dunoon dentists' african charity goes it alone transforming lives for more than 100 years clinical

106 Pages·2016·14.69 MB·English

RRRRPP ££44..5500 JULY 2016
ScottiSh dental
ESSENTIAL KNOWLEDGE FOR DENTAL PROFESSIONALS IN SCOTLAND

DUNOON DENTISTS’
AFRICAN CHARITY
GOES IT ALONE
TRANSFORMING
LIVES FOR MORE
THAN 100 YEARS

CLINICAL: VERIFY
YOUR CPD HOURS
AT SDMAG.CO.UK

NIGEL
MILNE
VICKY
MILNE
GAVIN S
FROM GUANGZHOU
MCKAY
BOB
PHILPOTT
TO GLASGOW
LAURA
FEE
MORAG
POWELL
Chinese exchange students bring a different
perspective to Glasgow Dental School

   
SDMAG.CO.UK @SCOTTISHDENTAL FACEBOOK.COM/ SEARCH FOR SDSHOW.CO.UK SDAWARDS.CO.UK
SCOTTISHDENTAL SCOTTISH DENTAL
NEW STATS MASK TRANSFORMING 
PATIENT DECLINE LIVES AT DUNDEE CONTACT DETAILS
Government figures The first in our Managing editor: David Cameron
don’t tell the whole two-part look at the [email protected]
story according to history of Dundee Editor: Bruce Oxley
09 the British Dental 34 Dental Hospital Tel: [phone]
Association and School [email protected]
NEW DIRECTOR ENDODONTIC Advertising sales manager: Ann Craib
Tel: [phone]
FOR SHETLAND OUTCOMES [email protected]
Design: Renny Hutchison,
Scott Anderson
Former dental officer Bob Philpott looks
Brian Chittick has at some of the most Sub-editor: Wendy Fenemore
taken over from retiring pertinent questions he Subscriptions: Lauren Adger
10 NHS Shetland dental 44 has been posed in his Tel: [phone]
director Ray Cross endodontic career [email protected]
HEARTS AND LOCAL
SMILES ANAESTHETICS
Dunoon dentists Nigel The controversies
and Vicky Milne talk surrounding local
about their African anaesthetics and the
24 charity Smileawi and 48 medically compromised
its successes so far dental patient
STANDING OUT
FROM THE CROWD
Lifetime registration
is good for generating
Adam Morgan argues
positive statistics, but that you can achieve 18
great things if you take
that means very little 63 a risk and break away
if the patients in most from the norm
need are not seeking
treatment © CONNECT PUBLICATIONS 2016 The copyright
in all articles published in Scottish Dental magazine is
reserved, and may not be reproduced without permission.
VISIT
ROBERT DONALD 09 Neither the publishers nor the editor necessarily agree with
WWW.CONNECTMEDIA.CC
views expressed in the magazine. ISSN 2042-9762
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03 SCOTTISH DENTAL MAGAZINE

Editorial
WITH BRUCE OXLEY, EDITOR
Get in touch with Bruce at
[email protected]
BREXIT – WHAT
s I write this, the new any less onerous for busy practices?
British Prime Minister What, also, of the working time directive,
Theresa May is hiring the minimum wage , maternity and paternity
A
and firing for her new NOW FOR rights etc? You could drive yourself mad with
cabinet in the wake of all the possibilities and many have already
David Cameron’s resignation following the been taking to social media or signing
momentous Brexit decision. online petitions to express their anger at
DENTISTRY?
It is far too early to tell whether the the decision, or the reaction to the decision.
decision to leave the EU will turn out to be What’s for sure is, until the terms of the
the right one – we may not know that for secession from the EU are clear, we are in for
a decade or more – but what is for certain a couple of years of uncertainty and in any
is that no profession, industry or walk of No matter which way business, that is bad news.
life in the UK will be unaffected, including
you voted, we now
dentistry.
There are significant
The pound has already taken a battering have to face the fallout
question marks over
and the uncertainty that still surrounds the
country could well lead to another recession. what will happen to
If this is the case, then dentists might again
these valued professionals
find it hard to get finance for practice
in the future
expansions or purchases and retiring practices to hospital consultants and from
dentists might put off their retirement date dental nurses to dental technicians, there
if property prices and valuations take a hit. are a great many nationalities represented Elsewhere in the news, we have the
If you had hoped this kind of thing in the Scottish dental community. There are Scottish Government hailing the latest
was in the past then you aren’t alone. The significant question marks over what will registration statistics as a great success,
dentists I have been speaking to, regardless happen to these professionals in the future, while the BDA were quick to point out that
of which way they voted, are united in their many of whom were recruited to fill gaps in registration and attendance are two very
concern that the economy will be hardest hit. provision in previous years and have now different things.
Practices that have been taking advantage made Scotland their home. It’s been nearly seven years since lifetime
of the economic upturn will no doubt be I’m sure many dentists will rejoice if registration was foisted on the profession
keeping a watchful eye on the markets. Brexit leads to a reduction in paperwork and the Scottish Government is still trying to
Another area of concern is the large and bureaucracy, but if one EU directive is convince everyone it is a good idea.
contingent of EU nationals in the Scottish removed, surely it has to be replaced with Well, it does produce good stats at
dental workforce. From GDPs in high street something else... and who’s to say that will be least. I’ll give them that.
WE COULDN’T HAVE DONE IT WITHOUT...
1 2 3 4
GAVIN S MCKAY BOB PHILPOTT LAURA FEE MORAG POWELL
(ON THE HISTORY OF DUNDEE) (ON ENDODONTIC OUTCOME) (ON LOCAL ANAESTHETICS) (ON DENTAL STRESS)
Dr Gavin S McKay is the author of Dr Bob Philpott graduated from Laura Fee is a graduate of Trinity Before moving to Gibraltar,
Transforming Lives For 100 Years, Cork Dental School and completed College Dublin and currently holds Morag Powell worked as lead
a history of Dundee Dental Hospital his specialist training at the Eastman an honorary oral surgery contract hygienist therapist at Fergus and
and School. Dental Institute in London. in Belfast. Glover in Aberdeen.
05 SCOTTISH DENTAL MAGAZINE

Insider
HAVING HIS SAY
Arthur Dent is a practising
NHS dentist in Scotland
[email protected]
DENTISTRY IN A
DISUNITED KINGDOM
Arthur looks at the potential consequences for
the profession following the recent Brexit vote
hurchill once said: The Minimata agreement (phasing out
“Democracy is the worst of mercury) will not be affected by leaving
form of government, the EU. Many dental materials are made
except for all those other in Europe – composite in Germany and
C
forms...” and we are now amalgam in Switzerland, for example.
faced with the UK’s exit Dental Directory (owned by mydentist,
from Europe. However, the results reveal formerly IDH) withdrew a promotion, issuing
that it is now a Disunited Kingdom, with the statement: “Given the massive impact of
Scotland and Northern Ireland voting last night’s decision on the EU referendum
to remain by 62 per cent and 55.8 per and the ensuing huge disruption to both the
cent respectively. currency markets and financial markets, we
I am in the unusual situation of have decided, with regret, to withdraw the
suspecting this column will be out of date by extension of the Pink Thursday promotion.
the time it is published – the First Minister We do not in any way wish to contribute to
of Scotland, former Health Minister Nicola panic buying and need to reflect over the
Sturgeon, will demand another Scottish next few hours and days how the decision
referendum. I do not think there will be affects us all.”
much doubt over the outcome this time. ABOVE: the United Kingdom is in a state of limbo It is also not clear whether EU directives
Regardless, nothing is going to happen following the result of the Brexit referendum will still need to be followed if we are no
very soon. The government must trigger longer part of the EU. It was the EU, for
Article 50 by officially notifying the EU of example, that implemented 5.6 weeks
its intention to leave. Once triggered, there said previously that without EU migration, holiday per annum.
is a two-year period in which the terms of many corporates would have struggled to fill Many agencies have quoted that, under
the leaver’s exit are negotiated. At the time positions. Data from the GDC demonstrates the Health and Safety at Work Framework
of writing, there is no timescale for this notable increases that occurred in the five Directive (89/391/EEC), risk assessments
to happen, leading to a longer period of years prior to 2011. It indicates that the have to be kept in writing regardless of
uncertainty, although EU leaders have stated six member states that are providing the the risk. On the other hand, many of these
they wish to see it happen quickly. largest numbers of dentists in descending directives have been supported by the UK
David Cameron has resigned, and George order are: Poland, Sweden, Spain, Greece, at EU level, so the UK Government could
Osbourne has gone, and the future of Jeremy Ireland and Romania. Some key points to well decide to keep the same or similar
Corbyn is uncertain. The Conservative Party note are that Malta has 20 per cent of its requirements in place. None of this will
(as opposed to the Scottish Conservatives) dentists already registered with the GDC. happen quickly.
may well split catastrophically due to the huge There is a separate issue for Irish dentists, NHS/private services are likely to be
divide between the opposing sides within. It who have always been free to work in Britain unaffected in Scotland by any changes.
is very likely we will see a general election under a common agreement. However, the likely coming recession will
called before 2019, changing the political As we have underemployment in affect what the general population has
landscape further. Scotland, a decline in immigration may well available to spend.
But where will this leave dentistry? work in our favour, and restore the balance Any increase in interest rates will
Along with all other commentators, this is between patients and dentists. However, if affect practice sales and purchases –
an impossible question for me to answer. All Scotland gains independence, it is likely to and may make many think of selling
we have is speculation. have a different system for immigration from to the corporates if the rates
Kevin Lewis of Dental Protection has the rest of the former UK. become unaffordable.
07 SCOTTISH DENTAL MAGAZINE
Edinburgh
Dental
Specialists
Patient referrals, second opinions, advice and support,
education, dental laboratory services
Our team of clinicians
Dr K A Lochhead BDS, MFGDP RCS(ENG),
Clinical Director and Specialist in Prosthodontics, GDC No. 62945
Dr C Tait BDS Hons, MSc, MFDS RCS(Ed), MRD RCS(Eng),
Specialist in Endodontics, GDC No. 62862
Dr P Coli DDS, PhD,
Specialist in Periodontics and Prosthodontics, GDC No. 104397
Dr F Veldhuizen BDS, MFDS RCS(Ed), MClinDent, MRD RCS(Ed),
Specialist in Prosthodontics, GDC No. 72100
Dr P Hodge BDS, PhD, FDS RCS(Ed)
Specialist in Periodontics, GDC No. 56503
Mr M Paley BDS, MB ChB, FFDRCSI, FRCS, FRCS(Ed)(OMFS),
Consultant Oral & Maxillofacial Surgeon, GDC No. 64778, GMC No. 4398217
Dr G Ainsworth BDS FCS RCPS Glasg, MSc (Ed), MSurgDent RCS(Ed
Specialist Oral Surgeon, GDC No. 71932
Dr D Thomson BDS, FDS RCS(Ed), FDS RCPSG, DDRRCR
Specialist in Oral and Maxillofacial Radiology, GDC No. 70079
Dr M Brennand Roper BDS MClinDent (Pros), MFDS RCS(Ed), MJDF
RCS(Eng), MPros RCS(Ed)
Specialist in Prosthodontics, GDC No. 112806
Dr R Philpott, BDS, MFDS, MClinDent, MRD RCS(Ed)
Specialist in Endodontics, GDC NO. 82646
Dr C Millen BDS, MFDS RCS (Ed), MClinDent (Pros), MPros RCS (Ed),
FDS (Rest. Dent) RCS (Ed), FHEA
Consultant & Specialist in Restorative Dentistry & Specialist
in Prosthodontics, GDC No. 85443
Visiting Professor
Professor L Sennerby DDS, PhD
Professor in Oral Implantology, GDC No. 72826
If you would like to discuss referring a
patient please contact our friendly reception
team on 0131 225 2666 or visit us online at
www.edinburghdentist.com
Edinburgh Dental Specialists,
178 Rose Street Edinburgh EH2 4BA.
www.tele-dentist.com
www.allonfourscotland.com
EDS Jan 16.indd 1 04/03/2016 09:40
IN FOCUS
Edinburgh
Dental
FACULTY CALLS FOR GOVERNMENT FIGURES
TIGHTER CONTROLS
Specialists MASK PARTICIPATION
ON SPORTS DRINKS
A survey of 160 schoolchildren The Scottish Government’s announcement of ‘record
in Wales has found that a high
proportion of 12-14 year olds are breaking’ increases in dental registration rates masks a
regularly consuming high-sugar 
sports drinks. long-term decline in patient participation, according to
Patient referrals, second opinions, advice and support,
The Cardiff University School NOW the British Dental Association in Scotland.
education, dental laboratory services of Dentistry research, recently
TRENDING
published in the British Dental tatistics published by ISD recently decay, particularly the big gains we’ve
Journal, found that 89 per cent S
showed that 91 per cent of the seen through ChildSmile. Now we need
were consuming sports drinks 89%
and 68 per cent of them drinking population is registered with a real effort from government to ensure
Our team of clinicians them regularly (up to seven dentist, up from 89 per cent in 2015 and adults are seeking the regular care that
times a week). Half claimed to 52 per cent up from 2007. However, they need.
drink them socially with only
the BDA points out that only 72 per “Lifetime registration is good for
18 per cent saying they drank Nearly nine in
Dr K A Lochhead BDS, MFGDP RCS(ENG), them because of the perceived 10 teenagers cent of the 4.8 million people currently generating positive statistics, but that
Clinical Director and Specialist in Prosthodontics, GDC No. 62945 performance-enhancing effects. are consuming registered (as of March 2016) have seen means very little if the patients in
sports drinks an NHS dentist in the last two years. most need are not seeking treatment.
Dr C Tait BDS Hons, MSc, MFDS RCS(Ed), MRD RCS(Eng), The survey also found that with 68 per The association argues that Boosting attendance among adults
90 per cent said that taste cent drinking
Specialist in Endodontics, GDC No. 62862 was a factor and 80 per cent them regularly participation rates have been in steady would do wonders for Scotland’s oral
purchased the drinks from decline since changes to registration health, particularly on oral cancer where
Dr P Coli DDS, PhD, local shops. As a result, the rules in 2007. At this point, 99 per cent early detection is key.”
Specialist in Periodontics and Prosthodontics, GDC No. 104397 Faculty of Sport and Exercise of the 2.5 million registered patients had
Medicine (FSEM) is calling for
contact with their dentist.
Dr F Veldhuizen BDS, MFDS RCS(Ed), MClinDent, MRD RCS(Ed), tighter regulation around the
price, availability and marketing It also says that, while the figures
Specialist in Prosthodontics, GDC No. 72100 of sports drinks to children, show there is no difference in
Dr P Hodge BDS, PhD, FDS RCS(Ed) especially around schools. registration rates between children living
in the most and least deprived areas,
Maria Morgan, senior lecturer in
Specialist in Periodontics, GDC No. 56503 dental public health at Cardiff, rates of participation continue to vary
said: “The purpose of sports sharply between communities.
Mr M Paley BDS, MB ChB, FFDRCSI, FRCS, FRCS(Ed)(OMFS),
drinks is being misunderstood Robert Donald, chair of the BDA’s
Consultant Oral & Maxillofacial Surgeon, GDC No. 64778, GMC No. 4398217 and this study clearly shows
Scottish Dental Practice Committee, said:
evidence of children being
Dr G Ainsworth BDS FCS RCPS Glasg, MSc (Ed), MSurgDent RCS(Ed attracted to these drinks, “These record-breaking registration rates
leading to an increased risk of mask a long-term decline in participation
Specialist Oral Surgeon, GDC No. 71932
dental cavities, enamel erosion among patients. The reality is while
and obesity. Dental and health
Dr D Thomson BDS, FDS RCS(Ed), FDS RCPSG, DDRRCR professionals should be aware many people in deprived communities
Specialist in Oral and Maxillofacial Radiology, GDC No. 70079 of [this] when giving health are getting on the books, they are not
education or advice or designing * making it to the dentist’s chair.
Dr M Brennand Roper BDS MClinDent (Pros), MFDS RCS(Ed), MJDF health promotion initiatives.” Source: “We know Scotland has a lot to
Cardiff University
RCS(Eng), MPros RCS(Ed) research be proud of when it comes to fighting
Specialist in Prosthodontics, GDC No. 112806
Dr R Philpott, BDS, MFDS, MClinDent, MRD RCS(Ed)
Specialist in Endodontics, GDC NO. 82646
WARNING OVER DODGY DENTAL DRILLS
Dr C Millen BDS, MFDS RCS (Ed), MClinDent (Pros), MPros RCS (Ed),
FDS (Rest. Dent) RCS (Ed), FHEA Scots dentists urged to be on the look-out for spread of
Consultant & Specialist in Restorative Dentistry & Specialist potentially dangerous Chinese-made counterfeit devices
in Prosthodontics, GDC No. 85443
the first successful prosecution involving buy equipment from bona fide suppliers
Visiting Professor
counterfeit drills earlier this year. and are not tempted by offers of cheaper
Professor L Sennerby DDS, PhD
It said that the counterfeit drills – supplies. These drills may be unfit for
Professor in Oral Implantology, GDC No. 72826
which mimic the original kit in appearance purpose and potentially dangerous to
and labelling –were brought to the both patients and staff who use them.
If you would like to discuss referring a attention of the original manufacturer by “These drills point to a wider problem
a concerned customer. – other counterfeited or non-compliant
patient please contact our friendly reception The agency say that while there is no medical devices we have seen include
evidence that any of these dodgy Chinese syringes, contact lenses and even an
team on 0131 225 2666 or visit us online at
Scots dentists are being urged to be on drills have made it into Scottish practices X-ray machine.
www.edinburghdentist.com their guard after more than 700 Chinese- as yet, it is warning practitioners to “People involved in this type of illegal
made fake dental drills, which could shatter be on their guard when purchasing trading have no regard for patient health.
in a patient’s mouth, have been seized in new equipment. It’s your money they’re after. Always source
Edinburgh Dental Specialists,
the last four years. Lynda Scammell, senior policy adviser your medical products from a reputable
178 Rose Street Edinburgh EH2 4BA. The Medicines and Healthcare on enforcement at the MHRA, said: “It is source – make your patients health
www.tele-dentist.com Products Regulatory Agency (MHRA) led vital that Scottish dentists and dental staff your priority.”
www.allonfourscotland.com
09 SCOTTISH DENTAL MAGAZINE
EDS Jan 16.indd 1 04/03/2016 09:40
IN FOCUS
ABERDEEN
DENTIST’S
WIFE KILLED
Practice manager dies and
husband hurt in cliff fall
n Aberdeen-based practice
A
manager has been killed and
her dentist husband has been
seriously injured after falling from
cliffs on the coast at Kinneff near
Inverbervie.
Lesley Pumford’s body was
Chris Pumford
found by the Coastguard after an read: “Dental Inspirations can confirm Dental magazine and chair of the
and his wife
alert was raised and a multi-agency Lesley recently that Dr Chris Pumford and his wife Scottish Dental Awards judging panel,
search initiated on Friday 27 May. won the Lesley were involved in an accident said: “On behalf of the magazine and
Her husband, dentist Chris Pumford, Community ... as a result of which, Lesley passed the Awards, I would like to pass on
Award at the
was also injured but has since been away. Chris has sustained serious, our deepest condolences to everyone
2016 Scottish
released from hospital. Dental Awards but not life-threatening injuries, and at the practice and especially to Lesley
The couple owned and ran Dental remains in hospital. At this time, we ... and Chris’s family.”
Inspirations on North Deeside Road request that you respect the privacy Police Scotland have confirmed
in Cults and had only recently picked of Chris and Lesley’s family, friends that there were “no apparent
up the Community Award at the 2016 and colleagues during this very suspicious circumstances”
Scottish Dental Awards. A statement difficult time.” surrounding Lesley’s death and
on the Dental Inspirations website Bruce Oxley, editor of Scottish they are not investigating further.
S.H. MEHTA NEW DENTAL DIRECTOR
FOR NHS SHETLAND
pharmacy
34 ADMIRAL STREET,
Outgoing NHS Shetland dental “I very much appreciate the stable
Next to MEDICAL CENTRE director Ray Cross has been praised platform Ray has created during a
GLASGOW G41 1HU for providing a steadying influence period of significant change in the
during a period of “significant Shetland dental landscape, including
TEL: [phone] change” in the health board. the strong leadership of our Public
Dental Service and the facilitation of a
Cosmetics • Toiletries • Perfumes Ray, who spent the last two years of a new independent dental practice
long NHS career in Shetland, handed to Shetland.
Health dietary products • Baby goods over the reins to former NHS Shetland
senior dental officer Brian Chittick on “Ray and Brian have been working
Patient & medication records kept
his retirement. through handover preparations
Photographic • Nursing home supplies in readiness for Brian taking on
Brian has an extensive background the dental director role. Brian will
Diabetic and blood pressure meters in leadership roles, and is an continue with some clinical sessions,
experienced clinician who has worked but will devote the majority of his
Smoking cessation products*
in many varied and challenging time to implementing the Oral Health
headlice products* locations including during his Royal Strategy that is being considered
Navy career. Simon Bokor-Ingram, by the Integration Joint Board later
director of community health and this month. Brian will be based in the
social care at NHS Shetland, said: Montfield Dental Clinic.”
(*as per
NHS Greater
Glasgow
guidelines)
Ray Cross (left) with
Brian Chittick
SHOP WHERE SERVICE AND VALUE COUNT
SCOTTISH DENTAL MAGAZINE 10