The General Dental Council (GDC) has announced plans to overhaul its Overseas Registration Exam (ORE) booking system following widespread technical issues experienced by candidates.

The regulator told Dentistry that the new portal would be in place for exams scheduled in 2027, as part of the new ORE contract with UCL Consultants.

This comes as dentists reported payment issues, errors and overloaded servers during the booking process for the next sitting of the ORE Part 1. The 30 June booking window was the first time candidates were able to book ORE sittings through their MyGDC accounts.

Unable to get in contact with the GDC in the aftermath of the crash, some applicants were left unsure if they had successfully secured a space, despite payment having been taken in many cases.

The GDC said it has now resolved the majority of the issues experienced by candidates. It has been working through bookings and payments individually to ensure each candidate’s record is accurate.

It said: ‘We’re confident this gives candidates the certainty they need ahead of the next booking window on 14 July.’

Acknowledging the 65% increase in the ORE Part 2 fee announced in May, the GDC clarified that the additional funds would not be used to reform the booking system, but instead recover ‘the cost of delivering a complex clinical exam at scale’.

Announcing the fee increase, the GDC said: ‘The new fee rates reflect the cost of the new contract, including the costs which come from expanding capacity. We expect them to remain broadly stable over the next five years.  

‘The increase in exam spaces is a positive step forward, but we are very conscious that the increased cost is a burden for candidates to bear.’

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Lactation experts Ashana Gupta and Sarah Oakley analyse the case of a dentist who was suspended for failing to gain adequate consent while treating an infant’s lip and tongue ties.

The terms tongue and lip tie refer to congenital conditions whereby the frenulum connecting the lip or tongue to the mouth is too tight. In newborn babies, they can cause challenges with latch, milk transfer, maternal discomfort during breastfeeding, or prolonged feeding times.

While accusations of overdiagnosis have led lip and tongue ties to be the subject of controversy in recent times, it was not the procedure itself that caused the issue in this case. Instead, the dentist was found to have failed to obtain informed consent for some aspects of the treatment.

We spoke to Sarah Oakley, a lactation specialist and tongue tie practitioner, and Ashana Gupta, an oral surgeon and lactation consultant, to gain some insight into what went wrong.

Communication and consent

Both experts stressed that the dentist in question was not criticised for their management of the patient’s tongue and lip tie. Ashana said: ‘The key themes from this case relate less to whether tongue tie release itself is an appropriate treatment, and more to the importance of transparent communication, informed consent and shared decision making throughout the entire patient journey.’

The dentist was also found to have obtained valid consent for the initial tongue tie procedure, informing the parents of the potential risks and even sending them an information pack that they had to sign prior to treatment.

However, the GDC concluded that they did not gain sufficient consent to reopen the wounds at a follow-up appointment.

For Sarah, this raises an important debate around what adequate consent is and how it is perceived by professionals and patients or their parents.

She said: ‘Parents frequently come to practitioners in a heightened state of stress, having experienced significant feeding difficulties for a sustained period of time. They are also often recovering from a traumatic birth experience. Most parents have little experience of surgical procedures, and many have accessed misleading information online and conflicting information and poor support from other healthcare professionals in relation to frenotomy and infant feeding.’

Addressing misconceptions can be very difficult, but is often key to managing expectations and ensuring patients fully understand their treatment.

What misconceptions surround tongue ties?

Sarah has found that many parents believe tongue tie treatment is a ‘quick snip’ which will result in instant improvement. In this case, reopening wounds caused the patient to bleed, which they and their parents found distressing.

She said: ‘Where practitioners are doing anything for which the evidence base is limited or conflicting, parents need to be made aware of that, along with the risks, benefits and alternatives prior to intervention.’

There is strong evidence that tongue tie can lead to reduced tongue mobility and feeding issues in young babies. However, Ashana notes that the evidence is less straightforward surrounding other possible effects of tongue ties such as speech impediments.

She continued: ‘Beyond infancy, a restricted tongue movement may, in some individuals, be associated with functional concerns such as difficulty producing certain speech sounds (for example, some “th” sounds), although the relationship between tongue tie and later speech difficulties is complex and not every child with a tongue tie will experience these problems.

‘This is why assessment should focus on function rather than appearance alone, and decisions should be made based on the individual child’s needs.’

How can consent for treatment of tongue ties be properly established?

Ashana believes that creating an environment that feels safe for the patient and their parents is crucial in tongue tie assessment and treatment. She said: ‘Parents should feel supported with clear, balanced information so they understand the diagnosis, the available options, the potential benefits and risks, and are able to make an informed decision at every stage of care.’

Checking that patients or parents have understood the information provided and keeping detailed records are both central to proving that consent has been established. Ashana advised a thorough explanation of what is being proposed, why it is being considered, the risks and the alternatives – ensuring these conversations are clearly documented.

The suspended dentist informed the patient’s parents that they were going to ‘apply some pressure to release the wound as it looked a bit tight’, and received a nod by way of agreement. This was not considered sufficient by the GDC.

Sarah said: ‘Practitioners offering division, or any surgical procedure, need to ascertain that the parents have fully understood the implications of proceeding with surgery, but this is not always straightforward and overwhelmed, sleep-deprived parents may not assimilate or recollect everything that is said to them.’

Ideally, parents would be given time to consider their options and do further research after an initial consultation. However, Sarah notes that many parents travel to access tongue tie treatment and may be reluctant to delay a procedure while coping with acute feeding issues.

Another crucial precursor to adequate consent is the practitioner’s own understanding of current professional discussions around lip and tongue ties.

What do dental professionals need to know about tongue ties?

Appropriate training is essential for any dental professional undertaking assessment and treatment of oral ties in newborns. According to Ashana, this might include:

• Understanding infant feeding
• A strong grounding in neonatal oral anatomy,
• Knowing the indications for intervention
• Appropriate consent processes
• Aftercare
• Recognising when referral or additional support is required.

There are a number of different techniques for treating tongue and lip ties, including sterile scissors and laser therapy. Ashana said: ‘Laser can provide a precise approach and may offer some haemostatic benefit by coagulating small blood vessels during treatment. As with any procedure, appropriate patient selection, clinical skill, consent and aftercare planning remain fundamental.’

The two experts agreed that the suspended dentist’s approach to treatment went against current thinking at times. While Ashana cited the Association of Tongue Tie Practitioners’ statement that releasing an upper lip tie is not supported for managing feeding difficulties to the same degree as with tongue ties, Sarah explained that reopening wounds after a tongue tie procedure is not a widespread practice as it could promote the formation of more scar tissue.

Sarah concluded: ‘I think all practitioners involved in tongue tie division – be they dentists, doctors, surgeons, nurses or midwives – can learn from this case and we can all take steps to improve our practice as a result.’

Overall, the specialists advised ‘careful assessment and appropriate discussion of the evidence base’ where tongue and lip tie management is concerned.

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Leo Briggs explains how understanding both the ethical and legal duty of candour helps dental professionals respond appropriately and maintain patient trust.

Most patients accept that mistakes can happen but they won’t forgive any attempt to cover them up. The duty of candour is key to retaining their trust. 

The ethical duty of candour

The GDC says dental professionals have a duty of candour ‘when something goes wrong which causes, or has the potential to cause, harm or distress’ (GDC, 2019).

It expects Professional Conduct Committees to ‘take very seriously a finding that a dental professional took deliberate steps to avoid being candid with a patient or to prevent someone else from being so’.

The legal duty of candour

Alongside this individual duty is a legal duty of candour about ‘notifiable patient safety incidents’, which applies to NHS and private dental practices in England and Scotland and to practices providing NHS services in Wales (Northern Ireland plans similar legislation).

This requires practices to notify patients about patient safety incidents that meet the relevant threshold.

For example, in England, this is something unintended or unexpected which already has, or might lead to death, severe or moderate harm.

There is specific guidance about the legal duty of candour threshold and process for England, Scotland and Wales.

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Joseph Sabbagh shares a practical application of root canal treatments using GenENDO instruments and BioRoot Flow in daily practice.

Root canal treatment (RCT) is a common endodontic procedure aiming to preserve a tooth through proper cleaning, shaping and obturation of the root canal system. When properly performed, root canal treatment has an estimated success rate of 90.3% (Ricucci et al, 2011). For retreatments, the success rate is between 65.5% and 77.6% (Stueland H et al, 2023).

Recent innovations in endodontics are revolutionising root canal therapy by integrating advanced imaging, precision instruments and enhanced disinfection methods, making the treatment easier and more predictable. Three-dimensional imaging – particularly cone-beam computed tomography (CBCT) – enables detailed visualisation of complex canal morphologies and guided access.

Cleaning and shaping of a root canal system relies on using flexible nickel-titanium (NiTi) files, simplified sequences, and improved alloys, together with apex locators and enhanced rotary motors, to facilitate efficient shaping of curved canals while minimising procedural errors. This enables subsequent steps, including coronal flaring, creating a reproducible glide path, determining the working length, and carrying out biomechanical preparation and disinfection of the root canal system.

Ultimately, the procedure aims to achieve effective obturation, ensure the longevity of the restoration, and preserve as much of the natural tooth structure as possible (Elmatary et al, 2025; ESE, 2006).

The gold standard in root canal treatments

The dental community has understood that an adequate endodontic treatment does not mean enlargement of the canals, but rather a proper disinfection of the root canal system combined with a three-dimensional seal. Several techniques using gutta-percha, delivered in different modes, are used for the obturation phase.

For several years, the warm vertical technique, described by Schilder in 1972, was considered the gold standard in endodontics. Although showing good clinical outcomes, this technique is complex and involves several steps. Recent development in biomaterials has led to a new category of products called bioceramics, based mostly on calcium silicate (CSCs). They can be used as cements in restorative dentistry for pulp vitality preservation, or as sealers in endodontics (Dong and Xu, 2023).

During the obturation step, the use of bioceramic sealer combined with a single gutta-percha cone makes this phase easier and more predictable.

The following clinical case report details a root canal treatment of an upper molar. The root canal preparation was completed with two NiTi files in continuous rotation (Revo-S+, GenENDO, Septodont). The obturation was done using a recent bioceramic sealer (BioRoot Flow, Septodont).

Clinical signs and symptoms

A 59-year-old male patient presented to the dental clinic to complete a root canal treatment after severe spontaneous pain localised at the upper right posterior quadrant. The pain had persisted for five days and intensified with hot stimuli. Consequently, the patient went to a hospital offering an emergency dental service. They created an access cavity in tooth #17 to relieve the pain, placed a temporary restoration, and asked him to continue the treatment with an endodontist.

A preoperative periapical radiograph revealed an apical lesion on the palatal root of tooth 17 (upper right second molar) with a widened periodontal ligament space around the mesial root. No swelling or sinus tract was visible.

Diagnosis

Based on the patient explanations, clinical and radiographic findings, the tooth was diagnosed with a necrosis following an acute irreversible pulpitis. A non-surgical root canal treatment was planned to complete the emergency procedure initiated at the hospital.

Procedure and treatment

Following administration of local anaesthesia (Septanest,1:200.000, Septodont, Saint-Maur-des-Fossés, France), the temporary cement was removed using a diamond bur and a carbide tungsten bur was used to finalise the access cavity. Three canal orifices were identified: mesiobuccal (MB), distobuccal (DB) and palatal (P). The working field was isolated using a latex rubber dam fixed with a Softclamp (Kerr, Orange, USA) to avoid any gingival fluid contamination or accidental instrument swallowing.

A manual stainless steel 010 K-File (GenENDO, Septodont) was used to scout the canals’ patency. Final working length was determined using an apex locator and confirmed radiographically.

Cleaning and shaping

Cleaning and shaping were initiated using a crown-down technique with rotary files GenENDO Revo-S+ (Septodont) SC2 and SU. There was no need for coronal flaring due to the size and the straight form of the canals.

The shaping of the canal was done with two NiTi Files: GenENDO Revo-S+ SC2 (25/0.4 symmetrical design) was used first, centered downward on the canal in two or three motions. Once the length was obtained with the SC2, a final shaping was done with the GenENDO Revo-S+ SU (25/.06 asymmetric  design)  for  a  uniform  taper  and optimal preparation following one centred downward and one upward movement with selective wall support, finishing at working length.

Copious irrigation with 3.5% sodium hypochlorite was performed throughout instrumentation, and canals were irrigated with EDTA on a final flush flow to remove the smear layer. Rechecking of canal patency was regularly ensured using a GenENDO K-File 010 between each instrument. Figure 5 shows the access cavity with the three cleaned and prepared canals.

Obturation

In the absence of swelling and after complete drying of the canals, contemporary endodontic strategy recommends the obturation of the canal system during the same session. After final irrigation, the canals were dried using one or two paper points to avoid over-drying. BioRoot Flow (Septodont), a recently introduced bioceramic sealer, was injected into each canal with low pressure.

Using a single-cone technique, one master cone of gutta-percha, previously calibrated and confirmed radiographically, was inserted into each of the canals. The gutta-percha points were then cut using a heat-cutting device and compacted with an endo plugger. A Teflon pellet was placed in the access cavity and covered by a temporary cement. Postoperative radiography of the canal system showed it was properly shaped, cleaned and homogenously filled to the radiographic apex.

Follow-up and outcome

At the one-month follow-up, the patient reported no pain or discomfort. Clinical testing showed no tenderness, and radiographic examination revealed resolution of the periodontal ligament widening and signs of periapical healing. The tooth remained functional and symptom-free.

Endodontic treatment of molars can be challenging due to variations and complexities in root canal morphology. Use of magnification, electronic apex location, and simplified rotary instrumentation enhanced the precision of canal shaping. The obturation phase was performed with a bioceramic sealer and a single gutta-percha cone, which is being used more and more in endodontics.

Successful root canal treatment depends on adequate diagnosis, canal disinfection, and hermetic obturation. Early intervention prevented the progression of periapical disease and preserved the natural tooth structure, avoiding extraction. This case highlights the importance of comprehensive diagnostic and clinical protocols in the endodontic treatment of maxillary molars. With proper technique and patient compliance, even complex molars can be predictably treated, resulting in long-term tooth retention and functional restoration.

References                                                                                                                                                     

1. Ricucci D, Rutberg M et al, 2011, A prospective cohort study of endodontic treatments of 1,369 root canals: results after 5 years. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 112(6) : 825-42.
2. Stueland H, Ørstavik D, Handal T. 2023 Treatment outcome of surgical and non-surgical endodontic retreatment of teeth with apical periodontitis. Int Endod J ; 56 (6) : 686-696.
3. Elmatary, A., Moawad, E., Heidarifar, O. et al. Endodontic access cavity preparation: challenges and recent advancements. Br Dent J 238, 469–475 (2025).
4. Dong X & Xu X. 2023 Bioceramics in Endodontics : Updates and future perspectives. Bioengineering: 10. 354.

This article is sponsored by Septodont.

Anna Najran shares her experience of navigating endometriosis and adenomyosis alongside a career in dentistry, plus her advice for others who are suffering.

As a general and cosmetic dentist, I have cared for thousands of patients, helping them through everything from routine examinations to smile makeovers. Behind the scenes, I was pushing through intense pain, living with an undiagnosed chronic illness while balancing the demands of life as a busy working mum.

Looking back, I had struggled with my menstrual health since my teenage years, but over the last decade my symptoms progressively worsened. I experienced a range of symptoms, from intense pelvic pain and back pain to bloating, chronic fatigue and migraines. Despite seeking medical advice, my symptoms were repeatedly dismissed.

Like many women, I accepted this for a time. But I knew something wasn’t right and I kept advocating for myself. Eventually I was referred for an MRI and then on to an endometriosis specialist.

It was only when I underwent complex surgery that I was finally diagnosed with stage 4 endometriosis and adenomyosis and truly understood just how much I had been living with.

I am sharing this because I know I am not the only dental professional living with this invisible condition.

What is endometriosis?

Endometriosis is a chronic inflammatory disease in which tissue similar to the lining of the uterus grows outside the uterus. It is increasingly recognised as a systemic disease with effects extending beyond the reproductive system. Adenomyosis, which often co-exists with endometriosis, occurs when similar tissue grows within the muscular wall of the uterus.

Around one in 10 women are affected, yet diagnosis still takes an average of eight years. Symptoms can vary widely and may include severe period pain, chronic pelvic pain, lower back pain, pain during or after sex, heavy menstrual bleeding, bloating, bowel and bladder symptoms, chronic fatigue, nausea and fertility struggles. Because many symptoms overlap with other conditions, diagnosis is often delayed.

When dentistry masks the disease

Dentistry is physically demanding at the best of times. We work in fixed positions for long periods, often leaning forward with a level of precision and concentration that leaves very little room for pain or discomfort. For someone living with endometriosis, where pelvic pain, lower back pain and fatigue are already part of daily life, those demands become even harder to bear.

My appointments range from routine examinations to smile makeovers lasting four or five hours. During those appointments there is little opportunity to move or relieve discomfort. Like many dentists, I assumed the headaches, back pain and exhaustion simply came with the busy clinics. It never occurred to me they could all be connected.

Dentistry can also be emotionally consuming. In a single day, we may see patients of all ages and backgrounds, each carrying their own anxieties, expectations and life circumstances. Some need reassurance, others empathy, while some simply need someone to listen. We instinctively adapt our communication, our tone and our approach to meet each patient’s individual needs before resetting and doing it all again for the next person.

When you are living with chronic fatigue, being fully present for every patient takes energy. Yet, as healthcare professionals, we become incredibly good at masking what we are experiencing so that every patient receives the same level of care, compassion and attention.

Managing GP and specialist appointments around a busy clinic diary is one of the less visible challenges of living with a chronic condition as a dentist. Moving or cancelling patients, even when necessary, carries its own weight of guilt, something many of us feel disproportionately.

What changed after my endometriosis diagnosis

Receiving my diagnosis did more than answer years of unanswered questions; it validated my symptoms and changed the way I think about health altogether. I threw myself into researching the disease and grew much more aware of my own triggers and flare-ups. The more I learnt about endometriosis and adenomyosis, the more empowered I felt to take an active role in my own health. Whilst my diagnosis gave me clarity, knowledge empowered me.

Endometriosis is complex. The causes of endometriosis are not fully understood, but hormones, inflammation, gut health, immune function and nervous system regulation can all play a role. That is why there is no single solution, and why managing it well often requires looking at the bigger picture.

Coping strategies

These are some of the things that have helped me:

• Adopting a more anti-inflammatory lifestyle, with a focus on nutrition, movement, sleep and recovery
• Focusing on gut healing, including high fibre foods and managing insulin resistance
• Using targeted supplementation to support my symptoms
• Reducing toxic load and switching to low toxin products where possible
• Optimising liver health to support hormone regulation and detoxification
• Tracking my symptoms to better understand my triggers, flare-ups and symptom patterns
• Being more intentional with my clinical diary, avoiding multiple long cases on consecutive days to allow adequate recovery
• Building short movement breaks into the day
• Using practical measures such as heat pads, a TENS machine and appropriate pain relief medication when needed
• Learning to adapt my exercise to how my body is feeling, recognising that recovery can be just as important as movement
• Incorporating mindfulness, meditation and complementary wellbeing practices, such as reflexology, into my routine
• Building a support network, whether that is a partner, close friends or a trusted member of your clinical team and leaning on them on the difficult days.

One of the biggest shifts has been learning to listen to my body rather than constantly pushing through. Having a well-trained clinical team around me has also made an enormous difference. When your nurse can independently handle tasks such as digital scanning, radiography, clinical photography and patient education, it meaningfully reduces both the physical and cognitive demands of a busy clinical day, and on the more difficult days, that support is invaluable.

Advice for colleagues living with endometriosis

If you are living with endometriosis or any chronic illness, the first thing I want you to know is that you are not alone.

Seek medical help and do not accept dismissal. If something feels wrong, advocate for yourself. Push for an MRI and ask for a referral to an endometriosis specialist. You deserve the same thoroughness of investigation that you would want for your patients.

Do your own research and explore what works for your body. Everyone’s experience of this condition is different and finding what helps you manage your symptoms is a personal journey.

Lean on the people around you, a partner, a close friend, a trusted colleague or your nurse. You do not have to carry this alone.

Final reflections

Living with endometriosis and adenomyosis has undoubtedly changed my life, but it has also changed the way I practise dentistry. It has made me more intentional with my health, more aware of the importance of recovery and even more empathetic towards the patients I care for every day. It has also reminded me what it feels like to sit on the other side of the consultation.

As dentists, we spend our careers educating and empowering our patients, encouraging them to understand their health and make informed decisions about their care. My diagnosis reminded me how powerful that knowledge can be. If sharing my experience helps just one dental professional feel seen, seek answers sooner or realise they are not alone, then telling my story will have been worthwhile.

Looking after ourselves is not a distraction from patient care; it is what allows us to continue providing it.

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The newly published Oral Health Index, which draws on data amassed by Hello Pearl, highlights significant differences in oral health outcomes between the UK and the US and reinforces the importance of identifying dental disease before symptoms develop.

Based on 737 million tooth observations from 26 million dental visits across both countries, the Index found that UK patients in the full-mouth radiograph cohort had an average of 6.36 missing teeth, compared with 2.16 in the US. Around 31% of affected teeth in the UK had been extracted, versus 14.5% in the US.

These findings should not be viewed as a criticism of clinicians. Rather, they reflect how access to care, funding models, appointment pressures and available treatment options can influence whether teeth are restored, monitored or extracted.

The data also highlights an important message: the absence of pain does not necessarily mean good oral health. Early carious lesions, periodontal disease and mineral loss frequently develop without symptoms and may remain undetected without radiographic assessment.

Interpreting radiographs can also be challenging for patients, who often rely solely on verbal explanations from clinicians. Hello Pearl’s Second Opinion platform aims to bridge this gap by analysing dental radiographs and highlighting findings such as suspected caries, periodontal bone loss and calculus deposits directly on the image. The technology is designed to support, not replace, clinical judgement by improving consistency and helping patients better understand their oral health.

Early detection can make a significant difference. Enamel demineralisation identified early may be managed with preventive measures, whereas disease detected later may require restorative treatment or even extraction.

Younger adults carrying a high burden of untreated disease

One of the most striking findings concerns younger adults. Among those aged 18-24, 52% of identified dental disease was untreated, the highest proportion of any age group. In adults aged 75 and over, the figure was 28%, despite a greater overall burden of dental disease. This suggests that older adults are more likely to have had previous treatment, including fillings, crowns and extractions, whereas younger adults may be accumulating untreated disease.

Several factors may contribute to this trend. Young adults often lose continuity of care when leaving home, fail to register with a new practice or deprioritise routine dental visits due to competing financial pressures. Without symptoms, disease progression can easily go unnoticed.

The Index also identified first permanent molars as particularly vulnerable. Although they represent only 14% of the dentition, they accounted for 24% of detected carious lesions and 31% of restorations. Evidence of decay in first molars appeared from around age 17, considerably earlier than in lower incisors, highlighting where preventive efforts may be most beneficial.

Access to care remains a key determinant

The findings suggest that oral health outcomes are influenced as much by access to care as by individual behaviours. Importantly, all individuals included in the dataset had attended a dental practice and undergone radiographic examination, meaning the true burden of undiagnosed disease among those who do not access care is likely to be even greater.

The Index ultimately reinforces a simple message: pain should not be the main reason for seeking dental care. The period between feeling well and being clinically well is often when preventable disease progresses. By helping clinicians identify and communicate pathology earlier, Hello Pearl aims to support interventions when conditions can still be monitored, managed or potentially reversed.

To request a demo, visit hellopearl.com/getdemo.

This article is sponsored by Hello Pearl.

Welcome to The Week in Dentistry, a regular round-up of dental sector updates from across the UK and Ireland.

This week’s edition includes the launch of an artificial intelligence receptionist for dental practices, the sale of a West Midlands practice, community support work in east London and a statement from a UK-based Venezuelan dentist following the earthquake in Venezuela.

Venezuelan dentists at LOC & ODL respond to earthquake

Venezuelan dentists at London Orthodontic Clinic (LOC) and ODL Dental Clinic have responded to the earthquake in Venezuela, highlighting the humanitarian impact on communities across the country.

Alex Seijas, founder of Mission Beyond Smiles and founder and clinical director of LOC and ODL, said many Venezuelans living abroad had spent recent days trying to contact family and friends.

He said: ‘At moments such as this, international solidarity and humanitarian support become more important than ever. My thoughts are with everyone affected by this disaster, particularly those who have lost loved ones, homes or livelihoods.’

Mission Beyond Smiles recently took a team of Venezuelan dental professionals from the UK to the Venezuelan Amazon to provide dental care and support to underserved Indigenous communities.

Dentally launches AI-powered Dentally Pulse

Dentally has unveiled Dentally Pulse, an artificial intelligence (AI) intelligence layer designed to reduce administration and support dental practice teams.

The platform is designed to sit across Dentally and turn conversations, clinical observations, patient interactions and operational data into practical outputs. Dentally said the first feature available through Dentally Pulse is an enhanced AI clinical notes tool, which can summarise appointment conversations into clinical records without storing the original audio.

Duncan Leslie, director of product and technology at Dentally, said: ‘Our approach to AI is simple: it should assist, not replace. Clinicians remain firmly in control, while technology works in the background to help practices work more efficiently and focus more time on patients.’

Dentally Pulse will be rolled out progressively throughout 2026, with additional capabilities expected during the third and fourth quarters. Practices can register interest through Dentally.

Savona Dental supports homeless community

Savona Dental partnered with SameDayDoctor and Nishkam SWAT to provide care packages for people experiencing homelessness in east London.

The Canary Wharf practice helped prepare and distribute bags containing toothbrushes, toothpaste and warm socks. SameDayDoctor also contributed feminine hygiene products, while Nishkam SWAT volunteers distributed the packages in Stratford.

AI dental receptionist Greeta launched

Conversico launched Greeta, an artificial intelligence (AI) dental receptionist designed to support practices with missed, overflow and out-of-hours calls.

The system answers calls, books directly into the practice management system and gives reception teams a clear next step. Greeta launched on 30 June 2026 and is now live, with a public demo available through Conversico.

Dudley dental practice sold after owner retires

Andrew Hargreaves Dental Practice in Dudley, West Midlands, was sold after its founding owner retired from clinical dentistry.

The three-surgery mixed-income practice was founded by Andrew Hargreaves in 1996. Christie & Co handled the sale, and the practice was purchased by Nazim Shah, an experienced dentist with previous practice ownership experience. The sale price was undisclosed.

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The General Dental Council (GDC) was challenged over the lack of formal quality assurance for Overseas Registration Examination (ORE) preparatory courses at a Dental Leaders Network event exploring how the growing number of internationally qualified dental professionals can be better supported in UK dentistry.

The event, held on 30 June, brought together regulators, educators, employers and professional support organisations to examine a workforce issue that is becoming increasingly central to NHS access, practice recruitment and patient care.

The informative and collaborative day opened with scenario modelling from Stefan Czerniawski, executive director of strategy at the GDC, showing how the make-up of the dental register could change if current and planned registration patterns continued. Under one scenario, fewer than a third of new dentists joining the register could be UK trained by 2029, with UK-trained dentists becoming a minority of the overall register by 2034.

Czerniawski stressed that the figures were scenarios rather than predictions, with future patterns dependent on factors including ORE and Licence in Dental Surgery (LDS) capacity, European registrations, retention and candidate behaviour.

He said this was not a negative trend, stressing that internationally qualified dental professionals made an ‘enormous and invaluable contribution’ to healthcare in the UK. However, the changing workforce raised questions about foundation training, supervised practice, support needs and how the UK remained attractive to internationally qualified dentists.

ORE preparation

One of the most noteworthy exchanges came towards the end of an afternoon panel discussion, when Fiona Sandom, senior lecturer and programme lead for dental hygiene and dental therapy at Bangor University, challenged Czerniawski and the GDC on oversight of ORE preparatory courses.

She asked whether the regulator quality assured ORE educational providers in the same way it quality assured other GDC-registered qualifications.

Czerniawski confirmed there was quality assurance of the ORE itself, but not of the courses candidates take to prepare for it. He said the ORE was structured as a self-contained assessment, with the regulator historically focused on the assessment rather than how candidates prepared for it.

However, he acknowledged that some form of accreditation or standard setting for preparatory courses could be valuable, adding that whether this should be done by the GDC, or under what powers, remained a separate question.

The exchange captured a wider theme running through the day: the ORE remained a central route into UK registration for many overseas-qualified dentists, but the journey around it was often fragmented, expensive and inconsistently supported.

Consistency and cost

Another panellist, Gauri Pradhan, honourable trustee of International Dental Organisation UK (IDO UK), said registration was often the first major hurdle for internationally qualified dentists, with some candidates unsure how to navigate the system despite recent improvements to the ORE booking process.

She said candidates could spend between £15,000 and £18,000 from the point they started the registration process to joining the register, with some paying thousands of pounds for preparatory support without clear validation or accreditation.

Kaushik Paul, clinical director at mydentist, used an earlier talk to discuss how course providers played an important role in preparing candidates, but argued that the profession needed more consistency. Given the cost of the ORE, he said more should be done to help candidates ‘get it right first time’.

Building support

The event, which featured a number of speakers who had come through the ORE pathway, also highlighted the scale of practical support needed after candidates pass the ORE, which has seen a significant rise in cost.

Sam James, overseas resourcing manager at mydentist, said more than 50% of clinicians working with the organisation had qualified outside the UK, and that 474 international dentists had started their journey with mydentist over the previous three years. This aligned with GDC figures released in May showing overseas registrants outnumbered those from the UK for the first time.

He said the company’s approach included overseas training partnerships, recruitment support, help with National Health Service (NHS) performer number applications, visa and relocation support, induction and mentoring.

But speakers were clear that support needed to go beyond formal onboarding. Paul said mentors often helped candidates with practical parts of settling into UK life, such as finding local shops, opening bank accounts, accessing accountants and settling families into new communities. He noted that you can’t just drop a dentist from Mumbai into Makerfield and expect it to work.

Mostafa Hassaan, deputy chief dental officer for Wales and an internationally qualified dentist, said passing the ORE was only the first stage of a longer journey. He argued, with specific examples from his own practice, that integration was fundamentally a leadership issue, with international dentists needing fair first opportunities, clear NHS pathways, mentoring, communication support and help understanding UK patient expectations.

NHS performer number

The NHS performer number process was repeatedly raised as a barrier. Hassaan described it as a major bottleneck, arguing that dentists could pass the ORE, join the register and still face delays before treating NHS patients.

Paul also called for a more consistent approach to NHS performer list systems, arguing that requirements varied between regions and nations.

The panel discussed whether a national induction programme could help internationally qualified dentists move into NHS practice more consistently. Pradhan suggested this could include structured training on NHS systems, local expectations and support from a buddy or supervisor.

However, panellists warned that a short induction alone would not be enough. Sandom said support needed to include tacit learning and mentorship, rather than becoming a tick-box exercise.

Culture and safety

The discussion also moved beyond dentists. Sandom said internationally qualified dental hygienists and dental therapists needed support, while questions were also raised about dental technicians and other registered titles.

She said integration was too often treated as something individual clinicians had to solve on their own, when many were entering complex systems where expectations were rarely spelled out. Clearer pathways, explicit expectations and consistent support, she argued, would allow internationally qualified professionals to contribute fully.

Speakers also raised concerns about exploitation. Neda Irani, restorative clinical teacher at King’s College London, used her lightning talk to highlight that many overseas dentists did not realise they were being exploited because they had not yet had time to learn UK workplace norms, contracts, regulation or professional support structures.

She said support needed to cover practical issues such as contracts, indemnity and professional expectations, as well as the emotional pressures of moving country and starting a career again.

Paul also warned that internationally qualified dentists could be treated as cheap labour, disrespected or discarded when they raised concerns about poor conditions.

Asked who should be responsible for regulating employers and tackling exploitation, Czerniawski said the GDC’s remit covered professional standards, but identifying and acting on exploitation was a wider responsibility shared across the profession.

He suggested that where leaders and colleagues were aware of exploitation, they needed to be prepared to act or provide enough detail for concerns to be followed up.

GDC ORE fee increase

Speakers also linked support for internationally qualified dentists directly to patient access and safety. They said overseas-qualified professionals brought much-needed capacity and clinical experience to areas struggling to recruit, but this needed to be matched with support around communication, consent, complaints handling and cultural expectations.

Biju Ramachandran, honorary secretary and immediate past president of the Indian Dental Association UK, said registration gave dentists permission to practise, while integration helped create belonging.

He also urged the GDC to reconsider its recent ORE fee increase, arguing many candidates were already stretched financially before they sat the exam.

Closing the event, Brid Hendron, postgraduate dental dean at the Northern Ireland Medical and Dental Training Agency, said the day’s central message was to ‘act now and act together’ in preparing for the incoming non-UK qualified workforce.

She said international dentists were an essential part of the workforce solution, with responsibility shared across regulators, employers, support organisations and practice teams.

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Nigel Jones considers why a more trusted, collaborative GDC could shape not only regulation, but the future of the UK’s dental workforce.

The language surrounding the launch last November of the GDCs strategy to become viewed as a ‘trusted and effective’ regulator was encouraging, even if, for many years, the profession will have heard similar intent expressed at various intervals in various forums. This time, however, it feels different. 

I doubt anyone is under the illusion that the damage done to the relationship between the profession and its regulator will be repaired quickly. The mindset shift has to percolate right through the organisation itself and old habits die hard. Even after the operational changes are delivering a new approach consistently and reliably, it will be a while before the perception of the GDC as a body to be feared is shaken off.

But the early signs and feedback are good so there are definite grounds for optimism which is just as well given the key contribution the GDC may play in influencing dentistry over the coming years. As Dr Helen Phillips, chair of the GDC, put it in the foreword to the new strategy: ‘Collaboration is key. We have shared interests in making dentistry work across the UK and we all have a role to play.’

Why trust matters

Take, for example, the issue of the dental workforce planning and the part the GDC plays in the number of clinicians on the register. I’ve often expressed the view that the restricted supply of clinical services relative to demand from patients has been the main driver of change over the past. 

An inability to recruit or retain associate dentists has often been cited by the owners of NHS practices as the straw that broke the back of their hesitation about ‘going private’. Indeed, we are increasingly seeing it is associate dentists, having concluded that NHS contractual arrangements (old or new) are not for them, that are driving the decisions about a practice’s commitment to the NHS.

Resisting such requests is not easy, especially when there are so many vacancies in private practices offering better financial packages, career development opportunities and pace of work. The latter is of particular importance when private practice can offer the chance of longer appointments, leading to better communication and stronger relationships with patients as well as more time for note taking, all of which lessen the fear of getting on the GDC’s radar for the wrong reasons.

And while there are obviously significant regional variations, the drift to private practice exacerbates the lack of access to NHS dentistry, boosting the confidence of the remaining NHS dentists. With limited options available to patients, a move to purely private is feasible and so it goes on.

The wider consequences

In both NHS and private environments, the lack of clinicians can lead to downward pressure on practice income at the same time as the pressure on running costs is relentlessly upwards. The resulting financial pressure can bring in to play behavioral matters relevant to the tension between commercial and ethical considerations.

Indeed, the CMA’s look at private dentistry, while likely to pick up on the supply and demand imbalance in the dental market, is almost certain to be influenced by their work in the veterinary field. In a provisional report, issues such as price transparency and rising private treatment costs were called out as was the concentration of veterinary practice ownership in a few large companies. The BBC even ran a story in January about vets reporting being under corporate pressure to increase revenue.

The GDC has no remit to get directly involved in workforce planning, CMA recommendations, dental business models or NHS contractual arrangements.  However, the way in which it handles concerns about professional conduct is linked to the appeal of private dentistry. More significantly, the rate at which it opens or closes the tap on new dentists joining the register can have indirect impacts on many aspects of UK dentistry which in turn could lead to the kind of professional and ethical issues that are definitely within the GDC’s remit.

A regulator for the future

So, it is with all that in mind that the early signs of the GDC being true to the words of its strategy are to be highly welcomed. A regulator that is seen as supporting the profession it regulates and gives deeper consideration to the wider environment in which dental professionals work will be essential in the years ahead.

This article is sponsored by Practice Plan.

Simran Bains reflects on the 19th annual Vaisakhi celebrations in Parliament and explains why faith leaders and healthcare professionals must unite to tackle oral health injustice.

I was honoured to be invited to mark Vaisakhi 2026 through my work with the British Academy of Cosmetic Dentistry (BACD) and the College of Dentistry, as the British Sikh Consultative Forum convened parliamentarians, faith leaders, health professionals and community organisations at the Speaker’s State Rooms, House of Commons. 

The 19th Annual Vaisakhi at Westminster united celebration with civic purpose, bringing together voices from across the UK to address one of the most pressing issues facing communities today – health inequalities.

Vaisakhi is one of the most significant dates in the Sikh calendar, marking renewal, gratitude, equality and the creation of the Khalsa in 1699.

It is a celebration of faith, service and community, values that continue to resonate far beyond religious observance. 

Central to Sikh teaching is seva; selfless service for the benefit of others.

For those working in dentistry, the theme should resonate strongly. Oral health inequalities remain among the clearest and most preventable examples of wider health injustice. 

Dentists see every day how deprivation and delayed access translate into pain, untreated disease and avoidable extractions.

The social gradient of oral disease

Too often, dentistry is discussed separately from mainstream healthcare policy.

Yet oral disease follows the same social gradient as many chronic conditions, with those who have the greatest need often facing the greatest barriers to care. 

Children in deprived communities continue to experience higher rates of decay, adults under financial pressure frequently delay treatment until symptoms become acute, and older patients can struggle with access, transport and affordability. 

These inequalities affect communities across the UK and are closely linked to wider health outcomes. 

Oral health does not exist in isolation; it is strongly connected to conditions such as type 2 diabetes, cardiovascular disease and respiratory illness. 

When prevention is limited and access to care is delayed, the cumulative impact on both oral and general health can be substantial. 

The discussions at Westminster also highlighted the important role dentistry can play in reducing wider health inequalities.

Dentists are not only treatment providers, but trusted healthcare professionals with an important voice in prevention and community wellbeing.

That means continuing to advocate for:

• Sustainable NHS dental access
• Prevention-led commissioning
• Targeted services for high-need communities
• Integration of oral health into wider healthcare pathways
• Partnerships with trusted community organisations.

Bridging the gap through faith

What made this year’s event especially notable was the recognition that faith institutions and community organisations are already helping to bridge healthcare gaps. 

Gurdwaras, charities and local community hubs across the UK frequently provide health awareness sessions, screening events, mental health support, food programmes and signposting into statutory services. 

They are trusted spaces with local reach, often engaging people who may not respond to traditional healthcare channels.

This year’s Vaisakhi at Westminster was therefore more than a cultural celebration.

It was a timely challenge to policymakers to recognise that fairer healthcare must include oral healthcare.

For dentists, the question is not whether we have a role in reducing inequalities. It is how we choose to lead it.

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Welcome to The Week in Dentistry, a regular round-up of dental sector updates from across the UK and Ireland.

This week’s edition includes the launch of an artificial intelligence receptionist for dental practices, the sale of a West Midlands practice, community support work in east London and a statement from a UK-based Venezuelan dentist following the earthquake in Venezuela.

Venezuelan dentists at LOC & ODL respond to earthquake

Venezuelan dentists at London Orthodontic Clinic (LOC) and ODL Dental Clinic have responded to the earthquake in Venezuela, highlighting the humanitarian impact on communities across the country.

Alex Seijas, founder of Mission Beyond Smiles and founder and clinical director of LOC and ODL, said many Venezuelans living abroad had spent recent days trying to contact family and friends.

He said: ‘At moments such as this, international solidarity and humanitarian support become more important than ever. My thoughts are with everyone affected by this disaster, particularly those who have lost loved ones, homes or livelihoods.’

Mission Beyond Smiles recently took a team of Venezuelan dental professionals from the UK to the Venezuelan Amazon to provide dental care and support to underserved Indigenous communities.

AI dental receptionist Greeta launched

Conversico launched Greeta, an artificial intelligence (AI) dental receptionist designed to support practices with missed, overflow and out-of-hours calls.

The system answers calls, books directly into the practice management system and gives reception teams a clear next step. Greeta launched on 30 June 2026 and is now live, with a public demo available through Conversico.

Savona Dental supports homeless community

Savona Dental partnered with SameDayDoctor and Nishkam SWAT to provide care packages for people experiencing homelessness in east London.

The Canary Wharf practice helped prepare and distribute bags containing toothbrushes, toothpaste and warm socks. SameDayDoctor also contributed feminine hygiene products, while Nishkam SWAT volunteers distributed the packages in Stratford.

Dudley dental practice sold after owner retires

Andrew Hargreaves Dental Practice in Dudley, West Midlands, was sold after its founding owner retired from clinical dentistry.

The three-surgery mixed-income practice was founded by Andrew Hargreaves in 1996. Christie & Co handled the sale, and the practice was purchased by Nazim Shah, an experienced dentist with previous practice ownership experience. The sale price was undisclosed.

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Dentists hoping to secure a spot to sit the Overseas Registration Exam (ORE) reported payment issues, errors and overloaded servers preventing them from completing the process.

Accessing a place in ORE examinations has previously been compared to buying Glastonbury Festival tickets, with applicants flooding the General Dental Council’s (GDC) MyGDC portal as new dates are released. International dentists must pass both parts of the exam to practise in the UK.

On 30 June, 600 places were released for the ORE Part 1 at 2:30pm. One dentist told Dentistry that they were unable to log in for 10 minutes, at which point they were met with a blank page. They were eventually taken to a payment page, though this refreshed and showed an error before they could enter their details. After two hours of refreshing, they regained access to the website which informed them that the exam slots were full.

Another ORE hopeful said they were able to enter their payment details but were told the payment had failed, despite the total fee being deducted from their bank account. Following several failed attempts, they tried to contact the GDC but were unable to get through.

Many applicants reported a similar difficulty in contacting the regulator since the website crash. With no confirmation email but payment taken, dental professionals have been left unsure if they were successful in booking an exam place. Others were unable to secure their spot despite correctly completing the booking process.

The GDC told Dentistry it was aware of the difficulties candidates had faced. It said: ‘We apologise for the uncertainty and inconvenience this has caused. We understand how much preparation goes into this exam, and candidates deserve confidence that their booking and payment have gone through correctly.’

Affected applicants are encouraged to contact examinations@gdc-uk.org.

‘The ORE booking process has become a lottery’

The booking process for the exam has long been criticised as a ‘lottery’. Speaking to Dentistry, dentist Mohammed Ghafoor said: ‘For many, that one-second difference between pressing the button before or after someone else decides the course of their entire professional life. Those with faster internet connections, quicker reflexes, or sheer good fortune secure a slot. Others, equally deserving and equally prepared, are locked out yet again.

‘This is not meritocracy. This is not fairness. This is chance masquerading as order. The ORE booking process has become a lottery.’

In March 2026, the GDC announced changes to the ORE which could allow five times more dentists to qualify each year through the exam. It estimated that Part 1 capacity would increase from 1,800 to 2,400 annually, and Part 2 from 720 to 944 initially – eventually increasing to 1,500 per year.

These changes follow a new contract with UCL Consultants announced last year, which the GDC said ‘allows the exams to run at a larger and more planned scale, increasing capacity in a controlled way rather than reacting to pressure year on year’.

The regulator stressed that capacity could only be increased to a level that maintains patient safety and candidate experience, saying it ‘will not compromise’.

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Warning: This story contains comments of a racist nature and references to sexual violence

A High Court ruling has exposed conflicting positions within the GDC fitness to practise process after a dentist found to have made repeated sexualised and discriminatory comments to junior female colleagues and racist remarks was allowed to return to practice under conditions.

The dentist had been suspended for six months by an independent Professional Conduct Committee (PCC) in July 2025, but the GDC later supported a Professional Standards Authority (PSA) appeal arguing that the sanction was insufficient and that they should have been erased.

The PCC found that the dentist, between 2020 and 2023, had engaged in repeated inappropriate, sexualised and discriminatory behaviour towards junior female colleagues, alongside comments about female patients’ bodies and discourteous behaviour towards patients.

Staff at the practice reported having comments such as ‘I have my rape eye on you’ directed at them, and being told about a ranking system for women the dentist wanted to ‘shag’. They were asked in detail about their sex lives and threatened with ‘dick pictures’, with one colleague reporting that the registrant stroked their arms inappropriately on multiple occasions.

The clinician also commented on the bodies of female patients, including that it was a ‘shame’ that their patient had ‘a pretty face but such a small chest’. More generalised comments that women ‘belong in the kitchen’ were also reported.

Racist and homophobic remarks were also noted. For example, the dentist was quoted saying that they would ‘pour acid’ on their own daughter if she brought home a black man. They also told a colleague: ‘I hate gays, but I like you.’

What sanctions did the GDC impose?

Initially, the PCC imposed a six-month suspension after finding that erasure would be disproportionate. In reaching that decision, it took account of mitigation including previous good character, some evidence of reflection and remediation, and developing insight. However, it also found that the registrant’s insight and remediation remained limited, and did not treat some comments as sexual in nature.

Discussion of patients’ bodies, for example, was seen to be inappropriate but with ‘nothing to suggest that it was made in a sexual manner’.

In September 2025, following a review by the GDC’s Quality Assurance Group, the GDC wrote to the Professional Standards Authority (PSA) to alert it to concerns with the original decision. The PSA then began an appeal process in October, which the GDC confirmed it would not oppose.

Explaining the referral to the PSA, the GDC told Dentistry that it took the view that ‘the sanction imposed was insufficient to protect the public and maintain public confidence in the dental professions.’

At a review hearing in February 2026, a separate PCC found that the registrant’s fitness to practise remained impaired and that it could not be satisfied that a risk of repetition was highly unlikely. However, it revoked the suspension and imposed conditions for 18 months, allowing the registrant to return to practice under restrictions including workplace reporting and notifying the GDC of any disciplinary action. The PSA appeal was acknowledged during this process, though the committee said it did not affect its task or powers at that review hearing.

The result was a unique sequence in which the GDC argued that the dentist should have been erased, while a separate committee within its fitness to practise process allowed them back into practice under conditions despite finding that a risk of repetition remained.

The PSA argued that erasure was the only appropriate sanction, a position supported by the GDC.

The dentist argued before the High Court that the PCC was entitled to consider the steps they had taken since the concerns were raised, including relevant CPD, reflection and the fact that there had been no further incidents reported since referral.

However, Mr Justice Sweeting found that the original committee had placed too much weight on limited evidence of insight and remediation, despite its own findings that the registrant’s insight was partial, their understanding of the impact of their behaviour was incomplete and a risk of repetition remained.

Why has the decision been questioned?

Justice Sweeting found that the original committee had materially underestimated the seriousness of the dentist’s misconduct and failed to grapple with the cumulative gravity of the conduct it had found proved.

Although the High Court had the power to substitute erasure, Justice Sweeting said sanction in a case of this kind involved a ‘multifactorial evaluative exercise’ that was usually best carried out by a specialist tribunal. The case was therefore sent back to a newly constituted PCC to reconsider sanction.

The registrant has given an undertaking to continue practising under the same conditions until the Interim Orders Committee imposes any restrictions while they await a new hearing. 

The GDC said: ‘We were firmly of the view that the original sanction imposed in the case of [redacted] was insufficient to protect the public.

‘The GDC welcomes the decision of the High Court where the court has made clear the seriousness with which persistent sexual misconduct is taken in the context of fitness to practise proceedings for regulated professionals.

‘Where our standards are not met, we will ensure that we take appropriate and proportionate action.’

GDC back in the High Court

It is the second time in recent months that the High Court has been involved in an erasure case. In April, the High Court overturned the erasure of a dentist who had sent ‘racially-motivated’ emails. The dentist in question emailed their former employer asking for their name to be removed from the practice website as they did not want to be associated with ‘Indian dentistry’. As a result, they were erased from the GDC register with immediate suspension.

The judge felt that while the dentist’s actions were a ‘serious departure from the professional standards expected’, they did not show ‘an entrenched or enduring refusal to acknowledge wrongdoing’. 

The erasure was therefore overturned and replaced with a six-month suspension. The court suggested that the PCC’s approach to interpreting sanctions guidelines was ‘flawed’ and had been ‘misapplied’ in this case.

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Failure to diagnose or appropriately manage periodontitis remains one of the most common and highest value categories of dental negligence claims encountered in legal practice.

In this article, Sabrina Mahmood, associate at Keoghs LLP, explores the key legal issues that frequently arise in such claims and outlines practical risk management strategies for dental practitioners.

Why periodontitis claims?

The British Society of Periodontal Disease and Implant Dentistry (BSP) describes periodontitis as ‘one of the most widespread diseases in the world’. Against that backdrop, it is unsurprising that claims in this area are increasingly common. The condition often presents with subtle clinical signs, which may not be immediately apparent without a thorough periodontal assessment. This can create particular challenges in the busy, time-pressured environment of general practice, where many of these claims arise.

Common allegations include inadequate assessment and treatment planning, the provision of inappropriate or suboptimal therapy, insufficient patient communication regarding aetiology and risk factors (including smoking and oral hygiene), and a failure to make timely and appropriate referrals. Another level of complexity is that these claims often involve multiple practitioners as they can span extensive time periods, usually anywhere between five to 25 years.

Below we set out some of the key risk factors in more detail and consider practical steps that can be taken to mitigate these risks in everyday practice.

Risk factor one: assessment and treatment planning

Effective assessment and treatment planning can be a great way to ensure that many of the key risk areas are minimised. What we often see in legal claims are missing/regular BPE scores and where scores are three or higher, in-depth periodontal charting has been omitted, contravening the recommendations by the BSP (2019).

Another common issue is the failure to take radiographs at appropriate intervals. Radiographic assessment is often essential in identifying early bone loss and periodontal disease, particularly where clinical signs are not readily visible to the naked eye.

It is important to clearly document in the clinical records when radiographs are due, and to record any instances where a patient declines them, including the reasons for doing so. This provides important protection in the event of a later allegation that radiographs were not taken when clinically indicated. Patients may decline radiographs for a variety of reasons, including concerns relating to health or pregnancy, dental anxiety or phobia, concerns about radiation exposure, as well as general cost considerations given that they may incur an additional expense.

Finally, a clear discussion and documentation of the appropriate recall period will be important as patients with periodontal disease often need to be seen more frequently to help manage their disease, and allegations can arise where recall periods are too long.

Risk factor two: suitable treatment and onward referral

Many patients can be managed within the general dental setting with non-surgical therapy carried out by the dentist or hygienist at regular intervals. A common allegation is that appropriate therapy with non-surgical root surface debridement (RSD) has not been provided, and where treatment has been provided, it has been inadequate due to a failure to undertake subgingival debridement or supragingival plaque removal.

From experience, where a practitioner considers that a scale and polish is the most appropriate course of treatment, it is helpful for the clinical records to clearly set out both the decision taken and the reasoning behind it. In addition, where RSD has been carried out, this should be clearly documented including whether sub/supra gingival scaling has been undertaken.

An effective early treatment plan can help to ensure that appropriate therapy is provided, and where practitioners in the general dental practice setting feel that the patient’s needs are more complex or that surgical therapy is required, onward referral should be discussed and documented within the records. Failure to provide suitable referrals is another area where negligence allegations are common. Where periodontal disease is advanced, unresponsive to treatment, or beyond the practitioner’s scope, referral to a specialist should be discussed, offered and documented clearly in the records.

Risk factor three: oral hygiene and smoking

On nearly every periodontal claim, we see allegations that appropriate oral hygiene and tooth brushing advice was not provided, nor was smoking cessation discussed with the patient. Often, practitioners will notify us that they have discussed this but not documented it within the records.

Recent experience suggests that allegations in this area have become increasingly sophisticated. As patients have greater access to information, it is now commonly alleged that the aetiology of periodontal disease was not adequately explained, preventing patients from understanding how the condition develops and how factors such as poor oral hygiene and smoking may contribute to its progression.

Many smokers further allege that, had they been properly informed of the detrimental impact smoking can have on periodontal health and bone levels, they would have ceased smoking. In practice, we frequently see such allegations advanced even where smoking cessation advice has already been provided in primary care settings, often with limited evidence of patient engagement or compliance. In a number of cases, claimants have continued to smoke or use electronic cigarettes, even where they have subsequently received specialist periodontal input.

Financial implications

Legal costs in periodontal disease claims can escalate quickly. Independent expert evidence is often required, not only from a general dental perspective, but also from specialist periodontal and restorative experts. In addition, there is frequently a need for a detailed review of dental records, including both historic records and those from the index period. This is necessary to identify any pre‑existing disease, assess compliance with oral hygiene and smoking cessation advice over time, and consider whether gaps in attendance may have contributed to the outcome in question.

Claimants commonly allege that multiple teeth have been lost, or that tooth loss has been significantly accelerated, as a result of the alleged negligence. Claims often include the cost of extensive remedial treatment, including implants and complex restorative work, which can substantially increase the value of a claim. Defence experts will typically examine whether the proposed treatment is clinically appropriate and achievable, particularly where a patient’s oral hygiene remains poor.

In practice, many patients are not suitable candidates for the treatment claimed unless and until meaningful improvements in periodontal health are demonstrated, although there are cases where patients do engage positively and achieve sufficient improvement to proceed with restorative care.

Periodontitis treatment planning

From a risk management perspective, the most critical factor in limiting financial exposure is robust treatment planning supported by clear, documented discussions with the patient. Clinical records should demonstrate not only that an appropriate periodontal assessment was undertaken, but that the diagnosis, treatment options, risks, and prognosis were fully discussed and understood. Records should also reflect ongoing review and monitoring, including patient compliance or a lack of compliance with oral hygiene and smoking cessation advice. Where patients fail to attend, decline recommended treatment, or do not adhere to advice given, this must also be clearly and consistently documented.

From an indemnity perspective, early notification to insurers is critical where concerns arise regarding the management or progression of periodontal disease. Early involvement allows insurers to provide timely guidance, secure relevant records, and obtain early expert input which can support a robust defence of the allegations or otherwise inform an appropriate resolution strategy. This proactive approach can significantly reduce overall claims spend and improve prospects of a successful defence as well as preserving important evidence.

Summary and practical takeaways

Periodontal disease claims can involve scrutiny of many aspects of clinical care. However, practitioners can take reassurance from the fact that many of the associated risks can be mitigated through thorough assessment, clear and structured treatment planning, and well‑documented contemporaneous records of discussions and decision‑making.

While the financial exposure arising from periodontal disease claims can be significant, early notification to insurers plays a critical role in effective claims management. Prompt engagement allows for timely advice, early evidential review, and a more proactive approach to limiting both liability and overall claims costs.

If you have any questions or would like advice on dental negligence matters, please contact Louise Jackson, Keoghs partner and England and Wales regional lead for healthcare and sport, or Sabrina Mahmood, Keoghs senior associate and dental claims specialist in healthcare and sport.

For robust dental indemnity cover, contact Densura.

References

1. https://www.bsperio.org.uk/assets/downloads/Patient_Information_Leaflet.pdf
2. https://www.bsperio.org.uk/assets/downloads/BSP_BPE_Guidelines_2019.pdf

This article is sponsored by Densura.

DeNovo Dental Partners explains why its innovative partnership model is the best option for those who want to retain a sense of individuality when considering selling their practice.

In many areas of life, individuality is celebrated. People are encouraged to be themselves, while businesses are recognised for doing things differently, challenging convention and building something distinctive.

Keep what makes you, you

DeNovo Dental Partners believes dentistry should be no different. Practice principals should have the freedom to shape their businesses in ways that reflect their values, strengths and ambitions – building distinctive practices they are proud to lead. Individuality should be celebrated and actively encouraged, not standardised away.

DeNovo also believes that a practice’s identity should endure beyond a change in ownership. The success of your business is built on the legacy, relationships and reputation you have created over many years, and those qualities deserve to be protected as your practice enters its next chapter.

This belief is one of the reasons DeNovo created a different approach to practice ownership. It actively seeks out practices with strong identities and principals looking for a more collaborative, forward-thinking path for the next stage of their career.

The shared ownership model is designed to protect practice autonomy, enabling partners to retain control over day-to-day operations, their team, patient experience, community relationships and the future direction of the business. Rather than changing what made a practice successful, the team helps build on those foundations and support future growth.

Partners also have access to central support services, which are flexible and provided on your terms. You decide where support adds value, when you need it and how involved you want DeNovo to be.

You remain in control – DeNovo simply provides additional expertise, infrastructure and support to help you move the business forward.

Financial differentiators

The approach is different financially, too.

Traditional practice sales can often leave principals feeling disconnected from the future value of the business they spent years building. Complex structures, restrictive terms and uncertain future payments do not always reflect the contribution, commitment and legacy behind a successful practice.

DeNovo was designed to offer a different path.

The shared ownership model is built around alignment, long-term value creation and mutual benefit for both individual partners and the wider organisation. DeNovo pays full practice value upfront, with the majority delivered in cash and the remainder through equity in the parent company – enabling partners to continue participating in future group growth.

Importantly, tje model is designed to create opportunities beyond the initial transaction. Partners can benefit from ongoing value creation linked to practice and group performance, reflecting our continued investment in growth, innovation and the long-term success of the portfolio.

Delivering on promises

DeNovo is proud that its vision for a different kind of dental partnership model has already resonated with so many principals across the UK. A growing number of practices have joined the DeNovo community, embracing an approach centred around autonomy, shared ownership and long-term value creation.

For many partners, joining DeNovo is not about stepping away from the practice they have built, but about gaining the support, expertise and community needed to help take it further while protecting everything that made it successful in the first place.

Here’s what Dr Stephen Pitt from The Dental Studio had to say about his experience:

‘With DeNovo, it wasn’t about handing the practice off to a new owner, but rather introducing an extra pair of hands to help steer the practice on the next stage of its journey. I also appreciated that DeNovo sought practices with unique quirks and individuality. They embraced the things that we did a little differently. For example, I love teaching, and while other potential buyers were sceptical about the income this would continue to generate – despite its 10 years of success – DeNovo had a far more positive approach. They were honest, friendly, and transparent at every turn. From the moment I made the decision, the transaction moved rapidly and completed in just two to three months.

‘DeNovo is perfect for anyone who wants to continue working clinically for several years, but seeks expertise and support to unlock further practice growth. If you love the practice that you have built and wish to remain a part of its journey for a bit longer, DeNovo could be the answer you’re looking for.’

Find out more about how you could protect your practice’s individuality with DeNovo – arrange a confidential, no-obligation chat today!

This article is sponsored by DeNovo Dental Partners.

Periodontitis remains a major global health challenge, says Varkha Rattu, but better outcomes depend on consensus in diagnosis, collaboration around referral and clear communication with patients.

Periodontitis is the sixth most prevalent health condition globally. According to the Global Burden of Disease study (2017), severe periodontitis affects approximately 11% of the world’s population – around 743 million people – while milder forms affect more than half of all adults (The Economist Intelligence Unit, 2021). The global prevalence of severe periodontitis exceeds that of cardiovascular disease (7%), making it a public health challenge that demands serious clinical attention.

Bridging the gap between evidence and practice requires three things: Consensus on how we diagnose and classify disease; Collaboration in recognising when cases need specialist input; and Co-operation in communicating effectively with patients and colleagues.

Part one: consensus

Diagnosing and classifying periodontitis

In periodontology, consensus takes the form of internationally agreed classification systems and clinical practice guidelines – the foundation of good clinical decision-making.

Diagnosis is underpinned by criteria established by the European Federation of Periodontology (EFP, 2019).

Once confirmed, staging and grading characterises severity, complexity, and rate of progression. The 2017 World Workshop Classification (WWC) introduced complexity factors that shift a case to a higher stage (Papapanou et al, 2019). For example, furcation involvement Class II or III, probing depths ≥6 mm, and vertical bone loss ≥3 mm escalate from Stage II to Stage III.

These complexity factors are especially useful because they identify which clinical features are most likely to make treatment more demanding, and therefore more likely to warrant specialist input.

Part two: collaboration

Complexity factors as a framework for referral

From clinical experience, the following complexity factors should prompt serious consideration of referral following initial non-surgical periodontal therapy (NSPT):

1. Residual probing depths ≥6 mm

Subgingival instrumentation is the cornerstone of active periodontal treatment. Where residual pockets of ≥6 mm persist following NSPT, this signals the need for more advanced intervention. The EFP S3 guideline confirmed that hand and powered instruments can be utilised effectively, and adjunctive measures such as systemic antibiotics may be considered in specific categories such as generalised Stage III/IV periodontitis in younger adults (Sanz et al, 2020).

2. Vertical/Infrabony Defects ≥3 mm

Angular bony defects carry significant prognostic weight. Papapanou and Wennström (1991) found that deep intrabony defects were associated with 68% tooth loss at 10 years, compared with 13% for horizontal bone loss (Papapanou, 1991). The EFP S3 guideline gives a strong recommendation for periodontal regenerative surgery at residual deep pockets with intrabony defects ≥3 mm, supported by 22 RCTs in 1,182 teeth (Sanz et al, 2020). Techniques include barrier membranes and enamel matrix derivative, with papilla preservation flaps strongly recommended.

3. Furcation Involvement Class II and III

Furcation involvement is not, in itself, a reason for extraction (Sanz et al, 2020). For mandibular Class II furcation, regenerative surgery carries a strong recommendation supported by 17 RCTs in 493 patients. For maxillary buccal Class II, regeneration is suggested. While for Class III presentations, tunnelling, root separation, or root resection may be considered.

4. Complex rehabilitation requirements (masticatory dysfunction, secondary occlusal trauma, severe ridge defects, bite collapse, drifting or flaring, fewer than 20 remaining teeth)

Secondary occlusal trauma – occlusal overload in the context of reduced periodontal support – is a Stage IV complexity factor. Temporary splinting and/or selective occlusal adjustment may be considered throughout therapy (Sanz et al, 2020), and cases of Grade 2 mobility with fremitus can be successfully stabilised through targeted occlusal adjustment, avoiding extraction.

Ridge defects (Siebert Class I–III) represent a further indication for specialist involvement, particularly where implant rehabilitation is planned. Horizontal augmentation options include GBR, ridge splitting, and onlay grafts (Naenni et al, 2019). Vertical augmentation encompasses GBR, distraction osteogenesis, onlay block grafts, and sinus floor augmentation (Urban et al, 2019).

Part three: co-operation

The final pillar concerns communication: with patients and with colleagues. Evidence-based care is only effective if patients understand and accept the pathway offered.

When explaining the need for referral, language matters, and helping patients understand the systemic dimension is equally valuable. Periodontitis is an immune-inflammatory condition – the body’s response to persistent bacterial challenge. The inflammatory mediators generated in the periodontium can travel systemically, with established associations between periodontitis and diabetes, cardiovascular disease, rheumatoid arthritis, and Alzheimer’s disease. Framing the mouth as the gateway to the body – and periodontal treatment as an investment in overall health – can meaningfully shift patient engagement.

Taking these factors into consideration, managing periodontitis effectively demands:

• Consensus: applying internationally agreed diagnostic criteria and classification systems rigorously in every patient encounter
• Collaboration: recognising the complexity factors most likely to warrant referral, and acting on them decisively
• Co-operation: communicating openly with patients, framing advanced care as an investment in their long-term health.

Periodontitis remains a disease of significant global public health impact. With the right clinical framework, dental professionals at every level are better placed to improve outcomes for this patient group.

References

1. The Economist Intelligence Unit. Time to take gum disease seriously: The societal and economic impact of periodontitis. Report commissioned by the European Federation of Periodontology, 2021.

2. Guidance for clinicians: Periodontitis: clinical decision tree for staging and grading, European Federation of Periodontology (2019).

3. Papapanou, P. N., Sanz, M., Buduneli, N., et al. (2018). Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of clinical periodontology, 45 Suppl 20, S162–S170. https://doi.org/10.1111/jcpe.12946

4. Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Berglundh, T., Sculean, A., Tonetti, M. S., & EFP Workshop Participants and Methodological Consultants (2020). Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. Journal of clinical periodontology, 47 Suppl 22(Suppl 22), 4–60. https://doi.org/10.1111/jcpe.13290

5. Papapanou PN, Wennström JL. The angular bony defect as indicator of further alveolar bone loss. J Clin Periodontol. 1991 May;18(5):317-22. doi: 10.1111/j.1600-051x.1991.tb00435.x. PMID: 2066446.

6. Naenni, N., Lim, H. C., Papageorgiou, S. N., & Hämmerle, C. H. F. (2019). Efficacy of lateral bone augmentation prior to implant placement: A systematic review and meta-analysis. Journal of clinical periodontology, 46 Suppl 21, 287–306. https://doi.org/10.1111/jcpe.13052

7. Urban, I. A., Montero, E., Monje, A., & Sanz-Sánchez, I. (2019). Effectiveness of vertical ridge augmentation interventions: A systematic review and meta-analysis. Journal of clinical periodontology, 46 Suppl 21, 319–339. https://doi.org/10.1111/jcpe.13061

This article is sponsored by NSK.

Join Mark Topley and Gagan Kumar on 8 July at 7pm as they discuss how to step back with confidence for a practice that runs without you.

This webinar will show practice owners and principals what it actually takes to build a practice that doesn’t depend on them sitting in the middle of every decision, standard and patient conversation. The session covers two halves of the same picture: the team structure that gets people taking real responsibility, and the mindset, communication and revenue thinking that lets the principal step out of the middle without the numbers slipping. The aim is to give attendees a clear, honest read of where their own practice sits today, and a sensible first step if they want to change it.

Learning outcomes

• Understand why most ‘team problems’ are really clarity, structure or confidence problems – and what to do about each
• Learn the three things that turn a busy practice into one that runs without the principal in the middle: purpose, clarity and rhythm
• Discover where revenue quietly leaks when the principal is the only person who can hold a high-stakes patient conversation
• Build communication, conversion and ownership across the whole team, so the numbers aren’t carried on one set of shoulders
• Consider what the shift from doing to leading actually asks of the principal – and how to make it stick.

The speakers

Mark Topley

Mark Topley is a leadership and team performance consultant who works with dental practice owners and their teams on the structures that get people taking responsibility, delivering to a consistent standard, and being a pleasure to work with. He has more than 25 years in the dental industry, has been a judge for the Private Dentistry Awards for over a decade, and speaks regularly for organisations including Portman Dentex, the BDIA, the BDA, the Dentistry Show and FDI World Dental. He writes and consults under the brand Exceptional Team Performance.

Gagan Kumar

Gagan Kumar is an international business coach and the founder of Limitless Coach, where he works with principal dentists, aesthetic clinics and other service-based businesses on the shift from operator to leader. He has more than 20 years of experience advising established businesses across healthcare, hospitality and education, and built his own companies from the ground up before moving into coaching. His work combines practical strategy, operations and ethical sales with the mindset and identity work that makes those changes stick – helping clients build the kind of revenue, freedom and leadership that doesn’t depend on them being in the middle of everything.

Catch up on previous on-demand webinars:

• ‘I need an implant mentor!’ Everything you need to know
• Your waiting list isn’t the problem. Your triage is
• Finishing your orthodontic cases: essential tips for anterior composites
• Advancing vital pulp therapy: clinical applications and predictable outcomes using MTA vpt
• From enquiry to treatment start: the patient journey most practices have never mapped.

You can sign up for the webinar here.

For dentists getting started in implant dentistry, supervised clinical experience can teach what textbooks cannot – Patric Aria Saraby shares his insights.

When I enrolled on my implant master’s programme, I knew there would be a steep learning curve. However, nothing prepares you for placing multiple implants over consecutive days in a busy setting.

Earlier this year, I joined a dental mission in Fortaleza, Brazil, at ICEO, where I had the opportunity to place 20 implants under the supervision of experienced implant surgeons. Although I had spent countless hours studying CBCTs, drilling protocols and prosthetic principles, the clinical experience taught me lessons that textbooks simply cannot.

These are the five lessons that changed the way I think about implant dentistry.

1. Implant placement is far more about soft tissue than drilling bone

Before my first case, I was focused almost entirely on the osteotomy.

• Implant diameter
• Implant length
• Insertion torque
• Primary stability.

What surprised me was how much of the procedure depended on flap management.

A poorly reflected flap immediately reduces visibility, increases tension and makes every subsequent step more difficult. Conversely, a well-designed full-thickness flap with careful tissue handling transforms the surgery.

I quickly realised that experienced implant surgeons often appear ‘fast’ not because they drill quickly, but because they manage soft tissue exceptionally well.

The implant is only one part of the surgery, the flap determines how smoothly everything else proceeds.

2. Bone has a personality

On paper, drilling protocols look identical. In reality, every patient feels completely different.

Some osteotomies almost guide the drill naturally. Others require constant tactile feedback.

The difference between dense cortical bone and softer cancellous bone becomes obvious within seconds.

One of the biggest surprises was learning to trust tactile sensation rather than relying solely on depth markings or drilling sequences.

Primary stability isn’t simply measured by insertion torque, it’s something you begin to feel. That tactile confidence only develops through repeated clinical exposure.

3. Guided surgery cannot replace surgical judgement

Planning software is remarkable. CBCT planning allows accurate implant positioning before the patient even enters the surgery.

However, once the flap is reflected, reality doesn’t always match the virtual plan.

Bone contours vary. Extraction sockets appear different. Soft tissue thickness changes perception.

The surgical guide remains valuable, but it is exactly that – a guide.

Clinical judgement is still essential for deciding whether small adjustments are necessary while maintaining restorative principles.

The digital workflow enhances decision-making; it doesn’t replace it.

4. Grafting is not the difficult part – knowing when to graft is

Before the mission, bone grafting seemed intimidating.

Mixing particulate graft, placing collagen membranes and stabilising the material looked technically demanding.

In practice, the mechanics are relatively straightforward.

The real challenge is recognising when grafting is required and understanding what outcome you’re trying to achieve.

Sometimes the objective is contour preservation. Sometimes it’s filling a dehiscence. While sometimes it’s simply protecting exposed implant threads.

The indication is far more important than the technique itself.

5. Implant dentistry is a team sport

One of the biggest lessons had nothing to do with implants.

Watching experienced surgeons work alongside assistants, nurses and mentors highlighted how much good implant dentistry depends on teamwork.

The assistant anticipates every instrument, the supervisor notices details you have missed, and the nursing team maintains efficiency throughout the procedure.

As the operator, you remain responsible for every decision, but successful implant surgery is rarely an individual achievement.

Learning from clinicians with decades of experience accelerated my own learning far more than practising in isolation ever could.

Final thoughts

Leaving Fortaleza, I realised I hadn’t simply placed 20 implants.

I had learned to respect the complexity of implant surgery.

The experience reinforced that implant dentistry is not about placing fixtures into bone, it is about careful planning, precise execution, biological understanding and continual learning.

Perhaps the biggest lesson was also the simplest.

The more implants I placed, the more I appreciated how much there is still to learn.

That, in my view, is exactly what makes implant dentistry such a rewarding career.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

The Dentistry Top 50 has returned once again – now we need you to nominate the best and brightest in the profession to help us compile the list.

Each year, the Top 50 highlights the individuals making the biggest impact across UK dentistry – from influential leaders and innovators to those driving meaningful change within the profession.

As in previous years, the Dentistry team will curate a list recognising the people who are shaping the dental profession in 2026. More than simply a ranking of influence, the Top 50 is intended to celebrate dedication, progress and the lasting contributions being made across the profession.

As part of this process, we encourage you to nominate anyone you feel deserves recognition. Using the form below, submit their name along with details of how they have made a difference to dentistry and why they should be considered for this year’s list.

This year, Denplan has offered its support to help the Dentistry Top 50 achieve its mission of celebrating dentistry’s brightest stars.

Matthew Nolan, head dental officer at Denplan, said: ‘I’m incredibly proud to support the Dentistry Top 50 because I’ve seen firsthand the passion, dedication and kindness that exists throughout our profession. Every day, dentists and their teams go above and beyond for their patients, support one another, mentor future colleagues and continually strive to improve the standard of care we provide. Taking the time to recognise these individuals is so important, not only to celebrate their achievements but also to inspire others and showcase the very best of dentistry.’

When will the Dentistry Top 50 be announced?

The final Top 50 for 2026 will be revealed in July, with a more interactive online celebration than ever before.

Guy Hiscott, content director at FMC, said: ‘As we relaunch the Top 50 for another year, it feels more important than ever to recognise the breadth, resilience and diversity of talent across UK dentistry.

‘Even as the government begins its long-promised process of NHS contract reform – while navigating its own political and economic turbulence – dentistry refuses to wait passively for salvation. Up and down the country, the profession is busy forging its own path: rethinking access, embracing new technologies, building stronger teams, improving the patient experience and finding more sustainable ways to deliver care.

‘The profession has never had such a range of different perspectives on how to move things forward, and that’s what makes the Top 50 so compelling. It’s not designed to recognise one type of career, one model of success or one narrow definition of influence. Rather, it reflects the profession as it really is: varied, ambitious, inventive and full of people finding different ways to push dentistry forwards.’

The 2025 Top 50 list can be found here.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

The litigation team at Medical Protection Society (MPS) – which Dental Protection is part of – has won the gold award for team of the year (operational excellence) at the 2026 Industry Eagles Awards.

The MPS cases team also won the bronze award for team of the year (innovation and transformation).

The International Industry Eagles Awards honour outstanding achievements and innovation across diverse sectors, including legal services. The specialised Legal Services Eagles Awards specifically celebrate past achievements and future innovations by law firms, legal departments, and technology providers in the legal sector.

The judges recognised the MPS teams for demonstrating outstanding teamwork, dedication, and innovation in achieving their goals, as well as their significant contributions to the success and advancement of MPS and the legal services industry.

Karen Miller, chief executive of Medical Protection Society, said: ‘The focus, determination and expertise of our legal services teams are invaluable in our commitment to defending our members with confidence and protecting them at moments when their professional standing matters most.’

Dr George Wright, dental director at Dental Protection, said: ‘These awards are a great recognition of the exceptional support that Dental Protection members receive. We are proud of how our legal services department has reimagined how they work across the organisation and with members to provide a gold standard service.’

The Industry Eagles Awards were hosted by Andy Hodgson on Thursday, 4 June 2026 at The Bentley Hotel, London. MPS was nominated for team of the year (operational excellence) alongside Sodexo Live! and Frenkel Topping Limited, and for team of the year (innovation and transformation) alongside Swanborough House Care Home and Frenkel Topping Limited.

This article is sponsored by Dental Protection.

Empowering dental practice managers: Lisa Bainham explores the benefits of the Association of Dental Administrators and Managers (ADAM) and why you should join.

The role of a dental practice manager (PM) is complex and varied, demanding a unique blend of skills to ensure smooth operations, compliance, and exceptional patient care. Recognising these challenges, the Association of Dental Administrators and Managers (ADAM) is dedicated to providing comprehensive support and resources tailored specifically for dental practice managers and those involved in dental practice management.

Understanding the challenges of dental practice management

Dental Practice Managers often find themselves at the intersection of clinical and administrative responsibilities. The team expects them to have answers to all questions, while practice owners rely on them to keep the practice running seamlessly. This dual pressure can lead to feelings of isolation and overwhelm, especially when faced with unique challenges that vary from one practice to another. Whether it’s managing staff, ensuring regulatory compliance, or improving patient satisfaction, the PM’s role is indispensable yet demanding.

ADAM: your partner in practice management

ADAM understands these pressures and is committed to supporting dental practice managers every step of the way. With a wealth of resources from industry experts and a supportive community, ADAM offers an array of benefits designed to make your role more manageable and rewarding:

Expert support and advice

Gain access to industry experts who provide practical advice and solutions tailored to the unique challenges of dental practice management. Whether you need guidance on compliance issues or strategies for enhancing practice efficiency, ADAM’s experts are here to help.

Exclusive members-only website

Our members-only website is a treasure trove of resources, including templates, guides, and industry updates. This centralised hub helps ensure you have the tools and information you need to excel in your role.

Closed Facebook group

Connect with fellow PMs in a supportive, private environment. Share experiences, seek advice, and build a network of peers who understand the intricacies of your role.

Member magazines

Stay informed with our regular publications, featuring articles on the latest trends, best practices, and insights from leading professionals in the dental industry.

Monthly compliance clinics and webinars

Stay ahead of regulatory changes and enhance your skills with our monthly compliance clinics and webinars. These sessions are designed to keep you informed and equipped to handle the evolving landscape of dental practice management.

Industry discounts

Enjoy a wide range of industry discounts that far outweigh the cost of membership. From supplies to services, our partnerships with leading companies mean you save money on essentials for your practice.

In-person events

Attend exclusive in-person events free of charge. These events provide opportunities for networking, professional development, and staying abreast of industry innovations.

Affordable membership options

We believe that every dental practice manager should have access to the support and resources they need. That’s why we’ve made ADAM membership as affordable as possible. For just £120 per year, or convenient monthly payments of £10, you can access all the benefits of ADAM membership. This modest investment in your professional development can yield significant returns in terms of efficiency, compliance, and job satisfaction.

Join a community that understands you

One of the most significant benefits of ADAM membership is the sense of community it fosters. As a dental practice manager, you are not alone. ADAM brings together professionals who understand the unique pressures and responsibilities you face. Our community is here to support you, share insights, and help you navigate the complexities of your role.

Supported by industry leaders

ADAM is proud to be supported by a range of industry companies that appreciate the critical role of the dental practice manager. This support allows us to offer valuable resources and services to our members, ensuring you have everything you need to succeed.

Dental practice managers play a crucial role in the success of dental practices, but the challenges of the job can often lead to feelings of isolation. ADAM is here to provide the support, resources, and community you need to thrive in your role. Join us today and discover how ADAM can make a difference in your professional life.

Visit www.adam-aspire.co.uk to learn more about our membership options and how we can support you in your journey as a dental practice manager. Together, we can navigate the complexities of dental practice management and achieve excellence in all aspects of your role.

This article is sponsored by the Association of Dental Administrators and Managers (ADAM).

Join Pat Langley and Bobby Bhandal on 7 July at 7pm as they discuss what dental practices need to know about changes to CQC registration.

This webinar will provide guidance on the recent updates to the CQC process for registering as a new provider.

Attendees will learn how to comply with the new requirements.

Learning outcomes

• Understand what the changes involve and why the new guidance matters
• Understand the financial implications of the new CQC registration process
• Learn the requirements for registration applications to be considered urgent
• Avoid the pitfalls of the new process.

The speakers

Pat Langley

Since qualifying from Manchester University, Pat’s career has included more thqn 30 years in general practice, oral surgery teaching positions at Guy’s and Manchester, deputy chief dental officer at Denplan, group clinical director at Oasis Dental Care, course director at the FGDP(UK), and chief dental officer at Dentex.

In 2010, Pat founded Apolline to provide compliance and regulatory support to dental practices and groups. She is passionate about compliance and has lectured widely on all compliance-based subjects. In 2023, Apolline partnered with FMC to form an integral part of the Dentistry Practice Services division.

Bobby Bhandal

With his unrelenting passion for dentistry, Bobby wanted to find a way to bring pioneering dental services within the reach of his local community. It all started with a dream and a burning desire to make a positive impact on people’s lives through exceptional healthcare.

Following on from this, he has extended this reach further in teaching and mentoring dentists all over the UK in building their own successful dental practices.

Catch up on previous on-demand webinars:

• Finishing your orthodontic cases: essential tips for anterior composites
• Advancing vital pulp therapy: clinical applications and predictable outcomes using MTA vpt
• From enquiry to treatment start: the patient journey most practices have never mapped
• Dealing with patient complaints: real cases, real solutions
• The first 100 days of marketing for a new practice owner.

You can sign up for the webinar here.

Could shade matching be simpler than ever? This article uncovers why shade selection remains one of the biggest challenges in restorative dentistry – and how advances in digital workflows and simplified restorative systems may finally be making the process easier, more predictable and more efficient for clinicians.

Sometimes it’s getting the patient to say ‘yes’ to life-changing treatment, or it may be crafting the perfect tooth shape. For many, shade selection is the most challenging stage when crafting a perfect restoration (Hardan et al, 2022).

Perception depends on a light source, the object and the detector, which could be the human eye or new pieces of technology (Adebayo et al, 2022).

Understanding what can affect the shade matching process, and how modern solutions optimise restorative routines for more predictable, successful outcomes, is key for every dental professional. It can lead to greater confidence in their workflows, and seamless restorations that blend into their patients’ existing smiles.

Can we trust our eyes?

Shade matching for dental restorations has traditionally been completed with the naked eye, but this is a subjective process. It is therefore up to the clinician’s eyesight, past training, and lighting conditions within the practice when making an appropriate decision.

Complications can include colour vision problems or colour blindness, the changing of eyesight in tandem with ageing, fatigue, the influence of medications, binocular difference (the contrast of visual quality between the left and right eye), and the backgrounds or surroundings of a tooth influencing perception (Alayed et al, 2021).

To mitigate issues with the last complication, patients are often advised to not wear makeup or colourful eyewear, and a grey background is typically preferred.

Achieving accurate shade selection

Between clinicians, accurate shade selection can vary greatly. One study brought together a dental surgery technician, a specialist restorative dentist and a dental surgery intern to assess 26 teeth across 24 patients, comparing their assessments for shade selection. The VITA classical shade guide was used.

It found that inter-examiner reliability was very low for conventional shade selection, with all three professionals agreeing on a tooth shade unanimously on just one occasion – and there was complete disagreement in 42.3% of cases (Adebayo et al, 2022).

This isn’t an indictment on clinicians being inaccurate; rather, it displays the clear subjectivity of the process. Minimising this effect can lead to a more predictable, uniform aesthetic outcome that best suits a patient.

It’s therefore important to understand how modern solutions have changed the shade selection routine to achieve this.

When shade selection went digital

Modern shade selection routines may include contact-based instruments and non-proximity devices to aid the process. The former includes spectrophotometers and colorimeters, which are thought to be a gold standard in some approaches to care (Rashid, Farook and Dudley, 2023).

A 2024 study compared the use of dental guides to a spectrophotometer for shade selection and found a reduced variance with the digital solution, creating more reliable and reproducible results (Alvarado-Lorenzo et al, 2024).

Non-proximity devices will include professional digital cameras, intraoral cameras, and smartphone cameras. They have been found to produce more reliable clinical outcomes due to shade-matching results than conventional shade selection methods, but this is notable in that this is under controlled environments (Rashid, Farook and Dudley, 2023).

These have grown in popularity due to the increased acceptance of digitalisation and, in particular, automated diagnostic tools in dentistry. Intraoral scanners have been a leading aspect of this trend (Rashid, Farook and Dudley, 2023).

The latest stage of development is the use of digital imaging systems alongside artificial intelligence, which can create efficient, streamlined analysis of high-quality images.

Even the use of mobile phones as a shade selection aid is rising, in part due to their quality, and also the difficulties facing accessibility and handling of alternative adjuncts (Zilpilwar et al, 2025).

But what if the most optimal change, which would lead to enhanced aesthetics while balancing treatment efficiency and cost, lies in the restoratives used?

Clinical case

In the following clinical case, Dr Chris O’Connor restores form and function in extensive root caries with Solventum Filtek Easy Match Flowable Restorative.

A 38-year-old male was referred for comprehensive treatment to improve aesthetics and to try to salvage as many teeth as possible. He previously worked as a chef with high incidence of energy drink consumption. Extensive root caries noted.

The challenge was to restore form and function, provide an easy to clean surface and reduce risk factors.

The case was completed with Filtek Easy Match shade Bright in paste and flowable preparations. Dr O’Connor said: ‘The matrixing was challenging in places but the versatility and simplicity of the composite used certainly helped produce the result. I am most proud of the aesthetics and polish produced with a single shade restorative approach.’

Change your materials

Composite materials have typically been made available in shades corresponding to popular shade selection aids, such as the VITA shade guide.

The range of colours that a tooth may be – from cusp to gingival margin – is so varied that many composite systems are available in countless shades. A clinician may feel the need to have these available in many, if not all, available shades in order to feel adequately prepared to support every patient.

However, this has drawbacks. Firstly, if shades go unused, inventory space is being used unnecessarily, and the solution could be considered a poor investment.

In everyday care, decision-making between four or five similar shades of composite may increase treatment time, reducing opportunities to support a wider variety of patients.

A smaller selection of restorative materials streamlines the selection workflow, but this should not be at the compromise of aesthetic outcomes.

This problem is compounded when considering the types of restoratives needed. A standard composite material will be ideal in many clinical indications, but there are circumstances where a flowable or bulk fill material is preferred; if a wide array of shades is needed in each modality, the inventory challenge grows.

Combine this further with blockers, and the headaches for dental teams only expands too.

Simple shade selection with Filtek

The most straightforward answer to simplifying shade selection workflows is choosing a versatile, effective composite selection when procuring items.

This includes the Filtek Easy Match range from Solventum. The 3M Filtek Easy Match Universal Restorative uses a three-shade system to enable a more intuitive process, while increasing confidence in aesthetic outcomes.

The Bright, Natural and Warm shades match the entire classical VITA shade guide, suiting almost any patient’s restorative needs. Natural is appropriate in a majority of cases, with its appearance adapting to the structures around it.

A naturally adaptive opacity ensures this happens at each aspect of a tooth, with a natural appearance achieved without an additional blocker. Instead, clinicians can create a dentine-like opacity by creating a material thickness greater than 2mm. For the incisal edge and bevel, an enamel-like translucency can be crafted by using just 0.5-1mm of material.

The result means a refined inventory, and confidence in more intuitive shade selection.

In cases where it is more difficult to judge – ‘could this patient be a bright shade, or natural?’ – clinicians need only place a button of material on the tooth, light-cure, and choose the appropriate solution.

Not only is this convenient, but it can also be an effective opportunity to show the patients an aspect of the final result before treatment is carried out.

Benefits for wider workflows

Not all restorative cases can be managed effectively with a standard composite material, however. Instead, a flowable solution may be preferred.

The Solventum Filtek Easy Match Flowable Restorative utilises the same versatile three-shade system, but can be applied in many more cases, for true confidence in every case.

Once again, no blocker is required, but the innovations do not stop here. An improved syringe design means that application is virtually bubble-free, without run-on, when compared to a common Luer lock design. As a result, clinicians have increased confidence in both aesthetics and restorative longevity.

Excellent polish retention and wear resistance is achieved with both solutions, ensuring aesthetics last over time.

Application is made even simpler with the addition of the Solventum Filtek Composite Warmer Kit.

Once an appropriate shade of composite is chosen for a patient, effective application is paramount. The Solventum Filtek Composite Warmer Kit is fast, portable and easy to use. It is designated specifically for use with Filtek composite restoratives, and creates improved flow and adaption for chosen materials, while reducing extrusion forces.

When optimising restorations through shade selection, material warming is the next step to more confident placement.

Flowable restorative poll: what do you use and what would make you switch?

Summary

There are many ways a clinician can change their shade selection workflow to improve restorative outcomes for patients. Changing the shade matching process can help dental teams find more accurate results, but selecting a versatile restorative material could have additional benefits.

Aside from enhanced aesthetics, clinicians could find knock-on effects in inventory management and streamlined treatments, creating a wider range of benefits – certainly something to smile about.

References

• Adebayo GE, Gbadebo OS, Ajayi MD (2022) The tooth shade matching ability among dental professionals: A comparative study. Annals of Ibadan Postgraduate Medicine 20(1): 65
• Alayed MA, Alnasyan AS, Aljutayli AA, Alzaben MM, Alrusayni WM, Al Hujaylan AA (2021) Considerations and implications in shade selection for dental restorations: a review. Journal of Pharmacy and BioAllied Sciences 13(Suppl 2): S898-S902
• Alvarado-Lorenzo A, Criado-Pérez L, Cano-Rosás M, Lozano-García E, López-Palafox J, Alvarado-Lorenzo M (2024) Clinical comparative study of shade measurement using two methods: Dental guides and spectrophotometry. Biomedicines 12(4): 825
• Hardan L, Bourgi R, Cuevas-Suarez CE, Lukomska-Szymanska M, Monjaras-Avila AJ, Zarow M. … & Haikel Y (2022) Novel trends in dental color match using different shade selection methods: a systematic review and meta-analysis. Materials 15(2): 468
• Rashid F, Farook TH, Dudley J (2023) Digital shade matching in dentistry: a systematic review. Dentistry Journal 11(11): 250
• Zilpilwar N, Nimonkar S, Godbole S, Belkhode V (2025) Efficacy of artificial intelligence-assisted appliances in the selection of tooth shade: protocol for an observational study. JMIR Research Protocols 14(1): e68160

Solventum, the S logo and Filtek are trademarks of Solventum or its affiliates. 3M is a trademark of 3M company.

For clinical sample offers, please read terms and conditions on order form.

We hear from British bobsleigh athlete, three-time champion shot putter and Olympian Adele Nicholl on decision making under pressure, resilience and why high performance is built through self-awareness, accountability and adaptability.

In this episode of Dentistry Talks, Adele explores what elite sport can teach dental professionals about handling pressure, making difficult choices and staying calm when plans change. Drawing on her Olympic career, psychology background and experience speaking to business leaders, she explains why good decision making is a skill that can be learned, practised and improved over time.

Adele reflects on the importance of taking responsibility for how we respond to setbacks, why self-belief matters when others do not understand your path, and how developing a ‘pencil plan’ can help professionals remain flexible without losing sight of long-term goals.

The conversation also explores resilience, confidence, delayed gratification and the value of knowing yourself well enough to make decisions from clarity rather than fear.

You can now watch on YouTube and listen on Spotify.

Topics include:

• Decision making under pressure
• What dentistry can learn from elite sport
• Resilience, setbacks and self-awareness
• Accountability and taking ownership
• Why adaptability matters in high-performance environments
• Trusting your gut while making considered choices.

Listen to other episodes below:

• Burnout, balance and building a brand: lessons from the Singing Dentist
• Ageing as a dental professional: how to maintain purpose and identity
• What every dentist needs to understand about trauma and dental anxiety 
• From pitchside to practice: lessons from sports dentistry
• Lessons from the business guru behind Kinky Boots.

Dentistry Talks podcast is powered by Sensodyne.

You can find out more here.

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Neil Woodhouse explores why many orthodontists are investing in in-house aligner production using two key case studies.

Clear aligner demand across the UK shows no sign of slowing. As patients continue to prioritise discreet, comfortable orthodontic treatment, practices are under increasing pressure to deliver faster results, greater flexibility and a more personalised experience.

In response, a growing number of clinicians are shifting away from fully outsourced systems and investing in in-house aligner production. By combining digital workflows with modern thermoforming techniques and advanced materials such as Iconic Align, practices are gaining more control over both treatment and business performance. So, what’s driving this shift – and is it the right move for your practice?

Taking back control of aligner treatment

Outsourced aligner systems offer convenience, but they can also limit clinical input. Treatment planning is often completed remotely, which may restrict control over staging, biomechanics and appliance design. In-house aligner production changes that dynamic entirely.

By bringing manufacturing into the practice, orthodontists can directly manage every aspect of treatment – from initial setup through to final detailing. This includes full control over attachment placement, trim lines and force application, allowing treatment to be tailored precisely to each patient.

For clinicians who value autonomy and precision, this level of control is a major advantage.

Speed as a competitive advantage

Turnaround time is one of the most immediate benefits of in-house aligners. Rather than waiting days – or even weeks – for external production and delivery, practices can design, print and thermoform aligners within hours. This means faster treatment progression, fewer delays and the ability to respond quickly to refinements – ultimately improving both efficiency and patient satisfaction.

Improving profitability and accessibility

Cost remains a key consideration in aligner therapy. Many outsourced systems operate on fixed pricing models, which can limit flexibility – particularly for minor cases or short-term alignment. In-house clear aligner production offers a more scalable alternative. By reducing per-case costs, practices can:

• Improve profit margins
• Offer more competitive pricing
• Expand access to aligner treatment for a wider patient base.

This is particularly valuable for relapse cases, cosmetic alignment and hybrid treatments.

Case study one: adult alignment

A 50-year-old female with mild to moderate upper and lower crowding was efficiently treated in seven months using in-house aligners. No attachments or IPR required.

Case study two: functional correction

Functional correction: A 16-year-old male with Class II Division 2, deep bite, and arch crowding/spacing was treated with Neyo Pro in-house aligners with mandibular advancement blocks for 10 months, followed by six months of fixed appliances for final detailing.

Building a digital orthodontic workflow

Successful in-house aligner systems rely on a well-structured digital workflow. While this requires initial investment, the technology is now more accessible than ever.

Typical components include:

• Intraoral scanning for accurate digital impressions
• Treatment planning software for aligner staging
• 3D printing for model production
• Thermoforming equipment for aligner fabrication.

With the right setup, practices can create a streamlined, repeatable process that integrates seamlessly into daily workflows.

Why material choice matters

Not all aligner materials perform equally. For predictable tooth movement, consistency and durability are essential. Iconic Align has been developed to deliver controlled, light forces while maintaining flexibility and clarity. Its resistance to deformation supports accurate tracking throughout treatment, while its transparency meets patient expectations for aesthetics. From a clinical and operational perspective, ease of thermoforming and finishing also plays a key role – helping teams maintain efficiency without compromising quality.

Expanding what’s clinically possible

One of the biggest advantages of in-house aligners is the ability to go beyond simple cases. With full control over design and production, clinicians can adapt treatment as it progresses and combine aligners with other orthodontic techniques. This opens up new opportunities for managing more complex cases, offering a level of flexibility that can be difficult to achieve with outsourced systems.

Are there challenges?

Adopting in-house aligner production is not without its hurdles. Practices must commit to training, workflow development and ongoing quality control. A skilled and engaged team is essential, particularly when it comes to digital design and laboratory processes. However, many practices find that these challenges quickly translate into strengths. Teams often take greater ownership of treatment, leading to improved consistency and better patient outcomes.

A shift in modern orthodontics

In-house aligners are no longer a niche concept – they are becoming a key part of modern orthodontic practice in the UK. By combining speed, control and cost efficiency, this approach enables clinicians to deliver highly personalised treatment while strengthening their practice offering. For those willing to invest in the technology and training, the rewards are clear: greater clinical freedom, improved workflows and a better overall patient experience.

In-house thermoforming with Iconic Align provides orthodontists with a high level of control, flexibility and efficiency. While implementation requires investment, commitment and a focus on clinical excellence, the long-term benefits are significant – including improved treatment outcomes, greater cost efficiency and the ability to deliver truly personalised care. For clinicians who value precision in planning, staging and innovation, in-house aligner production represents more than an alternative – it marks a progressive step forward in modern orthodontic practice.

Discover Iconic thermoforming materials from DB Orthodontics – precision-engineered for consistent performance and trusted by technicians, clinicians and patients worldwide.

This article is sponsored by DB Orthodontics.

Does whitening always need to come before Icon resin infiltration? Not necessarily, but knowing when it does can be the difference between a predictable result and sealing discolouration into the tooth.

It was one of several practical clinical questions dentist Cat Edney answered during a Dentistry Live question-and-answer session following her live Icon demonstration. After the procedure, she worked through the decisions that shape real cases: whitening, rubber dam, composite combinations, orthodontic patients and the growing role of interproximal Icon.

Does whitening always come first?

On whether whitening should always come before Icon, Edney was clear: ‘Actually, no, it doesn’t have to.’

However, she said it could make treatment more predictable by revealing the full extent of the lesion before infiltration.

‘It can make the results more predictable if you whiten before Icon, purely because you’re seeing the full extent of a dehydrated lesion,’ she said.

Colour changes the calculation. Edney said tooth whitening was ‘absolutely mandatory’ before Icon resin infiltration if there was ‘any color involved in the lesion’. Placing a clear resin over brown, white or orange discolouration risks sealing that colour into the tooth.

Why rubber dam is essential

Moisture control was another key theme.

‘Moisture control is absolutely essential, because if we have any liquid in that air bubble, it’s going to disrupt our light refractive index once we resin infiltrate,’ Edney said.

She explained that even ‘humidity from breath’ could alter the result and make it less predictable, particularly if the tooth dehydrates later.

When Icon needs composite

Edney also explained when Icon may need to be combined with composite, including darker lesions, cases requiring a small enamoplasty, or teeth where previous composite masking has to be removed.

‘Obviously, with Icon, we’re talking about enamel only, we never go into dentine,’ she said.

Where Icon resin infiltration fits beyond white spots

Orthodontic patients were identified as strong candidates, particularly where white spot lesions had developed around brackets or attachments. Edney said these cases were often straightforward to treat, usually requiring ‘one, maximum two rounds of etch’.

She also highlighted interproximal Icon for early carious lesions.

‘It’s very rewarding,’ she said. ‘We see time and time again patients who are not suffering with progression of decay, because we’ve managed to treat early enough that we’ve avoided putting a drill into that patient’s tooth.’

Watch the full Dentistry Live session, including the complete Icon procedure, clinical workflow and question-and-answer session with Cat Edney, on demand now.

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The self-employed associate model remains a central pillar of UK dentistry, says Alicja Zajac, providing a vital equilibrium between clinical autonomy and operational flexibility.

For decades, the dental associate contract has supported this arrangement. Associates trade the traditional safety nets of employment for higher degrees of independence, while principals gain a professional workforce without the administrative and financial burdens of a standard payroll.

However, recent developments in employment law suggest this balance is becoming increasingly fragile. As judicial scrutiny of worker status intensifies, the profession faces a mounting compliance risk that could threaten the model it relies upon. The survival of this structure now depends on rigorous alignment between contractual theory and the daily clinical reality of the surgery.

The control paradox

This challenge is rooted in what can be termed the control paradox. In an effort to ensure patient safety and brand consistency, many practices have implemented highly structured operational systems. While these measures are clinically justified, they introduce a significant legal tension.

The landmark Supreme Court ruling in Uber BV v Aslam established that contractual wording is not the final word in determining status. Instead, courts will examine the reality of the working relationship, focusing on control and subordination.

In a dental context, this requires a granular examination of day-to-day practice. If a principal dictates the appointment book, limits the associate’s ability to refuse specific tasks, or insulates the clinician from the financial risks of their own clinical errors, the relationship begins to mirror one of employment.

The successful worker-status claim in Sejpal v Rodericks Dental Limited offers a sobering illustration of this shift. In that case, the tribunal found that the clinician was not merely a tenant of a room but was ‘integrated’ into the practice’s business. The court examined the lack of a genuine, unfettered right to substitute and the degree to which the practice controlled patient flow and financial terms.

Crucially, the tribunal concluded that the associate was not ‘in business on her own account’, but was instead part of the principal’s business. This distinction is vital: if an associate is prevented from marketing themselves independently or is tied to a practice through restrictive covenants and rigid ‘house rules’, they are increasingly likely to be seen as a worker rather than a self-employed contractor.

Substitution and independence

For associates, it is essential to recognise that independence is not a passive status delivered by a contract; it must be actively demonstrated in the surgery. One of the most significant, yet often overlooked, vulnerabilities lies in the substitution clause.

The right to provide a substitute is a primary indicator of genuine self-employment: the clearest evidence that the contract is for ‘services’ rather than ‘personal service’. However, if this right is fettered by administrative barriers, arbitrary vetting, or a principal’s veto that makes substitution practically impossible, the clause becomes a legal fiction.

This principle was central in Pimlico Plumbers Ltd v Smith, where the Supreme Court held that a highly restricted right to substitute does not satisfy the requirement for self-employment. When a substitution clause cannot be exercised in practice, the associate loses their primary lever of clinical and financial independence, and the validity of the model for both parties is called into question.

Associates must therefore operate with the mindset of a separate commercial entity. This means asserting meaningful control over working days, hours and clinical methods. If an associate cannot decide when they work or who covers their absence, their legal autonomy is compromised.

Even when associates behave independently, their autonomy can still be compromised by the systems around them. Risk often emerges through operational creep: the slow, cumulative erosion of independence caused by routine practices such as mandatory meetings, dictated laboratory lists and rigid protocols that leave little room for independent clinical judgement.

These systems are often introduced for efficiency, but they can inadvertently create a relationship of dependency. When an associate is indistinguishable from an employee to the patient, they may eventually be indistinguishable to a judge.

The financial risk

If practices do not evolve how clinicians are instructed to work, the model faces the weight of its own contradictions. If the associate model is used to avoid the costs of employment while maintaining the control of an employer, the legal gap will inevitably close, often with serious financial consequences.

A finding of worker status can trigger backdated liabilities for areas such as holiday pay and pension contributions, sums that could jeopardise the stability of a mid-sized clinic. Separately, His Majesty’s Revenue and Customs (HMRC) may scrutinise arrangements where the working relationship does not mirror genuine self-employment, including pay as you earn (PAYE) and National Insurance obligations.

This is not a hypothetical concern; it is a live financial risk that grows every day the operational reality remains out of sync with the contract. Beyond the financial impact, reputational damage can make future recruitment more difficult in an increasingly competitive market.

Ultimately, protecting the associate model requires precision over paperwork. Authentic independence demands a culture that respects autonomy as much as it respects the contract. This may require a shift in practice culture, where systems designed for efficiency are balanced against the need to preserve the associate’s independence.

Principals may need to reconsider certain managerial controls over the how and when of clinical work to protect the legal status of the relationship. The question for the profession is whether the current level of operational control is worth the potential liability it creates.

Without a move toward genuine professional partnership and a rejection of performative compliance, the model may be less stable than many assume. The contract may say one thing, but the daily reality of the surgery says another, and it is the latter a judge will believe.

What associates should check

This is not only a principal’s issue. Associates should also ask whether their working reality reflects the independence described in their agreement.

That means reviewing whether they can exercise a genuine right of substitution, control their diary, make appropriate clinical decisions, choose materials and laboratories where clinically relevant, and carry meaningful financial responsibility for their own work.

Associates should also consider how they present themselves to patients and whether they are able to operate as a recognisable independent practitioner within the practice. If the contract says one thing but the day-to-day working arrangement says another, both parties may be exposed.

The compliance blueprint: next steps for the surgery

This legal vulnerability creates a clear need for guidance that supports both parties in maintaining the independence the model relies on.

To move from apprehension to action, practices must transition toward honest, active compliance. Preserving the associate model requires protecting the operational independence that gives the framework its legal foundation. Both parties should audit three core operational areas.

One: de-regulate the diary

Review daily scheduling workflows. If booking software, rigid appointment templates or fixed timing allocations strip the clinician of autonomy over pacing and clinical judgement, these systems should be reviewed. A self-employed associate must retain meaningful control over how they manage their time and treat patients at the chair.

Two: document genuine financial risk

True self-employment demands financial exposure. Practice accounts and internal records should clearly demonstrate where financial responsibility lies for remakes, failed treatments and clinical errors. If the practice absorbs or dilutes this risk, a court may view the relationship as closer to employment.

Three: review front-of-house communication

Control often begins at the reception desk. Front-of-house teams should understand how to communicate the associate’s role accurately, framing them as an independent practitioner utilising the clinic’s facilities rather than simply as an internal member of staff.

This must be done carefully and transparently, without confusing patients about responsibility for care, fees, complaints or records. Small, consistent shifts in daily language can help prevent patients from confusing an independent contractor with an integrated employee.

The principal-associate model remains valuable, but it cannot be protected by paperwork alone. Its future depends on whether the profession is willing to align contracts, culture and daily working reality before a court is asked to do it instead.

References 

1. Halsbury’s Laws of England. Employment (Vol. 39). 5th ed. London: LexisNexis; 2020.
2. Uber BV and others v Aslam and others [2021] UKSC 5.
3. Sejpal v Rodericks Dental Limited [2022] EAT 91.
4. Pimlico Plumbers Ltd and another v Smith [2018] UKSC 29.
5. British Dental Association. Associate agreements and employment status. London: BDA; 2024.

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‘NHS dentistry is broken.’ Not my words, but those of the government when it entered office back in July 2024. As a dentist, it is impossible not to agree with this analysis. Is NHS dentistry beyond repair? Far too many, sadly, would say yes, that the problems are far too big and the will just isn’t there to fix it.

However, I am optimistic about the future of NHS dentistry and I truly believe that it can be rescued and that with action and campaigning, this goal can be achieved.

Promises have been made to implement a new NHS dental contract by the end of this parliamentary term, and I believe it is imperative that we, as a profession, hold parliamentarians to account, to ensure that this happens.

Taking the case to Labour conference

I make no secret of the fact that I am politically active and I believe in the positive impact that governments can exercise in order to enact change. In September 2025, I took my experiences in NHS dentistry to the floor of the Labour Party’s annual conference in Liverpool and proposed a motion to the health ministry, MPs and party members.

The message was simple. NHS dentistry is a system that is not, in its current form, fit for purpose. In order to fix it, fundamental change is needed. Tinkering around the edges will not cut it and a new NHS dental contract must be implemented.

Alongside this, there must be a general focus on prevention and education as part of a wider public health approach. This motion was passed unanimously. In order to get the changes that the profession needs, a laser focus on the need for progress is essential and this led me to the Houses of Parliament.

Bringing NHS dentistry to Westminster

The inboxes of all MPs have been flooded in recent years with emails from constituents who have been unable to access NHS dental care and I understand that, in order for MPs to be able to use the full weight of their positions to influence change, they need to be fully informed on the issues that exist within the system and what can be done to begin to resolve them.

After considering what I could do as a general dental practitioner (GDP), I approached my local MP Connor Naismith, who agreed to sponsor an event in Parliament where I would bring a team to do just this. I wanted to build a team of all talents and expertise from within dentistry who could draw on their experience to give that complete, rounded view.

This team was composed of myself, Dr Shiv Pabary, chair of the British Dental Association (BDA) General Dental Practice Committee (GDPC), Professor Zoe Marshman, professor of dental public health at the University of Sheffield, and Dr Sarah Weston, clinical development adviser at {my}dentist.

On 22 June 2026, our team travelled from different areas of the UK to Westminster to hold this event. It was a very eventful day as, not only were we hosting the session, but there was a heatwave and the Prime Minister had just resigned only a few hours earlier.

Despite the day’s circumstances, we had a constant and steady turnout of MPs of most parties and parliamentary staff, including Sarah Russell, Jonathan Brash, Adrian Ramsay, Diane Abbott, Jim Shannon and more, who were keen to chat and understand what changes are possible to make NHS dentistry a service fit for the future. Andrew George member of the Health Select Committee also came.

What MPs asked about a new NHS dental contract

We stressed the importance of contract reform to a weighted capitation model with urgent care and prevention built in, alongside a wider public health approach, with the need for oral health to be treated with the same seriousness as general health.

Concerns raised by MPs ranged from how much more funding would be needed in any new contractual arrangements to why there is such a high rate of general anaesthetics in children for dental treatment. It was explained that the BDA estimates that £1.5 billion is needed to bring NHS dentistry back from the brink and many of the MPs who attended, were surprised at this number, expecting it to be far larger.

We unanimously concluded that there is the will to enact positive change and that all understood the absolute urgency to reach workable solutions. To support our work, professionals can contact their MP to ensure that our voices are heard from all parts of the UK and to all political parties.

What happens next?

We will continue this work to maintain momentum, as it will be through a collaborative approach, while also holding politicians’ feet to the fire, that I truly believe NHS dentistry can be saved. The demise of NHS dentistry is not inevitable and we are a pivotal part in rebuilding a system that we can all be proud of.

The NHS was once the envy of the world and by working together it absolutely can be again.

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Treeline Dental Care has never been a group that stands still, and its first-ever Company Kick-Off Event proved exactly that.

Bringing together around 35 team members from across all Treeline practices, including every lead, every practice manager, and 15 clinicians, the day marked a new milestone in the group’s commitment to development, collaboration and culture-building. Led by co-founder Dr Jimmey Palahey, alongside operations director Nav, the event blended structured learning with hands-on clinical training – and a rare opportunity to take to the pitch at Lincoln City Football Club on a gloriously sunny day.

The purpose of the Kick-Off event was clear: to invest in Treeline’s people. While the group already runs its well-established Growth and Development Day each year, this new event was designed as a dedicated staff development day, giving both clinical and non-clinical teams the chance to sharpen their skills, strengthen relationships and align on the year ahead.

What happened at Treeline’s Company Kick-Off Event?

The morning opened with a welcome address from Jimmey and Nav, setting the tone for a day built around shared purpose and professional growth. After the introduction, the group split into two tailored training streams. Clinicians took part in a hands-on composite bonding and whitening session delivered by SDI, who brought their expertise directly into the room. Meanwhile, Treeline’s head office team led a programme of managerial and leadership training for practice managers and leads, covering topics such as operational excellence, communication, team development and the evolving expectations of modern dental leadership.

Dr Jimmey Palahey, co-founder of Treeline Dental Care, said: ‘Launching our first Company Kick-Off Event felt like a natural next step in Treeline’s journey. We wanted to create a day that not only strengthened clinical and managerial skills, but also reinforced the sense of unity that runs through every one of our practices. Our aim was to bring people together, give them space to grow, and set a clear direction for the year ahead. Seeing our teams so engaged, energised and connected has confirmed just how powerful days like this can be.’

This dual approach ensured that every attendee, whether clinical or managerial, received training that was directly relevant to their role. It also reinforced Treeline’s belief that excellence in dentistry is built not only on clinical skill, but on strong leadership, cohesive teams and a shared understanding of what great patient care looks like.

Unexpected football talent

A new annual tradition

Feedback from attendees was overwhelmingly positive. Staff described the event as informative, energising and well-balanced, praising the mix of structured training and relaxed team-building. Many commented on how valuable it was to spend time with colleagues from other practices, strengthening relationships and gaining insight into how different teams operate. Others highlighted the quality of the SDI clinical training and the practicality of the leadership sessions, noting that they left with new skills they could apply immediately.

For Treeline, the success of the first Company Kick-Off Event signals the beginning of a new annual tradition. It also reflects the group’s ongoing commitment to investing in its people and creating opportunities for growth, connection and shared purpose.

Discover more about Treeline Dental Care here.

This article is sponsored by Treeline Dental Care.

Adam Thompson explains practice owners can protect and strengthen the value of their business with succession and exit planning, getting ahead on retirement, sale or partnership transitions.

Succession and exit planning are often pushed to the bottom of a dentist’s to‑do list. But for private practice owners, they’re essential for long‑term financial security.

Unlike NHS‑contracted practices, private practices are valued on their commercial performance, meaning the decisions you make today directly influence the price you’ll achieve when you retire, sell or bring in a partner.

Whether you’re five or twenty-five years away from stepping back, a clear plan can help to protect your investment, strengthen your practice’s value and ensure a smooth transition for your team and patients.

How does private practice affect the value of your business?

As a private dentist, you’ll benefit from greater autonomy and earning potential than working in the NHS. However, this places more responsibility on you to build and maintain your practice’s value.

In fact, because private practices are not underpinned by NHS contract income, buyers will place greater emphasis on the commercial strength and sustainability of the business.

Several factors can influence valuation:

Patient base stability

A loyal, well-retained patient base (particularly those on membership plans) shows a reliable revenue stream and reduces perceived risk.

Treatment mix and recurring revenue

Practices with a mix of general dentistry, hygiene services and higher-value cosmetic treatments typically achieve stronger goodwill multiples.

Brand reputation and digital presence

Online reviews, website quality, visibility in local search ranking and social media presence all contribute to perceived value and patient acquisition potential.

Quality clinical team and staff retention

A skilled, stable team reduces reliance on the principal dentist and reassures buyers that the practice can operate smoothly post-sale.

Compliance, governance and financial record keeping

Strong systems, clear documentation, and clean financials can streamline due diligence and help to increase buyer confidence.

Planning for retirement, sale or partnership transitions

Exit planning isn’t a quick task. It’s a phased process that takes time. So, whether you intend to retire, sell outright or transition to a partnership model, early preparation will be key.

Retirement planning

Ideally, you should start your retirement planning 5-10 years before your intended retirement date. This allows enough time to:

• Align personal financial goals with the projected value of the practice
• Optimise tax-efficient profit extraction
• Reduce reliance on the principal dentist by delegating clinical and managerial responsibilities
• Strengthen the practice’s financial performance ahead of valuation.

A well-structured retirement plan can help to ensure you’re able to step back with confidence and on your own terms.

Selling your practice

If you’re thinking of selling, preparation will be key. You should consider:

• Preparing for due diligence – buyers will scrutinise financials, compliance records, contracts, and operational processes. Clean, organised documentation accelerates the sale
• Improving EBITDA and reducing reliance on the principal – a practice that performs well without the owner’s constant involvement is more attractive and commands a higher price
• Choosing the right buyer – options include corporates, private buyers, or existing associates. Each route has different implications for valuation, culture, and handover expectations
• Negotiating handover periods and earn‑outs – many sales involve phased transitions. Understanding the commercial and personal impact of these arrangements is essential.

Partnership transitions

For dentists looking to bring in new partners or associates, structured planning helps maintain stability:

• Clear buy‑in and buy‑out agreements
• Defined roles, responsibilities, and profit‑sharing arrangements
• Cultural alignment and continuity of care
• Legal documentation that protects all parties.

Protecting your investment and ensuring a smooth handover

Beyond financial preparation, a successful transition relies on protecting the practice’s reputation, team and patient relationships. Practices with higher valuations are usually those that can operate well without the principal dentist, supported by clear systems, a stable team and consistent, clear patient communication.

Ensuring compliance, maintaining strong governance and putting appropriate financial protections in place all help to reduce risk and reassure future buyers or buyers.

By planning early and taking measures to strengthen the practice’s resilience, you’re not only safeguarding its value, but also making any eventual handover smoother for everyone involved.

The role of professional advice

Seeking expert advice can be invaluable when navigating succession and exit planning. A specialist adviser can help you to model different exit scenarios to support your decision-making and optimise any available tax efficiencies.

If you’re ready to start planning your own exit strategy, speak to a dental specialist financial adviser by visiting wesleyan.co.uk/dental or calling 0808 149 9416.

Please note: Charges may apply. You will not be charged until you have agreed to the services you require and the associated costs. Learn more at www.wesleyan.co.uk/charges. 

This article is sponsored by Wesleyan Financial Services.

Mark Topley helps dental practice owners and managers identify who is responsible for burnout and its consequences to build calm, high-performing teams.

Most practices have a wellbeing initiative of some kind.

A wellbeing lead, a mental health first aider, a fruit bowl in the staff room nobody quite trusts.

And most owners have a frustration running alongside it, usually about a younger team member who’s off the odd Monday, increasingly with the explanation that they need to protect their mental health.

The two feel unrelated, but they’re the same problem – nobody’s quite sure who’s responsible for a team’s energy.

Wellbeing isn’t a programme you bolt on. It’s a by-product of two things, how a place is led, and how the people in it look after themselves, and it has two owners. 

The conditions are the leader’s job. The choices are the individual’s. 

Almost all the confusion comes from collapsing it to one, either the leader who tries to fix everyone single-handed and burns out doing it, or the cynic who calls it all personal and none of their business.

Both are wrong, in opposite directions.

This isn’t a soft issue

A 2025 Dental Protection survey of more than 1,600 UK dental professionals found 63% frequently burnt out and exhausted.

Most of the cost isn’t dramatic, it’s the slow grind of a tired team doing slightly worse work, and research links poorer staff wellbeing to worse patient safety.

Your team’s energy and your patients’ experience are the same conversation.

Let’s take the leader’s half first, because it’s the bigger lever.

It comes down to four conditions you actually control.

Clarity

People burn enormous energy guessing what good looks like and whose job a thing is. Clear expectations don’t constrain a team, they relax it. Clarity is kindness.

Capacity

An honest look at the diary, rather than a permanent state of slightly too much. You can’t recover from a week that was never survivable.

Safety

Whether someone can say ‘this isn’t working’ without it becoming a thing. Psychological safety is the early-warning system, the way problems surface while they’re still small.

Recovery

Whether rest is modelled from the top or punished. If you’re answering emails at 11 at night, you’ve set the standard, whatever the wellbeing poster says.

All four are structural, not reactive. A wellbeing day is a nice gesture aimed at a problem the structure created across the other 51 weeks.

The real work is building conditions that don’t drain people in the first place.

Then there’s the other owner, and the Monday frustration is the clearest example of the half that isn’t yours to fix.

It’s real, and it’s still their responsibility. Real first, because that’s the bit the eye-rollers get wrong – anxiety and depression in working-age adults has risen sharply since the 90s, and now peaks in the mid-20s rather than the late 40s.

When a 24-year-old says they’re struggling, the odds they actually are have gone up.

But younger workers take fewer total sick days than older ones, so this was never about volume, and much of what shows up as Monday fatigue isn’t a condition at all.

It’s social jetlag, the body-clock whiplash from late nights and lie-ins all weekend, then a Monday start.

Real and measured, but largely self-made, driven by weekend bedtimes and late screens, both within a person’s control.

Health is health. A body clock you wreck every weekend isn’t a problem your practice created, and saying so isn’t unkind, it’s honest.

A smaller group are truly unwell and need proper support, but that isn’t most of what shows up on a Monday morning.

How does it work?

You don’t police people’s weekends, and you don’t absorb the gaps in silence. 

You’re clear that reliability matters and the team carries the cost when someone’s repeatedly missing, you make it safe to tell you when something real is going on, and you treat the recurring Monday as a conversation, not a crime.

The person who’s truly unwell will be relieved you noticed, while the person who needs to sort their sleep out gets the message without you being heavy about it.

The trap is asking ‘is it the practice’s fault or theirs?’ because the honest answer is usually some of each.

What’s mine to fix is the conditions. What’s theirs to own is their health and the choices that protect or wreck it.

Sort your half first, because it’s the bigger one, and it earns you the right to ask about theirs.

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Minesh Patel breaks down the hidden legal and lifestyle risks that can quietly undermine long-term financial autonomy in dentistry.

In my first article, we addressed financial foundations: tax reserves, compliance and financial protections.

I then examined advanced tax mechanics and increasing income retention: the £100,000 threshold, student loans, pension relief and the nuances to incorporation. 

This final instalment confronts the risks that most dentists and dental care professional (DCP) do not see coming, and these do not arise from poor Individual Savings Account (ISA) or Self-Invested Personal Pension (SIPP) investment choices. 

Instead they stem from risks such as unplanned incapacity, premature death, gradual lifestyle inflation and inadequate legal and estate planning.

The legal blind spot of capacity and control

Financial safeguarding extends beyond income and taxation.

Many professionals either do not give it a second thought or operate under the assumption that family can act on their behalf.

This assumption is common, dangerously optimistic, and legally incorrect.

The solution is both simple and crucial; a lasting power of attorney (LPA). 

An LPA allows an attorney ie a trusted individual(s) to act on your behalf if capacity is lost. There are two types:

• Property and financial affairs LPA – covering bank accounts, investments, bills, property and business interests
• Health and welfare LPA – covering decisions relating to medical treatment and care.

Without an LPA, your family cannot automatically act for you. They must apply to the Court of Protection specifically. 

Family members may be unable to access funds, pay bills or even make routine enquiries to service providers during this time.

For practice owners, the absence of an LPA can have immediate operational consequences; delayed staff payments, stock shortages, revenue disruption and disruptions to patient care. Like a ship without a captain, a practice without leadership can quickly drift into difficulty. 

Legal safeguards are not expressions of pessimism; they are instruments that provide clarity, protection, and control.

Wills and the reality of statutory distribution rules

A Will determines how your assets are distributed after death, who looks after your children (under 18s), and who manages your estate (executors).

Many assume that family members ‘sort things out’; an assumption that is inaccurate. This process can also result in lifetime family disputes leaving an unintended legacy behind. 

Intestacy rules are rigid and do not account for personal nuance. Drafting a clear Will ensures:

• Control over asset distribution and decision-making authority
• Appointment of trusted executors and guardians
• Avoidance of prolonged legal processes and disputes.

For practice owners, the absence of a Will introduces further complexity. Business shares may transfer in ways that disrupt continuity.

Planning ahead for life’s uncertainties

In an era of increasing life expectancy, estate planning is no longer something that can be left to chance.

The greatest risk is often not complexity, but inaction. Without formal legal arrangements in place, decisions do not fall to you but to the state and the courts:

• The court decides who manages your affairs
• The state decides who inherits 
• Your family carries the prolonged stress, delays, and financial burden.

A common pattern emerges: assumptions replace verification, paperwork is postponed, and the rigidity of UK law is underestimated. 

Proactive individuals anticipate risk and act early.

Reactive counterparts, by contrast respond only once events have already occurred.

Lifestyle inflation as a silent constraint

Financial risk does not arise solely from catastrophic events.

More often, it develops in a far less obvious way; through the gradual expansion of fixed costs and lifestyle inflation. As income increases, expectations naturally adjust. 

Larger mortgages, higher rent, premium vehicles. Each step appears reasonable in isolation. 

Collectively, however, these commitments reduce financial flexibility. 

A clinician may wish to reduce sessions or change direction, only to discover that fixed costs anchor them to workloads they no longer enjoy. 

This phenomenon, commonly referred to as lifestyle inflation or lifestyle creep, can lead to ‘golden handcuffs’; the inability to reduce clinical hours without experiencing financial strain.

The antidote lies in disciplined spending, early investing, and prioritising long-term independence over short-term status.

Depreciating assets satisfy present consumption; purchase of appreciating assets create future opportunity.

The annual financial examination

Modern dental careers are rarely linear. NHS commitments may gradually reduce while private income increases. 

Associates may become equity holders within a practice, and DCPs may progress into lead clinical or managerial roles. Each transition subtly alters cash-flow, tax exposure, and lifestyle dynamics.

Dentistry is grounded in prevention. Patients are routinely advised to attend recall appointments every six to 12 months in order to identify problems before complications arise.

Personal finances require the same structured approach.

At regular intervals, dental professionals should conduct a structured financial review, examining: 

• Tax reserves and projected liabilities
• Pension contribution levels and tax efficiency
• Protection policies
• Estate planning documents, including Wills and Lasting Powers of Attorney
• Cash-flow and expenditure patterns
• Emergency fund reserves
• Signs of emerging lifestyle creep.

Financial oversight should be planned and scheduled, not reactive. 

Setting aside one dedicated financial review day each year, and treating it as non-negotiable creates a simple discipline that will pay dividends.  

Consolidating the lessons

Regular financial review may not feel urgent early in a career.

Yet, much like periodontal disease, which progresses silently without monitoring and intervention, financial inefficiencies can accumulate unnoticed. 

Across this three-part series; from pensions to protection planning, a consistent pattern emerges.

When issues arose, assumptions had replaced verification, paperwork and advice were deferred, and financial structures remained unreviewed.

In many adverse scenarios, warning signs were present, but overlooked.

Several practical lessons follow:

• Strong foundations matter; income alone does not create wealth
• Headline earnings can obscure true net income
• Responsibility for financial efficiency ultimately rests with the individual 
• Protecting income for both yourself and your immediate family; insurances are foundational and should not be regarded as optional.
• Structures and lifestyle determine long-term independence
• Legal safeguards preserve your intentions when you cannot act.

The systems governing finance are rule-based. The legal system operates on documentation, not intention. HMRC operates on legislation, not assumption. Insurers operate on policy wording, not discretion.

Professional freedom

Dentistry offers exceptional earning potential and a high degree of professional autonomy. Yet autonomy within the surgery means little without financial independence beyond it.

Crisis-driven decision making, whether in dentistry or finance is rarely optimal. 

Effective financial management is not merely about accumulating wealth alone. Rather, it is about preserving the ability to choose your clinical hours, your working environment, and ultimately when you step away from the chair, on your own terms. 

That is the essence of genuine financial freedom.

Income is the tool, not the goal.

Disclaimer: This article is intended for general educational purposes only and does not constitute personalised financial, legal, or tax advice. Individual circumstances vary, and readers should seek professional advice before making or implementing financial decisions.

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What Is Teeth Spacing?

Teeth spacing refers to visible gaps between teeth. These gaps may appear as a small space between the front teeth or as multiple spaces throughout the smile.

Spacing can affect children, teens, and adults alike. In some cases, it’s simply a cosmetic concern. In others, it may be linked to bite alignment or jaw development. An orthodontist can help determine whether the spacing is minor or part of a larger issue.

Common Signs of Teeth Spacing

Teeth spacing can appear in several noticeable ways, affecting both the look of your smile and how your teeth function day-to-day. Recognizing these signs early can help you determine whether the spacing is primarily cosmetic or warrants an orthodontic evaluation. 

Common indicators include visible gaps between teeth, food frequently getting trapped, and changes in how your teeth fit together when biting or chewing.

What Causes Gaps Between Teeth?

Teeth spacing can develop for several reasons, including:

• Differences in tooth and jaw size can contribute to spacing. When teeth are smaller in proportion to the jaw, extra space may appear between them
  
• Missing teeth can lead to gaps as surrounding teeth shift into the open space over time
  
•  Certain childhood habits, such as thumb sucking, prolonged pacifier use, or tongue thrusting, can influence how teeth align
• In adults, gum disease or bone loss can reduce support around the teeth, which may cause new gaps to develop or existing spaces to widen
  

Are Gaps Between Teeth a Problem?

Not all gaps require treatment. Some spacing is purely cosmetic and does not affect oral health. However, larger or worsening gaps can lead to:

• Difficulty chewing properly
• Bite imbalance
• Speech concerns
• Increased risk of gum issues
• Food trapping between teeth

An orthodontic evaluation can help determine whether treatment is recommended.

How an Orthodontist Evaluates Teeth Spacing

During an orthodontic evaluation for teeth spacing, the orthodontist reviews the position and spacing of your teeth, how your bite aligns, and the relationship between your upper and lower jaws. They also assess your overall oral health. This helps identify the cause of the spacing and determine the most appropriate treatment.

The orthodontist may use photos, digital scans, X-rays, or impressions to better understand the cause of the spacing. Identifying the underlying issue is key to creating an effective treatment plan.

Teeth Spacing Treatment Options

Treatment depends on the cause of the spacing, the size and location of the gaps, the patient’s age, and whether other alignment issues are present.

Braces for Closing Gaps Between Teeth

Braces gradually move teeth into better alignment and close gaps over time.

They are often recommended when spacing occurs alongside crowding, bite problems, or more complex alignment concerns. Braces are effective for children, teens, and adults.

Clear Aligners for Teeth Spacing

Clear aligners can be a good option for mild to moderate spacing, gradually moving teeth into proper alignment to close gaps and create a more balanced, healthy smile.

Retainers After Spacing Treatment

Retainers help maintain your results and prevent gaps from reopening after treatment. Because some spacing issues are more prone to relapse, wearing your retainer as directed is essential for keeping your smile aligned long term.

Other Treatments for Gaps Between Teeth

In some cases, orthodontic care may be combined with other dental treatments, such as:

• Bonding or veneers for small or uneven teeth 
• Tooth replacement for missing teeth 
• Treatment for gum disease 

Orthodontics may be one part of a broader plan to improve both function and appearance.

Can Braces or Aligners Fix Gaps in Teeth?

Yes, in many cases, braces and clear aligners can successfully close gaps.

The best option depends on the cause and severity of the spacing. Larger gaps, missing teeth, or bite-related issues may require a more customized approach. An orthodontist can recommend the most effective solution after an evaluation.

Teeth Spacing in Children vs. Adults

Teeth spacing can vary by age and stage of development. In children, some spacing is normal as baby teeth fall out and permanent teeth come in, but it should still be monitored. In teens, gaps that persist or become more noticeable may indicate alignment or bite concerns and could benefit from orthodontic guidance. In adults, spacing is often treatable, but new or widening gaps should be evaluated to rule out underlying issues such as bite changes or gum health concerns.

When Should You See an Orthodontist for Teeth Spacing?

It’s a good idea to schedule an orthodontic evaluation if you notice visible gaps between your teeth, food frequently getting stuck, discomfort when biting, or changes in speech. Gaps that seem to be increasing over time should also be evaluated.

For children, it’s important to monitor spacing as permanent teeth come in. Early guidance can help determine whether treatment is needed or if the spacing can simply be observed as their smile continues to develop.

Schedule an Orthodontic Evaluation for Teeth Spacing

Teeth spacing is common and often treatable with the right approach. A personalized orthodontic plan can address both cosmetic concerns and functional issues.

If you’re concerned about gaps in your teeth or your child’s smile, consider visiting an orthodontist through the American Association of Orthodontists. An AAO orthodontic practice can identify the cause of spacing, explain your options, and guide you toward the best next step. Find an AAO orthodontist near you and schedule your consultation today. 

The post Teeth Spacing: Causes, Concerns, and Treatment Options appeared first on American Association of Orthodontists.

This article explains what an underbite is, why it happens, when it may need treatment, and what your options are. An orthodontist can evaluate the severity of your underbite and recommend the right treatment plan for your specific situation.

What Is an Underbite?

An underbite is a type of malocclusion, a clinical term for teeth and jaws not lining up the way they should. In a healthy bite, the upper front teeth sit slightly in front of the lower teeth when you close your mouth. With an underbite, that relationship is reversed — the lower front teeth end up overlapping or sitting ahead of the upper front teeth.

Underbites range from mild (barely noticeable) to severe (where the lower jaw visibly juts forward). The cause can be:

• Dental — a tooth positioning issue
• Skeletal — related to jaw structure
• A combination of both

That distinction matters a lot when it comes to figuring out the best treatment approach.

Common Signs and Symptoms of an Underbite

Some underbites are obvious at a glance. Others are subtle enough that only an orthodontic exam will catch them. Common signs include:

• Lower teeth that sit visibly in front of the upper teeth when biting down
• A lower jaw or chin that appears more prominent than the upper jaw
• Difficulty biting or chewing comfortably
• Speech issues, like a lisp or trouble pronouncing certain sounds
• Jaw discomfort or pain, especially around the joints
• Uneven or accelerated tooth wear
• Difficulty closing the mouth fully without strain

If any of this sounds familiar, it’s worth getting an orthodontic evaluation to understand what’s going on and whether treatment makes sense.

Factors That Can Influence How the Teeth and Jaws Develop

A variety of factors can affect the way the teeth and jaws develop, including:

• Genetics. Jaw shape, size, and bite patterns tend to run in families. Some people are simply born predisposed to an underbite.
• Jaw development differences. If the upper jaw grows more slowly than the lower, or the lower jaw grows more than expected, the teeth can end up out of alignment.
• Childhood habits. Prolonged thumb sucking, extended pacifier use, tongue thrusting, and chronic mouth breathing can all influence how the teeth and jaws develop during the early years.

How Is an Underbite Diagnosed?

An orthodontist evaluates an underbite by looking at the full picture: teeth, bite, jaw position, and facial structure together. The process may include:

• A clinical exam to assess how the teeth fit together and how the jaws align
• Digital X-rays to evaluate bone structure and tooth roots
• Photos, 3D scans, or impressions to capture the complete bite

From there, the orthodontist determines whether the underbite is primarily dental, skeletal, or a mix of both. That classification directly shapes which treatment options are most likely to work.

Underbite Treatment Options

Treatment depends on your age, how much jaw growth remains, and how severe the underbite is. Here’s an overview of the most common approaches.

Braces

Braces are a reliable choice when the underbite is primarily related to tooth positioning. They apply steady, controlled pressure to gradually shift teeth into better alignment. In many cases, braces are paired with elastics or other appliances to help guide jaw position.

Clear Aligners

Clear aligners can work well for mild underbites where the issue is largely dental rather than skeletal. Because they move teeth incrementally, they tend to be best for patients whose bite can be improved through tooth movement alone. Your orthodontist can assess whether aligners are a good fit for your specific case.

Palatal Expanders In Combination with Reverse-Pull Headgear

For children who are still growing, early treatment can be effective. When an underbite is related to jaw development, a palatal expander may be used along with reverse-pull headgear to encourage forward growth of the upper jaw and improve jaw alignment. Because children’s bones are still developing, growth-guiding treatment can help address skeletal issues before they become more severe. The American Association of Orthodontists recommends that children receive their first orthodontic evaluation by age 7, as early intervention can reduce the need for more complex treatment later.

Jaw Surgery

When an underbite involves a significant skeletal discrepancy, meaning the jaws themselves are substantially out of position, orthodontic treatment alone may not be enough. In those cases, orthognathic surgery (jaw surgery) may be recommended. It’s typically performed after the jaw has finished growing and is almost always combined with orthodontic treatment before and after the procedure.

Can an Underbite Be Fixed Without Surgery?

For many people, yes. Mild underbites, when caught early, are often treated successfully without surgery. Surgery is generally reserved for more severe skeletal cases in adults where jaw structure can’t be corrected through tooth movement alone.

The only reliable way to know what applies to your situation is a thorough orthodontic evaluation.

Underbite Treatment for Children vs. Adults

Children tend to have more options available because their jaws are still growing. Growth appliances can guide jaw development in ways that aren’t possible once the bones have matured. An early evaluation, ideally by age 7, gives orthodontists the best chance to catch issues and intervene at the right time.

Adults can absolutely receive underbite treatment and get excellent results. More severe cases may involve a more involved plan since jaw growth is complete, but it’s never too late. Adults are successfully treated for underbites every day.

Visit an AAO Orthodontist to Address Underbite Concerns

Underbites are common, well understood, and very treatable. But the right approach is different for every person, which is why an evaluation from a qualified orthodontist matters.

If you’re concerned about an underbite, whether it’s your own or your child’s, don’t put it off. Find an AAO orthodontist near you and schedule your consultation today. An AAO orthodontic practice can evaluate the bite, walk you through your options, and recommend the next step that makes the most sense for your situation.

The post Underbite: Causes, Symptoms, and Treatment Options appeared first on American Association of Orthodontists.

Robbie Stewart explains how perfectionism is holding back talented clinicians and highlights the importance of confidence for both dental professionals and the patients they treat.

A conversation I had recently with a fellow clinician has stayed with me. We were reviewing composite bonding completed at another practice. The clinician was dismissive – critical of its quality and quick to suggest it needed replacing.

My perspective was different. The work was not flawless, but it was functional, the patient had accepted it, and it appeared appropriate for that clinician’s stage of development. When I raised this, the response was: ‘If I couldn’t do it to the standard I wanted, I simply wouldn’t do it.’

That statement got me thinking. Because I believe that mindset – however well-intentioned – is doing real harm to our profession.

Perfectionism as a barrier, not a standard

There is an important distinction between striving for excellence and demanding perfection before you begin. The former drives growth. The latter prevents it. When clinicians refuse to offer treatments until they feel they have mastered them, the result is not a higher standard of care – it is a reduction in access to treatment and a stalling of professional development.

I have spoken with talented dentists, dental therapists, and hygienists who hold back from offering certain treatments not because they lack the clinical foundation, but because they do not feel ‘good enough’ yet. They are waiting for a level of confidence that can only come from doing the very thing they are avoiding. This reluctance does not only affect the clinician – it affects the patient who does not receive treatment they need from someone perfectly capable of delivering it to an appropriate standard.

The role of social media

The cases shared online are, understandably, the best ones. The flawless composites, the striking transformations, the technically demanding cases executed with apparent ease. What we rarely see is the learning curve – the early work, the cases that did not go as planned, the mistakes that shaped the clinician we are looking at today. The result is that clinicians at every stage of their career are comparing their reality to everyone else’s highlight reel, which distorts expectations and fuels impostor syndrome across the profession.

Senior clinicians have a particular responsibility here. The work they share is the product of years of practice and countless corrected mistakes. If that journey is never made visible, newer clinicians are left with the impression that excellence is innate or arrived at effortlessly. Neither is true.

The Sainsbury’s principle

When you do your weekly shop, you do not expect the food to be Michelin-starred. You expect good quality at a fair price. Sainsbury’s does not apologise for not being a fine dining restaurant. The same principle applies in dentistry. If a clinician is transparent about their experience, pricing appropriately, and delivering clinically sound treatment, that is a legitimate and ethical transaction. Perfection is not the standard we are contractually or ethically obliged to meet. Competence, honesty, and appropriate care are. Refusing to offer treatment because you cannot guarantee a perfect outcome is not protecting the patient – in most cases, it is protecting yourself from the discomfort of imperfection.

Where real learning happens

I recently ran my own Excellence in Exams, Treatment Planning, and Digital Dentistry course for dental therapists and was struck by something unexpected. The delegates were knowledgeable clinicians who could articulate their reasoning clearly – yet when asked to make autonomous clinical decisions, many hesitated. There was a persistent fear of missing something.

Many described feeling as though they should not be doing work that sits squarely within their scope, despite performing similar tasks every single day. That gap between what they could do and what they believed they were permitted to do was rooted entirely in perfectionism. Structured learning environments like this exist precisely to close that gap – to give clinicians the space to try, reflect, and build genuine confidence.

Professional groups and mentorship communities serve the same function. Communities such as The Modern Therapist by Cat Edney, DRMR’s Mentorship Programme by Dr Manrina Rhode, Simplifii by Dr Albert Gajdos, and Avant Garde by Dr Robbie Hughes are spaces where clinicians (me included) share work at all stages of development and receive honest, constructive feedback. These communities allow the kind of professional reflection that a public Instagram feed cannot, and they deserve far greater recognition as a serious component of continuing professional development.

A call to the profession

To those who are experienced and established: be more open about how you got to where you are. Share the early cases. Talk about the treatments that did not go as planned. Show the next generation that clinical excellence is not a straight line.

And to those earlier in their careers: stop waiting until you are perfect before you begin. Price your work honestly, be transparent with your patients, work within your competence, and then push that competence incrementally. That is how skills are built and how confidence is earned.

Perfectionism dressed up as standards is still just fear. And fear, ultimately, serves no one – not the clinician, and not the patient.

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Unforgettable design has become as important as clinical excellence in private dentistry – Aneka Khaira shares the story behind the iconic Rex Mirror that has become a central part of the branding at Vogue Dental.

For me, the Rex Mirror by Timothy Oulton has become an iconic part of Vogue Dental.

From the moment patients walk through the door, it acts as the centrepiece of the practice – bringing glamour, warmth, and light into the space.

It is more than just a mirror; it creates an immediate sense of occasion.

Whether a patient is checking their outfit, admiring their new smile, or capturing a selfie, the mirror adds a touch of instant sophistication and makes a lasting impression.

Every time I see the mirror, it reminds me not only of the vision I had for Vogue Dental, but also of that exciting chapter in my life – building a business, becoming a mother, and creating a space that feels both elegant and deeply personal.

A bit of background

The Rex Tall Mirror by Timothy Oulton has developed something of a cult following among celebrities, influencers including and luxury interior designers.

At nearly eight feet tall, illuminated with 24 warm bulbs, and priced at around £9,595 in the UK, it is designed to be a true statement piece rather than a functional mirror. 

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Raman Aulakh explores how synergistic and antagonistic tooth movements influence clear aligner predictability, offering GDPs practical staging principles to improve tracking, reduce refinements and plan more efficient treatment.

This is the third and final article in our series exploring the principles of clear aligner biomechanics.

In Part 1, we discussed why evidence-based predictability should guide aligner staging rather than relying solely on protocols, while Part 2 translated the predictability hierarchy into practical chairside biomechanics.

In this article, we move beyond individual tooth movements and focus on how movements interact with one another. Some movements work together to improve aligner efficiency and predictability, while others compete against each other and can increase the risk of poor tracking, anchorage loss and refinements. By understanding which movements are synergistic and which are antagonistic, clinicians can make better staging decisions and create more predictable treatment plans for their patients.

A recent review by Martínez-Lozano and colleagues explored this concept in detail through the idea of staging and biomechanics in clear aligner therapy. While the original paper provides a comprehensive and highly technical discussion, there are several practical lessons that every GDP providing aligner treatment can apply immediately in practice.

It’s not just where teeth end up – it’s how they get there

When reviewing a digital setup, many clinicians focus on the final result.

Will the teeth end up in the right place?

A more important question is: How will they get there?

Aligners work by delivering a series of small, controlled movements. If those movements support each other, treatment tends to be efficient and predictable. If they oppose each other, the aligners can struggle to express the programmed movement, leading to poor tracking and additional refinement stages.

Simply put, some movements create favourable conditions for other movements. Others create resistance.

What are synergistic movements?

Synergistic movements are movements that assist each other biomechanically.

When planned together, they tend to improve aligner efficiency and increase the likelihood that the planned movement will be expressed clinically.

Example one: expansion and anterior retraction

A common clinical scenario is a patient with mild crowding and proclined upper incisors.

When posterior expansion is combined with anterior retraction, space is being created posteriorly while being utilised anteriorly. These movements complement one another and often produce more predictable outcomes.

Rather than fighting for space, the aligner is working with the available arch form.

Example two: distalisation and incisor proclination

Another example is molar distalisation combined with mild incisor proclination.

As posterior teeth move distally, space becomes available within the arch. At the same time, slight proclination of the incisors can assist alignment and crowding relief.

These movements work in harmony and frequently demonstrate better predictability than attempting more complex combinations of movement.

Example three: posterior intrusion and anterior extrusion

In selected deep bite cases, posterior intrusion combined with anterior extrusion can help improve vertical relationships.

Because these movements contribute towards the same occlusal objective, they tend to be more efficient than attempting contradictory vertical movements elsewhere in the arch.

A practical rule for GDPs

When reviewing a ClinCheck or digital setup, ask yourself three simple questions:

1. Does this movement create space or consume space?

Movements that create space, such as expansion or proclination, are often best completed first.

Movements that consume space, such as compression, retraction or certain vertical movements, are often easier once adequate space already exists.

2. Am I trying to achieve too many difficult movements at once?

Aligners are highly effective, but they still have biomechanical limitations.

If a tooth requires rotation, extrusion and root torque simultaneously, consider whether these movements would be better staged.

3. Could I simplify the plan?

One of the biggest mistakes made by newer aligner providers is trying to achieve every correction at the same time.

Often the most predictable treatment plans are the simplest.

Create space first.

Align teeth second.

The value of staging

As clinicians become more experienced with aligners, they begin to think less about individual aligners and more about the sequence of treatment.

Successful aligner therapy is not simply about knowing what movements are required.

It is about understanding when those movements should occur.

By recognising which movements are synergistic and which are antagonistic, clinicians can improve predictability, reduce refinements and deliver more efficient treatment for their patients.

Complete difficult finishing movements last.

By creating space first, aligning teeth second and reserving finishing movements for the final stages of treatment, clinicians can improve aligner tracking, anchorage control and overall predictability.

Further reading

The concepts discussed in this article are based on the review by Martínez-Lozano D, Castellanos-Andrés D and López-Jiménez AJ, Staging of Orthodontic Tooth Movement in Clear Aligner Treatment: Macro-Staging and Micro-Staging – A Narrative Review (Applied Sciences, 2024). Readers with a particular interest in aligner biomechanics are encouraged to review the original publication for a more detailed discussion of staging strategies and clear aligner biomechanics.

To learn more or arrange a no-obligation call with course director Dr Raman Aulakh, visit alignerdentalacademy.com/clear-aligner-therapy-diploma or reach out to diploma@alignerdentalacademy.com and discover how the SAFE Clear Aligner Diploma can take your career to the next level.

This article is sponsored by Aligner Dental Academy.

New capsule-based dental 3D printer that integrates printing and curing delivers same-hour ceramic permanent restorations in a device smaller than a shoebox.

SHINING 3D Dental has announced the global launch of the Ceramix-Nano, a chairside dental 3D printer that produces permanent ceramic crowns, veneers, inlays, onlays, and Maryland bridges in a single appointment. Powered by patented APS (adaptive pneumatic stereolithography) technology, the Ceramix-Nano completes the full scan-to-restoration cycle in as little as 30 minutes.

Weighing 4.5lbs and measuring 3.43×5.16×10.87 inches (WxDxH) the device is smaller than a standard shoebox yet integrates both printing and curing in a single unit. It requires no dedicated lab space, no secondary equipment, and integrated with an AI Cloud Design, following the workflow wherever it happens.

Powered by SHINING FLOW, crown design takes under two minutes. Combined with a eight- to 11-minute print cycle and three-minute curing, the full scan-to-cementation workflow completes in as little as 30 minutes.

Its capsule-based material system ensures a user-friendly, highly intuitive user experience. Each capsule (or cartridge) of resin contains a pre-measured quantity of ceramic-filled resin. Scanning its QR code is all it takes for the printer to configure itself automatically, stir the resin, and start printing. A single capsule yields up to three restorations.

Fully integrated with SHINING Flow, SHINING 3D’s cloud-based scan-design-print platform, restoration files move from design to print without leaving the platform.

The Ceramix-Nano is available in North America and Asia through authorised SHINING 3D Dental distributors from June 18th, 2026. Availability in the EU and other regions will follow shortly.

About SHINING 3D Dental

Founded in 2004 in Hangzhou, China, SHINING 3D has built its reputation on high-precision 3D vision technologies across industrial metrology, digital dentistry, and reverse engineering. SHINING 3D Dental provides dental clinics and laboratories with a complete Scan-Design-Print digital workflow, enhancing practice efficiency and clinical outcomes. Its mission is to make innovative, precise, and accessible 3D digital solutions available to professionals worldwide, regardless of industry, scale, or geography.

This article is sponsored by SHINING 3D Dental.

10 Surprising Facts About Teeth

Your teeth are busy most of the day, helping you bite, chew, smile, and talk. Unless something starts to hurt or goes wrong, you probably don’t give your smile a second thought. But the more you know about your teeth, the better you can take care of your smile. Here are 10 surprising facts about teeth that you may not know.

1. A Tooth Can Emerge With a Cavity

While rare, this phenomenon is typically associated with the conditions known as natal and neonatal teeth.  According to a study done in 2023, “approximately 1 in 289 newborns are born with natal teeth, and 1 in 2,212 had neonatal teeth.”

Natal teeth are present at birth, while neonatal teeth emerge within the first two months of a child’s life. When a baby tooth develops a cavity, it is typically due to underdeveloped or weak enamel, making the tooth more vulnerable to decay.  

In some cases, these early teeth might have developed in conditions that increase the risk of cavities, such as a mother’s high sugar intake or certain medications taken during pregnancy. 

2. A Cavity is One of the Few Things Your Body Cannot Heal

The human body has an amazing ability to heal itself. For example, when you get a cut or break a bone, the body naturally begins repairing the damage. 

However, teeth are different. While early-stage tooth decay can be reversed through remineralization, once a cavity has fully formed, the tooth cannot heal itself and requires professional treatment. This is why flossing and developing good oral hygiene habits at a young age is important.  

Most people know what a cavity is, but how it gets there is less understood. To put it simply: bacteria in your mouth feed on sugar, those bacteria then produce acid as a byproduct, and that acid slowly eats away at your enamel. Once it breaks through the enamel, you have a cavity. 

Since your enamel contains no living cells, a requirement for healing to take place, it cannot regenerate or repair itself once the damage is done. And because cavities are caused by acid, without treatment they can keep growing, which is why a dentist needs to remove the decay and insert a filling in its place. 

3. A Tooth Can Grow Upside Down, Sideways, or Backward

While these growth patterns aren’t extremely common, they can significantly affect oral health and treatment. If you’re experiencing abnormal growth patterns, an AAO orthodontist can properly align your teeth to mitigate speech or bite problems.

• Upside-Down Growth: This is commonly seen with impacted teeth, particularly wisdom teeth. When a tooth develops upside down, it can lead to complications like misalignment of adjacent teeth, pain, and potential infection.
  
• Sideways Growth: Sideways tooth growth is frequently seen in wisdom teeth but can also occur in other teeth. It causes the tooth to grow at an angle instead of vertically. A tooth growing sideways can cause crowding, misalignment, and even damage to adjacent teeth.
  
•  Rotations:  There are instances where teeth can rotate 90 or even 180 degrees (backward) as they come in.  This can cause crowding, misalignment and changes in bite.
  

4. Baby Teeth Hold Space for the Permanent Teeth That Follow

One of the primary functions of baby teeth is to serve as placeholders for permanent teeth.

Each baby tooth reserves a specific space in the mouth for its corresponding permanent tooth, and maintaining this space is essential to guide the permanent tooth into the correct position. 

If a baby tooth is lost too early, the adjacent teeth can shift into the space, potentially leading to misalignment or crowding.

5. Baby Teeth are Also Known as Deciduous Teeth

Baby teeth have a formal name you might not know: deciduous teeth. The word comes from the Latin word decider, which means to “fall off”, the same root word behind “deciduous trees,” the trees that shed their leaves every fall. It is a fitting name for teeth meant to be temporary. 

Here’s a basic timeline: baby teeth start coming in around 6 months old, and most kids have all 20 by age 3, 10 on top and 10 on the bottom. These temporary teeth are very important for child development, helping kids chew, learn to speak, and hold space for permanent teeth to follow. Around age six, baby teeth begin to fall out one by one, with the process wrapping up around age 12. 

6. Teeth by the Numbers: We Get Two Sets, 20 Deciduous (Baby) Teeth and 32 (Usually) Permanent Teeth

Most people have two sets of teeth in their lifetime. The first set, baby teeth, consists of 20 teeth: 8 incisors, 4 canines, and 8 molars. The permanent set consists of 32 teeth: 8 incisors, 4 canines, 8 premolars, and 12 molars.

Not everyone ends up with the standard amount, though. Some people are born missing one or more teeth that never develop, while others may develop extra teeth beyond the normal number, known as supernumerary teeth.

Missing or extra teeth are more common than people realize, and both affect spacing and bite alignment in ways that orthodontic treatment can address.

7. Vaping and E-Cigarettes Pose a Real Risk to Your Teeth

If the highly addictive nicotine content wasn’t enough, vaping carries significant risks for your oral health, and the research has grown significantly stronger in recent years. While vaping devices are usually marketed as safer alternatives to traditional tobacco products, studies now show that people who vape are significantly more likely to have untreated cavities than non-vapers. Here’s what’s happening in the mouth:

• Sweet flavors feed harmful bacteria. While many flavoring agents in e-liquids used in e-cigarettes and vapes do not contain sugar, they do contain other sweeteners that can promote the growth of cavity-causing bacteria in the mouth. Whether it’s leaving a sticky residue on teeth that contributes to more plaque build-up or shifting the environment in your mouth in ways that favor harmful bacteria, these ingredients can increase the risk of tooth decay. 

• Liquid base causes dry mouth. Propylene glycol, the common solvent used as a base in many vapes and e-cigarettes, is what contributes to the common side effect of intense dry mouth. Not only is having a dry mouth uncomfortable, but it also creates an environment for a host of oral health issues. This is because saliva is one of your most powerful natural defenses against cavities. Anything that decreases the amount of saliva in your mouth can impact your oral health.

8. Not All Back Teeth Are Called “Molars”

While molars are responsible for grinding and crushing food during chewing, premolars are the teeth that sit between your canines (the pointed ones) and your molars. Most adults have 8 premolars, four on top and four on the bottom.  They are sharp enough to tear through food, yet flat enough to grind it down. 

What makes premolars interesting is that they are the only permanent teeth that don’t replace a baby teeth. A baby’s teeth don’t include premolars. When their molars fall out, premolars move into their place. 

Since the permanent teeth that replace baby teeth aren’t the same size, this transition period is when crowding or spacing issues can often first appear, which is why AAO recommends a check-up by age 7. 

9. Diet Soda and Sports Drinks Can Be as Tough on Teeth as Regular Soda

While diet sodas and beverages may have less sugar than regular soda, they can be just as detrimental to oral health as the non-diet versions. The main reason: high acidity. 

Diet soda and sports drinks still contain acidic compounds such as phosphoric and citric acids. While these are added to enhance flavor and shelf life, they can also erode tooth enamel over time. Frequent consumption of acidic beverages also reduces salivary flow, which is important for oral health. Saliva plays a crucial role in neutralizing acids and remineralizing enamel, so anything that reduces it removes a natural line of defense against tooth decay.   

A few simple tricks for consuming these beverages include using a straw to reduce contact with teeth, rinsing the mouth with water after drinking, and chewing sugar-free gum to stimulate saliva production.

10. The Part of the Tooth You See, the Crown, Is Only About a Quarter to a Third of the Entire Tooth

When you smile in the mirror, you’re only seeing part of your teeth. The visible portion of a tooth, the crown, makes up just one-quarter to one-third of the tooth’s total length. The rest of your tooth is called the root, which is anchored in the jawbone beneath your gums, where you can’t see it. 

The root also does more than hold the tooth in place. A network of tiny fibers surrounds it, called the periodontal ligament. It’s what cushions your tooth against chewing forces, and it’s what makes orthodontic tooth movement possible. When braces or aligners apply gentle pressure, it’s this ligament that allows teeth to move safely through the bone over time. 

Create a Healthy Bite with an AAO Orthodontist

Your teeth do a lot more than you think, and now with these facts, you can amaze your friends and family with your dental trivia knowledge. But knowing about your teeth is just the start. 

Healthy, properly aligned teeth are critical contributors to your overall health in ways that go well beyond a great smile. If you have concerns about misalignment, bite problems, or how your teeth have developed over time, an AAO orthodontist can help.

AAO Orthodontists are specialists who not only complete dental school but have completed additional years of training in orthodontics and dentofacial orthopedics. This extra training makes a real difference in the quality of care you receive. Use our online locator to find an AAO orthodontist near you and schedule your consultation today.

The post 10 Tooth Facts That May Surprise You appeared first on American Association of Orthodontists.

Understanding what’s in vapes, how those ingredients interact with your teeth and gums, and the side effects they can cause is key to protecting your smile before, during, and after treatment.

Why Vaping Is Hard on Your Mouth?

While vapor products may lack tobacco, they still contain high levels of nicotine and other chemicals that can cause damage to the gum tissue and teeth. Here are some of the ways vaping is hard on your mouth.

Propylene Glycol, a Main Ingredient in Vape Liquid, Can Cause Dry Mouth

One of the most common side effects of vaping is dry mouth. The main culprit: propylene glycol. 

Propylene glycol plays a few roles in e-liquids, but its main job is to serve as a carrier liquid. Since it does a great job of absorbing water and maintaining moisture, it helps all the ingredients in a vape liquid heat up and be inhaled. It’s this same water-attracting property that causes dry mouth for vape and e-cigarette users. Dry mouth is such an issue because you need saliva to wash away food particles and neutralize acids produced by bacteria in the mouth. While saliva is important for protecting against decay and gum disease, reduced saliva, or dry mouth, can increase the risk of cavities and gum disease.

Vaping Chemicals Can Contribute to Gum Disease and Inflammation

The chemicals in e-cigarette vapor can irritate gum tissue, leading to inflammation, redness, and swelling. What enters your mouth when you vape isn’t just “water vapor” but an aerosol made up of a cocktail of solvents and chemicals like propylene glycol, glycerin, flavoring agents, and other compounds that lead to many issues. 

Over time, this can cause or exacerbate gum disease (periodontal disease), characterized by receding gums, chronic bad breath, and even tooth loss if left untreated. 

High Nicotine Intake Can Impact Blood Flow to Your Mouth

Blood flow and healthy circulation are important for maintaining your oral health. Healthy circulation delivers nutrients, oxygen, and immune cells to tissues and gums, helping them heal after irritation or treatment. 

Over time, nicotine, a vasoconstrictor, can narrow blood vessels and reduce blood flow to the gums, making it harder for them to heal and stay healthy.

Those Sweet Vape Flavors May Not Be So Sweet to Your Teeth

The sweet flavors added to e-liquids might make your e-cigarette taste good, but they can also contribute to the decay of your teeth. Although most don’t contain sugar, the flavoring agents can still promote the growth of bacteria that produce acids that eat away at the tooth enamel. Combined with dry mouth, this significantly increases the risk of cavities.

Why Oral Health Matters Before Orthodontic Treatment?

Healthy teeth and gums are essential for successful orthodontic treatment. Because vaping can contribute to gum inflammation, dry mouth, and tooth decay, it may increase the risk of complications during treatment.

If you currently vape or have vaped in the past, here are a few factors your orthodontist may consider during treatment planning.

Are Your Teeth and Gums Healthy Enough to Start Orthodontic Treatment?

The health of the teeth and gums is the key factor in determining whether a person is a good candidate for orthodontic treatment. A periodontal (gum) check-up with a periodontist or general dentist is imperative to ensure your mouth is a good candidate before beginning treatment. If there is existing gum or tooth damage, your dentist or periodontist should treat it before beginning active orthodontic treatment.

How Well Will You Respond to Orthodontic Care if Damage is Present?

Additionally, the acceleration of gum damage caused by vaping reduces the ability of teeth and gums to respond to orthodontic treatment. There is also a tendency for teeth to relapse into previous positions post-treatment due to an increased risk of gum disease and weakened support systems that help hold teeth in place. 

Because of these risk factors, your orthodontist will likely recommend reducing or stopping vaping during and after treatment to improve results and oral health.

Vaping and Orthodontics: The Takeaway

Vapes and e-cigarettes may not contain tobacco, but they can still cause significant damage to your gums and teeth. The good news is that the risks associated with vaping are entirely preventable.

If you’re thinking about orthodontic treatment, you’re considering investing a lot of time and effort in creating a healthy smile. Don’t risk damaging it. AAO recommends staying away from harmful e-cigarettes and vaping products, both for successful orthodontic treatment and your overall oral health.

If you use e-cigarettes and are exploring your options for orthodontic treatment, we also recommend visiting a general dentist or periodontist before your consultation. They can examine your teeth and gums, identify potential oral health issues, and treat them before receiving orthodontic care.

Trust an AAO Orthodontist for a Beautiful, Healthy Smile

The American Association of Orthodontists (AAO) is exclusively open to orthodontists who complete the necessary dental school and additional orthodontic residency programs. You can work with an AAO Orthodontist to achieve a healthy, beautiful smile at any age. Orthodontists are experts in orthodontics and dentofacial orthopedics – properly aligned teeth and jaws – and possess the skills and experience to give you your best smile. When ready to achieve a healthy, beautiful smile, find an AAO orthodontist near you.

The post The Impact and Hidden Consequences of Vaping on Oral Health appeared first on American Association of Orthodontists.

Dental units are one of the most critical investments for practices, directly influencing workflow efficiency, practitioner health and patient experience. Explore how KaVo dental units address three critical considerations – longevity, ergonomics and innovation.

Imagine sitting in your car for eight hours a day – that’s effectively what you’re doing with your dental unit. With increasing demands – from higher patient expectations to evolving digital workflows to clinic design and overall ambience – the choice of treatment centre has become a strategic decision for every dental practice.

Beyond the initial purchase price, factors such as longevity, ergonomics and innovation play a critical role in determining a dental unit’s long-term value. Established manufacturers such as KaVo have helped shape these priorities through decades of development in dental equipment design.

While often associated with the premium end of the market, KaVo units are competitively positioned, with complete, ready-to-use surgery packages available from around £12,500+VAT.

This article explores how these three considerations influence modern practice, and what dental professionals should look for when investing in a new dental unit.

A central investment in modern dentistry

The dental unit is more than just a chair – it is the operational hub of the surgery. Every procedure, from routine examinations to complex restorative work, depends on how effectively the unit supports both clinician and patient.

In today’s climate, dental practices face increasing pressure: tighter margins, higher patient expectations and a growing awareness of clinician wellbeing. Against this backdrop, the choice of dental unit becomes a strategic decision rather than a purely functional one.

Known for German engineering precision and forward-thinking design and with more than a century of innovation in dental technology, KaVo has established itself as a benchmark for quality, ergonomics and reliability in dental units. Its units are built to support long-term performance while enhancing everyday workflows.

KaVo has long positioned itself at the premium end of the market in terms of quality, but is now more competitive on price than ever before, with a focus on engineering quality and clinical usability.

For dental practices considering a new investment, three factors stand out as critical:

1. Longevity
2. Ergonomics
3. Innovation.

Longevity: investing beyond the initial purchase

For many practices, the true cost of a dental unit is not measured at the point of purchase, but over its lifetime. Reliability, durability and serviceability all contribute to long-term value.

Ergonomics: protecting clinicians and enhancing workflow

Musculoskeletal disorders remain one of the most significant occupational risks in dentistry. Prolonged static postures, repetitive movements and awkward positioning all contribute to long-term health issues, making ergonomics a key consideration in equipment selection.

‘Dentistry remains a profession where physical strain is extremely common,’ says cosmetic dentist Devisha Patel. ‘Often, the focus within a practice is understandably centred around efficiency, productivity and patient flow, but ergonomics can sometimes become secondary.

‘Too often, clinicians only begin addressing ergonomics once pain or injury develops, rather than embedding healthy working practices from the outset of their careers.

‘Ultimately, supporting clinician wellbeing should be viewed as an investment, not only in the individual practitioner, but in the quality and sustainability of patient care.’

According to the manufacturer, the KaVo ESTETICA E70/E80 Vision are the only dental units on the market that are accredited to support healthy working postures.

Innovation: enabling the modern digital practice

As dentistry continues to evolve, innovation in dental units plays a key role in supporting new technologies, improving workflows and enhancing patient care.

Dartmoor Dental’s units

‘In the modern dental landscape, the dental unit is the undisputed heart of the surgery,’ says Michael Hesketh, dentist and owner of Dartmoor Dental. ‘When we looked to upgrade our facilities four years ago, we weren’t just looking for chairs; we were looking for a long-term investment in our clinical workflow and our practice’s brand identity.

‘Today, our practice operates a suite of nine KaVo units, and the impact on our efficiency and patient satisfaction has been profound.’

For Michael, the decision to partner with KaVo was driven by peer recommendations. He says: ‘In the UK, KaVo has earned a reputation for “made in Germany” engineering that translates to minimal downtime. After four years of heavy clinical use, we can attest that the build quality is second to none. The units remain as reliable as the day they were installed.’

Dartmoor Dental currently utilises three distinct models from the KaVo range, each selected for a specific strategic purpose:

• KaVo ESTETICA E50 Life: ‘These are our standard units across five surgeries, says Michael. ‘Known for its reliability, we chose E50 because they offer a perfect balance of sophisticated technology and intuitive operation. They look exceptional and, crucially, they are built to last – a sentiment echoed by many colleagues who recommended them for their high ‘value for money’ over a long lifecycle’
• KaVo ESTETICA E30 Life: ‘We have two of these, specifically chosen for our training surgeries used by our foundation dentists. The standout feature here is the E30’s ability to switch from right-handed to left-handed operation in under two minutes. This flexibility is vital for a teaching environment, ensuring we can accommodate any trainee without compromising on ergonomics’
• KaVo uniQa: ‘For our latest two surgeries, we moved up to the KaVo uniQa. This unit represents the next evolution in dental excellence, offering enhanced facilities and a sleek, sporty design that immediately signals a high-end clinical environment to the patient.’

Balancing priorities in practice

While longevity, ergonomics and innovation are all important, the challenge for many practices lies in balancing these factors within budget and operational constraints.

Different settings may prioritise these elements differently:

• High-volume environments may emphasise durability and efficiency
• Patient-focused practices may prioritise comfort and experience
• Specialist clinics may require advanced integration and flexibility.

Manufacturers with broad product ranges, including KaVo, often offer configurable options that allow practices to tailor units to their specific needs.

Making the right investment decision

When evaluating a dental unit, practical considerations remain essential:

• Surgery layout and space planning
• Installation requirements and infrastructure
• Training and onboarding for the dental team
• Ongoing service and support availability.

Hands-on demonstrations can be particularly valuable, allowing clinicians to assess ergonomics and usability in real-world scenarios.

Ultimately, the decision should align with both clinical priorities and long-term business goals.

Summary

Selecting a dental unit is a long-term investment that influences clinical performance, practitioner wellbeing and patient experience.

Longevity ensures reliable operation and reduces lifetime costs, ergonomics supports healthier working practices and improved efficiency, and innovation enables integration with modern technologies and evolving standards.

Manufacturers such as KaVo have contributed significantly to advancing these areas, helping to shape expectations across the profession.

By carefully considering these factors, dental professionals can make informed decisions that support both immediate clinical needs and future growth, ultimately enhancing the sustainability and success of their practice.

Choose your next dental unit like you choose your car. The KaVo configurator will show you what’s available and how it looks!

With Keir Starmer resigning as prime minister and Andy Burnham expected to take over, NHS dentistry is entering another period of political uncertainty.

Labour came to power promising to rebuild NHS dentistry, increase appointments, fill dental deserts and reform the dental contract. But almost two years into government, the profession is still waiting for the full contract reform process to begin.

That delay has created political space for Reform UK, which has continued to rise in the polls while attacking Labour’s record on public services, migration and the cost of employment.

But what would dentistry look like under a government led by Nigel Farage?

Dentistry does not feature directly in Reform UK’s manifesto, and requests for detail from Dentistry.co.uk to the party have gone without reply. However, the party’s wider policies on immigration, employment, tax and the National Health Service (NHS) could have significant implications for dental practices.

What could Reform’s migrant labour levy mean for dentistry?

Robert Jenrick, Reform UK’s Treasury spokesperson, said in June that the party would scrap Labour’s rise in employer National Insurance contributions for British workers only.

He also proposed a ‘migrant labour levy’ on firms employing overseas workers, with full details to be set out nearer the next general election.

Jenrick suggested a charge of around £3,750 for a full-time worker on the national living wage. He said the policy could raise billions of pounds to fund employment tax cuts for British workers.

For dentistry, the proposal would raise questions about recruitment costs, staffing pressures and access to care. General Dental Council (GDC) figures published in May showed that more than half (53%) of dentists who joined the register in 2025 were internationally qualified.

The Association of Dental Groups (ADG) has previously described allowing more overseas professionals to practise in the UK as the ‘low hanging fruit’ solution to the workforce crisis.

Reform UK has also pledged to scrap indefinite leave to remain and replace it with a five-year renewable visa with higher salary thresholds, mandatory English fluency and stricter character requirements.

The current skilled worker visa threshold sits at £41,700, a level that already effectively excludes most dental nurses. Raising it further could affect dental therapists, hygienists and technicians currently on skilled worker visas.

What has Reform UK said about NHS dentistry?

Reform has not set out any specific commitments on dental access or NHS contract reform, however it has vowed to:

Farage has previously addressed the access crisis in public statements, acknowledging that ‘people are pulling out their own teeth’. Responding to the widely reported queues outside a Bristol dental practice in 2024, he attributed pressure on services partly to migration-driven population growth.

Labour leadership change raises dental questions

Starmer’s resignation has raised fresh questions over whether NHS dentistry will remain a political priority under his successor.

Following his recent win in the Makerfield by-election, Burnham confirmed that he would stand to replace Starmer as Labour Party leader. If no other candidate comes forward, Burnham could become prime minister by 17 July.

As mayor of Greater Manchester, Burnham’s priorities for dentistry included tackling childhood oral health inequalities and supporting healthcare devolution to build local preventive dental programmes. However, he has yet to specify how he would approach dentistry at parliamentary level.

The profession will now be looking for clarity on whether he would keep Labour’s existing dentistry commitments, retain the current ministerial team and accelerate dental contract reform.

Speaking to Dentistry.co.uk in May at Dentistry Show Birmingham, British Dental Association (BDA) chair Eddie Crouch expressed concern about the amount of time Labour had left to reform NHS dentistry.

He said: ‘Unless we get that consultation and make progress on this, their ambition to reform the contract during this parliamentary term is going to be under pressure.’

However, he also suggested there was support for dentistry in the wider government, saying: ‘What I hope is that a minister that I’ve built up a relationship with over the last two years, who I believe has got the right motives, will continue in post, irrespective of who eventually ends up leading the Labour Party.’

Political pressure to act

A public consultation on dental contract reform had been expected in spring but slipped to summer.

Crouch said there was a direct electoral incentive for Labour to act.

‘There’s a huge percentage of Labour MPs who get mailbags full of dental problems, who get told on the doorstep that dentistry is important to them. If they don’t fix NHS dentistry by the end of this term, I think they’ve got no chance at the ballot box. And the investment needed is not an awful lot in the grand scheme of things, dentistry is about 3% of the NHS budget.’

The next UK general election must be held by 15 August 2029, unless one is called earlier.

Reform UK won five seats, had 609 candidates and received 14.3% of the vote in the 2024 general election. But Farage has called for a general election ‘at the soonest possible date’ following Starmer’s resignation, arguing that the country ‘cannot afford to waste another week drifting from crisis to crisis’.

For Crouch, the more important point is that the political will to fix NHS dentistry transcends any single party.

‘I believe that there is a parliamentary will to actually improve dentistry, and that’s across all parties, whether I meet the Greens, the Liberal Democrats, the Conservatives or Labour. Everyone wants NHS dentistry to be resolved. With that political will, we have reason to be optimistic,’ he said.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

The University of Sunderland will open a new dental academy that will offer courses in dental hygiene, dental therapy and dental technology starting in September 2027.

NHS data for 2024/5 suggests just 41% of adults and 55% of children in Sunderland had been seen by an NHS dentist in the past 12 months. The new courses will help to provide free dental care to the underserved local population.

Rachel Elliott, associate head of School for Biosciences and Dental Education at the University of Sunderland, said: ‘We know how difficult it can be for many people in our region to access dental care, especially in areas where NHS services are been limited. That is why our new Dental Academy is so important. By training skilled dental professionals locally, we can help people get seen sooner and improve the focus on preventative care.’

The academy will allow students to train in brand new facilities, graduating in an area with high demand for dental professionals.

Rachel Elliott continued: ‘It also means we’re building a stronger local workforce, with more qualified dental care practitioners ready to meet growing NHS demand. Our programmes are designed to give students real hands-on experience, so they leave ready to deliver high-quality care to patients.’

Is demand for dental training being met in the UK?

The new dental academy is the latest in a series of developments intended to increase dental training capacity throughout the UK.

In 2023, more than 10,000 applicants competed for just 940 dentistry places in UK dental schools. The Dental Schools Council warned the UK faced a critical shortfall in meeting dental need, with growing regional disparities in access to care.

The University of Gloucestershire is also set to launch a dental hygiene programme from 2027, while the University of Lincoln is campaigning to open a full dental school as it puts plans to begin offering dental hygiene and therapy training into action for September 2026.

Meanwhile, the UK’s dental academic workforce has fallen to just 550 full-time equivalent roles, with 40 roles lost within a single year.

Professor Chris Vernazza, head of Newcastle University School of Dental Sciences, said: ‘Without intervention, we risk a profound loss of capacity across research, education and clinical leadership. The future of dental education, the sustainability of our research environment and the quality of NHS patient care depend on a strong and well-supported clinical academic workforce.’

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

A miniature intraoral robot could allow dentists to complete crown preparations in a single visit, potentially eliminating the need for additional appointments.

Developed by researchers at the Department of Biomedical Engineering at the University of Basel, the robot is roughly the size of a cork and designed to fit comfortably inside the patient’s mouth. Its controls are located outside of the robot and connected with flexible cables.

How does the robot carry out crown preparation?

First, the intraoral robot uses a wide drill to reduce the tooth surface by removing material from above. It then uses a finer drill to work on the sides of the tooth.

This process was tested on tooth models made of synthetic resin and on a ceramic material with a hardness similar to that of tooth enamel. The margin of positional error was less than 0.2mm, which will be reduced further once positional sensors are integrated into the design.

The force generated during drilling was also tested, and found to be less than five newtons – comparable to the weight of a 500ml bottle of water. The robot’s noise levels are being assessed further to determine its suitability for use in practice.

Once further testing has been completed and sensors have been added, the researchers hope it could be implemented into dental workflows.

Yukiko Tomooka, first author of the paper, said: ‘Even after a power outage, [the miniature intraoral robot] would know where it is and where it needs to continue based on the sensor data.’

Dental robotics remains largely experimental in UK clinical dentistry, though robot-assisted implant systems are already being used overseas.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

A visit to an orthodontist is often the first step towards achieving a beautiful and healthy smile. Orthodontists play a pivotal role in helping individuals find the perfect solution to oral health problems. This article explains what an orthodontist and dentofacial orthopedist is, the journey to becoming one, and how they can help you achieve the perfect smile and healthy, functional bite you’ve been searching for.

Everything You Need to Know About Your Orthodontist

Ready to start your smile journey? The first step is understanding the professional who will guide you. Watch the one-minute video below to learn the specialized role of an orthodontist, the advanced education they complete, and the unique skills they use to correct everything from crowded teeth to complex jaw issues.

What is a Dentofacial Orthopedist?

An orthodontist is a dental professional who has pursued advanced specialized training to become an expert in diagnosing and treating irregularities of the teeth and jaws. Their role is crucial in helping individuals achieve better oral health through orthodontic treatment. Expanding upon their foundational dental knowledge, orthodontists engage in additional education and training, concentrating exclusively on the field of orthodontic care. This specialized training allows them to correct misaligned teeth and jaws, improving a person’s smile and their bite for healthy, effective function.

Orthodontists and dentists collaborate within the field of oral health. While general dentistry addresses a wide spectrum of dental concerns, orthodontists specialize in straightening teeth and aligning jaws. Orthodontists use a variety of tools and appliances, including braces, clear aligners, and retainers to achieve the best outcomes. The partnership between the orthodontist and dentist ensures comprehensive care, where each professional’s expertise complements the other to improve patients’ dental well-being.

One of the primary objectives of orthodontic treatment is to correct malocclusions or misaligned bites, which can interfere with eating and speaking. Orthodontists also work to prevent potential problems by examining a patient’s teeth and jaws and monitoring their development. This allows orthodontists to identify issues early on and provide timely treatment to correct current issues and prevent future problems.

A straight, well-aligned smile can significantly impact an individual’s self-esteem, making orthodontic care valuable in promoting overall well-being and confidence.

Defining Dentofacial Orthopedics

Orthodontists are also considered dentofacial orthopedists. Dentofacial orthopedics focuses on guiding the growth of the face and jaws, how the bones and tissues of the face work together, and how they impact function and appearance. AAO orthodontists’ expertise in dentofacial orthopedics allows them to effectively correct malocclusions and monitor jaw growth in its early stages.

How to Become an Orthodontist

Becoming an orthodontist is a challenging yet rewarding journey that requires years of education, training, and dedication. It begins with an undergraduate college education, and many aspiring orthodontists focus their studies on pre-dental or science-related fields such as biology, chemistry, or health sciences. The next step is to attend an accredited dental school, which typically requires four years of study. Their education culminates in a two to three-year orthodontic residency program that combines advanced coursework with hands-on clinical experience treating patients under supervision.

What Services Do Orthodontists Provide?

Orthodontists help with problems like crowded or spaced teeth, abnormal bites, and jaw issues. Using diagnostic records, orthodontists create customized treatment plans for their patients to achieve the best results. These treatment plans also outline what tools or orthodontic appliances may be used.

Why You Should Choose an AAO Orthodontist for Treatment

Orthodontists are extensively trained specialists renowned for their expertise in delivering orthodontic and dentofacial orthopedic care. With over a decade of rigorous higher education and practical experience, orthodontists stand as the sole professionals equipped to safely and efficiently address misalignments of teeth or jaws, fostering both aesthetic beauty and optimal functionality for their patients’ smiles and overall oral health.

The American Association of Orthodontists (AAO) is a professional organization open only to qualified orthodontists. By choosing an AAO orthodontist for your treatment, you are ensuring that you receive care from a specialist with the expertise and experience to deliver the best possible results.

The post Understanding Orthodontics: What is an Orthodontist? appeared first on American Association of Orthodontists.

Hosted by Harry Morris at 30 Euston Square, London on Friday 2 October 2026, the GBT Summit returns with keynote speaker Dr Nighat Arif and a new theme that asks the dental profession to think differently about what prevention means in 2026.

The GBT Summit London 2026 returns on Friday 2 October at 30 Euston Square, London, with a programme designed to push the conversation about preventive dentistry into territory the profession has been slow to address. Under the theme ‘Prevention reimagined: hormones, biofilm, AI and the modern dental practice’, GBT Summit 2026 will bring dental hygienists, therapists, periodontists, dentists, practice owners and students together for a single day of education, evidence and practical insight.

The speakers

Morning

Hosted by Harry Morris of EMS UK, the day opens with keynote speaker Dr Nighat Arif, whose work bridging clinical medicine and public health has made her one of the most recognised voices on women’s health in the UK. Her keynote explores why menopause and hormonal change are reshaping the conversation in healthcare – and why the dental team is so often the first to see the signs.

Her keynote is followed by Ben Tighe and Claire Berry, the duo behind the Dental Besties platform, where their conversations about menopause and oral health have consistently been among the most engaged content the profession has shared, who will bring the discussion directly into the dental chair, helping clinicians understand what to see, what to say and what to do when treating patients going through menopause. It is a conversation the wider profession has barely begun, and one GBT Summit 2026 is putting front and centre.

The clinical programme keeps prevention at its core. Dr Payvand Menhadji will challenge the idea that implants are the finish line, looking at the risk, biology and long-term maintenance that determine whether implants succeed or fail over a patient’s lifetime. Louise Warden, SDA trainer for EMS, will follow with a focused fifteen-minute case study showing GBT implant maintenance in practice – one patient, one protocol, in real clinical time. Dr Devan Raindi will then explore MINST, biofilm and the modern perio pathway, drawing the morning to a close with an evidence-led look at how non-surgical periodontal therapy continues to evolve.

Afternoon

After lunch, the charity Bridge2Aid will take the stage to share the work they do to expand access to oral healthcare in low-resource settings, with ticket proceeds donated in support. The afternoon then turns to the technology shaping the next decade of clinical practice, with Dr Simon Chard and Dr Christian Leonhart asking whether AI in dentistry is hype, threat, or the biggest opportunity in a generation.

The day closes with Celso Da Costa exploring the business of dental hygiene – how prevention translates into clinical value and practice growth – followed by a closing panel on what prevention-led dentistry could look like in 2030, featuring Dr Payvand Menhadji, Louise Warden, Dr Devan Raindi, Dr Simon Chard and Celso Da Costa.

The GBT Summit is the premier event dedicated to the advancement of preventive dentistry and Guided Biofilm Therapy. It offers a platform for education, inspiration and community, bringing UK dental professionals together with international thought leaders and the evidence base that underpins modern prevention.

Tickets are available now from £105 (early bird) and £50 for students, with a returning delegate rate of £95 for those who attended GBT Summit 2025. Group bookings of four or more are available at £100 per person. The early-bird rate is available until the end of June 2026, after which tickets are priced at £125. With GBT Summit 2026 expected to sell out, early booking is advised.

Tickets are available at www.eventbrite.com/e/gbt-summit-world-tour-london-2026-tickets-1988991277453.

This article is sponsored by EMS.

SHINING 3D Dental announces the launch of AccuFab-Aris, a chairside dental 3D printer designed to support a full range of clinical applications while making digital dentistry more accessible, efficient, and practical for everyday clinical use.

Featuring intelligent automation, reliable precision, and one-click operation, AccuFab-Aris brings streamlined chairside production into daily workflows with minimal learning curve and workflow complexity.

Designed around the philosophy of ‘just print it’, the AccuFab-Aris simplifies traditionally complex setup procedures so clinicians can focus more on treatment and less on printer operation. Weighing under 10 kg and measuring 257 x 236 x 364 mm, the printer boasts a footprint smaller than a laptop, making it an ideal fit for any clinical space. Engineered for rapid delivery, it significantly accelerates daily workflows by producing a restoration in just 19 minutes, dental models in 25 minutes, and splints in 30 minutes.

Key features of the 3D printer

AccuFab-Aris ensures clinical excellence through an ultra-fine 34µm pixel size and 4K high resolution with ±50µm printing precision, delivering reliable prints with an accurate fit and minimal chairside adjustments. Print consistency is further enhanced by a thermostatic build platform that automatically maintains a stable 30°C printing environment to reduce resin warping, minimise detachment risks, and improve overall success rates. Built for long-term durability in everyday clinical use, this stable performance is backed by a hard-anodised aluminium construction.

Ease of use remains central to the AccuFab-Aris experience. One-click auto-levelling and automatic Z-axis calibration minimise manual setup, while smart fail-safe sensors with real-time residue detection and NFC resin tank monitoring help ensure stable, reliable operation. Flexible USB, Wi-Fi, and Ethernet connectivity also allow seamless integration into everyday clinical workflows.

Maintenance is equally streamlined for long-term ownership. The quick-release screen system enables replacement in as little as 10 seconds, while the integrated Aris Health Dashboard provides real-time monitoring of resin tank and light panel status to support stable printer performance over time.

Powered by SHINING FLOW, SHINING 3D’s unified scan-design-print end-to-end solutions, AccuFab-Aris seamlessly connects intraoral scanning, cloud-based order management, AI-powered and expert-guided design services, and chairside 3D printing into one connected workflow. The cloud platform automatically handles nesting, orientation, and slicing, enabling one-click printing across a wide range of applications including All-on-X, crown and bridge, dentures, orthodontics, and implant restorations.

About SHINING 3D Dental

Founded in 2004 in Hangzhou, China, SHINING 3D has established itself as a global innovator in high-precision 3D vision technologies across digital dentistry, industrial metrology, and reverse engineering. SHINING 3D Dental provides clinics and laboratories with a complete scan-design-print digital workflow designed to improve efficiency, accuracy, and clinical outcomes. Guided by the mission of making innovative and precise 3D digital solutions accessible worldwide, SHINING 3D continues to empower dental professionals with connected, intelligent, and practical solutions.

This article is sponsored by SHINING 3D Dental.

In a ‘pivotal moment’, NHS England has released updated standards for children’s oral health which prioritise uncomplicated care in the most local setting possible.

Replacing the 2018 NHS England clinical standard for paediatric dentistry, the new document is a structured, level-based model of oral healthcare for children and young people.

The guidance applies to all paediatric oral healthcare providers across primary dental care, community dental services, hospital dental services and tertiary paediatric centres.

Oosh Devalia, president of the British Society of Paediatric Dentistry (BSPD), said: ‘This standard is a pivotal moment for children’s oral health in England. For the first time, we have a single, coherent national document that supports every professional, from a newly qualified dentist in general practice to a consultant leading a tertiary team. It sets the benchmark not just for clinical care, but for equity, safety and accountability.’

However, the new guidance met with a degree of skepticism from some dental experts. Martyn Cobourne, dean of the Faculty of Dental Surgery (FDS) at the Royal College of Surgeons of England (RCS England), said: ‘With tooth decay the leading cause of hospital admissions among five- to nine-year-olds in the UK, and wide variation in decay-related extractions across the country, it is right to see a renewed focus on prevention and improving access to dental healthcare for children.

‘However, these standards will only make a difference if there are enough dental professionals to deliver them. This means investing in a strong NHS dental workforce and ensuring that reforms to the NHS dental contract go far enough to support appropriate care for children. Without that, NHS dentistry will continue to struggle to meet demand and deliver these standards in practice.’

What are the new standards for children’s oral health?

Localisation

‘Paediatric dental services should be planned and delivered in alignment with the neighbourhood health direction set out by NHS England, working as part of integrated neighbourhood teams to support holistic management of children and young people in the community.’

The news standards say that care should be provided in the least complex and most accessible setting that is appropriate for each child. Oral healthcare providers should work closely with health visitors, school nurses, GPs, paediatrics, social care, safeguarding teams, early years providers and families.

Virtual pathways should also be used to support the delivery of care closer to home.

Prevention first

‘Clinical care for children and young people should be grounded in minimally invasive, outcomes-focused principles, prioritising tissue preservation, early intervention, and child-centred approaches that support long-term oral health.’

Every contact with a dental professional should include preventive advice such as on toothbrushing, fluoride, diet, sugar intake, and tobacco or alcohol where relevant.

All care should be evidence-based and minimally-invasive where possible, with an emphasis placed on reducing the need for operative dentistry.

Care plans should also include caries and periodontal risk assessment in line with up-to-date guidelines.

Child- and family-centred care

‘The child’s best interests must remain central to all decision making, with their views heard and given weight in line with their age, maturity and understanding.’

The guidance says that the child and their family should be placed at the heart of care with an emphasis on shared decision making.

Communication must be developmentally appropriate and inclusive of parents or carers, including those with additional needs, communication difficulties or non-native English speakers.

Safeguarding duties also require dental teams to identify, document and respond to concerns about neglect, abuse or vulnerability.

Levels of care

The standards define a stepped model for levels of care:

• Level 1a: general dental practice for low-complexity care
• Level 1b: enhanced child-focused primary care for low-to-moderate complexity, mainly acute dental disease without major modifying factors
• Level 2: intermediate care for moderate complexity, behaviour management needs, or sedation
• Level 3a: specialist-led care for high complexity, complex trauma, developmental anomalies, medical or behavioural complexity, and some general anaesthetic care
• Level 3b: consultant-led or tertiary care for very high complexity, rare conditions, craniofacial cases, and complex general anaesthetic-dependent care.

It is intended that commissioners, providers and managed clinical networks can use the standard to update local service specifications and pathways. Where services are not yet compliant, implementation should be phased with agreed timelines. The standard will be reviewed every five years, or sooner if policy changes.

The full standards can be found here.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Colgate explains how treating dentine sensitivity can be as instant and simple as a flick of a switch with Colgate SENSITIVE.

Dentine hypersensitivity is a chronic problem, affecting up to 57% of patients (Davari et al 2013; Dam et al, 2022; Berg et al, 2021). Many patients do not report DHS at the dentist’s office and their sensitivity burden remains unresolved (Colgate-Palmolive, 2009).

The impact of sensitivity goes beyond just pain (Mason et al, 2019; Bekes et al, 2009; Gillam, 2021). Patients often adopt coping strategies that can lead to daily limitations or lifestyle adaptations which may include eating on just one side of the mouth, changing eating habits and oral hygiene limitations. This could even have a detrimental impact on social interactions, which may seriously impact a patient’s quality of life (Bekes et al, 2009; Gillam, 2021).

Support your patients and recommend Colgate SENSITIVE REPAIR & PREVENT + MULTI PROTECTION with PRO-ARGIN technology.

PRO-ARGIN is the most clinically proven desensitising occluding technology^#. The technology seals open tubules and builds a strong calcium-rich layer to deliver instant (Ipsos, 2019)* and long-lasting relief (Lai et al, 2015)^†.

To find out more, click here.

#Based on the amount of relevant clinical studies in Meta-Analysis 2023 of toothpaste occluding technologies only (Pollard et al, J of Dent. 130 (2023) 10443: 1-13).

*For instant relief, apply directly to the sensitive tooth with a fingertip and massage gently for 1 minute, up to twice a day and for children six to 12 years once a week or less frequently.

^With continuous use.

†With continued use two times per day. For lasting relief, apply with a gentle toothbrush making sure to brush all sensitive areas of the teeth.

References

1. Davari AR, et al. Dent Shiraz Univ Med Sci. 2013;14(3):136-45.
2. Dam VV, et al. Open Dent J. 2022;16:e187421062201130.
3. Berg C, et al. J Funct Biomater. 2021;12:27.
4. Data on file. Market research through Zapera, Colgate-Palmolive, 2009.
5. Mason S, et al. BMC Oral Health. 2019;19:226.
6. Bekes K, et al. J Oral Rehabil. 2009;36(1):45-51.
7. Gillam DG. Clin Oral Sci Dent. 2021;4:1.
8. Ipsos, Patient Experience Program elmex SENSITIVE PROFESSIONAL REPAIR & PREVENT, 175 respondents, Germany, 2019
9. Lai HY, et al. J Clin Periodontol. 2015;42:S17

This article is sponsored by Colgate.

As Prime Minister Keir Starmer announces his resignation, the dental profession is left asking what its political future holds.

Today (22 June) the Prime Minister said he accepted with ‘good grace’ that he was no longer best placed to lead his party into the next general election. He said: ‘Every decision I’ve taken has been about putting the country I love first. That is why I will resign as leader of the Labour Party.’

Labour came to power promising to rebuild NHS dentistry, including more appointments, filling dental deserts with new graduates, and reform of the dental contract to encourage more dentists to offer NHS care.

But nearly two years into government, the profession is still waiting for the full contract reform process to begin. Starmer’s departure now raises fresh questions over whether dentistry will remain a political priority under his successor, and whether Labour can deliver meaningful reform before the next general election.

The next UK general election must be held by 15 August 2029, unless one is called earlier.

Who will replace Keir Starmer?

Following his recent win in the Makerfield by-election, Andy Burnham has confirmed that he will stand to replace Starmer as Labour Party leader, promising ‘stability, seriousness and a continued focus on the issues that matter most’ going forward.

As mayor of Greater Manchester, Burnham’s main priorities for dentistry were tackling childhood oral health inequalities and healthcare devolution to build local preventive dental programmes. However, he has yet to specify how he would approach dentistry on a Parliamentary level.

The profession will now be looking for clarity on whether he would keep Labour’s existing dentistry commitments, retain the current ministerial team and accelerate dental contract reform.

Former health secretary Wes Streeting made a statement backing Burnham’s leadership bid. He said: ‘We could spend the summer exaggerating small differences, or we can roll up our sleeves and help him to deliver the change our party and our country needs. That is the choice that I am making and I hope that everyone else will back Andy, too.

‘We were elected change our country, to show that politics can be a force for good, and to spread opportunity for everyone. With Andy, we still can.’

How will this impact dentistry?

Speaking to Dentistry.co.uk at Dentistry Show Birmingham, British Dental Association (BDA) chair Eddie Crouch expressed concern at the amount of time that Labour had left to reform NHS dentistry.

He said: ‘Unless we get that consultation and make progress on this, their ambition to reform the contract during this parliamentary term is going to be under pressure.’

However, he also suggested that there was support for dentistry in the wider government, saying: ‘What I hope is that a minister that I’ve built up a relationship with over the last two years, who I believe has got the right motives, will continue in post, irrespective of who eventually ends up leading the Labour Party.’

He concluded: ‘I believe that there is a parliamentary will to actually improve dentistry, and that’s across all parties – whether I meet the Greens, the Liberal Democrats, the Conservatives or Labour. Everyone wants NHS dentistry to be resolved. With that political will, we have reason to be optimistic.’

How has the opposition responded to Keir Starmer’s resignation?

Reform Party leader Nigel Farage described Starmer as ‘the most incompetent Prime Minister this country has ever had the misfortune of having’. He called for a general election ‘at the soonest possible date’ as ‘the country cannot afford to waste another week drifting from crisis to crisis’.

Farage also said it would be ‘ridiculous to pretend that Andy Burnham has any kind of meaningful mandate to lead the country’. He concluded: ‘Britain needs change – real change, not another washed-up has-been shoved into place by the uniparty.’

Find out more about what a Reform Party government would look like for dentistry here.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Join Tony Rickwood on 29 June at 7pm as he discusses why your triage is the problem, not your waiting list.

In this webinar, delegates will learn how remote triage is transforming NHS orthodontic contract performance. Using real data from Tony Rickwood, this session covers how to clear waiting lists faster, protect specialist chair time, and drive private patient growth alongside NHS delivery.

Learning outcomes

• Understand why traditional in-chair triage is a contributor to NHS contract underperformance and waiting list growth
• Learn how to implement a remote digital screening pathway that filters patients before they occupy specialist chair time
• Apply a structured case flagging system (green, purple, OH hold) to manage patient readiness and protect clinical capacity
• Identify how removing triage burden from the specialist chair creates the conditions for consistent NHS contract delivery and early completion
• Recognise the commercial opportunity that efficient NHS triage unlocks, including conversion of waitlisted patients into self-funded private starts.

The speaker

Tony Rickwood spent 25 years managing large-scale retail operations for Tesco before moving into dentistry in 2015. Joining Pallant Orthodontics as business manager, he helped grow the practice from six to 30 staff across two sites, including building a second specialist practice from the ground up. Over 11 years he led NHS contract management, practice rebranding, treatment coordinator integration and in-house 3D printing. He now runs TDBM, an orthodontic consultancy supporting practices across the south with operational strategy and practice management training.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• Advancing vital pulp therapy: clinical applications and predictable outcomes using MTA vpt
• From enquiry to treatment start: the patient journey most practices have never mapped
• Dealing with patient complaints: real cases, real solutions
• The first 100 days of marketing for a new practice owner
• Is your practice quietly losing £100,000 a year?

You can sign up for the webinar here.

A few months into his role as senior editor of Dentistry.co.uk, Patrick Johnston comments on one theme that keeps coming through in almost every conversation: dentistry talks about prevention constantly. The harder question is whether patients and families are hearing us.

At the Birmingham Dental Show, Bupa Dental Health Is Live and the General Dental Council (GDC) Future Dental Leadership Network event, prevention was continually recognised as a priority. The message was clear. Dentistry cannot keep relying on treatment-led models and expect oral health outcomes, access pressures or National Health Service (NHS) costs to improve.

Research published in Frontiers in Public Health underlined the scale of the challenge. It projected that annual NHS treatment costs linked to dental caries and periodontal disease in the United Kingdom (UK) adult population could rise from £4.418 billion in 2020 to £5.301 billion by 2050, a 20% increase. It also projected that people aged 60 and over will bear 69% of caries-related costs by 2050, with untreated caries costs in that group growing by 168%.

That is the economic case. But prevention will not be achieved by repeating the same messages more loudly. It will depend on whether dentistry can communicate in ways that fit people’s real lives.

That distinction matters because so much public health messaging fails on delivery rather than content. An oral health session run by a local authority during midweek working hours, for example, may have the right subject and the right intention. But if the format excludes many of the working parents it is meant to reach, the message is already weakened before it lands.

What does oral health education done right look like?

That is why the industry examples that cut through deserve attention. Bupa’s The Dentist’s Apprentice, story showed how oral health education can be made memorable for children. Kev the Dentist’s toothbrush giveaway campaign turned a simple preventive tool into a visible public message.

Dr Rakhee Patel’s work with Tottenham Hotspur and the Give Up Loving Pop programme, which encourages children and families to reduce sugary drinks, showed the value of taking oral health education into trusted community settings.

These initiatives work because they start with the audience. They ask where people are, who they listen to and what will make the next healthy action easier.

That should be the test for prevention. Not whether the profession has said the right thing, but whether the message has reached the patients and families it is meant for, in a form they can understand, trust and act on.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Chris Nicholson explores the parallel between the FIFA World Cup tournament and dental practices thinking about stepping away from the NHS.

As the World Cup gets underway, it’s a good reminder that success at the highest level of football is something that requires preparation and planning. The teams that go deep into the tournament have been building towards it for years.

When it comes to success in football, the strongest teams will have figured many of the important things out long before the kick-off. The tough calls such as investing in the right players, refining their system, and being clear on how they want to play will all have been sorted well in advance so that, by the time the referee blows his whistle they’re prepared and putting all of that into action.

It’s not too much of a stretch to say that for many dental practice owners, the situation for them isn’t too different. Rising costs, ongoing recruitment challenges and the limitations of the NHS contract are putting increasing pressure on the model. At a certain point, it stops being about short-term fixes and becomes a bigger question: is this still the right direction long term?

That’s when taking stock becomes essential. Just as a manager would be looking at their squad before a major tournament, practice owners need a clear, honest view of where they are now regarding their finances, how they are coping operationally and their team capacity and morale. They also need to decide where they want to be in a few years’ time.

What can the FIFA World Cup teach us in dentistry?

Building a successful team takes time. They need to learn the system their manager wants to employ. That’s something that always works better if they understand why they’re being asked to do things in a particular way. Likewise, moving away from the NHS isn’t something that works well as a sudden shift. The team and patients need time to adjust.

The practices that handle it best tend to treat it as a transition rather than an instant switch. They plan it properly, phase changes in, bring their team with them, and give patients time to understand what’s happening. It’s more measured, but it’s also far more sustainable.

That same idea applies when it comes to planning the next phase of a practice. As well as deciding whether to move away from the NHS, there’s a need to understand what that move will look like in practice. That will entail taking a proper in-depth look at your patient base, your numbers, and where the real opportunities are. The greater the clarity at this stage, the easier it is to make decisions that hold up over time.

Make sure you have support

Support matters too, and this is where many practices either gain momentum or lose it. Behind every successful football team is a lot of work that never gets seen. The so-called ‘backroom staff’ of coaches, analysts, physios and other medical staff. These people are all focused on making sure the conditions are right so the players can perform when it counts.

A conversion from NHS to private dentistry is no different. Whether you’re thinking about introducing a membership plan, adopting a mixed model, or making a full move to private, having the right guidance can make a huge difference to your success. Having support in place helps shape your planning, how you bring your team on board, how you communicate with patients, and the confidence you will feel about the whole process. Ultimately, this one decision will shape the whole future of your business.

Preparing a firm foundation for the future

The most successful teams are built to perform consistently rather than simply to win one match. Generally, they have a clear identity, a system that works, and the flexibility to adapt when things change. That’s what practice owners should be aiming for too.

You’re aiming to do more than simply survive the current pressures. This is all about building something more stable, profitable and with a lower admin burden in the long term all while maintaining the quality of care.

There’s no single route from NHS to private. As each practice is unique, they will approach it slightly differently, depending on their patients, team and long-term goals. However, the common thread is preparation.

The practices that get the best results are usually the ones that take the time to think it through properly, rather than reacting under pressure or leaving decisions until they have no choice. That’s the important takeaway here.

Success, whether in football or in business, rarely comes from last-minute changes, although, as in practice, there is often a need for substitutions. However, with planning, having a clear direction, making considered decisions, and backing yourself to follow them through most scenarios can be covered.

Consider your options

If you’re starting to question what the future looks like for your practice, it might be time to take that first step and look at your options properly.

There’s never been a safer time to leave NHS dentistry. If you’re considering your options away from the NHS and are looking for a plan provider who will hold your hand through the process at a pace that’s right for you, you’re in safe hands with Practice Plan.

You can start the conversation today by calling 01691 684165 or booking your one-to-one NHS to private conversation at a date and time that suits you, just visit practiceplan.co.uk/nhsvirtual.

This article is sponsored by Practice Plan.

Eddie Scher, a defining figure in UK implant dentistry and former ADI president, has died after a career in clinical education.

A specialist prosthodontist and oral surgeon, lifelong educator and one of the architects of the Association of Dental Implantology, Eddie helped guide implant dentistry from its pioneering years towards the respected discipline it is today.

Pioneering implant dentistry

After qualifying from University College Hospital in 1973, he moved from general practice into the more complex restorative and surgical work that would define his career.

His name was synonymous with implant dentistry for a reason. From as early as 1985, his own clinic – the Walpole Street Dental Practice in Chelsea – was dedicated to prosthodontics and implant dentistry, years before the discipline became mainstream.

For decades, his clinical focus was dedicated to complex treatment, helping restore function and smiles for patients with the most challenging problems.

In a world of guided surgery and digital implant planning, it is easy to forget that implant dentistry did not arrive fully formed in the UK. It needed advocates, champions, devotees. Eddie was all of these and more – a clinician who adored his craft and shared that passion with others, never losing the wonder over the difference that dental science could make for patients on the receiving end.

He was pivotal in the inception of the Association of Dental Implantology in 1987, helping formalise it from a study club to a UK-wide professional organisation.

Together with its other founding members – Barry Edwards, Vivian Freiberger, Ashok Sethi, Norman Mills and Philip Freiberger – he helped move implant dentistry away from the suspicion that once saw its practitioners dismissed as ‘the cowboys of dentistry’, and towards a field increasingly defined by training, standards and peer accountability.

Eddie would later serve as ADI president and, in 2013, was made an honorary member – a recognition he regarded as one of the great honours of his professional life.

Birthright and legacy  

Dentistry itself was a birthright as much as a calling for Eddie, who was part of a dental lineage that stretched back two generations.

The first signs appeared early: he made his first set of dentures aged 10 in his father’s laboratory. His three uncles were all dentists. His grandfather, Israel Scher, helped found the very dental school – University College Cork – that his father Leslie would go on to be dean of.

Eddie’s later appointment as visiting professor at UCC carried enormous meaning. To him, it was the return of a Scher to Cork – validation and acknowledgment of his own inheritance.

But if he felt the responsibility of his legacy, he shaped his own path. His philosophy was one of putting people first: starting always with the person in the dental chair.

He spoke of the treatment planning conversation as the moment where dentistry became properly human: when the science, the patient’s hopes and the clinician’s responsibility had to meet.

Becoming Professor Eddie Scher

Despite often referring to dentistry as his hobby, his commitment to implant dentistry was serious. It went far beyond institutions and science. For Eddie, the field had to be explained and shared, and that same energy carried him into lecture halls and dental schools around the world.

He founded and led the Osseointegrated Year Course, helping demystify implant dentistry for generations of clinicians at a time when formal pathways were still developing. He also taught extensively in the UK, at University of Salford and the Eastman Dental Institute, but his influence as an educator extended far beyond domestic shores.

His long relationship with Temple University in Philadelphia began in 1994, when he became associate professor in its prosthodontic and implant department, and continued for the rest of his life through a visiting professorship he held dear.

His academic journey took him to France, and to Israel, where advisory and institutional roles with Tel Aviv Dental School and Tel Aviv University carried deep professional and personal significance.

Speaking with purpose

Eddie’s teaching took him across the world, but his purpose remained strikingly consistent: to make complex implant dentistry understandable, responsible and clinically useful.

His long-standing partnership with FMC, publisher of Dentistry, became another extension of that mission, allowing him to bring implant dentistry to a wider audience of general dentists than ever before. As editor-in-chief of Implant Dentistry Today, he brought the same insistence on scientific rigour, clinical relevance and real-world application.

As his involvement with Alpha Omega also grew, he ushered his network of colleagues and alumni into pages and onto stages, gently insisting they too share their expertise with his growing audience.

That gentle insistence could become more forthright when the occasion demanded it. He had a strong sense of justice that appeared early. As a boy, he once lured local bullies onto a garage roof and left them stranded there – a tale that sums up his fighting spirit and the impish humour that never left him.

Many years later, that same refusal to accept unfairness would surface in a very different context, when he challenged the impact of the GDC’s fitness to practise processes on clinicians.

The complaint that took him through that process was found to be baseless; ultimately dismissed with ‘no case to answer’. But the experience left its mark.

No sooner had the dust settled than he set about campaigning on behalf of the others who had experienced the same challenges. Eddie spoke and wrote openly about the fear and uncertainty it caused. He was determined to challenge a process he believed could do profound damage to professionals – and to stop others enduring the same experience.

Loyalty, influence and generosity 

If anything remained constant through Eddie’s long career and longer list of titles, it was the irrepressible spirit of that boy whose teachers had once suggested he ‘wouldn’t amount to much’.

A talented sportsman in his youth, he developed an enthusiastic love of golf in later years – one that sustained him even through illness, when he practised putting in his hospital room. New friends were swiftly made among the clinical staff. But then, that was so often the case with Eddie.

Behind the professorships and titles was a man of deep loyalty, fierce family feeling and instinctive generosity. Eddie never simply spoke to people: he took an interest. He remembered families, names, anxieties, ambitions and small details even as he shared the achievements of his own family.

The loss of his first wife, mother to his sons Laurie and Robin, shook the foundations of his life. In Belinda, whom he would later marry and often described with profound gratitude, Eddie found love, steadiness and joy again.

He is survived by Belinda, his sons, and his grandchildren.

Many will remember Professor Eddie Scher as a pioneer of implant dentistry, a teacher of rare influence and a clinician who helped change the course of his field.

Those who knew Eddie will remember something more intimate: his loyalty, his mischief, his pride in the people he loved, his belief in the people he taught, and his ability to make others feel braver than they had before.

A mentor, a teacher and, above all, a friend.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

With skill mix being hailed as the new way of working for the NHS, does dental therapy really benefit? Or is it a wolf in sheep’s clothing?

On one hand, we are hearing more than ever about prevention, access, workforce pressures, skill mix and reform. Dental therapists are finally being recognised within NHS policy conversations as a vital part of the future workforce. New contractual changes now allow therapists to open and close courses of treatment, prescribe under exemptions legislation and work more independently than ever before.

And yet, many dental therapists still find themselves trapped in repetitive, low autonomy workflows.

Check-up. Scale. Polish. Repeat.

I recently spoke with a dental therapist working predominantly within the NHS system. Like many therapists, he had a strong educational background, excellent clinical potential and a genuine passion for patient care. Yet his diary had become heavily weighted towards examinations and repetitive maintenance appointments, with very little opportunity to develop restorative confidence or expand his clinical role.

This conversation is not unique. In fact, it reflects exactly where many NHS therapists currently find themselves.

The problem is not capability: it’s structure

For years, therapists have been working within systems that were never truly designed for them to thrive independently. Even after direct access arrived in 2013, significant practical barriers still existed within NHS dentistry. Therapists could diagnose and treatment plan within their scope, but operationally many still relied heavily on dentists for prescriptions, workflows and referrals.

Over the last few years, however, there have been important changes.

Therapists can now open courses of treatment on Compass, provide care independently within scope and close courses of treatment where they are the sole provider. Exemptions legislation has also transformed practical delivery of care, allowing therapists and hygienists to administer and supply certain medicines such as local anaesthetic and fluoride varnish without requiring a prescription from a dentist.

Alongside this, recent NHS reforms are increasingly encouraging wider use of skill mix. New contractual guidance has widened opportunities for preventive care delegation, including fluoride application pathways involving appropriately trained dental nurses. For the first time in many years, NHS systems are beginning to acknowledge what many of us have known for a long time: modern dentistry cannot function efficiently if every aspect of patient care depends solely on the dentist.

And yet despite these changes, many therapists remain underutilised because practice workflows have not evolved alongside the legislation. Where is the operational guidance? Do dental practices have the capacity to re-organise and re-structure alone or should there be operational models made available for willing participants?

Pitfalls of NHS dental therapy

One of the biggest frustrations dental therapists describe to me is becoming trapped in diagnostic monotony. Ironically, this often happens at the exact moment therapists gain more autonomy. Practices suddenly realise therapists can perform examinations, so the diary becomes saturated with check-up appointments, but without the restorative workflow, prevention structure or referral pathways needed to make the role clinically rewarding.

The result is therapists diagnosing far more than they are actually delivering treatment.

Over time, this creates a very real problem. Restorative confidence begins to reduce. Clinical fulfilment declines. Therapists become increasingly reliant on referring work back to dentists because they are simply not getting enough repetition to maintain confidence in practical procedures.

If dental therapists only diagnose but rarely treat, we risk creating a generation of clinicians who slowly lose confidence in the very skills they trained for.

Dental practices need to consider not only the capabilities of their dental clinicians but also how to structure the diaries to ensure that care can be delivered at an appropriate time and by the most appropriate clinician for the job. If diaries become overly check-up heavy dental therapists risk losing confidence and reducing their skillset.

Confidence is not built through theory alone. It is built through repetition. Therapists do not suddenly become confident restorative clinicians because they attended one composite course or watched a webinar. Confidence develops through repeatedly diagnosing, isolating, restoring, reviewing, photographing and refining work over time.

This is where NHS systems often unintentionally fail therapists. Diaries become entirely reactive and volume driven rather than developmental. There is little protected space for clinicians to grow.

The evolution of NHS dental therapy

Instead, practices should be actively creating opportunities for skill development. Diarising restorative sessions, encouraging photography, supporting rubber dam placement, reviewing cases collaboratively and protecting time for learning all help clinicians progress safely and sustainably.

The therapists who thrive within NHS practice environments are usually the ones working within clear systems. Defined referral pathways, collaborative communication with dentists, efficient note templates and agreed restorative protocols create consistency and reduce anxiety for the whole team. Without systems, therapists are left relying entirely on confidence alone, and confidence fluctuates.

One of the biggest cultural shifts NHS practices need to make is moving away from the idea that therapists are simply there to ‘help with workload’. Therapists should not function as overflow clinicians. They should function as integrated clinicians with clearly defined responsibilities that complement the wider dental team.

We are currently at a hugely important point in the evolution of dental therapy within the NHS.

The legislation is changing, contracts are changing, workforce pressures are increasing and the profession is evolving. But if practice culture and workflows fail to evolve alongside those changes, we risk wasting (yet another) generation of highly trained clinicians.

The future NHS therapist cannot simply be the ‘scale and polish clinician who also checks teeth’. The modern therapist must become a prevention lead, a stabilisation clinician, a restorative clinician, a patient educator and a key part of shared care delivery.

Because the NHS does not simply need more dentists: it needs clear operational systems that allow every clinician to work at the top of their scope.

Catch up with Cat’s previous columns:

• Communication as care: the role of the modern dental therapist
• Dental therapy at a turning point: entering the new era
• How is dental therapy utilised differently around the world?
• Building a shared care model for the modern dental practice
• Dental therapy in 2026: a profession coming into its own.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Oliver Smart and Cat McLennan discuss how MiSmile Treatment Planning Services help Invisalign clinicians improve predictability, reduce refinements and save valuable time through specialist orthodontic support.

With increasing demand for clear aligner treatment, clinicians are looking for ways to improve efficiency, confidence and predictability in their cases. We spoke to Oliver Smart, clinical director of MiSmile Treatment Planning Services (TPS), and operations director Cat McLennan about how the service works, what sets it apart, and how dentists can get started.

Introducing MiSmile Treatment Planning Services

Oliver Smart (OS): I’m a dentist with more than 20 years’ experience and hold an MSc in restorative dentistry. I’ve been providing Invisalign treatment for around two decades and currently serve as clinical director of MiSmile, MiSmile Treatment Planning Services and the MiSmile flagship practice in Birmingham.

Cat McLennan (CM): I’m operations director for both MiSmile Network and MiSmile TPS. My role focuses on the day-to-day running of the business, while Oliver leads on the clinical side. I’ve been involved with Invisalign since 2007, initially working with Align Technology before joining MiSmile in 2017. More recently, I’ve been part of the team that launched MiSmile TPS around 18 months ago.

OS: Treatment Planning Services provides clinicians with expert support when planning Invisalign cases. Whether it’s an Invisalign Go, Go Plus, Smile Architect or comprehensive case, we offer an additional layer of clinical input from specialist orthodontists.

Typically, clinicians receive their treatment plan within three working days. We can provide multiple treatment options where appropriate, including different extraction protocols or varying levels of interproximal reduction (IPR), helping dentists choose the most suitable route for their patient.

Ultimately, the service is designed to give clinicians greater confidence and predictability in their cases while reducing the need for additional aligner orders – something that benefits dentists, patients and Align Technology alike.

The benefits for clinicians and patients

OS: One of our biggest differentiators is that every case is reviewed and planned by specialist orthodontists. To my knowledge, we’re the only treatment planning service provider globally offering that level of specialist expertise across every case.

Our orthodontists are trained not only by the MiSmile team but also directly by Align Technology, ensuring they are working with the latest aligner protocols and techniques.

Another key advantage is that every plan is bespoke. While treatment is naturally tailored to the patient, it’s also customised to the individual clinician’s preferred approach. Dentists have different philosophies around IPR, attachment placement, elastics and tooth movement, and we work closely with them to ensure the treatment plan reflects how they want to practise.

Creating more time in practice

OS: Time is one of the most valuable resources in dentistry. Many clinicians are balancing patient care with business management, team leadership and regulatory responsibilities.

Having a dedicated team of specialist orthodontists handling treatment planning removes a significant administrative and clinical burden. That might mean fewer evenings spent reviewing ClinChecks, more time with patients during the working day, or greater focus on developing the practice and supporting the team.

For larger providers especially, that additional support can make a significant difference to both efficiency and patient experience.

Getting started

CM: We’ve made the process for getting started with TPS as straightforward as possible. Because of our affiliation with Align Technology, everything is integrated into the Invisalign Doctor Site. Clinicians don’t need to learn a new platform or manage separate systems.

There are two ways to get started. Dentists can email us directly at tps@mismile.co.uk, where I can answer any questions and arrange a call to discuss the service in more detail.

Alternatively, they can access the TPS section directly within the Invisalign Doctor Site. There, they can select MiSmile TPS as their preferred provider and begin the onboarding process.

Once enabled, they’ll receive a welcome email explaining how to submit cases, set up notifications and communicate directly with our orthodontic specialists. From there, they’re ready to start using the service.

Try your first case for free

CM: Because treatment planning services are still relatively new to many UK dentists, some clinicians may be unsure about what to expect. That’s why we offer a complimentary first case.

Over the past 12 months we’ve planned more than 20,000 Invisalign cases, making us one of the most experienced Invisalign planning providers available. The free case gives clinicians an opportunity to experience the service first-hand, understand how we work and see the quality and efficiency of our planning process.

After that, cases are priced at £50 each, with discounted case bundles available for clinicians managing higher volumes.

Looking ahead

As clear aligner treatment continues to grow, efficient treatment planning is becoming increasingly important. By combining specialist orthodontic expertise with streamlined digital workflows, MiSmile TPS aims to help clinicians deliver more predictable outcomes while freeing up valuable time to focus on patients and practice growth.

Find out more about MiSmile Treatment Planning Services here.

This article is sponsored by MiSmile.

New data shows that just 49% of the population of Northern Ireland was registered with a health service dentist as of March 2026, with the British Dental Association (BDA) warning that these figures were the mark of a ‘disappearing service’.

Registration has plummeted since 2023 when it stood at 70% – the current lows have not been seen since 2009. In just one year, registration numbers dropped by 95,000 patients, a 9% reduction.

In contrast, figures recorded at the same time in Scotland estimate that 95.1% of its population is registered with an NHS dentist. This disparity is likely due to Scotland’s formal registration system which is not in place throughout the rest of the UK. Registration levels in England and Wales stand at roughly 40% each.

The data also revealed stark variation in registration levels between different areas of Northern Ireland. Fermanagh and Omagh had the lowest adult registration rate at 30%, though its child registration rate was actually higher than the national average at 70%.

Children in more deprived areas were found to be 18% less likely to be registered with a health service dentist than those in the least deprived regions, with levels dropping to 55% in the poorest areas.

These findings were released by the Business Services Organisation (BSO) today (18 June) as part of its General Dental Services Statistics.

How many health service dentists are there in Northern Ireland?

The report found that there were 351 dental practices and 1,180 dentists registered to provide health service treatment in Northern Ireland. This equates to 61 dentists per 100,000 residents.

The authors estimate that 94% of the population of Northern Ireland lives within five miles of a health service dental provider. However, they warn that proximity does not necessarily equate to access.

In fact, the number of patients seen had decreased by 4% since the previous year. The number of dentists in the service had also decreased by 2% in the same period, the first reduction since 2021.

However, the average cost of dental services per registered patient rose by 11% to £118.70 for a total national cost of £134.4 million.

‘The writing really is on the wall’

In April, Northern Ireland health minister Mike Nesbitt confirmed the full details of an £8 million investment in general dental services, including six additional Dental Foundation Training (DFT) places and a new emergency dental clinic.

However, the BDA warned that the BSO data showed the industry is ‘struggling to maintain its sustainability in the face of rising costs and wholly inadequate fees’.

Ciara Gallagher, chair of the BDA’s Northern Ireland Dental Practice Committee, said: ‘New figures show that the writing really is on the wall for health service dentistry in Northern Ireland.

‘The minister knows what needs to be done. Underfunded and overstretched, practices are on the brink and cannot be expected to continue delivering care at a loss.’

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Pat Langley looks at what entrepreneurial dentists wanting to start up a new squat practice need to know in light of the recent changes to the CQC registration process. 

Opening a new dental practice has never been a small undertaking. Between securing premises, fitting out surgeries, recruiting the right team, and building a patient base, the squat start-up journey demands energy, resilience, a very good spreadsheet and clear, comprehensive and accurate professional support in all areas from advisors and suppliers who understand the dental industry.  

Another very important factor for prospective practice owners to consider in their plans is that the Care Quality Commission (CQC) has tightened its approach to new provider registration applications. 

This change means CQC registration must sit at the centre of the launch plan from day one. 

What has changed in CQC registration? 

From 5 May 2026, new dental provider applications must include additional supporting documents, as well as a new oral health service form, alongside the standard CQC application paperwork. 

This is a significant shift in emphasis. Historically, applicants have usually submitted the core paperwork first and dealt with further evidence later in the process. The CQC’s new approach is much more front-loaded. Applicants are now expected to provide a complete, relevant and up-to-date evidence pack at the point of application. 

For new dental providers, that means the application must do more than describe the proposed service. It must demonstrate that the practice is ready, safe and properly governed before registration can be granted. 

The CQC says the changes are designed to help it process applications more quickly. In practice, they also raise the stakes for applicants. If required documents are missing, incorrect, out of date or not relevant to the service being registered, the application is likely to be rejected. If that happens, the provider will need to resubmit, and the resubmission will be treated as a new application rather than holding its original place in the queue. 

For anyone working to a planned opening date, that distinction matters. 

What dental providers now need to include 

All new provider applicants must submit the standard CQC documents, including policies covering complaints, consent, equality and human rights, governance and quality assurance, infection prevention and control, medicines management, recruitment, safeguarding and a statement of purpose. A financial viability statement may also be required.  

For dental practices, there is now a further set of dental-specific requirements. These include critical examination and acceptance test reports, a fire risk assessment, evidence of registration with the Health and Safety Executive in line with the ionising radiation regulations, a health and safety risk assessment, a legionella risk assessment, LOLER lift safety certification where applicable, and a radiography risk assessment and local rules documentation. 

In addition, the CQC may ask to see other evidence during the assessment process. This could include a floor plan, electrical installation certificate, emergency lighting completion certificate, gas safety certificate, medical emergencies and resuscitation policy, serious incident policy, fit and proper persons policy, and relevant installation or calibration certificates for equipment such as decontamination units, suction, compressors, ventilation or amalgam separators. 

In other words, this is not just a paperwork exercise. It is a readiness test. 

The building control point 

Another important change affects any location that requires building regulations approval. Where this applies, the applicant must include a building control final certificate with the application. 

This could be particularly relevant for squat practices, where premises are often undergoing significant refurbishment or conversion. Dental fit-outs can involve changes to room layout, plumbing, ventilation, electrical systems, radiation protection and accessibility. If the project needs building control approval, the final certificate is now part of the CQC registration process. 

That means timing is crucial. Practice owners should speak early to architects, contractors and compliance advisers to understand when certificates and commissioning documents will be available. The CQC application timeline should be built around evidence being complete, not around optimism about when the builder might finish. 

Financial considerations and planning 

The change is not just ‘more paperwork’. For squat practice owners, it can affect the whole financial model. The owner may be carrying rent, loan repayments, fit-out costs, staff recruitment costs, equipment finance and professional fees before they can legally start treating patients and generating income. 

This commercial reality should not be overlooked. Most squat practices operate on tight budgets, particularly in the final stages before opening, when cash is flowing out, but income has not yet begun.

If a new provider cannot submit a complete CQC application until the premises, equipment, certificates and supporting documents are effectively ready, this can create a difficult funding gap. Rent, loan repayments, equipment finance, contractor invoices, staff recruitment costs and professional fees may all be falling due while the practice is still waiting for registration and is unable to treat patients. For new owners, this makes financial planning every bit as important as compliance planning.

Contingency should be built into the business plan, lenders should understand the registration timeline, and opening projections should allow for the possibility that a rejected or incomplete application could delay the first day of trading. In the new registration environment, cashflow planning is not separate from CQC readiness; it is part of it. 

Can a dental squat be treated as urgent? 

Some new providers may wonder whether their application can be fast-tracked, particularly where a completed practice is ready to open but cannot yet trade. The CQC’s urgent registration route is, however, narrow. Applications are usually assessed in the order they are received, and urgent consideration is reserved for cases where registration is critical to increasing capacity in the health and social care system or reducing pressure on the NHS or social care. 

This means that an NHS squat may have a route to urgent consideration if local commissioners support the case, but a purely private squat is unlikely to qualify simply because the owner is under financial pressure or ready to open.  

For a private squat to be considered urgent, the CQC would require formal evidence from an appropriate commissioner or senior public body representative, and financial hardship alone would not be enough. 

This reinforces the need for owners to plan conservatively. Urgent registration should not be relied upon as part of the opening strategy. For most start-ups, the safer assumption is that the application will proceed through the ordinary registration process, and the business plan should allow for that. 

Tight cash flow may make the application feel urgent to the owner, but that does not necessarily make it urgent in CQC terms. 

The CQC’s changes have made the registration process more exacting for new dental providers. But for those who prepare early, personalise their documents and treat compliance as part of the business plan rather than a bolt-on, the route to opening a new practice remains very achievable. 

Dentistry Practice Services provides CQC registration support and full compliance support to dentists wanting to open a new squat practice. For more details, please contact ryan.hall@fmc.co.uk.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

The rise of minimally invasive cosmetic dentistry has transformed patient expectations, particularly among adults seeking Invisalign and tooth whitening.

Invisalign and other clear aligner systems have become increasingly popular because they offer discreet, removable, and digitally planned orthodontic solutions. At the same time, tooth whitening remains one of the most requested aesthetic procedures worldwide.

Traditionally, clinicians delayed whitening until orthodontic treatment was completed due to concerns that aligner attachments could interfere with peroxide penetration, create uneven bleaching, increase sensitivity, or compromise treatment outcomes. However, recent evidence suggests that whitening during Invisalign therapy can be both safe and effective when carefully supervised (Silva et al, 2022).

Why whitening works during aligner therapy

Tooth whitening relies on hydrogen peroxide or carbamide peroxide gels that penetrate enamel and dentin to break down chromogenic molecules responsible for discoloration (Joiner, 2006). Because peroxide diffuses beyond the direct contact area, whitening is not simply a surface phenomenon.

This explains why Invisalign attachments generally do not prevent effective bleaching. Clinical studies by Levrini et al demonstrated that whitening outcomes using clear aligners were comparable to traditional whitening trays, even without customised reservoirs. Clinical observations also show that any minor shade discrepancies usually resolve after attachments are removed.

Additionally, a 2023 study evaluating 10% carbamide peroxide found no significant negative effect on Invisalign material properties, suggesting that supervised whitening protocols do not compromise aligner performance.

Clinical benefits of simultaneous whitening

Integrating whitening during aligner treatment offers several clinical and psychological advantages.

Increased patient motivation

Patients who observe visible shade improvement during treatment are often more motivated to comply with aligner wear and oral hygiene instructions. Early aesthetic improvement may enhance patient engagement throughout lengthy orthodontic treatment plans.

Improved oral hygiene awareness

Whitening protocols frequently encourage better plaque control and cleaner aligner maintenance. Peroxide-based agents may also provide mild antimicrobial effects that contribute to improved gingival health.

Better restorative planning

Whitening before definitive restorative procedures such as composite bonding or veneers allows clinicians to achieve more predictable shade matching. However, because residual oxygen from bleaching agents may temporarily reduce resin bond strength, most clinicians recommend delaying adhesive procedures for approximately two weeks after whitening.

A report published in the Journal of Clinical Orthodontics also highlighted improved patient satisfaction when whitening was incorporated into clear aligner therapy.

Recommended whitening protocols

Contemporary protocols favour a gradual and carefully monitored approach to aligner-based whitening. A commonly recommended protocol includes whitening the upper arch for two weeks using overnight bleaching, reviewing sensitivity and shade response, then whitening both arches for an additional two weeks with regular monitoring.

Lower peroxide concentrations, particularly 5-6% hydrogen peroxide systems, are often preferred because they provide effective whitening while reducing sensitivity risk.

Managing tooth sensitivity

Sensitivity remains the most common adverse effect associated with bleaching treatment. Patients with gingival recession, exposed dentin, enamel defects, or a history of sensitivity are more likely to experience discomfort.

Management strategies may include reducing application frequency, temporarily discontinuing whitening, prescribing fluoride or desensitising toothpastes, and using potassium nitrate gels. Potassium nitrate is particularly beneficial because it reduces pulpal nerve activity and improves patient comfort during bleaching treatment.

Considerations for younger and complex cases

Whitening in adolescent Invisalign patients requires additional caution. Therapeutic whitening may be useful in cases involving fluorosis, trauma-related discoloration, molar-incisor hypomineralisation (MIH), developmental enamel defects, or post-orthodontic white spot lesions. Because younger patients are generally more prone to sensitivity, lower peroxide concentrations and gradual protocols are recommended.

Not all forms of discoloration respond equally to conventional whitening. Intrinsic staining, enamel hypoplasia, tetracycline staining, and non-vital teeth may require prolonged treatment or interdisciplinary management. Some patients may ultimately require resin infiltration, composite bonding, veneers, or endodontic treatment to achieve optimal aesthetic outcomes.

To learn more about integrating tooth whitening into aligner treatment, you can watch a webinar available on the Aligner Dental Academy platform.

Conclusion

Modern evidence increasingly supports whitening during Invisalign treatment as a predictable and effective component of comprehensive aesthetic dentistry. Contrary to previous assumptions, attachments do not appear to significantly interfere with whitening outcomes, and clear aligners can successfully function as bleaching trays (Levrini et al; Silva et al, 2022). When professionally supervised, simultaneous whitening may improve patient motivation, enhance oral hygiene awareness, support restorative planning, and deliver highly satisfactory aesthetic outcomes.

References

1. Joiner A. The Bleaching of Teeth: A Review of the Literature. Journal of Dentistry. 2006
2. Levrini L, et al. Dental Bleaching during Orthodontic Treatment with Aligners
3. Silva A, et al. The Effectiveness of Dental Bleaching during Orthodontic Treatment with Clear Aligners: A Systematic Review. Applied Sciences. 2022
4. Alhendi A, et al. Effect of 10% Carbamide Peroxide on Invisalign Aligners. 2023
5. Tooth Whitening in Association with Clear Aligner Treatment. Journal of Clinical Orthodontics.

This article is sponsored by Aligner Dental Academy.

A new report has revealed the extent of increased financial pressure for Scottish dental practice owners resulting from rising costs, with the average practice seeing just 30p of profit for every pound they earn.

The National Association of Specialist Dental Accountants and Lawyers (NASDAL) Scotland annual Benchmarking Report has been released for the financial period 2024-25.

The report suggests that gross profit margins are under significant pressure – around 70p in the pound is being spent on costs.

However, private practices are seeing a large increase in net profit per principal dentist from £206,276 to £253,200. Associates also saw an increase to £93,098, up from £80,558 in 2023-24, representing a profit increase of around 43% in four years.

Mixed practices also saw a sizeable increase in net profit per principal from £199,471 to £217,624. On the other hand, the same figure in NHS practices dropped to £176,556 from £180,018 the previous year.

‘Costs are definitely on the rise’

Roy Hogg, specialist dental accountant and chair of NASDAL Scotland said: ‘Costs are definitely on the rise and laboratory costs have continued to grow in the latest results. This sees total expenses of all types at 68.1% in 2024-25. A percentage we will continue to monitor. It is good to see that profits are up for private and mixed practices although they did fall back slightly for NHS practices. However, in regard to private practices, this comes off the back of a big drop in average net profit per principal in 2023-24.

‘In regard to the NHS figures, fees for NHS practices have increased by only around £40k year on year, margins are being squeezed and this may explain the slight shortfall compared to 2023-24. This also reflects that NHS practices are paying 21.5% on associate fees, compared to 15.2% in private practices – potentially reflecting a more principal-led model in private practices.’

The annual Benchmarking Survey statistics are gathered from the accountant members of NASDAL across Scotland and the UK. The basis of the survey figures is 2025 tax returns and accounts with year ends up to 5 April 2025.

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Nina Farmer details how a deeper understanding of patient nutrition can elevate clinical outcomes through the use of a simple diet diary.

It is well known that diet plays a central role in oral health. We know that sugar is a substrate for the bacteria that cause dental caries, acidic foods and drinks contribute to dental erosion; and it is becoming well known that the Western diet increases inflammation in the body, leading to problems with the host response and patient healing, which in turn impacts patient outcomes.

The diet can also be protective. Certain foods can help to support the oral cavity – for example, calcium and phosphate in dairy products support remineralisation. Fibrous foods help to stimulate saliva flow, which supports the buffering capacity of saliva, and foods high in nutrients support the immune system and inflammatory pathways, helping the host response.

It isn’t just about looking at foods that cause disease, but also what supports health.

Tracking and frequency

Then there is the timing and frequency. This will highlight patterns such as frequent snacking, sugary drinks, and acidic foods. These patterns will highlight risks and allow for personalised, evidence-based advice to minimise them, whilst showing patients how their own habits are impacting their oral health and creating a powerful moment of awareness.

A diet diary is more than just a record; it is a conversation starter. As helpful as a diet diary can be, it is important to note that it does need to be handled carefully by a dental professional, as the advice given is tailored to the patient but mostly generic due to scope and time restrictions. A nutritional therapist, nutritionist, or dietitian would spend an hour getting to know the client and their relationship with food, and it is important that advice is safe and doesn’t contribute to any disordered eating habits.

My advice as a nutritional therapist is never to take any foods away, but to look at what can be added to make it better or how it can be improved to decrease risk. For example, keeping sugary foods to mealtimes is a great example of this.

Here are some tips for getting a patient started with a diet diary:

Gain informed consent from the patient

Explain the purpose to them and let them know that it is about understanding, and not about judgement. Educate on the relevance and give examples. Give the patient a choice. If the patient is unsure, alternatives that could be offered are – a verbal 24-hour recall, discussing a typical day, or just focusing on specific areas such as sugary drinks and building on this at future appointments.

Timeframe

Ask the patient to complete the diet diary over three days and ensure one of these days is at the weekend, so you can see what they do when they are out of routine.

Record

All food and drinks should be recorded, ensuring details such as anything added to foods or drinks (such as sugar in tea/coffee) are included, as well as how long it took to drink a fizzy drink – small sips over an hour or drunk quickly. Ask them to record the timings also.

Review together

• Look at the frequency of sugar/acid
• Highlight high-risk times such as late-night snacking, grazing, and sipping
• Look for protective habits, ie, healthy snacks, meals versus grazing, hydration, and nutrition
• Avoid terms like ‘good’ and ‘bad’ foods, and do not restrict items, to avoid risking food anxiety
• Focus on patterns, not perfection.

Give personalised advice

Keep the conversation supportive and stay within scope. Keep it positive and champion the patient where possible. Watch for red flags and be alert for any anxiety, distress, mention of restrictive behaviours, bingeing, or feelings of guilt around food. If this happens, stop the process and consider a different approach and signposting.

Reinforce and follow up

This can help to track progress and support behaviour change. This can be at routine appointments, or consider getting the patients back in earlier if they need more support.

Signposting

Always signpost to the patient’s doctor if you have any concerns regarding disordered eating or eating disorders. You can signpost to a nutritional therapist, nutritionist, or dietitian in your area to support your patients. Find someone local that you can refer to, and who could also refer to you; or you can go onto directories such as the ‘find a practitioner’ search on the British Association for Nutrition and Lifestyle Medicine (BANT).

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In June, Oarline ran the 90-second test a private patient quietly runs on every practice they consider across the first 50 practices a patient would find across Leeds, Newcastle and Manchester. Half failed. And the failures were not the lazy ones. Here is the test, so you can run it yourself.

The NHS-to-private conversation is no longer happening behind closed doors. At the British Dental Conference and Dentistry Show in May, Practice Plan ran an entire Dental Business Theatre for it. The BDA keeps saying, more plainly each time, that private income is what holds much of mixed-practice economics together. And April’s contract changes in England have sharpened the question for many Principals from whether to grow private care to how.

So the interesting question has moved on from ‘should we?’. When a prospective private patient looks your practice up tonight, will they find a reason to choose you?

Oarline wanted a number rather than a hunch. So in June it scored the first 50 practices a patient would find searching ‘dentist’ on Google Maps in Leeds, Newcastle and Manchester, against 10 pass-or-fail checks across the three things a patient sees first: the homepage, the Google listing, and the most active social feed. Of the 48 it could fully verify, 24 failed. Not because the dentistry is weak, but because the patient cannot tell.

What you see is not what they see

Inside the practice, a principal sees a team they trust, decades of training behind every treatment plan, and patients who have stayed for 15 years.

Here is what the patient sees. Only 13 of the 50 homepages opened with a real photo of the practice or its people. 42 of 50 opened with a headline that could sit on any practice’s website, and eight of those literally began with the word ‘welcome’. One, with a sort of accidental honesty, read: ‘Welcome to dentist in Leeds.’ Over on Google, 39 of 49 listing cover photos showed no real people at all. Among NHS-mixed practices, that was 14 out of 14.

Money does not buy a pass. Private-only practices did better than mixed ones, but not by nearly as much as their fees imply, and their headlines were, if anything, more generic. Every national chain location we could verify failed the test outright, and two locations of the same chain, in two different cities, open their homepages with the identical stock photo of a laughing woman. The best performers in the sample were independents.

The patient is not asking whether you have a website, a profile and a social feed. They are asking whether what is on them feels like a real, current place run by real people. Mostly, it does not.

90 seconds, three questions

The private patient most mixed practices are courting is not the classic cosmetic buyer. Many arrive reluctantly, because they could not find an NHS dentist. They are cautious, price-aware, and quietly weighing whether paying privately will mean a better experience or just a bigger bill.

And they scan. They do not study. Before the phone ever rings, a prospective patient gives a practice roughly 90 seconds: half a minute on the website, half a minute on the Google Business Profile, half a minute on whichever social channel you use most. In that time they are working through three questions, in order. Out of the practices I am comparing, why would I pick this one? Is this a place I would actually walk into? And if I had seen this practice sooner, would I have chosen it over the one I go to?

Run the test on your own practice

It is the same test we ran, and it takes a minute and a half.

First 30 seconds: your homepage

1. Is the first image a real photograph of your practice, or stock?
2. Do the opening words say something specific, or ‘Welcome to ABC Dental’?
3. Can the patient actually see the dentist on the page?
4. Is there anything here that only your practice could say?

Next 30 seconds: your Google Business Profile and main social feed

1. Is the featured photo you and your team, or an empty surgery?
2. When was the most recent review? When was the last post?
3. Could any of those posts have been published by another practice without changing a word?

Final 30 seconds: all three together

1. Does the website match the practice the Google profile is selling?
2. Does the social feed look like the same place?
3. If a private patient saw all three tonight, would they have enough to call you?

Scoring is simple. If two or more answers point the wrong way, that is your starting point. It is not a verdict on your dentistry. And for calibration: nobody in Oarline’s 50 passed all 10 checks. The best four practices in three cities failed exactly one.

The right things in the wrong order

The homepage is where the test was lost. 41 of the 50 practices failed that block, the first thing a patient sees.

Yet the failures were not the practices doing nothing. Every verifiable listing in the sample had a Google review less than a year old, so the patients are holding up their end. 17 of the 50 had posted to Instagram within 48 hours of the audit. 13 of those 17 still failed their own homepage.

That is the whole problem in one statistic. Practices are not failing online because they are absent. They are failing while being busy, because the effort happens in the wrong order. The proof that a practice is real, current and run by people patients like already exists, in the feed and in the reviews. It just never reaches the three things a patient sees first.

Most principals build from the top down: run the ads, keep posting, sort the website later. The patient experiences the practice from the bottom up. They land on the homepage, open the Google profile, scan the recent reviews, and within thirty seconds decide whether this is a real place worth calling. More traffic to a weak online presence does not solve the problem. It simply makes more people aware of it.

The order that works is unglamorous. Foundation first: a homepage and profile that give a comparing patient a reason to pick you. Presence second: the reviews, content and faces that confirm the place is real. Visibility last, once the first two can carry it. Often it does not even take new material.

In Oarline’s sample, most practices with an active feed were already posting real people from the practice. The proof exists. It has just never been moved to the hero image, the headline and the cover photo, where a patient actually looks. None of this needs a rebrand. It needs specificity.

‘Your first private appointment is 45 minutes, not squeezed between two check-ups’ tells a patient more than a paragraph of high standards ever will. Until the online presence does that work, the business is asking patients to believe something the marketing is not yet proving.

Your starting point

If you ran the test while reading, you have already started. Whatever you saw is a starting point, not a verdict. Half the practices around you are starting from the same place.

The next step is seeing what a pass looks like. On 2 July, Oarline is hosting a free 45-minute webinar, ‘Would a private patient choose you?’, where it runs the 90-second test live on real practices, walks through what the 50-practice audit found, and takes questions in a live Q&A. No pitch, no countdown clocks. Register for free here.

This article is sponsored by Oarline.

In digital dentistry, a well-considered plan is only half the story. For dental laboratories and clinical production teams, the real test comes later: can that plan be translated into a device that performs accurately, consistently and predictably once it reaches the patient?

That question runs through the work of 21D, the full-mouth rehabilitation lab founded by Rajesh Vijay. A dentist with more than 30 years’ experience, including 27 years focused on full-mouth implants, Vijay has built 21D around a demanding view of precision. In his world, accuracy has to be engineered into the workflow from the beginning.

Engineering precision into full-mouth rehabilitation

As he explains: ‘It’s all well and good having an idea and a plan, but if you haven’t got the right tools that are going to deliver that plan, you’re going to have a great plan, and you’re going to have terrible execution.’

That is the thinking behind 21D’s investment in Stratasys DentaJet multi-material 3D printing technology. For Vijay, the decision was not driven by a desire to adopt 3D printing for its own sake. It was about finding a production platform capable of meeting the bioengineering standards he believes are essential for ultra-accurate surgical guides.

21D treats patients with complex needs: those who are terminally dentate, have advanced periodontal disease, have already lost more than half of their natural dentition, or are full denture wearers. Their workflow has to account for safe biology, implant positioning, load mechanics and long-term function, with manufacturing tolerances tight enough to support the clinical plan.

Vijay describes this as an engineering mindset. His view is that dentistry should move away from ‘yeah, that looks about right’ and towards measurable, auditable quality assurance. As he puts it, nothing is ‘fix and forget’; it is ‘fix and maintain’. Start with quality, and the maintenance burden will be lower over time.

That principle is reflected in the way 21D works. Designs are checked by both AI-supported systems and human expertise before moving into production. Once made, devices are scanned and overlaid against the original design to check whether they remain within the required tolerance. If they do not, they are remade.

From treatment planning to measurable quality assurance

The final kit sent to the clinical team brings together the surgical guide, prosthetics, implant components, and instructions in one box. For the clinician, the process is designed to be clear and repeatable: the start point, the end point and the route between the two have all been defined in advance.

Stratasys DentaJet technology plays a central role in that workflow. Vijay describes 21D’s asymmetric anatomical guides as ‘ultra, ultra, ultra customised’, enabling implant placement with discrepancies of less than 100 microns or ‘less than the width of a human hair’.

What makes the 21D story particularly striking is not only the level of accuracy being pursued, but the scale at which the business is now applying it. After first encountering the J5 DentaJet abroad, Vijay immediately ordered one machine. Today, 21D has four Stratasys machines, supported in the UK by SYS-UK Systems.

That support matters when 3D printing moves from being an occasional lab tool to part of a high-throughput production environment. Vijay describes SYS Systems as ‘great’ at managing the machines and supporting the wider 21D team with advanced application support, highlighting the value of local service and technical support when advanced additive manufacturing becomes embedded in day-to-day clinical production.

At 21D, the J5 DentaJet is used for stackable surgical guides, case models, and asymmetric anatomical guides, with applications including try-ins, temporary restorations, and dentures. Vijay also points to the large build plate as essential for scalable production of highly customized dental applications. For his technicians and bioengineers, the appeal is practical as much as technical: the system is a cartridge-based multi-material jetting printer and, in Vijay’s words, ‘plug and play’.

Why connected workflows matter in digital dentistry

For dental laboratories, the wider message is that successful digital dentistry relies on more than software, scanners or printers in isolation. It depends on a connected workflow in which planning, production, QA and support all work to the same standard.

At 21D, Stratasys DentaJet platform provides the production capability behind a highly precise, scalable workflow. SYS-UK provides the support needed to keep that capability running in a demanding real-world environment.

Vijay’s enthusiasm is hard to miss, but it is not simply enthusiasm for a machine. It is excitement about what becomes possible when precision-led dentistry, additive manufacturing and service support come together, and when a digital plan can be delivered with the accuracy it deserves.

Watch the full video above to hear Vijay’s story first-hand, from discovering the J5 DentaJet to scaling 21D’s precision workflow with four Stratasys machines, supported in the UK by SYS Systems.

This article is sponsored by Stratasys.

The General Dental Council (GDC) has opened the 2026 annual renewal period for dental care professionals (DCPs), reminding them to pay the increased fee and complete the process on time to retain their registration.

DCPs must complete three steps to remain on the GDC register:

• Pay the Annual Retention Fee (ARF) of £108 by 31 July 2026
• Declare that they have appropriate indemnity or insurance cover in place no later than 31 July 2026
• Submit a CPD statement by 28 August 2026.

This year, renewal must be completed through MyGDC, the online portal which replaced eGDC in March 2026.

Anthony McNally, head of customer services at the GDC, said: ‘This year, dental care professionals are completing their annual renewal via MyGDC for the first time, and we want that experience to be as straightforward as possible. If you have not yet logged in, please do so and reset your password before you renew. It only takes a few minutes.’

When did the ARF increase?

In October 2025, it was announced that the ARF would now stand at £698 for dentists and £108 for DCPs. This is roughly a 12.5% increase for all dental professionals.

The GDC confirmed that it would adjust the ARF ‘as needed’ from 2027 onwards. However, it said that further rises would not exceed the rate of the consumer price index (CPI) except in ‘exceptional circumstances’.

Since 2024, the GDC has collected working patterns data alongside the annual renewal process.

Anthony McNally said: ‘We also want to encourage as many dental care professionals as possible to complete the working patterns survey alongside their renewal. The data is becoming increasingly valuable to the dental sector, and every additional response helps build a clearer picture of the workforce.’

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Zirkonzahn.Implant-Planner and Bone Doctor: implant planning software approved as a medical device and new software module for precise surgical planning.

With the Zirkonzahn.Implant-Planner software, the cooperation between dentists and dental laboratories can be taken to new levels, reconciling the planned aesthetic design of a prosthetic restoration with the planned implant situation (backward planning).

Based on digitally merged patient data (such as DICOM data, model scans, intraoral and facial scans), the dentist can determine the optimal implant position in terms of function and aesthetics, taking bone structure into account.

The software is available in two versions: Zirkonzahn.Implant-Planner as the full version for implant planning and the production of surgical guides, and Zirkonzahn.Implant-Planner Practice, which includes all essential functions exclusively for implant planning.

The user-friendly interface guides the dentist step by step through the entire planning process, enabling a straightforward data transfer to the dental lab. This allows the dentist to receive all components required for an implant case simultaneously (immediate loading). Production is carried out within the Zirkonzahn CAD/CAM system, from surgical guides to prosthetic restorations, or, thanks to the open data exchange function, also with CAD/CAM systems from other manufacturers or with 3D printers.

Bone Doctor software module

For even more precise implant planning, the 3D objects generated with the new Bone Doctor module of the Zirkonzahn.Modifier software can also be imported. This module significantly simplifies the digital analysis of the bone situation: by importing the patient’s DICOM data, the module allows users to analyse the different cranial bones and generate the corresponding 3D files.

The software is capable of autonomously segmenting the desired anatomical structures, such as the lower jaw, mandibular nerves, individual teeth, maxillary sinuses and other anatomical parts. Additionally, the extracted maxilla can be combined with the patient’s Real Movement data to analyse the condylar movements. Extracted teeth can also be used to perform orthodontic movements based on their actual root and crown morphology.

This article is sponsored by Zirkonzahn.

Colgate discusses plans for the Bright Smiles, Bright Futures programme to help 1.7 million British children smile in 2026.

Inspiring and educating British children on oral health

In 2026, Colgate will help, inspire and educate 1.7 million children through Colgate’s professional and schools oral health education programmes. By providing the tools needed to motivate behaviour change, we can get children excited about maintaining their oral health and making it a routine part of their day.

Dental practice programme 2026

Colgate will be sending Bright Smiles, Bright Futures packs to UK based dental practices to help them to support parents in maintaining their children’s oral health. The packs will provide engaging activities and product samples including Colgate Little Smiles 3+ toothpaste to over 1.5 million children. Colgate knows that as a dental professional, you are key to helping give Britain’s children the best start possible.

Don’t miss out – register your practice by Friday 19 June

Make sure your practice doesn’t miss out by registering to receive enough practice packs to cover the number of surgeries within your practice.* Practice packs will be distributed to engage with young children and their families visiting your practice during the summer holidays. 

Click this link to register.

*Subject to availability  

This article is sponsored by Colgate.

Hannah Walsh discusses a study linking overbearing ‘helicopter parenting’ to children’s behaviour in the dental chair and explains why the issue may be more complex than it first appears.

A Dutch cross-sectional study recently claimed that ‘helicopter parenting’ – or overprotectiveness – can lead to a risk of tooth decay in children. It explored how overprotective parenting styles may relate to children’s behaviour during dental treatment and their toothbrushing habits.

The study reports an association between higher levels of overprotective parenting and more disruptive child behaviour during dental treatment. Children whose caregivers scored higher on measures of overprotection were more likely to display uncooperative behaviours, such as anxiety, resistance, or distress, when undergoing dental procedures. In contrast, no significant association was identified between overprotective parenting and children’s toothbrushing frequency or the likelihood of skipping toothbrushing.

Can the study be trusted?

While this study suggests an association between overprotective parenting and children’s disruptive behaviour during dental treatment, I do not fully support these conclusions for a number of reasons:

Firstly, the study population was drawn from a referral paediatric dental practice, which limits the generalisation of the findings. Referral settings, both in the Netherlands and comparable paediatric referral services in the UK, typically treat children with more complex dental needs, higher levels of anxiety, or behavioural challenges. As a result, the sample is not representative of the general paediatric population, nor of the broader range of parenting styles which may be seen in primary care. This introduces selection bias, as children who already struggle with dental treatment are overrepresented in this study, making it difficult to confidently attribute behaviour solely to parenting style.

Secondly, the study design involved separating children from their caregivers during dental treatment. As a specialist paediatric dentist, I do not routinely use parental separation as a behaviour management technique, and its effectiveness remains debated. Observing children, particularly those as young as four years old as in this study, without their caregiver present may significantly alter their behaviour, potentially increasing anxiety or distress irrespective of parenting style.

Therefore, attributing disruptive behaviour to overprotective parenting alone may oversimplify a more complex interaction between the child, caregiver, and clinical environment.

Support versus judgement

It is important to recognise that parenting styles are diverse and influenced by cultural, social, and individual family factors. Categorising parenting as ‘overprotective’ may inadvertently lead to judgement. As clinicians, our role is not to label or critique parenting approaches, but rather to support caregivers in promoting their child’s oral health in a non-judgemental and inclusive manner.

The British Society of Paediatric Dentistry (BSPD), the UK’s leading charity advocating for children and young people’s oral health, has some excellent resources which you can use to signpost and help support children and their caregivers. A Practical Guide to Children’s Teeth emphasises the importance of supporting families with practical, evidence-based prevention advice to help children achieve optimal oral health, rather than focusing on parenting style itself.

In relation to behaviour management during dental treatment, it is widely recognised that a child’s response is influenced by multiple factors. As a clinician, I find creating a positive, supportive atmosphere is essential. Caregivers should be encouraged to model calm and confident behaviour, as children often take cues from their parents in unfamiliar situations. As professionals, we have a responsibility to help reduce anxiety and build trust. The BSPD resource Oral Health Advice for Parents and Carers of Autistic Children and Young People is a great resource for those children with additional needs, highlighting the importance of tailoring support to the individual, particularly for children who may find dental care more challenging.

Strategies for young patients’ caregivers

I find the optimal way for parents to support children’s engagement with oral health is through early involvement and building a consistent routine. Caregivers should be advised to begin toothbrushing as soon as the first tooth comes through and establish it as a twice-daily routine using fluoride toothpaste.

Early engagement with dental visits is also important – BSPD recommends a child is first seen by a dentist around the time the first tooth comes through or by the age of one. The purpose is to use these early visits for simple acclimatisation to the dental environment, giving the opportunity to reinforce prevention advice to prevent tooth decay and starting a habit of dental visits for life.

At the same time, caregivers can help children by creating calm, positive, and predictable environments for toothbrushing. Make toothbrushing fun. Sometimes playing music or using apps like Brush DJ or the BSPD Kids Vids can help make brushing fun and more engaging for children. For children who find oral care more challenging, especially those with additional needs, targeted support is essential, and resources such as www.autismtoothcare.com can provide practical strategies to help families improve oral health in a supportive and individualised way.

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The role of preventive oral healthcare and links between periodontal disease and systemic health were the focus of Bupa Dental Care’s Dental Health is… Live conference.

Held at the International Convention Centre in Birmingham on 8-9 June 2026, the two-day event brought together more than 1,200 clinicians, practice managers, receptionists and practice teams from across Bupa Dental Care’s UK network.

Professor Iain Chapple MBE, professor of periodontology and consultant in restorative dentistry at the University of Birmingham and Birmingham Community Health NHS Foundation Trust, delivered a keynote on periodontal care and the relationship between gum disease and wider health conditions.

He said: ‘Oral health cannot be viewed in isolation. The connections between periodontal health and systemic conditions, such as diabetes, cardiovascular disease, chronic kidney disease, rheumatoid arthritis and Alzheimer’s disease, underline the need for more integrated approaches to care.’

The conference also included continuing professional development (CPD) workshops on genomics, diagnostics, communication, connected healthcare and performance. Suppliers and partners also exhibited dental technology and equipment.

Mark Allan, general manager for Bupa Dental Care, said the event gave teams the opportunity to ‘build skills and gain insight they need to help shapethe future of dental care’.

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Ashley Byrne reflects on 20 years of surviving the threats that were supposed to kill dental technology – and why the best is still to come.

Twenty years. Two decades of early mornings, late nights, difficult conversations, and genuinely incredible moments. It’s a milestone I’m proud of – but more than anything, it’s made me reflect on just how many times someone told me we were finished. And I mean that quite literally.

The threats that never came

Cast your mind back. Overseas laboratories were going to wipe us out. Why would any dentist pay UK prices when they could send work abroad for a fraction of the cost? I heard it constantly. It kept a lot of lab owners awake at night, myself included.

Then came digital dentistry. Intraoral scanners, CAD/CAM, milling machines – the narrative shifted. Why would labs survive when dentists could design and mill restorations chairside? The technology was supposed to make us redundant overnight.  

But here we are. Still going. Not just surviving, either – genuinely thriving.

Why the threats never materialised

Overseas labs took some work. I won’t pretend they didn’t. But the quality issues, the communication barriers, the turnaround times and the increasing demand from patients for British-made, high-quality restorations brought a lot of that work back. Patients started asking questions. Dentists started caring about the answers.

Digital dentistry didn’t kill labs – it transformed them. Yes, some of the simpler, more commoditised work moved elsewhere. But labs that evolved with the technology found themselves doing more complex, more interesting, and frankly more rewarding work than ever before. Today, 90% of the work coming into my lab arrives as an IOS file. That’s not a threat. That’s an opportunity I’m grateful for every single day.

Chairside milling? It has its place. Single-unit same-day restorations in certain clinical situations – absolutely. But there is a ceiling to what chairside can achieve, and above that ceiling is where skilled technicians live. Complex full-mouth rehabilitations, implant-supported restorations, high-end aesthetics – no milling unit in a practice corridor is replacing that.

So why do we keep panicking?

Honestly? Because fear sells. A headline that says ‘dental labs are evolving and adapting well’ doesn’t get clicks. ‘AI will replace dental technicians’ absolutely does.

I understand the anxiety. I’ve felt it myself. When you’ve invested years into learning a craft, built a team, a client base, a reputation – the idea that it could all be disrupted is genuinely frightening. That fear is human and it’s valid. But it becomes dangerous when it stops you from moving.

The labs that struggled through those so-called existential threats weren’t the ones who faced the most disruption. They were the ones who stood still waiting for the worst to happen.

What’s coming next

I’m not going to pretend the landscape isn’t changing again – because it is, faster than ever.

The newest shift is a genuinely impressive one. Tech-driven lab models are emerging that offer slick digital interfaces, free scanner placements, automated crown production, and yes – technical advice and clinical support too. These aren’t corner-cutting operations. Some of them are very good at what they do, and they’re making it easier than ever for a dentist to access consistent, efficient restorative work. I say that with no sarcasm. We should respect what these companies have built.

But here’s the question it forces every traditional lab to ask: if someone else is offering all of that, what are you offering?

Think outside the box

This is where I think the real opportunity lies – and it requires us to be honest about whether we’re genuinely adding value, or just assuming our relationships will carry us through. The labs that will thrive aren’t the ones who simply match what these new models offer. They’re the ones who go further. The ones who embed themselves so deeply into a practice’s clinical workflow that the relationship becomes genuinely irreplaceable.  

What does that look like in practice? It means understanding a dentist’s patient base well enough to anticipate problems before they arise. It means being proactive about scan quality, not just reactive to a bad impression. It means helping to reduce chair time – fewer adjustments, fewer second appointments, better-fitting restorations first time. It means being a clinical partner, not just a manufacturing service.

It might also mean offering things that fall completely outside the traditional lab model. Training days. Workflow consultations. Being present in the practice, not just at the end of a courier run.

AI-assisted design, automation, advanced materials – we should be embracing all of it too. The best version of our industry isn’t us versus the new models. It’s us using the same tools, while offering a depth of partnership that a standardised platform simply isn’t designed to provide.

I’ve heard the ‘this will finish us’ story before, and I know how it ends. The labs that invest in thinking creatively, that build genuine clinical partnerships, that ask ‘what else can we do for this practice?’ – those are the ones that will look back at this moment the way I look back at the ‘overseas labs will kill you’ era. With a quiet smile.

What I’d say to any technician reading this

Your skills matter enormously. But in the current climate, technical skill alone isn’t enough. You need to be curious, creative, and genuinely invested in the success of the practices you work with. Get closer to your clients. Understand their challenges. Don’t wait for the phone to ring – pick it up first. Find out where they’re losing time, where cases are going wrong, and work out how you can help fix that. Go to shows. Try new things. Talk to people who are doing it differently. The best ideas often come from outside your comfort zone. And stop waiting for the industry to collapse. It won’t.

Twenty years in, I’m more optimistic about the future of dental technology than I have ever been. The work is better, the science is better, and the people coming through are extraordinary.

Change isn’t the enemy. Staying still is.

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New data showing 46% of working parents have to work extra hours on evenings or weekends to make up for children’s dental appointments has highlighted the impact of the childhood oral health crisis on productivity.

A further 45% of parents said they had missed vital work commitments, deadlines, or meetings because of their children’s dental issues, with four in 10 saying their child’s oral health had directly disrupted their work days. For almost one in five (19%), the disruption had occurred more than once.

Of 1,000 parents surveyed, 12% said that their child had taken more than six days off school specifically for dental issues in the past 12 months. For 18% of them, needing to work on evenings or weekends to catch up on time lost to children’s dental appointments or emergencies has become a regular occurrence.

These figures were published by Bupa Dental Care as part of a new campaign to help families tackle oral health anxiety early and curb the knock-on effects on UK businesses.

Bupa’s director of dentistry, Neil Sikka, said: ‘These findings clearly show that children’s dental health is no longer just a domestic issue, it is a workplace productivity issue. When a child suffers from dental pain or misses school, the operational burden heavily shifts to the parents, forcing many to miss critical meetings or log on during weekends just to catch up. 

‘By managing children’s oral health proactively, we can prevent the acute pain and dental emergencies that lead to sudden absenteeism, ultimately helping parents maintain a healthier balance between family life and their professional commitments.’

Why are children’s dental visits becoming more disruptive?

Further research by Bupa Dental Care found that more than half of young children in the UK admit to fibbing to parents about brushing their teeth.

It showed:

• 56% of children admit to fibbing about brushing their teeth
• 41% brush for a minute or less, despite guidance to brush for two minutes, twice a day
• 13% of children feel anxious about visiting the dentist, rising to 22% of parents.

Nearly half of parents (46%) said they worry their child is not brushing effectively. An additional 29% were concerned that their child is not brushing for long or often enough.

Among children who reported feeling anxious about visiting the dentist, common triggers included:

• Dental equipment (52%)
• Loud noises (46%)
• Bright lights (34%)
• Fear of the dentist themselves (27%).

Parental anxiety was also found to play a role. Nearly one in five children (18%) said a parent’s nerves make them feel more anxious, while 22% of parents admitted they felt nervous too.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

We often talk about the dental team as a well-oiled machine, but behind every successful clinic is a collection of human beings balancing immense pressure.

In recent years, the way the dental profession is regulated has shifted dramatically. The industry has moved away from simply fixing problems after they happen, focusing instead on a highly proactive culture of ‘risk management’.

While keeping patients safe is everyone’s top priority, this constant focus on managing risk can quietly change how the system views the clinician.

The bedrock of justice is the presumption of innocence. Yet, in the arena of clinical regulation, this principle is quietly supplanted by what can be described as a ‘presumption of risk’.

Because the General Dental Council’s (GDC) primary statutory mandate is public protection, the administrative machinery must treat allegations seriously from the outset. But for the clinician involved, the moment a complaint is made, no matter how small or unfair it may feel, they can immediately feel treated as a potential compliance liability that needs to be monitored, restricted and managed.

The presumption of risk

To understand how modern regulation functions, we can look to classic legal theory. In criminology, the ‘Crime Control Model’ represents a system driven by the priority of repressing misconduct with maximum efficiency.

It operates like an assembly line, prioritising swift processing, societal protection and a functional presumption of guilt over individual procedural rights.

When applied to dentistry, the regulator functions less like a source of professional reassurance and more like a system designed primarily around public protection. That distinction matters.

The GDC is not a representative body for dentists; its role is to protect patients and maintain public confidence. However, when practitioners are viewed mainly through a risk-management lens, the system can create an environment where clinicians feel they are not colleagues to be supported, but potential risk vectors to be contained.

The assembly line must keep moving, and if an innocent clinician is ground down by the process, that becomes a serious unintended consequence in the name of public safety.

Fitness to practise investigation delays

This shift is felt most painfully in the sheer length of modern investigations. The GDC has itself acknowledged the problem. In its Fitness to Practise Statistical Report 2025, it said investigations can ‘take too long’, feel overly complex and negatively affect the mental health and wellbeing of those involved.

The same report showed that the average time from initial receipt to final assessment decision was 78 working weeks in 2025.

On paper, these long timelines are defended as thorough due process, ensuring that every detail is properly and transparently reviewed. That thoroughness matters, particularly where clinical records, expert advice, medical reports, police information or other evidence must be gathered.

But for a dentist sitting alone in a practice, a prolonged waiting window is not a neutral pause. It is an exhausting period of invisible professional stress.

When an administrative process takes many months, or longer, to resolve, a fascinating paradox emerges. The system treats a dentist’s emotional and mental endurance as if it were an infinite resource.

It assumes a clinician can maintain perfect focus at the chair, cutting micrometres of tooth structure with absolute precision, while carrying a massive cloud of regulatory uncertainty over their head every single day.

When the process becomes the penalty

While these lengthy investigations are technically categorised as neutral administrative steps, for the practitioner they can operate as a de facto sanction.

Carrying an unresolved allegation for many months can inflict reputational, psychological and financial damage without a single shred of guilt ever being proven.

When the process itself becomes the penalty, the system risks abandoning the foundational principles of fairness in favour of bureaucratic attrition.

The complaint process under pressure

A major compounding factor in this timeline is the system’s ability to efficiently triage incoming complaints. Because the regulatory net is cast so wide, vexatious, retaliatory or purely consumer-driven disputes can be drawn into the same heavy machinery as genuine clinical negligence.

By treating notifications with significant bureaucratic weight, the system can inadvertently make the complaint process feel weaponised. An unreasonable demand for a refund or a subjective disagreement over aesthetics can trigger the same multi-month anxiety as a major safety breach.

For the practitioner, knowing that an accusation can stall career progression, affect indemnity premiums and trigger extensive paperwork is a source of significant psychological strain. The system does not just investigate wrongdoing; it can validate hostility by treating allegations as credible risks until proven otherwise.

Fairness and reasonable time

This is where standard professional fairness comes into play.

Under Article 6 of the European Convention on Human Rights, incorporated into UK law through the Human Rights Act 1998, clinicians are entitled to a fair hearing within a reasonable time when their ability to practise is at stake.

Courts have repeatedly confirmed that a professional’s right to work is a protected civil right, most notably in Kulkarni v Milton Keynes Hospital NHS Foundation Trust, where the Court of Appeal recognised that disciplinary processes must meet Article 6 standards of fairness.

The law recognises that time is not a neutral variable; when things drag on for too long, the delay itself begins to distort the truth.

When a dental investigation disappears into a prolonged loop, it strains the ‘reasonable time’ standard. Clinical teams change, dental nurses move on, patient memories of a specific appointment fade, and the clinician’s practical ability to defend themselves naturally degrades.

Notes can only capture so much; the nuance of human interaction evaporates with time. Therefore, the delay itself becomes a structural factor that actively erodes the fairness of the eventual outcome. It is a legal axiom that justice delayed is justice denied, because a stale trial can never be a fully fair trial.

The wellbeing catch-22

This creates a difficult catch-22 when compared to the industry’s own guidelines.

The rules explicitly state that dentists must be honest and step away from work if their health is affecting their clinical judgement. Yet, the culture rarely offers a safe space to do so.

Independent data has repeatedly pointed to the impact of regulatory investigations on clinicians’ mental wellbeing. If a dentist admits they are struggling with severe anxiety caused by a long-running investigation, the system does not always pause to offer a supportive hand; it may simply log that anxiety as another clinical risk variable to be managed.

The single-operator vacuum

This pressure is made significantly worse by the intense isolation built directly into the day-to-day work of a dentist. Professional culture demands that the dentist acts as an infallible, all-knowing leader of the surgery.

They are expected to carry the entire financial, clinical and legal weight of the business on their shoulders, often while trapped inside the ‘single-operator vacuum’ of a tiny treatment room.

When a toxic complaint or a regulatory notification hits their inbox, they rarely have a safe, internal corporate network to turn to for legal or emotional triage. Instead, they absorb the shock entirely alone, managing intense consumer-driven hostility while attempting to preserve an impossible standard of clinical perfectionism.

Because the system treats dentists as independent commercial pillars rather than vulnerable human service providers, they are forced to mask their distress. They suffer in silence at midnight, checking emails and trapped in cycles of rumination, because the culture has taught them that seeking help is a sign of professional vulnerability.

Protecting the protectors

A healthy dental sector relies entirely on the psychological wellbeing of the people holding the handpieces. If our regulatory frameworks and workplace cultures become so slow and heavy that the process itself becomes an occupational hazard, we risk burning out the very professionals we need.

Public safety will always be the baseline of dentistry. The GDC’s statutory role is public protection, not professional representation. But public protection and procedural fairness should not be treated as competing aims. A process designed to protect patients should not become so prolonged or burdensome that it creates additional risk for the professionals working within it.

Justice delayed might eventually arrive, but it should not cost a professional their peace of mind just to get to the finish line.

References

1. General Dental Council. Fitness to Practise: Guidance for the practice committees. London: GDC.
2. Packer HL. Two Models of the Criminal Process. University of Pennsylvania Law Review. 1964;113(1):1-68.
3. Professional Standards Authority (PSA). Performance Review: General Dental Council. London: PSA.
4. Human Rights Act 1998, c. 42. Schedule 1, Part I, Article 6: Right to a fair trial. London: The Stationery Office.
5. Kulkarni v Milton Keynes Hospital NHS Foundation Trust [2009] EWCA Civ 789.
6. General Dental Council. Standards for the Dental Team. London: GDC.
7. Dental Protection Limited (DPL). Annual Member Survey: The Psychological Impact of Regulatory Investigations. London: DPL.

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It was having to borrow money to pay for clawback that was the final spur for Jonathan Preece of Newport Dental practice to say ‘enough is enough’ and look to make the move from NHS to private dentistry.

Although he had considered the move for more than a decade, fear of the unknown had held him back. However, as staff recruitment became an issue on top of clawback moving to private dentistry became inevitable.

Conscious of the enormity and complexities of the move he was about to make in relation to his own business, Jonathan was keen to find support as he underwent the change. Crucially, he wanted a plan provider that would could continue to support him after the dust had settled and who would help his business thrive.

Practice Plan was recommended to him by colleagues, and he was guided through the transition by his regional support manager, Josie Hutchings. he has been happy with his choice ever since. His practice manager works closely with Josie to ensure the plan works well for his practice and now he is able to, as he puts it, ‘Just rock up and do the dentistry.’

What are the benefits of an NHS to private transition?

He now has a diary where he has time to see patients when they need to be seen. Should someone need immediate treatment, with few exceptions, he is able to fit them and do the work. However, it’s the change to his life outside work that Jonathan values most. He is now able to have a lunch break, go home and spend time with his family or pursue his hobbies. Life is more relaxed and his evenings are no longer consumed by paperwork.

His only regret is one Practice Plan hears frequently: that he hadn’t made the move sooner.

There’s never been a safer time to leave NHS dentistry. If you’re considering your options away from the NHS and are looking for a plan provider who will hold your hand through the process at a pace that’s right for you, you’re in safe hands with Practice Plan.

You can start the conversation today by calling 01691 684165 or booking your one-to-one NHS to private conversation at a date and time that suits you, just visit practiceplan.co.uk/nhsvirtual.

This article is sponsored by Practice Plan.

Cheap handpieces can be deceptive – Trigiene explores the unexpected costs that can occur in the lifecycle of a dental handpiece.

Dental handpieces are the workhorses of every dental practice. Used continuously throughout the day, subjected to intensive decontamination cycles, and expected to perform with precision every time, they are fundamental to both clinical outcomes and patient experience.

Yet despite their importance, many practices struggle to answer some basic but critical questions:

• How much has this handpiece actually cost us over its lifetime?
• At what point does repair become more expensive than replacement?
• Where can we access a complete service history for each asset?
• How are warranty periods and service intervals being tracked?

The reality is that the true cost of ownership for dental handpieces is often hidden within fragmented records, paper-based systems, and reactive maintenance processes.

The challenge of tracking lifetime costs

While the purchase price of a handpiece is easy to identify, the ongoing costs associated with servicing and repairs are often much harder to measure.

Over several years, a handpiece may require multiple turbine replacements, gear set repairs, fibre-optic replacements and preventative maintenance. Individually, these costs appear manageable. Collectively, however, they can exceed the original purchase price several times over.

Without a centralised system linking every repair to a specific serial number, practices have little visibility of the true financial performance of each asset. As a result, repair decisions are often made based solely on the latest quotation rather than the cumulative investment already made in that handpiece.

When does repair become a false economy?

One of the most common questions practice managers face is: ‘Should we repair it or replace it?’

There is no universal answer. A premium handpiece from a leading manufacturer may justify several repairs if the core body remains in good condition. Conversely, repeated repairs on an ageing handpiece may indicate that replacement is the more economical option.

Many industries use a repair threshold model, replacing assets once repair costs reach a predetermined percentage of the replacement value. However, this approach relies on accurate historical data.

Without access to previous repair costs and service records, practices are often making decisions without seeing the complete financial picture.

The quality of repairs matters

Reducing lifecycle costs is not simply about finding the cheapest repair option. The quality of the repair can significantly impact future reliability and performance.

Practices should consider three key factors when selecting a repair provider:

• Membership of recognised industry bodies such as the BDIA
• Quality control certification such as ISO9001
• Manufacturer-trained engineers with specialist knowledge of specific handpiece brands
• The use of genuine OEM parts wherever possible.

While non-genuine components may reduce the immediate repair cost, they can increase the risk of premature failure, reduced performance and additional repairs in the future. In many cases, the cheapest repair becomes the most expensive over the lifetime of the asset.

Preventative maintenance reduces long-term costs

Many avoidable repairs stem from poor maintenance procedures.

Correct lubrication, cleaning and sterilisation processes are essential to maximise handpiece lifespan. Practices should ensure reprocessing teams are properly trained and follow consistent procedures, including:

• Using manufacturer-approved lubricants
• Using the correct oiling adaptors
• Completing full sterilisation drying cycles
• Storing handpieces correctly after processing
• Undertaking regular refresher training.

Simple improvements in maintenance procedures can significantly reduce repair frequency and improve equipment longevity.

The hidden administrative burden

The cost of maintaining handpieces extends beyond repair invoices.

Tracking warranties, service histories, maintenance schedules and repair records manually can be time-consuming and prone to error. For larger practices or DSOs operating across multiple sites, maintaining visibility becomes even more challenging.

When service records are spread across emails, spreadsheets and filing cabinets, answering basic questions about an asset can take considerable time and effort.

In an increasingly regulated environment, maintaining accurate equipment records is also an important compliance requirement.

A smarter approach with the Trigiene Handpiece Repair Tracking Portal

To help practices gain greater control over their equipment, Trigiene has developed the Handpiece Repair Tracking Portal.

The portal provides a centralised digital asset register where practices can record, manage and monitor their handpiece inventory throughout its entire lifecycle.

Instead of relying on disconnected paperwork and historical invoices, practices gain instant access to a complete asset history in one location.

Key benefits include:

• Register and manage all handpiece assets by serial number
• Book free repair collections online in seconds
• Track repair progress in real time
• Access complete service and repair histories
• Monitor cumulative repair expenditure against individual assets
• Record warranty expiry dates and service intervals
• Generate management reports to support budgeting and replacement decisions
• Identify recurring faults and equipment performance trends.

By creating a complete lifecycle record for every handpiece, the portal enables practices to make informed decisions about whether to repair, replace or retire equipment.

The result is greater visibility, improved compliance, reduced administration and better control of maintenance budgets.

From reactive repairs to strategic asset management

As dental practices face increasing pressure to improve efficiency, profitability and compliance, managing equipment through spreadsheets and paper records is no longer sufficient.

The Trigiene Handpiece Repair Tracking Portal provides the data needed to understand the true cost of ownership of every handpiece within the practice. It transforms maintenance from a reactive process into a strategic asset management function, helping practices maximise equipment lifespan while controlling costs.

Ultimately, the question is no longer whether a handpiece can be repaired. The real question is whether it should be repaired.

With accurate lifecycle data at your fingertips, that decision becomes significantly easier.

For more information about the Trigiene Handpiece Repair Tracking Portal, contact the team on 01642 442910 or mail@trigiene.co.uk.

This article is sponsored by Trigiene.

A new study has found that temporarily restricting calorie intake could improve the inflammation associated with gum disease, building on previous research which linked fasting with reduced inflammation.

The team at King’s College London divided periodontitis patients into two groups, one following a five-day restrictive diet and the other continuing as normal.

The patients on the fasting diet ate 1,100 calories for two days, then 750 calories for three days, with their diet returning to normal by day seven. This process was repeated three times within six months.

After this period, blood and gingival crevicular fluid were taken from the patients and analysed. The fasting patients were found to have reduced inflammation markers in both samples than those in the control group. This includes both C-reactive protein – a general marker of bodily inflammation – and specific indicators of gum disease.

How does fasting improve gum disease?

Senior author Professor Luigi Nibali said there could be many reasons why fasting is beneficial for periodontitis patients. ‘Fasting reduces oxidative stress in the body, a common cause of inflammation, which can damage cells and DNA.

‘Intake of high calorific foods and refined carbohydrates, for example in cakes and biscuits, can also cause inflammation – so restricting these foods also reduces oxidative stress in the body.

‘It may also be that fasting has beneficial effects on the microbiome – the body’s community of bacteria that help to keep it healthy. However, further research is needed to confirm this relationship.’

Dr Giuseppe Mainas, first author of the study, said it suggests lifestyle modifications could be important alongside proper tooth brushing for patients with gum disease.

He said: ‘Now we have established this relationship, we would like to do a larger study, before potentially incorporating into gum disease treatment in the future. There may be patients where restricting foods can be dangerous, such as those with diabetes, so the advice will need to be targeted to specific patient groups. We are currently investigating how we could implement these benefits in high-risk groups who may not be able to fast.’

Gum disease and wider health

The study is the latest addition to King’s College London’s growing body of research into the relationship between gum disease and wider health.

In November 2025, King’s researchers found an association between root canal treatment and a reduced risk of heart disease and diabetes. Just two months prior, the college released a study which found that following a Mediterranean diet could improve gum health.

Professor Luigi Nibali said: ‘There is emerging evidence about the role that a balanced diet might have in maintaining a periodontal healthy status. Our research shows the potential effect that a nutrient-dense, plant-rich diet could play in improving the nation’s gum health. Nevertheless, more investigation is needed to develop personalised approaches to help people manage their gum health.’

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Consultant orthodontist Dr Karen Juggins, founder of KeepStokeSmiling, and former British Dental Association committee chair Shawn Charlwood were both awarded MBEs for services to dentistry in the King’s Birthday Honours list.

Charlwood was recognised for a career spanning more than three decades, including his work representing general dental practitioners during the COVID-19 pandemic.

Dr Juggins, a British Orthodontic Society member, was recognised for her work in public oral health, including the campaign, which grew into the national Keep Britain Smiling movement.

‘I am truly honoured and delighted to receive an MBE in The King’s Birthday Honours for services to dentistry,’ said Juggins. ‘As a Consultant Orthodontist, it is a real privilege to help transform the smiles and confidence of so many patients, whilst working alongside some truly exceptional colleagues.

‘I am particularly proud that this honour also recognises the collective work behind the KeepStokeSmiling campaign. By bringing together healthcare, schools, colleges, football clubs and local businesses across our community, we set out to show that improving young people’s oral health requires more than traditional NHS campaigns alone.’

KeepStokeSmiling later developed into Keep Britain Smiling, a social media-led oral health campaign endorsed by the Royal College of Surgeons of England, the British Dental Association (BDA) and BOS.

From Stoke to national impact

The campaign includes contributions from patients, students, community groups and sports teams. There are now 18 KeepSmiling groups across the country.

Through a partnership with Stoke City Football Club, dental health workshops and roadshows were delivered to more than 40,000 primary school children. The project won the English Football League Community Project of the Season 2023 and received a commendation from the House of Commons.

Following its success, the Premier League Charity developed a dental health resource for football clubs through Premier League Primary Stars. Clubs including Manchester United, Arsenal and Liverpool have since implemented similar initiatives.

BOS president Robbie Lawson said: ‘The British Orthodontic Society is delighted to learn that Karen has been awarded an MBE in the King’s Birthday Honours for Services to Dentistry.

‘Her innovative leadership has reshaped dental public health messaging, showing that creative partnerships can make a real difference in public health.’

Dr Juggins has previously received the Colyer Gold Medal from the Royal College of Surgeons of England, the BOS Distinction Award, the BDA Award for Excellence and fellowship ad hominem of the Royal College of Surgeons of Edinburgh.

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A UK healthtech company has raised $15 million in Series A funding and commercially launched the platform behind 32Co and Aerox Health, allowing dental practices and practice groups to license the technology for the first time.

01Health, founded in 2022 by former NHS doctor Dr Sonia Szamocki, developed the platform to enable clinicians with additional expertise to support wider networks of general dental practitioners remotely.

The company said the platform combined clinical oversight, protocols, artificial intelligence (AI)-powered patient acquisition, communication tools and operational systems in a single infrastructure.

Until now, the technology has operated behind 01Health’s own dental brands: clear aligner provider 32Co and dental sleep medicine service Aerox Health.

Following a 12-month pilot with enterprise partners, it is now available to practices, practice groups and dental service organisations in the United Kingdom (UK) and United States (US), where trials were already underway.

The round was led by Gresham House Ventures, with participation from existing investors Balderton Capital, Eka Ventures and Wavemaker360, along with angel investors including Blockchain.com co-founder Nicolas Cary.

Dr Szamocki said: ‘The biggest bottleneck in healthcare isn’t cost; it’s access. Specialists are concentrated in a handful of postcodes; patients aren’t.’

01Health said 90% of the UK population lived within 30 minutes of a 32Co dentist using its platform. The company has raised $25 million to date and employs more than 100 people, with a clinical team led by Professor Ama Johal.

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Experts have warned that cuts to dental public health roles could weaken prevention work in some of England’s most deprived communities, despite the government reducing the scale of its original plans.

An initial government consultation proposed significant cuts to dental public health consultant positions across the UK. For example, the south west was due to see 1.85 whole-time-equivalent posts reduced to just one. This has now been increased to 1.35 following the release of the consultation outcome report.

The reduction in staff is part of the government’s plan to abolish NHS England and bring its functions under the Department of Health and Social Care. In the midlands, three dental public health positions will be carried over into the new system out of the current seven. While the initial consultation proposed that only two posts should remain, one additional post was retained by converting a public health position into a dental public health role.

Defending dental public health

The British Dental Association (BDA) said the reductions in cuts ‘don’t do enough to protect this strategically essential function’.

BDA chair Eddie Crouch said: ‘We have argued forcibly to defend and expand the vital dental public health role. We’ve made NHS England exercise some restraint here, but it does not go far enough to protect a vital function.

‘There is a loss of 58% in the midlands dental public health workforce, which has some of the most deprived communities in the country where prevention programmes are paramount.

‘We’ve curbed these plans, but cuts still run deep, and any protection here shouldn’t be at the expense of public health colleagues. These are distinct specialities, and this is not a game of either/or.

‘The government likes to talk the talk on prevention. It will not be able to deliver on that agenda without a serious, long-term commitment to and investment in these expert roles.’

‘The same challenges remain’

The decision to bring NHS England under the government is estimated to result in a 50% reduction in staff, aiming to avoid duplication across the two organisations.

Announcing the abolition, prime minister Keir Starmer said: ‘I can’t, in all honesty, explain to the British people why they should spend their money on two layers of bureaucracy. That money could and should be spent on, nurses, doctors, operations, GP appointments. So today, I can announce we’re going to cut bureaucracy across the state, focus government on the priorities of working people, and shift money to the front line.’

Thomas Reynolds, director of policy and communications at the Medical Defence Union (MDU), said: ‘Regardless of where control of the NHS sits in England – with central government or another body – the same challenges remain. 

‘From ensuring the workforce is properly supported, to having regulatory frameworks which enable healthcare professionals to get on with the job of caring for patients, to tackling unsustainable costs facing the NHS such as those associated with clinical negligence: all require urgent attention. They cannot be sidelined in this latest health service structure.’

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Matt Everatt details what dental 3D printing, artificial intelligence and platform models tell us about the next three to five years in the lab sector.

We all know the Blockbuster story, or we think we do. The market leader, nine thousand stores, a brand so dominant that ‘renting a film’ and ‘going to Blockbuster’ were the same sentence. They were offered the chance to buy a small upstart called Netflix for an insignificant amount and showed it the door. Only to end up bankrupt within a few years.

The usual moral is ‘adapt or die’, and it’s true, on the whole, dental labs are agile. This is perhaps the least interesting part of the story, nobody in this profession thinks they’re Blockbuster. The useful lessons are in the other two companies.

Let us start with the one we forget. Before most of us had heard of Netflix, Britain had LoveFilm. Founded here in 2002, it grew into the biggest DVD-rental service in Europe. The ‘Netflix of Europe’, with well over a million UK subscribers.

Crucially, LoveFilm was not asleep, it was a pioneer. It saw streaming coming and was offering films online from 2010, two years before Netflix even arrived on these shores. It had the right model, the right timing and a commanding lead in its home market.

It no longer exists. Amazon took full control in 2011, folded the streaming side into what became Prime Video by 2014, and quietly closed the DVD-by-post business in 2017. LoveFilm did almost everything right and still vanished, not because it failed to adapt, but because a far bigger platform with deeper pockets simply absorbed it. Being early and being right were not enough. It lacked the scale to stay standing on its own.

So, we have three fates, not two. Blockbuster, who didn’t see it. Netflix, who changed the model and won on scale and LoveFilm, who saw it perfectly, moved early, and was swallowed anyway. Every lab in the country is somewhere on that triangle right now, whether the lab owners have noticed or not.

What is happening in the current market?

Let me be specific about what I mean, because vague talk of ‘disruption’ or a ‘disruptor’ is easy to nod along to and ignore.

The first wave is chairside.

Same-day milled crowns have been a reality in dental practices for many years. 3D printing is now doing the same but much cheaper, with high-quality results and it is now moving over to the appliance manufacturing element.  A practice with an intra-oral scanner, design software and a desktop resin printer can produce a growing list of items in-surgery. Models, retainers, occlusal splints, sports mouthguards, and increasingly the trickier flexible work too. Every item a practice makes in-house is an item that never reaches a lab. This is not ‘the future’. It is here, and it is getting cheaper and better by the day.

The second wave is the platform.

A fully-digital, venture-backed laboratory has now set up in the UK on a model that should make every lab owner sit up. The business model is to give practices a scanner and software for nothing, in exchange for a committed monthly volume of work down its own pipe. Read that as an owner, not a technician. It is not competing on the quality of a single unit. It is removing the moment a dentist chooses a lab at all. Once the scanner, the software and the workflow belong to the platform, the relationship you spent many years building is controlled by someone else.

The third wave is agentic AI.

This is the accelerant under the other two. An AI ‘agent’ is not a chatbot that answers a question, it takes a goal, plans the steps, acts across software, and only escalates to a human at the exceptions. Companies such as Movix are building exactly this for our part of the dental profession. Agents to run the workflow from scan to manufacture, openly aimed at the shortage of skilled technicians. On the practice side, diagnostic and treatment-planning AI is moving the same way. The destination is a stack where software flags the problem, proposes the plan, and routes the work and whoever owns that software owns the order flow.

Why this is a three to five-year conversation, not a 10-year one

I sat in a meeting recently where the working assumption was that something we were making would still be current in ten years. Ten years! In a market where a disruptor can incorporate a whole new business in November 2025 and be on the exhibition floor by spring 2026, where the hardware costs are falling, and where the technology and AI capability improves daily.

Blockbuster assumed it had ten years too. It had about three before the curve turned, and by the time the threat was real, the decisions that would have saved it were no longer available to make. Disruption is slow, and then it’s sudden. The window to act is always before it’s obvious, which is exactly why it gets missed, acting early always feels like overreacting or being dramatic.

My honest read is that the lab arena has three to five years before this changes in earnest. Not the end of the profession but a reordering of who does what, and who gets paid for it.

Don’t be LoveFilm

Here is the part that matters, and it’s why the third company belongs in this article. Avoiding Blockbuster’s fate is the easy bit, buy a printer, sign up to the software, go digital. My thoughts are that plenty of labs will do exactly that and still not survive, going digital is not a strategy anymore, it’s the bare minimum any dental lab has to do. LoveFilm was digital. LoveFilm was early. LoveFilm is gone.

What protects a lab is not whether it adopts the technology, but whether it owns something the profession and platform want or can take. Three things decide that.

The first is the relationship. The whole strategy of the platform is to get between you and the clinician. The labs that survive will be the ones the dentist won’t let go of, not a supplier of units, but a clinical partner whose judgement is part of how that practice works. The closer you are to the chair, the harder you are to cut out. I believe this is where the UK will be harder to crack as rapport and those close ‘sticky’ relationships have a value, we are a much smaller profession in the UK and familiarity is a big part of the culture.

The second is the work that doesn’t commoditise. Simple, printable, high-volume items are the first to go in-surgery or onto a pipeline. The complex clinical, the full-arch and top end aesthetic work, anything where finishing quality and the cost of getting it wrong are real, is far more defensible. As the routine work falls away, that work becomes more valuable, not less. The trap is staying on the commodity treadmill and trying to out-price a machine or cheap outsourcing.

The third is honesty about scale. LoveFilm’s lesson is that being good is not the same as being safe. If your defensible position is genuine craft and relationships, build the lab around that and price it properly. If your game is volume, understand that you are in a ‘capital and automation’ race against people with more of both, and plan accordingly. The fatal position is the middle, too big to be a craftsman, too small to win on scale.

The question worth asking

Blockbuster didn’t fail because it couldn’t see Netflix. It saw it perfectly well and chose to believe its model was still relevant and that its size was such that it was too big to be shaken. LoveFilm failed the opposite way: it saw everything, did everything right, and still got swallowed because it wasn’t built to stand alone.

The profession isn’t going to disappear. Teeth will break, appliances will be needed, and skilled hands will always have a place. But the shape of who provides it, and who captures the value, is going to change inside the next five years.

The lab shelves still look full today. The order book still looks healthy. That is precisely the moment to decide which of the three companies you intend to be, while you still have the years to choose. Do you become the lab the future dental market needs, or do you settle for running a very good video shop?

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A dentist who denied leaving a dental bur in a patient’s mouth and told her it would not cause harm if swallowed has been erased from the General Dental Council (GDC) register.

The Professional Conduct Committee (PCC) also found repeated clinical failings involving 39 patients, including failings in radiographs, diagnosis and treatment, prescribing, consent, referrals and aftercare. In total, the case involved four dishonesty findings.

The dentist, who qualified in the 1980s, did not attend the hearing and was not represented. The committee was satisfied that notice had been properly served and decided it was fair to proceed in the dentist’s absence.

Concerns raised by colleagues

The case related to care provided between 2018 and 2023. The determination said the dentist was one of the directors of the practice at the time and had no previous fitness to practise history.

Concerns were first raised with the GDC following a patient complaint in November 2022. Further complaints were later received from an anonymous source at the practice, including concerns raised by dental colleagues. The determination said this included a dental hygienist who had worked alongside the dentist for around 14 years.

The committee found that the clinical failings involved ‘basic aspects of dentistry’ and concluded that a number of them fell far below the standard expected of a reasonably competent dentist.

Dishonesty findings

The committee found that the dentist had breached professional standards requiring registrants to obtain valid consent, provide good quality care based on current evidence and guidance, and act honestly and with integrity.

The dental bur incident formed part of four dishonesty and probity findings relating to four patients.

The committee also found that the dentist gave an incomplete account of a specialist practitioner’s comments, provided misleading advice about healing after extraction, and attributed previous root canal treatment to another dentist when he had provided it himself.

Erasure ordered

In deciding sanction, the committee noted that the dentist had no previous fitness to practise history. However, it also identified aggravating features including actual harm or risk of harm to patients, misconduct sustained over a period of time, attempts to cover up wrongdoing, dishonest conduct and a lack of evidence of insight.

The committee said conditions would not be sufficient and concluded that suspension would not protect the public or meet the wider public interest. It also noted information suggesting the dentist had not been practising since February 2024, but said he could return to practise at a later date if able to do so.

It said: ‘Anything less than erasure would fundamentally undermine public confidence in the profession and fail to declare and uphold professional standards.’

The dentist’s registration was suspended immediately to cover the appeal period. Unless the appeal is lodged, the erasure will take effect 28 days from the date notice is deemed to have been served.

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Join Wail Girgis, Manoj Bhatia, John Carney and Sahar Ahmadiani on 17 June at 7pm as they discuss everything you need to know when searching for an implant mentor.

This webinar will provide an overview of how structured mentoring supports clinical decision making and skill development in implant dentistry.

It will examine the impact of mentoring on patient outcomes, complication reduction, and risk management to highlight its importance in ensuring dentists work within their competence and in line with professional standards set by the General Dental Council.

It will also promote the integration of mentoring into continuing professional development (CPD) and personal development planning (PDP) and encourage a culture of reflective practice, peer support, and continuous improvement in implant dentistry.

Learning outcomes

• Critically evaluate how mentoring improves case selection, risk assessment, and treatment planning in implant dentistry
• Recognise how mentorship supports safe progression from straightforward to complex implant cases
• Apply principles of reflective practice and supervised learning to reduce complications
• Describe how mentoring enhances patient communication, expectation management, and consent processes in implant cases
• Identify common communication pitfalls in implant dentistry and how mentorship mitigates them
• Explain the role of mentoring in improving team-based implant workflows (GDP-specialist-lab)
• Demonstrate how structured mentoring contributes to leadership development and safer delegation
• Recognise the mentor’s role in fostering clinical governance and peer learning environments
• Evaluate the ethical responsibilities of undertaking implant dentistry with or without mentoring
• Understand how mentoring supports working within competence, indemnity requirements, and patient-centred care
• Reflect on how mentorship strengthens professional accountability and patient trust
• Develop a framework for incorporating mentoring into a PDP
• Apply the plan–do–reflect–record cycle to implant training pathways.

The speakers

Manoj Bhatia

Manoj has completed his initial dental education (BDS) in 1995 and his MSc (implant dentistry) in 2011. His work is exclusively limited to implant dentistry, and he has been placing and restoring implants since 2001.

Dr Bhatia’s special interest is implant dentistry. He has completed his diploma (2009) and master’s (2011) in the same from the University of Central Lancashire (Preston, UK) and is an associate fellow of the College of General Dentistry. In addition, he has attended various advanced courses nationally and internationally including the master’s course in bone grafting and sinus lift from the University of Bern (Switzerland).

Dr Bhatia is one of only a few dental surgeons to hold an MSc in implant dentistry. He has placed and restored many implants from the straightforward to more complex cases. His case portfolio includes a complete range of cases including full mouth rehabilitation, sinus lifts and bone grafts.

He is a senior clinical teacher (implant dentistry), a clinical supervisor and an examiner at the University of Central Lancashire. Additionally, he runs a referral unit for implants in Rugby and Halesowen and is involved in mentoring clinicians in their practices in dental implant placement. He is an implant mentor for VSS Academy, Rodericks Dental, Osstem UK. Finally, he is a visiting implant dentist in Kinver, Kenilworth, Solihull, Croydon and Aldridge. He is a key opinion leader for Osstem UK.

Through his company MB Implants Limited, he runs an Implant mentoring program and has trained and supported many dentists and dental practices in the field of implant dentistry. He has mentored dentists starting in the field of dental implantology to those who need advanced case mentoring (full arches and sinus lifts). He runs courses in dental implants and is involved in implant research.

In the field of general dentistry, he has been a FD trainer with West Midlands Deanery.

His other interests away from dentistry include travelling, golf and swimming. He is also involved in alternative healing and is a trained reiki master.

Wail Girgis

Wail is a clinical director at Devonshire House and a specialist prosthodontist. He provides general dental care for a broad patient base and, as a specialist prosthodontist, is especially skilled in the replacement of missing teeth, the restoration of natural teeth and in complicated and simple restorations of the whole mouth.

Wail trained at King’s College Hospital Dental School, London and went on to complete an MSc degree in conservative dentistry at the Eastman Dental Hospital, London where he taught thereafter as a clinical lecturer. Wail went on to teach at the International Centre for Excellence in Dentistry on the implant certificate course. He is a member of the International Team for Implantology for whom he is a clinical lecturer. Wail joined Devonshire House in 1998 and is now a clinical director.

John Carney

John Carney is a highly accomplished clinician with a distinguished career spanning dentistry, maxillofacial surgery, implant dentistry and dental education. He graduated from the University of Liverpool with first class honours in physiology in 2006 before completing his BDS in 2010. His commitment to advancing his clinical expertise led him to undertake maxillofacial senior house officer training at Aintree University Hospital between 2011 and 2012, during which he also achieved his MFDS in 2012.

Driven by a passion for surgical excellence, Dr Carney continued to expand his skills through advanced postgraduate training. He completed his MSc in clinical implant dentistry in 2023 and subsequently earned a diploma in periodontal surgery in 2024 under the mentorship of the renowned Professor Massimo De Sanctis in Paris.

From 2023 to 2025, Dr Carney served as co-lead of the ITI Study Club in Preston, fostering a collaborative learning environment for clinicians and promoting best practices in implant dentistry. He has also contributed significantly to the development of early-career dentists through his work as a foundation trainer, supporting newly qualified practitioners as they transition into clinical practice.

Alongside his clinical development, Dr Carney has been an active contributor to the profession. He has served on both his local British Dental Association (BDA) section committee and the national Young Dentists Committee, advocating for professional standards, education, and mentorship.

Clinically, he gained extensive experience as an associate dentist across multiple practices in Cumbria before taking the significant step of purchasing his first practice in 2019. His leadership and commitment to high-quality patient care have been central to his work as a practice owner.

In 2025, Dr Carney joined VSS Academy as educational lead, where he plays a pivotal role in shaping advanced clinical training and supporting the next generation of dental professionals. His blend of academic achievement, surgical expertise, and dedication to teaching positions him as a respected figure within the dental community.

Sahar Ahmadiani

Sahar Ahmadiani (DDS) is a highly experienced cosmetic dentist and Invisalign provider based in London, specialising in smile design and minimally invasive dentistry. She is a principal dentist at Melo Dental Aesthetics in Acton and has a history of dental practice ownership, including the Harleston Dental and Aesthetic Clinic in Norfolk.

Her specialties include advanced cosmetic dentistry, smile design, and Invisalign (over 1,000 cases completed) with over 6 years in dentistry, focusing on tailored, natural smiles.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• From enquiry to treatment start: the patient journey most practices have never mapped
• Dealing with patient complaints: real cases, real solutions
• The first 100 days of marketing for a new practice owner
• Is your practice quietly losing £100,000 a year?
• The five hidden HR risks in dental practices and how to prevent them.

Following the landmark news that Stratasys’ Truedent has received CE-mark certification as a class IIa medical device, we sat down with Shoshana Glickman and Negar Movahed to discuss why this regulatory milestone is a game-changer for UK labs.

Could you both briefly introduce yourselves and your roles at Stratasys, and for our readers who may be new to the brand, tell us a bit about the Stratasys mission?

Negar Movahed: I am the head of product at Stratasys Dental.

My role sits at the intersection of customer needs, technology innovation, and long-term market direction. 

Essentially, my goal is to bring valuable products to the market that solve real problems for lab technicians, clinicians and, ultimately, the patients.

Shoshana Glickman: I’m on the dental marketing team at Stratasys, where we focus on getting the word out to dental labs about what our 3D printing technology can do – from improving lab efficiency and reducing labour to enabling scalability and delivering consistent, reliable quality.

At Stratasys, we are global leaders in additive manufacturing.

While many know us from the industrial or aerospace sectors, our mission in dental is to deliver fully validated, end-to-end solutions, opening the door to scalable, high-quality production for dental labs.

We’ve just seen the news Truedent has received CE-mark certification as a class IIa medical device. For technicians, what does this actually mean?

Shoshana Glickman: It’s a major milestone.

It means we’ve been held to a much higher level of scrutiny regarding technical documentation, biocompatibility and mechanical properties.

For the lab, it provides peace of mind. They know the entire material lifecycle – from raw materials to the final product in the patient’s mouth – is verified.

The class IIa certification also allows us to move into expanded indications like removable partial dentures (RPDs) with our new Truesnap workflow.

Truedent is an especially ideal material for RPDs as it enables close, highly customisable shade matching to existing dentition, a level of precision that is difficult to achieve with other three-dimensional printing solutions, such as the single colour DLP printing.

Negar Movahed: It also gives labs the green light for long-term intraoral use with expanded indications. 

When a lab fabricates these medical devices for the dentist, they can do so with absolute confidence that the clinical safety and performance have been verified by an independent body.

There are a lot of bargain resins or counterfeits on the market right now claiming to be compliant. How does this certification separate Truedent from the ‘wild west’ of unverified products?

Negar Movahed: I love this question because it speaks to the heart of our discipline.

Stratasys is a conservative company in the best way possible.

As a large, public tech company with a dental vertical and relatively new to the medical device world – rather than a traditional dental medical device company – our approach is different, we make an intentional choice not to pursue risky loopholes.

Our leaders gave us a clear mandate to be conservative when it comes to safety, quality and patient safety.

Biocompatibility tests are incredibly expensive and they take time. That’s why some companies choose to use literature references instead of testing new formulations. 

We completed the full battery of tests defined by an independent toxicologist, based on the device type, contact type and exposure duration, in accordance with ISO 10993, rather than selecting only a subset.

Partial testing can introduce unnecessary risk to the patient. You rarely see that level of commitment from other resin manufacturers.

A lot of these bargain companies you mention market a resin and say: ‘Put it in any printer, use any setting, the result is up to you’. That is a dangerous situation.

We take a different approach. We validate every single step of the workflow-material, printer, parameters and process – because patient safety and clinical reliability are non‑negotiable.

Why is that trust factor so critical right now for a lab manager looking to scale their business?

Shoshana Glickman: If you scale your production up to hundreds of units a month and then find out your material was non-compliant or has been pulled from the market, that can be a catastrophe for your business.

This certification gives labs the confidence to embark on scalable production of dentures and RPDs, knowing they have a recognised global standard behind them.

It reduces their legal liability and protects their reputation with the dentists they serve.

Can you pull back the curtain on the certification process? What hoops did you have to jump through to get the class IIa stamp?

Negar Movahed: It’s an exhaustive process.

Beyond the mechanical property testing (ISO 20795-1), we have to create a massive technical file. This includes an independent toxicologist – someone totally unaffiliated with Stratasys – reviewing our formulations and the size of the part going into the patient’s mouth. They define the testing plan, not us.

Then there is the quality management system (QMS) scrutiny.

Everything from our manufacturing process to our marketing claims has to be reviewed and approved.

It’s a level of oversight that ensures the product isn’t just ‘good’ from the manufacturer’s perspective, but consistently safe and effective with a stamp of approval from an independent third party.

Truedent is famous for its monolithic 3D printing – printing teeth and gingiva in one go. How does the technology itself help with the labour shortages in UK labs?

Shoshana Glickman: Polyjet technology is essentially like inkjet style 3D printing.

We print tiny droplets of different resins simultaneously.

This allows us to combine five base-colour resins in various ratios to create incredible, multi-shade aesthetics in a single print run.

Because it’s a monolithic print, there’s no manual assembly of teeth into a base. 

Any time you introduce a human into that assembly process, you inevitably get variations.

With Truedent, the accuracy is locked in digitally. Plus, our J5 Dentajet has a large print tray but a small footprint.

You can set an overnight print, the nesting is automated with one click, and you walk in in the morning to find finished dentures ready for a quick water-wash.

It’s designed for labs that need to do more with fewer people.

Negar Movahed: It also fundamentally changes the try-in experience.

Historically, a try-in looked like a ‘white block’. With Truedent, the patient sees a highly aesthetic, full colour preview of the final denture.

It builds immediate trust between the clinician and the patient and gives the patient an instant gratification which you don’t get with other technologies.

Aside from eliminating the labour-intensive assembly of the denture teeth to the base, from a function perspective, monolithic printing addresses a known pain point: the risk of decoupling of the two during its useful life with the patient.

Because Truedent is printed as a single, integrated structure, patients do not have to worry about such failures during use.

With Truedent since it is printed all together, patients don’t experience losing a tooth on their denture!

LM: For the younger generation of technicians, how does this digital-first approach change the ‘art’ of the craft?
Shoshana Glickman: For the digital natives, this is incredibly exciting.

We use software called Grabcad, which is much more than just a slicer.

Technicians can design in Exocad or 3shape, and then apply characterisations and aesthetics digitally in Grabcad.

We are constantly releasing new software updates – which are free, by the way – that add new shades and features.

The art is still there; it’s just moved from the physical brush to the digital screen.
Negar Movahed: We have just launched our next‑generation advanced aesthetics capability with Truevoxel, taking Truedent polychromatic printing to the next level.

With enhanced translucency and characterisation built directly into the digital workflow, technicians can design truly life-like aesthetics with the simplicity of a click.

This launch gets us even closer to mimicking the natural smile that every denture patient wants to achieve.

Finally, is there anything else you’d like to add for the UK lab community?

Negar Movahed: We truly believe we’ve found the holy grail of dental 3D printing.

We’re not just launching a product; we’re launching a beautiful smile that gives patients the confidence to show it off. 

With the launch of Truedent as a class IIa medical device, we have planned a dedicated roadshow for our European resellers and customers.

This means we are heavily investing in training the industry, from understanding the technology itself to mastering Truedent’s digital design techniques and clinical requirements, so labs can integrate Truedent into their workflows with confidence. 

Our goal is long‑term success, not just adoption.

We have a strong roadmap of innovation ahead, and we are excited to continue sharing what is next with our industry partners.

Shoshana Glickman: Stratasys is fully committed to dentistry.

We are here to bring reliability, efficiency and trust to UK dental labs. Watch this space! 

For more information contact Stratasys Dental at dental@stratasys.com or visit stratasys.com/dental. 

This article is sponsored by Stratasys.

Join Jeff Dumbrell on 16 June at 7pm as he discusses clinical applications and predictable outcomes using MTA vpt for advancing vital pulp therapy.

The aim of this lecture is to provide clinicians with an understanding of the clinical applications, composition, handling, and benefits of MTA in vital pulp therapy.

It will focus on how its properties support pulp healing and how correct clinical use can help achieve predictable outcomes and support pulp preservation.

Learning outcomes

• Describe the composition and properties of MTA and its role in vital pulp therapy
• Explain the mechanism of action of MTA in promoting pulp healing, tertiary dentine formation, and preservation of pulp vitality
• Identify the clinical indications for using MTA in direct and indirect pulp capping procedures
• Demonstrate understanding of the correct handling, placement, and clinical protocol for MTA vpt
• Recognise the importance of material handling characteristics, including consistency, setting behaviour, and moisture tolerance
• Evaluate the clinical advantages of MTA compared with traditional pulp capping materials such as calcium hydroxide
• Identify the key clinical factors that influence the success and predictability of treatment when using MTA
• Apply evidence-based knowledge to integrate MTA into clinical practice to support minimally invasive dentistry and improved patient outcomes.

The speaker

Jeff Dumbrell is the special markets manager and north east territory representative for VOCO UK. He qualified as a dentist in 2006 in Cape Town, South Africa, before spending 14 years as a successful private practice owner. During his clinical career, Jeff developed an interest in digital dentistry, particularly single-visit restorative workflows using CEREC technology.

After relocating to the UK with his wife, a dental hygienist, and their three sons, Jeff transitioned into the dental industry.

In his current role at VOCO UK, he works closely with clinicians and organisations to support innovative treatment approaches and drive growth across special markets. Outside of work, Jeff has a keen interest in all sport and enjoys spending time with his family.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• Dealing with patient complaints: real cases, real solutions
• The first 100 days of marketing for a new practice owner
• Is your practice quietly losing £100,000 a year?
• The five hidden HR risks in dental practices and how to prevent them
• Achieving superior outcomes in periodontal and peri-implant treatment.

According to the World Health Organization (WHO), the global prevalence of complete tooth loss stands at 7% among those aged 20 and over. For those over 60, the percentage rises to 23%. In the UK, the government estimates that 5% of adults over 16 have no natural teeth.

Currently, there is no publicly available method for regrowing lost or damaged teeth. The most common solutions for tooth loss are dental implants, dental bridges and dentures. All of these options involve an artificial replacement for the tooth rather than a natural regrowth.

Update, June 2026: Toregem BioPharma has raised approximately US$5.3 million to support Phase II clinical trials of TRG035, its experimental antibody treatment, in Japan. The drug is being developed first for severe congenital hypodontia, rather than adult acquired tooth loss, and remains investigational.

However, the possibility of regrowing or regenerating natural teeth has been explored by several previous studies. Mechanisms such as RNA, stem cells and mineral regeneration have all seen various degrees of success in repairing or replacing damaged teeth.

Whole tooth regrowth with anti-USAG-1 antibody therapy

In July 2023, researchers from the Medical Research Institute Kitano Hospital in Osaka, Japan announced the development of a new tooth regrowth medicine. The drug, now known as TRG035, is an experimental antibody treatment designed to block USAG-1, a protein involved in suppressing tooth development.

Development of the medicine took approximately eight years, beginning in 2005.

How does the medicine regrow teeth?

Katsu Takahashi is lead researcher and head of the dentistry and oral surgery department at the Medical Research Institute Kitano Hospital. His research is based on the idea that humans once grew a third set of teeth following the milk and adult dentition. Dr Takahashi said that humans lost the ability to generate this third set of teeth over time but still possess the ‘buds’ from which they develop.

The presence of the USAG-1 molecule prevents potential tooth germs from forming into full teeth. It exists to regulate the number of teeth that healthy adults develop. Researchers hope that suppressing this molecule could lead new teeth to be grown from the vestigial ‘buds’.

This will particularly help those with severe congenital hypodontia, a condition in which patients are born missing six or more permanent teeth. However, the researchers hope that the drug will also be effective in patients who have lost teeth due to gum disease or injury.

Dr Takahashi said: ‘We’re hoping to see a time when tooth regrowth medicine is a third choice alongside dentures and implants.’

What has happened in clinical trials?

The drug began human testing at Kyoto University Hospital in October 2024.

Phase I trials involved healthy adults with at least one missing tooth and were designed to assess safety. The trials concluded without serious adverse events.

In May 2026, Toregem announced a Pre-Series C financing round to support Phase II clinical trials of TRG035 in Japan and preparations for future clinical development in the United States.

When will tooth regrowth medicine be available?

Following the clinical trials, the research team plans to have the medicine ready for general use in 2030. If successful, they believe the tooth regrowth medicine could be a ‘game changer’ for dentistry.

However, the 2030 target should be treated as provisional. TRG035 still needs Phase II efficacy data, further regulatory review and approval before it could become available. The next stage of development is focused on severe congenital hypodontia, not adult tooth loss caused by periodontal disease, trauma or decay.

Dr Takahashi said: ‘The idea of growing new teeth is every dentist’s dream. I’ve been working on this since I was a graduate student. I was confident I’d be able to make it happen.’

The Osaka researchers were prompted by a desire to offer a solution for tooth loss that is permanent. While long-term replacements such as dental implants can be close to permanent, there are currently no treatments available which regenerate natural dentition.

Dr Takahashi said: ‘We want to do something to help those who are suffering from tooth loss or absence. While there has been no treatment to date providing a permanent cure, we feel that people’s expectations for tooth growth are high.’

Stem cells for tooth regrowth

Another method of tooth regrowth which has been researched in recent years is stem cell regeneration.

In October 2023, academics from Sharad Pawar Dental College and Hospital, India reviewed the existing research and concluded that whole tooth regeneration with stem cells was a ‘realistic aim’.

The study concluded that stem cells were particularly useful for bone regeneration and correction of bone abnormalities. This would be highly applicable to restorative dentistry cases to correct craniofacial bone damage from trauma.

Researchers also said that stem cell therapy could assist with regeneration of soft tissue within the mouth.

Can enamel grow back?

In August 2023, a research team succeeded in creating stem-cell based organoids that secrete the proteins which form dental enamel. Led by scientists from the University of Washington School of Dentistry, the researchers consider this breakthrough to be ‘critical first step’ in developing stem-cell-based treatments to repair damaged teeth.

The team said it hoped to use this research to create an enamel that is as durable as that found in natural teeth. The enamel could be created in laboratories and used to fill cavities or applied as a ‘living filling’ to grow into the cavity.

Hannele Ruohola-Baker, a professor of biochemistry, headed the project. She said: ‘Many of the organs we would like to be able to replace, like human pancreas, kidney, and brain, are large and complex. Regenerating them safely from stem cells will take time.

‘Teeth on the other hand are much smaller and less complex. They’re perhaps the low-hanging fruit. It may take a while before we can regenerate them, but we can now see the steps we need to get there.

‘This may finally be the “century of living fillings” and human regenerative dentistry in general.’

Cellular self-organisation

In October 2025, a study explored whether the location of tooth growth cells in the mouth affects their development. To test this, cells taken from the lingual (tongue) side of mouse dentition were separated from those from the buccal (cheek) side and stimulated to grow.

Researchers found that cells on the lingual side developed into the tooth itself and its structure while those on the buccal side were more focused on stem cell activity, surrounding tissues and cellular repair.

Even when mixed up, the two types of cell reorganised themselves and began to form the right kind of tissue. This suggests that the cells automatically know when, where and how to grow tooth structures.

First author Eun-Jung Kim said: ‘We were curious to know if they could find their original place and reorganise when the fluorescently labelled lingual and buccal mesenchymal cells were mixed randomly, which they not only did, but the lingual cells grew into dentin to form the tooth as before. This phenomenon is called cellular self-organisation.’

Dr Jung said that these findings had ‘the potential to significantly impact our understanding of tooth development’. The researchers hoped they could lead to ‘advancements in stem cell-based tooth regeneration and more effective therapeutic applications for dental restoration and repair’.

Ethics of stem cell regeneration

While these trials have seemed promising, the potential for tooth regeneration through stem cells does raise some ethical concerns.

David Obree, Archie Duncan fellow in medical ethics at the University of Edinburgh, spoke to Dentistry.co.uk about the potential implications of tooth regrowth. He described stem cell regeneration as ‘an exciting development which is likely to revolutionise dentistry and medicine in general’. However, he also named the source of stem cells used and their cost as potential ethical issues.

He said: ‘Much of the early research has been done using embryonic stem cells, that is tissues taken from embryos, either mammalian, or specifically human embryos, where there are obvious ethical issues, as there would be if other mammalian cells became implantable.’

However, Dr Obree suggested that use of ‘autologous stem cells’, or those taken from patients themselves, would mitigate this concern. He added: ‘As well as obviating ethical concerns there is less chance of immunological rejection.

‘It may be that cells taken from extracted deciduous or wisdom teeth will be the pluripotent stem cells of choice, both for teeth and other organ renewal, and thus an interesting side-line for dentists harvesting the cellular material’

Another issue raised by Dr Obree is that of cost. He asks: ‘Will this be an expensive treatment only available to the rich, or will the technology be cheap and available to everyone?’

It is currently unclear how expensive stem cell treatments would be when available to the public and if offering them on the NHS would be possible.

Bioengineering

In February 2025, researchers from Tufts University used a bioengineering approach to create ‘replacement teeth’ from a hybrid of human and porcine cells.

The two cell types were combined inside a scaffold made from pig tooth, with the resulting structure being implanted into a miniature pig’s jaw. After two weeks, the implanted tissue was removed to reveal finished teeth which had developed hard layers of dentin and cementum.

Lead investigator Dr Pamela Yelick said: ‘We’re optimistic that one day we will be able to create a functional biological tooth substitute that can get into people who need tooth replacement.’

The study said that natural teeth are better able to withstand the force of chewing than dental implants. This is one advantage of bioengineered replacement teeth as opposed to implants made from synthetic materials.

The researchers also pointed out that the porcine hybrid teeth are not sourced from embryonic stem cells so are not subject to the same ethical concerns.

Lab-grown teeth

Researchers from King’s College London made a further breakthrough in tooth regrowth in April 2025. The team successfully created a suitable environment in which to regrow teeth, which they hope will be an alternative to fillings or implants in the future. These lab-grown teeth would be a stronger, more durable and more biologically compatible solution to missing teeth.

The researchers successfully introduced a material that enables cells to communicate, meaning one cell can tell another to differentiate into a tooth cell. This mimics the environment of natural tooth growth, allowing the researchers to recreate the process in a lab.

Xuechen Zhang is a PhD student from the faculty of dentistry, oral and craniofacial sciences at KCL. He said: ‘We developed this material in collaboration with Imperial College to replicate the environment around the cells in the body, known as the matrix. This meant that when we introduced the cultured cells, they were able to send signals to each other to start the tooth formation process.

‘Previous attempts had failed, as all the signals were sent in one go. This new material releases signals slowly over time, replicating what happens in the body.’

The next step for this research will be determining how the lab-grown teeth can be transferred into the mouth.

Zhang added: ‘We have different ideas to put the teeth inside the mouth. We could transplant the young tooth cells at the location of the missing tooth and let them grow inside mouth. Alternatively, we could create the whole tooth in the lab before placing it in the patient’s mouth.

‘For both options, we need to start the very early tooth development process in the lab.’

Mineral enamel repair

An alternative approach to tooth regrowth is mineral regeneration to repair damaged enamel.

In 2019, a gel was developed by mixing calcium and phosphate ions in an alcoholic solution with the organic compound trimethylamine. This solution successfully produced clusters of calcium phosphate, the main component of dental enamel.

When applied to damaged tooth samples, the gel was found to create a three-micrometre-thick layer of new enamel in 48 hours. According to the researchers, this repair ‘would be permanent’.

Zhaoming Liu co-authored the study with colleagues from the Zhejiang University School of Medicine. He said: ‘Our newly regenerated enamel has the same structure and similar mechanical properties as native enamel.

‘We hope to realise tooth enamel regrowth without using fillings which contain totally different materials.’

The materials used within the trial are cheap and can be prepared on a large scale.

Dr Liu continued: ‘After intensive discussion with dentists, we believe that this new method can be widely used in future.’

Will we ever be able to regrow teeth?

Results from studies have been positive about the potential for regenerating damaged teeth. Despite this, there are still significant barriers to whole tooth regrowth.

For example, the use of anti-USAG-1 antibody therapy to induce tooth regrowth has so far only been successful in patients who are born with missing teeth. While researchers have previously suggested a 2030 target, this should now be treated as provisional.

On the other hand, researchers said they were hopeful that further investigation could broaden the application of the medication to those who have lost teeth due to gum disease or injury. Lead researcher Katsu Takahashi said: ‘I would be over the moon if that happens.’

Stem cell regeneration also raises some concerns including the ethics of using embryonic stem cells and the potential for immunological rejection.

However, transplant rejection was found to be uncommon across several studies when adult stem cells taken from organs such as tooth pulp or umbilical cords were used. The 2023 review concluded that oral and facial treatment was possible with adult stem cells from many different organs.

Overall while studies have shown positive results for potential methods of tooth regeneration, there is no clear timeline for if and when it will be possible to regrow whole teeth.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

A Japanese biotech developing a drug aimed at regenerating teeth is moving towards its first trial in patients with the target condition, after raising US$5.3 million to support the study.

Toregem BioPharma said the Phase II trial would test its experimental antibody treatment in people with severe congenital hypodontia, defined by the company as the absence of six or more permanent teeth.

The Kyoto University spin-out said total funding, including grants and subsidies, had now exceeded US$29 million.

The drug, TRG035, works by blocking USAG-1, a protein that suppresses tooth development, with the aim of activating dormant tooth buds and stimulating new tooth growth.

Phase I trials in healthy adults with at least one missing tooth concluded without serious adverse events.

Unlocking the third dentition

The approach is rooted in the concept that humans retain vestigial tooth buds capable of producing a third set of teeth, but that USAG-1 normally prevents these from developing.

For paediatric patients with severe hypodontia, the clinical stakes are significant. Because implants cannot usually be placed until jaw growth is complete, children may be managed with removable dentures for years, with potential consequences for function, nutrition and quality of life.

However, TRG035 remains experimental and has not yet been shown to regrow teeth in humans.

While researchers ultimately hope the approach could be used for adult patients with acquired tooth loss, that remains a longer-term goal.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

LonDEC explains why its online course is a must for every dental practice wishing to stay on top of CQC requirements.

In today’s regulatory climate, running a dental practice means more than providing excellent clinical care – it requires demonstrating, always, that your service is safe, well-led, and compliant with national standards. The Care Quality Commission (CQC) continues to evolve its inspection approach, and staying up to date is essential not only for passing inspections, but for maintaining a smooth, confident and patient-focused practice.

For dental principals, practice managers and anyone responsible for governance, LonDEC’s online programme ‘How to survive a CQC inspection’ offers a practical, highly relevant way to strengthen compliance, prepare your team, and eliminate guesswork ahead of an inspection. The next delivery of this live online course can be found here:

Why staying up to date with CQC requirements matters

CQC expectations do not stand still. Updates in inspection methodology, a greater emphasis on leadership and culture, and tighter expectations around policies, record-keeping and risk management mean that a practice that was compliant last year may fall behind without regular review.

Being up to date provides several advantages:

Confidence during inspections

Understanding how inspectors assess safety, governance, staffing and responsiveness removes uncertainty and helps practices prepare effectively.

Fewer compliance gaps

Regular training helps teams recognise early signs of non-compliance – from documentation errors to lapses in infection control.

A safer, smoother practice environment

When everyone understands protocols and responsibilities, both patient care and day-to-day operations benefit.

Protection from enforcement or reputational risk

Proactive compliance lowers the chance of receiving actions, warnings, or damaging reports.

In short, staying current is not just about passing an inspection – it’s about running a resilient, high-quality practice.

The value of industry contacts and professional support

Courses like LonDEC’s not only expand your knowledge; they also widen your professional network. Delegates regularly include practice owners, managers, clinicians and compliance leads from across the UK.

These contacts become invaluable sources of:

• shared insight on inspection trends
• practical examples of successful compliance systems
• peer support when implementing improvements.

For many participants, the networking aspect is one of the most beneficial parts of the learning experience.

What the LonDEC CQC course covers

LonDEC’s ‘How to survive a CQC inspection’ course provides a clear, structured breakdown of what dental teams need to know. The session includes:

Understanding how CQC inspections work today

Delegates learn how inspectors prepare, what they look for, and how the ‘well-led’ judgement is formed.

Current expectations for regulated activities

The course focuses on practical interpretation of the standards that apply directly to dental settings.

Preparing for ‘fit person’ interviews

These interviews are pivotal moments for owners and managers. The course explains what inspectors typically ask and how to demonstrate leadership, oversight and governance with confidence.

Practical steps to strengthen compliance

From documentation to staff training structures, the course provides actionable methods to make your practice inspection-ready at all times.

Why choose LonDEC? A leader in dental CPD

LonDEC is widely recognised as one of the UK’s leading centres for dental professional development. As part of King’s College London, the centre is known for its high teaching standards, modern facilities, and commitment to evidence-based training.

What sets LonDEC apart?

• Trusted CPD provider under a world-renowned university
• Experienced and respected educators
  The CQC course is delivered by experts with genuine regulatory and clinical insight, giving delegates clarity grounded in real-world experience.
• High-quality course design
  Content is clear, practical and geared towards immediate implementation.
• Fully interactive online format
  With live discussions, Q&A and guided learning – not a passive webinar.

For busy dental professionals, the convenience of a one-day online course combined with six hours of verifiable CPD makes it both time-efficient and highly worthwhile.

This article is sponsored by LonDEC.

Two months on from the introduction of the amendment to the NHS Dental contract in Wales, how are practices coping with the changes? Some better than others as Practice Plan Regional Support Manager, Louise Anderson, outlines to host, Guy Hiscott, in this LinkedIn Live recording.

The devil is in the detail when it comes to contracts. However, the rushed nature of the introduction of the changes left practices desperately scrabbling around for information.

As Health Boards were equally as starved of guidance, practices were forced to resort to WhatsApp groups to try to bring each other up to speed on how, among other things, to ensure rejected claims get through in fewer than four attempts!

Practices are not alone in feeling uninformed. Communication with patients about the implications of the new contract, where it exists at all, has been poor. Posters outlining the new pricing structures and charges arrived weeks into the life of the new contract.

The switch from three charging bands to a care package model leaves both front desk staff and patients in the dark as to how much things will cost until after the examination. This, coupled with an increase in patient charges and recall rates extended to as long as two years for the dentally fit has resulted in pressure on front of house teams as they cope with disgruntled patients.

However, Louise strikes a more optimistic note when outlining how she has been supporting practices with affordable plans. Typically priced between £10 and £15 per month, these membership plans offer practices a way to ensure committed regular attending patients can be seen annually and maintain their continuity of care while spreading the cost. They also offer an additional income stream while contract holders assess their situation.

Despite describing things as ‘bleak’, Louise’s advice is to pause and remember this is a learning year. Keep open the lines of communication, learn from your peers and explore all options.

There’s never been a safer time to leave NHS dentistry. If you’re considering your options away from the NHS and are looking for a plan provider who will hold your hand through the process at a pace that’s right for you, you’re in safe hands with Practice Plan.

You can start the conversation today by calling 01691 684165 or booking your one-to-one NHS to private conversation at a date and time that suits you, just visit Book Your Conversation with a Welsh NHS to Private Conversion Expert – Practice Plan

This article is sponsored by Practice Plan.

The ClinCheck signature experience combines Align’s latest treatment-planning innovations to help dentists deliver personalised, consistent plans with greater confidence and efficiency.

Built on the Global clinical preferences template, it provides a strong starting point for a more predictable ClinCheck treatment-planning workflow, helping save time for what matters most.

The Global clinical preferences template is informed by years of treatment-planning experience across millions of ClinCheck cases. Its default settings are shaped by a multifaceted approach that includes data analysis, established protocols, customer feedback, and input from Align teams worldwide.

Dentists can further refine these settings through the Template Editor, adapting preferences to their clinical needs. Any updates made will apply to future Flex Rx cases, while still allowing case-specific adjustments before the initial ClinCheck submission.

Benefits of the ClinCheck signature experience

Powered by the experience of more than 22 million smiles, the ClinCheck signature experience helps dentists plan treatment faster while maintaining consistency and control. Key benefits include:

• Get initial ClinCheck plans 56% faster (Align Technology, 2023)
• Plans require less than half the modifications (Align Technology, 2023)
• Dentists approved their cases 82% faster (Align Technology, 2022)
• The majority of initial ClinCheck treatment plans are available for review in six hours or less (Align Technology, 2023).

The simplified Flex Rx form streamlines case submission with fewer steps, reducing the form from ten pages to one. It also allows optional case-specific clinical preferences, making it easier to tailor treatment planning without adding complexity.

With preferences applied automatically, dentists can expect more consistent initial plans and fewer back-and-forth revisions with the CAD designer. This makes it easier to plan treatment while the patient is still fresh in mind.

Flexible tools with advanced visualisation and control support personalisation at every step, including Flex Rx, Plan Editor, 3D Controls, and ClinCheck Live Update.

References

1. Based on Invisalign comprehensive treatment option primary orders from doctors who were activated with a treatment planning preferences template. Total orders analysed is 487,926. The comparison is between orders submitted using a treatment planning preferences template and orders submitted without. Time is measured from when an order is received until the ClinCheck plan is available for doctor review. The time taken for orders submitted using a treatment planning preferences template is 56% less. The median value was used. Orders were from the period April 2022 through May 2023. Includes Invisalign trained doctors in the NA, LATAM, EMEA, and APAC regions. Data on file at Align Technology, as of October12, 2023
2. Based on Invisalign comprehensive treatment option primary orders from doctors who used Invisalign Personalised Plan in at least 50% of their comprehensive orders. Total orders analysed is 10,992. Modifications are measured as the number of times a treatment plan was sent back to a CAD designer before plan approval. The comparison is between the aggregate of orders with Invisalign Personalised Plan and ClinCheck Live Update and the aggregate of orders without Invisalign Personalised Plan and ClinCheck Live Update. The modification rate is 57% less for the aggregate of orders with Invisalign Personalised Plan and ClinCheck Live Update. Orders were approved from November 2022 through April 2023.Includes Invisalign trained doctors in the NA, LATAM, EMEA, and APAC regions. Data on file at Align Technology, as of October 12, 2023.​
3. Based on Invisalign comprehensive treatment option primary orders (n=50,114 cases) from doctors (n=165 orthodontists and dentists) participating in a limited market release who only used ClinCheck Live Update for 3D controls as compared to those who only used CAD designers for their ClinCheck modifications to treatment plans in the period June 1, 2021through December 23, 2021. Time measurement is based on the doctor’s first opening of the ClinCheck plan to final ClinCheck approval. Includes Invisalign trained orthodontists and dentists in the NA, LATAM, EMEA, and APAC regions. Data on file at Align Technology, as of January 4, 2022.​​
4. The majority of initial ClinCheck treatment plans submitted with a template are available for review in 6 hours or less. Based on Invisalign comprehensive treatment option primary orders by doctors who submitted using a treatment planning preferences template. Total orders analysed is 173,028. Time is measured from when an order is received until the ClinCheck plan is available for doctor review. 50.2% of orders were available for review under 6 hours and the median time was 5.92 hours. Orders were from the period April 2022 through May 2023. Includes Invisalign trained doctors in the NA, LATAM, EMEA, and APAC regions. Data on file at Align Technology, as of October 12, 2023. ​

Find out more about the ClinCheck signature experience.

This article is sponsored by Align Technology.

A small Japanese clinical study has reported early progress for a new type of dental implant designed to connect with the jawbone via periodontal ligament tissue, rather than through conventional osseointegration alone.

The study, led by Southern Tohoku Medical Clinic and its maxillofacial implant centre in Fukushima, Japan, began in February 2025. Patient registration closed in October 2025, with periodontal ligament-integrated implants placed in four patients.

According to an interim progress report, three patients had completed a 24-week postoperative engraftment assessment, while the fourth had completed an 18-week assessment.

The researchers said all four cases had so far shown test values close to those of natural teeth, although the supplied release did not specify the measurement criteria. They also reported early indications of engraftment into the jawbone.

No swelling, bleeding or reduction in gingival level had been reported at the implant sites up to 24 weeks after surgery. The researchers also said no pain had been recorded in any case using the Numerical Rating Scale, and no device-related problems had been identified.

Why the approach matters

Conventional dental implants already have high survival rates and are widely used with predictable outcomes in clinical practice. However, they integrate directly with bone and do not recreate the periodontal ligament found around natural teeth.

The periodontal ligament plays an important role in supporting the tooth, absorbing force and providing sensory feedback. For this reason, researchers have long been interested in whether implant designs could more closely replicate the biological relationship between natural teeth and alveolar bone.

Similar periodontal ligament implant concepts have been explored before, but translating them into predictable long-term clinical stability has remained challenging.

The Japanese research group said the investigational implant was designed to connect to the alveolar bone via periodontal ligament tissue remaining in the extraction socket.

Early-stage evidence

The findings remain preliminary. The interim report covered only four patients, with no comparator group described in the supplied release and no final outcome data yet available. The findings were reported in an institutional progress release rather than a peer-reviewed paper, meaning the results should be interpreted as early-stage clinical reporting rather than established evidence.

A key biological question remains whether retained periodontal ligament tissue can form a stable, functional attachment around an implant over time.

The study is due to continue until 44 to 48 weeks postoperatively, when final engraftment and safety assessments are expected to be completed.

By 36 weeks, the researchers plan to remove the side screw and device connected to the implant, allowing the periodontal ligament-integrated implant to be monitored independently in the oral cavity.

For clinicians in the UK and Ireland, the report is unlikely to change practice at this stage. However, it may be of interest to implant dentists, periodontists and oral surgeons following developments in biomimetic implant design and future alternatives to conventional osseointegration.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

Dentistry Practice Services, part of FMC, have announced a new partnership with Henry Schein One, the global leader in dental technology including Dentally and Software of Excellence (EXACT), marking a significant step forward in reducing operational fragmentation for dental practices across the UK. 

The partnership establishes a foundation for deeper connectivity between Dentistry Practice Services’ growing suite of practice-support tools and the two most widely used practice management platforms in UK dentistry. This agreement enables both organisations to collaborate on delivering more seamless workflows for practice teams. 

A shared vision to reduce fragmentation across dental practices 

Stakeholders on both sides highlighted the same theme: complexity. Practice teams are burdened by separate logins, isolated data and manual tasks that interrupt patient care. The need for fewer, more interconnected systems that add value to clinicians and administrators alike is clear. 

As Craig Welling, FMC’s CEO, noted, practice teams increasingly want a simpler, more connected way to run their businesses, without relying on multiple disconnected systems. 

This partnership represents an important step towards that vision by enabling Dentistry Practice Services’ products to integrate directly with Dentally and EXACT. While it does not yet complete the full ecosystem the companies aspire to build, it establishes the technical and collaborative framework required for future development. 

Immediate benefits for practices 

The upcoming integration for Dentistry Consent will allow Dentally and EXACT users to streamline patient workflows by automatically populating patient details directly from their PMS, reducing manual admin and saving valuable time. 

The integration roadmap also includes future connectivity with Dentistry Marketing (EXACT Booking Calendar), which is already in development and will further strengthen day-to-day operational efficiency for practices. 

A foundation for future innovation 

This partnership is strategically important not only for what it delivers now, but for what it enables next. With access to the UK’s largest PMS base, Dentistry Practice Services can begin to unlock future capabilities that were not previously possible. 

While neither organisation will comment publicly on unreleased product developments, both have affirmed a shared long-term ambition: to make the operational side of dentistry more seamless, more integrated, and less burdensome for clinicians and practice teams. 

Rick Gay, Senior Director of Revenue, Henry Schein One said, ‘Dental practices work best when the technology they rely on works together seamlessly. This partnership is an important step toward creating a more integrated ecosystem around Dentally and EXACT. It brings key operational tools closer to practices’ core practice management system, reducing manual processes whilst supporting more connected workflows. This helps streamline operations and deliver a better experience for both teams and patients.’ 

Leading a team of experienced dental healthcare specialists, FMC brings a deep understanding of the operational challenges facing practices across the UK. This perspective, shaped by close collaboration with clinicians and practice teams, underpins a shared vision for a more connected and efficient future. 

Craig Welling, CEO, FMC said, ‘Dentists have been asking for a simpler, more connected way to run their businesses. This partnership brings us closer to that reality by reducing fragmentation and enabling systems to work together more effectively. By partnering with the most widely used PMS platforms in the UK, FMC is taking a major step toward a future in which the operational side of dentistry is more joined-up, efficient, and easier to manage for practice teams.’

Sales is often considered a dirty word in dentistry, but Ads Thanki argues that using sales skills to increase treatment acceptance may hold the key to greater profitability in your practice.

In any business, achieving profitability is essential. There are two primary ways to increase profitability: by reducing expenses and increasing income. While managing expenses and implementing effective financial strategies are crucial, their impact on a dental clinic’s bottom line is somewhat limited. For significant growth in profitability, the focus must shift towards increasing income.

In dentistry, profitability depends on three key aspects: patient acquisition, treatment acceptance, and the delivery of care. These can be simplified into marketing, sales, and service delivery. When profitability is lacking, many clinics tend to focus on either marketing or delivery. Clinics often increase marketing spend in an effort to attract more patients, or they expand their range of services, hoping this will boost their profits.

However, the concept of ‘sales’ – which directly correlates to treatment acceptance – is often overlooked or avoided in dental clinics. But in reality, the goal of sales is simply to ensure that patients accept the necessary treatments that will enhance their overall health, rather than just what they think they want. Sales, in this sense, is not just about pushing products or services; it’s about educating and guiding patients toward decisions that improve their wellbeing.

Focusing on sales

To increase profitability, dental clinics should place greater emphasis on improving their sales skills. But why not focus solely on marketing or service delivery?

Marketing functions like a switch: by investing in the right marketing strategies, patient enquiries increase, and more people will call the clinic. Marketing is easy to control and measure. However, the real challenge lies in what happens after the marketing efforts generate leads. If the clinic cannot convert these leads into treatment acceptance, then marketing expenses are wasted.

While delivering quality dentistry is crucial for success, it must be prioritised after treatment acceptance. High-quality general dentistry alone, without patient agreement to proceed with recommended treatments, will not result in increased profits. A clinic may have the latest technology and advanced treatments, but if patients do not accept the offered treatments, the equipment and skills will not lead to the desired financial results. For clinics to thrive, improving treatment acceptance should be the main priority.

Defining sales in dentistry

Sales, in its simplest form, is about getting patients to accept the treatments they need. Successful ‘sales’ in dentistry results in patients understanding the need for treatments that will improve their health, function, and overall quality of life. The ultimate goal of sales is agreement – in this case, the patient agreeing to undergo the recommended treatment for their dental and systemic health.

While financial considerations are part of the process, the focus should always be on the patient’s health and the treatment that will restore or enhance their dental function. Sales skills in dentistry are not about pushing unnecessary procedures; they are about getting patients to see the value in the treatments they truly need.

Increasing one’s sales ability does not require buying new equipment or upgrading the clinic space. Instead, it comes down to proper training. This training should involve not only the dentist but the entire team. Every team member should understand the importance of effective communication, as this is key to enhancing case acceptance.

The role of communication in sales

Sales in dentistry fundamentally rely on effective communication. Whether it’s discussing treatment plans or explaining the benefits of a particular procedure, the ability to communicate clearly and persuasively is vital. Communication allows the dentist and the team to convey the urgency and importance of necessary treatments, helping patients understand why those treatments are in their best interest.

Training the team to improve their communication skills can have a direct and significant impact on a clinic’s profitability. For instance, let’s consider Dental Clinic A and Dental Clinic B, both spending £10,000 on marketing to attract new patients. Dental Clinic A has an untrained receptionist who is only able to convert 20% of new patient calls into appointments, resulting in 20 new patients. In contrast, Dental Clinic B has a receptionist trained in patient communication who converts 50% of calls, resulting in 50 new patients.

When these patients come in, their treatment plans are the same, with an average treatment cost of £5,000 per patient. However, Dental Clinic A’s untrained team only achieves a £1,500 treatment acceptance rate per patient. Dental Clinic B’s trained team, however, secures treatment regardless of patient concerns or barriers, leading to an average treatment acceptance of £4,000 per patient.

In this scenario, Dental Clinic A has turned £10,000 in marketing spend into £30,000 in collections, while Dental Clinic B has converted the same amount of marketing into £200,000 in collections. The key difference is not the marketing spend or the delivery of treatment – it’s the team’s ability to communicate and secure patient agreement on necessary treatments.

The benefits of sales training

Sales training goes beyond just improving treatment acceptance. It can lead to better efficiency, an enhanced workplace experience, and most importantly, healthier, more satisfied patients. A team trained in communication can:

• Improve new patient conversion rates, getting prospective patients to book and attend appointments
• Increase schedule efficiency by ensuring patients understand the importance of attending their appointments
• Encourage patients who wish to cancel or reschedule to honour their appointments, reducing no-shows.

Sales training also brings additional benefits, such as:

• Strengthening the hygiene department by ensuring patients recognise the importance of preventive care and regular exams
• Enhancing the clinic’s ability to collect payments for treatment, including past due balances
• Teaching receptionists how to create a positive first impression with patients, setting the tone for the patient experience
• Enabling dental assistants to effectively reinforce the dentist’s treatment recommendations.

In conclusion, investing in a properly trained dental team, including the dentist, is one of the smartest ways to boost a clinic’s profitability. Improving communication and sales skills throughout the team has far-reaching benefits, not only for the clinic’s financial success but also for its ability to provide high-quality care to more patients. By focusing on sales – which is essentially about helping patients accept the treatments they need – clinics can significantly increase their income and create a more positive, efficient, and patient-focused environment.

Read more from Ads Thanki:

• The four inconsistencies hindering your practice growth
• Navigating surging supply chain costs in dental practices
• Which phase of dental practice growth have you reached?
• DSO partnerships: everything practice owners should know
• Maximising success when selling your dental practice.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

The chair of trustees of the UK’s Jewish Dental Society has warned of a spike in antisemitic incidents in dentistry, as the NHS moved closer to banning staff from wearing political symbols at work.

Prof Andrew Eder said incidents had risen sharply since the Hamas attacks on Israel on 7 October 2023.

He told the BBC: ‘Antisemitism goes right through the profession, whether you are a dental student, practitioner, or patient. I’ve been in practice for 40 years and I’ve never experienced this before at this level, with social media being a particular challenge.’

His comments came after the government accepted recommendations from Lord Mann’s review into antisemitism and other forms of racism in the National Health Service (NHS). Lord Mann, the government’s independent adviser on antisemitism, recommended new restrictions on political symbols worn by NHS staff, including pro-Palestinian and pro-Israel badges.

Health secretary James Murray said the government, which is responsible for the NHS in England, would accept the recommendations in full, with the proposed uniform guidance subject to consultation.

Antisemitism in dentistry

The government said the recommendations included clear national guidance on uniform and NHS-issued equipment, as well as stronger expectations for how NHS organisations respond to racism. It said the reforms would protect Muslim, Black and minority ethnic, and Jewish staff and patients. The report said 16% of Muslim staff and 20% of Black and minority ethnic staff had reported discrimination in the last year.

Although the guidance applies to NHS organisations in England, all dental professionals are already expected to ensure their conduct does not undermine patient trust or public confidence in the profession.

In a December 2025 reminder on controversial issues, the General Dental Council (GDC) reiterated that discriminatory statements or actions based on characteristics such as religion or ethnicity breached professional standards.

It also said dental professionals had the right to express political opinions which ‘other people may disagree with very strongly or even consider illegitimate’. However, this must be done in a way that did not undermine public confidence in the profession.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

On World Environment Day (5 June), a new review suggests a silicone toothbrush may offer more than environmental benefits – potentially helping patients who struggle with conventional brushing.

The scoping review indicates silicone toothbrushes could be worth considering for children, older adults and patients with reduced dexterity, although the evidence base remains limited.

Published in PLOS Global Public Health, the review analysed 10 English-language studies examining the role of a silicone toothbrush in preventive oral care.

With growing attention on sustainability in oral health products, the findings also contribute to wider discussion about environmental impact. The Oral Health Foundation has previously estimated that around 256 million toothbrushes are bought and discarded in the UK each year.

Several studies suggested silicone toothbrushes can remove plaque effectively, in some cases performing comparably to conventional plastic toothbrushes with nylon bristles. Softer silicone bristles were also associated with a lower risk of gingival trauma and tooth abrasion.

Who could benefit?

The review highlights potential benefits for children, older adults and patients with reduced dexterity – groups who may struggle with conventional brushing techniques. The authors also note that silicone designs may have applications in low-resource settings, including where access to clean water is limited, although this area remains under-researched.

On sustainability, one life cycle assessment included in the review found that toothbrushes with silicone bristles and a polypropylene handle performed better across 18 environmental impact categories than those with nylon bristles and a polypropylene handle. The analysis classified brushes by material rather than naming specific products or manufacturers.

However, the authors emphasised that the overall evidence base is small and heterogeneous. The review included a mix of clinical studies, in vitro research, one animal study and one life cycle assessment, and did not incorporate a formal risk-of-bias assessment.

Further high-quality research is needed to assess effectiveness, safety, patient acceptance and the feasibility of wider implementation.

For dental professionals, the findings do not support a blanket switch from conventional toothbrushes. However, they may prompt chair-side discussions with patients who experience difficulties with brushing due to dexterity, discomfort or sensitivity, while also raising broader questions about how preventive oral care can become more sustainable.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

Henry Schein One is launching Dentally Live for the very first time this year, with FMC joining as one of the key sponsors of the day, alongside the likes of Chairsyde and Boxly.

This brand‑new, one‑day innovation summit is for practices that want to stay ahead of the curve. This isn’t a typical conference. You will build your practice’s future during a working day focused on practical insights, hands‑on learning, and influencing what comes next in dentistry.

• BMA House, London 
• Friday 26 June 
• Six hours of CPD.

Dentistry is evolving fast. Patient expectations are rising, regulations tightening, and technology, especiallyAI, is reshaping how modern practices run. Dentally Live brings together product leaders, industry experts, and real practitioners to help you navigate that change with confidence.

What you’ll take away

Dentally Live is designed to provide actionable outcomes, not just ideas. You’ll leave with:

• Clear strategies to reduce admin and streamline workflows using AI and automation
• Practical marketing and patient experience tactics you can implement immediately
• Compliance clarity from legal and regulatory experts
• Hands‑on experience with new Dentally features and future concepts
• Benchmarking insights to strengthen business planning and performance.

This is about equipping your practice to work smarter, today, tomorrow and beyond.

What to expect

Now, next, future

Max Eskell, Amy Baxter and Hansa Rastogi reveal what Dentally has delivered over the past year, what’s coming next, and how roadmap decisions are shaped around real practice needs.

AI and automation summit 

Ross Hepburn explores real‑world use cases of AI in dentistry. What’s working, what’s hype, and how to adopt automation ethically and effectively.

Data, legal, compliance and ethics clinic 

Jonathan Meadows, Guy Micklewright and Mark Hobson break down the regulatory landscape and give you practical steps to stay compliant as digital dentistry accelerates.

These sessions are designed to give you clarity, confidence, and practical next steps, not just information.

Who should attend

Dentally Live is designed for:

• Dentally and EXACT users
• Practice owners and principals
• Dental group leaders and C‑suite
• Teams looking to modernise, grow, or future‑proof their practice.

If you’re planning for the next stage of your practice’s evolution, this is where you need to be.

A day built for connection

Alongside the learning, you’ll enjoy a summer courtyard breakfast, refreshments, hands‑on innovation labs, interactive workshops, and a relaxed drinks reception to close the day. It’s a chance to connect with peers, partners, and the Dentally team in a setting designed for open conversation and shared ideas.

Secure your tickets here.

This article is sponsored by Henry Schein One.

John Hutcheson reveals how he is transforming his 45-year approach to dentistry by integrating cutting-edge lasers into his practice.

Advances in dentistry are accelerating at a rapid rate, with lasers emerging as a central technology helping to transform modern-day dental practice. They enable a wide range of procedures – soft-tissue procedures and cavity removal, implant placement and periodontal therapy among them – to be performed more comfortably and efficiently. With an emphasis on treatments that support long-term health while preserving natural structures, lasers help clinicians align their delivery with patient expectations for an in-chair experience that includes faster healing, quicker recovery and less discomfort.

Dentist John Hutcheson graduated from the University of Edinburgh in 1980 and has dedicated over 45 years to providing exceptional general dental care. With extensive postgraduate knowledge in implant dentistry, orthopaedic orthodontics, restorative dentistry and advanced surgical techniques, he has never shied away from continually advancing his skills. He currently practises at Rosemount Dental Clinic in Aberdeen and last year expanded his impressive skillset by adding laser technology to his practice, acquiring an Ultrapulse CO2 Laser Surgical System ML030.

He complemented the investment with a specialised laser course supported by Dental Sky – and he hasn’t looked back. Just five months later, this innovation has profoundly transformed the clinic’s standing, marking a significant step forward in his own delivery of care and proving to be something of a game-changer.

Adapting to lasers in dentistry

Incorporating new tech often comes with a steep learning curve, but John’s previous experience with lasers, albeit in a limited capacity, coupled with the ‘exceptional hands-on course’, gave him fresh confidence.

‘It’s been both exciting and challenging,’ he says. ‘Often, interest in one area leads to another, so you develop what you wish to focus on within the discipline you want to pursue. My postgraduate education has led me to many clinical applications. When you do a lot of postgraduate study, it steers you in the right direction or adds another “leg” or “arm” to the picture, with knowledge always changing. However, my interest in lasers stemmed from outside dentistry, via a chiropractor colleague with whom I often collaborate.’

That collaboration stems from his focus on paediatric care, which is the heartbeat of his dentistry.

‘We have a major chronic illness problem in the UK. Oral health affects every system in the body, and the earlier we address it, the better. I have always wanted the best for children, and my mission is to make them healthier. While I might have experience in all elements of restorative and cosmetic dentistry, orthodontics and surgical care, it is paediatric dentistry that ticks the boxes.’

John believes that soft-tissue dysfunction, along with habits such as mouth breathing, incorrect tongue position and thumb sucking, are the main causes of malocclusion and poor craniofacial development. One factor affecting overall health is a small jaw, which can influence the entire body. Addressing this issue can give individuals a better start in life and is one step in the right direction.

A unique selling point

The Ultrapulse CO2 Laser Surgical System ML030 from SWOT is ideal for soft-tissue oral surgery, including frenectomies. It is frequently utilised in conjunction with orofacial myofunctional therapy (OMT) to address tongue-ties and other restrictive oral tissues, optimising patient functional outcomes.

Now, with his investment, John is offering laser frenectomy procedures – tongue-tie and lip-tie releases – to deliver superior precision, reduced bleeding and faster healing than the more traditional methods. It has transformed his paediatric care, enabling tailored adjustments and improved outcomes.

‘Early detection of incorrect development is common but often untreated,’ John says. ‘Parents used to bring their children in early for teeth straightening, but now, with increased health awareness, they are also seeking immediate solutions for sleep-breathing problems and concentration issues.’

And concerned parents are finding a dental home with John. As such, it is proving to be the clinic’s unique selling point.

‘We are the only myofunctional practice in Scotland,’ John proudly adds. A collaboration with an in-house myofunctional educator, along with referrals to the aforementioned chiropractor and other health professionals, also supports the care he provides.

Lasers as an adjunct

The Ultrapulse CO2 Laser Surgical System ML030 also has broader applications, to the point that John now uses it in his everyday dentistry.

‘Lasers are excellent adjuncts to all therapy. I use it every day – for gingival hypoplasia, enhancing periodontal treatment, addressing TMJ issues, and helping reduce pain post-ortho or RCT. Using a laser can significantly accelerate procedures. For instance, a lingual frenectomy now takes me only 10 to 15 minutes, reducing stress for the patient. The laser settings are highly adjustable, recognising that no two patients are exactly alike. This flexibility allows me to perform a lingual frenotomy on a baby and immediately fine-tune the settings for optimal results. Precision and adaptability are essential.

‘Whatever you are doing to reduce pain, improve healing, or both, the technology enhances perioperative outcomes and surgical procedures, making them quicker and bloodless. They ensure surgical precision in tissue removal whilst simultaneously promoting effective haemostasis and simply enhancing outcomes.’

John believes the Dental Sky course smoothed the path for him to integrate laser technology into his practice. It has helped him to operate more holistically, providing a patient-specific, minimally invasive toolkit that supports contemporary dentistry.

‘Learning from experienced instructors is essential,’ he says. ‘The hands-on element was crucial, providing detailed insights. It was both incredibly informative and practical. Lasers are a flexible piece of kit, but we must have a full understanding of how they work. Many clinicians overlook their immense potential, but Dental Sky’s course shone a spotlight on how this powerful tool can open new horizons, ensure patient comfort, improve outcomes, and add confidence to the way you practise – even after 45 years in dentistry.’

This article is sponsored by Dental Sky.

Artificial intelligence (AI) is no longer a future concept within healthcare, it is rapidly becoming an essential part of clinical practice – Dr Asad Rahman explains his motivation for adopting an AI-driven workflow.

Across dentistry, forward-thinking organisations are harnessing AI not as a replacement for clinicians, but as a powerful support system designed to enhance diagnosis, improve patient communication, and streamline workflows.

At the forefront of this digital transformation is GenSmile, one of the UKs largest privately owned dental groups, operating 38 practices nationwide. Under the clinical leadership of Dr Asad Rahman, who has spent the last three years integrating Pearl AI technology in his own practices, and now it is being rolled out to the GenSmile network, embedding AI into day-to-day and specialist practice while maintaining a strong commitment to clinical autonomy and patient-centred care.

For Dr Rahman, the motivation behind adopting AI was clear from the outset.

‘We have a central ethos of complete clinical freedom,’ he explains. ‘We want our clinicians to feel as if they’re in control. Put simply, we want to provide them the best tools and techniques, and then allow them to provide the standard of care to our patients.’

That philosophy reflects a wider shift happening within modern dentistry. AI is not being introduced to replace the clinician’s expertise, but rather to enhance it, providing an additional layer of support, consistency, and confidence during patient diagnosis and treatment planning.

What is Pearl AI?

Pearl AI is an advanced dental artificial intelligence platform designed to assist clinicians in interpreting radiographs and identifying potential dental conditions. Using machine learning technology trained on many millions of dental images, the software can highlight areas of concern such as caries, bone loss, failing restorations, calculus, and other radiographic findings in real time.

Importantly, Pearl AI does not diagnose independently. Instead, it acts as a ‘second opinion’ tool, helping clinicians validate their assessments and communicate findings more clearly with patients.

For dental groups such as GenSmile, the technology offers benefits far beyond the surgery itself. It creates consistency across multiple practices, enhances clinical governance, and helps standardise patient communication while still preserving individual clinicians’ judgement.

‘At a group level, we expect our AI approach to have massive benefit,’ says Dr Rahman. ‘Not just within an individual consultation between patients, but to really showcase that we are at the forefront of AI and digital technologies.’

Enhancing the patient journey

One of the most significant advantages of AI within dentistry is its ability to improve patient understanding and engagement. Dental radiographs can often be difficult for patients to interpret, which can create uncertainty around diagnoses or recommended treatment.

By visually highlighting potential issues directly on the X-rays, Pearl AI helps make conversations more transparent and easier to understand. According to Dr Rahman, this becomes even more powerful when the entire dental team embraces the technology.

‘It’s really important for us at GenSmile that our teams are using Pearl, and when you mention teams, it’s every member of the team,’ he explains. 

Patients may interact with reception staff, treatment coordinators, hygienists, dentists, therapists, and specialists throughout their care journey. Having every member of the practice able to explain and reinforce AI-assisted findings creates continuity and trust.

‘When they see the hygienist, they’re being shown Pearl. When they see the dentist, when they see their specialist, they’re able to understand each stage of the treatment process from different dental professionals,’ says Dr Rahman.

This collaborative approach ensures patients remain engaged and informed throughout treatment, helping improve acceptance, confidence, and overall experience.

AI as clinical support, not replacement

Despite growing excitement around AI in healthcare, Dr Rahman is clear that technology should never replace clinical expertise.

‘As with any AI system out there, Pearl AI is not brought in to replace clinicians or their diagnostic ability,’ he says. ‘We have to use it as a second opinion.’

This distinction is critical. AI systems are designed to assist clinicians by improving consistency and reducing the possibility of missed findings, particularly during busy clinical sessions.

Fast paced dentistry today places immense pressure on clinicians, who are often balancing packed appointment books, treatment planning, patient communication, compliance requirements, and detailed note-taking simultaneously.

‘We all go through those days when we’re seeing multiple patients back to back and having to also do our notes in between,’ Dr Rahman notes. “’Things can make things chaotic, and having AI there as a kind of backup – as a handhold – to make sure we’re not missing anything is so important.’

The benefits extend beyond clinical reassurance. AI-assisted workflows can also improve efficiency, allowing clinicians to spend more meaningful time with patients while reducing administrative strain.

‘Time is at an essence,’ he says. ‘Systems like Pearl AI save so much time on an individual clinician basis and an individual patient basis that they’re worth their weight in gold.’

Reflecting a broader commitment to raising standards of care

For GenSmile, the adoption of Pearl AI represents more than simply implementing new software. It reflects a broader commitment to innovation, digital dentistry, and raising standards of care across its practices.

As patients increasingly expect transparency, technology integration, and contemporary healthcare experiences, AI is likely to become a standard feature within progressive dental organisations.

After three years of using the system himself, Dr Rahman’s verdict is unequivocal. ‘Having used Pearl AI for three years now, I couldn’t work without it.’

That statement perhaps captures the future of AI in dentistry most clearly. The most successful implementations will not be those attempting to replace clinicians, but those empowering them, enhancing confidence, improving communication, and ultimately helping deliver better patient care.

For more information visit: hellopearl.com/getdemo.

For more information visit: hellopearl.com/getdemo.

The General Dental Council (GDC) received 1,766 new fitness to practise concerns in 2025, a 26% increase on the previous year.

The rise was particularly marked among dental care professionals, with concerns relating to dentists increasing by 21% and concerns relating to dental care professionals rising by 45%.

However, the number of dental professionals erased from the register remained unchanged at 18, representing 0.01% of all dental professionals on the register at the beginning of 2025.

The figures were published in the GDC’s Fitness to Practise Statistical Report 2025, which included expanded analysis of case types, outcomes, timelines and equality, diversity and inclusion data.

In the foreword, Theresa Thorp, executive director, regulation at the GDC, acknowledged that fitness to practise investigations can take too long and feel overly complex. She said this can lead to ‘feelings of mistrust, unfairness and more widely, fear of the process and of the General Dental Council’, as well as negatively affecting mental health and wellbeing.

Orthodontics and examinations top clinical concerns

At the end of 2025, 761 cases were open at the assessment stage, with 58% relating to purely clinical issues.

The most common clinical area was orthodontics, while the most common issue was the standard of the examination that took place.

For open clinical cases at assessment stage, the most common allegations were:

• Examination: 37%
• Orthodontics: 15%
• Fillings: 14%
• Extractions: 12%
• Not following current evidence and best practice: 11%.

Conduct also featured strongly at later stages. The report said 60% of allegations before initial practice committee hearings in 2025 related to registrants’ conduct.

More hearings, but erasures remain unchanged

More cases moved into the later stages of the process during 2025. Case examiners referred 275 registrants to a practice committee hearing, up from 198 in 2024.

Initial practice committee hearings rose from 73 in 2024 to 110 in 2025, while initial Interim Orders Committee hearings increased from 99 to 149.

Despite this increase, erasures remained unchanged at 18.

Assessment delays still stretch to 78 weeks

The report highlighted continuing delays at the assessment stage, where the average time to completion rose from 76 working weeks in 2024 to 78 working weeks in 2025.

However, there was improvement once cases moved beyond assessment. The average time between an assessment decision and a final case examiner decision fell from 50 working weeks in 2024 to 36 working weeks in 2025.

The GDC also said its streamlined approach for single patient clinical concerns had almost halved the time taken to complete the assessment stage for those cases, from 30 to 16 weeks.

EDI data raises further questions

For the first time, the report included expanded equality, diversity and inclusion analysis, including breakdowns by ethnicity at different stages of the fitness to practise process.

Dentists of Asian or Asian British ethnicity made up 31% of the dentist register and accounted for 36% of new fitness to practise concerns in 2025. Dentists of White ethnicity made up 46% of the register and accounted for 35% of new concerns.

Among dental care professionals, those of Asian or Asian British ethnicity made up 12% of the register and accounted for 19% of new concerns. DCPs of White ethnicity made up 73% of the register and accounted for 62% of new concerns.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

The General Dental Council (GDC) expects to save £3.2 million over five years by leaving its long-standing Wimpole Street headquarters.

The regulator will relocate its London office to Eastbourne Terrace in Paddington, leaving the Wimpole Street address it has occupied since 1956. Contracts have been exchanged and the GDC expects to begin the transition this summer, with the full move completed by September 2026.

Gurvinder Soomal, chief operating officer at the GDC, said: ‘Wimpole Street has been our home for 70 years, but we now need an office with a working environment fit for the way we operate today.

‘The new space is smaller, modern, sustainable, better suited to hybrid working, and will better support collaborative working as we will be co-located in one area rather than split over several floors at Wimpole Street.’

The Dental Professionals Hearings Service will also move to Avonmore Road in West Kensington, where the GDC said it will initially provide three dedicated hearing suites.

The relocation comes in response to an increase in in-person hearings throughout 2026, which the regulator expects to continue into 2027. The GDC has not yet confirmed when the hearings service relocation will be completed.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

Hypersensitive gagging can turn even straightforward care into something far more difficult, not only for the clinician trying to deliver treatment, but for the patient who may already be feeling anxious, vulnerable or overwhelmed.

Rather than repeating the recording, this piece draws out some of the key themes and considers why it may be more helpful to think of the problem as an airway-related response rather than simply a gag reflex issue.

Why hypersensitive gagging is a problem in dentistry

In day-to-day practice, hypersensitive gagging can be deeply disruptive. It can interrupt treatment, heighten stress in the surgery and leave both patient and clinician feeling as though a routine procedure has suddenly become much more complex. Whether the task is taking impressions, capturing radiographs, carrying out posterior treatment or fitting dentures, the sense of choking that some patients experience can quickly become the dominant feature of the appointment. The practical consequences are significant: longer visits, compromised treatment plans and, for some patients, a growing reluctance to return for care at all. Over time, that avoidance can affect not only oral health, but trust and confidence as well.

Managing hypersensitive gagging in practice

What often helps most is not a single trick or technique, but a clinical approach that makes the patient feel safer and more in control. Calm communication, careful pacing and simple reassurance can all have a powerful effect, particularly when a patient is already bracing themselves for discomfort or panic. Small adjustments in how treatment is introduced and delivered may help reduce that sense of threat and make the experience feel more manageable. Although there is no one-size-fits-all solution, a patient-centred approach can go a long way in easing distress and improving the chances of successful care.

Not just a gag issue: an airway problem

Perhaps the most useful shift in thinking is this: hypersensitive gagging may not be best understood simply as an overactive reflex in the mouth or throat. For many patients, it is much closer to a feeling that their airway or breathing is under threat. That distinction matters. It moves the clinical focus away from trying only to suppress a reflex and towards helping the patient feel safe, able to breathe and less frightened by what is happening. Seen through this lens, the challenge is not just about avoiding a trigger point, but about reducing the sensation of choking and creating the conditions in which treatment feels possible again.

This article offers a short written companion to a topic that is familiar to many in dentistry, yet often more complex than it first appears. Recognising the impact of hypersensitive gagging, and approaching it with empathy, patience and an awareness of the airway dimension, may help clinicians support patients more effectively and make treatment feel possible where it might otherwise be abandoned.

Find out more about TePe toothbrushes.

This article is sponsored by TePe.

As MPs begin hearing evidence on England’s student loan system, new data on public attitudes to higher education raises a specific question for dentistry: is NHS dentistry making full use of the clinicians it trains?

The latest British Social Attitudes (BSA) data from the National Centre for Social Research found that 77% of people in England believe a university degree does not represent good value for money.

Dentistry would seem an obvious exception. Dental school places remain highly competitive – it was announced today (3 June) that 50 new dental school places would be divided between the University of Portsmouth and the University of East Anglia. The link between training and labour market need is well established, and long-term earnings potential is strong.

The profession’s challenge is where that value is realised.

For clinicians who move into private or mixed practice, the return on five years of training and significant student debt is easier to sustain. For those who remain committed to NHS dentistry, the financial and workload pressures created by the contract make that calculation more difficult.

British Dental Association (BDA) surveys have repeatedly highlighted the pressure on NHS dentists. In 2024, the BDA said morale among NHS dentists in England was at an all-time low, with 64% of practice owners and 61% of associate dentists thinking of leaving NHS dentistry.

NHS retention, not graduate supply

The BSA data also found that 42% of people believe there are too many recent graduates in the job market. Among graduates themselves, this rises to 49%.

Dentistry sits awkwardly against that finding. Patients in many parts of the country continue to face restricted access to NHS care, while the profession struggles to retain clinicians within NHS dentistry.

There are plenty of dental graduates, yet not enough able or willing to sustain long-term careers in NHS dentistry.

Expanding dental school places is a welcome and necessary step. But doing so only addresses the pipeline, not the destination. If the NHS contract remains unreformed, more graduates will qualify into the same structural constraints that have driven experienced clinicians away from NHS dentistry.

British Dental Association chair Eddie Crouch said: ‘New dental schools are a step forward but are no silver bullet for ending dental deserts. Keeping even this tiny number of new graduates in the NHS hinges on making the service a place dentists would choose to build a career. That means real reform, wedded to sustainable funding.’

The public’s scepticism about graduate returns is, for most degrees, a generalised concern. In NHS dentistry, it has a specific and well-documented basis.

As Parliament reviews the student loan system, policymakers must ask themselves whether the cost of training still makes sense against the increasingly inhospitable reality of a career in NHS dental service.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

The General Dental Council (GDC) has launched a consultation on proposals to replace the Standards for the Dental Team with a new Framework for Professionalism.

The GDC said the new framework would be the primary measure to fulfil its promise to ‘support dental professionals to provide safe and effective care for their patients’.

The regulator acknowledged that the standards have been criticised since their introduction in 2023 for being ‘overly prescriptive’. It hopes the updated guidance will allow clinicians to apply their professional judgement more freely.

‘We want to regulate in a way that promotes learning over fear and protects patient safety by focusing on what makes things go right,’ said Stefan Czerniawski, executive director of strategy at the GDC.

The four principles of professionalism introduced by the new framework will be supported by expectations, statutory professional guidance, and practical resources like case studies, blogs and videos. The GDC said these supporting materials can be updated to respond to changing needs, unlike the current model.

The framework has been developed through research, testing and engagement with the profession, patients, associations, educators and indemnifiers. It has also been subject to legal and operational testing to ensure it is compatible with existing fitness to practise processes.

The council stressed that the expectation to ensure patient safety and public confidence in dentistry would not change, but it would become easier to apply professional judgement confidently.

Views on the Standards for the Dental Team from the profession

Before it can be put into practice, the GDC has opened a consultation for dental professionals and other stakeholders to share their views – it can be accessed here.

If approved, the GDC collaborate with stakeholders to develop the supporting material to help dental professionals understand and apply the new framework in practice. 

Czerniawski added: ‘This consultation marks a big step towards making regulation work better for dental professionals and their patients, with a new approach which is simpler, clearer and more accessible. In place of detailed rules, there are four clear principles, which are supported by expectations and guidance designed to help professionals to apply their judgement with confidence.

‘The proposals are important and we look forward to hearing responses to the consultation from everybody with an interest in dental regulation.’

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Join David Nelkin on 9 June at 7pm as he discusses the patient journey most practices have never mapped, from enquiry to treatment start.

Most practices invest heavily in generating leads, but very few have ever properly mapped what happens once those leads arrive.

This webinar walks through the full patient journey from first enquiry to treatment start, exposing the touch points where most practices are silently losing patients and the small, specific changes that consistently turn more enquiries into treatment starts – often without spending another pound on marketing.

It will:

• Reposition the patient journey as a growth lever in its own right, not a back-office function
• Show practices where conversion rates are typically being lost between enquiry and treatment start
• Share the specific touch points, scripts, and timings that separate high-converting practices from average ones
• Demonstrate the revenue impact of small, measurable improvements in conversion at each stage of the journey
• Equip practices with a practical audit they can run on their own patient journey within a week.

Learning outcomes

• Map the full patient journey from first enquiry to treatment start, identifying the key touch points that influence conversion at each stage
• Apply the 10-minute rule for first-contact response and understand why response speed is the single most important conversion factor most practices are getting wrong
• Diagnose the four most common revenue leakage points in a typical practice – unbooked follow-ups, stalled treatment plans, failed recall, and underpriced services – and apply specific fixes for each
• Introduce patient finance and membership plans confidently and consistently in a way that increases case acceptance without ever feeling pushy
• Calculate the revenue impact of small conversion improvements and understand why a five percentage-point lift at the consultation stage can deliver tens of thousands of pounds a year
• Build the practical systems and team scripts needed to deliver a consistent, high-converting patient journey across every member of the team – reception, TCOs, nurses, and clinicians alike.

The speaker

David Nelkin is the founder and CEO of Xcelerator Dental, a specialist dental marketing agency focused on practice growth.

With over 11 years of experience working with more than 200 dental practices, David is recognised as a thought leader in dental marketing. Under his leadership, Xcelerator Dental has won multiple awards, including Website of the Year at all three major dental awards in 2024 and CSR awards for sustainability initiatives.

David is passionate about simplifying the path to growth for dental practices.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• The first 100 days of marketing for a new practice owner
• Is your practice quietly losing £100,000 a year?
• The five hidden HR risks in dental practices and how to prevent them
• Achieving superior outcomes in periodontal and peri-implant treatment
• Wellbeing starts with you: mindfulness for dental professionals.

Dental practices in the UK are feeling the pressure. A perfect storm of changes has created an increasingly complicated compliance and employee landscape for dental practices.

An increasing exodus from the NHS model and an increasingly difficult-to-navigate HR landscape around employment have meant that the managers of many practices are overwhelmed.

Picture it, you undertake a degree in dentistry for five years, you then complete your two years of postgraduate training and manage to get set up in a practice of your own. Then you find yourself on the wrong end of an HR scandal because you failed to correctly schedule the hours for your dental assistants over a fortnight.

This is not what dentists go to school for, and it is one of the main reasons that many dental practices are turning to digital shift management software to handle their staffing needs. These tools ensure that dental practice management doesn’t become an HR headache or a compliance issue.

Let’s take a closer look at some of the things that are causing dental practice managers to become overwhelmed, including the increasing shift away from the NHS, workforce management and HR issues, and how automation can bring some relief.

UK dental practice ownership is changing

The reality of owning a dental practice in the UK is changing. Between the shift from NHS to Private and the ‘five hidden HR risks’ recently highlighted in industry webinars, dental practice managers are overwhelmed. Managing complex clinician rotas digitally is now a prerequisite for practice goodwill values. Luckily, digital shift management software like Factorial is able to handle their increasing needs around rota management.

For many dental practice managers, managing a dental practice is becoming less about delivering a high level of care and much more about workforce management, operational efficiency, remaining compliant with regulations and ensuring that the business is viable and sustainable as a business over a long period of time.

The exodus from under the NHS umbrella into private care

If you have been keeping up with dental news, it’s likely you’re well aware that many dental practices are turning away from the NHS and starting to offer private treatment instead. The why of this transition is beyond the remit of this article to fully explore, but broadly speaking, the discussion in the industry has largely centred on the inefficiencies the NHS contracts had, broader financial pressure and shortages in the workforce.

Putting aside the why, the prevailing focus for the UK dental industry in 2025 and into 2026 has been how best to move away from the NHS model and towards private care. This has, as shouldn’t be surprising, caused the private dentistry market in the UK to balloon and expand at a rapid pace. This has led to some issues, and watchdog groups have launched reviews into pricing transparency and concerns around competition as the demand and amount of private care increase. Some reports have claimed that despite the increasing competition, costs have gone up by more than 23% in some cases.

The important thing for many practices, as they transition to private models, is that they are experiencing new challenges regarding scheduling and compliance. Private dental care is a field that offers far more flexibility in how appointments are structured, can have much longer treatment times, clinician availability that is more variable and much more dynamic staffing arrangements in general when compared to NHS models. Importantly, this means that practices that switch from NHS models to private ones are likely to experience significant increases in operational and staffing complexity, which means traditional rota management solutions are unlikely to be sufficient.

Workforce management has become an important consideration

You might imagine that your local dental practice as being an easy thing to manage; the dentist comes in early in the morning, chats with the receptionist and hygienist. They review the patients of the day and then one-by-one see those patients and complete the work on them as required, never running long or having complications, then they leave mid-afternoon when their client list is all done for the day.

The reality is far more complex. A modern private dental practice is likely to have dentists, specialists, hygienists, locums, nurses, admin staff, treatment coordinators and even therapists on the call sheet. They must also ensure that all of these employees are up to date with all regulations specific to their fields, and to employment laws, that annual leave, sickness, licensing, overtime and any other matters of compliance are all correct. That doesn’t sound easy to manage; that sounds like a never-ending migraine.

You might think, then, given the nature of this article, that simply acquiring some software to help automate the workforce management of a dental practice would be the solution. Unfortunately, a study reported by US Tech Automations showed that despite paying for scheduling software, 67% of dental practices surveyed reported that the software failed to account for industry-specific requirements. The end result of this was that managers still needed to spend eight to 12 hours a week making manual schedule adjustments, despite paying for automation software. But that isn’t even the worst-case scenario; poor scheduling can also lead to HR risks.

Dental practices face hidden HR risks

As the reality of dental practice scheduling and workforce management grows more complex, many practices may stray towards HR related risks specific to the dental industry. An upcoming webinar with the title ‘The five hidden HR risks in dental practices and how to prevent them’ will explore the way that gaps in communication, inconsistencies across management processes, rotas and contracts can combine to create situations in which practices are exposed to breaches in compliance.

The webinar promises to deliver clarity on a number of challenges that dental practices are facing and will include topics like:

• Identifying the hidden HR risks in day-to-day operations
• Recognising early warning signs in team dynamics before they become bigger issues 
• Understanding how informal practices can increase HR compliance risks 
• How to gain greater clarity, consistency and control over your practice through the application of structured frameworks
• How stronger team management and communication can lead to better care for patients.

By combining insights gained from this webinar with industry-specific digital workforce management solutions, dental practice managers can greatly reduce the risk of drifting into HR related non-compliance. These solutions are able to combine staff records, compliance tracking, scheduling and communication within a central system, greatly simplifying staffing management for dental practices.

Rota automation helps dental practice managers save time

Dental practice managers who use automated rota management solutions will find that they save a significant amount of man-hours over time. There is already a good case for the use of automation for handling customer enquiries; this case can be extended to rota management as well.

Especially in dental practices where administration staff are already under the pump, doing away with the need to manually rearrange shifts and contact different staff members for confirmations, as is needed when outdated manual scheduling processes are used, can allow those administration teams to put their effort into more crucial tasks. The dream of automation is to remove as much repetitive busywork as possible, and scheduling is one area that can truly benefit.

Rota improvements reduce burnout and increase staff satisfaction

Even the best manager is liable to make rota mistakes when they use outdated manual processes, and those mistakes can lead to staff burnout, dissatisfaction and staff churn. Burnout is one of the biggest issues across the healthcare industry, and poor scheduling can easily exacerbate burnout. Rota mistakes are likely to lead to things like excessive overtime, inconsistent hours, understaffing and, eventually, employee dissatisfaction.

Digital rota systems can ensure that these mistakes are avoided and that rotas remain fair, overtime is balanced and staff workloads are equally distributed. While not specific to the dental industry, a study published in 2025 on arXiv showed that an algorithmic approach to scheduling for healthcare workers created a 66% boost in performance when compared to a manual scheduling process. 

In short, intelligent automation of rotas, leading to better management of rotas, will lead to happier employees and increased employee retention.

Sophisticated modern scheduling solutions make compliance easy

As are many other industries, the dental industry in the UK is facing increasing scrutiny regarding patient safety, operational transparency and employment compliance. Things like training requirements, staffing certifications, working hours, employment agreements and leave balances must have accurate records kept of them. The larger and more complex a practice becomes, the harder it is to maintain those records.

For larger practices, older spreadsheet models are simply not sufficient and can be a compliance risk. Automation and modern scheduling solutions, on the other hand, often make remaining compliant simple, as they hold all of the necessary information in a central and easily accessible digital record. These systems are also likely to have the capability to generate alerts as competencies and certifications expire, or when any other compliance-related gaps emerge.

Automation is in vogue for dental practice operations in 2026

For dental practices in the UK, embracing automation for rota management and compliance needs is well and truly in vogue. As many practices face the pressure of movement into the private care sector, shortages in staff numbers, increasingly demanding compliance requirements and growing complexities in their own scheduling needs, the need for modern shift management software solutions is clear.

Practices that are continuing to rely on old spreadsheet-based scheduling methods are exposing themselves unnecessarily to HR and compliance risks. On the other hand, practices that embrace modern scheduling solutions early will see better staff satisfaction and retention, improvements in efficiency and greater confidence in meeting compliance standards.

This article is sponsored by Bazoom.

Is chairside digital dentistry quicker, more conservative and worth the investment? Those were the questions behind Dr Simon Fieldhouse’s Dentistry Live Q&A on dental inlays and onlays.

Following a live demonstration of an inlay/onlay with cuspal replacement, Fieldhouse answered practical questions on milling versus printing, material choice, preparation design, cementation and return on investment.

Milling versus printing

Asked whether printing might be quicker than milling for an inlay, Fieldhouse was direct: ‘No.’

While printing has applications in surgical guides, models and splints, he said post-processing currently makes it less practical for chairside inlays.

‘Realistically the production process, instead of being between three and five minutes, is 15, 20, maybe even 25 minutes, and that’s a lot longer,’ he said.

For dental inlays and onlays, he said hybrid ceramics remain his preferred material.

‘For inlays, hybrids are great,’ he said. ‘I prefer them to ceramic, to be honest, partly because the processing time is a lot quicker.’

Preparation and cementation

On large MOD amalgam premolars, Fieldhouse said he removes the amalgam, places a bonded SDR or composite core, and works to minimum material thickness.

For cementation, he described a consistent protocol: etch, silanate, then Calibra Universal Cement, using Prime & Bond active as the adhesive.

The business case

Fieldhouse also discussed the return on investment from digital dentistry. His practice started with two scanners, one mill, one furnace and a CBCT, before buying a second mill within six months.

‘For the first seven years of us working digitally, we saw a 25% year on year increase in profits,’ he said. ‘And that was including the capital investment.’

Watch the full Dentistry Live session with Dr Simon Fieldhouse on demand now.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

When complaints, claims or regulatory investigations arise, having the right support can make all the difference – Densura explains the help it provides to dentists in this situation.

Every dentist knows the feeling: a complaint lands, a GDC investigation begins, or a claim surfaces out of nowhere. In those moments, the last thing you need is to feel alone. That’s the ethos at the heart of Densura’s approach to medical indemnity, and it comes through clearly when you hear from the people who deliver it every day.

More than a policy, a team in your corner

‘Just for a minute, imagine you’re in that dentist’s shoes at that moment,’ says one of Densura’s dental legal advisors. ‘It’s your complaint, or your GDC investigation, or your claim. Once you start thinking about how this really feels for that person – that’s where I think we deliver an amazing service.’

It’s a perspective that shapes everything Densura does. Its advocacy team acts as the first point of contact, ensuring policy holders are connected to specialist dental legal advice as quickly as possible. For many dentists, that swift response makes all the difference.

Human support when it matters most

What sets Densura apart isn’t just technical expertise, it’s empathy. Around half of the situations dentists bring to them are ones the team has personally encountered, or supported others through before.

‘We’re all human, we’re all going to make mistakes,’ says one advisor. ‘Dentists value that we can relate to what they may be going through. When we can bring that into the conversation and reassure the dentist that they’re not alone, that in itself provides comfort.’

That human quality extends to the practical, too. When emotions run high a dentist’s instinct might be to fire off a response to a complaint that reads as defensive or distressed. Densura’s team are skilled at identifying that tone and helping reshape it into something measured and appropriate. As one team member puts it: ‘We have the skill set to change the wording, amend it, so that it’s the right tone.’

Don’t wait, contact your indemnity team early

One of the clearest messages from the Densura team is this: reach out early. Dentists sometimes hesitate to contact their indemnity provider at the first sign of trouble, hoping to manage a complaint themselves. But that well-intentioned instinct can allow situations to escalate unnecessarily.

‘We’re experts at managing matters,’ explains one of the dental legal advisors. ‘We know when a complaint needs to be resolved, when you can dig in and defend your position. We can help right at the very outset with that.’

And that commitment doesn’t stop at 5pm on a Friday. The team makes a point of checking every inbox before the end of the working week, making sure no dentist heads into the weekend alone with their worries.

‘I don’t want any dentist left on their own worrying about this all weekend,’ says one advisor simply. It’s a small detail, but it says a lot about who Densura are.

Relationships built over years

For many Densura clients, the relationship with their indemnity provider goes beyond transactional. Over time, dentists come to know their advocacy team and legal advisors by name and that familiarity builds real trust.

‘We make friends with our clients,’ says one dental legal advisor. ‘That word advocacy is at the absolute core of what we do. We’re literally there to advocate for our clients. We’re really passionate about that.’

Those who come through difficult experiences often find themselves stronger practitioners on the other side. ‘You are going to learn so much from it,’ one advisor reflects. “‘I see it time and time again, they really flourish.’

Is your medical indemnity renewal coming up?

If your indemnity is due for renewal, now is a great time to explore your options. Let Densura know when your renewal date is, and their team will be in touch to support you through getting a quote.

No pressure, no obligation, just expert guidance from people who genuinely care about your practice.

Contact the Densura team today – no query is too big or too small.

This article is sponsored by Densura.

Julie Hart, a dental nurse from Sunderland, is proud to announce that she is celebrating 35 years in dentistry this year.

Julie, who joined what was then Oliver’s Dental Practice in 1990, reflects on the journey she’s been on over the last three decades; sharing how the industry has evolved, whilst also encouraging others to consider a career in dentistry.

The practice, which is now mydentist Oliver’s House, Sunderland, has evolved massively over the last 35 years. Reflecting on the journey, Julie comments: ‘It is amazing to think about how much the practice has changed in the time that I’ve been here. When I started, Oliver’s was a two-surgery practice. Many expansions later, we now have 10 surgeries, and a much bigger team.

‘My proudest moment has got to be my contribution to the SMS messaging system. One of my favourite aspects of my role is working with IT, so this was the perfect project for me. This, along with achieving my radiography qualification, still makes me feel proud to this day.’

Julie has built strong, long-lasting friendships over the years, both within her team and the wider community. ‘I’ve always said how important teamwork is in a role like mine,’ she said. ‘I’ve enjoyed many memorable moments over the years, bonding with my team on workaways, camping trips and nights out. Getting to know the patients, hearing their funny stories and life updates, continues to make me smile.’

A reassuring presence

Melissa Nicholson, practice manager at mydentist Oliver’s House, commented: ‘For 35 years, Julie has been the warm welcome and reassuring presence at the heart of Oliver’s. Her dedication, professionalism, and unwavering kindness have left a lasting impression on generations of patients and staff alike. We are deeply grateful for her remarkable service and the care she has shown every single day.’

Kelly Greathead, area development manager at mydentist, added: ‘Congratulations to Julie on an incredible 35 years. Your commitment is inspirational. You are truly appreciated by your team, patients and the wider mydentist network.’

Finally, when asked what advice she would give her younger self on her first day on the job, Julie said: ‘Be patient and confident. You won’t know everything straightaway – and that’s fine! Ask lots of questions, learn from the team and don’t be afraid to get things wrong. Making mistakes is how we grow.

‘For anyone considering working in dentistry, it really is a most rewarding career. If you enjoy working with people and remember that patient care is at the heart of everything we do, it just might be the career for you.’

With team members like Julie at its heart, mydentist remains committed to fostering talent, supporting colleagues and going above and beyond to deliver exceptional patient care.

Find out more about the roles currently available at mydentist.

This article is sponsored by mydentist.

Nigel Jones questions whether the chaotic rollout of new NHS contracts is a case of poor planning or a complete lack of empathy for exhausted clinicians.

Was it simply inadequate planning? Maybe it was a lack of empathy with those inhabiting the exhausting hectic world of clinical dentistry who have little time, energy or inclination to wade through pages of fine print. Or worse, a demonstration of a lack of regard for one of the most important professions we have.

Whatever the root cause, the start of new contractual arrangements in England and Wales has caused confusion, alarm, despondency and anger even among some of the most fervent supporters of NHS dentistry.

A profession in the dark

As evidenced by a webinar I hosted the week after the new arrangements went live, the profession still has many questions about the details and their likely impact on them operationally and financially. 

These are small business owners, in the main, and they are now trying to run those small businesses to a set of requirements they don’t fully comprehend.

The unfairness and disrespect of it all is staggering.

It’s widely acknowledged we don’t have enough dentists in the UK, and especially not enough willing to work in the NHS.

Surely, someone considered the need to keep the profession onside through the implementation of what has been described by the NHS itself as the biggest change to NHS contractual arrangements since 2006?

I want to be sympathetic to people put in a difficult position, constrained by a lack of time and resources, trying to deliver projects of this size, but it’s a struggle.

I know the challenge of doing this in my own business on projects, significant for us but small in comparison to the latest undertakings for NHS dentistry.

The Teal Book failure

While wondering about and researching what project management advice they receive, I stumbled across The Teal Book.

The Teal Book’s purpose is described on www.gov.uk (2025) as being able to ‘provide guidance to enable practitioners and teams to direct and manage portfolios, programmes and projects in government, ensuring the successful and timely implementation of government policy and business objectives’.

Chapter 26 is ‘stakeholder engagement’, the purpose of which is ‘to ensure that the needs and concerns of stakeholders are addressed appropriately to meet the objectives of a portfolio, programme or project’. 

Among the key points listed in this chapter is the need to identify and analyse stakeholders so that engagement can be prioritised, tailored and reflective of their needs and preferences.

Those at the sharp end of NHS dentistry in England and Wales could be forgiven for scratching their heads as they try to wrap themselves around the implications of the changes and wondering if anyone bothered to read chapter 26.

More than a memo

Anyone who tries to engage with the dental profession knows it isn’t straightforward.  

You can’t just send a ‘memo’, electronic or otherwise, or just hold a webinar and believe that the stakeholder engagement box can be ticked.  

The wording of chapter 26 tells you this when it says engagement should ‘reflect their needs and preferences’. 

To me, this means allowing for the fact that your target audience is working flat out clinically during the working day and in the evening, is more likely to fall asleep on the sofa in front of the television than tune into an online event or wade through the detailed guidance notes.

Surely, that’s obvious? So obvious, that it is no wonder the more cynical consider the current state of affairs to be more conspiracy than cock up, and that fears of dentists being constructively dismissed from the NHS are being realised.

I favour the ‘qualified cock-up’ theory where the project teams find themselves under such immense pressure that executing and implementing strategy to a high standard is nigh on impossible.  

However, with demand for dentistry growing, driven by cosmetic dentistry and an ageing population retaining more natural teeth, and supply of dentistry under pressure due to part-time working and lower productivity, the balance of power lies with the profession.

Indeed, it could be said that the NHS needs the dental profession more than the dental profession needs the NHS.

And future stakeholder engagement plans should take that into account.

This article is sponsored by Practice Plan.

Chronic oral inflammation impaired ovarian function and reduced fertility in a mouse model, according to a study published in the Journal of Dental Research.

The study, led by Prof Michael Klutstein and Prof Asaf Wilensky at the Hebrew University of Jerusalem and Hadassah Medical Center, examined implant-associated oral inflammation in mice and tracked how immune signals spread through the body.

Researchers found the inflammation did not remain confined to the oral cavity. Instead, it triggered a systemic immune response that extended to the ovaries.

In the animals, this inflammation was linked to elevated levels of inflammatory cytokines in the ovaries, shifts in immune cell populations, oxidative damage to ovarian tissue, impaired follicle development and reduced oocyte quality.

These changes resulted in significantly reduced birth rates in animals under inflammatory conditions compared with those without inflammation.

The study also identified cellular effects in oocytes, including DNA damage and epigenetic alterations resembling those seen in reproductive ageing. The researchers said this pointed to a possible mechanism by which chronic inflammation may affect fertility.

‘Inflammation is often thought of as a localised response, but our findings show that it can have systemic consequences that extend as far as the reproductive system,’ said Prof Michael Klutstein. ‘This work suggests that chronic oral inflammation may be an underrecognised factor in female infertility, potentially contributing to cases that currently have no clear explanation.’

However, the findings do not show that dental implants, periodontitis or other oral inflammatory conditions reduce fertility in women. The research was carried out in mice, and clinical studies will be needed to establish whether the same mechanisms apply in patients.

The study adds to the research on oral health and fertility, but the authors said human data will be needed before the findings can inform patient care.

The researchers said the findings could guide future clinical studies exploring whether treating oral inflammation could play a role in improving reproductive health.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

A single patient record will avoid people having to repeat dental and medical information to different NHS providers under the government’s newly-announced NHS Modernisation Bill.

The NHS could save around £20 million per year in medication errors, adverse drug reactions and duplicate prescribing according to government proposals to create a centralised health record for each patient.

Set to be debated in Parliament today (1 June), the NHS Modernisation Bill aims to join up fragmented health information around the country. All NHS providers will have to share data so other healthcare workers can securely see the patient’s history.

Improved access to records will begin from 2027, starting with certain specialties including maternity and frailty.

How will the NHS Modernisation Bill affect dentistry?

Dr Alec Price-Forbes, national chief clinical information officer at NHS England, said: ‘For too long, patient information has been held in silos, leading to patients having to repeat their stories, and creating workarounds, potential duplication or gaps in understanding for clinicians.

‘The single patient record will give us an invaluable single point of truth for both the clinician and the patient and means higher quality, safer, more joined-up and more personalised care for patients.’

The need for joined up care across healthcare specialties has often been noted by experts in the dental sphere. Speaking at the Dental Leadership Network event, convened by the GDC in March 2026, deputy chief dental officer for England Rakhee Patel said the UK was ‘missing a trick’ with data sharing.

‘We’re very rich in the NHS with data, but it’s not just healthcare data – it’s health and social care data,’ she said. ‘This includes data that our local councils cover as well. If we know through the NHS where our patients that have been diagnosed with dementia are, or our patients that are at risk of frailty, why are we not using that data to drive care pathways into oral health, and look at them based on risk.’

Why is joined up care important?

James Murray, secretary of state for health and social care, drew on personal experience to highlight the importance of the NHS Modernisation Bill. He said: ‘When I was in my 20s I was diagnosed with a rare neurological condition. I am now symptom-free and I get fantastic support from the NHS. But I know how much effort it can be to keep different parts of the health service joined up, and how distressing it is for some patients to repeat their medical history over and over.

‘That’s why our single patient record is so important. It sits at the heart of our NHS Modernisation Bill will end this once and for all – making care safer while saving clinicians’ time.

‘My priority as health secretary is to modernise the NHS and make it work better for patients. This is our 10 Year Health Plan in action – making the NHS fit for the future by building it around patients’ lives, not the other way round.’

Murray recently took over as health secretary following the resignation of Wes Streeting.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

Researchers have identified a specific immune mechanism that could help explain why peri-implantitis treatment with antibiotics often fails, pointing to a potential drug target for a condition affecting up to one in five implant patients.

The study, published in PNAS Nexus by researchers at Rutgers School of Dental Medicine in the United States, found that bacteria corrode implant surfaces, causing them to shed microscopic titanium particles into surrounding tissue.

Those particles then interfere with the immune cells sent to clear the infection, locking them into a state of chronic inflammation that destroys the jawbone they are meant to protect.

‘For the first time, we show why all the antibiotic treatments that work around teeth do not work around implants,’ said Georgios Kotsakis, the study’s senior author and assistant dean for clinical research at Rutgers School of Dental Medicine. ‘Now that we know the cause, we can start developing therapeutics.’

The mechanism

Peri-implantitis has long presented a clinical puzzle. It begins with the same oral bacteria as periodontitis, yet treatments that resolve infection around natural teeth succeed less than half the time around implants, while bone loss continues.

Previous research focused largely on the bacteria themselves, the Rutgers team said. So they looked instead at the implants.

Bacteria living on implant surfaces produce acidic biofilms that corrode the titanium, releasing billions of particles smaller than a red blood cell. Those particles become coated with lipopolysaccharide, a bacterial toxin, causing them to resemble oversized, indigestible bacteria to the immune system.

Macrophages – white blood cells that surround and destroy microorganisms – engulf the particles but cannot digest metal. The cells become trapped in a hyperinflammatory state, producing signalling molecules including interleukin-1 beta, an inflammatory protein also implicated in rheumatoid arthritis and Alzheimer’s disease.

At the same time, their ability to clear the original bacterial infection is severely compromised. In the lab, macrophages exposed to titanium particles took up fewer than half as many bacteria as unexposed cells.

‘These particles are little magnets that attract the bacterial toxin, and they hijack the immune system, preventing it from clearing bacteria,’ said Kotsakis. ‘You have a perfect storm that defies antibiotics.’

A potential drug target

Working with human tissue samples, cultured human immune cells and a genetically engineered mouse model, the team traced the inflammatory cascade to a calcium channel called transient receptor potential canonical 1 (TRPC1).

In mice without it, immune cells handled the same titanium-plus-bacteria challenge normally. Abscesses were significantly smaller, inflammatory markers dropped and bacterial clearance was restored.

Funded by the National Institutes of Health, the team is now testing drug candidates targeting the same pathway in human cells in the laboratory.

What this means in the clinic now

For clinicians managing implant patients, the most immediately relevant finding concerns cleaning technique.

The findings support the move away from metal scalers for implant maintenance, after this study and previous research has shown they can corrode implant surfaces and accelerate particle shedding. Non-abrasive techniques are now considered standard, and the research provides a clearer mechanistic rationale for that shift.

Peri-implantitis affects an estimated 10% to 20% of implant patients and costs the global health system more than US$1 billion a year.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

A dentist has been handed a 12-month suspension by the General Dental Council (GDC) after a criminal conviction for fraud linked to self-prescribing diazepam using patients’ names.

In 2023, the dentist pleaded guilty to one count of fraud by false representation and received an eight-month suspended sentence, a £10,000 fine and a further £2,043.22 in costs and compensation.

The Professional Conduct Committee (PCC) heard directly from the dentist on the reasons behind their self-prescribing. They said they loved dentistry and had been doing a lot of public speaking at the time, which caused a great deal of anxiety.

They began taking diazepam, obtained in the names of patients they had not treated in years, the night before speaking to stop overthinking. The fraud was carried out between 2015 and 2022 and involved 579 tablets of diazepam.

Why was a GDC suspension imposed?

In choosing a sanction, the committee said it was ‘satisfied that the risk of repetition was low in this case’ as the dentist had ‘come a long way towards developing full insight’.

The committee found that their fitness to practise was not impaired on public protection grounds. However, it said a finding of impairment was necessary in the wider public interest, to maintain public confidence in the profession and uphold proper standards of conduct.

The PCC also said that taking no action, or imposing a reprimand, would not be sufficient given the seriousness of the fraud conviction and related dishonesty.

It therefore concluded that a 12-month suspension would be appropriate. The suspension will take effect 28 days from the date notice of the committee’s direction is deemed to have been served, unless the dentist appeals. The committee did not impose an immediate suspension order.

Several factors improved the committee’s impression of the dentist’s reflection on their actions, including that they:

• Self-reported to the health board
• Admitted the fraud early
• Apologised to affected patients and colleagues
• Complied with restrictions and drug testing
• Showed remorse and remediation.

The clinician managed to contact ten of the 11 patients whose names were used on the prescription, none of whom took issue with their conduct and two provided character testimonials for their case. The PCC therefore found that there was no evidence of direct patient harm.

The dentist said that, as they were 67 years old, they could have chosen to retire instead of going through fitness to practise proceedings. However, they wanted to proceed with the investigation to ‘maintain confidence in the profession’.

In closing, the dentist said that not a day had gone by where they had not thought about how ‘stupid’ their decision to self-prescribe was, and that they were very sorry now.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Paul Graham analyses why a wider, better-funded buyer pool is driving a significant recovery in the practice sales market this year.

After two years of correction, caution, and recalibration, the dental practice sales market has turned.

Transactional activity is back with conviction, and Q1 2026 has made that plain.

The groundwork was laid in the latter part of 2025, and what we are seeing now is that confidence is converting into completed transactions, active processes, and a buyer pool that is wider and better funded than it has been in some time.

Interest rates

The Bank of England held interest rates at 3.75% in April, a decision driven by the inflationary shock from the conflict in the Middle East.

Some had hoped for a cut, and some now believe there will be no reductions at all this year, but perspective matters. 

Bank rate is 150 basis points below its peak, and lenders within the dental sector are active. Private dental is a needs-based, recurring-revenue business that does not behave like a discretionary consumer sector. 

Sellers holding out for a cleaner backdrop may be waiting longer than they expect. While the conditions today are not perfect, they are still good, and that is usually enough.

Business valuations

Private practice valuations have held well into 2026, with many achieving equal or higher multiples than mixed counterparts.

Strong earnings before interest, taxes, depreciation, and amortisation (EBITDA) margins and owner-operated business profiles are driving that, but the best outcomes we are seeing are less about the multiple applied and more about what is being multiplied. 

Realistic, sustainable, clearly evidenced profits attract serious buyers. Buyers are more sophisticated than they were, and their due diligence reflects it. 

There is also a growing expectation around technology. artificial intelligence (AI) adoption, meaningfully embedded into clinical and operational workflow is increasingly factored into how buyers assess future earnings potential. It is moving from differentiator to baseline.

Maturity of the transactional landscape

While cash-on-completion remains common, equity rollovers, partnership structures, and performance-linked deferred consideration are increasingly central to larger deals. 

Sellers who engage with that intelligently frequently achieve better total outcomes. 

This is where advice quality matters most, as sellers who do not fully understand the mechanics of their own deal before entering the process leave value behind. The transaction that looks simple rarely stays that way.

The buyer pool

Corporate acquirers are back, adding competitive tension largely absent through much of 2024/25. 

Alongside them are private equity platforms at various stages, international operators and consolidators with capital and ambition. 

First-time buyers remain a significant force, driving a third of Christie & Co completions last year. The breadth of today’s buyer pool is one of the most consequential factors underpinning current values.

Competition and Markets Authority (CMA) investigation 

The CMA’s investigation into private dentistry merits attention, but it does not merit delay as the transactional market has not paused. 

Based on the veterinary precedent, the likely direction is greater transparency in pricing and patient communication, not structural intervention.

The macro environment is imperfect, and it almost always is.

What matters is the set of conditions specific to the practice sales market right now: active lending, a broad acquirer pool, and valuation fundamentals that hold. 

Those conditions are present today. Owners who act with that context, and with the right support, are well placed.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

With more patients seeking simple, effective ways to enhance their smile, whitening continues to be one of the most in-demand treatments in everyday practice.

While results matter, the experience is just as important – particularly when it comes to sensitivity, convenience and overall patient satisfaction.

For Dr Meenal Patel, general and cosmetic dentist, these are exactly the reasons why White Dental Beauty has become a trusted part of her workflow.

‘Sensitivity is always a key concern‘

As Dr Patel explains in her recent video, one of the first things patients ask about whitening is whether it will cause sensitivity.

Having used a range of different systems over the years, she notes a clear difference with White Dental Beauty.

Patients consistently report less sensitivity, making the treatment more comfortable and easier to complete. This not only improves the experience but also increases the likelihood of patients sticking to the recommended protocol and achieving optimal results.

Tailored to the patient – not the other way around

A standout feature for Dr Patel is the range of different concentrations available, allowing treatment to be adapted based on each patient’s lifestyle and preferences.

Whether a patient wants:

• Shorter, more intensive wear times
• A gentler approach over a longer period
• Or something that fits around a busy schedule.

White Dental Beauty provides the flexibility to tailor treatment accordingly.

This level of personalisation helps patients feel more in control  and ultimately more engaged in their whitening journey.

Faster results through intelligent formulation

At the core of the system is White Dental Beauty’s patented NOVON technology.

Dr Patel highlights how this formulation creates a pH ‘jump’, accelerating the whitening process and allowing for more effective results in a shorter period of time.

For patients, this means:

• Faster visible improvements
• Less time spent wearing trays
• A more efficient overall experience.

And for clinicians, it provides confidence in delivering predictable outcomes.

Practical features patients appreciate

Beyond the formulation, Dr Patel emphasises the practical elements that make a difference day-to-day.

She particularly values the custom-made trays, which ensure a precise fit, improved comfort and better gel distribution, all contributing to both effectiveness and reduced sensitivity.

She also highlights the addition of self-dissolving whitening strips, offering patients an alternative or top-up option that fits seamlessly into their routine.

These small details help make whitening feel less clinical and more accessible.

Elevating the patient journey

For Dr Patel, the experience doesn’t stop at the clinical results.

White Dental Beauty’s premium packaging plays an important role in how patients perceive the treatment. The kits feel high-quality and considered, reinforcing the value of the service being provided.

Practices can also create bespoke kits with their own branding, adding a personalised touch that strengthens the practice identity and enhances the overall patient journey.

It’s a detail that patients notice and remember.

A whitening system designed for modern practice

Having worked with multiple whitening systems, Dr Meenal Patel values solutions that deliver both clinical performance and patient satisfaction.

For her, White Dental Beauty achieves that balance:

• Reduced sensitivity
• Flexible treatment options
• Faster, effective results
• A premium, patient-focused experience.

In a competitive landscape where patient expectations continue to rise, these factors make a meaningful difference. Because ultimately, successful whitening isn’t just about how teeth look at the end, it’s about how patients feel throughout the process.

Read more about the White Dental Beauty range or order now.

This article is sponsored by Optident.

Join Julie-Anne Conway on 3 June at 7pm as she discusses real cases and real solutions for dealing with patient complaints.

Even the best dentists get complaints from patients. That’s why part of being a good dentist is knowing how to handle these situations, and what you can do to prevent them.

In this webinar we will use real-life case examples to guide you through responding to common complaints, managing escalations and getting the best out of the support available from your indemnity provider.

Learning outcomes

• Understand the difference between a complaint and a claim
• Understand common causes of complaints
• Learn how to respond with empathy
• Discover how to prevent patient complaints
• Refresh knowledge of relevant GDC guidelines
• Understand how your indemnity provider can help.

The speaker

With over a decade of experience at Densura, Julie-Anne now heads its dentolegal team. A Bristol graduate (1995), she brings a rich background in general practice, postgraduate education, and clinical leadership. She has mentored overseas dentists, worked as a clinical lead within a major dental corporate, and continues to maintain a part-time role as a clinical supervisor for third-year dental students.

In addition to her clinical expertise, Julie-Anne holds a masters degree in law. Her extensive experience in legal matters, complaints handling, and claims management informs her work every day. Above all, she believes the heart of her role lies in understanding the stress and uncertainty that dentists face when dealing with complaints or regulatory challenges and supporting them through it.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• The five hidden HR risks in dental practices and how to prevent them
• Achieving superior outcomes in periodontal and peri-implant treatment
• Wellbeing starts with you: mindfulness for dental professionals
• Navigating challenging patient contacts in dental practice
• Dental whitening: fundamental knowledge on treating even the most complex cases.

We hear from dentist, creator and social media personality Milad Shadrooh – better known to millions online as The Singing Dentist – on authenticity, burnout and building a career that can actually last. 

Recorded live at the North of England Dentistry Show, this special edition of Dentistry Talks explores the realities of balancing clinical dentistry with life online, from social media pressure and personal branding to mindset, communication and protecting your energy in a demanding profession. 

Milad reflects on the journey from viral videos to global recognition, why authenticity matters more than performance online, and how routines, boundaries and strong relationships have helped him sustain both creativity and clinical practice over the long term. 

The conversation also explores the changing pressures facing modern dentistry – including burnout, patient expectations and the importance of communication – alongside practical lessons on confidence, resilience and building a healthier relationship with work. 

You can now watch on YouTube and listen on Spotify. 

Topics include: 

• Authenticity and building a personal brand online  
• Managing social media pressure and criticism  
• Burnout, routines and protecting your energy  
• Why communication matters in dentistry  
• Balancing creativity with clinical practice  
• The changing realities of modern dentistry.

Listen to other episodes below:

• Ageing as a dental professional: how to maintain purpose and identity
• What every dentist needs to understand about trauma and dental anxiety 
• From pitchside to practice: lessons from sports dentistry
• Lessons from the business guru behind Kinky Boots 
• Dental professionals – here’s why you are capable of more than you think.

Dentistry Talks podcast is powered by Sensodyne.

You can find out more here.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

Making a strong impression once again at BDIA Dental Showcase, SprintRay demonstrated the continued growth and clinical impact of digital dentistry, highlighting how its advanced 3D in-house printing solutions are transforming modern practice.

Through an informative press meeting at the SprintRay stand, engaging lecture and an interactive workshop, SprintRay showcased both the practical and commercial value of its technology to attending clinicians.

3D printing partner

As BDIA’s exclusive 3D printing partner, SprintRay presented its latest innovations, including the Crown HT resin. The educational sessions provided valuable insight for those exploring – or already integrating – digital workflows, with delegates also able to trial the technology and workflow during the Clinical Excellence Workshop.

Dr Neil Harris, a recognised figure in dentistry, delivered a lecture in the Business Theatre on behalf of SprintRay, focusing on how digital solutions can be successfully implemented within practice as a worthwhile investment. Highlighting the capabilities of Midas – including its efficient workflows and consistent results – he also shared practical advice on maximising profitability.

Dr Harris began with a key piece of advice: ‘Do not lower your prices. You are investing in time, technology, and equipment, all of which must be appropriately valued.’ He continued: ‘Always charge for both design time and clinical time. For example, if a patient spends an hour and a half in the chair and printing takes the same again, the patient should be billed for three hours. This is fair, as all time involved should be accounted for.’

Hands-on innovation

Hands-on education was central to SprintRay’s presence, with the company sponsoring the Clinical Excellence Workshop: ‘The Midas revolution: restorations in under 10 minutes’, led by Dr Harris.

Delegates were given the opportunity to complete a full chairside crown workflow using Midas, with guidance at every stage – from scanning and design through to printing and post-processing. The session demonstrated how streamlined, in-practice production can significantly enhance efficiency and reduce turnaround times.

Drawing on his experience as a long-time user of SprintRay systems, Dr Harris also shared practical tips to help clinicians maximise the potential of digital workflows within their own practices.

The next-generation Midas printer is specifically engineered for chairside production, enabling clinicians to deliver high-quality restorations with speed and precision. The workshop clearly illustrated how this approach can improve both workflow efficiency and the overall patient experience.

Shaping the future

By combining education, live demonstrations and hands-on learning, SprintRay provided clinicians with valuable insight into the rapidly evolving role of digital dentistry. The sessions reinforced how modern 3D printing solutions are enabling practices to expand their clinical capabilities and enhance patient care.

Discover more information on the SprintRay 3D printing solutions changing the game in dentistry.

This article is sponsored by SprintRay.

A regulatory body sitting on a bottleneck. A workforce that trains, qualifies, then finds the door to progression closed. A pipeline drying up while institutions and regulators trade accusations.

No, not the UK.

This is South Africa, where Cape Peninsula University of Technology, Durban University of Technology and Tshwane University of Technology have taken the South African Dental Technicians Council (SADTC) to the Gauteng High Court in Pretoria.

The allegation? That the council’s examination and registration processes are threatening to collapse the profession entirely.

A pipeline under pressure

The details are stark. No new student intakes for years. Just five graduates from Tshwane University of Technology since 2023. And 159 qualified ‘pipeline students’ stuck in limbo, unable to register despite completing their qualifications before 2022.

The universities are also challenging a final practical examination framework under which diploma students fail if they fail any one of 112 binary pass-or-fail criteria. They said the system was ‘not aligned with national or international norms and standards‘.

According to the Cape Times, the regulator said it had statutory authority to oversee the education and training of dental technicians and to ensure programmes meet the required standards. The SADTC has previously warned that students graduating from non-accredited programmes risk being unable to register and work in the profession.

It would be easy to read this as someone else’s problem.

It isn’t.

The specifics differ, but the underlying pattern is familiar: pressure points at multiple stages of the workforce pipeline, with no single body fully accountable for fixing them.

The academic workforce gap

The UK dental ecosystem is under pressure at almost every point in the workforce chain. The South African crisis is playing out at university level, and the UK’s own dental academic workforce is showing clear signs of strain.

The Dental Schools Council’s 2025 census found that the UK dental academic workforce had fallen to 550 full-time equivalent roles, with 40 full-time equivalent posts lost in a single year. More than a quarter of clinical academics are now over 55.

That matters. Plans to expand domestic training places cannot succeed if the profession is running out of people to teach, supervise and assess the next generation.

The leaky bucket problem

But the structural problem does not stop at the lecture theatre door. The UK trains dentists, qualifies them and sends them into a system that, increasingly, many do not stay in.

National Health Service (NHS) dentists are understandably handing back contracts and moving into private practice, where conditions and remuneration better reflect the work involved. The British Dental Association (BDA) has repeatedly warned that NHS dental activity remains significantly below pre-pandemic levels, with millions fewer treatments delivered each year.

NHS dental contract reform is overdue

Expanding university places into this environment is a leaky bucket strategy.

Without fundamental reform to the NHS dental contract, long promised and long overdue, newly qualified professionals will continue to vote with their feet.

Meanwhile, the system relies on international recruitment to balance the scales. The General Dental Council (GDC) has confirmed expanded Overseas Registration Examination (ORE) capacity, but Part 2 fees are rising from £4,235 to £6,967, a 65% increase.

Recruiting into a system that cannot hold on to the people already in it raises questions about long-term sustainability.

The lesson from South Africa

The South African situation accumulated through years of failed engagement, unresolved disputes and a failure to protect the educational pipeline.

Sound familiar?

By the time the damage is visible, it is already expensive to reverse.

The lesson from South Africa is very real and not confined to its borders. Workforce pipelines do not collapse overnight. They narrow through delayed reform, fragmented decision-making and the assumption that someone else will keep the system moving.

For UK dentistry, the warning is simple: training more people will not solve a retention crisis unless the system they enter is worth staying in.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

Sheena Tanna, Dentistry’s Next Top Digital Dentist winner, shares the training that she’s undertaken as part of the journey and how it has helped the practice stay ahead of the curve.

Making the dream work: thoughts from the team  

Winning Next Top Digital Dentist has opened many doors for Sheena Tanna and the team at Billericay Dental Care.  

Run in collaboration with Align Technology, Dentistry’s Next Top Digital Dentist offers a unique opportunity to embark on a year-long journey of mentoring, coaching and access to cutting-edge digital tools designed to drive clinical excellence and practice growth, unlocking the full potential of digital workflows 

Here, Sheena and the team detail the educational opportunities they’ve experienced as part of the Next Top Digital Dentist journey. 

Has winning Dentistry’s Next Top Digital Dentist revealed any new areas of digital dentistry you’re particularly excited to explore or develop further? 

What I love about digital dentistry is the fact that there’s always change happening – it keeps me excited and interested.  

Winning Dentistry’s Next Top Digital Dentist has opened my eyes to the world of support I have available to me from Align. We were using some of it, but I don’t think I realised how much was available to me and how much more there was to it. It’s been really great for moving us as a practice forward. 

We’re now using something called X-ray Insights, which is helping us explain things much more clearly to patients. Before we started this journey, we were only using the smile video at the start of treatment to show the before and after, now we use it throughout treatment. All these things help enhance the patient journey and the patient experience.  

I’m also really looking forward to the Smile Collab Roadshow in June! 

What motivates you to prioritise continuous learning? 

I’m motivated by the patient journey and patient experience. The other thing I love seeing is all my other team members grow.  

One of the great things about digital is being able to utilise everybody. It’s not just about me and my growth, it’s about each individual team member. It allows me to train them, it allows them to shine as individuals, and as a result, we provide the best patient experience. We’re all benefiting from that. 

Looking back, how has ongoing education influenced the dentist and business owner you’ve become? 

I’m a great believer in clinical education. It’s an important part of not just my own growth, but my team’s growth.  

One of the key courses I did was the Mastering Invisalign course, run by Mismile. Sandeep was really inspirational, and had a lot of really good points. I integrated lots of it straight away, personalising it for us and what we were about and what we wanted to achieve.  

Each team member has an appraisal every year, and we talk through what their objectives are, and we invest in courses that are going to help not just grow us, but grow them and make them reach their next levels. And in doing so, we then, as a practice, all grow together and provide an amazing experience.  

You’ve taken part in ADA courses and forums. How have these learning opportunities contributed to your professional development and enhanced your clinical skills in practice? 

I love Align Dental Academy (ADA). I’ve invested heavily in its courses and mentoring. Dentistry can be a very lonely profession, but ADA provides you with a team of people who are there to help you, and mentors who you can bounce off and support. With that, you learn to grow and you become a better clinician. And when you become a better clinician, it doesn’t just impact your patients, your team feel it, and then when they’re feeling it, your patient feels it, and you provide a better experience and that all of you grow together. That’s what I love so much about it.  

Has this experience changed the way you approach digital workflows or treatment planning? 

We’ve always used digital workflows in our practice, but one of the things that has become apparent in this process was that the digital workflows we were using, we perhaps weren’t optimising properly. You don’t know what you don’t know, until you start speaking to people, and then start you start experiencing education.  

What advice would you give to other dentists on how to get the most out of their partnership with Align? 

Just get going! One of the easiest ways you can do that is to engage with your territory manager. They are a wealth of information. They’re always so friendly, and they make life so easy, because they’ll actually come to the practice for you, so you don’t even need to take time out of your day.  

When we talk about digital to some people, that can feel really overwhelming. So what I always say is start really easy – just download the app and see what it has available to you. There’s so much readily available you’ve just got to make a phone call and get going.  

Dentistry’s Next Top Digital Dentist competition is run in collaboration with Align Technology, empowering the next generation of digital clinicians and supporting the advancement of digital workflows. 

Trishala Lakhani’s BBC documentary on ‘Turkey Teeth’ was the most watched by 16-25-year-olds last year – she explains how she juggles being a dentist and TV presenter.

Your documentary on ‘Turkey Teeth’ sparked a massive national conversation. Did you expect that level of impact?

I always knew it was an intriguing topic that closely correlated with the rise in popularity of reality television.

But did I think it would go on to become the most-watched documentary of the year on the BBC among young audiences? No!

I also never expected it to be nominated for awards such as Most Impactful Journalism at the BBC News Awards, or for myself to be nominated as Debut Presenter. It was an honour.

The morning the documentary was released, a car came to pick me up early, and by 6am I was sitting in a soundproof booth at BBC Broadcasting House doing the media rollout, with around 20 interviews.

I vividly remember that being the moment I realised the true scale of the documentary’s impact and the conversation we had sparked.

My aim in making the documentary wasn’t to convince people to go to Turkey or not, but to inform and educate them with all the tools and information they needed to make the right decision for themselves.

From the responses we received, I’m so glad we achieved what we set out to do.

You’ve worked in an oral cancer department and a special care unit. How did that shape you?

First and foremost, the patients I worked with inspired me every single day. Their resilience was second to none, and I feel incredibly lucky and proud to have been part of their journey as one of their clinicians. This experience has had a long-lasting impact on how I live my life.

Personally, I sometimes struggle to live in the moment, as I’m often focused on the next goal. But it’s so important to be present, because tomorrow isn’t promised.

It’s a constant reminder of how precious life truly is, and it has taught me to live with gratitude every day – for my family, my health, opportunities and even something as simple as waking up in the morning!

And this is also something my parents have always taught me, always be grateful for what you have, and I ensure not a day goes by without me feeling thankful.

It also taught me that you never know what someone else is going through, so it’s important to treat everyone with kindness and compassion.

Doing something small can have a huge impact on someone’s day.

How do you handle the ‘dental influencer’ label?

In all honesty, I don’t really consider myself a ‘dental influencer’, so I don’t think about it!

I’m simply very grateful to be able to use my platform to educate, entertain and inform audiences on both dental and non-dental topics, particularly through television.

I love being able to have a positive impact on my audience.

I believe television has a huge influence on people’s quality of life, it’s more than just switching the television on – it can provide company to someone who is feeling lonely at home in the evening, to offering entertainment and humour and knowledge.

It gives me a great sense of fulfilment to have this platform, and I’m very grateful for that.

What is the biggest challenge in balancing a media career with clinical practice?

That’s a great question – sometimes it really does feel like I’m living a double life!

Funnily enough, last week I was asked to present an award at the BAFTA Television Craft Awards, which was surreal, and less than 24 hours later I was back in clinic seeing patients. But I wouldn’t have it any other way!

Dentistry is a great career in that it allows you to balance two paths and offers a lot of flexibility.

However, my biggest challenge has been overcoming my own self-limiting beliefs – thinking I had to choose between being a TV presenter and being a dentist.

I’ve since learned that you can do anything you set your mind to, and you don’t have to fit into just one box!

Because I’m deeply passionate about both, that makes all the difference and motivates me to strive to be both an excellent dentist and an excellent presenter.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

Archana Naik, dentolegal consultant at Dental Protection, explains how her indemnity provider helped her navigate a patient complaint when she was starting out as a dentist in the UK.

When I first started working in the UK, dental indemnity was not something I had come across – this can be an unfamiliar concept to someone who has qualified abroad. I thought of indemnity as a tick-box exercise – a legal requirement for GDC registration and an extra cost.

This was until a patient complained.

I had provided a routine composite restoration at the lower right first molar of a patient one morning, and he called me at around 5pm that day. He was very angry that the numbness from his local anaesthetic had still not worn off. I immediately went into panic mode. All the other dentists in the practice had gone home by then, and I convinced myself that the patient was going to report me to the General Dental Council.

How indemnity can help

Then I remembered that my indemnity organisation, Dental Protection, had a 24-hour helpline for emergencies like this. I called and straight away spoke with a dentolegal advisor. I’ll never forget the reassurance she gave me. She listened, calmed me down, and as a dentist herself really understood how I was feeling.

She also gave me some incredibly helpful advice: she suggested calling the patient back in for a review appointment the very next day to discuss his concerns and options to help with his symptoms. The prospect made me anxious – I told her I wasn’t sure I was prepared to handle another conversation with him given how irate he had been.

She gave me some tips on how to manage situations like this, and told me about Dental Protection’s training on handling difficult conversations – along with other learning resources I might find helpful. Until then, I didn’t even know training was available and that it was included in my membership at no extra cost.

Navigating the incident

Thanks to the early advice and support from Dental Protection, I was able to navigate this incident. I offered a sincere apology, a prompt specialist referral and booked follow up review appointments for the patient, alongside maintaining an audit trail to evidence that appropriate steps had been taken. Thankfully, the matter was resolved at practice level.

I went on to explore Dental Protection’s learning resources further, and added them to my CPD activities. I also attended events and presentations by Dental Protection speakers. As a direct result I picked up tips and skills and learned how to respond effectively to adverse events – developing strategies to enhance my communication with patients while deepening my understanding of the professional principles that guide clinicians in the UK. 

Applying those skills in daily practice worked, and cumulatively the learning strengthened my confidence not only in handling challenging situations, but also my overall confidence as a clinician.

When I look back, I wish I’d known earlier the wider value of indemnity as a crucial support system. Over the years, Dental Protection has not just provided me with indemnity protection when dentolegal challenges have arisen, but empowered me with training and support to help prevent, deescalate and manage these situations much more effectively.

Help in unexpected circumstances

It has perhaps been the support I received from Dental Protection over many years of clinical practice that spurred me on to become a support for my colleagues as a dentolegal consultant.

This is why I want to spread the word about how valuable it is having a supportive indemnity organisation like Dental Protection on your side. With more and more myths being promoted around discretionary indemnity, it feels even more important to share my story and the truth as I have experienced it.

At Dental Protection, discretion is not in any way about declining to assist. It gives us the flexibility to help in unexpected or unusual circumstances. As a member-owned, not-for-profit organisation, we exist solely to safeguard the professional futures of our members, so our starting point is always to look for ways we can help.

Indemnity with Dental Protection means not only financial protection if things go wrong, but also support to help make sure they go right – along with the peace of mind that comes from both these things.

Dental Protection has recently launched its New to UK Practice hub for internationally qualified colleagues, and is working hard as a team to develop further tailored support resources for international dental graduates. Thinking back to my early days as a graduate new to UK practice, I am so excited and glad to be part of these developments.

This article is sponsored by Dental Protection.

In this interview, Shazad Saleem explores the barriers to early intervention in gingivitis, and how education, patient behaviour change and effective use of the wider dental team need to align, following Kenvue’s expert advisory board on dysbiotic dental plaque biofilm.

From your perspective as an educator, why is early intervention for gingivitis still so difficult to embed consistently in everyday practice?

Early intervention in gingivitis is something I have become increasingly focused on over the years, particularly as the evidence shows that managing gingivitis is the primary preventive strategy for preventing periodontitis (Chapple et al, 2015). The challenge is that, in a time-pressured clinical environment, gingivitis is often seen but not prioritised in the same way as more advanced disease.

There can be a tendency to wait until oral diseases develop before investing more time in education and intervention, rather than acting earlier when the disease is more straightforward to manage. However, earlier intervention and treatment is associated with better long-term outcomes, both for the patient and for the wider healthcare system (Watt et al, 2019).

In some areas of practice, we are now seeing incentives to see patients at a much earlier stage, for example in Wales with new NHS contract reform, the care package for assessment of a patient under one year old is remunerated at £80. Some may see this and raise questions about the value of those appointments.

However, this is where prevention is most powerful. When delivered properly, it provides an opportunity to work with parents, establish good habits around diet and oral hygiene, and embed those behaviours early before the teeth erupt and to take it one step further, before birth. This is essentially primordial prevention, supporting families with preventing risk factor development rather than when disease develops and responding once it is established.

Embedding prevention also requires a shift in how we value clinical time. Advice and behaviour change support can have a lasting impact on a patient’s health, but these elements are not always prioritised or incentivised within current models of care (Watt et al, 2019; Newton and Asimakopoulou, 2015). As a result, opportunities to intervene early and prevent disease progression are sometimes missed.

What tends to get in the way of clinical education changing behaviour in practice, particularly when it comes to acting early on gingivitis rather than waiting for disease progression?

One of the key challenges is that increasing knowledge does not always translate into behaviour change, either for patients or for clinicians. We can deliver clear messages and provide evidence-based guidance, but that alone does not necessarily lead to sustained changes in practice.

In busy clinical settings, there are also practical barriers. Clinicians are seeing large numbers of patients each day, and without structured systems in place, it can be difficult to track changes over time or assess whether previous advice has been effective. This can make it harder to tailor interventions or reinforce key messages.

Time is another important factor. Effective prevention requires time for education, demonstration and reinforcement, and this is not always readily available within standard appointment structures. Making better use of the wider dental team, including dental care professionals (DCPs), can help to address this, but it also requires appropriate funding, support and integration into practice workflows.

Where do you see the biggest disconnect between what clinicians know about plaque-driven disease and what happens chairside?

There is a clear gap between the general guidance clinicians are familiar with and how that is applied to individual patients. Public health messaging, such as brushing twice daily for two minutes, is important for maintaining health, but it may not be sufficient for patients who already present with gingival inflammation or more complex disease (PHE, 2025; Van der Weijden and Slot, 2011).

In practice, there can be a tendency to rely on these generic messages, rather than fully assessing the specific needs of the patient in front of us. A patient with a healthy mouth requires a different approach to someone with active disease, and this distinction is not always reflected in the advice given chairside.

Addressing this requires a more personalised approach to care. Clinicians need to assess the level of disease, understand the challenges the patient may face in maintaining oral hygiene, and tailor recommendations accordingly, providing a more personalised self-care plan. This may include adjusting brushing techniques, increasing the time spent on plaque removal, or, in some cases, considering adjunctive support where mechanical plaque control alone is insufficient (West et al, 2021), as well as considering how the patient can implement the advice into their daily schedule to facilitate behaviour change.

Ultimately, effective management of plaque-driven disease depends on what the patient is able to do consistently between appointments. Our role is to ensure they have the understanding, skills and support needed to achieve that, recognising that clinicians have limited time to influence oral disease each year, while patients are responsible for it every day at home.

Why is gingivitis often underestimated as a clinical priority, despite its role in disease progression?

Gingivitis is often underestimated because it is seen as reversible and therefore less urgent than periodontitis. In reality, it represents the earliest clinical stage of inflammation and a clear opportunity to intervene before progression occurs (Chapple et al, 2015).

In everyday practice, there can be a focus on treatment at a single point in time, for example ‘a scale and polish’, rather than on what is happening between visits. Patients may leave feeling that the problem has been addressed, without fully understanding that long-term control depends on what they do at home every day.

As a result, the significance of gingival inflammation can be overlooked. If greater emphasis is placed on identifying and managing it early, there is a real opportunity to prevent progression to periodontitis and improve long-term outcomes (Chapple et al, 2015).

How can education, including CPD, better support clinicians to act earlier, rather than waiting for disease to become more advanced?

Education needs to support clinicians not only in understanding disease, but in recognising its long-term implications and acting on it earlier. Gingivitis and periodontitis should be approached as part of a continuum, with early diagnosis taken seriously and managed proactively (Chapple et al, 2015; Tonetti et al, 2018).

There is also a need to focus on the long-term impact of prevention. The benefits of early intervention may not be immediately visible, but over time they can lead to improved oral health, better quality of life and reduced need for more complex treatment. Supporting clinicians to communicate this effectively to patients is key.

Education should also reflect the realities of practice. Clinicians need practical strategies that can be implemented within time constraints, alongside support to deliver consistent, effective messages. This includes understanding when additional support may be needed for patients who are not achieving adequate plaque control through mechanical means alone.

What role does the wider dental team play in reinforcing early intervention messages around plaque and gingival health?

The wider dental team plays a crucial role in delivering preventive care effectively. Making use of skill mix allows more time to be dedicated to patient education, behaviour change and reinforcement of key messages.

DCPs, including hygienists, therapists and oral health educators, are often well placed to spend time with patients, build rapport and provide tailored guidance. This can support more consistent messaging and improve patient engagement. It is important to understand when using skill mix, that the patient is on a journey to achieving optimal plaque and diet control to prevent oral diseases from occurring. Some will reach their destination quicker whilst others will require more time. It is essential to correctly reflect where the patient is on this journey when the patient is seeing different members of the dental team. Good record keeping, clinical photographs and detailed documentation of what has been advised and results achieved are crucial in this.

A team-based approach also helps to ensure that prevention is embedded throughout the patient journey, rather than being confined to a single interaction. When all members of the team are aligned, patients are more likely to understand the importance of plaque control and take ownership of their oral health.

In your experience, what makes educational messages stick and lead to sustained change in practice?

For messages to be effective, patients first need a clear understanding of their disease and risk factors. Taking the time to explain what is happening, and why it matters, can make a significant difference to how information is received.

However, understanding alone is not always enough to drive behaviour change. Patients also need practical support to implement what they have been told, including clear instruction, demonstration and opportunities to reinforce learning over time.

Consistency and focus are important. Encouraging patients to approach oral hygiene as an active, deliberate task, rather than something done automatically, can help improve outcomes. When patients begin to engage with the process and understand its importance, more sustained change is often seen.

How can professional education better reflect the realities and pressures clinicians face in busy practice environments?

Education needs to be grounded in the environments where care is actually delivered. Clinicians are working within time and system constraints, and any recommendations must be realistic and achievable within those settings.

Sharing practical approaches from clinicians who are working in similar environments can be particularly valuable. This includes examples of how prevention can be integrated into routine care, as well as strategies for working effectively within existing structures.

Ultimately, clinicians need support to deliver high-quality care within the systems they operate in. Education should help bridge the gap between evidence and implementation, ensuring that guidance can be applied consistently in both NHS and private practice settings.

Through your work with the BSP, where do you see the greatest opportunity to improve consistency in prevention messaging from education into everyday clinical practice?

There has been significant progress in developing a strong evidence base for the management and prevention of periodontal disease, including clear guidance through S3-level clinical practice guidelines (West et al, 2021). This has helped to align understanding and provide a consistent framework for care.

The continual work now is ensuring that this knowledge is embedded in everyday practice. This involves not only disseminating guidance, providing education and training, but also supporting clinicians to implement it effectively within different care settings.

Collaboration between professional bodies, educators and healthcare systems will be key to achieving this. By aligning evidence, education and delivery, there is an opportunity to improve consistency and strengthen preventive care across the profession.

The advisory board agreed that plaque-driven oral disease is preventable. From an education and implementation perspective, what needs to change for that message to translate into earlier intervention for gingivitis in routine practice?

Translating this message into practice requires a broader, more co-ordinated approach. Awareness is important, but it must be supported by systems that enable early intervention and prioritise prevention.

This includes greater emphasis on preventive care within clinical pathways, alongside improved collaboration between public health, professional organisations and the wider dental sector. Creating opportunities to intervene earlier, particularly at key life stages, can help establish long-term habits and reduce disease burden (PHE, 2025; Watt et al, 2019).

There is also a need to align incentives with prevention. When prevention is appropriately supported and valued, clinicians are better able to invest time in early intervention and behaviour change.

Ultimately, a more holistic approach is needed, one that supports patients throughout the life course and reinforces the importance of plaque control at every stage. By doing so, there is a real opportunity to reduce the prevalence of gingival inflammation and prevent progression to more advanced disease.

References

• Chapple ILC et al. Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol 2015; 42(Suppl. 16): S71–S76
• Newton JT, Asimakopoulou K. Managing oral hygiene as a risk factor for periodontal disease: a systematic review of psychological approaches to behaviour change for improved plaque control in periodontal management. J Clin Periodontol 2015; 42(Suppl. 16): S36–S46.
• Public Health England. Delivering better oral health: an evidence-based toolkit for prevention. London: 2025
• Tonetti MS et al. Staging and grading of periodontitis: framework and proposal of a new classification. J Clin Periodontol 2018; 45(Suppl. 20): S149–S161
• Van der Weijden GA, Slot DE. Oral hygiene in the prevention of periodontal diseases: the evidence. Periodontol 2000 2011; 55: 104–123
• Watt RG et al. Ending the neglect of global oral health: time for radical action. Lancet 2019; 394(10194): 261–272
• West NX et al. BSP implementation of European S3-level evidence-based treatment guidelines for stage I–III periodontitis in UK clinical practice. J Dent 2021; 106: 103562.

The full expert consensus on preventing oral diseases driven by dysbiotic dental plaque biofilm can be accessed here.

This article is sponsored by LISTERINE.

Architecture titan Scott Millington shares how a focus on buildability, clear communication and stepping away from the ‘lead worker’ role can drive growth in any service.

Could you introduce yourself and give us some background on your business?

I’m Scott Millington, director and co-founder of Evoke Architecture.

We work across residential, hospitality, and commercial projects throughout the UK having just recently completed 51 lodges at Chester Zoo’s new The Reserve hotel scheme.

I didn’t fall into architecture by accident. It takes a lot of commitment and drive to get to the finish line.

I knew early on this was what I wanted to do, mainly because I could draw in perspective and understood space in a way that stuck. That clarity matters, because committing to seven years of training is not something you get through without a clear end goal.

I came into the industry through the standard route, education followed by practice, but the shift came once I was working on live projects. I started to see a gap.

A lot of practices focus heavily on design, but less on whether it actually gets built efficiently, stays on budget, or delivers what the client needs commercially.

That was the driver behind starting Evoke.

The idea was simple, architecture should lead to something tangible. It needs to get through planning, be buildable, and stack up financially.

That mindset still shapes how we operate.

In your industry, how do you differentiate your business from the competition?

In both architecture and dentistry, the core service can look similar from the outside.

Most practices can deliver the technical side. The difference is in how it is delivered and how well it reflects what the client actually wants.

For us, that starts with people. The way you deal with clients face to face, the confidence you give them, and how clearly you communicate.

We also make a point of not assuming what clients value. We establish it early through direct conversations about priorities, budget, risk and end goals.

Once that is clear, it guides everything. Decisions are tested against those priorities rather than personal preference.

A lot of our work is repeat business. That comes down to trust in the team, how we handle projects, and the standard we maintain.

We are seeing a rise in the cost of living and business overheads. As a leader, what is your strategy for maintaining profitability during tough economic cycles?

Cost pressure is constant in construction, so the response has to be built into how you operate.

Most margin is not lost on quality, it is lost through inefficiency.

Poorly defined briefs, late changes, and rework are what erode profit.

So the focus is on tightening those areas from the start.

We push for clear decisions early and document them properly.

A well-defined project runs faster, with fewer issues, and less wasted time.

Internally, we stay disciplined. The team is structured around workload, not excess capacity. External support is brought in when needed rather than fixed into the business.

There is also a commercial reality. If fees do not reflect the service and risk, the numbers do not work.

Underpricing to win work usually creates more problems than it solves.

What is your philosophy on recruitment and retention?

Recruitment starts with ability. You need people who can deliver to a high standard.

After that, it is about how they think, communicate, and take responsibility.

Retention comes down to ownership. People disengage when they feel like they are just assisting.

If they are responsible for a piece of work and understand its impact, they invest in it.

We involve the team in real decisions early. That builds accountability and confidence. It also improves the work, because people are thinking rather than just following instructions.

If someone is only ‘showing up’, that is usually a failure in how the role has been set up, not the person.

Many dentists struggle with being both the ‘lead worker’ and the ‘business owner’. How do you balance the day-to-day with the strategic thinking required to grow it?

This is a common issue in architecture as well. Early on, you are both the lead designer and the business owner, and the two roles compete for time.

It is easy to prioritise the fee-earning work, but that can hold the business back.

They are fundamentally different roles. One is about detail and delivery. The other is about direction, decisions, and managing risk.

Trying to do both at full capacity does not work long term.

At the start, you have no choice. Over time, the shift has to be deliberate.

I’ve stepped away from being involved in every drawing and focused more on oversight, key decisions, and client relationships.

That only works with a strong team and clear systems. If those are not in place, you get pulled straight back into the detail.

You also have to protect time. If every day is taken up with project work, there is no space to think about where the business is going.

Every successful entrepreneur has a ‘war story’. Can you tell us about a significant mistake or setback you encountered in your business journey?

Early on, I took on projects that were not properly defined, mainly to secure work and keep things moving.

Those projects became difficult. The brief was unclear, expectations shifted, and the scope expanded beyond what had been agreed. That led to time being lost, fees eroded, and pressure on the team.

If the scope and expectations are not properly set at the start, the project will drift.

Now we are far more disciplined. We define scope in detail, challenge unclear briefs, and walk away from work that does not stack up.

Technology in all walks of life is moving incredibly fast. How do you decide when to invest and when to stick to the tried-and-tested methods?

Technology moves quickly, but most of it does not deliver meaningful value straight away.

We look at it in simple terms. Does it save time, reduce risk, or improve the end result? If it does, it is worth considering. If not, it is a distraction.

In architecture, tools like Building Information Modelling (BIM) are effective on complex projects where coordination matters. On smaller projects, they can slow things down.

There is also the cost of implementation. New systems take time to learn and integrate, and that has to make commercial sense.

Clients are not interested in what software you use. They care about whether the project works.

We adopt technology where it has a clear purpose and ignore it where it does not.

If you could sit down with a room full of aspiring business owners today, what is the one piece of advice you would give them?

Do not lose sight of what you enjoy, what you are good at, and what your clients actually need from you.

As a business grows, it is easy to drift. You take on the wrong work, stretch into areas where you are less effective, and lose focus on where you add value.

Long-term success comes from staying aligned with that.

At the same time, business is built on relationships.

The service matters, but people come back because they trust you and value how you work.

If you get those two things right, your strengths and your relationships, the business has a solid foundation to build on.

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

Financial imposter syndrome can hold dentists back from making the move into private practice – Param Jaggi explains how to stop undervaluing your expertise.

For many dentists, moving from NHS to private practice is a natural career step. It offers greater autonomy, more time with patients and the opportunity to deliver care at the highest standard.

But alongside these benefits there can be a less visible challenge – one that isn’t about clinical ability, but about confidence in the financial value of your work. This is often described as financial imposter syndrome.

Recognising the signs

You may recognise this in your own experience. You present a treatment plan with fees that fairly reflect your time, expertise and the quality of care you provide, yet still feel a moment of hesitation.

Perhaps you question whether the fee is justified or feel concerned about how a patient might respond. In some cases, this can lead to over-explaining costs or even reconsidering your pricing altogether.

These reactions are understandable, particularly when transitioning from NHS practice where fee structures and patient expectations are very different.

Why does it happen?

Time spent working within the NHS naturally shapes how cost and value are perceived. With fees largely fixed, pricing is often removed from your direct control and patient expectations are typically centred around affordability. Over time, this can create a strong association between lower cost and fairness or accessibility.

In private practice, the context changes. Fees are no longer set externally. Instead they reflect the real cost of delivering care, including your clinical expertise, time, ongoing training, materials and the overall patient experience.

While your environment may change quickly, it’s normal for your mindset to take longer to adjust. This is often where financial imposter syndrome begins to emerge.

How does it show up in practice?

Financial imposter syndrome often appears in small but significant ways. You might find yourself:

• Hesitating before presenting a fee
• Justifying costs that are appropriate for the services being delivered
• Discounting treatment ‘just in case’
• Comparing yourself to more established private dentists.

Individually, these behaviours may seem minor. Over time, however, they can affect both your confidence and the clarity of your communication.

There’s also a wider impact to consider. By trying to ease your own discomfort, you may unintentionally create uncertainty for your patients. Confidence and clarity are central to effective patient communication. When they’re diluted, establishing trust can become more challenging.

Building confidence over time

Confidence in this area develops through experience and putting the right support measures in place.

Connecting with peers can be particularly valuable. Speaking with colleagues who have made a similar transition can help normalise your experience and offer practical insight into how they approach pricing and patient conversations.

Taking time to review your own fee structure is equally important. When you have a clear understanding of the costs involved in delivering your care, it becomes easier to communicate fees with confidence and consistency.

For many dentists, professional financial guidance can also play a key role. Working with an adviser who understands the dental profession can help bring structure to your finances, supporting everything from income planning to pensions and patient membership plans. This broader clarity often makes day-to-day decisions, including pricing, feel more straightforward.

Supporting your next steps

Experiencing some financial uncertainty during the transition into private practice is normal. In many cases, it reflects that you’re stepping into a new level of professional responsibility, where decisions around pricing and value sit more directly with you.

Recognising this shift is an important part of the process, and with the right support, you can build the confidence to make informed decisions that reflect both your expertise and your ambitions.

You don’t have to navigate this transition alone. Moving into private practice can bring increased earning potential, making it an ideal time to review your financial plans. Speaking with a financial expert who understands the dental profession can help you identify opportunities and highlight any potential risks.

With tailored guidance in place, you can feel confident in your next steps, allowing you to focus on growing your practice, supporting your team and continuing to deliver high-quality care to your patients.

To book a conversation with a dental specialist financial adviser from Wesleyan Financial Services, visit wesleyan.co.uk/dental or call 0808 149 9416.

Please note: charges may apply. You will not be charged until you have agreed to the services you require and the associated costs. Learn more at www.wesleyan.co.uk/charges.

This article is sponsored by Wesleyan Financial Services.

Minesh Patel highlights the hidden tax trap facing high-earning clinicians and shares strategies to protect hard-earned income from punitive marginal rates.

For many associates, practice owners and higher-earning dental care practitioners (DCPs), the primary monetary focus is often directed at income, but the real question is whether that income is retained efficiently.  

Understanding profit and expenses

Within dentistry, gross income figures are commonly discussed, associates compare units of dental activity (UDA), and practice owners discuss revenue growth. Yet tax is levied on the profit, not turnover; far fewer discussions focus on net retained income. 

Robust record-keeping systems reduce the likelihood of errors and ensures more of your income is preserved.

The £100,000 threshold and 60% trap

Crossing £100,000 in annual income is commonly viewed as a milestone.

In reality, it introduces one of the most punitive marginal tax bands in the UK, representing a subtle but material financial trap. 

For self-employed dentists and high-earning DCPs, once net income exceeds £100,000, the tax-free personal allowance of £12,570 is withdrawn at a rate of £1 for every £2 of income.

This taper continues until £125,140, at which point the allowance is lost entirely.

The consequence is an effective 60% income tax band between £100,000 and £125,140.

For clinicians working full-time, it can be remarkably easy to drift into this band inadvertently.

The financial impact also extends beyond income tax alone.

Earning above £100,000 has another significant consequence; loss of entitlement to:

• Tax-free childcare for children up to 11 years (worth up to £2,000 per child annually)
• 30 hours of funded childcare for children aged nine months to four years (potentially worth up to £7,500 per child per annum).

The reality is stark; many higher-earning clinicians appear to experience income growth, however, once additional taxation and the withdrawal of certain benefits are taken into account, earning more can absurdly result in little or no increase in disposable income.

Using pensions as a strategic lever

Pensions are frequently only seen as retirement vehicles. However, for clinicians earning within the £100,000 to £125,140 income band, pensions can be a strategically powerful tool.

By making pension contributions, particularly into a Self-Invested Personal Pension (SIPP), taxable income is reduced, and certain benefits can therefore be restored.

Contributing into a SIPP can lower your ‘adjusted net income’ potentially bringing earnings back below £100,000.

For dentists undertaking NHS work, contributions via Superannuation to the NHS Pension Scheme remain extremely valuable.

Despite periodic political debate, it continues to be one of the strongest UK defined-benefit pension schemes available, providing:

• Inflation-linked retirement income
• Ill-health retirement protection
• Death-in-service benefits
• Substantial employer contributions.

Dentists combining NHS and private work, however, should monitor their pension growth carefully.

Annual allowance rules and evolving pension legislation need to be considered alongside retirement needs. 

For those working predominantly in private practice, retirement provision becomes entirely self-directed. A SIPP offers significant flexibility over investment choice and withdrawal options, while providing tax relief at the individual’s marginal rate.

It’s also worth remembering pensions compound quietly in the background for decades. 

Pensions represent an effective wealth-building structure, but crucially, they are not just about retirement; they are a tool for tax efficiency.

The overlooked claim

One of the most common and under-appreciated areas of financial leakage occurs through unclaimed pension tax relief. 

Money paid into a pension is not subject to income tax at the point of contribution; instead, it is taxed upon withdrawal.

If you contribute to a pension from taxed income, you receive tax relief – the tax is being refunded to you. 

Personal pensions operate under a ‘relief at source’ scheme, which means the pension provider automatically adds 20% basic-rate tax relief to any contributions that you make.

The total amount of relief entitlement depends on your tax band. Basic-rate taxpayers receive 20% relief, higher-rate taxpayers should receive 40% relief and additional-rate taxpayers should receive 45% relief.

The key word here is ‘should’. Everyone receives 20% relief automatically, so basic-rate tax payers receive the correct amount. Higher-rate and additional-rate taxpayers however, do not, and therefore, potentially lose out. 

A higher-rate taxpayer contributing £8,000 into a SIPP is entitled to £4,000 tax relief; the pension provider automatically reclaims £2,000 from HMRC and injects into your pension. 

The remaining £2,000 however, must be manually claimed.

The extra relief is claimed by you via a self-assessment tax return. The tax relief or refund typically arrives in the form of a reduction in your tax bill. 

Student loans

Student loans further erode income.

Loan repayments commence from the April after qualification, once income exceeds a certain threshold. 

The relevant threshold depends on the loan ‘plan’, determined by when the course commenced.

Repayments are typically 9% of income above threshold. 

Student loan repayments materially increase marginal deduction rates. 

For higher-rate taxpayers however, earnings between £50,270 and £100,000 are subject to 40% income tax, 2% national insurance contributions (NICs) and the 9% student loan repayments; equating to an effective 51% rate. 

Within the £100,000 to £125,140 band, where effective income tax rises to 60%, the true marginal deduction rate can approach 69% once loan repayments are factored in. For every extra £1 earned, you may only retain 31p. 

These figures are often under-appreciated because payslips are absent in self-employment; the deductions occur through self-assessment, obscuring their impact. The headline income figure is therefore misleading and is not the same as usable income.

Incorporation and the value of nuance

Incorporation has historically been promoted as a tax-efficient structure for higher-earning associates, which extends to some DCPs.

Changes to corporation tax rates and dividend allowances however, have narrowed the potential advantages.

Paying yourself a company salary generates corporation tax relief, but it also triggers:

• Employer NICs (15% above £5,000)  
• Employee NICs (8% between £12,570 and £50,270). 

By contrast, sole traders pay 6% class four NICs over the same range.

This reduces the efficiency of incorporation where most profits are withdrawn as income.

Dividend payments avoid NICs, however, these are paid from company profits which are first subject to corporation tax.

Dividends are distributed from post-tax profits and taxed again at the shareholder level at their marginal rate. 

While dividend tax rates are lower than income tax rates, the combined effect often reduces the tax advantage of incorporation.

Professionals must also consider IR35 legislation, and the implications this may bring.

In some cases, incorporation may also create scope for legitimate household tax planning, for example, through involving a spouse in the business.

Where a spouse is a lower-rate taxpayer and is genuinely involved in the business or holds shares, this can allow income to be distributed more tax efficiently within the family unit.

Incorporation however, increases administrative burden, accountancy costs and compliance responsibilities.  

The real objective of income retention

High-income professionals often assume that financial security follows automatically from a high salary.

In reality, the UK tax system is layered and highly interactional.

Over the course of a 30 or 40-year career, the difference between informed and uninformed financial decision making can be profound. 

Wealth management is not solely about accumulation. It is about structure, discipline, and continual evaluation; the foundations of financial independence. 

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Due to ‘fundamental weaknesses’ in its governance, risk management and control framework, the Care Quality Commission’s (CQC) internal auditors concluded the regulator’s systems were ‘inadequate and ineffective or likely to fail’.

The CQC has published its Annual Report and Accounts 2024/2025, noting that it covers a period of ‘significant organisational and leadership change’ within the organisation.

In July 2024, a government investigation of the CQC found ‘significant failings’ including low inspection levels, lack of clinical expertise among inspectors and severe IT problems. By October, CQC interim chief executive Kate Terroni had resigned, describing her term as ‘an intensely challenging experience’.

The newly-released report explores these failings in more depth. For example, arrangements in a number of key areas are deemed inadequate or ineffective, leading it to conclude that the CQC’s framework of governance, risk management and control was ‘unsatisfactory’.

What are the issues in the CQC framework?

The report states that as of February 2025, only 3,428 inspections had been completed out of a target of 16,000. Additionally, 32.4% of registrations in the system were more than 10 weeks old compared to a target of 22.3%. Just 4% of newly registered services had an assessment within 12 months of registering.

The CQC also acknowledged its executive board was ‘divided’ following turbulence in its staffing. The report notes ‘a breakdown in trust between the non-executive directors (NEDs) and some of the executives’ and ‘a lack of alignment between the executives themselves on some issues’.

As the report was compiled, four in 10 members of the regulator’s executive team were interim appointments. While a new structure for the executive team had been proposed, it was yet to be implemented as of August 2025.

The report acknowledged that this inconsistent governance would inevitably have an ‘organisational impact’. It concludes: ‘Significant improvements are required to the overall control environment at CQC to ensure that the organisation is able to achieve its strategic objectives and manage public money as effectively as possible.’

Recent progress ‘towards rebuilding CQC’

However, the CQC also stressed that ‘the reporting period covered is now quite old’. It said: ‘Our organisation has changed considerably during the 2025/26 period, so it is important that we reflect this as we report on an older accounting period.’

The regulator said recent changes were ‘more reflective of the progress we have made towards rebuilding CQC’. Last year, it identified four immediate actions and five foundational improvements needed to rebuild CQC.

‘Our purpose remains clear: to be the strong, effective regulator of health and social care that people and providers need and deserve. Moving into 2026/27, we will continue to engage with our stakeholders as we develop and refine our approach.

‘While we know there is much work still to do to rebuild trust and confidence, we have made progress against the immediate priorities and the foundational improvements – and we are determined to continue to improve our registration services, how we respond to concerns, and how we deliver an increasing number of assessments that support improvement.’

Follow Dentistry.co.uk on Instagram to keep up with the latest news and trends.

If you’ve been following what’s happening in digital dentistry lately, you’ve probably heard that the industry just took a huge step: AI-assistive diagnostics is here. But do you know the essential basics? You can learn more in 3Shape’s eBook.

Diagnostic transparency – a new dentistry trend?

When patients struggle to understand what’s happening in their mouth, treatment decisions can become harder for them.

Traditional checkups rely heavily on verbal explanations. X-rays are abstract. Probe measurements mean little to patients. As a doctor, you can try and explain as best you can, and your patient must trust. But maybe, as the saying goes, seeing is believing.

Digital diagnostics changes the dynamic.

With diagnostic aid software, clinicians can:

• Visually highlight surface caries, tooth wear, gingival recession, and plaque
• Manually compare scans over time to track changes
• Share findings directly to the patient’s mobile device.

The checkup becomes visually engaging.

And that shift matters.

When we surveyed 264 consumers who experienced intraoral scanning and were shown a demo of the Dx Plus AI diagnostic software, we saw that:

• 89% would be more likely to accept treatment
• 79% would recommend a dentist using the software
• 74% would pay more for a checkup with the software
• 71% were more likely to book their next appointment.

This is how technology can ladder into patient relationships.

From reactive dentistry to early-care mindset

One of the most powerful themes in the eBook is the move toward early care.

When early-stage lesions or plaque accumulation are visualized clearly, patients can proactively combat their development. On subsequent visits, they can then follow their oral health journey over time.

This supports:

• Patient loyalty
• Early care
• Higher likelihood of treatment acceptance
• Ongoing engagement between visits.

The visualisations based on the scan become more than a snapshot. It becomes a reference point for long-term care.

Download the free eBook

In the complete eBook, you’ll discover:

• How AI-assisted diagnostics works alongside TRIOS 6 scans
• How to integrate digital checkups into your routine
• The research behind patient comprehension and treatment acceptance.

If you’re serious about strengthening engagement, increasing the likelihood of treatment acceptance, and building a more proactive model of care, it’s essential reading.

Download it here.

If you prefer a demo of the DX Plus diagnostic software, you can book one at your own convenience here.

This article is sponsored by 3Shape.

Those who provide their patients with composite fillings have probably already justified this with the fact that it is an aesthetically high-quality and metal-free form of restoration. But is this actually correct?

After all, metal oxides are added to most composites in order to achieve the desired colour. OMNICHROMA, a composite from Japanese manufacturer TOKUYAMA, achieves its shade without added pigments.

Composites are essentially made up of three components: an organic resin matrix, inorganic fillers and a composite phase made of silanes (Bowen and Marjenhoff, 1992). Taking a closer look at the composition of the organic matrix reveals that, in addition to monomers, initiators and stabilisers, it also contains dyes and pigments (Faltermeier, 2008).

These can be various iron oxides, titanium dioxide or aluminium oxide. While pigments based on titanium dioxide and aluminium oxide are used for white colouring, iron oxide pigments can be used to achieve black, red or yellow shades (Janda, 2008). These are the shades that are relevant for the colour space of human teeth.

Just like leaves and chlorophyll

But how exactly does colouring with pigments actually work with composites? In principle, it is the same here as with plants in biology lessons: Here, light with all its wavelength ranges hits the leaf of the plant, where it is largely absorbed by the chlorophyll.

Only the green wavelengths are reflected, which is why we perceive the leaf as green. In this case, the colouring has a chemical cause. This mechanism is also the basis for the colouring of most composites.

The iron oxides they contain, for example, reflect red or yellow wavelengths and thus provide the desired shade. However, studies on experimental composites have also shown that iron oxide pigments cause a reduction in translucency (Azhar et al, 2019) – a factor that dentists should take into account, especially with darker shades.

Colour from structure

However, it is also possible to create colour without the addition of pigments. The key term in this context is structural colour. In contrast to pigment colours, structural colours are not caused by the absorption or non-absorption of certain wavelengths of light, but are created by certain surface structures.

The cause here is therefore not chemical, but physical. These structures interact with the light and create colour through interference or diffraction, for example.

The fact that structural elements are responsible for the colouring of bird feathers, for example, has been known since the first half of the 20th century. Even Isaac Newton had already established a connection between optical interference and ‘iridescent colours’.

In his work Optiks, published in 1704, he described how the colouring of peacock feathers changes depending on the viewing angle, similar to the interference on thin layers. Today, numerous animals and plants are known in which nano- and microscale structures provide the colouring (Gebeshuber, 2008).

Structural colour in the dental practice

In the field of dental composites, structural colour was used as the primary colour-generating mechanism for the first time in 2019. With the help of Smart Chromatic Technology, the Japanese manufacturer TOKUYAMA DENTAL succeeded in utilising the mechanism for its universal composite OMNICHROMA. The flowable variants of this material, OMNICHROMA FLOW and OMNIHROMA FLOW BULK, are also based on this technology and therefore require no artificially added dyes or pigments.

This is made possible by the microstructure of the material. Of particular importance in this context are the spherical filler particles with controlled size and structure. They generate structural colour, which also reflects the surrounding tooth colour.

This results in a pronounced chameleon effect with real added value for both dental practices and patients. With just a single shade, the OMNICHROMA composites enable continuous shade matching across all 16 classic VITA tooth shades from A1 to D4. This not only ensures that the right shade is always in stock, but also makes the workflow in restorative therapy simpler and more efficient.

Conclusion for the dental practice

In most cases, the colour of composites is achieved by adding metal oxide pigments. However, it is also possible to create colour through the structural properties of the material.

With OMNICHROMA, a composite that uses structural colour as the main colouring mechanism is  available to dental practices for the first time. As an omnichromatic composite, it also allows all 16 classic VITA tooth shades to be matched with just one shade.

For more information on the OMNICHROMA composite range and to request a free trial sample: https://tokuyama-dental.eu/en/omnichroma/.

References

1. BOWEN R L, MARJENHOFF W A: Dental composites/glass ionomers: the materials. Adv Dent Res 6: 44-49 (1992).
2. Faltermeier A: Werkstoffe in der Zahnmedizin. In: Werkstoffe in der Zahnmedizin. Springer Berlin Heidelberg, Berlin, Heidelberg (2008).
3. Janda R: Organische Polymere: Chemie und Physik, Teil III. Quintessenz Zahntech 34: 584-594 (2008).
4. Azhar G, Haas K, Wood DJ, van Noort R, Moharamzadeh K. The Effects of Colored Pigments on the Translucency of Experimental Dental Resin Composites. Eur J Prosthodont Restor Dent. 2019 Feb 22;27(1):3-9. doi: 10.1922/EJPRD_01855Azhar08. PMID: 30775872.
5. Gebeshuber I.C. (2008): Strukturfarben in der Biologie: Inspirationsquelle für neue technische Entwicklungen. Plus Lucis 1-2/2008, Zeitschrift des Vereins zur Förderung des physikalischen und chemischen Unterrichts. Österreichische Physikalische Gesellschaft – Fachausschuss Lehrkräfte an Höheren Schulen, 44-47.

This article is sponsored by Tokuyama Dental.

Join David Nelkin on 28 May at 7pm as he discusses the first 100 days of marketing for a new practice owner.

Buying a dental practice is one of the biggest decisions you will ever make. What happens next with your marketing is one of the most important – and one of the most overlooked.

You inherit a website, a brand, an agency relationship, a Google Business Profile, a patient base, and almost always some marketing that is partly working and partly broken. You do not yet know what is delivering value, what is wasting money, or what is simply missing. That is normal. The first 100 days is not about fixing everything at once – it is about getting to clarity, making the right decisions in the right order, and building from a foundation rather than a scramble.

This webinar walks through that 100-day period as a structured triage. Using the Promote, Convert, Grow framework, it helps new practice owners audit what they have inherited, identify what to keep, what to kill, and what to build, and leave with a 90-day plan they actually believe in.

This is not theory. It draws on the patterns we see – the inherited agency relationships with no real strategy, the Google Business Profiles unclaimed despite years of paid support, and the enquiries lost simply because no one set up a system to follow them up.

The webinar will:

• Give new practice owners a clear, structured framework for assessing the marketing they have inherited
• Reframe the first 100 days as triage rather than transformation, focusing on visibility before fixes
• Equip practices with a Promote, Convert, Grow lens for diagnosing where their inherited setup is strong, weak, or missing entirely
• Highlight the most common patterns we see across practice transitions and the decisions that separate strong year-ones from weak ones
• Help new owners leave with a realistic 90-day action plan rather than an overwhelming wish list.

What are the learning outcomes of the webinar?:

• Audit an inherited marketing setup with confidence – including how to take inventory of websites, agencies, GBP listings, CRM systems, active campaigns, and brand assets in the first two weeks of ownership
• Apply the Promote, Convert, Grow framework as a diagnostic tool – identifying which pillars have been invested in, which have been ignored, and where the biggest gaps and opportunities sit
• Make the new patient funnel visible mapping leads from source through to contact, appointment, attendance, and treatment start, so leakage points become obvious rather than hidden
• Make confident decisions about inherited agency relationships, websites, and systems Including the questions to ask, the reports to scrutinise, and the warning signs that indicate a relationship needs to end rather than continue
• Prioritise the right fixes in the right order, recognising that convert and grow are usually more broken than promote in inherited setups, and acting accordingly rather than defaulting to ‘spend more on ads’
• Build a 90-day forward plan structured around Promote, Convert, Grow with clear actions, owners, and measurable outcomes that move the practice from inherited setup to genuine system in year one.

The speaker

David Nelkin is the founder and CEO of Xcelerator Dental, a specialist dental marketing agency focused on practice growth.

With over 11 years of experience working with more than 200 dental practices, David is recognised as a thought leader in dental marketing. Under his leadership, Xcelerator Dental has won multiple awards, including Website of the Year at all three major dental awards in 2024 and CSR awards for sustainability initiatives.

David is passionate about simplifying the path to growth for dental practices.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• The five hidden HR risks in dental practices and how to prevent them
• Achieving superior outcomes in periodontal and peri-implant treatment
• Wellbeing starts with you: mindfulness for dental professionals
• Navigating challenging patient contacts in dental practice
• Dental whitening: fundamental knowledge on treating even the most complex cases.

Join Khyam Chudhry on 27 May at 7pm as he questions whether your practice is quietly losing £100,000 per year.

his webinar will reveal where dental practices may be losing profit without realising it.

The session will help owners understand their numbers more clearly, identify hidden inefficiencies, and make better financial decisions with confidence.

Learning outcomes:

• Understand where dental practices commonly lose profit without realising it
• Learn how to interpret key financial numbers beyond year-end accounts
• Identify hidden inefficiencies in areas such as associates, costs, and capacity
• Gain clarity on the difference between profit and cash, and why it matters
• Develop a clearer framework for making confident financial decisions.

The speaker

Khyam Chudhry is a chartered certified accountant and founder of Dental Accountant, specialising in supporting dental practice owners across the UK. With over a decade of experience, he focuses on helping practices move beyond compliance to gain real clarity over profit, cash, and performance.

His work centres on turning financial data into meaningful insight, enabling better decisions and long-term growth. Khyam is known for his calm, practical approach and commitment to simplifying complex financial matters.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• Achieving superior outcomes in periodontal and peri-implant treatment
• Wellbeing starts with you: mindfulness for dental professionals
• Navigating challenging patient contacts in dental practice
• Dental whitening: fundamental knowledge on treating even the most complex cases
• How clean is your handpiece? Effective maintenance and reprocessing.

More than half of young children in the UK admit to fibbing to parents about brushing their teeth, according to new research from Bupa Dental Care – showing the daily brushing battles faced by families and the impact rushed routines can have on oral health and dental anxiety.

A nationwide study of 1,000 parents and 1,000 children aged three to 10 found:

• 56% of children admit to fibbing about brushing their teeth
• 41% brush for a minute or less, despite guidance to brush for two minutes, twice a day
• 13% of children feel anxious about visiting the dentist, rising to 22% of parents.

The findings come as tooth decay remains one of the leading causes of hospital admissions among young children in England (NHS, 2024), underlining how brushing habits and attitudes to dental care formed early in life can have lasting consequences.

Brushing routines and dental anxiety

Nearly half of parents (46%) say they worry their child is not brushing effectively, while 29% are concerned their child is not brushing for long or often enough. When brushing feels rushed or becomes a battle, it can also affect how children feel about visiting the dentist.

Among children who report feeling anxious, common triggers include dental equipment (52%), loud noises (46%), bright lights (34%) and fear of the dentist themselves (27%).

Parental anxiety also plays a role. Nearly one in five children (18%) say a parent’s nerves make them feel more anxious, while 22% of parents admit they feel nervous too, which is often linked to worries about pain or previous experiences.

Helping children feel calmer and more confident

In response, Bupa Dental Care has launched The Dentist’s Apprentice, a new children’s storybook written by award‑winning author Jennifer Gray, designed to help children understand what happens at the dentist and reduce fear of the unknown.

Reading stories with children can play an important role in helping them manage worries and understand their feelings. More than nine in 10 parents (93%) believe story time can help children deal with fears or anxieties, while more than half (54%) say reading together helps calm their child down. Almost half (48%) also say their children learn from the characters in the books they read.

The story follows an anxious crocodile through a step‑by‑step dental visit, helping children feel informed, reassured and in control. An accompanying audio version is voiced by JLS member Aston Merrygold, singer and father of three, who also shares his own experiences of navigating brushing battles at home.

Aston Merrygold, member of British boyband JLS, said: ‘Brushing teeth can feel like a daily battle in many households, especially when you’re trying to make sure little ones brush for long enough. At home, I try to keep it fun, using music, brushing together and sticking to routines. Making brushing enjoyable really helps, and it makes a big difference when it comes to visiting the dentist too.’

The book is available in Bupa Dental Care practices and can be read before or during appointments to support conversations between dental teams, children and parents.

Building healthy habits early

Mark Allan, general manager at Bupa Dental Care, said: ‘The Dentist’s Apprentice is a completely charming story, which is focused on helping younger patients feel more comfortable and confident when visiting the dentist. We hope it does exactly what we set out to achieve – supporting children, parents and clinicians by making dental visits feel less daunting and more familiar. By helping children understand what to expect and build confidence early on, we can play an important role in shaping positive lifelong habits around oral health.’

Dr Neil Sikka, director of dentistry at Bupa Dental Care, commented: ‘A lot of habits that shape how children look after their teeth – and how they feel about the dentist – start early in life. If brushing feels invasive or unpredictable, little ones can start to feel anxious – especially if they don’t know what to expect at the dentist.

‘Supporting children to feel prepared, calm and confident plays a key role in prevention and in building positive, long‑term attitudes towards dental care.’

Reference

1. NHS Digital. (2024). Hospital Admitted Patient Care Activity, 2023–24. NHS England. https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2023-24

Learn more about careers with Bupa Dental Care.

This article is sponsored by Bupa Dental Care.

Belmont has unveiled its upgraded Voyager III Plus ambidextrous treatment centre, featuring enhancements that further boost practitioner efficiency and elevate patient comfort.

It retains all the familiar features trusted by dental practices across the UK for the last 30 years, while introducing some subtle yet impactful refinements.

The Voyager III Plus now includes:

• An improved backrest with extra lumbar support to ensure greater comfort, especially for longer treatments
• A new, easy-to-adjust, multi-positional twin-axis headrest system that allows for finer adjustments to ensure precise positioning for optimal treatment outcomes for all patients
• An upgraded LED treatment light that provides a brighter 34,000 Lux output, and composite cure safe mode. Available in a ceiling-mounted option.

The below-the-patient design allows easy switching between left- and right-handed operators, and the table smoothly repositions behind the chair for discretion or cleaning and preparation.

With easy-to-use controls and an excellent ergonomic layout, the Voyager III Plus exemplifies operator-friendliness and offers flexibility in any clinical setting.

With a seamless blend of functionality, hygiene and ease of use, the treatment centre’s reliability and high-volume capacity make it an ideal choice for busy practices everywhere – a testament to its 30-year standing as the preferred option for many.

Subtle improvements have enhanced this familiar, trusted design. As a result, the Voyager III Plus is now widely regarded as a best-in-class treatment centre.

Find more information click here.

This article is sponsored by Belmont.

Dentist and professional rugby player Liz Crake helped England to another Grand Slam title with victory over France on Sunday. We revisit her story of balancing life in practice with elite rugby.

I’m Liz Crake, I’m a dentist and pro rugby player in the women’s premiership (The PWR). I have played rugby for 16 years, and I got my first cap playing for England in 2023, and represented the Barbarians the same year.

I played for Wasps for most of my career until they went into administration. Then I played for Ealing Trailfinders and this year I have moved to Saracens. I pursued rugby throughout my dental studies and combined the two ever since. Last year I had a full time England contract so I took a year out from dentistry but I am now back to being a dentist again. 

‘Women’s rugby isn’t in a position to be fully professional yet’

I wouldn’t say I ever chose to continue with both dentistry and rugby. I wanted to pursue playing rugby for England, and unfortunately women’s rugby isn’t in a position to be fully professional yet. It is only in the last five years or so that I have been paid to play rugby but it is not enough to live off. So I always had to pursue a career outside of rugby and I believed dentistry would enable me to work part time and earn enough to be able to pursue my sporting goals.

Pursuing both was a choice made from necessity, though I am glad I have a career to fall back on and progress in outside of rugby. It’s good to have something else so sport and rugby doesn’t become my entire identity. 

Balancing two careers isn’t easy, but it’s mostly about working part time to be able to pursue both. We train on Tuesdays and Thursdays, so I work on the other days. We actually do train on Mondays also but I had to sacrifice that training day because I needed to work three days a week. 

Balancing dentistry and rugby

‘I’m at an age where it’s easy to feel like I’m behind’

When I first started, the biggest challenge I had was trying to leave on time to get to training and getting all of the analysis done beforehand. I would often run late and need to write referrals or notes. It was important for me to find a practice that was supportive of my goals, in and out of dentistry.

Now I’m a few more years in and have more experience, my biggest struggle recently has been trying to get back into private practice after a year out of dentistry. It took three or four months, understandably as I’m competing with applicants who have far more advanced training and experience than I have had the opportunity to.

I think I’m at an age where it’s easy to feel like I’m behind in dentistry and my career there. Similarly with rugby, I know that I can’t keep pursuing it forever, and soon I’m going to have to take a step back from it.

‘Pursue the things that actually make you happy’

My advice would be to pursue the things that actually make you happy. If you want a long and happy career, I don’t think it helps to have any one thing as the sole focus. When I was a full time rugby player I ended up actually finding it quite depressing because I had absolutely nothing else going on so. When rugby wasn’t going well (which it really wasn’t), I had nothing to take my mind off it or to reduce the anxiety and stress.

We all know that dentistry is a highly stressful career and I find it a really lonely one. If I didn’t have rugby alongside it through uni and in tougher times in practice, I don’t know if I would have found any joy in it. So it’s really important to have something else that is just for you. We spend all day caring for and managing other people’s feelings in our patients, so we need to protect and enforce the time we spend on ourselves, even if that’s just having a 20 minute read before bed. 

This article was originally published on 28 January 2026 and has been updated following Liz Crake’s England recall and Grand Slam appearance.

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Paige Brooks from Sunderland has been selected to represent Team GB Lionesses at the Legends Ball Hockey World Championships 2026, taking place in Slovakia this summer.

The selection marks a significant milestone for Paige, a head nurse at mydentist Avalon House, who will compete on the international stage against elite teams including the USA and Canada. The tournament will be televised, providing unprecedented global exposure for women’s ball hockey.

Where it all began

Paige’s path to international competition began through a chance introduction to ball hockey from a friend. Already an accomplished ice hockey player for a local team, she decided to try a session and quickly fell in love with the sport. Since then, she has balanced both disciplines while maintaining her nursing role at mydentist Avalon House.

Overcoming adversity

Paige’s journey hasn’t been without challenges. Last year, she suffered a torn ACL, which sidelined her for six months. However, through physiotherapy and sheer determination, she made a full recovery and returned to both sports stronger than before. Her resilience was rewarded when she was named assistant captain of her ice hockey team, a role she holds alongside her nursing responsibilities.

Paige comments: ‘It’s a huge honour and a privilege to represent Great Britain. It’s something I’m incredibly proud of. But it hasn’t been without its challenges – I’ve had to overcome my ACL injury, but with physiotherapy and determination, I have been able to return to both sports.

‘This season, my ice hockey team reached the finals weekend of the Women’s National Ice Hockey League, another significant achievement I’m so proud to be part of.’

It’s a balancing act

Tournament ambitions 

Paige’s personal goal for Slovakia is clear: win a gold medal. But beyond the podium, she’s excited about the level of competition and what it means for women’s sport.

Paige adds: ‘The level of competition is exciting. We know these matches will be challenging, but that’s what makes them so rewarding. Women’s sport doesn’t always get the coverage it deserves, so having this level of exposure on broadcast channel TNT, is a huge milestone for us.’

Her long-term ambitions extend beyond this championship. She hopes to trial for the GB women’s senior ball hockey team next season while continuing to develop as assistant captain in ice hockey, with aspirations to progress to Division One.

Inspiration for the next generation

Most importantly, Paige is passionate about inspiring young athletes, particularly girls and women considering sports traditionally male-dominated.

Sharing her advice, Paige comments: ‘Don’t be afraid to try new sports, even those that are traditionally male-dominated. Just go for it!’

Lynsey Warrener, practice manager at mydentist Avalon House, expressed the team’s pride in Paige’s achievement: ‘We are incredibly proud of Paige and everything she has achieved. Being selected to represent Team GB is an outstanding accomplishment and reflects her dedication, resilience, and passion both inside and outside of work. She is a real inspiration to the whole team at Avalon House, and we’ll all be cheering her on.’

Paige will be sharing updates from the tournament on her social channels, with additional coverage through her ice hockey club, Whitley Bay Beacons.

You can follow Paige’s journey on Instagram: @paigemelissabrooks.

Find out more about careers at mydentist.

This article is sponsored by mydentist.

Prime Minister Keir Starmer pledged a reform of the dental contract when coming to power but with bruising local election results, Labour leadership rivals circling and the Reform Party crowing, will he be able to deliver?

‘Unless we get that consultation and make progress on this, their ambition to reform the contract during this parliamentary term is going to be under pressure,’ British Dental Association (BDA) chair Eddie Crouch told Dentistry.co.uk at the Dentistry Show in Birmingham last week.

Wes Streeting quit his position as health secretary to stand against Starmer, with James Murray, the Labour MP for Ealing North, taking on the role with the largest public service departmental budget.

‘I don’t know whether that will be a good thing or a bad thing, because it’s the Treasury that’s holding up the real progress here,’ Crouch responded when asked if the change would impact discussions.

‘I think change obviously is uncertain. We know that the government at the moment are having their political problems. What I hope is that a minister that I’ve built up a relationship with over the last two years, who I believe has got the right motives, will continue in post, irrespective of who eventually ends up leading the Labour Party,’ he added.

‘Deliver the change I promised’

A public consultation on contract reform had been expected in spring but has now slipped to summer. Crouch noted that Westminster does tend to have longer summers than most.

That summer will be dominated by a leadership challenge following the 7 May local elections – Labour lost ground as Reform won 1,454 council seats, more than any other party.

‘Tough days like this don’t weaken my resolve to deliver the change that I promised,’ Starmer said after the vote, though he acknowledged that voters were clearly unhappy about ‘the pace of change’ that Labour had delivered.

Crouch said there was a direct electoral incentive to act.

‘There’s a huge percentage of Labour MPs who get mailbags full of dental problems, who get told on the doorstep that dentistry is important to them. If they don’t fix NHS dentistry by the end of this term, I think they’ve got no chance at the ballot box. And the investment needed is not an awful lot in the grand scheme of things – dentistry is about 3% of the NHS budget.’

If Labour fails to act, Reform are lying in wait. According to the PollCheck poll tracker, which draws on data from all major UK pollsters, Reform held a 28% share of voting intention as of 18 May, the largest of any party. The next election must be called before August 2029.

Reform Party Dentistry Plan

But what would dentistry look like under a government led by Reform leader Nigel Farage? Dentistry does not feature directly in the Reform Party’s manifesto, and requests for detail from Dentistry.co.uk to the party have gone without reply.

Farage has addressed the access crisis in public statements, acknowledging that ‘people are pulling out their own teeth’ and, responding to the widely reported queues outside a Bristol dental practice in 2024, attributing the pressure on services partly to migration-driven population growth.

Reform’s wider policy platform would have significant implications for the dental workforce. The party has pledged to scrap indefinite leave to remain and replace it with a five-year renewable visa with higher salary thresholds, mandatory English fluency, and stricter character requirements. The current skilled worker visa threshold sits at £41,700 – a level that already effectively excludes most dental nurses. Raising it further could affect dental therapists, hygienists and technicians currently on skilled worker visas.

The party has also pledged to prioritise British workers and ‘end the importation of cheap foreign labour’. This sits in tension with the current composition of the dental workforce: GDC figures published earlier this month showed that more than half (53%) of dentists who joined the register in 2025 were internationally qualified. The Association of Dental Groups (ADG) has previously described allowing more overseas professionals to practise in the UK as the ‘low hanging fruit’ solution to the workforce crisis.

On tax, Reform has pledged to cut income tax thresholds, reduce business taxes, and remove inheritance tax from family farms and family-run businesses – measures that could benefit some practice owners.

What has Reform said about the NHS?

Reform has also pledged that the NHS would ‘remain free at the point of use, funded by general taxation’, though the party has not set out any specific commitments on dental access or NHS contract reform.

The policy states:

Whether a Reform government could act on any of this remains an open question. The party fielded 609 candidates at the 2024 general election and is currently recruiting for an approved parliamentary candidates list ahead of 2029 – suggesting it has not yet reached the full coverage needed to mount a realistic challenge for an outright majority without coalition support.

For Crouch, the more important point is that the political will to fix NHS dentistry transcends any single party.

‘I believe that there is a parliamentary will to actually improve dentistry, and that’s across all parties – whether I meet the Greens, the Liberal Democrats, the Conservatives or Labour. Everyone wants NHS dentistry to be resolved. With that political will, we have reason to be optimistic,’ he said.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

A gold ligature found on the teeth of a Scottish man who lived in roughly the 16th century has been described as the first set of metallic tooth grillz in history.

Discovered at St Nicholas Kirk in Aberdeen, Scotland, the ligature is fixed to the right lateral and left central mandibular incisors to form a bridge for the right central incisor. This tooth was either missing, so the bridge would have held a prosthetic of some kind in place, or loose and being steadied by the ligature.

The device is made of 20-carat gold and was likely placed due to aesthetics rather than preserving oral function. In this sense, the purpose of the bridge is more similar to modern decorative grillz than functional dental interventions.

The researchers note that outward appearance was highly associated with moral character in the middle ages, increasing the demand for aesthetic interventions such as this. They said: ‘The appearance of a person and their perceived health was linked to one’s sins.’

The individual who had the ligature placed was probably a relatively wealthy member of society, as the cost of gold would have been prohibitive. Gold alloy wire was often used for dental intervention due to its resistance to corrosion and tarnishing and biocompatibility.

There is evidence of at least 22 goldsmiths active during this period near Aberdeen, many of whom would be capable of producing the fine gold wire.

Complex dental interventions long before modern dentistry

As dentistry was not established as a standalone profession until the 19th century, the study’s authors theorise that the bridge would have been placed by a jeweller, barber, or an early form of dentatore or tooth puller.

The earliest ligatures ever discovered date back to ancient Egypt, however, the researchers said this was the earliest example found in Scotland.

The authors conclude that this case contributes to growing evidence that complex dental interventions existed long before modern dentistry, including restorative and prosthetic techniques.

This comes as researchers dubbed a drilled out Neanderthal tooth ‘the world’s oldest evidence of successful dental treatment’. The 59,000-year-old molar predates the next oldest evidence of intentional caries treatment by more than 40,000 years.

This finding suggests that Neanderthals had the capacity to identify the source of pain, determine how to treat it, apply the manual dexterity needed for an efficient operation, and endure painful treatment to alleviate future discomfort.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

Admetec shares the story of James Hunter, who provides essential treatment for patients with severe dental disease and trauma in Liberia.

Imagine a country the size of the UK but with fewer dentists than you would find in a single town.

That is the reality in Liberia, where more than five million people are served by only a handful of dentists. For many people, access to dental care is almost non-existent. Tooth decay and infections often go untreated for years, leading to severe pain, disfigurement, and sometimes life-threatening complications.

For Dr James Hunter, a dentist from the UK now working in Monrovia, helping patients like this has become part of daily practice life.

James currently serves as project lead for Trinity Dental Clinic and the Liberia Dental Therapy School. The clinic provides essential treatment for patients with severe dental disease and trauma, while the training school is preparing local students to become dental therapists who will bring basic dental care back to their own communities.

Before moving to Liberia, James practised dentistry in Cornwall, where he worked with a high-end operating microscope. Transitioning to a resource-limited environment where power cuts are common was a significant change.

Fortunately, the Admetec Ergo V loupes have helped bridge that gap. Their adjustable magnification allows James to move between surgical procedures, endodontics, and routine care using the same pair of loupes, while the light provides consistent illumination even when the power supply is unreliable.

Turning procedures into teaching moments

A major part of James’ work in Liberia involves teaching and training students at the only dental training facility in the country.

In the past, students trying to learn a new technique would crowd around the dental chair and try to see the procedure from behind the operator. In a small surgical field, that isn’t always easy.

The Flamingo wireless camera has changed that. Students can now watch procedures in real time from the clinician’s perspective.

‘I was incredibly excited to put the Flamingo camera to good use in Liberia, and I’ve been able to use it in far more ways than I expected,’ James says. ‘My students can see the fine details of a technique in a way that just wouldn’t be possible if they were trying to look over my shoulder. In many ways, it allows them to see what I’m doing through my own eyes.’

Because the procedures are recorded, they can also be replayed later in the classroom. Treatments carried out during outreach trips or busy clinic days can become practical teaching material for the entire group of students.

Connecting with specialists from afar

The camera has also opened the door to remote collaboration.

In some cases, James has been able to record footage and share it with a colleague who is a maxillofacial surgeon. That allows them to discuss complex cases and refine treatment approaches despite being thousands of miles apart.

Recently, that collaboration helped make a particularly challenging procedure possible.

A patient who had suffered a maxillary fracture in a motorcycle accident later developed a palatal fistula. By sharing video captured through the Flamingo camera, James was able to communicate the details of the case and receive guidance that helped him successfully repair the defect.

In a setting where specialist support is extremely limited, being able to discuss cases in that way is invaluable.

Training the next generation

While the clinical work at Trinity Dental Clinic is essential, the long-term focus is on building a dental workforce within Liberia itself.

The Liberia Dental Therapy School aims to train dental therapists who can provide essential care in communities where access to dentistry is currently almost non-existent. Many of these graduates will eventually return to rural areas where patients today may have no realistic way of seeing a dental professional.

For the students, seeing procedures clearly as they happen – and reviewing them afterwards – is becoming an important part of their training.

And for James, it means that every case treated can also become a lesson for the clinicians who will one day carry that work forward.

Admetec is honoured to support professionals who choose to invest their expertise where it creates lasting change. The team is proud that they can play a part in the development of a dental workforce in Liberia.

Find more information here:

• Our support page
• Our website/updates page
• The Liberia Dental Therapy school website.

This article is sponsored by Admetec.

Haroon Latiff shares his journey into cosmetic dentistry and why Venus Pearl remains his composite of choice for bonding.

For Haroon Latiff, the path into dentistry was shaped early by family influence. ‘My uncle’s also a dentist. He’s achieved so much in his career, and that itself has been inspiring for me to watch,’ he explains.

But it was ultimately his mother who guided his decision: ‘It was actually my mum who encouraged me to do dentistry, and I’m so glad that she did, because I don’t know what job I’d do otherwise.’

The impact of modern dentistry

More than 10 years into his career, Haroon still enjoys the profession, but he is candid about its realities. ‘Something that would surprise non-dentists is how physically taxing the job is on the body,’ he says.

Long clinical sessions often take their toll: ‘When you’re doing these long appointments for about four or five hours, you can get yourself into these really weird positions.’

The cumulative impact is significant, even at a relatively young age. ‘I’m only 33 but I feel like I’m about 80. I’ve sustained almost every injury possible!’

Alongside these physical demands, Haroon highlights one of the most transformative changes in modern dentistry: social media.

‘The one change in dentistry that’s had the biggest impact on my practice is social media,’ he says. While he acknowledges it as ‘a bit of a double-edged sword’, its benefits have been undeniable.

‘I wouldn’t be where I am today without it. It’s how most of my patients have found me,’ he explains. Beyond patient acquisition, it has also become a powerful educational tool: ‘I’ve used it as a learning platform, and I’m sure lots of other dentists around the world have as well.’

Rewards and results

At the core of Haroon’s work is composite bonding. ‘The most rewarding part of that is transforming people’s smiles because of the impact it has on their appearance and therefore their confidence,’ he says.

More recently, however, his professional satisfaction has expanded into education. ‘I’ve been teaching dentists for over a year and a half, and I really get a nice feeling when delegates reach out to me and say that they’ve learned so much and their composites have improved.’

Seeing tangible results reinforces this: ‘I actually see that for myself in their before and afters… that, for me, is incredibly rewarding.’

Composite considerations

A key factor underpinning his clinical outcomes is material choice. Reflecting on his early career, Haroon says: ‘When I first started dentistry, there were so many composites to choose from, but every practice I’ve worked at has always stocked Venus Pearl, and that is no coincidence.’

Over time, his preference has remained consistent. ‘I’ve used lots of other composites before, but I’ve always gone back to Venus Pearl because it’s the most reliable and easy to use while still giving aesthetic results.’

For Haroon, predictability is essential. ‘I know that the composite is going to look good, but more importantly, it’s going to last a long time as well.’

He also values the material’s strength and handling characteristics: ‘Where Venus Pearl is so strong, I don’t have to make my edges super thick,’ he says. ‘I can keep my edges nice and thin, and therefore they’re still going to look natural.’

Long-term performance

Its long-term performance is another advantage. He says: ‘Its colour stability is really good… in years to come, the colour is going to hold out well and because of that, it’s excellent for managing discoloured teeth.’

One case in particular stands out. ‘It was a guy who came in, and he was a severe bruxer. He had worn his teeth down to like nothing, and he was told he needed a full mouth of crowns.’ Instead, Haroon chose a different approach. ‘I built them up in Venus Pearl, and eight years later, still standing. The results speak for themselves.’

For clinicians considering their material options, his advice is straightforward: ‘If you’re wondering what composite to use, Venus Pearl is a really nice one, because it’s very easy to use. It’s very reliable and it’s predictable… and, more importantly, it will last a long time as well.’

Find out more by registering for the Kulzer in Motion Symposium.

This article is sponsored by Kulzer.

In this recorded LinkedIn Live session from 16 April 2026, Guy Hiscott, content director at FMC, chats with Nigel Jones, strategy director at Practice Plan, about what NHS dental contract reform actually means for practice owners right now.

NHS dentistry is going through yet another round of change. Some reforms are already starting to land, with more expected soon, but for many practice owners the big question hasn’t changed: what does this mean for me and my team on a day‑to‑day basis? As Guy and Nigel discuss, these changes come at a time when practices are already under pressure from issue such as workforce shortages and high patient demand to wider business challenges, and crucially, without any extra funding to underpin them.

Nigel shares that the mood across the profession is very mixed. Many owners are feeling uncertain about how the reforms will work in practice and frustrated by the lack of clear information or preparation. Others are worried about cash flow, clawback and the knock‑on impact on already stretched teams. That said, there is also a sense of cautious optimism in some areas, with a few people seeing potential opportunities depending on how things pan out.

The practical side of NHS contract changes

Throughout the conversation, Guy and Nigel focus on the practical side of the changes. They discuss managing financial risk, tweaking systems and processes, and how difficult it is to plan with any confidence while so much is still up in the air. The conversation also explores the introduction of complex care pathways, designed to improve support for patients with higher needs, and why clear guidance and realistic expectations will be essential if these are to make a genuine difference.

Guy and Nigely also address the bigger picture. Are these reforms a meaningful reset of the NHS dental contract, or are they just, as Nigel puts it, the equivalent of a quick tidy‑up that doesn’t really solve the underlying issues? Contract holders are likely to be waiting until next year to find out.

For now, despite the uncertainty and disruption, the message for practice owners is to pause, take stock, weigh up the risks, look for any opportunities and think carefully about what kind of practice model will best support your business in the long term.

There’s never been a safer time to leave NHS dentistry. If you’re considering your options away from the NHS and are looking for a plan provider who will hold your hand through the process at a pace that’s right for you, you’re in safe hands with Practice Plan.

You can start the conversation today by calling 01691 684165 or booking your one-to-one NHS to private conversation at a date and time that suits you, just visit practiceplan.co.uk/nhsvirtual.

This article is sponsored by Practice Plan.

This May and June, Savers is supporting cleft condition charity Operation Smile UK to change a life in seconds – by tapping ‘yes’ at the checkout.

Savers has launched a new nationwide fundraising campaign to support the work of Operation Smile, inviting customers to turn everyday shopping into life-changing support for children born with cleft conditions.

From 1 May to 30 June 2026, Savers shoppers across the UK will be asked at the till if they would like to donate 20p on any transaction over £3 through Pennies, the digital charity box. A quick ‘yes’ tap could help raise more than £100,000 to fund free, safe surgery and ongoing care for children and adults with cleft conditions.

This new campaign builds on the success of Savers and AS Watson’s global partnership with Operation Smile. The group’s ongoing support for Operation Smile helps to support life-changing surgeries and provides wider cleft care including speech therapy, nutritional support and training for healthcare teams in partner countries.

A chance to change a life

Every three minutes, a child is born somewhere in the world with a cleft condition. In many countries, lack of access to safe surgery means children grow up struggling to eat, speak and even breathe. Social stigma is another harsh reality, with many children facing exclusion from their communities and schools.

Operation Smile is tackling this directly. The charity works in more than 30 countries, bringing together volunteers including surgeons, anaesthetists, nurses, speech therapists and nutritionists to provide free surgery and follow-up care. Surgeries can be completed in as little as 45 minutes, yet the impact lasts a lifetime. The charity also trains and empowers local healthcare professionals in the countries they work in, providing a legacy of on-going treatment and support.

‘Everyday shopping moments are being turned into life-changing surgery’

Mike Straney, Operation Smile director of partnerships, says: ‘By giving customers the option to make a 20p donation, everyday shopping moments are being turned into life-changing surgery and care for children born with cleft conditions.

‘For us at Operation Smile UK, partnerships like this are incredibly powerful. They allow us to reach millions of people in a simple, accessible way, removing barriers to giving and making it a simple part of everyday life. It’s a great example of what’s possible when retailers, brands and charities come together with a shared purpose, creating meaningful social impact at scale.’

The donations raised in Savers stores will go directly to support Operation Smile’s work. Small change or small donations can make a big difference: £2 could provide a colouring book for a child waiting for life-changing surgery whilst £10 could provide a special feeding bottle to help a child get the vital nutrients they need. Meanwhile just £15 could help buy essential surgical equipment for a child’s surgery. £50 could help fund a training session for medical volunteers at a surgical programme. £150 could help provide life-changing surgery and transform a child’s life.

Everyday actions, extraordinary impact

Savers customers can help children just like Dilan. Born with a cleft lip in Guatemala, his early years were filled with challenges. Eating was difficult and his family often faced stigma in their community. After receiving surgery through Operation Smile, Dilan can now smile, eat and speak with confidence. His story is a reminder that even the smallest donation can help create a future filled with possibility.

Pennies, the award-winning micro-donation charity, has already enabled millions of small digital donations across the UK. By integrating Pennies into this campaign, Savers is making it simple for every shopper to play a part in changing lives.

For more information about Operation Smile, visit www.operationsmile.org.uk/fundraise.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

New measures have been finalised to increase appointment availability, expand urgent care access and strengthen long-term dental services across the Isle of Wight.

Discussions between the integrated care board (ICB), Isle of Wight West MP Richard Quigley and local dentists have led to a suite of new measures including a 48% increase in the island’s unit of dental activity (UDA) rate. In addition, providers will be able to deliver up to 110% of their contracted NHS activity in an attempt to maximise access.

Further investment in orthodontic care will also see treatment capacity increased over the next three years.

New commissioning arrangements aim to provide additional urgent appointments, dedicated emergency sessions for children and stabilisation clinics. The island is also seeing investment into workforce schemes such as £20,000 golden hellos designed to attract dentists to the area and funded training places for conscious sedation to encourage up-skilling.

Following the closure of a practice in Freshwater, its contracted activity has been transferred to Denbigh House Dental Clinic to maintain patient care. Additional NHS activity has also been distributed across other practices on the island to improve the spread of available appointments.

Dentistry a ‘key priority’ on the Isle of Wight

Richard Quigley said he had ‘lost count’ of the number of Isle of Wight residents who were frustrated with NHS dental access, making it a ‘key priority’ for him.

He continued: ‘Since then, partners across the island have grasped the nettle and, over the past 18 months, have made real progress in tackling these challenges. The announcement of a new dental training school in Portsmouth, and the opportunity to establish a hub on the Isle of Wight, is also very welcome news for Islanders and for the future of local oral health.

‘This is an important start, and I will continue working closely with the ICB to drive further improvements.’

Alongside these policy changes, Dentaid The Dental Charity has been highly active on the island, providing more than 2,000 treatments including fillings, extractions, oral health checks and cancer screenings to over 430 patients.

Though not yet finalised, further measures are under discussion. For example, the possibility of establishing a University of Portsmouth Dental School training hub on the Isle of Wight is being explored.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

Treeline Dental Care has strengthened its reputation as one of the East Midlands’ and South Yorkshire’s most innovative and community‑driven dental organisations by supporting the first-ever UK RockCorps event.

RockCorps is an initiative designed to mobilise young people to volunteer in their local area in exchange for a ticket to an exclusive music concert. For Treeline, with a philosophy rooted in social responsibility and long‑term positive impact, the partnership was a natural extension of its values.

RockCorps, a global movement founded on the principle of ‘give, get given’, arrived in Nottingham this spring, bringing with it a series of volunteer projects across the city. Participants contributed four hours of community service before being rewarded with a high‑energy concert at the legendary Rock City nightclub venue in Nottingham’s city centre, headlined by Tinie Tempah. The event marked the first time RockCorps has taken place in the UK, making it especially meaningful for Treeline, whose headquarters and many of its 15 practices are based in Nottinghamshire, the East Midlands and South Yorkshire.

‘This is our home,’ said Treeline co‑founder and CEO, Dr Jimmey Palahey. ‘RockCorps coming to Nottingham for the first time felt like a moment we had to be part of. As Treeline Dental Group grows, we know we can create a significantly positive impact if we look towards long‑term efficiencies and meaningful partnerships. Working with Tinie and supporting RockCorps is a natural expression of our commitment to our teams and the communities we serve.’

How did Treeline support RockCorps?

Almost 20 Treeline team members from Treeline dental practices in Nottinghamshire and Derbyshire volunteered on the day, spending the morning at Stonebridge City Farm and the afternoon at Community Recording Studios, where they worked alongside Tinie Tempah himself. Activities ranged from site maintenance and animal care to supporting creative youth projects, which was hands‑on work and resonated strongly with Treeline’s people‑first culture.

Team feedback was overwhelmingly positive. One volunteer described the day as ‘energising and humbling’, adding that ‘working together outside the practice reminded us why community matters’. Another said: ‘It was brilliant to see the impact we could make in just a few hours – and the concert was an amazing bonus.’

Treeline was the only healthcare sponsor of the Nottingham event, using the opportunity to raise awareness of oral health and the wider dental sector. Whilst the day was not a fundraiser, the group’s sponsorship and volunteer hours formed a significant contribution to the initiative’s success.

The partnership also aligns with Treeline’s broader programme of community engagement and professional development. Three years ago, Dr Palahey introduced the group’s annual Growth and Development Day (G&D Day), which is a full day in which all practices ‘down tools’ to focus on clinical excellence, leadership, organisational development and shared vision. RockCorps reflects that same spirit of unity and purpose.

Treeline has already committed to supporting RockCorps again next year, with plans for larger venues and more artists. For a Group that believes businesses have a responsibility to both their communities and the environment, the partnership is set to become a defining part of this dental group’s CSR identity.

Discover more about Treeline Dental Care here.

This article is sponsored by Treeline Dental Care.

Long before dental chairs, waiting rooms or local anaesthetic, a Neanderthal in Siberia was sitting very still while someone drilled into their tooth with a piece of stone. Researchers now believe this 59,000-year-old molar is the earliest known example of intentional caries treatment ever discovered, predating the next oldest evidence by more than 40,000 years.

The researchers behind the new study, published in PLOS One, theorised that stone perforators also discovered in the cave could have been used to remove damaged tooth matter with a rotating drilling motion. To verify this, they conducted experiments on three modern teeth with reproductions of the stone picks made using local jasper.

Co-author Lydia Zotkina said: ‘Comparison of the microscopic traces on the original Neanderthal specimen with those produced experimentally revealed a clear match. The findings demonstrate that drilling a carious lesion using a sharp, thin stone tool is entirely effective, permitting the rapid removal of damaged dental tissue.’

The results suggest that Neanderthals had the capacity to identify the source of pain, determine how to treat it, apply the manual dexterity needed for an efficient operation, and endure painful treatment to alleviate future discomfort. This is the first time it has been observed in Neanderthals rather than homo sapiens.

‘The world’s oldest evidence of successful dental treatment’

The researchers said: ‘This finding currently represents the world’s oldest evidence of successful dental treatment. The damage documented on the neanderthal tooth from Chagyrskaya Cave in Siberia points not only to intentional pulp removal but also to antemortem wear – wear that could only have developed if the individual kept using the tooth while alive. 

‘We also identified areas of demineralisation where remnants of carious damage were preserved, further indicating that the concavity in the tooth was associated with treatment.’

Explaining how they distinguished the hole in the tooth from natural wear, co-author Alisa Zubova added: ‘We were intrigued by the unusual shape of the concavity on the tooth’s chewing surface. It differed from the normal morphology of the pulp chamber and did not match the typical pattern of carious lesions seen in homo sapiens. Moreover, distinctly visible scratches suggested that the concavity was not the result of natural damage but of intentional actions.’

Human manipulation of carious lesions has been documented in the upper paleolithic, mesolithic, and later periods. The researchers therefore hypothesised that the tooth markings were a sign of similar activity – taking place much earlier than previously documented. Previously, the earliest example was found in Italy at 14,000 years old.

In addition to caries damage and treatment, the same tooth showed pronounced tooth pick grooves and signs of repeated interproximal cleaning behaviour.

Neanderthal teeth in Siberia

Co-author Ksenia Kolobova also explained how Neanderthals came to be in the region now known as Siberia. She said: ‘Neanderthals arrived in this region 70-60 thousand years ago during a migration from central and eastern Europe and inhabited it until at least 40-45 thousand years ago.

‘Altai became a new and suitable home for them thanks to its biological diversity, climate similar to that of Europe, abundant raw materials for stone tool production, and their usual prey – wild bison and horses.

‘Analysis of stone tool industries and paleogenetic studies have shown that the Neanderthals from Chagyrskaya Cave are very closely related to the bearers of the so-called Micoquian industry, who also lived in the Caucasus and Crimea.’

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

Paul Lambden explains how to avoid patient complaints and clinical claims as a newly qualified dentist in the UK.

Starting out in dentistry is an exciting milestone. Years of hard work and dedication are about to pay off as you step into clinical practice. But alongside the rewards of the profession comes a responsibility that every dentist must take seriously: the risk of patient complaints and clinical claims.

This isn’t meant to alarm you. The vast majority of dentists practise professionally and treat their patients to a high standard. The reality, however, is that even the most conscientious clinician can find themselves the subject of a complaint, sometimes through no fault of their own. What makes the difference, time and again, is preparation: knowing the common pitfalls, taking straightforward steps to reduce your exposure, and having the right indemnity provider in your corner if something does go wrong.

As you build your career, the guidance below will help you understand the most common sources of complaints and claims, and what you can do to protect yourself and your patients. And remember, as set out in GDC Standard 7.2.1, you must only carry out treatment if you are appropriately trained, competent, confident, and indemnified.

What are the key principles for avoiding dental complaints and claims?

Every dentist should apply the following general principles to every patient encounter. Asking yourself these questions routinely is one of the most effective ways to reduce your risk of complaints and claims:

• Do the notes state all relevant information?
• Have you taken necessary radiographs?
• Do you have documented consent?
• Were your actions those of a reasonable dental practitioner?
• When discussing options with the patient, do not exaggerate the benefits of the favoured option. Exaggeration amplifies disappointment.

Why is root canal therapy a common source of dental claims, and how can newly qualified dentists protect themselves?

Root canal therapy (RCT) is one of the most frequent sources of patient complaints and indemnity claims. In the majority of cases, the problem is not the clinical treatment itself but the absence of adequate documentation. Every RCT case must be fully recorded. Key steps to follow include:

• Ensure you have a good pre-op X-ray
• Assess and discuss the case with the patient
• Explain it is a poor tooth and a last resort option
• Explain if RCT fails, extraction is the only option
• Explain the risk of instrument breakage
• Explain the risk of hypochlorite leak
• Ensure you always use rubber dam
• Explain the risks of delaying decision to treat
• Remember GDC Standard 7.2.1
• If RCT is unsuccessful, explain all options to the patient. Ensure all these points are clear in the record.

How do dentists avoid extracting the wrong tooth?

Extracting the wrong tooth is one of the most serious and distressing errors a dentist can make, and yet it is entirely preventable. It occurs more often than it should, typically as a result of rushing or over-reliance on memory. The following steps will help you avoid it:

• Never treat as ‘only an extraction’
• Don’t rush or rely on memory
• Always take a good quality radiograph
• Consent – explain all risks of extraction
• If in doubt, do not extract
• Be careful with other dentists’ charting
• If orthodontic, do not change. Consult orthodontist if doubts or queries
• Beware two molars. Chart as 6 and 8 (not as 6,7 or 7,8) to avoid wrong extraction.

What should newly qualified dentists know about periodontal disease and the risk of claims?

Failure to diagnose and manage periodontal disease is a growing source of indemnity claims in UK dentistry. Patients who lose teeth as a result of undetected or untreated gum disease may have strong grounds for complaint if it can be shown that appropriate monitoring was not carried out. At every routine examination, dentists should ensure:

• The examination includes a Basic Periodontal Examination
• If gum disease is present, ensure the patient has clear advice about oral hygiene and treatment and make any necessary referrals
• Ensure the patient is appropriately monitored.

How can dentists avoid claims relating to routine restorative care?

Routine restorative work is the foundation of general dental practice, which makes it all the more concerning that it remains a significant source of claims. Failures in this area are particularly difficult to defend because the expected standard is well established and widely understood. Claims typically arise from the following:

• Failure to diagnose caries
• Failure to remove all caries
• Failure to insert fillings of an adequate quality
• Failure to comply with the established standards of diagnosis, cavity preparation and restoration as taught.

Such failures are normally impossible to defend and reflect very badly on the practitioner.

What are the most common causes of crown and bridge claims, and how should dentists avoid them?

Crown and bridge claims tend to be both expensive and contentious, often because the patient’s appearance is directly affected. Disputes about shade, fit and clinical appropriateness are the most common triggers. To minimise your risk:

• Only undertake crown and bridge work if you are sure it is the most appropriate dental solution. Do not decide based solely on income derived
• Do not rush. If it is not right it will have to be redone.
• Shade is often disputed once the crown is fitted. Give the patient time. Involve others to confirm colour is right
• If the crown does not fit well at the margins, remake the crown. Do not patch the margins.
• If the shade is in doubt, fit with temporary cement and review after two weeks
• Do not be pressed into providing a crown or bridge if you feel that it is not clinically appropriate.

How should dentists manage patient expectations around immediate dentures?

Immediate dentures are a frequent source of patient dissatisfaction and complaints. Patients are often unprepared for how quickly dentures can become loose, how much they may affect speech, and how difficult eating can be. Clear and thorough pre-treatment counselling is essential. You should:

• Warn patients firmly of all the disadvantages of immediate dentures
• Explain the bone changes that will make them loose and ill-fitting
• Warn that a better solution will take six months, after healing has occurred
• Explain the problems of such dentures to family members to avoid unhappiness.

No dentist who acts competently, meeting the standards of a reasonable practitioner, need be anxious about complaints or claims. Although even the best dentist cannot avoid a complaint from a patient whose expectations exceed the ability of dentistry to achieve the desired outcome, it is important that any treatment is completed competently and to the recognised standard.

Find out how Densura can support you throughout your career

Whether you’re about to sit your finals or are already in your first associate role, having the right professional indemnity in place is one of the most important decisions you’ll make. Densura has been supporting dental professionals across the UK for many years, offering tailored indemnity cover alongside expert guidance when you need it most.

Visit www.densura.com to learn more about our cover for newly qualified and early-career dentists, or speak to our team directly. We’re here to give you the confidence to focus on what matters most: delivering great care to your patients.

This article is sponsored by Densura.

Freya Milnes explains why the dental therapist role is becoming essential in modern dentistry – and how social media platforms like TikTok are fuelling the growing popularity.

Modern dentistry is changing rapidly. Patients are becoming increasingly prevention-focused, access pressures remain high, and practices are looking for sustainable ways to deliver efficient, high-quality care. Within this shift, the role of the dental therapist is evolving from a supplementary team member to an increasingly essential part of the modern dental workforce.

Having qualified as a dental therapist in 2020 and worked within private practice since, I have seen first-hand how therapy-led care can benefit both patients and clinicians. From periodontal treatment and restorative care to long-term maintenance and patient education, dental therapists are playing an increasingly important role in shaping the patient journey.

At the same time, social media platforms such as TikTok are changing how younger generations view careers in dentistry. The dental therapist role, once a profession many students had never heard of, is now reaching thousands of prospective applicants through creators documenting life in clinic, patient care and the realities of working within modern dentistry.

Online exposure

Increased visibility online is not only raising awareness of the profession, but also attracting a new generation of students who are drawn to prevention-focused care, patient communication and the collaborative nature of the role.

Dentistry itself is becoming more prevention-led. Patients are more aware than ever of the links between oral and systemic health, and many are increasingly focused on maintaining healthy, functional dentitions long term rather than simply seeking treatment when problems arise. Prevention, education and behavioural change are central to the training of dental therapists, placing them in a strong position to support this shift in patient expectations.

One of the greatest strengths therapists bring to dentistry is time and continuity. Longer appointments and regular maintenance visits often allow therapists to build strong patient relationships, improve compliance and identify concerns early. Whether managing periodontal disease, reinforcing oral hygiene or carrying out minimally invasive restorative treatment, therapists are often central to maintaining long-term oral health outcomes.

How is the patient journey shifting?

The modern patient journey is also changing. Increasingly, practices are moving towards collaborative and multidisciplinary models of care, where clinicians work to the full scope of their training. In many private practices, therapists are carrying out examinations, routine restorative treatment, periodontal therapy, whitening procedures and ongoing maintenance appointments, helping to improve efficiency while allowing dentists to focus on more complex treatment planning and advanced procedures.

The goal is not to replace dentists, but to create a more effective and sustainable model of care where every member of the dental team is utilised appropriately. When used well, therapy-led workflows can improve access, increase efficiency and enhance the overall patient experience.

Workforce pressures within dentistry cannot be ignored. Recruitment challenges, burnout and ongoing access issues continue to affect the profession across both NHS and private sectors. Despite this, dental therapists remain underutilised in many settings. Greater understanding of the role, alongside clearer communication to patients and clinicians alike, could help unlock the full potential of the wider dental team.

Expanding dental therapist roles

Within private dentistry especially, the role of the therapist appears to be expanding rapidly. Prevention-focused appointments, minimally invasive dentistry and long-term maintenance are becoming increasingly valued by both clinicians and patients. As patient expectations evolve, many practices are recognising the importance of having strong hygiene and therapy departments integrated into patient care.

Social media has also played an interesting role in this evolution. Many students previously only considered dentistry through the lens of becoming a dentist, with little awareness of the wider dental team. Platforms such as TikTok have helped expose younger audiences to alternative career pathways within dentistry, while also humanising the profession itself.

Since sharing aspects of my own career online, I have been surprised by the number of students messaging to ask about university applications, day-to-day clinical life and pathways into dental therapy. While social media should never replace formal careers advice, it has undoubtedly opened conversations around careers in dentistry that many young people may never otherwise have discovered.

What challenges does a therapist role face?

Of course, challenges remain. There is still inconsistency in how therapists are utilised across practices, alongside ongoing confusion surrounding scope of practice and direct access. Resistance to change also exists within parts of the profession. However, the solution is unlikely to come from division between roles, but rather from stronger collaboration, communication and mutual respect within the dental team.

As dentistry continues to evolve, the most successful practices are likely to be those that embrace collaborative, prevention-focused care. Dental therapists are not a future concept within dentistry – they are already playing a vital role in shaping what modern patient care looks like.

The question is no longer whether dental therapists have a place within modern dentistry, but whether the profession is ready to fully utilise the skills they already bring.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

LISTERINE Professional is attending Dentistry Show Birmingham 2026 with a larger stand and an expanded presence, focused on one of the profession’s most persistent challenges: helping patients turn advice into effective daily self-care.

Across the two days, visitors will be able to explore the evidence behind plaque control, hear from well-respected speakers on the practical realities of prevention, and experience stand activity designed to support more confident patient conversations.

Prevention needs practical support

Periodontal health remains a central concern in daily practice, not least because long-term success depends so heavily on what happens beyond the practice. While professional care, tailored treatment planning and behavioural support all play a role, patient self-care remains fundamental to achieving and maintaining good outcomes.

This is where challenges often emerge. Even when patients understand the basics of oral hygiene, consistency, technique and motivation can vary significantly. For many, mechanical plaque control alone does not fully address these gaps, particularly in areas that are more difficult to access or maintain over time (Van der Weijden and Slot, 2015; Figuero et al, 2020).

That is where this year’s LISTERINE Professional presence has been designed to add value. Rather than focusing on product alone, the stand will bring together education, experience and practical discussion around how patients can be better supported at home between appointments.

A bigger stand with more to explore

This year, LISTERINE Professional is creating a more prominent space at the show, giving delegates the chance to spend time with the science behind plaque biofilm and the challenges of maintaining consistent plaque control between appointments.

The stand will feature opportunities to explore how plaque develops, how quickly it reforms following disruption, and why this continues to present a challenge for many patients despite regular brushing.

There will also be a focus on how adjunctive approaches can support home care as part of a broader preventive strategy, particularly in areas less accessible to brushing and interdental cleaning.

Building on this, another highlight of the stand is an immersive VR experience, designed to bring the science of biofilm formation and disruption to life. By stepping inside the oral environment, delegates can visualise how plaque develops, where it persists and how different approaches to plaque control can influence outcomes, helping to make complex concepts easier to communicate to patients.

Masterclasses busting the myths around mouthwash

In addition, a key feature of the stand will be a series of masterclasses led by Laura Bailey and Ben Tighe. These sessions are designed to bust some of the common myths associated with mouthwash use, particularly where uncertainty can arise in practice.

As part of that, the role of adjunctive mouthwash will be explored in the context of current guidance, including when it may be appropriate to consider its use and how to position it as part of a personalised approach to care (West et al, 2021).

Importantly, the sessions will also address some of the uncertainty that can still surround mouthwash recommendations, covering questions around timing, routine integration and patient understanding, alongside current guidance to spit and not rinse with water after brushing (Delivering Better Oral Health, 2025).

The format is intended to be accessible and informal, allowing delegates to join at different points throughout the day.

Try the range at the rinsing station

Alongside the educational activity, delegates will also be able to visit the mouth rinsing station and try the LISTERINE Total Care range for themselves.

Available in Extra Mild, Mild and Intense flavours, the range is designed to reflect the differing preferences seen across patient populations.

While clinical efficacy is essential, patient preference remains a key factor in whether a product is used consistently. Taste, intensity and overall experience can all influence adherence, particularly over the long term.

Experiencing the different flavours first-hand can support more confident, tailored recommendations, particularly where patient preference influences consistency of use.

Visit LISTERINE Professional at Dentistry Show Birmingham

Visit LISTERINE Professional on stand M70 for a warm welcome, interactive experiences and practical insights you can take straight back into practice. Whether you are joining a masterclass, exploring the science or trying the range for yourself, the focus is on supporting more confident conversations around prevention and patient self-care.

References

• Delivering Better Oral Health. An evidence-based toolkit for prevention. 4th ed. Department of Health and Social Care, NHS England (updated 2025)
• Figuero E et al (2020) Efficacy of adjunctive therapies in patients with gingival inflammation: a systematic review and meta-analysis. J Clin Periodontol; 47: 125-143
• Van der Weijden FA, Slot DE (2015) Efficacy of homecare regimens for mechanical plaque removal in managing gingivitis: a meta-review. J Clin Periodontol; 42(Suppl 16): S77–S91
• West N et al (2021) BSP implementation of European S3-level evidence-based treatment guidelines for stage I–III periodontitis in UK clinical practice. J Dent; 106: 103562.

This article is sponsored by Listerine Professional. Listerine Professional is a brand of Kenvue. Always recommend patients read the label.

ClinCheck Live Plan, the latest innovation in the ClinCheck signature experience, represents the realisation of a long-term vision: enabling personalised treatment planning in minutes.

Initial ClinCheck treatment plans help you make confident choices in the moment while your patient is top of mind, or still in the clinic.

How ClinCheck Live Plan works

• Submit order through Flex Rx with an iTero scan and eligible case type
• Plans are autogenerated with preferences template and quality checks to ensure accuracy
• Plans that pass quality checks are delivered within 15 minutes. CAD designers make updates if needed.

ClinCheck Live Plan offers:

• A streamlined experience allows you to stay in control: status notifications and a countdown timer on the Invisalign Doctor Site and the Invisalign Practice App
• Plan while the patient is in the clinic: maintain momentum by developing plans while your patient is top of mind, reducing turnaround time from consultation to treatment start
• More tools for patient acceptance: share relevant treatment information with your patients with the initial plan delivery in 15 minutes for eligible cases.

Eligible cases for ClinCheck Live Plan

Primary Invisalign Comprehensive, Moderate, Lite, Express 7, and Touch Up package orders submitted via Flex Rx with an iTero scan.

Not compatible with CBCT, Invisalign Smile Architect, mandibular advancement features, child cases, or orders via the traditional Rx.

Find out more about ClinCheck Live Plan.

This article is sponsored by Align Technology.

The GDC has finally said what many of us have known for years about the shortage of dental technicians. But before we sound the alarm, we should ask the right questions.

Every year the General Dental Council publishes its Registration Statistical Report. Every year the dental profession scans it for headlines. Dental therapist numbers up, hygienist numbers up, nurses up, and of course, dentists up.

Every year, dental technician numbers go quietly in the opposite direction.

This year, the GDC’s 2025 Registration Statistical Report, published in May 2026, made history. For the first time ever, the number of registered dental technicians has fallen below 5,000. Six consecutive years of decline. In 2025, just 143 new dental technicians joined the register.

One hundred and forty-three.

In the entire United Kingdom.

To put that in context, the overall dental workforce grew by 4.7% to 131,680 registered professionals by the end of 2025. Every single professional title increased.

Except dental technicians.

Before we draw conclusions, it’s worth asking whether this is entirely a crisis or partly a reflection of a profession being reshaped by technology.

Digital dentistry and dental technicians

Digital dentistry has transformed what we do and how we do it. Quality has improved. Accuracy has improved. Reproducibility that once required decades of experience can now be achieved with greater consistency and speed.

In-surgery 3D printing has taken this further still. Crowns and veneers that would previously have required an impression taking, laboratory prescription, a collection, and a return visit can now be designed and printed chairside in a single appointment. For patients, that is genuinely impressive. For the profession, it is a legitimate factor in why fewer registered technicians may be required than in previous decades.

It is entirely plausible that the register, in part, reflects that evolution rather than decline alone. That is a conversation worth having honestly.

But it doesn’t answer everything.

Alongside the advances in technology, there is another awkward conversation the profession has been reluctant to have. In-surgery manufacturing of dental devices. Crowns, veneers, and other restorations, produced by individuals who are not registered dental technicians, outside of the regulatory framework is not a new phenomenon.

Neither is the use of unregistered laboratories, some operating entirely outside UK regulation, whose work finds its way into patients’ mouths without scrutiny. Both are illegal. Both are largely ignored.

It would be naive to suggest this has no bearing on the register. Work that should, by law, be carried out by registered professionals is being carried out by others. These issues do not show up in the GDC’s statistics, but its effect on the profession almost certainly does.

Even setting that aside, 143 new registrations in a year still raises questions that deserve answers.

Who is training the technicians?

Which institutions are still training them? With numbers this small, how many training programmes remain genuinely viable? Which colleges or universities are financially able to sustain the infrastructure, the faculty, the equipment – all of it – to train such a small annual cohort? If the answer is fewer than we think, what happens to the pipeline when the last viable training faculty closes not through lack of interest, but through lack of funding?

There are other factors too, and they deserve honesty. A profession paid per item, compared onprice, left largely outside the clinical framework that every other dental professional sits within. A profession where the default response to market pressure has been to lower the fee rather than make the case for value. When you treat a profession that way for long enough, people leave and crucially, new people stop joining.

Digital efficiency hasn’t changed that dynamic. If anything, it has accelerated it.

What I have seen first hand is that as digital processes improve quality and efficiency, the administrative demands on laboratories have grown. The technicians we have are fewer in number and are supported by larger admin teams than ever before. The skill is still there. The expertise still takes years to develop. The contribution to patient care is still essential.

The question isn’t simply whether this is a crisis. The register has spoken. The question is whether the decline reflects an inevitable and manageable evolution or something that requires urgent attention from the practices, the corporates, the DSOs, the GDC, and the educators who collectively shape what this profession looks like.

Because at 143 new registrations a year, with training programmes under financial pressure, unregulated manufacturing largely unchallenged, and a workforce being reshaped by technology, we cannot afford to assume the answer without first asking the question.

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends. 

Join Lara Brewood-Green and Sophie Etherington on 20 May at 7pm as they discuss the five hidden HR risks in dental practices and how to prevent them.

Managing people in a dental practice has never been a single task. It’s everything around it that builds up over time.

Rotas, conversations, contracts, expectations – things that aren’t always written down but still need to be handled well.

This session is designed to give you a clearer way of looking at that day-to-day reality. Where small pressures tend to sit, how they show up in practice life, and what you can do to manage them with more structure and confidence.

The session is designed to give you practical, real-world clarity on the HR challenges most dental practices are already facing, often without realising it.

Learning outcomes

• Identify the hidden HR risks that quietly build within dental practices and understand how they show up in day-to-day operations
• Recognise early warning signs in associate relationships and team dynamics before they escalate into more complex issues
• Understand where informal ways of working can increase HR compliance risk and create unnecessary exposure
• Apply a simple, structured framework to bring greater consistency, clarity, and control to your practice
• Reflect on how stronger team management and communication supports safer, more effective patient care.

The speakers

Lara Brewood-Green

Lara is lead people consultant at Dentistry HR. She has spent 20 years in HR and 10 of those years working in HR for dentistry, supporting practices with the people side of running a successful business. Known for her calm, practical approach, she helps teams feel supported while keeping things clear, compliant and workable.

Sophie Etherington

Sophie is a practice onboarding and support specialist at Dentistry HR. She has over 12 years’ experience in dentistry, bringing a strong understanding of clinical practice alongside extensive experience in practice management. Known for her commitment and passion for HR and team leadership, she combines this with excellent operational skills. With a calm, supportive approach, she helps teams feel confident and comfortable while maintaining clarity and delivering results.

You can sign up for the webinar here.

Catch up on previous on-demand webinars:

• Wellbeing starts with you: mindfulness for dental professionals
• Navigating challenging patient contacts in dental practice
• Dental whitening: fundamental knowledge on treating even the most complex cases
• How clean is your handpiece? Effective maintenance and reprocessing
• TMD: tricky, multifactorial, daunting?

A Derbyshire dentist is taking direct action on children’s oral health and NHS dental access, handing out toothbrushes in local schools after discovering that a quarter of children in his area had never registered with a dental practice.

Kirk Hallam-based Kev Chavda has handed out more than 6,000 toothbrushes across 35 primary schools and nurseries since January, after a pre-Christmas school visit revealed that a quarter of children in the area had never registered with a dental practice.

‘I was expecting a fairly standard oral health for children talk about brushing and sugar,’ he said. ‘What I found surprised me. When I asked who had a dentist, around a quarter of the children did not put their hands up. That was unexpected, especially as we are walking distance from the school and we accept NHS children. It made me realise that access and awareness are not the same thing.’

The response was immediate. Chavda spent the Christmas holidays, fitting the work around a one-year-old daughter, a three-year-old son, and full-time clinical work, developing a structured model from scratch. ‘It was just me, ChatGPT, and a lot of thinking,’ he said.

‘Over those two weeks I worked out the numbers, found suppliers, designed a logo, created the branding, ordered the first batch of toothbrushes, and set up the Instagram page.’

Oral health for children

Each visit follows a consistent format covering tooth decay, brushing technique, and the two-minute habit, with an interactive brushing game and an original song to reinforce the message at home. Every child receives a toothbrush, and the school receives a formal letter included in the parent newsletter, taking the prevention message directly to families.

The reaction has been immediate. At Scargill School, one of Chavda’s most recent visits, a pupil captured the moment simply: ‘Thanks to my mum for giving my friends a toothbrush’, the child’s mother having sponsored the brushes distributed to that school. A member of staff added that it was ‘a really valuable project and so important that children are taking care and looking after their teeth’.

The project is non-profit. The model works out at roughly 25 pence per toothbrush, meaning around £75 can fund a full school delivery of approximately 300 brushes.

Local businesses sponsor schools and are encouraged to make the delivery themselves, with the opportunity to take a photo with the headteacher and share it on social media.

Local businesses have contributed around £1,000 to date, and seven other dentists have bought personalised brushes to deliver in their own areas. Collectively, participating dentists have committed around 60,000 toothbrushes into schools.

Communities are not hard to reach

NHS dental access issues make the work increasingly urgent. Research by Healthwatch England found that private dental use among financially struggling households has nearly doubled since 2023, from 14% to 27%, as NHS provision remains out of reach for many.

People in deprived areas are almost twice as likely to report going private because they could not find an NHS dentist. At the GDC Network Leaders event in March, Deputy Chief Dental Officer for England Dr Rakhee Patel urged dental leaders to work harder to reach underserved communities.

Chavda’s view is straightforward. ‘It is not that communities are hard to reach,’ he said. ‘It is that systems have not reached them effectively. Dentistry has often waited for patients to come to the surgery. Going into schools changes that dynamic.’

For practices looking to get involved, Chavda recommends ordering around 1,500 brushes, enough for five schools, printed with the practice logo. He provides support on community launch, social media engagement, and delivering talks within a lunch break without sacrificing clinical time. Details are available via his Instagram page.

‘In 12 months I would like to be delivering at least 100,000 toothbrushes per year,’ he said. ‘The goal is to create a repeatable model that dentists in different towns can adopt so prevention becomes something we actively deliver, not just talk about.’

Follow Dentistry.co.uk on Instagram to keep up with all the latest dental news and trends.

The SprintRay Midas World Tour London features an exclusive full-day CPD masterclass with Dr Wally Renne: ‘The modern 3D printing practice’ – in conjunction with MOD Institute.