College of General Dentistry News

Inaugural aesthetic award winners

The College of General Dentistry, Tom Bereznicki Charitable Educational Foundation and Dentsply Sirona would like to congratulate the successful candidates of the inaugural Tom Bereznicki Award for Advanced Aesthetic Dentistry.

The competition, which recognises aesthetic dentistry skills and patient care, was open to dentists who qualified in the UK or Ireland between 2019 and 2023, or who qualified overseas between 2019 to 2023 and had been practising in the UK for at least the two years.

The 19 winning entrants are:

Dr Cordelia AshbyDr Milton JustinsuthakaranDr Golasa Sheikh Akbari
Dr Alastair CampbellDr Nafeesa KhanDr Arav Soin
Dr Nathaniel-Edouard DavidsonDr Adam KingsleyDr Mojgan Talibi
Dr Farah ElnaqaDr Emily LawtonDr Nickhalas Tan Chun Khye
Dr Puyan HeydariDr Ronan LeeDr Jarmima Uddin
Dr Victoria HillsonDr Tendai Manangazira
Dr Abida IslamDr Parth Patel

To enter the award, participants each submitted an aesthetic case which involved more than one tooth, including at least one anterior tooth, and the use of composite to restore teeth. Cases also followed a mainly analogue workflow. Cases entered featured a range of restorative treatments including those for diastema, severe tooth wear, and peg shaped laterals. View all successful cases here.

A selection of the winning cases which illustrate a range of different types of cases entered in the competition. Cases submitted by (L-R): Dr Nafeesa Khan, Dr Mojgan Talibi, Dr Cordelia Ashby

The assessors scored each case based on a set of assessment criteria which allocated points to overall improvement in the patient’s oral health, the standard of aesthetic treatment, the complexity of the case and the quality of the entrant’s reflection.

The successful candidates will each receive a fully funded place on a bespoke, hands-on two-day digital dentistry course next month at the Dentsply Sirona Academy in Weybridge, Surrey. Travel costs, hotel accommodation and subsistence are included in the prize, which is worth around £2,000 per place.

The Tom Bereznicki Charitable Educational Foundation supports educational opportunities for early career dental professionals in the UK, and was founded by Dr Tom Bereznicki FCGDent, a general dental practitioner with a special interest in restorative dentistry.

Dentsply Sirona is the world’s largest manufacturer of professional dental products and technologies.

Dr Bereznicki commented:

“I would like to thank everyone who entered our first competition for early career dentists, and congratulate the successful candidates. We were impressed by the high standard of entries we received as well as the interesting and wide variety of aesthetic cases. I am sure the winners, and their patients, will all benefit immensely from the intensive hands-on course on Digital Dentistry, which has been generously supported by Dentsply Sirona.”  

Further details about the award are available on the award web page. To register your interest in next year’s award and receive a notification as soon as the competition opens, sign up to our notification list.

The College also partners with the Tom Bereznicki Charitable Educational Foundation on the CGDent-GC Award for Foundation Trainees (which is currently open to applications) and the ‘Introduction to Occlusion’ series of symposia, the next of which takes place on Saturday 1 November 2025 in Edinburgh.

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College of General Dentistry News

College masterclass teaches leadership development skills

The College recently hosted a Leadership Development Masterclass for dental professionals.

Professor Sreenivas Koka FCGDent presenting to participants at the CGDent Leadership Development Masterclass

The masterclass taught 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 took place at the Royal Society of Medicine in London on Tuesday 14 October 2025, was restricted to Full Members, Associate Fellows and Fellows of the College and was attended by members from across the dental team.

The event was 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 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 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 paper ‘Oral health in the context of patient well-being: Implications for the general dentist’. Professor Carr is the author of ‘Effectively managing difficult conversations with patients and dental teams’. Both are co-authors of ‘Everyday leadership’.

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 were delighted to be able to host this masterclass, and privileged that it was 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.”

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College of General Dentistry News

Portfolio submissions in Restorative Dentistry: eligibility & requirements

Following the recent launch of a portfolio-based route to Associate Fellowship and the Clinical & Technical domain of Fellowship, the College has published detailed requirements for portfolio submissions in Restorative Dentistry.

To be eligible to submit a portfolio for assessment, applicants must have at least five years’ post-qualification experience in Restorative Dentistry, and must hold Associate Membership or Full Membership of the College at the time of application. Non-members should first join the College and should allow up to two weeks for their membership application to be validated and processed.

They will then need to submit:

  1. A log of training meeting the requirements below.
  2. Six cases meeting the specifications below.
  3. A comprehensive CV detailing at least five years’ post-qualification experience in roles with the appropriate responsibilities and clinical environment to meet the expected standard of patient care.

Training requirements

Applicants must have:

  • Completed 165 hours of verifiable training consistent with RQF Level 7, set out in a training log which details the hours and attaches the evidence for each of the required topics below, or
  • Completed an accredited postgraduate qualification of at least 60 RQF credits for which the transcript demonstrates coverage of the required topics below, or
  • Successfully completed a recognised Royal College Diploma examination

Applicants submitting evidence of training undertaken before 2010 must also provide evidence of at least 50 hours of Enhanced CPD relevant to restorative dentistry undertaken in the last 5 years.

Required topics:

  • Patient assessment, history and treatment planning and communication
  • Principles and application of occlusion             
  • Smile design          
  • Tooth whitening                
  • Anterior direct restorations          
  • Posterior direct restorations                  
  • Clinical photography                   
  • Anterior direct restorations          
  • Posterior direct restorations                  
  • Indirect restorations – crowns, onlays and ceramic veneers            
  • Management of tooth surface loss                   
  • Replacement of missing teeth               
  • Endodontics           
  • Periodontics           
  • Contemporary caries management

Case specifications

Applicants must present a total of six anonymised cases, all undertaken within the past five years. The first three must demonstrate, respectively, endodontic, periodontic and prosthodontic management. The remaining cases can be in any of these three disciplines, however no more than half of the total number of cases may be submitted from any one discipline.

Endodontic cases must demonstrate at least one of the following:

  • a multirooted tooth with root curvatures 30 – 45 degrees
  • a tooth with canals deemed non-negotiable in the coronal third, but patent thereafter, as evidenced clinically and radiographically
  • a multirooted tooth with a canal length exceeding 25 mm
  • a tooth with incomplete root development
  • re-treatment of a previously treated tooth, with evidence of patency beyond an existing short root filling, provided there are no complicating factors from earlier treatment
  • removal of a fractured post (less than 8 mm in length)

Periodontic cases must demonstrate one of the following:

  • Treatment of generalised stage II, III or IV periodontitis that has true pocketing of 6 mm or more showing BOP <10% and PPD < 4mm at 1 year after treatment
  • Management of gingival enlargement non-surgically with a minimum of 1 year post operative review: showing BOP <10% and PPD < 4mm at 1 year after treatment
  • Management of a peri implant mucositis case with a minimum of one-year postoperative review showing ≤ 1 point of BOP and absence of suppuration
  • Management of furcation defects and other complex root morphologies when strategically important (in more than one sextant) showing stability at 1 year after treatment e.g. <10% BOP and PPD <4mm at a 1 year post operative review
  • Periodontal treatment that includes pocket reduction surgery in more than 1 sextant

Prosthodontic cases must demonstrate one of the following:

  • Occlusal reorganisation is necessary, and medium-term stability is achieved through plastic restorations, removable appliances, or both
  • Occlusion requires careful management to avoid premature failure of restorations (e.g., guidance for multiple restorations)
  • Replacement and temporisation of multiple fixed restorations, where oral condition stability/control may be at risk
  • Addressing anatomical challenges related to soft tissues
  • Compromised health of denture-bearing soft tissue
  • Raised or critical aesthetic or functional expectations/needs
  • Definitive replacement of at least three teeth involving pre-prosthetic procedures, such as: (i) abutment optimisation (ii) minor oral surgery procedures (iii) occlusal adjustments

Consent

For each case, applicants must ensure that they have the consent of the patient for inclusion in their portfolio. The bespoke Patient Information Sheet and Patient Consent Form should be used to ensure informed participation.

Case format

Each case must adhere to the structure and content outlined in the Restorative Case Template

Application & assessment

To submit their application, applicants will need to upload their case presentations, CV and training log (or equivalent), and pay a non-refundable Assessment Fee of £600.

Assessment will be centred around the evidence submitted, with specific emphasis on the case selection, and will include a case-based discussion. This will be undertaken by a panel of two suitably qualified assessors with experience of assessment for Postgraduate Diploma qualifications.

A successful portfolio will qualify the applicant for Associate Fellowship of the College and in addition will satisfy the Clinical & Technical domain of Fellowship. The applicant will also be able to add their successful portfolio to the College’s Register of Members and Fellows as a recognised qualification. If an application is unsuccessful, the applicant may be able to request a review by a separate panel, for which an additional Review Fee of £200 would apply.

FIND OUT MORE AND APPLY

Portfolio specifications for Implant Dentistry and Orthodontics will be published in 2026.

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College of General Dentistry Blog

Exploring occlusion: insights from the first symposium

Dr Nathaniel-Edouard Davidson, Associate Member of the College and winner of the inaugural CGDent-GC Award, reflects on what he learnt at the first Introduction to Occlusion Symposium and why you should go to the next one.

When I first saw the announcement for the Introduction to Occlusion Symposium, I was not sure if it was for me. Occlusion felt like one of those important, yet complex (and slightly intimidating) areas of dentistry where it’s difficult to apply the extensive teachings in day-to-day practice. However, after dealing with a rising number of fractured restorations, TMJ complaints, and patients reporting muscle soreness and headaches, I realised I needed to deepen my understanding.

From the moment the first lecture started, it was clear this was not just a day of theory. The symposium tackled real-world challenges that many of us face every day in practice. The sessions covered everything from the history and implications of occlusal disease to practical techniques for restoring worn dentitions; always maintaining a strong focus on understanding the “why” behind the “what.”

The first Introduction to Occlusion Symposium in London, 5 April 2025

What stood out most

One of the key points from the day was to focus on the high prevalence of occlusal disease, which is even more common than caries or periodontal disease. There are many signs that indicate the presence of occlusal disease, such as fractured cusps, worn-down restorations, mobility, gingival recession, abfraction lesions, TMJ pain, headaches. These issues often seem unrelated, however, the symposium effectively demonstrated how these issues are in fact interconnected.

“A single night of bruxism can cause as much damage as a lifetime of chewing”. This significant insight was discussed, along with how the loss of proprioception during sleep can result in forces generated by nocturnal clenching increasing tenfold. This may explain the rise in failed restorations and unexplained wear.

Practical knowledge I’m already applying

One of the best aspects of the symposium was the clear, actionable treatment planning advice. We discussed the importance of the “Five Laws” for an ideal occlusion and successful occlusal appliance:

  • Mutually protected occlusion
  • RCP = ICP around the retruded axis position
  • Anterior guidance
  • No non-working side interferences
  • Posterior stability

Frameworks like these make managing occlusion more straightforward.

We also explored how to manage occlusal wear with restorative approaches. One fascinating technique that stood out was the use of additive composite canine risers. We can maintain the intercuspal position, but through the use of composite additions to the canines we can reintroduce anterior guidance – this alone can disclude posterior teeth and prevent further wear. It’s simple, it’s effective, and it’s something I can do in day-to-day practice.

The Introduction to Occlusion Symposium speakers (l-r): Dr Tif Qureshi FCGDent, Dr Shiraz Khan, Professor Paul Tipton FCGDent, Dr Tom Bereznicki FCGDent, Dr Ken Harris FCGDent and Dr Koray Feran FCGDent

A shift in perspective

The symposium clarified occlusion terminology, particularly centric relation (RCP) versus intercuspal position (ICP). I now understand that while ICP is used for day-to-day dentistry, centric relation is stable and reproducible for complex treatments. Knowing when to use each position and whether to conform or reorganise has improved my approach.

The rule of thumb we learnt

Reorganise: when there is heavy wear, multiple restorations, TMJ symptoms, or a need to increase vertical dimension.

Conform: when the five laws of ideal occlusion (as mentioned above) are met, when there are fewer restorations to carry out, or when there are potential financial constraints.

What I’ll do differently now

Since attending the symposium, I have already started using articulating paper markings in both RCP and ICP and taking intraoral photos and scans to help with diagnosing current or  potential future occlusal problems. I am more able to practically ‘see’ a reduced envelope of function. Patients who used to report “chipping front teeth” now make me think of reduced overbite and a collapsed envelope of function, rather than just failing restorations and parafunctional habits.

In addition, I am now more proactive about spotting early signs of parafunction, reducing interferences and offering occlusal splints. Perhaps most importantly, I now understand that restoring anterior guidance early might actually save the need for more invasive posterior restorations later. The symposium has motivated me to pursue further learning and has provided clear direction on where to focus my efforts.

Why should you attend the Occlusion Symposium?

This symposium did more than just teach occlusion – it sparked a genuine interest in the subject and gave me practical tools I can use right away. It is easy to overlook occlusion in favour of more popular topics in dentistry, but this symposium reinforces that getting the fundamentals right is what leads to predictable and long-lasting results.

If you are on the fence about attending a future occlusion symposium, I would say this: do it. Whether you are early in your career or years into practice, the insights you will gain are invaluable. If you are a Principal of a practice, why not encourage your Associates to attend? It is not just about protecting teeth, it is about treating the whole system, understanding function, and elevating the quality of care you can provide.

The next Introduction to Occlusion Symposium will take place in Edinburgh on Saturday 1 November 2025. Open to all dental professionals and with six hours’ CPD, tickets are just £90 for those who qualified between 2020 and 2025, and £110 for all other attendees. For further information, and to book your place, visit our event page

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College of General Dentistry News

New portfolio route to Associate Fellowship and Fellowship

The College has launched a new portfolio-based route to joining its Fellowship community.

The new route, which will be available in relation to specific fields of practice, means that both Associate Fellowship and the Clinical & Technical domain of College Fellowship can now be achieved through recognition of a wealth of clinical experience and expertise, not just advanced qualifications.

Under the new scheme, those with at least five years’ post-qualification experience in the discipline for which they are applying, and who meet the specification for prior training, can submit a portfolio of six suitably complex cases, undertaken within the past five years, for assessment. The expected standard for cases is that which would be achieved with a relevant 120 credit, Level 7 Diploma or at Level 2 clinical complexity.

As well as qualifying the applicant for Associate Fellowship and the Clinical & Technical domain of Fellowship, a successful portfolio can also be published as a recognised qualification in the College’s Member Register.

Both Associate Fellowship and Fellowship of the College are open to dental professionals in all team roles.

Associate Fellowship acts as a stepping stone to Fellowship, recognising enhanced knowledge and skills as well as a commitment to lifelong learning and the highest levels of patient care. As members of the College’s Fellowship community, Associate Fellows are eligible to attend its prestigious Fellows’ Receptions, have the opportunity of ceremonial admission by the College President and may use the postnominal ‘AssocFCGDent’.

All those holding an eligible qualification can become an Associate Fellow without the need of portfolio assessment. These are:

  • a relevant PhD, Master’s degree or Postgraduate Diploma meeting the College’s eligibility criteria
  • Specialty membership of a Royal College or Royal College faculty
  • Membership in General Dental Surgery (MGDS)
  • Diploma in Postgraduate Dental Studies (DPDS)
  • CGDent Diploma in Primary Care Orthodontics
  • FGDP(UK) or RCS Edinburgh Diploma in Implant Dentistry
  • FGDP(UK) Diploma in Restorative Dentistry
  • FGDP(UK) Diploma in Primary Care Oral Surgery

Fellowship is the most distinguished membership of the College and is recognised with the postnominal designation ‘FCGDent’. It is a mark of excellence; significant commitment to the science, art and practice of dentistry; and distinction across clinical and professional domains. All dental professionals with ten or more years’ post-qualification practice may apply for Fellowship by route of experience, and to be successful applicants must provide evidence of meeting the requirements of three of five domains:

  • Clinical & Technical
  • Teaching, Learning & Assessment
  • Leadership & Management
  • Publications & Research
  • Law & Ethics

The Clinical & Technical domain is automatically satisfied without the need of portfolio assessment for those who meet one of the eligibility criteria for Associate Fellowship described above, or who have qualified as a:

  • Specialist (with demonstrable referral activity)
  • Member of the Royal Australasian College of Dental Surgery
  • Fellow of the American Academy of Implant Dentistry
  • Accredited Full Member of the British Academy for Cosmetic Dentistry.

Applications for portfolio assessment are now being accepted in Restorative Dentistry. Portfolios in Implant Dentistry will start being accepted early in 2026, with those in Orthodontics thereafter.

To find out more, and to apply, click the button below:

APPLY BY CLINICAL PORTFOLIO

The next College Fellows’ Reception, incorporating the ceremonial admission of new Associate Fellows and Fellows, will take place on the evening of Thursday 5 February 2026 in London. For details, visit cgdent.uk/events

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College of General Dentistry News

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].

Foundation Nakao – CGDent Award application v1.3Download

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 of General Dentistry News

Introduction to Occlusion Symposium travels to Edinburgh

Following the success of the Introduction to Occlusion Symposium on 5 April in London, the symposium is travelling north and will take place on Saturday 1 November in Edinburgh.

Introduction to Occlusion Symposium, London

The comprehensive programme will remain the same and will be delivered by the panel of six renowned speakers who impressed delegates at the inaugural symposium in April. It is designed for early career dental professionals but all dental professionals are welcome to attend.

Members of the College are asked to share details of the symposium with friends and colleagues who may wish to attend.

book your place

The aim of the event, which has been organised by the Tom Bereznicki Charitable Educational Foundation in conjunction with the College, is to enhance delegates’ understanding of the fundamentals of occlusion and how these principles can support the placement of successful, long-term restorations for patients presenting with tooth wear and other conditions.

Dr Tom Bereznicki FCGDent, Chair of Trustees, Tom Bereznicki Charitable Educational Foundation, explains the move to Scotland:

“We were delighted by the enthusiastic feedback we received from the London symposium which showed that many delegates had left the day with a much clearer understanding of occlusion and the treatment options available, and felt inspired to incorporate what they’d learnt into their practice. We wanted to ensure that colleagues in other parts of the country had the same opportunity to expand their knowledge of this important topic and the decision was made to repeat the symposium in Edinburgh with exactly the same programme and the same inspiring speakers.”

The opening lecture will be delivered by Dr Bereznicki, who will use real failure cases to illustrate what can happen if a patient’s occlusion is not assessed and treated.

Further lectures will then be delivered by Professor Paul Tipton, Dr Ken Harris, Dr Tif Qureshi, Dr Shiraz Khan and Dr Koray Feran.

Dr Tom Bereznicki
Prof Paul Tipton
Dr Ken Harris
Dr Tif Qureshi
Dr Shiraz Khan
Dr Koray Feran

Describing the programme, Dr Bereznicki said: “We will be focussing on the basic fundamental principles involved in occlusion, particularly the intraoral occlusal examination which is crucial in treatment planning.”

Alongside the programme of lectures, delegates who wish to develop their knowledge of occlusion further can visit a hand-picked selection of education stands to learn more about leading postgraduate courses available in this field.

To ensure the symposium is accessible to all, the fees have been set at £90 for early career practitioners who qualified between 2020 and 2025, and £110 for all other dental professionals. These fees include lunch.

You can find further information and secure your place by clicking the button below.

book your place

The Tom Bereznicki Charitable Educational Foundation, in collaboration with the College, is also hosting a symposium on 20 September 2025 in London. Dr Reena Wadia will deliver the morning session on the topic of pink aesthetics and in the afternoon, Dr Andy Toy will discuss the importance of occlusion in the successful provision of aligner therapy. You can find out more and book your place here.

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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 News

Education partnership with Dentistry Show London 2025

The College will once again be an education partner at Dentistry Show London this year.

CGDent speakers at Dentistry Show London 2025: Preetee Hylton RDN (left) and Helen Kaney FCGDent (right). Centre: College representatives at the CGDent stand

The College will be a partner in two CPD theatres, delivering one lecture in each; the Dental Care Professionals Hub, which has a programme created specifically with dental hygienists, therapists, nurses and the wider team in mind; and the new Keynote Theatre, which brings together the latest policy updates with advances in technology and technique. Both lectures will be free of charge for members and non-members of the College alike:

AI in dentistry – an indemnity perspective*

Friday 3 October 2025, 9.15am-10.00am

Helen Kaney FCGDent, Senior Dento-legal Advisor with the Medical and Dental Defence Union of Scotland, will deliver this lecture in the Keynote Theatre. A dually qualified dentist and solicitor, Helen graduated 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, is a Fellow of the Faculty of Forensic and Legal Medicine of the Royal College of Physicians, and served as an elected National Representative on the College Council from 2019-2025.

From disclosure to action: domestic abuse and the dental professional’s duty

Saturday 4 October 2025, 3.15pm-4.00pm

Preetee Hylton RDN, President of the British Association of Dental Nurses, will deliver this lecture in the Dental Care Professionals Hub. A full-time dental nurse and safeguarding lead at a private dental practice in London, Preetee is an Associate Examiner for the National Examining Board for Dental Nurses and delivers the NCFE CACHE Level 3 Diploma in Principles and Practice in Dental Nursing. A former receptionist, practice manager, lead dental nurse and clinical mentor to student dental nurses, she holds the NEBDN National Certificate in Dental Nursing, BDA Education Certificates in Oral Health and in Dental Radiography, a Preparing to Teach in the Lifelong Learning Sector qualification and a Certificate in Assessing Vocational Achievement, and in 2021 completed the DDS Treatment Coordinator Programme. A founding member and the former Study Club Co-Director of the ITI UK & Ireland Dental Nurses community, she is an honorary ambassador for the Mouth Cancer Foundation, a member of the editorial board of Dental Nursing, an Associate Member of the College and a past contributor to the Primary Dental Journal.

College representatives will also be available throughout the show at the College’s exhibition stand (B29) to talk to attendees about all aspects of membership, fellowship and the College’s vision for the profession.

It is not possible to register for any specific lecture in advance, however those wishing to attend will need to register for Dentistry Show London 2025, which is free for all dental professionals. Conference attendees will have access to up to 100 CPD lectures, as well as 180 exhibiting suppliers, and the opportunity to network with 4,000 dentists, practice managers, hygienists and therapists, dental nurses, technicians and laboratory owners.

REGISTER HERE FOR FREE

*This title was updated on 22 August 2025; it was originally titled ‘AI and social media in dentistry – an indemnity perspective’

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