Patients with hay fever shouldn’t suffer in silence

Hay fever, or seasonal rhinitis, may be common in the UK, but it’s no less miserable for anyone for whom the start of spring means itchy eyes, sneezes and a blocked, runny nose.[i]

Weather patterns contribute to the amount of pollen produced, how it will disperse and its potency.[ii] A temperature between 18-28ºC when it’s dry, with low humidity and minimal breeze, will usually mean a high pollen count. But if it gets warmer than that, the count will decrease. Heavy rain in the morning tends to keep the pollen count low for the afternoon, but occasional wet days, recurring over many months, tend to mean a severe hay fever season overall.[iii]

Due to climate change, we can expect hotter, drier summers and warmer, wetter winters in the UK. Among the many public health impacts of climate change are invasive plant species being able to flourish; ragweed is one, which produces vast quantities of pollen capable of causing “severe allergic disease”.[iv] Air pollution from traffic in combination with pollen can also trigger hay fever symptoms and make them worse. You may have heard anecdotal evidence from people who say they enjoyed a temporary respite from their seasonal allergies during the first national lockdown, when the roads were quiet.

The type of pollen matters too. Grass pollen, with its season from May to July (although it can last longer), is the most common allergen. Different species of plant pollinate at different times, however. There is also the threat of mould spores released from falling and decomposing leaves, which peak in the autumn. Mould thrives in warm, wet conditions and last September was the second warmest on record in the UK, followed by an unseasonably warm and wet October. For anyone with a mould allergy, they may have experienced respiratory problems including wheezing, coughing and a tight sensation in the chest alongside the ‘classic’ hay fever symptoms.

Patients with hay fever may exhibit a range of other co-morbidities, from sleep disorders, to nasal polyps, infections of the middle ear and/or sinuses.[v]  Dental complications include dry mouth and associated complications like sore throat and halitosis (antihistamines taken for hay fever can lead to dry mouth too). An impeded salivary flow is also a risk factor for caries and periodontal disease. If they feel stuffy around the maxillary sinuses, the upper molars might feel sore and not get cleaned as thoroughly as they should.

But the feeling of having to dread the longer, brighter days and avoid social occasions outdoors because the pollen count is high, is often the most distressing part of hay fever. Over-the-counter antihistamines, in various forms, usually give quick relief in most – but not all – cases, although some types can make people feel drowsy so they need to be careful with how they take their medication.  

Oral health practitioners can offer practical, non-medical tips. Patients should ensure they are properly hydrated, to thin out nasal mucus, relieve dry mouth and combat decongestants. They should also keep bedroom windows shut, so travelling pollen does not land in their room and, if they choose to/must be outside on days with a high pollen count, or when autumn leaves could trigger their mould allergy, a good idea is to shower, wash their hair and change clothes once they get home. Also, to vacuum regularly, perhaps choosing a model with a special filter and avoid line-drying washing, particularly bed linen. Wiping surfaces, especially windowsills, with a damp cloth will remove pollen. If they’re having a day at the beach, getting in the sea will reduce contact with allergens. There are also balms that can applied around the nostrils, to act as a barrier. If there is no symptomatic relief, though, or if quality of life and routines are becoming severely affected, recommend they make an appointment with their GP.

They could also note when their symptoms start, end and get worse, to get more clues about how best to help themselves. Apps which track the pollen count can be a helpful resource too. Of course, even if some days are still a struggle, a good oral hygiene routine will make their mouth feel clean and comfortable and help negate the risk of developing dental caries or exacerbating periodontal issues. Ensure they are cleaning correctly, using the right-size tools; TANDEX makes high-quality brushes and interdental brushes for gentle, efficient and comfortable care at home. Also encourage them to attend regular consultations, to help them with conditions like dry mouth.

Hearing that hay fever and related allergies are likely to get worse isn’t what anyone who suffers wants to hear. Managing symptoms relies on patients taking control of their health, to optimise their own wellbeing. Empower patients with solutions and advice, while reassuring them that hay fever isn’t something to simply be endured. With a few changes, they can look forward to the start of spring.

Author Kimberley Lloyd- Rees on behalf of Tandex

Kimberley graduated from the University of Sheffield in 2010, where she now works as a clinical tutor in Dental Hygiene and Therapy as well as working in practice. She has spent her career working across a variety of specialist private and mixed dental practices, for the MOD and volunteering her time to a dental charity in Nepal.

 

For more information on Tandex, visit https://tandex.dk/
or the Facebook page https://www.facebook.com/TandexUK

 

Tandex products are now available from CTS Dental Supplies
https://www.cts-dental.com/ and DHB Oral Healthcare https://dhb.co.uk/

 

[i] Allergy UK. Hay fever and allergic rhinitis. Link: https://www.allergyuk.org/types-of-allergies/hayfever/ (accessed January 2022).

[ii] How does the weather affect hay fever? Met Office. Link: https://www.metoffice.gov.uk/weather/warnings-and-advice/seasonal-advice/health-wellbeing/pollen/how-does-the-weather-affect-hay-fever (accessed January 2022).

[iii] Met Office.

[iv] Hamaoui-Laguel, L., Vautard, R., Liu, L. et al. Effects of climate change and seed dispersal on airborne ragweed pollen loads in Europe. Nature Clim Change 5, 766–771 (2015). https://doi.org/10.1038/nclimate2652

[v] NHS overview: Allergic Rhinitis https://www.nhs.uk/conditions/allergic-rhinitis/  (accessed January 2022).

 

Looking forward to the Eighteenth BACD Annual Conference 2022 – ‘On the Shoulders of Giants’?  You should be!

Last year was the first BACD Annual Conference after the pandemic, and it was certainly a great way for everyone to come back with a bang! The British Academy of Cosmetic Dentistry (BACD) will continue the success of last’s year event with an exciting range of educational opportunities and speakers, as well as a chance to mingle and socialise at this year’s Annual Conference. Plus, the venue is the International Convention Centre (ICC) in Wales, a stone’s throw away from The Celtic Manor Resort, where there may be time to fit in a quick round of golf…

The BACD is delighted to announce an exceptional, world-renowned clinician as the headline speaker for this year – Dr Frank Spear! Dr Spear has earned both his dental degree from the University of Washington in 1979, and an MSD in periodontal prosthodontics in 1982. He has also been rewarded with numerous accolades, including the Christensen Award for Excellence in Restorative Education from the Chicago Dental Society, the Saul Schluger Memorial Award for Excellence in Diagnosis and Treatment Planning from the Seattle Study Club and the first ever Charles Pincus – Ronald Goldstein Lifetime Achievement Award in Esthetic Dentistry. 

The BACD is proud to have worked with Dr Spear previously, and are honoured to have him accept their invitation to speak at this year’s Annual Conference. He’ll be presenting a lecture, “Integrating Minimally Invasive Concepts in Complex Treatment Plans”, for the whole day. Dr Spear shares some insight:

“Typically, when we think about minimally invasive concepts, we think about tiny burrs or no-tooth preparation or minimal-tooth preparation. But I’m not going to be talking about that, instead I’m taking the overall concept that drives minimally invasive dentistry,” he says.

“The person who I think distilled it the best for me was a dentist who was a hero for many people in the US in the 60s and 70s, named Bob Barkley. Bob was a preeminent restorative dentist, and he wrote this wonderful book which contains my favourite quote, ‘The goal of dentistry is to make the patient worse at the slowest possible rate’. I really think this is the core goal of introducing minimally invasive concepts, asking ourselves the question, how do we treat patients who have more complicated problems, but make them worse at the slowest possible rate?”

So, what can delegates expect from Dr Spear’s lecture? He continues:

“We’re going to be talking about topics like significant apical resorption, internal resorption, external resorption, ankylosis and horizontal root fracture. I’ll also be discussing patients who have existing maxillary anterior fixed partial dentures – in this scenario, the abutment teeth have already been prepared and the question is do you consider converting them to an implant and single crown, or do we give them another fixed partial denture? And how do we make these kinds of decisions?

“So, these are the kinds of topics that I’ll cover throughout the day – it’s going to be a really fun day for me to present and I’m very excited! We’ve also been joking a bit back and forth about playing some golf at The Celtic Manor Resort, and whether to have a mini dental Ryder Cup of US vs UK, but I think we’ll wait and see what the weather will be like!

“I look forward to seeing you all at this year’s event!”

Dr Spear will be delving into themes that are essential for all dental professionals, and will get delegates thinking about how they consider minimally invasive concepts. This lecture really sets the tone for the whole event, so make sure you book your place!

Alongside Dr Spear, there will be plenty of other inspiring speakers to share their thoughts and insights on a range of topics regarding cosmetic dentistry. Plus, who can say no to a great evening, with wonderful food and socialising? The Gala Dinner, for the past seventeen Annual Conferences, has always been a hit and this year will be no different! This black-tie event gives all delegates the chance to get suited and booted, relax and enjoy some time to unwind with peers and friends.

Despite all the challenges that the profession has faced over the past few years, the BACD is proud to have this unmissable event back up and running for the second year in a row. Make sure to keep an eye on the BACD’s website and social media platforms for more information, such as the line-up of speakers, their lectures and the topics that will be explored.

So, don’t forget to mark the date – 10th-12th November 2022 – and be a part of the most highly-anticipated dental event of the year! 

 

For further enquiries about the British Academy of Cosmetic Dentistry visit www.bacd.com

New iO Specialised Clean Head

Oral-B have launched a new replacement head to fit their iO range of electric toothbrushes called Specialised Clean.  It features tufted bristles for cleaning around implants and interdental spaces.  The company asked periodontist, Dr Amit Patel, to try the new head in advance of launch and he found it helped patients access and clean hard to reach areas. Furthermore, he felt “it helped patients improve their oral hygiene around their implants, too”. 

He selected ten implant patients to test-drive the head. Those who were shown evidence of bleeding on probing and inflammation of the peri-implant tissues were then given the Specialised Clean Oral-B iO toothbrush for a period of three months and re-evaluated both clinically and with an open-ended questionnaire to assess improvement (or otherwise).

When re-evaluating the patients after three months, the feedback was positive, and the patients reported that their teeth ‘had never felt cleaner’ and that their gums had felt better with no associated bleeding. 

Dr Patel was encouraged that some patients suggested it was far easier to use the Specialised Clean head in the posterior region interproximally than interdental brushes, especially if they had larger spaces.

Clinically, all patients showed a significant improvement in bleeding on probing around their implants due to the reduction in plaque in these sites.

He concluded that, “On-going periodontal therapy is well supported by patients using the Oral B iO and the Specialised Clean head has a role in the maintenance of their implants”.  If you would like a sample of the new brush head please contact your local Oral-B Territory Manager for more information or call 0870-2421850 or email customerservice@dentalcare.co.uk.

BADT keen to share latest campaign

The British Association of Dental Therapists (BADT) will be attending and supporting the British Dental Conference and Dentistry Show (BDCDS) for another year.

Julie Ellis, BADT Active Secretary, comments:

“We are looking forward to discussing the benefits of BADT membership with new people at the show, as well as the work of the association and the advantages of having a dental therapist as part of the team. We will also be a listening ear to any dental therapists with concerns, providing an opportunity to ask questions and gain advice.

“Aside from helping more teams fully utilise the skills of dental therapists in practice, the BADT is also campaigning for dental therapists to be able to open a new course of NHS treatment, which we are keen to share with delegates too.

“The BDCDS is a great event for UK dental therapists because it offers a mix of lectures, CPD and networking, enabling delegates to meet the whole team, discover new products, or gain advice and information from specialist companies. In the exhibition, there is also an opportunity to try before you buy, while comparing materials and equipment.”

 

The next British Dental Conference and Dentistry Show will be held on Friday 13th and Saturday 14th May 2022, Birmingham NEC, co-located with DTS.

For more information, visit birmingham.dentistryshow.co.uk, or email dentistry@closerstillmedia.com

Reliable Smiles

As technology has developed, dental implants have become increasingly popular with a variety of patients and meeting their expectations is important. When it comes to choosing which implant system to use the choice can feel overwhelming. A good place to start is with a brand you can trust. With a legacy of over 25 years, Neodent, a Straumann Group brand, has focused their craft on systems that are easy to use without compromising functionality and aesthetics.

Innovative Design

The Helix™ Grand Morse™ has been specifically designed for results that are stable, functional, and aesthetically accurate. Combining a full dual tapered body design and a hybrid outer contour allows for placement flexibility, this implant enables you to maximise treatment options for your patients. Suitable for all bone types, you will have the option of providing a range of treatments from a single tooth restoration to a full arch reconstruction.

The unique and progressive thread design in combination with a small tip and flutes works to provide unprecedented primary stability in even the most challenging situations. You may come across cases where the patient has soft bone, for instance, with concerns regarding achievement of primary stability. The Helix™ Grand Morse™ will put your mind at ease as not only will this system ensure that the implant is stable but it even supports immediate loading too. The Acqua™ surface material is hydrophilic and therefore promotes more success in terms of primary stability. You can provide your patients with a smile that they can rely on and further meet their expectations without a lengthy treatment time.

There’s More to Offer

The Straumann Group stands for premium quality when it comes to their products and services and that’s why they endeavour to be a great partner for professionals. As one of the few organisations in the dental industry with an office and a warehouse in the UK, the support the Straumann Group can offer their customers is impeccable. Product and solution experts will be available to you when you need them. Whether it’s a quick question you need answering or something more complex you can depend on the Straumann Group to support you when you need it.

The service provided by the team isn’t the only thing tailored to your needs. The eShop is incredibly convenient too, especially as you can order online at any time of day or night and your order will be processed immediately. As well as this, you can view stock, search products, order direct from the warehouse, organise e-returns, print labels, and process consignment requests. The profile you create will also allow you access to PatientPro, ClearCorrect® Doctor Portal, and Straumann Smart – these features enable you to manage your profile yourself including email preferences, passwords, data privacy, and more.

Overall, the implant industry has developed at rapid speed in recent years and there is now a plethora of systems to choose from. Ensuring that you have a system that is designed with your interests in mind can optimise your workflow, treatments results, and help you to exceed your patients’ expectations. What more could you need?

 

For more information, please visit https: www.neodent-uk.co/efficiency

 

Growth brings happiness – but there are different types of growth!

Talking points

  • What does your happiness in life depend on?
  • How do you measure your ‘growth’?
  • How does your mindset impact on your quality of life?

 

When we talk about development in dentistry, we usually mean learning new skills or taking on more responsibilities in the practice. These are very important, of course, but this is not the only way we should be growing. Our happiness is another way to measure our success. I’m sure many would agree with me that this may even be the most important.

So, how do we set ourselves up for success, or happiness for that matter? To be fair, this varies person to person. We all have different backgrounds, cultures and dreams in life – you may want to become a specialist, to broaden your treatment areas or buy your own practice. We also all have different commitments, restraints and priorities. Some of us have young children, or are newly single, some might be buying a first home or working towards retirement. Our stage of life will determine what we want to achieve, as well as what we choose to do with our time.

What remains constant is the level of contentment we EXPECT to get from our profession – whatever that means to us personally. No matter the goal, who doesn’t want to be happy? The amount of time we spend at work means finding happiness here is crucial for our wellbeing and our general quality of life. 

Easier said than done, you might say? I agree.

I loved the first seven years I spent working as a dentist. I got pure enjoyment from my job. But things changed in the next seven years. I moved between practices looking for the development I thought I craved. I even bought my own practices to climb the career ladder. Did I tick the usual boxes for career progression? Yes. Should I have been happy with that? Yes. Was I? Not at all.

You see, I created a direct association between my growth in dentistry and my happiness in life. While one does affect the other, I was approaching it from the wrong angle. It wasn’t the profession that was making me miserable. It was my mindset. It took me some time to realise it, but when I did, it CHANGED MY LIFE. 

The solution for me meant working on areas of my life OUTSIDE dentistry. My stutter had destroyed my confidence and I was very uncomfortable selling to my patients, which was not encouraging them to proceed with treatment. So, I concentrated on developing these skills. These led to further opportunities that shaped a new career pathway that renewed my enthusiasm and my passion for what I do, and brought unrivalled happiness to my life.

No matter what you have achieved in your career so far, there is always a next level, another step forwards, a new way to achieve. It might be reaching that specialist dental status, or it might be something seeming smaller that brings you an equal amount of joy on a daily basis.

Let’s say you have a difficult relationship with someone in the practice. Perhaps you’re struggling to manage a member of staff, or you are clashing with your dental nurse. Maybe your principal has put unrealistic demands on you, or there might be a patient that you find it challenging to connect with. Learning to manage and better communicate with difficult people could be the skill that makes your job exponentially more enjoyable.

Though this might seem like a small problem, it could be causing you a lot of stress and anxiety. This will be taking away from time you could be spending in a positive mental state. It could also be holding you back from advancing your clinical skills, or growing your business. The good news is that to overcome these obstacles and many others, you can ADAPT YOUR MINDSET.

Be open to change, be proactive in looking for solutions, think outside the box. Consider how you can change your pessimistic traits into optimistic ones. What do you need to do or achieve to see the world differently? Perhaps you would benefit from focusing your next training opportunity on your personal skills or situation, on improving your mental health or people skills. There is a chance that this could bring you the level of contentment you seek in daily practice that no amount of implant education could offer.

Professional and personal development are definitely linked to happiness, but there are different ways to grow than simply taking the next orthodontic or periodontal course. If you are facing your own rising tide of despair, have an honest conversation with yourself to see how you could change your approach and you might just change your life.

 


Action points:

  • Think about what has the greatest impact on your happiness at work.
  • Write down three things you wish you could do better, no matter how small.
  • Make a practical plan to improve those three areas and give yourself a deadline.

Follow @mahmoodmawjee on Instagram for more ideas and inspiration

Early career dentists: training significantly impacted by Covid-19

Three in four early career dentists in the UK (75%) say the Covid-19 pandemic has had a significant and negative impact on their dental training, according to a Dental Protection survey.

In the snapshot survey of dentists who qualified in the last five years, 70% went on to say the pandemic has impacted their career plans.

Nearly a third (31%) say the reality of general practice is not in line with their expectations, and 39% feel the Covid-19 pandemic has created uncertain career options and choices for the future.

34% say they are exploring career opportunities outside of dentistry.

George Wright, Deputy Dental Director at Dental Protection, said: “A career in dentistry can be immensely rewarding. However, Covid-19 has created many challenges for established and newer entrants to the profession alike and the impact on young dentists is particularly alarming. The future of the profession relies on the strong foundations of early years training including an assessment of career opportunities f and development. It is concerning that many newer entrants say they have experienced a severe and negative impact on their training due to the pandemic.

“Additionally, after almost two years of restrictions impacting the delivery of routine dental care, and a growing backlog necessitating the rising need for emergency appointments, the longstanding goodwill and understanding of the public towards NHS dentistry is fraying. This means many early career dentists have experienced a challenging environment, dominated by clearing the backlog. This is of course quite different to what many will have expected.

“Dental Protection’s early career members continue to benefit from our advice and support. Whatever the question, problem or dilemma, we are only ever a phone call away. We also offer a range of resources, including access to confidential counselling via our trusted partners ICAS, as well as CPD webinars and workshops made available regularly throughout the year.”

Some early career dentists who participated in the survey commented:

“I was lucky with my training in that the university got us back to clinical practice quickly. There is a backlog of patients in practice, and I’m concerned their neglected dentition will cause them to complain in the future as some things may have been prevented.”

“Starting work in practice after leaving dental school has taught me how little dental school prepares you for the realities of work.”

“The pandemic actually helped my career as I could only find private practice associate jobs, this then opened other doors for me.”

Kick-start your financial recovery and growth at DTS 2022!

The DTS Lecture Theatre at the Dental Technology Showcase (DTS) 2022 will present an array of lectures covering a broad spectrum of topics for the entire lab team. Dr Stefan Goniszewski, CEO of GKA Innovation, will be discussing “Crowns to cash – how does government funding and R&D tax credits apply to the dental industry?”

About his session, he says:

“My lecture will help delegates to unlock money that many don’t realise they are eligible for. I hope to help dispel some of the misconceptions that currently exist regarding funding avenues, including R&D tax relief opportunities. As such, delegates should gain an understanding of what the government offers to help companies who are seeking to advance their products and services, as well as how it applies to and may be beneficial for them. The talk will truly help companies get a financial kick -start to aid recovery from the Covid-19 downturn.”

DTS is completely free for delegates to attend – register for your place online today!

 

The Dental Technology Showcase (DTS) 2022 will be held on Friday 13th and Saturday 14th May, Birmingham NEC, co-located with British Dental Conference & Dentistry Show. 

Register today!

For more information, visit www.the-dts.co.uk, or email dts@closerstillmedia.com

Deliver achievable clinical negligence reform without delay, says DDU

Today the House of Commons Health and Social Care Select Committee has published the report of its inquiry into NHS litigation reform. The Dental Defence Union (DDU) engaged closely with this inquiry, submitting written evidence.

The DDU welcomes the publication of today’s report but cautioned against too much focus on fundamental and complex structural change, at the expense of reforms which could be implemented with greater speed.

John Makin, head of the DDU, said: “The cost of clinical negligence is unsustainable. At a time when the NHS needs those funds more than ever, to recover from the Covid-19 pandemic, reform can no longer be delayed.

“The DDU has long championed a number of changes that would go some way to addressing the problem. It is heartening to see the attention parliamentarians are paying to this important issue. Something we have been calling for repeatedly, is the repeal of Section 2(4) of the Law Reform (Personal Injuries) Act 1948. This outdated law requires the courts to disregard the existence of NHS care when determining compensation awards. This provision should have been repealed decades ago, and we are pleased to see the Committee agrees with us and is recommending the government repeals it without further delay.

“We have considerable reservations about the central recommendation of the Committee. The proposal to remove the need to prove clinical negligence following an adverse event in the NHS, and instead establish an administrative body to determine whether the harm was avoidable – would represent a seismic change from the current legal position. The Committee’s report rightly notes that designing a scheme of this nature and establishing the criteria would be a complex task and we have significant concerns about the affordability of such a scheme. Nevertheless, we would welcome the opportunity to input on, and scrutinise, any such proposals.

“The time to address the cost of clinical negligence is now. We urge the government and Parliament to maintain a focus on reforms that we know could be delivered at pace, rather than being absorbed on the immensely complex task of designing a new scheme from scratch. We call on the government to publish its long-promised proposals on tort reform without further delay. These should include reforms to how compensation awards are calculated, caps on the level of damages awarded for future care, and damages for loss of earnings being brought down to proportionate levels.”

Go Further for Your Patients

Understanding the edentulous patient isn’t easy, especially because the realities of their daily challenges aren’t always at the forefront of the dental team’s mind. Presenting at the ADI Team Congress 2022, Pravesh Solanki invites the entire practice team to attend his lecture, “Same-Day Teeth: 12 Months of Nurture, Two Hours in the Chair”. He says:

“I’m inviting dental nurses, practice managers, dental hygienists and therapists to attend because it’s crucial that the whole team understands the treatment process and the specific pain points of dental implant patients. The entire team makes the difference. Without a congruent team, the surgeon wouldn’t be placing the dental implant.

“Step into the shoes of these patients and genuinely empathise with their situation. When you can do that everything else will fall into place – the conversations you have, the tone you take, the way you come across, and more will change.” 

The ADI Team Congress 2022 will allow you to network with your peers where you may come across new opportunities. There is also the chance to attend a major exhibition where you can meet with a variety of representatives showcasing the most recent innovations.

Book your place today!

 

ADI Team Congress 2022

“The Great Debate”

26-28 May 2022, Manchester Central

 

ADI members will be able to attend the ADI Team Congress for discounted rates. Join today.

www.adi.org.uk/congress22