Dr Roy Bennett FCGDent, accredited mentor in IV sedation & founder of Mellow Sedation Training
Dr Rob Endicott, accredited mentor in IV sedation
This CPD course was designed to train experienced dental sedationists in the use of the new benzodiazepine Remimazolam, and was also suitable for all members of the dental team involved in the treatment of the sedated patient: dentists, nurses and hygienists.
**COLLEGE MEMBERS RECEIVED 20% OFF USING DISCOUNT CODE CGDENT20**
Dr Roy Bennett FCGDent and Dr Rob Endicott host an on-demand webinar which provides an introduction to Remimazolam and its use in different situations. The webinar recording is free to view for College members and is available for a fee for non-members.
CGDent recorded webinar, Thursday 18 May 2023, 7pm
In this CGDent webinar, experts in sedation in dentistry, Dr Roy Bennett and Dr Rob Endicott, will discuss the new ultra short acting benzodiazepine sedative, Remimazolam, which was approved for use in the UK in dentistry in 2023.
As well as examining the pharmacology of Remimazolam, the speakers will discuss their experience of using the drug in many different situations.
Speakers:
Dr Roy Bennett FCGDent, accredited IV sedation mentor and founder of Mellow Sedation Training
It was free to view live for all dental professionals, and College members also have free access to the recorded webinar and can claim CPD hours for free. A £20 fee will apply for non-members who wish to claim CPD.
Membership of the College of General Dentistry is open to all registered dental professionals. Membership is available from £125 per year for dentists, from £83 for other dental professionals, and from £42 for Dental Nurses and those eligible for a concession. See the full list of CGDent membership rates here.
College members are eligible for a 20% discount for a one-day CPD training course in the use of the Remimazolam taking place in Manchester on 5 July 2023
The Intercollegiate Advisory Committee for Sedation in Dentistry (IASCD) has issued a statement on the clinical use of Remimazolam for intravenous conscious sedation for dental procedures.
The IACSD, on which the College is represented, publishes Standards for Conscious Sedation in the Provision of Dental Care – the accepted national standard for conscious sedation in dentistry in the UK – however the current version pre-dates the authorisation of Remimazolam.
The committee has set out the expected standard of clinical use and training to enable safe use of Remimazolam until an established evidence base becomes available. Relating only to patients over eighteen years of age, the committee’s advice is that Remimazolam should not be used in younger patients until further evidence becomes available.
The statement says:
Remimazolam, titrated intravenously as a single drug in adults, shall be used adhering to the same clinical standards and training required for midazolam.
The technique is classified as an operator-sedationist technique.
An appropriate adult escort is required for post-sedation care, in the same way as for the use of intravenous midazolam.
Remimazolam and midazolam should not be used in combination or sequentially on a routine basis and without adequate justification for the same episode of sedation in primary care.
Remimazolam should be reconstituted, drawn up and clearly labelled by the clinician administering the drug.
Providers of intravenous conscious sedation for dentistry, trained and experienced in the use of midazolam to IACSD standards, do not require further supervised clinical experience. However, clinicians must consult the manufacturer’s product literature and have knowledge of pharmacology, dosing and indications together with an understanding of how these fit with the IACSD standards. Evidence of this can be gained through CPD courses with appropriately set aims and objectives.
The College is hosting a live webinar on 18 May 2023, free to all dental professionals, which will provide an introduction to Remimazolam.
College members are eligible for a 20% discount for a one-day CPD training course in the use of the Remimazolam taking place in Manchester on 5 July 2023.
The latest edition of the Primary Dental Journal, Digital Dentistry, is now live online.
Guest edited by Clinical Professor of Prosthodontics at NYU College of Dentistry USA, Ilser Turkyilmaz, the issue explores various techniques to offer even the most experienced dental professional the latest update on the evolution of technology and materials.
Professor Turkyilmaz clarifies, “Now, well into the age of digital dentistry, clinicians are constantly challenged to find the most modern, relevant material to provide the best quality of care to their patients and ease their labour-intensive workflows. The goal of this issue is to do exactly that, enrich the repertoire of current and new clinicians to help optimise patient care.”
The issue also features the second of five domains from the College’s Career Pathways in Dentistry: Professional Framework, which describes the knowledge, skills and other attributes expected of primary care dental professionals at different career stages – from safe practitioner through to accomplished practitioner. The ‘Professionalism’ domain published in this issue will be followed by ‘Reflection’, ‘Development’, and ‘Agency’ domains in future issues of the Primary Dental Journal. The first domain, ‘Clinical & Technical’, was published in the Autumn 2022 issue, and all domains for every career stage can be viewed online, using the above link.
In addition – and following his 2022 webinar with the College (the recording of which is available on-demand) – we explore Duty of Candour and how this relates to dentistry, with expert in the field, Kevin Lewis. Kevin explains the essentials of the legal, ethical, human, and sometimes contractual duty of candour, and the importance of organisational culture and involving the entire dental team in duty of candour, then focuses on notifiable safety incidents and takes us through the steps needed in dentistry.
Details of the College’s upcoming international conference, Excellence and the dental team (24–25 March 2023), in collaboration with Quintessence Publishing can also be found in this issue and online. Please check here for the up-to-date programme.
A single page cut-out-and-keep chairside synopsis of Antimicrobial Prescribing in Dentistry: Good Practice Guidelines is included, providing a handy, practical overview of treatment options for common conditions. The synopsis was developed by the Faculty of General Dental Practice (now College of General Dentistry) and the Faculty of Dental Surgery of the Royal College of Surgeons of England.
Full access to the majority of articles is reserved for College of General Dentistry members and Primary Dental Journal subscribers. For non-members / non-subscribers, individual print issues are available to purchase from £41. An annual print subscription, normally costing £125, is included with membership of the College. Membership is available from £100 for dentists and from £33 for all other registered dental professionals, and also includes online access to the PDJ Archive of over 1,300 articles, and a range of other benefits.
CGDent members and PDJ subscribers should expect their printed copies to arrive in the next 2–3 weeks.
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 the publication of this issue.
A full list of papers is below.
CGDent members can view full articles via the links below by first visiting the PDJ Member Access page and clicking ‘Access the PDJ Archive’.
The College of General Dentistry and Faculty of Dental Surgery of the Royal College of Surgeons of England have co-published a chairside synopsis of Antimicrobial Prescribing in Dentistry: Good Practice Guidelines.
Antimicrobial Prescribing in Dentistry: Good Practice Guidelines offers clear, simple and practical guidance on the use of antimicrobials by dental teams, and the current third edition was developed by the Faculty of General Dental Practice (now College of General Dentistry) and the Faculty of Dental Surgery of the Royal College of Surgeons of England and published in 2020.
The new one-page synopsis summarises the recommended treatments for seven types of infection, including indications for the use of antimicrobials, and the first choice antimicrobial where use is indicated, with dosages and duration for adult patients.
Page references are indicated and a QR code included so that users can quickly and easily consult the appropriate section in the full guidance document, which also includes recommendations for other conditions, second choice antimicrobials (in case, for example, of penicillin allergy), dosages for children and hospital patients, consideration of medically compromised patients, and guidance on prophylactic prescribing for the prevention of local and distant site infections.
Dr Wendy Thompson PhD FCGDent, the College of General Dentistry’s lead on antimicrobial prescribing and stewardship, and the lead developer of the synopsis, said:
“The scale of the problem of antibiotic-resistant bacterial infections cannot be overstated. They already kill more people worldwide than HIV and malaria combined, and they will cause more deaths than cancer within a generation.
“By prescribing antibiotics only when strictly necessary, dental practitioners can keep antibiotics working and ultimately save lives. Using the new synopsis as an aide memoire, and referring to the full guidelines as necessary, will help them to do so.”
Mr Matthew Garrett, Dean of the Faculty of Dental Surgery of the Royal College of Surgeons of England, said:
“Our new one-page synopsis outlines treatment recommendations for a number of infections commonly encountered by dental practitioners, and makes it easy to access the full, detailed, condition-by-condition guidelines document, which is freely available online for the benefit of all dental professionals and their patients.
“If you only have time for one thing this World Antimicrobial Awareness Week, download and print out the new synopsis to help you play your part in combatting antimicrobial resistance all year round.”
Antimicrobial Prescribing in Dentistry: Good Practice Guidelines is available to view online free of charge, and College members can download it to access save, search and print functionality.
The new one-page synopsis is available for all dental professionals to download and print free of charge.
‘Preventing antimicrobial resistance together’ is the theme of World Antimicrobial Awareness Week (WAAW) 2022. Held annually from 18-24 November, WAAW is led by the World Health Organization (WHO), in partnership this year with the World Organisation for Animal Health, the Food and Agriculture Organization of the United Nations, and the UN Environment Programme.
The World Health Organization has declared antimicrobial resistance (AMR) as one of the top 10 global public health threats facing humanity, requiring urgent multisectoral action to achieve the Sustainable Development Goals. Members of the wider oral healthcare community, including decision makers and those with influence in governmental, non-governmental, academic and regulatory domains, must therefore consider their impact on AMR as a critical part of the sustainability agenda.
During WAAW 2022, the College of General Dentistry, Association of Clinical Oral Microbiologists and Faculty of Dental Surgery of the Royal College of Surgeons of England, are highlighting the importance of working together to tackle AMR, supported by the Association of Dental Hospitals, British Academy of Cosmetic Dentistry, British Association of Dental Nurses, British Association of Dental Therapists, British Association of Oral Surgeons, British Association of Private Dentistry, British Dental Association, British Endodontic Society, British and Irish Society of Oral Medicine, British Society of Antimicrobial Chemotherapy, British Society of Dental Hygiene and Therapy, British Society of Periodontology and Implant Dentistry, the Faculty of Dental Surgery of the Royal College of Physicians and Surgeons of Glasgow and the Faculty of Dental Surgery of the Royal College of Surgeons of Edinburgh.
“Everyone delivering and supporting oral healthcare has a role to play.”
They are reminding all those who deliver or support the delivery of oral healthcare that they have a role to play –working together, dental teams can identify service improvements and help keep antimicrobials working by auditing their prescribing practices, and the wider oral health community can reduce the need for prescribing of antibiotics by ensuring access to the right oral healthcare, at the right time and in the right place.
The organisations are encouraging dental teams to use a number of free resources to ensure that antimicrobials are used only when strictly necessary and appropriate:
They are also highlighting the Dental Antimicrobial Stewardship Toolkit (https://www.gov.uk/guidance/dental-antimicrobial-stewardship-toolkit), which provides links to a range of guidance, training, audit and patient-facing resources (including those above) which will be useful for all members of the dental team, including but not limited to prescribers.
The College has announced its programme of events between now and Spring 2023, with twenty CPD webinars anticipated as well as study days and conferences in all four nations of the UK.
Study days and conferences
In its first year, the College hosted major study days in Birmingham, Gateshead and Glasgow, and four more, including an international conference, will take place throughout the UK over the next six months:
Justin Durham on TMD, Finlay Sutton on prosthodontics, and The Caldwell Memorial Lecture delivered by Prof Jeremy Bagg on volunteering opportunities in dentistry
Avijit Banerjee, Krzysztof Chmielewski, Vincent Fehmer, Guillaume Jouanny, Bertrand Khayat, Stefen Koubi, Amit Patel, Shanon Patel, Bjarni Pjetursson, Ana Poveda, Tif Qureshi, Irena Sailer, Werner Schupp, Wendy Thompson, Ulrike Uhlmann, Istvan Urban and Otto Zuhr
Friday/Saturday 24-25 March 2023, QEII Centre, London
All these events are open for registration via our events page, with significant discounts offered to College members.
The College is also hosting nine CPD sessions at Dentistry Show Londonon Friday/Saturday 7-8 October 2022, which are free to all.
CPD webinars
The College has hosted over 25 live webinars to date, and upcoming events include:
Abhi Pal, Pynadath George; Thursday 16 March 2023, 7pm
Dates for a series of webinars on Restorative and aesthetic dentistry, once confirmed, will also be published on our events page
All dental professionals are able to watch our webinarslive. CPD certificates and on-demand access to the recordings are provided free of charge to College members, and are available to non-members on a chargeable basis.
College members can also access an online library of 1,000 hours of GDC-compliant e-learning, and an online personal development planning tool to identify and log areas for future learning tailored to their job role and aspirations.
The College will be the headline education partner for the Clinical Excellence Theatre at Dentistry Show London 2022, hosting nine seminars in three CPD theatres over the two-day conference.
CGDent speakers: top row: Jalpesh Patel, Kevin Lewis, Jason Wong, Wendy Thompson; bottom row: Tim Newton, Jacqui Elsden, Pynadath George, Abhi Pal
The College will be welcoming members and non-members alike to its sessions, with eight experts in their fields sharing their knowledge and giving advice on an array of subjects encompassing clinical dentistry, professionalism and career support:
Introduction to facial aesthetics and the current educational pathways
Duty of Candour: the legal and regulatory risk
Professionalism – a medico-legal perspective
Creating a positive patient safety culture in dentistry
Antimicrobial prescribing in dentistry
Mental health wellness in dentistry
Supporting staff through menopause (co-hosted with the BADN)
Mentoring in implant dentistry: good practice guidelines
Record-keeping in the real world of general dental practice
College representatives will also be available throughout the conference at Stand F58 to talk to delegates about the College, its vision for the profession and the benefits of membership, and to answer questions.
Conference registration is free, and delegates will have access to over 100 seminars in all across 6 lecture theatres, as well as over 180 exhibiting suppliers, and the opportunity to network with thousands of dentists, practice managers, hygienists and therapists, dental nurses, technicians and laboratory owners.
Developed in conjunction with the Association of Dental Implantology, the Mentoring in Implant Dentistry: Good Practice Guidelineswere published by the College in 2022. The guidelines describe the nature of mentoring which should be undertaken in order to safely carry out implant dentistry following completion of an appropriate training course.
This CGDent-hosted webinar helps both mentors and mentees in Implant Dentistry understand what the new guidelines are and why they were developed, and it provides an insight into what is expected from each other during the mentoring process.
Introduction:
Abhi Pal, President of the College of General Dentistry
Speakers:
Charlotte Stilwell, Specialist Prosthodontist
Dr Pynadath George, Dental Surgeon, Advanced Restorative Dentistry and Complex Dental Implants
It is free to view live for all dental professionals, and College members also have free access to the recorded webinar and can claim CPD hours for free. A £20 fee will apply for non-members who wish to claim CPD.
Membership of the College of General Dentistry is open to all registered dental professionals. Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/.
CGDent recorded webinar, Wednesday 7 December 2022
This lunch and learn webinar is the third in the College’s Research and Critical Appraisal of Evidence series of webinars.
This third CGDent webinar outlines the main elements and key stages of meta-analysis and how to appraise meta-analyses. We examine heterogeneity and its causes, consider the interpretation of a forest plot and look at appraisal checklists.
Speakers:
Derek Richards, Specialist in Dental Public Health, Director of the Centre for Evidence-Based Dentistry
It was free to view live for all dental professionals, and College members also have free access to the recorded webinar and can claim CPD hours for free. A £20 fee will apply for non-members who wish to claim CPD.
Membership of the College of General Dentistry is open to all registered dental professionals. Membership for dentists is available from £94, and for other registered dental professionals from £33. The full list of CGDent membership rates is at https://cgdent.uk/membership-fees/.
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