Free CPD Articles
This free online CPD resource offers between 1 to 2 hours of CPD. Articles considered of interest to the GDP are summarised to provide an easy to follow review of the main facts. After reading the review you will be presented with a series of related questions to answer within a set time period.
At any time it is possible for you to place your assessment on pause to start again when convenient. During the pause period you will not be able to view the article until you recommence your CPD assessment.
Following marking you will receive a CPD Certificate which you can save showing the allotted CPD hours for the exercise providing you have achieved a minimum 50% pass mark. The CPD assessment can be taken only once for each account. You will also be given the most appropriate or correct answers to the questions on submission of your completed CPD assessment.
All you need do is follow the instructions below and start collecting your free CPD today. All we ask is that you complete an evaluation form to receive you CPD certificate.
How to Begin
1. Click on "View Article" from anyone of the articles listed below to start.
2. You will be sent to the Registration page. All first time users must register with the site.
3. Once you have correctly submitted your registration details you will receive a verification email from CoLDS. Please make sure you have entered a valid active email address. Follow the link in your email to activate your account.
4. The link will return you to the login page, to access the CPD review enter your user name and password. Anytime you want to access a CPD review just click on the "View Article" tap and start your free CDP assessment.
*If you are not GDC registered enter your student ID or licence certificate number*
Online Submission of Assessment
On completing of the CPD review assssement the “download certificate” button will take you first to the online evaluation form. Only once you’ve filled that out, will the download button show so that your Certificate can be down loaded subject to satisfactory score.
Enhanced CPD Requirement
From January 2018 enhanced CPD is mandatory and all GDC registered dentists must undertake a CPD comprising of the following:
1. The use of a personal development plan (PDP) to identify areas of learning need and guide CPD
2. An emphasis on reflection
3. Removal of the requirement to record non-verifiable CPD and an increase in the number of hours of verifiable CPD required for different registrant groups:
- Dentists - 100 hours
- Clinical dental technicians, Orthodontic/Dental Therapists and Hygienists - 75 hours
- Dental nurses and Technicians 50 hours
4. Requirement for annual declaration of CPD activity to demonstrate an even spread throughout the five-year cycle.
CoLDS offers a number of free CPD review assessments from which you may choose the topics that best meet your learning requirements. It is advisable that you are guided in your decision making by carefully consider the Standards for the Dental Team, based on your scope of practice.
A Personal Development Plan will help you to prioritise and identify your learning requirements so that you can select what CPD topics most effectively advance your professional development and interests . This should be in relation to your scope of practice and also to the work you do; the team in which you work; the patients you treat; and your contribution to safe and good quality dental care in the UK.
Core CPD required in a five CPD Cycle
Dentists and DCPs are required by the General Dental Council to undertake
- 10 hours of verifiable CPD in medical emergencies - it is recommend that you do at least two hours of CPD in this every year
- 5 hours in disinfection and decontamination and
- 5 hours in radiography and radiation protection. If you are a Dental Technician you may do 5 hours in every CPD cycle in materials and equipment.
Additionally, the GDC recommends that you keep up to date in the following areas:
- Legal and ethical issues
- Complaints handling
- Early detection of Oral Cancer
- Safeguarding children and young people
- Safeguarding vulnerable adults
Prior to implant placement it is a common practice to give antibiotics to prevent post operative infection although the reasoning and evidence for this is poorly understood and the antibiotic regimes prescribe numerous and various. Current evidence does not support this belief but the use of antibiotic prophylactic prior to surgery is indicated to prevent Implant failures due to bacterial contamination at the surgical site.
This review considers the actual effectiveness of giving antibiotics prior to implant placement and tries to suggest possible regimes and their indications based on current evidence and best practice.
Review: By Stewart Harding
It is a common to recommend the use of a salt water mouthwash postoperatively following extractions to reduce post operative infection and aid healing. But the evidence for this practice seems to be non-existent, This study looks at the actual effectiveness of warm, saline mouthwashes and whether it reduces the incidence of three post-operative complications (acute inflamed socket, alveolar osteitis and acute infected socket) following uncomplicated extraction in healthy individuals. It also investigated the effect of different frequencies of mouth rinsing.
Review: Comparative study of the effect of warm saline mouth rinse on complications after dental extractions. Int J Oral Maxillofac Surg 2014; 43: 649–653. Osunde OD, Adebola RA, Adeoye JB, Bassey GO.
The decision of the Supreme Court in Montgomery (Montgomery v Lanarkshire Health Board Scotland  A.C..1430) enshrines in Law the importance of patient; autonomy emphasizes the doctor’s duty to involve the patient in decisions relating to their treatment. As Baroness Hale said in the course of her judgment a patient has the freedom to decide what shall and what shall not be done tro his/her body. The consent process must entail shared decision-making in which the patients play an active part in their treatment options and delivery of care.
Standard 3.1 of GDC Standards for the Dental Team requires that
‘You must obtain valid consent before starting treatment, explaining all the relevant options and the possible costs’ and in accordance with Standard 3.1.3 this means that ‘You should find out what your patients want to know as well as what you think they need to know’.
Likewise GMC Guidance published in 2013 reads:-
"The doctor explains the options to the patient, setting out the potential benefits, risks, burdens and side effects of each option, including the option to have no treatment. The doctor may recommend a particular option which they believe to be best for the patient, but they must not put pressure on the patient to accept their advice. The patient weighs up the potential benefits, risks and burdens of the various options as well as any non-clinical issues that are relevant to them. The patient decides whether to accept any of the options and, if so, which one."
If dentists fail to follow or comply with these requirements the consent given will not be valid and the dentist will be in breach of their duty of care and GDC standards.
After exposed of a submerged implant in to the oral environment bone loss occurs downward along the implant body and stops at some predefined position.
The implant abutment interface (IAI) is the joint between the implant and the abutment that is a feature common to two-piece implants. (Figure 1) A current area of debate is the significance of the (IAI) and its influence on the eventual crestal bone level. Several theories have been proposed based on a number of studies which attempt to explain this phenomenon. These range from trauma during surgery to load shielding resulting in crestal bone loss to the first thread or the inherent need for a minimum biologic width as seen in the natural dentition.
Review: by Stewart Harding
Figure 1. Passage of fluids through the microgap. ML = microleakage, S = soft tissue interface, B = bone interface.
Unless you can confidently say yes to both questions below then you should not start providing implants.
- Am I trained to the standard required by the General Dental Council?
- Are my team trained and my practice facilities up to the task?
The following article outlines what dentists need to do to meet the standards set by the GDC in order to be placing implants.
Implant site preparation with minimal damage to the surrounding bone depends on the avoidance of excessive temperature generation during surgical drilling. Heat generation during rotary cutting has been identified as a major factor influencing the development of osseointegration.
The frictional heat generated at the time of surgery will always cause a certain amount of necrosis of the surrounding cells, thereby representing a significant risk of failure.Â Bone is very susceptible to thermal injury and temperatures in excess of 47 °C when drilling for more than 1 minute can lead to failure to achieve osseointegration. Â Raising the temperature to 50 °C for 1 minute was sufficient to cause 30 % bone resorption. This is not an immediate occurrence but a slow-developing process that occurs over a period of 4 weeks, the traumatised bone being replaced with fat cells, preventing implant integration.
The generation of heat during drilling is multifactorial; number of drill blades, drill design, drill fatigue/wear, drill speed and force applied during drilling are all implicated and interrelated.