College of General Dentistry Blog

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

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

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

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

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

Why is Cassie easier to treat than Jim?

Cassie
Jim

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

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

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

Case photos: Jim

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

Case photos: Cassie

Correct biomechanics ensures successful aligner therapy  

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

Case photos: Jeff

Aligner therapy can eliminate occlusal dysfunction

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

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

Case photos: Brenda

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

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

Click here for further details and to secure your place

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

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College of General Dentistry News

College to host Leadership Development Masterclass

The College will soon be hosting a Leadership Development Masterclass for dental professionals.

Professor Sreenivas Koka FCGDent (l) and Professor Elizabeth Carr FCGDent (r), co-presenters of the CGDent Leadership Development Masterclass

The masterclass will teach some of the most critical elements needed to be an effective team leader, with carefully curated content offering appropriate breadth and depth for early-career leaders, including:

  • Giving and receiving feedback as a leader
  • Learning one’s motivations for leadership (and adapting accordingly)
  • Measuring your leadership effectiveness

The one-day programme, which will take place at the Royal Society of Medicine in London from 10am to 4pm on Tuesday 14 October 2025, will be led by Professor Sreenivas Koka DDS MS PhD MBA MAS FACD FCGDent and Professor Elizabeth Carr MAADH DHA FACD(Hon) FCGDent.

Professor Koka is co-founder of Executive Leadership Enterprises and the Future Leaders in Prosthodontics (FLiP) programme, and founder of both the Shaping the Future of Implant Dentistry (SHIFT) leadership workshop series and the non-profit Career Design in Dentistry organisation. He is also a former Chair of the Massachusetts Institute of Technology (MIT) Sloan School of Management Alumni Board. Dean of the University of Mississippi School of Dentistry from 2021-2024, he has been a lecturer at the University of Michigan and University of California Los Angeles, and a professor at Loma Linda University, the University of Nebraska and the Mayo Clinic. In addition to qualifying as a Doctor of Dental Surgery, he holds a Master’s in Prosthodontics from the University of Michigan, an MBA from MIT, a Master’s in Applied Sciences from Johns Hopkins University and a PhD from the University of Nebraska. He was the founder and owner of Premium Dental Editing in Rochester, Minnesota, and of Koka Dental Clinic in San Diego, and is the author/co-author of over 100 peer-reviewed articles and nine book chapters. A Fellow of CGDent, he was brought up in Romford, emigrated to the United States at the age of 19 and is one of 16 dentists in his family.

Professor Koka is also the guest editor of the next issue of the Primary Dental Journal (PDJ), which will be published later this year on the theme of leadership, and co-author of its papers on ‘Everyday leadership’ and ‘Oral health in the context of patient well-being: Implications for the general dentist’.

Professor Carr is Chair of the Department of Dental Hygiene, Professor of Dental Hygiene and Director of the Mississippi Population Oral Health Collaborative at the University of Mississippi School of Dentistry, where she has worked for over 20 years. She holds a Bachelor’s degree in Dental Hygiene and a Doctorate in Health Administration from the University of Mississippi and a Master’s in Dental Hygiene from the University of Tennessee. She has also completed the MIT Sloan School of Management’s Executive Certificate programme in Leadership and Management. A Fellow of the CGDent, she is also an Honorary Fellow of the American College of Dentists, a past President of the Mississippi Dental Hygienists’ Association, and a member of the American Dental Hygienists’ Association and the American Academy of Dental Hygiene. Her peer-reviewed articles on leadership and dental education have been published in the Journal of the American College of Dentists, the Journal of International Oral Health, the Journal of Prosthodontic Research, the Journal of Prosthetic Dentistry, the Journal of Dental Hygiene and the Journal of Dental Education.

Professor Carr is also the author of ‘Effectively managing difficult conversations with patients and dental teams’ and co-author of ‘Everyday leadership’ in the upcoming leadership-themed issue of the PDJ.

The Leadership Development Masterclass, which is restricted to just 25 places, costs only £170 to attend and comes with 4.75 hours of CPD verified for GDC Development Outcome B. Attendees will need to be a Full Member, Associate Fellow or Fellow of the College at the time of booking – information on joining and eligibility is available here

Simon Thornton-Wood PhD, Chief Executive of the College, said:

“To practise dentistry requires years of education, yet people can take on leadership roles with little or no training at all. First-time and second-time dental leaders are challenged because other people’s actions now define them; the potential to fail in a leadership role is high and the consequences can be significant.

“That’s why leadership in dentistry is such a focus for the College. It was the theme of our very first journal issue in 2021, we’re re-visiting it in the next issue, it is one of our five domains of Fellowship and we have a recorded webinar on the subject available free of charge for all our members. It is also the topic of a blog post by our Immediate Past President, under whose Presidency we hosted a Leadership Workshop for early career dental professionals.

“Leadership can be taught and learned, so we are delighted to be able to host this masterclass, and privileged that it will delivered by two College Fellows who are world-leading scholars in the art and science of practising leadership in the context of oral healthcare delivery.”

For further information, and to book your place at the Leadership Development Masterclass, click the button below.

FIND OUT MORE AND BOOK YOUR PLACE

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College of General Dentistry Event

Could you become a Fellow? A world-first opportunity for Dental Care Professionals

Saturday 10 October 2026, 1.15pm–2.00pm, London

Poppy Dunton

Dental Care Professionals Hub, Hall N2, ExCeL London, Royal Victoria Dock, 1 Western Gateway, London E16 1XL

This lecture will be delivered by Poppy Dunton, a dental therapist working in general dental practice and implant clinics in Harrogate and County Durham, Clinical Lecturer in Dental Hygiene at Teesside University, and Dean of the College’s Faculty of Dental Hygiene and Dental Therapy.

Also a dental business consultant who helps ailing squat practices to improve their periodontal care, she was previously Operations Manager, CQC Manager and Lead Dental Therapist at a private dental practice group in Northampton. Having first worked in dentistry on a work placement as a 15-year-old, she has also been a receptionist, compliance and treatment coordinator and dental nurse.

She completed the National Certificate in Dental Nursing in 2008 and graduated from Cardiff University with a Diploma of Higher Education in Dental Therapy and Dental Hygiene, where she was awarded the Johnson and Johnson Clinical Excellence Prize, in 2011. She also holds a City & Guilds Diploma in Leadership and Management, a Level 6 qualification in employment law from the Institute of Paralegals, the Perio School Diploma in Periodontics for Hygienists and Therapists and the Smile Dental Academy Diploma in Restorative and Aesthetic Dentistry for Dental Therapists, and has completed training as a Menopause Coach in order to help improve the care provided to her patients. In 2026 she launched the Diploma in Advanced Dental Health and Business Strategy, an EduQual-accredited Level 7 programme for dental hygienists and therapists which bridges clinical dentistry with leadership, reflective practice and business development.

CPD:

  • 0.75 hours

This lecture is free to attend for both members and non-members of the College, and is one of three College sessions at Dentistry Show London 2026, a two-day conference hosting over 100 CPD lectures,180 exhibitors and 4,000 dental professionals.

College representatives will be available throughout the conference at the CGDent exhibition stand to talk to delegates about our vision for the profession, the benefits of membership and fellowship, and to answer questions.

It is not possible to register for specific lectures in advance, but those wishing to attend should register for Dentistry Show London either in advance or on the day.

Registration will be FREE for all dental professionals, and a link will be added here once registration is live.

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College of General Dentistry Event

Developing your career in restorative dentistry: key dental and non-dental skills for early career practitioners

Saturday 10 October 2026, 10.30am–11.15am, London

Nicola Gore FCGDent

Aesthetic & Digital Dentistry Theatre, Hall N2, ExCeL London, Royal Victoria Dock, 1 Western Gateway, London E16 1XL

This lecture will be delivered by Nicola Gore FCGDent, principal of a dental practice in north London and co-author of Dentistry in a Nutshell.

Since qualifying as a dentist from the University of London in 1993, Nicola has held various general practice and hospital maxillofacial posts within the UK and Australia, has taught undergraduate and graduate dental students and has trained 25 Foundation Dentists. She holds the MJDF, an MClinDent in Fixed & Removable Prosthodontics from the Royal London, a Postgraduate Certificate in Dental Education from the University of Bedfordshire, and has also undertaken postgraduate training in orthodontics. Co-founder and President of the British Iranian Dental Association, she is a past committee member of the British Academy of Cosmetic Dentistry and a member of the British Society of Prosthodontics. She is among the authors of Standards in Dentistry, was elected to represent the North Thames region on the College Council in 2024 and is currently serving as a Vice President.

CPD:

  • 0.75 hours

This lecture is free to attend for both members and non-members of the College, and is one of three College sessions at  Dentistry Show London 2026, a two-day conference hosting over 100 CPD lectures,180 exhibitors and 4,000 dental professionals.

College representatives will be available throughout the conference at the CGDent exhibition stand to talk to delegates about our vision for the profession, the benefits of membership and fellowship, and to answer questions.

It is not possible to register for specific lectures in advance, but those wishing to attend should register for Dentistry Show London either in advance or on the day.

Registration will be FREE for all dental professionals, and a link will be added here once registration is live.

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College of General Dentistry Event

Mentoring and coaching course for dental care professionals, part 1

Friday 9 October – Saturday 10 October 2026

Funded places on this course are reserved for successful applicants for the 2026 Foundation Nakao – CGDent Award in Coaching and Mentoring. It is not possible to register on this course separately.

Delivered online via Zoom

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

Thanks to sponsorship by Foundation Nakao, generously donated through Prof Avijit Banerjee FCGDent, the College is offered a very special opportunity for a three-day training course in mentoring and coaching for dental care professionals. Our aspiration is to cultivate a community of College members amongst dental care professionals who are equipped and confident to nurture their peers.

The Mentoring and Coaching Course for Dental Care Professionals is offered only to the winners of the Foundation Nakao – CGDent Award in Coaching and Mentoring 2026, with successful applicants each awarded a fully funded place on the course.

College members who are registered as a dental therapist, dental hygienist, dental nurse, orthodontic therapist, dental technician or clinical dental technician and who have at least two years’ post-qualification experience are eligible to apply.

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

Course dates

FURTHER INFORMATION & APPLICATIONS

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

College of General Dentistry News

In memory of Kevin Lewis, 1949-2025

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

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

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

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

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

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

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

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

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

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

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

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

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

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College of General Dentistry Event

Oral cancer risk management

Friday 9 October 2026, 1.15pm–2.00pm, London

Helen Kaney FCGDent

Clinical Excellence Theatre, Hall N2, ExCeL London, Royal Victoria Dock, 1 Western Gateway, London E16 1XL

This lecture will be delivered by Helen Kaney FCGDent, Head of the Dental Division at the Medical and Dental Defence Union of Scotland, and a dually qualified dentist and solicitor.

Helen qualified BDS from Glasgow University in 1987 and spent many years in general dental practice as well as working as a clinical assistant in conservative dentistry and prosthodontics at Glasgow Dental Hospital and at Guy’s Hospital in London. She developed an interest in law and ethics early in her career and studied law, obtaining an LLB, and then trained and worked as a solicitor for several years, acting for doctors and dentists in clinical negligence claims, regulatory matters and Fatal Accident Inquiries (Coroner’s Inquests) on the instructions of UK indemnity providers. She has significant experience in advising and assisting dentists in the UK and Ireland and in several international jurisdictions, and spent 14 years at Dental Protection as a Dentolegal and Senior Dentolegal Adviser and latterly as Medico and Dentolegal Services Team Lead and Head of Dental Services, Scotland. She completed an MBA at Strathclyde Business School and is a Fellow of the Faculty of Forensic and Legal Medicine of the Royal College of Physicians. She served as an elected National Representative on the College Council from 2019-2025.

CPD:

  • 0.75 hours

This lecture is free to attend for both members and non-members of the College, and is one of three College sessions at  Dentistry Show London 2026, a two-day conference hosting over 100 CPD lectures,180 exhibitors and 4,000 dental professionals.

College representatives will be available throughout the conference at the CGDent exhibition stand to talk to delegates about our vision for the profession, the benefits of membership and fellowship, and to answer questions.

It is not possible to register for specific lectures in advance, but those wishing to attend should register for Dentistry Show London either in advance or on the day.

Registration will be FREE for all dental professionals, and a link will be added here once registration is live.

Subscribe to receive our monthly newsletter

College of General Dentistry News

Donations sought for Coat of Arms Fund

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Sir Nairn said:

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

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

CONTACT SIR NAIRN

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

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College of General Dentistry Blog

Why should early career dental professionals learn about gum aesthetics?

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

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

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

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

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

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

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

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

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

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

30-year follow-up

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

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

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

Click here for more information and to book your place

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College of General Dentistry Student Advice

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

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

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

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

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

How to find a job in the first place

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

Online platforms

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

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

Recruitment agencies

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

Word of mouth

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

Making an application that stands out

A compelling CV

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

Covering letter

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

Portfolio

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

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

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

Author bio

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

Dr Choudhury Rahman

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