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Collaborative Surgery:
ProSthetiCS and imPlantology
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Contents ISSUE 6/2012 (No.33)
features 14 16 18 24 26
Q & M Dental Launches Takeover Bid for Singapore Medical Group Collaborative Surgery: Prosthetics and Implantology Adhesive Cementation of Ceramic Onlays Survey: We Trust Dentist More Than Doctor Groundbreaking Oral Health Curriculum
Product finder 8-12 • • • • •
IPS 99: Tailored to Meet Individual Requirements ZENOSTAR Restorations T3 Handpieces VistaCam iX Intraoral Camera TiUnite Implant Surface Data Reaffirms Performance
uPdate 28-35 • • • • • • • • •
Social Media for Dentists FDI Launches Vision 2020 Ivoclar Vivadent to Acquire Wieland Dental Normal Physical Development in Children Treated with Composites or Amalgam Sirona Announces Succession Plan World Oral Health Day: 20 March Enhancing Oral Health via Sense of Coherence Videos for Treatment Center Users ADA Appoints First Female President
dePartMents 6 36 38 40 42 44
EDITORIAL DPN NETWORK DENTAL STATS PATIENT EDUCATION LIFESTYLE DENTAL EVENTS
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Cover photo: courtesy of t32 dental centre, singapore
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EDITORIAL
6
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Study Club
As part of our Training & Education services for dental professionals, Dental Practice News (DPN) will organize seminars, workshops and courses for continuing dental education in the region. Among the key countries where the training programs will be conducted are in Singapore, Malaysia, Indonesia and Philippines. The dental training programs and courses include Esthetic & Restorative Dentistry, Implant Dentistry, CAD/CAM-Digital Dentistry and Practice Management. Participants will learn from experienced multi-disciplinary team of specialists involved in conducting such training programs and courses. Take the Implant Dentistry course, for example. A prosthodontist, a periodontist and an oral surgeon make up the team for the Implant Dentistry course. Training under a team of specialists will allow participants to learn the unique strengths of each specialty. A prosthodontist can teach many aspect of restoring implant prosthesis; a periodontist can impart the skills in management of soft tissue around implants; and an oral surgeon can discuss techniques of bone grafting in great detail. For the Implant Dentistry training program, the course aims to train participants in the basic surgical and prosthodontic skills of implant dentistry. In addition, the course emphasizes strongly on the advanced surgical and prosthodontic skills required for esthetic implant restorations. The upcoming dental training programs and courses will be updated regularly on our Facebook page: The Leading Dentist (www.facebook.com/TheLeadingDentist). To join our DPN Study Club and receive updates on dental seminars and courses, please email to: dentalnetworkasia@gmail.com
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IPS 99: Tailored to Meet Individual Requirements Ivoclar Vivadent has introduces its new metal-ceramic, IPS 99, in two versions: IPS 99 One is the new ceramic for quick and efficient single-layer applications and IPS 99 Ceram is designed for the conventional individualized layering technique. These metal-ceramic materials meet the demands for economic efficiency, esthetics and reliability, according to Ivoclar Vivadent. The IPS 99 metal-ceramic is especially suited for the efficient fabrication of natural- looking restorations. It offers a versatile range of processing possibilities and a high degree of tolerance. The outstanding firing stability and minimal shrinkage of the ceramic ensure increased reliability during the layering procedure.
monochromatic shade effect of IPS 99 One. This eliminates potential errors. Given its especially coordinated properties, the IPS 99 One Dentcisal one-layer ceramic allows true-to-nature shade reproductions to be achieved easily. Restorations receive their final touch with the application of Shades and Stains. IPS 99 Ceram is designed for the fabrication of esthetic metal-ceramic restorations. A wide range of materials in A–D and Bleach shades are available to accomplish restorations in the conventional layering technique. This material offers a versatile array of applications, ranging from straightforward layering techniques to the application of special effects – the latter can be achieved with a comprehensive assortment of additional materials. The Opal and Translucent materials, for instance, allow users to accurately reproduce individual details and special shade characteristics. www.ivoclarvivadent.com
IPS 99 One enables users to create restorations quickly and efficiently with a single layer. Creating complex layering patterns has become obsolete due to the
Products of the IPS 99 line (from left to right): IPS 99 One Dentcisal, IPS 99 Build-Up Liquid, IPS 99 Paste Opaquer, IPS 99 Ceram Transpa Incisal and IPS 99 Ceram Dentin.
ZENOSTAR RESTORATIONS ZENOSTAR can be used to make economical monolithic crown and bridge restorations and esthetic frameworks for individualized ceramic veneering, according to manufacturer Wieland Dental. The ZENOSTAR Art Module comprising stains, spray glaze and one-layer ceramic is coordinated to the base material and contains all the key components required to make natural-looking and highly esthetic dental restorations. The fast and easy to reproduce the 16 + 4 tooth shades from just four basic shades: ZENOSTAR Zr Translucent pure, light, medium und intense. Up to 64% more light transmission and a gentle, minimally invasive preparation with less loss of tooth substance and a minimum wall thickness of as little as 0.4mm enable impressive natural esthetics to be achieved when making full-contour restorations. Optimized production processes increase the flexural strength by 40% to up to 1400 MPa. A 5-year mastication study has shown that abrasion is similar to that of natural dentine.
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PRODUCTfINDER
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T3 HaNDPieces The newly introduced economy-class T3 augments Sirona’s existing portfolio of straight and contra-angle handpieces and is based on the success of the premium-class T1 and comfort-class T2. The functions of the T3 have been reduced to the essentials, thus delivering value for money, according to Sirona. “With the T3 we have extended our handpiece portfolio in terms of breadth and depth,” says frank Peichl, product manager at Sirona. “Regardless the concept a dentist opts for in his or her practice, we are now positioned to supply the right handpieces. following the introduction of the T3 alongside the existing T1 and T2 models our portfolio of straight and contra-angle handpieces is now complete.” In all three classes Sirona says it has maintained its dedication to quality, hygiene, design and ergonomics. The experience gained with the T1 class has been transferred to the extended and differentiated product portfolio. Hygiene is a good example. Like its predecessors, the T3 handpieces are equipped with an anti-retraction system and can be sterilized/thermally disinfected up to a maximum temperature of 134 °C. The manufacturer’s outstanding technical know-how manifests itself in the economy-
class T3 handpieces, according to Sirona. The indestructible titanium sleeve and the ceramic ball bearings stand for advanced technology “made in Germany” and enable dentists to achieve dependable results across a broad spectrum of applications. In combination with the ISO interface the robust T3 handpieces are compatible with all conventional micromotors and thus universally deployable. Sirona adds that users of the T3 economy-class handpieces are in a position to achieve high-precision preparations and optimum treatment results.
Vistacam iX iNTraoral camera The VistaCam iX is characterized by its diversity – it offers brilliant intraoral and macro images as well as fluorescent images for the diagnosis of caries, including a software-based evaluation, according to manufacturer Dürr Dental. The camera is now available with another new feature: polymerisation. The new “poly- interchangeable head” is equipped with the latest LED technology and a soft start function. It can be used for the polymerisation of all common dental materials. The VistaCam iX automatically detects the head once plugged in so that the dental staff can immediately start with the light curing process - “Plug & Play”. furthermore, a motion sensor enables the automatic on and off function of the camera. Due to the disconnecting ability directly at the tool holder, the intraoral camera is ideally suited for multi-room practices.
The VistaCam iX is characterized not only by its functionality, but also meets all ergonomic requirements, and has won several awards including the “if product design award” and the “reddot design award”.
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TiUniTe Implant Surface Data reaffIrmS performance the longest follow-up data for the tiunite implant surface was presented by Dr roland Glauser with an 11-year tiunite publication at the recent annual Scientific congress of the european association of osseointegration (eao) in copenhagen, Denmark. the latest data is a follow-up to his publication in clinical Implant Dentistry and related research, “Implants with an oxidized Surface placed predominately in Soft Bone Quality and Subjected to Immediate occlusal loading: results from a 7-Year clinical follow-up.” Dr Glauser reported stable bone levels over 11 years, completely in line with his earlier findings.1 these results follow two recent 10-year publications which also displayed tiunite’s strong performance and long-term efficacy. Both studies were made available in early 2012 also in clinical Implant Dentistry and related research. the first from Drs marco Degidi, Diego nardi and adriano piattelli and the second from Drs pär-olov Östman, mats Hellman and lars Sennerby.2, 3 excellent results for implants with conical connection nobelactive, which had its new 3mm version named “Best product 2012” in the September issue of Dental product Shopper, was the subject of a study recently published in the International Journal of oral & maxillofacial Implants entitled, “two-year evaluation of a Variable-thread tapered Implant in extraction Sites with Immediate temporization: a multicenter clinical trial.” the study showed that nobelactive can be used safely and effectively under demanding conditions such as immediate post-extraction tooth replacement. a cumulative survival rate (cSr) of 98.3% after two years was revealed after gathering data from six centers, 55 patients and 60 implants. minimal marginal bone remodeling was shown in the first year followed by increasing bone levels thereafter. the mean marginal bone remodeling from implant insertion to one year was -0.22 ± 1.30 mm (n = 41), followed by an average bone gain of 0.12 ± 0.77 mm (n = 33) between 12 and 24 months. mean marginal bone remodeling was -0.10 ± 1.38 mm (n = 35) from implant
productfinder
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insertion to two years. a significant increase in papilla size was reported along with considerable improvement in patient assessment of function, esthetics and self-esteem.4 two recent one-year follow-up reports for nobelreplace conical connection have shown excellent esthetic results and marginal bone maintenance. Dr robert nölken and professor alessandro pozzi both confirmed in separate reports the effectiveness of the tightly sealed conical connection for soft tissue health and reported wellmaintained marginal bone levels after one year.5 References 1 Glauser, r. (2011), Implants with an oxidized Surface placed predominately in Soft Bone Quality and Subjected to Immediate occlusal loading: results from a 7-Year clinical follow-up. clin Implant Dent relat res. 2 Degidi, m., nardi, D. and piattelli, a. (2012), 10-Year follow-up of Immediately loaded Implants with tiunite porous anodized Surface. clin Implant Dent relat res. 3 Östman, p.-o., Hellman, m. and Sennerby, l. (2012), ten Years later. results from a prospective Singlecentre clinical Study on 121 oxidized (tiunite) Brånemark Implants in 46 patients. clin Implant Dent relat res. 4 mcallister BS, cherry Je, Kolinski ml, parrish KD, pumphrey DW, Schroering rl (2012), two-year evaluation of a Variable-thread tapered Implant in extraction Sites with Immediate temporization: a multicenter clinical trial. Int J oral maxillofac Implants. 5 Data on file
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Q & M DenTAL
LAuncHeS TAkeover BiD For
SinGApore MeDicAL Group Singapore-based Q & M Dental Group has announced a takeover bid of about S$22.65 million for Singapore Medical Group Limited (SMG). The move accelerates Q & M’s access into the lucrative multi-disciplinary specialist medical practice in the region. Q & M, the largest private dental healthcare group in Singapore providing both general practitioner and specialist services, is offering S$0.1323 for each share of SMG. The offer price is a 41 per cent premium over SMG’s last traded share price of S$0.094 on 21 December 2012. As at 30 June 2012, the book value and net tangible asset value of SMG shares was about S$4.23 million respectively. Based on the weighted average share price of SMG on 21 December 2012, the market value of SMG shares was about S$13.69 million. Q & M will purchase a 72.57 per cent stake from two substantial shareholders of SMG – Felix Huang and Dr Xiaoyan Baumann Geb Bi – for a total price of S$13.99
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million. Huang is the chairman of SMG while Dr Baumann is the chief executive officer. The proposed transaction triggers a mandatory general offer for the remaining shares of SMG at S$0.1323 a share. Barring any unforeseen circumstances, the proposed deal is expected to complete in second quarter of 2013. To finance the proposed deal, Q & M will mainly use proceeds from placement of shares, together with internal funds and current credit lines. in tandem with its strategy of
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expansion overseas, Q&M has been considering the expansion of its business into allied areas, where its resources and experience can be used to best effect. A natural expansion is in the field of medical services. Founder and ceo of Q & M Dr ng chin Siau said: “We are pleased and excited to embark on a new chapter with SMG. This significant milestone gives us a good platform to springboard into the medical scene as we plan to set up a chain of general medical practices in the near future.
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“The existing team and viable operational structures within SMG give us a good start. With this in mind, we intend to strengthen and cement our presence as one of the leading medical groups in the region that delivers continued excellence through gold standards in care.” The proposed deal is expected to create a regional healthcare group that offers comprehensive and holistic medical care from unique specialty centers of excellence, in line with the trend of increasing consumer expenditure on healthcare services, longer life expectancy among Asians and stronger purchasing power in Asia. SMG currently operates 15 medical clinics in Singapore which are categorized into four medical clusters: eye, Aesthetics, orthopaedic and Sports, and critical illness. Both Q & M and SMG will complement its current businesses and operations through the sharing of resources such as premises, supporting staff and management, and enhancing the availability of specialty dental and medical care to their combined pool of patients. SMG currently has a patient database in excess of 80,000, while Q & M has more than 450,000 patients in its database. Associate professor patrick Tseng, chief Dental officer, Ministry of Health, said: “We are encouraged by the joining of Q & M and SMG as this collaboration provides for seamless integration of both medical and dental services, especially in cases such as medically compromised patient where the patient is able to access and address both their medical and dental problems in one-stop. This deal will also provide patients with ready access to the holistic management of their medical and dental needs and will certainly improve accessibility for the public at large.”
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Collaborative Surgery:
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ProSthetiCS and imPlantology
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Photo: T32 Dental Centre
the dental industry supports such combined dental surgery-lab teams by providing them with a steady stream of new developments in all areas of the two disciplines. examples of this include enhanced software, innovative materials and improved interfaces. From 12-16 march 2013, the iDS in Cologne, germany, will enable visitors to experience first-hand the manufacturers’ innovations in dental implants. For some time now, there’s been a strong trend towards digitization, involving planning software, drill templates made with the aid of computers and CaD/Cam-produced implant superstructures. today, these techniques greatly simplify processes during implantological and prosthetic surgery and also allow dentists to increasingly involve patients in the planning process. all of this ultimately leads to highquality results in line with the patient’s wishes and financial means. navigated implantology and backward planning are the key buzzwords when preparing to insert implants. Key manufacturing techniques can often be used today for prosthetics that are directly screwed on to implants. What’s more, their cost efficiency has recently been improved further. bridges and bridge superstructures, for example, can now be created on the basis of a single dataset.
Cooperation between dentists and dental technicians; networked production paths; backward planning to create successful concepts; zirconium oxide to boost flexibility… these are among the key topics at the upcoming international Dental Show (iDS). Dentists and dental technicians have to work together closely so that prosthetics and implantology can be successfully combined.
Esthetic implants Following consultation with the responsible dental technician specialized planning or cutting centers can supply labs with precise shapes that serve as an ideal basis for creating esthetically perfect implants. if a patient wants to have esthetically outstanding dental crowns and bridges, many dental technicians like to use zirconium oxide, particularly since this material ensures a high level of flexibility. Zirconium oxide’s versatility enables dental technicians to offer pricecoordinated solutions. Depending on the patient’s financial means, dental technicians can either create fully anatomical solutions or dental work with full or partial veneers.
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the large number of variants also helps to win over new target groups for prosthetic implants. the dental industry is supporting this growing trend with a steady stream of new developments for prosthetics as well as for implantology. every two years, manufacturers present state-of-the-art technology at the world’s biggest trade fair for the sector: iDS in Cologne. this event for dentists and dental technicians features around 2,000 exhibitors on 150,000 m² as well as a comprehensive supporting program that includes numerous product presentations and specialist lectures. “it’s particularly enjoyable to head to Cologne as part of a combined team of dentists and dental technicians. that’s because the cooperation of people from labs and dental surgeries is particularly important when dealing with prosthetic implants,” says Dr markus heibach, president of the vDDi. “iDS contributes substantially to making this dialogue a success. the fair brings the various members of the dental sector together on equal terms and at the same time serves as a stage for innovations that promote collaboration between labs and dental surgeries.” the international Dental Show (iDS) is held in Cologne every two years. the event is organized by the gesellschaft zur Förderung der Dental-industrie (Society for the Promotion of the Dental industry, gFDi) and the commercial enterprise of the association of german Dental manufacturers (vDDi). the trade fair is staged by Koelnmesse, Cologne.
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CaseReport
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AdHeSIVe CeMeNTATION OF CerAMIC ONlAyS AuthoR:
DR EDuARDo MAhn (SAntiAgo, ChilE) 1
THe BeST COMBINATION OF PreSerVATION OF deNTAl TISSue, MeCHANICAl reSISTANCe ANd eSTHeTICS IN THe POSTerIOr regION. Over the years a great deal has been said about the benefits of amalgam restorations and their long service life. By contrast, direct composites have been stigmatized as an inferior material in the posterior area. However, there are two indisputable advantages of composites: their esthetics and adhesion to dental tissues. The same has happened with indirect restorations. For years it has been argued that indirect restorations made of alloys with a high gold content are the gold standard and that indirect ceramic restorations are an inferior option in terms of durability. In the early stages this was undoubtedly the case, as proved by several studies. However, enormous technological advances have been made in new ceramic materials and adhesive cements. In recent years, more resistant ceramics with similar optical characteristics to lithium disilicate (IPS e.max system, Ivoclar Vivadent) have been developed. In addition, resin cements have improved in terms of their adhesion to different materials and the necessary steps for cementing onto enamel and dentin have been simplified. Furthermore their adhesion to dental tissues has increased, which is reflected in higher shear resistance in laboratory tests, as in the case of Multilink N (Ivoclar Vivadent). This self-curing luting composite with a light-curing option is a universal cement indicated for cementing all types of indirect restorations made of metal, metal-ceramic, lithium disilicate and all-ceramics (zirconia- and alumina-based). It offers excellent adhesion to various dental materials, on the one hand combined with a silane (Monobond-S) for the
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2
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various glass-ceramics and, on the other hand, combined with Metal/Zirconia Primer for metal and oxide ceramic restorations. The self-etching Multilink N Primer A+B greatly simplifies the cementation process because it avoids the use of phosphoric acid. The combination of simplification, universality and resistance makes this cement the most widely indicated for the posterior region, as we will see in the following case study. Case study A classic restorative problem that we encounter nearly every day is what to do after the removal of extensive and longstanding amalgam restorations. The original defect left by the retentive
and aggressive preparation necessary for the amalgam, combined with the defective margins and caries adjacent to the restorations, means that the quantity of useful dental tissue remaining is generally minimal (Fig. 1). Before amalgam is removed, it is always advisable to use a rubber dam (Optradam) (Fig. 2). This allows better visibility and control, while protecting the patient against amalgam powder generated during its removal. After removal of the restorations and any remaining caries, immediate dentin sealing was performed and a liquid resin was applied as a liner to fill the retentive areas left from the old amalgam preparations (Fig. 3). We subsequently took impressions and the laboratory fabricated lithium
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4a 4b 5
disilicate ceramic onlays (IPS e.max Press) (Fig. 4). In the next session, once the fit of the restorations had been checked in the mouth, we performed etching with hydrofluoric acid for 20 seconds and salinization with Monobond-S for 60 seconds (Fig. 5-6). It is important to realize that H2O is released in the chemical reaction of salinization and, given the hydrophobic characteristics of the luting composite, this must be fully evaporated. The next step is to mix Multilink N Primer A+B and apply it to the preparations for 15 seconds (Fig. 7).
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The onlay is then held close to the cavity and Multilink N is applied directly onto the onlay. This step is made easier by the automix syringe containing the cement, which allows direct application to the restoration. It is important to bear in mind that curing of Multilink N cement is accelerated on contact with Multilink N Primer A+B, previously mixed and placed in the cavity (Fig. 8 a-d). The cement is briefly cured for 2 seconds in order to assist the removal of excess, while pressure is maintained on the onlay (Fig. 9). The semi-plastic excess cement
is easy to remove with a curette or Jacquette-type sharp instrument (Fig. 10 a-c). Once the excess of Multilink N has been removed, the restoration margins are protected against oxygen with liquid Strip (Ivoclar Vivadent) and final curing takes place (Fig. 11). Figure 12 shows the view of the 4 onlays after cementation. The use of a rubber dam made it easy to remove the excess cement without any risk of contamination. The ceramic onlays after polishing of the margins can be seen in Figures 13a and 13b.
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8b
8a 8c
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The ceramic restorations blend seamlessly with the natural dentition due to the esthetics of the cement. The use of ceramic onlays in the posterior region is the treatment of choice in this type of case, in view of the durability they offer and the preservation of dental tissue made possible by the adhesive cementation with materials such as Multilink N.
9 10a 10b 10c
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11 12 13a 3b
1
2
3
defective amalgam restorations after several years in the mouth. The small quantity of remaining dental tissue can be noted.
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The use of a rubber dam (Optradam) is advisable for safer and more convenient removal of the restorations.
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Salinization with Monobond-S for 60 seconds.
7
Application of self-etching Multilink N Primer A+B to the preparations.
Preparations after dentin sealing and application of a flowable composite (Tetric N-Flow) as a liner. Note the minimally invasive preparations compared with the removal of dental hard tissue that would have been necessary for a crown.
lithium disilicate onlays (IPS e.max Press, MdT dieter gr端bel) etching with hydrofluoric acid for 20 seconds.
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8
a-d
Cementation: the onlay is held close to the preparation while the luting composite is applied to the onlay and the preparation in order to ensure that the excess flows and bubbles are thereby avoided.
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The excess cement is briefly cured for 1-2 seconds.
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removal of excess material.
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After application of an oxygen blocker (liquid Strip, Ivoclar Vivadent), the cement is finally light-cured.
12
View of the onlays immediately after cementation and after the removal of excess.
13 a-b
Perfect integration of the onlays after final polishing.
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Survey:
We TruST Dentist More Than DocTor There is a long held view of the traditional family General Practitioner widely trusted within the community, always on hand to dish out advice. But new research in the uK reveals that dentists are winning the race for trust, as 88 per cent of people surveyed in a new poll confirmed that they have a very high degree of trust in their dentist, even greater than in their doctor. The poll, conducted by Bray Leino, also revealed twice as many people (19.7 per cent) value their relationship with their dentist over their doctor (9.9 per cent). The level of trust is reflected in the amount of people following advice from their dentist, with more than three in four people (76.4 per cent) deciding how often they went for a check-up based on when their dentist recommended. It isn’t all good news, as the research also points to almost two in every three people not visiting the dentist for at least three years, while more than one in four people (27 per cent) who don’t visit their dentist cite fear as the reason for not doing so.
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Psychologist emma Kenny explained: “Trust underpins much of our motivation in life; when we feel that someone is on our side and has our best interests at heart it makes sense that we will act in accordance with their suggestions. “Dentists are such important people in our lives for the whole of our lives, ensuring that our dental health and hygiene remain at a high level and encouraging good levels of self-esteem. It’s great to see how such important health professionals figure in the nation’s opinion.” chief executive of the British Dental health Foundation, Dr nigel carter, discussed the impact of the research on current attitudes towards oral care. Dr carter said: “The research is very encouraging. The excellent relationship that clearly exists between the patient and the dentist will hopefully result in oral health improvements throughout generations. “There is a culture developing where patients will only visit their doctor when there is a problem. It is reassuring to see so many people actively choosing to seek preventive measures rather than simply waiting for something to go wrong. Those who still choose not to visit their dentist may do so for genuine reasons, and fear certainly is one, but advances in technology and the number of nervous patients means more provisions than ever before are available to treat them. “The more the patient trusts their dentist, the more likely it is they will brush their teeth for two minutes twice a day using a fluoride toothpaste, cut down on how often they have sugary foods and drinks and, as the survey suggests, the
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more likely they are to visit their dentist regularly, as often as they recommend. and it doesn’t stop with advice. “an excellent level of trust and communication will mean both the patient and the dentist would be happier discussing treatments that aren’t quite as basic. If you trust your dentist, then even as purse strings continue to tighten, you’re more likely to follow their advice if they recommend a course of orthodontic or cosmetic treatment. The key is visiting as often as they recommend.” HPV and its link to mouth cancer another survey has suggested people are “poorly educated” when it comes to sexually transmitted diseases like human papilloma virus (hPv) and its link to mouth cancer only one in four (27.8 per cent) were able to identify hPv as a cause of mouth cancer while almost half (45 per cent) were unaware the sexually transmitted disease was contracted through unprotected sex. chief executive of the British Dental health Foundation, Dr nigel carter, said although knowledge of sexually transmitted diseases as a whole has improved over the years, awareness of hPv still falls woefully short. Dr carter said: “In the next decade, we are likely to see hPv rival smoking as the leading cause of mouth cancer, not only in the uK but around the world. unfortunately, our knowledge of this virus is extremely poor. “cases of mouth cancer have doubled
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in the last 30 years, coinciding with the rise of hPv, and strengthen the argument that there is not enough awareness of the risks we take when we have sex. By improving standards of sexual health education, young people are more likely to start their sexual relationships safely and continue the practice later in to life.” In the uK, around one in five mouth cancer cases are predicted to be as a result of the hPv infection. Both the number of sexual partners a person has throughout their lifetime, along with their age at sexual debut, has been associated with sexuallytransmitted hPv. “as the majority of hPv cases are seen in younger people, there has been a dramatic fall in the age of the average mouth cancer sufferer,” Dr carter added. “By increasing the quality of education in matters relating to contraception and safe sex, we can prevent many hPvrelated mouth cancer cases, and in turn save thousands of lives.” The survey, which questioned more than 2,000 adults as part of Mouth cancer action Month, found that almost two-thirds (63 per cent) did not know hPv was connected to oral sex while one in ten falsely believed diseases like syphilis (10.9 per cent) and chlamydia (10.5 per cent) were connected with mouth cancer. according to the latest figures 6,236 are diagnosed with mouth cancer in the uK every year. over two-thirds of cases diagnosed at a late stage, the chance of survival is reduced from 90 per cent to 50 per cent.
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GrOuNDbrEAkING The American Dental Association (ADA) has announced its official endorsement of “Smiles for Life,” the Society of Teachers of Family Medicine’s national online oral health curriculum. Funded by the National Interprofessional Initiative on Oral Health, the Smiles for Life curriculum was first released in 2005 and is now available in an interactive online 3rd edition. Smiles for Life is the nation’s most comprehensive and widely used oral health curriculum specifically designed by and for primary medical care clinicians. The endorsement came at the Interprofessional Initiative’s “2012 Symposium on Oral Health and Primary Care,” held in Leesburg, Va., October 7-9, 2012 and marks great progress toward ensuring all people at risk of dental disease get the benefit of preventive services that experts know can work. “Oral health is a key component of overall health. We are pleased to provide an opportunity for medical clinicians to learn to promote oral health as an integral part of primary medical care,” said Alan Douglass, M.D., Founding Editor of Smiles for Life.
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OrAL HEALTH CurrICuLuM “With physicians, nurses, physician assistants and other members of the primary care team joining the fight for oral health, we have a real chance to eradicate the silent epidemic of dental disease,” said Dr kathleen O’Loughlin, executive director of the ADA. “The dental profession looks favorably on the engagement of primary care clinicians who have contact with patients of all ages since they can greatly impact dental disease firsthand.” The ADA recognizes and commends the work of the Interprofessional Initiative for investing in the development of high quality tools like Smiles for Life and in opportunities for clinicians to learn about and prioritize oral health. This includes learning how to partner effectively with each other. The work aligns with the ADA’s strategic plan to collaborate across the spectrum of stakeholders outside of dentistry to improve public health outcomes. The Interprofessional Initiative’s goal is to improve access to oral health care and prevention for children, adults and families who are at high risk. It brings
together diverse stakeholders in the field of primary care clinician education and practice to create oral health solutions. The Interprofessional Initiative is funded by the DentaQuest Foundation, The Washington Dental Service Foundation and the Connecticut Health Foundation. “The ADA endorsement of the Smiles for Life curriculum is an important sign of support from the dental profession,” said ralph Fuccillo, president of the DentaQuest Foundation. “We are thrilled to have the ADA welcome new partners in prevention. We appreciate their recognition of the work of the Interprofessional Initiative and its partners to include oral health in the education and training of all primary care clinicians. “The Interprofessional Initiative is enacting real systems change to permanently alter the way that health professionals are educated about oral health; dental profession support is key to our success.” The 2012 Symposium on Oral Health and Primary Care, sponsored by the Interprofessional Initiative on Oral Health, was an opportunity for funders and representatives from dentistry, family medicine, pediatrics, nursing, physician assistant and pharmacy professions to come together to celebrate progress made and determine the most effective next steps to integrate oral health into primary care education and practice. The 2012 Symposium was the fifth in a series of these events. “We are seeing great progress as groups partner through the Interprofessional Initiative to prevent dental disease,” said Laura Smith,
president and CEO of the Washington Dental Service Foundation. “In Washington State, we’re excited by the possibility that primary care medical providers will be ready to work in partnership with dentists when they complete their education and start practicing. All patients will benefit from dentists and primary care medical clinicians sharing responsibility for preventing oral disease.” “An endorsement of the Smiles for Life curriculum from the ADA speaks volumes about the importance of educating the entire medical community about oral health,” said Patricia baker, president and CEO of the Connecticut Health Foundation. “We are thrilled to support the work of such an important initiative as we work together to end dental disease.” “The Interprofessional Initiative is forging common ground in the arena of Medical and Dental Collaboration, one of the six priority areas of the uS National Oral Health Alliance. This work is a concrete expression of what the Alliance hopes to make possible in all six of its priority areas,” said Dr Caswell Evans, Chair of the Alliance Founding board.
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socIaL MeDIa For DentIsts The American Dental Association (ADA) has published a new e-book to help dentists master their use of social media networks to promote their practices. “The ADA Practical Guide to Social Media Planning” (J054D) is downloadable in PDF format. It is US$9.95 for members and US$14.95 for non-members. The first edition guide is a resource that can be useful to both beginner and experienced social media users. Social media is becoming a popular platform where patients find and evaluate dentists. The guide e-book provides tutelage on using social media with existing communications and marketing plans.
It also includes: • details about how social media impacts business and why it’s important to participate • business-focused social media planning tips • general best practices that can be applied to any social media platform • tips about how to manage your professional reputation on social media sites • ADA resources to use on social platforms • helpful links for beginners • a goal planning worksheet • a content calendar template To purchase and download a copy of the social media guide, visit ADAcatalog.org.
FDI Launches VIsIon 2020 FDI World Federation has launched its Vision 2020 document during a session of the World Oral Health Forum last August. Vision 2020 was developed after nearly 12 months of sustained effort and debate by a specially-created Task Team. The general consensus was that it constitutes a good starting point for further reflection. The document provides a snapshot of current developments and trends in population, public health and dental medicine, analyses scenarios and highlights challenges and opportunities for the dental profession. Key eleMents oF VIsIon 2020 1. Meet the increasing need and demand for oral healthcare By 2020, inequities with regard to
access to oral healthcare will be substantially reduced and the global need and demand for oral healthcare more largely met. 2. expand the role of healthcare professionals By 2020, oral health will be fully recognized and accepted as a crucial part of overall health and well-being. 3. shape a responsive educational model By 2020, young graduates will benefit from responsive, dynamic and modular curricula, with a focus on extensive critical thinking and analytical skills as well as public health and trans-professional education.
4. Mitigate the impacts of socioeconomic dynamics By 2020, collaboration and partnerships between the private and public sector will have led to the inclusion of Oral Health in All Policies and the focus will shift to models viewing promotion, prevention, and treatment as equally important. 5. Foster fundamental and translational research and technology By 2020, major improvements in oral health will have been achieved and inequalities will have been reduced through research-led strategies for more effective disease prevention, with the integration of oral health into healthcare in general.
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IVocLar VIVaDent to acquIre WIeLanD DentaL Ivoclar Vivadent has announced the acquisition of Wieland Dental that will be completed in the fourth quarter of 2012. The transaction is still subject to approval by the German Federal Cartel Office. Ivoclar Vivadent will acquire the shares of BWK holding company and of the Wieland founding family. Wieland Dental, which employs 190 staff, achieved a sales volume of around 60 million euros in 2011. Ivoclar Vivadent is one of the leading dental companies in the world with a comprehensive range of products and systems for dentists and dental technicians. All-ceramics is one of the core competences of the company. With the takeover of Wieland Dental, the company strengthens its position in the field of all-ceramic product systems. Robert Ganley, CEO of Ivoclar
Vivadent, comments on the takeover: “Wieland Dental is a leading European manufacturer in the field of dental products with market leading brands and a strong sales team. We are very pleased to have them join the Ivoclar Vivadent Group.” Based in Pforzheim, Germany, Wieland Dental is one of the leading suppliers in the dental technology market. With the wide array of products ranging from CAD/CAM materials to dental alloys and veneering ceramics to electroplating, the company offers individual laboratory concepts and systems solutions. The products of Wieland Dental represent an important addition to the product portfolio of Ivoclar Vivadent. Wieland Dental will continue operations under its existing name and management after the acquisition.
normal Physical Development in children treated with composites or amalgam The International and American Associations for Dental Research (IADR/AADR) has published a study titled “Dental Composite and Amalgam and Physical Development in Children,” by lead author Nancy Maserejian, New England Research Institutes. This study is published in the Journal of Dental Research, which the official publication of the IADR/AADR. The study tested the hypothesis that dental restoration materials could affect children’s physical growth using a secondary analysis of a randomized clinical safety trial of amalgam vs. composite. A previous secondary analysis of the same dataset found that children treated with composites had more self-reported psychosocial problems after five years compared to children treated with amalgam. As part of the New England Children’s Amalgam Trial (NECAT), children aged 6-10 y at baseline with >2 decayed posterior teeth were randomized to amalgam or composites (bisphenol-A-diglycidyl dimethacrylate-composite for permanent teeth, urethane-dimethacrylate-compomer for primary teeth) for treatment of posterior caries throughout follow-up. NECAT data collectors measured height, weight, and body fat percentage annually. Menarche status was reported annually as no/yes, and if yes, month and year of menarche. In this secondary analysis, the authors analyzed body fat, body mass index and height velocity of children (N=218 boys, N=256 girls) and in an exploratory analyses
among girls in one geographic stratum (N=113), age at menarche. Overall, there were no significant differences in physical development over five-years in boys or girls treated with composites or amalgam. Girls assigned to composites had a lower hazard of menarche during follow-up. Additional studies examining these restoration materials in relation to age at menarche are warranted. “The IADR/AADR Journal of Dental Research is pleased to publish this study because it adds to our knowledge on the safety of composites as it relates to physical development of children,” said JDR Editor-in-Chief William Giannobile. For more info, visit http://jdr.sagepub.com/content/early/ recent
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sIrona announces successIon PLan Sirona has announced that its board of directors has unanimously approved a succession plan for the Chief Executive Officer of the company. Effective February 20, 2013, Jeffrey T. Slovin will be promoted to Chief Executive Officer. Mr Slovin, 48, will succeed Jost Fischer, 58. As of February 20, 2013, Mr Fischer will retire and relinquish his positions as CEO and Chairman of the Board. Thomas Jetter, a current member of Sirona’s Board of Directors, will assume the role of Non-Executive Chairman of the Board upon Mr Fischer’s retirement. As part of the succession plan, Rainer Berthan is promoted to Executive Vice President responsible for the Company’s business segments. Mr Fischer commented: “Jeffrey Slovin is the ideal candidate to succeed me as Sirona’s CEO. He has the necessary experience and stellar reputation within the dental community to take Sirona into the future. Before joining Sirona in 2006, Jeff was CEO of publicly traded Schick Technologies, Inc, where he built a reputation as an innovator and operator, and delivered significant shareholder value. Since joining Sirona, he has consistently demonstrated excellent judgement and played a major role in improving our operations, targeting our research and development efforts and leading growth initiatives.” Mr Fischer continued: “This
appointment is part of a leadership succession process that was methodically developed over the past several years in preparation for this very day. Jeff has the full support of myself and the Board. During my 11 years as CEO of Sirona, we have built Sirona from a primarily German company to a truly global leader in dental technology. Sirona is well positioned for the future, with a powerful sales and service infrastructure, a strong management team, and an outstanding product portfolio. I am excited to watch as Jeff takes Sirona to new heights.” Mr Fischer added: “Thomas Jetter was the private equity partner responsible for the investment in Sirona after its spinoff from Siemens, from 1997 to 2004. His relationship with the other board members, his global experience and long history with Sirona should make the transition seamless.” Mr Slovin, 48, has served as Sirona’s President since September 20, 2010 and, prior to that time, as Executive Vice President and Chief Operating Officer of U.S. Operations. Before that, Mr Slovin was Chief Executive Officer of Schick Technologies, Inc, a leading dental technology company that was acquired by Sirona in 2006. Mr Slovin is currently a member of the Board of Fellows of the Harvard School of Dental Medicine, and a member of the Young President’s Organization. Mr Slovin holds an MBA degree from Harvard
Business School. Dr Jetter, 55, has served as a Director since April 2010 and is currently a member of the Nominating and Corporate Governance Committee of Sirona’s Board of Directors. From April 1995 to March 2008, Dr Jetter was a Partner at Permira GmbH, where he initiated and managed investments in a variety of medtech, industrial, and chemical companies and helped expand the firm’s global reach to include areas such as the US, Brazil and China. Prior to that time, Dr Jetter gained extensive experience at McKinsey in Germany and Brazil. Dr Jetter holds a PhD degree in economics/banking and an MBA from the University Saarbrücken, Germany. Mr Berthan, 48, has been promoted to Executive Vice President of Sirona. He joined the Company as a Vice President in September 2012. Prior to joining Sirona, Mr Berthan served at Demag Cranes AG, a publicly listed Company, as Executive Vice President. From 2004 to 2008, Mr Berthan was President of Weidmuller in China, a leading German company in the industrial automation business. Prior to these roles, Mr Berthan held various senior management positions at leading companies. Mr Berthan holds a Masters degree in economics from the University of Applied Science Munich, Germany.
World oral health Day: 20 March As of 2013, World Oral Health Day will be celebrated on 20 March. The original date, 12 September, was moved following a decision in Hong Kong and subsequent publication of a revised Policy Statement. A toolkit, containing a variety of promotional materials, including logo, and rules governing their use, will soon be available online. Countries around the world are using a variety of different dates for oral health days, weeks and months.
FDI would like to see national dental associations use 20 March as an opportunity to develop activities and initiatives aimed at increasing awareness for oral health as well as the impact of oral diseases on general health, wellbeing and economy. The decision to create World Oral Health Day was taken at the FDI Annual World Dental Congress (AWDC) in Dubai in 2007. The date, 12 September, corresponded to the birthday of FDI founder Charles Godon and thus seemed
a logical choice. However, the September date also fell either during, or in the immediate aftermath of the AWDC. This left little time for FDI, engaged in the planning of the AWDC, or its national dental associations, to prepare what should be a major event in the world oral health calendar, on a par with the AWDC itself. The month of March falls exactly half way between AWDCs and was therefore deemed suitable by FDI General Assembly delegates.
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As part of our efforts to reach out to a wider audience of dental professionals in the region, we are happy to announce the launch of Dental Network Asia (DNA) website. Dental Network Asia is an online regional network for dental professionals developed by Dental Practice News magazine. Since its inception in June 2012, Dental Network Asia has grown to an extensive network with over 30,000 online users from around the region. Our online network includes Singapore, Malaysia, Thailand, Indonesia, Philippines, Vietnam, Cambodia, Hong Kong, Taiwan and India. Asia is one of the fastest growing regions in global dental industry now. And many dental professionals in the region use the online media for their communication and social needs. Our online and digital media platform is extensively and easily accessible by our readers and users even in the remote places of the region. The key digital media platform under Dental Network Asia includes: 1. Dental Practice News e-edition 2. DNA e-newsletter 3. The Leading Dentist page These products are all available online free-of-charge for dental professionals. Readers may join our dental network now with free membership in order to receive the free dental publications. To join Dental Network Asia as members or request for free e-editions of our dental publications, please e-mail to: dentalnetworkasia@gmail.com Dental Network Asia is owned and managed by DPN Communications Pte Ltd, publisher of Dental Practice News magazine. For more info about the DNA digital media platform, please visit the web page: http://dentalnetwork.sharepoint.com
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enhancing oral health via sense of coherence The International and American Associations for Dental Research (IADR/AADR) has published a study titled “Enhancing Oral Health via Sense of Coherence: a Cluster Randomized Trial.” This study by lead author Orawan Nammontri, University of Sheffield, UK, is published in the IADR/AADR Journal of Dental Research. Sense of coherence (SOC) has been related to oral health behaviors and oral health related quality of life (OHRQol) in observational studies. This cluster randomized trial aimed to test the effect of an intervention to enhance SOC on OHRQol in children. In this study, 12 primary schools in Thailand were randomly allocated to intervention and control groups. The intervention comprised seven sessions over two months, focusing on child participation and empowerment. The first four sessions were classroom activities and the last three involved working on healthy school projects. Trained teachers, who received a one-day course, delivered the intervention. Socio-demographic and clinical data, together with self-report measures of OHRQol, SOC and oral health beliefs were obtained from 261 10-12 year olds (133 in the intervention and 128 in the control group). Data were collected at baseline, two weeks after the intervention and at threemonth follow-up. Mixed effects models indicated that the intervention increased SOC and improved OHRQol, together with oral health beliefs and gingival health. The findings offer experimental evidence that OHRQol can be influenced by SOC.
SOC may also provide an avenue for oral health promotion. “The IADR/AADR Journal of Dental Research is pleased to publish this study about enhancing oral health via sense of coherence,” said JDR Editor-in-Chief William Giannobile. “This study provides an in-depth look at a cluster randomized trial for patient oral health motivational strategies.” A companion perspective article titled “Are dental health behaviors rational, after all?” was written by Gary Slade, University of North Carolina, USA. In it, Slade highlights that the new study by Nammontri et al demonstrated benefits for children’s oral health while advancing researchers’ understanding of health behaviors and additional investigations will be necessary to verify the benefits of the intervention.
Videos for treatment center users Sirona has published video clips on cleaning and care recommendations for the TENEO and SINIUS treatment centers as well as various features and functions that lead to optimum treatment workflow. Sirona says the company is dedicated to developing innovative solutions for dental professionals. In addition, the company attaches top priority to customer support. “The focus is always on the customer, and we aim to provide the best possible service,” says Susanne Schmidinger, Head of Product Management for Treatment Centers. For this reason Sirona has produced a series of short videos for users of the TENEO and SINIUS treatment centers. The emphasis is on treatment workflow, as well as cleaning and care.
The first of these user videos describes the various functions of the TENEO treatment center and explains how they contribute to achieving an optimum workflow. The practice team spends most of its time grouped around the treatment center. Nearly all the steps in the treatment process begin and end here. For instance, digital X-ray images and CEREC scans can be presented to the patient on the TENEO monitor. All the treatment functions are controlled via the integrated user interface. This streamlines the therapy workflow, boosts efficiency and saves valuable time. The TENEO treatment center supports the dentist during all the treatment phases – diagnosis, therapy, counseling and communication. The patient is
optimally positioned, thus ensuring that the dentist has an excellent view of the treatment site while maintaining a relaxed posture. Selectable at the touch of a button or via the foot control, the chair positions are individually programmable for different users. The lEDview operating light delivers optimum illumination. The easily accessible tray unit promotes effective team work, irrespective of the position of the dentist’s element. For communication and counseling purposes the dentist can activate the intraoral camera via the EasyTouch user interface, if required, in combination with additional media such as videos and presentations. The cleaning and care video for the TENEO and SINIUS treatment centers describes which procedures have to be
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aDa appoints First Female President
carried out at daily, weekly and monthly intervals. The infection control measures include surface disinfection and the purging and disinfection of the water channels and hoses. The SINIUS treatment center boasts a new hygiene concept. Thanks to easily removable components and various automated functions, cleaning and disinfection are quicker and easier than ever before. The user videos are available in German, English, French, Italian and Spanish and can be viewed on Sirona’s YouTube channel (sironatube). In addition, users can download a special iBook from the “Treatment Centers” section of the Sirona website. This publication links directly with the videos and contains additional information and graphics.
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Dr Karin Alexander has been elected as the new president of the Australian Dental Association (ADA) – the first female president of the ADA. Since joining the ADA South Australian Branch (ADASA) Dr Alexander has been actively involved in both branch and national committees. She is highly respected for her previous role as Federal Vice-President over the past two years, and her leadership with the provision of continuing professional development to dentists. Dr Alexander is also well known for her work with the governance review of the Association, and legislative change. Dr Alexander said, “The past few years have been ones where dental care delivery has been a significant political issue. Ongoing coordinated reform and action is required by all governments across Australia. I shall be working hard to ensure that the reform provides effective care to those experiencing difficulty accessing dental care. The Commonwealth Government has announced its intention to assume a role in oral health promotion, and the ADA is keen to provide the expertise of its member dentists to assist with this. “The ADA will continue to push governments to provide funding targeted at improving access to dental care for disadvantaged Australians. I also want to ensure that the ADA continues to serve its members well. These are challenging times for all membership organizations, and the ADA must strive to anticipate the needs of its members.” Dr Alexander graduated from the University of Adelaide in 1983 with a BDS. She has a significant interest in the provision of care to the aged and has worked with both the South Australian Dental Service and the Federal government on initiatives in this area. Dr Alexander became a Fellow of the Academy of Dentistry International (2003), a Fellow of the International College of Dentists (2003), and a Fellow of the Pierre Fauchard Academy (2005). She is an Associate Fellow of the Australasian Council of Health Service Management (2008). “The ADA has two main objectives: the promotion of the art and science of dentistry by enhancing its members’ ability to provide safe, high quality professional oral care and the improvement of the oral health of the community. I shall lead the ADA to continue the hard work that has occurred in achieving these objectives, and will do my best to meet the challenges that confront Australia’s dental health. “The ADA will continue to make itself available to governments to aid in this process. It will also increase the focus of the ADA in ensuring that it is the membership organization that meets the needs of its members,” said Dr Alexander.
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DPN Network
IDA-DPN: MeetINg betweeN couNcIl MeMbers of INDoNesIAN DeNtAl AssocIAtIoN (IDA) AND DeNtAl PrActIce News (DPN) MAgAzINe JAkArtA, INDoNesIA DeceMber 17, 2012
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from left: Dr Paulus Januar, razak Ahmad (Publisher of DPN), Dr Mita Juliawati, Dr Adiningrum Adiwoso and Dr Anggia soediro at IDA office in Jakarta
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Access to Oral Healthcare Globally, roughly only 60% of the population worldwide enjoys access to proper oral healthcare, with coverage ranging from 21.2% in Burkina Faso to 94.3% in Slovakia. Between countries, the density of qualified dentists varies from 1 dentist per 560 people in Croatia to 1 dentist per 1,278,446 people in Ethiopia; and distribution within countries also strongly varies. Reflecting a strong social gradient, wealthier adults in almost any given country enjoy a higher coverage compared with those less wealthy. Increased globalization, which facilitates the migration of dentists to more affluent areas or countries, is also a source of concern as it can lead to domestic shortages. For instance, in the UK 22% of dentists are foreign-born, while the Philippines is current world leader in dental workforce export with two-thirds of its dental graduates migrating to the USA. SourCE: FDI VISIon 2020
DeNSity of qualifieD DeNtiStS
Ethiopia: 1 dentist per 1,278,446 people
Croatia: 1 dentist per 560 people
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Shortage of Dental Professionals From a statistical point of view, the current disparity in the number of dental schools and dental graduates is enormous. The countries with the most dental schools are India (206), Brazil (191) and China (93), while many African countries such as Sudan, Tanzania or the Democratic Republic of Congo, have just one, or even no dental school. As a result, while Brazil trained approximately 10,000 newly-graduated dentists in 2008, all 46 WHO/AFRO member states managed to train only 168 new dentists in 2002. Many countries and regions worldwide suffer from a critical shortage in the number of qualified oral health professionals. SourCE: FDI VISIon 2020
Countries with the most dental schools 206 191
93
India (206)
• Turkey has a strong dental sector that comprises over 100,000 professionals working within the field of oral health, including dentists, dental technicians, academic personnel and members of the dental industry. • 1,650 new graduates join Turkey’s dental community each year after completing a five-year full-time education at one of the country’s 44 dental faculties.
SourCE: FDI
Dental Sector in Turkey
• Of the 24,203 dentists in active practice, 42% are female and 58% male. • 65% of dentists work in private practice, while 35% of dentists practice in government-operated clinics. • The average monthly income of government-employed dentists is EUR2,500; those in private practice earn on average EUR4,000 monthly.
Brazil (191)
China (93)
• Access to dental and oral health services is below the average of members of the Organization for Economic Cooperation and Development (OECD). • Toothpaste/toothbrush usage per year has jumped from around 50 grams / 0.25 per person in the 80s, to 130 grams / 0.97 per person today. • Access to dental therapies and aesthetic dentistry has increased significantly over the last decade. • There are currently 50 corporations manufacturing consumer products and dental equipment, and 300 dental warehouses are in operation supplying dental products to dentists and dental technicians. • The annual turnover of dental equipment and products is around EUR200 million. • Since 2010, the country’s dental industry has registered a growth rate of 10%.
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Gum disEasE LinkEd to Psoriasis the British dental Health Foundation believes a new study linking the presence of severe gum disease with the skin condition psoriasis further highlights the need for good oral health. researchers in taiwan1 found that in a group of 230,000 people, those with severe gum disease were 54 per cent more likely to develop psoriasis over five years. Psoriasis is a condition that can cause red, itchy and flaky skin and affects around 1.8 million people in the uk. as another scientific study reveals a potential link between a chronic medical condition and gum disease, chief Executive of the British dental Health Foundation, dr nigel carter, believes we should all remain vigilant when it comes to oral health. dr carter said: “While researchers believe more work needs to be done to establish the link between gum disease and those suffering from psoriasis, the findings in this research paper are the latest in a growing number that link periodontal disease to a number of other chronic and serious health conditions. it sends out a further message about the importance of looking after your oral health and taking preventive action by maintaining a regular oral health routine. “although gum disease is incredibly common, it can be prevented and treated quite easily. Brushing for two minutes twice a day using a fluoride toothpaste and cleaning in between your teeth with interdental brushes or floss daily will help to remove plaque, the main cause of gum disease. “to further help prevent gum disease, the Foundation advises that you visit the dentist regularly, as often as they recommend. this is particularly important as your dentist and hygienist can help to spot early signs of gum disease developing. “our message is clear, if you do not look after your oral health you are putting yourself at risk from developing other health conditions, which could be potentially lifethreatening.” Reference: Published in the British Journal of Dermatology, Dr Joseph J. Keller from Taipei Medical University and his colleague Dr H.C. Lin turned to a database of Taiwan’s national health system. They identified 115,365 people with gum disease and an identical number of controls and tracked them over five years. Psoriasis developed in 1,082 patients with periodontitis and 706 controls.
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imPortancE oF LookinG aFtEr Gums regular treatment for gum disease could lower the risk of tooth loss, heart attacks, type ii diabetes and obesity, according to new research. after a 20 year study1, patients who stopped looking after their oral health had considerably poorer health than those who did. almost four times as many people lost seven or more teeth, nearly three times as many suffered a heart attack, twice as many developed diabetes and four times as many were obese. the results are a stark reminder about the importance of oral health, and reinforce the belief that a healthy mouth could mean a healthy body. researchers have previously drawn associations between poor oral health and an increased risk of general health problems, including pneumonia, pancreatic cancer and dementia to name a few. While the study notes more work needs to be carried out in order to confirm the findings, chief Executive of the British dental Health Foundation, dr nigel carter, points to the research as more evidence to support the need for keeping up good standards of oral health.
dr carter said: “this study demonstrates just how important it is that you look after oral health. Poor oral health in itself is a problem, yet for such a large number of general health problems to be potentially linked, some of which can be fatal, is very worrying indeed. “What it does highlight is the relationship between gum disease and other related illnesses, and particularly the need for excellent gum health. “there is a very simple way to prevent and treat gum disease, therefore lowering the risk of these general health problems developing. You need to make sure you remove all the plaque from your teeth every day. this is done by brushing for two minutes twice a day, morning and night with fluoride toothpaste, as well as using interdental brushes or floss to clean in between teeth where both gum disease and dental decay start. “regular visits to the dentist for a thorough check-up are also a necessity. if your gums do start to bleed this is a sign that you may have not been cleaning well enough. if things do not settle within a few days get along to the dentist for an immediate dental examination.” the research, presented in the Journal of Periodontology, studied 244 people over a 19-year period at a private practice in Egersund, norway. Reference: 1. Øystein Fardal, Patrick Fardal, and G. Rutger Persson.; Periodontal- and General Health in Long-Term Periodontal Maintenance Patients Treated in a Norwegian Private Practice; Journal of Periodontology 0 0:0, 1-10.
DPN33
Lifestyle
42
THE ART OF
THE BRICK
The stunning architecture of ArtScience Museum in Singapore is now celebrated through a specially-commissioned sculpture created by renowned Brick Artist Nathan Sawaya. The sculpture of ArtScience Museum – comprising of 15,999 toy building bricks – was commissioned by the museum to celebrate the opening of its latest exhibition, The Art of the Brick. Known for using toy building bricks for his intricate sculptures, New York-based Sawaya said, “Building the ArtScience Museum sculpture was one of the most interesting works I’ve done and among the most challenging as well. The structure of the ArtScience Museum is unique, and I wanted to make sure that the piece caught the essence of the museum. I am very pleased with how it turned out, and I’m looking forward to sharing this exhibition with visitors at one of the most iconic destinations in Asia.” With the exhibit running from 17 November 2012 to 14 April 2013, this is the first time Sawaya will be exhibiting his artwork in Southeast Asia. With 52 largescale brick sculptures on exhibition, this is also his largest showcase of his work to date. In another first, ArtScience Museum has incorporated interactive elements such as lighting and sound displays which have been developed especially for this presentation of The Art of the Brick. All of Sawaya’s works will be displayed over eight galleries at ArtScience Museum. Each gallery has a specific theme, and visitors will be encouraged to participate through various engaging activities within the exhibit. The exhibition begins with the Introduction Gallery which showcases
two of Sawaya’s iconic pieces, “Yellow” and “Swimmer”. Visitors will then move on to The Artist’s Studio, where the look and feel of an artist’s studio is recreated. This gallery consists of an interactive 2D sculpture where visitors can try to make a raindrop with Sawaya’s “Rain”. At The Catwalk Gallery, Sawaya’s artworks are showcased on a fashion show runway. The Portrait Gallery displays Sawaya’s 2D and portrait sculptures and integrates the use of a photo booth as well as an iPad application. The fifth gallery, The Drawing Board, is a room of creativity and sculptures where works such as “Pencil Fun” and “Writer” will be showcased. The exhibition takes a more serious turn at The Emotion Box. Artworks that depict the human form, such as “Red Skull” and one of Sawaya’s most highlighted pieces “Mask”, will take over the gallery.
One of Sawaya’s most ambitious works, a six-meter-long T-Rex skeleton, is on display at The Art of Play, and the sculpture commissioned by ArtScience Museum will be at the last gallery, which also serves as the programming space for the exhibition. Guests can build with a range of bricks of different colors and sizes at the Play and Build area. Additionally, activity space is allocated for workshops which will include stop-motion films using brick materials and are inspired by the works on display in the exhibition. Using Lego brick as an art tool, visitors can get creative and produce their own artwork to take home. From printing to string art to fridge-magnets, a range of materials and art techniques will be offered.
Tickets to the exhibition can be purchased on ArtScience Museum’s website www.marinabaysands.com/ArtScienceMuseum and all Marina Bay Sands box offices.
DPN33
Lifestyle
43
marine
life
park S.E.A. Aquarium and Adventure Cove Waterpark, the two attractions of the Marine Life Park, are now open at Resorts World Sentosa (RWS) Singapore. S.E.A. Aquarium – the world’s largest aquarium – is home to 100,000 marine animals of over 800 species in 45 million liters of water. Comprising 10 different zones with 49 habitats, the aquarium takes guests on an underwater voyage beginning from Southeast Asia, and continues through the Arabian Gulf and the Open Ocean. Along the way, guests can expect to meet manta rays, hammerhead sharks, bottlenose dolphins and other marine creatures. S.E.A. Aquarium Senior Curator Grant Willis said: “S.E.A. Aquarium offers not only a stunning display of habitats, but also education and conservation programs in which families and guests can participate. Younger guests will be thrilled to know that we have specially-designed exhibits such as the Discovery Touch Pool, the Lens Aquarium and Floor Aquarium, to provide them up-close encounters with our marine residents.” The centerpiece of the Aquarium is the Open Ocean habitat, seen through the world’s largest viewing panel, at 36 meters wide by 8.3 meters tall. Guests viewing the habitat can experience the feeling of being on a cavernous ocean floor.
The habitat is flanked by an Ocean Dome – an all-round viewing area and the Ocean Restaurant, an outlet propagating sustainable seafood principles. Eleven Ocean Suites occupy the opposite site of the habitat, offering a twist to the proposition of sea-view by providing guests the experience of waking to an under-the-sea vista. The Adventure Cove Waterpark is a splashing affair for thrillseekers. Guests can choose to get their adrenaline pumping with six water slides, including the region’s first hydro-magnetic coaster – Riptide Rocket; chill out at the Bluwater Bay wave pool; or relax while tubing along the Adventure River. One of the world’s longest lazy-rivers, the 620-meter river meanders through 14 themed scenes of tropical jungles, grottos, a surround aquarium and more. The waterpark is also the only of its kind in the region to have marine life. Guests will also have the opportunity to snorkel among thousands of fish at the colorful Rainbow Reef, or to sign up for ray-feeding and interaction programs with sharks and dolphins, which will be introduced later. Tickets for Marine Life Park may be purchased online at www.rwsentosa.com or ticketing booths at Universal Studios Singapore, the Maritime Experiential Museum and Marine Life Park.
DPN33
Dental Events
44
MEETINGS EXHIBITIONS WORKSHOPS
20th FDI-MDA Scientific Convention & Trade Exhibition D at e: Ven u e:
Organ izer :
Webs it e :
January 12-13, 2013 Sunway Pyramid Convention Centre, Selangor, Malaysia Malaysian Dental Association www.mda.org.my
Dental South China 2013 February 27- March 2, 2013 Venue: Guangzhou, China email: dentalvisit@ste.cn Website: www.dentalsouthchina. com/en Date:
35th International Dental Show Date:
33rd Myanmar Dental Conference/14th FDI-MDA Joint Meeting
Venue:
D at e:
Website:
Ven u e:
Organ izer :
Webs it e :
January 24-26, 2013 Traders Hotel, Yangon, Myanmar Myanmar Dental Association www.mda-myanmar.org
Organizers:
Date:
KPPIKG 2013 D at e:
Website:
Ven u e:
Organ izer :
Webs it e :
March 14-16, 2013 Grand Clarion Hotel & Convention Center Makasar, Indonesia Indonesian Dental Association rifaat.nurrahman@gmail.com
9th FDI-Cambodia Dental Association Scientific Convention Venue:
February 27 – March 2, 2013 Jakarta Convention Center, Jakarta, Indonesia Faculty of Dentistry, University of Indonesia www.kppikg.com
Website:
ITI Congress Southeast Asia Date: theme:
Venue:
May 16-17, 2013 Achieving Esthetic Success in Implant Dentistry Bangkok, Thailand ITI www.iti.org
SINO-Dental 2013
Venue:
e-mail:
Webs it e :
Organizer:
May 7-12, 2013 Kuala Lumpur Convention Centre, Malaysia Asia Pacific Dental Federation www.mda.org.my
Date:
D at e:
Organ izer :
Venue:
Organizer:
Organizer:
January 25-27, 2013 Kota Kinabalu, Sabah, Malaysia Malaysian Dental Association Eastern Zone www.mda.org.my
Date:
Makasar Scientific Meeting
3rd Borneo Dental Congress Ven u e:
March 12-16, 2013 Cologne, Germany Koelnmesse/Association of German Dental Manufacturers www.ids-cologne.de
35th Asia-Pacific Dental Congress
March 15-16, 2013 Naga World Hotel, Phnom Penh, Cambodia www.fdiworldental.org
Website:
Date: Venue:
Organizer:
Website:
June 9-12, 2013 China National Convention Center (CNCC), Beijing, China Chinese Stomatological Association http://cnc.sinodent.com.cn
FDI World Dental Congress Date: Venue: Organizer: Website:
August 28-31, 2013 Istanbul, Turkey FDI World Dental Federation www.fdiworldental.org
35th Australian Dental Congress Date: theme: Venue:
Organizer: Website:
April 3-7, 2013 ‘Facts, Fiction and Fantasy’ Melbourne Convention & Exhibition Center, Australia Australia Dental Association www.ada.org.au
n Ot e:
The dates and programs of these dental events may be subject to change. Please contact the event organizers for more information.
Synergizing Practice Excellence with Modern Technological Advances
LOG ON
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Date : 7-12 May 2013 Venue : Kuala Lumpur Convention Centre, Kuala Lumpur, Malaysia Bringing together international dental experts and leaders at a world-class venue... Discover Malaysian hospitality, endless opportunities to enjoy nature-based adventures, enriching cultural experiences and fabulous shopping sprees...
Come join us for an unforgettable experience! Main / Platinum Sponsor:
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Supported by:
From left: G. Ubassy, Dental Technician, France | M. Roberts, Dental Technician, USA | M. Temperani, Dental Technician, Italy | D. Hornbrook, Dentist, USA | O. Brix, Dental Technician, Germany | U. Brodbeck, Dentist, Switzerland | G. Gürel, Dentist, Turkey | C. Coachman, Dentist, Ceramist, Brazil | A. Shepperson, Dentist, New Zealand | A. Bruguera, Dental Technician, Spain | S. Kataoka, Dental Technician, Japan | S. Kina, Dentist, Brazil
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