Da august 2017 issue by Dental Access

AD ROCO

Contents

Editorial

Editorial Board Editor in Chief Dr. Harris Co Publisher Dr. Armi B. Cabero

Page

15-16

Should dentists inject Botulinum Injections?

Managing Director Mr. Medardo Chua Business Development Manager Mr. Kojih Lanot Project Manager Ms. Mary Ann Chan Contributing Editor Dr. Jhing Chua-Sy

Beauty and Function - Dr. Sonia Matic

Page

21-23

Junior Editor Editor Dr. Joerel Faith Yague Page

25-26

The Fellowship of the Las Piñas Dental Chapter

Contributors Dr. Aaron B. Mayordomo Dr. Brian Esporlas Dr. Cherrylou Sison-Mendoza Dr. Johanna Po Dr. Joseph Lim Dr. Juan Rafael Silva Mr. Lloyd Tronco Dr. Vincent Gabriel S. Caagbay Dr. Catherine Greenhalgh Circulation Executive Dr. Guenevere N. Uy - Tanchuanko Publication Manager Ms. Michelle M. Chua

APDC Review

Page

Advisory Board Members Dr. Antoinette Veluz Prof. Alexander Mersel Dr. Charlston E. Uy Dr. Claver O. Acero Jr. Dr. Darwin Lim Dr. Derek Mahony Dr. How Kim Chuan Dr. Maridin Munda-Lacson Dr. Ramonito R. Lee Designers Mr. Ace John Avila (Graphic Design) Mr. Christian Nipa (Web Design)

Page

Regulars: Editorial Dental Law and Ethics What Went Wrong Products Catalogue Calendar Events 3 • D EN TA L A C C E S S • Aug u st 2 0 1 6

Dentech China 2016

Published By:

Dental Access is published 4 times in a year by ADJ Dental Access Publications. Its circulation reaches the three archipelagos of the Philippines mainly Luzon, Visayas and Mindanao. The collective efforts of our media and print platform will further extend in the Southeast Asia, Asia Pacific, and China. We are working close with other international organizations in order to build strong ties that will make Dental Access a resource of information and international talent with its pool of competent an intelligent professionals. All materials received by ADJ Dental Access Publications are understood to have full copyrights from the advertiser / contributor / author and will have full rights to publish both on website and on print. The advertiser / contributor / author shall then indemnify all against the claims or suits for libel, violation of right of privacy and copyright infringements. ADJ Dental Access Publications Rm 505 Admiralty Building 1101 Alabang - Zapote Road Muntinlupa City 1770 www.identalaccess.com Tel: 02-8937837

Dr. Harris Co is a graduate of Centro Escolar University in 1999 with an impressive number of achievements during his collegiate years. With his much promising career as a dentist, he became an Associate Member of the International Association for Orthodontics and is an active Member Tzu Chi International Medical Association, Philippine Prosthodontic Society, Philippine Academy of Esthetic Dentistry, and the Philippine Academy of Implant Dentistry. Currently he is the Editor in Chief of Dental Access Publications.

LOOKING THROUGH THE GLASS OF TERROR By: Dr. Harris Co

error strikes again! Amidst the “pagbabago” in our beloved association, our dentists are once again daunted by the atrocities of crime in the metro. Two recent killings of dentists, both victims of armed robbery, have alarmed our colleagues in busy streets of Makati City with no lead to the perpetrators. Many dentists now resort to cancelling their appointments due to grave fear of falling prey to the robbers. And I understand where they’re coming from. Who would want to risk their lives over their beloved profession? We might as well spend time with our families or resort to another line of business, right? Truth of the matter is, no one is immune to crime. Its like dodging bullets except you don’t know where they are coming from. Likewise in our case, you will never know when and where they will strike next. The only thing you can do is protect yourself and your clinic staff from becoming victims of crime. Now the question is, how can we protect ourselves nonetheless avoid these situations? Suggestions have been uttered over the last few years since these incidences occurred. CCTVs were regularly installed in clinics; automatic door locks and now even phone TVs are suggested so you can screen your visitors from the outside. But all these are not enough to substantiate our safety mainly because the threat is still inevitable. Worse, most perpetrators are armed with knives and guns. So how do we deal with this matter? In a recent move proposed to the PNP by Dr Arturo De Leon, Past PDA President and Dean of Our Lady of Fatima - College of Dentistry, it included exemption of dentists from submitting threat assessment certificate as verified by the PNP. As a result, dentists who wish to carry firearms or guns into their clinic premises will be permissible without much justification aside from the imminent threat they face today as dental practitioners hence this will warrant their purpose to carry guns to and from their dental clinics. This is a bold move for our co-professionals and may be pronounced indifferently but in a way may help our dentists give peace of mind while in their clinics. But with responsible handling, I am confident that this will ward off criminals from entering dental clinics - with a new knowledge that dentists are now equipped with firearms. We are easy prey to these felons especially if our practices are located in a busy highway where a speedy getaway can be manageable. We must act fast and act now before another colleague falls victim to this heinous crime because at the end of the day, we are all brothers and sisters in our beloved association. DAC

Au gu s t 2016 • DEN T A L A C C ESS • 4

Local News By: Dr. Jhing B. Chua-Sy

PDA ELECTS NEW SET OF OFFICERS

he Philippine Dental Association elected its new set of officers during its 107th Annual Scientific Convention held from May 25 to 30, 2016 at the SMX Convention Center, Mall of Asia. Attended by approximately 10,000 delegates from all over the country, the simultaneous elections for President of 2016-2017 and President-elect of 2017-2018 was a first for the Association in light of a no election scenario last year and the subsequent hold-over of the sitting officers at that time. The newly-elected PDA Officers for Administrative Year of 20162017 are: Executive Board Dr. Carlos Buendia, President (2016-2017) Dr. Mark Villalobos, President-Elect (2017-2018) Dr. Victor Torres, Executive Vice-President Dr. Alvin Laxamana, Vice President, Luzon-North Dr. Benilda Anastasia Ambida, Vice President, Luzon-South Dr. Clarissa Jane F. Pe, Vice President Visayas Dr. Charito Reyes Vice President, Mindanao Dr. Ma. Lourdes De Leon, Treasurer Dr. Jocelyn Manabat, Auditor

DENTAL ACCESS LAUNCHES MOBILE APP FOR PDA 107H CONFAB

ental Access launched its first and foremost Mobile App named as the 107PDA2016 during the 107th Philippine Dental Association Convention held on May 25 to 30, 2015. In partnership with the 107 PDA Organizing Committee, the Mobile App is a first-of-its-kind in the history of the Philippine Dental Association that was well-received by the nearly 10,000 attendees of the scientific convention. The 107th Mobile App, specifically designed for the 107th PDA Convention contained all the vital information on the scientific sessions including the speakers, venue and time of lectures that were presented during the 5-day convention. In addition, it contained the list of dental exhibitors with an exhibitors’ map creating an easy and efficient navigation for the delegates to locate the specific dental companies which catered to their dental needs. Furthermore, the Mobile App updated the attendees of the current events, lectures and promos that were circulated during the Led by its publisher Dr. Armi B. Cabero and PDA Past President and General Chairman of the 107th Annual Convention Dr. Jesus Tumaneng, the partnership is among the successful achievements that was congealed with a Memorandum of Agreement specifically crafted for the said event. DAC 5 • D ENT A L A C C E S S • A u g u st 2016

Trustees- Luzon Dr. Maria Arlissa Aguiluz, Dr. Stepehen Almonte, Dr. Mirasol Cabal, Dr. Leo De Castro, Dr. Mario Esquillo, Dr. Darwin Lim, Dr. Andrew Regacho

PHILIPPINE DENTAL ASSOCIATION COPS FINALIST HONORS IN PRC OUTSTANDING ACCREDITED PROFESSIONAL ORG AWARDS

Local News

PHILIPPINES HOSTS ASEAN ENDODONTIC FORUM

he Philippine Dental Association (PDA) was named as one of the 3 finalists in the Professional Regulation Commission’s Outstanding Accredited Professional Organization of the Year for 2015-2016 among 43 accredited professional organizations nationwide.

Trustees-Mindanao Dr Albert de Guzman, Dr. Jay Perey

The PDA falls under Category B with registered professionals from 10,000 but less than 100,000 with stringent detailed criteria that meets the standard of the regulatory body. There are 3 categories and only one nominee from each category is chosen.

The House of Delegates Dr. Ariel R. Go, Speaker of the House Dr. Ernesto C. Anteola, Jr., Speaker Pro Tempore Dr. Nicolas T. Balais, Floor Leader Dr. Gloria Cristina Ramos-Lleno, Peace Officer

The selection of awardees is screened by a Screening and Selection Committee for Outstanding Accredited Professional Organization of the Year Awards and is composed of 5 Justices coming from the Supreme Court, Appellate Courts, Court of Tax Appeals, Sandiganbayan and the Ombudsman.

The Endodontic Society of the Philippines (ESP), an affiliate of the Philippine Dental Association, was at the forefront of the event which showcased well-known endodontists from the ASEAN community. Two Filipinos, Dr. Johnah Galicia, who is currently an Assistant Professor of the Graduate Program in Endodontics at the University of the Pacific, USA and Dr. Johanna Rosette Po, a Professor of Oral Pathology and Oncology, Molecular and Cellular Biology and Craniofacial Development and Genetics at the University of the East, formed part of the speakers invited to share their expertise.

Trustees-Visayas Dr. Elmer Cuevas, Dr. Kay Dela Cruz

The officers officially took over the reins of the PDA last June 1, 2016. DAC

he country recently played host to the ASEAN Endodontic Forum from July 9 to 10, 2016 at the Marco Polo Hotel, Meralco Avenue, Ortigas Center, Pasig City.

With the theme, “Endodontic Innovations and Alliance with other Disciplines of Dentistry”, the forum is geared towards learning the The award was presented during the Annual Awards Night of the latest trends in endodontics while creating a collaborative atmosphere of ideas for the advancement of the said dental specialty. PRC held last June 22, 2016 at the historic Manila Hotel.

A Pre-Congress was also held on July 8 with Dr. Marco Martignoni, a This year’s finalist recognition for the Philippine Dental Association guest lecturer from the USA who guided the participants in a handsis for the Administrative Year of 2015-2016 under the leadership of on workshop using a new endodontic file system, the WaveOne Gold by Dentsply. then PDA President Dr. Maria Lourdes M. Coronacion. DAC

PRIME ORTHODONTICS GEARS UP FOR ITS 5TH BIENNIAL ALUMNI CONVENTION

Dr. Emabel Sibayan-Jugo, President of the ESP is the General Chairman of the Asean Endodontic Forum 2016. DAC

CAMARINES SUR DENTAL CHAPTER SENDS ILLEGAL PRACTITIONER TO JAIL

rime Orthodontics Studies and Training (POST) is gearing up for its upcoming 5th Biennial Alumni Homecoming, Sci- entific Seminar and Fellowship scheduled in November this year.

Attended by mostly alumni of POST, the event is held every 2 years amarines Sur Dental Chapter scored big when the hard road as part of its enhancement program and as a means to update ortho- to justice was finally achieved via a judgment recently dontic practitioners of what’s new in the pipeline. rendered by the Municipal Trial Court of Naga City finding The event is a whole day affair culminating in a fun and exhilarating an illegal practitioner guilty beyond reasonable doubt in violation of fellowship night where various batch groups try to outdo each other Republic Act 9484 or the Philippine Dental Law of 2007. by way of song and dance performances. The accused was caught red-handed when he “wilfully and criminalFounder, Course Director and Trainer of Prime Orthodontics, the ly, practiced dentistry, by engaging in the mechanical construction well-renowned Dr. Romeo N. Jacob, Jr., promises a well-diversified of artificial dentures or fixtures and introducing dental instruments selection of scientific lectures that will cater to the dental professional. inside the mouth of (sic); not being a dentist as defined under Sec 4 (a) of R.A. 9484, in violation of the aforesaid law”. The illegal practiDr. Mary Marjorie Montalbo, Prime President, will lead the festivi- tioner was sentenced to two years and one day of imprisonment. ties alongside Prime’s Executive Secretary, Dr. Socorro D. Rahayel and Miss Maria Luisa Tandoc, Operations Manager of Jacob-Ortho Dr Carol Dell Villanueva, Camarines Sur Dental Chapter President (2015-2016) stood as complainant of the case. DAC Dental Clinic. DAC

Au gu s t 2016 • DEN T A L A C C ESS • 6

Local News

By: Dr. Jhing B. Chua-Sy

CEU DENT ALUMNA IS 3RD RUNNER-UP IN MISS MANILA 2016

r. Kristel Guelos, a graduate of CEU Batch 2014 was named as 3rd runner-up in the Miss Manila 2016 Pageant held last June 24, 2016 at the PICC Reception Hall in line with the celebration of the 445th Foundation Day of the City of Manila. Kristel, a licensed dentist who hails from Batangas, was Miss CEU 1st runner-up in 2014. She previously joined Miss Earth Philippines in 2013 and won a bronze medal for the resorts wear competition. The Board of Judges were led by Mayor Joseph Ejercito Estrada, Viva Entertainment’s CEO Vic Del Rosario, well-renowned photographer Raymund Isaac, Manila councillor Yul Servo, and Miss Globe Ann Colis. The event was hosted by local celebrities KC Concepcion and Edu Manzano. DAC

LADY DENTIST KILLED IN CLINIC ROBBERY

lady dentist was fatally shot inside her clinic at 9547 Kalayaan Avenue, Barangay Guadalupe Nuevo last July 6. Dr. Raquel Magsalin, 38, single and a resident of Taguig city succumbed to a gunshot wound in the head when she apparently put up a struggle against the assailants. The two unidentified motorcycle-riding men entered the clinic at around 2pm and tied up Dr. Magsalin’s dental aide. The robbers successfully rode away with Dr. Magsalin’s bag but not without the lady dentist struggling which prompted one of them to shoot her. SPO3 Noel Pardinas and SPO2 Rico Caramat, Station Investigation and Detective Management Branch (SIDMB), Homicide Section, Makati City Police, said that the attackers fled in the direction of C5 Road going to Taguig City. Investigation as to the identity of the assailants is still ongo n its 6th year, the Tuguegarao City Cagayan Dental ing. Chapter (TCDC) takes the Regalong Ngiti Program to Aparri, Cagayan where a total of 12 recipients reIn the meantime, the Philippine Dental Association led by its President Dr. Carlos Buendia, has already made prepara- ceived treatment from this group of exceptional doctors.

tions to extend assistance to the slain dentist’s family. DAC

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7 • D EN T AL AC C E S S • Au g u st 2016

REGALONG NGITI BRINGS NEW LIGHT OF HOPE IN APARRI CAGAYAN

Among the 12 recipients, 4 patients received Cleft Lip surgery while the remaining beneficiaries received Cleft Palate surgery. The operation was performed by no less than Dr Ramonito R. Lee(surgeon), Dr Charlston E. Uy (surgeon), Dr Leah Anne Espinoza (anesthesiologist) and Dr Rey Blancaflor (anesthesiologist) held at the Lyceum Aparri Hospital last July 16-18, 2016. OR nurses namely Ms Evangeline De Guzman and Mr Angelo Cedena, RN contributed to the success of the operation. Additionally, Dr Pia Alonzo - Malazo, Dr Nestor Pagulayan, Dr Ichi Duque and Dr Agnes Villanueva all participated in this fortunate program for the benefit of the recipients. This two day operation was hosted by Rev. Father Joel Reyes, of the Lyceum of Aparri in Cagayan and was organized by Dr Milagros P. Enrile, 2016 President of TCDC and its members. DAC

Au gu s t 2016 • DEN T A L A C C ESS • 8

Business News

Are you ready for amalgam phase-down? How the Minamata Convention impacts your Dental Practice

he United Nations imperative to reduce exposure to environmental mercury exposure, embodied in the Mi- namata Convention, has profound implications for the practice of dentistry through its requirement to phase down the use of dental amalgam. The momentum to implement the recommendations of the Minamata Convention is now building and FDI recognizes the importance of taking a proactive role in the amalgam phase-down discussions and leading the debate on the implications of this decision for global oral health and on the practice of dentistry. Organized in partnership with the International Association for Dental Research (IADR), this World Oral Health Forum will carry that debate forward. The session will explore the challenge of finding new materials to replace dental amalgam, all the way from basic discovery science, through clinical trials to evaluate efficacy and safety, to their introduction into clinical practice. It will also include a systematic consideration of those materials that dentists will have at their disposal after the phase down of dental amalgam. Importantly, the Minamata Convention creates the opportunity to take a systematic, critical appraisal of current strategies for caries prevention and to propose more effective approaches.

Strong performance continues as organic1 growth of 14% lifts first-half revenue to record level

traumann Group reported a record performance in the first half of 2016 as revenue grew 16% in Swiss francs to CHF 461 million. Fuelled by double-digit increases across all businesses and regions, revenue climbed 15% in local currencies or 14% in organic terms. Building on an excellent start to the year, Straumann reported its strongest quarterly growth in eight years as organic revenue climbed 15% in Q2. Despite investments in growth opportunities, new products and people, the Group achieved further improvements in underlying profitability, as gross, operating and net profit rose 15%, 19% and 30%, respectively, with the corresponding margins reaching 78%, 25% and 21%. 9 • D ENT A L A C C E S S • A u g u st 2016

This will include a consideration of how clinicians, educators, policy makers and industry can work together to improve both oral and general health. The impact of the Minamata Convention is likely to be considerable in low- and middle-income countries where dental amalgam is still the most effective and affordable restorative material available. A key contribution to the forum will be an account of how the dental profession in Africa is responding to the challenge posed by the Convention. 1 . Why we need to commit to the phase down of dental amalgam use (Dr Christopher Fox ) 2. The Minamata Convention: what are the challenges of phasing down the use of dental amalgam? ( Dr Jocelyne Feine ) 3. Restorative materials after Minamata: What will be left? (Prof Gottfried Schmalz ) 4. New materials for a post-Minamata era (Dr Jirun Sun ) 5. What does Minamata mean for dentistry in a resource-constrained setting? The WHO views and perspectives for the Africa region (Dr Benoit Varenne). DAC

Exceptionally, net profit (CHF 135 million) exceeded operating profit (CHF 114 million) due to a one-time deferred tax asset gain of CHF 41 million resulting from the merger of Straumann Brazil with Neodent. On the basis of the strong first-half progression in general, Straumann has lifted its expectation for full-year revenue growth from the high-single-digit to the low-double-digit percent range and confirms that it is well on the way to deliver its existing profitability targets. Marco Gadola, Chief Executive Officer, commented: “Our exceptional progress is the result of an all-round performance rather than just one or two factors. We have won customers from our competitors with our new BLT implant, our Pro Arch solution, our comprehensive range of biomaterials, and by offering attractively-priced high-quality alternatives through Instradent. We have forged new partnerships and deepened existing collaborations to enter new geographies and segments. We have invested in innovation and future growth projects and the people to drive them. At the same time, we have further improved operating and net profit margins. All of these achievements are evidence of the cultural change in our organization, which will sustain our success going forward”. DAC

Straumann exercises conversion right and call option to obtain controlling stake in MegaGen

traumann recently announced that it is exercising its conversion right and call option to acquire a controlling stake in MegaGen, the South Korean implant manufacturer. The option was obtained in March 2014, when Straumann agreed to purchase convertible bonds from MegaGen for a total of USD 30 million. MegaGen’s shareholders consented to the deal by approving the respective increase in the company’s conditional capital at their annual general meeting in Kyungsan on 31 March 2014. The bond agreements between the two companies provide Straumann with the right to convert them into MegaGen shares. An additional agreement with the main shareholders of MegaGen entitles Straumann to purchase the additional number of shares in MegaGen to obtain a controlling stake in MegaGen. Straumann’s decision to exercise the conversion right and the option has triggered the process in the agreements to determine the conversion rate and the price of the additional shares. MegaGen disputes the conversion price and calculation procedure, and has initiated arbitration in Seoul under the ICC rules. Expediency is in the best interest of all parties involved,and Straumann is in the process of responding in order to close the deal as soon as possible. This could take up to two years depending on the progress of the arbitration. Straumann’s CEO Marco Gadola explained: “Our investment has helped MegaGen to drive its growth strategy and to achieve good results in 2015. However, with its domestic market highly penetrated and our industry consolidating rapidly, we are firmly convinced that it is in the best interest of MegaGen’s employees, customers and shareholders to have a strong global partner who can help the company to provide complete solutions and to expand internationally. At the same time, MegaGen complements our portfolio with differentiated products and could help us to address the value segment more effectively particularly in the Asia/Pacific and Middle East regions”. DAC Au gu s t 2016 • DEN T A L A C C ESS • 10

Science News

POPULAR CHEWING GUM ELIMINATES BACTERIA THAT CAUSE BAD BREATH

iven that the gum contains cinnamic aldehyde, a plant essential oil used Story Source: for flavoring, the result was not surprising, said Christine Wu, professor Provided by University Of Illinois At Chicago.

of periodontics and associate dean for research at the UIC College of Dentistry. Wu, who searches for natural antibacterial agents from plant sources that suppress oral pathogens, had tested several plant essential oils and found that they inhibited the growth of bacteria responsible for cavities and periodontal infections. “In laboratory tests, some of these oils also prevented the growth of three species of oral bacteria associated with bad breath and the production of volatile compounds that cause the unpleasant smell,” Wu said. The laboratory findings and interest from the Wrigley Company in Chicago prompted Wu to launch a clinical trial of the effects of chewing gum on oral bacteria. In the study, 15 subjects chewed one of three gums for 20 minutes: Big Red, the same gum with natural flavors but no cinnamic aldehyde, or a gum base with neither flavors or oil. Twenty minutes after the subjects stopped chewing the gum, their saliva was tested and compared with samples collected before chewing began.

ESTROGEN COMBINED WITH CALCIUM AND VITAMIN D MAY PREVENT TOOTH LOSS

ostmenopausal women who took a daily dose of estrogen along with calcium, vitamin D and regular dental check-ups improved the con dition of their jaw, which could potentially reduce the risk of tooth loss. Women who had regular check-ups but took only calcium and vitamin D also improved jaw mass and density, though to a significantly lesser extent than those who received estrogen. This is the first prospective, controlled study aimed at determining the effects of estrogen on the jaw. The study was conducted at Washington University School of Medicine in St. Louis and will appear in the June 24 issue of Archives of Internal Medicine. “Tooth loss is fairly prevalent in the aging population, particularly in people over 65, about 40 percent of whom have lost all their teeth,” says Roberto Civitelli, M.D., professor of medicine and of cell biology and physiology. “The risk is higher for women aged 65 or older, and continues to increase the longer a women has been postmenopausal. There are so many people with dentures that I think this Estrogen already has been shown to help reverse the effects of osteoporosis and to improve bone density in postmenopausal women. Civitelli’s team wanted to find out whether these benefits elsewhere in the skeleton also translate to the facial bones, particularly the alveolar bone, which surrounds the teeth. Bone loss in these areas also increases with age and is believed to be a risk factor for tooth loss when combined with periodontal disease. The team randomly assigned 135 postmenopausal women with no evidence of periodontal disease into one of two groups. One group took an estrogen tablet once a day while the second group took a look-alike sugar pill. All women received daily calcium and vitamin D supplements as well as regular dental care and yearly cleanings. All participants continued treatment for three years. Women who received hormone replacement therapy had a significantly greater increase in alveolar bone mass (1.84 percent) compared with those who took the placebo (.95 percent gain). DAC

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Microbiological analysis showed that Big Red reduced by more than 50 percent the concentration of anaerobic bacteria in the saliva. It was particularly effective against anaerobic bacteria residing at the back of the tongue, reducing the population by 43 percent. These bacteria produce volatile sulfur compounds through the putrefaction of proteins and are considered the major contributors to halitosis, or bad breath. The gum that contained natural flavors but no cinnamic aldehyde also reduced the number of bacteria by about 40 percent. DAC

TOBACCO SMOKE MAKES GERMS MORE RESILIENT BREAKTHROUGH TOOTHPASTE INGREDIENT HARDENS YOUR TEETH WHILE YOU SLEEP

he study included 316 postmenopausal women who had no symptoms of osteoporosis. The women were divided into two groups: 159 had no history of hysterectomy, oophorectomy or estrogen use, the remaining 157 had one or more of these histories. All had panoramic dental xrays, and the cortical shape and width of the jaw were estimated on the x-rays. “Women with eroded cortical shape need to be referred for further BMD testing,” said Akira Taguchi, DDS, PhD, department of oral and maxillofacial radiology at Hiroshima University Hospital in Japan. Currently, questionnaires are widely used as the first step in determining which women need to have further BMD testing. This study found that dental x-rays were just as sensitive as questionnaires in identifying those women. Dental x-rays, looking at cortical shape, were 87% sensitive in identifying women with spinal osteoporosis in the group with no history of hysterectomy, oophorectomy or estrogen use and 80% sensitive for the other group. The questionnaire was found to have an 87% sensitivity rate for the women with no history and 72% for those with the history of hysterectomy, oophorectomy or estrogen use, Dr. Taguchi said. Dr. Taguchi noted that dental x-rays are not as specific as questionnaires, meaning that dental x-rays indicate disease when there isn’t any and can indicate there isn’t any disease and there is. However, since dental x-rays are already being done (about 15 million a year in the U.S.) they can be reviewed just as a first step in determining which women need additional testing, he said. “The response rate for questionnaires may be relatively low if postmenopausal women have little information or no interest regarding osteoporosis,” Dr. Taguchi said. On the other hand, “because dental panoramic x-rays are taken for the diagnosis of conditions affecting the teeth and jaws in clinical practice worldwide, the dentist could also look at the mandibular cortical shape and width and refer the appropriate women for further BMD testing,” he said. The study appeared in the December 2004 issue of the American Journal of Roentgenology. DAC

he new BioMinF toothpaste ingredient provides a new tooth repair technology which will bring relief to the millions of adults and children around the world who are prone to tooth decay and sensitivity. Dental decay is the most prevalent disease worldwide and the majority of adults will also experience tooth sensitivity at some stage during their lives. Decay is the single biggest reason for children being admitted into hospital with between 6090 percent of school children being affected. Tooth decay and sensitivity is estimated to affect 13.5million people in the UK alone. Toothpastes containing BioMInF are able to slowly release calcium, phosphate and fluoride ions over an 8-12 hour timeframe to form fluorapatite mineral to rebuild, strengthen and protect tooth structure. The slow release of fluoride has been identified to be particularly beneficial in prevention of tooth decay. “Using remineralising toothpaste makes teeth far more resistant to attack from acidic soft drinks like fruit juices and sodas. It is also much more effective than conventional toothpastes where the active ingredients, such as soluble fluoride, are washed away and become ineffective less than two hours after brushing,” said Professor Robert Hill, Chair of Dental Physical Sciences at Queen Mary, University of London, who led the team which developed BioMin and won the 2013 Armourers and Brasiers Venture Prize. “This breakthrough innovation could significantly reduce dental decay and also tooth sensitivity problems which are often experienced by people eating or drinking something cold,” said Professor Hill. “The technology behind BioMin is not however exclusively designed for toothpastes,” added Professor Hill. “It can also be incorporated in other professionally applied dental products such as cleaning and polishing pastes, varnishes and remineralising filling materials.” Professor Hill has co-founded, BioMin Technologies, which aims to commercialise the development. The company will be led by chief executive Richard Whatley who has 30 years international management experience within the dental industry working for market leading companies such as Dentsply and KaVo. “We are very excited by the prospects of developing the patented technology which has been licensed from Queen Mary University of London and Imperial College,” said CEO Richard Whatley.” We are in the process of establishing licencing agreements with toothpaste and dental materials manufacturers around the world. “A key element of our business model includes business partners also becoming investor stakeholders in the company thus reducing the need for traditional third party financing from venture capitalists. Our aim is for the BioMin brand to become synonymous for the treatment of tooth sensitivity in the eyes of both the dental profession and the general public.” Dr David Gillam, with expertise in the management of dentine hypersensitivity and a consultant and co-founder of BioMin said,” Tooth sensitivity is caused by open tubules in the teeth allowing access to the nerve receptors which may affect the quality of life of individuals particularly when eating and drinking hot and cold food and drink. BioMin containing toothpastes are effective by sealing the tubules with acid resistant fluorapatite which act as a barrier to hot and cold being transmitted inside the tooth.” A fluoride free version of BioMin is also being developed for individuals who do not want or need fluoride toothpaste. BioMinF is available from dental practices and distributors now or via www.biomin.co.uk at £4.99 for 75ml tube. DAC

Story Source: Provided by American Roentgen Ray Society.

Story Source: Provided by University of Queen Mary London.

DENTAL X-RAYS COULD BE FIRST STEP IN OSTEOPOROSIS SCREENING

niversity of Louisville School of Dentistry researcher David A. Scott, Ph.D., explores how cigarettes lead to colonization of bacteria in the body. Scott and his research team have identified how tobacco smoke, composed of thousands of chemical components, is an environmental stressor and promotes bacteria colonization and immune invasion. Scott says since this initial finding several years ago, a recent literature review published in Tobacco Induced Diseases revealed that cigarette smoke and its components also promote biofilm formation by several other pathogens including Staphylococcus aureus, Streptococcus mutans, Klebsiella pneumonia and Pseudomonas aeruginosa. Biofilms are composed of numerous microbial communities often made up of complex, interacting and co-existing multispecies structures. Bacteria can form biofilms on most surfaces including teeth, heart valves and the respiratory tract. “Once a pathogen establishes itself within a biofilm, it can be difficult to eradicate as biofilms provide a physical barrier against the host immune response, can be impermeable to antibiotics and act as a reservoir for persistent infection,” Scott said. “Furthermore, biofilms allow for the transfer of genetic material among the bacterial community and this can lead to antibiotic resistance and the propagation of other virulence factors that promote infection.”

One of the most prevalent biofilms is dental plaque, which can lead to gingivitis — a gum disease found in almost half the world’s population — and to more severe oral diseases, such as chronic periodontitis. Bacterial biofilms also can form on heart valves resulting in heartrelated infections, and they also can cause a host of other problems. “We are continuing research to understand the interactions of the elaborate communities within biofilms and how they relate to disease. Many studies have investigated biofilms using single species, but more relevant multispecies models are emerging. Novel treatments for biofilminduced diseases also are being investigated, but we have a long way to go,” Scott said. Scott elaborates on this research in a short question and answer style blog to be published May 31 on the BioMedCentral website: http://blogs.biomedcentral.com/on-health/2016/05/31/ wntdauthor-qa/ Attention to Scott’s work comes as the World Health Organization observes World No Tobacco Day on May 31 to encourage a global 24-hour abstinence from all forms of tobacco consumption. The effort points to the annual 6 million worldwide deaths linked to the negative health effects of tobacco use. In the United States, Kentucky ranks second for cigarette use among adults, according the Centers for Disease Control and Prevention (CDC). Only West Virginia has more smokers. Kentucky also brings up the rear among youth in grades 9-12 who use tobacco; according to 2011 CDC data, about 24-percent of high school students smoke cigarettes. DAC Story Source: Provided by University of Louisville. The original item was written by Julie Heflin Au gu s t 2016 • DEN T A L A C C ESS • 12

Clinical Article

DENTAL PRACTICE MANAGEMENT By: Brian E. Esporlas DMD, MSD, FPFA

D About the Author Dr. Brian Esporlas is an alumnus of Centro Escolar University College of Dentistry batch 2004 March. He pursued his post graduate education at his alma mater in 2009 where he graduated and took up a degree in Science of Dentistry, Major in Orthodontics. In 2014 he made his country proud when he was chosen to be among the Presenters for the Poster Board at the Hong Kong International Dental Exhibition and Symposium (HKIDEAS). In 2015 he present two more posters for the HKIDEAS that was followed by his induction as a Fellow member of the Pierre Fauchard Academy. Today he continues his doctorate degree in Philosophy in Development Administration at the Philippine Christian University and is an assistant professor and Chair for the Faculty Development at the University of Perpetual Help System Dalta in Las Pinas City.

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entistry is a profession that requires a business strategy. Strategy includes Marketing, inventory, facility layout, Scheduling, and man power. Also, dentistry is a business that is both labor and capital expensive. Capital expensive because it is no joke to acquire dental equipments, materials and instruments due to its high cost. Labor expensive due to the time a dentist spend to diagnose, analyze and treat a patient, not to mention the maintenance of patient records, scheduling and communicating with the patient and other health care provider and the hired personnel to run the organization. Since it is already established that Dentistry is a practice of profession that utilizes business strategies, promotion and marketing strategy must be prioritized in order to acquire networks of prospect patients. There are many ways how to do this, but the most effective is the quality of service (well, and products) that the dental team delivered to the patient. If a patient is satisfied, it is more likely that He or she will refer family and friends. So how can a dentist improve the quality of his work (service and products)? First, a dentist can adopt the Six Sigma Strategy or the DMAIC strategy. A dentist must Define the problem related to the services and products that they deliver to the patients. This includes knowing who the patient is and what are their specific needs? Then Measure the process by collecting data, in order to pinpoint the problem and the area that needs to be improved. Once data are collected, it must be Analyzed in order to develop information that provides insight into the procedure, including the most important causes of the errors. After the identification of problem and it causes, solution to correct and prevent it must be Implemented. These are the changes that have been determined to address the root cause of the major issues. And finally, Control the implemented changes by monitoring so that previous issues will not be repeated and to determine other areas of concerns that need improvements.

Also, Continuing Education can help a dental team to deliver quality service to their patients. Through continuing education, a dental health provider can acquire new skills and knowledge that is beneficial for both their dental practice and to their patients as well.

Waiting line or cueing. Most dentist would wish they have patients waiting in line, just like customers in almost every hair salon! The speed of service is also important in quality management. People do not want to fall in line. Patients also have other things to do other than waiting in line. In a quality management for businesses, scheduling is very important. This is to prevent waiting line, and to ensure ample time for each patient per procedure. Just in case of schedule overlapping, the office must have a facility to accommodate emergency cases or patient with overlapping schedule. Unfortunately, most dental offices do not have the luxury of having this kind of layout.

Skill and knowledge is not enough to deliver quality services (and product) to the patient. Proper facility layout of the dental office also has a big impact to the performance of the dentist and with the patient’s comfort. The dental office facility layout must give a harmonious working environment to the dentist and the staffs. Everything must be within the reach of the dentist or assistant during a procedure. The operatory area must offer privacy and security for the patient. Finally, Human resource. An organization needs a team. In short, the facility must be inviting for both the team and And so do the dental offices. One dentist cannot survive the patients and must be ergonomically designed. without a team. A team must be fully equipped with all the skills needed in an organization. Each member should posInventory. Any dental office must have a good and stable ses the knowledge, skills and understanding of his task and inventory of all the dental materials, fast moving or not. It his participation to the organization. would be best to stock or acquire a reasonable volume of fast moving materials because bulk order can be acquired at a Practicing Dentistry as a profession is not easy; it requires lower price. But of course, the shelf life must be considered. skills of a good clinician to deliver dental services. But, Inventory must be properly monitored with the use of per- practicing dentistry also requires an enormous amount of petual method (point of sale) or with the periodic method knowledge in business management. Therefore, it is best for (or the stock card method). This is to ensure that sufficient all the dentist to attend seminars or trainings focusing in materials are available during the clinic operation hours. business management and or Organizational Development.

Au gu s t 2016 • DEN T A L A C C ESS • 14

Clinical Article

Beauty in Dentistry By: Dr. Catherine Greenhalgh

About the Author Dr. Catherine Greenhalgh graduated from the Centro Escolar University in Manila, Philippines and moved to United Kingdom and passed the Overseas Registration Examinations. She now practices aesthetic dentistry, cosmetic tooth alignment and gum and breath therapy in the Isle of Man.

• Microdermabrasion– which uses fine crystals and a vacuum to remove dead skin cells   • Non-surgical laser and intense light treatments – such as laser hair removal of these categories Botulinum toxin is by far the most widely and commonly used and associated with non-surgical aesthetic procedures. It is then, not without a sense of irony that Botulinum toxin itself is an extremely potent and poisonous substance. However, the British Dental Journal published in 2009, that procedures utilizing Botulinum injections are safe, providing correct procedures are followed. The reason why it is a good choice to branch out into aesthetic dentistry are because the aging population (aged 40-50) is growing and the acceptance for this “lunchtime” procedures will always be wanted and it only experienced a slight dip in the recession in 2008. It also harmonize teeth with the rest of the face,   BOTULINUM REPORT 1 Complements dental treatments, as well as patient’s perception that dentists are the best people to perform these treatments for 2 reasons:

Setting Up Your Dental Practice for Cosmetic Procedures There are 3 things you need to consider prior to undertaking any Cosmetic Procedures: 1. Indemnity Insurance - As with any new activity it is important to make sure that practitioners are aware of the liability they will be exposed to. They should therefore ensure that this has been considered and where necessary address this with their Indemnity Insurance provider. BOTULINUM REPORT 2 2. Pharmacy - BTX-A is a prescription - only medicine and can only be prescribed by a medical professional (dentist, doctor) holding a prescriber’s license. 3. Clinical Training Workshop - It is important to set aside a few days to receive proper training from a reputable training institution. During the Botulinum toxin or Dermal Fillers Procedure, you must have the necessary paper work, such as Consent Forms for the procedures, Assessment Template and Post-Operative instructions for the patient. Before, after and during photos will always be helpful too.

There is only one condition on the power of dentists to prescribe, UK dentists cannot prescribe remotely (for example, via telephone, email or a website). Unlike Botulinum toxin where it prevents the nerve from releasing acetylcholine so it paralyses your muscle thus, freezing time, injectable dermal fillers gives an illusion of suppleness and are not prescription-only medicine - they are classed as medical devices and therefore do not require a prescription. Whatever aesthetic procedure you want to incorporate into your practice, from designer smiles to Cinderella lips, you must always remember that patients come first. Know the expectations of the patient first before carrying any work done. We are dentists and not magicians. We cannot make every line and wrinkle disappear, we may not be able to make them look like Catherine Zeta-Jones but we can improve certain features and elevate their perception of their selves . When reality and expectations are aligned then, there will be less complaints, more compliance and confidence. Please note that you cannot advertise Botox® BOTULINUM REPORT 3 Outside your practice as this is just a brand name of the prescriptiononly medicine. It is best to advertise as wrinkle-reduction (not elimination) injections to avoid misleading information.

1. Dentists know the face and underlying structures very well. 2. Dentists are the only healthcare practitioners that anesthetize the facial oral area almost everyday.

*If anyone is interested to take the Advanced Botulinum and Dermal Fillers Course in Manchester, England, United Kingdom, please message me at catherine@drgreen-

What is Botulinum? Should Dentists Inject Botulinum Injections?

ear after year the market for aesthetic and cosmetic procedures continue to grow all over the world. In the U.K. alone the British Association of Cosmetic Dentistry estimated that the number of people seeking such cosmetic botulinum treatments is growing by 11.6% each year, with an estimated collective turnover of over $2Billion and is expected to reach about $4Billion by 2017 (CAGR 9%). We all know that the practice of Dentistry is not “recession- proof ”. Non-surgical aesthetic procedures account for nine out of ten of these (or three- quarters of the market value) and are generally categorised as follows:

• Muscle paralysis – such as injections of Botulinum to relax facial muscles, and make lines and wrinkles less obvious   • Hyaluronic Acid Dermal fillers– injected into wrinkles or creases to fill them out • Chemical peels– which use chemicals to remove the outer layer of skin cells

15 • D EN T AL AC C E S S • Au g u st 2 0 1 6

Botulinum toxin (BTX) is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species. It is also produced commercially for medical, cosmetic, and research use. There are two main commercial types: botulinum toxin type A and botulinum toxin type B. It is colourless, odourless and tasteless. In 1820, Justinus Kerner, a small-town German medical officer and romantic poet, gave the first complete description of clinical botulism based on extensive clinical observations of so-called “sausage poisoning”. Today, it has been subject to much research that has proved its efficacy in solving muscular and hyper secretion problems in humans. Allergan is now the world’s LARGEST producer of Botulinum toxin and even 1 gram of it would be enough to supply the world’s demand. Commonly, we use BOTULINUM - A because it is more potent than B-type and is used for eye muscle problems (blepharospasm, strabismus), hyper secretion (sweating), cervical dystonia, upper motor neurone syndrome like Bell’s Palsy, chronic pain like headaches, migraines and oro-facial pain and now, cosmetics. Injection of Botulinum will not eliminate all the wrinkles, it reduces the appearance of smile lines, crow’s feet and deep glabellar wrinkles. The reason why it is considered safe is because of the dilution of the toxin is less and it is reversible within 3-6 months. There is also a reversal agent available in case, something goes wrong.

It is very important to discuss and obtain a valid consent - both verbally and in writing. After the procedure, always dispose your clinical wastes and sharps and observe proper waste disposal. Get the receptionist do a courtesy call the following morning, and always have the retention and referral programme in place. This is the kind of thing people talk about in dinner parties and word-of-mouth will spread like wild fire. Make sure it’s a good one. The GDC’s stand In United Kingdom, The General Dental Council regulates the practice of Dentistry and they have provided the lists of provision of nonsurgical cosmetic injectables as an additional skill which a dentist could develop in their document called the GDC’s Scope of Practice document.

References 1. http://m.pulsenews.co.kr/view.php?year=2016&no=68665 Guidance%20 on%20prescribing%20medicines%20(Sept%202013)-2.pdf 2. http://www.nhs.uk/Livewell/cosmeticsurgery/Pages/Non- surgicalprocedures.aspx#treatments 3. http://www.dailymail.co.uk/news/article-3017317/Dentists-1billionboom-grow- obsessedperfect-smile-Britons-spend-cosmetic-treatment-fifthfour-years.html 4. http://www.businesswire.com/news/home/20140711005540/en/ResearchMarkets- UKCosmetic-Surgery-Market-Report 5. https://www.keynote.co.uk/press-release/04222015/cosmetic-surgerymarket-suffered- dip-2014 Au gu s t 2016 • DEN T A L A C C ESS • 16

Advertorial

Amaris®

Highly aesthetic composite with an innovative shade system

here is an ever-growing awareness of the importance of healthy and also attractive-looking teeth. Today, for many people, dental aesthetics are integral to a good quality of life. An increasing number of patients thus want non-visible, natural-looking high-end restorations, particularly in the anterior region. This trend goes hand-in-hand with a rise in demand for highperformance restoration materials. Such materials are not only expected to boast impressive physical properties but also, and in particular, outstanding handling. Amaris is a composite with an innovative shade system which was specially developed for highly aesthetic restorations. This product ensures incredibly simple and convenient shade management for all users, whereby only a few shades are required.

Advertorial Optimal handling properties Excellent physical parameters Amaris also has excellent physical properties. The material has a high filler content (80% by weight) with just minimal polymerisation shrinkage (2.0% by volume). With its high surface hardness (99 MHV) and compressive strength (375 MPa), its great flexural strength (120 MPa) and diametral tensile strength (51 MPa) as well as its outstanding abrasion resistance (48 µm, 3-media abrasion) and low degree of water solubility (< 1 µg/ mm3), Amaris is a guarantee for permanently stable restorations. Primarily conceived for the anterior region, thanks to its physical properties it is also suitable for the posterior region. Amaris can be used for a wide range of applications. The indications include aesthetic anterior region restorations of Classes III, IV and V, aesthetic posterior region restoration of Classes I, II and V, the reconstruction of traumatically damaged anterior teeth, direct and indirect composite veneers, the veneering of discoloured anterior teeth, form and shade corrections to improve aesthetics, the repair of highly aesthetic ceramic (e.g., facet repairs) as well as the splinting of anterior teeth.

Innovative shade system Together, dentine and enamel define the overall appearance of the tooth. The Amaris shade system is also based on this natural principle. The most varied forms, shades and surfaces can be modelled quickly using a two-layer technique requiring just a base shade (Opaque) and an enamel shade (Translucent). Compared to other systems with more than 20 or, indeed, 30 shades, the Amaris system is made up of just 11 shades: Six base shades, three enamel shades and two individual shades. The base and enamel shades can be combined in a variety of ways and thus ensure a high degree of flexibility when producing shades. The optional individual shades also allow further individual structures and special accents to be realised. Despite their relative small number compared to other systems, the many possible combinations of the base and enamel shades included with this product enable the entire dentally relevant shade spectrum to be covered. This means that even the finest of nuances can be produced for successful restorations every time. The shade management is quite simple: the core is firstly built up using an opaque base shade. A covering layer of translucent enamel shade is then applied; with an optimal shade appearance, Amaris Translucent Neutral (TN) is used. If the shade appears to be too light, the covering layer is darkened using Amaris Translucent Dark (TD). If the shade appears too dark, Amaris Translucent Light (TL) is used. The final tooth shade can thus be achieved during layering; corrections, however, are still possible during restoration. To this end, any layers which were applied beforehand do not have to be removed. 17 • D EN T AL AC C E S S • Au g u st 2 0 1 6

In addition to its innovative shade system and excellent physical parameters, Amaris also impresses with its optimal handling properties. The material has a non-sticky, silky consistency and can be easily adapted and sculpted. Amaris allows very thin layers to be applied and finished, which means that even the finest of incisal edges can be created. The ambient and surgical light resistance of up to five minutes provides sufficient time for working, however, depending on the shade and layer thickness, the curing times range between just ten and forty seconds. Given its intelligent material composition, Amaris can be easily polished which, in turn, means a great and durable shine is ensured. The material can be used universally with all dentine adhesives.

Fig. 3: Fluorescence like with natural teeth.

Commercial forms with trial set Amaris is available in a variety of commercial forms, e.g., in sets and refills with syringes and caps. VOCO offers a trial set to allow consumers to get to know this intelligent shade system. This set features four caps in the opaque shades O1, O2, O3, O4, O5 and in the translucent shades Light (TL), Neutral (TN) and Dark (TD). The set also comprises two syringes with the individual shades HT and HO as well as the Amaris shade guide. Manufacturer: VOCO GmbH, PO Box 767, 27457 Cuxhaven, Germany, www.voco.com, info@voco.com Indications:

Fig. 1: Condition before treatment: Incisal fractures on teeth 11 and 21.

• Aesthetic restoration of Class III, IV and V cavities in anteriors • Aesthetic restoration of Class I, II and V cavities in posteriors • Reconstruction of traumatically damaged anteriors • Direct and indirect composite veneers, facing of discoloured anteriors • Correction of shape and shade for improved aesthetics • Repair of highly aesthetic ceramic restorations, e.g. veneer repair • Splinting, interlocking of teeth

Fig. 4: Anterior region restorations produced using Amaris. Legend: L = light-dark a = red-green b = blue-yellowT/O = Amaris shade combinations (translucent/opaque) O = Opaque

Advantages:

Fig. 2: Anterior region restorations produced using Amaris.

• Two simple steps, perfect results • Layering like in nature: shades are created from the inside of the tooth • Easy to learn, fast aesthetic results • Intuitive approach, no preconceived shades • Non-sticky consistency is ideal for modelling and shaping • Long resistance to ambient and chair light • Optimal polishability • Natural fluorescence and high colour stability • Good chameleon effect for invisible restorations

Fig. 5: Amaris, the highly aesthetic composite from VOCO, has impressed dentists and patients all around the world.

Au gu s t 2016 • DEN T A L A C C ESS • 18

University Profile

By Dr Armi Cabero

Higher Education should be based on Quality, not Quantity - Ahmed Zewail

The Dean with a purpose

nciano University, home to one of the most promising dental colleges in the Philippines headed by strong-man Dr Ariel Go, Dean and current HOD Speaker of the House of the Philippine Dental Association, the university is expected to make a historic come back after decades of dormancy leading its students to a high level of ground breaking education that will set new standards for the Unciano University students and its patrons.

A patriot and a true blooded Filipino whose not only street smart, but a man with a big heart, Dr Ariel Go has been a long time advocate of civil rights and fair play both in the PDA Association and to the community due to the influence of his parents who were both government servants. His patriotism to the country added fuel to his advocacy that precipitated to his participation as an active member of Alab ng Lahi Party list - a sect that represents the urban poor in Metro Manila. Later on he claimed a new position as President of the said group. Following his career midway before elected as Speaker of the House of Delegates of the PDA, Dr Go is perceived a determined public servant and academician who is ready to take on the challenges that lay ahead of him. Early in his career in 2008, he published a book that he prides as one of his legacy, History of Organized Dentistry in the Philippines. Inspired by Dr Eliezer Blanes, Dr Go wrote the only book that contained an accurate information of the history of Philippine Dentistry. I myself was curious to read on some pages that entailed elaborate descriptions of how our elders started the association until it was established as a recognized association by an accredit organization in the Philippines (Philippine Regulations Commission). A picturesque image of dentists who started their practice with a small furniture and a few tools to pull out teeth is nothing compared to the present. These days, even bone scan images are perceived in modern softwares that is way too sophisticated. He even contemplated during the interview how he compiled all the vital information that shaped our dental association today. “I had a great time writing the book because I learned a lot from our history. Though the challenge there was the acquisition and the compilation of the materials so that every detail written is accurate. Some were retrieved from old folks and some were found abandoned but it was good we had them collected for verification.” Dr Go recollects.

Photo: Dr Ariel Go 19 • D EN T AL AC C E S S • Au g u st 2 0 1 6

Indeed the book was full of images of people, events and information where some facts were long forgotten. Yet somehow it made its way to Dr Go’s hands. It was by sheer luck akin to Dr Go’s determination that the book was finally published in 2008. “History teaches us a lot on how to look at the present. There are lessons learned from History.” Dr Go shares.

Entering the premises of Unciano was a breath of fresh air to me. With a total of 350 dental students enrolled this semester, Dr Go proudly welcomes me into the school grounds of a newly renovated and refurbished Unciano University - College of Dentistry. . Boasting of new dental chairs and cutting edge equipment installed in the clinic grounds, students and faculty are quick to imbibe new learnings facilitated by its clinic instructors with much inspiration. As for Dr Go, this big change has brought pride to the university and its patrons. “When the deanship was handed over to me, I knew right away that there were challenges. But because I wanted to improve the quality of education of our students who enroll at Unciano University, I had to find ways on how to improve its facilities and become competitive with the big leagues in the academe.” And true to his word, Dr Go delivered what he promised to the university. In 2014, the Dean of the University of the Philippines Dr Victor Medina and Dr Ariel Go signed a Memorandum of Agreement that will support Unciano University in harvesting competent students who will one day become highly qualified and competent in their esteemed profession. “I vividly recall three years ago when I first became Dean of Unciano University we started with thirty students. Eventually, we grew in number of enrollees, along with our faculty members. Looking back, I am very happy with the results of our combined efforts.” Starting with only 9 professors, the number of faculty members grew to 14 professors where most of them are either graduates with Masters Degree or taking up their Masters Degree. Dr Go even manifests that the curriculum of the college strictly adheres to the requirements of CHED. After years of planning and hard work, the Unciano University College of Dentistry has achieved an impressive comeback with a statistic of 100 percent passing rate in last year’s Dental Board Exam (theoretical). “We prepare our students very well for the national dental board exam through the modules our faculty crafted. In fact, our program for the college of dentistry strictly complies to the requirements of CHED to ensure that our students get the best education the university offers. Though if we feel that the students need more lab exercises to improve their skill, we apply that instantly because we know that this will help our students reach their finest skill that they will use not only during the board exam but later in their professional career.” Dr Go shares. How do you feel about the current developments of the College today? I asked.

“Proud!” Adding a hint of humility to his statement. “To me, I am their father. And being a father, you would want your kids to grow up intelligent, smart and well-equipped when he faces his own battles. When I see them a few years from now, making a name of their own, I will be most proud because I know that they are the product of Unciano University where I currently preside as dean.” Looking back at the time Dr Go started his deanship, from the newly installed dental chairs to a high passing rate in the National Dental Boards, the College of Dentistry has now joined its contemporaries in the big league.

Build Something that Outlives You - Alexander Rose If a man is worth his own salt, then Dr Ariel Go is the Dean worth emulating in the academe. For in a span of 2 years since he took helm as Dean, the Unciano University has achieved several accomplishments that once seemed a distant specter in their midst. Its no wonder how the enrollees have jumped from 30 students to a staggering 350 students because of the impressive feedback they have been receiving over the years - most of which are sons and daughters of dentists. “We all do our best to create this atmosphere where our students and faculty will grow and learn and be high achievers.” He replies. “You can never make it alone in this world. You always need someone to achieve your dreams. It’s all about teamwork!” What words of wisdom would you impart to our readers of Dental Access? “ARIEL - Always Remember Its Everyone’s Legacy!” Dr Go quips. “We only come this way once so make the trip worthwhile.” While some are busy chasing their dreams of fame and fortune, Dr Go finds his way in this world to make his contribution relevant to changing the situation for the better. What stands out as an admirable trait is his dedication to his commission both as Dean and Speaker of the House of Delegates of the PDA. Leading by example, Unciano University College of Dentistry has found a new hamlet of possibilities in the academe. With Dr Ariel Go in the helm as Dean of College of Dentistry, together with his strong - willed faculty, they will champion the future endeavors of the university and its students. It is indeed a perfect way of saying what one reaps, they sow. DAC Au gu s t 2016 • DEN T A L A C C ESS • 20

Special Feature

The Red Tide of the Philippine Dental Association

The Las Piñas Dental Chapter

as Piñas City, one of the earliest fishing settlements on the shores of Manila Bay and home to the infamous Las Pinas Bamboo Organ was once proclaimed a town of Manila province in the mid 17th century. It was also once under the jurisdiction of Pasay City Dental Chapter until a group of nine doctors from the Las Piñas Zone formed the Las Piñas Study Group in 1988 whose aim was to have their own identity. This noble campaign gained momentum that earned them the label “Rebels” and “The Red Tide of the Philippine Dental Association”. Later in1989 at House of Delegates of the PDA, an oral resolution was presented for the recognition of the Las Piñas sector as a separate and new Chapter. With enormous support, and with the law on their side, the Las Piñas Group was recognized and gave birth to the Las Piñas Dental Chapter. The pride of the group was ascertained when the first election was held by its founding members on May 26, 1989 where their first President was elected by the name of Dr. Nelson Gaba. 27 years later, the Las Piñas Dental Chapter continue to grow and progress with a total of 189 members in the municipality of Las Piñas. Dr Avelyne Salarda prevailing president of the Las Pinas Dental Chapter recounts, “The aim to subdue the Las Piñas group escalated with the threat of the Las Piñas Dentists’ expulsion from the Philippine Dental Association. However, with overwhelming probability and tackling an uphill battle, the Las Piñas Study Group was determined and pursued its objective.

21 • D EN T AL AC C E S S • A u g u st 2016

In 1988, she became a duly licensed dentist and in 1992 she took up advance studies Functional Orthodontics and on Temporo-Mandibular Joint Disorders. Today, she is the happy wife of Chief Engineer Salvador H. Salarda III, and are blessed with two handsome and fine sons namely 3rd mate Shan Patrick and Neil Aldrich. Now, as the elected president of the Las Pinas Dental Chapter, we asked a few questions on how she will continue the heritage that was passed on by her elders in the association.

Against all odds and by divine providence, the underdog group grew in numbers and gained strength that boosted the group to legally pursued its advocacy.”

“I have been a member of LPDC since 1992 . In 2010, I was elected member of the LPDC Board of Directors, a position I was voted twice consecutively. By the year 2013, I was elected as the Chapter’s Executive Vice President and in 2014 voted to the same important position. On the election for the LPDC officers for 2016-2017, I was elected to the highest post, as President of Las Piñas Dental Chapter which I am currently holding.”

As Dr Salarda retells the story, The path that led them to where they are today was no easy path. In fact, there were difficulties and predicaments, but because of their sheer determination, unity, unselfishness and our indebtedness to “Red Tide of the PDA”, the members overcame every stumbling block and they will continue to and rise To give you an overview, Dr. Avelyne Mamitag – Salarda, is the youngest daughter of Mrs. above the odds.” Cleofatra Mamitag and 2nd Lieutenant Artemio Mamitag, a commissioned officer of the Philippine Air Force. She grew up and finished secondStanding Out as President ary school at the Villamor Air Force base and took up Dentistry at the University of the East - College of Dentistry. I met Dr Avelyne Salarda in one of our lunch meetings with incumbent president of the Batangas City Dental Chapter Dr Josephine Arago. A pleasant woman with an effervescent personality, I was immediately captivated by her vibrant attitude as she slipped into the chair and chatted away.

What is your mandate during your term as President? What are your projects for this year that wish to pursue?

Dr Salarda adds that among her passions as an active member and President is community service - an unwavering desire to serve the under privileged. For Dr Salarda, this is her personal commitment that continually inspires her whenever she attends these functions which she affirms is a meaningful undertaking that benefits the populace who are in need of dental assistance by giving free dental services.

How will you involve your chapter members in your planned activities?

“With the hectic schedule and daily obligation of our members to their profession, it is difficult for our members to be voluntarily involved in our “I look forward to set off to a path that will chal- Chapter’s entire projects.” She remarks. lenge us, the LPDC community, to our full po- “So I appealed to our members that in order to tentials and to exert greater effort to excel our- push our projects, we must put our activities in selves in community service by extending dental order by identifying which program/s is our pricare to the underserved with untiring dedication ority. We must demonstrate a clear sense of the and at the same time continue to further our significance on what we want our members to knowledge, develop our proficiency and exper- accomplish and get them involved as early as in tise in the practice of our profession through our the planning stages of every task. We will get our member’s ideas and concerns and make them continuing dental education.” feel responsible and trust in the collective effort. A member must believe that participation maybe demanding at times but is worthwhile and meaningful, that being part of doing good for others and to the community will give them a sense of pride and provide a feeling of achievement.” She adds that their involvement in community service brings sense of accomplishment and fulfillment realizing how much impact they can make not only to the Chapter but to the community, as well. Furthermore, recognizing a member’s accomplishment which is a valuable contribution to the team, is a demonstration of gratitude that gives members a sense of achievement for a job well done.

Dr. Avelyne Salarda with 2016 PDA President Dr. Carlos Buendia and the Las Piñas Dental Chapter

What do you think is a true leader? “ I once read in an article, A leader is an equal whom members decide to follow on their own free will, because they think he can lead them. They choose to follow him because he has a vision that they think is right.I think, with this in mind, I can encourage our members to confront any undertaking.”

On the issue on safety and illegal practice of dentistry, how will you tackle this predicament during your reign as President of the chapter? “In my highest opinion, dentists’ safety does not only involve workplace violence or physical hazards. There are numerous risks our dentists are exposed to such as chemical, biological and psychological hazards. These expose them to chronic conditions that have an impact on their overall health. But sad to say, there are currently no definite safety standards and guidelines presented to our members. With the advancement of modern technology, we have utilized this in spreading awareness with the current problems. We have the internet were we download information and recent development in dental news especially on dental safety. On the subject of illegal practice, I am proud to say that the LPDC through the campaign of Dr. Narissa Ragos, Past President of the LPDC, has apprehended and filed a case against individuals illegally practicing dentistry. Although charges were filed and with overwhelming evidence, the case is still open for almost five years now. This is frustrating for us.” She relates.

Au gu s t 2016 • DEN T A L A C C ESS • 22

Special Feature

Profiler

Going paperless echarting with Mr Wouter Put

With regards to the security and protection in their clinics, Dr Salarda strongly encourages the members to install CCTVs, security alarms and most importantly to keep their doors locked at all times. She even suggested the members to take photos of every patient as part of their dental record for this will deter potential felons. With a firm statement, she reckoned that she would request the law enforcement in their city to frequent their beat especially in areas that are venerable to transgression.

On the topic of unity and camaraderie, how will you instill that among your members? When I was Inducted President of the LPDC, I addressed the members about transparency and accountability because I believe that with these, we will have the trust of both our members and our officers which will result in an environment that will sustain the growth of our chapter and further instill the trust we have with one another. We kicked off with our first scientific seminar last July 12, 2016 and we are currently preparing for the next seminars. With community service, we will continue with our dental outreach programs in our community and also in various provinces. We will keep on informing the populace in these areas on dental health, proper tooth brushing technique particularly to the younger generation. This is our undertaking in pursuit of personal growth, the progress of our Chapter and our contribution to our community.

What do you think will be your pet project that you will leave as your legacy? Lead change. Through innovation of knowledge, skill enhancement, unity and service - this is our goal, and all these will sum up to more dental outreach programs through dental missions and continue to broaden our knowledge and keep abreast with the latest dental innovations and issues through scientific seminars. I just want to be remembered as someone who sustained the torch’s flame of our founding members that was passed to me and that they would be proud that I have not failed them. That my leadership has boosted the passion among our members and in fulfilling my duties as President; I maintained the bridge of trust, which our members have entrusted their mandates unto me. When leaders are committed to maintain unity and camaraderie, we must care more about our mission and our vision for the organization than our own personal agenda. We must lead by example, show unselfishness and think about the goal of the group as a whole but putting in mind the welfare of every member. Unity and camaraderie can be sustained when every member’s endeavor contributes to the overall success of the organization. There is this acronym, ‘TEAM’, which stands for, ‘Together, Everyone Achieves More.’ This is want we want to instill among our members. DAC Photo: Dr Avelyne Salarda 23 • D EN T AL AC C E S S • Au g u st 2 0 1 6

n today’s modern technology, dental record keeping is among the first and laborious task a dental secretary or a dentist carry out on a daily grind. It can even take more than half an hour just to finish Mr Wouter Put (right) with the DentalCharting.com team one patient record including the billing, procedures done, medical history taking and so forth. The advent of newer technologies such as electronic charting has become popular in a modern dental clinic mainly due to its It is also known as the Republic Act 8525 of 1998 or the “Adopt a School accessibility and freedom to go online when you need to check on your Act”. In order to address the needs of arresting further progress of denpatient’s record even while you are away from your clinic. tal caries among school children, the PDA together with Project Leader AASeCharting Dr Clarissa Jane Pe, Dr Anna Liza A. Lerio and then PresiThis is what DentalCharting.com offers today - a fast moving dental com- dent of the PDA Dr Maria Lourdes M. Coronacion sought to deliver inpany based from Netherlands that turns conflicts into possibilities finding terventions that will lead to a positive behavioral change among school ways and means to serve our dentists in the most convenient way. children and parents alike. This included efficient record keeping, caries assessment, treatment planning thus the integration of ICDAS in the proHaving Mr Wouter Put in the spotlight, he expounds how his company has gram was introduced. However, with so many information to accrue and traveled all the way to the Philippines and build a firm that caters to the establish an accurate data that comes with digital instant retrieval of at needs of dental professionals in the Philippines. least 20,000 dental health records, the only way to keep it simple with less paperwork was to go electronic charting. Mr Wouter Put recounts, “The inspiration started in Cebu. I had my tooth repaired at one of the clinics and from there I had the opportunity to speak No stranger in the territory, DentalCharting became the official partner with one of the dentists about record filing. After that, inspiration struck of the PDA Adopt a School Program on its aim to map out and alleviate me to create a software specifically for dental professionals that will make the high caries incidence among school children. It also helped provide their charting system easy and affordable.” concrete data of the current oral health status including the caries developWithout further adieu, Mr Put spawned the idea with an awakening on how to help dentists keep a modest yet efficient record filing without much difficulty. Through the use of cloud based system, all patient records are stored online. Securities are intact and accessibility is on tap. Essentially, DentalCharting ensures each subscriber of continuous data availability through the use of secure storage, regular back-ups, data encryption, testified by the quality seal. Its server resides in the renowned Amsterdam internet hub of world class data centers, on top of the Amsterdam Internet Exchange. It is considered the largest internet intersection in the world, guaranteeing dependable and fast global connectivity.

ment and prevention.

As how Mr Put describes it, “The application of our system utilized on this program gathered the data that was necessary for the project. In fact, the PDA Adopt a School Program trained more than 60 volunteer dentists. Jointly, they eCharted 8,000 pupils in 30 public elementary schools. From the data, DentalCharting produced automatic digital statistics on DF and DMF and even ICDAS. Now, this data can be used to formulate new platforms and strengthen the existing programs of the PDA such as the Bright Smiles, Bright Future Program.” “It is a first in our midst (here at PDA and in the Philippines) and hopefully, we can get more support on this project.” Dr Maria Lourdes Corona“We have to put a good security system in our charting program with swift cion expressed. connectivity to ensure that patient records are concealed safely. That is our guarantee to our customers so we can assure them that our quality is main- Down the line, when the Adopt A School Program took off, it carried with tained at its best. Although we started our business in the Philippines, any it the high praises for DentalCharting for its efficiency and reliability as a dentist in the world can avail our services.” dental charting software provider. It is with great confidence that Mr Put can safely say that hard work does have its rewards. Every Collaboration Helps You Grow - Brian Eno “We still have a lot of projects in the pipeline that I am willing to share with you such as the expansion of our business in other countries and so forth. Early in February of 2016, the Philippine Dental Association in partner- But for now, I would like to keep our patrons on bated breath for our next ship with DentalCharting held its first eDental Charting Training Program venture.” Mr Put brightly smiles. in the Philippines. Its aim is to integrate the use of ICDAS (International Caries Detection Analysis System) in the eCharting System that was dem- The wonder of technology has kept consumers on its toes - seeking for the onstrated during the training and the PDA ADOPT A SCHOOL Program best of the best. The cut-throat competition presented today most espechaired by Dr Anna Liza A. Lerio. cially in electronic charting can rouse the interest of our customers with different campaign ads. But the ultimate goal in making a sale is to sell the The PDA ADOPT A SCHOOL Program is an integral component of the system or the service, not the product. No amount of sale can equal a client community based program of the PDA that mandates every constituent of that is satisfied with your service. DentalCharting came and conquered the a chapter and affiliate group to implement in their respective communities. Philippines. The rest as they say is history. DAC

Au gu s t 2016 • DEN T A L A C C ESS • 24

ON THE SPOTLIGHT

erriam and Webster defines Beauty as the quality of being physically attractive or the qualities in a person that give pleasure to the senses or mind; while Function is the special purpose or activity for which a thing exists or is used. In the field of Dentistry, combining science and art to create optimum function with dental esthetics is Dr. Sonia Ignacio Matic’s life-long learning advocacy. PROFESSIONAL STUDENT FOR LIFE Calling herself a “21st century teacher”, Dr. Matic claims to have entered the world of teaching by accident. Colleagues would seek her out with their own TMJ problems which she successfully managed over time. These colleagues eventually became her first batch of learners that she went on to not only mentor them but at the same time, she also sought opportunities to broaden her knowledge on Orofacial and Craniomandibular orthopedics. She attended several mini residences in the same field in Spain and other Asian countries. As a matter of fact, she recently completed an advance and comprehensive mini residency in Orofacial TMD in Kentucky University, USA under Dr. Jeffrey Okeson, Program Director of the Orofacial Pain and TMJ Disorder and Board certified by the American Board of Orofacial Pain. NEUROMUSCULAR FILIPINO DENTIST Dr. Matic has been in private practice for the last 2 and a half decades. Her postgraduate (MS Dent Ed) thesis, “Prevalence of TMD as the Basis of Curriculum Enhancement in Dentistry” became her focal point to pursue a specialization that was not a “popular” area of dental expertise like orthodontics or dental surgery. This is where the challenge began. “We need to get out of our comfort zones as dentists,” she shares. “In particular, Craniofacial TMD is not only dental but a medical problem as well, its complexity needs complex solutions. Doctors are not only health providers, we are also counselors. Medical and dental professions have a lot to learn from each other.” Hence, her desire to venture into unchartered territory. She deemed it a humbling experience to be recently certified by the International College of Cranio-Mandibular Orthopedics (ICCMO) in the United States. The ICCMO is a “society of health care professionals who have a common interest in the anatomy and physiology of occlusion, jaw function and orthopedics dysfunction with resultant symptoms in the head and neck.” (http://www.iccmo.org/whowe-are/). Prior to this, she also took up a mini residency or shadow program at the Unibersidad de Compostela Spain under Dr. David Suarez in February 2015. She also took a course in the Upledger Institute in Hongkong which is “a healthcare resource center dedicated to the natural enhancement of health… providing intensive therapy for extreme ailments like traumatic injury, chronic pain and many more.” (http://www.upledger.com/about/index.php). Dr. Matic also specializes in acupuncture detoxification.

DR. SONIA I. MATIC

BLENDING BEAUTY AND FUNCTION IN DENTISTRY By Jhing B. Chua-Sy, DMD

INTEGRATING BEAUTY AND FUNCTION Beauty and Function has suddenly become a byword in the profession. And yet, as Dr. Matic explains, “It is not something new (though) this area of dentistry is extremely controversial because of the different concepts evolving, which is affected by the dynamic change that has been going on not only in dentistry but in medicine as a whole. There is this swinging of the pendulum, school of thoughts from east to west and so forth.” She looks at this concept of marrying Beauty and Function akin to that of religion. “I need to fully understand it by heart to fully transfer the principles to our peers. I realized that dentists are facing so many challenges, we are no longer confined with a simple tooth pain management or a smile make over, we are now involved in the total wellbeing of the patients. Teeth are known to be for mastication and for a pretty smile. Today, it’s for respiration, posture and even for emotional management. Gone are the days of symptom-based cure. Beauty and function should complete and complement each other.” WHY DENTISTS SHOULD EVOLVE Scientific discoveries are unearthed every day. With it are practices that border along the lines of controversies that can be construed as challenging evidencedbased formulations. “As an academician, says Dr. Matic, “my advocacy is an evidence based management approach, it’s a very tough decision though, to make decisions based on the latest studies and at the same time taking into consideration the particular patient’s or population’s needs and expectations not to mention their culture and values.”

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“Dentists are coined to be “pain managers” and “aestheticians”; we need to reinvent the practice; something that patients can’t live without, things that are essential in their well-being,” she continued. KEY OPINION LEADER Admittedly, though she can sometimes be regarded as fairly new in the world of academicians, she can already be regarded as a Key Opinion Leader in the field of Neuromuscular Dentistry since she has been practicing the concept for many years now but was only officially put on paper when she was formally recognized by the ICCMO. Dr. Matic has immersed herself in research where she “needs to set a platform in terms of standard care in dentistry”. In fact, in the recently concluded Philippine Dental Association’s 107th Annual Convention, she took the unenviable task to chair the week-long Leadership and Scientific conference where she ensured that a diversified selection of topics would cater to the insatiable palate of the delegates. She dared to introduce innovations (like partnering with Dental Access’ mobile app for the said convention) so that the nearly 10,000 attendees who registered would not be wanting in terms of acquiring additional knowledge to hone their dental practice. She made sure that every day would be an opportunity for a dentist to learn something new. The Philippine Dental Association is the mother organization of dentists in the Philippines with nearly 14,000 registered dentists stretching across the country’s archipelago. BUCKET LIST Dr. Matic’s professional career has been on a continuous upswing but she has not stopped learning since her desire for professional growth is shared to the many students who are under her mentorship. She is the principal lecturer and course director of the Center for Cranio-TMJ Studies, a study club she formed in 2002. Her professional advancement also redounded to a greater personal growth. She has been married for the last 27 years to a wonderful man, Christopher who is a businessman and “acts as my personal bodyguard who sets aside his job for me just to be with me”, Dr Matic shyly but delightfully reveals. They are blessed with a son, Kristofferson who is also a dentist. She, however, relishes and basks in the precious times spent with her 2 wonderful grandchildren who provide the utmost joy and relief in her otherwise demanding but fulfilling undertaking as a student and mentor. So, what else is on her bucket list? “I’d like to explore the deep seas; maybe take up scuba-diving,” she muses; “and to get the chance to speak in international conferences but the latter is already a reachable goal since I was invited by the ICCMO to publish my works in Craniomandibular Orthopedics and speak in their future conferences,” she beams with pride. LIFE LESSONS Like everyone else, Dr. Matic also has her share of frustrations. When it comes to life-long learnings and her advocacy to provide relevant continuous education seminars to the PDA members, she sometimes pauses in her tracks when association politics get in the way of her laudable goals. No association has ever survived without the usual internal politics that sometimes and regrettably, rears its ugly head. For Dr. Matic, however, she will never be daunted nor will she stay away. “For as long as I am called to serve, I will always do my best because the PDA is always an inspiring place to be, inspite of,” she smiles with conviction. She will not be deterred. “I will always remember what my father told me as a little girl in our farm, one summer night when we were looking at the stars. My dad said, “You see those stars? You can have one of those when you grow up, because you’re so smart and intelligent, but make sure to use it for good deeds.” “I passed that on to my son,” she proudly states. “So, I am trying to make good use of my God-given talents and skills to also impart what I know to those who are willing to learn.” When the day is over and done, she would like to be remembered by people whom she has encountered in her lifetime as “a person with integrity; honest and will always strive to do the right thing no matter what the cost.” And when asked, what would you like God to tell you when you meet Him? “You lived your life for others; I will give you a place in My paradise.” She is beauty-personified, more inside than out. She is Dr. Sonia Ignacio Matic. A Filipina dentist whose star will continue to shine brighter than ever because she followed her father’s words and kept it inside her heart to last her a lifetime. Paradise of course, can wait much, much longer. DAC Au gu s t 2016 • DEN T A L A C C ESS • 26

What Went Wrong

Dental Law and Ethics

What Went Wrong?

AVOIDING LEGAL COMPLICATIONS IN DENTAL PRACTICE

About the Author Dr. Charlston E. Uy is a recipient of the Tan Yan Kee Foundation Inc. and Graduated Cum Laude at the University of the East - College of Dentistry. He received his Postgraduate Modular Course in Oral & Maxillofacial Surgery at the Prince Philip Dental Hospital Hong Kong in 2012 and Dental Implant Course, OCO Biomedical Company, New York, USA, 2014 among others. Today, he holds his practice in Quezon City and Tuguegarao. Dr Charlston Uy is the eldest son of Dr Charles Uy, past president of the Tuguegarao City Cagayan Dental Chapter.

(part one) By: Dr. Jhing B. Chua-Sy

About the Author Dr. Jhing Chua - Sy is an alumna of Centro Escolar University, Manila, Batch ‘87. In her early days as a dental student, she was the News Editor for The Scholar - a CEU University Publication. After passing the board exam, she pursued her post-graduate training at the UP-PGH Department of Hospital Dentistry in 1991. In addition to her line of achievements, she is a Former Legal Affairs Committee Secretary for the Philippine Dental Association in 1995-1997, a Former Comelec Secretary PDA in 1997-1998, a Former Executive Secretary for the National Dental Health Week in 1996 and Founding President and co-founder of Novaliches Dental Professionals, Inc. Today she continues her passion in writing as one of the contributing editors of Dental Access with her column Dental Law and Ethics.

Dear Doctor I had an in town patient who requested to have all his teeth rehabilitated. Part of the treatment was dental implant surgery on his front tooth - primarily on his central incisors. When i placed the implant it was stable so I installed an immediate crown replacement. I did perform all the necessary precautions during the implant surgery such as interview, clinical and lab assessment but as soon as I cemented the crowns, it moved. When I took the radiograph There was a gap between the implant abutment and the implant screw. But since I placed a cemented crown, I cannot retrieve it because it enveloped the abutment screw. My dilemma is that my patient is leaving in a week. How can I correct this procedure. Please help!

From Dr GP

Dear Dr GP, Thank you for your question. First and foremost, I am not an advocate of immediate loading for dental implants. Although immediate loading of dental implants has been reported as a beneficial treatment protocol in implant dentistry which increases the comfort of the patient, documentation in studies and research is poor regarding the clinical outcome and the peri-implant bone response of immediately loaded implants compared with the conventional loading protocol. But going back to your dilemma, I think that since you have already cemented the crown, there is no choice but to remove and demolish the crown then fabricate a new one immediately. During the demolition of the said crown, utmost care must be observed by holding and stabilizing it with an instrument (eg. Mosquito hemostat) as to not induce any trauma to the implant screw beneath.

Yours Truly, Dr. Charlston Uy 27 • D EN T AL AC C E S S • Au g u st 2 0 1 6

ost of us go about our daily dental practice with nary a thought to a possible lawsuit knocking at our clinic doors. Who would even think of that in the first place? Think again. We are certainly not immune to it. We are susceptible to lawsuits because patients think we will surely “cough it up” when they threaten to bring us to court. The whys and wherefore of probable lawsuits against us and our practice will be discussed here in a series of articles. What is a lawsuit?

It is expected that as dentists, we provide first a standard of care of the most conservative and excellent procedure possible that our patient needs at the time of consult as well as reasonable care that is expected of one human being to another. Due diligence is practiced when every step of the procedure is patiently explained in a way that will be easily understood by the patient and that the patient therein after conforms to the treatment plan. Data Gathering Diligence is the most important facet in our daily dental practice. It covers not only the methods by which we treat our patients but more importantly is our record-keeping. I once ran across a colleague in our area of practice who is not exactly wanting in terms of patients. There is never a day in a week that he doesn’t have patients coming in for treatment. Problem is, his dental record form, although conforming to the suggested standard by the dental association, is never properly-filled up by his patients. Even the column for treatments is as plain as “extraction #23” with no concise explanation for the warranted procedure. In his nearly 20 years of practice, he never encountered legal issues from his patients. He is that confident that nothing of the legal kind will ever happen to him. Then again, how sure is he that it won’t? One of the things that take up my time in a dental consultation or treatment for that matter is the patient’s dental record. There is no such thing as being too careful when another life is in your hands. One must always be diligent enough to scrutinize every check, every filled-up information required from a patient. It is one step away from disaster. In my experience, the following dental forms should be the norm in every dental clinic:

1. Dental Record-keeping - containing all pertinent personal and business information of the patient; including a breakdown of possible illnesses that an individual may encounter. A family history of diseases can Under the law, we are not presumed to be negligent. It is presumed also give an insight to the patient’s health condition if the patient is not sure that as dental professionals (or any other professional for that matter), we of having the same type of illness himself. A dentist should be able to ask exercise ordinary care and the necessary skill required to treat patients. The “leading questions” pertaining to certain illnesses. Hence, it is unequivocal that one should have a familiarity with the signs and symptoms of say, diaburden of proof is almost always on the person who files a case in court. betes or hyperthyroidism to be able to extract pertinent medical informa The tenet of “do no harm” is an ethical and legal bind that every tion from the patient. It is not a simple question of, “do you have diabetes?” dentist must conform to whenever he or she is treating a patient. If the con- and the patients says “no,” then as an afterthought says, “… but my wounds sideration for treating patients is motivated primarily by monetary consid- don’t heal easily”. Just imagine if you had just injected the anesthetic soluerations, then the tendency is for the dentist to cut corners and the result tion and suddenly decide to abort the procedure because of this belated information. can be disastrous for both parties. Merriam and Webster defines it as “a process by which a court of law makes a decision to end a disagreement between people or organizations”.

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Dental Law and Ethics Before starting any procedure, make a comprehensive interview of the patient based on the information that patient has written in the dental record. And be astute enough to ask other information that may lead you to suspect that the patient has something more beyond what he has written. In short, take the time to READ what the patient has filled-up in the dental record.

APDC Show Review

tal procedure like extraction, the dentist should address the physician with information of the intended procedure, the composition of the anesthetic solution to be used and the post-operative medications.

I once had a patient who was mentally-challenged with downsyndrome and was schizophrenic at the same time. His psychologist and I corresponded thru emails. I was given the go signal to do the extraction Also, a dental record should not have a medical history question- needed with the written assurance that the medications he was taking at naire that is too exhaustive that makes it very cumbersome for the patient that time would not be contraindicated with the usual post-operative dento fill-up. Neither should it be too brief that vital information may be left tal medicines we prescribe. The procedure was performed without a hitch. out. An adequate medical history, for all intents and purposes, must be orally reviewed by the dentist with the patient. The objective here is to fully inform the physician of the treatment plan especially when it comes to medications to ensure that it will not be Be wise enough to record any broken appointments (BA) done by contraindicated to any of the patient’s maintenance medicines if he is takyour patient. In this day and age of modern technology, communication is ing any at the time of the dental procedure. It also bodes well for the medimost often done thru texting messages. If there is a need to copy the text cally-compromised patient that his physician and dentist are co-managing and write it down verbatim in the dental record, do so. Especially in ortho- his case with adequate and professional communications exchanged bedontic cases where non-compliance for recall is one too many that it causes tween them. havoc in the treatment plan, being keen in every procedural lapse on the patient’s side is vital for your protection and sanity. 5. Radiographs - in the country, not all dental clinics have the stand Of course, the standard dental chart and dental history is a no- ard periapical x-rays. While it is not mandatory (unlike in other countries), brainer for us. In other words, we know the drill to this one. it serves as a very good tool to arrive at a better treatment plan for the patient. There are two types of x-rays that can be performed on a new patient: 2. Informed Consent Form - is a form that grants permission to emergency x-rays and a comprehensive radiograph. the health care provider (in our case, dentists) to perform the treatment as discussed and understood by both parties. It also includes the knowledge An emergency x-ray deals only with a particular area involved in of both risks and benefits of a certain procedure or set of procedures at the the acute stage of the oral condition. Most of the time, we require a peritime of consult. apical x-ray which concentrates and magnifies in detail the area concerned. The purpose of which is to provide information for an immediate resolu Do we need to have a separate Informed Consent form signed by tion to the acute condition. the patient for every separate procedure at any given point in time? Remember doing away with being cumbersome? For first time patients, the The comprehensive type of radiographs would normally involve Informed Consent is pre-formatted and the patient signs it right away if periapical x-rays, bite wings, occlusal type and/or cephalometric x-rays. To he wants the immediate treatment at the time of consult. For succeeding most of us, however, we resort to the panoramic type of x-ray since it gives treatments of the same patient, I resort to writing down in the Treatment the dentist a greater range when it comes to viewing abnormalities from a or Procedure column, the description of the treatment then make the pa- distance. tient sign a Conforme line (concomitant to the procedure) on his dental record. Of course, you have to let the patient read what he is supposed to 6. Post-operative Instructions - is a pre-formatted form that I have be conforming to. Don’t ever make the mistake of not adequately inform- in my clinic which is easily dispensed for every surgical procedure done on ing the patient of the planned procedure; thinking that the patient is not a patient especially in extraction cases where the procedure, though rightgoing to be critical about it later on. Assume nothing and presume nothing fully defined as surgical in nature, is also considered as a general dentistry either. procedure. The name of the patient, his age and address including the date should be reflected in the said form. I go through it with the patient (before 3. Refusal of Recommended Treatment Form - the title of the form the surgical procedure) and encourage him to clarify with me anything that is self-explanatory. The purpose for it is to make the patient feel that s/he he cannot totally understand from the instructions. Thankfully, my Postis part of the decision-making process when it comes to her or his health. op instructions are fairly easy to understand. I let the patient acknowledge This form contains the recommended treatment of the dentist to the pa- receipt of the post-op form by making him sign his dental record. It will tient’s case on hand; the risks and benefits of such treatment and the pos- prove that you were not remiss in your duties to provide him with utmost sible consequence if the said treatment is not availed of by the patient. care and diligence especially in a surgical procedure. In dental surgery cases, this is a very good document to have. I have encountered a scenario wherein the patient had to undergo an excisional biopsy but refused to have the excised tissue undergo pathological examination. The consequence of not knowing whether the lesion is anything more than benign or in having to arrive at a definitive diagnosis is compromised. To ensure that the patient understands very well the consequence of his refusal for further treatment, this form covers that part of the management. This document can be used on a case to case basis.

Remember that all dental findings and communications must be recorded in print and/or attached to the patient’s dental record at all times. This makes for a comprehensive and well-thought of management of your patient which will protect you and your practice in the long run. In short, take the TIME to write down everything about your patient’s dental case which can be contained in the acronym SOAP - Subjective (written in the patient’s own descriptive words); Objective (written by the dentist based on his scientific knowledge regarding the subjective symptoms); Assessment (based on the data gathered by the dentist including the intraoral and 4. Request for Medical Clearance Form - can either be pre-format- extra-oral findings); and Procedure (treatment applied). DAC ted or hand-written by the dentist. If the patient is medically-compromised, there is a need to secure a medical clearance from the patient’s physician on (Part 2 : Obligations and Rights of the Dentist and the Patient - next issue) record. It would help a great deal though, that in case of an impending den29 • D EN T AL AC C E S S • Au g u st 2 0 1 6

ADVANCING DENTISTRY WITH MODERN SCIENCE AND TECHNOLOGY By: Brian E. Esporlas DMD, MSD, FPFA 38TH ASIA PACIFIC DENTAL CONGRESS:

he Hong Kong Dental Association (HKDA) hosted the 38th Asia Pacific Dental Congress (APDC) which was held last June 16 to 19, 2016 in Hong Kong Exhibition Convention Center. The Congress was headed by Dr. Jeffery Tsang MBE as the over-all Chairman along-side Dr. Sigmund Leung as the Co-chairman. They are assisted by the two distinguished Vice-Chairman Dr. Haston Liu and Dr. Kenny Lau. The 38th Asia Pacific Dental Congress was formally opened during the opening ceremony last June 17, 2016 with a theme of “Advancing Dentistry with Modern Science and Technology”. The opening ceremony was graced by the officers of Asia Pacific Dental Federation as well as with the delegates from member and non-member countries. Among the member countries, the Philippines has the most numbered delegation. This year APDC has an attractive scientific programmes with 32 high calibre and powerful speakers. Each speakers delivered an excellent lecture pertaining to advancement of different areas of Clinical Dentistry. The delegates was also able to interact with the leaders in the profession and learn about the current professional trends being applied in the industry that they should adopt to their practices. The convention also showcased dental trade exhibition on the latest dental technology for good dentistry, oral hygiene curative products, dental health products etc. The three-day trade exhibition features various dental distributors from various countries. The best and the brightest leaders in the dental community shared its latest researches, techniques and clinical applications during the congress with at least 300 entries for research poster presentation. 53 entries were successfully chosen to be part of the actual poster presentation. Among the top 53 research posters, 5 presenters were from Philippines. The Filipino Research Poster Presenters on this year’s APDC all hail from the University of Perpetual Help System Dalta College of Dentistry Las Pinas Campus. They were Dr. Brian E. Esporlas, the incoming Chief of Clinics for Academic year 2016 – 2017, Dr. Sheila O. Cobcobo, resident lecturer for Forensic Dentistry: Both are fellow members of the prestigious Pierre Fauchard Academy, two incoming third year dental proper students: Mr. James Patrick B. Jensen and Ms. Lana Marie B. Sullano. And two incoming second year dental proper students: Ms. Hannah Kim G. Lim and Mr. John Dave Valmores. The Filipino presenter showcased their researches during the three-day congress. Their topics focus on Orthodontics, TMD diagnosis and management, and prosthodontics. The research for orthodontics was entitled “Standard Cephalometric Norms of Craniofacial and Airway Morphology for Filipino” and presented by Dr. Esporlas and Dr. Cobcobo. The research is a collaborative entry of UPHSD College of Dentistry and College of Respiratory Therapy. Both Deans of the respective colleges, Dr. Eric G. Alfoja and Prof. Davie Regalario, participated in the studies as co-authors. The research on TMD Management and Diagnosis was entitled “Development of Mandibular Range of Movement for Filipino”. This was the only entry in the Neuroscience/TMD division and was presented by Mr. Valmores and Ms. Lim. Finally, the two prosthodontics researches entitled “A Proposed Anterior Teeth Selection Index for Filipino Complete Denture Patient” and “Establishing Maxillary Incisor Height for Filipino Complete Denture Patient” was presented by Mr. Jensen and Ms. Sullano. During the Research Presentation, Philippine representatives were able to secure good relations with fellow Asian presenter and other delegates. They exchange cards and contact information sealed with promises of future research collaboration between their countries. Truly, the 38th Asia Pacific Dental Congress has serve the International dental community as the platform to meet and dissect challenges in the different field of Dentistry, and it has become a venue to bring Dentist worldwide closer to each other to share culture, knowledge, and friendship. DAC Au gu s t 2016 • DEN T A L A C C ESS • 30

PDA Review

107th PDA Annual Convention and Scientific Session

he organizers of the107 PDA Annual Conven tion and Scientific Session welcomed its delegates, exhibitors and guests with the theme, “Professional Excellence for Global Competitiveness” last May 25-30 at the SMX Convention Center in Pasay City. General Chair for the 107 Convention was led by Past PDA President Dr Jesus Tumaneng. More than 10,000 delegates were present during the convention week from all over the Philippines attending the scientific sessions specially prepared by the organizing committee. Alongside the activity were the election of the President and President Elect followed by the President’s Night and Awards Night where a number of PDA Chapters were presented with awards for their meritorious work in their respective regions. Herewith are some of the attractions and activities that took place during the whole convention period. DAC

COLGATE Professional Oral Care Team 31 • D EN T AL AC C E S S • Au g u st 2 0 1 6

Au gu s t 2016 • DEN T A L A C C ESS • 32

PRODUCTS

BY MICROCOPY Gazelle Nano Composite Polishers

BY MAGPIE TECH CORP. Scooba Ultrasonic Cleaner

BY BIOLASE Epic X Diode Laser

BY ALIGN TECHNOLOGY, INC. iTero Element

BY SHOFU Artistic Composite Kit

Anti-crumble silicon ensures durability. Gazelle does not crumble. No paste needed. Individually packaged and sterile.

The Scooba is an ultrasonic cleaner that features a large corrosion resistant stainless steel tank that is also easy to drain. Abundant airflow around internal electronic modules prevents the unit from overheating when the tank is heated.

The Epic X diode laser features cutting edge software, and a cordless foot pedal. It is capable of a full range of soft tissue procedures as well as laser-assisted whitening and pain relief therapy.

A fast and versatile digital impression system with a small footprint, the iTero Element offers features well suited to both general dental practices and orthodontic specialists.

The Artistic Composite Kit includes high quality Shofu diamonds, carbides and stones suited for finishing anterior composite restorations.

BY SUNI MEDICAL IMAGING, INC. SuniRay 2 Digital Intraoral Sensor SuniRay 2 achieves maximal image quality with superior diagnostic capabilities while maintaining the lowest radiation levels among all digital sensors.

BY DENMAT Perfectemp10 Temporary Crown & Bridge Material Perfectemp10 is a highly esthetic, strong, multifunctional acrylic composite material. It uses a two component system based on a multi-functional acrylic composite that is produced using no Bisphenol-A or Bisphenol-A precursors in the manufacturing process.

BY SHOFU BeautiSealant Pit and Fissure Sealant

BY SHOFU Beautifil Flow Plus Flowable Composite

BeautiSealant Pit and Fissure Sealant is a tooth colored, fluoride recharging, pit and fissure sealant with a self-etching primer that speeds treatment time by eliminating the need for phosphoric acid etching.

BEAUTIFIL Flow Plus, is a radiopaque, base, liner, and final restorative in one. Amazing tooth-like light diffusion and chameleon properties provide intuitive and highly aesthetic outcomes.

BY KERR RESTORATIVES Herculite Ultra Nanohybrid Dental Composite

BY A-DEC INC. A-dec 300 Traditional Dental Delivery System

Herculite Ultra Universal Nanohybrid Dental Composite has herculite gold standard technology and Chameleon quality.

The A-dec 300 delivery System can integrate a quad-volt intraoral light source and two ancillaries.

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BY ARMANN GIRRBACH Ceramill CAD/CAM materials Amann Girrbach enables the processing of CAD/CAM materials with absolutely unique precision using a new cutter and diamond trimmer for all Ceramill Motion generations and a special milling and grinding strategy, which was specially developed for these instruments. (Alphadent)

BY PELTON & CRANE Helios 3000 LED Dental Operatory Light

BY ARMANN GIRRBACH Ceramill Zolid

BY DENTSPLY ENDO BUR Dentsply Endo Access Bur

BY DMG Icon

Helios 3000 LED Dental Operatory Light’s LED technology enables color mixing, A “No Cure” setting, and a crisp 3” x 6” light pattern that illuminates only where you need it to.

With Ceramill Zolid the dental specialist Amann Girrbach succeeded in providing high-grade zirconia with aesthetically convincing translucency for non-veneered, fully anatomical restorations and veneerable frameworks as well as ensuring long-term stability.

The special diamond coating reduces gouging with its tip matching round bur sizes for initial penetration while its diamond shaft flares the pulp chamber. The cutting surface of the Endo Access Bur is 10mm. The total length is 21mm.

Icon is used for the micro-invasive treatment of smooth surface and proximal caries lesions. In one patient visit, and with no drilling, Icon can arrest the progression of early enamel lesions (caries) and white spot caries-like lesions. (Metro DNC)

BY KERR RESTORATIVES SonicFill Sonic-Activated Bulk Fill Composite The SonicFill System comprises a handpiece that enables sonic activation of a specially formulated and conveniently delivered composite.

BY DURR Tornado 2 - Super SIlent

BY IVOCLAR The New Bluephase N

BY IVOCLAR The New IPS Classic V Powder Opaquer

For decades the Tornado Compressor Programme has stood for quality at an attractive price. Efficiency was again boosted in the new model and energy consumption efficiently reduced by approx. 15 %. red dot design award winner 2011.

With the sales launch of the new Bluephase N product family, Ivoclar Vivadent sets again high standards in the field of LED polymerization devices. Users can choose between three curing lights tailored to individual customer needs.

IPS Classic V Powder Opaquer is developed using a new production method. Users benefit from its great flexibility in application techniques as well as from a fast and efficient veneering process.

BY A-DEC INC. A-dec 511 Dental Chair Premium comfort for your patients with great ergonomic access that maintains great access and posture for you.

BY IVOCLAR IPS e.max Press Multi

BY IVOCLAR Adhese Universal

BY IVOCLAR SR Nexco

An innovative, new ingot now allows highly esthetic restorations showing a lifelike shade progression to be fabricated in a single press sequence.

A new single-component, light-cured universal adhesive for direct and indirect bonding procedures. It features compatibility with all etching techniques: self-etch, selective-enamel-etch and total-etch.

SR Nexco Flask is a new type of flask with the help of which light-curing veneering composites can be pressed on dental frameworks.

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PRODUCTS

BY IVOCLAR Variolink Esthetic The new luting composite Variolink Esthetic is an esthetic light- and dual-curing composite material for the permanent cementation of demanding ceramic and composite restorations.

BY MAILLEFUR Endo Z Bur The Endo-Z’s long tapered configuration allows easy access to the canal orifices and funnel shaping of the chamber walls. Its’ six specially designed tungsten carbide spiral blade cuts but lifts debris coronally along its flutes. The non-cutting tip helps prevent damage to the chamber floor or walls. Available in one size, in FG and RA versions.

BY UNIDENT Unident Group Selection Unident delivers cutting edge technology in a range of hygiene and disinfection products, offering unprecedented performance whilst meeting and exceeding the needs of today’s modern dental practice.

Planmeca Romexis® is the first dental software in the world to combine 2D and 3D imaging and the complete CAD/CAM workflow, while also providing extended connectivity with Planmeca dental equipment.

BY SIRONA T2 Turbines

ORTHOPHOS XG 3D can capture the patient’s whole jaw in a single span. The field of view is large enough to avoid the stitching of several 3D x-ray images and thus multiple exposure to radiation. Yet it is also small enough to be a time-saver in diagnosis.

The T2 Comfort class provides you with top quality technology for relaxed work. The titanium coated turbines lie comfortably in your hand ensure that control, boost and mini satisfy every requirement.

BY VITA AKZENT VITA AKZENT® Plus

The DISC product line for the partially yttriumstabilized zirconium dioxide material VITA In-Ceram YZ will be extended to include additional variations for dental CAD/ CAM processing. The new VITA In-Ceram YZ DISC Color and VITA YZ DISC HT will be launched.

The new VITA AKZENT Plus stains provide a complete, integrated system that is both extremely user-friendly and offers exceptional application reliability. Thanks to a broader range of indications, these new stains provide users in practice and laboratory environments with freedom and versatility during processing.

BY RENFERT Renfert Layart The lay:art system from Renfert comprises 8 different, high quality mixing trays and 8 individual premium line brushes, which the porcelain artists can choose from to suit their own individual style.

BY PERIOPTIX MicroLine Series TTL Loupes

BY VOCO Ionostar Molar

Indications of use include Soft Tissue Procedure; Gingival Troughing for Crown; Impressions; Gingivectomy & Gingivoplasty; Gingival Incision & Excision; Soft-Tissue Crown Lengthening

Weighing in from only 36 grams, these lighter, smaller optics can be worn all day with comfort and with less fatigue. Available in microTTLs on the Adidas Adivista frame or the classicallydesigned Ultralight titanium.

• Restorations of non occlusion-bearing class I cavities • Semi-permanent restorations of class I and II cavities • Restorations of cervical lesions, class V cavities, root caries • Restorations of class III cavities • Restoration of deciduous teeth • Base/liner •

BY DEXIS LLC DEXIS Platinum Digital Intraoral Sensor The DEXIS Platinum Sensor is a direct-USB digital X-ray solution with PureImage technology. Its sensor detects radiation where the image is automatically saved, dated, tooth numbered, and correctly oriented -no need to return to the keyboard. Its “One-Click Full-Mouth Series” reduces a FMX procedure to 5 minutes from start to finish.

BY LED DENTAL VELscope® Vx

The Trihawk Talon Bur cuts horizontally and vertically, cuts amalgam, crowns and bridges faster. An independent study supported the performance, economy, and value of Tri Hawk’s bur, and it was the only single-use bur that rated 100 percent performance in an ADA review.

The VELscope® Vx, the latest model release of VELscope technology that uses natural tissue fluorescence to discover abnormalities in the oral mucosa improving the way practitioners examine and screen tissue abnormalities by enhancing the visualization of pre-cancers, cancer and other disease processes.

VITA VMK Master, a new ceramic belonging to the VMK (VITA MetallKeramik = VITA metal ceramics) generation for veneering metal frameworks in the conventional CTE range.

BY SHOFU Veracia SA Denture Teeth

BY BISCO PRO-V®

Veracia SA Denture Teeth is a new Semi-anatomical aesthetic denture tooth composed of homogenous MF-H (microfilled hybrid) composite reinforced with layered glass. Enhancing Shofu’s Veracia SA is a revolutionary Posterior tooth delivery system called the “Q3 Pack” allowing the simultaneous setup of 4 individual posterior teeth at once thereby saving production time

BISCO’s provisional materials are designed to address the differing requirements for creating and placing provisional restorations. The system comes with PRO-V COAT®, a hydrogel separating agent which prevents the dentin surfaces from bacterial or temporary cement contamination and PRO-V FILL® providing strength and durability while creating an optimal marginal seal.

BY TRIHAWK Trihawk Talon Burs

BY VITA VM VITA VMK Master

BY AMD LASERS Picasso Lite

BY VITA IN-CREAM The new VITA DISCs

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The kit is composed of titanium scalpel handle for microblades; Molt periosteal elevator and periosteal HP3; Titanium Curved Micro tweezers; Titanium curved micro scissors; Titanium Micro needle holder.

BY SIRONA Orthopos XG 3D

BY MEDESY New Periodontal Micro-Surgery Kit

BY PLANMECA Planmeca Romexis® 4.0 a completely renewed all-in-one software

BY W&H Synea Vision Reliable, ergonomic and outstanding quality handpiece, the premium instrument line in the Synea series. Innovative and long service life guarantee excellent treatment results for restoration and prosthetics.

BY MOUTHWATCH, LLC MouthWatch ExamTab 8 inch The MouthWatch 8 inch ExamTab is the perfect chairside dental imaging tablet designed to help you boost case acceptance, patient education and begin conversations about cosmetic imaging. Powered with Windows 8.1, the tablet can accommodate many other functions including patient entertainment, practice management, email and more.

BY LED DENTAL RAYSCAN Alpha – Expert

BY LED DENTAL EnvisionTEC 3D Printers

BY BISCO TheraCal™ LC

RAYSCAN Alpha - Expert is the world’s first imaging system to utilize a wireless remote control for patient positioning with unique benefits such as pulsed for reduced X-ray exposure, multiple panoramic scan modes, with scan time of a maximum of 14 seconds for panoramic, and minimum of 4.0 seconds for cephalometric.

EnvisionTEC printers integrate seamlessly with leading CAD software programs, allowing clinicians to go from design to a finished product in just a few clicks. With a smooth surface finish and Built-in ethernet interface, this innovation enables printing of orthodontic models, partials, surgical guides, & bite guards with complete efficiency.

TheraCal™ LC is a light-cured flowable resin that contains Calcium Silicates. A first of its class of internal flowable pulpal protectant materials known as Resin Modified Calcium Silicates (RMCS), TheraCal LC provides the sustained alkalinity

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PRODUCTS

BY VOCO Admira Fusion Flow

BY VOCO Provicol QM Plus

BY VOCO Remin Pro forte

Admira Fusion Flow is the world’s first purely ceramic-based universal restorative material.This unique “Pure Silicate Technology” brings a number of benefits including a high filler content, extremely low polymerisation shrinkage, low level of shrinkage stress with excellent biocompatibility and a very high colour stability.

Now with greater adhesion, the Provicol QM Plus is ideally suited to clinical situations requiring particularly high levels of adhesion. The eugenol-free material contains calcium hydroxide and is indicated for the temporary luting of provisional and definitive restorations (crowns, bridges, inlays and onlays), as well as for the temporary obturation of small, single-surface cavities.

Remin Pro forte is a protective dental care product with fluoride and hydroxy apatite that contains extracts of ginger (Zingiber officinale) and curcuma (Curcuma xanthorrhiza). Scientific studies have confirmed the antimicrobial potential of ginger particularly the curcuma extracts having an antibacterial effect against against streptococcus mutans and an anticariogenic effect.

BY BOTISS cerabone® cerabone® is derived from the mineral phase of bovine bone, which shows strong resemblance to the human bone with regard to chemical composition, porosity, and surface structure. The pronounced hydrophilicity of the cerabone® surface supports a fast uptake of blood or saline, thus improving handling.

BY BOTISS Jason® membrane Jason® membrane is a native collagen membrane obtained from porcine pericardium, developed and manufactured for dental tissue regeneration. The superior biomechanical and biologic properties of the natural pericardium are preserved during the patented production process that exhibits excellent handling characteristics like a remarkable tear resistance and very good surface adaptation.

BY BOTISS collacone® collacone® is a wet-stable and moldable cone made of natural collagen. As a completely resorbable and hemostatic wound coverage, it is intended for application in fresh extraction sockets in the daily clinical practice.

BY KERR ENDODONTICS Elements Diagnostic Unit Dental Pulp Tester Elements Diagnostic Unit Dental Pulp Tester provides the convenience and accuracy of a high quality pulp tester and apex locator in one system. The satellite display conveniently brings critical data into the field of vision for a faster more stable reading. 37 • D EN T AL AC C E S S • Au g u st 2 0 1 6

maxgraft® is a sterile, high-safety allograft prouct, derived from human-donor bone, processed by Cells+Tissuebank Austria (C+TBA). C+TBA, a high-quality bone bank, is regulated, audited, and certified by the Austrian Ministry of Health and fulfills the highest EU safety standards.

BY DENTSPLY NUPRO White Gold Tooth Whitening System

The RootPro endodontic motor with Low-Speed Handpiece prepares root canals while displaying accurate measurements of the root canal. RootPro also accurately and precisely locates the position of the file inside a root canal, without requiring the user to set the machine to zero.

NUPRO White Gold is a dentist-prescribed, take-home system that has been designed to address your patient’s tooth whitening requirements. Dramatic tooth whitening results can be obtained in one-two weeks with the flexibility of either day or nighttime application.

mucoderm® is a natural type I/III collagen matrix derived from porcine dermis that undergoes a multi-stage purification process, which removes all potential immunogens. mucoderm® promotes the revascularization and fast soft tissue integration and is a valid alternative to the patient’s own connective tissue.

Straumann® Emdogain® is a well-researched, easy-to-apply gel containing Enamel Matrix Derivative (30mg/ml) originating from unerupted porcine tooth buds. As a component of embryonic tissues it is designed to promote predictable regeneration of hard and soft tissues lost due to periodontal disease or trauma.

BY KERR ENDODONTICS Vitality Scanner 2006 Dental Pulp Tester

BY J. MORITA USA, INC Root ZX II Endodontic Apex Locator

Vitality Scanner 2006 Dental Pulp Tester ensures dependable and pain-free pulp testing. This outstanding diagnostic tool is automatically controlled and features large digital readouts. It’s the quick and easy solution for patientand practice-friendly pulp testing.

Root ZX II’s patented technology has been independently evaluated to be 96.2% accurate. The large color LCD display screen is easy to read and provides a clear, progressive display with high contrast and is lightweight with compact low speed handpiece option.

Glass Ionomer Luting Cement Attachment of crowns, bridges, inlays, onlays, posts and orthodontic bands • No temperature rise during setting • Highly biocompatible, low acidity • Micro- ne lm thickness for occlusal accuracy Excellent adhesion to dentine and enamel High compressive strength and low solubility

BY AUREOCEM DC BY HU-FRIEDY Abou-Rass Angled Apical Plugger

BY HU-FRIEDY Retro Filling Plugger

The Abou-Rass Angled Apical Plugger is designed for easy access and visability of the apical foramina.

The Retro Filling Plugger is used to compact filling material during vertical condensation.

BY STRAUMANN® Emdogain®

BY MEDICEM

BY BOTISS mucoderm®

BY BOTISS maxgraft®

BY PAC-DENT INTERNATIONAL, INC. Rootpro Wireless Endo Motor And Apex Locator

BY SHOFU Core Shade GlasIonomer Core Build-Up Base Cement CoreShade GlasIonomer is formulated to provide a dependable, easily detectable, metal-free core build-up.

BY ANTHOGYR Ergoject Intralig Syringe Ergonomically designed, these technical syringes allow every kind of anaesthesia, especially intraligamental and intraseptal. A Progressive mechanism which makes the injection very quiet and smooth.

BY 3M Adper Easy Bond Self-Etch Adhesive

BY PHILIPS ORAL HEALTHCARE Zoom Whitening Pen

Eliminating post-operative sensitivity is high on every dentist’s list. With Adper Easy Bond Self-Etch Adhesive the etching and penetration of resin monomers into the demineralized dentin and enamel are carried out simultaneously in one step, thus preserving the collagen structure.

Zoom Whitening Pen as a convenient way for your patients to keep their white smiles on-the-go! The easy-to-use, stylish pen applicator brushes a 5.25% hydrogen peroxide formula directly onto the tooth to touch-up between whitening treatments.

Dual-curing resin-based luting cement Luting of non-metal or metal inlays, onlays, veneers, crowns, bridges and adhesive bridges ( Maryland bridges ) • Very high adhesion to dentine, enamel and metals • Verylow lm thickness (<10 μm) • High abrasion resistance • Complete polymerisation Permanent seal: no water solubility

BY CERAM X DUO The Double Translucency System, offers four dentin shades with translucencies of natural dentin and three enamel shades which mimic natural enamel. Their design has been optimized for highly esthetic restorations with a minimum number of shades

BY LUMISMILE WHITE IN-OFFICE Delivers the effective, safe and fast whitening your patients want, with an easy-to-use system for you and your staff. Customizable marketing support is available upon request to help you grow your practice with LumiSmile White with 12-month shelf life, no refrigeration required.

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PRODUCTS

CavityShield™ Sodium Fluoride Varnish from 3M Dosage Guidelines: 25 ml – Yellow Brush • To be used to treat patients with primary dentition. • To be used to treat any patient requiring limited tooth surface or cavity area coverage. .40 ml – Red Brush • To be used to treat patients with mixed dentition who require extensive tooth surface or cavity area coverage. (Do not use to treat patients with primary dentition only Follow guidelines above.)

Duraphat Sodium Fluoride Varnish from Colgate

Kolorz ClearShield Epic X Diode Laser

Duraphat displays a strong desensitizing effect when applied to affected dentinal surfaces. It is remarkably water tolerant and covers even moist surfaces with a well-adhering film of varnish, setting in saliva and obturating orifices of the dentinal tubules, providing desired reduction of patency to the tooth pulp.

Kolorz ClearShield 5% Sodium Fluoride varnish goes on clear, with no embarrassing yellow discoloration. Its excellent flow consistency goes on smoot without unpleasant clumping or gritty feeling. Contains xylitol, but does not contain gluten, saccharin, or aspartame.

BY PREMIER DENTAL PRODUCTS Enamel Pro Varnish

BY ULTRADENT PRODUCTS, INC. Flor-Opal Varnish White

Enamel Pro varnish delivers ACP (Amorphous Calcium Phosphate) to stimulate remineralization of tooth enamel and prevents the loss of enamel. It desensitizes dentin by depositing ACP and fluoride into the tubules. ACP crystallizes and forms apatite - tooth-like mineral.

Flor-Opal Varnish White is a flavored, xylitol sweetened, 5% sodium fluoride in a resin carrier. Its syringe-to-syringe mixing system ensures an even distribution of fluoride for a consistent application. Flexible FX Flex tip allows a 90-degree bend for easy placement and no-mess, continuous application.

Profluorid L Liquid Fluoride Varnish Profluorid L, a 5% sodium fluoride tooth-shaded liquid varnish with calcium deposits, overcomes three problems of some traditional resin-based varnishes. Profluorid L has a synthetic resin matrix that ensures that the material will not interfere with bleaching results and can be used as an immediate effective paint-on desensitizer before, during and after bleaching procedures.

ViziLite Plus

BY LED Dental Ltd.

Oral Lesion Identification System from DenMat

VELscope Vx

ViziLite Plus with TBlue Oral Lesion Identification and Marking System can help you to detect oral lesions that your eyes alone could miss. Used as an adjunct to the oral mucosal examination, the chemiluminescent light improves lesion visualization and identifies occult lesions.

The VELscope Vx Enhanced Oral Assessment System features updated optics technology, a cordless design and affordable pricing. The first-generation VELscope device has been used to conduct almost 10 million enhanced oral soft tissue exams worldwide to help detect all types of oral disease.

BY VOCO

BY DentalEZ iStar Cordless Prophylaxis Handpiece Created to make dental hygiene procedures more efficient, the iStar Cordless Prohylaxis Handpiece is compact and powerful. Compatible with all disposable prophy angles, the handpiece works without a foot pedal. While it is not autoclavable, the handpiece works with disposable sleeves for research-based infection control protocol.

BY Polaroid Dental Imaging Polaroid Intraoral Camera

BY Planmeca PlanScan Intraoral Scanner

BY Magpie Tech. Corp. Scooba Ultrasonic Cleaner

The Polaroid Wired Intraoral Camera represents a new chapter in the dental industry. Refine your case presentation and improve your patient education capabilities, with the new Polaroid Intraoral Camera.

Portable, fast and precise, the Planmeca PlanScan intraoral scanner is a powder-free system that uses blue laser technology to capture accurate digital impressions. Simple to use, the scanner connects directly to a laptop via a Thunderbolt connection for almost instantaneous digital impressions.

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DENTAL ACCESS CALENDAR EVENTS

March 18 - 20, 2016 ADX16 Sydney Sydney Exhibition Centre @ Glebe Island Sydney, Australia Contact: Jan Van Dyk Email: sydney@adx.org.au | exhibitions@adia.org.au Website: www.adx.org.au

January

February

April

January 9, 2016 1st Dental Excellence Seminar Dental Access Grand Convention Center Mandaue City, Cebu Philippines Contact: Rm 505 Admiralty Building MBP Ayala Alabang Muntinlupa City Philippines Mr Roco Ibe : 09228696657 Ms Michelle Arguilles - 09324176098 Email: sales@identalaccess.com roco@identalaccess.com

February 2 - 4, 2016 AEEDC Dubai, United Arab Republic Contact: INDEX® Conferences & Exhibitions Organisation Est. P.O.Box: 13636, Dubai, UAE. Ibn Sina Medical Complex #27, Block B, Office 203, Dubai Healthcare City. Tel : +971 4 3624717 Fax : +971 4 3624718 Web : www.index.ae

April 8 - 10, 2016 IDEM Singapore Suntec Singapore and Convention Centre Singapore Contact: Andrea Berghoff Koelnmesse Pte Ltd 152 Beach Road #25-05 Gateway East Singapore 189721 DID +65 6500-6706 Tel. +65 6500-6700 Fax. +65 6296-2771

January 5 - 7, 2016 Saudi Dental Society International Conference KSU Dental College, Riyadh Riyadh, Saudi Arabia Contact: P O Box : 52500 Riyadh -11563 Saudi Arabia Tel: 011 4677743 / 4677763 / 4677764/ 4675311/ 4677534 Fax:011 4677765 Email: info@sds.org.sa January 26, 2016 GC Academy Lung Center of the Philippines Quezon Avenue, Diliman, Quezon City, Philippines Contact: Dr Lala Sanchez - 0999-8334623 Carlo Molina - 0922 - 8355809 January 27, 2016 PDA Regional Conference on “Making Oral Health a Public Advocacy” Elena Tower Inn, Iligan City, Region 10, Philippines Contact: Iligan Dental Chapter Dr Ping Montebon - 0917 - 7162449

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February 22 - 26, 2016 ITI Education Week Melbourne University of Melbourne Melbourne, Australia Contact: ITI International Team for Implantology Email: education@iti.org Website: www.iti.org/education week February 25 - 27, 2016 151 Chicago Midwinter Meeting McCormick Place West Chicago, USA Contact: Chicago Dental Society | Lisa Girardi Email: mwm@cds.org http://www.cds.org/midwinter_meeting/midwinter_meeting.aspx

March March 2 - 5 2016 Dental South China 2016 Area C, China Import & Export Fair Pazhou Complex Contact: Guangdong International Science & Technology Exhibition Company Email:dental@ste.cn | dentalvisit@ ste.cn Website: www.dentalsouthchina.com

April 15 - 17, 2016 SIDEX 2016 COEX (Seoul Convention & Exhibition Centre) Contact: Organizing Committee Email: sidex.sda.or.kr Website: www/sidex.or.kr April 28 - 30, 2016 Biohorizons International Symposium Series Moon Palace Gulf & Spa Resort Cancun, Mexico Contact: BioHorizons International Marketing 2300 Riverchase Center Birmingham, AL 35244, USA Email: cancun2016@biohorizons.com Tel: +1 205 9867918 Tel: +1 2059861235 Philippines Alphadent Philippines Ms Angel Tel: +632 3471111

May May 19 - 21, 2016 Expodental Meeting Fiera Rimini, Rimini, Italy

Contact: UNIDI Email: segreteria@unidi.it Web: www.expodental.it May 25 - 30, 2016 107th Philippine Dental Association SMX Convention Center Seashell Drive, Mall of Asia Complex Pasay City Contact: PDA Building: 02 - 8978091 | 8904609 loc 14 Dr Elizabeth Carrasco: +639177030673 Ms Annie Caampued: + 639228841392 Ms Nora Severino : +639328486008

June June 3 - 6, 2016 IFEA - 10th World Endodontic Congress Cape Town International Conference Center Cape Town, South Africa tContact: General Information, Hotel and Travel enquiries: Telephone: +27 21 460 4743 Mobile: +27 (0)84 6575476 Email: info@ifea2016.com Web: www.ifeaendo.org June 9 - 12, 2016 Sino - Dental 2016 The 21st China International Dental Exhibition & Exhibition Conference Beijing, China Contact: Carol Kang Email: lamg;e@ihecc.org Web: www.sinodent.com.cn June 17 - 19, 2016 The 38th Asia Pacific Dental Congress Hong Kong Convention & Exhibition Centre Hong Kong, China Contact: Erdem Koksaldi | Benan Eris Email: beris@kenes.com | sakun@kenes.com Apdc2016@hkda.org Web: www.apdc2016.org

June 22 - 25, 2016 IADR - The 94th General Session & Exhibition of the IADR Seoul, Korea Contact: The International Association for Dental Research (IADR) 1619 Duke Street, Alexandria, VA 22314-3406 USA Tel: +1.703.548.0066 Fax: +1.703.548.1883 June 23 - 25, 2016 ISDH - International Symposium on Dental Hygiene Messe Basel, Switzerland Contact: MCH Group AG 4005 Basel Switzerland Tel: +41 58 200 20 20 Fax: +41 58 206 21 82 Web:www.mch-group.com

July July 14 - 17, 2016 AGD 2016 BOSTON Hynes Convention Center Boston, USA Contact: Academy of General Dentistry 560 W. Lake St., Sixth Floor Chicago, IL 60661-6600 Tel: 888.AGD.DENT (888.243.3368) Fax: 312.335.3443 Web: www.agd.org

August August 25 - 27, 2016 ICOI Summer Hilton San Diego, Bayfront San Diego, USA Contact: International Congress of Oral Implantologists 55 Lane Road Suite 305 Fairfield, NJ 07004 Tel: 1-(800) 442-0525 or 1-(973)-783-6300 Fax: 973-783-1175

August 9, 2016 Dental Excellence Seminar SMDC Winds, Tagaytay, Phillipines Clubhouse Contact Details: Dr. Armi B. Cabero Email: media@identalaccess. com Tel: 02-8931837 Mobile: 09178845088 www.identalaccess.com

September September 7 - 10, 2016 FDI World Dental Congress Poznan, Poland Contact: Communications Manager Christopher Simpson csimpson@fdiworldental.org Switzerland Tel: +41 22 560 81 34 Fax: +41 22 560 81 40 Web: www.fdiworldental.org

October October 26 - 29, 2016 DenTech China 20th China Exhibition and Symposium on Dental Equipment, Technology & Products Shanghai World Expo Exhibition and Convention Center Shanghai, China Contact: Sandra Shen International Developing Manager Tel: +86-21-61573953 +86-21-61573953 Email: sandra.shen@ubm.com Melinda Wang Email: Melinda.Wang@ubm.com Web: www.dentech.com.cn/

November

Sep 25 - 28, 2016 CDS - China Dental Show National Convention and Exhibition Center Shanghai, China Contact: Mr. Leo Liu Tel: +86 10 84556607 Email: yao.liu@reedsinopharm.com September 26 - 29, 2016 Dental-Expo Fairgrounds Crocus Expo, Pav. 2, Halls 5, 7, 8 Myakinino Subway station Moscow, Russia Contact: 119049 Moscow, P. O. BOX 27, ZAO “DE-5” Tel/fax: +7-495-921-40-69 Web: info@dental-expo.com Sep 29, 2016 - Oct 1, 2016 EAO Paris, France

Contact: Association Manager - Ms. Soazig Daniel Tel: +33 (0)1 42 36 62 20 Web: www.eao.org/

November 25 - 30, 2016 GNYDM - Greater New York Dental Meeting New York City, NY, USA Contact: Greater New York Dental Meeting 200 W. 41st St. Suite 800 New York, NY 10036 Tel: (212)398-6922 Fax: (212)398-6934 Email: info@gnydm.com Web: www.gnydm.com/

Visit us on /identalaccess @identalaccess www.identalaccess.com

2016

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