scottish dental show programme in full verify your cpd online at sdmag.co.uk margie taylor abid ...

108 Pages·2017·21.28 MB·English

RRP £4.50 APRIL 2018
ScottiSh dental
ESSENTIAL KNOWLEDGE FOR DENTAL PROFESSIONALS IN SCOTLAND

SCOTTISH
DENTAL SHOW
PROGRAMME
IN FULL

VERIFY YOUR
CPD ONLINE AT
SDMAG.CO.UK

MARGIE
TAYLOR
ABID
FAQIR
DEREK
EVOLUTION
RICHARDS
NIALL
MCGOLDRICK
NOT REVOLUTION
ARVIND
SHARMA
MONIK
VASANT
Chief Dental Offi cer answers the profession’s
concerns about the new oral health plan

   
SDMAG.CO.UK @SCOTTISHDENTAL FACEBOOK.COM/ SEARCH FOR SDSHOW.CO.UK SDAWARDS.CO.UK
SCOTTISHDENTAL SCOTTISH DENTAL
DPL SUCCESSFUL IN EVOLUTION NOT 
JUDICIAL REVIEW REVOLUTION CCOONNTTAACCTT DDEETTAAIILLSS
Indemnity organisation CDO Margie Taylor MMaannaaggiinngg eeddiittoorr:: DDaavviidd CCaammeerroonn
wins case against moves to reassure ddaavviidd@@ccoonnnneeccttccoommmmuunniiccaattiioonnss..ccoo..uukk
Practitioner Services the profession about EEddiittoorr:: BSarruache AOlxleleny
11 Division over recovery 32 the new Oral Health TTeell:: 00114311 556601 30005200
of payments Improvement Plan bedruitcoer@@ssddmmaagg..ccoo..uukk
PHILIP PUTS BEST QUICK, AESTHETIC AAddvveerrttiissiinngg ssaalleess mmaannaaggeerr:: AAnnnn CCrraaiibb
TTeell:: 00114411 556600 33002211
FOOT FORWARD RESTORATION aannnn@@ccoonnnneeccttccoommmmuunniiccaattiioonnss..ccoo..uukk
DDeessiiggnn:: SSccootttt AAnnddeerrssoonn,,
SKuabth-eedriintoer P: eNnitgneel yDonaldson
Glasgow dentist raises Monik Vasant presents
SSuubb-secdriiptotiro: nNsi: gAell aDsdoaniar lBdsroonwn
thousands of pounds a posterior restoration
TSuelb: s0c1r4ip1t i5o6n1s 0: A30la0sdair Brown
for charity after taking case in a patient who
18 part in Strictly Come 50 had caries under an iTneflo: @01s4d1m 5a6g1.c 0o3.u0k0
Dancing-style event existing fi lling [email protected]
SCOTTISH DENTAL ENDODONTIC
SHOW 2018 DECISION-MAKING
Th e 2018 Show is Th e application of
shaping up to be the CBCT in endodontics
biggest and best in the and its role in clinical
26 seven-year history of 52 decision making, by
the event. Arvind Sharma
MANAGING STAFF
APPRAISALS
Yes, reform
is needed but
Susie Anderson-
ministers must tread Sharkey explains that 80
staff appraisals needn’t
carefully and avoid 63 be stressful for staff
the unintended or employers
consequences that
could destabilise ©© CCOONNNNEECCTT PPUUBBLLIICCAATTIIOONNSS 22001188 ThTh ee ccooppyyrriigghhtt
iinn aallll aarrttiicclleess ppuubblliisshheedd iinn SSccoottttiisshh DDeennttaall mmaaggaazziinnee iiss
the service
rreesseerrvveedd,, aanndd mmaayy nnoott bbee rreepprroodduucceedd wwiitthhoouutt ppeerrmmiissssiioonn..
DAVID CROSS, 08 NNeeiitthheerr tthhee ppuubblliisshheerrss nnoorr tthhee eeddiittoorr nneecceessssaarriillyy aaggrreeee wwiitthh VVIISSIITT
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SCOTTISH COUNCIL vviieewwss eexxpprreesssseedd iinn tthhee mmaaggaazziinnee.. IISSSSNN 22004422--99776622 WWWWWW..CCOONNNNEECCTTMMEEDDIIAA..CCCC
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03 SCOTTISH DENTAL MAGAZINE

Editorial
WITH BRUCE OXLEY,
EDITOR
NEW FACES
t saddens me greatly to www.sdshow.co.uk and you can keep up to
write that this will be my date with the latest news from the show and
last ever issue of Scottish the magazine by following @ScottishDental
I
Dental magazine. By the AND NEW on Twitter and by liking our Facebook page.
time you read this article, I By the time you read this, the
will have moved to pastures new after nearly nominations deadline for the Scottish
a decade in the dental industry. Dental Awards 2018 will have passed and
BEGINNINGS
When I first took over, what was then the shortlist will have been announced. I’d
Scottish Dentist, Aberdeen Dental School like to take this opportunity to wish all those
was still being built and the profession shortlisted for the 2018 Awards the very best
was still coming to terms with the new of luck and I’m sure it will be a great night on
decontamination guidelines that were to It’s the end of the 27 April at the Glasgow Hilton.
cause so much disruption to practices across
an era for our editor
the country. One thing that has
One thing that has stayed constant is the Bruce Oxley stayed constant is the
warmth of the Scottish dental profession.
warmth of the Scottish
From GDPs in NHS practices, to specialists
in referral centres and not to mention and out an about at events and conferences. dental profession. From
hospital doctors, tutors and deans of the Speaking of which, the Scottish Dental GDPs to specialists...
dental schools, the profession in Scotland Show is just a few short weeks away and it
has proven itself to be a very friendly place. is shaping up to be the biggest and best yet. So, in my last issue of the magazine
I came into this role a complete novice when Our pre-registrations are still way up on last we have a feature on the new Oral Health
it came to dentistry but I was made to feel year, at the time of writing they were nearly Improvement Plan as Chief Dental Offi cer
very welcome and the help and support I was 25 per cent higher than this time last year. Margie Taylor moves to reassure the
given over the years was fantastic. Th e 2017 Show saw more than 2,200 through profession that nothing is, as yet, set in stone.
A new editor has just been appointed the doors, so 2018 promises to be even busier. Over the coming weeks and months
and you will get to meet Sarah Allen, former We have a great lecture and workshop we will see if the initial fears from the
director of communications at The Royal programme again covering all the major profession start to come true or if this really
College of Surgeons, Edinburgh in the topics as well as a few that you may not have is the chance to help shape the future
coming weeks and months, on these pages come across before. All the information is at of dentistry in Scotland for the better.
WE COULDN’T HAVE DONE IT WITHOUT...
1 2 3 4
MARGIE TAYLOR ABID FAQIR MONIK VASANT ARVIND SHARMA
(ON THE NEW ORAL HEALTH PLAN) (ON BECOMING ADI PRESIDENT) (ON POSTERIOR RESTORATIONS) (ON ENDODONTIC IMAGIN)
Margie Taylor is Scotland’s Chief Dental Abid Faqir is the new President of Monik Vasant is the keyonte speaker Arvind Sharma works in practice
Offi cer, a role she has inhabited since the Association of Dental Implantology. at the Scottish Dental Show 2018. He limited to endodontics and takes
2007. She received a CBE in the Queen’s He works at SCED and is co-owner of is the director of Freshdental, with sites referrals at New Life Teeth, Edinburgh
New Years Honours in 2016. the Ecco Dental Group. in London and Greater Manchester. and Philip Friel Advanced Dentistry.
05 SCOTTISH DENTAL MAGAZINE

Insider
HAVING HIS SAY
Got a comment or question
for Arthur? Email
[email protected]
LET’S GET TALKING
A new dentist takes on the Arthur Dent persona and starts off by
challenging colleagues across Scotland to get in touch and start a debate
o, here begins a new
era, at least for me, and
perhaps for you? As I take
S
on the mantle of Arthur
Dent, I’d like to thank my
predecessor for their many interesting and
informed articles from the coalface of Scottish
dentistry over the last few years.
I’ve been a dentist for a couple of decades
or so and work in a fairly large, mostly NHS,
mixed practice in Scotland. That’s as much as
I’m telling you. I don’t have any great academic
or research knowledge, but a whole host of
practical experience as an associate and
practice owner. I like to think I have a fairly
balanced, forthright view on dentistry and
ABOVE: As a profession we often don’t say what we truly think. Let’s have a debate
that’s why I’ve offered to write for this column.
I hope what I have to say is interesting and
thoughtful. I may at times court controversy
and I’m quite happy to admit if I’m wrong.
To that end, I will ask questions and state I do have concerns about that. I don’t think probably costing about £2m. What are they
opinions which are based on my experience dentistry has a good enough evidence base going to do? Practices will still have to do what
and that of those I talk to. If you think I’m right to rely on. Especially for basic treatment they do with the same funding, or less, so why
or wrong, I’d like to hear about it and hope types and techniques. This may be the spend money on more layers?
to spark some debate. I often think we, as a first controversial thing to say. I worry Why do we need to get enhanced
profession, don’t say what we truly think as that academia is leading the profession accreditation for doing stuff we already do
we are always concerned about competition in and ordinary folks like me with anecdotal – domiciliary care and oral surgery? Yet, we
business and can have very differing views on experience are ignored. In the absence of are going to be asked to do medical checks,
the way forward. Perhaps with my anonymity anything better, let’s not ignore experience. which we are not trained for, to access ‘extra’
and the anonymity (I promise) of anyone Particularly for GDS, which is, after all, where funding because nobody wants to be a GMP.
making a comment to me, we might spark an the vast majority of care happens. (Remember This seems a bit strange. Not to mention, I’m
honest, open and benevolent conversation on this is opinion, not necessarily fact, but it’s not quite busy doing dentistry.
these pages? just me.) On that note, do we really think caries and
Anyway, enough about that. On with the Things I do find a little funny (and I’m the health of the nation’s mouths is that much
meat. There’s a new Oral Health Improvement going to leave the iQUAD study and perio better? I do agree it’s better than 20 years ago
Plan. I guess I have to talk about that. The for another time here) are: 1 – increased but I still see a lot of caries. Every day. All day.
problem is, like the consultation process, there levels of oversight/admin; 2 – enhanced Maybe I’m just unlucky.
isn’t much meat on the bone. I don’t think accreditation and medical checks; and 3 – I’d love to hear from some dentists in more
there’s enough detail to get really worked up caries disappearing. These are things I could private practices in those really nice areas. I
about either way. go on and on about but I’ll try to keep it brief suspect it’s better, but I bet their patients still
I have heard a lot of rumour and innuendo and pointed. drink (new and improved) Irn-Bru. They just
among colleagues about how it’s going to In NHS dentistry, practices have to deliver get white fillings done so the NHS doesn’t
work but I think I’ll wait for the detail. What services dictated by regulations and policy know they get treatment. Or perhaps they are
does strike me as a general impression based on a very simple earning stream. Why all caries free and I’m just blinkered?
is prevention, quality improvement and would you spend time, effort and money Well, I’ll end on that question. Please feel
targeting of care seem to be the focus. I don’t (particularly when funding is tight) on free to email. I promise I’ll read it, learn from
think I can complain about this. increased complexity of admin? For example, it and share it in SD Mag. Let’s have
Evidence has a very prominent position. creating a dental director in each health board a debate.
07 SCOTTISH DENTAL MAGAZINE
IN FOCUS
ORAL HEALTH We have never had so many older
PLAN
ON PAGE people that are frail but have their
32
own teeth. It’s uncharted territory
MARGIE TAYLOR
SCOTTISH GOVERNMENT
MUST TREAD CAREFULLY IN
SHAKE-UP OF DENTAL SERVICES
BDA concern that said the percentage of patients welcomed recognition within
BDA SCOTLAND
who saw a dentist within the the document for a roll-out
changes to NHS care
previous two years has shown of Childsmile for all child SEEK VIEWS
proposed in Oral “a steady decline from around groups, provision of funding for
ON OHIP
98 per cent between September occupational health services, the
Health Improvement
2006 and March 2008, to 84.1 implementation of consistent
Plan could undermine per cent in September 2010 and pathways for oral cancer across
viability of practices now 70.7 per cent in September Scotland, addressing the care of BDA Scotland is seeking the
2017, the lowest reported rate”. the elderly in both care homes views of dentists on the Scottish
Government’s recently published
David Cross, vice chair of and in their own homes and
Oral Health Improvement Plan
he British Dental the BDA’s Scottish Council, said: the provision of local resolution
T (OHIP) through an anonymous
Association (BDA) “This programme represents the rather than sending cases to the online survey hosted on its
has urged ministers to biggest change to NHS dentistry GDC initially. website.
proceed with caution following in the last 50 years, but it will A number of issues that The survey is open to general
publication of the Scottish be impossible to deliver without were of concern to BDA dental practitioners and dentists
working in the hospital dental
Government’s Oral Health new investment. Scotland have been removed
services or in the public dental
Improvement Plan (OHIP), “Yes, reform is needed, but by Scottish Government from services in Scotland and will take
which could lead to the biggest ministers must tread carefully the document. Orthodontic approximately 20-30 minutes to
shake-up of NHS dental services and avoid the unintended services will not be locally complete. However, there is also
a shorter version of the survey,
in decades. consequences that could easily commissioned, and there will
which will take around five
The BDA has expressed destabilise the service. not be a minimum number of minutes to complete, covering
concern that changes to the range “The Scottish Government hours of clinical care required some of main key points raised
of care available on the NHS is unwise to cover historically by NHS practitioners. by the proposals.
could undermine the viability of low attendance figures with David added: “Many of David McColl, chairman of
practices across Scotland. claims of ‘record-breaking’ our initiatives have been the Scottish Dental Practice
Committee, said: “The release
It has accused the Scottish registration. The patients who recognised within the strategy.
of the OHIP has caused concern
Government of spin, launching need us most might be getting We will continue working with among many practitioners;
the OHIP off the back of statistics on the books, but they are Ministers and the Scottish many of whom have taken parts
claiming ‘record-breaking’ not making it to the dentist’s Government to take forward of the aspirational plan and
catastrophised some outcomes.
numbers of registered patients. chair. Our nation’s oral health sensible policies contained in
The BDA quotes actual challenges remain profound, the document and to deal with “There is little detail in the OHIP
and we look forward to working
attendance at NHS dentists and will not be solved by spin.” the opportunities and challenges
with Scottish Government to
has “reached a record low”. It BDA Scotland has facing the profession.” develop the implementation of
some of the themes alluded to
in the plan.
GDC LAUNCHES CONSULTATION ON MECHANISM FOR SETTING FEES “The profession needs
reassurance that NHS dental
practices will be viable under any
changes and that regulation by
The General Dental Council (GDC) • Decisions on the allocation of costs Strategy, said: “We’ve been listening to
Scottish Government, PSD, NSS
has launched a consultation on a new should not lead to undesirable our stakeholders and have worked hard
and the GDC is fair, transparent
approach to setting fees. outcomes (e.g. in the form of to develop a set of proposals which
and understood.”
The new proposed policy is based unacceptably high or variable we think provides a greater level of
around three main principles: costs for some groups of transparency. We really want to hear the The information gathered from
views of all our stakeholders, so I hope the survey will be used to inform
registrants).
• Fee levels should be determined everyone will read the consultation and on-going discussions that BDA
primarily by the cost of regulating The consultation is about the respond before the closing date.” Scotland has with the Scottish
each registrant group mechanisms for setting fee levels rather Government about proposed
The consultation is available at gdc-uk.
• The method of calculating fee levels than about the fee levels themselves. org/about/what-we-do/consultations changes to dentistry in Scotland.
should be clear Matthew Hill, GDC executive director, and is open until 15 May 2018.
SCOTTISH DENTAL MAGAZINE 08
HOT OFF THE PRESS: THE LATEST NEWS FOR DENTAL PROFESSIONALS IN FOCUS
IAN MILLS TO BE NEXT DEAN OF FGDP(UK)
FGDP announces Glasgow through a crucial period in its history. I
graduate and north Devon thank my colleagues for the faith they have
placed in me, and look forward to working
GDP as its new dean with them in delivering GDP-focused
education, guidance and representation
over the next three years.”
an Mills has been elected as the next He qualifi ed as a dentist from Glasgow
I
dean of the Faculty of General Dental University in 1987 and spent the early part of
Practice UK (FGDP(UK)). his career working in maxillofacial surgery.
Ian, who works in general dental In 1994 he moved to Devon and three years
practice in north Devon, previously held later set up Torrington Dental Practice,
the post of Academic Clinical Fellow at where he continues to work as a partner.
Plymouth University Peninsula School of He is currently the Faculty’s
Dentistry, and is a Fellow of the Faculty. He representative on the Care Quality
is currently senior vice-dean of FGDP (UK) Commission Dental Reference Group
and will be inaugurated as dean on 15 June and has previously been an Assessor
2018, taking over from Dr Mick Horton. for FGDP(UK) Fellowship and chaired
Ian said: “It will be an enormous its Examinations Committee. He was
privilege to lead the UK’s only professional previously an elected member of the
body dedicated to general dental practice British Dental Association’s General Dental since it was established and has recently
Practice Committee, a member of Devon submitted his doctoral thesis to Plymouth
LDC, and on the Professional Executive University on ‘Th e delivery of person-
“I THANK MY COLLEAGUES Committee of North Devon Primary Care centred care in general dental practice’.
Trust. He is a fellow of both the Higher Dr Mick Horton, Dean of FGDP(UK),
FOR THE FAITH THEY HAVE Education Academy and the Faculty of added: “Many congratulations to Ian on
Dental Surgery of the Royal College of his well-deserved election as Dean. He is a
PLACED IN ME”
Physicians and Surgeons of Glasgow. highly experienced, respected and rounded
In addition to his clinical practice, Ian practitioner, and I’m delighted the Faculty
IAN MILLS has worked at Peninsula Dental School will be in such good hands.”
09 SCOTTISH DENTAL MAGAZINE