DT Asia Pacific No. 4, 2019DT Asia Pacific No. 4, 2019DT Asia Pacific No. 4, 2019

DT Asia Pacific No. 4, 2019

ISDH 2019 provides stimulating programme on evidence-based practice / Improving oral health of people with intellectual disability / New research highlights relationship between scent and disease / Indian dentists extract 526 teeth from boy’s mouth / Reflux associated with temporomandibular disorder, a recent study finds / World News

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DENTALTRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition

Published in Hong Kong

www.dental-tribune.asia

DENTAL GUIDANCE

The Inclusion Designlab in Melbourne, Australia has recently published a guide on oral health and
intellectual disability for dental
practitioners.

Vol. 18, No. 04

526 TEETH REMOVED

REFLUX ASSOCIATED

Doctors at the Saveetha Dental
College and Hospital in India have
reportedly removed 526 teeth from
the posterior region of the lower
jaw of a 7-year-old boy.

” Page 02

An international team of researchers
from China and the US have found
that gastro-oesophageal reflux
(GERD) is associated with temporomandibular disorder (TMD).

” Page 05

” Page 6

ISDH 2019 provides stimulating
programme on evidence-based practice
By Brendan Day, DTI
BRISBANE, Australia: From 15 to 17
August, dental professionals from
all around the world came together
for the 21st International Symposium on Dental Hygiene (ISDH) in
Brisbane. The event attracted 1,135
attendees, representing 34 countries, who were engaged by an exciting mix of scientific presentations
by leading international dental experts and new product launches by
the exhibiting companies.
The Dental Hygienists Association of Australia, in collaboration
with the International Federation
of Dental Hygienists (IFDH), hosted
the event under the theme of “Leadership, Empowerment, Advances,

Diversity” or LEAD. The symposium
opened with a welcome-to-thecountry ceremony featuring memb er s of t he lo c a l i nd igenou s
community and this was followed,
after lunch, by keynote presentations by Drs Ron Knevel and Dagmar Else Slot, among others.
The next day, Ann Battrell, CEO
of the American Dental Hygienists’
Association (ADHA), and Matt Crespin, President of the ADHA, together delivered a well-received
presentation titled “The wise investment: Strategic dental hygiene
leadership development.” A gala
dinner was held at the picturesque
Howard Smith Wharves that night,

with a live band providing attendees with a welcome opportunity to
let their hair down.
Anh Do, a Vietnamese-born
Australian comedian, writer and
artist, delivered the keynote speech
on the final day of the ISDH. Do’s
humorous and heart-warming presentation, which focused on his
journey from refugee to becoming
one of Australia’s most loved entertainers, was extremely well received
by attendees.
Corrie Jongbloed-Zoet, a past
President of the Dutch Dental Hygienists’ Association, delivered her
inaugural address as the newly in-

Research compares cooling
ability of high-speed
handpieces

The recent International Symposium on Dental Hygiene was hosted under the
theme of “Leadership, Empowerment, Advances, Diversity” or LEAD. (Photograph: International Federation of Dental Hygienists)

stated President of the IFDH, a position that she will hold until 2022.
Jongbloed-Zoet takes over from
Robyn Watson, who held the position from 2016 to 2019.

The next ISDH will take place
in 2022 at the Convention Centre
Dublin in Ireland. Those interested
in receiving updates regarding this
symposium can sign up here.

AD

By DTI
OTAGO, New Zealand: Not all dental practitioners may be aware of
the finer details of dentistry equipment. Helene Chua, a 21-year-old
fourth-year University of Otago
Bachelor of Dental Surgery student, has recently made headlines
with her research into the cooling
efficiency of different numbers
of water coolant ports on highspeed handpieces. Her findings
point to the potential for significant savings for dentists around
the world.
Chua received the Otago Medical
Research Foundation’s 2018/19 Summer Research Scholarship for her
research. She compared four-port
high-speed handpiece systems to
single-port systems to see which
produced better cooling results.
Her results indicated that four-port
systems led to better cooling, but
no statistically significant difference was found. Chua believes this
finding may help improve handpieces and make them more comfortable in the future.

Dr Joanne Choi (left), and Associate Professor Neil Waddell have been impressed
with dental student Helene Chua’s research which demonstrated that multicoolant-port high-speed handpieces do not offer statistically significant cooling
improvements over single-coolant-port varieties. (Photograph: Otago
University)

The findings could also mean significant savings for practitioners,
as a four-coolant-port handpiece
costs around NZ$1,800, compared
with the single-port variety, which
costs around NZ$800. “Not many
dentists know about the specifics
of the tools they are using, and this
research gives them information
for choosing what to buy and use,”
said Chua.

“Opportunities like this give undergraduate students a taste of research, and that can encourage
them to pursue postgraduate studies and possible future academic
careers. It also lets students underst a nd t he i mp or t a nc e of r e search-informed teaching and research-based practice as a dental
professional,” said research supervisor Dr Joanne Choi.

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Tel. +423 235 35 35 | Fax +423 235 33 60


[2] =>
02

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 04/2019

Improving oral health of people with
intellectual disability
By DTI
MELBOURNE, Victoria, Australia: People with intellectual disability face
various social, conceptual and other
AD

challenges that affect their overall
health and well-being. Some of these
challenges may also affect oral health.

In order to educate dental practitioners on the issue and to improve
access to dental care for individuals

with intellectual disabilities, the Inclusion Designlab has published a
guide that is aimed at fostering col-

laboration between medical providers, key support professionals, accommodation services and families,
and identifying and subsequently
treating oral health diseases more
effectively.
According to the Australian Federation of Disability Organisations,
almost one in five Australians reported living with disability in 2015
and a child was diagnosed with an
intellectual disability every 2 hours.
Having an intellectual disability may
affect a person’s participation in the
community, financial status, level of
education attained, employment opportunities and intellectual functioning. According to the National
Institute of Dental and Craniofacial
Research, a branch of the US National
Institutes of Health, people with intellectual disability also suffer from
untreated dental caries and a high
prevalence of gingivitis. Other oral
health problems include a higher risk
of malocclusion, missing permanent
teeth and poor oral health habits.

The Inclusion Designlab has recently
published a guide on oral health and
intellectual disability for dental
practitioners. (Photograph: anatoliy_
gleb/Shutterstock)

The guide for dental practitioners
was developed by Inclusion Melbourne, Monash Health’s Centre for
Developmental Disability Health,
the Australian Dental Association,
the Australian Society of Special Care
in Dentistry and other representatives from the health sector. It details
main components, protocols and
recommendations for health professionals and family members that
pertain to oral health and intellectual disability. Besides offering general information on the disorder, the
guide offers dental practitioners clear
guidance on how to behave during
a dental visit, informs them about
the possible conditions that could be
detected in patients with intellectual
disability and recommends suitable
treatment pathways and strategies
to achieve desirable health outcomes.
As individuals with intellectual
disability may not always be able to
communicate and express themselves clearly, the guide also recommends how to facilitate and improve
communication between dental
practitioners and people with disability. Finally, it includes forms that
aid effective planning between support professionals, dentists and medical practitioners.


[3] =>
03

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 04/2019

New research highlights relationship
between scent and disease
By DTI
subayashi, results show that the
device can detect a broader range
of VOC levels than other devices

and may aid in the further study
of the relationship between scent
and disease.

The study, titled “Ultrasensitive
sniff-cam for biofluorometric-imaging
of breath ethanol caused by metabo-

lism of intestinal flora”, was published
online on 9 July 2019 in Analytical Chemistry, ahead of inclusion in an issue.
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Researchers in Japan have developed
a gas imaging system that can
detect compounds linked to some
illnesses. (Photograph: UfaBizPhoto/
Shutterstock)

TOKYO, Japan: Bad breath can be
caused by any number of things,
including an illness. When there is
more to it than just an overload of
onions and garlic, it can be difficult
for practitioners to make an accurate diagnosis. For the first time,
researchers in Japan have developed
a highly sensitive gas imaging system (“sniff-cam”) that can detect
low diagnostic levels of some disease biomarkers.
Building on previous versions
of their sniff-cam that can detect
volatile organic compounds (VOCs),
scientists from Tokyo Medical and
Dental University have recently developed a device that can detect
compounds linked to illnesses such
as diabetes, lung cancer and Parkinson’s disease.
Speaking to Dental Tribune
International, lead researcher
Prof. Kohji Mitsubayashi said they
had developed three types of gas
imaging systems and that the
latest version uses an ultraviolet
(UV) ring light, UV filters and a
camera.

To test the effectiveness of the
sniff-cam, researchers worked with
a group of male subjects who had
not consumed food or drink for a
certain period. The device detected
miniscule levels of gaseous ethanol
in their breath. According to Mit-

for
all
cavity classes
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Mitsubayashi explained how
the UV ring light was placed in
the vicinity of the charge-coupled
device (CCD) lens for real-time gas
imaging from the target object.
An enzyme mesh is placed between the CCD and the target object. As the ring light irradiates
the enzyme mesh, the CCD is able
to take a gas image from the direction of the UV irradiation. The
novel bio-fluorometric gas imaging system performs well, demonstrating real-time gas imaging,
high sensitivity, gas selectivity
and a short response time to the
gaseous chemical coming from
the target object.

One efficient solution

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Ivoclar Vivadent AG

Bendererstr. 2 | 9494 Schaan | Liechtenstein | Tel. +423 235 35 35 | Fax +423 235 33 60


[4] =>
04

Dental Tribune Asia Pacific Edition | 04/2019

PRINT

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[5] =>
05

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 04/2019

Indian dentists extract 526 teeth
from boy’s mouth
By DTI
CHENNAI, India: In a remarkable
2-hour operation, doctors at the
Saveetha Dental College and Hospital have reportedly removed 526
teeth from the mouth of a 7-yearold boy. The teeth were discovered
inside a sac embedded in the posterior region of his lower jaw. Dentists are unsure whether the cause
was genetic or environmental.

Ramani commented that, surprisingly, the boy was barely in any
discomfort. “The only thing which

was bothering him was that the
tooth on that side had not erupted,
it was empty, and [he had] occa-

sional pain, and there was slight
swelling that was increasing in size,”
she added.

The boy, who now has just 21 teeth,
was discharged from the hospital after
three days and is recovering well.
AD

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A 7-year-old boy in India who had
complained of pain and swelling in
his jaw has had 526 teeth removed.
(Photograph: sebra/Shutterstock)

The boy was brought into the
hospital after complaining of pain
and swelling in his jaw. It was discovered that he was suffering from
compound composite odontoma.
“The tumour-like growth prevented
permanent molar teeth growth in
the boy in the affected side,” said Dr
P. Senthilnathan of Saveetha Dental
College and Hospital’s Department
of Oral and Maxillofacial Surgery in
an interview with the New Indian
Express. “X-ray and CT scan showed
multiple, rudimentary teeth in a
bag-like tissue. It took 5 hours to remove all the minute teeth from the
bag-like structure. The weight of the
growth was 200 grams.”
At the age of 3, the boy had been
taken to a nearby hospital when
his parents had noticed slight swelling in the same area, but he did
not undergo any procedures, partly
because of his youth. To the knowledge of the hospital, the total of
526 teeth removed from the boy’s
mouth is unmatched by any other
case, though a 17-year-old boy in
Mumbai had 232 teeth removed in
2014.
“The teeth were of variable sizes
that ranged from smallest at 0.1 mm
to largest 3 mm. They had a small
crown, enamel and a small root,”
said Dr Pratibha Ramani, head of
the hospital’s Department of Oral
and Maxillofacial Pathology, in an
interview with The Guardian.

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[6] =>
06

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 04/2019

Reflux associated with temporomandibular
disorder, a recent study finds
By DTI
XIAN, China: Reflux is an uncomfortable condition that can have
negative effects on a patient’s oral

health. In a recent study, researchers have established that temporomandibular disorder (TMD) is as-

sociated with gastro-oesophageal
reflux (GERD). Other factors such
as anxiety and poor sleep contrib-

ute to this correlation. The authors
of the study have noted that physicians need to be aware of the as-

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sociation and consider instituting
multidisciplinary management
programmes to help patients.
An international team of researchers looked at data from two
separate hospitals in China on 1,522
patients aged between 18 and 70
years old with chronic TMD. They
set out to understand the connection between the disorder and GERD
and to determine whether anxiety,
somatisation and depression influence the association.
In the study, co-author Dr Jihua
Chen, from the Air Force Military
Medical University in Xian, noted
that the relationship between
chronic musculoskeletal diseases,
gastro-intestinal diseases, mental
disorders and sleep problems is
complicated. “There is evidence to
support the bidirectional nature of
the associations among these comorbidities,” Chen said. He explained that patients may be stuck
in a cycle that undermines sleep.
Somatization and anxiety exacerbate the pain, and this pain can lead
to sleep problems and mental disorders.

Join the largest
educational network
in dentistry!
www.DTStudyClub.com

Tribune Group GmbH is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing
dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit
hours by boards of dentistry. Tribune Group GmbH designates this activity for one continuing education credit.

An international team of researchers
from China and the US have found
that gastro-oesophageal reflux is
associated with temporomandibular
disorder. (Photograph:
GBALLGIGGSPHOTO/Shutterstock)

According to the results of the
study, symptomatic GERD is a risk
factor for TMD, and people with a
longer history of GERD have a higher
risk of TMD than those with a shorter
history. “Patients with both chronic
TMD and reflux symptoms may be
underdiagnosed, resulting in deferred effective treatment and a
prolonged disease course,” said
Chen.
The study, titled “Associations
among gastroesophageal reflux disease, mental disorders, sleep and
chronic temporomandibular disorder: A case–control study”, was published on 19 August 2019 in the Canadian Medical Association Journal.


[7] =>
Dental Tribune Asia Pacific Edition | 04/2019

07

WORLD NEWS

Survey shows number of UK
adults seeking orthodontic
treatment remains high

By Dental Tribune UK

A new survey has found that UK adults are increasingly likely to opt for orthodontic treatment. (Photograph: Phoenixns/
Shutterstock)

LONDON, UK: Though orthodontic
treatment was once thought to be
something only for teenagers, its
generally non-invasive nature has
led to it becoming something that

adult patients increasingly request.
A new survey of orthodontists by
the British Orthodontic Society
(BOS) has confirmed this, as an
increase in adult private patients

was reported by 75% of the respondents.
The survey, conducted last month
among BOS members, was designed

CHIEF FINANCIAL OFFICER
Dan Wunderlich
DIRECTOR OF CONTENT
Claudia Duschek
SENIOR EDITOR
Michelle Hodas
CLINICAL EDITORS			
Nathalie Schüller
Magda Wojtkiewicz

According to the BOS, 60% of the
respondents said that the increase
in their number of adult private patients was due to a heightened awareness of adult orthodontic options.
More than 10% of orthodontists
added that celebrities and bloggers
can influence their adult patients.

ASSISTANT EDITORS
Luke Gribble
Iveta Ramonaite

Dr Peter McCallum, BOS Director
of External Relations, commented:
“It’s interesting to see the number of
adults interested in orthodontic treatment remains high. Our members,
specialists and dentists with a special
interest, offer a range of options for
adults, enabling them to provide a
solution to any kind of orthodontic
problem. The value of informed choice
cannot be overestimated.”

EDITORS				
Franziska Beier
Brendan Day
Monique Mehler
Kasper Mussche

COPY EDITORS				
Ann-Katrin Paulick
Sabrina Raaff
BUSINESS DEVELOPMENT & MARKETING MANAGER
Alyson Buchenau
DIGITAL PRODUCTION MANAGERS
Tom Carvalho
Andreas Horsky
Hannes Kuschick
WEBSITE DEVELOPMENT
Serban Veres
PROJECT MANAGER ONLINE
Chao Tong
DATABASE MANAGEMENT & CRM
Annachiara Sorbo
SALES & PRODUCTION SUPPORT
Puja Daya
Hajir Shubbar
Madleen Zoch
EXECUTIVE ASSISTANT			
Doreen Haferkorn
ACCOUNTING
Karen Hamatschek
Anita Majtenyi
Manuela Wachtel
E-LEARNING MANAGER
Lars Hoffmann

By DTI

EDUCATION & EVENT MANAGER
Sarah Schubert

LOS ANGELES, U.S.: Most birth defects involve the face and skull and
scientists are still unable to explain
this phenomenon. The University
of Southern California (USC) has
recently received a substantial grant
for a project that is aimed at collecting data, DNA samples and images related to abnormalities of the
head and facial bones. The research
data will help gain a better understanding of the issue and foster interdisciplinary collaboration between medical experts.

“To accelerate the science and
better serve families at risk for these
conditions, we need a comprehen-

PUBLISHER/CHIEF EXECUTIVE OFFICER
Torsten R. Oemus

to gather new data about orthodontics and patient choices in the UK.
The results revealed that adult patients are more likely to be female,
in the 26–55 years age range, and
primarily treated with fixed orthodontic appliances with clear aesthetic
brackets or with clear aligners.

USC researchers seek to
understand craniofacial
abnormalities

Orofacial clefts are fairly common birth defects. If the cleft extends through the upper gingivae,
it may affect tooth development.
The National Institute of Dental and
Craniofacial Research awarded the
USC Herman Ostrow School of Dentistry and the USC Viterbi School
of Engineering a $12.5 million
(€11.4 million) grant for their project FaceBase III Data Management
and Integration Hub. The project
will connect experts who have thorough knowledge and expertise in
the area, and its aim is to help improve treatment outcomes.

IMPRINT

MEDIA SALES MANAGERS
Melissa Brown (International)
Hélène Carpentier (Western Europe)
Matthias Diessner (Key Accounts)
Maria Kaiser (North America)
Weridiana Mageswki (Latin America)
Barbora Solarova (Eastern Europe)
Peter Witteczek (Asia Pacific)
EXECUTIVE PRODUCER
Gernot Meyer
ADVERTISING DISPOSITION
Marius Mezger

Researchers from the University of Southern California’s dentistry and engineering schools have recently received financial
support for their research project. (Photograph: Rungruedee/Shutterstock)

sive and systematic understanding
of how faces form in healthy children and what goes wrong to cause
common malformations,” said Dr.
Yang Chai, George and MaryLou
Boone Professor of Craniofacial Molecular Biology, Director of the Center for Craniofacial Molecular Biology and Associate Dean of Research
at the dental school.
The FaceBase project consists
of three phases. The first phase was
launched in 2009 and focused on

the middle region of the face, which
includes the nose and mouth, and
examined genetic developmental
disorders. The second phase started
in 2014 and focused on the expansion of the database to include other
genetic disorders and on the development of the craniofacial complex.
The third and final phase seeks to
effectively organize data collection
and storage and encourage researchers to share their findings.
“We’re trying to create a commu-

nity of researchers around the exchange and organization of data,
and transform the way craniofacial
research is done,” said Prof. Carl
Kesselman, Dean’s Professor of Industrial and Systems Engineering
and Professor of Industrial and Systems Engineering, Computer Science, and Preventive Medicine at
the engineering school. “This could
be an exemplar. Not many dental
schools have access to the largest
computer science research institute
in the country,” he concluded.

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©2019, Dental Tribune International GmbH.

All rights reserved. Dental Tribune International
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, claims,
or statements made by
advertisers. Opinions expressed
by authors are their own and
may not reflect those of Dental
Tribune International.


[8] =>
08

Dental Tribune Asia Pacific Edition | 04/2019


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