DT Pakistan No. 5, 2014
News / Er:YAG Garnet in laser-assisted crown lengthening / News / Events
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Editor - Online
Haseeb Uddin
PUBLISHED IN PAKISTAN
www.dental-tribune.com.pk
Teeth reveal details
of Richard III’s
lifestyle
3rd International
conference of Pakistan
Prosthodontics
Association
Er:YAG Garnet in
laser-assisted
crown lengthening
Page 2
CLINICAL PRACTICE
SEPTEMBER, 2014 - No. 05 Vol.1
Page 4
EVENTS
PPA holds 3rd international conference
Emerging Trends in Prosthodontics
Page 8
Improper
hospital waste
disposal
Editor - Online
Haseeb Uddin
Editor - Online
Haseeb Uddin
DT Pakistan Report
K
DT Pakistan Report
I
SLAMABAD: The 3rd international conference
of Pakistan Prosthodontics Association was held
at the Jinnah Auditorium of National University
of Sciences and Technology (NUST) Islamabad.
The theme conference of the conference was
“Emerging Trends in Prosthodontics.” This mega
event of the Pakistan Prosthodontics Association
(PPA) was attended by over 600 participants including
senior and junior level prosthodontists of the country
in addition to prosthodontic faculty of different
colleges, residents, house surgeons and undergraduate
students.
The main attraction of this conference was its rich
scientific program. International speakers from various
parts of the world attended the event as guest speakers.
Prof. Dr. Atilla Sertgoz PhD and currently working
in the Department of Prosthodontics at Marmara
Continued to page 08
dental education and practice.
“There have been no
restraining orders from any
court on performing its
regulatory functions,” PMDC
Registrar Dr Raja Amjad
Mehmood told reporters here.
The registrar said the PMDC
had written a letter to the
Ministry of NHRSC responding
to its objection to the holding
of council meetings. He said
the PMDC Executive
Committee was restored
automatically on July 17 after
the term of the PMDC
Ordinance 2014 ended 120
days after its promulgation. Dr.
Raja Amjad said the minutes
of the PMDC Executive
Committee and Council had
been communicated to the ministry from time to time for
information.
Continued to page 11
PMDC can perform its
regulatory functions: Registrar
DT Pakistan Report
I
SLAMABAD: The Pakistan Medical and Dental
Council (PMDC) said no court of the law in the
country had stopped it from regulating medical and
ARACHI: Serious health hazards
are being posed by improper
medical waste disposal, causing
an increase in communicable diseases.
A Senior Administrative officer of Civil
Hospital Karachi (CHK), on condition of
anonymity, said that incinerator of hospital
was out of order and that the improper
waste disposal was putting lives of millions
at risk.
The hospital waste which requires proper
handling includes materials like disposable
syringes, drips, urine or blood bags, human
body parts, needles fluid and others.
Internationally several protocols have been
developed to ensure safe disposal of such
Continued to page 11
Pharma
companies stock
recover from
turbulence amid
protests
DT Pakistan Report
K
ARACHI: Listed Pharma
companies in Pakistan
have been witnessing a
turbulent time at the trading floor.
Continued to page 11
[2] =>
2 DENTAL TRIBUNE Pakistan Edition September 2014
Teeth reveal details of Richard III’s
lifestyle
Editor - Online
DT International Report
Editor Clinical Research:
Dr. Inayatullah Padhiar
L
EICESTER, UK: Isotope analysis of
bone and tooth material from King
Richard III has revealed previously
unknown details of his early life and the
change in his diet when he became king 26
months before being killed at the Battle of
Bosworth. The research, conducted by the
British Geological Survey in collaboration
with researchers at the University of Leicester,
examined the changes in chemistry in the
teeth, the femur and the rib, all of which
develop and remodel at different stages of
life.
Isotope measurements that relate to
geographical location, pollution and diet
(strontium, nitrogen, oxygen, carbon and lead)
were analysed in three locations on the
skeleton of Richard III. The teeth, which form
in childhood, confirmed that Richard had
moved from Fotheringay Castle in eastern
England by the time he was 7. The data
suggest that during this time he was in an
area of higher rainfall, older rocks and with
a changed diet relative to his place of birth
in Northamptonshire. By examining the femur,
which represents an average of 15 years before
death, the researchers found that Richard had
moved back to eastern England as an
adolescent or young adult, and had a diet
typical of that of the highest aristocracy.
The third location, the rib, renews itself
relatively quickly, so it only represents
between two and five years before death. Data
from the isotopes in this bone indicate the
greatest change in diet. Although an alteration
in the chemistry between the femur and the
rib of Richard III could indicate relocation,
historical records show that Richard did not
move from the east of England in the two
years prior to his death. As such, this chemical
change is more likely to represent a change
Publisher/CEO
SyedUddin
Hashim A. Hasan
Haseeb
hashim.hasan@dental-tribune.com.pk
Editors Research & Public Health
Prof. Dr. Ayyaz Ali Khan
Editorial Assistance
Dr. Ahmed Ali
in diet relating to his period as king. The
difference suggests an increase in consumption
of fresh-water fish and birds, which were
popular additions to royal banquets at the
time and included birds, such as swan, crane,
heron and egret. In addition, the bone
chemistry suggests he drank more wine during
his short reign as king and reinforces the idea
that food and drink were strongly linked
to social status in Medieval England.
Dr Angela Lamb, isotope geochemist and
lead author of the paper, said: “The chemistry
of Richard III’s teeth and bones reveal changes
in his geographical movements, diet and social
status throughout his life.”
Richard Buckley, OBE, from the University
of Leicester Archaeological Services and lead
archaeologist in the Richard III dig said, “This
cutting edge research has provided a unique
opportunity to shed new light on the diet and
environment of a major historical figure—
Richard III. It is very rare indeed in
archaeology to be able to identify a named
individual with precise dates and a
documented life. This has enabled the stableisotope analysis to show how his environment
changed at different times in his life and,
perhaps most significantly, identified marked
changes in his diet when he became king in
1483.”
The study, titled “Multi-isotope analysis
demonstrates significant lifestyle changes in
King Richard III”, was published online on
16 August in the Journal of Archaeological
Science ahead of print.
Editor - Online
Haseeb Uddin
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After hepatitis accusation: Oral
surgeon permanently surrenders license
T
place. Additionally, it is alleged that staff
in the surgeon’s practice had taken radiographs
without the required authorization. Officials
also learned that he allowed dental assistants
in the office to perform intravenous sedation,
despite not being trained or permitted to do
so.
The given number of patients who could
possibly be infected with HIV, hepatitis B and
hepatitis C owing to the unsanitary conditions
varies between 4,000 and 7,000. According
to the website, more than 4,200 former patients
were tested free of charge at clinics in the
Tulsa area, and 89 tested positive for hepatitis
C, five for hepatitis B and four for HIV.
However, whether infection transmission did
indeed occur at the oral surgeon’s practice
has only been proven in one case thus far. A
gene test confirmed that a patient had
contracted hepatitis C from a visit to the
practice.
The oral surgeon had already stopped
practicing voluntarily in spring 2013 and
moved to Arizona.
Torsten Oemus
Dan Wunderlich
Claudia Salwiczek
Lars Hoffmann
Matthias Diessner
(Key Accounts)
Melissa Brown
(International)
Peter Witteczek
(Asia Pacific)
Maria Kaiser
(North America)
Weridiana Mageswki
(Latin America)
Hélène Carpentier
(Europe)
DT International Report
ULSA, Okla., USA: An oral surgeon
from Tulsa accused of exposing
patients to HIV and hepatitis has lost
his license to practice. Investigations against
the 66-year-old were launched in summer
2012, after notification from dental licensing
agencies of alleged unsafe injection practices
in his office. Authorities found numerous
violations of health and safety laws, and major
violations of the State Dental Act of Oklahoma.
“The case is closed with us at this point,”
said Oklahoma Board of Dentistry President
James Sparks during a meeting last
week, just after the board had voted to accept
the permanent surrender of the oral
surgeon’s license. According to the website
www.tulsaworld.com, which reported on the
case, the accused did not attend the meeting.
Former patients have filed lawsuits against
the man, whose practice was found to contain
rusted instruments and a disorganized drug
cabinet with expired medicines, and to have
improper sterilization procedures and
insufficient infection control measures in
Magda Wojtkiewicz
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[3] =>
[4] =>
4 DENTAL TRIBUNE Pakistan Edition September 2014
CLINICAL PRACTICE
To utilize crown lengthening, it is important for
the restorative dentist to understand the concept
of biologic width, indications, technique and other
principles.(7-9) To maintain healthy periodontal
Editor - Online
tissue, the attached gingival and biologic width
Haseeb
mustUddin
be considered. Biologic width is measured
from the bottom of the gingival sulcus to the
alveolar crest and is maintained by
homeostasis. (10,11) This width consists of the
epithelial attachment to the tooth surface and its
connective tissue. The average width is 2.04 mm.
Impinging biologic width may cause periodontal
tissue destruction; therefore, in crown lengthening,
the position of the margin is important.
Methods of clinical crown lengthening
As mentioned above, there are two methods to
lengthen a crown: coronal extension and apical
extension. Apical extension of the crown is
achieved by surgery, with or without osseous
resection. In apical extension there are two
methods:
8Open technique: patients who exhibit asymmetrical
gingival levels, those with greater than 3 to 5mm
of maxillary gingival display, or both may be
8Enabling restorative treatment without impinging candidates for surgical gingival and/or alveolar
bone repositioning to improve their aesthetics.
on biologic width
8Closed technique - for minor localized biologic
8Correction of the occlusal plane
width and/or aesthetic gingival zenith corrections.
8Facilitation of improved oral hygiene
Can be used in lieu of a flap procedure to make
There are two methods of crown lengthening
the correction and complete the restorative process
8Orthodontic - coronal extension
without the necessary healing time required for
8Surgical - apical extension
o p e n c r o w n l e n g t h e n i n g s u rg e r i e s . ( 1 2 )
Clinical considerations
Case presentation
8Importance of the tooth
This clinical report describes a situation in
8Subgingival caries
which a crown lengthening procedure was
8Clinical crown/root ratio
successfully performed with the Er:YAG laser
8Root length and morphology
(LiteTouch, Syneron Medical Ltd.) as a principal
8Residual amount of bone support
auxiliary tool, and the advantages of the 2940 nm
8Furcation involvement
wavelength versus conventional methods.
8Tooth mobility
Examination
8Aesthetic demands
Clinical examination of a 57-year-old male
8Post-op maintenance and plaque control
revealed missing teeth at the locations #17, 36,
Biologic width and aesthetic dentistry
Er:YAG Garnet in laser-assisted
crown lengthening
T
his article describes and demonstrates the
use of the Erbium:YAG 2940nm laser
system (LiteTouch, Syneron Medical Ltd.)
as a central tool in the treatment of osseous crown
lengthening, and the advantages this wavelength
offers versus the use of conventional methods.
Objectives and methods
Crown lengthening is a surgical procedure
employed for the removal of periodontal tissue,
in order to increase the clinical crown height.
It is the most frequently used and valuable
periodontal surgical procedure related to restorative
treatment.(1-4)
The objectives of clinical crown lengthening
include
8Removal of subgingival caries
8Preservation and maintenance of restorations
8Cosmetic improvement
Fig.1
Fig.3
Fig. 1: Patient presentation.
Fig. 2: Insertion of five implants.
Fig. 3: Teeth #14 and 15 in occlusion.
Fig. 4: Use of the diode laser to mark the
border for incision of the soft tissue.
Fig. 5: Incision border
Fig.2
Fig.4
The clinician must create a symmetrical and
harmonious relationship between lips, gingival
architecture and positions of the natural dentate
forms. Spear et al.(5) have referred to this diagnostic
methodology as facially generated treatment
planning, where the maxillary central incisal edges
determine where the soft tissue, i.e., gingiva, and
bone should be positioned.(6)
Fig.5
44, 45 and 46 with overeruption of teeth # 14 and
15 (Fig. 1). Radiographic examination of the area
showed overeruption of teeth 14 and 15 with the
alveolar bone.
Treatment options
The treatment options available in this case were:
8Insertion of implants and metal-ceramic crowns
at the locations of teeth #17, 36, 44, 45 and 46.
[5] =>
CLINICAL PRACTICE
September 2014 Pakistan Edition DENTAL TRIBUNE 5
Fig.6
Fig.7
Fig.8
Fig.9
Fig.10
Fig.11
Fig.12
Fig.13
Fig.14
Fig. 6: Incision.
Fig. 7: Lifting the mucoperiosteal.
Fig. 8: Bone ablation.
Fig. 9: Bone level after ablation.
Fig. 10: Immediately post-op.
Fig. 11: One week post-op.
Fig. 12: Four months post-op.
Fig. 13: Nine months post-op.
Fig. 14: Nine months post-op X-ray image.
8 In addition to option one above: crown
lengthening for teeth #14 and 15 and covering
them with metal-ceramic crowns.
Following discussion with the patient and
evaluation of the possibilities for success, it was
decided to perform crown lengthening. Treatment
would involve the use of the Er:YAG laser to
perform the following steps, based upon accepted
research:
8Flap incision(13-15)
8Ablation of soft tissue around the teeth after
raising a flap(16-18)
8 Remodelling, shaping and ablating of the
bone(13,15,19,20)
Treatment
All five implants were placed in one sitting
(Fig. 2). Crown lengthening was performed three
weeks postop (Fig. 3). Laser operating parameters
employed for the various surgical stages were
as follows:
8Flap Access: Wavelength: 2940nm (Er:YAG),
600-micron sapphire tip, contact mode; 200 mJ
per pulse at 35 Hz. Total power: 7 Watts.
8 Soft Tissue Removal: Wavelength: 2940nm
(Er:YAG), 1300-micron sapphire tip, non-contact
mode; 400 mJ per pulse at 20Hz. Total power:
8 Watts.
8Bone Surgery: Wavelength: 2940nm (Er:YAG),
1300-micron sapphire tip, non-contact mode;
300 mJ per pulse at 20 Hz. Total power: 6 Watts.
With the assistance of a diode laser operating at
a power setting of 2.4 W in contact mode, the
location of the incision was marked (Figs. 4 and
5). An incision was made with the laser (after
anaesthesia) at the buccal and palatal side of
teeth #14 and 15 (Fig. 6) and a vertical incision
was not required. The buccal and palatal flaps
were lifted and the area was explored (Fig. 7);
there was soft tissue around the neck of the teeth.
The soft tissue was ablated using the laser.
Vaporization of soft/granulation tissue (if any
exists) after raising a flap is efficient with the
Er:YAG laser, offering a lower risk of overheating
the bone than that posed by the diode or CO2
lasers23 and often obviates the need for hand
instruments. Results from both controlled clinical
and basic studies have pointed to the high
potential of the Er:YAG laser and its excellent
ability to effectively ablate soft tissue without
producing major thermal side effects to adjacent
tissue have been demonstrated in numerous
studies.(16-18)
The Er:YAG laser was aimed at the surface
of the exposed bone which was ablated in
non-contact mode (Fig. 8). Studies have shown
that Er:YAG laser energy effects on bone
include bacterial reduction. ( 2 2 ) Following
this, all accessible bone surfaces were exposed
to laser energy to ablate necrotic bone
and to shape and remodel the surface in
accordance with established clinical
protocols. (13,15,20) The bone level around teeth
#14 and 15 fits to the bone level of teeth #13
and 16 (Fig. 9). The mucoperiosteal flap was repositioned and sutured with silk 3-0, paying
particular attention to primary closure of the flap
(Fig. 10).
Postoperative instructions
The patient was prescribed antibiotics to avoid
infection and painkillers for pain. Instructions were
given to rinse with Chlorhexidine 0.2 %, starting
the next day for two weeks, three times per day.
Management of complications and follow-up
The following day the patient reported
moderate pain and moderate swelling. There was
no tissue bleeding and the site was closed. The
flap was showing signs of attachment and was
healing nicely. At seven days post-op, the patient
returned for inspection and removal of sutures.
The swelling had resolved and healing was
progressing well (Fig. 11). After five months,
the soft tissue was healed completely without
complications (Fig. 12). The soft issue had healed
over the bone and there were no bony projections
observed under the soft tissue. The prognosis
is excellent. An impression for two metal-ceramic
crowns was taken five months post-op (Fig. 10).
An aesthetic result was achieved (Figs. 13
and 14).
Conclusion
The Er:YAG laser system (LiteTouch, Syneron
Medical, 2940nm) can be employed as an
auxiliary tool for the purpose of crown
lengthening and has been shown to be effective
and safe. The use of the LiteTouch wavelength
for these procedures presents many advantages
as opposed to conventional methods, including
enhancement of the surgical site and less bleeding
during the operation, providing the surgeon with
a better field of visibility and reducing patient
discomfort during use. In addition, anecdotal
claims have been made that post-operative effects
such as pain and swelling are less pronounced.
Finally, the laser offers the dental surgeon
enhanced ease of use with the hand piece’s 360°
swivel capability.
[6] =>
6 DENTAL TRIBUNE Pakistan Edition September 2014
More English adults German university
see NHS dentists introduces new international
Editor - Online
Haseeb Uddin
Master’s programme
DT International Report
L
EEDS, UK: The number of adult and child patients who
visit a National Health Service (NHS) dentist is rising,
but only the North of England has recorded an increase
in the percentage of the child population seen by a dentist
compared with eight years ago, the latest figures show. The
report also found an 18 per cent rise in the number of dentists
performing NHS activity since 2006/7.
Just over 29.9 million adults and children (i.e. patients
under the age of 18) in England saw an NHS dentist in the 24
months before June 2014, according to the Health and Social
Care Information Centre (HSCIC). This is 1.8 million (6.3 per
cent) more than in the 24 months before March 2006, when
the reporting series began, and equates to 55.9 per cent of the
population seen in the 24 months before June 2014 (compared
with 55.6 per cent in the 24 months before March 2006).
However, while the total number and percentage of adults
seen by June 2014 are higher than in 2006, the percentage of
the child population seen has fallen by almost 1 percentage
point.
NHS Dental Statistics for England, 2013/14, which provides
information about patients seen by dentists and NHS dental
activity in England, shows that 22.0 million adults (52.3 per
cent of the adult population) had been seen in the 24 months
before June 2014 compared with 20.3 million (51.5 per cent)
in the 24 months before March 2006. The report also shows
that 7.9 million children (69.2 per cent of the child population)
had seen a dentist in the 24 months before June 2014, compared
with 7.8 million (70.2 per cent) in 24 months before March
2006.
In terms of the four NHS regions in England (North, South,
London, and Midlands and East ), in the 24 months before June
2014, the total number of adults seen rose in all regions
compared with the 24 months before March 2006, but only
two-the North and the South—saw a rise in the percentage of
the population seen (with falls in the London, and Midlands
and East regions).
The largest percentage of the adult population seen was in
the North at 57.6 per cent (6.9 million)—a rise of 1.1 percentage
points (420,000) on 2006. The lowest was in London at 46.6
per cent (3.0 million)—a fall of 1.8 percentage points on 2006.
The total number of children seen rose in two regions, the
North and London, compared with the 24 months before March
2006, but only the North saw a rise in the percentage of the
population seen—of 3.1 percentage points (73,000).
The North also accounted for the largest percentage of the
child population seen at 74.0 per cent (2.4 million). The lowest
was in London at 63.0 per cent (1.2 million)—a fall of 0.8
percentage points on 2006.
HSCIC chair Kingsley Manning said, “Today’s report shows
one impact of a growing population on NHS dentistry. While
more and more people are taking a turn in the dentist’s chair,
the proportion of the population seen is increasing slightly for
adults but dipping slightly for children compared to eight years
ago.”
Manning explained that both the national and regional
situation will be of interest to the public, and provides a basis
for further exploration for health professionals. He said that
the report also highlights dental workforce statistics, which
show an 18 per cent rise in the number of dentists performing
NHS activity since 2006/7, and will help to develop a
fuller picture of the state of NHS dentistry in England.
DT International Report
K
IEL, Germany: Academics at the Faculty of Medicine at Kiel University have
developed a new international master’s degree programme to offer further
training for university lecturers in the field of dentistry and medicine. The
accredited International Master of Applied Scientific Dental/Medical Education and
Research will be offered for the first time this coming winter semester.
“Above all, we want to strengthen the quality of research and teaching in the field
of oral medicine and present our teaching approaches, as well as international approaches
with this new master’s degree programme,” said Prof. Jörg Wiltfang, Director of the
Department of Oral and Maxillofacial Surgery at the University Medical Center SchleswigHolstein. Wiltfang will co-ordinate the degree programme at the Faculty of Medicine
together with Prof. Christof Dörfer, Director of the Department of Dental Preservation
and Periodontics at the centre. The advanced degree programme is intended to appeal
to the next generation of academics and particularly to international candidates.
During the two-year degree programme, lecturers will teach students the fundamentals
of research, establishing a research group, structuring studies and publishing research
results. Internationally recognised research results, in particular, also from the Faculty
of Medicine, will determine the content of the degree programme. In addition, teaching
methods, quality management, staff management and communication are topics included
in the curriculum. Students will also learn how to develop and implement teaching
curricula independently in accordance with current didactic standards.
The part-time advanced degree programme in this form is unique in Germany and is
arranged across four semesters. Twenty places are available per semester. In order to gain
admission to the programme, prospective candidates must provide evidence that they
have obtained a degree in Medicine or Dentistry and are currently working or had
previously worked at a university. Those interested can register for the coming winter
semester until 1 October 2014.
The programme was developed in collaboration with the Leibniz Institute for Science
and Mathematics Education at Kiel University and the Institute for Quality Development
of Schools in Schleswig-Holstein.
Anaesthetised patient falls
and dies in dental practice
DT International Report
D
ÜSSELDORF, Germany: In a
dental office in Düsseldorf, a
patient died after a tragic fall. The
45-year-old woman, who had been treated
under anaesthesia owing to a mental
disability, woke up dizzy in the recovery
room and accidently slammed her head
Continued to page 11
[7] =>
[8] =>
EVENTS
8 DENTAL TRIBUNE Pakistan Edition September 2014
Editor - Online
Haseeb Uddin
University College of Dentistry, Istanbul, three
speakers from UK, namely Dr. Riaz Yar from Hale
Barns, Dr. Zulaikha Burki from St. Guys' and
Thomas' Hospital London and Dr. Habib Rehman
of Eastman Dental Institute London, two speakers
from Saudi Arabia including Dr. Iyad Ghoniem
from Jeddah and Dr. Rashid Habib from King Saud
University Riyadh and last but not the least, one
speaker Dr. Mohammad Abdalla Al-Rabab'ah from
the University of Jordan, Amman, making it a truly
international conference.
The preconference workshops were organized
under the expert guidance and facilitation of the
international speakers.
The grand opening ceremony of the conference
was formally inaugurated by the Chief guest Lt
Gen Azhar Rasheed HI(M), Surgeon General ,
Medical Services Inter Services. The proceedings
started with recitation of the Holy Qur'aan followed
by the National Anthem.
The chief guest in his address not only thanked
the organizers but also appreciated their efforts in
organizing the event and hoped that the conference
would fulfill its role in professional development
of the dentists. He also highlighted the role of his
department in promoting medical education.
Commandant Armed Forces Institute of
Dentistry (AFID) Brig. Waseem Ahmed delivered
the welcome address. He extended his gratitude to
all international speakers and emphasized the
importance of the conference in relation to
continued professional development of the
participants.
Prof. Col. Azad Ali Azad, the President of PPA
and chairman of the conference, delivered his
address to the audience, providing details of the
conference and the workshops. He also presented
a historical background on prosthodontists in
Pakistan and how the PPA came into being.
Key note lecture on the conference theme was
delivered by Prof. Dr. Nazia Yazdanie, the dean of
Postgraduate Studies and Head of Prosthodontics
at FMH College of Dentistry Lahore. She gave an
overview about the past, present and future of
prosthodontics in the country and quoted different
local and regional studies in relation to her topic.
After her lecture, conference mementos were
distributed among the chief guest and Prof. Dr.
Nazia Yazdanie.
A gala dinner was organized at the beautiful
location of Pak China Friendship Center. The event
started with a beautiful cultural program
highlighting the various cultural factions of the
country. It received tremendous applaud from the
audience. After a grand dinner, a musical program
was presented which was highly appreciated
especially by the younger participants.
At the end of the day's proceedings, the
elimination round of quiz competition was held in
the main auditorium hall, with teams from 9
different colleges of the country participating. The
competition was attended by a number of students
who remained busy in bucking up and supporting
their respective teams during the questions. At the
end of this round, the top 4 teams were selected
for the final round.
In the evening, a recreational trip followed by
dinner was organized for the prosthodontic faculty
and the international guest speakers at the famous
La Montana Restaurant in Pir Sohawa area.
Everyone enjoyed the night sky and night view of
the capital city from the Margalla Hills.
A few of the speakers could not make it to the
conference due to the developing political situation
in the capital city.
After the scientific sessions, the final round of
quiz competition was held and after a tough match,
at last, the team of CMH Lahore Medical and
Dental College Lahore won the first prize of 30,000
Rs. Second position went to Sharif Medical and
Dental College Lahore with a cash prize of 20,000
Rs. Team from Sardar Begum Dental College
Peshawar stood third and were rewarded with a
cash prize of 10,000 Rs while a consolation prize
of 5,000 Rs. was given to the fourth team from
FMH College of Dentistry Lahore. All teams
Continued to page 11
[9] =>
[10] =>
[11] =>
September 2014 Pakistan Edition DENTAL TRIBUNE 11
Improper hospital waste disposal PMDC can perform its
Continued from front page
regulatory functions: Registrar
hazardous waste. He further
added that sanitary workers
sort out the waste manually
and often disposed the waste
together. He also feared that
several materials like syringes
and bags are reused, putting
lives of millions at risk.
The decade old CHK
incinerator is considered
outdated and in spite of it not
working the hospital management is charging Re. 1 from every patient on
account of hospital waste management fee. This leaves the hospital with
insufficient funds for waste management. Several appeals have been made
to the provincial government to provide the required funds to overcome the
problem.
The CHK has over 24 departments and patients’ wards, with a capacity
for about 1,900 in-patients. The out-patient has a daily turnout of 4000,
making this the busiest hospital in Pakistan.
Several other government and privately-operated hospitals are improperly
disposing their waste too. This is a criminal practice and is punishable by
law. The local health and environment protection departments have failed to
make any checks on the ongoing crisis. Further, no plans are in place to take
corrective measures.
The improper waste disposal may give rise to an increase in the prevalence
of dangerous diseases like Hep B,C and even AIDS.
Medical Superintendent Civil Hospital Karachi Prof Muhammad Saeed
Qureshi has said that a request for new incinerator has been sent to the health
department and it is pending for approval.
Secretary General Pakistan Medical Association, Mirza Ali Azhar, has also
taken note of the situation and said that medical waste has caused environmental
contamination.
The government has been urged to take note of this potentially disastrous
situation; and to act before it is too late.
Pharma companies stock recover from
turbulence amid protests
Continued from front page
The shrink was witnessed during the peak of ongoing protests in Islamabad.
While the market recompensed growing back up more than 700 points,
investor still remain prudent with the ongoing investments.
The recent protests by the Pakistan Tehreek-e-Insaaf (PTI) and Pakistan
Awami Tehrik's (PAT) has resulted in bearish market reaction. The market
also effected the Pharma and Biotech sector in the KSE-100 index. Market
experts say that the investor is preferring to stay on the sideline waiting for
clarity on the political front as the protest in Islamabad continues.
While the protests enters the 4th week of the blockade of the red zone in
Islamabad, The pharma and biotech sector recently saw a increase in the
market activity and almost companies gained stock price as well as trading
volume in the market.
Experts believe that the recent round of the negotiations between the
government and the PTI and PAT have brought some stability to the market
and hope the market to stay stable as long as door for negotiations stay
open.or take responsibility for it.
Anaesthetised patient falls and dies
in dental practice
Continued from 6 page
against an aquarium.
Still under the influence of the aesthetic, the patient apparently stumbled
and hit her head against the aquarium with such a tremendous force that it
burst, website www.express.de has reported. A shard of glass severed the
woman’s carotid artery and she subsequently bled to death within a short
period.
The police, who began their investigation straight away, have declared the
case “a tragic accident”. Practice staff were given counselling by emergency
chaplains.
Continued from front page
“The letter of the NHRSC ministry to restrain the PMDC from
performing its regulatory functions as an autonomous body is without
any legal support. Instead, it is a contempt of court as the ministry has
already told the Sindh High Court in writing that it will not interfere
with the PMDC functions and decisions.
The Ministry of National Health Services, Regulations and
Coordination took notice of ‘unlawful’ meetings held by Pakistan
Medical and Dental Council (PMDC) and advised the concerned to
refrain from such practices. In a letter dated August 18, 2014, the
ministry pointed out that the meetings held at the PMDC, specifically
mentioning the one held on 08 August since it included some of the
already de-notified members.
The ministry was of the view that holding any such meetings was
not in line with the orders and judgments passed by various courts of
the country, including those passed by Lahore High Court as well as
decided by the then Chief Justice of the LHC.
PMDC has become controversial after the election of its members
was challenged in courts and is expected not to take any policy decisions
until its legal position is clear.
The ministry advised the PMDC that in view of the current legal
and factual position, it was imperative that all at PMDC comply with
the instructions of the Ministry already communicated to the office of
the Registrar of the PMDC and ensure that no such illegal meetings
were held at PMDC or under its auspices, as these would not be of any
lawful consequence.
With Ministry trying to make PMDC redundant, it is a matter of
grave concern for students as well as their parents seeking admission
to medical and dental colleges as they may end up in one of the bogus
colleges and thus jeopardizing their future. It’s time that Ministry
should either publish a list of fully functional and recognized colleges
or take responsibility for it.
PPA holds 3rd international
conference Emerging Trends in
Prosthodontics
Continued from 8 page
received much applause and
appreciation from the
audience.
Afterwards, the official
closing ceremony was held
and the Chief guest on the
occasion was Dr Raza Bhatti
and Syed Mohsin Director
NUST. After the formal
addresses by
Prof. Col. Azad Ali Azad
(conference chairman and
president of PPA), Maj. Dr.
Qayyum Akhter (general
secretary of the conference)
and the chief guest,
conference mementos and
shields were presented to the
chief guests, the commandant
AFID and Prof. Dr. Nazia
Yazdanie.
Afterwards, the conference
sponsors were also
appreciated and a
representative of the platinum
sponsor company Glow Pak
International was given the
dais to present his views on
the conference. After a formal
vote of thanks by the chairman of the conference, the ceremony ended
with the National Anthem.
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