Fresh Smile Clinic

A Message from Lord Pickles and Lord Blunkett, followed by Fresh Smile Clinic's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from Fresh Smile Clinic is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett
Pickles signature Rt Hon The Lord Eric Pickles

www.freshsmileclinic.co.uk

THE PARLIAMENTARY REVIEW
Highlighting best practice
THE PARLIAMENTARY REVIEW
Highlighting best practice
56 | FRESH SMILE CLINIC
Practice Principal DrKirrinPunia
Dr Punia and her team use CBCT
scanners, allowing them to
accurately plan surgical work
Practice Principal Dr Kirrin Punia had been an associate
dentist at the Brighouse-based Fresh Smile Clinic when
the opportunity to purchase arose in 2014. Kirrin tells
TheParliamentary Review
that she knew it was time for her to
take the helm – and that she believed she could help the practice
to fulfil the potential she instinctively knew it had. A rising tide of
new technology had swept dentistry in previous years, and she
was keen to bring the clinic into the future. Kirrin says she and
her team embarked on an ambitious programme of investment
throughout the practice – this started with digital record-keeping
and x-rays alongside a full refurbishment of the practice.
At the Fresh Smile Clinic, we pride ourselves on our ability to offer a diverse range
of services in house, from Invisalign to dental implants. Our surgical team can
provide comprehensive full-mouth rehabilitation and reconstruction for even the
most challenging cases. We are also one of only a few practices that hold Platinum
Elite Invisalign status, and one of the only practices in the region that can provide
zygomatic implants, for those previously told they have too little bone for fixed teeth.
I consider the extended use of technology in my practice as an investment in our
future. We were one of the first practices in the area to have an on-site Cone Beam
CT scanner, which allows the teeth and jaw of the patient to be viewed in the
greatest possible detail, and we have three-dimensional intra-oral scanners, which
means we are now able to take virtual dental impressions – this eliminates the mess,
discomfort and waste produced by plaster impressions and increases the accuracy
of veneers, crowns and bridges. We are also Dental Phobia certified, and can offer
FACTS ABOUT
FRESH SMILE CLINIC
»Practice Principal:
DrKirrinPunia
»Founded in 2009
»Located in West Yorkshire
»Services: General dentistry,
Invisalign, dental implants, full
mouth rehabilitation
»No. of employees: 18
»The clinic has 6 dentists,
2 dental therapists and a
growing team of auxiliary staff
to care for our patients
Fresh Smile Clinic
BEST PRACTICE SPONSOR 2020
THE PARLIAMENTARY REVIEW
Highlighting best practice
56 | FRESH SMILE CLINIC
Practice Principal DrKirrinPunia
Dr Punia and her team use CBCT
scanners, allowing them to
accurately plan surgical work
Practice Principal Dr Kirrin Punia had been an associate
dentist at the Brighouse-based Fresh Smile Clinic when
the opportunity to purchase arose in 2014. Kirrin tells
TheParliamentary Review
that she knew it was time for her to
take the helm – and that she believed she could help the practice
to fulfil the potential she instinctively knew it had. A rising tide of
new technology had swept dentistry in previous years, and she
was keen to bring the clinic into the future. Kirrin says she and
her team embarked on an ambitious programme of investment
throughout the practice – this started with digital record-keeping
and x-rays alongside a full refurbishment of the practice.
At the Fresh Smile Clinic, we pride ourselves on our ability to offer a diverse range
of services in house, from Invisalign to dental implants. Our surgical team can
provide comprehensive full-mouth rehabilitation and reconstruction for even the
most challenging cases. We are also one of only a few practices that hold Platinum
Elite Invisalign status, and one of the only practices in the region that can provide
zygomatic implants, for those previously told they have too little bone for fixed teeth.
I consider the extended use of technology in my practice as an investment in our
future. We were one of the first practices in the area to have an on-site Cone Beam
CT scanner, which allows the teeth and jaw of the patient to be viewed in the
greatest possible detail, and we have three-dimensional intra-oral scanners, which
means we are now able to take virtual dental impressions – this eliminates the mess,
discomfort and waste produced by plaster impressions and increases the accuracy
of veneers, crowns and bridges. We are also Dental Phobia certified, and can offer
FACTS ABOUT
FRESH SMILE CLINIC
»Practice Principal:
DrKirrinPunia
»Founded in 2009
»Located in West Yorkshire
»Services: General dentistry,
Invisalign, dental implants, full
mouth rehabilitation
»No. of employees: 18
»The clinic has 6 dentists,
2 dental therapists and a
growing team of auxiliary staff
to care for our patients
Fresh Smile Clinic
57FRESH SMILE CLINIC |
DENTISTRY
IV sedation for those who are the most
anxious about dental treatment.
The greatest testament to the success
of our investment is the ongoing
growth of the practice; since I took
over as the owner five years ago, we
have seen it double in size.
We are family
We are a family business and operate
as such with my husband, Dan Punia,
in his role as the business manager.
The family feeling of our practice
resonates with me, as I became a
parent at around the same time as I
took over the practice, so the whole
period in my life was one of profound
personal growth and development.
I feel that there are a considerable
number of parallels between parenting
and running a business, which I’ve
noticed increasingly as the years have
gone by. We believe that respect and
loyalty are a two-way street and that
this is reflect in our relationship with
staff and patients. Our CQC inspection
remarked upon the practice’s excellent
leadership, and I cannot imagine
a higher compliment that I could
havereceived.
Our staff are fundamental to the way
in which we operate, and the sense
of rapport and camaraderie among
us filters down to the way in which
we treat our patients. We also believe
in the importance of education, and
our clinicians have learnt from one
another. We have trained up a number
of our staff and believe that through
recognising their individual strengths
we would like to see in our staff we
can help them to fulfil their potential.
We regularly invite other dentists to
come and watch us in order to help
them develop their ownskills.
We understand the importance of
personal expertise in our practice
and actively encourage our staff to
expand their skills base beyond the
conventional. Through investing in
expanding the knowledge of our staff,
we work in an environment where
everyone is stimulated to work to the
best of their abilities.
Gender agenda
I am particularly passionate about
championing the role of women within
the dentistry sector. I am one of only
a handful of female dentists in the UK
to gain a diploma in implant dentistry
from the Royal College of Surgeons
in Edinburgh. At an undergraduate
level, dentistry is fairly evenly split.
However, it is estimated that women
only make up 14 per cent of practice
owners in the UK, and that a mere
five per cent of implant dentists are
female. As a female dentist who fills
both of these categories, employer of a
predominantly female workforce, and
as a mother to two young daughters,
I am compelled to encourage women
to get involved at all levels of the
profession and smash the proverbial
glass ceiling. I am involved in a number
of initiatives which focus on doing
justthat.
I feel that as a female leader I must be
willing to champion the rights of my
own team. Change is essential to the
future of dentistry.
The use of digital
colour impressions
reduces both waste and
discomfort for patients
There are a
considerable
number of
parallels
between
parenting and
running a
business, which
I’ve noticed
increasingly as
the years have
gone by
THE PARLIAMENTARY REVIEW
Highlighting best practice
THE PARLIAMENTARY REVIEW
Highlighting best practice
58 | FRESH SMILE CLINIC
Review of
Parliament
Thousands gathered
in Parliament Square
to celebrate the UK’s
departure from the EU
“We’re out”
“The British people have spoken,” said the
affable BBC anchorman, David Dimbleby,
“and the answer is: we’reout.”
This was just after 5am on the morning
of Friday, June 24, 2016.
In the end, it took three years, seven
months, seven days and eighteen hours.
It took three prime ministers. Two general
elections. It took, shock-of-shocks,
two
hosts of the BBC’s Question Time. Yes,
dear old Dimbleby himself, who had
chaired that veritable feast of Thursday-
night verbal flagellation since 1994, left
the hotseat a full year before Britain finally
left the European Union. But it did happen.
At 11pm on January 31, 2020, Britain
ceased to be an EU country. The EU was
now comprised of 27 member states rather
than 28. And although, with a transition
period in place, little else of substance
had changed, there was no doubting the
historic significance of the moment.
Addressing the nation from Downing
Street, the prime minister spoke of the
dawn of a new era and the potential for
meaningful and far reaching change:
“This is not an end but a beginning. This
is the moment the dawn breaks and
the curtain goes up on a new act in our
great nationaldrama.”
He spoke about the opportunities
this moment would provide, such as
controlling immigration, creating free
ports, “liberating” our fishing industry,
doing free trade deals or “simply making
our rules and laws for the benefit of the
people of this country.”
A cricket ball’s throw away in Parliament
Square, thousands gathered for a Brexit
party, fronted by The Brexit Party. This
nascent political grouping, not yet a
year old, appeared pretty pleased with
themselves as they swayed and crooned
with the crowd. In winning May’s
European elections, they had precipitated
Theresa May’s departure, ensured her
successor was a paid-up Leave supporter,
and had helped make Brexit a reality.
In a statement, MrsMay declared that
“after more than three years, we can
finally say we have delivered on the
result of the 2016 referendum and have
kept faith with the Britishpeople.”
Outgoing Labour leader Jeremy Corbyn
said: “Britain’s place in the world will
change. The question is what direction
we now take. Wecan build a truly
internationalist, diverse and outward-
looking Britain. Or we can turn inwards,
and trade our principles, rights and
standards to secure hastily arranged,
one-sided, race-to-the-bottom trade
deals with Donald Trump and others.”
Speaking for the EU, Michel Barnier
expressed his sadness, while Donald Tusk
said: “My dear British friends. We were, we
are, and we will always be a community.
And no Brexit will ever change that.”
And so with a mix of jubilation,
apprehension and sadness, the words
spoken by David Dimbleby in the early
hours of June 24, 2016 were now a
reality. We were out.
Driving dentistry forward
We are in a rapidly evolving field, and it
is essential to have those who are willing
to drive dentistry forwards working
within it. As exemplified by our practice,
we are embracing the potential of
technology for the future – it is crucial
for us to keep up, else get left behind.
In terms of evolving for the future, we
understand that there is a great deal of
plastic waste created through dentistry
and feel that industry-wide changes are
required in order to reduce the quantity
of waste produced, particularly from
the large volume of single-use plastic
items we use during treatment. We
are currently unable to recycle as much
of this waste as we would like as it is
considered as clinical waste. Ultimately,
this is an issue throughout the health
service, and must be addressed from a
legislative point of view.
My concerns regarding
dentistry
As a society we have a rapidly aging
population and as such we will
find that the numbers of people
experiencing tooth loss and complete
edentulism will continue to increase in
direct relation to the increase in mean
age of the population.
Missing teeth or ill-fitting dentures
can lead to a person having to make
significant modifications to their diet
as they cannot chew certain foods
properly, resulting in a less nutritious
and varied food intake, thus affecting
their general health.
The McGill consensus report in 2002
stated that the minimum first choice
standard of care for an edentulous
patient should be a full denture
supported by two dental implants in
the lower jaw. Although recognised
by experts there is still no central
government funding for this type of
treatment within the NHS, and unless
able to pay privately for this we see the
health of our elderly patients declining
when the skills to greatly improve their
quality of life are readily available in
practices like mine.
I would implore parliament to review
the evidence regarding the minimum
standard of care for these patients and
to consider making provision for them
within an NHS setting.
Moving onwards
We are committed to continuing to
embrace ever-changing technology in
dentistry and will soon be implementing
remote dental monitoring, where
patients are able to take their own
photographs and upload them to share
with us at the practice to so that the
dentist can monitor their treatment.
I am currently preparing for a mentoring
course and want to continue to
develop our engagement with the local
community. I would like to visit more
primary schools and continue to see the
personal growth in students that comes
from the sharing of knowledge. I hope
to continue to be able to mentor other
dentists and staff, allowing them to
fulfil their potentialfurther.
My personal agenda is to continue to
raise the profile of women in implant
dentistry. The dramatic growth of the
Fresh Smile Clinic over the past five
years speaks for itself, and I hope to
see this continued in thefuture.
I would
implore
parliament to
review the
evidence
regarding the
minimum
standard of
care for
elderly
patients and
to consider
making
provision for
them in an
NHS setting
Members of the team at
the Fresh Smile Clinic

www.freshsmileclinic.co.uk

This article was sponsored by Fresh Smile Clinic. The Parliamentary Review is wholly funded by the representatives who write for it. The publication in which this article originally appeared contained the following foreword from Rt Hon Elizabeth Truss.

Rt Hon Elizabeth Truss's Foreword For The Parliamentary Review

By Rt Hon Elizabeth Truss

Even by the standards of the day –this has been one of the most exciting and unpredictable years in British politics.

The leadership election we’ve just seen marks a huge moment in our country’s history. This government is taking a decisive new direction, embracing the opportunities of Brexit and preparing our country to flourish outside the EU.

As international trade secretary, I’ll be driving forward work on the free trade agreements that are going to be a priority for the government. Free trade isn’t just an abstract concept bandied around by technocrats. It is crucial for a strong economy and for the ability of families to make ends meet. Free trade benefits people in every part of our country, as British firms export to new markets and people doing the weekly shop have access to a wider choice of goods at lower prices.

The essence of free trade is in the title: freedom. It’s about giving people the power to exchange their goods without heavy government taxation or interference. Commerce and free exchange are the engine room of prosperity and social mobility. I’m determined to tackle the forces who want to hold that back.

One of my priorities is agreeing an exciting new free trade deal with the US, building on the great relationship between our two countries and the Prime Minister and US President. But I’ll also be talking to other partners including New Zealand, Australia and fast-growing Asian markets.

And with the EU too, we want a friendly and constructive relationship, as constitutional equals, and as friends and partners in facing the challenges that lie ahead – a relationship based on a deep free trade agreement. Our country produces some of the world’s most successful exports, and the opportunity to bring these to the rest of the world should make us all excited about the future. It is this excitement, optimism and ambition which I believe will come to define this government.

For too long now, we have been told Britain isn’t big or important enough to survive outside the EU – that we have to accept a deal that reflects our reduced circumstances. I say that’s rubbish. With the right policies in place, we can be the most competitive, free-thinking, prosperous nation on Earth exporting to the world and leading in new developments like AI. To do that, we’ll give the brilliant next generation of entrepreneurs the tools they need to succeed. Since 2015, there has been a staggering 85 per cent rise in the number of businesses set up by 18 to 24 year olds – twice the level set up by the same age group in France and Germany. We’ll help them flourish by championing enterprise, cutting taxes and making regulation flexible and responsive to their needs.

As we do that, we’ll level up and unite all parts of the UK with great transport links, fibre broadband in every home and proper school funding, so everyone shares in our country’s success.

2019 has been the year of brewing economic and political revolution. 2020 will be the year when a revitalised Conservative government turbo charges the economy, boosts prospects for people across the country, and catapults Britain back to the forefront of the world stage.



Rt Hon Elizabeth Truss
Secretary of State for International Development