The Dental Technician Magazine June 2020

VO L 7 3 N O. 6 I J U N E 2 0 2 0 I B Y S U B S C R I P T I O N

THE ONLY WAY FOR PERFECT IMPLANT REHABILITATION?

By Matteo Neroni PAGES 20-21

ALSO INSIDE THIS MONTH AND YOU, HOW DO YOU CHOOSE YOUR CAD/CAM? ZIRKONZHAN

MY HOME SET UP NARGISA RIKENA PAGES 12-13

PAGES 8-9

VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM

PRINTING PPE FOR THE NHS BYRNES DENTAL LABORATORY PAGES 14-15

E X T E N D Y O U R S U B S C R I P T I O N B Y R E C O M M E N D I N G A C O L L E A G U E - S E E PA G E 3 w w w.d e n t a l t e c h n i c i a n .o r g .u k

BAR HEADER

EASY TO USE. EASY FOR ALL.

Easy to ac hieve the VITA SHAD E MATCH

Easy to handle

Easy to create multifaceted esthetics

ONE CERAMIC. FOR ALL CERAMICS.

THE FIRST

PRESS CERAMIC

WITH THE VITA SHADE MATCH FORMULA!

VITA AMBRIA

®

www.vita-zahnfabrik.com

facebook.com/vita.zahnfabrik

E MOR R ANY T O Y N T U A D GE OU W DO Y AT ION A N A L K I T ?

043 RM T RI INFO RSON A L (0) 7745 378 m 4 o PE c rik. n +4 Bosse ita-zahnfab y e v l So en@v s.boss

CONTENTS

Editor E: editor@dentaltechnician.org.uk Designer - Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com Advertising Manager - Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602 Editorial advisory board K. Young, RDT (Chairman) L. Barnett, RDT P. Broughton, LBIDST, RDT L. Grice-Roberts, MBE V. S. J. Jones, LCGI, LOTA, MIMPT P. Wilks, RDT, LCGI, LBIDST Sally Wood, LBIDST Published by The Dental Technician Limited, PO Box 430, Leatherhead , KT22 2HT. T: 01372 897463 The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.

No part of this publication may be reproduced in any form without the express permission of the editor or the publisher.

Subscriptions The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH

Extend your subscription by recommending a colleague There is a major change in CPD coming soon. The Dental Technician Magazine is a must read. Tell your colleagues to subscribe and if they do so we will extend your subscription for 3 months.

The only condition is that they have not subscribed to the magazine for more than 12 months. Just ask them to call the Subscriptions Hotline. With four colleagues registered that means your subscription would be extended for a year free of charge.

At only ÂŁ39.95 per year, for UK residents, this must be the cheapest way of keeping up to date. Help your colleagues to keep up to date as well. Ask them to call the subscriptions Hotline on 01202 586 848 now.

CONTENTS

JUNE 2020

Obituaries Larry Browne Michael Ian Kedge - Mick Richard Havard

4 18 24

Welcome Welcome to your magazine

5

Digital Technology Zirkonzahn : And you, how do you choose your CAD/CAM? Zirkonzahn : Lecture Tour Straumann: 3D printing made easy

8-9 9 25

Marketing Marketing Simplified by Jan Clarke

10

Focus My home set up by Nargisa Rikena Byrnes Dental Laboratory: printing PPE for the NHS

12-13 14-15

DTS 2020 Dental Technology Showcase 2020

17

Company Profile Matteo Neroni: DGSHAPE

20-21

Dental News Dentists concerned over spike in mouth cancer cases Save Labs, Buy British British Association of Dental NursesÂŽ Podcast by BADN chairman

22-23 24 25

ECPD Free Verifiable ECPD & ECPD questions

26-27

Marketplace 3Shape/VITA/ Zirkonzahn

28-29

Insight Letters to the Editor

30

Classifieds

31

www.dentaltechnician.org.uk

3

OBITUARY

LARRY BROWNE 1941-2020

It is with great sadness that we announce the passing of our esteemed editor Larry Browne on Sunday 31st May. Larry was a lifeforce within dentistry who dedicated many years to training and educating technicians and dentists.

He will be very sadly missed by his wife Sue, his family and the wider dental community.

We will be putting together a special tribute for Larry in the July issue of The Dental Technician Magazine.

If you would like to contribute in any way please contact info@dentaltechnician.org.uk

4

www.dentaltechnician.org.uk

WELCOME

Welcome

TO YOUR JUNE 2020 ISSUE

By The Dental Technician Magazine Team

T

he DLA have launched the “SaveLabs” campaign to help with the survival of UK dental lab during the COVI-19 pandemic. The “knock-on” effect with dental practices closing has caused severe disruption for labs and technicians across the UK. Many of which are not receiving payment on invoices for work carried out before the outbreak. Essentially putting pressure on NHS and private practices to settle invoices and “forward pay” their average invoices in a credit like scheme which could help save 80% of labs across the UK. The message is also clear to “Buy British” and help the economy.

It is becoming apparent that businesses are now starting to re-open in the first phase of the governments plan. However, routine dentistry had not been mentioned in the roadmap for easing of the lockdown until the 28th of May when a messaged appeared on the BBC alerts during the daily government briefing. There is still no definitive guidance from the Chief Dental Officer (CDO) of England to for dental professionals to follow when practices do reopen with many dental professionals calling for drastic changes to how the process is being managed. It does now appear that

We are all in this storm “ together, we may all be in different boats and have different maps or routes to follow, but it's the same storm, we will get through this and if we look out for each other the journey might be that little bit easier.

”

dental practices will begin opening on the 8th of June, in what capacity and what work they will generate for our labs is unknown.

We have seen people asking how general denture labs will cope when the lockdown ends. Will there be a backlog of repairs?

How will these be dealt with? What will be the new procedures to take? Will crown and bridge labs receive any work if there are significant restrictions on AGPs? Will there be a new 'normal' for us in our Dental labs?

Will NHS dentistry change the landscape for us all?

Lots of questions for us all to consider at this moment, lots we can only speculate on and many will go unanswered for a

www.dentaltechnician.org.uk

long time. What we have seen amongst our fellow Laboratories and technicians, is a coming together of minds, some solidarity and union. It has been refreshing to see goodwill and best wishes within the forums and social media groups amongst our subgroup within the profession, in fact, we have experienced a coming together amongst the whole dental team during the lockdown period and our common goal to restart and keep our businesses afloat and move forwards. An analogy to summarise; ‘We are all in this storm together, we may all be in different boats and have different maps or routes to follow, but it's the same storm, we will get through this and if we look out for each other the journey might be that little bit easier.’

5

TO ADVERTISE IN THE DENTAL TECHNICIAN MAGAZINE Tel: 01372 897462 Email: sales@dentaltechnician.org.uk

DIGTAL TECHNOLOGY

AND YOU, HOW DO YOU CHOOSE YOUR CAD/CAM?

THE IMPORTANT ASPECTS THAT YOU MAY NOT HAVE CONSIDERED

I

f you are a dental technician interested in new CAD/CAM systems, this article is for you! Price and technical details are the most striking variables when evaluating a CAD/CAM system.

However, there are other less obvious - but equally important - aspects that you need to consider in order to make the right choice. You need to know that with increasing competition, undercut prices are the easiest weapon available to sell one’s product. However, Zirkonzahn has always been immune from the logic of "price

slavery". Without fear of admitting it, we have never satisfied the palates of customers who adapt to this downward-price pressure: for us, adapting to this law of market would mean to discredit the extensive and effective service that we give to our customers before, during and after the purchase of their CAD/CAM system. "Everything from a single source" is the principle that has always guided our company, allowing us to work without compromise and, above all, to offer our customers an exclusive privilege: a 360° support that covers all technical,

dental technical and educational needs of the laboratory.

Zirkonzahn.Support and the Zirkonzahn School ("Die Zirkonzahn Schule") are in fact two of our best “signature products”: with Zirkonzahn.Support, our customers can benefit from a comprehensive technical, dental technical and methodological support with extremely short response times; through the Zirkonzahn School, on the other hand, our assistance extends to the training area too, for a truly all-round support.

Zirkonzahn.Support, a truly all-round support! We provide our CAD/CAM clients with a complete technical, dental technical and educational assistance, to let them make most effective use of their working equipment.

8

DIGTAL TECHNOLOGY BAR HEADER AN ALL-ROUND SUPPORT FOR ALL TECHNICAL, DENTAL TECHNICAL AND METHODOLOGICAL ASSISTANCE!

• Fully-stocked warehouse

• In-house team with many years of experience in the sector

• Software updates automatically included in the annual contract renewal.

• Technical/informatics support on machines, software and PCs

ZIRKONZAHN.SUPPORT HOW DOES IT WORK?

• Dental technical support on case designing and materials • Extremely fast intervention times • Remote live support via software and PC • Remote upgrade of milling machines, ovens and software

• Delivery of spare parts within 36 hours

The customer can request technical support by phone, email or via the dedicated portal.

Requests are processed and categorised in real time according to the type and priority of the problem, creating a ticket with all the necessary information for the supporter. The customer is contacted in the shortest possible time in accordance to the company’s availability. For hardware problems, the customer will receive

all the information needed to restore the system and, if necessary, within 24/48 the spare parts will be delivered directly to the laboratory; for software problems, the technician intervenes remotely to restore the system functionality.

In case of dental technical assistance (choice of materials, working methodology, etc.) the ticket is automatically transmitted to the Steger Dental Laboratory’s support team in Brunico. A history of the interventions carried out for each customer is produced, which the support team can consult for future references and to assess any critical issues related to a certain component.

FOR MORE INFORMATION CONTACT: carmen.ausserhofer@zirkonzahn.com, +39 0474 066662!

CREATING EXCELLENCE WITH SPEED AND PRECISION: LECTURE TOUR IN THE UK IN AUTUMN 2020 – STAY TUNED!

It is common belief to think that fast l procedures cannot go hand-in-hand with excellence, especially when it comes to complex

PICTURED ABOVE: Prettau® Bridge made of Prettau® 2 Dispersive® zirconia with free form bar, made by DT Sergio Polisi. If you also think fast procedures cannot go hand-in-hand with excellence, take the opportunity to change perspective: join Zirkonzahn’s lecture tour and stand out in the crowd of quality in digital!

restorations. At Zirkonzahn, founded by MDT Enrico Steger, father of Prettau® zirconia and of full contour 14-unit bridges (Prettau® Bridges), we are persuaded that nothing is impossible to achieve when you have enthusiasm, confidence, and expertise. So, take the opportunity to change perspective and join our lecture tour planned for autumn 2020! After an introduction about Zirkonzahn and the actual market situation, Sergio Polisi, DT and CAD/ CAM expert, will provide an overview of our complete Zirkonzahn.Software, from 3D digital patient data acquisition to implant planning to the smart design of restorations. He will show different ways to design one’s workflow according to the patient data provided as well as the personal working method and will lecture about innovative digital methods for mock-up creation as well as for the fast design of full arches with 3D patient animation concepts and already-articulated tooth libraries. Last but not least, you will learn a unique method to transfer in the analogue world digitally-designed and articulated restorations.

ENROL NOW TOGETHER WITH YOUR CLIENTS AND COLLEAGUES AND STAND OUT IN THE CROWD OF QUALITY IN DIGITAL! PLACES ARE LIMITED. FOR MORE INFORMATION AND REGISTRATION: Email: Carmen.ausserhofer@zirkonzahn.com Tel: +39 0474 066 662 Web: www.zirkonzahn.com

www.dentaltechnician.org.uk

9

MARKETING

JAN CLARKE BDS FDSRCPS l Jan qualified as a dentist in 1988 and worked in the hospital service and then general practice. She was a practice owner for 17 years and worked as an Advisor with Denplan. Jan now works helping dental businesses with their marketing and business strategy and heads up the Social Media Academy at Rose & Co. Web: www.roseand.co Email: jan@roseand.co Facebook: Jan ClarkeTaplin Twitter: @JanetLClarke Instagram: janlclarkeacademy LinkedIn: Jan Clarke BDS FDSRCPS

NEW ISN’T ALWAYS BEST

R

ecently I noticed a Facebook post from a dental plan company where they were offering a free electric toothbrush to every patient that signed up in that month to one of their plans. Great, sounds like a super offer. I then started to look at some of the comments and wow were there some unhappy people. “What about us regular patients who’ve been with xxxx for years, don’t we deserve something?” Yes, the general consensus was that those who have been loyal members of this particular dental plan over the years didn’t seem too pleased.

Now we know you can’t please all of the people all of the time but this can be a contentious issue offering great deals to new customers. Just think about banks and satellite TV companies, phone providers, they’ve all been there and upset many an old customer in the meantime.

It’s forever enticing to attract new customers with these golden deals and in large businesses it can work but I think for smaller businesses it can be extremely damaging.

What does it say about the existing customers? Probably that we don’t value you as much as we want new blood and no one wants to feel they are second best.

Smaller businesses rely on loyalty whereas larger ones, particularly if there’s not much competition, perhaps don’t care as much about this area.

hence more items of work then you will need to consider how your existing customers will respond to any introductory offer. It doesn’t mean you shouldn’t consider an introductory offer just that you need to ensure you are not upsetting your regulars in the process.

HOW DO I DO THIS? Perhaps look at a loyalty bonus rather than introductory offer. Looking after our existing, loyal clients, I feel, is a far more intelligent marketing strategy than introductory offers.

Rewarding loyalty will build loyalty and a loyal customer will tell all about you.

WHAT TO DO INSTEAD? Introductory offers may seem appealing but they are probably not a great idea for most smaller businesses unless you also offer them to existing customers.

You could offer a discount on a certain value of items of work or particularly a certain item that you want to increase. Many dental practices use several providers for their dental technical work so by offering loyalty discount you may well be moving work to you from another source. The dentist doesn’t need to find any more work, it was always there.

WHAT ARE YOU TRYING TO ACHIEVE? An important question and one you must consider. What are you trying to achieve? A greater number of regular customers or just more items of work? If it’s more items of work then it may be prudent to look to your existing customer base. If it’s new customers and

Everyone loves a freebie or a discount, you could even offer a free unit every 10 or so. This then doesn’t preclude you from offering introductory discounts as your existing customers are happy just as long as the introductory offer isn’t as good as the offer they receive from staying loyal to you.

10

www.dentaltechnician.org.uk

Your existing customers are a gold mine, don’t ignore that. Many have their own battles and problems in business and you can almost guarantee that they are hoping and trying to carryout more private and cosmetic work. Just try and tune in to their problems and help solve them for them. In the process you just may gain some business yourself.

INFORMATION EVENINGS Offering seminars away from your customers businesses allows them to gain knowledge about your products and they are then more likely to be able to offer these types of services for their patients.

BUILDING RELATIONSHIPS As ever the most important marketing strategy is to build relationships, get this right and you will have loyal customers for years to come.

Introductory offers are a nice idea but looking after the regular customers and empowering them through knowledge is far more preferable.

As ever I am here to help with any of these issues so do email or connect online with me, I look forward to meeting some of you in cyberspace!

SHOFU Block HC Ceramic Based Aesthetic CAD/ CAM Restorative

Stress-absorbing hybrid-ceramic material Wide range of shades and translucencies Two-layer blocks for aesthetic anterior restorations High flexural strength (more than 190 MPa) Easy and efficient polishability

HC Primer provides the perfect surface pretreatment for reliable adhesive bonding of SHOFU Block HC and all other hybrid ceramics.

Lifelike light diffusion and fluorescence

Supplied by

www.shofu.co.uk

FOCUS

MY HOME SET UP

By Nargisa Rikena

I

have been a dental technician for over 20 years. I had been working as ceramist and prosthetic technician in laboratories with very high standards and owned by German technician - masters. I went through many dental departments from model, waxing, prosthetic, composite, metal and ceramic departments in my country Latvia.

Moving to the UK was big step in my life, I still wanted to continue my profession in the UK as a dental technician. I was looking for possible employment, but could not find a lab in the area doing the work I had been doing, so I started looking into the possibility of setting up my own lab.

I completed a BTEC national Diploma and three years Foundation degree and two years of BSc Hons degree at Nottingham College .

At the same time I was running a lab and doing my degrees so it was very hard time!

Learning the English language was the hardest part for me. When Chris was ask me to explain how I am operating from home I was thinking how can I write as my English is not so good but I think over the years on I am improved a lot!

I am happy that was integrated here in UK and I can talk fluently and can work with my clients and no any language barriers .

I didn't have much business experience, so I approached my husband as a partner and ask him to help me to set up a lab . At first I was set up lab in town centre Boston, there was big premises which I was rented .

I wanted a big lab with technicians but it didn't work out because all my clients were very used to my work only and in no way wanted to accept other technician work. Then I decided that I wanted my own set up lab at home. So me and my husband decided that we can convert our old garage into a nice lab. Everything was altered windows placed, insulated walls, ceiling and walls been painted.

Electricity been put on place as well by professional electricians as well as a water supply.

I started to make a plan to make sure I have all legal paperwork in place the DLA helped and the Local Council advice was very good.

12

www.dentaltechnician.org.uk

FOCUS The new laboratory looked very spacious and clean. I knew what equipment I need to buy as it depended on what work I was doing.

I implemented Merz Prem Eco Line Pourable Acrylic System for denture work.

That was a new thing for me, I had a rep from Skillbond that time and went through all the system with me, I learned how to use for denture work. I attended a course with Roy Davies at Oakview Dental laboratory. Still using Merz acrylic and pourable acrylic from John Winters are great too.

I am capable on the crown and bridge side so I set up everything for that, bought two Vita porcelain furnaces ,Vita pressing furnace for pressing dislicate glass and can use for conventional porcelain work.

I do crown and bridge work, composite work from Gradia, Nexco, prosthetic work, and high standard of cosmetic work. Hand crafted composite crowns, full single zirconia, zirconia bridges and diagnostic wax ups.

I have been working with Vita material all my time as ceramist with Vita Vm 9, Vm7,Vm13. I bought a Multimat C furnace which was second hand so I knew that I wanted to try different porcelain as well, like E max porcelain.

I do all vacuum formed appliances nightguards, bleaching trays and essix retainers. For sports guards I will send to another lab.

I am in the process to try new porcelain material Soprano and Livento press and always keen to try new materials and explore them how they will work in my lab, how they will improve my quality of my work. Spending more on self learning, reading articles and social contact with others technicians. I am also attending regular ceramic courses .

I had all the usual equipment required to produce lab work to a consistently high standard, Artex, Denar articulators, work benches, burn out furnace, automatic vacuum mixers, a sandblaster unit, polymerising unit, model trimer, vibrating table and a steam cleaner.

I set up three dental benches in lab for separate areas, one for doing wax work only, one to build up porcelain and one for trimming with a special extraction unit.

I am always careful not contaminating materials together, for example porcelain will be contaminated and that’s will not be a good quality job.

I like cleanliness as it helps me concentrate with what I am doing ,of course I have messy bench sometimes when I have some big cases!

I have about four places where I am sending my lab work to that involves a stages which I can´t do in lab.

As I work alone I have behind me very talented dental technicians who help me with my work like milling crowns, designing of chrome frames and printing models.

My husband helps me to pick up and deliver jobs everyday. He needs to visit about three ,four practices daily. All other work I am sending by post which is far away to deliver.

My ambition was to buy a Medit Scaner from Blueprint Dental, which was a big step to digital side. I don't have any experience to scan and design so and still for me that a big challenge.

This new equipment drastically enhances the quality and variety of the restoration pieces I supply to practitioners including crowns, bridges, zirconia substructures.

I have had a lot of support from Andrew Wheeler who helps me to go through the scan and design.

I still need to learn more and more everyday. As I work on my own I don't have

anyone in lab daily to ask questions, that’s why I use Facebook for Dental Technicians Great Britain Facebook Group page and it is very helpful for me, I have gained many good experienced friends technicians who help me in my every day life in lab.

It is important for me to continue attending courses where is possible that gives me more knowledge and confidence to do my job properly to the highest standard.

I still do metal ceramic restorations ,like single pbc and small anterior, posterior bridges but my choice is always metal free restorations.

As a ceramist I invest in organising my own time, designing crowns with good shape and colour. I think that’s the most important thing for the patient to receive high quality crowns and of course to show clients my experience.

I am doing both parts ceramic and prosthetic because there was big demand from my clients along with dentures. I found this very challenging learning to do both.

I consider myself more as a ceramist then prosthetic technician. This will probably change as I have been doing less denture work than ceramic and moving more toward crown and bridge side.

To learn more CAD CAM in the future is definitely about digital impressions and printing models.

The goal is to make my job easier - that’s all the reps says to me! Digital technology from my point of view will never be a substitute for an artist!

I really hope this will all be over soon and we all can go back and be happy with what we do.

I think one of the best decisions I made was to work from home and be on my own.

I hope this can help you choose what is best for you and feel free as I do. I am not afraid to ask for help or questions which was always a worry for me, but that is the only way you can go forward.

Stay safe!

www.dentaltechnician.org.uk

13

EDUCATION FOCUS

BYRNES DENTAL LABORATORY

PRINTING PPE FOR THE NHS 14

www.dentaltechnician.org.uk

FOCUS

By Ashley Byrne

W

hen the work stopped coming through the door, like every UK lab, we considered closing but our technology partner Carbon, suggested we repurpose our 3D printers to manufacture face shields. They sent through validated work flows, told us the materials to use and made the whole process remarkably easy. We decided to print 50 not-for-profit, and see how popular they were. A day later, over 100 orders had come in from our social media posts and fund raising started. The following week, we had orders of over 1000. The demand for printed PPE had far exceeded our expectations, as had the generosity of dental companies, lab techs, dentists and local businesses. We were so busy, we kept two employees off furlough, and my wife and I moved into the lab so we could run the printers 24 hours a day, 7 days a week! I don’t have kids but do have a new appreciation for how exhausting it is to feed something every 3 hours every day and night.

Now it wasn’t just Byrnes Dental Lab that printed PPE. We saw countless labs use their printers of all brands, shapes, and sizes to print much needed PPE for NHS, key workers and care homes. Material supplies plagued everyone and we started to lean on each other to find visors, elastics and resins. Through this process, we started working closely with Steve Campbell from Nexus. Steve had already modified the design and worked with EnvisionTEC engineers to maximise his output. We shared material knowledge, hints and tips and helped each other to improve our offering. It’s this lab to lab network that makes dental technology the incredibly strong industry it is today and encourages agility and adaptability.

Nexus and Byrnes to date have manufactured and assembled over 8,000 face shields from our Carbon M2 and Envison One 3D printers, but as lab techs, we are never ones to rest on our laurels. It was here that we started our company, Harrox PPE. We took our experience and feedback from doctors, nurses, dentists and other sectors to combine and evolve the design.

The new closed top design was modified until we were happy with the function, then we sent our design to be tooled and manufactured in Britain, and assembled by Nexus and Byrnes. We wanted a reusable product to limit environmental impact, comfortable and cost effective, but most importantly, a safe design to allow us all to get back to work in any face-toface industry.

T0he whole PPE journey has really shown the incredible generosity of the whole dental industry, and demonstrated the innovation and agility in the laboratory sector. We should all be pretty proud of our role in this crisis.

www.dentaltechnician.org.uk

15

Watch the video!

�e��s ���o�r o�r P�o������n Zirkonzahn Worldwide – South Tyrol (Italy) – T +39 0474 066 680 – info@zirkonzahn.com – www.zirkonzahn.com

DTS 2020

DTS 2020 – WORKING TOGETHER FOR BETTER DENTISTRY l

Whether you are a dental technician, clinical dental technician, orthodontic technician or lab owner, DTS 2020 has you covered.

There will be two-days of education tailored to each area of the profession. A particular focus will be placed on digital technologies in order to help delegates enhance their workflows. There will even be bespoke payment plans available through show partner MediFinance, making it easier for lab owners to invest in the solutions they need to drive their businesses forward.

What’s more, there will be thousands of professionals in attendance, from fellow lab colleagues to dentists and trade representatives, encouraging improved collaboration and stronger professional relationships. After all, we work better together. Don’t miss out!

DTS 2020 - FRIDAY 11TH AND SATURDAY 12TH SEPTEMBER

Hall 5, Birmingham NEC, co-located with the British Dental Conference and Dentistry Show. Register for free online.

W: www.the-dts.co.uk T: 020 7348 5270 E: dts@closerstillmedia.com

ACCELERATE YOUR DIGITAL DENTISTRY

l

If you are looking to enhance your digital workflow, DTS 2020 is the place to be. It will offer an array of opportunities to discover the latest innovations on the market, with product experts and highly experienced professionals on hand to offer information and advice.

Not least of these will be the brand new Digital Dentistry Acceleration Forum, designed to facilitate collaboration between dental technicians, lab owners and dentists, enabling all to optimise the digital workflow.

There will also be more than 50 renowned speakers presenting educational sessions throughout the two-day lecture programme and offering further insight into how digital solutions could enhance your daily routines. Plus, the trade floor will host manufactures and suppliers of everything from intraoral scanners to milling machines and 3D printers.Accelerate your digital capabilities at DTS 2020!

THE BRITISH DENTAL CONFERENCE AND DENTISTRY SHOW 2020 – 11TH AND 12TH SEPTEMBER

Hall 5, Birmingham NEC, co-located with DTS. For all the latest information or to register for free, please visit: www.thedentistryshow.co.uk, call 020 7348 5270 or email dentistry@closerstillmedia.com

www.dentaltechnician.org.uk

17

OBITUARY

Michael Ian Kedge (Mick) 1945 - 2020 Words by Cliff Quince Quince, a technician with an all-round knowledge of all aspects of dentistry, enabling Mick to offer a "full service".

Larger premises were needed, and in 1972 Mick moved to 38 Devonshire Street, taking on Cliff as his partner. The Kedge & Quince partnership went from strength to strength, continuing until 2008, and at one time employing ten top class technicians. In 2008, in was time to retire, and trading ended.

l Mick Kedge died suddenly on 11th May 2020. He was born on 12th February 1945 in Harrow, Middlesex, to Peter and Betty Kedge. Mick was the youngest of three, with two older sisters, Janet and Angela. He attended Hereford Cathedral School and left at 16. We think his main interest was Rugby and School Army Cadets!

In 1962, he answered an advertisement in the London Evening Standard - "Get your teeth into this", resulting in an apprenticeship with Walter Muhlgay, one of the leading Laboratories specialising in Ceramics in the early Sixties. Under Walter's tuition, Mick had the flair and skills and became a truly talented ceramist.

In 1969, Mick decided it was time to open his own Laboratory at 92 Harley Street. He was an immediate success and expanded rapidly, taking on an apprentice and Cliff

Mick' s fame really took off in the early Seventies, when he became the technician to Dr. John McLean, an eminent dentist, inventor and motivator in ceramics. Mick was involved in several of Dr. McLean's research projects, including a process to increase the strength of Alumina Porcelain, with many test samples produced. These were all tested at the National Physical Laboratory in Teddington and also the British Ceramic Research Laboratory in Stoke-on­Trent. Real exciting times.

The Seventies was a period when British Technicians seemed to rule the world. Mick travelled with Dr. McLean, lecturing all over the world - USA, Europe, Australia, South

“It has been an honour to have known and worked with Mick, a friend since 1964” Cliff

Africa, Japan and China. At that time, a small study group on ceramics was formed to improve techniques and exchange ideas. The idea of starting an international group was considered, and The International Society for Dental Ceramics was formed; seminars were held in several cities in Europe and the USA, with the largest being held at the Barbican Centre, London, in 1984. It was a joint venture between the BOA and the I.S.D.C. A host of top speakers attended and some 2,000+ delegates from around the world. But regrettably, in an age before the internet, an organisation on this scale could not be sustained.

In 1982 after many lecture tours in cities across the USA, Mick was voted Technician of the Year in the USA by the American Dental Association. He took his parents to New York for the presentation. He was Mr. Dentistry.

In the Eighties, a lot of research and testing went on with VITA porcelains, and composites began to appear from ESSPE with Visiogem and Isosit. Then, in 1985, Brenamark Implants appeared. Mick was there.

From the Nineties, many new products became available, including scanning, scanned copings, pressable ceramics. K & Q were there.

In 2008, after Kedge & Quince ceased trading, Mick carried on working part­time as a specialist to a number of his distinguished, longstanding patients who wanted his attention.

Mick's other interests were wood-work, and when an accident with a circular saw resulted in the loss of one and a half fingers, he worked around the problem! He was still "at it" until the day before he left us. Mick was also involved in Rugby; he became President of the March Sevens, a national seven­aside schoolboy competition based annually at his Old School, Hereford Cathedral, guaranteeing many a crazy weekend.

Mick leaves his wife Diann, and her two children, Derek and Dawn, and his two daughters, Jo and Lizzie. He was a devoted and generous husband, father and grandfather - and a wonderful lunatic.

RIP MICK

18

www.dentaltechnician.org.uk

COMPANY PROFILE

DGSHAPE a Roland Company

By Matteo Neroni

H

ello to all readers of the magazine "the Dental Technician", in this article I would like to deepen the importance of being side by side by a large company such as DGSHAPE, synonymous with reliability and avant-garde in the dental sector.

Working alongside this company allows us to stay abreast of modern technology, and always be supported in our daily digital laboratory difficulties.

In my specific case I am affiliated with DGSHAPE Italy, which fortunately for me is one step away from the laboratory that I manage in Acquaviva Picena, Italy.

The motivation for choosing the topic to be treated for this edition is my personal preference for the golden proportions, combined with functionality, in total reconstructions.

These parameters are obtained through facial scans, photos and cephalometric plans.On cephalometric planning, fundamental for rehabilitations on implants such as AO4 / 6 / X, we will dedicate a complete article in the coming months, given the importance of the topic.

This edition is completely oriented, on the importance of having a facial scanning software in our laboratory, in this case I am talking about the "SNAP DOF face scanner", marketed by DGSHAPE Italy.

Before getting into the practical technical aspect of the digital workflow of this facial scanner, I want to clarify the importance of 3D acquisition of the patient's face.

Presenting yourself at the dental office, with which we collaborate, with a facial scanner allows us to digitize the face of our patient through very simple steps, which will be imported into a design software, to be coupled to the previously acquired models.

The fundamental reason for this very simple step is to know exactly the inclination

20

of the upper jaw in the digital space, which, at times, could create orientation problems, if we did not have photos or facial scans.

Personally, combined with the facial scan, I always recommend doctors to take photographs of the patient, since they too can be imported into the design software and coupled with face scan.

In this way we will work with overlapping 2D photos and 3D scanning, where with 2D we will use the DSD protocols with the golden proportions, while in 3D we will orient ourselves in the digital space respecting the aesthetic criteria (the

www.dentaltechnician.org.uk

bipupillary line, the median, the line commisural and the labial corridor) for functionality we will have regard to the over jet and the over bite (for lip support) and the curves of Spee and Wilson (for the correct assembly of our digital teeth).

At this point we have all the necessary information to start our rehabilitation.

Guaranteeing our clinician the most complete knowledge and competence on a completely digital rehabilitation flow, and the patient will be guaranteed the maximum aesthetics and functionality of the product, but above all that he has used certified protocols that comply with the laws.

COMPANY PROFILE PRACTICAL TECHNICAL ASPECTS The DOF facial scan system uses an automatic repositioning principle, using points recognized by the software. As you can see in the image on the side, the identification plate is hooked to a fork, which acts as a support to take the patient's bite. Once the digital image of the bite has been created, it will be coupled to the previously acquired master model. This very simple step is the fundamental point of our treatment plan.

The importance and precision of these acquisitions are indispensable for accurately determining the inclination of the upper jaw, providing the technician with the correct parameters for the development of rehabilitation.

In this phase it is possible to acquire the patient's facial scan, and align our scans.

Passed the step of the dental office and collected all the information, there is the control of the acquisitions in the design software, here we will find our models coupled to the facial scan, our radiography with perfectly aligned models.

The peculiarity of working with this system is that of interacting on a single "Z" axis, which allows us to import all the acquisitions made in the various previous steps and always find them aligned on each other, whenever you want to open the project.

As I wrote at the beginning of the article, it is of fundamental importance to collaborate and be part of a large family like DGSHAPE. The competence of the staff of DGSHAPE is 360 *, from

the promptness of the support, to the commercial aspect.From my personal experience, regarding the laboratory managed by me in Italy and abroad, DGSHAPE has always kept me updated, through training courses, demonstrations, and in the post COVID-19 period through direct via the web.

Finally, I conclude by thanking DGSHAPE who allowed me to speak for them and interface with this facial scan technology marketed by them. Giving me the opportunity to present it to you readers, talking about it in a non-exhaustive way, in order to create in you that little interest and curiosity, which benefits the desire to grow and try new perspectives and working protocols, increasingly digital, in search of perfection.

In the case of a total rehabilitation on implants, it is possible to import the X-ray and align it to the sagittal plane of the facial scan, we may also be able to import DICOM files, to view the volumetric rendering of the facial bones. The acquisition time is extremely short, just move the tablet horizontally from right to left, and the software will make the necessary acquisitions by itself.

In my opinion I prefer that the scanning station is fixed, with a set of suitable lights, placed on the sides of the device. Allowing the patient to rotate on its axis without tilting the head. I have found excellent results with this acquisition protocol.

Of fundamental importance is the formation of the dental practice, with this digital flow, in most of the studies with which I collaborate, the dental assistants acquire the patient's information, then sending it to the laboratory via email or online portals. For privacy reasons, I used my face to show the digital information and how it appears in the cad system, the information collected.

I would like to offer a special thanks to a study of excellence in Jesi, which has provided me with full availability and support, located in the province of Ancona, directed by the orthodontic orthodontist Dot. Alessandro Paolucci, who with great determination and resourcefulness engages in new technologies , studying tailored for his study, new protocols, open to any possibility to achieve 100% success, in any rehabilitation. Super prepared, young staff and fundamentally always smiling.

www.dentaltechnician.org.uk

21

DENTAL NEWS

MEDIA ALERT:

DENTISTS CONCERNED OVER SPIKE IN MOUTH CANCER CASES Dr Philip Lewis Mouth Cancer Foundation President

Facts about...

MOUTH CANCER

1

The 2 minute do it yourself selfexamination that could save your life!

3

6 7

1

5

4

...........................

p in the mouth, nant tumours that develo ven to the variety of malig neck cancers This is the general term gi tes awareness of all head and romo ion p ndat r Fou ance kin. (oral cavity). The Mouth C nasal, sinuses, lips and s x), salivary glands, nose, (laryn box voice ynx), i.e. throat (phar

s Risk Factor ................................. ptoms ............... ..................

Sym cancer. .................................... is the main cause of mouth

• Tobacco use fold. can increase risks four • Drinking alcohol to excess cancer together can make mouth • Drinking and smoking elop. to dev likely up to 30 times more of rivation is linked to a third • Poor diet and social dep all cancer cases. through itted transm (HPV), Virus • The Human Papilloma e tobacco and alcohol as th oral sex, could overtake next decade. main risk factor within the can which r cance skin of a cause • Exposure to the sun is affect the lips and face.

n visit tion or for FREE informatio

To make a dona

ndation.org www.mouthcancerfou 5680 Office +44 (0) 208 940

JOIN OUR WALK FOR MOUTH CANCER

Head Line: 01924 950 950 •

ation.org info@mouthcancerfound Alternatively you can email

Advice

n is a registered charity The Mouth Cancer Foundatio

Mouth Cancer Facts

22

SCAN TO WATCH OUR YOUTUBE VIDEO

(No. 1109298) dedicated

to saving and improving

the lives of everyone affected

by head and neck cancers.

Support can play a pivotal

Sam Waley-Cohen, a friend of the Duchess of Cambridge, told the Sunday Telegraph it was 'inexplicable' that dentists remained closed as 'most have higher hygiene standards than hospitals'.

one side your tongue and examine 6. TONGUE - Gently pull out . gs, ulcers or changes in colour then the other. Look for swellin your tongue.

Examine the underside of

!

EARLY DETECTION IS KEY

and open MOUTH - Tilt your head back 7. FLOOR AND ROOF OF floor of the tongue up and look at the your mouth. Then lift your lour, ulcers or swellings. s in co hange rving c mouth. Obse

7

6

...... at is Mouth Cancer ....................................

Wh ....................................

patch anywhere in the mouth • An ulcer or white or red 3 weeks. that does not heal within neck ere in the mouth, jaw or anywh g • A lump or swellin 3 weeks. that persists for more than tongue. ewing or moving the jaw or ing, ch wallow culty s • Diffi . or other area of the mouth • Numbness of tongue is caught in the throat.

• A feeling that something persists that ness hoarse or • A chronic sore throat more than 6 weeks. of teeth.

• Unexplained loosening

All you need is a mirror, a good light source and clean fingers.

2

Check yourself once a month using our simple de.

2 minute self check gui

3

5

4

er side of der your jaw and feel eith 2. NECK - Run your fingers un swellings? your neck. Are there any lip downwards. bottom and ds upwar lip 3. LIPS - Pull your upper or changes in colour.

Look inside for any sores gum for gums feeling around the 4. GUMS - Examine your anything unusual. cheek away one side your mouth and pull your Open S CHEEK 5. and eck for ulcers, ou have not noticed before y red or white patches. Ch 1. FACE - Look for swellings y ing at a time. Look for an head from side to side, stretch lumps or tenderness. inspect your skin. Turn your e. making lumps easier to se the skin over the muscles

2

T

he Sunday papers ran with the story of businessman Sam Waley-Cohen, 38, who owns 100 dental practices across the UK, claiming deaths linked to mouth cancer will soar if the government refuses to allow dentist to reopen.

cer

Facts About Mouth Can

is lost to Mouth cancer 1 person every 3 HOURS

Over 8300 new cases

in the UK each year

re lost to Mouth Cancer Each year 2700 + lives a ffects 650,000 per year Worldwide Mouth Cancer a Mouth Cancer is TWICE

as common in men

78% off cases occur in the Over

55 age group

over the past 10 years Incidence has risen by 49% w decades s hardly improved in last fe 5 year SURVIVAL rate ha

ical needs of patients. role in meeting the psycholog

The charity offers free

to patients, information and resources

als. carers, survivors and profession

02/04/2020 10:51:15

1 Poster 2 Minute Check Final.indd

www.dentaltechnician.org.uk

Dentist and President of the Mouth Cancer Foundation, Philip Lewis, says “It’s great to see an industry leader drawing attention to the need for regular examinations for the early detection of mouth cancer. Sadly, it is still likely to be many weeks before general dental practices can again offer routine appointments for their patients. That’s why it’s so important that people continue to examine themselves at home. There are full instructions about how to do this on our website: https://www. mouthcancerfoundation.org/get-info/biteback-mouth-cancer If you find anything you think is suspicious call your dentist for further advice. It’s essential that mouth cancer is discovered and treated early.”

Maxillofacial Surgeon and Ambassador of the Mouth Cancer Foundation, Mahesh Kumar says “We understand the reason why dental practices are not currently open.

DENTAL NEWS Public Health England and the Chief Dental Officer are concerned for both the public and staff members being exposed to Coronavirus in the practice setting.

The increased risk with aerosol generating procedures (AGP’s) in dental surgeries when using drills and ultrasonic scalers subject both the dental team and possibly the patient to transmission of the virus. There are also currently difficulties in accessing appropriate Personal protection equipment (PPE) as it is being diverted to Hospitals and care homes.

However, mouth cancer is often detected by dental surgeons as well as general medical practitioners. Reducing the access to a professional group such as dentists may in the short-term cause anxiety to the public and potentially delay diagnosis and treatment of oral cancers.�

In the meantime, until dental practices re open The Mouth Cancer Foundation urges the public to examine themselves regularly at home, just as they do for early signs of other cancers and know the conditions to look for: P

Swellings

in the mouth, face or neck

Red or white patches on the skin of the mouth, the tongue or the palate P

that do not heal in a maximum of 3 weeks P

Ulcers

Changes in texture of the lips or inside the mouth P

P

Difficulty

swallowing or chewing

P

Numbness

P

A

of the tongue or lips

l

The Mouth Cancer Foundation is a charity dedicated to raising awareness and support for those suffering from or at risk of mouth cancer, throat cancer and other head and neck cancers, as well as providing assistance and information on living with mouth cancer for families, friends and carers. The promotion, protection and education of good health is key to raising awareness of mouth cancer. The charity aims to inform the public about the signs, symptoms, facts and figures and key causes of mouth cancer. Know what increases your risk of getting the disease including information on HPV, alcohol and smoking.

About Mouth Cancer Mouth Cancer is the general term given to the variety of malignant tumours that develop in the mouth, (oral cavity). The Mouth Cancer Foundation promotes awareness of all head and neck cancers i.e. throat, (pharynx), voice box (larynx), salivary glands, nose, paranasal, sinuses, lips and skin.

1 PERSON EVERY 3 HOURS IS LOST TO MOUTH CANCER.

n

feeling of something stuck in the throat

Hoarseness of the throat lasting 6 weeks or longer P

OVER 8300 NEW CASES IN THE UK EACH YEAR.

n

EACH YEAR OVER 2700 LIVES ARE LOST TO MOUTH CANCER.

n

The Mouth Cancer Foundation publishes a free self-examination leaflet which is available for download at: www.mouthcancerfoundation.org/ get-involved/merchandise This leaflet explains exactly what to look for and how.

WORLDWIDE MOUTH CANCER AFFECTS 6500,000 PER YEAR.

n

MOUTH CANCER IS TWICE AS COMMON IN MEN AS WOMEN.

n

75% OF CASES OCCUR IN THE OVER 55 AGE GROUP.

n

Oral cancers are often painless so in addition it is important to be aware of the general signs and symptoms of mouth cancer which include: n An ulcer or white or red patch anywhere in the mouth that does not heal within 3 weeks. n A lump or swelling anywhere in the mouth, jaw or neck that persists for more than 3 weeks. n Difficulty in swallowing, chewing or moving the jaw or tongue. n Numbness of the tongue or other area of the mouth. n A feeling that something is caught in the throat. n A chronic sore throat or hoarseness that persists more than 6 weeks. n Unexplained loosening of teeth with no dental cause.

Risk Factors include: Tobacco use is considered the main cause of mouth cancer. n Drinking alcohol regularly, especially spirits, increases the risk four-fold. n Drinkers and smokers are 30 times more likely to develop mouth cancer. n Poor diet and social deprivation is linked to a third of all cancer cases. n The Human Papilloma Virus (HPV), transmitted through oral sex, could overtake tobacco and alcohol as the main risk factor within the next decade. It is already accounting for many new cases in women and the young who traditionally were unlikely to get the disease. n Exposure to the sun is a cause of skin cancer which can affect the lips and face. n

MORE INFORMATION ABOUT MOUTH CANCER IS AVAILABLE AT THE MOUTH CANCER FOUNDATION WEBSITE: www.mouthcancerfoundation.org or email: info@mouthcancerfoundation.org

Detected early there is an excellent chance of complete cure!

The Mouth Cancer Foundation is a registered charity no. 1109298.

www.dentaltechnician.org.uk

23

DENTAL NEWS

SAVE LABS, BUY BRITISH THE DLA LAUNCH THEIR COVID-19 SURVIVAL CAMPAIGN FOR UK DENTAL LABS

l

On Monday 4th May, the Dental Laboratories Association launched their new campaign to help support the plight of dental labs across the UK following the COVID-19 lockdown on March 23rd.

Steven Campbell, DLA President, commented: “The DLA are witnessing severe hardship for many members of the dental technology community, and we believe there is a very real possibility that some dental labs which dental practices depend upon will not be there once the lockdown is over unless the dental community comes together.”

of NHS dental practice principles who are still receiving their NHS contract value. Starting from May and continuing each month until the lockdown is over, the DLA are asking NHS dental practices to ‘forward pay’ their average dental lab invoice to their dental lab in advance and create a credit account for when the lockdown ends. The DLA believe that these two actions could potentially save 80% of those labs that fear their doors will be closed permanently should their current financial circumstances continue.

The message from the DLA is clear: they believe that if all dental practices settle their outstanding invoices from their dental labs as a matter of urgency, then many more labs will survive this crisis. The DLA are reporting that as many as 75% of their dental lab members have outstanding debts of over 45 days from well before the COVID-19 outbreak started to impact the dental profession.

As of 9am on Monday 4th May, over 10,000 dental practices will have received a letter from the DLA President asking them to ‘Save Labs, Buy British’. In the letter, the DLA encourage dental practices to embrace this campaign and use it to their advantage, citing that there will likely be a change in mood for imported goods in the UK, as well as an increased public resolve to see UK businesses backing each other to help grow the economy and save jobs both locally and nationally.

In a bid to not only help dental labs see their outstanding invoices settled for work carried out prior to the COVID-19 outbreak, as part of their ‘Save Labs, Buy British’ campaign, the DLA are trying to appeal to the better nature

Back in 2012, the DLA launched the British Bite Mark (BBM), which was widely supported by political figures of all parties.

The DLA were keen to point out that the BBM was much more about stopping imports

and highlighting the risks dental practices face if they don’t carry out sufficient compliance checks, particularly now dentistry falls under the CQC. In comparison, the Save Labs, Buy British campaign is much more about remembering your UK lab supplier, nurturing the relationship, and saving the dental technology profession in the UK. When concluding the virtual launch of the campaign, Steven Campbell stated that “the support from the CDO’s in all regions has been appalling for dental labs; whilst during COVID-19 dental technicians are recognised as key workers and dental team members, for all other considerations we are excluded. The same can equally be said about the GDC they are failing to acknowledge the stress their registration fee will have on many lab owners and dental technicians. If something isn’t done for dental laboratories soon, the history books will note this as the date the profession disappeared in the UK.” The DLA are making the logo available for all to use and promote and asking all social media posts to end with #SaveLabs. If you would like the electronic artwork, please contact info@dla.org.uk and they will handle your request.

OBITUARY: RICHARD HAVARD l Richard was the Senior Lecturer of the Dental Technology department at Brooklands Technical College throughout the 1980s.

He was a quietly understated and modest man, with a laconic yet lively sense of humour. In times long before Google it could be justifiably said that he possessed ‘an encyclopaedic knowledge’ on a staggeringly wide range of subjects.

A talented dental technologist, he was also an industrial chemist who had been employed by the Amalgamated Dental Company, working in the areas of product research and development and also quality control. The combination of these personal assets made him an excellent lecturer, delivering his lessons

24

in the relaxed but authorative style of someone with a proven creditability who knew exactly what he was talking about.

In this way ‘Mr H’ gained the affection and respect of many of his students.

Retiring to East Anglia, here he devoted much of his time to one of his passions, ornithology, working for many years as a volunteer for the RSPB at Minsmere. He was also the butterfly recorder for his home in Wenhaston and the surrounding area. That ‘encyclopaedic knowledge’ of his, also meant that he was recognised locally as a formidable and highly valued member of successful quiz teams and as an occasional maker of fireworks.

www.dentaltechnician.org.uk

Richard suffered from COPD, but it was his heart that finally failed him whilst he was recovering from a road traffic accident.

His wife Cyrilla son Mark and daughter Catherine, held Richard’s service of remembrance nearby. The exit music of which was appropriately, “Music for the Royal Fireworks”.

Donations were made in his memory to the East Anglian Air Ambulance and amounted to £300.00.

We at the Dental Technician Magazine extend our condolences and sympathy to his family and friends. Many of our readers will remember him during their learning days. at Brooklands College.

DIGTAL TECHNOLOGY

STRAUMANN 3D PRINTING MADE EASY l

If you want to start 3D printing, but aren’t sure if you have the resources, the Straumann® CARES® P series has a solution.

The P20+ is the ideal entry-level printer; it has plug-and-play features – just switch on and go – yet produces high quality, precise prints. The P20+ Cartridge is a smaller unit that takes multi-use consumables, making it an economic option for boutique labs. Also available is the P30 (medium volume) and the P40 (high volume) both with a range of indications, plus high efficiency.

In addition, the Straumann® CARES® P wash provides fully automated, digitallycontrolled cleaning in just 10 minutes, while the Straumann® CARES® P cure uses a precise wavelength of light emission to deliver a consistent finish on all products. Discover how the Straumann® CARES® P series could revolutionise your laboratory today.

DISCOVER ALL STRAUMANN® CARES® DIGITAL SOLUTIONS AT https://www.straumann.com/en/ dental-professionals

BRITISH ASSOCIATION OF DENTAL NURSES®

DENTAL NEWS

PODCAST BY BADN CHAIRMAN

l

Jane Dalgarno, Chairman of the UK’s professional association for dental nurses, the British Association of Dental Nurses (BADN) has today released a podcast, through Scottish Dentist magazine. Jane recorded this podcast on behalf of BADN President Jacqui Elsden, who is currently recovering from the virus.

In the podcast, Jane - who works for Community Dental Service CIC - answers many of the questions dental nurses have been calling the BADN offices to ask, covering the furlough scheme, redeployment, support from BADN, and where to go for up to date, accurate information.

She also stressed, as did England CDO Sara Hurley in her webinar last month, that misinformation, speculation and rumour circulating on many social media platforms is causing high levels of anxiety and distress; and exhorted dental nurses to get their information only from reliable sources publishing official information, such as the BADN website www.badn.org.uk, rather than from various Facebook, or other social media, groups, and to stop sharing misinformation posted there, which she describes as “the equivalent of “hearsay” or “gossip””.

uk, and the further support such as the Legal Helpline, Health & Wellness Hub and BADN Rewards, which offers a variety of special offers and discounts to BADN members. BADN has temporarily lowered its membership fee to £30, to allow those members whose renewal is now due to continue their BADN membership, and their access to membership services; and to encourage those dental nurses who have not in the past supported BADN, their professional association, but are now in times of difficulty turning to it for assistance, to join.

Jane outlines the support offered to dental nurses by BADN, the new email address set up specifically for queries - enquiries@badn.org.

THE PODCAST CAN BE ACCESSED VIA THE BADN WEBSITE OR AT: https://bit.ly/badnpodcast

1. Founded in 1940, BADN is the UK’s professional association for dental nurses. Full Membership is normally £50pa, currently lowered to £30 for full time workers and £44, currently £24, for part time workers.

2. Benefits of BADN membership include special member rate indemnity cover, Legal Helpline, Health & Wellness Hub, the quarterly digital British Dental Nurses’ Journal with free CPD, and BADN Benefits, which offers a wide range of special offers and discounts. 3. The BADN President and Executive Committee are all nominated and elected by members, by independently overseen ballot where necessary, and serve fixed terms of office. All are dental nurses, who give their time and expertise to BADN without any financial remuneration.

www.dentaltechnician.org.uk

25

ECPD

FREE VERIFIABLE ECPD As before if you wish to submit your ECPD online it will be free of charge. Once our web designers give it the all clear there will be a small charge.

This will be less than the CPD submitted by post. This offer is open to our subscribers only.

To go directly to the ECPD page please go to https://dentaltechnician.org.uk/dental-technician-cpd.

You will normally have one month from the date you receive your magazine before being able to submit your ECPD either online or by post.

If you have any issues with the ECPD please email us cpd@dentaltechnician.org.uk

4 HOURS VERIFIABLE ECPD IN THIS ISSUE LEARNING AIM

The questions are designed to help dental professionals keep up to date with best practice by reading articles in the present journal covering Clinical, Technical, Business, Personal development and related topics, and checking that this information has been retained and understood.

LEARNING OBJECTIVES REVIEW: n Strength of Zirconia n Implant planning n Customised Special trays n Business of Management

LEARNING OUTCOME

By completing the Quiz successfully you will have confirmed your ability to understand, retain and reinforce your knowledge related in the chosen articles.

Correct answers from May DT Edition:

26

VERIFIABLE ECPD - JUNE 2020 1. Your details First Name: .............................................. Last Name: ........................................................Title:................

Address:.............................................................................................................................................................. ................................................................................................................................................................................ ............................................................................................................ Postcode:...............................................

Telephone: ......................................................Email: .................................................. GDC No:..................

2. Your answers. Tick the boxes you consider correct. It may be more than one.

Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

Question 9

Question 10 Question 11

Question 12

Question 13

Question 14

Question 15

Question 16

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

Q1.

A.

Q2.

C.

Q3.

A.

Q4.

C.

Q5.

A.

Q6.

B.

Q7.

A.

Q8.

C.

As of April 2016 issue ECPD will carry a charge of £10.00. per month.

Or an annual fee of £99.00 if paid in advance.

Q9.

A.

You can submit your answers in the following ways:

Q10.

B.

Q11.

C.

1.

2.

Q12.

A.

Q13.

B.

Q14.

A.

Q15.

D.

Q16

A.

3. Evaluation: Tell us how we are doing with your ECPD Service. All comments welcome.

...................................................................................................................................................... ......................................................................................................................................................

Via email: cpd@dentaltechnician.org.uk By post to: THE DENTAL TECHNICIAN, PO BOX 430, LEATHERHEAD KT22 2HT

Payment by cheque to: The Dental Technician Magazine Limited. Natwest Sort Code 516135 A/C No 79790852 You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers.

Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

www.dentaltechnician.org.uk

ECPD

VERIFIABLE ECPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852

Zirkonzahn CAD/CAM systems

Q1. What does the “Remote live support via software and PC” provide?

A - Low cost B - Extremely fast intervention times C - Free form procedure D - Automatic software updates Q2. The customer can request technical support by phone, email or via the dedicated XXX? A - Portal B - Wesbite C - Printer D - Laboratory

DG Shape

Q3. Matteo Neroni is affiliated with DG Shape in which country?

A - Italy B - Austria C - Switzerland D - Germany Q4. Parameters are obtained through what scans?

A - Barcode B - Facial C - Full body D - Sample

Q10. Who acquires the patients information ?

A - Dentist B - Programme C - Dental assistant D - Online assistant Q11. The peculiarity of working with this system is that of interacting on which single axis?

A-Z B-X C-T D-A

Straumann 3D Printing

Q12. The P20 is the ideal printer for which level?

A - Mid B - Entry C - High D - Expert Q13. The Straumann CARES P wash provides fully automated, digitally - controlled cleaning in how many minutes?

A - 10 B - 20 C - 30 D - 40

Letter to the editor - Peter J Natt

Q5. What is the fundamental reason for the scanner?

A - To know the exact inclination of the jaw B - To count number of teeth C - To replace photographs of face D - To register patients bite Q6. The process uses certified protocols that comply with?

A - System requirements B - Laws C - Dentist brief D- Digital guidelines Q7. The DOF facial scan system uses what automatic principle?

A - Repositioning B - Rehabilitation C - Acquisition D - Processing Q8. Once the digital image of the bite has been created it will be coupled to the previously acquired?

A - Scan B - Master model C - Photo D - Sample Q9. What files can also be imported during the process?

A - DICOM B - JPEG C - GIFF D- BADF

Q14. Most removable dentures are constructed from heat cured and cold cured?

A - Cobalt B - Fibreglass C - Putty D - Acrylic Resin Q15. How many species of bacteria and fungi have been found within one worn denture?

A - Over 10 B - Over 20 C - Over 30 D - Over Q16 . What does MRSA stand for?

A - Multi Resource Section Area B - Methicillin - Resistant Staphyococcus Aureus C - Maxillofacial Resource Section Area D - Methicllin - Resource Sanction Act You can submit your answers in the following ways: Via email: cpd@dentaltechnician.org.uk or by post to: The Dental Technician Limited, Po Box 430, Leatherhead KT22 2HT. You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers.

Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

www.dentaltechnician.org.uk

27

MARKETPLACE 3SHAPE LAUNCHES FIRST ONLINE DIGITAL DENTISTRY GLOBAL SYMPOSIUM 24-HOUR MARATHON OF WEBINARS FOR DENTAL PROFESSIONALS

w The 3Shape 24h Global Symposium is a unique online opportunity for dental professionals to come together and keep business and learning on track while social distancing is the norm. The back-to-back program of hot-topic webinars from leading dental experts and rock stars of the industry will open its virtual doors on June 19 at 13.00 CET and run for 24-hours, non-stop!

“With current restrictions on travel and socializing, 3Shape has been ambitious in providing dental professionals new ways to learn and network from home,” says Lars Christian Lund, 3Shape Senior Vice President Business Development and Marketing. “We are extremely excited about the upcoming 3Shape 24h Global Symposium – our around-the-clock learnathon may be the first of its kind for dentistry!”

HIGH-VALUE KNOWLEDGE AT ZERO COST

The virtual framework of the 3Shape 24h Global Symposium enables everyone, on every continent, in every time zone and in from

every corner of the globe to gain a live event experience and global networking opportunity from the safety and comfort of their armchair.

No passport necessary – just a curiosity and passion to acquire new knowledge.

Participation in the 3Shape 24h Global

Symposium is also completely free, with no hidden charges.

SIGN UP AT: www.3shapesymposium.com

VITA AMBRIA: THE FIRST EVER PRESS CERAMIC WITH VITA SHADE MATCH FORMULA! SHADE. PRESSED. SUCCESS.

w With VITA AMBRIA, you don’t have to compromise when pressing glass ceramics!

The new generation of low-fusing press ceramics made of zirconia-reinforced lithium disilicate finally addresses the issues of surface imperfections, fit problems and gray, lifeless esthetics. With VITA AMBRIA, press ceramic perfection is just a step away. It’s pressed glass ceramics, done differently: A minimized reaction layer with the investment material

provides for excellent surface quality, efficient finishing and a precise fit. The innovative formula delivers both improved stability and captivating esthetics.

VITA SHADE MATCH FORMULA is also on your side to ensure that you and your customers can always achieve the perfect shade.

Make no compromises and rediscover pressed glass ceramics with the “VITA - perfect

match” - for every user, every laboratory, and every situation.

FIND OUT MORE: www.vita-zahnfabrik.com/AMBRIA VITA® and other VITA products mentioned are registered trademarks of VITA Zahnfabrik H. Rauter GmbH & Co. KG, Bad Säckingen, Germany.

The innovative formula delivers both improved stability and captivating esthetics.

28

www.dentaltechnician.org.uk

MARKETPLACE SAFE PLANNING IN IMPLANT PROSTHETICS: ZIRKONZAHN-IMPLANT-PLANNER w With the Zirkonzahn.Implant-Planner implant planning software, the cooperation between the dentist and the dental laboratory can be taken to new levels, reconciling the planned aesthetic design of a prosthetic restoration with the planned implant situation (backward planning).

Based on digitally merged patient data (such as DICOM data or data from model or facial scans), the dentist can determine the optimal implant position in terms of function, anatomy and aesthetics, taking bone structure into account. The user is guided through the planning process one step at a time, making implant planning an easy task right from the outset and requiring only a minimum of user familiarity with software procedures.

With the data transfer feature the data can easily be sent to the dental lab. Here, the surgical guides are made together with the restorations, the custom impression trays and/ or the models with laboratory analogues. This allows the dentist to receive all components required for an implant case simultaneously, to proceed with the immediate load of implants (the open data-exchange feature allows the use of CAD/CAM systems by other manufacturers or 3D printers to produce surgical guides or models).

The surgical guide and the immediate prototype matched with the Dicom data 3D as well as the virtual reproduction of the patient’s physiognomy and oral situation.

All structures - from drilling stents to the prosthetic restoration itself - can be fabricated using the Zirkonzahn CAD/CAM system and every step fits in perfectly with the existing Zirkonzahn workflow. Also all Zirkonzahn’s implant prosthetics components, available for more than 100 implant systems, are 100% integrated into Zirkonzahn’s software

via corresponding libraries, for a smooth and consistent workflow.

FOR MORE INFORMATION ABOUT ZIRKONZAHN.IMPLANT-PLANNER CONTACT: Tel: +39 0474 066 662 Email: carmen. ausserhofer@zirkonzahn.com

ZIRKONZAHN IMPLANT PROSTHETIC COMPONENTS AND IMPLANT PLANNING SOFTWARE EVERYTHING FROM A SINGLE SOURCE w Zirkonzahn has acquired a worldwide reputation as a manufacturer of zirconia, elaboration materials and CAD/CAM solutions. However, it is less known that Zirkonzahn has become one of the largest suppliers of implant components!

All our components - available for more than 100 implant systems - are conceived and manufactured at our production site in South Tyrol. Everything is produced according to the high standards we apply to our production process – intelligent solutions, precision and quality. To craft our implant components, we primarily use high-quality, grade 5 titanium.

Our portfolio is comprised of titanium bases, Scanmarkers, White Scanmarkers, ScanAnalogs

(our laboratory analogues used as scanmarkers), impression copings, laboratory analogues, Multi Unit Abutments, Raw-Abutments® and healing caps. We consistently expand our exhaustive product line with innovations, such as the all new White Metal Scanmarkers, Zirkonzahn Titanium Posts and LOC-Connectors. Together with our implant components, we provide our clients with useful tools such as the Titanium Spectral-Colouring Anodizer for colour-coating titanium bases.

With quality as our highest priority, we assume our responsibility to ensure our implant products can be used with precision and guarantee. Zirkonzahn implant abutments are warrantied up to 30 years, including the

implants from other manufacturers used with Zirkonzahn implant abutments.

For our users, all implant prosthetics components are 100% integrated into Zirkonzahn’s workflow and software via corresponding libraries. Together with the Zirkonzahn.Implant-Planner, our clients can provide dentists with all components required for an implant case simultaneously (surgical guides, immediate load restorations, custom impression trays and/or milled models with laboratory analogues). Exocad® and 3shape users may also download and implement Zirkonzahn components for free in their design software through the Zirkonzahn Library Download Center. Have a look at our range of components at www.zirkonzahn.com and check if they are compatible with your implant system! Orders placed before 11a.m. will be delivered within 24 hours.

FOR MORE INFORMATION CONTACT CARMEN AUSSERHOFER : Tel: +39 0474 066 662 Email: carmen.ausserhofer@zirkonzahn.com

www.dentaltechnician.org.uk

29

BAR INSIGHT HEADER

LETTERS

to the Editor

Email your letters to: editor@dentaltechnician.org.uk

CORONAVIRUS COVID-19 AND DENTURE REPAIRS, ADDITIONS AND RELINES l Most removable dentures are constructed from heat cured and cold cured Acrylic Resin (Methyl Methacrylate) and this material which is porous in nature will absorb fluids such as saliva which could potentially contain the Coronavirus COVID-19 virus.

What we do not know is if a denture is immersed in a disinfectant if the disinfectant can penetrate through the porous pores of a denture and the saliva hosting the virus and then target and destroy the virus.

A study needs to be commissioned to establish if Coronavirus NOVAD-19 can be viably hosted within the porous structure of a denture and if so whether it is possible to destroy it by disinfecting the denture and what precise disinfection procedure is required.

The danger being that if it cannot be destroyed when hosted within a denture that when repairing a denture that the virus can be released in to the surrounding atmosphere or work top areas thereby cross contaminating other appliances and restorations being manufactured on site or even infecting members of staff and patients.

In addition, on completing the repair of a denture what disinfection procedure is required and how would one then package the disinfected denture to avoid it becoming cross-contaminated?

Worn dentures are typically contaminated to some degree with denture plaque. Despite thoroughly disinfecting worn dentures on arrival at the dental laboratory some organisms may remain within the denture due to the inherent porous nature of denture base acrylics (chau et al, 1995; Lin et al 1999).

Over 30 species of bacteria and fungi have been found within one worn denture the worst of which was Straphylococcus

30

Aureus otherwise known as MRSA which is associated with a wide range of infections.

(Glas et al 2001) (Tawara et al, 1996).

multiplication of micro-organisms. The polishing lathes hosting the pumice sand polishing should also be disinfected.

MRSA (Methicillin-Resistant Staphyococcus Aureus which is also known as ‘Superbug’) is a type of bacteria that’s resistant to severely widely used antibiotics.

This is why in normal times it is essential that worn dentures are not polished on the same polishing lathes as new dentures so as to prevent any cross-contamination between worn dentures and new dentures.

One should tread with extreme caution before repairing any dentures at this point of time as there is no proven or established method at present of decontaminating a denture, which is contaminated with Coronavirus NOVAD19.

When carrying out a repair to a denture using a handpiece one may cause the virus to become suspended in the surrounding air and then become inhaled or it may land on a surface.

In addition any burs or polishing mops used on a repair should be safely disposed of after each repair to prevent cross-contamination as should also all the pumice and polishing agents used on the repair as pumice has been proven to be a host for the survival and

www.dentaltechnician.org.uk

Poor infection control can lead to exposing patients especially elderly patients to serious danger and could lead to a GDC fitness to practice case.

However good the intentions the advice would be to tread with extreme caution before repairing any dentures at this point in time and to take account that your insurance cover may not cover you.

This is why we urgently need a study to be carried out so as to establish the facts and then we need to be provided with clear guidelines on how to disinfect and repair a denture which may be contaminated with Coronavirus COVID-19.

Yours sincerely, Peter J Natt

CLASSIFIEDS

STATE OF THE ART 5 AXIS MILLING CENTER

Visit us

at the IDS in Cologne Hall 3.1, Booth H40

More information about Zfx Digital Solutions! www.zfx-dental.co.uk Tel. +0121 559 7172

ADVERTISE IN THE DENTAL TECHNICIAN

Birmingham

L AT E M LAB BENCHES

Tel: 01372 897462 Email: Sales@Dentaltechnician.org.uk

EXTEND

YOUR SUBSCRIPTION TO THE DENTAL TECHNICIAN By recommending a colleague to subscribe.

If they do so we will extend your subscription for 3 months* CALL THE SUBSCRIPTIONS HOTLINE ON

01202 586 848 *The only condition is that they have not subscribed to the magazine for more than 12 months

C O N TA C T: KEV T: 07725 874 744 E: kevlatem@gmail.com

www.dentaltechnician.org.uk

31

BAR HEADER

bond.lign Primer/bonder

Non-precious metal alloy

Composite

PEEK

Zirconium oxide

Precious metal alloy

Titanium

secure natural beauty bond.lign – the unique bonding system for permanent and reliable bonding of all visio.lign® system components and composites to all standard framework materials, such as NPM, HIPC (PMMA/composite), BioHPP® (PEEK), zirconia, PM and titanium.

Natural beauty | supports the natural aesthetics of the visio.lign® system Physiology | ensures shock absorption in implant prosthetics Reliability | unchanged optimal bond strength values

bredent GmbH & Co. KG · Weissenhorner Str. 2 · 89250 Senden · Germany · T: +49 7309 872-441 · F: +49 7309 872-444 · www.visio-lign.com · @: info@bredent.com