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held with the Pakistan Dental Association (PDA). Page 02 SEP-OCT 2022 - Issue No. 05 Vol.9 PM NOMINATES DR NOSHAD SHEIKH The Prime Minister has appointed Dr Noshad Sheik as President of the Pakistan Medical and Dental Council. PLANMECA LAUNCHES HEYSMILE CLEAR ALIGNER SYSTEM Finnish dental company Planmeca has announced its move into invisible orthodontics with the launch of HeySmile. Page 02 Page 11 PMC elucidates matters in recent council meeting DT Pakistan Report ISLAMABAD: The Pakis tan Medical Commission council meeting was held at PMC office on 28 September . The council discussed several matters related to different issues. The meeting was attended by the following members presided by the President PMC Dr Noushad Ahmad Shaikh, Dr Khurshid Ahmad Nasim (V.P), Lt.General Nigar Johar, Dr Muhammad Fakhr-e-Alam, Mr Jawad Amin Khan, Barrister Ch. Sultan Mansoor, M. Shabbir Kasbati, Professor Dr Naqibullah Achakzai, Professor Dr Muhammad Zubair Khan. Upcoming MDCAT exam The schedule of the upcoming MDCAT test was decided by council members unanimously. In lieu of the decision, the MDCAT exam will be held on 13 or 20 November 2022. The exam will be conducted by PMC through the provincial public university in all the provinces, ICT on one day at the same time. The centers for the MDCAT examination for Pakistani students will be established in the major universities in Pakistan including, . Bolan University of Medical & Health Sciences (Baluchistan) . University of Health Sciences Lahore (Punjab) Photo: DT Pakistan . Khyber Medical University Peshawar (KPK) . Dow University of Health sciences Karachi (Sindh) . Shaheed Zulfiqar Ali Bhutto Medical University Islamabad (ICT, A JK, Gilgit Baltistan). The passing percentage for the MBBS and BDS students has also been revised declining further to 55% and 45% for MBBS and BDS candidates respectively. The decision was taken in response to the huge financial loss Pakistan had to face since almost 20,000 students enrolled in foreign universities as of last year. MDCAT exam According to the reports the MDCAT Exam will be conducted by PMC through NUMS separately. The students who intend to get admission to NUMS-affiliated colleges will only be allowed to sit in the exam. The MDCAT exam is planned to be conducted manually i.e paper-based. Meanwhile, the answer sheets will be uploaded to the exam-holding universities and the PMC website on the same day. The registration date for the MDCAT exam has been extended for a further ten days. The students can also use the PMC portal for registration purposes. MDCAT for foreign students According to PMC the MDCAT exam for foreign students will be conducted in Saudi Arabia and UAE. Since the maximum number of students who travel to Pakistan for studies reside in these countries. A major time difference as well as the lack of adequate student numbers made it impossible to establish centres in other countries. PMC will further update the details of these centres on its website. The foreign students who intend to appear in MDCAT can travel to Pakistan, Saudi Arabia or UAE for the exam. NLE decision The Council deliberated on the NLE examination and unanimously decided to hold the NLE step 1 exam in the last week of October 2022 and NLE step 2 Continued on Page 4[2] =>DTI-PDF Sep-Oct 22.FH10 NEWS 2 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 PDA spearheads successful sales tax negotiations with SRB for the services rendered by dental practitioners DT Pakistan Report KARACHI: The Sindh Revenue Board has responded positively to the meetings held with Pakistan Dental Association (PDA) on behalf of the entire dental fraternity in Sindh. During their previous meeting, it was discussed that dentists shall be liable to charge and collect Sindh sales tax on t h e p ro c e d u re s of te e t h whitening, teeth polishing, dental veneering, smile design procedures and any other such cosmetic or aesthetic procedures taken to enhance physical beauty or appearance. Earlier, SRB had imposed sales tax on Teeth Whitening, Veneers, I n v i s a l i g n , P l a c e m e n t of Diamonds or Dental Jewellery, G o l d Te e t h , S m i l e Enhancement Procedures/ Hollywood Smile and any other Cosmetic/ Aesthetic Treatment falling under grade 1 'No Need' according to IOTN Index. After a round of meetings SRB agreed that these procedures are to be on a selfassessment basis by the individual dental practitioners/ surgeons. PDA had also proposed the submission of Bi-annual tax returns instead of a monthly submission as the latter would be difficult to track and account for, on a monthly basis. On this particular matter, SRB states that it is not possible as it does not fall under the Sindh Sales Tax on Services Act 2011, however, the request for quarterly return filing and sales tax payments is as per their notification no. SRB-3-4/7/2013 dated 18 June, 2013, the procedures under taken to restore or reconstruct anatomy or functions of body affected due to congenital defects, developmental abnormalities, degenerative disease, injury or Photo: freepik IMPRINT INTERNATIONAL HEADQUARTERS Publisher and Chief Executive Officer Torsten R. Oemus Chief Content Officer Claudia Duschek Dental Tribune International GmbH Holbeinstr. 29, 04229 Leipzig, Germany Tel.: +49 341 48 474 302 Fax: +49 341 48 474 173 General requests: info@dental-tribune.com Sales requests: mediasales@dental-tribune.com www.dental-tribune.com Material from Dental Tribune International GmbH that has been reprinted or translated and reprinted in this issue is copyrighted by Dental Tribune International GmbH. Such material must be published with the permission of Dental Tribune International GmbH. Dental Tribune is a trademark of Dental Tribune International GmbH. All rights reserved. © 2022 Dental Tribune International GmbH. Reproduction in any manner in any language, in whole or in part, without the prior written permission of 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. under consideration and the proposal shall be forwarded to the Government of Sindh, after approval from SRB's senior management. Furthermore, bleaching of teeth and dental veneers for smile designing are to be considered cosmetic treatments, chargeable to SST at 13%. Regarding imperative oral surgeries, SRB has agreed, that trauma of individual persons, including acid or burn victims, are exempt from Sindh sales tax. PDA shall act as a facilitator in terms of enhancing sales tax compliance within the profession and ensure that maximum number of dental practitioners/ surgeons, providing the aforesaid services, obtain registration with SRB. PM nominates Dr Noshad Sheikh as President of the PMDC DT Pakistan Report KARACHI: Health Minister, Mr Abdul Qadir Patel announced during a press conference on 7 September, declaring the selection of Prof Dr Noshad A. Sheikh, as President of the PMDC. Prof Dr Noshad A. Sheikh is a renowned surgeon. He has previously served as secretary of health, Sindh and is also the Vice Chancellor of Liaquat University of Medical & Health Sciences, Jamshoro. The Prime Minister has appointed Dr Sheikh as President of the Pakistan Medical and Dental Council. The press conference also revealed that the MDCAT exams 2022, shall be delayed due to the severe consequences of floods in interior Sindh and Balochistan. Furthermore, Mr Patel, also stated that the admission criteria for MBBS students has now been set to 55%, while BDS students now require a 45%, to secure seat. Publisher and CEO Syed Hashim A. Hasan hashim@dental-tribune.com.pk Editor Clinical Research Dr. Inayatullah Padhiar 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 Fax: +92 21 35836940 www.dental-tribune.com.pk info@dental-tribune.com.pk Dental Tribune Pakistan cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect of Dental Tribune Pakistan.[3] =>DTI-PDF Sep-Oct 22.FH10 [4] =>DTI-PDF Sep-Oct 22.FH10 NEWS 4 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 PADS Annual congress 2022 comes to an outstanding close DT Pakistan Report KARACHI: The PADS Annual Congress 2022 was a three-day engaging and highly educational dental event that took place at the Jinnah Sindh Medical University from 30 September to 2 October. The three-day event kicks ta r t e d w i t h a n o p e n i n g ceremony at the Jinnah Sindh Medical University Campus followed by captivating lecturers on "Shared Decision Making" and "Essential Leadership Skills for a Successful Dental Practice". The latter was a riveting lecture on developing a strong Emotional Quotient (EQ), improving sof t skills, and maintaining a meaningful interaction with patients at a dental practice. This lecture, delivered by the much loved Dr Syed M Faizan focused on the aspects of being a dental practitioner that are not spoken of as often as they should. Students were given a chance to learn teamwork, compromise, and compassion as dentists and owners of a dental practice. The event was then followed by the Dental Olympics, which garnered the spirit of healthy competition, and the opportunity to showcase talent. Winners were awarded with vouchers and cash Photos: DT Pakistan prizes to encourage the students to g o t h e e x t r a m i l e i n professional education and skills development, outside of the dental curriculum. The third day started with the Dental Startup Competition which The audience remained transfixed by the presentations as students pitched ideas like "Dental VR" and a "Smiles Bike" to the judges. The core objective, being the improvement in pathological diagnosis, and w as a n e xc e l l e n t a c t i v i t y organised by the Pakistan Association of Dental Students. Graduates, as well as undergraduate students, participated in the competition by pitching their idea of a successful business startup in the dental field. making dental health accessible in the rural areas of Pakistan, the activity was an accurate depiction of the passion and determination of the students, to achieve optimum quality dental health. After the competition, Dr Noor ul Wahab conducted his lecture on the "Challenges in Dental PMC elucidates matters ... Continued from front page exam in the last week of November for foreign graduates. The council also decided that the NLE examination for local Students shall be conducted through their degree awarding Universities under the umbrella of PMC. The passing percentage for the NLE 1 & NLE 2 has been reduced from 70% to 50% but it will not be used as retrospective. The council decided that the basic postgraduate degrees of the doctors shall be registered with the PMC. Meanwhile, foreign medical dental postgraduate qualifications shall be scrutinized and registered with PMC after due examination. PMC president Professor Dr Noushad A. Shaikh apprised the council regarding the WFME accreditation progress. He prised that PMC has been accepted as eligible for WFME accreditation. According to him, a task force committee has been constituted to look after the WFME's further development of accreditation. The council appraised the efforts made by the task force and advised that necessary steps shall be taken within a few months to secure the future of students and doctors. The council also decided that the inspections of medical dental colleges will be carried out by the PMC in due time. Implant Surgery" which showed fascinating and complicated patient cases. These included patients that suffered the aftereffects of road traffic accidents, bomb blasts etc. A lecture on "How to start a Clinical Research" was also conducted by Dr Nabeel Baig, who provided adequate knowledge during his wellarticulated lecture. The lecture allowed and encouraged students to immerse themselves in the field of clinical research as an opportunity to excel in their dental careers. After a lunch/namaaz break a Panel Discussion took place which discussed "Developing the New Generation of Dentist; Coexistence in workplace and the Future of Dentistry". This intriguing topic focused on the future and the outlook of the upcoming generation's dental professionals. The discussion was one of inclusion and openness and allowed for existing and future dentists to come together for a mutually beneficial outcome for the dental fraternity. The event came to an apt close with a Gala Dinner on behalf of the Pakistan Association of Dental Students for the participants, students, and renowned dentists that were all an integral part of constructing one of this year's most remarkable dental events. Registration of working license The council has decided to extend the renewal of the working license for doctors from 2 years to 5 years. Previously, both dentists and doctors have to get their licenses renewed every two years. Meanwhile, PMC has also provided relief to doctors who are 60 years and above with a waiver of 50% on the registration fee. The council will be updating the list of registered /approved medical and dental colleges on the PMC website soon. Furthermore, PMC has decided to establish regional offices in Karachi, Muzaffarabad and Gilgit at its earliest to facilitate the general public and doctors.[5] =>DTI-PDF Sep-Oct 22.FH10 [6] =>DTI-PDF Sep-Oct 22.FH10 NEWS 6 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 Dow becomes first public sector health facility in Sindh to achieve a milestone KARACHI: Dow Dental College was awarded the prestigious Sindh Healthcare Commission regular license at a ceremony hosted at the Vice Chancellor Secretariat at Dow University of Health Sciences on Thursday, 29 September, 2022. The regular license was awarded in recognition of Dow Dental College compliance with stringent quality standards & following a thorough inspection process set by the Sindh Healthcare Commission. It is the first people of Sindh and Pakistan. Dr Arshad Hassan added that Dow Dental College is a fully functional Dental Hospital equipped with the most modern equipment and instruments, e.g., CBCT, Operating Microscopes, Dental Lasers, and Digital radiography are available for quality dental care. The college has recently got recognition for FCPS in OMFS and Operative Dentistry while recognition for more departments and PhD program is in pipeline. The Stress Management and Positivity workshop at Hamdard Dental College KARACHI: Stress Management and Positivity in Life workshop session was conducted at Hamdard Dental College by Professor Dr Abrar. The workshop was basically conducted to create a positive attitude amongst Photo: the participants and to provide relief DT Pakistan from the stressful lifestyle. The workshop was attended by the faculty members of Hamdard Dental College. The interactive workshop was very much appreciated by all the faculty members. Dr Imran, Principal Hamdard Dental College appreciated Professor Dr Abrar for his efforts in inculcating positivity in the students of Hamdard Dental College. -PR Clinico-Pathological Conference held in Akhtar Saeed Medical and Dental College, Lahore LAHORE: Akhtar Saeed Medical and Dental College organise clinico-pathological conferences (case presentation session) every Friday by House officers as part of their clinical rotation under the supervision of concerned senior faculty members. Photos: DT Pakistan Photos: DT Pakistan public sector health facility in Sindh that was awarded a regular license. Speaking at the ceremony, Sindh Healthcare Commission CEO Dr Ahson Qavi Siddiqi shared that the license is based on several service quality standards and a rigorous inspection process of different service standards. He further added that "quality is an ongoing process, which entails exceeding the patient expectations by constantly raising the bar, and improving upon existing operations". Speaking with the audience at the ceremony, Vice Chancellor Dow University of Health Sciences Prof Mohammed Saeed Quraishi shared, "we have always prioritized patient safety and quality in all our practices". The license signifies Dow Dental College's commitment to constantly enhancing and improving the quality and standard of care provided to the college continues to improve its clinical services via procurement of advanced equipment and faculty development projects to achieve the mission of the University and offer excellence in dental care. Dr Arshad Hassan further shared, "I am proud of my entire Dow Dental College team members for demonstrating compliance via e v i d e n c e d u r i n g a u d i ts a n d maintaining the standards of care round the clock". It was an honor to welcome the Sindh Healthcare Commission's CEO and accreditation team. I am especially grateful to Vice Chancellor Dow University of Health Sciences Prof Mohammed Saeed Quraishi for honoring us with his presence. T h e a w a rd c e re m o n y w as attended by the Head of Departments and senior faculty of Dow Dental College. -PR House officers decided their topic of case presentation and after approval from the supervising teacher, presented in front of the principal, Vice principal, dean, all faculty members, and their colleagues. House Off icer's presented cases from clinical departments like oral and maxillofacial surgery, prosthodontics, periodontology, operative, and orthodontics with a key aspects like history, clinical examination, diagnosis, and treatment plan appropriate for their cases. The key purpose of these CPC's was to enhance HO's communication, and research skills, patient experience, and correlative subject knowledge with treatment planning. The certificate was awarded to each CPC participant. . Dr Fazila Zahid: Generalized aggressive periodontitis. Each of the main treatment modalities was discussed along with clinical cases as examples. These cases are being treated at Akhtar Saeed Dental Clinics under the supervision of Dr Ahmad Ch in the department of Periodontology. . Dr Hania Irfan Haider: Tooth and implant Supported Overdenture. She presented few of the cases she herself had done under the supervision of Dr Irfan Head of Department, Prosthodontics. . Dr Mehroz Ahmad Khan: Zygomatic and mandibular fractures in RTA. He discussed no. cases in Pakistan reported related to RTA. Treatment options in kids and adults . Dr Romessa Anis: Odontogenic infections in which She discussed buccal space infection & Ludwig's angina. Principles of management & protocols for antibiotic administration. -PR[7] =>DTI-PDF Sep-Oct 22.FH10 [8] =>DTI-PDF Sep-Oct 22.FH10 NEWS 8 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 New recommendations from FDI on the cracked tooth syndrome Dr Amna Bilal SWITZERLAND: The FDI has issued new guidelines for Cracked Tooth Syndrome, which is both a temporary and progressive condition. The condition of CTS can be difficult to detect, require adequate treatment, and failing to do so could lead to eventual tooth loss. In dental surgery, cracked teeth are frequently observed. A crack's severity can range from minor enamel chips to severe fractures that lead to tooth loss. Most fractures are referred to as "complete" fractures when a cusp entirely separates from a tooth. However, the minority are referred to as "incomplete" fractures when the fractured piece of the tooth is still connected to the remainder of the tooth by a bridge of healthy tissue. Patients may suffer unpleasant symptoms known as Cracked tooth syndrome when these incomplete fractures are present. Causes of Cracked tooth syndrome Teeth fracture for a variety of reasons, which can be further broken down into: Anatomical risk factors: Characteristics of your teeth's structure or anatomy that increase their susceptibility to fracture. External risk factors: Because we typically consume a combination of cold and hot meals, sometimes in the same meal, temperature change causes the enamel to expand and contract in the teeth. These variances help one or more cracks to form and spread by combining them with the numerous lowfrequency loads brought on by chewing. Contrarily, risk factors for cracked tooth syndrome (CTS) include prior cavity preparation, restorative material compaction or bonding techniques, cervical tooth surface loss, tooth morphology, function, parafunction, and trauma, all of which can cause a crack to start or spread. Cracked teeth can result from teeth grinding or clenching, which can be brought Complex Crack Extraction Simple Crack Photo: firstbite on by psychological stress, like that brought on by the COVID-19 epidemic. Diagnosis & Prevention The history of the discomfort is all that is needed to make the diagnosis of a cracked tooth. What time did you first feel it? What causes the discomfort? What causes it to halt? During the examination, the dentist will ask you a number of questions. The problem with these incomplete cracks is that they frequently don't show up as obviously on X-rays or in clinical examinations. Therefore, the patient must provide the dentist with a comprehensive description of the symptoms for the dentist to provide the most accurate diagnosis possible. To find the source of your pain, your dentist may tap on some of your teeth or have you bite down on a particular tool. Transillumination, or simply shining a bright beam of light through a subject and analysing the pattern of light transmission to diagnose, is one method for identifying a cracked tooth. Light does not pass over and illuminate the side of the tooth beyond a cracked tooth because it is scattered when it strikes the crack. The best restorative prognosis has frequently been linked to the significance of early diagnosis. This indicates that the sooner you visit the dentist after experiencing symptoms, the greater the likelihood you will require more conservative treatments. Not every tooth fracture is avoidable. But with proper dental habits, you can lower your chance of fractured tooth syndrome. Do not chew ice or hard objects. Maintain optimum oral and gum health. If you engage in physical activity or grind your teeth at night, use a mouth guard made by your dentist. Visit the dentist frequently. Treatment A cracked tooth will suffer less permanent harm if it is addressed quickly. This is because it may be possible to determine the size of the crack before it expands and damages tooth tissues or perhaps even reaches the nerve. Root canal therapy and a crown might be used to treat the tooth if the crackline has spread to the pulp. However, restoring if the break extends below the gum line may be more challenging. If a cracked tooth is not fixed, it will gradually worsen and cause tooth loss. A cracked tooth will frequently develop into a split tooth over time. However, whether any part of the tooth can be preserved will depend on where the break is and how big it is. Cracks that begin at the tooth's root and progress to the occlusal surface are vertical root fractures. They frequently exhibit few symptoms and indicators, making them susceptible to going undiscovered for a while. Localized gingivae that are inflamed or infected may indicate a vertical root fracture, periodontal pockets, or related bone loss. Some fissures may continue to develop and separate after therapy, leading to tooth loss. Although placing a crown on a broken tooth offers the greatest protection, it is not always successful. Treating a cracked tooth is crucial because doing so will make it less painful and less likely for the crack to worsen. Most cracked teeth continue to function and offer years of easy chewing after treatment. The patient should be told about the tooth's uncertain prognosis. Frenectomy and Tissue Grafting taught in new Advanced Surgery workshop at Dental Cafe KARACHI: An Advanced Oral Surgery workshop was conducted at the Dental Cafe by Irfans (DCBI) on 11 September 2022. Workshop facilitator and speaker was Dr Arafat Bashir, who is currently working as an Assistant Professor in Oral & Maxillofacial Surgery Department, at JSMU. Purpose of the workshop was to familiarise participants with the Advance Oral Surgery proceduresand techniques. Dr Arafat shed light on advanced topics of oral surgery like Labial & Lingual frenectomies, Palatal Connective Tissue Graft, Buccal Advancement and Palatal Rotational Flaps and Hollywood Checks. The workshop was attended by handsome number of participants from several dental colleges in the city who appreciated Dr Arafat's knowledge and dedication towards teaching. Hands on exercise was carried out Photo: on goat's heads by the DT Pakistan participants. Wo r k s h o p c o n c l u d e d w i t h certificate distribution among the participants by Dr Arafat, Dr Umer Bin Irfan (CEO Dental Cafe by Irfans) and Dr Adil Bin Irfan (MD Dental Cafe by Ir fans). The dental practice plan to conduct more of such workshops in the future. Their upcoming workshop, set to take place in October, shall be on the "Fundamentals of Implantology" with worldrenowned speaker and Implantologist Dr Irfan[9] =>DTI-PDF Sep-Oct 22.FH10 NEWS 9 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 Renowned academicians from private and public dental colleges urge MDCAT criteria to be made at par DT Pakistan Report KARACHI: Currently, Pakistan has 72 private and 42 public sector medical colleges as well as 42 private and 17 public sector dental colleges. Majority of the private dental colleges are owned or governed by medical professionals as CEO or Directors. Therefore, the professional, academic and service priorities, being different, remain neglected and unaddressed. The appeal relates to a recent decision taken by the Federal Health Minister and the new PMDC President whereby MDCAT pass percentage for admission to the dental programme for 2022 has been lowered to 45%. The dental professionals, thus, share their concerns about the unsuitable admission criteria along with a few other important academic matters. Photo: incpak The appeal is a consideration to improve education standards. The appeal requests that quality, be given preference over quantity, and commercial interests be given a backseat. That dentistry is a manually dexterous oral health care profession and should not be treated as a second grade health care profession. It also states the existing 4-year BDS programme needs to be upgraded to a new 5-year DDS programme in line with the global trends. Mandatory 7 new dental specialties need to be taught as teaching and examination subjects. The current 4-year BDS programme can continue at dental colleges that are not i n te re s te d i n u p g r ad i n g t h e m s e l v e s . There is also an imperative need to set up a separate Pakistan Dental Council, consisting only of dental academics. Such a council must have a status equivalent to PMDC/ PMC to address our dental professional academic and licensing policy and other matters. This PDC should consist of representation from all provinces and serve as an independent national regulatory body. According to reports, our current 4-year BDS graduates are facing recognition issues in Saudi Arabia and other countries regarding job opportunities. This appeal denotes that the remedy lies in upgrading the programme to a 5-year DDS programme. The fraternity expects a positive response from the relevant authorities in resolving the aforementioned matters and concerns. Hands-on session on histology slide preparation organised by department of oral biology Oral Cancer campaign video competition by Ziauddin College of Dentistry KARACHI: On 29 September, 2022, Department of Oral Biology and Tooth Morphology of BUDC organised a "Hands-on session on Histology Slide Preparation" for 1st year BDS students in collaboration with Department of Oral Pathology. KARACHI: On 5 October, 2022, the Department of Oral Medicine and Diagnosis under the supervision of Dr Afifa Razi Head of Department with team, along with the BDS student council conducted an Oral Cancer Awareness Video Competition: "Better than too late". In this competition, students of third year along with house officers created short videos to raise awareness regarding oral cancer. helped students in grasping the knowledge. The lecture was proceeded by hands-on session where students were briefed and demonstrated regarding the different steps of slides preparation. The students were shown different apparatus, chemicals and stains. Photos: DT Pakistan Photos: DT Pakistan The session was facilitated by Prof Dr Daud Mirza, Head of Department and Dr Afsheen Maqsood Associate Professor, Department of Oral Pathology. Prof Daud Mirza, introduced the step required for histological slide preparation. The session was very interactive and he captivated the audience by using simple terms about the procedure of Histological Slide preparation. Second part of the session was conducted by Dr Afsheen Maqsood. She introduced different types of microscopes and different staining techniques. Pictorial presentation They were fascinated and thoroughly enjoyed the activity. The students expressed their excitement in witnessing the process of histological slides preparation for the first time and were amazed at the efforts exerted by the team. The facilitators of the events were presented with certif icates of appreciation by Prof Dr Wahab Buksh Kadri, Principal BUDC. He acknowledged the efforts of the department and facilitators and emphasized that such healthy sessions should be executed regularly to enhance students' interest in studies. -PR As part of this campaign, the students also visited Shireen Jinnah colony and ZU Kemari hospital where they took histories and performed examinations on participants. Not only were the participants counselled regarding the harmful effects of carcinoma-causing agents but also advised against the use of such agents. To target the masses and the society the videos were shot and edited by the students who competed for a cash prize of 10,000 PKR, while runner-ups were eligible to receive 5000 PKR. The panel of judges, which included Dr Nabeel Baig (Consultant Epidemiologist CPSP), Prof Imran Alam, (Postgraduate Coordinator ZCD) and Prof Nuzhat Hassan (Principal ZMC), based their decision based on the quality of the content, relevance, creativity, and impact of the videos. Through this first digital-based competition, an immense amount of talent was brought forward and students were able to amplify the impact of the awareness they were trying to achieve. Towards the end of the competition, winners were announced and awarded a cash prize. While the remaining participants were distributed certificates of participation and Shields of Honour were awarded to the judges. -PR[10] =>DTI-PDF Sep-Oct 22.FH10 NEWS 10 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 Conference on Literacy and Youth Skills at FJDC KARACHI: FJDC held a Conference on Literacy and Youth Skills on 7 September, 2022 at their Pre-Clinical Campus. For the event, eminent speakers were invited from various fields of Education, IT, Manufacturing and E-Commerce industries. also mentioned Mission E s s a r, a f o o d a n d medicine drive that FJDC is a part of, appealing to everyone to donate and help in whatever way they can. All presenters spoke about their areas of their expertise. Mr Jibran talked about the impact and advised on the skills and mindset required to excel in any field. Finally, the chief guest Ms. Nadia Hussain stepped gave a very inspirational speech about her journey that made her the woman she is today. She talked about the difficulties and Photos: DT Pakistan The speakers included Mr Jibran Jamshad, Education Sector Lead, Microsoft (Pakistan, Jordan, Lebanon); Mr Mehdi Hasnain COO- Loads Limited; Mr Adeel Durvesh, Co-Founder & Principal-PACE College of Advanced Studies and Dr Nadia Hussain who is a Dentist, Entrepreneur, Cosmetologist, Model, Actress and Host. The event took off with Dr Hussain Askary, welcoming all the guests and giving a very informative presentation about the college, its achievements and its stance on 'Literacy & Youth Skills'. He ended his speech by talking about the unfortunate circumstances that have hit interior Sindh due to the recent floods. He of the technological revolution in today's world and listed the endless potential it had in the field of healthcare. Then Mr Mehdi talked about his journey which led him to become who he is today. He said that life can also be unexpected, but with hard work and determination, the possibilities of achieving one's dreams and goals are endless. He also talked about the importance of teaching entrepreneurship at an early stage, as that is the time the mind is the most receptive to absorbing information and the creation of new ideas. Mr Adeel gave an intellectual talk on the importance of staying positive even in the most unfortunate situations hardships she faced as a young dental graduate. However, with sheer commitment, she was able to force her way through every obstacle and excelled not only in the enter tainment industry but also in the f ield of aes thetics. This was followed by the dis tribution of certif icates to the students and house officers who volunteered in the Blood Donation Drive for The Indus Hospital and participated in the No Tobacco Day Oral Health Screening Camp held at The Hunar Foundation. Overall, the event was a major success. It was attended by lots of students and faculty and proved to be a great learning experience for everyone. -PR Dental Checkup & Oral Health Awareness Session at ABSA School & College for Deaf by BUDC Photos: DT Pakistan KARACHI: In the light of free dental checkup, an interactive oral health awareness session was arranged at ABSA School & college for Deaf on 21s t September, 2022. The BUDC, Health Care Professional (HCP) team participated in the activity. The team comprised of Prof Kulsoom Fatima Rizvi (VicePrincipal & Head of Community Dentistry Department), Dr Maria Moin as Assistant Professor, Dr Mohsin Haider as Senior Lecturer and Dr Hajra Asghar as Lecturer in Department of Community and Preventive Dentistry. Dr Zoha Haque, Dr Anmol Zaman, Dr Maryam Gichki, Dr Areeba Aurangzeb, Dr Hania as House Officers along with students of 2nd year BDS. Oral health promotion is for upliftment of oral health of community rather than an individual and has longterm impact; it is advocated for disadvantaged and especially abled population where resources and manpower is limited. A handicapped individual may be defined as a person who has been prevented, because of his handicap from full participation in usual activities of daily life which in turns affects his oral health and oral health is an integral part of an individual's general health. The BUDC, HCP team reached the school at 9:30 am. The BUDC team was cordially greeted by the school principal and showed them around the campus. The target audience consists of 350 Deaf children and adults, with age range of 04 to 20 years; the activity was performed on 3 floors with separate supervisors on each floor. The Dental checkup was carried out by students of 2nd Year BDS supervised by faculty members and house officers. The children with hearing impairment were accompanied by their teachers who communicated the questions to them via sign language. The children were taught about brushing technique and information related to healthy and unhealthy food through video and play cards prepared by the students of 2nd year BDS. The lively interaction was filled with fun and entertainment keeping in view the concern of especially abled population and age of the recipients. Dental checkup was provided to all children with hearing impairment and the oral health condition was recorded on validated WHO forms. The dental team was well dressed professionally and used proper sterilization and cross infection protocols. Children were also provided oral hygiene kits at the end of the program as an incentive sponsored by Colgate Pakistan. The overall oral condition of these especially abled children was considered fair. The School Principal and staff members were very pleased with the oral health activity at their school and had their queries and problems addressed. The BUDC team looks forwards to conduct more of such oral health education and promotional awareness sessions. It was a good learning experience for both the school and the dental team at both ends. -PR[11] =>DTI-PDF Sep-Oct 22.FH10 NEWS 11 DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 By Dental Tribune International HELSINKI, Finland/MALAGA, Spain: Finnish dental company Planmeca has announced its move into invisible orthodontics with the launch of HeySmile, a dentist-led clear aligner system that is already expanding its services in European countries. HeySmile is headquartered in Spain and offers dental clinics a full digital workflow that integrates seamlessly with Planmeca products and software. According to Planmeca, HeySmile puts dentists back in charge of clear aligner therapy. The company said in a press release that the digital HeySmile Studio platform allows dentists to make a diagnosis and treatment plan "with just a few clicks" and that it accepts 3D image files from almost any intra-oral scanning device. During the course of treatment, clinicians are in direct contact with HeySmile dental technicians, who ensure that the treatment progresses in line with the treatment plan and the clinician's treatment goals. Planmeca launches HeySmile clear aligner system Planmecas new clear aligner system, HeySmile, is made from a unique three-layer Timanti material, which helps the trays to maintain their shape while guiding teeth into the desired position. (Image: Crevis/Shutterstock) HeySmile clear aligner trays are made from a unique three-layer Timanti material, which helps them to maintain their shape while guiding teeth into the desired position. Planmeca said that this results in more predictable tooth movement and decreases patient discomfort. HeySmile aligners are designed and manufactured in-house, meaning that they can be shipped to the dental clinic in as little as one week. Jukka Kanerva, senior vice president at Planmeca, commented in the press release that the company is always seeking to solve the everyday challenges that dentists face. He said: "HeySmile solves three-an effective clear aligner treatment solution that is truly doctordriven, predictable, and open to everyone. We are proud to be able to say that it is unlike any other aligner system out there." Heikki Kyöstilä, founder and president of Planmeca, mentioned HeySmile in an interview with Dental Tribune International at the International Dental Show in Cologne last year, saying that the upcoming clear aligner solution would be part of a sharpening of the company's portfolio. A major manufacturer of dental technology, Planmeca's portfolio includes digital dental units, CAD/CAM solutions and 2D and 3D imaging devices. Earlier this year, the company acquired a 51% stake in the KaVo treatment unit and instrument business from Envista Holdings, and Kyöstilä acquired the remaining 49% share as a private individual. Global healthcare systems unprepared for another pandemic, research shows By Dental Tribune International DOHA, Qatar: A survey commissioned by the World Innovation Summit for Health (WISH) has found that healthcare systems in both developed and developing countries would not be prepared for another pandemic, should one emerge in the next five years. As well as reporting this lack of preparedness, the healthcare workers surveyed cited a shortage of financial support and qualified staff as factors that could expose healthcare systems to the danger of collapsing in the event of another global health emergency. The survey asked healthcare professionals in Brazil, India, Nigeria, Saudi Arabia, the UK and the US about their workplace and profession and sought to gain an insight into the impact that the SARS-CoV-2 pandemic has had on their lives. Nearly half (49%) of all respondents said that a lack of preparedness is one of the greatest threats facing their national health system. When respondents were asked about the factors that may leave health systems vulnerable to collapse in the event of a new pandemic, 60% identified a lack of financial support and 55% pointed to a shortage of trained professionals. An inability to provide sufficient support to patients was identified by 44% of respondents as posing a significant threat to national health systems. In a press release, WISH CEO Sultana Afdhal commented: Our findings spotlight some of the critical challenges that the COVID-19 pandemic has forced upon us over the last two years, and which those that care for us are still trying to mitigate today. As an advocate for a healthier world through global collaboration, we urge governments, industry leaders, and policymakers to take these insights and work towards building next-generation health systems that are better equipped to meet similar challenges in the future, in order to improve the standard of care and, crucially, to ease the burden felt by our healthcare workforce. Our findings spotlight some of the critical challenges that the COVID-19 pandemic has forced upon us over the last two years Afdhal continued: The current pandemic has strained health systems to create urgent response measures such as increasing capacity, enhancing infection control, moving to remote models of care, and enabling mass vaccination, among others. There is a need to take stock of the challenges and for enablers to respond at a national level, as well as create opportunities for accelerating the sharing of strategies internationally. A lack of preparedness, financial support and trained professionals may leave health systems vulnerable to collapse in the event of another global health emergency, according to a survey commissioned by the World Innovation Summit for Health. (Image: Southworks/Shutterstock) A WISH report published this year sought to identify the gaps in healthcare systems that were exposed during the SARS-CoV-2 pandemic and proposed recommendations to governments and policy makers in order to shore up their healthcare systems. According to the report, short-term actions that governments should take include developing multisectoral preparedness plans with key objectives and responsibilities. In the medium term, governments should identify weaknesses that were exposed during the current pandemic, adapt care models, improve information systems and strengthen the workforce. In the longer term, structural and regulatory changes should be made in order to improve health system resilience.[12] =>DTI-PDF Sep-Oct 22.FH10 12 NEWS DENTAL TRIBUNE Pakistan Edition SEP-OCT 2022 Lagging inflation rate for US dental services squeezing clinic profits and dentist incomes The annual inflation rate for US dental services is trailing the overall inflation rate, meaning that increases in the cost of running a dental clinic are not being matched by increases in income. (Image: Andrey_Popov/Shutterstock) By Jeremy Booth, Dental Tribune International CHICAGO, US: The annual inflation rate for dental services has dipped well below the rate of overall inflation in the US. This key development reverses a 25-year trend and is putting pressure on the profit margins of dental clinics, according to industry insiders and the American Dental Associations (ADA) Health Policy Institute (HPI). The trend was revealed in an October webinar that provided a third-quarter update on the state of the dental economy using fresh data from HPI and the Bureau of Economic Analysis (BEA). BEA data sets concerning the dental and health sectors from 2000 to 2022 showed gradual climbs cut short by chasmic pandemic-induced falls in early 2020. In most cases, data values had not fully recovered from the falls and remained below prepandemic levels. Spending on US dental services in August (adjusted for inflation and seasonally adjusted to an annualised rate) showed an annual spend of US$113.4 billion (PKR 25,000 billion), which represented an increase of 6.4% from last year and a decrease of 9.0% compared with pre-pandemic levels. In early 2020, before the pandemic affected western dental markets, US dental spending peaked at US$124.2 billion. Dental spending was also shown to be lagging behind other healthcare spending. In August, dental spending was equivalent to 91.4% of what it was in February 2020. Spending on physician services, however, stood at 97.8% and spending on overall healthcare services had returned to 100% of pre-pandemic levels. Spending on dental services has been flat for the past six months, Bradley Munson, senior research analyst at HPI, pointed out. Of greater concern to the panel, however, were data concerning annual inflation rates. Data from the Consumer Price Index for August showed that the annual inflation rate for dental services was 4.7%. This figure is based on the price paid for dental services by patients and insurers and is well below the US inflation rate for all items, which stands at 8.2%. In effect, this means that increases in the cost of running dental clinics are not being matched by increases in income. HPI polling data confirmed that the majority of US dentists who participate in insurance n e t w o r k s re p o r t e d t h a t i n s u r a n c e reimbursement rates have stayed roughly the same for the past 12 months. Munson explained that this represented an unusual moment in how these trends compare: For the past year, dental services inflation has remained well below inflation overall, whereas for the past 25 years prior to 2021, dental services inflation was usually higher than overall inflation. We are not seeing an increase in fees. It is a real challenge, and we are definitely having massive margin compression this year. _ Stephen Thorne, CEO, Pacific Dental Services According to Munson, increases in operating costs at dental clinics, combined with stagnating reimbursement rates from insurers, are likely to be putting pressure on dental clinics profits and on the net income of dentists. On the panel was Stephen Thorne, founder and CEO of major US dental support organisation (DSO) Pacific Dental Services. Thorne said that the DSO was experiencing not only huge patient volumes but also significant margin pressures. Citing factors such as inflation, the war in Ukraine and spikes in SARS-CoV-2 infection, he commented that 2022 had so far been more challenging than 2021. We are not seeing an increase in fees. It is a real challenge, and we are definitely having massive margin compression this year. It is very difficult, Thorne acknowledged. Panel member Dr Krishna Aravamudhan, vice president of the ADA Practice Institute, said that the trailing dental services inflation rate was the biggest story currently in US dental economics. Speaking about the lack of adjustments made by insurance payers, she said: Im sorry I am the bearer of bad news, but I think this is going to be financially challenging. I think [the insurance] industry, they are well aware of the data but we are not really seeing the market step up and say, Lets raise rates. Dr Aravamudhan said there had been increases of 1%2% in insurance rates in certain parts of the US, as well as related incentives and loyalty programme initiatives from some providers. According to Thorne, the problem may not be endemic to dental care. He explained: It is a challenge in healthcare, in all of healthcare, because the cycle for pricing changes in healthcare isnt weeks or months. Sometimes it is not even years, it is multiple years, because of the payer system and how it works. 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