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RRP £4.50 MAY 2015 ScottiSh dental THE ESSENTIAL MAGAZINE FOR DENTAL PROFESSIONALS IN SCOTLAND  UNDER THE MICROSCOPE: CAN'T SEE IT, CAN'T TREAT IT  SCOTTISH  DENTAL SHOW CLINICAL: GAIN UP TO 29-30 MAY FOUR HOURS OF BRAEHEAD VERIFIABLE CPD ARENA IN THIS ISSUE  JOHN GIBSON CLOSE TO JASON SMITHSON JULIE THE EDGE KILGARIFF IAN MACMILLAN IAN A new report has lifted the lid WILSON on dentists' soaring stress levels Extreme Measures Extreme Measures The difference is in the details. The difference is in the details. Because your focus is on the patient, every A-dec solution is proven to deliver smooth, trouble-free performance. We test to fail. By evaluating Because your focus is on the patient, every A-dec solution is proven to deliver smooth, trouble-free performance. the strength of the A-dec 500 chair, for example, we subjected the chair to foWuer ttiemset st oit sfa giul.a Bray netveaeldu awteiniggh tt hliem sitt. rSetnregsths poof itnhtes wAe-dree ca n5a0ly0z ecdh.a ir, for example, we subjected the chair to four Funtcimtioensa liittsy gscuraurtainnizteeedd. A w-deeigc hgto leims tiot. eSxttrreesmse pso binectsa uwseer eyo aunr ainlyvseestdm. eFuntn ctionality scrutinised. A-dec goes to extremes shobueldc aneuvseer yleotu yro iun vdeoswtmn.ent should never let you down. Visit a-dec.co.uk/thedifference to find out how every detail Visibt ea-hdiencd. caonm A/-tdheecd sifofeluretinocne a tdod fisn du po utot hlaoswt ienvge rrye ldiaebtailiilt by.ehind an A-dec solution adds up to lasting reliability. The A-dec 500 chair is qualified for a 400 lbs. (181.44 kg) patient. We test to four times the warrantied load. The photograph is a simulated representation of a static load test for an A-dec 500 chair. As part of the actual stress-point evaluation, a combined load of 1,600 lbs. (725.75 kg) was spread across upper and lower sections of the chair. The A-dec 500 chair is qualified for a 400 lbs. (181.44 kg) patient. We test to four times the warrantied load. The photograph is a simulated representation of a static load test for an A-dec 500 chair. As part of the actual stress-point evaluation, a combined load of 1,600 lbs. (725.75 kg) was spread across upper Chairs and lower sections of the chair. Delivery Systems Lights Chairs Monitor Mounts Delivery Systems Cabinets Lights Handpieces Monitor Mounts Maintenance Cabinets Handpieces Infection Control © 2012 A-dec Inc. All rights reserved. A-dec Dental UK Ltd Austin House, 11 Liberty Way, Nuneaton, Warks, CV11 6RZ. Tel: 024 7635 0901 Fax: 024 7634 5106 Web: www.a-dec.co.uk Email: [email protected] adecdiffad1.indd 1 © 290/175 /A1-d2ec I n1c.0 :32 AM All rights reserved.     SDMAG.CO.UK @SCOTTISHDENTAL FACEBOOK.COM/ SEARCH FOR SDSHOW.CO.UK SDAWARDS.CO.UK SCOTTISHDENTAL SCOTTISH DENTAL IBBETSON TAKES CLOSE TO THE EDGE  ABERDEEN JOB CONTACT DETAILS A major BDA report Managing editor: David Cameron has revealed the [email protected] Aberdeen’s Dental Shcehaodo iln h Parso af Rniecwh ard 30 ssuoaffreirnegd lbevye dlse notf issttrse ss ETdeli:t o0r1:4 B1r 5u6c0e 3O0x5l0e y 09 Ibbetson, who takes up across the UK [email protected] the post in July VETS LEARNING Advertising sales manager: Ann Craib Tel: 0141 560 3021 WOODSIDE FROM THE BEST [email protected] AWARDS Design: Renny Hutchison, John Pender, Felipe Perez A new programme at Sub-editor: Wendy Fenemore EDI sees vet students Woodside Dental learning scale and Subscriptions: Lauren Adger Practice in Glasgow has 36 polishing skills from Tel: 0141 561 0300 won not one but two 17 Investors in People DCPs [email protected] awards MANAGING ORAL SHOW TIME MUCOSAL DISEASE FOR 2015 John Gibson Only days to go before and Alexander the Scottish Dental Crighton explain the Show opens its doors at management of two 24 the Braehead Arena on 50 common oral mucosal 29 May conditions SPOTTING THE ABUSE VICTIMS People are fearful for the security of DCP Jodie Mathers their jobs. They fear gives an insight into 42 how to spot patients their jobs, terms or 70 who may be suffering place of employment abuse may be changed without feeling in © CONNECT PUBLICATIONS 2015 The copyright in all articles published in Scottish Dental magazine is control of it reserved, and may not be reproduced without permission. GRAHAM SMITH 13 Neither the publishers nor the editor necessarily agree VISIT with views expressed in the magazine. ISSN 2042-9762 WWW.CONNECTMEDIA.CC HERE TO HELP YOU GROW For all your accountancy and financial services needs, discover more on pages 81 & 96. Call us today on 0141 272 0000 or visit www.maco.c0o3 .uk SCOTTISH DENTAL MAGAZINE Edinburgh Dental Specialists What ever problem your patient may have we’re here to help 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), M Clin Dent, MRD RCS(Ed), Specialist in Prosthodontics, GDC No. 72100 Dr P Hodge BDS, PhD, FDS RCS(Ed) Specialist in Periodontics, GDC No. 56503 Dr N Heath DCR, BDS, MSc, MFDS RCS(Ed), DDRRCR, Specialist in Oral and Maxillofacial Radiology, GDC No. 70569 Mr M Paley BDS, MB ChB, FFDRCSI, FRCS, FRCSEd(OMFS), Consultant Oral & Maxillofacial Surgeon, GDC No. 64778, GMC No. 4398217 Mrs G Ainsworth BDS (Sheff ‘96) FCS RCPS Glas, MSc (Ed), MSurgDent(Ed) Specialist Oral Surgeon, GDC No. 71932 Dr Donald Thomson BDS (Edin), FDS RCSEd, FDS RCPSG, DDR RCR Specialist in Oral and Maxillofacial Radiology, GDC No. 70079 Dr N Heath DCR, BDS, MSc, MFDS RCS(Ed), DDRRCR, Specialist in Oral and Maxillofacial Radiology, GDC No. 70569 Dr R Philpott, BDS MFDS MClinDent MRD (RCSEd) Specialist in Eddodontics, GDC NO. 82646 Visiting Professor Professor L Sennerby DDS, PhD Professor in Dental Implantology, GDC No. 72826 If you would like to discuss referring a patient to the Practice please contact our friendly reception team on 0131 225 2666 visit us online at www.edinburghdentist.com Edinburgh Dental Specialists, 178 Rose Street Edinburgh EH2 4BA. www.tele-dentist.com www.allonfourscotland.com EDS May15.indd 1 30/04/2015 12:28 Editorial WITH BRUCE OXLEY, EDITOR Get in touch with Bruce at [email protected] WHEN little stress is not a bad So, having carried out the research, thing. It can keep you the authors who have done their work so focused, alert to challenges diligently now call for something to be done. A and able to move into the STRESS That is an admirable sentiment. But the real problem-solving mode question now is: what can be done? that will meet and beat whatever it is that’s Bobby Broadfoot, who changed causing the problem. CALLS careers as a result of high levels of But when the stress hits a level where it’s stress, and who for nearly 10 years has been constant, overwhelming and pushing you helping dentists suffering from the same into anxiety, depression and negative ways affliction, can perhaps at least point us in the of easing or suppressing the problem, then right direction. it’s getting dangerous. High levels of stress Broadfoot argues that the dental For years, it’s been said that dentists education system in Scotland may be are being experienced are the profession with the highest rates of producing some of the best clinicians in drug and alcohol abuse. It’s even regularly by dentists, but what the world, but it’s not providing sufficient suggested that dentists are more likely to training on how to deal with difficult commit suicide than any other profession needs to change? patients, colleagues, the GDC, or even as a result of the high levels of stress that so giving students an insight into how to run often come with the job. a business. This, he says, needs to change. But where is the evidence to support So, having carried out In addition, many dentists are working those extremes? Truth is, it’s not there. It’s in single-handed practices where they can the research, the authors anecdotal. Search for detailed, evidence- often grow isolated. based statistics on those who have taken who have done their work With no appraisal system that allows their own lives and you won’t find it. so diligently now call for for stress issues to surface, the necessary Now, however, we do have the first real support is simply not there. This too needs something to be done. insight into the levels of stress and anxiety to be addressed. that dentists in the UK are suffering. And it That is an admirable And finally, there has to be a concerted makes worrying reading. sentiment. But the real effort on the part of the entire profession, The survey, carried out in 2014 by a team but particularly its leaders, to set in place the question now is: what from the BDA, looked into two groups of advice and support services to which its own dentists: those working in the community can be done? members can turn for help. and a wide selection of GDPs. The mental health of the profession is Alarmingly, 60 per cent of GDPs said anxiety and stress levels. As with community very clearly in a parlous state. that they were experiencing high levels of dentists, almost half of the GDPs (47 per It is high time that the duty of care, anxiety. The figure was not much lower cent) reported low levels of life satisfaction, which the profession so conscientiously among community dentists of whom with 44 per cent reporting low levels applies to its patients, is now turned 55 per cent said they were suffering similar of happiness. inwards to care for its own. WE COULDN'T HAVE DONE IT WITHOUT... 1 2 3 4 JULIE KILGARIFF ROBERT BROADFOOT ANDREW GARDINER DAVID BALLANTYNE (ON ENDODONTIC TERMINOLOGY) (ON STRESS IN DENTISTRY) (ON VETS STUDYING DENTISTRY) (ON USING A MICROSCOPE) A specialist endodontist, Julie Kilgariff After taking early retirement due to Senior vet lecturer Andrew Gardiner has Edinburgh GDP David Ballantyne works as a locum consultant at Glasgow stress, Robert Broadfoot completed a teamed up with the Edinburgh Dental explains how using a microscope has Dental Hospital and at Blackhills diploma in stress management and now Institute to introduce a pilot project improved his clinical practice, offering Specialist Dental Referral Clinic. runs his own consulting service. teaching vet students dental techniques. patients a better overall service. 05 SCOTTISH DENTAL MAGAZINE COMPRESSED AIR | ASPIRATION | IMAGING | DENTAL CARE | HYGIENE n e g n Bissi m- ei h g eti Bi 1 2 3 I've never seen 4 7 7 · 1 e ß a Str my patients like er m ei h g pfi ö this. H G · A AL NT E D R R Ü D VistaSystem, the complete program for digital diagnostics from Dürr Dental. Count on outstanding image quality from a single source! X-ray units, image- plate scanners and intraoral camera systems from Dürr Dental ensure you will have optimum diagnosis facilities, maximum convenience, and the highest efficiency. And all VistaSystem components are perfectly linked via our high-performance imaging software. More at www.duerrdental.com 1410027_Dürr Dental_AZ_Produktfamilie_Janina_210x297+3mm_ENG.indd 1 22.10.14 10:51 COMPRESSED AIR | ASPIRATION | IMAGING | DENTAL CARE | HYGIENE Insider HAVING HIS SAY Arthur Dent is a practising NHS dentist in Scotland [email protected] of SDPC executive subcommittee Kieran DENTISTS Fallon, and 11 other members of the branch, resigned from the BDA. They regretted the erosion of the independence of SDPC, and that 15 years after devolution, the BECOMING BDA had taken insufficient account of the divergent needs of its members in the constituent countries. In 2015, Arabella Yelland, former DISATISFIED member of SDPC executive subcommittee, resigned from SDPC complaining of an emerging culture of misrepresentation and in-fighting, and distorted internal List of reasons why professionals in Scotland are communications. Sadly, it would appear that unhappy with the BDA continues to grow after these resignations have achieved nothing. However, there may now be some 400 per cent increase in conference ticket price hope. Motions at the 2014 Conference of Scottish Local Dental Committees clearly demonstrated the dissatisfaction with London rule of the BDA, and voted he Scottish National Party to establish a working group to examine has seen a huge increase in the feasibility of resurrecting the Scottish n nge T popularity partly due to the Association of Local Dental Committees m-Bissi svuicscieosns oof Df oan adlde Dvoewlvaerd’s Next year, consider who ghei parliament, and partly due to a sense of being will best represent your eti ruled by a disinterested body in London. This Bi voice, and what motions 21 will sound familiar to those of you who are 743 I've never seen interested in dental politics. should be presented to 17 · There has been increasing dissatisfaction conference ße with the British Dental Association in a Str my patients like Scotland in recent years. (SALDC). This motion initially caused the mer One of the factors has, of course, been director of BDA Scotland to withdraw BDA hei the introduction of the tiered membership secretarial support from the conference, g pfi that resulted in the BDA being a trade although this was subsequently reinstated. ö this. H G · union that the majority of members are This year, the motion was passed A unable to telephone for advice without to formally establish the SALDC. The NTAL paying a higher fee. But why else are many constitution was passed round each Scottish DE of us unhappy with the BDA in Scotland? LDC, and the objects of the association R R The list is now considerable. (among others) are to promote the interests Ü D For a start, the BDA failed to submit to a number of people not receiving ballot of the dental profession; as well as to separate research on Scotland to the DDRB, papers, or notice of the elections. obtain, correlate and present to appropriate which suggest appropriate uplifts for NHS The popular and well-respected Scottish bodies the opinions of dental practitioners doctors and dentists. Scientific Conference, held in conjunction within Scotland. We have a very different situation with Scottish Council, is now run by BDA The Director of the BDA in Scotland was here to the rest of the UK; a surplus Events (London) with little input from not present while this was debated. Prior to of dentists and much more NHS Scottish Council. The 400 per cent increase the SCLDC, an important meeting with the work. We would need an uplift of in ticket prices has not gone down well. CDO had been cancelled due to concern that 20 per cent in fees just to bring us back to In recent times, motions which have funding would move from SDPC to SALDC. 2010 levels of remuneration. been carried by the Scottish Conference of This motion was defeated this year. We also have had staff redundancies Local Dental Committees (SCLDC) have Over the next few months, all Scottish made in Scotland with the loss of the Senior been unable to be carried out by SDPC as LDCs will be asked to elect members to the Policy Advisor, Fiona Angus, without “they are not BDA policy” while others, such SALDC. SALDC will then meet and start VistaSystem, the complete program for digital diagnostics from Dürr Dental. reference to the Scottish Committees. This as the establishment of a separate Scottish its work. Count on outstanding image quality from a single source! X-ray units, image- evidently affected the ability of elected Health Regulator/GDC, have been actively Next year, consider who will best plate scanners and intraoral camera systems from Dürr Dental ensure you will have members to carry out work. suppressed by the BDA. represent your voice, and what motions optimum diagnosis facilities, maximum convenience, and the highest efficiency. And all Then several elections to SDPC from the In 2014, former West of Scotland should be presented to conference. LDCs, poorly run by the BDA in London, led President of the BDA and former member This time round, it really matters! VistaSystem components are perfectly linked via our high-performance imaging software. More at www.duerrdental.com 07 SCOTTISH DENTAL MAGAZINE 1410027_Dürr Dental_AZ_Produktfamilie_Janina_210x297+3mm_ENG.indd 1 22.10.14 10:51 HOT OFF THE PRESS: THE LATEST NEWS FOR DENTAL PROFESSIONALS IN FOCUS IBBETSON TO BDA URGES PRACTICES TO TAKE THE HELM TAKE PART IN PILOT TO IMPROVE PAY PROSPECTS AT ABERDEEN Scottish practices are being urged to take part in a pilot that could lead to a more accurate formula Troubled dental school will for working out dentists’ pay. be led by highly regarded The BDA is arguing that the current academic from this summer formula being used by the DDRB is out of date and needs to be reassessed. As a result, pilots of a One of the country’s most respected dental Scottish Government-sponsored academics, Professor Richard Ibbetson, is procurement exercise have been to take the helm at the troubled Aberdeen launched and the BDA is hoping that up to 200 practices will come Dental School, it has been announced. forward and take part. Assessment The appointment of the former  of the exercise will be based on director of the Edinburgh Postgraduate analysis of anonymised accounts Dental Institute is regarded as a major by corporate financial advisory boost for a university that has been NOW firm, QMPF. operating under a cloud since a recent TRENDING BDA director for Scotland Pat damning GDC report. Kilpatrick said: “There has already Professor Ibbetson is highly regarded 60% been a small pilot exercise and throughout the dental community in the a further 20 practices were approached this month [May]. UK and it is hoped that his appointment from teaching students, and much enjoy will help to draw other senior clinicians to practising dentistry. This makes the role “The BDA is encouraging practices a school that has been struggling to attract particularly appealing, and I look forward FACT to participate because we fear that and retain senior staff in recent years. to joining my new team later this summer.” The number of without the robust data on the dentists in the rising cost of practice expenses The school recently advertised for four Professor Ibbetson faces an uphill UK reporting the exercise should generate, the department heads. battle to restore the reputation of the high levels DDRB will continue to use the At present, Professor Ibbetson is the dental school in Aberdeen. Earlier this of stress* out-of-date formula that resulted director of the graduate entry dentistry year, a second GDC investigation revealed in the recent mere 1.61 per cent uplift for Item of Services Fees and programme at the University of Central a catalogue of poor teaching performance, Capitation and Continuing Care.” Lancashire. He will join Aberdeen in July. injury to patients by senior students, and Professor Ibbetson said: “I am low pass rates. In addition, the school lost a To get involved, practices need delighted to be taking up the post of number of its senior teaching staff who left to have a 90 per cent NHS director of Aberdeen Dental School, and amid a series of allegations surrounding commitment and should email [email protected] to express to be working with NHS Grampian, NHS the way in which they had been treated by their interest. Education for Scotland and the University management at the school. to develop its role as a professional centre Professor Ibbetson graduated from See Pat Kilpatrick’s column on promoting and supporting the continual Guy’s Hospital Dental School in London, page 29 for more information. improvement of dental health across the and has an MSc in Conservative Dentistry north of Scotland. from the UCL Eastman Dental Institute. “I’m keen to get to know the staff After moving to Scotland in 1999 to take and students – and the local dental up the post as director of the Edinburgh community. The school is a great resource Postgraduate Dental Institute, Professor for the north of Scotland and I very Ibbetson was elected dean of the Faculty much look forward to working with of Dental Surgery of the Royal College of all the stakeholders. I get a great ‘buzz’ Surgeons of Edinburgh. “I GET A GREAT ‘BUZZ’ FROM TEACHING STUDENTS, AND MUCH ENJOY PRACTISING DENTISTRY. ” * PROFESSOR RICHARD IBBETSON Source: BDA 09 SCOTTISH DENTAL MAGAZINE

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Dr C Tait BDS Hons, MSc, MFDS RCS(Ed), MRD RCS(Eng),. Specialist in Endodontics, GDC No. 62862 .. professional development topics for dental professionals, the. GDC has confirmed. The regulator's aim is to increase .. pay great dividends. “In accepting the office of president of the association,.
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Most books are stored in the elastic cloud where traffic is expensive. For this reason, we have a limit on daily download.