IADS Newsletter Spring 2009

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Are you ready to be a doctor?

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IADS Annual Meeting: 10 55th Sharm El-Sheikh, Egypt

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20 Tooth pain: Under water and in the sky

31.03.2009 15:11:14 Uhr


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IADS introduction An introduction to IADS The International Association of Dental Students was founded in the year 1951 in Copenhagen (Denmark) – thus for more than 57 years it is known to dental students from all over the world, serving as a platform for exchange of knowledge and experiences about dentistry at an international level. Nowadays, the IADS family represents thousands of dental students as a country and school members around the world. National and local associations of dental students are eligible for membership. When an association joins, all its members become members of IADS. There is no membership for individuals at the present time. To apply for membership The following requirements should be fulfilled: filled IADS membership application form filled IADS membership card (documents available on IADS website: www. iads-web.org) the Constitution in the English Language to be sent to IADS Secretary General 30 days before IADS meeting. the presentation of the association to be shown to the rest of the members at General Assembly Contact IADS Treasurer for the membership fees. Cooperation IADS is glad about its close contact to the FDI (World Dental Federation – the Central Office of IADS is at FDI Headquarters in FerneyVoltaire in France), to YDW (Young Dentists Worldwide) and to other organizations like the

EDSA (European Dental Students Association) or the IFMSA (International Federation of Medical Students’ Association) and more. A six-person Executive Committee is responsible for the management of the association’s affairs. It is their job to realize the ideas and decisions which are previously made together with the national representatives of the IADS member countries during the IADS meetings. Currently ExCo is represented by: President: Mr. Tomaz Spindler from Slovenia General Secretary: Dr. Magdalena Maciejowska from Poland Editor: Dr. Zeyad Salem from Egypt Treasurer: Mr. Amir El-Kholi from Egypt International Exchange Officer: Dr. Aneta Filipiuk from Poland Immediate Past President: Dr. Juliane Gnoth from Germany

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SCORE RESEARCH

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PROJECTS EXCHANGE

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CONGRESSES / COLLABORATIONS

Some Words By The ExCo Malta Association of Dental Students Israel: Jerusalem New Zealand: Equine Dentistry Egypt, Sharm El-Sheikh 2008 Romania, Iasi: IADS Meeting 2009 Stockholm: FDI World Congress 2008 EDSA Voluntary Work Abroad Project Turkey: Istanbul Germany: Würzburg Gate To Dental World Tooth Pain Under Water Pediatric Oral Maxillofacial Trauma

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GENERAL PROFILE

C O N T E N T S & I N T RpOyDrUi C T I O N

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held each February-March. English is used as the common language at all our meetings. As well as the Annual World Congress of Dental Students, we offer many things at an international level to our members. These are accessible to each and every dental student in the member countries, and include an International Student Exchange Programme, which allows students to visit a foreign country and experience its culture and dentistry, both scientifically and clinically. In collaboration with different voluntary organisations, we run Voluntary Work Project which allows students to experience and help with primary oral healthcare in developing countries. Through the SCORE (Standing Committee on Research and Education, created during IADS Congress in Egypt in 2002) dental science and education shall become more important in the future of IADS – several programmes have been started. The IADS Newsletter containing information about the news in the dental world is distributed to dental schools of every corner of the world. Be part of future dental professionals Executive Committees, with the help of the representatives from different countries, do their best to make sure our organization stays strong, powerful and keeps encouraging new people to get involved in the work with us. What cannot be forgotten is the fact that apart from being a great deal of work, being part of IADS means also a lot of fun! How good and how fun we are, depends on everyone’s contribution. IADS is a different world – no limit, no walls, no ceilings, no intermission, just passion equal extraordinary like Matrix or K-Pax but also a real place where you could land in. We are expecting also YOU to rock this space!

Current Activities We meet twice a year. The main meeting is our Annual World Congress of Dental Students, held each August. This meeting typically attracts around 200 participants. It focusses on a scientific programme of lectures For more information about IADS please visit www.iads-web.org and seminars considering the needs of the

Tomaz Spindler

Magdalena Maciejowska

Z Zeyad d Salem S l

A Amir i El El-Kholi Kh li

A Aneta t Fili Filipiuk i k

Juliane Gnoth

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Yours Sincerely Zeyad Salem IADS Editor 2008/9 Chairman of IADS-SCORE

The presidential word My dear friends, it is my great pleasure to greet you all on the pages of our latest newsletter; as always the IADS Newsletter has been our window on what is happening in IADS, giving those who were present the aphrodisiac of going through the days again, seeing photos of old and new friends, and for those who missed it, an idea about who we are and what we want to do and how we do it. It has only been a few months since we published our last newsletter, but a lot of things happened in this period, first we had our 55th annual meeting in Sharm El-Sheikh, Egypt, where we could experience the amazing Egyptian hospitality and enjoy the breathtaking landscapes at the crib of one of the most amazing civilizations ever. And only weeks after that we had an invitation to attend the EDSA meeting at Zagreb, Croatia, where cooperation between IADS and EDSA was documented, and a Memorandum of understanding was signed, and lots of future plans were set in junction between both of us; and as a start the joint IADS-EDSA meeting is taking place in Ljubljana, Slovenia. Some of our ExCo members travelled up north, to the land of the vikings (Sweden) to participate in FDI congress, where they presented IADS and had some meetings to enforce the FDI IADS relationship, which is something we truly cherish and appreciate. Also, and coming from our sincere belief in students abilities we recently became partners with a promising dental networking website that is run and operated by youth dentists aiming in connecting all dentistry concerned persons around the world on one platform discussing and exchanging their experiences which is www.dentist-networks.com. Enriching the scientific aspect of our members has been always one of our top priorities, and that was manifested in the work of our Standing Committee On Research and Education (SCORE) which recently and for the first time in history reached an agreement with Washington University, the dental research summer program, to host our members for a 3 months research period in their premisis in Seattle, USA. Last but not least on behalf of the association I would like to express our deepest gratitude to every one helped in making this newsletter possible: Quintessence publishing company, sponsors, and of course all the members whose ideas and enthusiasm has

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Editorial Dear fellow IADS members, it is with great pleasure introducing to the new issue of the IADS newsletter to you. IADS for me is one of the best things that happened in my life, I made a lot of friends and learned a lot of things by myself on both the personal and the professional level. I’ve tried to make this issue a true reflection of the diversity we have in IADS, where people from all corners of the world just get together and instantly become friends, experiencing that we as humans are too much alike than different. In this issue you will be granted a brain trip from horse dentistry in New Zealand to how is it like being a dental student in Israel and Malta, along the way we will be reliving some memories of the last IADS annual meeting in Egypt, and some expectations about the next annual meeting taking place in Romania 2009. You will also find how we can make the world a better place by helping the unprivileged through our Voluntary Work Project, and also how to conduct a research at the University of Washington, USA, we will learn about barodontalgia... As well as other topics and articles that gives you an idea about what has been going on in the IADS. It has never been an easy task preparing the newsletter for an association with a more than 56 years legacy but with the help of my amazing colleagues in the executive committee as well as our enthusiastic dedicated members, it became a reality. I would like to thank every one who contributed in this issue whether by sending an article, a photograph or even a thought because it is people like you who made the IADS what it is now: flourished and young at the age of 57. For comments, contributions or ideas please contact me on: editor@iads-web.org

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Some Words By The ExCo

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always been the fuel that kept this association alive over more than half a century. Tomaz Spindler IADS President 2008/9 president@iads-web.org The General Secretary is speaking to you! Dear Friends from All Over the World! My name is Magdalena Maciejowska, and I am from Poland, graduated from Medical University in Wroclaw where now I’m doing my PhD and discovering the world of human anatomy along with my students. In 2004 I participated in the IADS Congress in Berlin, and that is where my adventure with IADS started. I’ve been part of ExCo for 3 years now. As a GS, my main task is to provide you with information on how to become members. Please feel free to contact me if you are interested in this! Working in an international team is an incredible experience. Each of IADS meetings brings a lot of joy and happy moments, and it gives you energy that helps to face real problems afterwards. It’s a serious business with a lot of real problems and issues to face – and a lot of great fun to balance the hard work. Being part of the team, you can get to treat patients in such exotic places as Sudan, Egypt or try snowboarding in Georgia, to name a few. And all that with the company of many wonderful people from most any place in the world you can think of. We want to share the limitlessness of IADS with everyone who combine the passion and love for the dentistry world with great and adventurous life. If you’re a creative, curious and brave doctor, or a future doctor – dilligent, reliable, hungry for new experiences and a little crazy like all of us – you are being invited to join us, and bring in the fun! Magdalena Maciejowska General Secretary 2008/2009 secretary@iads-web.org International Exchange Officer’s greeting I was born in Biala Podlaska, Poland, studied on Medical University of Lublin and graduated this year; at the moment working on 1-year post graduat dentistry course. Before, since 2004, I was NEO and IADS delegate from Poland. Got Addicted to IADS since MYM in Georgia. I participated in IADS congresses


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The Executive Committee at the 55th IADS Meeting in Cairo, Egypt 2008

in Hungary 2007 and Egypt 2008. And was Chairman of Organizing Committee of IADS Mid Year Meeting 2008 in Lublin, Poland, elected for the position of IEO at 55th IADS World Congress. Aneta Filipiuk International Exchange Officer ieo@iads-web. org Looking back: Immediate Past President After nearly 5 years with the IADS family, I am looking back at wonderful moments with great people in different places. Besides all the tough business meetings we had, there are so many moments in my heart that I will never forget in my life: We walked for hours through the city of Berlin to win the city tour, we tasted wine in the cellars of Znojmo in Czech, we treated patients in the desert of Sudan, saw people being in the snow for their first time, we enjoyed the Georgian hospitality, and these are just some examples. I am glad to call many people friends that I met on my IADS way.

During the hard times in dental school with never-ending semesters, the imagination of the next meeting always kept me up. It was always a great pleasure to serve for the association, first as a congress organizer, later as German delegate, as Secretary General and also as the president. My work in IADS always gives me the idea of having possibilities to change something, even if I just change some people’s lives while bringing them into the association. I wish everybody an inspiring time at one of our next meetings; take the chance – I did and will never regret. Best regards, Juliane Gnoth Immediate Past President 2007/8 Keeping the treasures Dear friends and colleagues from all around the World, My name is Amir El-Kholi, and I come from Alexandria, Egypt. I am doing my last year of dentistry at the University of Alexandria, hop-

ing that this won’t be my last year in the IADS family. I’d like to express my pleasure of having the opportunity to write in this prestigious corner of the newsletter, and I’d like to thank all those who trusted me and assigned me as treasurer of such a remarkable association with a “rich” history. I’ve been attending IADS meetings since Hungary 2007 when I was NEO of Egypt at that time, and was amazed by what everybody called the “IADS spirit”. Since then I’ve become like every other member “addicted” to IADS. Later on, I’ve attended the Mid-Year Meeting organized in Lublin, Poland 2008, and was Chairman of the Organizing-Committee of the IADS congress in Sharm El-Sheikh, Egypt 2008, where I’ve been elected as treasurer. The “IADS spirit” cannot be explained by words neither fantasized during your dreams; you have to experience it yourself. So, join our family and try our meetings. Looking forward to meeting you soon Amir El-Kholi, Treasurer treasurer@iads-web.org

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Another yearly activity that 4th year dental surgery students take part in is Smile for Albania. Smile for Albania is the name of a student society of the University of Malta. Its main aim is to provide humanitarian dental care to children attending Preca College in Korce, Albania. This year, we celebrated the project’s 15th anniversary; Smile for Albania is essentially the idea of Professor John Portelli, and Dr. Charles Galea who first started this activity in 1994. Since then, many obstacles have arised but with a lot of good will and also some financial support, the society has

Neil Schembri working in the clinic at Preca College

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MADS dental education

managed to keep up and running, and during these last years the activity has always had a good response. In order to collect enough funds to cover the costs, the society organizes a jumble sale every year where dental surgery students, from the Malta Association of Dental Students (MADS), pick up items donated by people and sell them off at a cheap price. This year the team, as in previous years, was made up of fourth year students: Neil Schembri, Daniela Santucci, Andrew Vella, Maria Abela and Darien Cini under the supervision of Dr Sylvana Mifsud, Dr Charles Galea and Professor JM Portelli. We set out on the 27th August not knowing what to expect. We were all excited if not also a bit worried about the three weeks we were going to spend in this remote country. We left from Malta with the ferry and spent the first night in Pozzallo, Sicily. However, at 5am of the following day we were on the road with the Professor’s land rover! 3 hours later we took a half hour ferry to Reggio di Calabria, Italy. Some 8 hours down the line we arrived in Bari, Italy, only to take another 4 hour ferry to Durres, Albania. Our adventure doesn’t end in Durres, however; it took another 4 hours to arrive at the MUSEUM house in Korca, Albania. We were lucky enough to spend the first few days touring the country visiting picturesque locations like Prespa. This was due to the fact that a dental chair, which we brought with us from Malta, needed to be installed in the clinic. When the clinic was in a functional state we immediately started receiving the first patients. We could instantly recognize the need that these patients had for dental treatment. Many of the patients who were seen in previous years had a relatively stable oral condition, however many of the children who came for the first time had bad oral health and needed conservative treatment.

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The Malta Association of Dental Students (MADS) is a senate-recognized Association representing the Dental Surgery Students studying at the Faculty of Dental Surgery University of Malta. We are a non-profit association that takes an active role in oral public health promotion and education. On the 23rd of October 2008, MADS was involved in a public health event at St Bernadette Primary School in San Gwann, Malta. This event was co-ordinated by Neil Schembri, President of MADS and Daniela Santucci, Public Health Officer of MADS. 3rd and 4th year dental students visited all the classes of the school and demonstrated the correct brushing/flossing technique on mouth models to some 300 students aged 7–11. They also provided the students with some basic dietary advice and emphasized the importance of good oral health. At the end of each talk each student was given a toothbrush, toothpaste and mouthwash. At the same time 5th year dental students set up a stand in the foyer of the school and spoke to the parents, teachers and a local television station about Acid Erosion. This was the largest public health event that the MADS ever took part it, it was a great learning experience and ultimately was a success.

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Malta Association Of Dental Students

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PROFILE

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In Korce, Albania on 1 of the 400,000 bunkers scattered around the country

The clinic is located in Preca College (named after St George Preca) which is considered to be one of the best schools in Albania. I was surprised to learn that they had a fully equipped computer lab with internet access which we could always use during our short breaks, unless there was a power cut, which happened rather often during our stay! However, the clinic does not shut down during the power cuts as we have a generator!

Foyer of St Bernadette School, Malta. Far Left is Neil Schembri, MADS President while far right is Daniela Santucci, MADS Public Health Officer.

In conclusion I must say that although we worked hard, we had a great time, one that we will surely never forget. It was an amazing experience, and as always, when it comes to voluntary work and helping underprivileged people, we ended up gaining a lot more than we put in. More photos of all MADS events can be found on the MADS website, Gallery section: www.madsonline.org Neil Schembri MADS President B.Ch.D. 5th Year neilschembri@gmail.com


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7:30 AM. It’s another day at the Seligman undergraduate clinic, and I’m already there, sharing the latest news with my classmates over a cappuccino. Only ten hours have passed since I left the hospital compound yesterday, and here we are again. The patients are slowly arriving to the clinic, entering one of our 48 units, filling our day with new experiences. “What will the new day bring?”, we ask ourselves. “Will the routine of composite restorations and temporary crowns prevail, or will we find ourselves saving one of our patients from acute pain?” Nobody knows. We are senior year dental students of the Hebrew University School of Dental Medicine in Jerusalem. In the eyes of our patients – the poor and the needed from Jerusalem and its surroundings – we are doctors already. In the eyes of instructors – we are still students, with all our future ahead of us. In our eyes – we are doctors, assistants, secretaries, students, working men and women, family people – all in the same time.

year, it is time for us to prove that we are made of the “dentist material” and ready to get out to the market, while constantly continuing our studies. Some of us are afraid to leave the dental school walls after graduation, and step into the real life outside. The Israeli dental community is huge, way overpopulated, and sometimes newly graduated dentists feel like they’re making much less pay than they deserve. Some fit in as associates in private practices, others return to the military and become dentists in uniform, yet most of us will eventually find ourselves, at least for the first couple of years, in a clinic belonging to one of the Israeli dental networks. And after these first years, about ten per cent of us will return to dental school for another four or five years, this time for specialization. No one of us really knew anything about dental medicine in the freshmen year. Some didn’t survive until senior year to see the end and maybe understand this profession a little bit more. Those of us who had will become dentists, yet this is not the main issue here. Dental school is for many of us a place where we spend most of our time. Some of us have found here their life partner; others pursued job opportunities that took them to places they have never imagined before. Aside of

Dental health education

Our study course lasts six long years. Some of us get into dental school straight after high school, others serve in the military first, and only then, usually after a long trip to an exotic country, return to their studies. Only three years later will we eventually find out what is dentistry all about, and if we are capable of handling it. This is the fourth year – it’s all about your hands and patience, and if you’re patient enough to train on the mannequin almost until midnight, only then shall you pass the exam and proudly step into the clinic. This is the basic training, and the advanced course is the 5th year, where instruction is strongly tied with restorative and periodontal treatment of patients. And on the 6th, senior

Discussions over lunch

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March of dental students

studying, drilling and filling, we are engaged in dental research and in social activity. And this, being a whole human being with various interests and a broad mind, is being a real doctor!

Vladi Dvoyris P President, The Jerusalem S Society of Medical Students 6 year dental student 6th

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PROFILE

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A Portrait Of Equine Dentistry In New Zealand

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New Zealand is one of the most isolated countries in the world. Maori, the first people who arrived, named the land Aotearoa, “the land of the long white cloud”, the first indication to those settlers of the presence of the islands being the cloud lying above them. New Zealand islands’ location much affects its climate, its history and its contemporary character. Located between latitudes 34 degrees and 47 degrees south, the islands of New Zealand are in the path of winds that circle this part of the globe, and are called “the roaring forties”. This vast land lies in the South Pacific Ocean, 1,600 km to the east of Australia, and in between is the Tasman Sea, 10,000 km from the west coast of the North American continent and a similar distance from Japan. On the International Date Line, opposite the Greenwich Meridian of zero degree, New Zealand claims to be the first country to see the sun rise. In the South Island, there are Southern Alps, mountain range which along with glacialformed lakes and fiords, provide spectacular scenery. There is also extensive volcanic and thermal activity on the North Island central plateau. The coastline around New Zealand islands provides breath-taking bays and harbours along with superb beaches. Amazing surroundings offer the most fascinating sights with a mild, wet climate which produces lush rolling plains which are ideal for exercising and training racehorses. It is followed by wooden-railed fences behind which

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have built up our confidence. As the time went by, we were introduced to more and more advanced cases. We have built our knowledge and expertise greatly. By the end of the course, we have been working independently for clients. I believe that three months course has allowed me to become proficient as an equine dentist. Although, I also do feel that my previous knowledge that I carry with me, being a human dentist, helped a lot along the way. Equine dentistry requires a high level of motivation and dedication in order to achieve maximum results. This course gave me advance practical knowledge in equine dentistry but also how to run my own business, which is an important link in business building management. We have been also encouraged to become IAED (International Association of Horse‘s incisors

young thoroughbred horses cavort, growing strong on the best pastures and supplementary feed their owners can provide. Away from the roads there are stud stables where the horses are housed and trained. In Pukekohe, around 50 km south from Auckland, there is “The School of Equine Dentistry”. Mr. Warwick Behrns runs the school and teaches the basics and advanced equine dentistry techniques in a three months course. The program that this school offers is comprising of predominantly practically based to a comprehensive theoretical component. Usually, there are three, up to four students in a group per course. In my group I had three fellow-students accompanying me; Miss Denise McSweeney from Ireland, Miss Claire MacCormack from Wales, U.K., and Miss Rebecca Bush from New Zealand. We all have needed to be quite fit and healthy in order to follow the course curriculum. Background in horsemanship would have been ideal for becoming an equine dentist. During the first week, we got an opportunity to work with horse’s skulls, evaluating various situations, and use some of the basic tools. At an early stage, we were taught how to approach a horse, do examination, diagnosis, prognosis (assessment), and which therapy or treatment to use. At first, we all felt quite clumsy and were not too confident working on our own on live horses, but only after a month’s time we all

Equine dental hand tools

Equine Dentistry) members and to attend their conferences and certification programs around the world. As we were informed getting certified from IAED, is an important connection to our business future as equine dentists. I would use this opportunity to give my everlasting gratitude to Mr. And Mrs. Behrns, and “The School of Equine Dentistry” in New Zealand, who offered me rich and fruitful course, during which I have enhanced my dental knowledge even more, and have found links between human and veterinary dental sciences. It gave me an opportunity to practice equine dentistry along with human dentistry. Stefan Nemanja Hadzi-Longinovic DDS, EqDT


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whdentalcampus goes international. Do you want to network and share experiences with dental students all over the world? Register today at whdentalcampus.com

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Find new Friends

pyrig No Co t fo rP ub lica tio n te ss e n c e


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CONGRESSES

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55th IADS Annual Meeting: Sharm El-Sheikh, Egypt

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Don’t drink and drill The 55th IADS annual meeting that took place in Egypt last summer was by all means an extraordinary experience for everyone, whether it was their first time to IADS or their 100th, it was a week to remember – in one of Egypt’s best known resorts world wide, Sharm El-Sheikh –, and nothing can describe this better than some of the guests sharing their experience: Turhan Diden (Turkey) IADS’d in Egypt! It was not a very easy decision for me to join a group that I never met before on my own… But I thought I should take my chances. First of all, Egypt had always been a place of interest for me, so this congress sounded really exciting. To see pyramids and all the “oldest” history, while meeting the “newest” friends would be my best holiday ever. I was always interested in IADS, and wondering what they do in the international arena. We were trying too hard to gain new members, and unite all the dentistry students in one organisation in Turkey. And it is really great to see that there are so many students from many countries trying as hard as we do to do what they can. So, IADS spirit captured me, I’ve joined both postcongress and precongress, that made me feel really lucky lately. Precongress was held in Cairo. I’ve had so many friends during the first day and it was unbelievable for me. I was telling myself “Hey these people are great!” We had so many parties, belly dancing, Bedouin nights and most importantly the sightseeing. I was really fascinated with the Camel journey around pyramids.

At the Exchange Fair

Montaza Palace, Alexandria

Hanna Mostafa (Sudan) 2004 was my first experience with IADS congress in Berlin, Germany. It was an amazing experience, an eye opener for me and since then I have fallen in love with ideology of IADS. Although this was my 3rd trip to Egypt, it always seems like a new place; as if something new is happening, feels great. Early in the morning of the 11th we left Cairo for Sharm El Sheikh in two buses. The trip was a memorable one; we had first hand experience of the contrasting landscape that Egypt had to offer before arriving at the elegant Grand Oasis resort. In the evening the opening ceremony was held by the hotel pool followed by dinner. And that was just the beginning of a breathtaking week loaded with all sorts of entertainment. Scientific programs were held over the next few days. Invited guests and participants discussed and spoke on the various dental issues that plague the world today. The sharing of these experiences was extremely helpful to everyone, particularly to the fresh graduates. The participants thoroughly enjoyed the activities in the hotel: the sand, sea, snorkeling, tanning and water sports, especially the banana boats were great… It was particularly fulfilling for me as I did burn a fair bit of fat… Other exciting recreational activities included a visit to Naama Bay for shopping, Pacha and

Participants of 55th IADS Annual Meeting

La Dolce Vita Nightclub and a boat trip to Ras Mohammed known as one of the best dive sites in the world. And again after four years in IADS, it still surprises every time. Petrovski Vladimir (Macedonia) This has been the greatest summer in my life, after 25 years. Two new experiences for me in my life, the first is 55th IADS meeting, the second is that I visited Egypt. The beginning wasn’t very encouraging, but definitely my life has changed on 7th August when I arrived in Cairo and started my adventure being the only guy from Macedonia, in a totally different country surrounded by people from more than 20 countries. The Precongress program was held in Cairo. It is an amazing city with 2000 years


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For us it was great honour and extreme pleasure to personally become new members of such big and great organization like IADS. It was a great compliment for us that our associate and friend Tomas Spindler was elected for president of IADS. We will always remember promulgation of Dr Ahmed Hawas from Egypt honorary life member. After that manifestation, we had exchange fair evening at which every delegation had to represent its own country and her beauty. That was great way to get closer and get known with customs of our new international friends. I have to mention that besides congress itself we had fun driving buggy by night through desert, dinner with bedouins, Red Sea diving and we experienced night life of Sharm El-Sheikh in two of the most well known clubs Pacha and La Dolce Vita, not to mention the extravagant opening and closing ceremonies on the hotel’s pool and the exchange fair after party held on the beach. At the end of our Egyptian adventure, thinking of beautiful memories and new friendships we all said goodbye with the grief in our hearts knowing that the next time we will see each other will be in Romania.

Dental campaign

history. Cairo is a city with amazing people which gives you happiness and big hospitality, and all the attendees were very friendly, it took me about 30 minutes to feel like being surrounded by life-long friends. And then the congress started in Sharm El-Sheikh which felt like a dream and when you think it couldn’t get any better than that, surprisingly it did and the Postcongress in Alexandria was a blast of its own. This congress was my first experience of that kind. I really enjoyed it, and I decided that I’d never miss any MYM or Annual Meeting.

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On behalf of the 55th IADS organizing committee, I would like to thank each and every learned to like. Everyone had its own rhythm. one of our guests for coming, as it would have It took us some time to realize that in only never been possible to have such an amazing a few hours we came from Europe to Africa, Croatian team (Sara Lesac, Maja Car, time if it were not for you guys, and I want you a continent that we only saw in national geoRobert Vukman, Ana Dunatov, Tea Merlin) to know that you are all welcome to come back Encouraged by our dear friend Tomas Spindler graphic magazine or some documentaries, the to Egypt any time you want and as Mr Spinwho is at the same time the president of IADS land that seemed far and unreachable, so it dler, our elected president, said “It is never took us some time to adjust and realize where good bye in IADS, it is always see you later“ we went on an unforgettable adventure to we are. At our very first night, we have noticed and by this I want to say that for me IADS Egypt, which is known as the ancient land of pharaohs. Loaded with enthusiasm we started that Cairo is the city that never sleeps. meetings have been the only thing that keeps After three unforgettable days spent in our journey through neighbourly Budapest all me going through the year, knowing that I will the way to Cairo, the largest African metropolis Cairo, we went towards Sharm El-Sheik, meet my friends from all over the world twice a modern and popular seaside resort situated and the city which Egyptians proudly present year, thanks to our association – IADS. as the cradle of civilisation. Our friendly hosts on Red Sea where the congress was held. Big So for all of you that have not been IADS’d resort in the middle of the desert was our oasis yet, believe me you don’t want to miss that were waiting for us at the airport, it was one for the next week. As the time passed by we of unusual and unforgettable rides accompafeeling. nied by large amount of adrenalin, Traditional were getting closer, we made new friends and were really enjoying ourselves. habibi songs were playing which we instantly Zeyad Salem

Hungarians, Polish, and Egyptians

Participants at the bibliotheque, Alexandria

Turkish, Russian, and Korean at the Exchange Fair

Exchange Fair, Egyptian booth

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CONGRESSES

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Dental Students’ Society Of Iasi, Romania

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The host for the 56th IADS Congress 2009 Each dental students’ association has its’ own goals and objectives, but on the first place stands improving dental education and setting new trends in students’ practical training. Dental Students’ Society of Iasi has been founded in 1992 by a group of enthusiastic students, and since then many projects have been done, and its activity became more and more intense.

will be a charming place for spending one week to remember, and the hosts have the experience to organize a perfect event. The recruiting campaign “Smile with us!” is an annual project which has the role to present the association the freshmen, and assure the continuity in our organization. “Stomis International Congress of Dental Medicine for Students and Young Doctors” is the main project of our association, and it has a beautiful tradition. During the last years it has become the most important students’ scientific event in our country due to the hard work of the organizing team and the permanent support of our Dean. The event will include scientific sessions where you can present the results of your research or your clinical cases, workshops, conferences held by famous professors and a great social program. We always plan our congress to be an ideal compromise between The Institute of Anatomy, Iasi the scientific part and the social program, and we want to apply the same successful platform It is an honor for us to win the contest for to the 2009 IADS Congress. hosting the 56th IADS Congress 2009 but also “Christmas near the orphans” is a project we were aware, from the moment we applied, coming from the hearts of our members who of the importance of this event and the huge felt the need to help the ones less fortunate responsibility it involves. than they are. These actions involve fundIasi is the second largest city of Romania raising from the students, collecting donations and the cultural capital of our country, being in money or objects from the local firms, located in the eastern part of the country. By buying gifts and give these to the orphans definition Iasi is an university city, here is the near Christmas. Last years we visited children largest number of students in Romania. “Gr. T. Popa University of Medicine and Pharmacy Iasi” is one of the most highly recognized universities in Romania, and it reunites four faculties and more colleges. The Faculty of Dental Medicine is the 2nd largest faculty of the university, and it is run since 2004 by Prof. Dr. Norina Forna as Dean. We would like to present some of our main activities in order to convince you all that Iasi

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Stomis International Congress of Dental Medicine for Students and Young Doctor

and seniors from over 10 different locations, and we think that we put a smile on the face of those who spent their winter holidays on a hospital bed. “Oral Prevention Campaign in School and Kindergardens” is also a representative project for our society and it is done in collaboration with Prof. Dr. Ioan Danila. This project mainly includes visiting local schools and kindergardens, and promoting the main rules of education for oral health in a funny way. As you have seen, a team of great people waits for you in 2009, a team which is working hard not to let you down, a team which promises an unforgettable IADS experience. It’s good to remember that in 2009 all the roads lead to Iasi-Romania!!! Ionut Luchian & Alexandra Stanciuc Vice-president, Dental Students’ Society of Iasi

Dental Santa visiting the children from Bucium Orphanage, Iasi


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An unforgettable event The World Dental Federation FDI was always the mother-organization of IADS; she supported us as much as she can. Each year FDI is having an overwhelming annual congress, in 2008 it took place in Stockholm, Sweden. The congress was held from the 24th until the 27th of September at the Stockholm International Fairs and Congress Center. Two members of the IADS Executive Committee were present at the meeting and represented their members. Dr. Magdalena Maciejowska and Juliane Gnoth took part at the meetings of the Education Committee, the General Assembly, the press conference of the International Speakers Development Programme, and different official receptions also ran an International Association of Dental Students meeting. The IADS representatives also took the chance to talk to Professors from different countries to advertise the association and spoke to many potential sponsors. The congress started with an amazing opening ceremony where a group of members of Young Dentists Worldwide, also our partner-organization, got together. As they came from many different counties, there were many times to cheer when children brought in the flags of the participating countries of the congress. 128 countries were all together represented with totally 15,000 participants, also 89 students attended the congress. Different forums invited to get information and impressions about the different branches of dentistry. For the students, most important was the YDW Forum which was leaded by their president Tobias Bauer from Germany. Different lectures from YDW members were done for the theme of “Career planning and orientation for the dental graduate”, and in the evenings members of YDW came together to exchange information and to party.

Dr. Fisher, Dr. Conrod, J. Gnoth, Dr. Maciejowska, Dr. Alexander, Dr. Antal

Stockholm centre

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FDI Annual World Dental Congress, Stockholm, September 2008 ate longer than eight years. After one year of participating in the program, the members will present a lecture at the next FDI congress. IADS is involved in the ISDP as one member from IADS will be in the program committee. The ISDP was presented at the official press conference from FDI, and the partner of the program, Nobel Biocare. At the end of the last congress day a wonderful official evening was celebrated, together with a party on which an Abba-Revival- Band invited all to dance.

Another forum was held especially for female dentists by Women Dentists Worldwide under the slogan “a female heart beats differently”. Very interesting and inspiring was the “Health Diplomacy Forum” which showed how dentistry can change peoples’ minds in political critical regions. The Deans of the Palestine and the Israeli university in Jerusalem showed their projects to bring dental students and dentists together. YDW party at Putte‘s

IADS presentation, Education Committee

A great project is actually growing at FDI which is an important step to support young scientists: it is called “International Speakers Development Program”. It leads the world to optimal oral health through knowledge transfer promoting event in Singapore 2009, and will teach young speakers in skills concerning lecture presentation and use of multimedia. Six people will be selected, one from each UN region, by sending self-made cellphone videos, essays and PowerPoint presentations. They will get coaching and lectures online to develop their abilities in representing scientific lectures. Besides students, also dentists can apply for the program if they did not gradu-

Much more than that, we would like to invite you to take part in the IADS forum that was accepted in official FDI Singapore 2009 program. The meeting in Stockholm gave us an incredible opportunity to open a window to the dental professionals’ world that we will join in the future. Joint FDI projects will be continued, and hopefully our strengthened relation will bring new fruits soon. Please follow our website! For us who were participating in our first congress of FDI, it was an unforgettable event where we met old and new friends, sponsors and professors from all over the world. At this point, we would also like to thank our friend Putte for the great YDW party. We did our best to advertise what we love and what we are addicted to – our association. If you have the possibility to join an FDI congress, don’t hesitate to do it, you won’t regret it! Juliane Gnoth IADS immediate past president ipp@iads-web.org Dr. Magdalena Maciejowska IADS general Secretary secretary@iads-web.org

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EDSA & IADS Presidents after signing a memorandum of understanding

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European Dental Students’ Association (EDSA) was founded in Paris and represents over 65,000 dental students from 26 different countries. During the past 20 years EDSA is growing not only in members but also in its roll to act as a medium between students all over Europe. Each country is represented by a delegate active both on national and European level, promoting students activities, establishing and developing close relations with professional and academic authorities and associations. EDSA has actively been influencing dental education in Europe in cooperation with organisations such as ADEE (Association for Dental Education in Europe), and participating in DentEd project in relation to student academic environment. During the ADEE Annual Meetings, EDSA EDSA 20th Anniversary delegates facilitate a number of working and special interest groups relevant to the annual scientific theme, contributing to the European integration and standardization of dental education. In this direction. EDSA continues once again “The Dental Guide” project, an ambitious scheme of major importance to the establishment of a globally connected student and young dentists’ community. It is an unique manual for all dental faculties and schools in Europe, containing general country information and dental education outlines as admission and final exams, postgraduate specialities, contact details of dental and students’ organizations. Spending time in a foreign environment is an important trait of the education. During the past years EDSA has strongly devoted itself in improving student mobility. European Visiting

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that are set on a national level and later introduced to EDSA, leading to an European comparison in that particular subject. The latest EDSA surveys include the dental students’ opinion about theoretical and clinical training on local anaesthesia, and the students’ perception of harassment during their undergraduate education. Scientific news, achievements and innovations as well as special events in each country and brainstorming ideas are virtually reaching everyone twice a year through the EDSA

Programme (EVP) is an EDSA exchange program which gives students the opportunity to visit other dental faculties in foreign countries for a couple of days or weeks. It is an attractive introduction to Erasmus for students to visit cities where they wish to spend more time. The main goal of the programme is cultural and academic exchange opportunity to explore diverse traditions, participate in the learning process, and compare methods of teaching and learning systems. In such way boundaries are overcome and movement becomes easier. Magazine. Over 20,000 copies are distributed to each dental school in Europe for free. In addition, EDSA produces a newsletter, a short bulletin informing all students of the latest events on local level between meetings. Delegates from each country member gather twice a year in a different European city and discuss about current dental and educational affairs, make suggestions on future activities, promote solutions and take decisions. The autumn EDSA Meeting is held Sweden- Winner of the Vision Song Contest immediately before the ADEE Annual Meeting. The greatest event with EDSA, however, is Voluntary work is our new focus with the the congress, a scientific convention open to motive to activate students in world health all dental students that takes place every two issues, and encourage them to be a helping years. hand. There are literally billions of people who In the spirit of expanding EDSA all over have absolutely no access to dental care. Most Europe, we constantly seek for new ideas, are simply resigned to suffering. By providing members and partners to assist us helping free dental care to the less privileged around other students; we feel that we are not only the world, we are happy to serve the humanthe agents of change, but the innovators of ity. The goal of EDSA by initiating this project change in Europe without borders. is to increase the knowledge and awareness If you would like to experience the magic of volunteer work amongst students, and help atmosphere of EDSA join us during the them understand the relevance of ideal work in integrated EDSA/IADS Meeting in Ljubljana their future profession. between 1st and 7th of March 2009 or visit us Other important part of EDSA is to initiate at www.edsa.globaldent.com. research projects and awareness campaigns


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We Can All Make A Difference

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Everyone has something to share with others IADS collaboration with world health and voluntary organizations runs a Voluntary Work Abroad Project currently existing in 7 different countries. The project allows students to experience primary oral healthcare in developing areas. Thanks to cooperation with these organizations, our members can join already existing programs in Ecuador, Uganda, Tanzania, Cambodia, Guatemala, Kenya, and Sudan. Furthermore, we work on establishing new voluntary works. In the future we would like to establish new voluntary possibilities in region of South Sinai and in Eastern Europe.

Voluntary work in Ecuador

On our website we created updated database of voluntary possibilities for dental students and dentists from different countries. Everyone interested in such an initiative finds there essential information on the project as well as contact information. All of them are addressed to dentists and students with clinical experience. They usually work under the supervision of dentists. Projects are organized by local universities, hospitals, or health organizations. Volunteers provide local patients with basic dental treatment as well as promote dental prophylaxis. Throughout last year 40 of IADS students participated in this kind of trips and helped countless people in need for basic dental care, also getting priceless experiences for them as future dentists, treating over 10,000 patients. Every day the circle of projects is getting bigger, and IADS members are also getting more experienced. We are happy to change and to spread our knowledge to every point in the world and at the same time to get benefits from anyone who wants to help and serve humanity.

Juliane Gnoth and Andrea Veitova in Sudan 2006

Travel Broadens the mind The program existing in every member country, carrying out his function through the network of National and International Exchange Officers, allows students to visit a foreign country and experience its culture and its dentistry, both scientifically and clinically. Exchanges benefit the participants by enhancing their knowledge of dentistry, exposing them to different technologies and facilities, enhancing cultural and social understanding of the visited country, exchange knowledge, skills and even improve language. It is one of the most popular and important activities, which IADS organizes for their members. Every year even 300 students visit foreign countries and experience dentistry not only on their own universities. Exchanges are possible within the IADS member countries. The scheme is based on NEOs, who represent their countries during IADS meetings, inform their students about its activities, and arrange exchange places for outgoings and incomings. The entire program is coordinated by IEO. Students can usually go for between 2 and 6 weeks. Most exchanges are on an “unilateral” basis, where the incoming student(s) pay

Dental campaign in Egypt 2008

the cost of their accommodation, transport and food, etc. Some countries offer a “bilateral” exchange where the incoming student is hosted by the students (i.e. the host students provide meals and accommodation), in return for being hosted when they visit the other country at a later time. Bilateral exchanges are established by NEOs who sign contracts between each other and specify conditions of exchanges. Exchange information can be found on our website as well as NEO list. There is also database of every member country exchange conditions. Every student willing to participate in this scheme should contact his NEO who will help him to organize the exchange. After the exchange student can receive original IADS certificate. There is also an idea of Student Exchange Reports Competition, written as an interesting article after the exchange. The most interesting reports, selected by Executive Committee, are awarded and published at IADS website and upcoming newsletter issue. We hope to spread Exchange Program, and we always looking forward for new members joining our family and establishing new exchange possibilities. Aneta Filipiuk International Exchange Officer ieo@iads-web.org


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Seven hills on the two continents… The exotic middle east with melodies of Muslim prayers resonating all around with a background of extravagant historical buildings, this is Istanbul. A group of Turkish students welcomed us with open arms at the Ataturk’s airport, upon our arrival from Poland, followed by a little trip through the city, a glance on European side and crossing the Bosfor’s Bridge. An hour later we were standing in front of a huge front gate of the campus. “Campus” – sounds boring in comparison with what we saw: beautiful, brand-new, six-floor, colorful buildings in modern style, charming view of the Marmara Sea, a lot of greenness and dogs. Dormitories, library, bank, shops, canteen, swimming pool, sports hall, different faculties all in one place. Everything a student needs is within reach. The little yellow busses also added some charm to this view. As far as the rooms in the dorms are concerned, they are double with bathrooms and very spacious. After unpacking we went for a supper at a nearby restaurant. Discussing the program for the following days which was very promising On the first day we were greeted by cloudy and rainy weather. We went to the Dental Clinic, a huge glass building with security guards, cameras and smell of sweet oranges inside. We felt like an important delegation from Poland. Professor Turker Sandali welcomed us in his University Yeditepe office. We had to introduce ourselves and say a few words about our interests. As we were informed, all we had to do was to follow the rules and fulfill our duties. Everyday, from 10 a.m. to 1p.m. we were observers, wearing white medical clothes. After meeting with the dean we did some “sightseeing” of the Clinic. Which was very well equipped, seems like the pediatric fairy tale, I thought daily schedule was as follows: wake-up at 8:00, one-hour bus trip, half-an-hour march and at 10:00 we were in the Clinic. We were watching work on the ward which we had chosen earlier,

In the hospital

but I must confess that the most popular was surgery. On daily basis there was an exciting lesson of dentistry. We had a close look at periodontal surgery and controlled tissue reconditioning. What’s more we could see performance of an impression for the infant with a cleft-palate. Including learning trick of the trade we were delighted by the Turkish dentistry. Magda: ”My original, stereotype idea of Turkish dental standards was smashed by what I have witnessed in the Dental Clinic of Yeditepe University. As one of the exchange participants I could take part in the procedures which were not available for me at my level of education.” Coming back to the description of our journey, we saw a lot of landmarks of Istanbul. It is Arthur Bozacioglu who deserves credit for this. He showed us the most beautiful spots of the metropolis. Joanna: ”Arthur is a great man. He showed us around and he turned out to be a gorgeous guide. We were totally under his charm, and his knowledge about the city is truly amazing. It was clear he loves Istanbul.” On the third day of our stay we went to harbor after “work”. Then we went to the European side by ferry. We visited Hagia Sophia Church, Topkapi Palace, underground vats. Then a short break for traditional dinner kofte, a little stroll through the biggest shopping street and a ride in one of the oldest undergrounds in the world. After all this we were mortally tired but we were looking forward to the next day. The next day was devoted to spending time in the swimming pool. Soaking in the sun with Ataturk’s statue in the background the end of a day was capped by bonding event in the karaoke club in the center of Istanbul. This was a great way to know students from Hungary, Macedonia, and Serbia.

The following day we went by ferry to the “Elite Island” – Kinaliada. It was a real pleasure to relax on the private beach. We were swimming in the Marmara Sea and sunbathing in Turkish sun. We saw Galata Tower and New Camii. The final challenge was Grand Bazzar. It was the essence of Turkish customs. Full of gold, trinkets, sweets, clothes, souvenirs. The market was so huge that we were only able to see half of all stalls. We were proud of ourselves because, after two days, we could travel by different means of transport in the city with ease. After all, where there is a will, there is a way☺.

A very special time was the cruise through Bosfor and a visit of the military museum of Ataturk’s. We saw the most famous district with the most famous clubs in Istanbul. The coast and ships at the feet of the Bosfor and the Turkish music created unforgettable experience. While we were sightseeing, practicing, learning, eating Turkish delights, spending time on smoking nargile, our stay was coming to an inevitable end. We made the best of last hours and went to see Sultan Ahmed Camii. Although we had to take off our shoes and dress in long skirts and something like hijab, I have to say that it was worth it. Last evening we said goodbye to everyone. Practice in Turkey was a great chance to broaden our horizons. We got to know Turkish customs and met many wonderful people, we saw the beauty of Istanbul, and also we improved our English. Joanna Filipiuk, Medical University of Lublin, Poland (Exchange date: 15–29 July 2008)

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In July 2008, we took part in a summer exchange program for dentistry students. IADS and PTSS (Polish Assosiation of Dental Students) enabled us to do it. Medical University of Würzburg, Germany, housed us hospitably. Although our stay in Würzburg lasted for a whole month, it seemed to be just a short while. We not only had a training period in the Department of Dentistry, but also visited Bavaria and tasted Franconian delicacy during wine festivals that take place there in July. It was really interesting to have an opportunity to compare German and Polish education systems and treating conditions at the university. Every day in the morning we could choose a department to visit that day. We observed surgical treatments in the operation theatre in the Department of Maxillofacial Surgery. We assisted in treating patients in the Conservative Dentistry Dept. We accompanied students and doctors in surgical ambulatory and took part in academic lectures. In Germany, dentistry students candidates have to pass an entrance exam in sculpture and model making. We breathed a sigh of relief because we do not have this kind of exam in Poland. Students in Germany also are supposed to spend a lot of time in laboratory and prepare bridges, crowns, dentures for their patients on their own. Assistant doctors and patients revealed a lot of friendliness and interest. They very frequently asked questions concerning life and studying condition in Poland. Doctors eagerly shared their great knowledge with foreign students. They explained to us clinical situation during treatment, described everyday life at the university, and explained everything to us in an easy and clear way. In addition to us, there were also 2 Hungarian girls, 2 girls from Turkey and 2 dentistry students from Russia. A group of 8 people was very vivid and cheerful. It was a unique op-

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Church. We felt in love with an old river harbor with a crane from 1773. Unfortunately the crane is not working any more. Two banks of river Main are joined with an historic bridge which is decorated by huge stone statues. It looks like St. Karl’s Bridge in Prague. Würzburg is a very strategic place for those who would like to visit Germany. Travelling by train with a weekend ticket we visited Heidelberg, Frankfurt am Main, beautiful Bamberg, mediaeval Rothenburg ob der Tauber and Nuremberg. Würzburg is situated in a valley along river Main, its sunny hills are overgrown by grapevines. Franconia is a region in Ger-

In front of Würzburg Residence

portunity for everyone to become familiar with other cultures and religions. Timi and Martha from Hungary turned out to be very interested in a local tradition and sightseeing. We were together visiting the most interesting places of interest and museums. In Würzburg a baroque Residence of Prince Bishops is located. This residence with beautiful gardens around is one of the most significant places in the world. They are part of the UNESCO Inheritage of Culture Beautiful garden

many with a tradition of drinking wine rather than beer. In summer, during following weeks, every vineyard in turn hosts a wine festival. Citizens and tourists enjoy themselves sipping wine, listening to live music and chatting with their friends. We would like to encourage all dentistry students, current and future members of PTSS and IADS to take part in a summer exchange program. Students Training Period created an exceptional opportunity to become convinced that language barrier is not a problem to make friends with dentistry students from other counIn the evening: sipping wine and beer tries. We are all very similar, have the same problems and reasons to be happy, although the cultures, religions and appearance differs List. Pride of this buildings complex is a Neuman’s Grand Staircase. Its sealing is decorated according to our country. Summer practice is also an interesting option with the frescos from 18th century, painted by Giambattiste Tiepolo. Also the Chamber of Mir- of spending summer holidays, it widens our rors makes an incredible impression on visitors. horizons and ensures us that everyone can survive in new locations, among unknown people, Prince Bishops used to play card games with their guests in that chamber. They used to win in a foreign country. See you on a next PTSS and IADS congress! very often. But that should not arouse suspicion! They were not cheating, they only had Marta Zielinska (3rd year dentistry) luck and support from heaven! On the hills above Würzburg fortress Marien- Andrzej Dyduch (4th year dentistry) PTSS division in Zabrze berg is located. Rulers lived there before the (Exchange date: 1–31 July 2008) Residence was built. The university city is a


SPRING 2009

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Being part of a 57 years old international association that embraces more than 80,000 members from all corners of the world – like the International Association of Dental Students – comes with many obligation and duties. The Standing Committee On Research and Education – SCORE – has always been aware and committed to it’s role in enhancing and promoting the clinical, theoretical and research skills of the IADS members, coming from that aspect all projects of the committee emerged, and this year has been like no other for SCORE, IADS and hence to the oral health care worldwide. The International Dental Research Exchange Program, decided upon during the SCORE meetings that took place during the 55th IADS annual meeting in Egypt in August 2008, is now and just after 3 months “on”, and it offers our members an once-in-a-lifetime opportunity to conduct their dental research in the premises of one of the most eminent summer dental research programs in the world which is offered by Washington University in Seattle, USA. The agreement between IADS-SCORE and Washington University grant a 3 months’ research during the summer of 2009 for dedicated enthusiastic IADS dental students from all over the world – which again is a window opened by IADS for its members pursuing an international aspect to their resume and broadening their research skills and knowledge for the sole goal of promoting the level of oral health worldwide by offering all opportunities to the future generation of dentists. Also, this year SCORE organized and conducted a student lecture contest between students from all member countries with 4 finalists who got to present their lectures during the scientific program of the 55th annual meeting in front of a jury as well as their fellow colleagues

Andreea Ionica

Paula Moraru

and friends. The winner for this year was Paula Moraru from Romania, and over all, it has been a great platform where students from different countries presented their knowledge and experience with their friends, experiencing the differences in approaches and techniques presented between different countries in clinical dentistry which was an enriching experience for all who attended it, and this is a tradition that will be kept and repeated in every annual meeting from now on. These new projects as well as the already established projects like the student research database, post graduate database, preventive program and many others are carried out to enrich the scientific and clinical experiences of our members which is one of the core values of the IADS. Members of the committee are: Andreea Ionica, Paula Moraru, Vivianna Sereanu, Monica Perdoiu (Romania), Edit Jacso (Hungary), Neil Schembri (Malta), and its Chairman Zeyad Salem (Egypt)

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Your Gate To The Dental World!

Vivianna Sereanu

Edit Jacso

Neil Schembri

Zeyad Salem

They have been working together in order to satisfy every member’s scientific and clinical needs. And thereby fulfilling their part in the big IADS puzzle where each committee along with the executive committee is working for promoting and enhancing oral health and oral health practitioner’s careers all over the world, and this comes with representing the only International Dental Students Association with such a legacy. For more information about SCORE and to look at its work kindly log on www.iads-web.org or send an email to score@iads-web.org Zeyad Salem IADS-Editor 2008/9, Chairman of SCORE editor@iads-web.org

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Tooth Pain: Under Water And In The Sky

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by Pawel Labno and Andrea Paula Moraru When I started to search for a good and interesting subject for a paper work, I was looking for something related to the most common dental problems according to the U.S. Army. Possible topics were caries, periapical abscesses, postoperative complications and sport correlations. I always believed that careless and mediocre approach of a dentist can become a serious safety risk to his patients. In the globalized times, the world is smaller than anytime in history of mankind. People got used to travel around the globe in a few hours, and flying a plane doesn’t surprise us anymore. Life has become easier than ever and the ways of spending our free time are more sophisticated. We are struggling to find more extreme sports and reach higher limits. As my dear friend Andrea Paula Moraru was presenting our work at the IADS Congress in Egypt 2008, I was climbing the Mont Blanc – the highest mountain in Europe. 50 years ago, I’d be the only person on the road to the top, but today it’s crowded as the beach in Saint Tropez. When you reach to the end of this article I’d like you to know how to answer your patient to these questions: Is it possible for a tooth to explode from inside to outside? Can it implode in the opposite direction? What is the reason that my tooth hurts me so badly when I’m flying a plane or diving in the ocean?

The Pressure The pressure at any level in the atmosphere may be interpreted as the total weight of the air above a unit area at any elevation. At higher elevations, there are fewer air molecules above a given surface than a similar surface at lower levels. Henry’s Law At a constant temperature, the amount of a given gas dissolved in a given type and volume of liquid is directly proportional to the partial pressure of that gas in equilibrium with that liquid. This is why more nitrous dissolves during a descent of the diver when the pressure is rising. Dalton’s Law The total pressure exerted by a gaseous mixture is equal to the sum of the partial pressures of each individual component in a gas mixture. Boyle’s-Mariotte’s Law For a fixed amount of gas kept at a fixed temperature, P and V are inversely proportionalwhile one increases the other decreases.

Let’s begin with saying that environmental pressure variations have been shown to cause dental pain in divers, submariners, pilots, airline passengers, balloonists, mountain climbers and aviators.

Imagine a situation of a technical rescue diver who is unable to act during sudden mission because of a tooth pain. Think about a plane test pilot, who already checked all controls, buttons, switchers of his million dollar baby and while performing his maneuvers his face becomes red, a blood is moving into the head and pulp inflammation causes so much pain that he has no other choice than return to base. What about a mountain climber who had to pay a huge amount of money for permission to reach Himalayas and after many days of struggle has to surrender and watch his friends going further because his headaches are so strong that they cause problems with keeping the balance. You should know that although all the problems we will be talking about are connected to pressure changes, the mechanisms of problems showing up underwater and in the sky are different. Moreover free divers and technical divers suffer due to different reasons. And the problem of barodontalgia happens more often underwater because of higher altitude/pressure correlation. Now we’re going to explain a few terms:


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Barodontalgia as a term was used in 1940 originally describing the pain developed by pilots in unpressurized cockpits. After the World War II the incidence of reported barodontalgia has decreased because of new dental materials, new dental procedures and cabin pressurization however in the XXI century standards of living, make extreme sports got many followers and the human body is put into uncommon conditions. We as a dentist have to keep that in mind because our work will have to stand up to much greater forces than were predicted by a us and producers. Many different complaints start to show up from an altitude of 3000m (0,75atm) and in the diver at 10m /1,0atm. Adler classified symptoms of barodontalgia as being caused by either trapped gases or envolved gases. When an air bubble inside a human body is unable to travel outside to equalize the pressure /tooth restoration/, excessive gas pressure or volume may result in mechanical tissue disruption. The problem became so significant that military medicine had to stimulate continued research.

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Barotrauma/Aerotrauma is a physical damage to body tissues caused by a difference in pressure between an air space inside the body and the surrounding gas or liquid Damage occurs in the tissues around the body’s air spaces because gases are compressible and the tissues are not. During increases of ambient pressure, the internal air space provides the surrounding tissues with little support to resist the higher external pressure. During decreases in ambient pressure, the higher pressure of the gas inside the air spaces causes damage to the surrounding tissues if that gas becomes trapped. Tooth Explosion – rising pressure in the tooth chamber caused by trapped gas can crack in parts surrounding walls. For example cotton wool covered by temporary filling between root canal treatment visits or caries lesion. Tooth Implosion – higher pressure of the environment can cause the crack of the tooth from the outside to the center like collapsing of a black hole. Barodontalgia/Aerodontalgia is a toothache by barotrauma/aerotrauma.

Ry E rSiE A R C H p g No Co t fo r What we do have to look forPub licPulp, Deep Caries, Pulp Inflammation, Dead a Dentin Permeability, Heavy Restorations tion te Without Lining Cements, Extensive ss e nCrown ce Preparations, Infected Root Canals, Inappropri-

More research studies are required but many cases are needed which narrows the number of scientific facilities to military or oceanography labs. Reexposure to altitude in a chamber can be used to confirm a doubtful diagnosis or to determine the effectiveness of therapy. It is especially needed in technical, rescue divers or pilots. Posterior teeth are more frequently involved than anterior teeth and maxillary teeth are affected more often than mandibular teeth. Teeth filled with amalgam and are more likely to be involved than unrestored teeth and recently restored are particularly susceptible. Strohaver has recommended that after deep restorations flying and diving should be postponed to 48-72 hours to allow time for the dental pulp to quiet down and stabilize. During a crown preparation dentin permeability increases but it shouldn’t cause a problem if the restoration is well sealed and there is no microleakage however if it occurs, it may indicate a deficient margin or disruption of the cement. At the sea level there may be no symptoms but several meters below the surface barodontalgia may present clinically before crown debonging. Full ceramic prosthetic fillings can crack in parts even at the 20m depth. After tooth extraction a blood makes a clot that prevents bone from getting infected. Patients should avoid diving for 2-8 weeks. Venturi effect of clot removal might also come into play with divers sucking air through a snorkel or regulator.

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ate Root Canal Treatment, Dentin Permeability, Periapical Lesions, Periodontal Abscesses, Maxillary Sinus Congestion, Recent Tooth Extraction, CaOH2 lining /resorption/, Temporary Feelings /especially divers using heliox: helium + O2, Cements Used To Fix Casted Restorations, Inflammations In The Oral Cavity Region, Not Yet Fully Healed Oral Wounds, Temporomandibular Joint Overweight, Insufficiently Light Cured Composites.

Symptoms: tooth explosion, tooth implosion, pain: head, muscles, joints, tearing porcelain crown in parts, full prosthetic fillings damage / aspiration/, deconcetrating pain, vertigo effect /pilots,divers/, post extraction complications related to bone inflammation. Treatment: closing dentine tubules, reconstructing marginal line of crown cement, using new generation of composite light curing lamps with regulated intensity. The preventive treatment is very important. Both complete clinical and radiological examinations must be achieved. Regular dental examination are-essential for the crew.

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Pediatric Oral Maxillofacial Trauma

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Incidence Facial Fractures in the children compromises less than 15% of all facial fractures. Due to their high bone resiliency, considerable force is required to cause a fracture and for the same reason it is only in children with relatively soft spring bone, that Green Stick Fracture occurs: Rare before 5 years Increases as children begins school > 5 yrs Peak is at puberty and adolescence

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Extraoral examination

Preoperative radiograph

Eyelet wiring

Postoperative photo

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Nasal fractures are the most common mandibular fractures. Midface fractures are very rare owing to its retrusive position at that age. Case Report An 11-year-old girl, with a history of fall from the terrace of her house (3 meters height from the ground). After the fall, the patient did not loose consciousness, was well-oriented to time and space and had no history of convulsions or vomiting. The local physician had put a dressing on the open wound on the chin complaining of difficulty in wide opening of the mouth, pain in front of her ears particularly during mastication. Extraoral examination Wounded chin Bilateral swelling over TMJ area Intraoral examination Normal sized jaw with normal eruption pattern

The maxillo-mandibular fixation was maintained for three weeks, followed by active physiotherapy of the jaws by inter-maxillary elastics and active movement of the jaws. The healing was uneventful. The patient could open the mouth, occlude and was rehabilitated to normal mastication.

Conclusion Children have a greater osteogenic potential and faster healing rate than adults and hence anatomic reduction in the children should be accomplished earlier, and the immobilization times should be shorter i.e. 2–3 weeks as compared to 4–6 weeks in adults. The high osteogenic potential in children allows rapid union within three weeks and non-union or Management fibrous union is almost never seen in pediatSince the pediatric mandible has high osric patients. These factors allow for a much teogenic potential non-surgical conservative greater potential to remodel even in impermanagement was the treatment of choice. fectly reduced fractures along with eruption of Eyelet wiring was done on all the four teeth later on. segments and Maxillo-mandibular fixation The following points should be kept in (MMF) was done. mind while managing condylar fractures in The extra-oral lacerated wound was sutured children: in layers and sub-cutaneous suturing was Condylar fractures are usually Greenstick. done to close the skin. Swelling on the T.M.J area may be a sign. Radiographic examination An OPG showed bilateral subcondylar fractures, which were not displaced but fractured segments seemed bent and caused a little shortening. They fell into the category of greenstick fractures whereby a single cortical plate is fractured and other cortex gets bent.

Postoperative radiograph

Reconstitution of normal anatomy is the goal. Unilateral non-displaced fractures can be treated by soft diet alone. Non-displaced bilateral fractures of condylar or displaced fractures must be conservatively managed. MMF should be maintained for minimum period of time. Open reduction is reserved only for non-reducible condylar fractures, which mechanically prevent jaw movement. Prepared by Zeyad Salem


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