DT Pakistan No. 1, 2020

News / Interview with Prof Dr Amjad / Clinical Implantology / Interview with Dr Ashar Jamelle

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PUBLISHED IN PAKISTAN

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An exclusive interview
with Dr Prof Amjad

INTERVIEW

Page 6

JANUARY, 2020 - Issue No. 01 Vol.7

CLINICAL IMPLANTOLOGY

An exclusive interview
with Dr Ashar Jamelle

INTERVIEW

Page 8

PMC ordinance
null and void by IHC

I

SLAMABAD - The Islamabad
High Court recently declared
Pakistan Medical and Dental
Council (PMDC) dissolution null
and void and restored the dissolved
Pakistan Medical and Dental Council
(PMDC) by setting aside the
presidential ordinance that had
replaced the PMDC with the Pakistan
Medical Commission over three and
a half months ago.
Giving a short verdict, which had
been reserved in PMDC dissolution
case on Jan 8, Justice Mohsin Akhtar
Kayani declared that the ordinance
that repealed the PMDC was ultra
vires, held that the PMC formation
was not authorised by the law and
directed the federal government to
reinstate the sacked employees of
the PMDC. President Arif Alvi had
promulgated the PMC Ordinance
2019, dissolving the PMDC and
establishing the PMC, on Oct 19 last
year.
The presidential ordinance had
paved way for the establishment of
a new nine-member body namely
the Pakistan Medical Commission.
Following the promulgation, the
Ministry of National Health Services
(NHS) through the federal capital's
district administration and police had

Coronavirus
reaches Pakistan as
first case reported
DT Pakistan Report

Photo: DT Pakistan

DT Pakistan Report

taken over the possession of the
PMDC building and shut down the
office.
Raja Saimul Haq Satti, who
represented the CPSP, told the court
that the organisation supported the
stance taken by the Ministry of
National Health Services. The
ministry in its written reply to the
petitions stated that the ordinance
had been promulgated in the larger
interest of the stakeholders, which
provided for the restructuring and
re-organisation of the regulatory
body, pertaining to and dealing with
regulations and control of medical
profession.
Additional Attorney General Tariq
Mehmood Khokhar argued that the
legislation for the subcontinent
empowered the British government
to issue ordinances in the Acts of
1861 and 1935.The petition
contended that although the
Parliament was empowered to

dissolve the PMDC but the president,
vice-president and the executive
committee of the council would stay
till a new commission was elected
through annual elections. It also
pointed out that the government was
unauthourised to appoint an official
below grade 20 to head the executive
committee.
Representing the petitioners, Babar
Sattar, however, argued that it was
a matter of basic rights of the
erstwhile PMDC and the IHC had
all the powers to examine this
presidential ordinance.
The petitioners maintained that the
PMDC employees were terminated
without an opportunity for hearing
and expressed reservation over the
newly-formed PMC that it may hire
employees on sanctioned and
contractual posts through varying
modes which may jeopardise
chances of previous PMDC
employees.

Dr Irfan recognized among the Worlds
top 100 Doctor in Dentistry

K

ARACHI - Dr Irfan Qureshi, who is rapidly
becoming a talismanic presence for
Implantology in Pakistan, once again
represented Pakistan on an international level earning
more accolades. He is given a Lifetime Achievement
Award by the Regents of the Global Summit Institute.
Dr Irfan Qureshi has also been named among the 'World's
top 100 Doctor in Dentistry.' He also recently secured
third position in poster competition at World Dental
Symposium (DWS) 2019, Dentis & Gt-Medical, held
at Madrid. He also won grant of 500$ as a grand prize.

Page 10

This is a testament to the high quality
international standard, and state of
the art implant dentistry that Dr Irfan
passionately delivers and preaches in Pakistan.
Dr Irfan is the first Pakistan based clinician to earn the
Diplomate Implant Dentistry from Royal College of
Surgeons, Edinburgh. Dr Irfan also has a Master's Degree
in Prosthodontics (Crown & Bridge Dentistry) from
King`s College London and is the only Pakistani to be
appointed an examiner for Implantology by the
prestigious Royal College of Surgeons, Edinburgh. -PR

K

ARACHI - Two coronavirus
cases recently surfaced in
Pakistan, one from Karachi
and the other one from Islamabad,
confirmed top health officials.
A young man, who recently arrived
in Karachi from Iran, is the first
confirmed coronavirus case, informed
a Sindh Health Department official.
Coordinator to the Sindh Health
Minister, Meeran Yousuf, noted that
a 22-year-old youth, Yahya Jaffri,
recently traveled to Iran, where he

Photo:
DT Pakistan

contracted the virus. He traveled from
Iran to Karachi by plane.
Yahya and his family have been
placed under quarantine at the Aga
Khan Hospital. The Sindh Health
Department is currently examining all
the passengers who traveled with them.
Advisor to Prime Minister, Zafar
Mirza, confirmed the two coronavirus
cases in Pakistan out of which one
was from Karachi, and the other one
was from PIMS Islamabad. Both cases
are being taken care of according to
clinical standards and protocols. Both
patients are stable, the PM advisor
further noted. There is no need to
indulge in panic as things are under
control, he said.
Globally, 81,291 people have been
diagnosed with the coronavirus, out
of which 2,770 have died while 30,359
have recovered from the disease.
The sign and symptoms of coronavirus
include fever, cough, sore throat, pain
in the body, nausea, pneumonia, and
infection in the lungs. No sign
appears in the infected patient in the
first five days.
Continued on Page 13

[2] => DTI Jan-Feb.FH10

NEWS

2 DENTAL TRIBUNE Pakistan Edition January 2020

Publisher/CEO
Syed Hashim A. Hasan
hashim@dental-tribune.com.pk
Editor Clinical Research
Dr. Inayatullah Padhiar

24th edition of the UAE International
Dental Conference and Arab Dental
Exhibition - AEEDC Dubai 2020

17th GSDA meeting put spotlight on latest dental challenges

UBAI - United Arab Dubai, Dr. Tariq Khoory, Honorary number of prominent figures, heads
E m i r a t e s : U n d e r t h e Chairman - AEEDC Dubai, Dr. Nasser of associations, deans of colleges,
patronage of His Highness, Al Malik, Scientific Chairman, dental experts and doctors.
The Pakistan delegation was
Sheikh Hamdan bin Rashid Al AEEDC Dubai, Dr. Robert Edwab,
Maktoum, Deputy Ruler of Dubai, Executive Director, Greater New York represented by Prof Dr Nasir Ali Khan
Minister of Finance and President of Dental Meeting, Dr. Mohammed Jafar (Pakistan Dental Association, Central
Dubai Health Authority (DHA), the Abedin, Scientific Vice Chairman, Council), Fatima Jinnah Dental
College (FJDC) was
17th edition of Global Annual
represented by Prof Saqib
Scientific Dental Alliance
Rashid, Dental News was
Meeting (GSDA) kicked off
represented by Syed Hashim
recently on the sidelines of
Hasan and Dow University
the 24th edition of the UAE
of Health Sciences was
International Dental
represented by Prof Arshad
Conference and Arab Dental
Hasan and Dr Javeria Ali
Exhibition - AEEDC Dubai
Khan.
2020, the largest annual
While commenting on the
international scientific dental
occasion, Prof. Abdullah Al
conference and exhibition in
The
delegation
from
Pakistan
including
Prof
Dr
Nasir
Ali
Khan
S h a m m e r y, S c i e n t i f i c
the world, with the
(Pakistan Dental Association, Central Council), Prof Dr Arshad
Chairman, Global Scientific
participation of 244
Hasan and Dr Javeria Ali Khan (Dow University of Health Sciences)
Dental Alliance, said, "The
representative members of
and Prof Saqib Rashid (Fatima Jinnah Dental College)
17th edition of Global
GSDA at the Dubai
International Convention and AEEDC Dubai, Dr. Meshari Al Otaibi, Scientific Dental Alliance (GSDA)
Exhibition Centre.
President, Makkah International Meeting provided its member
The meeting was chaired by Prof. Dental Conference and Exhibition, associations, top dental bodies, leading
Abdullah Al Shammery, Scientific Eng. Anas Al Madani, Vice Chairman dental experts and key decision
Chairman, Global Scientific Dental and Group CEO, INDEX Holding makers in the industry a unique
Alliance, in the presence of Dr. Abdul and Dr. Mohammed Hasan Al Jishi, opportunity to come together and
Salam Al Madani, Executive Former President, Arab Dental brainstorm about building a viable
Chairman of GSDA and AEEDC Federation, France, as well as a
Continued on Page 15

UBAI - Under the
patronage of His
Highness Sheikh
Hamdan bin Rashid Al
Maktoum, Deputy Ruler of
Dubai, Minister of Finance
and the President of Dubai
Health Authority (DHA),
the 24th edition of UAE
International Dental
Conference and Arab
Dental Exhibition - AEEDC
Dubai 2020, which is the
largest annual scientific
dental conference and
exhibition in the world,
successfully concluded at
the Dubai International
Convention and Exhibition
Center (DICEC). The 3-day
premier dental conference
AEEDC Dubai 2020
registered a remarkable
presence of top-notch
speakers and experts

Editors Research & Public Health
Prof. Dr. Ayyaz Ali Khan
Editor - Online
Haseeb Uddin
Designing & Layout
Sheikh M. Sadiq Ali
Dental Tribune Pakistan
3rd floor, Mahmood Centre, BC-11,
Block-9, Clifton, Karachi, Pakistan.
Tel.: +92 21 35378440-2
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Dental Tribune Pakistan cannot assume
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expressed by authors are their own and may
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International Headquarters

Publisher and Chief Executive Officer
Torsten R. Oemus
Chief Content Officer
Claudia Duschek
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Dubai 2020, Dr.
AEEDC Dubai 2020: AEEDC
Abdul Salam Al Madani,
Executive Chairman of
Over 3.5 Billion Dollars AEEDC Dubai, said, "We
are very proud to announce
business deals generated the conclusion of the 24th

Delegation from Pakistan at Dubai International Convention and
Exhibition Center (DICEC) including Prof Dr Shahjahan Katpar,
Prof. Dr Aqeel Sheikh and Prof Dr Navid Rashid

offering their insights
during the scientific
conference while also
featuring the participation
of over 66,000 visitors and

participants from over 155
countries from the region
and the world.
While commenting on the
successful conclusion of

edition of AEEDC Dubai
2020 Conference and
Exhibition which provided
an inclusive scientific
platform, disseminating the
most up-to-date scientific
knowledge related to all
aspects of dentistry. For
over two decades, AEEDC
Dubai has been consistently
ranked among the top
dentistry platforms in the
world, helping industry
professionals to improve
their knowledge and clinical
practice while also
showcasing cutting-edge
technologies and
Continued on Page 15

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GmbH that has been reprinted or translated
and reprinted in this issue is copyrighted by
Dental Tribune International GmbH. Such
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All rights reserved. © 2020 Dental Tribune
International GmbH. Reproduction in any
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Dental Tribune International GmbH is
expressly prohibited.
Dental Tribune International GmbH makes
every effort to report clinical information
and manufacturers' product news accurately
but cannot assume responsibility for the
validity of product claims or for
typographical errors. The publisher also
does not assume responsibility for product
names, claims or statements made by
advertisers. Opinions expressed by authors
are their own and may not reflect those of
Dental Tribune International GmbH.

[3] => DTI Jan-Feb.FH10

[4] => DTI Jan-Feb.FH10

NEWS

4 DENTAL TRIBUNE Pakistan Edition January 2020
Photo: DT Pakistan

Photos: DT Pakistan

Interactive session held at LUMHS

Delegation from Pakistan Dental Association (PDA)
comprising of Dr Mahmood Shah, President PDA,
Prof Nasir Ali Khan, General Secretary PDA,
Dr Inayatullah Padhiar (SI) and Dr Kamran Vasfy
(Sitarah-e-Imtiaz designate), recently met the
Honourable President of Pakistan, Dr Arif Alvi to
discuss the matters pertaining to dentistry in Pakistan.

RCD conducted workshop
on prosthodontics

ESHAWAR - Rehman College of Dentistry
(RCD) conducted workshops on various
topics of Prosthodontics. The workshops
were organized as part of the 7th International
Pakistan Prosthodontic Association (PPA) Conference
held at Sardar Begum Dental College (SBDC),
Gandhara University. Participants participated from
different cities of the country. The workshops helped
the participants to
excel their skills in the
course taught.
The topics of the
workshops were
"Chairside indirect
onlays; preparation,
fabrication and
cementation"
facilitated by
Professor" which was
facilitated by Dr. Nasir
Saleem and "Ceramic
Photos:
veneers, preparation
DT Pakistan
designs and treatment
strategies" conducted by Associate Professor, Dr
Syed Hammad Hassan, Head Of Departement,
Prosthodontics, Dental College, Margalla Institute
of Health Sciences, Rawalpindi.
After the workshops, certificates were distributed
among the participants and souvenirs were presented
to the facilitator. The efforts of organizers of RCD
were encouraged and more workshops in this regard
were promised. -PR

Best performing teacher
scoops award in SSCMS

ARACHI - Prof.
HR
Sukhia,
Principal, Sir Syed
College of Medical Sciences
(SSCMS) recently presented
Sir Syed Best Teacher Dental
Award in a ceremony held Photo: DT Pakistan
recently. The recipient of the award was Dr. Suraiya
Hirani, Oral Biology Department.
The criteria of the Award was based on outstanding
contribution towards merit, research and teaching
methodology. The Principal SSCMS, Admin, faculty
& students congratulate Dr Suraiya on this welldeserved milestone achievement. -PR

AMSHORO - A one-day
Interactive session on
dento-facial deformities
and Exam techniques in Oral
and Maxillofacial surgery was
recently held at Liaquat
University of Medical and
Health Sciences (LUMHS).
The session was conducted by
Prof Dr Muslim Khan, Head
of Department (HoD), Khyber
College of Dentistry, Peshawar.
Large number of post graduate
trainees of Masters of Science
(MSc) and Fellow of College
of Physician and Surgeon
(FCPS) attended the program.
The interactive sessions was

moderated by Prof Dr Syed
Ghazanfar Hassan, Chairman
and Head of Oral and
M a x i l l l o f a c i a l S u rg e r y
department, LUMHS.
Dr Muslim Khan shared his
expertise on managing patients
with different dento-facial

deformities. He also gave an
insight regarding his
experience with orthognathic
surgery especially the Bilateral
Sagittal Split Osteotomy
(BSSO) technique. By the end
of the session he shared his
wisdom regarding exam
techniques that would help
students ace the part 2 of FCPS
and Msc exam. He answered
all the queries regarding theory
exam of part 2.
Post graduate trainees actively
participated in the session and
the efforts of the organizers
were deeply appreciated by all
students. -PR

Dr Kulsoom gives guest lecture on oral health

ARACHI - Imamia
M e d i c s
International (IMI)
is a global medical
professional
organization that
pledges to devote
time and resources
for
helping
Photos: DT Pakistan
underprivileged

progress & advancement through knowledge,
integration, science, technology and network".
Many renowned national and international
delegates from around the world participated in
the conference. Dr. Kulsoom Fatima Rizvi, Vice
principal and Head of Community Dentistry
department, Bahria University Medical & Dental
College (BUMDC) was amongst the few
honored to present their insights on the said
theme as a guest speaker in the conference.

communities world-wide with acquisition to
quality healthcare. The 10th International
Conference by Imamia Medics International
was recently for the first time in Pakistan at
local hotels in Karachi and Islamabad.
The theme of the conference was "Pakistan -

Dr. Kulsoom presented her lecture on the topic
of "Oral Health- Millennium & Sustainable
Development Goals". Dr. Kulsoom focused on
how Millennium & Substantial Goal
Development (MGD & SGD) links oral and
Continued on Page 14

Dental Research: Workshop conducted at IMDC

SLAMABAD - A workshop on
"How to publish in indexed
journal?" was recently conducted
at Islamabad Medical and Dental
College (IMDC). The activity was
conducted under the umbrella of
Photos: DT Pakistan
Pakistan Association of Dental Research
(PADR) and Pakistan Prosthodontic Association (PPA). A total of 27 registration were made from
different colleges of the city.
The facilitator for the workshop was Dr. Abdul Samad Khan, Associate at Imam Abdulrahman
Bin Faisal University, Saudi Arabia.
After recitation of Holy Quran, an introduction to Pakistan Prosthodontic Association was
given by Prof. Dr. Tayyaba Saleem. Later, Dr. Abdul Samad introduced the audience to the core
purpose of Pakistan Association of Dental Research. The primary aim of the workshop was to
deliver the importance and ways to get articles published in indexed journal. The facilitator talked
Continued on Page 14

[5] => DTI Jan-Feb.FH10

[6] => DTI Jan-Feb.FH10

6 DENTAL TRIBUNE Pakistan Edition January 2020
DT Staffer
Dental Tribune Pakistan: It is so nice to meet you
Professor Dr. Amjad Wyne. First, please tell us
about your educational background?
Dr Amjad Wyne: Well, thank you so much for
having me. I consider it an honor being interviewed
by Dental News Pakistan, a medium which has
kept us informed about dental fraternity in Pakistan
and around since decades. I completed my BDS
degree from deMontmorency College of Dentistry,
Lahore in 1981. Then, obtained BSc Degree from
the University of Punjab in 1984. I went to Australia
in early 1988 and completed my MDS Pediatric
Dentistry there. In 1997, I received a Fellowship
(FADI) from International Academy of
Dentistry. In the same year I obtained an earned
Fellowship (FASDC) from American Society
of Dentistry for Children. In 2018, at the
age of 59 years, I fulfilled my long-time
An exclusive interview
dream of obtaining a Doctorate Degree
(Dr Med Dent) in Pediatric & Preventive
Dentistry from University of Greifswald,
Germany. So, it has been a life long
journey of continuous teaching and
learning for me.

We need to join
hands to improve
the dental health
of our children;
Prof Dr Amjad

DTP: Prof. Wyne, now please tell us
about journey of your professional career
so far?
AW: Well, after graduation, I completed
my Internship/House Job from de
Montmorency College of Dentistry. Then,
I was recruited in April 1983 by Department
of Health through Punjab Public Service
Commission. After couple of postings in SubDivisional Headquarter Hospitals including two
and a half year in Civil Hospital Murree, I got

PAPD is making efforts
to train quality pediatric dentists
in Pakistan to serve increasing
oral health needs of our
Nation's children
appointed as Demonstrator in my alma mater. This
indeed was a great honor for any young dentist in
Pakistan. I decided to return to Pakistan after
completing my MDS in Australia, in spite of
excellent opportunities to stay and work there. I
started working in my alma mater again with full
determination to serve my country. However, I
ended up working soon in the Kingdom of Saudi
Arabia. I am back to my country now and working
as Professor and Head, Department of Pediatric
Dentistry, Institute of Dentistry, CMH Lahore
Medical College.
DTP: How come a person who came back after
completing his Masters in early 90's with full
determination to serve the country, ended up
working somewhere else?
AW: Actually, I was not alone in this situation. A
whole bunch of my friends came back after
completing their postgraduate trainings in various
specialties abroad during the same period. We were
all very enthusiastic and full of hope in changing
existing old practices of undergraduate dental
training. We were also keen to start new postgraduate
training programs. But then most of us, soon started
feeling resistance from the system and inability to
implement and practice what we had learnt abroad.
All of us except very few moved abroad midst
severe disappointment. In my case, I had additional
pressure from parents especially my late father that
I must work and spend some years in Saudi Arabia.

P

rofessor Dr. Amjad H. Wyne
is known as one of the pioneers
of Pediatric Dentistry in
Pakistan. Dental News recently
spoke to him in regards to his
contributions to dental profession and
representing Pakistan on International level.
After completing BDS from deMontmorency
College of Dentistry, Lahore in 1981, Prof
Dr Amjad Wyne joined Punjab Health
Department. He was appointed as a
demonstrator in his Alma matter, in 1985.
Later on, he moved to Australia for his
Masters in Dental Surgery (MDS), Pediatric
Dentistry. On returning, Prof Amjad shifted
to Kingdom of Saudi Arabia (KSA) after a
brief stay in his home country. With his
dedication and hard work, Prof Wyne slowly
climbed up the ladder and became Professor
of Pediatric Dentistry at King Saud University
College of Dentistry (KSUCD).
Amjad received a Fellowship from the
International Academy of Dentistry (FADI)
and earned a Fellowship (FASDC) from
American Society of Dentistry for Children
in the same year. Later in 2018, Dr Wyne
fulfilled his lifelong dream and obtained a
Doctorate Degree (Dr Med Dent) in Pediatric
& Preventive Dentistry from University of
Greifswald, Germany. He jointly founded
Pakistan Academy of Pediatric Dentistry
(PAPD) in 2018.
Currently, Prof Wyne is the Head of Pediatric
Dentistry Department, at Institute of Dentistry,
Combined Military Hospital (CMH) Lahore
Medical College. He is also part of editorial
board in Journal of Pakistan Dental
Association and Co-Editor of Pakistan Oral
& Dental Journal in order to sustain his
passion for spreading knowledge.

INTERVIEW
DTP: Tell us about your professional journey in
Saudi Arabia?
AW: I started my job there as a Lecturer in King
Saud University College of Dentistry (KSUCD),
Riyadh, got promoted to Assistant Professor,
Associate Professor and finally full Professor in
due course. The promotion criteria (teaching load,
publication points, research projects and community
services) are very strict in KSUCD and includes
international review of the promotion application
by three referees. I think it was so fortunate to get

I had little background in
scientific research and
writing However, working with
seniors helped me improve my
scientific research and writing
an opportunity to work in KSUCD as a beginner
in academia. I learnt a lot from experienced faculty
working in KSUCD, trained from various parts
of the world including North America,
Europe and Australia.
DTP: Were there any other Pakistanis
with you in KSUCD?
AW: In the beginning, I had the honor
of working alongside legendary
educators like Dr. Bashir Zulqarnain (a
North American qualified periodontist)
and Late Dr. Mian Khalid Iqbal (a North
American qualified Endodontist). Then,
along the way, I was joined by my
friends mostly from deMont like Dr. Khalid
Almas (periodontology), Dr. Mohsin Ali
(Proshthodontics), Dr Arham Chohan (Pediatric
Dentistry), Dr Shahid Mahmood (Operative
Dentistry), Dr Naveed Khawaja (Oral Surgery), Dr

I learnt a lot from
experienced faculty working in
KSUCD, trained from various
parts of the world
Irshad Afzal (Prosthodontics) and briefly by Dr.
Muhammed Usman (Oral Surgery) and Dr Jamroze
Khan (Prosthodontics).
From younger lot, Dr. Fahim Vohra and Dr Rashid
Habib (both Prosthodontists) also joined there. I
resigned from KSUCD in July 2018 due to personal
circumstances, though I still had 11 years of possible
service left.
DTP: Tell us a bit about King Saud University
(KSU) and King Saud University College of
Dentistry (KSUCD)?
AW: The King Saud University is the oldest
university in the Gulf Region with its main campus
in Riyadh and satellite campuses in several other
cities. The university has separate campuses for
male and female students. The College of Dentistry
started in 1957. The College of Dentistry (COD)
is a large institution having more than 250 full time,
faculty members. It has a five year BDS program,
one year internship program and three postgraduate
programs in eleven dental specialties. It has a 14
story Dental Hospital with state of the art treatment
and educational facilities including separate
operation theaters each for Oral Surgery and
Pediatric Dentistry. The Pediatric Dentistry
Department has separate units for postgraduate
students and faculty practice. The department has
special care facilities and special rooms for pediatric
dental sedation. The department enjoys the services
of dedicated team of anesthesiologists. Other than
Continued on Page 13

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CLINICAL IMPLANTOLOGY

8 DENTAL TRIBUNE Pakistan Edition January 2020

Conventional and immediate loading
with final n!ce screw-retained crowns
By Dr Luis Cuadrado de Vicente,
Dr Cristina Cuadrado Canals,
Dr Andrea Sánchez, Luis Cuadrado
Canals

T

hanks to the very high accuracy
of modern intra-oral scanners,
excellent design software and
reliable production systems, restoring
an implant with a chairside model is
now a reliable treatment with
numerous advantages for the patient.
The same-day solution with final
materials produces excellent implant
crowns in a chairside environment.
Modern implantology is headed in
the direction of the emerging concept
of immediacy. This comprises different
treatment tools and protocols aimed
at providing the patient with minimally
invasive surgery and, where possible,
a same-day temporary or final
restoration.
A reliable implant system, from the
nano-molecular level to a complete
restorative portfolio, is mandatory to
provide this treatment. The core of the
treatment is a fully digital workflow,
starting with optical impressions
recorded with an intra-oral scanner.
To provide same-day treatments, the

Fig. 1

chairside model is essential. A digital
intra-oral impression and the
corresponding design and production
software and hardware enable the
treatment team to obtain high-quality
temporary or final restorations on the
same day, without the use of a model.
The key elements of this immediate
treatment are correct implant
placement based on a correct implant
selection, macro-design, to achieve a
safe immediate stability and a proven
implant surface for biological stability,
digital intra-oral impressions, and
immediate design of the crown, which
is then sent to a milling machine to
produce the implant crown in a final
material. Pushing the boundaries of
the one abutment, one time concept,
the provision of the final implant
crown on the immediately loaded
implant offers many advantages for
the treatment team and the patient.
In demonstration thereof, we present
a clinical case in which two different
chairside approaches were applied.
For the maxilla, a conventional
delayed protocol was employed. This
involved the placement of a Straumann
Bone Level Tapered (BLT) implant,
followed by a two-month healing

period and, finally, the recording of
optical impressions with a 3Shape
TRIOS 3 intra-oral scanner for the
subsequent design and production of
the final crown.
During the same treatment period,
for the mandible, an immediate loading
protocol was employed for a just
placed Straumann BLT implant.
Optical impressions with the TRIOS
3 were also immediately recorded and
sent to the computer with the chairside
3Shape TRIOS Design Studio
software to produce an immediate
crown in a final material.
To provide this chairside model, the
new screw-retained crown module for
Straumann in the TRIOS Design
Studio software was used to design
the implant crown on Straumann
Variobase. This software provides the
proven connection with the Straumann
CARES C series chairside milling
unit, allowing the design software to
be connected directly to the CAM
module of the C series.
The CARES C series is a robust and
compact four-axis wet milling and
grinding unit for in-house processing,
especially designed to provide reliable
and predictable precision when milling

Fig. 3

Fig. 2

Fig. 5

Fig. 6

Fig. 7

glass-ceramics and hybrid materials.
It employs intelligent four-axis
technology and improves the daily
practice routine in terms of efficiency
and productivity.
In this particular case, Straumann
n!ce blocks were milled on the C series
to obtain the final crowns. The new
n!ce material is a high-tech glassceramic solution that delivers fast,
aesthetic single-tooth restorations.
Requiring no crystallisation firing, it
can be milled, polished and seated.
We selected a final material based
on the case characteristics, used a
minimally invasive approach and
provided the patient with a screwretained crown on the same day to
obtain excellent healing and to shorten
treatment time.
Treatment planning
A BLT implant (Regular Neck,
Roxolid, 4.1 × 12.0 mm) was placed
in position #15. As the insertion torque
value and Implant Stability Quotient
(ISQ) level were not optimal for
immediate loading, a delayed protocol
with a healing cap was selected.
Two months later, a panoramic
radiograph showed an excellent
situation for the BLT implant and

Fig. 4

Fig. 8

Fig. 11

Fig. 9

Fig. 10

Fig. 12

Fig. 15

Fig. 13

Fig. 17

Fig. 16

Fig. 14

Fig. 18

Fig. 19

Fig. 20

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CLINICAL IMPLANTOLOGY

Fig. 21

January 2020 Pakistan Edition DENTAL TRIBUNE 9

Fig. 22

Fig. 25

Fig. 29

Fig. 23

Fig. 26

Fig. 27

Fig. 30

Fig. 31

Fig. 24

Fig. 28

Fig. 32

Fig. 33

Fig. 34

Fig. 35

Fig. 36

Fig. 37

Fig. 38

Fig. 39

Fig. 40

Fig. 44

Fig. 41

correct healing of position #36 (Fig.
1). Following a chairside protocol, it
was decided to load implant #15 and
provide an implant treatment with
immediate loading in position #36 on
the same day. This involved the design
of two screw-retained crowns with the
TRIOS Design Studio software, and
their production in n!ce material
on the C series milling unit.
Surgical procedure
Under local anaesthesia, a flapless
implant surgery technique was
performed in position #36. Owing to
the quality of the bone, staged drilling
with continuous saline irrigation was
performed in order to obtain a proper,
safe insertion torque (Figs. 27).
One implant (BLT, Regular Neck,
Roxolid, 4.8 × 10.0 mm) was placed,
and a torque of 42 N cm was applied
(Figs. 811).
The ISQ level was determined with
the Osstell unit. After connecting a
Type 54 SmartPeg, a score of 82 was
obtained (Fig. 12). The decision to
employ an immediate loading protocol
has to take account of the surgeons
personal experience and skills, the
insertion torque value, the ISQ levels
and the medical and dental

Fig. 42

characteristics of the patient. In this
case, all these parameters were
evaluated as excellent, and the
immediate loading protocol was
selected.
A BLT scan body was connected at
implant level on both implant #15 and
implant #36. An optical impression
was obtained with the TRIOS 3 intraoral scanner after selecting the screwretained crown indication for BLT
implants on the TRIOS Design Studio
order form (Figs. 1315). Five scans
were needed: mandible without the
scan body (emergence profile scan),
mandible with the scan body, maxilla
without the scan body, maxilla with
the scan body and, finally, the
occlusion (Figs. 1620). During the
prosthetic procedure, healing caps
were placed to keep the gingiva in
position.
Prosthetic procedure
The screw-retained crown module
of the TRIOS Design Studio software
is designed to be easy to use. Once
the scanning steps had been completed,
the best fit between the virtual scan
body and the intra-oral scan body was
determined using the three-point
matching function, thus creating a

Fig. 43

digital model with the implant in its
correct position (Figs. 21 & 22).
Once the alignment had been
approved, the next step was to use the
auto-crown tool, through which the
software proposed an ideal crown
design. The software has excellent
tools to shape and improve this initial
auto-design (Figs. 23 & 24). After the
crown had been designed, the
appropriate Variobase was selected
and the emergence profile designed.
We chose the Straumann RC, H3.5,
GH 1 mm Ti-base (Figs. 2527).
After the emergence profile design,
a final sculpting step was done with
automatic tools, adjusting the contact
points and the occlusion in order to
make the final adjustments to the full
restoration (Figs. 28 & 29). The screw
hole was established, and the crown
was correctly placed and oriented in
the virtual block (Figs. 30 & 31).
The computer was connected
directly to the C series milling unit
so that, after placing the n!ce block
in the holder, the milling of the crown
could be started. Within approximately
20 minutes, the crown had been
milled, including the screw hole and
the connection to the Variobase

(Figs. 3235).
Once the crown was ready, the
selected Variobase was cemented in
the correct orientation in relation to
the crowns. The crowns were stained
and polished manually, and the whole
process was finished about 1 hour after
scanning (Figs. 3639).
Returning to the patient, the healing
caps were removed, and the crowns
were placed. The occlusion was
checked and contacts were inspected
(Figs. 4043). Screw holes were sealed
with PTFE and a temporary filling
material.
Treatment outcome
The patient and dentist were
completely satisfied with the final
result regarding aesthetics, health and
function. The patient returned for a
check-up one week later and was very
satisfied with the aesthetic and
functional outcomes of the treatment
(Fig. 44).
The overall treatment time per crown
was about 1 hour from surgery to final
crown delivery. In this case, the sameday crown and one abutment, one time
concepts could be pushed to the limits
in a simple and predictable manner
thanks to a proven chairside workflow.

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10 DENTAL TRIBUNE Pakistan Edition January 2020

INTERVIEW

Toothpaste tubes are being
portrayed as a magic wand that
can fix anything, but the reality
is different; Dr Ashar Jamelle

DT Staffer

r Ashar Nizamuddin Jamelle
graduated from Fatima Jinnah
Dental College (FJDC), Karachi.
Following his graduation, Dr Ashar joined
Aga Khan University Hospital to complete his
residency program in Operative Dentistry. Dr
Ashar then went on to pursue Master's in
Clinical Dentistry (MClinDent) Periodontolgy
from Queen Mary University of London. He
was also practicing, meanwhile, at The Royal
London Hospital. After returning from the
UK, Dr Ashar joined his alma mater, FJDC,
as an Assistant Professor and Head of
Department of Periodontology. Dr Ashar also
runs his own private dental practice in DHA,
Karachi. He actively participates in various
curriculum activities in dental education sector
to sustain his passion for dentistry.
Recently he sat down with us to talk about his
journey as a practitioner and discuss some
pointers pertaining to Periodontology.
Dental Tribune Pakistan: How and when did you
decide that you wanted to become a dentist?
Dr Ashar Jamelle: Well, it was quite a journey.
My parents are doctors, so I did have an idea about
the direction in which I was to head. However, I
noticed how hectic their schedules were. My mother
is a gynecologist, and my father is an orthopedic
surgeon, and they were away day and night. I initially
thought dentistry would be a bit more relaxed in
that capacity because there were no day-night shifts.
However, as it turns out, that I had to work equally
hard because same rules apply to dentistry more or
less.
DTP: Take us through your journey from dental
school to your current position?
AJ: After graduating from the Fatima Jinnah Dental
College, I realized that everything that I had
envisioned was a fallacy. As a young graduate, you
think that you have conquered everything after

As a young graduate, you think
that you have conquered everything
after graduating, but in fact, you
are met with new challenges every
step along the way.
graduating, but in fact, you are met with new
challenges every step along the way.
I was considering post-graduation at that time as
well because it is very important. I was deciding
on heading to the US, so I took my National Board
Exams with the initial idea of wanting to settle

there. However, I realized that if I pursued that path,
I would have had to repeat two years of dental
school.
I decided to head back home and sit for my FCPSI exam, after which I joined the Aga Khan University
for my residency, where I trained in Operative
Dentistry for four years. That period was a very
rich learning experience for me.
After completing my residency, I headed to the
UK for two years. I was studying at Queen Mary
University and working at the Royal London
Hospital as well.
Following graduation, I moved back to Pakistan,
where I have been working for the past five years
as the Assistant Professor and the Head of
Department of Periodontology at my alma mater,
the Fatima Jinnah Dental College.
DTP: Why Periodontology? And, was it a
calculated decision?
AJ: When I was training at the AKU in Operative
Dentistry, Periodontology was an area of study that
always presented itself as an enigma to me. It was
a mystery I wished to solve. Questions were being
asked with no proper answers to them. Even during

Our religion teaches us to go
to any length to attain whatever
knowledge you can.
my undergraduate studies, I noticed that not much
light was being shed on this area of study. I wanted
to try and solve this puzzle. I was determined to
even head to China to achieve my goal. Our religion
also teaches us to go to any length to attain whatever
knowledge you can. So, I decided to go on this path
because it is very dear to me and so that I may
understand it better and disseminate my knowledge
further to others.
DTP: What are the current trends in periodontal
treatment techniques?
AJ: Dentistry is continually progressing. New
techniques are being introduced day in and day out.
A lot of the current trends now focus on using nonsurgical methods such as lasers for gum regeneration
and perio-endoscopes to visualize calculus and other
lesions. Surgeries are also moving towards being
as minimally invasive as possible, which allows
reduced blood loss and present with a greater overall
success rate.
DTP: Between FCPS, MDS, and postgraduation
from abroad, which option would you recommend
to young dentists, and why?
AJ: Well, all of them have their own pros and cons.
I have undergone the FCPS journey. It is a very
structured and inclusive curriculum that incorporates
everything from hands-on clinical work on patients
to research work like dissertations. FCPS is a very

strong learning curve, and as a practitioner, you go
through a lot to understand everything step by step.
It was, in fact, very similar to my experience in the
UK. While I was pursuing my Masters in
Periodontology, I was practicing as well on patients.
Overall, it was an excellent learning experience.
MDS is a good option as well because it still has a
way to go until it becomes a standard mode of study.
DTP: Practicing abroad and now in Pakistan,
what would you say are the key differences?
AJ: When I was practicing abroad in the UK, I
learnt a new system that I had not experienced back
home where they had referrals and more of a

Never give up. It takes time, yes, but
if you keep working hard, you will
get the results. Keep at it and slowly,
but surely, you will get there.
specialist clinical system prevailing. They send you
patients specifically depending on your specialty.
Over here, we do not have that system, and I think
it is something we need to really work upon.
Despite such setbacks, clinics have progressed
immensely and become very technologically sound.
We have seen a lot of developments here in recent
years. I encountered them back then abroad, but I
am glad to see them making their way in our
healthcare system as well. I believe it is a very
positive progression in dentistry in Pakistan.
DTP: What is the best advice that you can pass
on to young dentists?
AJ: The most important thing I believe is to always
work hard. You should always devote yourself to
whatever you are doing. Whenever the opportunity
presents itself, it is best to observe and learn because
learning, in any shape or form, will benefit you.
You never know when or where you might catch
something new.
I would highly recommend considering postgraduation because it will really develop your skills
and enhance your personality with time and
experience. Never give up. It takes time, yes, but
if you keep on working hard, you will get results.
Keep at it and slowly, but surely, you will get there.
DTP: Broadly, how do you think oral health relates
to overall health?
AJ: The mouth is the gateway to our system.
Whenever we examine the mouth, we always find
something or the other that potentially relates to
another internal condition. If there is a better system
where people start visiting dentists regularly, we
can screen a lot of things and work towards
preventing it. It is all about prevention nowadays.
Social media and television should be used to invoke
this concept in the masses and bring the matter of
Continued on page 14

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[12] => DTI Jan-Feb.FH10

NEWS

12 DENTAL TRIBUNE Pakistan Edition January 2020

Annual Sports week celebrated by KMDC

K

ARACHI - Karachi
Medical and Dental
College (KMDC)
recently organized Annual
Sports week with full zeal
and zest. The event was

their daily life routine in order
to stay active. The medical
students need to be mentally
and physically healthy.
Hence, they should take some
time out from their studies

team of the event and
appreciate their efforts.
While addressing the
audience, Dr S. Mahmood
Haider said "under the
umbrella of KMDC, many

Photos:
DT Pakistan

inaugurated by Pakistan's
renowned hockey play,
Olympian Islahuddin
Siddiqui. The event was
chaired by KMDC Principal,
Prof. Dr S. Mahmood Haider.
Along with faculty members,
students and their parents
witnessed the inaugural
event.
In his inaugural speech, Mr
Islahuddin noted that students
should inculcate sports in

M

and participate in sports
related activity, Siddiqui said.
Olympian Islahuddin
suggested that KMDC should
start a hockey team, which
could get trained at his
training institute. He said, "I
expect that the hockey team
will produce better players
that can later make Pakistan
proud."
Islahuddin Siddiqui
congratulated the organizing

I LT O N , O N T A R I O ,
CANADA - Dental crowns
are available in a variety of
materials, making it difficult for
dentists to decide which material will
best restore a tooth that has been
broken or worn down. While it has
been proved that stainless-steel crowns
(SSCs) are highly effective in
restoring posterior primary teeth, their
efficacy in restoring posterior
permanent teeth has not yet been
scientifically proved. Now, a recent
study has examined the long-term
clinical outcomes of using
SSCs in a special needs population
and confirmed that SSCs are a viable
and durable option for the treatment
of both types of dentition.
In the retrospective cohort study,
the researchers performed a clinical
and radiographic analysis of 271
patients who showed a poor level of
oral hygiene, were at high risk of
dental caries and had at least one SSC
restoration. A total of 2,621 posterior
permanent tooth restorations were
documented: 766 SSCs, 1,651
amalgam restorations and 204
composite resin restorations.
"I noticed that many adults with and
without special needs who had their
dental care provided by dentists in the
community were presenting to our
hospital emergency department with
posterior permanent teeth restored
with very large multisurface amalgam
or resin restorations that had failed.
The persons were usually in pain and
the teeth were, in many cases,
unrestorable or required endodontic
therapy," Dr. Alison Sigal, a pediatric

events are organized annually
to give platform to students.
This gives an opportunity to
them to actively participate
and demonstrate their skills.
The aim of such events is to
give 'Future of Pakistan' a
platform."
Principal
KMDC
appreciated the efforts of
organizing team headed by
Sports Incharge, Prof. Nasir
Ali Khan. -PR

Students Annual Sports
Week kicks off at DUHS

K

ARACHI - The Students' Annual Sports Week
was recently organized at Dow University of
Health Sciences (DUHS). The evet was inaugurated
by the Vice-Chancellor of the Dow University of Health
Sciences (DUHS), Prof Dr Mohammed Saeed Quraishy.
Pro-Vice-Chancellors, Prof Zarnaz Wahid and Prof Kartar
Dawani, Registrar Dow University, Prof Aman Ullah Abbasi,
Principal, Dow
Medical College,
Prof Amjad Siraj
Memon, Director
Sports, Prof Syed
Mukarram Ali were
also present on
occasion. Prof Nisar
Photo:
DT
Pakistan
Ahmed Rao, Prof
Nawaz Lashari,
Prof Subbul Shameem, Prof Saeed Khan, Prof Shaheen
Sharafat, Principal, DCOB, Prof Shoukat Ali, senior faculty
members and a large number of students also attended the
ceremony.
Prof Saeed said this while speaking said that the Dow
University has a tradition of encouraging healthy activities
and in the spirit of tradition; the DUHS has been organizing
this sports contest for the past many years. He noted that
this time the contests would be better than the previous
ones, and the sports committee would conduct the
Continued on page 13

Study proves effectiveness
of stainless-steel crowns in
restoring permanent teeth

Researchers have recently confirmed that stainless-steel crowns are as
successful in treating posterior permanent teeth as they are in restoring
posterior primary teeth. (Image: Krezodent/Shutterstock)
dentist and founder of the Little Bird
Pediatric Dentistry in Milton, told
Dental Tribune International. "I knew
from my training in pediatric dentistry
that SSCs were very successful in
primary posterior teeth and wondered
whether they could be equally
successful in the permanent posterior
dentition," she added.
The findings showed that new SSC
and amalgam restorations had a tenyear survival rate of 79.2% and 63.5%,
respectively. Although the researchers
recorded 91 SSC failures, Sigal gave
the assurance that the majority of the
crowns that were lost were due to

generalized periodontal disease and
not due to the failure or loss of the
restoration.
Of the 528 failed conventional
restorations that were replaced by the
dentists, 60% were replaced with
SSCs. After the defective restorations
had been replaced, the patients had a
mean alveolar bone loss at mesial and
distal sites of 1.36 mm and 1.40 mm,
respectively, which was deemed
healthy.
"SSCs are full-coverage restorations
and as such will add strength to the
remaining tooth and are generally not
at risk for dental caries, whereas

amalgam and composite resin
restorations both weaken the
remaining tooth structure and are
susceptible to recurrent caries and
fracture or margin failure. Further, as
found in our study, teeth that had
failed amalgam and/or composite resin
restorations that would otherwise be
deemed nonrestorable with a larger
surface restoration and to be extracted
were able to be preserved with the
placement of the SSC restoration,"
she noted.
Since the study was conducted on
persons with special needs, Sigal
cautions that the findings cannot be
generalized. However, she believes
that SSCs would be similarly
successful in restoring permanent
posterior teeth in the general
population.
"SSCs are durable long-term
restorations that are less expensive
than other full-coverage restorations
and should be considered as a potential
restoration for both primary and
permanent posterior teeth, especially
in persons with special needs and
those with limited finances or failing
oral hygiene," Sigal concluded.
According to the American College
of Prosthodontists, an estimated 2.3
million implant-supported crowns are
produced annually in the U.S.
The study, titled "Stainless steel
crowns as a restoration for permanent
posterior teeth in people with special
needs: A retrospective study," was
published online on Dec. 27, 2019,
in the Journal of the American Dental
Association, ahead of inclusion in an
issue. - Dental Tribune International

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January 2020 Pakistan Edition DENTAL TRIBUNE 13

Coronavirus reaches ...
Continued from front page

Experts have advised citizens to
practice the best hygiene, and wash their
hands frequently and thoroughly for at
least 20 seconds, or use alcohol-based
hand sanitizer if soap and water are not
available.
Citizens must cover their coughs and
sneezes with a tissue and then throw the
tissue in the trash.
Infected patients need to avoid touching
their eyes, nose, or mouth with unwashed
hands, and sick people are required to
stay at home.

An exclusive interview with

Prof Dr Amjad

Continued from page 6

regular undergraduate and Interns'
training, the department runs three
postgraduate programs; a three years'
Masters, a four year Doctor of Science
and a four year Saudi Board clinical
program.
DTP: What was your contribution in
KSUCD, in general and pediatric
dentistry, in specific there?
AW: First few years were my learning
years from my seniors. Once you feel
confident, then it is time to contribute.
In KSUCD, undergraduate pediatric
dentistry curriculum is extensive. It starts
with a half-year preclinical course in 3rd
year, followed by full year clinical and
didactic course in fourth year. It end
with a full year clinical course in final
year. I served as course director of all
these undergraduate courses from time
to time. I participated in developing three
Years Master Program in Pediatric
Dentistry in early nineties. I served as
course director of various postgraduate
courses in the Master Program. Then, I
also taught in the four-year clinical
training program named Saudi Board in
pediatric dentistry started by Saudi
Commission for Health Specialties. A
four-year Doctoral program (DSc) was
started in 2015 at KSUCD. I served as
course director of various didactic and
clinical courses of the Board and
Doctoral programs in Pediatric Dentistry.
DTP: Did you work in leadership/
administrative positions?
AW: In Adelaide Dental School
Australia, I worked as a member of the
School Board representing postgraduate
students for two years. In KSUCD, I
was given responsibilities of directing
various undergraduate and postgraduate
preclinical, didactic and clinical courses.
I served as Head of the Pediatric
Dentistry Division, which had about
thirty faculty members, with several
units including undergraduate training,
Interns' training, postgraduate programs,
pediatric dental sedation unit, special
care clinics, community outreach
program and comprehensive oral
rehabilitation of pediatric dental students
under general anesthesia. I also headed
many academic committees.
DTP: Tell us some more about your
postgraduate teaching activities?
AW: I contributed towards writing the
Master of Dental Surgery Program in
Pediatric Dentistry. As a young
academician then, I was given

challenging tasks such as supervision of
special care clinics and pediatric dental
general anesthesia for postgraduate
students. I was one of the pioneers in
starting comprehensive oral rehabilitation
of pediatric dental patients under general
anesthesia there. I also directed almost
all the postgraduate pediatric dentistry
courses. I was also asked to contribute
in some postgraduate core courses. I
supervised several postgraduate students
in their theses research projects. I was
a member and/or Head in many research
proposals and thesis Examination
Committees. I served as Representative
of the Department in Joint Council for
Postgraduate Education of KSUCD for
several years. I also served as Director
of the Pediatric Dentistry Postgraduate
Program for a three year term. I lead
revision of the existing Master program
and wrote the DSc Program in Pediatric
Dentistry.
DTP: Prof. Wyne; what about your
research endeavors along the way?
AW: Well, as you know, like most of
my contemporaries that time, I had no
idea about what research was and why
it was important for a health care
professional. My first exposure to it
came when in Adelaide Australia my
clinical supervisor asked me to write an
essay on serial extraction. I ended up
presenting my essay without any
reference to a classical or contemporary
literature. Gradually, I started learning
about research during my core courses
on research methodology and biostatistics. I was so fortunate to have a
research supervisor like Professor John
A Spencer (Ex-Editor of Journal of
Community Dentistry & Oral
Epidemiology) for my Master thesis. I
started learning scientific writing from
him. Then, I was also fortunate to work
in Advisory Board of the same journal
with Professor Brian Burt of Ann Arbor
Michigan. Then, in KSUCD also,
environment was very conducive for
faculty research. I completed several
funded research projects as principal
investigator. I also participated as a team
member in funded research projects. I
have presented my results in national
and international conferences. My work
has been published in national and
international peer-reviewed scientific
journals. My primary areas of interest
include dental caries in preschool and
schoolchildren, pediatric dental sedation,
oral health status of disable individuals,
oral health of individuals with special
care needs and oral health knowledge
and practices in children and their
parents. My two current projects include;
"Genetic predisposition of preschool
children for early childhood caries" and
"Parental opinion regarding healthy
weight screening/counseling by dentists".
DTP: Tell us about your journey in
medical/dental journalism?
AW: It has been an exhaustive journey.
I had no background in scientific
research, and no idea of scientific
writing, really had to struggle in this
area. However, working with seniors
gradually started having ideas of
scientific writing. I was invited for
manuscript reviews by scientific journals.
Then impressed from my honest efforts

in scientific writing and manuscript
reviews, some editors started asking me
to join their editorial and advisory boards
in late nineties. Distinguished among
these were my affiliation with leading
international dental journal "Community
Dentistry and Oral Epidemiology" and
a regional journal "Indian Journal of
Dental Research". I am currently in
editorial board of Journal of Pakistan
Dental Association and Co-Editor of
Pakistan Oral & Dental Journal. I am
also affiliated with these journals since
very long as an author and reviewer. I
am a regular reviewer for most of our
Pakistani journals. I also have close
affiliation with Pakistan Journal of
Medical Sciences since more than a
decade.
DTP: What are your current activities
in Pakistan?
AW: I am working in Institute of
Dentistry, CMH Lahore Medical College
as Professor and Head of Pediatric
Dentistry. It is one of the main centers
in the country that provides
comprehensive dental care to pediatric
patients including those with special care
needs under local and general anesthesia.
I am Founding President of Pakistan
Academy of Pediatric of Pediatric
Dentistry (PAPD), which is a sole
representative organization of all
pediatric dentists and those who have
interest is providing oral/dental health
care to children. We have Professor Dr.
Hashim Khan, Professor Dr. Arham
Chohan and Dr. Sajjad Ahmad as founder
Vice President, General Secretary and
Secretary Finance respectively.
The PAPD was formed in August 2018
by a group of like-minded people with
major objective of better oral health for
Pakistani children. PAPD is making
efforts to work with Pakistan Medical
& Dental Counciland College of
Physicians and Surgeons Pakistan to
train quality pediatric dentists in Pakistan
to serve increasing oral health needs of
our Nation's children. Considering that
Pediatric Dentistry is now a major
examinable subject in final year BDS
Program, and that demand for qualified
well trained pediatric dentist will increase
in future, efforts are underway to
gradually provide adequate number of
faculty by starting Fellowship and Master
Programs in the subject. In the
international arena; Pakistan is now a
Nation member of International
Association of Pediatric Dentistry
(IAPD) and regionally that of South
Asian Association of Pediatric Dentistry.
PAPD has already organized a one day
seminar for general dental practitioners
(GPDs) in Peshawar.
The plans are to provide Continuing
Dental Education (CDE) to general
dental practitioners through CDE
programs at every Divisional
Headquarters in our country. This is to
enable GDPs to provide primary
preventive and restorative dental care to
the children of our Nation whose dental
needs are on the increase. We all need
to join hand to improve the dental/oral
health of our children. I encourage all
those who care about oral/dental health
of our children to join PAPD and
contribute towards betterment of

treatment and prevention services for
the children.
DTP: Finally, any message to our
younger generation of dentists in the
country?
AW: Wherever and in whatever position
you work, do not forget that you belong
to noble profession of health care. If you
are a general dental practitioner, always
keep abreast with latest in the field. If
you like to be a specialists, choose a
specialty based on your interest and not
on the amount of money you will make.
Most importantly, no matter what your
main interest is always save sometime
for research (clinical, lab, field) and
presenting your results to your
colleagues. It is only through research
that development of a profession, Nation
and Country takes place.
DTP: Thank you Professor Amjad
Wyne for taking time to talk to us?
AW: It was all my pleasure. I am
thankful to Dental News Pakistan Team
for providing me with an opportunity to
communicate with dental fraternity about
myself, pediatric dentistry and most
importantly dental health of our Nation's
children.

Students Annual Sports ...
Continued from page 12

competitions with zeal. The students'
enthusiastic participation in such events
not only enhanced their capabilities but
also alleviated the pressure of studies
and provides comfort.
Prof Quraishy said that the sports
committee organized this event despite
their limited resources, which was
commendable. Faculty members should
also participate with their teams in such
events, he recommended. Furthermore,
sports were an essential part of a student's
life as it helps teach them endurance and
tolerance.
Dr Saeed said that University days
were always memorable for the students,
and every year these sports activities
enabled students to foster mutual
interaction and develop stronger social
ties. "We always try to provide a pleasant
environment for our students so that they
can make these days more beautiful and
memorable," he added.
In conclusion, Quraishy praised the
efforts of the Director of Sports, DUHS,
Prof Syed Mukarram Ali, and his team
for organizing such events.
Speaking on occasion, Prof Syed
Mukarram Ali said that 3,500 students
and their teams participated in the
competitions held between the 13
institutes of the DUHS along with 200
faculty members. He further noted that
six coordinators, 17 event in-charges,
and 35 focal persons were responsible
for arranging this event.
Furthermore, Prof Mukarram said that
we select the best students for the
competitions. We hope our students
demonstrate the same excellent
sportsmanship in their lives as well.
In the end, Prof Saeed Quraishy
inaugurated the annual sports week with
a ribbon-cutting ceremony and
distributed shields to the heads of all of
DUHS's institutes and the faculty
members who contributed to the sports
week's success. -PR

[14] => DTI Jan-Feb.FH10

14 DENTAL TRIBUNE Pakistan Edition January 2020

BUMDC welcomes new BDS Batch

K

ARACHI
A
Commencement day and
white coat ceremony of 8th
batch of BDS was recently organized
by Bahria University Medical and
Dental College (BUMDC). This
inaugural day was of greatest
importance in a dental student's life
making headway towards the noblest
profession of all times. Rear admiral
Retd. Imtiaz Ahmed, (HI) M, Director
General, BUMDC honored the
ceremony by his presence as a Chief
Guest.
The ceremony proceeded with a
welcome address by the Principal
Dental Section, Prof. Dr. Wahab
Buksh Kadri. This was followed by

a detailed overview about the
academic years of study program of
BDS, infrastructure of the institute
and its accomplishments by Vice
Principal Dental Section, Dr.
Kulsoom Fatima Rizvi. She further
enlightened the audience about the
faculty development programs
through workshops and seminars that
are conducted annually. A short video
clip of a journey towards 8 years of
establishment in making of the
institute was displayed before the
audience.
The chief guest addressed the
gathering giving students a warm
welcome and further guiding parents
and guardians to remain vigilant with

An exclusive interview with

Dr Ashar Jamelle
Continued from page 10

regular dental visits forward our system. Whenever
we examine the mouth, we always find something
or the other that potentially relates to another internal
condition. If there is a better system where people
start visiting dentists regularly, we can screen a lot
of things and work towards preventing it. It is all
about prevention nowadays. Social media and
television should be used to invoke this concept in
the masses and bring the matter of regular dental
visits forward.
DTP: Discuss gum disease prevalence in Pakistan.
How do these problems vary with the ascent of
age?
AJ: Gum diseases are on the rise in Pakistan, and
it is because of the causative factors that are highly
prevalent in our society. Diabetes, especially if
uncontrolled, can pose a significant threat to gum
health. Patients should get their HbA1C levels
checked regularly to assess their status better.
Another highly prevalent risk factor in our society
is stress. We have a lot of people who smoke, which
also contributes to gum disease. Genetics also play
a role in causing gum diseases.
People generally tend to neglect tooth brushing,
so poor oral hygiene is also a critical factor
contributing to gum disease. We, as a society, do
not stress the importance of hygiene. Islam states
that cleanliness and hygiene are half of your faith.
Therefore, we must take measures to bring such
things to light and educate the masses.
We should have a specialist referral system so
patients can come to us, and we can find the
underlying diseases that might cause more serious
problems in the future.
DTP: How do gum problems in women vary from
that in men? Discuss the effects of puberty (boys
and girls), pregnancy, and menopause on an
individual's oral health.
AJ: In women, there are surges of estrogen and
progesterone during pregnancy. I have had patients
come to me with enlarged and swollen gums. It can
be quite a challenge to treat for the doctor and deal
with for the patient. It is quite a prevalent occurrence.
There are chances of bleeding and inflammation,
as well. So, a pregnant patient should essentially
go for her checkups more often so we can catch
issues before they progress to an advanced stage.
If oral hygiene is maintained and regular checkups
are scheduled, we will be better able to prevent such
conditions.
Even during puberty, the body goes through a lot

Photo: DT Pakistan

the policies and rules set by the
system and keep an eye on students'
performance throughout their
academic period. He advised students
to remain devoted to the profession
by showing hard work and discipline.
Senior faculty of Bahria University
Medical and Dental College
presented white coats to the newly
inducted students in the world of
dentistry as a tradition. Oath-taking

of hormonal changes that present themselves in the
form of various lesions. So, if patients notice
something out of the usual, they should consult their
dentist at their earliest convenience.
DTP: Discuss some of the early signs that point
towards developing gum disease. What could be
done about them?
AJ: Some of the early signs include wobbly teeth,
which is something we find at a much later stage
of the disease. Additionally, you can experience bad
breath, bleeding gums, sensitivity, teeth drifting,
and more. Sometimes, patients do not present with
any symptoms. This is why checkups are essential
because factors like genetics might come into play.
So, essentially, you might be experiencing something
in a very silent and seemingly harmless way, but
you only realize the seriousness of the situation
after it has gotten quite severe. It is good to have
a biannual checkup so we can work towards
prevention.
DTP: What are the reasons behind the gum
recession commonly encountered among our
mature demographic? How can it be avoided?
AJ: Gum recession can happen if you have gum
disease and periodontitis. Bone loss accompanies
gum recession. The most common reason behind
gum recession is overzealous tooth brushing. We
tend to be very enthusiastic with tooth brushing,
which tends to cause more harm than good.
Therefore, if you know someone who has a habit
of brushing their teeth vigorously, as a dentist, you
must counsel them and tell them what they are doing
wrong. Teach them the right way to brush their teeth
because if they continue to do so, it can result in
recession. Recession further leads to aesthetic issues
as well as sensitivity, which require surgeries to fix.
Thus it is better to counsel them at the right time
so things can work out in their favor better.
DTP: Can toothpastes (advertised with tall claims)
really CURE bleeding gums, tooth sensitivity, and
toothache?
AJ: No, because I believe that toothpaste tubes are
being portrayed as a magic wand that can fix
anything, but the reality is that they cannot. If there
is an underlying problem, it must be looked at and
fixed by a dentist or a specialist. If the problem is
not fixed, it will get worse, and things might progress
into a very detrimental state, so again, instead of
patients trying to diagnose their own symptoms,
they should head straight to a professional.
DTP: In your own way, bust the age-old myth:
Scaling loosens the teeth!
AJ: Scaling does not loosen the teeth. This is a
fallacy that needs to be busted. The reason why this
issue comes up is because people come to get their

was also an integral part of the
ceremony. Dr.Mushtaq Ahmed, Head
of Department Periodontology took
oath from newly inducted dental
students.
Later, a Sign-In ceremony was held
for students along with their parents,
as a symbol of becoming part of this
institution.
The ceremony ends with a group
photograph and refreshments. -PR

scaling done at a very late stage. It is something
they opt for only on special occasions like
anniversaries, weddings, etc. If you are a regular
patient, you will not experience any such thing
because your problem will be fixed before it
advances into a more damaging state. If people
continue to neglect their oral hygiene and do not
come to the dentist, then they are basically inviting
problems over, so just be regular with your
appointments.
DTP: Are you engaged in any kind of volunteering
activities? Tell us about them.
AJ: I have been doing a lot of workshops to engage
young dentists into Periodontology so they can learn
about it. I have a passion for promoting this because,
again, Periodontology is a field very close to my
heart. There are a lot of awareness campaigns that
I frequently attend as well because I wish to push
this idea as much as I can. Our masses lack
awareness, so my goal is to do the most to support
the cause and bring more and more dentists into
Periodontology as specialists.
DTP: Are you engaged in any kind of volunteering
activities? Tell us about them.
AJ: I believe that we should enhance our knowledge
as much as we can. Read, Go through articles. Learn
about the techniques that you can use to help your
patients, whether it is in diagnosis or treatment
or anything in between. This will benefit everyone.
That is how I reached where I am today.

Dr Kulsoom gives guest ...
Continued from page 4

general health, and contributes to overcome the
neglect of oral health. She further highlighted that
MGD and SGD provide a conceptual framework
for encouragement, funding and action undertaken
to ensure healthy lives and health for all.
The conference and speakers received great
acclaims for its successful sessions and event. Dr.
Kulsoom was awarded with a memoir souvenir as
a token of gratitude and remembrance for her
valuable participation in the conference towards a
better and more enlightened Pakistan. -PR

Workshop conducted at IMDC
Continued from page 4

about EndNote®, Features of Microsoft Word® and
Excel®.
At the end the participants were given group
exercises that put their learning into practice and
refined their thinking and research skills.
The participants also volunteered for future
research activity and gave a highly positive
feedback. -PR

[15] => DTI Jan-Feb.FH10

January 2020 Pakistan Edition DENTAL TRIBUNE 15

24th edition of the UAE ...
Continued from front page

roadmap for dentistry practice in the
region and abroad. Over the years,
GSDA has played a pivotal role in
coming up with appropriate policy
recommendations and robust solutions
for the most pressing dental challenges
facing dentistry professionals and
patients alike."
"We are delighted that GSDA is being
held on the sidelines of AEEDC Dubai
2020, which has recently been declared
the largest annual international
scientific dental conference and
exhibition in the world and we believe
that the presence of world-renowned
dental experts and associations at this
global dental platform will be greatly
helpful in highlighting the latest dental
challenges, raising awareness and
improving understanding about the
latest in the field of dentistry," Prof
Abdullah stated.
From his side, Dr. Abdul Salam Al
Madani, Executive Chairman of
AEEDC Dubai and Global Scientific
Dental Alliance (GSDA) said, "I extend
my warmest regards and gratitude to
the participating members in the 17th
Annual Alliance Meeting of the GSDA
for their valuable participation in the
activities of this prominent event. The
GSDA meeting has become one of the
most important forums that feature a
rich scientific program discussing the
most pressing topics in oral and dental
care and enriches the knowledge and
experience of the participants in this
sector."
He added, "At the 17th edition of
this alliance, we are very pleased to
meet with the most prominent
international societies and institutions
specialized in dentistry with the aim
of unifying our efforts and endeavors
to support scientific researches and
elevate the professional level of
dentistry. We are immensely proud to
host this alliance on the sidelines of
AEEDC Dubai 2020, which has been
recognized recently as the largest
International Annual Scientific Dental
Conference in the world after a long
journey of hard work and fruitful
cooperation."
On his part, Dr. Tariq Khoory,
Honorary Chairman of AEEDC Dubai
Conference and Exhibition said:
"Today, we have announced (AEEDC
Global Education), as INDEX
Conferences and Exhibitions, the
official organizer of AEEDC Dubai,
saw the importance of transferring the
AEEDC Dubai experience to the whole
world by sharing their expertise with
dental institutions, associations and
bodies all over the world. Through
AEEDC Global Education Conference
and Exhibition, we aim to hold an event
at par with AEEDC Dubai in terms of
the scientific and educational content.
This unique event is expected to take
place in 2021 and will include a
scientific agenda featuring a number
of challenging topics in dentistry
through workshops, lectures, and
scientific sessions. Furthermore,

AEEDC Global Education will also
feature an exhibition that will showcase
the latest medical equipment and
technologies in the dental field."
Commenting on the occasion, Dr.
Robert Edwab, Executive Director,
Greater New York Dental Meeting
(GNYDM) said, "The Global Scientific
Dental Alliance Meeting has special
significance as it serves as a forum to
develop programs to help further
educate dentists. AEEDC Dubai 2020,
as the world's largest international
annual scientific dental conference and
exhibition, is best equipped to hold this
gathering. As the GSDA Meeting
witnesses the presence of
representatives of various dental
organizations from across the globe,
this diversification greatly helps to
maximize ideas that could foster
educational topics and initiatives for
the member countries. By sharing and
cooperating, this collaboration brings
dentists from around the world to a
forum where they can learn from handson experiences that were successful in
their fellow member countries and bring
it home to educate their members."
Dr. Edwab added, "One of the main
focus areas for participants at GSDA
is to identify and share the best dental
educators from each country, as by
identifying these superior educators,
and having them present at such
programs as AEEDC Dubai, the GSDA
helps to elevate and maximize the
availability of oral healthcare to all
populations. This is extremely
important today as studies are providing
significant evidence to suggest how
oral health is intricately related to
systemic health. If each country can
raise the level of its oral healthcare,
they can directly elevate the general
health of their citizens."
Dr. Edwab concluded, "The most
significant challenge facing patients
across the globe is access to affordable
care. Today, newer materials and
technology are playing a significant
role in overcoming the challenge posed
by affordable care. Consequently, by
using new advances in technology,
more care can be distributed to larger
populations. With better access to
affordable care, we can lower the levels
of tooth decay and tooth loss which
hugely impact the long-term health of
patients. Access to oral healthcare and
medical healthcare will then lead to
lower levels of mortality and higher
life spans."
On the sidelines of AEEDC Dubai
2020 Conference and Exhibition, a
Memorandum of Understanding and
cooperation (MoU) was signed between
INDEX Conferences and Exhibitions
- a member of INDEX Holding, and
Al Farabi Private College in the
Kingdom of Saudi Arabia, as part of
their endeavors to cooperate and
coordinate in various events, exchange
experiences via scientific and
educational publications, and to
promote the events organized by
INDEX. The Agreement was signed
by Eng. Anas Al Madani, Vice

President and Group CEO of Index
Holding and Prof. Dr. Ali Habiballah
Akbar, Dean of Al Farabi Private
College in Jeddah, Kingdom of Saudi
Arabia.
On the second day, AEEDC Dubai
2020 conference featured a number of
discussions on highly scientific topics
in dentistry such as 'Digital
Implantology: The Modern Approach
in Implant Rehabilitation', 'Tips &
Tricks In Implant Guided Surgery',
'Aetiology & Epidemiology of Dental
Trauma', 'Dealing with the Pediatric
Dental Trauma Patient', 'Bioactive Root
Canal Fillings: Are We There Yet?',
'The Input of CAD-CAM Technologies
for Endodontically-Treated Teeth',
'Predictable Use of Rigid Membrane
in Ridge Augmentation' and 'Extreme
Atrophy of the Jaws: Which
Treatment?' among other topics.

AEEDC Dubai 2020 ...
Continued from front page

equipments that are revolutionizing the
field of dentistry. With such an
outstanding legacy, AEEDC Dubai has
witnessed a huge success this year,
with over 3.5 billion dollars in business
deals signed during the 3-day event.
On this occasion, I would like to thank
all our supporters, speakers, key
stakeholders, industry, exhibitors and
our ambassadors of AEEDC Dubai,
who have collectively made this
gathering, the world's largest annual
scientific dental conference and
exhibition in the world."
Commenting on his participation, Dr.
Jose Manuel Navarro, Certified
Periodontist and Implantologist, Spain,
said, "During my lecture, I spoke about
the way we envision the future of
orthodontic treatment with aligners by
non-specialist orthodontists. My area
of focus is dental implants, bone
reparations and prosthetics and recently,
with the aid of recent breakthroughs in
cloud dentistry, we have been able to
treat complicated dental cases with
aligners. Today, we are able to take all
preliminary images using digital smile
technologies and share them in the
cloud, which is allowing us to plan for
the orthodontic phase from a distance
digitally using jointly designed
aligners."
He added, "The introduction of cloud
dentistry, telemedicine and the
imminent way in which we are able to
diagnose digitally is certainly changing
the dental profession and the way it is
practiced. It has indeed become a
necessity to deliver the gold standard
of dentistry in years to come."
Commenting on his participation, Dr.
Paul Ashely, Senior Clinical Lecturer,
United Kingdom, said, "AEEDC Dubai
2020 presented a broad and varied set
of scientific dental topics which were
relevant and interesting to dentists
coming from across the region and the
world. During my lecture topic 'Dealing
with the Pediatric Dental Trauma
Patient' I highlighted some of the most
important factors to consider when
faced with a child who has had a dental

trauma. In particular, I stressed that
there is a need for greater understanding
about the impact of oral microbiome
on oral and general health. In regards
to pediatric dentistry, I believe that the
failure to manage the high levels of
dental decay especially in deprived and
inaccessible populations is a major
challenge for dental practitioners and
more needs to be done in this regard."
On the sidelines of AEEDC Dubai,
the Lebanese University, represented
by its President, Professor Fouad
Ayoub, and in the presence of the Dean
of the Faculty of Dental Medicine,
Professor Toni Zeinoun, a token of
appreciation was awarded to Dr. Abdul
Salam Al Madani, Executive Chairman
of AEEDC Dubai Conference and
Exhibition, in gratitude for his efforts
in various fields of science and
medicine and the advancement of the
dental sector in the region. Furthermore,
the students of the Lebanese College
of Dentistry participating in AEEDC
Dubai's Dental Students Competition
have also presented an additional token
of appreciation to Dr. Abdul Salam Al
Madani for the support offered during
AEEDC Dubai 2020.
On the third and final day, AEEDC
Dubai 2020 featured discussions on
many important scientific dental topics
such as 'Modern Concepts to Approach
a Full-Mouth Rehabilitation: From the
Analogical to the Digital World',
'Digital Workflow Accuracy of ImplantSupported Restoration', 'Unleashing
the Power of Self-Directed Learning',
'Shaping the Future of Dental Education
Integrating Scientific Discoveries and
Technological Advancements',
'Prediabetes and Dental Implant Care',
'Laser-Assisted Periodontal and
Periimplantitis Treatment', 'Chemical
Plaque Control Strategies: How to
Enhance the Clinical Outcomes', and
'Pearly Whites from Silver to White?
Zirconia Crowns in Pediatric Dentistry'.
Meanwhile, AEEDC Dubai 2020
hosted the GCC Preventive Dentistry
Session highlighting the need to
encourage dental care among residents
and populations in the GCC region,
particularly with the rise of oral and
dental challenges. Experts attending
the Session also spoke about the need
to improve the levels of awareness and
inculcate good dental hygiene,
particularly keeping the interests of
children in mind.
AEEDC Dubai is organized annually
by INDEX Conferences and
Exhibitions - a member of INDEX
Holding. The annual dental event is
being held in strategic partnership with
the General Directorate of Residency
and Foreigners Affairs Dubai and the
support of Dubai Health Authority,
Global Scientific Dental Alliance, Arab
Dental Federation, 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
Indonesian Association of Orthodontists
and Saudi Orthodontic Society.

[16] => DTI Jan-Feb.FH10

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[cover] => DT Pakistan No. 1, 2020

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Table of contents

[toc_titles] =>

News / Interview with Prof Dr Amjad / Clinical Implantology / Interview with Dr Ashar Jamelle

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