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Dentine Hypersensitivity - What are your patients not telling you?

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* 1. Your details

First name:

Surname:

Practice Name:

Practice Address:

Practice Town:

Practice Postcode:

GDC Number:

Email Address:

At Colgate-Palmolive we take your privacy very seriously. Any personal data you provide to us will be treated confidentially and will not be passed onto any other company for marketing purposes. Our privacy policy can be found at www.colgatepalmolive.co.uk/legal-privacy-policy/privacy-policy. This data is being processed on behalf of Colgate-Palmolive by VSM Healthcare whose data usage policy can be found at www.vsmhealthcare.com/datausagepolicy.

Please answer all questions below

Enhanced CPD Questions

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* 2. What percentage of sensitivity sufferers don’t report their pain?

75%

50%

25%

15%

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* 3. Colgate® Sensitive Pro-Relief superior occlusion technology provides what percentage of dentine occlusion?

91%

81%

51%

31%

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* 4. Over what percentage of reduction in gum problems is achieved after 6 months use of Colgate® Sensitive Pro-Relief Repair & Prevent toothpaste?

30%

25%

15%

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* 5. Which of the following can lead to dentine hypersensitivity?

Gingival recession

Scaling and root planning

Professional whitening

All of the above

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* 6. 93% of respondents of a recent patient experience programme confirmed reduced dentine hypersensitivity with Colgate® Sensitive Pro-Relief Repair & Prevent toothpaste

True

False

The presentation met the following learning outcomes:

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* 7. To understand the prevalence of dentine hypersensitivity and how to identify this patient group

5 Strongly agree

1 Strongly disagree

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* 8. Be able to describe the role of Pro-Argin technology for effective management of dentine hypersensitivity

5 Strongly agree

1 Strongly disagree

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* 9. To explore the Colgate sensitive toothpaste portfolio

5 Strongly agree

1 Strongly disagree

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* 10. The anticipated enhanced CPD hours for this activity was 1 hr. How many enhanced CPD hours are you claiming for your participation in this activity?

0.50 hrs

0.75 hrs

1 hr

Other (please specify)

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* 11. Would you like to receive patient samples of Colgate® Sensitive Pro-Relief toothpaste for your practice?*

Yes

*Subject to availability

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* 12. What other topics would you like to be added to Colgate's enhanced CPD programme?

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* 13. How might the Colgate enhanced CPD online programmes be improved?

A certificate of attendance with learning outcomes and reflective questions will be forwarded to the email address supplied within 14 days. *One box of Colgate® Sensitive Pro-Relief toothpaste patient samples will be sent out to your practice address provided above within the next 30 days. Subject to availability.