Dento-legal aspects of dental implants

CGDent webinar, Wednesday 26 March 20257pm

Hosted by Amin Aminian FCGDent, a Specialist in Prosthodontics and guest editor of the recent ‘Implant dentistry (part one)’ issue of Primary Dental Journal, this CGDent webinar discusses the legal, ethical, and clinical responsibilities in dental implant dentistry. Participants will gain essential knowledge on consent, risk management, record-keeping, and regulatory compliance to ensure safe and effective patient care while minimising legal risks.

Speaker:

  • Mr Stephen Henderson FCGDent, Independent Dental Adviser

CPD approx 1 hour

GDC development outcomes: A, D

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

It was 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 is available from £135 for dentists, £45 for dental nurses and £91 for other registered dental professionals. The full list of CGDent membership rates is here 

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New messaging service for members

College members can now contact each other via the new Member Messaging service.

The free service has been developed to enable members to establish or re-establish contact with other members so that they can help, guide and collaborate with each other.

All members of the College can both send and receive messages via the new system, which will also be available to those non-members who join the College’s forthcoming Register of Implant Dentistry Mentors, and will enable College members to contact non-members on that register.

To be able to receive messages, members must opt in within the ‘Preferences’ section of their online account, and must also have not opted out of appearing on the College’s online Member Register. Those admitted to the Register of Implant Dentistry Mentors will be opted in by default. Scroll down for full instructions.

Messages are initiated by clicking the ‘Message’ link on the intended recipient’s individual page on the Member Register. If available, the message link will appear directly underneath the intended recipient’s name near the top of the page, and clicking it will open a new page where a subject line and message can be entered and sent. If the message link does not appear, this means either that the sender has not logged in or that the intended recipient has not opted in to receiving messages.

When a message is sent, the recipient is alerted to it by an email which provides a link to their Member Messaging inbox, where they can read and reply to the message. Their reply is then sent to the original sender’s Member Messaging inbox and likewise triggers email notification.

The system has been designed to keep members’ email addresses confidential, though users are free to share their contact details within correspondence should they wish.

Further information is available on your personal Member Messaging page. Please note this page will only be visible if you are a member of the College, and only when logged in.

How to enable other members to contact you

1. Sign in to your account using the email address you have registered with the College.

If you need to use the ‘Forgot Password’ option, please check your junk/spam folder in case the password reset email is directed there

2. Click Update my account

3. Click  Preferences

4. Under Exclude my details from the Register of Members & Fellows, select No

5. Under Allow messaging by other Members & Fellows, select Yes

6. Click Save changes

If ‘Save changes’ cannot be completed, you may first need to complete other fields on the ‘Update my account’ page

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The Dental Health Barometer – an oral health practitioner reflects

Frances Robinson AssocFCGDent, Advanced Oral Health Practitioner and Chair of the Board of the Faculty of Dental Hygiene & Dental Therapy, reflects on The Dental Health Barometer report on preventative oral healthcare, published by the College and Haleon.

The Dental Health Barometer report, stemming from a collaboration between the College of General Dentistry and Haleon, surveyed patients and dental professionals and more recently held focus groups with dental professionals throughout the UK. The report highlights inconsistencies in the provision of preventative oral healthcare and how this type of care is understood by both the dental population and the wider public.

Due to my roles as an Advanced Oral Health Practitioner in London and as Chair of the Board in the College’s Faculty of Dental Hygiene & Dental Therapy, this piece of research with Haleon, was particularly interesting to me. I currently lead a mixed team of dental professionals and admin support to provide an oral health promotion service, through an NHS trust, contracted by the local authority. In my borough the decay rate was 39.1% for five-years olds in 2019 – I have much work to do!

I can sense clinicians are frustrated when working at the coal face of primary care seeing so much decay and periodontal issues, but dental outreach teams, like mine, and the dental public health workforce, work tirelessly to address some of the points raised by clinicians in the report.

I would like to use this blog piece to highlight some of the key summary points raised in the CGDent-Haleon report that are directly related to my role and also to explain some of the work that goes on in oral health outreach teams.

What is the current picture of oral health?

23.4% of children in England had tooth decay in 2019, normally with three to four teeth affected (National Epidemiology Survey for England). Furthermore, tooth decay still persists and is the top reason for five to nine year old children to be admitted to hospital and given a general anaesthetic. In 2022, the prevalence of the tooth decay in more deprived areas was 35% compared to 13.5% in the most affluent.

For adults, the last adult oral health survey showed 41% of people in deprived neighbourhoods had dental pain, compared with 25% of those in the least deprived neighbourhoods. Furthermore, 84% of adults fall into groups that put them at higher risk of the disease i.e. high sugar diet and infrequent dental attenders.

Tooth decay is preventable and inequalities are unfair, yet avoidable. Preventative dental care is proactively helping a patient to take action to maintain a healthy mouth, however, as the CGDent-Haleon report highlights, both the ability to provide preventative advice and the consistency of the advice given varies between professionals.

Greater provision of CPD

In clinical practice, clinicians are used to treating patients to a high standard according to the best available evidence base. This may be using the best materials and the selection of treatment options on a case-by-case basis. ‘The Dental Health Barometer‘ seems to demonstrate that current understanding of evidence-based population dental approaches varies in primary dental workforces. Dental public health is taught on undergraduate curriculums but clinicians may be unaware of recent updates to evidence bases. Subsequently, in order to use the primary dental health workforce to contribute to improving oral health outside the dental surgery, it is pertinent to ensure the evidence base is widely understood. There is a risk that some oral health approaches and interventions, although well intentioned, are either at best ineffective or at worst could widen oral health inequalities.

Indeed, the report calls for “greater provision of CPD on the delivery of preventative care”, in this instance it would be a good opportunity for this type of CPD to also cover community based oral health approaches, as well as those more applicable to clinical settings.

Evidence based public health dentistry

Currently, it seems many well-intentioned efforts to improve oral health on a population level don’t actually align to the current evidence base. Giving oral health ‘education’ in the form of assemblies, class room talks or at health fairs, is not proven to improve oral health outcomes. The ‘commissioning for oral health‘ document highlights that for school aged children, one-off dental health education is ineffective and therefore discouraged.

These traditional oral health approaches that focus solely on education can actually widen oral health inequalities in deprived areas. A one-off oral health session only gives knowledge to those with the means i.e. financial and social resources to act on advice, but for vulnerable families it doesn’t empower them to make sustainable change. They might want to go home and buy toothbrushes and toothpastes and healthy food for their family, but they may also have to consider the family budget, constraints on the family’s time and other social factors. Furthermore, sustained behaviour change is seldom achieved in one visit, it takes time and patience to build daily oral health habits as we know from our work on a one-to-one level with patients in clinics.

In my role as an Advanced Oral Health Practitioner, I have heard of families all using the same toothbrush because they cannot afford to buy ones for each family member, and I have met families living in temporary accommodation with limited access to cooking facilities and personal hygiene spaces. These families living in deprivation as highlighted are more likely to be the ones suffering from poor oral health.

The Association of Directors of Public Health stated in 2023, “worrying oral health findings are not a result of behaviour, poor choices or a lack of education.” But rather research, conducted by Public Health England, has called for action to tackle the underlying causes of health inequalities including “creating healthier public policies, supportive environments, strengthening community action, developing personal skills and reorienting health services towards prevention”.

Creating healthier public policies, supportive environments and strengthening community action, to improve oral health.”

Figure 1

Indeed, Professor Sir Michael Marmott poses the question on the first page of his book ‘The Health Gap‘, “why treat people only to send people back to the conditions that made them sick in the first place?”.

On a population level, the conditions in which each family lives has a bigger influence on their health outcomes than individual decisions. Research has shown that the social determinants of health account for 30-55% of someone’s health outcomes. Subsequently programmes that consider the social determinants of health, (the conditions in which children and adults can live, grow, work and age) have the best evidence-base behind them.

There is strong supportive evidence for supervised toothbrushing programmes and fluoride varnish programmes, which were mentioned in the CGDent-Haleon report. Also dental professionals suggested collaboration and oral health training for the wider professional workforce (health, education, social). This is further encouraged by the commissioning for better oral health document, as they build on existing capacity and can be targeted to high risk groups.

Why is there variation between which oral health prevention services are offered in different areas?

Oral health is designated to local authority level and subsequently there are huge variations in what is offered on a national scale. This can be confusing for dental professionals working in primary care and the public, which is shown by the recent report.

Within London, I am aware of every borough having a different approach to commissioned oral health programmes and this can result in a postcode lottery in terms of what is provided. The borough I work in has fluoride varnish programmes and supervised toothbrushing programmes in a certain proportion of targeted schools and all SEN schools. But we also provide comprehensive training for health, social and educational professionals for oral health – aligning to the evidence base around capacity building on existing services. This includes working with care homes, carers, outreach workers, social workers, health visitors, nursery staff and recruiting ‘Oral Health Champions’ in all settings we work with. This approach may not be replicated across the UK and dental professionals in primary care may not be aware of the current commissioning of an oral health team in their area.

Indeed, there are calls in the CGDent-Haleon report for a national oral health programme (similar to ChildSmile in Scotland or Designed to Smile in Wales) which creates a base level of preventative care, for both children and adults and integrates oral health into general health. It could use universal proportionalism to scale up priorities, identified by local need. If there was a national oral health programme there could be potential for local practices to assist with the running of this, for example training teachers on supervised tooth brushing programmes or visiting local care homes to provide quality assured oral health training to staff members. 

Oral health was included in a recent NHS England initiative Core20PLUS5, a national NHS England approach to support the reduction of health inequalities at both national and system level. The approach defines a target population cohort of the most deprived 20%, plus inclusion health groups and identifies ‘5’ focus clinical areas requiring accelerated improvement. The Core20PLUS5 for children did include oral health as a priority so there is hope that some of our concerns as professionals are being heard on a wider level, and taken alongside the recent publication of the ‘The Dental Health Barometer’ report by the College and Haleon, there may be hope for the future!

Figure 1 https://www.cancer.gov/rare-brain-spine-tumor/blog/2024/examining-social-determinants-of-health-to-improve-brain-tumor-patient-quality-of-life

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Introduction to Occlusion for Early Career Dentists – Speakers

Dr Tom Bereznicki

BDS (Edin), MFDTEd, FCGDent, MFDSEng

Click for Dr Tom Bereznicki’s profile >

After graduating from Edinburgh, Dr Tom Bereznicki FCGDent worked as a house surgeon at Guy’s and The Royal Dental Hospitals before entering general dental practice, in which he has over 40 years’ experience. With a special interest in restorative dentistry, in particular occlusion and emergence profile, he was also a visiting clinical specialist teacher at King’s College London Dental Institute and later joined the teaching faculty for the university’s MSc in Aesthetic Dentistry. In 2018, he joined the Academy of Dental Excellence as a senior specialist teacher, and in 2021 became a partner associate lecturer for the University of Portsmouth’s Postgraduate Diploma in Advanced Aesthetic and Restorative Dentistry. In 2023, he founded the Tom Bereznicki Charitable Educational Foundation which supports educational opportunities for early career dental professionals. A former member of the FGDP and Founder Member of CGDent, he has been a Fellow of the College since 2022 and is a member of both the Faculty of Dental Trainers at the Royal College of Surgeons of Edinburgh and the Faculty of Dental Surgery of the Royal College of Surgeons of England. He is also a regional speaker on occlusion for the British Academy of Cosmetic Dentistry.

tombereznicki.com


Professor Paul Tipton

BDS, MSc, D.G.D.P RCS, Dip Rest Dent, Dip Imp Pros, Dip Pros, Dip Aesth Dent, FCGDent.

Click for Prof Paul Tipton’s profile >

Professor Paul Tipton FCGDent is a Specialist in Prosthodontics and founder of the well-known private dental academy, Tipton Training. Qualifying from Sheffield University in 1978, he taught in Sheffield and Australia before establishing a referral practice in Manchester, and he currently practises in Manchester, Nottingham and London. He is also Visiting Professor of Restorative and Cosmetic Dentistry at City of London Dental School, and lectures at Kings College London and for the University of Manchester MSc in Aesthetic and Restorative Dentistry. He holds an MSc in Conservative Dentistry from the Eastman Dental Hospital, the Diploma in General Dental Practice from the Royal College of Surgeons of England and further diplomas in restorative, implant and aesthetic dentistry. He is a Fellow of the International Academy of Dental Facial Esthetics, was a founding member of both the British Academy of Aesthetic Dentistry and the British Academy of Cosmetic Dentistry and is currently the President of the British Academy of Restorative Dentistry.

www.drpaultipton.co.uk 

www.tclinic.co.uk


Dr Ken Harris

BDS, MSc, MFGDP (UK), FFGDP (UK) RCS (Eng), FCGDent, FDS RCS (Eng), BACD Fellow

Click for Dr Ken Harris’s profile >

Dr Ken Harris FCGDent is principal of a private referral practice in Sunderland specialising in complex dental reconstruction cases. He graduated BDS from Newcastle in 1982 and has since been awarded an MSc in Restorative & Aesthetic Dentistry (with distinction) from the University of Manchester, both Membership and Fellowship of the former Faculty of General Dental Practice, and Fellowship of the Faculty of Dental Surgery of the Royal College of Surgeons of England. He is also an Accredited Fellow of the British Academy of Cosmetic Dentistry and acts as a tutor and examiner for its accreditation process. Teaching both nationally and internationally, he is also a mentor for the Kois Centre in Seattle, of which he was the first UK graduate.

www.riveredge.co.uk


Dr Tif Qureshi

BDS London, FCGDent, FICD

Click for Dr Tif Qureshi’s profile >

Dr Tif Qureshi FCGDent is a private practitioner based near London with special interests in orthodontics and minimally invasive restorative dentistry. He is Chairman and Clinical Director of IAS Academy, a well-known orthodontic training provider which delivers the CGDent Postgraduate Diploma in Primary Care Orthodontics. He qualified from Kings College London in 1992 and is a Fellow of the International College of Dentists, Past President of the British Academy of Cosmetic Dentistry, board member of the British Association of Private Dentistry and 2019 winner of the Sverker Prize for commitment to conservative dentistry. Pioneer of the ‘Align, Bleach, Bond’ concept and Progressive Smile Design, he teaches widely using clear aligners and lectures internationally.

www.iasortho.com


Dr Shiraz Khan

BDS, B(Med)Sc(Hons), MJDFRCS(Eng), PG Dip, PG Cert

Click for Dr Shiraz Khan’s profile >

Dr Shiraz Khan is an aesthetic and restorative dentist with a particular focus on rehabilitation cases and addressing tooth surface loss. Practising in London, he also teaches and lectures on composite resin restorations, ICON infiltration, clinical dental photography and presentation. He graduated BDS in 2013 and also holds a Bachelor of Medical Sciences and Master’s in Restorative Dentistry (with distinction) from the University of Birmingham, a Postgraduate Diploma in Primary Care Dentistry from the University of Kent, and the Membership of the Joint Dental Faculties and Membership of the Faculty of Dental Surgery of the Royal College of Surgeons of England. He is a member of the British Academy of Cosmetic Dentistry and Director of the Young Dentist Academy.


Dr Koray Feran

BDS, MSc, FDSRCS, FCGDent, FICD

Click for Dr Koray Feran’s profile >

Dr Koray Feran FCGDent is known for his multidisciplinary approach to complex surgical and restorative cases. After qualifying in 1989, he completed house roles in prosthetic dentistry and oral and maxillofacial surgery before moving into general dental practice in London. He established his own practice in 1998 and in 2005 founded The London Centre for Implant and Aesthetic Dentistry. He holds an MSc in Periodontology from Guy’s Hospital, was awarded the Fellowship in Restorative Dentistry of the Royal College of Surgeons of England, and is a Past President of both the British Academy of Aesthetic Dentistry and the London Dental Fellowship. He is a Fellow of the International Congress of Oral Implantologists, the International College of Dentists and the Pierre Fauchard Academy, and a member of the British Society for Restorative Dentistry, European Academy of Aesthetic Dentistry, Scandinavian Academy for Aesthetic Dentistry, and European Association for Osseointegration. He has been a committee member, mentor and tutor for the Association of Dental Implantology, and a lecturer for both the University of Salford and Edge Hill University MSc programmes in implant dentistry.

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The mentor-mentee relationship

CGDent webinar, Wednesday 12 February 20257pm

This CGDent webinar explores the requirements and expectations of a mentor during the early stages of a dental professional’s career. The discussion includes a reflection on alternative training pathways in implant dentistry, with a particular focus on a primary care setting. The speakers also provide an introduction to accessing and joining the College’s Register of Mentors in Implant Dentistry.

Speakers:

  • Dr Amit Mistry FCGDent, Dental Implantologist and member of the Register of Mentors in Implant Dentistry
  • Dr Choudhury Rahman, Associate Member of the College and general dental practitioner

CPD approx 40 minutes

GDC development outcomes: B, C

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

It was 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 is available from £130 for dentists, £44 for dental nurses and £87 for other registered dental professionals. The full list of CGDent membership rates is here 

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Award offers hands-on course to Foundation Trainees

The CGDent and GC Award for Foundation Trainees, which promotes clinical skills and patient care, is now open for entries to the 2024/25 competition.

Following a successful inaugural year, and an expansion to the award’s eligibility criteria, dentists and dental therapists who qualified in the UK or Ireland in 2024 and are practising in the UK or Ireland, or who are undertaking Dental Foundation Training or Dental Vocational Training in 2024/25, are invited to enter. Entrants must submit a restorative case they are about to start treating which involves more than one tooth, and includes at least one anterior tooth, as well as the use of composite to restore teeth.

The number of winning places has also been increased to 18, with each successful candidate receiving a fully-funded place on a hands-on, two-day composite layering course at the GC Education Campus in Leuven, Belgium. The prize is worth around £1,400 per place and includes the costs of international travel, hotel accommodation and subsistence.

The successful candidates in the inaugural competition took part in the bespoke composite layering course in July 2024. One delegate said the course “offered an excellent balance between theoretical and hands-on components of learning” and provided “support to each delegate.” Another commented that they gained “time management, enriched patient communication skills and overall restorative skills.

The 2024/25 award is now open, the closing date for entry is Friday 14 February 2025, and final cases must be submitted by Friday 11 April 2025. The winners will be announced in May, and their course will take place on Thursday–Friday 10–11 July 2025.

The CGDent-GC Award is funded by The Tom Bereznicki Charitable Educational Foundation and organised in conjunction with the College of General Dentistry and GC. The Foundation supports educational opportunities for early career dentists in the UK, and was founded by Dr Tom Bereznicki FCGDent, a general dental practitioner with a special interest in restorative dentistry.

GC is an oral health company which manufactures dental systems and products which are sold around the world, and has won awards for its products and innovations. It provides both online and in-person training covering many areas of dental practice.

Speaking about the award, Dr Tom Bereznicki FCGDent commented:

The Trustees of the Foundation were delighted with the number and high standard of entries for the inaugural award. The winners thoroughly enjoyed the GC course in Belgium and felt that their knowledge and handling of composite materials and restorations was significantly improved over the two days. One of the requirements of the competition was a reflection on the outcome of the case and feedback from those who did not go through as winners suggests they had learnt a lot during the process, which would positively impact treatment they provide in the future. Based on this unqualified success, the competition will go ahead this year and will also be open to Dental Therapists.”

Professor Sir Nairn Wilson CBE FCGDent said:

As Founding President Emeritus of the College of General Dentistry (CGDent), Patron of the Tom Berezniki Charitable Educational Foundation and a career-long collaborator with GC, I am delighted to encourage all those eligible, to consider entering the 2024–2025 CGDent-GC Award. Based on the outcome and feedback from the inaugural award, the winners of this year’s competition will be able to look forward to a highly rewarding educational experience at the fantastic GC Campus in Leuven, Belgium.”

John Maloney, GC’s Director and Country Manager for the UK, Ireland and South Africa, said:

GC are proud to continue our collaboration with The Tom Bereznicki Charitable Educational Foundation and the College of General Dentistry, to deliver high quality education to dental professionals at the very start of their career. Our team in Belgium were delighted to host the first cohort of award winners, and we look forward to meeting the successful 2024/25 candidates in July next year.”

Click the button below for further information about the award and links to guidance for entrants and the entry form.

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Fellows’ Winter Reception

Thursday 30 January 2025, 6-9pm, London

The Livery Hall, Cutlers’ Hall, Warwick Lane, London EC4M 7BR

The College of General Dentistry 2025 Fellows’ Winter Reception took place on the evening of Thursday 30 January in the historic Cutlers’ Hall in London.

The event included a welcome by the Chair of the College, the first address to Fellows by the new President since taking up office, the admission of new Fellows and the presentation of College diplomas.

An opportunity to network with peers, as well as to meet College Trustees and members of the College Council and Faculty Boards, the reception was open to all Fellows, Associate Fellows and those enrolled in Certified Membership.

Priority for tickets were given to new Fellows as well as individuals who applied for the most recent Fellows’ Summer Reception but were unable to be accommodated.

Information on eligibility for Fellowship of the College (FCGDent) and Associate Fellowship (AssocFCGDent) is available here

This event was preceded in the same venue by a reception to mark the impending 50th issue of the Primary Dental Journal, for which there are separate ticketing arrangements.

Fellows and Associate Fellows may also wish to take note that the next Fellows’ Summer Reception will take place on Friday 13 June 2025 in Sheffield.

The Primary Dental Journal: celebrating 50 issues

Thursday 30 January 2025, 4-5.30pm, London

The Court Room, Cutlers’ Hall, Warwick Lane, London EC4M 7BR

All past authors, guest editors, peer reviewers, book reviewers, editorial board members, production staff and other contributors to the Primary Dental Journal were invited to attend a reception marking the journal’s impending 50th issue.

The event, The Primary Dental Journal: celebrating 50 issues, took place on the afternoon of Thursday 30 January 2025 in the Court Room of the historic Cutlers’ Hall in London.

It was hosted by Sir Nairn Wilson CBE, the founding editor of the PDJ and President Emeritus of the College, and the current editor-in-chief, Professor Igor Blum.

Eligible individuals for whom we hold a functioning email address were sent an email inviting them to book their place.

Detailed information on eligibility, who we have emailed invitations to, and how eligible individuals who have not received an invitation can get in touch with us, is available here.

Associate Fellows and Fellows of the College attending this reception – and those eligible to join or upgrade to become one – may wish to note that it will be followed at 6pm by the Fellows’ Winter Reception upstairs in the Livery Hall. This is a chargeable event with separate ticketing arrangements of which all Associate Fellows and Fellows have been notified by email.

1992 Circle Winter gathering

Thursday 30 January 2025, 4-5.30pm, London

The Court Room, Cutlers’ Hall, Warwick Lane, London EC4M 7BR

Members of the 1992 Circle were invited, for their Winter 2025 gathering, to attend a special reception marking the impending 50th issue of the Primary Dental Journal.

The event, The Primary Dental Journal: celebrating 50 issues, took place on the afternoon of Thursday 30 January 2025 in the Court Room of the historic Cutlers’ Hall in London – the same venue as previous 1992 Circle meetings.

There was no charge for this event but prior registration was requested.


About the 1992 Circle

The 1992 Circle aims to foster continued close connections with and between our whole retired community, and comprises all College members who are fully retired from practice.

Named in honour of the year the FGDP(UK) was founded, it celebrates the vision of those who put the general dental profession in the UK on a journey towards independent collegiate status.

Bringing the benefit of our retired members’ experience to the work of the College today, the Circle promotes their continued standing in the profession and creates a sociable network of like-minded individuals.

There is no additional charge for membership of the 1992 Circle, and members receive special invitations to College events, as well as periodic updates from its Convenor, Sir Nairn Wilson CBE, and information on the events and activities of the Lindsay Society for the History of Dentistry.

All members of the College who are already fully retired from practice have now been enrolled in the 1992 Circle, and College members who are currently in practice will be enrolled once fully retired.


Please note that the reception to mark the Primary Dental Journal will be followed at 6pm by the College’s Fellows’ Winter Reception upstairs in the Livery Hall. This is a chargeable event with separate ticketing arrangements of which Circle members who are Fellows or Associate Fellows of the College will have been notified by email.

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