DT Asia Pacific
IDEM confirms role as major APAC meeting
/ Asia News
/ Opinion
/ World News
/ Business
/ Worldental Communiqué March/April 2010
/ CAD/CAM in dentistry—Does it pay off?
/ Root recession coverage made predictable using resorbable barriers
/ today APDC 2010
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untitled
DTAP0410_01-03_TitleNews 03.05.10 12:03 Seite 1
DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
PUBLISHED IN HONG KONG
www.dental-tribune.asia
NO. 4 VOL. 8
CAD/CAM dentistry
Extra
today APDC 2010
An interview with Prof. Dr Dr
Albert Mehl, Switzerland
The latest news from the
FDI head office
A look at the Asia Pacific
Dental Congress in Sri Lanka
4Page
15
4Page
9
4Page
(DTI/Photo: Simone van den Berg)
21
IDEM confirms role as major APAC meeting Forensic
Organiser announces plans for 2012/More variety in the scientific programme
Daniel Zimmermann
DTI
At a national conference in
India, members of the Indian Association of Forensic Odontology
(IAFO) have called for new legislation to make the preservation
of dental patient records mandatory for dentists in the country.
They said that there is currently
no legislation requiring dentists
to retain those records that could
help identify the victims of mass
disasters like airplane crashes,
bombings or tsunamis.
SINGAPORE/LEIPZIG, Germany:
With final participation numbers
having been announced, the International Dental Exhibition and
Meeting (IDEM) confirmed its
position as a major dental meeting
for the Asia Pacific region. An improved scientific programme and a
higher number of exhibitors again
drew more than 6,000 dental professionals to Singapore. Exhibitors
and the organiser said that they
were satisfied with the number and
type of visitors this year.
IDEM, which is organised by
Koelnmesse Singapore Ltd, is held
biannually in cooperation with the
Singapore Dental Association and
the FDI World Dental Federation.
This year’s scientific programme
focused on implantology and aesthetics—two of the most successful
sectors in the Asia Pacific dental
market. Although sales figures were
significantly affected by the global
financial crisis in 2008/09, growth
rates are expected to pick up once
the economy begins to recover,
a May 2009 industry report stated.
According to the same report, sales
dentistry falls
short in India
Singapore’s Health Minister Khaw Boon Wan (third from left) pays a visit to IDEM 2010. (DTI/Photo courtesy of Koelnmesse)
figures of dental implants in the Asia
Pacific region experienced doubledigit growth rates back in 2008.
Implantology was a significant
part of this year’s trade exhibition,
which saw increased numbers of
dental surgical equipment and
bone-grafting tools to aid dental
implant procedures on display.
Besides classical equipment like
instruments, units or fillings, digital dentistry specialists also presented 3-D imaging systems that
aim to streamline communication
between dentists and laboratories,
and thus improve long-term treatment outcomes.
For the first time, manufacturers from the republics of Slovenia
and Colombia showcased their
portfolio in Singapore. The British
Dental Trade Association hosted
their first national pavilion at the
show alongside trade participations
from Australia, Taiwan, Singapore,
Korea, France and Switzerland.
The US and German dental industry
were the most well represented,
with more than 20 companies representing all sectors in dentistry.
Michael Dreyer, Vice-President
Asia Pacific of Koelnmesse Pte Ltd,
told Dental Tribune Asia Pacific that
despite organisational changes and
the economic turndown, IDEM
2010 was in line with IDEM 2008. He
said that his company will aim to improve the meeting further in order to
make it available to further professional groups like dental assistants.
‡ DT page 3
In addition, they could be
used to confirm evidence of child
abuse or homicides.
The organisation, which is
based in Chennai in Southern
India, also demanded the introduction of compulsory credits as
well as the inclusion of Forensic
Dentistry in curricula at dental
schools nationwide in order to
attract more students to this
career option in the field of dentistry.
According to the IAFO’s own
figures, there are currently less
than 100 forensic odontologists
in India. DT
AD
SLActive
implants show
higher stability
This caddisfly larva spins natural sticky silk (left) that could help seal wounds in medical and
dental surgery. (DTI/Photo courtesy of University of Utah/Fred Hayes)4WORLD NEWS, page 5.
Free service for
Japan refugees
Brain unable to
trigger tooth pain
A Yokohama-based college
has launched a free dental service
for refugee applicants in Japan
in collaboration with the UN
High Commissioner for Refugees’
Japan office and other nongovernmental organisations. The
service will be available to eight
people a day, aiming to see about
a total of 300 patients a year. DT
A new study from Germany
has found that the human brain is
not able to discriminate between
a painful upper and lower tooth.
According to the researchers, the
results may help devise better
treatments for acute tooth pain
and more chronic conditions like
“phantom pain” after a tooth has
been removed. DT
Implants with SLActive surface technology (Straumann)
have shown higher stability compared with five other commonly
used implants in a new study, the
results of which were presented
at the 25th Anniversary Meeting
of the Academy of Osseointegration, held in Orlando (USA) in
March.
The study, which was conducted on rabbit bone, measured
implant stability by removal
torque evaluation at three and six
weeks. It found significant differences between SLActive and the
control implants. A histological
evaluation of bone healing is
currently being undertaken, the
researchers said.
SLActive implants were
launched in China and Korea in
2009. They are also available in
all other major Asian markets. DT
Distinguished by innovation
We shape the future of dentistry with our innovative products and systems. They
distinguish us – in the field of restoratives, all-ceramics and esthetic prosthetic
solutions. A wealth of experience, great commitment and innovative ideas help us
to always find the optimum solution for high-quality products that allow you to
make people smile.
www.ivoclarvivadent.com
Ivoclar Vivadent AG
Bendererstr. 2 | FL-9494 Schaan | Principality of Liechtenstein
Tel. +423 / 235 35 35 | Fax +423 / 235 33 60
[2] =>
untitled
DTAP0410_01-03_TitleNews 03.05.10 12:03 Seite 2
AD
Asia News
Be involved in your business
An interview with Teresa Duncan, USA, about fraud
and embezzlement in dentistry
Teresa Duncan is President
of Odyssey Management, a
medical consulting company
based in Alexandria in the
US. As part of the Let’s Talk
Business seminar, she held a
lecture at this year’s IDEM in
Singapore on embezzlement
and fraud in dentistry. Dental
Tribune Asia Pacific spoke
with Ms Duncan about this, as
well as preventative strategies
for dentists.
Dental Tribune Asia Pacific:
Ms Duncan, fraud and embezzlement appear to be a common
in dental practices.
Teresa Duncan: Yes, I think
instances of embezzlement are
definitely on the rise. Even before the recession hit our economy, approximately one third
of dentists in the US had experienced some form of embezzlement. There is a new report
coming out soon and I am curious
to see the results. I expect the
numbers to be even higher because I am constantly contacted
by new clients.
The most common method is
stealing cheques and the embezzler depositing them in his/her
own account. In many cases,
cash is also taken from the patient but not recorded in the
practice management system.
The common thread is that
dentists are unaware of the reports
that they may be running or are not
paying sufficient attention to the
business side of their practices. So
they do not realise what’s happening under their nose. I often hear
from clients that they are extremely
productive, yet there is not even
money left to cover the payroll.
Teresa Duncan
In most Asian countries, reporting is also not as common as
in the US. Many of these cases are
rather handled in-house. In addition, embezzlers are also able
to move between jobs very easily.
I hope that with Singapore’s
economy recovering so quickly,
the number of embezzlement
cases will go down.
What are your recommendations for fraud prevention?
Doctors should be aware of
the reports that they can run using their practice management
systems. At least, they should ask
for a daily deposit book or charge
summaries. The most important
thing is to pay attention and be
involved in the daily business.
What are the most common
methods of embezzlement?
Thank you very much for
the interview. DT
In your lecture, you have
also presented case studies
from Asia. Have you observed
any major differences in comparison with the US?
Even in Asia, the number is
high although not as high as in
the United States. This shows me
that there are far more checks
and balances in Asia or at least
higher awareness of the problem. The main difference is the
form of embezzlement, for example, when cash is stolen.
Embezzlers in the US are more
careful in that respect.
International Imprint
Licensing by Dental Tribune International
Publisher Torsten Oemus
Group Editor/Managing
Editor DT Asia Pacific
Daniel Zimmermann
newsroom@dental-tribune.com
Tel.: +49-341/4 84 74-107
Copy Editors
Sabrina Raaff
Hans Motschmann
Editorial Assistant
Claudia Salwiczek
c.salwiczek@dental-tribune.com
President/CEO
Torsten Oemus
Vice President/Marketing & Sales
Peter Witteczek
Director of Finance & Controlling
Dan Wunderlich
Marketing & Sales Services
Nadine Parczyk
License Inquiries
Jörg Warschat
Accounting
Manuela Hunger
Product Manager
Bernhard Moldenhauer
Executive Producer
Gernot Meyer
Ad Production
Marius Mezger
Designer
Franziska Dachsel
International Editorial Board
Dr Nasser Barghi, Ceramics, USA
Dr Karl Behr, Endodontics, Germany
Dr George Freedman, Esthetics, Canada
Dr Howard Glazer, Cariology, USA
Prof. Dr I. Krejci, Conservative Dentistry, Switzerland
Dr Edward Lynch, Restorative, Ireland
Dr Ziv Mazor, Implantology, Israel
Prof. Dr Georg Meyer, Restorative, Germany
Prof. Dr Rudolph Slavicek, Function, Austria
Dr Marius Steigmann, Implantology, Germany
DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
Published by Dental Tribune Asia Pacific Ltd.
© 2010, Dental Tribune International GmbH. All rights reserved.
Dental Tribune makes every effort to report clinical information
and manufacturer’s product news accurately, but cannot assume
responsibility for the validity of product claims, or for typographical errors. The publishers also do not assume responsibility
for product names or claims, or statements made by advertisers.
Opinions expressed by authors are their own and may not reflect
those of Dental Tribune International.
Dental Tribune International
Holbeinstr. 29, 04229, Leipzig, Germany
Tel.: +49-341/4 84 74-302 Fax: +49-341/4 84 74-173
Internet: www.dental-tribune.com E-mail: info@dental-tribune.com
Regional Offices
Asia Pacific
DT Asia Pacific Ltd.
c/o Yonto Risio Communications Ltd
Room A, 26/F, 389 King’s Road, North Point, Hong Kong
Tel.: +852-3113-6177 Fax: +852-3113-6199
The Americas
Dental Tribune America, LLC
213 West 35th Street, Suite 801, New York, NY 10001, USA
Tel.: +1-212-244-7181 Fax: +1-212-224-7185
[3] =>
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DTAP0410_01-03_TitleNews 03.05.10 12:03 Seite 3
DENTAL TRIBUNE Asia Pacific Edition
Asia News
3
Dental agreement commits to
US export efforts in Singapore
Daniel Zimmerman
DTI
The Singapore subsidiary of
Ortho Technology has entered
into a new distribution agreement with Lien Nah, a Vietnamese dealer based in Ho Chi
Minh City. The three-year contract, which was signed at a US
exhibitor meeting at IDEM Singapore, applies to the company’s
entire range of orthodontic products, Managing Director Alvin
Chia stated.
Trade between the US and
Singapore skyrocketed after the
two countries signed a bilateral
free trade agreement in 2003.
The US currently leads in foreign investment, accounting
for 63 per cent of new business
commitments to the manufacturing sector (including den-
tistry) in Singapore, according
to figures from the US Commercial Service.
As of 2008, the stock of investment by US companies in the
manufacturing and services sectors in Singapore reached about
US$106.5 billion. DT
Alvin Chia, Daniel L. Shields III and Le Xuan Vinh, Director Lien Nha (from left
to right). (DTI/Photo Daniel Zimmermann)
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Chargé d’affaires of the US
Embassy in Singapore, Daniel
L. Shields III, said that the contract is another example of the
embassy’s successful efforts to
encourage US manufacturers to
invest in the region. He said that
despite its relatively high-cost
operating environment, Singapore has become the 11th largest
export market for US companies,
leaving even countries like India
behind.
fl DT Page 1
Singapore Dental Association
President Dr Lewis Lee said that
that the decision to hold pre-congress courses and master classes
this year was well received by
most congress attendees. He announced plans to broaden the
scientific programme in 2012,
incorporating more topics like
dental materials, orthodontics or
oral medicine. A larger number
of hands-on workshops will be
offered as well, he added.
Delegates that joined the first
pre-congress sessions on Thursday morning confirmed that the
programme was a large improvement to the offerings in 2008. Most
of the people interviewed said
that because of these changes
they were able to attend most of
the sessions held during the
course of the meeting.
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“I think the congress was
pretty well organised and there
was less overlapping which made
it easier to get into more sessions,”
said one dentist from Singapore.
According to Mr Dreyer,
preparations for the next edition
of IDEM in 2012 have already
begun and the first speakers
have been announced. Amongst
others, there will be sessions on
the management of endodontic
disasters, the biological effects
of current restorative materials
on the pulp-dentine complex
and current concepts on posts and
cores.
The next meeting is scheduled
to be held 20–22 April 2012. DT
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[4] =>
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DTAP0410_04-05_News 03.05.10 12:21 Seite 1
4
DENTAL TRIBUNE Asia Pacific Edition
Opinion
“HC reform legislation … does not include provisions
to meaningfully improve access to dental care”
An interview with Dr Ronald L. Tankersley, President of the ADA
properly funding Medicaid dental services.
Dr Ronald L. Tankersley
The health-care reform bill recently approved by the US Congress aims to improve access to
health care for over 30 million
Americans. However, dental
groups say that the legislation
significantly neglects oral
health. Dental Tribune Group
Editor Daniel Zimmermann
spoke with Dr Ronald L.
Tankersley, President of the
American Dental Association,
about the historic decision and
its effect on dentistry in the US.
Daniel Zimmermann: The
American Dental Association
did not support the health-care
reform bill recently approved
by Congress. Could you explain
the rationale for your decision?
Dr Ronald L. Tankersley: As
America’s leading advocate for
oral health, our decision was primarily based on the oral-health
provisions of the bill. We could
not support the health-care reform legislation because it does
not include provisions to meaningfully improve access to dental
care for millions of American
children, adults and elderly by
You say that the reform does
not do enough to assure that
low-income families receive
adequate oral health care. On
the other hand, millions
of people will finally be
able to buy health insurance regardless of their
social status or pre-existing medical conditions.
While countless other
groups can weigh in on the
health-care reform’s overall merits and flaws, people
look to the ADA for a determination of its effect on
oral health care. And when
the government is willing to
spend close to a trillion dollars over the next ten years,
but not spend a dime on improving access to Medicaid
dental services for those
most in need, somebody has
to raise an objection. If we
didn’t do that now, how
could we expect lawmakers
to take our concerns seriously in the future? That
was the basis of our decision.
You have also rejected
the idea of workforce pilot
programmes. Could you
tell us the reason for this?
The ADA’s opposition to
the alternative dental models pilot programme was limited and
based upon our long-held belief
that certain surgical procedures
must be performed only by licensed dentists.
The big losers of this reform
are going to be the insurance
companies. What effect do you
think the reform will have on
the dental profession itself?
Although the ADA could not
support the final legislation, we
did recognise that it contained
many worthwhile provisions
pertaining to oral health. These
general, paediatric or publichealth dentists and funding for
the National Health Services
Corps loan repayment programmes. These provisions,
which the ADA supported and
lobbied for, will have a measura-
caid, the Children’s Health Insurance Program and other dental
public health programs sufficiently.
These programmes are only
capable of fulfilling their roles if
they receive adequate funding. Many states spend less
than 0.5 per cent of their
Medicaid dollars on dental
care—an astonishingly low
rate, considering the importance of oral health to overall health. Further, poor
dental reimbursement rates
paid to dentists mean that
many of them can’t participate in Medicaid, which is
one of the reasons that many
states fail to provide oral
health care for even half of
their eligible children.
The federal government
can and must do more to ensure states are able to come
up with their share of these
benefits.
included increased funding for
public-health infrastructure (including Centers for Disease
Control and Prevention programmes), additional funding for
school-based health-centre facilities and Federally Qualified
Health Centers. We also recognised increased Title VII grant
programme opportunities for
ble, beneficial effect on dentistry
and dental patients.
In your opinion, what should
be changed in the reform bill to
make it feasible for dentists
and advance patient care?
When it comes to improving
access to oral health care, our
message remains: fund Medi-
Republicans and other
interest groups have announced that they will oppose the reform bill. Where
will you position yourself
once the law has come into
effect?
The ADA will continue
to lobby for improvements
to Medicaid dental benefits
and will be watching closely as
federal agencies implement provisions of the law. We want to
ensure that the provisions we
support are carried out correctly,
and will work to change the provisions we oppose.
Thank you very much for
the interview. DT
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[5] =>
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DTAP0410_04-05_News 03.05.10 12:21 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
World News
US health care reform sets back dentists
Daniel Zimmermann
DTI
NEW YORK, USA/LEIPZIG, Germany: After almost a year of
political negotiation, the US Congress has approved legislation to
overhaul the country’s deficient
health-care system. The reform
bill, which won the ballot in the
House of Representatives by
only six votes, has been a priority
of President Obama’s political
agenda and the centre of political
debate since it entered Congress
in 2009. It will extend healthcare benefits to over 30 million
Americans who are currently
without insurance because of
pre-existing medical conditions
or the lack of financial funds.
Through this historic step,
the US has become the last of the
developed countries to introduce
a universal health-care model.
In its current health-care system,
which was shaped in the early
1970s, coverage is provided mainly by the private sector.
“It was the right vote,” President Obama said during a White
House press conference. “The
reform plan won’t fix everything
wrong with the nation’s healthcare system, but it moves us
decisively in the right direction.”
Dentist organisations like the
American Dental Association
(ADA) have heavily opposed
the legislation that will first
(DTI/Photo courtesy of the White House/Pete Souza, USA)
become effective in 2012. In
a statement released days before the ballot, the organisation
rejected the House proposal because it does not include provisions to improve access to dental
services provided by Medicaid,
a state and federal-funded health
programme for low-income
families.
The ADA is also opposing
workforce pilot programmes,
which they fear could lead to
non-dentists performing surgical dental procedures. DT
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NEW YORK, USA/LEIPZIG, Germany: Silk spun by caddis-fly
larvae underwater could one day
suture surgical wounds, new research from the University of Utah
suggests. The study found that the
sticky fibres used by the insects
to built protective shells remain
intact in aquatic environments.
These chemical and structural
properties could make the material valuable as an adhesive tape
in medical and dental surgery.
(DTI/Photo courtesy of University of Utah/Fred Hayes)
Besides these insects, such
adhesives were also identified in
sandcastle worms, mussels and
sea cucumbers. DT
020869_3109
Caddis-flies, commonly known
as rock rollers, usually live in
bodies of water such as rivers,
lakes and marshes. They are related to Lepidoptera, an insect
order that includes moths and
butterflies that spin dry silk. Caddis-fly larvae also spin silk but
they do so underwater in order to
build an inch-long, tube-shaped
case around themselves.
In the study, the researchers
examined the silk made by a caddis-fly species living in the lower
Provo River near Salt Lake City,
under laboratory conditions. They
found that the fibre is made of large
proteins that contain an amino
acid named serine that becomes
phosphorylated as the protein is
synthesised. These phosphates
are negatively charged and line
up parallel to positively charged
amino acids, thereby attracting
each other and making the protein water-insoluble. Comparison
with amino acids from three other
species uncovered great similarities, which suggests that other
caddis-fly species also use phosphorylation to spin silk underwater.
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[6] =>
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DTAP0410_06-07_News 03.05.10 12:10 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
World News
6
Prozone confirms effectiveness of ozone dental therapy
opment of dental caries. In the
control study conducted in 2009,
samples of Streptococcus mutansand
Escherichia coli were gassed immediately and after 1.5 hours with
ozone several times for 24 seconds.
Anja Worm
DTI
LEIPZIG, Germany: Clinical tests
at the Department of Molecular
Biology at the University of Salzburg
in Austria have confirmed that
dental treatment with Prozone,
a next-generation ozone generator
by Austrian manufacturer W&H,
is highly effective against bacterial
strains that are responsible for
oro-dental infections and the devel-
This pictures shows agar plates with bacterial strain Escherichia coli. The left
plate was treated with Prozone for 24 seconds and shows areas that are visibly
bacteria-free. (DTI/Photo courtesy of Salzburg University, Austria)
The results demonstrated that
24-second treatments with ozone
had visible effects on the treated
area. In all tests, immediate treatment was more effective than
treatment after 1.5 hours. When
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the duration of the treatment was
increased, the areas with no bacteria or a low bacterial count also
increased.
Treatment with ozone, a reactive three-oxygen molecule also
found in the Earth’s atmosphere, is
a relatively new concept in dentistry.
Earlier studies indicate that it only
takes a few seconds of therapy to
kill 99 per cent of bacteria, making
it a thousand times more powerful
than other bacteria-killing agents.
The new study demonstrates that
treatment has to be performed immediately in order to ensure the best
results. Delayed treatment also results in reduced bacteria count but
visible effects are less significant.
Devices such as Prozone that
utilise ozone technology expose filtered air to a high electrical voltage,
which is directly applied to the treatment area where it destroys bacteria
and viruses through oxidation. DT
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LEIPZIG, Germany: Using acupuncture might help dentists to
treat highly anxious patients, new
research from Denmark and the
UK suggests. In a study published
by the British Medical Journal
Group in March scientists from the
universities of Copenhagen and
Sheffield found that targeting two
specific acupuncture points at the
top of the head decreases the average Beck Anxiety Inventory (BAI)
score in adult patients by more than
half.
The study’s findings were based
on 16 women and 4 men from 8 dental practice lists in the UK. All participants were in their 40s and had
been attempting to manage their
anxiety regarding dentists for between 2 and 30 years, the study
states. The acupuncture was carried out by the dentists, all of whom
are members of the British Dental
Acupuncture Society.
According to recent studies, up
to a third of all dental patients in
developed countries suffer from
some form of dental anxiety. One in
ten patients are so afraid of dentists
that they defer dental treatment
altogether.
The authors of the study said
that sedatives, relaxation techniques and hypnosis, amongst
other methods, have been found
to be helpful in overcoming the
problem, but they are often timeconsuming and require considerable psychotherapeutic skill. They
caution that further larger studies
are required in order to confirm the
value of acupuncture in controlling
dental anxiety, but suggest that it
may offer a simple and inexpensive
method of treatment. DT
[7] =>
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DTAP0410_06-07_News 03.05.10 12:11 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
World News
7
“Global thinking and local business—our core strategies”
An interview with Dr Luo Chuan Hao, VOCO
VOCO is a Germany-based manufacturer that specialises in the
production of modern aesthetic
dental materials. The company
has been conducting business
in Singapore and the South-East
Asian region since 1995. Dental
Tribune Asia Pacific spoke with
Export Area Manager Dr Luo
Chuan Hao about the market in
Singapore and the company’s
offering at this year’s IDEM.
Dental Tribune Asia Pacific:
Dr Lou, your company has been
conducting business in SouthEast Asia since 1995. What is your
current reach and are there
plans to extend distribution to
more countries in the region?
Currently, we sell our products
in almost all countries in SouthEast Asia, including Malaysia, the
Philippines and South Korea. Our
next goal is to increase our market
share.
orthodontic and periodontic treatment. It can also be used as a base
for replacing missing teeth, as well
as locking and splinting avulsed or
loosened teeth.
It thus provides fragment anchorage after fractures, as well as
reinforcement to provisional, composite-based crowns and bridges.
The glass strands can also be
used for the temporary or semipermanent treatment of a tooth
space using an extracted, natural
tooth, as well as temporary treatment during osseointegration of
an implant.
Thank you very much for the
interview. DT
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More dentists in Singapore
and South-East Asia are becoming aware of the aesthetic aspects of dentistry, mainly driven
by patient demand and new developments in the industry. Will
these trends determine where
the market is heading?
Yes, we also see this as an important trend. We introduced the
Amaris composite in 2007 and
Amaris Gingiva last year in order to
fulfil this demand. We are also increasing our sales for the Grandio
and Structur ranges.
You say that you launched
Amaris Gingiva, another innovative restorative, in Singapore
last year. What response has
the material received from the
dentists?
The response has been very
positive. Dentists in South-East
Asia like this product very much.
Amaris Gingiva is currently the
only highly aesthetic light-curing
restorative in gingival shades that
can be used chairside.
When it comes to new products and innovation, companies
usually focus on big trade shows
like IDS or the Midwinter Meeting in Chicago. What do you have
in store for IDEM?
You are correct. Generally, we
present new products here in
Singapore after we have launched
them at other meetings. However,
this time we will also showcase our
new product GrandTec alongside
several established products like
Grandio, Grandio Flow, Amaris,
Amaris Gingiva, Structur, Ionoseal,
Futurabond and GIC.
GrandTec is a glass-fibre strand
impregnated with light-curing,
methacrylate resin in an uncured
condition. It was developed for
application in traumatology, periodontology, orthodontics, conservative dentistry and prosthodontics.
The glass strands can be equally
applied to natural teeth, models
and impressions, and adhere after
light-curing.
GrandTEC is intended to ensure the stability of the teeth after
Dr Luo Chuan Hao (right).
(DTI/Photo Daniel Zimmermann)
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[8] =>
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100223_WH_AD_ALEGRA_LED_A3_AEN_120JAHRE:Layout 1 26.02.10 10:38 Seite 1
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DTAP0410_09-10_FDI 03.05.10 12:14 Seite 1
FDI teams up with OSAP to improve
global patient safety standards
FDI World Dental Federation is
participating in an official review
of the WHO Patient Safety Curriculum Guide, together with
the Organization for Safety and
Asepsis Procedures (OSAP), International Federation of Dental Educators and Associations
(IFDEA), and other leading global
medical profession associations.
Patient safety is an emerging
discipline, aiming to reduce harm
to patients caused by health care and
to identify opportunities for improving patient outcomes. According to
the WHO Research Priority Setting
Working Group on Patient Safety,
tens of millions of patients worldwide
suffer disabling injuries or death due
to unsafe medical care every year.
The multi-professional WHO
Patient Safety Curriculum Guide
was first published in 2009 to provide medical schools with guidelines for teaching patient safety, and
has since been downloaded by more
than 1000 institutions in 100 countries. In growing recognition of the
harms caused by health care, the
WHO initiated a review of the Guide
and invited FDI World Dental Federation to participate as a primary
partner in the project, together with
the International Council of Midwives and other members of the
World Health Professions Alliance
(WHPA); International Council of
Nurses, International Pharmaceutical Federation and World Medical
Association. Professors Takashi
Inoue and Nermin Yamalik, of the
FDI Education Committee, will be
contributing to the review. Details
are expected to be finalised during a
consensus meeting at the 2010 OSAP
Annual Symposium in June. FDI
FDI explores preventive dentistry
at 2010 AEEDC Dubai
FDI World Dental Federation introduces the Global Caries Initiative to the Gulf Region
as part of a global consultation process
(DTI/Photo: Daniel Zimmermann)
Representatives from FDI World
Dental Federation, including Dr
Roberto Vianna, FDI President,
were recently in Dubai for the
2010 UAE International Dental
Conference & Arab Dental Exhibition (AEEDC Dubai), where
they participated in the AEEDC
Conference Program, the Gulf
Cooperation Council Preventive
Dentistry Conference and the
7th Annual Arab Asian Scientific
Dental Alliance, introducing the
FDI Global Caries Initiative to
key opinion leaders of the Gulf
Region.
The Global Caries Initiative
(GCI) was first conceived during the
Rio Caries Conference in July 2009,
where conference attendees—including leading experts in epidemiology, cariology, dental education,
prevention and change management—conceded there is a need to
establish a broad alliance of key influencers and decision-makers to
effect fundamental change across
health systems and in individual behaviour in order to eradicate caries
worldwide by 2020.
Departing from this objective,
FDI World Dental Federation embarked upon a global consultation
process to assess the potential
challenges and impact of introducing a preventive model to existing
systems for caries management.
The most recent seminar took place
at the 2010 AEEDC Conference
Program: Dr Julian Fisher, FDI
Associate Director of Education and
Scientific Affairs, described the
context of GCI in a presentation entitled, “The Global Caries Initiative:
A Profession-Led Call-to-Action”
and Dr Nigel Pitts, of the University
of Dundee (Scotland), presented
his research related to “A New
Approach to Caries Classification,
Detection and Assessment: The
Experiences of ICDAS”, which addresses an underlying theme identified early in the GCI consultation
process; that is, the need for the
profession to establish a common
language for caries. Dr Pitts has
been working with FDI World Dental Federation to explore an inter-
(DTI/Photo: Mike Liu)
The annual FDI Corporate Partners meeting took place at the
end of February during the
145th Chicago Dental Society MidWinter Meeting. FDI President
Dr Roberto Vianna opened the
meeting, welcoming and thanking FDI Corporate Partners for
their unwavering support, particularly in view of the economic
challenges still affecting businesses worldwide. Joining the
FDI President at the meeting were
FDI President-Elect, Dr Orlando
Monteiro da Silva; Councillor, Dr
Kathryn Kell; Executive Director,
Dr David Alexander; and other
full-time FDI professional staff
from the Finance, Communications and Congress departments.
Dr David Alexander presented
a detailed report of ongoing FDI activities and achievements in 2009,
including the introduction of a new
FDI website, preparations for the
2010 Annual World Dental Con-
gress in Salvador da Bahia, Brazil,
future congress venues, progress
on the Global Caries Initiative and
a summary of internal process improvements across the organisation. Dr Alexander reminded participants of the critical importance
of partnership between FDI World
Dental Federation and the dental
industry, encouraging an “open dialogue, which strengthens our relationship and brings mutual benefits
to both parties.” The presentations
portion of the meeting included a
financial review by Jerome Estignard, FDI Director of Finance and
Operations, who summarised the
2009 year-end results and budget
forecasts for 2010 and beyond.
The annual FDI Corporate
Partners meeting is held in the first
quarter of each year, alternating
venues between the Chicago Dental Society Midwinter Meeting and
the International Dental Show in
Cologne, Germany. FDI
national caries classification system
within the context of GCI.
Dr Roberto Vianna reinforced
the FDI World Dental Federation
commitment to oral health in an
address to attendees of the Gulf
Inside the FDI:
Spotlight on congress
By Ndolo Moka Lisette
Dr Julian Fisher, FDI Education and
Scientific Affairs Manager
Cooperation Council Preventive
Dentistry Conference, paying a special thank you to Professor Abdullah
Al Shammery, Dean of Riyadh Colleges of Dentistry and Pharmacy and
AEEDC International Scientific Advisory Board Member. Dr Vianna
said, that FDI World Dental Federation “is delighted to participate in
this Conference and looks forward to
working together with the Gulf Cooperation Council and FDI member
associations to further prevention at
the national level.” FDI
Tic, tic, tic…the minute hand of
the clock ticks away, representing
the passing of time—and for the
Congress team at the FDI World
Dental Federation headquarters
in Geneva—serving as a poignant
reminder that the 2010 Annual
World Dental Congress is drawing closer. From the various work
stations around the office, one
hears the sound of keyboards clattering, papers shuffling, phones
ringing and voices buzzing:
Congress planning in motion. As
preparation for this year’s Congress intensifies, the full-time staff
team—under the leadership of
Neil Kirkman, FDI’s Manager of
Conferences and Exhibitions—is
busy finalising the details of the
2010 Congress to ensure a seamless experience for this year’s
attendees in Brazil.
An event of such magnitude
relies on a solid foundation and, as
Mr Kirkman suggests, the key to success is a high level of collaboration
across the organization, with close
attention to “the many stakeholders
involved; understanding their needs
and expectations, developing the
right formula to satisfy the largest
possible audience, and working to
create a win-win for everybody involved.” Mr Kirkman joined FDI
World Dental Federation in February
2010 and is responsible for strategic
development and execution of the
FDI Annual World Dental Congress,
working closely with elected and
staff leadership, as well as member
associations, to deliver world-class
international dental conferences.
For almost 20 years, Mr Kirkman
has developed and coordinated international conferences, seminars,
exhibitions, and festivals for organisations including the European
Society of Cardiology, the International Union Against Cancer and
the Young Presidents Organisation.
“In managing events of this scale,
both immediate and long-term
planning is critical”, he says. Plans
for future FDI Congresses in Mexico
2011 and Geneva 2012 are already
in the works, as well as research
into venues as far ahead as 2016.
‡ FDI page 10
[10] =>
untitled
DTAP0410_09-10_FDI 03.05.10 12:14 Seite 2
Worldental Communiqué
10
DENTAL TRIBUNE Asia Pacific Edition
Members’ Corner:
Dr Michael Glick—Outstanding scientist and clinician
Dr Michael Glick
In this interview with WDC, Dr
Michael Glick discusses his work
with FDI World Dental Federation and his views on the role of
the dental profession in oral and
general health.
WDC: In October 2009 you
were appointed Dean of the
University at Buffalo School of
Dental Medicine. What attracted
you to this role and what do you
hope to achieve?
Dr Michael Glick: This position
is a chance to have an impact with
respect to dental education and
consequently, the future of dentistry: to build on the best of what
we’re doing and take it to the next
level. I am proud to be a dentist. But
first and foremost I see myself as
a healthcare professional. There is a
small but growing trend to enhance
overall health by providing medically based point-of-care screening
in dental offices. In fact, last year
I coordinated a seminar at the ADA
Annual Session that was a hands-on
course for dentists in office-based
medical screening. There is a small,
critical mass developing that is
eager to improve oral health care
delivery, and education is where it
all begins.
You dedicate a lot of time to
FDI World Dental Federation as
Chairman of the Science Committee. What motivates you to
participate in organised dentistry at the international level?
Working with FDI World Dental
Federation is an opportunity to
make a difference and I gladly give
my time to help bring about positive
change in the way the dental profession is perceived; for instance, in
re-evaluating how we provide care
or providing care to people who do
not have access. The structural complexity of our profession can be complicated, which further emphasises
a need for unity at the international
level in order to make any progress.
What does FDI World Dental
Federation bring to the world of
dentistry?
FDI is the largest dental organisation in the world, bringing together representatives from many
different countries as a unified,
global voice of dentistry. This gives
us the privilege and opportunity to
make a huge impact through the
profession: to act as the facilitator for
change. For example, in caries prevention, FDI is leading The Global
Caries Initiative, a profession-led
project with the goal of significantly
diminishing the prevalence of
caries worldwide by 2020. Other
recent projects, such as the Oral
Health Atlas and Dental Ethics
Manual, are further examples of
practical tools produced by FDI that
dentists can use in their countries to
support advocacy and awareness
around oral health.
You recently attended the FDI
mid-year committee meetings in
Geneva. What are some of the
areas of focus for the Science
Committee in 2010?
This year, the Science Committee wants to focus on setting a research agenda to respond to major
global oral heath care issues. We
also want to proactively generate
collaboration between researchers
in different parts of the world and
partner with organisations working
towards the same goals, such as
the International Association for
Dental Research (IADR). As Chairman, I see my role as a facilitator:
that is, does the Committee work reflect the mission and vision of FDI?
This is a question I ask myself when
embarking on a new initiative. Another area of focus for the committee is science and evidence behind
policy. To this effect, we are working
to design FDI scientific statements
that will help underpin policy and
provide FDI members with valuable
scientific resources.
How do your many responsibilities relate to your personal
vision in oral health?
All of my work, whether as the
dean of a dental school, editor of
JADA or the chairman of the Science
Committee, reflects my philosophy
about health. I am lucky to have the
opportunity to have a voice in sharing these beliefs with a larger group.
But I see many examples of how
dentists make a difference in their
community at so many levels—such
as extending free care. Every little
bit makes a difference.
Dr Michael Glick is Dean of the University
at Buffalo School of Dental Medicine in
the United States. He currently serves as
Chairman of the Science Committee for
FDI World Dental Federation.
News in brief
AD
TRAINER (ASIA PACIFIC)
(DTI/Photo courtesy of the Brazilian Ministry of Tourism)
The fast growing middle class in many Asian markets offers tremendous growth potential for Straumann, with key drivers being high
patient awareness and adequate training and expertise of dental professionals. The Trainer will be responsible for training customers as
well as internal staff of Straumann and its distributors in the proper use of Straumann products. The Trainer will also be responsible for the
logistics (planning and maintaining) of the necessary training materials (consumables, equipment, manuals). Supporting the sales force,
the Trainer will also respond to customer enquiries with specific technical advice / support where necessary. The Trainer is responsible
for ensuring that training and education programs are conducted in accordance with regional and global guidelines, with adaptation
to local needs (quality and effectiveness of courses, implementation of planned courses, resource planning, know-how). The position
is based at the company’s regional Head Office in Singapore and requires frequent travelling. The position reports to the Marketing
Director APAC.
Tasks
Content development of Internal Training, CE programs and Sales Support
Further development of curriculum and course content to be offered to the different customer segments
Further develop equipment, presentation and demonstration material
Support building of speaker development programs
Technical main contact person for corporate customers/Universities/sales team
Planning, delivery and controlling of CE programs and Internal Training
Following Straumann Curriculum, be responsible for the implementation of internal training and customer education (CE)
program for Straumann China, in response to new product launch and sales cycles
Budget planning, activities plan, implementation, and evaluation on all internal training and CE activities.
Planning and delivery of courses: Instructor at hands-on courses and internal training courses
To provide evaluation and monthly reports on CE program to local and regional Management
Candidate Qualifications
Degree in Dentistry, Hygenist or Dental Technician
Professional experience in educating adults is an advantage
Knowledge in implant dentistry is a definite plus
Fluent in English and Chinese (Mandarin); any other language is a plus
Excellent interpersonal and presentation skills
Well-organised and structured person
Comfortable interacting with different customer segments (Key Opinion Leaders, Dental Practitioners, Dental Technicians)
Strong result orientation and business sense
Strong people development skills: ability to help local trainers develop their own competencies and improve performance
Ability to build strong relationships with different customer segments through effective communication and listening skills
Straumann Singapore Pte Ltd
#26-01 Fuji Xerox Towers
80 Anson Road
Singapore 079907
www.straumann.com
job.sg@straumann.com
2010 Congress News
an annual journal
of public health
and development
published by FDI
World Dental Federation, has announced an open
call for submissions.
Early-bird registration for 2010 FDI Annual
World Dental Congress
in Brazil: register before
15 May 2010 and benefit
from a special rate.
Developing
Dentistry:
Call for Submissions
Visit www.fdiworldental.org for
more information.
The Editorial Board
of Developing Dentistry,
fl FDI page 9
Reflecting on the “big day”,
Kirkman says, “The really fun and
exciting time comes when you are
on-site to deliver the event. During
that time, there is always a lot of
tension and excitement, and lastminute work to ensure that all is
delivered according to plan and at
the highest possible standard.”
While this preparation for
Congress continues, excitement is
building among FDI representatives, members and delegates
around the world who come together once a year at this international gathering of the profession.
“I am proud to be FDI President in
the same year that our Congress is
coming to my home country,” said
Dr Roberto Vianna, FDI President.
“The FDI Congress features a cutting-edge Scientific Programme
and offers participants a unique opportunity to share knowledge with
colleagues from around the world,
while discovering the professional
landscape of a different region in
the world. I look forward to seeing
both new and familiar faces this
September in the sunny Bahia
state.”
The 2010 FDI Annual World
Dental Congress will take place
from 2–5 September in Salvador
da Bahia, Brazil. Registration and
event details are available on the
FDI website. FDI
About the publisher
Publisher
FDI World Dental Federation
Tour de Cointrin, Avenue Louis Casai 84,
Case Postale 3
1216 Cointrin – Genève, Switzerland
Phone: +41 22 560 81 50
Fax: +41 22 560 81 40
E-mail: media@fdiworldental.org
Web site: www.fdiworldental.org
FDI Communications Manager
Aimée DuBrûle
FDI Worldental Communiqué is published by
the FDI World Dental Federation. The newsletter and all articles and illustrations therein are
protected by copyright. Any utilisation without
prior consent from the editor or publisher is
inadmissible and liable to prosecution.
[11] =>
untitled
Stand_A3_Anschnitt 22.04.10 12:25 Seite 1
[12] =>
untitled
Projekt2 22.04.10 12:32 Seite 1
THE
E DENTAL
ENTAL PROFESSION
ROFESSION & PATIENT
ATIENT PARTNERSHIP
ARTNERSHIP
Issue
Issue 3
ORAL
O
RAL C
CARE
ARE L
LINK
INK
April 2010
COLGATE
AT PROFESSIONAL INFORMATION CENTER
H
Home
ome Remedies
Remedies ffor
or
D
Dentine
entine H
Hypersensitivity
ypersensitivity
Dr CH Chu, PhD, ABGD
Associate Professor, Faculty of Dentistry
The University of Hong Kong
Hong Kong
hort, ssharp
harp p
ain a
rising
H
Hypersensitivity
ypersensitivity iiss ccharacterized
byy sshort,
pain
arising
haracterized b
Diagnosis is Important
Home M
anagement w
ith D
esensitizing Toothpaste
Home
Management
with
Desensitizing
Toothpaste
from e
xposed d
entin iin
n rresponse
esponse tto
o stimuli
stimuli ssuch
uch a
old, h
ot, ssour
our o
from
exposed
dentin
ass ccold,
hot,
orr
ssweet
weet ffood
ood a
nd d
rinks, air
air ((cold
cold w
eather) o
ressure a
nd ccannot
annot b
e
and
drinks,
weather)
orr p
pressure
and
be
a
scribed tto
oa
ny o
ther dental
dental d
ascribed
any
other
disease. The cause of hypersensitivity is
lloss
oss o
namel o
n tthe
he tooth
tooth ccrown (Figure 1) and gum recession
off e
enamel
on
Figure 2). Dentine is
exposing the
the tooth
tooth root
root ((Figure
exposing
generally covered
covered by
by e
namel in a tooth crown
generally
enamel
and by
by a protective
protective layer
layer ccalled
alle cementum
and
iin
n tthe
he tooth
root surrounded
surrounded by gum.
tooth root
D
entine contains
contains thousands
thousands o
Dentine
of
m
icroscopic tubular
tubular sstructures
tructure that
microscopic
rradiate
adiate outwards
outwards from
from tthe
he p
u (Figure 3).
pulp
Loss of
of enamel
enamel can
can occur
occur as
as a result
Loss
of aggressive
aggressive and
and incorrect
incorrect tooth
of
brushing, o
ver cconsumption
onsumption of
brushing,
over
acidic ffood
ood a
nd e
xcessive
acidic
and
excessive
tooth g
rinding. G
um
tooth
grinding.
Gum
recession m
ay o
ccur due
due to
to
recession
may
occur
aggressive a
nd iincorrect
ncorrect
aggressive
and
tooth b
rushing, a
ging,
tooth
brushing,
aging,
gum diseases
diseases and
and
gum
certain dental
dental
certain
procedures. The
The
procedures.
cementum on
on the
the
cementum
exposed tooth
tooth root
root w
ill
exposed
will
tthen
hen easily
easily be
be removed
removed
a
nd dentine
dentine is
is exposed
exposed
and
resulting in
in dentine
dentine
resulting
hypersensitivity.
hypersensitivity.
Dentine hypersensitivity may share similar
symptoms with dental decay and gum disease,
lt a dentist whe
hence, it is essential to consult
when you
suffer from pain of similar nature.
addition, the
ure. In addition
cause of dentine hypersensitivity
vity should be
identified and a diagnosis by exclusion must be
tivity, ruling out other
made for dentinal hypersensitivity,
conditions requiring different treatment. Onc
Once the
nsitivity is confirmed,
confir
diagnosis of dentine hypersensitivity
the dentist may discuss with you regarding
-containing foods,
food
decreasing the intake of acid-containing
ng techniques.
and show you correct brushing
Traditional beliefs of gargling warm water with salt
and biting ampalaya (bitter fruit) and medications
for pain relief often cannot eliminate dentine
hypersensitivity. Use of desensitizing toothpaste is
considered by many as the “first option”
recommendation. Some desensitizing toothpastes
namel loss
Fig
F
iig
g 1: EEnamel
eexposing
xp
x osing dentine
ovement
ain eeliciting
liciting b
Pain
byy m
movement
ig
Fig
F
i 3:
3 P
of d
entinal fluid
fluid
of
dentinal
Gum recession
recession
Fig
F
Fi
iig
g 2:
2: Gum
exp
x osing dentine
exposing
contain potassium salts to interrupt the neural
response to pain stimuli. It is effective but often
takes 4 to 8 weeks for pain relief. Other
desensitizing toothpastes contain strontium salts
to occlude open dentinal tubules from external
stimuli associated with dentine hypersensitivity.
Certain patients, however, do not find it effective.
New desensitizing toothpastes with arginine and
calcium carbonate (Arginine-CaCO3) that occludes
and blocks open dentinal tubules, are now
available in the market. Our study on 390 adult
patients with dentine hypersensitivity
demonstrated significant pain relief after using
professional desensitizing paste with
Arginine-CaCO3.1 The new Colgate® Sensitive
Pro-Relief™ desensitizing toothpaste containing
Arginine-CaCO3 and fluoride is developed for
routine daily use.
Reference: 1. Chu CH, Lui KS, Lau KP, Kwok CM , Huang T. Effects of 8% arginine desensitizing paste on teeth with hypersensitiv
hypersensitivity.
ity. J Dent Res 2010, 89(Spec Issue A) (Accepted on April 16, 2010)
YOUR
Y
OUR P
PARTNER
ARTNER IIN
NO
ORAL
RAL H
HEALTH
EALTH
}>ÌiÊ*>ÛiÊÀi>ÌiÀÊÃ>Ê
}>ÌiÊ*>ÛiÊÀi>ÌiÀÊÃ>Ê ÛÃÊ>ÀiÊ>VÌÛiÊÊ\Ê}Ê}ÊUÊ
ÛÃÊ>ÀiÊ>VÌÛiÊÊ\Ê}Ê}ÊUÊ
>ÊUÊ/>Ü>ÊUÊ`>ÊUÊ/
>ÊUÊ/>Ü>ÊUÊ`>ÊUÊ/ >>>`ÊUÊ*
>`ÊUÊ* ««iÃÊUÊ>>ÞÃ>ÊUÊ-}>«ÀiÊUÊ6iÌ>ÊUÊ,ÕÃÃ>ÊUÊ1À>iÊUÊ/ÕÀiÞÊUÊ>â>
««iÃÊUÊ>>ÞÃ>ÊUÊ-}>«ÀiÊUÊ6iÌ>ÊUÊ,ÕÃÃ>ÊUÊ1À>iÊUÊ/ÕÀiÞÊUÊ>â> ÃÃÌ>ÊUÊiÀ}>ÊUÊÀi>ÊUÊâiÀL>>
Ì>ÊUÊiÀ}>ÊUÊÀi>ÊUÊâiÀL>>
www.colgateprofessional.com
www.co
ollgateprofe
esssio
on
nal.co
om
m
[13] =>
untitled
Projekt2 22.04.10 12:32 Seite 1
THE
E DENTAL
ENTAL PROFESSION
ROFESSION & PATIENT
ATIENT PARTNERSHIP
ARTNERSHIP
Issue
Issue 3
ORAL
O
RAL C
CARE
ARE L
LINK
INK
April 2010
COLGATE
AT PROFESSIONAL INFORMATION CENTER
H
Home
ome Remedies
Remedies ffor
or
D
Dentine
entine H
Hypersensitivity
ypersensitivity
Dr CH Chu, PhD, ABGD
Associate Professor, Faculty of Dentistry
The University of Hong Kong
Hong Kong
hort, ssharp
harp p
ain a
rising
H
Hypersensitivity
ypersensitivity iiss ccharacterized
byy sshort,
pain
arising
haracterized b
Diagnosis is Important
Home M
anagement w
ith D
esensitizing Toothpaste
Home
Management
with
Desensitizing
Toothpaste
from e
xposed d
entin iin
n rresponse
esponse tto
o stimuli
stimuli ssuch
uch a
old, h
ot, ssour
our o
from
exposed
dentin
ass ccold,
hot,
orr
ssweet
weet ffood
ood a
nd d
rinks, air
air ((cold
cold w
eather) o
ressure a
nd ccannot
annot b
e
and
drinks,
weather)
orr p
pressure
and
be
a
scribed tto
oa
ny o
ther dental
dental d
ascribed
any
other
disease. The cause of hypersensitivity is
lloss
oss o
namel o
n tthe
he tooth
tooth ccrown (Figure 1) and gum recession
off e
enamel
on
Figure 2). Dentine is
exposing the
the tooth
tooth root
root ((Figure
exposing
generally covered
covered by
by e
namel in a tooth crown
generally
enamel
and by
by a protective
protective layer
layer ccalled
alle cementum
and
iin
n tthe
he tooth
root surrounded
surrounded by gum.
tooth root
D
entine contains
contains thousands
thousands o
Dentine
of
m
icroscopic tubular
tubular sstructures
tructure that
microscopic
rradiate
adiate outwards
outwards from
from tthe
he p
u (Figure 3).
pulp
Loss of
of enamel
enamel can
can occur
occur as
as a result
Loss
of aggressive
aggressive and
and incorrect
incorrect tooth
of
brushing, o
ver cconsumption
onsumption of
brushing,
over
acidic ffood
ood a
nd e
xcessive
acidic
and
excessive
tooth g
rinding. G
um
tooth
grinding.
Gum
recession m
ay o
ccur due
due to
to
recession
may
occur
aggressive a
nd iincorrect
ncorrect
aggressive
and
tooth b
rushing, a
ging,
tooth
brushing,
aging,
gum diseases
diseases and
and
gum
certain dental
dental
certain
procedures. The
The
procedures.
cementum on
on the
the
cementum
exposed tooth
tooth root
root w
ill
exposed
will
tthen
hen easily
easily be
be removed
removed
a
nd dentine
dentine is
is exposed
exposed
and
resulting in
in dentine
dentine
resulting
hypersensitivity.
hypersensitivity.
Dentine hypersensitivity may share similar
symptoms with dental decay and gum disease,
lt a dentist whe
hence, it is essential to consult
when you
suffer from pain of similar nature.
addition, the
ure. In addition
cause of dentine hypersensitivity
vity should be
identified and a diagnosis by exclusion must be
tivity, ruling out other
made for dentinal hypersensitivity,
conditions requiring different treatment. Onc
Once the
nsitivity is confirmed,
confir
diagnosis of dentine hypersensitivity
the dentist may discuss with you regarding
-containing foods,
food
decreasing the intake of acid-containing
ng techniques.
and show you correct brushing
Traditional beliefs of gargling warm water with salt
and biting ampalaya (bitter fruit) and medications
for pain relief often cannot eliminate dentine
hypersensitivity. Use of desensitizing toothpaste is
considered by many as the “first option”
recommendation. Some desensitizing toothpastes
namel loss
Fig
F
iig
g 1: EEnamel
eexposing
xp
x osing dentine
ovement
ain eeliciting
liciting b
Pain
byy m
movement
ig
Fig
F
i 3:
3 P
of d
entinal fluid
fluid
of
dentinal
Gum recession
recession
Fig
F
Fi
iig
g 2:
2: Gum
exp
x osing dentine
exposing
contain potassium salts to interrupt the neural
response to pain stimuli. It is effective but often
takes 4 to 8 weeks for pain relief. Other
desensitizing toothpastes contain strontium salts
to occlude open dentinal tubules from external
stimuli associated with dentine hypersensitivity.
Certain patients, however, do not find it effective.
New desensitizing toothpastes with arginine and
calcium carbonate (Arginine-CaCO3) that occludes
and blocks open dentinal tubules, are now
available in the market. Our study on 390 adult
patients with dentine hypersensitivity
demonstrated significant pain relief after using
professional desensitizing paste with
Arginine-CaCO3.1 The new Colgate® Sensitive
Pro-Relief™ desensitizing toothpaste containing
Arginine-CaCO3 and fluoride is developed for
routine daily use.
Reference: 1. Chu CH, Lui KS, Lau KP, Kwok CM , Huang T. Effects of 8% arginine desensitizing paste on teeth with hypersensitiv
hypersensitivity.
ity. J Dent Res 2010, 89(Spec Issue A) (Accepted on April 16, 2010)
YOUR
Y
OUR P
PARTNER
ARTNER IIN
NO
ORAL
RAL H
HEALTH
EALTH
}>ÌiÊ*>ÛiÊÀi>ÌiÀÊÃ>Ê
}>ÌiÊ*>ÛiÊÀi>ÌiÀÊÃ>Ê ÛÃÊ>ÀiÊ>VÌÛiÊÊ\Ê}Ê}ÊUÊ
ÛÃÊ>ÀiÊ>VÌÛiÊÊ\Ê}Ê}ÊUÊ
>ÊUÊ/>Ü>ÊUÊ`>ÊUÊ/
>ÊUÊ/>Ü>ÊUÊ`>ÊUÊ/ >>>`ÊUÊ*
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««iÃÊUÊ>>ÞÃ>ÊUÊ-}>«ÀiÊUÊ6iÌ>ÊUÊ,ÕÃÃ>ÊUÊ1À>iÊUÊ/ÕÀiÞÊUÊ>â> ÃÃÌ>ÊUÊiÀ}>ÊUÊÀi>ÊUÊâiÀL>>
Ì>ÊUÊiÀ}>ÊUÊÀi>ÊUÊâiÀL>>
www.colgateprofessional.com
www.co
ollgateprofe
esssio
on
nal.co
om
m
[14] =>
untitled
Stand_A3_Anschnitt 22.04.10 12:28 Seite 1
[15] =>
untitled
DTAP0410_15-16_Mehl 03.05.10 12:16 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
Trends & Applications 15
CAD/CAM in dentistry—Does it pay off?
An interview with Prof. Dr Dr Albert Mehl, University of Zürich, Switzerland
numerous scientific studies.
Through the combination of
time saving, cost reduction and
increased quality, the chairside
method offers an interesting perspective for modern dentistry.
This pertains mainly to singletooth restorations but we can
expect new possibilities in the
production of fixed partial dentures with small span widths in
the near future.
Prof. Dr Dr Albert Mehl
The International Dental Exhibition & Meeting in Singapore
showcased some impressive
advancements in CAD/CAM
dentistry. For private dentists,
however, there is much uncertainty regarding response
to these developments. DT
Switzerland Editor-in-Chief
Johannes Eschmann spoke
with Prof. Dr Dr Albert Mehl,
currently Guest Professor at
the Centre for Dentistry and
Oral Medicine at the University
of Zürich, about whether investing in CAD/CAM pays off
and for whom.
The time needed to manufacture a digital impression is
the same for both techniques.
The preparation is equally
complex and partly requires
more working steps such as
powdering or opaque coating.
How does the significant investment in digital impression
technology pay off?
When considering concepts
that entail the sending of data of
a digital impression to a decentralised production site via
the Internet, one can say that
the time-frame equals that of
conventional impression techniques. The extent to which the
to the tooth and surrounding soft
tissue.
According to the industry,
amortisation could be achieved
through the cost savings of
computer-aided production in
production centres, software
updates and systems for the
chairside production of singletooth restoration, and extension
to diagnosis and treatment planning software (in combination
with digital imaging, implant
treatment planning and online
exchange of information between specialist groups).
The enormous potential of
digital scanning has been recognised by the industry and thus is
currently in heavy development.
As soon as quality and practicability have been demonstrated
within clinical environments,
amortisation will no longer be
an issue.
How can the aesthetic disadvantages of the single-session
treatment (CEREC/E4D) be
(DTI/Photo courtesy of Sirona)
ually for each combination of
materials and type of restoration.
A systematic analysis of these
combinations and the resulting
colour effects through large test
series are essential though. Such
tests have not been available
thus far.
“Decentralised production will play a vital
role in dentistry for larger restorations such
as fixed partial crowns and implants.”
Johannes Eschmann: Most
failures with conventional technology occur during impression preparation (insufficient
illustration of the preparation
accuracy of digital technology is
margins, insufficient draincomparable to conventional image). Owing to auto-mixing
pression techniques (including
technology (cartridge systems,
preparation of models) has not
Penta-Mix, etc.), mistakes caused
yet been determined, particuby the material are rare and
larly in larger span widths. Comflawless impressions result in
parative studies are now being
a perfect-fit restoration, even
conducted, and it is upon this
when using conventional techissue that the further expansion
nology. What advantages do
of these concepts is dependent.
CAD/CAM systems offer for
the dental practice?
Prof. Albert Mehl:
Most importantly, treatment times are reduced because the
dental restoration can
be manufactured in
the same session as the
preparation (chairside
method). Temporaries
become obsolete, thus
making uncomfortable and unaesthetic
transition times a thing
of the past. Owing to
adhesive technology,
sufficient retention for
a temporary is in some
cases not available because of the minimally
invasive preparation.
Furthermore, the lat- (DTI/Photo courtesy of Prof. Dr Dr Mehl)
est studies demonstrate improved bonding to teeth
However, first experiences
with freshly cut dentine and
suggest that this is indeed possienamel.
ble. Digitalisation would then
enable the same advantages in
Computer-aided milling and
other areas. The virtual 3-D
polishing allows the use of highmodel is important not only for
quality materials, which are
the computer-aided fabrication
manufactured industrially under
of dental restorations, but also for
optimal conditions, resulting in
every other kind of diagnostic,
longer-lasting restorations comsuch as the exact 3-D determinapared to conventionally manution of tooth movements, archivfactured restorations. This has
ing of virtual models and the
already been documented in
documentation of 3-D changes
solved in the future? Staining
is only a remedy here, because
the colour wears off rather
quickly.
Sophisticated, aesthetic single-session treatments in the
anterior region are difficult and
achievable only with much experience. Hence, most dentists will
probably choose to apply the different veneer layers
manually. However,
aesthetically pleasing results can be obtained using multicoloured blocks. It is
expected that these
blocks will be improved by optimising the form and
position of the layers
and that the software
will position the
restoration within
the block for optimum colour effects.
In order to standardise this process, the
use of tooth colour
measurement systems may also be
relevant.
Are you referring to integrating digital colour measurement
systems with CAD/CAM?
This is an interesting aspect.
This kind of integration is likely
to be available soon. In my opinion, this is another major advantage of CAD/CAM technology.
Through the means of standardised calculation processes, the
ideal layer thickness of frames
and veneers for every required
shade can be obtained individ-
Does the extended workflow—from practice to centre
to laboratory and back to the
practice—offset the time-saving factor?
This is the case and certainly
a disadvantage of a centralised
production process. The advantage, however, is that such centres can invest in high-quality
and highly precise production
technologies. These machines
are maintained by specialists and
ensure high capacity. The storage of many different materials
including a variety of shades and
implant systems is easier and
more economical as well. Overall, production costs are very low
and theoretically offer superior
quality at the same time, which is
something that needs to be considered when we speak of the
time disadvantage. I anticipate
that decentralised production
will play a vital role in dentistry
for larger restorations such as
fixed partial crowns and implants.
The first IT systems that
were available to dentists at
the end of the 1970s/beginning
1980s were expensive minicomputers (VAX) that were
never actually amortised. Will
it be the same with CAD/CAM?
What do you foresee price development to be?
An amortisation of CAD/CAM
systems depends not only on the
possibilities and range of indications, but also on clinical concepts and the patient base (for
example, the number of ceramic
restorations produced and the
extent of the potential for this
kind of treatment). This needs
to be analysed case by case. Generally speaking, we have already
undergone the introduction
phase and many CAD/CAM practices now demonstrate impressively that the system can actually be amortised quite well.
Many companies have found
CAD/CAM technology to be one
of the key technologies in dentistry today, and large sums are
invested in research and development, which will boost development processes. Many of these
improvements can be incorporated into the systems later, as
a large part of the expertise is incorporated into software. There
are likely to be changes in the
hardware as well, but those will
take much longer. Dentists
thinking about investing in a
CAD/CAM system should make
their decision regardless of
such considerations. After all
factors—range of indication,
user friendliness, testimonies of
fellow colleagues, economic efficiency, and scientific approval—
have been analysed, entry into
the CAD/CAM world clearly does
make sense.
In the short and intermediate
term, we do not expect a significant decrease in price. But as
a scientist, I always look far into
the future and am convinced that
after the high development costs
have been amortised, prices will
have the potential to decrease
in the long term.
The vision is that someday
every dental practice will own
such a system. IT technology is
a good example and CAD/CAM
technology, which is based on
this IT technology, will follow
suit.
iTero, 3M ESPE Lava COS,
CEREC, E4D—how many points
of laserlight are technically
required?
For dental restorations, an
accuracy of 50 µm is demanded.
Surprisingly, little is known
‡ DT page 16
[16] =>
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DTAP0410_15-16_Mehl 03.05.10 12:16 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
16 Trends & Applications
fl DT page 15
about how critical this level really is, but we apply this standard,
and surfaces should be scanned
with a grid of at least comparable
size. Double resolution (25 µm)
would be even better. An average
molar surface of 2 cm2, for example, would yield 320,000 measuring points.
The ideal number then depends on the data processing. By
AD
“Restorations with aesthetic materials such as
dental ceramics and composites have shown
some principal and unresolved issues.”
centage of the overall complex
measurement systems. In addition, there is the decisive factor
of software interplay. Clinical
and scientific experiences of
each measuring system are far
more important.
LED (CEREC) versus laser
(3M ESPE, iTero, E4D), parallel
confocal imaging (iTero) versus
triangulation (CEREC, 3M ESPE,
E4D)—what are the advantages
and disadvantages? How much
interpolation is acceptable?
What are the advantages
and disadvantages of digital
bite registration versus traditional bite registration with
subsequent manual adjustment? With iTero, for example,
the required material thickness can immediately be calculated and a post-preparation
can be done, in case it has been
reduced insufficiently.
The software allows a more
precise positioning of the jaw and
a superior analysis of the occlusion compared to the conventional, manual procedure on the
plaster model, on condition that
the digital impression ensures a
high degree of measurement accuracy for the jaw impression. In
addition to the controlling of the
restoration material thickness,
contact patterns can be analysed,
2-D slices can be adjusted for
visualisation in different areas,
and articulation movements can
be measured. Using software,
the resilience of teeth can be
simulated, enabling new possibilities for diagnosis of the contact situation.
combining several scans, these
numbers can be increased significantly. The software can then
calculate the optimum distribution of measuring points,
thereby improving the results
even more.
These technical details principally influence accuracy and
clinical adaptability. However,
we cannot fully evaluate the
quality of intra-oral scanners
based on these details because
they only constitute a small per-
iTero and E4D do not require powder coating. Why isn’t
this possible with CEREC and
3M ESPE?
Powder-free impressions are
the preferred option. However,
they still are a significant challenge in intra-oral scanning
technology. Based on my experience, I am not able to evaluate
whether this is possible with
sufficient accuracy at the present
stage. There are many different
approaches to analysing the light
reflected from tooth surfaces
without using powder; however,
the accuracy of the measurement is dramatically reduced. At
the end of the day, it is the results
that count and it is up to us to
analyse these closely.
Do you believe that prostheses manufactured via rapid
prototyping, for example laser
sintering or Fused Deposition
Modelling, can be done in practice with better aesthetic quality and without the assistance
of a dental technician?
There is debate about whether this is possible. While this procedure has become common in
some milling centres with regard
to metal and acrylic resins,
restorations with aesthetic materials such as dental ceramics and
composites have shown some
principal and unresolved issues.
Basic research is needed in this
field. As a second step, production devices should be made
compact so they become more
cost-efficient for dental practices. In conclusion, this technology is unlikely to experience
a major breakthrough in the
medium term.
Thank you very much for
this interview. DT
(Translation provided by Annemarie
Fischer, Germany)
[17] =>
untitled
Anschnitt_DIN A3
04.12.2009
9:11 Uhr
Seite 1
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[18] =>
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DTAP0410_18-20_Hoexter 03.05.10 12:19 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
18 Trends & Applications
Root recession coverage made predictable
using resorbable barriers
BEFORE
By Drs David L. Hoexter,
Nikisha Jodhan & Jon B. Suzuki
USA
Gingival recession is defined as
the location or displacement of
the marginal gingiva apical to the
cemento-enamel junction (CEJ).1
Recession is the exposure of root
surface, resulting in a tooth that
appears to be of longer length.
From a patient’s perspective,
recession means an anaesthetic
appearance and is associated with
ageing.
The gingiva consists of free and
attached gingival tissue, as seen
macroscopically. The free marginal
gingiva, located coronal to the attached gingiva (AG), surrounds the
tooth and is not attached to the tooth
surface. The AG is the keratinised
portion of gingival tissue (KG) that is
dense, stippled and firmly bound to
the underlying periodontium, tooth
and bone. In ideal health, the most
AD
coronal portion of the AG is located
at the CEJ, where the most apical
portion is adjacent to the muco-gingival junction (MGJ). The MGJ represents the junction between the AG
(keratinised) and alveolar mucosa
(non-keratinised).2
There are numerous aetiological factors that may result in recession. Generally, the aetiology can be
categorised as either mechanical or
as a function of periodontal disease
progression. Recession usually occurs due to tooth malposition,3–5
alveolar bone recession,6,7 high
muscle attachments and frenal
pull,8 and iatrogenic factors related
to restorative and periodontal treatment procedures.3,9
The detrimental effects of
recession include compromised
aesthetics, an increase in root sensitivity to temperature and tactile
stimuli, and an increase in root
caries susceptibility due to cem-
entum exposure. Thus, the main
therapeutic goal of recession elimination is gingival root coverage in
order to fulfil aesthetic demands
and prevent root sensitivity.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Miller classifies recession defects into four categories:
• class I: marginal tissue recession
does not extend to the MGJ;
• class II: marginal tissue recession
extends to the MGJ, with no loss of
interdental bone;
• class III: marginal tissue recession
extends to or beyond the MGJ; loss
of interdental bone is apical to the
CEJ but coronal to the apical extent
of the marginal tissue recession;
• class IV: marginal tissue recession
extends beyond the MGJ; interdental bone extends apical to the
marginal tissue recession.10
A possible treatment modality
for recession includes restorative/mechanical coverage, such as
Fig. 1: Pre-op labial view of anterior teeth:
recession on tooth #6; tooth #7 surrounded
AFTER
by a small adequate zone of keratinised
apical tissue.
Fig. 2: Flaps reflected preserve the interproximal tissue, which preserves the blood
supply and prevents black triangles (unaesthetic interproximal spaces).
Fig. 3: The GTR membrane was shaped
and placed over the root surfaces of teeth
#6 and 7.
Fig. 4: Gingival tissue was coronally repositioned, covering the membranes and the Fig. 5
roots of teeth #6 and 7, and sutured in place.
Fig. 5: Post-op view: the previously recessed roots of teeth #6 and 7 are covered with attached pink, keratinised gingival tissue, with no pocket depth upon probing.
cervical composite restorations.
This kind of treatment may effectively manage root sensitivity and
root caries. However, such treatment entails a long-term compromise from an aesthetic perspective.
Composite restorations stain over
time, and any marginal leakage may
lead to secondary caries, recurrence
of sensitivity and/or local inflammatory changes. Additionally, colour
matching can be difficult and such
restorations may involve the undesirable removal of vital tooth structure in order to create adequate retention form. Thus, clinicians must
determine whether the restorative
benefits outweigh the aesthetic
shortcomings and whether is it
possible to employ a treatment
modality with few, if any, functional
and aesthetic disadvantages.
Another treatment modality for
recession is muco-gingival surgery.
Muco-gingival surgery refers to
periodontal surgical procedures
designed to correct defects in the
morphology, position and/or amount
and type of gingiva surrounding
the teeth.11
In the early development of
muco-gingival surgery, clinicians
believed that there was a specific
minimum apical-coronal dimension of AG that was necessary to
maintain periodontal health. However, subsequent clinical12–15 and experimental studies16,17 have demonstrated that there is no minimum
numerical value necessary. However, for aesthetics, a uniform
colour and value of AG is desirable
amongst adjacent teeth.18
Some of the earliest techniques
for correcting recession involved
extension of the vestibule.19 The
subsequent healing usually resulted in an increase of AG. However, within six months, as much
as a 50 per cent relapse of the softtissue position was reported.20,21
Thus, these techniques did not
adequately address recession.
In order to improve aesthetics
and increase KG for root coverage
procedures, current periodontal
surgery largely involves the use of
gingival grafts. There are a multitude of surgical techniques, which
can be distinguished based on the
relationship between the donor
and recipient sites. Gingival graft
procedures involve either (a) pedicle soft-tissue grafts, which maintains the pedicle blood supply, or (b)
free autogenous soft-tissue grafts.
Techniques involving the latter
type require the clinician to prepare two surgical sites: one to
harvest the tissue (1) and another
one to prepare the recipient site (2).
In this case, the autogenous softtissue graft has a separate blood
supply to the recipient site. Combinations of (a) and (b) have also
been reported.22–24
The pedicle soft-tissue graft was
first described by Grupe and Warren in 1956.25 This involved raising
a full thickness flap and laterally positioning and then suturing donor
tissue into place from an adjacent
area, while maintaining a pedicle
blood supply. This technique and
others that followed were designed
to increase the zone of AG. Later
modifications of the technique included the double papilla flap26—
introduced by Cohen and Ross in
1968—the oblique rotational flap27
and the rotational flap.28 Another
type of gingival movement flap was
described later as the coronally
repositioned flap.29 This technique
involves mobilising a full thickness
flap and repositioning the tissue to
the CEJ, thereby covering the exposed recession.
The use of free gingival grafts
was described in the 1960s by Sullivan and Atkins.30 The free autogenous graft can be made up of either
epithelialised gingiva or connective tissue. Initially, the therapeutic
goal was to increase the zone of KG.
‡ DT page 20
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DTAP0410_18-20_Hoexter 03.05.10 12:19 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
20 Trends & Applications
fl DT page 18
The clinical objective has now
evolved to covering the recessed
root with a zone of attached KG.
This can be achieved in one or two
stages. Initially, Sullivan and Atkins
described a one-stage procedure in
1968. Its purpose was to increase
the zone of KG without concentrating on coverage of a recessed root.
In the 1980s, a two-stage modification was suggested for an increase
in root coverage, which proved to
be more successful with increased
predictability. This involves first
placing the free gingival graft or the
free connective tissue graft apical
to the area of recession, and using
the coronally repositioned technique after healing.
Free autogenous grafts are
predominantly harvested from the
palate. Recently, materials other
than gingival grafts have been
explored. Using a guided tissue
regeneration (GTR) technique, an
acellular dermal matrix has been
reported to yield favourable outcomes in root coverage.31,32 This
material may provide the patient
with a less invasive alternative
than a palatal donor site, in order
to achieve root coverage.
AD
Procedures combining both free
grafts and pedicle techniques have
also been detailed. For instance,
when a connective tissue graft is
employed, the graft is placed subepithelially with a coronal advancement of the overlying keratinised tissue. GTR techniques have also been
developed more recently. In 1992,
Pino Prato et al. described a combination technique of sub-epithelial
placement of a membrane with coronal advancement of the flap, such as
e-PTFE.33 The function of the membrane is to maintain space during
the healing period for tissue regeneration to occur. From a patient’s
perspective, biodegradable membranes with GTR might be preferable in order to avoid a second-stage
surgery for membrane removal.
The goal is to restore gingival
health, colour and aesthetics by covering the exposed root predictably
with healthy gingival tissue and in
doing so decrease sensitivity. Using
GTR and coronal repositioning
techniques, we achieve predictably
covered roots.
Variations in muco-gingival
procedures have been developed to
include root surface bio-modifications by treating the root surfaces
(Figs. 3 & 4). Periodontal dressing
(Coe-Pak, GC) was utilised as a
bandage and placed over the surgical area. It was removed a week later
at the same time as the sutures. The
patient then lavaged and returned
to the usual oral hygiene routine,
initially lightly and gradually more
vigorously. Once healed and oral
health was maintained, the recession was covered and health regenerated. Upon periodontal probing,
no pockets were present (Fig. 5).
The final view presents a visual
symmetry of health and colour that
is maintainable.
BEFORE
Fig. 6
Fig. 8
Fig. 7
Fig. 9
Fig. 6: Pre-op labial view of anterior teeth.
Fig. 7: Cervical groove on tooth #11 is
solid, hard and non-carious.
Fig. 8: GTR membrane placed over the root
surface of tooth #11 only; no membrane
was placed on the surface of the recession
of tooth #12.
Fig. 9: Gingival tissue coronally repositioned to cover the GTR membrane on
tooth #11 and tooth #12.
Fig. 10
Fig. 10: Post-op view.
with a variety of materials. These
measures enhance the regeneration process of a new connective
AFTER
tissue attachment. In order to increase root coverage, a new clinical attachment is necessary. Root
surface bio-modification involves
treating the root surfaces with citric
acid, tetracycline or EDTA in order
to remove the smear layer and expose dentinal tubules and thus facilitate a new fibrous attachment. An
enamel matrix derivative claimed
to support the action of enamel matrix proteins by inducing acellular
cemetum, periodontal ligament
and alveolar bone formation is also
available in the range of root surface
bio-modification materials.
The following case report considers predictable aesthetic root
coverage by comparing a GTR technique to a non-GTR technique in
a split-mouth procedure involving
the same patient.
Case report
A young, adult male patient presented with recession bilaterally in
his maxilla. The upper right maxilla
had extensive recession on teeth #6
and 7 (Fig. 1). The upper left maxilla
had similar recession on teeth #11
and 12. Additionally, tooth #11 had
a cervical groove, which was stained
and hard but not decalcified.
After local anaesthesia using lidocaine, the desired flap design was
completed. There was an adequate
zone of KG present before treatment, which was preserved and
repositioned coronally. Upon reflection of the tissue, the full extent
of the underlying recession was evident (Fig. 2). The area and recession
were uncovered following removal
of debridement and granulomatous
tissue. The resorbable membrane
material was shaped and placed on
the exposed roots. The membrane
was first placed on tooth #6 and thus
the tooth appeared darker as it absorbed blood. The membrane was
placed on tooth #5 second and thus
the tooth had not absorbed the blood
at the time of the photograph, which
accounts for the colour difference
at this time.
The coronally repositioned flap
was sutured in place with the
flap covering the now submerged
membranes and previous recession
Recession was also present at
the maxillary left side (teeth #11 and
12; Fig. 6). After local anaesthesia of
the areas involved, a full thickness
muco-periosteal flap was completed. This exposed the extent of
the recession defects (Fig. 7). Tooth
#11 was treated, as was the other
side of the mouth, by utilising the
GTR technique using an acellular
connective tissue membrane to preserve the space for regeneration.
Tooth #12 was treated the same way,
except that no membrane barrier,
resorbable or non-resorbable, was
used (Figs. 8 & 9). Thus, there was no
use of a GTR technique on tooth #12.
Both teeth had the flap manipulated
with the coronally repositioned
graft, covering the recessed root and
suturing to the CEJ level. Both sides
were covered with periodontal
dressing. Antibiotics (tetracycline)
and an analgesic (Tylenol-Codeine)
were prescribed for the first week
after the operation.
One week after the surgical
phase, the dressing and sutures
were removed and the mouth
lavaged. Oral hygiene was restored
to good, maintainable habits following the healing phase of over two
months. Upon observation, tooth
#11, for which the GTR membrane
had been employed, had re-attached healthy gingiva that was
not probable. The recessed root and
the stained cervical groove were
covered. In contrast, tooth #12, for
which no GTR membrane had been
utilised, displayed recession as prior
to the surgery (Fig. 10).
In summary, this split-mouth
technique demonstrated that using
an acellular resorbable barrier
membrane is more predictable for
achieving root recession coverage
than coverage of a recessed root
without such a membrane. DT
Editorial note: A complete list of references is available from the publisher.
Contact Info
Dr David L. Hoexter is the Editor
in Chief of the Dental Tribune US
edition and maintains a practice
in New York City, USA. He can be
reached at drdavidlh@aol.com.
[21] =>
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DTAP0410_21_today 03.05.10 12:22 Seite 1
APDC · Sri Lanka · 12–16 May, 2010
APDC
32nd Asia Pacific Dental Congress
Date
12–16 May 2010
Venue
Sirimavo Bandaranaike
Memorial Exhibition Centre,
Colombo, Sri Lanka
Official news for visitors and exhibitors
Welcome to the 32 APDC
nd
More than 1,000 dental professionals to gather at Asia Pacific Dental Congress in Sri Lanka
Exhibition Opening Times
– Thursday, 13 May:
9:00–17:30
– Friday, 14 May:
9:00–17:30
– Saturday, 15 May:
9:00–17:30
Organisers
APDF/APRO
242 Tanjong Katong Road
Singapore 437030
Tel.: +65 63453125/63445315
Fax: +65 63442116/67349117
E-mail: droliver@singnet.com.sg
Sri Lanka Dental Association
275/75, Bauddhaloka Mawatha
Colombo 7
Sri Lanka
Tel.: +94 11 2595147
Fax: +94 11 2595147
E-mail: contact@slda.lk
Imprint
Dental Tribune International GmbH
Holbeinstr. 29
04229 Leipzig
Germany
Tel.: +49 341 48474-0
Fax: +49 341 48474-173
Web: www.dental-tribune.com
The magazine and all articles and illustrations therein are protected by copyright.
Any utilisation without prior consent from
the editor or publisher is inadmissible and
liable to prosecution. No responsibility shall
be assumed for information published about
associations, companies and commercial
markets. General terms and conditions apply,
legal venue is Leipzig, Germany.
(DTI/Photos: Eric Gevaert, keellla, Staas Stock Photography, BlackBuckle, Emjay Smith, Janaka Dharmasena)
n Dental professionals from all
over South East Asia are expected
to gather in Colombo for the
32nd Asia Pacific Dental Congress
(ADPC). The event, which is here
for the second time, will feature a
comprehensive five-day scientific
programme and a trade exhibition showcasing the latest offerings from the industry.
portfolio alongside international participations from Germany,
Canada, Japan, Brazil and Sweden.
According to the organiser,
the 32nd APDC will see exhibits
representing every segment of
the dental market from over
50 companies and local dealers.
Amongst others, manufacturers
from India, Singapore, Hong Kong
and China will showcase their
The congress programme
which is titled Clinical Excellence in Dentistry through Knowledge, Evidence and Technology
provides a list of renown speakers from South East Asia as well
as other parts of the world, such
as Germany, Switzerland, Aus-
Including representatives from
the industry, the show is expected to gather 1,000 dental professionals in the capital of Sri
Lanka.
tralia and the UK. It will start
off on 12 May with a number of
workshops focusing on implantology, ceramics and bleaching.
Other highlights include sessions
on orthodontics by specialist
Björn Ludwig from Germany and
minimal invasive dentistry by
Dr Sushil Koirala, Nepal.
Visitors will also be able to
participate at a APDC golf tournament, where even though they
may not be the eventual winner,
they still have a chance to win
the “furthest drive” and “closest
to the pin” competition. The
129-year old Royal Colombo Golf
Club, where the competition will
be held, is considered as Sri
Lanka’s finest golf club. The fee of
US$135 will include green fees,
club and shoe hire, refreshments,
caddies, transport as well as an
APDC golf cap.
The organiser has also announced to provide tours to famous sights and landmarks of
Sri Lanka.
The 32nd Asia Pacific Dental
Congress will be held at the
Sirimavo Bandaranaike Memorial
Exhibition Centre in Colombo,
12–16 April 2010.
www.apdc2010.com
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– perfect packable consistency
– excellent durable aesthetics
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DTAP0410_22_Exhibitors 03.05.10 12:47 Seite 1
news
02
APDC Sri Lanka 2010
The 32nd APDC—A congress of highest calibre
Welcome message by Dr Jeffrey Tsang, President APDF/APRO
n The 32nd Asia Pacific Dental
Congress in Colombo, Sri Lanka, is
the second time for the Sri Lanka
Dental Association (SLDA) to host
the APDC. I was present at the previous Congress and must admit
that I enjoyed it very much. On behalf of APDF/APRO, I would like to
extend my congratulations to the
SLDA. I am confident that another
congress of highest calibre is forthcoming.
The Asia Pacific Dental Federation (APDF) has grown into a federation that comprises 26 countries.
The key objective of the organisation is to raise public awareness of
oral health care and the prevention
and treatment of oral diseases. The
32nd APDC will present quality and
diverse symposia, lectures, presentations and hands-on workshops for
all members of the dental profession. I strongly believe that participants will find the programmes stimulating and enlightening. In addition,
the trade exhibition will provide
an ideal platform to showcase advanced technology and innovation.
Colombo is a unique mix of land
and water and features a scenic
countryside. The excellent hospitality by Sri Lankan people is reknown.
I would like to thank the 32nd
Local Organizing Committee for all
the hard work and dedication for
organising this congress. I look forward to seeing you in Colombo!
A unique scientific and cultural experience
Welcome message by Dr M. Farhim Jameel, President of the Sri Lanka Dental Association
n On behalf of the Sri Lanka
Dental Association (SLDA) and
the Local Organising Committee,
I am pleased to invite you to the
32nd Asia Pacific Dental Congress
(APDC) scheduled to be held in
Colombo, Sri Lanka, 12–16 May
2010. More than 1,000 participants are expected and we
would like you to join us in this
unique scientific and cultural
experience.
The 32nd APDC Congress will be
a great opportunity for dental professionals from around the world
to share the most up-to--date information and scientific advances.
More than 20 invited specialists
from a wide range of disciplines
will participate in the scientific
programme, and their presentations will provide delegates with
information on the latest developments in dentistry.
In addition to the outstanding
scientific programme, visitors will
be able to enjoy the rich culture of
Sri Lanka which is also called the
Pearl of the Indian Ocean.
From the golden beaches to the
ancient cities of Anuradhapura
and Polonnaruwa, from the rock
Fortress of Sigiriya named the
8th Wonder of the World to the cool
climate of the hill station Nuwara
Eliya surrounded by lush green tea
estates, Sri Lanka will indeed take
your breath away.
Colombo, which is also known
as the “Garden City”, has also a
large variety of restaurants and
shopping areas. The month of may
is a wonderful time to visit, and
we encourage you to extend your
trip and discover the beauty of the
island.
An excellent academic programme
The Local Organising Committee (LOC) has arranged for lectures,
symposia, seminars and workshops that will be conducted by
world renown experts in the field.
Their knowledge and techniques
will surely have a direct impact on
daily practice of the participants.
conferences including the APDC
in 1997, the South Asian Dental
Congress in 1994 and the Commonwealth Dental Congress in 2006.
Therefore, the LOC has gained the
knowledge and the skills in organising a rewarding and satisfying
conference. In addition to updating
their skills in dentistry, participants
will also have the opportunity to engage in leisure activities such as golfing or visiting wild life parks. They
can also relax on the many beautiful
beaches that the island has to offer.
Sri Lanka has already been the
host of several international dental
I am looking forward to meeting
you in Colombo!
Welcome message by Prof. Prasad Amaratunga, President Elect of the APDC/APRO
n It is indeed an honour and a great
privilege to welcome you to the
32nd Asia Pacific Dental Congress
(APDC) in Colombo, Sri Lanka,
12–16 May 2010.
Under the theme Clinical Excellence in Dentistry, through knowledge, evidence and new technology,
the Chairman of the Scientific
Committee has organised an excel-
lent academic programme aiming
at the general dental practitioner.
Topics include dental implantology,
fixed prosthesis’, aesthetic dentistry, endodontic, orthodontics,
periodontology as well as minimal
invasive oral surgery. Moreover,
advance sessions have been organised for scientists and researchers
to share knowledge and present
their latest findings.
We look forward to seeing you
in Sri Lanka for a stimulating and
enjoyable conference!
Exhibitors list and floor plan—APDC Sri Lanka 2010
COMPANY
BOOTH NO.
3M ESPE
1,28,29,30
A.R.Medicom Inc. (Asia) Ltd
93
ADIN Dental Implant Sys. Ltd
14,15,16
Amrit Chemicals & Mimerals Agency
97,99
Coltène/Whaledent
33,34
Dentamerica Asia Inc.
26
Dentaurum J.P.
27
Dentcare Dental Lab Pvt Ltd
7
Dentkist, Inc.
36
Dentsply India Pvt Ltd
38,39,40,41
Essential Dental Products
94
FORESTADENT
91
General Medical Equipments
64
GlaxoSmithKline
31,32
Global dent
96
Golden Nimbus
35
Hangzhou ORG Medical
Instrument& Material Co. Ltd
47,5
Hangzhou Shinye Orthodontics Products Co.Ltd 23
Hyderabad Dental Depot
63
J. Morita Corporation
90
Kayak Surgi Pharma (Pvt) Ltd—SHOFU
42
Lloyds Auto Mart Pvt Ltd
22
Mangalore Dental Corporation
75
Medicept Dental India Pvt Ltd
81
MediDents (Pvt) Ltd
84,86
COMPANY
BOOTH NO.
Medkraft Orthodontics USA
Micro -Mega International Distribution
Microbrush International
Midmark Corporation
Monitex Industrial Co. Ltd
Navadha
Nordiska Dental AB
Novo Dental Products Pvt Ltd
NSK Asia
Omega Inc.
Premier Dental Products Company
Premium International
R & D Impex
R.A. Industries
Ruthinium Dental Products Pvt Ltd
Sai Parneet Impex Pvt Ltd
SDI Limited
Septodont Healthcare (I) Pvt Ltd
Shiva Products
Spident Co Ltd
Tracom Servicse Pvt. Ltd
Tri Hawk
Trudent India
Vaishnavi Dental Instruments (Pvt) Ltd
YU & Company (Pte) Ltd
87
37
69
43,44
88,89
85
70
12,13
3,4
76,77
58
25
45
82
8,9
49
10,11
5
83
101
92
95
2
48
Subject to change. Last update on 28th January 2010.
[23] =>
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100223_WH_AD_LED_A3_AEN_120JAHRE:Layout 1 26.02.10 10:52 Seite 1
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pp 20
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