The Dental Technician Magazine July 2017 Online Issue by The Dental Technician Magazine

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INSIDE THIS ISSUE Vol 70 No 06

JULY 2017 Technical

Technical

Business

Insight

Straumann Digital World Page 15

Taking a look at CAMLOG Implant system Page 24

The CAD/CAM Challenge Pages 21/22/23

Whats the Fire Risk in your Laboratory? Page 30

What a month for CHANGES! TY R WA R R A

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So perhaps we can negotiate the need for a universally applied statement of manufacture, which those with vested interests cannot ignore. After all the regulations are in place, the GDC are supposedly committed to the patients interest and the MHRA would be keen to show that cheap imported copies will not be tolerated because they breach the prime commitment to the patient. Oh dear! am I only thinking about the things like hand pieces and scalers etc? The patient may be exposed to various surgical implements once a year and not everyday as with the restorations made to prescription by dental technicians. Imagine what would happen if Pharmacists were to substitute the drugs etc. on their prescriptions for cheap backdoor imports! But of course we are only dental technicians, who the public does not know about and the dental bodies do not care about, so long as we donâ&#x20AC;&#x2122;t make too much fuss and remain behind the scenes.

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Sir Paul Beresford, freshly back from campaigning in the recent election, has raised the subject of Brexit in his OPINION page. In particular the opportunity of the politically motivated organisations to perhaps bring about some beneficial changes through direct pressure in parliament. He suggests that some Laboratory owners should invite their local MP to visit and to get some idea of the present situation regarding dental technology in general. As he points out very few MPs have any idea what a dental technician is and without recognition nothing specific will be put right. Undoubtedly the pressure to achieve changes will be coming from all corners of the dental market and the Brexit negotiations might just be a good time to try to influence change in the legislation, which might benefit technicians. We do

particularly need to watch what trade agreements, with what countries will allow the work to the Far-east to continue or indeed open up another cheap trade route for Dental appliances. What we make is at least theoretically bespoke, and in order to maintain some semblance of quality and care the patient should at least be told the origin of the appliance and what it is made from.

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ell we have had the election and an increased number of the population has voted. A lot more, younger people seem to have been motivated to vote and certainly the two major parties are very much closer than was expected when the whole thing was called. A tight majority does make the work of government a deal more onerous, but it does signify some interest across a broader range of the populous. As the younger voters have potentially more to experience with whatever is agreed perhaps it is not too wrong they should have a say. The biggest enemy to progress is apathy and we already have enough of that in technical dentistry.

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the media about what we do and why we matter. Social media is now a very readily accessible vehicle for those who may be interested. The DLA, representing Dental Laboratories, should be interested in

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regulations that require technicians to do one thing (S.O.M) while illegal labs, or grey imports do not have a

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The Dental Technician July 2017/Vol 70 Issue 06

CONTENTS

THE DENTAL TECHNICIAN JULY 2017 4

LOOKING BACK

DENTSPLY SIRONA NEWS

DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP

RECRUITMENT: AN INSIGHT INTO THE CANDIDATE SCREENING

12 - 14 LONDON COLLEGE GETS IT’S TEETH INTO DENTAL TECHNOLOGY 15

A JOURNEY INTO DIGITAL DENTISTRY WITH STRAUMANN

IVOCLAR DIGITAL ATTRACTS AT DTS

SAVE TIME & STILL HAVE A HIGH QUALITY FINISH TO YOUR DENTURES

BRACON: DIGITAL DENTISTRY COMES OF AGE

DTA MEMBERS RAISE FUNDS FOR DENTAID

GLASWEGIANS ATTEMPT GUINNESS RECORD WITH WORLD’S LARGEST SMILE

NHS PAY CAP MUST END, SAY UNIONS / OBITUARY

LIFE AND DIGITAL DENTISTRY WITH LINO ADOLF

THE CAD/CAM CHALLENGE OR DILEMMA FACING THE DENTAL PROFESSIONALS

TAKING A LOOK AT CAMLOG IMPLANTS AND TECHNOLOGY

6 12

26 & 27 DENTAL NEWS 28 & 29 VERIFIABLE CPD 30

WHAT’S THE FIRE RISK IN YOUR LABORATORY?

CLASSIFIED ADVERTS

PUBLISHERS: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT TELEPHONE: 01372 897463 Subscriptions The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH Editor: Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. Tel: 01372 897461 Email: editor@dentaltechnician.org.uk Subeditor: Sharon (Bazzie) Larder Email: inthedoghousedesign@gmail.com Advertising: Chris Trowbridge Tel: 07399 403602 Email: sales@dentaltechnician.org.uk Editorial advisory board K. Young, RDT (Chairman) // L. Barnett, RDT // P. Broughton, LBIDST, RDT // L. Grice-Roberts, MBE // V. S. J. Jones, LCGI, LOTA, MIMPT // P. Wilks, RDT, LCGI, LBIDST // Sally Wood, LBIDST

THE DENTAL TECHNICIAN WEBSITE IS NOW LIVE! FIND US AT:

dentaltechnician.org.uk THE DENTAL TECHNICIAN 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.

The Dental Technician July 2017/Vol 70 Issue 06

LOOKING BACK

THE “NEW” POLY METHYL METHACRYLATE FOR DENTURES

A BOOK REVIEW

The first book to be reviewed was Stainless Steel Work in Mechanical Dentistry by Mr G. H. Siddle, published by Henry Kimpton available at 5s (25p). The review highlighted the fact that it was becoming increasingly difficult to purchase precious metals for denture bases due to supply shortages of gold. Stainless steel frameworks were thought ideal for gingival free partial denture designed frameworks. Various designs were illustrated together with summaries of hints and full explanations of production techniques.

DENTAL ELECTRO-FORMING AND PLATING

Again another extensive well illustrated article, with technique step by step photographs and clear drawings outlining how to construct a copper plating unit. This in-depth article was submitted by the wellknown and famous Mr. E. M. Natt.

This was an opportune article informing dental technicians how to make resilient dies for completing their castings and porcelain crowns. There had been a steady growth in the in-direct restorative laboratory market but existing die materials such as cement or stone dies and amalgam dies where plagued with physical problems of expansion, shrinkage and not having sufficient surface strength to stand up to finishing techniques required to complete a restoration. Fine margins or the whole die would crumble.

POLYMERIZATION OF ACRYLIC RESINS

This was billed by its titled article as a Classic Moment, the hot topic of decades ago. Poly-MethylMethacrylate resins employed for denture bases and crown work were a relatively new phenomenon in dental technology. These resins were easier to use without the risk of safety issues that could be quite serious when vulcanising vulcanite rubber denture bases.

However problems did occur when polymerising these introduced dental resins. The laboratories had primarily viewed these resins as offering speed of production,

handled with extreme care to avoid splashes. Also the fumes given off by both the plating unit tank equipment’s meant that the plating procedures had to be undertaken in a specialised fume cupboard.

a quicker turn around in curing for their denture manufacturing output. Technicians were overlooking the ideal polymerisation time requirements to achieve consistent results that enhanced the appearance and strength to their resin denture bases.

This very informative lengthy article informed readers to avoid polymerisation problems by using an electrical heated thermostatically controlled denture curing tank set at 75°C initially. The temperature must not rise above 75°C, over an initial two hour period. The article then advocates the clamps holding the semi-cured resin dentures are removed from the original tank and placed carefully into another tank containing boiling water. The dentures are finally cured for half an hour at a rolling boil. The flasks are then left to cool to room temperature. The resulting dentures are claimed to be stronger and more resilient. I know over the decades each laboratory and denture technician had adapted this basic outlined technique to their own preferred method of polymerising denture bases!

Copper plated dies were the way for forward to reproduce precisely the surface detail of an impression and to have the assurance it was a faithful dimensional reproduction that was robust enough to withstand any finishing techniques a dental technician would employ to complete an accurate marginally fitting restoration, be it a casting or ceramic work.

Right up till the early 1980’s plated dies for aesthetic restoratiions were the requested choice by all members of the dental profession. Silver plated dies were thought to be superior to copper plated dies but the hazardous chemical fluids involved ensured they had to be

Plating an impression took time, and there were several adopted procedures then to make a removable die which wasn’t always that accurate when trying to perfect proximal contact areas of the restoration to the remaining dentition of the working cast. Superior die-stone materials became readily available in the 1980’s and accurate methods of making removable dies from the working cast ensured proximal contact areas and alignments of the aesthetic restorations were assured.

FINALLY

Our journal has over several decades enriched our technical and scientific knowledge and has brought dental technicians together. We have been stimulated to participate or attend the annual dental technology conferences and showcases and to attend study group periodic meetings. The Dental Technician journal in its Platinum year is an independent publication, no longer associated with any professional body or commercial establishment other than the present publishers. Well done to everyone in reaching this milestone.

NOTE FROM THE EDITOR

l If anyone has any interesting comments or historic info to add to this series I would be delighted to hear from you.

The Dental Technician July 2017/Vol 70 Issue 06

Italian Dental Style®, in Association with Dentsply Sirona, present the latest all-ceramic innovations: Featuring – Celtra® Press & Cercon® ht The brand, Italian Dental Style was launched in 2005 and was designed to enable dental professionals to identify others who are passionate about their industry and maintain the highest quality standards in all fields of dentistry. This has created a network of dental laboratories and dentists who strive towards innovation, technical knowledge and quality clinical procedures.

Over the past 12 years the brand Italian Dental Style has continued to grow within the European dental industry and is now recognised as a benchmark for high quality treatment across a broad range of prosthodontic techniques. Italian Dental Style has teamed up with Dentsply Sirona to present the latest in all-ceramic innovations at an exclusive event at LonDEC

on July 29th 2017. Join us for an exciting programme that will appeal to all dental professionals. Programme highlights include; Oliviero Turillazzi MDT: “The aesthetic and functional approach based on the philosophy; Italian Dental Style®” Gianfranco Ferrari MDT: “The laboratory procedures required for

effective treatment planning” Dr Andrea Savi: “Treatment planning to resolution; Multidisciplinary approach towards adhesive prosthodontic restorations” l Book your seat now, search Italian Dental Style at www.eventbrite.co.uk www.italiandentalstyle.com www.dentsplysirona.com

Dentsply Sirona launch their new Academy for London A wonderful day on the 7th June 2017 saw the opening of a teaching center for Dental Education for London. Sited at Brooklands, Nr. Weybridge, Surrey. The home of the historic British pre-war motor racing successes. Dentsply Sirona have created and wonderfully equipped teaching facility suited to the further enlightenment of all DCP’s. Dentists, DSA’s , Hygienists, Therapists . Clinical Dental Technicians and Dental Technicians, within their UK Headquarters.

UK Headquarters, Nr. Weybridge Surrey

Dentsply Sirona is rightly recognised as a global leader in dental education. Its commitment to providing the highest quality and broadest scope of education is now further enhanced through the opening of a new venue, which joins many others worldwide, to form part of the Dentsply Sirona Academy.

Fully equipped Clinical and Laboratory, Digitally Integrated training facilities.

More than 100 invited guests, including key distributors, dentists and technicians, as well as representatives of UK dental schools and a host of VIPs, gathered to see and experience the state-of-the-art facilities. The opening Ceremony was conducted by Thomas Scherer, Group Vice President, Dentsply Sirona and Gerry Campbell, Vice President and General Manager, Dentsply Sirona UK and Ireland who said “Knowledge and skills are building blocks for every successful dental professional and, as techniques and materials advance, the need to keep pace with change is increasing the demand for high quality teaching and learning. We have created the Dentsply Sirona Academy London in the belief that through training and education, we can best help all our customers gain maximum value from the technology in which they have invested”. The Dentsply Sirona Academy exists to address the continuing educational needs of all dental professionals, providing worldwide access to evidence-based, scientifically sound, theoretical and practical

content. Worldwide, the Dentsply Sirona Academy provides over 11,000 courses annually in more than 80 countries, responsible for delivering education to approximately 350,000 dental professionals every year, covering an extensive range of clinical, technical and practice excellence programmes. The aim in providing this educational platform is simple- to help equip clinicians and technicians with all the necessary skills so they can get the most from the new technology that will help drive their businesses forward and provide better, safer, faster care across every dental discipline.

The specially designed facility incorporates a Clinical Skills Suite featuring an 8-station simulation clinic complete with phantom heads. A Showroom includes treatment centres, handpieces and digital radiography, including fully functioning examples of the Galileos cone beam imaging system and Orthophos XG3D. Having this equipment on site enables visitors to appreciate the streamlined efficiency that can be gained by adopting an integrated workflow. These benefits are exhibited across specific disciplines including, restorative dentistry, implants, endodontics and orthodontics.

The investment in the Dentsply Sirona Academy London is the embodiment of Dentsply Sirona’s educational philosophy. This multiuse facility will showcase products and equipment in a clinical setting and allow customer training to take place. In addition it will provide a UK base for Dentsply Sirona’s extensive in-house clinical and technical education programmes that enable dentists and technicians to not only hear about how an integrated solution can improve their workflow, but to experience it first-hand.

A 30-seat classroom style lecture room can be rapidly transformed to accommodate 60+ in theatre style, providing a flexible resource that can accommodate almost any training or education requirement. And of course, state-of-the-art audio visual equipment makes these facilities amongst the finest in the UK.

The Remarkable Fully Equipped Phantom Head Room

The Academy is open to anyone seeking a facility to complete hands-on courses on all surgical and restorative aspects of modern dentistry. The set up is ideal for practical training for clinicians and technicians, all incorporated in a light and spacious building, with easy access to all major London airports, motorways and transport links. l To find out more contact Dentsply Sirona on 0800 072 3313 or visit Dentsplysirona.com/ academylondon Access FREE CPD webinars and product demonstrations at dentsplyacademy.co.uk Facebook: Dentsply Sirona Twitter: @DENTSPLY_UK

The Dental Technician July 2017/Vol 70 Issue 06

DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP

TAKE A GRIP T

he election is over and the negotiations with the European nations for our divorce from the EU are underway. If all proceeds as indicated by the time table we leave in 2019. There is an extension clause that says we and the EU nations may extend that period of negotiation.

Sir Paul Beresford. BDS. MP.

Dual UK/NZ nationality. New Zealand born, bred and educated, with post graduate education in UK. Worked as an NHS and private dentist in East and South West London. Private dentist in the West End of London thenand currently in a very part time capacity in South West London. Councillor including Leader of Wandsworth Council moving to the House of Commons. A Minister in the John Major Government, MP for the then Croydon Central, then elected as MP for Mole Valley as a result of the boundary changes for the 1997 election.

Of course there is much to be done in addition to opting out. We will be organising our own legislation to build in to the UK the EU regulations that currently apply. As I understand the process we can then sort out the regulations we wish to discard or modify to suit the UK. We have been told for decades, especially by anti EU proponents that the EU legislation has flooded our laws. The UK has been in agreement with much of that legislation. The process to change EU legislation or regulations is extremely lengthy. Changes on dental bleaching took about seven years to negotiate with the EU but a few weeks with UK Health Ministers. This means as a whole profession dentals, dental technicians, hygienists must assess the current regulations and if warranted put forward changes. These could be new regulations replacing the current or modifying or removing the current. The BDA and other dentist organisations are already considering changes. For example the British Dental Bleaching Society already has changes in mind which they are progressing.

regulations and sorted out a position. Even better to actually formulate the changes and put these in to a format for change for implementation at or soon after Brexit. Any change will need Government approval to succeed and then to be engineered through to legislation. This is where local MPs need to be approached by technicians and technician organisations. As a preliminary action MPs should be invited to visit their local laboratory. There are few MPs who have any understanding of dentistry let alone the role of dental technicians. The chance of a photo opportunity is often too much for a keen MP. Free publicity in the media including local paper can do no harm for the laboratory either.

Individual MPs or groups of MPs can engineer change using Private Members Bills, 10 minute Rule bills, amendments to appropriate Bills at Committee and Report Stage. These are difficult and an experience MP is needed to guide such procedures through both Houses of Parliament. It is possible as I have managed about 15 such changes. Post Brexit the UK will want outside UK trade agreements. Much has been made of free trade agreements. Free trade cuts both ways and as a profession we should be aware that it may bring difficulties for us in the UK. A broad free trade agreement with China could mean those Hong Kong laboratories easier access to the UK.

It would be timely now if the dental technician organisations looked at

The local MP can approach Ministers for a deputation to Ministers and to progress the legislative changes.

While in time I suspect the UK will be better off or have the chance of being better off post Brexit we as a nation will have to work for it.

to be acknowledged. The DTA and any other technician representative body should equally be questioning why we have to be registered, why we have to have a statement of manufacture signed and dated, when a great many devices are being made illegally or by unqualified personnel from undeclared materials and sources. How on earth can this be protecting the patient?

The MHRA need to get a grip if they are serious about their role in ensuring that regulations are followed. Untrained and unlicensed Dentists and DSA’s are using digital equipment to construct appliances for which they have little or no training. Some of the dental dealers are selling in the CADCAM systems without ensuring the personnel about to use it are not exempt from

the regulations. Several thousand dental clinical personnel could be breaking the law. Not just the GDC Standards but the law of the land. You do get the impression that after four or five years the regulations would be clear to all the professional bodies and would have been passed on to their members. It’s all about protecting the patient you know!!

Continued from page 1 need for statements of manufacture. Why are they not raising the issue of the requirement only applying to technicians when DSA’s and Dentists seem to ride roughshod over the legislation. Constructing devices for the patients without registering and without any appropriate training. What on earth is this pretence at protecting patients when the source of manufacture is not even required

The Dental Technician July 2017/Vol 70 Issue 06

RECRUITMENT: AN INSIGHT INTO THE CANDIDATE SCREENING

LUKE ARNOLD IS A RECRUITMENT MANAGER FOR DENTAL ELITE IN RUGBY IN THE UK. To help with screening, employers often use an initial checklist that can be used to quickly and efficiently establish whether an applicant will be suitable.

ave you ever applied for a job, but were not successful? Or perhaps you are just curious about what actually goes into candidate screening once you have handed in an application? Altogether, there are a great many factors that are taken into consideration by an employer during the recruitment process, all of which help not only to ensure that the right candidate is given the job, but also to streamline the process for everyone involved.

On that list will be a number of desired skills that the prospective employee must have in order to advance to the next round. These typically include the necessary qualifications, accreditations and registrations. If a candidate does not have what the employer is looking for (as specified in the job listing), he or she will be the first to be eliminated from the list of contenders. The next consideration will be the applicant’s most recent employment, job description, and roles and responsibilities on his or her curriculum vitae (CV) to establish whether he or she has the relevant experience for the advertised position. While it is not always essential to have done the job before, it certainly helps. If you meet the specifications, do not sell yourself short when detailing your employment and experiences.

Furthermore, employers look at the length of time a candidate has spent in his or her previous roles. The reason for this is that most companies prefer not to take on a job hopper, since they do not want to be advertising the role again a few months down the line. Locality can be another important factor that affects a candidate’s suitability, especially if the job is in a rural location or more difficult to reach. Besides it being useful to have staff, living relatively close by, they have to consider what would happen in the event of adverse weather conditions preventing a staff member commuting to work. If a company can avoid a situation in which it may lose revenue and custom, it would always consider that option. Then there are personal qualities and the ability to work as a team player to give thought to. If two candidates are on an even playing field in terms of qualifications and experience, these attributes could be the deciding factor between who is selected to fulfil the position. However, it is important to remember that no two prospective employers are the same, so there will always be variety in what they are looking for during their candidate-screening process. Some companies, for instance, are very relaxed and will consider interviewing anyone who applies, while others are very selective. Therefore, you can never assume that you know exactly what they are seeking. Time may also be a factor, so if a they, are up against the clock to fill a vacancy, they would have to be very choosy about whom they select to attend an interview. Depending on their personal preferences, some employers might choose to conduct phone interviews, as well as paper screening and interviewing, although this can vary depending on whether the vacancy is for a permanent or Part-time

or temporary position. In many cases, they may be willing to start a temporary contract, based on just a phone interview, as long as the candidate has all the necessary skills, qualifications and registrations, and is compliant and ready to start. As such, screening and recruitment processes can be much easier than those for permanent roles. Bearing all of this in mind, there are a number of preparations that you can make to boost your chances of success during the screening process. Having the right CV. is the greatest initial opportunity to sell yourself, so it is crucial that you spend adequate time ensuring that all of the necessary information is included in a clear and concise fashion. You must also be sure that you have researched the company and the role thoroughly. The more prepared you are, the higher your chance of success. Do not underestimate the role of social media in candidate screening. Indeed, 80 per cent of employers will Google an applicant’s name then check him or her out on Facebook, Twitter and LinkedIn. For this reason, make sure that whatever you put online is appropriate. Follow up on your application to confirm that it was received; it will show that you are proactive and enthusiastic about the role. Postinterview, it can help to contact the company to thank them for their time and to send a further letter of interest to them. Finally, employ the services of a specialist recruitment agency such as Dental Elite for expert advice and support and to act as an intermediary between you and the employer. To maximise your chances of success, make sure you prepare for the candidate-screening process. The rest is in the employer’s hands. l Luke Arnold, Dental Elite, Bloxam Court Corporation Street Warwickshire CV21 2DU, UK

CALLING ALL DENTAL TECHNICIANS AND LAB OWNERS! The BSC Centre of Dental Sciences in North London is offering a level 5 Higher Apprenticeship in Dental Technology (equivalent of a Foundation Degree) from September 2017 As a technician, this qualification is perfect for raising your qualification level so that you can progress your career – and your pay packet! As a lab owner, this qualification will help improve the potential of attracting the best candidates, making sure you secure the most appropriate employee for your business.

020 8266 4000 info@barnetsouthgate.ac.uk www.barnetsouthgate.ac.uk/dentistry @BSCDentistry BarnetSouthgateDentalTechnology

For further information Email: Gillian.dent@barnetsouthgate.ac.uk or shaun.murphy@barnetsouthgate.ac.uk Visit: www.barnetsouthgate.ac.uk and put ‘dental’ into the course search

LONDON COLLEGE GETS ITâ&#x20AC;&#x2122;S TEETH INTO DENTAL TECHNOLOGY

The Dental Technician July 2017/Vol 70 Issue 06

n partnership with The University of Bolton, a brand new Centre for Dental Sciences will open at Barnet and Southgate College in September 2017. The Dental Technology Centre will launch a range of new courses and will include stateof-the-art resources such as a decontamination room, processing and casting labs, as well as three dedicated specialist laboratories with 60 workstations. All labs will be equipped with the latest industrystandard equipment. Patients’ willingness to spend on cosmetic and aesthetic dentistry in order to gain the perfect smile is driving a significant shift towards consumerism and retail, this is energising the dental industry’s growth and will potentially

10% contribution from employers. This means that employers will be required to pay £600.00 a year for the 3-year course; dental laboratories, technicians and supply companies will therefore also benefit from the new Centre. transform the whole sector increasing competitiveness and delivering keener pricing and higher quality. For candidates who pass a dexterity test and interview, the new Dental Centre will offer students a 21st Century learning environment with digital classrooms for CAD CAM and 3D printing; benefitting from dedicated learning zones with interactive touch screen boards and use of a large conference space for external and internal talks and demonstrations.

Head of the Centre of Dental Sciences at the University of Bolton, Robert Biggs said: “The Barnet and Southgate College partnership will deliver much needed support for dental employers and educators in the region. The range and speciality of courses focuses on niche skills and training, which is long overdue in the dental technology sector. Together we aim to provide the most advanced, employment focused dental education in the UK for dental care professionals.

In addition to this from May this year, dental laboratory owners can benefit from government funding and the Higher Apprenticeship for Dental Technology will be supported by a more simplified funding model. Where the Government will subsidise 90% of the funding for a

The higher apprenticeship for dental technicians is designed to meet the learning outcomes of the General Dental Council (GDC) and will enable successful apprentices to begin the process of validation, leading towards registration as a Dental Care Professional (DCP).”

David Byrne Principal of Barnet and Southgate College said: “The BSC Centre of Dental Sciences will open its doors within the newly refurbished Southgate Campus in September 2017, the state-of-theart training centre moves away from the messy artisan craft of dental manufacturing to the cleaner tech driven world of CAD design and 3D Printing. We’re extremely proud to be leading on this unique project which will change technical education within the dental industry in London, bringing it firmly into the 21st century and beyond.”

NEW COURSES FOR 2017:

The aim of the range of courses is to give students substantial practical development using duplicated patient cases and models. Gone are the days of using perfect impressions for students. This will develop critical thinking and problem solving skills for graduates completing the courses. The College is determined to improve the quality of new dental technicians to meet the needs of employers. Students will be appointed their own experienced tutors who work in the industry and are dedicated to passing on the latest techniques and ideas. As a newcomer to the industry, 16-18 year olds can enrol on the Technical Certificate in Working in Dental Settings (Level 2) which provides a perfect grounding to explore the industry and decide which direction is best for them. The Diploma or Advanced Apprenticeship in Dental Nursing (Level 3) offer a voluntary or work based learning option for those aged 16 and over who are interested in direct chairside work and support during a range of dental treatments. The BTEC Extended Diploma in Dental Technology (Level 3) is designed for those who wish to work as a dental technician. The course leads to General Dental Council recognition qualifying you to work in the dental technology industry. Students may progress to find work in private and commercial laboratories or NHS hospitals and universities. The Advanced Apprenticeship in Dental Laboratory Assistant (Level 3) is designed for those intending to work as dental laboratory assistants. The programme will enable students to develop basic competency in core laboratory skills before focusing on specific areas of employment and is designed to be the initial stage leading to the role.

Above (left to right): Barnet and Southgate College Level 2 Health and Social Care students, Chantelle Ewen (aged 19), Rolex Clarke (aged 16) and Elena Brinzan (aged 16) with (back) Principal Dentist Majid Saeed from High Barnet Dental Care.

Continued on page 14

The Dental Technician July 2017/Vol 70 Issue 06

CAREER PROGRESSION

Continued from page 13

THE TRAILBLAZER APPRENTICESHIP IN DENTAL PRACTICE

Management (Level 4) has been designed for those that have an interest in the dental industries but see themselves in a management role. It is in effect an Institute of Leadership and Management qualification that is bespoke to the dental industry. Progression into dental technology can be either work based in the form of a Higher Apprenticeship – Dental Technician (Level 5) or classroom based on a Foundation Degree in Dental Technology, which leads onto a top up BSc (Hons) in year 4. Alternatively students can enrol directly on to the BSc (Hons) in Dental Technology. l Further information: www. barnetsouthgate.ac.uk/dentistry Call: 0208 266 4000 Email: info@barnetsouthgate.ac.uk and ask about ‘dental’. l For further media information please contact: Atia at Barnet and Southgate College: Email: atia.islam-talukder@ barnetsouthgate.ac.uk or call 0203 764 4037 or 07977 406 151. Web: https://www.facebook.com/ BarnetSouthgateDentalTechnology/ and https://twitter.com/ BSCDentistry

CASE STUDY: LEIGH’S STORY Leigh has been working as a dental technician for 11 years and admits she hadn’t planned to become one. “It was really an accident. The A level graphic design course she was on moved to another college, making it impossible to commute. At that time a family friend heard of a vacancy for an Apprentice in a local dental laboratory and she applied. Leigh worked at the lab and studied at college one day per week to achieve a Dental Technology Foundation Degree. Her day-to-day work involves working with all of the latest equipment and creating private crowns and bridges for patients. “On an average day I could make 6 to 7 cases. It’s very satisfying to know you’ve had a positive impact on patient’s lives by providing functional and beautiful teeth.”

DENTAL PRACTICE MANAGER STARTING SALARY £21,041

DENTAL TECHNICIAN STARTING SALARY £21,700 - £28,000

DENTAL NURSE STARTING SALARY £16,500

LEVEL 6 BSc (Hons) in Dental Technology

LEVEL 4 Trailblazer Higher Apprenticeship in Dental Practice Management LEVEL 3

Diploma in Dental Nursing

LEVEL 3

Apprenticeship in Dental Nursing

LEVEL 5

Foundation Degree in Dental Technology

Higher Apprenticeship Dental Technician

LEVEL 3

BTEC Extended Diploma in Dental Technology

LEVEL 3

Apprenticeship Dental Laboratory Asisstant

LEVEL 2 Technical Certificate Working in a Dental Setting

ABOUT BARNET AND SOUTHGATE COLLEGE l Barnet and Southgate College is a highly successful further education college with around 14,000 students of all ages from 14 years upwards.

The College occupies three main campuses: Southgate, Wood St in High Barnet and Colindale, with three additional training centres in Edmonton Green, Hospitality House in East Finchley and SCBP in Enfield.

Barnet and Southgate College is a highly successful further education college with around 14,000 students of all ages from 14 years upwards.

l The College occupies three main campuses:

CASE STUDY: JINESH’S STORY

Southgate, Wood St in High Barnet and Colindale, with three additional training centres in Edmonton Green, Hospitality House in East Finchley and SCBP in Enfield. Barnet and Southgate College is a highly successful further education college with around 14,000 students of all ages from 14 years upwards.

Jinesh wanted to create his own career path and resisted working for his family’s dental laboratory business. Things didn’t turn out as expected. After a chemistry degree at Manchester University he found it hard to get into his chosen career. Employers were looking for experience. As a backup plan he joined the lab and was surprised how much he enjoyed making dental appliances. He signed up for a Fulltime Level 3 Dental Technology course. Jinesh now manages his family’s dental laboratory and has never looked back. The business has expanded under his management and is moving forward with new 3D printing technology. “I’m always busy and I work hard, but it’s really worth it.”

The Dental Technician July 2017/Vol 70 Issue 06

A JOURNEY INTO DIGITAL DENTISTRY WITH STRAUMANN Digital dentistry does not necessarily make things easier for lab technicians, but the huge increase in predictability, efficiency and profitability makes it a worthwhile investment. HARVEY JAMES, from PURE DENTAL LABORATORY, Farnham, Surrey, tells us why.

was amazed to learn from a recent Dental Surveyi that 70% of labs in the UK have still not adopted any digital technology at all. At Pure Dental Laboratory, we use a wide range of digital equipment, and when I sit here using my desktop scanner, I just assume everyone else is doing the same!

Embarking on your own digital journey

My digital journey

I think it’s important to go and see the equipment on offer too. The Straumann Digital Roadshow is travelling around the country in July, showcasing a complete digital workflow on a juggernaut filled with digital kit for the whole dental team. This is a fantastic opportunity to see the equipment and workflow at first hand and understand how best to get started on your digital journey.

We took our first steps into digital about four years ago when we were still waxing and casting everything, using precious alloys in the main. We decided to invest in a Straumann® CS1 scanner, which we only really used for Zirconia copings. We then upgraded to a Straumann® CS2 scanner, sending work to the Straumann centralised milling facility and Createch in Spain, and this was a big game changer for us. We realised how much digital dentistry would help with our workflow and the quality of the units was unbelievable. Once we had confidence, we switched most of our work to digital processes and now design everything in-house to our own designs using our current Straumann® CARES® 7Series scanner. We use either Straumann centralised milling or Createch to produce all our copings and frameworks, and we have found the fit and service to be fantastic. As a Straumann Platinum lab we need to work with reliable partners who produce high quality abutments and bars and we knew we could trust Createch as they have a direct relationship with Straumann. We have been very impressed with the quality and complexity of the frameworks that can be produced, and the cost savings in comparison to producing gold bars and coping is amazing.

If you were to ask my advice on starting off with digital, I would say don’t try to run before you can walk. Take bitesized pieces and learn as you go as it’s not all going to work straight away. You need to put in the time to work it all out, and don’t be afraid to ask for help.

Support when I need it

As you can imagine, with all this new kit and unfamiliar workflows to work out, we’ve needed a fair amount of support, and we have found it in Straumann’s clinical and laboratory support team. The service is excellent as I can access TeamViewer and share my screen with the team so they can provide hands-on support. They have helped me out so many times and I know they are always there if I need them.

For us it’s been a no-brainer when you consider the savings we’ve made in time and materials, coupled with the predictability and quality of the restorations. l Visit straumanndigitalperformance. co.uk or contact Straumann on 01293 651230 to find out more. straumann.co.uk straumanndigitalperformance.co.uk therevu.co.uk Facebook: Straumann UK Twitter: @StraumannUK The Dental Lab Survey was carried out by Manan Limited in Q1 2016. The survey, although not exhaustive, does provide an insight into the current and possible future adoption of digital technology within the industry. i

Why digital works for us

So, we are resolutely digital now and I wouldn’t go back. It’s not that digital necessarily makes things any easieryou still need to have the expertise to know what you want your machines to make- but it does make things much more predictable and efficient. We save on production time which means we can do more work in the time available. This means more work for the lab, faster production for our clients and shorter waiting times for their patients, which makes everybody happy. We all benefit from the increased quality too. And, crucially, it makes us more competitive and profitable. Going digital hasn’t made much difference to our staffing levels and we certainly haven’t lost staff as a result. The lab has grown consistently over the last six years and using digital technology has certainly facilitated this growth.

The Dental Technician July 2017/Vol 70 Issue 06

IVOCLAR DIGITAL ATTRACTS AT DTS D

ental Technology Showcase (DTS) 2017 saw Ivoclar Vivadent UK & Ireland showcase their new brand, Ivoclar Digital, to the British market for the first time since it’s official launch at IDS, Cologne, in March. Thanks to their prime location with clinical and technical stands adjacent to one another, Ivoclar Vivadent were able to demonstrate that their new digital products will provide both dentists and dental technicians with state-of-the-art professional expertise throughout the entire digital process journey. The main attraction

and making its debut as Ivoclar Vivadent’s first chairside mill for clinical use, the PrograMill One. The world’s smallest 5-axis milling machine combines industrial manufacturing quality with high precision and modern design. In the innovative 5-axis turn-milling technique, the workpiece rotates around the tool at a constant feed and the tool never leaves the block, ensuring short milling times and minimal tool wear. Various validated processing strategies are available for different materials and indications; the unit has been particularly developed for milling IPS e.max CAD and the new innovative IPS e.max ZirCAD. The machine’s wireless capabilities allow it to be operated from any location within close proximity with the help of a special app for tablets and smartphones; its optical status display shows the current status of the machine. PrograMill One is coordinated

with intra-oral scanners and Design Studio software from 3Shape. The PrograMill One will once again be demonstrated in June at Ivoclar Vivadent’s annual ICDE event, exclusively alongside the new PrograMill PM7 which will be presented to laboratories as a future-proof solution for the digital manufacture of prosthetic restorations. The consistent hub of visiting dental professionals were assisted by Ivoclar Vivadent’s attending product specialists across both stands, who provided demonstrations on the new and existing ranges available, as well as special offers and expert advice. Ivoclar Vivadent’s Technical & Digital Product Manager, Leo James, who was on hand over the course of the two days commented; “since the launch of Ivoclar Digital at IDS we anticipated that DTS (Dentistry) would be the perfect platform to showcase Ivoclar Vidadent’s latest digital innovations to the UK’s dental industry.”

“We’re delighted with the enthusiasm that the Ivoclar Digital concept has met with, overall, the show has & proven itself to be an invaluable lead & sales generator for us and I’m looking forward to seeing the new portfolio being integrated into the market further”. l For more information on the Ivoclar Digital product portfolio and technical support please contact a Digital Specialist or visit http://www.ivoclardigital.com/en • South and Ireland - Vicken Hatsakordzian 07772 746780 • Midlands and North - Tom Rolling 07817 441320 Facebook: Ivoclar Vivadent UK & Ireland Twitter: @IvoclarUK Instagram: @IvoclarVivadentUK

Save time & still have a high quality finish to your dentures n

Want to save time and still have a high quality finish to your dentures? Kemdent’s Heat Cure Acron Hi and Acron Express Denture Base Acrylics are ideal for the busy prosthetics laboratory.

During July buy Acron Express Heat Cure Acrylic 3kg powder and get 1L Universal Liquid free for only £66.71 or receive 35% discount when you buy 1 x 1kg pack of Acron Hi – High Impact Acrylic only £117.16 + VAT Acron Express Quick Dough Denture Base Acrylic will take just 7-15 minutes to dough, so you can start packing those urgent jobs faster. The heat cure acrylic stays packable

for longer (at least 30 minutes) allowing you to process more jobs at the same time without loss of quality. The light veined shade is very popular with Kemdent customers and a very high polish can be achieved. Acron Hi – High Impact Denture Base Acrylic utilises Kemdent’s special Multi-Matrix technology to produce dentures that are highly resistant to breakage and fracture. Acron Hi provides greater flexural strength and high impact strength as well as exceptional aesthetics. The dough is ideal for all processing protocols including injection moulding systems. It flows easily and smoothly with a short dough time of 10-20 minutes compared with competitors. Kemdent customers like the working time

and how easily it comes out of the moulds. Which saves time during the final processing stages. The excellent handling characteristics of Acron Express and Acron Hi make them ideal for high quality work providing the patient with a long lasting, life-like denture they can wear with confidence. l Visit http://www.kemdent. co.uk/the-advantages-of-usingacron-hi-and-acron-express to view a video showing Acron Hi - High Impact Acrylic and Acron Express in use. To take advantage of this special offer contact Kemdent on 01793 770256. Email sales@ kemdent.co.uk or visit our website www.kemdent.co.uk

The Dental Technician July 2017/Vol 70 Issue 06

DIGITAL DENTISTRY COMES OF AGE

WRITTEN BY MARK WELCH (QUALIFICATION DENTAL TECHNOLOGIST)

s Dental Professionals entering the Digital revolution, it is important that we understand the benefits and capabilities of printers, so that we can ensure we maximise our opportunities. This article highlights important points worth considering. Last week one of our in-house engineers and I left the confines of our working environment at Bracon Ltd, East Sussex and travelled to Erfurt, in central Germany.

Erfurt is a beautiful city situated in the central German state of Thuringia. The city has a Cathedral called St. Mary’s, whose origins date to the 8th century. Next to the cathedral is a Gothic Church called St. Severus. I took a walk over the Krämerbrücke Bridge which has medieval houses and shops, and stretches over the Gera River. The city is steeped in history and although it’s not the most heavily populated city, in the evening streets were ringing out with the sound of laughter and the screams of young people enjoying themselves.

In 2011 Asiga launched the world’s very first LED based DLP 3D printer and started the affordable desktop stereolithography revolution, which has changed digital manufacturing forever. With 3D printing and scanning being incorporated into dentistry we are now seeing full arch Crown & Bridge models, Ortho models, partial frameworks, custom trays, surgical guides, splints, inlays, onlays & crown and bridge, as well as partial framework casting patterns, becoming routinely fabricated in this fashion.

Once seen as a threatening prospect for some dental laboratories, we are now seeing this technology being embraced by the dental profession, as they discover that the opportunities and benefits of digital dentistry are hugely rewarding. This digital revolution is putting valuable time back into the Dental Technologists hands, so that he or she may print a batch of models, special trays or implant guides for example, whilst concentrating their time on other important tasks in the laboratory. The benefits of the digital workflow are not just time saving, but economic savings too, add to that the convenience of being able to increase production capacity with totally consistent quality and being able to offer an extended range of services to your clients, this becomes increasingly beneficial to Dental Laboratories of any size.

We had been invited to attend Asiga’s new European Headquarters as we are a premier distributor and support partner for their range. A lot has changed since Australian company Asiga entered the industry in 2005 and there are now many types of 3D printers on the market all staking a claim on the dental sector.

Open material systems can utilise a complete range of printing materials and are not confined to one specific manufacturers print material. Asiga boast the widest material capability of any 3D printer in its class, making an Asiga 3D printer a viable and efficient digital solution. It means that apart from fully supporting their own range of Asiga resins, these printers are also “open” to using any of the offerings of 3rd party resins that are found on the market, (as well as the slew of ones being developed daily), benefiting users by making them extremely flexible and cost effective should you want to use a preferable resin tailored to your

laboratories specific requirements. This, combined with the patented technologies of SAS (slide and separate), a technology allowing a large build area whilst maintaining the lowest fabrication forces and SPS (smart positioning system), means more data and less moving parts enabling the highest speed and accuracy for a large build envelope in the most compact size printer on the market today. This must be seen to be believed and we were stunned at the level of detail produced by these printers.

TO BE CONTINUED NEXT ISSUE

3D PRINTER

EXCLUSIVE TO

BRACON Dental Laboratory Products

There are several things that can make 3D printers versatile. One very important factor is whether they offer an open material system.

Bracon Limited • Unit C • Swife Business Park • Burwash Road • Broad Oak • East Sussex TN21 8UP t: +44 (0)1580 817000 e: sales@bracon.co.uk

www.bracon.co.uk

SUA3553 Asiga Max Quarter Page Ad_108x155_FINAL.indd 1

25/05/2017 09:41

The Dental Technician July 2017/Vol 70 Issue 06

PR NEWS

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DTA MEMBERS RAISE FUNDS FOR DENTAID n The Dental Technologists Association (DTA) annually supports a charity chosen by its members, and in 2016 worked with and supported Dentaid, an international charity that sends volunteer dentists, donated equipment, and dental supplies to projects all over the world where people are suffering due to a lack

of dental care. As part of the campaign, DTA members were invited to contribute equipment and materials, and donate a £1 to Dentaid when paying their annual membership subscription. The campaign was highly successful with equipment and materials donated to the value

of around £60k, as well as £210 donated by members. DTA President James Green was delighted to present a cheque for £210 to Dentaid’s John Elkins at the DTS event in May. l For more information about Dentaid go to https://dentaid.org

l For 2017 DTA members have chosen to support Crisis, the national charity for homeless people - see www.crisis.org.uk l The Dental Technologists Association is the professional representative body for dental technicians in the UK and a not for profit organisation - see www.dta-uk.org

GLASWEGIANS ATTEMPT GUINNESS RECORD WITH WORLD’S LARGEST SMILE

ontrary to common belief, research suggests that people in Glasgow are among those in Britain who smile the most. This surprising finding was recently underlined by students and staff of the University of Glasgow who joined pupils and teachers from the area last Friday in an attempt to set a new Guinness record by forming the world’s biggest smile. The event brought together over 1,000 participants at the Scottish Event Campus, formerly the Scottish Exhibition and Conference Centre, in an effort to raise awareness of oral health. Participants wore red and white ponchos in order to form the lips and teeth of a giant smile. The attempt is currently awaiting verification for recognition as a Guinness World Record. If successful, it will join records like the world’s largest smiley formed by people in Manila in the Philippines in 2015. According to the head of the University of Glasgow dental school Prof. Jeremy Bagg, the event successfully highlighted the important message of maintaining oral health. “The event has been a huge amount of fun to organise and our sincere thanks go to all of the many partners and organisations

involved who helped to make this happen. I am delighted that we were able to achieve our aim of assembling 1000 participants in the shape of a big smile as Glasgow’s contribution to National Smile Month and I sincerely hope that Guinness World Records will verify this as the world’s biggest smile,” he said. Congratulating the organisers on their achievement, Head of the Evidence for Action Team at NHS

Health Scotland and consultant in dental public health Dr Colwyn Jones warned that, while oral health has improved throughout Scotland through programmes like Childsmile, children living in poorer areas are still more likely to suffer from dental caries. “Events like the one organised today allow us to remind people that tooth decay is almost entirely preventable,” he said.

Organised by the university’s School of Dentistry, the Guinness World Record attempt received support by the city of Glasgow, NHS Scotland and the British Endodontic Society, among others. It was part of this year’s National Smile Month, which is run by oral health charity the Oral Health Foundation in London and took place from 15 May to 15 June with plenty of activities centring on oral health throughout the country.

The Dental Technician July 2017/Vol 70 Issue 06

NHS PAY CAP MUST OBITUARY FAMILY PAY TRIBUTE TO END, SAY UNIONS ‘EXTREMELY CARING

HUSBAND AND FATHER’

The British Dental Association has joined health associations and unions to urge a ‘change of direction’ on NHS pay restraint in this week’s Queen’s Speech. Groups representing all parts of the health workforce have written a joint letter to the Prime Minister to say the 1% cap is now putting safe patient care at risk. NHS GDPs in England have seen taxable income – which remains the only source of investment in the service – fall by 35% in a decade.

Dear Prime Minister,

By your own admission, austerity, and a lack of investment in the public sector was a significant factor in the general election result. Many have said that the pay freeze in the public sector was in part to blame for your failure to secure a parliamentary majority, alongside senior health leaders who agree that people who work in our NHS should be fairly rewarded for the work they do. Organisations that represent patients and our NHS workforce are calling for the Queen’s Speech to mark a clear change in direction. People who are working in the NHS are delivering care to the best of their ability but we are very worried that care is becoming unsafe. Our services are struggling to make do without the staff they need. The Public Sector Pay Cap has forced professionals out of jobs they love. Those who stay are overstretched and under pressure to do ever more with less. The longstanding cap stands in the way of recruiting and retaining the best in health care. It is having a profound and detrimental effect on standards of care for people at a time when the NHS is short of staff across every discipline. This is alongside an uncertain future for EU nationals working in health and care. Next month, our vital national service turns 69. In its seventieth year, you have the opportunity to show the country how much you value the lives of people who work in the NHS, and the people they serve. We call on you to prioritise patient safety by guaranteeing safe

NHS Confederation boss Niall Dickson has said the cap is now jeopardising staff retention, and cross party MPs have called for an end to the policy. Former Conservative Cabinet Minister Stephen Crabb has argued the cap was a factor behind the Conservative Party’s failure to secure a parliamentary majority.

A FULL COPY OF THE LETTER CAN BE FOUND BELOW:

staffing across all of our services and changing your policy on NHS pay. Your Government should remove the pay cap and address the real-terms loss of earnings so the NHS can retain and attract staff, resolve the workforce shortage and ensure safe patient care. Yours sincerely, Janet Davies, Chief Executive & General Secretary, Royal College of Nursing June Chandler, Lead Officer Annette Mansell Green, Head of Employment Relations, British Dietetic Association Dr Mark Porter, Chair British Medical Association, British Association of Occupational Therapists Mick Armstrong, Chair, British Dental Association Lesley Anne Baxter, Chair, British & Irish Orthoptic Society Karen Middleton CBE, Chief Executive, Chartered Society of Physiotherapy Geoff Lester, National Negotiator, Federation of Clinical Scientists Kevin Brandstatter, Public Services Section and National Lead Organiser, GMB Jon Restell, Chief Executive Managers in Partnership Steve Gillan, General Secretary, Prison Officers Association Jon Skewes, Director for Policy, Employment Relations and Communications, Royal College of Midwives Richard Evans OBE, Chief Executive Society of Radiographers Gail Cartmail, Assistant General Secretary, Unite Sara Gorton, Head of Health, Unison

The family of a Bexhill man who died in a collision near Fairlight last week have paid tribute to ‘an extremely caring husband and father’. A popular Bexhill figure, 55-year-old Konrad Pieterse died in a collision while cycling on Battery Hill on Thursday, June 15. Born and raised in Cape Town, South Africa, Konrad and his family moved to Bexhill in 2002. He had lived in the town for 15 years where he worked as a dental technician. Bridget, his wife of 27 years, paid tribute to him this week. She said: “He was a very generous, kindhearted person. He would forget about himself and always be looking to help the next person he could. “He was successful both in his work and as a sportsman, having played table tennis and cycling. “He was also an extremely caring husband and father. People just loved him. This has left a big void in South Africa as well as the UK.” Konrad was also a well-liked figure among the local table tennis community. He played for Bexhillians Table Tennis Club during the last few seasons having previously represented Willett & Phillips TTC for a number of years.

Paying tribute Trevor Towner, of Bexhillians TTC, said: “The words I would use to describe him are a gentleman, respected, humble, caring, helpful, devoted and wellliked. Even when he lost he would always congratulate his opponent and say ‘well done’. He was such a nice, top guy.” He was also a member of Eastbourne Rovers Cycling Club and undertook long distance rides for charity. He had been part of a nine-strong group of cyclists who were heading to Belgium on a ride to raise money for Charity for Kids when he lost his life. Konrad was also a deeply religious person and devoted to the church. He had also grown up in the faith as his father had been a minister in South Africa. There will be a service at Pevensey Bay Baptist Church from 1pm on Thursday, July 6 followed by a funeral at Eastbourne Crematorium from 2.30pm. After the service there will be a gathering back at the church. Donations can be made by to Charity for Kids c/o Arthur C. Towner Ltd, Audley House, 1 Albert Road, Bexhill, TN40 1DG. He is survived by his wife Bridget and daughters Martina and Maxine.

The Dental Technician July 2017/Vol 70 Issue 06

LIFE AND DIGITAL DENTISTRY

LARRY BROWNE GIVES AN INSIGHT INTO THE DIGITAL WORLD OF RENOWNED DENTAL TECHNICIAN LINO ADOLF

recently attended the Henry Schein ConnectDental Digital Symposium during which I had the pleasure of speaking with Lino Adolf, who many of you I’m sure are hearing about more and more, as we delve deeper into the use of digital techniques. Lino, who hails from South Africa, of Portuguese parents, has become quite a Guru around the use of the latest digital technologies and techniques. After leaving South Africa, Lino spent several years in Portugal where he continued his dental education with a University ISCS-N Batchelor degree in Dental Technology in 1998, later continuing his studies to gain a further degree in Fixed Prosthodontics. During his time in Portugal, Lino taught at the ISCS-N University

and concentrated on fixed prosthodontics and laboratory techniques in orthodontics. He has been working with CADCAM digital techniques since 1998 and has built up a very good reputation as a teacher and trainer. Lino and his wife eventually moved here to the UK where he set up his laboratory. Starting out as a one-man operation he went on to establish Majestic Smiles Ltd. in Ely, Cambridgeshire where he works to this day, continuing to thrive and expand his knowledge on digital dental systems. Lino has always been involved and interested in teaching, which he has continued wherever he has worked. This love of teaching has led him to the primary role of technician demonstrator and teacher for Dentsply Sirona and he has been

a Sirona Certified trainer since 2011. He is also the founder of the Academy of Digital Dentistry. His talk at the Henry Schein ConnectDental Digital Symposium 2017 was about the more advanced technical use of scanning systems and digital manufacturing. Lino is very committed to using this modern methodology for his everyday laboratory work and is enthusiastic about the potential expansion of techniques to improve communication with the clinic and laboratory and caring for patients’ needs. He is excited by the wonderful improvement in the communication pathways opened up by these modern techniques. Fostering a belief in the importance of good communication and a close team approach to the

provision of the very best solutions for his patients, Lino continues to learn and teach in order to pass on information and inspire his fellow technicians and clinicians to achieve a higher standard of restoration. He is a real believer in the goal of achieving at least the standard of traditional methods but with the confidence to achieve more, and to inspire others to aim at a higher target. He sees his progress within digital techniques as an expected evolution of the skills and knowledge he has worked hard to acquire and improve. Undoubtedly Lino’s interest and passion is sure to continue to motivate a similar response from his professional colleagues. He has a quiet confident air and a real love for reaching out to make contact with the minds and interests of those with whom he comes into contact. He wants to share his knowledge and guide those he works with to a better understanding of what is possible and what is necessary in order to reproduce nature’s artistry. It is not the method so much as the clear vision of the objective and the knowledge that you are trying to reproduce what is normal and real in nature. Not some classical morphological reproduction but something that looks like it belongs in the patient’s mouth. This quietlyspoken young man will be around for a long time and undoubtedly will improve the digital dental kudos for Dentsply Sirona in their search for the digital experts of the future. l Next year’s Digital Symposium, currently set for April 2018, looks set to attract speakers of equal renown as Lino Adolf, and I for one am very much looking forward to it.

The Dental Technician July 2017/Vol 70 Issue 06

DIGITAL DENTISTRY RESEARCH uuu

THE CAD/CAM CHALLENGE OR DILEMMA FACING THE DENTAL PROFESSIONALS PART 2. TECHNICIANS: Continued from our April edition

BY DR. HARALAMPOS (LAMBIS) PETRIDIS, SENIOR LECTURER, EDI FROM THE BRITISH DENTAL JOURNAL MAY 2017 E. BLACKWELL,1 M. NESBIT2 AND H. PETRIDIS*3 IN BRIEF Most technicians reported using some form of CAD/CAM in their workflow. l Most reported that the technology did not affect their working relationship. l Suggests CAD/CAM has influenced material selection, leading to an increase in the use of zirconia. l Highlights that high initial investment cost remains a barrier in adopting this technology. l

Statement of the problem Digital workflows (CAD/CAM) have been introduced in dentistry during recent years. No published information exists on dental technicians’ use and reporting of this technology. Purpose The aim of this cross sectional survey was to identify the extent digital technology has infiltrated the workplace and to investigate the factors affecting the use of CAD-CAM technology by dental laboratory technicians within Ireland and the UK. Materials and methods A webbased questionnaire was composed (Opinio, Object Planet Inc. Oslo, Norway) and distributed to UK and Irish dental technicians. Answers to all questions were anonymous and grouped such that general information was gathered initially, followed by branching of the survey into two sections depending on whether or not the respondent worked with CAD-CAM technology. Results were compiled and statistical analysis (Fisher’s Exact test, SPSS, IBM, Armonk, New York,

USA) was performed in order to investigate any correlation between various demographic variables and the answers provided. Results The survey was distributed to 760 UK technicians and 77 Irish technicians. The total number of completed surveys was 105, which yielded a total response rate of 14%. Most technicians reported using some form of CAD/CAM aspect in the workflow, and this was more significant for technicians working in large laboratories. Most training received was company-led. Large laboratories were also significantly correlated with less outsourcing of CAD/CAM work and a change in dental material use leading to the increase of zirconia and the decrease of noble alloys. Dental technicians did not report any significant change in working relationships and staffing as a result of CAD/CAM incorporation. High initial investment cost was the most common reason quoted from non-users, along with the lack of such technology in their working environment.

INTRODUCTION

The application of computeraided design/ computer-aided manufacture (CAD/CAM) technology has evolved rapidly and has led to changes in the traditional workflow which affect both clinicians and dental laboratory technicians.1,2 The demand for aesthetic and metal-free restorations has led to the development of high strength ceramics in dentistry,3 which may only be used in conjunction with CAD/ CAM technology.4–6 Following on from the success of CAD/CAM in the fabrication of crown and bridgework, CAD/ CAM was incorporated into the production of implant abutments and frameworks in the 1990s7 and it has also shown to be reliable in constructing implant abutments, crowns and superstructures.5

Despite the aforementioned advances in technology and materials, there are currently no published studies regarding the actual utilisation of CAD/CAM aspects by either dentists or dental care professionals. This holds true for both the UK and global markets. The only available data comes from sourcing of private market research companies. Millennium Research Group, a Canadian medical devices research provider, in a 2012 report stated that the global dental CAD/ CAM market would grow strongly to reach more than $540 million by 2016 despite the economic slowdown.8 Another marketing group updated this figure in 2017

Continued on page 22

MSc Conservative Dentistry Graduate; 3Senior Lecturer, Department of Restorative Dentistry; 2Senior Technical In- structor, Prosthodontics Unit, UCL Eastman Dental Institute, London, United Kingdom. *Correspondence to: Dr. Haralampos Petridis Email: c.petridis@ucl.ac.uk 1

The Dental Technician July 2017/Vol 70 Issue 06

Continued from page 21 to estimate total market worth of over $3.3 billion in 2027 as the awareness of CAD/ CAM increases.9 This report9 also estimated that the entry of new competitors would generate new market interest whilst intra-oral scanners would see particularly rapid adoption as dentists would increasingly use these devices to incorporate CAD/CAM technology into their surgeries rather than purchasing complete chairside systems. A report series by iData Research broadly came to similar conclusions and also predicted that all-ceramic restorations would approach the porcelain fused to metal share by 2019.10 A recently published study11 provided some independent information regarding CAD/CAM use by UK dentists. The aim of this study, by means of a survey of UK and Irish dental technicians, was to investigate the level of infiltration of CADCAM technology into the workflow of dental laboratories, and to investigate the relationship of various demographic factors to the answers regarding use or non-use of this technology.

MATERIALS AND METHODS A short online survey of 22 questions (Appendix 1, page 692) was designed and piloted, in order to encourage participation and provide information on demographics and CAD/CAM use, which could be statistically analysed. An online rather than postal approach was decided on in order to increase sample size, maximise response and decrease costs. The data being collected in a digital format would also be more readily collated and analysed. The survey was anonymous and addressed to both users and non-users of CAD/CAM and most questions were multiple-choice closed questions, but an option was offered for further comments at the end of relevant questions. The survey was distributed using a webbased survey tool administered by University College London, Opinio (ObjectPlanet Inc. Oslo. Norway) in June 2015. This software was able to send to all email addresses a covering letter explaining the use of the survey with a link to the survey embedded in this. The letter stated the purpose of the study and emphasised that anonymity would be preserved. Two databases were used with the assistance of the respective professional bodies :

for access to UK dental technicians, the Dental Laboratory Association (DLA, Nottingham, UK) which is the professional body for dental laboratory owners in the UK, for Irish dental technicians, the Dental Technicians Association (DTA, Dublin, Ireland); this latter association represents individuals rather than laboratory owners. The survey was accessible for a five week period and the Opinio survey system was programmed to send out five reminders over this period to individuals who had not yet responded to the survey. Reminders were sent at different times of the day and on both weekdays and weekends to target as many dental technicians as possible. The answers were collated through Opinio software as Excel spreadsheets. Statistical analysis via Fisherâ&#x20AC;&#x2122;s Exact Test (SPSS, IBM, Armonk, New York, USA) was performed in order to examine potential associations between the survey responses and the various demographic variables, consisting of: country of work; operator age; operator level of training; size of workplace; and type of work predominantly carried out (NHS or private). A significance level of 2.5% was used rather than a conventional 5% level to reduce the potential effects of multiple testing.

RESULTS The survey was distributed to 760 UK technicians and 77 Irish technicians. The total number of completed surveys was 105, which yielded a total response rate of 14% (11% and

29% for UK and Ireland respectively). The complete survey along with the percentage results for each question can be found in Appendix 1, page 692. The majority of respondents worked in England, followed by the Republic of Ireland. No responses were received from Wales. Most respondents had obtained their training either through some form of apprenticeship or Diploma. Most dental technicians (43.3%) had obtained CAD-CAM training from companies and manufacturers. Very few (6.3%) had training from educational institutes. More than twice as many technicians who answered were in the 41-60 age bracket than in the 20-40 year age bracket. The majority (44.7%) of the respondents worked in small laboratories, undertaking predominantly private work (69.1%). The vast majority of respondents (82%) stated that CAD/CAM technology was utilised. The statistical analysis showed that technicians in larger laboratories in this survey were more likely to report using CAD/ CAM (P = 0.015). The majority of dental technicians who responded constructed all kinds of restorations through CAD-CAM, with the exception of removable partial denture frameworks. Most respondents considered implantsupported crowns as the most challenging prostheses to make. Almost half of the respondents reported doing the majority of CAD/ CAM work â&#x20AC;&#x2DC;in-houseâ&#x20AC;&#x2122; as opposed to outsourcing. This was significantly correlated with the size of the laboratory (P = 0.007) with larger ones outsourcing less. The results of this survey also highlighted that

the adoption of CAD/CAM led to a decrease in the use of noble alloys and an increase in the use of Zirconia. These changes in material use were statistically significant for larger laboratories (P = 0.007). The main reasons for this change, mentioned in the comments, were that dentists were now asking for metal-free restorations, and that zirconia production was cheaper and more efficient compared to the use of metal alloys. Various reasons were reported for embracing CAD/CAM, especially the desire for new technology, and the expectation for increased productivity and reliability. Most respondents felt that it was still early days to assess whether their investment had delivered on expectations; however, many of them reported that productivity and quality had improved. The adoption of CAD/CAM did not lead to changes in staffing according to the majority of respondents, who also felt that it had improved their role. However, additional comments from a large number of dental technicians highlighted what was perceived as significant inaccuracies in the scanning process and the need for further improvement in reliability, as well as cost effectiveness of this technology. A number of respondents also highlighted the problem of the technology being outdated soon after the investment. Non-users of CAD/CAM quoted the high financial commitment as the primary reason for this, along with the lack of such technology in their laboratory. This group was also split in half regarding their intention to use CAD/ CAM in the future.

The Dental Technician July 2017/Vol 70 Issue 06

DISCUSSION An online rather than postal method of delivery was used for the survey even though lower responses have been recorded with online surveys.12,13 This allowed for a potentially larger sample size and decreased the costs of this project. However, the response rate was very low, especially for UK-based dental technicians, even compared to another recent survey14 of the same group utilising the same method. Therefore, the results of this survey should be interpreted with caution as the respondents may not be representative of the dental technician population in the UK and the Republic of Ireland. Despite the low response rate, to the knowledge of the authors, this is the first attempt worldwide to explore the issue of CAD/CAM use by dental technicians in an independent way, and the results do permit some meaningful conclusions, within the limitations mentioned. The majority of dental technicians who completed the survey came from England, were in the mid-age group, and delivered predominantly private laboratory work. The geographic distribution correlated well with the actual percentages found in the GDC’s ‘Facts and Figures’.15 The latter two demographic variables (age group and type of work) might suggest that more experienced individuals, delivering mostly private laboratory work were more likely to have filled out the survey. The majority of respondents reported using some kind of CAD/CAM aspect in the dental laboratory workflow, especially if they worked in large laboratories. This is the first time that a statistic on CAD/CAM use by dental technicians has been reported in a peer-reviewed study and the first of its kind for the UK. The lack of similar studies does not allow for meaningful comparisons of the results of the current study with the existing literature. The percentage seems relatively high and may partially reflect a more selective cohort of respondents. It also highlighted the increased ability of larger laboratories to fund this technology and possibly take advantage of the increased productivity workflow that was reported. This effect was also compounded by the finding that these larger laboratories were also reporting significantly less outsourcing. An important result was the fact that most dental technicians had

obtained relative CAD/ CAM training from companies and manufacturers with educational institutions playing a minor role. This finding highlights a potential deficiency and knowledge gap as the whole process appears to be company-led with the obvious ramifications regarding the lack of objectivity during the appraisal and selection of CAD/CAM machinery and resulting products. A similar outcome was recorded in a recently published survey of UK dentists.11 An alarming finding of this survey was the apparent effect that CAD/ CAM technology has had on material selection for fixed prostheses, with a reported reduction in the use of noble alloys and an increase of the use of zirconia, titanium, and base metal alloys. Once again, these changes were more significant for larger laboratories. Although material choice is the responsibility of the prescribing dentist, it seems that the profession might be facing a push for the use of materials potentially based not on clinical evidence,16,17 but rather on production costs, efficiency, and the need for ‘metalfree’ restorations. The effect of this technology on the use of various dental materials was also highlighted in a recent survey of UK dentists.11 The decreased use of noble alloys has been also reported before,18 but may have some future consequences regarding corrosion resistance.19 An interesting finding of the survey was the fact that CAD/CAM technology appeared not to have disrupted the working relationships and staffing of the respondents. This is contrary to the popular assumption that machines might replace human labour, but this result might also reflect the potential bias of the group who responded to this survey. High investment cost and ongoing commit- ments were highlighted as some of the primary reasons for not adopting CAD/CAM use in the workflow, along with the concern of the technology being outdated soon after investment. This appears to be a genuine issue among the non-users of digital technology in dentistry. 11,20

CONCLUSION Within the limits of this study, the following conclusions could be drawn: • Most of the respondents used some form of CAD/CAM technology in their workflow • Initial costs and short shelf life of this technology were highlighted as

factors influenc- ing non-users • CAD/CAM use has led to a change in dental material use • Most dental technicians received training from companies or manufacturers • Larger laboratories were more likely to take advantage of CAD/CAM technology.

ACKNOWLEDGEMENTS The authors acknowledge UCL for funding this project and David Boniface for his help in the statistical analyses. 1. Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J 2009; 28: 44–56.

10. iData Research. Latest Developments in European Dental Prosthetics and CAD/CAM device markets. 2014. Avail- able at https:// www.idataresearch.com/europeanden- tal-prosthetics-and-cadcamdevices-markets/ (accessed April 2015). 11. Tran D, Nesbit M, Petridis H. Survey of UK dentists regarding the use of CAD/CAM technology. Br Dent J 2016; 221: 639 – 644 12. Cook C, Heath F, Thompson RL. A Meta-Analysis of Response Rates in Webor Internet-Based Surveys. Educ Psychol Meas 2000; 60: 821–836. 13. Nulty DD. The adequacy of response rates to online and paper surveys: what can be done? Assess Eval High Educ 2008; 33: 301–314.

2. Davidowitz G, Kotick P G. The use of CAD/CAM in dentistry. Dent Clin North Am. 2011; 55: 559 –570.

14. Berry J, Nesbit M, Saberi S, Petridis H. Communication methods and production techniques in fixed prosthesis fabrication: a UK based survey. Part 1: Communication methods. Br Dent J 2014; 217: E12.

3. Raigrodski AJ. Contemporary materials and technologies for allceramic fixed partial dentures: A review of the literature. J Prosthet Dent 2004; 92: 557– 62.

15.General Dental Council. GDC Annual Survey of Reg- istrants 2013 Data Tables. Available at: https:// www. gdc-uk.org/about/what-we-do/ research (accessed April 2017)

4. Beuer F, Schweiger J, Edelhoff D. Digital Dentistry: An overview of recent developments for CAD/CAM gener- ated restorations. Br Dent J 2008; 204: 505–511.

16. Pjetursson B E, Sailer I, Malzarov N A, Zwahlen M, Thoma D S. Allceramic or metal-ceramic toothsupported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part II: Multiple-unit FDPs. Dent Mater 2015; 31: 624– 639.

5. Kapos T, Evans C. CAD/CAM technology for implant abutments, crowns, and superstructures. Int J Oral Maxil- lofac Implants 2014; 29: 117–136. 6. Miyazaki T, Nakamura T, Matsumura H, Ban S, Kobayashi T. Current status of zirconia restoration. J Prosthodont Res 2013; 57: 236–261. 7. Priest G. Virtual-designed and computer-milled implant abutments. J Oral Maxillofac Surg 2005; 63: 22–32. 8. Millenium Research Group. Global Markets for Dental CAD/CAM systems. 2012. Available at http:// www. businesswire.com/news/ home/20120726005162/en/ GlobalDental-CADCAM-System-MarketGrow-Strongly (accessed April 2017). 9. Market Research Future. Global Dental CAD?CAM Mar- ket Research Report-Forecast to 2027. 2017. Available at https://www. marketresearchfuture.com/reports/ dental- cad-cam-market (accessed April 2017).

17. Sailer I, Makarov N A, Thoma D S, Zwahlen M, Pjeturs- son B E. All-ceramic or metal-ceramic toothsupported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater 2015; 31: 603– 623. 18. Berry J, Nesbit M, Saberi S, Petridis H. Communication methods and production techniques used by dentists and commercial dental laboratories regarding fixed prosthesis fabrication: a UK based survey. Part 2: Production techniques. Br Dent J 2014; 217: E13. 19. Upadhyay D, Panchal M A, Dubey R S, Srivastava V K. Corrosion of alloys used in dentistry: A review. Mat Sci Eng 2006; 432: 1–11. 20. Trost L, Stines S, Burt L. Making informed decisions about incorporating a CAD-CAM system into dental practice. J Am Dent Assoc 2006; 137 Suppl: 32S36S.

The Dental Technician July 2017/Vol 70 Issue 06

TAKING A LOOK AT CAMLOG IMPLANTS AND TECHNOLOGY

FOR THREE DAYS IN GERMANY

change the crown or provisional. With CAMLOG there is also a choice for a polished neck of 1.4 mm. or just a polished margin. Trans-mucosal healing is managed for tissue level with the healing cap designed to help develop the emergence profile and a mature “gingival” cuff.

have just spent a very interesting three days near Stuttgart in Germany, looking at the CAMLOG Dental Implant system which has taken such a strong hold on Europe’s largest market. Launching a new Implant system must be a daunting prospect but when you choose to launch in the largest and busiest market in Europe you really do have to believe in the product. Within just a few years of being introduced the system quickly climbed to the top of the best selling list in Germany and continues to outshine most of its better known, internationally recognised, rivals. Succeeding in a demanding market, such as this, deserves recognition so I spent some three days with other UK colleagues, searching for the answers. The Company is based in a town called Wimsheim near Stuttgart in a very modern and well equipped manufacturing facility. We spent the first day being introduced to the system and getting to understand the restorative and surgical strengths of the design and the combination of components. CAMLOG was created by the same team who conceived the IMZ Implant system, many years ago which continues to have success in Germany. With CAMLOG they believe they have improved on the important features of their concepts for Implants. Particularly committed to being restoratively driven whilst combining the modern scientifically proven roughened surface and minimally invasive technique for surgical placement. The Evolution from IMZ gave them the abutment designs for CAMLOG and CONELOG with improvements; particularly with the abutment choices and the unique replaceable abutment design.

The Esthomic Abutments are cleverly designed to allow precise placement of the aesthetic shoulder without metal show. But with a good selection in order to cover the broad range of restorations.

The systems uses a modern sandblasted acid etched surface, with a healing time of 6 – 12 weeks in good bone quality. All screw line implants are conical with a selftapping screw thread configuration to enhance primary stability. Internally CAMLOG is cylindrical with straight Tube-in-Tube™ connection for the

abutments and three positional cams, allowing precise location of the abutments. CONELOG which is designed with a conical connection also incorporates the re-location cams which means precise and accurate handling of the abutments and a security for re-location no matter how often you want to

Collar or no collar, the choice is yours. If you wish to place with a trans-mucosal approach the Promote is especially designed to assist. Promote plus is for those nearer bone level placements.

A wide choice of abutments for either the CAMLOG (Tube in Tube) or the CONELOG (Conical tapered fit) allow a flexible approach to the restorative procedure without any

The Dental Technician July 2017/Vol 70 Issue 06

TEMPORARY RESTORATION Various abutments are available for the CAMLOGÂŽ Implant system for temporary prosthetic restorations. Temporary abutments made of titanium alloy for occlusal screw-retention are available in crown and bridge versions. As an option, a cementable temporary crown and bridge restoration can also be performed with temporary abutments made of PEEK (poly ether ether ketone), with the option of Platform Switching (PS).

BITE REGISTRATION

Accurate implant-supported registration of the arch relations and their transfer to the cast situation can be carried out with CAMLOGÂŽ bite registration posts.

IMPRESSION TAKING & CAST FABRICATION High-precision, rotation-free components are used for impression taking and cast fabrication using either the open or closed-tray methods.

compromise on the integrity of the fit or load bearing qualities. One great advantage of coming back to the market place is the ability to begin again with the accumulated knowledge and science of what has gone before. This system, while being committed to scientifically supported design and manufacture, has incorporated many of the must haves for restorative driven implant dentistry.

Our second day in Germany was spent in the practice of Drs Axel Kirsh & K.L.Ackermann who were very much involved in the design and promotion of the improved system together with their ZTM Gerhard Neuendorff who runs the 10 man Laboratory at the practice. We spent much of the day with Gebhard working through the system and looking at presentations on four patients, we were to meet during the day, who had various

restorations with some interesting case histories. It was clear tht Gerhard had played a great part in the design and development of this system and had been involved from the beginning. Which perhaps explains the apparent logic and appeal of the system to the restorative aspects of implant dentistry. l Henry Schein is the partner company of Camlog and Henry Schein owns a 60% interest in

BioHorizons. With impressive backing this company is sure to continue growing. As exclusive distributor in the UK & Ireland, BioHorizons is pleased to include the CAMLOG systems to its already comprehensive line of dental implants and biologic products. For further information on the CAMLOG systems please visit www.camlog.co.uk or contact us at info@camlog.co.uk or 01344 752560 25

The Dental Technician July 2017/Vol 70 Issue 06

DENTAL NEWS uuu

NEW REQUIREMENTS FOR CONTINUING PROFESSIONAL DEVELOPMENT

hanges to continuing professional development Enhanced CPD or ECPD have been agreed by the General Dental Council (GDC) and will come into force in 2018. These changes herald the introduction of a personal development plan for each member of the dental team. This is a tool that can identify areas for further development and encourage lifelong learning, whilst also recording the details of CPD activity with corresponding learning outcomes. This is the first time a personal development plan has been required by the GDC. There are also changes to the number of hours that dental professionals must complete during a cycle. The changes will happen in January 2018 for dentists and in August 2018 for dental care professionals. These changes are the first step in longer-term reform of CPD to move l The

Council of approved the sealing of General Dental Council (Continuing Professional Development) (Dentists and Dental Care Professionals) Rules Order of Council at its meeting on 22 June 2018. l Dental professionals will be able to see their personal calculation when they log onto eGDC in early 2018.

The introduction of a personal development plan helps to meet our aspirations of supporting lifelong learning and development.

to a system based on quality of CPD activity rather than quantity. Commenting on the changes, Ian Brack, Chief Executive of the General Dental Council, said: The public has a right to expect that dental professionals will keep their knowledge and skills up to date. The GDC listened to range of views in developing ECPD, particularly those who took part in last summer¹s pilot scheme, and worked with the profession, partners and other groups to really get under the skin so that the new scheme contributes to patient care and protection but is also a useful tool for Registrants. l The GDC would still like dental

professionals to take part in general (non- verifiable) CPD such as reading books and journals as it will benefit their learning, but they will no longer have to submit any evidence. l The GDC¹s current CPD scheme was introduced in 2000. It is an hours-based scheme which

Having a better system for continuing professional development with a much clearer emphasis on planning development, reflecting on learning and embedding that learning into current practice ties in with the prevention of patient harm element which was one of the principles set out in Shifting the balance.

All dentists will move onto the scheme in January 2018. There will be arrangements for those who are mid-cycle in the current scheme to determine how much activity will be based on that scheme and how much on ECPD, with guidance issued in the autumn.

During a five-year period, dentists will need to complete 100 hours of verifiable CPD, with 75 hours for hygienists, dental therapists, clinical dental technicians and orthodontic therapists and 50 hours for dental nurses and dental technicians. There is no longer a need to submit evidence of general (non-verifiable) CPD. Other changes include dental professionals making an annual declaration of the amount of activity they have completed. requires dental professionals to undertake both verifiable and non-verifiable activities, record them and make a declaration of compliance. l Under the previous scheme, dentists were required to complete 250 hours of CPD over five years, of which 75 were verifiable. l Dental care professionals were

required to complete 150 hours of CPD over five years, of which 50 were verifiable. l Verifiable CPD is an activity which has clear aims, outcomes and objectives, coupled with quality control measures, and carries documentary proof of completion/participation (such as a certificate).

DENTAL STUDENT ARRESTED ON TERRORISM-RELATED CHARGES n A dental student from Sheffield University has appeared in court accused of preparing terrorist acts and possessing terrorist documents.

on June 1st.

Mohammed Abbas Idris Awan, 24, from Huddersfield, was remanded in custody following counter terrorism raids in Sheffield and Huddersfield

Mr Awan is accused of early attack planning through research into slingshots, cold steel knives and steel ball bearings; as well as allegedly

One of the raids was on the fourthyear student’s family home.

possessing a recording of an Al-Qaeda camp demonstrating weapons training. A counter terrorism spokesperson issued the following statement: “He has been charged with one offence of engaging in the preparation of an act of terrorism, contrary to section 5 of the Terrorism Act 2006

and two offences of possessing a record of a kind likely to be useful to a person committing or preparing an act of terrorism, contrary to section 58 of the Terrorism Act 2000.” Mr Awan’s brother, Umar Idris Awan, 29, was also arrested on June 1st but was released without charge.

The Dental Technician July 2017/Vol 70 Issue 06

UNRESOLVED ISSUE

BY AMANDA MASKERY, UK n Through the UK’s impending exit from the European Union, much uncertainty has been created around the position of EU citizens in the country, including those who currently work in the health care sector. After the result of last year’s referendum, in which the UK voted to leave the EU, the formal process of withdrawal duly began when Article 50 of the Treaty of Lisbon was invoked in March. The wave of negotiations for the Brexit is now underway. EU member states have called for the rights of their citizens to be protected and have sought assurances from the UK to that effect. The government’s immediate

and continuing response has been to state that rights for EU citizens will be determined in the Brexit negotiations, along with everything else to be considered. Of course, this will raise serious concerns for the millions of EU citizens living in the UK, and indeed the millions of UK citizens living in the EU. Both groups of people currently face uncertainty until their position is determined through the conclusion of negotiations, the timescale for which is unknown. The right to work and live in an EU member state derives from the free movement of persons, a fundamental treaty right. When the UK leaves the EU, on terms yet to be determined, the risk does exist that the free movement of persons will be lost, unless it can

be negotiated to the satisfaction of both the UK government and the remaining EU member states. Any deal on the free movement of persons for the benefit of the UK will require a commitment to the EU by the UK on preserving the rights of EU citizens currently residing in the UK and will no doubt require a commitment that the UK will allow the future free movement of persons. After the impending UK general election on 8 June, the next prime minister will have the unenviable task of undertaking the Brexit negotiations. Naturally, EU citizens will be concerned as to what deal will be secured on a host of matters, immigration being but one. Until the negotiations have been finalised, EU citizens who have lived in the UK for at least five

years may have the option of British citizenship, should they wish to seek it. A British citizen has the right to permanently live and work in the UK without any immigration restrictions; this is otherwise known as a right of abode. Under the current British citizenship rules, those aged 18 and over and of good character who meet the knowledge of English and life in the UK requirements and who have lived in the UK for five years before the date of their application can apply to become a British citizen. Such persons can apply on behalf of children younger than 18 (and those children do not need to pass any tests). For EU citizens seeking some certainty and control over their future, an application for British citizenship may be the immediate answer.

ILLEGAL TOOTH WHITENING A woman pleaded guilty to carrying out illegal tooth whitening on members of the public.

Cheryl Brough, from Doncaster, pleaded guilty at Doncaster Magistrates’ court to one offence of illegal tooth whitening, following a prosecution by the General Dental Council (GDC). Ms Brough carried out tooth whitening illegally while working at Vanity Lounge, in Nottinghamshire. Ms Brough is not a qualified dental professional and is not registered with the GDC, meaning that she cannot legally perform the act of dentistry in the United Kingdom. Ms Brough was fined £200 and ordered to pay both a £30 victim surcharge and the full costs to the General Dental Council, which were £1,418. Victoria Sheppard-Jones, Interim Head of the Illegal Practice team said: “Cases such as this show how important it is for patients to receive dental care, which includes toothwhitening, from someone who is suitably qualified and has the skills and experience to carry out the treatment safely. “The GDC’s role is to protect patients and work to maintain public

confidence in the dental profession. Part of the way we achieve this is by regulating dental professionals and investigating and, where appropriate prosecuting, cases of illegal practice. “To ensure patient safety, tooth whitening can only be carried out by dentists and dental care professionals who are registered with the GDC. The GDC investigates and where appropriate prosecutes those who carry out illegal dentistry, to ensure that members of the public are protected and not put at risk. “We urge any individual seeking to get their teeth whitened – or any other dental service – to check our online register before doing so. This way they can make sure their dental professional is registered, trained and qualified to do the job they say they will do.” l The date of the offence took place on 28 February 2017. The court case took place on 12 June 2017. Cheryl Brough was present at Doncaster Magistrates’ Court and unrepresented. A non-registered person holding themselves out as being prepared to practise dentistry - in the form of tooth whitening - is contrary to the Dentists Act 1984. 27

The Dental Technician July 2017/Vol 70 Issue 06

FREE VERIFIABLE CPD As before if you wish to submit your CPD 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 CPD 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 CPD either online or by post. If you have any issues with the CPD please email us cpd@dentaltechnician.org.uk

4 Hours Verifiable CPD in this issue LEARNING AIM The questions are designed to help dental professionals keep up to date with best practice by reading articles in the present journal covering Clinical, Technical, Business, Personal development and related topics, and checking that this information has been retained and understood. LEARNING OBJECTIVES REVIEW: n Strength of Zirconia. n Implant planning n Customised Special trays n Business of Management LEARNING OUTCOME By completing the Quiz successfully you will have confirmed your ability to understand, retain and reinforce your knowledge related in the chosen articles.

Correct answers from June DT Edition:

1. Your details First Name: . ................................................Last Name: ............................. Title:.................. Address:................................................................................................................................. ............................................................................................................................................... ........................................................................................Postcode:....................................... Telephone: ..................................... Email: . ..........................................GDC No:.................. 2. Your answers. Tick the boxes you consider correct. It may be more than one. Question 1

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

Question 10 Question 11 Question 12 Question 13 Question 14 Question 15 Question 16

Q1.

Q2.

Q3.

Q4.

Q5.

Q6.

Q7.

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

Q8.

Q9.

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

Q10. B. Q11. D. Q12. C. Q13. B. Q14. B. Q15. C. Q16

Verifiable CPD - JULY 2017

3. Evaluation: Tell us how were doing with your CPD Service. All Comments welcome.

As of April 2016 issue CPD will carry a charge of £10.00. per month. Or an annual fee of £99.00 if paid in advance. You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN, PO BOX 430, LEATHERHEAD KT22 2HT Payment by cheque to: The Dental Technician Magazine Limited. Natwest Sort Code 516135 A/C No 79790852

You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

The Dental Technician July 2017/Vol 70 Issue 06

VERIFIABLE CPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN OPINION Q1. When are we due to leave the EU following Brexit.

A. B. C. D.

Later this year. 2020. 2019. Before 2022.

Q9. Where will the college be based?

A. B. C. D.

In Central London. In South London. In Barnet and Southgate College. In Bolton University.

Q10. What will the Centre be known as? Q2. What is the down side to free trade agreements?

A. B. C. D.

Dealing in a foreign language. Knowing the market Price. Import Export Regulations. The agreement is both ways with free access to our market.

A THREE DAY VISIT TO GERMANY Q3. What is CAMLOG?

A. B. C. D.

Laboratory Management system. An Implant system. A CAD/CAM management tool. A digital record system.

A. B. C. D.

The centre for Dental Technology. The Centre for Advanced Dental Learning. The Centre for Dental Sciences. The Centre for Dental Political Science.

SURVEY OF DENTAL TECHNICIANS ATTITUDE, TO CAD/CAM TECHNOLOGY. Q11. What percentage of Technicians contacted responded?

A. B. C. D.

85%. 45%. 14%. 37%.

Q12. How many Technicians were contacted in total? Q4. Is it a Surgical or Prosthetic driven system?

A. B. C. D.

Both. Surgical. Neither. Prosthetic.

A. B. C. D.

837. 1003. 89. 769.

Q13. Where were they Based? RECRUITMENT Q5. What is an essential requirement for job Applicants?

A. B. C. E.

Curriculum Vitae. (CV). A smart suit. A Positive attitude Registration Status.

Q6. Name another advantage that may help?

A. B. C. D.

Speaking several languages. Living Locally. Works without needing glasses. Having your own transport.

A. B. C. D.

In Greater London. In The UK. In The UK and Ireland. In the Greater Manchester Area.

WHAT’S THE FIRE RISK IN YOUR LABORATORY Q14. What is the first action you should take to identify your risk?

A. B. C. D.

Buy a fire extinguisher. Get advice from a Fire Hazard Assessor. Ask the Dental Companies. Ask other lab owners.

Q15. How do you know the risks? Q7. What percentage of employers will check your social media status?

A. B. C. D.

55%. 80%. 35%. 60-70%.

A. B. C. D.

You should know by experience. You will know what can catch fire or not. Ask an expert and keep a list. Read the manual.

Q16. What should be your first consideration? LONDON COLLEGE GETS IT’S TEETH IN. Q8. What is happening at the London College?

A. B. C. D.

They are buying dentures in. They are establishing a Dental Training Centre. They are running part time courses. They are offering job opportunities.

A. B. C. D.

Staff safety. Fire Exits. Fire Hoses. Fire Blankets.

Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852

You can submit your answers in the following ways: 1. Via email:cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

The Dental Technician July 2017/Vol 70 Issue 06

WHAT’S THE

FIRE RISK

IN YOUR

LABORATORY? D

ental Laboratories are changing with a lot of expensive and complex technology being added to the mx of the traditional “analogue” methods. We have highly inflammable materials such as monomer and polymer of the traditional PMMA to deal with and of course the heat sources for melting wax. In a recent ´Looking Back´ article John Landon referred to a terrible accident which resulted in the death of a technician. The technician poured boiling water onto some acrylic by mistake. With an extraordinary low flash point the material ignited and after a painful but short stay in hospital the unfortunate technician died. In reality we are all aware of the risks with the materials and equipment with which we work but it is important to be up to date with fire risk assessments and the correct procedures and accessories you may require. You really should have a clear understanding of how to deal with and also how to prevent such unfortunate incidents as the one quoted above. So what can you do? I would approach you local fire office and have one of their team come and assess and instruct everyone in the laboratory of the risks hazards and precautions necessary. Establish a fire drill which should be regularly updated and which all members of staff are familiar with. There should be periodic fire drills in order to strengthen the cohesion of everyone involved. Correct storage 30

for hazardous materials should be ensured and safe-handling procedures will need to be confirmed. A recent article in the International Dental Tribunal stressed the legal obligation to comply with the Fire Safety regulations (2005). In most case it is a process of understanding the everyday risks and catering for their eventuality. Be sure you understand the limitations of the fire prevention equipment you may be relying on. Extinguishers should be chosen as those most effective in the individual circumstances. Water extinguishers will create greater problems around electrical equipment while powder and foam may not have the cover strength needed. Take advise from the experts and make sure you have a regular update. The consequence following a serious fire which damages the premises and equipment, hopefully not the personnel, can very badly disrupt you business and even if you are covered by Insurance the effect on your business could be much worse than you may have considered. Studies have shown that 70% of business who have been involved in a major fire either never reopen or fail within three years! Importantly the safety of your staff should be the first consideration plus the fact that if you do not take the regulations seriously and fail to comply a hefty fine or

a prison sentence could accrue. So you need to take advise from a fire expert and follow it. Practice the prevention procedures on a regular basis. Keep the risk assessment up to date. Be sure you have the right safety equipment and ensure it is regularly serviced and checked as required. Fire blankets are good for areas such as a kitchens but they may also be indicated in the casting rooms together with the recommended extinguisher. There are so many everyday things such as sprays from aerosols, toiletries as well as the materials you require for your work. Be sure you understand the materials risks associated and ensure the correct materials and equipment are available for extinguishing as well as good preventative procedures and training. If you haven’t already done it go and check now. Be sure your up to date and be aware that the responsibility of ensuring adequate safety is with the owner or owners of the business. The consequences for not complying are far too serious to ignore and the healt and safety for all concerned is paramount to continuing in business.

THE FIVE STAGES OF A FIRE RISK ASSESSMENT

Completing a fire risk assessment will give you a fuller understanding of the potential hazards around your everyday activities.

Stage 1: Identify all potential combustibles and possible sources of ignition. Step 2: Consider all the relevant people who are at greatest risk from fire. Step 3: Remove or reduce the risks of fire as far as possible and take precautions. Step 4: Prepare for an emergency with fire safety equipment, by providing correct training and by having a plan of which everyone is aware. Step 5: Record any findings and regularly review the assessment to keep it up to date. The risk assessment should be recorded at all stages, including the actions you have taken along the way. If you hire five or more members of staff, it is a requirement to have written proof that you have fulfilled your duty as a responsible business owner.

REVIEW:

Risk assessment must be on-going, requiring regular updates is never finished, and you should constantly monitor what you are doing, to ensure that it is enough and is working. Within our changing world there will be additions of electronics equipment, perhaps 3D printers or milling machines. The computers and the equipment may well bring with it some additional fire risk be sure you are aware of such changing risks up to date. Best advice is to get a fire hazard review organised and make sure you understand the risks and perils you as owner are responsible for avoiding.

The Dental Technician July 2017/Vol 70 Issue 06

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