Expanding your horizons

In dentistry, keeping ahead of the curve is essential. Technology is constantly advancing and scientific research is always discovering new breakthroughs that can be used to provide better treatment. It’s vital to keep on your toes in order to branch out, embrace new opportunities and do all in your power to provide patients with the very best care.

Of course, this is easier said than done, and it’s not as simple as just forging ahead without thinking how to best explore possibilities and embrace them in a way that will benefit your practice and patients alike.

The benefits of branching out

It almost goes without saying that the biggest benefit of offering new treatments is the more versatile style of care you can give your patients. With new solutions and technology available to make treatments easier and more predictable, it’s paramount to see if these are feasible and something that your patients will directly benefit from.

However, it’s also a good idea to look at this from the perspective of potential as well. By adopting new technologies or starting to offer new treatments, you can easily bring in a whole new patient demographic. This will inevitably aid your business financially and boost your reputation, leading to more new patients.

It’s also necessary to think about the challenges that embracing new opportunities can bring. Branching out into new treatments or purchasing new technology will mean that training is necessary, but this is a good way to remain motivated and excited by what you do – variety is definitely the spice of life.

Find the niche

 Like all businesses, one easy way to ensure your practice is successful is to offer people something unique in your area. Every patient will have different needs and requirements, but that doesn’t mean that certain treatments won’t be more appealing to your general patient demographic. This is something that all professionals should look to identify and capitalise on.

For example, you may already offer exceptional orthodontics, especially if your practice is situated in an area with a high volume of schools, but what about offering services such as mouth guards and other useful items that the same patients could hugely benefit from? By looking at the typical enquiries you receive and utilising the opportunities these present, you are giving yourself the best chance of diversifying and delivering even greater value to your patients.

Another good example is to think even more outside of the box. Are you interested in aesthetic dentistry? Have you considered botulinum toxin injections or other aesthetic treatments that could complement the overall results you achieve? Grasping openings like this is a great way to stand out and boost your profitability while also keeping patients satisfied and inspired by your services.

Supporting the idea

Arguably the most important thing to prioritise when you’re looking at embracing new possibilities within practice is how to achieve these in a way that is beneficial to everyone. Technology is likely going to be a huge consideration, especially if you’re looking to move into a new field of dentistry and/or offer more complex treatments.

This can fast become an expensive undertaking, especially if you are looking at systems that are exclusively aimed towards one type of treatment alone. However, there are many new innovations that are versatile and easy to use, so branching out into new areas and embracing possibilities could be made simpler.

One example is the new CS 8200 3D CBCT system from Carestream Dental. Compact and straightforward, this ground-breaking new solution offers multiple imaging modalities and crisp, accurate images to suit a wide array of indications. Furthermore, its extended field of view means that professionals can use the system to easily expand their treatment capabilities, at their own pace and without having to invest in multiple pieces of technology.

The best for your practice and your patients

As dentistry continues to evolve, practices need to have solutions on hand to continue to provide an exciting range and variety of treatments. This is not just about providing exceptional quality care, but also offering opportunity for patients to get more out of their visits. This in turn will also benefit your practice and the professionals who work there.


For more information, contact Carestream Dental on 0800 169 9692 or

visit www.carestreamdental.co.uk

For the latest news and updates, follow us on Twitter @CarestreamDentl

and Facebook





Nimisha Nariapara is the Trade Marketing Manager at Carestream Dental covering the UK, Middle East, Nordics, South Africa, Russia and CIS regions. She has worked at Carestream Dental for the past 7 years, where she has developed her marketing skills and industry knowledge to bring the core values and philosophy of the company to the market. 

Using clear aligners and a fixed appliance for dual-arch treatment

A case study by Dr Ivan Yanchev


A 62-year-old female patient (my dental nurse) presented with concerns about the alignment of her lower anterior teeth. The position of the teeth had become worse over time and she sought a solution.


During the initial consultation, the patient revealed that she had undergone orthodontic treatment as an adolescent. She had also received some functional appliances in an attempt to correct the UR2/LR2 crossbite. No previous treatment had been performed on the lower teeth.

The patient was a healthy individual with a clear medical history, though she was an occasional smoker. As a dental nurse, she attended regular dental check-ups and demonstrated good oral hygiene – as would be expected. The comprehensive intraoral examination (Table 1) revealed healthy mucosa, no or minor caries activity and no gum disease. The amount of tooth wear present seemed to be normal for someone in her age group. The patient did advise of some clenching and grinding at night, but her TMD appeared to be stable.

Table 1:

Skeletal Class I
FMPA Average
Lower Face Height Average
Facial Asymmetry None
Soft tissues Low lip line
Overjet 1mm
Overbite 30% overlap of the incisors
Crossbite 12/43
Displacement on closure None
Incisor Relationship Class I
Molar relationship Right: Class I Left: Class I
Canine Relationship Right: Class III ¾ unit Left: Class I
Teeth Present 765321 123567
  765321 123567
Centrelines Lower deviated 1.5mm to the right


Treatment planning

Full clinical photographs were taken, while the Spacewize™+ space calculation tool was used to estimate the crowding present and confirm suitability for treatment. It suggested that 0.8mm of crowding was present in the upper arch and 2.1mm in the lower arch. The images, a bitewing and Spacewise™+ results were uploaded to the IAS forum to seek guidance from the instructors.

I was made aware that this would be a tricky case due to the moderate crowding – standard protocols may need to be supplemented with extraction. In the end, we decided that ClearSmile Aligners would be suitable for the upper arch and a ClearSmile Brace could be the best treatment option for the lower arch. A follow-up Archwise™ analysis showed that the case was possible to treat in this way and I discussed the treatment proposal with the patient. We covered all the possible complications, advantages and disadvantages of treatment and she provided consent to proceed (Table 2). The treatment plan was to use ClearSmile Aligners to slightly rotate the UL4 and UL5 buccaly, and to rotate the UL3 palatally. A ClearSmile Brace would simultaneously be fitted to align the lower arch.

Table 2:

Problem List

Crossbite of the 12/43

Class III canine relationship on the right-hand side

Anterior crowding in the upper and lower arch


 Ideal Treatment – Aims:
Correct Class III canine relationship on the right

Correct the midline displacement

Correct the crossbite UR2/UL2
Improve the anterior crowding


Compromised Treatment 1 – Aims:
Accept the Class III canine relationship

Accept midline displacement

Focus on improving anterior crowding

Correct the crossbite at UR2/UL2



Impressions were taken and the appliances were ordered from the IAS Laboratory. The patient decided to begin treatment immediately after the summer holidays.


Alignment of the upper arch with ClearSmile Aligners went as planned, with the patient using 10 aligners over 8 eight weeks. Impressions were then taken and a fixed retainer was fitted.

The ClearSmile Brace was bonded-up at the same time as the first clear aligner was provided. During treatment, there was some interference from the anterior teeth and premolars in the upper jaw on the lower brackets – mostly concerning the LR1, LL1, LL2 and LL3. Composite bumpers were placed on the brackets, but after continual debonding, composite was placed on the lower 7s instead.

Once the desired alignment had been achieved, the brackets were debonded and impressions were taken and sent to the lab for a lower Essix retainer and for three finishing aligners. Around six weeks after these were fitted, final impressions were taken for the whitening trays and a bonded retainer was fitted.

The patient used an at-home Opalescense 16% tooth whitening solution (Ultredent, USA) for 2 hours each night over 2 weeks. Following the ABB (Align, Bleach and Bond) concept, composite edge bonding was later provided to build up the upper and lower 3-3. This was performed freehand using Enamel puss composite (HFO).

During review appointments, the composite build-ups on the lower 7s were reduced to create a more sable occlusion. Strong contact points were established on the canines and shallower contact on the incisors. Over eruption of premolars due to the Dahl effect had caused fine occlusion in the premolars.

Once the occlusion was stable, a bonded retainer was placed on the lower teeth. The patient was delighted with the outcome.

Case appraisal

This case was slightly challenging due to the crossbite and heavy crowding in the lower jaw. From the case records, you may see that the lower crowding was on the boundary of what can safely be treated using IAS Academy protocols. We treated the upper jaw first in order to release the crossbite and allow us to work with the lower teeth freely. Some of the interferences during the initial part of treatment caused debonding, several times, but the composite anchors helped.


For more information on upcoming IAS Academy training courses, including those for the Inman Aligner and Aligner system, please visit www.iasortho.com or call 01932 336470 (Press 1)


Author bio:

Dr Ivan Yanchev is a dentist practising in Norway. He graduated from the Medical University of Sofia, Bulgaria in 1997 and gained his Masters in Dentistry in 2005. He has also completed various postgraduate education in implant prosthetics, as well as several resto-orthodontic courses presented by IAS Academy.

Waterpik® Launches 2 NEW Models

Renowned around the world for industry-leading oral health solutions, Waterpik® is delighted to bring you two brand-new models.

The Waterpik® Ultra Plus Water Flosser features 10 pressure settings, a high-volume reservoir for 90+ seconds of use and in-lid storage to keep the 6 tips it comes with clean and tidy.

For patients who need a more compact and cordless design, the Waterpik® Cordless Select Water Flosser features a 4-hour rapid charge, 2 pressure settings, 45-second water capacity and 4 tips.

To help your patients enhance their homecare oral health routines, discover the clinically proven solutions from Waterpik®. Lunch & Learn sessions with our Professional Educators are available virtually or in-person (wherever permitted and safe to do so). To learn more about the new Water Flosser models, visit the website to schedule a Lunch & Learn session.


For more information on Waterpik® products please visit www.waterpik.co.uk. The WaterpikÒ Ultra Plus Water Flosser and Waterpik® Cordless Select Water Flosser are available online from Superdrug across the UK and Ireland.  

To find out more, book a free Waterpik® Professional Lunch and Learn at

We all know that building trust between professionals and patients is the way to truly succeed in dentistry. After all, this bond between professional and patient is something that impacts many aspects of how we provide care, and can make a considerable difference to how our patients view us and the services we provide.

In light of the coronavirus pandemic, it’s likely that some patients will be experiencing trust issues concerning visiting the dentist and the safety of doing so. As such, it’s important for professionals to examine the role of trust in their practices and to try to build this all-important connection with patients both old and new.

Why is trust so important?

Think of it this way: you definitely wouldn’t visit a garage you don’t trust with your car, so why would patients visit a dentist they don’t trust with their health? The very foundation of trust is being able to make a patient feel safe, secure and like they are receiving the very best treatment in your practice, otherwise they are likely to not visit at all and look elsewhere.

Of course, there will be those patients who come regardless, but there are deeper levels of trust that need to be considered. One area where this relationship between patient and professional is most important is treatment acceptance.

To revisit the garage analogy, you could argue that you would be happy for someone you don’t have a strong bond of trust with to do a general MOT or minor repair on your car, but you certainly wouldn’t want to accept any suggested upgrades or new features, especially if these are expensive. Therefore, building trust is not only worthwhile because it encourages patients to say yes to treatments that can considerably improve their lives, but also because this is likely to be a more affluent route for your practice too. It has been suggested that up to 85% of treatment acceptance stems from a dentist’s ability to connect with their patients, so this is definitely something to consider.[i]

But how can you rebuild trust in uncertain times?

Patient safety is a top priority

We can all agree that one of the most substantial impacts of the coronavirus pandemic is how it alerted people to the importance of infection control. With measures constantly changing, there’s every chance that some patients will be anxious about venturing out to receive dental treatment, especially if they are unsure whether it is safe to do so.

In this situation, information is key. Your practice will already have all of the government measures and protocols in place, but it’s a good idea to make this very clear on all websites, social media and other resources to help put minds at ease. Furthermore, it’s a good opportunity to send out an email to patients explaining the new safety measures. You can use this to inform and encourage them to contact you if they have any further questions – this opens a good channel of communication that you can use to build trust with them in a more personal way.

Advertising these safety measures and how they’ve been implemented is also a good method to draw in some new patients if you are looking to expand your books. Patients will likely be on the alert to see how dentists have reacted to the pandemic, and making details of how your practice has responded clear and accessible will work in your favour.

Keep things clear

So, imagine a patient has come to the practice for the first time since the new safety measures have been introduced. It’s probable that they will be full of questions such as when should they remove their mask? What are the social distancing measures in place? Can they remove their coat and put it somewhere?

I know these sound like basic questions, but you’d be surprised at how not knowing the answers can put people on edge, making for a tense, unhappy visit where they don’t know what’s going on and don’t feel safe. As such it’s a good idea to look into ways to combat these as best as possible.

With the new restrictions in place, signage and leaflets are not really a viable choice. The best idea is to share this information among the team so that everyone is prepared to answer any questions that patients may have. This way, you can hopefully keep patients informed and safe by letting them know what to do, where to go and how to act once they are in practice. This will inevitably help them have a less stressful experience, helping you to build bonds with them more effectively and keep the trust strong.

Silver linings in strange times

At the end of the day, it’s a difficult time in dentistry, which is why we need to prioritise core values such as trust, communication and that all-important bond between patients and professionals. By doing so, you’re showing your patients how much you value them, encouraging them to come back, pandemic or not.


For further information please call EndoCare on 020 7224 0999

Or visit www.endocare.co.uk


[i] Dentistry IQ. Extending Trust – The Key to Dental Case Acceptance. Link: https://www.dentistryiq.com/practice-management/patient-relationships/article/16350433/communicating-trust-the-key-to-dental-case-acceptance [Last accessed July 2020].

It’s time to invest in digital!

Many GDPs are currently re-evaluating their workflows to see in a post-COVID-19 world whether digital solutions would benefit them and their patients. For the vast majority, the short answer is ‘yes they will!’

Intra-oral scanners already afford several advantages, including:

  • Consistently accurate impressions
  • Shorter treatment times
  • Greater patient comfort, treatment uptake and satisfaction
  • Increased daily efficiency

Digital impressions provide another massive benefit – optimised infection control for staff and patients. Analogue impressions can present a significant biohazard risk. They are covered with saliva and possibly blood; pathogens have an opportunity to develop while the impression is transported to the lab; microorganisms can be transferred to plaster models; and there are multiple touchpoints for an enhanced contamination risk.

Digital files virtually eliminate all these cross-contamination risks for minimum human interference and maximum peace of mind. Plus, reduced time, money and hassle is required by staff to ensure quality infection control protocols.

Not all intra-oral scanners were made equal

The right choice of digital technology is imperative for optimal biosafety within the dental practice.

For example, some intra-oral scanners use air-based anti-fogging features. This not only presents a risk of hypersensitivity, but it also increases the risk of airborne transmission of any pathogens within the oral cavity.

Instead, consider using digital solutions that utilise heat-based technologies. These improve patient comfort and enhance anti-fogging capabilities, scan speed and user experience, while minimising potential airborne transmission of microorganisms. Industry-leading products like the Trios® intra-oral scanner from 3Shape are designed with this in mind.

Seamless integration into your workflow

For GDPs looking to streamline their orthodontic workflow at the same time as minimising the cross-contamination risks, the Trios intra-oral scanner and ClearCorrect® system from the Straumann Group is all you will need. The Trios scanner integrates seamlessly with the ClearCorrect doctor portal for simple case submission and enables a ClearCorrect treatment simulation to increase uptake from patients.

The technology can be directly connected to the Straumann® coDiagnostiX® implant planning software, also integrates with the Straumann® Cares® chairside milling and 3D printing units, meaning you can achieve superior results, faster.

A powerful partnership

With the coming together of these two leading brands, you can have total confidence in the quality, predictability, efficiency and flexibility of the services you provide your patients.

The Straumann Group has long been renowned for the quality of its products, but also the quality of its customer service. There is always a trained professional at the end of the phone or email to offer any information and advice that you need to maximise on all the potential benefits of each solution you introduce into your workflow.

In addition, 3Shape is recognised globally for the exceptional quality of Trios intra-oral scanners, providing unprecedented detail replication for superior diagnostics, treatment planning and clinical outcomes.

Flexible finance

Of course, we appreciate that businesses are still recovering from several months of closure. To help optimise your finances for the best chance of investing effectively in your future, there are a few options available.

You might consider the Bounce Back Loan Scheme (BBLS) available from the Government, if you haven’t already. This offers a loan of up to £50,000, or 25% of your practice turnover. There is no interest to pay for the initial 12 months, after which the interest rate is set at 2.5% per annuum for the next 6 years. This could be just the boost you need to invest in the digital technology that will secure the future of your practice.

In addition, the Straumann Group offers various finance options to make purchasing your essential equipment that much easier. For instance, you can choose to delay repayments for up to 3 months so you can generate positive cash flow from day one.

Invest in your future

Digital technology offers an array of advantages for GDPs and their patients. Right now, we may be more focused on the positive impact on infection control, but this will remain a benefit far beyond our current situation.

Enhance your orthodontic offerings today – ClearCorrect clear aligners are made even better with Trios. Now you can benefit from a simplified workflow with seamless integration, as well as improved efficiency, precise engineering and ultimate flexibility. Make the most of ClearCorrect with Trios.


For more information on the seamless integration between ClearCorrect® and Trios®, visit: http://info.clearcorrect.com/3shape

Optimise your personal finances

Almost everyone has taken a hit financially this year in some form or another. How much you were affected will depend on a variety of factors, including your personal wealth and your previous approach to financial planning. Whatever position you find yourself in as we climb our way up and out of the COVID-19 pandemic, there will likely be ways in which you can optimise your finances and protect your future. This applies to both your personal and professional circumstances. With most practices now open again and many returning to more routine dentistry, it is an ideal time to review your situation and make improvements where you can.

Personal life first

It’s important to really understand your unique financial situation before attempting to make any changes. To do this, you’ll need to assess your income and all your expenses – starting with the regular monthly costs and then factor in less frequent expenses for accurate calculations. When you see all your outgoings in one place, it can help you to realise where you spend your money. There may be a few surprises, but these often present the easiest opportunities to cut back on your expenditure without any major sacrifices. In particular, look for unused or multiple gym memberships, subscriptions you no longer want, insurances that unnecessarily duplicate cover on valued belongings, or expired contracts for anything from your TV to your phone that have resulted in needlessly high charges.

In many cases, it can help to simplify your expenses by automating your bills and your monthly banking. Signing up to direct debits or standing orders can make it easier to budget every month and to boost your savings. These are generally very easy to set up, especially if you already use online banking services.

However, it is not just the small expenses that you should consider. One of the largest monthly payments most adults make will be their mortgage – with interest rates currently at an all-time low of 0.1%, this could present an opportunity to re-negotiate the terms of your arrangement. This interest rate could also be beneficial regarding any personal loans you currently have outstanding.

Like most things in life, a positive for some people may be less positive for others. The drop in interest rate is not such good news for savings. This, coupled with continued economic instability and uncertainty, has also caused a somewhat volatile stock market. Fluctuations in share prices will impact various businesses, including those that manage pensions. It’s important to assess your personal situation and to not panic about small and frequent changes to your pension value. Instead, focus on the bigger picture. In addition, be wary of scams – counterfeit providers will take advantage of the increased uncertainty and anxiety among the population to sell scams right now. If it seems too good to be true, it probably is. You may need to seek support of an expert in the field to ensure you make the right decisions for you.

In the workplace

In light of the aforementioned changes to the base interest rate, this is an excellent time to re-negotiate your practice finances. Contact your lenders and/or banks to see if there is anything you can do to improve the current arrangements you have in place. This might involve adjusting repayment amounts or making the most of support packages they are offering.

You should also look into whether you or your practice are eligible for Research & Development tax credits, if you haven’t already. These have previously been widely under-used, yet can offer significant financial benefits to many limited companies that are involved in some kind of R&D.

Other areas to review in terms of professional finances are your costs for travelling to and from work and the lab fees you pay – are you currently getting value for money and are there any other options available? In addition, there are various product promotions in the market right now with several dental suppliers doing what they can to support their customers’ return to practice. Utilising these could further streamline your professional expenses and optimise your earning capacity.

Finally, for principals, how you pay yourself (salary and/or dividends) may need reviewing as there may be a more efficient way of generating personal income given the current situation.

Get your ducks in a good row

With so many potential areas to streamline and optimise your finances, it’s important that you get your ducks in a row – and in the right row for you. This has always been done best with the support of experts, which is even more appropriate given the greater complexities of our circumstances today. To make sure you are maximising on any opportunities available to you, just give the experienced team of IFAs at money4dentists a call.


For more information please call 0845 345 5060 or 0754DENTIST.

Email info@money4dentists.com or visit www.money4dentists.com

Support and recognition

If you’re looking to work for a dental provider who supports you and recognises your dedication to excellent patient care, join the family at Colosseum Dental. We work hard to ensure all our associates have the training, facilities and opportunities they need to maintain high clinical standards and progress in their careers.

But don’t just take our word for it. Here’s what some of our associates said recently about working with us:

“Excellent support from head office. All provide exceptional leadership, guidance and advice.”

“I feel comfortable at work, enjoy it and I’m recognised for my effort.” 

“The leadership team is very approachable and have made the effort to get to know me personally. This is unique and highly commendable.”

“Funding goes into equipment and the dentist rather than back into the organisation therefore care can always be provided.”

Find out more about joining us today!


For more information about Colosseum Dental, please visit www.colosseumdental.co.uk/careers

“My patients are delighted with the long-term aesthetics of their restorations”

Jonathan Fitzpatrick is a dentist at Millersneuk Dental Practice, Glasgow. He uses COLTENE’s BRILLIANT EverGlow™ universal composite.

“COLTENE’s BRILLIANT EverGlow™ handles fantastically, is efficiently manipulated and holds its shape. Its aesthetics are excellent and the material has the ability to blend in and mirror the optical properties of a natural tooth extremely well, too.

“It also polishes to a high gloss finish very easily, meaning both me and my patients are delighted with the long-term aesthetics of their restorations.”

A versatile shade system with good wettability and smooth consistency, why not try COLTENE’s BRILLIANT EverGlow™ in your practice?


For more on COLTENE, visit www.coltene.com,
info.uk@coltene.com or call 0800 254 5115.

‘‘A major USP for dental practices’

Dr Ashish B. Parmar shares his thoughts on the benefits of the T-Scan™, available from Clark Dental:  

“The key feature of this technology is that, unlike articulating paper, it can measure the timing and force of a bite. This is the best way of checking that a patient’s occlusion is balanced and comfortable, enabling you to ensure a long-lasting restoration.

“I would 100% recommend the T-Scan™ in conjunction with articulating paper. It is a very accurate and visual tool for checking patients’ occlusion. The technology is really easy for dentists to learn how to use and implement. In terms of communication, the T-Scan™ can also demonstrate to patients where the problems are with their bite, which is a major USP for dental practices.”


For more information contact Clark Dental on 01270 613750, email info@clarkdentalsales.co.uk or visit www.clarkdentalsales.co.uk

Maximum comfort, optimal clarity

Do you use prismatic dental loupes? If so, you could benefit from the Nuview Loupe and Light Visor System, which has been developed by Nuview to provide a cost-effective solution to the current increased PPE requirements.

The Nuview Loupe and Light Visor System has been designed for use with frame-mounted loupe/light combinations. The extended nature of the visor area – whilst complying with EN166:2001 requirements – provides sufficient space to accommodate most types of loupes, including prismatic loupes with a front-mounted light.

With an adjustable foam-padded headband for maximum comfort, the Nuview Loupe and Light Visor System offers a superior quality visor to ensure optimal clarity.

Call Nuview to order your Starter Kit.


For more information please call Nuview on 01453 872266, email info@nuview-ltd.com, visit www.nuview.co or ‘like’ Nuview on Facebook.