The presence of certain proteins in pre-malignant oral lesions may predict oral cancer development, a new study reveals.
The findings, which help eliminate the guesswork in some cases, ‘are fundamental, according to lead author of the study, oral and maxillofacial pathologist Dr Kalu Ogbureke.
Dr Ogbureke, from the Medical College of Georgia School of Dentistry, explained: ‘Several years ago we discovered that three SIBLINGs – osteopontin, bone sialoprotein and dentin sialophosphoprotein – were expressed at significantly high levels in oral cancers. Following that discovery, we began to research the potential role of SIBLINGs in oral lesions before they become invasive cancers.’
SIBLINGs (Small Integrin-Binding Ligand N-linked Glycoproteins) are a family of five proteins that help mineralise bone but can also spread cancer and have been found in cancers including breast, lung, colon and prostate.
The study, published online this week in the journal Cancer, examined 60 archived surgical biopsies of pre-cancerous lesions sent to MCG for diagnosis and the patients’ subsequent health information.
Of the biopsies, 87% were positive for at least one SIBLING protein – which the researchers discovered can be good or bad, depending on the protein.
As an example, they found that the protein – dentin sialophosphoprotein – increases oral cancer risk fourfold, whereas bone sialoprotein significantly decreases the risk.
Dr Ogbureke said: ‘The proteins could be used as biomarkers to predict [the potential of a lesion to become cancerous]. That is very significant, because we would then be in a position to modify treatment for the individual patient’s need in the near future.’
Pre-cancerous oral lesions, which can develop in the cheek, tongue, gums and floor and roof of the mouth, are risk factors for oral squamous cell carcinoma, which accounts for more than 95% of all oral and pharyngeal cancers.
Treatment so far has been hindered because of clinicians’ inability to predict which lesions will become cancerous.
‘When we treat these lesions now, there’s an implied risk of under- or over-treating patients,’ Dr. Ogbureke said. ‘For example, should the entire lesion be surgically removed before we know its potential to become cancer, or should we wait and see if it becomes cancer before intervening?’
Further complicating the matter is that the severity of dysplasia, or abnormal cell growth, in a lesion can be totally unrelated to cancer risk. Some mild dysplasias can turn cancerous quickly while certain severe dysplasias can remain harmless indefinitely.
Dr Ogbureke said: ‘If we’re able to recognise these lesions early and biopsy them to determine their SIBLING profile, then oral cancer could be preventable and treatable very early.’
He now plans to design a multi-centre study that incorporates oral cancer risk factors, such as smoking and alcohol consumption, to further investigate their relationship with SIBLING protein expression.
^1266969600^2572^’Fundamental’ findings in oral canc…^The presence of certain proteins in pre-malignant oral lesions may predict oral cancer development, a new study reveals.The findings, which …^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/siblingprote.png
Hurry for tickets to the World Aesthetic Congress 2010 ^
The UK’s leading annual aesthetic dentistry event is to be held on 11-12 June at the Queen Elizabeth II Conference Centre, London.
This, the ninth consecutive World Aesthetic Congress (WAC), is a unique opportunity for dentists and team members to learn from the world’s leading experts in the rewarding field of aesthetic dentistry.
To view the programme of lectures and alternative sessions visit www.independentseminars.com/wac.
Attending WAC is essential whether you’re new to aesthetic dentistry or experienced with a desire to remain at the forefront of this rewarding area.
Last year, more than 500 dentists, hygienists, technicians, team members and exhibitors benefited from the educational, networking and social opportunities that this prestigious annual event offers.
Plus, this year is set to be bigger and better than ever before, offering an unrivalled series of lectures and hands-on sessions that will earn you up to 14 verifiable CPD hours.
WAC 2010 hosts the world’s finest and most respected speakers including Corky Willhite, David Winkler, Linda Greenwall, John Cranham, Pedro Pena, Chris Orr, Komal Suri, Sia Mirfendereski and James Russell.
Over two days 34 renowned experts come together to present the key lectures on a range of aesthetic related topics of both a clinical and business nature. Delegates also have the option of attending the one-day dentist and team programme and one-day hygienist and therapist programme.
Also, don’t forget to consider the vast number of alternative sessions that you can attend in place of the key lectures.
After viewing the full programme on www.independentseminars.com/wac book your place by calling 0800 371 652. As places on the limited attendance sessions are booked on a first come, first served basis we advise you to book early to avoid disappointment.
Dentist standard delegate rate (Fri+Sat) £567+vat
*Subscriber dentist 10% discount (Fri+Sat) £510+vat
DCP (Fri) £225+vat
DCP (Sat) £225+vat
DCP (Fri+Sat) £300+vat
Special team price 1 dentist + 2 team members (Fri+Sat) £987+vat
*10% discount for subscribers to Private Dentistry, Aesthetic Dentistry Today, Implant Dentistry Today or Endodontic Practice.
^1267056000^2574^Hurry for tickets to the World Aest…^The UK’s leading annual aesthetic dentistry event is to be held on 11-12 June at the Queen Elizabeth II Conference Centre, London. Thi…^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/WAC2010.png
Gum treatment may boost diabetics’ health^^1274227200^2782^Gum treatment may boost diabetics^^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/blood-sugar-insulin.jpg
Help for dentists in face of PRSI cuts^^1267142400^2575^Help for dentists in face of PRSI c…^^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/SOE-Irish.jpg
New dental group seeks spokes for its hub^
A new dental practice group in Shropshire is set to become the largest in the region.
The practice took on a firm of business consultants to help develop its brand concept and grow the business through acquisition.
Velvet Group engaged the services of The Business Company after the firm worked on its behalf to facilitate and negotiate the acquisition of its ground-breaking hub practice, The Dental Spa, last year.
Following their appointment The Business Company worked with the Shrewsbury based practice to re-engineer its offering and prepare it for expansion.
The firm is currently in the process of identifying further suitable practices for acquisition in Shropshire, mid Wales, and Hereford and Worcester that will ultimately form 10 autonomous spokes for the hub.
Mark Harris, managing director of The Business Company explains why the ‘hub and spoke’ model makes Velvet Group different.
He said: ‘Unlike other national dental practice models each practice within Velvet Group will retain its own identity whilst having the opportunity to increase its reputation and profitability through standardised clinical protocols, technical excellence and high levels of customer service set and overseen by The Dental Spa hub.
‘Individual practices will each take specialist referrals but will be able to refer more complex cases to the Referral Clinic at the hub.’
The Dental Spa is one of only a handful of practices in England to meet the standards of a small hospital and gain registration with the Care Quality Commission.
Last year, Dr Thomas Norlin was appointed as clinical director.
Dr Norlin, who qualified as a dentist in Stockholm in 1998, is widest known for his part in developing and patenting SB12, an internationally marketed product which neutralises bad breath and keeps it fresh for up to 12 hours.
After completing his training as an implantologist in Sweden in 1981 Dr Norlin built up his own practice in Gothenburg which became a Centre of Excellence for Implantology focusing on the aesthetics of the procedure, including restorative prosthodontics and surgery, as well as general dentistry.
A full member of the British Academy of Cosmetic Dentistry, Dr Norlin carries out surgical grafting procedures at The Dental Spa, including block grafts, sinus lifting and apicectomies, as well as implantology.
Dental practices interested in joining Velvet Group should contact Ellen Morley at The Business Company on 01743 762244 or email [email protected]
^1267142400^2576^New dental group seeks spokes for i…^A new dental practice group in Shropshire is set to become the largest in the region.The practice took on a firm of business consultants to …^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/Mark-Harris.png
Dental association in fundraising initiative^^1267401600^2577^Dental association in fundraising i…^^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/Benevolent-fund.jpg
‘Beer’ pressure means people drinking more^
Peer pressure to drink to excess could be all in our minds, according to a survey published for the Department of Health today.
A YouGov poll of more than 2,000 English adults suggests over one in five (22%) people who have ended up drinking more than planned put it down to peer pressure, while 39% of drinkers feel the need to make up an excuse or lie to justify refusing a drink.
However, the survey for the Department of Health’s ‘Alcohol Effects’ campaign shows this is unnecessary as it appears peer pressure hardly exists.
The poll found:
• only 1% of English adults who drink, think less of people who refuse a drink or choose to drink less than them;
• just 4% expect their friends to keep up with them when drinking
• only 2% admit to piling on the pressure for friends to drink more when they don’t want to.
The NHS recommends women do not regularly drink more than 2-3 units a day (about 2 small glasses of wine), and men do not regularly drink more than 3-4 units a day (about two pints of beer).
Public Health Minister Gillian Merron said: ‘Many of us enjoy a drink — drinking sensibly isn’t a problem, but too many are regularly drinking more than the NHS advises. This means you’re at higher risk of getting cancer or having a stroke or heart attack.
‘This survey should encourage us all that it is ok to be honest with our friends about when we’ve had enough.
‘Protecting our long-term health should be a good enough reason for anyone.’
Health and Wellbeing expert Liz Tucker said: “There is sometimes a certain amount of cajoling that goes on between friends on a night out to have an extra tipple, but people need to realise this is usually all in good jest, as this research backs up.
‘In reality, nobody really minds when a friend calls it a night if they feel they’ve had enough, or when our partner doesn’t fancy sharing a bottle at home – and we should all feel confident enough to say so.’
• Drs Graham Cope and Anwen Cope will be looking at the complex issue of alcohol and drug abuse effects upon oral health in March’s issue of Preventive Dentistry magazine.
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Dentists ‘sickest of all health professionals’^
Dentists are the sickest of all health professionals, according to the head of an NHS service aimed at helping clinicians struggling with physical or mental illnesses.
Clare Gerada, medical director of the NHS Practitioner Health Programme (PHP) – the scheme set up a year ago to encourage doctors and dentists with addictions or mental health problems to come forward for treatment – said she believed the project had reached only the ‘tip of the iceberg’ of ill dentists.
The free, confidential service for practitioners living or working in the London area was launched by the National Clinical Assessment Service amid concerns that some doctors and dentists were either struggling to access appropriate care or were suffering in silence rather than seeking proper medical help because of fears they would be stigmatised.
A report on the first year of the scheme’s operation, published last month, showed that 184 doctors or dentists had been offered an initial assessment, with 62% presenting with mental health problems, 36% addictions and 2% physical health problems. The patients were mainly doctors but also included 15 dentists and two nurses.
After 12 months, 88% of those who had reported an illicit drug addiction were abstinent and
46% who had not been working were back at work – a much higher success rate than
comparable schemes for the general population.
Dr Gerada said: ‘Lives had been transformed’ in the first year of the programme – but warned that more needed to be done to help dentists in particular.
She added: ‘Dentists on the whole are at the far end of complexity and sickness. They come to us very, very unwell, for example with severe alcohol addiction, or they might have had a fit, or with severe depression.
‘They are a much sicker group [than other health professionals]. They work in a much more isolated manner, sometimes in small teams, and they’re the boss. They don’t go to doctors and many can’t identify their GP. They might also have financial problems, or back problems, which they don’t want to disclose.’
Dr Gerada said while she believed the scheme had got through to a significant proportion of doctors with health problems in the M25 area, for dentists those that were presenting were the ‘tip of the iceberg’.
The report found that interest in the scheme among dentists had dropped off over the year. In the first quarter, dentists represented 17% of all initial assessments. This fell to 8% across the whole year.
‘Additional awareness raising among dentists was initiated as a result of this drop in attendance rates’, the report said.
Dr Gerada, who has approached the General Dental Council to try to seek more referrals, said she wanted to create ‘a whole network across whole of the country of experienced doctors who can manage sick health professionals’.
Plans are underway to launch similar schemes in Avon and Newcastle, but it is not thought that every area of the country will need one because patients are said to be willing to travel some distance for specialist help.
Liam Donaldson, the chief medical officer, who came up with the idea for the service, said: ‘In any workforce, a small minority will have health problems, but the degree of denial in the medical profession is a problem not only for doctors and dentists but also potentially for patients.’
Sir Liam said the PHP had been a ‘remarkable success’ in uncovering problems that would not otherwise have been addressed. Interventions had in many cases been ‘highly effective’, he said, adding: ‘This problem was largely buried under the surface before and it was getting worse – with patients potentially being harmed. From the number of patients accessing the programme during its first year of operation, it is clear that there is a need for this highly specialised service.’
^1267401600^2579^Dentists ‘sickest of all health pro…^Dentists are the sickest of all health professionals, according to the head of an NHS service aimed at helping clinicians struggling with ph…^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/addiction.png
Join pensions day of action, BDA urges dentists^
The British Dental Association (BDA) is urging dentists in England and Wales to join a public sector-wide day of action against government proposals to downgrade their pensions on 30 November.
The BDA is one of a number of professional representative bodies in the health sector whose members are not taking strike action, but is encouraging members to demonstrate opposition to the Government plans by participating in the day of action.
The BDA is asking members to participate in a number of ways:
• Members in general practice are urged to display a poster explaining to patients their unhappiness at the proposals. The poster can be downloaded from the BDA website
• Members in hospital or primary care salaried services should check with their workplace representatives for details of events to mark the day
• All members can tweet their opposition to the pensions changes using the hash tag #30nov.
• All members can supplement the campaigning work done by the BDA on their behalf by signing a Government e-petition and contacting their MP.
The poster, link to the e-petition and suggestions of useful points to make to MPs are available on the BDA website’s pensions campaign page at www.bda.org/protectNHSpensions. The site also features information about the proposals and their potential consequences for dentists.
Dr Susie Sanderson, chair of the BDA’s executive board, said: ‘Like other public sector workers, dentists’ pensions are under threat. The BDA and other unions have fought the Government hard on these proposals and some concessions have been won.
‘Nonetheless, the proposals on the table still represent a significant attack on the pensions that hardworking NHS staff contribute to during the course of their careers.
‘The BDA has not, at this stage, balloted on potential strike action on this issue. It is important that decision is not misinterpreted as a lack of concern about the proposed changes and we are therefore urging dentists to join with colleagues across the public sector and show their support for the day of action on 30 November. We need to send a clear message to government that what they are proposing is unacceptable.’
^1321833600^4629^Join pensions day of action, BDA ur…^The British Dental Association (BDA) is urging dentists in England and Wales to join a public sector-wide day of action against government p…^
With its low incidence of microleakage and incredible internal cavity, the new bulk-fill, flowable composite base SDR (Smart Dentine Replacement) from Dentsply has impressed clinicians using it.
Dr Roel Bester, from Treetops Dental Surgery in Norwich, said: ‘I have been using SDR and really enjoy working with it. I am now using it in all my posterior composite fillings as a base. It really fills very well, the flow is excellent and by leaving it a few seconds, I can actually see how it settles in the prepared cavity. I have not had one patient complain of post-operative sensitivity. SDR is definitely a material I would recommend to other dentists. Thanks SDR!’
SDR is now being used by over 2,000 dentists across the country, and is enjoyed by thousands more throughout the world. Contact Dentsply today to receive a free sample.
0800 072 3313
^1321833600^4630^Impressing clinicians^With its low incidence of microleakage and incredible internal cavity, the new bulk-fill, flowable composite base SDR (Smart Dentine Replace…^
Genes found to influence tooth growth^^1267401600^2582^Genes found to influence tooth grow…^^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/baby-teeth.jpg
Smoking cessation may increase diabetes risk^
Cigarette smoking is a well-known risk factor for type 2 diabetes, but new research suggests that quitting the habit may actually raise diabetes risk in the short term.
The researchers from Johns Hopkins University suspect that the elevated diabetes risk is related to the extra pounds people typically put on after giving up cigarettes and caution that no one should use the study’s results as an excuse to keep smoking.
Study leader Hsin-Chieh ‘Jessica’ Yeh, an assistant professor of general internal medicine and epidemiology at the Johns Hopkins School of Medicine, said: ‘The message is don’t even start to smoke. If you smoke, give it up. That’s the right thing to do. But people have to also watch their weight.’
In the study, researchers found that people who quit smoking have a 70% increased risk of developing type 2 diabetes in the first six years without cigarettes as compared to people who never smoked.
The risks were highest in the first three years after quitting and returned to normal after 10 years.
Among those who continued smoking over that period, the risk was lower, but the chance of developing diabetes was still 30% higher compared with those who never smoked.
The study enrolled 10,892 middle-aged adults, from 1987 to 1989, who did not yet have diabetes. The patients were followed for up to 17 years, and data about diabetes status, glucose levels, weight and more were collected at regular intervals.
Type 2 diabetes is a common disease that interferes with the body’s ability to properly use sugar and to regulate and properly use insulin, a substance produced by the pancreas that normally lowers blood sugar during and after eating.
In type 2 diabetes, also known as adult-onset diabetes, the pancreas makes plenty of insulin to help the body when food is eaten, but the body cannot use it normally. The result is excess levels of blood sugar, which, over time, can lead to blindness, kidney failure, nerve damage and heart disease. Overweight people and those with a family history of the disease have an increased risk for developing it, as do smokers, though the causal relationship is unclear.
According to the study, those who smoked the most and those who gained the most weight had the highest likelihood for developing diabetes after they quit.
On average, over the first three years of the study, quitters gained about 8.4 pounds and saw their waist circumferences grow by approximately 1.25 inches.
Yeh and her team said that they want physicians to keep these findings in mind when they are consulting with patients who are giving up cigarettes, especially the heaviest smokers.
They recommend considering counter measures such as lifestyle counselling, aggressive weight management and the use of nicotine-replacement therapy, which seems to blunt the weight gain related to quitting.
^1267401600^2583^Smoking cessation may increase diab…^Cigarette smoking is a well-known risk factor for type 2 diabetes, but new research suggests that quitting the habit may actually raise diab…^
Golden smile for outstanding dental nursing student^
A dental nurse from Plymouth has been voted ‘top of the class’ by a national exam board for her results and achievements while she was training.
Rebecca Smith-Wightman, 25, was presented with the National Examining Board for Dental Nurses Gold Award at a special event at the University of Plymouth.
The Gold Award, provided by the Kamlesh Kumari Mehan Memorial Trust, recognises the most outstanding student out of a total of 3,020 candidates. The board praised Rebecca for being ‘knowledgeable, committed, and dedicated to dental nursing and the dental profession’ and someone ‘willing to share her knowledge and experience with colleagues’.
Rebecca said: ‘It was a brilliant feeling to be recognised for all the hard work I had done over the previous 18 months. I had no idea I was going to receive the award on the night, and it was great that my family and friends could be there to see it.’
The Gold Award was given to Rebecca by Professor Richard Stephenson, dean of the Faculty of Health and Pro Vice-Chancellor at the University of Plymouth, at the presentation ceremony for those students receiving their National Certificate in Dental Nursing.
Rebecca also received a cheque for £200, a commemorative gold badge and certificate, and The Peninsula Achievement Award, sponsored by Peninsula Dental School, for her commitment to learning and gaining a distinction in her National Examination.
Rebecca, who works at Mount Wise Dental Practice, in Plymouth, Devon, added: ‘I wanted to give my best and so I hit the books and worked as hard as I could. There was no secret other than hard work – although we did hold some study groups and it was great to be able to bounce ideas off my fellow students.’
^1267401600^2584^Golden smile for outstanding dental…^A dental nurse from Plymouth has been voted ‘top of the class’ by a national exam board for her results and achievements while s…^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/Rebecca-Smith-Wightman.png
Poor dental health flags up meths users^
Severe dental problems in otherwise healthy young people could be a sign of methamphetamine addiction, a new study suggests.
Researchers collected medical, oral health and substance use data from 300 methamphetamine-dependent adults and compared it with data from non-meth users from the U.S. National Health and Nutrition Examination Survey.
About 40% of meth users have serious dental problems, including more missing teeth than those who don’t use the drug, according to the researchers, from the University of California, Los Angeles.
They also found that meth users who smoke or inhale the drug have lower rates of dental disease, compared to those who inject the drug and are more likely to have a severe addiction.
The finding that dental disease is a distinct marker of methamphetamine abuse means that dentists can play an important role in the early detection of drug abuse and in the collaborative care of meth users, the researchers said.
Meth Mouth Can Signal Addiction to Dentists
When otherwise healthy young people show up at the dentist with severe oral health problems, it should signal to the dentist that the patient may be addicted to methamphetamine. Patients who exhibit symptoms of meth mouth are more likely to be injection drug users, according to a new study.
The link between meth abuse and increase dental disease is no longer a myth, it has been documented by scientific research.
A new study, The Relationship Between Methamphetamine Use and Increased Dental Disease, published in The Journal of the American Dental Association is the first to directly link severe dental problems with methamphetamine abuse.
Early Detection Needed
Key findings of the research include:
- 40% of methamphetamine abusers have severe oral health problems.
- People who smoke or snort meth have fewer dental problems.
- Those who inject meth have more severe dental health problems.
The researchers write that dentists can help with early detection and intervention of meth abuse by detecting severe problems in otherwise healthy patients.
The study was funded by the National Institute on Drug Abuse.
Source: Shetty, V., et al. The Relationship Between Methamphetamine Use and Increased Dental Disease. The Journal of the American Dental Association March 2010.
^1267747200^2596^Poor dental health flags up meths u…^Severe dental problems in otherwise healthy young people could be a sign of methamphetamine addiction, a new study suggests.Researchers coll…^
Scientists uncover genes that influence tooth development ^
Genes that influence tooth development in the first year of life have been identified by scientists.
The research team has also uncovered a link between the delayed appearance of milk teeth and the need for future corrective work.
The research, which involved teams from Imperial College London, the University of Bristol and the University of Oulu in Finland, has identified several genes which affect tooth development in the first year of life.
They found that babies who carried specific genetic variants tended to have fewer teeth by their first birthday than other children.
By the time they turned 30 those carrying one of the genes were 35% more likely than their peers to need treatment by an orthodontist.
The study scanned the genetic code of 6,000 people from Finland and Britain whose health had been followed from birth.
Previous studies have shown that tooth development is also linked to that of the skull, jaws, ears, fingers, toes and heart.
Real-time feeds, via the internet, keep content fresh and up to date and the practice can manage or change the content instantly and from any location.
Standard features including entertainment, sports and business news and local weather are complemented by dental health or treatment videos and thought provoking dental quizzes.
The infoTouch kiosk enables patients to browse a video library on a one-to-one basis on their own, giving them an unpressurised free choice of treatment subject matter.
The system provides monitors patient activity, allows email registration for remote access and fosters a more productive out-of-hours relationship with the patient.
Dr Petros Mapanda, principal dentist at Direct Dental Care in King’s Lynn, said: ‘The focus will be on marketing, something that dentists are becoming very serious about as all of the discretionary
treatments such as tooth whitening generate more income.
‘That was one of the main reasons for going ahead with the patient Info Point in the first place as previously the practice relied on word of mouth and we wanted to target patients with the treatment they had shown interest in.’
For further information, email email@example.com or ring 0845 034 5035.
You can visit the Denticom stand at this week’s Dentistry show at the NEC. Dental practices interested in the Info Point can watch a short video about the Patient Info Point system at www.patientinfopoint.com.
^1268611200^2615^An innovative dentists’ waiting-r…^Patients are getting hands-on with a new marketing tool for dental practices.Patient InfoPoint is a combination marketing display system tha…^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/pip.png
CAO figures reveal an increase in dentistry applicants^^1268697600^2616^CAO figures reveal an increase in d…^^http://dev.dentistry.co.uk/sites/all/themes/dentistry/images/news_images/degree-cap-certificate.jpg
Tooth whitening? Try before you fly^
A tooth-whitening service for passengers launches next month (April) at Birmingham Airport.
Brighter White Teeth Company offers a 20-minute tooth-whitening service under the ‘Smile Company’ brand at Birmingham Airport.
Smile Company will begin trading at the airport’s Terminal One departure lounge in early April with five chairs in operation.
A pre-booking facility to guarantee a timeslot during busy periods will be available and a full range of home whitening kits and other dental products will be offered within the unit.
The company brings its revolutionary 20-minute teeth-whitening service to the UK for the very first time.
Richard Gill, Head of Market Development & Commercial, said: ‘Birmingham Airport is delighted to be able to provide our passengers with a new and innovative service. We believe that this aspirational procedure, completed in just 20 minutes and offering huge savings over normal dental clinic prices, will be welcomed by our passengers. We extend a warm welcome to Brighter White Teeth Company Ltd and their team of qualified dentists to Birmingham Airport.
‘We aim to be a leader in new retail offers in the UK and we are delighted to be one of the first UK airports to have a major trading outlet of Brighter White Teeth Company. This is further great news for the airport as it embarks on an exciting £13 million re-design of the terminal to vastly improve the commercial offering to passengers. The arrival of the Smile Company store signals our intent to bring the very best to Birmingham.’
Paul Heath, chairman of Brighter White Teeth Company Ltd, said: ‘The unit at Birmingham Airport marks a significant step in our company’s development as the leading brand in UK teeth whitening. Our procedure has been developed in the United States with comfort and confidence in mind after in-depth research at the molecular level. We believe that this unique treatment will revolutionise the UK teeth whitening market and Birmingham Airport is an ideal location for our first major trading unit.’
The company still has some temporary and full-time positions available for registered dentists. If you are interested in finding out more email Dr Hempleman on firstname.lastname@example.org.
^1268784000^2620^Tooth whitening? Try before you fly^A tooth-whitening service for passengers launches next month (April) at Birmingham Airport.Brighter White Teeth Company offers a 20-minute t…^
Leading US dentistry speakers top the bill at BDA conference^
Leading US clinical speakers David Newkirk and William Bo Bruce are to headline the Friday lecture programme at the 2010 British Dental Conference and Exhibition.
Both are renowned experts in the field of restorative and aesthetic dentistry and are accredited members of the American Academy of Cosmetic Dentistry.
The students were from the University of Manchester and have since returned to their studies after the three-week trip.
Jennifer Archer, a final-year student in dentistry at the University of Manchester approached Grahame Gardner to ask for support.
She said: ‘Our Cambodian adventure was an eye opener for all involved, from the second day after arrival we got stuck into extractions, fillings, scaling and oral hygiene advice. It was obvious from the start that this was going to be a big challenge! Many of the children had never received dental care and there were a few tears on occasions but, generally, the children were amazing, despite the basic conditions.
‘We experienced all levels of decay during our three-week mission. The average five year old child in Cambodia has 8-10 decayed teeth and some had been experiencing extreme infections and pain. Despite our training to help younger children, sometimes all it took was a blown up glove or a game of football to put a smile on their faces.’
‘We were also able to impart oral hygiene advice and give out donated toothbrushes and fluoride toothpaste to all the children during the evening. Not only was the elective project an amazing dental experience but also a fantastic insight into Cambodian culture. We were the first UK students to join the Cambodian Enfants d’Asie (ASPECA) dental mission and we hope that we have now established a successful link that will continue to provide dental care to the children of Cambodia for years to come.’
Jenni’s fellow students included Matthew Bullock, Danny Adam, Alex Payne and Shahrzad Dasti.
Grahame Gardner Ltd provided cool scrub suits from their range for the team. In addition they also provided a number of patterned scrub suits for the team to take over with them to give to the permanent team operating in Cambodia.
The team from Manchester University carried out the work with a group of volunteers for Enfants d’asie, which supports more than 8,000 children in 50 centres located in South East Asia, including Cambodia, Laos, Vietnam and the Philippines.
If you would like any further information on Grahame Gardner, visit www.grahamegardner.co.uk.
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School’s out for tooth-rotting sugary snacks^
A new study reveals children are eating healthier lunches at school.
The nationwide study – carried out by the School Food Trust is the first of its kind since the Government’s new standards came into effect in 2006.
It’s found that kids are dithcing sugary snacks and that tthe lunches taken by pupils in 2009 were healthier than those of children four years earlier.
From a dental health care point of view, the government standards set involved schools having to provide healthier alternatives to sugary soft drinks and crisps, chocolate and sweets.
Athough fruit juice and dried fruit contain important nutrients (e.g. antioxidants, vitamins) and so they are useful foods for schools to offer, the guidelines suggest it is also important to be aware that dried fruit and fruit juices contain sugars, and consuming sugary food and drinks too often contributes to dental decay.
They sugest that individual schools may decide to offer these items at mealtimes only, and offer other alternatives such as water and fresh fruit as snacks during the rest of the school day.
The Trust’s survey examined what was taken and eaten by 6,696 children from a nationally representative sample of 136 primary schools between February and April last year.
The results were compared with similar data collected in 2005.
Now 74% of pupils are now taking servings of vegetables and salad with their lunch, compared with 59% in 2005. On average, children in 2009 took more than two of their ‘5-a-day’ as part of their school lunch, eating an average of 1.6 portions of fruit and vegetables. The research also found that:
• The proportion of children taking water to drink at lunchtime has gone up by more than 20% – from 29.5% in 2005 to 51.3% in 2009
• The overall amount of food that children are leaving on their plates hasn’t increased
• With few exceptions, the average meals taken by children met the new standards for school lunch
• Healthier foods promoted by the new standards, such as vegetables and salad, fruit, milk and yoghurt, fruit juice and fruit-based desserts together represented at 12% greater share of the types of food and drink on offer
• Levels of salt, fat and sugar in the average meal were down, and the report highlights the ‘remarkable achievement’ of caterers across England in meeting the school lunch standards
Click here to access the report.
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Denplan appoints new deputy chief dental officer^
Denplan has announcde that Henry Clover (BDS) has been promoted to deputy chief dental officer.
Henry will also join the Denplan executive leadership team (Denplan’s Board), representing professional services.
A former general dental practitioner, Henry converted his own practice to private practice in 1993.
With his experience as a Denplan member dentist, he joined Denplan’s professional services department on a part-time basis in 1998 and full-time in 1999, with responsibility for professional support and member services.
Commenting on Henry’s promotion, Denplan’s CDO, Roger Matthews said: ‘Denplan was set up by dentist, for dentists and Henry’s promotion means the profession now has even stronger representation at the fore of the UK’s leading dental payment plan specialist. This is good news for dentists, good news for the profession and great news for Denplan!’
Henry added: ‘I am delighted to take on this new role and look forward to the challenges that leading the professional services team will most certainly bring. Here, at Denplan we always strive to listen to our members and offer services, solutions and training designed to meet their individual needs, particularly at a time of increasing regulation and change within the profession. I will do everything I can to help my team achieve this goal.’
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British Society of Periodontology celebrates 60 years^
This year marks 60 years of the British Society of Periodontology, founded in 1949 to promote the art and science of periodontology.
The Society is marking the occasion with events throughout the UK alongside its regular autumn and spring scientific meetings, but the jewel in the crown of the programme is the upcoming spring meeting of the Society to be held on 26-27 April 2010 in Brighton.
The topic the meeting will consider is 20 years of periodontal regeneration, where are we now?
It is just over 20 years since periodontal regeneration techniques became a reality for patients and, over this time, there have been a number of techniques and products for this therapy yet at times results of these procedures can be disappointing.
Recent scientific advances have also identified the possibility of new generations of regenerative therapies with wider application and more predictable outcomes, including the possible use of growth factors, tissue engineering scaffolds, and further down the line of stem cell and even gene therapies.
Renowned experts will gather to discuss the science and practice of this ever relevant and evolving topic, including Pierpaolo Cortellini, Leonardo Trombelli, Chris McCulloch, William Giannobile, Richard Palmer and Dieter Bosshardt.
An innovation for BSP will be a parallel session for the whole dental team, and in particular hygienists, focusing on Practical Periodontal Maintenance delivered by Phil Ower, Jean Suvan and Peter Heasman.
The meeting will be held in the Brighton Dome, a venue very suitable for the Society’s diamond jubilee celebrations sponsored by Colgate and P&G.
The iubilee year kicked off when Professor Francis Hughes was inaugurated at the Society’s recent Autumn Scientific Meeting held at the prestigious surroundings of the Royal Institution of Great Britain.
He delivered his presidential address entitled Wow. More than 200 delegates took part in the meeting and had a stimulating day on the topic, Plaque on Trial – Does Plaque Really Cause Periodontal Disease?
The BSP is delighted that demand continues for our Roadshows (Southampton, Dundee, Norwich in 2009) aiming to give dentists confidence in periodontal issues relating to Assessment, Diagnosis and Treatment.
These meetings are intended to appeal to a wide range of clinicians and CPD is awarded for the scientific sessions.
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Indemnity costs cut for non-surgical cosmetic treatment ^
Dental Protection has announced that, with effect from April 2010, the use of injectable, non-permanent cosmetic procedures can be indemnified within normal subscription categories at no additional cost, subject to certain conditions.
The procedures are botulinium toxin and non-permanent dermal fillers in any part of the face (but excluding the neck).
Previously, it was necessary either to transfer to a dental cosmetic membership category at significantly higher subscriptions, or to buy a separate indemnity for these cosmetic procedures from a third party (usually a commercial insurance provider) at an additional cost.
The decision coincides with the Shared Regulation scheme agreed between the GMC, GDC and Nursing and Midwifery Council (NMC), and the Independent Healthcare Advisory Services (IHAS).
IHAS has recently announced the imminent launch of a third party (voluntary) Registration and Inspection Scheme for providers of these procedures, incorporating the IHAS Quality Mark which is designed to demonstrate to patients and third parties that the provider has received appropriate training in the use of these procedures, and is committed to the Standards for Cosmetic Injectables under the auspices of IHAS.
The new scheme includes the inspection of the facilities in which these procedures are to be provided.
Caspe Healthcare Knowledge Systems (CHKS) is to be the third party registration, quality assurance and inspection agency.
The conditions under which these procedures can be indemnified by Dental Protection within normal subscription categories and rates are:
• The member must be registered with CHKS under the forthcoming IHAS scheme and possess the IHAS Quality Mark once the scheme has launched.
• These procedures carried out in the immediate peri-oral area, nasolabial folds and elsewhere in the face are all included, but the neck is specifically excluded
• Only non-permanent injectable cosmetic procedures carried out by dentists are included. Hygienists, therapists and other DCPs are not yet included in the IHAS-CHKS Registration and Inspection scheme, although this is being kept under review by IHAS
• These procedures, plus any other dento-alveolar surgical procedures (such as third molar removal, implant placement) must not collectively occupy more than 500 hours a year (10 hours per week on average). Where they do exceed this threshold, a further subscription category is available at an additional cost which is still less than the rate for the lowest Dental Cosmetic category.
The existing dental cosmetic categories remain available for:
• Those who wish to carry out these procedures but who are not yet registered under the voluntary IHAS scheme and who have not achieved the IHAS quality mark
• Those who wish to use non-resorbable/permanent fillers and similar techniques
• Those who wish to extend their indemnity to include other dento-facial cosmetic techniques such as dermabrasion, chemical facial peels, high energy wrinkle reduction therapy and any form of cosmetic laser technique.
In explaining these new arrangements, Kevin Lewis, dental director said: ‘We took a cautious view when we first introduced categories for cosmetic and adjunctive procedures six years ago, and their cost was significantly higher than for our normal subscription categories. At that time we promised a detailed review of our claims experience and these changes are the result of that process.
‘Members who have been properly trained in these procedures and who adhere to the new Standards for Cosmetic Injectables will, we believe, no more of a risk when carrying out these procedures than when they are providing many other types of dental care and treatment.
‘These changes are consistent with Dental Protection’s strong commitment to fairness in our approach to subscription setting.’
Further information and a revised position statement is available. Click here.
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Does size matter when it comes to patient care?^
At Sparkle Dental Boutique, our team comprises five members, with their unique personalities, skills and experience. As a small team, you may think that it easier to manage but, in reality, we all have to ‘punch way above our weight’ and multi-task to cover all roles effectively. So does size of team matter in delivery great patient care? Well no, as winning Best Team London and Best Team UK in 2008 proves.
We are a team who are positive, patient focused and team orientated and we go the extra mile for our patients, each other and our practice. But becoming such a team just doesn’t happen overnight. Each aspect of our service delivery has been thought through and rehearsed many times – from telephone responses to new patient procedures to fee collection.
The centre, in Stanhope Place close to Marble Arch and overlooking Hyde Park, has been extensively equipped with three state-of-the-art surgeries and a seminar room featuring the latest in conferencing facilities.
Simon Gambold, managing director of Henry Schein Minerva UK, was delighted to welcome a highly esteemed selection of the UK’s leading academics and dental practitioners to the centre for a champagne reception.
He said: ‘I am delighted that we have been able to invest in this training and showroom facility that provides our customers with a well-equipped central London location that showcases some of the latest equipment in dental technology.’
During the evening, guests were given an introduction to Henry Schein Minerva’s latest initiatives – including the launch of their new Dental Innovations division and an introduction to a new software designed to help users of EXACT gain ‘real-time’ management information about their practice.
Guest Dr Mervyn Druian commented: ‘The new Henry Schein Minerva facility takes the dental supplier to another level. It is so beautiful complemented by the most stunning equipment that I was embarrassed I was not re-equipping.’
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Acupuncture calms highly anxious dental patients^
Acupuncture can calm highly anxious dental patients and ensure they can be given the treatment they need, suggests a small study published in Acupuncture in Medicine.
A visit to the dentist provokes extreme fear and anxiety in an estimated one in 20 people, and can put them off going altogether, a condition termed odontophobia.
And up to a third of patients report moderate anxiety at the prospect of dental treatment, studies show.
The authors base their findings on 16 women and four men from eight dental practice lists.
Each of the patients was moderately or extremely anxious about going to the dentist for treatment, as assessed by a validated questionnaire – the Back Anxiety Inventory (BAI).
All were in their 40s and had been trying to deal with this problem for between two and 30 years.
The BAI score was assessed before and after five minutes of acupuncture treatment, targeting two specific acupuncture points (GV20 and EX6) on the top of the head.
The acupuncture was carried out by the dentists themselves, all of whom are members of the British Dental Acupuncture Society.
The average BAI score of 26.5 fell to 11.5, and all 20 patients were able to undergo their planned treatment, whereas before this had only been possible in six – and then only partially and after a great deal of effort on the part of both dentist and patient.
The authors point out that several attempts have been made to conquer this type of anxiety, including sedatives, relaxation techniques, behavioural therapies, biofeedback and hypnosis.
The research indicates that these do help, but they are time-consuming and require considerable levels of psychotherapeutic skills, if applied properly, say the authors.
They caution that further larger studies are needed to confirm the value of acupuncture in these sorts of cases, but suggest that acupuncture ‘may offer a simple and inexpensive method of treatment’.
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Dental charges frozen ^
Dental charges will be frozen from 1 April.
The cost of NHS dental charges in England are to remain at £16.50 for band one, £45.60 for band two and £198 for band three treatments.
Band one covers basic treatment such as a check-up, scaling and polish, whereas band two includes intermediate treatment such as fillings and extractions.
Complicated work, including bridges, crowns and dentures, is classed under band three.
Health minister, Mike O’Brien, made the announcement of the freeze yesterday (Thursday). The cost of a prescription in England is also frozen at £7.20 per item for 2010/11.
A Department of Health spokesperson says: ‘This year, in light of the overall low inflation rates during the past 12 months, there will be no increase in NHS prescription, and dental charges and optical voucher values.’
The price freeze has been announced as a result of low increases in inflation over the course of the last year and it’s hoped that keeping the prices the same will help patients to afford the care they need.
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Make those voluntary tax disclosures, dentists warned^
There are now just three days left for dentists to notify HM Revenue & Customs (HMRC) of their intention to make voluntary tax disclosures, in return for potential savings of anything from 20% to 90% in respect of the penalties on back taxes owed.
Following HMRC’s announcement in January of the Tax Health Plan (THP), dentists are being urged to come forward before the 31 March 2010 deadline in order to qualify for a fixed penalty of 10% on unpaid duties.
As part of a drive to claim back unpaid taxes through a number of targeted campaigns, the Revenue is now offering medical professionals the opportunity to make savings on the amounts owed and, crucially, given HMRC’s own efforts in seeking information on large numbers of taxpayers, avoid the risk of a difficult and expensive investigation.
The THP is targeting doctors and consultants who are registered with the General Medical Council, together with dentists and entities such as companies or trusts with a UK tax liability that receive income on behalf of a medical professional.
All are being asked to make HMRC aware of their intentions to disclose by the end of March, before full payment of all liabilities is then required by 30 June 2010.
The 10% fixed penalty being offered as a reward for this disclosure is significantly lower than the likely 30%-100% (of the unpaid tax) – that could be charged should HMRC start its own tax investigation.
Partner Fiona Fernie, of forensic services at BDO LLP, commented: ‘Over the past year, the Revenue has introduced a variety of disclosure opportunities, encouraging a range of individuals to come forward and disclose unpaid duties.
‘Dentists, along with other medical professionals, were given less than three months to take advantage of this offer and now have just three days left. HMRC is getting tough and anyone who rejects the carrot now could well face the stick later.
HMRC is acting on information received from NHS Trusts, private hospitals and medical insurers regarding gross payments made to doctors, consultants and dentists – an HMRC investigation as a result of information obtained from one of those sources could potentially lead to much higher penalties, publication of the individual’s name as a tax defaulter and ultimately, prosecution.’