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Colgate® Duraphat®, the only fluoride varnish that carries the weight of clinical evidence* See overleaf for more details and prescribing information...

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Colgate® Duraphat®, the only fluoride varnish that carries the weight of clinical evidence* Colgate® Duraphat® is the only fluoride varnish licensed for caries control in the UK† • Fast and easy application • Temporary visual tint to aid application • Raspberry flavour 22,600 ppm Fluoride

Protect your patients, your team and your dental practitioners’ prescribing responsibilities with Colgate® Duraphat® Fluoride Varnish1-5 Adverse events should be reported. Reporting forms and information can be found at www.yellowcard.mhra.gov.uk. Adverse events should also be reported to Colgate-Palmolive (U.K.) by calling 00-800-321-321-32.

*For caries control. †Colgate® Duraphat® fluoride varnish for patients 3 years of age and over. References: 1. Delivering better oral health - an evidence-based toolkit for prevention, Office for Health Improvement and Disparities’ 2021. 2. Marinho VCC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database of Systematic Reviews 2013. 3. The use of fluoride varnish by dental nurses to control caries. NHS. Primary Care Commissioning, 2009. 4. https://www.england.nhs.uk/long-read/supply-and-administration-of-medicines-by-dental-hygienists-and-dental-therapists/ 5. https:// www.england.nhs.uk/commissioning/wp- content/uploads/sites/12/2016/09/avoidance-doubt-v4-1.pdf. Name of the medicinal product: Colgate® Duraphat® 50mg/ml Dental Suspension. Active ingredients: 1ml of suspension contains 50mg Sodium Fluoride equivalent to 22.6mg of Fluoride (22,600 ppm F-) Indications: For the prevention of caries in children and adults as part of a comprehensive control programme., desensitisation of hypersensitive teeth. Dosage and administration: Recommended dosage for single application: for milk teeth: up to 0.25ml (=5.65mg Fluoride), for mixed dentition: up to 0.40ml (=9.04 Fluoride), for permanent dentition: up to 0.75ml (=16.95 Fluoride). For caries prophylaxis the application is usually repeated every 6 months but more frequent applications (every 3 months) may be made. For hypersensitivity, 2 or 3 applications should be made within a few days. Contraindications: Hypersensitivity to colophony and/ or any other constituents. Ulcerative gingivitis. Stomatitis. Bronchial asthma. Special warnings and special precautions for use: If the whole dentition is being treated the application should not be carried out on an empty stomach. On the day of application other high fluoride preparations such a fluoride gel should be avoided. Fluoride supplements should be suspended for several days after applying Duraphat®. Interactions with other medicines: The presence of alcohol in the Duraphat® formula should be considered. Undesirable effects: Oedematous swelling has been observed in subjects with tendency to allergic reactions. The dental suspension layer can easily be removed from the mouth by brushing and rinsing. In rare cases, asthma attacks may occur in patients who have bronchial asthma. Legal classification: POM. Product licence number: PL 00049/0042. Product licence holder: ColgatePalmolive (U.K.) Limited, Goldsworth Place, 1 Forge End, Woking, Surrey, GU21 6DB. Price: £22.70 excl VAT (10ml tube) Date of revision of text: June 2024.

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The General Dental Council (GDC) has launched a 12-week consultation on new guidance for decision makers at the two earliest stages of its fitness to practise (FtP) process. The guidance addresses sexual misconduct and allegations of discrimination, harassment and victimisation. It emphasises the seriousness of these concerns and sets out the factors that decision makers should consider. It also draws on established definitions, including of antisemitism and anti-Muslim hostility, to help decision makers recognise how discrimination can manifest. Offensive behaviour and freedom of expression are treated separately, with the guidance setting out the competing legal

and public interest considerations that can arise in such cases. Health concerns are treated differently. Decision makers are asked to approach these with compassion, focusing on the risk involved, how a condition is being managed and its impact on a professional’s ability to practise, rather than the existence of the condition itself. The consultation marks the final stage of a wider programme to review guidance for decision makers at every stage of the FtP process. Earlier changes include a streamlined approach for single-patient clinical concerns, since extended to cover less serious conduct concerns raised alongside them. This approach has cut the time to complete Initial Assessment from 30 weeks to 16.

The new guidance will directly affect dental professionals whose cases reach these stages, and their representatives, and is also relevant to patients, the public and other organisations with an interest in FtP. The GDC is encouraging these groups, along with indemnifiers and professional bodies, to review the draft guidance and respond before the consultation closes at 23:59 on 2 November 2026. Responses can be submitted at https:// tinyurl.com/GDC-FtP or by email to stakeholder@gdc-uk.org, quoting the consultation name in the subject line and referencing the relevant paragraph or question numbers in the response itself. All views received will be considered, and the GDC will publish a consultation outcome report on its website. ■

Dr Urshla Devalia appointed new GDC Registrant Council Member The General Dental Council (GDC) has announced the appointment of Dr Urshla Devalia, known as Oosh, as its new Registrant Council Member.

Photohraph: Vicky Matthers Photography

GDC launches consultation on new guidance for fitness to practise decision makers

Smile Together expands NHS dental access across the South West Smile Together Community Interest Company (CIC), one of the South West’s largest providers of NHS referral and urgent dental care, has expanded its reach with the opening of a new NHS Dental Access Centre in Gloucester, while continuing to invest in improving access to urgent dental care across Cornwall. The new Quayside Dental Centre opened on 1 July 2026 following a partnership with NHS Gloucestershire Integrated Care Board (ICB) and Gloucestershire County Council, representing an important milestone in Smile Together’s continued growth as a values-led, communityfocused dental organisation. The Centre has been developed to help improve access to urgent NHS dental care and stabilisation services for

people across Gloucestershire, providing daytime, evening and limited weekend appointments in Gloucestershire accessed through NHS 111, or directly via the dental centre, alongside follow-up care where clinically required. The new Gloucester centre includes seven individual treatment rooms

and has been approved as an NHS Dental Foundation Training Practice, supporting the development of newly qualified dentists and contributing to the future sustainability of the NHS dental workforce. Jasem Greval, Chief Executive Officer at Smile Together CIC, said: “Opening our new Dental Access Centre in Gloucester is an exciting milestone for Smile Together and a fantastic opportunity to bring our community-focused approach to NHS dentistry to a new area. “We are continuing to invest in services across Cornwall and Isles of Scilly, including the opening of our Falmouth and Camborne practices to improve access to NHS dental care for local communities.” ■

Oosh will replace Simon Morrow, who is set to conclude his term after eight years. She is expected to take office on 1 October 2026, and will join the Council of 12 members, comprising six lay members and six registered dental professionals, led by GDC Chair, Dr Helen Phillips. A Consultant Paediatric Dentist at the Royal National ENT and Eastman Dental Hospitals (UCLH), Oosh is President of the British Society of Paediatric Dentistry, and in June 2026 she was appointed an OBE in the King’s Birthday Honours for services to children and young people’s oral health. 

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CONTENTS

A welcome from the editor

The Probe. Informing the profession since 1959.

We had a childcare gap to fill during the summer holidays, as seemingly every working parent does throughout the school break, so decided to take the kids to an observatory and science museum about an hour away from us. The day was going well until my youngest put their face somewhere they shouldn’t and was very lucky to have only knocked out a single tooth. We found the central incisor (thankfully a baby tooth) a good few metres away. The tooth hadn’t yet been wobbly, so an emergency visit to our dentist was booked for that afternoon. Thankfully, everything appeared to be OK, aside from the displaced incisor, but I was still extremely grateful to have access to that care and the reassurance that came with it. The dental nurse half-joked that this was by no means the first child they’d seen throughout the holidays in similar circumstances, while I pointed out that I was living up to the stereotypical role of a dad who fails to bring the kids home in one piece. Back to school now, though, and we have a ton of CPD for you in this issue, from the likes of Cattani Esam, A-dec, and Swallow Dental. If you have the physical edition of the magazine in your hands, you’ll find two extra hours courtesy of Waterpik in our Brush Up supplement.

E: james.cooke@purplems.com T: 01732 371 581 Follow us: @theprobemag

Between that and a bumper Business & Finance section, we have so much for you to get your teeth into this issue, including a Spotlight article from Sara Hurley examining James Frith and what dentistry might expect from its new minister. APPEARING IN THIS ISSUE Some of the industry experts you’ll find throughout the following pages

Dr Rachael England Head of Policy and Advocacy Oral Health Foundation

Lianne Scott-Munden Clinical Services Lead Denplan

CONTENTS... 3

News

CPD from Cattani Esam

Advertorials

Viewpoints – What Yvette Cooper’s appointment must mean for dentistry

CPD from A-dec

CPD from Swallow Dental Supplies

Case Study – Predictable endodontic management

Case Study – Consistently successful luting of all-ceramic restorations

Case Study – Digital planning for a considered implant workflow

Products

Business & Finance – Changes to the NHS FP17DC

30 Sara Hurley Former Chief Dental Officer, England

Professor James Field Chair of the FDT & a Professor at University Dental Hospital,

Practice – The most important image in your practice Oral Health – Reconnecting diabetes and periodontal disease Treatment – Why technically strong prosthetics get rejected Professions – Could you be an expert witness?

Events – Dentistry Show London & GBT Summit

Spotlight – Sara Hurley considers James Frith and why the profession should be interested

Education – Professor James Field on why AI and VR are becoming essential tools for educators

Sharon Lou Pierre Dr Balraj Sekhon Dentist with a strong focus on Assistant Dentist at the Dental restorative and implant dentistry Clinic of Prof Dr S. Rinke

Dr Martin Craven BDS BSc(Hons) PGDip(implant dentistry) MFDS RCS

Max Bazzucchini Associate Director Dental, Christie & Co.

Published by Purple Media Solutions The Old School House, St Stephen’s Street Tonbridge, Kent TN9 2AD Tel: 01732 371 570

The Probe is published by Purple Media Solutions. Registered in England. Registered number 5949065 Managing Editor: James Cooke Commercial Director: Gary Henson Divisional Administrator: Francesca Smith

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8 Production Designer 1 : Lorna Reekie Production Designer 2: Rob Tremain Digital Content Manager: Stephen Wadey Circulation Manager: Andy Kirk Managing Director: Ed Hunt Regular Contributors: Sara Hurley, Lisa Bainham, Alun Rees, Dhiraj Arora, Ollie Jupes and Pam Swain E-mail news, stories or opinion to james.cooke@purplems.com Circulation/Subscriptions: The Probe Subscriptions, Perception SaS, PO Box 304, Uckfield, East Sussex, TN22 9EZ, Tel: 01825 701520, https://purplems.my-subs.co.uk ©Purple Media Solutions Ltd, 2014. All rights reserved. ISSN 0032-9185. The publisher’s written consent must be obtained before any part of this publication may be reproduced in any form whatsoever, including photocopies, and information retrieval systems. While every effort has been made to ensure that the information in this publication is correct and accurate, the publisher cannot accept

68 liability for any consequential loss or damage, however caused, arising as a result of using information printed in this magazine. The views expressed in The Probe are not necessarily the views of the magazine, nor of Purple Media Solutions Editorial Advisory Board: Dr Barry Oulton, B.Ch.D. DPDS MNLP; Dr Graham Barnby, BDS, DGDP RCS; Dr Ewa Rozwadowska, BDS; Dr Yogi Savania BChD, MFGDP; Dr Ashok Sethi, BDS, DGDP (UK), MGDS RCS; Dr Paroo Mistry BDS MFDS MSc MOrth FDS (orth); Dr Tim Sunnucks, BDS DRDP; Dr Jason Burns, BDS, LDS, DGDP (UK), DFO, MSc; Prof Phillip Dowell, BDS, MScD, DGDP RCS, FICD; Dr Nigel Taylor MDSc, BDS, FDS RCS(Eng), M’Orth RCS(Eng), D’Orth RCS(Eng); Mark Wright BDS(Lon), DGDP RCS(UK), Dip Imp Dent.RCS (Eng) Adv. Cert, FICD; Dr Yasminder Virdee BDS. Readers who fall outside the terms of control may subscribe at the following rates: UK personal £75; UK institutional £95; Europe £225; rest of the world £225.

Scan to explore The Probe’s back catalogue online or visit the-probe.co.uk/issues Printed by Buxton Press

Other titles in the dental portfolio include:

For all enquiries, contact James Cooke, editor, at james.cooke@purplems.com or call 01732 371 581

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viewpoints

What Yvette Cooper’s appointment must mean for dentistry

vette Cooper arrives at the Department of Health and Social Care with no shortage of challenges competing for her attention. But for millions of people who continue to struggle to access NHS dental care, dentistry cannot afford to become another item pushed down the new Health Secretary’s in-tray. Her appointment offers an opportunity. Not simply for another initiative designed to relieve immediate pressure, but for a renewed commitment to addressing the fundamental problems facing NHS dentistry and improving the oral health of the nation. Cooper does not inherit a system standing still. NHS dental quality and payment reforms are being implemented during 2026/27, bringing changes to urgent care, the treatment of patients with complex needs, prevention and the use of the wider dental team. These are important developments. Dental teams have long highlighted how the existing system can fail to reflect the time and complexity involved in caring for patients with greater needs. Better recognition of complex care, alongside a greater emphasis on prevention, represents welcome progress. But incremental changes cannot be mistaken for a long-term solution.

From firefighting to long-term reform

The challenge facing the new Health Secretary is not identifying what is wrong with NHS dentistry. Successive

governments and representatives of the profession have diagnosed many of the same problems for years. Access remains inadequate, inequalities are stark, prevention is undervalued and too many dental professionals question whether they have a sustainable future within the NHS. The harder question is why, despite that level of consensus, transformative change has proved so elusive. What may be different this time is the wider political context. Andy Burnham has entered Downing Street talking about building a more preventative state and tackling inequalities between different parts of the country and within our communities. Few areas of healthcare offer a more tangible test of those ambitions than oral health. Where somebody lives, their income and their circumstances continue to influence their risk of oral disease and ability to access care. Tooth decay remains largely preventable, yet its consequences fall disproportionately on our most disadvantaged communities. If reducing health inequalities is to be a defining ambition of this Government, oral health must be part of it. A genuinely preventative health service cannot focus solely on managing disease once it has developed. In dentistry, that means looking upstream: supporting good oral health from the earliest years, strengthening public health programmes and enabling the whole dental team to deliver effective preventive interventions.

There is an opportunity here for Cooper that some of her predecessors have not had: to make the case for dental reform within a wider political programme already focused on prevention and inequality. But political alignment will mean little without resources.

Turning ambition into delivery

For too long, the debate around NHS dentistry has not suffered from a shortage of diagnosis, but a shortage of delivery. Contract reform cannot simply become an exercise in dividing the existing pot differently while expecting the service to achieve more. If government wants better access, more preventive care, appropriate treatment for people with complex needs and a workforce that sees a future in NHS dentistry, it must be honest about what delivering those ambitions requires. This is where leadership from both Cooper and Burnham matters. The Health Secretary can drive reform within the department, but sustainable change will require support from the centre of government – including when difficult decisions about funding and priorities are made. That must go hand-in-hand with workforce reform. Recruitment alone will not solve the problem. Retention, morale, appropriate remuneration and making full use of the skills of the wider dental team all matter. Promising more appointments without creating the conditions in which dental teams can sustainably provide them risks treating the symptom rather than the cause.

There must also be greater accountability for what reform actually achieves. Success cannot be measured only in activity, additional appointments or announcements. Success should mean fewer people unable to access routine NHS care. Fewer children developing preventable tooth decay. Fewer adults living with untreated disease. Fewer people reaching the point where dental pain becomes an emergency. It should mean narrowing unacceptable inequalities and creating an NHS dental service in which professionals can see a sustainable future. Yvette Cooper, alongside new dental minister James Frith, has an opportunity to turn political attention into lasting reform. Andy Burnham’s emphasis on prevention and inequality could provide the wider government mandate needed to push that change further than previous attempts. If this Government is serious about creating a more preventative health service and reducing entrenched inequalities, dentistry is not a peripheral issue. It is one of the clearest places to demonstrate that those ambitions can make a tangible difference. The problems facing NHS dentistry have been understood for years. What matters now is whether this new political leadership can finally deliver the scale of change to match them. n

About the author Dr Rachael England, Head of Policy & Advocacy, Oral Health Foundation.

What a solar eclipse taught me about growth in dentistry

ast month, many of us witnessed a remarkable astronomical phenomenon. A solar eclipse has a way of stopping people in their tracks, and I was no exception. Standing on the side of a football pitch before a match, viewing safely through – not one but four pairs of – eclipse glasses, I found myself captivated by the experience. Even in a profession as fast moving and demanding as dentistry, the sudden dimming of daylight and break in the high temperature invited a pause – it was a moment where the familiar rhythm was interrupted and reflection was almost instinctive. For me this eclipse felt like more than an astronomical event, it marked a point in time that encouraged a reassessment of direction, purpose, and the evolving nature of our work. I found myself wondering whether I was alone in that reflection. Dentistry is already in a period of transition. Workforce shortages, expanding scopes of practice, new regulatory expectations, and rising patient complexity have reshaped what it means to be part of a dental team. Against this backdrop, the eclipse acted as a natural metaphor for transition that may have inspired other professionals to, like me, consider whether their current path still aligns with their values and aspirations. For some, it may have prompted questions about career progression. For others, it could have highlighted the need for renewed boundaries or a shift toward leadership and advocacy.

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The modern dental landscape is more dynamic than ever. Dental nurses are stepping into education, compliance, and policy roles, while hygienists and therapists are navigating greater autonomy and shaping their clinical identity. Dentists, meanwhile, are balancing clinical delivery with business pressures, wellbeing responsibilities, and the expectations of increasingly informed patients. As the profession evolves, many are reconsidering what they want from their careers. This may involve pursuing a new qualification, moving into clinical education, mentoring, leadership, or wellbeing roles, blending clinical practice with teaching or policy work, or, as in my own journey, developing a deeper focus on ethics and professional standards. During the brief darkness of a solar eclipse, people often describe a sense of suspension, where the usual noise of daily life fades and clarity emerges, making it an ideal moment for reflection. For dental professionals, these moments of reflection can reveal opportunities for growth, whether that means reassessing workplace culture and its alignment with personal values, prioritising wellbeing as a professional responsibility rather than an optional extra or finding the courage to change direction after years of routine. These moments of reflection are not signs of instability or uncertainty. Rather, they reflect the growth, adaptability, and resilience that are essential within a profession committed to lifelong learning and continuous development.

As the light returned, I found myself feeling grounded, as though the eclipse had marked a subtle yet meaningful turning point. In dentistry, this sense of re-emergence often translates into action, a renewed commitment to patient-centred care, a determination to advocate for safer and more supportive team cultures, an openness to exploring new clinical interests, and greater confidence in stepping into leadership roles. It can also mean allowing personal values to play a more prominent role in shaping professional decisions. Rather than signalling a dramatic transformation, these changes often reflect a deeper sense of purpose and direction, enabling dental professionals to move forward with greater clarity, confidence, and authenticity.

For myself, and perhaps for others within the profession, the 2026 solar eclipse will be remembered as a symbolic pause: a moment to reflect, recalibrate, and choose a direction that honours both professional expertise and personal values. In a profession defined by continual change, taking the time to pause may be one of the most important steps we can take towards meaningful growth. n

About the author Lianne Scott-Munden, Clinical Services Lead at Denplan.

The Probe | September 26

31/08/2026 15:38:38

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viewpoints

Picking brians and seeing a glimmer of hope

t was a low moment. Probably not the lowest I’d had at dental school in the 1980s, but pretty low. We were in a classroom-based oral biology lecture given by a… specimen, for the want of a better word, who also happened to be my assigned personal tutor. I can’t remember specifically what the subject of the lecture was– well it was roughly 40 years ago, so give me a break – but I’m guessing it was probably embryology or something in that vein. For some reason, the term ‘stellate reticulum’ has just presented itself in my cerebral cortex. You surely MUST be impressed by my ready grasp of anatomical terms? Anyway, whatever the lecture was about, the specimen (I think he was actually an exalted specimen reader) had asked a question that some of my peers had presented a brave stab at but, in his eyes, had failed miserably in their answers. I’d never seen someone actually walk smarmily before and haven’t witnessed it since, but the lecturer smarmed his way in front of my desk and pointed at me theatrically so my peers were fully aware of whom he was addressing. “So,” he said loudly, demonstrating his contempt for me to his captive audience by exaggerating a sneer. “Let’s see what Brains thinks.” Other than the fact that I was the oldest of three mature students in my year, I have no idea why I should have been selected for such uncalled for humiliation. My embarrassment was intensified when I too couldn’t give a satisfactory answer to whatever the smarmbot’s question was. Certainly, I have no idea why the specimen chose to employ antiphrasis at the time, though I did learn as we progressed through the BDS course that vicious sarcasm was one of his many unappealing attributes. Mercifully, I never needed to seek his assistance as my personal tutor during the course. I’m not sure why this episode particularly embedded itself in my cranium (see, it’s all at my fingertips) – it was one of an endless stream of humiliations I suffered from lecturers over my undergraduate years, as did many of my peers. On restorative clinics in particular, gangs of supervising lecturers (not exclusively males) would congregate by the nurse’s station and openly take the mickey out of students as they approached them to ask if they would check a cavity, lining, or final restoration. I remember one time, going into ANOTHER reader’s office to ask him about my elective. In the middle of the conversation his phone rang on the desk. He picked it up, waved his hand dismissively, as if shooing a cat away and adopting a Muppet voice said “Bye bye!” Not ALL the lecturers were like that, but at my dental school, the vast majority were. A good number of colleagues over the years have regaled me with similar tales over the years. So, when I was recently asked to go back to my old university to watch two former dental nurse colleagues receive their degrees in dental therapy, I was suddenly gripped by incomprehensible, bowel slackening fear. I know, after all this time, it’s ridiculous. But together with two other dentists from my former corporate practice, I trundled off to the dental-school-that-dare-not-speak-its-

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name on one of those extremely hot days in July. I had quite forgotten how beautiful the city in which the dental-school-that-dare-notspeak-its-name is located is. The setting of the main university buildings (the medical and dental school are a couple of miles away), is extremely picturesque. The undergraduate reception – taking place before the graduation ceremony - was held in college gardens and was truly wonderful. There was an almost carnival-like atmosphere around the area and everyone appeared… well, happy! This seems a ridiculous thing to say – after all, it was a graduation, but I don’t recall my graduation day being anything more than a relief. I don’t remember any of my peers demonstrating anything approaching the genuinely glowing, happy faces I saw recently. The joy of the dental, therapy and hygiene graduates was frankly, uplifting. When I graduated, I swear that only one lecturer came up to me at the reception after the graduation ceremony to shake my hand. It was after about 20 minutes of witnessing the ebullience of the graduands that it suddenly dawned on me that this place had changed drastically from the dour torture chamber it once was. Towards the end of the reception, prizes were given out and I was immensely proud to watch one of my former colleagues win a prize for child patient management. My other colleague was to later be awarded a 2:1 degree. What struck me most was the genuine delight that lecturers appeared to take in their students’ success. It was an almost alien spectacle compared to the scenes I witnessed at my own graduation. When we went on to the graduation ceremony itself – held in the city’s indoor arena – the carnival atmosphere continued while speaker after speaker filled their deliveries with warmth, and you got the impression that they were genuinely rooting for their former students to succeed in their

dental careers. At my graduation it felt more like grudging acceptance of the fact that students had passed their finals, coming from the academics tiered up at the back of the stage. The spectacle of the marching jazz band that accompanied the new set of graduates out of the arena at the end of this modern ceremony was absolutely joyous. And my point? Change IS possible. So, I was filled with some, admittedly, diluted hope, that new Prime Minister Andy Burnham, and his freshly appointed Health Secretary Yvette Cooper, might sometime soon set about stopping the rot in the NHS general dental services. But what are the chances? Realistically? In 2024, the Office For National Statistics showed that 96.9% of patients without a dentist who tried to access NHS treatment, failed in their attempt. Since Labour came to power in July 2024, access to NHS dental treatment has not improved significantly. Despite the government introducing initial targeted changes, such as Stephen Kinnock’s tweaks aimed at prioritising patients with the most urgent dental needs and the aim of funding 700,000 urgent dental appointments a year – largely financing by forcing local health authorities to reinvest underspent funds from failing contracts widespread structural issues remain. So, can Andy Burnham solve the dental health crisis? Although he was a junior Health Minister in 2006 and dentistry wasn’t in his ministerial portfolio, he was nevertheless in a government that backed the introduction of the new contract. But in 2009-10 when Andy Burnham became Health Secretary and the problems in NHS dentistry became impossible to ignore, he commissioned the Steele Review and accepted its recommendations in principle. In effect, the Steele report acknowledged that the 2006 contract had not achieved what

health ministers had hoped for. Burnham said at the time, that dentistry should move from rewarding activity to rewarding quality and prevention, and acknowledged that access remained a serious problem. But is there any hope that the new Prime Minister will do anything radical to improve NHS dentistry now? Well, it’s highly expected that his administration will approve the controversial development of two major (and highly contested) North Sea oil fields as a pragmatic step to secure UK energy supply and support jobs amid global energy volatility. That’s sort-of radical. Would something equally radical for dentistry be on the cards? Well, at the time of writing, the specific ministerial portfolio for NHS dentistry remains unassigned following the departure of Stephen Kinnock to Wales, and Yvette Cooper, so far, has not said anything about NHS dentistry. The glimmer of hope is that Cooper has historically been vocal about dentistry. Her own West Yorkshire constituency of Pontefract, Castleford and Knottingley is a known ‘dental desert,’ and she has previously campaigned heavily against the lack of NHS capacity and the rise of DIY dental treatments. If Burnham previously accepted that there were problems in the NHS (even if it was a few years ago) and his Health Secretary isn’t a fan of DIY extractions, maybe there WILL be change. Hopefully we won’t be waiting 40 years, but to predict the year accurately, you’d probably need brains. n

About the author Ollie Jupes is the pseudonym of a former NHS dentist. He monitors dentistry on Twitter X as @DentistGoneBadd

The Probe | September 26

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viewpoints

Workforce logistics are becoming the biggest threat to NHS dentistry

he debate around NHS dentistry has largely centred on funding, contract reform and recruitment. Yet a new report suggests the profession may be overlooking one of the biggest barriers to improving patient access – workforce logistics. The report, How Digitally Enabling the UK Dentistry Sector Will Make It Resilient, argues that while increasing the size of the workforce remains essential, the systems used to deploy clinicians have failed to keep pace with the realities of modern dentistry, and that digital workforce infrastructure should now be viewed as a core part of NHS dental reform rather than simply another recruitment tool. With more than one in five NHS general dental posts remaining vacant, resulting in almost half a million lost NHS clinical days every year, the report shines a light on the reality facing dental practices every week. Around 2,700 NHS general dentist posts remain vacant, whilst around £147 million of NHS dental contract funding was returned unspent in 2022/23 – a figure that has since risen to around £450 million a year, reflecting the combined impact of workforce shortages, recruitment difficulties and longstanding problems with the NHS dental contract, as reported by the Financial Times.

September 26 | The Probe

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Dr Jan Visse, Owner of Ruskington Dental, said: “When a dentist goes off sick or takes leave at short notice, the cost isn’t just an empty surgery – it’s a full day of NHS activity lost and a waiting list that grows overnight. Finding locum cover used to mean hours on the phone to agencies with no guarantee anyone would turn up, so cancelling the clinic often felt like the only option. Being able to secure a vetted locum within minutes has changed that – we protect the diary first and worry less. “The new report reflects what practices deal with every week. Unless the sector fixes how quickly clinicians can be deployed, patients will keep paying for it through longer waits and reduced access to NHS dentistry.” Today’s dental workforce is very different from what it was a decade ago – but the ways to resolve the problems are lagging. Dentists increasingly divide their time between NHS and private practice. At the same time, locums have become essential emergency cover for sickness, annual leave, parental leave, and continuing professional development. Yet recruitment processes remain rooted in manual agency bookings, duplicated compliance checks, and lengthy administration that can delay the filling of appointments. When vacancies cannot be covered at short notice, the

impact extends well beyond staffing: clinics are cancelled, NHS activity is lost, patient waiting lists grow, and already stretched teams are left carrying additional workloads. Across the wider healthcare sector, digital workforce platforms are transforming how clinicians are matched to available shifts. General practice, nursing, and social care use real-time booking technology that reduces administrative workload while making better use of the existing workforce. Dentistry, however, has been slower to follow despite facing many of the same workforce pressures. Evidence shows that digital workforce marketplaces are already improving recruitment issues for many practices. Airlocum has reported a 95 per cent success rate in filling urgent locum nurse bookings, with many filled within minutes. More than 9,500 bookings were processed during the first half of 2026, while over 1,300 practices now use the platform nationwide. The broader opportunity to

embrace technology extends beyond filling individual vacancies. A digital workforce infrastructure enables practices to respond more quickly to unexpected absences, reduces the administrative burden of recruitment, and makes it easier to deploy qualified clinicians where they are needed most. As workforce pressures continue to increase, technology is being viewed as an essential part of modern practice management rather than simply another recruitment tool. As the report concludes, “The future of dental staffing is already here. The question is no longer whether to adopt it, but how quickly the sector can scale the transformation.” To read the full report – How Digitally Enabling the UK Dentistry Sector Will Make It Resilient – visit https://www.airlocum.co.uk n

About the author Eugene Bojé BChD MSc MBA is a qualified dentist and the founder of Airlocum, a UK dental locum marketplace connecting GDC-verified locum professionals directly with practices.

11 31/08/2026 15:40:59

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practice

The hidden cost of equipment downtime

very dental practice principal knows the feeling. You arrive on a Monday morning, a full list ahead of you, and the autoclave isn’t working, or the compressor is throwing a fault mid-session when you need it the most. What happens next, and how much it affects the practice, is actually mostly dependent on decisions you made a long time before the breakdown occurred. Equipment downtime is one of the most underestimated financial risks in dental practice, and one of the most preventable. Yet servicing is still a reactive consideration for many practices: call an engineer when something breaks and just absorb the cost of the disruption. In the current climate of rising overheads and tighter margins, as well as patients who expect a certain standard of efficiency, that approach is increasingly difficult to sustain.

reduce the likelihood of unplanned failure. It also means that when a component does reach end of life, it can be replaced on a planned basis rather than in a crisis. Planned maintenance also supports compliance. Autoclaves require periodic validation under HTM 01-05. Compressors need regular servicing to maintain performance. Imaging equipment must be inspected and calibrated. Having a service provider who handles all of this on a scheduled basis, with documentation that stands up to all scrutiny, removes a significant administrative burden from the practice team. This is even more clear to see when it comes to multi-surgery or multi-site practices. A single day of downtime across more than one site, with an emergency call-out fee, replacement parts, and days of rescheduled appointments, easily exceeds the annual cost of a comprehensive maintenance plan.

Choosing the right service partner

The real cost of a breakdown?

When a piece of essential equipment fails, the immediate impact is visible: cancelled appointments and disrupted daily flow. But there can be more hidden costs than just these, plus an emergency call-out fee. Lost appointment revenue is the most obvious figure. A single chair out of action for a day can result in hundreds of pounds in cancelled or rearranged appointments, as well as the fact that rescheduling is rarely seamless. If a patient cannot be seen promptly, they may look elsewhere for support. This may result in permanent loss of some of the patient list. There are also compliance implications, as autoclaves and other disinfectors must be operating to certain specifications. If equipment is out of service and records show a gap in the decontamination cycle, practices may find themselves answering difficult questions during their next inspection. There is a very real administrative burden when it comes to managing and evidencing remedial action during certain equipment failures, and this falls on a team that likely already has a full workload. Then there is the element of reputational cost. In terms of patient experience, cancelling appointments and being, seemingly, unready for their arrival does not make a good impression – for private patients in particular. If they go to friends, family, or social media to complain, the practice risks even greater long-term harm.

Prevention vs reaction

Planned preventative maintenance is easy to advocate for, yet remains underutilised. A structured servicing programme that covers equipment including autoclaves, compressors, decontamination equipment and imaging systems will significantly

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Not all servicing arrangements are equal. The key factors to consider are response time, full range of cover, and the engineering team’s familiarity with the equipment in your practice. A supplier with a large, regionally distributed engineering team can respond faster than one relying on a small pool of engineers covering wide geographic areas. Multi-skilled engineers trained across different equipment types offer much more flexibility when the issue is more complex than it initially appears. It’s also worth considering whether your service provider can support you across the full range of equipment in your practice, or whether you are managing separate relationships with multiple suppliers. Consolidating servicing arrangements with a single trusted provider simplifies administration, reduces the number of contracts to manage, and typically improves response times. Dental Directory operates one of the largest and most diverse engineering networks in UK dentistry, with multi-skilled engineers covering equipment testing, servicing, validation, and repair across a wide range of clinical and decontamination technologies. Practices can also access tailored service plans designed to match the scale and complexity of their setup – from singlesurgery practices to multi-site groups – with clear documentation support built in. Running a dental practice means accepting that things will occasionally go wrong. The best way to manage this, practically and realistically, is to have a plan of action set up in advance, and the right partner already in place. For more information on the products and maintenance services available from Dental Directory, please visit ddgroup.com or call 0800 585 586 n

About the author Dean Hallows, Managing Director of Dental Directory.

The most important image in your practice The one you take every day?

BCT, intraoral scanning, digital treatment planning, artificial intelligence – talk on dental imaging is currently centred around the new. And rightly so. These technologies are all actively changing what is possible when it comes to the dental practice. But there is another argument worth making alongside all of that, and it is this: the intraoral radiograph remains the most frequently taken diagnostic image in general dentistry by a considerable distance. Periapical and bitewing radiographs are taken in virtually every practice, on virtually every patient, at virtually every relevant appointment. The treatment decisions that follow from them – whether caries is present, whether it has reached the pulp, whether bone levels are changing – are among the most crucial a GDP might make in the course of a normal working week. And if that is true, then the quality of the sensor used to take those images deserves at least as much attention as the more headlinegrabbing end of the imaging spectrum.

Good radiography is a powerful tool

The resolution and image quality of intraoral radiography has consequences that are direct and highly important. Interproximal decay at an early stage can be invisible on a lower-resolution image yet detectable on a higher-resolution one. The difference between catching a lesion at that stage and catching it six months later, when it has progressed, can mean the difference between preventive advice and a sizeable restoration. Similarly, to properly diagnose periapical issues in the early stages requires fine detail, which is something that the sensor quality directly determines. A clinician working with a high-resolution sensor, and the ideal image processing software for the job, is the one with a more diagnostically useful radiograph when it comes down to it.

Dose and the justification principle

The case for high-quality intraoral sensors is also seen as an ionising radiation (medical exposure) regulations (IRMER) argument. The justification and optimisation principles that are in charge of dental radiography in the UK require that every exposure is justified by the benefit it will provide, and that doses are kept as low as reasonably achievable. A sensor that can achieve diagnosable images at a lower dose will directly support that obligation. Dose optimisation can be framed as a secondary consideration on occasion; i.e., something to address once the quality for diagnosis has been established. A better way to frame this is that sensor quality and dose efficiency are the same conversation. Since a sensor with enough resolution to produce useful images at reduced exposure settings is delivering it more efficiently.

Consistency and the team

In a practice with multiple team members taking radiographs, the consistency of

images is an important consideration to address. Variable image quality across team members, as a result of factors such as differences in technique, creates variability in the diagnostic information available at review. Standardised, highquality sensors with reliable image output across operators are crucial for reducing variability and therefore improve reproducibility and diagnostic capability. This is particularly relevant when monitoring progressive conditions where the ability to compare images taken at different appointments at different times is vital, and based entirely on consistent image quality.

Integration and workflow

Sensor investment extends easily to workflow. If a sensor can integrate simply with the already existing imaging software, allowing images to be captured and viewed without file transfer or format conversion, it saves time and reduces the risk of images being lost or difficult to find. This is not a small consideration when it comes to busy practices. The Carestream Dental RVG 6200 is a high-resolution intraoral sensor designed for the kind of everyday diagnostic work that is integral to general practice. With a pixel pitch of 19.5 microns and a sensor size available in both size 1 and size 2, the RVG 6200 delivers sharp, diagnostically rich images at optimised dose levels, with seamless integration into CS Imaging 8 and compatibility with a wide range of third-party software. Its rounded corners and flexible cable are designed for patient comfort as well as for ease of use across long lists and busy clinics. The technology set to change what is possible in dentistry is having its place, understandably, in the spotlight right now. It’s time to revisit the technology that makes everyday diagnosis more reliable. For many practices, these may not be the same investment – but both are invaluable. For more information on Carestream Dental visit www.carestreamdental.co.uk n

About the author Nimisha Nariapara, Trade Marketing Manager at Carestream Dental.

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practice

A strong first impression

o matter how much we try to not ‘judge a book by its cover’, a rapid initial assessment is an evolved trait that historically has aided humans in navigating social interactions. As such, first impressions can dictate an entire experience of something, be that a place, a person or, of course, a book. In dentistry, we think of the importance of the smile and the warmth one can generate when meeting someone for the first time, and the doors it can then open. A positive first impression is therefore key throughout life, and the dental practice is no exception. A patient or potential patient’s initial interaction with your practice can define how they view it going forwards, including how they share their experience with family and friends. But how can the first impression be improved?

A winning smile

The reception area greets patients as they enter the practice. This is one of the main pillars in the patient journey, with how they are treated upon arrival determining the rest of their experience. Every patient that walks through the door should be warmly welcomed by the administrative team. Smiling is proven to enhance trustworthiness, attractiveness, competence and communication, so the team should be reminded to do so when a new patient enters. A welcoming environment is beneficial to all patients, but is especially important for nervous patients. However, a nervous patient may not be instantly noticeable, so treating every new patient in a friendly and open manner better ensures the easing of anxieties. With regular patients, building a rapport between them and all members of the dental team supports easy and comfortable conversation. These positive connections make the dental practice feel more like part of the local community, boosting word of mouth appeal and emphasising the patient-centered care that occurs beyond dental treatment. As the admin team bookend each appointment – checking the patient in before and taking the payment and scheduling the next appointment after – there must be a strong focus on friendliness and making the patient feel like the priority. A problem that can arise, however, is if the administrative team is too busy to engage patients as they arrive. This changes the first impression, with the patient having to wait and the receptionists looking overworked. An AI receptionist can address this by handling small tasks and freeing the staff to focus on in-person roles. For instance, an AI receptionist can answer phone calls

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after a designated number of rings, giving the flexibility for the admin team to look after an in-practice patient uninterrupted.

A virtual smile

But for many patients, a first impression of the dental practice is formed before they arrive. Visiting the website, checking the social media accounts and ringing up the practice are forms of engagement that also make patients form an opinion of the place. So, a welcoming atmosphere also extends to the digital space. The practice website should reflect the best elements of your business, such as attention to detail, high-quality care, friendly staff and an aesthetically pleasing design. Someone visiting the site for the first time should be able to easily navigate the page and understand the brand’s image, creating a familiarity that will continue when they attend the practice in person. AI chatbots can further help on the main landing page by answering patient questions and directing them to the answers they need. This ensures speed and success whilst emphasising the practice’s commitment to technological solutions. For patients who are ringing up the dental practice, being put in a queue and having to wait can be a frustrating experience. Time is precious, so the quicker the dental practice can respond, the stronger the first impression is. If a member of the administrative team is able to answer the call, then it must be with a welcoming and friendly tone. If an AI receptionist answers the call, then it should be correctly trained to be polite, helpful and understanding with patient enquiries whilst strictly adhering to DTAC and DCB 0129 clinical safety standards. By design, the AI handles administrative workflows without crossing into clinical triaging, such as emergency appointments, ensuring that critical patient care always retains a human heartbeat.

Set the standard early

RoboReception AI is an excellent solution for improving patient engagement and supporting that key first impression. Able to track and convert every patient enquiry, the software can answer phone calls after a set number of rings and free up the daily tasks of the administrative team. This means superior patient care in-practice and a positive first impression for those visiting or contacting the practice. With a welcoming environment generated by a thriving reception, dental practices can provide a strong continuity of care for their patients, making a positive first impression at the initial encounter and maintaining it all through the treatment process. To find out more visit roboreception.co.uk or call us on 07511 085684 n

About the authors Donna Hewitt and Dr Grant McAree (BDS)

Treatment centre choices

he treatment centre sits at the heart of every surgery, influencing everything from clinical workflows and ergonomics to patient comfort and confidence, making it one of the most important investments a practice can make. But the treatment centre must also support and empower the clinician. Choosing a new centre requires considerable decisionmaking, balancing cost, effectiveness, accessibility and practicality. It must also meet a high standard for the patient to ensure a more agreeable experience. For those looking to upgrade or install a new treatment centre, the following considerations can help with your decision-making.

Time to upgrade

Firstly, choosing whether to replace or repair a dysfunctional treatment centre depends on the severity of the issue – a minor fault can be easily fixed but frequent breakdowns can lead to costly repairs, appointment delays and potentially lost revenue. In this case, upgrading your treatment centre is worth the investment, especially if it features sophisticated technology and an improved design to level-up the clinical workflow.

Patient comfort

A patient will spend most of their dental appointment sitting in the treatment centre, so a new one should meet a high standard of comfort. Reduced pressure points, a toe board tilt and adjustable arm rests put patients at ease when reclined or upright, ensuring a satisfying experience for both short appointments and longer treatments. Smooth movement controls allow patients to relax too, as opposed to sudden movements or jarring adjustments. Elsewhere, a digital screen connected to the treatment centre shows the patient that they are in a technologically forwardthinking practice, therefore improving their confidence in the clinician.

Excellent ergonomics

Whilst the patient is positioned comfortably, so too must the clinician be. The design of the treatment centre must enable an easy integration within your workflow whilst the ergonomics of the appliance are crucial for improving posture and supporting a consistent experience. 68-100% of dental professionals are affected by musculoskeletal disorders, particularly the lower back, shoulders, and neck, with working posture playing a role in influencing the risk of such disorders. The treatment centre should therefore support you in an upright position. For instance, a dual articulating headrest with multiple adjustment points provides access to the patient’s oral cavity from any angle, whilst a thin flexible back enables your knees to stay underneath the headrest. This minimises the need to lean or stretch when assessing the patient, reducing the risk of musculoskeletal disorders that develop from awkward posture and repetitive movements.

Image is everything

Cutting-edge equipment elevates practice image and improves treatment outcomes. The integration of a new treatment centre sharpens the aesthetic appeal of the practice – it is a symbol of modernity

that won’t go unnoticed by patients. Welldesigned treatment centres that appear sleek and comfortable communicate a high standard of patient care. Aligning the colour of the treatment centre with the surrounding environment further creates a cohesive setting that patients can relax in, especially as the centre is often the first thing noticed when entering the treatment room.

Expanded capabilities

Upgrading your treatment centre is an excellent opportunity to assess the clinical treatments you most consistently deliver, and how they can be better supported with the right technology. The addition of intuitive touchscreens and flexible systems allows you to perform a range of procedures that streamline the workflow and reduce chairside clutter. For instance, if you offer advanced endodontic treatment then having the assistance of the screen simplifies the process, offering rotary and reciprocating modes or even apex locator support. Being able to easily switch between treatment settings throughout the day provides a smoother, easier, and more predictable workflow.

Ongoing support

A treatment centre’s performance is dependent on regular maintenance and servicing. If overlooked, breakdowns and inefficiencies can occur, leading to delays and patient dissatisfaction. As treatment centres are a notable investment that are essential for practice functionality, it is important to keep them performing to the highest quality. When choosing one, consider the included warranty and the support you will receive – will it be a reliable service? The A-dec 500 Pro treatment centre is a state-of-the-art option for clinicians looking for legendary reliability, quality outcomes, and cost-effectiveness, and is delivered, installed and serviced by the experienced team at Clark Dental. Featuring adaptable presets, a comfortable design and intelligent control, the A-dec 500 Pro supports precision and efficiency. Continual assistance from the Clark Dental team plus a 10-year warranty ensures a seamless integration and long-lasting outcomes. A new dental treatment centre transforms the practice by enhancing both the patient experience and your clinical capabilities. As a large investment, factoring in comfort, ergonomics, cost and ongoing support can help you find the treatment centre best suited to your practice. For more information call Clark Dental on 01268 733 146, email info@clarkdental.co.uk or visit www.clarkdental.co.uk n

About the author Stuart Clark, Managing Director at Clark Dental.

The Probe | September 26

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practice

Building clinical confidence

n any profession, it is essential that individuals feel confident in their abilities to perform well in their job. For those in healthcare and dentistry specifically, this is even more important, because the wellbeing of others depends on the skill of their clinician. Clinical confidence is crucial for practitioners whether they are students or seasoned professionals, as it reduces dependence on trainers or mentors and facilitates independence. Care should be taken to avoid over-confidence, however, as this can cause clinicians to attempt treatment beyond their remit, which may risk patient safety. The literature also shows confidence to be important for personal development, enabling individuals to enhance their competence in different skills. This also requires trust in the people associated with a particular case, technique, or product that is involved in this care, meaning that who you work with and the solutions you choose matter too. Whether you are new to dentistry or advancing your skills as you expand your service offerings, building clinical confidence will be key. This can be safely and effectively achieved in several ways.

Knowledge is power

Continuous education and learning are essential in dentistry, and ensures professionals can discover constantly evolving techniques, emerging technologies, and innovative new ways to elevate outcomes while improving the patient experience. For clinicians, this growth in knowledge is integral to delivering predictable and successful treatment. Hands-on training is particularly important, as only with practical experience will clinicians be fully prepared to execute treatment effectively for their patients.

Mentorship

As these new skills are implemented in practice, it is important that cases are overseen by experts in the field. The mentoring partnership can create a positive culture in which professionals can safely consolidate their knowledge and cultivate new ideas as they develop their skills and further their career. There is also an opportunity for mentees to learn the nuances of a treatment technique from colleagues, helping them to avoid common pitfalls or misconceptions and accelerating their learning experience with extra confidence. Mentoring is most effective when barriers such as time and financial constraints are overcome at the beginning, removing hesitancy to utilise the mentor as much as possible during the skill development stage.

Standardise and simplify workflows

Whether using new or long-term refined skills, a simplified workflow will enable clinicians to build familiarity with the process, to reduce the risk of missing steps, and to elevate efficiency. A standard approach also facilitates a streamlined workflow for the team, who will know how to prepare the surgery for treatment, be able to better support the patient, and anticipate the

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Developing orthodontics

or general dental practitioners (GDPs) with a passion for orthodontics, the discipline affords a diverse and exciting career pathway. It is also a fantastic asset for any practice, acting as a differentiator for patients and exponentially boosting the potential for business profitability. Excellence in the field depends on clinical skill and experience, highlighting the importance of professional education and training.

Business builder clinician’s needs during treatment. This creates confidence that surpasses the single professional, and instils an assurance within the team structure. In addition, this productivity could help to improve time management, reducing a potential source of stress for dentists.

Evidence-based techniques and materials

The fourth area to consider is the tools implemented in practice as these will have a significant impact on both treatment experiences and outcomes, heavily influencing clinical confidence. Digital technologies, for instance, are shown to improve diagnostics, treatment, and maintenance, transforming the landscape across healthcare. However, the dental team needs to develop trust in the equipment through training and proven results in practice for them to use it confidently. Similar can be said of dental procedures and surgical techniques, which will require practise to be delivered successfully. Of course, the same concept must be extended to products and materials as well. A diverse selection is available on today’s market, emphasising the importance of choosing the right option based on brand reputation, product features, clinical flexibility, and professional support. The Solventum™ Filtek™ Easy Match Flowable Restorative, for instance, facilitates a simplified restorative workflow with three shades designed to meet the needs of various anterior and posterior cases – Bright, Natural and Warm – whilst covering the entire VITA classical shade guide. Its adaptive opacity delivers translucency that closely replicates either the enamel or dentine of natural dentition, and – like all products from Solventum – it is backed by scientific research and development.

Confidence that delivers

Clinical confidence should never be confused with capability, but it remains a vital characteristic for successful practitioners. This self-assurance is often built over time, increased alongside further professional training, expert mentorship, workflow optimisation, and effective product selection. It is also more than a feeling and results from grounded knowledge, experience, and consistent outcomes in the field. Confidence is also not a static or one-time concept – workflows should be reviewed and improved throughout a career in dentistry to ensure that products, protocols, and patient care are elevated at every opportunity. To learn more about Solventum, please visit https://www.solventum.com/en-gb/ home/oral-care/ n

A transition into orthodontics provides a fantastic opportunity to grow your business. Whether you are considering the practice as a whole or focusing on your personal service provision, being able to offer the treatment modality gives your patients choice and generates a new stream of income. The UK orthodontics market is projected to grow by an estimated CAGR of 18.4% in the 2020–2027 period. As such, there is plenty of scope for clinicians and dental practices to grow in this space and to really capitalise on growing demand. To optimise financial success as this area of the business matures, many orthodontists find it important to control overheads as services grow. There is also an emphasis on ensuring professional competence among the team and marketing services effectively. For greater business success, developing orthodontic services can attract new patients, especially younger cohorts, while extending the lifetime value of existing patients and promoting prevention. In addition, the availability of comprehensive orthodontics unlocks new opportunities to offer a referral service to neighbouring practices, further increasing income potential.

Meeting demand

Having recognised growing demand for orthodontics, it’s important to understand the factors driving patients to the dental chair for straighter, healthier smiles. The 2023 statistics published by the British Orthodontic Society have been shared far and wide in the profession. This research demonstrated an increase in adult patients seeking orthodontic care. Some of the many reasons for this included the rise in online working and socialising, as well as a rise in social media advertising by influencers and celebrities when it comes to aesthetic procedures. The most common motivator for seeking orthodontics is to improve appearance, as well as to enhance dental function. Relapse from previous treatment, perhaps undertaken as a teenager, is another key factor in patients’ decision-making. When it comes to the type of appliances that patients desire worldwide, most are willing to follow professional recommendation, although a high proportion favour removable aligners where these are appropriate. And this makes sense given their appearance, which is typically more inconspicuous when compared to traditional fixed solutions. The literature has found no significant differences in clinical outcomes for clear aligners and fixed appliances – assuming appropriate case selection. However, individuals treated with the former do tend to score higher in the objective grading system, which evaluates key clinical parameters like alignment, interproximal

and occlusal contacts, marginal ridges, overjet, root angulations and more. Consequently, it is important that practitioners offering orthodontic solutions are able to present all the options to their patients in a clear and effective way. Whether you provide both aligner and fixed therapies, one or the other, being aware of all their indications is critical for patient education and informed consent. Should the case be beyond your current capabilities to treat, referral to a more experienced or specialist orthodontist remains in the patient’s best interests.

Advancing competence and building confidence

If you’re looking to develop your orthodontic skills and build confidence in your ability to safely and successfully treat a broad range of patients, you’ll need to undergo specifically designed training. This is required regardless of your existing experience in the field or your future aspirations – like all dental disciplines, orthodontics necessitates life-long learning. Appliances are evolving, new techniques are emerging, and evidence is constantly being published to support approaches that elevate outcomes, streamline the professional workflow, and optimise the patient journey. For courses you can rely on every time, join IAS Academy. An array of programmes is available, tailored to different areas of orthodontics, as well as varying experience and budgets. Start your journey to orthodontic enlightenment and gain a recognised qualification this summer with the Clear Aligners Diploma – a year-long course designed to help you achieve profitable, confident, clear aligner mastery. If you are looking to move beyond clear aligners, the two-year IAS Advanced Diploma teaches clinicians to manage complex malocclusions using a combination of appliances for optimal results. All details are on the website.

A smart way to grow

Orthodontics is a highly accessible field of dentistry for many GDPs to get involved with. High-quality professional training and education is vital to prepare clinicians to deliver safe and effective patient care. This will allow you to maximise the advantages available, including increased earning potential and happier patients. For more information or to book the course, visit https://courses.iasortho.com/ courses or call 01932 336470 n

About the author Dr Tif Qureshi, Founder and a Clinical Director of IAS Academy.

The Probe | September 26

31/08/2026 15:48:53

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HAGUE DENTAL

Why getting CQC ready starts on day one The value of choosing the right dental practice partner

tarting a new dental practice is one of the most exciting milestones in a clinician’s career. Whether you’re opening your first squat practice or expanding an established group, the journey from finding the perfect premises to welcoming your first patients is both rewarding and challenging. Today’s regulatory landscape means building a successful practice is about far more than choosing dental chairs and an attractive reception area — compliance must be embedded into every decision from the start. This is where Hague Dental can support you. Recent changes to the Care Quality Commission (CQC) registration process have significantly raised the bar for new practice applications. Practices are now expected to demonstrate that they are fully operational and compliant before an inspection is even booked — by the time the CQC visits, your practice should look and function as though it’s ready to open its doors immediately. For many practice owners, this can feel overwhelming, with countless moving parts to coordinate, from building regulations and equipment certification to infection prevention protocols and policy documentation. Having the right support network in place from day one has never been more important. The foundations of every successful dental practice are remarkably similar. Before construction begins, owners should consider professional goals, location, regulation and compliance, financial planning, marketing, staffing, design and workflow, fit-out and

construction management, equipment specification, and ongoing maintenance. Each element influences the others — surgery design affects infection control compliance, while equipment choices determine future servicing costs — so informed decisions made early save time and expense later. Perhaps the greatest challenge facing new practice owners is understanding exactly what the CQC expects. Registration now requires comprehensive, up-to-date evidence packs covering building control certificates, DBS documentation, equality and governance policies, infection prevention procedures, equipment installation certificates and radiography protection records — a list that continues to grow. The reality is simple: your practice must be compliant before patients walk through the door. This is why involving the experienced team at Hague Dental during the earliest stages of a project can make such a difference. Compliance is far easier to build in than to retrofit once problems surface. By considering equipment specifications, surgery layouts and decontamination workflows during the design phase, practices can avoid costly delays and ensure regulatory requirements are addressed from the outset. Hague Dental takes precisely this approach, supporting dental professionals throughout every stage of their journey. Rather than treating compliance as a last-minute exercise, the focus is on integrating it into design, construction and operational planning from the start — supplying compliant surgeries, decontamination

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Whatever your dental practice plans, we can help.

equipment and radiography systems, together with the certification and maintenance schedules needed to demonstrate compliance, while ensuring surgery layouts support efficient, best-practice workflows. No practice owner should feel they must navigate CQC requirements alone. Specialist dental compliance consultants provide invaluable support with registration applications, policies, governance documentation and inspection preparation, freeing practices to focus on patient care. Hague Dental partners with many specialists in these areas. Experience matters enormously when delivering complex dental projects. Our team has decades of industry knowledge, understands the practical challenges of practice development, and can spot potential issues long before they become obstacles — from building applications and contractor coordination through to legislative compliance. Technical expertise matters just as much: equipment must be correctly installed, commissioned, validated and maintained throughout its life, with engineers holding specialist knowledge of infection prevention guidance, including HTM 01-05 standards. Of course, CQC registration is not the end of the compliance journey but the beginning. Once operational, maintaining compliance is an ongoing responsibility, and practice managers often struggle to stay current with evolving guidance while juggling other priorities. Service schedules must be maintained, documentation kept up to date, and equipment performance monitored —

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which is where ongoing engineering and maintenance support becomes valuable. Regular preventative maintenance minimises equipment failures, reduces disruption to patient appointments and helps practices meet regulatory expectations. Automated service reminders and digital certification systems simplify compliance management, while rapid-response engineering support offers reassurance when problems arise. Specialist engineers who understand the dental environment can also provide practical advice beyond routine servicing — supporting patient safety, staff confidence and a practice’s reputation. Ultimately, creating a successful dental practice takes far more than bricks and mortar. It demands careful planning, regulatory understanding and partnerships with experienced professionals who understand today’s dental sector. By placing compliance at the centre of every stage of development, practice owners can approach their CQC inspection with confidence. For those considering a new squat practice or reviewing an existing one, seeking expert guidance early makes all the difference. Becoming CQC ready should never be a lastminute exercise; it should begin on day one. For further information or to arrange a complimentary site evaluation, contact Hague Dental on 0800 298 5003 or email enquiries@haguedental.com. Existing practices seeking servicing, maintenance or compliance support can contact customerservice@haguedental.com 

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practice

Sharps safety – are your workflows up to scratch?

harp objects are used every day in dental practices. As a result, clinical teams need measures in place to work safely, minimising the risk of injury to both professionals and patients. Colleagues need to understand how to handle sharp items safely, especially in clinical waste workflows, and this requires a reflection on training and regulations. More importantly, all clinical team members who are exposed to sharp objects must be well-versed in these procedures, as it may make a significant difference to the prognosis of an injury.

Best practices

Two essential pieces of legislation make up the foundation of safe sharps management. First, the European Council Directive 2010/32/EU (the Sharps Directive) was introduced to prevent injuries and the spread of bloodborne infections and is aimed at hospital and healthcare workers. Then the Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 added further information to allow for a more comprehensive fit with pre-existing legislation in Great Britain. Clinicians will be inclined to look elsewhere to widen their view; Health Technical Memorandum 01-05: Decontamination in primary care dental practices (HTM 01-05) adds detail surrounding the need for an infection control policy that has a focus on bloodborne virus transmission, whilst

Health Technical Memorandum 07-01: Safe and sustainable management of healthcare waste (HTM 07-01) gives a comprehensive guide to safe sharps disposal. To maintain safe disposal procedures, clinicians must have specially designed waste containers on hand. Sharps are never considered offensive waste, as they present an inherent injury hazard, and the offensive waste stream only uses a yellow and black-striped bag. A rigid sharps bin will reduce the risk of puncture, and it should have a lid that is closed at all times unless waste is being added or it is being emptied. Where liquid is present in the sharp, a small volume will be allowed in the waste container. Using similar criteria, the relevant waste stream should be chosen for nonsharp clinical waste items. This includes following the colour code based on the type and severity of risk presented by each waste item.

Preventing needlestick injuries

It is the responsibility of the dental practice to manage the sharps risk presented by objects such as needlesticks at every opportunity. A risk assessment of each typical treatment provided in the dental practice is necessary. Typically, one would attempt to remove the risk entirely. However, the need for sharp items in many workflows, from providing anaesthesia to creating surgical incisions,

means that it is impossible to evade such items. Instead, safer sharps processes should be provided. These may include personal protective equipment (PPE), a needle holder, or a needlestick recapping block that allows the sharp to be covered after use with just one hand. Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 once again suggest needle-free workflows should be accommodated where practicable. It also suggests needles and sharps with built-in features that minimise the risk of accidental injury, including a shield or cover that slides into place after use. It must be noted that such an item should never compromise patient care, and the clinician must be appropriately trained to use it. It also highlights considerations for safety mechanisms, such as whether it is straightforward to use, thereby encouraging implementation; if it is integrated into the device, because then it cannot be lost or misplaced; or if there is a clear way to identify when the mechanism has activated correctly. The regulations reinforce the need for secure waste containers to be placed near the point of use. Instructions must also be close by. For ease of transport, a sharps waste bin may be situated on a dispensing trolley, which can be moved directly to the point of use. If an unexpected risk is created during an appointment, for example, a patient brings

in their child to their appointment who may move around the room, clinicians must make suitable accommodations to minimise the risk of harm.

Choose safe solutions

Sensible and thoughtful selections at each instance of the sharps management workflow allow for injury risks to be reduced. Initial Medical provides clinical sharps waste bins that are optimised for patient and practitioner safety, with distinct colour coding to make segregation simple, alongside a sealed lid and disposal door. They are puncture-proof to avoid injury during transport, and Initial Medical team members are able to provide individualised advice for optimal safety. Regularly reviewing regulations and guidance is key to protecting the dental team. Clinical waste management services are able to provide support alongside this, for a greater opportunity for risk prevention. To find out more, get in touch at 0808 304 7411 or visit the website today www.initialmedical.co.uk n

About the author Rebecca Waters, Head of Marketing, Rentokil Initial

Keep your equipment compliant, efficient, and reliable

he equipment you use every day in the dental practice is what keeps you running – day in, day out. If there’s a problem with your decontamination equipment, it has a significant and immediate impact on your practice’s operations, with potential downtime leading to lost revenue and even a decline in patient retention. Eschmann understands how important it is that you can rely on your equipment. Its Care & Cover packages keep your equipment compliant and efficient, and the team offers support in the unfortunate event that something does go wrong. With the experience, quality, and expertise of the Eschmann service and support team by your side, your team, your patients, and yourself can rest assured that your decontamination is working as it should be.

Care & Cover offering from Eschmann

With Care & Cover plans from Eschmann, you’ll have total peace of mind that your decontamination equipment is running optimally and is fully compliant – whilst receiving all the technical support you need from our nationwide team of over 50 Eschmann engineers. Eschmann Care & Cover service plans include: • Annual Validation & Pressure Vessel Certification • Annual Service & Software Upgrade • Unlimited Breakdown Cover • Unlimited Parts & Labour • Nationwide On-site Support • Enhanced CPD User Training • Technical Telephone Support All of this is included in the Care & Cover plan at no extra cost; let’s break down what that means for you. Eschmann provides dedicated manufacturer’s HTM 01-05/SHTM 01-05 validation (at both installation and annually thereafter) and an annual Pressure Vessel Certification (PSSR/PVI), which is a legal requirement.

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over the phone. Being able to answer customer queries in this way helps to keep your practice running smoothly, minimising downtime and costs.

Why Eschmann?

As part of Eschmann Care & Cover, scheduled annual validation and maintenance service visits are provided in accordance with HTM 01-05/SHTM 01-05 guidance, for total compliance. You’ll also benefit from the latest software upgrades free of charge. When you purchase Eschmann Care & Cover, unlimited breakdown cover comes as standard. Our engineers have immediate access to original manufacturer’s parts – this ensures that, should your decontamination equipment breakdown, our team will be there to fix it as soon as possible. With Eschmann Care & Cover there are no unexpected hidden charges. That’s why we do not limit or charge for any spare parts required, engineer labour, or travel costs. With a team of over 50 Eschmann engineers nationwide, we are perfectly equipped to provide an unrivalled level of professional support, helping to maintain your decontamination equipment and minimise downtime. Our engineers exclusively work on decontamination equipment supplied and manufactured by Eschmann and are trained to ensure they have the knowledge and expertise to maintain all our products efficiently and effectively. Furthermore, all Eschmann engineers are able to provide Enhanced CPD User Training to your staff. This invaluable benefit is included at no extra cost. In the event of a breakdown, our technical support team have the knowledge and experience to rectify many faults

With such a wide range of decontamination solutions on the market, why choose Eschmann? Eschmann offers a wealth of experience. Having established in 1830, Eschmann has gained a depth of knowledge and offers a high level of technical expertise, personalised services, and support. Together, this ensures industry experience you can count on for years to come. The quality and regulatory standards upheld at Eschmann underline our commitment to excellence. This translates to Eschmann’s products being long regarded as the most reliable on the market. Our unparalleled range of preventative service and maintenance contracts are offered in combination with a first-class emergency repair response. Plus, Eschmann’s expertise and quality is trusted by healthcare professionals around the world, ensuring an international network of specialist distributors who can deliver the Eschmann experience globally. Hayley Wright, Head Receptionist at Goldsworth Road Dental Centre in Surrey, shares her experience with Eschmann: “We have five pieces of equipment from Eschmann, including two autoclaves and two washer disinfectors, and have found them to be of great quality. They are all supported by the Care & Cover service package to keep up with regular servicing. “I would rate Eschmann 10 out of 10, I can’t think of any way they could improve!” For more information on the highly effective and affordable range of decontamination solutions available from Eschmann, please visit www.eschmann.co.uk or call 01903 753322 n

The Probe | September 26

31/08/2026 15:51:39

7-Day

Protection

e c n o For e What is the Benefit of ChloroStay 7-Day Mouthwash? s u ek e w a ChloroStay 7-Day Mouthwash is a weekly mouthwash which helps prevent plaque build-up, keep breath fresh and promotes and maintains oral hygiene for up to a week after use – especially in difficult to clean areas, such as between teeth and around orthodontic appliances.

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How does ChloroStay 7-Day Mouthwash Work?

What makes ChloroStay 7-Day Mouthwash different?

When should patients use ChloroStay 7-Day Mouthwash?

ChloroStay 7-Day Mouthwash consists of two solutions. When combined, tiny crystals of encapsulated calcium chloride chlorhexidine spheres are formed. These crystals adhere to the surfaces of the teeth and slowly release the chlorhexidine in a low but clinically effective dose over a period of up to 7 days.

ChloroStay 7-Day Mouthwash is a unique mouthwash, developed by a multi-disciplinary team at Queen Mary University of London. Unlike traditional mouthwashes that have a high initial chlorhexidine concentration but are quickly washed away in the mouth, ChloroStay provides low and sustained chlorhexidine release for up to a week.

To provide added protection in difficult to clean areas such as between teeth and around orthodontic appliances. Whenever compliance with a once-aweek regime is easier to achieve or supervise than a regime carried out daily, and for patients who have difficulty in effectively brushing their teeth.

For further information, and advice on when to recommend or offer ChloroStay 7-Day Mouthwash to your patients, please call Schottlander on freephone 0800 97 000 79, visit schottlander.com or chlorostay.com

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oral health

Don’t let summer derail your patients’ interdental routine

very dental professional knows the post-summer pattern. Patients return from their summer holidays with a confession: the more difficult or inconvenient aspects of daily dental care fell away somewhere between the airport and the hotel bathroom. It was only a couple of weeks. Life got in the way. It is a predictable disruption, and that means it is also a preventable one. The key to prevention is a better recommendation; one likely to actually get used and one easy to master and designed to support compliance. The key is the Tahir Electric Flosser.

Travel breaks interdental habits

Oral hygiene routines are more fragile than they appear. Research on habit formation tells us that consistent behaviour depends heavily on environmental cues: the familiar bathroom, the products. Remove those cues, and even well-established habits lose their grip. Interdental cleaning, as an additional step that requires technique and concentration, is the first thing to go when patients are tired, distracted, or working from a half-packed toiletry bag. Traditional floss presents additional practical barriers on holiday. It requires patience and a degree of manual skill that varies considerably from patient to patient. In an unfamiliar environment, at the end of a long day, the perceived effort of the process is enough to tip most patients toward skipping it. The implications – particularly for patients managing periodontal health or implant maintenance – are real, even over a short period.

A recommendation that travels

The most effective interdental recommendation is one that patients will actually follow in all contexts, not just at home.

That means reducing the barriers to compliance as far as possible: minimising the technique required, the time taken, and the equipment involved. The Tahir Electric Flosser is designed precisely for this kind of real-world compliance. Compact and easy to use, the device delivers effective interdental cleaning through a gentle but thorough electric action that lessens the manual dexterity demands of traditional flossing. Patients do not need to master a technique or allow extra time – they simply guide the device, and it does the work. That ease of use translates directly into consistent use, whether the patient is at home or away.

The implant patient

For patients with dental implants, the stakes around consistent interdental cleaning are higher than for the general patient population. Peri-implant mucositis can develop relatively quickly in the absence of effective plaque control, and a fortnight without interdental cleaning, particularly during a period of different dietary habits and higher alcohol consumption, can be a setback for patients working hard to maintain their implants. The pre-holiday conversation is important in these situations especially. Making sure they have a product they will use, and understand why consistency matters even when they are away, is part of great implant aftercare.

Supporting your patients all year round

Routine disruption is not unique to summer. Busy periods, travel, illness, and life events all create the same conditions: environmental change, reduced capacity for additional steps, a higher likelihood of defaulting to the minimum. The practices that support their patients most

effectively recommend products that can hold up under those conditions. The Tahir Electric Flosser gives patients an interdental tool they will want to use daily, at home and on holiday, and you have a consistent message to build into patient education conversations throughout the year. The Tahir Electric Flosser is available for patients at tahiroralcare.com and through Harrods. For practice enquiries and professional ordering, visit tahiroralcare.com n

About the author Stefan White, Founder & Managing Director, Tahir Oral Care.

Reconnecting diabetes and periodontal disease

bidirectional relationship between diabetes and oral health is widely recognised. There have never been more diabetic people than today; an estimated 6 million people are affected in the UK, with more than 4.7 million having a diagnosis and another 1.3 million estimated to have type 2 diabetes but are yet to be diagnosed. Dental professionals are in turn expecting to treat more diabetic patients, as well as people who are pre-diabetic. This requires up-to-date knowledge of how diabetes interacts with oral healthcare, what patients need to consider in their routines, and what dental practices should be aware of in order to fully support patients.

Managing diabetes

Patients with poorly controlled diabetes are predisposed to a greater risk of developing periodontal disease. Increased inflammation is heavily linked with both type 1 and type 2 diabetes, with a heightened inflammatory cytokine expression observed in periodontal tissues. This response can be incredibly damaging, and patients should be warned of such a connection; if they already have poor oral hygiene routines, the chances of destructive periodontitis will no doubt be of concern. Hyperglycaemia, where blood sugar levels are too high, mostly affects diabetic patients. The condition can result in increased oxidative stress in the periodontium, elevating inflammatory

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mediators which in turn cause periodontitis. The potential evidence of an association between the oral health condition and hyperglycaemia has been explored in the literature, with a noted awareness of an increase in plasma glucose exacerbating inflammation and causing the destruction of the crestal alveolar bone. Patients with diabetes will likely be aware of the need to take considerable care with their diets in order to optimise their wellbeing. Whilst large changes are not necessarily needed in each case, a balanced diet will be imperative to managing blood sugar levels. Carbohydrate intakes may need to be adjusted in accordance with insulin dosage in order to avoid hypoglycaemia. Those that are able to maintain a healthy, balanced diet will be part of the way towards reducing their periodontal disease risk; patients that are struggling to manage their diabetes and their diet, however, are predisposed to greater risks of periodontal disease alongside systemic problems. Clinicians can therefore act as a source of support by reinforcing dietary advice where appropriate in everyday appointments.

Support in the practice

Aiding diabetic patients in the dental practice takes many forms. In person, clinicians will be expected to provide a thorough oral health needs assessment, including screening for periodontitis. Treatment, if needed, will then be tailored to the individual’s needs.

The NHS notes that integrated healthcare support would see patients with diabetes being signposted to see a general dental practitioner for a periodontal screening, and to repeat this visit with regularity. Whilst patients are not routinely screened for type 2 diabetes, conversations around its link with periodontitis may heighten awareness and support the patient base of undiagnosed individuals too. Not only does an integrated workflow ensure patients receive timely treatment, with more effective outcomes the sooner that periodontitis is intercepted, but an economic analysis shows that periodontal treatment is cost effective for those with type 2 diabetes, assuming improvements in blood glucose levels are well maintained. Support will also need to be in place for patients that encounter diabetesrelated difficulties on practice premises. Hypoglycaemia, sometimes referred to as ‘a hypo’, is where blood sugar is low and requires fast treatment. Usually, this can be managed by the individual. Affected patients may feel dizzy, anxious, tired or weak, and experience shaking, tingling lips and confusion. They may have food or drink on hand to raise their blood sugar quickly, but it may be worth keeping glucose tablets or drinks on hand for unexpected emergencies. This can then be followed by a slow-release carbohydrate, such as biscuits or bread. In more extreme situations, contact the emergency services immediately.

Management at home

Support for patients does not end in the dental practice. Effective oral hygiene advice for diabetic patients will include the recommendation of regular toothbrushing and interdental cleaning with reliable solutions. Where the management of the periodontal tissue can aid diabetes control, trusted adjuncts are imperative. The Cordless Pulse water flosser from Waterpik™ is a key addition that clinicians can recommend with confidence, as more than 80+ clinical research studies back its effectiveness. The rechargeable unit features two pressure settings for ultimate comfort, whilst removing up to 99.9% of plaque bacteria from treated areas, and being twice as effective as string floss for improving gum health. Diabetic patients need to pay close attention to their oral health to maximise their wellbeing. A clinical understanding of the relationship between diabetes and periodontal disease, other problems that may arise, and the steps that can be taken to maximise patient health is vital for every oral healthcare professional. For more information on Waterpik™ water flosser products visit waterpik.co.uk n

About the author Anne Symons, Professional Educator at Waterpik.

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oral health

Rinsing right

ooth brushing and interdental cleaning form the foundations of any effective oral hygiene routine, but a significant number of patients still treat mouthwash as an afterthought – if they use it at all. Recommending the right rinse to patients, and encouraging it to be used the right way, can passively strengthen the results of everything else a patient already does at the sink, and it costs nothing more than a moment of conversation at the chairside.

Sleep disruption and dental pain – a bidirectional link?

What mouthwash actually adds

Mechanical cleaning with a toothbrush and interdental tools removes plaque from accessible surfaces, but despite the ergonomics and innovations, they cannot reach every single corner of the mouth. Mouthwash acts as a supplement rather than a substitute, reaching residual plaque that brushing and flossing leave behind. Reviews consistently find that mouth rinses used alongside brushing provide an additional reduction in plaque and gingival inflammation compared with solely brushing alone. The effect is not dramatic on its own, but when compounded with a strong existing routine, it builds over weeks and months, particularly around the gingiva and in areas patients tend to brush less thoroughly.

Not all formulations work the same way

Despite what many patients might believe, there are certainly tiers to different combinations in the creation of mouth washes, and some come out much farther on top than others. Essentially, the active ingredient in a mouthwash determines what it can achieve, so a generic recommendation rarely supports each and every respective patient. Fluoride rinses strengthen enamel and help prevent decay, while antimicrobial agents such as chlorhexidine target the bacteria responsible for plaque and gum disease. Combining the two offers a remarkable advantage: research comparing fluoride, chlorhexidine, and fluoride-chlorhexidine rinses found that the combined formula produced a significantly greater reduction in salivary bacteria than either ingredient used alone. For patients managing bad breath, zinc-containing formulations offer an additional layer of support without diluting the antibacterial or remineralising effect, addressing a concern that brushing alone rarely resolves.

will outperform one used sporadically, regardless of how strong the formulation might be. A short, simple instruction at review appointments is usually all it takes to correct the habit, and patients tend to respond well to a clear, practical rule rather than a lengthy explanation of different chemistry formulations.

Supporting patients properly

WASH & PREVENT mouthwash from the TANDEX range gives practices a straightforward way to recommend the right rinse for the right patient. PREVENT WASH combines fluoride and chlorhexidine for a double-active antibacterial effect, while PREVENT plus zinc has been developed for extra protection against bad breath. Both are alcohol-free with a peppermint flavour, making them comfortable for daily use – for all! The range also sits alongside the FLEXI interdental brushes and PREVENT Gel, giving clinicians a complete prevention toolkit to recommend as part of one consistent routine.

A habit worth recommending

Mouthwash will never replace brushing or interdental cleaning, but dismissing it entirely inhibits a significant sector of the oral hygiene routine for so many. For practices looking for a simple way to strengthen patient routines, a considered mouthwash recommendation that has wellresearched formulation is one of the easiest changes to make. n TANDEX is giving dental professionals the opportunity to win a FREE FLEXI Educator Kit by answering just a few questions! Enter the quiz by scanning the code or visiting https://form1.tandex.de/

Timing and technique

Patients also often assume any time is a good time to rinse, but timing very much affects how well a mouthwash works. Rinsing immediately after brushing can wash away the concentrated fluoride left behind by toothpaste, reducing its benefit before it works on the enamel. Advising patients to rinse at a separate and specific point in the day – after lunch or before bed for example – allows both the toothpaste and the mouthwash to work in conjunction without interference. Furthermore, consistency matters more than frequency as a rinse used daily as part of an established routine

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For more information on Tandex’s range of products, visit https://tandex.dk/

About the author Jacob Watwood on behalf of Tandex Rodericks Dental Partners Associate dentist at Fieldside Dental Practice.

leep is one of the foundations of physical and mental health, supporting immune function, cognitive performance, emotional regulation, and recovery from illness. Disrupted sleep over even a few nights has measurable consequences, such as diminished ability to function. When the cause of that disruption is dental pain, the consequences may compound: poor sleep makes pain feel worse, and pain makes sleep harder to achieve. This relationship between dental pain and sleep quality is increasingly well supported by evidence, and it has direct implications for how dental professionals advise patients who are waiting for treatment.

Pain and sleep: the evidence

A recent systematic review confirmed that poor oral health, including dental pain, is significantly associated with disrupted sleep patterns. The review identified dental issues such as caries and periodontal disease as contributors to sleepless nights, and found that oral health-related quality of life scores were consistently lower in patients reporting poor sleep quality. Pain disrupts the structure of a night’s sleep, reducing the proportion of deep, restorative sleep. A further review examining the relationship between pain, especially oral pain, and sleep disorders, found a consistent association between chronic pain and insomnia, with evidence suggesting that greater sleep disturbance correlates with more intense pain. In short, the less a patient sleeps, the more pain they experience. And the more it hurts, the less they sleep. For patients with acute dental pain awaiting emergency treatment, this cycle can begin within a single night. The intensity of toothache, particularly when it is associated with something more serious like a dental abscess, is well known to peak at night when the absence of daytime distraction heightens pain perception, and while lying down increases blood flow to the affected area, intensifying feelings of throbbing.

The wider impact

The consequences of pain-disrupted sleep extend beyond fatigue: research consistently demonstrates that dental

pain has a significant negative impact on quality of life, encompassing mood changes, difficulty eating, reduced ability to concentrate, as well as impaired social functioning. For patients in employment, a night of toothacherelated sleep disruption can translate directly into lost productivity, or even the loss of a full workday.

Supporting patients between appointments

The most effective way to address dental pain-related sleep disruption is to treat the underlying cause. But dental appointments cannot always happen immediately – patients contact practices out of hours, face waiting times for emergency slots, or are managing pain over weekends when treatment is unavailable. In these situations, what a clinician recommends will make a notable difference to the quality of the patient’s night. Advising patients on sleep positioning – a slightly elevated head position can reduce nocturnal throbbing, for example – and dietary triggers to avoid before bed are both within the scope of practical guidance. Recommending an effective topical pain relief solution is equally important. Orajel® Dental Gel contains 10% benzocaine, a local anaesthetic clinically proven to provide relief from dental pain in under two minutes. For more severe pain, Orajel® Extra Strength contains 20% benzocaine – the maximum concentration available without prescription in the Orajel® range – for relief from acute dental pain. By recommending effective topical pain relief alongside practical advice, dental professionals can provide meaningful support to patients through one of the most disruptive experiences dental pain can cause, and help them arrive at their treatment appointment having had a better night’s sleep. For essential information, and to see the full range of Orajel products, please visit https://www.orajelhcp.co.uk/ n

About the author Sumera Bashir, Medical Affairs & Scientific Engagement Lead at Orajel.

The Probe | September 26

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ORAL HEALTH

Remote working and TMD

emote working is now a very common practice across various industries. Once a rare benefit for very few, it is now an established part of daily life for many. The COVID-19 pandemic saw particular acceleration, as the average percentage of primarily remote work increased from 5% to a peak of almost 40%, and now levelling at around 22% of individuals working at least one day from home.

The research behind the effects of remote working on mental health and general musculoskeletal health has been explored. However, less frequently discussed is its impact on the stomatognathic system. There is a growing amount of literature supporting the link between persistent changes in posture from working habits and a rise in temporomandibular disorder (TMD).

Postural changes

Working environments that have been adapted for at-home are unlikely to offer the same ergonomic designs that offices and other professional settings

do. The prolonged use of laptops on desks that are positioned too low encourages neck strains and postural misalignment. Laptops are the primary tool used in remote work, and with the screen and keyboard being permanently connected, further issues arise through compromised positioning. Monitors do not necessarily offer a solution, especially when misaligned due to inadequate setups. A height that is too low directly affects jaw positioning and tension, causing the neck to crane, and subsequently compressing muscles. Furthermore, a study at the University of Cincinnati found that only 58% of individuals working from home have a proper office chair, with 27% using a dining chair, and 15% using a nonechair like a bed or a sofa. Without proper lumbar support, workers may slouch, causing the jaw to misalign as their head pushes forward and constant, severe pressure is placed on the temporomandibular joints (TMJ). Short term, these positions are not particularly problematic. However, if they are sustained for extended periods of time, they add consistent load across muscles.

Posture and the TMJ

It is evidenced that for every inch your head moves forward from its neutral position, the neck must withstand an additional 4.5 kilograms. As the function of the TMJ is linked to the position of the head and spine, altering neck posture supports a beater mandibular resting position and muscle activity.

Behavioural patterns

As well as the consequences of altered physical positioning, remote working has introduced differences in daily routines. As lifestyles shift into a lack of separation between personal and work environments, patients might suffer longer periods of focus without interruption. Natural breaks become less frequent, with parafunctional activity like concentration clenching leading to intense fatigue and discomfort. For patients presenting with bruxism. dental professionals should encourage methods of reintroducing healthy breaks into long working hours to avoid such issues. Furthermore, working from home often means less verbal communication throughout the day as isolation levels increase for many. This reduced movement can cause the jaw to clench unconsciously, which, over time can lead to more significant complications. Work-related stress can contribute to intensified levels of muscle tension too which, when combined with other physical changes, can compound to establish an environment where the chances of TMD are much higher.

Early intervention

Patients affected by these changes might not initially present with TMD as such. Rather, like many conditions, the symptoms will build gradually, with patients demonstrating jaw fatigue, tension headaches, and more, combined with discomfort in the acromial region. Other symptoms can include audible joint sounds, which whilst not always present in the early stages of TMD, are indicative of further problems long-term.

Dental professionals should discuss good posture and habit adaptations as part of a routine assessment to support better results. Adjustments to working environments such as screen positioning and seating support are a good starting place to reduce strain. The OraStretch Press Rehab System from Total TMJ is a must-have device for patients suffering with TMD. Offering a simple and effective way to increase jaw movement, the OraStretch gently restores function after the consequences of long-term remote working. Innovatively engineered, the product is available in versions specific to children, edentulous patients, over-/under-jet patients, and those with limited oral openings – delivering care to a broad patient base.

The continued support of remote workers

With the continuous rise of remote working, dental professionals have a duty to support patients in avoiding certain health repercussions that stem from it. Delivering appropriate advice and the right tools can make a huge difference to their wellbeing, allowing them to continue working without the pains and hindrances of health concerns. For more details about Total TMJ and the products available, please email info@totaltmj.co.uk 

About the author Karen Harnott, Total TMJ Operations Director.

Safe resin is only half the story

certified resin does not make every dental 3D print safe by default. The real safety story is the complete validated workflow: resin, printer, software settings, print orientation, layer thickness, cleaning, curing and the instructions for use (IFU), all working together. Certification describes the material as supplied. It does not, by itself, describe the finished device that reaches the patient. That principle sits behind the SprintRay system. Its resins, printers, software and post-processing equipment are developed to work as one guided ecosystem. The workflow, not the resin alone, is the unit of safety. Safe resin is only half the story; the final device is only as reliable as the process used to produce it.

This is not hobby printing

When a dental practice or laboratory prints a patient-specific appliance, it may be acting as the manufacturer of a custom-made medical device. In Great Britain, practices and laboratories therefore need to understand when MHRA registration and the wider custom-made-device requirements apply. That point should not be overstated. MHRA registration is not approval, certification or endorsement of a product or process. It is, however, a reminder that dental printing carries a level of regulatory responsibility far beyond hobby printing.

SprintRay removes the guesswork

An integrated SprintRay workflow offers more than convenience. The printer, validated resin profiles, software and post-processing stages are aligned with the relevant IFUs. Instead of asking the user to invent a process, the system guides them through one that has already been tested and documented. The SprintRay hardware-resin compatibility guide supports this directly by default. All SprintRay resin combinations have been tested, which ensures the dental practice team selects the correct material, printer and processing route without unnecessary trial and error. Every detail matters: positioning angle, layer thickness, wash chemistry, wash time, drying, curing time, curing temperature and light wavelength. A small change may not be immediately visible, but it can affect fit, strength, residual monomer, biocompatibility and long-term clinical performance.

Validated means repeatable

Cleaning is a useful example. Newer non-alcoholbased cleaners may appear more convenient, but convenience is not the test. Where a resin IFU specifies ethanol or IPA, switching to another cleaner can take the user outside the validated workflow. The issue is not resistance to change; it is ensuring that the final device is produced in the way the manufacturer tested and documented.

The complete workflow

This is not an argument that one certified resin is automatically safe, and another is not. Resin

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certification is one part of a wider process. SprintRay resins, used for their intended indication on compatible SprintRay equipment and processed according to the relevant IFU, are designed to deliver predictable clinical results. Departing from that workflow introduces uncertainty. Choose a guided system that helps your practice get the process right, not just the material. For more information on the 3D printing solutions available from SprintRay, visit sprintray.com/en-uk/ 

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oral health

The 15-second scan that tells you what is really going on with your patient

ite into an apple and leave it on the counter. W ithin minutes, the exposed flesh tur ns brown. That is free radical damage – oxidation happening right in front of you. Now consider that the exact same process goes on inside our bodies every single day, and you start to understand why oxidative stress matters so much to patient health. Free radicals are unstable molecules produced naturally by the body through normal cellular activity, immune response and environmental exposure. When they accumulate faster than the body can neutralise them – a state called oxidative stress – the result is chronic, low-grade inflammation that quietly undermines health from the inside. It is a known driver of cardiovascular disease, type 2 diabetes, obesity, cognitive decline and arthritis. It accelerates skin ageing. It is worsened by poor sleep, smoking, stress, inactivity, a diet low in colourful plant foods, hormonal changes and the general wear of difficult life events. I t i s a l s o , c r i t i c a l l y, a d i re c t impairment to the immune and healing response, which makes it profoundly relevant to every patient we see with gum disease.

Why it matters for our patients’ oral health

Patients with gingivitis or periodontitis have oxidative stress. That is not a clinical assumption – it is biology. Their tissues are inflamed, their immune response is compromised

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and their capacity to heal is reduced. We can deliver excellent clinical care and still find ourselves managing relapse in patients whose inter nal environment is working against them. The challenge has always been that oxidative stress was invisible. We could suspect it from the history – poor diet, disrupted sleep, high s t re s s , l a c k o f e x e rc i s e , b e i n g overweight – but we could not show it to the patient. That has changed. When patients can see what is happening inside their own body, their motivation to change shifts entirely. Data does what advice alone rarely can.

Measurable, in 15 seconds

The Prysm iO scanner measures carotenoid levels in the skin – the antioxidant pigments we absorb from colourful fruits and vegetables – using non-invasive light technology. Carotenoid concentration is a clinically validated proxy for overall antioxidant status. Low levels mean the body’s defences are depleted. The scan takes fifteen seconds, requires no blood draw and delivers an immediate colourcoded score from red at the lowest end through to purple at the highest. The science is solid. The device draws on over twenty years of antioxidant research and a database of more than twenty million scans, v a l i d a t e d a g a i n s t g o l d - s t a n d a rd R a m a n s p e c t ro s c o p y t e c h n o l o g y. R e s e a rc h confirms the s c o re correlates with diet quality, sleep, exercise, stress levels, BMI and selfreported immune and gut health.

It even correlates with visible skin quality – a detail patients tend to find compelling. With facial aesthetics increasingly incorporated into the dental setting, this gives the scanner and its accompanying supplementation regime even more versatility and value. The research also supports the efficacy of a nutritional supplementation protocol including specific vitamins, collagen, omega-3s and additional antioxidants in reducing oxidative stress.

How every clinician can use it

The beauty of this technology is its simplicity and its universality. Any clinician – dentist, hygienist, or therapist – can scan a patient at any appointment and the whole team can get involved. It takes less time than updating medical history. For patients with gingivitis or periodontitis, the score provides something transformative: a number that makes their risk tangible. Rather than telling a patient their gum disease is linked to their lifestyle, you can show them. A low score gives them a target. A rising score at their next visit gives them evidence that what they are doing is working, whether that is dietary change, better sleep, stress management, or a structured high-quality antioxidant supplement protocol. Crucially, because the supplements are targeted using AI and based on measured deficiency, and because the outcome is measurable, patients are not just taking vitamins blindly. They can see the result.

That is a powerful shift. Patients who have data are patients who engage. They have something concrete to improve and a way to track whether they are succeeding.

The wider picture

We should be scanning all our patients, not only those with active disease. A low score in a patient with healthy gums is an early war ning and an opportunity. A rising score over successive visits is a motivator and a testament to the practice’s commitment to genuine wholepatient care. Our patients already track their health with wearables and apps. Bringing this technology into the dental appointment keeps us current, keeps us relevant, and, most importantly, keeps our patients h e a l t h i e r. F i f t e e n s e c o n d s . O n e score. Endless potential. n

About the author Dr Rana Al-Falaki is a specialist in periodontology and a coach with a particular interest in behavioural science and holistic health practices. She is the founder of NAIL-IT in Dentistry, has collaborated with OCDO England on a new, free wellbeing resource: BREATHE. She works with teams to elevate wellbeing and performance. Nailitindentistry@gmail.com

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treatment

Supporting patients through the full-arch reconstruction journey

patient presenting for fullarch rehabilitation may already have spent years adapting their behaviour around a failing dentition – avoiding photographs, modifying food choices in social situations, or even delaying treatment through embarrassment and dental anxiety. For these patients, the challenge extends beyond managing disease or restoring function and aesthetics. Recognising the psychological impact of tooth loss and addressing the habits that may have contributed to long-term oral health decline helps support patients as they rebuild confidence in their oral health. In this way, implant dentistry can be truly life changing.

The issues start before tooth loss

Full-arch rehabilitation is not simply about replacing teeth lost to terminal dentition with implants. Severe periodontal disease rarely develops in isolation and, as well as poor oral hygiene habits, underlying systemic disease such as uncontrolled diabetes may also contribute to progressive deterioration. For some patients, embarrassment and dental anxiety may lead to delayed attendance and avoidance behaviours, with one Danish study describing the phenomenon as ‘tooth shame’. Tooth loss and failing dentitions have been shown to carry a significant emotional and social burden, affecting confidence, relationships and everyday interactions long before treatment is sought. Before progressing to the restorative planning stage, clinicians should consider how the patient arrived at this point in the first place. Smoking, unstable periodontal disease, and difficulties maintaining oral hygiene do not simply disappear once implants are placed, meaning these factors may still influence long-term treatment success.

Building trust before rebuilding smiles

Prior negative dental experiences, anxiety around treatment or unrealistic expectations shaped by social media and heavily marketed ‘same-day smile’ concepts mean that establishing trust early is essential. Clinicians should aim to understand not only aesthetic expectations but also the patient’s commitment to staged treatment, maintenance and oral hygiene. Avoiding information overload, discussing limitations honestly and involving patients in collaborative decision-making can help support informed consent throughout what is often a lengthy and complex process.

No two full-arch patients are the same

Patient expectations, functional priorities and psychosocial perceptions often vary considerably depending on age, previous experiences with oral healthcare and the duration of edentulism. Improvements in oralhealth-related quality of life scores following implant-retained rehabilitation continue to be widely reported across different patient age groups, including the elderly. Contemporary full-arch rehabilitation therefore requires patient-centred treatment planning, with decisions around implant positioning, grafting requirements and prosthetic design tailored to the individual patient’s anatomy, risk factors and longterm restorative needs. In selected cases, approaches such as graftless full-arch concepts may help reduce the need for more extensive augmentation procedures, potentially reducing both treatment burden and cost for selected patients.

Aesthetics, confidence and expectations

A younger patient presenting with a recently failing dentition and minimal

bone loss may prioritise cosmetic appearance and immediate restoration of confidence in social situations. In these cases, preserving soft tissue architecture and emergence profiles may support FP1-style restorative approaches where aesthetics remain an important consideration. In addition, carefully managing patient expectations around immediate loading and prosthetic design may become just as important as the surgical procedure.

When function takes priority

In contrast, a long-term edentulous patient with advanced tissue loss may require an FP3 design featuring prosthetic gingiva and lip support. Monolithic zirconia restorations may offer predictable long-term outcomes. Limited mobility or arthritis may also make hygiene access and maintenance central considerations. Many of these patients are more focused on eating comfortably and speaking confidently rather than the ‘perfect smile.’

Balancing complexity with reality

Some patients may be medically compromised, financially constrained, or have complex maintenance considerations. For this group, graftless concepts may help reduce treatment burden and improve affordability, although realistic planning compromises may still be required. These contrasting presentations demonstrate why modern implant rehabilitation is so prosthetically driven, with decisions around implant number, prosthetic materials and augmentation or tissue replacement tailored to the individual patient’s functional, aesthetic and maintenance needs.

Mentorship matters

These are complex rehabilitation cases requiring judgement, communication and bespoke planning. As implant dentistry becomes increasingly sophisticated, clinicians benefit from advanced training and mentorship that supports both surgical and restorative decision-making. The PG Diploma in Advanced Augmentation Techniques in Implant Dentistry from One to One Implant Education reflects this need. Confident clinicians communicate more clearly, consent more honestly, manage complications better, avoid overselling, recognise limitations, and treatment plan more appropriately. Through nine comprehensive modules covering a variety of advanced surgical techniques, including one dedicated to full-arch reconstruction, delegates develop their skills through theory, practical surgical training and mentorship. Emphasis is also placed on predicting and managing complications, helping clinicians support more predictable and sustainable outcomes for their patients. Ultimately, the rehabilitation of a patient’s dentition doesn’t just end with restoration, but it starts with responsibility; supporting patients beyond surgery and encouraging long-term good habits. There’s something profoundly rewarding about that. To reserve your place or to find out more, please visit 121implanteducation.co.uk or call 020 7486 0000. n

About the author Dr Fazeela KhanOsborne, Founder of One to One Implant Education.

Why technically strong prosthetics get rejected

ven a technically strong prosthetic, which has been manufactured to exact specifications and fits first time in the mouth, can be rejected by the patient. This apparent disconnect between technical success and patient acceptance is not unheard of and is typically the result of several different factors. While fit, function, and occlusion are crucial, aesthetics plays a leading role in patient satisfaction, meaning that all these aspects must be optimised at each stage in the treatment journey for true success. To minimise the risk of unnecessary adjustments or remakes, the technician and dentist must work together closely to manage each case. From assessment and treatment planning through to the try-in and final prosthetic delivery, professional collaboration and communication are key. The first step in each case is adequately preparing the patient. This requires the clinician to really understand the patient’s motivations for treatment and to work with them to define their desired outcomes, which can then be communicated to the dental technician. In an age when social media drives dental expectations, there is a high risk of patients visiting the practice with unrealistic or unachievable goals. Addressing these

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early in the treatment process will help to avoid disappointment later on. Such a situation can often be managed with the use of smile simulations. The clinician – often working with the technician – can design the predicted final smile to present to the patient as part of the treatment planning and consent workflow. Modern technologies even use AI to provide dynamic simulations that show the patient their likely new smile in motion, as well as static photos, for improved understanding and increased patient satisfaction upon treatment conclusion. To consistently realise these simulated results, the same high standard of communication must extend beyond the practice. The relationship between dentist and technician most commonly breaks down due to a lack of communication. Missing written details in the lab prescription, for example, has been found to affect the quality of both fixed and removable prosthodontics. Missing or inadequate photographs or intraoral scans, and inaccurate shade assessments will also have a negative impact on the technician’s ability to produce high-quality work. As such, it is important to outline exactly how much information is required from the dentist for prosthetic cases. A simple checklist can be a useful tool. Clinicians should also be

advised to avoid subjective terminology when describing the product needed in favour of more technical specifications. Patient wishes or their personal story may be shared separately where it is relevant to the case. Digital technology has an important role to play once again, allowing professionals to share all necessary information in a quick, convenient, and efficient way. For more complex cases that require input from both parties to effectively plan and execute, instant digital communication aids can be useful to facilitate collaboration and discussion in real-time. After the prescription is received by the lab, it is vital that this communication continues. The wax try-in, for instance, is an excellent opportunity to explore the prosthetic design with the patient. Rather than treating it as a final checkpoint, this milestone should be a point of conversation with the patient, perhaps with the technician present too, either in-person or digitally. The patient’s feedback at this stage provides insight into any concerns and helps both professionals to ensure that the remainder of the treatment journey goes smoothly. To optimise this step, it is important that the wax try-in is as realistic and as close to the provisional prosthetic as possible. Patients will struggle to visualise their new smile if the

try-in lacks lifelike aesthetics. This can be avoided when the technician uses a highquality wax solution such as the Aesthetic Wax Kit from Kemdent. Designed specifically to elevate the realism of wax try-ins, this innovative product selection accurately replicates the natural gingival aesthetics for an enhanced patient experience. The kit contains four specialised wax shades to imitate a natural root emergence and lifelike characterisation of the soft tissue. If patient expectations can be managed and optimised throughout the treatment journey, giving them a sense of control at each step, their satisfaction with the final outcome is likely to be improved. Effective communication – between dentist, technician, and patient – is crucial, and the wax try-in is an excellent opportunity to promote this three-way collaboration. 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.

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treatment

Why resin safety depends The aesthetic zone on proper post-processing Why the anterior region requires a different mindset

D printing has absolutely transformed the way dental practices operate, allowing clinicians to produce everything from surgical guides and models to definitive restorations… all chairside. With this remarkable capability comes an equally important responsibility. The moment a printer enters a practice, the safety of every appliance that touches a patient depends on the material and the process behind it. As implementation rates increase, it is worth considering how clinicians can ensure the resins used are completely safe.

Why validation matters more than ever

Safety failures can occur at either end of the process – stemming from a poorly conceived material or from inadequate printing, washing, and curing that leaves leachables behind. This is why regulatory frameworks like the ISO 10993 demand that materials undergo systematic cytotoxicity, sensitisation, systemic toxicity, and genotoxicity evaluation before they are approved for extended contact with oral tissues. For clinicians, the practical takeaway is that the printer, the resin, and the postprocessing equipment cannot be treated as separate decisions. They form a single ecosystem, and safety is only as strong as the weakest link within it. Choosing components that have been developed, tested, and validated together removes a lot uncertainty and protects both the patient and the practice.

What this means in everyday practice

The hidden risk of incomplete curing

Photopolymer resins are biologically inert in neither their liquid nor partially cured state. In their uncured form they are cytotoxic, due to the presence of unreacted monomers and oligomers within the material. When a print is not washed and cured abiding by a meticulous protocol, these residual compounds remain trapped within the structure. Over time, they can leak into the oral cavity, where they have been linked to mucosal irritation, allergic reactions and, in more vulnerable or immunocompromised patients, have been associated with cytotoxic responses in vitro. With 3D printing, the remaining residue is potentially toxic. Research has repeatedly shown that the degree of polymerisation achieved during printing and postprocessing is the single most important factor in determining whether a restoration is safe long-term.

Biocompatible does not automatically mean safe

A common and dangerous misunderstanding is that a resin labelled as biocompatible is safe regardless of how it is handled. Rather, biocompatibility relates only to the finished restoration once it has been perfectly washed and fully cured in line with a validated process. A systematic review of 3D-printed dental resins found that while many materials presented positive biocompatibility, others raised genuine concerns over cytotoxicity, with material composition, post-processing technique, and manufacturing method being the significant factors. Further studies have demonstrated that intraoral ageing causes resins to release residual material and degradation products, and that insufficiently post-cured samples consistently show increased cytotoxicity. The implication is clear. Without strict standardisation across the entire workflow, even a well-designed material can become unsafe in everyday use.

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It’s not complicated to ensure that practices are abiding by these expectations properly. Simply following the manufacturer’s validated wash and cure settings with absolute precision, rather than shortening them to save a few minutes between patients can go a long way. Furthermore, washing solutions should be kept clean and replaced regularly. Similarly, curing units should be maintained and checked frequently, as a weakening light source can quietly affect polymerisation.

A dental-first approach to safety

This is where a dedicated dental manufacturer makes a huge difference, with one in particular being SprintRay – creator of a 3D printing ecosystem that is a step beyond anything in the field. SprintRay develops its materials, printers, and postprocessing protocols as one integrated system, with patient safety at the centre rather than as a final consideration. Every SprintRay material is engineered specifically for intraoral use and put through rigorous testing, including cytotoxicity evaluation, to confirm it will not cause harm or irritation once placed.

Safety as standard

3D printing offers extraordinary benefits, but these should never come at the expense of patient wellbeing. Evidence consistently shows that resin safety depends on both material quality and the rigor of the postprocessing workflow. By choosing solutions that have been developed and validated for dental applications from the ground up, ensuring that what they place in a patient’s mouth is safe and consistent. For more information on the 3D printing solutions available from SprintRay, please visit https://sprintray.com/en-uk/ n

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

n implant dentistry, success is not based on just one thing. A dental implant that is functional and free of disease is, by most definitions, a successful outcome, but for patients who have lost a tooth in the anterior region, success may be something more specific: a restoration that is indistinguishable from the other teeth and soft tissue, and one that retains that appearance over time. The aesthetic zone – broadly the anterior area with teeth that are most visible during speech and smiling – presents a further challenge. It calls for careful patient selection, meticulous pre-treatment planning, an understanding of soft tissue, and a longterm perspective on maintenance.

Why the anterior maxilla is different

The posterior regions of the mouth are more forgiving. Bone volume is typically greater, soft tissue contours are less visible, and the restoration is largely hidden from view. None of this is true in the aesthetic zone. Bone in the anterior maxilla is predominantly composed of the buccal alveolar bone – a thin, fragile plate that is directly dependent on the presence of the natural tooth root for its preservation. Following tooth loss, this bone resorbs rapidly and predictably. Studies consistently show that without intervention, significant horizontal and vertical bone loss occurs within the first twelve months of extraction, with the buccal plate disproportionately affected. The result is a ridge that has changed in both volume and contour, often in ways that are not immediately visible on clinical examination but that will affect the eventual esthetic outcome.

Patient selection and expectation management

Not every patient who presents with anterior tooth loss is a simple candidate for implant placement in the aesthetic zone. Bone and soft tissue volume, the patient’s periodontal status, as well as the condition of adjacent teeth all influence the likely outcome and should all form part of the pre-treatment assessment. Expectations shaped by social media images of perfectly symmetrical, immediately loaded anterior restorations are common and understandable – and frequently unrealistic. Managing that expectation is a skill that sits alongside surgical technique as a determinant of patient satisfaction.

Timing, augmentation, and surgical decision-making

The decision about when to place a dental implant following tooth loss in the aesthetic zone is one of the most important in the process. Immediate placement has the appeal of reducing overall treatment time and, in some circumstances, better preserving soft tissue contours. Delayed placement, following a period of socket healing, offers greater certainty about bone volume and tissue stability before surgery begins.

Restoration as part of the outcome

Surgical excellence is necessary but not sufficient for aesthetic success.

The restoration completes the picture. Close collaboration between the surgical team and the dental technician is essential in aesthetic zone cases. A wellplaced dental implant in a suboptimal restorative position, or a beautifully executed surgery followed by a poorly matched crown, will not satisfy either the clinician or the patient. Digital planning tools have improved the accuracy of implant positioning in the aesthetic zone, allowing the desired restoration to guide the surgical approach rather than the other way around. The widespread adoption of guided surgery protocols in anterior cases reflects this shift in how clinicians think about the relationship between placement and restoration.

Long-term stability, an ongoing commitment

The aesthetic zone is not a set-and-forget region. Soft tissue levels around anterior restorations can change over time. Regular monitoring of the soft tissue margin and emergence profile will be a significant part of the long-term maintenance, and one that patients should be counselled on from the outset. Bone remodelling continues in the years following placement, and late changes to the gingival architecture are not uncommon, particularly as patients age. A perfect restoration at a five-year review may look different at fifteen years. Setting realistic long-term expectations is as important as the technical quality of the original treatment. For clinicians seeking to deepen their understanding and clinical confidence in this demanding but rewarding area, the Association of Dental Implantology (ADI) is hosting a dedicated full-day Masterclass – “Management of the Esthetic Zone” – on 14 November 2026 at IET London: Savoy Place, in collaboration with the Osteology Foundation. Delivered by an outstanding international speaker faculty, the event offers the latest scientific and clinical knowledge on soft tissue regeneration and esthetic zone management. Scan the QR code or visit tinyurl.com/ADI-esthetic The aesthetic zone will always be where the most is asked of the dental implant team, in planning, in technique, in communication, and in the long term. It is also where the most is given back when the outcome is right. For more information, please visit www.adi.org.uk n

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professions

Could you be an expert witness? Part 2 In the second part of the two-part series, Andrew Walker, Dentolegal Consultant at Dental Protection, explores the role of expert witnesses in regulatory matters and considerations to keep in mind when deciding if being an expert witness is right for you. Find the previous part on page 28 of the last issue

Bridging clinical knowledge and legal decision making Regulatory matters

Many dental professionals, quite understandably, often conflate a claim for compensation with a General Dental Council (GDC) complaint/investigation. It is important to understand these are different matters, with different objectives. The issues being considered are therefore fundamentally different. It is quite possible for there to be a successful claim for compensation in a case where the GDC would have no interest. An example may be a wrong tooth extraction prior to orthodontic treatment. The patient may well be entitled to compensation for an implant, but if the incident was managed appropriately and the key issues – such as duty of candour – have been fulfilled then there is unlikely to be a concern about Fitness to Practise. The GDC do accept that mistakes occur from time to time.

Dental professionals are encouraged to consider if this is the type of work they may be interested in. It is a very important role for both the profession and the public, and most people who start undertaking this work thoroughly enjoy it. The flip side of the coin may be that a claim for compensation can be successfully defended, but there may be significant regulatory risks. This may occur when,

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for example, there is a poor standard of care in relation to record keeping and radiographic practice, but this does not result in any harm coming to the patient. The claim may fail, but the GDC would be concerned about the wider patient safety implications. An independent expert witness therefore must focus on the professional standards expected of a dentist, with a detailed knowledge of GDC guidance and standards. Another significant consideration for experts taking instructions on a GDC matter is that they are usually only instructed when the matter is in the later stages and has been referred to a hearing. An independent expert witness working only in the field of civil claims will very rarely find themselves on a case that makes it all the way to trial. A lot of the work is therefore based on paper. Conversely, when instructed on a GDC matter, as well as providing written evidence, the expert is almost certainly going to be giving oral evidence at the hearing.

Why experts matter

Having explored the role of the expert witness, it is clear how much of an important role they play in different case types. Their evidence is often instrumental in the overall outcome of the matter. This may be, for example, ensuring a claim is successfully defended; protecting the professional position of a Registrant before the GDC; or if a claim does need to be settled, ensuring a patient receives an appropriate, and fair, amount of compensation.

Is this for you?

There are simply not enough experts for the number of cases in which they are required. Dental professionals are therefore encouraged to consider if this is the type of work they may be interested in. It is a very important role for both the profession and the public, and most people who start undertaking this work thoroughly enjoy it. It is not, however, an easy role, and requires considerable thought and effort. It can also be difficult to offer an objective opinion on work undertaken by one of your peers. Your report may (even if only in part) be critical of the care provided, and it is never easy when you know this will be shared with the individual involved. Nevertheless, you must provide a balanced and fair position from the outset, as it is in no one’s interest for you to set out a position initially that you cannot stand by later. You will be tested on your position by your instructing solicitor, and potentially a barrister under cross examination. This work will also require appropriate indemnity as, although extremely rare, there have been professional negligence claims against experts themselves. Other aspects of the role some dentists feel uncomfortable with can include accepting instructions from, for example, Claimant’s solicitor’s firms or the GDC; but a good witness will have a mix of both Claimant and Defendant work. This demonstrates their independence, and if your report is fair and balanced it will still contribute to ensuring there is a fair outcome for all concerned.

Despite the challenges of the role outlined above, it is still an extremely interesting and rewarding job to do. Whilst you may thoroughly enjoy clinical work five days a week, it can be both mentally and physically tiring. Some time spent outside of the clinical environment, but still utilising your clinical knowledge, can therefore be a welcome break. The work itself is very stimulating and allows the opportunity to interact with other professionals such as solicitors and barristers.

In conclusion

There is no shortage of work for those who have the required skills and are keen to work in the dentolegal environment, whether that be in the context of negligence claims, GDC investigations or both. As well as relevant clinical experience the key qualities are understanding what is required and being objective, fair and reliably independent. Experts are needed in the field of general dental practice and various specialities. Anyone considering becoming an expert witness would be encouraged to explore the role and its requirements in more detail. If still interested, you should sign up for an appropriate course that will train you on how to be an expert witness, the relevant law, and how to write a report. You can then step into the exciting – and highly stimulating – world of dental law and ethics. n

About the author Andrew Walker, Dentolegal Consultant at Dental Protection.

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We’ve known the Dental Elite team for over eight years and have always valued their expertise, knowledge and clear advice. Selling a practice is a long and complex process, but Dental Elite supported us every step of the way. Their communication was excellent, and we always felt informed and reassured throughout. Their knowledge and experience made all the diﬀerence. A special thank you to Phil and Carl for all their support.

Rachel Mantle, Vendor of Smilecare Dental Clinic

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professions

Doing the impossible at this year’s Regional Meeting

ithin the profession, and the field of endodontology specifically, it’s important to analyse the outcomes of treatment within the historical context, taking a step back in order to see how it’s really grown. Dr Tiago Pimentel, specialist endodontist and lecturer at the University College London (UCL) Eastman Dental Institute poses an interesting question. “Here’s a question I want you to sit with for a second: we’ve been telling ourselves that endodontic success rates have plateaued for more than 50 years, that the whole endodontic field has stagnated – what if that’s the wrong reading entirely? What if the number on paper is actually hiding progress, not failure? “The cases that we treat today are not the cases that we treated in the 60s, 70s,

and 80s. Today we treat curved canals, we do re-treatments, we manage resorption, perforation, broken files – teeth that would have been extracted back then. We’re achieving the same success rate with much harder work. New materials and instruments allow us to push the boundaries of our treatment. So, if it isn’t technique that is failing us anymore, what is?” With dentistry evolving so drastically over recent decades, including when it comes to technological capabilities and patient expectations, it’s helpful to reflect. Tiago will be discussing this concept in depth at the British Endodontic Society (BES) Regional Meeting, joining us as a Guest Speaker in November. “At this year’s BES Regional Meeting I’m giving a session called ‘Nothing is impossible: are we there yet?’ After thinking

Consistency pays off

indy Zhang is a secondyear dental student at King’s College London. She describes her experience of applying for and being awarded the British Endodontic Society (BES) Harty Essay Prize. “I first came across the Harty Essay Prize in November 2025. The topic was vital pulp therapy, which I knew very little about at the time. After reading several case reports on pulpotomy I became interested in the subject and decided to apply. I found it challenging to read and comprehend academic literature on an unfamiliar topic, so I approached the research gradually by reading a little each day. Once I had gathered a broad range of sources, I began drafting the essay. I particularly enjoyed learning about bioactive materials and the histopathology of pulpitis, which were areas I had not explored before. “My essay explored the biological rationale behind vital pulp therapy and evaluated the preoperative prognostic factors that influence treatment outcomes. The question included a radiograph, which allowed me to bridge the discussion to a clinical scenario. I developed a staged protocol for managing a deep carious lesion, supported by evidence-based guidelines and clinical trial data. This was the most rewarding aspect of the essay, as it allowed me to compare

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different approaches while justifying each step of management through integration of histology, material chemistry, and clinical decision-making. “I felt extremely honoured to receive the Harty Essay Prize, and grateful that the work I put into the essay was acknowledged. The award includes £1,000 and the opportunity to attend the annual British Endodontic Society Regional Meeting with expenses covered – an event I am very much looking forward to. Personally, the experience encouraged me to read more widely in my free time and strengthened my confidence in approaching research papers.” Cindy goes on to explore the benefits of applying for her peers, and offer advice to others who are considering entering for the Harty Essay Prize in the future. “I would strongly encourage others to apply because the process itself is highly rewarding. Seeing the essay develop and come together over time through reading, drafting, and editing is a very fulfilling experience. It is also an opportunity to explore important topics beyond the taught curriculum and engage with recent advances in dentistry. “My advice to others who are thinking of applying would be to make full use of the resources available through your university, including academic journals, databases, and textbooks. If you find reading a bit overwhelming, like I did, start small and build your understanding gradually by researching consistently each day.” n

about what is failing us, I think I have come to suspect that the weakest link is us. Our brains haven’t been upgraded, so we still anchor on crude test results; we still feel the pull to do something rather than just watch and wait in some cases. We are still reluctant to use appropriate imaging modalities for the predictable management of the cases that we treat. “The session walks through these heuristics – mind shortcuts – that have a real impact on outcomes. Action bias, and the real cost of treating, how we misread pulp diagnosis, and most importantly a different way of thinking about outcomes and what really matters to the patient.” Having established the premise of the lecture, Tiago outlines his aims for attendees and how reframing their outlooks benefits everyone, including themselves and their patients. “What I hope you leave with is a bit of useful discomfort, a sharper eye for the moments when failure isn’t in our hands or on our files, it’s in our heads. That’s a skill, and it’s one that we can get better at. I think this matters now more than ever, because most of what still looks like clinical disagreement in endodontics today is really just bias dressed up as judgement. If we can name it, we can catch it. That’s better for us, it’s better for the tooth in front of us, and ultimately that’s better for the patient. So, come along and join me for this year’s Regional Meeting in November.” Don’t miss out on this fantastic opportunity to hear from Dr Tiago Pimentel

Dr Tiago Pimentel at this year’s BES Regional Meeting, held at Rhodes House, Oxford on 20th and 21st November, alongside Guest Speakers Dr Fabio Gorni, Dr Massimo Giovarruscio, and Dr John Rhodes, with table clinics presented by Dr Claudia Brown, Dr Melanie Kidner, Dr Howard Lloyd, and Dr Fiona McMichen. Visit the BES website for more information, and to book your place at this highly anticipated conference. BES Regional Meeting 20 – 21 November 2026 Rhodes House, Oxford For more information about the BES, or to join, please visit the website www. britishendodonticsociety.org.uk or call 07762945847 n

Enter for this fantastic prize

r Matthew Hodgson recently received the Aspiring Researcher Prize from the British Endodontic Society (BES). He shares a little bit about himself, and his experience. “I qualified from Newcastle University in 2013 and work in General Dental Practice. I was awarded my MSc Endodontology (Distinction) from the University of Chester and have a Special Interest in Endodontics. “I’d recently submitted my dissertation when I read about the Aspiring Researcher Prize. It met all the requirements without the need to do much extra work besides a little reformatting, so I thought it would be silly not to apply. “For my dissertation, I did a small experiment to investigate the influence of rotary negotiation on transportation of curved canals in-vitro, when using the Protaper Slider file. This had direct relevance to my own clinical practice as it’s a technique I often use. I was quite surprised by the findings, so it was a really interesting process. “I was really surprised to find out I had won! Not only did I win a £1000 cash prize, but also invitation to the BES Regional Meeting in Oxford later this year, and the opportunity to present my research at the BES Spring Scientific Meeting next year. Coming from a completely non-academic background this is really exciting! A lot of time and effort went into the dissertation and it was great for it to receive this recognition.

“I began my Endodontology MSc nearly 10 years after qualifying after becoming a bit frustrated and realising I needed to push myself again. Receiving this prize has been a fantastic way to round off that part of the journey and begin the next part! I would absolutely encourage others to enter for this prize. If you’ve submitted a dissertation recently based on original research or a systematic review, you can enter. It’s a fantastic prize, so the few minutes it takes to submit it are nothing in the grand scheme of things. Just do it and don’t overthink it!” n

Matthew Hodgson

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professions

The interview question that tells you everything

heard about a hygienist recently who’d agreed to work without a nurse in exchange for a bit more money per session. Nobody forced her into it. Nobody put it in writing either. It was just... quieter that way. Less admin, more takehome pay, and the practice saved a wage. Everyone walked away thinking they’d won something. That’s usually how it starts. Nobody sits down and decides to compromise on safety. It arrives in small, reasonablesounding steps: one appointment without support because the nurse called in sick; one implant case run with a single nurse because the diary was tight; one sterilisation log signed off because “it’s always fine.” None of it feels like a big decision at the time. It’s only when you stand back that you see the pattern – and the pattern has a name: risk that someone else is carrying without knowing it. Take the “no nurse” arrangement. GDC Standard 6.2 is unambiguous that registrants “must be appropriately supported when treating patients,” and 6.2.2 says clinicians should work with another appropriately trained team member present, except in genuine emergencies or exceptional circumstances. Standard 6.2.3 is the bit people conveniently skip past: if you do work without support, you must be able to justify that decision and show you’ve assessed the risk. “It saves us both money” is not a risk assessment. It’s a shortcut wearing a risk assessment’s coat.

Implant work is the other one I keep seeing quietly reshaped. Maintaining a sterile field properly during an aseptic procedure generally needs two nurses working in defined roles – one scrubbed and staying sterile, one circulating to fetch, open, and record without contaminating anything. Drop to one nurse and that person is now trying to do both jobs at once, which means something gives: the field, the paperwork, or the patient’s confidence that anyone’s watching the details. It’s rarely written down anywhere as “you must have two nurses” – but it’s built into the training every implant course teaches, for exactly this reason. Single-use items are the other one nobody likes to admit out loud. It’s more common than I’d like to see – a matrix band rinsed off and reused because the box is running low, an endodontic file kept back “just for one more,” a bib clip or a saliva ejector tip pushed past its one patient because ordering got missed. The manufacturer doesn’t mark something single-use for fun or for profit – it’s because it can’t be validated as sterile or structurally sound after use, however clean it looks. “It looked fine” isn’t a decontamination process, and no amount of good intentions changes what’s printed on the packaging. Here’s the uncomfortable statistic worth sitting with: infection control failings account for well under 1% of GDC Fitness to Practise cases. Rare. But when they do land, they’re overwhelmingly careerending, and the most common root

cause isn’t dramatic — it’s poor hand hygiene and glove use, the unglamorous basics that get skipped when someone’s stretched too thin to do both jobs properly. Rare doesn’t mean survivable if it’s your name on the case. None of this is really about the GDC, though. It’s about what happens in the room when nobody’s checking. A dental nurse asked to “just get on” with two roles at once isn’t being efficient – she’s being handed someone else’s liability with none of the authority to say no. A hygienist quietly agreeing to work solo for extra pay is trading a pay rise for a professional judgement call she’ll have to defend alone if it ever goes wrong. The practice owner who nodded it through gets to not be in the room when it does. If a shortcut only works because nobody’s looking too closely, that’s not efficiency. That’s exposure, dressed up and given a wage slip. The teams who get this right aren’t the ones with the most paperwork – they’re the ones where someone’s willing to say, “We’re not doing it that way,” before the patient, or the CQC inspector, ever asks the question. I recently interviewed a run of dental nurses for a role, and I built a few scenario questions into it on purpose – the kind of “just this once” moment where cutting a corner would make someone’s day easier and cost nobody anything visible. What do you do if the rota’s short and you’re asked to cover two roles at once? What do you say if a clinician suggests going it alone to save time? I wasn’t looking for a textbook

answer. I was looking for whether they’d actually thought about it before. Every single one of them had. That’s the bit that stayed with me. Not one shrugged and said, “I’d just get on with it.” They talked about patient safety, about their own registration, about not putting a colleague in a position where saying no felt like the difficult option. They understood, without me having to explain it, that a shortcut isn’t free just because nobody’s paying for it that day. I gave the job to the one who was clearest about where her line was – the one who said, plainly, that she wouldn’t put herself or a patient at risk to make someone else’s day easier, and didn’t flinch saying it in an interview where a more ‘flexible’ answer might have felt safer to give. That’s not a nice-to-have quality in a nurse. That’s the whole point of her being in the room. If you want to know whether your team understands cutting corners the way I’ve described it here, ask them. Not in a training session, not as a tick-box exercise – ask what they’d actually do in the moment. The answer will tell you more about your practice’s real culture than any policy folder ever will. n

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

t was a dilemma: this new client had endured a despairing run of problems with team members who had appeared to be ideal. They had the necessary qualifications, were suitably experienced and interviewed well. But, but, but…after six to eight weeks, their performance, which had started so well, started to drop off. Attendance became irregular, time keeping was unreliable and “attitude”, a bit of a catch all word, “didn’t so much fall as plummet” – as the Monty Python team would have said.

with Alun Rees

D E N T I S T R Y T O D AY

What’s their MO?

alun@alunrees.com

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Most employers, managers, team leaders and, of course, coaches have had to deal with this or very similar situations. It undermines confidence, leads to poor performance and can become the biggest focus of your working life. If you don’t have a team on which you can rely, then your business life feels not only as if you are taking one step forward, then two steps back, but also incorporating side-steps and swerves thrown in for good measure. My first encounter with new clients can sometimes prove confusing for them. They want results, and quickly; but thirty-plus years in clinical dentistry has proved that treating a patient whose history and motivations you don’t know can easily lead to an early and frustrating failure of the relationship. Chris Barrow taught me to beware of clients who expected you to “just fix the team” but weren’t interested in considering the causes of the problems and learning lessons from them. In this case, the client was constantly trying to “win the last

war” or, in sporting terms, attempting to replicate exactly the same, the team that had seemed successful. We examined what had made the previous set-up so good and how that had, in their words, “crumbled”. It turned out that they kept recruiting people who were personable, apparently suitably trained and experienced yet, time after time, it just didn’t work out. The problems and their causes were identified. Every individual has a natural, instinctive way of taking action and solving problems. This can be described as their Modus Operandi (MO), and can be matched to specific job requirements. To discover an individual’s MO, they take an assessment that measures a person’s natural, instinctive way of taking action and solving problems. This conative assessment, named after its inventor Kathy Kolbe, is the Kolbe A, and its use reduces friction, prevents burnout, and ensures role alignment. It is not a test of intelligence or personality, but rather a measure

of the four Kolbe “Action Modes”, which are: • Fact Finder: The instinctive need to gather, verify, and handle details and information. • Follow Through: The need to design and maintain systems, order, and processes. • Quick Start: The approach to risk, innovation, uncertainty, and change. • Implementer: The reliance on tangible, physical solutions, spaces, and tools. I was fortunate to be trained by Kathy and her team nearly 20 years ago, and have used the system with dozens of individuals and teams in, and beyond, dentistry. It helps individuals to understand themselves, why they take the actions they do and how they can get the best out of the way that they instinctively work. It assists leaders to lead better than ever. Using Kolbe A is invaluable and a key to team building. For more information, email me: alun@alunrees.com or take a look at www.kolbe.com n

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solutions

Why structural colour matters so much in modern dentistry

t is widely believed that colour derives from pigmentation. Pigments selectively absorb part of the spectrum whilst reflecting the colour we see: a red jumper is red because of red pigment; a blue car is blue because of blue pigment; a tooth shade tab appears A2 because of A2 pigment. That is how man-made colours work. Nature has another, far more sophisticated method of creating colour, one that does not rely on pigments. It is called structural colour. Once you understand it, you realise that some of the most beautiful colours in the universe are not “painted” by chemistry. They are engineered by physics.

manipulate the spectrum, resulting in vibrant colour. Think of the feathers on a kingfisher, the wings of a butterfly, the scales of a chameleon, or precious opals. Pigment colour comes from chemistry. Structural colour comes from physics. This phenomenon is one of the great hidden masterpieces of nature.

Why structural colour is so important

Pigments are limited whilst natural structural colour is active and responsive, creating effects that are brighter, more vibrant and lifelike. It changes with light conditions, viewing angles, translucency and surrounding optical environments. This is why structural colour often appears alive. Structural colour creates depth, vitality and realism because it interacts with light in a far more natural and dynamic manner.

Structural colour and human teeth

What is structural colour?

Structural colour is not created by dyes or pigments, but by physical structures that control light naturally. These structures are not random irregular particles but are precisely formed and nanoscopic: thousands of times thinner than a human hair. They diffract, refract, scatter and

Natural teeth are extraordinarily complex optical structures. This is why shade matching teeth perfectly has always been one of restorative dentistry’s greatest challenges. They are not flat blocks of colour. • Enamel is translucent. • Dentine modifies reflected light beneath it. • Moisture changes optical behaviour. • Surface texture alters reflection. • Light penetrates, scatters, diffuses and returns. Traditional dental composites rely heavily upon pigments and shade recipes. While

Natural Structural Colour often highly successful, they still fundamentally attempt to imitate nature by using pigments.

Nature does not work that way

There are now advanced restorative materials that recreate the way natural teeth handle light rather than merely copying surface shade. Instead of relying solely on pigment matching, structural colour technology allows restorations to interact dynamically with surrounding tooth structure. This is not simply colour matching. It is optical integration. The advanced restorative material blends because it handles light in the same manner as natural tooth tissue. This creates restorations that appear more lifelike, more adaptive and often more invisible across varying lighting conditions and adjacent shades. The effect is particularly striking because the restoration does not merely “look similar” — it optically harmonises with the surrounding dentition.

This represents a profound shift in restorative philosophy. Rather than attempting to paint teeth artificially, dentistry can now begin to reproduce the optical principles nature itself uses.

Nature’s blueprint recreated for dentistry

For decades composite manufacturers have refined pigment systems in their attempts to produce invisible restorations. Improvements have been made, yet they have not perfected the truly invisible shade match. Reproduction of natural structural colour is extraordinarily difficult because the particles involved are so nanoscopically precise. However, there are now materials on the market with the exact, precise particles to create structural colour. At last, these restorative materials are available to the modern dentist. For more information, contact Trycare: 01274 885544 | dental@trycare.co.uk n

A-dec to showcase smart solutions at London Dentistry Show 2026

stools promote proper body alignment and reduce fatigue, helping dentists focus on patient care. The Performer eVo LED light provides bright, focused illumination with a touchless on/off sensor, a three-axis head for precise positioning and a cure-safe mode, using up to 75% less energy than traditional halogen lights. The ambidextrous 300 Delivery System keeps handpieces within easy reach and adjusts for right- or lefthanded users.

rom 9-10 October 2026, A-dec® will be exhibiting at London Dentistry Show 2026 - an event known for bringing together the latest advances in dental technology. Visit stand E20 to explore A-dec’s seamless, sustainable solutions, including ergonomic dental chairs and stools, energyefficient surgical lights and digital tools.

Connectivity with the Premium 500 Pro Package

The A-dec 500 Pro package seamlessly integrates connectivity, ergonomics and advanced features into one simple solution. An ultra-thin backrest and headrest, armrest support and close-proximity design ensure the best positioning for patients and posture for dentists, while the toe-board tilt and gentle hydraulic motion create a calming experience that lowers anxiety. With a structure holding up to 500 pounds, the chair provides steadiness and ease of access, making it ideal for high-volume practices. The A-dec+ app adds enhanced connectivity, with updatable software delivering real-time information and seamless integration across multiple operatories. The Dynamic Screen 7 touchscreen lets dentists

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Special Promotions

customise chair positioning and procedure settings, syncing preferences across practices, while on-screen messaging improves team communication without interrupting workflow. The package’s ambidextrous delivery system features flexible radius arms for a clutter-free workspace, and an optional Continental delivery suspends tubing for better infection control. The intuitive interface accommodates treatments from hygiene and restorative work to

endodontics and implantology, with rotary modes and real-time Apex locator visuals giving dentists precise control.

Impressive Value with the New Performer eVo Package

Designed for busy practices, the A-dec Performer eVo package combines reliability and performance into a smart, costeffective solution. Its ergonomic chair offers close access to the oral cavity and supports patient stability, while the eVo

A-dec will also be highlighting current promotions throughout the show, with offers on selected products making it easier for practices to upgrade. Drop by stand E20 to discuss promotions with a Territory Manager, or visit A-dec’s promotions page: unitedkingdom.a-dec.com/promotions

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31/08/2026 16:42:54

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PROFESSIONS

Successfully handling complaints Dealing with a complaint professionally and promptly can uncover issues that need to be addressed and be an opportunity to show your practice at its best, says Lesley Taylor, dento-legal adviser at the DDU

s a dental defence organisation, the DDU supports members with patient complaints and sees firsthand how the right approach can make all the difference. The NHS Complaints Standards say a complaint is “an expression of dissatisfaction - either spoken or written that requires a response. It can be about an act, omission or decision made, or the standard of service provided.” In a dental practice, patients might complain about clinical matters such as substandard treatment or an adverse incident, or nonclinical matters such as waiting times, perceived rudeness, appointment availability or fees. A single incident can often trigger a complaint about several different things. Written complaints about NHS dental services rose from 11,867 in 2016/17 to 14,282 in 2024/25, according to NHS England. The top six causes for complaint in 2024/25 were: 1. Clinical treatment (4,428) 2. Appointment availability/length (1,744) 3. Communications (1,722) 4. Removal from list (1,413) 5. Charges (1,392) 6. Staff attitude/behaviour/values (1,226) The GDC has issued a joint statement on complaints handling with the DDU and other professional bodies, setting out six principles patients would expect:

• All of your feedback is important to us. • We want to make it easy for you to raise a concern or complain, if you need to.

• We follow a complaints procedure and keep you informed.

• We will try to answer all your questions and any concerns you raise.

• We want you to have a positive experience of making a complaint.

• Your feedback helps us to improve our service.

Let people know you have a complaints procedure

Ensure your complaints procedure is prominently displayed in the practice and on your website, and train staff so they know it. Patients may not always feel comfortable about complaining directly to their clinician.

If you receive a complaint

When someone makes a verbal complaint, discuss their concerns straight away. If a verbal complaint is resolved within 24 hours, you don’t need to send an acknowledgement or written response, though you may still want to confirm the discussion in writing. Verbal complaints that can’t be resolved within this time, and written complaints must go through the formal complaints process. Acknowledge formal complaints in writing within three working days, confirming

receipt, that it’s being investigated under the practice procedure, the response timescale, and enclosing a copy of the procedure. Next, investigate all aspects of the complaint, including reviewing the records and speaking to everyone involved — contacting former staff members if possible. If the investigation runs over the original timescale, tell the patient why. If you can’t resolve the complaint and the patient remains unhappy, tell them about other avenues open to them, and let your dental defence organisation know if the complaint is escalated.

After the complaint

Reflect on the complaint and use it for quality improvement, and keep a record as you may be asked for this by healthcare regulators or the NHS. Complaints correspondence must be stored separately from patient records.

Complaints dos and don’ts

Resolving complaints successfully isn’t only about following the right process – a professional, empathetic approach matters just as much. Here are some top tips from our experience of supporting members: Don’t be defensive. Think about how you’d want to be treated if you were complaining. Listen, and stay calm and constructive, even if the complaint seems trivial or unreasonable.

Keep in touch. Complainants who feel ignored will be less willing to hear your side. Keep them updated on progress and any delays, so they know when to expect to hear from you. Don’t ask AI to write your response. An AI-generated letter often sounds formulaic, which patients dislike. Putting patient data into an AI program can also raise data protection issues, so it’s best avoided. It may also omit important points, such as a sincere, specific apology. Take time and care with your written response. Write in the first person and active voice e.g. “I examined you” rather than “you were examined”. Use plain English, avoiding jargon and technical language. Don’t be critical of colleagues. It’s rarely appropriate to comment on a colleague’s actions in a complaint response. If you have concerns about a colleague, raise them directly or through your practice’s internal process. Contact your defence organisation. The DDU can advise you and help draft a suitable response so you can resolve the complaint in-house. 

About the author Lesley Taylor, Dento-legal Adviser at the DDU.

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CPD: CATTANI AIR TECHNOLOGY

Optimising dental practice performance: the role of compressors and suction systems Cattani is delighted to bring you this CPD exploring how the right compressor and suction systems can optimise clinical workflows, reduce costly downtime, and ensures superior patient care

Aims The aim of this article is to explore the role of dental compressors and suction systems in modern practice, and how selecting the right equipment can enhance efficiency, compliance and patient care. Learning objectives: On completing this Enhanced CPD session, the reader will be able to: • Understand the function of compressors and suction systems in dentistry • Recognise the differences between key system types • Identify the features required for optimal performance and longevity • Appreciate how modern innovations improve workflow and patient experience Learning Outcome: B, C The unseen foundations of modern dentistry In today’s dental practice, efficiency, reliability and patient comfort are paramount. While much attention is given to clinical techniques and visible equipment, the systems working behind the scenes are just as critical. Dental compressors and suction systems form the operational backbone of any surgery. Compressors power essential tools, while suction systems maintain a clear and hygienic working field. Together, they enable clinicians to work effectively, safely and without interruption. When properly specified and maintained, these systems contribute to smoother workflows, reduced downtime and improved patient outcomes. Conversely, poor system selection can lead to inefficiencies, increased maintenance costs and compromised clinical performance.

Dental compressors: powering clinical performance Dental compressors are responsible for supplying clean, dry compressed air to a wide range of equipment, including handpieces and polishing tools. Without this consistent air supply, many routine procedures would not be possible.

How compressors operate A typical compressor follows a structured process: • Ambient air is drawn in and filtered • The air is compressed to increase pressure • Heat generated during compression is reduced through cooling • Moisture is removed via a drying system • The air is stored and distributed as required

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Capacity and performance A compressor must be capable of meeting the demands of the practice. A common benchmark is around 50 litres per minute at 5 bar per chair, although this will vary depending on equipment and workload. Systems that are underpowered may overheat or fail, while over-specification can improve longevity and efficiency.

Consistency and reliability The demand placed on your system will determine the required compressor capacity, so ensuring the compressor can deliver sufficient l/min is essential for maintaining consistent performance. Larger receiver tanks can also help reduce compressor cycling frequency, minimising wear and extending the compressor’s lifespan. If the compressor is unable to meet the system’s demand, the regulated pressure supplied to the surgeries may decrease, resulting in fluctuations in pressure.

To complete the questions and gain one hour of Enhanced CPD, visit cpd.the-probe.co.uk/

The Probe | September 26

This process ensures a continuous supply of high-quality air, which is essential for both equipment performance and infection control.

Key considerations for compressor selection Air quality and hygiene Clean, dry air is critical in dentistry. Moisture or contamination can damage instruments and affect clinical outcomes. For this reason, oil-free compressors are widely considered the

preferred option, as they reduce the risk of contamination while minimising maintenance requirements.

01/09/2026 17:05:16

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CPD: CATTANI AIR TECHNOLOGY CPD Questions 1. What is the primary role of a dental compressor? a. Sterilising instruments b. Supplying compressed air to equipment c. Removing oral fluids d. Controlling chair movement 2. Why are oil-free compressors commonly preferred? a. They are more powerful b. They produce cleaner air with less maintenance c. They are quieter d. They use water 3. What is a key advantage of dry suction systems? a. Higher suction power b. Reduced water usage c. Lower installation cost d. Continuous operation 4. What distinguishes semi-wet suction systems? a. They require no maintenance b. They combine efficiency with strong performance c. They use only water d. They eliminate filtration

Noise and efficiency Noise levels can significantly affect both patient perception and staff comfort. Similarly, energy-efficient systems help reduce operational costs over time, making them an important consideration for long-term planning.

Suction systems: ensuring clarity, comfort and compliance

While compressors power equipment, suction systems play a vital role in maintaining visibility and hygiene during procedures. By removing saliva, fluids and debris, they create a safe and controlled clinical environment. High-quality suction systems are essential for: • Maintaining a clear working field • Enhancing patient comfort • Supporting infection control protocols

Understanding suction system types

Wet suction systems Wet systems use water to assist in generating suction and are particularly effective at handling high volumes of fluid. They are well-established and powerful, making them suitable for busy practices or complex procedures. However, they tend to consume more water and energy, and often require higher levels of maintenance.

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Dry suction systems Dry systems rely entirely on air to create vacuum pressure. They are generally more energy-efficient and easier to maintain, as they do not require water. While they may offer lower suction power compared to wet systems, they are well suited to practices prioritising efficiency, sustainability and reduced running costs. Semi-wet suction systems Semi-wet systems combine elements of both wet and dry technologies, offering a balanced solution. They provide strong performance without water usage and maintenance demands. In addition, many systems include built-in amalgam separation, supporting compliance with environmental regulations. As a result, semi-wet systems have become a popular choice for modern dental practices.

Selecting the right suction system

5. How do modern systems improve efficiency? a. By increasing manual control b. By reducing automation c. Through smart monitoring and variable performance d. By limiting system capacity Reliability is particularly important, as system failure can disrupt clinical activity and impact patient care. Many modern systems incorporate backup features or intelligent controls to minimise downtime.

The impact of modern innovations Technological advancements are reshaping both compressor and suction systems, offering improved performance, efficiency and usability.

Variable speed technology Modern suction systems increasingly use inverter-driven motors, allowing them to adjust output based on demand. This not only improves efficiency but can significantly reduce energy consumption.

Creating a balanced, futureready practice

Ultimately, the selection of compressors and suction systems should align with the specific needs of the practice. Factors such as patient volume, procedure types, available space and budget all play a role in determining the most appropriate solution. Importantly, decisions should not be based solely on upfront cost, but also on long-term efficiency, reliability and compliance. Well-chosen systems can improve workflow efficiency, reduce stress for clinicians and create a more comfortable experience for patients.

Conclusion

Innovations in materials, filtration and drying systems help extend equipment lifespan while maintaining high standards of air quality and infection control.

Dental compressors and suction systems are fundamental to the delivery of safe, efficient and high-quality care. Although often overlooked, their influence extends across every aspect of clinical practice. By understanding system types, prioritising key performance features and embracing modern innovations, dental professionals can make informed decisions that support both current needs and future growth. Investing in re l i a b l e , highperforming infrastructure is essential not only for operational success, but also for maintaining the highest standards of patient care. n

To complete the questions and gain one hour of Enhanced CPD, visit cpd.the-probe.co.uk

Choosing the appropriate suction system requires careful consideration of several factors: • Performance: The system must provide sufficient suction for all procedures • Noise levels: Quieter systems can improve patient experience • Filtration: Effective filtration supports hygiene and protects equipment • Energy efficiency: Reduces long-term operational costs • Maintenance: Ease of servicing impacts reliability and lifespan • Compatibility: Integration with existing equipment is essential

Smart monitoring and connectivity Digital integration enables real-time monitoring, remote diagnostics and proactive maintenance. These features allow practices to identify potential issues early, reducing the risk of unexpected failures.

Enhanced durability and hygiene

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CPD: A-DEC

Reducing Complexity through Connectivity As connected technology becomes an increasingly important part of modern dentistry, John Dargue, Territory Manager at A-dec UK, explores how integrated treatment room design can enhance workflows, support dental teams and enhance patient experience

Aims and objectives The aim of this article is to explore how integrated treatment room design can simplify clinical workflows, support dental teams and enhance the patient experience through connected technologies and ergonomic equipment. On completing this CPD session, the reader will: • Understand how integrated treatment room design can help reduce unnecessary complexity within the dental environment • Recognise how connected technologies can support more consistent workflows, communication and collaboration across dental teams • Appreciate the role of ergonomic equipment in supporting clinician wellbeing, healthy working practices and patient comfort • Realise the importance of choosing equipment that supports long-term flexibility, connectivity and phased investment. Learning Outcome: B, C Walk into almost any dental surgery today and you are likely to find more technology than ever before. Increasingly, those technologies are no longer designed to work in isolation; from digital imaging and electric motors to implant systems, endodontic equipment and practice management software, connected technologies are becoming a familiar part of modern dental care. Each new addition serves a purpose, yet every screen, device, cable and interface also shapes the way a treatment room functions. Individually, these demands may seem small; collectively, they can create a working environment that feels busier than it needs to be. At a time when many dental professionals continue to report high levels of physical strain and workplace stress (Chenna et al, 2022; Knights et al, 2025), creating treatment rooms that support efficient, intuitive workflows has never been more important. A useful question to consider is this: how many separate interfaces do you routinely use during a complex procedure? The answer may be more than you realise. When equipment is designed to work together, everyday tasks become simpler. Clinicians spend less time switching between devices and more time focusing on treatment, while the wider dental team benefits from smoother workflows, greater consistency and clearer communication. Patients also notice the difference, experiencing an environment that feels calm and reassuring from the moment they take a seat.

Putting workflow first One way of simplifying everyday workflows is to reduce equipment clutter by minimising the number of

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separate devices clinicians interact with during treatment. Bringing restorative, implant and endodontic functions together within a single delivery system creates a more streamlined clinical environment, with information and controls accessible from one place throughout the procedure. The A-dec 500 Pro Delivery System has been designed with this approach in mind. By integrating trusted Midwest motors together with implant and advanced endodontic functions into a single platform,

clinicians can move confidently between different procedures using the same familiar workflow and a single foot control. In addition, comprehensive file libraries are incorporated directly into the system, reducing the number of standalone devices within the treatment room and helping appointments progress more smoothly. For clinicians, familiar controls reduce unnecessary interruptions, support greater consistency throughout the working day and allow more attention to remain on the patient. The wider

To complete the questions and gain one hour of CPD, visit cpd.the-probe.co.uk/

dental team also benefits from a workflow that feels more intuitive and predictable, regardless of the procedure being carried out. The Dynamic Screen 7 (DS7) touchscreen brings these functions together through a single, easy-touse interface. Displaying only the information needed at each stage of treatment, it provides quick access to essential controls without overwhelming the user. Software updates and an open platform allow additional capabilities to be introduced over time, supporting practices as clinical needs develop.

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www.the-probe.co.uk Connected teams, consistent care Across practices with multiple surgeries, clinicians or locations, maintaining consistency across the team becomes increasingly important. The Dynamic Screen 5 (DS5) touchscreen and A-dec+ platform have been designed to support this connected way of working. Individual clinicians can save personalised chair positions and device settings, which automatically follow them between A-dec+ enabled operatories. Whether moving between treatment rooms or working across different practice locations, familiar settings are immediately available, creating a consistent experience and reducing the need for repeated adjustments. The platform also supports communication within practices. Discreet on-screen messaging between connected delivery systems allows team members to co-ordinate without interrupting treatment, while customisable alerts help ensure important information is seen promptly. Collectively, these functions can support smoother communication and co-ordination across the team. Connectivity also provides practices with greater visibility of how their equipment is being used. Usage analytics offer insights into operatory utilisation and patient flow, while equipment monitoring provides realtime status updates and alerts that can help identify issues early and reduce downtime. Together, these features give practical information to support planning, workflow and day-to-day equipment management.

Designed around people However advanced the technology, the treatment room should always be designed around the people who use it. Clinicians spend hours each day working in demanding postures, while patients often arrive feeling anxious or uncertain. Equipment that supports clinician wellbeing and patient comfort can make a meaningful difference to the experience of care. Recent evidence has highlighted the value of preventive ergonomic strategies in supporting practitioner health, career longevity and the quality of patient care (Danylak et al, 2026). The A-dec 400 Pro Package brings together the A-dec 400 chair, A-dec 300 Pro delivery system and DS5 touchscreen. The chair itself has been developed with both clinician wellbeing and patient comfort in mind. Its ultra-thin backrest allows clinicians to work closer to the oral cavity while maintaining a healthy working posture, and the low basedown point accommodates different operator heights. Combined with

CPD: A-DEC instruments positioned within easy reach, these features support comfortable, efficient movement throughout the working day. Patients benefit too, as pressuremapped support surfaces, smooth, quiet chair movement and positioning that follows the body's natural movement are designed to create a comfortable, reassuring experience from the moment they sit in the chair. For an anxious patient, feeling physically comfortable in the chair can make a real difference to their experience of treatment. The same principles underpin the Performer eVo range. Ergonomically designed stools support healthy posture through anatomically shaped backrests, ergonomic tilt mechanisms and rolled seat edges, while thoughtfully positioned instruments encourage natural movement for both dentists and assistants. Together, these design features help create a treatment environment that supports comfort, efficiency and long-term wellbeing across the whole dental team.

Ready for tomorrow Few practices replace an entire treatment room at once, with investment usually made over time, making it important to choose equipment that can accommodate changing clinical needs as they arise. Designed as an open, connected platform, A-dec's latest solutions give practices the flexibility to introduce additional capabilities as and when they are needed. Integrated delivery systems, connected software platforms and updatable technology support a phased approach to investment, allowing practices to build on existing equipment over time. Collectively, the A-dec 500 Pro Delivery System, DS5 and DS7 touchscreens, A-dec+ platform, A-dec 400 Pro Package and Performer eVo range demonstrate how every element of the treatment room can contribute to a more connected way of working. The measure of a well-designed treatment room is perhaps how little the clinician needs to think about it. When equipment works together intuitively, there are fewer distractions from the job at hand, allowing the dental team to keep its attention where it matters most: on the patient.

References

• Chenna D, Pentapati KC, Kumar

M et al (2022) Prevalence of musculoskeletal disorders among dental healthcare providers: A systematic review and meta-analysis. F1000Research; 11: 1062. doi: 10.12688/f1000research.124904.2.

CPD Questions 1. What is one benefit of bringing restorative, implant and endodontic functions together within a single delivery system? a. It creates a more streamlined clinical environment. b. It reduces the need for digital patient records. c. It enables every procedure to follow an identical clinical protocol. d. It removes the need for specialist equipment in every practice. 2. How can connected technology support consistency across different treatment rooms or practice locations? a. By ensuring all clinicians use identical settings for every procedure. b. By enabling personalised clinical settings to follow clinicians between connected operatories. c. By automatically determining the most appropriate treatment for each patient. d. By removing the need for communication between members of the dental team. 3. Which approach best reflects the role of ergonomics in treatment room design? a. Supporting healthy clinician positioning while also considering patient comfort. b. Prioritising patient positioning even where this increases physical strain for the clinician. c. Keeping equipment in fixed positions to create a consistent working environment. d. Reducing chair movement to minimise interruptions during treatment. 4. What is the overarching benefit of A-dec’s integrated, connected approach to treatment room design? a. To increase the number of individual technologies available within each treatment room. b. To standardise how every clinician works across different procedures and practice locations. c. To increase automation of day-to-day practice management and reduce reliance on the dental team. d. To simplify the treatment room through more connected, efficient workflows, helping the dental team keep their focus on patient care.

• Danylak S, Sloan AJ, Walsh LJ et al

(2026) Work-related musculoskeletal symptoms across the dental training-practice continuum: a cross-sectional survey. Journal of Dentistry; 169: 106661. doi: 10.1016/j.jdent.2026.106661. • Knights J, Young L, Humphris G et al (2025) Burnout and depression in the UK dental workforce: findings from a cross-sectional survey. British Dental Journal; 239(3): 189–196. n

Brought to you by Explore A-dec’s approach to creating more connected, intuitive treatment environments at uk.a-dec.com/packages Alternatively, get in touch with one of A-dec’s trusted Territory Managers to explore the range firsthand: https://uk.a-dec.com/find-a-dealer

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To complete the questions and gain one hour of CPD, visit cpd.the-probe.co.uk

About the author John Dargue, Territory Manager, South West England & South Wales, at A-dec. With over four years at A-dec UK, as well as 10 years in the healthcare sector, John is passionate about helping dental teams find solutions that truly meet their needs. He works closely with both dealers and clinicians to provide equipment and technologies that not only perform efficiently today, but also ensure long-term reliability as practices grow and evolve. His relationshipfocused approach ensures that every practice receives personalised guidance, continuous support and tailored solutions designed for success.

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CPD: SWALLOW DENTAL SUPPLIES

Peri-implant phenotype: the mucosal seal — an overlooked cornerstone of implant health Swallow is delighted to bring you this article, with the aim of supporting the ongoing CPD needs of dental healthcare professionals in improving and maintaining the oral health of their patients Aims To explore the importance of the peri-implant mucosal seal and peri-implant phenotype in longterm implant health, with particular focus on how EthOss can support the development of a stable biological environment for bone regeneration and soft-tissue healing. Learning objectives: • Explain the key anatomical and biological differences between the periodontal seal around natural teeth and the mucosal seal surrounding dental implants. • Identify the three components of the peri-implant phenotype — keratinised mucosa width, mucosal thickness and supracrestal tissue height — and understand their influence on peri-implant health. • Recognise how surgical and restorative techniques can help preserve the peri-implant mucosal seal, including minimal tissue disturbance, appropriate implant positioning and the “one abutment, one time” concept. • Describe how EthOss supports the regenerative environment, including its in-situ cell-occlusive barrier, maintenance of periosteal contact and potential contribution to osteogenic, angiogenic and soft-tissue healing processes. • Understand how creating and protecting a stable biological bed may support predictable bone regeneration, softtissue healing and long-term peri-implant health. Learning Outcome: C For decades, osseointegration was the benchmark by which we judged an implant successful. Yet with an estimated 130,000 implants now placed each year in the UK — a figure thought to have roughly doubled over the past decade (Association of Dental Implantology, 2012, cited in Dentistry.co.uk, 2018) — and more than 1.2 million across Europe (European Association of Dental Public Health, cited in Market Data Forecast, 2025), and with roughly one in five patients affected by peri-implantitis (Diaz et al., 2022; Galarraga-Vinueza et al., 2025), the assessment of periimplant health has become part of the clinician's daily routine (Chin, Rees and Addy, 2020). As the profession moves from seeing osseointegration as passive bonding towards understanding it as a controlled response to a foreign body — a defensive mechanism that allows an implant to be seated, surrounded by bone and a soft-tissue seal (Trindade et al., 2016; Albrektsson et al., 2023) a second realisation follows. The soft-tissue seal surrounding the implant is an equally, if not more, important factor influencing its longevity, function and aesthetics (Thoma et al., 2018).

Tooth versus implant: two different seals

In everyday practice, knowingly or not, patients and clinicians compare the periimplant seal against the periodontium — and it is worth being explicit about how the two differ, because their mere visual similarity hides deep histological and functional distinctions. Those distinctions dictate how the tissue behaves, heals and defends itself.

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Around a natural tooth, the soft-tissue collar is anchored by a periodontal ligament, into which collagen fibres insert perpendicularly, encircling the root in a tight cuff. That ligament also carries a rich blood supply and a reservoir of stem cells, giving the gingiva a living, self-renewing attachment with true regenerative capacity. Crucially, the seal is also an effective barrier: the junctional epithelium is deliberately

semi-permeable — porous enough to permit immune surveillance through the flow of crevicular fluid and neutrophils — while the dentogingival complex as a whole, reinforced by its inserting fibres, forms a strong bond that protects the underlying submucosal tissue from pathogen penetration (Bosshardt and Lang, 2005). Around an implant, none of this exists. There is no ligament and no cementum, so

To complete the questions and gain one hour of CPD, visit https://cpd.the-probe.co.uk/

the fibres run parallel and circular to the titanium, lying against it rather than inserting (Berglundh and Lindhe, 1996). The connective tissue itself differs in kind — roughly 85% collagen and only about 3% fibroblasts, closer in character to scar tissue than to healthy gingiva (Berglundh et al., 1991; Araújo and Lindhe, 2018). The blood supply is scarce: where the gingiva draws on three sources, the peri-implant mucosa is fed

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CPD: SWALLOW DENTAL SUPPLIES (Abrahamsson, Berglundh and Lindhe, 1997; Tallarico et al., 2018). Customised healing abutment. A customised abutment fitted at surgery and left undisturbed shapes the emergence profile and lets the seal mature without a single disconnection — the practical embodiment of the principle above.

Building the biological bed

by supraperiosteal vessels alone (Berglundh et al., 1994). And the barrier itself is weaker. The peri-implant epithelium is thinner and longer; its hemidesmosomal attachment is confined to its most apical portion and its basal layer is thin; together with the parallel fibre orientation, this leaves the seal far more permeable, and bacteria breach it with greater ease (Ivanovski and Lee, 2018). In peri-implantitis, that failure is measurable — the epithelial barrier becomes visibly leakier, losing the junctional proteins that normally hold it tight (Ivanovski and Lee, 2018). The clinical consequence is a barrier that is more permeable to plaque, slower to repair and less able to defend its own margin. We cannot rebuild the periodontium — but we can recognise what we are working with and design around it. That begins with the peri-implant phenotype.

The peri-implant phenotype

If we cannot recreate the periodontium, the practical question becomes which features of the peri-implant soft tissue we can influence. That is captured by the peri-

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implant phenotype — a term introduced by Avila-Ortiz and colleagues (2020) to replace the older, more static notion of "biotype," and chosen deliberately because a phenotype can be modified. It has three measurable components: Keratinised mucosa width (KMW) — the band of keratinised tissue around the implant. Below 2 mm, sites show more plaque, inflammation, discomfort and mucositis; an adequate band supports cleaning and comfort (Tavelli et al., 2021). Mucosal thickness (MT) — the buccolingual thickness of the mucosa, which stabilises the margin, resists recession and helps screen the marginal bone. Supracrestal tissue height (STH) — the vertical soft-tissue dimension from crest to margin. A thin STH is linked to greater early marginal bone loss, whereas augmenting it can protect the crest (Linkevicius et al., 2009; Diaz-Sanchez et al., 2019). Together, these three turn a vague sense of "good tissue" into numbers we can measure — and targets we can build towards. The rest of this article is about how.

Designing out disturbance

If the peri-implant seal heals slowly and scars easily, the single most valuable thing a clinician can do is disturb it as little as

possible, and to help its establishment at every step. Four choices help. Immediacy. Placing — and, where the case allows, provisionalising — at the time of extraction preserves the existing softtissue architecture and consolidates healing into one event rather than a series of insults. Tissue-level or transcrestal implants. Keeping the implant–abutment interface supracrestal and the transmucosal collar in one piece lets the seal form once, against an undisturbed surface and away from the crest — the opposite of a crestal microgap that is opened repeatedly (Hermann et al., 1997). Minimal surgery — no needless re-entry. Designing a single surgery that delivers an ample volume of both bone and soft tissue removes the need for re-entry altogether — an approach that also reduces patient morbidity, which should not be overlooked. Every re-entry re-wounds tissue that is already scarprone. Repeated abutment disconnection and reconnection disrupts the mucosal seal, shifts the connective-tissue attachment apically and costs roughly 0.15–0.2 mm of bone per disconnection; placing a definitive abutment once and leaving it — the "one abutment, one time" concept — reduces mean marginal bone loss by about 0.4 mm at one year

With disturbance minimised, the second lever is the healing environment itself. EthOss. Its calcium-sulfate phase sets in situ to form a cell-occlusive barrier — sealing and protecting the graft without a membrane, while leaving the periosteum, rich in mesenchymal stem cells, and its blood supply in direct contact with the site (Leventis et al., 2016; Fairbairn et al., 2018). Beyond the barrier, the ionic environment may be actively helpful: calcium ions participate in the laminin-332 pathway that drives epithelial hemidesmosome sealing (Jin et al., 2024), and calcium-phosphate materials upregulate osteogenic and angiogenic (VEGF) gene programmes — a pro-vascular, pro-sealing milieu (Suter et al., 2026). An oxidised regenerated cellulose matrix (e.g. BloodSTOP iX) gels on contact with blood, stabilising and protecting the clot, activating coagulation, then resorbing cleanly into glucose and water without impairing wound healing or bone formation — a protected, undisturbed clot to build on (LifeScience PLUS, no date). Lactoferrin (bluem®m Oral Gel). For post-operative care, an oxygen-releasing lactoferrin gel aims to support healing — antibacterial, anti-inflammatory and pro-angiogenic — without the fibroblast toxicity that chlorhexidine is known to cause, at appropriate concentrations (Lambarte et al., 2025). n References available upon request.

About the author Jakub Batycki (PGdip Oral Surgery, PGdip Implantology)

CPD Questions 1. Which of the following is a key difference between the soft-tissue attachment around a natural tooth and around a dental implant? A. Collagen fibres insert perpendicularly around both teeth and implants B. Implants have a periodontal ligament but no cementum C. Collagen fibres around implants run parallel and circular to the implant surface rather than inserting into it D. Peri-implant mucosa has a richer blood supply than natural gingiva 2. Which three components make up the peri-implant phenotype described in the article? A. Keratinised mucosa width, mucosal thickness and supracrestal tissue height B. Implant diameter, mucosal thickness and bone density C. Keratinised mucosa width, implant length and crestal bone height D. Mucosal thickness, probing depth and implant stability The Probe | September 26

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3. According to the article, what is a key benefit of the “one abutment, one time” concept? A. It increases keratinised mucosa width B. It eliminates the need for osseointegration C. It reduces disruption of the mucosal seal and can reduce marginal bone loss D. It allows the implant–abutment interface to be repeatedly adjusted during healing 4. What role does the calcium-sulfate phase of EthOss play in supporting the healing environment? A. It creates a permanent non-resorbable membrane around the implant B. It sets in situ to form a cell-occlusive barrier while allowing the periosteum and its blood supply to remain in direct contact with the site C. It prevents vascularisation of the graft during early healing D. It replaces the need for soft-tissue healing around the implant

To complete the questions and gain one hour of CPD, visit https://cpd.the-probe.co.uk/

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EVENTS

Rethinking orofacial pain Improving the diagnosis of orofacial pain can prevent unnecessary treatment and transform patient outcomes. Ahead of her Dentistry Show London presentation this October, Professor Tara Renton explains how

ne of the biggest challenges that I see in dental practice is recognising when pain is not coming from the tooth at all. Toothache is one of the most common reasons patients seek dental care, yet there are around 200 different pain diagnoses that can occur above the neck, many of which can mimic toothache. That means patients can undergo repeated restorations, root canal treatment or even extractions, only to discover that the underlying cause of their pain was something different. The consequences can be profound; patients continue to live with persistent pain while clinicians become increasingly frustrated that treatment is not delivering the expected outcome. That is why I believe one of the most important skills we can develop is recognising when something is not adding up. If the treatment is not working, do not keep repeating it. Ask yourself a simple question: ‘what else could be causing this?’

Looking beyond the tooth

Dentists are trained very well to diagnose toothache caused by dental disease, but conditions such as migraine, cervicogenic referred pain, temporomandibular disorders and neuropathic pain can all present in a very similar way. More rarely, serious pathology such as cancer can also mimic toothache, and that is something you do not want to miss. One of the reasons these patients remain so challenging is that we are all trained in silos. If you go to a dentist with pain, you are likely to have dental treatment. If you go to a neurologist, you are likely to be prescribed medication. If you go to an ENT surgeon, you may undergo investigations or treatment that are entirely appropriate for their specialty. We all have our own perspective because that is how we are trained. There is a famous saying that if the only tool you have is a hammer, every problem looks like a nail, and I think that describes healthcare remarkably well.

Thinking differently about diagnosis

What really helps is taking a structured approach to diagnosis. We now have the first International Classification of

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Orofacial Pain, which gives us a much clearer framework for understanding both acute and chronic pain conditions. Just as importantly, it reminds us that not all pain has the same underlying mechanism, and that is fundamental to choosing the right management pathway. Perhaps the biggest change I have seen during my career is recognising that we cannot manage many of these patients in isolation. I do not think we can sit in a room and diagnose and manage every patient by ourselves anymore. We need a much more multidisciplinary approach, and we also need to understand the patient, not just the pain. When I assess someone now, I am not just thinking about where the pain is, when it started or what caused it. I am also thinking about whether they are sleeping, whether they have anxiety or depression, whether they have experienced trauma, and all the other factors that can make someone more susceptible to chronic pain or increase its severity. We now have screening tools that help identify where patients may need additional support. That holistic approach has transformed the way we understand these patients, alongside exciting advances in imaging. For the first time, we are beginning to see nerves on MRI scans, which could help us identify nerve injuries much earlier and optimise outcomes for patients. As our understanding continues to grow, we have greater confidence to stop, draw breath and think differently. Sometimes the most important decision we make is not which treatment to provide next but recognising when it is time to reconsider the diagnosis and involve another colleague.

Supporting better decisions

I also think AI has enormous potential to support clinicians, but it should never replace clinical judgement. Dentistry is already embracing AI, particularly in areas such as imaging, and I am involved in developing a diagnostic web app that aims to help patients answer structured questions and be signposted to the right healthcare professional. We are still a long way from that becoming routine, but I do think that is the direction of travel.

Tara Renton is Professor of Oral Surgery at King’s College London and an internationally recognised authority on trigeminal nerve injuries and orofacial pain. Through her research, education and clinical practice, she has dedicated her career to improving the diagnosis and management of complex pain conditions. She is also the founder of orofacialpain.org.uk and trigeminalnerve.org.uk. Used appropriately, AI could help identify patterns that clinicians might otherwise miss, acting as a prompt to reconsider a diagnosis before repeating the same treatment. But it is only ever a tool: the clinician’s knowledge, experience and critical thinking remain the most important part of the diagnostic process. For me, the most important message is that we should feel more confident when managing these patients. We have better diagnostic frameworks than ever before, growing opportunities to work collaboratively across disciplines and a much greater understanding of these complex conditions. These are some of the themes I will be exploring in greater depth at Dentistry Show London, but the most important thing we can all do is stop, ask what else could be causing the pain, and think differently about the patient sitting in front of us. 

Continue the conversation at Dentistry Show London! Professor Tara Renton will explore these themes in greater depth during her presentation, Tooth be or not tooth be? Orofacial pain: diagnosis and management, issues and solutions using AI, at Dentistry Show London. To find out more and register free of charge, visit london.dentistryshow.co.uk

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Dentistry Shows

@dentistryshowCS

Dentistry Shows

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Gain more, grow faster, get ahead. Dentistry Show London stands at the centre of a profession in transformation. As AI reshapes diagnostics, private dentistry grows, workforce dynamics evolve, and NHS reform shapes care, DSL unites the sector to navigate what’s next. With 100+ leading speakers, 100+ hours of Enhanced CPD education, and 180+ exhibitors, it delivers practical insights, new connections, and real opportunities, helping practices and teams thrive in a rapidly changing UK dental landscape.

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events

The time to talk about menopause is now We caught up with Claire Berry ahead of her presentation with Ben Tighe at GBT Summit World Tour London 2026 to find out why menopause belongs in the dental conversation and what it could mean for everyday patient care

onversations around menopause have moved firmly into the mainstream. UK newspaper coverage was seven times higher in 2021 than two decades earlier, with public interest continuing to grow in the years since (Orgad & Rottenberg, 2024; Farina et al., 2026). However, the potential impact of menopause on oral health remains far less widely discussed. For dental professionals seeing patients regularly, this presents an important opportunity. Hormonal change can have implications for the mouth, while changes noticed during routine oral care can provide a starting point for wider conversations about a patient’s health. ‘Oral healthcare is changing,’ says Claire. ‘We are seeing increasing recognition of the relationship between oral health, systemic health, hormonal health and lifestyle, alongside growing expectations from patients for more personalised and preventive care.’ These connections will come under the spotlight at GBT Summit World Tour London this October, where women’s health specialist Dr Nighat Arif will open the day with a keynote exploring menopause and the changing conversation in healthcare, before Claire and Ben bring the subject directly into the dental chair.

Joining the dots

Menopause has the potential to affect the mouth in a number of ways, with Dr Arif highlighting several changes that warrant closer attention. These include dry mouth, burning mouth, gingival inflammation and altered taste, as well as subtle bone loss around the teeth. New or worsening gingival bleeding, recurrent oral discomfort, increased caries risk and signs of periodontal breakdown despite good oral hygiene may also be significant. For Claire, recognising these connections is part of understanding the individual patient and the factors influencing their oral health. Together with Ben, she will explore how dental professionals can bring that understanding into practice through more informed conversations and care that feels personalised, inclusive and holistic.

Closing the healthcare gap

Perhaps the bigger question is why the mouth has remained on the margins of the women’s health conversation for so long. Dr Arif points to the historic separation between medicine and dentistry, with policy, training and funding reinforcing the idea that oral and general health occupy different spaces. Closing that gap creates an opportunity for dental professionals to play a more active role in their patients’ wider health. As understanding of the connections between oral, systemic and hormonal health grows, Claire believes the next step is to turn that knowledge into meaningful changes in everyday care. This means making prevention more personalised,

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measurable and collaborative, and embedding it throughout the patient journey rather than confining it to advice at a single appointment. ‘On Monday morning after the Summit, it might be as simple as moving away from a one-size-fits-all approach,’ she says. ‘Rather than just telling every patient to brush better or clean interdentally, we can use their individual risk profile and clinical findings to have a more relevant conversation. We can make biofilm visible, discuss what the findings mean, agree one or two achievable actions and then review whether those changes have made a difference.’ The aim is to turn clinical data into a conversation, and that conversation into a realistic, individualised plan, with care and recall tailored according to need. For Claire, the value lies in what delegates do next: ‘Whether that’s using risk more effectively, making outcomes more visible, changing their recall philosophy or having more meaningful health conversations, even one change can make a valuable difference.’ n

References

1. Farina FR, Griffith JW, Faubion SS, et al. (2026) Online menopause informationseeking search patterns and commercial content over 2 decades. JAMA Network Open; 9(6): e2616596. doi:10.1001/ jamanetworkopen.2026.16596. 2. Orgad S, Rottenberg C (2024) The menopause moment: the rising visibility of ‘the change’ in UK news coverage. European Journal of Cultural Studies; 27(4): 519–539.

Continue the conversation GBT Summit World Tour London Friday 2 October 2026 30 Euston Square, London tinyurl.com/GBTLondon2026 Menopause is just one of the conversations taking centre stage at GBT Summit World Tour London 2026. Hear from opening keynote speaker Dr Nighat Arif, before Claire Berry and Ben Tighe bring menopause firmly into the dental chair, as part of a packed programme featuring leading voices exploring the latest thinking and practical approaches across oral and systemic health.

About Claire Berry Claire Berry is a multi-award-winning dental hygienist and Swiss Dental Academy trainer for EMS. With a particular interest in the links between oral and systemic health, Claire is passionate about raising awareness of how issues such as menopause can affect oral health.

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spotlight

Understanding James Frith: What might dentistry expect from its new minister? Sara Hurley looks beyond the announcement to consider James Frith MP, the new minister with responsibility for dentistry: what his record tells us, what he brings to the brief and why the profession should be interested

hey say a week is a long time in politics. One week in July 2026 certainly proved the point. Andy Burnham became Prime Minister, Yvette Cooper took over at the Department of Health and Social Care (DHSC), and a new multidisciplinary team of health and social care ministers arrived shortly afterwards, followed by the distribution of policy portfolios.1,2 Dentistry, however, was kept waiting rather longer to discover whose ministerial in-tray the brief had landed in. It was not until the second week of August that the profession finally had confirmation that responsibility sat with James Frith MP for Bury North.2 I’d like to imagine ministers clamouring for the dentistry brief; the reality may have been closer to a polite game of ministerial poker, each waiting to see who blinked first. Regular readers may remember that back in May I borrowed from Yes Minister to imagine the latest custodian of the NHS dental reform file being introduced to a problem that has survived rather more ministers than solutions.3 Three months on, the cast has changed again. The file, unsurprisingly, remains. There is an interesting bit of history here. Yvette Cooper is not entirely unfamiliar with NHS dentistry. As a junior Health minister more than two decades ago she was answering questions about dental access, workforce and inequalities. In 2002, she was talking in Parliament about increasing access to NHS dentistry in lowincome communities and acknowledging the need to address inequalities.4 Then, she was holding the cards she had been dealt. Now, as Secretary of State, she is much closer to dealing them. Andy Burnham’s connection is different. The new GDS and PDS contractual arrangements had already taken effect on 1 April 2006 when Burnham subsequently joined the Department of Health as a minister later that year.5,6 He was therefore not one of the architects of the contract, and Cooper had left the Department several years before its introduction. So describing this as returning to the scene of the crime would be entertaining, but rather unfair. Neither was holding the pen. Both, however, have lived through the consequences. Here we are twenty years later, and many of the same questions about access, workforce and reform remain stubbornly familiar. The difference now is that Burnham and Cooper have their hands on some rather important levers. And now we know the name holding the dental brief beneath them: James Frith MP for Bury North. So who is he, and what might the profession make of him?

Not his first encounter with dentistry

Frith is not discovering NHS dentistry for the first time with his ministerial

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red box. During his first spell as MP for Bury North, back in 2018, he was already asking some surprisingly detailed questions about the service: Units of Dental Activity, NHS contract delivery and the delays experienced by overseasqualified dentists trying to obtain performer numbers. 7 These were not simply the familiar lines from a stakeholder briefing sheet. They were questions rooted in how the service actually works: workforce bottlenecks, undelivered activity and whether the system is doing what it says it is doing. That suggests something useful about Frith. He has previously been prepared to look past the headline and ask what is happening underneath it. Those questions also went to the economics of NHS dental provision and the gap between activity commissioned on paper and care actually delivered. That will sound familiar to many in the profession. Commissioning intent is one thing; turning it into real capacity is another. Funding does not, by itself, produce the workforce, premises or willingness to take on more NHS care. The gap between allocation and delivery remains as relevant today as it was then and now sits squarely within James Frith’s ministerial brief.

Bury North may be useful preparation

There is another thread through Frith’s political record which should interest dental professionals. He talks about health inequality, and not simply as an abstract national problem. Frith has used his own constituency to illustrate the stark differences in health experienced by communities living remarkably close to one another. In January 2025, he told Parliament that a difference of just a mile between postcodes in Bury North could mean seven years’ difference in male life expectancy and five years for women.8 Dental professionals will recognise the pattern immediately: a socioeconomic gradient written into geography. The burden of oral disease is not evenly distributed, and neither is access to care. In too many places, the ability to pay privately has become the dividing line between securing treatment and simply going without. National statistics matter, of course, but they can flatten very different local realities. NHS dentistry does not really have one access problem; it has many, often concentrated in the same communities already carrying the greatest burden of poor health and disadvantage. That is why Frith’s focus on inequality matters. A minister who asks who is missing out, where and why? may get closer to the problem than one satisfied merely with national activity totals. 

James Frith ©House of Commons

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spotlight Not the usual route to the dental brief

Frith has not followed the traditional route into health policy. Before moving to DHSC, he held ministerial responsibilities across digital government and technology. His official biography describes a background in social enterprise and advocacy, and his current portfolio includes NHS data and technology, medtech, medicines, research and innovation, and major and long-term conditions alongside dentistry.2 He is also a musician, an avid sports fan and, more recently, something of a fitness convert. Frith has spoken publicly about losing 20kg over the past year, making regular training part of his life and preparing for a HYROX Mixed Doubles event later this year for charity.2,9 Perhaps not the conventional apprenticeship for overseeing NHS dentistry, although a sense of rhythm, some endurance and an appreciation that progress is usually built through consistency rather than one dramatic intervention may all prove useful. More seriously, there is something potentially valuable in his outsider’s perspective. Primary-care dentistry occupies an unusual place in the NHS. Most practices operate as hybrid businesses, combining NHS and private care and constantly balancing publicservice commitments with the economics of keeping a practice viable. That balance is as ethical as it is financial. Decisions about how much NHS care a practice can sustain sit alongside obligations to staff, premises, regulation, investment and patients. Policy can sometimes flatten that complexity. A minister who understands the realities of running a business and a social enterprise, experience that some might see as having parallels with the mixed NHS/private model of primary-care dentistry, may bring something useful to the brief, particularly when it comes to understanding the gap between policy intent and practice viability.

Ask not what NHS dentistry can do for your ministerial tenure, ask what you can do for NHS dentistry. An interesting portfolio

Frith’s portfolio is broad. That creates an obvious risk. Can he get dentistry heard in a department (and a government) with no shortage of competing pressures? Or does it become one small line in a very large ministerial portfolio? Conversely, that breadth may also be an opportunity. With a background in digital government and public-service delivery, James Frith may come to dentistry asking different questions: Why don’t systems connect better? Why is implementation so slow? And, critically, why are we still much better at counting activity than understanding whether care has actually improved someone’s health? Perhaps dentistry has acquired a minister whose wider brief gives him permission to take it out of its legacy silo and put it back where it belongs, as an integral part of the NHS. That feels particularly relevant to a government talking about making public services work better and changing how government itself operates.10 If dentistry can become a visible part of that wider change (rather than another problem sitting off to one side), there may

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be reason for some cautious optimism. The challenge for Frith is not only to understand dentistry. It is to make sure it matters on the wider agenda.

A crowded in-tray in more ways than one

The profession has, understandably, been quick out of the blocks. The Association of Dental Groups has already offered to brief the new minister. 11 The British Society of Paediatric Dentistry has written openly about the unfinished business in children’s oral health. 12 The BDA has published its own “to do list” for Frith, alongside the wider Fix and Fund NHS Dentistry NOW! campaign. 13,14 This is not simply professional pressure: as at 13 August, the accompanying public petition stood at 43,535 of its 45,000-signature target. 14 The queue for James Frith’s attention started before the desk was properly set up. There is no shortage of people ready to explain what is wrong with NHS dentistry, what must change and what should happen next. He should listen, but perhaps the more interesting question is whether Frith retains enough of his outsider’s curiosity to listen beyond the familiar briefing lines and to ask what a better service might actually look like. His earlier record suggests that he may.

He is not starting from zero

Frith does not inherit a service in which nothing has happened. Stephen Kinnock deserves credit for keeping dentistry on the political agenda and moving the latest quality and payment changes through the system. Shiv Pabary, Chair of the BDA’s General Dental Practice Committee, captured the position rather neatly when he described them as “the biggest tweaks this failed contract has seen in its history.”15 So maybe some of the roughest edges of the 2006 contract have been sanded down, but its foundations remain largely untouched. There is useful work on which to build and no shortage of unfinished business. The detail of what comes next deserves a separate conversation. For now, the more interesting question is what sort of minister James Frith intends to be.

Perhaps give Jo a ring

There is, incidentally, one former dental minister he might usefully speak to. Jo Churchill held responsibility for dentistry between 2019 and 2021.16 In my experience, she was one of the few recent ministers who really began to get under the skin of NHS dental policy. She listened to and understood both the patient and the profession, but she had little patience for policy bluster. When the machinery around her presented dentistry as too difficult, too complex or too awkward to change, she kept pushing for answers, options and action. That matters. Ministers do not need to arrive with every answer, but they do need the persistence to challenge explanations that too easily become excuses for inaction. There is also a rather apt coincidence in the constituencies they have represented: Bury St Edmunds and Bury North. Churchill’s former constituency sits in a region all too familiar with severe NHS dental access problems. 16 So perhaps the MP for Bury North might give the former MP for Bury St Edmunds

a ring. Not because she solved NHS dentistry — she didn’t. None of us did, given the odds we were up against, but Jo Churchill understood that sometimes a minister has to do rather more than read the briefing. Sometimes they have to challenge it.

AI declaration

Ask not…

So what should the profession make of James Frith? Certainly not that another minister has arrived carrying an instant solution. NHS dentistry has proved rather resistant to those. However, there are reasons to be interested. He has looked beneath the dental headlines before. He has seen health inequality through the experience of his own constituency. His background in digital government may encourage him to look at systems rather than simply structures, and his broader portfolio could allow him to reconnect dentistry with parts of the NHS from which it has been separated for too long. What matters now is that the political levers are unusually well aligned. Frith holds the dental brief. Yvette Cooper leads the Department. Andy Burnham sits in Number 10. Between them, there is no shortage of experience of the NHS, health inequalities or the consequences of poor access. So perhaps the challenge for our new minister is an inversion of that famous Kennedy line: Ask not what NHS dentistry can do for your ministerial tenure, ask what you can do for NHS dentistry. And perhaps start with three fairly simple disciplines: Follow the patient. Follow the data. Follow the money. • Follow the patient beyond the headline appointment and ask what actually happened to them. • Follow the data far enough to understand who is getting care, who is not and whether the things we count tell us anything meaningful about health. • Follow the money — not simply how much has been allocated, but where it goes, whether it is spent and what it actually buys. None of that requires Frith to arrive with an instant solution. It requires curiosity, an appetite to get beneath the briefing and enough ministerial support to keep asking the next question. There is one further reason why delivery matters. Raj Rattan has described the risk of “hope fatigue” in NHS dentistry, the point at which repeated promises of reform are met not with optimism, but with frustration and scepticism.[17] It is a phrase that feels particularly apt. Andy Burnham ended his first speech as Prime Minister by talking about making Britain “believe again” and bringing back hope.10 For NHS dentistry, that is quite a test. Hope has been offered before. What restores it is not another promise of reform, but evidence that things are actually changing. James Frith has inherited an old and difficult brief, but perhaps also a rather unusual opportunity. Dentistry could easily remain one small problem on an overcrowded agenda. Or Frith could use it as an early example of what better looks like: an essential service brought back into the wider NHS, and a system capable of turning good ideas into actual delivery. That might just begin to turn hope fatigue back into hope. n

Generative AI (ChatGPT, GPT-5.6 Sol) was used as an editorial aid for formatting, reference organisation and proofreading. All concepts, analysis, argument development, factual selection and interpretation are my own. I reviewed and approved the final text and take full responsibility for its content and accuracy.

References Prime Minister’s Office, 10 Downing Street. Ministerial appointments: July 2026 [Internet]. London: GOV.UK; 2026 [cited 2026 Aug 13]. 2. Department of Health and Social Care. James Frith MP [Internet]. London: GOV.UK; 2026 [cited 2026 Aug 13]. Available from: https://www.gov.uk/ government/people/james-frith 3. Hurley S. The Dental Reform Brief [Internet]. The Probe. 2026 May 22 [cited 2026 Aug 13]. Available from: https://the-probe.co.uk/blog/2026/05/thedental-reform-brief/ 4. UK Parliament. Health: House of Commons debate, 22 January 2002 [Internet]. London: Hansard; 2002 [cited 2026 Aug 13]. 5. UK Government. Explanatory memorandum to the National Health Service (Dental Charges) Regulations 2005 [Internet]. London: The Stationery Office; 2005 [cited 2026 Aug 13]. Available from: https://www.legislation.gov.uk/uksi/2005/3477/pdfs/ uksiem_20053477_en.pdf 6. House of Commons Health Committee. Responsibilities of the Minister of State for Delivery and Quality: oral evidence, 26 October 2006 [Internet]. London: UK Parliament; 2006 [cited 2026 Aug 13]. Available from: https://publications.parliament.uk/pa/ cm200506/cmselect/cmhealth/1691/6102601.htm 7. UK Parliament. Written questions submitted by Mr James Frith: Dental Services; Dentistry: Migrant Workers [Internet]. London: UK Parliament; 2018 [cited 2026 Aug 13]. 8. UK Parliament. NHS Backlog: House of Commons debate, 6 January 2025 [Internet]. London: Hansard; 2025 [cited 2026 Aug 13]. 9. Frith J. The difference a year makes: 20kg lighter [Internet]. LinkedIn; 2026 Aug [cited 2026 Aug 13]. Available from: https://www.linkedin.com/posts/ jamesfrith_the-difference-a-year-makes-20kg-lighteractivity-7492120847265058816-xUrY 10. Prime Minister’s Office, 10 Downing Street. Andy Burnham’s first speech as Prime Minister: 20 July 2026 [Internet]. London: GOV.UK; 2026 [cited 2026 Aug 13]. 11. Association of Dental Groups. ADG welcomes new DHSC leadership and urges inclusion of dentistry as a priority [Internet]. 2026 Aug [cited 2026 Aug 13]. Available from: https://the-probe.co.uk/ blog/2026/08/adg-welcomes-new-dhsc-leadershipand-urges-inclusion-of-dentistry-as-a-priority/ 12. British Society of Paediatric Dentistry. Open letter welcoming Yvette Cooper MP and James Frith MP to ministerial roles covering dentistry [Internet]. 2026 Aug [cited 2026 Aug 13]. 13. British Dental Association. To do list for the new minister for dentistry, James Frith MP [Internet]. LinkedIn; 2026 Aug 12 [cited 2026 Aug 13]. 14. 38 Degrees. Fix and fund NHS Dentistry NOW! [Internet]. 2026 [cited 2026 Aug 13]. Available from: https://you.38degrees.org.uk/petitions/fix-and-fundnhs-dentistry-now 15. British Dental Association. England: interim change may help but cannot be end of the road [Internet]. London: BDA; 2025 Dec 16 [cited 2026 Aug 13]. 16. Department of Health and Social Care. Jo Churchill [Internet]. London: GOV.UK; [cited 2026 Aug 13]. 17. Rattan R. Views from the profession: an interview with Raj Rattan MBE [Internet]. Christie & Co; 2025 May 10 [cited 2026 Aug 13].

About the author Sara Hurley CBE served as Chief Dental Officer for England from 2015 to 2023. During those eight years she worked under five Secretaries of State and eight ministers responsible for dentistry, and at times, continuity itself felt like a policy ambition. She now enjoys advising, writing and working with the profession, bringing a clinician’s eye to policy, and where useful, shining a light into some of its darker corners.

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education

AI won’t replace dental educators and trainers – but it will be an important part of our future The chalk-and-talk era of dental training is ending. Professor James Field on why AI and VR are becoming essential tools for educators – not threats to them – and why the profession can’t afford to wait

here is a quiet fear in medical and dental education today that artificial intelligence and virtual reality will soon render the human educator and trainer obsolete. While it’s very unlikely that AI will entirely replace human-led learning for practical-based oral health disciplines, we are already seeing a huge increase in AI-assisted learning tools. There is no doubt that the traditional ‘chalk-and-talk’ method of communicating and imparting knowledge is rapidly dying. The way in which we teach and simulate operative care is also becoming rapidly operationalised by AI. Dental schools and training centres will need to think very carefully about how to position their use of AI-assisted technologies going forwards – particularly when some of the technologies for giving clinical feedback on operative tasks are shown to be more accurate and reliable than experienced clinical tutors. While advancements in AI may take getting used to, it is of course inevitable. The AI system is consistent. It’s reliable. It doesn’t fatigue or become desensitised to repeat scenarios. It doesn’t avoid giving difficult or negative feedback. And, whether we like it or not, it is likely more cost effective to use it for teaching and assessing students, at least in part, compared to a traditional fully human workforce. What we need to do now is to evolve and elevate our approach. What can we ask AI to do that has traditionally taken up so

much of our valuable and costly time? What can we then spend our time doing which better supports our students and trainees? One example that rides on the back of this wave of innovation is how dental educators and trainers are working to design AI agents that provide learners with interactive, realistic patient simulations that solve a number of traditional logistical headaches. With AI agents, we can set hidden guardrails for patient behaviours and grant students much greater access to low-stakes practice time that would otherwise be impossible to facilitate. However, this technology must be viewed for what it currently is: a powerful supplement to, not a replacement for, our esteemed educators. Evidence shows that students strongly prefer to have a clinical teacher in the room during live VR exercises, despite knowing that the feedback the system provides is accurate and reliable. VR simply ensures that by the time students sit down with their human tutors – or their human patients – they have the potential to be significantly more prepared and more confident in carrying out operative interventions. For me, one of the most significant benefits of harnessing VR for operative dental training is the reduced ecological cost, compared to our traditional training models. The dental profession carries a significant environmental footprint, generating immense physical waste in the form of PPE and microplastic waste.

The heavy reliance on plastic teeth in training directly contributes to the crisis of microplastics entering our water systems. Moreover, the constant need for patients, actors, and staff to travel to physical training facilities historically stands as the single biggest contributor to our industry’s carbon footprint. By shifting a substantial portion of our education into the virtual realm, we could significantly reduce both plastic waste and travel-related emissions. Of course, institutional inertia and barriers to widespread adoption remain. The high upfront costs of VR units and AI-systems, coupled with a lack of understanding and willingness to change among some educators and institutional decisionmakers, are significant hurdles. But as our planet faces ecological pressures and our educational systems strain under demand, clinging to the status quo is a far more dangerous risk. The long-term benefits of investing, in part, in AI-based technologies are simply too great to ignore. As educators and leaders in the dental profession, we have a responsibility to explore, test, and embrace innovations that assist us in producing a new generation of highly skilled, confident, and environmentally conscious practitioners. I believe that as a profession, we must commit to robustly exploring and, where appropriate, implementing these emerging tools to ensure our training remains at the global forefront, ready to meet the challenges of tomorrow. n

Professor James Field will be delving deeper into these issues at the Dental Triennial Conference hosted by the RCSEd (October 22nd–23rd). Join him for his session, “Training in a Virtual World,” at 10:00 am on October 22nd, where he will cover workflow innovation, AI-powered patient simulation, and the sustainability impact of VR in dental training. Established in 2016 by the Royal College of Surgeons of Edinburgh, the Faculty of Dental Trainers (FDT) is the first body of its kind in the UK dedicated specifically to supporting and recognising those involved in dental education. The Faculty’s core mission is to enhance patient care and safety by promoting exceptional teaching standards and officially rewarding dedication to training. Discover how the Faculty supports the dental education community at fdt.rcsed.ac.uk.

About the author Professor James Field is Chair of the FDT as well as a Professor of Dental Education and Restorative Dentistry based in the University Dental Hospital, Cardiff.

BACD Annual Conference – a platform for international excellence

he opportunity to hear from and engage with international dental experts is a privilege that many members of the British Academy of Cosmetic Dentistry (BACD) value. That’s why the academy invites speakers of the very highest calibre to lead conversations, presentations, and hands-on workshops at its various highly anticipated educational events. This year, the BACD 22nd Annual Conference – themed “Future Frontiers” – will host a thrilling speaker line-up, featuring individuals from both the UK and abroad. Bringing unique insights and fresh ideas from across the pond will be Professor Dr Markus B. Blatz. He is Professor of Restorative Dentistry, Chairman of the Department of Preventive and Restorative Sciences, and Assistant Dean for Digital Innovation and Professional Development at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania. Markus is also the founder of the Penn Dental Medicine CAD/CAM Ceramic Centre, which studies emerging technologies and new ceramic materials in the pursuit of exceptional aesthetic dentistry. With many other accolades and achievements to his name,

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Markus is a prominent figure in the global field and a huge asset to the BACD Annual Conference 2026. His talk will be titled “Mastering minimally invasive indirect restorations in aesthetic dentistry” and will provide a detailed clinical update on aesthetic treatment options. Within the session, Markus will explore hot topics like adhesive bonding and the use of zirconia for restorations. He will also answer the big questions being asked right now, using sound scientific principles and extensive personal experience. Attendees will leave the session with a greater understanding of modern ceramic materials and their indications, as well as being more informed about the latest CAD/ CAM technologies on the market. Clinicians will also gain a wealth of practical advice and guidance on how to optimise outcomes when providing ceramic restorations in a wide range of situations. Strengthening the American contingent with insights from Florida, Dr Diana Tadros will join the BACD Annual Conference this November as well. Diana is a highly-esteemed clinician providing exceptional cosmetic dental treatment from her boutique private practice in Fort Lauderdale, Florida. A Fellow of the

American Academy of Cosmetic Dentistry, Diana is also a well-respected teacher and lecturer in the field of digital design at the eminent Kois Center. Furthermore, she is the founder of Exocad Elite, a training continuum that simplifies 3D printing and digital workflows for long-lasting reliability and a streamlined professional workflow. Diana will present both a handson workshop and a lecture in the main programme at the BACD 22nd Annual Conference. The workshop – “Dive into Digital Wax-ups” – will give attendees an opportunity to design their own digital waxups as they become more familiar with the process and the technology available. In the main programme, Diana will present The Digital Road to Treatment Success as she discusses the entire digital workflow and the positive impact it can have on the quality of patient care delivered. She commented: “This interactive, content-packed lecture guides participants through the full digital workflow – from designing cases with precision and bringing them to life with 3D printing, to presenting them in a way that truly connects with patients. We’ll cover how to maximise digital tools in everyday practice, simplify your workflow, and boost

case acceptance through more engaging and confident treatment presentations for varying case types. “Further, we’ll dive into how to translate your treatment plans and strengthen communication with your specialists and labs to achieve optimal results. Whether you’re just starting with digital dentistry or looking to sharpen your skills, this session is packed with practical tips, real cases, and ideas you can use right away.” Whether you’re looking to advance your skills and confidence in cosmetic dentistry, to gain inspiration for your career development, or to connect with likeminded peers, the BACD 22nd Annual Conference should not be missed. It is a platform for excellence on an international stage. n BACD 22nd Annual Conference 13- 14 November 2026 Royal College of Physicians bacd.com/annual-conference/

About the author Dr Carol Somerville Roberts, President of the BACD.

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Back Britain by buying British

lobalisation has brought the world closer together. Yet at the same time it has made it harder for Brits to buy British goods due to the competition with cheaper options from abroad. A recent survey identified the need for improving the availability of British-made products, with 36% of consumers struggling to find British goods. This is something worth supporting – consider the benefits of British beef, produced to some of the highest welfare standards in the world, and how buying it supports local farmers. British-produced goods therefore come with a stamp of quality, and this extends to the dental industry and infection control products, ensuring a high level of patient care. It can be hard to define what ‘buying British’ actually means, but to qualify, the produce must be produced, manufactured or assembled within the UK. As such, there are a multitude of reasons to back British brands.

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Infection control is a core pillar of the daily workflow in a dental practice. As such, infection control products used in the country should be compliant with UK standards to be able to make certain claims, ensuring safe use and protecting patients. EN 14885 lists the tests required to make claims for disinfectants and the organisms it is effective against. This is not mandatory, but the testing the standard refers to is in order to make claims about the effectiveness of the product. For instance, a product marked with EN 13727 or EN

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Buying British products strengthens the reliability of your supply chain. 2025 saw the disruption caused when imports and exports are raised; a time when 67 per cent of consumers were concerned about the inflated costs of products bought outside of the UK. The last six years in particular have reinforced the impact global events have on our everyday lives, with companies seeing increased costs due to changes in the supply chain. For dental practices, price surges can alter the monthly and annual finances of the business, making it harder to budget and running the risk of raising costs for patients. By supporting British businesses, you can access a more consistent and reliable supply chain. Whilst increases may be inevitable, using products that are manufactured and sold in the UK reduces anxieties over global events and the knock-on impact on your practice. British companies also have geographical benefits: proximity to the practice means easier and faster delivery journeys, whilst the communication channels are also clearer – no time zone differences, no international calling charges,

no language barriers. This is vital if you need to report an error.

Reducing miles to metres

Dentistry must play its role in reducing its environmental footprint. A study into sustainability practices in the dental industry identified the following as areas to improve: • Management of hazardous waste • Reducing, reusing and recycling waste • Using sustainable dental and oral hygiene materials • Consumption of energy and water Whilst these are the main areas that a practice should consider to lower its carbon footprint, you should also assess where your products and deliveries are coming from. A government study observed a 3 per cent increase in the UK’s carbon footprint as a result of emissions from imported goods, emphasising the long journeys and fuel used to transport goods from abroad. In contrast, in 2022, emissions relating to the consumption of goods and services produced in the UK were 43 per cent lower than in 2001. This is double-edged – whilst the lower number could be due to lower levels of British manufacturing, it could also be a reflection of the sustainable practices that British businesses have enacted to reduce emissions. By buying British dental products, your practice can play its part in bringing down the UK’s – and the world’s – carbon emissions by supporting shorter journeys.

A brand to trust

For a reliable supplier of infection control products, look no further than Dentisan. Able to deliver and educate across the UK,

Dentisan is a British brand you can trust, with an expansive portfolio that is HTM 01-05 compliant and filled with reliable solutions. Committed to sustainability, Dentisan is here to support your practice, patients and the wider world. The benefits of supporting British businesses are too good to ignore, from reducing your carbon footprint to guaranteeing that regulations are met. In an uncertain world, trust in British businesses to enhance your dental practice and ensure a reliable and quality-driven workflow for your patients. For more information about Dentisan, please visit https://dentisan.co.uk/ n

About the author Jenny Nixon, Business Development Director at Dentisan.

Exciting opportunities await

re you looking for a new position that will challenge, support and reward you? At Clyde Munro, we meet the demands of patients and accommodate new positions for dental professionals to fill, providing a powerful framework in which you can level-up your skills, knowledge and overall workplace satisfaction. Across Scotland, Clyde Munro has developed a strong network of 65 dental practices, each filled with reliable and talented clinicians. This success has enabled Clyde Munro to focus on increasing the number of NHS patients that can be treated, and practices that can bring in another dentist to help this have been identified.

Provide better healthcare for all

The benefits of wider NHS dental availability are far-reaching. In recent years, some patients have resorted to DIY dentistry rather than face the cost of professional treatment, potentially exacerbating their oral health issue. This level of desperation must be reduced to preserve the health of patients. If there are more NHS appointments in a certain area, it ensures earlier detection and intervention for oral diseases and reduces pain for vulnerable patients. The impact of this is enormous: it relieves pressure on the emergency services by tackling problems early, improving quality of life for all. Clyde Munro are delighted to offer more NHS appointments and help communities

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achieve a consistent standard in their oral health. This means expanding our practices, adding fully operational surgeries to meet the demand. If you are a dentist looking for a change of scenery and the many perks of joining the Clyde Munro network, the following locations have openings for new positions: • Roxburgh, Galashiels • Torwood, Inverness • Larkhall, Glasgow • Queen Street, Peterhead • Daisybank, Orkney • Fort William • Perth • Oban • 1-2-1 Dental Practice, Arbroath • Stevenston • Alloway Place, Ayr Jo Hood, Head of Clinical Recruitment & Development at Clyde Munro, shares the value of the opportunity: “Expanding our practices with additional surgeries is a strategic investment in the future of dental care across Scotland. We know that demand for NHS dental services continues to outpace capacity in many communities, particularly in areas where families have found it increasingly difficult to access routine care. “By increasing our clinical capacity, we’re creating the opportunity to welcome more patients, reduce barriers to access and support the long-term sustainability of our practices. At the same time, these new surgeries allow us to recruit and retain

more talented clinicians, ensuring we have the workforce needed to meet growing patient demand. “Our ambition is simple: to make it easier for more children and families to receive the high-quality dental care they deserve. Investing in our facilities is an investment in healthier communities and demonstrates Clyde Munro’s long-term commitment to improving access to care across Scotland.”

The greatness of Growth Roles

Each position will be a Growth Role, providing unmissable benefits to dentists. The financial advantages are excellent, with Clyde Munro offering 2 years of protected earnings at £2,500 pcm until capitation payments have reached the same threshold. A welcome bonus is also included. On the educational side, Growth Role dentists are supported with a dedicated induction and clinical help as they transition into a new clinical environment, whilst ongoing one-to-one clinical advisor and operational support meetings ensure you are confident in the daily workflow. There is also free education eligibility to the Flying Start Programme, worth 25 hours of CPD and £5,000. Each available position exists to provide more NHS dental appointments and give dentists the opportunity for a new chapter that is educationally, financially and emotionally rewarding. This has only been made possible by the outstanding growth Clyde Munro has seen recently

– recruitment success has only been matched by superb retention, with the principal focus having pivoted from filling vacant chairs to adding them, a fantastic achievement during a time where many dental practices are having to close their doors on NHS patients.

Become part of something greater

For those who join Clyde Munro through one of our Growth Role opportunities, you will be a part of an existing, thriving team of dental professionals. It is this collaborative culture that makes a career within Clyde Munro so rewarding, with dentists managing a healthy work-life balance without compromising on professional opportunities and clinical progression. If you are invested in improving oral care access to at-risk communities, a Growth Role is the position for you. Rewarding in all the right ways, as a Clyde Munro dentist you will be part of a positive shift to enhance NHS appointment availability. Discover the benefits of a career with Clyde Munro today. To find out more about the career opportunities with Clyde Munro visit careers.clydemunrodental.com/dental-care-roles n

About the author Jen Stewart, Talent & Development Coordinator, Clyde Munro.

The Probe | September 26

01/09/2026 17:49:59

www.the-probe.co.uk

curaprox

The important tick in women’s health

alf of the world’s population is female, which means half of the world’s population is going to experience menopause. This natural life stage happens when a person no longer has a period after 12 months and may experience any one of the 48 recognised menopause signs, such as brain fog, mood swings and hot flushes. The body’s natural shift in hormonal activity can also have an impact on social relationships, sleep, work productivity and overall wellbeing. Solutions that can help to improve the everyday experience of menopause is invaluable – this is where Curaprox can help. There are many products designed to help support menopause signs, such as herbal remedies like ginseng or evening primrose oil. There are many products designed to support menopause signs, but this can be overwhelming for women seeking trusted solutions to support their signs. That’s why the Curaprox range of CS 5460 toothbrushes and Travel Kits are MTick-certified by GenM, to help you search, source and shop with confidence.

What is the MTick?

The MTick is an independent certification and shopping symbol for menopausefriendly products that helps 15.5 million menopausal women discover products that help support any one of the 48 menopause signs. This includes acne, anxiety, muscle tension and dental problems.

September 26 | The Probe

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2. Thorough testing, with clinical or user trials featuring menopausal women and notable statistical differences found for managing a specific menopause sign. 3. A high level of functionality or material choice that has been proven to support a menopause-related need through independent testing. The MTick is a universal mark of trust which empowers women to search, source and shop with confidence, knowing that each product has been independently assessed as suitable to support one or more of the 48 recognised signs of menopause. The MTick does not position any product as treating or medically managing menopause, but demonstrates that a product has been evidenced to support one or more of the 48 signs of menopause, to help women navigate their menopause with confidence and trust. To achieve the MTick, brands and retailers must undergo an independent certification process, where products are rigorously tested and assessed against strict criteria to demonstrate how a product can help support at least one specific menopause sign. The criteria require products to meet at least one of the following: 1. Robust scientific evidence on its effectiveness from authorised regulatory bodies. These assess the medicinal, cosmetic and/or health attributes of the product relating to the menopause sign.

How the MTick helps oral health

Whilst many may be unaware of the link between menopause and oral health, the MTick helps cut through the confusion. Curaprox is honoured to carry the MTick symbol on two of its products: the CS 5460 and the Travel Kit. The reasoning is simple: hormonal changes during the menopause affect blood circulation, leading to inflamed and sensitive gingivae, which bleed when brushed too roughly. To support this, the CS 5460 is set apart by its ultra-fine Curen filaments, densely packed together on an angled brush head to optimise cleaning power. Made of an extremely soft polyester, the Curen filaments are tough on plaque but extra gentle on the gingivae, ensuring a comfortable cleaning experience that helps women manage one of the more overlooked menopause signs. The CS 5460 is also included in a Travel Kit, where it can be collapsed into two compact halves for optimised storage. Combined with a Be You toothpaste and two CPS interdental brushes, the Travel Kit contains everything needed for a comprehensive oral hygiene routine whilst

on the move. The small size makes packing even easier, with the potential to fit in a pocket. For women on the go, the Travel Kit is an oral health essential proven to support sensitive gingivae that can be caused by menopause, which is why it has been awarded MTick certification.

Healthier horizons

The MTick symbol represents the gold standard in managing menopause signs, with dental practitioners able to both raise awareness of the link between menopause and potential periodontitis and recommend the oral care solutions that will enhance their hygiene outcomes and improve their overall quality of life. The CS 5460 toothbrush and the Travel Kit from Curaprox sit at the forefront of a better future, one where women are guided by the MTick to health products that can help support the dental issues that can accompany menopause. To arrange a Practice Educational Meeting with your Curaden Development Manager please email us on sales@curaden.co.uk n

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patient plan direct

Considering NHS conversion? Start by exploring your options, says Harriet Mordecai, Business Development Manager at Patient Plan Direct

oving away from NHS dentistry is one of the biggest decisions a practice owner can make. It can affect the whole practice: the patients, team, finances, clinical approach and long-term direction. It is therefore entirely understandable that many owners and principal dentists feel uncertain about taking the first step. However, that first step does not need to be a commitment to convert. It can simply be a discussion. At Patient Plan Direct, we encourage practice owners to explore what an NHS-to-private conversion could mean for their practice. Every practice is different, and there is no one-size-fits-all approach. Your NHS contract, patient base, team, financial position, challenges and future plans all need to be considered before any recommendations can be made. An initial, no-obligation conversation with us, gives us the opportunity to get a true understanding of the practice, your personal circumstances and explain the different options available. The outcome may lead to discussions about a full-practice conversion, a clinician-led conversion or, in some cases, introducing a private membership plan alongside your NHS provision. Importantly, we’ll be honest if we don’t believe conversion is currently the right option for your practice or personal circumstances. We would never re c o m m e n d p ro c e e d i n g unless we were confident in its potential for success. Every conversion is meticulously planned and guided by the finely tuned process we’ve developed since Patient Plan Direct was founded in 2009.

Learning from a successful conversion

One practice I have had the pleasure of supporting is Thomas and Stroud Dental Surgery in Newport.

Harriet Mordecai was financially viable and that their patients and team would be supported throughout the change. Careful planning, realistic financial forecasting, team training and clear patient communication were therefore central to the process. The outcome has been hugely successful. At the time of writing, m o re t h a n 2 , 7 0 0 f o r m e r N H S patients have joined the practice’s private dental membership plan. The practice has also invested in new technology to further enhance its services. Their experience demonstrates what can be achieved when a significant decision is underpinned by careful preparation and experienced support. Watch the Thomas and Stroud case study by scanning the QR code.

“

If we stuck with the NHS we didn’t feel we could invest in new technologies to keep our practice ahead of the curve. Dr Robert Stroud.

”

Dr Robert Stroud, Dr Gareth Thomas Practice owners and principal dentists Dr Gareth Thomas and Dr Robert Stroud took ownership of the practice 15 years ago. After careful consideration, they made the difficult decision to transition away from NHS dentistry and move towards a private, membership-based model with support from Patient Plan Direct. Understandably, Gareth and Robert wanted confidence that their decision

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Another case study is Hapus Dental Practice in Troed-y-Rhiw, Wales. When Principal Dentist Dr Lowri Angharad Leeke chose to transition away from NHS dentistry to a fully private model due to growing dissatisfaction with the structure and limitations of the NHS Wales contract, she contacted our team. A thorough viability analysis clearly indicated that her practice would thrive under a private model. Hapus is just one of many clients that have moved away from the NHS and never looked back.

Dr Lowri Angharad Leeke

“If you are seeking greater

control over your work, and a better balance between professional and personal life, moving to private practice is worth considering. Dentist Dr Lowri Angharad Leeke.

”

Support that continues after conversion

A successful conversion is not simply about reaching a target number of plan patients. It builds a strong foundation that enables the practice to continue growing and thriving as a private practice. The support Patient Plan Direct provides does not end once the initial conversion period is complete. We continue to support the practice with regular review meetings, team support and training and we help to identify opportunities for sustainable growth. Patient Plan Direct now works with more than 1,000 practices across the UK. Our team brings extensive dental industry experience, and we take the time to get to know the people behind every practice. We want to understand what success looks like for each practice and re m a i n a t r u s t e d p a r t n e r - e v e n an extension of their practice - for many years after conversion.

Take the time to explore your options, without obligation

If you are questioning whether your current NHS model remains right for your practice, you do not need to have all the answers before speaking to us. That is precisely what the exploratory s t a g e i s f o r. A no-obligation meeting gives you the opportunity to share your challenges, understand the conversion process and e x p l o re a l l o p t i o n s t h a t m a y b e available unique to your individual c i rc u m s t a n c e s . Yo u c a n t h e n m a k e an informed decision, in your own t i m e , w i t h a c l e a re r u n d e r s t a n d i n g of how to achieve your goals, with our support. Sometimes, gathering the facts is the most valuable first step you can take. Book a no-obligation conversation with Patient Plan Direct today. patientplandirect.com/meet-with-us/n

The Probe | September 26

31/08/2026 17:25:21

“Three months after converting from NHS to private, we had 2,600 dental plan patients.” Dr Gareth Thomas, Principal Dentist & Partner at Thomas & Stroud Dental Surgery Scan to watch the full testimonial:

patientplandirect.com/nhs info@patientplandirect.co.uk

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Case Study

Predictable endodontic management using the two Coltene HyFlex file sequences in different applications Dr Balraj Sekhon presents two cases demonstrating the use of different COLTENE HyFlex instrumentation in the management of caries-compromised teeth, exploring a structured approach to canal preparation in general practice

eeth presenting with extensive carious involvement and pulpal pathology require careful assessment to determine restorability. In cases where canal anatomy may be narrow or access is limited, a controlled approach to instrumentation is essential to support consistent outcomes.

Patient 1 Patient presentation

A 58-year-old female patient presented with pain associated with the lower left second premolar (LL5). Clinical examination revealed extensive caries with symptoms consistent with pulpal involvement.

apical termination. The patient reported resolution of symptoms and the tooth was restored with a composite core and scheduled for cuspal coverage.

Patient 2 Patient presentation

A 56-year-old female patient presented with the lower left first molar (LL6). Clinical and radiographic examination confirmed extensive caries. Caries removal was carried out and found to be pulpal. Given the strategic importance of the tooth and its restorability, endodontic treatment was recommended as an alternative to extraction.

Assessment

Radiographic assessment confirmed significant structural compromise with carious pulpal involvement. The tooth was considered restorable. Treatment options, including extraction and replacement versus endodontic treatment, were discussed, and the patient opted to proceed with root canal therapy to retain the natural tooth. The adjacent LL6 had previously been assessed by a specialist endodontist and carries a poor prognosis, with implant placement planned following stabilisation of LL5. Risks, benefits, and alternatives were discussed and informed consent obtained.

Outcome

The patient tolerated the procedure well and reported a comfortable experience. Post-operative advice was provided, including the need for cuspal coverage due to the increased fragility of the tooth following treatment.

HyFlex OGSF sequence

Treatment

Following local anaesthesia, rubber dam isolation was placed. Access was gained via the occlusal surface, revealing a single canal. Initial canal negotiation was carried out using size 10 and 15 K-files to establish a glide path. Working length was determined using an apex locator. Canal preparation was completed using the HyFlex EDM system from COLTENE, following the recommended sequence of orifice opener, glide path preparation, shaping and finishing to a 25/.04 taper. Irrigation was performed using 3% sodium hypochlorite throughout. A working length radiograph was taken prior to obturation. The canal was dried with sterile paper points. Obturation was achieved using AH Plus sealer and a HyFlex 25 gutta-percha cone using cold lateral condensation. A composite core build-up was placed immediately following obturation to restore structural integrity, with plans for definitive cuspal coverage restoration to protect the tooth long-term.

Outcome

Post-operative radiographs demonstrated a wellcondensed root filling to working length with appropriate

Assessment

The tooth was considered restorable and endodontic treatment was planned. Due to anticipated canal anatomy, the HyFlex OGSF system was selected to support controlled and efficient preparation. Risks, benefits, and alternatives were discussed and informed consent obtained.

Treatment

Following local anaesthesia, rubber dam isolation was placed. Access was gained via a mesio-occlusal approach. Caries removal was completed using a slow-speed handpiece and sterile rose head burs, allowing visualisation of the pulp chamber. Initial canal negotiation was carried out using size 10 and 15 K-files. Working length was determined using an apex locator. Canal preparation was completed using the HyFlex OGSF system with a VDW handpiece, finishing to a 30/.04 taper. Irrigation with 3% sodium hypochlorite was used throughout. The canals were dried with sterile paper points and obturated using HyFlex gutta-percha and OneFil bioceramic cement using cold lateral condensation. A bulk-fill composite core was placed to provide coronal seal.

Clinically, the HyFlex OGSF sequence provided a streamlined and controlled approach to canal preparation. The system allowed efficient progression through the canal while maintaining tactile feedback, particularly in the context of narrow anatomy. The combination of glide path establishment followed by shaping supported a consistent workflow. The simplicity of the sequence reduces unnecessary steps while maintaining control, supporting efficiency in general practice. Instrumentation remained stable throughout, with smooth progression and maintenance of canal anatomy.

Conclusion

These cases demonstrate the use of HyFlex instrumentation in the management of both premolar and molar endodontic cases. A structured approach to preparation, combined with appropriate irrigation and restorative planning, supports predictable outcomes in general practice.

Case appraisal and learning points

The use of the HyFlex endodontic system supports efficient and controlled canal preparation, particularly in anatomically complex or compromised teeth. Its enhanced flexibility and resistance to cyclic fatigue allow clinicians to better negotiate curved canals and adapt their approach to varying case difficulties. This versatility provides clinicians with greater confidence when managing more challenging endodontic cases, offering a broader range of treatment options while maintaining procedural safety. However, successful outcomes remain dependent on careful case selection, adherence to sound endodontic principles, and appropriate restorative planning to ensure long-term prognosis. For more information, visit https://colteneuk.com/ HyFlex-EDM email info.uk@coltene.com or call 0800 254 5115.n

About the author Dr Balraj Sekhon (GDC 81951) is an experienced general dental practitioner with a strong focus on restorative and implant dentistry. He qualified from the University of Manchester in 2003 and has since developed a particular interest in advanced implant treatments and multidisciplinary care.

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The Probe | September 26

31/08/2026 17:26:39

GTO

The sticky xenograft • SIMILAR TO AUTOGENOUS BONE • GRADUALLY RESORBABLE • HIGH ADAPTABILITY • STIFFENED BY BODY TEMPERATURE • POSITIVELY INFLUENCES GINGIVAL HEALING

WHY CHOOSE GTO®? GTO® is sticky, gradually resorbable and osteoconductive(1). GTO® is a Dual-Phase sticky xenograft characterised by high adaptability to the recipient site and high stability once grafted. GTO® allows adequate new bone formation(2-5) and socket volume preservation when used for GBR(5) in post-extractive sockets with delayed implant placement and even in cases of compromised post-extractive sockets. In combination with Lamina®, GTO® can also be the appropriate choice for the treatment of horizontal defects(2) (e.g. knife-edge ridges). Thanks to its stickiness and ease of handling, GTO® can be used to regenerate bone around peri implant dehiscences(6). Thanks to its high collagen content(1), GTO® allows an excellent rate of new bone formation(3-4), delivering adequate graft volume preservation(6), healthy new bone tissue and, ultimately, a successful implant rehabilitation(3-6). GTO® is a mixture of heterologous collagenated corticocancellous granules and TSV Gel, the component that provides its sticky properties(7).

HOW TO HANDLE GTO®? GTO® has been conceived as a universal biomaterial, easily adaptable to any bone defect. It is ready-to-use, pre-hydrated and remains stable in the defect site. Thus, clinicians can skip the hydration step with saline or blood, saving time and decreasing the risk of accidental exposure to pathogens.

300 international papers on OsteoBiol®

Scan to view publications

References 1. Jeanneau C et al. Materials, 2024; 17(3):625 2. Lopez MA et al. Am J Dent, 2024 Sept;37(SIA):41A-44A 3. Canullo L et al. J Dent, 2024 Aug 31 4. Passarelli PC et al. Am J Dent, 2024 Sept;37(SIA):9A-12A 5. Cinquini C et al. Clin Implant Dent Relat Res, 2025 Aug;27(4):e7008 6. Menini M et al. Dentistry Journal, 2024; 12(7):198 7. Taniguchi Z et al. Int J Oral Maxillofac Implants, 2024 Oct 4;0(0):1-28

Available from Trycare 01274 88 55 44 www.trycare.co.uk dental@trycare.co.uk TRYCARE | SUPPLIES. SPECIALITIES. EQUIPMENT. ENGINEERING.

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Case Study

Consistently successful luting of all-ceramic restorations with a self-adhesive cement

Fig. 1 Fig. 2 Fig. 3

Initial clinical situation. The two teeth with PFM crowns showed recurrent caries. The patient also wished to have the tooth shapes optimised and the tooth shades harmonised. Clinical situation after the preparation of six upper anterior teeth for the placement of partially veneered second-generation zirconia crowns. After sandblasting the crowns (1 to 2 bar, 50 μm alumina), the self-adhesive cement was directly applied to the restorations without further conditioning.

63-year-old female patient presented with insufficient porcelain-fused-to-metal (PFM) crowns on teeth 11 and 21. Her main concerns were poor aesthetics and high sensitivity to heat and cold, and the clinical examination showed recurrent carious lesions at both crown margins (Fig. 1). In a comprehensive prosthetic rehabilitation, six upper anterior teeth were restored using translucent secondgeneration zirconia crowns, permanently placed with a self-adhesive resin cement (BeautiLink SA). Self-adhesive dental cements have been developed to facilitate the clinical use of ceramic restorations while ensuring reliable bonding. By eliminating separate etching and bonding steps, they reduce technique sensitivity and save time in clinical workflows. Recent products, such as BeautiLink SA, combine easy handling with enhanced mechanical and adhesive properties. This case report describes its use in replacing upper anterior restorations in a 63-year-old female patient.

Comprehensive prosthetic rehabilitation

After thorough diagnosis and treatment planning, a comprehensive prosthetic rehabilitation including vertical dimension adjustment was performed, restoring the upper anterior teeth 13 to 23 with full crowns made of second-generation zirconia with vestibular veneering. First, the PFM restorations were removed and the central incisors re-prepared, creating a slightly subgingival (approx. 0.5 mm) circular margin with a 1 mm cutting depth. The remaining teeth were prepared for the zirconia crowns using a slightly subgingival chamfer at the same depth (Fig. 2). Following preparation, direct provisionals were made, based on the treatment simulation (wax-up) created before. During their two-week wearing time, the design was re-evaluated for aesthetics and functionality; since the patient had no concerns with the aesthetics and phonetics of her provisionals, it was carried forward as the basis for the permanent restorations. An alginate impression was taken with the provisionals in

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place, and the resulting model was scanned in the dental laboratory to guide the crown framework design, precisely replicating the clinically tested provisional shape.

Self-adhesive resin cements in clinical use

Since the introduction of all-ceramic restorative systems, reliable cementation has been key to long-term clinical success.1 While conventional luting materials such as glass ionomer or zinc phosphate rely on retention mechanics, adhesive methods create chemical and micromechanical bonds between restoration and tooth structure.2 The main benefit of self-adhesive resin cements is a simplified, time-saving technique that eliminates separate conditioning steps. Numerous in-vitro studies have examined their bond strengths, generally finding these higher to dentin than to enamel,1 and higher than conventional cements — though not yet matching complex multi-step adhesive protocols.3 Consequently, self-adhesive cements are particularly useful when indirect restorations are largely bonded to dentin (such as full crowns or root posts) on preparations with sufficient retentive features,1,3 and can even be used in clinical situations with only relative isolation.2 In recent clinical studies, crowns and bridges placed with self-adhesive cements have shown survival rates above 90 percent over five to ten years, with no difference in postoperative sensitivity compared with conventional adhesive cements.4

Preparation for cementation

To permanently place the zirconia crowns with vestibular veneering used in this case, a selfadhesive cement was selected. Compared with conventional cements (such as zinc phosphate or glass ionomer products), this group offers higher bond strengths to the tooth structure without separate tooth conditioning, and is available in various shades and opacities. The crowns’ internal surfaces were sandblasted for cementation — good bond strengths to first and secondgeneration zirconia ceramics can be achieved without damaging the material using 50 μm alumina particles at pressures between 0.05

Fig. 4 Fig. 5 Fig. 6 Fig. 7

In combination with a self-etch universal adhesive (e.g. BeautiBond Xtreme), clinically sufficient bond strengths can be achieved even in cases of reduced retentive geometry. Seated anterior crowns with visible excess cement. After initial tack-curing, the excess cement can be easily removed in one piece using a dental probe. Clinical situation two weeks after the placement of the six all-ceramic crowns.

and 0.25 MPa.2 This can already be done in the laboratory; after try-in, the crowns should be cleaned again with alcohol or an ultrasonic bath and thoroughly dried, with special zirconia cleaner liquids also an effective option. The dual-barrel syringe with its automix tip allows the cement (BeautiLink SA) to be applied to the restorations precisely and without air bubbles (Fig. 3). Other advantages include low film thickness (14 μm) and high radiopacity (1.9 mm Al), according to the manufacturer. Bond strength tests to ISO 16506 confirm that BeautiLink SA bonds well to common all-ceramic restoratives such as lithium disilicate and zirconia, with no ceramic primer required.

Combination with a universal adhesive

In general, self-adhesive cements achieve higher bond strengths than conventional cements, but lower than classic adhesive protocols using total- or selective-etch techniques. Where a tooth stump has reduced retentive features (shorter stump length or increased preparation angle), the self-adhesive cement used in this case can be combined with a universal adhesive to achieve sufficient bond strengths even in compromised situations (Fig. 4).5 Unlike classic adhesive cementation, this approach needs no phosphoric acid etching or rinsing, avoiding an increased risk of bleeding — making it comparatively easy and safe to use even with only relative isolation.

Completion of the restoration

The resin cement used in this case comes in three shades: Clear, Ivory (equivalent to VITA shade A2) and Opaque. Clear and Ivory are highly translucent and should only be used with undiscoloured preparations, especially alongside translucent ceramics, while discoloured preparations or metallic post-and-core build-ups can be masked with Opaque. Here, the Ivory shade was used to cement the six zirconia crowns (Fig. 5). A particularly useful benefit of self-adhesive cements like BeautiLink SA is efficient excess removal: each restoration is briefly light-cured for one or two seconds from the vestibular and palatal aspects — known as tack and

Original German source: ZWP Zahnarzt Wirtschaft Praxis, Germany, issue 12/2025

wave — to ensure initial attachment, giving the excess cement a rubber-like consistency that is easily removed with a dental probe.6 Before final light-curing (40 seconds per surface), the interproximal spaces should be carefully cleaned with dental floss — the crowns are already attached securely enough that accidental loosening is unlikely. Complete polymerisation requires a curing light with a minimum intensity of 1,000 mW/cm2, held as close as possible to the restoration, since light intensity falls off with the square of the distance.2 At the follow-up exam, two weeks after restoration placement, good soft tissue integration of the all-ceramic restorations was already visible (Fig. 7).

Discussion and clinical relevance

Self-adhesive resin cements like BeautiLink SA save time and are relatively easy to use in everyday practice. Fewer work steps make them less technique-sensitive than classic adhesive cementation protocols, and in standard situations with sufficiently retentive preparation geometries they combine handling comparable to conventional glass ionomer or zinc phosphate cements with better bond strengths, easier excess removal, higher translucency and a choice of shades. Though they don’t reach the bond strength levels of classic multi-step adhesive techniques, their simplified handling keeps them time-saving and usable even with only relative isolation. Where increased bond strength is needed, a self-adhesive cement can be combined with a self-etch universal adhesive or an enamelconditioning step (phosphoric acid etching). Find out more about BeautiLink SA by scanning the QR code or visiting https://www.shofu.com/ en/product/beautilink-sa/ n References available upon request

About the author Sharon Lou Pierre is an Assistant Dentist at the Dental Clinic of Prof Dr S. Rinke M.Sc., M.Sc., Dr Jablonski, Dr Ziebolz and colleagues, Hanau, Germany

The Probe | September 26

01/09/2026 15:42:16

The all-round luting solution Universal, dual-cured, self-adhesive resin cement with ideal viscosity for easy handling Reliable adhesion to enamel, dentine, all ceramics including zirconia, metal and composite

BeautiLink-SA_Anz_244x315.indd 1 XX_Probe-Sep_ADS.indd 11

Available in 3 shades: Clear, Ivoy and Opaque Opaque shade for high masking ability Thin film thickness (14 µm)

Minimal technique sensitivity, no primer required

Scan the code to claim your free sample!

Easy removal of excess material

www.shofu.co.uk

Storage at room temperature (1-25 °C)

24.07.26 11:22 27/08/2026 12:19:05

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Case Study

Digital planning for a considered implant workflow Dr Martin Craven presents an interesting case in which conventional delayed dental implant treatment was provided to transform a patient’s failing smile

Introduction

Comprehensive diagnostic and planning processes help to ensure the desired outcome is achieved and the patient’s expectations are met. Prosthetically-driven planning utilises 3D radiographs and intraoral scans to optimise implant and prosthetic positioning and, therefore, function, biology and aesthetics. Additionally, and importantly, digital planning helps to improve communication between patient, dentist, and dental technician, as it provides a visual presentation of the anatomical situation and the planned outcome. This is essential for managing patient expectations.

Patient background

A 70-year-old male patient presented with multiple broken teeth and retained roots, seeking full-arch dental implant treatment that he had read about online. Upon assessment, the lower left and lower right molar units were missing, the LR7 region had lost the space to restore due to the over-eruption of the opposing tooth, and there were multiple retained roots which could not be restored due to lack of adequate ferrule, clinically. The patient had generalised periodontitis (stage III grade B) which was in remission at the time of presentation. Initially, a set of full mouth peri-apical radiographs and a digital iTero scan were completed, and six-point periodontal charting and bleeding scores recorded.

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Fig 1a Fig 1b Fig 2a Fig 2b Fig 3 Fig 4

Pre-treatment retracted right lateral Pre-treatment retracted left lateral Pre-treatment upper arch Pre-treatment lower arch Pre-treatment panoramic radiograph RealGuide digital planning

Initial treatment options

All treatment options were discussed with the patient, including no treatment. The unrestorable teeth and the retained roots required removal, and provisional acrylic dentures were recommended during a 12-week healing period. Long term treatment options included acrylic or cobalt-chromium partial dentures, or dental implants to restore the missing units. Initially, the patient had requested that all of his dentition be replaced with implant supported prostheses. However, following discussion, a more conservative approach was favoured, preserving some of the teeth with a good prognosis. A CBCT scan of both jaws would be required at 10 weeks following extraction. The patient was happy to proceed.

Extractions and implant planning

Immediate acrylic partial dentures (Dentuvo Silver) were produced by Ceroplast Dental Lab based on the pre-operative scans following a conformative occlusal approach. Nine decayed teeth and retained roots were extracted in a single appointment under local anaesthetic: • UR6 required sectioning and was removed using a closed approach • UR5 required a simple envelope incision due to lack of visibility • Pus was present when the UR3, 4, and 5 were removed • Granulation tissue was present when the LL4 and 5 were removed

Fig 5a Fig 5b Fig 6a Fig 6b Fig 7a Fig 7b

Implants post-healing Implants post healing Right lateral provisionals Left lateral provisionals UR Provisionals UL Provisionals

• No buccal bone was present around

the UL5 when the socket was examined To facilitate healing, sockets with pus and granulation tissue were debrided, and immediate dentures with socket fittings were provided. The patient was advised to wear them daily during healing, and warm salty mouthwashes were advised four times per day for seven days, beginning 24 hours post-extraction. After 10 weeks of healing, a CBCT scan was requested and digital plans were created using SmileFast Dental Laboratory and RealGuide software. The designs along with the iTero scan and clinical photographs were used to explain the implant options to the patient: • A shortened dental arch, restoring up to the premolar units only due to lack of bony height in relation to the maxillary sinus regions • Sinus augmentation and placement of implants in the upper right molar region • The use of implant retained bridges to facilitate the restoration of the upper right molar without the need for sinus augmentation The latter option was selected, with a delayed loading approach recommended. Verbal agreement was recorded, before a written letter with the surgical designs was shared in order to visually display the planned treatment and aid understanding. An itemised costing was also provided with possible variations including bone grafting.

Fig 7c Fig 7d Fig 8a Fig 8b Fig 9a Fig 9b

LR Provisionals LL Provisionals Right lateral final Left lateral final Final upper arch Final lower arch

Implant treatment provision

Implant surgery commenced in the upper arch. Pilot guides were used to place implants as per the digital plan. CONELOG ® Progressive-Line implants were placed in the UR3, 4, 5, and UL3 and 4 positions. The UR4, 5, and UL4 implants were all very close to the sinus floor. Bone quality was D3, and standard osteotomy protocols were employed. In the lower arch, CONELOG ® Progressive-Line implants were placed in the LR6 and 7, the LL4 and 6, using a pilot guide. An envelope incision made to visualise the LL4 region revealed insufficient buccal bone to place the implant. This possibility had already been outlined, and was discussed with the patient during surgery. The patient consented to an allograft bone augmentation and the implant was placed using the guide. The exposed buccal threads were grafted using MinerOss ® Blend, and a porcinederived collagen xenograft membrane (Mem-Lok ® Pliable) was used to secure the graft. Amoxicillin was provided to reduce the risk of infection, and care was taken to fully cover the membrane, using simple interrupted 4-0 Vicryl Rapide sutures. The patient was reviewed twice in a two-week period to monitor healing due to the higher risk of infection. The implants were fully submerged, with a cover screw placed and hand tightened. The patient was provided with a Curaprox implant care kit, which 

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Case Study included an Ultra Soft toothbrush, and a 0.2% aqueous chlorhexidine mouthwash to be used four-times per day for 10 days following surgery. Six weeks post-operative radiographs were taken to assess bone levels and potential pathology around the implant sites. At four months post-op, the implants were uncovered and healing caps were placed for a further two weeks. An iTero scan was taken, and SmileFast Dental Lab provided provisional bridges and crowns to restore the dental implants, using PMMA on Ti stock abutments. Radiographs confirmed adequate bone levels at the time of loading. Two weeks later, an issue occurred with the provisional restorations. The UR6 pontic fractured due to overloading of the PMMA material. The patient understood that this was less likely with the definitive bridges. During the provisional stage, the patient requested tooth whitening, for which we provided 10% carbamide peroxide in close fitting custom trays over a two-week period. After three months of provisionalisation, the implants were loaded with definitive restorations – monolithic zirconia and custom Ti abutments from SmileFast Dental Lab. Minimal edge bonding of the upper anterior teeth was also completed.

Outcome and case appraisal

The patient and I have been very pleased with the results, achieving the patient’s primary aim of good function whilst eating. The patient’s home care and knowledge of oral hygiene has improved during the process, and he is caring well for his implants and natural teeth.

The digital workflow allowed greater consideration of how to navigate potential issues such as the poor bone quality in the UR6 region. The pilot guides allowed reasonable precision in delivering the treatment plans, whilst also allowing some degree of flexibility – this can be useful when there are occasional changes required, such as the need to perform augmentation at the LL4. On reflection, I believe this case would have been equally well-suited to a fully guided workflow. Planning the case with a staged approach meant that the bone quality was optimised for implant placement, and an overall good thickness of keratinised tissue around the implants was achieved using provisional restorations.

I would highly recommend introducing digital planning to any implant cases. Many clinicians seem to suggest digital planning and guides are reserved for the most complex cases only. However, I find that even a single implant placed between two teeth can greatly benefit from a digital plan and guide – achieving optimal position in the bone. In my opinion, this offers greater predictability of long-term success. I also find digital plans to be a great tool facilitating patient trust, allowing patients to see the level of detail and consideration put into the planning. For product information from BioHorizons and Camlog, please visit https://theimplanthub.com/ n

About the author Dr Martin Craven BDS BSc(Hons) PGDip(implant dentistry) MFDS RCS Ed graduated in 2013 from Peninsula Dental School. His early career was spent in Oral & Maxillofacial Surgery at Peterborough Hospital, becoming a principal of a private practice in 2018 based in Redditch, the West Midlands. In 2022-2025, he completed a masters level diploma in implant dentistry with the BioHorizons education programme, and has also completed further education on guided surgery with Dr Nick Fahey

“It felt more like joining an aligned group of partners” One principal’s journey to DeNovo

he question of what comes next is one that many practice principals eventually face. The practice they have built represents years of clinical work, team development, and patient relationships that feel deeply personal. The idea of handing all of this over to a traditional corporate, with the cultural and operational changes that often follow, can feel like more than just a compromise. Yet remaining independent indefinitely also brings its own pressures: the responsibility of sole ownership, personal financial risk, and the absence of a clear succession plan. It was this balance that led experienced practice principal Dr George Billis to explore alternative options and, ultimately, join DeNovo Dental Partners. “I initially assumed it would be similar to a traditional corporate or group acquisition model,” he recalls. “I was pleasantly surprised that it felt more partnership-based and long-term.” That first impression, formed early in conversations with the DeNovo team, set the tone for what followed. “The idea that I could remain involved and aligned with the future of the practice, rather than simply selling and

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stepping away – that was the moment I wanted to explore further,” Dr Billis says. Rather than viewing the decision as an exit, he saw it as a transition into a different kind of ownership – one that allowed him to remain connected to both the clinical and strategic future of the practice he had spent years building.

“The balance between securing the future of the practice and allowing me to remain involved clinically and strategically was the single most important factor when joining DeNovo,” he explains. “It supported my aim to maintain the practice’s reputation, culture, and patient care while creating a sensible succession pathway.”

A compelling model

Since joining

As discussions progressed, several aspects of the DeNovo model stood out. The shared ownership model offered a meaningful stake in the future of the business and aligned Dr Billis’ interests with those of the wider group. “My main concerns were maintaining the practice culture, protecting the team, and keeping clinical standards high. These were addressed through the partnership approach and the ongoing role I continue to have. “I was surprised by the emphasis on culture, continuity, and partnership rather than just acquisition,” he says. “The focus on working together after completion and maintaining the identity and values of the practice was what reassured me most that this was a genuine partnership.” Dr Billis had considered a range of alternatives, “including remaining

independent, internal succession, and more traditional group models.” While some of those options may have offered a simpler exit, they did not provide what he was ultimately looking for. “None of them offered the same sense of long-term alignment and partnership,” he says.

Addressing concerns

No significant decision comes without careful consideration.

Since becoming a DeNovo Partner, Dr Billis says the experience has reinforced his decision. “The continued communication, collaborative approach, and ongoing interest in the practice have reinforced my decision,” he says. “If I had to explain it to a fellow principal in a sentence or two: DeNovo allowed me to reduce personal risk and plan succession without feeling that I was handing the practice to a traditional corporate. It felt more like joining an aligned group of partners.” DeNovo Dental Partners works with practice principals across the UK to build long-term partnerships founded on shared ownership, aligned interests, and the preservation of each practice’s identity. If you’d like to explore what the future of your practice could look like, get in touch for a confidential, no-obligation conversation. n

The Probe | September 26

31/08/2026 17:43:55

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Products

SEND YOUR LATEST PRODUCTS TO: lorna.reekie@purplems.com

Eco instrument care As dental practices continue to prioritise effective infection prevention alongside environmental responsibility, products that combine performance with sustainability are becoming increasingly important. Bossklein IDactiv’s plant-based, biodegradable formulation is free from alcohol, chloride and PHMB, offering an effective cleaning solution while supporting safer handling and reducing environmental impact. The concentrated 2 in 1 instrument cleaner and disinfectant is designed destroy advanced micro-organisms including TB and Norovirus while removing stubborn organic contaminants such as plaque and protein deposits - helping prepare

instruments for comprehensive sterilisation. Available in a range of sizes, Bossklein IDactiv provides a practical and cost-effective option for practices looking to maintain high infection control standards alongside eco-friendly solutions. For more information call 0800 132 373 or visit www.bossklein.com.

bossklein.com

Fit-N-Swipe: optimising patient hygiene In everyday practice, instruments, probes and mirrors are often cleaned ad hoc — a napkin, paper towel or cotton wool — which is inconvenient and rarely meets hygienic standards. Fit-N-Swipe solves this with single-use cleaning and drying pads attached directly to the back of the glove, always within reach. Pads can be placed anywhere on the glove for one-handed use, letting debris, blood or plaque be wiped away without interrupting the workflow — shorter movements, better control, improved ergonomics. Blue drying pads are designed for dental mirrors, with a multi-layer fabric for streak-free, fog-free reflections even with greasy residue. White cleaning pads use high-absorbency microfibre for instruments, and can double as

a storage pocket for endodontic needles. Both are sterilisable, making them suitable for surgical use. “Absolutely great! Easy to use and a neat thing — glove on, swipe on, fit for the next treatment, then straight in the trash with the glove.” — Melanie Graf, DCP Fit-N-Swipe delivers efficient workflows, improved hygiene, and less day-to-day workload. Fit-N-Swipe Clean, white, 50 pcs. — REF HW605251 Fit-N-Swipe Dry, blue, 50 pcs. — REF HW605252. hagerwerken.de

The 3D printer that hits the mark every time The Planmeca Creo® X is a reliable and durable high-precision 3D printer, designed specifically to meet the needs of busy dental practices and laboratories. Supporting a wide range of validated materials, you can create custom dental models, surgical guides, splints, and restorations like crowns and dentures, accurately in-house. You’ll benefit from lower costs, time-savings, and even be able to offer entirely new services to your patients. Its durable mechanical design and robust aluminium body offers exceptional structural stability to give minimum vibrations and maximum accuracy in every print.

As part of a complete ecosystem of devices and software, the Creo X allows your practice to add 3D printing easily to your workflow. Call 0800 5200 330 or email: infouk@planmeca.com to find out more.

planmeca.com

The ultimate centre of care Give your dental practice a technological upgrade with the A-dec 500 Pro treatment centre from Clark Dental. With cutting-edge technology and an intelligent, flexible design, everything about the A-dec 500 dental chair is designed to optimise your workflow and deliver superior care to patients. It uses one system and covers every procedure, from basic hygiene care to advanced endodontics. The intuitive screen supports throughout, such as with the apex locator where on-screen visuals and real-time audio guidance keep you focused and confident. Immense in its versatility, the A-dec 500 remains simple and easy to navigate, with software enhancements seamlessly improving the range of features for a more immersive

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and successful user experience. These include PSI customisation, configurable presets and localised languages. Loaded with first-class features and advanced technology, the A-dec 500 Pro is also comfortable for patients, with secure armrests, a dual-articulating gliding headrest and a thin flexile back guaranteeing an agreeable position. Find out how the Clark Dental team can upgrade your practice with the A-dec 500 Pro today. For more information call Clark Dental on 01268 733 146, email info@clarkdental.co.uk or visit the website. clarkdental.co.uk

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Garrison’s new Strata-G™ Sectional Matrix System is engineered to successfully complete a wider variety of Class II composite restorations This comprehensive kit includes three varieties of separator rings, five sizes of matrix bands, four sizes of interproximal wedges, and a ring placement forceps. Strata-G™ is indicated for use in posterior Class II MO/DO, MOD and wide preparation restorations. The Strata-G™ Sectional Matrix System combines over 25 years of Garrison expertise into a comprehensive, easyto-use solution. The system features three color-coded separator rings with StrataBond™ silicone tips for flash reduction and Ultra-Grip™ retention extensions for secure placement. The

PEEK-reinforced Nitinol ring provides durability, easy handling, and long-lasting performance. Ultra-thin sectional matrix bands, adaptive wedges, and advanced placement forceps ensure optimal adaptation, reliable sealing, and efficient placement. All components are available as refills and make the system a versatile solution for Class II restorations. garrisondental.com

A sustainable approach to effective waste management Working with Initial Medical makes the entire waste management process as efficient as possible. As experts in healthcare and dental waste management, the team provides all the products you need to maintain excellent waste segregation and disposal protocols across your business. These include rigid cardboard waste containers made from 75% recycled materials, which also feature an 89% reduction in raw material carbon dioxide emissions. These are lighter than standard alternatives and suitable for a wide range of dry waste items in the yellow, orange, and blue waste streams.

Initial Medical also offers dental practices’ audits and tailored recommendations to elevate your compliance and safety standards, as well as a reliable waste collection and recycling service. Find out more today and elevate your business’s sustainability with Initial Medical. To find out more, get in touch at 0808 304 7411 or visit the website today. initialmedical.co.uk

ADI Team Congress 2027: save the date The Association of Dental Implantology Team Congress 2027 is coming and it promises to be the dental implantology event of the year. Taking place from 15 to 17 April 2027 at Liverpool Experience Campus, the Team Congress will bring together the full dental implant team for three days of worldclass education, hands-on learning, and unmissable networking. Clinicians, dental nurses, hygienists, therapists, practice managers, and students will all find a programme designed for them, reflecting the ADI’s commitment to education that reaches and benefits the whole team. Alongside the clinical programme, delegates can look forward to an extensive exhibition showcasing the latest developments in the

dental implant market, hands-on workshops with expert guidance, and a range of social events that make congress weekends genuinely memorable. Whether you are a seasoned practitioner, an early-career clinician, or a member of the wider dental implant team, the ADI Team Congress 2027 is the unmissable diary date for the year ahead. Save the date: 15–17 April 2027, Liverpool Experience Campus. Registration is now open – take advantage of early bird savings by booking before the 14th June. adi.org.uk/congress

Know your patients are in excellent hands with EndoCare Dr Anna Williams has nothing but positive things to say about her experience of referring patients to EndoCare for endodontic treatment. She comments: “I’ve been referring patients to Michael Sultan at EndoCare for over 10 years and always know they’re in excellent hands. “I often send people in severe pain or feeling very nervous, and I have complete confidence they’ll be looked after. “His expertise, high level of care, and advanced equipment make every procedure painless and comfortable. “Patients receive swift relief from acute pain, and the results are consistently longlasting, giving a great prognosis for the

tooth. “Honestly, if I ever needed a root canal myself, he would be the first person I’d see.” To see for yourself how EndoCare has built such a strong reputation among the professional community, contact the team today about referring your patient. For further information, please call 020 7224 0999 or visit the NEW website: www.endocare.co.uk. endocare.co.uk

The Probe | September 26

27/08/2026 12:25:36

RAPID RELIEF AT THE ROOT OF PAIN1-3 4 IN JUST RAPID RESPONSE Clinically proven to get to work in under , relieving acute 4 dental pain. TARGETED RELIEF Benzocaine provides effective relief right at the source of dental pain.1-3 TRUSTED TOLERANCE Orajel’s non-systemic formula is well-tolerated with minimal risk of side effects.1,2,4 WILL ORAJEL BE YOUR RECOMMENDATION FOR TARGETED, RAPID PAIN RELIEF?

UNDERSTAND THE SCIENCE BEHIND ORAJEL WATCH THE MODE OF ACTION VIDEO Provides up to 2 hours of relief.4 Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk/. Adverse events should also be reported to Church & Dwight +44(0) 808 175 6410 Orajel Dental Gel (GSL). Benzocaine 10% w/w. For temporary rapid relief of toothache pain associated with presence of open carious lesions and direct exposure of a vital dental pulp. Orajel Extra Strength (P). Benzocaine 20% w/w. For temporary rapid relief of toothache pain associated with presence of open carious lesions and direct exposure of a vital dental pulp. Church & Dwight UK Ltd., Premier House, Shearway Business Park, Pent Road, Folkestone, Kent, CT19 4RJ. Information about this product, including adverse reactions, precautions, contra-indications, and method of use can be found at: https://www.medicines.org.uk/emc/product/1230/smpc https://www.medicines.org.uk/emc/product/1229/smpc REFERENCES: 1. Orajel Dental Gel. Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/product/1230/smpc Accessed: November 2024 2. Orajel Extra Strength. Summary of Product Characteristics. Available at: https://www.medicines.org.uk/emc/ product/1231/smpc Accessed: November 2024 3. Lee, H-S. Recent advances in topical anesthesia. J Dent Anesth Pain Med. 2016;16(4):237–244. 4. Hersh, EV, et al. An evaluation of 10 percent and 20 percent benzocaine gels in patients with acute toothache. J Am Dent Assoc. 2013;144(5):517–526. O035 | April 2025

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Products

SEND YOUR LATEST PRODUCTS TO: lorna.reekie@purplems.com

IAS Academy Advanced Diploma deepens orthodontic knowledge and confidence Dr Margaret de Verteuil enrolled on the IAS Academy Advanced Diploma course with a clear goal: to deepen her understanding of orthodontics so she could treat patients with greater confidence and offer them the best possible care. She came away having achieved precisely that. “The course was interesting, with great speakers, and I was able to meet likeminded dentists,” she said. The programme combined clinical depth with a strong peer community, something Dr de Verteuil found particularly valuable. “Alongside the formal teaching, the IAS mentorship forum has continued to support me in applying these new skills in practice. I feel confident using these skills alongside the great mentorship

from the IAS forum,” she added. Dr de Verteuil enthusiastically recommends the course to her peers: “The IAS Advanced Diploma is the right course for those serious about furthering their orthodontic career.” To learn more about the IAS Academy Advanced Diploma, get in touch today. For more information or to book the course, visit https://courses.iasortho.com/ courses or call 01932 336470 (Press 1)

Both globally trusted and pharmacistrecommended, Orajel® provides rapid, effective pain relief for oral discomfort. 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-inone 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 menopausal-related oral pain, concentrated toothache, cold sores, denture irritation, and more. With the 10% benzocaine formula,

Speed, style and success Take scans quickly and reliably with the Primescan II from Clark Dental. Promoting accuracy, ease of use and clinical speed, the Primescan II can help with the early detection of caries, the fast production of impressions, and straightto-cloud scanning. Its sleek design is comfortable to handle and can be used chairside for added practicality. Moreover, the Primescan II is easy to share between clinicians. As soon as the scan is complete, the device can be passed onto the next patient whilst the consultation, treatment planning and even chairside design can be continued on any computer – even those independent from the Primescan II.

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Oral pain management – fast and effective topical relief

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This reduces appointment delays and supports a fast-moving workflow. For a cuttingedge solution that leads to exceptional and efficient outcomes, consider the Primescan II from Clark Dental. For more information call Clark Dental on 01268 733 146, email info@clarkdental.co.uk or visit www.clarkdental.co.uk. clarkdental.co.uk

Interdental cleaning for holiday eating and beyond: the Tahir electric flosser

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/ orajelhcp.co.uk

As the summer holiday season is coming to an end, dental professionals have a great opportunity to address one of the more predictable patterns in patient oral health. Summer compliance dips for several reasons, in several areas, but one of the more notable is in the interdental routine. Interdental cleaning is a routine based on habit and on environment, meaning that even if it works well at home, it can fall apart on holiday, or when daily life is otherwise interrupted. What patients need is a recommendation that can suit all lifestyles, including interruptions to routine; a recommendation that will make life easier, and oral hygiene even more rewarding.

The Tahir Electric Flosser was built for moments just like these. It’s IPX7 waterproof, and has a two-month battery life, which means you can charge it before you leave and forget about it. One-handed use, no dexterity required, just clean teeth wherever you go. The Tahir Electric Flosser is available for patients at tahiroralcare.com and through Harrods. For practice enquiries and professional ordering, visit tahiroralcare.com.

tahiroralcare.com

The power pair: The SprintRay Pro 2 3D printer Supporting implant care with TANDEX greater control and Effective implant aftercare relies heavily on with the crown resin The SprintRay Pro 2 3D printer transforms everyday dentistry. “A case that used to take eight hours now takes 27 minutes,” says Dr Haris Stratakis, practice owner and everyday user. “We can literally complete full composite bonding during a patient’s lunch break.” With no need to outsource to labs, every stage — design, printing, finish — is handled in-house. “It’s not just faster, it’s better for patients,” Dr Stratakis continues. “The high-quality resins avoid introducing unnecessary toxins, and the results are amazing, with an easy cleaning process. “I’ve literally travelled to other countries to find the perfect resin. SprintRay’s next-

day delivery, resin quality, and the Pro 2 make failures and searching for materials a thing of the past.” Discover how SprintRay can transform your workflow — and your patients’ experience — today! sprintray.com/en-uk

Elevating oral hygiene around implants When it comes to cleaning around implantretained prosthetics, the Waterpik™ Ultra Professional water flosser with the new dedicated Implant Denture Tip is unmatched in its advantages. It reaches hard-to-access areas of many implant-retained prostheses with a uniquely curved design that removes up to 99.9% of plaque from treated areas in just three seconds of use. It’s also clinically proven to be up to 2x as effective as string floss for improving gingival health. An easy-to-use and highly effective oral hygiene solution that delivers genuine results for patients, the Waterpik™ Ultra Professional water flosser with Implant Denture Tip is ideal for everyone with implants and multi-unit bridges.

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Waterpik™ is also the #1 recommended water flosser brand among UK dental professionals and the only water flosser brand approved by the Oral Health Foundation. Find out more, contact the team today. For more information on WaterpikTM water flosser products visit: www.waterpik.co.uk. WaterpikTM products are available from Amazon, Costco UK, Argos, Boots and Tesco online and in stores across the UK and Ireland.

waterpik.co.uk

consistent plaque control. The TANDEX Implant Kit delivers comprehensive care, providing a simple and structured routine to support patients through healing and beyond. Included is the TANDEX SoftTouch which enables thorough brushing – recommended twice daily. For a more precise clean, SOLO UltraSoft targets hard-to-reach areas around implants, ensuring a deep clean. Interdental care is encouraged with TANDEX FLEXI UltraSoft brushes, designed for twice-daily use, gliding between teeth with ease. The cap can be attached as an extension to support dexterity, elongating the tool to offer

access. TANDEX ADVANCE further adds to fullmouth cleaning, with a V-shaped brush and medium softness. Add the included TANDEX PREVENT Gel for an extra layer of protection! The complete TANDEX Implant Kit has been designed for excellence, supporting effective, all-inclusive implant maintenance. For more information visit https://tandex.dk/ Our products are also available from DHB Oral Healthcare https://dhb.co.uk/. tandex.dk

Orajel: the dental pain relief you and your patients can rely on Dental pain doesn’t wait for a convenient time to strike. When patients are managing toothache, sensitivity, or acute discomfort between visits, they need something that works, and works quickly. Orajel Dental Gel is a trusted topical solution that gets to work in just two minutes. Containing 10% benzocaine, it delivers targeted, localised pain relief directly at the site of discomfort, helping patients manage their symptoms and get on with their day while they await treatment. If a patient is experiencing more severe pain, Orajel Extra Strength, containing

20% benzocaine, offers even greater relief with the same fast-acting formula. Proven, fast, and easy to recommend. Add Orajel to your patient care routine and recommend with confidence. For essential information, and to see the full range of Orajel products, please visit https://www.orajelhcp.co.uk/. oralhcp.co.uk

The Probe | September 26

27/08/2026 12:25:53

YOUR TRUSTED EXPERTS IN DENTAL PRACTICE SALES SO FAR IN 2026 WE HAVE: Arranged over 242 viewings Advised on, agreed or sold 370 practices with a combined value of £451,872,418

Received 151 offers Brought 91 practices to market

RECENTLY SOLD: Bridge House Dental Suffolk

Links Lodge Dental Practice Angus

Worcester Street Dental Practice West Midlands

• Eight surgery, predominantly private practice

• Eight fully equipped surgeries

• Two surgery, private practice

• Sold to a multi-site operator

• Sold to a regional group operator

• Sold to a growing independent group

E: dental@christie.com

T: 03330341754

Your expert business property advisers.

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business & finance

Dental market insight 2026: London and the South East Max Bazzucchini, Associate Director – Dental, Christie & Co, shares insights into the dental market in London and the South East

he dental market across London and the South East continues to demonstrate strong levels of activity, with high-quality practices attracting significant buyer interest and a broad range of purchasers actively seeking acquisition opportunities. From ambitious first-time buyers and growing independent groups to large corporates, private equity-backed platforms, and family offices, demand remains deep across the market. At the same time, the quality of dental businesses being brought to market is arguably higher than ever before, creating favourable conditions for well-prepared sellers.

ambitious clinicians acquiring their first or second practice, and established independent groups seeking to scale through acquisition. At the larger end of the market, private equity-backed platforms and family offices remain active, particularly where opportunities offer strong growth potential, experienced leadership teams, and opportunities for further consolidation. For sellers, this breadth of buyer demand is particularly encouraging. With more active buyer groups than we have seen for some time, practice owners now have a wider range of exit options available, helping to drive competition for quality assets.

A strong pipeline of high-quality practices

The importance of preparation

Across London and the South East, we continue to see a healthy volume of dental businesses coming to market, with a particular concentration of private and cosmetic-led practices. Many of these businesses have benefited from significant investment over the past decade as owners have responded to increasing competition, rising patient expectations, and an ongoing focus on clinical excellence. The result is a market populated by wellpresented, modern practices that are positioned for future growth. Alongside premium private opportunities, there remains a steady flow of mixed and NHS practices being appraised and prepared for sale, providing opportunities for a wide range of purchasers. Whether buyers are looking to acquire their first practice or expand an established portfolio, the market continues to offer options across all segments. What is particularly striking is the calibre of businesses being brought to market. Years of refurbishment, modernisation and investment have created practices that are often in excellent operational condition and capable of supporting further growth.

Buyer appetite continues to grow

Buyer appetite across the region remains strong. Historically, dental corporates have accounted for a significant proportion of merger and acquisition activity within the sector. While some larger groups spent a period focusing on integrating previous acquisitions, many have now returned to the market with renewed enthusiasm for growth through acquisition. At the same time, independent buyer activity has increased considerably. Lenders continue to view dentistry as a resilient sector with strong underlying fundamentals, supporting acquisition activity among both experienced operators and first-time purchasers. The most active buyers currently include local multi-site operators looking to strengthen their regional presence,

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One of the biggest positives in the current market is the depth of demand. Wellpresented practices continue to generate high levels of interest and can often attract competitive bidding environments. However, today’s buyers are more sophisticated than ever before. While strong EBITDA and profitability remain important, buyers are conducting increasingly detailed due diligence across every aspect of a business. Associate arrangements, compliance processes, property considerations, the sustainability of earnings, and future growth opportunities are all coming under greater scrutiny. Supported by experienced advisers, buyers are keen to understand every element of a practice before committing to a transaction. Profitability alone is no longer enough to justify a premium valuation. As a result, successful transactions increasingly depend on realistic expectations and thorough preparation before a practice is launched in the market. In many cases, addressing potential issues early can significantly reduce transaction times once a buyer has been secured, allowing both parties to focus on the opportunity rather than resolving avoidable due diligence challenges.

A new generation of dental entrepreneurs

One of the most interesting trends emerging across the market is the changing profile of practice owners choosing to sell. Traditionally, many transactions were retirement-driven, with owners having operated their practices for several decades before deciding to exit. Increasingly, however, we are seeing younger vendors bringing businesses to market after much shorter ownership periods. Many of these owners adopt an entrepreneurial approach, acquiring, growing, and improving practices with a clear value-creation strategy before pursuing an exit. This reflects the increasing commercial sophistication of the dental sector and mirrors trends seen across the wider healthcare and business markets.

The result is a growing number of practices entering the market that have benefited from recent investment, modernisation, and strategic growth initiatives, making them highly attractive acquisition opportunities.

correctly and presented to the right audience. For premium assets in soughtafter locations, demand continues to outstrip supply, creating highly competitive acquisition environments.

Case study: demand for premium London practices

Looking ahead

A recent transaction illustrates the strength of demand currently being seen for premium dental opportunities in London and the South East. We launched two high-end private dental practices in London to the open market on a Monday morning. • Monday, 10:30 am – Practices launched to market • Monday, 2:00 pm – 128 enquiries received and 14 substantive buyer calls conducted • Monday to Wednesday – 14 qualified viewings arranged with prospective purchasers • Wednesday, 11:28 pm – First formal offers received The first offer was received just over 60 hours after launch, highlighting the exceptional demand that exists for highquality dental businesses. While not every practice will generate this level of activity, it demonstrates what can be achieved when a business is positioned

The outlook for the dental market in London and the South East remains positive. With independent buyers, multi-site operators, private equity-backed groups, family offices, and larger corporates all actively seeking opportunities, practice owners continue to benefit from a diverse and competitive buyer pool. For those considering a sale, the combination of strong demand, multiple exit routes, and a market that rewards quality and preparation creates a compelling environment in which to transact. To find out more about the dental market in London and the South East, contact Max: max.bazzucchini@christie.com or 07394 001 180 n

About the author Max Bazzucchini, Associate Director – Dental, Christie & Co.

The Probe | September 26

31/08/2026 17:52:14

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BUSINESS & FINANCE

Just lie back and relax Five important questions about your retirement planning

hen I was growing up, my dad always said to me: “Preparation is 90% of success”. I ’ d ro l l m y e y e s e v e r y t i m e h e said it. I’ll never admit it to him, of course, but he was right. If we look at any Olympic athlete or “over night success” in the entertainment industry, we only see the glory of their success – not the years of hard work it took to get them there. I t ’s t h e s a m e w i t h re t i re m e n t planning. Retirement is something that takes many years to prepare for, and there can be pitfalls along the way. But if you get it right, it can lead to many comfortable and happy years. To d a y, I ’ m g o i n g t o a s k t h e five most important questions that dentists should consider for successful retirement planning.

1. Do I know how much income I will need in retirement?

Many dentists focus on the size of their pension pot rather than the income it will generate. Everyone’s retirement is different. Some people will want to travel, some will want to support their families, and others may still have a mortgage to repay. Therefore, it’s important to consider what your expected living costs will be, considering your lifestyle goals, travel plans and family commitments. It’s also vital to think about the impact of inflation over what could b e a 2 0 - t o - 3 0 - y e a r re t i re m e n t . This is a factor that many dentists overlook, yet increases in the cost of living over that period could have a significant impact.

September 26 | The Probe

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2. Am I taking account of all sources of income and capital for my retirement?

W h e n w e t a l k a b o u t re t i re m e n t planning, people automatically think of pensions. However, there are other sources of income and capital that could (and should) be c o n s i d e re d t o s u p p o r t a s t ro n g retirement plan. These could include the proceeds from the sale of a practice, rental income from continuing to own the p r a c t i c e b u i l d i n g , o t h e r p ro p e r t y, existing savings and investments, and potential inheritances. All of these, in conjunction with the NHS pension, personal pensions a n d S t a t e P e n s i o n , c a n p ro v i d e the building blocks for a healthy retirement. Understanding how they all fit together is essential ( p a r t i c u l a r l y f ro m a t a x - e ff i c i e n c y perspective), as each can provide income or capital in different ways.

3. What would happen if I wanted to retire earlier than planned?

One thing that I always encourage my clients to build into their re t i re m e n t p l a n n i n g i s f l e x i b i l i t y. Over the years, changes in your health, family circumstances or even politics can significantly impact your retirement plans. And the older you are when they happen, the greater the impact could be. Dentistry can be physically a n d m e n t a l l y d e m a n d i n g , s o i t ’s important to think about whether your current plan would allow you to reduce your hours or retire before your intended age if you needed to.

Perhaps an unexpected illness a ff e c t i n g y o u o r a c l o s e f a m i l y member would mean that you need to scale back your work. Being able to retire at a time that suits you is a strong position to be in.

4. Is my retirement plan tax-efficient?

Pensions can be one of the most taxefficient ways to plan for retirement. Tax relief on contributions during your working life means that you can benefit from planning for your retirement even while you’re still working. Funds held within pensions can then grow free of UK income tax and Capital Gains Tax (CGT). Accessing your pension in retirement through flexible drawdown may also allow you to plan your income and capital withdrawals more carefully from a tax perspective, where your financial adviser considers this to be the right solution for you. Reviewing your approach regularly can help ensure that you’re not paying more tax than necessary. Tax treatment depends on your individual circumstances and may be subject to change in future.

5. When did I last review my retirement plans?

Retirement planning is not a one-off exercise. There are many factors that can affect the success of a dentist’s retirement plans. Changes in income, legislation, attitude to risk, investment performance, world events and personal circumstances can all affect retirement readiness. Many dentists retire early, and some may find that their retirement lasts as long as their working life. Reviewing your plans regularly with a Specialist

Financial Adviser can help ensure that the factors mentioned above don’t adversely affect when you retire or what you plan to do in retirement. After all, if retirement is going to be the longest holiday of your life, good preparation can help make sure it’s everything you want it to be.  To speak to a Specialist Financial Adviser from Wesleyan Financial Services, visit wesleyan.co.uk/dental or call 0800 107 6748. Charges may apply. You will not be charged until you have agreed to the services you require and the associated costs. Learn more at wesleyan.co.uk/charges. We s l e y a n F i n a n c i a l S e r v i c e s L t d (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.

79 31/08/2026 17:53:36

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business & finance

Changes to the NHS FP17DC Bethan Parry, partner, and Alice Webb, paralegal, at UK and Ireland law firm Browne Jacobson explores what dental practice owners need to know

hanges to NHS FP17DC, the treatment plan provided to patients at the start of a course of N H S d e n t a l t re a t m e n t i n E n g l a n d , will be welcomed by practice owners by reducing liability in c i rc u m s t a n c e s w h e re t h e y n e v e r t re a t e d a p a t i e n t a t a l l . The form has been amended to include the name of the patient’s treating clinician, a change that took effect on 1 April 2026. This represents a step towards protecting practice owners from clinical negligence claims alleging a non-delegable duty of care, even where the practice owner had no personal involvement in the patient’s treatment. The significance of this change is rooted in the legal concept of nondelegable duty. In the dental practice context, patients register with and attend a specific practice expecting to receive care; they often have no meaningful control over which clinician treats them on any given appointment; and the practice owner routinely delegates direct clinical care to associates or other dental care professionals. Where those clinicians are negligent, a non-delegable duty of care opens the door to a claim against the practice owner personally, even if they played no part in the treatment.

The legal case that drove change

In Hughes v Rattan, the Court of Appeal upheld a non-delegable duty of care claim against Dr Rattan as the NHS GDS contract holder, making him liable for the negligent acts of self-employed associate dentists at his practice. As the contract holder with NHS England, Dr Rattan had undertaken a p o s i t i v e o b l i g a t i o n t o p ro v i d e

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dental services to patients – an obligation that could not be discharged simply by delegating clinical delivery to associates. Critically, the previous version of the FP17DC named only Dr Rattan as the “provider” of treatment, even though he had never personally treated the patient, creating a documented basis for the court to find that the patient was placed in his charge. The old form was, in this way, itself contributing to the conditions for non-delegable duty liability.

What the new form does – and why it’s not a complete shield

T h e n e w F P 1 7 D C re q u i re s t h e name of the clinician responsible for delivering the treatment to be included on the form. In doing so, it creates a contemporaneous record attributing clinical responsibility to the dentist who actually delivered care rather than the practice owner by default, weakens the evidential basis for arguing that the patient was placed in the practice owner’s charge, and provides clearer attribution of liability from an indemnity perspective – supporting the direction of claims to the correct indemnifier. Practice owners and their indemnifiers should be careful not to treat the new form as a complete answer to nondelegable duty claims, however. Key limitations include: • The non-delegable duty is not eliminated. The Woodland duty arises from the structure of the relationship between the patient and the practice, not from what any document states. A claimant could still argue that the practice owner, as GDS contract holder, retained an overarching non-delegable duty irrespective of who was named on the treatment plan.

Bethan Parry

Alice Webb

• Mid-treatment changes of clinician

management approach rather than a standalone solution. Key steps: 1. Use the new form immediately and consistently for every NHS treatment episode from 1 April 2026, with the treating clinician accurately named at the outset. Train reception and clinical staff accordingly. 2. Establish a protocol for changes of treating clinician – document mid-course changes clearly so the clinical record always reflects who delivered care at each appointment. 3. Review associate agreements to ensure they clearly allocate clinical responsibility and require associates to maintain adequate, current indemnity cover. 4. Verify associate indemnity arrangements regularly. The practical benefit of attributing clinical responsibility to an associate is diminished if that associate is not indemnified. 5. Retain completed forms as part of the clinical record. The evidential value of the form depends on it being properly completed, stored, and retrievable. 6. Do not overlook private patients. Consider what equivalent steps can be taken to document clinical responsibility clearly in the private treatment context. The updated NHS FP17DC is a meaningful and welcome development for dental practice owners and their indemnifiers, addressing one of the specific evidential factors that contributed to the finding of nondelegable duty liability in Hughes v Rattan. It reduces – but does not eliminate – the risk of a successful non-delegable duty claim. Combined with robust associate agreements, verified indemnity arrangements, and consistent clinical governance, it forms an important part of a comprehensive approach to risk management. n

•

are common. Where the treating dentist changes during a course of treatment, the form may not accurately capture this unless practices implement specific protocols to update the record. The form applies to NHS treatment only. Practice owners remain potentially exposed to nondelegable duty claims for private patients. This is a significant ongoing risk for mixed practices and those providing predominantly private care. Historic claims are unaffected. The risk profile established by Hughes v Rattan persists in full for treatment provided before 1 April 2026.

What practice owners should do

The form change is most effective when treated as part of a broader risk

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business & finance

What are you no longer questioning about your dental practice?

here is a phrase we hear surprisingly often when talking to dental practice owners: “It’s always been done that way.” There is nothing unusual about that. In fact, it is probably true of many established businesses. A remuneration structure is agreed. A percentage is set. A way of working develops. At the time, it makes commercial sense. Then the business moves on. Fees change. Wages rise. Associate expectations evolve. Inflation increases costs. Patient demand shifts. But the original arrangement remains. Nobody has necessarily made a bad decision. The economics s u r ro u n d i n g t h a t d e c i s i o n h a v e simply changed while the decision itself has stayed the same. A n d t h a t r a i s e s a n i n t e re s t i n g question: What has changed around your business while the way you run it has stayed the same?

The problem with knowing your practice so well

One of the interesting things about valuing dental practices is that we are sometimes able to see something the owner can’t. That isn’t because we understand their business better than they do. Far from it. Most established practice owners have an extraordinary understanding of their businesses. They know the patients, team, clinicians, local market and history behind countless decisions. But most of that experience has inevitably been gained by looking deeply at one business: their own. A specialist dental practice valuer has a different perspective. We see d i ff e re n t p r a c t i c e s i z e s , i n c o m e m i x e s , re m u n e r a t i o n s t r u c t u re s , staffing models, productivity levels, costs and profit margins. The owner has depth of knowledge. The valuer has breadth of comparison. The value comes from putting those two perspectives together. It allows us

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to ask questions that can be difficult to answer from inside the business. Are staffing costs proportionate to revenue? Is this remuneration model still c o m m e rc i a l l y a p p ro p r i a t e ? How productive are the surgeries compared with similar practices? Are there areas of the business that warrant a closer look? These are useful questions regardless of whether you intend to sell.

What if you have no intention of selling?

We understandably associate valuations with transactions. You decide you want to sell. You establish what the business is worth. You take it to market. But that overlooks one of the most valuable things a good valuation can provide: perspective. We re c e n t l y w o r k e d w i t h a n experienced practice owner. The v a l u a t i o n a n d a d v i s o r y p ro c e s s p ro m p t e d a c o n v e r s a t i o n a b o u t a long-standing commercial arrangement. There was nothing obviously wrong with it. It had simply evolved over a number of years. When we looked at the practice alongside what we were seeing elsewhere, there was reason to question whether the arrangement still made commercial sense. The owner later told us he didn’t believe he would have identified the issue himself. Once the financial impact became c l e a r, c h a n g e s w e re i n t ro d u c e d gradually over approximately six months. The owner estimates the result was around £43,000 in additional income a year. That is clearly a significant figure. But for me, the more interesting part of the story is why the opportunity hadn’t been identified before. It wasn’t because the owner didn’t understand his business. It was because he understood his business in isolation.

Commercial drift rarely announces itself

B u s i n e s s e s r a re l y b e c o m e l e s s efficient over night. Commercial drift tends to happen gradually.

A percentage changes here. A salary increases there. A supplier cost rises. An hourly rate doesn’t quite keep pace. Each individual decision may be perfectly reasonable at the time. It is its cumulative effect that can become significant. And familiarity can make those arrangements almost invisible. This is where external benchmarking can be useful. Not because every dental practice should conform to an industry a v e r a g e . T h e y s h o u l d n ’t . D i ff e re n t locations, income mixes, patient demographics and operating m o d e l s a l l re q u i re c o n t e x t . Good benchmarking is about identifying where it might be worth asking why. • Why does this percentage sit where it does? • Why has this cost increased faster than revenue? • Why do we remunerate this way? Sometimes the answer will be entirely reasonable. But occasionally, the answer is simply: “Because we’ve always done it that way.” T h a t ’s w h e n t h e c o n v e r s a t i o n becomes interesting.

Why finding it early matters

Imagine identifying a sustainable improvement to your practice one month before you sell it. Now imagine identifying the same opportunity five years earlier. During t h o s e a d d i t i o n a l y e a r s , s t ro n g e r performance could support greater i n c o m e , i n v e s t m e n t , re c r u i t m e n t , reduced clinical hours or simply a more resilient business. You also have time to make changes carefully, assess their impact and a l l o w i m p ro v e d p e r f o r m a n c e t o become established. That is why I don’t think an early valuation should automatically be viewed as the beginning of an exit. It can simply be part of good business ownership. T h e re i s a n o t h e r b e n e f i t t o o . Understanding your practice early gives you time to consider what you eventually want from it.

For some owners, that will mean maximising capital on retirement. Others may want to reduce their clinical days, sell but continue practising, protect their team or preserve the identity of the practice. The highest headline offer isn’t necessarily the best deal if the c o n d i t i o n s a t t a c h e d t o i t d o n ’t support the future you want. The earlier you understand both your business and your personal objectives, the more opportunity you have to shape the outcome.

Perhaps we need to rethink the question

Ask a practice owner whether they need a valuation, and a perfectly reasonable response might be: “I’m not thinking of selling yet.” Perhaps we should ask something different. • When did you last independently benchmark the commercial performance of your practice? • Do you know how your costs compare with similar businesses? your long-standing • Do remuneration structures still work as intended? • And which arrangements exist largely because nobody has had a reason to question them? These aren’t questions that only become relevant when you want to sell. They are questions about understanding the business you own today. A valuation carried out shortly before a sale can help you understand what your practice is worth. A valuation carried out years before a sale gives you the opportunity to do something about it. And sometimes the most valuable thing a valuation reveals isn’t what somebody might eventually pay for your practice. It’s what you could do differently while it is still yours. n

About the author Abi Greenhough, Managing Director of Lily Head Dental Practice Sales.

The Probe | September 26

31/08/2026 17:59:10

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BUSINESS & FINANCE

How to sell a dental practice

Step 1: Valuation

elling your dental practice is likely to be one of the biggest financial decisions of your life, and it is important to go in with eyes wide open and with the best professional advisers that can deal with this for you. The first step is to have a specialist practice valuation of the dental practice. It is important to understand that a dental valuer will make a number of adjustments to the financials of your practice and also calculate the value of your dental practice using a couple of financial models. This makes sure that the practice is de-personalised (removing all your personal expenditures) but also looks at the practice under both an ‘associate-led’ and a ‘principal-led’ model. Having someone experienced in doing this is key to ensuring that you maximise the value.

What is EBITDA?

When valuing a dental practice, we will calculate the EBITDA (which is the earnings before interest, tax, depreciation and amortisation). Some people may not have amortisation within their accounts (which is the writing down of goodwill). Put simply, when calculating the EBITDA, we are calculating the profit of the dental practice. However, we are removing any personal costs such as spouse wages (if not working in the practice), personal purchases, indemnity insurance, subscriptions and training courses – to name a few. The dental valuer will also remove tax reducers such as depreciation, use of home as office, motor expenses, etc. When calculating the EBITDA, for example, under a ‘principal-led’ model, we also assume a full-time principal. Thus, in a simple scenario, if there were a principal working three days per week and an associate working two days per week, then the associate cost can be removed from the calculation as the EBITDA would assume a full-time principal. The fact that you are working differently should not impact the valuation of the practice and, all other things being equal, should be valued the same as a dental practice where the principal works five days per week. The calculation of the EBITDA is both a science and an art, and having an experienced dental practice valuer undertaking this can take all these matters into account. The calculation of the EBITDA is very important: undervalue this by only £10,000, and you may have lost out by £75,000 of sale price. Overestimate, and you could have an aborted sale part

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way through the legal process when due diligence has been provided. An experienced valuer will also know how to deal with the likes of underperformance of UDAs. There are two EBITDA models that we use: Associate-Led EBITDA - Under an associate-led model, this assumes that all income of the practice is generated by associates. Just to note that the practice does not need to be working like this under your ownership. You may well have yourself as the principal and three associates. Therefore, to calculate the associate-led model, there would be an additional associate cost against the income that you generate. Principal-Led EBITDA - Under a principal-led model, this assumes that there is a full-time principal working in the practice. Again, this does not necessarily reflect how you are working at the dental practice. If you are working part-time, we would add back some associate cost to make this based on a full-time principal. Multiples of EBITDA - A multiple is then applied to the above EBITDAs. The multiple is affected by the location of the dental practice as well as treatment types and likely demand. A dental valuer would then calculate the values of the dental practice both under a principal-led and an associate-led model, and the higher of the two values can be used. This will often also have a bearing on the likely purchaser of the dental practice. For example, if the principal led gave us the higher value, then to achieve this a buyer who is going to work in the practice would be required. This could be a single-handed or smaller practice where there would not be sufficient profit/EBITDA if the practice was run purely by associates. However, if the associate-led model provides the higher value, then not only would you have corporate interest but also smaller corporate groups and dentists who are looking to work in the practice.

What information is typically needed for a valuation?

To ensure that a valuation is as up to date as possible, it is important that we, as your dental practice valuer, get up-to-date financials. A valuation cannot simply rely on the accounts of the practice which may be months out of date and may not show any growth in the practice. Information required:

• Current NHS contract value and UDA/UOA requirement

• Current monthly private plan income and number of registered patients

• Last 12 months’ private fee-per-item income • Breakdown of staff costs • Last 3 years’ accounts

Enhancing of Value - When undertaking a valuation of the practice and understanding the detail, this allows us to confirm any ways where the practice value could be enhanced. A typical example that is frequently mentioned relates to hygiene recharge. Some practices have benefitted from £10,000s of cost savings, and under an associate-led model of, say, 7.5, the difference in value can be significant. Other discussions over principal earnings and one-off costs can also make considerable differences. It is important to have an accurate valuation in the first instance, but this will likely also dictate the types of buyers that would be suitable for the practice, which a good agent will use rather than marketing aimlessly. Next issue: Step 2: Marketing and the sale process

About the author Martyn Bradshaw is a Director of PFM Dental. PFM Dental provides: valuations and sales, practice finance, accountancy, legal, and financial services advice to dentists. If you are purchasing a dental practice, we can provide all the assistance that you need.

The Probe | September 26

31/08/2026 18:00:57

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business & finance

Understanding the facts

ccess to the most up-to-date information is essential for business owners throughout the profession. Dental Elite understands the value of data you can trust, sharing analysis each autumn of the profit and loss statements and reflecting on the data from the last year. The Benchmarking Report is now available to download for free from the Dental Elite website.

Representative data

The data is composed of a mix of new practice valuations and recurring annual valuations carried out between July 2025 and July 2026. This means it’s not drawn from a static group of practices every year. Additionally, historical data from 2023, 2024, and 2025 provide context and establish a long-term baseline. Variations across the annual benchmarks reflect both general market movements and specific operational differences in individual practices, as a result. To ensure benchmark accuracy, outliers – the top and bottom 10% of practices in terms of net performance – are excluded.

Collective gross profit margins in 2026 rose to a record 49.75%. However, net EBITDA (Earnings Before Interest, Tax, Depreciation and Amortisation) margins across all practices remained flat, at 21.09%. This resulted in a drop in absolute cash value to £185,145, indicating that high clinical gross margins were offset by increases in non-clinical fixed commercial overheads: ancillary staffing, light and heat, computer expenses, advertising, insurance, repairs and renewals, increase in leasehold value.

Financial performance analysis

Observations by practice type

A key aspect of the Benchmarking Report reviews the financial performance of dental practices. This year, the total average turnover reached an all-time high of £947,817, driven by the delivery of private fee-per-item allocations – which rose to £513,008 this year – and hygiene dedicated revenue average which achieved six figures for the first time, reaching £101,436. In comparison, NHS contract value dropped to an average of £390,901 from £412,573 last year, with Plan revenue also taking a hit, down to £133,000 – a similar level as seen in 2024.

Whilst broad averages are helpful, given as an overall picture of changes year by year, they can hide clear structural differences between distinct practice types. As such, the Benchmarking Report breaks this down into predominantly NHS contracts (80%+ NHS revenue), mixed practices, and predominantly private configurations (80%+ private revenue). Predominantly NHS practices have continued to reduce in overall scale (albeit it should be noted that this is because as practices increase their private revenues they fall into the mixed category instead), with average turnover falling to £642,824

in 2026. However, despite lower total volume, NHS practices retain the highest net profit margin across the industry – 25.72% EBITDA – owing to low material costs and lab fees, combined with contract floor adjustments implemented as part of NHS England’s minimum contract guidelines. UDA pay rates are up overall, at an average of 40%, however that’s less than private pay-out ratios at an average of 47.15%. Mixed practices continue to represent the highest-grossing model, with average turnover growing to £1,191,481 in 2026. Although baseline NHS funding remain flat in a typical mixed practice – approximately £457,000 – private revenue increased to £524,850.00. The expansion on the private side directly boosted EBITDA cash value to £270,178, with a percentage margin of 22.68%. For predominantly private practices, a typical practice turnover settled at £793,746, EBITDA margins decreased to 14.88%, and EBITDA cash was valued at £118,145. This is directly attributed to higher operating metrics – material requirements and lab fees – in addition to private associate pay-outs, which are on the whole higher than NHS.

Breakdown by capacity

To understand financial productivity more deeply, the Benchmarking Report also offers analysis based on a practice’s physical capacity. Typically, mixed practices occupy the largest physical setups. This is reflected in the data, with an average of 4.04 active surgeries per site. In these settings, the highest total revenue yield per surgery chair is achieved compared to any other model, at £294,431 each. Often, mixed practices maximise profit by prioritising

hygiene appointments and reducing NHS capacity per surgery, allowing for a focus on private revenue. Private practices are usually smallest, with 2.73 surgeries per practice. Although they achieve lower collective turnover compared to mixed, their chair-level performance is high, at £290,368. NHS practices, on the other hand, average 2.88 surgeries per location, and achieve the lowest revenue per chair – £222,783. The nature of UDA funding requires higher patient volumes and surgeries to achieve equivalent revenue.

Get informed, stay ahead

Regardless of whether you’re preparing to sell your practice, it’s important to have a good understanding of the financial landscape of the dental profession. This is the only way to prepare your business, and optimise growth effectively. Download your free copy of the Benchmarking Report today for a full breakdown, and contact the team at Dental Elite, who will be happy to support you. Visit dentalelite.co.uk/ benchmarking-report or scan the QR code. For more information visit dentalelite.co.uk, email info@ dentalelite.co.uk or call 01788 545 900 n

About the author Paul Wilkinson, Co-founder of Dental Elite.

The benefits of freeing up the reception team

he performance of a dental practice is dependent on the performance of the staff. An intense, busy shift can strain each team member’s workflow, impacting efficiency and potentially affecting the following day. When this occurs, stress mounts and the patient experience can become disjointed. The reception is what each patient will notice first upon arrival at their dental practice, therefore it’s the reception team that set the tone for the rest of the patient’s appointment. If the administrative team are juggling multiple tasks in a busy schedule, two outcomes are likely: errors are made and patients have a less positive experience. This can affect the reputation of your dental practice. So what’s the solution?

An automated helping hand

Enhancing the productivity of the administrative team and streamlining tasks is essential to staying on top of a busy workflow, in turn supporting practice growth and boosting positive word of mouth. To achieve this, automating simple admin jobs can lighten the burden for receptionists. For instance, an online chatbot can answer

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patient questions on the website whilst an AI receptionist software can answer phone calls after a set number of rings. The advantage of both of these is that patient enquiries can be resolved outside of practice opening hours, reducing traffic during the day. There is a fear that AI is here to steal people’s jobs but, in the case of an AI receptionist, it is actually a supplementary tool that shifts the focus of the administrative team away from small tasks, instead enabling the team to prioritise more important parts of the job. For receptionists, this can include: • Greeting patients and checking them in • Booking the next appointment and taking payments • Process billing and insurance claims • Overseeing patient records Consider the following scenario: a nervous patient enters the dental practice ahead of a treatment. Entering the reception area, they find that the receptionist is on the phone, so they are not initially greeted. Having to sit and wait can increase the patient’s nervousness, and when they are able to speak to the receptionist, the phone rings again and the conversation is

interrupted. This means the staff member is juggling two tasks – checking in the patient and answering a call – and the patient does not feel comfortable as there has been no initial welcome. Conversely, the nervous patient may walk in and the receptionist greets them, asks them how they are, and perhaps if they would like some water while they wait. The phone may still ring, but the receptionist is able to leave it for the AI receptionist to manage and can instead focus on the faceto-face interaction. Nerves are soothed and the patient is happier as they enter the treatment room. This small difference in protocol can massively enhance the experience for patients. Ironically, using automated technologies can support more human interactions in the practice. The role that the administrative team plays in welcoming patients sets the standard going forward by building trust and promoting a space where all feel confident and questions can be asked. For instance, practice brochures that detail some of the available treatments are useful for the waiting area, but they’re even more effective if there is a receptionist nearby who can run through them with the patient and provide

further details – this is possible when the administrative team no longer have to do simple yet time-consuming tasks. By reshaping the workflow priorities of your reception team, practices can benefit from an improved patient experience and positive word of mouth. Busy workflows can weigh heavily on the shoulders of the dental team, so shortcuts, software and products that can lighten the load should always be considered for the betterment of the business and the safety of the patients. To find out more visit www.roboreception. co.uk or call us on 07511 085684 Book a demo at https://calendly.com/ roboreception/roboreception-demo-1

About the author Dr Grant McAree, Co-founder of RoboReception.

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