Mick Horton to be next Chair of CGDent 

Dr Mick Horton FCGDent, former Dean of the Faculty of General Dental Practice UK (FGDP), has been appointed as the next Chair of the College’s Trustee Board.

Dr Mick Horton FCGDent, Trustee of CGDent and former Dean of the FGDP(UK)

Dr Horton qualified from Manchester University in 1986, initially working in Fleetwood, Lancashire. In 1992, he purchased a mixed NHS/private practice in Caergwrle, North Wales, where he worked for the next thirty years.

In 2015, he became the ninth Dean of the FGDP, and the first non-Fellow to have been elected to the post. Under his Deanship, the Faculty initiated the process of separating from the Royal College of Surgeons of England to create an independent college for general dental professionals. He has served as a Trustee of the resulting College of General Dentistry, into which the FGDP transferred in 2021, since completing his three year term as FGDP Dean in 2018.

During the early months of the COVID-19 pandemic, Dr Horton chaired the joint FGDP-CGDent working group which developed Implications of COVID-19 for the safe management of general dental practice, guidance which the organisations published a week ahead of the re-opening of dental practices in England, at a time when no official guidance for re-opening was available, and which was downloaded over 50,000 times in that week alone. In 2020 he was elected to the Fellowship of FGDP in recognition of his exceptional career record and active support of the Faculty and its mission.

Dr Horton’s experience also encompasses 22 years as Chair of his Local Dental Committee, ten years as Vice Chair of his local Health Board, 20 years as a postgraduate CPD tutor, working as a dental nurse examiner and being a member of the Welsh Dental Committee as well as Managed Clinical Networks. His professional interests include patient safety, human factors, risk management, mentoring and quality improvement, and he continues to serve on national policy groups in these areas.

In 2021, he was Guest Editor of the first issue of the Primary Dental Journal published by the College, on the theme of leadership and professionalism, and he has since chaired College webinars on leadership and professionalism and delivered one on preventing wrong tooth extraction, and earlier this month was a speaker at its event on creating a positive patient safety culture in dentistry.

In taking up post as Chair in April 2023, he will succeed Dr Janet Clarke MBE, former Deputy Chief Dental Officer for England, who joined the Board of Trustees in 2019 and became Chair in 2020. During her tenure, the College has formally launched, successfully incorporated the membership and intellectual assets of the FGDP, opened up Full Membership and Fellowship to all suitably qualified registered dental professionals, opened its ‘by experience’ route to Fellowship, created the new grade of Associate Fellowship, published its Professional Framework for career pathways in dentistry and launched its Certified Membership scheme.

Outgoing Chair, Janet Clarke, said:

“It has been a great privilege to lead the College of General Dentistry over the last few years, during which it has been established and, building on the legacy of the FGDP, begun its vital work of creating an independent organisation built by, and specifically for, general dental professionals. I am proud to be handing over the reins to Mick, who is a highly experienced, respected and forward-thinking general dental practitioner with an unsurpassed knowledge of, and dedication to, the College and its mission.“

Commenting on his appointment, Dr Horton said:

“Having been passionate about the College of General Dentistry since its inception, it is a joy to look back and see that such considerable progress has been made, in a short period of time, in establishing the College and pursuing its mission. It has been a great pleasure to work with Janet on the Trustee Board, and I would like to thank her for her leadership and commitment in driving our progress, and congratulate her on all that has been achieved. I am honoured to have now been given the responsibility of steering the College through its next phase, as we develop and implement new ways of supporting the profession to enjoy fulfilling careers in general dentistry, with structured progression. We can only do this with the support of the profession, so I call on all colleagues to play their part at this historic moment by joining us in membership.”

Domiciliary denture provision: a Clinical Dental Technician’s approach – 2 May 2023

CGDent live webinar, Tuesday 2 May 2023, 7pm

Clinical Dental Technician and Associate Member of the College, Caroline Persaud, discusses how she manages domiciliary denture provision.

Speaker:

  • Caroline Persaud, Registered Dental Technician and Clinical Dental Technician

CPD approx 1.5 hours

This webinar is hosted by the College of General Dentistry and powered by our CPD delivery partner, ProDental CPD – register below.

It is free to view live for all dental professionals, and College members also have free access to the recorded webinar and can claim CPD hours for free.  A £20 fee will apply for non-members who wish to claim CPD.

Membership of the College of General Dentistry is open to all registered dental professionals. Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/

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Why I have left the College a legacy in my will

Dr Shelagh Farrell FCGDent, a College Founder and Ambassador, talks to Professor Nairn Wilson FCGDent, President Emeritus of the College, about leaving a legacy to CGDent.

Nairn: Shelagh, may I begin by thanking you on behalf of the College for your tremendous support for the College as a Founder, one of its first Fellows, Ambassador and now one of its first legators. Such exceptional support is hugely appreciated and of immense importance to the College as it grows and develops. Also, thank you for agreeing to answer the following questions:

Why have you considered it important to support the College with both a Founder’s donation and a legacy?

Shelagh: The Faculty of General Dental Practice (FGDP(UK)), from the time of its foundation in 1992, always had the ambition of forming a College – Royal College of Dentistry. At the time, we promised the Royal College of Surgeons of England (RCS Eng) that the Faculty would remain part of the College for 10 years, filling a void left by the Faculty of Anaesthetists which had separated away to form what became the Royal College of Anaesthetists within a matter of a few years. Despite attempts to leave after 10 years, FGDP(UK) remained part of RCS Eng for 28 years.

The income of most, if not all, Royal Colleges comes from its members who pay subscriptions and fees to sit their examinations and benefit from postgraduate qualifications. Over the years, FGDP(UK) changed its qualifications to reflect the ways in which dentistry had moved on; for example, with the increasing use of implants. It is time to change again to create career pathways for all members of the dental team, which are challenging but achievable, thus enhancing standards in the provision of dental care.

When FGDP(UK) was established, it had one office on the ground floor of the RCS Eng. In a short space of time, it was obvious that more staff were needed to support and promote the Faculty’s activities and examination system. The Faculty was then allocated a redundant animal house on the top floor of the RCS Eng building. This became the Faculty offices for the remainder of its time at the RCS Eng.

The new College needs to acquire suitable premises in the process of becoming the Royal College of General Dentistry. This requires money and that is why, besides giving a Founder’s donation, I have left the College a legacy in my will.

N:  What would you like to say to colleagues who have not yet joined and donated to the College?

S: Some colleagues say that they will join the College when it receives Royal status. This, however, creates a “catch 22” situation. Unless the College expands its now growing number of Full Members, Associate Fellows and Fellows, it is unlikely to receive Royal status. Hence, I would urge colleagues of all ages, specifically younger colleagues to join, support the College and, in the process, benefit from a worthwhile career pathway, with mentoring, which will add to their enjoyment of dentistry and enhance their professional fulfilment.

N: In what ways has dentistry in the UK been compromised by not having its own, independent Royal College?

S: The UK has three Royal Surgical Colleges based in London, Edinburgh and Glasgow, all with Faculties of Dental Surgery. Over the years there has been great competition between these Faculties to promote themselves and increase their influence and income both home and abroad. But more important is the opportunity they have to advise and influence (or not) governments, albeit that general dentistry, let alone members of the dental team are not well, if at all, represented in their memberships. Governments listen to Royal Colleges. When the College of General Dentistry becomes the Royal College of General Dentistry, dentistry will at long last have its own independent, UK-wide, collegiate influence, speaking for the whole of the profession. Dentistry, specifically general dental practice, which provides more than 90% of oral healthcare, certainly needs this, as it seems to me at the moment that this core provision of dental services is at the lowest ebb that I have seen over the last 50 years.

N: Shelagh, two more questions. Firstly, what do you see to be the immediate priorities of the College?

S: Recruitment is clearly the way to increase the membership and the influence of the College. Dentistry is the only major healthcare profession which has not got its own Royal College. The majority of dentists are in practice, even if they are specialists. All these dentists, together with the members of their dental teams, need to come together to strengthen their unified voice, to improve standards, and to enhance the care provided to the general public.

N: And finally, what would you like the College to achieve by 2030?

S: I would like to see the College granted Royal status, with the majority of the profession being part of the membership, reaping and continuously improving the benefits the College can provide, enhancing their enjoyment and fulfilment in the wonderful and great career that dentistry can bring. I also hope that the College, then Royal College, will have suitable premises where members, politicians, the media, members of the general public and others can contact and meet staff to enable the College to realise its potential as the much-needed collegiate home for general dentistry.

N: Shelagh, very many thanks for your insightful and thought-provoking answers to my questions. Hopefully, this interview will encourage others to follow your lead as an inspirational Fellow and legator.

With renewed thanks for your exceptional generosity to the College.

Any member wishing to make a legacy to the College is encouraged to contact Abhi Pal, President of the College, or Simon Thornton-Wood, Chief Executive of the College, at [email protected] or Nairn Wilson, President Emeritus, at [email protected].

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Kevin Lewis becomes College Ambassador

The College has announced the appointment of Kevin Lewis FCGDent as an Ambassador.

College Ambassadors, drawn from a variety of backgrounds, provide strong advocacy for the mission and vision of the College as it works towards eligibility for the award of a Royal Charter.

Following a number of years in general dental practice, Dr Lewis spent 27 years at Dental Protection, including as Dental Director between 1998 and 2016, and served on the Council and Executive of the Medical Protection Society. He is Consultant Editor of Dentistry and a Special Consultant to BDA Indemnity. He recently demitted office after five years as a Trustee of the College and founder member of its predecessor Transition Board. He has been awarded Honorary Membership of the British, Irish and New Zealand Dental Associations, and of the British Society for Restorative Dentistry, and is a Fellow of the Faculty of Dental Surgery of the Royal College of Surgeons of England.

Dr Lewis’s appointment enriches the already considerable expertise and scope of influence of the College’s team of Ambassadors:

  • Dr Eugene Chan SBS BBS JP FCGDent, Visiting Professor at Jinan University, Guangzhou
  • Professor Jonathan Cowpe FCGDent, former Director of Postgraduate Dental Education in Wales
  • Dr Shelagh Farrell FCGDent, Founder Member of the Faculty of General Dental Practice UK
  • Dr Marina Harris, Senior Lecturer and Periodontology Lead, University of Portsmouth Dental Academy
  • Professor Jacky Hayden CBE, President, Academy of Medical Educators
  • Professor Richard Horton, Editor-in-Chief, The Lancet
  • Dame Parveen Kumar DBE, Emeritus Professor of Medicine and Education, Barts and The London School of Medicine and Dentistry, Queen Mary University of London
  • Professor Jason Leitch CBE FFGDP(UK)(Hon.), National Clinical Director, Scottish Government
  • Dr Ian Mills FCGDent, Founder and former Trustee of the College, and former Dean of the FGDP
  • Dr Govin Murugachandran, Founder, Flynotes
  • Dr Yewande Oduwole, Associate Dentist
  • Marie Parker, Deputy Programme Director of Hygiene and Therapy at University College Hospital NHS Foundation Trust London
  • Rt Hon Sir Mike Penning, Member of Parliament
  • Dr Wendy Thompson FCGDent, Lecturer in Primary Dental Care, University of Manchester
  • Dr Pouya Zohrabpour, Associate Dentist

Commenting on the appointment, Dr Abhi Pal FCGDent, President of the College, said:

“I would like to extend my congratulations to Kevin on his appointment as an Ambassador of the College, which follows a period of time in which he has been a valued Trustee. The College is privileged to have such a distinguished member of our profession supporting our cause, and I am delighted that we will continue to benefit from his wide experience and enthusiasm.”

Kevin Lewis said:

“It has been a real privilege to have spent the past five years as a Trustee and Board member of the College, from its inception through to launch as an autonomous, independent collegiate home for all members of the dental team working in general dental practice.  In time it will hopefully blossom into the Royal College that dentistry and general dental practice so richly deserve.  In the meantime, I am delighted to continue my association with the College in the capacity of an Ambassador, and would urge any colleague involved in general dental practice to join CGDent and support it on this historic journey.”

Transitioning from analogue to digital dentistry – 18 April 2023

CGDent live webinar, Tuesday 18 April 20237pm

In this CGDent webinar, we will explore how, with knowledge, understanding and experience, analogue dentistry provides predictable treatment results through careful control of the processes employed. We will examine how important these parameters are when making the transition to digital dentistry and discuss how to action the transition successfully.

Speaker:

  • Anthony Laurie MDT FBIDST FCGI, Dental Technician & Managing Director, Dental Excellence LTD

GDC development outcomes: C

CPD approx 1.5 hours

This webinar is hosted by the College of General Dentistry and powered by our CPD delivery partner, ProDental CPD – register below.

It is free to view live for all dental professionals, and College members also have free access to the recorded webinar and can claim CPD hours for free.  A £20 fee will apply for non-members who wish to claim CPD.

Membership of the College of General Dentistry is open to all registered dental professionals. Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/

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New PDJ online: Digital dentistry

The latest edition of the Primary Dental Journal, Digital Dentistry, is now live online.

Guest edited by Clinical Professor of Prosthodontics at NYU College of Dentistry USA, Ilser Turkyilmaz, the issue explores various techniques to offer even the most experienced dental professional the latest update on the evolution of technology and materials.

Professor Turkyilmaz clarifies, “Now, well into the age of digital dentistry, clinicians are constantly challenged to find the most modern, relevant material to provide the best quality of care to their patients and ease their labour-intensive workflows. The goal of this issue is to do exactly that, enrich the repertoire of current and new clinicians to help optimise patient care.”

The issue also features the second of five domains from the College’s Career Pathways in Dentistry: Professional Framework, which describes the knowledge, skills and other attributes expected of primary care dental professionals at different career stages – from safe practitioner through to accomplished practitioner. The ‘Professionalism’ domain published in this issue will be followed by ‘Reflection’, ‘Development’, and ‘Agency’ domains in future issues of the Primary Dental Journal. The first domain, ‘Clinical & Technical’, was published in the Autumn 2022 issue, and all domains for every career stage can be viewed online, using the above link.

In addition – and following his 2022 webinar with the College (the recording of which is available on-demand) – we explore Duty of Candour and how this relates to dentistry, with expert in the field, Kevin Lewis. Kevin explains the essentials of the legal, ethical, human, and sometimes contractual duty of candour, and the importance of organisational culture and involving the entire dental team in duty of candour, then focuses on notifiable safety incidents and takes us through the steps needed in dentistry.

Details of the College’s upcoming international conference, Excellence and the dental team (24–25 March 2023), in collaboration with Quintessence Publishing can also be found in this issue and online. Please check here for the up-to-date programme.

A single page cut-out-and-keep chairside synopsis of Antimicrobial Prescribing in Dentistry: Good Practice Guidelines is included, providing a handy, practical overview of treatment options for common conditions. The synopsis was developed by the Faculty of General Dental Practice (now College of General Dentistry) and the Faculty of Dental Surgery of the Royal College of Surgeons of England.

Full access to the majority of articles is reserved for College of General Dentistry members and Primary Dental Journal subscribers. For non-members / non-subscribers, individual print issues are available to purchase from £41. An annual print subscription, normally costing £125, is included with membership of the College. Membership is available from £100 for dentists and from £33 for all other registered dental professionals, and also includes online access to the PDJ Archive of over 1,300 articles, and a range of other benefits.

CGDent members and PDJ subscribers should expect their printed copies to arrive in the next 2–3 weeks.

On behalf of the College, the PDJ editorial team would like to express its gratitude to all the authors and peer reviewers who have contributed to the publication of this issue.

A full list of papers is below.

CGDent members can view full articles via the links below by first visiting the PDJ Member Access page and clicking ‘Access the PDJ Archive’.

PDJ Winter 2022 digital dentistry issue contents

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Orthodontics in general dentistry – an unknown, unknown

Specialist orthodontist Professor Ross Hobson, discusses the complexity and importance of correct assessment and diagnosis of a patient before orthodontic treatment.

Why is Orthodontics important? And why is it important to correctly assess and diagnose the malocclusion before starting out on restorative or orthodontic treatment?

Firstly, it is important to understand that tooth movement occurs throughout life as a natural phenomenon. This mainly affects the lower arch resulting in a reducing arch length, collapse of the inter-canine width and crowding of the anteriors. This is a combination of mesial drift (the process that is thought to allow for interproximal wear occurring due to an abrasive stone age diet), facial growth occurring throughout life and soft tissue age changes (reduction in muscle tone and flexibility). The combined effect on the dentition is similar to blocking the end of a travellator, in that the forward moving teeth crowd up against the ‘barrier’ of the lips.

This crowding results in reducing the ‘Envelope of Function’, a concept first described by Pete Dawson, and ‘Pathway Wear’, described by Greggory Kinzer. The combination of continued tooth movement, the dynamics of the Envelope of Function and Pathway Wear, means that a patient’s anterior tooth position changes with time but the patient’s pattern of function or parafunctional movements do not. 

The lower teeth moving forward at a greater rate than the uppers is a natural phenomenon and the result of this constricts the Envelope of Function resulting in the wear of upper and lower incisal edges. This can lead to chipping of the incisal edges and continued wear occurring.

Too commonly there is failure to correctly diagnose the underlying orthodontic problem. The uppers are restored but the undiagnosed occlusal forces result in failure of the composite. Then porcelain is used and the lower anteriors begin a destructive cycle of incisal wear, with significant loss of lower incisor crown height and overeruption of the lower incisors. Eventually, becoming an extremely difficult problem to correct.

Then there are skeletal and dental malocclusions that can further complicate restorative care eg increased overbites due to skeletal growth, anterior open bites and significant anterior-posterior and transverse malocclusions. Some may be accepted and ‘ignored’ but many will influence the outcome and success of care, dooming some to predictable failure.

In orthodontics there are many ways of achieving a good treatment outcome, fixed, lingual and aligners all can do ‘The job’. However, in some circumstances one appliance type may be better suited to achieving the desired outcome. So, it is important to know the advantages and limitations of the different types of appliances. BUT you must be aware that there is no such thing as a ‘magic’ brace that moves teeth faster or can avoid some implications of orthodontic treatment eg need for extractions.  What is essential is understanding the treatment options available to the individual patient and the advantages and disadvantages of the treatment options – including no treatment.

Understanding orthodontics, the identification and cause of malocclusion and knowledge of how it can be corrected or managed as part of general dental care is essential for all dental practitioners.   Some may be encouraged to go on to learn basic orthodontic techniques to achieve small changes that can be life changing for practitioners and their patients, and others will wish to further develop their orthodontic skills to much higher levels.  This is the basis of the College’s postgraduate training and qualification in primary care orthodontics – to build on current knowledge and skills, with progressive development with skilled mentoring.

Whatever level of skill you wish to attain, it is all based around a sound knowledge of assessment and diagnosis, without identifying a problem, it is an unknown, unknown….


Professor Ross Hobson Leads the College’s Postgraduate Diploma in Primary Care Orthodontics and is hosting a three-part CGDent webinar series exploring the possibilities and limitations of orthodontic treatment with fixed braces. The live webinars are free to view for all dental professionals and College members have free access to the recordings and CPD.

The next intake on the CGDent Postgraduate Diploma in Primary Care Orthodontics will start in April 2023.

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New Certified Membership programme: enrolling now

The College has launched Certified Membership, a new, enhanced membership scheme offering elevated professional recognition and ongoing one-to-one career support.

In June 2022, the College published Career Pathways in Dentistry: Professional Framework, which sets out the attributes which define each of five career stages – safe, capable, experienced, enhanced and accomplished – for each role in the primary dental care team, and for each of five domains within each stage – clinical and technical, professionalism, reflection, development, and agency.

Using the Professional Framework, Certified Membership offers structured support for individuals to map out their career journey, working with a trained facilitator to plan and document the staged acquisition of the skills, knowledge, experience and behaviours necessary to enable them to fulfil their professional ambitions. With flexible scheduling of support, it will enable dental practitioners to make the right investment in training, build confidence in their practice, and maintain momentum in their career, all while carrying on with their jobs and busy lives.

Their Certified Membership status will aid them in their journey, offering formal recognition of their capability at each stage of their career, demonstrating their commitment to professionalism and high standards of practice, and signifying their dedication to further professional development.

Phase 1 of the programme, with a limit of 50 places, is now open to dentists. For details of how to enrol, click here

Those who have successfully registered with the GDC (or an equivalent) are recognised as having reached the Safe Practitioner stage of the Career Pathway, and are eligible for Associate Membership of the College.

Those who have successfully completed Foundation Training (or equivalent) are recognised as Capable Practitioners, and once they have enrolled on the Certified Membership scheme, held an initial session with their facilitator and produced a personal development plan, are eligible for Certified Associate Membership of the College (Assoc.MCGDent(Cert.)).

Certified Membership has four components – formal qualification, ongoing self-reflective journal, online study and the structured facilitator support – which work together to support the practitioner, and require the self-discipline and personal insight needed to succeed in dental practice. The programme continues for as long as a Certified Member wishes to retain that recognition.

Those who meet the requirements for Full Membership of the College, complete a minimum of two years within the Certified Membership programme, and meet the requirements of Experienced Practitioner status, are eligible to become a Certified Full Member of the College (MCGDent(Cert.)) and to be listed as such in the College’s public Member Register.

Those who meet the requirements for Associate Fellowship of the College, have completed at least two years within the Certified Membership programme, and meet the requirements of Enhanced Practitioner status, are eligible to become a Certified Associate Fellow of the College (AssocFCGDent(Cert.)).

Enrolment in Certified Membership is an enhancement of standard membership at an additional annual fee of £150, which includes two half-day one-to-one sessions per year with a facilitator. Standard membership fees are available to view here

The scheme will be rolled out to other dental professional groups as soon as possible.

CPD submission reminder

Dentist members practising in the UK are reminded that Saturday 28 January 2023 is the deadline to submit your annual CPD statement detailing professional development activity undertaken between 1 January and 31 December 2022.

Delegates at the CGDent Scotland Study Day, December 2021

The General Dental Council requires dentists to complete a minimum of 100 hours of verifiable CPD every five years, including at least 10 hours during any two-year period, and to submit an annual CPD statement whether or not you have undertaken any CPD in the preceding 12 months.

The College offers members access to a wide range of CPD opportunities:

CPD library

Free, on-demand access to a library of around 1000 hours of certified, GDC-compliant CPD. To access the content, log in to www.prodentalcpd.com using the details sent to you following your transfer/entry into College membership.

This includes recordings of over 30 College webinars held to date, which are also available to non-members for a small fee:

Live webinars

Live, College-hosted webinars covering a wide range of subjects are available free of charge every month, powered by ProDental. Upcoming events include:

Members also have free access to all of ProDental’s weekly live webinars.

And if you miss a live webinar, you’ll find it in the online library within around 24 hours.

Stay up to date with our upcoming webinars at https://cgdent.uk/events/

Study Days

Members receive heavily discounted attendance fees for study days and events. The following are currently scheduled:

Friday 17 February 2023, Stride Dental Academy, Bangor

Friday-Saturday 24-25 March 2023, London

Courses

The courses for the College’s educational qualifications provide significant numbers of CPD hours. The following are currently offered:

Third party resources

The College also recommends the following online resources developed by third parties, each of which offers free CPD:

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This article was originally published on 22 September 2022 and was updated on 24 November 2022 and 8 December 2022

College forms 1992 Circle

The College is establishing the ‘1992 Circle’ as a social forum for retired Fellows.

Elizabeth Gaskell’s House: setting for the inaugural gathering of the 1992 Circle

The new group is named in honour of the year the Faculty of General Dental Practitioners was founded, a key moment which brought together the members of the College of General Dental Practitioners (UK) and of the former RCS Advisory Board in General Dental Practice, with the shared ambition to create an independent College over time.

Thirty years on, the 1992 Circle aims to bring together, and recognise, those whose vision put the general dental profession in the UK on a journey towards independent collegiate status, and those whose ongoing commitment carried this through to the establishment of the College of General Dentistry. The group will gather periodically for social events, typically linked to the College’s main activities.

An inaugural gathering will take place at 4pm on Wednesday 18 January 2023 at Elizabeth Gaskell’s House, 84 Plymouth Grove, Manchester M13 9LW. In addition to retired current and former Fellows of the College, all those who are retired from practice and are a past Fellow of the FGDP(UK) are eligible to attend and encouraged to make themselves known to the College. Readers are also encouraged to get in touch with retired Faculty Fellows with whom they are acquainted to make them aware of the new group.

There is no charge to become a member of the 1992 Circle or to attend the inaugural gathering. Eligible individuals wishing to attend should email [email protected], using the subject line ‘1992 Circle’.

Attendees at the 1992 Circle gathering who are members of the College are also invited to join the CGDent Fellows Winter Reception, which is taking place a short walk away later the same evening.