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The bridge between dentistry and the law

Dentistry talks to Sarah Ide, Debbie Herbst and Eric Easson about their experiences as dentolegal advisers.

What is a dentolegal adviser?

Sarah Ide (SI): A Dental Defence Union (DDU) dentolegal adviser (DLA) is an experienced dentist with further training and understanding of assisting dental professionals with complaints, regulatory matters and other ethical and legal issues that crop up in relation to our members’ daily work. They act as a bridge between dentists and the legal process.

Debbie Herbst (DH): A DLA provides support, advice and assistance to dental registrant colleagues. It aids in a wide variety of matters relating to their ethical and professional responsibilities. DLAs are experienced dentists who work closely with other colleagues, such as the legal or media teams. They protect members’ interests and resolve issues in a timely way.

What is your dental background?

SI: I qualified in 1992, working as a house officer in hospital … Read the rest

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Creating the perfect pout

Harry Singh explains the treatment process and potential complications for considering non-surgical lip augmentation.

From Hollywood lips to the Essex lip, it seems that a commonly requested procedure from our aesthetic patients is the non-surgical lip augmentation.

Lips have always created attention and there is currently a high public demand for lip enhancement, which many consider to be a sign of attractiveness (Wollina, 2013). 

Full, well-defined lips showcase youth, health, attractiveness and sexuality.

Wider, fuller and curved lips and a short upper white lip are signs of female attractiveness (Verner, 2015) – a feeling only accentuated by the celebrities showcasing their own pout – from Kylie Jenner and Katie Price to most of the Love Island cast.

So why do we see so many distorted results?

In this article, we will look at how you can create that perfect pout. This will involve balancing age-specific treatments with the correct product … Read the rest

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Negotiating a perforation of the mesiobuccal canal

Dr Dickon Adams presents a case report describing the treatment of a patient who had been referred to him with a mesiobuccal perforation.

In this particular case, someone referred a 36-year-old female patient to me. Her general dental practitioner was having problems with the root canal treatment on the LL6.

The patient had originally presented to the dentist due to pain. The dentist initiated root canal treatment.

The initial radiograph showed there to be extensive apical areas. I made an association between a mesial radiolucency and a buccal fistula. Also, it revealed slight furcation radiolucency that may have been a result of perforation from the creation of the previous access cavity (Figure 1 and Figure 2).

It also looked as though the instrumentation had failed to negotiate the curved mesial root and had perforated mesially.

Further investigation revealed that there was a large perforation of the mesiobuccal canal (Figure 3).Read the rest

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Quick fire round with Katy Galloway

Katy Galloway talks about the desire for an Americanised smile, Invisalign, training dogs, skiing and rock climbing.

Factfile

Name: Katy Galloway

Qualifications: MChD/ BChD Dental Surgery, BSc Oral Surgery

Job title: Dental associate, soon to be practice owner

Professional Interests: Smile transformations, minor oral surgery

Interests outside dentistry: DIY, enjoying time with my partner and pets

Can you tell us a bit about your background?

I am originally from Hull. After graduating from University of Leeds I have not relocated. I have devoted my youth to dentistry and I absolutely love the profession! Throughout my school years I thrived in both science and art subjects. For me, nothing pairs both of these skills better than dentistry.

I met my partner in my academic year at university. Together, we have developed our skill sets and look forward to opening our first practice together later this year.

What or who made you

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Has lockdown got you feeling like you can’t be there for your patients?

Amo Sohal will discuss how digital technology will future proof patient care in dentistry on Sunday 17 January at 19:00.

Let’s not beat around the bush and consciously accept the fact that 2020 took all sectors by surprise. Dentistry included.

We are now living in the information age, where information and data is everything.

How can we make informed decisions? We must have information and data to make such decisions.

How can we assist our patients’ problems and concerns when we have limited information streams available to us such as email/text/phone calls? With many patients now also reluctant to leave home – how are we able to help with limited information?

We must have more data – this is what dental check-ups are for! Dentists are visual people!

This is where technology can help us. Embrace technology to gain more data from patients and offer an enhanced level of care. … Read the rest

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The hygienist’s blog – rise of the hygienist

As we begin 2021, Claire Berry asks whether patients are beginning to realise the importance of the dental hygienist.

Since returning to work post lockdown 1.0, I find myself busier than ever.

It’s the beginning of January as I write this and I am fully booked until the end of April. That’s including working to see patients through my lunchtime. I am even opening extra days to account for the volume of patients, who seem to have suddenly realised the essential service a hygienist can offer.

The importance of prevention

When I started noting the volume of enquiries and bookings, I thought about what it is that could be causing this influx.

With parts of dentistry not back up and running to full capacity, people are turning to hygienists and are (finally), realising that prevention is an important commodity.

Access to dental care is more difficult right now, especially from … Read the rest

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Case of the week – composite bonding

Nikhil Sethi introduces a composite bonding case to resolve chipping on the edges of a patient’s front teeth.

This patient attended with a history of heavy manual tooth brushing and chipping on the edges of his front teeth from nail biting. A habit which has now stopped.

His main concerns were the rough edges on the surfaces and edges of the front teeth. As well as the gaps (diastemas) between his canines.

After examining the occlusion and surface wear we determined that the cause was a mixture of attrition, abrasion and nail biting.

Our aim was to keep treatment as conservative as possible. All whilst improving the colour, surface form and length of the front six teeth. And also to close the diastema.

Composite treatment

After discussions with the patient, a course of tooth whitening was completed using White Dental Beauty 6% hydrogen peroxide for four weeks at two hours … Read the rest

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Air Supply from Dentalair – sterile air made simple

Dentalair introduces its Air Supply service that aims to make sterile air supply to dental practices simple and cost effective.

It’s fair to say that for many professionals, their air compressor is not often at the top of their priority list. However, without this essential piece of equipment, it’s impossible to provide certain treatments.

With air compressor maintenance often quite stressful and taking time and energy away from other parts of your practice, it’s easy to see why professionals don’t put their air compressor first.

But what if there was an easy, stress-free way to ensure your air compressor remains in perfect condition, without any of the hassle?

Air Supply from Dentalair is the new, simple and stress-free way to ensure that you are never caught short when it comes to your air compressor.

New air compressor, no worries

Have you got an old air compressor in your practice that … Read the rest

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Using respirators to prevent SARS-CoV-2 transmission: evidence review

Adam Nulty provides an evidence-based literature review on the use of personal protective equipment (PPE) within the COVID-19 pandemic and beyond.

In epidemics of highly infectious diseases, such as Ebola, SARS and now the SARS-CoV-2 coronavirus, those working in the dental setting reportedly stand at greater risk than the general population. This is due to their close contact with patients. Also, their potentially contaminated bodily fluids (Office for National Statistics, 2020).

To be effective and also practical, PPE (such as masks and respirators) must prevent respiration of the bacterial or viral particulate. It should also be comfortable. The use of respirators requires compliance to be effective (Nichol et al, 2008).

When comfort is lacking, overprotection can introduce problems. For example, in proposing the use of masks of higher rating in some scenarios, these higher rated masks (such as N99/FFP3) may make work more difficult and uncomfortable. This is thought to Read the rest

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Dental implants: an overview of diagnosis and management of peri-implant diseases

Join Nikos Donos as he gives an overview of the diagnosis and management of peri-implantitis on Wednesday the 13 January at 19:00.

This webinar will provide an evidence-based update on the diagnosis of peri-implant diseases. It will give an overview of the challenges that the clinician faces during treatment of these conditions.

By the end of this webinar the participant will:

  • Have an understanding of peri-implant diseases
  • Provide diagnosis for peri-implant mucositis and peri-implantitis
  • Expose themselves to an overview of the treatment modalities.

More about Nikos Donos

Professor Nikos Donos is the chair of periodontology and implant dentistry, the head of the Centre for Oral Clinical Research and also the lead for the Centre of Oral Immunobiology and Regenerative Medicine at the Institute of Dentistry, Barts & The London School of Medicine and Dentistry, Queen Mary University of London (QMUL).

In 2009, Professor Donos was awarded the title of honorary … Read the rest

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