Dental Tribune United Kingdom Edition

page 19DTß ‘There has been much debate whether “simple” orthodontics can or should be carried out by GDPs’ April 23-29, 201220 United Kingdom EditionClinical Monday 28th March 2011 Thursday 14th April 2011 Tuesday 12th April 2011 AllWhiteontheNight CDTs,TherapistsandHygienistsRoleinOralMedicine CoreCPDUpdatesinDentalRadiographyandDecontamination Acloselookattoothwhiteningwithpracticalsessionsonavailabletechniques.Thishandsoncoursewillcomplimentothertheorybasededucationdays andistheidealprogrammefordentists.Dentalhygienistsanddentaltherapistswhowishtogainagreaterunderstandingofdentalbleaching. Saturday 14th May 2011 GorgeousGums Ahandsoncoursecoveringsofttissueaesthetics.Including:Assessingthesmile,diagnosinggingivalpathologyandaestheticproblems,treatmentoptions forpinkaesthetics,principlesoftreatment.Thehandsonsessionwillprovidetrainingin:Graftingprocedurestoimprovegingivalcontour,techniquesto combatrecessionandcrownlengtheningprocedures,bothsofttissueandhardtissue. Thursday 6th June 2011 TheManagementofToothWearinGeneralDentalPractice Thisone-daycourseprovidesparticipantswithanunderstandingoftheaetiologyandmanagementoftoothwear.Attendanceonthiscoursewillensure thatdelegatescanfollowrestorativemanagementprotocolstopredictablymanagetheclinicalproblem. £275inclusiveoflunchandrefreshments ThiscoreCPDcoursewillprovideparticipantswiththeverylatestinformationregardingthese2importantareasofessentialCPD.Pleasenotethatthe guidelinesforcomplianceswithHTM01-05andcareQualityCommission(CQC)standardsindecontaminationwillbecovered. ThishalfdaylecturecoursehasbeendesignedspecificallyforDCPteammemberswithaclinicalrole.Thelecturewillprovideanoverviewofthecommon oralmedicineconditionsseeningeneraldentalpractice.DesignedtodevelopthespecificskillsandknowledgeoftheclinicalDCPthiscoursewillprovide participantswithanunderstandingofthefollowing: • TheroleoftheCDT/Therapist/Hygienistinoralscreeningforpremalignantandmalignantlesions. • Theabilitytodistinguishthesymptomsoforo-facialpainfrompainofdentalorigin • Howapatientsmedicationcanaffectthemouth. Saturday 23rd-25th July 2011 Three-dayAesthetic&RestorativeMasterclass FromtheKing’sCollegeLondonDentalInstitute’sMScinAestheticDentistrythefollowingone-daymoduleswillbecovered: • Day1:Shape,ShadeandColour. • Day2:SmileDesign–CreatingthePerfectSmileDay. • Day3:AestheticIndirectRestorations. LonDECprovidesallrequiredcoursematerialsandeachdelegate willreceiveacertificateandverifiableCPDhours.Lunchand refreshmentswillalsobeprovidedtoallthoseattendingaLonDEC course. Pleasebookon-lineatwww.londec.co.uk.TocontactLonDec pleaseemailinfo@londec.co.ukorcall+44(0)2078484570 www.londec.co.uk Saturday 28th – Monday 30th April 2012 3 Day Aesthetic & Restorative Dentistry Masterclass Day 1 – Shape, shade & Colour Day 2 – Smile design Day 3 Aesthetic Indirect Options 21 hours of verifiable CPD All 3 days only £1200 Tuesday 29th May 2012 Gorgeous Gums 6 hours of verifiable CPD Book before 1st May 2012 & pay £275 Hands-on grafting procedures and crown lengthening Course price £325 Tuesday 19th June 2012 Monday 28th March 2011 Thursday 14th April 2011 Tuesday 12th April 2011 AllWhiteontheNight CDTs,TherapistsandHygienistsRoleinOralMedicine CoreCPDUpdatesinDentalRadiographyandDecontamination Acloselookattoothwhiteningwithpracticalsessionsonavailabletechniques.Thishandsoncoursewillcomplimentothertheorybasededucationdays andistheidealprogrammefordentists.Dentalhygienistsanddentaltherapistswhowishtogainagreaterunderstandingofdentalbleaching. Saturday 14th May 2011 GorgeousGums Ahandsoncoursecoveringsofttissueaesthetics.Including:Assessingthesmile,diagnosinggingivalpathologyandaestheticproblems,treatmentoptions forpinkaesthetics,principlesoftreatment.Thehandsonsessionwillprovidetrainingin:Graftingprocedurestoimprovegingivalcontour,techniquesto combatrecessionandcrownlengtheningprocedures,bothsofttissueandhardtissue. Thursday 6th June 2011 TheManagementofToothWearinGeneralDentalPractice Thisone-daycourseprovidesparticipantswithanunderstandingoftheaetiologyandmanagementoftoothwear.Attendanceonthiscoursewillensure thatdelegatescanfollowrestorativemanagementprotocolstopredictablymanagetheclinicalproblem. £275inclusiveoflunchandrefreshments ThiscoreCPDcoursewillprovideparticipantswiththeverylatestinformationregardingthese2importantareasofessentialCPD.Pleasenotethatthe guidelinesforcomplianceswithHTM01-05andcareQualityCommission(CQC)standardsindecontaminationwillbecovered. ThishalfdaylecturecoursehasbeendesignedspecificallyforDCPteammemberswithaclinicalrole.Thelecturewillprovideanoverviewofthecommon oralmedicineconditionsseeningeneraldentalpractice.DesignedtodevelopthespecificskillsandknowledgeoftheclinicalDCPthiscoursewillprovide participantswithanunderstandingofthefollowing: • TheroleoftheCDT/Therapist/Hygienistinoralscreeningforpremalignantandmalignantlesions. • Theabilitytodistinguishthesymptomsoforo-facialpainfrompainofdentalorigin • Howapatientsmedicationcanaffectthemouth. Saturday 23rd-25th July 2011 Three-dayAesthetic&RestorativeMasterclass FromtheKing’sCollegeLondonDentalInstitute’sMScinAestheticDentistrythefollowingone-daymoduleswillbecovered: • Day1:Shape,ShadeandColour. • Day2:SmileDesign–CreatingthePerfectSmileDay. • Day3:AestheticIndirectRestorations. LonDECprovidesallrequiredcoursematerialsandeachdelegate willreceiveacertificateandverifiableCPDhours.Lunchand refreshmentswillalsobeprovidedtoallthoseattendingaLonDEC course. Pleasebookon-lineatwww.londec.co.uk.TocontactLonDec pleaseemailinfo@londec.co.ukorcall+44(0)2078484570 www.londec.co.uk An MI Approach to the Management of Tooth Wear in General Dental 6 hours of verifiable CPD Book before 22nd May 2012 & pay £175 Strategies for the whole team on how to manage these complex and common cases. Course price £225 Smile Design – Creating a Beautiful Smile Wednesday 18th July 2012 6 hours of verifiable CPD Book before 19th June 2012 & pay £275 Techniques to assess patients & then design aesthetic direct and indirect options Course price £325 Thursday 21st July 2012 Current Concepts in Implant Related Periodontal Treatment 6 hours of verifiable CPD Book before 22nd June 2012 & pay £120 All day seminar proving updates on the latest thinking for assessing, managing, monitoring and treating peri-implantitis. Mon 13th – Sun 19th August 2012 LonDEC 7 Day Summer Masterclass 44 hours of verifiable CPD Book before 16th July 2012 & pay £2250 Innovative and up to date programme combining three courses: Course Price £2550 Course 1 - 3 Day Modern Endodontics Masterclass Course 2 - 3 Day Aesthetic & Restorative Masterclass Course 3 - Core CPD Update in Dental Radiography & Decontamination Each of these 3 Courses are available to book individually. For more information and to book go to www.londec.co.uk/courses To contact LonDEC please email info@londec.co.uk or call +44 (0) 207 848 4570 About the author Shortly after qualifying from Guy’s Hospital in 1996, Dr Dominique Ka- naan achieved a Diploma in Hypnosis and most recently she has become a Licentiate of the Faculty of Home- opathy. She enjoys all aspects of den- tistry but, after working in a leading flagship cosmetic dental clinic in Selfridges, has focused her interests in the field of cosmetic dentistry. She is well known in the cosmetic dental arena and to keep up-to-date with the very latest techniques, attends cours- es both nationally and internationally, and is a full member of the British Academy of Cosmetic Dentistry. Dr Kanaan has also teamed up with her husband Zaki and is a Clinical Direc- tor of K2 Dental Seminars, running a renowned whitening course to spe- cifically train dentists, hygienists and therapists in the latest tooth-whiten- ing techniques. Dr Dominique Kanaan BDS, LFHom dominique@k2dental.co.uk It may be tempting to carry out IPR in the region of most crowding, in this case LL1. However, if IPR had been car- ried out mesial and distal to the LL1, this would have created ledges, poor contact areas, a far from ideal contour and final re- sult. It is important to remem- ber the ‘Domino Effect’ with these cases. IPR in this case is done remote to the site of most imbrications or crowding, namely distal of the LL2 and LR2 and can even be done dis- tal to the LL3 and LR3 (and in certain situations distal to the first premolars). Further down the line once the crowded in- cisors begin to ‘unravel’, IPR can be carried out in the LL1 region. IPR is best carried out using Brasseler VisionFlex metal per- forated polishing strips in the following sequence (depending on space required and if need- ed): Yellow (Extra fine, 15µ), Red (Fine, 30µ) and Blue (Me- dium, 45µ). You must always go back the other way and finish off with the extra fine yellow strip to ensure a smooth enam- el surface. A fluoride mouth- wash is also recommended. The patient was reviewed every two-three weeks, de- pending on progress, and 13 weeks later he was delighted with the result. The patient was given the option of bond- ing to level the incisal edges off but he was happy to ac- cept the final result as it was. The composite attachments were polished off and a wire retainer fitted. A 0.5mm Essix style clear retainer was made to fit over the wire retainer. This acts as a good back up in case the wire comes away, however the patient is instructed to wear this every night for the initial threemonths, reducing this to every other night and then once a week after the first year. There has been much de- bate about whether ‘simple’ orthodontics can or should be carried out by GDPs. In my view, the key word here is ‘sim- ple’. We are not reorganising the occlusal scheme, we are not moving molars and we are not extracting teeth. In fact, I see no downside to providing this treatment. Whether the Inman Aligner is used as a standalone treatment, before whitening, bonding or even veneers, one thing is for sure, it simplifies treatment and allows minimal preparation or no preparation at all. Not offering tooth align- ment, in my opinion, verges on negligence. It is not a question of ‘should we be providing this treatment option?’ We must provide it. So is the Inman Aligner the Real Deal? It sure is. DT Figure 9. Preoperative Lower Occlusal View. Figure 10. Postoperative Lower Occlusal View with bonded wire retainer in place.