GID | Mouth Cancer Awareness Day | Joss Harding Greg Knepil Andrew Barber Philip Lewis Roy Anthony Katy Spicer Elaine Tilling Mike Hefferman Toby Edwards-Lunn | Friday 19 April 2024

Mouth Cancer Awareness Day | Joss Harding Greg Knepil Andrew Barber Philip Lewis Roy Anthony Katy Spicer Elaine Tilling Mike Hefferman Toby Edwards-Lunn | Friday 19 April 2024


For: Dentists, Nurses, Hygienists, Managers,


19/4/24 - Mouth Cancer Awareness Day

Joss Harding & special guests:

Mr Greg Knepil ; Mr Andrew Barber ; Dr Philip Lewis ; Mr Roy Anthony ; Ms Katy Spicer ; Mrs Elaine Tilling ; Mr Mike Heffernan ; Mrs Joss Harding.

According to Cancer Research UK, from 2016 to 2018, the incidence of reported head and neck cancer (HANC) cases was 12,422 per year, which amounts to 34 diagnoses per day, making it the eighth most common cancer in the United Kingdom (UK). HANC is the thirteenth most common cancer in females and the fourth most common in males, and incidence rates have increased by just under 40% in the UK, which, for females, is an increase of 45%, and for males, over 20%. HANC is diagnosed at its highest percentage in people aged 70 to 74 (Cancer Research UK, 2021).

A significant challenge for dental professionals is whether a HANC patient regards their oral health as a priority before their diagnosis. It is evident from National Health Service GP patient surveys that only around 50% of the general population regularly visit a dentist (NHS, 2022). Unfortunately, this is a missed opportunity for early diagnosis and can influence the planning of dental procedures pre and post-oncology care. Planning between primary and secondary care coordination is critical if treatment is required.

Joss Harding and her colleagues from primary and secondary care wish to influence your knowledge and care of HANC patients with valuable insights into the journey before, during and after treatment.

1) Dr Philip Lewis: The Early Detection of Mouth Cancer – Every Team Member Has a Vital Role to Play.

2) Mr Greg Knepil: Oral Cancer: The Patient Journey

3) Roy Anthony: Gain a perspective of the oral cancer patient.

4) Jocelyn Harding: Supporting the dental team with the mouth care of a head and neck cancer patient.

5) Mrs Elaine Tilling: Smoking and Vaping.. The Good, the Bad and the Ugly.

6) Mr Mike Heffernan and Mr Toby Edwards-Lunn: Dry Mouth and Aging: What Does This Mean or Caries Management of Biofilm, Teeth and Restorations?

7) Mr Andrew Barber: How Can the Restorative Dentistry Specialist Help the Head and Neck Cancer Team? Oral Rehabilitation, Dental Implants and Maxillofacial Prosthodontics.

8) Ms Katy Spicer: Oral Cancer and the Humble Obturator.

  • To provide the dental team with an update on the care and journey of the mouth cancer patient. The day will incorporate case studies and how you can learn from past circumstances.
  • To understand the importance of the dental team in early detection
  • To understand the journey of a head and neck cancer patient in secondary care.
  • To appreciate the personal journey of a head and neck cancer patient.
  • To feel better equipped with the oral care of head and neck cancer patients
  • To have a better understanding of smoking and vaping
  • To understand the affects of dry mouth through aging and polypharmacy and practical steps which can be offered.
  • To appreciate the role of the Restorative Consultant and Maxillofacial Prosthetist team.

Joss Harding

Jocelyn started her dental career in the Royal Navy in 1987, qualifying as a dental hygienist in 1992. Since 2007, Jocelyn has been part of the team at Confident Dental and Implant Clinic in Gloucestershire. 2018, Jocelyn won The Probe Dental Hygienist of the Year and Phillips Shineon Awards. Jocelyn represented the BSDHT, updating the 2021 GOV.UK DBOH guidelines in the prevention and early detection of mouth cancer.

Being a part of the United Kingdom Oral Management in Cancer care group (UKOMIC) further demonstrates her dedication to oral health in cancer care. Jocelyn's contributions to medical and dental publications nationally and internationally since 2016 reflect her commitment to sharing knowledge and expertise with the broader professional community.

2023 has been a fantastic year in Jocelyn's professional career. She became President-Elect of the Mouth Cancer Foundation, completed her MSc in Advanced and Specialist Healthcare at Kent University and offered a College of General Dentistry Fellowship. Jocelyn is delighted to have a peer-reviewed textbook published this year by Wiley, "Care of Head and Neck Cancer Patients", with royalties donated to charity.

Greg Knepil

Born in Glasgow, married with twins. Hobbies, family, cycling, and nurturing my microbiome. I studied Dentistry in Edinburgh (graduated in its penultimate year, 1993), then Medicine at St Andrews and Manchester (graduated in 1999). I went on to a surgical rotation in Nottingham, extending as a trainee in plastic surgery, before going to Australia to the Sydney Head and Neck, and Melanoma unit. I returned to the UK to undertake higher surgical training in OMFS on the North Yorkshire rotation, which also included some training, in centres of excellence (sialendoscopy, microvascular, and orthognathic) in Germany before taking up the post of Consultant OMFS in Gloucestershire. On my appointment in Gloucestershire, I joined the teaching faculty for the University of Bristol Medical School as an Honorary Senior Lecturer and head of Medicine and Surgery for the Gloucestershire Academy. After several years in this post, I moved on to formal academic research run jointly with the University of Gloucestershire into the patient experience of facial deformity surgery, which we have published and presented internationally. Clinically, I have developed the Sialendoscopy service in Gloucestershire from scratch, and I now accept referrals from Plymouth to Birmingham, in addition to a busy orthognathic and skin cancer service.

Andrew Barber

Andrew is a Specialist in Restorative Dentistry, Prosthodontics and Periodontics in a multi-disciplinary specialist practice in Cheltenham. He worked as a Consultant in Restorative Dentistry for 10 years, most notably at Addenbrooke’s, Cambridge University Hospital, where he led the dental implant programme and managed patients affected by Cleft Lip and Palate, Head and Neck Cancer and Complex Hypodontia requiring multidisciplinary specialist care.

He teaches on the Dental Implantology Masters degree course at the University of Bristol and regularly provides mentoring and training courses for general dentists. Andrew has 19 years experience in general, private and specialist aesthetic dentistry and focuses his private practice on dental implants, prosthodontics and regenerative periodontology.

Philip Lewis

Philip qualified at Kings College, London. He has worked in general practice and as a clinical assistant in the hospital service.

He takes a keen interest in postgraduate education, development of the dental team and public awareness of dental issues. He was a founder member and first chairman of Somerset Independent Dentists.

Philip is on the Editorial Advisory Board of both Private Dentistry and Aesthetic Dentistry Today magazines and is a long-serving member of the British Dental Association where he currently acts as a media spokesperson. He has been interviewed on radio and TV and has given talks to the public on a range of dental subjects.

Philip has received awards for commitment to postgraduate education, and belongs to a number of professional dental societies. He formerly served on the Board of the British Academy of Cosmetic Dentistry and was General Secretary of the European Society of Cosmetic Dentistry.

He has published numerous dental articles, been short listed in the Dentist of the Year Awards and has lectured to other dentists on a range of subjects including clinical innovations and practice management issues both in the UK and internationally.

For more than 20 years he has been closely involved with the early detection of mouth cancer, writing articles, lecturing regularly and training dental teams.

He served a three year term as President of the Mouth Cancer Foundation until 2023 and remains an active member of the Charity. Philip also runs a private dental practice on the Isle of Wight.

Roy Anthony

“I was born in Gloucester when the Romans were still around into a RAF family. I joined the RAF in 1975 and qualified as a Dental Hygienist in 1978. I served in a variety of places but notably in Berlin from 81-84, the RAF’s London Dental Centre in Harley Street and Cyprus from 85-88 - wonderful times. I met my wife, Alison, in Cyprus and when I left the RAF in 1988 we moved to her home region, the north east. I worked across Teesside, taught in Newcastle Dental Hospital, had my own lecturing business, bought a dental practice, sold a dental practice and was then diagnosed with cancer. COVID arrived and dentistry was put on hold and I went and joined the Ambulance Service during the pandemic. A friend called and asked if I’d be interested in joining the Oral Health Promotion team and that is where I am now working to reduce the incidence of tooth decay among children and vulnerable adults.”

Katy Spicer

Katy Spicer is a Maxillofacial Prosthetist from Gloucestershire Hospitals NHS Foundation Trust with over 30 years of experience.

Katy began working in the Oral and Maxillofacial Laboratory at Gloucestershire Royal Hospital in 2005 where she joined the team as a senior orthodontic technician after training and working at Bristol Dental Hospital.

Soon after joining the laboratory, Katy began training as a Maxillofacial Prosthetist at Manchester Metropolitan University and subsequently qualified in 2007.

Katy has provided clinical and technical support to patients and clinical colleagues in the specialism of oral cancer rehabilitation since 2012. She has been involved with the training of reconstructive scientists for the past 10 years and also teaches MSC students at Cardiff University.

With many years of experience behind her, Katy aims to establish an oral rehabilitation training course over the coming years to impart her attained knowledge and skillset to fellow colleagues and trainees.

Elaine Tilling

Elaine qualified in the Royal Air Force in 1982. She has been an active member of BSDHT since that time serving as a Regional Officer, Military Representative to Council, the Elected Members' Representative to Council and as Council's representative to the Executive Committee of the BDHA (now BSDHT), from which she was additionally co-opted onto a guideline development group for the Institute of Clinical Excellence (NICE). Elaine continues to teach and present on various subjects, speaking at many Regional, National & international conferences. She has just left the role of Education and Project Manager for TePe Oral Hygiene Products Ltd after 21 years ,where she was involved with designing and implementing educational programmes for the dental profession. Continuing to serve as an expert member of NICE for smoking cessation she successfully combined her commercial role with her passion for public health.

An experience if reluctant author Elaine has contributed to clinical teaching text chapters on behavioural change, the patient’s role in home care and smoking and vaping impacts on oral health.

Elaine has also served on the National Oral Health Promotion Group committee and is a Past President of the Institute of Health Promotion and Education and a Fellow of the Society of British Dental Nursing.

Mike Hefferman

Michael and Toby are both practicing dentists and co-founders of Dr Heffs. They created Remarkable Mints - research-driven but elegantly simple and an enjoyable way to prevent caries, tooth erosion and help with dry mouth in harmony with the oral microbiome for the aging population.

Michael Heffernan is a clinical lecturer at UCL (Eastman Dental Institute) and specialist prosthodontist. He graduated from Guy’s Hospital (UK) and completed his Masters Degree in Prosthodontics at the University of Iowa (USA). His research won the prestigious John J. Sharry Research Prize from the American College of Prosthodontists. Michael was awarded a scholarship at the University of Florida in a dedicated implant fellowship. He returned to the UK and works clinically as a Specialist Prosthodontist. He has lectured internationally on implant dentistry and co-founded Dr Heff’s Remarkable Mints in 2014. His passion remains in research and spreading the preventative dentistry message.

Toby Edwards-Lunn

Michael and Toby are both practicing dentists and co-founders of Dr Heffs. They created Remarkable Mints - research-driven but elegantly simple and an enjoyable way to prevent caries, tooth erosion and help with dry mouth in harmony with the oral microbiome for the aging population.

Toby is part owner of a private general practice in Eastbourne East Sussex. He qualified from Guys in 2000 and was awarded his MRFDS RCS in 2005. Since then, he has based himself in general practice at West Terrace in Eastbourne. His practice has strong preventative emphasis utilizing a team approach in all aspects of dentistry. He passionately believes in enabling his patients to get involved in all aspects of their oral well being by educating them and ensuring a strong working relationship between patient and clinician. In 2016 he joined forces with Mike Heffernan to create Dr Heff’s Remarkable mints after seeing how there was space for all day protection for teeth.


09:30 - 11:00, General Dentist ; Maxillofacial Surgeon

11:30 - 13:00, Patient Experience ; Mouth Care

14:00 - 15:15, Smoking Cessation ; Caries Management

15:45 - 17:00, Maxillofacial Restorative ; Specialist Maxillofacial Prosthetist Technologist

GDC outcomes