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Dentistry in Spain

Continuing the series on dentistry around the world, Javier de la Cruz reviews a typical day in his practice in Madrid.

Located in the historic centre of the city, our clinic was founded by Juan Bautista Bordon Velázquez during the Spanish Civil War. Then, during the 1970s, it was taken over by his son, Juan Manuel Bordon Arroyo.
Today, I lead our team, which consists of two other GDPs and three dental nurses. In one week, I see up to 120 patients, and on a day to day basis our work consists of much of the same routines and elements that you might find in clinics around the globe. Routine check-ups and consultations provide the majority of our work, but we do offer our patients a full service – from standard procedures, to more complex treatments.
We can offer the very best in oral and maxillofacial surgery and periodontology – which is strongly linked to the heritage and foundation of our clinic – and we pride ourselves in being at the forefront of these specialities.
We also specialise in aesthetic dentistry and provide up to date procedures for our patients, from tooth whitening to orthodontic and more cosmetically focused treatments.
 
Safety in the clinic
Because of the work we do at Bordon Clinic, especially with regards to our surgical procedures, we always make sure to stringently adhere to the protocols that have been put in place across Europe, guaranteeing suitable sterilisation of reusable instruments and the effective disinfection of surfaces and work areas. All of our staff are required to don the appropriate PPE before any contact with patients. And, as in any practice, all mouth guards, aprons and chair head caps are replaced between patients. To avoid cross-contamination, we ensure that all our equipment and instruments are changed and sterilised as well. All professionals who carry out this process are adequately protected and are aware of the importance of this task. Fortunately, we have a great team that manage this side of our work incredibly efficiently, and make sure that the correct protocols are rigorously adhered to.
In terms of the actual sterilisation process in our practice, all of our instruments are placed in the ultrasonic bath to be cleaned, and once dried, they are placed in the vacuum autoclave for sterilisation. While the autoclave is the most effective means of preventing contamination, there are instances where it is not applicable – and in these circumstances we make use of disinfectant products that are in accordance with European legislation, to ensure the highest standards of clinical hygiene.
The development of the vacuum autoclave has been among the most important and beneficial innovations of recent times. Without a doubt, it is one of the best ways to ensure complete sterilisation on all our reusable equipment, and because we have complete control of the autoclave’s cycles and settings, we can make the best use of it for a wide
range of different needs. To ensure that we are working within the safest parameters, we also regularly check the effectiveness of the sterilisation by introducing biological controls into the cycles.
 
Challenges
Aside from the common issue of dealing with a lot of patients in a busy clinic, I think that one of the biggest challenges we face is the rapid change in dental treatments over the last few years. Improvements are coming about so quickly that the demand to keep up with them creates a lot of pressure for dentists. The transition to more digital dentistry and the greater emphasis on computerised methods of work means that we have to unlearn a lot of the more traditional techniques in order to learn some of the newer ones.
 
Patient awareness
I think that these days a lot of our patients have a good understanding of our procedures and protocols. There is a lot of information available to them via different media outlets, especially the internet, so their awareness of what
we do and how we do it – and why – is getting better all the time. Because of this, we are inspired to match our
patients’ expectations and deliver the first class treatment that they deserve.