DTUK1010

April 19-25, 201024 United Kingdom EditionEducation UCL EASTMAN DENTAL INSTITUTE THIS UNIQUE AND CHALLENGING PROGRAMME BRINGS TOGETHER CLINICAL EXCELLENCE AND LEADERSHIP SKILLS TO ACHIEVE IMPROVED LEVELS OF ORAL HEALTH THROUGH ACTIVE PREVENTION AND THE DELIVERY OF QUALITY CARE. Developing leadership and clinical excellence within the NHS General Dental Services This innovative programme is offered by the UCL Eastman Dental Institute with the support of the Chief Dental Officer and the Department of Health in order to encourage and support the whole dental team in their desire to deliver effective leadership and clinical excellence within the NHS whilst improving oral health through the delivery of effective preventive dentistry. WHO IS THE COURSE FOR? This programme is designed for NHS general dental practitioners who wish to embrace the delivery of clinical excellence through a commissioning framework and introduce new concepts and approaches to leadership, clinical management and team development within the primary care setting. DCPs working with course participants will be invited to attend selected training sessions. COURSE DELIVERY This challenging and thought provoking blended-learning programme will offer verifiable CPD and be delivered through 28 days of didactic and skills laboratory training over 15 months (approximately one day every three weeks) supported by work-based distance learning and assignments to include a service improvement project. Elements of Core CPD will also be made available to course participants and DCP colleagues. FACULTY Programme Director Professor Andrew Eder Programme Coordinator Dr Rishi Patel Module & Teaching Leads Dr Janine Brooks MBE Mr Robert Cragg Mrs Helen Falcon Dr Sue Gregory OBE Dr Shazad Saleem Professor Peter Spurgeon Dr Vivian Ward Professor Richard Watt Supported by an experienced faculty of dynamic teachers and clinicians invited by both the Eastman and the Department of Health. Module 1 Clinical Leadership and Service Delivery This module will cover the five leadership domains outlined in the Medical Leadership Competency Framework (2009); namely demonstrating personal qualities, working with others, managing services, improving services and setting direction. Module 2 Achieving Clinical Excellence Through an evidence-based understanding of the dental literature, this largely hands-on skills laboratory based module will provide a comprehensive review of the diagnosis, treatment planning and management of patients within the scope of NHS general dental practice. The challenges presented by both young and old patients, as well as those who may require special care in the community, will also be considered. Module 3 Improving Oral Health Current concepts in the aetiology and management of caries and periodontal disease, as well as behaviour management and an understanding of patient psychology, will all be considered as part of the team approach to improving oral health. COURSE OUTCOMES This programme is designed to support dental professionals: • to lead the delivery of dental health services • to manage the dental team • to deliver effective prevention • to improve oral health • to deliver quality dental care Course fees: £8,960 (to be confirmed by fees committee). Individual modules may be taken by those who have a specific training need. Closing date for applications: 31st August 2010 For further information or to register, please contact: Marjorie Kelly, Programme Administrator, UCL Eastman CPD, 123 Gray’s Inn Road, London WC1X 8WD tel: +44 (0)20 7905 1234 or +44 (0)20 7905 1261 e-mail: m.kelly@eastman.ucl.ac.uk web: www.eastman.ucl.ac.uk/cpd In association with DT/CE/MARCH 4253 Clinical Excellence Course (DT):4253 Clinical Excellence Course (DT) 18/3/10 14:16 Page 1 using a bone mill. Safe scrap- ers can also be used to harvest a large volume of autogenous bone. The host site is prepared in the same way as for the block graft by perforating the cortical plate. The bone is placed over the void and over contoured. The membrane is then cut into the desired shape and tacked into position. This stage is very important to prevent movement and exposure. A tension-free flap is then sutured over the graft, and left to heal for at least six months before the membrane is re- moved – a vital stage in all aug- mentation cases. The perios- tium at the base of the flap can be scored using a scalpel to al- low for greater flexibility. Alternatively, ridge augmen- tation can also be achieved us- ing resorbable membranes. An example would be a severely atrophic posterior ridge. Once the cortical plate is perforated, a mixture of autogenous bone and particulate bovine bone can be mixed and placed onto the atrophic ridge. A resorbable membrane can then be secured over the augmented area and left for a period of six months. Demineralised Bone Matrix A relatively new concept to enter the arena is the use of Deminer- alised Bone Matrix (DBM). Al- ready used by some colleagues in the US, this technique has been approved by the American Food and Drug Association, but is still waiting to be approved in the UK. This is human cadaver bone prepared in such a way that growth factors are released to aid augmentation. The bone comes in a putty form and is therefore very easy to use, sim- ply mixed with autogenous bone, usually taken with bone scrapers or blocks, and crushed in a bone mill. In large defects, the cortical bed is further pre- pared by small perforations. Tenting screws are then placed to achieve the correct dimen- sions, before the putty bone is moulded in position and cov- ered with a resorbable mem- brane. The area is sutured over using a tension free flap and allowed to heal for at least six months, after which the screws are removed and implants placed in this newly augmented firm bone bed. Ridge splitting is a tech- nique that allows the surgeon to open a thin ridge by cutting into the coronal portion of the cortical plate and gently wid- ening the ridge using progres- sively larger sized instruments into the slit ridge. Implants are then placed, and the void filled with a bone matrix. This technique, although effective, can also lead to varying degrees of resorption. A number of options are out- lined in this column and all are very effective depending on case selection and surgical skills. Training courses are available on hard tissue augmentation. DT page 23DTß About the author Dr Riz Syed qualified at the Royal London Hospital in 1999 and runs referral clinics in Isling- ton and Walton- on-Thames. As one of the first surgeons in the country to use NobelGuide he is a mentor for Nobel Biocare, helping to train UK implant sur- geons. Regularly consulted for complex treatment plan- ning cases, Dr Syed lectures interna- tionally on guided implant surgery. He is a member of the Association of Dental Implantology, the International Congress of Oral Implantologists and Fellow of the Royal Society of Medi- cine, and has been awarded the Clinic of Excellence in Implant Dentistry. To contact Dr Syed, visit www.leadingden- talimplants.com. Block grafting. Image courtesy of Robert Gougaloff