The Dental Technician Magazine October 2021

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The curious demise of the dental technician Part 2

BY MATT EVERATT I PAGE 24

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CONTENTS

OCTOBER 2021 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 Ross Chapman Sharaz Mir Sir Paul Beresford

PUBLISHED BY THE DENTAL TECHNICIAN MAGAZINE, PO BOX 2279, PULBOROUGH, RH20 9BR. T: 01372 897463 The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.

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

Welcome Welcome from the editor

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Tribute A Tribute to Liz Gill

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Dental News GDC’s Policy on Illegal manufacturing revealed The eulogy of Liz Gill. By Chris Maryan Cardiff Metropolitan University and Cardiff Hospital Dental Laboratory donation to Den-Tech Kemdent - Peace of mind

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Charity I'm going sober for October for Macmillan Cancer support. By Matt Everatt

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Insight Choose life - a sweet reminder. By Kelsie Hacking The Curious Demise of the Dental Technician Part 2. By Matt Everatt

DTS 2022

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Education Blended Learning Opportunities for Trainee Dental Technicians Bridging the gap of education for the laboratory team. By Gemma O’Brien

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Dental Technology CEREC MTL Zirconia: great strength, fine aesthetics, and effortless processing ALL ON 4 Workflow. By Matteo Neroni

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Technicians Insight 30-31

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.

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BAR HEADER WELCOME

From the Editor Matt Everatt F.O.T.A

Welcome to your October edition of The Dental Technician Magazine

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Welcome all to the October Edition of The Dental Technician Magazine.

As we move into Autumn and the leaves are well and truly exfoliating I can’t help but feel we are moving into a new season in regards to us as Dental Technicians. I wrote an article in August 2021 on the decline in numbers of Dental Technicians. There have been several discussions on the very subject on various social media platforms with some very closely linked discussions

about NHS pricings and the lack of access to training for apprentice/ trainee technicians. My follow up article in this months edition discusses some of these problems and poses some questions for us all to consider.

We have had some news from the Kingsholm group regarding the illegal practice of unregistered MHRA labs, clinics and hospital producing custom made devices. The group received a response from the GDC, The Dental Technician Magazine hope to share this information once all of the responses have been collated.

As your editor I would like to invite fellow readers to send in any Technical Articles that may be interesting to our readers. I am also looking for budding writers to get involved in some of the features we have running. I am delighted to have been sent an article from a newly qualified Dental Technician, Kelsie Hacking. Kelsie has written a nice piece about life in general and how she has really enjoyed the last few years in the Dental Profession.

I do hope you enjoy this months magazine, I hope October is kind to you all and that some of you will be able to get away at half term to sunnier climbs before the winter really hits us in November.

Best Wishes Matt Everatt FOTA

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TRIBUTE

A TRIBUTE TO LIZ GILL

By Matt Everatt

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still cannot quite believe I am writing this eulogy for Liz, she unexpectedly passed away on the 3rd of September 2021.

I first me Liz in 1992, I was a spotty 17 year old looking for a work placement in a Dental Lab. I was invited into the Maxillofacial & Orthodontic Lab at Rotherham General Hospital (RGH) with open arms. Liz’s enthusiasm for the profession was infectious. Liz had been in the department at RGH since it opened in the 80’s and had undertaken some incredible Maxillofacial and Orthodontic cases in her time. Liz was a keen photographer and she had catalogued so many of the cases she had been involved with. This was incredible for learning, even if they were a little gory to a young lad learning the ropes.

Liz had started her career as a Dental Technician at Charles Clifford Dental Hospital in Sheffield in 1976 when she met her husband Andy, also a dental technician.

She had also spent time teaching at Sheffield College and moved onto working with Chris Maryan in the Maxillofacial Laboratory at Fulwood Hospital in Sheffield. I have been privy to many stories from Chris and Liz over the years, which I will fondly remember.

Liz was always very encouraging to me as a student and always got me involved in seeing patients. I distinctly remember two occasions in my early career where she thought it was important for me to see and be part of.

The first one was my first visit to the Hospital Theatres. Liz was going to be doing the photographs for the Maxillofacial surgeon Mr McAndrew, he was an old school type

surgeon who had great respect for Liz. I got my scrubs on and Liz helped me to a front row of the operation. The operation was going to be a full day, the patient had a large oral cancer that required a hemi-maxillectomy, orbital floor and involved losing an eye. The operation began and Liz, must have spotted that I had turned white and my scrubs looked like I had been hosed down, I was sweating profusely. She very professionally tapped me on the shoulder and helped me out of the theatre. It turns out that my first experience was indeed quite a traumatic operation to watch, but she looked out for me.

The second experience that she thought was important for me to be involved in was to see the same patient at a post-surgery appointment to clean his surgical dressing and alter his obturator to help with his rehabilitation. Liz said to me that she loved doing a ‘spot of gardening’, referring to the procedure as a ‘spot of gardening’ seemed so much nicer that what followed. Another difficult one for me, but so important for me to experience. Liz was so incredibly empathetic with the patient and his wife and had such a great rapport during such a difficult time.

Shortly after I started at RGH in 1994 Liz fell pregnant with her son David, who I still cannot believe is now in his late 20’s! I was delighted when she returned from her maternity leave, she was able to pick up the prosthetic cases that I was not so great at doing! Liz’s eye for aesthetics was incredible and her prosthetic work was always amazing, something I could never replicate and probably why I went into Orthodontics!!!

Liz was always supportive and really helped me through the years, certainly helping me develop my own career. Liz, worked for many years on her PhD, an incredible achievement giving her the title of Doctor, one that she rarely used. In 2008 Liz went onto to work at Manchester Metropolitan University where she worked until retiring just a couple of years ago. I know many of the students spoke so highly of Liz and I can imagine she would have been so enthusiastic about teaching them all. In between studying, teaching and family life Liz managed to squeeze in some charity work in Bangladesh. She organised the trip 3 times in total, taking several Uni students with her they helped rehabilitate many patients including those suffering burns, cleft lips and palates.

I will always remember Liz being a very kind and very talented lady, with an eye for great photography and aesthetics and was a very good painter too. She always wanted people to do well and was always encouraging people to be the best version of themselves. Liz you will be dearly missed by your friends and family and you are a great loss to the profession in which you served so well over the years.

Many of you sent your condolences in the DTGB group which I passed onto David, Liz’s son, he was so grateful for all of the kind messages. I am sure you will all join me in raising a toast to Liz and for all of her fantastic work with students, colleagues and patients over the years. I send my heartfelt sympathies to David and Andy (Husband).

Such a sad and sudden loss, may you rest in eternal peace Liz.

Some of the condolences received in the DTGB group

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DENTAL NEWS

GDC’S POLICY ON ILLEGAL M ANUFACTURING REVEALED l

A project to understand how the Medical Device Regulation (MDR) is implemented in dentistry started by The Dental Technician has arrived at the truth: Regulators take no action if illegally manufactured or imported dental devices are fitted to dental patients. This information has been shared with the Kingsholm group.

Larry Browne’s (who is very sadly no longer with us) investigation into how dental devices are regulated threw up some concerning information. A regulatory gap between the MHRA who regulate dental device manufacture, the CQC who regulate those who fit devices to patients and the GDC who control both aspects. It found no formal GDC education policy for dentists and no clear processes when illegal activity is encountered.

The Dental Technician passed on concerns to the DLA, the DTA, the OTA and DAMAS and the Kingsholm group was formed.

At the first meeting Larry Browne told the group that The Dental Technician would follow the DTA’s advice to its members and report suspected illegal dental device manufacturers advertising on the internet but not appearing to be on the MHRA database, to the GDC. One reader reported to Larry that they had reported a suspected illegal dental device importer to the MHRA. Larry told the group that he was unable to get details of GDC policy in such cases from the GDC executive. There was discussion that dentists are exempt from manufacturing legislation, however another member gave the group a document from the EU Commission explaining in detail why (just like the rest of us) dentists are not exempt from the legislation when they manufacture dental devices. The GDC confirmed to the group that they do not require dentists and nurses to receive formal training on the MDR when making and fitting dental devices but it may happen in the future.

There was a vote on whether the group should get more detail on exactly how regulators regulate. The majority agreed to

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get the information. The group has recently received more detailed information. The GDC was given two examples of illegal practice, one simple and one complex and requested to provide a ‘Statement of Fact’ on policy and process regarding the examples. (A Statement of Fact is a useful document that lets all people, be they technicians, lab owners or patients, understand the truth about regulation. It is comprehensive, covering the GDC’s caseworker guidance and indicative sanctions, working with other regulators and the Statement of Manufacture which provides a legal framework to stop illegally manufactured devices being fitted to patients.)

Examples of illegal activity

The basic example given to the GDC was of a manufacturer who has had no training and is not registered with the MHRA who makes a simple orthodontic retainer. They leave the plastic edges sharp. When it is fitted to a child the sharp edges cut the child’s gums and they bleed.

The manufacturer has received no training; the manufacturer is not registered with the MHRA. No statement of manufacture was made.

The more complex example was of an importer who is not registered with the MHRA but is importing devices with counterfeit dental implants, they do not keep records of this.

They are popular because they are considerably cheaper than the real devices made within a legal framework. (The MHRA have had just such a case but will not provide details, and readers may also remember that a reader has reported a suspected illegal importer to the MHRA).

The GDC Executive responded confirming the regulatory gap with other regulators and that the GDC does not ensure that the MDR is being implemented and followed in dental schools. They did not provide any detail on policy or sanctions when a registrant chooses to fit illegally manufactured devices to patients. Readers may remember an article with the GDC saying that it was developing caseworker policy and a ‘formal information sharing agreement’ with the MHRA. This seems to have been stopped.

The group was also given information from the MHRA. They were asked “if dental hospital labs are exempt?” (from medical device regulation). They said “Any manufacturers of custom-made devices are legally required to register with MHRA. This was also the case prior to 1 January 2021.” If this is the case, then it may mean that manufacturers and clinicians in dental hospitals not complying with the legislation may be breaking the law and teaching illegal practice by example.

The group was told that concerns have now been raised with the Professional Standards Authority (PSA) who audit the GDC and CQC and the group was told that the issues will be explored during the next GDC audit.

The next meeting of the Kingsholm group (reported in a previous issue of the DT) has been cancelled.

Where next…. strengthen patient protection or loosen regulation?

The Dental Technician will continue Larry’s work and report on the PSA audit which should happen this winter and compare it to the Statement of Fact and report on developments. (The Dental Technician will not publish the Statement of Fact yet while the PSA consider it and new policy has yet to be formalised.) Readers may be aware that the MHRA is holding a consultation on possible future changes to medical device regulation. Readers should not be surprised if manufacturing regulation on devices made by dentists and nurses is loosened. Let us hope any changes are fair to patients and all registrants.

These developments raise very many serious questions – How big is the black market?

How many complaints made by patients to the GDC and Dental Complaints Service about dental devices involve illegal activity?

Will the regulators raise standards and focus on the patient or lower standards to a more unregulated market?

The Dental Technician will keep its readers updated.

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CHARITY

I'M GOING SOBER FOR OCTOBER FOR MACMILLAN CANCER SUPPORT

By Matt Everatt

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This August I sat in hospital for 4 days, I was ill, ill like I've never been before. I thought to myself, "I need to be the healthiest version of myself for my amazing wife and 3 wonderful children". I genuinely didn't know what was wrong with me. Don't worry, it turns out it was food poisoning and I'm now back to full health.

Those of you that know me well enough, know that I enjoy and appreciate a nice tipple, this felt like it wasn’t going to be easy. But, I felt I needed to give my body some time to rest and recover so I signed up to a 90 day challenge. So far, I'm already over a month in to the challenge. I’ve expereinced some full on social events where I would have normally had several drinks, and I did it, I survived the evenings without drinking alcohol.

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NOW ITS STOPTOBER!! Perhaps one of the more difficult months for me. My birthday is slap bang in the middle and it's a busy social month with a family holiday.

Winter is approaching, every reason to sit by an open fire holding a glass of red wine. So I figured, if I can keep off the booze in October I could put my efforts to a good cause and raise money for this fantastic charity.

Cancer affects far too many of us these days, we all know someone close who has been affected by cancer. Let's hope one day we will have a cure and get rid of it forever!

If any fellow readers are also taking on this challenge, do get in touch, we may be able to offer each other some morale support if or when things get tough.

If you would like to support my efforts by donating, please follow this link: https://www.gosober. org.uk/users/ matthew-everatt

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Henry Schein’s Lab IOS Referral Scheme What will you do with £250?

What is an intraoral scanner?

An intraoral scanner is a digital way of taking impressions. It is more efficient for the dentist – a digital impression can be taken in a matter of seconds, compared to several minutes for a traditional impression. It is also more hygienic, which is an key improvement in today’s world.

For you, the impression is more accurate compared to the dentition, meaning that work is more likely to be made to fit first time, every time. Files are transferred digitally, saving time in the post and eliminating the chance of the impression being lost. Finally, no wax ups or models will be needed, saving you space and time!

How it works

1. Discuss the opportunity with your dentist and confirm that they are happy for their details to be shared with us 2. Contact your local Henry Schein Lab Specialist and let them know that you would like to refer a dentist 3. Your lab specialist will discuss the terms and conditions of the referral and send you a Finder’s Fee Agreement form 4. Henry Schein will then contact the dentist and, if they proceed with the purchase, you will receive a £250 finder’s fee

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DENTAL NEWS

THE EULOGY OF LIZ GILL

By Chris Maryan

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fter training at the Charles Clifford Dental Hospital, she passed her City & Guilds Advanced General Dental Technology. She came to work with me as a senior dental technician at Fulwood Hospital Sheffield in 1982 where she was my first Maxillofacial trainee. She was one of the most talented prosthetic technicians I have worked with, particularly with the Gerber technique.

She passed her City & Guilds Advanced Certificate in Maxillofacial work in 1984 and not long after was appointed as a Chief Maxillofacial Technician at Rotherham District General Hospital working with Peter McAndrew a well regarded Oral

and Maxillofacial Surgeon. Liz would undertake Maxfac and Ortho work, and saw many obturator patients tackling some very complex cases both technically and clinically. She took a number of students from Manchester Metropolitan University (MMU) and Stradbroke College (now Sheffield College) on work placement and inspiring them. She returned to MMU to complete her Degree in Dental Technology in 2000, I supervised her final year on the photographic reproduction of Iris’s for the production of artificial eyes which continued with after graduation registering for a PHD in the area at the University of Sheffield later transferring to MMU and achieving her Doctorate in 2018.

During the early 2000s she gave lectures and discussions on the Diploma in Professional Studies in Maxillofacial Prosthetics and Technology at MMU and in 2007 joined MMU as a Senior Lecturer in Prosthodontic Technology.

She had also raised funds to travel to Bangladesh to treat patients and when at MMU was able to take some undergraduates with her. When we started the MSc in Clinical Science (Reconstructive Science) with Kings College London Liz and I, with Trevor Coward and Nimesha Patel were the core teaching team. Liz made a major contribution to the teaching at MMU in Maxillofacial work and professionally with the Institute of Maxillofacial Prosthetics and Technology.

A VERY GENEROUS EQUIPMENT DONATION FROM CARDIFF METROPOLITAN UNIVERSITY AND CARDIFF HOSPITAL DENTAL LABORATORY

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Den-Tech have recently received a very generous donation of much needed Dental Lab equipment from Cardiff Metropolitan University and Cardiff Hospital Dental Laboratory.

James Neilson kindly dropped off the donation of 4 porcelain furnaces, 3 vacuum pumps, two vacuum mixers, a burnout furnace and two polishing lathes to Den-Tech on behalf of the University and Cardiff Hospital Dental Laboratory. All of the equipment will be used to support the work of Den-Tech and especially its work abroad in Uganda and Cambodia.

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INSIGHT

“

The goal is to die with memories, not dreams

”

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INSIGHT

CHOOSE LIFE - a sweet reminder

By Kelsie Hacking I Newly Qualified Dental Technician

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i there! My name is Kelsie and I’ve been working in dentistry since 2017 when I started a dental nursing apprenticeship at Wright dental care, Worksop. Fast forward 4 years, a global pandemic and a lot of stress, the excitement of opening my emails to a very special invitation certainly gave me a huge sense of achievement!...

‘Class of 2021 graduation ceremony’. I did it!.

After two years of studying, I am pleased to say that I have qualified as a dental technician, with a distinction! (my first higher education course).

It’s a great feeling to know that all the hard work has paid off, especially due to the challenges of studying during the coronavirus outbreak. I feel that if there’s one thing we all have in common, it’s that we can relate in one way or another to the challenges and the difficult times that have presented in the last year. The coronavirus outbreak has truly taken the world by storm and I would like to send love and best wishes to all and a big, BIG welcome to the adventures and opportunities that are coming our way as we now move forward. How exciting!?

On a positive note; I am now working as a dental technician at an orthodontic laboratory and when approached with the idea of contributing to the dental technician magazine; I felt it was a great opportunity to share my journey and to spread some motivation following the global pandemic. It hasn’t always been a straightforward process to get to this point considering that I left school almost 10 years ago, not knowing which direction to follow. Since then I have had experience in many different work environments, but dentistry has been my favourite and I hope to succeed further in this field. I have a particular interest in orthodontics and it makes me happy that I can be a part of the patients journey to a straighter smile!.

Personally, I feel that if I have gained anything out of the last year, it is a new perspective and a reminder that life is short and as cliché’ as it sounds, tomorrow isn’t promised. I see the world differently now and I would love to take the chance to remind you to choose life because nobody really knows when it could be taken away from you.

Who could have guessed that a global pandemic was heading our way? who can see the events of tomorrow? Although looking forward is a part of life, right now is what we have. It’s all we have. So, the biggest message I want to promote is whatever you are planning

One thing in life that concerns me is when I see people searching for happiness in materialistic possessions. Happiness is so much more than that!. It comes from within, it is not a destination, it is a way of life!.

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INSIGHT

for, whatever is on your mind, hopes, wishes, dreams. Don’t wait, do them now! I promise you won’t regret it!. I would like to share a quote which I came across recently. I hope it means something to you to and inspires you like it did me.

‘The goal is to die with memories, not dreams’.

I am truly passionate about gaining the most out of life and taking chances and opportunities. I encourage you to do the same because life is too short!. So this is your reminder to experience all of what life can offer.

In my life outside of work, I have always been an active person with a great love of the outdoors and adventure. At the start of 2021, I pulled myself up and agreed to take myself out every weekend, hiking, day trips; whatever took my fancy (usually a hike because it’s the most fulfilling and free activity you can do at any time of the year).

The benefits of walking are endless, not only is it a great form of exercise, it also helps to improve mental health, stress and anxiety. I would encourage you all to get out walking and hiking. Most recently I have completed the Yorkshire Three Peaks challenge, which is a total of 24 miles with 1585m of ascent!.

It was a brutal but fantastic day and I often think back to it and it makes me really happy knowing that I said yes and did it!.

I have also completed Snowdon, amongst others and was blessed with a beautiful cloud inversion. It was the most stunning scene I had ever witnessed!. Going out and exploring the outdoors is one of the best things in life, there is so much to see and do and I am very passionate about exploring and going on adventures. I have recently created an Instagram page to document all my hikes and adventures. Feel free to follow for inspiration! @hikeradventurerexplorer

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Ext

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Extend your subscription to the Dental Technician by recommending a colleague to subscribe, and if they do so we will extend your subscription for three months* CALL THE SUBSCRIPTIONS HOTLINE ON

01202 586 848

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

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DENTAL NEWS

KEMDENT - PEACE OF MIND l

Steve Burrett from S B Denture Design Ltd comments on PumiceSafe Universal from Kemdent: “It’s good to have a product that will keep our pumice safe. It has a pleasant minty smell and offers pace of mind that our pumice is clean.

“I have also had a very good experience dealing with Kemdent for many years now. Everyone that I have delt with has been friendly and helpful.

“I would certainly recommend PumiceSafe Universal and Kemdent to other labs.”

To find out more about the various lab essentials available from Kemdent, visit the website today!

For more information, please visit www.kemdent.co.uk

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DTS 2022

UK'S ONLY DEDICATED EVENT FOR DENTAL LAB OWNERS AND TECHNICIANS

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Next May, join many other dental technicians in attending the Dental Technology Showcase, where you can access a wealth of information and education.

It’s important to connect with other dental professionals on ways to navigate the ever-changing field and, due to the past years’ events, that’s more relevant now than ever.

We have over 50 prominent speakers, as well as over 40 hours’ worth of free enhanced CPD. Make a note in your diary, and don’t miss out on the exciting things we have to offer at the Dental Technology Showcase 2022!

Be your best self l

There’s always room to develop in dentistry.

For dental technicians, there’s no limit on what you can learn. Whether it’s a course in digital technology or a workshop in shade-taking, developing your skills is worthwhile for you, your laboratory and your clients.

At the 2022 Dental Technology Showcase, there are ample opportunities for you to gain

certified CPD, as well as attend lectures from over 50 world renowned speakers. You can network with other dental technicians, and connect with over 80 exhibitors.

Keeping up-to-date in this fastpaced industry is paramount, and the UK’s only dedicated event for dental lab owners and technicians is here to keep you informed and empowered.

The next DTS will be held on Friday 13th and Saturday 14th May 2022, Birmingham NEC, co-located with the British Dental Conference and Dentistry Show. For the latest information, please visit www.the-dts.co.uk, call 020 7348 5270 or email dts@closerstillmedia.com

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EDUCATION

BLENDED LEARNING OPPORTUNITIES FOR TRAINEE DENTAL TECHNICIANS Bridging the gap of education for the laboratory team

By Gemma O’Brien I Lecturer in Dental Technology

I

A LABORATORY OWNERS OPINION

have been working in Education for the past 6 years. I started as a technical trainer and now work as a lecturer at The Sheffield College delivering on the Dental Technology programmes.

Throughout my time here, we have faced many different challenges. The last 2 years have been no exception. COVID affected everybody and left many people having to adapt to new situations, both personally and professionally. Education was obviously one of the biggest areas that proved challenging.

Educators needed to find ways to make sure students were able to continue studying, find new ways to keep students engaged on their courses and most importantly ensure they completed and achieved their qualifications.

l

This proved difficult with our course; however, staff remained committed to delivering content and developed a programme which saw theory being delivered by online sessions and when restrictions eased the practical content being taught back on college premises. It wasn’t ideal having to cram in lots of practical sessions into such a short period of time, however the challenges brought about new ideas.

As of September 2021, we have now started offering this programme to students who already work in laboratories. Although the course is in its early stages, we have hope that this is something both employers and students can get excited about. As an industry, we need to grow and with the introduction of this blended learning approach, we intend to bridge the gaps in our specialist field, avoiding the need for staff/students to forgo employment to attend their college course. It is our hope that following this initial year, the provision will grow and we will recruit not only from the South Yorkshire region but beyond.

Together, working closely with employers and laboratories this soon developed into what we call a blended learning approach.

The purpose of this approach is that the students only attend college for the practical components not covered in their daily working life, whilst completing theory independently with recorded online sessions. This gives the students the flexibility and accessibility to complete the theory and underpinning knowledge required to meet the Btec specification and GDC requirements for a registerable qualification.

Just two weeks into the first term, we are delighted to see a few more students sign up to the Blended Learning programme and now have around 10 students who are already working in laboratories, these students would have struggled to undertake any formal qualifications without leaving their jobs and starting a full time course. As predicted, we have seen students travel far and wide to join the programme. This is a great news for the future of our profession and will hopefully help with the current declining number of registered Dental Technicians.

The blended learning programme has opened up learning opportunities for our team. We have had several laboratory assistants and support staff that have expressed an interest in training as a Dental Technician and becoming qualified. For years this has been a real stumbling block for us as an employer, at the very best we would lose a tram member for as much as 3 or 4 days per week to attend a full time course, which isn’t ideal. We are currently experiencing a real surge in demand for our laboratory services and we are really struggling to recruit experienced dental technicians.

Being able to train our own team members is such a positive step forward for us. The college ensure the students get all the support they need for the lab work that they can’t complete in our lab. For instance, we don’t do any Crown and Bridge or Prosthetic work, they get to do this work at college. I hear they have visiting lecturers who come from the industry, this will be a great learning experience for our student technicians. We will be able to support them in Orthodontics and we may even learn something from them too!

This year we have sent 5 of our team on the blended learning programme, they hope to complete their studies in 2 years and be able to register with the GDC as Dental Technicians. This is great news for our profession. So many colleges and university programmes have disappeared, I do wish Sheffield College all the very best in developing this blended learning approach and hope to see our 5 complete their studies in 2 years time.

FOR MORE INFORMATION ABOUT THE COURSE PLEASE CONTACT SHEFFIELD COLLEGE 0114 260 2600 OR VISIT https://sheffcol.ac.uk/subject-areas/science-dental-and-pharmacy

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DENTAL TECHNOLOGY

CEREC MTL ZIRCONIA: GREAT STRENGTH, FINE AESTHETICS, AND EFFORTLESS PROCESSING l

Digital dentistry in a single visit has become an important treatment option for dentists. In this context, allceramic restorations made of esthetic zirconia are playing an expanding role.

Dentsply Sirona and VITA Zahnfabrik are now presenting a new material for this purpose. CEREC MTL Zirconia brings together a high level of aesthetics and ease of processing alongside the strength familiar from zirconium oxide in a multilayer graduated zirconium oxide block. The new material will be available to users from September 2021.

Charlotte, September 30, 2021. When choosing a restorative material, durability, strength, and aesthetics as well as ease of processing are among the most important requirements. Until now, certain criteria had to be prioritized when selecting materials – the best aesthetics could often only be achieved by compromising on strength.

When it came to fabricating high-strength restorations, 82 percent of dentists opted to use a zirconium oxide, according to a survey [1] . This often meant making compromises in terms of aesthetics.

CEREC MTL Zirconia is a zirconium oxide enriched with yttrium oxide that leaves virtually nothing to be desired. A key factor in the material developed and produced by VITA Zahnfabrik is the special color technology consisting of a multilayer color gradient. This MTL (multi transitional layer) technology, in combination with high translucency, results in very natural aesthetics. The seamless color gradient within the block makes a decisive contribution to this. This property makes CEREC MTL Zirconia a genuine innovation and an excellent choice for bridges and crowns in the anterior and posterior regions as well as for inlays, onlays, and veneers.

The 3-point flexural strength of more than 850 MPa helps ensure very high strength, which enables minimally invasive crown preparation with a wall thickness as low as 0.6 mm. This allows the fabrication of filigree veneers and means more preservation of natural tooth substance as well as a more flexible restoration design.

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TOP PHOTO: MTL Zirconia is especially suitable for indications in which particularly high strength is desired without having to compromise on aesthetics. ABOVE: CEREC MTL Zirconia restorations can be milled out in the CEREC Primemill in Super Fast mode in just five minutes.

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DIGITAL TECHNOLOGY

Polished CEREC MTL Zirconia crown which was glazed in the next step with Dentsply Sirona Universal Glaze High Flu in CEREC SpeedFire.

CHAIRSIDE SUPPLY WITH SIMPLE AND FAST WORKFLOW

In addition to the material properties, processing is fast and easy. In the Super Fast mode of CEREC Primemill, a crown made of CEREC MTL Zirconia can be milled out in as little as around five minutes. Subsequent sintering in CEREC SpeedFire takes around 18-21 minutes, and the optional glaze firing is completed after nine minutes [2]. Finally, the restoration can simply be cemented – a less timeconsuming procedure compared to adhesive cementation. The material is thus ideally suited for chairside restorations.

The first users of CEREC MTL Zirconia expressed great satisfaction with the new material and praised above all the uncompromising path to remarkable aesthetics. "The excellent match with the most commonly used classic VITA shades make for a very convenient shade selection," reports Dr. Dirk Ostermann from Hanover, Germany. "The high translucency and the natural color gradient make the material a real option also in the anterior region."

COMPREHENSIVE MATERIALS PORTFOLIO FOR CEREC RESTORATIONS

"With CEREC MTL Zirconia, we are rounding off our CAD/CAM block portfolio of glass-ceramic and zirconia blocks with an esthetic zirconium oxide," explains Mathias Kraus, Vice President Restorative Marketing/Single-Unit Crown at Dentsply Sirona. "In this way, the highest demands of patients in terms of strength and aesthetics can be met simultaneously."

CEREC MTL Zirconia is the result of a collaboration between VITA and Dentsply Sirona. "With this innovation, we have succeeded in ideally combining the requirements for maximum aesthetics, ease of processing, and familiar strength," explains Bernd Schnakenberg, Head of Global Sales & Marketing at VITA. While VITA is the designer and producer of this new MTL zirconium oxide block, Dentsply Sirona with Degudent GmbH, Hanau, will be responsible for the exclusive global distribution.

Further information on CEREC MTL Zirconia can be found on the website: https:// www.dentsplysirona.com/en/explore/ restorative/cerec-mtl-zirconia.html

Dentsply Sirona's block portfolio for CEREC restorations includes glass-ceramics (CEREC Tessera) as well as various zirconium oxide blocks

[1] External blind survey of CEREC dentists in the USA, fall 2020; n=45 [2] Internal data from Dentsply Sirona

(CEREC Zirconia+) and is now completed by a true multi-talent for restoring teeth in different regions of the mouth.

Due to different approval and registration times, not all technologies and products are immediately available in all countries.

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TOP: Mathias Kraus, Vice President Restorative Marketing/Single-Unit Crown at Dentsply Sirona, sees CEREC MTL Zirconia as rounding off its CAD/CAM block portfolio with an aesthetic zirconium oxide. MIDDLE: For Bernd Schnakenberg, Head of Global Sales & Marketing at VITA, the new CAD/ CAM block offers an excellent synthesis of aesthetics, strength and ease of processing.

BOTTOM: Dr. Dirk Ostermann, Hanover, praises the high translucency and the natural color gradient of CEREC MTL Zirconia.

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INSIGHT

THE CURIOUS DEMISE OF THE DENTAL TECHNICIAN Part 2

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

IS IT TIME TO SAY NO TO NHS WORK? IS IT A ‘RACE TO THE BOTTOM’?

WHAT DOES THE FUTURE OF DENTAL TECHNOLOGY LOOK LIKE?

l

In the August 2021 issue of The Dental Technician Magazine I wrote about the declining numbers of dental technicians in our profession and touched on the current state of our labs. It didn't make for the most positive of readings and sadly I still have significant concerns for the future of dental technicians IF we choose to continue on this path of destruction.

I was recently sent a copy of the BDJ in Practice from October 2020 (Vol. 33 issue 10). The cover feature was about us, Dental Technicians. They not only gave us the whole front page exposure; we were discussed in a 5-page article. The feature titled and asked the question "Dental labs and technicians: The last ones to fall?"

The main theme covered the issue of how little support Laboratories received when they were forced to close following the closure of dentistry during the first wave of the pandemic. NHS dentists were gifted 100% of their income for doing 0% of their contract.

The idea was that monies would filter down to pay the ongoing costs of running the closed and empty practices. No provision made to ensure those labs, that bolster up the NHS, received any of that money to help support them. Yes, the furlough scheme paid staffs wages but the lab owners were left out in the pandemic sunshine to dry. Most couldn’t claim on their insurance and were left without any income and expected to take loans to cover overheads and living expenses.

NO SUCH THING AS AN NHS DENTAL LAB

The article kept referring to 'NHS Labs', I want to get this off my chest now, why do we refer to some labs as 'NHS Labs'? Do they receive a salary or pension from the NHS? Do the NHS have any formal written contracts with these lab? Did the NHS help any of those labs during the pandemic?

Of course, the answer is NO! NO to all of those questions! So why do we offer an NHS Service or products at a ridiculously low price for the NHS?

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It's historical for sure, it doesn't mean it’s right and it doesn't mean it can't change. I understand there is a Facebook group called 'Race to The Bottom'. I'm not in this group, therefore I can only assume that discussions will be on the subject of providing low cost dental devices and price levels where it isn't viable to run a business on.

THE CURIOUS DEMISE OF THE DENTAL TECHNICIAN

I started out with the intention of writing a follow up to my August article, stay with me, all this links up.

The latest GDC figures indeed showed a decrease in the number of dental technicians registered and we now have just 5535 as opposed 5796 in 2020, 5776 in 2019 and a whopping 6163 in 2018.

The figures are clearly showing a decline, the BDJ article analogy was perhaps not the best. The suggestion is that we may be the last to fall, when clearly it is likely we will be the first to fall unless we make some changes now.

MORE ARE LEAVING THAN WE CAN TRAIN

I have recently undertaken a role as a visiting lecturer at Sheffield College. This week I attended a student enrolment day and was saddened by how few students had come to enrol. We expected to see around 18 on a level 3 course and 8 on the foundation degree. There are also a few 'blended learners' who are essentially 'apprentices' working in Laboratories already and will have more of a flexible learning approach. In total, it is probably around 30 students. I was told that many of these will either drop out or change courses once they get a feel for what the course entails. This really surprised me. Sheffield College is one of less than a dozen colleges and universities that offer a dental technology course leading to a registrable qualification.

I would have expected these courses to be oversubscribed such as those courses in construction and building professions. Here in lies the problem, maybe?

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INSIGHT

I am currently undertaking quite a large building project and finding reliable and quality trades people isn't easy. I find I'm paying circa £150 per day for a reasonably low skilled labourer. A 5-day week will equate to £35-£40k per annum. I suspect most labs, my own included, could not afford to pay this type of salary as a basic salary for staff with little experience, but we have to get here if we want to retain and attract new people into our profession.

Those labs that operate legally are essentially penalised by having to jump through hoops to ensure they maintain their GDC and MHRA registration through fear of being ‘struck off’, whilst those that are unregistered simply go about their business unchallenged. Do we simply carry on and put up or shut up, or do we stand up and highlight these problems?

PARADIGM SHIFT

To a large degree, I believe ‘LIFE IS WHAT YOU MAKE OF IT’. I have spent almost 29 years in the dental profession and have worked with so many technicians, nurses and clinicians who are self-deprecating and full of woe. None of them willing to make a change, happy (or not as the case would be) to plod on moaning how bad things are today and how good things used to be.

I don’t profess to have all the answers, but we must first start with helping ourselves from within our own professional subsection. We need a paradigm shift, firstly we need to stop calling ourselves 'NHS Labs' and we need to remove and abolish NHS price lists. We aren't governed by, paid by and we are definitely not financially supported by the NHS. We are merely a supplier. An analogy was used in the BDJ article; “would a patient want a surgeon to fit a hip replacement made by a non-qualified person with little to no experience?” The answer, of course is NO! If we continue on this 'Race to The Bottom', this is all we will have. We won't be able to attract new blood into the profession.

Why would you choose to enter a heavily regulated profession, along with everything that comes with be registered, when one can earn significantly higher rates in less skilled roles? I know, I know, it’s not just about money, but it certainly helps.

IS REGULATION THE ANSWER?

I have recently been privy to information by the Kinsholm Group. The group was set up to try and highlight illegal manufacturing in the UK and illegal importers of Custom Made Medical Devices who do not register or comply with the MHRA Medical Devices Regulations. The fact that unregulated manufacturers are allowed to exist and unchallenged by the GDC and MHRA surely contributes in this ‘Race to The Bottom’ by driving prices down in an already competitive market.

THE FUTURE OF DENTAL TECHNOLOGY – THERE IS HOPE AND OPTIMISM

Despite the context of this article I am incredibly optimistic about the future of Dental Technology and Dental Technicians.

We have so much to offer the profession and there is so much exciting technology available to us, we can really thrive. We do have to evolve though. As a professional, I hold myself in the same regard as everyone in the team.

Yes, we work to the prescription of a dentist or clinician and we provide highly bespoke, custom made devices to the highest standards, or at least we can and should. We should and can charge appropriately for our skills.

We do have to help ourselves, we need to have a voice. Not one that moans about how bad things are whilst sat at the bench begrudging every second of the day. Only we can make the change. Don’t fall into the trap of being a busy fool, just to be able to provide ‘the cheapest denture in your area’, that is a badge of honour no one wants.

Remove NHS from your price list. If you have to offer a range, why not try a ‘Good, Better, Best’ approach. Don’t forget, we are just suppliers in the eyes of the NHS. We are not owned or paid by them, we are a supplier to NHS Dental Practices.

I have read a recent social media post saying many labs still continue to struggle with the levels of work being significantly lower than pre pandemic. From speaking to several friends who own or work in dental labs, this isn’t their experience. The biggest issue is being able to recruit staff quick enough to keep up with the demand. I am assuming this is due to an increase in demand for private work and the lack of access to patients being able to access NHS treatment in NHS practices. This may be a big assumption on my part and I would be interested to read any responses to this article.

HAVE YOUR SAY

You don’t have to be a stalwart union representative or the next PM. Just have your say, speak to your colleagues, speak with your customers, you might be surprised how empathetic they may be. I have several dentist friends that are genuinely interested and surprised to hear how things are in Dental Labs.

Yes, there are the customers that will quibble over even the slightest increases in your prices and some that try to negotiate discounts even before sending any cases in. Maybe you will have a better business without those customers.

Visit trade shows, speak to peers. Back when I started training in the 1990s labs were very much ‘closed shops’. You would never let another lab owner into your premises and you guarded your price lists with the same care you would a new born. Professional life has changed and we are all so much more open and willing to share our knowledge and experience. If you have any struggles or questions, you can usually pop into a facebook group and someone will be willing to help.

Use this, it really helps.

AND FINALLY…

How do you think the UK Dental Laboratory market will pan out over the next few years? Are you optimistic, or are you desperate to make an exit? How do you feel about digital technology, will it help us being more productive or will it deskill us? I would be delighted to hear from you and publish a response to this article.

Did anyone take part in the recent survey of UK Dental Laboratories? I always take part in these things as I feel I should air my opinions, right or wrong. I feel it is very important that we do take part in surveys and questionnaires, particularly if it helps get a feel for how our sector is performing or shaping.

Here is the link to the UK Dental Laboratory/CDT Survey 2021 – I believe they were offering some form of incentive to the first 200 responses, so there is even more of a reason to take part! https://survey.alchemer.eu/ s3/90371458/lab-cdt-survey2021

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ECPD

FREE VERIFIABLE ECPD

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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.

VERIFIABLE ECPD - OCTOBER 2021 1. Your details First Name: .............................................. Last Name: ........................................................Title:................

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LEARNING OBJECTIVES

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n Understanding key factors of Aesthetics, Strength and components of VITA CEREC MTL ZIRCONIA

............................................................................................................ Postcode:...............................................

n The importance of the healing period with All on 4 Workflow and the use of 3D Scanners in the process.

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 SEPTEMBER 2021 DT EDITION : Q1.

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C

C

C

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C

D

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Question 9

Question 10 Question 11

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A

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ECPD

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VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM

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VITA CEREC MTL ZIRCONIA: GREAT STRENGTH, FINE AESTHETICS, AND EFFORTLESS PRO-CESSING

Q1. When choosing a restorative material durability, strength and XXX are the most important requirements?

A - Aesthetics B - Flamboyance C - Sensibility D - Tone

A - 66 B - 75 C - 82 D - 90

Q3. CEREC MTL Zirconia is a Zirconium oxide enriched with XXX? A - Yttrium Oxide B - Solid Oxide C - Ytterbium D - Yttrium Iron

Q4. How many points of flexural strength are there?

Q5. What is the measure in megapascals?

A - 850 MPa B - 950 MPa C - 1050 MPa D - 1150 MPa

Q6. What is the wall thickness?

A - 0.4mm B - 0.6mm C - 0.8mm D - 1 mm

Q7. This allows the fabrication of what?

A - Filigree Veneers B - Porcelain Veneers C - Perforated Veneers D - Textured Veneers

A - 5 minutes B - 10 minutes C - 15 minutes D - 20 minutes

ALL ON 4 WORKFLOW BY MATTEO NERONI

Q2. When it came to fabricating high-strength restorations what percentage of dentists opted to use a Zirconium oxide?

A-1 B-2 C-3 D-4

Q8. In the Super Fast mode of CEREC Primemill, a crown made of CEREC MTL Zirconia can be milled out in as little as around XXX?

Q9. In the first step the A04 example is of what?

A - Mascellar Superior B - Superior Alveolar C- Posterior Wall D- Posterior Superior

Q10. After a period of XXX necessary for osseointegration of the the implants, the patient returns to the clinic to scan the prototype that had been worn during the healing period?

A - 1-3 months B - 3-6 months C - 6-9 months D - 9-12 months

Q11. New photographs are taken with the prototype in place, as well as XXX? A - An X-Ray B - Bite Impression C - Infrared Scan D - 3D Facial Scans

Q12. The 3D Scan reveals the exact XXX of the Maxilla?

A - Propensity B - Gradient C - Inclanation D - Acclivity

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.

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DENTAL TECHNOLOGY

ALL ON 4

WORKFLOW

By Matteo Neroni

A

fter several years of research and development in the type of total prosthetic rehabilitation on implants, it has been established that one rehabilitation done on 4 or more implants is amongst the safest and long-lasting rehabilitations existing on the market today.

Fig. 1

Fig. 2

The fundamental basis of this rehabilitative procedure is planning by means of photographs and RX

Fig. 3

In this first step, an AO4 example of the Mascellar Superior, the dentist alongside his/her dental technician will evaluate the possibility of a bone reduction.

This type of evaluation is done by overlaying multiple images of the patient with a frontal photograph of the rx, with which one is able to plan where the new transient line can be found in an extremely accurate way after bone reduction, always being when the patient smiles showing the gum in an excessive way. (Fig.1)

Fig. 4

At this point, facial planning begins. (Fig.2) After the planned bone reduction, the patient's new smile is virtually designed, respecting the golden proportions, the correct curves, and masticatory functions (fig.3) After surgery and correct planning, both aesthetic and functional, this is an example of the post-operative AO4 where the perfect symmetry and accuracy is shown, in the position of the implants, which the clinician is able to do with this type of planning; in this specific case in FreeHand (fig.4) This type of planning, as I said, succeeds in satisfying the functionality in relation to aesthetics by deciding the inclination of the implants and the exit of the screw channel, always a local tongue, so as to not compromise the harmony of the reconstruction.

28 DT_OCT 2021.indd 28

Fig. 5

This is the typical technique of immediate loading by conversion of a total prosthesis, inside which a bar welded to TMC1 will be inserted.

After a period of 3 to 6 months necessary for osseointegration of the implants, the patient returns to the clinic to scan the prototype that had been worn during the healing period. New photographs are taken with the prototype in place, as well as 3D facial scans. (fig.5) This step is extremely vital and fundamental for the laboratory for the success of the case.

The 3D facial scan reveals the exact inclination of the Maxilla and how much lip support our patient has. Facilitating the positioning of the new arch in the virtual space.

In the meantime my laboratory will prepare a confirmation Gig, to make sure that the implants are firmly in the starting position.

At this point, when you have all the information necessary to proceed to the next step.

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DENTAL TECHNOLOGY

Fig. 6

Fig. 7

Fig. 10

Fig. 9

Fig. 8

CAD STAGE

Once you have entered all the data in the CAD, you go back to work on the golden proportions modifying the blue areas in the 3D scan of the starting prototype (fig.6) I am going to insert my virtual teeth into the CAD space using libraries, which will follow all the lines I have traced, respecting the proportions and symmetries. In this step I am able to variously increase or decrease my lip support. (Fig .7) Once the 3D planning of my reconstruction is complete and after a quick check by the clinician, milling or 3D printing of a further resin prototype is performed. This is necessary for the clinician to adjust or balance occlusion and group function, for the patient to approve the aesthetic line or if he/she has any particular requests to make to the prototype, and for the technician to proceed with the milling of the definitive reconstruction of the arched zirconia arch.

GREEN STAGE

I personally think that the green stage is of vital importance.

Fig. 11

I call it "The Key", in this step the true artistic vein that lies behind the digital figure of modern dental technology emerges.

This step enhances the craftsmanship of this craft that comes from the old school, through the sculpting of Zirconia by obtaining detailed surfaces with regards to textures and separations, giving life to our zirconia block. (Figure 8) The care of the gingival surface and the harmonic exit of the tooth from it are of vital importance, giving a three-dimensional effect to our block, which aims to keep and imitate the natural aspect in every little detail.

After the sculpting phase there is the colouring of the zirconia, using colours that imbue the surface, thus creating a play of light, shadows and shades. This is to better customize our reconstruction, making it extremely true to what the patient originally had. (fig.9) (fig.10) Personally, as a dental technician, I pay a lot of attention to the details in this specific step. For me every Toronto that I sculpt and colour is as if one creates a small work of art every time that is one-of-a-kind, unrepeatable, unparalleled, and alive!

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Striving to fully satisfy the aesthetic need of the patient that I find myself in front of and carefully selecting the type and shape of my arch, which will fill and soften the visual context of the patient.

FINALIZATION

In this step, the only part on which I apply porcelain is on the gum. The latter gives vitality and naturalness to my rehabilitation, and with a special colour guide, most of the times I can mask the transition line between fabric and Toronto.

The surface of the teeth is treated with Basic glaze only, since with the colouring in the Green-stage where I can achieve a natural effect it seems useless to intensify something that is already natural in itself. (fig.11) In my opinion, the optimal success of a Toronto on an aesthetic level, is precisely finding the right balance between the two distinct parts of the gum and teeth, treating them as two distinct and separate identities.

But with the correct relationship between them, they make my every Toronto unique, as unique as the patient who will wear it to smile.

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TECHNICIANS INSIGHT

The

SKIVER

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TECHNICIANS INSIGHT

By Andy Sanson last exactly as long as my enforced absence.

I put down the rapidly melting telephone receiver and smiled a smile to myself.

The fourth in the series of diversionary and humorous articles by Andy Sanson.

Andy is a retired Dental Technician who has kindly offered to share some of his stories and experiences throughout his career.

“

You can’t have six bloody weeks off for a sprained ankle.”

“Well, the doctor says I have to.

He’s given me a sick note and told me to rest it.”

“Nonsense. They’ll give you a sick note for a pimple these days. Most of them are only just out of school. Get yourself in here and we’ll rig up something for you to put your foot up on.”

“I can’t do that. He says I have to lie on the sofa and keep it elevated.”

“What a load of rubbish. Trouble with you young buggers – you’ve got no staying power. In my day you’d have to have a leg off before you stayed at home. Poor old Jambo used to drag himself in when there was hardly anything left of him. Bah!” The Boss, despite his fluster and bluster, knew he was on a loser. The doctor had been most specific. I had the note in my hand ready to post off to work as soon as I could get someone, probably my Mum, to take it down the post box for me. It was 1976 and we were, although we didn’t know it yet, on the verge of the hottest summer for many years which, coincidentally, was destined to

The back story to all this was a function at the local boat club. Normally it wasn’t the sort of place any of us would frequent but occasionally they rented it out for parties and the annual Regatta was always popular, especially as the bar was open all day. This was in the days before all-day pub opening so we would troop down there at about twelve noon and stay for the duration.

People would go there who had absolutely no interest in rowing or any of the twaddle that accompanied it, partly for the extended licencing hours and partly because it usually fell on the same day as the FA Cup Final and it was the only place open that had a colour tv. Some time early in my career I had been asked by the Junior Partner if I would like to become a member and take up the ‘sport’. It was his Sport Of The Week and, if he was to believed, he was very good at it, a revered member of the Committee and had only turned down an impassioned plea to turn professional and become part of the British Olympic team because of his commitment to The Lab. This kind invitation, I politely declined, citing lack of interest and a preference for motorcycling but secretly holding the view that they were all a bunch of toffee-nosed gits who drank G&Ts and spoke in silly, affected voices.

This particular occasion was a party held in honour of someone’s twenty first birthday, or an engagement, or a divorce or something, I never really knew anything about it apart from the fact that I had been handed an invitation in the pub a few weeks before along with everyone else in the room.

It would have been rude not to, so along I went. Now, I don’t know if someone had spilt some beer on the steps or there had been a shower of the last rain we were to have for a month and a half. At the side of the building was a metal staircase which led up to the balcony where the entrance to the first floor bar was. At some point in the evening I set off down the stairs and missed the last five or six, landing heavily on my right ankle and turning it virtually upside down and inwards. I have to say it stung a bit. But not as much as it stung the following morning after I had jiggled around on it all night and opted to walk the three miles home. When I woke, at about seven am, it felt like it had been put through one of those machines that crushes a family saloon into something with the dimensions of a Rubik Cube and hit repeatedly with a sledgehammer wielded by someone who made Geoff Capes look like

www.dentaltechnician.org.uk DT_OCT 2021.indd 31

Walter from Dennis The Menace. It had taken on the appearance of a large overripe aubergine and set up a throbbing that persisted with the regularity of an atomic clock so that eventually I was bundled into the car and driven to the hospital by my dad for immediate attention by Hattie Jacques and her team. They examined it thoroughly, patched it up a bit and gave me a pair of crutches. Then they told me to keep off it for six weeks and gave me a note to pass to my doctor which I did the following Monday and that’s how I came to be the proud possessor of a licence to skive for the whole of the forthcoming summer.

I wouldn’t like anyone to think that I took undue advantage of this situation and strung it out longer than necessary. I was careful to keep off the injured part to the best of my ability, as per instruction.

The pub, run by the indomitable Elsie and domain of Horace and his cronies, was only fifty yards from home and with the aid of the crutches I was able to get a little exercise in order that the rest of me didn’t seize up completely. So, each afternoon, I would venture out and gingerly hop the short distance, put my foot up on a stool and spend a few hours resting it.

The heatwave continued unabated.

There were standpipes in streets around the country and a chancing vendor who set up a stall in Hyde Park selling tins of Coke had it turned over by irate customers annoyed at the fact he was charging forty pence each for them when the average shop price was something like fifteen.

Of course, it couldn’t last forever and when the weather did finally break it came with a suddenness that caught the country unawares. I recall everyone emptying out of the pub and dancing in the road as the cooling waters descended from the Heavens in torrents. I think the deluge must have had hidden healing properties as well because by some miracle my foot seemed to fix itself at that very moment which brought momentary relief shattered immediately by the realisation that I would now have to go back to work. Well, at least The Boss would be happy about that.

There’s no pleasing some folk, is there?

Far from being delighted at the news of my imminent return to the fold the following Monday, The Boss fell to outlining in copious detail the inconvenience suffered by The Lab over recent weeks and made it quite plain that he felt I should present myself the following morning irrespective of what it said on my obviously over sympathetic sick note.

31 05/10/2021 19:28

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MARKETPLACE

3SHAPE ORTHO SYSTEM 2021.1 w Ortho System 2021.1 brings many new features and improvements to the clear aligner workflow including a version of Clear Aligner Studio now available for ortho labs.

Ortho labs can deliver their own treatment planning, design, and production preparation of high-quality clear aligners to enable them to scale and stay competitive as they grow their services.

Ortho System 2021.1 also brings overall performance improvements and bug fixes to Ortho Planner, Indirect Bonding Studio, and Appliance Designer.

HIGHLIGHTS OF ORTHO SYSTEM 2021.1 IN THE CLEAR ALIGNER AREA INCLUDE: Increased efficiency and less waiting time

• New and existing automated features are now performed in the background. This significantly reduces waiting time and enables the user to focus more on the design and clinical aspects of the case.

More effective case collaboration

• Treatment Review enables doctors to clearly communicate their treatment vision to the labs, and with a click of a button, allow the lab to show their treatment proposal to the clinic for approval.

Better case management

• Orthodontic technicians now have a clear overview of cases needing attention and where they are in the respective workflows.

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• Hollowing of models is automated and applying wax to interproximal pockets and to fill gaps between teeth is done digitally and automated.

NEW PAY PER USE MODEL Exporting models are now charged as Payper-use points. Charges are incurred when using one of these features: • New auto-segmentation • Treatment Review • New production enhancement features e.g., wax-up, hollowing, etc.

FIND OUT MORE AT https://www.3shape.com/en/ software-updates/ortho-system or contact ukenquiries@3shape.com

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33 05/10/2021 19:28

Advertise your business in the Dental Technician Magazine 01372 897462 sales@dentaltechnician.org.uk

In print since 1947 DT_OCT 2021.indd 34 advertise DPS FILLER AD.indd All Pages

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ZIRKONZAHN MULTI BLANK HOLDER - 7 CROWNS, 7 COLOURS, 7 PATIENTS w The new Multi Blank Holder 4x1 and 7x1 Teleskoper are special holders for processing 1-size material blanks in different colours and heights. The Multi Blank Holder is particularly advantageous: it permits milling up to seven single crowns in hardly used colours. In this way, it is possible to produce crowns for seven different patients all at once. Specifically for these supports, mini material blanks (size 1) in the heights of 16 mm and 22 mm have been conceived and they are available in all type of Prettau® Dispersive® zirconia. Thanks to the smaller blank shape, it is no longer necessary to keep a large inventory of little-used tooth shades, ensuring significant cost savings.

The Multi Blank Holder 4x1 can be used in all Zirkonzahn milling units with an orbit diameter of 95 mm whereas the Multi Blank Holder 7x1 Teleskoper is specifically suited to the Teleskoper Orbit Ø 125 mm – however, in combination with the Teleskoper Plate, it can also be used in the M4 Wet Heavy Metal milling unit.

MORE INFORMATION AT www.zirkonzahn.com

CARESTREAM DENTAL COLLABORATION MADE EASY w Working closely with your referring dentists is the key to success. So, why not encourage them to invest in technology that can improve the collaborative experience for all involved?

The CS 3700 intraoral scanner from Carestream Dental represents the best in innovative technology on the market. The system captures extremely accurate scans that can be sent straight to your laboratory in an open STL file format, meaning that you can use any design technology to create the restoration.

Plus, cutting-edge shade match technology ensures that scans automatically include the required shade information to help facilitate exceptional aesthetics.

TO FIND OUT MORE, CONTACT CARESTREAM DENTAL TODAY. 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 Facebook and Instagram: @carestreamdental.uk

36 DT_OCT 2021.indd 36

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STRAUMANN PRECISION-ENGINEERING AT YOUR FINGERTIPS w MEDENTiKA® solutions offer dental technicians precision-engineering designed to optimise implant workflows in the lab.

The MEDENTiKA® ASC (Angulated Screw Channel) Flex abutment delivers exceptional aesthetics in even challenging cases, with adjustable chimney heights and flexible screw access positioning of up to 25 degrees. MEDENTiKA® has a comprehensive portfolio which opens up new, even more diverse treatment options for you, and greater comfort and functionality for your patients.

As one of several industry-leading brands within the Straumann Group, discover the benefits of MEDENTiKA® for your lab today.

FOR MORE INFORMATION ABOUT MEDENTIKA® SOLUTIONS, PLEASE VISIT https://www.straumann.com/medentika/ us/en/dentistry.html

HENRY SCHEIN’S PRACTICE PINK PROGRAMME CELEBRATES 15TH ANNIVERSARY SUPPORTING THE GLOBAL FIGHT AGAINST CANCER

their efforts in four key areas – working to help prevent cancer, diagnose it earlier, develop new treatments and optimise current treatments by personalising them and making them even more effective. The organisation’s work is funded solely by donations.

w Since its inception, Practice Pink has raised more than 1.7 million US Dollar for cancer research, prevention, and awareness efforts Gillingham – 30 September 2021: Henry Schein announced the 15th anniversary of its Practice Pink® programme supporting nonprofit organisations dedicated to the fight against cancer. Practice Pink is a global initiative of Henry Schein Cares, the Company’s corporate social responsibility programme.

Through Practice Pink, Henry Schein, together with non-governmental organisations and supplier partners across North America and Europe, is helping dental and medical health care professionals raise awareness and support for a cure for breast cancer and other cancers by offering its customers an array of pink products, including health care consumables, practice supplies, and apparel.

To date, Henry Schein has raised more than $1.7 million through Practice Pink.

“We at Henry Schein are committed to aligning our strengths as a business with the needs of society to improve global health, and developing public-private partnerships to help provide care for those in need.” said Stanley M. Bergman, Chairman of the Board

and Chief Executive Officer of Henry Schein.

“Together with our valued supplier partners and customers, we are collectively helping to support efforts in promoting early cancer detection, improving access to care, and advancing cancer research and prevention.”

As part of the company’s participation in the Practice Pink™ programme, Henry Schein Dental UK donates a percentage of the company’s sales in October and November from selected pink products to Cancer Research UK to support the organisation’s work in research, prevention efforts, early detection of the disease, and improving access to care.

Cancer Research UK wants the survival rate of cancer patients in the UK to be among the best in the world. The organisation focuses

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ABOUT HENRY SCHEIN CARES Henry Schein Cares stands on five pillars: empowering team Schein to reach their potential, advancing health equity and expanding access to care for underserved communities, accelerating environmental sustainability, strengthening, and diversifying our supply chain, and maintaining strong ethical governance. Health care activities supported by Henry Schein Cares focus on four main areas: (1) wellness, treatment, prevention, and education; (2) capacity building; (3) emergency preparedness and disaster response; and (4) health system strengthening.

Rooted in a deep commitment to social responsibility and the philosophy of enlightened self-interest championed by Benjamin Franklin, the purpose-driven vision of Henry Schein Cares is “doing well by doing good.” Our commitment to sustained, long-term economic success while also creating shared value for society is achieved through the work of Henry Schein Cares and our stakeholder model that engages all five constituents of our Mosaic of Success.

TO LEARN MORE ABOUT HOW WE ARE MAKING A DIFFERENCE, PLEASE VISIT: www.henryschein.com/ corporatecitizenship

37 05/10/2021 19:28

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