The Vale Resort, Hensol Park, Hensol, Vale of Glamorgan, CF72 8JY For all members of the dental team

Moon rising over Port Talbot courtesy of Simon Jenkins—Mumbles

South Wales Branch Winter Meeting Friday 4 November 2016

6 Hours Verifiable CPD

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8:30 AGM

9:00 Registration

9:30 Morning speakers

NICK DRAGE - Dental radiology - the latest guidance (CORE CPD) SUE GREENING - Special Care Dentistry - working together across Wales MERYL SPENCER - Orthodontics - what to refer and when 12:30 Lunch (BDA careers advice stand for young dentists)

13:30 Afternoon speakers

DAVID LAUDER - Consent - an update (Recommended CPD) PROFESSOR MIKE LEWIS & ANWEN COPE Antibiotic prescribing: the impact of getting it wrong! ANDREW KEELING - Occlusion - modern practice and future innovation 16:50 Lectures end 18:00 Dinner in conservatory with drinks included (smart casual – no jeans or trainers)

Programme

Nick Drage BDS FDSRCS FDSRCPS DDRRCR Dental radiology –the latest guidance (CORE CPD) Nicholas Drage is Consultant in Dental and Maxillofacial Radiology at the University Dental Hospital, Cardiff. He is actively involved in both undergraduate and postgraduate education in Wales. He is President of the British Society of Dental and Maxillofacial Radiology.

This lecture will outline the content of the latest guidance relating to dental radiography including selection criteria, the use of cone beam computed tomography and handheld dental x-ray equipment.

Sue Greening MBE BDS DCDP FDSRCS Special Care Dentistry – working together across Wales Sue qualified in Cardiff and is a Consultant in Special Care Dentistry (SCD) in South Wales where she is also Clinical Director of the Community Dental Service. She is Past President and Chair of the British Society for Disability and Oral Health and was honoured to become President of the British Dental Association in 2006. More recently she was awarded an M.B.E for services to dentistry and FDS RCS adeundem from the RCS Eng.

The lecture will highlight current developments in Special Care Dentistry with a focus on the professional networks established to care for the oral health of vulnerable patients in Wales. Recent changes to oral healthcare provision for older patients in Wales will be described.

Meryl Spencer BDS MFDS MOrth MDentSci FDS(Orth) Orthodontics – what to refer and when Meryl completed her undergraduate and orthodontic specialist registrar training in the Royal Liverpool University Dental Hospital. After gaining MOrth in 2006, she returned home to South Wales to commence senior registrar training in Morriston hospital where she has since worked as a Consultant Orthodontist. Meryl is originally from Neath, but now lives in the Vale of Glamorgan with her husband (a GDP) and their two children.

This lecture will describe current best practice when monitoring the developing dentition and highlight the clinical situations when orthodontic referral should be considered.

Aims & Objectives To update practitioners on the latest guidance relating to dental radiography including selection criteria, the use of cone beam computed tomography and handheld dental x-ray equipment

Learning outcomes

The attendee should be aware of the latest selection criteria regarding dental radiography

The attendee should be aware of the latest guidance relating to the use of CBCT in dentistry

The attendee should be aware of the latest guidance relating to the use of handheld x-ray equipment in general dental practice

Aims & Objectives

To provide an update on recent developments in Special Care Dentistry

To describe the developments in Oral Healthcare provision for older people in Wales Learning outcomes Participants will;

Understand the work of the Managed Clinical Networks in SCD in South Wales

Be informed about the SCD care pathways and referral mechanisms developed in South Wales

Understand the changes in oral healthcare provision for older people in Care Homes in Wales

Aims & objectives

To review dental development on a year by year basis

To detail what can go wrong at each stage of dental development

To discuss appropriate times for referral Learning Outcomes

To identify when dental development has differed from the norm

To understand when patients need appropriate referral

To be able to discuss this with the patient and identify any concerns they may have

Further reading

M.Cobourne et al. 2014. A Guideline for the Extraction of First Permanent Molars in Children

J.Husain et al. 2010. Management of the Palatally Ectopic Maxillary Canine

O.Yaqoob et al. 2010. Management of Unerupted Maxillary Incisors

Faculty Working Party. 2006. Extraction Of Primary Teeth - Balance And Compensation

Harrison J, Ashby D. 2001. Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev; (1): CD000979.

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David Lauder BDS MJDFRCS Consent - an update (Recommended CPD topic) Since qualifying from Newcastle University in 2002, David has been fortunate to experience many different working environments within dentistry, from the NHS in its various guises to private practice, from London to Northern Ireland via Sydney. Since joining the DDU in July 2015 David now works full time as a Dento-legal Adviser and is currently completing an LLM in the

legal aspects of medical practice at Cardiff University.

Professor Mike Lewis PhD FDSRCPS FDSRCS FRCPath FFGPP FHEA Professor Lewis is Professor of Oral Medicine and Dean of the School of Dentistry at Cardiff University. He is also Clinical Board Director for Dentistry, Cardiff & Vale University Health Board. He is a past Dean of the Dental Faculty of the Royal College of Physicians & Surgeons of Glasgow. Professor Lewis has published over 200 scientific articles and co-authored six medical

textbooks. He has delivered more than 500 postgraduate lectures worldwide. In addition, he has served as President of the British Society for Oral Medicine and President of the British Society for Oral & Dental Research.

Anwen Cope BDS PhD MFDS RCPS Anwen Cope is a Specialty Trainee in Dental Public Health at Cardiff and Vale University Health Board. She graduated from Cardiff University in 2009 and has worked in primary and secondary care dental services in South Wales. She was awarded a PhD in 2015 and her research seeks to understand how antibiotics are used in the management of acute dental problems in primary care. She started specialty training in the NHS in September 2015 and currently holds a Clinical Research Time Award from Health and Care Research Wales.

Antibiotic prescribing: the impact of getting it wrong! This interactive lecture aims to highlight the impact of inappropriate prescribing of antibiotics for dental infections and the public health implications of antimicrobial resistance.

The lecture will outline the current legal and ethical standards expected of dental professionals during the consent process, with a focus on recent changes to consent law. Aims & Objectives

To understand the legal and ethical framework when obtaining and recording consent

Learning outcomes

Review the ethical and legal requirements for obtaining and recording consent.

Appreciate the standards set by the profession with respect to obtaining and recording consent

Aims & Objectives To highlight the impact of inappropriate prescribing of antibiotics for dental infections and the public health implications of antimicrobial re-sistance Learning Outcomes

Following the lecture participants will; Have gained an awareness of the increasing incidence of antimicrobial resistance and its impact on the medical profession

Have a knowledge of the mechanisms of antimicrobial resistance within dental infections

Have an understanding of how and when to prescribe antibiotics appropriately for orofacial infections Further reading

Scottish Dental Clinical Effectiveness Programme - Drug Prescribing in Dentistry http://www.sdcep.org.uk/wp-content/uploads/2016/03/SDCEP-Drug-Prescribing-for-Dentistry-3rd-edition.pdf

For practitioners interested in undertaking a clinical audit of their antimicrobial prescribing, guidance, materials and support is availa-ble via the Wales Deanery https://dental.walesdeanery.org/practice-quality-improvement/national-audit-projects/antimicrobial-prescribing

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Andrew Keeling BDS PhD MFGDP BSc FHEA Occlusion – Modern Practice and Future Innovation Andrew gained a BSc in Physiology at the University of Bristol in 1996, and his BDS in 1999. His PhD (Leeds) was in the field of restorative digital dentistry, specifically related to occlusion. After spending 10+ years in full time general practice, Andrew took a Clinical Lecturer post at Leeds School of Dentistry (2011), where he divides his time between research, treatment and teaching. The lecture will explore some important occlusal features to look for, and how to treat them. An insight will then be provided into

the direction of research in this field, particularly in harnessing digital technology.

How to Book: Online bookings: BDA South Wales Branch Facebook or https://bdawintermeeting.eventbrite.co.uk BDA member (and their team members): £20 Lecture only, £10 Dinner only, Lecture & dine £30 Non BDA member: £90 Lecture only, £40 dinner only, Lecture & dine £130 Standard BDA Cancellation terms apply For discounted B&B contact The Vale Resort direct: 01443 667800

Aims & objectives

To review current best practices for occlusal diagnosis and prosthodontic treatment

Describe the bio-mechanical functions of different teeth, and the natural occlusion

Identify potentially relevant occlusal contacts/interferences

Select an appropriate articulator for the clinical situation

Employ simple strategies to overcome common occlusal problems

To describe the digital research in this field, and how this may benefit general practice Learning Outcomes

Delegates will be able to efficiently identify relevant occlusal considerations, and plan appropriate restorative treatment

Delegates will gain knowledge of current digital research, and its place in future general practice

These lectures link to GDC Standard 1; Put patients’ interests first, Standard 2; Communicate effectively with patients, Standard 3; Obtain valid consent, Standard 6; Work with colleagues in a way that is in patients’ best interests, and Standard 7; Maintain, develop and work within your professional knowledge and skills