DT Middle East and Africa No. 1, 2014
News
/ “Dubai School of Dental Medicine has been highly successful”
/ Mineral trioxide aggregate revisited: a cement for all seasons
/ A new method for direct composite restoration of the posterior teeth
/ Industry
/ “Carestream - Innovation made Simple”
/ Saliva and Oral Health
/ “Pediatric dental community has evolved”
/ News
/ Events
/ University of Sharjah College of Dentistry signs MOU with Crest & Oral-B
/ Monomer free denture base material - Vertex ThermoSens.
/ Post in-surgery whitening: What next?
/ “First Ormco MENA Symposium attracts 250 loyal users to Dubai - UAE“
/ X-ray-free caries diagnostics in the everyday dental practice routine
/ The Inman Aligner: An effective tool for minimally invasive cosmetic dentistry - Part 1
/ College of Dentistry - Sharjah University welcomes new dean
/ Implant Tribune
/ Soft Tissue Engineering With Native Collagen Matrixes
/ 5th DFCIC and AAID 2nd Global Conference hosted 1 - 358 world experts in Aesthetics and Implantology at Jumeirah Beach Hotel Dubai - UAE
/ Oral Health
/ Industry
/ Events
/ SAUDI DENTAL SOCIETY International Dental Conference 2014
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[1] =>
Y 14
T
E e 20
I
C enc
O er
S
L f
A Con
T
N tal
E
D Den
I
D nal
U
o
SA ati
n
er
t
In
Printed in Dubai
www.dental-tribune.me
january-february 2014 | No. 1, Vol. 3
events
INDUSTRY
academia tribune
“The Saudi Dental
Society’s main goal is ...”
AEEDC Dubai
04-06.02.2014
College of Dentistry Sharjah University
welcomes new dean
>SDS IDC 2014 Insertion
>Page 38
>Page 32
Ten years
of Dental
Tribune
International
EIPZIG, Germany: On
Monday, 9 December,
Dental Tribune International (DTI) celebrated another milestone in its
history in the dental publishing
business. The date marked the
tenth anniversary of the company’s foundation in 2003.
and educational network over
the past decade. Although the
very first Dental Tribune edition was published in 1893, the
real globalisation of the business ultimately started with the
involvement of our publishing
partners around the world.
Today, we are able to produce
unique local content with a
truly global perspective,” said
DTI’s CEO Torsten Oemus.
“What started about 20 years
ago in Germany has developed
into an international dental
Currently, DTI offers more than
130 print publications and multiple websites that reach over
By Dental Tribune International
L
Meeting review:
89th Greater New
York Dental Meeting
GNYDM in New York (Photo Courtesy of DT America)
By Dental Tribune America
N
EW YORK, USA: The
89th Greater New
York Dental Meeting was held Nov. 29
to Dec. 4 at the Jacob K. Javits
Center in Manhattan, offering
meeting attendees the opportu-
nity to expand their professional knowledge and expertise,
and to visit with hundreds of
exhibiting companies to learn
about new products and services.
Educational sessions covered
all the bases — and all the body
parts.
Torsten Oemus Publishers‘ Meeting at IDS Cologne 2013 (Credit: Daniel Zimmermann, DTI)
650,000 dentists in more than
90 countries in 27 languages.
Since its foundation in 2003, the
publisher has become the official media partner of a number
of major events dedicated to
the dental industry, such as the
International Dental Show, the
All-day live sessions at the Live
Dentistry Arena included Dr.
Jack Griffin Jr. demonstrating
dependable, efficient preparations for monolithic lithium
disilicate or zirconia crowns,
digital impressions, cementation and finishing, featuring
some of the most dependable
materials available today. Dr.
Aeklavya Panjali also spoke in
a Live Dentistry session, as he
surgically placed and restored
a complex immediate placement implant case.
Orascoptic’s Vanessa Velasco
and Tom Lindsey brought the
best in human engineering
to the Dental Tribune Media
Lounge with a presentation
on two of the company’s most
recent additions: the groundbreaking XVI all-in-one dental
loupe and headlight and the
Body Guard PRO saddle chair.
Velasco and Lindsey also talked
about the Body Guard Pro saddle seat, which they described
as stunning and comfortable.
At the Laser Pavilion Lecture
Series, Dr. William R. Gianni of
> Page 40
Greater New York Dental Meeting, the annual congress of the
FDI World Dental Federation
and IDEM Singapore.
In addition to its print and online publications, the group
can look back on its projects
in dental education and its
flagship e-learning platform,
Dental Tribune Study Club, in
particular. Since its foundation
in 2009, the sophisticated Web-
> Page 2
[2] =>
2 n ews
Dental Tribune Middle East & Africa Edition | January - February 2014
New hyaluronic matrix
accelerates soft-tissue healing
new product that is
based on hyaluronic acid, a substance
primarily used in
plastic surgery but
with potential applications in dentistry.
According to the
company, Hyaloss
matrix, a hyaluronic matrix, promotes
and accelerates the
healing process to a
significant degree.
According to imperiOs,
Hyaloss
matrix is a bioactive and resorbable
The new Hyaloss matrix. (Photo courtesy of
matrix composed of
imperiOs)
hyaluronic acid fibres and is produced through
By Dental Tribune International
esterification of the hyaluronic
acid molecule with benzyl alRANKFURT, Germany: cohol. Once the fibres of the
German specialist in the matrix come into contact with
field of bone augmenta- liquid, the matrix gelatinises
tion imperiOs has presented a and can easily be inserted into
F
the respective bone defects,
where it releases hyaluronic
acid gradually.
Through activation of angiogenesis and mesenchymal
stem cells, the matrix promotes
regeneration processes during
the first ten days after surgery
in particular and thus contributes to faster healing.
> Page 1
based
continuing-education
portal has become an essential
part of DTI’s product portfolio
and serves more than 180,000
members worldwide. Today,
DTI also provides continuing
medical education through its
clinical master’s programme,
Tribune CME, which offers
comprehensive training in aesthetics, orthodontics and implantology, among other fields
of dentistry.
With its headquarters based in
Leipzig, Germany, the publisher today has a total of 34 licence
partners covering over 90 dental markets, including China,
Brazil, South Africa, the US and
the Middle East. Only recently,
a new partner in Israel joined
the publishing group. Talks for
future projects in Sweden and
Ukraine are currently underway.
The group is looking forward
to celebrating the anniversary
with its partners at its Annual
Publishers’ Meeting, which will
be held in Turin in July of next
year.
According to the company, Hyaloss matrix is recommended for
use in intraosseous and periodontal defects. The best results
can be achieved when the matrix is mixed with autologous
bone grafts, imperiOs stated.
An advantage of the matrix is
that it can be stored at room
temperature and can thus be
used immediately to fill defects.
In smaller periodontal defects,
it can even be used unmixed.
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(Credit: Daniel Zimmermann, DTI)
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Dental Tribune Middle East & Africa
Edition Editorial Board
Dr. Aisha Sultan Alsuwaidi, President Emirates Dental Society, UAE
Dr. Nabeel Humood Alsabeeha, Consultant Prosthodontist,
Ministry of Health, UAE
Dr. Dobrina Mollova, MDS, UAE
Dr. Munir Silwadi, BDS, MRCDSO, DUSS, FADI, FICD, UAE
Dr. Khaled Abouseada, BDS, MS, orthod. cert.
Consultant Orthodontist , KSA
Dr. Rabih Abi Nader, B.D.S, D.E.S, D.E.S.S, Oral Surgeon and Implantologist, UAE
Rodny Abdallah, Dental Technician, CDT, Lebanon
Partners
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info@cappmea.com
+971 50 42 43072
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Tzvetan Deyanov
deyanov@dental-tribune.com
+971 55 11 28 581
[3] =>
[4] =>
4 aca de mi a t r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
“Dubai School of Dental Medicine
has been highly successful”
D
tunity to “Embark on a three
year intensive clinical training
program with a clear didactic
component and a research dissertation”. How has the school
developed since the opening?
Professor Wray: Since opening
to students in January of this
year DSDM has been highly
successful. We accepted residents into our Pediatric Dentistry and Orthodontic programs in
January and after completing
our initial accreditation process
with the CAA we have now accepted residents into all the
specialty programs which we
offer including Oral Surgery,
Periodontiology, Prosthodontics
and Endodontics.
DTMEA: Professor Wray, almost a year ago you opened the
doors of the Dubai School of
Dental Medicine with the aim
to attract dental students and
provide them with the oppor-
Seeing the growth of the DSDM
since its launch, what sets you
apart from the other Dental
Universities in the UAE and the
region?
The big bonus about DSDM is
that graduates, as well as receiving their Master’s Degree
at the end of their course, also
receive a conjoint Specialty
By Dental Tribune Middle East
UBAI, UAE: A year
after the successful
opening of the Dubai
School of Dental
Medicine we managed to catch
up with Professor David Wray,
Dean of DSDM to learn more
about the developments since
the opening.
Membership Diploma from
the Royal College of Surgeons
of Edinburgh. This Specialty
Membership Diploma gives
“DSDM is part of Dubai
Healthcare City”
DSDM graduates a clinical
qualification to complement
their academic degree and a
membership to the Royal College which is globally recognized, and DSDM provides a
stimulating environment for
graduates to carry out their
postgraduate degree.
What are the major reasons for
the regional dental students to
choose DSDM?
DSDM provides both academic
and clinical training within
Dubai without having to leave
the Gulf region which is a huge
benefit especially to female
residents with domestic commitments.
This can be achieved without
compromise since we have a a dental professional?
world-class international fac- Dentistry is largely a commuulty of teachers. DSDM pro- nity-based profession and we
vides education and training of need both general dentists
the highest quality in a range of and specialists to provide a full
specializations to its students, range of healthcare support for
and has also received initial our patients so there is not just
academic accreditation from one path for a young dentist to
the Commission for Academic follow. DSDM is dedicated to
Accreditation of the UAE Min- training specialists but there is
istry of Higher Education and a hugely important role for the
Scientific Research. The school generalist. Regardless of the
is led by world-renowned spe- path a young dentist chooses,
cialists and is home to some of it is important not to lose sight
the world’s top specialists in the of the need for lifelong learning
field. In addition, DSDM’s Part- through continuing professionnership with The Royal Col- al development be it in formal
lege of Surgeons of Edinburgh courses or through attendance
(UK) provides postgraduate at courses and self-directed
students, through a conjoint learning. Dentists have a proexam, with a membership diploma which “DSDM provides both academic
guarantees
recogniand clinical training within
tion internationally at
Dubai”
specialty level in all
areas. DSDM is part of
Dubai Healthcare City, which fessional responsibility to keep
is the world’s first healthcare up-to-date and DSDM is here to
free-zone, and DSDM students support them in that endeavor.
are able to make the most of the
world-class education facilities How can you describe the denoffered by the medical hub.
tal students in Dubai?
The students in Dubai today
What are the further plans of are wonderful, mature, profesDSDM in the coming 2 to 3 sional young dentists who are a
years?
family working towards a comDSDM has plans to expand its mon goal. Our residents are a
clinical facilities to cope with joy to teach and a privilege to
the increased numbers of resi- be colleagues with.
dents and patients expected
next year. Our partnership with Do you have any tips you would
the Royal College of Surgeons like to share with the young
of Edinburgh is also progress- dental professionals?
ing and we have already run Because of the explosion of
four college examinations in new knowledge, young dentists
DHCC this year. We anticipate must be constantly diligent and
that we will become one of the always treat the patients holislargest global hubs for dental tically. We don’t just do fillings;
postgraduate examinations in we care for the total oral health
the near future.
needs and wellbeing of our patients. We should be proud of
Could you please share your our profession and the care we
thoughts on the level of Den- can provide.
tistry in the UAE and the region?
Do you have anything else to
The quality of dental educa- share with the dental audience?
tion and clinical practice in the Because DSDM is dedicated to
UAE and the region is already specialization in dentistry we
very high but we hope to drive now represent a fantastic fastandards even higher with our cility providing secondary oral
postgraduate programs and of healthcare to the community.
course, our graduates will be Many dentists in UAE do not
benchmarked clinically with have the facilities or capacity to
the global standards set by the provide a fully comprehensive
Edinburgh Royal College.
level of care and DSDM is here
to provide
“We have now accepted residents into all support and
expertise to
the specialty programs”
the
dental
community.
Whether the patients have comCould you emphasize on the plex restorative problems or sedental industry developments rious mucosal disease, DSDM
in the region?
is here to help and welcomes
We have seen dental compa- referrals from all branches of
nies expanding within the re- the profession.
gion and new ones coming.
This reflects the interest in
serving the dental community
Contact Information
and the needs of the patients.
In addition, the many conferences which Dubai hosts act as
Direct: +971 4 424 8703
a platform to showcase the latFax: +971 4 424 8686
est technology and how it can
Dubai Healthcare City,
Bldg 34
benefit the patients.
Through your experience as an
educator, what should young
students target when becoming
Dubai, UAE
www.dsdm.ac.ae
[5] =>
:
Our team of experts bring their experience to create a sparkle in your smile.
Dubai Dental Clinic specializes in:
or visit our website
www.dsdm.ac.ae
[6] =>
6 mc m e m e di a
Dental Tribune Middle East & Africa Edition | January - February 2014
Mineral trioxide aggregate revisited:
a cement for all seasons
mCME articles in Dental Tribune have been approved by
HAAD as having educational content for CME credit hours.
This article has been approved for 2 CME credit hours.
By Gary Glassman, DDS, FRCD
P
ulpal and periradicular pathology develop
when the dental pulp
and periradicular tissues become exposed to microorganisms. In experimental, germ-free conditions,
pulpal and periradicular tissues fail to show the development of pathosis and associated lesions when exposed to
bacteria.1,2 The conclusion:
Microorganisms are the main
irritants of the dental pulp and
periodontium, and sealing the
pathways of communication
between the root canal system
and the periradicular tissues
is imperative if bacterial leakage is to be prevented.
An ideal orthograde or retrograde filling material that
seals the pathways of communication between the root
canal system and its surrounding tissues should be
non-toxic, non-carcinogenic,
biocompatible, insoluble in
tissue fluids and dimensionally stable.3,4 Furthermore, the
presence of moisture should
not affect its sealing ability; it
should be easy to use and be
radiopaque for recognition on
radiographs.4
Because existing restorative
materials used in endodontics
did not possess these “ideal”
characteristics, 4 mineral trioxide aggregate (MTA) was
developed and recommended
initially as a root-end filling
material and subsequently
has been used for pulp capping, pulpotomy, apexogenesis, apical barrier formation
in teeth with open apices, repair of root perforations and,
most recently, in revascularization cases. MTA has been
recognized as a bioactive material.5,6
MTA has been shown to seal
off the pathways of communication between the root canal system and surrounding
tissues, significantly reducing bacterial migration.7 It is
made up of fine hydrophilic
particles that set in the presence of water, and it is composed of tricalcium silicate,
dicalcium silicate, tricalcium
aluminate, tetracalcium aluminoferrite, calcium sulfate
dihydrate (gypsum) and bismuth oxide, which provides it
with radiopacity.8
Portland cement is the most
common type of cement in
general use around the world,
used as a basic ingredient of
concrete, mortar, stucco and
most nonspecialty grout. It
usually originates from limestone.
MTA is available as gray MTA
and white MTA. The crystalline structure and chemical
composition of gray and white
MTA are similar, except for
the presence of iron in gray
MTA.
Both contain bismuth oxide
and calcium silicate oxide.
Portland cement is composed
mainly of calcium silicate oxide and does not contain bismuth oxide but does contain
potassium. Calcium oxide is
added in both Angelus white
and gray MTA (Angelus, Londrina, Brazil) to reduce the setting time, which is too long in
MTA cements of other brands
(Fig. 1).
MTA has a similar mechanism
of action to calcium hydroxide9 in that the main component of the material, calcium
oxide, when in contact with a
humid environment, is converted into calcium hydroxide.10 This results in a high pH
of 12.5, making its surroundings inhospitable for bacterial growth and producing an
antibacterial effect for a long
period of time. But unlike
calcium hydroxide products,
such as Dycal® (DENTSPLY,
York, Pa.) and MTA Angelus
(Angelus, Londrina, Brazil),
it has very low solubility, so
it maintains a hard, excellent
marginal seal.
Finally, unlike most dental
materials, MTA actually needs
moisture to set, so it thrives in
a moist environment. Of the
commercially available MTA
products, MTA Angelus is well
suited for most of the indicated endodontic procedures
due to its setting time of 10
minutes, compared with the
four-hour setting time of the
other commercially available
MTA. It is also packaged in
air-tight bottles, allowing the
practitioner to use only what
is exactly needed, without
introducing undue moisture
into the remainder and without waste.11
Endodontic
tion
periodontitis. The canal is
disinfected with copious irrigation and a combination of
three antibiotics. After the disinfection protocol is complete,
the apex is mechanically irritated to initiate bleeding into
the canal to produce a blood
clot to the level of the cementoenamel junction.
A double seal of the coronal
access is then made, first with
MTA over the blood clot and
then a bonded composite. The
combination of a disinfected
canal, a matrix into which
new tissue could grow, and an
effective coronal seal appears
to have the ability to produce
an environment necessary
for successful revasculariza-
CAPP designates this activity for
2 CE credits.
A case of mistaken identity
A 15-year-old girl of Asian descent was referred to the author’s private endodontic clinic for evaluation on the lower
left second premolar. The
healthy young patient with an
unremarkable medical history presented with a history
of buccal swelling of the left
mandibular area and discomfort to direct pressure on the
tooth. On clinical examination, the patient was asymptomatic, and the tooth appeared
intact, without caries. The
presence of an enamel pearl
on tooth #45 suggested that
one may have been present
on this tooth, which was frac-
Fig. 1 MTA Angelus (Angelus, Londrina, Brazil)
available in resealable vials. (Photos/Provided by Gary
Glassman, DDS, FRCD(C))
tion.13 The development of
normal, sterile granulation
tissue within the root canal
is thought to aid in revascularization and stimulation of
cementoblasts or the undifferentiated mesenchymal cells
at the periapex, leading to the
deposition of a calcific material at the apex as well as on
the lateral dentinal walls.12
Centre for Advanced Professional Practices (CAPP) is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals
in identifying quality providers of continuing dental education. ADA CERP does not
approve or endorse individual courses or instructors, nor does it imply acceptance of
credit hours by boards of dentistry.
testing, with mild sensitivity
on percussion and palpation.
Because of the presence of a
wider than 4 mm open apex
and thin dentinal walls prone
to possible future fracture,14
it was felt that an attempt to
achieve regeneration of the
pulp should be made by a
technique similar to that described by Rule and Winter15
and Iwaya et al.16
An access cavity was made,
purulent hemorrhagic drainage obtained, and the necrotic
nature of the pulp confirmed.
The root canal was slowly
flushed with 20 ml of 5.25 percent NaOCl for 15 minutes.
It was delivered with the mas-
Fig. 2 Radiograph of a necrotic lower left second
premolar with large periradicular radiolucency with
an incompletely formed root, both longitudinally and
laterally.
tured during function, resulting in a microexposure and
necrosis of the pulp.
The tooth had an open apex
associated with a large radiolucency (Fig. 2).
Periodontal probings were
within normal limits for all
teeth in the lower left region.
Diagnostic testing was negative to cold and electric pulp
ter delivery tip and the macro
canulae of the EndoVac apical negative pressure delivery system (Axis/SybronEndo,
Coppel, Texas) (Fig. 3).
The canal was dried with paper points, and a mixture of
ciprofloxacin, metronidazole
and minocycline paste as described by Hoshino et al.17
was prepared into a creamy
revasculariza-
Treatment of the immature,
non-vital tooth with apical
pathology presents several
challenges. The mechanical
cleaning and shaping of such
a tooth with a blunderbuss
canal is difficult, if not impossible, to achieve predictably.
The thin, fragile lateral dentinal walls can fracture during mechanical filing, and the
large volume of necrotic debris contained in a wide root
canal is difficult to completely
disinfect.12
A new technique is presented
to revascularize immature
permanent teeth with apical
Fig. 3 EndoVac apical negative pressure delivery system (Axis/ SybronEndo, Coppel, Texas)
[7] =>
Dental Tribune Middle East & Africa Edition | January - February 2014
mc m e m e di a
10. Duarte MA, Demarchi
AC, Yamashita JC, Kuga MC,
Fraga Sde C. pH and calcium
ion release of 2 rootend filling
materials. Oral Surg Oral Med
Oral Pathol Oral Radiol En-
7
dod. 2003 Mar; 95(3):345–347.
Editorial note:
References are available from
the author.
Contact Information
Fig. 4 After the triple antibiotic paste was inserted into
the canal, a temporary restoration was placed
Fig. 5 Blood clot was induced and MTA Angelus (Angelus, Londrina, Brazil) was placed over top, and then
the tooth was restored with bonded composite
Gary Glassman, DDS, FRCD (C), graduated from the University of
Toronto, Faculty of Dentistry in 1984; and graduated from the endodontology program at Temple University in 1987, where he received
the Louis I. Grossman Study Club Award for academic and clinical
proficiency in endodontics.
The author of numerous publications, Glassman lectures globally on
endodontics, is on staff at the University of Toronto, Faculty of Dentistry, in the graduate department of endodontics, and is adjunct professor of dentistry and director of endodontic programming for the
University of Technology, Jamaica.
He is a fellow of the Royal College of Dentists of Canada and the endodontic editor for Oral Health dental journal. He maintains a private
practice, Endodontic Specialists, in Toronto, Ontario, Canada.
He can be reached through his website, www.rootcanals.ca.
Fig. 6 Three-month recall reveals excellent longitudinal
apical and lateral dentin development
consistency and spun down
the canal with a lentulo spiral instrument to a depth of 8
mm into the canal. The access
cavity was closed with a sterile cotton pellet placed in the
chamber and blue Cosmecore
(Cosmedent, Chicago) (Fig.
4).
The patient returned three
weeks later and was asymptomatic. The access was opened
and the canal again flushed
with 20 ml of 5.25 percent
NaOCl for 15 minutes. It was
delivered in the same manner as in the first visit with the
master delivery tip and the
macro canulae of the EndoVac
apical negative pressure delivery system.
The canal appeared clean and
dry, with no signs of inflammatory exudate. A #30 K-file
was introduced into the canal
until vital tissue was felt at a
depth of 10 mm into the canal space. It was used to irritate the tissue gently to create
some bleeding into the canal.
The bleeding was stopped at a
level of 5 mm below the level
of the CEJ and left for 30 minutes, so that the blood would
clot at that level.
After 30 minutes, the presence
of the blood clot to approximately 5 mm apical of the CEJ
was confirmed. White mineral
trioxide aggregate, MTA Angelus was carefully placed over
the blood clot and allowed to
set for 20 minutes. After confirmation was achieved of its
set, a bonded composite was
placed and the patient was
scheduled for follow-up in
three months. Unfortunately,
the MTA was placed further
apically then would have been
preferred (Fig. 5).
At the three-month follow-up
appointment, the patient was
totally asymptomatic, and the
radiograph showed complete
resolution of the radiolucency,
Fig. 7 One-year recall radiograph reveals that definitive endodontics had been completed by the patient’s
new dentist
with closure of the apex and
thickening of the dentinal
walls. Pulp testing was inconclusive (Fig. 6).
At the one-year follow-up appointment, the radiograph
revealed that treatment had
been performed on this tooth
by another dentist, different from her original dentist
who made the initial referral.
The new dentist, not familiar
with revascularization treatment performed, had entered
the root canal space, cleaned
it out and obturated it with
gutta-percha and sealer. Fortunately, the treatment was
successful (Fig. 7).
Conclusion
The future of endodontics is
bright as we continue to develop new techniques and
technologies that will allow
us to perform treatment painlessly and predictably and
continue to satisfy one of the
main objectives in dentistry
— being to retain the natural
dentition wherever possible
and wherever practical.
References
1. Kakehashi S, Stanley HR,
Fitzgerald RJ. The effects of
surgical exposures of dental
pulps in germ-free and conventional laboratory rats. Oral
Surg Oral Med Oral Pathol
1965; 20; 340–349.
2. Moller AJR, Fabricius L
Dahlen G, Ohman A, Heyden
G. Influence of periapical tissues of indigenous oral bacterial and necrotic pulp tissue
in monkeys. Scand J Dent Res
1981; 89; 475–484.
3. Torabinejad M, Pitt Ford TR.
Root end filling materials: a
review. Endod Dent Traumatol 1996; 12:161–178.
4. Ribeiro DA. Do endodontic
compounds induce genetic
damage? A comprehensive
review. Oral Surg Oral Med
Oral Pathol Oral Radiol Endod
2008; 105:251–256.
5. Enkel B, Dupas C, Armengol V, et al. Bioactive materials in endodontics. Expert Rev
Med Devices 2008; 5:475–494.
that is hard tissue conductive
(7).
6. Moretton TR, Brown CE Jr,
Legan JJ, Kafrawy AH. Tissue
reactions after subcutaneous
and intraosseous implantation
of mineral trioxide aggregate
and ethoxybenzoic acid cement, hard tissue inductive,
and biocompatible. J Biomed
Mater Res 2000; 52:528–533.
7. Torabinejad M, Hong OU,
Pitt Ford TR. Physical properties of a new root end filling
material. J Endodon 1995; 21;
349–353.
8. Dentsply Tulsa Dental. ProRootTM MTA Root canal repair material; Material safety
data sheet (MSDS).
9. Arnaldo Castellucci, MD,
DDS. The Use of Mineral Trioxide Aggregate in Clinical
and Surgical Endodontics.
Dentistry Today, March 2003.
Duarte MA, Demarchi AC,
Yamashita JC, Kuga MC,
Fraga Sde C. pH and calcium ion release of 2 rootend
filling
materials.
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[8] =>
8 cli nica l
Dental Tribune Middle East & Africa Edition | January - February 2014
A new method for direct composite
restoration of the posterior teeth
By Prof. Luca Giachetti, MD,
DMD, MSc Department of
Dentistry, University of
Florence, Italy
I
ntroduction
The evolution of composite materials and adhesive
techniques has considerably
changed the approach to restorations in posterior areas. The
advantages of adhesive restorations are not only of an aesthetic nature, but, above all, relate
to the possibilities of conserving a greater amount of healthy
tissue and “reinforcing” the residual dental structure.
However, to exploit these advantages fully, we need rigorous clinical procedures which
can limit what has always been
the main flaw of composite
materials: the polymerization
shrinkage and the resulting
stress which is responsible for
most clinical failures.
Manufacturers have focused
their efforts on producing materials which are ever easier
to use and which, at the same
time, are able to minimise their
associated problems.
The recent introduction of the
SonicFill™ System follows this
direction. SonicFill combines
the attributes of a low viscosity composite and a universal
composite. By activating the
composite with sonic energy, it
is possible to fill the cavity and
adapt the low viscosity material
easily, and then compact and
model it while the composite
changes its consistency until it
reaches a higher viscosity.
The manufacturer claims that
it has the advantages of being:
Fast: working time is reduced;
it is possible to carry out single increments to an individual
maximum thickness of 5 mm.
Reliable: reduced shrinkage
and good adaptability to the
cavity walls due to the low initial viscosity.
Easy: it is possible to deliver
the material using a small-diameter cannula and foot switch
control. We present a clinical
case below in which direct restorations have been produced
with SonicFill on 3 elements of
the 1º quadrant.
1. Initial case: 1.6 old amalgam with mesialcaries to be replaced, 1.5 primary distal decay,
1.4 old amalgam to be replaced
2. Isolation of the operative area with a rubberdam stabilised with a universal SoftClamp
3. Clinical situation after removal of the amalgam restorations. The contiguous elements
are protected with metallic matrices before
the marginal ridges are broken down
4. Access to the approximal carious lesions
5. Cavity cleaning, removal of demineralized
tissue
6. Finishing of the margins with SonicSys
inserts
7. Sectional metallic matrices contraposed on
1.6 and 1.5 stabilized with a wooden wedge,
MetaFix All-in-One matrix stabilized with a
wooden wedge on 1.4
8. Matrices in situ, the adaption at the level of
the cervical floor can be seen
9. Application of the Self-Etch OptiBond XTR
– Primer Adhesive System
10. Application of the Self-Etch OptiBond XTR
– Bonding Adhesive System
11. Application of a thin layer of low viscosity
Premise Flowable composite
12. Complete filling of the OM cavity of 1.6
with the SonicFill composite
13. Adaption of the material in the cavity with
the CompoRoller oval tipped instrument and
modelling with the point shaped tip
14. Application of the SonicFill composite in
the occlusal distal cavity to the oblique ridge
15. Modelling the SonicFill composite with a
Suter DD1-DD2 instrument
Clinical Case
Male patient, with an acceptable level of oral hygiene. In the
maxillary right posterior quadrant, several deteriorated amalgam restorations are present
with signs of marginal infiltration compatible with the age of
the restorations, and signs of
wear and tear in the zones of
interocclusal contact. Tooth 1.5
hasprimary decay on the distal
aspect of the tooth. The treatment plan was to replace the
old amalgam restorations and
to treat the primary caries with
direct composites.
16. Restoration of the OD cavity of the 1.5 with
SonicFill in a single application
17. Restoration of the OD cavity of the 1.4 with
SonicFill in a single application
[9] =>
cli nica l
Dental Tribune Middle East & Africa Edition | January - February 2014
18. Characterization of the fissures with
Kolor + Plus Brown
15:39
Conclusion
The possibility of filling cavities
to a depth of up to 5 mm with
a single delivery effectively
speeds up the work of performing composite restorations. The
SonicFill composite presents
good marginal adaption and
is non-sticky. Once the sonic
vibrations stop, it takes on an
ideal consistency for modelling, and easily maintains the
imposed shape. From an aesthetic point of view it is perhaps
a little translucent to allow a
greater depth of polymerization; however, it is possible to
apply Kolor Plus®tints to make
the restoration look natural. Ultimately, if the long-term controls show that the integrity of
the margins is maintained, we
will actually be able to confirm
that we have accomplished a
significant step towards simplifying direct restoration procedures with composite materials
in posterior areas.
The products that appear in
conjunction with this article are
for illustrative or informational
purposes only. Their inclusion
does not denote endorsement
by the author of this article.
Contact Information
Prof. Luca Giachetti graduated
in Medicine and Surgery in 1983
and specialized in Odontostomatology in 1986 at Universityof
Florence Medical School. Msc in
Dental Materials in 2009 at University of Siena Dental School.
Chair of Dental Materials and
Restorative Dentistry, University of Florence Dental School.
Director of post graduate courses in aesthetics and adhesive
dentistry, University of Florence
DentalSchool. Dental Chief of
Staff of Conservative Dentistry,
Careggi Hospital-University, Italian NHS, FlorenceHe is member
of the faculty in the International
PhD program: “Biotechnology
and Dental Biomaterials” at University of Siena Dental School.
Associate Fellow in Education
& Development, Warwick Dentistry, The University of Warwick,
Coventry, UK. He has lectured at
congresses and symposia and
published on dental adhesives
and composites in international
dental journals.
He runs a private practice in central Florence.
20. Completed restorations after occlusioncheck-up
19. Restorations after finishing
15:42
15:47
15:52
21. Check-up at 1 week
15:55
9
[10] =>
10 i n dust ry
Dental Tribune Middle East & Africa Edition | January - February 2014
Inauguration of Carestream Dental Training
Centre for Knowledge and Care in Ajman UAE
By Dental Tribune Middle East
A
JAMAN, UAE: Carestream Dental hosted
the official opening of
the Ajman University
Dental Centre for Care in UAE
on 30th of October 2013. Dr.
Aisha Sultan, Director of Dental Services, MOH, UAE was
the Guest of Honor alongside
more than 60 attendees.
The event was opened with a
warm welcome by Dr. Mohd.
Kashif Shafiq of Ajman University Dental College who
introduced Dr. Aisha Sultan
Alsuwaidi, Director of Dental Services at the Ministry
of Health in UAE alongside
several VIPs including Deans
from Dental Colleges across
the UAE as well as regional
dental industry dealers.
Carestream Dental has partnered up with Ajman University to combine academia and
business through the opening
of the new Carestream Den-
tal Training Centre resulting
in a win-win situation across
the board. According to Fritz
Dittman, Regional Sales and
Service Director Northern
Europe, Middle East, Russia and Africa, “Next to the
fact that the University has
a great team, being able to
take X-Rays and constantly
have our equipment in use
are the main reasons behind
this partnership. The benefits
are clear, this is a unique opportunity which will lead to
great things. We can train our
customers, their technicians,
dealer engineers and in the
future application training for
dentists and clinicians as the
equipment evolves. Customers from the Middle East no
longer have to travel to USA
or Europe to be trained how to
use our technologies.”
The Ajman University Dental
College is one of the pioneers
of oral and dental healthcare
education in the country with
well-structured and accredited programs. With over 130
dental units and a very experienced and highly qualified
faculty, the college is one of
the largest in the middle-east
providing free dental services
to dental patients. Under the
leadership of Prof. Salem Abu
Fanas, Dean of Ajman University of Science & Technology the college has produced
12 batches of quality dental
graduates who are already
very well received by the den- Official opening of the Carestream Training Centre for Knowledge and Care
tal industry. Mr. Osama Saeed in Ajman UAE
Abdulla Salman, Vice President of Ajman University of College further explained those who made it possible.
Science & Technology com- “Our vision at the Ajman Uni- Thank you to Carestream for
mented in his opening speech, versity Dental College is clear, enabling this project to take
“Ajman University of Sciences we are catering for 130 clin- place as well as Mr. Fritz Di& Technology has become a ics and until today we have etman and Montessar Ben Tili
hub for higher education in treated over 40,000 patients together with their fantastic
the entire region. We are now coming to Ajman from all team who all went far beyond
working hard on becoming over the UAE. There is a great their core of duty to see the
the hub leader in Research demand for education. Last success of it” were the clos& Development. R&D is what year alone we received more ing words of Prof. Salem Abu
makes Carestream and the than 350 applications from Fanas.
University what we are, it is students willing to join our
our dream, our ambition and university, double of what we After the ceremony, the delour vision.”
can cope with.” Prof. Abu Fa- egates were taken for a tour
nas further commented on the of the new facilities witnessProf. Salem Abu Fanas, Dean partnership with Carestream ing the ribbon-cutting of the
of Ajman University Dental as “a new landmark for the new Training Centre. Make
college”. The University is sure you visit Carestream at
very pleased with these new AEEDC Dubai 2014.
facilities. “I would like to express my sincere gratitude to
“Carestream,
Innovation made
Simple”
By Dental Tribune Middle East
A
JAMAN, UAE: Dental Tribune Middle
East & Africa covered
the Inauguration of
the Carestream Dental Training Centre for Knowledge and
Care in Ajman, UAE. During
the event we caught up with
Dave F. Pullen, General Manager Dental Business Europe,
Africa and Middle East Region
and Fritz Dittman, Regional
Sales and Service Director for
Northern Europe, Middle East,
Russia and Africa.
DTMEA: Why should the dentists chose Carestream?
Dave Pullen: Carestream originated from Eastman Kodak. All
the heritage, trust and quality
in Eastman Kodak was inherited by Carestream. Then a
company called Onex (equity
company) helped to extract
the medical and dental business from Kodak and invested
in Carestream which became a
2.5 billion corporation. Prior to
the rebranding of Carestream,
Kodak bought Trophy, known
for innovating the sensor and
Dr. Aisha Sultan Alsuwaidi, Director of Dental Ser
PracticeWorks (Practice Management Software mainly in
America) known for the R4
which we successfully brought
into the Middle East. Carestream was Kodak and since
the rebranding and acquisition
nearly six years ago has done
lots of things like improve the
RVG sensor substantially, get
> Page 11
[11] =>
i n dust ry 11
Dental Tribune Middle East & Africa Edition | January - February 2014
A new CAD CAM system from Carestream
Dental extremely flexible and very easy to use
By Ernesto Jaconelli
T
his year’s AEEDC
2014 will see Carestream Dental launch
its own CAD CAM on
site restoration system to the
Middle East Dental Trade.
(Stand No 256)
The complete system is gathered under the banner title of
CS Solutions and brings to the
market a system that allows
the Dentist to perform everyday restorations in considerably less time as well as in the
comfort of their own practice.
In fact a single tooth restoration can be completed in as little as one hour.
Most CAD CAM systems that
are currently available are actually, “closed” systems that
lock the user into using only
the equipment and software
provided from that manufacturer. However, CS Solutions
is an “open” system – giving the
dentist the flexibility to choose
from a comprehensive integrated system or a series of
standalone solutions that can
be adapted to their preferred
workflow and practice layout. This means that the dentist can do scans either from
their hand held scanner, the
CS 3500, or they can scan an
impression on a CBCT system
such as the CS 9000 3D. They
then have the option of designing the crown themselves
on CS Restore and completing
the milling on site on the CS
3000 or they can send the data
via the internet to their lab,
which can produce the crown
on their system. All the options are there for the Dentists
to choose what works best for
them.
CS Solution products are extremely easy to use and are
compatible with many thirdparty CAD systems or restorative design programs, and are
> Page 10
into Phosphor Plates allowing
clients to get into digital and
finally, the big deal in December 2007 when we launched the
9000 3D selling over 4000 units
worldwide.
Fritz Dittmann: During my
presentation here today I
showed a very significant power point slide showcasing the
800 million images which are
taken on our products yearly.
Now this is a huge number.
Dave
Pullen:
Carestream
makes very good products,
we are very end-user focused,
providing innovative technology made simple. As a dentist,
if you would like to get a diagnostic image, you can use film,
phosphor plates or direct radiology and we supply all three.
We have a product range which
helps imaging like the intraoral
cameras a treatment acceptance units with a focus on diagnostic imaging. For example
vices MOH in UAE at the opening ceremony.
we do not provide dental chairs
which a lot of our competitors
do – it is a different business.
We are very focused on getting
the diagnostic image for the
doctor and we have appointed
outstanding distributors. If I
were a doctor who wants to
buy a good brand called Carestream, I would want to have
support and training as a whole
package and that is exactly
what we
> Page 26
Experience the NEW
Carestream Dental CAD CAM
AEEDC 2014 - Stand No 256
covered by warranty to guarantee their long-lasting top
performance.
So make sure you visit the
Carestream Dental Stand at
AEEDC 2014 and acquaint
yourself with this amazing
new opportunity.
Contact Information
For more information contact:
ernesto.jaconelli@carestream.
com
[12] =>
[13] =>
[14] =>
14 or a l h e a lt h
Dental Tribune Middle East & Africa Edition | January - February 2014
Saliva and Oral Health
By Michael Edgar, Colin
Dawes & Denis O’Mullane and
contributed to by Helen Whelton
Excerpt from Saliva and
Oral Health - An Essential
Overview for the Healthcare
Professional, 2012
T
he presence of saliva
is vital to the maintenance of healthy
hard (teeth) and soft
(mucosa) oral tissues. Severe
reduction of salivary output
not only results in a rapid deterioration in oral health but
also has a detrimental impact
on the quality of life for the sufferer.
The anatomy and physiology
of salivary glands
Patients suffering from dry
mouth can experience difficulty with eating, swallowing,
speech, the wearing of dentures, trauma to and ulceration of the oral mucosa, taste
alteration, poor oral hygiene,
a burning sensation of the mucosa, oral infections including
Candida and rapidly progressing dental caries. The sensation of dry mouth or xerostomia is becoming increasingly
common in developed countries where adults are living
longer. In addition, polypharmacy is very common among
the older adult population and
many commonly prescribed
drugs cause a reduction in
salivary flow. Xerostomia also
occurs in Sjögren’s syndrome,
which is not an uncommon
condition.
In addition to specific diseases
of the salivary glands, salivary
flow is usually severely impaired following radiotherapy
in the head and neck area for
cancer treatment in both children and adults of all ages.
Clearly oral dryness is a problem which faces an increasingly large proportion of the
population. An understanding
of saliva and its role in oral
health will help to promote
awareness among health care
workers of the problems arising when the quantity or quality of saliva is decreased; this
awareness and understanding
is important to the prevention,
early diagnosis and treatment
of the condition.
There is an extensive body of
research on saliva as a diagnostic fluid. It has been used
to indicate an individual’s caries susceptibility; it has also
been used to reflect systemic
physiological and pathological
changes which are mirrored in
saliva. One of the major benefits of saliva is that it is easily
available for non-invasive collection and analysis. It can be
used to monitor the presence
and levels of hormones, drugs,
antibodies,
microorganisms
and ions.
The following information
provides an overview of the
functions of saliva, the anatomy and histology of salivary
glands, the physiology of saliva
formation, the constituents of
saliva and the use of saliva as
a diagnostic fluid, including its
role in caries risk assessment.
Functions of Saliva
The complexity of this oral fluid
is perhaps best appreciated by
the consideration of its many
and varied functions. The
functions of saliva are largely
protective; however, it also
has other functions, including;
Fluid/Lubricant – Coats hard
and soft tissue which helps
to protect against mechanical, thermal and chemical
irritation and tooth wear.
Assists smooth air flow,
speech
and
swallowing.
Ion Reservoir – Solution supersaturated with respect
to tooth mineral facilitates
remineralisation of the teeth.
Buffer – Helps to neutralise
plaque pH after eating, thus
reducing time for demineralisation.
Cleansing – Clears food and
aids swallowing.
Antimicrobial actions – Specific (e.g. sIgA) and non-specific
(e.g. Lysozyme, Lactoferrin
and Myeloperoxidase) antimicrobial mechanisms help to
control the oral microflora.
Agglutination – Agglutinins
in saliva aggregate bacteria,
resulting in accelerated clearance of bacterial cells. Examples are mucins and parotid
saliva glycoproteins.
Pellicle formation – Thin (0.5
μm) protective diffusion barrier formed on enamel from
salivary and other proteins.
Digestion – The enzyme -amylase is the most abundant salivary enzyme; it splits starchy
foods into maltose, maltotriose
and dextrins.
Taste – Saliva acts as a solvent,
thus allowing interaction of
foodstuff with taste buds to facilitate taste.
Water balance – Under conditions of dehydration, salivary
flow is reduced, dryness of the
mouth and information from
osmoreceptors are translated
into decreased urine production and increased drinking.
Changes in plaque pH following sucrose ingestion
and buffering capacity in the
presence of saliva
> Page 15
[15] =>
Dental Tribune Middle East & Africa Edition | January - February 2014
or a l h e a lt h 15
> Page 14
Following a sucrose rinse the
plaque pH is reduced from approximately 6.7 to less than 5.0
within a few minutes. Demineralisation of the enamel takes
place below the critical pH of
about 5.5. Plaque pH stays below the critical pH for approximately 15-20 minutes and
does not return to normal until about 40 minutes after the
ingestion of the sucrose rinse.
Once plaque pH recovers to a
level above the critical pH, the
enamel may be remineralised
in the presence of saliva and
oral fluids which are supersaturated with respect to hydroxyapatite and fluorapatite.
Anatomy and histology
The type of salivary secretion
varies according to gland. Secretions from the parotid gland
are watery in consistency,
those from the submandibular and sublingual glands, and
particularly the minor mucous
glands, are much more viscous, due to their glycoprotein
content. The histology of the
gland therefore varies according to gland type.
All of the salivary glands develop in a similar way. An ingrowth of epithelium from the
stomatodeum extends deeply
into the ectomesenchyme and
branches profusely to form all
the working parts of the gland.
The surrounding ectomesenchyme then differentiates
to form the connective tissue
component of the gland i.e. the
capsule and fibrous septa that
divide the major glands into
lobes. These developments
take place between 4 and 12
weeks of embryonic life, the
parotids being the first and
the sublingual and the minor
salivary glands being the last
to develop. The minor salivary
glands are not surrounded by
a capsule but are embedded
within the connective tissue.
produce a watery seromucous
secretion and mucous cells
produce a viscous mucin-rich
secretion. These secretions
arise by the formation of interstitial fluid from blood in capillaries, which is then modified
by the end piece cells. This
modified interstitial fluid is
secreted into the lumen. From
the lumen it passes through
the ductal system where it is
further modified. Most of the
modification occurs in the striated ducts where ion exchange
takes place and the secretion is
changed from an isotonic solution to a hypotonic one. The
composition of saliva is further
modified in the excretory ducts
before it is finally secreted into
the mouth.
Physiology of saliva formation
Composition and flow rate
The composition of saliva varies according to many factors
including the gland type from
which it is secreted. Salivary
flow rate exhibits circadian
variation and peaks in the late
afternoon. Normal salivary
flow rates are in the region of
0.3-0.4 ml/min when unstimulated and 1.5-2.0 ml/min when
stimulated. Approximately 0.5
– 0.6 litres of saliva is secreted
per day. Many drugs used for
the treatment of common conditions such as hypertension,
depression and allergies (to
mention but a few), also influence salivary flow rate and
composition.
Saliva as a diagnostic fluid
Caries risk assessment
Formation of saliva
A number of caries risk assessment tests based on measurements in saliva have been
developed, for example tests
which measure salivary mutans streptococci and lactobacilli and salivary buffering
capacity.
The fluid formation in salivary
glands occurs in the end pieces (acini) where serous cells
High levels of mutans streptococci, i.e. >105 colony forming units (CFUs) per ml of
“Pediatric dental
community has evolved”
By Dental Tribune Middle East
D
UBAI, UAE: Recently
the Emirates Pediatric
Dental Club was formed
spearheaded by elected President (with the support of Crest
& Oral-B) Dr. Dina Debaybo –
Assistant Clinical Professor of
Dr. Dina Debaybo
> Page 16
saliva, are associated with an
increased risk of developing
caries. High levels of Lactobacilli (>105 CFUs per ml saliva)
are found amongst individuals
with frequent carbohydrate
consumption and are also associated with an increased risk
of caries.
Buffering capacity is a measure of the host’s ability to neutralise the reduction in plaque
pH produced by acidogenic
organisms. Salivary tests are
useful indicators of caries susceptibility at the individual level where they can be used for
prospective monitoring of caries preventive interventions
and for profiling of patient disease susceptibility. Although
many efforts have been made
to identify a test or combination of tests to predict caries
development, no one test has
been found to predict this multifactorial disease accurately.
Salivary variables measured
for caries risk assessment in
dentistry include:
Flow rate – At extremes of flow,
flow rate is related to caries activity. Low flow rate is associated with increased caries and
high flow rate is related to reduced caries risk.
Buffering capacity – Higher
buffering capacity indicates
better ability to neutralise acid
and therefore more resistance
to demineralisation.
In addition to showing promise
for the prediction of periodontal disease progression and
caries levels, analysis of saliva
has been employed in pharmacogenomics, as well as the
evaluation and assessment of
endocrine studies.
Saliva not only plays a pivotal
role in the maintenance of a
healthy homeostatic condition
in the oral cavity, but contributes to one’s overall health
and wellbeing. Components
from saliva interact in differ-
ent ways with the dentition
to protect the teeth. Patients
who lack sufficient saliva suffer from many oral diseases, of
which caries is only one. To alleviate discomfort they are advised to use saliva stimulants
and substitutes which have
the function of lubricating the
oral surfaces. Chewing gum
is increasingly being viewed
as a delivery system for active
agents that could potentially
provide direct oral care benefits, as it promotes a strong
flow of stimulated saliva.
The fourth edition of Saliva
and Oral Health is available in
hard copy or e-book format at
www.shancocksltd.com. A full
list of references is included in
the book.
*Underwriting costs for this
Saliva and Oral Health edition
were provided by Dr. Michael
Dodds and The Wrigley Company.
[16] =>
16 Pe di at r ic T r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
> Page 15
Pediatric Dentistry at the Faculty
of European University College.
We interview Dr. Dina Debaybo
to find out the plans for the coming year for the newly found
EPDC.
DTME: Dr. Dina, Congratulations on your president elect position and the great achievement
of forming the Emirates Pediatric Dental Club. Could you introduce yourself shortly?
Dr. Dina Debaybo: I trained as a
dentist at Saint Joseph University
in Beirut Lebanon then moved to
pursue my specialty in the USA
where I was awarded a Certificate of Advanced Graduate Studies (CAGS) and a Masters’ (MSc)
in pediatric dentistry. Upon
graduation I moved to Dubai in
1991 where I held different positions in Dubai Health Authority
and the Ministry of Health for
16 years. An experience that really shaped me as a professional
in skills, ethics and values. I
met exceptional leaders such as
Dr Tariq Khoory (Head Dental
Services, Dubai Health Authority DHA) and Dr Aisha Sultan
(Head of Dental Chapter Emirates Medical Association EMA
and Head of Dental Services,
Ministry of Health in Northern
Emirates). I then got involved in
establishing the Dubai campus
of the Boston University School
of Graduate Dentistry project in
Dubai Health Care City. It was an
eye opener on academics in post
graduate education. In 2010 I
joined the first Pediatric Dentistry Center in the UAE, established
by Dr Elhami Nicolas as part of
the Nicolas and Asp Dental Centers, where preventive and comprehensive services are offered
within the scope of practice of
the American Academy of Pediatric Dentistry (Guidelines of the
APD).
Please elaborate on the process
behind the formation of the
EPDC and its members?
The pediatric dentistry community has evolved and blossomed
to reach more than 100 profes-
sionals within the last 4 years
with the establishment of the
post graduate pediatric dentistry
programs in the UAE and with
the influx of specialists from
overseas. Joining efforts with the
mission to provide quality care to
younger ones can better be rendered by gathering all efforts and
joining in the path of excellence.
Each child in the UAE has a fundamental right to his complete
oral health care. The Emirates
Pediatric Dentistry Club has a
dutiful obligation to ensure that
all children living in UAE receive
high-quality and accessible oral
health care.
Dentistry (EAPD/MENA Middle
East chapter and North Africa)
chapter from 27th until the 29th
of March 2014. We are also planning to have collateral sessions
during the Asia Pacific Dental
Congress (APDC) from 14th until 17th June 2014. Also on the
agenda is a side event to AEEDC
from 5th until 7th of February
2014. On a larger scale we will
be trying to establish close netted cooperation with the already
established GCC Pediatric Dentistry Associations since we do
face the same prevalence and incidences of oral health diseases
in children.
What are the plans for the coming year 2014 for you and the
EPDC?
What are some of the biggest
challenges for Prevention and
Oral Health awareness in the
Emirates?
The plan for our members is to
provide advanced specialized
continuing dental education for
pediatric dentists. We are looking forward to working closely
with The European University
College for their hosting of the
European Academy of Pediatric
Evidence based research has
provided us with data relevant
to the caries index in the UAE.
The index of caries in 6 year old
children is 8 to 9. More explicitly,
it reveals 8 to 9 carious primary
teeth in the oral cavity of a 6 year
old. The basic need of chewing is
jeopardized leaving children victim to soft diet. Multiple episodes
of emergencies due to dental
pain are witnessed, whereby
children miss school and experience severe episodes of spontaneous pain at night. Speech
problems arise since the phonetics of letters rely on the palatal surfaces of upper and lower
anterior teeth. Esthetic issues
aggravate already challenges of
bullying at school with missing
front teeth or unaesthetic image
of large carious anterior dark lesions. At last but not least, loss of
space due to premature extraction of primary teeth and loss of
mesio-distal diameter have seen
an influx of rise in orthodontics
needs.
How does the EPDC plan to elevate the level of dental hygiene
awareness and promote preventative oral health measures
across UAE?
We know that changing habits is
very challenging. In order for it to
be successful it has to follow the
bio-psych- social model where
the habit is treated as a community based initiative where we
work closely with government
entities (Dubai Health Authority
and Ministry of Health) to help
in their already established extensive oral health programs
starting with pregnant mothers,
moving to pediatricians during
infants vaccine visits, involving media and working closely
with school health programs. It
will also involve including preventive treatment programs for
permanent teeth as soon as they
erupt (Fissure sealants). We will
attempt to help out in the different levels of this chain reaction.
Close cooperation has already
been established with large oral
health private players on the
market who plan to help us out
as part of their citizen responsibility initiative of giving back to
the community (Procter & Gamble, Johnson and Johnson and
Glaxo Smith Kline corporations).
Would you like to share additional information with the readers?
The establishment of the Pediatric Dentistry Chapter of the
Emirates Medical Association
is aimed at making a difference
in children’s’ lives, all children,
healthy and less healthy children. The community is faced
with new challenges with Children with Special Needs. Behavior problems under the larger
umbrella of Autism Spectrum
Disorder is adding more difficulties to families. Working closely
with all community groups is
our daily endeavor. We will keep
trying and learning in the long
journey towards a caries free
community. Sincerest thanks for
your close interest in Pediatric
Dentistry.
Contact Information
Dr. Dina Debaybo
+971 50 625 5146
dinadebaybo@yahoo.com
Drs. Nicolas and Asp Dental Center
(Jumeirah 1 Pediatric Branch)
P.O. Box 53382
Dubai, U.A.E.
tel. +971 4 3497477
fax. +971 4 3443006
[17] =>
n ews 17
Dental Tribune Middle East & Africa Edition | January - February 2014
European Qualident is standing in the 1st line to improve
University the communication between Dentist & Dental
Lab in the region
College
By Qualident Dental Laboratory
By European University College
E
uropean University
College (EUC) is
the first dental postgraduate institute in
the Middle East to provide
dental postgraduate education reflecting “Euro Western”
standards of dental education
and patient care. The College
was founded on November 1st,
2006 and licensed as Nicolas
& Asp Postgraduate Institute.
The Institute underwent considerable growth and change
and in 2009 was approved to
operate the Abu Dhabi Emirate by the Abu Dhabi Education Council (ADEC). Further
expansion resulted in Ministry
of Higher Education and Scientific Research approved relicensing as Nicolas & Asp University College on August 23,
2009 and then European University College in 2011. EUC
continues to expand and plans
to add two more colleges and
satellite teaching clinics in the
near future.
EUC operates from a 17,000 sq.
ft state-of-art facility in Dubai
Healthcare City (DHCC) and is
comprised of 32 dental chairs,
7 seminar and lecture halls, a
pre-clinical laboratory, and a
general anesthesia facility; in
addition, EUC maitains a lecturing facility in the Emirate
of Abu Dhabi.
EUC offers the following programs:
- 3-year Master degree program in Orthodontics
- 3-year Master degree program in Pediatric Dentistry
- 3-year Master degree program in Endodontics
- 3-year Master degree program in Restorative & Prosthodontics
- 2-year program in Advanced
Education in General Dentistry
- 1-year modular Oral Implantology Diploma
- 2-year Associate Degree in
Dental Assisting program
Since EUC began postgraduate educational programs in
2007, 113 dentists have been
admitted in various programs
and, to date, 52 have graduated.
The student body is comprised of individuals from 25
countries and is represented
by many cultures; the country
with the largest representation is United Arab Emirates
(33%).
Contact Information
For more information contact:
info@dubaipostgraduate.com
www.euc.ac.ae
A
As
communication
between the lab and
clinic is important,
and organizing the lab
work between clinic and lab
is delicate, Qualident Dental
Laboratory is glad to announce
the launch of the new webbased online ordering system,
which will provide easy access, follow up and less time
consuming to each dental case
sent to Qualident lab.
This new software is easy to
use and understand, thus allowing the dentists to submit
new cases, track existing cases, and view their billing information.
Every dentist cooperating with
Qualident lab will be provided
with a username and password to create their new cases,
where dentists can specify all
the details related to the lab
work; in addition to the ability of attaching photos by the
dentist.
Messaging tool, regarding a
Case or General message they
would like to send, and receive
with shorter time.
Qualident always strives
communication technology
between dental lab and clinic.
In addition, financial access
will allow accountants or den-
Contact Information
For more information,
contact:
Dr. Noor Aswad:
+971 5 679 45588
Dubai, U.A.E, Century Plaza
101, Jumeirah 1 Beach Road.
Tel: +971 4 3427576,
Fax: +971 4 3427016
to set up your account
As now, it is easier and faster
for dentists to communicate
with the lab by the Dentist
tists to keep track on the latest
invoices, statements, and policies by Qualident dental lab.
Sharjah, U.A.E, Al Ettihad
Road, Opposite Safeer Mall,
Wasl Bldg, 101,
P.O.Box: 24476,
Tel: +971 6 525 5199
Fax: +971 6 530 2900
www.qualident-online.com
[18] =>
18 ev en ts
Dental Tribune Middle East & Africa Edition | January - February 2014
FKG Dentaire has inaugurated its Dubai based ME-A
Office and Training Center
FKG Dentaire ME-A opening event at the Almas Tower, Dubai, UAE
By FKG
D
ubai, United Arab Emirates: Couple of months
after announcing a
stronger presence in the Middle East and Africa region, FKG
Dentaire has officially opened
its Dubai UAE based ME-A Office and Training Center: FKG
Dentaire JLT.
The official opening ceremony
has gathered some of the most
important dental professionals in UAE and Middle East.
Among them Pr. Roger Rebeiz, lecturer (Dental College,
Lebanon), Dr. Saif Al-Dabbagh
(Sharjah, UAE) for a workshop.
The Consul General of Switzerland, Mr Deplazes, was also
present and explained how
Switzerland is so specialized
in high tech and precision mechanics.
According to ME-A Director,
Alexandre Mulhauser: “FKG is
moving Endodontic standards
forward thanks to a new generation of high quality products
made by and for dentists and
endodontists. In its process of
development of instruments
our team always focus on perfection of the instrument, quality of treatment for the patient
and comfort for the dentist.
Having a high end training
center in the core of Middle
East is a great opportunity for
local and international dental
professionals to be ready to
shift to new standards of endodontic treatments”.
Managing Director of Dubai
Medical Equipment, Dr. Omar
Shujaa, added: “The training in
the dental business is extremely important as education is a
Key factor of achievement. We
must help dental professionals
to know how to use the products in the right way and have
an excellent success rate with
FKG Dentaire Products. Dubai
is becoming central in the dental industry and having FKG
Dentaire unique, high precision and top quality Swiss made
products is a great opportunity
for us”
FKG Dentaire ME-A opening (left to right): Ms. O. Mulhauser (FKG ME-A Office Manager), Dr Jamal, Mr. J.-C. Rouiller (FKG Chairman), Mr. T. Rouiller
(FKG CEO), Dr Walid Nehme and Mr. A. Mulhauser (FKG ME-A Director)
FKG Dentaire Training Center
in Dubai is open to anyone who
wants either to get trained in
endodontics or just want to discover FKG Dentaire top quality
instruments.
Contact Information
For more information on the
Dubai training center:
mea@fkg.ch or get in touch
with your local FKG Dentaire
distributor, for all other
enquiries:
FKG Dentaire SA
Crêt-du-Locle 4
2304 La Chaux-de-Fonds
Switzerland
T +41 32 924 22 44
info@fkg.ch / www.fkg.ch
FKG Dentaire ME-A opening: workshop at the FKG’s training center
New top endo products
to be presented by FKG
Dentaire during the
AEEDC
By FKG
D
UBAI, UAE: Following the opening of
its high end ME-A
Office and Training center in Dubai UAE, FKG
Dentaire is increasing its activity in the region to spread
through Workshops, lectures,
congress and close work with
universities, its unique technologies:
- Unique rounded safety tip
- Alternated and sharp cutting
edges to avoid screwing-in effect
- Exclusive electrochemical
polishing to increase resistance to torsion and cyclic fatigue of NiTi
- SafetyMemoDisc (SMD) reliable monitoring of metal fatigue and number of uses.
Holding a booth for the 2014
AEEDC (Booth 610, hall 8)
FKG is also inviting two international endodontists renowned for the High quality of
their work to share their FKG
Dentaire experience.
Race and Total Fill – A biologic
and conservative approach for
cleaning, shaping and obturation of root canals”.
Prof. Roger Rebeiz Beirut,
Lebanon
And Prof. Roger Rebeiz Beirut,
Lebanon, founder of the ”Dental College” will give a lecture
on “The clinical approach of
the root canal shaping with
nickel-titanium rotary instruments”.
Some Hands on and workshops will be done on both
FKG Dentaire stand during
the AEEDC and at FKG Dubai
Training Center.
Contact Information
For more information on the
Dubai training center:
mea@fkg.ch or get in touch
with your local FKG Dentaire
distributor, for all other
enquiries:
Dr. Gilberto Debellian Oslo, Norway
Dr. Gilberto Debellian Oslo,
Norway will lecture on FKG
latest endodontic products “BT
FKG Dentaire SA
Crêt-du-Locle 4
2304 La Chaux-de-Fonds
Switzerland
T +41 32 924 22 44
info@fkg.ch
www.fkg.ch
[19] =>
[20] =>
20 aca de mi a t r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
University of Sharjah College of Dentistry
signs MOU with Crest & Oral-B
By Dental Tribune Middle East
S
HARJAH, UAE: In line
with the University of
Sharjah’s interest in
the development of students’ academic excellence,
and its belief in the importance of oral health education
and promotion, the College of
Dentistry, signed a memorandum of understanding (MOU)
with Crest & Oral-B.
This event took place on October 27th, 2013 during a cere-
mony at the Medical & Health
Sciences Campus, University
of Sharjah. The agreement
was signed by Dr. Guy Goffin,
Director of Professional and
Scientific Relations EMEA,
Procter & Gamble and Professor Hossam Hamdy, Vice
Chancellor for the Medical
& Health Sciences Colleges.
The signing was witnessed by
Professor Richard Simonsen,
Dean of the College of Dentistry and Dr. Ashhad Kazi,
Professional & Academic Relations Consultant (AP) for Crest
& Oral-B. The MOU includes
an agreement to hold
continuing
educational courses, participate in research at
the newly established
Oral Health Center,
University of Sharjah
as well as supporting
the
undergraduate
students’ education
program at the College of Dentistry.
Prof. Eng. Samy A.
Mahmoud, Chancellor of University of MOU signing between Crest & Oral-B and Sharjah University
Sharjah, delivered his address
by extending his congratulations to both parties emphasizing that this agreement
reflects the great need for education and training in the field
of preventive dentistry in the
region. Prof. Hossam Hamdy
added that this collaboration
with Crest & Oral-B is in line
with the goals and objectives
of the Center of Oral Health
that will take the lead in oral
health education and research
in the area of preventive dentistry.
In his speech, Dr. Guy Goffin
added: “The vision of Procter
& Gamble Oral Care is to improve oral health of more people in more parts of the world
more completely”. He also
remarked that “Thanks to a
strong emphasis on research
and development, Crest &
Oral-B became a global leader
in oral health products like
dentifrices, brushes, floss and
mouth wash. Within Procter
& Gamble (the parent company), we deliver education on
the science of preventive dentistry and oral care products
for dental students and populations at large. That is why
this agreement with Sharjah
University is so important for
both partners.”
Professor Richard Simonsen
Dean of the College of Dentistry, University of Sharjah
expressed his enthusiasm regarding the collaboration between the College of Dentistry
and Crest & Oral-B. Indicating
that one of the important missions of the College of Dentistry is to serve the community
and reduce the burden of oral
disease in the UAE population
and that this agreement will
support this mission towards
better oral health for the community.
The signing ceremony took
place in the presence of Prof.
Rani Samsudin, Professor of
Oral and Maxillo-Facial Surgery and former Dean of College of Dentistry, Dr. Manal
Awad, Associate Professor of
Community Dentistry and Director of the Center for Oral
Health and Dr. Hatem ElDamanhoury, Chair of Continuing Dental Education and
Professional
development,
College of Dentistry.
DTMEA was present to cover
the event.
[21] =>
[22] =>
[23] =>
[24] =>
24 Den ta l L a b T r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
Monomer
free denture
base material,
Vertex
ThermoSens.
By Vertex-Dental B.V.
V
ertex Dental worked
out in cooperation with
ACTA University and
Fontys University the
BMS Project for Development
of alternative denture base materials: Rapid Prototyping, fe.
stereolithografic (STL), milling (CNC) and laser sintering
(SLS); Thermoplastic products
and techniques, fe. PA, COC en
SAN.
ThermoSens is the innovative,
virtually unbreakable, new
monomer-free rigid denture
base material (Flexural modulus & strength, Charpy impact
strength notched, Toughness
test, Hysteresis, Polish).
The development aimed ThermoSens to be:
•
Low allergen denture base
material with reliable performance and acceptable
cost price
•
Used for partial and full
dentures
•
Used in combination with
current techniques
•
Less shrinkage
•
Biocompatible and complying to ISO standards and
CE mark
Contact Information
Vertex-Dental B.V.
Johan van Oldenbarneveltlaan
62 | 3705 HJ Zeist |
P.O. Box 10 | 3700 AA Zeist |
The Netherlands
T +31 30 69 76 749 |
F +31 30 69 55 188 |
info@vertex-dental.com |
www.vertex-dental.com
or more info :
www.vertex-dental.com
[25] =>
Dental Tribune Middle East & Africa Edition | January - February 2014
ORAL H YGIENE 25
Post in-surgery whitening: What next?
Chris Dodd
Managing Director of Purity
Laboratories, discusses how
to maintain the new, white
smile after professional
in-surgery whitening.
N
ew
research
by
the British Dental
Health Foundation
(1) found that one in
five people now spend more
money per month on oral care
products, compared with hair
products, skincare, fragrances
and cosmetics. And, having
seen a huge increase in the
demand of teeth whitening
over the past decade, it’s clear
that the quest for a “Hollywood smile” is unlikely to end
any time soon!
The ability to offer a professional tooth whitening service in your practice is an
extremely attractive and lucrative treatment offering
which will keep you at the
cutting edge of cosmetic dentistry. In just one surgery visit,
you can give your patients a
brighter shade through treatments with bleaching trays,
strips or laser treatment.
However, whilst we spend our
time educating and encouraging patients to stop smoking
after whitening treatment, reduce the intake of coffee and
staining foods, brush teeth
twice daily and cut down on
sugary snacks, the truth is
that once the patient leaves
the practice the maintenance
of their new, white smile becomes their own responsibility.
The lows…
Patients are keen to minimise
the effect of “bounce back”;
a process whereby the teeth
rehydrate and slightly darken
a day or two after treatment.
Enamel is naturally subject
to abrasion but even more so
after in-surgery treatment,
because Hydrogen Peroxide and Carbamide Peroxide
reduce the hardness of the
enamel. Therefore, it is even
more important that patients
avoid highly abrasive whitening toothpastes as they can
damage the teeth and gums,
removing the lustre of the
teeth and dulling a beautiful
smile. By recommending a
low-abrasion whitening toothpaste, you can ensure your patients protect and restore the
enamel calcification lost as a
result of the bleaching process, helping maintain their
white smile for longer.
The abrasiveness of toothpaste is measured according
to the RDA (relative dentin
abrasivity) value, and any
value over 100 is considered
to be “abrasive”, something
which is unfortunately often
not included in the marketing
or promotional information
supplied with toothpaste products, thus masking a common
problem.
Interestingly, a USA-based independent testing laboratory
(July 2012) tested the abra-
sion levels of 15 toothpastes.
The results confirmed that
Beverly Hills Formula’s whitening toothpaste is less abrasive than other leading brands
of both whitening and regular
toothpastes. In fact, Beverly
Hills Formula Perfect White
scored as low as 95 on the
Abrasivity Index Table, whilst
some leading competitors displayed levels as high as 138.
And the highs
To support these abrasion
results, an invitro laboratory study found that Beverly Hills Formula whitening
toothpastes remove stains
in just one minute. Beverly
Hills Formula Perfect White
(coded as “PLMO/1x1158
Stain Removal” in the study)
toothpaste proved effective at
removing stains with almost
91% of stains removed over a
five-minute period and Beverly Hills Formula Dentists’
Choice Gum & Whitening
Expert toothpaste removing
almost 90% of stains. Meanwhile, other leading brands
of whitening toothpastes and
toothpolishes scored as low as
41%, a remarkably low percentage, considering water
alone removes 48% of staining (2).
These results signal a breakthrough in oral care and aesthetics, as this new generation
of whitening toothpaste offers
a tooth-friendly solution post
in-surgery treatment, helping patients restore their teeth
to a natural white colour for
longer.
Whitening – no longer a sensitive issue
After in-surgery tooth whitening treatment patients can
experience sensitivity, this
can be anything from a mild
twinge to having severe discomfort that can last for several hours, or even days. For
these patients, why not recommend the use of a toothpaste that contains Potassium
Citrate. This desensitising
agent relieves tooth sensitivity by effectively blocking the
transmission of pain sensation
between the nerve cells that
enable cold and hot sensations
to reach the tooth’s nerves.
Those who require extra sensitivity relief alongside an
extra whitening boost will
appreciate the benefits toothpastes like Perfect White
Sensitive. Combining the advanced Hydrated Silica for
high performance whitening
with Potassium Citrate for
rapid sensitivity, patients can
start to enjoy acidic foods and
drinks once again whilst leaving teeth looking and feeling
brighter. Regular use will also
help to prevent tartar buildup and relieve tooth sensitivity, effectively protecting and
whitening teeth whilst allowing patients to maintain good
oral care.
The bright side of whitening
As patient safety, protection
and awareness of tooth whitening remains a prime concern for you and your team,
it’s essential to promote a
consistent oral health message. Communicating the importance of good at-home oral
care routines, through the
use of whitening toothpastes
after in-surgery whitening
treatments, will help patients
maintain a white smile and a
healthy mouth for longer.
References
1. Research conducted on
behalf of the British Dental
Health Foundation by Atomik Research, February 2013.
Sample size: 2,044.
2. Beverly Hills Formula Stain
Removal Study: http://www.
beverlyhillsformula.com/
stain-removal-study-2012/.
Contact Information
Tel: +353 1842 6611
info@beverlyhillsformula.com
www.beverlyhillsformula.com
[26] =>
26 i n dust ry
Dental Tribune Middle East & Africa Edition | January - February 2014
> Page 11
offer working very closely with
our Dealers and why doctors
choose our company.
Starting with the inauguration
of the Carestream Training
Centre at Ajman University,
can you elaborate on the plans
for the Middle East?
Fritz Dittmann: The main plan
is obviously growth. You have
to grow sales and services side
by side. With our huge install
base in the Middle East we are
represented in most countries
in the region so our distribution channel is set, running and
effectively working. We are
working on constantly helping
our dealers to facilitate better
training and provide easier access to training to the end customer. That was the purpose of
setting up the training centre
here at Ajman University. The
future looks fantastic, we have
a product pipeline which is really exciting. Next year we are
launching three new products
of which one is very exciting
and significantly high tech science. Fortunately the technology is becoming very detailed
and the necessity to train and
educate the end users to cope
and work with the technologi-
cal advancements is essential.
Dave Pullen: When we talk
about the Middle East, we
mention the continuous improvement and that is why we
are here today. Regarding the
Ajman University, I had no
idea about its super organization. When I first arrived to
Ajman University I said I was
very impressed and that was
even before meeting the people behind the magnificent organization. If you see the facilities and then meet the people,
it is a great pleasure to work
with such great people. It is
not easy to invest in a training
centre and we look forward to
working with the University to
improve the needs of the dentists.
Do you plan to focus on the
Dental Technicians as well?
Fritz Dittmann: Initially the
concept was to train the technicians here but we are extending this now due to the technological advancement and the
demand for the dentist to be
trained. When you talk about
three dimensional imaging,
dentists do not learn about this
subject at university so there is
a real need for training them.
When investing a hefty sum of
money for a high technological
state-of-the-art training centre
the dentists can take advantage of the full benefits. What
we certainly did not want to
have was someone buying new
machine, spending money and
just having the machine standing without being used which
unfortunately happens sometimes in the industry.
Dave Pullen: The new system
of Carestream is about restorative dentistry, taking digital
dentistry and expanding it as
we all know the future is digital. Making restorations and
crowns is a big future for us.
We are excited to be able to
take an existing product like
the CBCT image and turn it
into an image from which you
can make a crown. Recently
our Research & Development
team just passed the CS3500
which is the powder free scanner allowing dentists to scan
the teeth without taking impressions. The future is very
exciting. Our new scanner
is much simpler than other
products available, we have
seen the other products and
the main goal of our R&D in
Shanghai was to improve it
and you can now make a restoration in 10 clicks. We have
a couple of doctors in Florida,
USA who are testing our scanner and have used everything
available on the market and if
they are saying that restorations can be made by ten clicks
than we have to listen to them.
There is a real opportunity to
make it easy, simple and chair
side. For a patient for example, there is a two-three week
process but with our scanner
this can be done with in under
2 hours!. What we do is make
innovation simple and something easy for the doctor to use
whether it is an intraoral or
extra oral, then you go into 3D
and then CAD/CAM to make it
easy and simple. The education of Digital Dentistry is very
limited and education through
conferences such as the ones
CAPP organizers and the Dental Tribune newspapers and
magazines are very important.
Fritz Dittmann: The new scanner was showcased for the first
time in the Middle East at the
5th Dental Facial Cosmetic
International Conference in
Dubai last November at the
Carestream stand. What we
strive to achieve through the
Carestream triangle Logo is
Humanized Technology, Digital Excellence & Workflow
Integration. If you take the Microsoft products we use in our
daily computer lives we probably only use 10% of the full capabilities which are enormous.
That for me is an example of
non-humanized
technology.
We only use bits of it. We have
to use technology which allows
us to use the full spectrum and
understand what the benefits
are when using it to the maximum.
Why did you choose Ajman
University as your partner?
Fritz Dittmann: We had three
options, either use our office
at Safa Park Dubai, Renting
a new facility or work with a
university. Considering our options we had to think about investing in the expensive equipment, have easy access for
our customers and we needed
to have a leaded room with
legislation to be able to take
xrays. Ajman University was
the perfect choice and once
we knocked on the door it happened immediately. Ajman is
very close to Dubai, a thirty
minute drive and once we met
the people and visited the location we were convinced this
was the place for our Centre.
The university also was planning to further enhance their
Research & Development so
the vision is a good fit for both
parties. What we certainly did
not want to have were our
units just standing around in
a room, invest a lot of money
and just use them during training courses. This is a great
joint venture and the university gets very high technological equipment which they can
use as a training facility and at
the same time we can showcase it to potential customers
and answer some of the more
clinical questions of our existing clients.
“First Ormco MENA
Symposium attracts 250
loyal users to Dubai, UAE“
Xavier Cherbavaz, Director for
France and Emerging Markets,
Ormco.
By Dental Tribune Middle East
D
UBAI, UAE: The 1st
Ormco MENA Symposium took place
on 06-07 December
2013 at the Emirates Towers
in Dubai, UAE. Dental Tribune Middle East covered the
historic event and caught up
with Xavier Cherbavaz, Director for France and Emerging Markets.
DTME: Xavier Cherbavaz,
a pleasure to meet you here
today. What can you tell us
about Ormco here today?
Xavier Cherbavaz: Ormco is
an orthodontic manufacturer
existing over 60 years already and today we are proud to
be one of the most innovative
companies in orthodontics.
Our product portfolio ranges
from traditional or“It dealt with the latest advances
thodontics to the high
in Orthodontics.“
end digital orthodon- Dr. Dalia El-Bokle
tics with Insignia and
this is what we are
Practice is Our Priority” which
presenting here starting from
defines that it is not just prothe traditional and going toducts but also education. One
wards the high end such as
of the core advantages of OrmDAMON which is one of the
co is our education program
main products used in orthoand we are showing it here
dontics today.
today, more than 250 people
with over 19 nationalities and
How do you make sure the ormore than 10 speakers from 3
thodontists pick your system
different continents.
with the highly competitive
industry in the region?
What support do you provide
to your clients?
Innovation is one of the major
parts, for example DAMON is
Education is the main driver.
not a bracket but a system, an
This symposium is a snapshot
association of different appliof what our speakers have exances, brackets, wires, tubes
perienced and achieved. We have a large
“The first MENA symposium was a program of education
great success.“
starting with three le- Dr. Dalia El-Bokle
vels including study
clubs. The idea is to
teach
and
assist the clients
and more which shows our
to continue to learn. At our
system approach but at the
workshops in these two days
same time we deliver not only
we were showing presentaproducts but total solutions.
tions with stats pointing out
Our aim is to provide proto our current DAMON users
ducts and solutions that help
how they can leverage the
doctors to achieve better clitechnology and system to hignical outcomes for the patient
her extents in order to achieve
and to improve their professigreater clinical outcomes.
onal life in the office. Our vision and our mission is “Your
> Page 27
[27] =>
ev en ts 27
Dental Tribune Middle East & Africa Edition | January - February 2014
“Numerous clinical cases were presented E d u c a t i o n
that clearly demonstrated the advantages using journals
and newspaof self locking braces.“
pers such as
- Dr. Dalia El-Bokle
the
Dental
Tribune, being present at the
main conventions and meeting customers, that’s why we
are here. I think it is one of the
first occasions in the history of
Ormco in the region where
we are really starting to show
what we are best at.
What are your plans for the
coming year 2014?
It started in 2013 with the opening of our Dubai office where
we hired Tarek Haneya in the
capacity of Area Sales Manager for the region of Middle
East & Turkey. We are planning more resources for the
area and momentarily we are What about competition in the
in the final stages of planning region? How do you compare
our education program for the yourself to them?
full year. The program will in- I would say Ormco started reclude courses on different le- ally to be present one year ago
vels and here at the 1st MENA when we opened the office;
Symposium we have made a you have to work and feel evestart to a long number of sym- ry day in the region if you want
posiums to come in the near to be successful here. We have
future. Ormco worldwide ap- several competitors from lowplies the same strategy which end to high-end. One of their
has proved to work success- advantages is the fact they
fully and corresponds to what have been present here for a
orthodontists are looking for long time but our strengths
today. The orthodontist does is if you look at our market
not just want to buy brackets share worldwide and how we
but
learn
about them, “It was great event for the Middle East and
share expeNorth Africa Orthodontist.“
riences and
- Dr. Faraj Behbehani
improve the
clinical outcome making of- perform in Europe ,Asia or in
fice life easier and that is ex- the USA, we apply a working
actly what we are working on. strategy which delivers to the
expectations of the customers
Can we expect any new solu- and we firmly believe that the
tions the coming year?
middle east orthodontists will
At this 1st Mena Symposium be pleased to work with us.
we took the opportunity to Ormco is known as a brand,
introduce our new system Ly- we do not have any issues
thos, our new intraoral scan- with brand loyalty, we are one
ner which is the more recent of the companies which is
technology in intraoral scan- very well known in Orthodonners moving from the com- tics so we just need to make
puter with screen set-up to a the things happen here.
more compact, light, full mobile scanner technology. The Do you plan any activities with
scanner technology is just a students in the region?
catalyzer of the digital tech- Of Course! Part of the educanology with the key being In- tion is going to universities,
signia – we don’t want to sell a partnering with universities
scanner but provide a tool that like we are doing with most of
help people achieve and use the countries where we have
insignia helping them have a partnerships, trainings, we
customized appliance for all are bringing speakers to the
general and specific patients.
universities so we are currently getting in touch with some
How do you plan to create of the key dental colleges in
awareness for Lythos in the the region and it is a process
coming year for the region?
so we are working on that. It
is part of the business strategy.
Anything else you would like
to share with the readers?
We are really happy and proud
to be here. Like we said in the
symposium, we had a dream
12 months ago to be here in
front of the 250 orthodontists
from the region that came to
our show and this dream became a reality thanks to the
big teamwork including our
local partners, some of the lo-
cal orthodontists and speakers
we have here and the team of
Ormco that made it possible. I
think it is a great achievement
so we are very happy to be in
this nice region.
[28] =>
28 i n dust ry
Dental Tribune Middle East & Africa Edition | January - February 2014
X-ray-free caries diagnostics in the everyday
dental practice routine
By KAVO
A
lternative, X-ray-free
caries diagnostics instruments, such as
DIAGNOdent, VistaCam iX, Soprolife – to name
but a few - have been finding
their way into dental practices for some years now. Up
to now, however, I have not
been personally convinced by
any of these instruments. One
reason was that integration in
our existing practice systems
seemed to be time consuming and expensive. However,
the restricted diagnostic spectrum (simultaneous detection
of occlusal and proximal lesions) also gave rise to doubts.
With the desire to re-equip my
practice for a more extensive
prophylactic care copncept in
caries diagnostics, I had an opportunity to test a new diagnostic procedure (DIAGNOcam,
KaVo, Biberach/Riss) more extensively.
The following article briefly
examines the underlying technology and, on the basis of specific cases, shows the diagnostic potential of DIAGNOcam,
including possible applications
in relation to prophylaxis.
Technologically advanced
The DIAGNOcam basically relies on a tried & tested technology that is used today in many
practices:
transillumination.
In contrast to conventional
technology with an interdental light source, DIAGNOcam
practically uses the entire tooth
as a light propagation medium.
At places where there is a carious lesion which blocks light
propagation, a shadow is produced. This is captured by an
integrated video camera that
relays the images in real-time
to the computer screen. The
light is introduced via the gingiva and bones at root level.
According to information from
the manufacturer this enables
the reliable presentation of
proximal and occlusal lesions.
Cracks and secondary caries
under fillings also show up,
provided that the fillings do not
exceed a certain size. The detachable DIAGNOcam tip can
be removed and sterilized. Different tips are available for the
milk and adult teeth.
Fig. 1: DIAGNOcam with USB
port. Besides transmitting data
to a standard computer, power
is also supplied via the USB cable. (picture: KaVo Dental, Biberach/Riss)
With the DIAGNOcam software live images and stills can
be viewed on a monitor and a
connection established to the
network and the practice management software (via VDDS
interface). Of course, it is also
possible to use a separate
(standard) laptop. Stills can be
taken at any position by pressing the switch (ring switch).
There are extensive editing
options available for the automatically saved images.
Fig. 2: Use of the DIAGNOcam by dental hygienist
First step toward X-ray-free
caries diagnostics
After
performing
dental
cleaning,
my dental hygien- Figure 1
ist often reported
torn floss or unclear bop’s. This
usually resulted in further Xray investigations with waiting
times, at the expense of my time
spent treating the patient. This
situation has now changed: the
problem is discussed beforehand with the patient with the
dental hygienist and visually
presented with the DIAGNOcam. This significantly raises
the hygienist’s status in the patient’s eyes. At the same time,
I can see a trust-building effect
from the patient’s perspective,
so that not only the dentist, but
the entire treatment team contributes to the patient’s dental
health with state-of-the-art diagnostic procedures. I am involved in the next phase of the
workflow and I decide on the
basis of the initial images recorded by the assistant, whether I can clinically confirm the
situation or take another look
with the DIAGNOcam or get an
X-ray taken.
The computer and KaVo’s KiD
program are started and the
rubber arms of the DIAGNOcam slide over the proximal
zone of the teeth. After adjustment of the camera position,
above all in the vertical axis
and in its inclination to the
tooth axis, a crisp image is obtained. It should be noted that
a learning phase is required
for proper handling of the PC
screen. Especially in the proximal zone, caries lesions are
revealed by the DIAGNOcam,
which probably would not have
been possible to identify clearly by sight or which would not
have showed up at all. By the
same token, this means that
I can offer my caries patients
earlier and hence more effective treatment. It should be
noted, however, that the DIAGNOcam cannot distinguish between active and inactive caries. Consequently, active caries
can only be differentiated from
inactive caries by means of a
time progression (screening)
and corresponding progression.
With a little practice, it soon
becomes a genuine pleasure
to work with DIAGNOcam,
which offers an additional diagnostic tool for use in dental
examinations. The enclosed
guide makes it easy to learn
how to interpret the images.
At present, however, KaVo advises against basing diagnoses
solely on the DIAGNOcam, instead recommending that the
camera be used as an auxiliary
diagnostic instrument. Notwithstanding this, I have not
during the test phase identified
any incorrect diagnoses compared with X-ray diagnostics.
Especially in the diagnosis of
proximal caries, an improved
correlation of the DIAGNOcam
image with the clinical extent
is apparent. Another major advantage is that proximal overlaps which frequently hinder
diagnosis with X-ray images,
do not not occur with the DIAGNOcam due to the nature of
the system.
In a workflow in accordance
with manufacturer recommendations (visual inspection, DIAGNOcam, X-ray image), a diagnosis of suspected caries can
be verified by the DiagnoCam,
avoiding an unnecessary X-ray
session.
Integration in dental prophylaxis
As mentioned above, our practice is undergoing expansion
and reorientation to a prophylactic concept Even if this
process is not yet complete, I
would like to discuss my experience to date.
All my patients benefit from Xray-radiation-free diagnostics.
Especially children, pregnant
women and patients who are
fearful of X-rays. Especially
with regard to child prophylaxis, simple screening makes an
enormous and very welcome
contribution to keep the teeth
of young children healthy.
Cost-effectiveness
presentation of this diagnostic method
With the introduction of the DIAGNOcam as an integral part of
the treatment, I have raised the
original price for professional
dental hygiene treatment by
€12 (comparable rö2 BEMA). A
short, conservative calculation
makes it clear that the investment in the device pays off in a
very short time. The additional
time expenditure in prophylaxis is low and acceptable. A
flat-rate allowance for running
costs for the DIAGNOcam of
€1,000/year is integrated in the
below calculation.
Calculation of DIAGNOcam
in prophylaxis
The procurement costs of
the DIAGNOcam are around
€4,800€ plus sales tax. According to the above estimate,
the investment pays off in the
course of the first year, without
taking into account depreciation. The acceptance for an ad-
Figure 2
ditional charge of €12 for the
use DIAGNOcam (especially
when included in the dental
hygiene session) is very high.
In addition, it can be seen that
the the proportion of cases demanding treatment in adhesive
filling therapy (with average
time outlay) increases. This is
least costly for patients that a
later treatment, usually with
more extensive and expensive treatments. At the same
the profitability for the dentist
remains the same or may, depending on the practice structure, even be increased, as fewer laboratory made prosthetics
are needed, for example, and
the turnover generated thus
remains in the practice. I have
not been able to determine in
the test period to what extent
this positively influences the
calculation.
General conclusion
We Swabians have a reputation for being a rather understated lot. It is therefore it does
not easily to me to say what an
enormous gain this has been
for my practice. No more than
I can claim the opposite. First
and foremost, the increase in
the quality of caries diagnostics
should be mentioned. I identify
more and can therefore treat
my patients at an early stage.
This not only gives me, as a
practitioner, a good feeling but
also the patient who feels well
taken care of. X-ray images are
certainly (still) considered to
be the gold standard. However,
now and again it is difficult to
convince especially critical patients (such as the parents of
very young patients)about Xrays. Our dental hygienists are
very happy to be able to integrate the DIAGNOcam in their
treatment. Summing up, in my
opinion the introduction of the
DIAGNOcam has significantly
enhanced our practice, both
financially and in terms of intangible values.
Clinical case study
The clinical investigation of an
upper molar does not provide
any evidence of the presence
of carious processes in the mesial contact zone (Fig. 3). In
contrast, in the DIAGNOcam
image (Fig. 4) a broad shadow
zone can be seen which has already extended to the enameldentine boundary.
The bitewing image (Fig. 5)
only reveals a extremely faint
lightness of this area. After
opening a carious process was
revealed (Fig. 6), which was
treated after excavation and
preparation with the SONICfill
system (Fig. 7).
Contact Information
KaVo Dental GmbH
Alexia Valera
9th Floor Rotana Arjaan Tower
Dubai Media City, UAE
Tel. +971 4 4332186
Mob. +971 56 1757141
E-Mail: alexia.valera@kavo.com
www.kavo.com/MEA
Figure 3
Figure 4
Figure 5
Case 1: proximal caries in an
upper molar
Fig. 3: initial situation
Fig. 4: DIAGNOcam
Fig. 5: X-ray image
Fig. 6: cavity prepared
Fig. 7: filling with SONICfill
Figure 6
Figure 7
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Ort ho T r i bu n e 29
Dental Tribune Middle East & Africa Edition | January - February 2014
The Inman Aligner: An effective tool for
minimally invasive cosmetic dentistry - Part 1
By Dr. Tif Qureshi
T
raditionally,
cosmetic dentistry has
always been faced
with the challenge of
treating poorly aligned teeth.
Treatment options available
for mildly and moderately
crowded teeth include orthodontics and restorative dentistry. Many patients have
chosen the restorative approach, for example porcelain veneers, over orthodontic
techniques because of longer
treatment times combined
with either unsightly labial
wires and brackets or the expense of ‘invisible’ braces.
In cases in which patients
choose to have crowded upper
and lower anterior teeth treated with veneers, it is extremely
challenging to prepare teeth
conservatively, owing to their
anatomy and the minimum
thickness of porcelain required. A difficult balance has
to be found between overpreparing the teeth and placing
overcontoured
restorations.
However, owing to the excitement and emotion created
by the effect of popular large
smile makeovers, aggressive
tooth preparations, in which
teeth are prepared to stumps,
seem to have been accepted
as normal practice, simply because there has been no alternative that could achieve the
patient’s objectives in a sufficiently short period.
Inman Aligners are now offering a minimally invasive alternative to patients in Australia.
With only one appliance, most
Aligner cases can be completed in six to 16 weeks. In anterior crowding cases, Inman
Aligners have proven to be
much more time- and cost-effective than invisible braces or
conventional fixed and shortterm orthodontics. To date, I
have treated about 1,000 cases
and have found that case acceptance has been close to
100%, simply because many
patients much prefer a removable solution that fits their lifestyle more easily. Treatment
can also easily be combined
with simultaneous bleaching
and final edge-bonding for
dramatic, quick and non-invasive results. From this, a new
procedure has arisen in cosmetic dentistry - alignment,
bleaching, bonding - which
will be covered in the second
part of this series. The cases
presented in this article will
outline some case types that
can be treated.
The Inman Aligner
For over 30 years, spring aligners were used to correct minor
tooth movements. Early designs were developed for minor tooth movements and to
treat slight rotations. Previous
spring aligners were useful,
but several problems always
limited the amount of tooth
movement achievable. Their
active components were made
from
stainless-steel
wire,
which is relatively inflexible
and lacks any innate springiness. As a result, traditional removable appliances required
periodic reactivation, leading
to short-lived force application
that limited the speed of tooth
movement, owing to the need
to allow the bone around the
roots of the teeth being moved
to ‘rest’ between successive
activations. In addition, the
direction of force application
with traditional springs was
less easy to control, leading
to a mousetrap-like force that
tended to unseat the appliance. These factors limited the
degree of correction that could
be accomplished. For larger
movements, single appliances
were insufficient to complete
the movement.
In developing the Inman Aligner, Donal Inman, CDT created
a patented design that takes
advantage of the gentle, steady
and consistent forces generated by NiTi. The design relies on piston-like components
driven by NiTi coil springs. Inman designed lingual and labial components to function or
move in parallel to the occlusal
plane, eliminating the mousetrap-like unseating forces and
allowing actual physiological
movement of teeth. Inman
Aligners are ideally worn for
16 to 20 hours a day. Studies
have demonstrated that the
removal of orthodontic forces
for four hours a day massively
reduces the risk of root resorption1 and that risk of root resorption is lower in removable
versus fixed appliances.2
A standard Inman Aligner as
described in the following cases consists of both lingual and
labial components. The forces
have the effect of squeezing
the teeth into alignment. The
components can be used in
isolation to retract teeth with
a more steady force, requiring less adjustment than a
standard labial bow retractor.
In Case III, a unique approach
that incorporates an expander
on the Inman Aligner is described.
Patient selection
Case selection for the Inman
Aligner is critical. The following criteria should be met before treatment proceeds:
1. Cases should require movement of incisor and/or canine
teeth only.
2. Root formation of the teeth
to be moved must be complete.
3. Crowding or spacing should
be less than or equal to 3mm.
Arch evaluation must be performed to determine the
amount of space required. Cases with over 3mm of crowding
require additional space creation techniques which should
only be attempted with training. It is quite possible to treat
cases with 5.5mm crowding
easily and predictably in less
than 16 weeks.
4. Cases should have fully
erupted posterior teeth to facilitate retentive clasps, with a
reasonably well-aligned arch
form to facilitate the path of insertion of the appliance.
5. Cases should be stable and Figure 1. Side smile view before
treatment.
preferably periodontal disease
free.
6. Patients must agree to wear
the Aligner for about 20 hours
a day and be responsible for
good appliance and oral hygiene. Should the patient wear
the Aligner for 14 hours a day
only, treatment will still be
successful.
Figure 3. Occlusal view before treatment.
Model evaluation/arch analysis with Spacewize
Arch analysis should be performed before any Aligner
case is attempted in order to
ensure that the case is suitable
and, if not, what additional
space creation techniques will
be needed to allow the Inman
Figure 5. Occlusal view before treatAligner to work. The extent ment.
of crowding present is calculated3 by measuring the sum canine. Using an orthodontic
of the mesial-distal widths of retaining or jeweller’s chain
the teeth to be moved. This or a polishing strip, the ideal
distance is called the required arch form is then measured
space. If canines and incisors from the distal of each canine
are to be moved, this distance in alignment with the ideal
will be measured from the arch form following orthodondistal surface of one canine to tic correction. Critically, the
the distal surface of the other arch needs to pass through the
Figure 2. Side smile view after nine
weeks with an Inman Aligner.
Figure 4. Occlusal view after treatment.
Figure 6. Occlusal view after 13
weeks with an Inman Aligner.
suggested position of the contact points and not the incisal
edges. This is described as the
available space or the curve.
It is possible to perform this
task more quickly and just as
accurately with software such
as Spacewize. Just one simple occlusal photograph is
[30] =>
30 Ort ho T r i bu n e
required, which can be taken
chairside. One tooth needs to
be measured for calibration.
A curve can be digitally established and the extent of crowding is immediately calculated
using such software.
Laboratory requirements
Accurate upper and lower impressions are taken, preferably
two of the arch being treated.
Simple alginate can be used
if cast quickly. A bite registration and prescription should
be completed and sent to a
certified Inman Aligner Laboratory. The technician should
be informed of the amount
of crowding calculated. The
teeth to be repositioned should
be noted clearly. The prescription should provide full details
to the technician regarding the
teeth to be moved, the area
they are to be moved to and the
distance they are to be moved.
A Spacewize trace of the ideal
curve can also be submitted.
Interproximal reduction
Interproximal reduction (IPR)
is begun at the fitting appointment using abrasive strips or
discs. The model analysis will
have already calculated the extent of IPR required.
Many authors acknowledge
that the reduction of half of the
interproximal enamel on the
mesial and distal of each incisor tooth is a safe technique.4-7
This equates to 0.5mm per
contact point, creating 2.5mm
of space between the canines.
In some cases, the distal of
the canine and mesial of the
premolar can be reproximated allowing for a total of 3.5
to 4.5mm. These cases will
require more experience in
using the system but offer a
number of possibilities for clinicians once trained to use the
system correctly.
Meticulous records of the
amount of stripping performed
should be kept. An in-surgery
fluoride rinse or application of
topical fluoride is recommended after any enamel reduction procedure. El-Mangoury
et al8 and Radlanski9 have
demonstrated that there is
no increased risk of caries after IPR, provided surfaces are
smoothed correctly. Heins et
al10 and Tal11 have demonstrated that there is no increased
risk of periodontal disease, despite the decreased interproximal space.
Critically, Inman Aligner treatment uses progressive, anatomically respectful IPR. While
the extent of IPR required is
already known, it is never carried out in one treatment. In
order to ensure minimal risk,
IPR (0.13mm per visit per contact point) is carried out only in
small increments. The patient
is sent away with the Aligner.
Owing to the Aligner forces,
the gaps will be closed after
two weeks. Interproximal reduction is performed at each
appointment only as needed,
using strips or discs, which
ensures the stripping is far
more anatomically conservative than would be the case using burs. This significantly reduces the risk of excess space
formation, gouging or poor
contact anatomy.
Lingual/labial anchors
Composite resin placed just incisally either incisal or gingival
to where the bows contact will
help them to function more efficiently. This can also be used
for the labial surface, especially in cases in which teeth
are being retracted. Strategic
placement is vital for success
and can be very helpful in the
treatment of rotated teeth and
the extrusion of teeth.
Appliance adjustment
The forces can be varied by adjusting the spring components
or replacing springs. Generally, adjustments are not necessary, except in more complex cases, for which training
is required to understand the
correct spring types and compression rates to use.
Case I
The 25-year-old female patient complained about the
appearance of her lower anterior teeth. She gave a history
of orthodontics in her teenage
years, having a fixed appliance
fitted for a period of two years.
She had been given a retainer
at the time but was told to wear
it at night for 3 months only.
She had noticed her lower four
incisors starting to become
crowded again. Treatment
options discussed were invisible braces, conventional fixed
brackets or an Inman Aligner.
The amount of space required
for reduction was calculated
as 3.5mm. Interproximal reduction was performed using
diamond strips (Brasseler). A
reduction of 0.13mm at each
contact point was achieved at
the fitting appointment. This
was verified with a thickness gauge. The patient was
seen three weeks later and a
fur- ther 0.13mm reduced at
each contact point. The teeth
were aligned in just over nine
weeks. The Aligner was left in
for one month to stabilise the
tooth positions. Tooth whitening was under- taken for
two weeks during the last two
weeks of treatment. Simultaneous bleaching is a significant advantage in removable
systems and helps patient motivation. Finally, an orthodontic
retention wire was bonded in
place on the lingual surfaces,
ensuring the patient could still
use super floss for hygiene.
Case II
A female patient presented
complaining mainly about her
rotated upper right central
tooth. She was considering veneers to redistribute the space
over the four front teeth. This
would have meant that she
would undergo three aggressive preparations and one invasive preparation with endodontic treatment of the upper
right central tooth. Space calculation with model analysis
indicated that treatment would
be possible with an Inman
Aligner. Because of the relatively low cost, the patient selected this option, understanding that we would not be able
to achieve Golden Proportion,
owing to the width and length
of her lateral teeth. A midline
screw was incorporated to allow for a small amount of
Dental Tribune Middle East & Africa Edition | January - February 2014
operatorcontrolled expansion
to provide a little more space.
(Incorporated expanders can
be used to release extra space
in cases with very constrained
space.) Up to 2mm of space
can be created by expansion,
which has the effect of pushing the cuspid away from the
lateral. After alignment, this
expansion will just relapse.
It is a temporary technique
to create sufficient space to
align the anterior teeth. After
alignment, the expander can
even be unwound if required.
Treatment took 13 weeks with
three sessions of IPR. A total of
3mm was stripped and 1mm
was gained with the expander.
The teeth were retained using
orthodontic gold chain bonded
from canine to canine. An upper Essix Retainer was also
worn nightly as back-up for
retention.
Case III
The patient in this case originally presented for porcelain
veneers on her upper anterior
teeth. The preparations would
have required root-canal treatment of two of her incisors
in order to achieve adequate
emergence profiles.
After case options had been
discussed in detail, the patient decided upon an Inman
Aligner to align the teeth with
veneers following this treatment. The patient was aware
that after alignment, retention
would be mandatory. Spacewize arch analysis calculated
only 0.8mm crowding in deviation from the ideal curve.
An upper Inman Aligner with
combined expander was fabricated and fitted. Minimal IPR
was carried out with a 0.1mm
reproximation strip to separate
the teeth. The patient turned
the screw every five days for
six weeks, which created
nearly 2mm of space. This allowed space for the centrals to
advance and de-rotate. At this
point, the expander was unwound to ensure that any mild
residual spacing had closed.
The teeth were aligned within
nine weeks. An Essix Retainer
was used to retain the teeth
passively for a further four
weeks, after which a bonded
wire retainer was placed. The
patient was very pleased with
the alignment and decided that
she would not need veneers.
Veneers could always be used
at a later stage if necessary,
after more enamel has eroded
with age and when veneers
can be placed additively, for
example.
The result was not a perfect
smile with regard to the criteria defined by Smile Design
theory. Yet, that she no longer
wanted veneers arguably provides us with a far better and
more ethical outcome long
term.
Retention
Retention for anterior alignment is essential.12-14 Recommended retainer types are
bonded canine-to-canine fixed
retainers commonly fabricated
from .0195” or .0175” multistrand stainless-steel wire. An
indirect method can be used
to adapt the wire to a working model. This can then be
Figure 7. Smile view before treatment.
Figure 8. Smile view after treatment.
Figure 9. Close side view before
treatment.
Figure 10. Close side view after treatment.
Figure 11. Occlusal view before
treatment.
Figure 12. Occlusal view after nine
weeks with an Inman Aligner.
Figure 13. Side smile view before
treatment.
Figure 14. Side smile view after
treatment.
transferred to the teeth, using a specially made jig and
bonded with flowable composite resin to the backs of the
aligned teeth. The occlusion
must be clear when placing a
retainer on the maxillary arch.
Advantages of this method are
that the flexibility of the arch
wire allows for physiological
tooth movement and prevents
bond fracture through occlusal
forces. Periodontal ligament
stability is also achieved with
this technique.15
preview the staged changes of
alignment, perhaps followed
by bleaching and bonding. As
a result, the Inman Aligner is
profoundly changing the approach to cosmetic dentistry
by those using it with the
advanced techniques of domino effect, combined expansion
and strategic anchor placement in the UK and Europe.
This new approach to cosmetic dentistry in the UK has
been confirmed by figures
from the British Academy of
Cosmetic Dentistry (BACD).
The 2008 study of data from
200 BACD members demonstrated a massive 345% increase in orthodontics used in
cosmetic cases but no increase
in the use of veneers. Of this
increase, 230% was solely due
the use of the Inman Aligner in
cases in which patients would
not otherwise have had their
teeth treated, owing to the
time cost of fixed braces and
no desire to have appliances
adhered to their teeth. Many of
these patients were those who
would have opted for aggressive preparation of their teeth
for veneers, before the Inman
Aligner.
Essix Retainer
This retainer is a thermoformed, clear, thin appliance
that is easily made and very
comfortable for patients. The
recommended post-operative
regimen for Inman Aligner
treatment is to wear the retainer at night for 18 months and
after that for 2 nights a week
indefinitely.
Conclusion
With the Inman Aligner, patients previously put off by
the treatment time and fixed
brackets of traditional orthodontic techniques or the
expense of more recent invisible braces, could, if their
case is suitable, achieve anterior tooth alignment far more
quickly with a simpler, single
appliance. Inman Aligners
are suitable for alignment of
incisors and canines with up
to 3mm of crowding - 5.5mm
once the treating clinician is
trained in using the system
and represent a very conservative and potentially revolutionary alternative to radical tooth
preparation for achieving tooth
alignment using porcelain restorations.
The Inman Aligner allows for a
rapid and aesthetic alignment
at low risk and cost to our patients. The patient is able to
Editorial note: A complete list of
references is available from the
publisher.
Contact Information
Dr. Tif Qureshi is the Past President of the BACD.
He presents hands on courses
and lectures on the Inman Aligner worldwide.
For information on courses
please go to:
www.inmanalignertraining.com
or contact Caroline Cross on
Tel: +44845 366 5477
[31] =>
[32] =>
32 aca de mi a t r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
College of Dentistry - Sharjah University
welcomes new dean
it is for me to have
the opportunity to
be at a University
ARJAH, UAE: Profes- where the Ruler,
Highness
sor Richard J. Simon- His
sen, DDS, MS, on behalf Sheikh Dr Sultan
Mohammad
of Dental Tribune we Bin
would like to congratulate you Al Qasimi, being
with your new role as the Dean such a well-eduof the College of Dentistry and cated man himself
Executive Director of the Den- with two earned
tal Hospital at Sharjah Univer- PhD degrees, has
education as one
sity in UAE.
of the pillars of
DTMEA: How did you find his vision for his
your way to the Middle East, Emirate. Already
through Kuwait, to Sharjah, the resources put
into building UniUAE?
Professor Simonsen: Thank you versity City, make
very much for this opportunity. this University one
I guess I have always had an of the most impresadventurous streak in me, and sive in the world.
circumstances, like the end of I certainly have
World War II when I was born, never seen such
meant that as a small boy I an incredible inlived in two countries; England frastructure in my
where I was born; and Norway life. Now those of
where my father is from. Then us entrusted with Professor Richard Simonsen
as a teenager I decided that I guiding the College
wanted to study dentistry, and I and the University in the com- tem into line with a general
wanted to do that in the United ing years must seize on this practice with a comprehensive
States. I was very fortunate to opportunity to make the pro- care focus, rather than being
get that opportunity through a gram as good as the beautiful split into rival departments
series of serendipitous events. Islamic architecture on display with separate clinics, was good
for patient care and for the
So having lived and worked on our campus.
student. The students at MU
in several countries, and having lectured now in about 35 What are your plans for the learned that we treat our pacountries, when the opportu- coming year as Dean of the tients holistically recognizing
that we are not just “fixing a
nity arose to spend the tail-end Dental College?
of a long academic career in I think the College of Dentistry tooth” but rendering a service
the Middle East, where I had is on the verge of a big leap that affects a human being’s
never been, I jumped at it. forward into the next stage of overall general health. Oral
I believe one should always its development, which has health is an important part of
take any opportunity to grow to include the introduction of total systemic health. Also, I
and learn. I wanted to see for graduate programs into the put a focus on ethics as a founcurriculum and the dational subject for all dental
“The College of Dentistry is on development of Con- students, and I would like to
tinuing
Education motivate our students to conthe verge of a big leap forward” programs run by the tinue doing the right thing.
University.
Bringmyself, rather than rely on the ing graduate students into the What can you say about the
news reports, just what the College, elevates the level of Dental Education in the repeople and the places of the intellectual stimulation for us gion?
Middle East are really like. all. With the introduction of From what I have seen, dental
Already I know that this was Master’s and eventually PhD education in the Middle East
a very wise decision because degree programs, the College is on a par with anywhere in
I have learned so much about would take a step forward, and the world, it just lacks depth in
the wonderful people, the the ability of the College to cre- terms of the numbers of wellplaces, and the politics of the ate new knowledge through trained specialists who can
region. Being in Sharjah at this research would begin. I also assume top level Professorial
moment in time, at this mo- believe that the College should roles—but they are just around
ment in my life, surrounded by be a vital resource for the prac- the corner!
the bright young minds of our
students, is a very special ex“Dentistry, after all, is a health profession where the
perience for me. I feel so very
end result is relief from pain...”
lucky to be here!
By Dental Tribune Middle East
S
How do you experience the
Dental College at Sharjah University at the moment?
I see a young University with
inspired leadership, a hardworking and dedicated faculty
and staff, and an incredible
group of students—you put
that all together and it feels
like I am sitting on a rocket on
the launch pad! Professor Rani
Samsudin, who led this College through the initial startup years, deserves credit for
building what we have here
today. A school or college is
only as good as the people in
it, and around it. I have to note
that one very important factor
in my decision to accept this
position was people-based. I
cannot explain how exciting
ticing dentists of Sharjah and
the other Emirates so we plan
to set up a Continuing Education component that will be
able to provide many courses
given by our faculty that will
help our colleagues in practice.
As Founding Dean of Midwestern University College of
Dental Medicine in Glendale,
Arizona, USA how can you
take that experience and use
it to develop further the Dental
College at Sharjah University?
In any position one learns from
both positive and negative experiences. I think some of the
ideas on which I founded MU
College of Dentistry, such as
bringing the educational sys-
As the Dean, what do you feel
is most important in predicting
success in the dental school?
Once again I have to go back
to people. With the dedicated
core of University leadership
from the Chancellor and Vice
Chancellor to the dental faculty and staff that we have at
the University of Sharjah, I
predict a bright future. One of
my roles as I see it is faculty
development. As we grow we
will need some additional faculty, but more importantly we
need to assure that local talent
is stimulated and mentored for
the future.
What types of students are you
looking for?
Dedicated, passionate, smart
people who want to help others. Dentistry, after all, is a
health profession where the
end result is relief from pain;
developing and spreading the
knowledge to prevent disease;
and the reconstruction of the
ravages of our two primary
diseases, dental caries and
periodontal disease. In order
to be a good practitioner of
dentistry, we need integrity,
honesty, empathy and a sense
of wanting to help others and
doing good things for our community.
storative dentistry. That’s my
passion—conservation of tooth
structure, and I would encourage any graduate to find their
niche in dentistry, and become
as good as you possibly can be
in that area, which, as it was
in my case, may require additional education in a graduate
program.
Do you have anything else you
would like to share with the
readers?
I believe that any school lives
for its students. If you want to
“I have been amazed at what a remarkable organization of students we have here in the University of
Sharjah Dental Students Association!”
What advice can you provide
your students on bridging the
gap between post-graduation
and working as a full-time
dentist?
Well, our students here are
faced with a unique situation
prior to getting licensed here.
It’s very true that a four- or
five-year dental education can
only do so much, and every
graduated student will learn
a great deal from additional
experience after graduation
from dental school, particularly from being around additional experienced mentors. So
I would advise them to recognize that once a dental student,
always a student of dentistry.
We are in a profession where
we continue learning for a lifetime, and that makes it very
exciting indeed!
Based on your own experience
how did you proceed after
graduating?
I found a niche for myself.
Recognizing that it is hard to
be an expert in every area of
general dentistry, I focused on
the acid-etch technique, which
was a relatively new concept
when I graduated from dental school. I looked for ways
to minimize the loss of tooth
structure in preventive and re-
put it in lay terms; the students
are the customers of the University. We exist for them and
we should not go back to the
old days when students were
regarded as a lower form of
life until one day they graduated and became instant colleagues! Of course young
people need guidance, advice
and mentoring, but they also
need our respect, empathy and
just plain kindness at times. I
have been amazed at what a
remarkable organization of
students we have here in the
University of Sharjah Dental
Students Association! They
have a very well-organized
group of young people with a
mission to do their best. I want
them to leave the University of
Sharjah with warm feelings for
the institution of education so
that they too perhaps can one
day teach the next generation of colleagues to work for
the people of Sharjah and the
Emirates as faculty at the University of Sharjah College of
Dentistry.
Contact Information
For more information contact:
Professor Richard Simonsen at
rsimonsen@sharjah.ac.ae
[33] =>
i m pl a n t t r i bu n e 33
Dental Tribune Middle East & Africa Edition | January - February 2014
Soft Tissue Engineering With Native
Collagen Matrixes
By Dr. Hueskens
M
ucogingival
surgery can be divided into four objectives:
- Increase of keratinized tissue
around teeth and implants
- Cover denuded root surfaces
- Augmentation of papillae
- Regeneration procedures as
ridge augmentation.
All these indication have been
treated in the past with free
gingival, or connected tissue
grafts harvested from the patients palate[1]. The fact that a
second surgical site is necessary and that due to complications as bleeding or pain- the
procedure is not very comfortable for the patient it is often
refused. The amount of harvested soft tissue material is
very limited too.[2] Therefore
the use of xenogenous materials can be an very interesting
alternative and was well investigated in the past [3]
Since 2010 we have now three
years of experience with collagen matrixes from native origin (MucoMatrixX, Dentegris
Germany). These matrixes are
1.2 to 1.7 in thickness and are
available in the dimensions
15X20 mm, 20X30 mm and
30X40mm. As they come in a
dry state they have to be rehydrated before use. Therefore
the MucoMatrixX is hydrated
with sterile, physiological saline solution for about ten minutes. It is bendable, sutureable
and it can be shaped, both with
scalpel or scissors. The matrix
has two sides, one that shows
little cuts is the bottom side,
the upper side shows little
pores. The time of resorption
is six to twelve month.
In the following cases we show
how the collagen matrix works
as a perfect substitute for both,
free gingival and connected
tissue graft.
Case one: Increase of keratinized tissue around teeth.
In the sequence is shown how
a matrix is sutured on a recipient site in region 45 to 47 (1a).
Therefore a horizontal incision at the mucogingival junction is placed followed by a
2a
2d
2b
2e
2c
mucosal flap preparation.(1b)
The fixation of the matrix was
made by some single sutures
that can be removed after four
days post operation because
of the fast revascularization
of the graft (1c). The next pictures show the site after two
weeks (1d) and six month post
operation(1e). A perfect result
of enlarging the keratinized
tissue could be achieved.
Case two. Root coverage.
In this sequence is shown how
the matrix is used to substitute a connected tissue graft to
serve in a root coverage procedure in region 33 to 36 (2a) In
this case the incision follows
the sulkus and a mucosal flap
(without lateral incisions), is
1c
1a
1d
1b
1e
performed (2b). A MucoMatrixX in fitting shape is brought
in. After coronal repositioning of the flap, it is fixed with
vertical matrass sutures (2c).
Picture 2d showing healing
after three weeks, 2e after two
years. Region 33 showing starting keratinization.
Case three. Soft tissue ridge
augmentation including reinforcement of the distal and
mesial papilla.
This sequence shows the reconstruction of the resorbed
ridge after an extraction of
tooth 12, due to a bridge 13 to
11 and 21 (3a). In this case after a palatal incision a mucosal
flap is prepared and enlarged
direction labia (3b). Two layers
of the matrix are positioned
under the flap and the sutures
fixing the flap (3c). The provisional shows the good primary
success in reconstruction of
the defect (3d/3e). The documentation of the following
healing period showing a perfect long term treatment success. Remarkable is the gain of
the papilla from picture 3g to
picture 3h.
Case four. Closure of the
socket during an immediate
implant placement proce-
3b
3c
3d
3a
> Page 40
[34] =>
34 i m pl a n t t r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
“Using short implants you are much more conservative”
By Dental Tribune Middle East
D
UBAI, UAE: During the
Bicon Short Implant
Forum 2013 in Dubai,
UAE we caught up with Dr. Michael Ziegler, Clinical Director
of the American Dental Clinic
in Dubai to understand his experience with Bicon.
DTME: Dr. Michael Ziegler,
you have been here a long time
in the Middle East and we are
eager to learn more from you.
Dr. Michael Ziegler: Well I
have been here for over 27
years, actually I opened my
clinic when Emirates Airlines
opened their office who grew
a little faster than I did but I
have always loved the region
and had a great time here.
not know enough about it and
everybody was talking against
the usage of short implants
and I believed that too but a
lot has changed since. What
changed was that I am looking for something conservative
and something that is consistent which works. These two
points work for me and for my
patient. Bicon is conservative
because in my hands I had a
lot of problems before to make
bone. By using short implants
you are much more conservative and it is a lot easier for the
patient and with less time involved, risk with a consistent
outcome. You can top these
points and Bicon offers all of
these.
When I started using Bicon
I was on my own over here.
There is a learning curve but
once you understand it, it becomes simple and you have
more control compared with
other systems. The is a learning curve because there is a
different way of thinking. One
system is a screw and one you
tap in so these are two different total concepts, two different healing concepts and the
healing process of Bicon is one
the greatest reasons why it is a
wonderful implant. The Bicon
implant provides room to form
a clot or a callus with quick
support whereas a screw in
implant is very closely associated to the bone so it is a total
different type of healing. I have
put Bicon in a patient where
after drilling the sight there
was no blood after having lost
two implants and absolutely no
bleeding and to put a regular
implant in there would have
been a very scary thing to do.
Two years I had put it in and
recently the x-rays showed it is
working and it is fine. Furthermore, it is suitable for many
situations such as periodontal
situations and one of the greatest benefits is for sinus lifts allowing predictability and easy
on the patient.
More or less you have enough
experience to share today during your lecture at the Forum?
My lecture will explain a bit
about my philosophy and
I have been asked to show
some of my cases and being
amongst the pioneers to use it
in the area I will show my experiences with Bicon in areas
which it is difficult to use other
implants. My presence here today is not to teach the participants but to share my experiences and to show that using
the Bicon system works for me
and has led to many successful
results. Bicon has been good
for me.
Bicon Short Implant
Event held in Dubai
How long have you been using
Bicon?
For about 5 years now however I have known about Bicon
for a long time but I just was
not quite ready to embrace
and take the jump into Bicon
mainly due to the fact that I did
Would you advise your dental
colleges to use Bicon? How is
the learning curve?
By Bicon
Bicon Short Implant Forum 2014
D
UBAI, UAE: The Bicon
Short implant event
2013 has been held on
November 14th and 15th at Atlantis the Palm resort in Dubai,
UAE. The main speakers were
Dr. Vincent Morgan, President
of Bicon LLC/Boston; Prof. Dr.
Mauro Marincola, Clinical Director Bicon/Italy; Dr. Laura
Murcko, Bicon consultant/
Boston; Mr.Paolo Perpetuini,
Italy, Bicon International Technician. Additionally two local
Implantologist Dr. Kadhim
Himdani and Dr. Michael Ziegler spoke about their experiences with Bicon. Dr. Haider
Khader and Dr. Joji Markose
assisted the hands on course
which also took place.
The 2 day program was organized in Dubai for a delegation
of 70 Iranian dentists and was
co-organized with the help of
the Iranian distributor of Bicon
– Mehr Taban Co. In addition,
dentist from UAE, Kingdom of
Saudi Arabia, Oman, Iraq, Qatar and India formed the group
of 112 dentist who attended the
theoretical course on the first
day with 73 dentist taking part
in the hands-on course on the
second day. In addition 18 lab
technicians from UAE and Iran
attended for education.
Bicon presented proven clinical studies on the 4.0 x 5.0
SHORT implant, TRINIA the
metal Free CAD/CAM Solution
and Metal Free Fixed Restorations on short implants. Bicon presented guided surgery
techniques for the first time to
the Middle East dentists. The
course attendees received 17
CE credit hours. At the end of
the course the attendees received good exposure advantages of the only unchanged
implant system since 29 years.
During the hands-on course
on Bicon Surgical, Prosthetic,
Guided Surgery and TRINIA,
dentist took advantage and
learned about the product in
a practical way. Based on the
success of the Bicon Short Implant Forum 2013 in Dubai,
Bicon would like to conduct
more hands-on courses from
coming year 2014 to dentists
from the Middle-East region.
Since 1985, the Bicon Dental
Implant System has offered
dentists a proven solution for
missing dentition. The Bicon
implant design comprises plateaus, sloping shoulders and
a bacterially-sealed, and 1.5°
locking taper implant to abutment connection. With the plateau design, cortical like bone
forms around and between
each plateau. This Haversian
bone allows for the routine
use of 5.0mm short implants.
The sloping shoulder provides
the necessary room for bone
to support interdental papillae that are gingival aesthetic.
Bicon’s 360° of universal abutment positioning provides
for the revolutionary cement
less and screw less Integrated
Abutment Crown™, which
consistently provides for a
non-metallic aesthetic gingival
margin.
The Scientific Session at Atlantis Dubai, UAE
[35] =>
Dental Tribune Middle East & Africa Edition | January - February 2014
i m pl a n t t r i bu n e 35
“So many features in Bicon make it a unique implant”
* Its lock taper Implant Abutment Connection (1.5) which
creates a completely hermetic
sealed free from any bacterial
infiltration which means no
future bone pocket or bone
resorbtion, so we can place
the implant 2mm subcrestally
to obtain best long life Esthetic outcome.
Prof.Kadhim Al-Himdani
By Dental Tribune Middle East
D
UBAI, UAE: Dr. Himdhani, PhD., M.Sc.,B.D.S.
Maxillofacial Surgeon
& Oral Implantologist Paris
VII, France Clinical director
of French center for Dental
Implants.
Since 1980, Dr. Al Himdani
started practicing as Oral
Implantologist in one of the
most famous hospitals in
Paris ”Cochin Hospital”, he
was one of the founders of the
first University Diploma “MSc.
Oral Implantology” in France
& Europe. In 2002, Dr. Al Himdani arrived in the Emirates
as a Consultant Implantologist & Maxillo-Facial Surgeon
in Al Zahrah Private Hospital
and in 2003 he established his
own clinic “ French Center for
Dental Implant” where actually practiced exclusively his
speciality as Oral Implantologist.
DTME: When was the first
time you started using Bicon?
Prof. K. Al-Himdani: About 6
years ago when my friend a
Dr. M. Al Jabbawi from U.K.
“Whom I would like to thank
him” introduced it to me and
from that time Bicon solved
approximately 90% of problems that I faced with all other
implant system which I have
used during my 30 years in
this field.
What makes Bicon different
from other implant systems?
So many features in Bicon
make it a unique implant
starting from;
1. Implant macro geometry;
* Its Platform switch & Slopping shoulder which enhances hard & soft tissue growth
improving the quality of biological width and so the final
Esthetic outcome.
* Its Plateau design which
increases its surface area to
30% & improving the quality
of bone regeneration around
the implant, so behind these
2 features we find the huge
success of its short implant &
in Immediate placement after
tooth extraction with Compromise bone to avoid the traumatic & caustic bone grafting
procedures.
2. Surgical Kit which gives
the ability for Manual Bone
Manipulation “Splitting &
Expanding” and the collection of precious Autogenious
Bone, maneuvers which help
to overcome “to a certain limit” ridge deficiency avoiding
so bone grafting procedures.
Beside that the 50 rpm of motorized surgical procedure
decreases, if not eliminate the
chance of bone damage during host preparation.
3. Prosthetic restoration with
its unique Implant Abutment
Connection especially with
the absence of internal screw
has
advantage
regarding
crown’s reparations without
traumatizing the implant and
oral tissues. On top of that, the
ability of the use of Integrated
Abutment Crown to overcome
the aesthetic result of the use
of screw retained crown res-
toration in case of palatal oriented implant placement.
Contact Information
What is your advise for Dental
Colleges?
Implant practice is very exciting field from all points of view
“Functional, Esthetic, Healthy,
…” and it seems to be easily
achieved, but to obtain a durable successful result needs a
proper implant selection with
good understanding of patient
risk factors which are susceptible to compromise our final
result.
Prof.Kadhim Al-Himdani
Ph.D.,M.Sc.,B.D.S.
Maxillofacial Surgeon & Oral
Implantologist Paris VII ,
France
Tel: +971 6 5722555
Fax: +971 6 5746886
Mob: +971 504621479
PO.Box 69676
Sharjah, UAE
[36] =>
36 ev en ts
Dental Tribune Middle East & Africa Edition | January - February 2014
5th DFCIC and AAID 2nd Global Conference hosted
1,358 world experts in Aesthetics and Implantology at
Jumeirah Beach Hotel Dubai, UAE
By Dental Tribune Middle East
D
UBAI, UAE: DFCIC
and AAID together
welcomed over 1,358
world experts in Aesthetics and Implantology from
30 countries on 09th - 10th
November 2013 at Jumeirah
Beach Hotel, Dubai. With the
excellent ambiance and cozy
atmosphere the conference
again provided warm exceptional networking opportunities, connecting the leaders in
the field of Aesthetic Dentistry
& Implantology – practitioners, researchers and industry
players. The organizers, CAPP,
AAID and Emirates Dental Society with the support of Saudi
Dental Society and Lebanese
Dental Association achieved
one more time a great record
of attendance and established
a reputation as the industry’s
leading international conference.
Bringing together industrial leaders and professional
practitioners, the conference
not only delivered extensive
scientific knowledge but gave
way for an excellent opportunity to present the latest
advancements and developments within Aesthetics and
Implantology.
The sponsors included Sirona,
Ivoclar Vivadent, 3M ESPE,
Crest & Oral-B, GSK, Phillips
Excellent ambiance and cozy atmosphere at Jumeirah Beach Hotel Dubai, UAE
Dr. Munir Silwadi (left) and Dr. Andreas Kurbad (right) discussing questions
Dr. Mohammad Al-Obaida (President SDS) shakes hands with Dr. Elie
Maalouf (President LDA) at 5th DFCIC
The scientific session at 5th DFCIC
Demonstrations at the product display area by Dr. AbdelAziz Yehia,
Sirona Middle East - Business Development Manager CADCAM
GSK - Silver Sponsor at the 5th DFCIC
Dental Tribune Middle East Nov-Dec edition presented to Dr. Elie
Maalouf (President LDA)
> Page 37
[37] =>
ORAL H EALT H 37
Dental Tribune Middle East & Africa Edition | January - February 2014
Mouth cancer awareness month
By Victoria Wilson,
Dental Hygiene Therapist
D
UBAI, UAE: For the
month of November ‘Mouth Cancer
Awareness Month’
runs throughout the UK. In
support of ‘Mouth Cancer
Awareness Month’ we at Dr
Roze & Associates Dental Clinic, wanted to play our part in
contributing to making our
patients and colleagues more
aware about the risk, signs and
symptoms of mouth cancer in
the UAE, by offering complimentary oral cancer screening in November. Dr Nigel L
Carter OBE BDS LDS (RCS)
Chief Executive of the Brit-
> Page 36
Sonicare, Carestream, Invisalign, Wrigley (Oral Health
Program) and VITA. Other
Industry Players taking part
included Middle East Dental
Lab, Noble Medical Equipment, Rocky Mountain Tissue Bank, ADL Laboratories,
Fabnos Int’l, Inman Aligner,
Dentegris, High Technology,
Dubai Medical Equipment,
Anyong Zongyang Dental
Materials Co, Qualident and
Pindent. The conference welcomed 1255 participants and
105 representatives from the
industry. There were 29 different countries represented
within the two day conference.
The international team of
speakers Dr. Andreas Kurbad,
Germany; Dr. Maria Hardman, UK; Prof. Dr. Claus-Peter
Ernst, Germany; Dr. Paul Weigl, Germany; Dr. James Russell, UK; Dr. Gary Wadhwa,
USA/ AAID; Prof. Colin Murray
UK; Prof. Khaled Balto, KSA;
Dr Ramesh Sabhlok, UAE; Dr.
Andre Saadoun, France/AAID;
Dr. Luca Cardaro, Italy; Dr. Natalie Wong Canada/ AAID; Dr.
Harald Hueskens, Germany;
Dr. Shankar Iyer USA/ AAID;
Dr. Tedie Lynn Hudson, KSA
discussed together the latest
in Aesthetic and Implantology.
The agenda featured valuable
examples of how the latest developments are being put to
work in the service of learners
regardless of their location or
level of technology. The two
day conference once again included the Dental Technicians
Parallel Session on the second
day with two courses given by
Aiham Farah, CDT, USA and
Dr. Atef Shaker, Egypt. Handson courses were presented by
Dr. Munir Silwadi, UAE and
Dr. Ajay Juneja.
Recognized as a pioneer
within the region, the program remained committed to
achieving simplicity through
innovation giving clinicians
the tools to provide patients
with a wide range of premium
dentistry solutions.
ish Dental Health Foundation,
kindly agreed to support us in
our work.
Monday
16th
December
marked our partnership with
CPS Clinical Pathology Laboratory in Dubai, for an evening
of lectures. Victoria Wilson,
Dental Hygiene Therapist at
Dr Roze & Associates Dental
Clinic, began the evening with
a lecture on ‘Mouth Cancer
Awareness’, followed by Dr
Peter Cruse from CPS, who
lectured on ‘The Pathology of
Oral Cancer’.
In reference to publications
from the British Dental Health
Foundation 400,000 cases of
mouth are diagnosed world-
wide every year. In the UK research reveals there has been
a 50% increase in Oral Cancer
since 2000. The prevalence
in youngsters is increasing.
Early diagnosis is key, and can
increase survival rate by 90%.
The key message is ‘If in
doubt, get checked out’. Any
ulcers, white patches, red
patches, lump, swellings that
don’t go within 2-3 weeks, visit
your doctor or dentist. Create
awareness of the main risk
factors associated with mouth
cancer. The main risks are
smoking, alcohol, poor diet,
HPV (Human papillomavirus),
smokeless tobacco (betel nut,
neswaar, paan, gutkha, areca nut). Due to recreational
Dr. Roze & Associates Dental Clinic
smokeless tobacco use in India
it is the number one form of
cancer.
Everyone knows about the
pink ribbon for breast cancer
awareness, and now it is time
for everyone to know about the
blue ribbon for mouth cancer
awareness.
Contact Information
Contact Information
Victoria Wilson
Dr Roze & Associates Dental Clinic
+971 55 552 7795
infovictoriawilson@gmail.com
Dubai, UAE
“Sirona has always been the leader in
producing surpassed innovative products”
Sirona has always been the
leader in producing Surpassed
Innovative products through
the whole product portfolio,
thanks for the dedicated management and dedicated R&D
department that are keen on
keeping the same level by investing a huge budget for this
purpose which for sure ends up
Dr. Amro Adel, Area Sales Manager with products like CEREC OmGCC & Pakistan Country Manager
nicam and we always say it is
Saudi Arabia - Private Sector
just only a start!!
By Dental Tribune Middle East
believing that our products are
not just a dental equipment but
yet an innovative technology
that we need all our customers
to make the benefit out of it, so
product Knowledge, continuous educational programs are
goals everyone in Sirona would
deliver anytime anywhere.
What is your impression of the
dental industry in Middle East?
How do you rate the level of
dentistry in the Middle East,
GCC & Pakistan in particular?
Looking at the dental industry
in the ME in the past 10 years,
I can only have one impression….HERE is Future!!
Well in 2013, the level of Dentistry in the GCC took a real detour towards quality products
and services and such detour
Sirona is amongst the largest
providers of dental products
and solutions on the market.
What role does digital dentistry
D
UBAI UAE: DTMEA
readers and e-followers are being updated
with the brilliant PR which is
behind Sirona. Constant updates, tweets and facebook
likes reveal the latest Research
& Development of The Dental
Company from Germany. We
interview Dr. Amro Adel – Area
Sales Manager GCC & Pakistan
to get his views on dentistry in
the region
DTMEA: Another big year behind us, how does Sirona Middle East reflect back on its successes in 2013?
Dr. Amro Adel: We did have a
real successful year in 2013, we
do thank all our customers for
this trust and this will encourage us more to keep the same
level in 2014 and always.
Last June CEREC Omnicam
was voted – most innovative
product in dentistry at the Clinical Innovations Conference in
London, UK. How does a company like Sirona manage to stay
at the top producing top level
products?
Well a question can be asked to
the customers and I will be so
happy to hear their feedback!!
But anyhow in general we invest in our products, invest in
our customers (allow me to call
them Friends) either dentists
or Technicians, They invest in
us and I assume the profit both
ways is Trustable.
Recently you have launched
CEREC Connect in the Middle
East, could you emphasize on
this new system?
Adding to what we mentioned
earlier, Sirona will always invest to reach each and every
customer , CEREC connect will
be one of such tools, a CEREC
software that will allow all dentists and Technicians to communicate and get their digital
impressions sent via email
generating a new era of Dental
office / Dental Lab communication.
Successfully launched in Kuwait two months ago, with a
real positive results and customer satisfaction, soon in Saudi, UAE and Qatar.
Would you like to share anything else with the readers?
Sirona booth presentation, Platinum Sponsor at the 5th DFCIC in Dubai
will sure reflects on Sirona as
one of the leading companies
when it comes to quality and I
see a bright future in the GCC
markets towards Dentistry. As
for Pakistan I believe the market is a growing market with a
very knowledgeable dental society.
How important is educating
the dentist and technician to
Sirona?
As it is known to all our customers worldwide, Sirona Focus on
the educational part of sales
play in your portfolio?
As a market leader or we say
The Market leader in digital
dentistry, Sirona portfolio will
always cherish such products
and we will always be keen that
Sirona role in digital dentistry
will reflect the power of the
company in this sector and thus
the trust by our customers will
be retain for years and years.
What is the impact Sirona and
Digital Dentistry have had on
dentists and dental technicians
in the Middle East?
Just to conclude, our commitment in Sirona is trust and we
are there to gain it and we will
work hard to maintain it as
well.
Wish you all a happy New Year
2014.
Contact Information
Dr. Amro Adel
Area Manager GCC & Pakistan
Country Manager Saudi Arabia –
Private Sector
Sirona Dental GmbH
Office : +97143752355
Mobile: +971505597780
Web : www.Sirona.com
Email : amro.adel@sirona.com
amro.sirona@mailme.ae
[38] =>
38 i n dust ry
Dental Tribune Middle East & Africa Edition | January - February 2014
AEEDC Dubai 2014
By AEEDC
D
UBAI, UAE: The 18th
edition of the UAE International Dental Conference & Arab Dental
Exhibition - AEEDC Dubai 2014
will take place at the state-of-the-art
Dubai International Convention &
Exhibition Centre (DWTC) from
4 - 6 February 2014. AEEDC Dubai
is ranked first in MENASA Region
and the Second Largest Worldwide.
Every year, AEEDC Dubai provides
the best platform for dental professionals and industry experts from
the MENA region and other parts of
the world to update knowledge, network, interact and generate business
partnerships.
AEEDC Dubai 2014 conference
will present a very comprehensive scientific program with more
than 130 international and regional
speakers highlighting the latest topics and clinical cases in the field of
dentistry. Several continuing dental
programs will be hosted at AEEDC
Dubai 2014 focusing on the most
up-to-date scientific information
and advanced dental solutions. In
addition, AEEDC pre-conference
courses named as the Dubai World
Dental Meeting – DWDM will run 3
days prior (1 – 3 February 2014) to
the conference offering a variety of
highly specialised courses.
AEEDC Dubai 2014 exhibition is
the gateway to the emerging and farreaching dental market in the MENA
region. A wide-ranging dental products, equipment and services will be
displayed. A number of practical and
interactive activities will run alongside the exhibition halls.
More than 30,000 Dental Professionals, Healthcare Providers and Industry Leaders are expected to attend
AEEDC Dubai this year. It also represents an outstanding opportunity
for all dentists and decision makers
from the private and public sectors,
to explore and test equipment and
devices displayed by more than 1,000
exhibiting companies. Moreover,
AEEDC Exhibition will feature 19
national pavilions primarily from:
Brazil, China, Finland, France, Germany, Hungary, Italy, Japan, Korea,
Portugal, Slovenia, Spain, Sweden,
Switzerland, Taiwan, Turkey, United
Arab Emirates, United Kingdom,
and United States of America.
This year’s edition of AEEDC Dubai
has four conference halls with the
best speakers the profession has to
offer. The lectures start with many established keynote speakers who have
been educating and innovating for
more than 20 years and new speakers
offering, with enthusiasm, fresh topics and new concepts.
The pre-conference courses of Dubai
World Dental Meeting, which will
be conducted from 1 – 3 February
2014, have topics ranging from Endodontology, Orthodontics, Implantology, Periodontology, Restorative
and Infection Control. Each course
selectively designed to offer the latest
advancements in their field.
The 18th Edition is held in strategic
partnership with the Ministry of Interior Naturalization and Residency
Administration, Dubai, United Arab
Emirates and has gained the esteemed support from Arab Dental
Federation, Global Scientific Dental Alliance, Executive Board of the
Health Ministers Council for Gulf
Cooperation Council States, GCC
Oral Health Committee, Riyadh Colleges of Dentistry and Pharmacy,
Arab Academy for Continuing Dental Education, and International Association for Orthodontics-IAO.
AEEDC Dubai is held under the
patronage of His Highness Sheikh
Hamdan Bin Rashid Al Maktoum,
Deputy Ruler of Dubai, Minister
of Finance, President of the Dubai
Health Authority in co-operation
with the Dubai Health Authority.
Contact Information
For more details visit:
www.aeedc.com
or e-mail:
info@aeedc.com
Inibsa dental:
the specialists in
dental anaesthesia
By Inibsa Dental
I
nibsa Dental is a pharmaceutical
company with over 65 years’ experience in the R&D and production of dental anaesthetics.
With a production capacity of over
150 million cartridges a year, Inibsa
Dental is positioned in its own right
amongst the world’s leading manufacturers.
Inibsa Dental has the right anaesthetic to suit every patient. In their daily
practice, dentists face a wide range of
pathologies and patients. It is important to choose the appropriate anaesthetic for each treatment and patient
considering factors such as the need
for postoperative pain control, the
required haemostasis, the risk of
postoperative self-inflicted injuries
and any existing contraindications to
the selected local anaesthetic. Inibsa
Dental provides a complete range of
drugs to deliver safe, convenient and
effective anaesthesia for every type of
dental procedure and patient.
Inibsa Dental’s local anaesthetics are
aseptically manufactured, siliconecoated and have latex-free rubber
components to ensure a smooth and
painless injection.
Contact Information
Visit us at:
AEEDC Dubai, UAE,
4-6 February 2014,
Hall 4 – Booth 856
EXPODENTAL Madrid, Spain
13-15 March,
Hall 7 – Booth D08-10
IDEM Singapore,
4-6 April 2014,
Level 4 – Booth 4H-31
http://www.inibsa.com
[39] =>
3M ESPE Restorative Procedure Solution
Optimize the outcome. Maximize the simpicity.
3M ESPE Indirect Procedure Solution
Optimize your time. Simpify your procedure.
[40] =>
40 i m pl a n t t r i bu n e
Dental Tribune Middle East & Africa Edition | January - February 2014
> Page 33
3e
3f
3g
3h
dure including augmentation of the alveoli.
After extraction of a first upper molar on the left, an internal sinusfloor elevation is
performed and a Soft-Bone
Implant is placed. The alveoli
are augmented (4a-4c) with a
bovine bone substitution materials (CompactBone B, Dentegris).
Than the collagen matrix covers the extraction site and the
gingiva is adapted with some
sutures (4d). There is no primary closure of the wound.
During the next two weeks
a complete closure could be
achieved (4e), so at second
stage after four months there
are perfect soft and hard tissue
conditions around the implant
(4f).
Conclusion
Since 2010 we used 122 collagen matrixes in 113 patients to
substitute free gingival or connected tissue grafts in mucogingival surgeries. The results
were similar to what we are
used to in tissues harvested
from the palate. The main advantage in comparison to the
autogenous grafts is that there
are almost no complications as
there is no need for donor site
at the palate. The second is the
unlimited amount of tissue that
can be used. So by that patients
are very comfortable with the
use of collagen matrixes instead of tissue from the palate.
4a
4b
4c
4d
4e
4f
Literature
[1] Thoma DS, Benic´ GI,
Zwahlen M, Ha¨mmerle CH,
Jung RE (2009) A systematic
review assessing soft tissue
augmentation techniques. Clin
Oral Implants Res Suppl 4:146–
165
[2] Griffin TJ, Cheung WS, Zavras AI, Damoulis PD (2006)
Postoperative
complications
following gingival augmentation procedures. J Periodontol
77(12):2070–2079
[3] Barker TS, Cueva MA, Rivera-Hidalgo F, Beach MM, Rossmann JA, Kerns DG, Crump
TB, Shulman JD (2010) A comparative study of root coverage
using two different acellular
dermal matrix products. J Periodontol 81(11): 1596–1603
Contact Information
For more information contact:
Dr. Harald Hueskens at praxis@dr-hueskens.de, +49 173 295 3195
> Page 1
Twain Harte, Calif., helped attendees “See and Compare the
Newest Lasers in Dentistry.”
Gianni is the CEO of Kainos
Dental Technologies and the
co-founder of Zap Laser. Dr.
Robert W. Carter, past president
of the Second District Dental
Society, presided over the lecture series.
A discussion of applied laser
physics was used to explain
how to safely and efficiently use
a laser for the benefit of the patients. Both hard- and soft-tissue procedures, many of which
can be used by general dentists,
were discussed and illustrated.
The seminar concluded with a
brief discussion of current laser
research and the criteria for the
“ideal laser.”
An all-day “Botox and Facial
Fillers: A Clinical Workshop
and Demonstration” seminar/
workshop was conducted. Dr.
Steven Clark of Miramar, Fla.,
led the full-day course, which
focused on the art of esthetic
use of botox and facial fillers. The morning session provided an introduction to neuromodulators (botox, disport
and xeomin) and various facial fillers, while the afternoon
provided a live demonstration.
Clark offered “clinical pearls,”
which he developed during the
last 20 years, to assure proper
technique and safety while also
achieving excellent cosmetic
results.
Living in a digital era, it’s no
surprise the dental field has
made many technological advancements in the past couple
decades — one of the most beneficial being CAD/CAM. Precise
and increasingly user-friendly,
today’s CAD/CAM technology
serves dentist and, in turn, their
patients on a large scale. Manhattan dentist Simon W. Rosenberg led the CAD/CAM Pavilion
Lecture Series mini-discussion
on CAD/CAM’s revolutionary
technology, integration into
dental practice (specifically
with dentures) and its benefits
to the industry.
According to Rosenberg, today’s CAD/CAM technology
allows the average dentist a
number of options in highspeed design and manufacturing, more significantly in
regards to implant prostheses,
crowns, orthodontic aligners
and cosmetic digital imaging.
Referenced frequently throughout Rosenberg’s presentation,
Dentca and Invisalign (denture and aligner manufactures)
founded their products through
CAD/CAM technology by careful analysis and research. Both
companies boast a two- to
three-visit schedule per patient
to fully complete the design and
manufacturing of their products, eliminating chairside time
and increasing profitability.
The two to three visits incorporate impression creation, a
second patient visit less than a
week later and an optional patient follow-up.
Speakers Dr. Cristina Teixeira
and Dr. David R. Musich spoke
on orthodontic topics, including
“Misconceptions in Orthodontic Early Treatment” and “Early
Class II Treatment: A Minimally
Invasive Treatment Approach.”
The International Congress of
Oral Implantologists’ seminars
featured Dr. Michael Tischler,
Dr. Alvaro Ordonez, Dr. Gordon
Christensen and Xana Winans.
Topics ranged from “The Zirconia Screw-Retained Implant
Bridge” to digital dentistry to
social media marketing.
In the Dental Assistants Pavilion, Shannon Pace Brinker,
CDA, spoke on “Becoming a
Whitening Specialist in Your
Practice,” which focused on
practical techniques for in-office and take-home whitening.
Highlights in exhibit hall
The Greater New York Dental
Meeting has long been a favorite venue for companies to
> Page 41
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ev en ts 41
Dental Tribune Middle East & Africa Edition | January - February 2014
> Page 40
highlight new and improved
products and services, and this
year was no exception. The
exhibit hall’s miles of aisles
beckoned with fliers and signs
announcing advancements in
virtually every sector of dentistry — and new deals on the
proven state-of-the-art products.
Jerry Herman, DDS introduced
for the first time at the GNYDM
the MouthWatch, an intraoral
camera system for patients to
use at home. It lets patients
send high-resolution images
of their mouth directly to their
dentists via a HIPPA-compliant
online platform. The idea is to
tighten the connection between
patient and practice, boost recall rates for cleanings and
improve overall patient compliance — in part by enabling
them to examine their own
mouths in privacy and see just
how bad their teeth and gums
might be looking.
which the company developed
and designed in conjunction
with the German company
imes-icore. It’s an open-architecture CAD/CAM system for
scanning, designing, milling
and finishing crowns, inlays
and veneers in the dental office
in a single appointment. It uses
the 3Shape Trios intraoral scanner to capture high-resolution
3-D digital images of the teeth
Isolate was demonstrating its
new Isovac Dental Isolation
Adapter, the latest addition to
its dental isolation product line.
The Isovac uses dual vacuum
controls so you can focus continuous hands-free suction in
either the upper or lower quadrants and improve control of
moisture and oral humidity.
In the DEXIS booth, attend-
Herman’s goal was a system for
the same price as a powered Greater New York Dental Meeting 2013 (Photo courtesy of DT America)
toothbrush, which, at $130, he
hit. Consumers can buy the and crown-preparation site, all ees could test out the DEXIS
scanner and then find a Mouth- of which are then processed photo app, which the company
Watch dentist through an on- through a CAD/CAM software unveiled at the GNYDM. The
line referral site — or ask their program to design the restora- app enables practitioners to
dentist to use the system. Or tion. The design is then trans- wirelessly send photos directly
dentists can provide the wand ferred to the GALAXY BioMill to into the DEXIS Imaging Suite
to their patients.
mill the crown using the latest via newer-model iPhones or
in esthetically pleasing, biologi- iPod touches. DEXIS also anBiolase used the GNYDM to cally compatible and durable nounced expansion of its imaging products to natively support
introduce its GALAXY BioMill, tooth-colored materials.
Apple hardware and the OS X
operating system — coming in
the second quarter of 2014.
In the IQ Dental Services booth,
attendees could see some of the
newest imaging technology
by checking out the Soredex
Cranex 3D dental imaging system with panoramic, optional
cephalometric and cone-beam
3-D imaging programs.
New customers who visited
Care Credit and signed up
for the patient-paymentplan credit service — or
requested an evaluation to
see how CareCredit might
best serve their practice —
got to leave with a highly
coveted Penguin Pillow
Pal.
The experts at HealthFirst
were staffing “Compliance
Help” information stands,
where attendees could find
out about environmental
recovery, infection control,
practice quality, emergency preparedness and radiation minimization.
For dental hygienists, Denticator had all sorts of tricks up
its sleeves to help make treating patients easier and more
fun. Of particular interest was
Zooby fluoride foams and varnish, which are gluten-free
and sweetened with sucralose
and xylitol. The ProphyPal, also
available from Denticator, is a
low-speed hygiene handpiece
with an extended nosecone designed to provide extra stability.
A new product for consumers is Nature’s Charm braided
dental floss, available from
GPP Group. The floss consists
of braided strands of materials
with three-dimensional surface
structure, and it comes in different sizes, colors and flavors.
Also on display at GPP was a
fossilized mammoth’s tooth.
Speaking of enticing booth attractions, DC Dental Supplies
had a bartender on hand, dispensing Brooklyn Lager, in
honor of the company’s first
anniversary in Brooklyn. You
could also get a caricature of
yourself drawn at the booth.
Austin Powers was back at this
year’s Greater New York Dental Meeting, at the Millennium
Dental Technologies booth,
to help increase awareness of
how lasers can be used in dental treatment.
Also on the exhibit hall floor,
many attendees bumped into
Floyd, who was on hand to help
increase awareness of the new
AquasilUltra tissue managing
impression system, available
from DENTSPLY Caulk.
[42] =>
42 ev en ts
Dental Tribune Middle East & Africa Edition | January - February 2014
3rd Pan Arab Endodontic Conference Annual GCC oral and
dental health week UAE
understanding of the current
advancements and an elaborative description of implementing them.
The VIP’s enjoying the Conference
By Rodny Abdallah
B
EIRUT, Lebanon: The
Arab Endodontic Society
and the Lebanese Society of Endodontology launched
the third Pan Arab Endodontic
Conference which took place
in Beirut, Lebanon, at the Hilton Habtoor Hotel on 28-30 November 2013.
The Lebanese Society of Endodontology, lead by its President
Dr. Walid Nehme demonstrated tremendous efforts in planning and delivering the event
with close collaboration of the
congress organizers Infomed
International for Events.
This conference is one of the
most prestigious international scientific meetings taking
place in the Middle East where
delegates of several Arab dental Syndicates, Orders, associations and more than 500 dentists attend.
The theme, ‘Striving for Excellence’, was chosen to contribute to delivering a world
class creative showcase giving
the industry an opportunity to
refresh and evolve their practice. It supports spreading novel ideas that aspire distinction
and continuity in the Endodontology profession.
A large group of renowned
international and national
speakers gave attendees the
opportunity to have a deep
The multinational and local speakers along with the
young Endodontists enriched
the conference by presenting
and sharing information about
their clinical experience and
through oral presentations and
posters related to the different
fields of root canal treatment
Participants also had the opportunity to attend workshops
concerning new shaping instruments, ultrasonic’s, microscopes and laser in Endodontic
and to assist to live transmissions about root canal treatment, classic and retreatment,
and placement of single implant.
Simultaneously, a 1000sqm
dental exhibition took place
where more than 35 international and local companies
were represented.
Further to this successful
meeting, the 4th Pan Arab Endodontic conference will take
place in Hammamet, Tunisia
on 29-31 October 2015, and we
encourage you all to be part of
this renowned event.
By Oral and Dental Health
Committee
D
UBAI, UAE: The dental
services
department
in Dubai medical district, Ministry of Health, will
launch the beginning of the
GCC oral and dental health
week on Friday 20th of March
2014. The GCC committee
have chosen it as the month
to hold their annual dental
and oral health week under
the slogan “Dental Health and
Beauty” promoting oral health
and focusing on the importance of preventive measures
to reduce the incidence of oral
and dental diseases, in order
to achieve a community free
of dental diseases and spread
healthy smiles to children and
adults across the GCC.
The week will confirm the
unity of the GCC at various
levels, stressing the need to
focus on the delivery of health
information and cover such
events especially in the media
in order to clearly portray the
importance of health awareness. Such an event represents a positive step forward
towards preparing the Gulf’s
plan to address oral health and
awareness programs aimed
at improving
the mouth and
teeth hygiene
of all members
of the society.
The Middle East is one
of the fastest growing
geographies for 3M
globally
By Dental Tribune Middle East
W
e have the pleasure of interviewing
Rita Habash, Country Business Leader Health
Care Business, 3M Gulf LTD
in Dubai, UAE at the amazing 3M Innovation Center. We
found out the following.
DTME: Please if you can introduce yourself to the Dental
Tribune Middle East readers?
Rita Habash: My name is Rita
Habash, General Manager of
3M Healthcare in the Gulf region.
What is the role of 3M Gulf in
the Middle East region related
to Dental?
3M is a diversified company
with $30 billion in sales, 3M
employs 88,000 people worldwide and produces more than
55,000 products, including:
adhesives, abrasives, passive
fire protection and dental
products are among this wide
product portfolio which utilizes the 46 technology platforms
that exist across our products.
3M’s role in the dental segment remains part of our commitment to provide our customers with the best products,
services and valuable insights
based on years of technological innovative excellence.
How do you look back at 2013
as a business year for 3M
ESPE?
The Middle East is one of the
fastest growing geographies
for 3M globally. Our dental
business is no exception &
has been rapidly growing over
the past few years. Our dental
business operations will be
a vital catalyst for achieving
Rita Habash, Country Business
Leader, Health Care Business,
3M Gulf LTD
3M’s strategic growth objectives for the region.
What is your opinion of the
Middle East Dental Market?
The Middle East is a highly
diversified market where you
can see the different currents
in dentistry blending together.
It is a very dynamic market
with a bright future prospect.
What level of support do you
offer your customers in the
region?
3M partners with Key Opinion
Leaders and top universities
to advance the level of dentistry in the region. 3M is always
close to its customers by providing continuous education
and training.
Has Digital Dentistry affected
3M ESPE?
Digital Dentistry is the future
of impression taking. 3M has
invested heavily in this field to
provide the best solutions to
its customers
What are the new plans for
2014 we should look forward
to?
We have a very rich pipeline
of new products that will simplify the processes in every
day dentistry. You have to stay
tuned for our new launches.
[43] =>
[44] =>
[45] =>
King Saud University 15th International Dental Conference
The 25th for the Saudi Dental Society
12-14 January 2014 . Riyadh International Exhibition Center
S A U D I D E N TA L S O C I E T Y
International Dental Conference 2014
Riyadh, Saudi Arabia
www.sds.org.sa
Show Edition | SDS IDC 2014
Welcome to our
event
Providing quality education
enabling its curricula and
academic program
organization in the Kingdom, I
enjoin you to remain committed to our practice through constantly updating ourselves and
aspiring to be the best we can
be for ourselves and the community we vow to serve. We are
bringing in world renowned
foreign speakers from all disciplines of the dental practice for
our scientific seminars. Continuing Educational courses and
workshops will also be offered.
This would add the element of
hands on education that our
members has requested.
Dear Colleagues,
A
s President of the Saudi
Dental Society, I am delighted to invite you to
the King Saud University 15th
International Dental Conference the 25th for the Saudi
Dental Society with the theme
“Research and Technology in
Oral Health Care” from 12-14
January 2014 at Riyadh International Convention and Exhibition Center in Riyadh. This
year’s conference is a joint collaborative effort of King Saud
University College of Dentistry
and the Saudi Dental Society.
With the continuous success of
our previous conferences and
the Saudi Dental Society’s always on the top of all the dental
One of the highlights of the
conference is the Research
Award for Graduates, Students
and Poster Award Presentation wherein the best research
paper and poster presentation
will receive cash and plaque
of recognition. These are just
some of the ways that we could
provide for our members and
colleagues.
Exhibitions will be opened to
our dental and medical companies for a more comprehensive
take on the best and the latest
in technology globally. We look
forward to your full support
and participation in this very
important meeting.
C
ollege of Dentistry, King
Saud University and the
Saudi dental Society are
committed to their leadership,
excellence and service to the
community. Over the past decades, the kingdom turned out
from a desert to a modern and
sophisticated country providing quality education enabling
its curricula and academic
programs with clinical applications and training of extremely
capable health professionals.
Interestingly, the King Saud
University, the host institution
for both College of Dentistry
and Saudi dental Society, is
primarily attentive to become
a Research University where
contemporary knowledge and
technology should be put into
harmonious action.
The theme of this meeting
“Research and Technology
in Oral Health Care” emphasize that dentistry, as a field of
science, increases its opportunity in overcoming the national
and international dental challenges when further engage in
research and use the advance
technology.
Relatively,
the
meeting addresses an inclusive presentation of scientific
and clinical issues through oral
presentations, poster presentations and continuing education
programs including the stateof-the-art exhibit of dental/
medical equipment and materials.
The meeting will be a distinctive opportunity for the dental
professional to associate and
share in the discussion of ideas
with our distinguished colleagues in the dental profession.
Hence, I encourage and welcome everyone for a successful
15th King Saud University International Dental Conference
and 25th for The Saudi Dental
Society.
WELCOMING
Dr. Mohammad I. Al-Obaida
President The Saudi Dental
Society
Prof. Khalid Alwazzan
Dean, College of Dentistry
Dr. Mohammed A. Al- Shehri
Treasurer, The Saudi Dental
Society
SPEAKERS
> Page 1
Speaker Introduction
> Page 2
INTERVIEW
“This is my first year from
my three years term as
President of the Saudi Dental
Society.”
- Dr. Mohammad I. Al-Obaida
> Page 3
EXHIBITION PLAN
See the industry
> Page 4
VISIT US
IN THE
EXHIBITION
Prof. Khalid Alwazzan
Chairman, Organizing Committee &
Dean, College of Dentistry
Dr. Mohammad I. Al-Obaida
Co-Chairman, Organizing Committee
Chairman, Exhibition and Food Committee
President The Saudi Dental Society.
“A great paperless
resource for attendees
after the event”
Working towards a
paperless event and
green exhibitors
The Scientific Session in 2013
By Dr. Mohammed A. Al- Shehri
Treasurer,
The Saudi Dental Society
Chairman,
Registration Committee
K
ing
Saud
University
15th International Dental Conference and the
25th for the Saudi Dental Society towards paperless event
and Green Exhibitors. Environmental impact of printed
materials such as brochure,
program updates, daily news,
announcement flyers, tote bag
content, session materials,
evaluation surveys and more
cannot be ignored. Water, CO2,
and waste savings from eliminating printing which help in
maintain green environment.
We have a set-up registration
committee to achieve such
goals have considered an interactive USB that personalizes
experience of our attendees
session, exhibitors products,
scientific research abstracts
and poster session. We believe
that materials are one of the
most valuable takeaways for
needs while at the event and the attendees.
on the other hand is not just
a digital version of a printed Using this technology in our
program. It is designed to give meeting will generate a wellattendees access to updated in- designed post show website
formation when and wherever with most conference and exthey need it in a personalized hibition materials. Beside that
and convenient format without it will be a great paperless reexternal limitations (such as source for attendees after the
event and keeping most of the
requiring Wi-Fi) to work.
business information for the
We also incorporate a down- people that exchanged them in
loadable wall that will cover an updated and easily accessed
but not limited to the scientific format.
[46] =>
King Saud University 15th International Dental Conference
The 25th for the Saudi Dental Society
12-14 January 2014 . Riyadh International Exhibition Center
2 spe a k er s
Under the patronage of His Excellency the Minister of Higher Education
Dr. Khalid M. Al-Angari
King Saud University 15th International Dental Conference
The 25th for the Saudi Dental Society
11-13 RABI‘ 1 1435 H / 12-14 January 2014 G
1. Dr. Eric S. Solomon
2. Prof. Rade D. Paravina
4. Dr. Irena Sailer
5. Dr. George Bogen
7. Prof. Dr. Ivo Krejci
8. Dr. Guy Goffin, D.D.S.
10. Dr. Elias Berdouses
11. Dr. Anne C. O’Connell
13. Prof. Jonathan Timothy Newton
3. Dr. Dinos Kountouras BDS, MSc, PhD
6. Dr. Giano Ricci
9. Dr. Colin Alexander Murray
12. Prof. Edmond Koyess
14. Dr.Abeer Al-Namankany
[47] =>
Dental Tribune Middle East & Africa Edition | January - February 2014
Text
3
[48] =>
[49] =>
King Saud University 15th International Dental Conference
The 25th for the Saudi Dental Society
12-14 January 2014 . Riyadh International Exhibition Center
i n t erv i ew
3
Interview: “The Saudi Dental Society’s main goal is to
respond to the needs of the community”
is fast growing in connection
to the construction system of
dental schools (governmental
and private) together with developments of big dental centers again both in government
and private sectors.
How important is the SDS in
the development of dentists in
The Kingdom?
Opening Ceremony during the 2013 event in KSA
By Dental Tribune Middle East Saud University and a member
of the Scientific Board of the
Saudi Commission for Health
e catch up with the Specialty and a Recipient of
President
of
the Excellence in Education.
Saudi Dental Society
Dr. Mohammad I. Al-Obaida, I have two patented materials.
DDS, MSEd, FRCD. Dr. Mohammad is Associate Professor
and Consultant Endonotist at
the Department of Restorative
Dental Sciences at the College
of Dentistry, King Saud University, Saudi Arabia.
W
We support their development
through monthly scientific activities which have addressed
topics directly targeted at the
current trends in the dental
field. The clinical applications
and technologies make our
dentists develop and focus on
their career objectives more
effectively.
“This is my first year from my three years
term as President of the
Saudi Dental Society.”
Dental Tribune Middle East:
Please share a short biography
including your education, clinical experience and role at the
SDS over the years?
Dr. Mohammad Al-Obaida: I
am Dr. Mohammad, graduated
in dentistry at King Saud University in Riyadh, Saudi Arabia
in 1992. I received my Masters
in Science and Education at
the University of Southern California - Los Angeles California
School of Education, USA in
1997 and Fellow-Royal College
of Dentists of Canada in Endodontics in Toronto, Canada in
2005 and Consultant Endodontist from January 2000-2004. I
have had my Endodontic Fellowship Program at King Saud
University, College of Dentistry in Riyadh, Saudi Arabia from
2004-2006 and Fellow of International College of Dentists
(FICD) in 2010. Currently I
work as an Associate Professor, Consultant Endodontist at
the Department of Restorative
Dental Sciences at the College
of Dentistry, King Saud University and I am also currently
the President of the Saudi Dental Society. I am presently the
Program Director of the Saudi
Endodontic Board at King
1. Dimashkieh MR, Al-Obaida
MI. Dual Action Syringe, USA
Patent Office, Application:
PCT/US10/52195 (pending)
2. Dimashkieh MR, Al-Obaida
MI, Quraishi K. Safety Syringe. European Patent Office,
EP Patent Application No.: EP
12174259.7. Filed: June 29,
2012 (pending).
This is my first year for my
three years term as President
of the Saudi Dental Society. My
role is to perform tasks aimed
at developing the organization’s vision and implementing
How has the Saudi Dental Society developed since you were
elected President?
Current the SDS board members adopt the community
service activities and social
initiatives. The SDS supports
various outreach programs
that promote quality health
care and education in Saudi
Arabia. SDS hosts numerous
orphanage health and education programs for the Children’s Charity Community and
organized educational days
for students in various regions
of the Kingdom. SDS also
“The SDS supports various outreach
programs that promote quality health
care and education in Saudi Arabia. ”
the policies and procedures
that allow that vision to be accomplished.
Please if you can share your
thoughts on the dentistry scene
in Saudi Arabia, the clinical
side and the industry?
The Ritz Carlton Riyadh, Gala Dinner Venue
From the clinical
side, the younger
population in our
country suffers
from high incidence of dental caries. This
requires a collaborative work
between authorities from different sectors in
the government
with
national
programs
to
control this high
incidence
percentage of dental
caries and associate oral diseases. The industry
launched a campaign called
“Smile Hajji” which aims to
promote awareness to the pilgrims of the importance of oral
hygiene and also launched the
National Campaign to Prevent
Dental Caries in coordination
with the Ministry of Health,
Ministry of Education and various governmental organizations. The campaign’s goal is
to prevent dental caries among
children through health campaigns and education in the
Kingdom of Saudi Arabia. SDS
also manages the “Yslam Famik” campaign to raise oral
cancer awareness in cooperation with Prince Salman Social
Youth. The SDS board supports partnerships with dental
schools and other medical sectors.
What are the plans of the Saudi
Dental Society in the coming
year, the main goals and objectives? What will you do to
achieve them?
“The dental education in Saudi
Arabia level up with the
international standards of
education from other countries.”
The SDS main goal is to respond
to the needs of the community.
We are also campaigning to
raise oral cancer awareness in
the Kingdom especially in the
southern parts where there is
high incidence of oral cancer.
We are co-organizing the Hajj
and will provide thousands of
oral hygiene aid free to all pilgrims. To manage the campaign for a “Smoke-Free Environment” in the Makkah area
and the National Campaign to
Prevent Dental Caries where
the SDS aims to decrease the
number of caries of children in
the Kingdom of Saudi Arabia.
in Saudi Arabia level up with
the international standards of
education from other countries.
What advise can you provide
to the younger generation of
Dental Students?
They should be more focused
on the goal of their profession. Dental students must
have a serious commitment in
their studies so that they can
be successful in their chosen
profession and be the best that
they can be.
How important is
the involvement
of Digital Dentistry in Saudi?
Each
area
of
digital dentistry
has advantages
in comparison to
the conventional
devices and techniques used. The
involvement
of Exhibition at the Saudi Dental Society Conference
digital dentistry in
Saudi makes the
office life easier,
faster and better
for dentistry.
How
important
is the role of the
Dental Lab Technician in the Dental Team?
Opening Ceremony in 2013
Dentists rely on
a team of professionals
who
play supporting
roles in patient
care and it is the
dental laboratory
technicians who
are a very important part of that
team. Using a vaDr. Mohammad Al-Obaida welcomes CAPP and
riety of materials DTMEA at the event
including plastics
Is there anything else you
and ceramics, dental techniwould like to share with the
cians manufacture crowns,
readers?
bridges and prosthetics to the
dentist’s specifications and it
Contribute more to commudefinitely requires an artistic
nity service.
eye and strong technical skills
to achieve this.
What do you think of the dental scene in the Middle East?
The Dental market is directly
associated to the increase of
awareness of our people to the
importance of oral hygiene.
Can you share some insight
regarding the Dental Education in Saudi Arabia?
With the accreditation of the
Saudi Commission for Health
Specialties and by sending our
Postgraduate Dental Students
abroad, the dental education
Contact Information
Dr. Mohammad I. Al-Obaida
DDS, MSEd, FRCD.
President The Saudi Dental
Society
Associate Professor - Consultant
Endodontist
Office Tel: 4677 743
Email: malobaida@ksu.edu.sa
[50] =>
King Saud University 15th International Dental Conference
The 25th for the Saudi Dental Society
12-14 January 2014 . Riyadh International Exhibition Center
4 e x hi bi t ion m a p
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Al-Turki Medical Group
Al-jeel Medical & Trading Co
Al Gosaibi
Arabian Products Factory
For Medical Disinfectants
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Asnan
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Alrowaad
Ashnan Medical Est
Arma
Agents smile
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Ribas
Red Traing Est
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Johnson and Johnson
Juah AlTeb
Khalid A. Kadasa
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Golden Pillars For Trading
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Care
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CAD 4 Dant
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Crest & Oral-B
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A25
A30
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Blood bank
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Dent 2 Go
Dr.Saaty For Designs & Signs
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K
C3-C4
Samir photographic supplies
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Sensodyne
Samad medical
B5
C15-C16
A9
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Thimar Al Jazirah
B1
U
Umdco
C12
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/ Mineral trioxide aggregate revisited: a cement for all seasons
/ A new method for direct composite restoration of the posterior teeth
/ Industry
/ “Carestream - Innovation made Simple”
/ Saliva and Oral Health
/ “Pediatric dental community has evolved”
/ News
/ Events
/ University of Sharjah College of Dentistry signs MOU with Crest & Oral-B
/ Monomer free denture base material - Vertex ThermoSens.
/ Post in-surgery whitening: What next?
/ “First Ormco MENA Symposium attracts 250 loyal users to Dubai - UAE“
/ X-ray-free caries diagnostics in the everyday dental practice routine
/ The Inman Aligner: An effective tool for minimally invasive cosmetic dentistry - Part 1
/ College of Dentistry - Sharjah University welcomes new dean
/ Implant Tribune
/ Soft Tissue Engineering With Native Collagen Matrixes
/ 5th DFCIC and AAID 2nd Global Conference hosted 1 - 358 world experts in Aesthetics and Implantology at Jumeirah Beach Hotel Dubai - UAE
/ Oral Health
/ Industry
/ Events
/ SAUDI DENTAL SOCIETY International Dental Conference 2014
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