Put yourself first

Many dental professionals will agree that providing patients with high-quality care on a daily basis is demanding. Dentistry offers a number of fantastic opportunities, but it is not without its challenges. Without a properly managed work life balance, a dentist’s work can become stressful, causing them to feel overwhelmed and, eventually, burnt-out.[i] As such, it’s important to understand why burn-out occurs, what it is, and techniques that might help prevent it.

What is burn-out?

According to the World Health Organization,[ii] “burn-out is a syndrome conceptualized as resulting from chronic workplace stress that has not been successfully managed.” Those with burn-out may lack energy, feel negative towards their job, and perceive their professional worth as low.[iii] Work which puts a person under high pressure is likely to lead to burn-out, especially if this is not effectively managed. Recent studies suggest that dentists face physical and emotional problems related to stress.[iv] These include high rates of cardiovascular disease, ulcers, colitis, hypertension, lower back pain, eye strain, alcoholism, drug addiction, depression, and suicide.[v]

In a profession which is very aware of the effects that stress and anxiety have on their patients, it’s important that dentists consider the ways they manage their own stress – helping to improve their own health, prevent burn-out, and allow them to provide their patients better care.

Managing stress and preventing burn-out

Dentists often lead very busy lives, with long days in the practice sometimes making it feel impossible to take time for themselves. But, in order to do their best work, dentists must consider the ways they can look after their own health and manage stress. So, how can they do this?

Exercise

While it might feel difficult to make time to exercise regularly, saving just half an hour per day to exercise can offer the body a wide range of mental and physical benefits.[vi] Working out boosts serotonin and endorphin levels, triggering a positive feeling,[vii] and it provides a dedicated break from work. Exercising regularly doesn’t have to mean extreme sports, but can be tailored to the individual’s preferences – attend classes at the gym, go for early morning runs, or even try yoga (a great tool for stress management!). For me, personally, I have been addicted to Peloton and find time to do a 30-minute ride on a daily basis. As a result, I feel I have more energy, and I have no aches and pains.

Sleep

Sleep is crucial for recovery, and can help people live longer and healthier lives.[viii] Experts recommend that most adults get between seven and nine hours per night[ix] for a positive impact on the heart and circulatory system, metabolism, respiratory system, and immune system.[x] However, it’s not only the quantity of sleep that’s important, but the quality too. Interrupted sleep can be detrimental to health, with those who have sleep apnoea experiencing multiple interruptions to deep sleep stages every night, contributing to anxiety and depression, weight gain, and heart disease.[xi] As such, it’s important to consider the quality of sleep, and aim to get a good night’s sleep to experience its full benefits. Books I have read and recommend to others on this are “Sleep Smarter” by Shawn Stevenson and “Why We Sleep” by Matthew Walker.

Diet

Eating a balanced diet is essential for enabling the body to perform optimally.[xii] While it may be more convenient to eat fast food between patients, it is beneficial to choose a healthier option at lunch time which provides the energy needed to power the rest of the day.[xiii] This is also a great opportunity to step outside for fresh air, and give yourself a break in the day.

The value of community in dentistry

An aspect of the work that many dentists may not think contributes to burn-out is isolation and confinement. While this comes with the nature of the job, lots of time spent alone in the surgery carrying out intricate and meticulous procedures can be mentally and physically challenging. It can lead to strain on the body and fatigue, making regular breaks all the more important. Much time spent alone can also take its toll. Many dentists do not have the same opportunities as other professionals to share and solve problems with colleagues – with the rise of social media dentistry exacerbating a competitive side of the profession.[xiv]

As such, finding a community of professionals can be incredibly beneficial. The Association of Dental Implantology (ADI) is ideal for those with a special interest in implants at any stage in their careers. The Association encourages socialisation, networking, and education – supporting individual growth and learning. The ADI offers its members free attendance to the Members National Forum, discounted rates at ADI events, and access to the ADI Members-only Facebook Group – where dentists can ask the community for advice.

In order to provide the best care to patients, dentists must first take care of themselves. Burn-out can lead to low job satisfaction, and leave dentists feeling distant from their work, so avoiding this is essential. By enriching both their work and personal lives, setting achievable and reasonable goals, continuing education, and spending time with others, levels of stress may be reduced.

For more information, please visit www.adi.org.uk

Dr. Zaki Kanaan President ADI

Dr Zaki qualified from Guy’s Hospital, London, in 1996. His main interests lie in all aspects of Cosmetic Dentistry with a special interest in Dental Implant Treatment, where he has achieved a Masters Degree from the GKT Dental Institute in 2001.

[i] https://www.colgateprofessional.com.au/dentist-resources/advocates-for-oral-health/burnout-and-self-care-in-dentistry#

[ii] https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases

[iii] https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases

[iv] https://www.oralhealthgroup.com/features/stress-in-dentistry-it-could-kill-you/

[v] https://www.oralhealthgroup.com/features/stress-in-dentistry-it-could-kill-you/

[vi] https://www.colgateprofessional.com.au/dentist-resources/advocates-for-oral-health/burnout-and-self-care-in-dentistry#

[vii] https://www.oralhealthgroup.com/blogs/5-top-self-care-tips-for-dentists-dealing-with-stress/

[viii] https://askthedentist.com/8-hour-paradox/

[ix] https://www.nhlbi.nih.gov/health/sleep/how-much-sleep

[x] https://www.nhlbi.nih.gov/health/sleep/why-sleep-important

[xi] https://askthedentist.com/8-hour-paradox/

[xii] https://www.colgateprofessional.com.au/dentist-resources/advocates-for-oral-health/burnout-and-self-care-in-dentistry#

[xiii] https://www.oralhealthgroup.com/blogs/5-top-self-care-tips-for-dentists-dealing-with-stress/

[xiv] https://www.oralhealthgroup.com/features/stress-in-dentistry-it-could-kill-you/

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Supporting dentists from all walks of life

For any dentists looking to permanently move to the UK from overseas, or those who have already, finding the right job is an essential part of a successful experience. Though true for any clinician, navigating the additional challenges that can arise when relocating means that the team around you and the support available is even more important.

Though she moved to the UK in 2016, Dr Despoina Christidou realised in the following years just how crucial the team she worked within was for her job satisfaction. Here she shares her story:

“I qualified from the Aristotle University of Thessaloniki, Greece, and practised dentistry in the country for the next 31 years, including in my own private practice. However, when my personal circumstances changed and challenges arose with the organisation, I took this as an opportunity to try something completely different.

“I had been thinking about relocating for some time and Scotland was really appealing. I was interested in the history of the country and both the scenery and people made the move attractive. I moved to Scotland almost 9 years ago now and I have not been disappointed.  

“At the time that I relocated, the greatest challenge was learning all the new regulations and requirements. I had not been aware of several rules until working in a UK dental practice so there was a steep learning curve in the first 6 months. During this and the next few years, I learnt exactly what it is that I value most in the places that I work. It’s not the instruments, the technologies or the look of practice that makes the biggest difference for me – though these are still important – it’s the team around me.”

In 2023, Despoina was looking for the next step to further her career in Scotland. This is when she turned to Clyde Munro.

“When I came across a vacancy at KF Dental in Edinburgh with Clyde Munro, I was instantly interested,” she continues. “My initial impression and further research suggested it would be a great place to work, so I took my chances and moved over – and I’m very happy that I did!

“The team has been brilliant. I really appreciate the way that the practice manager runs the practice and helps everyone who works there. There is always support available and motivation for all the team; I love that. I have also been checking the Training Academy courses as I am very keen to make the most of these, with different topics covered throughout the year.”

For any clinicians thinking about permanently moving to the UK, or those who have already done so and are considering their job options, Despoina emphasises the importance of the team once again:

“It’s essential to look for a good team in the practice and the wider organisation to support you, motivate you and help you accomplish everything that you want to. I have found this to be true across Clyde Munro so I would certainly recommend them to colleagues.

“I’d also like to express how good it is living in Scotland. You have the opportunity to do many things and explore everything the country has to offer around work!”

If you are new to the UK and looking to work as a dentist, Clyde Munro understands the intricacies that come with relocating from overseas. In practice, we provide the specific training necessary for working within dentistry in Scotland. We offer webinars to update your knowledge and ensure access to mentors who can assist with clinical cases. Not only do they provide one-to-one support and case discussions, but they also supervise your professional development to ensure you’re on the right track. In addition, relevant information and support is offered as clinicians become familiar with the SDR system in Scotland, which is very different to the working structure for dentists in other countries.

Outside the practice, Clyde Munro provides assistance with opening a Scottish bank account, finding appropriate accommodation and even sourcing hire cars to help clinicians get settled.

Whether you are new to the UK or searching for your next UK-based role, find out how Clyde Munro could help you enjoy the next chapter of your life.

Find out more about the career opportunities and vacancies available with

Clyde Munro today at careers.clydemunrodental.com.

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Next intakes commence in April 2024 in locations around the UK.

For more information and to book now, visit: https://tiptontraining.co.uk/pg-certification/level-7-certificate-in-restorative-dentistry/

Linda Giles provides a positive balance

Which? recently revealed the results of a dental survey it had conducted, with approximately 90% of respondents saying they would recommend their dental practice. Linda Giles from Ross Brooke Dental discusses what practices can be doing with this data, as well as how it provides a more balanced perspective of UK dentistry services.

Listen here as well as on all major podcast platforms, including Apple PodcastsGoogle PodcastsSpotify and more:

Or watch the interview via The Probe’s YouTube channel: 

 

For more information, visit https://www.ross-brooke-dental.co.uk/

Dental hygienists and therapists to gain ‘greater powers’ following public consultations

The Department of Health and Social Care and its Parliamentary Under Secretary, Andrea Leadsom MP, have announced plans to streamline processes within dental and pharmacy settings and improve patient experiences by granting ‘new powers’ to dental hygienists and dental therapists, as well as pharmacy technicians, following two public consultations.

The move will reportedly help to free up access to care for patients across dental practices and pharmacies while building on efforts to improve access to primary care, including through Pharmacy First and the Dental Recovery Plan.

Primary Care Minister Andrea Leadsom has announced dental hygienists and dental therapists will be able to supply and administer medicines, including pain relief and fluoride – without sign off from a dentist. This, in theory, will free up more time for dentists, allowing them to deliver more patient-facing clinical services and improving access to primary care services for patients.

The announcement is part of the latest series of measures the government has brought forward to cut waiting lists and improve access to primary care, which includes the publication of the Dental Recovery Plan, which aims to free up 2.5 million more appointments this year, and the expansion of the Pharmacy First scheme, which enables pharmacists to treat seven common conditions, and will reportedly free up to 10 million GP appointments per year.

There are currently over 25,500 pharmacy technicians working in pharmacies across England, Scotland and Wales, while there are 9,733 dental hygienists and 6,198 dental therapists currently registered with the General Dental Council in the UK.

Primary Care Minister Andrea Leadsom added: “We want to give patients faster, simpler and fairer access to the care they need, when they need it – and giving these powers to pharmacy technicians, dental therapists and hygienists will do just that. Today’s announcement shows we are continuing to deliver on our promises made to improve access to primary care for all, building on the government’s long term ambitions, including through the Dental Recovery Plan and the expansion of the Pharmacy First Scheme.

“We want to ensure our fantastic staff are recognised for the vital work that they do, working to their full scope of practice and delivering for everyone who walks through their doors.”

Miranda Steeples, President of The British Society of Dental Hygiene and Therapy, said: “BSDHT welcomes plans to enable our professions to work to the full extent of their skillset and give them new powers that enable them to offer patients the care they need. Everyone will benefit from an oral healthcare team that runs more smoothly and uses its time effectively.”

Update – We caught up with Miranda to discuss the news and what it means:

 

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New figures emphasise urgent need for recruitment to struggling dental industry

Earlier this month, the General Dental Council (GDC) published the long-awaited results of their Dentist Annual Renewal survey, revealing that less than 1% of dentists are currently seeking work.

Out of 25,159 respondents, just 15 are seeking work, emphasising the need to address recruitment to the sector. There are currently 5,500 dental vacancies in practices and hospitals across the UK, and evidently not enough qualified dentists to fill them.

The Association of Dental Groups (ADG) has long been calling for the GDC to take urgent action to increase the rate of highly qualified overseas dentists entering UK practices through reform to the Overseas Registration Exam (ORE).

2,000 qualified dentists, who could get to work tomorrow, are currently stuck in a backlog, waiting to take the exam.

The figures also reveal the hybrid nature of dentists’ work in the UK, suggesting the need for contract reforms or measures under the Government’s proposed Dental Recovery Plan to support the ability amongst current and newly qualified dentists to work flexibly between private and NHS care.

Just 19% of dentists only provide private care, and just 15% provide only NHS care. Over 65% of dentists provide a balance of NHS and private care. Legislators must consider this new reality if we are to retain new dentists within the workforce.

Neil Carmichael, Executive Chair of the Association of Dental Groups, said, “We’re delighted that the General Dental Council have responded to our campaign and published their dentists’ working patterns data. As the Government implements their Dental Recovery Plan, and looks to contract reform, it is of vital importance that we have a clear picture of the work being undertaken by dentists across the UK.

“As is clear within the figures, our sector is facing a recruitment crisis. We look forward to continuing to work with Government and the GDC to Fill the Gap in dental recruitment, ensuring that highly qualified overseas dentists can support our dental workforce.

“We await further analysis and outputs from the GDC later this year.”

Global research initiative invites grant applications for patient safety and wellbeing projects

The MPS Foundation – a global not-for-profit research initiative that aims to shape the future of patient safety – has opened for applications for its 2024 grant programme.

Medical Protection Society (MPS) – of which Dental Protection is part – launched the Foundation in 2022. Now in its third year, it has already supported over 30 research projects from across the world.

UK projects awarded funding in 2023 include a study aimed at understanding students’ experiences in oral surgery departments across two UK dental schools, and another study exploring dental professionals’ perceptions of resilience.

The Foundation is now inviting new research grant applications from both MPS members and non-members. It will invest in research and analysis with a key focus on patient safety and the wellbeing of healthcare professionals and teams, both medical and dental. Applications will be considered from the jurisdictions where MPS has members. This includes the UK, South Africa, Singapore, New Zealand, Ireland, Hong Kong, Australia, Malaysia, the Caribbean and Bermuda.

Research projects supported by The MPS Foundation need to be academically robust and evidence based. Available funding will range from £5,000 to £200,000, or equivalent in local currency, depending on the scale, focus and duration of the proposal.

The funding focusses on five main areas:

  • the impact of human factors on patient safety, outcomes, and risk
  • the impact of processes and delivery modes on patient safety, outcomes, and risk
  • the personal and professional wellbeing of healthcare professionals and teams
  • the impact of digital integration and technology on patient safety, outcomes, and risk
  • the impact of the effectiveness of teaching and learning innovations upon patient safety, outcomes and risk.

Dr Graham Stokes, dentist and MPS Foundation Chair, said: “We are delighted to launch our third grant programme to support research projects on patient safety and the wellbeing of dental professionals. Funding for research in this area has been limited but our grant programmes have been changing that. Projects that we have supported in previous years have shown great success in promoting best practise and wellbeing across several countries.

“Our aim is simple: to fund research that improves safety for patients and the wellbeing of healthcare teams.

“If you have a research project that you think is suitable, register your interest and join our growing community of grant recipients. I strongly encourage healthcare professionals to consider applying for support whatever the scale of the proposal and to make the most of the additional resources available to support applicants this year.”

Applicants can register their interest and apply by visiting www.thempsfoundation.org and entering their details via the online grant portal. Calls for expressions of interest close on 3 May 2024 at 17:00 BST.

The MPS Foundation team is holding two online question and answer clinics on 8 March and later in April to introduce the 2024 grant programme, explain the application process and what makes a successful application. The team can also respond to any questions applicants have about the process.

The Foundation is part of MPS – the world’s leading protection organisation – which currently supports more than 300,000 doctors, dentists and healthcare professionals, and has almost 130 years of global healthcare experience and expertise.

Stepping out of your comfort zone

As with any aspect of life, it can feel comfortable to stick to what you know. This can apply to your work, using the same equipment, techniques, and treatment types out of habit or convenience, even when there might be a better, more efficient way of doing things. While it can come with a learning curve in some cases, embracing the digital dental revolution presents a number of benefits to the clinician, their dental team, and their patients. Digital chairside dentistry allows the clinician to offer more services to their patients, more quickly, thanks to streamlined workflows.

Adopting this type of software also allows practitioners to future-proof their dental practice, both by integrating modern technology, and training their dental team to operate digital equipment and software, preparing for future digital dentistry.

Enhanced communication

Spare your patients the discomfort of conventional impression taking when you utilise an intraoral scanner in your practice. They are able to map out and create a three-dimensional model of the patient’s anatomy, without the need for using traditional impression materials, waiting for impressions to set, or causing the patient any discomfort or anxiety. Intraoral scanners are able to produce highly accurate representations of a patient’s mouth, while eliminating the risk of human error.[i]

The scans produced using this type of dental impression are also a fantastic tool for communication. This means that clinicians can effectively explain a patient’s situation, allowing them to understand any issues they have, and describe any potential treatment plans. In doing this, your practice will likely see a rise in case acceptance as patients have a better understanding of the treatment they need. Additionally, clinicians can more effectively communicate with other professionals quickly, using accurate visual data.[ii]

Reliability in treatment planning

Employing digital software can also help you to better plan treatment, and share with colleagues and dental technicians where needed. Additionally, with the implementation of a 3D printer, for example, you are able to carry out a number of additional services within your own practice.

In a similar way to conventional impression taking, manual model making can generate inconsistencies due to human error. However, by using a 3D printer to produce dental appliances, you can improve accuracy.[iii]Research suggests that 3D printed models can be truer to the original reference when compared to conventional stone casts, making them preferable in many clinical scenarios.[iv] 3D printers also improve reproducibility,[v] helping to save time, reduce the risk of errors, and improve the experience for patients. This is perfect for reliable and predictable treatment when providing things like dentures and night guards, for example. 3D printers can provide practices with accuracy, efficiency, and precision which can contribute to improved treatment outcomes and an increase in patient satisfaction – giving your practice a boost.

Quality care from start to finish

For practices who would like to offer complete workflows from within the practice, and even the same appointment, a chairside milling machine may be the ideal option. This allows clinicians to scan the patient, plan the restoration, and provide the restoration very quickly.[vi] This means that, should a patient require a zirconia crown, for example, they can expect a faster service, without having to wait in between appointments for manufacture in a dental lab. As this chairside equipment becomes more accessible for some, clinicians are able to carry out more treatment in house, for greater flexibility and shorter treatment times where appropriate.

For clinicians who are ready to embrace the digital revolution, and introduce chairside CAD/CAM workflows into their practice, Clark Dental offers professionals the cutting-edge Cerec Primescan intraoral scanner, Primeprint 3D printer and the Primemill milling machine. The equipment works together to offer a seamless digital experience. With these systems you can create accurate, high-grade surgical guides for guided implant treatment and even produce zirconia restorations, in-house. Clark Dental also ensures that you are adequately supported, for total peace of mind. Additionally, practices are still able to collaborate with dental labs when handling complex cases to ensure the very best outcomes.

As digital dentistry continues to offer clinicians more benefits, and become more user friendly, there has never been a better time to step out of your comfort zone, and into the future. By mastering one aspect of the digital chairside workflow at a time, perhaps beginning with intraoral scanning, then 3D printing, for example, the process becomes very easy, and soon enough you’ll be able to offer patients a unique treatment experience. This level of customisability, communication, and convenience will enable you to attract new patients, and offer your existing ones a more streamlined and reliable treatment experience.

For more information call Clark Dental on 01268 733 146, email

info@clarkdental.co.uk or visit www.clarkdental.co.uk

STUART CLARK

MANAGING DIRECTOR

Having grown up within dentistry, Stuart has developed an unparalleled understanding of the industry. He is a technical specialist in digital imaging, pulling on his extensive experience as a Technical Director for Schick Technologies. Stuart is also an expert auto-CAD surgery designer and dental equipment engineer.

[i] Gurgurova, G., M. Grancharov, and G. Yordanova-Kostova. “ADVANTAGES OF INTRAORAL SCANNING IN ORTHODONTICS.”

[ii] Gurgurova, G., M. Grancharov, and G. Yordanova-Kostova. “ADVANTAGES OF INTRAORAL SCANNING IN ORTHODONTICS.”

[iii] Tas, Hilin, et al. “Evaluation of the accuracy of dental casts manufactured with 3D printing technique in the All-on-4 treatment concept.” The Journal of Advanced Prosthodontics 14.6 (2022): 379.

[iv] Tas, Hilin, et al. “Evaluation of the accuracy of dental casts manufactured with 3D printing technique in the All-on-4 treatment concept.” The Journal of Advanced Prosthodontics 14.6 (2022): 379.

[v] Tsolakis, Ioannis A., et al. “Comparison in terms of accuracy between DLP and LCD printing technology for dental model printing.” Dentistry Journal 10.10 (2022): 181.

[vi] Gupta, Gaurav, et al. “Customized Zirconia Crown in Pediatric Dentistry From Concept to Reality.” Avicenna Journal of Dental Research 15.1 (2023): 27-31.