The BES Regional Meeting will, this year, be a three day conference, adding to its programme, the postponed Spring Scientific Meeting.  The Meeting will take place at the Crowne Plaza Hotel, Stratford-upon-Avon.  The Meeting will consist of an exciting scientific programme, a poster display on the Thursday, an exhibition, and a Dinner on the Friday night with a live band.

Delegates will have the option of registering for the Thursday only; the Friday and Saturday; or all three days.  Please note, the Early Registration Rate will end 23.59 hrs on Wednesday 6th October.   Accommodation is not part of the package but a favourable rate is offered by the hotel of £115 BB Single Room and £125 BB Double Room.  Please quote M4F and the BES on reserving.  Please note these rooms are non-refundable either by the hotel or by the BES should there be any Covid restrictions and you may find more suitable deals for the hotel elsewhere.  There are also other hotels close by.   The hotel has a large car park.

The BES is also taking this opportunity to launch its ‘Early Careers Group’ and as it is keen to address the needs and challenges of those starting their careers. It is hoped that our new Early Career Group (ECG) would be able to provide the platform from which we can continue to promote, educate and advance endodontics.

The ECG is kicking things off with a drink’s reception for all, straight after the first day of action at the next Regional Meeting (Thursday 14th October). Everyone is welcome to join in, show your support,  let us know what you think and what we should be doing and in doing so, help guide the future direction of this exciting new group.

Registration for the Meeting is now open.  We very much hope that this will be our chance to meet face to face again but we do reserve the right to make changes to the programme, where needed, due to any Covid 19 restrictions.  A recording of the event will be available to every registered delegate who attends the meeting to access via the BES website following the event ( subject to approval by individual speakers).  The event will not go ahead should any government restrictions on attendance be in place and the BES will refund registration fees paid.  The Society cannot, however, be responsible for any additional expenses incurred by delegates such as travel or accommodation.

PROGRAMME

Regional Meeting 21: To treat, or not to treat, that is the question

Thursday 14th October

 
08.45 – 09.30 Registration 
09.30 -  09.45   Welcome by the President Dr Sanjeev Bhanderi
09.45 – 10.45  COVID AGP SYMPOSIUM
Dental aerosol generating procedures: assessment of risk and mitigation strategies Mr James Allison University of Newcastle
Quantifying dental aerosol generation and its mitigation in a generalisable way through visualisation and numerical modelling Professor Owen Addison and Professor Shanon Patel Kings College, London and Guy’s and St Thomas’s NHS Foundation Trust, London
An investigation into aerosol production during endodontic procedures and its potential mitigation: a simulation study with bioaerosols Professor Brian Nattress and Professor David Wood University of Leeds
10.45 - 11.30 Refreshment Break:  Posters and Exhibition
11.30 - 12.15   Host endodontic microbiome interactions and the risk of cardiovascular disease. Dr. Sadia Niazi, King's College London, Guy's and St Thomas'NHS Foundation Trust
12.15 - 13.30 Lunch: Posters and Exhibition
13.30 - 13.45 BES Pitt Ford Prize Awards
13.45 - 14.45 The Use of Calcium Silicates in Vital Pulp Treatment - Biological and Clinical Aspects Professor Kerstin Galler, University of Erlangen, Germany
14.45 - 15.15  Refreshment Break: Posters and Exhibition
15.15 - 16.15  Intentional replantation and Autotransplantation Professor Francesc Abella Sans, International University of Catalunya, Spain
16.15 Discussion
16.30  Close
16.35 - 17.35 Early Career Group Drinks Reception
 

Friday 15th October

 
08.45 – 09.30 Registration 
09.30 – 12.20  TABLE CLINICS Each Table Clinic to be presented three times in the following slots: 09.30 – 10.20, 10.30 – 11.20, 11.30 – 12.20

Consent in Endodontics and an update on recent legal  cases on vicarious liability affecting practice owners

Dr Len d'Cruz Head of BDA Indemnity
Restoration of the root-filled tooth: the age of bonding Dr Massimo Giovarruscio Queens Square Dental Clinic, Bristol
Setting up a successful endodontic referral practice Dr Claudio Peru UK Dental Specialists, St Albans
12.20 – 14.00 Lunch and Exhibition
14.00 – 15.00 To (Re-) root treat or not to treat? Professor Shanon Patel, Kings College, London
15.00 – 15.30 Refreshment Break and Exhibition
15.30 - 16.30 Endodontic Biofilms Dr Teresa Arias Moliz, University of Granada, Spain
16.30 Award of BES Prizes
17.00  Close
19.30  Pre Dinner Drinks Reception 
20.00 Conference Dinner at the Stratford Moat House
 

Saturday 16th October

 
09.30- 10.30 'Out, damned (pink) spot!' (External Cervical Resorption) Professor Shanon Patel, Kings College, London
10.30 - 11.00 Refreshment Break and Exhibition
11.00 – 12.00 Research on calcium silicate-based sealers and clinical use : mind the gap! Professor Frédéric Bukiet, Aix-Marseille University, Marseille, France
12.00 - 13.15 Lunch and Exhibition
13.15 - 14.15 Endodontic Piezo Microsurgery: A Minimal Invasive Endo-surgery with High Regenerative Potential

Dr Jean  Philippe Mallet (University Paul Sabatier,  Toulouse, France

14.15 - 15.45

Targeted Endodontic Microsurgery: Clinical Technique and Digital Workflow  (now a virtual presentation due to travel restrictions)

Professor Jarom Ray D.D.S.
15.45 Close and Tea
       
 

SPEAKERS

  • Professor Owen Addison

    Professor of Oral Rehabilitation
    Honorary Consultant in Restorative Dentistry, King’s College London
    Email: owen.addison@kcl.ac.uk

    Dr. Owen Addison qualified as a dentist from the University of Birmingham, in 2001. He received his PhD in Biomaterials in 2007 and subsequently completed a 5-year specialist clinical training in Restorative Dentistry in 2012. He was a clinical Professor in Birmingham before moving to the University of Alberta in 2016, where he took on the role of the Alberta Dental Association and College, Endowed Chair in Oral Health Translational Research. On returning to the UK in 2019, he joined King’s College London and re-established a translationally focused research group focused on developing materials and devices for advanced healthcare technologies. During the Covid-19 pandemic the group made a number of significant contributions: developing new insight into diagnostics; developing and licensing new approaches to sizing and manufacture of PPE; and with co-workers at Imperial College London contributed to the better understanding of dental procedural aerosols.

  • Mr James Allison

    James completed his undergraduate degree at Newcastle School of Dental Sciences and went on to work in several dental specialties and in Oral and Maxillofacial Surgery in North East England. In his current role as a Clinical Fellow in Oral Surgery at the School of Dental Sciences, Newcastle University, he teaches undergraduate Oral Surgery and contributes to the clinical provision of Oral Surgery at Newcastle upon Tyne Hospitals NHS Trust.
    James’s research focuses on understanding and controlling bioaerosols in dentistry, a problem he became interested in because of the disruption seen during the COVID-19 pandemic. He has been invited to present this work internationally and was recently awarded a Fellowship from the Royal College of Surgeons of England to take this work forward. His other research interests include three-dimensional imaging and orofacial pain.

  • Professor Frederic Bukiet

    Frédéric Bukiet is a clinical academic appointed Full Professor in 2017 and is currently the head of department of Endodontics at Aix-Marseille University. His research activity allowed him to earn his PhD in 2014 at the University of Montpellier then his accreditation to supervise research (HDR) in 2016 at Aix Marseille University. He also maintains his daily endodontic practice in his office at La Timone
    hospital in Marseille. He is also director of the Postgraduate Endodontic Program and the director of the continuing education division. Frédéric has published numerous papers on different topics in several national and international journals such as the Journal of Endodontics, International Endodontic Journal, Dental Materials, Clinical oral Investigations, European Endodontic Journal, Australian Dental Journal… He is currently a certified member of the European Society of Endodontology and the secretary of the French College of Teachers in Conservative Dentistry and Endodontics (CNEOC). He serves as a peer reviewer for different journals (International Endodontic Journal, Clinical Oral Investigations, European Endodontic Journal, European Journal of Dental Education, Scanning) and is also Associate Editor of the European Endodontic Journal.

    Research / Clinical Use of Bioceramic Root Canal Sealers: Mind The Gap!

    This presentation aims to discuss the clinical use of hydraulic calcium silicate-based sealers for obturation of the root canal space. Given the fact that these sealers grow in popularity over time, it seems essential to clarify why, when and how to use them. Hydraulic sealers have been extensively investigated in in vitro / ex vivo studies highlighting their eccellent biological and physicochemical properties. The specificities of calcium silicate-based sealers raise new questions connecting the research on these materials and their clinical use which has been reported to be strongly variable between practitioners and more based on their clinical habits than on the available knowledge. At the end of this presentation, the participants should be aware of the advantages/limitations of calcium silicate-based sealers, their most relevant indications and how their selection impacts the endodontic clinical procedure.

  • Professor Kerstin Galler

    Kerstin Galler obtained her degree in dentistry from the Ludwig-Maximilians-University in Munich in 2000. She worked in Private Practice until 2002 and then joined the Department of Conservative Dentistry and Periodontology at University Hospital Regensburg, Germany. She received post-doctoral training at the University of Texas Health Science Center in Houston from 2004 to 2006 and earned her Ph.D. in Biomedical Engineering from Rice University in Houston in 2009. After her return to Regensburg, she completed her “Habilitation” and built her own research group as an Associated Professor to work on pulp biology and immune responses and on revitalization and tunable scaffolds for dental pulp tissue engineering. She has been teaching and supervising dental students for many years; her clinical focus is on conservative dentistry, endodontology and dental traumatology. Dr. Galler was summoned recently to the University of Erlangen-Nuremberg as a Full Professor and Chair of the Department of Conservative Dentistry and Periodontology.
    Dr. Galler was President of the Pulp Biology and Regeneration Group of IADR in 2013/14, is currently Chair of the Research Committee of the European Society of Endodontology (ESE) and member of the Board of the German Society for Endodontolgy (DGET). She has led the committee for the ESE Position Statement on Revitalization and published numerous articles in the fields of pulp biology and dental pulp tissue engineering, has received several awards for her scientific work and has lectured nationally and internationally in clinical as well as scientific meetings.
    The Use of Calcium Silicates in Vital Pulp Treatment – Biological and Clinical Aspects

    Prof. Kerstin Galler, Ph.D.
    Department of Conservative Dentistry and PEriodontology
    University of Erlangen-Nuremberg

    To maintain pulp vitality is an essential goal in conservative dentistry. Advances in the fields of pulp biology and immunology, a deeper understanding of microbiological challenges and the availability of new and highly biocompatible materials such as calcium silicates have improved the prognosis after vital pulp treatment considerably. Still, carious exposures are different from traumatic injuries, and different approaches (direct pulp capping, partial or full pulpotomy) have to be chosen depending on the clinical situation. Thorough diagnostics of the pulpal status are equally important as a careful and meticulous clinical approach. This lecture will cover the role of microorganisms, pulp defence mechanisms and reactions to the materials applied in contact with the pulpal tissue. The clinical procedures will be discussed as well as caveats and potential outcomes.

  • Dr Massimo Giovarruscio

    Endodontic Specialist Clinical Teacher Endodontics MSc
    Department of Endodontics Dentistry
    King’s College London Dental Institute

    Professor at the Department of Therapeutic Stomatology
    Institute of Stomatology, Sechenov University, Moscow

    DELTA Dental Academy Co-founder

    RESTORATION OF THE ROOT-FILLED TOOTH: THE AGE OF BONDING

    This table clinic is focused on hydraulic calcium silicate-based materials available nowadays in clinical dentistry, used as pulp capping materials, root canal sealers, root-end fillers (Orthograde or Retrograde), or root repair materials (Perforations, Stripping) and which offer improved properties and easier clinical application compared with the original mineral trioxide aggregate. The session introduces the current classification of bioceramic materials and explains their characterization and their physicochemical and biological properties. Thereafter, the various clinical applications of these materials are discussed in depth with reference to the evidence base.
    The table clinic includes not only applications in endodontic treatments and complications, but also includes live video on clinical protocols, tips and tricks.

  • Dr Teresa Arias Moliz

    Bachelor Degree in Dentistry, University of Granada (2004)
    Master Degree in Microbiology, University of Granada (2009)
    PhD in Microbiology and Endodontics, University of Granada (2010)
    Current position: Associate Professor, Department of Microbiology, Faculty of Dentistry, University of Granada
    Co-author of more than 40 articles indexed in Journal Citation Reports related to Endodontics, Microbiology and Dental Materials

    Outline
    The goals of this presentation are to describe:
    • The microbial factors involved in cases of endodontic failure
    • The endodontic microbiome
    • The bacterial persistence after root canal treatment
    • The different strategies to eliminate biofilms from infected dentine

  • Dr Sadia Niazi

    BDS, MSc, PhD, M Endo RCS (Eng), M Endo (RCSEd), Specialist list in Endodontics, FHEA

    Sadia is a Clinical Lecturer/Honorary Consultant in Endodontics at King’s College London, Guy’s and St Thomas’ NHS Foundation Trust. She is a member of the Royal College of Surgeons of England and Edinburgh.

    At King’s, she distributes her time between providing service to the GSTT and leading her research group. Apart from training the King’s Endodontics postgraduates, she is the Endodontics Clinical Lead for King’s Dental undergraduates.

    With regards to research, her core area of interest is Endodontics Microbiology, its host-pathogen Interactions and Systemic Impact. She is a Principal Investigator in the ‘Centre of Host Microbiome Interactions’ at King’s College London. Since completing her PhD in Endodontics (Microbiology) from King’s in 2011, she has established a research programme centred on the characterization and control of “Endodontic Biofilms”. She has co-authored multiple publications in high impact scientific journals, written a book chapter, given several talks and chaired sessions at various international scientific conferences, and peer review articles for scientific journals. She has supervised research projects for over 20 MClinDent and PhD students. She pioneered the development of a nutrient-stressed multi-species in vitro endodontic biofilm model, which has been widely used at King’s in various projects. With her extensive experience in culture and gene sequencing techniques, she has profiled the microbiota of endodontic biofilms and made a significant breakthrough in confirming the nosocomial nature of endodontic infections, thus emphasising the need for implementation of enhanced cross infection control protocol. She has expanded her research to investigate the systemic interactions of endodontic microbiome with host immune response that can pose cardiovascular disease risks. She collaborates across various disciplines within KCL and with other leading institutes in the UK, Europe and Asia as well as with industry. At King’s utilising state-of-the-art facilities, expertise and support, she is leading a dynamic research team to pursue the novel innovative high impact projects.

    Host-Endodontic Microbiome Interactions and the risk of Cardiovascular Disease.

    Apical periodontitis (AP) can contribute to persistent low-grade systemic inflammation which can have adverse impact on general health and quality of life of patient. Studies have attempted to associate AP with systemic conditions such as diabetes and cardiovascular diseases (CVD), however lack of adequate high-quality evidence implies a weak association between CVDs and AP.

    The aim of the lecture is to discuss based on the findings of our longitudinal study on Host-Endodontic Microbiome interactions utilising next generation sequencing and biomarker profiling, if AP pose actual risk to CVD development or not.

  • Professor Shanon Patel

    BDS, MSc, MClinDent, MRD, PhD, FDS, FHEA

    BIOGRAPHY
    Shanon divides his time between specialist practice and at teaching at King’s College London Dental Institute.
    His main research interests are CBCT, root resorption and the restoration of root treated teeth. He has supervised 50+ Masters and PhD students.
    Shanon’s background as a clinical academic has resulted in him publishing over 100 papers. He is the lead author of 3 European Society of Endodontology position statements (CBCT 2014, 2019 and External Cervical Resorption 2018).
    Shanon has been invited as a keynote or plenary speaker at over 80 lectures in international meetings spanning 5 continents. He is recognized internationally as a leading authority on 3D (CBCT) imaging and root resorption.
    Shanon has co-authored 4 textbooks which have been translated into 5 different languages, ‘Principle of Endodontics’ is considered essential reading for undergraduates in the UK, ‘Pitt Ford’s Problem Based Learning in Endodontics’ was the first PBL book published in Endodontics, and ‘CBCT in Endodontics’ is considered essential reading for Endodontists using CBCT. Most recently ‘Endodontology at a Glance’ is the first authoritative revision guide in Endodontology.

    FRIDAY LECTURE
    ‘To (re-)root treat or not to treat’

    With all the paraphernalia available to clinicians, (re-) root canal treatment has become more predictable ….but does it improve clinical outcomes?

    The aim of this presentation is to look at the bigger picture….keeping teeth going for as long as practicaly possible. This can only be done by appropriate case selection, a conservative approach to treatment and most importantly looking at the bigger picture. Cutting edge clinical research from the KCL Endo unit will be presented to show how we can improve outcomes in a relatively simple way.

    SATURDAY LECTURE
    ‘Out, damned (pink) spot!’ (External Cervical Resorption)

    The incidence of external cervical resorption (ECR) appears to be increasing over the last 2 decades this is in part due to increased detection with CBCT as well as interesting and eye catching histological analysis.

    The aim of this presentation is to review the symptoms, signs and management strategies of ECR.

  • Dr Claudio Peru

    I graduated from Cagliari University, Italy in 1999. I worked in general practice both in Italy and England before embarking upon a full time Master degree course in Endodontics in 2001 at King’s College London, under the supervision of the late Professor PittFord, following which I was included in the GDC Specialist list in endodontics.

    Between 2003 and 2012 I was a clinical teacher in endodontics at Guy’s hospital in both undergraduate and postgraduate studies. During this time I was working under Prof Manocci, providing training to specialist trainees in endodontics.

    I am committed to postgraduate education and hold lectures and study groups in endodontics to referring practitioners in Hertfordshire, London and the South East.
 I am currently a member of the British Endodontic Society
, European Endodontic Society
British Dental Association

    I established UK Dental Specialists @Chiswell Green in 2009, in St Albans, Hertfordshire. This is a purely specialist referral centre, which now employs 12 specialists, in endodontics, periodontics, prosthodontics, oral surgery, orthodontics and restorative consultants.

    This lecture will cover the five essential steps to establishing a successful referral practice:
    -Planning a referral centre
    -management of the clinical collaboration between GDPs and specialists
    -Staffing
    -maintaining relationship with referring clinicians
    -maximising profit

  • Professor Brian Nattress

    Brian Nattress graduated from the University of Leeds Dental School in 1980. Following a series of junior hospital posts he returned to Leeds to take up the position of Lecturer in Conservative Dentistry. Having completed his programme of higher training in the speciality of Restorative Dentistry and doctoral thesis, he was appointed Senior Lecturer/Honorary Consultant and more recently to the role of Clinical Professor within the field of clinical translational research.
    He is widely published and his main areas of research focus on the application of new technologies within the fields of fixed and removable prosthodontics. This includes trialling innovative restorative materials and the use of digital technology to design and construct dental prosthesis.
    Brian is a member of the Dental Council at the Royal College of Surgeons of Edinburgh. He is also one of the lead examiners for the Restorative Speciality Examinations held in Edinburgh and internationally.

  • Dr Jon Vernon

    Jon Vernon is a Postdoctoral researcher from the Division of Oral Biology, School of Dentistry at the University of Leeds. He is currently working as an MRC Innovation Scholar in the field of antimicrobial surfaces and peri-implantitis.
    After gaining seven years’ experience in the field of forensic science, Jon turned to his expertise to microbiology. Here he undertook extensive research in healthcare-associated infections, with a focus on antimicrobial resistance, particularly in the organism Clostridioides difficile. He completed his PhD in this area at the University of Leeds in 2018, before turning his attention to oral microbiology.
    His research interests currently include the impact of immunomodulatory streptococci in the oral cavity, the role of periodontal pathogens in systemic disease, specifically rheumatoid arthritis and the influence of haemin in Porphyromonas gingivalis behaviour. In response to the current SARS-CoV-2 pandemic, Jon has pivoted to focus his research into the modelling of viral spread during aerosol generating procedures in the dental setting. Using a novel biological marker system, the research investigated the optimal mitigation strategies available to reduce transmission risk in the dental clinic.

  • Professor Jarom Ray D.D.S

    Chief of Endodontics
    US Air Force Academy
    Colorado Springs, Colorado

    Dr. Jarom Ray is the Chief of Endodontics at the US Air Force Academy and is Professor of Endodontics at the Uniformed Services University of the Health Sciences. He served as the Air Force Endodontics Residency Program Director from 2016-2020. He received his D.D.S. from Creighton University Medical Center School of Dentistry in 2003 then completed a one-year Advanced Education in General Dentistry Residency at the USAF Academy in 2004. He practiced general dentistry for 2 years. In 2008 he received a certificate in endodontics from Wilford Hall Medical Center and achieved board certification in 2011. Dr. Ray is co-inventor of Targeted Endodontic Microsurgery and has lectured nationally and internationally on endodontic applications of 3D Printing. His research focuses on applications of Targeted Endodontic Microsurgery and 3D printing.

    Title: Targeted Endodontic Microsurgery: Clinical Technique and Digital Workflow
    Targeted Endodontic Microsurgery combines a 3D-printed surgical guide with trephine burs for precisely controlled osteotomy and resection, offering the prospect of expanded surgical capability for novice and adept surgeons. The digital workflow for guide production is marked by conversion of a patient’s physical anatomy into digital data that forms a virtual model upon which a TEMS guide is designed and then 3D-printed. In addition to describing the TEMS clinical technique through presentation of several cases, this presentation aims to show several methods for digitally rendering bone, teeth, neuro-vascular structures, and soft tissue, and will describe how this data is utilized to create of a virtual model within design software. The presentation is aimed to help clinicians communicate meaningfully with a 3D printing lab.

    Learning Objectives:
    • Describe the clinical applications of 3D-printed surgical guides and
    trephine burs.
    • Describe different ways of digitizing hard and soft tissues for creation of a
    digital model.
    • Describe surgical guide design principles for communication with a 3D
    printing lab.
    • Describe all clinical phases of guided surgical endodontics to include
    presurgical evaluation, radiographic evaluation, treatment planning and
    intraoperative application.

  • Dr Jean Philippe Mallet

    Biography

    Dr Jean Philippe Mallet has a dental practice limited to Endodontics in Paris (France). He graduated from the University Paris V – René Descartes (Paris, France). He is currently Teaching Associate at the University Paul Sabatier (Toulouse, France). Jean Philippe is also Past Assistant Professor at University Paris V; member of the editorial board of ENDO (Quintessence) and Past President of the French Society of Endodontics

    Synopsis

    Endodontic Microsurgery may be a solution to remove an apical lesion and treat the endodontic cause of the infection, especially if the lesion is a cyst or if the retreatment too destructive for a good prognosis. Introduction of CBCT analysis allow a pre-study to analyze the surgical approach of the lesion.
    In the Area of “minimally invasive dentistry” the soft tissue management associated to a lower bone destruction would be the best approach for endodontic surgery. Thus, the choice of a contemporary flap design and the use of piezo and ultrasonic instrumentation should be parts of the responses. For example, on lower molars, the access must be difficult or very invasive with a thick mandibular bone (external oblique line), and on upper molars the sinus apical projection may make the access more complex.Then, the “Cortical Bone Window” approach can be the minimally invasive solution. Thus, the visibility and the access of the lesion for the root preparation and filling would be more predictable.
    To be released, the quadrilateral piece of cortical bone can be cut with piezo inserts in order to be more precise, less invasive and safe with the non-body anatomical structures. Added to a PRF preparations (clots and membranes) the stable re-seating of the window will allow a better and quicker bone healing.

    On endodontic surgery, the “Cortical Bone Window” technique may allow the operator an easier surgery and a quicker healing with a high regenerative healing potential, especially on molar operative site.

    Key learning point

    By the end of this presentation attendees will be able to:
    – Analyze the indication of the “Cortical Bone Window” technique on molars
    endo- surgery.
    – Describe the surgical approach of the “Cortical Bone Window” technique
    – Give benefits of the “Cortical Bone Window” technique added to a PRF preparation.

  • Dr Len D'Cruz

    Consent in Endodontics and an update on recent legal cases on vicarious liability affecting practice owners

    By the end of this session delegates will have :
    -an understanding of the challenges faced by clinicians in obtaining consent for endodontic procedures in practice
    -reflected on the issue of vicarious liability facing the dental profession and dental practice owners in particular

    Biography
    Len D’Cruz BDS LDS LLM MFGDP DipFOd PGCert Med Ed FFFLM Cert Cii

    Len D’Cruz qualified from the Royal London Hospital in 1989 and did his vocational training at Whipps Cross.
    After an associateship in Hertfordshire he bought into his practice in Woodford Green as an expense sharing partner a year later and eventually took over the practice with his wife Anne who is also a dentist. He has done clinical assistantships in Restorative Dentistry and orthodontics.
    Len has been a Foundation trainer/Education supervisor for the London Deanery for a number of years and the practice is a Gold BDA Good Practice Scheme member.
    It is now a seven surgery practice and the practice is also part of the NHS new contract pilots /prototypes since September 2011
    Len was an Examiner for the Faculty of General Dental Practitioners for the MJDF exam and for the Overseas Registration Exam (ORE). He completed a Masters in Law at Cardiff in 2003 and the Certificate in Practice Appraisal from the FGDP in 2004.He completed a Postgraduate Certificate in Medical education from the University of Westminster in 2009 and has completed his FGDP Mentoring Certificate in 2012.He was a Director of the BDA (PEC member) from 2015- 2019). He has recently completed the Certificate in insurance from the Chartered Insurance Institute (CertCii)
    He currently splits his time between clinical general dental practice, and working with the BDA as Head of BDA Indemnity ,having worked at Dental Protection Ltd for 21 years. He is a Visiting Lecturer at the University of Bedfordshire for the MA in Dental Law and Ethics. He is module lecturer on the Advanced Minimally Invasive Dentistry MSc at Kings College.
    He has published “Legal aspects of General Dental Practice” (Elsevier/Churchill Livingstone) and co-authored “Understanding NHS Dentistry” with Raj Rattan and Michael Watson. He writes and lectures regularly on dento-legal issues and has published chapters on medical legal aspects in widely read texts ( The Principles of Endodontics OUP , Odell’s Clinical Problem solving in Dentistry 4th Edition Elsevier 2020)
    His hobbies include photography, reading fiction and non fiction and trying to keep fit . He has been awarded a Licentiateship from the Royal Photographic society (LRPS).