DT Middle East and Africa
India plans to overhaul dental education system
/ Samsung Medical Center Signs agreement with INDEX Holding to open its first MENA Medical Center in Dubai
/ Sharjah Women's College Mobile Health Clinic is ready to roll again
/ Implanted eye tooth helps blind patient see again
/ Peri-implant soft tissue recessions
/ Worldental Communiqué October 2009
/ 2nd Qatar International Medical and Hospital Show
/ 1 In 5 Kids Lack Vitamin D - Study Says
/ News & Opinions
/ Rosmah proposes summit of first ladies on nurturing women leaders
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[1] =>
ME
DTME1009_ME 10/27/2009 7:30 PM Page 1
DENTAL TRIBUNE
The World’s Dental Newspaper · Middle East & Africa Edition
PUBLISHED IN DUBAI
2
Hours
OCTOBER 2009
Media CME
Peri-implant soft tissue
recessions
4Page
NO. 4-5 VOL. 7
Middle East
News & Opinions
2nd Qatar International
Medical and Hospital Show
1 In 5 Kids Lack Vitamin D,
Study Says
6
4Page
India plans to overhaul
dental education system
11
4Page
Announcement
Dental Tribune Middle East
& Africa (DTME) is moving
into new office , please note
our new telephone, facsimile and PO Box numbers:
Education Zone
Knowledge village, Dubai
Tel: + 971 4 391 0257
Fax: + 971 4 3664512
PO Box: 214592
Dubai, UAE
Dental graduates in India have trouble to find a career in dentistry. (DTI/Photo Michael Jung)
HONG KONG/LEIPZIG, Germany: The Dental Council of
India has recently announced
to introduce changes in the
country’s lacking dental education system. According to
president Dr Anil Kohli who
spoke to dental graduates of
the Sri Ramakrishna Dental
College and Hospital in Coimbatore in September, the Council will look into the accreditation standards for graduate and
postgraduate dental courses,
as well as continuing dental education and clinical fellowship
programmes. Other issues including CE recognition in India
and abroad will also be reviewed.
India has the largest number
of dental schools and students in
the world but the quality of den-
tal education has gone down recently, especially in economically underdeveloped areas. In
addition, a large number of graduates have to quit dentistry due to
limited career options.
Dr Kohli said that the implementation of the changes will
take several years to complete
but they are needed to improve
the quality of dentistry in the
country and to attract more students from foreign countries. He
also stressed the need for a national oral health policy.
“Our own figures show that
only four to five per cent of the
population visit a dentist. We’ll
have to look at this aspect as the
next frontier of dental care in India if we are going to provide
fruitful employment to our fresh
graduates, “ he added. DT
12
Low doses of
radiation can
cause heart
disease and
stroke
A mathematical model constructed by researchers at Imperial College London predicts
the risk of cardiovascular disease (heart attacks, stroke) associated with low background
levels of radiation. The model
shows that the risk would vary
almost in proportion with dose.
Results, published October 23
in the open-access journal
PLoS Computational Biology,
are consistent with risk levels
reported in previous studies involving nuclear workers.
Cardiovascular disease is the
leading cause of death and one of
the leading causes of disability in
developed countries, as reported
in the paper and also by the World
Health
Organization
(http://www.who.int/whosis/en
/). For some time, scientists have
understood how high-dose radiotherapy (RT) causes inflammation in the heart and large arDT page 3
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[2] =>
ME
DTME1009_ME 10/27/2009 7:44 PM Page 2
2
DENTAL TRIBUNE Middle East & Africa Edition
Middle East
Samsung Medical Center Signs agreement with INDEX
Holding to open its first MENA Medical Center in Dubai
Dubai Health Authority – Government of Dubai Support the Agreement and Endorse the initiative
Dubai, UAE, 18 October 2009:
INDEX Holding announced,
during a press conference held
today in Dubai Health Authority Head Quarter, signing an
agreement with Samsung
Medical Center with the support of Dubai Health Authority
– Government of Dubai.
“We are delighted that Samsung Medical Center considers
Dubai to be their first residence
in MENA region and we welcome
their presence in UAE. We extend our support to the agreement signed today between INDEX Holding and Samsung Medical Center and we consider this
step as an addition to Dubai’s unremitting achievements in the
medical sector. We highly appreciate the constant contribution of
INDEX Holding in attracting foreign investment to UAE through
the organization of prominent
medical exhibitions and conferences such as FDI and IHF World
Congress 2011 in addition to
more than 12 annual leading
conferences in cooperation with
Dubai Health Authority. Dubai
government highly encourages
the private sector to invest in the
medical sector, and Dubai Health
Authority also considers the private sector to be its strategic partner in providing the best heath
services in UAE” said Qadi Saeed
Al Murroshid, Director General
of Dubai Health Authority.
Since initiating Korea’s first
medical referral system in 1995,
Samsung Medical Center currently maintains Korea’s largest
medical cooperative network
that includes some 70 cooperative hospitals and 700 member
clinics. With more than 10,000
personnel including 5,000 medical professionals, Samsung
Medical Center is one of the
largest advanced medical complexes. Also as a designated
teaching
hospital
for
Sungkyunkwan
University
School of Medicine, Samsung
Medical Center produces outstanding future leaders in
healthcare.
“We would like to thank the
government of Dubai, Dubai
Health Authority and Index Holding for giving us the opportunity
to introduce and promote the
high state of our healthcare services to the region in Dubai, the
city that represents quality of life.
The agreement is a culmination
of the forward-thinking leadership of Dubai government, a determination by INDEX Holding,
and world class medical capabilities of the Samsung Medical
Center, and will provide a new
ground not only for strengthening healthcare status of both
countries, but also for enhancing
health and welfare of the Middle
East and North Africa. We will
also welcome the patients to be
treated in our advanced medical
centers in Korea. In addition to
Dubai’s strategic position in the
region, we will also benefit from
the integrated infrastructure of
its medical sector and the facilities provided by the government”
said Jong-Chul Rhee, President &
CEO, Samsung Medical Center
Since Samsung Medical Center opened its Comprehensive
Cancer Center with 700 beds,
Asia’s largest in size, in 2008, it
has performed some 1,900 gastric cancer and 1,600 colorectal
cancer operations. This year,
Samsung Cardiovascular Imaging Center in Collaboration with
Mayo Clinic began its operation,
introducing a new concept in
providing healthcare services to
patients with complex cardiovascular diseases. Also, the quality of care in liver transplant and
extremely low birth weight infant patients, along with others,
well exceeds those in developed
countries.
“During our last visit to Seoul,
we have initially signed the MOU
with Samsung Medical Center to
be the sole representative of
Samsung Medical Center in the
region and we are pleased to sign
the agreement today with the
support of Dubai Health Authority as a strategic partner. “Index
and Samsung Medical Center
agreement” will not only provide
unique and active services to
UAE citizens and residents but
will also be of great benefit to the
MENA region at large. We at Index Holding consider our growth
as a part of UAE’s national economic growth and feel responsible of being pioneers in the
health sector. This was not to
happen without the constant
support of Dubai Health Authority and other governmental sectors in the UAE” said Abdul Salam
Al Madani, President of Index
Holding. DT
Root Canal Treatment Made Easy
Region’s dentists to learn new techniques from international experts at Dentistry 2009
Dubai, According to a recent
survey by the American Association of Endodontists (AAE),
fear of dentists plagues more
than 80 per cent of us. Root
canal procedure is the most
feared treatment with 54 per
cent of adults as afraid of getting a root canal as they are of
flying during a storm.
Any procedure that can make
root canal treatment quicker or
less painful has to be good news
for everyone. At Dentistry 2009, a
multi-track conference and exhibition, the region’s dentists will
be learning how to perform a successful root canal treatment in
less than 45 minutes, saving patients time, stress and discomfort.
The new treatment will be
presented by Dr Ahmet Utkut
Ozan, Executive Director of
Maxim Dental Institution in the
USA and key speaker at the conference. Dr Ozan has been selected as one of the ‘Top Hundred
Clinicians’ in the USA for the past
three years and his popular
‘proven methods’ in Endodontics
have been presented within the
USA and internationally. At Dentistry 2009 he will be running the
workshop “A Recipe for Successful Molar Endo in under 45 minutes”, a technique many dentists
will be keen to learn in order to
offer their patients the most upto-date care techniques.
“The best part of my lecture
series is the workshops,” says Dr
Ozan. “My focus is to teach attending dentists completely new
techniques, utilising proven
older technology covering topics
such as activated irrigation, intra
canal aspiration and troubleshooting in endodontics.”
Dr Ozan is honoured to be
elected as a top hundred clinician in the USA, especially since
he originally trained in his home
country of Turkey. “I believe that
the Western dental world has a
lot to learn from Eastern dental
professionals,” he explains. “As a
Middle Eastern dentist I love visiting the region, particularly the
UAE, and enjoy the scientific sessions which are well organised
and up-to-date.”
In addition to Dr Ozan’s lecture series, the list of speakers at
Dentistry 2009 includes over 30
of the leading experts in the field
of dentistry. Attendance at a lecture or workshop will carry CME
(Continuing Medical Education)
credits highlighting the educational significance of the event.
“With five IDR award winning
presenters amongst others, top
notch leaders in each discipline
of dentistry and world renowned
speakers all under one roof, Dentistry 2009 is a gathering you
wouldn't want to miss,” emphasised Raza Chevel, Conference
Producer - Exhibitions, IIR Middle East, UAE.
Crafted by IIR Middle East
Life Sciences, the organisers of
the annual Arab Health Exhibition & Congress, Dr Ozan’s lecture series will be running at
Dentistry 2009 from 10 to 12 November at the Abu Dhabi National
Exhibition
Centre,
UAE. DT
DENTAL TRIBUNE
The World’s Dental Newspaper · Middle East & Africa Edition
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
hussain.alvi@dental-tribune.ae
Published by Venus Advertising
in licence of Dental Tribune International GmbH
© 2009, 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.
Editorial Board
Dr. Abdel Salam Al Askary, Implantology, Egypt
Dr. Talal Al-Harbi, Orthodontist, Qatar
Dr. Mohammed H. Al Jishi, Bahrain
Postal Address:
P.O. Box 214592, Dubai, UAE
Tel- 009714 3910258 Fax- 009714 3664512
Dr. Lara Bakaeen, Prosthodontist , Jordan
Dr. Abdullah Al-Shammary, Restorative Dentistry, KSA
Dr. Aisha Sultan, Periodontist, UAE
Dr. Kamal Balaghi Mobin Aesthetics, Iran
Prof. Hussain F. Al Huwaizi, Endodontics, Iraq
[3] =>
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DTME1009_ME 10/27/2009 7:30 PM Page 3
DENTAL TRIBUNE Middle East & Africa Edition
Middle East
3
Sharjah Women's College Mobile Health Clinic
is ready to roll again
Sharjah, (WAM)--The Mobile
Health Van will be launched
again in the academic year
2009-2010, starting from October 16th, following success and
warm welcome by all schools it
visited in Sharjah and Ajman
over the academic year 20082009.
Scoring tremendous success
in this unique experiment, the
mobile health van, w which was
started by a team of dedicated
health sciences students, is ready
once more to reach as far as it can
into the community.
The month of November will
also see the mobile clinic coordinate its activities with Dubai
Health Festival, which is being
organized by Dubai Healthcare
City to maximize their outreach
and provide the students an opportunity to learn from the expertise offered by the DHCC staff.
The health awareness campaign has been a useful experiment in getting senior health sciences students to step out into the
community and share their
knowledge and polish their
newly learnt medical skills The
DT Page 1
teries and how this results in the
increased levels of cardiovascular disease observed in many
groups of patients who receive
RT. However, in the last few
years, studies have shown that
there may also be cardiovascular
risks associated with the much
lower fractionated doses of radiation received by groups such as
nuclear workers, but it is not
clear what biological mechanisms are responsible.
The Imperial College London
team, led by Dr. Mark Little, has
explored a novel mechanism that
suggests that radiation kills
monocytes (a type of white blood
cell) in the arterial wall, which
would otherwise bind to monocyte chemo-attractant protein 1
(MCP-1). The resultant higher
levels of MCP-1 cause inflammation which leads to cardiovascular disease. As well as being consistent with what is seen in nuclear workers, the changes in
MCP-1 caused by dietary cholesterol that are predicted by the
model are also consistent with
experimental and epidemiologic
data.
If the mechanism is valid it
implies that risks from low dose
radiation exposures (e.g., medical and dental X-rays), which
until now have been assumed to
result only from cancer, may
have been substantially underestimated, say the authors.
The biological mechanism
has yet to be experimentally
tested. Further research is
planned to investigate this. DT
team has planned a detailed program of workshops and lessons
on personal hygiene, dental
health, H1N1 awareness, anemia, diabetes, good nutrition;
these workshops will be supplemented with basic testing that in-
cludes blood glucose, hemoglobin, BMI measurements.
The eager students have thoroughly enjoyed learning the basics of good health and hygiene in
a fun way from their equally ea-
ger to impart elder national sisters. An activity that generated
much enthusiasm in the previous run was the Glo germs', a fluorescent dye that makes the
germs on the hands glow under
the UV light. The young faces
were horrified to see the bugs on
their hands and the message of
hand washing' surely hit the
mark. With the world battling the
H1N1 pandemic this activity will
surely help the efforts of the Ministry of health to contain this DT
AD
[4] =>
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DTME1009_ME 10/27/2009 7:31 PM Page 4
4
DENTAL TRIBUNE Middle East & Africa Edition
Trends & Applications
Implanted eye tooth helps blind patient see again
First osteo-odonto-keratoprosthesis procedure performed in the US
of Medicine, where the patient’s
eye tooth was implanted as a
base to hold a prosthetic lens.
The patient was blinded in 2000
by the effects of Stevens–Johnson syndrome, a severe adverse
reaction to common drugs,
causing burning, blistering and
sloughing of skin and involved
MIAMI, FL, USA: A 60-year-old
patient from the US has recovered her sight after surgeons
in Miami implanted one of her
teeth in her eye. This surgical
procedure was a first in the US
and undertaken at the Bascom
Palmer Eye Institute at the University of Miami’s Miller School
(MOOKP) procedure, a complex
surgery that had until now
been available only in a limited
number of eye centres in Europe
and Asia. Developed by the
Italian ophthalmologist Prof.
Benedetto Strampelli in the
1960s, MOOKP has proven effective as a solution to end-stage
tissue. It also frequently causes
blindness, and results in 100,000
deaths per year worldwide.
Dr Victor L. Perez, Associate
Professor of Ophthalmology at
the Bascom Palmer Eye Institute, and his interdisciplinary
team performed a modified osteo-odonto-keratoprosthesis
AD
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“For certain patients whose
bodies reject a transplanted or
artificial cornea, this procedure
‘of last resort’ implants the patient’s tooth in the eye to anchor
a prosthetic lens and restore
vision,” explained Dr Perez.
In MOOKP, an extracted tooth
and surrounding bone are shaved
and sculpted, and a hole is drilled
to insert an optical cylinder lens.
In order to bond the tooth and
lens as a bio-integrated unit, they
are implanted under the patient’s
skin in the cheek or shoulder.
The eye specialist then prepares
the surface of the eye for implantation of the prosthesis, by removing scar tissue surrounding
the damaged cornea.
About one month later, mucous material is collected from
the inside of the patient’s cheek
and used to cover and rehabilitate the surface of the damaged
eye. In the final phase, the prosthesis is removed from the cheek
or shoulder and implanted in the
eye. The prosthesis is aligned
with the centre of the eye, and a
hole is made in the mucosa for
the prosthetic lens, which protrudes slightly from the eye and
enables light to enter the eye,
allowing the patient to see again.
“The procedure will help
countless of people in the US to
regain sight,” said Dr Eduardo
C. Alfonso, chairperson of the
Bascom Palmer Eye Institute.
“Thanks to the work of Dr
Perez’s team, patients in the US
now have access to this complex
surgical technique.” DT
Laser
dentistry gets
boost in India
# #&#(&
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6
corneal disease, in which severe
corneal scarring blocks vision
and corneal transplants are no
longer an option but the eye’s
internal structures and optic
nerve remain healthy.
458$ 9< ;
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The local government of
Gujarat, a federal state in Western India, has announced a new
initiative to incorporate laser
dentistry into the dental curriculum of all governmental
dental colleges. The move
comes after a clinical guide for
oral laser applications was released at the 3rd National Conference on Oral Laser Applications held in Ahmedabad earlier
this month.
According to Gujarat Health
Minister Jaynarayan Vyas, the
project will be supported by the
Society for Oral Laser Applications, an affiliate organisation of
the International Society for Oral
Laser Applications in Vienna
(Austria). If the initiative succeeds, government authorities
expect to appoint dental laser
specialists in each of the state’s
districts soon. DT
[5] =>
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DTME1009_ME 10/27/2009 7:31 PM Page 5
[6] =>
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6
DENTAL TRIBUNE Middle East & Africa Edition
Media CME
2
Hours
Peri-implant soft tissue
recessions
By Dr. André P. Saadoun, D.D.S., M.S.
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.
Introduction
A beautiful aesthetic result
is difficult to obtain with implants in the anterior areas.
Both the alignment of the gingival margin and the presence of
papillae are essential elements
in resolving aesthetic implant
problems to achieve an harmonious smile. These two soft tissue entities, however, are
closely related to the patient’s
biotype and to the quality/
quantity of underlying structural alveolar bone.
The peri-implant gingiva,
particularly if it is narrow, with a
thin-scalloped biotype, inevitably retracts six months after
the abutment connection and
restoration, owing to the reformation of the biologic space
(Small and Tarnow, 2000).
The process of soft and hard
tissue healing must be understood and incorporated into a
carefully coordinated sequence of therapy. It is also important to identify complications and clinical mistakes and
their implications on the final
aesthetic outcome (Saadoun et
al, 1999).
How, then, should soft tissue
recession (bone and gingiva)
around an implant be prevented or treated?
Prevention of peri-implant
recession
Marginal bone loss of 1 mm
in the first year following the
abutment connection, followed by loss of 0.2 mm per
year, were among the criteria
defined for implant success
(Albrektsson et al, 1986). Saving a few tenths of a millimetre
of bone around an implant does
not increase the longevity of
the implant, and should be
done only for aesthetic reasons. To prevent or to decrease
peri-implant bone resorption
and consequent gingival recession following implant
restorations in the anterior
zone, several strategies have
been suggested, which are explained in detail in the following points.
1) Implant design and diameter
The design of the collar of
the implant should stabilize
the crestal bone by bringing
the roughened surface right up
to the platform, and the
threads/microgrooves as close
as possible to the platform,
with no divergence of the collar walls.
The thread position of the
implant determines the effective level of remodelling after
loading, and this is perhaps
even more important than the
position of the implant abutment microgap. (Rompen et al.,
2003).
Placement of the implant
platform 1.5 mm above the
bone, helps to minimize bone
loss as the biological space
around the implants is established on the collar (Lezly
Miller, 2005).
2) Implant placement and
extraction timing
To make the best choice be-
tween different alternatives of
implant placement, a precise
pre-surgical diagnosis is necessary in order to evaluate the
gingivo-osseous parameters,
to determine the optimal moment to extract the tooth and
place the implant, and to decide whether implant placement and loading should be
immediate, early or delayed
(Saadoun and Landsberg,
1997).
Orthodontic treatment is
the best solution for patients
who wish to limit the surgery
required for the placement of
implants to a single session,
and to enhance the hard and
soft tissue profile prior to extraction and implant placement (Salama et al, 1993).
3) Flap design
On healed site the limited
flap design minimizes inter
proximal bone and papillae
loss. Many flap design have
been described for healed
sites, some raising the total inter proximal papillae with sucular incision around adjacent
teeth, others using mid-crest/
palatal crest incision with sulcular envelope flap and, finally, tissue punch flap recommended in large amount of
keratinized gingiva.
Flapless approach using tissue punch procedure has many
advantages: less trauma to the
bone and disturbances to the
soft tissue stability, reduction
of pain and oedema, and less
post surgical information.
Immediate implant place-
Smile aspect 6 months later
ment after extraction is usually
a flapless surgical procedure,
the extraction being done using a periotome to minimize
traumatic damage to the hard
and soft tissues.
4) Tridimensional implant
placement
Satisfactory morphology of
the papilla and of the gingival
margin after anterior implant
restoration depends ultimately
on two factors: implant placement (Esposito et a1.1993,
(Saadoun et al, 1998, Jovanovic, 1999, Grunder et al,
2005) and implant restoration.
The tridimensional criteria
for implant placement in the
aesthetic zone are:
• Mesio-Distal: 1.5-2mm between implant and adjacent
tooth 3.5-4mm between implant and adjacent implant
• Bucco-Lingual: 2.5-3mm
from the cervical height of
contour of the adjacent teeth
to the buccal surface of the
implant platform.
• Corono-Apical:
2.5-3mm
apical to the bucco gingival
margin depending on the biotype
Therefore, if immediately
post extraction implant placement is indicated, the osteotomy must be performed
against the palatal wall to prevent any damage to the remaining (and usually thin)
buccal cortical bone (Testori,
2003).
5) Connective osseous grafts
An autegenous bone and
xenograft with a membrane is
used to gain buccal thickness
knowing that bone resorption/
gingival recession always occurs after extraction/implant
placement.
Gingival biotype plays an
important role in determining
tissue levels achieved around
implants. A thin biotype is generally more susceptible to periimplant recession, induced by
the resorption of a thin labial
cortical plate. The use of osseous and connective grafts
converts a thin gingival biotype
into a thick gingiva (Mathews,
2000), which can enhance gingival marginal stability and
simplify tissue management
during the restorative treatment phase.
6) Abutment and restoration
Optimal aesthetics will be
promoted if the final abutment
is installed at the time of implant placement, and left in
place undisturbed, throughout
the final restoration phase,
avoiding disturbance of bone
and soft tissue architecture.
Fig. 1: Deformed ridge following traumatic extraction (right view)
Fig. 2: Deformed ridge following traumatic extraction (central view)
Fig. 3: Deformed ridge following traumatic extraction (left view)
Fig. 4: Implant insertion after flap
elevation
Fig. 5: Bio-Oss graft combined with PRF particulates
Fig. 6: Implant and graft covered with PRF membrane
Fig. 7: Coronally advanced flap (frontal view)
Fig. 8: Coronally advanced flap (left view)
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DTME1009_ME 10/27/2009 7:31 PM Page 7
DENTAL TRIBUNE Middle East & Africa Edition
Media CME
7
(Rompen et al, 2003). Disconnection and reconnection of
the abutment disrupts the biologic zone, inducing the junctional epithelium to migrate
apically beyond the implantabutment junction until it can
adhere again. This often results in marginal bone loss,
particularly in cases of thin
gingival biotype.
It is important to minimize
the bacterial contamination in
and around the implant-abutment junction. The seal provided by an abutment of locking-tapered design has been
demonstrated to be optimal in
this respect, in vitro (Dibart et
al, 2005).
Implant abutments of gold
or glazed ceramic should be
avoided. Only titanium or zirconium abutments are recommended because hemidesmosomes have been shown to attach to them (Touati and Guez,
2002).
In order to retain soft and
hard tissue around the implant/-abutment connection,
the transmuscosal aspect of the
implant abutment should not
be oversized and divergent, but
rather narrow and concave in
order to induce thickening and
immobilization of the peri-implant tissues, thus increasing
the interface between the implant and the soft tissue, and
creating an "O-ring connective
tissue". This will ensure the
long-term stability of the biological width (Rompen et al,
2007).
Beneath the restoration, the
concave abutment should provide maximum space to the soft
tissue and clearly avoid a flared
geometry. Its submerged profile should be negative to avoid
compression of and to allow
maximum thickness and stability of the soft tissue, as well
as more room for the biologic
width (Touati 2004). On the
buccal aspect, the emergence
profile of both the provisional
and the final restorations
should be flat or concave (under-contoured), to minimise
pressure-induced apical migration of the gingival margin.
Design of final crowns to
comply with the following
"norms" will go a long way toward optimising papillary
form (Salama et al., 1999; Elian
et al., 2002):
• Distance from interdental
bony crest to contact point between natural crown and implant-borne crown: 4.5 mm
• Distance from inter-implant
bony crest to contact point between two implant-borne
crowns: 3.4 mm
• Distance between bony crest
and connection point between an implant-borne
crown and a pontic: 5.5 mm
7) Occlusal trauma
It has been proven that an
excessive occlusal load during
DT page 8
Fig. 9 : Flap design before implant exposition
Fig. 10: Soft tissue aspect 4 weeks after implant exposition (occlusal view)
Fig. 11: Soft tissue aspect 4 weeks after implant exposition (frontal view)
AD
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DENTAL TRIBUNE Middle East & Africa Edition
Media CME
Fig. 12: Zirconium abutment with its guide and
screw driver
Fig. 13 : Zirconium abutment in place using the
guide
Fig. 14: Temporary crown 6 weeks later
Fig. 15: Soft tissue aspect after removal of the
temporary crown
Fig. 16: Temporary crown 6 months later
Fig. 17: Soft tissue aspect around the abutment 6
months later
Fig. 18: Procera restoration on the day of cementation
Fig. 19: Restoration 3 months later
DT Page7
function can cause the loss of
pert-implant bone (Misch et al,
2005). The control of horizontal, trans-axial forces on an implant during the first months of
function is a determining factor in reducing stress in the
crestal zone, in enabling bone
adaptation, and in minimizing
crestal bone loss (Legall et
Saadoun, 2002).
Conclusion
The essential prerequisites
for an optimally aesthetic implant restoration should always remain a careful, precise, comprehensive, biologically- and prostheticallybased diagnosis, as well as the
choice of the most appropriate
implant materials, most conservative, and least traumatic
treatment techniques, aimed
at conserving, and where necessary augmenting gingival
and bone to achieve a successful outcome. IT
Fig. 20: Smile aspect 6 months later
References
- Albrektsson T et al. The longterm efficacy of currently used
dental implants. A review and
proposed criteria of success. Int
J Oral fulaxillofac Impl, 1986;
1:11-25.
- Dibart S, Warbington M, Su MF,
Skobe Z. In vitro evaluation of
the implant-abutment bacterial
seal: the locking taper systemInt J Oral Maxillofac Implants,
2005; 20:732-737.
- Elian N, Jalbout ZN, Cho SC. et
al. Realities and limitations in
the management of the interdental papilla between implants: three case reports. Pract
Proced
Aesthet
Dent
2003;15(10);737/744.
- Esposito M, Ekestubbe A, Grondahl K Radiological evaluation
of marginal bone loss at tooth
surfaces facing single Branemark implants. Clin Oral Imp
Res, 1993;4(3):151-157.
- Grunder U, Gracis S, Capelli M.
Implantation in the tridimensional space: Aesthetic consequences. Int J Perio Rest Dent,
2005; 25(2), 72-83.
- Jovanovic
SA,
Paul
SJ,
Nishimura RE. Anterior implant-supported reconstruction: a surgical challenge. Pract
Periodontics Aesth Dent, 1999;
11(5):551-558.
- Legall MG, Lauret JF, Saadoun
AP. Occlusion fonctionelle en
implantologie. Occlusion et
Fonction. JPIO, 2002 : 97-120.
- Lezly S, Miller, B. Replacement
of adjacent missing anterior
teeth with scalloped implants: a
case report. Pract. Proc. Aesth.
Dent. 2005, 17(5):331-338.
- Mathews DP Soft tissue management around implants in the
esthetic zone. Int J Periodont
Rest Dent 2000;20:141-149.
- Misch C, Suzuki J, Misch-Mietsh F, Bidez M. A positive correlation between occlusal trauma
and peri-implant bone loss: literature support. Implant Dent,
2005, 14:108-116.
- Rompen E, Touati B, Van
Dooren E. Factors influencing
marginal tissue remodelling
around implants. Pract Proved
Aesthet Dent 2003;15(10):754-761.
- Rompen E, Raepsaetn N,
Dompkaen O, Touati B, Van
Dooren E. Soft tissue stability
at the facial aspect of gingivally
converging abutment in the
aesthetic zone: a pilot clinical
study. J. Prost Dent, 2007; sup
97(6):119-125.
- Saadoun AP, Le Gall MG. Periodontal implications in implant
treatment planning for aesthetic results. Pract Periodont
Aesthet Dent, 1998;10(5):655664.
- Saadoun AP, Le Gall MG,
Touati B. Selection and ideal
tridimensional implant position for soft tissue aesthetics.
Pract Periodont Aesthet Dent.
1999;11(9):1063-1072
- Saadoun AP, Le Gall MG, Touati
B. Current trends in implantology: Part 1-Biological response,
implant stability, and implant
design. Pract Proved Aesthet
Dent, 2004;16(7):529-535.
- Salama H, Salama MA. The role
of orthodontic extrusive remodelling in the enhancement
of soft and hard tissue profiles
prior to implant placement. Int J
Periodantics Restorative Dent,
l993:13(4)-312-333.
- Small PN, Tarnow DP. Gingival
recession around implants: a 1year longitudinal prospective
study. Int J Oral Maxillofac Implants, 2000; 15(4).527-532.
- Small PN, Tarnow DP, Cho SC.
Gingival recession around
wide--diameter versus standard-diameter implants: A 3- to
5-year longitudinal prospective
study. Pract Proved Aesthet
Dent 2001;13(2):143-146.
- Testori T. Ideal implant positioning in maxillary anterior
extraction sockets. Acad News,
2003;1-13.
- Touati B, Guez G. Immediate
implantation with provisionalization: from literature to clinical implications. Pract Proved
Aesthet Dent. 2002;14(9):699707.
- Touati B. Biologically driven
prosthetic options in implant
dentistry. Pract Proved Aesthet
Dent, 2004;16(7):517-520.
About the author
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Dr. Saadoun
his De- of
drawn
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thereceived
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gree in Dental Surgery from the
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spective
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How can professionals
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Dr. Saadoun is an internationally-known lecturer in PeriodonHow to earn CME credits?
tology and Implantology and has
Once
the reader attends the diswritten over 150 articles and sevtance-learning
program, he/she
eral chapters of books.
can
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Read
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Fill in theImplantology
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medal of “Chevalier de l’Ordre
After submission of the answers,
National du Mérite”.
(name and membership number
He is also on the Editorial Board
must
be included for processing)
of Scientific Journals, Practical
they
will receive
Certificate
Procedures
and the
Aesthetic
Den-with
unique
ID Number
within
48 to
tistry, Implant
Dentistry,
Dental
72hours.
Implantology Update.
Questionnaires
Dr. Articles
Saadounand
maintains
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Aes- the
be available in the website
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[9] =>
ME
DTAP0909_09-10_FDI-final:DTAP0309_09-10_FDI 10/26/2009 8:28 PM Page 1
Message from the president 2009 FDI elections
The 2009 FDI Annual World
Dental Congress (AWDC) in
Singapore has come to a close
for another year. This year’s
event ran seamlessly thanks to
the tireless efforts of the Local
Organising Committee (LOC)
and volunteers. I would like to
make a special mention of the
FDI staff, which has been working in collaboration
with the Singapore
LOC in addition to relocating the FDI head
office from FerneyVoltaire, France, to
Geneva, Switzerland.
The congress provided an ideal
forum to further strengthen FDI’s
relationships with member associations, corporate partners and
contributing specialists. During
the National Liaison Officer (NLO)
Lunch on 2 September, three of four
contributing authors to “The Oral
Health Atlas” made a brief presentation about the research involved
forever cherish the moment I received the presidential chain from
my distinguished colleague, PastPresident, Dr Burton Conrod, in a
symbolic change of FDI presidency.
During his term as president, Dr
Conrod has supported important
FDI initiatives to increase global
awareness about oral health issues,
including Live.Learn.Laugh., the
publication of ‘The
Oral Health Atlas’ and
the Global Caries Initiative. In my Welcome
Ceremony speech, I affirmed my commitment to the continuation of these and other
FDI activities. Later we
enjoyed a colourful
performance that took
the audience through
Singapore’s•••history,
represented through
dance and music.
The AWDC brought
together 107 speakers
from many disciplines
of the dental profession
to share knowledge and
best practices on treatment advances with colleagues from around the
Looking at the year
world. Congress particiahead we have many
pants were dazzled with
Burton Conrod passes the presidential chain to incoming FDI Presiexciting projects on
the latest developments Dr
dent Dr Roberto Vianna. (DTI/FDI)
the horizon, including
in products and equipupcoming events for the Global
in compiling this new FDI advocacy
ment at the Exhibition, which feaCaries Initiative and the FDI Retool, which was officially released
tured more than 130 international
gional Continuing Education Prolater that day. I was delighted to
vendors. During the week, imporgramme. I feel proud to have been
learn as well about the Unilever antant business meetings designed
given this opportunity to serve as
nouncement: Unilever has reto set the agenda for global health
FDI President, particularly at a time
newed its partnership with FDI on
advocacy took place, as well as the
when next year’s AWDC will be in
the Live.Learn.Laugh. programme
2009 FDI Elections. Congratulamy home country. The 2010 AWDC
for another three years, to continue
tions to Council and Committee
Local Organising Committee has
developing oral health projects for
members who were appointed durbeen working steadily towards
communities in need.
ing the General Assembly B and
welcoming us all in Salvador da
Council C meetings (see 2009 FDI
Bahia next year and I look forward
The Welcome Ceremony this
Elections). And thank you to outgoto seeing you there!
year was a special evening for me.
ing representatives who have dediSingapore’s Health Minister, Mr
cated their time and expertise to the
Khaw Boon Wan, delivered an inorganisation: Dr William O’Reilly,
spiring account of the positive imDr Neil Campbell, Dr Mark Goodprovements to oral health in his
hew, Dr Claus Munck, Dr Howard
country, emphasising as well the
Jones, Prof. Martin Tyas, Prof.
need to continue working in colReiner Biffar, Mr George Weber
Dr Roberto Vianna
laboration across the region. I will
and Prof. Martin Hobdell.
FDI President
There were two seats open for
election on the FDI Council,
including President-Elect,
and ten seats open for election on the Committees at the
2009 FDI Annual World Dental Congress. In total, 26 nominations were received for
the available positions, with
FDI President-Elect
four nominations for Council
positions and 22 nominations
for Committee positions.
Congratulations and welcome to the following FDI
Council and Committee members who were elected in Singapore.
Dr Orlando Monteiro da Silva (Portugal)
FDI Council
Councillors
Dr Norberto Lubiana (Brazil)
FDI Committees
Communications &
Member Support Committee
Dental Practice Committee
Science Committee
World Dental Development &
Health Promotion Committee
Dr Jun-Sik Moon (Korea)
Asst Prof. Dr Nikolai Sharkov (Bulgaria)
Prof. Dr S.M. Balaji (India)
Prof. Dr Vladimer Margvelashvili (Georgia)
Dr Ward van Dijk (The Netherlands)
Dr Armando Hernandez Ramirez (Mexico)
Prof. Dr Georg B. Meyer (Germany)
Dr Claudio Pinheiro Fernandes (Brazil)
Dr Jo E. Frencken (The Netherlands)
Dr Kevin S. Hardwick (United States) FDI
FDI Policy Statements
The FDI General Assembly
adopted three new and nine revised FDI Policy Statements at
the 2009 Annual World Dental
Congress.
New Policy Statements
• Dentin Hypersensitivity
• Edentulism and General Health
Problems of the Elderly
• The Use of Academic, Professional and Honorary Titles
Revised Policy Statements
• The Association between Oral
Health and General Health
• Dental Bleaching Materials
• Effect of Masticatory Efficiency
on General Health
• Fluoride in Restorative Materials
• Infection Control in Dental
Practice
• Post-Exposure Prophylaxis for
HBV, HCV and HIV
• Research
The FDI Policy Statements
on Dental Unit Water Lines
and Tuberculosis and the
Practice of Dentistry were
withdrawn at General Assembly
B and Open Forum 1, respectively. FDI
FDI launches new Oral Health sourcebook
Participants and delegates of
the 2009 congress joined incoming FDI President, Dr
Roberto Vianna, FDI Executive
Director, Dr David Alexander,
and authors Roby Beaglehole,
Habib Benzian and Jon Crail,
at the FDI Pavillion for the official release of FDI’s new ‘Oral
Health Atlas’, in commemoration of World Oral Health Day
(WOHD) on 12 September,
2009.
The annual WOHD is an opportunity for diverse segments
of the population to reflect upon
tribution to public libraries
across the city-state. Other member associations have demonstrated interest in translating
the atlas for readers within their
regions.
their own situations when it
comes to managing oral health
and ‘The Oral Health Atlas’ is
designed to illustrate oral health
globally. Using short texts,
colourful maps, graphics and images, along with statistics and
facts, the atlas presents a global
picture of oral health in a visually
intuitive and easy-to-understand
format.
Following the official release at congress, the Singapore
Dental Association announced
it would purchase copies of
‘The Oral Health Atlas’ for dis-
Dr David Alexander and Dr Roberto Vianna with authors of ‘The Oral Health Atlas’
at the FDI Pavillion in Singapore. (DTI/FDI)
‘The Oral Health Atlas’ is
published by Myriad Editions
(www.myriadeditions.com),
which is known for its awardwinning State of the World Atlas
series. More information about
the atlas, including how to
purchase a copy, is available at
the official website: www.oral
healthatlas.org. FDI
[10] =>
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DTAP0909_09-10_FDI-final:DTAP0309_09-10_FDI 10/26/2009 8:28 PM Page 2
10
Worldental Communiqué
DENTAL TRIBUNE Middle East Edition
FDI head office relocates to Switzerland
New FDI head office in Geneva, Switzerland. (DTI/FDI)
The FDI has relocated its global
headquarters to Geneva, Switzerland, completing the final
stage of a plan that has been several years in the making. The
driving forces for the move were
logistical and financial: the FDI
sought to be in a country where
it could conduct business as a
single entity—versus the current
structure of six distinct companies—which could also offer
favourable taxation and simplified management accounting on
commercial activities.
Switzerland was a top contender due to its proximity to
the FDI’s previous head office,
which allowed the possibility of
keeping the majority of existing
staff. Furthermore, the city is a
hub for international governmental and non-governmental
organisations such as the United
Nations, World Health Organization, World Heart Federation
and the International Council of
Nurses, which facilitates collaboration in integrated health
promotion.
The new office is walking distance from the Geneva Airport,
making it convenient for out-oftown visitors. It has 475 sqm of
space and has been renovated
to create an open concept workspace, with 360 degrees of
windows. Earlier this year, FDI
introduced a “Sponsor a Window” programme as a way to
raise funds for the move. FDI
Executive Director, Dr David
Alexander, reported on the
progress of the initiative: “The
response to the Sponsor a Win-
dow programme has been significant and I would like to thank
contributing member associations and individual donors for
their generosity.”
New address of
FDI head office:
FDI World Dental Federation
Tour de Cointrin
Avenue Louis Casai 84
Case Postale 3
1216 Cointrin – Genève
Switzerland FDI
What makes dental FDI/Unilever Poster Award
professionals smile Competition
The Wm. Wrigley Jr. Company has partnered with the FDI
World Dental Federation in the second consecutive edition
of the FDI & Wrigley Photographic Award.
Earlier this year, dental professionals from 63 countries
around the world submitted
photographs to the 2009 FDI &
Wrigley Photographic Award
competition, which ran from
16 March to 8 July. The photographs were reviewed by
a panel of judges and winners
were selected based on their
creativity in addressing “what
makes you smile”.
Tacoma, Washington (also the
North America Regional Winner).
Richard was awarded an expensepaid trip to the 2010 FDI World
Dental Congress in Salvador da
Bahia, Brazil. Additionally, he received a regional prize: a voucher
worth $1,000 US for photographic
equipment, a one-year subscription to the International Dental
Journal, and a year’s supply of
Wrigley sugarfree chewing gum.
Dr William O’Reilly, Dr Burton Conrod and FDI & Wrigley Photographic Award regional winner for Asia-Oceania, Pujan. (DTI/FDI)
“Oral healthcare professionals play a significant role in creating healthy smiles around the
world, and we were thrilled that
professionals took the opportunity to share what makes them
smile”, said Maureen Jones,
Wrigley Oral Healthcare Program Manager.
Winning photographs from
this year’s competition were displayed at the FDI Pavillion during
the Annual World Dental Congress in Singapore. The grand
prize/overall winner of the
2009 FDI & Wrigley Photographic Award was Richard from
About the publisher
Publisher
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: info@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.
The other five regional winners of the 2009 FDI & Wrigley
Photographic Award are:
• Africa region: Sandy from Gauteng, South Africa
• Asia-Oceania region: Pujan
from Singapore
• Europe region: Jan Eric from
Altstätten, SG, Switzerland
• Latin America region: Gunther
from Cartago, Costa Rica
• Middle East region: Neda from
Tehran, Iran
Each regional winner received
the same regional prize noted
above. Also, in addition to the regional winners this year, 50 other
names were chosen at random
from the remaining entries to receive a year’s supply of Wrigley’s
sugarfree chewing gum (approx.
144 packs). Finally, for each entry
received, Wrigley’s Oral Healthcare Program (WOHP) is donating
$25 US per submission, or up to
$25,000 US total, to the FDI World
Dental
Development
Fund
(WDDF), which supports oral
health education and projects in
low-income countries. FDI
The six winners of the 2009
FDI/Unilever Poster Award
Competition were announced at
a reception hosted by the two organising associations in Singapore on 3 September.
They are:
• Sagar•••Abichandani•••(India)—
“Evaluation of the Quality of Root
Canal Fillings in Mumbai, India”
• Myat Nyan (Japan)—“Effects of
simvastatin and alpha-tricalcium phosphate combination
on the early healing of bone
defects”
• Yun-Ching Chang (Chinese Taipei)—“Study of invasion patterns
of oral squamous cell carcinoma
with a new device of modified
grading system”
• Victor T.W. Fan—“Alveolar Bone
Preservation and Augmentation
with scaffold for implant therapy”
• Manisha Kukreja—“Comparative evaluation of hand wrist
radiographs with cervical vertebrae for skeletal maturation in
10–12 yr old children”
Representatives from the FDI and Unilever and the winners of the 2009 Poster Award
Competition. (DTI/FDI)
• Mohanad Al-Sabbagh—“Genetic
variations in periodontally
involved smokers”
More than 120 submissions
were received by the FDI for the
competition this year. The best
posters were selected as finalists
prior to the congress and they were
then invited to present their
posters and research to a panel of
judges, followed by a question and
A FDI/Unilever Poster Award
Competition will be held once
again in 2010. More information
can be found on the FDI website
once it becomes available. FDI
Meeting of the Section Defence
Forces Dental Services
(SDFDS) in Singapore
On 31 August, Brigadier General
(Dr) Benjamin Seet, Chief of
the Singapore Armed Forces
Medical Corps, officiated at the
Opening Ceremony of the Military Programme for the 2009 FDI
Annual World Dental Congress.
The meeting, which attracted
more than 60 military dentists
from 18 countries, provided a
forum for military dental officers
to discuss scientific and military
dental issues.
In his opening address, Brig.
Gen. (Dr) Benjamin Seet emphasised the relevance of this year’s
theme: Dental Healthcare for the
Next Generation of Armed Forces.
With healthcare services of many
Correction note
In FDI Worldental Daily, 4 September,
2009, the article on page 9 about
the SLActive surface from Straumann
included some incorrect information.
Dr Yeo’s first name is Alvin, not Ylvin.
answer session at the congress.
All winners received a free registration to a future FDI Annual
World Dental Congress and 1,500
towards his or her participation in
the congress.
Opening Ceremony of the 2009 Military Programme in Singapore. (DTI/FDI)
armed forces transforming to meet
a wider spectrum of geopolitical
and military challenges, this meeting offered participants an opportunity to network and share knowledge about advancing military
dentistry and providing better oral
care for soldiers and servicemen.
Among the speakers presenting at the congress were Colonel
(Dr) Tan Peng Hui, Commander
of the Singapore Armed Forces
Military Medicine Institute; Major
General Zhao Yimin, Vice-Dean
of the School of Stomatology,
China Fourth Military Medical
University; Colonel Robert Hale of
the US Army Institute of Surgical
Research; and Police Colonel
Peter Sahelangi. A wide range of
topics were discussed during the
two-day Military Programme, including facial trauma care, forensic remains identification, field
dentistry and dental fitness of
soldiers. FDI
[11] =>
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DTME1009_ME 10/27/2009 7:31 PM Page 11
DENTAL TRIBUNE Middle East & Africa Edition
Business 11
2nd Qatar International
Medical and Hospital Show
pital Show, being the sole international medical exhibition in the State of Qatar, truly
serves as a platform for medical suppliers, industry professionals, government bodies, hospital administrators,
3375_1E_210x297:Layout 1
doctors, nurses and other professionals involved in the
medical business
A hundred and more local and
international exhibiting companies will occupy almost
120+ booths. DT
07.07.2009
15:11 Uhr
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Following the success of the inaugural Qatar International
Medical & Hospital Show,
“Qmedic” 2008, Conex W.L.L. is
delighted to launch its Second
Edition, Qmedic 2010 which
will be held on the 4th till the
6th of May 2010, at Doha Exhibition Center, Doha- Qatar under the patronage of the National Health Authority and the
leading partnership of Hamad
Medical Corporation.
Qmedic is the first International Medical and Hospital
Show in the state of Qatar. It reflects the growth that Qatar witnessed in the last few years in
various areas and especially in
the medical field. Qmedic is held
bi-annually, gathering a large
number of leading local and international companies.
In the first edition, Qmedic
2008 brought together the best in
the business of hospital diagnostic, pharmaceutical, dental, laboratory & medical rehabilitation
equipments
and
supplies.
Qmedic also serves as a platform
for medical suppliers, industry
professionals, government bodies, hospital administrators, doctors, nurses and other healthcare
professionals.
Having achieved such successful results at its debut, the
2nd edition will be up to the level
of confidence acquired. Qmedic
2010 is the industry’s foremost
opportunity to display products
and services to a highly qualified
audience and senior decision
makers in Qatar.
With strong support from our
local partners, international
agents worldwide, show promotion at major medical exhibitions
in the region (UAE, KSA Egypt,
Syria, etc) and carefully selected
domestic and international media partners, Conex anticipate a
great number of attendees from
all around the world.
Qmedic 2010 will have a great
concentration on Hospital facilities and equipments, with large
highlights on Medical, Healthcare, Pharmaceutical, Ophthalmology, Dental, and Laboratory
industries.
Participants and Visitors can
expect:
4,000+ visitors from 55+ countries, including more hospital
directors, more managers,
more administrators, more
supervisors,
more
researchers, more GPO executives, and more B2B executives than attend any other
hospital show in the world.
25% of the visitors will be from
the world’s leading countries
81% of the hospital show attendees will play a major role
in the acquisition of developing hospital facilities, equipments and services and regents as either final hospital
decision-maker or the person
that
recommends
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[12] =>
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DTME1009_ME 10/27/2009 7:31 PM Page 12
12 News & Opinions
DENTAL TRIBUNE Middle East & Africa Edition
1 In 5 Kids Lack Vitamin D, Study Says
Vitamin D Thought To Prevent Infections, Diabetes, Cancers
CHICAGO - At least one in five
U.S. children aged 1 to 11 don't
get enough vitamin D and could
be at risk for a variety of health
problems including weak
bones, the most recent national
analysis suggests.
By a looser measure, almost 90
percent of black children that age
and 80 percent of Hispanic kids
could be vitamin D deficient -- "astounding numbers" that should
serve as a call to action, said Dr.
Jonathan Mansbach, lead author
of the new analysis and a re-
searcher at Harvard Medical
School and Children's Hospital in
Boston.
The findings add to mounting
evidence about vitamin D deficiency in children, teens and
adults, a concern because of re-
cent studies suggesting the vitamin might help prevent serious
diseases, including infections, diabetes and even some cancers.
While hard evidence showing
that low levels of vitamin D lead to
disease or that high levels prevent
AD
it is lacking, it's a burgeoning area
of research.
Exactly how much vitamin D
children and adults should get,
and defining when they are deficient, is under debate. Doctors use
different definitions, and many
are waiting for guidance expected
in an Institute of Medicine report
on vitamin D due next year. The
institute is a government advisory
group that sets dietary standards.
The new analysis, released online Monday by the journal Pediatrics, is the first assessment of
varying vitamin D levels in children aged 1 through 11.
Previous studies in the journal
this year found low levels were
prevalent in U.S. teens, and also
showed kids with low levels had
higher blood pressure and cholesterol levels, and were more likely
to be overweight.
The new analysis uses data
from a 2001-06 government
health survey of nearly 3,000 children. They had blood tests measuring vitamin D levels.
Using the American Academy
of Pediatrics' cutoff for healthy vitamin D levels, 6.4 million children -- about 20 percent of kids
that age -- have blood levels that
are too low. Applying a less strict,
higher cutoff, two-thirds of children that age, including 90 percent of black kids and 80 percent of
Hispanics, are deficient in vitamin
D.
A Pediatrics editorial says the
strongest evidence about effects
of vitamin D deficiency in kids involves rickets, a bone disease
common a century ago but that
continues to occur.
Rickets can be treated and prevented with 400 units daily of vitamin D, the editorial says. The pediatricians' group recently recommended that amount for all
children, saying that most need vitamin supplements.
Mansbach says his study,
funded by the National Institutes
of Health, supports that recommendation.
Children can get 400 units
daily by drinking four cups of fortified milk, or eating lots of fish,
but many don't do that.
The body also makes vitamin
D when sunlight hits the skin, but
many children don't spend
enough time outdoors. That's one
reason why lower vitamin D levels
are found in children living in
colder climates and those with
darker skin, which absorbs less
sunlight. DT
[13] =>
ME
DTME1009_ME 10 27 2009 7 32 PM Page 13
DENTAL TRIBUNE Middle East & Africa Edition
News & Opinions 13
New 3M™ Unitek™ Clarity™ SL Self-Ligating
Appliance with Lowers system is launched
Clarity™ SL Self-Ligating
Brackets for the upper teeth
have been available since 2007,
and now 3M™ Unitek™ is in the
midst of the worldwide launch
of its ceramic brackets for the
lower arch. The complete system for both upper and lower
arches is called the 3M™
Unitek™ Clarity™ Self-Ligating Appliance System.
And because teeth can move into
position more efficiently, overall
treatment time may be shortened
too.
innovation has major advantages. The Clarity SL braces design can help teeth move faster,
make braces easier to clean, and
eliminate the hassle of stained
elastics. Patients can spend less
time in the doctor’s chair, and
maybe even have fewer visits.
Clarity SL braces are made
from high-tech ceramic with
smooth, rounded edges for a
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Self-ligating technology removes the need for ligatures, the
elastic bands that were used to
hold the wire in your braces. This
Dubai, United Arab Emirates:
Proctor & Gamble’s ongoing research indicates that nine out of
ten children in the GCC region
have decayed, missing or filled
teeth. These statistics are extremely high compared to Europe indicating that dental hygiene and oral health is a topic
that needs to be addressed. Mohammed Azzawe, Brand Manager for Crest & Oral-B at Proctor
& Gamble Arabian Peninsula
talks about the latest dental hygiene technologies developed to
improve oral hygiene in the Middle East. These technologies will
be showcased at the region’s
largest dentistry event, Dentistry
2009, held at the Abu Dhabi National Exhibition Centre (ADNEC) from 10 to 12 of November
2009.
At this year’s event, Oral-B will
be exhibiting a new range of toothbrushes with Anti-Bacterial Bristle
Protection, a technology which inhibits bacterial growth on bristles
for up to three months. The new
Oral-B Expert toothbrushes with
Anti-Bacterial Bristle Protection
use silver ion technology - a silver
additive that is known to have antimicrobial properties. This allows
for controlled silver-ion release
and the constant introduction of
new silver containing particles as
the bristles wear during normal
use. Silver ions are common antimicrobial agents and are used in
a variety of different consumer and
medical products. DT
Clarity™ SL Self-Ligating
Brackets incorporating SmartClip™ Self-Ligating System technology, are the only ceramic
brackets that are self-ligating
and feature an open slot, true
twin edgewise design. For more
information contact:
+971 4 3670783 or visit
3munitekmea@mmm.com. DT
AD
“The ceramic upper arch was
compatible with a lower arch using metal brackets, but they were
not a complete, aesthetic system,” said Barry Grant, Global
Brand Manager, 3M™ Unitek™.
“Now the lower arch complements and completes the aesthetic self-ligating system.”
Silver Ions
Weapon
against
Tooth
Decay
comfortable fit. Being translucent, makes them less visible
than metal braces and without
ligatures to stain or hold food particles, they’re easier to keep
clean.
Clarity SL brackets combine
the benefits of passive self-liga-
tion, true twin design and hallmark Clarity bracket aesthetics
to efficiently deliver the results
you and your patients expect.
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[14] =>
ME
DTME1009_ME 10/27/2009 7:32 PM Page 14
14 News & Opinions
DENTAL TRIBUNE Middle East & Africa Edition
Rosmah proposes summit of first ladies on
nurturing women leaders
DUBAI - Datin Seri Rosmah
Mansor has called for the convening of the "Summit of First
Ladies on Nurturing Women
Leaders of Tomorrow" next
year to seek ways to advance
women's role in leadership as
well as address issues affecting
them.
"Malaysia will be happy to
move towards making the first
summit a reality and I would like
to appeal to all first ladies and
leaders' wives to participate in
this summit," said the wife of
Malaysian Prime Minister Datuk
Seri Najib Tun Razak.
She said this in her keynote
address at the Women in Leader-
ship Forum here Monday attended by some 300 influential
women from the political, academic and business sectors from
all over the world.
"The outcome of this summit
will, I'm sure, receive the highest
AD
FDI Annual World Dental Congress
2-5 September 2010
Salvador da Bahia, Brazil
and utmost attention of the leaders of many countries and hopefully will translate into action,"
she told the gathering.
Rosmah told the Malaysian
media later that a suitable date
would be fixed for the proposed
summit to take place.
Malaysia's Women, Family
and Community Development
Minister Datuk Seri Shahrizat
Abdul Jalil said the cabinet had
given the green light for the convening of the summit.
In her speech, Rosmah said
she believed that first ladies
could play an integral part in promoting the leadership role of
women in their respective countries.
"First ladies are uniquely positioned to reach out and make a
difference to the society through
their involvement in voluntary
organisations to assist the poor,
the less privileged and those in
need," she said.
Rosmah cited the example of
Malaysia's Association of Wives
of Cabinet Ministers and Deputy
Ministers (Bakti), of which she is
president, that provides scholarships and medical and health assistance to the needy and initiates projects for the disabled.
Bakti's humanitarian efforts
had also touched lives in places
like Bosnia, Indonesia, Sri
Lanka, Gaza and the Philippines,
she said.
She also mentioned her work
in advancing early childhood education and care, as well as efforts to identify and nurture
gifted children.
Rosmah urged all first ladies
and wives of leaders to use their
capacities to fight for the cause of
strengthening the leadership
role of women.
congress@fdiworldental.org
www.fdiworldental.org
"We must play our part to ensure that the national leadership
in our respective countries does
not overlook the great potential
of the female workforce to lead in
commerce, industry and politics," she said.
Asked to elaborate on the proposed summit later, Rosmah said
it would be handled by
Shahrizat's ministry.
She said influential women
leaders and professionals would
also be invited to give their input
on how first ladies could better
help women in their respective
countries.
According to Rosmah, different countries would have their
own set of problems as far as
women were concerned, but the
important thing was to find common ground in moving forward.
She expressed confidence
that the proposed summit would
enable first ladies to pick up valuable pointers on how to resolve
issues affecting women in their
own countries. DT
[15] =>
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DTME0209:ME 9/1/2009 6:10 PM Page 11
[16] =>
ME
DTME1009_ME 10/27/2009 7:32 PM Page 16
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/ Samsung Medical Center Signs agreement with INDEX Holding to open its first MENA Medical Center in Dubai
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/ Implanted eye tooth helps blind patient see again
/ Peri-implant soft tissue recessions
/ Worldental Communiqué October 2009
/ 2nd Qatar International Medical and Hospital Show
/ 1 In 5 Kids Lack Vitamin D - Study Says
/ News & Opinions
/ Rosmah proposes summit of first ladies on nurturing women leaders
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