The art and science of oral medicine

Professor Igor Blum, Editor of the Primary Dental Journal (PDJ), outlines the evolution of oral medicine – the theme of the latest issue, which provides an overview and update of the field for the general dental team

The art and science of oral medicine begins with the pioneering work of Sir Jonathan Hutchinson (1828–1900), a surgeon at the London Hospital, who is also regarded in the UK as the Father of Oral Medicine.1 He reported on the dental manifestations of congenital syphilis, intraoral pigmentation and perioral pigmentation associated with intestinal polyposis, later described by Peutz in 1921.2 Subsequently, ten further cases were described by Jeghers, McKusick, and Katz who also reviewed the literature on this topic in 1949.3 Individuals with Peutz-Jeghers syndrome commonly present with an association of gastrointestinal polyps, mucocutaneous pigmentation, a familial incidence, and are at an increased risk of various cancers.

Much of the early description of oral mucosal diseases was found in dermatology textbooks, as documented in the works of the English surgeon and dermatologist Sir William James Erasmus Wilson (1809–1884).4,5 Sir William Osler (1849–1919), a Canadian physician and co-founder of the Medical Library Association of Great Britain and Ireland, recognised the importance of the oral cavity and believed that the tongue and oral mucosa reflect a patient’s overall health.6 This idea, held in various medical and traditional practices, suggests that changes in the appearance or condition of the mouth, including the tongue and soft tissues, can indicate underlying systemic health issues.

In a thoroughly researched and well written article by Professor Crispian Scully in 2016, he described the immense contributions of various stalwarts who were instrumental in the initiation and popularisation of the discipline of oral medicine over a 50-year period, between 1920 and 1970.7 In the UK, the evolution of oral medicine has its origin in oral pathology and resulted in its recognition as a dental specialty by the General Dental Council in 1998, with tribute paid to the founders of the British Society for Oral Medicine (BSOM) – the predecessor organisation of The British & Irish Society for Oral Medicine (BISOM) which was established in 1981.

Although not a substitute by any means for an extensive quality textbook on oral medicine, the editorial team felt it was timely to produce an issue of the Primary Dental Journal devoted to the common and important oral medicine conditions encountered in general dental practice. This themed issue on oral medicine is geared to primary care dental practitioners and dental care professionals as a refresher and an update on oral medicine-related diseases. The articles in this issue provide an overview of current thinking in the more relevant areas of oral medicine. The clinical aspects of the relevant disorders are discussed, including a brief overview of the aetiology, detail on the clinical features, and how the diagnosis is made. Guidance on management and when to refer is also provided, along with relevant websites which offer further detail.

A major challenge in the diagnosis of oral disease is the need for memorising long lists of oral lesions from oral medicine/oral pathology literature. This is made more difficult because many of these lesions are not frequently encountered by the primary care dental team. This new issue of the journal highlights common oral conditions that may be encountered in the dental practice. Pulpal, periapical, and periodontal diseases are intentionally not discussed in this issue since primary care dental clinicians are experienced in diagnosing and managing those conditions.

I trust that the oral medicine-themed issue of the PDJ will serve as a tabletop reference in General Dental Practice. The discussion of the entire spectrum of oral diseases is beyond the scope of this single issue; instead, we have selected what we believe to be important oral medicine conditions. The introductory article addresses an approach in formulating clinical diagnosis and management of the various types of oral candidosis. This is followed by articles on oral lichen planus and lichenoid lesions, managing a dry mouth in primary care, a review of common oral medicine conditions in children, oral facial pain, burning mouth syndrome, and chronic graft versus host disease (cGvHD). Although the latter is less common, it can occur in the increasing numbers of patients receiving hematopoietic stem cell transplants.8

The information presented is primarily aimed to cover the diagnostic aspects and an overview of patient management, including patient referral. The main objective is to provide readers with a cutting-edge update on the above topics, including raising awareness of the need to diagnose and manage patients with oral medicine conditions in primary care, and when to make a referral to an oral medicine service if available. Alternatively, a referral to a specialist in oral and maxillofacial surgery can be made when appropriate.

It is hoped that this themed issue will help the primary care dental team to integrate the principles of oral medicine and oral pathology into clinically applicable concepts that will enable the practitioner to develop clinical differential diagnoses and participate in definitive diagnosis through a multidisciplinary approach with dental specialty teams. It is my further hope that the reader will not only be provided with updated information as to the multiple facets of oral medicine conditions but will also find new information to further aid them in the diagnosis and management of these occasionally enigmatic disorders.

No issue of the Primary Dental Journal could come to successful fruition without the contributions of well-qualified authors. I am extremely thankful to the guest editor, Dr Emma Hayes, consultant in oral medicine, and to all contributing authors for their invaluable input to this issue. I believe that this edition of the Primary Dental Journal will be an asset and resource to the general dental practice team.

The Primary Dental Journal is the College’s quarterly peer-reviewed journal dedicated to general dental practice. The titles and abstracts of PDJ papers are available to all dental professionals via the searchable PDJ homepage, with full paper access available to College members through the PDJ Library.

Printed copies of the Summer 2025 issue on oral medicine should arrive with College members in the second half of September.

References

1 Spielman AI. History of Oral Diagnosis, Medicine, Pathology and Radiology. In: Illustrated Encyclopedia of the History of Dentistry. [Internet]. New York: History of Dentistry and Medicine; 2023. Available at historyofdentistryandmedicine.com [Accessed Jun 2025]

2Peutz JLA. Over een zeer merkwaardige, gecombineerde familiaire pollyposis van de sligmliezen van den tractus intestinalis met die van de neuskeelholte en gepaard met eigenaardige pigmentaties van huid-en slijmvliezen (Very remarkable case of familial polyposis of the mucous membrane of the intestinal tract and nasopharynx accompanied by peculiar pigmentations of skin and mucous membrane). Nederl Maandschr v Geneesk. 1921;10:134-146. Dutch.

3Jeghers H, McKusick VA, Katz KH. Generalized Intestinal Polyposis and Melanin Spots of the Oral Mucosa, Lips and Digits — A Syndrome of Diagnostic Significance. N Engl J Med. 1949;241(26):1031-1036.

4Wilson E. On The Management of the Skin as a Means of Promoting and Preserving Health (3rd ed.). London: John Churchill; 1849. Retrieved 15 June 2025. Full text at Internet Archive (archive.org)

5Wilson E. On Diseases of the Skin (4th American, from the 4th & enlarged London ed.). Philadelphia: Blanchard & Lea; 1857. Retrieved 15 June 2025. Full text at Internet Archive (archive.org)

6Stone MJ. The wisdom of Sir William Osler. Am J Cardiol. 1995;75(4):269-276.

7Scully C. Oral medicine in academia. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;122(1):111.

8Passweg JR, Baldomero H, Chabannon C, et al. Hematopoietic cell transplantation and cellular therapy survey of the EBMT: monitoring of activities and trends over 30 years. 2021;56(7):1651-1664.

New PDJ online: Oral medicine

The latest issue of the Primary Dental Journal, ‘Oral medicine’, is now available to read online.

The papers in this issue of the PDJ have been brought together by Guest Editor Dr Emma Hayes, a Consultant and Clinical Lead in Oral Medicine at King’s College London Dental Institute.

A core theme in this collection of papers is to highlight the vital role that dental professionals contribute to the diagnosis and management of patients with oral medicine conditions. The issue covers the wide range of oral medicine conditions seen at various ages and stages of life, from an overview of conditions seen in the paediatric population, to salivary gland hypofunction, more often seen in an older population.

As well as common oral medicine conditions frequently encountered in dental practice, this issue of the PDJ also highlights some of the rarer conditions that may initially be presented to dentists (such as trigeminal neuralgia) and where early diagnosis is essential to improving patient outcomes. A full list of papers is below.

Dr Hayes describes the ambition for this Oral medicine issue of the journal:

It is my hope that these papers will act as a useful reference for dental professionals into the future. I also hope that it will inspire primary dental care practitioners to continue to take an interest in oral medicine and feel empowered to participate in the early identification and management of these patients.

This issue also marks the first where the College’s new Coat of Arms appears throughout, in light of its newly-acquired Grant of Arms received under Crown authority from the College of Arms. An image of the elaborate Grant of Arms can be seen on the inside front cover of the print edition. The News & Perspectives section of this issue examines the Grant of Arms, the symbolism behind the heraldic elements in the Coat of Arms, and how to donate to the College’s Coat of Arms fund for those wishing to secure a special place in the history of the development of the College.

Full online access to the majority of articles in this and previous issues is reserved for College of General Dentistry members and Primary Dental Journal subscribers, who can expect their printed copies to arrive by the end of September. New joiners wishing to receive a copy of this issue can let us know by emailing [email protected]

For non-members / non-subscribers, at least one paper in each issue is made available online free of charge, with all other articles available to purchase via the links below.

An annual print subscription to the PDJ is included with membership of the College, which also includes online access to over 1,500 current and past articles in the PDJ Library and a range of other benefits.

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

ISSUE CONTENTS:

CGDent members can view full articles by logging in via the yellow button below, then clicking ‘Access the PDJ Library’:

The next issue of the journal, on the topic of Leadership, is due out in Autumn 2025.

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A dental therapist’s unexpected journey

Poppy Dunton, the newly appointed Chair of the Board of the College’s Faculty of Dental Hygiene and Dental Therapy, reflects on her career in dentistry and how her mantra that “every day is a school day” has supported her development.

Never would I have expected to have the career that I have had out of dentistry. I was a disgruntled 15-year-old being told my graphic design two-week work placement had pulled out. With everyone else having picked their placements, I was left with the unexpected choice of a dental practice. “A dental practice! You’ve got to be joking?” I initially thought. Yet, as I made cups of tea and filed blue forms, the hustle and bustle of the place felt surprisingly comfortable. To say I enjoyed it was an understatement.

As the two-week period ended, the principal dentist offered me a part-time after-school job – making tea and cleaning the old impression trays (pre-single use era), and earning £3.15 per hour. I jumped at the chance, feeling like I was made of money. Every day after school, I would walk and do my 4pm–6.30pm shift. When a trial day at Northampton College for photography didn’t sit right with me, I informed the principal dentist that evening. My father was called in for a meeting, and that’s when the principal dentist said, “I’ll only give her a job here, Graham, if she makes something of her life.” That evening became the catalyst for my passion in dentistry.

The evolution of my career is intricately tied to a commitment to education. I embarked on an evening college course, alongside my apprenticeship, to train to become a dental nurse. Tuesday evenings in Milton Keynes led to passing the NEBDN Certificate in Dental Nursing. Once I had this, I spent the following months learning as much as possible – four-handed dentistry, impression taking, and implant nursing. The practice grew, and another was bought over the road, giving me the chance to set up an oral hygiene programme.

Following my return from Cardiff University, where I completed a Diploma in Dental Hygiene and Dental Therapy, I was privileged enough to be offered my job back in the practice where I had started. The first week was a week to remember; I ran an hour late, fell down the stairs, and stuck two teeth together. I had the most patient mentors, and working in an NHS practice was fantastic, allowing me to complete my full scope of practice, including paediatrics. Was it hard? Yes. Did it teach me speed and resilience? Absolutely.

After graduating in 2012, there were limited postgraduate options. Notable pursuits included constantly upskilling and working in a team supportive of therapists. Composite courses with GC in Belgium, a Level 6 qualification in employment law, and being promoted to operations manager of two NHS practices – eventually managing a team of 64 staff – led to me being offered a practice manager position four years into my career. This opened learning about people psychology, leadership and planning team meetings alongside my clinical career.

I was privileged enough to then open a squat practice alongside my principal, with a business plan for two surgeries over two years which resulted in 10 surgeries being opened over five years, including a vaccination clinic.  Three CQC inspections later, and the role of CQC manager was also added to my repertoire. The most rewarding part of project managing the development of this new practice was recruiting a group of individual dental professionals and watching them grow into a wonderful team.

Upon completing the Perio School Diploma in Periodontics for Hygienists and Therapists and the Smile Dental Academy Diploma in Restorative and Aesthetic Dentistry for Dental Therapists, I was introduced to the College of General Dentistry and was eager to explore the recognition I could gain as a dental therapist.

Unfortunately, the course credits were not enough per course to contribute towards Fellowship, so I joined the College’s Certified Membership Scheme (CMS) to gain guidance on how to continue advancing my career and choose the best postgraduate training to reflect my aspirations. As part of the scheme, I have regular contact with a facilitator who consistently ensures that my investment in courses leads me in the correct direction. Ongoing self-reflection allows me to constantly critique myself, and the leadership module fits well with my management of staff, completing practice meetings and public speaking. Being part of the CMS has supported me to complete a City & Guilds Diploma / ILM Level 5 Diploma in Leadership and Management by enabling me to choose an appropriate course and help develop leadership qualities.

The College’s Professional Framework, which underpins the CMS, maps 22 key capabilities, many of which have played a crucial role in my journey. Emphasising the value of postgraduate education, I would encourage new graduates to embrace opportunities for further learning and to constantly be self-critical of their work. Recording self-reflection, taking photographs, and analysing what went well in each case, shadowing peers, or approaching colleagues for their opinions are essential. Don’t fear failure; it’s what makes you better.

In my experience, this profession can be challenging and, at times, isolating. There are days when running late, neglecting notes, skipping meals and even necessities like restroom breaks become the norm. The toll on one’s body—back pain, eye strain, and hand fatigue—can be significant. Looking after your long-term career is vital. Record-keeping has been one of the largest changes I’ve seen, starting in my early career with very short notes. Now, ensuring my conversations with patients are highlights in notes, and my nurses help and scribe during appointments. This has proved invaluable when a complaint arises. Protecting yourself is vital.

The most unexpected rewards in my dental therapy role often come during these challenging moments. Patient gratitude and the joy of assisting anxious individuals through treatment illuminate the darker days.

This career has allowed me ongoing dedication to continuous learning, reflecting on my mentor’s ethos of “everyday is a school day”. My commitment to education and mentorship is rooted in a desire to guide new professionals in navigating complexities while maintaining their wellbeing. In 2023, I was privileged to join the Board of the Faculty of Dental Hygiene & Dental Therapy for the College, and I am even more privileged to have now been appointed Chair.

Recently I have relocated due to family illness, and this marks the end of a significant chapter in my career, prompting reflection on the unconventional path that led me to the field of dentistry, the intricacies of managing a bustling practice, combined with the personal growth and educational pursuits that defined my journey. Alongside all early career dental professionals, I continue to embrace new challenges and aspirations, remaining steadfast in my commitment to contributing positively to the ever-evolving world of dental therapy.

Further details of Poppy’s career to date, and of the role of the Chair of the Board of the Faculty of Dental Hygiene and Dental Therapy, are available here

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This article has been updated from a previous version published on 24 January 2024

Poppy Dunton appointed Hygiene & Therapy Faculty Chair

The College has appointed Poppy Dunton as Chair of the Board of its Faculty of Dental Hygiene and Dental Therapy.

A dental therapist working in general dental practice and implant clinics in Harrogate, York and Durham, Poppy is also a Tutor and Clinical Supervisor in Dental Hygiene at Teesside University, and as a dental business consultant 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. 

She joined the College as an Associate Member in 2022, enrolled on the Certified Membership Scheme, was appointed to the Board of the Faculty of Dental Hygiene and Dental Therapy and was a facilitator at the College’s NextGen Leadership Workshop in 2023. She is also a member of the British Society of Dental Hygiene and Therapy, the British Association of Dental Therapists, the Association of Dental Implantology and the British Society of Periodontology and Implant Dentistry.

The Faculty of Dental Hygiene and Dental Therapy is a constituency automatically comprising all members of the College who are dental hygienists and/or dental therapists, and the Faculty Board advances the interests of these professional groups within the College. The board also includes Sarah Murray MBE, Fiona Sandom FCGDent MBE and Jyoti Sumel.

The Chair is appointed for a three-year term, and Ms Dunton succeeds Frances Robinson AssocFCGDent in the role. She will advise and report to the College Council, and will work closely with the President and the other Faculty Board Chairs – Avijit Banerjee FCGDent (Faculty of Dentists), Debbie Reed FCGDent (Faculty of Dental Nursing & Orthodontic Therapy), and Bill Sharpling FCGDent (Faculty of Clinical Dental Technology & Dental Technology) – in realising College priorities for the whole dental team.

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New opportunity in coaching & mentoring for Dental Care Professionals

Foundation Nakao – CGDent Award in Coaching and Mentoring

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

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

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

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

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

Course dates

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

Applicants must:

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

To apply

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

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

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

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

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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.

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Our mission and vision for dentistry

The College has outlined its ambitions and priorities as a professional body and registered charity.

Our mission and vision for dentistry, developed by the College Council, seeks to define the College’s role and characterise its values and ways of working.

It describes the College’s vision for dentistry over the coming decade, and articulates its ambitions in relation to patients and public health, delivery of care and the professional development of the whole dental team.

Informing the College’s perspective and framing the influence it wants to have on the future of oral healthcare, it sets out a foundation for the College to contribute to the development of public policy to address the many challenges facing the sector.

To read Our mission and vision for dentistry, click the button below.

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College granted Arms

The College has been granted Arms by Letters Patent.

The Grant of Arms by Letters Patent to the College of General Dentistry

The Grant of Arms has been made under Crown authority by the College of Arms, the heraldic authority for England, Wales, Northern Ireland, Australia and New Zealand. Coming less than four years since CGDent opened its doors to members, it is a highly significant step towards fulfilment of the College’s aspirations to be incorporated under Royal Charter and to create a Royal College for dental professionals.

The Grant includes a Coat of Arms, Crest and Badge, which will soon start to be incorporated into the College’s certificates and awards, publications and a re-designed logo. Behind the distinctive design of the heraldic elements lies a rich story dating back to the 15th century, which has been documented by Sir Nairn Wilson CBE FCGDent, Honorary Founding President of the College. This will be published shortly on the College website, alongside the full text and images of the Grant.*

The Grant also includes the College’s motto, Sanitate oris venit fortitudo (“Strength through oral health”).

Signed and sealed on vellum by the Kings of Arms – the King’s three most senior heralds – the Grant was recently received on behalf of the College by Sir Nairn, who called on the profession to support its mission through membership:

“It was truly a privilege to take receipt of the Grant of Arms on behalf of the College. This is a hugely significant moment not only for the members, who have supported the College to date, but for each and every existing and future dentist, dental therapist, dental hygienist, dental nurse, orthodontic therapist, dental technician and clinical dental technician with roles and responsibilities in oral healthcare throughout the UK and beyond. My message to all these colleagues is that the College of General Dentistry is now all the more established, and by joining the College you can be part of the historic mission to give our noble profession the independent, influential Royal College it has deserved and needed for so long.”

The Grant will be on display at the College’s Summer Reception which takes place on Friday 13 June 2025 in Sheffield. This is open to all dental professionals and others with interests in the future of dentistry, with discounted tickets for College members. For further information, and to book, click the button below.

*Update 9 July 2025: Sir Nairn’s description of the heraldry behind the design of the College’s Coat of Arms is now available here. The full text of the Grant of Arms is available here.

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Marking another milestone

Igor Blum FCGDent, Clinical Professor of Primary Care Dentistry and Advanced General Dental Practice at King’s College London and Editor of the Primary Dental Journal, and Sir Nairn Wilson CBE FCGDent, President Emeritus of the College and the journal’s first Editor, celebrate the publication of its fiftieth issue

Prof Igor Blum FCGDent (left) and Sir Nairn Wilson CBE FCGDent (right)

The latest issue of the Primary Dental Journal (PDJ) – the 50th to date – is a truly special ‘general dentistry’ edition marking this significant milestone.

Not only does the PDJ have a rich history of serving general dental practice, but it is also one of the premier journals for intellectual discourse on all aspects of primary dental care pertinent to members of the whole dental team.

First published in 2012, shepherded under the tenure as Editor-in-Chief of the then Professor (now Sir) Nairn Wilson, it brought together three publications of the former Faculty of General Dental Practice (FGDP[UK]): Primary Dental Care (a research journal for dentists), Team in Practice (a journal for Dental Care Professionals) and the newsletter First Hand.

The fourth volume of the journal, published in 2015, was produced with the assistance of a new Clinical Editor – Dr (now Professor) Igor Blum. In addition to themed issues on Consent (curated by Guest Editor, Andy Toy), Special Care Dentistry (Guest Editors, Debbie Chandler and Richard Valle-Jones) and Paediatric Dentistry (Guest Editor, Richard Welbury), the volume included the journal’s first ‘general issue’ with papers on a range of topics, including temporomandibular dysfunction, contemporary laboratory work, tooth surface loss, the effects of bisphosphonates in implant dentistry, reducing harm (iatrogenic damage) in the provision of care, risk assessment and the prevention and management of dry sockets.

Volume 6, issue 1 was a special, one-off, commemorative issue of PDJ to help mark and celebrate the twenty-fifth anniversary of the formation of the FGDP(UK). In addition to a ‘conversation’ between Professor Nairn Wilson and the then Dean of the Faculty, Mick Horton, and a photo montage of the history of the faculty, the issue included commissioned papers by leading dental experts in the UK. This commemorative issue and the subsequent two themed issues – Dental Emergencies (Guest Editor, Russ Ladwa) and Extended Integrated Care (Guest Editor, Kathy Fan) were Professor Wilson’s last contributions to PDJ before passing on the baton to Dr Blum in 2017.

Professor Blum’s first issue as Editor-in-Chief was the December 2017 (Volume 6, issue 4) themed issue on Removable Prosthodontics (Guest Editor, Graham Stokes). Professor Blum’s vision for the journal was to evolve, grow and, in the process, continue to go from strength to strength. A further vision was to make the journal accessible on an international level, rather than limiting it to the readership in the UK, for the benefit of primary dental care teams and their patients around the world.

Within each annual volume, two or three issues are themed on specific and relevant fields of interest, and one or two ‘general dentistry’ issues cover a wide range of topics. Each issue offers a combination of research, clinical best practice papers and scenario articles which allow the whole dental team to work together to improve standards of patient care. In Spring 2021 the PDJ published its 10th Volume Anniversary special issue celebrating this remarkable milestone.

After nine years’ publication by the FGDP(UK), the College took over in 2021, and this 2025 Spring issue marks fifty issues of the journal as a source for dissemination of contemporary research, clinical and non-clinical articles relevant to general dental practice.

Since its inception, the PDJ has evolved substantially and earned an established place as an authoritative source in today’s dental literature. As such, it provides CGDent with one of its most valued membership benefits. While its purpose has been constant – to be a professional development journal for the whole dental team, and a record and source of news about the College – its editorial and production processes and standards have evolved over the years.

Most significantly, in 2019 the FGDP entered into a contract with Sage Publishing and the PDJ has progressed from an in-house ‘cottage industry’ publication to an internationally accessible publication with an electronic editorial management platform, ScholarOne. As such the journal benefits from the resources available through our publisher, which has facilitated its continued growth.

Over the years, we have watched with great pleasure how the PDJ has grown and gained ever-increasing standing and status in becoming an internationally recognised and esteemed journal, aimed at the whole primary care team. The journal is now indexed in PubMed/MEDLINE and Scopus, and 1,500 papers – past and present – are available online to CGDent members through the PDJ Library and in over 10,000 academic institutions worldwide.

With the current international exposure of articles published in the PDJ, there have been many thousands of downloads and citations of articles. This confirms that the PDJ has an international reach and impact on the dental team and clinical practice, both nationally and internationally, improving standards of patient care.

As a result, the PDJ has started to attract international dental experts as guest editors. In the context of a new membership organisation borne out of a more established one, the journal has also played a central role in providing reassurance and continuity of service to members over the last four years and has developed an important role in supporting the College’s membership retention and growth.

Looking back, we would like to express our sincere gratitude to the very many authors, guest editors, peer reviewers, staff and others who have contributed to each of the 50 issues to date and enabled us to reach this important milestone.

Special thanks must be extended to the former and current managing editors of the journal – Amy Brewerton, Hillevi Sellén, and Lily Atkins; to a member of the founding Editorial Board, Ario Santini FCGDent, who continues to provide highly rated abstracts of relevance to the contents of each issue of the journal; and to Darren Westlake, who has designed the covers and laid out the figures in each and every issue.

We are confident that we have created an attractive, distinctive, reader-friendly journal and it is our hope that you will enjoy the 50th issue and join the previous and current editorial team in celebrating all it stands for.

A list of the themed editions within the first 50 issues of the PDJ is available here

The titles and abstracts of PDJ papers are available to all dental professionals via the searchable PDJ homepage, with full paper access available to College members through the PDJ Library

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New PDJ online: The 50th issue – General dentistry

The 50th issue of the Primary Dental Journal, ‘General dentistry’, is now available to view online.

This latest PDJ marks the fiftieth issue since its initial publication in 2012, under the College’s predecessor organisation, the Faculty of General Dental Practice – FGDP (UK). In their editorial, current Editor-in-Chief, Prof Igor Blum, and Chair of the first Editorial Board, Professor Sir Nairn Wilson, celebrate this milestone with a nod to all who have contributed, by reflecting on the early days of the PDJ and where the journal is now in improving standards of patient care:

“Not only does the journal have a rich history of serving general dental practice, but it is also one of the premier journals for intellectual discourse on all aspects of primary dental care pertinent to members of the whole dental team.”

This special ‘bumper’ issue includes a wide range of General dentistry topics, such as an assessment of how artificial intelligence (AI) can assist in the evaluation of patients’ medical histories; a guide to skin cancer and what to look for in protecting your patients; how digital innovations can enhance occlusal diagnostics and treatment precision; the role of hypnosis in patient stress and pain management; and minimum intervention oral care (MIOC). A full list of papers is below.

Full online access to the majority of articles is reserved for College of General Dentistry members and Primary Dental Journal subscribers, who can also expect their printed copies to arrive around the end of May. New joiners wishing to receive a copy of this issue can let us know by emailing [email protected]

For non-members / non-subscribers, at least one paper in each issue is made available online free of charge, with all other articles available to purchase via the links below.

An annual print subscription to the PDJ is included with membership of the College, which also includes online access to over 1,500 current and past articles in the PDJ Library and a range of other benefits.

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

ISSUE CONTENTS:

CGDent members can view full articles by logging in via the yellow button below, then clicking ‘Access the PDJ Library’:

The next issue of the journal, Oral Medicine, is due out in Summer 2025.

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