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Wales is moving away from the UDA system and introducing a needs- and risk-based dental contract from April 2026 – what impact will this have? The aim of this change is to improve access for patients with genuine dental need and to better reflect the time, complexity, and cost of modern dentistry. This is a…
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Rather than fundamental contract reform, the 2026 NHS dental contract amendment is more of a rebalancing exercise, argues Julian Perry. The new amendment appears to have been designed to stretch existing funding further and deliver urgent care. In doing so, it reduces routine access and pushes patients with complex disease into capped pathways. What will the…
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Julian Perry explores the true causes of gum disease and how to communicate this to patients to avoid unnecessary litigation. It’s easy to assume gum disease is caused by poor brushing. But in practice, I’ve seen something different. Some patients with immaculate oral hygiene still develop periodontal disease. Others with average habits don’t. So, what’s…
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Julian Perry discusses the benefits, limitations and legal considerations for composite bonding, and how to communicate them to patients. Composite bonding is a popular cosmetic dental procedure where tooth-coloured resin is applied and shaped to enhance the appearance of teeth. It’s commonly used to repair chips, close gaps, reshape teeth, or improve discolouration. What are…
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Julian Perry evaluates the consolidation of the dental laboratory market over the last 10 years and its impact on acquisition prices. The consolidation of the dental laboratory market over the last decade has had a significant impact on the industry, particularly regarding the prices paid for acquisitions. Here are some of the the factors and…
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Julian Perry shares some helpful tips for preventing complaints against practice managers, nurses and receptionists. Since the return to work from COVID we have seen a substantial number of complaints, most of which have been born out of frustration by patients at the lack of access. What we have seen in addition to this is…
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Julian Perry looks back on the demands that shaped the growth of Densura – and how the company continues to respond to clinicians’ changing indemnity needs. Ten years has passed quickly since we launched Densura. I was still a clinical director and along with my co-founders, we recognised the frustrations I and many of my…
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Julian Perry casts a look ahead to what artificial intelligence could spell for dentistry. Modern dentistry is about ‘doing the right thing’. In other words, acting in the best interest of the patient. In 2023, this means going digital – digital records, digital interrogation and proper data to confirm best outcomes. There is a distinct…
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Julian Perry reflects on how standards in dentistry have increased and become more stringent over the years, and why it’s a good thing. I had an interesting chat with dentist ‘A’ today. He had received a complaint about an implant placement. His patient had been to see another dentist (dentist ‘B’) because of food packing…
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Julian Perry discusses private dentistry and why it’s important to have a proper plan in place. There’s currently a lot of enthusiasm for ‘going private’. It’s in the dental press and all over social media. Concerns over the dental NHS system have been amplified by the pandemic and Brexit, resulting in a reduced workforce. I’ve…
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Julian Perry explains the basic principles behind protecting yourself medicolegally. I have spent nearly 40 years on the roller coaster called dentistry. I have survived a variety of ups and downs, influenced by politics, finance, legislation and opinions on best practice. Overall, in that time, there can be no doubt that dentistry has improved. The…
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Julian Perry, along with other authorities in dentistry, has produced advisory guidelines on how dental practices can start opening their doors again after the COVID-19 lockdown ends. In these difficult times there is lack of guidance on what we should be doing as dentists to keep our teams, ourselves and our patients safe. I have…
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