www.bsdht.org.uk VOLUME 52 AUGUST 2013 NO 4 OF 6 ISSN 2045-4848 DH CONTACT T h e N e w s l e t t e r o f t h e B r i t i s h S o c i e t y o f D e n t a l H yg i e n e a n d T h e r a py A Revolutionary New Way To Learn CPR The Resuscitation Council (UK) is the medical charity that produces the official UK guidelines for CPR that are followed by the NHS and all the first aid charities. In association with the award-winning production company UNIT9, they have launched LIFESAVER - a revolutionary new way to learn CPR. • And the app for Android phones is here: www.tinyurl.com/lifesaver-and-mobile An estimated 60,000 people each year in the UK have an out-ofhospital cardiac arrest and, sadly, less than 10% of those people will survive. Yet, if a bystander is able to start CPR they could double a person’s chances of survival. Dr Jasmeet Soar, Vice Chairman of the Resuscitation Council (UK), comments on the Council’s aims for Lifesaver: “Lifesaver provides a great opportunity to guide the public through the simple but vital steps of performing CPR to encourage them to step-in if they witness someone having a cardiac arrest and, potentially, help save a life. The interactive video format of Lifesaver is a game changer for how people learn CPR. The vivid reality of the scenarios is compelling and will encourage more people to learn CPR, and help save lives.” LIFESAVER is a crisis simulator, which fuses interactivity and liveaction film to teach CPR in a new way, on your computer, smartphone or tablet. And it’s completely free. LIFESAVER is a live-action movie you play like a game. It just happens to show you how to save someone’s life. It throws you into the heart of the action, changing what happens in movies showing real people in real places. You learn by doing: do it wrong, and see the consequences; do it right, and sense the thrill of saving a life. On the versions for phone and tablet, you actually move your device up and down, two times a second, to do CPR on the victim in the film. If you’re too slow, he’ll die. When someone’s choking, you move your device down sharply to hit her on the back. • You can see a 3-minute video introduction to Lifesaver here: http://vimeo.com/65653781 • To play Lifesaver on your computer, please visit the website: www.life-saver.org.uk • The iPad app is here: www.tinyurl.com/lifesaver-ipad • The iPhone app is here: www.tinyurl.com/lifesaver-iphone • The app for Android tablets is here: www.tinyurl.com/lifesaver-and-tablet Lifesaver also provides an opportunity to hear expert advice on CPR and real-life accounts of cardiac arrest. Dr Mike Knapton, Associate Medical Director at the British Heart Foundation, said: “We need all the help we can get in the battle to improve cardiac arrest survival rates in the UK and LIFESAVER will help give people the confidence to step in and help in a medical emergency. “Smartphones are now being transformed into vital training aids and developments in technology are providing unique and effective ways to give someone the skills to save a life.” AN INTERNATIONAL PERSPECTIVE BRINGING ORAL HEALTH EDUCATION TO PRISONERS IN ECUADOR Mayra Crean Dental health care promotion and education is my passion - especially to underprivileged communities. Such population groups are often unaware of the importance of taking care of those most needed and ignored parts of the body - their teeth and gums. www.bsdht.org.uk EDITOR Heather L Lewis, 19 Cwrt-y-Vil Road, Penarth, Cardiff CF64 3HN Tel/Fax: 07824 55592 Email: [email protected] BSDHT OFFICE Tel: 01452 886365 Email: [email protected] © DH Contact – The British Society of Dental Hygiene and Therapy 2013. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying or otherwise without the prior permission of DH Contact. Views and opinions expressed in DH Contact are not necessarily those of the Editor or The British Society of Dental Hygiene and Therapy. Design & Print by Crossprint Ltd, Newport Business Park, Barry Way, Newport, Isle of Wight PO30 5GY. Tel: 01983 524885 Email: [email protected] Web: www.crossprint.co.uk 2 I was born in Ecuador high up in the Andes in the small regional town of Riobamba but grew up in the capital Quito. I moved to England to pursue my career in dentistry and qualified as a Dental Hygienist and Therapist at the Leeds Dental Institute, a part of Leeds University. Here in the UK, due to our comparative wealth, and of course the NHS, oral health is taken for granted. In Ecuador the opposite is the case - due to poverty, lack of education and the difficulty of gaining access to a dental clinic. This has a negative impact on the quality of life, causing much pain and suffering. Caries and periodontal disease are common in Ecuador, even amongst children. The global data published in 2000 by the World Health Organisation reveals that the caries rate in Ecuador has risen from 4.9 DMFT in 1988 to 6.3 by 2000, which is the highest rate in all the Americas. Ecuador Ecuador is located in South America on the West coast of the continent, straddling the equator. The capital is Quito which in 1978 became the first ever World Heritage Site to be declared by UNESCO, chosen because of its unique and beautiful colonial architecture. Ecuador is bordered in the north by Colombia, in the east and south by Peru and the west by the Pacific Ocean. Ecuador also includes the Galapagos Islands which are located 1,000 kilometres offshore, west of the mainland. The main spoken language is Spanish although Quichua is spoken by many as a second language and there are many other languages which are spoken by the numerous indigenous tribal groups. With a total population of 14.5 million, the Ecuadorian government, led since 2006 by president Rafael Correa, has reduced poverty and unemployment and guaranteed health care programmes. The government has introduced a strategy for accessible public health promotion and protection with compulsory coverage for the entire population through a network of suppliers, both public and private. This plan stressed primary care, health promotion, and a relationship between traditional and alternative medicine including mechanisms for empowering local government and promoting decentralisation. The plan is intended to achieve global coverage for every Ecuadorian through three coordinated regimes; contributing, non-contributing and voluntary. These are intended to be provided by public, private and mixed health service providers. However for Ecuadorian society to achieve acceptable levels of care will require many more years of hard work and investment as healthcare has been greatly neglected by previous governments. Garcia Moreno Prison The Penal Garcia Moreno is a men’s prison holding over 1,000 inmates, split into five separate wings. Resources are minimal and the prisoners are expected to provide for themselves such basic items as their own mattress, toiletries, clothes, and medicines. A Prisoner has to share a tiny cell with other prisoners, most often three but sometimes up to five inmates. DH CONTACT AN INTERNATIONAL PERSPECTIVE They also have a shower and a kitchen if they are able to supply their own stove. For those prisoners who own their own money there is a shop and a café inside the prison which is run by the prisoners themselves. There are many opportunities to earn pin money through supplying services to other inmates such as hairdressing, tailoring, writing and translating services. There is a workshop producing musical instruments and many woodwork artefacts as well as an artists’ studio with budding artists who are keen to offload their wares to sympathetic visitors. I was invited to provide an introductory course in oral health education in the Penal Garcia Moreno prison (in Quito) over the course of one week. GlaxoSmithKline kindly supported me with materials for these events, and generously donated dental toothpaste and toothbrushes too. The talks were to be spread over four days and covered such topics as the development and prevention of dental caries and periodontal disease, the risk to the human body of periodontal disease, dental emergencies and how to cope with them, smoking awareness, and the periodontium. The first day arrived and I felt excited and nervous but also relieved that I was able to bring my brother and husband along with me as well. I was also escorted by Manuelito and Efrain from the ‘Free & Blessed’ project which provides most of the training and inspirational events on offer in the prison. Arriving an hour earlier than planned at 8am, I thought I was in good time but it was an hour later before our group even managed to pass through the main prison doors! Waiting for the appropriate people to arrive and paperwork, invites and permissions to be processed whiled away the time, Volume 52 No 4 of 6 August 2013 3 AN INTERNATIONAL PERSPECTIVE Ecuador is in need of programmes that are aimed at raising awareness and improving attitudes towards oral healthcare and then began the prolonged search through all of our baggage, with even the toothpastes being opened. As we passed through the main entrance we were mobbed by inmates, mostly offering to act as our guide for a dollar. Luckily as I grew up in Quito I had only to speak a few words of Spanish and they recognised me as a local, letting us through without further hindrance. Once inside there was the chaos of trying to obtain the necessary microphone, projector, screen, and chairs. However, once we were all set up we were told that as it was close to the main weekly family visiting time, we had best reconvene the following morning! I eventually delivered the lecture in the ‘A’ wing, the half-way house between prison and the outside world, which housed the inmates closest to release. These inmates were polite and well behaved to the extent that I couldn’t help thinking that it was more like visiting an army barracks rather than a prison as everyone was so disciplined and enthusiastic. There were people from all walks of life, from vagrants to doctors and lawyers and they were from all over the world, from South America and Canada, and Eastwards to Romania in Eastern Europe and further East to Indonesia. The lectures were eventually delivered over four days in both morning and afternoon sessions with lots of enthusiastic participation from all of those present. The continuous stream of compliments and gratitude for our presence there was quite humbling. The participants had a real hunger for knowledge and this made me so very happy that I had finally managed to make my presentations there. Afterwards I was invited to make my presentations to some of the other wings in the prison and in other prisons throughout Ecuador. I am very much looking forward to continuing with education and prevention as it is my strong belief that prevention is the cheapest and most efficient means of improving health and general wellbeing. Discussion Ecuador is in need of programmes that are aimed at raising awareness and improving attitudes towards oral healthcare, education to improve oral hygiene and diet advice, combating the high consumption of sugary food, and obesity, which has been linked to diabetes, high blood pressure, cardiovascular disease and hypertension, all of which are prevalent. However this will require plenty more work and commitment from those wishing to make a real difference to the lives of the poor and disadvantaged in Ecuador. Bibliography The World Health Organization, May 2011, ‘Country Cooperation Strategic at glance’. [email protected] pictures www.Worldatlas.com. World Health Organization Programme Geneva (2000) Global data on dental caries Prevalence (DMFT) in children aged 12 years, p 1-8. Moreira Rafael, (2000) Epidemiology of Dental Caries in the world, Pernambuco Brasil, p 3-21. Consumer Demand- Outlook, Nov (2011), Economy Growth: Recent Developments, p1-2. About the author: Mayra studied at Leeds University and qualified as a Dental Hygienist and Therapist in 2006. She is currently studying for a BSc Dental Studies at Preston University whilst working in the paediatric department at the Royal London Hospital and in a mix of private dental practices. Mayra is also active in the Latin American Recognition Campaign which is an organization that promotes the welfare and integration of Latin American people in the UK. Address for correspondence: [email protected] 4 DH CONTACT OHC 2013 OHC Birmingham 2013: A Sneak Preview Patients - What’s the difference? Caring for the smile makeover generation As a Dental Hygienist or Therapist you will notice patients you care for, dentists you work with and other members of your team have different personalities. You may view things differently from your dentist or react to things differently from your patients. One of four dental hygienist speakers this year, Mhari Coxon will discuss some of the new challenges to the care of our ageing population. Brid Hendron has worked in general practice for many years and has a special interest relaxing nervous, anxious and phobic patients. In this seminar she will explore why different people think and behave in different ways and offer ways of appealing to people who process information differently from ourselves. A session on communication you shouldn’t miss! Medical Emergencies in a dental practice setting the tooth timeline – prevalence and management based on age groups Chris Kurt-Gabel is widely experienced in the direct delivery of training programmes. Among his many achievements is the development and subsequent management of the Resuscitation Service at UCLH where he designed risk assessment tools, training programmes, infrastructure and policy. Most recently Chris was interviewed on Sky News Sunrise as a resuscitation expert in light of the tragic events surrounding the footballer Fabrice Muamba, and featured on Dragons Den in 2012. This lively presentation will provide you with current evidenced based practice guidance in relation to the management of the common medical emergencies, specifically focussing on different age groups. It will also provide an overview of the guidance relating to the management and preparation for medical emergencies in a dental practice setting in children, adolescents, adults and the elderly. The older generation often have complicated restorations which require care and maintenance that perhaps we were not trained for as students: maintenance of complex aesthetic restorations obviously differs from periodontal maintenance. This talk has been put together to get the profession thinking about the care of the mouths of this smile makeover generation. It will focus on patients’ perceptions and expectations and how these have changed in recent years. Mhari will offer options for the management of soft tissues around different restorations as well as exploring some cleaning solutions for this group of patients. Child & Adolescent Health: New Challenges for the 21st Century Deborah Lyle is a Dental Hygienist, an internationally recognised speaker, author of numerous articles and papers and a researcher who has been involved in eight clinical trials. This presentation will focus on current research and information on the new health challenges facing children and adolescents. Deborah will discuss the implications from the early-age adoption of adult behaviors and habits on health and life longevity highlighting some strategies for oral health interventions along the way. Many chronic conditions and diseases affect children today, including diabetes, smoking and obesity. Come along and enhance your understanding of the emerging health issues facing our children and adolescents and their impact on oral health. Remember! Early Bird registration closes 15th August. Go to the website for full details: www.bsdht.org Volume 52 No 4 of 6 August 2013 5 READERS’ FORUM READERS’ FORUM Dear Friends, I wanted to take this opportunity to thank all of you that made donations toward our trip to Malawi - I can’t wait to see the surgeries and equipment installed and ready for us to start work! “The Dental Project, Malawi” with the help of the charity Dentaid will provide pain relieving dental care to local communities in Malawi and provide training to local healthcare workers so they can continue the work. If you haven’t yet made a donation and would like to do so even a small donation will help us provide essential equipment to a part of the world’s population with incredibly limited (if any) pain relieving dental care. You can support me and the rest of The Dental Project Team by going to https://mydonate.bt.com/teams/dentaidmalawi and clicking on the donation section with my Team under the name “James Goolnik”. It’s really easy to do! Your donation would be TRULY appreciated I’ve never done anything like this before and really want to make a difference to the dental care of this very needy part of the World’s population. Again, my sincere thanks to those of you that have already donated! For more information on The Dental Project you can visit https:// www.facebook.com/pages/The-Dental-Project/114158115421126?fref=ts Sally Simpson Dental Hygienist and Therapist BSDHT Immediate Past President VISIT THE BSDHT ONLINE Logging on to the members’ area, you will see the box to the right on the screen. Complete the boxes using the following information: User name: your full name, no abbreviations, no spaces, all in lower case eg. dianamarysmith. Password: your BSDHT membership number. If you need clarification of the details we have on file – first name, middle name (if provided) and membership number – please contact BSDHT on 01452 886 365. Let us know what you think about the new site by clicking the ‘contact us’ button in the top right hand corner. INVITATION TO BECOME BSDHT COUNCIL OBSERVERS BSDHT Council would like to invite any interested BSDHT members to apply for the role of Council Observer. Council agreed that it would make the work of the BSDHT Council more transparent to members if Council meetings were to be opened to invited observers. A number of members of the Society may attend full Council meetings purely as observers, although numbers will be limited due to space. Applicants will be accepted on a first come basis and no expenses will be paid. Meetings are held twice a year in Birmingham. THE NEXT MEETING WILL BE HELD ON MONDAY 2ND SEPTEMBER 2013. To register your interest please contact the President, Julie Rosse on 01452 886365 or email [email protected] Copy dates for DH CONTACT 1st SEPTEMBER for the OCTOBER issue The Editor would appreciate items sent ahead of these dates when possible. Send your contributions to: The Editor, Heather Lewis, 19 Cwrt-y-Vil Road, Penarth, Cardiff CF64 3HN or Email: [email protected] 6 DH CONTACT INDEPENDANT PRACTICE Setting up an independent hygienist practice - my journey Donna George When I first qualified as a Dental Hygienist Therapist in 1978 I didn’t imagine that many years later, in 2007, I would own my own practice and be my own boss, at least for part of the working week. Having worked in many practices over the years, I was frustrated by the lack of control I had within the dental team. I often felt that my opinion, based on years of experience, was not listened to. I had always wanted to be able to give patients the quality care which I knew I could deliver. Like many of my colleagues, I have worked in some excellent practices and although they tried hard to encompass the idea of team working it often was not realised. Mainly I think this is due to the financial pressures placed on modern dentistry today. I have worked for over 30 years in dentistry and I have reached the conclusion that the philosophy of team work in dentistry is somewhat flawed. As professionals, we have all attended many workshops and training events which discuss at length the benefits of team working. However, the reality is that this does not always seem to translate into day to day working. It is this realisation that drove me to set up a totally independent referral practice. I am aware that this model may not be the right choice for everyone and at times I’m not sure it was the sensible choice for me! However I felt it necessary to achieve what I wanted. Essentially this was: • to be in control of my working environment and hours • patients to have a choice about how they received their hygiene treatment • to enhance their overall experience of hygiene to one where they could feel relaxed and able to contribute to their own care • to give patients a tailored personal service With this in mind, I had to decide how to do this, how much it would all cost and whether financially I would still need to work in other practices as well. Location, location, location I wanted to work in the town were I live - Rugby. Rugby has a population of approximately 90,000 and there is planning permission for the building of 7,000 new homes. A new out of town shopping Volume 52 No 4 of 6 August 2013 centre is also planned. Like many other towns, the centre is contracting while other areas are expanding. In the town and surrounding area there are sixteen dental practices. Of those, nine offer hygiene services with only one having a full time hygiene service available. Most importantly for me was the fact that six practices offer no hygienist service whatsoever. I was still playing with the idea when I saw some clinical rooms advertised. They were in the town centre, part of a Chiropractic Clinic with limited parking. The room had previously been used for physiotherapy and was one large room with a small wash hand basin. They liked the idea of having a dental hygienist renting as it fitted in with their health profile. Fortunately they were also willing to wait until I carried out a feasibility study to ascertain if an independent hygienist referral clinic was financially viable. The logistics I subsequently undertook a needs assessment of local dentists and designed and distributed a questionnaire with stamped address envelopes for ease of return. I posted thirty eight questionnaires of which we had sixteen returns. Of those returned, six were positive and said they would consider referring to an independent hygienist. Armed with this information, I then considered all the overheads and the projected income. If six dentists were offering to refer patients that was only approximately 1.7 patients per dentist each a week. Surely this was achievable? I decided that I could make it work if I had ten patients a week charging them £30 for a 30 minute appointment. The next major consideration was to identify the set up costs. I was fortunate to have had an excellent dental service engineer recommended to me by one of the dental nurses I worked with and he proved to be my best asset at the beginning! He continues to be a source of support. 7 INDEPENDANT PRACTICE With direct access granted I at last have the chance to fulfil my ambition to work full time in my own practice On his recommendation, I visited our local Adec show room in Nuneaton and the staff could not have been more helpful, even though they knew I probably could not afford most of the equipment they were showing me. It soon became obvious to me that I would need to purchase used equipment or, in the words of car sales, ‘pre loved.’ I was lucky to source a dental unit, chair, bracket table, spittoon and suction. These came from a surgery which was being upgraded. It was in use on the Friday and we picked it up on the following Monday where it was then stored in my garage until the clinic rooms were ready. I then purchased a new Adec light, compressor, suction unit and steriliser. I cannot tell you how excited I was when I saw the compressor; it was so lovely and small enough to fit in the cupboard in the surgery. I still enjoy switching it on five years later! Flooring, cabinets and worktops and the services drains and electrics were installed with the help and support of my engineer, Scott Ambrose from Bradgate Dental Services. Without his help we would never have got up and running and I cannot emphasise enough the importance of getting an engineer involved at an early stage - it saves making costly mistakes. There were many things that I hadn’t considered in my initial costings. These were: DID YOU KNOW You can now follow the BSDHT on Facebook and Twitter? 8 • • • • • • • An oxygen cylinder - which needs to be changed annually Telephone and broadband PRS (performing rights society) - enabling me to play music in the surgery Increased indemnity payment Waste removal Steriliser servicing And more recently HTM01-05 and CQC registration It took us two months to divide the room into a small waiting area and surgery and position the services, dental equipment and cabinets. Open for business When we were finally ready I organised an open evening and invited all the local dentists, which was approximately thirty eight, and their staff. Disappointingly only four turned up accompanied by six members of their nursing staff. However, they were all very positive and one started to refer patients very soon afterwards. Initially patient referrals were slow to build and I usually only worked on a Saturday morning, supported by a dental nurse. I followed this up by distributing referral packs to all the practices who had responded positively and I was hopeful that dentists would see the value in the service I was offering them and their patients. Currently five dentists now refer patients to me regularly and I have a small patient base of 200-300 patients. Some of these patients attend three monthly, others six monthly and I have now increased my time in the practice to an average of two days a week. Treatment plans with the referrals vary: some come with a comprehensive plan and attach radiographs and prescription for local anaesthetic while others just have a BPE and some notes. There have been occasions when people have directly requested an appointment. In these circumstances, it’s simply a matter of me writing to their dentist and requesting a referral. I have only ever had one dentist refuse and advise me that they would carry out the scaling themselves. Where patients do not have a dentist I would always recommend a choice of two or three local practices for them to attend. All appointments last for 30-40mins with the first always 40 minutes. At the first visit I ask the patient to complete a medical and lifestyle history. I discuss their concerns and expectations and existing oral hygiene regimes. Once I have obtained consent, I undertake a comprehensive soft tissue examination and record the BPE, bleeding sites, tooth mobility and any discharging pockets. Electric or manual tooth brushing is demonstrated together with daily inter dental cleaning - either flossing or brushing. I demonstrate the single tufted brush for sub gingival brushing and finally encourage the patient to take longer with their home regime and to implement new routines. We agree a treatment plan, number of visits initially required and future support appointments. For me, the key element is to get the patient to take responsibility for their own oral health by working with them at their own pace. The patient feedback and comments are very positive, which is why I have continued with the practice even though it has been financially draining. I have been very fortunate by the offers of help from many of the nurses I worked with. They helped me in the early days by volunteering to work with me DH CONTACT INDEPENDANT PRACTICE on Saturdays on an ad hoc basis and I usually paid them in cash. More recently, my 27 year old daughter decided to change her career after eight years as a florist and home carer, and is now training as a dental nurse at a local practice. She regularly assists me, along with the Chiropractic reception staff, with booking in patients etc. The majority of my patients book their next appointment before they leave, either three or six months in advance. Alternatively, I send them an appointment in the post if required. I text patients a few days before their appointment as this saves me wasting an appointment slot - Saturdays are always booked up. Costs The initial set up cost was £18,000 and the following is a brief estimate of my ongoing costs: Annual costs: Rental£9000 CQC£800 Steriliser servicing£272 PRS£80 Oxygen£248 Dental indemnity£900 Medical emergency drug box £200 Weekly costs: Waste approximately £6 Consumables £100-£200 On reflection - have I done the right thing? I have recently had my first CQC inspection. It has identified a few areas for action, mainly instigating audit trails and Legionella screening. I have an oxygen kit and first aid kit but have been notified that I also need an emergency drug kit, so am in the process of trying sourcing this. Direct Access is here it is at last! This means that I will now embark on some direct marketing - something I felt was too costly before. Although I’m realistic enough to know that the patients will not be battering down my door, at last I have a chance to expand my business without needing a dentist’s referral. Overall the experience has been an emotional and financial rollercoaster ride, with many ups and downs. The ups have been the relationships with my patients and knowing that I am giving them an excellent service. Another positive has been developing good relationships with my referring dentists. having to rely on referrals, and also CQC registration. What happens now? Today my aims are: • To grow the practice and attract new patients by direct marketing and the launch of a new website. • When I have a larger patient base I aim to encourage other dental hygienist/therapists colleagues to work with me. • To consider the possibility of offering dental therapy services and install the extra equipment required. • Employ a dentist to prescribe local anaesthesia, tooth whitening and fluoride varnish application - until such time as the law changes! Another new road in my journey presented in the same week that direct access was approved - I should have been celebrating but instead my landlord informed me that he has decided to sell the building and has given me six months notice! So now I am seeking new premises and hope to buy something suitable. My journey to this point has involved slow steps forward with numerous obstacles and challenges to negotiate and overcome. I am now in control of my journey and with direct access granted I at last have the chance to fulfil my ambition to work full time in my own practice. I have been very lucky with the people who have helped and supported me along the way but I especially need to thank my family who have travelled this road with me. About the author: Donna qualified as a Dental Therapist from New Cross in 1978 and as Dental Hygienist from Birmingham Dental Hospital in 1982. She also holds a Royal Society of Health Certificate in Dental Health Education, a Postgraduate Diploma in Health Promotion, University of Central England in Birmingham and a City and Guilds Further Education Teaching Certificate. She has continued to work both as a dental therapist and hygienist in various practices throughout Coventry, Warwickshire, Northamptonshire and Oxfordshire. The downs have been accessing new patients by Volume 52 No 4 of 6 August 2013 9 DIARY DATES DIARY DATES AUTUMN 2013 BSDHT REGIONAL GROUP MEETING DATES Date Venue Contact the Secretary Eastern 5th October 2013 Lynford Hall Hotel Juliette Reeves London 28th September 2013 Midlands 12th October 2013 North East Regional Group [email protected] Donna-Marie Cooper [email protected] Radisson Blu Hotel, East Mids Airport DE74 2TZ Joanna Ericson joanna.ericson@ hotmail.co.uk 21st September 2013 Mercure Hotel, Wetherby Sharron Parr nergsecretary@ gmail.com Northern Ireland 21st September 2013 Radisson Hotel, Ormeau Road, Belfast Trudi Fawcett secretarybsdhtni@ gmail.com North West 21st September 2013 Park Royal Hotel, Stretton Kate Reading [email protected] Jane MacConnell bsdhtscottishsecretary@ gmail.com Scottish South East 14th September 2013 David Saloman’s Centre, Tunbridge Wells Janet Scott [email protected] Southern 25th September 2013 Holiday Inn, Winchester 6-8pm (Evening Event) Gloria Anne Perrett [email protected] 5th October 2013 Hilton Hotel, Aztec West, Bristol Joanne Wilkinson bsdht.swsw@ gmail.com South West Peninsula 21st September 2013 Boringdon Park Golf Club, Plymouth Joanna West [email protected] Thames Valley 28th September 2013 Puma Oxford Hotel, Godstow Rd, Oxford OX2 8AL Karrie Archer karrie.archer@ btinternet.com S West & South Wales BSDHT NORTH EAST RG AUTUMN MEETING & AGM DATE: 21st September 2013 VENUE: Mercure Hotel, Wetherby 8.15:Registration 8.50:Welcome 9.00: At the risk of sounding like a broken record. – Joe Ingham 10.00: MI’ way of preventing dentistry! - Prof Banerjee 11.00: Coffee 11.30: MH & Biphosphonates - Meena Rudralingham – 12.30:Lunch 14.00: AGM & Regional Representative report 15.15: Direct Access – Julie Rosse 16.00: Raffle & Close BSDHT THAMES VALLEY - AUTUMN MEETING AND AGM DATE: Saturday 28 September 2013 VENUE: 13 Puma Hotel , Godstow Road, Oxford CONTACT: [email protected] for further details 10 Contact Details Sorry NO registrations on the day 08.00: Registration opens, trade exhibition, coffee 09.15: Welcome address 09.30: Direct Access and You : Prognosis and protection - Dr Matt Perkins 1 hr verifiable CPD 10.30: Council Rep report and AGM 0.45 hours Verifiable CPD 11.15: Trade exhibition and Coffee 12.00: Parallel Sessions Each session is 1 hour Verifiable CPD 1. Medical Emergencies in Dental practice ...are you prepared? Core Subject, Chris Kurt-Gable Managing Director of A to E Training Solutions 2. Tooth Whitening and EU Legislation Sponsored by Philips Oral Healthcare. Karen Chapman-Gordon, Professional Development Manager Whitening Philips. 3. Halitosis, an Ages old problem Sponsored by Meda Pharmaceuticals, Neil Lawrence, Head of Over The Counter Products 13.15: Trade Exhibitions and Lunch 14.00: Raffle 14.15: Parallel Sessions Each session is 1 hour Verifiable CPD DH CONTACT DIARY DATES 15.15 15.30 16.30 1. Child Protection issues in Dental Care, Chris Kurt-Gable Managing Director of A to E Training Solutions 2. Isolation Techniques for In Surgery Tooth Whitening Hands – On Workshop (Max 25 places), Karen Chapman-Gordon, Professional Development Manager Whitening Philips. 3. Halitosis, an Ages old problem Sponsored by Meda Pharmaceuticals, Neil Lawrence, Head of Over The Counter Products Comfort break Direct Access and You: How did we get here and what happens next? - Julie Rosse, President BSDHT Meeting Closes (Timings are approximate) NEW LONDON DEANERY COURSES ADVANCED MANAGEMENT OF PERIODONTAL DISEASE – 6 DAY COURSE SPEAKERS: Dr. Peter Galgut and Hayley Lawrence DATES: Tuesday course - 22/10/13, 12/11/13, 17/12/13, 14/01/13, 11/02/13, 18/03/13 TIME: 9:30 - 4:30 COST: £250 AIM: The aim of these seminars is to summarise current thinking in periodontology, give and demonstrate practical aspects of the management of periodontal diseases in clinical practice, and to explore clinical management of periodontally related problems. TOPICS INCLUDE: 1. Mechanical Non-surgical Periodontal Therapy and Pharmacological Adjuncts to Mechanical Cleansing 2. Probing Techniques and Forces 3. Effective Treatment Planning & Time Management 4. Reading & Interpreting Radiographs 5. Topical and Local Anaesthetic Review 6. Hand vs Ultrasonic Instrumentation 7. Correct Operator Positioning to Avoid Back and Neck Problems 8. Patient Management: Dealing With Problem Patients 9. Knowing your Limitations: Avoiding Medico-Legal Issues 10. An Overview of Modern Instruments for More Effective Non-surgical Therapy 11. Working as a Team and Making it Work & Referring for Specialist Help ADVANCED MANAGEMENT OF PERIODONTAL DISEASE – 6 DAY COURSE SPEAKERS: Dr. Peter Galgut and Hayley Lawrence DATES: Wednesday course – 23/10/13, 13/11/13, 16/12/13, 15/01/14, 12/02/14, 19/03/14 VENUE: LonDEC TIME: 9:30 - 4:30 COST: £270 Volume 52 No 4 of 6 August 2013 DENTAL HYGIENIST AND THERAPIST STUDY CLUB SPEAKERS: Sarah Balian, Elaine Tilling, Hayley Lawrence DATES: Tuesdays Evenings 01/10/13, 15/10/13, 29/10/13, 12/11/13, 26/11/13, 10/12/13, 07/01/14, 21/01/14, 04/02/14, 18/02/14, 04/03/14, 18/03/14 VENUE: Northwick Park Dental Education Centre TIME: 6:30 – 9:30pm COST: £35.00 AIM: This will be an opportunity for dental hygienist and therapist to have discussions, share best practice, knowledge and experiences. There is the scope for learning from each other and for dental hygienists and therapists to build on existing knowledge. There will be discussions surrounding theory and practice with the opportunity for critical evaluation.. INSIGHTS INTO PERI-IMPLANT DISEASES SPEAKER: Dr. Cosimo Loperfido DATE:02/10/2013 VENUE: Northwick Park Dental Education Centre TIME: 6:30 - 9:30pm COST: £25.00 OBJECTIVES: Participants will: 1. Learn the aetiology and differential diagnosis between peri-implantitis and peri-implant mucositis. 2. Learn the different approaches (surgical and non-surgical) to treat peri-implantitis and peri-implant mucositis as well their effectiveness and predictability based on current scientific evidence. 3. Learn about the primary risk factors associated with peri-implant diseases, disease control and prevention, and protocols for optimal implant maintenance UPDATE ON LOCAL ANAESTHETIC - 2 DAY COURSE SPEAKERS: Dr. Ambika Chada and Hayley Lawrence DATES: 17/10/13, 21/11/13 VENUE: Northwick Park Dental Education Centre TIME: 9:30 - 4:30 COST: £60.00 REPETITIVE STRAIN INJURY SPEAKER: Sarah Balian DATE:06/11/2013 TIME: 9:30 – 12:30 COST: £25.00 REGISTER: https://www.ewisdom-london.nhs.uk/coursesandbooking CONTACT: [email protected] 11 DIARY DATES VULNERABILITY AND NEGLECT JOINT PAEDIATRIC AND DENTAL SYMPOSIUM DATE: Thursday 5th September 2013 VENUE: The Royal College of Physicians and Surgeons of Glasgow FEES: Full: £175 Member/Fellow: £65 AHP/Nurse/DCP: £50 This symposium will be of interest to a wide variety of medical and dental practitioners as well as colleagues from partner agencies. We anticipate a stimulating day with an opportunity for sharing knowledge and making professional connections to continue to tackle the blight of neglect in childhood. To book a place send in your booking form to Val Crawford or book online at: http://rcp.sg/3yfz7 Download programme and flyer: http://rcp.sg/mad4s e-mail: [email protected] Check the main events page, http://www.rcpsg.ac.uk/the-college/coursesand-events.aspx to find information on latest courses and symposia. CORE CPD FOR DENTAL CARE PROFESSIONALS DATES: 21st September, Becketts Farm, Birmingham 30th November, Worthing, West Sussex COST: £49.00 (including tea/coffee and a light lunch) SPEAKERS: Sue Bagnall, Nicky Gough, Becky Blackmore, Rhonda Hale and Jon Kyle Andersen CPD: 5 hours core verifiable CPD BOOKING: [email protected] VENUE: The Park Royal Hotel, Warrington AGENDA: 8.15Registration 8.50Welcome 9.00 At the risk of sounding like a broken record – Joe Ingham 10.00 ‘MI’ way of preventing dentistry! – Prof Banerjee 11-11.30 Coffee 11.30 Taking Medical Histories with particular reference to Bisphosphonates- Meena Rudralingham 12.30Lunch 14.00 AGM & Regional Representative report 15.15 Direct Access – How did we get here and what happens next? - Julie Rosse 16.00 Raffle & Close (Speakers & Titles may be subject to change.) COST: BSDHT Member £80 BSDHT Non Member £118 Dentist £118 Student £50 DSA £60 Email:- [email protected] BSP ROADSHOWS Evening events offering CPD. GETTING TO GRIPS WITH REFERRALS DATE: Thursday 12 September VENUE: Inverness & satellite venues by video link PERIODONTOLOGY - IS IT ALL MECHANICAL CLEANING? GLASGOW: Monday 16 September CANTERBURY: Monday 23 September PORTSMOUTH: Tuesday 1 October LEEDS: Thursday 31 October BOURNEMOUTH:Tuesday 12 November CHELTENHAM: Monday 2 December MIDLANDS:TBC TC White Oral Cancer Symposium Date: Friday, 29 November 2013 Venue: Royal College of Physicians and Surgeons of Glasgow 232-242 St Vincent Street, G2 5RJ This symposium will provide an update on the aetiology, early detection, investigation and management of oral cancer, following Continuing Professional Development recommendations made by the General Dental Council Prize for best clinical poster and best research poster, details given below. Further information available on the website. www.bsperio.org.uk/events/conference.php?action=infopage&id=63 APPROVED FOR CPD 5 HOURS 40 MINUTES APPROVED FOR CPDA 5 ½ HOURS 2 SESSIONS BSDHT NORTH WEST REGION - AUTUMN ORAL HEALTH SYMPOSIUM DATE: 12 Saturday 21st September 2013 DH CONTACT DIARY DATES Keeping you up to date with all the latest regional information Eastern Regional Group Newsletter Autumn Scientific Meeting and AGM Saturday October 5th 2013 South East Regional Group Autumn Meeting Saturday 14th September 2013 At The Science Theatre, David Salomons Estate, Broomhill Road, Southborough, Tunbridge Wells, TN3 0TG Save The Date! The Eastern Regional Group is delighted to announce the date of our Autumn Scientific Meeting and AGM. The meeting will be held on Saturday 5th October 2013 at Lynford Hall Hotel near Thetford Norfolk. Historic Lynford Hall Country House is set amongst lakes, parklands and thousands of acres of forest near Thetford, mid-Norfolk. Visit www.lynfordhallhotel.co.uk for more information. Decontamination Practical Procedures for the Dental Team CARmEl mAhER Effective Smoking Cessation for DCPs JoANNE DiCkiNSoN Saturday 5 t h October 2013 – L ynford H all Hotel Mundford, N r Thetford, Norfo lk IP26 5HW Look out for the Scientific Program and Speakers coming soon! Confirmed Speakers include: 1. Julie Rosse – Direct Access Update. 2. Carmel Maher – Cross Infection. Other Topics to be confirmed include: Acid Wear Management, Periodontology Update and Oral Cancer Screening. Contact us: Chairperson - Hannah Shaw [email protected] Secretary - Juliette Reeves - [email protected] Treasurer - Nicola Bartley - [email protected] Council Rep - Sarah Lawson – [email protected] Trade Liaison- Patricia Voda – [email protected] Course Programme: Registration & Trade Stands 8:45am - 9:30am Carmel Maher 9.30am - 11.00am Coffee & Trade Stands 11:00am - 11:45am Joanne Dickinson 11.45am - 1.15pm AGM/Council Rep. Report 1:15pm - 1.30pm Lunch 1:30pm - close Bring Your Team to BDTA Dental Showcase BDTA Dental Showcase is the UK’s “must see” event for every practice. Investing in a day at Showcase will pay dividends and every member of the dental team can gain something from the show. It may be research for future purchases, product information, bargains on the day, additional CPD or just being secure in the knowledge that the whole team is keeping right up to date with developments in the dental world. Volume 52 No 4 of 6 August 2013 Don’t miss out on this great opportunity for all the practice - register your team and receive your free tickets now! For further details about the show and the latest list of exhibitors, visit www.dentalshowcase.com. Use the website to register for tickets or call 01494 729959, email [email protected] or text your name, occupation, postal address and GDC number to 07786 206276. 13 Supported by WANT TO PRESENT YOUR WORK? Present your work to like minded hygienists/therapists at the BSDHT OHC 2013 ORAL HEALTH CONFERENCE & EXHIBITION 15 & 16 NOVEMBER 2013 - ICC, BIRMINGHAM The British Society of Dental Hygiene and Therapy (BSDHT) would like to invite colleagues to submit posters for the OHC 2013. Please complete the ‘Poster Submission Form’ which can be found on the BSDHT website. All posters submitted for the OHC 2013 will be entered into this years poster competition where there will be prizes for the ‘Winner’, ‘Runner Up’ and ‘Best Student’ submission. BSDHT welcome your support and participation. You may either send your research, case studies or literature reviews by post to: BSDHT. 3 Kestrel Court, Waterwells Business Park, Gloucester. GL2 2AT Or via email: [email protected] Please visit www.bsdht.org.uk * terms and conditions apply, please contact the BSDHT office for details For more information please contact Alastair Lomax at: [email protected] 14 DH CONTACT RECRUITMENT Recruitment GWENT Newport. Dental hygienist required to work on a Wednesday. Excellent salary is on offer for the right candidate. Full nurse support. Please contact Ceri Colwill on 01495 243323. KENT Brenchley. Hygienist required for friendly mixed practice near Tunbridge Wells. Days available are Monday and Wednesday 14:00 to 20:00, and Friday 8:00 to 16:00. Please send details to Liz Arnold at [email protected] NOTTINGHAMSHIRE Mansfield. Therapist required for busy, modern, NHS practice. Digital radiography, bobcat & range of hand scalers. Full treatment range expected. Friendly & well trained team. Please contact 01623 272222 for further information. Nottingham. Features is a busy dental practice in the centre of Nottingham. We are looking for a qualified therapist/hygienist to join us on a part-time and preferably self-employed basis. To apply please email [email protected] or write directly to Ken Place at Features Place Dental Care, 112 Mansfield Road, Nottingham, NG1 3HL. SURREY Oxted. Hygienist required to cover maternity leave. Two days per week from August 2013. Modern, private practice in Oxted, Surrey. Please contact Barbara on 01883 712201. WEST MIDLANDS Wolverhampton. Willows Dental, Wolverhampton are looking for a fully private qualified dental hygienist/ therapist to work at our award winning practice. Please email Neel at [email protected] The University of Edinburgh The University of Edinburgh is an exciting, vibrant, research led academic community offering opportunities to work with leading international academics whose visions are shaping tomorrow’s world. Edinburgh Dental Institute Lecturer in Oral Health Sciences £37,382 - £44,607 A full-time position is available for a Lecturer in Oral Health Sciences in The University of Edinburgh, based in Edinburgh Dental Institute. The Institute has a global reputation in teaching postgraduate students and Dental Care Professionals, and is delighted to be at the forefront of dental education in offering the first four year BSc (Hons) degree in Oral Health Sciences in the UK. This degree leads to dual qualifications in Dental Hygiene & Therapy and allows undergraduates to gain extensive practice in routine clinical dentistry, significant clinical involvement working in a variety of outreach settings and substantial research experience. The Oral Health Sciences Programme is part of the School of Clinical Sciences within the College of Medicine & Veterinary Medicine of the University. This is an exciting opportunity to be involved in an innovative and dynamic programme which will be based in the Dental Education & Training Centre of the Dental Institute, which has state-of-the-art clinical facilities and technology. Applicants must hold a primary qualification in Dental Hygiene & Therapy and be registered with the GDC, with a minimum of two years clinical experience. Experience of teaching in Higher Education and possession of a recognised teaching qualification would be an advantage. However, access to this qualification will be provided for the successful applicant once in post, if necessary. They should be an enthusiastic team player and be committed to enhancing research and development. For an informal discussion, please contact Margaret Ross, Senior Lecturer for Dental care Professionals and Programme Director, BSc (Hons) Oral Health Sciences on 0131 536 4997 or email [email protected] This post is available on a fixed term basis for a period of three years in the first instance. For further particulars and to submit an application visit our website www.vacancies.ed.ac.uk Ref: 015784. Closing date: 23 August 2013. Committed to Equality and Diversity The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336. www.ed.ac.uk/jobs Volume 52 No 4 of 6 August 2013 15 THE BRITISH SOCIETY OF D E N TA L HYGIENE AND THERAPY Annual Clinical Journal of DENTAL HEALTH Study to measure the clinical effectiveness of a dental hygienist in a cleft lip and palate unit Bulimia Nervosa: The role of the dental hygienist in the care of the bulimic patient Determining the best method of applying CPP-ACP containing pastes and fluoride to eroded enamel in order to limit the amount of tooth wear in vitro Study to measure the clinical effectiveness of a dental hygienist in a cleft lip and palate unit Bulimia Nervosa: The role of the dental hygienist in the care of the bulimic patient www.bsdht.org.uk CALL FOR PAPERS IF YOU WOULD LIKE YOUR RESEARCH FEATURED IN THE THIRD ISSUE OF THE ANNUAL CLINICAL JOURNAL OF DENTAL HEALTH, PLEASE CONTACT THE EDITOR: [email protected]
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