- British Society of Dental Hygiene and Therapy

www.bsdht.org.uk
VOLUME 52 JUNE 2013 NO 3 OF 6 ISSN 2045-4848
DH CONTACT
T h e N e w s l e t t e r o f t h e B r i t i s h S o c i e t y o f D e n t a l H yg i e n e a n d T h e r a py
The GDC removes
barriers to Direct Access
Head of Standards at the GDC, Janet Collins, explains what
this decision means for the dental team.
As I’m sure most of you are now aware the General Dental Council
has announced it is removing barriers to Direct Access for some dental
care professionals (DCPs). This is a significant change, not only for how
some members of the dental team can work, but also for how patients
and members of the public access dentistry in the UK.
The decision was made at a Council Meeting on 28 March 2013 and I
would like to take this opportunity to explain, in more detail, what it means.
Reaching the decision
In December 2011 Council set-up a Task and Finish Group to consider
the issue of Direct Access.
Part of their remit was to recommend a policy position to the Council,
taking into account the Council’s primary purpose of protecting patients.
The subsequent review involved a wide-ranging series of activities, including:
•
•
•
•
•
A literature review;
Patient and public research carried out by Ipsos Mori;
A call for ideas;
Stakeholder feedback and;
Online consultation.
More details about all of these activities can be found on the GDC
website at www.gdc-uk.org
The literature review, for example, identified more than 100 research
papers that were relevant to the review of direct access. The quality of
the evidence regarding dental access issues to dental care practitioners
was varied but as a whole of moderately good quality.
The review was completed in June 2012, and the findings of this study
concluded that:
a) There was no evidence of significant issues of patient safety resulting
from the clinical activity of DCPs.
b) There was evidence that access to dental care improved as a result
of direct access arrangements, of cost benefits to patients and of high
levels of patient satisfaction.
c) There was some evidence that DCPs may over-refer patients to
dentists, which may ensure patient safety but lead to wasteful use of
resources and a high level of ‘no shows’ on referral.
In addition, the online consultation ran from 1 October 2012 to
31 December 2012 and it received more than 1,420 responses. A
summary of the consultation responses is included in the Task and
Finish Group’s proposal to Council and can be found on our website.
The GDC wasn’t the only body interested in the issue of direct access.
The Office of Fair Trading’s report ‘Dentistry: An OFT market study’
was published in May 2012 and discusses the benefits to patients of
introducing direct access. The OFT has since welcomed the GDC’s
“measures to make important dental services more accessible for patients.”
Story continues on page 2 >
A great day for The Greater Manchester School
for Dental Care Professionals
On Saturday, 23rd February this year, graduating dental hygienists/therapists from
The Greater Manchester School for Dental Care Professionals were presented with
their diplomas by the Dean of the Faculty of General Dental Practice (UK)
of the Royal College of Surgeons of England, Mr Trevor Ferguson
and Ms Elizabeth Watts.
The ceremony took place at the very impressive Royal College of Surgeons building
in Lincoln’s Inn Fields, London and was attended by the Diplomates and their guests.
It was a wonderful opportunity for the Diplomates to meet together again as
they are all now busy working as dental hygienists and therapists, most of
them having secured places on Vocational Training Schemes for hygienists/
therapists in the Greater Manchester area.
THE GDC REMOVES BARRIERS TO DIRECT ACCESS
Continued from cover...
www.bsdht.org.uk
EDITOR
Heather L Lewis,
19 Cwrt-y-Vil Road,
Penarth, Cardiff CF64 3HN
Tel/Fax: 07824 55592
Email: editorofdh@ntlworld.com
BSDHT OFFICE
Tel: 01452 886365
Email: enquiries@bsdht.org.uk
© DH Contact – The British
Society of Dental Hygiene
and Therapy 2013. All rights
reserved. No part of this
publication may be reproduced,
stored in a retrieval system
or transmitted in any form
or by any means, electronic,
mechanical, photocopying or
otherwise without the prior
permission of DH Contact.
Views and opinions expressed
in DH Contact are not
necessarily those of the Editor
or The British Society of
Dental Hygiene and Therapy.
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2
What the decision means
First of all, it’s worth remembering that this decision
does not make direct access mandatory. No dental
care professional has to offer it.
• Botox – as a prescription only medicine can only
be prescribed by a registered doctor or dentist who
has completed a full assessment of the patient.
This decision, which was made at a Council
Meeting on 28 March 2013, has been made with
patient safety in mind. Registrants treating patients
direct must only do so if they are appropriately
trained, competent and indemnified. They should
also ensure that there are adequate onward referral
arrangements in place and they must make clear to
the patient the extent of their scope of practice and
not work beyond it.
2. Dental nurses
qualified prescriber – usually a dentist or doctor.
Dental nurses can see patients direct if they are
taking part in structured programmes which provide
dental public health interventions.
3. Orthodontic therapists
Most of the work of an orthodontic therapist will
continue to be carried out on prescription. However
Who can do what?
Orthodontic therapists can now carry out Index of
Orthodontic Treatment Need (IOTN) screening
without the patient having to see a dentist first.
1. Dental hygienists and dental therapists
4. Clinical dental technicians
Dental hygienists and dental therapists can carry out
their full scope of practice without prescription and
without the patient having to see a dentist first.
Clinical dental technicians should continue to see
patients direct for the provision and maintenance
of full dentures only and should otherwise carry out
their other work on the prescription of a dentist.
Dental hygienists and dental therapists must be
confident that they have the skills and competences
required to treat patients direct before doing so. A
period of practice working to a dentist’s prescription
is a good way for registrants to assess this.
However the Council stated that with the potential
for further training for CDTs this decision could
be reviewed.
5. Dental technicians
Registrants who qualified since 2002 covered the
full scope of practice in their training, while those
who trained before 2002 may not have covered
everything. However, many of these registrants will
have addressed this via top-up training, CPD and
experience. Those who qualified before 2002, or
those who have not applied their skills recently, must
review their training and experience to ensure they
are competent to undertake all the duties within
their scope of practice.
• All registrants must be trained, competent and
indemnified for any tasks they undertake.
What dental hygienists and dental therapists can’t
do under direct access:
• All registrants must continue to work within their
scope of practice regardless of these changes.
•
• Registrants must make clear information
available to patients on the treatment available
and the role of the team members
Tooth whitening - the first application of tooth
whitening treatment must be done by a dentist;
any subsequent application can be done by a
dental hygienist or therapist on prescription from
the dentist.
• Prescribe radiographs – the dentist remains the
only member of the dental team who can
prescribe radiographs.
• Prescribe local anaesthesia – as a ‘prescription only’
medicine it can only be prescribed by a suitably
The work of a dental technician (other than repairs)
should continue to be carried out on the prescription
of a dentist.
Dental professionals are encouraged to get in touch
with the GDC if they have any questions.
It should be remembered that:
• All registrants must continue to follow the GDC’s
Standards for Dental Professionals.
Dental care professionals do not have to offer direct
access and should not be made to offer it.
Guidance for registrants was published before these
changes came into effect on 1 May 2013.
DH CONTACT
NEWS
BDA RENEWS C ALL TO ERADICATE
ILLEGAL TOOTH WHITENING
The British Dental Association (BDA) has issued a fresh call
for illegal tooth whitening by non-dental professionals to be
stamped out, and urged dental professionals to play their
part in forcing the demise of the whitening cowboys.
Speaking at the 2013 BDA Conference and Exhibition, Dr Stuart
Johnston, a member of the BDA’s Principal Executive Committee,
renewed his call for dental professionals to assist the General Dental
Council and Trading Standards organisations by reporting illegal
whitening treatments where they know them to be taking place.
Dental professionals can also play a full part in ensuring patients are
aware of the risks involved in illegal whitening, he said, by displaying
one of the BDA-produced 7 things you didn’t know about tooth
whitening posters in the waiting areas of practices.
Dr Johnston’s original call for a new era of patient safety, made in
response to the legal change in October 2012, and a joint statement
issued by several organisations within the dental family, including
BSDHT, are available on the BDA website. (www.bda.org)
The BDA has also published guidance for members explaining the changes.
TEPE SUPPORTS
NATIONAL SMILE MONTH
Supporting National Smile Month – 20 May to 20 June 2013 - TePe
are giving away 24 ‘Smileys’ with every TePe Smile pack purchased.
dental health.
Each Smile pack comprises 24 TePe Select toothbrushes (12 Compact
and 12 Mini), 12 TePe patient leaflets entitled ‘Looking after your
teeth’ plus 24 Smileys. TePe toothbrushes are high quality toothbrushes
with a user-friendly handle. The tapered brush-head improves
access and the end-rounded filaments provide a gentle clean.
Each Smile pack is
available for a specially
discounted price, for more
information please contact
your usual wholesaler
(while stocks last).
While the Smileys are guaranteed to raise a smile, the inclusion of
attractive toothbrush and encouragement and information in the
leaflet are sure to be a winning combination for your patients’
Contact: TePe UK &
Ireland on 01934 710022
or visit infoUK@tepe.com
V I S I T T H E B SD H T ON L I N E
See below for details of how to log on to the members’ area
• Logging on to the members’ area, you will see the box below on the screen
• Complete the boxes using the following information:
• User name: your full name, no abbreviations, no spaces, all in lower case eg.
dianamarysmith. Password: your BSDHT membership number.
• If you need clarification of the details we have on file – first name, middle name (if
provided) and membership number – please contact BSDHT on 01452 886 365.
• Let us know what you think about the new site by clicking the ‘contact us’ button in the
top right hand corner.
Volume 52 No 3 of 6 June 2013
3
BULYING IN THE WORKPLACE
Bullying in
the workplace
Bullying in the workplace is all too common,
and dental hygienists can be particularly
exposed, often working in a small team
or organisation, without the support,
infrastructure and even policies that larger
businesses will have in place.
There is legal protection for employees who are
bullied at work, but the rights of self-employed
people are less defined and less well-understood.
The term “bullying” is widely used, but is not a
legal definition. Harassment is the term used to
describe unwanted conduct that affects one’s dignity
at work and, while the two terms are often used
interchangeably, they can take many forms.
All members
of the British
Society of
Dental Hygiene
and Therapy
have access to a
free 24hr legal
advice helpline
provided by the
DAS Group.
Call
0117 934 0553
Bullying need not necessarily come from a boss
or supervisor. It could be unfair treatment such
as denying someone opportunities for training or
promotion, simply picking on them, spreading
malicious rumours or regularly undermining their
work. It can involve the misuse of power
or authority, but it could just as well come
from one or a group of co-workers.
Whatever the form it takes, bullying is
not in itself against the law. Harassment,
however is defined in the Equality Act
2010 as:
“…unwanted conduct related to a relevant
protected characteristic, which has the
purpose or effect of violating an
individual’s dignity or creating
an intimidating, hostile, degrading,
humiliating or offensive environment for
that individual.”
A key term here is the “protected
characteristic” which means that the
unwanted behaviour must relate to one’s
age; sex; disability; gender (including gender
reassignment); marriage or civil partnership;
religion or belief; pregnancy and maternity; race
or sexual orientation.
What can you do?
Because there is no specific law against bullying,
4
the options for legal recourse can vary. One route
would be to bring a case of constructive dismissal.
A claim of discriminatory harassment might also be
appropriate, if the bullying constitutes harassment
according to the definition above. A case for civil
or even criminal harassment could also be brought,
under the Protection from Harassment Act 1997,
but successful claims from the workplace under
this legislation are rare. The civil courts also hear
personal injury compensation claims where it is
alleged that an employer’s negligence has allowed
bullying that has caused physical or mental injury.
The situation for self-employed workers is less clear,
not least because the definition of self-employment
is not cut and dried. HMRC, for example, might
consider a worker to be self-employed for taxation
purposes but this would not necessarily preclude
them from being treated as an employee by an
employment tribunal.
The question of whether someone’s working
circumstances constitute “employment” in the eyes
of the law is something that is very much dependent
on the individual circumstances.
However, some legislation that concerns harassment
applies to employees and the self-employed alike.
The terms of the Equality Act 2010 protect almost
all workers from discrimination, regardless of their
employment status. Under this law, even somebody
who is genuinely self-employed, whether through an
agency or on a contract direct with the company, is
protected from harassment.
If you find yourself being bullied at work, the first
course of action should usually be to try to resolve
the issue informally. It may be that raising the matter
with a manager or HR department, if there is one,
is all that it takes to find a resolution.
All members of the British Society of Dental
Hygiene and Therapy have access to a free
24hr legal advice helpline provided by the
DAS Group, if you would like to speak with
us about an employment issue or any personal
legal issue call 0117 934 0553 to get in touch
with a legal professional.
DH CONTACT
CPD DEADLINE
CPD Deadline -
have you done enough verifiable?
On 31 July this year almost 40,000 dental
care professionals (DCPs) will come to
the end of their first five year cycle of
continuing professional development (CPD).
4. You must obtain and keep documentary proof
(e.g. a certificate) of your attendance/participation
from an appropriate third party (e.g. the activity
provider/organiser).
By that date you must have completed 150 hours of
CPD. This is a legal requirement and registrants will
have until 28 August 2013 to declare the hours that they
have completed or risk losing their GDC registration.
The GDC has identified areas of CPD that DCPs
should do as part of the overall 50 hour minimum
verifiable CPD requirement. These can be found on
the GDC website.
Verifiable & general CPD
General CPD activities are those which contribute
to the professional development of a DCP, but do
not meet all four of the criteria for verifiable CPD.
Examples might include staff meetings, conferences,
journal reading and private study.
Of the 150 hours dental care professionals must
complete, 50 must be verifiable. This means that the
CPD must meet certain criteria.
For an activity to count as verifiable CPD it must
meet all four of the criteria outlined below:
1.
2.
3.
Concise educational aims and objectives;
Clear anticipated outcomes;
Quality controls (i.e. you should be given the chance to feedback); and
Volume 52 No 3 of 6 June 2013
Of the 39,892
DCPs in
the cycle,
15,837 have
completed all
their hours
and 4,106
have yet to
declare any.
A number of case studies are available on the GDC’s
website as examples of what other people are doing.
What DCPs have told us so far
Of the 39,892 DCPs in the cycle, 15,837 have completed
all their hours and 4,106 have yet to declare any.
5
FOCUS ON BSDHT MEMBER
My Life Outside
of Dentistry
Patricia Macpherson
“Good morning” he said as I breezed into the practice
after the May Bank Holiday, “How are you?” I winced
and responded that I was fine apart from an aching back
and shoulders. My dentist colleague then asked me what
I had been up to. “Petalling”, I responded.
“Pedalling – ah, you’ve been on a bike ride?”
“No”, I replied.
“Peddling?” he said “a car boot sale, perhaps?”
I replied to the negative, feeling I was in the middle of a Two
Ronnies’ sketch.
“Well Boarding”, I said.
“Oh, I see, you have been boarding, you know, staying somewhere”.
I shook my head. “Surf boarding?” Things were getting desperate here
- we live in the Midlands - about as far from the sea as you can get.
“No”, I responded wearily - “Well Dressing - petalling Well Boards.”
He still looked blank. Let me explain. Unless you live in Derbyshire
or Staffordshire or have been on holiday there, you might never have
heard of Well Dressing.
There is uncertainty to the true origins of Well Dressing but it became
significant in Derbyshire in the 17th Century at the time of the Great
Plague when villages gave thanks for being spared from the disease.
The inhabitants of the village of Eyam were devastated by the disease
which had been introduced in a package of clothing from London.
Fortunately they had quarantined themselves to prevent the Plague from
spreading to other places and so local villages gave thanks to God for
His gift of clean water by dressing their wells.
Newborough is a small village of just over 150 houses in rural
Staffordshire, just north of Lichfield. In 1978 a group of local ladies
decided that they would try Well Dressing having seen it in Derbyshire
where it has been a long standing custom. I have lived here for the last
ten years and have been intrigued from the moment I saw the Well
Boards. It has been a great privilege to be part of this annual event
which always takes place on the first Bank Holiday Monday in May.
6
Two weeks before the event, our sturdy wooden boards are soaked in
water, then a week later some of the men in the village puddle the clay
which comes from a local brick yard. The clay needs to be smooth and
free from stones. It has to be the correct consistency as if it is too dry it
will not hold the petals and if it is too wet it will fall off the boards when
they are erected vertically. The Main Well board is approximately 7ft
by 5ft and is comprised of five boards, the two other Well boards are
5ft x 2ft and 4ft6” x 3ft in size with a raised lip to hold the clay. The
clay is put onto the boards and a smooth surface is created. As you can
imagine the boards are very heavy when filled with this wet clay. They
are then placed level on tables in a marquee.
The designs for the Well Dressing are drawn in advance. A replica of the
pencil design is attached to the wall for reference whilst a copy is made
on tracing paper. This outline picture is laid on the clay. Using a thin
knitting needle we prick through the outline to mark the clay. The paper
is removed and basically we join the dots to reproduce the outline in the
clay. For the first three days, willing volunteers follow the outline with
various natural materials which are non-perishable, such as alder cones,
coffee beans, damson and plum stones, pumpkin seeds, date stones,
bark, coal or even sweetcorn. Some areas between the outlines are then
filled in with moss, various leaves and other greenery taken from local
woods and gardens. Whole leaves are used and the stem end is pressed
lightly into the clay with a knitting needle or toothpick – it is important
to avoid handling the material too much or else it will be damaged.
Early on the morning of the fourth day I accompany the designer to
Birmingham Flower Market where we purchase an array of flowers
– blue hydrangeas for sky or water, various colours of chrysanthemums,
gerberas and carnations which all petal well. (Not all flowers are suitable
for petalling). We return to Newborough to put them all in water and
then the petalling begins. The petals are gently plucked from the flower
heads and then the end where it would be attached to the flower head is
pressed into the clay. They are very delicate and can bruise easily. We
start at the bottom of the area to be petalled and a horizontal line of
petals are inserted pointing downwards. The next row overlaps the first
and so on so it looks rather like fish scales or roof tiles. This also means
that should rain fall on the Well Boards when they are erected, it should
run off the petals rather than dislodge them.
DH CONTACT
FOCUS ON BSDHT MEMBER
Focus on BSDHT Member
is an occasional column
inviting members to
share their interests
and hobbies with our
readers. Please send
any contributions you
would like to make
to the column to the
Editor at editorofdh@
ntlworld.com
It is painstaking work and we all suffer from aching backs and shoulders
from bending over the well boards, but the end result makes it
all worthwhile. There is nothing more rewarding than standing
back when then the boards are erected vertically in the village and
admiring the area that you have petalled! Newborough normally
completes three or four Well Boards. Our main Board, with which I
was involved last year, was the Royal Standard which celebrated HM
The Queen’s Diamond Jubilee whilst the smaller board represented
the 2012 Olympics. In recent years we have produced a small round
Memorial board to remember someone from the village who has
passed away and the design represents their interests/life.
The Well Boards can have a religious or secular theme, we tend
to be more secular in our choice. In Newborough 2011 the theme was
Autumn, 2010: The Seaside (included a man, who on spotting a
nubile young lady in the deck chair, is giving the ‘thumbs up’ sign
behind his wife’s back!), 2009: Victorian Newborough (we had fun
with the naked man! There was great attention to detail) 2008:
Romeo and Juliet, 2007 (each person who took part in the petalling
was represented in the audience watching the play): Wizard of Oz,
2007: Cinderella, 2006: Alice in Wonderland, 2005 Peter Pan, 2004
Wind in the Willows and in 2003: St George and the Dragon.
The village of Tissington is well worth visiting to see their Well
Dressings as they petal seven or more boards which tend to have
a more religious bent. Their Well Dressing always takes place
around Ascension Day. However, from May to October you will
probably find a Well Dressing somewhere in Derbyshire so do stop
and look closely at the boards and perhaps drop a few coins into
the charity boxes so that this beautiful tradition can continue. If you
come across the Well Boards when they are being prepared – do
ask if you can have a go – we certainly always welcome any help –
young or old!
So now you know what we mean by petalling and Well Boards.
“Four candles” anyone?
Follow the link www.welldressing.com to find a calendar and also
photographs of Well Dressings in other towns and villages
throughout the area.
Volume 52 No 3 of 6 June 2013
7
NEWS
Fluoride treatment of synthetic
bio-material assists bone regeneration
Bone regeneration techniques include the use of artificial materials
such as hydroxyapatite and tricalcium phosphate. Implant products
are being made with surface coatings or textures that have a biological
effect on protein attachment and cell proliferation. When fluoride is
added to this surface, it activates osteoblastic, or bone-making, cells and
increases the rate of bone regeneration.
The Journal of Oral Implantology reports on a study where hydroxyapatite
granules were treated with a neutral 4 percent sodium fluoride solution.
This led to the formation of a reactant resembling calcium fluoride
on the surface of the granules. Immediate but slow release of fluoride
came from the granules, and the concentration increased over time.
Migration of human osteoblast-like MG-63 cells was confirmed when
compared to a nonfluoridated control sample.
Fluoride concentrations of 1.0- 2.0 parts per million (ppm) showed this positive
effect. When the concentration reached 5.0 ppm, however, the opposite
effect was observed - the fluoride significantly inhibited cell proliferation.
The authors conclude that the fluoride solution stimulates bone
regeneration. The slow release of fluoride from hydroxyapatite
granules facilitates osteogenesis, making this a beneficial method to
supply fluoride and promote cell proliferation.
The full text of the article: Fluoride-Treated Bio-Resorbable Synthetic
Hydroxyapatite Promotes Proliferation and Differentiation of Human
Osteoblastic MG-63 Cells. Journal of Oral Implantology, Vol. 39, No.1,
2013, is available at http://www.joionline.org/doi/full/10.1563/
AAID-JOI-D-10-00175.
Periodontitis and Systematic Diseases
Free Access to the Proceedings of the EFP – AAP Workshop in Periodontology
This landmark event with experts from Europe and the US took place in La Granja, Spain in November 2012. The meeting’s aim was to create
a background of evidence-based reviews and consensus reports that established the associations between periodontitis and systemic diseases, in
particular cardiovascular diseases and diabetes.
The focus was to translate the state of the science (biological mechanisms, epidemiological data and results of intervention trials) into specific
recommendations for practitioners, policy makers and the public and identify specific areas that require further research.
The supplement features papers from 4 working groups and consensus reports on the same topics
Working Group 1: Cardiovascular Disease and Periodontitis
Working Group 2: Diabetes and Periodontitis
Working Group 3: Adverse Pregnancy Outcomes (APOs) and Periodontitis
Working Group 4: Other Diseases (Rheumatoid Arthritis, Pulmonary Diseases, Cancer) and Periodontitis
More information about the workshop, its outcomes, resulting policies and EFP Manifesto are available at: perioworkshop.efp.org
Copy dates for DH CONTACT
1st JULY for the AUGUST issue
-
The Editor would appreciate items sent ahead of these dates when possible. Send your contributions to:
The Editor, Heather Lewis, 19 Cwrt-y-Vil Road, Penarth, Cardiff CF64 3HN or Email: editorofdh@ntlworld.com
8
DH CONTACT
INCOME PROTECTION
HOW INCOME PROTECTION
MAKES YOU SMILE
It’s National Smile month, so a good time to think about the things in life that make you smile.
Whether it’s spending time with your friends and family or going on holiday, for most of you I bet
it won’t be your finances. However, in honour of this month, I challenge you to think differently
about your finances.
Let’s face it, money helps the world go round but what would you do if you suddenly lost your ability to earn an income?
Income Protection insurance provides peace of mind if you don’t have three to six months of savings to fall back on, paying out if
you’re unable to work through illness or injury. However, in a recent health and protection survey only 8% of respondents had an
Income Protection policy, despite most agreeing the state won’t provide much help.
In the same survey, Income Protection was also selected as the most important way to protect your finances against illness or injury so
here are 10 reasons why Income Protection will make you smile:
1) It’s tax free. Income protection provides a regular tax free income if you’re unable to work due to illness or injury.
2) Protects against unexpected circumstances. You can’t predict when you’re going to injure yourself or fall ill so it’s useful
to have a back-up plan.
3) Provides more than the state. If you are ill or injured, the government provides a maximum of £105.05 per week.
However, for a monthly investment of £37, Income Protection can pay around £1,650 a month for a 30 year old dental
hygienist earning £30,000.
4) No limit to how much you can claim. If you’ve got a nasty illness that keeps coming back, you can rest assured knowing
your finances are covered.
5) Covers a wide range of illnesses. No matter why you’re off work, Income Protection protects you against a range of conditions.
6) Provides an income straight away. There’s no need to wait for your money as you can receive an income straight away.
7) Gives an income as long as you need it. If you’re off work for two weeks, two months or two years, Income Protection
provides you with an income until you return to work.
8) Maintains your lifestyle. Enables you to keep up with bills and everyday expenditure.
9) Is flexible. Insurances can be costly, but payments can be worked out on what cover you require and what you can afford.
10) Provides peace of mind. Just like the service you provide your patients, you’re after peace of mind. Income Protection
reduces stress as you know you have a financial safety net to fall back on.
To make your search even simpler here are some extra tips to choosing the correct provider:
1)
2)
3)
Check their claims history. If their claim pay out rate is over 90% you can be sure your claim is
likely to be paid.
When will you receive your money? If you’re after an immediate income, check your provider offers
this and ask for a policy without a deferment period.
Do they give you extra? If you choose a policy from a mutual society, they will give you a share
of the profits once your policy comes to an end
Also take a look at independent organisations such as Which? as they provide lots of helpful advice.
So challenge your assumptions about insurance and see if you come out with a winning smile as
well as peace of mind this month.
David Thompson is CEO of dg mutual - Income Protection specialists who have been helping selfemployed professionals to protect their income since 1927.
dg mutual paid out 99% of Income Protection claims for the fourth year running in 2012 and over
60% of claims within one week. As a Mutual Society, dg mutual has no shareholders but instead
pays out a share of the profits to all members. http://www.dengen.co.uk/live/news/news.asp
For an instant online Income Protection quote from dg mutual, visit: www.dengen.co.uk
Volume 52 No 3 of 6 June 2013
9
NEWS
Supported by
WANT TO PRESENT
YOUR WORK?
Present your work to like minded hygienists/therapists at the BSDHT OHC 2013
ORAL HEALTH CONFERENCE & EXHIBITION
15 & 16 NOVEMBER 2013 - ICC, BIRMINGHAM
The British Society of Dental Hygiene
and Therapy (BSDHT) would like to
invite colleagues to submit posters
for the OHC 2013.
Please complete the ‘Poster Submission Form’
which can be found on the BSDHT website.
All posters submitted for the OHC 2013 will
be entered into this years poster competition
where there will be prizes for the ‘Winner’,
‘Runner Up’ and ‘Best Student’ submission.
BSDHT welcome your
support and participation.
You may either send your
research, case studies or
literature reviews by post to:
BSDHT. 3 Kestrel Court,
Waterwells Business Park,
Gloucester. GL2 2AT
Or via email:
enquiries@bsdht.org.uk
Please visit
www.bsdht.org.uk
* terms and conditions apply, please contact the BSDHT office for details
For more information please
contact Alastair Lomax at:
enquiries@bsdht.org.uk
10
DH CONTACT
SOCIETY NEWS
The minutes of the
EXTRAORDINARY GENERAL MEETING
held on the 25th of January 2013 are available on the BSDHT website.
www.bsdht.org.uk
ORAL HEALTH CONFERENCE & EXHIBITION
looking beyond the obvious
15 & 16 November 2013, ICC Birmingham
www.bsdht.org.uk
EXCL USIVE MEMBERSH IP BENEFIT
ONE YEAR’S FREE BSDHT MEMBERSHIP, WITH SPECIALIST FINANCIAL ADVICE
The BSDHT has teamed up with BDA appointed financial services
provider, Lloyd & Whyte, to provide specialist Independent Financial
Advice and Insurance Services to members. In addition, those members
who arrange Income Protection policies or Pension Plans through
Lloyd & Whyte before 30th September 2013 will receive a year’s free
BSDHT membership.
It’s long been recognised by most dental hygienists and therapists that
whilst there are many benefits from being self-employed there can also
be an increased level of financial uncertainty.
So it’s important to consider how you will provide for yourself not only
if you’re unable to work through illness or injury but also later in
retirement. Financial Planning can help bring some security to what,
otherwise, can be an uncertain future.
Volume 52 No 3 of 6 June 2013
Lloyd & Whyte have been appointed by the BDA for the past 15 years
and draw on a wealth of experience in serving the dental profession.
The firm holds Chartered Financial Planners, Chartered Insurance
Brokers status and is independent of any product provider. A
combination of which means you benefit from professional,
independent and impartial advice which is relevant to your unique
requirements as a dental professional.
For an informal discussion on how Independent Financial
Advice can help you achieve better financial stability, or to
discuss individual products such as Income Protection and
Pension Planning and for more information regarding the free
BSDHT Membership offer, call 01823 250750 or visit www.
bsdht.org.uk/lloyd_whyte.
11
DIARY DATES
DIARY DATES
AUTUMN 2013 BSDHT REGIONAL GROUP MEETING DATES
Regional Group
Date
Eastern
Venue
Contact the
Secretary
West Suffolk Hosp.Postgraduate
Centre, Bury St Edmunds
Juliette Reeves
Contact Details
bsdht.east@gmail.com
Donna-Marie
Cooper
londonbsdht@gmail.com
Radisson Blu Hotel, East Mids
Airport DE74 2TZ
Joanna Ericson
joanna.ericson@
hotmail.co.uk
21st September 2013
Mercure Hotel, Wetherby
Sharron Parr
nergsecretary@
gmail.com
Northern Ireland
21st September 2013
Radisson Hotel, Ormeau Road,
Belfast
Trudi Fawcett
secretarybsdhtni@
gmail.com
North West
21st September 2013
Park Royal Hotel, Stretton
Kate Reading
ksr@moorlands.net
Jane MacConnell
bsdhtscottishsecretary@
gmail.com
London
28th September 2013
Midlands
12th October 2013
North East
Scottish
South East
14th September 2013
David Saloman’s Centre,
Tunbridge Wells
Janet Scott
janet.scott@sky.com
Southern
25th September 2013
Holiday Inn, Winchester 6-8pm
(Evening Event)
Gloria Anne Perrett
secsouthern@gmail.com
5th October 2013
Hilton Hotel, Aztec West, Bristol
Joanne Wilkinson
bsdht.swsw@
gmail.com
South West Peninsula
21st September 2013
Boringdon Park Golf Club,
Plymouth
Joanna West
jowest60@gmail.com
Thames Valley
28th September 2013
Puma Oxford Hotel, Godstow Rd,
Oxford OX2 8AL
Karrie Archer
karrie.archer@
btinternet.com
S West &
South Wales
BRISTOL SCHOOL FOR DENTAL CARE PROFESSIONALS
Course Details for Extended Duties Courses 2013 for Qualified Hygienists
& Therapists. Each course has a maximum of 12 participants and places allocated
on a first come, first serve basis.
TAKING ALGINATE IMPRESSIONS
DATE: Friday 7th June 2013
COST: £75.00
TEMPORARY DRESSINGS
TIME:
DATE: Friday 7th June 2013
COST: £120.00
AIM:
To deliver theoretical knowledge and practical experience to enable
the hygienist to take effective impressions for study models. A log book will be
given for personal reflection for initial impressions taken in your practice setting.
TIME: 9.30am to 1pm
AIM: To give the hygienist or therapist theoretical knowledge and confidence
to place temporary restorations if existing restorations are lost or displaced
during a routine hygiene appointment. It includes a practical element of
selecting, mixing and placing correct restorative materials in different types
of cavities on phantom heads. In addition the course enables the participant
to remove composite and cements particularly for post orthodontic treatment
and recementing crowns with temporary cement.
OBJECTIVES: • Describe types of materials available and perform effective placement
• Removal of cement with rotary instruments
• Re-cementing crowns with temporary cement
12
10am to 12.30 or 2pm to 4.30pm (Preference for afternoon session
will be given to participants who have booked Temporary Dressings in the morning)
OBJECTIVES: • Understand the biomaterial theory of alginate
• Describe the procedure and take an effective impression.
LOCAL ANAESTHETIC ADMINISTRATION (2 DAY COURSE)
DATE: Friday 17th May & Friday 6th September 2013 (both days mandatory)
COST: £200
TIME: 9.30am to 5pm both days
AIM:
To acquire the knowledge and skills to be able to administer a safe,
comfortable and effective technique for both local infiltration and inferior
DH CONTACT
DIARY DATES
dental block administration. The training days consist of both theoretical
and practical components.
The participant will be issued with a log book after the first training
day to complete the administration of 10 local infiltrations and 10
inferior dental blocks under the direct supervised of a Registered
Dentist in the participant’s practice setting before full certification.
OBJECTIVES - DAY 1: • Describe relevant anatomy and physiology
• Understand different anaesthetic agents and constituents of LA cartridges
• Understand drug interactions, complications and contraindications
associated with LA
• Identify the anatomy of relevant landmarks
OBJECTIVES – DAY 2:
• Discuss clinic technique and variations from personal experiences.
• Explain latest developments for local anaesthetic delivery.
• Demonstrate placement and positioning of additional and alternative injections.
CONTACT: claire.price@uhbristol.nhs.uk Tel: 01173 424 360
CORE CPD FOR DENTAL CARE PROFESSIONALS
SUBJECTS COVERED: Legal and ethical considerations for the
DCP; Complaints handling and communication; Disinfection and
decontamination; Radiography; Oral cancer: improving early detection;
Child protection; Medical emergencies (Please email for a programme).
DATES: COST: 22nd June, Worthing, West Sussex
21st September, Becketts Farm, Birmingham
30th November, Worthing, West Sussex
£49.00 (including tea/coffee and a light lunch)
SPEAKERS: Sue Bagnall, Nicky Gough, Becky Blackmore, Rhonda Hale
and Jon Kyle Andersen
5 hours core verifiable CPD
CPD: BOOKING: enquiries@cpd4dentalhygienists.co.uk
NEW LONDON DEANERY COURSES
5. Topical and local anaesthetic review
6. Hand vs ultrasonic instrumentation
7. Correct operator positioning to avoid back and neck problems
8. Patient management: dealing with problem patients
9. Knowing your limitations: avoiding medico-legal issues
10. An overview of modern instruments for more effective non-surgical therapy
11. Working as a team and making it work & referring for specialist help
ADVANCED MANAGEMENT OF PERIODONTAL DISEASE
– 6 DAY COURSE
SPEAKERS: Dr. Peter Galgut and Hayley Lawrence
DATES: Wednesdays - 1st May, 8th May, 10th July, 14th August & 4th Sept
VENUE: LonDEC
TIME: 9:30 - 4:30
DENTAL HYGIENIST AND THERAPIST STUDY CLUB
SPEAKERS: Sarah Balian, Elaine Tilling, Hayley Lawrence
DATES:
Tuesdays - 7th May, 21st May, 4th June, 18th June, 2nd July,
16th July, 30th July, 13th August, 27th August, 3rd September
and 17th September
VENUE: Northwick Park Dental Education Center
TIME: 6:30 – 9:30pm
AIM: This will be an opportunity for dental hygienists and therapists
to have discussions, share best practice, knowledge and experiences.
There is the scope for learning from each other and for dental hygienists
and therapists to build on existing knowledge. There will be discussions
surrounding theory and practice with the opportunity for critical evaluation.
UPDATE ON LOCAL ANAESTHETIC - 2 DAY COURSE
SPEAKERS: Dr. Ambika Chada and Hayley Lawrence
DATE: 11th June & 17th September
TIME: 9:30 - 4:30
VENUE:
Northwick Park Dental Education Center
ADVANCED MANAGEMENT OF PERIODONTAL DISEASE - 6 DAY COURSE
DCP OPEN EVENING
SPEAKERS: Dr. Peter Galgut and Hayley Lawrence
DATES:
Tuesdays - 7th May, 25th June, 9th July, 14th August & 3rd Sept
VENUE: Northwick Park Dental Education Centre
TIME:
9:30 - 4:30
AIM: to summarise current thinking in periodontology, give and demonstrate
practical aspects of the management of periodontal diseases in clinical practice,
and to explore clinical management of periodontally related problems.
TOPICS INCLUDE:
1. Mechanical non-surgical periodontal therapy and pharmacological
adjuncts to mechanical cleansing
2. Probing techniques and forces
3. Effective treatment planning & time management
4. Reading & interpreting radiographs
Volume 52 No 3 of 6 June 2013
AIM: To discuss CPD requirements and upcoming courses for
DCPs at Northwick Park Centre.
OBJECTIVE:
1. To discuss the requirements for DCP for the end of the first CPD cycle
2. To discuss Personal Development Plans
3. To evaluate what CPD has been complete and what is needed.
DATE:03/06/2013
VENUE:
Northwick Park Dental Education Centre
TIME:
6:30 – 9:30pm
REGISTER: https://www.ewisdom-london.nhs.uk/coursesandbooking
CONTACT: hayley.lawrence@londondeanery.ac.uk
13
NEWS
Traditional dental anesthesia is more
effective with addition of mannitol
A study has found that the addition of the drug mannitol
significantly increases the effectiveness of local anesthetic.
The journal Anesthesia Progress published a study testing the efficacy of
lidocaine with epinephrine compared with equal amounts of lidocaine
with epinephrine plus mannitol. After injection of the anesthetic, the
subjects’ teeth were electric pulp tested for sensation. Pain of solution
deposition and postoperative pain were also measured.
Failure rates of 10 percent to 39 percent for the traditional formulation of
lidocaine and epinephrine have been reported. One reason may be that,
because of the perineurial barrier around the nerve, the anesthetic
solution does not completely diffuse into the nerve trunk. With mannitol,
the anesthetic solution permeates the nerve trunk in greater amounts,
increasing the efficiency of the anesthetic.
The same 40 patients were given both drug combinations in two separate
appointments at least one week apart. To blind the experiment, random
five-digit numbers were assigned to each anesthetic formulation, so
neither the patients nor the personnel administering the anesthetic
knew which formulation was being given.
An electric pulp tester was used to test the sensitivity of the patients’ teeth.
A drop of toothpaste acts as a conductor of the electric current to the tooth.
After the injection of the nerve block, different teeth were tested once a
minute in a repeating pattern for a total of 60 minutes. The patients also
rated their experiences of lip numbness and postoperative pain on a
scale of 0 to 3.
No significant differences were found between the two treatments
for pain of solution deposition and postoperative pain. However, the
mannitol treatment in this test was shown to be more effective for all
teeth, offering a greater level of pain relief for dental patients.
You can read the paper in full: Anesthetic Efficacy of a Combination of
0.5 M Mannitol Plus 127.2 mg of Lidocaine With 50 μg Epinephrine
in Inferior Alveolar Nerve Blocks: A Prospective Randomized, SingleBlind Study. Anesthesia Progress, Vol. 60, No. 1, 2013 at http://www.
anesthesiaprogress.org/doi/full/10.2344/11-00040.1
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Call 01823 250750
visit www.lloydwhytedental.com/bsdht
Lloyd & Whyte Dental Division is a trading style of Lloyd & Whyte (Financial Services)
Ltd, who are authorised and regulated by the Financial Conduct Authority. Lloyd &
Whyte (Financial Services) Ltd are registered in England at Affinity House, Bindon
Road, Taunton, TA2 6AA (no: 02092560). Calls may be recorded for use in quality
management, training and customer support. *One year free membership voucher
issued when you arrange an income protection or pension policy through Lloyd &
Whyte. Offer can only be redeemed once per person. Offer ends 30th September 2013.
DH CONTACT
RECRUITMENT
Recruitment
BERKSHIRE
Windsor. Part time hygienist required for busy mixed practice
in Windsor, Berkshire. Fully computerised, specialist and training
practice. Please contact Beryl on 01753 623723 or e-mail
b.beard@caredentalwindsor.co.uk for further information.
BUCKINGHAMSHIRE
High Wycombe. Locum hygienist maternity cover required (August
2013 to March 2014) for High Wycombe private group practice. Mixed
appointment lengths and highly supportive and motivated dental team.
E: angela@wycombe-dental.co.uk W: www.wycombe-dental.co.uk
LONDON
EC3R. Central London private practice seeks dynamic and
experienced hygienist to join our successful practice. Please send
your CV through to bridget.mcgrade@thedentalsurgery.co.uk
and a quick note as to why this position would suit you.
MIDDLESEX
Twickenham. Part time hygienist required for busy private practice
one day per week (Mondays 8am - 6pm) in Twickenham. Fully
computerised, multi disciplinary practice. Good communication skills
and gentle manner essential. To apply please forward your CV via
email to Katie Shillingford at claremont.dental@virgin.net
CHESHIRE
Northwich. Part-time hygienist or therapist required to replace
retiring hygienist, currently working three sessions per week. Please
email your CV to andrewtyler@nhs.net
DEVON
Plymouth. Part time hygienist required. One and a half days a
week. Predominately private practice. Immediate start available.
Please telephone 01752 662986 for further information.
HAMPSHIRE
Havant. Therapist/hygienist required to join long established
progressive general practice. One session a week (Wednesdays 2pm
- 8pm) of mixed therapy and hygiene. To apply or if you would like
more information or an informal visit to the practice please contact
Christine Allberry on 02392 486315 or at chris@eastendlodge.co.uk
Southampton. Dental hygienist required to join friendly,
enthusiastic team in private practice in Southampton. One to two
days a week. Own surgery, air conditioned. Preventive emphasis in
practice. Experience preferred. Non smoker. Please telephone
023 8077 5900 for further information.
SUFFOLK
Newmarket. Dental hygienist required for one day per week to begin
with, preferably Monday. Fully computerised, private practice near
Newmarket, Suffolk. Nursing support provided. Please email your CV
to newmarketdentist@gmail.com
SURREY
Woking. Part time hygienist/therapist wanted, ideally Mondays
and Fridays. To work in a busy private referral practice including
periodontics, prosthodontics and oral surgery. Significant implant
involvement as well as a wide range of work for a therapist. Please
send your CV to paul@dentalpb.co.uk or telephone 07956 375449.
WEST SUSSEX
Pulborough. Fantastic opportunity for an outstanding hygienist or
therapist to join our exclusive fully private dental practice in Pulborough.
Thursdays initially. Full diary and full nurse assistance. Dedicated hygiene
surgery with American Eagle XP instruments, Cavitron and Air flow.
Outstanding salary for the right clinician. Excellent communication skills and
gentle, considerate approach essential. Please send covering letter and CV
to charley@vitality-dental.com or call 07703 006536. Start August 2013.
DID YOU KNOW...
You can now follow the
BSDHT on Facebook and Twitter?
Volume 52 No 3 of 6 June 2013
15
THE
BRITISH
SOCIETY
OF
D E N TA L
HYGIENE AND THERAPY
Annual Clinical Journal of
DENTAL HEALTH
Study to measure the clinical
effectiveness of a dental hygienist
in a cleft lip and palate unit
Bulimia Nervosa: The role of the
dental hygienist in the care of the
bulimic patient
Determining the best method of
applying CPP-ACP containing
pastes and fluoride to eroded
enamel in order to limit the
amount of tooth wear in vitro
Study to measure the clinical
effectiveness of a dental hygienist
in a cleft lip and palate unit
Bulimia Nervosa: The role of the
dental hygienist in the care of the
bulimic patient
www.bsdht.org.uk
CALL FOR PAPERS
IF YOU WOULD LIKE YOUR RESEARCH FEATURED IN THE THIRD ISSUE OF THE
ANNUAL CLINICAL JOURNAL OF DENTAL HEALTH, PLEASE CONTACT THE EDITOR:
editorofdh@ntlworld.com