How will dentistry cope with the much-anticipated cuts after the election?

88 Pages·2011·6.23 MB·English

Breaking
400 years of
April/May 2011
tradition
Page 26
At the
RECOGNITION FOR
SCOTTISH DEAN
Professor Liz Kay
receives FGDP
sharp accolade Page 7
ARE YOU AT THE END
OF YOUR TETHER?
end
How to identify and
deal with stress in your
practice Page 31
How will dentistry cope with the A PERMANENT
much-anticipated cuts after SMILE SOLUTION
A full restoration
the election? Page 16
of an edentulous
upper arch Page 45
SPECIAL FEATURE
Treating the
street kids of
Arad in Romania
Page 18
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ISSUE 2, VOL.2 Welcome
Editor’s desk
with Bruce Oxley
Decision time
Election time is upon us again after the election. After all, it’s Everyone will have their own
and you could be forgiven for not much of a vote winner to specific worries and concerns
giving in to the odd moment of make wide-ranging cuts in as to what might be targeted
pessimism about the whole an election year. when the axe eventually falls
process. But, whoever wins the but a re-think on continuing
The dental profession, and the election will have to deal with it registration seems to be high on
wider health service in general, and hopefully they will deal with the agenda for many. Whether
has been living under the threat it sooner rather than later. As a Labour administration would
of cutbacks for more than two one of the dentists points out in repeal the policy if they got in
years now. And, despite making our election news special on is another matter.
a few snips here and there, it is page 16, when the squeeze
®
no major surprise that the SNP eventually comes we’ll no doubt
Bruce Oxley is the editor of Scottish Dental
would stall on making the bulk be playing “catch-up” with our
magazine.To contact Bruce, email
of the difficult decisions until colleagues down south.
[email protected]
Contents
SCOTTISH DENTAL MAGAZINE
April/May 2011
NEWS> 26 Interview: CLINICAL>
05Column: Biting back Dr Alyson Wray 41 Intra-oral bone
with Claire Walsh 31 Stress management grafting: a clinical audit
06Female first for 35 Practice profile – 45A permanent
Royal College Sandgate Dentistry smile solution
08Goodwill valuations fall 56 Teeth whitening
10 Dental archive 59 Using a dental
launched operating microscope
13 Getting the facts
out of FiCTION FINANCIAL>
16 Election news special 64Budget analysis
66Share issues
FEATURES>
18 Romanian project – PRODUCT NEWS>
treating the street 71 All the latest
kids of Arad products and
13 56
24Healthcare scrutiny services
Scottish Dental magazine3

CONTACT SPENCER AT: [email protected] CCoolluummnn
Biting back
with Spencer Wells
Your fate in your
patients’ hands?
T
here’s a lot of things “Mind you, you have to
you might say
about patients. feel sorry for the poor
They are your
sod who will have to
bread and butter,
sometimes your biggest
read all this rubbish”
champion and other times your
worst enemy. But, if the GDC
get their way, patients may well apart, this really worries me. why they need one, what to of treatment. Mind you, you
be a big deciding factor in your Some of our patients walk in the expect, before sending them have to feel sorry for the poor
successful revalidation. Now door, grunt their greeting at the back to reception. The recep- sod who will have to read all this
there’s a thought! receptionist then nip back out- tionist asks them what the next rubbish: “Ah cannae wear ma
I don’t know about you, but side for a swift fag, so that’s not appointment is for, and they plate, it’s too big”, “Ma tooth wis
a fair number of my patients the best start. Even the say: “Oh I don’t know, he didn’t alrite til he touched it”. Give
don’t know which dentist they better-bred patients – those say.” If you didn’t have your me strength!
see in the practice. To be clear, who will sit in the waiting room nurse sitting there listening, you The whole thing is getting
there are only two of us, and we quietly without feeling the need would swear you were losing ridiculous. I am all for fair treat-
are not even the same gender. to swing from the chandeliers – the plot. It’s like being in a ment and patients’ rights to be
So, God help us if these fine are, with the best will in the parallel universe sometimes! informed, and to be treated like
specimens of the human race world, not always the best And what about a patient who a human being (in spite of occa-
had to give feedback on their people to judge the quality of is never happy, or even one who sional evidence to the contrary,
dental experience, or their their surroundings, or the care is only disgruntled with a recent judging by the look of their
‘patient journey’ as they say in they have received. course of treatment, but coupon) but this idea really is the
the hoity toity practices. How many times have you doesn’t tell you about it? You pits. I hope the GDC dump it and
I haven’t seen any samples of discussed a treatment plan with can imagine their complete come up with a better idea, but
the type of questionnaires that a patient, say for example, a delight when they are asked to I am not holding my breath….
might be used but, all joking post crown, and talked about comment on their recent course Early retirement, anyone?
DETAILS AND CONTRIBUTORS
Editor Design and production Subscriptions The copyrightin all
Bruce Oxley Renny Hutchison, Ann Craib articles published in
Tel: [phone] Debra Campbell, Tel: [phone] Scottish Dental magazine is published by
bruce@connect Paul McGinnity is reserved, and as such
communications.co.uk ann@connect articles may not be
communications.co.uk
Senior sub-editor Advertising reproduced without
Wendy Fenemore sales manager 1 year, 6 issue permission. Neither the
Studio 2001, Mile End,
Sub-editors: Ann Craib subscriptions: UK £48; publishers nor the editor Paisley PA1 1JS
Chris Fitzgerald, Tel: [phone] overseas £65; students necessarily agree with Tel: [phone]
Gary Atkinson, ann@connect £25. Back issues: £5, views expressed in the Fax: [phone]
Jim Byers, Penny Murray communications.co.uk subject to availability. magazine. ISSN 2042-9762 www.scottishdentalmag.co.uk
Scottish Dental magazine5
News
Female first for
PSD
reveal
Royal College
scale of
problem
REGISTRATIONS New appointment. A consultant dentist from roles in dentistry and I believe
Glasgow Dental Hospital has this will continue in the future.”
Glasgow consultant
As the deadline for become the first female vice- For many years, female
dentists to appeal with- becomes the first president appointed at the dental undergraduates at the
drawn registrations female vice-president Royal College of Physicians and Glasgow Dental School have
came to a close, Surgeons of Glasgow in over outnumbered their male coun-
Practitioner Services 400 years. terparts and this is because, Dr
Division (PSD) has Dr Alyson Wray has worked Wray believes, dentistry offers
revealed a clearer her way up from community a satisfying and flexible career
picture of the extent of dentistry to her current post as for woman.
the problems. consultant in paediatric “It’s difficult having children
Late last year, PSD dentistry, often finding herself and continuing to develop your
stopped in the region of the only female around the table career, but it is possible. I’ve
150,000 registrations – but she believes the times are been lucky that I have had
that they had identified changing. extended family for support
as duplicated, She said: “I’m not a and, as I live in the West End of
deceased or relating to supporter of positive Glasgow, if anything happens
a patient who had discrimination – it’s it’s only a short run home.”
emigrated. As of 18 just discrimination in And this came in handy when
March, 244 dentists another guise. My view is her ı3-year old son cracked
had submitted over that people should be his teeth after an accident
6,000 queries with the selected only on their in a skateboard park!
deadline closing on professional suitability
®
31 March. for the job.
The registrations “I am witnessing more To read our in-depth interview
were withdrawn, with women coming into senior with Dr Wray, turn to page 26.
payments ceasing as of
1 September 2010, in
A doctor in all but name?
response to an audit by
PSD to match the
Community Health
Index numbers to the
patient records they TITLE DEBATE Board, said: “That the GDC is
hold on their payment choosing to devote time and
system, MIDAS. The The British Dental Association resources to this issue when it
exercise threw up over (BDA) has accused the General should be concentrating on
150,000 potential Dental Council (GDC) of wasting addressing the backlog of Fitness
inaccuracies, with time and resources over the to Practise cases is nothing short
dentists being asked to issue of whether dentists should of astounding. Dentists and
submit a DPD295 form be allowed to use the courtesy dental care professionals have
if they disagreed with a title ‘doctor’. seen hefty increases to their
withdrawn registration. The association sent a letter annual retention fee and will not
The initial deadline of outlining their position on the be impressed by this profligate
21 February was matter to the GDC ahead of their use of the GDC’s swelled funds.
extended after the February council meeting, “The use of this courtesy title is
BDA’s Scottish Dental during which a decision was not an important issue for the
Practice Committee made to postpone a vote on the They have also called on the public. A ban has the potential to
chairman Robert issue. The BDA argues that, at a GDC to publish details of the confuse patients and harm the
Kinloch revealed that time when the GDC is facing resources it has expended reputation of the profession.
many dentists were increasing financial constraints reviewing this issue and warned “We urge the GDC council to
struggling to meet the and the backlog of Fitness to of the significant harm stripping reject the recommendation of its
deadline due to the Practise cases is growing ever dentists of the courtesy title standards committee and
adverse weather condi- larger, the council should be could do. instead concentrate on the areas
tions before Christmas. addressing these problems Dr Susie Sanderson (above), of its work that deliver a real
ahead of the title issue. Chair of the BDA’s Executive benefit to the public.”
6Scottish Dental magazine
News
Election special p16|Interview p26|Clinical p41|
Dentistry on show committees that are exploring Watson’s talk was a little more
matters beyond their training or partisan. “The dental profession
scope of practice. is being suffocated by layer
The General Dental Council’s A media briefing from The thorny issue of CQC reg- after layer of regulation,” he
internal audit of its Fitness to indemnity organisation Dental istrations in England was also opined.
Practise (FtP) proceedings, the Protection (DPL) explored the high on the agenda and DPL’s And, while the CQC situation
confusion surrounding CQC many problems with the GDC’s Sue Boynton and the Dental is not of direct relevance to
registration in England and the FtP hearings that were high- Professionals Association’s Scotland, Watson did reserve
lack of political representation lighted by its own recent CEO Derek Watson both tackled some ire for Scotland’s former
for the industry as a whole were internal audit. These included the subject in separate talks. dentist MP Anas Sarwar, stating
just some of the issues tackled inconsistent decisions made While Ms Boynton highlighted that: “We are still waiting on his
at the recent Dentistry Show at by caseworkers and and DCPs’ the potential problems and first speech on dentistry in the
Birmingham’s NEC. presence on investigating spoke in measured terms, Commons…”
Recognition for
Scottish dean
FGPDPAWARD colleagues and our students
at the Peninsula Dental
Signals A former senior lecturer at the School, as much as it does
University of Dundee has been me personally.”
towards
awarded the Faculty of General Russ Ladwa, Dean of the
Dental Practice (FGDP[UK])’s FGDP(UK), added: “It is
no smoking
highest accolade, the Fellowship obvious for all to see that
Ad Eundem. Professor Kay has an exceptional
Dentists are being reminded Professor Liz Kay, who is the enthusiasm for her profession,
of their crucial role in current dean of the Peninsula and a willingness to help others
spotting mouth cancer early Dental School in Devon, received along their chosen path. Her tire-
and providing vital smoking her award at the Annual Faculty of less work and support for dental
cessation advice, following GDPs (UK) Diplomates Ceremony practitioners to provide an
this year’s No Smoking Day in London on 5 March. The honour improved quality of care for
that took place in March. is described as “a mark of achieve- their patients is well known
It is thought that around ment for those who have made a and I thank Professor Kay for
21 per cent of the UK’s contribution to patient care or the that.”
population is still smoking, profession of primary dental care, Prof Kay qualified BDS
with tobacco linked to significantly over and above what from the University of
around three-quarters of all might be reasonably expected of a Edinburgh in 1982 and
cases of mouth cancer. member of the FGDP(UK)”. gained her Masters in Public
Dr Nigel Carter of the On her award, Prof Kay said: Health from the University of
British Dental Health “I am of course delighted to have Glasgow in 1984, followed
Foundation said: “The dental been awarded such a prestigious by her PhD in 1991.
profession is in a unique accolade. While it is me who has She then became senior
position to warn patients of been made a fellow, it is an lecturer at the University of
the risks and consequences achievement that reflects the Dundee before undertaking
of smoking. In September, hard work and dedication of my specialist training in dental
dentists in Dublin and Ireland public health. She has been a
offered free mouth exami- “It is an achievement consultant in the specialty for
nations, and six cases of the last 10 years.
that reflects the hard
mouth cancer were found. In May 2006, she was
work and dedication
This only serves to further appointed as the inaugural dean
of my colleagues and
reinforce the message that of the Peninsula Dental School, the
our students at the
regular visits to the dentist UK’s newest dental school and a
dental school”
can help detect early signs collaboration between Exeter and
of mouth cancer.” Professor Liz Kay Plymouth universities.
Scottish Dental magazine7
News
Goodwill valuations fall
Practice values.Although profits are slightly reduction in net profit, from
down the Scottish market is still very active £ı30,62ı to £ı26, 390 (from
36.4 per cent to 34.6 per cent).
Dougie Paton, a NASDA
The goodwill value of dental at dental profits for 2009/20ı0. member and chartered account-
practices in the UK has fallen It showed that net profits ant with Condie and Co in
to 84 per cent of turnover, over the year were either Dunfermline, commented: “We
compared with nearly ı00 per slightly down or remained contribute to the NASDA collec-
cent this time last year. static on the previous year. tion of statistics because they are
The figures, released by the The sample population for representative of expenditure
National Association of the report covers 600 practices and earnings by Scottish dentists
Specialist Dental Accountants and 500 associates, including and provide the best available
(NASDA), show that goodwill members in Scotland, and are Dougie Paton barometer of the dental market.
as a percentage of fee income based on averages of actual The same applies to the NASDA
for sales has dropped to 84 per accounts of both NHS and slightly down – by £2,000 – goodwill figures.
cent as of January this year and private practices rather than practices with associates were “Despite the lack of external
for valuations it is down at tax returns. The 09/ı0 results generally more profitable. Net funders, the sales market in
90 per cent. However, NASDA show an overall reduction in profits for a practice with Scotland is very active – cur-
revealed that enthusiasm for net profit, due to increases in associates was £ı48,408, while rently we are dealing with three
NHS practices remained high, materials and staff costs, from without associates it was separate transactions. The
while private practices in some £ı4ı,835 to £ı39,569, or from £ıı8,992. The report also found NASDA statistics and goodwill
areas are proving harder to sell. 37.4 per cent to 35.8 per cent of that, while there was a slight surveys help us benchmark our
The report, produced each overall income. increase in fee income for pri- forward-looking projections,
year by NASDA firm The figures showed that vate practitioners, from £358,7ı7 assess deal values, and advise
Humphrey and Co, also looked although associate income was to £364,924, there was a small clients accordingly.”
PVG Scheme goes live
CHILD PROTECTION robust. All dental professionals
that work with children and
Scotland’s delayed Protecting protected adults will require to
Vulnerable Groups (PVG) be registered and the General
Scheme was launched at the Dental Council (GDC) will
end of February with the aim have powers to refer its own
of replacing and improving on registrants to the scheme.
the previous disclosure The GDC will have the power
The smile factor
arrangements. to make a referral if it is felt
The PVG Scheme had been that the individual has done
due to start in November last something to harm a child or
year but was delayed by protected adult and the NATIONAL SMILE MONTH this year’s campaign. He said:
ministers in order to ensure impact is so serious that the “A smile can be a very
the system that supports it organisation has – or would be Dentists across Scotland are powerful show of emotion,
was fully fit for purpose and likely to – remove the individ- being encouraged to do their yet not everyone has the
ual from regulated work on a bit to promote National Smile confidence to do so.
permanent basis. Month as this year’s campaign “Others are being held back
The GDC may also receive marks its 35th birthday. by poor oral well-being and its
information about its regis- The theme of the aware- impact on their general health.
trants from the scheme. The ness month, which runs from This year’s campaign is
council has decided, howev- 15 May until 15 June, is the designed to challenge those
er, that any information ‘Smile Factor’ with the aim of perceptions and get your
received would not result in putting the smile back on patients smiling again.”
automatic erasure from the peoples’ faces. Chief Executive
®
register, but as an of the British Dental Health
allegation of imp- Foundation, Dr Nigel Carter, For more info on National Smile
aired fitness described the thinking behind Month, call 01788 539792.
to practise.
8Scottish Dental magazine

News
|Romanian project p18|Stress management p31|Product news p71
Dental archive is launched Bullying tops
ortho survey
results
HISTORY OF DENTISTRY
Almost 90 per cent of people
The British Dental Association polled during National
(BDA)’s director for Scotland and Orthodontic Week revealed
the chairman of the Scottish that they thought
Dental Practice Committee were orthodontic treatment
both present at the recent should be available on the
launch of a new archive docu- NHS, but only half thought
menting the history of dentistry. that it was available on the
Andrew Lamb and Robert health service.
Kinloch saw a £50,000 bequest individual oral history interviews, evolution of the dental The research survey,
from the family of former BDA the first of which was hosted by profession. This will be invaluable conducted to coincide with
president John Walford McLean, Professor Nairn Wilson, head of for generations of professionals the British Orthodontic
presented, to see the creation of KCLDI, at the end of March. The to come. We are honoured to be Society’s (BOS) annual
The John McLean Archive: A session will explore dentistry given the opportunity to realise awareness week in February,
Living History of Dentistry. The prior to 1956, the role of the this project through the generos- also asked respondents to
new archive will document the Dental Board, the introduction of ity of one of the most list the main reasons for
history of dentistry since the the General Dental Council, inter- highly-regarded leaders in the wanting treatment on pro-
inception of the NHS and is being action with the BDA, profession, John McLean, whose truding teeth.
developed in conjunction with specialisation, and the role of the legacy will long be remembered.” The top reasons given in
the King’s College London Dental protection organisations. John Walford McLean OBE the BOS survey were to
Institute (KCLDI)’s Unit for the Head of BDA Museum was a leading dental practitioner improve self-confidence
History of Dentistry. Services Rachel Bairsto said: and internationally renowned (85 per cent) and to prevent
The project will comprise a “This archive will provide an dental materials scientist, author teasing and bullying
series of witness seminars and essential record of the significant and lecturer. (77 per cent).
10Scottish Dental magazine