Standards in Dentistry, 3rd edition: what’s changed?

As members of the editorial team responsible for the recent revision of Standards in Dentistry, Professor Christopher Tredwin FCGDent, Dean of Queen Mary University of London Institute of Dentistry and Lorna Burns, Lecturer in evidence-based healthcare at the University of Plymouth, introduce the updated guidance.

The third edition of Standards in Dentistry has been published and is now available to view online. Members of the College can also download and save it to their desktop or other devices.

The editorial team tasked with updating the guidance was led by Ewen McColl FCGDent, Professor of Clinical Dentistry and Head of Peninsula Dental School at the University of Plymouth, and included Chris Tredwin FCGDent, Professor of Restorative Dentistry, Dean and Director of Queen Mary University of London Institute of Dentistry; Robert Witton FCGDent, Professor of Community Dentistry at Peninsula Dental School and Chief Executive of Peninsula Dental Social Enterprise CIC; Lorna Burns, Information Specialist at Peninsula Dental School and lecturer in evidence-based healthcare at the University of Plymouth; and general dental practitioners Nicola Gore FCGDent and Susan Nelson MCGDent. The team also worked closely with Abhi Pal FCGDent, then President, now Immediate Past President of the College.

The fully revised edition incorporates new and updated guidelines and standards which are appropriate for the whole primary care dental team. It follows the structure of the previous two editions, and contains two main sections: summary tables of clinical standards, and lists of guidelines, arranged topically by area of care. The publication does not intend to imply that patients should receive identical care.

Guidelines provide recommendations for effective practice in the management of clinical conditions where variations in practice occur and where effective care may not be delivered uniformly. 

Clinical standards are used to describe the specific elements of care that need to be correct in order to optimise the outcomes for patients. Standards must be unambiguous and measurable.

The clinical standards tables are presented as A: Aspirational, B: Basic and C: Conditional. The A,B,C clinical standards are process measures, not outcomes. 

  • Aspirational – gold-level standards which are not essential
  • Basic – minimum standard necessary to ensure patient safety
  • Conditional – these recommendations only apply in particular situations

Clinicians can use the aspirational standards to improve their practice whilst ensuring that basic standards are met. However, clinicians must assess each clinical situation, the circumstances and the evidence available to them, and use their clinical judgement to settle on the course of action which is in the patient’s best interests. It is recommended that clinicians explain the choices to the patient, the reasons for recommending the chosen course of action and then seek the patient’s consent before clearly justifying the reasoning and recording the consent in the patient’s records. 

The editorial team drew the summaries of clinical standards from multiple, authoritative sources of guidance for primary care dentistry. All of the summary tables have been reviewed and updated for this edition, and revisions were peer-reviewed in consultation with representatives from across the UK dental sector. 

There are new summary tables for Digital Dentistry and Aesthetic Dentistry, reflecting changes in dental care. The newly incorporated standards for Digital Dentistry recognise that dental practices are at different stages of implementing full digital workflows. Therefore, the basic standards in this table refer to the legal necessities such as meeting GDPR requirements and maintaining secure electronic systems. However, in recognition that practices will be working towards the aspirational goal of full clinical digital workflow, there is also a basic standard for members of the dental team to develop the skills and knowledge to enable the transition. 

The new standards for Aesthetic Dentistry are aligned with the legal position decided by the GDC in light of the High Court ruling in the case of GDC v Jamous. Tooth whitening treatment is the practice of dentistry and can only legally and safely be carried out by registered dental professionals. The basic standards for Aesthetic Dentistry highlight the importance of communications with patients, including discussion of risks and managing expectations. There is also clear emphasis on the responsibilities of the dental care professional to act within their scope of practice, competence and training.

The new 2025 edition of Standards in Dentistry is designed for the busy practitioner as a chairside guide which compiles guidelines from multiple bodies, covering all aspects of clinical care from diagnosis to treatment. 

In updating this publication, the editorial team reviewed and updated summaries of the guidelines of more than twenty, mostly UK guideline-producing bodies such as the College of General Dentistry, Scottish Dental Clinical Effectiveness Programme, British Endodontic Society, British Orthodontic Society, British Society of Paediatric Dentistry, British Society of Periodontology and Implant Dentistry, and Royal College of Surgeons Faculty of Dental Surgery. 

This comprehensive guidance for all members of the oral healthcare team, plays an essential role in maintaining standards of excellence within general dentistry, and supports practitioners to continue providing high standards of care to their patients.  

The third edition of the Standards in Dentistry is available to view online. To gain access you must be signed in as a College Member or as a free College Subscriber. Members of the College can also download it to their devices as a PDF for personal use, giving access to search, text-select and print functionality.

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New opportunity in coaching & mentoring for Dental Care Professionals

Foundation Nakao – CGDent Award in Coaching and Mentoring

A special opportunity for a funded three day short course: strictly limited places available

Establishing a mentor and coaching culture is key to the College’s commitment to workforce diversity, inclusion, and wellbeing. In promoting effective mentoring practice, we aim to foster appropriate support in the career pathway progression for all members of the oral healthcare team.

Now, thanks to sponsorship by Foundation Nakao, generously donated through Prof Avijit Banerjee FCGDent, we can offer a very special opportunity for a three day training course in mentoring and coaching.

The award is open to College members who are registered as a dental therapist, dental hygienist, dental nurse, orthodontic therapist, dental technician or clinical dental technician. Our aspiration is to cultivate a community of College members amongst Dental Care Professionals who are equipped and confident to nurture their peers, and dentist members are therefore asked to support this aim by highlighting the opportunity to dental team colleagues.

The short course will be delivered synchronously online, using the Zoom platform, by UMD Professional, an organisation with more than thirty years of experience with dentistry, medicine, healthcare and law, to establishing coaching and mentoring practices within organisations*.

Course dates

  • Day 1. Friday 21st November 2025
  • Day 2. Saturday 22nd November 2025
  • Day 3 Friday 16th January 2026 (or Friday 23rd January)

Applicants must:

  1. Hold a current membership of the College at the time of application, in one of the registered Dental Care Professional roles. Join today.
  2. Have at least two years of post-qualification experience in the role.
  3. Be available to participate in all three days of the training.
  4. Be prepared to:
    • apply mentoring or coaching skills between Day 2 and Day 3.
    • apply the learning to support less experienced colleagues through the College
    • contribute to the promotion of the experience in mentorship through an article or at a College event.

To apply

Download and complete the application form, which should be submitted by email to [email protected].

The deadline for applications is 5pm Monday 22nd September 2025.

Successful applicants will be informed by email by Monday 6th October 2025.

Foundation Nakao – also known as The Nakao Foundation for Worldwide Oral Health – was founded in Luzern in 2018 by Makato Nakao, Chairman of GC Corporation, a leading manufacturer of dental materials and equipment. GC also partners with the College on the CGDent-GC Award for Foundation Trainees.

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Introduction to Occlusion Symposium travels to Edinburgh

Following the success of the Introduction to Occlusion Symposium on 5 April in London, the symposium is travelling north and will take place on Saturday 1 November in Edinburgh.

Introduction to Occlusion Symposium, London

The comprehensive programme will remain the same and will be delivered by the panel of six renowned speakers who impressed delegates at the inaugural symposium in April. It is designed for early career dental professionals but all dental professionals are welcome to attend.

Members of the College are asked to share details of the symposium with friends and colleagues who may wish to attend.

The aim of the event, which has been organised by the Tom Bereznicki Charitable Educational Foundation in conjunction with the College, is to enhance delegates’ understanding of the fundamentals of occlusion and how these principles can support the placement of successful, long-term restorations for patients presenting with tooth wear and other conditions.

Dr Tom Bereznicki FCGDent, Chair of Trustees, Tom Bereznicki Charitable Educational Foundation, explains the move to Scotland:

We were delighted by the enthusiastic feedback we received from the London symposium which showed that many delegates had left the day with a much clearer understanding of occlusion and the treatment options available, and felt inspired to incorporate what they’d learnt into their practice. We wanted to ensure that colleagues in other parts of the country had the same opportunity to expand their knowledge of this important topic and the decision was made to repeat the symposium in Edinburgh with exactly the same programme and the same inspiring speakers.”

The opening lecture will be delivered by Dr Bereznicki, who will use real failure cases to illustrate what can happen if a patient’s occlusion is not assessed and treated.

Further lectures will then be delivered by Professor Paul Tipton, Dr Ken Harris, Dr Tif Qureshi, Dr Shiraz Khan and Dr Koray Feran.

Describing the programme, Dr Bereznicki said: “We will be focussing on the basic fundamental principles involved in occlusion, particularly the intraoral occlusal examination which is crucial in treatment planning.”

Alongside the programme of lectures, delegates who wish to develop their knowledge of occlusion further can visit a hand-picked selection of education stands to learn more about leading postgraduate courses available in this field.

To ensure the symposium is accessible to all, the fees have been set at £90 for early career practitioners who qualified between 2020 and 2025, and £110 for all other dental professionals. These fees include lunch.

You can find further information and secure your place by clicking the button below.

The Tom Bereznicki Charitable Educational Foundation, in collaboration with the College, is also hosting a symposium on 20 September 2025 in London. Dr Reena Wadia will deliver the morning session on the topic of pink aesthetics and in the afternoon, Dr Andy Toy will discuss the importance of occlusion in the successful provision of aligner therapy. You can find out more and book your place here.

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Standards in Dentistry: new edition

The College has published the third edition of Standards in Dentistry, its comprehensive and free online manual bringing together standards and guidelines for primary care dentistry.

A compendium acting as a guide to personal or practice-based quality assessment, it sets out specific basic and aspirational standards covering 17 areas of practice.

Fifteen of these have been fully updated from the second edition to reflect changes to the evidence base and other contemporary contexts:

  • Consultation and diagnosis
  • Making and receiving referrals
  • Direct (plastic), coronal and root surface restorations
  • Indirect coronal restorations (crowns, bridges, onlays, veneers)
  • Endodontics
  • Implant dentistry
  • Management of acute pain
  • Management of dental trauma
  • Minor oral surgery
  • Oral medicine
  • Orthodontics
  • Paediatric dentistry
  • Periodontics
  • Complete dentures
  • Removable partial dentures

Two new sets of standards have also been added:

  • Aesthetic dentistry
  • Digital dentistry 

The standards are focussed on practitioner processes rather than treatment outcomes, and the book adopts the College’s ‘Aspirational’, ‘Basic’, ‘Conditional’ (ABC) notation for the grading of recommendations.

Standards in Dentistry also summarises over 100 standards, guidelines and advisory publications by the College and 50 other national and international bodies, and signposts to other relevant resources, organisations and legislation.

In addition to synopses of guidance covering the areas of practice listed above, summaries of 18 clinical and non-clinical fields from the second edition have been updated:

  • Clinical governance
  • Emergency dental care
  • Examination and record-keeping
  • Infection control
  • Medical emergencies
  • Medications management
  • Oral health
  • Pathology
  • Patient information
  • Practice management
  • Prevention
  • Radiography
  • Research governance
  • Restorative dentistry
  • Risk management & communication
  • Sedation
  • Special care dentistry
  • Staff training

Four brand new summaries have also been added, covering:

  • Antimicrobial prescribing and stewardship
  • Environmental sustainability
  • Equality, diversity and inclusion
  • Mental health and wellbeing

The first edition of Standards in Dentistry, published by the former Faculty of General Dental Practice (FGDP) in 2006, combined the functions of two previous FGDP publications, Self-Assessment Manual and Standards (SAMS) and Guidelines for Structure and Process in Dental Practice. The second edition was published in 2018, with the College making it available to the profession since it inherited the Faculty’s portfolio of guidance and standards publications in 2021.

The newly expanded third edition has been two years in the making, with over 1,000 comments received and considered during consultation processes with College Fellows and a wide range of national dental organisations. It is the College’s first comprehensive update of a flagship FGDP publication, and the first standards document to employ the College’s new branding following the recent grant of a Coat of Arms.

It was developed by an editorial team led by Professor Ewen McColl FCGDent (Head of Peninsula Dental School, Chair of the Dental Schools Council, Editorial Director of Dental Update and College Council member), which also included Professor Chris Tredwin FCGDent (Dean of Queen Mary University of London Dental School), Professor Robert Witton FCGDent (Professor of Community Dentistry, Peninsula Dental School), Lorna Burns (Information Specialist and Associate Head of Postgraduate Taught Programmes, Peninsula Dental School), Dr Nicola Gore FCGDent (general dental practice principal and College Council member) and Dr Susan Nelson MCGDent (general dental practitioner, implant dentist and College Council member).

For the benefit of the whole dental profession and all dental patients, the College has made Standards in Dentistry available to view free of charge.

College members can also download it to their devices as a PDF for personal use, giving access to search, text-select and print functionality.

Celebrating the publication of the new edition, Dr Roshni Karia MCGDent, President of the College, said:

“The provision of guidance and standards by dental professionals, for dental professionals, is central to the mission of the College, and Standards in Dentistry is an indispensable reference guide offering a comprehensive pool of information for all those working in general dental practice and primary dental care. Generations of oral healthcare professionals across the world have been supported by this and other publications of the former FGDP in their journey to provide effective clinical care and better outcomes for their patients, and the College will continue to provide this assistance for future generations. On behalf of the College, I would like to thank all the authors for their hard work, and the many College members and external consultees who gave their time to provide feedback and suggestions.”

All dental professionals and practices are encouraged to view Standards in Dentistry by visiting our Standards and Guidance page, where free access is also offered to the following publications:

  • Clinical Examination and Record-Keeping
  • Selection Criteria for Dental Radiography
  • Guidance Notes for Dental Practitioners on the Safe Use of X-Ray Equipment
  • Antimicrobial Prescribing in Dentistry
  • Training Standards in Implant Dentistry
  • Mentoring in Implant Dentistry
  • Dementia-Friendly Dentistry
  • An Introduction to Research for Primary Dental Care Clinicians
  • Implications of COVID-19 for the safe management of general dental practice

Users who are not members of the College will need to be logged into their College Subscriber account; new users can register for free at cgdent.uk/register-new

Print copies will be available for sale in due course.

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Building the right bite: occlusion and the successful delivery of aligner therapy

Dr Andy Toy FCGDent, a general dental practitioner and educator with a special interest in occlusion, highlights the fundamental link between occlusion and the long-term stability of aligner therapy.

Simply aligning a few anterior teeth can significantly alter a patient’s occlusion.  Whilst many patients seem to cope with their ‘new bite’, there are others who suffer from TMD, chronic pain or mobile teeth because of their aligner therapy.  There are also patients presenting with challenging occlusal problems that could be resolved with the right type of aligner orthodontics.  Every aligner case requires the dentist to understand how to diagnose, plan and finish their patients with a healthy functional occlusion.

I will be delivering a half-day lecture at the Perio-Occlusion Symposium on Saturday 20 September, to address issues like these. My presentation will provide a clear and simple approach to occlusion and clear aligner therapy based on over 40 years of learning and teaching. My aim is to help you:

  • Differentiate between easy and challenging aligner cases
  • Assess the patient’s TM Joint and occlusion and create a treatment plan to deliver a healthy, functional bite
  • Know how to finish and retain your aligner cases

Why is Cassie easier to treat than Jim?

If Cassie and Jim walked into your practice, in my experience most novice orthodontists would steer clear of Cassie and see Jim as an easy win.  Jim has mild crowding with some wear that’s crying out for your best bonding technique.  What a great Align-Bleach-Bond case!  Ker-ching!!  Cassie has more crowding and, even worse, an anterior open bite?  What a nightmare!

In fact, once you do a thorough assessment of TMJ function and occlusion, combined with discovering the patient’s wishes, you would find that Cassie is much easier to treat than Jim. 

Why is this?  Jim has an edge-to-edge occlusion on a class III base – these cases are often much more difficult than they first appear.  The challenge is creating enough overjet to give you space for your bonding and create a healthy envelope of function.  You will need to: a) create lots of space in the lower arch with inter-proximal reduction; and b) control the anchorage to maximise the lower anterior retraction. 

Cassie simply wants to align her teeth and isn’t bothered by her anterior open bite.  Comprehensive assessment of her TMJ and functional occlusion indicates that her bite is healthy.  She just needs some levelling and aligning.  Simple!

Correct biomechanics ensures successful aligner therapy  

Jeff is another class III case.  I used Invisalign Go™ (that is moving 5-5 only and up to 25 aligners) combined with class III elastics to support anchorage and we finished with a great looking result and healthy occlusion.  In fact, Jeff is easier to treat than Jim.  Can you see why?  It’s all down to how you assess a cross-bite.   Once you know how, it’s much easier to choose your winners and avoid creating an occlusal cripple.

Aligner therapy can eliminate occlusal dysfunction

Brenda is not too concerned about her appearance, but she is very worried about the pain she is experiencing and the possibility of losing her teeth.  She’s also in her 70s and not overly keen on dental treatment.

Brenda has multiple crossbites, tilted teeth and missing molars.  Where do you start?  My approach is: thorough assessment and diagnosis of her TMJ function and dynamic occlusion; careful planning of her Invisalign Comprehensive™ treatment; and a patient-centred consent process.  That way Brenda knows what the problem is, how we may treat it and what benefits and risks she may encounter as a result.  This gives Brenda the confidence to go ahead with the plan and enjoy a healthy, comfortable bite for the rest of her life.  Come along to the Symposium and I’ll show you how I used aligner biomechanics on Brenda’s case so that you can apply them on your own patients.

If you are able to attend the symposium, you’ll be better placed to avoid cases that are beyond your experience level; feel confident that the cases you do treat will have a healthy, functional bite; and sleep better at night. You can find out more and book your place here.

The Perio-Occlusion Symposium takes place on Saturday 20 September in London.

Click here for further details and to secure your place

Read our blog on Pink Aesthetics to find out more about the topics included in the morning lecture, delivered by Dr Reena Wadia.

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In memory of Kevin Lewis, 1949-2025

We regret to report the passing of Kevin James Lewis FCGDent, former Trustee, Ambassador and Founder of the College.

Born in Hounslow, Middlesex, in May 1949, he qualified BDS from The London Hospital in 1971 and LDS in 1972, worked full-time as a general dental practitioner and practice owner for 20 years, then part-time for another ten years while he developed his interests in the dento-legal field.

In 1989 he began a 27-year career at Dental Protection, initially as a member of the Board of Directors, then as a dento-legal adviser, and as Dental Director between 1998 and 2016, serving on the Council and Executive of the Medical Protection Society.

In the 1980s and 1990s he was involved in broadcasting, being the monthly dental contributor on a BBC Radio 2 programme and a regular contributor on both BBC and commercial local radio in the East Midlands and East of England. He also gave a number of TV interviews, participated in dentistry-related documentaries and was the host of The Dental Channel.

Better known to many now for his writing, he was a long-serving Associate Editor of Dental Practice, Consultant Editor of Dentistry from 2006 and a contributing author to The Technologist since 2018, providing the profession with contemporary, insightful political commentaries, editorials and dento-legal articles for over forty years. He also wrote two textbooks on dental practice management and guest chapters in several others.

He enjoyed some part-time teaching and supervision of undergraduate students, and lectured throughout the UK and internationally, presenting at seven FDI World Dental Congresses as well as regional or national conferences in almost 30 countries, including regular lectures in Australia, New Zealand, North America and South East Asia.

In the early part of his career, he was heavily involved in the British Dental Association up to Branch Council level and in Local Dental Committee matters, and for some years was a Vice President of the British Association of Dental Therapists. He was a Trustee of the Oral & Dental Research Trust and a past Trustee of the Cordent Dental Trust, a Special Consultant to BDA Indemnity and he provided consultancy and advisory services to a variety of organisations in dentistry and wider healthcare.

In 2017, following the decision of the national board of the former Faculty of General Dental Practice UK (FGDP) to build an independent college for general dental practitioners and the whole dental team, he was appointed a founder member of the Transition Board tasked with creating what became the College of General Dentistry. He subsequently served as a Trustee of the College until 2022, then as a College Ambassador. He was a College Fellow, College Founder and College Donor, presented College webinars on dento-legal topics, and wrote for the Primary Dental Journal.

He was also a Fellow of the International College of Dentists and of the Faculty of Dental Surgery of the Royal College of Surgeons of England, achieved the Diploma of Fellowship of the former FGDP, and was awarded Honorary Membership of the British, Irish and New Zealand Dental Associations. He was an Honorary Member, and past Council Member, of the British Society for Restorative Dentistry.

Last month he was awarded the College Medal, the College of General Dentistry’s most prestigious honour, in recognition of his consistent championing of general dental practice during a career spanning over half a century, and for his contributions to the establishment and development of the College from its formative stages.

He passed away peacefully in Peterborough Hospital, with his family around him, on Wednesday 30 July, aged 76. He is survived by his wife Rhiannon (formerly Head Dental Nurse of the Department of Periodontology at The London Hospital), son Nick (a College Fellow and former Course Director of the FGDP Diploma in Restorative Dentistry), daughter Angharad Sian (a solicitor in Hong Kong) and daughter-in-law Jane (a GDP in Hampshire).

Paying tribute to his legacy, the President of the College, Dr Roshni Karia MCGDent, said:

“Kevin was a great champion of general dental practice. As a young graduate, I was inspired in so many ways by the humility, insight and expertise which were the hallmarks of his lecturing, and I know that his loss will be felt by many others in our professional community. He will be dearly missed.”

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Donations sought for Coat of Arms Fund

The College has launched a fundraising appeal to support the full adoption of its Coat of Arms, Badge and new colours following its recent Grant of Arms.

(l-r): The College’s recently-granted Coat of Arms; Sir Nairn Wilson CBE FCGDent receiving the Grant of Arms; the College Badge

Donations to the Coat of Arms Fund will be used specifically to realise the privileges of being granted Arms to best possible effect in order to further enhance recognition of the College, the status of Members and the standing of the general dental profession in the UK and elsewhere. 

The appeal has been kick-started by Mick Horton FCGDent, Chair of CGDent’s Trustee Board, who has generously agreed to fund the design and production of a run of College Medals – the College’s most prestigious honour, awarded annually for exceptional service to the profession.

In addition, Sir Nairn Wilson CBE FCGDent, the Honorary Founding President of the College and Chair of College Fundraising, has made a donation which will cover the cost of designing and producing a number of Past President’s medals.

A key ambition for further donations is the design, production and distribution of a new College lapel pin for every Member and Fellow featuring the College Badge – an opinicus rampant holding a giant pearl of wisdom – granted by the College of Arms. It is intended that the College’s Arms and Badge will soon become recognisable symbols of College membership, raising the profile and impact of the College across the UK and around the world as the only independent collegiate home for all members of the dental team.

The Coat of Arms Fund will also be used to have the College’s Grant of Arms by Letters Patent professionally mounted for permanent display.

Subject to the donations received, the Fund will also enable the design and production of other regalia to incorporate the Coat of Arms, Badge and new College colours, including membership and diploma certificates; an embossed leather-bound Fellows’ Register; ceremonial gowns for use by serving College Officers; and a special medal to be worn by the sitting President, which in recognition of the College’s history will be hung on the Chain of Office previously worn by Deans of the former Faculty of General Dental Practice (UK) [FGDP].

Another significant use will be to fund an application for the matriculation of the College’s Grant of Arms by the Court of the Lord Lyon in Edinburgh. The Letters Patent by which the College has been granted Arms provide official recognition in England, Wales and Northern Ireland, but as a UK-wide organisation, parallel recognition in Scotland is a priority for the College and will be important in the future application for Royal Charter.

Over 120 individuals and organisations from across the UK and beyond have so far donated to support the establishment and development of the College. These are listed on the College website’s donors page, and in launching the Coat of Arms Appeal the College would like to thank a number of these whose generous contributions covered the £22,500 required for the processes which culminated in the Grant of Arms:

  • Dr Ali Al Bayati FCGDent
  • Col John Anderson FCGDent
  • Dr Tariq Ashraf FCGDent
  • Dr Christine Breare FCGDent
  • Dr John Gamon CBE FCGDent
  • Prof Stanley Gelbier FCGDent
  • Dr Edgar Gordon FCGDent
  • Dr Andrew Hadden FCGDent
  • Dr Robert Hensher FCGDent
  • Dr Stuart Johnston FCGDent
  • Dr Anthony Kravitz OBE FCGDent
  • Dr Abhijit Pal FCGDent
  • Mr William Sharpling FCGDent
  • Smile Academy
  • Dr Christopher Turner FCGDent
  • Prof Sir Nairn Wilson CBE FCGDent

The College is now seeking an additional £28,000 to fully realise the benefits of the Grant of Arms, and all Members and Fellows, supporters and supporting organisations of the College are encouraged to give generously to enable this to happen.

All donors, existing and new, will be acknowledged in the Autumn 2025 issue of the Primary Dental Journal and in perpetuity on the College website, with their cumulative donations, including to the Coat of Arms Fund, categorised as follows:

  • Major benefactors (>£50,000)
  • Benefactors (>£25,000)
  • Major donors (>£10,000)
  • Donors (>£5,000)
  • Major contributors (>£1,000)
  • Contributors (<£1,000)

Sir Nairn said:

“Donating to the Coat of Arms Fund is a special opportunity to go down in history as having contributed to the realisation of a historic milestone in the development of the College. This is a one-off opportunity to contribute to a lasting legacy which recognises the origins of dentistry as we know it today, and signifies the purpose, aims and aspirations of the College.”

All those wishing to secure a special place in the history of the development of the College should contact Sir Nairn, who will be pleased to assist you in becoming a Coat of Arms donor, and, if you are so minded, a College legator or regular donor. Please email [email protected]

A description of the symbolism and meaning behind each of the heraldic elements in the College’s Coat of Arms is here

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Why should early career dental professionals learn about gum aesthetics?

Dr Tom Bereznicki FCGDent, founder of the Tom Bereznicki Dental Educational Foundation, considers the vital role of gum aesthetics in digital smile design, an area of dentistry which early career practitioners are increasingly becoming involved in.

It is increasingly important to consider the appearance of the gum when treating aesthetic cases, particularly in digital smile design. But despite the crucial role of ‘pink aesthetics’ in aesthetic dental practice, it is a topic that is often not so well understood by early career dental professionals, mainly due to a lack of education in this area.

In many cases, paying attention to a patient’s pink gum can be as vital as treating the shape, position and colour of their dentition. Cultivating the right balance between the tooth and periodontal tissue may be key to achieving the ‘ideal smile’ and improving your patient’s confidence.

In days gone by, patients were happy with their appearance if they avoided dentures. These days, patients are much more discerning and restorations like the cases shown below from my archives, would now be regarded as aesthetically unacceptable.

If a patient has a low lip line, the position of the gum, in theory, is not an issue. However, many patients these days often judge outcomes by aesthetics when they lift their lips out of the way.

If a lot of gum is visible when the patient smiles, the appearance and position of the gingival tissue, as well as the teeth, will certainly need to be carefully planned – in particular matching zenith points and ideally showing no ‘black’ triangles.

Correct diagnosis is essential. In the two cases below, both patients attended asking to have their teeth veneered as they hated their smiles because they thought their teeth looked too short. However, neither case required procedures to lengthen their teeth, they merely had too much gum showing and required crown lengthening.

Correct treatment planning is also crucial to greatly improve the final aesthetics of treatment. In this case, crown lengthening around the lateral incisors prior to the provision of two veneers delivered the best result for the patient.

Improving a patient’s smile by treating the appearance of the gum does not have to be complex. Even the smallest minimal surgical procedure can have a dramatic effect on aesthetics and patient confidence. 

Whereas carrying out crown lengthening procedures exposes more of the patient’s tooth to achieve a harmonious balance between the gum and the tooth, gingival recession can also be treated through minor surgical procedures. In the cases shown below, a laterally repositioned flap provided a successful, long-term solution. 

The upcoming Perio-Occlusion Symposium on 20 September addresses gum surgery cases similar to the cases covered in this blog. My introduction to the topic will be followed by a half-day lecture delivered by Dr Reena Wadia MCGDent, a well-known specialist periodontist. Reena will examine the indications and steps of crown lengthening surgery and the optimal aesthetics we aim for. In addition, she will discuss the indications of gum recession surgery and the various procedures available. The afternoon session will be delivered by Dr Andy Toy FCGDent on how occlusion can affect the long-term stability of treatment using aligner therapy.

For those who wish to extend their knowledge further, information will also be available on postgraduate courses which cover these topics in greater depth.

The Perio-Occlusion Symposium takes place on Saturday 20 September in London.

Click here for more information and to book your place

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Getting your first job as an Associate Dentist: preparing a successful application

Choudhury Rahman graduated from the University of Manchester in 2023 and joined the College as an Associate Member, also becoming a CGDent Ambassador. Here are his tips to help you submit a successful application for your first Associate Dentist position after DFT.

After Dental Foundation Training (DFT) is completed, you will be faced with the prospect of getting your first job as an Associate Dentist. You may be able to become an Associate Dentist at your FD practice, if that suits you and if a position is available. Or you might want to work in a different practice, maybe in another part of the country, and the search for a job will then begin.

I stayed on part time at the practice where I did my DFT, and looked for other positions to fill my week. In my first year post FD, I have moved practices a fair bit as I’ve tried to find a position and practice that suits me. I’ve worked for two of the major corporates in the UK along with a variety of different independent practices and have learnt a lot about applying for jobs along the way.

From my experience in the dental jobs market, here are my tips on making a successful application.

How to find a job in the first place

There are many different ways to find a job and it’s worth exploring all avenues until you find the job that’s right for you. Here are some of the ways I have found out about available Associate Dentist roles.

Online platforms

Good and reliable websites which advertise dental positions include BDJ Jobs and Indeed, and there are many other online platforms that you will come up when you search. These advertise a wide variety of Jobs. BDJ also gives an extra level of assurance in that it will specify which practices are part of their ‘Good practice’ programme which demonstrates their ongoing commitment to standards of good practice in relation to professional and legal responsibilities.

As well as recruitment websites, you may also find Associate Dentist positions advertised on social media. Some practices will post vacancies in places like LinkedIn and Facebook groups .

Recruitment agencies

There are numerous recruitment agencies which will search for jobs for you based on your set of criteria, which can save you a lot of searching time. These include Henry Schein Dental Recruitment, Dental Elite and Zest.

Word of mouth

Lastly, and possibly one of the most underrated methods of finding a job – word of mouth. Ask around. Ask other dentists if they know any practices with vacancies which they may not be advertising. If there’s a practice you really fancy, that looks like they provide the kind of dentistry you want to do, send them an email and ask if they have any jobs available. You’ll be surprised the number of practices which don’t actively recruit, even with empty chairs, as they want to hire very particular and motivated dentists. This is sometimes the best way to find a position where you can really grow and develop your dentistry.

Making an application that stands out

A compelling CV

First things first, make sure your CV is up to date. In the early stages when you may have not had much professional experience, include roles or responsibilities you had whilst in dental school, or even whilst you were an FT. Talk about your areas of interest , what courses you would like to do, and the experiences you gained whilst being an FT. All of this will show how motivated and keen you are to develop and grow, which practices will want to see. Don’t think to yourself that because you lack experience no one will want you – in fact sometimes it’s the opposite. Having a newly qualified, motivated dentist, who is wiling to learn is a good investment for any practice. On the flip side, someone who is very well experienced, but stuck in their habits and not willing to change may not be right for a practice who are forward thinking and looking to invest in their team.

Covering letter

Secondly, It’s  a good idea to personalise your application with a covering letter. Explain what drew you to the practice, what value you might be able to add to the practice (do they lack a DWSI in endodontics? Maybe you can become that for them!), and discuss the qualities you would bring to their team.

Portfolio

Lastly, try and put together a portfolio. Even if it’s not photographs of amazing work, it shows that you are trying, and willing to develop. Adding a reflection on areas you need to improve shows your dedication to developing your skills, and will look attractive to practices wanting a motivated and hard working dentist.

As part of the application process, it’s important to ask questions about different aspects of the practice and the position you are going for, so that you fully understand what it will be like to work there. Having worked in several different practices in the last year, I have learnt that even little things about the way a practice operates can have a big impact on your enjoyment of the job. Read my blog Getting your first job as an Associate Dentist: essential questions you need to ask for a list of things to look out for.

And finally, don’t be down-hearted if you don’t get offered the first job you apply for. Be persistent, keep applying for positions and you will find the Associate Dentist job that’s perfect for you!


Author bio

“I Graduated from University of Manchester in 2023, completed my FD Training in the Greater Manchester North Scheme and am now an Associate Dentist in Greater Manchester. I’m also a NextGen Ambassador for the College of General Dentistry. My clinical interests include Oral Surgery and Prosthodontics. I am currently undertaking a Masters in Prosthodontics at UCLAN and have interests in Implants and also dental education. Outside of work, I enjoy running and 5-a-side football.”

Dr Choudhury Rahman

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Getting your first job as an Associate Dentist: essential questions you need to ask

A 2023 graduate from the University of Manchester, Choudhury Rahman is an Associate Member of the College and CGDent Ambassador. Here is his advice about choosing your first Associate Dentist position.

Finishing your Dental Foundation Training (DFT) can be an exciting and challenging time with lots of opportunities to grow and develop. One of the first challenges you will face is finding the right Associate Dentist position for you.

I was fortunate enough to stay on part time at the practice where I did my DFT, and this gave me the opportunity to explore how different practices worked and operated as I looked for other positions to fill my week. In my first year post FD, I have worked for two of the major corporates in the UK along with a variety of different independent practices and have learnt a lot along the way.

There are many things to look out for and think about when finding a job. Here’s a list of some important factors to consider so you don’t make the same mistakes that I did!

  • Independent practice vs corporate practice

In many (but not all) independent practices you may have more freedom to ask for materials and equipment, within reason, and you can set fees as you wish rather than charging fixed private rates. The management set-up is usually clearer too, so you know who to speak to if you have an issue.

However, many corporates have generous discounts on courses as well as co-funding options for more expensive courses, which can be beneficial especially straight out of DFT (watch out for the tie-in lengths).

Some corporates run networking events to help with meeting other people in the dental profession which is nice!

  • How many days are available and what are the hours?

It’s worth considering whether you want to work full time in one practice or divide your working week between different practices.

  • What is the Unit of Dental Activity (UDA) rate?

Is it a reasonable rate for the area you’re going to be in?

  • How many UDAs are available?

Are there enough UDAs for you, considering how fast you work?

  • Why is the job available?

Is there a new surgery? Is someone leaving or reducing days? Ensure the start date is very clear.

  • What system do they use?

Is it SOE, R4 or Dentally? They’re all quite different, and if the practice uses a different system to the one you’re used to, are you willing to learn? I didn’t like R4 so quit a practice because of this. I much preferred SOE and Dentally.

  • Is there potential for private work and what is the split?

It’s not always 50/50! Many practices advertise that they do more private work than they actually do so try and gauge what the balance of work is in reality!

  • What is the split for lab bills?

In my experience it is usually 50/50 but it’s worth checking.

  • Are you taking over an established list of patients, or are you going to develop your own list?

Some practices may be opening a new surgery and expect you to start a new list. If you are starting a new list with new patients, expect a lot of stabilisation treatment. Are you willing to do this?

  • How busy is the practice?

When going to visit, check how busy the diary looks for everyone, especially if you are taking over from another practitioner. Check at least three months in the past, and three months in the future. If it’s looking empty, or not busy enough for you, it really won’t magically fill-up once you join!

  • What kind of X-ray system do they have?

Most practices should be digital. Do they have a scanner? Is there a camera for everyone to use? Do they have an OPG machine (a panoramic X-ray machine)? Do they have a CBCT machine (a Cone Beam Computed Tomography machine)? Are these things you would like access to?

  • Is there a dedicated practice manager or treatment co-ordinator (TCO)?

Some practices don’t have one, and from my experience they don’t run as well. A TCO can be very useful especially if you are wanting to do more private work.

  • How will you be paid?

It may be based on activity, which means how many UDAs you do in the payment schedules. Or it may be in twelfths, which is when your total number of UDAs x UDA rate is divided by 12 months, and you receive payment more like a salary. Some people prefer one or the other.

  • What decontamination system do they use?

It’s a good idea to gain a basic understanding of how decontamination should work in a practice and check how it runs in your potential practice.

  • Ensure you check your contract very carefully before signing

DDU and DP offer contract checking services, but also get it checked out by other experienced dentists you may have around you. Things to really look out for include notice periods and retention fees.

Finding your first job as an Associate Dentist can be daunting, but if you find the right practice, it will really help you develop and upskill so that you can do the dentistry you want to do. And if you end up in a practice you don’t like, it is not the end of the world, you can always leave and start the search again, as I have done more than once already. Ultimately you need to make sure you’re in a practice you are happy at, with a team you enjoy working with, doing the thing that makes you want to get out of bed every day!

Read my blog Getting your first job as an Associate Dentist: preparing a successful application for tips on applying for dental jobs.


Author bio

“I Graduated from University of Manchester in 2023, completed my FD Training in the Greater Manchester North Scheme and am now an Associate Dentist in Greater Manchester. I’m also a NextGen Ambassador for the College of General Dentistry. I am currently undertaking a Masters in Prosthodontics at UCLAN and have interests in Implants and also dental education. Outside of work, I enjoy running and 5-a-side football.”

Dr Choudhury Rahman

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