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Poor dental habits increase swine flu risk / News / Games technology to help in future dental training / Media CME: Adhesive dentistry / Diabetes and oral health / A corner stone in UAE dental education / Dental Cafe

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DTME0309:ME 5/30/2009 3:54 PM Page 1

DENTAL TRIBUNE
The World’s Dental Newspaper · Middle East & Africa Edition
PUBLISHED IN DUBAI

MAY/JUNE 2009

News
Photo competition asks
what makes dentists
4Page 3
smile

Media CME
Adhesive Dentistry

2
Hours

4Page

Poor dental habits increase
swine flu risk
Bad dental hygiene could possibly increase the risk of swine
flu as today’s National Dental
Survey reveals the UK’s failure
to heed infection control advice.
Dreadful dental habits are
helping spread germs – as 40 per
cent of the UK population admit
to picking their teeth with fingernails.
Picking teeth with everyday
items such as earrings, credit
cards, paperclips, paper and
even screwdrivers are some of
the disturbing habits flying in the
face of infection-busting advice.
The survey was conducted by
the British Dental Health Foundation as part of National Smile
Month (May 17th – June 16th).
Picking teeth with fingernails
risks spreading germs from surfaces touched and dirty hands
straight to the mouth and onwards to the rest of the body.
Foundation chief executive
Dr Nigel Carter said: “Hygiene
warnings have been made clear
ever since the swine flu out-

NO. 3 VOL. 7

break, and it is worrying that
these habits have been revealed
as the numbers affected by flu
steadily rises. Personal hygiene
should be a top priority for all.”

tance of oral health, with research linking gum disease to
heart disease, diabetes, strokes,
premature births, low birthweight babies and, in recent
early studies, infertility.

Results highlighted the UK’s
lack of awareness of the impor-

DT page 2 (a)

Business
Games technology to
help in future dental
4Page 11
training

6

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Enamel weakened
by teeth whitening
US study has found that bleaching
teeth at home has side effects
From news reports

New research has shown that
human teeth can lose some
enamel hardness following the
application of teeth whitening
products used in the home. According to lead author Shereen
Azer, Assistant Professor of
Restorative and Prosthetic Dentistry at Ohio State University

in the US, the average loss of
enamel ranged from 1.2 to
2 nanometres on the treated
teeth. Tooth bleaching products
contain solutions of varying
strengths of either hydrogen
peroxide or carbamide peroxide, which produce free radicals that attack pigment
DT page 2 (b)

Enamel is the hardest structure in the human body. Tooth whitening products
may weaken this natural barrier. (DTI/Photo bg_knight )

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[2] => ME

DTME0309:ME 5/30/2009 3:54 PM Page 2

2

DENTAL TRIBUNE Middle East & Africa Edition

News

AD

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Medical Equipment announcing
of their Seminars on:
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with clinically relevant modern
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DT Page1(a)

Yet awareness of these important overall health links is low.
Two-thirds remain unaware of
possible links to heart disease,
four in five knew nothing of the
links to strokes or diabetes, while
94% of respondents had no clue
of potential risks posed to pregnant women.
“The public could be put at
risk by poor dental hygiene
habits yet awareness of these
risks is very low”, added executive Dr Carter.
“Gum disease in particular
has been linked to serious health
issues. It affects most people at
some point in their lives, so there
is no excuse for ignoring good
dental hygiene.
“People should take care of
their gums by brushing teeth
twice a day with fluoride toothpaste, cleaning between teeth
with floss or an interdental
brush, cutting down on how often
they take sugary snacks and
drinks and visiting the dentist
regularly.”
The Foundation’s National
Dental Helpline is available with
expert advice for the public advice on 0845 063 1188.
National Smile Month promotes good oral healthcare under the tagline ‘Look After Yourself, Brush for Health’ and is supported by Oral B, Wrigley’s ORBIT Complete sugarfree gum
and Tesco Dental Insurance. DT
For further information and expert interviews please contact pr@dentalhealth.org

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Q ("YVnbjai^"igVX`Xdc[ZgZcXZl^i]VXXgZY^iVi^dc
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 Zfj^ebZci!iZX]cdad\nVcYe]VgbVXZji^XVah

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Supported By

Ministry of
Health UAE

Silver Sponsors

Media Partners

Health Authority
Abu Dhabi

Websites: www.dentalhealth.org /
www.nationalsmilemonth.org

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DT Page1 (b)

molecules in the organic parts of
enamel, to provide the whitening effect.
Several studies have sought
to determine the effect of tooth
whitening on tooth enamel
hardness but results have been
inconclusive, Azer said. He
added that previous studies
measured the loss of enamel
hardness in microns, or millionth of a metre, while he used
a nanometre scale in his study.
In his research, he used whitening strips and trays filled with
whitening gel on extracted molars, as well as an atomic force
microscope to observe the tiny
nanometre-scale effects on the
teeth. The reduction in hardness
and elastic modulus amongst
the different products was
largely similar. However, there

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was a significant difference
between one strip treatment
method and one tray method,
with the tray method reducing
enamel hardness more significantly than the strip treatment.
Although the study did not
address methods of restoring
hardness to bleached teeth, Azer
noted that extensive research
has indicated that fluoride treatments, including the use of
fluoride toothpaste, can promote enamel remineralisation.
He suggested that, based on
the study, future generations of
teeth whitening products be reformulated in an effort to reduce
these side effects. DT

Editorial Board
Prof. Abdullah Al-Shammary, Restorative Dentistry, KSA
Prof. Hussain F. Al Huwaizi, Endodontics, Iraq
Prof. Samar Burgan, Oral Medicine, Jordan
Dr. Abdel Salam Al Askary, Implantology, Egypt

DENTAL TRIBUNE
The World’s Dental Newspaper · Middle East & Africa Edition

Dr. Talal Al-Harbi, Orthodontist, Qatar
Dr. Mohammed H. Al Jishi, Bahrain
Dr. Lara Bakaeen, Prosthodontist , Jordan
Dr. Aisha Sultan, Periodontist, UAE
Dr. Kamal Balaghi Mobin Aesthetics, Iran

President/CEO

Yasir Allawi
y.allawi@dental-tribune.ae

Director mCME:

Dr. D. Mollova
info@cappmea.com

Marketing manager

Sawsan Alhalwachi
info@dental-tribune.ae

Production manager

Hussain Alvi
info@dental-tribune.ae

Published by Venus Advertising
in licence of Dental Tribune International GmbH
© 2008, 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.

P.O. Box 4473, Dubai, United Arab Emirates,
Tel. +9714-2282928, Fax: +9714-2241024
E-mail: info@dental-tribune.ae

[3] => ME

DTME0309:ME 5/30/2009 3:55 PM Page 3

DENTAL TRIBUNE Middle East & Africa Edition

News

Photo competition asks what makes dentists smile
Dentists can enter a photographic competition and win a
free trip to a FDI World Dental
Congress.
Enter the FDI World Dental
Federation and Wrigley Oral
Healthcare
Programmes'
(WOHP) photographic competition for your chance to win a trip to
the FDI World Dental Congress in
Singapore this year or to the one in
Brazil in 2010.
Submit photos that capture
‘what makes you smile' and for
each entry received the WOHP
will donate $25 US, up to $25,000
US in total, to the FDI's World Dental Development Fund, which supports oral health education and
projects worldwide.
This year's contest, open until
8 July 2009, will recognise six regional winners, one each from Europe, Africa, Asia Pacific & Oceania, Latin America, the Middle
East and North America. Each
winner will receive a gift voucher
for $1,000 US (or equivalent in
pound sterling or euros) to spend
on the latest photographic equipment, plus a year's subscription to
the International Dental Journal

Virtual dental
school a
world’s first
A US dental school is opening
the doors of the first-ever 3D virtual dental education facility.

The University of Maryland
Dental School has introduced the
virtual school which is based on
the 3D modelling software, ‘second life'.
Students will be able to ‘experience' aspects of dentistry, ranging from lessons in dental hygiene practices to infection control and anatomy.
They can control a second life
figure of themselves –an ‘avatar'
– via a mouse and keyboard or
through voice-controlled headsets. The virtual dental school
option will be available to firstyear students in the autumn.
Carroll-Ann Trotman, associate dean for Academic Affairs,
says: ‘What we are doing is developing a 3D virtual world that we
can use to engage in global outreach, teaching and perhaps collaboration. So far, it has been reasonably well received by both
students and faculty. This is another tool – one of several instructional tools that faculty can
have to work with. Each faculty
member will approach this with
their own ideas.' DT

and a year's supply of Wrigley's
sugarfree gum*.
From the six regional winners,
a grand prize winner will be
awarded a VIP all-expenses paid
trip to their choice of either the
2009 FDI Annual World Dental
Congress in Singapore (2-5 September 2009) or the 2010 FDI Annual World Dental Congress in
Brazil (2-5 September 2010).

The trip includes round trip
airfare for one person to Singapore
or Brazil, four nights in a four-star
hotel, complimentary Congress
registration and $500 US spending
money. In addition, the winner
will have the choice to upgrade
their ticket to business class or to
bring a companion to the Congress.
Members of the dental profession and students who are regis-

tered at dental and/or hygiene
schools and who are over the age
of 18 are invited to enter and upload up to five digital photographs
that make them smile at
www.PhotoAward.org.
The photos do not need to be
images from their dental practice
but can include funny family or reflective photos that bring a smile to
their face. DT
AD

[4] => ME

DTME0309:ME 5/30/2009 4:00 PM Page 4

Trends & Applications

DENTAL TRIBUNE Middle East & Africa Edition

Games technology to help
in future dental training
Ray McHugh
UK

GLASGOW, UK: Dentists of
the future could be using
games technology to hone
their clinical skills. Three final-year dental students at the
University of Glasgow Dental
School have developed the
concept of using Wii technology to help dental students
practise their operative skills.
The students were announced
the winners of The Dental Innovation Technology Ideas Award
last week. The competition
challenged final-year students
to develop an idea for a new
piece of technology or innovation in the dental field.
The winning idea suggests
the use of the Nintendo Wii
console and special software to
simulate operative techniques.
The wireless controllers would
be used by dental students to
control the handling of instruments on a virtual patient on
the screen. The controllers
would also be used to provide
sensory feedback to the user.
“Simulation of clinical procedures is normally carried out
in the operative techniques
lab. However, dental students
sometimes have limited opportunity to practise their techniques outside of the lab,” said
Dr David Watson of the University of Glasgow Dental School.
“The use of Wii technology
could be a really innovative
and cost-effective solution
which students could use to
improve their manual dexterity.”
There is considerable research to back up the concept
of using video games to improve dentists’ coordination,
and the Wii-based application
would complement the simulation technology already used
in dental schools worldwide,”
Dr Watson added.
The students—Pearse Hannigan, David Lagan and Adam
Gray—were presented with a
cheque for £300 and a glass
obelisk by Craig Leaver, CEO
of Dental Innovation, the competition sponsor.
Leaver said: “We received
over 40 entries for the competition, all of which were of an extremely high standard. The
judging panel were impressed
by the depth of research and
hard work which had gone into
the submissions, which made
it very difficult to choose an
outright winner. However, we
were struck by the inventiveness of adapting an existing
piece of technology in a very
novel way.”
“We are absolutely delighted that Glasgow Dental

School has given us the opportunity to host this annual
award,” he added. “As more
dental practices become reliant on digital systems, it is
vital that students are up to
speed with the latest technologies. We hope the award will

(DTI/Photo Nintendo, Background -baltik-)

inspire them to think about
how technology can be applied in practice for greater efficiency and better patient
care.” DT

(Edited by Daniel Zimmermann)
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[5] => ME

DTME0309:ME 5/30/2009 4:00 PM Page 5

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[6] => ME

DTME0309:ME 5/30/2009 4:00 PM Page 6

DENTAL TRIBUNE Middle East & Africa Edition

Media CME
2
Hours

Adhesive dentistry
Over the past few years patient demand for better aesthetics has been
met with an amazing spectrum of new materials and techniques

The article has been accredited by Health Authority - Abu Dhabi as having
educational content and is acceptable for up to 2 (Category 1) credit hours.
Credit may be claimed for one year from the date of subscription.

owhere has the revolution in dental materials
been more apparent than
in the field of adhesive dentistry.
The attraction of minimal tooth
preparation, coupled with highly
aesthetic restorative materials is
appealing to patient and dentist
alike. However, there is often a
price to be paid for these benefits,
and one which may not be obvious to the patient unless the dentist takes the time to explain all
the advantages and disadvantages of the various options.

amalgams. However, where a
patient is requesting the removal
of amalgams to cure a medical
problem e.g. multiple sclerosis
or allergies, the dentist must be
wary of representing the proposed composite restorations as
a cure, since the evidence to substantiate these claims, is, at best,
inconclusive.

Problems frequently arise in
adhesive dentistry when the dentist has heavily emphasised the
benefits of these materials and
techniques without warning the
patient of the limitations.

• Patient preference
• Size and shape of the cavity
• Occlusion
• Ability to isolate the tooth to
keep it moisture free
• Cost and time

Composite restorations
Patients are demanding
tooth-coloured fillings either for
aesthetic reasons or because of
their own concerns about mercury toxicity in amalgam restorations. In the first instance, there is
no doubt that composites provide
a more aesthetic solution than

The decision to restore a
tooth with a composite restoration will be dependent on a number of factors, including:

The choice of a composite
restoration by a patient should be
on an informed basis and some of
the problems previously encountered by dentists can serve to
highlight areas that should be
discussed with patients, perhaps
with the help of a simple information leaflet.

MEDIA CME
Self-Instruction Program
Dental Tribune Middle East & Africa
in collaboration with CAPP introduce to
the market the new project mCME - Self
Instruction Program.
mCME gives you the opportunity to
have a quick and easy way to meet your
continuing education needs.
mCME offers you the flexibility to
work at your own pace through the material from any location at any time. The
content is international, drawn from the

Common problems with
composite
Postoperative
sensitivity
Amalgam is generally a well tolerated material and is less prone
to cause postoperative sensitivity
than directly placed composite
fillings. Sensitivity can be caused
by a variety of factors and a study
of the literature will show a number of techniques that attempt to
overcome the problem.
The risk of postoperative sensitivity is difficult to eliminate
however. So it makes sense to
warn a patient of the possibility,
even if only to reassure them of its
transitory nature. The patient
should be advised to return if the
sensitivity fails to resolve, and
this should be recorded in the
clinical notes.

Wear characteristics
Many composites have a wear
characteristic that is poorer than
amalgam especially in loadbearing areas. Where larger
restorations are placed or when
patients have a bruxing habit,
particular care should be taken.
In these cases consideration
should be given to the use of alternative materials or even a
fixed restoration – particularly
when replacing more than one
cusp on either premolar or molar
teeth.

upper echelon of dental medicine, but
also presents a regional outlook in terms
of perspective and subject matter.
How can professionals enroll? They
can either sign up for a one-year (10 exercises) by subscription for the magazine for
one year ($65) or pay ($20) per article. After the payment, participants will receive
their membership number and will be
able to attend to the program.
How to earn CME credits? Once the
reader attends the distance-learning program, he/she can earn credits in three
easy steps:

Read the articles.
1.
2.
Take the exercises
Fill in the Questionnaire and
3.
Submit the answers by Fax (+971 4
36868883) or Email :info@cappmea.com
After submission of the answers,
(name and membership number must be
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Articles and Questionnaires will be
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www.cappmea.com

or tea to stain their new composite fillings. Other food substances (e.g. turmeric in Asian
foods) can also stain the
restorations, as can mouthwashes containing chlorhexidene. When planning anterior
composite restorations, it is important that these factors are
considered and the patient
warned accordingly so that they
can make informed choices
about their dental care.

The above list of potential
problems seems prohibitive but
there is no doubt that composites are here to stay, are very effective when used appropriately, and are often an excellent
aesthetic alternative to other
more radical and invasive treatment options.

Debonding
To a patient, a filling is often
considered to be a permanent
solution. Where there is little
tooth substance, heavy occlusal
forces, or parafunctional activity/habits, a patient should be
advised that their composites
might fail. Incisal edges and
corners of anterior teeth are often restored in composite and
these can sometimes be problematic when the dentist is
adopting a minimally invasive
technique and relying on maximal retention from the adhesive bond and etch technique.
The risk should be explained to
the patient before placing the
restoration because an informed patient is more likely to
understand and accept an adverse outcome.

Unlike porcelain, most composites absorb stains and this
can very quickly compromise
the aesthetics of an otherwise
successful result. Patients
should be warned of the potential for tobacco, red wine, coffee

Fig. 3

Fig. 4
Fig. 2: Aesthetic problems with composite usually relate to marginal integrity and surface roughness

Adhesive bridges or resinbonded bridges have come a long
way from the first Rochette
bridge. The considerable advances in adhesive technology
enabling metal to be bonded to
teeth have made this technique a
more realistic alternative to dentures or implants. Unfortunately
they can also be unpredictable
despite the research evidence on
the longevity of the bond.
There are several factors to
consider when planning treatment for a patient with a view to
providing adhesive bridgework.

Location
The upper anterior part of the
mouth is the most popular site for

Veneers are often used to close or reduce midline diastemas while
preserving as much tooth tissue as possible – but the patient must
understand the limitations and likelyaesthetic outcome before proceeding

Discoloration

Fig. 1

Common problems with
adhesive bridges

[7] => ME

DTME0309:ME 5/30/2009 4:01 PM Page 7

DENTAL TRIBUNE Middle East & Africa Edition

Media CME

the placement of these bridges
and often the most successful.
Posterior bridges have a poorer
long-term success.

Occlusion
When planning for the
bridges ensure that there is a
favourable occlusion both in
static and dynamic relationships. This is best examined
with the help of articulated study
models.

Fig. 5

Fig. 6

To prepare or not prepare?
The decision to prepare
teeth with a guide plane, rest
seats or pins or to leave it unprepared is a clinical one and
will reflect the clinician’s experience and training. It is essential to discuss the relative merits of both approaches with the
patient. If the tooth is prepared
in any way, it no longer becomes a ‘reversible’ option
even if it is minimally prepared.
It is important to establish this
with the patient because if the
bridge fails, the patient is automatically committed to remedial treatment of the prepared
tooth or teeth. The patient
should be aware of this before
giving their consent to the procedure.

FDI Annual World Dental Congress

2 -5 September 2009
Singapore

One wing or two?
When replacing a single anterior tooth research now
seems to indicate that a single
wing is the treatment of choice
and a cantilever design should
be planned. Sometimes there is
differential movement of the
teeth in occlusion so when two
wings are used there is a distinct risk of one of them debonding. If this goes unnoticed,
caries could develop behind the
loosened wing. Clearly this is
something that needs to be discussed with the patient and
whichever design is chosen, the
patient should be aware of the
implications for its maintenance and the need for regular
attendance to check it.

Common problems with
veneers and dentine
bonded crowns
These adhesive restorations have transformed millions of smiles around the
globe and continue to do so
successfully. However they
need careful planning and to
be aesthetically successful,
some tooth substance usually
needs to be removed. Again
they cannot be viewed as being
a ‘reversible’ option since their
failure will always necessitate
further treatment even if only
to replace the porcelain veneers with composite facing.
There is a danger that veneers
will be promoted to patients as
an ideal alternative to crowns,
and a quicker and cheaper
route to a film star smile. It is
easy to see how patients might
view veneers as a win/win option, so it is vital that any dentist contemplating providing
veneers or dentine bonded
DT page 8

congress@fdiworldental.org

www.fdiworldental.org

[8] => ME

DTME0309:ME 5/30/2009 4:01 PM Page 8

DENTAL TRIBUNE Middle East & Africa Edition

Media CME
Case study

DT Page 7

crowns for a patient should discuss their particular needs
very carefully. Pre-operative
photographs and study models
are helpful in communicating
with the patient, but they also
form a vital part of the patient
record. In addition a meticulous note of all the relevant
conversations held with the
patient should be entered in
the record.

A young male patient in his
early twenties requested a dentist to close his midline diastema. He was getting married
the following month and
wanted this done before the
wedding day. It was quite a
large gap of some 4mm between the upper central incisors but the dentist confidently
assured the young man that he
could close the gap and produce
‘a perfect smile’ ready for the
wedding photos.

At the next visit the patient
returned, asking the dentist to
prepare the two lateral incisors
as well as the centrals. This was
duly done and an impression
was taken before the patient rebooked to return in two weeks
time.
At the fit appointment the
two central veneers were tried
in and the patient agreed they
looked fine. However the dentist had not shown him all four
veneers in place and had not

tried them in using the try-in
paste that came with the bonding kit.
The dentist went ahead anyway and cemented them in.
When he looked in the mirror,
the patient was surprised at the
result and not at all happy with
the size of the central incisors.
He also felt the veneers were
quite bulky under his lip. The
dentist reassured him and
asked him to return in a couple
of weeks. The patient phoned
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the next day having shown the
veneers to his fiancée. Both
were very upset with the result
as they felt the front teeth were
far too prominent and dominated his smile too much. With
the wedding taking place in less
than a fortnight the dentist
agreed to replace them at his
own cost. The patient had lost
confidence in the dentist by
now and instead went to another dentist who replaced the
veneers for a considerably
higher fee.

Conclusion
The size of the diastema was
quite large and to mimic the final effect of the veneers, composite applied to the teeth without etching would have given
the patient and the dentist a
quick and reversible guide as to
the final result.
Diagnostic wax-ups in advance of treatment might also
have allowed both patient and
dentist to anticipate the likely
size and shape of the finished
veneers.
The patient should have
been warned that the veneers
would feel slightly bulky under
their lip and that the sensation
would soon pass.
The patient should have
been warned about the possible
changes in speech and the potential to lisp in the early days after the veneers were placed.
Many veneer kits come with
a try-in paste and where appropriate this could be used to establish how the final result
would look, before finally cementing them.

NO
Pre-Registration
Fee!

The entire problem could
have been prevented by more
careful planning and better
communication with the patient
before the treatment started,
about what to expect. DT

MEETING DATES:
NOVEMBER 27th - DECEMBER 2nd

Contact Info

EXHIBIT DATES:
NOVEMBER 29th - DECEMBER 2nd

For More Information:
Greater New York Dental Meeting™
570 Seventh Avenue - Suite 800
New York, NY 10018 USA
Tel: +1 (212) 398-6922
Fax: +1 (212) 398-6934
E-mail: info@gnydm.com
Website: www.gnydm.com

Please send me more information about...
Attending the Greater New York Dental Meeting
Participating as a guest host and receiving free CE
I speak _____________and am willing to assist international guests
enter language

Name
Address

We are the world’s largest specialist provider of dental professional
indemnity and risk management
for the whole dental team.
The articles in this series are
based upon Dental Protection’s
100 years of experience, currently
handling more than 8,000 cases
for over 51,000 members in 70
Countries.

City, State, Zip/Country Code
Telephone

E-mail

Fax or mail this to:
Greater New York Dental Meeting or
visit our website: www.gnydm.com for more information.

33 Cavendish Square
London W1G 0PS, UK
E-mail: enquiries@mps.org.uk
The complete set of 36 risk
management modules can be
ordered from
lynne.moorcroft@mps.org.uk
www.dentalprotection.org

[9] => ME

DTME0309:ME 5/30/2009 4:01 PM Page 9

DENTAL TRIBUNE Middle East & Africa Edition

Trends & Applications

Diabetes and oral health

Dental students, Rand Tariq
Alyouzbaki, Hadeel Abu Ghazzi,
Yasmeen El jarred, Abdullah Jamal, of University of Sharjah under the supervision of Dr. Kauser
Fakhruddin and Dr. Sausan
AlKawas, did a small survey to assess the awareness level of 236
young educated adolescents and
adults enrolled in different programs (Engineering, Media, Law
and Sharia) at University of Sharjah, studying in year 1 through
year 5. Interestingly, 2.6% of this
study population reported that
the have either diabetes type 1 or
2 and over 60% of the study participants reported that either
their parents or their siblings or
both have diagnosed diabetes.
One of the risk factors for type
2 diabetes is having a close relative (parent or sibling) who has
type either type1 or 2 diabetes.
It is pity to note that, among
those with a family history of diabetes, over 50% reported that
they don’t think routine screening for diabetes is important and
shows their lack of information
related to diabetic symptoms like
(increase in thirst, frequent urination especially at night, loss of
appetite, high blood glucose
level) and its associated systemic
affects on the heart, nerve, vision, limbs and kidneys.

will encourage the growth of
gum disease-causing bacteria.

“Periodontal or gum disease
is the main cause of tooth
loss in diabetic patients!
Diabetes may weaken body's
germ-fighting abilities and high

blood glucose levels can make
gum disease worse. In its early
stages, gum disease is called gingivitis in which gums may be red,
swollen tender and bleed a little
while brushing or flossing, but if
not treated, over period of time
the gum infection can lead to the
breakdown not only of your gum
but also bone and other tissues

that are holding your teeth in
place.
The severe form of gum disease is known as periodontitis.
Periodontal diseases are actually
infections of the gum and bone
that hold the teeth in place. In advanced stages, they lead to
painful chewing problems and
even tooth loss.

At the same time, recent researches suggested that gum disease or periodontal disease can
make blood glucose levels
harder to control.

DT page 11

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According to World Health Organization, Diabetes is the second highest prevalence in the
world. UAE stands fifth in this
category as 25% of the UAE
population that is one in four is
affected by either diabetes type
1 or diabetes type 2 for which
UAE government are spending
annually Dh724m on diabetic
treatment according to Gulf
news report.

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According to Dr. Kausar, this
survey DEMONSTRATES THAT
85% OF PARTICIPANTS WHO
ARE AT RISK BECAUSE OF
THEIR FAMILY HISTORY OF DIABETES ARE MOSLTY IGNORANT ABOUT THE DIABETES
AND ITS ASSOCIATED ORAL
HEALTH AFFECTS
Diabetes can harm eyes,
nerves, kidneys, heart and other
important systems in the body.
Did you know it can also cause
problems in your mouth?
Diabetics are more susceptible to contracting infections.
People with diabetes especially
uncontrolled type 1 or type 2 diabetes and undiagnosed diabetes
are at a higher risk for gum disease and other dental problems.
When a body is suffering from
diabetes, the structure of the
blood vessels is altered. This may
affect the efficiency the blood
flow, and in turn may weaken the
bone and the gums, leaving them
more prone to infections.
Furthermore, if diabetes is
not strictly managed, there may
be higher than usual levels of
glucose in the mouth fluids. This

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[10] => ME

DTME0309:ME 5/30/2009 4:03 PM Page 10

Mobile Dental
Multifunctional Unit

It’s renowned as the world lightest and most handy multi-functional
dental unit. It is only about 8.8Kg~9.8Kg including air compressor, very
convenient to carry and easy to operate for the dentists.
It has all functions of an integral dental unit and can be absolutely
suitable for emergent situations, such as treatment for battlefield clinics,
disaster areas, mountain areas, and door-to-door Service.

Now Model 2, model 3 available :

Optional Fittings
• high-speed handpiece with two holes or four
• low-speed handpiece with two holes or four
• Mini light-curing machine
• Pneumatic Scaler
• Saliva Suction
• Portable dental chair
• Dental mirror with LED light.

e-Mail: market@hackbuteers.com
www.hackbuteers.com

[11] => ME

DTME0309:ME 5/30/2009 4:03 PM Page 11

DENTAL TRIBUNE Middle East & Africa Edition
DT Page 9

WHY???
Severe gum and/or periodontal disease can increase blood
sugar level, because the infected
area around tooth or teeth is a
heaven for bacterial growth and
this in turns releases toxins and
immune products harmful for
the body, also infection could
lead to insulin resistance that
contributes to increased periods
of time when the body functions
with a high blood sugar. This puts
diabetics at increased risk for diabetic complications.

oral infections, thrush through
high glucose levels in the mouth,
poor healing and dry mouth and
all of the related problems that
occur with it may also affect patients with diabetes. Remember,
good dental care can result in a
healthy mouth and a smile that
will last a lifetime.

What can the patient do?
Healthy gums and teeth are
important to for overall health,
well-being, and appearance.

Trends & Applications 11

Sometimes there are no signs
of any serious gum disease. Often
one may not know until they have
pain, abscesses, difficulty in eating, bad breath or some serious
damage like loosening of tooth.
Children and teenagers who
have diabetes are at greater risk
for gum disease than those who
are not diabetic. DT

Authors Info
Kauser Fakhruddin has
BDS, MS in Dentistry from
University of Toronto.
Currently, she is a faculty
in the Department of Oral
and Craniofacial Health
Sciences at University of
Sharjah. Dr. kauser email:

Regular dental visits are the
best defense.

Kfakhruddin@sharjah.ac.ae

AD

While gum disease is the most
common problem, having diabetes also makes you prone to
other mouth problems such as








Gingivitis in diabetic
patients

Periodontitis in
diabetic patients

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[12] => ME

DTME0309:ME 5/30/2009 4:03 PM Page 12

DENTAL TRIBUNE Middle East & Africa Edition

12 Meeting & More

Dr. Sausan Al Kawas:

A corner stone in UAE
dental education
Dr. Sausan Al Kawas has worked in three dental schools in different regions of UAE; Abu
Dhabi, Ajman and Sharjah. In rewarding to her passionate with dental education, she won
2009 University of Sharjah Annual Faculty Incentive Award.
AD

The World’s First Online
MSc in Restorative & Aesthetic Dentistry

Dr. Kawas graduated in 1990
from Damascus University. She
migrated with her husband to
Canada and both enrolled in
post graduate program. She was
the first PhD students to enroll
and graduate in 1997 from the
Faculty of Dentistry, McGill
University, Montreal, Canada.
During her PhD program,
she had succeeded to publish
scientific research papers and
won the Biennial Research
Award from the Canadian Dental Association.

SPECIAL
OFFER FOR
mCME
MEMBERS

‘The Best of Everything’

Two of the UK’s most respected education and academic organisations have joined forces to provide an
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healthcare education provider and the University of Manchester, one of the top twenty-five universities in
the world, have had the prescience to collaborate in providing students with the best of everything –
lecturers, online technology, live sessions and support.

Convenience

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The majority of the
learning resources on
this programme will
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The masters will
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The programme is
designed to encourage the student to
take responsibility for
his/her own learning.
The emphasis is on a
self-directed learning
approach.

Students will be able
to communicate with
a diverse multi-ethnic
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peers, with who they
will also share residential get-togethers in
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This innovative programme establishes
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For more information contact Smile-on
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0044 (0)20 7400 8989

Immediately after graduation, she started her post-doctoral fellowship at the Royal Victoria Hospital in Montreal,
Canada and participated in
many research projects and
won the Young Investigator
Award from the American Society of Bone and Mineral Research.
In 1998 Dr. Al Kawas carried
on her academic carrier as Assistant Professor - Faculty of
Dentistry in Ajman UniversityAbu Dhabi Campus. Then, became Deputy Dean of Dentistry
in Abu Dhabi Campus.
She had helped in establishing the new and modern dental
labs and clinics in down town
Abu Dhabi campus. In 2003 after graduating the 2nd patch of
dental students, she moved to
the main campus to become
head of the department of basic
and medical sciences then the
vice dean of dentistry.
Also participated in teaching
Post-graduate enrolled in
MFDS program, Royal College
of Surgeon. Dr. Al Kawas played
an important role in the accreditation process of the Faculty of
Dentistry by the ministry of
higher education.
In 2005, moved to participate
in the foundation of the new
College of Dentistry at University of Sharjah. Dr. Al Kawas,
currently Head of Oral and
craniofacial health Sciences, attended several international
conferences and organized the
2nd International Dental conference.
She is a member of the Emirates Medical Association-Dental section and In rewarding to
her contribution for dental education, been awarded the highest honorary certificate as a Fellow of the International College
of Dentists (FICD) in 2007. DT

[13] => ME

DTME0309:ME 5/30/2009 4:03 PM Page 13

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[14] => ME

DTME0309:ME 5/30/2009 4:04 PM Page 14

14 Dental Caffe

Mum's shock at twins
with different dads

GlaxoSmithKline
Consumer
Healthcare is to provide three
US$75,000 unrestricted
research
grants to researchers at the University
of Melbourne School of Dental Science
in Australia, as well as the Baylor College of Dentistry and the University of
Washington School of Dentistry in the
US. The awards are administered by
the International Association for Dental Research.
China Medicine Corp. in
Guangzhou in China has increased its
fourth quarter revenues by 51.2 per
cent to US$24.4 million. The company,
which distributes dental and medical
products in China, also increased its net
income by 26.6 per cent to US$3.5 million.
Philips Electronics India Ltd. has
begun marketing products for the
treatment of obstructive sleep apnoea,
in India. The firm is a subsidiary of
Royal Philips Electronics in the
Netherlands.
The Venetian hotel and casino resort in Macao plans to open a dental
clinic in the facility. The site will have
over 50 dentists, physicians and other
health-care professionals, casino officials said.
The worldwide oral hygiene market in 2008 was worth US$25 billion,
which included US$2.3 billion in Japan.
Hager Worldwide has announced
that it will be moving from its multitiered dealer pricing, which gave margins of 30 to 45 per cent. The firm will
now provide their distributors with a
gross margin of 40 per cent across the
board on its entire line of 1,350 products.
Straumann in Switzerland has
formed a partnership with Ivoclar Vivadent in Liechtenstein, through
which Straumann will be able to use
Ivoclar’s proprietary high-performance IPS e.max ceramic technology.
The financial terms of the agreement
have not been released.
Wrigley in the US is sponsoring a
contest in which dentists around the
world can submit photographs that
capture “what makes them smile”. The
contest is being run in conjunction with
the FDI World Dental Federation.
Nobel Biocare in Sweden has announced the global launch of its new
NobelProcera system, which includes a
new conoscopic•••holography•••enhanced optical scanner. The scanner
uses new 3-D software developed by
BioCad, a Canadian subsidiary of Nobel.
Biolase Technology, Inc. has announced that its application to transfer
the listing of its common stock from the
NASDAQ Global Market to the NASDAQ has been approved. The transfer
became effective on 16 April 2009, and
the company’s common stock will continue to trade under the symbol BLTI. DT

Video – Today’s Most Powerful
Patient Magnet (Part 4 of 6)

09 Mary Kay Miller
JUNE

A mother of twins has had a
shock after doctors revealed
that her 11-month-old boys do
not have the same father
Mia Washington decided to
get some expert advice when she
and her partner noticed that
twins Justin and Jordan had different facial features.
Paternity tests then revealed
what had happened - two eggs
had been fertilised by two different sperm and there was a
99.99% chance the twins had different dads.
Doctors at the DNA lab in Dallas, Texas had never seen such a
result.Mia later admitted she had
had an affair and got pregnant by
two different men at the same
time.She told TV channel Fox 4:
"Out of all people in America and
of all people in the world, it had to
happen to me. I'm very shocked."
Clear Diagnostics president
Genny Thibodeaux said: "It is
very crazy. Most people don't believe it can happen, but it can."
Sky's health correspondent
Thomas Moore explains: "A

woman can release two eggs
from her ovaries, and the eggs
will remain viable for 24 hours
after ovulation.
"Sperm can survive up to five
days inside a woman's body, so a
woman could sleep with different men several days apart, and
get pregnant not once, but
twice." And while it sounds rare,
recent research indicates that
one in 12 non-identical twins are
so-called bi-paternal, with a rise
in fertility treatment and changing sexual behaviour being
blamed.
Mia's partner James Harrison
is father to one of the boys.
He told Fox 4 that he had forgiven his fiancée for having the
affair and intended to raise both
children as his own.
However, he admitted it had
been tough discovering the truth.
"It's a day by day thing. It's going to take time to build the trust
like we had," he said.
The couple plan to tell the
twins they are half-brothers
when they are old enough to understand. DT

27
JUNE

Tuesday, June 09, 2009 7:00–8:30 p.m. EST
Video not only entertains, it fully engages
your target audience when educating patients
and delivering your marketing message both
LQWHUQDOO\LQWKHRIÀFHDQGRQOLQHWRWKH
community.

DTSC Online Masters,
featuring the Roots Summit
and the Implants Summit
Various speakers

Saturday, June 27, 2009
10:00 a.m.–5:30 p.m. EST
A full day of successive webinars covering
various topics in Endodontics and Implantology,
taught by opinion leaders in the industry.

Web 2.0 Marketing (Part 5 of 6)

02 Mary Kay Miller
JULY

Thursday, July 02, 2009
7:00–8:30 p.m. EST
What Is It… and Is Social Networking The Right
Marketing Tool For You?

Ortho Tribune Study Club Launch Online C.E. Festival

11 Various speakers
JULY

Saturday, July 11, 2009, 10:00 a.m.–5:30 p.m. EST
The OTSC will be launched with a full day of
successive webinars covering various current
topics in Orthodontics, taught by opinion leaders
in the industry.

Gone with the wind: falling

cash closes motorway
A German motorway was
closed in both directions after
an envelope containing 23,000
euros (31,000 dollars) flew out
of an open-top car, causing a
rainstorm of cash, police said
on Thursday. Skip related content
The driver of the Audi A3 convertible, a 23-year-old man, was
test-driving the vehicle on
Wednesday and unwisely placed
the pile of crisp 500-euro notes to
pay for the car on the back seat.

When he realised his costly
error, he called the police, who
closed down the motorway during the hunt for the notes.
A search for the cash recovered 40 out of the 46 high-denomination notes, meaning the
test-drive still cost him a pricey
3,000 euros.
According to Die Welt daily,
police are now deciding whether
he will also be charged a fee for
the operation, which caused tailbacks in both directions. DT

Getting Started in Implantology
Various speakers

July 25, 2009, 10:00 a.m.–5:30 p.m. EST
25 Saturday,
Through a succession of focused webinars,
JULY

Blonde and the
cheating boyfriend
A blonde suspects her
boyfriend of cheating on her, so
she goes about and buys a gun.
She goes to his apartment
unexpectedly and when she
opens the door, she finds him
in the arms of a redhead. Well,
the blonde is really angry. She

opens her purse to take out the
gun, and as she does so, she is
overcome with grief.
She takes the gun and puts
it to her head. The boyfriend
yells, “No, honey, don’t do it.”
The blonde replies, “Shut
up..... You’re next!!” DT

AUGUST

leading specialists provide a general overview
of Implantology for those who are interested
LQ´JHWWLQJVWDUWHGLQµWKHÀHOG(DFKOHFWXUH
will provide a thorough introduction to the
techniques, products and practice management
impact in implantology.

YouTube... The Video Granddaddy
of Social Media (Part 6 of 6)
Mary Kay Miller

Thursday, August 06, 2009 7:00 – 8:30 p.m. EST
YouTube is the #1 video networking site on the
Internet today. Learn the Dos and Don’ts When
Using YouTube to Promote Your Practice.

[15] => ME

DTME0309:ME 5/30/2009 4:04 PM Page 15

[16] => ME

DTME0309:ME 5/30/2009 4:04 PM Page 16

Now
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A STRONG BOND WITH CERTAINTY

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VOCO GmbH · P.O. Box 767 · 27457 Cuxhaven · Germany · Tel. +49 (4721) 719-0 · Fax +49 (4721) 719-140 · www.voco.com

) [page_count] => 16 [pdf_ping_data] => Array ( [page_count] => 16 [format] => PDF [width] => 888 [height] => 1237 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT Middle East and Africa

[toc] => Array ( [0] => Array ( [title] => Poor dental habits increase swine flu risk [page] => 01 ) [1] => Array ( [title] => News [page] => 03 ) [2] => Array ( [title] => Games technology to help in future dental training [page] => 04 ) [3] => Array ( [title] => Media CME: Adhesive dentistry [page] => 06 ) [4] => Array ( [title] => Diabetes and oral health [page] => 09 ) [5] => Array ( [title] => A corner stone in UAE dental education [page] => 12 ) [6] => Array ( [title] => Dental Cafe [page] => 14 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

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