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Q. I am worried by two pieces of advice from the GDC about bleaching.
Q. A patient has requested their dental x-rays because they want to have dental treatment provided abroad where it is cheaper. Can I give them to the patient?
Q. My former practice has just contacted me to say that a patient is now complaining that there is a problem with a tooth I filled many years ago. She has regularly attended the same surgery and has been examined by two other associates. Can I really be held responsible for her problem?
Q. I am keen to involve my hygienist in providing tooth whitening in the surgery for our patients. What are the legal and training requirements?
Q. Using automatic external defibrillators without any training in an emergency in the absence of any trained users.
Q. I have joined a practice that is owned by a dentist who belongs to a different defence organisation. He has told me that I need to join his defence organisation because my dental nurse will not have indemnity. Is this true?
Q. Can I refuse to treat an aggresive patient?
Q. Can you tell me if the dental nurses assisting in the process of sedation need any particular training?
Q. Should I only see patients in the presence of a registered nurse?
Q. A patient was obviously in pain whilst being treated by the hygienist.
Q. My dental nurse wants to buy into the business which is registered as a dental body corporate. Is that legal?
Q. My dentist consistently omits to check the medical history form or get the patient to sign it.
Q. Do I need any additional indemnity when I am supervising a younger colleague?
Q. Do I need to buy an automatic external defibrillator for the surgery?
Q. Does my NHS practice have to register with the Care Quality Commission?
Q. How long have I got to comply with the decontamination guidance from the Department of Health?
Q. Is it advisable for a dentist to apologise if a patient experiences pain after treatment?
Q. Does the GDC define the training required for a dentist to provide dental treatment for patients under sedation?
Q. I have seen a radiograph reporting service on the internet which offers to provide a same-day interpretation of digital images for a relatively small cost. Am I at risk if do so?
Q. If an NHS patient makes a verbal complaint can it be resolved informally?
Q. I am a dental hygienist with training in acupuncture. Am I allowed to use these techniques in the dental setting and do I need any additional indemnity?
Q. I have been offered a job in an NHS practice in Scotland and want to know how it might differ from working in England
Q. I have been told that the Health and Safety Executive requires every dental practice to appoint a first-aider. Is that correct and what happens if the first aider has time off? Is it illegal to continue working?
Q. I will be inserting dental implants for private patients one day a week at a practice in Wales and have been told that I need to register with the Healthcare Inspectorate. Is this correct?
Q. What do I do with my records when I sell the practice?
Q. I am running out of space. Where and how do I keep my records?
Q. Could a male hygienist be vulnerable to accusations of a sexual nature from females unless there is a dental nurse or a chaperone present?
Q. I was unable to provide a current certificate of indemnity because I had let my subscription lapse and then forgot to renew the subscription. I have now been sent a letter from the GDC. What should I do?
I was breathalysed by the police banned from driving for one year. My conviction has been reported to the General Dental Council who have told me my fitness to practise is in question. What is now likely to happen?
Q. The dentist I work for is considering adding facial aesthetics to the list of services our practice offers to patients and wants me to train to use Botox and fillers. I am not sure that this is where I wanted to take my career. Where do I stand legally and ethically if I want to follow this up?
Q. If a patient wants to come to our practice for hygiene treatment, but retain their own dentist to provide dental treatment, what is the best way to obtain a correct referral to me, the hygienist?
Q. A new patient arrives at the practice late on a Friday afternoon with a loose crown. There isn't a dentist available but the hygienist has completed the course for temporary dressing placement/ crown recementing. Should the hygienist treat the patient?
My dentist has asked me to undertake tray bleaching for patients and has offered to train me. I haven't attended any courses or studied any theory on the subject. Would the GDC consider me competent?
Q. As a DCP, have experienced a couple of issues recently regarding infection control protocols in the practice. The senior partner says that he recognises the BDA infection control guidelines but that ‘guidelines' can be interpreted as he sees fit. Where do I stand here?
Q. If a patient is under 16, who can consent to their treatment?
Q. How long should I keep my patient records?
Q. What do I do with my records when I sell the practice?
Q. How does a clinician adhere to the Data Protection Act (1998) when ordering items for their patients from a dental laboratory?
Q. Can I accept a father's consent on behalf of a 17-year-old patient with learning difficulties?
Q. Are hygienists allowed to carry out power bleaching (with the use of light) and what proof of suitable training would be required to carry out this procedure?
Q. Should my nurse sign when writing up my patients' notes?
Q. I have just seen a new NHS patient who was extremely aggressive to both me and the dental nurse and I would prefer not to see him again. Can I refuse to treat him?
Q. I have been asked to give smoking cessation advice to a patient who is having multiple implants placed in 6 weeks time.
Q. We want to go paperless....
Q. Can DCPs take alginate impressions?
Q. I work as an associate in two different practices and am worried about the vicarious liability implications for the staff
Q. Can I take pictures of patients with a camera phone and send them to colleagues/specialists for an opinion or advice?
Q. What happens when the patient's cardiologist insists that in spite of NICE guidance, antibiotic cover must still be provided?
Q. If I refund the patient's fees, am I admitting liability and risking a future claim?
Q. If I receive a complaint from a patient by email do the new NHS regulations allow me to respond by email?
Q. If I scan medical history forms, consent forms, lab docs in an attempt to reduce the volume of our paper records am I obliged retain the original paper documents or will the scanned copies suffice?
Q. I have read that dental practice websites need to include a link to the General Dental Council website. Is this true?
Q. With the new NHS contract in England, there is no longer an NHS disciplinary process. Is it the same in Northern Ireland?
Q. What do I do about records when I move to a new practice and patients ask to be treated there?
Q. What should I do about obtaining the records of a patient who was treated abroad or who lives abroad?
Q. Is it reasonable to take an extra x-ray just for the record?
Q. I use a digital camera in my practice and frequently use these images when lecturing. Do I need specific consent of each patient, every time I use the pictures?
Q. I have closed circuit television (CCTV) cameras in my practice both for security reason as well as staff training purposes. What legal obligations apply to this material?
Q. I've received a letter from a solicitor proposing action against me; what should I do?
Q. When an NHS patient requests me to use a tooth-coloured material in their posterior teeth, must I comply with this request instead of using amalgam?
Q. I asked to see a certificate of indemnity from a new associate that I want to employ. The dentist in question showed me a broker’s certificate for a policy backed by Lloyds but which had an excess of £5,000 for each claim. Is this valid?
Q. I have received a letter from the GDC advising me that my name has been removed from the GDC register for non-payment of my annual retention fee. I have been working without realising that my registration had lapsed and I have now requested a restoration form - is it ok to continue working in the meantime?
Transitions 2010
About Dental Protection
Careers
Financial Strength
Financial summary
Get to Know DPL...
Insurance Vs Indemnity
Meet the Team
Martin Foster - Associate Dento-Legal Adviser
Caroline Chapman - Associate Dento-Legal Adviser
Nikolaus Palmer - Associate Dento-Legal Adviser
David Hartoch - Associate Dento-Legal Adviser
Simon Quelch - Associate Dento-Legal Adviser
Lesley Taylor - Associate Dento-Legal Adviser
Hugh Harvie - Head of Dental Services (Scotland)
Kevin Lewis - Dental Director
John Tiernan - Director of MPS Educational Services
Michael Butterworth - Senior Cases Consultant
Brian Edlin - Head of Dental Services
Alan Cohen - Head of Dental Services (London)
Nancy Boodhoo - International Dento-Legal Adviser
Mike Clarke - Senior Dento-Legal Adviser
Brian Westbury - Senior Dento-legal Adviser
Susan Willatt - Senior Dento-legal Adviser
Sue Boynton - Dento-legal Adviser
Andrew Collier - Dento-legal Adviser
David Croser - Dento-legal Adviser
Len D'Cruz - Dento-legal Adviser
Julia Densem - Dento-legal Adviser
James Foster - Dento-legal Adviser
Stephen Henderson - Dento-Legal Adviser
Joseph Ingham - Dento-Legal Adviser
Bryan Johnson - Dento-Legal Adviser
Bobby Broadfoot DSM - Associate Dento-Legal Adviser
Helen Caney - Dento-Legal Adviser
Alasdair McKelvie - Dento-Legal Adviser
Jane Merivale - Dento-Legal Adviser
Raj Rattan - Dento-Legal Adviser
Ravi Rattan - Dento-Legal Adviser
Lynn Rees - Dento-Legal Adviser
Alan Seaton - Dento-Legal Adviser
Yvonne Shaw - Dento-Legal Adviser
Stephanie Twidale - Dento-Legal Adviser
Lynn Walters - Senior Claims Consultant
Iain Corran - Associate Dento-Legal Adviser
Jill Jagger - Dento-Legal AdviserAdviser
Jocelyn Logan - Associate Dento-Legal Adviser
Adrian Millen - Associate Dento-Legal Adviser
David Murphy - Associate Dento-Legal Adviser
Sudhir Radia - Associate Dento-Legal Adviser
Josef Rich - Associate Dento-Legal Adviser
Claire Walsh - Associate Dento-Legal Adviser
Phil Shaw - Dento-Legal Adviser
Martin Woodhead - Associate Dento-Legal Adviser
Martin Beaumont - Claims Adviser
Michael Byles - Claims Adviser
David Hards - Claims Adviser
Jason Priston - Claims Adviser
MFGDP (UK), BDS - Associate Dento-Legal Adviser
George Bureau - Associate Dento-Legal Adviser
Martin Valt - Associate Dento-Legal Adviser
Mutual - Not for Profit
Making sense of indemnity
Memorandum and Articles of Association
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Case Studies
1 - Vicarious liability
4 - No warning given
5 - Difficult extraction
6 - Inappropriate diagnosis and treatment
8 - Reamers do break
9 - Sleepless night
11 - Misunderstanding
12 - Slow orthodontic progress
14 - A high level of expectation
15 - Computer print out
16 - Disappointing crowns
17 - Prescribing patterns
18 - Police called for emergencies
19 - Overprescription
20 - Deliberate damage
21 - Warnings not recorded
22 - A clean sweep
23 - Conflicting messages
24 - Unsatisfactory crowns
25 - Full refund
26 - Unlawful killing
27 - Instructions given whilst patient was not fully conscious
28 - Crossover of allergies
29 - The hygienist in the dental team
31 - No can do
32 - Mind the gap
36 - Multiple crowns
37 - By not extracting are you under-prescribing?
38 - History saves the day
39 - The prompt reply
40 - Publicity seeker
41 - The jargon barrier
44 - Wrong teeth extracted
45 - Read between the lines
46 - Divided opinions
47 - Consenting dentures
48 - Cardiac arrest
49 - Product and patient focus
50 - Discriminating hygienist
51 - Refunded fees
52 - Clean sweep
53 - Conflicting stories
54 - Disputing colleagues
55 - Lower denture refund
56 - New look for old
57 - Hip op
58 - In an instant
59 - Complex implant failure
60 - Fractured mandible
61 - A makeover
62 - Changing faces
64 - Broken file
65 - Not quite asleep
66 - Both sides now
67 - Positive spin
68 - Childsplay
70 - Expectations
71 - Chronic
72 - Writing on the wall
73 - Retirement
74 - A more aesthetic smile
75 - Extracting advice
77 - A misunderstanding
78 - Out with a writ
79 - Ambiguity
80 - No way to treat a therapist
81 - Implant confusion
82 - Managing a root in the antrum
83 - Overcharged
84 - Putting it right
85 - As advertised
86 - Who needs to know?
87 - Disagreement about fees
88 - Local anaesthetic suspected
89 - A case of mistaken identity
90 - An unrecorded discussion
91 - Report on a broken tooth
92- Biting remarks
93 - Ensuring satisfaction
94 - Several failures
95 - A dislike of operative procedures
96 - In spite of best efforts
98 - Fatal outcome
99 - Wedding costs
100 - A premolar swelling
101 - Extraction socket won’t heal
102 - Emergency call
103 - The therapist and the sound-alike name
104 - Hardly here
105 - Gritted teeth
107 - Retirement beckons
108 - A good question
109 - Mobile patients
110 - Clinicians on the move
111 - Discriminated against
113 - Doing nothing was an option
114 - A debatable lack of interest
115 - Failed fissure seal
116 - Two dentists on the job
117 - Refund agreed
118 - Two-tier charges
119 - Double trouble
120 - Discarded technique
121 - Expert disagreement
122 - Silence was not golden
123 - Bad debt?
124 - Confused intention
125 - A winning smile
126 - A potent prescription
127 - Hip joints
128 - Counter-claim over debt
Case Studies Advanced Search
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Premier Awards 2010
Transitions 2010
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Events, News & Position Statements
Premier Awards 2010
Position Statements
Bleaching and Tooth Whitening by DCPs
Activity Measures Under New NHS Contract
Antibiotic Prophylaxis
Automatic External Defibrillators
Cosmetic & Adjunctive Procedures
Dental Corporates
Dental Implants
Endodontic Instruments
HM Revenue and Customs (HMRC) and the Disclosure of Records
Mentoring
Snoring and Obstructive Sleep Apnoea Syndrome
Teledentistry
Tooth Whitening
Use of Local Anaesthetic and Fluoride Varnish by Dental Hygienists and Therapists
Working Outside the VT Contract
Swine Flu and Pandemic Influenza
Response Documents
Email updates
Press Releases
GDC Scope of Practice June 2008
Rush to the new DPL Website
Dental Protection announces new team for opening of Edinburgh office
‘Ethics’ added to the topics list for this year’s Premier Awards
Dental Protection Xtra unveiled in Glasgow
Premier Award Winners 2009
Transitions - Dental Protection launches a new event for Scottish dentists
Dental Protection expand its ‘Horizons'
Dental Protection to open Edinburgh office
Young Dentist Conference 2009
Kevin Lewis awarded a second Fellowship
Biggest crowd ever attend Premier Symposium 08
Young Dentist Conference
Dental Protection renews support for Vocational Training
Rush to the new DPL Website
Details Announced for the Annual Premier Symposium!
Premier Awards 2008 Open to All Dental Professionals
Dental Protection Freezes the Cost of Indemnity
Young Dentists Challenge Benefits of Aesthetic Dentistry
Dental Protection announces 13 new appointments
Dental Protection announces 50000 members
‘The Apprentice’ winner to speak at the 2008 Young Dentist Conference
MPS announces membership figures
Kevin Lewis Awarded Fellowship
Trainingmatters 2007
HIV experts’ advice may change say Dental Protection
Dental Protection warn of Danger for NHS Performers
Local Resolution is Key to Resolving Complaints System
DPL confirms its position on DCP indemnity
Dentistry Magazine Top 50 Poll
Dental Protection announce ethics theme for the BDA Conference 2007
Young Dentists explore the issue of 'Worth' with their Peers
Dental Protection cuts indemnity costs for non surgical cosmetic treatment
Dental Protection expand its 'Horizons'
The Premier Symposium 2009
Young dentists enjoy a 'sell-out' conference
Events
18 March 2010 - "Made to Measure" - London LDC Event
19 - 20 March 2010 - The Dentistry Show
26 March & 23 April 2010 - BDPMA Management Development Workshops
17 April 2010 - Transitions 2010
20 - 22 May 2010 - BDA Annual Conference and Exhibition
25, 26 & 27 May 2010 - Horizons 2010
18 June 2010 - Annual Conference of LDCs
25 June 2010 - Introduction to Being an Associate
26 June 2010 - BDPMA Annual Conference
1 - 3 July 2010 - International Symposium on Dental Hygiene
Regional Information
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HIV positive dentists permitted to practice in Europe
Non surgical cosmetic treatment
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