This webinar is part of our ‘PDJ Live’ series, which examines topics covered in contemporary issues of the Primary Dental Journal, the College of General Dentistry’s quarterly peer-reviewed member journal for the whole dental team. It brings together the authors of the research article ‘IADT 2020 Guidelines: What should the dental professional know?‘ from the December 2021 issue on Paediatric Dentistry, who explore the latest guidance on managing traumatic dental injuries.
The recorded webinar is free to view for CGDent members and ProDental subscribers who can also can claim CPD hours for free. A £20 fee will apply for non-members/non-subscribers.
The International Association of Dental Traumatology (IADT) released updated guidelines for the management of traumatic dental injuries in 2020. All dentists must be able to diagnose and appropriately manage traumatic dental injuries. This webinar aims to highlight the main changes brought about by these evidence-based guidelines to ensure that dentists are able to assess, treat and review these injuries effectively, maximising the short and long-term outcomes for our patients.
Speakers discuss:
The main changes to the management of dental trauma brought about by the 2020 International Association of Dental Traumatology guidelines
The methods for assessing and treating traumatic dental injuries in both the primary and permanent dentition
Appropriate follow-up protocols for patients with dental trauma
Speakers:
Reuben Bennett, DCT2 working in Oral & Maxillofacial Surgery and Oral Medicine
Yi Loo, Registrar in Paediatric Dentistry at King’s College Hospital, London
Nabeel Ilyas, Specialist in Paediatric Dentistry, Registrar in Birmingham Community NHS trust and Birmingham Children’s Hospital
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/.
The College of General Dentistry has announced that it is offering dental students access to a leading dental e-learning package.
Students who enrol as members of the new College now have access to a growing library of over 350 online training courses and webinar recordings, as well as regular live seminars, through the ProDental platform. ProDental CPD is the UK’s largest independent provider of dental e-learning, serving over 30,000 users with live and on-demand content on their desktop, tablet and mobile devices.
Since its establishment last year as the successor to the Faculty of General Dental Practice, the College has been co-producing webinars with ProDental on subjects of interest to the general dental team, including the College’s guidance and standards publications, the themes explored in its quarterly Primary Dental Journal (PDJ), and events to support its emerging Career Pathways programme for dental professionals.
To date, the College has offered access to these – as well as to ProDental’s 900 hours of additional content, GDC-compliant CPD certification of all learning undertaken, and a bespoke online personal development planning tool (e-PDP) – to its Associate Members, Full Members, Associate Fellows and Fellows from across the dental team.
This access is now available to Student Members of the College. All those undertaking dental education and training in the UK prior to registration are eligible to join the College as Student Members, and a one-off fee of £10 gives membership until the completion of their pre-registration study.
Student Members also get free or discounted access to CGDent events and study days, regular news and events listings from the College, and online access to the PDJ and PDJ Archive, a rich resource of over 1,300 clinical and professional articles from a journal uniquely dedicated to general dental practice.
Dr Abhi Pal, President of the College of General Dentistry, said:
“One of the College’s key missions is to support dental professionals at all stages to progress in their careers. Our new offer for dental students will complement undergraduate studies while also enabling them to look beyond dental school and arrive armed and ready to succeed in the next phase of their professional lives.”
Leading oral health and mental health professionals are calling for greater consideration of the oral health needs of patients with severe mental illness.
The new Right to Smile consensus statement notes that compared to the general population, people experiencing severe mental ill health are less likely to brush their teeth, less likely to access dental services, more likely to have decayed, missing and filled teeth, more likely to lose all of their teeth, more likely to experience gum and supporting bone problems, and are at risk of acute non-psychiatric hospital admission due to tooth decay.
Asserting that there can be no mental health without physical health, and no physical health without oral health, the statement says the oral health inequality for people with severe mental illness is made worse by a lack of effective interventions.
To help close the gap, the authors are calling for improved access to dental services for people with severe mental ill health; greater recognition of their oral health needs in healthcare training, systems and structures; and consideration of oral health in any physical health assessment of a patient with severe mental illness.
Severe mental illnesses are those which can significantly impair someone’s functional activity, and include among others psychosis, schizophrenia, severe depression and bipolar disorder.
Developed by 20 contributors including Vishal Aggarwal FCGDent and Wendy Thompson MCGDent, the statement is jointly published by nine universities, three NHS trusts, the Office of the Chief Dental Officer for England and Australia’s Mindgardens Neuroscience Network.
It is endorsed by the College of General Dentistry, Personalised Care Institute, British Society of Special Care Dentistry, Oral Health Foundation, World Dental Federation and International Centre for Oral Health Inequalities Research & Policy, as well as a number of mental health organisations including the Royal College of Psychiatrists and International Early Psychosis Association.
Update: a blog about this issue, The Right to Smile, which describes how those in general dental practice can contribute to improved oral health outcomes for those with severe mental illness, was published in June 2023.
The new edition of the Primary Dental Journal, Paediatric Dentistry, is now online.
Guest edited by Dr Sanjeev Sood of King’s College London, this issue is dedicated to promoting oral health in children, and outlines strategies for prevention and contemporary management of dental disease in childhood.
It features papers on communicating effectively in a paediatric setting, the dental management of children with haemophilia, and minimally invasive treatments for dentine caries in primary teeth.
Research abstracts: Paediatric dentistry (Ario Santini)
Management of patients with poor prognosis first permanent molars beyond ‘ideal’ timing (Laura Warrilow, Sheridan McDonald)
Parental views on minimally invasive dentistry versus general anaesthesia extractions of children’s compromised first permanent molars: an exploratory qualitative study (Mona Agel, Sasha Scambler, Marie Therese Hosey)
When less is more: minimally invasive, evidence-based treatments for dentine caries in primary teeth – the Hall Technique and silver diamine fluoride (Waraf Al-Yaseen, Nassar Seifo, Shannu Bhatia, Nicola Innes)
An update on the dental management of children with Haemophilia (Ruixiang Yee, Monty S Duggal, Vivian Yung Yee Wong, Joyce Ching Mei Lam)
Replacement resorption in children: the root of all evil? (Laura Warrilow, Tanika Gohil, Abdullah Casaus)
‘Childrenese’: a pilot survey on the choice of language in a paediatric dental setting (Mairead Hennigan, Alice Hamilton, Antoniella Busuttil-Naudi)
Dental bleaching: ‘now I can smile for my selfies’ – paediatric patients’ perspectives (Nabeel Ilyas, Sophie Marshall, Meera Ahluwalia)
As well as the current issue of Primary Dental Journal, CGDent members have free access to the PDJ archive, a rich resource containing over 1,300 informative articles on topics of ongoing relevance to general dental care.
Featuring clinical articles, editorials and updates from the College, the Primary Dental Journal is widely recognised as a leading resource for GDPs and DCPs working in primary care. CGDent membership includes free access to the PDJ, both online and in print – find out more about becoming a member.
CGDent members and PDJ subscribers should expect their printed copies to arrive in the next 2-3 weeks.
Ian Mills has become the first ever recipient of the prestigious College Medal, the highest honour bestowed by the College of General Dentistry (CGDent).
Ian Mills FCGDent
Reserved to no more than one recipient per year, the College Medal succeeds the Faculty Medal, which was previously awarded by the Faculty of General Dental Practice UK (FGDP) to just four individuals. It is conferred for exceptional service of the dental profession and its patients in a manner aligned with the values and mission of the College, and both members and non-members are eligible for consideration.
Dr Mills has received the award in recognition of his considerable contributions to the profession over many years, including through the College and previously the Faculty, in particular his exemplary leadership at the height of the coronavirus pandemic, his pivotal roles in establishing the CGDent and securing the FGDP’s transfer into it last year, and his promotion of greater equality, diversity and inclusion in the dental professions.
Ian qualified as a dentist from Glasgow University in 1987 and spent the early part of his career working in maxillofacial surgery. In 1994 he moved to Devon, and three years later set up Torrington Dental Practice in North Devon, now an eight-surgery mixed NHS-and-private practice, where he continues to work as a partner.
He joined the Faculty the same year, and after completing its prestigious Diploma in Implant Dentistry, gaining Fellowship and becoming a Fellowship Assessor, was elected to the National Faculty Board to represent the South West region. He was later appointed Chair of the Examinations Committee and the Faculty’s representative on the Care Quality Commission Dental Reference Group, and served as Junior Vice Dean from 2016-17 and Senior Vice Dean from 2017-18 before being elected FGDP’s tenth Dean, a post he held from 2018-2021.
During his tenure he represented the profession on a number of committees and working groups, including NHS England’s Advisory Board for Dental Systems Reform, the Joint Committee for Postgraduate Training in Dentistry, the Intercollegiate Advisory Committee on Sedation in Dentistry, the Council of the Scottish Intercollegiate Guidelines Network and the Public Health England group overseeing the development of the fourth edition of Delivering Better Oral Health.
In his first annual speech as Dean, he highlighted the inequality of opportunities for career progression within dentistry, noting in particular the disproportionate number of men in leadership roles relative to the gender balance in the profession, and he later instituted the FGDP-CGDent Equality, Diversity and Inclusion Programme Board.
Early in the pandemic, Ian established a forward planning task group to try to find a way for dental practices to re-open their doors as soon as safely possible. Convening individuals from over 30 organisations to develop suitable guidance, he played a key role in its development, working tirelessly to seek consensus on the many challenges of delivering dental services while minimising the risks of transmission. Completed within the space of just four weeks, Implications of COVID-19 for the safe management of general dental practice was published a week before face-to-face practice resumed in England, giving practices much needed time to prepare when no official re-opening guidance had yet been published. With its in-built responsiveness to varying COVID-19 alert levels, the guidance has remained accessible and relevant over the last 18 months.
Continuously supporting the profession through the pandemic, he led numerous webinars, joined the NHS England working group on the resilience of mixed dental practices, was part of the Scottish Dental Clinical Effectiveness Programme’s AGP Rapid Review Group, facilitated revised guidance on fallow time and steered the development of the Fallow Time Calculator.
Prior to his Deanship, he was an elected member of the British Dental Association’s General Dental Practice Committee, a member of Devon Local Dental Committee, and on the Professional Executive Committee of North Devon Primary Care Trust.
In addition to his clinical practice, Ian has worked at Peninsula Dental School since it was established and has remained closely involved in the undergraduate programme. Currently Associate Professor in Primary Care Dentistry, he was previously a clinical supervisor, group facilitator and honorary lecturer. Actively involved in promoting and developing research in primary dental care, with particular interests in measuring quality outcomes, person-centred care and environmental sustainability, in 2018 he was awarded a PhD for research into person-centred care in general dental practice.
He is an Ambassador, Founder, Fellow and former Trustee of the College of General Dentistry, and has been instrumental in the establishment and progression of its Career Pathways programme. A Fellow of the International College of Dentists, the Higher Education Academy and the Faculty of Dental Surgery of the Royal College of Physicians and Surgeons of Glasgow, he is a former Trustee of the Royal College of Surgeons of England.
After the disruption caused by the COVID-19 pandemic over the last two years, the College was delighted to be able to connect with dental colleagues at two recent, major face-to-face study events in Gateshead and Glasgow. Valerie Silver, CGDent Northern, and Patricia Thomson, CGDent Scotland, describe the joy of getting back in touch with other dental professionals and updating clinical knowledge with some of the profession’s top experts.
No More Nails – a new look for Northern and dentures!
By Valerie Silver MCGDent, CGDent Northern
Although the Northern Study Day had been planned well in advance for 2020, we hadn’t anticipated that a pandemic would sweep in and stop the world in its tracks. We made the inevitable decision to cancel in 2020 but, following months of restrictions, knew there was a demand for face-to-face events in the North East and so – while the second (or was it the third?) wave broke in early 2021 – we began planning again.
In July 2021, FGDP transferred to the new College of General Dentistry giving us the opportunity for a fresh start for the Study Day and we were delighted that Abhi Pal, the first elected President of the College, accepted our invitation to join us in his new role.
‘The whole day was fantastically run. So good to have face-to-face a CPD event. James Field is a brilliant speaker and I learnt loads about prosthodontics, a very complicated clinical thing to provide for patients but taught in a way that is relatable and constructive.’
Top prosthodontic tips from James Field
We were hugely grateful to welcome James Field, a Senior Lecturer in Restorative Dentistry and Honorary Consultant in Prosthodontics, back to the North East to share his knowledge with us. ‘No More Nails’ was jam-packed with prosthodontic tips and advice designed to ensure that denture patients will sing our praises for years to come!
James Field
Top tips included invaluable information on the critical success factors for complete and removable dentures and how to implement techniques to achieve a strong border seal on the upper arch and optimally stable denture on the lower arch. He followed this by demonstrating simple and efficient methods for partial denture design and discussing the clinical stages of implant-supported over denture provision.
‘I thought the presentations by James were excellent. I definitely learned many tips and tricks over the day that I will implement into my clinical practice.’
Building communities
Despite the difficulties resulting from the pandemic, close to 100 colleagues and a core group of exhibitors and sponsors joined us at the Gateshead Marriott MetroCentre. Many of them were Foundation Dentists and we are delighted to have retained and strengthened our links with the Northern Deanery and Health Education England as it establishes our goal moving forward of engaging with the whole dental team with an emphasis on mentoring and supporting early years colleagues.
‘An excellent speaker and a very well run event. Will look forward to another one. I particularly liked the friendliness of the committee.’
With that in mind, we are towards becoming a CGDent Affiliated Group. We plan to run local events when and where they are needed and, in particular, provide support for young dentists in the North East.
If all goes to plan, we will hold an informal virtual event in late spring or early summer 2022, before organising our follow up Study Day in the autumn. This is provisionally being planned to focus on oral cancers and treatments, and colleagues from across the UK (and further afield) are most welcome to join us!
The biggest one-day dental event in Scotland returns – with a new name
by Patricia Thomson AssocFCGDent, West of Scotland General Dental Practitioner, founding member of CGDent Scotland and Council member of CGDent
As we are all too aware, when the world locked down in March 2020, opportunities to engage with colleagues became virtual with face-to-face events banished from the diary. But in mid 2021, with society benefiting from double (then triple) vaccination and a lifting of restrictions, large scale dental events began to make a return, including a highlight in the calendar, December’s Glasgow Study Day.
The Faculty Study Day, as so many of us knew it, was an institution – thousands of dental professionals having attended since its inception in 1992. It featured some of the legends of dentistry from Van Haywood and Gordon Christensen to Didier Dietschi and Serpil Djemal. Arguably the most social event in dentistry, it catered for 400 attendees and culminated in a drinks reception overlooking the Clyde.
Hosting the Study Day as a CGDent Affiliated Group
In the West of Scotland, we have formed a CGDent Affiliated Group, supporting the principles and ethos of the College. We hope the College’s Career Pathways for all dental professionals will provide many opportunities for mentoring and tuition to foster dental careers in Scotland. So, after our Covid-induced break in 2020, the Scotland Study Day was back with a new name, but with all of the popular elements intact.
Abhi Pal, President CGDent
We marked our first meeting under the banner of CGDent by welcoming the first elected President of CGDent, Abhi Pal, and we were hugely grateful to our excellent speakers Iain Chapple, Carol Tait and Steve Bonsor for sharing their expertise. In particular, we were also thrilled to host the first major face-to-face dental meeting in Scotland since the start of the pandemic.
‘Brilliant organisation, world-class presenters, fantastic atmosphere and lovely to be back at a face-to-face event.’
Safety was paramount with lateral flow tests requested alongside mask wearing in the IMAX lecture theatre while, for those who could not attend in person, live streaming was also available. Even so, we felt incredibly lucky to be able to hold the event just before the Omicron wave broke and all large-scale events in Scotland were either cancelled or postponed by the Scottish Government. We were delighted to be joined not just by dentists and hygienists but all of Glasgow’s BDS5 cohort and more than 100 vocational trainees from across Scotland. Equally we could not have run the event without the support of more than 20 sponsors and exhibitors, many of whom have endured a torrid time during the pandemic.
‘Great to see the final year students and VTs so well represented and supported’
The Study Day brought together three of the UK’s most experienced educators.
Carol Tait, Steve Bonsor and Iain Chapple
Based on current evidence, Iain Chapple discussed the relationship between periodontal disease and other chronic non-communicable diseases, and the role of the dental team in the medical management of their patients. He detailed the diagnosis of early peri implant disease, the consequences of late diagnosis, and reviewed the evidence for long term survival of implants versus periodontally involved teeth, before discussing the success rates and risk factors for implants and the associated legal issues.
‘I have never enjoyed a periodontal lecture/session more. Thank you for making it very interesting today and engaging. I really enjoyed it!’
Carol Tait continued the theme by discussing pulpal and periapical disease and assessment for endodontic treatment, delivering clinical tips on the way, before moving on to complex endodontic problems and techniques, and likely treatment outcomes and methods to increase success rates.
The day finished with the Caldwell Memorial Lecture delivered by Steve Bonsor, General Dental Practitioner and lecturer at the Universities of Aberdeen and Edinburgh, whose stimulating address on modern dental materials was delivered in his inimitable, engaging and informative manner.
‘Excellent organisation and presentations giving a very rounded day and all credit to the organisers to assembling such a great turn out.’
Delegates were almost universal in their praise of not just the speakers but of the luxury of being able to interact in person again. Covid allowing, we look forward to welcoming them back on 2 December 2022 (put the date in your diary!).
The College of General Dentistry and British Association of Dental Nurses (BADN) are warning of a potential catastrophe for dental patients if the planned implementation of mandatory COVID-19 vaccinations for all patient-facing staff in England is not deferred.
Regulations came into effect earlier this month that will make it unlawful from 1 April 2022 for a CQC-regulated employer to deploy staff who are not fully vaccinated to work face-to-face with patients. The rules, which will apply to NHS and private providers alike, will effectively force dental practices to dismiss staff who have not received their first dose of an approved coronavirus vaccine by 3 February, and second dose by 31 March, unless they are clinically exempt, under 18, taking part in a COVID vaccine trial or can be redeployed into a non-patient-facing role.
Both the College and BADN are unequivocal in their encouragement of dental professionals to take up the offer of coronavirus vaccination. However, interim results from the BADN COVID Vaccination Survey, based on the responses of over 1,000 practising dental nurses to date, show that 26% have not yet received two vaccination doses, and 24% will not have been double-vaccinated by the deadline.
Responses to date are similar for both members and non-members of the association. If the findings are representative of the dental nursing profession as a whole – which makes up half the dental workforce – this would suggest an impending reduction in available dental staff in England of up to 12,000, or 12%, plus any dentists, dental therapists, dental hygienists, clinical dental technicians or orthodontic therapists who may not be double-vaccinated.
The survey also found that 32% of respondents so far said they do not intend to take up the offer of a ‘booster’ dose, suggesting that staffing problems will only increase if the definition of ‘fully vaccinated’ is later amended to require three doses.
Dr Abhi Pal, President of the College of General Dentistry, and Jacqui Elsden, President of the British Association of Dental Nurses and an Associate Member of the College, said:
“Dental nurses are a vital part of the team without whom dental care cannot be delivered, and the BADN’s data will only strengthen existing concerns in practices across the country.
“Tens of millions of dental appointments have been missed during the pandemic, but while welcome additional funding has just been announced by NHS England to help tackle the backlog during February and March, losing up to a quarter of dental nurses from 1 April would lead to a precipitous reduction in care provision, quickly reversing any progress made and leaving millions of dental patients once again unable to get the treatment they need. We urge the government to defer implementation of the vaccination requirement for dental employers in order to avert a calamitous own goal.”
Tonight at 7pm, a week ahead of the deadline to take up the first vaccination dose, the College is hosting Vaccination: your questions answered.
Free for all dental professionals to watch live, speakers include Professor Jason Leitch, (Senior Clinical Advisor to the Scottish Government, CGDent Ambassador and regular explainer of all matters COVID in the broadcast media), and Sarah Buxton (HR and Employment Solicitor and legal advisor to the Association of Dental Administrators and Managers and the British Society of Dental Hygiene and Therapy). Register here
Commenting on the announcement that an additional £50m of funding will be provided for NHS dentistry in England over the next ten weeks, Dr Abhi Pal, President of the College of General Dentistry, said:
“New funding for dentistry is to be welcomed, and today’s announcement will provide short-term help to a significant number of people who have struggled to get their oral health needs met during the pandemic, especially children and patients with autism, learning difficulties and severe mental illness.
“However, it is important that longer term underfunding and recruitment problems are also addressed, and the NHS dental contract reformed, as even before the pandemic only half of adults in England were able to access NHS dental care. The College will also be supporting workforce retention through its Career Pathways programme.”
CGDent members and ProDental subscribers have free access to the recorded webinar and can claim CPD hours for free. A £20 fee will apply for non-members/non-subscribers who wish to claim CPD.
In conjunction with the Central Sterilising Club, this webinar examines how we can promote sustainability in dentistry and healthcare, addressing issues such as disposable single use items and the efficacy of decontamination and reuse on site. The current disposal of items across healthcare is not sustainable and we need to change our practices to ensure that reuse and reduce are the principles to reduce waste. Yet, there are other considerations including infection control, the ongoing risk to patients as well procurement and transport to and from our places of work.
This webinar sets out to investigate the effect of healthcare on climate change and how nurses can adopt more sustainable nursing practices. We examine how improving sustainability through reusable PPE can reduce the pressure and costs on the NHS and improve the planet, and consider how embedding sustainability within a dental practice can support and advocate change in dentistry.
Speakers:
John Prendergast, Senior Decontamination Engineer at NHS Wales Shared Services Partnership/Specialist Estates Services
Ian Mills FCGDent, former Dean FGDP(UK) and a Trustee of CGDent
Abhi Pal FCGDent, President of CGDent
Rose Gallagher MBE, Professional Lead Infection Prevention and Control at Royal College of Nursing
Alexis Percival, Environmental and Sustainability Manager, Yorkshire Ambulance Service NHS Trust
Brett Duane, Associate Professor in Dental Public Health, Trinity College, Dublin
Dr Jimmy Walker, Independent Microbiological and Decontamination Consultant
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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