J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 1 Founded 1949 Registered Charity No. 265815 www.bsperio.org.uk In this issue... BSP Presidential Address Date for your diary Spring Meeting 10-11 April 2014 Manchester Spring Meeting Sage Gateshead, NewcastleGateshead The EFP General Assembly Roadshow Success See page 12 for more information... Photo by David Tiernan Contents BSP Presidential Address ...................... 2 Spring Meeting 2013 .............................. 4 Dates for Your Diary ................................4 BSP Launches YSG................................ 5 Masterclass ............................................ 6 Perio Matters - Telling the World ............ 7 EUROPERIO 8 ........................................ 8 Joint EFP & AAP Workshop ..................10 Autumn Scientific Meeting ....................11 Spring Meeting April 2014 ....................12 Obituary ................................................13 Honorary Treasurer’s Report ................13 Membership, Prizes etc ........................14 Out and About in 2013 with the BSP.... 15 See page 8... Henry Schein Dental is once again proud to support the BSP J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 2 BSP Presidential Address October 2013 The Science of Periodontology? It is an absolute pleasure and a privilege to be able to present this lecture today as the newly elected president of the British Society of Periodontology. “The Science of Periodontology?” Or perhaps, I could rearrange the words and simply ask: “Is periodontology truly a science?” This may at first appear an heretical statement and particularly as our constitution states clearly that the Society is to promote, for the benefit of the public, the art and the science of dentistry and in particular, the art and science of periodontology, and in furtherance thereof to advance all aspects of periodontology and to promote improvements in the teaching of the same. I would not for one moment contradict the suggestion that the practice of periodontology is an art although to what extent our discipline aligns to the Oxford English Dictionary’s definition of science is perhaps more questionable: ‘The intellectual and practical activity encompassing the systematic study of the structure and behaviour of the physical and natural world through observation and experiment’. Undoubtedly, the actual discipline of periodontology is built around a number of well-defined sciences: for example, anatomy, epidemiology, physiology, pathology and microbiology. This does not necessarily imply, however, that periodontology is in itself a science. To draw a parallel to the world of aerospace engineering, the non-existent ‘rocket science’ is nothing other than a colloquial term yet may be perceived to be a collection of well-defined sciences such as solid mechanics, fuel science, avionics, physics, mechanical engineering and electrical engineering. Collectively, these and other similar sciences have put a rocket into space but truly, as the saying goes, it’s not rocket science! So perhaps before trying to answer my original question we should look at the fundamental building blocks for any science which are the laws, theories, principles, theorems and hypotheses which contribute to the basic components of any scientific subject. Taking these in turn, a scientific law summarises a collection of facts which are determined by experiment, in a precise, single statement. These facts should be strongly supported by evidence yet cannot always be explicitly proven. In general terms, they might explain why a range of phenomena behave as they do in nature. One of the best known is the frequently cited law of physics, Sir Isaac Newton’s ‘Actioni contrariam semper et æqualem esse reactionem’ or ‘To every action there is always an equal and opposite reaction’. The next level of evidence is contained in scientific theory which is generally an idea that has been rigorously tested and is accepted as an explanation for an observation. A theory is not 2 necessarily correct but just not disproven, and it usually starts life as a hypothesis. Indeed, theories are occasionally disproved. For example, as peptic ulcers became more common in the 20th century, it was theorised that they were linked to the stress of modern life. In the 1980’s Australian clinical researcher Barry Marshal discovered that the bacterium H. pylori caused peptic ulcer disease and was nothing to do with stress. This led him to win a Noble Prize in 2005. Albert Einstein’s work on relative and specific relativity is one of the best known theories in theoretical physics, noting that space and time are not absolutes and that gravity is not simply a force applied to an object or mass. Rather that gravity is associated with any mass and curves the dimensions of space and time around it. These theories of relativity transformed theoretical physics and astronomy during the early part of the 20th century and to some extent superseded and disproved the theories of mechanics proposed by Sir Isaac Newton. Closely linked to theory is a scientific theorem which is more a universal or general proposition or statement that may in itself not be self-evident but be demonstrable by argument or by reasoning. A theorem unlike a theory has to be proven. The best example being that of the Greek philosopher and mathematician Pythagoras who identified with respect to right angled triangles the fact that 25 is the sum of 16+9! Most laws, theories and even theorems begin life as a scientific hypothesis which is nothing other than an idea or an educated guess that merits further scientific evaluation. It may give rise to a proposed explanation for an observation but one that still requires rigorous testing and which, in turn, may ultimately be rejected. Democritus, for example, around 400BC hypothesised that all matter is made of small indivisible and indestructible objects called atoms which come in a variety of sizes and shapes and are combined in different ways to form matter. In itself, an amazing hypothesis that stood the test of time so Democritus can perhaps be forgiven for the misplaced opinion that atoms are indivisible! And so I would like to return to the question of periodontal science and to explore briefly the extent to which our discipline is aligned to scientific laws, theories and hypotheses. An intensive search of the literature failed to reveal many periodontal laws. Thielemann’s diagonal law of occlusal relationships (Thielemann 1938) proposed that an occlusal interference such as an erupted or tipped tooth restricts the functional gliding movement of the mandible, and elongation of the anterior teeth and often periodontal disease will develop in the anterior region opposite to the interference. This law, not unsurprisingly, fails to appear in any contemporary text books as we now clearly recognise that periodontal inflammation and its consequences cannot be elicited by an occlusal interference alone. Ante’s law, which was proposed around the same time that Albert Einstein was elucidating his theories of relativity, stated that with respect to replacement of lost teeth by bridges, the total periodontal membrane area of the abutment teeth must equal or exceed that of the teeth to be replaced (Ante 1926). A systematic review on survival rates and complications of fixed dental prostheses placed on teeth with severely reduced periodontal tissue support now largely refutes the original law (Lulic et al. 2007). Further, the chapter on occlusion in the most recent edition of Clinical Periodontology and Implant Dentistry could not have been published were Ante’s Law to be true. So, with respect to laws, not a good start. Nevertheless, we have seen during the last three decades some exemplary examples of theories and hypotheses which have stood the test of rigorous examination. For example, in the early 1980’s Sture Nyman, Jan Lindhe, Thorkil Karring and Harold Rylander published their definitive paper examining new attachment in the surgical treatment of human periodontal disease. They tested the hypothesis, albeit on one tooth in one patient, that new connective tissue attachment can be formed on a root surface that has previously been exposed to a periodontal pocket of long-standing providing cells from the periodontal ligament are enabled to repopulate the root during healing. This clinical work on human teeth was preceded by animal experiments and followed by many years of clinical trials which today underpin contemporary periodontal regenerative therapy. Interestingly, the initial educated guess that gave rise to the hypothesis never actually developed in to a theory. Conversely, we do often refer to Waerhaug’s theory of infrabony pocket formation which was proposed in the late 1970’s (Waerhaug, 1979) as a development of Irving Glickman’s theory of the 1950’s. It is interesting how Waerhaug’s theory superseded Glickman’s original concept which has become consigned to history, yet was never entirely disproven. Another example of how periodontal scientists develop hypotheses and theories came with the work of Sig Socransky, Anne Haffejee, Max Goodson and Jan Lindhe with their ‘New Concepts of Destructive Periodontal Disease’, again published in the 1980’s. This work was clearly explained by scientific evidence and rejected the long-held belief that periodontal disease progressed continuously with time but rather with phased and multiple asynchronous bursts of tissue destruction. It is perhaps a shame that this world-renowned group of periodontal scientists referred to new ‘models’ and ‘concepts’ rather than new theories of disease progression. Semantics perhaps, but it is important to venture forwards using correct terminology for acceptance in the scientific world. And so I have just drawn on three clear examples that I believe provide some evidence for periodontology being a true science. There are other examples in the literature and hopefully there will be many more in the future. Indeed, I have, with my friend and colleague and President elect Iain Chapple, proposed the theory of ‘Furcation Sparing’ in which we have proposed a mathematical, Fourier series expansion to explain why furcation sites may appear to be immune from more widespread periodontal destruction elsewhere in the dentition. The work as yet has not been published but I anticipate eagerly the prospect of a joint Nobel Prize in Medicine once the theory has stood the test of time in around 20-30 years! Professor Peter Heasman 3 J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 4 BSP Needs You! BSP Launches YSG SPRING MEETING 2013 The BSP headed North this year for the Spring Meeting and were warmly (and a little damply) welcomed to Manchester and the Hilton Hotel on Deansgate. The two day meeting had a world class line up of speakers coming from Europe and America and made for a fantastic two days. After lunch it was time for our second helping of Prof Quirynen. This time he changed his focus to oral malodour. He presented a wealth of information relating to the aeitiology and microbiology of oral malodour. The main focus of his advice being that patients need to use a tongue scraper to clean the surface of their for the selective use of systemic antibiotics in the treatment of Aggressive Periodontitis and progressive, severe Chronic Periodontitis before going to surgery. This proved the most controversial talk of the day with a strongly debated Q&A that nearly caused us to miss our bus to the conference dinner! The first day had a strong non-surgical focus, as should all periodontal therapy, with Prof. Marc Quirynen opening the meeting talking about “Non-surgical therapy, where are we now?”. Marc’s lecture was delivered with humour, a focus on evidence, funny videos and the occasional naughty word! He discussed full mouth treatments and his rationale and the science behind them. He still preached a strong focus on chemical plaque control and the use of chlorhexidine in various forms, something that was challenged quite strongly in the post lecture questions. Then followed a “parallel session” where Francis Hughes talked about Risk Factors while Ian Peace discussed delivering Perio in practice with a focus on perception, price and promises to the patients. Prof Robinson presented his qualitative research and about how patients feel about periodontal treatments. Apparently patients really value our treatments beyond the stuff that excites us i.e. PPD, CAL, BOP! birthday and as a Liverpool FC supporter, he did not want to spend it at Old Trafford! The second day had a surgical focus and we had the pleasure of listening to Dr Pat Allen from Dallas, Texas talk about mucogingival defects and the treatment of them using an allograft material. His presentation was excellent and included great before and after photos, surgical videos and reference to the evidence. The lunch break saw a new initiative from the conference team with the Lunch for Learning break-outs. This involved small groups meeting for lunch to discuss topics from Medico-Legal aspects of Perio through to the imaginatively entitled Sex, Drugs and Sausage Rolls! tongues as this accounted for the majority of the bad breath in the studies he showed. The day closed with Prof Mombelli and his presentation on Antimicrobials. He quite quickly rubbished the use of local delivery systems and moved his presentation on to the use of systemic antibiotics. He made a strong case The evening saw the BSP dance the night away at Old Trafford, the home of Manchester United Football Club. We started with a tour of the ground before a drinks reception in the very impressive Club Museum. Whilst this proved a very popular venue for most, your Editor was less than impressed as it was his Finally we heard about the state of play in periodontal regeneration. Obviously this topic was delivered by an Italian, and Francisco Cairo did not disappoint. He showed numerous cases and studies using various biomaterials and cases where the surgical technique was so precise and wound stability was so good, that bone fill could be seen radiographically without the use of bio-materials. It really was a great program and venue and I congratulate Philip Greene and the conference team on a great event. The BSP launches its “Young Specialists Group” (YSG) at the Autumn Scientific Meeting at the Royal College of Surgeons of England on Friday 25th October 2013. “ We are entering a vital period in the history of British Perio... ” Prof Iain Chapple will introduce to interested parties the rationale for establishing the group and his own vision for the YSG in an inaugural Prof Iain Chapple meeting between 9:15am and 11:15am. He has a very simple message for now “BE THERE IF YOU WANT TO SHAPE THE FUTURE OF BRITISH PERIO AND IMPLANTOLOGY”. All who consider themselves young (and youngish!) practitioners with an interest in perio are strongly encouraged to be there to develop the YSG’s vision, aims and objectives and modus operandi and more importantly, to secure their representation on key decision making committee’s like BSP Council and the Conference Advisory Committee. BSP Council share Iain’s view that our future lies with our young practitioners who are specialists or have a special interest in perio in its broadest sense. “We are entering a vital period in the history of British Perio - the Comprehensive Oral Health Assessment is here to stay, and will place Perio at the very top of the UK’s oral health agenda; we are entering into the era of Basic and Advanced Care Pathways where both Tier 2 and Tier 3 practitioners will be managing Perio and related problems within a specially commissioned NHS service - these pathways will be integral to the new Managed Clinical Networks; the prevalence and incidence of peri-implant diseases is increasing dramatically and perio trained practitioners (both specialists and those with a special interest) are best positioned (due to their formal training) to manage these conditions through non-surgical and surgical protocols. These are huge opportunities, we need to prepare for these challenges and our YSG is central to this exciting new era… they must have a voice and they must engage”. The BSP has embarked on an ambitions modernisation agenda, involving the development of a new vision and mission statement, our first strategic plan, new committee and meeting structures and the future development of industry partnerships. Ultimately this will require new Bye Laws, but with EUROPERIO 8 in London just 2 years away it is essential we plan carefully and those plans will involve our YSG. The 1st meeting will set the scene with 2nd and 3rd meetings arranged for Newcastle at the Sage, and finally Birmingham in September 2014, where we hope to sign off a constitution for the YSG. Dr Ian Dunn The 3 meetings are generously supported by P&G, an indication of the importance we and P&G place in our young practitioners. Please register and take ownership of your future and the future of the BSP! Dates for Your Diary 2014 Conferences The Society will be holding two large conferences during 2014, the usual Spring Meeting and an extended Autumn Meeting. This is because in 2015 the Society will be hosting EUROPERIO 8 in London and will not be holding its own conferences during that year. Professor Peter Heasman and Professor Iain Chapple have planned two excellent programmes and have invited world-renowned speakers to participate in their conferences. As you will see from the flyers, members are offered a large discount off the Autumn Meeting fee if both conferences are booked at the same time (terms & conditions apply, see website for full details). 28th February - 1st March The Dentistry Show, NEC Birmingham The BSP will be hosting the PerioLounge with a range of speakers throughout the 2 days. 21st - 23rd September Autumn Meeting, Birmingham 2nd - 4th October BDIA Dental Showcase, ExCeL, London 10th - 11th April Spring Meeting, Sage Gateshead, NewcastleGateshead June Roadshows (various venues TBC) 4 BSP at the Dentistry Show October Roadshows (various venues TBC) 21st - 22nd November BSDHT Oral Health Conference and Exhibition This year saw the BSP team up with the Dentistry Show at the NEC in what proved to be a very successful collaboration. For the first time at a show the BSP hosted a PerioLounge, an area in the trade hall where we could deliver CPD via a series of lectures delivered by a number of our membership. Not knowing how popular this would be and bearing in mind that there were 5 main lectures running concurrently, we had room for around 45 people to sit down. As you can see from the picture, the lectures proved very popular, with every lecture at capacity and many were standing room only! The feedback from the show was very positive and as always Helen was there to sign up a number of new members. This was a great opportunity to promote the BSP brand and message at the same time as showcasing our talents. Due to the success, we have agreed to host the PerioLounge again in the 2014 show and the organisers have promised to provide us with a larger venue. Well done to all involved especially those who gave their time to speak in the lounge. 5 J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 6 MASTERCLASS in Aesthetic Mucogingival Therapy The BSP Masterclass in Aesthetic Mucogingival Therapy was held at ICED, 123 Gray’s Inn Road from 7th - 9th March. 12 delegates were privileged to enjoy 3 days of superb teaching from Roberto Rotundo and Francesco D’Aiuto, both having worked at the Florence centre from which much of the published material on this subject has emerged. Each of the 3 mornings was dedicated to seminar teaching and every afternoon to practicing the techniques learnt on pigs heads, which made it a very desirable course. partial root coverage not justifying the expense or morbidity of PERIO MATTERS -TELLING THE WORLD The EFP General Assembly, Jerusalem, March 2013 The elegant and ultramodern David Citadel Hotel was the setting for the European Federation of Periodontology Annual General Assembly in March. This is the meeting at which all aspects of EFP management are discussed by representatives from all the member countries, now numbering 28. President Professor Nairn Wilson and he is encountering some The big issues this year were centred around the success of be made in the next few years. EUROPERIO 7 in Vienna, 2012, the campaign for the acceptance The most exciting issue was the EFP’s Perio Awareness of Periodontology as a specialty throughout Europe, and the Campaign, currently being rolled out across Europe. This is promotion of the EFP’s vision of Perio for a Better Life to based on the joint EFP-AAP workshop on the Perio-Systemic prepared grafts such as alloderm (cadaver, the public and all healthcare professions in the build-up to Connection, now published in the AAP Journal of Periodontology message that the masterclass was entitled Biohorizons) or mucograft (porcine, Geistlich) EUROPERIO 8 in London, June 2015. and the Journal of Clinical Perio. This is scheduled to build to mucogingival therapy for a reason: that were explored with the advantages and obtaining tissue health and correction of disadvantages. the procedure. Complete root coverage with planning and correct techniques is achievable. On the second day, we covered many surgical procedures, including indications and contraindications for the free gingival graft with fraenectomy, the coronally advanced flap for single and multiple recessions, the laterally positioned flap, pedicle flaps and bilaminar techniques including connective tissue graft harvesting. For multiple recessions where a large connective tissue graft would be necessary with the attendant trauma of the second surgical site, the options of commercially Roberto opened the meeting with a clear Around 300 members of the BSP and other UK delegates enjoyed attending the EUROPERIO 7 meeting. Obviously now traumatic brushing techniques were of staunch opposition from diehard generalists in several countries, including the Council of European Dentists. The UK is leading the field here, having achieved specialty recognition fifteen years ago. Representations are being made to the European Council of Ministers and it is hoped that further progress can a climax at EUROPERIO in 2015 with the hope that we can generate huge interest in Periodontal Health among the news media. We can all help this campaign now by supporting the paramount importance. It was stressed that On the final day, we learnt about management the evidence base does not support the of the edentulous crest and papilla deficiencies use of mucogingival surgery for maintaining with classification of both and surgical health, data was provided to illustrate that techniques. Francesco covered mucogingival less compliant patients appeared to benefit surgery around implants and encouraged soft and I am sure that all BSP members will be eagerly anticipating Your patients will hopefully start to ask you about this in the from having had graft procedures. tissue assessment as part of implant planning. this major event. coming months; you can find out more by going to Perio our attentions are turning towards EUROPERIO 8, London in 2015. At the General Assembly it was clear how many of the delegates were already looking forward to the London meeting He emphasised the need for atrumatic Following a classification of mucogingival extraction techniques to preserve tissue, deformities and indications for therapy, the which may require flap elevation to achieve. importance of understanding the anatomy of Compared with around teeth, there is reduced both recipient and donor sites for graft vascularity. A number of techniques were procedures was emphasised. The innervation and particularly the blood supply is key to success and dictates flap design. We were also introduced to Roberto’s as yet unpublished method to evaluate the aesthetics of the smile, using objective and subjective assessments of the face, teeth and periodontium. The published data of the 70’s and 80’s described success as partial root coverage but over the past 2 decades, better “ The campaign for the acceptance of Perio as a speciality throughout Europe is now being spearheaded by former GDC Perio Health Awareness UK Facebook page, and following: @healthygumsuk Twitter account. Workshop page on the EFP website: www.efp.org Dr Philip Greene described, including the Palacci roll-through From my personal point of view, it was undoubtedly the best CPD since my MSc ” of tissue from the palatal to the buccal aesthetic zone. In the afternoon sessions, we were fortunate, thanks to the generosity of Swallow, Geistlich and Biohorizons, to practice grafting with alloderm and mucograft in addition to harvesting connective tissue grafts and the patience and humour of Roberto and Francesco were much appreciated by the delegates. understanding, microsurgical techniques and There was a wide range of surgical experience operator experience means that success can between the delegates but all agreed it had only be described as complete root coverage. been an excellent course. From my personal This is particularly valid when the procedure is point of view, it was undoubtedly the best carried out for hypersensitivity as it is the CPD since my MSc. I would urge BSP to run 10% of patients with a lack of cementum at this course again. the start of the root who require this portion of the root to be covered for relief of symptoms, 6 Mary Gibson, Regional Rep 7 J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 8 “ The countdown has begun... Only 20 months to go, and preparations for EUROPERIO 8 at London ExCeL are well underway on a variety of fronts - it’s never a dull moment! Having looked carefully at the outcomes of EP7 in Vienna we have agreed to retain many of the very successful elements of the program there. These include the basic layout of scientific sessions, research and poster sessions, elements of the social activities, the EFP Village for national societies. In addition we have set ourselves a number of new tasks to try to ensure that EP8 is even more successful than Vienna and is the best EUROPERIO yet! New ambitions include: • Media and PR - taking advantage of the run up to EP8 to promote the topic of Periodontology amongst the profession, amongst other health professionals and amongst the general public. • Public and Patient Involvement - the one group whose voice has been missing from previous meetings has been that of the patient. We believe patient advocacy is potentially of great importance for Periodontology, and it is essential that we hear the views of our patients. We plan to run an open session (currently being organised by Prof Ian Needleman and Prof Philip Preshaw) for patients and professionals to discuss the implications of being a patient with Periodontal Disease. • An inclusive conference party. Running inclusive social events is a massive challenge for a meeting as big as EUROPERIO, where we hope to have around 8000 delegates. We have ambitious plans to hold a party at a large venue at a reasonable cost so that as many delegates as wish can get together and party for an evening! We have set ourselves a number of new tasks to try to ensure that EP8 is even more successful than Vienna and is the best EUROPERIO yet! ” ...with only 20 months to go! Public Relations and Publicity Whilst we hope and expect that every single member of the BSP will want to attend EUROPERIO 8, we also want to cast our nets much wider to attract many other General Dentists, specialists and DCPs from throughout the UK. We have agreed a partnership with the British Society of Dental Hygienists and Therapists and through this expect to attract a large number of hygienists to EUROPERIO. I hope that all members of the BSP will do all they can to recruit their friends and colleagues to attend what will be the largest meeting on Periodontology and Implant Dentistry ever to be held in Europe. To get the message out we intend to intensify our popular BSP Roadshow talks throughout the country during autumn 2014 to 2015. Our ambition to improve the profile of Periodontology on the back of the run up to EP8 has coincided perfectly with the launch of the EFP’s campaign - Perio for a Better Life. Many of you will have seen the material particularly on the EFP website regarding Perio-systemic links and the EFP have recruited a PR team to work on this project throughout Europe. Within the UK we have engaged our own PR adviser, Andrea Williams from Fluent PR, to work on this campaign getting our stories out to the profession, other health professionals and the general public. Andrea has set up Social Media accounts so do join us on Facebook and Twitter. What Happens Next? For the committee there is lots more to do, but for you readers, please make sure you save the dates in your diary! Professor Francis Hughes Chair, EUROPERIO 8 Scientific Programme A fairly advanced draft of the proposed scientific programme now exists and needs some minor further working on prior to rolling it out for the world to see. As ever we plan to invite the best, most influential and inspirational speakers from around Europe and from further afield. Sessions will consist of an active Chair, who will give an overview of the topic, followed by 2 main speakers and then discussion. Main themes of the Sessions which will run in parallel throughout the meeting include Master Clinician Forums, clinically orientated Sessions for Specialists, Advances in Scientific Knowledge sessions and Periodontology in Dental Practice. Research sessions and poster presentation sessions will also run through the meeting and we hope to attract many abstract submissions from delegates for these sessions. In addition we are planning some eye-catching Keynote lectures and a special session to mark 25 years of the EFP as a closing session. As I hope can be seen we think there is much that will be of interest for all delegates. Thus as well as specialists clinical sessions there will be more academic and scientific themes and major sessions throughout the meeting intended specifically for Dental Hygienists and General Dental Practitioners. London ExCeL, June 3rd - 6th 2015 8 London ExCeL and DLR station London ExCeL (bottom right) and London skyline 9 J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 10 Landmark Joint EFP & AAP Workshop AUTUMN SCIENTIFIC MEETING Perio & Systemic Diseases Segovia November 2012 The Root of the Problem! Philip Preshaw and John Taylor (Newcastle), Francesco D’Aiuto (UCL) and Thomas Dietrich, Praveen Sharma and Paul Weston (Birmingham) and Francis Hughes also participated, which alongside Iain Chapple as chairman gave the BSP a very strong representation. Expert systematic reviews were prepared on: Introductory papers: Perio-systemic interactions: a review of the evidence Infectious & Inflammatory Mechanisms Group 1: Periodontitis and cardiovascular disease Chairmen Maurizio Tonetti (Europe) & Thomas Van Dyke (USA) - 4 papers and a consensus report; Group 2: Perodontitis and Diabetes Chairmen Iain Chapple (Europe) & Robert Genco (USA) 3 papers and a consensus Group 3: Periodontitis and Adverse Pregnancy Outcomes Chairmen Mariano Sanz (Europe) & Kenneth Kornman (USA). A landmark workshop was held between the 5th-8th November 2012 at The Parador Nacional de La Granja (Segovia - Spain) in which the EFP and AAP joined forces in order to develop consensus reports on the relationship between periodontal diseases and systemic diseases. The former “Ittigen” workshops of the European Academy of Periodontology (EAP) established by Prof Klaus Lang were held every 3 years and there were 6 workshops. In 2008 they became the EFP workshops in under the leadership of Prof Mariano Sanz and physically transferred from Ittigen to the stunning Parador in La Granja for the 6th workshop in 2008. Since then the workshops, which involve leading experts in periodontology, implant dentistry and associated biological sciences, have been held annually. In 2009 the first EFP workshop on periodontal education was held jointly with the Association for Dental Education in Europe (ADEE) and was published as a supplement to the European Journal of Dental Education under the guest editorship of Prof Iain Chapple, one of the organisers in 2010 http://onlinelibrary.wiley.com/doi/10.1111/eje.2010.14.issue-s1/issuetoc In 2010 (7th-10th November) the 7th EFP workshop addressed The Biology of Periodontal and Peri-implant Diseases http://onlinelibrary.wiley.com/doi/10.1111/jcpe.2011.38.issue-s11/issuetoc and in 2011 the 8th EFP workshop (5th–8th November) theme was Research Methodology in Implant Dentistry http://onlinelibrary.wiley.com/doi/10.1111/jcpe.2012.39.issue-s12/issuetoc All supplements of these globally influential workshops are freely available in the Journal of Clinical Periodontology, accessible via the BSP website. The impact of the workshop has been incredible, with front page splashes on the equivalent of the Times newspaper in Spain, Italy, Germany and many other countries; a request just last week to reproduce the entire volume in Japanese by the Japanese Association of Periodontology, interviews on Bloomberg and many more media outputs. The latter has been thanks to the EFP media team led by Javier Garcia of SEPA, alongside Peter Wix and Marianne Steinbeck and the media campaign is designed to continue right up to EUROPERIO 8 in London 2015. A substantial set of resources are available for specialists, general practitioners and the public / patients via a bespoke website http://perioworkshop.efp.org/ The EFP has developed a “Manifesto”, there are online documentaries and videos, images and narrative scripts in different languages and the Complutense University of Madrid even held a very successful summer school in July 2013 with top Spanish experts in Cardiology and Diabetes as well as Perio speaking on the importance of periodontal health to general health and wellbeing. The EFP’s new vision is simply encompassed as “PERIO FOR A BETTER LIFE” to encompass the systemic benefits of periodontal health alongside our primary interest as Dentists and Allied Oral Health Professionals of periodontal health for tooth retention and more generally for oral health. The papers and consensus reports are available at: http://onlinelibrary.wiley.com/doi/10.1111/jcpe.2013.40.issue-s14/issuetoc or by scanning this QR code: The 2012 joint EFP/AAP Workshop included 6 chairmen (3 from Europe and 3 from North America), 24 reviewers, 45 additional participants, 4 AAP representatives and 3 EFP representatives. The reviewers included Gerry Linden (Belfast), Mark Ide (KCL), 10 Professor Iain Chapple Outgoing president Philip Greene reflected on how much he enjoyed his tenure as President and the privilege associated with it. However, he said there was still much to do and urged members to utilise social networking to engage the public (and dental profession) to increase awareness of periodontology, and to take advantage of London hosting EUROPERIO 8. I’m sure everyone would agree and would like to congratulate Philip on a very successful year in serving the BSP so well! After a lunch inspecting the Clinical and Research poster presentations, Dr Roberto Rotundo (Florence, Italy) discussed the perception of buccal gingival recession defects from patients’ perspectives. He highlighted the dearth of data in this field stating that currently his study was the sole publication and thus the presentation focussed on his findings. He described age and gender differences of perceptions but overall few patients actually requested treatment for them specifically. His thought-provoking conclusion advised treading carefully where correction for asymptomatic recessions is not originally sought by the patient. Nicola West thanked incoming President Peter Heasman for his dedication in his past role as Treasurer and for his considerable efforts in giving the society such a solid financial platform to grow from. She proceeded to joke he could not have done the job so well were it not for Doreen and Martha - his beloved farmyard animals. Our new President then proceeded to deliver his President’s Address “The Science of Periodontology” which is covered by the Editorial in the Newsletter. Finally, our very own Honorary Secretary, Prof Nicola West (Bristol) provided new insights into diagnosing and managing sensitive root dentine. She gave an overview of the treatment options and promising new toothpastes focussed on blocking the dentinal tubules. She even finds some prophy pastes to actually be clinical beneficial! Albeit when applied before treatment to ease sensitivity. She also highlighted the importance of the frequent acidic drinks in worsening sensitivity which was briefly dwelled upon whilst wine was quaffed in the bar afterwards. Following the Address, two parallel sessions were held. In one session the Sir Wilfred Fish Research Prize presentations and Clinical Fellowship Award presentations were held. The Research Prize presentations comprised a diverse trio of studies. Dr Pedro Gaspar Goncalves from Birmingham Dental School presented his study entitled “Periodontal Status of Medieval Population From the United Kingdom”, Dr Martin Ling, also from Birmingham, delivered his presentation, the snappily-titled “Chemotactic accuracy of peripheral blood neutrophils in chronic periodontitis using a novel direct visualisation chemotaxis chamber”. Keeping up with the theme of catchy titles, Dr Aastha Sobhi of Chandigarh Dental Institute in India presented “Genotypic Analysis of Cytokine and Toll like receptor genes in Periodontitis patients of North Indian population”. Dr Martin Ling was later announced as the well-deserved winner. Many congratulations Martin! Two Clinical Fellowship Award presentations were also made. Dr Eugene Gamble (Barts & The London School of Medicine and Dentistry) described his experience of attending a master course in guided bone regeneration and sinus grafting procedures, whereas Dr Mital Patel (Leeds Dental Institute) recounted his funded elective trip. In the other parallel session, the inaugural meeting of the BSP Young Specialists’ Group took place, generously sponsored by Proctor & Gamble. Chaired by Professor Iain Chapple, his vision for the future of the group was outlined. He passionately argued that young specialists are key to the future of the Society, and can help to modernise, innovate and inject vitality. All in all, another very enjoyable BSP meeting! A lively discussion followed amongst the attendees regarding basic matters such as deciding an appropriate name for the group and even what constitutes being “Young”! Plans have been made to progress development of the group so it will form an integral part of the BSP in the future. Watch this space! Entitled “The Root of the Problem!”, our new President (never one to miss out on a pun!) compiled a scientific programme focussing upon clinical issues associated with gingival recession. Chaired by Professor Francis Hughes, four presentations of the highest quality were delivered by renowned European speakers. Prof Anton Sculean (Berne, Switzerland) presented first describing the indications, treatment goals and factors affecting outcomes in surgical management of gingival recession defects. Positive evidence for the use of biologic agents to enhance root coverage was presented, along with a very slick video of him doing the delicate Modified Coronally Advanced Tunnel surgical technique with great skill, accompanied by members of the audience turning green with envy. Based on a review of current evidence and his wealth of clinical experience, Dr Tiernan O’Brien (Galway, Ireland) discussed techniques to obtain optimal implant aesthetics in the gingival margin area. He highlighted the importance of correct case selection when deciding which treatment option to use, ranging from immediate implant placement to “prosthodontic manipulation of the gingival margin”. The latter, in other words, meaning lots of nice pink porcelain! Dr Mandeep Ghuman PRACTITIONERS’ SECTION After being inspired seeing Dr Pat Allen’s presentations at the 2013 BSP Spring Meeting in Manchester, Dr Paul Baker presented his reflections on using the tunnelling technique over the past 6 months for treatment of gingival recession defects. Indications, treatment options and techniques for management of gingival recession were presented. Case selection and surgical approach were discussed in detail utilising examples of patients he had treated. He was also trusting enough to pass his specialist surgical instruments around for the audience to inspect! Dr Rajiv Patel followed on, discussing harvesting palatal connective grafts for gingival augmentation procedures. He also reflected on his recent use of acellular human donor collagen matrix, Allodem. He concluded that connective tissue grafts produce excellent outcomes but Alloderm may be a useful alternative where sufficient native tissue is difficult to harvest. Both Dr Baker and Dr Patel started an interesting discussion regarding the threshold for treatment of recession defects and peri-implant defect correction prompting Practitioners’ Section chairman Nik Pandya, and BSP President Philip Greene to present cases of their own, the latter with the aid of his trusty iPad! 11 J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 12 EXCLUSIVE MEMBERS’ OFFER The Society will be holding two large conferences during 2014, the usual Spring Meeting and an extended Autumn Meeting. This is because in 2015 the Society will be hosting EUROPERIO 8 in London and will not be holding its own conferences during that year. Professor Peter Heasman and Professor Iain Chapple have planned two excellent programmes and have invited world-renowned speakers to participate in their conferences. 60% OFF AUTUMN MEETING when you book together with the Spring Meeting - see www.bsperio.org.uk for terms and conditions Spring Meeting Autumn Meeting 10th & 11th April 2014 Sage Gateshead, NewcastleGateshead Town Hall, Birmingham Perio, Perio Wherefore Art Thou Perio? Art & Science in Harmony Newcastle Gateshead Conference Dinner 10th April 2014 Located in the heart of North East England, Newcastle & Gateshead are stitched together by seven unique bridges that cross the River Tyne to form this remarkable conference destination. BALTIC Centre for Contemporary Art Photo by Sean Elliott Photo by Mark Savage Guest Speakers Photo by David Tiernan Periodontal Health for a Better Life Keynote Speaker: Professor Jimmy Steele (Newcastle, UK) Professor Finbarr Allen (Ireland) Dr Gary Armitage (USA) Professor Peter Eickholz (Germany) Dr Oystein Fardal (Norway) Professor David Herrera (Spain) Professor Gerry Linden (Belfast, UK) Professor Steven Offenbacher (USA) Professor Philip Preshaw (Newcastle, UK) Dr Christoph Ramseier (Switzerland) Dr Andreas Stavropoulos (Denmark) Professor Nalin Thakker (Manchester, UK) Obituary Dr Anne Haffajee Personal Memories of an English Rose and a Wonderful Lady It is with great sadness that I write this short personal memory of yet another great clinical scientist lost to the global periodontal community. Anne Haffajee passed away peacefully on Friday the 16th August in Boston, following a long battle with cancer; she was only 65 years old. It is almost 2 years exactly, give or take 11 days since we lost Sig Socransky, Anne’s great colleague and mentor. Anne was a true Brit, born in Colchester in 1947; she studied at University College Hospital London, graduating in Dentistry in 1970. Anne’s husband Charles is an exceptional Cardiologist and Anne moved to Boston with Charles in 1976, where she joined the Forsyth Institute and worked for decades with Sig, changing the face of periodontal microbiology and making a truly distinguished contribution to clinical periodontology. Anne’s work was justly recognised by the award of “Distinguished Scientist” of the IADR. Anne had a sharp intellect, a great sense of fun and above all she enjoyed life, managing to achieve all she did, whilst at the same time bringing up a family and maintaining a work-life balance. I met Anne in 1992, during my first visit to the Forsyth Institute, which at the time was on the Fenway in Boston. It was very clear during our discussions in the lab that Anne remained at heart very British, whilst appreciating 12 21st - 23rd September 2014 Photos by Mike Gutteridge Guest Speakers Keynote Speaker: Dr Tieraona Low-Dog (USA) Dr Pierpaolo Cortellini (Italy) Professor Thomas Dietrich (Birmingham, UK) Dr Thomas VanDyke (Boston, USA) Professor Manfred Lamprecht (Austria) Professor Janet Lord (Birmingham, UK) Professor Stefan Renvert (Sweden) Dr Mariano Sanz (Spain) Professor Frank Schwarz (Germany) Professor Anton Sculean (Switzerland) Dr Anthony Summerwill (UK) Warwick Playbox Presents! 22nd September 2014 Conference Dinner 22nd September 2014 The Bramall Theatre The Great Hall, University Chancellor's Court, Birmingham Report of the Honorary Treasurer of the BSP and enjoying her chosen career and life in the USA. We laughed about the dreadfully narrow English country lanes that she hated driving through now, after so many years of US highways and freeways and we discussed skiing in North America. Anne was an expert skier and enjoyed the double black runs of Europe and the most challenging black runs of North America. Two of my fondest memories of Anne are very different ones. The first was in 1995, when the Forsyth team were preparing abstracts for the AADR, and of course being British, I had quietly helped some of the team with their abstracts, prior to Anne and Sig’s scrutiny. Anne came into the lab one morning and summoned me over, to announce with a wry smile on her face, that I’d been rumbled, because I had spelled several words in “English English” rather than “American English”; she was the only one in the lab capable of solving that mystery. The second was dinner at the IADR in Singapore 1995, when Anne joined me and my colleagues from Birmingham UK and completely outclassed the male contingent with her knowledge of English football, and her ability to drink beer and remain elegantly sober until the evening ended. However, besides being a very patient, wise and caring person, who mentored many young scientists from all over the globe, especially South America, Anne will always be remembered for her glittering career in clinical science. She leaves behind her two daughters and husband who meant the world to her, and she leaves the world of periodontal research and care a poorer place for her passing. Quite simply, Anne was a brilliant and a lovely person. Thank you Anne for the science, and for just being you. Iain Chapple 2012 Accounts presented at the Annual General Meeting held on 25th October 2013 Professor Heasman opened his 9th and final report to the membership by confirming that the accounting period was for the financial year 1st January to 31st December 2012 and that the accounts had been prepared in accordance with applicable Accounting Standards and the Statement of Recommended Practice - Accounting and Reporting by Charities (2005). The accounts for 2012 showed that the Society was in a financially secure position with annual income of £213,892 and total expenditure of £186,293 leaving a comfortable surplus of £27,559. Income from subscriptions had increased from £104,584 in 2011 to £110,066 and the observed deficit of running costs of the Society (subscriptions minus total expenditure) continued to reduce on a year-by-year basis. Once again, the Spring Meeting had been highly successful with a surplus of around £35,000 which offset the deficit of the running costs to leave the aforementioned surplus. The Treasurer reported that from 2014, the EFP will pass on VAT at 22%. This will amount to around £7,000 which the Society will need to ‘absorb’. After consulting with Naylor Wintersgill, we were advised not to register for VAT in the UK. The Reserves’ Policy has been updated and approved by Council. As at 31 December 2012 the Society had total unrestricted free reserves of £256,000 comprising a free reserve balance of £120,000 and a Contingency Fund of £135,000. The Treasurer recommended: • That the Society does not register with HMRC for VAT status; • Increasing the membership subscriptions by £5.00 for all categories of membership apart from undergraduates in 2014; • That the Society retains the excellent services of Naylor Wintersgill as independent examiners of the Society’s accounts. Finally, Professor Heasman offered his sincere gratitude to Mrs Helen Cobley and Mrs Ghilaine Ower for their help over the last 9 years: developing the accounting system and for maintaining immaculate records of the Society’s day-to-day and meetings’ transactions which now facilitate an almost instantaneous turnaround of the accounts after the end of the financial year. Professor Heasman also extended his best wishes to Dr Milward who will succeed him as Treasurer from 2013. There was one question from the floor: Dr Mark Ide enquired whether VAT payments would be made to the EFP or to HMRC and Professor Heasman confirmed that they would be made to the UK Tax Office. The AGM voted to accept the Treasurer’s Report. 13 J156-HSED-Nov13 BSP Newsletter:Layout 1 Want to Contribute? 13/11/13 12:19 Page 14 Website Update Membership Statistics Full Members 661 (including 68 overseas members) Associate Overseas 12 Postgraduate/SpR 53 We are looking at ways to revamp our website and are currently looking at a number of different options with the ongoing support from our friends at Cantweb. If anyone has any suggestions on how they would like to see the website develop, we would love to hear from you at [email protected] Associate Retired 13 Dental Hygienist/Dental Therapist 128 First Four Years 32 Undergraduate 6 Honorary 9 Emeritus 1 Just a quick reminder that there is a case study section on the BSP website with new cases going up all the time. Submissions should be sent to our Honorary Editor Dr Ian Dunn Our social media presence continues to gather support with over 1000 people now following the BSP on Facebook and 130 followers on Twitter. If you are not already following the BSP we can be found on Facebook at www.facebook.com/BSPerio or on Twitter we are @BSPerio. The total membership has increased since last year, with at present 915 members, up from 869 last year. The membership currently comprises: 9 Honorary Members, 1 Emeritus member, 661 Full Member Dentists, 128 Full Member Dental Hygienists/Dental Therapists, 26 postgraduate student members, 27 SpRs, 32 First 4 years members, 6 undergraduate members, 13 associate overseas members and 12 associate retired members. Subscriptions for 2014 Many of you will have noticed these strange looking things throughout the newsletter. For the technophobes out there, they are called QR codes. If you have an iPad/tablet/smart phone then you can download a QR code reader for free, open the application and point your device at the QR code. Once recognised, your device will be redirected to the webpage that the QR code represents and it saves you having to copy and paste or re-write very long and complicated web links that we include from time to time. Why not have a go? and successful submissions receive an honorarium of £100. Full details: http://www.bsperio.org.uk/ members/case-studies.htm Also, there is a forum for general perio discussions and we have been monitoring you! Only onefifth of those reading the various fora actually contribute. C’mon guys… the more the merrier and we want to hear your views! Full Member - Voting Members must be registered in the Medical or Dentists’ Register or hold such qualification as Council approve Electronic Journal Electronic & Printed £130 £188 … It’s Goodbye from: Peter Heasman steps down as Honorary Treasurer after nine long years of service. He has steered the Society through some of its more difficult years and his wise counsel and calmness has been noted and appreciated by all! Professor Nicola West proposed a vote of thanks at the AGM to Peter for the magnificent job he had done and in particular noted the appreciation and thanks of the Society’s Administrative Manager Helen, and Conference Manager, Ghilaine, for the support he had given them during his time in office. He was presented with an engraved paperweight by Nicola on behalf of the Society. In stepping down from his position as Honorary Treasurer he was not able to enjoy retirement for very long as he was elected President for 2013 - 2014 and inducted at the same meeting! Postgraduate Student (FULL time only) Reduced rate for a maximum of four years £85 £143 Specialist Registrar Reduced rate £85 £143 £85 £143 £85 £143 Other Dental Care Professionals registered with the GDC £85 £143 Undergraduates attending a UK school Dental and Dental Care Professionals £35 £93 A member of a European Society who already subscribes to the electronic Journal of Clinical Periodontology £60 N/A … and Hello to: A dental practitioner who has retired from practice - NO JCP £60 N/A Mike Milward steps into Peter’s big shoes and takes over as Honorary Treasurer. He says he is looking forward to the role and the challenges ahead. Having served on the Education Committee for many years he is no stranger to the running of the Society and is warmly welcomed by Council, appreciative of the commitment that the role demands. First Four Years after Graduation Reduced rate prior to entry onto Dentists’ Register or ORE or equivalent passed Dental Hygienist/Dental Therapist Associate - Non-Voting Awards and Prizes 2013 The Frank Ashley Undergraduate Prize was shared this year between David Treagus (Glasgow) and WanXin Luan (London). Both were present at the AGM and received their certificates from President Dr Philip Greene. David’s entry was entitled “Investigation of the Molecular Basis for the Links between Diabetes and Periodontal Disease” and WanXin’s was “Obesity and Periodontitis: A Dental Elective Study “Across the Pond” - Postgraduate education comparisons in the U.S.A and the U.K. Two Fellowship Awards were also awarded this year. Eugene Gamble (London) who visited Professor Buser’s Department in Berne, Switzerland for a Master Course in GBR and Sinus Grafting Procedures and Mital Patel, (Leeds) visiting Geneva, Switzerland to improve his knowledge on dental implants. Delegates were able to hear both winners present their findings later in the meeting. Both winners were presented with certificates by the President. The Research Grant was awarded to Richard Holliday (Newcastle) who is looking at “The structure and function of extracellular DNA in subgingival dental plaque”. He also received his certificate from Dr Greene. Anna Maxwell (Aberdeen) was awarded the Audit Award, for her submission entitled, “Smoking and Periodontal Disease”. She was not present at the meeting. Unfortunately the Society felt unable to award the Sir Wilfred Fish Research Prize in 2012. The entry criteria and deadlines for all the prizes and awards are available on the BSP website. 14 Goodbyes and Hellos Out and About in 2013 with the BSP February • Roadshow at UCLan: “What Now? Management of the Non-responsive Periodontal Patient” with Dr Philip Greene and Dr Ian Dunn, Dentistry Show (see page 5) March • Masterclass - “Aesthetic Mucogingivel Therapy”, EDH London (full report see page 6) April • Spring Meeting in Manchester (full report above) • BDA Conference in London September • Roadshow in Inverness: “Getting To Grips With Referrals” with Dr Sarah Manton and Dr Gareth Brock • Roadshows in Glasgow and Canterbury: “Periodontology - is it all Mechanical Cleaning?” with Dr Shauna Culshaw and Dr Marilou Ciantar, and Dr Nik Pandya and Dr Monica Lee respectively October • Roadshows in Portsmouth and Leeds “Periodontology - is it all Mechanical Cleaning?” With Dr Philip Ower and Dr Mary Gibson, and Prof Val Clerehugh and Dr Margaret Kellett respectively • BDTA Dental Showcase in Birmingham • Autumn Scientific Meeting, Royal College of Surgeons, London November • Roadshows in Bournemouth and Cheltenham “Periodontology is it all Mechanical Cleaning?” with Dr Philip Ower and Dr Mary Gibson, and Dr Will McLaughlin, Dr Liam Addy and Dr Matthew Locke respectively • BSDHT conference and Exhibition, Birmingham Caption Competition Last years’ caption competition was won by an anonymous entry... “Gareth, I think you may have dropped your pint!” This years’ caption competition comes from The Honorary Editor. Emailed submissions should be sent to Ian Dunn ([email protected]) and his decision is final! Roadshow Success! The Roadshows have been very successful this year with over 240 people attending, not including the many students who have enjoyed the benefit of the lectures. The feedback has been very encouraging. A new programme of similar events are being planned for 2014 in a range of venues spanning the UK. Watch the website for full details! Masterclasses have also been very successful and over-subscribed. Although there are no details at the time of writing, it is intended to run further courses in the near future. The BSP’s Attendance at the BDA, BDTA and BSDHT conferences has proved to be fertile recruiting grounds for the Society and there have been some very interesting networking opportunities created at these events! As evidenced by the number of people visiting the stand on these occasions, it is fair to say that Periodontology is becoming highly relevant to practitioners who appear to be very receptive to all the educational initiatives offered by the Society. 15 J156-HSED-Nov13 BSP Newsletter:Layout 1 13/11/13 12:19 Page 16 The BSP Community Council Members Contact Details President Professor Peter Heasman President Elect Professor Iain Chapple Senior Vice-President Dr Peter Floyd Immediate Past President Dr Philip Greene Honorary Secretary Professor Nicola West Honorary Treasurer Dr Mike Milward Commercial Liaison Officer Dr Shekha Bhuva Honorary Editor Dr Ian Dunn Council Member Dr Rosalind O’Leary Council Member Professor Jeremy Rees Council Member Dr Joon Seong Council Member Dr Paul Baker Dent Pract: Chairman Dr Nikunj Pandya Teachers’ Forum - Chairman Dr Aradhna Tugnait Reps: EFP Professor Gareth Griffiths Reps: Educational Initiative Dr Kalpesh Patel Reps: Specialist Registrars Dr Rajan Nansi Administrative Manager Helen Cobley, British Society of Periodontology, PO BOX 228, Bubwith, SELBY YO8 1EY Tel/Fax: 0844 335 1915 Email: [email protected] This newsletter was prepared by the Honorary Editor Dr Ian Dunn, Rose Lane Dental Practice, Rose Lane, Mossley Hill, LIVERPOOL, Special Mention Merseyside, to Philip Ower and L18 8AG Anthony Roberts for their Email: [email protected] Web: www.purelyperio.co.uk excellent photographs used in this newsletter School Reps West Midlands Prof Iain Chapple Yorkshire Prof Valerie Clerehugh [email protected] [email protected] London & Home Counties Prof Nikolaos Donos [email protected] East of Scotland Dr Angela Gilbert [email protected] North East Prof Peter Heasman [email protected] London & Home Counties Prof Francis Hughes [email protected] London & Home Counties Dr Mark Ide [email protected] Northern Ireland Prof Gerry Linden [email protected] Wales Dr William McLaughlin [email protected] Central Prof Andrew Rawlinson [email protected] North West Prof Anthony Roberts [email protected] West of Scotland Dr Douglas Robertson [email protected] North West Dr Philip Smith [email protected] East Midlands Dr Jose Zurdo [email protected] Regional Reps Mr Manish Bose London [email protected] Dr Sheila Diamond Middlesex, Herts & Bucks [email protected] Dr Ian Dunn North West [email protected] Dr Eddie Gergely Yorkshire [email protected] Dr Mary Gibson Southern [email protected] Dr Philip Greene North West [email protected] Prof Gareth Griffiths Yorkshire [email protected] Prof Peter Heasman North East [email protected] Dr Hamed Karimi East Anglia [email protected] Dr Margaret Kellett Yorkshire [email protected] Dr Monica Lee Cambridgeshire [email protected] Dr Sarah Manton East of Scotland [email protected] Dr Kuljeet Mehta London [email protected] Dr Nikunj Pandya East Anglia [email protected] Dr Kalpesh Patel London [email protected] Dr Neil Paterson North East [email protected] Prof Philip Preshaw North East [email protected] Prof Andrew Rawlinson Central [email protected] Dr Paul Renton-Harper South West [email protected] Dr Douglas Robertson Lanarkshire [email protected] Dr Adetoun Soyombo Buckinghamshire [email protected] Mr Peter Strand Southern [email protected] Mr Richard Talwar London [email protected] Prof Nicola West South West [email protected] Dr Paul Weston West Midlands [email protected] Henry Schein Dental is once again proud to support the BSP
© Copyright 2026 Paperzz