revealing the extent of bone loss and the need for augmentation in the region.

All appropriate treatment options were discussed with the patient, including the option of no treatment which was not recommended in this case. It was decided that the best option was immediate implant placement along with immediate loading of a bridge. In order to achieve a successful outcome,

hard and soft tissue augmentation would be required. This would improve bone volume and gingival thickness at the UL4 site, and better support dental implants for a long-lasting result.

The patient provided informed consent to undergo this treatment, understanding that this would provide a fixed and longterm solution for her tooth loss, whilst also providing a functional and aesthetic outcome.

treatment provision

A mucogingival flap was raised and the UL3 and UL5 were extracted. During the extraction of the UL3, the buccal bone fractured due to the lack of bone at the UL4 site. Once the teeth were removed, two dental implants were immediately placed using a fully guided approach in the UL3 and UL5 extraction sites. Bone augmentation was performed, using a mixture of autogenous bone and allograft. Bone was harvested from the operating side lateral sinus, and the graft material was placed on the implant surfaces and into the jump gaps. A layering technique was employed to

ensure maximum stability, and this was secured with a native collagen membrane and periosteal suturing.

Following this, a connective tissue graft (CTG) was harvested from the palate and debilitated. The CTG was sutured to the buccal flap, to improve soft tissue thickness in the area. The flap was advanced to enable tension-free closure, and the temporary bridge was fitted. The use of a temporary bridge during healing helps to encourage soft tissue contour for a more aesthetic outcome.

After four months, the temporary bridge was removed, revealing a good thickness of soft tissue and bone. Following this, the final bridge was placed.

Reflection

Although this was a difficult case due to the immediate placement and temporisation, the outcome was very favourable for the patient. My advice for clinicians who are undertaking similar cases is to plan properly with guided surgery.

Dr Balaji provides industry-leading training courses on both hard and

soft tissue management around dental implants with the ASHA Club. For more information about how you could elevate your skills with the support of experts, please visit www.ashaclub. co.uk or call 07974 304269 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

and around Europe for aspiring implantologists.

Fig 7 Flap closed and temporary bridge placed

Fig 8 Temporary bridge removed after four months

Fig

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The impact of oral health on physical performance

In the clinical setting, there are an abundance of systemic links between oral health and other health conditions, such as cardiovascular disease, diabetes, and dementia. However, an emerging area of concern is the correlation between oral health and physical performance, with reference to patients who regularly engage in exercise, sports, or physical labour. The frequency of encounters with dental patients who are exceedingly health-conscious is high. Though these individuals are committed to health-holistic disciplines like clean eating, regular exercise, and fitness tracking, many of these patients still present with signs of gingival inflammation or plaque accumulation, particularly interdentally.

The correlation between sports players or athletes and poor oral health is alarming: one study found that in over 100 elite athletes, 43% needed an urgent referral to the dentist. While patients may not know to associate slower recovery times and decreased endurance with gum disease, studies are increasingly drawing a relationship between oral health and physical capability. The role that dental teams play in the health of athletes and active individuals is vital to maximise their performance.

the mouth-muscle connection

Exercise induces strain and stress on various body systems, which requires the body, in turn, to maintain a strong immune system and regulate inflammation. However, oral conditions, like periodontitis, can disrupt this stability and hamper multiple aspects of exercise. Persistent low-level inflammation can lead to increased levels of systemic inflammatory markers such as IL-6 and CRP.

This is particularly detrimental to professional, high-frequency athletes – whose livelihoods often depend on recovery and performance – as well as amateur sportspeople that are committed to improving their craft.

Research published in the British Journal of Sports Medicine found that athletes with poor oral health reported negative impacts on training and performance significantly more than those without. In this study of athletes at the London 2012 Olympic Games, 18% reported that their oral health negatively affected their performance, with over 40% suffering from gingivitis and 28% from periodontitis. These consequences harm concentration, sleep quality, and training recovery, which of course compromise form and results.

energy,

recovery, and respiratory health

Oral health also has a significant effect on digestion and nutrient absorption. Both of these factors are integral for the fuelling of and recovery from physical activity. Furthermore, painful chewing due to caries or other dental issues, inhibits the consumption of important healthy and energy-enhancing foods like vegetables, fibre, and other sources with important nutritional content. The resultant vitamin and mineral deficiencies can lead to inefficient muscle and bone repair after

strenuous activity. In addition, when suffering from oral infections, the body’s immune system faces chronic imposition. Not only does this affect training abilities, but recovery extent, and susceptibility to injury.

For patients with an interest in endurance sports, respiratory health is integral and the oral cavity plays a crucial role. Periodontal pathogens such as Porphyromonas gingivalis and Fusobacterium nucleatum can be inhaled from the oral cavity into the lungs, worsening respiratory infections. This is particularly evident in patients who participate in high-intensity training, whose immune system can become compromised. Additionally, a dry mouth, something most common in athletes that mouth-breathe during exercise like running or stamina-based sports, can be detrimental to oral health. The oral microbiome is compromised, increasing caries risk and soft tissue irritation. This overlooked, yet frequent condition can lead to infection, inflammation, further immune disruption, and will inevitably take a toll on performance and endurance.

Supporting physically active patients through preventative care

With the systematic studies and evidence surrounding oral health’s relationship with exercise, dental professionals are well-equipped to support their patients. By identifying inflammation early, and promoting primary interventions and strategic plans, athletes, fitness-devotees, and those alike can focus on what’s most important to them without the inhibitions of oral health. Interdental cleaning is a reliable way to prevent oral disease and maintain a healthy oral cavity, consistently.

Poor posture and TMJ

The bones in the human body form the skeleton that supports posture. Whether standing or sitting, how the body is positioned is crucial for long-term bone health and correct alignment, reducing stress on the spine and maintaining an equal weight distribution. Poor posture continues to grow as a public health problem, with 73% of university students and 64.7% of people who work from home reporting neck or back pain. The global posture correction market was valued at nearly £1 billion in 2024, with an 8.4% growth per year expected from 2025-2030. Whilst this illustrates a growing awareness of poor posture and the steps needed to correct it, research is still developing, especially regarding its association with temporomandibular disorder (TMD). Dental practitioners with a firmer understanding of the relationship between poor posture and TMD will be better equipped to help at-risk patients lead a better quality of life.

Making a connection

The temporomandibular joint (TMJ) is one of the most frequently used joints in the body. Its surface is covered with avascular, non-innervated fibrocartilage, harbouring a strong capacity for regeneration. However, ligament and muscle connections between the TMJ and the cervical area have led to speculation that posture problems can

increase the risk of TMD. This could include unilateral mastication, leading to an unbalanced masticatory cycle that can jeopardise the body’s equilibrium. Research on TMD patients has found that they are likely to have an overly forward head position, accompanied by the shortening of the sternocleidomastoid and posterior cervical extensor muscles. This impacts gait stability and changes how gravity acts on the body, shifting the centre of pressure on the feet. Along with higher reported levels of neck pain, TMD patients may also have worsened jaw pain or stiffness as changes in cervical curvature may influence muscle tension in the neck, inhibiting mandible and muscle movement. This can have a negative impact on a patient’s quality of life, making eating, speech and everyday activities a hardship.

Making matters worse

Exacerbating issues around posture is the growing epidemic of ‘text neck’. The pervasive forces of phones, sedentary jobs and working from home may have made life easier, but the toll on the spine can be just as damaging as those in more exhaustive, manual jobs. ‘Text neck’ develops from craning the head to look down, something that is becoming increasingly more common in younger generations. When the head is held in line with the shoulders, it weighs around 4.5kg. For every inch forward the

Recommending tools like the TANDEX FLEXI interdental brushes significantly decrease plaque build-up and continue to protect long term oral health. This subsequently protects physical health surrounding exercise. FLEXI brushes are available in 11 different sizes, offering patientspecific oral care. Combining this tool with the TANDEX PREVENT Gel enhances oral health further. The gel contains 0.12% chlorhexidine and 900 ppm fluoride, delivering anti-inflammatory and anti-caries benefits. Applying the gel directly to the ideal FLEXI brush allows for these benefits to work exactly where they’re needed most, ensuring oral health.

It is becoming abundantly clear that oral health demonstrates a causal effect on multiple aspects of human wellbeing. Sporting patients’ health goals, such as the ability to train, succeed competitively, recover, and perform consistently are often hugely affected by their oral health. Dental care providers must continue to educate patients on the detrimental consequences of poor hygiene and gingival inflammation to maximise their active lifestyles. Proposing oral hygiene as a performance enhancer empowers patients as athletes in optimising their fitness potential. 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 Jacob Watwood, UK Clinical advisor for tandex.

head is tilted, the weight on the spine nearly doubles to keep it supported – this is as true for sitting at a desk as it is standing at one. For TMD patients, the anteriorly positioned head can be further aggravated by a lifestyle of staring down at phones or computers. However, posture is affected by many factors, including age, profession, pregnancy, and daily choices like the weight of the bag you carry or the amount of exercise you do. The research around posture as a factor for TMD is still growing, and the correlation does not yet support a definitive connection, but treatments with an oral splint for TMD patients have reported improvements in jaw pain and spine mobility, as well as a significant reduction in cervical spine discomfort. This indicates that the two are associated and managing one may help manage the other.

Perfect positioning

To encourage patients to look after their posture, dental practitioners should highlight correct spinal alignment in both sitting and standing positions. For those who work seated, a 90-degree angle for the shoulders and arms is recommended, with the computer straight ahead at eye-level. Mobility is also crucial, such as standing up and swaying where possible. Reduced phone time, or holding the handset higher up, and regular exercises can also improve posture and strengthen the neck muscles.

TMD is a great disruptor of everyday life, causing discomfort and pain and lowering self-esteem. To support affected patients, recommend the OraStretch Press Rehab System from Total TMJ. An at-home physical therapy solution, it stretches the orofacial tissues to restore mobility and strength to the TMJ. Diligent use of the OraStretch Press treats TMD and trismus, as well as preventing scarring and fibrosis from radiation therapy or surgery. With the support of Total TMJ, quality of life can be improved for afflicted patients. The rise in poor posture as a result of phones, computers and sedentary jobs has an enormous impact on overall body health. As its association with TMD becomes increasingly apparent, managing poor posture is vital for prevention and management. 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.

But your recommendation can make a big difference.

Making toothbrushing fun and effective

The importance of supervision for kids

Dental caries continues to dominate concerns surrounding children’s oral health, with early onset often growing into lifelong oral health problems. Despite this, many children still fall short of achieving ideal oral hygiene due to a lack of supervision and proper education. Encouraging – and sometimes convincing – children to brush their teeth can be a tedious chore, which is why education around the topic is vital. Implementing good oral hygiene habits from an early age is crucial. It supports the health and hygiene of their current teeth and encourages habits that will carry into adulthood. Parents can correct techniques and assist in maintaining consistency.

the significance of supervision

One of the easiest ways to encourage good habits is through supervised brushing –establishing a fun environment for children to see past the chore-like nature of brushing teeth. This can involve many different methods to succeed: tailoring the daily act to the child and reiterating the importance gently can create this setting that children find themselves genuinely enjoying.

Research indicates that children under the age of seven often lack the necessary motor skills to effectively brush their teeth. Supervision ensures that all the requirements of successful plaque removal are met, such as confirming the recommended brush-time of two minutes, and that all surfaces are covered, including the gumline and molars.

technique to tools

Furthermore, guidance on effective brushing techniques extends to the tools used too. Support covers educating children on the correct amount of toothpaste, and helping them navigate different brush types and techniques to avoid causing damage to

gums or enamel whilst still removing plaque. Each of these reiterations can significantly improve the quality and consistency of this routine, with gentle corrections to maximise the extent to which these habits are upheld. Additional methods of holding children’s attention whilst cleaning their teeth is by implementing music or games into the regime. A 2024 scoping review found that incorporating game-like elements such as rewards and challenges significantly boosted children’s enjoyment and motivation during oral hygiene routines. Though implementing successful cleaning regimes can help develop independence in toothbrushing, the consistency must be maintained as they age. Children can become overconfident in their independence which could lead them to stop adhering to proper practices. Childhood and adolescence are the most influential stages for developing healthy behaviours.

the role of schools and community programmes

Schools and education systems hold a critical role in promoting oral hygiene practises for children, providing foundations, resources, and even interactive learning. One systematic review highlights that the commitment of school staff is integral for both the implementation and continuation of supervised toothbrushing techniques. The review notes that incorporating oral health education into the curriculum enhances long-term understanding. As of March 2025, the government is investing £11 million into local authorities across England to deliver supervised toothbrushing programmes in schools and nurseries that wish to participate. This support augments dental care and hygiene in children immensely.

Additionally, community participation such as that of trained volunteers or dental hygienists

can also promote a supportive environment and reinforce oral health education through peer-led and culturally tailored delivery methods. With trained dental staff and dental hygienists delivering strong messages and recommending appropriate products, schoolbased interventions have huge potential to dramatically improve both knowledge and frequency surrounding toothbrushing. One controlled trial showed oral health education introduced at an early age significantly increased brushing frequency.

Selecting appropriate products for children

Children’s reluctance to engage with these routines can be derived from: discomfort in the act of brushing, lack of understanding of the importance of oral hygiene, and even distaste for the toothpaste used. In one particular study, of 787 5-12 year old children surveyed, 80% stated that they would prefer toothpaste flavour options other than mint-flavoured. Hence, it is important to note that the choice of oral care products can be just as influential as behavioural strategies in improving engagement and effectiveness.

Establishing an engaging oral hygiene environment relies on overcoming all potential inhibitions, with particular avoidance of any unnecessary discomforts that children may face when navigating this new experience in their lives. BioMin® F for Kids is a great example of a product

The great fluoride debate

There is evidence supporting the benefits of fluoride for oral health purposes, which has been shown to reverse the initiation and development of dental caries. However, there remain uncertainties as to whether the mineral is essential for the general population. This is one of the main issues driving conversations about whether the fluoridation of mains water supplies is ethical – or necessary. Even among the dental professional community, discussion continues.

Fluoride sources

The adequate daily intake of fluoride is 0.7mg for toddlers, 3-4mg for adults, female and male respectively. The threshold for anyone over the age of 9 years is 10mg. A potential consequence of excessive longterm ingestion is dental fluorosis – especially in children while they’re still developing. An accidental overdose of fluoride can also cause nausea, vomiting, abdominal pain, diarrhoea, periostitis and even death in extremely rare cases.

Fluoride is most typically consumed within food, particularly brewed black tea, coffee, tinned shrimp, raisins, potatoes, rice and cottage cheese. In addition to dietary options, fluoride intake can be increased via oral supplements, varnish applications, toothpaste and water consumption. Supplements are proven to reduce caries risk, although they have largely been replaced by topical fluoride varnish applications over time. The latter is effective for caries prevention and reduction, remineralising the teeth for enhanced enamel strength. Toothpaste is probably the easiest and most common way to access fluoride. As dental professionals, we are tasked with recommending products with the appropriate fluoride content for each of our patients.

Water is the most contentious source of them all. Fluoride only occurs naturally in water in very small concentrations, meaning that most people would be unlikely to gain the associated health benefits.

Forcing the issue

Water fluoridation was initially introduced in the UK in 1955, when schemes were initiated in Watford, Kilmarnock and Anglesey. Analysis of the results found that 5-year-old children in these areas had 50% less caries than those in the control areas. Fluoridation of drinking water also later commenced in Birmingham and various cities in the North East and then North West of England throughout the 1960s and ‘70s. Today, water fluoridation is only implemented in a handful of regions, including Newcastle upon Tyne, Workington, Scunthorpe, Lincoln, Birmingham, Bath, Norwich and Cambridge. Expansion has been hindered by the potential harm that fluoride might cause, the key concern being fluorosis, particularly among children. There have also been questions regarding associations between fluoridated drinking water and adverse systemic effects like bone cancer, Down’s syndrome and kidney issues, though there is not sufficient evidence supporting these at this time.

that can be used to improve brushing experience and encourage participation in a once-monotonous activity. Its enticing strawberry flavour encourages not only willingness, but excitement to brush teeth. BioMin® F for Kids is tailored to meet the needs of young teeth, containing a lower level of fluoride (530ppm), to work in harmony with developing enamel. Its patented mineral release technology, delivers a steady and responsive supply of vital mineral ions over 10-12 hours after brushing. Rather than being washed away like conventional toothpastes, BioMin® F for Kids guards young teeth against acid attacks caused by frequent snacking and sugary drinks, working long after they’ve run off to play.

Founding effective oral habits

Supervised toothbrushing is not only effective, but a vital strategy for both improving current oral health and implementing healthy, long-lasting routines. When home engagement is combined with community initiatives and appropriate toothpaste selection, the risk of potential caries and dental complications are minimised extensively.

the science is clear. the solution is simple www.biomin.co.uk

Calling all dentists! Do you want samples or a practice visit? Speak to our UK dealers, Trycare on 01274 88 55 44 or email: dental@trycare.co.uk, or CTS on 01737 765400 or email: sales@cts-dental.com n

about the author alec hilton, Ceo, BioMin technologies.

The ethical aspect of widespread water fluoridation is another leading cause of opposition. It is also not a new one, having been debated since the ‘90s. The issue here is the elimination of people’s choice regarding whether they consume fluoridated water or not.

a professional dilemma

Having spoken to colleagues about the matter, there are conflicting thoughts even among us. To avoid causing additional confusion or concern among patients, I feel the key is to promote prevention as a whole. We should be educating patients with the facts and encouraging them to make an informed choice for themselves. Whether they support water supply fluoridation or not, there are likely to be many other ways they can enhance their oral health. n

about the author endoCare, led by Dr Michael Sultan, is one of the UK’s most trusted Specialist endodontist practices.

Recommendations based on trust

Dental professionals have an important responsibility when advising patients on the care that they should undergo, and the oral health solutions that they should invest in. Whether advising patients use a specific brand of toothpaste, or an electric toothbrush over a manual option, it’s vital that clinicians are confident that their recommendations can improve an individual’s health.

This also applies to water flossers, which have gained rapid momentum as an effective and accessible oral hygiene adjunct. When recommending specific solutions to patients, clinicians need not look further than Waterpik™ – the only water flosser brand to be approved by the Oral Health Foundation.

As the original water flosser brand, and with innovations going back for more than 60 years, Waterpik™ has refined high-quality oral hygiene routines. That’s why it’s also the #1 water flosser brand recommended by dental professionals.

stamp of approval

Patients will recognise the Oral Health Foundation from their long-running campaigns that encourage improved oral health knowledge. Their approval system elevates effective oral health care products that have been assessed by an independent panel of internationally recognised dental experts to ensure that all claims made are true, and backed by evidence.

This also helps clinicians recognise the solutions that they can trust with confidence. Waterpik™ products are backed by 80+ clinical research studies, each helping dental professionals and

patients understand how their water flossers can make a real difference.

The evidence speaks for itself. Waterpik™ water flossers are proven to provide significant oral health benefits, including:

• Improved gum health

• Effective removal of plaque and bacteria

• Access to areas that can’t be reached with a toothbrush or traditional floss

league

of its own

When compared against traditional flossing solutions, Waterpik™ routinely comes up victorious. Their water flossers, such as the renowned Cordless Advanced, are up to 50% more effective for reducing gingival bleeding than string floss. This especially supports patients who may know that they need to combat periodontal problems, but struggle to effectively debride plaque and bacteria with fiddly dental floss.

A Waterpik™ water flosser makes the oral hygiene routine simpler, as patients need only point the tip at the interdental spaces and along the gumline, and the unit does all the work for them. Not only does this mean patients can clean with confidence ahead of their next dentist or dental hygienist appointment, but it also minimises loss of motivation due to painful or difficult to use floss – the literature has found that struggling to use interdental cleaning solutions is a leading cause of irregular use.

Upon activation, a Waterpik™ water flosser will remove up to 99.9% of plaque and bacteria from treated areas in as little as three seconds, for a speedy and reliable clean.

Plenty of choice

Not all patients have equal oral hygiene needs. Some patients are undergoing orthodontic treatment, others have dental implants, or dexterity issues, amongst a myriad of other considerations. When clinicians need to recommend improved interdental cleaning solutions however, Waterpik™ is certain to help.

Don’t hold your business back

Though exceptional patient care is the priority for all dental practices, it is just as important that they function as successful businesses too. One of the greatest challenges of practice ownership for principals is finding the time to work on the business as well as in it. Among the many tasks on the list will be the review of existing dental plans. While it may be deemed a lower priority for some, having an inefficient plan in place could actually be costing your business significantly and holding back your growth.

lost revenue

There are a number of ways in which older or inefficient dental plans could be costing the practice money. Where dental plans have been in place for some time without review, there is a chance that the premiums haven’t increased in line with inflation or the rising cost of running the business. This could be leaving deficit that the practice is picking up. It is also possible for new or developing services like dental hygiene or therapy to be inaccurately represented within the plan structure. The result of all this would be smaller profit margins for the practice and therefore less benefit of offering a plan.

Another risk to revenue increases when your dental plan is no longer fit for purpose and, therefore, in decline among patients.

The purpose of an effective initiative is to boost patient retention, but issues with your offerings will have the opposite effect. This may reduce business in the long-term, negatively impacting patient satisfaction, practice reputation and revenue, as well as business growth and stability.

administrative overload

The other issue with an outdated dental plan is that it may be complex to implement, therefore creating unnecessary workload for the practice team. Whether this involves chasing outstanding premiums or unpaid claims, navigating complicated paperwork or manually adding notes to old systems that don’t cater for your current service offering, extra work could be putting significant strain on administrative and support staff. Not only does this affect workflow efficiency throughout the practice, but it can also contribute to workplace stress. Higher levels of stress are linked with reduced job satisfaction among staff, which, in turn, increases the risk of staff turnover. At a time when recruitment is difficult in dentistry, retention is crucial. Improving the working experience for all members of the team can be achieved by providing access to systems and solutions that facilitate efficiency and convenience on a daily basis. The dental plan in place is no different.

The Ultra Professional water flosser from Waterpik™ features 10 unique pressure settings, a large reservoir with water capacity of 90+ seconds, and 5 tips (including the Orthodontic tip, the Precision tip and Tongue Cleaner tip), so patients can find ultimate comfort. With the Plaque Seeker™ tip, the Ultra Professional is more than two times as effective as string floss for implant patients for improving gingival health.

If patients prefer a cordless solution, the Cordless Advanced water flosser is a compact, ultra-quiet solution with rapid charging. It features three pressure settings and 4 unique tips, helping patients deliver high-quality oral hygiene routines – even when they’re on the go.

imitated, but never matched Recommending effective oral hygiene solutions is an important responsibility for any dentist. Remind patients that Waterpik™ is the only Oral Health Foundation-approved water flosser brand, with clinical research backing up the range of effective Waterpik™.

Not all water flossers are equal. Recommend by name.

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

time to audit

If your dental plan is no longer working as hard for you as it should – or if you simply don’t know what kind of shape it is in – then now is a good time for an audit.

The key areas you’ll need to review are:

• What exactly does your dental plan cover? Is there anything missing or any new services you offer that would be beneficial to add?

• Are the available payment plans appropriate for your demographic of patient?

• What is your average uptake rate? What are the main reasons the plan is not implemented by patients?

• How much time do your admin staff spend each week managing your dental plan patients?

• Is your dental plan still in-line with your business goals and objectives? Does it encourage and support growth and development?

Thankfully, this doesn’t have to be a massive task that requires hours and hours to complete. In most cases, it is incredibly useful to work with experts in the field who can help you sort through the data and identify what matters most. By working with the expert Business Development Consultants at IndepenDent Care Plans (ICP), for instance, you will

receive an objective review of your current business needs based on 30 years of experience in dentistry. The team will then help you tailor a completely bespoke dental plan for your practice, with a seamless switch over process ensuring a quick and easy transition to a more profitable and efficient business.

time to thrive

The dental plan you offer is just one of the factors affecting the growth and success of your practice, but it is an important one. When properly optimised, such an offering will enhance patient retention, increase time spent with patients in the chair, elevate professional job satisfaction and workflow efficiency, and boost business revenue. Don’t let an old system hold your practice back.

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

about the author dr robert donald, director at independent Care Plans.

Successfully convert from NHS to private dentistry with us

If you have been thinking about making the move from NHS to private dentistry, let our friendly experienced team explain why introducing private Dental Plans to your practice can enhance your income and provide you with the freedom to grow your business.

Our dedicated team will work with you to carry out an impartial analysis of your business and will provide you with all the support and advice needed for a full or partial conversion.

With over 30 years experience of administering Dental Plans for practices throughout the UK, we are the perfect partner to ensure your transition is both seamless... and an ongoing success!

Continue nurturing and protecting your legacy with DeNovo Away with the fairies

Although Dr Peter Saner wasn’t actively considering the sale of his dental practice, encountering DeNovo Dental Partners provided an unexpected opportunity. He shares how his interaction with the team led to his decision to make a change in ownership:

Along with Santa Clause and the Easter Bunny, the Tooth Fairy is an emblem of a child’s imagination, helping to guide them through the younger years by explaining why their teeth are starting to wobble, and the reward they may receive when it falls out. This can be a coin or a figurine, a booklet or just a nice note thanking the child. Educating children on the importance of looking after the teeth and gingivae is vital, setting them up for a proactive future where consistent daily oral hygiene lowers the risk of oral disease. Encouraging parents and guardians to maintain the Tooth Fairy tale can increase a child’s engagement with looking after their teeth.

Fantasy meets reality

To help paediatric patients better understand the long-term value of toothbrushing, Curaprox has launched the Tooth Fairy Gift Set, combining the iconic appeal of the fantasy character with first-class oral hygiene products. Chief among these is the Curaprox Kids Toothbrush. Available in six dazzling colours – blue, pink, green, purple, red, orange –the toothbrush is visually enticing, helping to reduce any anxieties or discomfort that some paediatric patients may have. Suitable for children aged 4-12, the toothbrush contains 5,500 super-soft filaments. These are gentle on the teeth and gingivae whilst effectively removing plaque to protect the emerging secondary teeth. The Kids Toothbrush is designed for optimal handling and efficiency. The octagonal handle comfortably sits in both smaller and larger hands, should the parent/guardian need to assist. The angled head also ensures excellent control and better access to the tooth surfaces, aiding children in honing the correct toothbrushing technique.

Fruity flavour

A great toothbrush needs a great toothpaste, and the Tooth Fairy Gift Set contains a Curaprox Kids Watermelon Toothpaste. It contains 1,450ppm fluoride, providing a daily defence against cavities and keeping the enamel and gingivae strong and healthy. Whilst mint toothpastes may be too intense for children, the Kids Watermelon Toothpaste brings the cool taste of summer to every brush time. With its fruity punch, compliance will increase. Furthermore, no harmful ingredients

are used to achieve the pleasant taste, with enzymes, fluoride, sorbitol and a dash of xylitol all working together to strengthen the teeth and prevent the spread of oral diseases.

Unique resources

What makes the Tooth Fairy Gift Set unique is the array of resources it provides to boost understanding and toothbrushing performance. This includes a five-step guide to cleaning teeth and a tooth loss chart to increase children’s interest in their oral health. The latter uses a simple diagram for children to work out which tooth they may have just lost, then they can mark the date. Despite its simplicity, the chart can improve children’s understanding of their own dental anatomy. Supporting this further is the series of five information videos that the child receives every 10 weeks directly from the Tooth Fairy and her helpers; professional dental hygienists. These give helpful hints and tips on how and why it is important to maintain good oral hygiene habits.

For interacting with the Tooth Fairy, the set comes with a fun hanging sign that can be placed on the bedroom door handle. A sleek tooth pouch is included for children to hold their lost tooth and tuck under the pillow.

a helping hand

To support the parents/guardians, the Tooth Fairy Gift Set contains special envelopes, notes and tooth receipts. These add to the excitement the following morning, with children able to open the envelope and read the note from the Tooth Fairy.

As a bonus, the parents/guardians receive a discount code for the CS 5460 Triple Pack of toothbrushes. This enables them to join their child in harnessing the excellent cleaning power of Curaprox products.

The Tooth Fairy Gift Set is lovingly designed to appeal to children, stimulating their imagination whilst increasing their interest in looking after their oral health. Through careful education and the reliable oral hygiene products from Curaprox, the next generation can be more compliant and proactive in their self-care from a young age, setting them up for a healthier future.

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

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

“I was very happy to keep working the way I was because I enjoyed clinical dentistry and liked running the practice. However, I did recognise that, at some point, I would need to find a long-term exit plan if I didn’t want to just leave everything to my children to deal with. I didn’t want to stop practising or to leave the business altogether, and selling to a traditional corporate model would never appeal to me. It would mean giving up the practice’s identity and potentially also compromising on everything, from our values to how I manage the team and the quality of patient care delivered.

experience very little difference even once the transition has been completed:

“My team took the news of the upcoming change in ownership very well. I spoke to them individually about what was coming and took some time to discuss the deal. They were reassured to know that nothing would change, which has certainly been the reality. I hope that in time they will gain access to a network of associates across the DeNovo community as it grows.”

While considering the future of his practice, Peter’s connection with DeNovo is designed to help him achieve his goals for growth. He plans to bring in more patients and associates in the coming years, as well as develop training for his dental nurses and front of house staff.

In the meantime, Peter is pleased to be settling into life as part of DeNovo with no surprises or concerns.

“We are already benefiting from costsavings with access to good deals on

“DeNovo solved all these dilemmas, allowing me to keep running the practice exactly how I wanted but with the support of like-minded colleagues who wished to build a great team together. Partnering with DeNovo also enables me to work alongside people who have a really interesting approach to practice sales, and gives me the opportunity to have a stake in something new as we collectively develop the parent business together for the long-term.”

As Peter alludes to, in the DeNovo model, Partner dentists receive the full value of their practices upfront, with the majority in cash and the rest in shares of the broader DeNovo group. There are also continuing incentive payments for growth within the individual practices. This innovative model creates multiple wealth generation opportunities, where Partners are encouraged to continue running high-performing practices while also being rewarded for the growth of the company at large. By operating this completely unique shared ownership model, DeNovo affords every practice total clinical and business autonomy in addition to the many benefits of being a part of an extensive professional network and the economies of scale that come from the larger group.

This freedom for businesses also means that practice teams needn’t fear changes that negatively impact their roles or working environments. In fact, as Peter goes on to explain, the team will likely

equipment through a preferred dental supplier. The DeNovo team have also been incredibly supportive – if they can help, they will. Their approach is very practice specific, meaning that they understand that one solution does not fit all. As such, little has changed in our practice. I continue to make decisions for the practice that are in the best interests of our patients and our team.

“The first test of our new working relationship was when a piece of equipment broke down. Although the investment in repairs and replacements was outside of our delegated authority limits, a quick message to DeNovo prompted an immediate response that enabled us to work with our long-term engineer with no delays or further questions. We were clearly trusted to make the right call for our business and they understood the importance of a speedy resolution in that situation. No attempt was made to save money or cut corners, which I appreciated and goes to show the kind of people we’re working with.

“The DeNovo team are very straightforward and are genuinely trying to do right by their Partners, practices and patients. They have remained consistent and I have never had reason to question their integrity or intention. Ultimately, I have nurtured and protected my practice very carefully for many years, and DeNovo allows me to continue doing so.”

Find out if DeNovo is right for your practice’s future by visiting www.denovo.partners n

Peter saner

YOUR TRUSTED EXPERTS IN DENTAL PRACTICE SALES

Christie & Co has witnessed strong demand from both independent and a resurgence in corporate activity, creating a competitive market for practice owners considering a sale.

It is crucial sellers appoint a reputable agent to explore all market options in order to achieve the best possible price and terms for their business.

SO FAR IN 2025 THE CHRISTIE & CO DENTAL TEAM HAS SEEN A:

• 45% increase in practices brought the market

• 22% increase in viewings

• 30% increase in offers received

• 34% increase in deals being agreed

* compared to the same period in 2024

It is vital that sellers seek trusted and professional advice when considering the sale of their practice.

THINKING OF SELLING YOUR DENTAL PRACTICE? SPEAK TO THE EXPERTS

Scan the QR code If you are looking to buy, grow or sell your business

Scan the QR code To meet the team

More to smile about

Allow us to reintroduce ourselves – we’re Dental Directory and we are refreshing the way we do things in dentistry!

We have been supporting dental practices in the UK for more than 50 years and are unique in that we provide all the products, equipment and support services needed for success. The team are knowledgeable, accessible and always happy to help, whether you are looking to upgrade your patient care, streamline your workflows or grow your business.

Breadth of service

With thousands of products available, Dental Directory provides an unrivalled portfolio to meet the needs and preferences of clinicians and practices nationwide. Looking for the latest restorative materials? Want to upgrade your orthodontic patient journey? Need to restock your infection control supplies? Introducing facial aesthetic services into your practice and need a reliable supplier? Dental Directory has got your back.

But we don’t stop there. We also provide an array of equipment and digital solutions to further elevate the quality of your patient care. These include everything from intraoral scanners and CBCT machines to 3D printers, milling units, autoclaves and dental chairs. What’s more, we won’t just install them and leave you to it. Dental Directory also delivers a

suite of equipment maintenance and servicing options that will keep your practice running safely and efficiently for years to come.

Our engineering team carry genuine parts and are specifically trained on the brands we distribute, ensuring they can test, validate, maintain and repair your technology with confidence. This ensures more first-time fixes, with over 90% of issues reported to us being resolved with our initial response.

The team will also deliver team training for equipment installed, facilitating excellent compliance throughout your practice. We even offer monthly service plans to help practices stay compliant while keeping costs down for maximum value –because we really are on your side.

Whatever you need, Dental Directory is unique in offering all the consumables, products, equipment, training, services and support you need to ensure firstclass patient care. That’s certainly something to smile about.

Supporting business growth

This comprehensive offering does much more than keep your stock cupboard full and your surgeries operational. For example, our services have been redesigned to combine speed and efficiency of the ordering and delivery process, bringing you the solutions you need when you need them. Further value is unlocked through affordable prices, allowing you to save on a huge number of dental products over time.

Our ‘price watch’ ensures we remain competitive and allows you to buy with confidence every time.

Beyond this, our team have accrued years of experience in dentistry, working with practices of all shapes and sizes. This means we can offer unique insights into optimising the patient journey, streamlining

professional workflows and, ultimately, driving business development. In fact, our team are here to support you in any way that they can. Whether you need product feature information, assistance in technical troubleshooting or support in diversifying your patient solutions, our experts are always accessible. Whatever you need to take your practice to the next level, we are here to help you achieve your goals. We believe that only by working together can we successfully build the practices of tomorrow.

Human first

Dentistry is a people business, which is why we make sure to deliver a personal and human-centric service. We believe in digital processes and automation where it saves time and hassle, but we back everything up with a team of professionals who are always available to answer questions or provide bespoke support. Rest assured that when you call us, you will speak to a real person and be given the specific information you request.

We are also human enough to recognise that there is always room for improvement. As such, a big part of our reintroduction to UK dentistry is to re-energise our commitment to continuously enhancing our services for the benefit of our customers and their patients. We’re humbled to work with such amazing clinicians and we are constantly striving to deliver the exceptional products and support you deserve.

By your side

Dental Directory is here to support practices with a comprehensive range of products, experiences and services. We’re building on our rich heritage in dentistry, sticking to the values and ethos that we have been known for since the beginning. We are by your side, building the dentistry of tomorrow and giving everyone more to smile about in the future.

For more information on the products and maintenance services available from Dental Directory, please visit ddgroup.com or call 0800 585 586 n

CS 8200 3D

Looking for more possibilities?

Every patient is different, so your CBCT imaging system has to adapt. The new CS 8200 3D’s Advance Edition enhances your diagnosis with a powerful 4-in-1 system for all your needs. It boasts more and extended fields of view and Al-automated implant planning1 for faster workflow.

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fields of view up to 16 x 10 cm

Three upgradeable FOV configurations

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Reimagining NHS dentistry

As a sector finds itself at a crossroads, nigel Jones, Strategy Director at Practice Plan, navigates the NHS 10-Year Plan and recent Health and Social Care Committee hearing

NHS dentistry in England stands at a pivotal juncture.

A confluence of policy papers, consultations and parliamentary scrutiny has created a moment of rare alignment – one where longstanding issues are not only acknowledged but may finally be addressed in a way that redefines the future of the service.

The publication of the NHS 10-Year Plan presented a sweeping vision for the health service overall. Yet, for dentistry, the document devoted barely more than a page. The absence of any mention in the Prime Minister’s foreword was telling – perhaps symbolic of the lowly status dentistry occupies within the wider NHS ecosystem. Still, the limited space did highlight some key priorities: a commitment to delivering 700,000 urgent care appointments annually; a proposed three-year NHS commitment for dental graduates; and a renewed emphasis on prevention – particularly for children – via supervised brushing schemes, fluoride varnishes and fissure sealants.

Also flagged was the intention to revise the existing dental contract by April 2026, with further-reaching reform to follow. That distinction is crucial: short-term contractual tweaks will not fix what is widely recognised as a system that is fundamentally unfit for purpose.

In line with this, a consultation on near-term contract changes provided more substance. Among the proposed changes: mandating a

portion of contracts for urgent care (supported by enhanced fees), new pathways and payments for treating patients with complex needs, and empowering dental nurses and dental therapists to deliver preventive interventions. These proposals are largely welcome. They begin to redress some of the structural disincentives that have historically restricted access and undermined patient outcomes.

There was also a focus on reducing clinically unnecessary check-ups.

While not a novel idea, it reflects a growing consensus that system capacity must be carefully directed toward those most in need.

The most revealing insights, however, came during a Health and Social Care Committee hearing on NHS dentistry. Evidence from the BDA and the Nuffield Trust underscored the scale of the funding crisis. According to their analysis, an additional £1 billion would be required just to return the service to the state it was in a decade ago – a time when it was already under significant pressure. To achieve universal dental care, the figure would rise into the billions.

The second half of the hearing saw Minister Stephen Kinnock, accompanied by NHS and Department of Health officials, set out the government’s position. To his credit, he did so with candour and clarity. While confirming that no major uplift in funding should be expected, he acknowledged the

urgent need for contract reform, describing dentistry as a ‘burning platform’. Importantly, he committed to initiating the reform process within the current parliamentary term –subject to the financial envelope defined in the next comprehensive spending review.

His remarks pointed toward a fundamental shift in the strategic purpose of NHS dentistry: from universal coverage to targeted provision, prioritising those in urgent need and those least able to pay.

This naturally raises the spectre of rationing and a move toward a ‘core service’ – a concept that, while contentious, may reflect economic and political realities.

Workforce challenges were also addressed, including efforts to clear the backlog of internationally qualified dentists awaiting registration. But practical questions remain around mentoring, supervision and ensuring these professionals can integrate safely and effectively.

What’s clear is that the future of NHS dentistry will be shaped by the intersection of strategy, funding and purpose. It will be essential to define who the service is for, what it aims to achieve, and how it can operate within a finite budget. Models such as weighted capitation, blended payments and sessional contracts are all on the table – but the greater task is aligning them with a clear, shared vision.

In my view, that vision must be centred on reducing oral health

inequalities. We must move beyond the binary of NHS vs private provision, and explore how they can work together to meet public health goals. If we get this right, we have an opportunity to create a more focused, sustainable and impactful NHS dental service – one that is better equipped to serve those who need it most.

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: www.practiceplan.co.uk n about the author nigel Jones is a Director at practice plan. He has been working in the dental sector for around 35 years and has a special interest in the development and future of nHS dentistry in the UK. His knowledge and passion for dentistry has led him to become a trusted voice, offering invaluable advice on how to strategically and successfully run a practice.

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Fitness tips for dental professionals

Dentistry is a physically demanding job and it is critically important that we learn to protect our bodies from injury. You can only practice dentistry as long as your body will allow you, so you must take steps to strengthen your muscles, maintain your ergonomics, and design your operatory in a way that protects your neck, back, and wrists. With more emphasis on the physical demands of the job, it is my hope that we can limit the number of dental professionals who are forced into retirement due to musculoskeletal injuries.

Ever since I was young, fitness has played a huge part of my life. I’ve never forgotten the strong smell of sweat from the boxing gloves, as well as the determination and resilience, that hits you as you step foot inside the boxing gym in Bethnal Green. Fitness isn’t just a routine, it’s a mindset. Every rep builds discipline that carries into every part of life. Taking care of others starts with taking care of myself. Strong body, sharp mind, steady hands. Here are a few points I’ve put together for maintaining a strong body and mind throughout your career:

1. ergonomics are everything –be aware of your posture

Use loupes and proper lighting to avoid leaning too far forward. Keep your spine neutral and avoid twisting. Direct focus is what we are used to naturally yet the long-term detrimental effects of damage to our posture can rapidly be affected.

2. Adjust your chair and equipment

Invest in an ergonomic stool and position your patient at the right height to reduce strain on your back, shoulders, and neck.

3. Use your dental assistant efficiently

Four-handed dentistry isn’t just for efficiency; it also protects your posture.

4. stretching and movement

Incorporate neck, shoulder, wrist, and lower back stretches into your daily routine. Even 5–10 minutes a day can reduce longterm strain.

5. Micro breaks

Take short breaks between patients to move around and reset your posture.

Reasons to avoid TLAs

High up amongst Rees’s rules of communication is, “Just because you have said it doesn’t mean it has been heard… or understood.” One of the privileges of my coaching career is to be a fly on the wall of dental practices, large, small and micro, and to listen to conversations where the main problem with communication is the myth that it has occurred. Every career, trade, profession or sport has its own peculiar shorthand and abbreviations. You will probably have heard LBW, RTA, GBH, PIA and countless others. Sometimes they are used as a code in a clique, a gang, or amongst friends, possibly to disguise a derogatory comment or potential insult, or simply to bring back

memories. I am talking about TLAs: three letter acronyms.

There are variations from country to country, which can lead to confusion.

One example of mine: I live in Ireland and, shortly after my permanent move, I arranged to meet a potential client on her day off. When I suggested a date and time, she replied, “That day is great but I have appointment for NCT, could you do a couple of hours later?”

The only NCT I knew was the Natural Childbirth Trust, so I thought perhaps congratulations were in order. When we met, I asked how she had got on with her appointment. “Oh, I failed on my exhaust,” she replied. In Ireland NCT equals MOT in the UK.

Again, in this part of the world, dependent as it is on dairy farming and beef production, there is increasing confusion about those two letters that keep cropping up everywhere: A and I. One meaning is, of course, the new cutting edge of technology or much faster machine learning. The other means someone who wears very long gloves on their muscled arms.

In the dim and distant past, I worked as an associate where it was the custom for one of the dental nurses to take OPG/DPT radiographs on all new adult

6. exercise regularly

Cardio helps boost energy, improve circulation and reduces stress; essential for long clinical days. Cardiovascular and fitness training, for me, has been essential for maintaining strength and a positive daily mindset. Combining both boxing and weightlifting whilst also aiming to stick to a sensible diet and fitness schedule 5-6 days per week is essential. 45-60 mins a day of fitness training, whatever it may be that suits your interest, is all it takes. Brisk walking or jogging, cycling or swimming, or even highintensity interval training (HIIT) for efficiency are all amazing ways to keep your body in great shape and your mind strong.

Other great activities that are great for recovery and stress management include yoga (focuses on spine, hips, shoulders) and pilates (core and posture control).

final thoughts:

Taking care of your body is an investment in career longevity as well as your personal health. Even small changes in your daily routine can make a significant difference. Remember: your health is just as important as your patients. n

About the author riaz sharif practices at mydentist, parkstone road, poole.

(Three letter acronyms)

patients before they were seen by the dentist. I looked at a set of notes one morning and saw that one patient had the letters “P.I.A.” written on the outside of the dental nurse’s notes. I knew it wasn’t the airline and asked (or DSA in the TLA of the times) what this meant.

“Oh her – she’s a “pain in the … Wouldn’t let me take her OPG the last time she was here. Really snooty cow.”

In came the patient and greeted me, “Hello Alun, I heard you were working here and hoped I would see you.” I knew her socially and that she was a qualified radiographer who didn’t want an ‘unqualified’ person to take radiographs without a clear prescription from the dentist she was due to see. Quite right too, I think.

Another brief story of a new patient who came to see me in my own practice saw all seemingly going well, as we did a full charting of her teeth current restorations and so on, using the normal shorthand communication with my dental nurse. Gradually, the patient seemed to be getting less comfortable until finally she said, “Can I stop you?”

She wanted to know what I meant by MOD and RCT? It turned out her husband had just left the army after 18 years, during which they had moved home more than a dozen times, often at short notice and

the abbreviations for phrases like Ministry of Defence and Royal Corps of Transport filled her with dread. Their use in dentistry and medicine is widespread but not universal and, these days, writing ‘FLK’ (funny looking kid) has quite rightly fallen into disuse. Yet anyone who read it knew what it meant – isn’t that what communication is about?

In my email in-tray at the moment, I have two communications promoting forthcoming courses. One on GBT, the other on CRM and PMS. In neither case would I understand what the course is about due to the TLAs used. With them comes an email from a company who describe themselves as FGM, which is unfortunate I believe.

So, the next time you see a patient appointment that was missed, don’t blame the Freight Transport Association (FTA), or Deoxyribonucleic Acid (DNA). From my days as an SHO (senior house officer –not a Self Help Organisation, although it sometimes felt like it), I read in a patient’s notes that they had been referred to MRI for MRI (Manchester Royal Infirmary for Magnetic Resonance Imaging).

Then, of course, there is the everexpanding cleverness of business acronyms, shorthand and phrases – but that’s for another day. n

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Structural shade without artificial colour pigments: adapts seamlessly to any tooth shade from A1 to D4

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The superpowers of dental practice managers

…and the power of doing less

If you’ve ever worked alongside a dental practice manager, you’ll know they’re not just administrators – they’re superheroes in scrubs (or smart shoes, depending on the day). I’ve had the privilege of working with so many incredible managers, each with their own unique superpower.

Some are compliance wizards, able to summon CQC-ready documentation at a moment’s notice. Others are marketing maestros, turning patient reviews and Instagram posts into full-blown brand loyalty. There are those who live and breathe numbers – accounting, forecasting, and business development – like it’s second nature. And let’s not forget the HR champions who navigate contracts, conflicts, and career paths with grace and grit. Then there are the multitaskers: the managers who still nurse,

coordinate treatment plans, cover reception, and somehow still remember everyone’s birthday. Some do it all and make it look effortless. But here’s the truth we don’t say enough:

We don’t have to do it all Now, before anyone panics, I’m not trying to make practice managers extinct. Quite the opposite. I want us to evolve. To lead. To empower. Because the real power of a great manager isn’t in how many hats they wear – it’s in how well they enable others to wear theirs.

We’re not just here to fix problems. We’re here to build teams that solve them. That means delegating with confidence, training with intention, and overseeing with clarity. It means trusting our receptionists to own the patient journey, our nurses to uphold clinical standards, and our coordinators to manage treatment plans with care and precision.

It means stepping back – not because we’re disengaged, but because we’re strategic.

When we try to do everything ourselves, we risk burnout, bottlenecks, and missed opportunities. But when we create space for others to grow, we build resilient, high-performing practices that thrive even when we’re not in the room.

And yes, sometimes that means letting go of tasks we’ve always done. It means resisting the urge to jump in and fix every rota clash or printer jam. It means saying, “I trust you,” and meaning it.

That’s not easy. Especially when we’ve built our careers on being the go-to person, the fixer, the one who always knows what’s next. But leadership isn’t about being indispensable. It’s about making others feel capable.

So, let’s celebrate the managers who delegate brilliantly. Who

coach instead of control. Who create systems that run smoothly without micromanagement. Let’s champion the managers who know their strengths – and know when to lean on others.

Because dental practice management isn’t just about doing. It’s about enabling. And when we do that well? We don’t just build better practices. We build better teams, better patient experiences, and better futures for everyone involved.

So, here’s to the superpowered managers and to the quiet, radical power of doing less. n

About the author

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

The chair is just the beginning

Expanding the horizons for dental care professionals

As a registered dental care professional with over 20 years of experience, my journey has taken me from the discipline of military service to the dynamic world of dental practice management, clinical support, and strategic leadership. Today, I oversee Clinical Services for Denplan, guiding specialist teams and shaping the future of dental care delivery. Through every step of this journey, one truth has become increasingly clear – the dental chair is just the beginning. For many dental nurses, the daily rhythm of chairside support, suction units, sterilisation, and patient prep can feel like the full scope of their professional identity. But beyond the chairside environment lies a world of opportunity. And for those asking, “What’s next?”, the answer is: leadership, innovation, education, and impact.

The traditional image of the dental nurse is evolving. No longer confined to clinical duties, today’s dental care professionals are stepping into roles that influence policy, shape patient experience, and drive strategic change. Whether it’s leading compliance initiatives, mentoring new team members, or contributing to public health outreach, dental nurses are proving that their skills extend far beyond the chairside.

Practice management and leadership

Dental nurses with strong organisational, communication, and

problem-solving skills are increasingly stepping into leadership roles. In practice management, they oversee daily operations, coordinate teams, manage patient flow, and ensure compliance with clinical standards. These roles offer the chance to influence how care is delivered, improve patient experiences, and support the wellbeing of the wider dental team. Leadership also provides a platform to advocate for staff development and drive positive change within the practice.

Clinical governance and compliance

With their deep understanding of clinical procedures and patient safety, dental nurses are well-positioned to lead on governance and compliance. These roles involve managing audits, ensuring adherence to regulatory frameworks (such as CQC and GDC standards), and identifying areas for improvement. Dental nurses in these positions help safeguard the reputation of the practice and protect patient welfare. It’s a career path that blends clinical insight with strategic oversight, ideal for those who enjoy detail, structure, and accountability.

Education and mentorship

Many experienced dental nurses find fulfilment in sharing their knowledge with others. Whether through formal teaching roles, CPD facilitation, or informal mentoring, they help shape the next generation of dental professionals. These roles foster a

culture of learning, support team resilience, and promote high standards of care. For dental nurses who enjoy coaching, guiding, and inspiring others, education offers a rewarding and impactful career direction.

Public health and outreach

Dental nurses are increasingly involved in community based initiatives aimed at improving oral health and reducing inequalities. From school visits and care home programmes to public health campaigns, these roles allow dental nurses to connect with diverse populations and deliver preventive education. Outreach work is especially vital in underserved areas, where access to care is limited. It’s a chance to make a tangible difference in people’s lives, outside the walls of the practice.

Strategic planning and innovation

As dentistry embraces digital transformation and new models of care, dental nurses are contributing to strategic planning and innovation. Their frontline experience gives them valuable insight into patient needs, workflow challenges, and service gaps. Dental nurses in these roles help shape future services, implement new technologies, and support sustainable growth. Whether involved in project development, service redesign, or digital integration, they play a key role in driving progress across the profession.

Transitioning beyond the chair

doesn’t require abandoning clinical roots, it means building on them. The key is recognising your transferable skills: communication, empathy, organisation, and clinical insight. Seek out training, mentorship, or shadowing opportunities. Ask questions. Share ideas. The profession is ready for your voice.

In my own role, I encourage ideasharing and innovation, ensuring our teams align with organisational goals while creating sustainable solutions for long-term success. Dental nurses are central to this mission, not just in delivering care, but in shaping how care is delivered.

To every dental nurse who has ever wondered what lies beyond the suction unit – your career can be as expansive as your ambition. The dental chair may be where your journey began, but it doesn’t have to be where it ends. With curiosity, courage, and support, you can step into roles that challenge, inspire, and transform both your career and the profession itself.

About the author

Lianne Scott-Munden, Clinical Services Lead at

Denplan.

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Proposed contract changes: What you need to know

Johnny Minford, NASDAL Media Officer, considers the plans

On 8 July, the government announced new proposed changes to the NHS Dental Contract. These changes will follow a six-week consultation process, which will close on 19 August. This is part of the government’s Plan for Change and, specifically, the recently announced 10-Year Health Plan for improvements in the NHS.

This is not a long consideration time – the Department of Health is determined to be seen to be pushing things along. In some ways the sense of urgency is a good thing, although some have expressed concern that there is not enough time to fully think through the potential outcomes of the consultation. Of particular concern are the inevitable unintended consequences and the subsequent reactions of clinicians to them. The contract has needed reforming for years, but that does not make the process any less complex.

The stated intention is to achieve the reform through ‘changes to financial incentives and improved system oversight’, which are two quite distinct things. They will start to come into force from the 2026-27 financial year – less than one year away. Not all changes will be brought in immediately but, as in any change plan, an end goal should be visible.

What are the proposed changes?

Under the plan, there will be a compulsory tie-in to the NHS for newly qualified dentists, requiring them to practise in the NHS for a minimum period. This is expected to be set at three years. The level of NHS work they need to do in proportion to any private work they might also take on is not yet clear.

The intention is also to encourage dental care professionals such as dental hygienists, dental therapists and dental nurses to work to the ‘top of their clinical potential’ –so ‘upskilling the workforce’. The intention is for this to begin in 2026.

This concept of the whole dental team working at the top of their capability is not a new idea and many successful practices – both NHS and private – already use this model. What is new is that the Department of Health is starting to look at moving the boundaries to expand possibilities, such as the suggestion for dental nurses to administer fluoride varnish to children between check-ups, freeing up dentists’ time.

This responsibility shift is something that could help improve staff retention, by allowing the team to work to their highest potential and encouraging career progression.

There are government plans for a Neighbourhood Health Service that would bring multiple healthcare services under one local community team – including dental care. This service would offer less technically demanding care to patients, such as check-ups, basic treatments and oral health advice delivered in general clinics, with referrals to dentists for anything beyond the scope of the clinicians present. The idea is to reduce the amount of low-value activity performed by dentists, freeing them for higher-value treatments.

It will be interesting to see the reaction of those practices who have a reasonable proportion of Band 1 treatments through the chair – patients who will now have an alternative offer – and what effect this will have on the goodwill values of such a dental practice.

There are also proposals for new approaches to payments receivable by clinicians:

For patients with at least five teeth, with caries and/or significant gum disease (‘higher or more complex needs’) there will be extra fees paid, on a standard scale, lasting over a set period of treatment time. There is also a suggestion that related lab treatments will also be paid where clinically required.

Fissure sealant application, which currently only attracts a Band 1 payment, will now be ungraded to Band 2 – worth three or five UDAs depending on the number of teeth treated. The Department view is that this treatment, a positive one for oral health, is currently under-used because the payment is a major disincentive compared to its cost.

They are also proposing a new sub-Band for dentures. This will target modifications where a full replacement is not necessary, or repair or relining. This sub-Band would add a further two UDAs to the existing Band 2 treatment claim.

Dental practices will be required to provide unscheduled care for patients experiencing ‘painful oral health issues such as infections, abscesses, or cracked or broken teeth’. Each course of unscheduled care delivered will attract a nationally set payment of £70, irrespective of the practice UDA rate.

As mentioned earlier, the proposed changes would also introduce a new course of treatment to enable fluoride varnish application in children without a full dental examination. Currently, there is a requirement for an accompanying check-up for fluoride varnish. This would make the administration of the treatment much more accessible and flexible.

We will see an increase in ‘quality improvement activities’ under the including structured audits and peer review. These could include improving the quality of recall interval decisions, the quality of care for children and the quality of periodontal care. The implementation of these improvement activities would be based around nationally determined topics based on reviews of nationally provided data. Funding for these improvements is currently set for three years, with an annual payment of £3,400 for each practice involved.

Principal-led appraisals (paid) are on the cards for associates, therapists and hygienists who are providing clinical services to NHS patients. The payment for this time would be valued at six UDAs per eligible individual.

The consultation contains the intention to create an NHS model contract for dental associates between Associate and Principal. Individuals would be free to negotiate terms with their employer, but a minimum standard would be in place. It is not clear what this standard might be, nor what aspects of the contract terms it would include. In particular, we do not know whether the model contract would stop at behavioural terms or reach into the realms of financial and clinical control that affect tax status. There are hints

that the government wishes to get involved in this arena, which would be a huge issue. Bringing forward the employed/self-employed argument again would cause uncertainty – the last thing any business needs.

The government has described its consultation as leading to ‘a bold overhaul, not minor adjustments, that makes NHS dentistry sustainable, equitable, and focused on improving patient outcomes.’ There are certainly some changes, and more to come, but so far nothing fundamentally different to the current paymentthrough-UDA concept. However, qualitatively, there is a discernible shift towards a more controlled delivery of oral care, away from the hands of business owners, both in which services they provide and how they are delivered. n

About the author

Johnny Minford is Commercial and Development Director at DJH specialist Dental Accountants. He is Chair of the Membership committee for nAsDAL as well as Media officer and Chairman of the Association of specialist providers to Dentists (AspD).

Practices generating over £900,000 in revenue with EBITDA margins above 20% remain the primary targets for consolidators and corporate groups.

- from the Dental Elite Benchmarking Report 2025

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Why oral health matters in the world of sport

Professor Peter Fine, a professor of dental education and lecturer in sports dentistry, explores the critical link between performance nutrition and oral health ahead of his talk at

When I was still in general practice, I found myself treating several high-level athletes and I started to notice a trend I could not ignore. Despite being fitter than most of my patients, they had more dental disease. I’m not just talking about trauma from contact sports, though that was common too, but a higher incidence of decay, gum disease, and tooth erosion. That was the beginning of my journey into sports dentistry. What started as curiosity became a passion and, eventually, a new lens through which to view oral healthcare.

Traditionally, sports dentistry was considered a niche field focused on managing dental trauma in athletes. But we now understand it to be so much broader. It includes prevention strategies, nutrition, education, and crucially the impact of poor oral health on athletic performance.

the impact of poor oral health

One of the key drivers behind this observation is inflammation. We now know that inflammation originating in the mouth can affect multiple organs, including the heart, liver, and kidneys. It’s deeply connected to systemic health, and athletes are especially vulnerable. Infections, particularly around wisdom teeth for example, or untreated gum disease, can weaken the immune system and directly affect an athlete’s ability to train, recover, or compete.

There was a well-known case at the Beijing Olympics where one of our British rowers - tipped for a medal - ended up finishing eighth. The reason? A dental

infection that undermined his performance. That’s how serious this can be.

What’s even more surprising is how little awareness there still is. I’ve met plenty of elite athletes and nutritionists who’ve never been told there’s a connection between oral health and athletic performance. Even those with advanced qualifications in sports nutrition often aren’t taught to consider dental health as part of the performance equation.

the importance of prevention

When we’re invited into professional clubs or teams, we often arrive after an issue has already occurred. But the real value is in prevention. Now, more clubs, teams and sports bodies are recognising that and inviting us to carry out pre-season or pre-sporting event screenings and oral health education for players. Once the medical team, physiologists, and nutritionists understand the link, it becomes a lightbulb moment. They get it and they start to embed it into their athlete care plans.

Gum disease and dental decay are the two biggest issues we see, followed closely by erosion. One factor is undoubtedly sports drinks and gels. These are highly acidic, and when used frequently, especially sipped over time, they wreak havoc on enamel . Younger athletes, especially those aged 16 - 17, are showing worrying levels of disease. This same group are irregular dental attendees, often because they “don’t have time.”

There’s also the mental health aspect. Pain, discomfort, or missed sporting competitions due to oral infections can

Dentistry Show London

have a huge psychological toll - especially for athletes who’ve trained for years for a single moment of performance.

We’re not trying to get athletes to change their habits dramatically, that’s not realistic. But we do encourage behavioural strategies: rinsing the mouth with water immediately after consumption, using either water or milk as a recovery drink, and brushing twice daily with a fluoride toothpaste (without rinsing after brushing, to allow the fluoride to soak in).

How the industry can support

As dental professionals, we have a vital role to play. But we need to equip ourselves with the right knowledge. It’s time we stop thinking of this as a niche issue. Whether it’s giving practical dietary advice or advising athletes on safe and effective cosmetic treatments, we can support not just oral health, but performance and wellbeing.

We’re already seeing progress. Some clubs now have oral health screening as part of their pre-season assessments. I sometimes take dental nurses with me to help at the screening, and I’d like to see hygienists and therapists embedded in this work soon, giving oral health teaching sessions to athletes and their support staff.

Sports dentistry is no longer just about managing injuries. It’s about prevention, education, and a broader understanding of health and performance. We need to build stronger relationships and collaboration between dental teams, nutritionists

and sport medicine professionals to make oral health a standard part of the conversation around performance.

Looking ahead

At Dentistry Show London, I’ll be sharing more on this expanding field, highlighting the research, real-world case studies, and practical strategies we can all use, whether you’re treating elite athletes or enthusiastic amateurs.

From rugby and football to cycling, swimming, and hockey, we’ve seen the impact poor oral health can have across a wide range of sports. Swimmers, for example, often suffer higher levels of tooth erosion due to the acidity in pool water. These nuances matter.

If you’re a dental professional who wants to understand how to better support your patients who train or compete regularly or if you’re curious about how oral health links into wider conversations about nutrition and performance, I hope you’ll join me. Together, we can help shift the focus from damage control to proactive care and in doing so, make a measurable difference in both oral health and sporting success. n

Catch Professor Peter Fine at Dentistry Show London, Excel where he’ll present ‘From Club Runners to Elite Athletes: The Impact of Performance Nutrition on Oral Health’ on 3 October at 4.15pm.

High-quality education for improved patient outcomes

Continuing education is essential for all dental practitioners, offering invaluable opportunities to deepen their understanding of their patients’ challenges and how best to manage a wide range of issues. Within endodontics, the complexities that can arise at every stage of patient assessment, diagnosis, and treatment make opportunities to learn from the experiences of others incredibly important. In the Specialty Interest Theatre at the British Dental Conference and Dentistry Show, endodontology was a key area of discussion, drawing in those who were eager to expand their knowledge of innovative techniques and management of complex issues. A number of experts in the field led conversations which aimed to educate and inspire audiences to consider a wide range of treatment approaches when presented with endodontic cases.

vital pulp therapy

Dr Phillip Tomson presented an insightful session “Managing the diseased pulp –a new dawn for vital pulp therapy!” in which he aimed to uncover the benefits of providing vital pulp therapy and when it may be appropriate.

Phillip began by asking “Why maintain pulp vitality?” outlining a wide range of positives including: cost-effectiveness, increased survival rate, easier treatment performance,

and increased restorative cycle options. Currently, caries and deep carious lesions are major issues in dentistry, and it’s important that dental professionals have management techniques at their disposal to enable them to tackle these types of cases. Management techniques can be indirect or direct. Indirect techniques include prevention, non-selective caries removal, and selective caries removal to firm or soft dentine. Direct management techniques include direct pulp capping, partial or full pulpotomy, and pulpectomy. Clinicians must decide how best to manage each case on an individual basis, in order to most effectively maintain pulp vitality. This is an important conversation within endodontology as vital pulp therapy and minimally invasive dentistry in general gain popularity – often resulting in excellent outcomes for patients.

Cracked teeth

Dr Dipti Mehta presented a fantastic session on the topic of “Mind the crack! A case-based journey through diagnosis, treatment and longevity of cracked

teeth” addressing the growing number of patients presenting to practices with cracked teeth and exploring diagnosis and management for predictable outcomes.

Dipti began by talking through a number of case studies, and highlighting the importance of not making assumptions, listening to patients, and paying attention to small details when making a diagnosis. She considered whether all cracked teeth need endo, describing the process of managing cracked teeth through endodontic treatment – conservative access, shaping, obturation, and speedy cuspal coverage. Additionally, Dipti stressed the importance of managing patient expectations in these cases, noting that existing cracks will likely propagate further, without knowing when. Dipti continued the discussion by exploring when to treat endodontically and when to extract. She considered whether root canal therapy at this point could jeopardise future treatment options due to catastrophic bone loss. Discussing the prognosis of cracked teeth with patients is essential, including conversations around delaying implant placement and when this is appropriate. If treatment is provided, regular radiographic monitoring is crucial.

Decision making

Dr Philip Mitchell’s session “To be or not to be: decision making in endodontics” offered delegates an insight into when

and how to treat various endodontic problems based on up-to-date research to inform decision making protocols. He introduced delegates to decision making algorithms which can assist clinicians in their decision to monitor, retreat, perform apical surgery, or extract a tooth. Each of these sessions were presented by members of the British Endodontic Society (BES) council, an organisation committed to furthering the nation’s dental health and well-being through pioneering, researching, and supporting its members.

In addition to attending events like this to present on a wide range of topics, the BES hosts numerous educational events every year – including study clubs, workshops, and masterclasses. Educational events and resources provided by a reputable source is the ideal way to deepen your knowledge of endodontics and the complexities of treatment and decision making. This will help to ensure that patients are always receiving the most appropriate treatment for them to a high standard. In the long term, this will mean that they experience fewer complications, require less invasive treatment going forward, and enjoy successful outcomes, free of pain. For more information about the BES, or to join, please visit www.britishendodonticsociety.org.uk or call 07762945847 n

Phil tomson, Dipti Mehta, Phillip Mitchell

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Connecting dentistry

From across the pond

Dentistry can be an isolating profession, so it’s important to branch out beyond the surgery walls in search of inspiration, education and support. Being a part of something bigger affords a number of benefits, emphasising the need to build and maintain a professional network throughout your career.

It’s a people thing

There are many advantages to actively participating in the wider dental community. High on the list is the support that is afforded when you have peers to turn to in tough times. Mental health is a constant challenge for dental professionals, given the high stress levels often encountered. Social connections are important for combating the effects of everything from loneliness to depression and anxiety.

Engaging with like-minded people who understand the specific difficulties of dentistry allows professionals to share thoughts and feelings without fear of judgement or misinterpretation.

Having access to an extensive professional network is also critical to career progression, with evidence that the most connected people are often highly successful in their chosen fields. Being able to engage with colleagues, share experiences and gain advice, helps someone define their own professional ambitions and find potential development pathways. It is a great way of expanding knowledge and learning new skills, as well as providing opportunities to critique new materials and techniques from different perspectives and innovate for the benefit of patients.

Events that facilitate networking have been found to catalyse the exchange of information and ideas, enabling both social and professional communication between individuals. Tangible results include the increased generation of intellectual property and measurable impacts on business.

Getting

down

to business

There are many ways that networking can benefit the practice. Strong relationships with dental manufacturers and suppliers are important for the seamless delivery of products and materials, for example. Engaging with external sources is also necessary for the discovery of new technology and utilisation of professional training for the entire team. For those who seek or offer clinical services by referral, establishing a network of practices who trust you is just as crucial for business sustainability and growth. Interestingly, it has been suggested that businesses, regardless of whether they are early or late adopters of new technology and innovations, can catch up with the industry by utilising external connections. The concept is based on a company building relationships in order to fill any gaps within the in-house capabilities – much like clinicians will refer patients out for specialist treatment. This means that all dental practices can remain abreast of the latest developments in

the profession, simply by being part of the broader community.

A combination of digital – such as LinkedIn and other social media platforms – with in-person connection is important for practice teams. For the best results, all networking should be tailored for dentistry, facilitating the most effective conversations and building the most useful relationships.

A future built on collaboration

Beyond business growth and stability, collaboration also affords greater innovation. In fact, the research shows a strong link between innovation and performance when supported by effective collaboration.

So, how do you get involved? How do you get your ideas out there?

Who should you be collaborating with to build your future and that of your business? Where can you go to access a community dedicated to dentistry, support, career development and innovation?

Next March, you will have the chance to rub shoulders with some of the most forward-thinking, thought-provoking and inspiring individuals in the dental profession. Be among the policymakers, the change-instigators, the technological disrupters and the decision-shapers at BDIA Dental Showcase 2026! UK dentistry’s oldest and largest dental exhibition, the event offers features that no other does, with Government Ministers and the Office for the Chief Dental Officer in attendance. The extensive exhibition and social programme offer numerous opportunities to engage with individuals and teams from across the profession, while also showcasing the latest innovations and educating the entire team.

success and wellbeing

Networking in dentistry is not a luxury or an after-thought, it is a necessity. Actively participating within the wider community nurtures wellbeing, accelerates career development, drives innovation and helps to shape the future of the profession. On both an individual and business level, connecting with others affords tangible benefits that are often otherwise unachievable.

BDIA Dental showcase 13th-14th March 2026

exCeL London Find out more at www.dentalshowcase.com n

About the author

David Hussey, event Director, MA exhibitions.

Hailing from the USA, Dr Bob Winter graduated in 1981 from Marquette University School of Dentistry and in 1983 completed his Prosthodontic Specialty Residency in Milwaukee, Wisconsin at the VA Medical Center. In the years since, Dr Winter has maintained a private practice limited to prosthodontics and is co-owner of a dental laboratory, Esthetics by Design. With a focus on highly aesthetic restorations, he has taught clinical and technical courses worldwide, championing a pathway to first-class treatment outcomes that stand the test of time.

As a premier clinician, dental technologist and master ceramist, Dr Winter is wellversed in the current challenges that aesthetic cosmetic dental professionals face. He identifies some areas of concern:

“The term ‘cosmetic’ can have negative connotations as the term implies you are making changes only for the visual enhancement of the patient’s appearance, while aesthetic dentistry takes a more comprehensive approach by considering the health and function of the teeth and gums, in addition to appearance. The ethics come into play when practitioners do not provide a comprehensive assessment and fail to present the patient with a treatment plan that encompasses all the potential issues, and instead only addresses the appearance of the teeth. It is important that patients understand all the issues so that they can make a truly informed decision. They may choose to only address the appearance, but they should understand the ramifications of doing that.

“One further limitation to note in this area is cost; patients may not want or be able to afford the higher price compared to direct restorations. A more comprehensive treatment with an indirect restoration also involves more time, other specialists and sometimes the involvement of additional teeth – this can be less agreeable for a patient compared to the single appointment needed for a direct restoration.”

Keys to success

At the BACD 21st Annual Conference, Dr Winter will share his insights on restorations in his lecture “Indirect Ceramic Restorations: It’s More Than Just Making Pretty Teeth!” He sets the scene:

appearance, character, or self-image, while providing dental care that is functional and enduring. One of the most important aspects of treatment planning is to diagnose functional problems and to design occlusal and functional changes for the long-term longevity of the restorations, whether they are direct composite or indirect restorations.

“This presentation will focus on the utilisation of indirect ceramic restorations. Attendees of the lecture will learn an outcome-based preparation design for indirect ceramic restorations based upon the tooth problems that are present, the aesthetic concerns of the patient, and the functional issues that need to be addressed to achieve a long-term enduring outcome. The session will also discuss indirect ceramic restorative material options, highlighting their aesthetics, strength and lifespan. By the end, attendees will discover how to manage indirect ceramic restorations from material selection to postinsertion occlusal adjustment, ensuring their patients get the best possible treatment.

“I hope that dental professionals will come away from the lecture with a superior understanding of the application of indirect restorations and the decisions that patients weigh in the initial appointment, allowing them to deliver long-lasting aesthetic restorations.”

First time fun

Whilst having presented across the world for over 43 years, this will be Dr Winter’s first time at the BACD 21st Annual Conference. He shares his excitement:

“Events like the BACD Annual Conference are always exciting. Attending is the best way to learn the latest information and techniques, such as how to minimise the amount of tooth structure removed to obtain the desired cosmetic results or how the latest technologies and materials can provide the ideal aesthetic outcome. Learning new insights from internationally respected experts enhances our knowledge and skills; it’s easy to be aware of what is happening in our local community but hearing the perspectives of professionals from other countries can open our eyes to ideas and techniques we may otherwise have been unaware of. I look forward to seeing you there.”

To catch Dr Winter’s session, as well as many other exciting sessions at the BACD 21st Annual Conference, book your tickets today.

BACD 21st Annual Conference 6-8 november 2025 Lowry Arts Centre, Manchester

“The key to success when providing any dental care, not just indirect restorations, is understanding the patient’s expectations and using that information to formulate a comprehensive diagnosis and treatment plan. Interdisciplinary treatment gives the dental team the opportunity to change, shape or develop an individual’s

For further information and enquiries about the British Academy of Cosmetic Dentistry, visit www.bacd.com n

Bob Winter

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A brief history of The Dental Awards

For more than quarter of a century, The Dental Awards has stood as the premier benchmark for excellence in the UK’s dental industry. The UK’s original and most prestigious awards, this event recognises the dedication, innovation, and skill of dental professionals across the country. As we look back on its rich history, it becomes clear that The Dental Awards has done more than just hand out trophies; it have played a pivotal role in elevating the standards and celebrating the collective spirit of the profession.

The journey began in the late 90s, when The Probe — launched the inaugural ceremony. At the time, the landscape of professional accolades was sparse, and the vision was to create a platform that would not only highlight outstanding individuals but also foster a culture of ambition and achievement. The initial focus was on recognising key roles within the practice, setting the stage for what would become an all-encompassing celebration of the dental team. The early awards were a significant step, providing much-needed recognition and a sense of shared community. The first winners, trailblazers in their own right, set a high bar for the generations of professionals who would follow.

Over the years, the awards have evolved to reflect the dynamic nature of dentistry itself. What started with a handful of categories has expanded dramatically, now encompassing a wide range of specialisms and roles. The introduction of categories such as Young Dentist, Hygienist and Team of the Year demonstrated a crucial shift in focus, highlighting the fact that a successful practice is a sum of its parts, and excellence is not limited to a single individual. This evolution cemented The Dental Awards’ reputation as a truly holistic and inclusive event. The awards became a place where the receptionist who brightened a patient’s day, the dental nurse who provided exceptional support, and the practice manager who led their team to success were all celebrated alongside the dentists at the helm.

As the awards grew in stature, so too did the ceremony itself. What began as a smaller gathering transformed into a spectacular, black-tie gala event, attracting hundreds of professionals from all corners of the UK. The ceremony was more than just an awards presentation; it was a night of networking, reconnecting with peers, and celebrating hard-won successes with colleagues. The atmosphere was always electric, brimming with a sense of pride and camaraderie. The suspenseful announcements, the joyous cheers from the winning tables, and the heartfelt acceptance speeches became defining moments of the dental calendar. And then came 2020.

As the Covid-19 pandemic hit and the UK was entered into lockdown, it soon became clear that the Dental Awards ceremony could no longer take place. Winners and runners up that year were announced online, their trophies sent out to them and virtual celebrations held in practices.

As 2021 began, while Covid vaccinations were well underway, there was still an air of uncertainty when it came to organising large gatherings, particularly given regional tiers of restrictions being implemented depending upon how many cases of the Coronavirus were reported in a given location. A decision was therefore made to announce the winners and runnersup to a global audience via a livestream.

The following year, with the pandemic still not entirely in the rearview, winners were once again announced via a livestream – only, this time, winners, judges and sponsors were invited to a presentation event in Central London the following month, so that winners could receive their trophies and interact in more of a relaxed setting than the previous awards evenings.

The Dental Awards continues to be presented in this format to this day, with entrants and judges alike enjoying more relaxed atmosphere of an event in which everybody knows they have won while also not having to pay for a ticket to attend. The livestreamed announcement the previous month sets the stage on a grand scale, as the entire dental sector bears witness to their victory.

For decades, the Dental Awards has remained a cornerstone of the dental calendar, remaining under the dedicated stewardship of The Probe. This enduring relationship has ensured that the judging process, a crucial element of the awards’ credibility, has become even more rigorous, with a panel of leading experts meticulously evaluating each entry. This dedication to fairness and transparency ensures that every award is genuinely earned and represents the pinnacle of professional accomplishment. The awards have also become an incredible source of inspiration, with past winners often serving as role models and mentors for the next generation of dental professionals.

The enduring legacy of The Dental Awards lies in its unwavering commitment to recognising and celebrating the very best in the industry, fostering a culture of continuous improvement, encouraging practices and individuals to push boundaries and strive for excellence. From the original vision of its founders to its current position as the industry’s most respected accolade, The Dental Awards has not only chronicled the progress of dentistry but has actively contributed to it. It remains a testament to the passion, dedication, and clinical brilliance that define the UK dental profession. As the awards continues to evolve, one thing remains constant: its power to inspire, unite, and honour the unsung heroes of our professions. n

At MC Repairs, we cannot stress enough the importance of carrying out regular and correct maintenance procedures in your dental practice. A significant proportion of the handpieces we receive for repair have not been maintained in line with the manufacturer’s guidelines. This is not just a matter of best practice, it’s information that could save your dental practice thousands of pounds over time, as well as extend the lifespan of your equipment considerably.

What sets MC Repairs apart as your trusted small dental equipment partner is that our experienced technicians can quickly identify poor maintenance in handpieces. Whether it’s visible tidemarks, lack of lubrication, corrosion, or debris, the signs are often clear. Our mission is to support dental teams every step of the way aiding in reducing downtime, improving efficiency, and ensuring staff are confident in the correct handpiece care procedures.

methods of maintenance

Every dental practice operates differently, and we understand that. Some teams use manual

Just how important Is the maintenance of your dental handpieces?

lubrication methods with compressed oil cans and highspeed adaptors, while others have automated oiling units in their decontamination rooms. Whichever system you use, MC Repairs can provide guidance to ensure that your handpieces undergo the correct maintenance and decontamination processes, in line with both manufacturer and infection-control standards.

manual handpiece lubrication

Manual lubrication is a traditional yet highly effective method when performed correctly. It allows for hands-on control of the process, but it also leaves room for inconsistency if staff are not fully trained.

Our general advice:

1. Detach the handpiece from tubing, removing any bur.

2. Don’t submerge the handpiece in any solution.

3. Wipe away any external debris using a non-alcoholic approved disinfectant wipe.

4. Using a dry tissue, remove any excess detergent leftover from the wipe.

5. Ensure the correct highspeed adaptor is securely attached, shake the can well before attaching the handpiece.

6. Spray the lubrication oil through

the handpiece 2-3 seconds onto a clean tissue, hold the can upright.

7. Keep thorough checks going until the oil runs clear. If the oil is discoloured after three sprays contact us immediately.

8. Package the handpiece into a sterilised pouch in accordance with applicable standards and follow sterilisation procedures.

Oiling unit lubrication

An oiling unit automates the process, providing consistent lubrication and sometimes cleaning to clear debris. Some units require a 6mm airline connection for operation, while others run solely on mains power.

Key benefits:

• Ensures a consistent quantity of oil is delivered.

• Often includes built-in cleaning cycles.

• Reduces the likelihood of human error compared to manual lubrication.

Our guide:

1. Detach the handpiece from tubing, removing any bur. Don’t submerge the handpiece in any solution.

2. Wipe away any external debris using a non-alcoholic approved disinfectant wipe. Using a dry tissue, remove any excess detergent leftover from the wipe.

3. Select the appropriate adaptor for your handpiece models you’re lubricating.

4. Connect this securely to the lubrication system, ensuring a tight fit to prevent leaks. Keep the handpiece head pointing towards the absorbent pads. If these aren’t available, use a clean paper towel.

5. Power on the lubrication system according to manufacturer’s instructions. Allow the lubrication system to run its cycle and keep the process of lubrication process thoroughly running.

6. Wait until the system finishes before proceeding to the next step. If you notice any discoloration, please contact us.

7. Package the handpiece into a sterilised pouch in accordance with applicable standards and follow sterilisation procedures.

importance of frequent maintenance

Dental handpieces can be very delicate when considering the moving parts needed running at high speeds. Even a single missed lubrication can accelerate wear, reduce performance, and increase

repair costs. By incorporating lubrication into your daily decontamination workflow, before and after every autoclave cycle, you significantly improve reliability and patient safety also.

Regular maintenance also helps identify issues early. For example:

• Tidemarks may indicate moisture ingress.

• Rust may point to inadequate drying cycles.

• Unusual noise or vibration may mean internal bearings are wearing prematurely.

sterilisation

After lubrication, the sterilisation process must be carried out precisely.

• Always select the correct cycle for your specific handpiece type.

• Ensure your autoclave temperature does not exceed 138°C, as higher temperatures can damage delicate internal components.

• If your autoclave does not include a drying cycle, remove handpieces immediately once the sterilisation cycle finishes to avoid moisturerelated damage.

conclusion

Proper handpiece maintenance cannot be seen as an optional extra; it’s a fundamental part of delivering safe, efficient, and costeffective dental care. By adhering to manufacturer guidelines, using the correct lubrication methods, and staying vigilant for early signs of wear, your practice can extend the life of its equipment, reduce costly repairs, and maintain optimal performance for every patient.

At MC Repairs, we’re here to help you achieve that with our FREE Zoom Maintenance Calls, completely bespoke to your practice. Our team ensures your small dental equipment is always in top condition, keeping your practice running smoothly. Please feel free to contact us if you have any further questions: 01253 404 774 repairs@mcrepairs.co.uk n

about the author

Gary Keenan is the visionary General manager at mc Dental. With a great 24 years as a decorated technician and a strategic mindset, Gary oversees all operations, ensuring mc Dental delivers exceptional service and maintains high standards.

How to be a confident full arch implant dentist

Composite veneers – a modern understanding

So, you’ve placed your first single implant. What’s next? The answer, probably, is providing more single implants, working up to restoring an edentulous dentition with a bridge or multiple crowns. However, the dream for many implant dentists will be the ability to routinely and confidently restore an entire arch.

The step-up in complexity between lone implant and full arch solution is large to say the least. Developing confidence in surgical and restorative abilities to ensure an aesthetic and functional result that will stand the test of time doesn’t happen overnight. Clinicians should embrace this learning journey, and ask themselves how to make the most of it.

Read up

The first step is to delve into the available literature, and begin understanding key aspects of full arch solutions from a theoretical point of view.

It’s important to understand the biomechanics and implant distribution required in order to balance occlusal forces and deliver effective function, whilst minimising risk of failure. The literature notes that in the maxilla, the antero-posterior distribution of dental implants affects the survival rates of a full arch prosthesis. When the distribution of implants leans more towards the anterior, patients are at risk of severely worsened survival rates compared to those with an adequate anterior-posterior balance – interestingly, this doesn’t apply so strongly in the mandible.

Clinicians will also need to advise patients with treatment plans that use a removable or fixed full-arch prosthesis. Factors that could influence the choice between the two include cost, where fixed prostheses demand greater investment; patient expectations; overall patient health; anatomical considerations; and access for optimal hygiene and maintenance. A 2021 systematic review found that after 5 years of use, fixed designs tended to have improved outcomes, but effective management of peri-implantitis is key to positive outcomes in both approaches.

immediate and bone grafts

Some aspects of treatment in complex single- and multi-unit dental implants can be replicated in full-arch treatment, and may be needed for any chance at a successful result. This includes immediate implant placement, and the utilisation of soft- and hard-tissue augmentation. Full-arch implants have presented high survival rates with all loading protocols, and early and immediate loading can be looked upon as favourably as conventional approaches. Patient selection is key, as bone quality and quantity, and implant design, can each affect the outcome of treatment. This can only be learnt by reviewing successful and unsuccessful cases in the literature, and hearing from clinicians who have completed immediate implants in the full arch to note what they consider to look out for. Putting the technique into practice is another challenge altogether; clinicians must be confident with the immediate implant protocol, and should

be comfortable carrying out the treatment at multiple sites before considering its use here. One common complication of immediate implant placement includes mid-buccal gingival recession, which may prompt a tissue graft. Bone grafts have also been recommended to preserve ridge width and volume, improving aesthetic outcomes. Many patients will also require a bone graft (or multiple) to ensure functional longevity. Consider that many patients will have lost their teeth through difficulties such as periodontal disease, which affects and destroys the tooth-supporting alveolar bone.

To ensure that full-arch implant treatments are predictable, it’s important for dentists to have confidence in identifying the need for and carrying out successful tissue augmentation. Much like the placement of immediate implants, this cannot be learned through theory alone – seeking hands-on experiences is key.

Gain experience

The General Dental Council’s ‘Standards for the Dental Team’ notes that clinicians must only deliver treatment and care if they have the necessary training, and are competent. With full arch implant dentistry, clinicians need to be highly-skilled in a number of areas – from case assessment, to the ability to plan for a large prosthesis, the surgical skills to place implants accurately, without even mentioning the additional considerations for immediate implant procedures and tissue augmentation.

The PG Diploma in Advanced Techniques in Implant Dentistry from One to One Implant Education combines all of the skills needed to tackle complex cases, including full arch rehabilitation, in one unique course. It is suited to ensure professionals provide long-lasting care, delving into tissue augmentation and complication management to set your skills apart from competitors. Led by Dr Fazeela Khan-Osborne, course founder and leading implant clinician based in London, dental professionals match theoretical content with hands-on sessions for an in-depth study into advanced implant care.

There are many elements of the fullarch implant workflow that clinicians must master before taking on regular cases. Finding educational opportunities to dive into the literature and practice complex techniques hands on is a surefire way to gain competence and confidence with time.

To reserve your place or to find out more, please visit 121implanteducation.co.uk or call 020 7486 0000. n

about the authors dr Fazeela Khanosborne, Principal implant and Restorative Surgeon.

dr nikolas Vourakis, Senior implant and Restorative Surgeon in private clinics in London and edinburgh.

Composite veneers have become a well-accepted alternative to their ceramic counterparts for many years now, and are an effective addition to any restorative clinician’s arsenal. As patients seek to improve the form, shape and colour of their teeth, the composite veneer stands out as a versatile, aesthetic solution.

the preferred alternative Porcelain veneers are predictable, of that there is little doubt, with the literature citing survival rates of 95.5% over ten years, and ceramic solutions have survival rates of 93.5% over a decade and 83% over 20 years. However, there are some issues for patients. Porcelain solutions are typically expensive, and may be out of the price range of some patients (especially if multiple restorations are required across the dentition), and they also require some tooth preparation – treatment may then span multiple appointments.

For these reasons, amongst others, the direct composite veneer may be the most effective choice for individuals. Clinicians need to know when it is appropriate to use, however, and be trained to place such restorations.

to apply or not to apply Composite veneers can have functional and aesthetic benefits in a number of circumstances. When considering the treatment of discolouration or other damages, particularly to anterior teeth, a minimally invasive direct composite veneer could be deemed the first choice of treatment; an indirect approach would require removal of sound enamel or dentine, and a higher cost for the patient due to laboratory involvement.

In a world where requests for cosmetic restorations are steadily rising, the composite veneer is an ideal solution, with the literature highlighting specific benefits for younger people. They may seek out aesthetic solutions, but the clinician must consider that their dentition still has time to change – tooth eruption may not be entirely finished, and the gingival margins can also change, with exposure of the cervical margins affecting the aesthetics of an anterior veneer. A direct composite veneer may be an appropriate choice since the minimally invasive approach leaves room for adjustments and repairs in the future, if the dentition changes further.

The direct composite veneer is not entirely effective in all clinical situations, especially when a patient has extensive damage to the dentition. The literature finds improved colour-match, fracture resistance and retention outcomes when a direct composite veneer is placed on vital teeth, as opposed to a non-vital structure. Endodontically treated teeth that undergo pulp removal typically require significant removal of tooth structure, which lowers their resistance to fracture – and the same notion can be applied to restorations for teeth with traumatic injuries. In these cases, opting for a crown is likely necessary.

an appropriate approach

Whilst the direct application of composite veneers may mean a simpler treatment process for the patient, since it can be delivered in one appointment, the same cannot always be said for the clinician. A free-hand direct technique requires high levels of skill, but even still may result in an unpredictable outcome. However, alternative approaches have emerged and can be successful in the correct circumstances; effective case selection comes with training and increased knowledge.

The use of injectable composites with silicone matrices can deliver effective, aesthetic results with a more predictable approach – the literature shows that matrices can accurately replicate the wax-up that they are based off of to a high degree of accuracy. With the guide of a silicone matrix, a clinician can use ample control throughout the workflow, but treatment may be extended for the patient as the silicone matrix requires design and production based off of the existing dentition.

There is also the direct-indirect (semidirect) veneer technique, which combines the benefits of both approaches as the name suggests. Still completed in a single visit, the clinician sculpts the composite material onto the tooth without adhesive preparation, where it is light activated and removed for extraoral heat tempering and finishing. This step can improve the physical properties of a restoration, and here the patient can benefit greatly. The direct-indirect concept has been found to have significantly less microleakage and a better sealing ability than the solely direct technique.

Find your support

Direct composite veneers must only be placed by a clinician with the appropriate training and clinical confidence as per the Standards for the Dental Team, published by the General Dental Council. Clinicians should seek out educational courses from trusted providers to first develop their skills.

The Ortho Restorative (Level 2) course from IAS Academy, which focuses on composite veneers alongside incisal edge bonding, is an optimal choice for many dental professionals looking to advance their skillset. The two-day programme combines theory with hands on practice for a comprehensive understanding, as dental professionals also tackle advanced ortho-restorative examinations, the Dahl principle, and more.

Composite veneers can be appropriate for many patients, but ineffective for others. Understanding the indications for this minimally invasive approach, and the techniques that optimise a predictable outcome, ensures patients get the care they need – and plenty to smile about.

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

about the author

dr tif Qureshi, Founder and a clinical director of iaS academy.

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Driven by innovation

planmeca introduces its brand new mobile showroom, PlanDemo. Packed with the latest in cutting-edge dental technology, planDemo brings the opportunity for you to explore Planmeca’s full product range on your doorstep at a time that suits you

Time is precious. Never is this more apparent than in dentistry, where your hours are split between clinical responsibilities and the day-to-day running of a practice. That’s why, when it comes to browsing new equipment, it can be difficult to take time away to visit a showroom or exhibition.

Well aware of this, Planmeca has devised a solution, recently unveiling PlanDemo, a mobile showroom designed to bring the latest in dental technology directly to you.

“Plandemo comes to you, not only saving you time, but also providing the opportunity for all of your clinicians and practice staff to get involved and hands-on with the solutions on board,” says James Smith, Territory Manager at Planmeca UK.

What’s inside the van?

PlanDemo is a state-of-the-art vehicle, equivalent in size to a Luton van, that acts as a fully equipped, moving dental showroom. It is specially designed to demonstrate Planmeca’s comprehensive digital workflow, allowing dental professionals to experience how different pieces of equipment can integrate seamlessly.

While the specific solutions aboard can vary, PlanDemo typically carries:

• Dental Units: Such as the Planmeca Compact i5, known for its design, ergonomics, and infection control. See it kitted out in sumptuous Metallic Gold Ultra Relax upholstery.

• Imaging Solutions: A fully functioning Planmeca ProMax 3D Classic CBCT imaging X-ray unit, and the Planmeca Emerald S intraoral scanner. PlanDemo provides the ability to witness a live patient CBCT demonstration.

• ca D/ cam Solutions: The Planmeca FIT chairside CAD/CAM solution, which includes intraoral scanning, advanced CAD software, as well as milling machines such as the Planmeca PlanMill 30 S.

• Software: The all-in-one Planmeca Romexis 7 imaging software, which integrates all 2D and 3D patient data and serves as a hub for Planmeca’s digital workflow.

• 3D p rinters: Such as the Planmeca Creo C5 3D printer.

With PlanDemo, Planmeca is bringing its entire state-of-the-art digital dental workflow, including a fully functional CBCT and CAD/CAM system, directly to your practice car park. You won’t lose a minute of chair time, and your entire team can step out for a few minutes at a time without disrupting your schedule. It’s designed to work around your calendar.

“We can bring any of our product portfolio to make sure that you’re fully informed about the latest technology available on the market,” explains James Smith. a hands-on experience

This isn’t just a brochure, it’s a handson experience. You wouldn’t buy a car without test driving it, so when considering a significant investment in upgrading your

dental practice, opting for a comprehensive digital setup, PlanDemo allows you and, more importantly your associates and dental nurses, to get a tactile, hands-on feel for the equipment.

Operate the Compact i5 unit, take a live scan with the Emerald S, see a true 3D image from ProMax 3D, and witness the Planmeca FIT system design and mill a crown right there before your eyes. This eliminates the guesswork and helps you truly understand the ergonomics, ease of use, and workflow integration before making any decisions.

Digital dentistry is evolving rapidly. Whether you’re looking to enhance your diagnostic capabilities, streamline restorative workflows, or simply stay ahead of the curve, seeing these integrated solutions in action can spark ideas and reveal efficiencies you hadn’t previously considered.

Even if you’re not planning a purchase in the immediate future, this is an invaluable opportunity for no-pressure market research, as well as professional development for you and your team. You’ll gain insights into how a fully connected digital workflow can reduce chair time, improve patient communication, and potentially open up new revenue streams.

Unlike a busy show floor, a PlanDemo visit is just for you and your team. You

Take a virtual tour and book your visit here: https://www.planmeca.com/plandemo/

have the chance to focus on the specific areas you’re interested in, while having all of your questions answered and discussing how Planmeca’s solutions can be integrated within your practice setup and align with your ambitions.

“The experience of PlanDemo was totally worth it, a real try before you buy,” says Dr Amit Jilka from Abbey House Dental. “Whilst we were initially interested in CBCT, we could see the whole digital portfolio and what our future workflow might look like.”

How to book

A PlanDemo visit and presentation typically require at least two hours, so it’s important that your dental practice sets aside appropriate time for the demonstration. Book a PlanDemo visit by:

• Emailing marketinguk@planmeca.com

• Calling 0800 5200 330

• Visiting planmeca.com/plandemo n

Protecting your practice’s future: A guide to business continuity

Wesleyan Financial Services is delighted to bring you this article, with the aim of supporting the ongoing Enhanced CPD needs of dental healthcare professionals and their teams

Aims:

A dental practice isn’t just a place of work, it’s often one of your most valuable personal and professional assets. This article explores three key financial and operational factors that influence the continuity of a practice, including the importance of robust partnership agreements, clear exit planning and how to improve business continuity when key team members are absent. Together, they form the foundation for long-term practice resilience, helping dentists protect the value they’ve worked hard to build.

Objectives

• Understanding the financial and operational risks of not having an up-to-date partnership or shareholder agreement

• Why having an exit strategy matters from day one of ownership, not just at retirement

• How key person absence can disrupt a practice, and what protection options exist.

Learning Outcome: B

Every dental practice owner wants to believe their business will run smoothly no matter what. However, practices are vulnerable to disruption, especially when key people step away unexpectedly, whether temporarily or permanently.

Continuity isn’t something that happens by chance, it’s something you build. From clearly defined partnership agreements to having an exit strategy and protecting against key person absence, these areas form the backbone of a resilient practice. Why partnership agreements matter

In the day-to-day demands of running a practice, it can be tempting to delay formal agreements or rely on off-the-shelf templates, particularly when working with trusted colleagues. However, not having a properly structured and regularly reviewed partnership or shareholder agreement poses one of the biggest risks to the continuity of your business.

Without a clear agreement in place, there may be no defined method for valuing a partner’s share in the practice, making exit negotiations complex and potentially contentious. Income distribution can become a source of tension if one partner takes extended leave, reduces their clinical hours, or disputes arise over workload. In the event of a partner’s death, the absence of formal terms could leave the surviving partners unintentionally sharing ownership with the deceased’s spouse or estate, with no legal requirement for that share to be sold or bought back.

A comprehensive agreement should set out who owns what, clarify roles and responsibilities, explain how decisions are made and outline what happens when someone wants to

leave or if conflict occurs. Crucially, this needs to be backed by appropriate financial protection to ensure funds are available to buy out a departing partner’s share if needed, particularly in cases of critical illness or death. This isn’t just a legal exercise. It’s a fundamental part of financial planning that helps prevent misunderstandings, supports smooth transitions, and protects the long-term interests of everyone involved in the practice.

Plan your exit for a smooth transition

Whether you’re five or 25 years away from retirement, having a clear exit strategy is a vital part of being effective as a practice owner. Without one, you could find yourself forced to sell under pressure or accept terms that don’t reflect the true value of your contribution to the business.

A strong exit plan should outline how you intend to step away from ownership,

whether through phased retirement, a sale to an associate, or a commercial sale. It should also define how your share of the practice will be valued, helping avoid disagreements and confusion when the time comes. Succession planning is another key part of the process, ensuring there’s a clear pipeline of future buyers or partners ready to take over when you’re ready to leave. Tax and financial planning also need to be built into your strategy. Many

dentists rely on proceeds from the sale of their practice to fund retirement, but this needs to be managed carefully to maximise tax efficiency. Business Asset Disposal Relief (formerly Entrepreneurs’ Relief) may apply, but the value released should also be considered alongside your pension and other savings to ensure a sustainable income in retirement.

Unfortunately, too many dentists reach the point of wanting to retire only to realise their exit options are more limited than they thought. The complexities of ownership mean it’s rarely as simple as deciding to leave and handing over the keys within a year. For instance, if multiple partners aim to retire at once, standard agreements may include clauses to stagger exits and protect the practice, potentially delaying your plans. Just as with patient care, early planning tends to lead to better outcomes. A good exit strategy should evolve with your goals and work together with your partnership agreement to support a smooth and financially sound transition.

Signs that your practice may be exposed to key person risk

Many practices depend heavily on one or two key individuals, whether for clinical specialism, leadership or business operations. If that person were suddenly unable to work due to death or unfitness to work, the financial and operational impact can be immediate. In some cases, one partner generates the bulk of revenue, or holds all the knowledge around how the practice runs. Patient loyalty or specialist skills can also tie income closely to a single clinician.

To build resilience, practices should consider insurance solutions designed to protect against this kind of disruption. Key person insurance provides a lump sum to the business if a specified individual becomes critically ill or dies, helping to stabilise cashflow. Crossoption agreements, backed by insurance, allow surviving partners to buy back shares from an estate without personal financial strain. Meanwhile, locum cover can ensure self-employed associates don’t lose income, or put the practice at risk, if they’re unable to work.

CPD Questions

1. Why is it important to have an up-to-date partnership or shareholder agreement?

A. It ensures the business is more efficient with tax planning.

B. It simplifies the annual accounts process.

C. It protects parties in the event of death, dispute or retirement.

D. It helps the practice qualify for NHS contracts by establishing roles and responsibilities.

2. What is one potential consequence of not having a clear exit plan as a practice owner?

A. Being forced to sell your share under time or pricing pressure.

B. You’ll have less pensionable income.

C. Increased employee turnover.

D. You’ll be tied in by the NHS to fulfil your contractual obligations.

3. What is the primary purpose of key person insurance?

A. To protect staff wages during maternity leave should the practice fold.

B. To reduce personal tax liabilities by writing it off as a business expense.

C. To provide the business with funds if a key individual becomes critically ill or dies.

D. To cover the cost of equipment purchases to replace practice staff and improve efficiency.

These protections are often seen as optional extras, but in reality, they’re fundamental to keeping a practice stable in difficult times. No one enjoys paying for insurance but when the worst happens, it’s the safety net that helps you weather the storm.

Conclusion

Practice continuity is often overlooked in the day-to-day demands of ownership. But often, the most successful practices are those that plan not just for growth, but for the unexpected. Whether it’s ensuring your partnership agreement is watertight, having an exit plan in place, or protecting your team against key person absence, these proactive steps can safeguard your legacy and give peace of mind to everyone involved, from patients and staff to your own family. n

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Wesleyan Financial Services Ltd (Registered in England and Wales No. 1651212) is authorised and regulated by the Financial Conduct Authority. Registered Office: Colmore Circus, Birmingham B4 6AR. Telephone: 0345 351 2352. Calls may be recorded to help us provide, monitor and improve our services to you.

YOAT Wire Bender – 100% Passive Fixed Retention eliminating wire syndrome

Trycare is delighted to bring you this article, with the aim of supporting the ongoing Enhanced CPD needs of dental healthcare professionals and their teams

Aims:

This article explores the transformative impact of the YOAT Wire Bender II Robot on orthodontic practices. It details how this innovative technology automates the wire-bending process, improving precision, consistency, and efficiency in creating fixed retainers.

Objectives

• Describe the key features and functions of the YOAT Wire Bender II Robot.

• Explain how the robot improves precision and consistency in fixed retainer fabrication.

• Recognise the benefits of increased efficiency and reduced chairside time for patients and practices.

• Understand the role of customisation in providing personalised patient care using this technology.

Learning Outcome: C

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 time-consuming 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 highresolution 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.

The YOAT Bender II is on offer at £14,500, which includes the enhanced software for Minor Tooth Movement worth £1000. One-year warranty on the machine, including free software updates.

The YOAT Bender is a capital equipment purchase and may be offset against your annual tax bill in the first year, depending on personal circumstances.

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.

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

The automation provided by the

CPD Questions

1. What is a primary benefit of using the YOAT Wire Bender II Robot?

A) It eliminates the need for any manual intervention.

B) It allows orthodontists to perform wire bending by hand more quickly.

C) It increases precision and consistency in fixed retainer fabrication.

D) It is only suitable for a limited range of orthodontic wires.

2. How does the YOAT Wire Bender II Robot improve practice efficiency?

A) It requires less staff training than traditional methods.

B) It allows for fixed retainers to be created in a fraction of the time, even during the same patient visit as debonding.

C) It uses fewer materials, reducing supply costs.

D) It requires a longer initial setup but saves time on adjustments.

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.

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.

3. According to the article, what is a key feature that ensures the robot’s precision?

A) A user-friendly interface.

B) Advanced algorithms and high-resolution sensors.

C) The use of high-quality materials.

D) Its ability to handle continuous use.

4. How does the YOAT Wire Bender II Robot contribute to personalised patient care?

A) It is designed to be easily operated by patients.

B) It can be programmed to bend wires according to specific treatment plans.

C) It allows for a one-size-fits-all approach to wire bending.

D) It reduces the cost of treatment for patients.

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

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The oral microbiome: a clinical guide for modern dentistry

Dr Victoria Sampson explores how understanding and managing the oral microbiome is transforming modern dentistry, shifting the focus from eradication to balance, and from treatment to prevention.

Aims

The aim of this article is to examine the clinical relevance of the oral microbiome and how its management is redefining approaches to prevention, diagnosis and treatment in contemporary dentistry.

On completing this Enhanced CPD session, the reader wil:

• GUnderstand the structure and function of the oral microbiome in both health and disease

• Recognise the role of dysbiosis in the development of caries, periodontitis and systemic conditions

• Be able to explain the evolution of plaque hypotheses and their relevance to clinical decision-making

• Be familiar with emerging tools such as salivary diagnostics to support personalised care

• Appreciate the importance of modulating microbial balance rather than eliminating bacteria in clinical practice.

Learning Outcome: C

The mouth is home to over 700 microbial species comprising bacteria, fungi, viruses, and protozoa, forming a dynamic ecosystem known as the oral microbiome. Once considered merely a source of dental plaque or caries, this microbial community is now recognised as a key regulator of both oral and systemic health.1

For dental professionals, understanding and managing the oral microbiome is becoming essential to practising evidence-based, preventive, and personalised care. As the new generation of patients search for proactive prevention, it is important that dental professionals are aware of the impact the oral microbiome may have on a patient’s general health, as well as their oral health.1

Why does the oral microbiome matter?

In health, the oral microbiome exists in a state of symbiosis, where beneficial bacteria maintain balance, prevent pathogen overgrowth, and interact with the host immune system. In dysbiosis, this balance is disrupted, often due to factors like poor hygiene, diet, stress, antibiotics, or systemic disease, leading to an overgrowth of pathogens and a shift to dysbiosis.1

This microbial imbalance is now implicated in:

Dental caries: driven by acidogenic and aciduric bacteria (e.g., Streptococcus mutans, Lactobacilli)2

Periodontitis: associated with anaerobic, proteolytic bacteria (e.g., Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia)3

Systemic diseases: including cardiovascular disease, diabetes, Alzheimer’s disease, rheumatoid arthritis, and adverse pregnancy outcomes.4

Emerging research suggests that oral pathogens can enter the bloodstream, cross the blood-brain barrier, and influence inflammation far beyond the mouth.5 The dentist’s role, therefore, extends well beyond fillings and cleanings; we are frontline gatekeepers of systemic health. After all, the mouth is the gateway to the rest of the body.

A paradigm shift

Our understanding of the oral microbiome has evolved significantly over time, reflecting a broader shift from simplistic views of bacteria as solely harmful to a more nuanced, ecological perspective. In 1683, oral bacteria were first observed under a microscope by Antonie Van Leeuwenhoek, but it wasn’t until the 20th century that their role in disease

was theorized.6 The non-specific plaque hypothesis of the 1930s proposed that the sheer quantity of plaque led to disease, regardless of bacterial composition.7 By 1976, the specific plaque hypothesis suggested that only certain virulent bacteria were responsible for conditions like caries and periodontitis.8 This view was refined in 1994 with the ecological plaque hypothesis, which introduced the concept that disease results not simply from individual pathogens, but from a shift in the overall microbial balance (i.e. dysbiosis) driven by ecological stressors such as pH changes or inflammation.9 The complex theory introduced in 1998 further classified periodontal pathogens into red, orange, and green complexes based on their pathogenicity.10

More recently, the keystone pathogen and polymicrobial synergy and dysbiosis (PSD) model has added a deeper understanding: it suggests that certain low-abundance bacteria, like Porphyromonas gingivalis, can act as “keystone” species that manipulate the host immune response and reshape the microbial community to promote disease. 11,12 It also highlights how disease emerges not from isolated pathogens, but from cooperative interactions among microbial communities and the host, leading to a breakdown in homeostasis.12 Together, these evolving models have reshaped dentistry’s approach, emphasising the need to manage microbial ecosystems rather than eliminate bacteria indiscriminately. As we

have seen a shift in what we understand about the oral microbiome, we also have started to understand that common oral diseases such as periodontal disease are multifactorial diseases caused by not only bacteria, but how our body responds to bacteria and the subsequent inflammation that is released.13,14 We have also started to understand that some patients are more predisposed to a more aggressive host immune response due to their genetics and, with this, the idea of personalised dentistry.15 This is the idea that one size does no fit all. Should every patient be treated exactly the same if they have different microbial compositions, inflammatory markers, risk factors and genetic mutations?

The rise of saliva testing

Recent advancements in salivary testing now allows clinicians to assess the presence and relative abundance of key microbial species non-invasively. Commercial microbiome tests can: Identify high-risk pathogens linked to periodontal disease

Detect imbalances in microbial communities

Detect genetic mutations that may impact a patient’s response to treatment and prognosis

Track responses to interventions like professional cleanings or antimicrobials

Support home care and product recommendations

Motivate patients by helping them understand their oral health. Whilst saliva testing is still in its infancy and there is still much to be done before it is a mainstream tool, it has been shown to be an extremely promising educational and motivational tool for patients.

Moving from pathogen eradication to ecological balance

Traditional periodontal treatment has often focused on eliminating "bad bacteria". However, this view is shifting. Like the gut, the oral microbiome functions best in balance, not sterility. Newer approaches prioritise modulating the microbiome rather than wiping it out.16

This includes:

Avoiding overuse of broad-spectrum antimicrobials

Supporting microbial diversity through diet and low-impact oral hygiene

Using biofilm-disrupting agents like erythritol, xylitol and enzymes. (NB: The regular disruption of biofilm with Guided Biofilm Therapy by EMS has been shown to have a positive effect on the oral microbiome due to its use of erythritol)

Introducing commensal-supportive probiotics (e.g., Streptococcus salivarius K12 or M18)

Products that promote biofilm modulation. This is the idea that we do not kill bacteria but instead downregulate their pathogenic activity.

Entering a new era of dentistry

The oral microbiome represents a paradigm shift for the profession, moving beyond plaque and calculus into the realm of microbial ecosystems, precision diagnostics, and systemic care. As salivary testing becomes more accessible and bioinformatics more powerful, dentists have an unprecedented opportunity to redefine their role.

By embracing the microbiome, we do more than clean teeth. We influence inflammation, chronic disease and overall wellness. It marks a shift from intervention to prevention, from focusing on symptoms to understanding systems. And it starts with recognising that every mouth is a microbiome, and every dentist its steward.

References

1. Kilian M et al. The oral microbiome –an update for oral healthcare professionals. British Dental Journal 2016; 221(10): 657-666

2. Takahashi N, Nyvad B. The role of bacteria in the caries process: ecological perspectives. Journal of Dental Research 2011; 90(3): 294-303

3. Hajishengallis G, Darveau RP, Curtis MA. The keystone-pathogen hypothesis. Nature Reviews Microbiology 2012; 10(10): 717-725

4. Rajasekaran JJ et al. Oral microbiome: a review of its impact on oral and systemic health. Microorganisms 2024; 12(9): 1797

5. Sudharson NA, Lister P. Joseph M. The microbial ‘link’ that matters.

CPD Questions

1. Which of the following best describes the composition of the oral microbiome?

a) Only bacteria

b) Bacteria and saliva

c) Bacteria, fungi, viruses and protozoa

d) Only bacteria and fungi

2. According to the ecological plaque hypothesis, what drives disease?

a) The presence of specific pathogens

b) A shift in microbial balance driven by ecological stressors

c) Poor toothbrushing technique

d) A deficiency in immune response

3. What is one function of erythritol in Guided Biofilm Therapy?

a) To treat cavities directly

b) To eliminate all bacteria from the mouth

c) To remineralise enamel

d) To have a positive effect on the oral microbiome

4. What does the keystone pathogen model suggest?

a) All bacteria are equally harmful

b) Low-abundance bacteria can reshape the microbial community and host response

c) Disease is unrelated to microbial presence

d) High-abundance bacteria are always beneficial

5. What is one benefit of salivary testing mentioned in the article?

a) It can help motivate patients by helping them understand their oral health

b) It eliminates the need for professional cleanings

c) It can replace radiographic imaging

d) It can permanently cure periodontal disease

British Dental Journal 2024; 237: 301

6. Van Leeuwenhoek A. Letter describing “animalcules” seen in dental plaque, Sept 17, 1683. Philosophical Transactions of the Royal Society 1683

7. Theilade E. The non specific theory in microbial etiology of inflammatory periodontal diseases. J Clin Periodontol 1986; 13(7): 558-560

8. Rosier BT et al. Historical and contemporary hypotheses on the development of oral diseases: are we there yet? Front Cell Infect Microbiol 2014; 4: 92

9. Marsh PD. Microbial ecology of dental plaque and its significance in health and disease. Adv Dent Res 1994; 8(2): 263-271

10. Socransky SS et al. Microbial complexes in subgingival plaque. J Clin Periodontol 1998; 25(2): 134-144

11. Hajishengallis G, Lamont RJ. Breaking bad: manipulation of the host response by Porphyromonas gingivalis. Eur J Immunol 2014; 44(2): 328-338

12. Lamont RJ, Hajishengallis G. Polymicrobial synergy and dysbiosis model of periodontal disease. Trends Microbiol 2015; 23(3): 145-151

13. Lee YH et al. Progress in oral microbiome related to oral and systemic diseases: an update. Diagnostics 2021; 11(7): 1283

14. Struillou X et al. Host tissue response in the pathogenesis and treatment of periodontitis. Periodontol 2000 2010; 54(1): 277-294

15. Morelli T, Agler CS, Divaris K. Genomics of periodontal disease and tooth morbidity. Periodontol 2000 2020; 82(1): 143-156

16. Tada A et al. Impact of oral microbiome in periodontal health and periodontitis. Microorganisms 2022; 10(4): 797 n

About the author Dr Victoria Sampson is an award-winning functional dentist and researcher, known for her work in salivary diagnostics and oral microbiome testing. She co-founded The Health Society in London, pioneering a multidisciplinary approach to connect oral health with overall wellness. Learn more at www.thehealthsociety.co.uk

stepping into dental practice ownership? Parkell’s dryz® Blu clears the way for flawless digital impressions

If you’re planning to purchase your first dental practice, our upcoming seminar is for you.

Designed for early-career dentists and associates considering the next step, our event provides the knowledge, tools and confidence you need before making one of the biggest investments of your career. Whether you’re just starting to explore the idea of ownership or you’re actively looking at practices, the seminar offers practical guidance that helps you understand what it takes to make this step.

Stepping into Practice Ownership brings together speakers from four professional disciplines – Lily Head Dental Practice Sales, Lily Head Finance, Shakespeare Martineau and Chase de Vere Financial Planners – to share their top tips for navigating a successful

practice purchase.

From defining your ‘whys’, your motivations and your criteria to understanding debt markets and legals and avoiding the most common challenges, you will leave the seminar feeling prepared to enter into dental practice ownership with confidence.

This seminar takes place at 60 New Broad Street in London on Thursday 13 November 2025, and you can get your tickets here: dentalpracticesales.co.uk/dental-events/ n

A hemostatic gingival retraction paste trusted by dental professionals for fast, clean, and residue-free soft tissue control.

As digital workflows become the standard in modern dentistry, the ability to manage soft tissue and moisture quickly and predictably is essential for clinical success. Dryz® Blu offers a fast-acting, easy-to-use retraction solution that empowers clinicians to capture crisp, accurate digital impressions—without trauma or mess.

Dryz® Blu features a 23% aluminum chloride formula that achieves hemostasis in just two minutes. Its bright blue color enhances visibility in the sulcus, while the creamy consistency

flows easily, adapts to tissues, and rinses away clean—leaving no residue behind.

Compatible with compression caps, retraction cords, lasers, and electrosurgery, Dryz® Blu fits seamlessly into all popular retraction techniques. It’s available in syringes and single-dose capsules, giving clinicians control and hygiene in equal measure.

Try Dryz® Blu Today, order your free sample here. n

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The result of 50 years of close co-operation with our customers, the Planmeca Pro50 dental unit is a masterpiece of ergonomics, technology, and infection control.

With a slim backrest and small chair base for optimal access to the treatment area, as well as a folding leg rest, it’s the perfect option for dental treatments and examinations. The chair also offers a wide height range to allow dental professionals to work comfortably, sitting or standing. And balanced instrument arms guarantee an ergonomic use of instruments.

Also featuring the Planmeca Halo™ interactive touch screen so you can easily access patient data and dental unit management information chairside.

A font of knowledge

CPD doesn’t just keep your skills and knowledge up to date – it opens new doors to enhance your career, from learning new techniques to tackling a new field of dentistry.

For dentists with a passion for implant treatments, CPD resources don’t come more bountiful than those offered to members of the Association of Dental Implantology (ADI).

Whether accessing journals or over 600+ hours of online CPD content, ADI members are well-equipped to stay at the forefront of the latest industry changes and debates. Also included in an ADI membership is free access to the national programme of Study Clubs, each led by a first-class speaker who will focus on a

The easy-to-use Bossklein ULTRAbio formula helps provide efficient and safe cleaning of dental instruments prior to sterilisation. Ultrasonic cleaning is one of the most efficient ways to clean used instruments quickly.

When activated by ultrasonic waves, the ULTRAbio solution enhances cavitation, allowing microbubbles to reach into tight crevices and remove contaminants that manual scrubbing can miss. Effective removal of debris leads to improved infection control and reduces risks of cross contamination.

As well as integrated and automated cleaning systems with step by step procedure guides on the unit’s screens to make infection control easy and guarantee a smooth workflow. Contact the Planmeca UK team to learn more.

Tel. 0800 5200 330 www.planmeca.com n

particular aspect or challenge in implant dentistry. With a fresh insight and new skills, dental professionals can evolve their career.

Take your CPD to the next level with an ADI membership and enhance the treatments you can provide to your patients today.

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

adi.org.uk

Safely disposing of waste in the dental practice is a significant responsibility. Following current guidance minimises the risk of injury to patients, clinicians, and waste handlers, as well as the risk of harm to the environment.

Solutions like the Griff Pac containers from Initial Medical are on hand for regulatory compliance and increased safety. The Griff Pac units are made from at least 70% recycled plastic, protecting the environment, and are colour coded in line with Health Technical Memorandum 07-01.

Dental practices can choose to use Griff Pac containers to collect and dispose of clinical waste, particularly items like plastic suction tips, PPE, and other potentially contaminated materials.

Each is lightweight and can be flatpacked, for optimum use of storage space. Find out more about the Griff Pac containers by contacting the Initial Medical team today. To find out more, get in touch at 0808 304 7411 or visit the website today www.initial.co.uk/medicaln

A highly experienced dental support team

To ensure a standard of customer support that is second-to-none, helping dentists care for patients nationwide, BioHorizons Camlog is expanding its sales and service team.

Sarah Ashton is the Territory Manager for the North East of England, where she utilises her more than 16 years of experience in dentistry. Having started out as a dental nurse in 2009, she moved into sales roles in 2016 and has since gained a broad range of expertise working with companies in different clinical sectors. With BioHorizons Camlog, Sarah is crucial to ensuring that dentists in her area have the support they need. She says:

“Never afraid of a challenge or hard work, I have been lucky enough to enjoy various different professional roles within dentistry. I’m passionate about doing the very best job that

I can for the dentists I support and, in turn, the patients they provide care for. Today, I am combining my past experience with the diverse BioHorizons Camlog product range to help clinicians and their teams to overcome the daily challenges faced in practice.

It is very rewarding to see the transformations achieved for patients when we work together.”

To find out more about the broad range of solutions from BioHorizons Camlog, or to contact your local representative for support, please visit https://theimplanthub.com/the-team/n

theimplanthub.com/the-team/

The enzymatic solution breaks down organic matter including blood, tissue, and other debris quickly and efficiently without damaging delicate materials. Its noncorrosive, biodegradable formula ensures compatibility with a wide range of materials commonly used in dental instrument.

For an ultra-compact imaging plate system that meets the everyday needs of the dental practice, discover the CS 7200 Neo Edition from Carestream Dental.

It offers:

• High-resolution images of 19 Ip/mm

• A fast and simple to use solution

• An intelligent workflow with ‘Scan & Go’ technology

• A chairside or multi-operatory system

• A wide range of exposure

Bossklein ULTRAbio is available now.

For more information call 0800 132 373 or visit www.bossklein.com

The CS 7200 Neo Edition is also a cost-effective solution that further makes it an ideal addition to any practice’s armamentarium. To see how it could enhance your workflow and your patient care, contact Carestream Dental 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.uk 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

The BRILLIANT Bulk Fill Flow from COLTENE is fast, simple and strong. Representing the next generation of bulk fill composites, it makes excellent restorative outcomes accessible for even more patients.

The reliable 4mm curing depth and single adaptive multi-shade material streamline the professional workflow with no compromise in quality. This is further enhanced with no need for an additional covering composite layer as its excellent abrasion resistance and mechanical properties deliver all the strength needed.

The perfect choice for any time-conscious dentists who seek efficiency and restorative excellence, discover the BRILLIANT Bulk Fill Flow from COLTENE today.

More to smile about

Allow us to reintroduce ourselves – we’re Dental Directory and we are refreshing the way we do things in dentistry!

With thousands of products available, Dental Directory provides an unrivalled portfolio to meet the needs and preferences of clinicians and practices nationwide. But we don’t stop there. We also provide an array of equipment and digital solutions to further elevate the quality of your patient care, in addition to equipment maintenance and servicing that will keep your practice running safely and efficiently for years to come.

Dental Directory has been supporting dental practices in the UK for more than 50 years and we are unique in that we provide

“I

Dental Elite supports clients with all aspects of a dental practice sale or purchase.

The dedicated team of experts within the specialist dental finance arm of Dental Elite, DE Finance, pride themselves on making the process of financing your new dental practice as seamless and stress-free as possible.

Dr Ahmer Ali recently commented on the support he received:

“It was a very easy experience acquiring the practice. The professionals at Dental Elite and DE Finance were all very helpful in arranging everything from start to finish.

“Tommy Glasscoe, Finance Broker with DE Finance, was especially helpful in factoring in all the numbers. He was always there on the other end of the phone

Extraoral imaging systems in the dental practice should also offer high-quality imaging and outstanding patient comfort.

The team at Clark Dental understand this, having worked with dental professionals to design high-quality dental practices, offering an excellent range of imaging solutions to meet your needs.

The Axeos imaging system is a 2D/3D specialist imaging system which can cope with large volumes without ever compromising on quality. It can be flexibly adapted to suit the specific and evolving needs of your practice and patients. From superior patient comfort to advanced functionality, this is an imaging system that supports any practice with a broad spectrum of services.

To discover the full range of dental solutions, get in touch with the Clark Dental team and 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

restorative Level up in patient motivation

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

all the products, equipment and support services needed for success. We’re building on our rich heritage in dentistry, sticking to the values and ethos that we have been known for since the beginning.

That’s definitely something to smile about! For more information on the products and maintenance services available from Dental Directory, please visit ddgroup.com or call 0800 585 586 n

Improved dental hygiene starts with education, which is why the iTOP programme from Curaden is an invaluable resource, allowing dental practitioners to better understand correct tooth brushing techniques and motivate patients.

Nancy Bentley is a dental hygienist based in Cambridge. Having completed an iTOP seminar she reflects on the experience: “I found the iTOP course to be very informative and motivational. I already enjoy using Curaprox products but it was great to further my understanding about how we can utilise these tools in practice to benefit the oral health of our patients. The tutors were fantastic and made the course fun – the hands-on Touch2Teach element was thoroughly explained and we felt that we could adopt this in practice immediately.

“The course asserted that I was providing oral

hygiene instructions similar to the iTOP method, but I embraced the new ways to further enhance the oral hygiene education I provide to my patients. If you want to level up in motivating your patients and increasing their engagement, the iTOP programme is for you.”

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

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

Protect your legacy with deNovo

DeNovo Dental Partners offers a unique shared ownership model that allows Partner dentists to receive the full value of their practices upfront, with the majority in cash and the rest in shares of the broader DeNovo company. In addition to gaining multiple wealth generation opportunities, Partners retain complete clinical and business autonomy.

Dr Peter Saner recently joined the group and offers his experience:

“We are already benefiting from cost-savings with access to good deals on equipment through a preferred dental supplier. The DeNovo team have also been incredibly supportive – if they can help, they will. Their approach is very practice specific, meaning that they understand that one solution does not fit all.

“The DeNovo team are very straightforward and are genuinely trying to do right by their Partners, practices and patients. They have remained consistent and I have never had reason to question their integrity or intention. Ultimately, I have nurtured and protected my practice very carefully for many years, and DeNovo allows me to continue doing so.”

Find out if DeNovo is right for your practice’s future by visiting www.denovo.partners today n

giving his professional advice without bias.

“I cannot recommend Dental Elite enough for the great help that they provide!”

To find out more about the services offered by Dental Elite, contact the team today!

For more information on visit dentalelite.co.uk, email info@dentalelite.co.uk or call 01788 545 900 n

To support as many patients as possible, your dental treatments need to be grounded in systemic care. The PG Diploma in Implant Dentistry from One to One Implant Education helps you develop knowledge on everything from the consultation process and treatment planning, through to implant placement and management. Delegates are able to identify complications, and employ effective, evidence-based techniques that help patients get the permanent restorations that they desire.

The PG Diploma in Implant Dentistry covers important aspects of care such as immediate placement and loading, guided bone regeneration, full arch implant dentistry and more.

Dr Fazeela Khan-Osborne, founder of One to One Implant Education, leads the courses, providing clinicians with support to any and all

questions that they have.

You can learn more about One to One Implant Education by contacting the team today.

To reserve your place or to find out more, please visit https://121implanteducation.co.uk or call 020 7486 0000.n

Find the right implant for you support on your digital dental journey

Regardless of the implant placement concepts you prefer, which clinical techniques you use, or how much experience you have in the field, you need dental implants you can trust to meet your patients’ needs.

BioHorizons Camlog makes this simple by offering an array of implant solutions that cater for all clinical indications and preferences. The brand new Tapered Pro Conical implant is just one example, designed to optimise stability and aesthetics primed for immediate protocols, though suitable for a conventional approach too.

The portfolio also caters for limited bone height, anterior and posterior placement, tissue level placement, and narrow spaces, with different titanium and surface options to support a wide range of cases.

The comprehensive BioHorizons Camlog

portfolio is designed to support the preferences and requirements of both the clinician and patient. For more details and to find the right implant for you, just contact the expert BioHorizons Camlog team who will provide all the information and on-going support you may need.

For more information on the comprehensive product portfolio from BioHorizons Camlog, please contact the team at https://theimplanthub.com/the-team/ n

Clark Dental has 50 years of experience helping dental professionals upgrade their practices and dental equipment solutions. This means assisting in decision making when a practitioner moves to digital dentistry.

Primescan 2 is your perfect entry point into digital dentistry. While easy to use, the scanner provides you with the flexibility to define your individual workflows, offering extremely high performance.

Clinicians can produce impressions quickly and confidently with the Dentsply Sirona Cerec Primescan 2. The solution gives you the freedom to provide chairside milling services, or transfer your digital impressions quickly and easily to the lab.

For more information about the range

Ease of use, good adaptation and cost-effective Gentle power

Dr Apostolos Gerasimidis of Clock House Dental has been using products from COLTENE for more than 15 years. He reflects on his experience of the BRILLIANT Bulk Fill Flow composite:

“I have been most impressed by the product’s ease of use and the good cavity adaptation it achieves. It is also a cost-effective option, and the ability to cure up to 4mm in 20 seconds reduces the time needed to restore even deep cavities. This reduced treatment time facilitates a much more comfortable patient experience, which is always a positive.

“In in the time I have been working with COLTENE, I have found the customer service to be nothing but excellent.” In addition to speed and efficiency, the

dd welcomes

BRILLIANT Bulk Fill Flow from COLTENE supports aesthetics as a single multishade material. It also requires no additional composite covering layer as its abrasion resistance ensures strength and durability alone. Find out more today. For more on COLTENE, visit colteneuk.com/BRILLIANT-bulk-fill-flow email info.uk@coltene.com or call 0800 254 5115.n

colteneuk.com/BrILLIANt-bulk-fill-flow

new directors

DD is delighted to have welcomed Dean Hallows as the new Managing Director (MD) and as the Director of Supply Chain. A well-known face in dentistry, Dean has almost 40 years of experience in the profession working with various dental product suppliers and as the Immediate Past President of the BDIA. Dean commented:

“It’s been an amazing first few months at DD, which is probably the fastest growing full service dental distributor in Europe. We have spent time reviewing and refining our processes and put a major focus on meeting customer needs in order to maintain and further elevate our services. It’s an exciting time for DD!”

Dean is working alongside Phil Browes, who joined DD in 2023. Phil offers extensive supply chain experience having led teams for

various renowned high-street brands. His role is focused driving innovation and efficiency at DD as we build the future of the organisation.

To discover the extensive range of products and technical support services available from DD, find out more today!

For more information on the products and maintenance services available from DD, please visit ddgroup.com or call 0800 585 586 n

refer nervous patients with confidence

If you have a nervous patient that needs endodontic treatment, consider working with EndoCare to deliver the care they need. We pride ourselves on delivering an exceptional patient experience, especially for those who are anxious about treatment. We offer an array of additional services to make the procedure as smooth and comfortable as possible. Here’s what one patient recently said of their experience in the 5-star review they gave the practice:

“Dr Sultan was incredibly thorough and took the time to explain everything in detail, which truly helped me manage my expectations and ease my anxiety around the procedure. His professionalism and supportive approach

made all the difference – I felt informed, reassured, and in very capable hands. Adam was also very helpful and friendly!”

The referral process with EndoCare is fast and efficient, just complete the secure online form on the website and we’ll be in touch. For further information about the endodontic referral services available from EndoCare, please call 020 7224 0999 or visit www.endocare.co.uk n

For a deep clean that protects the teeth and gingivae, an electric toothbrush effortlessly removes harmful bacteria and prevents plaque build-up.

The Hydrosonic Pro from Curaprox is a cutting-edge electric toothbrush that bridges innovative technology with a sleek Swiss design. It offers 7 cleaning modes and 3 specialised brush heads to better support patients in finding the most suitable setting, ensuring comfort and compliance.

Each brush head utilises ultra-fine Curen filaments at 84,000 brush movements per minute for the perfect mix of cleaning power and gentleness, keeping the teeth and gingivae healthy without causing discomfort. Combined with the 60-minute battery life and travel compatibility, the Hydrosonic Pro can

An “excellent” service

Dr Raj Thandi is one of many satisfied clients of Dental Elite, having recently completed a practice sale:

“I approached Dental Elite because their reputation proceeded them – and they were excellent. The team were constantly updating me via email and phone calls, offering wise counsel throughout the process. For my first practice sale, it went better than I had expected! I would absolutely recommend Dental Elite to others – and would be happy to speak to anyone with any questions about working with them.”

For support you can depend on when selling your dental practice, trust the experts

All about occlusion

The Occlusion: Basics & Beyond online course from IAS Academy is one of the most tangible, real-world and comprehensive occlusion training available – with added extras. Clinicians can delve into 34 hours of insightful modules, based on real-world clinical scenarios. Dr Jaz Gulati and Dr Mahmoud Ibrahim lead the course, offering their experiences to clinicians in sessions about occlusal foundations, examinations, risk assessments, conforming with the dentition and reorganising it, and more.

Plus, all clinicians that sign up to the course receive an autoclavable Huffman leaf gauge and 8 µm Hanel shimstock foil which lets them implement their new knowledge immediately.

information call 01268 733 146, email info@clarkdental.co.uk or visit www.clarkdental.co.ukn

clarkdental.co.uk

help patients maintain optimal oral health at home and abroad.

Tailor the daily oral hygiene routine to the patient by recommending the Hydrosonic Pro 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

at Dental Elite to help you achieve the best deal in the most efficient way possible. Find out more by contacting the team today.

For more information on Dental Elite visit www.dentalelite.co.uk, email info@dentalelite.co.uk or call 01788 545 900 n

Find out more about the Occlusion: Basics and Beyond course by contacting the IAS Academy team today. 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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Put patients first with ergonomic and comfortable imaging solutions that deliver high-quality results.

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With an image quality that is the same or higher than other intraoral sensors in its class, the RVG 5200 ensures clinicians can develop radiographic images that actively inform treatment plans. Three anatomical image enhancement modes can also be used, including endodontic, periodontic and dentine-enamel junction, to maximise the insights for each patient.

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

outstanding service and autoclaves that last 20 years

Dawn Saunders, Practice Manager at Clark Dental Studio, comments on the Eschmann Little Sister autoclaves in her practice – one of which has been in situ now for more than two decades:

“Our practice – which operates five busy surgeries ¬– purchased two Eschmann SES Little Sister 3 Autoclaves and affectionately named them ‘Ant’ and ‘Dec’. Nearly 21 years later, ‘Ant’ remains fully operational, while ‘Dec’ lasted an amazing 20 years.

“Throughout these years, we have consistently received outstanding service from Eschmann. Their maintenance of our sterilisers has been exemplary, characterised by professionalism, attention to detail, and prompt response times.

Who is IcP?

For practices looking to introduce or change their existing dental plan solution, you need to meet the team at IndepenDent Care Plans (ICP).

ICP has a proven track record of successfully managing a variety of private dental care plans for practices of all shapes and sizes across the UK. With extensive knowledge and understanding of the market, ICP offers carefully-tailored and practice-branded plans that will help your business grow.

The ICP team is also available to practices at any time, helping you to optimise your plan and ensure the very best experience for your patients. Find out more today.

The team’s knowledge and efficiency ensure that our equipment always operates at peak performance. We highly recommend Eschmann for their exceptional service and reliability.”

For more information on the highly effective and affordable range of infection control products from Eschmann, please visit www.eschmann.co.uk or call 01903 753322 n

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oral pain management – fast and effective

Both globally trusted and pharmacistrecommended, Orajel provides rapid, effective pain relief for many scenarios. With decades of research and experience, Orajel offers specialist products to manage oral discomfort experienced in a range of situations. With dental gels specific to toothache, and mouth gels appropriate for denture troubles, the respective all-in-one solutions allows patients to manage pain flare ups instantly with localised topical gel.

Ranking number one in adult oral pain relief, Orajel offers fast-acting pain relief for menopausalrelated oral pain, concentrated toothache, cold sores, denture irritation, and more. With the 10% benzocaine formula, pain relief is specific to the source, offering targeted relief when necessary. Oral pain can be extremely unpredictable and intense, which is why instant, convenient pain-

management is absolutely essential. By using Orajel with 10% benzocaine, the pain is targeted accurately, and minimised quickly. Find out more today on the Orajel website

For more information, and to see the full range of Orajel products, please visit: https://www.orajelhcp.co.uk/ n

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revolutionary chairside restorative treatment

The Midas 3D Printer from SprintRay transforms chairside restorative treatments by delivering unmatched speed and precision.

Using SprintRay’s new technology, Midas prints with outstanding replication accuracy requiring very little upkeep maintenance. The printer’s workflow is fast-tracked due to the single-use Resin Capsule system which diminishes need for resin tanks and removes clean-up time entirely.

Offering no viscosity limitations through multirestoration printing, restrictions are truly slight. Additionally, the extremely compact nature of the revolutionary printer means that it can be placed, and moved, anywhere it fits. The product requires minimal training to operate, increasing the value of the investment by enhancing the usage. Accompanied

by the AI Studio cloud-based software, generating designs is faster and easier than ever, offering the ability to upload intraoral scans with automatic and adjustable margin detection for finalised results.

SprintRay is the only provider of a complete digital ecosystem for 3D printing exclusively dedicated to the dentist industry – crafting every solution with dental efficiency and progression in mind.

To learn more about the advantages of SprintRay™ Midas 3D printer, contact the team today.To learn more about SprintRay, please visit the website below.n

transform your dental practice

When renovating a dental practice, modern and vibrant cabinetry can have a big impact – able to transform your patients’ experiences and better align with your brand identity.

The e.04 range of dental cabinets by Edarredo, available through Clark Dental, meets the high standards required for a dental environment whilst providing a dynamic and eye-catching aesthetic.

This range enables you to create an exciting work environment, catered to your unique preferences, without any compromise when it comes to efficiency. The team at Clark Dental are able to support and guide you in your decision-making when it comes to dental practice design, so don’t hesitate to get in touch with them to start your renovation journey!

Visit the website today to contact the team and find out more.

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

Latest product extension from dd

DD is committed to delivering the very latest innovations for dental professionals across the UK.

We’re delighted to announce that we’re now supplying the award-winning Polynucleotides HPT®! These support an increasingly popular treatment solution, providing a great option for clinicians to help patients enhance both their dental and facial aesthetics for greater selfconfidence and satisfaction with care.

You can now order the Plinest, Newest® & NewGen® solutions by DermaFocus, which are clinically-proven to increase the viability and number of fibroblasts for elevated collagen production. They also help to improve the appearance of:

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To keep-to-date with all the latest solutions added to the expansive DD portfolio, visit the website or contact the team today.

For more information on the products and maintenance services available from DD, please visit ddgroup.com or call 0800 585 586n

Enhanced oral hygiene during orthodontic

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Solving the retirement jigsaw

simon cosgrove, Dental Regional Manager and qualified Specialist Financial Adviser at Wesleyan Financial Services, explores how to piece retirement together

When starting a jigsaw, you’re often told to begin with the corners – they provide a framework that makes the rest easier to complete. Retirement planning works in a similar way. The ‘corner pieces’ are typically your NHS pension, private pension, State Pension, and other assets, such as the proceeds from selling your practice. Once you understand the amount and timing of income from each source, the rest of the picture becomes much easier to piece together.

The goal is to build a retirement where you have the right level of income and capital at the right time. That timing matters more than people often realise. Your financial needs will change as you move through different phases of retirement.

The initial years of retirement are likely to be the most expensive. This is the period where you’re finally free to do whatever you want, whenever you want, with more holidays, a new car and treating the family high on many people’s agenda. There may also be one-off expenditure over the years – family weddings and the arrival of grandchildren, for example.

As we get older, expenditure tends to reduce. Health issues and falling energy levels mean that there is less tendency to travel quite so much, so your need for income and capital may not be the same as when you were in your sixties.

The first corner of the jigsaw is the NHS pension. Even if you are a fully private dentist now, you are likely to have some benefits accrued in the NHS pension. The NHS pension is a key part of your retirement plan, as it provides you with a guaranteed, inflation-proofed income no matter how long you live. This is invaluable, as it provides you with certainty throughout your retirement. For dentists with a significant amount of NHS service, this could be a very healthy amount. Dentists who have become private may have less NHS pension built up, but whatever they built up whilst doing NHS dentistry will be inflation proofed both preand post-retirement.

The State Pension is another source of guaranteed, inflation-proofed income. Many dentists retire in their early sixties, however, so the State Pension won’t be payable until a few years into their retirement. This additional income, whilst welcome, could cause issues if you haven’t planned for it. If you already have sufficient income, then it will only build up in a savings account over the years, increasing possible Inheritance Tax issues. Receipt of the State

also cause some people to become higher rate taxpayers.

Careful financial planning can help with this – using temporary income from other sources (such as Personal Pensions or the sale proceeds of a practice) that is reduced when the State Pension begins can be a very effective strategy.

Your entitlement to both the NHS and the State Pension, and the time at which you are entitled to receive each of them, is essential in the overall plan – particularly as the NHS pension has three different sections – 1995, 2008 and 2015 – each with its own rules and normal retirement age, and some individuals may have protections in place that allow them to access benefits earlier.

Personal pensions can play a key part in your retirement plans. As well as potentially providing a tax-free lump sum of 25% of the fund (which some people use to live off in the early years), there is also the option of it providing a further guaranteed income for life (if required) or flexible income that can be increased and decreased and/or turned on and off over the years (e.g. when the State Pension becomes payable).

Finally, your other assets could form a key part of your retirement plan. You may have built up savings and investments over the years that may also have increased by the sale proceeds of your practice. These can provide other sources of capital and income, possibly whilst you wait for your NHS and/or State Pensions to begin.

When mapping out your retirement, it can be hugely beneficial to run a cash flow model with a professional financial adviser. This will help you to understand the peaks and troughs of expenditure over the years and is a key part of solving the jigsaw. To extend the metaphor, this is essentially the picture on the front of the jigsaw box. It will help you to picture and map out the retirement puzzle, helping you solve it through careful preparation and planning.

Remember: Tax treatment depends on individual circumstances and may be subject to change in the future. The value of investments can go down as well as up, and you may not get back the amount originally invested.

need help putting the missing pension puzzle pieces in place?

Book a conversation with a dental Specialist Financial Adviser at Wesleyan Financial Services by visiting wesleyan.co.uk/retirement-advice-dentists or calling 0808 149 9416 (charges may apply). n Wesleyan Financial Services Ltd (Registered in England and Wales No. 1651212) is authorised and regulated by the Financial Conduct Authority. Registered Office: Colmore Circus, Birmingham B4 6AR. Telephone: 0345 351 2352. Calls may be recorded to help us provide, monitor and improve our services to you.

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.

Pension can

Dentists’ Provident, always by your side.

None of us know what the future holds.

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For over a hundred years, our members have trusted us to give them peace of mind when they need it most. Isn’t it time you did the same?

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To discuss a new plan just for you or review your current plan please contact our member services consultants on 020 7400 5710 or memberservices@dentistsprovident.co.uk

The changing landscape of business lending

When I started my first career in banking (it was a while ago!), negotiations with the local Bank Manager for a business loan often took place over a ‘pie and a pint’ – and, if the loan was large enough, at an expensive restaurant! Those days have largely been consigned to history.

Modern lenders now lean heavily on detailed financial and non-financial analysis, credit grading, probability of default measures and pricing models that calculate a lender’s return on capital. The process has become more analytical, but human judgment still plays a vital role – particularly when proposals are well thought out and professionally presented.

Fortunately, seasoned banking professionals who understand what it takes to drive a successful dental practice forward in a challenging economic and competitive environment have not yet been replaced by AI, but it is all the more important that practice owners are able to tell their business story – and help the bank to get to ‘yes’.

Your business story still matters

You might already have a pitch rehearsed in your head – but a lender needs more than a snappy introduction. A solid loan proposal should reflect the story behind your business growth, outlining both where you’ve been and where you’re heading.

Start by showing your trading history. Most banks will expect at least three years of accounts. But don’t stop there. Forward-looking information matters too: forecasts that project cash flow, sales trends, and your ability to manage inventory and expenses under different conditions.

Make sure your loan amount aligns with your objectives. Ask yourself: does the funding requested match your business needs? Too little might

suggest under-preparation, too much might raise concerns about financial strain. Explaining how the capital will support operations, investment, or expansion shows that you’ve thought it through.

s tructuring a winning business loan proposal

Think of your business loan proposal as your first opportunity to make a strong impression. It should clearly state:

• Why you are applying for the loan

• The loan amount required

• How the funds will be used

• How you plan to repay the debt (even in tougher trading conditions) Go beyond the basics. A projected profit and loss account is good, but a full financial model is better. Include a cash flow forecast and balance sheet projections for a well-rounded view. This level of transparency makes your proposal more robust – particularly if you’re seeking an unsecured business loan where there are no business assets offered as security.

Transparency also extends to existing borrowing. Detail your outstanding finance: lender names, balances, repayment schedules, and expiry dates. This not only demonstrates your understanding of your financial position but builds trust with potential lenders.

The importance of creditworthiness

Your credit score remains one of the key indicators a lender will assess. A poor credit history can slow the process, limit options, or increase the interest rate offered – particularly with unsecured business loans, where there’s a higher reliance on your financial track record.

If you know your score is less than ideal, address it head-on. Explain any legacy issues and show how you’ve resolved them. In many cases, a strong proposal with solid cash flow and clear revenue plans can compensate for a few historical blips.

As most applications will involve a credit check, preparing in advance and checking your report yourself can help avoid any unpleasant surprises.

c ash flow: The lifeline of loan repayment

In business, profit is important – but cash flow is king. A lender wants reassurance that your company can meet its obligations even during leaner periods.

Be ready to explain how you manage working capital, including how quickly customers pay, how long suppliers give you, and how you keep inventory levels balanced. These practical insights can be more telling than a headline figure.

n on-financial strengths that make the difference

While the numbers must add up, lenders are increasingly looking at the bigger picture. What’s your unique selling point? How do you compete in your market? Are there high barriers to entry or innovative use of technology in your business?

Highlighting these strengths can support your case – especially when applying for small business loans or start-up funding where tangible business assets may be limited.

c hoosing the right lender

Not all lenders are created equal. Some focus on asset-based finance, others specialise in unsecured business loans, and many operate with different risk appetites depending on the sector.

Do your research. A perfectly sound proposal can be rejected if it simply doesn’t match a lender’s policy. Matching your request to the right funder not only improves your odds – it can also speed up approval and reduce unnecessary stress.

Timelines and expectations

Most mainstream lenders aim to respond within 10 working days. If

it’s taking significantly longer – and there’s no holiday period or internal delay to blame – something may be off with the application.

Delays can cost you opportunities. Whether it’s ordering new stock, hiring staff, or launching a new service, access to capital at the right time is critical. Make sure your proposal is clear, complete, and compelling to avoid bottlenecks in the process.

When to consider a debt advisor

With application requirements becoming more detailed, many business owners now turn to debt advisors. These professionals understand how lenders think and often maintain relationships with key decision-makers.

A good advisor will help you craft a proposal that’s both financially sound and commercially persuasive. They’ll help you hit the right level of detail, ensure you pass the credit check, and shape your application to meet the lender’s expectations.

a pplying with confidence

Securing a business loan in today’s climate takes more than spreadsheets and figures. It takes preparation, clarity, and a compelling narrative. Whether you’re looking to refinance, invest in business assets, or scale up operations, make sure your proposal is aligned, informed, and balanced.

Understand your cash flow, know your credit score, and tailor your approach to the lender. And if in doubt, don’t hesitate to seek expert support. Because, with the right plan and the right people, getting to ‘YES’ is entirely within reach. n

about the author Martin How, Managing Director, Lily Head finance Debt advisory services.

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Are you ready to buy a practice?

For many, buying a dental practice is a dream to fulfil and a huge career milestone. Yet it is also a serious commitment. It means becoming a business owner, team leader, and decision maker. So how do you know if you’re truly ready to take the leap from associate to owner?

1. clinical confidence is just the starting point You might think, “I’ve been an associate for years, I’m good with patients. I must be ready.” That’s part of it, but clinical skill alone doesn’t guarantee success as a practice owner

Ask yourself:

• Can I handle complex or emergency cases without backup? If purchasing an NHS contract, emergency cases may be a necessity

• Am I efficient with my time and treatment planning? You will need to maximise income generation in the available surgery space

• Do I know how to balance quality care with financial sustainability? E.g. sourcing materials and lab services at a maintainable price point

You should consider whether you will be able to manage the practice yourself, or if you will need a practice manager.

2. Do you understand the business side?

Owning a dental practice means dealing with:

• Staff contracts, payroll, HR

• Overhead costs and cash flow management

• Marketing, patient retention, complaints

• CQC compliance, health & safety, GDC regulations

• Equipment purchases and lease negotiations

You don’t need to be an accountant, but you do need basic financial literacy and a willingness to learn. Without the right business acumen, even the strongest practice can start to fail.

√ Readiness check:

• Could you shadow a practice owner to see what they do?

• Have you taken any basic business, finance or leadership courses?

• Do you understand how to read a profit & loss statement?

3. are you in a strong financial position?

Buying a practice is a big financial commitment and you may not earn as much in the first few years as a practice owner as you do as an associate. Even if you’re using bank funding, you’ll still need:

• A cash deposit (usually 5 - 20%)

• Legal, accounting, and bank valuation fees

• Cash for stamp duty (if buying freehold property or shares of a limited company)

√ Readiness check:

• Do you have funds for a deposit?

• Is your credit history clean and any current debt manageable?

• Do you have a dental broker or accountant helping you prepare?

4. are you ready to lead a team?

A good practice thrives on teamwork, with all eyes on you to set the tone. You’ll need to:

• Hire and manage staff

• Handle performance issues and conflicts

• Motivate and retain team members

• Lead by example, especially under pressure

√ Readiness check:

• Have you ever been in a leadership role (formally or informally)? Lenders will ask this when approaching them for a loan

• Are you comfortable giving feedback and having tough conversations?

• Are you ready for people to look to you for guidance or support?

5. Do you have the right mindset? Ownership is not for everyone, and that’s ok. The last thing you want to do is buy a practice that you then want to sell in 12 months’ time. Running a practice comes with stress, responsibility, and long hours, especially in the early stages. But if done right, it also brings independence, fulfilment, and long-term financial rewards.

√ Readiness check:

• Are you motivated by growth, challenge, and autonomy?

• Do you handle setbacks with resilience?

• Are you excited by the idea of building something that’s yours?

6. Do you have a support network?

No one does this alone. You’ll need a team of trusted dental specialists:

• Dental solicitor

• Dental accountant

• Dental finance broker

• Possibly, a dental practice valuer

Follower count should NOT be your main focus

In a world where almost everyone is scrolling before they’re speaking, it’s no longer a question of if your dental practice should be on social media, but how you’re showing up.

There’s a common misconception that the goal of platforms like Instagram, Facebook, or TikTok is to gain loads of followers or go viral. And while those metrics might look good on paper, they don’t always translate to what really matters, which is bookings, new patient enquiries, and long-term loyalty. The reality is you don’t need 10k followers to grow your practice. You need the right content in front of the right people, consistently. It’s easy to fall into the trap of only posting before-and-after photos or promotional offers. While those have their place, they shouldn’t make up your whole feed. People buy from people and in healthcare, trust is everything. That’s why personal and team content matters so much. Sharing who you are,

introducing the faces behind the masks, and showing your practice culture is the kind of content that builds connection. It helps nervous patients feel more at ease and gives new patients a reason to choose you over another local practice offering similar services.

A quick team selfie on a Friday, a story introducing your dental nurse, or a post about why your receptionist loves working at the practice may seem like small touches, but they’re powerful tools for building genuine relationships online.

One of the most overlooked elements of a good social media strategy is consistency. That doesn’t mean posting five times a day, but it does mean showing up regularly and keeping your content fresh, relevant, and engaging. Inconsistent posting makes it hard for people to remember you. Or worse, they assume you’re not taking on new patients, not active, or simply not interested in engaging with them. Regular

√ Readiness check:

• Have you started building relationships with these professionals?

• Do you know someone who’s bought a practice you can speak to?

7. Have you found the right practice?

The right practice should match your:

• Clinical skills

• Income goals

• Lifestyle preferences (commute, hours, patient base)

• Management style

Make sure you do proper due diligence on any potential purchase, including:

• Reviewing financials – is there enough profit to cover your bank loan?

• Analysing patient base (NHS/private/mix)

• Checking staffing structure – are staffing levels sufficient?

• Assessing condition and location – does the practice need immediate investment? You may need additional cash available if so.

final thoughts

Starting the buying process can often feel like a minefield, with so many areas to consider. The aim isn’t to be perfect, it’s to be committed to your end goal and the learning process.

next steps

• Talk to other practice owners about their experience

• Register with the agents and start looking at practices

• Build a brief business plan

• Start building your advisory team

Buying a practice is a bold step, but with planning and the right support, it can be one of the most rewarding decisions of your career.

Ready to start preparing? If you would like PFM to help you review a specific opportunity or approach the lenders for loan offers, please get in touch. PFM have practice valuers, finance brokers, accountants, financial advisors and solicitors all under one roof. n

about the author samantha Hodgson is a finance broker and practice valuer at PfM Dental.

content helps you stay top of mind, even if someone’s not ready to book straight away, they’ll think of you first when they are.

It also helps with the algorithm. Social platforms favour active accounts, so showing up regularly (and getting good engagement from your audience) helps your content reach more people in your local area.

The ultimate goal of social media is not just likes or follows, it’s conversion. Whether that’s a new Invisalign consultation, a hygiene appointment, or a patient enquiry about whitening, good content should gently guide people towards taking action.

This doesn’t happen by accident. You need a mix of educational content (what you offer and why it matters), personal content (who you are), and promotional content (what you’re currently running or excited about).

You’ll often find that it’s the posts that feel the most human – a behind-the-scenes snap, a

patient thank you, a story from the team – that spark the most genuine interaction. And those interactions are the start of the patient journey. Social media isn’t just a marketing box to tick; it’s an extension of your brand, your values, and the patient experience you offer. The more you show up with authenticity, consistency, and personality, the more likely you are to convert casual scrollers into loyal patients.

So, if your practice’s Instagram has been gathering dust, consider this your sign to get back on it. Not for the vanity metrics, but for the real connections, conversations, and conversions that come with showing up well. n

about the author

abby Leach, social Media Manager, connectmymarketing.com

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15 years of change in UK dentistry

How Dental Elite’s co-founders built a business to match a transforming profession

Fifteen years ago, the dental market looked very different – and Dental Elite was just getting started. Both internal and external factors have had a massive influence on market trends, impacting the behaviours and priorities of existing practice principals and potential buyers.

From solo practices to serious portfolios

For a start, there has been a major shift towards multi-practice ownership even on a micro level and there are now more dental groups of size than there were fifteen years ago. That said, the landscape is not big DSO-heavy. Hundreds of individuals now own three or more practices, demonstrating the continued strength of mini groups and multi-practice ownership.

Luke Moore co-founded Dental Elite fifteen years ago. Reflecting on the market evolution in that time, he comments: “When we started, the market was still pretty fragmented. Now, more than 600 individuals own three or more practices. That shift has completely changed how deals are structured, and who you’re selling to.”

This may, at least in part, be the result of changing attitudes from practice owners. Many principals are more commercially minded today than they were in the 2010s, dedicating an increased amount of time to practice management and growth than in previous years. There is also a greater appetite for business development and diversification, with individuals keen to distinguish their practices from others.

Paul Wilkinson, also a co-founder of Dental Elite, has seen this play out in real time and believes it to be driving the modern dental practice market.

He says: “The entrepreneurial spirit has grown massively. Dentists are thinking commercially and strategically in a way that

wasn’t typical fifteen years ago. There’s more ambition, more knowledge, and a lot more competition.”

A smarter, faster marketplace

As the importance of business management skills and softening the acquisition multiple by organic growth has come to the fore, so too has the need for expert guidance in all areas affecting the business. Consequently, there has been a rise in sector-wide professional services, with brokers, accountants and lawyers more accessible than ever before.

Paul added: “There’s more expertise around the table now. From brokers and accountants to the clients themselves. Everyone is more switched on, which means you can’t just be ‘good enough’. You need to know your space inside out.”

As Paul alludes, many professional service providers have recognised the complex requirements in dentistry and developed dental-specific teams in recent years. By better understanding the nuances of the dental market, they can deliver faster and more effective outcomes for dentists. And, of course, with increased speed of practice acquisitions and sales comes higher expectations among the profession.

Dedicated expertise

Having started out as a dental specialist, Dental Elite has long appreciated the importance of tailoring financial plans and business models to overcome the regulatory and clinical challenges faced in dentistry. The organisation took this a step further by developing specialist teams for each area of the process, from practice valuations and sales management to CQC registration and business development, financial support and recruitment.

Luke said: “We’ve always believed that the

best results come from people who know exactly what they’re doing. But more than that, we make sure those people talk to each other. Clients feel that joined-up service. They feel the momentum – even when the process doesn’t exactly go to plan. That’s when communication matters most.”

While Dental Elite’s strength lies in clearly defined, high-performing departments, the organisation openly shares market knowledge with the wider sector. The provision of Goodwill and Benchmarking Reports, webinars, seminars and speaking sessions at leading industry events all serve to connect Dental Elite with the broader dental community, and further establish their thought leadership in the sector.

The power of the team

To remain effectively engaged with the profession and each other, the Dental Elite team fosters a culture of collaboration. Clients receive cohesive support from a team that delivers human warmth without overshadowing their expert-led focus.

Carl Wetton, Associate Director at Dental Elite, commented: “We’re lucky to have a group of people who know their stuff and enjoy working together. That shows in the way we handle pressure and keep deals moving. There’s trust and clarity and that gives clients confidence too.”

Elevating the patient experience

The patient experience – and how to improve it – is a popular topic among the dental profession today. Not only do clinicians want patients to develop positive associations with their care, but their involvement with the practice will also influence their willingness to accept treatment plans and remain loyal for years to come.

The importance of happiness

Looking at the benefits of satisfied patients in a little more detail, the research links higher patient satisfaction with increased adherence to oral hygiene advice and, therefore, improved treatment outcomes. The concept is that patients who are happy with the quality of care they receive are more likely to trust their team and do as they recommend.

The other advantage of happy patients is that they will talk about their experiences with others. Word-of-

mouth marketing is a powerful tool for all practices, who can leverage good reviews to elevate their reputation and attract new patients in the future.

Behind the scenes

So, what does it take to install confidence in patients that they have received highquality care and had a good experience overall? As might be expected, the dentist has a significant influence over how happy a patient is post-treatment. One study found that having a clinician who listened well was the highest rated feature, which was linked to recommending the dentist to others. The same paper reported that the dentist’ explanation of treatment to the patient was important in encouraging their loyalty long-term.

The literature also suggests that how patients move through treatment is important for ensuring their happiness. This means streamlining their experience

from the moment they come across the practice online or in-person, throughout their consultation, during treatment, and beyond.

Simplifying access

To make essential dentistry more accessible to more patients, while also offering an easily-manageable payment method, consider providing a dental plan. This will make treatment more affordable for patients, helping them budget for their routine care and encouraging them to maintain their oral health.

It is also a great way of streamlining their experience in the practice, as they needn’t worry about paying for checkups and anything else you include in your plan. This frees up time, allowing improved interaction between dentist and patient, while also enabling admin staff to focus on other aspects of the patient journey. What’s more, dental plans can encourage trust and loyalty from patients.

Lisa McCusker, Senior Recruiter and Locum Recruitment Specialist, agreed with the sentiment: “We’ve built out a structure that works. Each of us specialises in different parts of the recruitment process, which lets us be fast and specific. But it also means clients get a genuinely human experience –not a generic agency feel.”

What lies ahead

Looking at what is to come for the dental market, expect continued consolidation as well as increasing complexity in deal structures. Opportunities for independentlyowned practices will remain, with those who seek expert advice likely to enjoy significant success. For the next 15 years, Dental Elite’s role will be to help every kind of client realise their practice ownership ambitions. Paul said:

“There’s still room to build something brilliant. The challenge now is making informed decisions in a faster, more competitive landscape.”

Luke concludes: “It’s about staying agile. Whether it’s a first-time buyer or a 20-practice owner, our role is to give them the insight and support they need to move with confidence.”

For more information on Dental Elite visit www.dentalelite.co.uk, email info@dentalelite.co.uk or call 01788 545 900 

IndepenDent Care Plans (ICP) provide an array of fully customised and practicebranded solutions that are designed specifically to meet the needs of your patients. Our highly experienced Business Development Consultants know what it takes to elevate the patient experience and will utilise their expertise to help you implement a plan that works for you.

Find out more today!

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

About the author Dr Robert Donald, Director, IndepenDent Care Plans.

Paul Luke

Carl Lisa

CERAMIR PEDIATRIC CROWNS

The future of modern pediatric dentistry

• Optimal fit & function – Prefabricated to match natural shape and colour

• Minimally invasive – Preserves as much dentine as possible

• Fast, simple workflow – Improves the treatment experience for the child

• Safe & healthy – Biocompatible, BPA-free, and non-toxic