The Dental Technician Magazine March 2022

VO L 7 5 N O. 3 I M A R C H 2 0 2 2 I B Y S U B S C R I P T I O N

VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM

LMT LAB DAY ®

CHICAGO SHOW

By Ashley Byrne, Byrnes Dental Laboratory PAGE 18

TAKE YOUR BUSINESS FURTHER

Straumann Createch PAGE 14-15

NEW!

THE BOOK CORNER PAGE 5

THIS MONTH... l

EVENTS: BDIA SHOW LONDON P. 6

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HEALTH & WELLBEING: HELP SUPPORT ANDREA JOHNSON IN HER MACMILLAN PLANK EVERY DAY CHALLENGE P. 24

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REVIEW: A LITERATURE REVIEW OF BLEACHING TRAY DESIGN AND EFFICACY I BY MATT EVERATT AND DAVID BRETTON P. 34-36

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CONTENTS

MARCH 2022 Editor: Matt Everatt F.O.T.A. 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 Andrea Johnson Ashley Byrne Sharaz Mir Sir Paul Beresford

PUBLISHED BY

Welcome Welcome from the editor Letters to the Editor

Insight The Book Corner Collaboration is king. By Nicki Rowland “The power of knowledge”. By Davide Accetto of Byrnes Dental Laboratory

BDIA show London Chicago LMT show

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.

5 things I cannot work without! By David North - Metrodent

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 £39.95 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.

19

Technicians Insight 10

Business Taking the first steps into securing your financial future as a Dental Technician.

By Richard Lishman Straumann Createch - take your business further

12-13 14-15

Health & Wellbeing Women in Healthcare Leadership Summit. By Andrea Johnson Help support Andrea Johnson in her Macmillan plank Every Day Challenge

20 24

Dental News The VAT Man Commeth! By Matt Everatt Zirkonzahn’s free lecture tour The III Createch International Symposium 2022

22-23 30 36

ECPD Free Verifiable ECPD & ECPD questions

26-27

Recruitment “Job of the Month” at Recruit4Technicians.com

DTS 2022

28 32-33

Review A literature review of bleaching tray design and efficacy. By Matt Everatt & David Bretton

34-36

Marketplace Medentika/Zirkonzhan Trycare/Carestream Dental

37 38

Classifieds

39

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Competition Could you show off your skills and inspire a colleague?#Kemdent100

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

5 8-9 16-17

Events

THE DENTAL TECHNICIAN MAGAZINE, PO BOX 2279, PULBOROUGH, RH20 9BR. T: 01372 897463

SUBSCRIPTIONS

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BAR HEADER WELCOME

From the

Editor Matt Everatt F.O.T.A

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Welcome to your March edition of The Dental Technician Magazine. Most of you will have got some sort of break during the half term holidays, maybe you managed to escape the horrendous storms and weather we had of late. Either way, I do hope you were unaffected by the storms.

In this edition we will have some information about the Chicago Mid-Winter meeting. Ashley Byrne will be giving us a bit of information about why he visits and why he feels it is so important to his lab.

We have yet another great piece from Nicki Rowland discussing business and leadership development. The subject of business development came up in the DTGB (Dental Technicians Great Britain) Facebook group just a few days ago. I must say Nicki is fantastic on this subject. I have attended many a meeting and networking event with Nicki, if you are thinking of growing your business or wanting to become a better leader, she is someone you need to speak to.

This month we will also see the return to face to face exhibitions and dental shows, I certainly hope to be at one or two of them for sure. I do hope to meet a few of you, do come and say hello if you see me.

Last month I made a plea to readers, I wanted to encourage you to write to me as the Editor of your magazine. On the back of this it has provoked a reader to contact me and we plan to meet to discuss a few issues or concerns they have with the GDC. I hope to report back to you all on this and I do hope this is the start of things to come.

I really want to encourage you all to send in your emails, letters or private messages. You may want to discuss a previous article; you may want to raise a concern or you may want to share some good news with us all. Please do get in touch, I would be delighted to hear from you. You can get me on my email editor@dentaltechnician.org.uk or drop me a message via social media, you'll usually find me on the DTGB Facebook group.

Another hot topic has come to light; HMRC's new ruling on VAT and bleaching trays. I plan to cover this in a separate article in this month’s magazine. I am sure some of you who are members of the DLA will already be aware of this, this could be the start of things to come, more on that later.

For now, thank you again for taking the time to read the magazine and thank you to all who have helped make this another great month.

Until next time, we will see you next month.

suggestion for the magazine. You may have a hot topic you would like to raise with your colleagues and ask opinions. You may have read an article or editorial piece in previous issues that you wanted to comment on, you may disagree with an opinion or you may like to raise a complaint.

Equally, if you would like to write an article for the magazine, be that an opinion piece or a technical write up, we would be delighted to hear from you.

Whatever it is, we would love to hear from you. If you would like to write to me or the Editorial Board please drop an email to editor@dentaltechnician. org.uk and include ‘Letters To The Editor’ in the subject of the email.

We will be happy to publish letters anonymously if you would prefer and we would respect your anonymity.

Best Wishes Matt Everatt FOTA

Letters To The Editor Dear readers, I have recently been chatting with the Editorial Board of The Dental Technician Magazine about how we can improve the magazine and what elements of the magazine have been popular in the past. One of the regular features that has disappeared is ‘Letters To the Editor’, not through choice I may add.

I would really like to encourage readers to write to me and the Editorial Board. Maybe you have a

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Yours sincerely, Matt Everatt F.O.T.A. Editor

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INSIGHT

r e n r o C

THE BOOK

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We thought we would introduce a book corner for readers of The Dental Technician Magazine.

We want to invite fellow Technicians to share your reading interests with us.

Have you read a good business book, do you have a favourite author, have you read a great fictional book that you just couldn't put down?

THE FOUR AGREEMENTS REVIEWED BY MATT EVERATT

To start things off, I wanted to share a book that I just could not put down, it is quite a small book and a relatively quick read.

Second Agreement Don’t take anything personally This was a huge life lesson for me. I had been suffering and was incredibly angry by a few things that had been said to me by someone quite close to me. I took this so personally, it was making me rage and each day just seemed to be consumed by constantly over thinking and trying to understand why someone would be so hurtful. Then this section of the book just released me from this negative thinking. I cannot and don’t have to change the way people think or portray themselves, if they want to spend their days being bitter, resentful or jealous and say horrible things, then that’s up to them. I just chose not to listen and not to take anything personally. After all, they see the world the way they want to see it. This was life changing, truly!

I picked up this book on recommendation after attending a Dental lecture. The book has nothing to do with Dentistry I may add! The book is called The Four Agreements: A Practical Guide to Personal Freedom. The author, Don Miguel Ruiz writes about limiting self-beliefs and how we can easily and rapidly change our negative thoughts and transform our lives.

Now, ‘transforming our lives’ by reading a ‘small book’ sounds a bit crazy! Trust me I wouldn’t blame you for thinking I was a bit whacky! I started reading the Four Agreements at a time when I was going through some difficult times personally.

First Agreement Be impeccable with your words After reading the first agreement I was totally hooked and I cannot tell you the weight that was lifted off of my shoulders. I stopped with the ranting and wasting my time with moaning about others on which I have no control and only use my words in a good way and with love.

If you would like to share a book with us, please drop us an email to: editor@dentaltechnician.org.uk Please tell us the title, author, date it was published and a bit of blurb about the book and why you wanted to share it with us.

Fourth Agreement Always do your best Another great piece of advice. I am one for self-deprecating talk, ‘am I doing my best?’, ‘I could have done that better’ or ‘I’m not quite at my best today’. This is OK, ‘our best’ changes from time to time. When you’re ill, your best might be ‘just getting up, having a shower and opening the curtains’ or you might be having a tough time at work but you manage to get through the day and look forward to cuddling up to your spouse in the evening, you got through the tough day and enjoyed the evening with your spouse. Just do your best, whatever the circumstances, don’t beat yourself up and fill yourself with regrets.

Third Agreement Don’t make assumptions It is so easy to make assumptions and so easy to wrap yourself up in knots by second guessing situations, circumstances and what people are saying. This section of the book really helped me gain the courage to ask questions and to communicate better. Things just get resolved quicker if we communicate and stop assuming.

I can hand on heart recommend this book to everyone, whatever your background, age, sex, religion. It has some gems of advice that are just gold dust and can be helpful in your personal life as well as your working life. I bought the book on Amazon for about £5, I downloaded the audible version too. I pick it up from time to time and have a little read, just when I need a few reminders.

I hope you manage to pick it up and have a read, please let me what you think, drop me an email editor@dentaltechnician.org.uk

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TECHNICIANS INSIGHT EVENTS

BDIA More VITA than

BIG BIG

ever before!

LIVE DEMOS AND NEW RANGE OF MATERIALS

Experience our new range of materials for analog and digital dentistry with live demos for dentists and laboratories. We will be showcasing products such as CAD/CAM blocks and our digital denture teeth, VITA VIONIC VIGO, and much more. Watch the live demonstrations on the booth and learn some new tips and tricks to characterize and polish your CAD/CAM crowns. NEW: Easy and fast use of the new light-curing composite stains and glaze VITA AKZENT LC.

EVERYTHING DIGITAL!!

If you are looking for high quality and high aesthetic CAD/CAM blocks, VITA offers you a wide selection to choose from feldspar ceramics (VITABLOCS) to Hybrid ceramics (VITA ENAMIC) to reinforced zirconia glass ceramic blocks (VITA SUPRINITY PC). All these blocks have a

great success rate of several years of clinical studies and experience.

The VITABLOCS Triluxe forte is now available in two new bleach shades, 0M1 and 1M1. They allow you to create a radiant smile by simply polishing, no firing necessary.

The VITA Easyshade V digital shade taking device determines your patients’ shade with a single touch of a button, which also provides numerical information on the level of brightness and color.

The new Bleaching mode is a great tool to communicate with your patients via a direct before-and-after demonstration and it helps to make the bleaching progress visible.

Digital Dentures: VITA VIONIC VIGO is the new generation of denture teeth made of SE polymer with a design perfected for the digital fabrication of dentures.

A SMALL THING MAKES A

DIFFERENCE Kerator attachments are available for all major implant systems Adin Implants, Straumann, Nobel, Astra, Ankylos and many others!

From just

£86.00!

VITA ENAMIC multiColor

WATCH

THE VIDEO

Discover the magic!

01274 88 55 44 www.trycare.co.uk

Visit us live at the BDIA show in London from 25 to 26 March 2022. Stand no C75.

We look forward to seeing you!

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Since 1996

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MEET US AT THE DIGITAL DENTISTRY SHOW IN LONDON! SATURDAY 23 APRIL 2022 AT NOVOTEL LONDON WEST AND JOIN OUR LECTURE TOUR IN THE UK FROM MARCH 22 – 24 & MAY 16 – 18 2022

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METAL OPAQUER VIDEO!

WITH TERTIARY STRUCTURE IN ABRO ® BASIC MULTISTRATUM ® RESIN Removable maxillary prosthesis made for a patient with heavily impaired residual dentition.

In order to reduce the grey value of the final restoration, a layer of Metal Opaquer was applied on the secondary structure.

This product permits to increase the opacity level of metal frameworks, for a natural-looking dentine and gingiva colour.

Metal Opaquer

Zirkonzahn Worldwide – South Tyrol (Italy) – T +39 0474 066 680 – info@zirkonzahn.com – www.zirkonzahn.com

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INSIGHT

Collaboration

IS KING

By Nicki Rowland

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INSIGHT

In last month’s edition, Nicki Rowland, Director of the Exceptional Leadership Academy (ELA), explored how you can steer your ship to new horizons in 2022 by adopting an executive leadership mindset.

In this article, she discusses why the world of business owners is evolving at a fast rate of knots and the importance of having the ability to adapt to change.

BE AGILE

It is more important than ever for laboratory owners and their management teams to be agile and adapt to the ‘New World’. The word agile comes for the Latin word ‘agere’ and in conceptual terms means ‘being able to think and comprehend quickly’. You have probably heard the word ‘pivot’ bounced around recently and ultimately leaders need to be able to flex and bend at any point. When they are passed the ball, a basketball player needs to choose a ‘pivot foot’ to swivel on to avoid a defensive player and change direction at speed. In a similar way, dentistry has been turned on its head and the change and ambiguity continue every day. When ‘the only thing that is certain is uncertainty’, we need to be quick thinking to find an opening in the court to get the ball to the basket.

ESTABLISH A SENSE OF URGENCY

A sense of urgency is crucial for those of us who are driving change in dental laboratories.

John Kotter, a professor at Harvard Business School, talks about establishing a sense of urgency in his book, Leading Change. Kotter argues that “Establishing a sense of urgency is needed in the change process and helps managers of companies and leaders of change to fight against complacency”. When team members become complacent, it is often because they are happy with the status quo.

Questions crop up such as ‘Why do we have to change when the old way still works?' or 'Why change what we do when we do not know if the new way will work?' Urgency is the polar opposite of complacency. Retail establishments use the ‘urgency’ tactic in their marketing – ‘Don’t miss out. Only 5 left in stock’. This approach instils a sense of ‘missing out’ if the buyer does not act quickly. Equally, this works well in the workplace. It helps teams to recognise why change is essential to avoid being left behind. Always sell the

benefits of change to your team to get their ‘buy-in’. I would suggest drawing a vertical line down the middle of a flipchart and comparing your ‘old world’ with your ‘new world’. You can then directly demonstrate the benefits of change by comparing the two.

ADOPT A BALANCED PERSPECTIVE

Laboratory owners are spinning so many plates right now – clients, staff, new ways of working, revenue, cash flow, the list goes on.

When I talk about balance, leaders need to acknowledge that a plate may be dropped here and there. Revealing your vulnerability to your team is central to achieving a well-balanced culture as it helps to build trust. Do not see asking for support as a flaw. Instead, see it as an opportunity to work in a collaborative way with your team. In this way, you are setting a precedent whereby your staff also feel that they can ask for help and are allowed to be human.

As American businessman, Michael Bloomberg, says “Working collectively and collaboratively is the difference between mediocrity by yourself or success as a team. You have to share the pain and the responsibility and if you do then you will also share in the rewards”.

Decision-making is part of the balancing act and the defining art of leadership. Our decision making is not always spot on but is usually for the greater good of the team and the business. As leaders, we need to be careful about making decisions on our own. Remember, your team will hold you to account for the outcome of any decision if you make it by yourself. If you have made it jointly, and something goes wrong, accountability does not rest purely on your shoulders and you can all hatch plan B together. In this way, you are far more likely to gain staff ‘buy-in’ and nurture commitment within your team.

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PERSEVERE

Change management can be exciting, challenging and difficult. Implementing change in your laboratory can be a rough ride. In most cases, a large dose of perseverance is required. Don’t give up! You maybe be tired by the continuous battle of getting your team on side or dealing with a problematic client. You may be exhausted introducing new policies and procedures in line with Covid-19 restrictions and directives and training your team to deliver them. However, the battle is worth it. As businessman, Jim Watkins, says “A river cuts through rock, not because of its power, but because of its persistence.” Whether you can see tangible results instantly or they creep in slowly, perseverance is character building. Facing challenges teaches us a lot about our own abilities. Guiding your team through change develops leadership skills. And driving improvements in your laboratory is good for business growth. Isn’t that good for everyone?

LOOK TO THE FUTURE

So, as you face 2022, make a promise to yourself. Be resolute, stand firm and do not become distracted. Plan out what you want to achieve in your organisation and involve your team in decision-making. A team approach generates trust, commitment, accountability and attention to detail – a formula for success!

In the fourth of Nicki’s articles, she will be discussing the need to be a great listener to nurture your team and drive results. In the meantime, if you need any support from Nicki in relation to business development, leadership and the management of your laboratory, contact her at nicki@ela.team

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TECHNICIANS INSIGHT

5 THINGS

I CANNOT LIVE OR WORK WITHOUT!

By Dave North I Metrodent ABOUT DAVID A. NORTH (RDT)

I started in the plaster room, as we all did then, at Riley Dental Laboratory. I worked for 30 years as a ceramist. Remember PJC, VMK, Captek, allceram - you name it!

The first scanner I used was a piccolo!

I am now Digital Manager at Metrodent, who would have thought that! Dental born and bred and still in dental!

And still learning!

I love to get out on my bike and chill with a glass of red - SIMPLES! Dental has changed a lot, is still changing and will carry on changing!

l

Well after being a Dental tech/ ceramist for 30 years and now moving on into the dark side of being a rep for Metrodent! Covering technical digital installations, training well almost anything really, as like mucking in!

These are the things I could not live or work without...

1 TEAM VIEWER

I would say or start by saying the first thing I cannot live with out now especially after all this covid malarky would be Team Viewer. This fantastic piece of software has saved me hundreds of miles and also gives the opportunity to help customers when they need most being a dental technician as most work long hours! Then boom something goes wrong, probably when you have

that rush job to finish, and I probably make a rod for my own back by answering the phone and jumping on Teamviewer late into a Friday evening or even a weekend but when you have a glass of red in your hand! It doesn’t seem so bad, and always good to lend a helping hand when needed the most.

Easy to connect via laptop/pc or even phone to give support when required even stopping at Mcdonalds to pick up wifi to connect to that customer in need!

2 EXOCAD SOFTWARE

So after covering Teamviewer, you need some software to support? So exocad software would be my next thing as without this I may not have a position as a digital/ technical Manager at Metrodent, and have no customers to support!

But have to say love exocad software - user friendly, stable and as easy or complex as you want it to be, a bit like learning and playing a video game really, and easy to configure to your lab requirements.

Not just exocad the software is now seamless with exoplan and chairside for all your planning designing then straight to print or mill! Who as a tech would want to live without it now? Suppose this sums up exocad in a few words - Seamless digital workflow.

3 RED WINE

Well suppose we all have a vice so next thing is going to be a nice bottle of red! One needs to chill and this certainly helps after a days driving or sat at a screen, so a couple I would recommend would be Jam Shed or Jammy Red Roo, both help with a session of team viewer or exocad! Let´s be right, it can´t be all work no play!!

4 MOBILE PHONE

If we are all being honest next thing which most of us utilise would be a mobile phone!

Could be classed as being anti social to some but we all use them everyday in some way shape or form.

Come on we all use one for communication social media even to the point of emails, booking restaurants ordering drinks and food! Well anything you want you can order through this anti social device!

But how would you cope with out it?

How do you feel when you think you may have lost it? All those contacts and personal details!

These things are not just a phone, they are a mobile computer, and we all rely on them more than we care to admit!

FAMILY

So what’s the most important thing we can not live without, forget money, cars, gadgets, we all need that love and support of our family and friends to get us through those long hours and hard stressful times. We all need that person to turn to, to drink with to rant and rage at! Yep you have all done it!

Memories, good times! Not all good, but that makes you realise what and why, and why you put in those long hours, many miles and stress of dental software! I’ll say no more, I think you all know! Sometimes we take the simple things for granted! Life is too short, enjoy it while you can!

David North (RDT Digital Manager at Metrodent) and nearly 40 years in Dental but you have to love it!

If you would like to participate in our ‘5 Things I Cannot Work Without’ feature please email: editor@dentaltechnician.org.uk

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BUSINESS

TAKING THE FIRST STEPS INTO SECURING YOUR FINANCIAL FUTURE AS A DENTAL TECHNICIAN DENTAL TECHNOLOGY STUDENT (Part 1 of 10) RICHARD LISHMAN, AWARD-WINNING FOUNDER OF THE IFA’S – A SPECIALIST FIRM OF INDEPENDENT FINANCIAL ADVISERS THAT PROVIDES GUIDANCE AND ADVICE FOR SOME OF THE WEALTHIEST INDIVIDUALS IN THE UK AND AROUND THE GLOBE, HEADS THIS SERIES OF EDITORIALS FOR LAB TECHNICIANS

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BUSINESS

Y

our journey through life as a dental lab technician will be filled with challenges and opportunities on both a professional and personal level. These begin as soon as you receive your qualification or embark on your apprenticeship, and will include a number of significant milestones.

The transition into the working world after graduation/finishing your apprenticeship and finding your first dental lab technician role is just the start. Other significant decisions such as buying a home, getting married and starting a family, progressing in your career, specialising and maybe even opening a lab of your own one day are all potential avenues to be explored. Throughout these life events you’ll have to navigate tax, pensions, working towards retirement and even making a will – all of which can be confusing, especially if you don’t know where to begin.

As such The IFA’s will explore ways to tackle these challenges by providing advice and guidance to fictional character, Bridget Crown.

In this initial article, we will look at the first step in the character’s journey and what needs to be considered when she goes out on her own.

FINDING A JOB

Bridget chose to do a Bsc (Hons) in dental technology and go to university instead of choosing to do an apprenticeship. This means that her journey is inevitably going to be very different from someone who chose the apprenticeship route, as these individuals are typically offered a position at the lab in which they received their training.

For Bridget, on the other hand, her journey begins by finding a lab position somewhere that can benefit from her newly learned skills.

So, what advice could be given to someone in Bridget’s position?

The first step for dental technicians entering the field is to register with the GDC. This will involve completing an online registration questionnaire and submitting associated documents such as proof of qualifications.

Following this, Bridget will have to consider not only what positions are available, but also what she wants to achieve during this first step into her career. For example, should she aim to work for a smaller, family-feel dental lab or opt for a bigger conglomerate? What about commuting times, accommodation, salary and training opportunities? These initial challenges will have a significant impact on her career and are definitely worth consideration.

As she is new to the profession, signing up to a recruitment agency may be a smart way to begin, as doing so will make her aware of multiple graduate opportunities throughout the country.

MANAGING A STUDENT LOAN Once Bridget has found and accepted a role, she will need to give thought to paying back her student loan. Depending on where she studied, her accommodation needs and any family support, the amount of money that Bridget borrowed could vary by a substantial amount. In this case, she studied away from home, at a London university, and her parents couldn’t give her any financial aid. This means that Bridget is now potentially in over £30,000 of debt, especially if you take into account both tuition and maintenance loans that she may have needed during her time studying.

away from her parents, she would be eligible to have taken the full £12,667. However, as we are assuming that Bridget has finished her time at university, it’s likely that she would have been able to borrow less than this amount each year, as the maximum loan available in the 2021/2022 year was £12,382. So, if we add three years of this loan up – we’re looking at a almost £37,000 that needs to be paid back.

Add in the yearly £9,250 tuition fee, and in the worst-case scenario, Bridget now probably owes almost £65,000.i The repayment of the loan is managed through the tax system and only begins if Bridget is earning above £27,295 per year. Until she earns this amount, Bridget won’t have any of her student loan repayments deducted from her monthly pay.ii The current average salary for a dental technician in the UK is £31,634iii, though this figure will vary considerably depending on the experience level of the individual in question.

As a newly graduated technician, Bridget may be earning less, potentially lower than the £27,295 threshold. However, she could choose to start repaying her loan anyway, as this will steadily reduce the amount she owes over time and leave her with less debt later on in life.

As Bridget Crown progresses in her career, it’s likely that her salary will rise and her repayment amounts will increase accordingly. This is something that she will have to plan ahead for.

She may also consider taking out insurance such as Income Protection if she wants to safeguard her earnings.

Ultimately, the beginning stages of any career are full of choices, and working as a dental technician is no different. So much will depend on the route that an individual took to enter the field and the amount of student loan they possess. It will also hinge on what sort of dental laboratory an individual has chosen to join – but whatever the outcome, the future is always full of possibilities!

For more information, please call 0845 345 5060 or 0754 336 8478 or visit www.theifas.com REFERENCES i

Gov.uk Student Finance. Link: https://www.gov.uk/

student-finance/new-fulltime-students [Last accessed January 22]. ii

UCAS. Repaying Your Student Loan. Link: https://www.

ucas.com/student-finance-england/repaying-yourstudent-loan#:~:text=Once%20you%20leave%20 your%20course,repay%20%C2%A33%20a%20month.

Maintenance loans for students currently start at £8,781 for the 2022/2023 year, but go up to as much as £12,667 depending on the situation. As Bridget is studying in London

[Last accessed January 22]. iii

Reed.co.uk. Average Dental Technician Salary in the UK.

Link: https://www.reed.co.uk/average-salary/averagedental-technician-salary [Last accessed January 22].

NEXT ISSUE : BRIDGET CROWN CHOOSES TO SPECIALISE… www.dentaltechnician.org.uk MARCH 2022 V2.indd 13

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BUSINESS

STRAUMANN CREATECH TAKE YOUR BUSINESS FURTHER 14 MARCH 2022 V2.indd 14

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BUSINESS

TAKE YOUR BUSINESS FURTHER

Expanding your business can be an exciting endeavour as it provides ample opportunity for you to analyse and enhance how to better provide exceptional services for your clients.

From how you promote your business, to improving productivity and broadening your capabilities, there are many ways you can get your business to where you want it to be.

GET YOUR NAME OUT THERE

The new digital age of dentistry has provided many ways to improve how business is conducted, how prostheses are made and how quickly your lab can cater to your clients’ needs.

You can utilise the internet to expand your business’ visibility online, which is economical and relatively straightforward.

Promoting your business online is a proficient way to reach a wider audience, showcasing your laboratory and the highquality work you produce. Certain social media platforms, such as Instagram and Facebook, provide great opportunities for you to exhibit your team’s skills. You could upload pictures of your work, introduce your team members and provide insight into the day-to-day workings of your laboratory. If you have not done so already, making a social media page for your business is a great way to establish what your business stands for and demonstrate this to your audience, who may very well be potential clients. It is also a good way to network, keep connected and get your name out there.

A BUSINESS IS ONLY AS STRONG AS ITS TEAM

Organising additional training for your staff, so they can adopt new skillsets in the latest techniques and technologies, will help expand the capabilities of your laboratory.

A thriving workforce establishes the foundation of your business, and can determine the success of the work you produce. With a team that recognises your investment in their professional growth, the laboratory’s productivity and efficiency will increase, as will the team’s standards and expectations regarding their work. Additional training will not only improve your team’s confidence and proficiency, but will also strengthen your laboratory and help broaden your services, which will be beneficial to your clients. If there is a particular new product or technology that you have implemented into your laboratory, then this may invite new clients who are looking for something you did not previously cater to.

OUTSOURCING

Investing in new equipment and additional team training should be a careful consideration – you may realise that it is not entirely feasible for your business to do so. For instance, you may currently lack the demand

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for a certain type of service, or the purchase of capital equipment may not be financially viable for you at the present time. However, you should not have to potentially lose clients because you are concerned for your business’ interests. You can still expand your business, gain and retain clients and produce excellent prostheses, simply by striking a perfect balance between mindful investments and alternative pathways to growing your business.

One option could be to collaborate with an organisation to outsource any work that you would like to provide. This is an efficient way to keep your clients satisfied with exceptional work, boost productivity within your laboratory and grow your business exponentially.

CHOOSE AN ORGANISATION THAT YOU CAN TRUST

Choosing an organisation to collaborate with also warrants careful consideration – can they cater to your demands? Can they produce work to the highest standard, ensuring your clients are kept impressed and satisfied?

The Straumann Group, a powerhouse of innovative systems and solutions, provides a direct-to-lab milling service through Createch Medical. This professional service provides a range of dental framework options through the use of Selective Laser Melting (SLM) manufacturing and subsequent milling of critical areas. With tailor-made solutions, access to a broad variety of implant platforms and unparalleled service and support, the Createch Medical direct-to-lab milling service is an ideal choice for dental technicians looking to take their business further. Plus, with a ten-year guarantee on Createch prosthetics, you can rest assured that products will endure. Createch will also host a symposium on June 3rd in San Sebastian in Spain, to discuss and share ideas on a range of innovative topics, so be sure not to miss out.

You should take steps to grow your dental laboratory in a way that best suits you, your team and your business. By doing this, you can continue to deliver outstanding protheses to your clients whilst broadening your range of capabilities.

Register for your account with Createch Medical at http://www. createchmedical.com/en/filesending/login-registro/ For more information on the Createch Medical direct-to-lab milling service from the Straumann Group, visit https://www.straumann.com/ gb/en/dental-professionals/ products-and-solutions/implantborne-prosthetics/products/ createch-medical.html

15 03/03/2022 18:51

INSIGHT

“The POWER of knowledge”

By Davide Accetto I Byrnes Dental Laboratory

I

was 21 years old, working for a family run Dental Lab in Rome, where I have basically spent all of my youth since the age of 14, by casting plaster and processing jobs for the senior technicians in both departments of C&B and Prosthetics.

God only knows how much I have loved that place but as the time was passing by, my frustration was escalating with my age - I wanted more, I wanted to learn more, I wanted to be able to finish the jobs, and not just be processing them and passing into someone else hands.

It becomes power only when, and if, it is organised into a definitive plan of action, and directed to a definitive end.

I was stuck, busy, too young maybe… but I was determined, and I will never forget that day of July.

“Luigi?!”

He was my manager.

“When will you teach me how to finalise the work?”

“Before I will get retired” he said.

“Why you said that?”

“Because If I teach you everything you will leave me” He was wrong, I would never have left. However, from that moment I sadly understood that the only way to acquire more knowledge was to leave, but I couldn’t do it without a definite plan of action.

It took me nearly 2 years to gain the experience and the courage to leave Luigi.

Without his knowledge, every Saturday I was working for free for another Lab just to learn enough to feel confident in myself.

I have met many “Luigi’s” in my career.

All of them failed to build a successful team, by neglecting to foster knowledge to those who are eager to learn and enhance their skills. Maybe for fear of losing them once the “power” had been given to their hands, or maybe just to avoid an uncomfortable pay rise. In any case they lost many valid and talented people.

The same goes for Team members that are not sharing their knowledge with other colleagues. It can be even worse for a team than a “Luigi", as it will create fractures between colleagues and a lack of trust which can passively destroy a team that is not well-bonded.

FOR THE TEAM

Invest in your knowledge: Your brain is the most profitable asset you will ever own and the one that will never stop paying you back.

Read books, magazines and listen to podcasts: Nothing is better than starting to build your knowledge by studying books, reading magazines or listening to some podcast. It will help you to achieve your goals, improve your skills and develop your mindset.

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www.dentaltechnician.org.uk 03/03/2022 18:51

INSIGHT

Go to conferences and courses: Conferences and expos are a great place to meet professionals and learn from them. The purpose of these events are not just based on marketing, but also to share valuable information and experiences. Courses are what you need to sharpen your skills and refine your techniques.

Use your own time: I really want to focus on this aspect. We all are busy in many ways - hobbies, friends, family, children and so on - but if you are not committed to do that extra mile or spend at least one hour a day of your free unpaid time for yourself to be learning and focusing on your personal growth, guess what? You probably will never achieve your goals and will slowly give up on them.

I recently started training some of my colleagues into Digital, and my goal and happiness is to see them succeed. They are all at different ages and experience, and I am honestly really impressed to see them committed to learn by staying later or coming in earlier for training in Digital.They are not paid extra for that time, it is their choice and this is their right path for successful results.

FOR THE MANAGERS AND LAB OWNERS

Reward who is giving more I am quite sure you all have a member of your team who is always ready to do that extra mile for your business. Do not forget to appreciate their work. I am not just talking about bonus and pay raise (which are important) but

most of all recognise their hard work with compliments and sincere appreciation. We are all waiting for that magic moment when your boss says “well done, you have done a great job”. American philosopher William James said: “The deepest principle in human nature is the craving to be appreciated”.

Unfortunately, sometimes we are only called out when we have done something wrong. As the old couplet says: “Once I did bad and that I heard ever. Twice I did good, but that I heard never.”

Invest in your team Your team is one of the main reasons for your business success. I have been working in some places where the main concern was where to cut expenses, even on the milk and tea for the staff... It is right to not waste resources but do not forget to invest in your team by offering courses, materials and equipment. Ask their opinion and take time to listen and consider their requests. Obviously there is a limit to anything - if tomorrow I asked my boss to pay for me to attend a 3 day course in New York, he would probably choke while drinking his tea (but I am sure he would consider if the course would be worth the cost).

Take time for yourself Do you remember the last time you had a break form work to take part in a course for sharpening your managing skills or your business knowledge? As for the team its fundamental for the superior to keep their managing and mindset skills up to date.

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Time is money, nothing is truer than this in business, but don’t forget to take time off for yourself and literally turn your brain off from work, especially when you are at home.

Having a business to run and provide everything it needs to run smoothly is an endless challenge, this could drain you, and sometimes ruin your work-life balance.

Delegate more. Building trust with your team will make you feel safer to be away for few days and will improve your team’s managerial responsibilities and problem solving skills.

Just ask yourself: How long could your business run without you? If the answer its only few months, you might should delegate more.

CONCLUSION

The purpose of this article is not to make you leave your workplace, don’t take me the wrong way, but a continuous search for knowledge is key to helping you reach your career goals.

For managers & lab owners, it’s about how to make all of this happen too, as most of the time you are the reason of our success, sadly sometimes our failure.

If you are feeling stuck doing something you are not really enjoying, or maybe desiring to move into a different department, I wish you well in finding your path and remember that it is better for you to start thinking about a definite plan of action now, that will take you there.

17 03/03/2022 18:51

TECHNICIANS INSIGHT EVENTS

LMT LAB DAY CHICAGO

®

By Ashley Byrne I Byrnes Dental Laboratory and Editorial Board Member

F

or many years I had heard the legends of the ‘Chicago Midwinter’ conference, held each February in the USA. It wasn’t until 2015 that I would take the plunge and see it for myself. Weirdly, the US dental market is very different to ours and sadly, the technical and clinical shows are in separate locations, so the ‘Chicago Midwinter’ I knew of is actually just for dentists. Technicians need to book onto the LMT LAB DAY® Chicago, which is run by LMT Communications Inc., publishers of LMT - Lab Management Today - magazine in the US. I’ve been going for seven years now, and it is my go-to conference. I prefer it over anything else, including IDS. 100’s of lectures, an incredible trade show, and some of the most amazing people you could ever meet - all in one incredible city.

Sadly, cancelled in 2020 due to the pandemic, LAB DAY® returned this year with only a mask mandate (although there was a vaccine mandate across the City of Chicago). I was thrilled to be heading to the show, an open show with face-to-face contact! We arrived a few days early to get ourselves used to the time change and acclimatise - Chicago is cold, really cold. We landed in -5C with a windchill of -10C and believe me, if you are not wrapped up well, it chills to your bones. My favourite run takes in the Riverwalk, then alongside Lake Michigan and back through Millennium Park – it’s beautiful and exhilarating but be prepared to have frozen eyebrows and ears.

LAB DAY® runs from Thursday to Saturday and this year delivered a fantastic line up of 200+ lectures and a ton of product launches. Industry leaders like 3Shape and exocad use LAB DAY® to show off the latest CAD advances and sneak peaks of what is coming in the following year.

I saw lectures from dentists, technicians, and sales reps on all sorts of products. This year was dominated by digital dentures and 3D printing, and the US market is way ahead of us on this topic. I spoke to a great guy called Jimmy Stegall who was showing how digital dentistry had revolutionised his lab. His deep Southern drawl and highly entertaining lecture left me itching to get back to the lab and see what we can do. We

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watched lectures on IOS, milling, 3D printing, business management, software, resins, digital dentures, bar design…. the list goes on and on.

If you crave some quality education and lectures, you need to be at LAB DAY® Chicago.

The exhibition hall is also refreshing - let me explain - most exhibitors are using wooden tables instead of expensive stands, enabling incredible 1:1 access to techs, software engineers, and product specialists. Our American colleagues are also delightfully positive and honest. I relish my talks here, with some of the most powerful people in dentistry, and yet you are talking over a wooden table like at a car boot sale. It’s refreshing because it offers all technicians, salespeople, CEO’s, and business owners an opportunity to engage on a level playing field.

Of course, the City of Chicago has an incredible social scene so when the lectures stop and the trade show closes, you could find yourself at a secret Smoked Bourbon cocktail party; or a lively blues bar knocking back a bucket of cold beers with new friends; and let’s not forget the incredible steaks and seafood that Chicago is known for.

Without a doubt, this is the best show in the diary for me. I love it and every February I get excited that I’m booked to go again. If you want to some great lectures, a fantastic tradeshow, and a refreshingly different industry perspective to banter about, then get rugged up and head out to Chicago next February - you’ll enjoy an incredible experience.

www.dentaltechnician.org.uk 03/03/2022 18:52

COMPETITION

COULD YOU SHOW OFF YOUR SKILLS AND INSPIRE A COLLEAGUE?#KEMDENT100 D

ental technicians should be confident in showing off their skills and sharing their successes with the wider dental community. What they can achieve today is truly astounding! That’s why Kemdent is providing an opportunity for individuals to demonstrate how far techniques and materials have come in the field of prosthodontics.

HAVE YOU HEARD?

If you haven’t already heard, Kemdent is running a competition to find the best examples of wax try-ins and acrylic dentures from dental technicians in the UK. It is a celebration of the exceptional standards that are achieved every day in the laboratory, bringing a platform to the talent and passion of technicians who strive to deliver outstanding solutions to all their clients and their patients.

Not only does success in the competition offer recognition of the winners’ skills, but there are also fantastic prizes up for grabs.

The grand prize in each of the categories is a Trailfinders gift voucher worth £1,000 – a substantial contribution towards your welldeserved 2022 holiday!

There will be two competition categories: Best Modelling Wax Try-in and Best Acrylic Denture. Applications will need to use one of Kemdent’s market-leading solutions, including the full range of modelling waxes (Anutex, Anutex HS, Anutex Eco, Astynax, Tenatex, Tenatex Eco, Tenacetin or Tenasyle) and the denture base acrylic portfolio (containing Acron Hi, Acron Express or Acron Duo).

and colleges in the UK. Currently, Chris is a lecturer in Dental Technology, a Registration assessment panellist for the GDC and an External Examiner for the Open University at the City of Liverpool College.

MARTYN YOUNG • Martyn has also accrued extensive experience as a dental technician and laboratory owner, having run his company for approximately 13 years. Known for his knowledge and skills in prosthodontics, Martyn is a very welcome addition to our judging panel!

MIKE PRINDLE • Mike qualified as a dental technician in 1977, gaining advanced qualifications in orthodontics, crown and bridge technology.

He founded his own full-service lab in 1980 and went on to qualify as a clinical dental technician (CDT) in 2009. A Past President for the British Association of Clinical Dental Technology (BACDT), he remains an advisor for the organisation.

GET INVOLVED!

If you have a keen eye for and an interest in prosthodontics, why not get involved to share your skills? Entering couldn’t be easier: • Visit www.kemdent.co.uk/competition for full details and to download the competition form • Take 5 photos of your wax try-in or acrylic denture - head-on, from above, from the left-hand side, from the right-hand side and a close-up of the interior

• Share your photos on Facebook, tagging #Kemdent100 and ‘liking’ the Kemdent Facebook page • Email your completed form to info@ kemdent.co.uk (you can email your photos too if you are unable to access Facebook) And that’s it!

Entries will be open until 5pm on the 30th June 2022, with the winners announced at the end of July 2022.

TIME TO CELEBRATE

The winners will receive both their Trailfinders gift voucher and marketing exposure as Kemdent shares the winning entries with the profession. It’s an opportunity to celebrate the achievements of individuals across the profession and to inspire others to elevate their own standards.

It will also coincide with Kemdent celebrating its 100-year anniversary. A testament to the quality of solutions created and distributed, this demonstrates Kemdent’s continued dedication to excellence and the way it has been able to support dental professionals for so long. Visit the website to see for yourself the broad spectrum of products and materials available today to help you meet even the most challenges of cases.

Don’t forget - you have until June to enter the #Kemdent100 and be in with a chance to showcase your prosthodontic skills!

ANNOUNCING THE JUDGES

Kemdent is delighted to announce the judging panel for the #Kemdent100 competition, which consists of technicians renowned across the profession for their own skills and experience.

INTRODUCING…

CHRIS PARKER • Chris has many years of experience as a dental technician. Based in Birmingham, he has taught undergraduate and postgraduate students for 19 years and has worked as an advisor for the GDC Quality Assurance team during education inspections of universities

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

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19 03/03/2022 18:52

HEALTH & WELLBEING

WOMEN IN HEALTHCARE t i m LEADERSHIPSum

By Andrea Johnson Editorial Board Member

The Healthcare Leadership Academy is a CIC registered social enterprise. Any donations or income generated is reinvested in promoting leadership in healthcare. This is primarily through supporting the scholars on the flagship annual course. Scholars do not pay to undertake the programme.

O

n behalf of the Healthcare Leadership Academy’s (HLA) Women in Healthcare Leadership (WIHL) group we would like to formally invite you to attend our WIHL Summit.

Founded by Dr Johann Malawana (Course Director), former leader of the Junior Doctor Dispute, and a team of like-minded professionals (Our Faculty and Assistant Course Directors) the Healthcare Leadership Academy launched on 20th December 2016.

This summit will be the first for the HLA’s WIHL group, it will be a prerecorded event and held virtually on the 9th and 10th of April 2022.

The Summit theme is: Developing change & pushing boundaries.

This theme will be kept broad and we invite speakers to present their ideas on areas such as new innovations and directions in the healthcare field by prominent females, stereotyping/breaking the mould, Leadership journeys, barriers/perceptions of, developing and leading change, advocacy and mentorship to name but a few possible topics.

ABOUT THE WIHL In 2021/22 gender and opportunity equality remain topics of fervent debate.

The National Health Service (NHS) is facing the challenges of poor staff retention, ever increasing demand and changing demographics of service users. Balanced clinical leadership is required to ensure the NHS can continue to deliver patient centred care and support its employees.

As part of the Healthcare Leadership Academy (HLA), a team of current scholars and faculty

20 MARCH 2022 V2.indd 20

members are running a project in support of Women in Healthcare Leadership (WIHL).

This project provides opportunity to pose questions, invite open discussion and create a bank of resources for women aspiring to become leaders in healthcare.

The team is extremely driven to ensure this is not merely a discursive project. We want to propose tangible solutions. Though the process of identifying barriers can feel virtuous, the time to act must really be now.

In summary our objective is simple; to ensure all who desire have the opportunity, training and support to pursue a leadership role to ensure we equip the NHS with representative and discerning leaders of the future.

A LITTLE BACKGROUND ON THE HLA The Healthcare Leadership Academy formed in response to demand from young clinicians and medical students to learn about leadership.

HLA houses an exciting faculty from across the health sector and beyond. Their shared aim is to inspire the next generation of healthcare professionals and develop their understanding of leadership. Too often in healthcare, leadership is confused with management. Through a combination of mentoring, Socratic discussion, and philosophical exploration, HLA aims to inspire our scholars to change the world of healthcare, one small step at a time.

At a time when the world seems an ever more worrying place, it is important that the next generation of healthcare professionals truly understand how to motivate the people they work with in order to best look after the populations they serve.

For more information please look at: https://www.thehealthcareleadership. academy I https://www.linkedin.com/ groups/8861953 I https://twitter.com/ HLA_int I https://www.facebook.com/ HLAint

www.dentaltechnician.org.uk 03/03/2022 18:52

FRESH START

REGISTER FOR FREE

•

13-14 May 2022

the-dts.co.uk @dentaltechshow

MARCH 2022 V2.indd 21

The Dentistry Show Network

@TheDentalTechnologyShowcase

03/03/2022 18:52

DENTAL NEWS

THE VAT MAN ! th e m

22 MARCH 2022 V2.indd 22

m o C

www.dentaltechnician.org.uk 03/03/2022 18:52

DENTAL NEWS

By Matt Everatt I F.O.T.A. I Editor & Author

O

n the 21st of February 2022 all DLA Members received an email highlighting that the HMRC had come about a ruling that VAT must be charged on bleaching trays.

I will begin by saying that I am no VAT expert and each lab should speak with their accountant or VAT specialist in regards to their own circumstances.

£85k Threshold

It was pointed out by the DLA that the majority of labs are not likely to be effected by this new ruling. There is a threshold of £85,000 of sales before VAT needs to be applied. The assumption would be that this would be specifically £85,000 worth of bleaching trays as (for now) all other custom made dental appliances are VAT exempt or zero VAT rated.

In my role as Technical Director at S4S Dental Lab we've been in a similar discussion before with the HMRC, on more than one occasion I may add. Back in 2005, when we opened our lab, we predominantly made Mandibular Advancement Splints for Snoring and Sleep Apnoea. The HMRC ruling at the time, and on at least two other occasions, confirmed that such appliances are subject to VAT and if sales exceed £85,000 per year, VAT must be charged. So we are relatively 'seasoned pros' when it comes to VAT. We charge VAT already and it is now just a matter of changing our accounting system to add VAT to all bleaching tray sales. What it does mean though, any lab that has sales above the threshold of £85,000 per year in sales of Bleaching Trays and Snoring Appliances for that matter, must register for VAT and begin charging VAT.

Is this the start of things to come?

Now, here is the question. Is this the start of things to come? I personally think it is. I can't help but feel we've been a little hidden, almost invisible profession and so far we have been left untouched by the HMRC. In some ways this is good, in other ways it is to our detriment. I foresee that once HMRC begins looking at our sector, they will come about rulings for other products we provide. For example, take mouthguards or sportsgaurds.

We have been told and it has been discussed recently, a sports guard is classed as PPE (Personal Protective Equipment). All other forms of PPE are Vatable. Surely it is a matter of time before HMRC dump this on us too?

It is not deemed essential dental treatment, it's not provided on the NHS, will this be next?

Then we get into the realms of cosmetic treatments. Could the HMRC decide that only essential dental treatments can be exempt from VAT? What would be deemed as 'non-essential'? Would anything that has any cosmetic element come into question?

Any orthodontic treatment that isn't seen at complex enough for NHS funding, would that be classed as cosmetic and become Vatable?

What does it mean for our profession?

Again, these are just my own personal opinions and thoughts on what the reaction will be.

I think the HMRC will begin asking questions directly to lab owners and sole traders. Particularly if they have already had some big wins with some of the larger labs, they will see these new VAT rules as easy wins.

If you do get a letter asking for information, you may wish to speak to the DLA if you are a member, and you should certainly speak to your accountant or Tax advisor.

In terms of the physical application of adding VAT to those Vatable products, it should be relatively straight forward if you use an accounting system. As a suggestion, having been in many discussions with Dentists, they hate being quoted prices excluding VAT. If you can, show them an invoice that includes the VAT. It is unlikely they will be able to claim the VAT back and will generally pass the costs onto the patient.

My thoughts are that most dentists won’t particularly care too much for this exact reason. Will they choose a different lab for their lab products based on whether the lab charges VAT or not? Of course, this does mean that the labs that are now having to charge VAT will be 20% more expensive, unless they swallow up the 20% price difference, I cannot see why any lab would do this though. This does pose as an opportunity for other labs that sit under the threshold to increase their prices in line with those of us in the industry who have to add 20% VAT. I doubt many will do this either.

Do remember, if you are charging VAT to products, you can claim back the VAT on the items you buy to manufacture those products.

Again, do check with your accountant as to what you can and cannot claim for.

What if you have done over £85,000 threshold?

If you are over the £85,000 threshold or getting very close to it, the first thing to do

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would be to have a chat with your accountant or a VAT specialist. Yes, there are such a thing as VAT specialists. A dear friend of mine is one. He helps individuals or businesses that have fallen fowl of the HMRC and their, often ambiguous' rules. I immediately called him when we received the letter from the DLA. He confirmed much the same as the DLA did. He did say that the HMRC will most likely perform a blanket exercise across the profession by writing to all and ask how much revenue you receive from bleaching trays. It is then likely they would seek to backdate any VAT claims, they have the power to do this and they can go back many years.

Do you keep an account of types of different appliances and devices sold?

It never occurred to me that some labs do not break down the type of sales into categories and will simply invoice an amount on a monthly statement. It was only when a colleague said they simply invoice by patient or number as a reference and the amount charged that it dawned on me that he would have no way of being able to produce a comprehensive report of how many bleaching trays he had done over the year. The only way he could do this, would be to go back through piles of prescriptions and add them all up. I guess this may be an isolated case and most of us are able to produce sales reports via our accounting software or spreadsheets.

Have you already had a query from HMRC?

I would be keen to hear from any labs or individuals that have already been contacted by the HMRC on this subject. Together we may all be able to help each other and defend any potential back dated claims the HMRC may try to enforce. I must say the DLA have been very helpful so far and they have acted quickly in letting all members know what information they had.

If you think you may be exceeding this threshold, or may have previously, I would suggest you get professional advice from your account and a VAT specialist.

23 03/03/2022 18:52

HEALTH & WELLBEING

PLEASE HELP SUPPORT ANDREA JOHNSON IN HER MACMILLAN PLANK EVERY DAY CHALLENGE

C

ancer, the big ‘C’. I don’t know a person who has not been affected by this in some way, either through their own personal battle or through a close friend or relative.

I personally have lost 6 family members in the last 5 years due to various different cancers and more besides in previous years, I have lost work colleagues who have been taken away far too young due to this terrible disease, my mum has survived one cancer and is now battling another type, I have close friends fighting this and in the last year, I too have had my own battle with breast cancer.

I am one of the lucky ones who has fought and survived and that is in no small part due to the amazing medical care provided by our NHS and the amazing advances made in different treatments offered over the years. Much of these advances and the increased survival rate of people like myself owes a huge thanks to charities such as Macmillan. Macmillan Cancer Support is one of the largest British

charities that provides specialist health care, information and financial support to people affected by cancer.

For the entire month of March I will be participating in the Macmillan plank every day challenge to help raise funds for this amazing charity to play my part in ensuring that they can continue to help the millions of others needing effective cancer care and support. Maybe you or your family at some point? The stats certainly indicate that even you reading this may be affected in some way during your own life.

If you or someone you know is affected by cancer and you want someone to talk to, I am no expert, but I have a great listening ear and I am always happy to speak to anyone regarding my own experience in the hope that it will help someone else.

You can contact me through either Facebook at https://www.facebook.com/ andrea.johnson0705/ or Twitter: @kittani5 Thank you for your support!

Andrea

IF YOU WISH TO SUPPORT ME AND HELP RAISE MUCH NEEDED FUNDS FOR THIS AMAZING, LIFE SAVING CHARITY PLEASE GO TO MY FACEBOOK FUNDRAISER: www.facebook.com/donate/660017048530576/10227539362858850

24 MARCH 2022 V2.indd 24

www.dentaltechnician.org.uk 03/03/2022 18:52

ND4

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05/05/2021 18:52 10:29 03/03/2022

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

0.5HRS VERIFIABLE ECPD

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 n To understand and consider the contributing factors and details with Bleaching Tray Design and Efficacy.

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 THE FEBRUARY 2022 DT EDITION : Q1.

A

Q2.

B

VERIFIABLE ECPD - MARCH 2022 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

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Question 8

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D

D

D

D

D

D

D

D

Question 9

Question 10 Question 11

Question 12

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

Q3.

C

Q4.

B

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

Q5.

A

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

Q6.

B

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

Q7.

A

Q8.

B

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.

D

Q11.

B

1. Via email: cpd@dentaltechnician.org.uk 2. By post to: The Dental Technician Magazine, PO Box 2279, Pulborough, RH20 9BR

Q12.

C

26 MARCH 2022 V2.indd 26

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 03/03/2022 18:52

ECPD

VERIFIABLE ECPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN

VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM

Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852 A LITERATURE REVIEW OF BLEACHINGTRAY DESIGN AND EFFICACY BY MATTHEW EVERATT AND DAVID BRETTON

Q1. Tooth whitening was initially thought to be discovered by accident by a group of dentists using what to treat gum disease?

A - Citric Acid B - Peroxide C - Baking Soda D - Sodium Percarbonate

Q2. The UK tooth whitening industry is believed to be worth how much?

A - £20 million B - £30 million C - £40 million D - £50 million

A - Model Size B - Enamel Size C - Model Thickness D - Tooth Size

Q9. It is difficult to provide a standardised model size in which to form the tray, due to XXX of the oral tissues?

A - Elevation B - Depression C- Morphology D - Groove

Q10. It would appear that the importance of using reservoirs is linked to how well the margins are XXX ?

Q3. Market research shows that what percentage of the audience believed smiles are an important social benefit?

A - 66.2% B - 77.2% C - 88.2% D - 99.2%

A - Sealed B - Opened C - Structured D - Aligned

Q11. A relatively new method introduced in the tray design are “dosing XXX”?

Q4. What percentage of adults believe a persons smile is the most memorable feature?

A - 48% B - 58% C - 68% D - 78%

A - Pegs B - Dots C - Spots D - Tags

Q12. The best retention was found in the appliances finished XXX beyond gingival margins?

Q5. Haywood suggests that the efficacy of whitening is greatly improved when what level is around 6%?

A - Pthalimidoperoxycaproic Acid B - Peroxyl C - Medline D - Hydrogen Peroxide

Q6. Zase lists XXX and compliance as the two main problems associated with tooth whitening?

A - Specificity B - Sensitivity C - Gum Disease D - Plaque

Q7. Which of the following is a correct technical specification used?

A - Scalloped Margins B - Concave Margins C - Vertebral Margins D - Gingival Margins

Q8. What can affect the fit of the finished tray?

A - 2mm B - 3mm C - 4mm D - 5mm

YOU CAN SUBMIT YOUR ANSWERS IN THE FOLLOWING WAYS: VIA EMAIL: cpd@dentaltechnician.org.uk OR BY POST TO: The Dental Technician Magazine, PO Box 2279, Pulborough, RH20 9BR. 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 magazine.

Certificates will be issued within 60 days of receipt of correct submission.

www.dentaltechnician.org.uk MARCH 2022 V2.indd 27

27 03/03/2022 18:52

RECRUITMENT

“JOB OF THE MONTH” at Recruit4Technicians.com Experienced Ceramist required at Oak View Restorations ABOUT THE COMPANY

Highly Recommended Prosthetics Technician available Location: Candidate is UK based and looking to relocate, so all locations considered. This skilled technician comes highly recommended, with several testimonials from clinicians and patients available. Experience includes; immediate load AO4 cases, clinical experience, Zirkonzahn, high-end prosthetics. Salary expectations: £50k+. CV & images available on request.

Oak View Restorations was established in 1992 by Nick Powers andJason Foster renting bench space in Chris Cowell’s chrome laboratory. In 1994 the lab moved into its own premises on a farm in Cookham Dean, in the beautiful Berkshire countryside. Over the next 12 years Oak View grew into a progressive laboratory, keeping up with new technologies and materials liked pressables and indeed were the 1st commercial laboratory to take on the Cerec In-Lab system .

It was at this time that Oak View amalgamated with Jim Webb, who had run his own successful crown & bridge laboratory in Beaconsfield, giving the business more flexibility to share resources and grow.

Expansion plans meant that Oak View would then move again into its own much larger premises in Saunderton, Bucks where it is still today.

A prosthetic department was set-up offering our clients a much broader range of services while also managing a consistent high quality.

With the majority of the work now being implant-based and technology and materials changing, the Ceramill CAD/CAM system was brought in, giving the opportunity to offer even more to our clients.

HOW MANY TECHNICIANS WORK AT OAK VIEW?

At present there are 2 Ceramists, 2 CADCAM/metal techs, 2 prosthetic, 2 in the model room, an Office Manager doing all the admin and a new Trainee. In total there are 13 staff including 3 drivers that take care of London and Local clients.

ABOUT THE ROLE

Job Title - Experienced Ceramist l Oak View are looking for a self motivated, hard working technician with good technical knowledge and ability. The role requires working with a number of implant systems, sometimes on full arch cases plus single and multiple unit crown & bridge restorations.

The working week is 5 days, Monday to Friday from 8.00am with some flexibility if required.

Salary is £40 - £60K/ per annum dependant on experience, and we offer 4 weeks annual

28 MARCH 2022 V2.indd 28

leave, one of which is to be taken at Christmas when the lab closes.

We have a bonus scheme based on overtime or production, depending on department, and also provide a workplace pension scheme.

Flexible hours can be accommodated (within reason). The lab is happy to encourage career progression, and the new recruit can expect to further their career by going on relevant courses that will be mutually beneficial of which the company can contribute or/and pay for training courses.

Experienced CAD/CAM Technician available Locations considered: Southampton area, anywhere within a one hour drive of Southampton. Others areas considered are Hampshire, Dorset, Salisbury. CADCAM experience includes implant work, custom abutments, All-on-4. This CADCAM technician has many years experience in the crown & bridge dept, including basic ceramic layer, metal, models etc. Mainly uses Exocad, but also had experience with 3Shape. Salary expectations: Circa £50k per annum, CV available on request.

Scan the code below for more info on these top technicians looking for opportunities.

Oak View have a great team with a relaxed atmosphere in an airconditioned lab, making Oak View a great place to work. Also with excellent road and rail connections it’s easily accessible. If you’re someone who is confident in what they’re doing, easy going with a good sense of humour you’ll fit right in with the Oak View family.

LOOKING FOR STAFF?

Each month at Recruit4Technicians.com, we speak to lots of experienced dental technicians looking for exciting new opportunities in UK dental labs.

Here are some of our favourite top techs for March 2022 Experienced Ceramist available in Southwest Location: Southwest of England, including Cornwall, Devon, Somerset and Gloucestershire. This skilled ceramist has over 20 years experience at the bench, including implants, zirconia, e.max, shade-taking and more. Salary expectations start at £50k per annum and a CV is available on request.

www.dentaltechnician.org.uk 03/03/2022 18:52

UNIQUE OPPORTUNITY TO WORK IN THE BEAUTIFUL CHANNEL ISLAND OF GUERNSEY

Talented and motivated prosthetic technician required to work closely with a CDT and private dental practices.

Candidate must be experienced and capable of producing a high standard of work .

Good salary on offer and accommodation available (if required).

TO APPLY CONTACT: Mark Clapham CDT E: Guernseydentallab@cwgsy.net

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29 03/03/2022 18:52

DENTAL NEWS

ZIRKONZAHN’S FREE LECTURE TOUR - FULL ARCHES ON IMPLANTS:

ONE CASE, MANY SOLUTIONS

2-HOUR LECTURE FOR DENTAL TECHNICIANS AND DENTISTS IN EDINBURGH, LEEDS AND MANCHESTER FROM MARCH 22-24

Z

irkonzahn (South Tyrol) will be back around Europe with their lecture tours on dental solutions and innovations. In our country, the worldwide dental company will be lecturing in Edinburgh, Leeds and Manchester from March 22 to 24, presenting new smart possibilities for manufacturing functional and aesthetic full arches on implants.

During the 2-hour conference, the lecturer – DT Alexander Lichtmannegger, CAD/CAM expert and member of the R&D team at Zirkonzahn – will show the participants different workflows to treat complex cases. As a member of the R&D team of the company, Alexander will demonstrate how each equipment of the workflow, from design software to materials and implant prosthetic components, perfectly fits to the others, greatly facilitating the dental technical job.

Dental technicians and dentists will gain insight into different ways of treating cases on implants with different protocols: • bars or titanium bases, including the new K80 Angled Screw Channels (ASC) titanium bases, with adjustable height and access channel (0°-30°); • the Double Screw Metal technique, for aesthetic restorations in case of divergent implants; • the Bartplatte, a special design-specific bar ideal for treating cases with palatalinclined implants.

Participation is free of charge, but the registration is obligatory.

For more information and registration, scan the code, visit www.zirkonzahn. com or contact Carmen Ausserhofer T: +39 0474 066 662 E: carmen. ausserhofer@zirkonzahn.com

30 MARCH 2022 V2.indd 30

TOP: The Bartplatte, a technique to geometrically adapt the primary structure to the palatal surface of the wax-up and individualise it by means of the free-forming software function MIDDLE: The Double Screw Metal technique consists of the generation of additional screw channels in the bar design in order to screw the bar to the implants and the superstructure to the bar. In this way, unaesthetic vestibular channels can be avoided. BOTTOM: The k80 Angled Screw Channel (asc) titanium bases can be shortened individually and are also provided with a side opening to tilt the screw access channel from 0°-30°, to compensate for non-optimal implant positions.

www.dentaltechnician.org.uk 03/03/2022 18:52

SUPERIOR DENTAL CERAMICS LTD I BRIGHTON stensibly a showcase for talent and

O

VACANT POSITION

workmanship of the highest quality and standard, an opportunity for like-minded craftspeople to get and expand theirtechnician to join a busy cosmetic We aretogether, lookingswap for aideas qualified dental knowledge of their chosen vocation, the trade e dental laboratory in Brighton. The candidate must have experience in

ceramics, implants and crown and bridge design. CAD/CAM experience is preferred but not essential as training will be given to develop the necessary skills. The successful applicant will be joining a small friendly team.

ABOUT US

Superior Dental Ceramics Ltd., was established in 1988 and was the concept of Mark Trowell. From just 2 technicians in a small Business Enterprise Unit in Brighton it is now one of the leading cosmetic dental laboratories on the South Coast. We offer a wide range of products and services and have always embraced new products and technology.

Our technicians are constantly seeking new and better methods of restorations to keep abreast of the constant changes in materials and techniques. Training is one of our top priorities in order to keep the quality of our work up to a level our clients have come to expect. This is in addition to any CPD hours that all our Technicians have to follow in order to be registered with the GDC. We are members of the DLA, MDD Registered and we have been DAMAS registered for over 20 years. Our technicians are GDC registered.

Email: mark@superiordentalceramics.com Tel: 01273 566611 Mobile: 0797 993 0068

WATCH THE VIDEO

NEW! EXTRA LARGE TELESKOPER ORBIT (Ø 125 mm) 4 BLANK DIAMETERS IN 1 INTERCHANGEABLE ORBIT WITH THE M2 MILLING UNIT COMFORT LINE

Ø 95 mm

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Ø 125 mm

Zirkonzahn Worldwide – South Tyrol (Italy) – T +39 0474 066 680 – info@zirkonzahn.com – www.zirkonzahn.com

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31 03/03/2022 18:52

DTS 2022

Connecting profession and industry once again l The Dental Technology Showcase (DTS) 2022 is renowned for its diverse education, with exciting seminars, interactive discussions and hands-on workshops tailored to all members of the dental lab team. It is also an ideal platform to discover the latest innovations in the profession, with an extensive lab-dedicated exhibition floor presenting an array of product manufacturers, technology developers, material suppliers and training providers. More than this, though, the show is an opportunity for individuals and organisations from all corners of the profession to come together, connect and share experiences.

Though this remains a very busy time in UK labs, it is essential that you don’t fall behind industry news and the latest technology updates to ensure that you continue delivering the high-quality services your clients expect.

DTS remains the flagship event of the Dental Laboratories Association (DLA), the professional body for lab owners in the UK. Their continued involvement in the programme and promotion of the event ensures both the relevance and quality of the education on offer, as well as the diversity of attendees for optimal networking opportunities.

and materials, and expert advice all available in one place, DTS is a massive saver both in terms of time and money. Not only this, but it means that when providing care and information to clients, you can be confident that your opinions and advice is based on the latest available information.

“It’s also a great way to meet up with fellow DLA members, whether they be old friends or new ones in the making, particularly after the past two years. Face to face meet ups at events like DTS are something we have all missed, and as well as being fantastic socially, they can also really add value to your business.

I’ve received some amazing advice and tips from my peers over the years, and hopefully I’ve given some as well!

“No matter why you are visiting DTS, I sincerely hope you enjoy the show. Come and visit the DLA team in the Association Membership Lounge to say hi!”

President of the DLA, Steve Campbell, comments: “It is my belief that it is of the utmost importance that as UK dental labs you keep up to date with the latest news, products and services on offer in the profession.

The DLA will be just one of the professional bodies on hand at the show, with several others taking stands and presenting speakers in the various theatres to further enrich the learning for all in delegates. The British Association of Clinical Dental Technology (BACDT) and Orthodontic Technicians’ Association (OTA), for example, will each be supporting lectures in the CDT Conference and OTA Seminars. Hear from their industry-leading speakers and meet the team themselves to find out more about what membership could mean for you.

“One of the easiest ways of doing this annually is, of course, DTS. Hosting a range of CPD, all of the latest equipment

Of course, the trade floor will also host a spectrum of industry representatives who are just as keen to connect. Organisations

in attendance will include 3Shape, Bracon, Carestream Dental, Den-Tech, GC UK, Ivoclar, DGShape, Schottlander, Shofu, Straumann Group, WHW and many more.

Ensuring a fully inclusive experience, there will also be members of the press to interact with too. Poppy Stoddart, Editor of Dental Technologies Magazine, commented: “After a two-year break we’re looking forward to being back at DTS: I have enjoyed the previous DTS shows, and find that they’re a great way for us to meet with subscribers, chat with old friends and make new contacts.

We’ve been busy rebranding the journal, and we hope delegates will appreciate our new style and logo. Drop by stand G10 at DTS to meet the team, browse our magazines and see what special offers we have in store for you this year!”

DTS 2022 will offer an eclectic combination of education and CPD, innovation and inspiration for all members of the dental laboratory team.

In addition, given the restrictions and isolation of the past couple of years, the benefits of being able to meet with friends and colleagues face-to-face have never been greater. If you're looking to expand your skills, introduce new equipment, broaden your network or diversify your business, DTS 2022 will be the perfect platform to get you started. Even if you are still facing a backlog of work, taking one day out to refresh and refine your skills could do wonders for your career development.

It’s also completely free for delegates, so you can really make the most of your time out of the lab. Register you and your whole team for free online today!

The next Dental Technology Showcase will be held on Friday 13th and Saturday 14th May 2022, Birmingham NEC, co-located with British Dental Conference & Dentistry Show Birmingham.

Register today! For more information, visit www.the-dts.co.uk, or email dts@closerstillmedia.com

32 MARCH 2022 V2.indd 32

www.dentaltechnician.org.uk 03/03/2022 18:52

DTS 2022

DTS 2022 “AN OPPORTUNITY TO MEET UP, LEARN NEW THINGS AND RECONNECT” Steve Campbell

l The Dental Technology Showcase (DTS) 2022 will welcome hundreds of professionals from the dental lab community, presented in partnership with the DLA. President of the DLA, Steve Campbell, comments: “It is my belief that it is of the utmost importance that as UK dental labs you keep up to date with the latest news, products and services on offer in the profession.

“One of the easiest ways of doing this annually is, of course, DTS. Hosting a range of CPD, all of the latest equipment and materials, and expert advice all available in one place, DTS is a massive saver both in terms of time and money.

Not only this, but it means that when providing care and information to clients,

you can be confident that your opinions and advice is based on the latest available information.

“It’s also a great way to meet up with fellow DLA members, whether they be old friends or new ones in the making, particularly after the past two years. Face to face meet ups at events like DTS are something we have all missed, and as well as being fantastic socially, they can also really add value to your business. I’ve received some amazing advice and tips from my peers over the years, and hopefully I’ve given some as well!

“No matter why you are visiting DTS, I sincerely hope you enjoy the show. Come and visit the DLA team in the Association Membership Lounge to say hi!”

DTS 2022 DRAWS NEARER! The Dental Technology Showcase (DTS) 2022 will once again be supported and attended by an array of professional associations and media organisations, including the Dental Technologies Magazine.

Poppy Stoddart, Editor of Dental Technologies Magazine, commented: “After a two-year break we’re looking forward to being back at DTS: I have enjoyed the previous DTS shows, and find that they’re a great way for us to meet with subscribers, chat with old friends and make new contacts. We’ve been busy rebranding the journal, and we hope delegates will appreciate our new style and logo. Drop by stand G10 at DTS to meet the team, browse our magazines and see what special offers we have in store for you this year!”

For more details about the event and to register your interest, please visit the website.

The Dental Technology Showcase will be held on Friday 13th and Saturday 14th May 2022, Birmingham NEC, co-located with British Dental Conference & Dentistry Show.

For more information, visit www.the-dts.co.uk, or email dentistry@closerstillmedia.com

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REVIEW

A LITERATURE REVIEW OF BLEACHING TRAY DESIGN AND EFFICACY Matthew Everatt and David Bretton (2018). This literature review was originally published in the Dentistry magazine (October 2018), and is available online https:// dentistry.co.uk/2018/10/18/ literature-review-bleachingtray-design-efficacy/

MATT EVERATT AND DAVID BRETTON EXAMINE CLINICAL LITERATURE ON TOOTH WHITENING TRAYS

T

ooth whitening is very common practice in dentistry today, made famous by celebrities in the 1980s, and was initially thought to have been discovered by accident by a group of dentists using peroxide to treat gum disease (Kurthy, 2016).

The UK tooth whitening industry is believed to be worth over £40 million, as more consumers seek the white, healthy smiles endorsed by many celebrities, according to the 2018 National Smile Month campaign. Market research shows that 99.2% of us believe our smiles are an important social benefit, according to research firm Hexa Research, whilst a further study, published online, found that 48% of adults believe a person’s smile is the most memorable feature upon first meeting.

Haywood (2003) suggests that the efficacy of whitening is greatly improved when the hydrogen peroxide level is around 6%, and custom-made dental trays are used to hold the gel close to the teeth for a period of around two hours. Carey (2014) also supports this approach, concluding that

34 MARCH 2022 V2.indd 34

hydrogen peroxide and carbamide peroxide tooth whitening is safe and effective. He felt that ‘home based bleaching (following manufacturer’s instructions) results in less tooth sensitivity than in-office bleaching.’

Cosmetic dentist, Zase (2009), lists sensitivity and compliance as the two main problems associated with tooth whitening.

The whitening procedure could help reduce sensitivity, whereas tray design can directly help improve compliance. It is therefore important to consider the design and use of custom-made bleaching trays to achieve the optimal results in a timely and safe manner.

BLEACHING TRAY DESIGN Bleaching tray designs have been debated amongst dental professionals over the years, with many opinions formed on the basis of very little scientific evidence to support any particular design. Many assumptions are made and logic used in the absence of science when discussing the specifics of tray design.

There are several technical specifications used, such as: scalloped margins, straight cut margins, extension beyond the

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REVIEW

gingiva, and reservoirs. The process of thermoforming is also debated; Mizuhashi and Koide (2017) found that vacuumformed appliances maintained material thickness, whilst pressure formed appliances obtained a better fit.

Model thickness can also affect the fit of the finished tray. Due to the morphology of the oral tissues and dentition, it is difficult to provide a standardised model size in which to form the tray. Therefore, material thickness can vary from model to model.

Mizuhashi and Koide (2017) also noted that the marginal fit of the pressure formed appliances was significantly improved by pressure forming appliances.

RESERVOIRS OR NO RESERVOIRS? Matis et al (2002) showed that there was little difference in results in terms of shade difference when comparing trays with and without reservoirs. Despite there being minor shade differences when using a colourimeter, the shade difference was below the threshold of visual differentiation.

It would appear that the importance of using reservoirs is linked to how well the margins are sealed. Trays that are scalloped are inevitably more flexible and will allow more bleach to escape the tray, therefore requiring a larger amount of bleach present in a reservoir.

There are clinicians, such as Kurthy (2016), who advocate the use of a reservoirs and finishing the tray exactly at the gingival margin. The margin for error from the impression stage to the dental laboratory finishing the trays is high.

Further anecdotal evidence suggests that the hand trimming and finishing process deforms the thermoformed tray, leading to a tray that is not as well sealed at the peripheral margins.

Haywood (2008) also states: ‘Reservoirs are not needed to bleach; they merely reduce the tightness of the tray. Teeth bleach just as quickly without the reservoir as they do with.’

DOSING DOTS A relatively new method introduced in the tray design are ‘dosing dots’ or ‘dimples’. Not to be confused with reservoirs, these small areas in the trays are designed to help the patient add the correct amount of gel to each tooth and not overload the tray.

Overloading the tray can lead to sensitivity, non-compliance, and gingival irritation (Zase, 2009). Dosing dots are therefore recommended to reduce the risk of complications associated with home tooth whitening.

GINGIVAL CONTOURING OR STRAIGHT EXTENSION? Theory may suggest that gingival contouring or scalloping could reduce the amount of bleach having mucosal contact; however, there appears to be no cited references to the benefits to scalloping trays. One could argue that by closely following the gingival margin with a scalloped designed tray, the surface area covered is less and therefore leads to less mucosal irritation, although this theory is not supported by any literature.

To the contrary, Curtis et al (1996) demonstrated in a group of 52 patients that there was no soft tissue damage in any of the sample group as a result of the bleaching regime. To further support that the extension of the bleaching tray beyond the gingival margin has no effect on efficacy or sensitivity, Morgan et al (2015) demonstrated in their group of 20 subjects that there was no statistical difference in how effective the bleaching was, nor did the extended or non-extended trays cause any more or any less sensitivity.

There appears to be a lack of clinical evidence to support gingival contouring.

Scalloping is only needed with higher concentrations of peroxide. According to Haywood (2008), considering the 2013 laws in the UK that restricted the use of higher concentration ‘in office’ bleaching, the need for scalloped trays is no longer an issue in terms of gingival contact.

Research by Cowley et al (2012) compares the fit and retention of thermoplastic retainers in the different design of finishing, these being: scalloped, straight cut at the gingival zenith, and a straight cut 2mm beyond gingival zenith.

The best retention was found in the appliances finished 2mm beyond gingival margins, with those finished at the gingival margin the poorest.

Although the materials cannot be compared like for like, finishing with a straight-line cut will increase the stability of any thermoformed appliance. This means that the bleach will likely remain in contact with the tooth surface longer, possibly increasing the efficacy of the bleaching material.

To further support the benefits of cutting the trays straight in a line 2mm above the gingival margin, Cowley et al (2012) also suggests that the appliances should ‘be more comfortable than before, because there will be less risk of them impinging on the unattached marginal gingiva’.

With the current literature stating that there is no benefit in using reservoirs, it would appear counter-effective to have gingivally trimmed trays.

Trays with a straight cut margin of approximately 2mm beyond the margin will give better stability (Cowley et al, 2012). The additional flexibility that comes with scalloping a tray can also be problematic in bruxism patients, as the tray is more prone to bending and emitting bleach in comparison to straight cut trays.

TRAY MATERIAL There are several materials that are commonly used for bleaching trays, with 1 or 1.5mm soft ethylene-vinyl acetate (EVA) being the most common. In recent years, there has been an introduction of material designed for use in bleaching. A foam-lined tray, for instance, was introduced, with the notion that the foam would have an advantage in holding the bleach over standard trays. However, Haywood et al (1993) proved there was no difference in the clinical results.

Manufacturers have introduced a material that has a firmer feel to standard EVA material, commercially available as a ‘bleach tray material’, with the majority of the manufacturers offering 1.5mm semi-rigid as the most popular type for bleaching.

CONCLUSION In conclusion, this review has highlighted that there is only a limited number of clinical studies available discussing tooth bleaching.

Furthermore, there are even fewer studies to

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u

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REVIEW

support bleaching tray designs in relation to their effect on treatment. Further studies should consider tray designs in relation to compliance alongside the efficacy of the whitening gels.

be trimmed straight just beyond the gingival margin to improve seal and stability, and provide comfort and, therefore, increased compliance for the patient.

With the limited clinical evidence, a conclusion can be drawn that a bleaching tray should have some specific design features, whilst other features appear to be operator-led, without having any proven clinical benefit other than it being accepted by the clinician and patient as acceptable.

Although there is no published data to support ‘dosing dots’ or ‘dimples’ on the labial surfaces, it appears to be a useful tool in demonstrating to patients how much bleach to administer per tooth.

There is no evidence to show that reservoirs improve shade reductions, and there is little evidence to support their use other than in trays that are trimmed gingivally to aid the seal. Scalloping would also appear to be counterproductive in terms of patient comfort and tray stability.

DENTAL NEWS

An optimal tray design should have a good peripheral seal around the gingival margin,

DON’T MISS THE III CREATECH INTERNATIONAL SYMPOSIUM 2022

l

Createch Medical, a Straumann Group brand, is a dental engineering company that provides professionals with a range of prosthetic solutions including crowns, bridges, and more.

These solutions enable multi-disciplinary collaboration between engineers, laboratory technicians, and implant experts, bringing them together and uniting their expertise and experience. Results are so unique that the innovations have become leaders in their sector.

You can expect highly durable and personalised structures for every patient when you work with Createch Medical. Providing maximum safety and reliability to your patients is also a priority and the design process that Createch Medical uses ensures that too.

This year, you can find out about some of the latest innovations and designs at the third Createch International Symposium 2022 – bringing lab and clinic closer through the digital workflow.

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REFERENCES Carey CM (2014) Tooth whitening: what we now know.

J Evid Based Dent Pract 14(Suppl 1): 70-76 Cowley DP, Mah J, O’Toole, B (2012) Effect of gingival margin design on retention of thermoformed orthodontic aligners. J Clin Orthod 46(11): 697-702 Curtis JW, Dickinson GL, Downey MC, Russell CM, Haywood VB, Myers ML, Johnson MH (1996) Assessing the effects of 10 percent carbamide peroxide on oral soft tissues. J Am Dent Assoc 127(8): 1218-1232

Haywood VB, Leonard RH Jr, Nelson CF (1993) Efficacy of foam liner in 10% carbamide peroxide bleaching technique. Quintessence Int 24(9): 663-666 Haywood VB (2003) Frequently asked questions about bleaching. Compend Contin Educ Dent 24(4a): 324-338 Haywood VB (2008) The ‘bottom line’ on bleaching 2008. Inside Dent 4(2): 2-5 Kurthy R (2016) The myth of bleaching lights and lasers Matis BA, Hamdan YS, Cochran MA, EckertGJ (2002) A clinical evaluation of a bleaching agent used with and without reservoirs. Oper Dent 27(1): 5-11 Mizuhashi F, Koide K (2017) Formation of vacuumformed and pressure-formed mouthguards. Dent Traumatol 33(4): 295-299 Morgan S, Jum’ah CC, Brunton P (2015) Assessment of efficacy and post-bleaching sensitivity of home bleaching using 10% carbamide peroxide in extended and non-extended bleaching trays. Br Dent J 218(10): 579-582 Zase M (2009) Bleaching: preventing common problems. Dent Today 28(3): 120-121

INTERNATIONAL CONNECTIONS This year, you can enjoy presentations from a variety of internationally renowned speakers.

Colin Burns, who is a Fellow of and speaker for the International Team of Implantology (ITI), and a Straumann Clinical Mentor, will present on the Straumann® Smile in a Box – a flexible, digital treatment planning and manufacturing service. He will share his experience, pro tips, and answer any questions you might have. Ashley Byrne will be sharing their expertise with regards to running a digital dental laboratory and how to make it profitable. You also won’t want to miss Manuel Izquierdo’s presentation regarding Createch Additive technology – an incredible service that allows you to have freedom with design without compromising strength. Last but not least, Joep Kraeima will be speaking about the Createch Maxillofacial solutions and the technology available to produce outstanding results. Sessions will also be delivered in English and Spanish for your convenience.

Igueldo Hotel where not only will you be able to see some incredible sights but you can enjoy refreshments as you unwind for the evening with your colleagues.

WHERE IS IT? Everyone knows that a venue can make or break any event; it’s important to ensure it meets your expectations. The Createch International Symposium will be held at the Kursaal International Convention Centre situated on the coast in the beautiful country of Spain – the auditorium can hold up to 600 people and has plenty of space and comfortable seats to offer.

Overall, the Createch International Symposium 2022 is going to be a day filled with informative, inspiring, and invigorating presentations along with a wonderful evening where you can network with colleagues.

Hosted in the beautiful country of Spain, why not see for yourself the top-quality education Createch Medical, a Straumann Group brand, has to offer you? Ensure you get your place and register your interest today!

After the event, you’ll be invited to enjoy the best viewpoint in the city! The closing party will be held at the wonderful Monte

SUPPORTED BY THE STRAUMANN GROUP The Straumann Group supports their partners’ educational endeavours and part of the Straumann Group’s mission is to benchmark professional training and CPD in various fields of dentistry. Therefore, they already offer a comprehensive educational programme tailored to address a variety of disciplines from implant dentistry to orthodontics. No matter your level of skill and experience you can benefit from the courses on offer, especially as they have the provision to support you from beginning to end of your career. There is also the option to embark on international courses, so if you like travelling, pursuing further education with the Straumann Group could benefit you greatly.

For more information please visit: https://www.straumann.com/gb/ en/dental-professionals/productsand-solutions/implant-borneprosthetics/products/createchmedical.html

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MARKETPLACE

MEDENTIKA® MAXIMUM FLEXIBILITY, OUTSTANDING RESULTS w Preparing the dental laboratory for complex cases is the first step to ensuring treatment outcomes are durable, aesthetic and functional.

The Medentika® Angulated Screw Channel (ASC) Flex abutment from the Straumann Group is the future of demanding prosthetic cases. The angled screw channel allows angulation of up to 25º, meaning you’ll have more accessibility in cases where space is limited.

The varying chimney heights, which range from 6.5mm to 3.5mm, allow you to adapt to the situation. Plus, with an optimised emergence profile, the soft tissue can be protected and supported for favourable clinical outcomes.

The Medentika® ASC Flex abutment will empower you to handle demanding prosthetic cases with confidence. For more information, get in touch with the Straumann Group team today.

For more information, visit the website today: https://www.straumann.com/medentika/ en/professionals.html

ZIRKONZAHN METAL OPAQUER & OPAQUE LIQUID: TWO SOLUTIONS TO INCREASE THE OPACITY OF RESTORATIONS w Zirkonzahn has recently launched in the market two new products to increase the opacity level of restorations: the Metal Opaquer and the Opaque Liquid.

Metal Opaquer on a framework made of cobalt-chromium

Metal Opaquer is a light-curing composite available in four light and dark shades (two for the dentine colours and two for the gingiva). The product is applied on metal primary/secondary structures to reduce the grey value of the final restoration and manufacture final resin or zirconia restorations with a high aesthetic quality and a completely natural-looking dentine and gingiva colour.

Opaque Liquid is part of the Zirkonzahn’s Colour Liquid line. The product is applied on monolithic and reduced zirconia structures in order to increase their opacity and cover nonaesthetic, dark dies as well as dark cervical areas.

Depending on the zirconia structure (reduced copings or crowns), the liquid is applied either inside or outside the structure, in order to preserve the aesthetic effect of the zirconia used.

For more information visit : www.zirkonzahn.com Scan the code to visit our YouTube channel and watch Zirkonzahn’s instruction videos of the products!

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MARKETPLACE

FROM JUST £86.00!

TRYCARE KERATOR w Designed to fit all the most popular brands of implants, Trycare are currently offering Kerator overdenture attachments from just £86.00 plus vat while stocks last! Contact Trycare on 01274 885544 for more details.

Supplied with a choice of straight or 15° angulation to make it easier to adapt to the aesthetic requirements of the patient, Kerator abutments have the lowest profile of any overdenture attachment (just 1.48mm) which means they are easier to place where space is at a premium. They are available with soft tissue cuff heights from 1 to 6mm. With a choice of retention levels, Kerator overdenture attachments provide excellent retention so that patients can enjoy the comfort and stability that will transform their lives.

Other advantages include a plastic carrier that provides safer handling and easier placement, plus easier visual checking of the implant’s alignment. Dual-retention which enables increased retention as well as easier pivoting in any direction. Self-alignment which automatically centres the male on the housing attachment, allowing patients to easily seat their overdenture. An extended range of male attachments which allows for

insertion up to 40° of implant divergence.

A 15° angled abutment which can be used to further extend the allowable divergence.

A dual undercut metal housing design that provides sturdier retention within the denture acrylic.

Interchangeable with Zest Locators, Kerator is compatible with all the most popular implant ranges including Adin, Straumann, Nobel, Astra and Ankylos.

Kerator is supplied in an all-in-one package that contains everything you need at an extremely competitive price from just £86.00 plus vat while stocks last!

For more information about Kerator overdenture attachments please contact your local Trycare Representative, call 01274 885544 or visit www.trycare.co.uk/kerator

CARESTREAM DENTAL CONVENIENCE MADE SIMPLE w Carestream Dental is dedicated to making dental technologies more convenient, which is why the team has designed the groundbreaking CS 3800 intraoral scanner, which aids dental technicians in producing highquality solutions for their clients.

Carestream Dental’s open format means dental technicians don’t need a specific software in order to receive the STL files, so they can have more flexibility when it comes to their in-lab systems.

The CS 3800 intraoral scanner also allows dentists to transfer files immediately after image capture – which means the lab can begin to produce solutions at a much faster rate.

By recommending the CS 3800 intraoral scanner to clients, dental technicians can produce optimal, long-lasting solutions much faster, with fewer remakes or alterations.

If you’re interested in learning more, contact Carestream Dental and help your clients revolutionise their workflows.

For more information, contact: Carestream Dental on 0800 169 9692 or visit www.carestreamdental.co.uk For the latest news and updates, follow us on Twitter @CarestreamDentl and Facebook

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