Professor Derrick Setchell Restorative Dentistry: Where have we been and where are we going? Tuesday 6th December 2011 At the end of a long career as a practising clinician and clinical teacher of graduate students, it is timely to take a personal look back at the factors which have shaped the development of restorative care in one professional lifetime and consider where they appear to be taking us today. Learning Objectives Briefly to review the dental health patterns, technical developments and professional preoccupations that have shaped the clinical practice of restorative dentistry. To consider the impact of changes from a pattern of care based on perceived clinical needs to one increasingly driven by patient aspirations. To speculate and comment on future problems and possible solutions in the field. Biography Derrick retired as Head of Prosthodontics and Chairman of the Division of Restorative Dental Sciences, UCL Eastman Dental Institute in September 2009, remaining an Hon. Professor of UCL and Hon. Consultant, Eastman Dental Hospital. Best known for his work as Programme Director for the Master of Clinical Dentistry in Prosthodontics, the specialist training programme in Prosthodontics, MSc in Conservative Dentistry, PG Certificate and Diploma in Restorative Dental Practice, his teaching career spans 35 years at the Eastman, all but two of them full-time. A graduate of UCH (1971) he obtained a Harkness Fellowship of the Commonwealth Fund of New York to study for the MS in Restorative Dentistry, University of Michigan in 1974. A Fellow in Dental Surgery of the RCS Edinburgh, RCS England ad eundum and FFGDP (UK) ad eundum, he is registered with the GDC as a specialist in Restorative Dentistry and Prosthodontics. As a teacher of graduate students with emphasis on the practical clinical aspects of fixed prosthodontics, he considers himself a "wet-fingered" academic but has also supervised the research projects of more than 100 postgraduates. His research interests are occlusion, the performance of operators and long-term survival of restorations. Clinically, his experience is in fixed and implant reconstruction of extensive or difficult cases in the context of multi-disciplinary care. He has lectured in many countries, but favours "hands on" learning and teaching, from which dentists learn more effectively. He has addressed national meetings in the USA, Australia, Singapore, Malaysia and Ireland and taught in Singapore, Indonesia and South Africa.