August 2010
Managing Director T A R Morgan
Consultant Editor Derek Watson BDS LDSRCS DGDP Executive Editor Chris Ritchie
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Editorial Advisory Board Chairman: Richard Welfare FDS Jena Al-Bazi BDS Edwin Bonner BDS MDent David Croser BDS DGDP Kenneth A Harper BDS FDSRCS MGDSRCS MSc MRDRCS FFGDP(UK)
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Independently audited circulation: 21,187 1st Jan 2009-31st Dec 2009
IN THIS ISSUE... • Michael Watson • Roger Matthews
• Robinson’s Referrals
• Focus: Implants and Tissue Regeneration • The wider implications of DNAs • Product Briefing • BDHF Bulletin • Product Briefing • Lab Talk
• John McLean remembered • CPD
• Classifieds • The Lux Letter 2
www.dental-practice.org Derek Watson
T is a little-known fact that Sherlock Holmes did not lodge at 221b Baker Street. Visitors in search of that legendary London address nowadays find a shop selling curios, nestling between two estate agents. A door marked “221b” does exist and is guarded by a mock policeman in Victorian garb midst a small group of curious onlookers, but in 1881 when Holmes and my great-great-grandfather moved to London, this is exactly how he wanted it. Living in a location so obvious to hangers-on and assassins alike would have made his job impossible.
Case Study I
No. Holmes chose altogether much more suitable lodgings which,
simultaneously, allowed him to maintain his address as a public secret, and a secret to the public, for over 23 years. He lived in Baker Street Station. I make this revelation knowing that no harm can come from it now, particularly in a magazine devoted to matters dental, the contents of which are likely to fly over the heads of the general populace, to a select readership well-schooled in the art of professional confidentiality. In return for solving the Mystery of the Tunnel to Oblivion (which was initially blamed on the Musselmen and which had halted construction on the Metropolitan), Holmes had no problem in persuading the sponsors of the newly-constructed Underground Railway to grant him quite adequate quartering. The entrance can still be seen on the original platform (now Platform 6) disguised as a cupboard door marked “221b”. Cupboards 221c et alia, if opened, will indeed reveal a plethora of genuine railway equipment; but only Holmes and Watson had the key to the former.
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Sherlock Holmes would have been baffled by the case on which I am now engaged: the Case of the New Contract. Even the title is a riddle. It should possibly be called the “New New Contract”, or the “2006 Contract”, although 2006 pre-dates by three years the actual year in which it was properly introduced. Everything about this case is contradictory...
Its many and various advantages included its proximity to the Diogenes Club, the tunnels were home to the Baker Street Irregulars and, of course, direct access to all of the London termini which permitted Holmes to be on a train in pursuit of a case at a speed that beggared belief. The reason why I am mentioning it now is that I truly believe that even the
great man himself, surrounded by the piles of paper of which he was so fond, puffing on his pipe and using all of his powers of deductive reasoning, would have been baffled by the case on which I am now engaged. The Case of the New Contract. Even the title is a riddle. It should possibly
be called the “New New Contract”, or the “2006 Contract”, although 2006 pre-dates by three years the actual year in which it was properly introduced. Everything about this case is contradictory. It was introduced to expand the public provision of dentistry yet, years
later, it has not done that. It was intended to save public money but many hundreds of millions of pounds had to be found to rescue it from collapse. If it was introduced to improve the general health of the populace (and I have yet to ascertain with one hundred per cent veracity that it was), then it has singularly failed to do so, with many teeth that could be saved coming to a grisly end, prematurely and bloodily bayoneted on the spikes of the barber surgeons’ pliers. Each night I burn the midnight oil, praying that my venerated ancestor
might reach out from the past with some inspiration or insight. A small clue, a hint, anything which might allow me to untangle this Gordian knot. Instead I awake every morning, increasingly burdened by the complexity of it all. Regulations pile upon antecedent, like diluvial strata. I am overcast by a
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