Cosmetic and Implant Dentistry in West Yorkshire
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I love hearing from colleagues about teeth or life! Please don't hesitate to drop me a line if you have any questions or you just want to connect.
If you are just starting out in implantology and you are looking for a mentor, or if you're looking to get involved in the world of implants, I'd love to hear from you.
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Two and a half years in the making, it's finally published.
Learn the secrets, discover your passion and help me to support the wonderful work Confidental are doing in providing mental health support for dental professionals.
You can find the full recommended reading list at the bottom of this page
FOR DENTISTS
Free to download and share for anyone who will value them.
I provide treatment on referral in Huddersfield for patients requiring dental implants and cosmetic treatment. On receiving your referral I will contact the patient for a free telephone or video consultation.
A handy little template to simplify the otherwise arduous task of reporting on a CBCT scan.
This is not an exhaustive list but it goes through the essential questions and discussion points that I go through with my patients. It does not include any details about the clinical examination.
A comprehensive plan for any implant placement is essential for safe and predictable surgery. I use this plan template prior to every implant procedure and I encourage all mentees to do the same.
This is a modified version of the World Health Organisations Surgical Safety Checklist which I've made more applicable to implant surgery. Again, I always complete one of these before starting surgery.
The WHO original can be found here.
A step-by-step guide to the impression stage of restoring a dental implant.
A handy checklist that I run through each time I communicate with my lab. It highlights the many areas that can easily forgotten when asking the lab to design an implant restoration.
A brief overview of common dental implant problems and their management useful for general dental teams to help their patients with dental implants
This is a template I use to guide my professional reflections. Please use it, modify it, share it as you see fit to guide your own reflections.
PUBLICATIONS
Some full texts available on Research Gate
K Walker-Finch, C Ucer
British Journal of Oral and Maxillofacial Surgery, 2020
Abstract
Digitally-designed static surgical guides provide an acceptable level of accuracy and predictability for the placement of dental implants. However, to our knowledge, few published studies have compared the long-term survival of implants placed in this way with those placed using other methods. A systematic search of electronic databases using a population, intervention, comparison, and outcome (PICO) framework was conducted of Medline and EMBASE, as well as grey literature and hand searches, to obtain all relevant work pertaining to the survival of dental implants placed by guided surgery. The studies were required to have at least 10 patients with a follow up of at least five years. A total of 621 titles were screened. Four studies met the inclusion criteria for quantitative analysis, and they all reported the exclusive use of Nobel Biocare implants and the NobelGuide system (Nobel Biocare Services). Cumulative survival rates ranged from 94.5% to 100% over five years. The survival rates of implants placed using digitally-designed static surgical guides are comparable to the estimated overall survival rate (95.6% over five years), despite the complex nature of the treatments done with guided surgery. Clinicians who do these operations should, however, have the experience and ability to revert to conventional freehand techniques if complications arise.
S P Wright, J Hayden, J A Lynd, K Walker-Finch, J Willet, C Ucer, S D Speechley
British Dental Journal, 2016
Abstract
Objectives The aim of this paper is to identify the factors that affect the complexity of implant restoration and to explore the indices that help us to assess it. With this knowledge the growing number of clinicians restoring dental implants will have a better understanding of the available guidance and evidence base, and the differing levels of competence required. Study design A literature review was conducted. The selection of publications reporting on complexity was based on predetermined criteria and was agreed upon by the authors. After title and abstract screening 17 articles were reviewed. The articles that were utilised to form the ITI SAC tool and Cologne Risk Assessment we also included. Assessing complexity Two key guides are available: International Team for Implantology’s Straight-forward Advanced Complex tool4 and the Cologne ABC risk score.5 While these guides help identify treatment complexity they do not provide a strong enough evidence base from which to solely base clinical decisions. The key patient factors are expectation, communication, the oral environment, aesthetic outcome, occlusion, soft tissue pro le and the intra-arch distance, whereas the key technical factors are impression taking, type of retention, loading protocol and the need for provisional restorations. Human factors also have a signi cant effect on complexity, speci cally, the experience and training of the clinician, team communication and the work environment. Conclusions There are many interconnecting factors that affect the complexity of dental implant restoration. Furthermore the two widely used indices for the assessment of complexity have been investigated, and although these offer a good guideline as to the level of complexity, there is a lack evidence to support their use. The development of evidence-based treatment and protocols is necessary to develop the current indices further, and these need to be expanded to include other critical areas, such as human factors. A practical guide to aid practitioners in reducing complexity has been proposed.
Karl Finch, Fadi D Jarad, Adejumoke Adeola Adeyemi, Sawsan Al-Shamaa
European Journal of Prosthodontic and Restorative Dentistry, 2011
PMID: 22645789
Abstract
This investigation aimed to evaluate the colour difference between metal ceramic restorations and their corresponding shades and any reasons for a colour mismatch in the dental laboratory. The colour of 50 consecutive metal ceramic restorations produced in a laboratory was measured using a spectrophotometer and compared to the shade tabs. Colour reproduction was optimal at porcelain thicknesses between 1.4-1.6 mm, varied between technicians within the same laboratory and was better for shades in the 2M group. Most crowns were above the threshold for a clinically acceptable shade match and almost all crowns were lighter than the corresponding shade tab.