The Dental Technician Magazine June 2018

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DTS REALLY HUMS

VERIFIABLE CPD FOR THE WHOLE DENTAL TEAM See pages 4, 8 -10

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DTS 2018: EDITOR´S ROUNDUP

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CONTENTS JUNE 2018

Editor - Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. E: editor@dentaltechnician.org.uk T: 01372 897461 Designer - Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com Advertising Manager - Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602 Editorial advisory board K. Young, RDT (Chairman) L. Barnett, RDT P. Broughton, LBIDST, RDT L. Grice-Roberts, MBE V. S. J. Jones, LCGI, LOTA, MIMPT P. Wilks, RDT, LCGI, LBIDST Sally Wood, LBIDST Published by The Dental Technician Limited, PO Box 430, Leatherhead , KT22 2HT. T: 01372 897463 The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.

Welcome Thoughts from the Editor - DTS

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Education Barnet and Southgate College dental students

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Insight Dental Technicians: Dangerous role of WW2 Part Two by Tony Landon Looking back with John Windibank FOA Dental opinion from Sir Paul Beresford, BDS. MP

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Digital Technology GC UK Limited -all the latest GC innovations exhibited at DTS Henry Schein Digital Symposium London The ITI Congress UK & Ireland London 2018 For age-appropriate esthetics: Natural effects with VITA VM materials

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Company News Measom Freer / GC UK / Aceton

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Marketing Marketing Simplified

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CPD 28 - 29

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

Free Verifiable CPD & CPD questions

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

Interview with FEPPD

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Classifieds

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Dental News

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

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

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P4,8 -10

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THOUGHTS FROM THE EDITOR

WELCOME to your magazine DTS really hums l Dental Technician Showcase took place at the NEC in Birmingham on Friday 17th and Saturday 18th of May. As part of the biggest dental show organised within the UK. For the first time the BDA Conference was included together with the Dentistry Show. While colour coded for finding you places of interest any of the visitors could mingle and wander from one of the designated areas to another without any bother whatsoever.

A huge occasion to learn and enjoy access to the dealers for both clinical and laboratory items which may be of interest.

There was a full lecture programme for each group very well laid out with dedicated lecture areas and easily accessible from the exhibition floor. A great many visitors was obvious on the Friday with full lecture theatres and quite a buzz all around the halls. The BDA had organised their annual conference with the usual interesting list of speaker all added to by the programmes from the Dentistry and the Dental Technical Showcase. A real opportunity to learn and enjoy the repartee with the various trade and equipment stands who had taken the space.

Just to give you a flavour of what was on offer for Dental Technicians I have gathered some pictures. Starting of course with us on our stand in the middle of the Tech area. It was a very busy Friday with a

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Start your digital journey together

Imagine sitting next to your clinician whilst taking the impression...

“Using CEREC Omnicam Connect means that my clients can start their digital journey with me right by their side. The clinician simply takes a digital impression as normal and electronically transfers the open files to my laboratory, I can view the intraoral scans on my computer, phone or mobile device, allowing me to respond to the clinician, often whilst the patient is still in the chair. Leaving me to work my magic, while my client sits back and waits”. - Lino Adolf, Owner and Dental Technician, Majestic Smile ltd, fully digital laboratory

Lino Adolf

Invite your clinicians to explore CEREC Omnicam Connect with you During the explore session, which will take place in your lab, our consultant will explain and demonstrate exactly how CEREC Omnicam Connect can open up a whole new digital world for your clients.

You can book an explore OMNICAM session for your laboratory now at www.explorecerec.co.uk You can book837318 an Explore OMNICAM session for your laboratory now at www.explorecerec.co.uk or call 01932 quoting reference ‘explore CEREC’ Download the Dentsply Sirona Solution Map App

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BARNET AND SOUTHGATE COLLEGE DENTAL STUDENTS GET THEIR TEETH INTO NEW CENTRE ATIA ISLAM -TALUKDER PR AND COMMUNICATIONS SPECIALIST

The facility offers students training in a variety of courses including dental nursing and dental technology all within a 21st Century learning environment which includes the latest digital classrooms for CAD, CAM and 3D printing. Students such as: 24 year old, dental technologist Jordan Diggines-Wallis and 18 year old dental nurse Armandoo Heerasing.

Firstly, Jordan (left) talks about his Level 5 higher apprenticeship training at Barnet and Southgate College touching on how it compares with a degree course, the employment prospects and facilities at the College and how taking a higher apprenticeship will shape his future plans.

Jordan said: I work for a dental lab in Bedford and they arranged for me to start the higher level dental apprenticeship at Barnet and Southgate College. It’s by coming into College and being here and seeing that all the facilities and equipment are the same as at work in the lab, all of it is the same if not nicer and brand spanking new! This means I’ve really settled in well. It’s nice to see the machinery that I recognise and I look forward to using all the equipment that I’ve never used before as well. I guess when you tell people that you’re studying dental technology most people are taken back a bit and don’t really know what dental technology is, if you ask them. But I would say that if you’re somewhat creative and somewhat intellectual and you want to use both of those skills, then a dental technology course is the one for you and it’s very good.

My training is very integrated; what I learn at College I take back to work and what I learn at work I bring back into College and apply here. Everyone on the course is really lovely

and the tutors are really nice. In fact, I look forward to coming into College each week, it’s a lot of information to take in as you come into College one day a week and then the rest of the week you are still working, but in the grand scheme of things when I wake up and it’s a Tuesday I’m excited to come into College.

A first, I actually started this course at university, but then decided to start the apprenticeship. For me, I had to take a step back and see that actually getting the work experience as part of my placement is what’s important and I really enjoy my job as I actually get to see the relevance of what I am learning. I also started to accrue some debt from being at Uni. which was a massive contributing factor of coming to do an apprenticeship alongside the improved job prospects although the prospects at Uni. were good; the fact that I am currently on a placement within a laboratory is positive and providing I do well on my course, once I finish there will be a job vacancy offered to me. I have been thinking about continuing to a full degree after my apprenticeship at Barnet and Southgate College and after that the natural progression would be for me to open my own lab and to possibly focus on something as a speciality, the prospect of that is really exciting for me.

Secondly, Armandoo (left)talks about his Level 3 Dental Nursing course, the facilities at the College's Centre for Dental sciences, and how taking the course how it equips him for his future ambitions.

every single department that you can imagine for the dental sector. For example, we have a decontamination room where we as dental nurses go to learn about decontaminating instruments, which is one of the main jobs in the dental nursing field.

At first, I was very surprised that we only have to go into College once a week, but seeing the type of teachers that we have here and seeing the thought they give to things and how nice and kind they are and how supportive they are with our workload, you can tell that they’re very experienced teachers themselves and most of them have already worked in dental practices.

This means that when my teachers tell me something, I can see that he/she’s already gone through that at work themselves, so then I can go back into work, where I am on placement and apply that as I am at College one day a week but on placement the rest of the week. My tutor really knows what he’s talking about so I know that the advice that he is giving me is correct.

It’s compulsory as part of the dental nursing course to complete a weekly 16 hours of work experience to get used to actually working out there, I actually got offered 26 hours as a part-time job. As soon as the course ends and I can register with the General Dental Council (GDC) the practice have said that they would be able to offer me a full time job, should I wish to do that. The first time I ever worked in a dental practice I hadn’t actually started the course and when I did start learning, and I went back into the practice they could see my progress each week.

He said: Everything so far is going really well, it’s all very new to me and there is a lot of pressure but it is very interesting being on the course, I really like it. It’s a very professional sector and you know what you’re getting yourself into and it’s very hard, but at the same time very good and exciting.

I always wanted to go to University to study dentistry, which is a 5 year course, so for me dental nursing was a really good way for me to see if I actually wanted to be in the clinical sector and working with new patients and working on peoples’ teeth every day and so far yes I have found it really suits me, so next year I have decided to apply for a dentistry degree.

You can see that the College has spent a lot of money on the new dental block and they have loads of different sections in the block in regards to learning; so we have an orthodontic department, a dental nursing department which is where I am studying, and we have a crowns and bridging department, in fact

For further information visit www. barnetsouthgate.ac.uk/dentistry Call 020 8266 4000. Email info@ barnetsouthgate.ac.uk and ask about ‘dental’. Facebook: www.facebook.com/ BarnetSouthgateDentalTechnology/ https://twitter.com/BSCDentistry

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EDUCATION

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he BSC Centre of Dental Sciences opened in September 2017 at the College, as part of an extensive refurbishment of the Southgate Campus and it includes state-of-the-art resources such as a decontamination room, processing and casting labs, as well as three dedicated specialist laboratories equipped with the latest industry-standard equipment.

WELCOME FROM THE EDITOR: DTS 2018 number of visitors. Great to see some u large familiar faces and to talk with those who

came to sort out their subscriptions. There is a form inside on page 11, for those of you who would like to get your own copies. Its great value for money which will continue to be full of interesting and topical articles that appeal to Technicians.

There were a great many companies running regular demonstrations of techniques and new Digital equipment and materials on their stands and it did as always draw the visitors.

Prestige Dental were their promoting one of their popular range of abutments and screws for All the major implant systems from their Reiner agency. Good to see Paul Martin in a relaxed busy mood.

Bracon were there with their new digital offerings with Steve Judge busy keeping order.

FOCUS

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WELCOME FROM THE EDITOR: DTS 2018

FOCUS

GC as usual had a very interesting stand with lots to demonstrate and a lot of questions from visiting technicians which kept the staff very busy on the stand.

Straumann certainly had an impressive presence with a stand alone stand just off from the now famous Juggernaut truck and another bus dedicated to the September Charity Ride.

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GC UK LIMITED ALL THE LATEST GC INNOVATIONS EXHIBITED AT DTS

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DIGITAL TECHNOLOGY

GC exhibited all their latest innovations at DTS including the complete Initial ceramic and Gradia Plus ranges.

GC Initial LiSi Press is a revolutionary pressable ceramic which combines unparalleled strength with exceptional aesthetics. Best of all it is faster to process, optimized for use with both GC Initial LiSi veneering ceramic and lustre pastes, and leaves virtually no reaction layer using the Lisi spray, making the laboratory more productive.

GC Initial LiSi Press is a high strength lithium disilicate ingot with High Density Micronization (HDM) Technology. This proprietary technology provides unsurpassed physical properties while delivering the most aesthetic pressed ceramic option on the market.

GC have further enhanced the Initial range with the launch of their new Initial Spectrum Stains, Enamel Opal Booster and two new IQ One Body Lustre Paste NF Effect Shades.

Developed in close co-operation with a

group of top Dental Technicians, GradiaÂŽ Plus is a modular composite system for indirect restorations which sets a new standard in lifelike mixing and layering of shades.

Based on the latest ceramic polymer technology this advanced, high-strength, nano-hybrid, light-curing composite offers brightness, translucency, chroma and a natural opalescence in the oral environment that is similar to porcelain. Its unique

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modular concept has fewer standard shades, but uses a more individual mixing and layering approach making it more compact and cost-effective. Nevertheless it meets all the demands on indications or techniques used from classic or multi-chromatic buildup to the monolithic approach.

For further information contact GC UK Ltd on 01908 218999, e-mail info@ gcukltd.co.uk or visit www.gceurope.com

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WELCOME FROM THE EDITOR: DTS 2018 Biocare were their with their usual u Nobel impressive presence and lots of interest.

Renfert which we have often seen at the German Dental shows is raising it presence here in the UK and the company Solvay who are specialists in plastics will be a name which will become very familiar in future months because of the remarkable development of plastics and composites for many areas of technical dentistry which hitherto may have been covered by metal castings and also the growth of 3D printing materials for which Solvay are a world leader.

Optident indicated their intention of tackling the marketplace with a very impressive and well designed stand which stayed busy throughout the two days. There was enough for all of us to learn about what may be possible.

There is certainly an opportunity for technicians to develop their skills and potential with the host of new materials and the digital techniques.

Larry Browne, Editor

FOCUS

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EXTEND YOUR SUBSCRIPTION BY RECOMMENDING A COLLEAGUE There is a major change in CPD coming soon. The Dental Technician Magazine is a must read. Tell your colleagues to subscribe and if they do so we will extend your subscription for 3 months.

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

At only £39.95 per year, for UK residents, this must be the cheapest way of keeping up to date. Help your colleagues to keep up to date as well. Ask them to call the subscriptions Hotline on 01202 586 848 now.

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INSIGHT

DENTAL TECHNICIANS DANGEROUS ROLE OF WW2 PART TWO

By Tony Landon

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U.S. ambulances and mobile medic trucks disembarking from a landing craft

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Airborne plans on being approved led to medical teams realising they would need as much medical supplies and equipment that could be transferred to behind the frontlines.

Thus every medical person had extra supplies strapped on their persons. Identifiable medical packed containers were to be also parachuted or stashed in glider-borne vehicles these included 250 stretcher litters and 2,500 blankets, and 2,000 units of plasma.

However the landing and drop sites had been previously flooded by the Germans around the river Merderet. This caused much of the precious heavy medical equipment and many of the medical personal carrying extra weight to be submerged into marshy fields, ditches and river bottoms. Most of the U.S. paratroopers that landed in water found it so difficult cut themselves free from their parachutes that had either enveloped them or were pulling them under. The American harnesses didn’t then have a quick release system as found on British parachute kits.

Airborne landing injuries mounted as many glider pilots with their accompanying troops

and medics became trapped or impaled in their flimsy wood strutted canvas gliders due to crashes into other gliders as suitable landing sites had become so restricted in area. The problem was compounded by gliders carrying jeeps and antitank guns didn’t have sufficiently strong retaining straps to hold their cargos as these cargo carrying gliders came into land.

For those airborne landing personnel that were not injured it quickly became apparent that they were widely scattered across the Normandy agricultural countryside. The early morning summer’s dawn revealed a deadly game of coming across friend or foe amongst the Normandy claustrophobic terrain of tall hedgerows enclosing countless small fields. The Americans were issued with finger operated clickers to sound off and then wait for an identifiable similar reply. However most U.S. soldiers resorted to challenging with the password “flash” to which the reply should be “thunder”. These two words were chosen as it was thought the Germans found it hard to pronounce such convincingly.

Eventually medical non-combatants assembled as units eager to get on with their life saving missions. But the equipment losses were so heavy that only 30 percent of the air-dropped supply containers were recovered. It was later rightly concluded to drop so much vitally needed medical supplies through the early morning hours of darkness behind enemy dug in positions was a mistake.

Medical teams who had reached their battalion assembly areas set up rough-andready field aid stations, usually near their unit command posts. At these stations improvisation was the common practice, as surgeons scavenged for supplies and commandeered farm wagons and captured enemy vehicles to collect wounded from the ever widening beach head and the dense hedgerow countryside battle zones.

Map showing flooded areas, Battle causalities clearing stations and front line at the end of D Day behind Utah Beach

A DENTAL TECHNICIAN SAVES LIVES A surgeon, Capt. Frank Choy, MC, secured a small cart and a horse to pull it. He then drafted a dental technician to drive it. "All day long," according to the battalion report, "This sole dental technician drove his cart up and down the extensive, tortuous network of lanes behind the front, exposed continually to rifle and machine gun fire, working like a Trojan, to bring in the wounded soldiers and the parachutists who had been severely hurt during their landing; his energy saved countless lives."* There were never enough non-combat medical personnel to fulfil the sheer need of more stretcher bearer teams. Consequently the seriously wounded were often left longer than they should of been or missed altogether.

Those wounded whom crawled away from the battle front to hide under the numerous dense hedgerows were difficult to spot as the offensive bitter fighting moved on.

In this explosive, exposed environment all stretcher bearer teams who survived for any length of time acquired many skills and learned many lessons very quickly. They mastered the art of crawling through high bushy thorn hedgerows low and as fast as possible. Instead of jumping up and running towards the first heard cries of "Medics." They instinctively waited for a shooting lull and then to edge towards the injured pleading for assistance.

Once a stretcher bearer reached a group of wounded, there was an instant decision to be made as to who were beyond any help, who could help themselves, and who would benefit most from medical intervention.

Though the wax-knife is the common tool to be found with all dental technicians when it came to taking the role of a stretcher bearer, their invaluable tool was bandage scissors. To cut away frayed soiled combat clothing from around the wounded areas to prevent infection.

The most useful first aid equipment proved to be something to compress the wound and of course morphine files. The individual soldier's sulphur powder was dusted over to reduce infection and then compress bandage pads applied. Tourniquets were rarely used to control bleeding. Most wounds were punctures which bled very little, or hits caused by high velocity shell or mortar fragments, which as they were hot, seared the wound shut.

Three times as many wounds and deaths were caused by mortar bomb fragments as by rifle and machine gun fire bullets. Battle of Normandy June to July 1944 wounded body areas were summarised in percentages; Arms and Legs 57%, Thoracic 10%, Maxillofacial 5%, Buttocks 5%, Burns, 2%, Neurological 7%, Other locations of the body 14%. * Reference in red of source at end of paper To be continued...

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INSIGHT

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ne of the pre-planning theories was that medical and dental staff would either be dropped by parachute or fly in by gliders in the early hours of D Day just behind the enemy lines. Battle causality figures had been estimated high as the planning authorities had also allowed days of isolation for injured and wounded paratroopers hiding behind enemy lines. Each combat paratrooper carried 2 British-made individual dressings and a copper sulphate sponge for use on phosphorus burns from such cruel hand grenades or shells. Their camouflaged netted helmets had interlaced a kit containing eight sulphur tablets that were to be used to delay infection to wounded areas. Plus two syringes of morphine. One for pain, the additional one for passage into eternity!

LOOKING BACK JOHN WINDIBANK FOA INSIGHT

MEMORIES OF AN OLD CODGER 13 THE 1970´S

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o country is perfect but I have always counted myself lucky to live in the British Isles with its weather, traditions, its health service and its democratic rights. I have memories of Hyde Parks speakers corner, where people were standing on little boxes and talking and arguing with the world or on their own, hoping that someone would stop and listen.

The nineteen seventies was financially a difficult time for Great Britain, we were still paying heavily for the war (WWII) and we were importing all of our oil, we voted to stay in the Common Market and Ted Heath and Harold Wilson had kept us out of the Vietnam war. The first post war miners strike saw a 3 day week imposed, there was a constant balance of payment crisis, inflation was in double figures and governments were imposing pay freezes and pay restraint, sound familiar?

Dental Technicians were part of the discontent and we like all the public service groups were trying to get a fair deal for their efforts. Maxillo Facial Technicians had formed an Institute and were busily pressing their claims directly to the Department of Health and through any union that were prepared to support them. The OTA had just had its first conference and at a committee meeting Bert Aldridge (Bert) the association’s secretary was working his way through the meetings correspondence. One of the items was a letter from the Institute of Maxillo Facial Technicians (IMFT) secretary, proposing a meeting to discuss the setting up of a co-operation committee.

The committee’s response was cautious as

JOHN WINDIBANK FOTA Senior Chief Technician at West Hill Hospital, Dartford, Kent. l Represents OTA at CCHADT & Regional Delegate l

PASSED POSTS: Member of the first steering committee that founded the OTA. l Founder Member of the CCHADT l Member of the Whitley Council and Committees for 15 years. l

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the IMFT had been very verbal at public meetings explaining their belief that they were a special group and not dental technicians, but we agreed to send representatives to the proposed meeting.

Bert, Len Bradshaw (Len), the OTA Chairman and me Vice Chairman at the time, went to the meeting just to listen and see what was proposed. The IMFT had sent four members to the meeting which from memory was Brian Conroy, Paul Smith (Paul), Graham Pratt and Mr M Smalley (Not sure of his first name) All past or future chairmen of IMFT.

Dental Technology Representative on the National Health Service Training Advisory Board l Member of the City and Guilds Dental Advisory Board l Member BTEC Dental Technology Higher Awards Advisory Board l Member DTETAB Representing MSF l Teacher of Orthodontics at Maidstone & Medway Technical College. l

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We arrived first and sat in the empty committee room twiddling our thumbs for a bit and then the IMFT delegation filed in looking very serious. Brian explained the thinking behind the proposal that public service technicians all needed to work together and co-operate for the profession to be able to present a coherent case for our advancement and progress in the future, which we the OTA, agreed with the sentiment. The IMFT in their usual thorough way, had thought about the details and were proposing that the country was divided by health authority boundaries and each area send a representative to a council.

Vice Chairman OTA Chairman CCHADT l Education Officer l Minutes Secretary l First Treasurer l Member of SLC Dental Advisory Committee l l

HONOURS: Fellow of the OTA AE Dennison Award for services to Dental Technology

l l

We agreed to go back to the OTA committee and consider the proposals, which we did and maters were progressed with further meetings between Paul(IMFT) and Len(OTA) which resulted in a joint declaration of intent sent to all Hospital Laboratories. Technicians from the OTA and IMFT were asked to organise meetings in their area and elect a representative to an inaugural meeting at the BDA HQ in Wimpole St. London.

The inaugural meeting went ahead before our regional meeting and we all filled into the committee room as a meeting of strangers (well strangers to me) from all over the country. Paul Smith introduced everyone and we took a vote on forming the association and then electing officers. George Sweeny a Maxillo Facial technician from Wordsley Hospital was elected chairman and Bert Al;dridge nominated me as treasurer, thanks Bert I thought through gritted teeth, but Bert was right, if we wanted a balanced committee an orthodontic presence was needed. Treasurer me? I could not get the

My region represented South East Thames and at our successful meeting we set up a very active regional group for Central Council, with Jerry Sorrel from East Grinstead as secretary, I was elected the regional delegate and we organised meeting and lectures and discussions for many years.

money on my butchers boy round to balance, still nobody knew that so the committee acquired a treasurer and Ron Cunningham from Boscombe and Ian Crawford from Manchester were joint secretaries. Graham Pratt from Leicester was Vice Chairman and Bill Lang London was elected Registrar and Public relations Officer (PR).

Bill Lang was working at the Royal Dental, Leicester Square and they had achieved the highest pay for technicians anywhere and we all wanted to know how? A quixotic ebullient character he was ideally suited for PR and with a strong trade union background, he so impressed the IMFT that they later presented him with a special award. Sadly the Royal Dental Hospital is no more and the young

So Central Council now excised and was to take on a life of its own, very different from the groups that had set it up. I was now set on a path that occupied me for the next 35 years with meeting, reports and memos. Our first business meeting was at the City Hospital Birmingham, which became the councils permanent meetings venue and months after its formation the council became involved in a strike by Health authority technicians, but more of that and some of the achievements of Central Council next time.

Len Bradshaw talking to me ten years on confessed he was very proud of his part in Central Councils formation, he said that he had met a lot of doubters who said that the Council could not last but while it was needed there were always people to step up to the mark to contribute.

SHORT COURSES NEWPORT PRESSURE FORMED FUNCTIONAL APPLIANCE TRAINING DAY

ORTHODONTIC BASEPLATE DESIGN TRAINING DAY

Steve Evans A 1 day course, two separate dates 08/08/2018 & 29/08/2018.

Course Aim: This course will allow delegates to gain an insight into the theory and methods of construction for an NPFA. Objectives: Delegates will cover the theoretical concepts of the appliance and constructed a NPFA. Cost: £180 pp.

CPD hours: 6 hours verifiable CPD.

Trainer: Dates:

Trainer: Dates:

Fiona Davis A 1 day course, two separate dates 01/08/2018 & 12/09/2018.

Aim: This course will allow delegates to gain an insight into the theory and methods of constructing creative orthodontic baseplates.

Objectives: Delegates will cover the theoretical concepts of and constructed a number of creative orthodontic baseplates.

Cost: £180pp.

CPD hours: 6 hours verifiable CPD.

For further information please contact us:  029 2041 6841  JMichell@cardiffmet.ac.uk (bookings)  emapley@cardiffmet.ac.uk (enquiries)  cardiffmet.ac.uk/cshs

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15

INSIGHT

My Health Authority Region was South East Thames, Region No. 7 and with Geoff Kallen Chief at St Thomas's Hospital London we contacted all the hospitals in the region and set up a meeting at my hospital West Hill at Dartford.

ladies that trained there used to affectionately describe themselves as the professional ladies of Leicester Square, I liked the humour.

The last week of April was a busy time with a lot of Dental shows in London on the week end of the 26/27/28th. Henry Schein ran their two day Digital Symposium on the south bank of the Thames and The ITI ran their UK and Ireland conference at Kings place near Kings Cross station. There were a further two annual shows involving Endo and other nonrestorative areas of Dentistry. I shuffled between, the Henry Schein Digital Symposium and the ITI conference.

DIGITAL TECHNOLOGY

HENRY SCHEIN

Digital Symposium London

Well attended, with lots to take in and a chance to meet old friends

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The opening speaker at the symposium was Dr Bertalan Mesko from Budapest. The title of his presentation was “Healthcare Needs a Trip to Mars”! Known as the Medical Futurist Dr. Mesko was recognising the potential of the modern digital accessories now available to us. He spoke of the opportunity for making them an everyday aid for patients and doctors. Making diagnosis and treatment for many of today’s illnesses possible. He likened the patients’ situation to a space explorer going to Mars within his space suit through which he cannot feel his own pulse. While trying to communicate with base station there is a 20 minute delay in Radio signal . Imagine the situation on Mars if some one has a Cardiac arrest, trying to contact help and waiting for the response. Dr Mesko suggested it was a similar situation for patients in Hospital. They often feel alone and isolated, just like the space explorer, but without any means of contacting help. Separated from their own healthcare by their lack of knowledge and relying on the communication from the experts in order to understand their situation, too often without response.

He proposed that patients be encouraged to access the available information via the Internet, such as their DNA and their family line and to be interactive with their medical and dental professional. Thus creating a more open and empathetic relationship between their medical professional and their own knowledge and family. The chosen title of his talk was a connection with confronting the challenge with what is available today and to work to improve these assets for a better worldwide health care. Many health care

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professionals are conservative about applying modern innovative ideas and even refuse to consider suggestions from patients about the Internet and the information they have found there. Dr Mesko wants us to embrace all of this technology for the good of the patient and health care in general. He felt the modern availability of so much relevant information should be used and built upon. Even to the point that a telephone conversation with your doctor will be a sufficient management tool of your on-going conditions. Patients with family inherited conditions or gene abnormalities, which are showing up more and more in the simple tests, can be encouraged to avoid certain life style choices. For instance patients with a pre-disposition to Oral cancer should be positively discouraged from smoking and drinking, and to attend their dentist for regular soft tissue checks. Similarly other serious conditions are often uncovered until it is too late to effectively treat them. Dr Mesko was keen to encourage patient participation in a managed way in order to improve the communication exchange, which is essential within all medical disciplines.

Via the Internet we are finding more and more Innovation, which has worked, almost without the professions sanction. The patient is and should be the centre of the healthcare focus, not the specialist, consultant or organisation or hospital. A true partnership between patient and medical professional will encourage the patients’ curiosity and modern technology can allow a much greater understanding of their situation. The future may or may not be on Mars but the technology, which springs from such ventures should not be wasted but encouraged and empowered. Dr Mesko, who is an admitted science fiction junky, maintains that the advancements which will take man to Mars must be used to further the healthcare and well being of todays citizens with the medical professionals encouraging patient interaction and participation. It may be sometime before we actually land on Mars and settle but it certainly makes great sense to use the innovations, which have now become available.

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There were very many Interesting speakers offering their opinions on the various areas of digital change, which is gripping the world of restorative Dentistry. Each of the presentations were full throughout the first morning with standing room only. It was clear that the communication possibilities for digital work flow is greatly adding to the Clinician Technician relationship and there were several examples of the experienced professionals passing on their knowhow and clearly showing an empathy around the processes. One example was the combination of Colin Campbell who runs a specialist and restorative practice The Campbell Institute and his technician Mark Melbourne who presented “Bar stool digital coaching from Colin and Mark”. They set out to debunk the myths, which have built up around the digital processes for practitioners and technicians.

They shone a really good spotlight, on the truth about the potentials for digital workflow and the interactive nature of the procedures.

Working closely these two expert professionals are able to interact and pass comments back and forth during the process and have a real understanding of where each other stands during the conception, design and manufacture of the patients restoration. With a great deal of input, between themselves and the patient, showing a major advantage of the modern techniques.

Nicklaus Klaus from Germany introduced the latest offering for 3D printing with the Formlabs Form 2 3D printer, which is now available from Henry Schein Laboratory.

Form labs have seen the growth in digital manufacture across Germany and Europe and have brought their expertise and innovative equipment to the dental marketplace.

Nicklaus demonstrated the high-resolution 3D printing, featuring laser-sharp prints and stunning surface finish. It can deliver both large, solid parts, and small intricate detail and has a small desktop footprint. The Form 2 has wireless connectivity and touchscreen control and integrates seamlessly with 3Shape and other dental software systems.

Between the many presentations there was

DIGITAL TECHNOLOGY

an opportunity to visit the trade show which was set up to allow the visitors to see and feel much of the equipment and techniques and materials which were being talked about during the learning sessions. A chance to ask direct questions of the manufacturers and agents and perhaps to have some queries sorted out, always a useful addition, to any professional meetings. What a great chance to meet with old friends and to discover their thoughts on the various offerings, from the various co-sponsors of the meeting. Gives an interesting break from the academic and allows a bit of relaxation.

I saw GC there with their new Scanner which was very interesting with a large screen, which is mobile, and a cordless scanner. Making communication with the patient or colleagues, very easy. Wherever you looked you saw innovation and a lot of friends talking and comparing notes on what is available and which way to go to get involved in digital techniques. The words of warning were still being exchanged, “make sure you get the back up from whomever you choose to spend your money with”!

New GC Scanner

MSc DENTAL TECHNOLOGY (DISTANCE LEARNING) This part-time distance-learning programme will make use of new educational technology, including online video conferencing, to offer practical modules and components that form a contribution to the General Dental Council Continual Professional Development requirements.

Entry requirements: Dental Technology degree with at least a 2.1. Those with alternative entry qualifications or experience are encouraged to apply and will be considered on an individual basis. * Both programmes require students to have access to a broadband PC with a webcam and microphone.

FOUNDATION DEGREE (FDSc) DENTAL TECHNOLOGY A part-time FdSc in Dental Technology is also available, with much of the practical experiential learning carried out at the student's place of employment. The syllabus is structured to include the General Dental Council's requirements for registration as a Dental Technician. The use of new educational technology, including online video conferencing, enables a much-reduced attendance. Apprenticeship Funding available in 2018-19 for students living or working in Wales.

Entry requirements: Qualifications equivalent to one A-Level.

For further information please contact us:  029 2041 6899  emapley@cardiffmet.ac.uk (for the MSc)  cgeisel@cardiffmet.ac.uk (for the Foundation)  cardiffmet.ac.uk/cshs

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DIGITAL TECHNOLOGY

THE ITI CONGRESS UK & IRELAND LONDON 2018

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nd so to the North side of the Thames plus a few miles to look in on the ITI Congress and listen to some very impressive experts on avoiding some of the Modern Clinical Dilemmas in Implant Dentistry. The everyday presence of Implant applications and the continuing appetite for more knowledge saw a full house for the two days of clinical and technical speakers who added their knowledge and experience to this very important on-going debate. It is clear that the Dental community have accepted Implant treatments, as a part of everyday dental needs but the two day programme , while giving us all who attended real insights into what to avoid, clearly showed the serious nature of ensuring good planning and patient assessment which must remain top of the list before proceeding to engage in implant procedures.

From a Technicians view point the Vincent Fehmer (left) presentation at 9.00 am. on Friday 27th was the big attraction. Entitled “Implant borne reconstruction: a Contemporary approach” Vincent gave his positive and enthralling overview of the digital restoration techniques now available and showed his everyday application as well as the more challenging and complicated techniques involved in full mouth restoration and larger scale bridgework supported by implants. Including Full denture retention techniques and support designs. Digital techniques have encouraged the growth of the modern all ceramic materials and the strengthened and aesthetic Zirconium options and Vincent demonstrated his expertise with his examples of outstanding restorations both on and off Implants. Vincent further went on to discuss the innovation in the area of “Plastic” restorations with the wave of new composite type materials offering an aesthetic equivalent to Ceramic but with the advantage of greater flexibility, which is so useful for the larger aesthetically demanding cases. The growth in full arch restorations based on fewer implants has demanded a less brittle, aesthetic answer.

These newly introduced advanced plastics combining ceramic powder are probably the future for aesthetic restorative procedures.

Are they strong enough? Well they are now building aeroplanes from plastics!!

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The programme continued through the day with Professor Urs Belser (left) looking at longterm outcomes of Aesthetic Implant Restorations. A true clinical master Dr Belser demonstrated just what is possible with a display of the very best examples in implant-supported restorations.

He emphasised the need for objective parameters in planning for implants and looked also at the early implant placement protocols.

Dr Belser emphasised the need to understand the necessary steps before the case is begun in order to avoid unwanted compromises of the outcome. He emphasised the importance of the related natural gum contours and the relationship in the aesthetic area with the adjacent teeth. He spoke of the techniques and the pros and cons of using artificial gingiva in cases of gross vertical deficiencies, “the pink power concept “ which can only be successful as pre-planned and designed solution.

Dr Stephen Chen (left) from Melbourne Australia who is the current president of the ITI, presented his technique for type 2 (early placement) aesthetic implant restorations. Dr Chen discussed the need for understanding the soft and hard tissue needs for a predictable outcome. Looking at the contour and understanding the aesthetic relationship and judging the healing process of both soft and hard tissue. There is always a risk of an unpredictable healing outcome but good planning and careful diagnosis will often be all that is needed to avoid a disappointed patient.

Dr Dina Dedi (right) who works at the Eastman Dental Inastitute, is a specialist in Prosthodontics and is a Director of the Aesthetic Dentistry Programme and a Principal Teaching

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Fellow and lectures Internationally on anterior aesthetics and immediate loading of Implants.

He is also a Director of Aesthetics Dentistry Programme and a Principal Clinical Teaching Fellow. She lectures internationally on anterior aesthetics and immediate loading of dental implants. The Management of Aesthetic Complications, the title of her presentation looked at the impact of implant depth, position, inclination on the success of the outcome. Correcting for aesthetic compromises due to a lack of planning pre-surgery. Dr Dedi will show the material and design options used to overcome the unplanned with a clear indication of the complications that can arise if pre-surgery planning is not thourough.

Dr Rob Oretti (left) spoke on immediate load restoration and emphasised the need for good case selection and the understanding of the various Protocols, which can be used during the therapy to improve outcomes. He stressed the importance of understanding the limitations of this technique and when a staged approach is indicated.

In and around the very full lecture programme there was a display area where Straumann and many of their supporting companies welcome questions from the delegates who were keen to get answers face to face. The familiar and well trained Staumann team were keen to be involved and during the various lunch and coffee breaks were kept busy answering questions and dealing with interested visitors. There were other companies complimentary to the process of implant dentistry including RM Radiography who demonstrated the effective and up to date diagnostic potential of good radiographic images.

Luke Barnet was there with a few of his team demonstrating the advantage of using a laboratory who were familiar with the system and the process of Implant dentistry.

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DIGITAL TECHNOLOGY

A new face at these meetings from Ceramic Studios who are fast becoming a recognised as a young and enthusiastic team of ceramic technicians working hard to cement their place at the quality ceramic and implant restoration table.

There was a good deal of interesting Implant and Digital dental sundries and equipment to consider and compare.

Between lectures the area buzzed and the congress was really humming. It was a great opportunity to meet with the senior fellows and the UK and Ireland committee responsible for the lecture programme.

During the lecture there was a chance to sit in on the Young ITI who have applied great energy to growing their presence throughout the UK and Ireland and are attracting the young and enthusiastic clinicians to get involved in the education and learning process through the ITI and its Academy.

On Friday 27th Evening a wonderful party sponsored by Straumann was held at the Searcy Dining rooms with music and dancing and food all supplied a plenty, which

began at 19.30 hours and finished , officially, at 2.00. am. For some that was obviously advisory!! For those without a hangover there was another challenging day.

ANDREA SCHROEDER RESEARCH PRIZE WINNERS

A great occasion for all who took part and a real opportunity to test your metal to see if you could be back for the second days lectures. Most of the day was a series of lectures on Peri-implantitis, and its control More surgically based topics of bone augmentation and soft tissue management post and pre-surgery.

This year’s André Schroeder Research Prize for Clinical Research went to PD Dr. Vivianne Chappuis for her study about Long-term effectiveness of contour augmentation using GBR- 10 year results.

Together with her co-authors, Dr. Lira Rahman, Dr. Ramona Buser, Dr. Simone Janner, Prof. Urs Belser and Prof. Daniel Buser, PD Dr. V. Chappuis presented the first case series to assess the effectiveness of early implant placement with simultaneous contour augmentation through GBR using a 2-layer composite graft in aesthetic post-extraction single-tooth sites over an observation period of 10 years.

One of the rooms had for the first time introduced a poster display and competition with some impressively scientific as well as aesthetic and restorative outcomes being managed by teams of high street and hospital research groups. Just before lunch the Andre Schroeder Research prize was given to a well earned project.

There later followed the prizes for the posters displayed in one of the adjacent rooms which attracted quite a lot of interest and a good number of visitors. This was a first for the UK and Ireland group but I am sure it will be repeated.

Research Prize for Clinical Research: PD Dr. Vivianne Chappuis

Prize for Preclinical Research: Dr. Ui-Won Jung “This is a milestone in my research career” said Dr. Jung who won the prize for preclinical research for his study entitled “Simultaneous lateral bone augmentation and implant placement using a particulated synthetic bone substitute around chronic periimplant dehiscence defects in dogs.

Left: Alisa and Louise winners of the Poster Competition.

At 17.30 hrs the congress finished with a well satisfied committee being more than happy with the successful programme and a full house turnout.

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24/05/2018 14:58

Do you want to be a Dental Technician?

Lambeth College is proud to be one of the few colleges in the UK with the facilities and expertise to offer professional Dental Technology qualifications.

Our Level 3 BTEC Extended Diploma in Dental Technology, starts in September 2018.

The course can be completed either on a 2 year/full time basis or *3 year/part-time basis.

Limited spaces available.

Apply now For further information call or apply today:

0207 501 5090

lambethcollege.ac.uk/courses *Studying part-time you should already be working in a Dental Laboratory.

You have the potential to be anything you want

COMPANY NEWS

THE DENTAL TECHNICIAN MARKETPLACE MEASOM FREER PROVE THEIR ENVIRONMENTAL CREDENTIALS w The well-established plastic packaging manufacturer Measom Freer is proud to announce it has achieved the BSI ISO 14001:2015 Certificate in Environmental Management. The company believes it has a moral duty to protect the natural environment and they are committed to minimising their global impact as a business by improving resource efficiency, reducing waste and reducing costs.

They ensure their stock products are sustainable by sourcing materials such as polythene that can be readily recycled, PPR (post production regrind) is also used in all their stock products. It believes that its customers should also be offered the choice of using eco materials, like Bio-based Copolyester and rHDPE (a PCR Post-Consumer Recycled HDPE) and they offer these on a made to order basis for their products.

GC UK VISIT BELGIUM AND LEARN ALL ABOUT INITIAL LISI AND LISI PRESS FROM MARK BLADEN

Mark Bladen is a Dental Technician with over 30 years of experience in many aspects of dental technology. He runs his own laboratory in Worcester specialising in ceramics and implant work. He has demonstrated all over the world, has run numerous courses and has had articles published in many of the major dental publications.

w As part of GC’s Initial 15years celebrations, Mark Bladen and Ketil Sørensen will be teaching Technicians how to achieve optimum results with GC’s Initial and Initial Press using a multiple approach with predictable and reproducible results on a two day course that is being held at GC’s state-of-the-art Training Centre in Leuven, Belgium on the 12th and 13th July 2018.

During the two-day course Mark Bladen and Ketil Sørensen will give a lecture on the philosophy of Initial LiSi Ceramic and LiSi Press, followed by demonstrations on multiple practical and hands-on cases.

The course will start with a lecture presenting the experience of Mark and Ketil with Initial LiSi Ceramic and LiSi Press. A practical two-day course will follow, covering multiple unit cases and utilising many different ways of press design – reduced copings, dentine cutback, facial cutbacks and monolithic crowns incorporating the lustre paste system. On completion, the participants will have a resin study model which will showcase the full Initial LiSi system.

Ketil Sørensen, is a Dental Technician from Denmark. Starting in a small laboratory, then working in progressively larger laboratories, he started his own lab, Dentolab, in 2007.

Dentolab specialises in new technologies such as CAD/CAM, 3D printing and bigger implant restorations. Ketil has been running courses in advanced aesthetic ceramic layering all over Denmark and his work has been published in dental publications worldwide.

The course will be conducted in English. The Course fee is €650 (including one night’s hotel accommodation, a dinner, two lunches and coffee breaks). With only12 places available registration closes on 31st May 2018.

ACTEON GROUP ACQUIRES PRODONT HOLLIGER w At the heart of France and a region known worldwide for its metal and in particular its blades and knives, Prodont Holliger manufactures reliable, leading-edge tools that are designed by dentist for dentists and technicians for technicians.

Carried by a passionate team of skilled engineers, their unique competence knows no bounds and rigor and precision are key words in every aspect of R&D, production and delivery.

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So if you are looking for a company who is committed to controlling its effect on the environment and produces quality products too contact their Sales Team now: sales@measomfreer.co.uk Tel +44 (0)116 2881588 or buy online at www.measomfreer.co.uk

Explore the wide range of dental laboratory products from handheld instruments and discs for working with all types of materials, to the new Protorch 4, one of the most reliable and constant burners on the market, with a precise and adjustable flame and automatic piezo ignition.

For more information, a product catalogue or demonstration, call Acteon UK on 01480 477307 or email info.uk@acteongroup.com

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For further information please contact Louise Pakes at GC UK Ltd on 01908 218999 or e-mail info@gcukltd.co.uk

MARKETING SIMPLIFIED JAN CLARKE BDS FDSRCPS MARKETING

l Jan qualified as a dentist in 1988 and worked in the hospital service and then general practice. She was a practice owner for 17 years and worked as an Advisor with Denplan. Jan now works helping dental businesses with their marketing and business strategy and heads up the Social Media Academy at Rose & Co.

Web: www.roseand.co Email: jan@roseand.co Facebook: Jan ClarkeTaplin Twitter: @JanetLClarke Instagram: janlclarkeacademy LinkedIn: Jan Clarke BDS FDSRCPS

BRING IN THE NEW OR LOOK AFTER THE OLD?

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ver the past couple of months I have been writing about analysing your business from your clients’ perspective with the purpose of making your business more attractive and easy to use.

In marketing we are often discussing ways to attract new clients and grow businesses but often we don’t actually need many new clients and it is worth considering the “old”.

Looking after your regular “old” clients can be a wise spend of both time and money. Even in marketing circles, most of us acknowledge that, despite large spends on websites, advertising etc, the best leads come by word of mouth. That is, your existing clients being your biggest fan base and shouting about you from the treetops.

Let’s look at ways we can look into our own businesses and use our own databases to create growth and a happy, healthy business.

4. Your existing client list, inactive and active Over the years clients will have come and gone for various reasons. Is there a common thread? Do you know why they stopped using your services?

This list of clients is a useful place to start and to consider revisiting, perhaps calling into their practice and arrange a meeting to discuss your new services. If you know and understand why they changed supplier then you are in a strong position, if not, then it may be useful to ask them directly. When we lose clients we often know why and most of us will internally reflect on it. Is there something I could have done to prevent it or some aspect of my business that can be improved? I would encourage you to always ask for feedback if a client leaves so you can make improvements.

Sometimes there may be nothing you can do but usually there is. Without feedback, both positive and negative, you can’t build a business that can wow, so don’t be scared to ask, it can

only help move you in a better direction.

Be cautious though! In your old client list there may be a client that is not worth revisiting and this is why I would only advise that someone who is familiar with the names and instances look through and review!

2. Your regular clients In all working relationships occasionally things can go wrong. How you behave in these situations can set you apart which is why client communication is so important. In the days of emails, text messages and quick electronic communications it is still worth considering picking up the phone or even calling in to their practice. If your client has a strong relationship with you and knows that you will help when things go wrong, both with you and for them, then they are less likely to look at another supplier and work with you for a solution. It is therefore worth nurturing this relationship.

If there is little need for contact it I probably still worth setting aside some time for a regular catch up with your client. A quick telephone call to ask for feedback and if everything is going to plan. This also gives you a chance to offer any new services that your dentist may not be aware of. By building a relationship they are much more likely to approach you when something goes awry rather than just choose another technician.

dentists are busy with very little time during the day to take visits from suppliers but you do want to nurture these relationships and get to see them in person on a regular basis.

Rather than a visit, consider an event where you invite your top 10% clients to a meeting or an informal get together. Study groups can be another great way to build connections, not just with you and your clients but between clients, perhaps including a guest speaker who is well respected too?

• Incentives for more work. These clients prove easy to work with so the more work you have from them the better! Consider offering a cheaper price after so many units of work or a discount for early payment.

• This could be incorporated into an exclusive club for clients who buy so many units a month or more. This also encourages your “average” client to become part of this group and move up the ladder.

• Incentives for referrals. Your super client will be your best fans and hopefully they will rave about you. They will have friends, colleagues, just like themselves who could make great clients too so consider offering incentives for referrals.

• Ask for feedback. Make sure you continue to get it right with this group of clients and keep improving your services. Identify any weak spots and work on improving these areas. It is also worth mentioning that testimonials from this group are essential. Ask them to place a review on Facebook or Google or even use a video testimonial or quote on your website. Don’t be afraid to ask for reviews, if you are looking after this group well they will be delighted to help.

3. Your top 10% super client Yes, you definitely should know who these clients are! They will probably bring in 80% of your income and to lose them would make a large dent in your turnover. They will also be the best source of new referrals to your business and word of mouth marketing. In an ideal world all your clients would look like this and would attract more of the same type of clients so let’s look at this in more detail.

DON’T FORGET THE OLD In marketing, so many of us are chasing the “new” clients, just remember you may have all the clients you need already with you, you just need to look at the problem with a fresh set of eyes. How many times do we see offers for new accounts/clients and as existing customers this can be annoying and question our own custom?

Look after the old and the new will follow.

YOUR SUPER CLIENT AND HOW TO RETAIN THEM • Regular communication, this is so important and not just emails or phone calls. We all know

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

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DENTAL OPINION FROM SIR PAUL BERESFORD, BDS. MP INSIGHT

HUB DENTISTRY AND THE SUNDAY PAPERS

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ou know the saying I have got “good news and bad news - Which do you want first?” Let’s try the (possible) bad news first.

us are apparently such good operators we can produce expertise in every field of dentistry. I am not one and have not met one but I hear from some, particularly after a couple of beers that such super dentists exist.

That advertisement is in the Sunday Times Travel section yet again. I guess you have all seen it. It is half page with a former England International Rugby player explaining (in an advertisement) how he went to Budapest for crowns on implants at a massive saving compared to a UK quote.

I haven’t heard of him but that is my fault as with my background I seem to only know of those lads from down under who wear All Black gear and incidentally seem to beat England fairly often. If you are Welsh or Scots or South African or even Australian do not sneer as those nations success rate against the All Blacks is much the same as for England.

But back to the advertisement!

Our man is smiling in the photo in the advertainment and wearing an England rugby top. He is photographed too far away to assess his teeth. They could be dentures or his own teeth or crowns or implant/crowns.

I am sure his crowns and implants are a great success after all he has said so and I am in no position to raise doubts.

Most of us, both technicians and dentists, especially those engaged in cosmetic restorative dentistry have been asked about “dental tourism”. If a patient asks I usually say “go for it.”

BUT if you need implants or indeed any heavy restorative dentistry almost certainly something has gone wrong with your natural teeth and the after care for restorative dentistry by the patient and dentist has to be to a higher level. Is that going to be provided or can your dentist here provide that especially if he or she has no idea of the particular implants placed overseas.

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

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The big surgeries and the corporates can generally offer generalist and specialist technicians and dentists. The smaller surgeries or laboratories can’t unless they have had a few beers as mentioned already. I have always worked either on my own or with very few likeminded dentists concentrating on high quality restorative dentistry. I and my partners built up a wheel of very high quality specialists especially in periodontics, orthodontics, implants, surgery, special x-rays and even hypnosis.

Like many dentists especially in London I have reverse dental tourism. These are patients who fly in from Europe (including Eastern Europe), the Middle East, Africa including South Africa and even the US. I need to know I can see them regularly and that they can get back to me if in an emergency. With the best dentistry in the world things happen.

Sometimes extreme such as one West African patient whose extensive work was damaged severely in a horrible car accident.

My technician has a similar hub role in working for my surgery. He does superb restorative dentistry but acts as a hub for acrylic, cobalt chrome and some digital produced porcelain.

By acting as a hub with mutual referral means the patients get the very best service available from a group of specialists. Although not from a single practice as with the afore mentioned corporates and large practices but potentially better.

Should we as UK dentist and technicians providing high quality dentistry care? Probably only to the extent that we must explain the potential problems and the quality UK technicians and dentist provide, while saying if that is what you wish go for it!

My friend’s idea is derived from years of knowledge of many hundreds if not thousands of dentists enabling the organising of small groups of experts around a hub on a geographic area aiming to draw in patients for referral within the group based on the hub format.

I started with Bad news - Good news. So how about the Good News?

This has to be the answer for the smaller surgeries aiming for really high quality restorative dentistry for the demanding patient. I have no financial interest but I like the thought of a position in contrast to the corporates. If you are interested let me know through the magazine and contact can be made.

A friend of mine who is a key person in the dental education program production phoned me with the idea of what I call Hub Dentistry. I am the last to claim but a few of

in East and South West London. Private dentist in the West End of London then and currently in a very part time capacity in South West London. l Councillor including Leader of Wandsworth Council moving to the

www.dentaltechnician.org.uk

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.

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FOR AGEAPPROPRIATE ESTHETICS:

Carolin Wehning, Dental Technician, Bocholt, Germany

NATURAL EFFECTS WITH VITA VM MATERIALS DIGITAL TECHNOLOGY

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t becomes especially challenging for dental technicians to produce natural, age-appropriate reconstructions in the visible area of the mouth for older people.

It is recommended to establish a very planned procedure based on the characteristics of the natural teeth for the individualization and characterization of such a restoration.

This is the only way results can be achieved that fit harmoniously into the remaining tooth substance. Dental technician Carolin Wehning (Bocholt, Germany) shows how such a complex case can be solved with VITA VM 9 veneer ceramics and VITA INTERNO materials for internal characterization (all VITA Zahnfabrik, Bad Säckingen, Germany) in the following case study.

effect, a wash firing was performed with EFFECTLINER 5 (orange) and EL6 (greenyellow). “Layering with VITA VM 9 was the basis for reproducing the basic shade. The VITA INTERNO materials then enabled me to intensify the deeper individual shade nuances after the wash and dentine firings,” said Wehning, describing the key steps of ceramic reproduction. Int 04 (orange) and Int 11 (gray-brown) were used in the cervical and interdental areas; Int 05 (terracotta) was used in the center. The inside areas were nuanced with shades of Int 08 (blue), Int 05 (terracotta), and Int 07 (anthracite); the incision with Int 02 (sand). Cracks and brown spots could be reproduced with Int 10 (brown), and white spots with Int 01 (white).

diamond, the inside crack was pulled from the outside with a fissure bur to achieve a three-dimensional effect. The surface texture was kept as smooth as possible, in accordance with the patient's age. After the glaze firing, only a goat-hair brush and diamond polishing paste were used to slightly reduce the gloss effect. After trying out the fully-ceramic crown, the patient was very satisfied with the result, and a self-adhesive bond was applied. The shade and form of the restoration integrated harmoniously with the other teeth.

The ceramic veneer in combination with two stain-colored fires made it possible to achieve an age-appropriate esthetic.

Source: Dental Barometer. 6-2017, Barometer Verlagsgesellschaft mbH, Germany

1. Assessment and planning A 77-year-old patient entered the dental practice after a coronal transverse fracture at 21, which had already been treated with a direct composite structure. Clinically, the results were morphologically and esthetically inadequate. On the adjacent natural tooth 11, age-related discolorations, initial white and brown spot lesions in the cervical area, and a vestibular transverse dark brown crack were apparent. The dentist and patient decided to restore the tooth with a full ceramic crown for long-term stabilization, in which the color effect of the adjacent tooth 11, was to be reproduced in detail. In order to achieve a predictable result, the situation was molded and a model was developed for a wax-up. Tooth 21 was prepared for a full crown and a master model was produced using a precision mould.

3. Finalization of the restorations After working out the basic morphology with the stone and the details with a fine

VITA® and other VITA products mentioned are registered trademarks of VITA Zahnfabrik H. Rauter GmbH & Co. KG, Bad Säckingen, Germany.

FIG. 1: Initial situation: Composite structure at 21 after distal transverse fracture of the tooth crown

2. CAD/CAM fabrication and veneering The crown framework was made of CAD/ CAMsupported VITA YZ HT zirconium dioxide. For a deep initial fluorescent

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FIG. 2: After matching the wax-up with the master model, the functional cap could be designed

FIG. 3: After determining the basic tooth shade 5M2 with the VITA Toothguide 3D-MASTER, the layer scheme is sketched

FIG. 4: The crown framework, prepared for veneering

FIG. 6: The VITA INTERNO stains allow for a multifaceted and age-appropriate reproduction of the natural teeth

FIG.8: The shading and lighting of the restoration fits perfectly in the overall picture

FIG. 7: The final fully ceramic crown has an age-appropriate morphology, surface texture and shading

FIG. 9: Result: The patient is very satisfied with the final esthetic result

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27

DIGITAL TECHNOLOGY

FIG. 5: After a dentine firing, VITA INTERNO can be used for a second time to give depth with individual shade nuances

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

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VERIFIABLE CPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN Q1.

A. B. C. D. Q2.

A. B. C. D.

At the Henry Schein Digital Symposium the first speaker Dr. Mesko is know as what?

A phenomanist .

A Realist.

A Futurist.

A Fantasist.

What was his proposal for patient care?

Don't tell the patient too much.

Tell the patient only the good news.

Encourage the patient to ask questions.

Make use of modern digital resources to help inform and connect with the patient.

Q3.

A. B.

C. D.

What organisations were represented at the recent DTS in Birmingham.

The International Dental Technicians Association.

The BDA, The Dental Technicians Showcase and The Dentistry Show.

The ADI and the GDP. The DNA, the IBIDST.

PAGE 30 Q9. What is the FEPPD? A. An organisation of Dental Dealerships across Europe.

B. An Organisation of Dental Consultants.

C. An Organisation representing Dental Technicians and

Laboratory owners in Europe.

D. An Organisation of European Dental Company Proprietors.

Q10.

A. B. C. D. Q11.

A. B. C. D.

What do we call the Certificate of Compliance in the UK? A written Quotation of cost.

A Statement of Manufacture.

A Manufacturers’ guarantee.

A Quality Compliance Certificate.

What is the common aim of the European and UK Legislation?

To protect the interest of the patient.

To assure high quality restorations.

To enable case evaluation.

To ensure a true restoration.

PAGES 12 & 13 - WW 2 Q4. What area had been previously flooded, by the Germans?

A. Around the river Seine.

B. Around the river Merderet.

C. Around the river Meuse.

D. Around the river Lautrec.

PAGE 18 - ITI CONGRESS Q12. What should be top of the list for Implant restoration?

A. The patient has enough money.

B. The case should be carefully planned.

C. The patient has a helpful smile.

D. The patients’ bone should be good.

Q5.

A. B. C. D.

Q13. What was the overall title for the Lectures at

the ITI Congress?

A. Modern Clinical Dilemmas in Implant Dentistry.

B. Avoiding Pitfalls in Implant Dentistry.

C. Restoring the unseen complications in Implant Dentistry.

D. Being aware of the potential problems in Implant Dentistry.

What words were chosen , by the Americans, as recognition exchanges.

Hi Yankee.

Flash Thunder.

Flash Gordon.

Have you got a light.

Q6. How much of the airdropped equipment was usable?

A. 90%.

B. 67%.

C. 25%.

D. 30%.

Q14.

A. B. C. D.

What was the title of Vincent Fehmer’s presentation?

The Technician role in Implant Success.

The Laboratory’s responsibility in Implant Dentistry.

Implant Bourne Construction: a Contemporary approach.

Complications unseen by Planning.

PAGE 24 - OPINION Q7. What is the subject of the article?

A. Dental Tourism and Referral Hub..

B. No Risk Dentistry.

C. Low cost dental treatments D. Overseas holiday with dental treatment.

Q15.

A. B. C. D.

Who spoke at the ITI congress on the subject of Immediate load?

Prof. Urs Belser.

Dr Stephen Chen.

Dr. Dina Dedi.

Dr. Rob Oretti.

PAGE 14 - LOOKING BACK Q8. What organisations got together to form the

Joint committee.

A. The IBSDT & BOS. B. The OTA and IMFT. C. The DLA and the DTA. D. The C&G London & ITA.

PAGE 23 - MARKETING SIMPLIFIED. Q16. How do you look after your client base?

A. Send them a Christmas card.

B. Regular Communication.

C. Free Delivery.

D. Don’t charge for extras

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.

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DENTAL NEWS

Interview with

FEPPD MAY 2017

By Dental Tribune International May 19, 2017

l

Representing 40,000 dental laboratories and 210,000 dental technicians in Europe, the European and International Federation of Dental Laboratory Owners and Dental Technicians (FEPPD) is a key participant in the dental trade industry. Founded in 1953, the FEPPD evolved from representing manufacturers to promoting European dental technology worldwide. Dental Tribune Online had the exclusive opportunity to speak to Pierre Zammit, Secretary General of the FEPPD, during the 2017 International Dental Show about the new medical device regulation and its consequences for dental technicians.

FROM TOP LEFT: Patrick Jonson, Pierre Zammit, Laurent Minerot, Antonio Ziliotti, and Gilbert Weis. (Photograph: Marc Chalupsky, DTI)

The new medical device regulation has just been passed. It includes new provisions, such as new scrutiny regulations for dental manufacturers, which will greatly affect the dental trade industry. What is your opinion and expectation concerning the new regulation?

At face value, the regulation should reach its goals of securing the best interests of the dental patient provided that all prerequisites, as laid down in the document, are observed and handled properly by the appropriate

“We are bound to learn new technologies �

How have dental technicians responded to the vast changes that have been brought to this industry over the last 20 years?

There is a difference between member states of the European Union regarding whether dental technicians are health care professionals or craftspeople. We find that there is common ground when a student pursues higher education, because the services he or she can then offer upon becoming a dental technician are often standardised. With this in mind, we are working on creating a more modular way for dental technology education to be provided such that there is greater freedom of movement for dental technicians throughout Europe.

How does the FEPPD then promote education throughout Europe?

We have participated in a number of EU-funded programmes regarding dental education, and this issue will be discussed in depth at our next annual general meeting on 2 and 3 June 2017. If we are able to ensure that education is a priority, it will be European patients who will ultimately benefit from this, because we will be able to provide the same results and services irrespective of their location. We are bound to learn new technologies, as these technologies are advancing dentistry into new areas. It is essential, then, that the training received by dental technicians includes learning how the latest innovations are used. However, it is important for dental technicians to gain confidence in working with not just new technologies but also new materials, such as zirconia.

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authorities at all times. This is especially important considering the deficiencies that sometimes resulted from failure to uphold the previous regulations.

Failing strict surveillance, the enormous management load that the regulation will be imposing on dental laboratories will become more of an economical hindrance. Other stakeholders in the dental field have already noted this view.

Surely a less complicated regulation would have been easier to follow and implement while also obtaining the same transparency for the dental patient. Having said this, the FEPPD will nevertheless still be seeing to the proper adoption of the medical device regulation. We are already looking into loopholes raised by misinterpretation of third parties in seeking to exclude themselves from complying with the regulation. The medical device regulation will only succeed if the same regulatory criteria are applied to all participants.

Are you concerned that more dental technologies seem to be taking services away from the dental technician in favour of the dentist?

Well, we see the future as having more specific rules for dental technicians and dentists alike regarding the use of certain systems. It will become more important for dental technicians to have knowledge of how these systems work, as many dentists

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may need help with their operations and adapting to the medical device regulation.

As far as these technologies and systems are used properly and in accordance with regulations, we have no problem. Our issue is third parties offering solutions without being registered or compliant with regulations. That is why we are focused on ensuring that not only are regulations followed by individuals, but also the relevant governing bodies enforce them. This is a profession that has been around for many years, and the rules that govern it are crucial for maintaining a high level of patient trust.

We want dental technicians to deliver the highest safety standards in their work for patients. Furthermore, we aim for full transparency in the manufacture of dental devices. Certainly, we represent a very important industry. The new medical device regulation should help us to ultimately deliver the best service to European patients.

How important should certification and accreditation of dental devices be for dentists and patients? What should the role of the EU be in setting standards and granting certification?

One of the fundamental changes brought forth by the new medical device regulation is that the certificate of compliance, denoting the manufacturing source, materials used, and provenance of the custom-made device, whether it is EU-based or imported from the Asian market, will now be mandatory for devices used on or by European dental patients. This will increase the level of awareness and knowledge of dental patients about these devices and will help them to determine whether they are receiving value for money. Dental laboratories and dental technicians fabricating such devices will in turn receive accreditation for being the rightful manufacturers. This is something the FEPPD has worked at length to achieve, gaining a win-win situation for both the dental patient and the legal entity supplying dental devices. Full compliance by the dentist is thus expected with respect to what the medical device regulation guarantees for the end user.

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