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May,2017
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63rd IADS MYM
Beirut 2017 IADS TNT
BUILDING NEW UPPER LL JAW WITH FU DENTITION RARE PROCEDURE!
Lyon 2017
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Oui nous pouvons!
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CHILDREN WITH SPECIAL HEALTH CARE NEEDS: Dental Perspective
Travel To Voluntary Projects With “Dentist The World”
THE IADS l e g e n D P
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Jordan Country Profile
“The World Belongs To The Ones Who Dare”
Highlights
IFMSA and IADS collaborative exchange program 1
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From Heart of the Middle East: IADS MYM Beirut 2017
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Travel Through Voluntary Project
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Building New Upper Jaw with Full Dentition - RARE
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INTERVIEW: The IADS Legend - Pavel Scarlat
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Children with Special Health Care Needs - SHCN
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HIGHLIGHTS: IADS & IFMSA collaboration
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Country Profile: Jordan
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IADS TNT Lyon 2017: Oui nous pouvons
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EDITOR'S WORD Abanob Yosry Due to the fact that IADS publication, either the newsletter (in past) or magazine (currently) is the oldest long-standing project of IADS since its foundation till today. I feel so nostalgic while I’m reading old IADS newsletters of 1970s and 1960s. It gives us realistic idea about how IADS looked like at that ages, but not only that, it also emphasizes on genuinity of this organization and how it could survive and evolve all this time. From this, IADS editorial board with me had decided to invest all possible effort and time to enrich the content of IADS publication in order to show diversity that IADS already has, to spot lights on breaking socio-economic issues that affect human rights worldwide and our role as future healthcare providers towards it, and to document IADS latest awesome projects and activities that took place in recent term of time. I do hope the effort of your IADS Editorial Board in this issue impress you from first sight. Regards !
editor@iads-web.org
PREDIDENT'S M E S S A G E Sina Saygili Here we go again, next issue of IADS Magazine is ready. Leadership of IADS is try their best to bring you best opportunities for you to develop your hard and soft skills, even where you are located in the world. Finally we reached great number of webinars for anyone to get more knowledge about professional dentistry. Our magazine is our best communication tool to everyone, so please let us know about any comments through our networks. As you are about to be health professionals, we aim to gather everyone without any difference of race, religion or language. All students from America to Asia, working together, I thank them for working in great collaboration to publish this amazing tool, to serve all dental students in the world. Enjoy, See you in Madrid!
president@iads-web.org
2016/2017 IADS EXCO Sina Saygili
Andrey Baltaev
Predident Country: Turkey University: Istanbul University,Faculty of Dentistry IADS e-mail: president@iads-web.org General Secretary Country: Russian Federation University: Saratov State Medical University IADS e-mail: secretary@iads-web.org
Treasurer Ivo Country: Poland Domagala University: Poznan University of Medical Sciences IADS e-mail: treasurer@iads-web.org
Abanob Yosry
Editor Country: Egypt University: Tanta University,Faculty of Dentistry IADS e-mail: editor@iads-web.org
Lucas Queiroz Caponi
International Exchange Officer Country: Italy University: University “G.D’Annunzio”Chieti IADS e-mail: ieo@iads-web.org
Natália Savková
International Scientific Officer Country: Slovakia University: University of Pavel Jozef Safarik IADS e-mail: iso@iads-web.org
Malek Ghorbel
Immediate Past President Country: Tunisia University: Monstair University,Faculty of Dentistry IADS e-mail: ipp@iads-web.org
CHAIRMEN OF STANDING COMMITTEES Khalida Badawi
Ave Põld
Chairman of the Training Committee Country: Sudan University: Khartoum University, Faculty of Dentistry IADS e-mail: training@iads-web.org Chairman of the Prophylaxis Committee Country: Estonia University: University of Tartu, Faculty of Dentistry IADS e-mail: prophylaxis@iads-web.org
Deema Raslan
Chairman of the Voluntary Work Committee Country: UAE University: University Of Sharjah, Faculty of Dentistry IADS e-mail: voluntary@iads-web.org
Rabee Toma
Chairman of the Committee on Recruiting New Members Country: Palestine University: Al-Quds University, Faculty of Dentistry IADS e-mail: recruitment@iads-web.org
Navnit Kumar
Chairman of the Fundraising Committee Country: India University: Kolhan University IADS e-mail: iadsfundraising@iads-web.org
REGIONAL DIRECTORS Laura Olivo Guerrero Regional Director of Europe Country: Spain
Tan Sze Hao Regional Director of Asia-Pacific Country: Malaysia
Shayan Darvish Regional Director of the Middle East Country: Iran
Shayma Karray Regional Director of Africa Country: Tunisia
Fernando Fuentes González Regional Director of America Country: Chile
MAY2017
FROM HEART OF THE MIDDLE EAST
MYM BEIRUT LIVE LOVE LEBANON
From the great cedars on the mountains to the delicate blue sea, down to the graceful downtown of Beirut, began the journey of the IADS Mid-Year Meeting in the ‘Las Vegas of the Middle East’’ , Lebanon. As IADS always promises a mix of education and fun, every night witnessed a gather that was just as engaging as the daytime scientific programs. To start things off, the opening ceremony was held in the ballroom of the Golden Tulip Hotel, one of Beirut’s top hotels. The students had a blast getting to know each other over meals and danced the night away, to let go of the stress of daily grinds. Nothing can ever stop the fun of IADS meetings. s The educational program, held during the four-day period, was busy with speeches from local speakers and guests from overseas. m
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The program included topics such as shade selection in esthetic dentistry, endodontics and CBCT assessment, veneers, fixed prosthodontics and many other recent innovations in dental practice.
The journey continued with a trip to Tripoli, where the participants visited the great Hallab 1881 factory. The experience was unique for everyone; as it involved touring the sweets factory and watching the production process. The tour was followed by a tasting of some of the mouthwatering vintage Arab sweets that ranged from the traditional “maamoul” to cream-filled sweets. The dinner that night was at a special place known as Pierre and Friends; the gathering turned into a wild beach side party, ending with a quick swim in the freezing Mediterranean Sea! Another of the touristic sites was Byblos, where the sightseeing was simply breathtaking. The city, with its ancient buildings, street, history, architecture and seaside restaurants was truly a pleasure to see.
Of course, you can never come to Lebanon and miss out on sightseeing, especially in the Beirut Downtown. With its great ancient architecture, buildings that hold decades of memories, art and history, it truly was a one-of-a-kind experience. The night ended with a delicious meal at Zeitona Bay, the world-renowned bay that is home to various restaurants and cafés.
The post-congress program was just as action-filled. The morning included a visit to North Lebanon for sightseeing, where the twisted bends of the mountain were coated with dazzling white snow. The day was spiced up with shooting and lunch at the SWAT Shooting Club, where the participants lived the dream of becoming man-of-the-law for the day. To wrap up, the team left for Ehden, for sightseeing and a relaxing dinner. The final destination for the day was the Cedars, in preparation for the next day.
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A day spent at the Cedars is unforgettable. From hiking up the snowy mountains, to skiing down the awe-inspiring slopes, everyone was pumped up with adrenaline throughout the day. After a day out in the snow, it was time for a party. The IADS crew headed over to Jounieh, where the party didn’t stop until sunrise.
The end to a lifetime experience was bound to be at one of the seven wonders of the world. The program ended at Jeita Grotto, where the organizing team worked hard to arrange a visit despite it being temporarily closed down. The Grotto is truly a wonder; from the natural architecture of calcifying salts, to the icecold water flowing through the caves, it was nothing short of astounding.
The next destination; Harissa. This beautiful city, known for its Lady of Lebanon statue, overlooked the sea, and the view at sunset is to die for. To make the tour special, the participants all went aboard the cable cabins, that takes its visitors all around the city.
After the visit to Jeita, the IADS team headed back to Beirut for one last dinner together, before the final goodbyes. However, some things cannot be said; this is why what happens in Lebanon, stays in Lebanon!
Mohammed Akl - Zeinab Jaber
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TRAVEL THROUGH VOLUNTARY PROJECT Let’s imagine: You found a project that you really want to join. You are a student in your final years of dental studies and therefore are not amongst the working residents with no source of income sufficient to launch or start a new project. So the question is how to find a way and to do it. Have you ever thought how to make a project of fundraising?
Dentist The World
Dentist the World is a non-profit international organization based in Vienna, Austria bycompany of volunteers from all around the world. They are forming and organizing volunteer dental camps all around the globe in less developed countries and isolated places. Besides forming new, “Dentist the World” are also connecting with already situated centers and organizations in need of professional help regarding dentistry.
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Today we want to spot light on fundraising tips & tricks for students organizations and individual students who are passionate about going to volunteer projects. Are you ready to travel through voluntary project?
Food for thought:
I have always considered myself to be a very helpful person and I am not afraid to offer it to anyone who needs it. I strongly believe that by helping others they are in turn helping me to become a better person. I cannot change the world, I am one person. But together we can unite and show others that change is possible and Dental The World is one of the ways to do that. Together everyone achieves more. Danijel Domic, co-funder of Dental the World gives us some guidelines: “The first place I would like to start from is the University where I study and work. As a student of University Dental Medicine in Beograd, I was financially awarded two times for the work of representing personal scientific research papers at the Universities in Leiden in Holland and Charite in Berlin, Germany. Consequently I presented the fact to my University of Beograd that I was the first one to hold student lectures outside of our country and therefore presented them with the opportunity to improve the University image and help them achieve the appearance on the world list of most prominent Universities.”
Sharing the knowledge
All we need is your willingness. What do you remember from your studies? Show how the importance of your positive and beneficial impact can have on others. Tell people how to care about dental health. Sharing our knowledge, our ambition and our passion for dentistry with people all over the world in need of care is our goal. It is a great way to put your studies to the test in real life situations in an educating environment where you become the dental teacher, doctor. We aspire to help in places with lower or no professional assistance and treat patients who never previously received ample dental care.
Let’s brainstorm…
Put yourself in someone else’s shoes. Imagine you are this person on the other side of the world and you need insight and assistance. You have never had any dental care and you have never even owned a toothbrush. To be shown how to care about your teeth would be something wonderful for you, right? You would love to have comfort in the knowledge knowing that somebody with dental experience who wants to aid you. Someone coming from the other side of the world to help you stay healthy and show you what you need on a daily basis to maintain a healthy mouth. These are things that you never thought would happen.
Gain a once in a lifetime experience
The project is a combination of lots of places that you can go to and is very adapting to your preferences and ideal places to volunteer. This project gives you an amazing opportunity to not only make a change in someone’s life but to also have lots of fun doing it. The people you will meet on this journey will be friends for the future. Make people smile again. Next step while voluntary project would be the collective University town fundings, county, region or city, department of ministry of education/health or different foundations for youth in your country or on a regional level. The means of finding them is by patiently searching the web and sending as many emails you can.
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Don’t be afraid to send emails and also don’t be afraid of the response, because some will not be something you want to hear but nevertheless do not let that deter you. Ground yourselves with patience, diligence and a positive attitude. Even though don’t you know how to show the importance of your work? Many of private clinics have their own foundation specifically designed for donations, therefore would be a perfect choice for you. Take that chance and contact them with the offer of collaboration. Contact local TV and radio station To bring even more attention to yourselves and became more alluring to big firms. Create a crowd-funding video. Dentist the World also have a video in YouTube https:// www.youtube.com/watch?v=8Okcvyibr-M
What is #Dentisttheworld
Dentist the World is non-profit international organization based in Vienna, Austria with company volunteers from all around the world. The organization was founded by two dentists, Danijel Domic and Bruno Valic in 2016. The project is in Zanzibar, Tanzania, Greece, Croatia, Mozambic. Major goal is to make people smile again by prevention of oral diseases (especially in children), training and educating local physicians, therapy on site. We would be very happy if you decide to join our family. Find us in social media or check website: www.dentisttheworld.com Anna Swiader - Danijel Domic
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BUILDING Jaw With Full Dentition
Marvin Downs, 56, from Tumwater Washington, USA, had a large defect in his maxilla after oral cancer followed by its surgery way back in 2003. All his maxillary teeth and most of his maxilla was lost, which rendered complications in phonetics and mastication as the food particles entered the nasal cavities and sinuses.
Imaging scan showing the patient’s maxillary defect after oral cancer surgery in 2003.
He was given an obturator – a kind of denture similar to an orthodontic retainer – from a specialist at VA Medical Centre in San Francisco, which not only filled the 2 cm long gap in his palate, but it also had few maxillary teeth. However having one molar as an abutment, the obturator couldn’t be adequately stabilized and eventually failed.
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Rare Procedure! Dr. Thomas Dodson and Dr. Jeffrey Rubenstein of the School of Dentistry and Dr. Neal Futran of the School of Medicine at the University of Washington Medical Center came up with an interesting solution to compensate for Down’s maxillary loss, the final surgery for which they carried out on May 15, 2016.
however, these doctors embedded the implants in the fibula and harvested the fibula with implants (and its surrounding tissue and blood supply). Using a virtually planned, prefabricated cutting guide, the straight fibula was cut into three pieces and rearranged to imitate the shape of the upper jaw. Acrylic teeth were fixed on the implants and the whole complex was transferred into the patient’s mouth. The hole in the palate was closed by harvested muscle and skin . Marvin Downs was given a new upper jaw along with a full set of new maxillary teeth and a proper hard palate in just one day.
According to Dr Dodson, traditionally such a defect could be compensated by taking bone grafts from the fibula to reconstruct the missing portion of the jaws, after which implants could be used to anchor new teeth. In the new procedure,
A scan taken shortly after surgery shows the new teeth firmly anchored by the embedded implants in the .bone grafts which replaced the upper jaw
“The huge potential advantage is that the patient will have functioning teeth immediately as opposed to going through a yearlong, multi-stage procedure.” Dr. Futran said. ‘Granted, he has had a previous step, but this still has far more potential advantage for full rehabilitation in a meaningful way.’ The medical team extensively used virtual design software for course of an year to plan the case.
According to Dr Dodson, the biggest risk would be failure of the blood supply to the new bone structure. However, he thought they could recover from it, in case it happened. With the surgery, Downs would be able to speak clearly and eat ,swallow normally, with a much better-fitting and more stable set of teeth. He might just need adjustment of his new teeth though.
Source: https://dental.washington.edu/dentistry-faculty-helps/rebuild-jaw-palate-rare-procedure
Amna Fakhar
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“The World Belongs To The Ones Who Dare” the iads legend P
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SCARLAT Who is Pavel Scarlat ?
I’m a young dentist currently developing his dental career in Italy, I was born and raised in Moldova and I worked in IADS for about 6 years.
Thoughts on receiving the IADS honorary membership?
It’s a pleasant feeling to receive appreciation and recognition in this form, especially that the last time IADS has appointed an Honorary Member was back in 2008.
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What inspired you to establish the IADS-DSD scholarship?
This life was created not equally for all of us, some of you might need to make only 2 steps in order to accomplish your objectives, while others will need 20 steps, more challenges and less opportunities. The reason why I worked on the scholarship was to offer more opportunities for everyone and especially the skilled and the ones who dare to dream. We were fortunate that Digital Smile Design was believing in a world full of opportunities for everyone as well and they were very kind to offer the scholarship to so many dental students and young graduates worldwide.
What inspired you to work on International Dental Research Program?
You’ve been one of the IADS most notable alumni, what’s the impact of your time in IADS on your personal and professional life? IADS is definetely the most challenging and competitive environment a dental student can be in and that’s where it’s impact comes from. Working on international education projects and policies, meeting so many talented and ambitious dental students, It was a very good school which taught important traits and skills that I believe later in these first years of dental career, have been of a paramount importance. At the same time on the level of personal life for me, as every great thing in this world it can come with some side effects too.
Which direction you wish IADS to head to in the future and what would you change in it?
First of all in order to speak about the future of IADS we have to understand how such entities function. What I have observed is that IADS is a very complex enrivornment and as every association it has different “worlds”, it’s the work, emotional and political one. They intersect and sometimes even collide with each other and what I would like for IADS and for every dental association is to have less the political one, as usually politics serves more individuals and less common causes and objectives.
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I believe it was a similar reason, I remember being in the 3rd year of dental education and seeing how so many students desiring to be involved more in research activities and not having such a possibility. That’s where the idea of this research internship network came from, in order to offer the possibility to students travel abroad to different universities and pursue their dental reserch interests.
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In your point of view what is the benefits of volunteer work for dental students and what kind of volunteer work do you think students should do more? I don’t believe I should preach about the importance of voluntary work for dental students, because first of all for each of us it has to come from inside. What a dental student should first do is find an objective or look at the dental world around him and see what needs to be improved. Once he realises those things, he will see the reason behind it and do it’s best possibile to accomplish them. Search for the objective and than you will see the path.
What kind of obstacle did you face throughout your journey as a dentist student and
how did you manage to overcome them and what kind of improvement do you seek for yourself and would like to see other students work on?
As a student for me almost everyday was a challenge as I believe a lot of students would agree with. From doing your best in classes and to be involved in IADS, congresses, internships, educational projects and so many more activities, every day was shaping the character which exists today.
A word to your junior dental students?
The world belongs to the ones who dare to dream, hardworking and are ready to improve it.
Aisha Taha - Esraa Mohammed
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WITH SPECIAL HEALTH CARE NEEDS (SHCN) Every child has rights, regardless of their ethnicity, gender, religion, language, abilities or any other status. According to The United Nations Convention on the Rights of the Child Article 24 and 23 respectively ‹›Every child has the right to good quality health care››, ‹›Children who have any kind of disability should receive special care and support so that they can live a full and independent life.››. 1
Today, 3rd of December, the United Nations celebrates the “International Day of Persons with Disabilities” to promote an understanding of disability issues and mobilize support for the dignity, rights and well-being of persons with disabilities. It also seeks to increase awareness of gains to be derived from the integration of persons with disabilities in every aspect of political, social, economic .and cultural life From our view as future dental care providers, we as International Association of Dental Students -IADS- emphasize the importance of proper understanding for “Special Health Care Needs” SHCN patients throughout .their lives, not only during dental chair time For further information, please check the guidelines provided by American Academy of Pediatric Dentistry (AAPD): http://www. aapd.org/media/policies_guidelines/g_ shcn.pdf IADS Statment on International Day of Persons with Disablities 2016 12
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The American Academy of Paediatric Dentistry has defined special health care needs as «any physical, developmental, mental, sensory, behavioural, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and/or use of specialized services or programs. The condition may be congenital, developmental, or acquired through disease, trauma, or environmental cause and may impose limitations in performing daily self-maintenance activities or substantial limitations in a major life activity. Health care for individuals with special needs requires specialized knowledge acquired by additional training, as well as increased awareness and attention, adaptation, and accommodative measures beyond what are considered routine.» These children are almost twice as likely to unmet dental problems compared to children without special needs, according to the Maternal and Child Health Bureau. Oral clefts in any form (i.e., cleft lip, cleft lip and palate, or isolated cleft palate) is the most common craniofacial birth defect, occurring in about one in every 700 live births worldwide (World Health Organization [WHO], 2001). Children with oral clefts often face tremendous social pressure that can affect their self-perception and selfesteem; it’s also associated with breathing difficulties, problems with feeding and speaking clearly, frequent ear infections. They also might have hearing problems and missing, malformed, or malpositioned teeth.2 Children with Down syndrome have delayed dentition, smaller than average teeth and missing teeth, they also tend to have smaller upper jaw which may result in crowding and poor alignment of teeth and they’re also predisposed to periodontal diseases due to their impaired immune system.3 Children with Autism spectrum disorder and other neurological disorders have similar incidents of caries and periodontal
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disease as that of the general population, most of their problems are a result of damaging oral habits like bruxism, tongue thrusting, self-injurious behaviour such as picking at the gingiva or biting the lips and eating objects and substances such as gravel, cigarette butts, or pens. Or as a side effect of medication which may be xerostomia, stomatitis, gingivitis, glossitis and overgrowth of the gum tissue.4,5 Cerebral palsy and vision & hearing impairments may also present as some of the common medical conditions requiring special dental care. Children with special needs sometimes have less than optimal dental hygiene, they are more susceptible to oral diseases and need to visit an oral health professional every 2 to 3 months to receive professional preventive care. Accessibility both literally and figuratively pose as the most prevalent obstacle faced by children with special needs. Many oral health professionals lack adequate educational preparation and clinical experience to successfully manage care for some children with special health care needs. While difficulty in managing patient’s behaviour, communication with patients, time inadequate referral facilities, dental treatment relapses and financial issues are some of the challenges faced while treating special needs children. Several studies have found that distinct types of disabilities have differing degrees of risk for exposure to violence. For ex. Sullivan (2003) reported that those with behaviour disorders face greater risk of physical abuse, whereas those with speech/language disorders are at risk for neglect. Neglect is the most prevalent followed by physical abuse, sexual abuse and emotional abuse. (Sullivan & Knutson 2000).6
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Neglect
how to receive services yet they tend to show persistent failure to meet their child’s needs.
Dental neglect, as defined by the American Academy of Paediatric 7 Dentistry, is the “wilful failure of parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection.” Oral manifestations that indicate child dental neglect include: visually untreated caries that can be easily detected by an average individual or a non-dental professional, untreated ulcers involving the intraoral and extraoral regions, dental disease that has an impact on the child, lack of care in the existence of pathological conditions.8
Physical Abuse Craniofacial, head, face, and neck injuries occur in more than half of the cases of child abuse.10 Some authorities believe that the oral cavity may be a central focus for physical abuse because of its significance in communication and nutrition.11 In one study,12 the lips were the most common site for inflicted oral injuries (54 %), followed by the oral mucosa, teeth, gingivae, and tongue. Oral injuries may be inflicted with instruments such as eating utensils or a bottle during forced feedings, hands, fingers, or scalding liquids or caustic substances. . The abuse may result in: contusions, burns, or lacerations of the tongue, lips, buccal mucosa, palate (soft and hard), gingivae, alveolar mucosa, or frenulum; fractured, displaced, or avulsed teeth; or facial bone and jaw fractures
Whereas, characteristics of parents as an evidence of child dental neglect include: causing delayed attendance and repeated missed appointments for scheduled dental assessment, no interest for oral hygiene education, repeated attendance for emergency pain relief, failure to access dental treatments and rehabilitation services, failure to complete treatment plans, poor dental status, poor knowledge and attitude in respect to oral health and inadequately performed home oral hygiene.8,9
Discoloured teeth, indicating pulpal necrosis, may result from previous trauma. 13,14 Because of this incidence, dentists need to be aware of signs of abuse and mandated reporting procedures.
Three main interventions which should be done, once a case of dental neglect is identified, are: advising about practicing oral hygiene, referral to receive and follow dental services and finally assessing for broader neglect. When a child suffers from untreated gross caries or dental pain and parents fail to meet the child’s treatment needs, referral is indicated.8
Sexual Abuse Although the oral cavity is a frequent site of sexual abuse in children,15 visible oral injuries or infections are rare. When oral-genital contact is suspected, referral to specialized clinical settings equipped to conduct comprehensive examinations is recommended.
It is likely for parents to only seek healthcare in case of dental emergencies. The dentist should be cautious when differentiating parents without awareness of the child’s dental need from a parent with adequate knowledge of child’s oral status. The latter have already been alerted about their child’s dental problems, the treatment needed and
Oral and perioral gonorrhoea in prepubertal children, diagnosed with appropriate culture techniques and confirmatory testing, is pathognomonic of sexual abuse but rare among prepubertal
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girls evaluated for sexual abuse.16 Unexplained injury or petechiae of the palate, particularly at the junction of the hard and soft palate, may be evidence
integral part of the values of our practice, whether it is primary or comprehensive preventive and therapeutic oral health care.
of forced oral sex.17 As with all suspected child abuse or neglect, when sexual abuse is suspected or diagnosed in a child, the case must be reported to child protective services and/or law enforcement agencies for investigation.18-21 A multidisciplinary child abuse evaluation for the child and family should be initiated.
The first and most significant protocol is that there is no specific rule for treating special needs’ children, since there are countless numbers of syndromes, disabilities and impairments with varying degrees of severity. Having mentioned that no case is like another, then, leads us to the primary protocol that each case should be approached and treated individually.
Moreover, numerous reports cite lack of access to dental care and services as a critical problem for those with special needs.22,23 ADA identified that the issue of limited access for those with I/DD to oral health care begins in dental schools which are providing minimal didactic and clinical experience in caring for special needs individuals. This they report causes dentists to be hesitant to treat these patients and practitioners are not prepared to provide needed services.
Second protocol to keep in mind, is to know a dentist who is knowledgeable if you do not have the necessary information and experience yourself. It is the dentist’s obligation to act in an ethical manner in the care of a patient and to recognize one’s skills. Once the patient’s needs are beyond his/her skills, necessary referrals should be made to ensure the overall health of the patient.
In the center of all these challenges and obstacles, though, stands the inalienable right of every special needs child to dental treatment, as an indivisible part of their general right to access to adequate healthcare, and equal to that of any other basic human right. As much as it is the parents’ or caregivers’ responsibility to physically, mentally and emotionally protect the child, it is also the responsibility of the dentist to provide the welcoming and caring environment for those children.
Certain protocols should also be taken into account during scheduling appointments, patient assessment, medical consultations, patient communication, dental treatment planning, behavioral guidance and preventive strategies.{24} Always remember though, that the initial contact of special needs child patients with the dental practice is of critical importance, as it provides both parties an opportunity to collect information and address the specific needs of each child, to help facilitate further procedures and the long-term patient/dentist relationship.
Failing to deliver access to professional dental care, not only compromises special needs patients’ oral health statuses and quality of life, but also reduces the general standards of care a dentist provides to all his/her patients, leading to malpractice and child abuse from the side of the dentist. Therefore, it is essential that dentists comprehend and apply the general guidelines on management of child patients with special needs, as it is an
Compassion, knowledge and skill are what make up a true dentist. We are still far from having well established guidelines on how to treat special needs children in our dental clinics, and future research with particular focus on developing best practices in educational efforts and dental programs is needed. In the meantime,
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acting with compassion, doing to others as you would have them done to you and giving each individual full access to their human rights regardless of their
determinant factors such as race, color or disability, is all what is recommended.
References:
1. The United Nations Convention on the Rights of the Child; Adopted and opened for signature, ratification and accession by General Assembly Resolution 44/25 of 20 November 1989 entry into force 2 September 1990, in accordance with Article 49. 2. Prevalence at Birth of Cleft Lip With or Without Cleft Palate: Data From the International Perinatal Database of Typical Oral Clefts (IPDTOC) IPDTOC Working Group, Cleft Palate–Craniofacial Journal, January 2011, Vol. 48 No. 1. 3. Practical Oral Care for People With Down Syndrome, NIH Publication No. 09–5193Reprinted July 2009 4. Practical Oral care for People with Autism, NIH Publication No. 09–5190 Reprinted July 2009 5. Autism Dental Information Guide for Dental Professionals, Southwest Autism Research & Resource Centre (SARRC) 6. Abuse of Children with Intellectual Disabilities by Leigh Ann Davis, M.S.S.W., M.P.A. – The Arc www.thearc.org Last rev. 3/1/11 7. American Academy of Paediatric Dentistry. Definition of dental neglect. Paediatric Dent 2003;25(suppl):7. 8. Bradbury-Jones C, Innes N, Evans D, Ballantyne F, Taylor J. Dental neglect as a marker of broader neglect: a qualitative investigation of public health nurses’ assessments of oral health in preschool children. BMC Public Health. 13;13:370. 9. Lourenco CB, Saintrain MV, Vieira AP. Child, neglect and oral health. BMC Pediatr. 2013;13:188. 10. American Academy of Pediatric Dentistry, American Academy of Pediatrics. Oral and dental aspects of child abuse and neglect. Pediatr Dent 2011;31(special issue):147-50. 11. Needleman HL. Orofacial trauma in child abuse: Types, prevalence, management, and the dental profession’s involvement. Pediatr Dent 1986;8(special issue 1):71-80. 12. O’Neill JA Jr., Meacham WF, Griffin JP, Sawyers JL. Patterns of injury in the battered child syndrome. J Trauma 1973;13:332-9. 13. Skinner AE, Castle RL. Seventy-eight Battered Children: A Retrospective Study. London, England: National Society for the Prevention of Cruelty to Children; 1969. 14. Tate RJ. Facial injuries associated with the battered child syndrome. Br J Oral Surg 1971;9:41-5. 15. Kittle PE, Richardson DS, Parker JW. Two child abuse/child neglect examinations for the dentist. J Dent Child 1981;48:175-80. 16. Levin AV. Otorhinolaryngologic manifestations. In: Levin AV, Sheridan MS, eds. Munchausen Syndrome by Proxy: Issues in Diagnosis and Treatment. New York, NY: Lexing-ton Books; 1995:219-30. 17. DeJong AR. Sexually transmitted diseases in sexually abused children. Sex Transm Dis 1986;13:123-6. 18. Everett VD, Ingram DL, Flick LAR, Russell TA, Tropez Sims ST, McFadden AY. A comparison of sexually transmitted diseases (STDs) found in a total of 696 boys and 2973 girls evaluated for sexual abuse [abstract]. Pediatr Res 1998;43:91A. 19. Nelson JD, Mohs E., Dajani AS, Plotkin SA. Gonorrhea in preschool- and school-aged children: Report of the Prepubertal Gonorrhea Cooperative Study Group. JAMA 1976;236:1359-64. 20. Stevens-Simon C, Nelligan D, Breese P, Jenny C, Douglas JM Jr. The prevalence of genital human papillomavirus infections in abused and nonabused preadolescent girls. Pediatrics 2000;106:645-9. 21. Schlesinger SL, Borbotsina J, O’Neill L. Petechial hemorrhages of the soft palate secondary to fellatio. Oral Surg Oral Med Oral Pathol 1975;40:376-8. 22. J. Balzer, “Improving systems of care for people with special needs: the ASTDD best practices project,” Pediatric Dentistry, vol. 29, no. 2, pp. 123–128, 2007. 23. P. Glassman and C. Miller, “Dental disease prevention and people with special needs,” Journal of the California Dental Association, vol. 31, no. 2, pp. 149–160, 2003. 24. Nowak AJ. Patients with special health care needs in pediatric dental practices. Pediatr Dent 2002;24(3):227-8.
Silvi Dominori - Esraa Mohammed - Alakyaz Assadourian
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MAY2017
IADS & IFMSA
COLLABORATION
This year will be ground-breaking, we are starting new path of IADS collaboration, this time ! we will be working strictly with the biggest international medical association IFMSA IADS doesn’t need any introduction, but maybe not all of you know what IFMSA is?k
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is maxillofacial specialization. In some countries in the world it is possible to do that after dental degree but other require also medical degree to do specialization which could take even upon 10 years after studies to reach the dream of becoming maxillofacial surgeon. Unilateral exchange would include 5 country members from IADS and IFMSA. The first step of this big project is already done, also all regulations and new documents are settled down. Now we are going to select those countries which will be hosting the exchange students based on preference of each country. Primarily one student per IFMSA is the International Federation country will be sent for such an exchange. of Medical Students Association was On 7th of March, 2017 66th March founded in 1951 and the first meeting Meeting of IFMSA was held in Podgorica, was held in Copenhagen in Denmark. Montenegro. Our delegate and also This non-governmental association is International Exchange Officer, Lucas one of the world’s oldest and largest Queiroz Caponi was honored to be invited students organizations. Current data shows and give a speech to approximately 40 involvement of 1.3 million medical students National Exchange Officers and delegates from 130 national members organization in from around 90 countries!! IFMSA members 122 countries from nearly all continents! were impressed to hear about our exchange platform and are looking forward to work with us! Next step to achieve is to select more countries which will be involved in this exchange project.
They can collaborate together to improve general health, participates in exchanges, engage in various local projects on daily routine, discussion and conferences are also major part.
First goal of the cooperation is setting new exchange program between country members of IADS and IFMSA. In previous year in August first issues were discussed by Omar Al Bairat (past International Exchange Officer from IADS) and Omar Cherkaoi (Past Scope Director of IFMSA), who then Key points according the IADS and IFMSA became president of IFMSA. New project would offer members of IFMSA & IADS a were discussed successfully and since unique possibility to exchange in different we have a lot in common and we share similar goals, to create a healthier world, fields. our collaboration is crucial. We are already We would like to give the opportunity to planning to widen the partnership into more young students to taste different internships fields, for example prophylaxis, which could which could give them more information bring the great effects for global health. about future specialization and would help orient themselves towards their desired professional path. Controversial topic among the dental and medical students
TOGETHER IS BETTER!
Joanna Dawcewicz - Lucas Caponi
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MAY2017
Jordan
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Kingdom of Jordan: an amalgam of antiquity and modernity; multiculturalism, morality and generosity; holiness and enchanting nature; inveterate history yet advanced science! WELCOME TO JORDAN! The Hashemite Kingdom of Jordan, Al-Urdunn (in Arabic), is the current result of a 250,000-years-old evolutionary amalgamation of multiple human species, several ancient kingdoms, distinct civilizations and divine religions situated in a blend of various topographies, all within 91,880 square kilometres of generous land! From Palaeolithic Homo erectus and Neanderthals to Modern Era Homo sapiens, from Ain Ghazal to nowadays Amman, the capital. From the tribal kingdoms of Ammon, Moab and Edom to The Hashemite Kingdom of Jordan; home for 9.5 million united Arabs, Circassians, Armenians, Assyrians, Chechens and others; 94 % of which are educated, 83 % urbanized and 55 % youth, who believe in humanity, humility, national spirit, virtue, social justice, and aspiration, as represented by the seven-pointed star of its flag.
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Jordan is clock wisely landlocked by Syria, Iraq, Saudi Arabia and the West Bank on a total of 1,744 kilometres, except for the 26-kilometre shoreline along the Gulf of Aqaba that extends to the Red Sea and ultimately the Indian Ocean, in Southwest Asia. Within its borders, Jordan fosters a medley of mountains and hills, plains, deserts and waters; where the wilderness of sand is moistened by the gentleness of water bodies and mountains are equilibrated by the plateau of plains. The fortunate Mediterranean climate of Jordan awards its sightseers the pleasure of ease of transport between its unique adventure sites, from sky-diving in the Dead Sea – the lowest point on earth - and mountain climbing in Wadi Rum – where the Transformers: Revenge of The Fallen movie was shot – to camping under the stars of Milky Way and scuba diving in the vivid Coral Reefs of Aqaba; the gratification of timetravel to countless ancient constructions, the most spellbinding of which being The Nabatean Petra (The Pink City), that was selected as one of the world’s seven wonders, as well as the numerous Roman citadels and amphitheatres distributed north-to-south; as well as the indulgence in its recreational and therapeutic superpowers. Jordan is the number one medical tourism destination in the Middle East and North Africa, as per the World Bank reports it was ranked the top health care services provider in the region and among the top five in the world. While the Dead Sea attracts Psoriasis and Arthritis patients to be treated naturally, the plentiful well-equipped public and private hospitals in Amman, attract many more, chiefly the only specialized cancer treatment facility in the Middle East, The King Hussein Cancer Center. Dentistry is no exception to the statistical numbers and facts!
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The foremost dental union, The Jordan Dental Association, was founded in 1952 by Dr. Burhan Abd Alhadi, aiming to raise the levels of the dental profession and dental health care in Jordan and protect, defend and organize them. The association maintains the official registry of all Jordanian dentists, clinics and centres as well as regulates their relationship with the local patients and regional/international associations directly and indirectly through the Jordan Dental Journal. There was no dental teaching institute in the country until the establishment of the first dental faculty in the University of Jordan (JU) in 1982 in Amman; which offers a Doctor of Dental Surgery (DDS) bachelor degree, a four-year Oral and Maxillofacial Surgery residency program, and three-year master programs in Pediatric Dentistry and Fixed and Removable Prosthodontics. The reputable faculty provides high quality teaching, training and research facilities; among which is the unparalleled Cell Therapy Centre where active research on dental stem cells is being done, to graduate knowledgeable, skillful, competent and up-todate dentists on the regional and international levels.
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Shortly afterwards, the second dental school was instituted following issuing a royal decree in September 1983 at Jordan University of Science and Technology (JUST), located in Irbid; the second most populated city after the capital. The dental faculty aims to inspire future dental pioneers, impact international oral health education, research and dental health care and be a leading college in all aspects by providing a wider range of programs; offering Bachelor of Dental Surgery (BDS) bachelor degree, higher Oral and Maxillofacial Surgery specialty and clinical master degrees in Prosthodontics, Orthodontics, Periodontology, Pediatric Dentistry and Endodontics.
Since that time, JADS has become an independent, non-governmental, non-profit platform for the empowerment of all dental students and interns across Jordan.
Through its diversified set of medical, voluntary and cultural activities, JADS aims to assemble, meet and unite dental students towards their consolidated vision, the most pronounced of which was the IADS’ 61st Mid-Year World Dental Congress and Jordan’s First Dental Students’ Symposium that took place in the spring of 2015.
The thousands of national and international dental students’ experiences, enrolled at both dental faculties, were completed by founding the Jordanian Association of Dental Students (JADS) in 2012, that became a full IADS country-member in 2013, with the leading entrepreneurial spirit of Osama Afaneh, the then a third-year dental student at JU.
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Currently lead by the inspirational president, Tuleen Nofal, JADS is structured into seven unique active committees; The Editorial Committee knits an interactive web of local and international connections, The Extracurricular Activities Committee hatches new friendships during its wildest adventures, The Human Rights Committee celebrates all sorts of humanitarian international days and carves smiles into the peoples’ faces, The Medical Awareness and Screening Committee takes the responsibility of educating the people about general oral health across the country, mouth cancer during November and celebrates the yearly World Oral Health Day since 2014 (except 2016), The Scientific Committee organizes academic, research and clinical workshops and has just held JADS’ First Local Mini Conference in January 2017, hosting a number of local and international speakers on a two-day full schedule, The Training Committee boots the students’ soft skills and is presently preparing to host JADS’ First TOT/TNT (and IADS’ First TOT) and last but not least, The National Exchange Committee.
JADS’ present National Exchange Officer intends to expand the Exchange Committee’s notion into a more totalitarian concept; that is the act of giving one thing and receiving another thing in return, instead of exclusively exchanging students across borders. Tirelessly, the committee has installed its first books’ exchange libraries in both dental schools and has held cultural exchange, clinical experiences exchange, as well as blood exchange events throughout the past few months. Furthermore, the committee collaborated with its two outstanding universities to provide a two-week enriching exchange program for keen international dental students wishing to observe, assist and possibly practice dental work the Jordanian way. Incoming students shall not only gain clinical experience, but also enjoy a range of activities and sight-seeing as well as meet their fellow hospitable Jordanian colleagues.
Alakyaz Assadourian
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All of its graduates admit that their view for life had been changed notably afterwards. Fairly we can say it’s the richest TNT program held by IADS yet. Now lets go directly with my report (wittness) of IADS TNT/SRT Lyon 2017. Starting at Sunday night, 26th of February, ice had been broken up when all trainees, trainers and local organizers met up at the lobby of hotel to exchange their cultures with each other in so entertaining way to show wide diversity of custom food, drinks and music. From the morning of next day, Monday 27th of February, the work had begun in form of condensed preparatory sessions to new babies to qualify them to be best trainers
eventually. The TNT sessions lasted for three days till Wednesday 1st of March, and they covered the following topics: 01020304050607080910-
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Leadership Skills (Khalida) Team-building (Khalida) Emotional Intelligence (Khalida) Time-management (Khalida) Inter-cultural Learning (Souha) Creativity (Souha) Presentation Skills (Shayan) Fundraising Skills (Shayan) Communication Skills (Natalia) Project Management (Natalia)
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It’s also worthynoted that 4 trainers are ex- The other so unique thing about this program perienced new IADS trainers including Khal- is that its the highest in number of different ida Badawi -the old trainer-. nationalities. It helped also certain IADS countries to have their first certified skillled Two days later, new trainers managed to trainer, like: Libya, Romania and France. deliver their first training sessions under supervision of the 4 instructors. Sessions were Total number of participating nationalities in attended by dental students of UniversitÊ this program is 11 nationalities: Claude-Bernard Lyon 1. France, Slovakia, Romania, Egypt, Sudan, SRT sessions covered the following topics: Libya, Tunisia, Jordan, Israel, Iran and Turkey. - Team-building & Leadership Skills - Presentation Skills - Creativity - Communication Skills
SEE YOU IN DRESDEN
Rest of days till 5th of March were about social tours to discover magnificent city of Lyon, its famous monuments, its unique cheese restaurants. Thanks to well organization of LOC, everything went too joyful that new trainers (graduates) promised to meet up again very soon later this year in Madrid!
Khalida Badawi
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27th of Jun - 2nd of Jul
MAY2017
EDITORIALBoard 2016 / 2017 AHMED AMINE GACEM Algeria AISHA TAHA Iraq ALAKYAZ ASSOUDRIAN Jordan AMNA FAKHAR Pakistan ANAS AMER Egypt ANAS MIQDAD Palestine ANNA SWIADER Poland BETUL GEDIK Turkey FRANCISCO JAVIER Chile ESRAA MOHAMMED Sudan JOANNA DAWCEWICZ Poland KHALIDA BADAWI Sudan LOCK CHE HOU Malaysia MAYANK KAKKAR India MOHAMMED AKL UAE RARES COJOCARU Romania SAMUEL TAN Malaysia SHAYMA KARRAY Tunisia SILVI DOMNORI Turkey SRINIVASAN NARASIMHAN India STEFANO CUCCIA Italy VINCENZO CRUPI Italy VISHNU VALETI India ZEINAB JABER Lebanon 25
MAY2017
OUR PARTNERS
OUR SPONSORS
INTERNATIONAL ASSOCIATION OF DENTAL STUDENTS. c/o FDI World Dental Federation. Tour de Cointrin. Avenue Louis Casai. 84 C.P 3 1216 Cointrin, Genève, Switzerland.
iads-web.org